VAERS 2021 Database www.vaers.hhs.gov

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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: 1051028
Sex: F
Age:
State:

Vax Date: 10/01/2019
Onset Date: 10/01/2019
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: experienced a severe lower back spasm; allergic reaction; chills; couldn't breathe, difficulty in breathing; became extremely flushed; feel very itchy; vomiting; ache; Initial information received on 04-Feb-2021 regarding an unsolicited valid non-serious case from a non-healthcare professional. This case involves a 69 years old female patient who had a severe lower back spasm (muscle spasms), allergic reaction (hypersensitivity), chills, couldn't breathe, had difficulty in breathing (dyspnoea), became extremely flushed (flushing), feel very itchy (pruritus), vomiting, ache (pain), after receiving INFLUENZA USP TRIVAL A-B HIGH DOSE SUBVIRION VACCINE [FLUZONE HIGH DOSE]. The patient's past vaccination(s) included with standard dose of INFLUENZA VACCINE. The patient's past medical history, medical treatment(s), concomitant medication(s), and family history were not provided. At the time of the event, the patient had ongoing hypersensitivity to some medicines and nuts. On an unknown date in October 2019, the patient received dose of suspect INFLUENZA USP TRIVAL A-B HIGH DOSE SUBVIRION VACCINE [lot number: UJ235AB and expiry date not reported] via intramuscular route in an unknown administration site for prophylactic vaccination. On an unknown date in October 2019, the patient developed a non-serious severe lower back spasm (muscle spasms), allergic reaction (hypersensitivity), chills, couldn't breathe, difficulty in breathing (dyspnoea), extremely flushed (flushing) (on the same day), feel very itchy (pruritus), vomiting, ache (pain) (Unknown latency), following the administration of INFLUENZA USP TRIVAL A-B HIGH DOSE SUBVIRION VACCINE. No laboratory data reported. The patient was treated by an emergency medical technician (EMT) for hypersensitivity, dyspnoea, flushing, muscle spasms and DIPHENHYDRAMINE HYDROCHLORIDE, PARACETAMOL, PSEUDOEPHEDRINE HYDROCHLORIDE (BENADRYL TOTAL) for pruritus. The patient recovered from hypersensitivity, dyspnoea, flushing, muscle spasms,as it is reported that patient started feeling better and her vital signs for reactions were fine, while the outcome is unknown for chills, pruritus, pain.

Other Meds:

Current Illness: Allergic reaction (does have allergic reaction to "some medicines" and to nuts)

ID: 1051029
Sex: F
Age: 57
State: IN

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

Lab Data:

Allergies:

Symptoms: Patient had received an Adacel dose just with 6 month interval/ No AE; Initial information regarding an unsolicited valid non-serious case was received from an other health professional. This case involves a 57-year-old female patient who had received 0.5 mL dose of DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [ADACEL] just with 6 months interval [lot C5757AA and expiry date: 21-Jul-2022] via an intramuscular route in the left deltoid for prophylactic vaccination On 05-Feb-2021 [Inappropriate schedule of product administration]. The patient past vaccination included ADACELfor prophylactic vaccination. Medical history, medical treatment and family history were not provided. Patient received no concomitant vaccines. At the time of the event, the patient had ongoing laceration. This was a case of actual medication error due to drug dose administration interval too short [Latency: on the same day]. It was reported that, reporter asked there were any contraindications that should be of concern. The product was used first time and not used still. At the time of report, no adverse event reported. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holders compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error. There will be no information available on the batch number for this case.

Other Meds:

Current Illness: Laceration

ID: 1051262
Sex: F
Age: 65
State: CA

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

Lab Data:

Allergies:

Symptoms: esophagus and trachea closed; experienced some heavy breathing; some pins and needles sensation around her outer thigh, hip bone, liver, and abdomen; arm felt like someone took a brick and kept pounding it; arm had hardness; the area was hot, hard, and heated; couldn't swallow saliva; Couldn't raise arm over shoulder; tongue felt like it was numb; Couldn't walk or stand up straight; A spontaneous report was received from a healthcare professional (HCP) concerning a 65-year-old, female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced esophagus and trachea closing/tracheal inflammation, heavy breathing/dyspnea, pins and needle sensation around her outer thigh, hip bone, liver and abdomen/paraesthesia, arm felt like someone took a brick and kept pounding it/limb discomfort, arm had hardness/injection site induration, area was hot and heated/injection site warmth, couldn't swallow saliva/dysphagia, couldn't raise arm over shoulder/injection site movement impairment, tongue felt like it was numb/hypoaesthesia oral, and couldn't walk or stand up straight/gait inability. The patient's medical history was not provided. Concomitant medication history was not provided. On 03 FEB 2021, one day prior to the onset of the events, the patient received their first of two doses of mRNA-1273 (lot number: 043L20A) intramuscularly in the right arm for prophylaxis of COVID-19 infection. On 04 FEB 2021, the patient experienced her esophagus and trachea closing. She had some heavy breathing along with pins and needle sensation around her outer thigh, hip bone, liver and abdomen. She stated that her arm felt like someone took a brick and kept pounding it. Her arm had hardness and she couldn't raise it over her shoulder. The area of her arm was hot, hard and heated. The patient couldn't swallow her saliva, couldn't walk or stand up straight and her tongue felt like it was numb and stretched out. An ambulance was called, and she was taken to the hospital. She stated that she had never had such a reaction to a vaccine before. She stated that since the event, her memory has been affected. Treatments of these events included saline solution, a medication for relaxing and pain, and oxygen. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the events, esophagus and trachea closing/tracheal inflammation, heavy breathing/dyspnea, pins and needles sensation around her outer thigh, hip bone, liver and abdomen/paraesthesia, arm felt like someone took a brick and kept pounding it/limb discomfort, arm had hardness/injection site induration, area was hot, and heated/injection site warmth, couldn't swallow saliva/dysphagia, couldn't raise arm over shoulder/injection site movement impairment, tongue felt like it was numb/hypoaesthesia oral, and couldn't walk or stand up straight/gait inability were unknown.; Reporter's Comments: Very limited information regarding this events has been provided at this time. Further information has been requested.

Other Meds:

Current Illness:

Date Died: 02/06/2021

ID: 1051263
Sex: F
Age: 71
State: PA

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

Lab Data:

Allergies:

Symptoms: Passed away; Found unconscious; Coma; Lack of oxygen to the brain; A spontaneous report was received from a consumer, concerning his mother, a 71-year-old female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and passed away, prior to death, patient experienced lack of oxygen to the brain and was found unconscious and went to coma. The patient's medical history reported included seizures. Concomitant medications included phenobarbital, lamotrigine and levetiracetam. On 27 Jan 2021, approximately six days prior to the onset of events, the patient received their first of two planned doses of mRNA-1273 (lot number: 030L20A) intramuscularly for prophylaxis of COVID-19 infection. On 01 Feb 2021 at 4 am, the patient was found to be unconscious on the couch, hence she was rushed to the hospital with lack of oxygen to the brain. Later, she went into a coma, hence she was in hospital for 30 hours and then was transferred to a different hospital for a second opinion on 06-Feb-2021, where she was passed away at 02:20 PM. Treatment information was not provided Action taken with mRNA-1273 in response to the events were not applicable. The outcome of events, lack of oxygen to the brain, found unconscious and coma were considered unknown. The outcome of event passed away was fatal as she died on 06 Feb 2021 at 2:20 pm. The cause of death was not provided. Plans for an autopsy were unknown.; Reporter's Comments: This is a case of 71-year-old female subject with a history of seizures who died 6 days after receiving first dose of vaccine. Very limited information has been provided at this time. Further information has been requested.; Reported Cause(s) of Death: Passed away

Other Meds: PHENOBARBITAL; LAMICTAL; KEPPRA

Current Illness: Seizures

ID: 1051264
Sex: F
Age: 77
State: KY

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

Lab Data: Test Date: 20210129; Test Name: hemoglobin; Result Unstructured Data: Hemoglobin went from 8.8 to 8.2; Test Date: 20210129; Test Name: oxygen; Result Unstructured Data: 82%

Allergies:

Symptoms: Shortness of breath; Hemoglobin went from 8.8 to 8.2; oxygen level was at 82 whenever she is standing or walking; Sore arm; A spontaneous report was received from a consumer concerning a 77-year-old, female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced shortness of breath, sore arm, oxygen level at 82 when walking, and hemoglobin went from 8.8 to 8.2. The patient's medical history was not provided. No relevant concomitant medications were reported. On 20 Jan 2021, the patient received their first of two planned doses of mRNA-1273(Lot number:039K20A) for prophylaxis of COVID-19 infection. On 20 Jan 2021, the patient experienced soreness in arm immediately after receiving the shot. The soreness resolved few days later. On 29 Jan 2021, Lab work done due to her being anemic and on perpetual oxygen therapy. Her hemoglobin level went down from 8.8 to 8.2 and her oxygen level was 82 on exertion. On 31 Jan 2021, the patient started experiencing shortness of breath. Patient stated that her saturation level was at 82 percent whenever she is standing up or walking and she runs out of breath. When she sits down, the level of the oxygen will go up. She said she is not sure if her medical condition is getting worse or if this is vaccine related Action taken with the second dose of mRNA-1273 in response to the event was not reported. The outcome of the events, shortness of breath, sore arm, oxygen level at 82 percent when walking, and hemoglobin went from 8.8 to 8.2 were unknown.; Reporter's Comments: Based on the information from the source document that the patient is an anemic patient on perpetual oxygen, the events of oxygen saturation decreased, hemoglobin decreased and dyspnea on exertion is assessed as unlikely related to mRNA-1273. The event of pain in extremity is possibly related. Further information has been requested.

Other Meds:

Current Illness:

ID: 1051265
Sex: F
Age:
State: IA

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

Lab Data:

Allergies:

Symptoms: Vial was shaken before administration; A spontaneous report was received from a consumer concerning a 75-year-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced the vial being shaken before administration/product dispensing issue. The patient's medical history was not provided. Concomitant medications were not provided. On an unknown date, the patient received her dose of mRNA-1273 (lot number unknown) for prophylaxis of COVID-19 infection. The patient's daughter called stating that the vial was shaken before being administrated. Treatment for this event was not reported. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the event, the vial being shaken before administration/product dispensing issue was recovered.; Reporter's Comments: This reports refers to a case of Product dispensing issue for mRNA-1273 (lot number unknown) with no associated AEs. Causality for the event is not applicable

Other Meds:

Current Illness:

ID: 1051266
Sex: M
Age:
State: NY

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

Lab Data:

Allergies:

Symptoms: urinary tract infection; Soreness in the shoulder; Kidney stone; Shoulder was black and blue; A spontaneous report was received from a consumer concerning a male patient of an unknown age who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced urinary tract infection, soreness in the shoulder, shoulder was black and blue and kidney stone. The patient's medical history was not reported. Concomitant medication was not reported. On an unknown date, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (lot number: unknown) intramuscularly for prophylaxis of COVID-19 infection. On an unknown dose, prior to the onset of the events, the patient received their second of two planned doses of mRNA-1273 (lot number: unknown) intramuscularly for prophylaxis of COVID-19 infection. On an unknown date, the patient stated that he had a urinary tract infection after having the Moderna COVID-19 vaccine. The patient was given keflex but did not know if it would affect the vaccine. Patient had kidney stones two to three days before the second dose of the vaccine. Patient also reports a little soreness in the shoulder and that it was black and blue. He had the shot in his left arm and took Tylenol to help treat his symptoms. Action taken with second dose of mRNA-1273 in response to the event was not applicable. The outcome for the events urinary tract infection, soreness in the shoulder, shoulder was black and blue and kidney stone was unknown.; Reporter's Comments: Urinary tract infection is assessed as unlikely related to mRNA-1273 in the setting of newly diagnosed kidney stone. Based on the current available information and temporal association between the use of the product and the onset date of soreness in the shoulder and shoulder was black and blue, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

Date Died: 02/08/2021

ID: 1051267
Sex: M
Age: 72
State: FL

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

Lab Data:

Allergies:

Symptoms: Passed away; Slight soreness in arm; A regulatory report was received from a pharmacist concerning a 72-year-old male patient who received Moderna covid-19 vaccine and death occurred 4 days after the vaccine and also experienced soreness in his arm after the vaccine administration. The patient's medical history includes diabetes mellitus, Hypertension, Hypercholesterolemia, CVD, previous stroke and Depression. No relevant concomitant medications were reported. No information on allergies. On 4-FEB-2021 at 10:43 am, prior to the onset of events, the patient received his first of two planned doses of covid-19 vaccine for the prophylaxis of covid-19 infection. He had soreness in his arm the day following the shot, but he had no other symptoms. He passed away on 08-FEB-2021 at 10 am. As per his wife, they never made it to the hospital, and he had poor health prior to vaccination. Action taken with 2nd dose of Moderna Covid-19 vaccine was not applicable. The outcome of the event death is fatal.; Reporter's Comments: This is a 72 year old male with hx of diabetes mellitus, hypertension, hypercholesterolemia, and CVD who died 4 days after the vaccine was administered. No autopsy report provided. No further information is expected in this regulatory report case.; Reported Cause(s) of Death: Unknown cause of death

Other Meds:

Current Illness:

ID: 1051268
Sex: M
Age: 81
State: WI

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

Lab Data:

Allergies:

Symptoms: Possible Stroke; Increase pressure and numbness in fingers; Headache; A spontaneous report was received from a pharmacist concerning an 81-year old male patient, who received Moderna's COVID-19 Vaccine (mRNA-1273) and experienced possible stroke, face numbness, startled speech, increase pressure and numbness in fingers and headache. The patient's medical history was not provided. Products known to have been used by the patient, within two weeks prior to the event, included alprazolam and hydroxyzine. On 02 Feb 2021, prior to the onset of the events, the patient received his first of two planned doses of mRNA-1273 (Lot number: unknown) in the left arm for prophylaxis of Covid-19 infection. On unknown date, days after the vaccine was administered, the patient reported that he started having a headache, increased pressure and numbness in fingers. Patient had been having intermittent symptoms for 9 days. Patient was admitted to hospital on 10 Feb 2021 due to possible stroke. On 11 Feb 2021, the patient began to have startled speech and face numbness. Patient was evaluated by Neurology and an MRI was done. No further information was provided. Treatment for headache included Excedrin Migraine, ibuprofen and acetaminophen. Action taken with mRNA-1273 in response to the events were not reported. The outcome for the events possible stroke, face numbness, startled speech, headache, increase pressure and numbness in fingers, were considered as unknown at the time of this report.; Reporter's Comments: Very limited information regarding this event/s has been provided at this time. Further information has been requested.

Other Meds: XANAX; HYDROXYZINE

Current Illness:

ID: 1051269
Sex: F
Age: 69
State: OH

Vax Date: 01/06/2021
Onset Date: 01/11/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: pneumonia; got Covid-19 after vaccinated; A spontaneous report was received from a consumer concerning a female patient of 69 year old, who was administered moderna's COVID-19 vaccine and tested positive for covid-19 and Experienced pneumonia. The patients medical history was not provided. No relevant concomitant medications were reported. On 06-JAN-2021, prior to the onset of events, the Patient received their first of two planned dose of Mrna-1273(Lot number: 012L20A) intramuscularly. On 11-JAN-2021,five days after receiving vaccine, the patient tested positive for covid-19 and had pneumonia. Patient was admitted in the hospital for five days of a ten day intravenous therapy and recently got home. Patient has one treatment left. Doctor said wait 90 days to get the second shot . Action taken with the second dose of mRNA-1273 in response to the event was not reported. The outcome for the events was not reported.; Reporter's Comments: This case concerns a 69-year-old female hospitalized with serious unexpected events of COVID-19 and COVID-19 pneumonia. Event onset 6 days after the first dose of mRNA-1273. Treated with 10 days of IV therapy. Very limited information regarding the events has been provided at this time. Further information has been requested. Based on the current available information and temporal association between use of the product and the start date of the event, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1051270
Sex: F
Age: 65
State: ME

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Bells Palsy returned after recieving the Moderna COVID 19 vaccine; This spontaneous report was received from a Physician who phoned the call center regarding a 66-year-old female patient who received the Moderna COVID-19 (mRNA-1273) Vaccine and experienced a return of Bell's Palsy. The patient's medical history was reported as, "having Bell's Palsy this past summer and it resolved". Concomitant medications were not reported. On 25JAN2021, prior to the onset of the symptoms, the patient received her first of two planned doses of Moderna COVID-19 (mRNA-1273) Vaccine intramuscularly (Lot number: not provided). On 25JAN2021, the Physician reported, "I have a patient who had Bells Palsy this past summer and it resolved. The patient had her first Moderna COVID 19 vaccine today and the Bells Palsy returned. Physician is not sure which arm the patient received the Moderna Covid-19 Vaccine in. Physician provides consent to Safety to contact regarding Adverse Event follow up". The action taken for Moderna COVID-19 Vaccine was not reported. The outcome of the events, "Bells Palsy returned after receiving the Moderna COVID 19 Vaccine" was 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 event, a causal relationship cannot be excluded. The patient's medical history of having Bells Palsy this past summer (but it resolved) is a contributing factor. Further information has been requested.

Other Meds:

Current Illness:

ID: 1051271
Sex: F
Age:
State: NJ

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

Lab Data:

Allergies:

Symptoms: arm was very black and blue where the shot was administered and way around it/severe black and blue mark and bump like a golf ball on the arm where she got vaccinated; arm was very black and blue where the shot was administered and way around it/severe black and blue mark and bump like a golf ball on the arm where she got vaccinated; yeast infection from it; incredible arm pain/arm was really hurting bad; Fatigue; This is a spontaneous report from a contactable consumer (patient). A 64-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EL9262), via an unspecified route of administration on 23Jan2021 at 12:00 at a single dose on the arm for COVID-19 immunization. The patient's medical history included high blood pressure. Concomitant medication included levothyroxine sodium (SYNTHROID). The patient previously took amoxicillin; clavulanic acid (AUGMENTIN) and experienced allergies. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with COVID-19 prior to vaccination. The patient reported that she was fine but on 23Jan2021 at 16:00, she experienced an incredible arm pain and fatigue. Her arm was really hurting bad. On 25Jan2021, the patient stated that her arm was very black and blue where the shot was administered and way around it. There was a severe black and blue mark and bump like a golf ball on the arm where she got vaccinated and had yeast infection from it. She never had this before since she never had a vaccine when she was a little kid. She wanted to know if they have heard about this before. She wanted to know if this was normal and if she needs go to the doctor. The patient did not receive any treatment for the reported events. Since the vaccination, the patient has not been tested for COVID-19. It was reported that the patient can't get appointment for second shot. The patient was not pregnant at the time of vaccination. The outcome of the events incredible arm pain and fatigue was recovering while the other events was not recovered.

Other Meds: SYNTHROID

Current Illness:

ID: 1051272
Sex: F
Age:
State: CT

Vax Date: 01/21/2021
Onset Date: 01/25/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: burning sensation in her right arm (not where she received the shot); This is a spontaneous report from a contactable consumer reporting for herself. A 45-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) (lot number EL3247/expiration date: not provided), via an unspecified route of administration, on 21Jan2021 10:15 (at the age of 45 years old) as a single dose in the right arm for COVID-19 IMMUNIZATION. Relevant medical history was none. The patient did not have any known allergies to medications, food, or other products. The patient was not pregnant at the time of vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medication included birth control pills. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 25Jan2021 at 23:30, the patient experienced burning sensation in her right arm (not where she received the shot) late at night, lasting for about 20minutes. The patient did not receive any treatment for these events. The event did not require hospitalization. The outcome of the event burning sensation in her right arm (not where she received the shot) was recovered on an unspecified date in Jan2021. Since the vaccination, the patient had not been tested for COVID-19.

Other Meds:

Current Illness:

ID: 1051273
Sex: F
Age:
State: FL

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Hives; itching; shortness of breath; This is a spontaneous report from a contactable Other Health Professional, the patient. A 74-year-old non-pregnant female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number El1284), via an unspecified route of administration on 19Jan2021 at 16:00 (at the age of 74-years-old) as a single dose in the left arm for COVID-19 immunization. Medical history included asthma and known allergies to medications, food, or other products (unspecified). Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient had unspecified concomitant medications that were received within two weeks of vaccination. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 19Jan2021, the patient experienced hives, itching, all over and eventually some shortness of breath. The events resulted in visit to doctor or other healthcare professional office/clinic visit. The patient was treated for the events with prednisone and a variety of (unspecified) antihistamines. The patient was due to get the second dose of vaccination on Tuesday and the patient has been told she can get the second dose if she does it in the hospital under observation, and was requesting assistance in scheduling second vaccine. The clinical outcomes of the hives, itching, and shortness of breath were recovering. It was also reported that since the vaccination, the patient had not been tested for COVID-19.

Other Meds:

Current Illness:

ID: 1051274
Sex: F
Age:
State: OH

Vax Date: 01/21/2021
Onset Date: 01/26/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fever; chills; headache; fatigue; This is a spontaneous report from Pfizer via a contactable consumer (mother). A 92-year old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE) (at the age of 92-years-old), via an unspecified route of administration on 21Jan2021 as a single dose for covid-19 immunization. The patient has no medical history and Is not taking any concomitant medications. On 26Jan2021, she experienced fever, chills, headache, and fatigue. The clinical outcome of the events fever, chills, headache, fatigue was not recovered. Information on Lot/Batch has been requested.

Other Meds:

Current Illness:

ID: 1051275
Sex: F
Age:
State:

Vax Date: 01/25/2021
Onset Date:
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: "pins and needles" sensation that happens "on-and-off" and soreness in the arm where she received the vaccination; "pins and needles" sensation that happens "on-and-off" and soreness in the arm where she received the vaccination; This is a spontaneous report from a contactable consumer (patient) received from a Pfizer-sponsored program Support. A 65-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiry date: not reported), via an unspecified route of administration on 25Jan2021 at a single dose on the arm for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient experienced "pins and needles" sensation that happens "on-and-off" and soreness in the arm where she received the vaccination. She wanted to know if this is commonly reported and how long the soreness usually lasts. The outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1051276
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: she woke up and threw up; had diarrhea all day long; fever; tired; This is a spontaneous report from a contactable consumer (patient). This 60-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 on 23Jan2021 as a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient reported she had the first dose of the vaccine on Saturday (23Jan2021) at her school she works at; she did not feel any side effects that day. On 24Jan2021 she felt tired; and on 25Jan2021 she woke up and threw up, had diarrhea all day long and had a fever. She referred to her doctor who gave her "something to stop the throwing up." The patient was told by her doctor that only 1% experience her side effects and to contact Pfizer; the patient wanted to know if that was true and how long did the side effects typically occur. The clinical outcomes of tired, she woke up and threw up, had diarrhea all day long and fever were unknown. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1051277
Sex: F
Age:
State: NY

Vax Date: 01/23/2021
Onset Date: 01/25/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Tiredness; chills; leg weakness; confusion; This is a spontaneous report from a contactable consumer (patient). This 96-year-old non-pregnant 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 23Jan2021 at 12:15 PM (at the age of 96-years-old) as a single dose for COVID-19 immunization. The patient's medical history was not reported. The patient's concomitant medications included atorvastatin from an unknown date for an unknown indication; atenolol from an unknown date for an unknown indication; losartan from an unknown date for an unknown indication; buspirone from an unknown date for an unknown indication; and "levot" from an unknown date for an unknown indication. The patient had not received any other vaccines in the four weeks prior to vaccination and did not have COVID prior to vaccination. On 25Jan2021 at 11:00 PM the patient experienced tiredness, chills, leg weakness, and confusion. The clinical outcomes of tiredness, chills, leg weakness and confusion were recovered in Jan2021. It was also reported the patient had not received a COVID test post-vaccination. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

Other Meds: ATORVASTATIN; ATENOLOL; LOSARTAN; BUSPIRONE

Current Illness:

ID: 1051278
Sex: F
Age:
State: CA

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

Lab Data:

Allergies:

Symptoms: soreness at injection site; This is a spontaneous report from a contactable consumer. A 68-year-old non-pregnant female patient received her first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; lot number unknown) via unknown route of administration in her left arm on 26Jan2021 (at the age of 68-years-old) as a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. Prior to vaccination, the patient did not have COVID. On 26Jan2021 the patient experienced soreness at injection site. The clinical outcome of soreness at injection site was recovered on an unspecified date. It was also reported the patient was not tested for COVID after vaccination. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1051279
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: developed a rash 5 days after the vaccine; This is a spontaneous report from a contactable consumer (patient's husband). A female patient of unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE) via an unspecified route of administration on an unknown date as a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The reporter stated their wife developed a non-itching rash five days after the vaccine. The patient was prescribed prednisone and "now" (as of 26Jan2021) the rash was significantly less. The reporter inquired if the patient should get the second dose. The reporter also inquired about clinical trials; how many "does" was it before they reported side effects, and if the people in the clinical trials that reported rash as a side effect got the second dose. The clinical outcome of rash was unknown. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1051280
Sex: M
Age:
State: CT

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Feeling fatigued/unwell; Feeling fatigued/unwell; This is a spontaneous report from a contactable consumer (patient). This 79-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number EL3248; dose 1) via an unspecified route of administration on 20Jan2021 at 15:00 (at the age of 79-years-old) as a single dose in the left arm for COVID-19 immunization. Medical history and concomitant medications were not reported. The patient had an allergy to morphine. Prior to vaccination the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the vaccine. The patient experienced feeling fatigued and unwell on 21Jan2021. The event was reported as non-serious. The patient was not hospitalized for the event. The patient did not receive treatment for the event. The outcome of feeling fatigued and unwell 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 needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1051281
Sex: F
Age:
State: NM

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Noticed red blotchy rash around injection site 3cm in diameter; Noticed red blotchy rash around injection site 3cm in diameter; Her throat was feeling a little swollen without difficulty swallowing or breathing; This is a spontaneous report received from a contactable pharmacist (reporting for a patient). A 32-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EL3302), intramuscular in the left arm on 25Jan2021 13:15 (at the age of 32-years-old) as a single dose for COVID-19 immunization. The patient's medical history was unknown. The patient had no known allergies. It was unknown if the patient had COVID prior to vaccination. It was unknown if the patient was pregnant at the time of vaccination. The patient's concomitant medication was unknown. The patient previously took the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EL1284), intramuscular in the left arm on 04Jan2021 12:45 (at the age of 31-years-old) as a single dose for COVID-19 immunization; the patient had no reaction to the first dose. On 25Jan2021, the patient noticed a red blotchy rash around injection site 3 cm in diameter at 13:15. She was treated with diphenhydramine hcl (BENADRYL) 25 mg orally one dose. Her throat was feeling a little swollen without difficulty swallowing or breathing (also at 13:15 on 25Jan2021). She reported similar reactions to bee stings. At 13:25, the rash was almost gone, her throat was feeling better, and she ambulated independently to her vehicle. The clinical outcome of the events was recovered on an unspecified date in 2021.

Other Meds:

Current Illness:

ID: 1051282
Sex: F
Age:
State: AR

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

Lab Data: Test Name: blood pressure; Result Unstructured Data: Test Result:lower than normal; Comments: The caller said that they checked her daughter's blood pressure and it was lower than normal when checked.

Allergies:

Symptoms: broke out in a sweat/very diaphoretic; the room turned a yellow color and she knew she was getting ready to pass out; the room turned a yellow color and she knew she was getting ready to pass out; blood pressure was lower than normal; This is a spontaneous report from a contactable nurse (parent reporting for her daughter). A 40-year-old female patient received the first dose BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration on an unknown date as a single dose for Covid-19 immunization. Medical history included allergic to bee stings and carries an EpiPen. The patient's concomitant medications were not reported. On an unspecified date, within the first 15 minutes of vaccination the patient broke out in a sweat and she had to lay down. They got her a coke and she felt a little better. The patient works in a dental office and 2.5 hours later, she was working on a patient in her dental office and she broke out in a sweat again, very diaphoretic, and the patient reported that the room turned a yellow color and she knew she was getting ready to pass out, but they took her in a room and put her in a reclining chair and let her stay there for 1 hour. They kept a wet towel on the patient's forehead. The caller said that they checked her daughter's blood pressure and it was lower than normal when checked. The patient was going to be receiving her second dose in an hour. The clinical outcome of the events was unknown. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1051283
Sex: F
Age:
State: PA

Vax Date: 12/28/2020
Onset Date: 01/07/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: have had intermittent right neck pain and right hip/back pain, radiating to right leg since receiving my 1st dose of the vaccine.; have had intermittent right neck pain and right hip/back pain, radiating to right leg since receiving my 1st dose of the vaccine.; have had intermittent right neck pain and right hip/back pain, radiating to right leg since receiving my 1st dose of the vaccine.; have had intermittent right neck pain and right hip/back pain, radiating to right leg since receiving my 1st dose of the vaccine.; numbness at times in her right foot; This is a spontaneous report from a contactable nurse reporting for herself. A 33-years-old non-pregnant female patient received the first dose BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot EK9231, via an unspecified route of administration on 28Dec2020 16:45 (33 years old) as a SINGLE DOSE for COVID-19 immunization. Medical history included High blood pressure from an unknown date and unknown if ongoing. Prior to vaccination, the patient was diagnosed with COVID-19. Concomitant medication included sertraline, melatonin, colecalciferol (VITAMIN D), folic acid, iron (PRENATAL). The facility where the most recent COVID-19 vaccine was administered was hospital. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Since the vaccination, has the patient has not been tested for COVID-19. On 07Jan2021, the patient experienced have had intermittent right neck pain and right hip/back pain, radiating to right leg since receiving my 1st dose of the vaccine. Patient also had some numbness at times in her right foot on 07Jan2021. She has not been able to see her primary care provider but has an appointment in Feb to be evaluated. The events were non-serious. No treatment was received for the events. Outcome of the events was not recovered. The patient received the second dose on 19Jan2021 in the Left arm lot EL3302.

Other Meds: SERTRALINE; MELATONIN; VITAMIN D; PRENATAL

Current Illness:

ID: 1051284
Sex: F
Age:
State: CA

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

Lab Data:

Allergies:

Symptoms: My cheeks were red and hot.; My cheeks were red and hot.; This is a spontaneous report from a contactable consumer reporting for herself. A 65-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) (lot number EL9263/expiration date: not provided), via an unspecified route of administration, on 23Jan2021 at 14:30 (at the age of 65 years old) as a single dose in the left arm for COVID-19 IMMUNIZATION. Relevant medical history included allergic reaction to almonds and brewers yeast in Sep2019, being pre-diabetic, and osteoporosis. The patient had allergies to codeine (all forms), almonds, brewers yeast, mold and dust. The patient was not pregnant at the time of vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medication included metformin, alendronate sodium (FOSAMAX), and multivitamin, other supplement. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 23Jan2021 at 15:15, the patient experienced that her cheeks were red and hot. The clinical course was as follows: because of a prior significant allergic reaction (Sep2019 determined to be primarily almonds and to a lesser extent brewers yeast), she waited 30 min. and she didn't notice anything until she left the property and removed her mask. Her cheeks were red and hot. She had a diphenhydramine (BENADRYL) tablet (OTC) which within 30+ min reversed it. The outcome of the events cheeks were red and hot was recovered on an unspecified date in 2021. Since the vaccination, the patient had not been tested for COVID-19.

Other Meds: METFORMIN; FOSAMAX

Current Illness:

ID: 1051285
Sex: M
Age:
State: NM

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

Lab Data:

Allergies:

Symptoms: dizzy; foggy; diaphoretic; blurred vision; nausea; had one episode of vomiting; This is a spontaneous report from a contactable pharmacist. A 32-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) (lot number EN5318/expiration date: not provided), via intramuscular route of administration, on 23Jan2021 12:00 (at the age of 32 years old) as a single dose for COVID-19 IMMUNIZATION. Relevant medical history and concomitant medication were not provided. The patient did not have any known allergies. On 23Jan2021 at 12:00 immediately after the injection, the patient felt dizzy, foggy, diaphoretic, had blurred vision, nausea and had one episode of vomiting. The patient did not receive any treatment for these events. After the patient had emesis episode, the patient immediately returned to baseline and felt better. The patient stated that he normally had some type of reactions after injections. The patient was observed for a full 30 minutes and given water. 1225 patient check on and a this time had made a complete return to baseline. Patient discharge home after his full 30minute observation period ended at 1230. The outcome of the events dizzy, foggy, diaphoretic, had blurred vision, nausea and had one episode of vomiting was recovered 23Jan2021 at 12:30.

Other Meds:

Current Illness:

ID: 1051286
Sex: M
Age:
State: WA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Severe puffiness of eyes.; This is a spontaneous report from a contactable consumer, the patient. A 37-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot Number E69263), via an unspecified route of administration in the right arm on 25Jan2021 at 09:15 (at the age of 37-years) as a single dose for Covid-19 immunization. Historical vaccine included the first dose of BNT162B2 (Lot Number E61284) on 04Jan2021 at 09:00 (at the age of 37-years) in the right arm for Covid-19 immunization. The patient's medical history and concomitant medications was not reported. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccine within 4 weeks prior to the vaccine. On 26Jan2021 11:45, the patient experienced severe puffiness of eyes. The patient was seen in emergency department or urgent care. The patient was treated for the severe puffiness of eyes with diphenhydramine hydrochloride (BENADRYL). The clinical outcome of the event severe puffiness of eyes was recovering. It was also reported that since the vaccination, the patient had not been tested for COVID-19.

Other Meds:

Current Illness:

ID: 1051287
Sex: F
Age:
State: NY

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

Lab Data:

Allergies:

Symptoms: 12 hours after redness and heat on hand and elbow on the left side; 12 hours after redness and heat on hand and elbow on the left side; This is a spontaneous report from a contactable consumer, the patient. A 36-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Lot unknown, first dose) solution for injection intramuscular in the left arm on 26Jan2021 at 07:30 (at the age of 36-years-old) as a single dose for COVID-19 vaccination. The patient was not pregnant at the time of vaccination. There was no medical history. Concomitant medications included caffeine/paracetamol (EXCEDRIN), paracetamol (TYLENOL) and ergocalciferol (VIT D). Past drug history included known allergies: cefaclor (CECLOR) and sulfamethoxazole/trimethoprim (SEPTRA). The patient did not receive any other vaccine within 4 weeks prior to the vaccine. Prior to the vaccination, the patient was not diagnosed with COVID-19. On 26Jan2021 at 19:30, 12 hours after vaccination, the patient experienced redness and heat on hand and elbow on the left side. Treatment included applied Burts Bees lotion on hand and elbow for the event redness and heat. The outcome of the event redness and heat was not recovered. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

Other Meds: EXCEDRIN [CAFFEINE;PARACETAMOL]; TYLENOL; VIT D

Current Illness:

ID: 1051288
Sex: F
Age:
State: NC

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

Lab Data:

Allergies:

Symptoms: She felt fine aside from a sore arm at the site; This is a spontaneous report based on the information received by Pfizer from Merck & co, inc (Ref Case Number: 01838313). A contactable other healthcare professional reported for a female patient of unspecified age (her friend/nurse) received the first dose of bnt162b2 (BNT162B2, lot number and expiry date were not reported), via an unspecified route of administration, on an unspecified date at a single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. The reporter stated that her friend, who is a nurse, posted on 06Jan2021 that she had gotten her first dose of the vaccine (date of administration unspecified) and then later in a text message said she felt fine aside from a sore arm at the site on an unspecified date. Outcome of the event was unknown. No follow-up attempts are possible; Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1051289
Sex: F
Age:
State: MA

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

Lab Data:

Allergies:

Symptoms: Sore arm/arm felt sore; This is a spontaneous report from a contactable consumer (patient). A 28-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) (lot number/expiration date: EL3247), via intramuscular route of administration, on 26Jan2021 10:15 AM (at the age of 28 years old) as a single dose in the left arm for COVID-19 immunization at work clinic. Relevant medical history were anxiety, depression. The patient did not have any known allergies to medications, food, or other products. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included fluoxetine hydrochloride (PROZAC), bupropion hydrochloride (WELLBUTRIN), aripiprazole (ABILIFY), iron, ascorbic acid (VITAMIN C). The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 26Jan2021 at 04:00 PM, the patient experienced sore arm/arm felt sore. No treatment was received for the event arm/arm felt sore. The outcome of the event arm/arm felt sore was recovering. Since the vaccination, the patient had not been tested for COVID-19.

Other Meds: PROZAC; WELLBUTRIN; ABILIFY; IRON; VITAMIN C [ASCORBIC ACID]

Current Illness:

ID: 1051290
Sex: F
Age:
State: KY

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Throbbing arm pain; Fever; Chills; Body aches; Headache; Fatigue; This is a spontaneous report from a contactable healthcare professional (patient). A non-pregnant 50-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number: EL3248), intramuscular in left arm, on 18Dec2020 at 09:00 AM, at a single dose, for COVID-19 immunization. The patient's medical history included asthma, chronic back pain (surgery and scoliosis), migraines, systemic reaction to allergy injection, and COVID-19 in Jun2020 (prior vaccination). The patient's concomitant medications included pregabalin (LYRICA), butalbital, ascorbic acid (VITAMINS C), biotin, boron/ calcium/ Cimicifuga racemosa extract/ folic acid/ Glycine max extract/ Magnolia officinalis/ nicotinic acid/ pyridoxine hydrochloride/ riboflavin/ selenium/ thiamine/ tocopherol/ vitamin B12 NOS (ESTROVEN), Linum usitatissimum seed oil (FLAXSEED OIL), paracetamol (TYLENOL ARTHRITIS), and an unspecified stool softener and D (unspecified). The patient previously took amoxicillin and cinnamon oil and experienced allergies to both. The patient did not receive any other vaccines within 4 weeks prior to the COVID-19 vaccine. The most recent COVID-19 vaccine was administered in a hospital facility. On 18Dec2020 at 08:00 PM, the patient experienced throbbing arm pain for 2 days, fever, chills, body aches, headache, and fatigue for 2 days - some of the same symptoms she had when she had COVID-19 back in Jun2020. The events were considered non-serious. Treatment was received for the adverse events including ibuprofen, paracetamol (TYLENOL), and famotidine/ ibuprofen (DUEXIS). Since the vaccination, the patient has not been tested for COVID-19. The patient recovered from "Throbbing arm pain" and "Fatigue" on 20Dec2020, and from the remaining events on an unspecified date.

Other Meds: LYRICA; BUTALBITAL; VITAMINS C; BIOTIN; ESTROVEN; FLAXSEED OIL; TYLENOL ARTHRITIS

Current Illness:

ID: 1051291
Sex: F
Age:
State:

Vax Date: 01/23/2021
Onset Date: 01/25/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: she was "Just not feeling myself - nothing I can even describe in detail, just vaguely not myself; Did not want supper; This is a spontaneous report received from a non-contactable consumer (patient herself). A 78-year-old female patient (not pregnant) received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Lot number: Not available), via an unspecified route of administration on 23Jan2021 to 23Jan2021 at single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient had no allergies to medications, food, or other products. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. It was unknown whether the patient received any other medications within 2 weeks of vaccination. Patient was not diagnosed with COVID-19 prior to vaccination. The patient had not been tested for COVID-19 since the vaccination. The patient reported that on Monday (2 days post-vaccine on 25Jan2021) she was "Just not feeling myself - nothing, she can even describe in detail, just vaguely not myself. Did not want supper so had scrambled eggs and toast and went to bed early. Woke up feeling fine. She hardly ever felt other than fine and she could not think of anything other than the vaccine on Saturday that was unusual. On Sunday, she felt fine and today she feel fine". Treatment was not received for the events. The outcome of the events was recovered on Jan2021. No follow-up attempts are possible; Information about lot/ batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1051292
Sex: M
Age:
State:

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

Lab Data: Test Date: 202101; Test Name: blood glucose; Result Unstructured Data: Test Result:increase

Allergies:

Symptoms: pt is a type 1 diabetic- increase in blood glucose above the norm despite insulin for a period of ~ 6hours; This is a spontaneous report from a non-contactable consumer. A 56-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiry date unknown), via an unspecified route of administration at the age of 56 years on 26Jan2021 at a SINGLE DOSE for covid-19 immunisation . Medical history included diabetes mellitus from an unknown date and unknown if ongoing type 1 diabetic. The patient's concomitant medications were not reported. The patient has a history of type 1 diabetes and had increase in blood glucose above the norm despite insulin for a period of 6hours on Jan2021. The patient underwent lab tests and procedures which included blood glucose: increase on Jan2021. No treatment was received for the event. The outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1051293
Sex: F
Age:
State: OH

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

Lab Data: Test Date: 202101; Test Name: Body temperature; Result Unstructured Data: Test Result:100.3 Fahrenheit

Allergies:

Symptoms: I have a fever of 100.3, is that normal; This is a spontaneous report from a contactable consumer, the patient. A 66-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Lot unknown, first dose) solution for injection intramuscular on 26Jan2021 (at the age of 66-years-old) as a single dose for COVID-19 vaccination. Medical history and concomitant medications were not reported. The patient stated, "I have a fever of 100.3 F, is that normal in Jan2021." The outcome of the event fever was unknown. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1051294
Sex: M
Age:
State: AR

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

Lab Data: Test Date: 2021; Test Name: Fever; Result Unstructured Data: Test Result:102.9

Allergies:

Symptoms: fever/Her dad was running a fever of a 102.9; tiredness; cough; headache; muscle pain; chills; joint pain; her father was feeling unwell; my dad was feeling nausea too; This is a spontaneous report from a Pfizer-sponsored program. A contactable consumer (patient's daughter) reported that a male patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/lot number: EL9262), via an unspecified route of administration on 20Jan2021 at single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. It was reported that, caller mentioned that both her parents got the first dose of the COVID-19 vaccine and afterwards they got fever, tiredness, cough, headache, muscle pain, chills, joint pain, and her father was feeling unwell on an unspecified date in 2021. She wanted to know how many days do these side effect would last and also how to treat them. She was aware that this has been reported in the clinical trials. She has already got doctors but got no answers. This is the first case out of two cases. Transferring agent stated, "I have a caller on the line. She was calling about her parents. Her parents received the dose of Pfizer COVID vaccine on 20Jan2021. Her dad was running a fever of a 102.9 and her mother was running a fever of 101 on an unspecified date in 2021. So, she was kind of wondering how long this might last. I did give her the medical information department phone number, but I am getting her over to you to record the fever." When paraphrased the concern, reporter stated, "Yes, and what was the procedure to prevent it because they had the Pfizer vaccine and they have all the symptoms to them except not injection site redness and nausea. But my dad was feeling nausea too on an unspecified date in 2021." The outcome of the events was unknown.

Other Meds:

Current Illness:

ID: 1051295
Sex: F
Age:
State: AZ

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

Lab Data:

Allergies:

Symptoms: had trouble raising her arm; numbness and pain in my left hand/hurts to touch the upper part of that arm; left arm she was vaccinated on was incredibly sore; left arm she was vaccinated on was incredibly sore, swollen; Patient do have autoimmune issues; Patient do have autoimmune issues; numbness and pain in my left hand; getting pins and needless; left wrist is a little swollen; whole arm hurts, including elbow joint, and shoulder joint; headache; chills; maybe slight fever, never took my temperature; body aches all over; kind of muscle weakness in her whole arm; This is a spontaneous report from a contactable consumer (patient). A 58-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiry date: unknown), via an unspecified route of administration on the left arm, on 21Jan2021 11:49 at a single dose for COVID-19 immunization. Medical history included fibromyalgia, rheumatoid arthritis, rosacea, periarthritis and frozen shoulder prior a little over a year ago. The patient's concomitant medications were not reported. Patient was vaccinated on Thursday morning, and her left arm she was vaccinated on was incredibly sore, swollen, she has pins and needles, her hand was going numb, she has a lot of pain, and kind of muscle weakness in her whole arm and it hurts to touch her arm still on Jan2021. The initial side effects in her left arm at injection site. The injection site symptoms started within an hour of getting it at 11:49 am on 21Jan2021. Patient received the vaccine and probably around 1pm on 21Jan2021 in the afternoon it was really sore, and had trouble raising her arm, and it hurts to touch the upper part of that arm. The pain was not exactly at the injection point, it's just below, where it hurts. On Jan2021, patient was getting pins and needless and numbness and pain in her left hand. It's like it's swollen, it has that tight swollen feel to it, even though it doesn't look like it, although her left wrist is a little swollen on Jan2021. Her whole arm hurts, including elbow joint, and shoulder joint. Once patient got the vaccine, it all of a sudden exacerbated what ever was going on. She was doing good until she got the injection, and now she feel like,it's gone backwards and has effected the muscles in her arms now. Patient do have autoimmune issues. She also had headache, chills, maybe slight fever, never took my temperature, body aches all over, joints hurt incredibly bad on Jan2021. Most effects were gone away, mostly concerned about the arm. Her concern was the arm. Outcome of the events was unknown. Patient was asking if she can use antipyretics before or after vaccination with the Pfizer-BioNTech COVID-19 vaccine. The reporter considered the events non-serious. Information on lot/batch has been requested.

Other Meds:

Current Illness:

ID: 1051296
Sex: M
Age:
State: KS

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

Lab Data:

Allergies:

Symptoms: Arm soreness at injection site; fatigue; slight muscle aches in neck/shoulders; This is a spontaneous report from a contactable consumer (patient). A 54-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EN 5318 and expiration date unknown), via an unspecified route of administration on left arm at the age of 54 years old on 26Jan2021 at 08:30 AM at a single dose for COVID-19 immunisation at the workplace clinic. Medical history included hypertension and pre-diabetic. Allergies to medications, food, or other products was none. Concomitant medications included metoprolol tartrate, atorvastatin and multivitamin. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient received other medications within 2 weeks of vaccination. The patient experienced arm soreness at injection site, fatigue, slight muscle aches in neck/shoulders on 26Jan2021 at 05:00 PM. The patient assessed the events as non-serious. No treatment was received in response to the events. The patient was not diagnosed with COVID-19 prior to vaccination. Since the vaccination, patient was not tested for COVID-19. The patient recovered from the events on an unspecified date in Jan2021.

Other Meds: METOPROLOL TARTRATE; ATORVASTATIN

Current Illness:

ID: 1051297
Sex: F
Age:
State: FL

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

Lab Data:

Allergies:

Symptoms: nose felt tingly front teeth and right side of my tongue felt numb; nose felt tingly front teeth and right side of my tongue felt numb; This is a spontaneous report from a contactable consumer (patient herself). A 71-year-old non-pregnant female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: EL 9263), via an unspecified route of administration in left arm on 22Jan2021 16:15 at single dose for COVID-19 immunisation. The patient's medical history included diabetes, high cholesterol, thyroid, allergies: Sulfites in foods and drugs, allergies: Penicillin. Concomitant medications included metformin at 800 mg, twice a day and levothyroxine sodium (LEVOTHYROXIN) at 75mg, once a day. The patient previously took sulfur and experienced allergies: sulfur. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with COVID-19 prior to vaccination. The patient has not been tested for COVID-19 since the vaccination. On 22Jan2021, at 16:15, the patient reported nose felt tingly front teeth and right side of my tongue felt numb. The patient carries an epi pen for an allergic reaction as the patient have to sulfites in foods and drugs (sulfur and penicillin allergies). The patient did not have to call for help or use epi-pen but was concerned somewhat for the second dose in 19 days. The events was considered as non-serious by the consumer. When the patient went home about 15 minutes later still felt this, hence the therapeutic measures were taken as a result of events included treatment with 2tbl Benadryl and 1/2 Zertex and within 30 minutes the patient was ok. The outcome of the events was recovered on an unspecified date in Jan2021.

Other Meds: METFORMIN; LEVOTHYROXIN

Current Illness:

ID: 1051298
Sex: F
Age:
State: WA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Dizzy; This is a spontaneous report from a contactable consumer, the patient. This 89-year-old female consumer received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number: unknown), dose 1 , single dose via unknown route of administration in the left arm on 25Jan2021 at 13:00 (at the age of 89 years-old) for COVID-19 vaccination. Medical history included chronic obstructive pulmonary disease (COPD) diagnosed in 2016 and she never smoked in her life, it was second hand smoke, congestive heart failure diagnosed in 2015 and is hard of hearing several years back, she has had hearing aids for a long time, but they don't do any good. Concomitant medications included an unspecified flu shot. She was dizzy the night of 25Jan2021 and all day on 26Jan2021. The clinical outcome of dizzy was unknown. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1051299
Sex: F
Age:
State: NC

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

Lab Data: Test Date: 202101; Test Name: heartbeat; Result Unstructured Data: Test Result:110; Comments: fast heartbeats

Allergies:

Symptoms: sore arm; fast heartbeats like 110; weakness; This is a spontaneous report from a contactable consumer (patient). A 68-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number unknown), via an unspecified route of administration on 20Jan2021 at a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On Jan2021, the patient experienced sore arm, fast heartbeats like 110, tightness, and weakness. Outcome of the sore arm was recovered on Jan2021 after 2 days while of the remaining events was unknown. Information about batch/lot number has been requested.

Other Meds:

Current Illness:

ID: 1051300
Sex: F
Age:
State: MN

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

Lab Data:

Allergies:

Symptoms: Lightheaded or dizzy; Dry heaves; Very warm; Charley horses in both legs; Chills; This is a spontaneous report from a contactable consumer (patient). A non-pregnant 69-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number: EL3302), via an unspecified route of administration in right arm, on 26Jan2021 at 13:15 (01:15 PM), at a single dose, for COVID-19 immunization. The patient's medical history included chronic obstructive pulmonary disease (COPD). The patient was not diagnosed with COVID-19 prior vaccination. No other vaccine was administered in four weeks. The vaccine was administered in a doctor's office or urgent care facility. On 26Jan2021 (reported as 12:15 AM; pending clarification), the patient woke up lightheaded or dizzy, with dry heaves, very warm, and with Charley (reported as Charlie) horses in both legs, then she got the chills. This morning (27Jan2021), the patient felt fine. No treatment was administered for the adverse events. The patient was not tested for COVID-19 post vaccination. The patient recovered from the events on 27Jan2021.

Other Meds:

Current Illness:

ID: 1051301
Sex: F
Age:
State: NC

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Exhausted; Night terrors; This is a spontaneous report from a contactable consumer, the patient. This 51year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number: EL3248), DOSE 1, single dose via unknown route of administration in the left arm on 25Jan2021 about 3:45pm (at the age of 51 years-old) for COVID-19 vaccination. Medical history included ongoing severe asthmatic onset date unknown, probably during childhood but worsened with age and became really bad after hurricane, ongoing irregular heartbeat, ongoing menopause, ongoing food allergies includes banana peppers, jalepenos and nuts; anything spicy; these cause anaphylactic reactions where her throat is itching and swells, ongoing Hashimoto's disease, thyroid, endocrine abnormality and compromises immune system, to keep her brain going through menopause, seizure disorder and high blood pressure. Past drug events included Demerol-Vistaril: ate part of her leg away, top layer of her leg just fell off; she had all the skin done and had plastic surgery to repair this in 1988; Lot/NDC/Expiry: Unknown, does not have product, anaphylactic reactions to: penicillin: Lot/NDC/Expiry: Unknown, does not have product; clindamycin: Lot/NDC/Expiry: Unknown, does not have product; sulfa: Lot/NDC/Expiry: Unknown, does not have product; Darvocet: Lot/NDC/Expiry: Unknown, does not have product; Ceclor: Lot/NDC/Expiry: Unknown, does not have product. There was no family medical history relevant to events, night terrors and exhausted. Concomitant medications included atenolol 12.5mg taken once daily (1/2 of 25mg tablet) for irregular heartbeat, levothyroxine 125mcg taken once daily for thyroid, bupropion (WELLBUTRIN) 300mg taken once daily for menopause, amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL) 20mg extended release taken once daily to keep her brain going through menopause, topiramate (TOPAMATE) 25mg taken once daily for seizure disorder and lisinopril 10mg taken daily for high blood pressure. On 26Jan2021, the patient had night terrors where she started screaming in her sleep at midnight and was exhausted at 05:00 and ongoing. There were no relevant tests. The night terrors and exhausted did not require a visit to the physician's office or emergency room. The clinical outcome of night terrors was recovered with sequel and not recovered for exhausted. History of all previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available): None.

Other Meds: ATENOLOL; LEVOTHYROXINE; WELLBUTRIN; ADDERALL; TOPAMATE; LISINOPRIL

Current Illness: Asthmatic (Asthma onset date unknown, probably during childhood but worsened with age and became really bad after hurricane.); Drug allergy; Food allergy ( ~~~); Hashimoto's disease (Endocrine abnormality and compromises immune system.); Heartbeats irregular; Menopause; Penicillin allergy

ID: 1051302
Sex: F
Age:
State: FL

Vax Date: 01/14/2021
Onset Date:
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: redness at injection site; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 14Jan2021 at single dose for Covid-19 immunization. The patient's medical history and concomitant medications were not reported. It was reported that the patient received the first dose on 14Jan2021. It was reported that the patient experienced redness at injection site on an unspecified date and it maintains. The patient asked if she should get it in opposite arm on 04Feb2021. The outcome of event was not recovered. Information on lot/batch has been requested.

Other Meds:

Current Illness:

ID: 1051303
Sex: M
Age:
State: TX

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: his arm is starting to sore.; arm started getting sore where he received the injection; This is a spontaneous report from Pfizer via a contactable consumer (mother). A 69-year old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE) (at the age of 69-years-old), via an unspecified route of administration on 25Jan2021 as a single dose for covid-19 immunization. The patient has no medical history and Is not taking any concomitant medications. On 25Jan2021, he experienced his arm is starting to sore and about an hour after that his arm started getting sore where he received the injection. He states that he took two Tylenol and by the next morning his arm was feeling totally better. He states that he had no other symptoms. The clinical outcome of the event his arm started getting sore was recovering; the outcome of sore where he received the injection was unknown. Information on Lot/Batch has been requested.

Other Meds:

Current Illness:

ID: 1051304
Sex: F
Age:
State: MI

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

Lab Data:

Allergies:

Symptoms: Chest pain and pressure; Chest pain and pressure; Numbness on left jaw, arm and hand; This is a spontaneous report from a contactable other healthcare professional (patient herself). A 71-year-old non-pregnant female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection), via an unspecified route of administration in right arm on 23Jan2021 13:45 at single dose for COVID-19 immunisation in facility type other. The patient's medical history included asthma, unspecified auto immune, sickle cell trait, reflux. The patient have allergies to medications, food, or other products. Concomitant medications included nifedipine (CELEBRATE) at 200 mg, mirtazapine at 7.5 mg, vitamin b12, ascorbic acid (VITAMIN C). The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with COVID-19 prior to vaccination. The patient has not been tested for COVID-19 since the vaccination. On 23Jan2021 04:00 AM, the patient experienced chest pain and pressure, numbness on left jaw, arm and hand. The adverse events result in emergency room/department or urgent care. The events were considered as non-serious by the other healthcare professional. The patient did not receive treatment for the adverse events. The outcome of the events was recovering. Information on the lot/batch number has been requested.

Other Meds: CELEBRATE; MIRTAZAPINE; VITAMIN B12 [VITAMIN B12 NOS]; VITAMIN C [ASCORBIC ACID]

Current Illness:

ID: 1051305
Sex: F
Age:
State: TX

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Test Date: 20210121; Test Name: blood work; Result Unstructured Data: Test Result:results unknown; have not had any results yet; Test Date: 20210123; Test Name: Body temperature; Result Unstructured Data: Test Result:high fever

Allergies:

Symptoms: check her own self with her hand and it was like she put her hand on a stove; Allergic reaction; felt bad after taking the first dose-flu like symptoms /achy like flu symptoms; had high fever/feverish; urine became yellowish-brown; had a little diarrhea symptoms; get sick; vomiting; has a really bitter taste, or no taste in her mouth/ her mouth still has that nasty, old bitter taste that does not go away with brushed teeth; has a really bitter taste, or no taste in her mouth/ her mouth still has that nasty, old bitter taste that does not go away with brushed teeth; This is a spontaneous report from a contactable consumer (patient) via a Pfizer-sponsored program Pfizer First Connect. An 81-year-old female patient received her first dose of bnt162b2 (BNT162B2 reported as PFIZER COVID-19 VACCINE; manufacturer reported as Pfizer-Wyeth; lot number: EL1283; expiration date: unknown), via an unspecified route of administration left arm on 21Jan2021 12:30 at 0.3 mL, single dose for covid-19 immunization. Medical history included arthritis in back; always had diarrhea because she had cancer and is unable to control her bowels. They tell her she has a lot of fiber in her food; but she can't control it; if she eats vegetables then she knows what's happening; but she always tries to take Imodium A-D before eating vegetables. She mentioned to them if she did not eat vegetables all she could eat is meat and cheese; doctor told her she was borderline diabetic, so she has wanted to keep up with that. The doctor was not worried about it; ongoing acid reflux; pain; and ongoing high blood pressure. Concomitant medication included ongoing omeprazole for acid reflux, ongoing amlodipine for high blood pressure, naproxen for arthritis in back, caffeine, codeine phosphate, paracetamol (ACETAMINOPHEN WITH CODEINE) for pain, loperamide hydrochloride (IMODIUM A-D) for diarrhea. The patient has not received any other vaccinations within four weeks prior to the first administration of the covid-19 vaccine. Vaccinations reported as she has gotten flu shots and pneumonia shot and has never had any adverse events, reactions or problems with those; nothing. The reporter mentioned that she got her first dose of the vaccine in a clinic on 21Jan2021 and aware that the second dose will be on 16Feb2021. The patient reported that she felt bad after taking the first dose-flu like symptoms on 23Jan2021 at 8:00 and had high fever Saturday (23Jan2021), urine became yellowish-brown and wants to know more information. The patient guesses she is having an allergic reaction on 23Jan2021 at 8:00 and asked for further information about the allergic reaction relative to the vaccine. On Saturday (23Jan2021), she was feeling good. She got up, went to store, came back and had little diarrhea symptoms then she began to get sick, feverish. She added that then the vomiting, then achy like flu symptoms. She still feels feverish, she has a really bitter taste, or no taste in her mouth really but it's going away. To her it seems like the worst part is over. She almost called 911 but then did not want to go the hospital because of all the people with COVID in the hospital. The next day on 24Jan2021, when she woke up, she was not as fevered. She can check her own self with her hand and it was like she put her hand on a stove. She went to sleep and the next morning (24Jan2021), she was not as feverish; her mouth still has that nasty, old bitter taste that does not go away with brushed teeth. She feels better today (unspecified date). She mentioned that the second dose is scheduled to be administered 16Feb2021, but she really does not want to go get that if she feels like this. She had blood work for her sugar done on 21Jan2021 because she is borderline diabetic, but results are unknown, have not had any results yet. The outcome of the events was recovering.

Other Meds: OMEPRAZOLE; AMLODIPINE; NAPROXEN; ACETAMINOPHEN WITH CODEINE; IMODIUM A-D

Current Illness: Acid reflux (esophageal); Blood pressure high

ID: 1051306
Sex: F
Age:
State: NJ

Vax Date: 01/04/2021
Onset Date: 01/27/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Test Date: 20210127; Test Name: PCR nasal Covid swab; Test Result: Negative

Allergies:

Symptoms: lost taste and smell; lost taste and smell; This is a spontaneous report from a contactable nurse (patient herself). A 52-year-old female patient (not pregnant) received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiry date unknown), via an unspecified route of administration, on 04Jan2021 10:45, at single dose, for covid-19 immunization. The patient had no medical history. The patient's concomitant medications were not reported. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiry date unknown), on an unspecified date, at single dose, for covid-19 immunization. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The vaccine was administered in the hospital. 3 weeks after the 2nd dose, on 27Jan2021 the patient lost taste and smell. Her PCR nasal Covid swab was negative on 27Jan2021. The patient had not recovered from the adverse events. No treatment was received for the adverse events. Information about the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1051307
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: pain in the injection site/a little bit of pain at the injection site; This is a spontaneous report from a contactable consumer (patient) via the Pfizer-sponsored program. A female patient of an unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiry date unknown) on an unspecified date then the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiry date unknown), on 24Jan2021 - both via an unspecified route of administration, at single dose, for covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient just received the 2nd dose of the Covid-19 Vaccine yesterday morning (also reported as around noon time), 24Jan2021. The patient stated she was fully aware of the other side effects, but she was not experiencing those other than pain in the injection site on Jan2021. She added she was not experiencing any of the effects that she was told that she should and with other people she knew who have gotten the vaccine that they have. The only thing that she had was a little bit of pain at the injection site which was what she also had on an unspecified date after the first shot on an unspecified date. She stated she had nothing, no fever, no chills, no headache; nothing that they said she should be experiencing. She then asked if that meant it was not working. She wanted to know more information about herself and if she was immune to those. The outcome of the event was unknown. Information about the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1051308
Sex: F
Age:
State: WI

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

Lab Data: Test Date: 20210126; Test Name: Body temperature; Result Unstructured Data: Test Result:101.4 degrees; Comments: Highest temperature; Test Date: 20210126; Test Name: Body temperature; Result Unstructured Data: Test Result:Low-grade temperature

Allergies:

Symptoms: Throwing up; vomited 4 times; Chills; Headache; Fever; highest temperature was 101.4 degrees; low-grade temperature; Nausea; Stomach was not feeling right; upset stomach; This is a spontaneous report from a contactable consumer (patient's mother who is a caregiver). An 18-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number and Expiration Date were not reported), intramuscular in right arm, on 26Jan2021 at 07:30, at a single dose, for COVID-19 immunization. The patient's medical history included birth control pill. The patient's concomitant medication included ethinylestradiol/ norgestrel (CRYSELLE) from 26Jan2021 as birth control pill. The patient previously took the first dose of BNT162B2 on 05Jan2021 at 08:00 AM for COVID-19 immunization (in right arm). The vaccine was administered in a hospital facility. The patient was a certified nursing assistant (CNA) at a hospital. The patient and her mother both work at the same hospital that administered their COVID-19 vaccines, both received the first and second COVID-19 vaccines at the same date and time. The patient received her second COVID-19 vaccine dose yesterday (26Jan2021). Since 26Jan2021 around 09:00 PM, the patient was experiencing symptoms of chills, headache, fever, and nausea. The patient had a fever, clarifying that the highest temperature was 101.4 degrees, and also has chills and headache. Last night (26Jan2021 at 09:00 PM), the patient's stomach was not feeling right, had a low-grade temperature, and chills. On this morning (27Jan2021), the patient was throwing up. The patient didn't throw up until this morning and has vomited 4 times today. The patient has not sought medical treatment from an emergency room or doctor yet. The patient has been throwing up today. If the patient continues throwing up, and becomes dehydrated, she may need to go the emergency room. It was also reported that the patient started ethinylestradiol/ norgestrel last night. The patient's mother thought that the patient's initial stomach upset may have been caused by the ethinylestradiol/ norgestrel. Therapeutic measures were taken as a result of headache and fever including ibuprofen and acetaminophen; the patient isn't taking anything for nausea at this time. The patient's mother wanted to see if anyone else had been reporting these side effects the patient has been experiencing since receiving her second COVID-19 vaccine dose. The patient had not recovered from the events. Information about lot number and expiration date for the suspect product will be requested in follow-up attempts.

Other Meds: CRYSELLE

Current Illness:

ID: 1051309
Sex: F
Age:
State:

Vax Date: 01/14/2021
Onset Date: 01/20/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fever; small rash just below the injection site; chills; achy shoulders; This is a spontaneous report from a contactable consumer from a Pfizer Sponsored Program. A female patient of an unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiry date unknown), via an unspecified route of administration on 14Jan2021 at a SINGLE DOSE for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient stated, 6 days after the first dose (20Jan2021) she has had a fever for 2 days, small rash just below the injection site, chills, achy shoulders. She was wondering if this should be happening 6 days after first dose. The outcome of the event fever was recovered on 22Jan2021 while other events were unknown. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm