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: 1051504
Sex: F
Age: 70
State: MS

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: A small reddish bump on my arm at the injection site, my arm is sore any tender to the touch. The bump is getting larger in size.

Other Meds: Proactazyme, Fenugreek & Thyme, Flax Seed oil, Provasil PreserVision, Vitamin D 3, Complete Multivitamin Supplement

Current Illness: None

ID: 1051505
Sex: F
Age: 80
State: CA

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

Lab Data: none

Allergies: sulfa

Symptoms: about 40 minutes after shot: taste in mouth then swollen tingly warm lips, sinuses swollen, tingly and warm in nose and forehead, "shadowy" vision I took 2 zyrtec a few minutes after symptoms started, lasted for 8 - 10 hours Then I was fine

Other Meds: eliquis metoprolol fosamax Vitamin D3 Vitamin B12

Current Illness: none

ID: 1051506
Sex: F
Age: 54
State: NY

Vax Date: 02/13/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: The adverse event occurred out of nowhere. On the night of 2/20/21, my mom noticed something at the injection site. It wasn't until the morning of 2/21/21 that her arm started to bother her. The injection area was swollen, and warm to the touch. There was a red, itchy rash present at the injection site - which grew bigger as the days went on. The rash was about maximum 4 inches wide. My mom used hydrocortisone cream, an ice pack, and Benadryl tablets to treat the rash. The rash went away after about 4 days. She thinks this was the "COVID arm" that can happen with the Moderna vaccine.

Other Meds: Vitamin D for Women multivitamins Biotin

Current Illness: None

ID: 1051507
Sex: M
Age: 36
State: NY

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever of 101 degrees for 2.5 days, extreme muscle and body aches for 2.5 days, Moderate to severe swelling of the lymphnodes and armpit on right side for 5 days. 400mg of Ibuprofen taken ~ every 6-8 hours then tapered off to once a day.

Other Meds: None

Current Illness: None

ID: 1051508
Sex: F
Age: 38
State: CA

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

Lab Data:

Allergies: None

Symptoms: After the first dose I had a menstrual cycle that last 17 days and now after the 2nd shot I am starting another long period. I am very regular and this does not happen to me. I have a decade of charting and this is not normal.

Other Meds: Wellbutrin, Vyvanse, W omens multi vitamin, biotin/collagen supplement.

Current Illness: None

ID: 1051509
Sex: F
Age: 65
State: TX

Vax Date: 02/19/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: Septra, Penicillin, Levaquin, wheat (gluten)

Symptoms: On day 3 after receiving the second dose of the Moderna vaccine I experienced soreness, redness, and swelling 3" below the injection site. I sought medical treatment. I was diagnosed with cellulitis which the PA attributed to the injection. I was prescribed 5 days of Bactrim (800mg/160 mg) and Benadryl. If after 5 days the symptoms are not resolved or if the cellulitis site dramatically increases in size, I am to seek additional medical attention.

Other Meds: Aldactone Singulair Claritin Turmeric Vitamins and calcium

Current Illness: None

ID: 1262001
Sex: M
Age: 70
State:

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/23/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Pt reported injection site swelling on day 1 and day 2, loss of taste on day 3, chills on day 4, nausea on day 6 resulting in ED visit and subsequent hospitalization for DKA and NSTEMI Narrative: Pt received first dose of Moderna COVID vaccine on 1/22/2021. Reported injection site swelling on 1/22 and 1/23. Loss of taste on 1/24. Chills on 1/25. Nausea on 1/25 and 1/26 with decreased oral intake, inability to take diabetes medications. Went to ED on1/27 and was subsequently hospitalized for DKA and NSTEMI for approx 4 days at community hospital (treatment course and medications not available at time of event reporting). Pt was discharged home after about 4 day hospital stay.

Other Meds:

Current Illness:

ID: 1279584
Sex: M
Age: 92
State:

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/23/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Narrative: Patient admitted for tachycardia, reports of throat swelling following COVID-19 vaccine.

Other Meds:

Current Illness:

ID: 1279604
Sex: M
Age: 75
State: KY

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/23/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Patient developped occasional pain in chest, under left arm pit moving toward nipple, 1-1.5 min. Although none since hospitalization 2/15-17/2021 dx atypical angina, hypertensive urgency- started on chlorithalidone

Other Meds:

Current Illness:

ID: 1399273
Sex: F
Age: 79
State: FL

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

Lab Data:

Allergies: pen , sulfa

Symptoms: 9 days after, Reaction occurred. Went to Urgent care; with rash & redness, & itchiness below the injection. Next day, Inflammation spread almost to elbow. Given prednisone 10mg oral tablet.

Other Meds: pravastin=40mg ; Vitamin D, Ilovo, CoQMAX 100-ME

Current Illness: N/A

ID: 1050988
Sex: F
Age: 67
State: PA

Vax Date: 06/16/2020
Onset Date: 06/16/2020
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: experienced on her left arm from the injection site to elbow a black and blue swelling; soreness at the injection; Sensitivity at injection site; on the entire right side of the body had a tingling; on the entire right side of the body had a burning sensation/ it was burning; insensitive; right side from the scalp all the way down to her legs had a weird sensation; soreness, sensitivity, and swelling at the injection site that prevented her from sleeping/ Trouble sleeping; experienced on her left arm from the injection site to elbow a black and blue swelling; This case was reported by a pharmacist and described the occurrence of extensive swelling of vaccinated limb in a 67-year-old female patient who received Herpes zoster (Shingrix) (batch number DP95H, expiry date 15th April 2022) for prophylaxis. Previously administered products included Pneumonia vaccine (received on an unknown date), Flu vaccine (received on an unknown date) and TDap vaccine (received on an unknown date). On 16th June 2020, the patient received the 1st dose of Shingrix (intramuscular) .5 ml. On 16th June 2020, less than a day after receiving Shingrix, the patient experienced extensive swelling of vaccinated limb, injection site pain, injection site hypersensitivity, tingling, burning sensation skin, numbness, weird feeling, difficulty sleeping and skin discoloration. On 19th June 2020, the outcome of the extensive swelling of vaccinated limb, injection site pain, injection site hypersensitivity, tingling, burning sensation skin, numbness, weird feeling, difficulty sleeping and skin discoloration were recovered/resolved. It was unknown if the reporter considered the extensive swelling of vaccinated limb, injection site pain, injection site hypersensitivity, tingling, burning sensation skin, numbness, weird feeling, difficulty sleeping and skin discoloration to be related to Shingrix. Additional details were provided as follows: The patient had received other vaccines (pneumonia, TDap, and flu) without any problems. The 1st dose was given in the patient's left arm. The right side from the scalp all the way down to her legs had a weird sensation. It was burning and tingling. The patient had soreness, sensitivity and swelling at the injection site that prevented her from sleeping, as well as a black and blue discoloration along with swelling of the skin that went from the injection site to the elbow. These reactions lasted about 3 days, with the second day being the worst. The reporter consented to follow up. The reporter provided the contact information and did not have an email to provide.; Sender's Comments: US- GLAXOSMITHKLINE-US2020251615:same reporter

Other Meds:

Current Illness:

ID: 1050989
Sex: M
Age: 30
State: CA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Test Date: 20210114; Test Name: body temperature; Result Unstructured Data: 100.7 degrees Fahrenheit; Test Date: 20210118; Test Name: body temperature; Result Unstructured Data: 101 degrees Fahrenheit

Allergies:

Symptoms: Fever of 101 degrees F that is on and off/100.7 F; Wasn't not able to swallow or eat at all; Severe red sore throat with white points; Very sweaty especially at night; a little bit of delirious; Severe chills where his teeth were chattering; Sore throat/In agony with a sore throat; Sore arm; When he first got the vaccine he said "Boy you can really feel something going on in there"; A spontaneous report was received from a consumer regarding her son, a 30-year-old male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced a little bit delirious/delirious, sore throat, sore arm/vaccination site pain, chills, fever/pyrexia, when first receiving the vaccine he stated "boy you can really feel something going on in there"/ vaccination site dysathesia, swallowing difficult/dysphagia, severe red sore throat with white points/throat infection, and very sweaty at night/night sweats. The patient's medical history was not included. Products known to have been used by the patient were Vitamin D3, Creatine monohydrate and Fish Oil. On 11 January 2021, prior to the onset of the events, the patient received the first of two planned doses of mRNA-1273 (Lot number: 025L20A) intramuscularly in the left deltoid for prophylaxis of COVID-19 infection. On 12 January 2021, the patient reported a sore throat, and sore arm, took 2 ibuprofen, which patient reported as helped. On 14 January 2021, the patient reported chills, sore throat in agony with sore throat, and fever. Patient took ibuprofen, which he reported as helping and was able to sleep. The soreness in the arm was reported as gone. On 17 January 2021, the patient's mother reported he was still having fever and was a little bit delirious. On 18 January 2021, the patient reported fever, sweaty at night, severe red sore throat with white points, unable to eat or swallow. Treatment information included ibuprofen every 6 hours, which was reported to not be helping. Consent to contact was provided. Action taken with mRNA-1273 was not reported. The outcome of the event, sore arm, was considered unresolved. The outcome of the events, sore throat, fever, sweaty at night, severe red sore throat with white points, being unable to eat or swallow, were considered unknown.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events , a causal relationship cannot be excluded.

Other Meds: VITAMIN D3; CREATINE MONOHYDRATE; FISH OIL

Current Illness:

ID: 1050990
Sex: U
Age:
State: GA

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

Lab Data:

Allergies:

Symptoms: Multiple doses were administered out of vials that had been punctured for more than 6 hours; A spontaneous report was received from a physician concerning approximately 50 patients who received Moderna's COVID-19 vaccine (mRNA-1273) administered from vials that had been punctured more than 6 hours. The patients' medical history was not provided. Concomitant product use was not provided by the reporter. Between 24 Dec 2020 and 08 Feb 2021, patients received their first of two planned doses of mRNA-1273 (Batch number 026L20A and 027L20A) intramuscularly for prophylaxis of COVID-19 infection. Treatment information was not provided. Action taken with mRNA-1273 in response to the event was not provided/unknown. The event, vaccine administered from vials that had been punctured more than 6 hours, was considered resolved on 08 Feb 2021. Treatment, action taken with RNA-1273 in response to the event and the outcome of the event were unknown; Reporter's Comments: This report refers to a case of expired product administered for mRNA-1273, batch number 027L20A. Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1050991
Sex: F
Age:
State: NY

Vax Date: 01/07/2021
Onset Date: 02/04/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Few drops of the dose dripped out as the nurse was administering; vaccine pen was faulty; Received another dose as a result; A spontaneous report was received from a health care professional, concerning a patient who received Moderna's COVID-19 vaccine (mRNA-1273) and reported the patient had received the product and a few drops of the dose dripped out during administration and subsequently received another dose with no associated adverse events. The patient's medical history was not provided. No relevant concomitant medications were reported. On 04-FEB-2021, the patient received their second of two planned doses of mRNA-1273 (Lot number:004M20A ) for prophylaxis of COVID-19 infection. On 04-FEB-2021, during vaccine administration, the vaccine pen was faulty and a few drops of the dose dripped out as the nurse was administering. The patient received another dose as a result. There was no reported adverse events with the product administration error. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not applicable. The outcome of the events, few drops of the dose dripped out as the nurse was administering and received another dose as a result, was considered resolved.; Reporter's Comments: This report refers to a case of vaccine underdose, syringe issue, and extra dose administered for mRNA-1273, lot # 004M20A with no associated AEs.

Other Meds:

Current Illness:

ID: 1050992
Sex: F
Age: 40
State: MA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Peripheral neuropathy, tingling in arms and feet; Burning sensation in legs; Could not sleep well; Swellng in lymph node on right side; Sore Arm; Fatigue; Chills; Body Aches; Debilitating; A spontaneous report received from Healthcare Professional concerning, 40-year-old female patient who received dose of Moderna COVID-19 vaccine experienced sore arm, fatigue, chills, and body aches. /MedDRA PT: [Sore Arm] The patient's medical history was not included. Patient's concomitant was not included. On 05-JAN-2021 date, the patient received their first dose of the two planned doses of mRNA-1273 in right arm (Batch #: 011J20A) intramuscularly for prophylaxis of COVID-19 infection. Patient who is a Pharmacist received the 1st Moderna vaccine on 05Jan2021 in her right upper arm. Patient stated initially she had a sore arm, fatigue, chills, and body aches. Patient stated 5 days later she had redness and swelling in her lymph node on her right side. Patient stated 10 days later she had peripheral neuropathy and tingling in arms and feet. Patient stated she then developed a burning sensation in her legs. Patient stated that the MD did a full workup on her. Patient stated that all tests came back negative. Patient stated that the MD gave her gabapentin. Patient stated she could not sleep well due to tingling sensation and pain. Patient would like to know if this has been reported. Patient stated today she feels fine. Patient stated this was a scary episode for her and 1st dose of the Moderna COVID-19 vaccine was very debilitating. Patient stated that she has not received the 2nd dose and does not want to receive the 2nd dose of the Moderna COVID 19 vaccine. Patient was treated with Gabapentin by an MD. Action taken with mRNA-1273 in response to the event was not provided/unknown. The outcome of the event was unknown/not reported.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the reported event, a causal relationship cannot be excluded. Chills fatigue and lymphadenopathy are consistent with the known safety profile of the vaccine.

Other Meds: GABAPENTIN

Current Illness:

ID: 1050993
Sex: F
Age: 75
State: OH

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: right leg had been paralyzed; nerve sensation in leg was gone; leg pain; leg was stiff; unable to walk; was in bed for three days unable to get up; lost muscle ability of leg; lower leg looked purplish; right quad was reddened and inflamed; did not have strength in legs; felt weak; right quad was reddened and inflamed; knee was swollen, warm to touch and looked inflamed; sharp electrical shocks in knee; A spontaneous report was received from a consumer concerning a 76-year old, female patient who received Moderna's COVID-19 Vaccine (mRNA-1273) and experienced right leg had been paralyzed, sharp electrical shocks in knee, right quad was reddened, right quad was inflamed, knee was swollen, knee was warm to touch, knee was inflamed, leg looked purplish, did not have strength in legs, felt weak, lost muscle ability of leg, leg pain, was unable to walk, leg was stiff, was in bed for three days unable to get up and nerve sensation in leg was gone. The patient's medical history was not provided. Concomitant medications reported included valsartan, amlodipine, simvastatin, acetylsalicylic acid, potassium and gabapentin. On 29 Jan 2021, approximately 1 day prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (batch 031L20A) intramuscularly for prophylaxis of COVID-19 infection. On 30 Jan 2021, the patient complained of sharp electrical shocks in her knee. On 01 Feb 2021, her knee was swollen, warm to the touch and looked inflamed. She also reported what looked like an infection under her right thigh as the whole quad was reddened and inflamed. On 03 Feb 2021, the patient reported her lower leg looked purplish, did not have strength in her legs, felt weak, and her leg flopped to side of car as she reported losing muscle ability. On 04 Feb 2021, she experienced leg pain, was unable to walk, leg stiffness, was in bed for 3 days unable to get up and lost nerve sensation in her leg. Treatment for the event included unspecified therapy. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the events, right leg had been paralyzed, sharp electrical shocks in knee, right quad was reddened, right quad was inflamed, knee was swollen, knee was warm to touch, knee was inflamed, leg looked purplish, did not have strength in legs, felt weak, lost muscle ability of leg, leg pain, was unable to walk, leg was stiff, was in bed for three days unable to get up and nerve sensation in leg was gone, were unknown.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the reported event, a causal relationship cannot be excluded. Arthralgia is consistent with the known safety profile of the vaccine.

Other Meds: VALSARTAN; AMLODIPINE; SIMVASTATIN; ASPIRIN [ACETYLSALICYLIC ACID]; POTASSIUM; NEURONTIN

Current Illness:

ID: 1050994
Sex: F
Age: 67
State: TX

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: heart rate was low; pupils looked tiny; no color on face, pale; speech was completely slurred; afraid she was going to die; head and hands felt heavy; extremely tired, could barely lift a glass; Blood pressure went way up; felt groggy; back pain; back spasms alternating with throbbing in her back that was quite significant; A spontaneous report was received from a (Reporter like HCP or Consumer) concerning a ? Years-old male/female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced back pain, back spasms alternating with throbbing in her back that was quite significant, pain was so horrific, blood pressure went way up, spasms continued, went into a deep sleep, felt groggy, feeling extremely tired, very motionless all night, thought she was in a coma, pupils looked tiny, no color on her face, was pale, so fatigued, could barely lift a glass, heart rate was low, never felt anything like that before, speech was completely slurred, truly afraid she was going to die, could barely move her hand from sofa, head felt really heavy,hands felt really heavy. The patient's medical history was not provided. No relevant concomitant medications were reported. On 10:12 am 05 Feb 2021, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (lot/batch: 012M20A) intramuscularly in the left upper arm for prophylaxis for COVID-19 infection. On 6/Feb/2021, The patient experienced back pain, back spasms alternating with throbbing in her back that was quite significant. On 7/Feb/2021,The patient experienced, pain was so horrific, blood pressure went way up, spasms continued, went into a deep sleep, felt groggy, feeling extremely tired. On 8/Feb/2021,The patient experienced very motionless all night, thought she was in a coma, pupils looked tiny, no color on her face, was pale, so fatigued, could barely lift a glass, heart rate was low, never felt anything like that before, speech was completely slurred, truly afraid she was going to die, could barely move her hand from sofa, head felt really heavy,hands felt really heavy. Treated with Baclofen, IV with morphine, Tylenol, Motrin, back patch with lidocaine. Action taken with mRNA-1273 in response to the events was not reported. At the time of this report, the outcome of the events were unknown.; Reporter's Comments: This case concerns a 67-year-old female who had a serious unexpected event of Heart rate decreased with NS unexpected blood pressure increased, pallor, miosis, dysarthria, back pain, muscle spasms, discomfort, somnolence, fear of death and NS expected fatigue. Event onset 1 day after first dose of mRNA-1273. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1050995
Sex: U
Age:
State: NE

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

Lab Data:

Allergies:

Symptoms: Partially Frozen Vaccine Administered to 3 Patients; A spontaneous report was received from a HCP concerning three patients who received Moderna's COVID-19 vaccine (mRNA-1273) and 3 doses of vaccine were administered from a vial which was then observed to contain partially frozen vaccine. The patients' medical history was not provided. No relevant concomitant medications were reported. On unknown date, three patients received their first of two planned doses of mRNA-1273 (lot/batch: unknown) for prophylaxis of COVID-19 infection. On unknown date, 3 doses of vaccine were administered from a vial which was then observed to contain partially frozen vaccine. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the events were resolved.; Reporter's Comments: This report refers to a case of Out of Specification Product Use for mRNA-1273 (lot# not provided) with no associated AEs.

Other Meds:

Current Illness:

ID: 1050996
Sex: M
Age:
State: MI

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

Lab Data:

Allergies:

Symptoms: Patients who is 17 years of age got Moderna Vaccine; A spontaneous report was received from a healthcare professional concerning a 17-year-old patient, of unknown gender, who was administered Moderna's COVID-19 vaccine. The patient's medical history was not provided. No relevant concomitant medications were reported. On an unknown date, the patient received their first of two planned doses of mRNA-1273 (Lot number: not provided) for prophylaxis of Covid-19 infection. It was reported that one of their patients who is 17 years of age, got Moderna Vaccine, and it was already reported to VAERS. No further information was provided. Action taken with the second dose of mRNA-1273 in response to the event was not applicable. The event of "Product administration to patient of inappropriate age" (patient who is 17 years of age and got Moderna Vaccine), was considered resolved.; Reporter's Comments: This report refers to a case of "Product administration to patient of inappropriate age" of mRNA-1273, (lot # is unknown), with no associated AEs reported.

Other Meds:

Current Illness:

ID: 1050997
Sex: M
Age: 77
State: AL

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: seizure; hospital staff "couldn't wake him up"; A spontaneous report was received from a consumer who was also a 77-year-old male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced a seizure. He was hospitalized for one night and the staff had a difficult time waking him up. The patient's medical history included prostate cancer last year. Patient provided that he takes 8 or 10 different medications daily but did not list them out. No other medical history was shared and patient has no known drug or food allergies. On 30-Jan-2021, prior to the onset of the events, the patient received one of two planned doses of mRNA-1273 (Lot number: 042L20A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 31-Jan-2021, the day after the mRNA-1273 vaccine was given, the patient had a seizure and was hospitalized for one night. He stated that the hospital staff had a hard time waking him up. He spent one night in the hospital and was released on 01-Feb-2021. It was not reported what caused the seizure and the patient was unsure if the hospital knew that he had the vaccination the day prior. He was discharged with Keppra. Consent to contact was given by the patient to contact him and the hospital. No further treatment information was not provided. Action taken with mRNA-1273 was not reported. The events, seizure and depressed consciousness level, were considered resolved on 01 Feb 2021.; Reporter's Comments: Very limited information regarding these events have been provided at this time. Further information has been requested.

Other Meds:

Current Illness:

ID: 1050998
Sex: M
Age:
State: MA

Vax Date: 01/20/2021
Onset Date:
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: He can barely see/he cannot see/his vision is getting worse and worse/visions problems; This is spontaneous report from a contactable consumer who reported for her father. An 86-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on 20Jan2021 (at the age of 86-year-old) as a single dose for COVID-19 immunization. Medical history included two ongoing autoimmune diseases from unspecified dates and an ongoing pacemaker from an unspecified date. Concomitant medications included ongoing blood thinners from an unspecified date. The patient experienced he can barely see/he cannot see/his vision is getting worse and worse and vision problems, both on unspecified dates. The patient's child called and stated that "my father is on blood thinner. He has two autoimmune diseases and has a pacemaker. He developed visons problems within a few days after receiving the first dose of Pfizer COVID-19. Now he cannot take care of his dog. He will not be able to take care of himself. His vision has gotten progressively worse, he can barely see. I spoke to the specialist and other doctors, but they have no information. He will be seeing the doctor in 2 weeks only. I reported the side effects online. It was hard to get medical help because not many people are informed about what might go on with the vaccine. To get him diagnosed has been difficult. They can't do an MRI on him because he has a pacemaker. He is also 2 weeks out to see a specialist. In the meantime, he cannot see. His vision is getting worse and worse. His next vaccine is coming up too." The reporter had called and spoke with the director of immunization at the health department. She had also called and talked to VAERS as well. No one could point her to any help. The reporter believed this was probably related to the autoimmune diseases. The patient had no consultation not take the vaccine. The reporter had answered some information on the website while she had been waiting. The rest of the family also had autoimmune issues, and now they were all wondering if it was safe for them to take (the vaccine). The reporter wanted to know if we could provide any recommendations and if her father could get the second dose of the COVID-19 vaccine. The clinical outcome of the event was not recovered. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

Other Meds:

Current Illness: Autoimmune disorder (Two autoimmune diseases); Pacemaker insertion (cardiac)

ID: 1050999
Sex: M
Age:
State:

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

Lab Data:

Allergies:

Symptoms: diverticulitis; This is a spontaneous report from a contactable nurse from a Pfizer-sponsored program. A 72-year-old male patient received the first dose on BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration on 23Jan2021 as a single dose for covid-19 immunization. The patient medical history was not reported. The patient's concomitant medications were not reported. On an unspecified date, the patient developed diverticulitis and was on 2 antibiotics (not specified). It was reported that it was not a bad or severe bout. The clinical outcome of the event diverticulitis was unknown. No follow-up attempts are possible; information about lot number cannot be obtained.

Other Meds:

Current Illness:

ID: 1051000
Sex: M
Age:
State: MD

Vax Date: 01/12/2021
Onset Date: 01/29/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data: Test Name: MRI; Result Unstructured Data: Test Result:some spots from a past stroke

Allergies:

Symptoms: fall; bruised rib; bruised hip; This is a spontaneous report from a contactable consumer (reporting for his father). An 87-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EK9231, expiration date: 30Apr2021), via an unspecified route of administration into the left arm on 12Jan2021 at a single dose for COVID-19 immunisation (COVID prevention). The patient's medical history included Alzheimer's disease and stroke. There were no concomitant medications. The reporter was calling regarding his father who was an 87-year-old combat veteran. The reporter stated that the patient received the first dose of the Pfizer COVID Vaccine on 12Jan2021. The patient was scheduled for his second dose on 02Feb2021, but they had to cancel that appointment because the patient was in the hospital from a fall he had on 29Jan2021 where he bruised his hip and bruised his rib. The patient was hospitalized from 30Jan2021 and was released from the hospital on 05Feb2021. The reporter stated that the clinic said they are not able to make any more appointments right now. The reporter was wondering if there were consequences of, or a danger in, getting the second dose outside of the recommended timeframe. The patient is now on a waiting list to get the second dose and he would like to know how far past the recommended 21 days can he go and still have the vaccine be effective. The patient received no other vaccines on the same day as the COVID vaccine. The patient has had an MRI before where it was indicated that there were some spots from a past stroke. The reporter stated that no paralysis has been identified. The outcome of the events was unknown.

Other Meds:

Current Illness:

ID: 1051001
Sex: F
Age:
State: OH

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

Lab Data:

Allergies:

Symptoms: dementia is getting worse; headaches; This is a spontaneous report from a contactable consumer (patient's child). An 81-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number and expiry date were not reported), via an unspecified route of administration on 23Jan2021 (at the age of 81 years old) at a single dose for covid-19 immunization. Medical history included dialysis from 2015 and ongoing and ongoing dementia. The patient's concomitant medications were not reported. On unspecified date in Jan2021, the patient started getting headaches and that her dementia is getting worse. Therapeutic measures were taken as a result of headaches which included BC powder and acetaminophen (TYLENOL). Outcome of the events was unknown. Information on the lot/ batch number has been requested.

Other Meds:

Current Illness: Dementia; Dialysis

ID: 1051002
Sex: M
Age:
State: IL

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Test Date: 20210204; Test Name: fever; Result Unstructured Data: Test Result:up to 101.5; Test Date: 20210204; Test Name: fever; Result Unstructured Data: Test Result:fever of 100 to 100.5; Test Date: 20210204; Test Name: fever; Result Unstructured Data: Test Result:101.5

Allergies:

Symptoms: hard on hearing/lost his hearing; pain in his right ear; Chills; headache; Fever; Weakness; lacking appetite; This is a spontaneous report from a contactable consumer (patient's wife). An 86-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EM9810, expiration date was not reported) (at 86 years of age), via an unspecified route of administration in the left arm on 03Feb2021 15:00 at a single dose for COVID-19 immunization. Medical history included ongoing chronic lymphocytic leukaemia, ongoing blood pressure abnormal and ongoing thyroid disorder. Concomitant medication included hydrochlorothiazide which he was taking for years, ibrutinib which he was taking for 7 years, levothyroxine which he was taking for 10 years and losartan which he was taking for 8 years. The patient had no any other vaccine prior to covid vaccine. It was reported that the patient received the Pfizer covid vaccine on 03Feb2021. 24 hours later (04Feb2021), he experienced pain in the ears, headache, chills, and fever up to 101.5 for almost a week now, and currently is hard on hearing and had been feeling weak and lacking appetite. It was added that a week ago he received the first dose of the Pfizer COVID 19 vaccine on 03Feb2021 at 1500PM in the left arm. Within 24 hours the side effects started. He had a pain in his right ear and a headache. Since then he has gradually lost his hearing in that ear and they are following up with an ear nose and throat doctor. On 04Feb2021, he got a fever of 101.5, chills, weakness and no appetite. Since then in the evening he had been having kind of a fever of 100 to 100.5 and she has treated with TYLENOL. The fever comes and goes. In the morning he was normal. Adds his appetite was better but he still has to force himself to eat. She queried if should the patient get the second dose of the vaccine. Patient is scheduled to receive the second dose on 04Mar2021. The patient did not visit the ER. The patient underwent lab tests and procedures which included body temperature: up to 101.5, fever of 100 to 100.5, and 101.5 on 04Feb2021. The outcome of the event loss of hearing, fever, weakness, and pain in his right ear was not recovered; headache and chills are recovered on 05Feb2021; while recovering for lacking appetite. The loss of hearing was reported as worsened. Therapeutic measures were taken as a result of fever (pyrexia).

Other Meds: HYDROCHLOROTHIAZIDE; IBRUTINIB; LEVOTHYROXINE; LOSARTAN

Current Illness: Blood pressure abnormal; Chronic lymphocytic leukaemia; Thyroid disorder

ID: 1051003
Sex: F
Age:
State: UT

Vax Date: 01/27/2021
Onset Date: 02/05/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Test Name: blood work; Result Unstructured Data: Test Result:normal; Test Name: CAT-Scan; Result Unstructured Data: Test Result:normal; Test Name: MRI; Result Unstructured Data: Test Result:normal

Allergies:

Symptoms: Bell's Palsy; This is a spontaneous report from a contactable consumer, reporting for herself. A 71-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EL9265), via an unspecified route of administration at the left arm on 27Jan2021 15:15 at a single dose for COVID-19 immunization. Vaccination was done in a Public Health Department. Medical history included hypertension (HTN), gastrooesophageal reflux disease (GERD), total hysterectomy and osteoarthritis, all from an unknown date and unknown if ongoing. The patient was not pregnant. There were no known drug allergies. Concomitant medication included celecoxib (CELEBREX), omeprazole magnesium (PRILOSEC), estradiol (ESTRACE), metoprolol succinate (TOPROL XL) and ascorbic acid, betacarotene, cupric oxide, tocopheryl acetate, zinc oxide (PRESERVISION). It was reported that the patient experienced right sided neck pain which began a couple of days after vaccination on 06Feb2021 07:00. On 05Feb2021, her right eye was twitchy. On 06Feb2021, the right side of her face felt swollen. It felt like when you go to the dentist and get numbed. She tried drinking a liquid and it ran out of the right side of her mouth. She went to urgent care and they sent her to the emergency department. She had a CAT-scan, MRI and blood work done which all came back normal. Her right eye was not closing all of the way and they diagnosed her with Bell's Palsy on 07Feb2021. She was prescribed a course of prednisone and Valtrex. She has continued to have right-sided facial paralysis and her right eye will not close. She had had severe pain in her right eye and had to tape it shut to sleep and often during the day because it dries out. She was using Systaine eye drops every couple of hours and an eye gel at night. She was concerned about getting the second dose because she does not want this to get worse. There were no other vaccines in four weeks. There was no COVID prior to vaccination and was not COVID tested post vaccination. The outcome of the event was not recovered.

Other Meds: CELEBREX; PRILOSEC [OMEPRAZOLE MAGNESIUM]; ESTRACE; TOPROL XL; PRESERVISION

Current Illness:

ID: 1051004
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: blood clot; This is a spontaneous report from a contactable consumer. A 6-decade-old female patient (in her 50's) received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on an unspecified date at a single dose as vaccine. Medical history and concomitant medications were not reported. It was noted that one of the reporter's co-worker developed a blood clot after receiving the first dose of the Pfizer vaccine on an unspecified date. Any information or data on someone developing blood clots? The outcome of the event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1051005
Sex: M
Age:
State:

Vax Date: 01/27/2021
Onset Date:
Rec V Date: 02/24/2021
Hospital:

Lab Data: Test Date: 2021; Test Name: cardiogram; Result Unstructured Data: Test Result:LBBB or left bundle branch block

Allergies:

Symptoms: Thyroid cancer; paraganglioma; headache; constant fatigue; nausea; pump in blood pressure/hypertension; 3-day pain in the chest, his pain in the chest turned out to be an LBBB or left bundle branch block; This is a spontaneous report from a contactable consumer (patient). An 86-year-old male patient received first single dose of BNT162B2 (Pfizer-Biontech Covid-19 Vaccine, Solution for injection, batch/lot number and exp date not reported), via an unspecified route of administration on 27Jan2021 for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. After receiving the first dose (onset date: 2021), he experienced AEs like constant fatigue, nausea, pump in blood pressure/ jumping blood pressure, and 3-day pain in the chest. He had a cardiogram and his pain in the chest turned out to be an LBBB or left bundle branch block. On an unspecified date, the patient had been diagnosed with thyroid cancer and was now with remission; paraganglioma, hypertension, 0left bundle branch block, and headache. The pain in the chest subsided after 3 days but nausea, headache and fatigue were still being experienced a few days after. He said that he has read that most of the side effects of the vaccine manifests on the second dose. Because he had bad AEs with the first dose, he was seeking the company for recommendations for having the second dose of the vaccine. The outcome of fatigue, nausea and headache was not recovered while unknown for the other events. Information on lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1051006
Sex: F
Age:
State: NE

Vax Date: 01/29/2021
Onset Date: 02/01/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: nauseous; severe stomach cramps; shortness of breath; chest tightness; diaphoretic; chilled; cold to the touch, ashen; cold to the touch, ashen; patient was treated as if a heart attack; This is a spontaneous report from a contactable healthcare professional (patient). A 70-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot/batch number and expiry date were not provided) solution for injection, via an unspecified route of administration on 29Jan2021 15:30 at a single dose for Covid-19 immunization. Medical history included high BP, and cholesterol. Patient had no known allergies. Concomitant medications included amlodipine and simvastatin. The patient experienced nauseous, severe stomach cramps, shortness of breath, chest tightness, diaphoretic, chilled, cold to the touch, ashen on 01Feb2021 at 15:30. Ambulance was called, patient was brought to the ER and was hospitalized on an unknown date for 2 days. Treatment of events: patient was treated as if a heart attack, nitro, baby aspirin. Patient was not diagnosed with Covid-19 prior to vaccination. Patient has not tested positive for Covid-19 after vaccination. Outcome of the events was recovered. Information on lot/batch number has been requested.; Sender's Comments: A causal association between BNT162B2 and the reported events cannot be completely excluded based on a compatible temporal relation. Case will be re-assess once additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RAs, Ethics Committees, and Investigators, as appropriate.

Other Meds: AMLODIPINE; SIMVASTATIN

Current Illness:

ID: 1051007
Sex: F
Age:
State:

Vax Date: 02/04/2021
Onset Date: 02/01/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: sinus infection; cannot see out of her right eye; sick; terrible terrible splitting headache on her right temple; can't sleep; pressure behind her right eye; head is all fuzzy; mind isn't good; throat hurts; jaw hurts; little off balance; she walks she falls into things; she walks she falls into things; can't see things hardly in her right eye; pain; This is a spontaneous report from a contactable consumer (patient). A 79-year-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; lot number and expiration date were not reported), via an unspecified route of administration on 04Feb2021 at single dose for Covid-19 immunization. The patient's medical history was not reported. Concomitant medication included atenolol for blood thinner. The patient previously took first dose of bnt162b2 for Covid-19 immunization and experienced no adverse event. The patient stated that she received the second dose of the vaccine on 04Feb2021 and has been sick ever since. She has a terrible terrible splitting headache on her right temple and can't sleep and was having so much pressure behind her right eye. She stated she can't even lay her head on a pillow. She stated she had no reaction to the first shot but this time her head is all fuzzy, her mind wasn't good and when she sets things down she can't remember where they are. The second shot was really giving her a fit. Her throat hurts, jaw hurts, head hurts, and feels like she is running a temperature. She is a little off balance, when she walks she falls into things because she can't see things hardly in her right eye. She stated she can't put up with the pain any longer, it is terrible behind her temple and eye. She thought it was a sinus infection but now she thinks it was from the shot. She stated she almost had a wreck today because she cannot see out of her right eye because of the shot. She hit a telephone thing and almost wrecked 3 or 4 times. She tried to get tested for Covid but she didn't have an appointment and she cannot go to work until she finds out about the virus. She was going to get tested tomorrow but was going to have to call the rescue squad because she can't drive and she was not putting her son through this if she has the virus. The patient asked if she was allergic to the second shot or if these were normal symptoms. She asked what she should do. She stated she takes Atenolol, a blood thinner, and thyroid medicine. She stated she was taking Tylenol but it doesn't help any and nothing seems to help. All the events occurred on Feb2021. Outcome of all the events was unknown. Information on the lot/batch number has been requested.

Other Meds: ATENOLOL

Current Illness:

ID: 1051008
Sex: M
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Can not think or talk normal; Can not think or talk normal; Rash from his feet to his neck; Dizziness; Weakness; Loss of appetite; Heart pounds; Flu; Described the rash like hives; This is a spontaneous report from a contactable consumer. A male patient (Age: 78; Unit: Unknown) of an unspecified received his first dose of bnt162b2 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. On an unspecified date, the patient stated that he can not think or talk normal, had rash from his feet to his neck, dizziness, weakness, loss of appetite, heart pounds at night, feels like he has the flu, described the rash like hives. Outcome of the events was unknown. Information on lot and batch number has been requested.

Other Meds:

Current Illness:

ID: 1051009
Sex: F
Age:
State: NJ

Vax Date: 02/04/2021
Onset Date: 02/07/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data: Test Date: 20210209; Test Name: blood pressure; Result Unstructured Data: Test Result:high/elevated

Allergies:

Symptoms: elevated blood pressure; had trouble breathing; Pneumonia; didn't feel well; This is a spontaneous report from a contactable consumer. An 83-year-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiration date unspecified), via an unspecified route of administration on 04Feb2021 10:30 at single dose for COVID-19 immunization. Medical history included diabetes, chronic obstructive pulmonary disease (COPD), high blood pressure, high cholesterol, and prior lung cancer. The patient was not pregnant. The patient had no known allergies. Concomitant medications included insulin detemir (LEVEMIR), metoprolol, umeclidinium bromide, vilanterol trifenatate (ANORO ELLIPTA), metformin, levothyroxine, saxagliptin hydrochloride (ONGLYZA), and atorvastatin. The patient received first dose of bnt162b2 on 14Jan2021, 10:30 for COVID-19 immunization. It was reported that 2 nights following vaccine, patient had trouble breathing and didn't feel well on 07Feb2021, 12:30. Patient started to feel better but again two days later, she had trouble breathing and elevated blood pressure on 09Feb2021. Patient was admitted to the hospital for 2 days due to the events on an unspecified date and was diagnosed with pneumonia. The events resulted in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care, hospitalization. There was unspecified treatment for the events. It was reported that patient was currently hospitalized. The patient did not have other vaccine in four weeks, no covid prior vaccination and was not covid tested post vaccination. Outcome of events was not recovered. Information on the lot/batch number has been requested.

Other Meds: LEVEMIR; METOPROLOL; ANORO ELLIPTA; METFORMIN; LEVOTHYROXINE; ONGLYZA; ATORVASTATIN

Current Illness:

ID: 1051010
Sex: F
Age:
State: MN

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: blindness in one eye; delirium; Weakness; This is a spontaneous report from a contactable consumer. An 84-year-old female patient received bnt162b2 (Pfizer-BioNTech COVID-19 mRNA vaccine), via an unspecified route of administration in the left arm on 03Feb2021 11:15 at a single dose for covid-19 immunization. Medical history included congestive heart failure, diabetes, glaucoma, breast cancer survivor, high blood pressure and allergies. The patient has unspecified concomitant medications. On 03Feb2021 21:30, the patient experienced blindness in one eye, weakness and delirium. The patient did not receive treatment for the events. The events were assessed serious, disability. The patient has not tested positive to covid prior vaccination. The outcome of the events was not recovered. Information on Lot/Batch has been requested.

Other Meds:

Current Illness:

ID: 1051011
Sex: M
Age:
State: OH

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data: Test Name: blood pressure; Result Unstructured Data: Test Result:150/90; Test Name: CT scan; Result Unstructured Data: Test Result:Unknown; Test Name: Labs; Result Unstructured Data: Test Result:Unknown; Test Name: urine test; Result Unstructured Data: Test Result:Unknown; Test Name: Weight; Result Unstructured Data: Test Result:175-180 lbs; Test Name: X-rays; Result Unstructured Data: Test Result:Unknown

Allergies:

Symptoms: Urinary tract infection; high blood pressure; Fall; This is a spontaneous report from a contactable consumer (patient's wife) via the Pfizer sponsored program. An 83-year-old male patient received his first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL9265, expiration date: 31Mau2021), via an unspecified route of administration on 02Feb2021 13:12 at SINGLE DOSE for Covid-19 immunisation. Medical history included heart surgery (Between 6-9 years before), Congestive heart failure, blood pressure (problems with blood pressure) and fall (history of falls). Concomitant medication included ongoing carvedilol for Congestive heart failure. The reporter stated that her husband has high blood pressure (occurred on an unspecified date) and was having problems falling. He fell the night of 03Feb2021. She called the paramedics to come help get him up. He was taken to the emergency room on the morning of 04Feb2021. He was found to have a urinary tract infection (on 04Feb2021) and was admitted. The patient was hospitalized for the event urinary tract infection on an unspecified date for 2 days. He is now in rehab and will have to learn to walk again. She is calling to ask what needs to be done about her husband getting the second dose. The patient underwent lab tests and procedures which included blood pressure: 150/90, CT scan, labs, urine test and X-rays: unknown, weight: 175-180 lbs on an unspecified date. Outcome of the event urinary tract infection was recovered with sequelae on 06Feb2021. Outcome of the event fall was recovered with sequelae on 03Feb2021 while outcome of the event blood pressure increased was recovering.

Other Meds: CARVEDILOL

Current Illness:

ID: 1051012
Sex: F
Age:
State: FL

Vax Date: 01/21/2021
Onset Date: 01/27/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data: Test Name: x-ray; Result Unstructured Data: Test Result:had some wheezing in her chest

Allergies:

Symptoms: Kidney infection; Wheezing in chest; her blood pressure is so low right now they can't even transfer her to the hospital that can actually perform the surgery she needs; became very weak and didn't tell anyone/too weak to get up; mother was swollen from head to toe with edema; mother was swollen from head to toe with edema; fell using her walker on Wednesday/fell again; Laceration of face; having issues with her kidneys and has progressively declined since; This is a spontaneous report from a contactable consumer. A 74-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date unspecified), via an unspecified route of administration on 21Jan2021 at single dose for COVID-19 immunization. The patient's medical history using her walker. Concomitant medications were not reported. The consumer reported that her mother had the COVID-19 Vaccine on 21Jan2021. She was now hospitalized and was due to have the second vaccine on 11Feb2021 and stated that her mother was completely unstable for the second vaccine. After receiving the COVID-19 vaccine, medically, she seemed fine. Then, she progressively has gotten worse. First EMS was called. This was about less than a week later after receiving the vaccine. Then, she was admitted into the hospital with a kidney infection and she has progressively declined. She has no idea if it was related to the COVID-19 vaccine or not. She initially called regarding the second COVID-19 vaccine. She didn't know what would happen if her mother didn't show up for her second vaccine. She didn't know if she would get on the "never going to get the vaccine" list or what as her mother was just so unstable. On an unspecified date, her blood pressure was so low right now they can't even transfer her to the hospital that can perform the surgery she needs. The reporter stated that she has no idea if this was COVID related or what. She began having problems less than a week later after receiving the COVID-19 vaccine, she mentioned Wednesday. On 27Jan2021, her mother began having issues with her kidneys and has progressively declined since. Consumer stated her mother was swollen from head to toe with edema on an unspecified date and that was how this all kind of started. Her mother became very weak and didn't tell anyone. She fell using her walker on Wednesday and the EMS was called. Her mother told the EMS she wasn't hurt but was just too weak to get up and EMS got her up. Her primary care doctor sent her for an x-ray, and she had some wheezing in her chest. She was given an antibiotic for that. The patient fell again, and the EMS was called and had some face lacerations and stuff, so she was taken to the hospital. Consumer confirmed her mother was admitted into the hospital and was first diagnosed with a kidney infection and it has progressively gotten worse. Outcome of event kidney infection was not recovered; and outcome of the rest of events was unknown. Information on lot/Batch number has been requested.

Other Meds:

Current Illness:

ID: 1051013
Sex: F
Age:
State: NY

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Test Name: Blood pressure; Result Unstructured Data: Test Result:drop in blood pressure; Comments: Felt like immediate drop in blood pressure.

Allergies:

Symptoms: Exactly two hours after injection, while driving, I felt light headed, dizzy, then tunnel vision as if I was going to pass out. I had muscle weakness in my arms and legs. I managed to pull over safely; Exactly two hours after injection, while driving, I felt light headed, dizzy, then tunnel vision as if I was going to pass out. I had muscle weakness in my arms and legs. I managed to pull over safely; Exactly two hours after injection, while driving, I felt light headed, dizzy, then tunnel vision as if I was going to pass out. I had muscle weakness in my arms and legs. I managed to pull over safely; Exactly two hours after injection, while driving, I felt light headed, dizzy, then tunnel vision as if I was going to pass out. I had muscle weakness in my arms and legs. I managed to pull over safely; I was nauseous and couldn't walk; I was nauseous and couldn't walk; Felt like immediate drop in blood pressure; This is a spontaneous report from a contactable consumer. A 36-year-old female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE) lot number: EN5318, via an unspecified route of administration at left arm on 09Feb2021 10:00 at a single dose for COVID-19 immunisation. The patient had no medical history. The patient is not pregnant. There were no concomitant medications. On 09Feb2021, exactly two hours after injection, the patient felt lightheaded and dizzy while driving, then tunnel vision as if she was going to pass out. The had muscle weakness in my arms and legs. The patient managed to pull over safely. She was nauseous and couldn't walk. This lasted about 15 minutes and then she was better. The patient felt like immediate drop in blood pressure. No treatment was received. The outcome of the events was recovered on an unspecified date.

Other Meds:

Current Illness:

ID: 1051014
Sex: F
Age:
State: OR

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

Lab Data: Test Date: 20210202; Test Name: Blood pressure; Result Unstructured Data: Test Result:Elevated; Test Date: 202102; Test Name: Blood tests; Result Unstructured Data: Test Result:Unknown results; Test Date: 20210202; Test Name: Body temperature; Result Unstructured Data: Test Result:elevated; Test Date: 202102; Test Name: chest X-ray; Result Unstructured Data: Test Result:Unknown results; Test Date: 202102; Test Name: ekg; Result Unstructured Data: Test Result:Unknown results; Test Date: 20201102; Test Name: Nasal Swab Covid test; Test Result: Negative

Allergies:

Symptoms: Waves of extreme nausea; chills; dizziness; Shakiness; Vomiting; elevated temperature; Elevated blood pressure; heavy burning sensation in my chest; extreme body aches; so dizzy I can barely stand; This is a spontaneous report from a contactable consumer reported for herself. A 45-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration at left arm on 01Feb2021 15:00 at single dose for COVID-19 immunization. The COVID-19 vaccine was administered at Workplace clinic. Medical history included Migraine, anxiety. Patient was not pregnant. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included sertraline hydrochloride (ZOLOFT), thyroid, naltrexone hydrochloride (NALTREXON). The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient had Allergies to Erythromycin, morphine. The patient received the first dose of BNT162B2 via an unspecified route of administration at right arm on 08Jan2021 02:30 PM for COVID-19 immunization. The patient experienced Waves of extreme nausea, chills and dizziness, Shakiness, Vomiting and elevated temperature. Elevated blood pressure on 02Feb2021 15:15, After a week and a half in Feb2021, the patient had heavy burning sensation in her chest, extreme body aches, so dizzy she can barely stand. Events were assessed as serious with seriousness criteria-Disabling/Incapacitating. Adverse event result in Doctor or other healthcare professional office/clinic visit and Emergency room/department or urgent care. The patient underwent lab tests and procedures which included Blood tests, electrocardiogram (EKG), chest X-ray on an unknown date in Feb2021 with unknown results, Nasal Swab Covid test on 02Nov2020: Negative. The outcome of the events was not recovered. Information on the lot/batch number has been requested.

Other Meds: ZOLOFT; THYROID; NALTREXON

Current Illness:

ID: 1051015
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: a heart attack; I had a blood clot in my lung; stabbing pain in chest; This is a spontaneous report from a contactable consumer. A 76 years old female patient first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) on an unspecified date at single dose via an unspecified route of administration for COVID-19 immunization. Relevant medical history and concomitant medications were not reported. About 30 hours after 1st dose of vaccine the patient experienced stabbing pain in chest wall, quite persistent. At first she thought was having an heart attack. Hurt too much to move. Had to lay down. Thought she had a blood clot in her lung severe for 2 days, moderate for 2 day. It was dissipated after 6 days. The patient was scheduled for second dose on 20Feb2021. The patient recovered from the events on an unspecified date. Information about Batch/Lot number has been requested.

Other Meds:

Current Illness:

ID: 1051016
Sex: M
Age:
State:

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: congestive heart; renal failure; very weak; This is a spontaneous report from a non-contactable consumer. A 75-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 06Feb2021 at single dose for COVID-19 immunisation at the age of 75-year-old. Medical history and concomitant medications were unknown. Historical vaccination included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 16Jan2021 at single dose for COVID-19 immunisation at the age of 75-year-old. On 07Feb2021, patient became very weak; the patient was hospitalized with renal failure and congestive heart. It was unknown if any treatment was administered due to the events. The patient did not recover from the events. The patient did not have Covid-19 before vaccination; it was unknown if Covid was tested post vaccination. No follow-up attempts are possible; Information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1051017
Sex: M
Age:
State: NY

Vax Date: 01/01/2021
Onset Date: 01/26/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Anemia; This is a spontaneous report from a contactable Other-HCP. This 75-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unknown route, in Jan2021 at single dose for COVID-19 immunisation. No other vaccine was received in four weeks. Relevant medical history included ongoing chronic obstructive pulmonary disease (COPD), ongoing diabetes, ongoing high blood pressure and ongoing high cholesterol. The patient received a lot of concomitant medications (no additional details were provided). On 26Jan2021, the patient developed anemia for which he was admitted to the hospital on the same day. The patient was recovering from the event. Information on Batch/Lot number has been requested.; Sender's Comments: Based on the limited information provided and temporal association, a causal association between the reported event and the BNT162B2 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 RAs, Ethics Committees, and Investigators, as appropriate.

Other Meds:

Current Illness: Blood pressure high; COPD; Diabetes; High cholesterol

ID: 1051018
Sex: F
Age:
State: TN

Vax Date: 01/15/2021
Onset Date: 01/01/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: After the vaccine the patient miscarried the baby; This is a spontaneous report from Pfizer-sponsored program via a contactable pharmacist. A 29-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; batch/lot number and expiration date unknown), 0.3 ml via an unspecified route of administration on 15Jan2021 at 10:00-11:30am as a single dose for COVID-19 immunization, administered in the right arm. Patient has no past medical history. Concomitant medication includes One-a-day vitamin, Ongoing. No prior Vaccinations within 4 weeks prior. First Day of Last menstrual period: 6-13 Dec2020. Patient reports one previous pregnancy: full term live birth via vaginal birth with epidural at 40 weeks and 1 day. The father used marijuana, at an unspecified frequency. Patient was unaware that she was pregnant, guesses she was about 3 weeks when she got the first shot of the vaccine. Ten days after the vaccine, the patient miscarried the baby. The clinical outcome of the event was unknown. Information on the lot/batch number has been requested.; Sender's Comments: Based on the current available information and the plausible drug-event temporal association, a possible contributory role of the suspect product BNT162B2 to the development of event Miscarriage of pregnancy cannot be excluded. The case will be reassessed if additional information becomes available. 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: 1051019
Sex: F
Age:
State: OH

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Hives; Itching; She had cracking creases with serous fluid coming out of both hands; She was covered big blisters; blotches; Her hands were so swollen after getting the dose of the vaccine that she couldn't get them closed; This is a spontaneous report from a contactable nurse, the patient. A 75-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EN5318), via an unspecified route of administration in the left arm on 05Feb2021 at 12:20 (at the age of 75-year-old) as a single dose for COVID-19 vaccination. Medical history included reverse total shoulder replacement on 26Jan2021, cardiomyopathy from an unknown date, and type 2 diabetes mellitus from an unknown date. There were no concomitant medications. The patient previously received her shingles shot (MANUFACTURER UNKNOWN) and flu shot (MANUFACTURER UNKNOWN); both in Oct2020 for immunization and had no reactions. On 05Feb2021 at 16:00, the patient experienced hives and itching. On 05Feb2020, the patient had blotches, blistering, swollen hands, and cracked creases with serous fluid coming out of the hands. The clinical course was as follows: She had absolutely no problem at the time of the injection, no soreness with it she was fine and then she had welts starting with 2-3 then all over her body, that were itching terribly. They stared on the left wrist, both hands. The patient took diphenhydramine hydrochloride (BENADRYL); but it did not help. The patient then went to the emergency room (ER). By the time she got to the ER, the hives moved up to her abdomen and she was covered in big blistery looking raisings and few small raises on her trunk and arms. The hives were concentrated from her fingers to her elbow, and then there were other blotches on her elbows to her fingers that were real concentrated. She stayed at the hospital for 3 hours, but she was not admitted. At the ER, she received pantoprazole (PROTONIX), diphenhydramine hydrochloride, hydroxyzine (ATARAX) and prednisone (MANUFACTURER UNKNOWN). The patient also stated that her hands were so swollen after getting the dose of the vaccine that she couldn't get them closed and she had cracking creases with serous fluid coming out of both hands. The swelling went down a little bit the next day; but she still had the blotches. She said the itch was tolerated. However, the blistering started again. Her doctor put her on a sliding scale of prednisone and diphenhydramine at 25 mg every 6 hours. The clinical outcome of the swelling hands was recovering; while that of the blotches and blisters were not recovered. The clinical outcomes of the hives, itching, and cracked creases with serous fluid coming out of the hands were unknown. The patient assessed the events to be medically significant as she had never experienced anything like this.; Sender's Comments: Considering the temporal relationship, a possible contribution role of vaccination with BNT162B2 to the onset of the reported events cannot be excluded. The case will be reassessed should additional information become available. 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: 1051020
Sex: M
Age:
State: FL

Vax Date: 01/20/2021
Onset Date: 01/01/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Test Date: 202101; Test Name: temperature; Result Unstructured Data: Test Result:100.4; Test Date: 2021; Test Name: temperature; Result Unstructured Data: Test Result:97

Allergies:

Symptoms: He started not feeling too well; coughing like slimy kind of cough; Like congestion; he started to have some chills; Pain in arm; He got sick so bad; I think last year respiratory infection like his chest; He was hot; he had about 100.4; Diarrhea; He got sick so bad; I think last year respiratory infection like his chest; head seems to be very stuff; This is a spontaneous report from a contactable consumer (patient's wife). A male patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 20Jan2021 at SINGLE DOSE for COVID-19 immunisation. The patient medical history and the concomitant medications were not reported. The patient took the first shot on 20Jan2021. The first day he felt okay he didn't feel like they gave him the shot as it went well. Then he has some arm pain (pain in arm) at night on 20Jan2021 about strictly went away. He took it on 20Jan2021 about 12'oclock in the afternoon. On Friday on 22Jan2021 and Saturday he started not feeling too well. He started coughing like slimy kind of cough on 22Jan2021. He was like congestion and then he started to have some chills and stuff like that on 22Jan2021. So that was almost three weeks ago. Like Saturday so this past Saturday was two weeks so today it was Tuesday so almost two and half weeks he hasn't gone out of the house. It was unknow if he was fine before he went took the shot. He got sick so bad 3 or 4 days later and he hasn't really feel well since then. Like before he took the shot but then also don't know if he has something different. He didn't go to get tested for Covid. He hasn't lost taste or smell. He seems like continuing he has like last year this time when we were in different part. He seems like he had last year respiratory infection like his chest but then he got better. He is easy to get all sick. He had fever he had like every time his temperature was always but he had about 100.4 in Jan2021. One at night he got chills and he was hot. He two Tylenol, he took lot of Tylenol in last two weeks. He felt like after he took the Tylenol he felt like it would take his temperature he took Tylenol right away and the fever went down. He hasn't had any fever it is been like 97 for 4-5 days. He has he feels like he had congestion but unknow if he picked up for cold or congestion just and right now try to see if he takes the shot tomorrow and he had just weird diarrhea. He still have his nose and his head seems to be very stuff. The wife did not know if he got sick from the shot or not. The outcome was unknown.

Other Meds:

Current Illness:

ID: 1051021
Sex: F
Age:
State: CA

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

Lab Data: Test Name: blood pressure; Result Unstructured Data: Test Result:145/90; Comments: states her blood pressure went up/States her Blood pressure went really high, 145/90 or so, lasted about 24 hours

Allergies:

Symptoms: Bell's palsy; blood pressure increased; chest pain; breathing difficulty; weakness; tired; loss of appetite; This is a spontaneous report from a contactable consumer (patient). A 75-year-old female patient received first dose of bnt162b2 (lot number: EL9262), via an unspecified route of administration, at arm left, on Jan2021 at single dose for COVID-19 immunisation. Medical history included Prediabetes from 2019 (reported as diagnosed two years ago), overweight from an unknown date, ongoing arthritis from 2017 (reported as about 4 years ago), gets worse now. There were no concomitant medications. Caller states she just has a question, states she took the test about 2 weeks ago, clarifies the Pfizer vaccine and due for next one on Sunday, caller wanted to find out if what she experienced could be due to the vaccine, states she had a reaction for almost two weeks (also reported that all the events started on 05Feb2021, pending clarification), states her blood pressure went up, she had chest pain in her chest, weakness, loss of appetite, states it lasted about 24 hours, no exact dates provided. Also experienced Bell's Palsy states it comes and goes, that when she talks the saliva comes down the side of her mouth. States her Blood pressure went really high, 145/90 or so, lasted about 24 hours. Did not know if she was having a heart attack. Does see a cardiologist because of a family history of cardiac issues. The outcome of the event Bell's Palsy was not recovered, of the other events was recovered on Jan2021 (reported as lasted for 24 hours).

Other Meds:

Current Illness: Arthritis (about 4 years ago, gets worse now.)

ID: 1051022
Sex: F
Age:
State: CA

Vax Date: 01/15/2021
Onset Date: 02/03/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Test Name: O2 levels; Result Unstructured Data: Test Result:normal; Test Name: covid; Result Unstructured Data: Test Result:positive

Allergies:

Symptoms: Drug Ineffective; felt like she had Covid plus the flu; very congested chest; Flu like symptoms; Chest pain; Cough; Shortness of breath; This is a spontaneous report from a contactable consumer (patient). This 48-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), the first dose (Lot # EL1283) intramuscular at single dose in the right arm on 15Jan2021 and the second dose at single dose in the left arm on 03Feb2021 11:30, for covid-19 immunisation. Medical history included exposure to sars-cov-2 in Dec2020 (Her mother ended up positive for Covid and she was exposed to her and showed symptoms). There were no concomitant medications. On 03Feb2021, the patient experienced felt like she had Covid plus the flu with outcome of recovered on 05Feb2021, very congested chest with outcome of recovered on 06Feb2021, flu like symptoms with outcome of recovered on 05Feb2021, chest pain with outcome of recovered on 05Feb2021, cough with outcome of recovered on 06Feb2021, shortness of breath with outcome of recovered on 06Feb2021. The patient underwent lab tests and procedures which included oxygen saturation: normal on an unspecified date, sars-cov-2 antibody test: positive on an unspecified date. Therapeutic measures were taken as a result of felt like she had covid plus the flu, flu like symptoms. The events were described as follows: Patient said that she had some weird side effects from the 2nd vaccine, but not the first dose and believes that she had Covid in Dec2020. Patient said that she had flu like symptoms, she said it felt like she had Covid plus the flu. She said that she also had chest pain, a very congested chest, a cough, and shortness of breath. She did not have that with Covid. She said that her symptoms came on about 10 hours after the vaccination and were gone within 48 hours. Patient said that she does not know if having Covid so recently plays into it at all. Patient said that she received the last dose on 03Feb2021 at 1130. Patient said that the phlegm started in her throat and she had the chills. She woke up with the whole shebang. She stated that it got worse by the next day. She said that she did not feel a thing from the first injection and had no side effects. She never tested positive for Covid in Dec2020. Her mother ended up positive for Covid and she was exposed to her and showed symptoms. She had exhaustion vertigo, and general feeling of being unwell with Covid. She had all of that again, but she was told not to expect anything respiratory. She got concerned with the chest pain, cough, phlegm, and shortness of breath. She saw the doctor on 05Feb2021 and she was instructed not to take anything because it could affect the vaccine, but her symptoms went away within 48 hours. She said that she felt like the congestion felt like a allergic reaction for her, said that it was hard to swallow, and had a lot of phlegm in her throat. She said that it is not inherently different if you were allergic to flowers. Chest pain she described like you are full of phlegm and like there is inflammation. Shortness of breath: Feel panicky when you try to breath and you feel the phlegm. Patient said that when she gets sick she does have a tendency to get upper respiratory infections. Like with a cold that she would end up with a cough that would linger a little bit. She still thinks getting the vaccine was worth it. She just wished that it would have been a listed side effect, because when it is not, you panic. Most people are worried about the shortness of breath. She reported that her O2 levels were ok when she checked. Doctor gave her a vitamin IV to make her feel better. Told her that her lungs were clear and it was all upper respiratory.

Other Meds:

Current Illness:

ID: 1051023
Sex: F
Age:
State: AK

Vax Date: 01/27/2021
Onset Date: 02/01/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Clinical depression (exhaustion, lack of ability to find pleasure or joy in anything, lack of interest in typical daily things, thoughts of suicide), fatigue, lack of focus, extreme emotional distress; Clinical depression (exhaustion, lack of ability to find pleasure or joy in anything, lack of interest in typical daily things, thoughts of suicide), fatigue, lack of focus, extreme emotional distress; Clinical depression (exhaustion, lack of ability to find pleasure or joy in anything, lack of interest in typical daily things, thoughts of suicide), fatigue, lack of focus, extreme emotional distress; emotional distress to include involuntary tears that would not stop; Clinical depression (exhaustion, lack of ability to find pleasure or joy in anything, lack of interest in typical daily things, thoughts of suicide), fatigue, lack of focus, extreme emotional distress; This is a spontaneous report from a non-contactable consumer (the patient). A non pregnant 33-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: UNKNOWN), via an unspecified route of administration in the left arm on 27Jan2021 at 17:45 PM, (at the age of 33-year-old) as a single dose for COVID-19 immunization. Medical history included anxiety and depression (well under control at time of vaccination), COVID-19. The patient had known allergies to soy, almonds, green beans, peas, celery, cherries, strawberries, and eggs. Concomitant medication taken within two weeks of vaccination included cetirizine hydrochloride (ZYRTEC), diphenhydramine hydrochloride (BENADRYL), fluticasone propionate (FLONASE), and unspecified birth control. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient previously took amoxicillin and cefdinir and experienced drug hypersensitivity. On 01Feb2021, the patient experienced clinical depression (described as exhaustion, lack of ability to find pleasure or joy in anything, lack of interest in typical daily things, thoughts of suicide). She also experienced fatigue, lack of focus, extreme emotional distress, to include involuntary tears that would not stop. The patient did not receive treatment for the events. The clinical outcome of the events clinical depression (described as exhaustion, lack of ability to find pleasure or joy in anything, lack of interest in typical daily things, thoughts of suicide), fatigue, lack of focus, extreme emotional distress to include involuntary tears that would not stop, was not recovered. It was also reported that since the vaccination, the patient had not been tested for COVID-19. No follow-up attempts are possible. Information about lot number cannot be obtained.

Other Meds: ZYRTEC [CETIRIZINE HYDROCHLORIDE]; BENADRYL; FLONASE [FLUTICASONE PROPIONATE]

Current Illness:

ID: 1051024
Sex: F
Age:
State: CA

Vax Date: 01/30/2021
Onset Date: 02/06/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Bloody diarrhea; This is a spontaneous report from a contactable consumer or other non hcp. A 70-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot# unknown), via an unspecified route of administration single dose arm left on 30Jan2021 15:00 for covid-19 immunisation. Medical history included diabetes mellitus. Concomitant medication included sitagliptin (JANUVIA). The patient experienced bloody diarrhea on 06Feb2021. No treatment received. The outcome was recovered. Information on the lot/batch number has been requested

Other Meds: JANUVIA [SITAGLIPTIN]

Current Illness:

ID: 1051025
Sex: U
Age:
State:

Vax Date:
Onset Date: 02/05/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: sore arm at injection area; Initial information received on 06-Feb-2021 regarding an unsolicited valid non-serious case received from a consumer/non-hcp. This case involves an Adult patient who experienced sore arm at injection area (injection site pain), while he/she received vaccine INFLUENZA VACCINE. The patient's medical history, past medical treatment(s), vaccination(s) and family history were not provided. On an unknown date, the patient received a dose of suspect INFLUENZA VACCINE (produced by unknown manufacturer, lot number and expiry date not reported) via unknown route in unknown administration site for prophylactic vaccination. 05-Feb-2021, the patient developed a non-serious sore arm at injection area (injection site pain) (unknown latency) following the administration of INFLUENZA VACCINE. It was not reported if the patient received a corrective treatment. The outcome of the event was not reported. Information on batch will not be available.

Other Meds:

Current Illness:

ID: 1051026
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: got the Flu shot once in patients life, got it perfectly well & got the sickest patient had ever been for over a week; Initial information received on 09-Feb-2021 regarding an unsolicited valid non-serious case received from a consumer (patient). This case involved a patient of unknown age who get the flu shot once in patients life, got it perfectly well and got the sickest patient had ever been for over a week (illness), while patient received INFLUENZA VACCINE. Medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications were not reported. On an unknown date, the patient received INFLUENZA VACCINE [lot number: unknown and expiration date: unknown] at an unknown dose via unknown route in an unknown administration site for prophylactic vaccination. On an unknown date, patient get the flu shot once in patients life, got it perfectly well and got the sickest patient had ever been for over a week (illness), (latency: unknown) following the administration of suspect vaccine. No laboratory data was reported. It was not reported if the patient received any corrective treatment. Outcome of the events were unknown. There will be no information available regarding batch number in this case.

Other Meds:

Current Illness:

ID: 1051027
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: big blisters; Initial information was received on 08-Feb-2021 regarding an unsolicited valid non-serious social media case from a consumer. This case involves patient (unknown demography) who had the big blisters (blister), after the patient received INFLUENZA VACCINE. Medical history, medical treatment(s), concomitant medications, vaccination(s) and family history were not provided. On an unknown date, the patient received a dose of suspect INFLUENZA VACCINE produced by unknown manufacturer (lot number and expiry date not reported) via an unknown route at an unknown administration site for prophylactic vaccination. On an unknown date, the patient developed non-serious had big blisters (blister) (unknown latency) following the administration of INFLUENZA VACCINE. It was reported that the patient cannot take the flu shot as the patient break out in big blisters. Details of laboratory data were not reported. It was not reported if the patient received any corrective treatment. At the time of report, the outcome was unknown for the event. There will be no information available on the batch number for this case.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm