VAERS 2021 Database www.vaers.hhs.gov

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

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

Incidents per State

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

ID: 1030064
Sex: M
Age:
State: NJ

Vax Date: 01/20/2021
Onset Date: 01/23/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Dizzy; Loss of smell and some taste; Loss of smell and some taste; Fever at 101.4 Fahrenheit; This is a spontaneous report from a contactable consumer (patient). A 34-year-old male patient received the first dose of BNT162B2 (Pfizer-Biontech Covid-19 Vaccine, Lot. El9262) at single dose, in the left arm, on 20Jan2021 at 09:00 AM, for COVID-19 immunisation. The patient had not received any other vaccines within 4 weeks prior to the BNT162B2 vaccine. Relevant medical history was none. No allergies to medications, food, or other products were reported. Prior to vaccination, it was unknown if the patient was diagnosed with COVID-19. Concomitant medication included buprenorphine hydrochloride, naloxone hydrochloride (ZUBSOLV) from an unspecified date (within 2 weeks of vaccination), for an unknown indication. On 23Jan2021, at 03:00 PM, the patient experienced dizzy, loss of smell and some taste and fever at 101.4 Fahrenheit. Treatment was required (unspecified). Physician Office Visit required. Clinical outcome of the events was recovering at time of this report. The case was assessed as non-serious (seriousness criteria-results in death: no, seriousness criteria-life threatening: no, seriousness criteria-caused/prolonged hospitalization: no, seriousness criteria-disabling/incapacitating: no and seriousness criteria-congenital anomaly/birth defect: no). Post the vaccination, the patient has not been tested for COVID-19.

Other Meds: ZUBSOLV

Current Illness:

ID: 1030065
Sex: M
Age:
State: MN

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

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Receive a cortisone shot on his wrist for his inflammation; This is a spontaneous report from a contactable consumer (patient) from a Pfizer-sponsored program. A male patient of unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date: unknown), via an unspecified route of administration on 21Jan2021 at a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient called in because he received his first shot of the vaccine last 21Jan2021 and about to receive his second shot on 11Feb2021. He was asking if it's okay to receive a cortisone shot on his wrist for his inflammation before taking the second shot. The outcome of the event was unknown. Information on the batch/lot number has been requested.

Other Meds:

Current Illness:

ID: 1030066
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

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

Symptoms: felt sore, hot and cold along with fatigue; felt sore, hot and cold along with fatigue; felt sore, hot and cold along with fatigue; This is a spontaneous report from a non-contactable consumer reporting for herself. A female patient of an unspecified age received bnt162b2 (BNT162B2) 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 felt sore, hot and cold along with fatigue on an unspecified date with outcome of unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1030067
Sex: F
Age:
State: CT

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Fatigue; Chills and Sweats; Chills and Sweats; Fever (102); Headache; Muscle aches; Weakness; Cough; Out of Breath; This is a spontaneous report from a non-contactable consumer (patient). A 30-year-old female patient receives the 2nd dose of bnt162b2 (BNT162B2, lot # EL9264) at single dose at left arm on 27Jan2021 14:30 at 30 years for covid-19 immunisation, administered at hospital. Medical history included bladder cancer. No allergies to medications, food, or other products. Patient was not pregnant at the time of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19. There were no concomitant medications within 2 weeks of vaccination. The patient previously received the 1st dose of bnt162b2 (BNT162B2, lot # E1L9L31) at single dose at left arm on 04Jan2021 for covid-19 immunisation. The patient had not received other vaccines within 4 weeks prior to the COVID vaccine. On 28Jan2021 01:00 the patient experienced fatigue, chills and sweats, fever (102), headache, muscle aches, weakness, cough, out of breath. The patient underwent lab tests and procedures which included body temperature: 102 on 28Jan2021. No treatment received for the adverse events. Since the vaccination, has the patient been not tested for COVID-19. The outcome of events was recovering. Case was reported as non serious. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1030068
Sex: F
Age:
State:

Vax Date: 01/27/2021
Onset Date:
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: having some arm soreness at the injection site after getting the vaccine; This is a spontaneous report from a consumer (patient). An 84-year-old female consumer received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 27Jan2021 at single dose for COVID-19 immunisation. Medical history and concomitant medications were unknown. On unknown date, the patient experienced arm soreness at the injection site after getting the vaccine. The outcome of the event was unknown. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1030069
Sex: M
Age:
State: CT

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Slight fever (99.4); Fatigue; Aches; shoulder where shot was administered ached; This is a spontaneous report from a contactable consumer reported for himself. A 22-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via unknown route at left arm on 26Jan2021 13:00 at single dose for COVID-19 immunization. Medical history included Covid-19 infection. Since the vaccination the patient has not been tested for COVID-19. Concomitant medications were not reported. On 26Jan2021 at 20:00 the patient experienced slight fever (99.4),fFatigue, ache and shoulder where shot was administered ached. The outcome of the events was recovered on unknown date. The patient did not receive any treatment. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1030070
Sex: F
Age:
State: FL

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Room was spinning; Dizzy; Nausea; This is a spontaneous report from a contactable consumer (patient). This 76-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unknown route, on 26Jan2021 (at 12:00) at a single dose on the left arm for COVID-19 immunisation. Relevant medical history included arthritis, blood pressure and allergies. Relevant concomitant medications included atorvastatin, furosemide and metoprolol. On 27Jan2021, the patient woke up in the morning the room was spinning and she was so dizzy she couldn't even get up. She remained dizzy for quite a while - she was not sure if she should receive the next dose. She also had nausea. The patient was not treated for the events. Pre and post vaccination COVID tests were not performed. The patient had recovered from the events on unknown date in 2021. Information about Lot/Batch number has been requested.

Other Meds: ATORVASTATIN; FUROSEMIDE; METOPROLOL

Current Illness:

ID: 1030071
Sex: F
Age:
State: IA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: I had continuous headaches pain scale 5 and SOB where Ive needed to use an inhaler.; I had continuous headaches pain scale 5 and SOB where Ive needed to use an inhaler.; This is a spontaneous report from a contactable other HCP reporting for herself. A 45-years-old female patient received the first dose of bnt162b2 (BNT162B2) vaccine , intramuscular in the left arm on 11Jan2021 15:30 at SINGLE DOSE for covid-19 immunisation . Medical history included thyroid disorder and rubber sensitivity (Allergy: Latex). The patient had continuous headaches pain scale 5 and Shortness of Breath (SOB) on 12Jan2021 12:00 with outcome of recovered with sequelae. The patient received Tylenol and an inhaler as treatment of the events. Lot number information have been requested.

Other Meds:

Current Illness:

ID: 1030072
Sex: F
Age:
State: WI

Vax Date: 01/26/2021
Onset Date:
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: rotator cuff problems and took naproxen sodium (ALEVE) every day for this shoulder pain; rotator cuff problems and took naproxen sodium (ALEVE) every day for this shoulder pain; This is a spontaneous report from a contactable consumer reported for herself. A 72-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), from lot# EL8982 via intramuscular route at right deltoid on 26Jan2021 16:30 at single dose for COVID-19 immunization. Medical history and concomitant medications were none. On unknown date the patient experienced rotator cuff problems and took naproxen sodium (ALEVE) every day for this shoulder pain as recommended by her HCP. The patient was unable to remember if she took an Aleve before or after she received the vaccine. She would like to know if this will interact with the vaccine. The outcome of the events was unknown.

Other Meds:

Current Illness:

ID: 1030073
Sex: M
Age:
State: FL

Vax Date: 01/18/2021
Onset Date: 01/27/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Swollen lymph node under left arm; This is a spontaneous report from a contactable consumer (patient) A 46-years-old male patient received the first dose of BNT162B2 Pfizer-BioNTech COVID-19 mRNA Vaccine, Lot number EL8982, in Hospital, via an unspecified route of administration in right arm, on 18Jan2021 (at 46 years of age) at single dose for COVID-19 immunization. Medical history included seasonal allergy (pollen) and allergy to cats, both from an unknown date. The patient has not been tested for COVID-19 since the vaccination. Concomitant medication included Vitamin D3 and Multi vitamins. On 27Jan2021 the patient experienced swollen lymph node under left arm. No treatment was administered for the event. The patient was recovering from the reported event at the time of the report.

Other Meds: VITAMIN D3

Current Illness:

ID: 1030074
Sex: F
Age:
State: CT

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: sore muscles in left arm where injected; This is a spontaneous report from a contactable consumer. A 40-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number: EL3247 and expiration date: unknown), via an unspecified route of administration on the left arm, on 26Jan2021 at 13:30 at a single dose for COVID-19 immunization. Medical history included polycystic ovarian syndrome. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included metformin (METFORMIN), spironolactone (SPIRONOLACTONE), ethinylestradiol, norethisterone acetate (JUNEL), and escitalopram (ESCITALOPRAM). The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced sore muscles in left arm where injected on 26Jan2021 at 19:00. Since the vaccination, the patient has not been tested for COVID-19. No treatment was administered for the event. The event resolved on an unknown date in Jan2021.

Other Meds: METFORMIN; SPIRONOLACTONE; JUNEL; ESCITALOPRAM

Current Illness:

ID: 1030075
Sex: F
Age:
State: NC

Vax Date: 01/20/2021
Onset Date: 01/01/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: sore throat; headache; don't feel well; weak; nauseated; hoarse; she feels tired; her mind is just kind of foggy; This is a spontaneous report by a contactable consumer (patient). This 75-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (Lot number EL3247), via an unspecified route of administration at single dose in the left upper arm on 20Jan2021 07:30 for Covid-19 immunisation. Medical history none. There were no concomitant medications. The patient experienced headache on 26Jan2021 with outcome of unknown, don't feel well in Jan2021 with outcome of unknown, weak in Jan2021 with outcome of unknown, nauseated in Jan2021 with outcome of unknown, sore throat on 28Jan2021 with outcome of not recovered, hoarse in Jan2021 with outcome of unknown, she feels tired in Jan2021 with outcome of not recovered, her mind is just kind of foggy in Jan2021 with outcome of unknown.

Other Meds:

Current Illness:

ID: 1030076
Sex: F
Age:
State:

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: fever of 104 F; dizzy; my arm was so sore I could not lift it/ My body ached mostly in my legs and lower back; felt soreness at the injection site; felt extremely nauseated; My body ached mostly in my legs and lower back; Body aches/extreme tiredness; headache; This is a spontaneous report from a non-contactable consumer (patient). A 30-year-old female consumer received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 07Jan2021 at 09:45 at single dose in left arm for COVID-19 immunisation at the age of 30-year-old. Lot number was EJ1686. Medical history and concomitant medications were unknown. Historical vaccination included flu vaccine for immunization (vaccination site pain). About 6 hrs after vaccine on 07Jan2121, the patient felt soreness at the injection site, very similar to the flu vaccine. About 12Hours post vaccine on 07Jan2021, arm was so sore that the patient could not lift it. That night the patient took two Tylenol and had to wrap arm in a heating pad. The patient woke up around at 03:00 on 08Jan2021 with a fever of 104 F; the patient was so dizzy from the high fever. The patient felt extremely nauseated on 07Jan2021. Body ached mostly in my legs and lower back on 07Jan2021. It hurt to sit on the toilet, to put on clothes. On 07Jan2021, the patient experienced body aches/extreme tiredness. On 07Jan2021, the patient experienced headache 8as reported). Fevers happened at night-time ranging from 102-104F for 4 days. Injection site soreness lasted for 7 days. Body aches/extreme tiredness lasted around 2-3 days. Dizziness subsided after fever broke, but it was replaced with a severe headache lasting 2 days (as reported). The patient was not COVID tested post vaccination. The patient recovered from the events. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1030077
Sex: F
Age:
State: OK

Vax Date: 01/14/2021
Onset Date: 01/21/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: friend came down with COVID; friend came down with COVID; This is a spontaneous report from a contactable consumer (reporting for friend). A 86-year old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE lot number and expiration date not reported) (at the age of 86-years-old), via an unspecified route of administration on 14Jan2021 as a single dose for covid-19 immunization. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient reported that on 21Jan2021 she "came down with COVID." The clinical outcome of the events COVID was unknown. The batch/lot number for the vaccine, BNT162B2, was not provided and information about lot/batch number cannot be obtained. .No follow up attempts are possible.

Other Meds:

Current Illness:

ID: 1030078
Sex: F
Age:
State: MD

Vax Date: 01/07/2021
Onset Date:
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: numbness and tingling in upper and lower extremities/bilateral upper and lower extremity changes, strength and dexterity changes; numbness and tingling in upper and lower extremities; dexterity issues/bilateral upper and lower extremity changes, strength and dexterity changes; intermittent dull occipital headaches; This is a spontaneous report from a contactable Nurse (patient) This 36-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) on 07Jan2021 at single dose for covid-19 immunization .The patient medical history was not reported. The patient's concomitant medications were not reported. She received the first dose of the Pfizer vaccine on 7th Jan and after 2 weeks, she started experiencing numbness and tingling in upper and lower extremities and dexterity issues, caller stated its progressive issue to the point that its interfering with her daily actives.On 21Jan she recognized bilateral upper and lower extremity changes, strength and dexterity changes, intermittent dull occipital headaches. She Wanted to know if those symptoms are in line for reported symptoms with part one. Is scheduled for her second one today and was unable to get appointment with her doctor until tomorrow. Stated that she has reservations about having the second one.The events were reported as non serious.Outcome of the event was unkown

Other Meds:

Current Illness:

ID: 1030079
Sex: F
Age:
State:

Vax Date: 01/14/2021
Onset Date: 01/01/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: got a positive covid result; got a positive covid result; This is a spontaneous report from a contactable consumer (patient). A 86-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 14Jan2021 at single dose for covid-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient reported on the 17th or 18th she was sick and got a positive covid result on Jan2021. The patient underwent lab tests and procedures which included covid: positive on Jan2021. The event outcome was unknown. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1030080
Sex: F
Age:
State: CA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Body aches; Joints aches; Head Aches; Injection site pain; neck pain; Swelling of arm; pit of injection side; severe fatigue, tiredness; chills; This is a spontaneous report from a contactable (patient). A 44-year-old female patient not pregnant received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in Left arm on 26Jan2021 at 01:30 PM as a single dose for COVID-19 immunisation, lot number: EL 1283. Medical history included quinolone antibiotics allergy. Patient received first vaccine dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 05Jan2021, 08:00 AM via an unspecified route of administration in Left arm for COVID-19 immunisation, lot number: EL1685. Concomitant medications in two weeks prior to the vaccination included ibuprofen, Tramadol, Meloxicam. Patient did not receive other vaccine in four weeks prior to the COVID vaccine. Prior to vaccination the patient was not diagnosed with COVID-19. On 26Jan2021 at 06:00 pm patient experienced body aches, joints aches, head aches, injection site pain, neck pain, swelling of arm, pit of injection side, severe fatigue, chills and tiredness. No treatment received for the events. Since the vaccination patient had not been tested for COVID-19. Patient was recovering from the events, at the time of the report.

Other Meds: IBUPROFEN; TRAMADOL; MELOXICAM

Current Illness:

ID: 1030081
Sex: F
Age:
State:

Vax Date: 01/28/2021
Onset Date:
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: mouth pain; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 28Jan2021 at single dose for COVID-19 immunization. The patient medical history included root canal procedure on 27Jan2021. The patient's concomitant medications were not reported. The patient experienced mouth pain on an unspecified date. Therapeutic measures were taken as a result of mouth pain and included treatment with ibuprofen 800 mg. The patient outcome of the event was unknown. The information on the batch number has been requested.

Other Meds:

Current Illness:

ID: 1030082
Sex: F
Age:
State: FL

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Some of the vaccine leaked out of my arm/solution trickled down the arm with blood; Some of the vaccine leaked out of my arm/solution trickled down the arm with blood; shot me with the same needle twice/nurse reinserted the same needle to administer the rest of the dose; She concerned she didn't have enough of the medicine her; This is a spontaneous report from a contactable consumer. A 66-years-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) from lot# EL9263 on 28Jan2021 12:30 at SINGLE DOSE for covid-19 immunization.The patient received the first Covid-19 vaccine on 07Jan2021 (lot number for first dose as EL3646) and her arm got stiff, had a little nausea and a little headache. Didn't get sick to her stomach, but she ate a lot.The patient reported that when she get her second dose some of the vaccine leaked out of her arm/solution trickled down the arm with blood ; she felt like it didn't go in properly ;She shot me with the same needle twice to administer the rest of the dose.She concerned she didn't have enough of the medicine her.Outcome of the event was not recovered. .

Other Meds:

Current Illness:

ID: 1030083
Sex: F
Age:
State: LA

Vax Date: 01/11/2021
Onset Date: 01/01/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Bladder infection; This is a spontaneous report from a contactable Nurse (patient's herself). This female patient (age not provided) received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number EL3246), via an unknown route, on 11Jan2021 at a single dose for COVID-19 immunisation. No relevant medical history and concomitant medications were provided. In Jan2021, the patient developed bladder infection. She was taking nitrofurantoin (MACRODANTIN) 100 mg twice a day (once in the morning, and once at bedtime) from last Sunday (24Jan2021) for bladder infection. The patient was scheduled to receive the second dose on 01Feb2021, and she wanted to know if it will interfere with the second dose of the vaccine. The outcome of the event was unknown.

Other Meds:

Current Illness:

ID: 1030084
Sex: F
Age:
State: IL

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: tingling on the left side of her face below her eye and lower half of her face/facial tingling on the left side of her face; This is a spontaneous report from a contactable Consumer (patient) A 33-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 28Jan2021 at single dose in her left arm for COVID-19 immunization. The patient medical history and concomitant medications were not reported. On 28Jan2021 patient noticed facial tingling on the left side of her face below her eye and lower half of her face. The final outcome of the event was unknown.Patient would like to know if her symptoms were normal and would like to know what she should do about her symptoms. She wanted to know if she should be worried about that and if it was a known side effect. information on the batch number has been requested

Other Meds:

Current Illness:

ID: 1030085
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: decrease appetite; feeling "sicky", not throwing up; This is a spontaneous report from a contactable consumer reported for her mother. A 84-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via unknown route on unknown date in Jan2021 at single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. In Jan2021 the patient experienced feeling "sicky", not throwing up and decrease appetite. The outcome of the events was recovering. The patient received treatment with zofran. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1030086
Sex: F
Age:
State: CT

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: nausea; Inappetence; fatigue; headache; brief chills; This is a spontaneous report from a contactable other health professional (patient). A 45-year-old female patient not pregnant received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in Left arm on 26Jan2021 at 10:30 AM as a single dose for COVID-19 immunisation, lot number: EL3247. Medical history was reported as none. Patient had no allergies to medications, food, or other products. Concomitant medications in two weeks prior to the vaccination included atorvastatin (LIPITOR), sertraline hydrochloride (ZOLOFT), fish oil, multi-vitamin. Patient did not receive other vaccine in four weeks prior to the COVID vaccine. Prior to vaccination the patient was not diagnosed with COVID-19. On 27Jan2021 at 06:30PM patient experienced nausea, inappetance, fatigue, headache, brief chills. No treatment received for the events. Since the vaccination patient had not been tested for COVID-19. Patient recovered from the events on unknown date.

Other Meds: LIPITOR [ATORVASTATIN]; ZOLOFT; FISH OIL

Current Illness:

ID: 1030087
Sex: F
Age:
State: OR

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Swelling of throat area and face. Rash on right side of throat but went away over time.; Swelling of throat area and face. Rash on right side of throat but went away over time.; Swelling of throat area and face. Rash on right side of throat but went away over time.; This is a spontaneous report from a contactable consumer (Patient) A 23-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE;lot Lot EL9262) on 28Jan2021 at 09:30 at single dose in Right arm for COVID-19 immunization. Patient was not pregnant. Medical history included High Blood pressure.No known allergy. Concomitant medication included irbesartan. On 28Jan2021 the patient experienced swelling of throat area and face and rash on right side of throat but went away over time. Events required Doctor/other healthcare professional office/clinic visit. Patient was teated with Benadryl. Final outcome of all the events was recovering.

Other Meds: IRBESARTAN

Current Illness:

ID: 1030088
Sex: M
Age:
State: TX

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Fever 102.5 fahrenheit/fever from 99.4 to 102.5 Fahrenheit; Headache; Chills; This is a spontaneous report from a contactable consumer (patient) A 34-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot EL9262) on 27Jan2021 at 17:00 at single dose in Right arm for COVID-19 immunization. Medical history included migraine from 2016 (reported as from 5 years). Concomitant medication included propranolol. Previously, on 06Jan2021 at 19:00 patient received the first dose of the vaccine (lot EL1685) at single dose in left arm for COVID-19 immunization and he had no effects to report. On 17Dec2020 patient received Flu vaccine for immunization.On 28Jan2021 at 17:00 the patient experienced fever 102.5 Fahrenheit/ fever from 99.4 to 102.5 Fahrenheit; on 28Jan2021 he also had headache and chills. No treatment given for fever; patient has taken three 650 mg Tylenol, one every few hours, but his headache was still the same. Final outcome of all the events was reported as not recovered. Patient asked if the temperature 102.5 was normal or should go to the hospital.

Other Meds: PROPRANOLOL

Current Illness:

ID: 1030089
Sex: F
Age:
State:

Vax Date:
Onset Date: 01/26/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: antibodies are still negative; This is a spontaneous report from patient. A female patient received two doses of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via unknown route, the first dose on unknown date and the second one on 20Jan2021 both at single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. On 26Jan2021 the patient had a blood drawn and her antibodies were still negative. The outcome of the event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1030090
Sex: F
Age:
State: OR

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: heart palpitations; tongue swelling; This is a spontaneous report from a contactable consumer reporting for herself. A 67-years-old female patient received the first dose of bnt162b2 (BNT162B2; Lot # EL9262) vaccine , via an unspecified route of administration in the left arm on 27Jan2021 18:00 at single dose for covid-19 immunisation . Medical history included histamine issues, allergy to Naproxen, Sulfa, bee sting, eggs. The patient experienced heart palpitations and tongue swelling on 27Jan2021 19:30 with outcome of recovering. The patient took a Zyrtec before the vaccine and immediately after the vaccine she was fine. It was about 90 minutes after the vaccine while the patient was at home that she felt her tongue swelling and had heart palpitations. She took another Zyrtec and the palpitations and tongue swelling went down. Further information has been requested

Other Meds:

Current Illness:

ID: 1030091
Sex: F
Age:
State: NC

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Weird taste; extremely tired; other_vaccine_same_date_vaccine_date=28Jan2021; other_vaccine_same_date_vaccine_date=28Jan2021; This is a spontaneous report from a contactable consumer who reported for the patient. A 79-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 28Jan2021 14:30 at single dose for COVID-19 immunisation. The patient was vaccinated at Health facility. Age at vaccination was 79 years. On the same date (28Jan2021) the patient receive another Pfizer vaccine for immunization. It was reported the patient receive other Pfizer vaccines within 4 weeks prior to the COVID vaccine in Jan2021. On 28Jan2021 at 17:15 the patient experienced weird taste and was extremely tired. No treatment was received for the adverse events. The events had resolved in Jan2021. Prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination, has not been tested for COVID-19. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1030092
Sex: F
Age:
State: NY

Vax Date: 01/19/2021
Onset Date: 01/28/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: tested positive for COVID-19; tested positive for COVID-19; This is a spontaneous report from a Contactable Nurse. This Nurse reported for a 94-year-old female patient (consumer's grandmother). A 94-years-old female patient received bnt162b2 (BNT162B2), via an unspecified route of administration on 19Jan2021 at single dose of second dose, on 29Dec2020 at single dose of first dose for covid-19 immunisation. Medical history included dementia, hip fracture from 19Nov2020 the patient was admitted for a broken hip on 19Nov2020, on 16Jan2021, she had a fall in the rehab facility. No Prior Vaccinations (within 4 weeks). Concomitant medication included levofloxacin (LOVENOX [LEVOFLOXACIN]) to 18Jan2021 and restarted in Jan2021, vitamin c [ascorbic acid] (VITAMIN C [ASCORBIC ACID]), colecalciferol (VITAMIN D [COLECALCIFEROL]). The patient experienced tested positive for covid-19 on 28Jan2021. The patient was swabbed for the COVID-19 PCR test on 26Jan2021, her results came back as positive. She had a rapid COVID-19 test on 28Jan2021 that came back positive as well. The patient underwent lab tests and procedures which included chest x-ray: unknown results on 28Jan2021, COVID-19 PCR test: positive on 26Jan2021, COVID-19 Rapid Test: negative on 19Nov2020, COVID-19 Rapid Test: positive on 28Jan2021. The patient was asymptomatic. She had no fever, lungs sounded clear. The event outcome was unknown. No follow-up attempts are possible; Information on Lot/Batch number can not be obtained.

Other Meds: LOVENOX [LEVOFLOXACIN]; VITAMIN C [ASCORBIC ACID]; VITAMIN D [COLECALCIFEROL]

Current Illness:

ID: 1030093
Sex: M
Age:
State:

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Severe headache; Chills; This is a spontaneous report from a contactable consumer (patient). A 24-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in Right arm on 26Jan2021 at 03:30 PM as a single dose for COVID-19 immunisation, lot number: EL3247. Medical history was reported as none. Patient had no allergies to medications, food, or other products. Prior to vaccination the patient was not diagnosed with COVID-19. Patient did not receive any other medications within two weeks prior to the vaccination. Patient did not receive other vaccine in four weeks prior to the COVID vaccine. On 27Jan2021 patient experienced severe headache and chills. No treatment received for the events. Since the vaccination patient had not been tested for COVID-19. Patient recovered from the events on unknown date.

Other Meds:

Current Illness:

ID: 1030094
Sex: F
Age:
State: OK

Vax Date: 01/16/2021
Onset Date:
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Normal muscle pain; Feeling unwell a little; Has secretion of mucus; This is a spontaneous report from a contactable consumer (patient). A female patient of unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date: unknown), via an unspecified route of administration on 16Jan2021 at a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient received her first shot of the vaccine last 16Jan2021 and her second shot of the vaccine is scheduled on 06Feb2021. She claims that after the vaccine, she is experiencing the normal muscle pain, feeling unwell a little, and has secretion of mucus. She is asking if it's okay to take the 2nd shot with these types of symptoms. The outcome of the events was unknown. Information on the batch/lot number has been requested.

Other Meds:

Current Illness:

ID: 1030095
Sex: F
Age:
State: OK

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: the arm i received the injection felt like it was on fire; The opposite arm had a rash on it; I was freezing at night and i woke up in a sweat; I was freezing at night and i woke up in a sweat; This is a spontaneous report from a contactable Other Health Professional (patient). A 29-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 27Jan2021 at 09:45 at single dose in right arm for COVID-19 immunisation at the age of 29-year-old. Lot number was EL9262. Medical history was none. Historical vaccination included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 06Jan2021 at 09:45 at single dose in right arm for COVID-19 immunisation at the age of 29-year-old (lot number was EL3248). Concomitant medications included desogestrel, ethinylestradiol (ISIBLOOM) for birth control, ESCITALOPRAM OXALATE (LEXAPRO), vitamin D. On 28Jan2021 at 07:45, the patient woke up and the arm where she received the injection felt like it was on fire; the opposite arm had a rash on it; the patient took benadryl that morning and at night after she got home from work. On 28Jan2021, the patient was freezing at night and he woke up in a sweat. On 29Jan2021, the rash looks worse. The patient did not recover from the events. Prior to vaccination, the patient was not diagnosed with COVID-19; since the vaccination, the patient has not been tested for COVID-19.

Other Meds: ISIBLOOM; LEXAPRO; VITAMIN D3

Current Illness:

ID: 1030096
Sex: F
Age:
State: MA

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Left knee joint pain; This is a spontaneous report from a contactable consumer reported for herself. This 31-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (Lot number EL3247), via an unspecified route of administration at single dose in the left arm on 27Jan2021 09:00 for Covid-19 immunisation. Medical history none. Concomitant medications were not reported. The patient experienced left knee joint pain on 28Jan2021 18:30 with outcome of not recovered. No treatment required. The vaccine was administered at clinic. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient had not been tested for COVID-19 since the vaccination. The patient was not diagnosed with COVID-19 prior to vaccination. The patient was not pregnant at the time of vaccination.

Other Meds:

Current Illness:

ID: 1030097
Sex: F
Age:
State: NC

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Burning sensation on skin on Feet on Back; Burning sensation on skin on Feet on Back; Burning sensation on skin on Feet on Back; This is a spontaneous report from a contactable 79-year-old female consumer (patient). A 79-years-old non-pregnant female patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number EL3247), via an unspecified route of administration in left arm on 28Jan2021 10:45 at single dose for covid-19 immunisation. Medical history included embolism in 2012 and cardiac pacemaker insertion in 2019. Concomitant medication included warfarin (unknown manufacturer), levothyroxine sodium (THYROXIN) and lisinopril (unknown manufacturer). The patient previously took lidocaine and ciprofloxacin and experienced drug hypersensitivity. The patient previously received the first dose of bnt162b2 for covid-19 immunisation and experienced four small raspberry type "burn" left arm and small taste in mouth. The patient experienced burning sensation on skin on feet on back on 28Jan2021 with outcome of recovering. The patient was not treated for the event. The patient did not have COVID-19 prior to vaccination and was not covid tested post vaccination.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021112990 Same reporter/patient/drug, different events

Other Meds: WARFARIN; THYROXIN; LISINOPRIL

Current Illness:

ID: 1030098
Sex: F
Age:
State: MO

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Covid positive; Covid positive; High fevers; Severe body aches; Lethargy; Severe headache; This is a spontaneous report from a contactable nurse (patient). A 50-year-old non-pregnant female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), intramuscularly on 23Dec2020 14:30 in right arm, at single dose for covid-19 immunization. Medical history included allergy to adhesive tape. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant medication included flecainide. The patient previously took morphine, demerol, codeine, dilaudid and allergies to morphine,demerol, codiene, dilaudid, golytle (as reported). The patient received any other vaccines within 4 weeks prior to the COVID vaccine: product was GSK (as reported, lot number: hs75g) first dose, on 30Nov2020, in left arm. The patient experienced severe headache on 24Dec2020 04:00, lethargy on 25Dec2020, severe body aches on 26Dec2020, high fevers on 27Dec2020, covid 19 nasal swab: positive on 28Dec2020. Seriousness criteria was reported as disabling/incapacitating. Event result in clinic visit. Treatment antibiotics and prednisone was for Covid respiratory infection. The outcome of the all events was not recovered. Information on the lot/batch number has been requested.; Sender's Comments: Based on the information currently available, a lack of efficacy with BNT162B2 in this patient cannot be completely excluded.

Other Meds: FLECAINIDE

Current Illness:

ID: 1030099
Sex: M
Age:
State: NJ

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

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

Lab Data:

Allergies:

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

Symptoms: Bruise; Covid antibody test and it came back negative; some bleeding that soaked the bandage; some significant soreness and stated that the injection site is still sore if he presses on it; a very cold sensation at the injection site; felt a chill on his arm; This is a spontaneous report from a contactable Consumer(patient). A 71-year-old male patient received first dose of BNT162B2(PFIZER-BIONTECH COVID-19 VACCINE, Batch/lot number: EL3249, Expiry Date: May2021), intramuscularly on 15Jan2021 at 0.3 mL, single, left arm for covid-19 vaccination. Medical history and concomitant medications reported as none. There was some/fair amount of bleeding that soaked/saturated the bandage after the shot and a bruise developed that was 3 inches around and was there for 10 days and he still had the bruise. He said that there was also a cold sensation at the injection site when it was administered and he felt a chill on his arm. He said that he was calling because he wanted to make sure the first dose was effective. He said that his 2nd dose was due next week. The bleeding resolved within the hour and soaked the band aid itself. He said that it was not persistent bleeding it was just immediately after the injection. He also had some significant soreness at the injection site and stated that the injection site was still sore if he presses on it. He never bothered to look at his arm and stated that he noticed the bruise was there about 8 days later. It might have been there prior to that, but he did not know. He had blood work done on the 25Jan2021 and asked for a Covid antibody test and it came back negative. The patient asked should there be a positive antibody test at this point? The patient asked did this mean he didn't develop immunity? The bruise had diminished but still there. The soreness was still there. The soreness was not sore if pressure was not put on it and was never sore if he laid on it. The patient was asking if Pfizer considered the vaccine to be viable. He was not on a blood thinner. Onset date of events "some bleeding that soaked the bandage" was 15Jan2021, of bruise was unknown, "some significant soreness and stated that the injection site is still sore if he presses on it" was 15Jan2021, "a very cold sensation at the injection site" was 15Jan2021. The outcome of event "some bleeding that soaked the bandage" was recovered on 15Jan2021, of bruise and "some significant soreness and stated that the injection site is still sore if he presses on it" was recovering, of other events was unknown.

Other Meds:

Current Illness:

ID: 1030100
Sex: M
Age:
State: CT

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Very slight, small area of tenderness yesterday morning at injection site; This is a spontaneous report from a contactable consumer (patient) A 43-years-old male patient received the first dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) at left arm from lot# EL 3247, on 27Jan2021 (at 43 years old) 12:30 at SINGLE DOSE for covid-19 immunisation . Facility where the most recent COVID-19 vaccine was administered:Workplace clinic. Medical history included asthma, severe Osteoarthritis (OA) in right hip. The patient didn't receive any other vaccines within 4 weeks prior to the COVID vaccine. Concomitant medication included fluticasone propionate, salmeterol xinafoate (ADVAIR) 100/50, fluticasone (FLUTICASONE) OTC, montelukast sodium (SINGULAIR) 10 mg. The patient previously took theophylline and experienced drug hypersensitivity. The patient experienced very slight, small area of tenderness yesterday morning at injection site on 28Jan2021 07:00 with outcome of recovered. No treatment received. No Prior to vaccination, was the patient diagnosed with COVID 19 .Since the vaccination, the patient hadn't been tested for COVID-19

Other Meds: ADVAIR; FLUTICASONE; SINGULAIR

Current Illness:

ID: 1030101
Sex: F
Age:
State: FL

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Low grade fever; heart palpitations; This is a spontaneous report from a contactable consumer (patient) A 72-years-old no pregnant female patient received the second dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) from lot# El9262 on 27Jan2021 (at age of 72 years old ) in the right arm 08:30 at SINGLE DOSE for covid-19 immunisation . First dose received on 06jan2021 (lot#EI3246) 10:30 in the right arm .The patient's concomitant medications were not reported. Facility where the most recent COVID-19 vaccine was administered:Other. The patient didn't receive any other vaccines within 4 weeks prior to the COVID vaccine.The patient experienced low grade fever and heart palpitationson 28Jan2021 07:00 .Events were reported as non serious.No treatment received .Outcome of the events was recovered.No Prior to vaccination, was the patient diagnosed with COVID-19.Since the vaccination, the patient had been tested for COVID-19.

Other Meds:

Current Illness:

ID: 1030102
Sex: F
Age:
State: MA

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Soreness at the injection site; This is a spontaneous report from a contactable patient. A 37-year-old female patient (not pregnant) received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number EL3247), via an unknown route, on 27Jan2021 (at 14:15) at single dose on the left arm for COVID-19 immunisation, administered at a clinic. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient did not have a relevant medical history and concomitant medications. No known allergies. On 28Jan2021, the patient developed soreness at the injection site. Post vaccination COVID-19 test was not performed. No treatment was given for the event. The patient recovered from the event on unknown date in 2021. No follow up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1030103
Sex: F
Age:
State: AR

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Naseau and vomiting commencing the following day and continuing for 24 hours; Naseau and vomiting commencing the following day and continuing for 24 hours; Redness and swelling and acute pain at site of injection Aches; Redness and swelling and acute pain at site of injection Aches; Redness and swelling and acute pain at site of injection Aches; Pains in arm radiating in back and shoulder; Pains in arm radiating in back and shoulder; Pains in arm radiating in back and shoulder; This is a spontaneous report from a contactable consumer (patient). A 59-year-old female patient received the first dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 27Jan2021 at 16:30 at single dose in Right arm for covid-19 immunisation. Patient was not pregnant.Medical history included allergies to cefalexin (KEFLEX), codeine and sulfa.Concomitant medication included escitalopram oxalate and omeprazole (PRILOSEC) . Patient experienced naseau and vomiting commencing on 28Jan2021 at 10:00 and continuing for 24 hours. On 28Jan2021 at 10:00 patient also had redness and swelling and acute pain at site of injection, aches and pains in arm radiating in back and shoulder.No treatment given. Final outcome of the events was recovering. Information on the lot/batch number has been requested.

Other Meds: ESCITALOPRAM OXALATE; PRILOSEC [OMEPRAZOLE]

Current Illness:

ID: 1030104
Sex: M
Age:
State: LA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: a red mark the size of a silver dollar in the place I received the shot.; I ran a fever of 103 the day after I got the shot; body aches; chills; injection site pain; This is a spontaneous report from a contactable consumer (patient). A 31-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 26Jan2021 at 17:00 at single dose in left arm for covid-19 immunisation . The patient medical history and concomitant medications were not reported. The patient previously on 05Jan2021 at 18:00 received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) at single dose in left arm for covid-19 immunisation. On 27Jan2021 at 07:00, the day after he got the vaccine, patient ran a fever of 103, with body aches ,chills and injection site pain. Three days after the shot, patient still had injection site pain and on 30Jan2021 he had a red mark the size of a silver dollar in the place he received the shot. The final outcome of the events was recovering. NO treatment given.Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1030105
Sex: F
Age:
State: MO

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: diagnosed with Covid; diagnosed with Covid; sore arm; more tired/Very fatigue; overall unwell feeling; slept all day long/; poor appetite/No appetite; slept all day long/Had no energy; severe aches; woke up with 102? temperature; diagnosed with strep; This is a spontaneous report from a contactable health care professional nurse, the patient (patient). A 57-years-old non-pregnant female patient (nurse) received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot Number: Unknown), intramuscular in the left arm on 06Jan2021 at 16:30 as a single dose, Lot number Unknown for COVID-19 vaccination. The patient medical history was not reported. The patient has no know Allergies to medications, food, or other products. Concomitant medication included levothyroxine (LEVOTHYROXINE), alprazolam (XANAX). On 07-JAN-2021 at 12:00, the patient experienced diagnosed with Covid, sore arm, more tired/very fatigue, overall unwell feeling, slept all day long, poor appetite/no appetite, slept all day long/had no energy, severe aches, woke up with 102? temperature, diagnosed with strep. Adverse event start date was reported as 07JAN2021 at 12:00 PM However, the consumer reported the sequence of events as follows. Morning after the vaccination patients complaint was a sore arm. As the day proceeding, She became more tired. The following day was Friday. Very fatigue overall unwell feeling. On the weekend, Saturday and Sunday slept all day long. Had no energy. Very poor appetite. Once again overall unwell. Was able to work approximately half days on Monday Tuesday and Wednesday. She work Hospice and did enter a facility with known positive cases but was in Full PPE with every precaution as per my norm. On Thursday in the a.m. early she woke up with 102? temperature and severe aches. Was seen at the local urgent care and diagnosed with Covid. The adverse event result in Emergency Room Visit and Physician Office Visit The patient underwent lab tests and procedures which included body temperature of 102 on 07Jan2021 and ,SARS-CoV-2 test ( Nasal Swab) Positive on 14Jan2021. No other vaccines were given within 4 weeks. Prior to vaccination, the patient was not diagnosed with COVID-19. Treatment received for the events were unknown but it was also reported 'she is on second round of antibiotics And steroids. Numerous exposures over last 10 month'. The clinical outcome of the events Covid-19, sore arm, more tired/Very fatigue, overall unwell feeling, Sleep excessive, poor appetite/No appetite, slept all day long/Had no energy, severe aches, fever was recovering; while Drug ineffective was unknown. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up. ,

Other Meds: LEVOTHYROXINE; XANAX

Current Illness:

ID: 1030106
Sex: F
Age:
State: TX

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

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

Lab Data:

Allergies:

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

Symptoms: diagnosed with pneumonia; This is a Spontaneous report from a contactable consumer via a Pfizer sponsored program. A female patient (consumer) of an unspecified age received BNT162B2 (Solution for injection, PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL0142) via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunization. Patient medical history was not reported. Concomitant medication included cefalexin (CEPHALEXIN AMEL). Transferring agent stated, she got diagnosed with Pneumonia two days ago and she was also scheduled to have the second dose today. So, she wants to know if she can still have the second dose even though she got diagnosed with Pneumonia." When clarified the concern, consumer stated, "Yes, she wanted to know if she can still get her second dose today as now, she was on antibiotic, Cephalexin." It was reported that, she was due to receive the 2nd dose of the Pfizer-BioNTech Covid-19 Vaccine today. However, she said that 2 days ago, she was diagnosed with pneumonia on an unspecified date, but tested negative for Covid-19. She also mentioned that she was currently taking antibiotics. Consumer wants to know if it was still advisable for her to receive the 2nd dose despite this. Outcome of event was unknown.

Other Meds: CEPHALEXIN AMEL

Current Illness:

ID: 1030107
Sex: F
Age:
State: CA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Bell's Palsy; low grade fever; body aches; chills; This is a spontaneous report received from a contactable healthcare professional (patient) communicated to a Pfizer colleague. A 19-year-old female patient received second dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Batch/lot number: EL9261 and expiry date: 31May2021) via an unspecified route of administration to Left Deltoid on 27Jan2021 09:30 at single dose for COVID-19 immunization in workplace clinic. Patient medical history included factor V Leiden mutation (Blood Clotting disorder), common migraines, pelvic pain diagnosed 5 years ago, on 05Nov2020 hip surgery on the right side, foot surgery on 21Jan2021 with local anesthesia and nerve block in the left foot. Patient family history included mother has same Factor V Leiden mutation and father has iodine and shellfish allergy. Concomitant medications included cetirizine hydrochloride (ALERCET), gabapentin, prazosin and colecalciferol (VITAMIN D), all from an unknown date and ongoing. The patient had not received other vaccinations within 4 weeks. Patient past drugs included chlorhexidine which she experienced allergy: super itchy skin burning and lidocaine injection for local anesthesia. Patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/lot number: EL1284) in the right deltoid on 06Jan2021 at 09:35 Am for COVID-19 immunization. Second dose on Wednesday on left side and she stated that she had mild side effects low grade fever, body aches and chills on 27Jan2021 evening. No treatment was given for low grade fever, body aches and chills. She reported that she began to feel left sided swelling, tingling, and drooping of her face on the evening of 29Jan2021. She further described that on Friday (29Jan2021) evening her face was super weak, 1st manifestations were the eye and the left side of her face droopy and neck pain. She took 2 BENADRYL at 8:00 pm and went to sleep. At 08:00 AM next morning she took TYLENOL as her jaw and neck were hurting. She mentioned that while driving to work it got aggravated. She called advice line and she was instructed to go to emergency room. She went to emergency room and was diagnosed with Bell's Palsy on 30Jan2021 via physical exam. She has been prescribed steroids and antiviral for now (30Jan2021). Started Saturday (30Jan2021) on 20 mg prednisone daily PO (orally) for 5 days. VALTREX 1 tab PO (orally) 3xday. Erythromycin 0.5% unguent for eye 4X a day for a week. Her primary doctor increased 60 mg daily prednisone and VALTREX for a total of 10 days. And prescribed lubricant eye drops. Outcome of events Bell's Palsy was not recovered while for other events was recovered on an unspecified date in Jan2021. No follow-up attempts are possible. No further information was provided.; Sender's Comments: Based on a compatible temporal relationship, causality between event Bell's palsy and BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) cannot be excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Other Meds: ALERCET; GABAPENTIN; PRAZOSIN; VITAMIN D

Current Illness:

ID: 1030109
Sex: F
Age:
State: CT

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: I was in A Fib; feel strange; felt like my heart was racing; I felt shaky; This is a spontaneous report from a contactable consumer (patient). This 78-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) (lot number: EL963), via an unspecified route of administration on 26Jan2021 12:00 at single dose in the left arm for COVID-19 immunization. The patient medical history included borderline high blood pressure, high cholesterol, Hashimoto's, hypothyroid. The patient's concomitant medications included rosuvastatin, levothyroxine sodium (LEVOXYL), hydrochlorothiazide and lisinpro received within 2 weeks of vaccination. The patient previously took ezetimibe (ZETIA) and experienced drug allergy. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient was not pregnant at the time of vaccination. After sitting in recovery room for about 10 minutes following injection patient began to feel strange. Patient called the nurse on duty and said she felt like her heart was racing. The nurse took her BP and pulseox and administered a mini EKG. Then the nurse called the EMT on duty who gave patient a six leader EKG and said patient was in A Fib. Asked if patient had ever had A fib before, patient said no. Then asked if patient wanted to go to the hospital, patient said no. After sitting with the EMT for five minutes or so another EKG showed patient was no longer in A Fib. Patient felt shaky for the rest of the day, but is normal now. Prior to vaccination, patient was not diagnosed with COVID-19. Since the vaccination, patient has not been tested for COVID-19. The adverse event resulted in doctor or other healthcare professional office/clinic visit. No treatment received for the adverse event. Outcome of the events was recovering.

Other Meds: ROSUVASTATIN; LEVOXYL; HYDROCHLOROTHIAZIDE

Current Illness:

ID: 1030110
Sex: F
Age:
State: PA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Awoke around 11pm 1/28 with aches, chills, severe headache, weakness, dizziness, and nausea; Awoke around 11pm 1/28 with aches, chills, severe headache, weakness, dizziness, and nausea; Awoke around 11pm 1/28 with aches, chills, severe headache, weakness, dizziness, and nausea; Awoke around 11pm 1/28 with aches, chills, severe headache, weakness, dizziness, and nausea; Awoke around 11pm 1/28 with aches, chills, severe headache, weakness, dizziness, and nausea; Awoke around 11pm 1/28 with aches, chills, severe headache, weakness, dizziness, and nausea; could not regulate my temperature; fluctuated between being diaphoretic and cold to being overheated; fluctuated between being diaphoretic and cold to being overheated; fluctuated between being diaphoretic and cold to being overheated; I did experience an episode of nearly passing out sometime during the night; Fatigue throughout the day increased.; This is a spontaneous report from a contactable other Health Professional reported for herself. A 28-years-old female patient received dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in left arm on 28Jan2021 10:00 at single dose for COVID-19 immunization. Medical history included SLE (systemic lupus erythematosus), asthma (mild), PTSD (post-traumatic stress disorder), anxiety, ADHD (attention deficit hyperactivity disorder), allergy to egg whites, allergy to bee stings and diagnosed with COVID-19 prior to vaccination. Concomitant medication included desvenlafaxine succinate (PRISTIQ), methylphenidate, hydroxychloroquine sulfate (PLAQUENIL), clonidine received within 2 weeks. The patient previously took escitalopram oxalate (LEXAPRO) and experienced Allergy to lexapro, sertraline hydrochloride (ZOLOFT) and experienced Allergy to Zoloft, quetiapine fumarate (SEROQUEL) and experienced Allergy to seroquel, erythromycin and experienced Allergy to erythromycin. On 28Jan2021, the patient experienced fatigue throughout the day increased. The patient developed headache. Awoke around 28Jan2021 23:00 with aches, chills, severe headache, weakness, dizziness, and nausea. She did not feel she could move safely to retrieve OTC medications for these symptoms which were far worse than any illness she can recall having. She likely would have went to the ER for help but she couldn't have driven herself and her kids were home. She did not want to call 911. On 28Jan2021 23:00, she did experience an episode of nearly passing out sometime during the night when she attempted to sit up on the edge of the bed to take some Tylenol. She could not regulate her temperature as she fluctuated between being diaphoretic and cold to being overheated. In the morning she finally felt well enough to go to her medicine cabinet downstairs and decided to essentially sedate herself for the day with Benadryl, Xanax, zofran, Tylenol, and ibuprofen. She then slept from about 10am until about 5pm. She felt considerably better upon waking up, with just fatigue, nausea, and headache. The report was reported as non-serious. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not pregnant. Since the vaccination, the patient had not been tested for COVID-19. The outcome of the events fatigue, nausea and headache was not resolved and the outcome of the other events was resolving. Information on the lot/batch number has been requested

Other Meds: PRISTIQ; METHYLPHENIDATE; PLAQUENIL [HYDROXYCHLOROQUINE SULFATE]; CLONIDINE

Current Illness:

ID: 1030111
Sex: F
Age:
State: NC

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

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

Lab Data:

Allergies:

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

Symptoms: COVID-19 antibody test positive; This is a spontaneous report from a Pfizer-sponsored program from (patient). A female patient of an unspecified age received the two doses of BNT162B2 (Pfizer-Biontech Covid-19 Vaccine) at single dose, both on an unspecified date, for COVID-19 immunisation. Relevant medical history and concomitant medications were unknown. On an unspecified date, in Jan2021, she got her blood sample results as a part of community research. Blood sample results showed that the patient was exposed to COVID-19. Clinical outcome was unknown at time of this report. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1030112
Sex: M
Age:
State: GA

Vax Date: 01/16/2021
Onset Date:
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: diabetes; high blood pressure; This is a spontaneous report from a Pfizer Sponsored Program. A contactable male consumer reported for himself that he received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number unknown) at single dose for COVID-19 immunisation on 16Jan2021. Relevant history and concomitant drugs were unknown. Relevant history and concomitant drugs were unknown. The patient wanted to see his family doctor about his conditions like diabetes, high blood pressure and also about going to a urologist. Outcome of events was unknown. Information about Lot/Batch has been requested.

Other Meds:

Current Illness:

ID: 1030113
Sex: M
Age:
State: NY

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

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

Lab Data:

Allergies:

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

Symptoms: His urine retention is becoming worse; His urine retention is becoming worse; This is a spontaneous report from a Pfizer-sponsored program from a contactable consumer (patient). A male patient of unknown age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) Lot number EL3247, on 21Jan2021 at single dose for COVID-19 immunization. Medical history included ongoing urinary retention and taking medication. Concomitant medication included medication for urinary retention. The patient had his first shot 9 days ago. He had urinary retention and taking medication before receiving the vaccine. After taking the first shot, he said that his urine retention was becoming worse. The outcome of the events was unknown.

Other Meds:

Current Illness: Urinary retention (The caller has urinary retention and taking medication before receiving the vaccine. After taking the first shot, the caller said that his urine retention is becoming worse.)

ID: 1030114
Sex: F
Age:
State: SC

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Dose number 1 start of drug 08Jan2021/Dose number 2 start of drug 25Jan2021; Rash at injection site, upper back, back of knee on right leg; generalized itching all over; This is a spontaneous report from a contactable 40-year-old female other healthcare professional reporting for herself A 40 years old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EL9262) on an unspecified date at single dose via an unspecified route of administration for COVID-19 immunization. Relevant medicao history included allergies to Latex, peniccillin, Tomatoes, and Pineapple, diabetes mellitus and hypertension. The patient received first dose of BNT162B2 (Lot number:EJ1685) on 08Jan2021 intramuscular on left arm. Concomitant medications were not reported. On 26Jan2021 the patient experienced rash at injection site, upper back, back of knee on right leg and generalized itching all over. The patient did not received treatment for the events. The patient also experienced inappropriate schedule of vaccine administered as second dose was administered 17 days after first dose with outcome unknown. The patient had not yet recovered from other reported events.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm