VAERS 2021 Database www.vaers.hhs.gov

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

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

Incidents per State

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

ID: 1068108
Sex: M
Age:
State: MN

Vax Date: 01/21/2021
Onset Date: 01/01/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: to get a rash that weekend.; This is a spontaneous report from a Pfizer-sponsored program. A consumer (patient) reported for a male patient of an unspecified age received the first dose of bnt162b2 (BNT162B2, lot/batch number and expiry date were not reported), via an unspecified route of administration on 21Jan2021 at SINGLE DOSE for Covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient experienced a rash that weekend (Jan2021). The outcome of event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1068109
Sex: M
Age:
State: AZ

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

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: got tested positive; got tested positive; This is a spontaneous report from a Pfizer Sponsored Program . A contactable consumer reported for himself that a male patient with unknown age received first dose of bnt162b2 (Pfizer-BioNTech COVID-19 mRNA vaccine, Lot Number and Expiration Date unknown) via an unspecified route of administration on an unknown date at single dose for COVID-19 immunisation. The patient's medical history and concomitant medications was not reported. Patient received the first dose of the Pfizer shot and he got tested positive and had symptoms (but the caller did not provide the specific symptoms). He is scheduled to get the second dose on 16Feb2021. Patient wanted to know if he can take the second dose on the scheduled one or he should delay it. The outcome of event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1068110
Sex: M
Age:
State: MT

Vax Date: 12/23/2020
Onset Date: 01/09/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: He was released from his job on 01Jan2021 and was supposed to get the second COVID vaccination on 06Jan2021 but he did not and never got his second shot; tested positive for COVID/Got covid Jan 9th to 23rd; tested positive for COVID/Got covid Jan 9th to 23rd; This is a spontaneous report from a Pfizer-sponsored program . A contactable consumer (patient) reported that a male patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on 23Dec2020 at single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. He was released from his job on 01Jan2021 and was supposed to get the second COVID vaccination on 06Jan2021 but he did not and never got his second shot. He then tested positive for COVID on 18Jan2021. It was reported that the patient got COVID from 09Jan2021 to 23Jan2021. The outcome of events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1068111
Sex: F
Age:
State:

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Really bad headache; Fever; Nausea; Upset stomach; This is a spontaneous report from a Pfizer-sponsored program Pfizer First Connect, received from a contactable consumer (patient). A female patient of an unspecified age received the second 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 25Jan2021 at a single dose for Covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient got her second dose of vaccine on 25Jan2021 and that night she experienced really bad headache, fever, nausea, and upset stomach on 25Jan2021. She was still having these symptoms and wanted to know if this was normal. Outcome of the events was not recovered. Information about batch/lot number has been requested.

Other Meds:

Current Illness:

ID: 1068112
Sex: F
Age:
State: MO

Vax Date: 01/12/2021
Onset Date: 01/16/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: 12Jan was the first dose of the covid vaccine, 18Jan she had a positive covid test; Congestion; Cough; This is a spontaneous report from a contactable consumer via the Pfizer-sponsored program. A 64-year-old female patient received her first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) on her right arm, via an unspecified route of administration on 12Jan2021 08:00 at a single dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. It was reported that the patient started to feel symptoms on 16Jan2021 09:00, which is cough and congestion. On 18Jan2021, she tested positive for COVID. She is scheduled for getting her second dose on 09Feb2021. She is calling to question if she should get the second dose since she was diagnosed with COVID. The outcome of the events was unknown.

Other Meds:

Current Illness:

ID: 1068113
Sex: M
Age:
State: NH

Vax Date: 01/01/2021
Onset Date: 01/01/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: he has cold like symptoms; Stuffed up nose; doesn't feel really good; pain in the site area; slept a lot and was tired; slept a lot and was tired; his stomach is nauseous and queasy; This is a spontaneous report from a Pfizer-sponsored program. A contactable consumer reported that a 64-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration in Jan2021 (also reported as "around 19Jan2021" or "19Jan2021 or 20Jan2021", pending clarification) at a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient got his first COVID dose around 19Jan2021 (also reported as "19Jan2021 or 20Jan2021") and now he has cold like symptoms. Stuffed up nose, doesn't feel really good and wanted to know if this part of the COVID vaccine. On the first day, he had pain in the site area, slept a lot and was tired. It has been 10 days since the shot and he had symptoms of a cold and his stomach was nauseous and queasy (also reported as squeezy). The reporter wanted to know if this was a part of the side effects or does she need to call his primary care. She was told about symptoms to watch for within the first seven days and this was well beyond the seven days. The outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1068114
Sex: F
Age:
State: FL

Vax Date: 12/17/2020
Onset Date: 01/07/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Caller tested positive for covid-19; Caller tested positive for covid-19; This is a spontaneous report from a Pfizer Sponsored Program Pfizer First Connect. A contactable consumer (patient) reported that female patient of an unspecified age received first dose of BNT162B2 (Lot number and expiry date not provided), via an unspecified route of administration on 17Dec2020 at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. It was reported that the patient had first dose of the covid-19 vaccine on 17Dec2020 and she was tested positive for COVID-19 on 07Jan2021. She has not had her second dose, stated that MD said to wait 3 months because of antibodies, she would like information on what she should do. The patient underwent lab tests and procedures which included sars-cov-2 test: positive on 07Jan2021. The outcome of the events was unknown. Information on the Lot/Batch Number has been requested.

Other Meds:

Current Illness:

ID: 1068115
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Allergic reaction; This is a spontaneous report from a Pfizer-sponsored program. A non-contactable consumer (patient) reported that a female patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number and expiry date: unknown) via an unspecified route of administration, on an unspecified date, at a single dose, for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient experienced an allergic reaction. On an unspecified date, the patient was hospitalized due to an unknown reason. The patient was inquiring if the company can help with hospital bills. Outcome of the event allergic reaction was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1068116
Sex: M
Age:
State: MI

Vax Date: 01/27/2021
Onset Date:
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: He slipped and fell on the ice; This is a spontaneous report from a contactable consumer. A male patient of an unspecified age started to receive bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE) lot number and expiration date not provided, via an unspecified route of administration on 27Jan2021 at a single for COVID-19 immunisation. Medical history and concomitant medications were not reported. Since receiving the vaccine, the patient slipped and fell on the ice on an unspecified date and was wondering if he can take Tylenol for the pain during the vaccination series. The outcome of the event was unknown. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1068117
Sex: F
Age:
State:

Vax Date: 01/31/2021
Onset Date: 02/01/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: cold sore; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date not provided), via an unspecified route of administration on 31Jan2021 at a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient experienced cold sore on 01Feb2021. She was wondering if she is okay to use an anti-viral product. The outcome of the event was unknown. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1068118
Sex: F
Age:
State: CT

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

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

Lab Data:

Allergies:

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

Symptoms: Shortness of breath; Rapid heartbeat; Rash; Itching; This is a spontaneous report from a Pfizer-sponsored program. A contactable consumer (patient's husband) reported that a female patient of an unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection, lot/batch number and expiry date unknown), via an unspecified route of administration on an unspecified date at single dose for an unspecified indication. The patient's medical history included she was allergic to silicone and sulfur. The patient's concomitant medications were not reported. The patient received the COVID vaccine on an unspecified date (reported as Friday) and two hours later, she experienced shortness of breath, rapid heartbeat, rash, and itching. The outcome of the events was unknown. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1068119
Sex: F
Age:
State:

Vax Date: 12/23/2020
Onset Date: 01/01/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Covid vaccine 14 days ago and then contracted Covid/2 weeks afterward she became infected with covid; Covid vaccine 14 days ago and then contracted Covid/2 weeks afterward she became infected with covid; This is a spontaneous report from a contactable consumer (patient) via a Pfizer sponsored program . A female patient of an unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 23Dec2020 at single dose for covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient stated that she received the Covid vaccine 14 days before 01Feb2021 and then contracted Covid. She got the first dose of the covid vaccine on 23Dec2020, 2 weeks afterward (Jan2021) she became infected with covid. The outcome of events was unknown. Patient wanted to know when she can get the 2nd dose or how to proceed. Information on Lot/Batch number has been requested.

Other Meds:

Current Illness:

ID: 1068120
Sex: M
Age:
State: WA

Vax Date: 01/01/2021
Onset Date: 01/01/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: severe eye pain in right eye; couldn't see or read; big increase in blood pressure and temperature; big increase in blood pressure and temperature; This is a spontaneous report from a Pfizer-sponsored program. A contactable consumer (patient himself) reported that a male patient of an unspecified age received the first (1st) dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; batch/lot number and expiration date were unknown), via an unspecified route of administration on an unspecified date in Jan2021 at a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient reported that he had reaction to vaccine and stated that on the day of the vaccine on an unspecified date in Jan2021, he had severe eye pain in right eye, went to bed that night, and woke up next morning, couldn't see or read even using his eye glasses. He went to a pharmacy and bought some cheap reading glasses, but it didn't help much. The last couple of days on an unspecified date in 2021, the patient had big increase in blood pressure and temperature, but it didn't feel bad. Therapeutic measures were taken as a result of the event "couldn't see or read." The patient was not recovered from the event "couldn't see or read," while the outcome of the events "severe eye pain in right eye and big increase in blood pressure and temperature" was unknown. Information on the batch/lot number has been requested.

Other Meds:

Current Illness:

ID: 1068121
Sex: F
Age:
State: MA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: tingling on her mouth; had some tingling on her mouth and face; This is a spontaneous report from a contactable physician reporting for herself. A female patient of an unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 29Jan2021 at a SINGLE DOSE for covid-19 immunisation. Medical history included drug hypersensitivity from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. The patient called and stated she sent in a report on the report line already. She was going to her HCP today at 11:30AM and added she got the first dose on 29Jan2021 and one and one half hours later she had some tingling on her mouth and face that lasted about two hours. She has a lot of drug allergies and she told them and they kept her for 30 minutes. She added she was a physician and she read on the CDC website and it sounded like she had an allergic reaction. She was dismayed now as the recommendation looks like she should not get the second dose but that information was dated Dec2020. She was asking if we have any more current information regarding recommendations for receiving the second dose and confirmed she has no new events to report today and she did previously provide all product information including lot number. The outcome of the events was recovering.

Other Meds:

Current Illness:

ID: 1068122
Sex: F
Age:
State:

Vax Date: 01/09/2021
Onset Date: 01/27/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: last dose of Covid vaccine on 9Jan and then had an antibody test on the 27 and it came back negative; This is a spontaneous report from a contactable pharmacist (patient) via Pfizer-sponsored program. A female patient of an unspecified age received the second single dose of BNT162B2 (PFIZERBIONTECH COVID-19 VACCINE, Solution for injection, batch/lot number and exp date not reported), via an unspecified route of administration on 09Jan2021 for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient previously took first single dose of BNT162B2 (Pfizer BioNTech) on an unspecified date for COVID-19 immunization. The patient received both doses of the Pfizer BioNTech COVID-19 vaccine. The patient's last dose of Covid vaccine was on 09Jan2021 and then had her blood tested on 27Jan2021. She wasn't sure about the type of test that she had but she had mentioned a "polypeptide nucleotide test" and said that she had the standard test for all blood centers. She further stated that her antibody test came back negative. She was wondering if the test should show that she has antibodies. She wanted to know if that was typical. The event was assessed as non-serious. Information about lot number and expiry date for the suspect product will be requested in follow-up attempts.

Other Meds:

Current Illness:

ID: 1068123
Sex: F
Age:
State:

Vax Date: 01/12/2021
Onset Date:
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Got Covid after getting the 1st dose of the vaccine; Got Covid after getting the 1st dose of the vaccine; This is a spontaneous report from a Pfizer-sponsored program. A contactable consumer (patient) reported that a female patient of an unspecified age received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration on 12Jan2021 (reported as 20 days ago from the time of the report) at SINGLE DOSE for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. It was reported that the patient was supposed to go in tomorrow (02Feb2021) and get her 2nd dose, but she got COVID after getting the 1st dose of the vaccine on an unspecified date. The outcome of the event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1068124
Sex: F
Age:
State: PA

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Positive Rapid COVID-19 Test on the 29th; This is a spontaneous report from a Pfizer-sponsored program. A contactable other healthcare professional (HCP) reporting for herself reported that a 48-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration at left arm on 22Jan2021 at singe dose for covid-19 immunisation. Medical history reported as none. There were no concomitant medications. The patient experienced Positive Rapid COVID-19 Test on 29Jan2021, and she was due for her second COVID test on 17Feb2021, so she was calling to see if it was still okay for her to get her second dose of the vaccine as scheduled, since she has now had COVID. The patient stated that she did not think there was anything else relevant, other than the fact that she was in contact with people who were potentially COVID positive in the facility where she works. Patient stated that they perform COVID testing at her job, so she was around people who were suspected to have COVID. The outcome of the event was unknown. Information about Batch/Lot number has been requested.; Sender's Comments: There is no reasonable possibility that the event "positive rapid COVID19 test" within 7 days from the administration of the first dose was related to BNT162b. This is more likely associated with an earlier acquired infection during these pandemic times.

Other Meds:

Current Illness:

ID: 1068125
Sex: F
Age:
State: FL

Vax Date: 01/21/2021
Onset Date:
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: headache; This is a spontaneous report from a contactable consumer (patient's husband) via a Pfizer-Sponsored Program. A female patient of unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Lot number: UNKNOWN) via an unspecified route of administration on 21Jan2021 as a single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. On an unspecified date the patient experienced headache. The reporter and the patient both had their Pfizer COVID-19 vaccines on 21Jan2021, and the second dose would be given on 11Feb2021. The reporter stated that the patient had a very bad headache now and wanted to know if she could take Excedrin Migraine because this is what she had been using in the past when she had a headache. The clinical outcome of the event headache was unknown. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1068126
Sex: M
Age:
State: TX

Vax Date: 01/23/2021
Onset Date:
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: covid positive; covid positive; This is a spontaneous report from a Pfizer-sponsored program. A contactable consumer (wife) reported that a male patient of an unspecified age received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot/batch number and expiration date not provided), via an unspecified route of administration on 23Jan2021 at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. Caller calling on behalf of the husband who was in a long term care facility. He was given 1st dose on 23Jan2021, thereafter tested covid positive in 2021. He was scheduled to receive the 2nd dose on 23Feb2021. He was advised not to have it because he tested positive. Wife wanted to know if it's true. The outcome of the events was unknown. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1068127
Sex: F
Age:
State: CT

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

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

Lab Data:

Allergies:

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

Symptoms: mild soreness on injected arm after the first dose; This is a spontaneous report from a contactable nurse (the patient) from a Pfizer-sponsored program. A female patient of an unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number not provided), via an unspecified route of administration in the arm on an unspecified date (age at vaccination unknown) as a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient wanted to know if she could take painkillers before and after her second dose. She mentioned having mild soreness on injected arm after the first dose (unspecified date). The patient had one dose of the Pfizer-BioNTech COVID-19 Vaccine and didn't take any pain killers. She just had a slightly sore arm. She heard something about the second dose can give you a headache. She asked what was recommended on taking pain medication like acetaminophen, ibuprofen, or diphenhydramine hcl (BENADRYL) before and/or after vaccination? The clinical outcome of mild soreness on injected arm after the first dose was unknown. Information on the lot/batch number has been requested.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021101338 Pfizer

Other Meds:

Current Illness:

ID: 1068128
Sex: F
Age:
State: VA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: fever; chills; aches; headache; fatigue; loss of appetite; Dulled taste; patient received the first dose on 12Jan2021 and the second dose was on 29Jan2021; This is a spontaneous report from a contactable consumer (patient). A 29-year-old non-pregnant female patient received her second dose of bnt162b2 (BNT162B2 reported as PFIZER COVID-19 VACCINE; lot number: El9362; expiration date: unknown) at vaccination age of 29-year-old via an unspecified route of administration in the left arm on 29Jan2021 16:45 at a single dose for covid-19 immunization. Medical history included hypothyroidism, PCOS (polycystic ovarian syndrome) and penicillin allergy. The patient was not diagnosed with COVID-19 prior to vaccination. Concomitant medication included levothyroxine, metformin and vitamin nos (MULTIVITAMINS). The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient received her first dose of bnt162b2 (BNT162B2 reported as PFIZER COVID-19 VACCINE; lot number: Ek4176) at vaccination age of 29-year-old via an unspecified route of administration in the left arm on 12Jan2021 16:45 at a single dose for covid-19 immunization but had lump on neck, sore arm, diarrhea starting day 3 through today and sore rib. The patient received the most recent COVID-19 vaccine in a hospital. It was reported that the patient received the first dose on 12Jan2021 and the second dose was on 29Jan2021. On an unspecified date after the second dose, the patient had fever, chills, aches, headache, fatigue, loss of appetite and dulled taste. It was unknown if the patient received treatment for the adverse events and events were considered as non-serious. The adverse events resulted in a doctor or other healthcare professional office/clinic visit. The patient has not been tested for COVID-19 since the vaccination. The outcome of the events was recovering.

Other Meds: LEVOTHYROXINE; METFORMIN; MULTIVITAMINS [VITAMINS NOS]

Current Illness:

ID: 1068129
Sex: M
Age:
State: MA

Vax Date: 01/05/2021
Onset Date: 01/01/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: headaches for a week; This is a spontaneous report from a contactable other healthcare professional (patient himself). A 71-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EK5730), intramuscularly on the left arm, on 05Jan2021 14:00, at single dose, for covid-19 immunization. Medical history included chronic back pain, blood pressure, and pain. Unspecified concomitant medications were taken for blood pressure and pain. The patient did not have COVID prior vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. After the first injection, the patient had headaches for a week on Jan2021. No treatment was received for the headaches and the patient recovered from it on Jan2021. The patient has not been COVID-tested post-vaccination.

Other Meds:

Current Illness:

ID: 1068130
Sex: F
Age:
State: TX

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Body aches; Puttered around the house, then lost energy around noon; headache upon waking; felt like I had a hangover; Lethargic all day; Fever 99.5-100.2; This is a spontaneous report from a contactable consumer (patient). A 62-year-old female patient received second dose of BNT162B2 (lot number: El9265), via an unspecified route of administration on 29Jan2021 13:00 at single dose in the left arm for COVID-19 immunization. The patient's medical history was not reported. Concomitant medication included levothyroxine sodium (UNITHROID). The patient previously took first dose of BNT162B2 (lot number: El324) at the age of 62 year-old on 08Jan2021 13:00 in the left arm and experienced minor injection site soreness. On 30Jan2021 07:00, the patient experienced headache upon waking Saturday morning and felt like she had a hangover. She felt lethargic all day. She had fever 99.5-100.2 from 7pm- 9pm on Saturday night. She experienced body aches on Sunday morning, 31Jan2021. Puttered around the house, then lost energy around noon. She felt ok but not back to normal energy level yet. Stated she is going to work tomorrow. The patient was not pregnant at the time of vaccination. The patient did not receive any treatment for the events. The patient did not receive any other vaccines within four weeks prior to the vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient underwent lab tests and procedures which included body temperature: 99.5-100.2 on 30Jan2021. The outcome of the events was recovered in Jan2021.

Other Meds: UNITHROID

Current Illness:

ID: 1068131
Sex: M
Age:
State: CA

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: injection site soreness; severe back pain; This is a spontaneous report from a contactable consumer (patient). A 44-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EL8982), via an unspecified route of administration into the left arm on 29Jan2021 10:15 AM at a single dose for COVID-19 immunisation. Medical history included COVID-19 from an unknown date prior to vaccination. The patient's concomitant medications were not reported. Patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EL1283), via an unspecified route of administration into the left arm on 09Jan2021 08:30 AM at a single dose for COVID-19 immunization and experienced injection site soreness. On 30Jan2021, patient experienced injection site soreness and severe back pain. The events were reported as non-serious and the patient was treated with diclofenac 100mg. Outcome of events was recovering.

Other Meds:

Current Illness:

ID: 1068132
Sex: F
Age:
State: IL

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: flu-like symptoms; headache; fatigue; This is a spontaneous report from a contactable nurse (patient). A 41-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date were not reported), via an unspecified route of administration on an unspecified date at a single dose for COVID-19 immunisation. Medical history included seizure disorder, depression, anxiety, mild hyperthyroidism and allergies to penicillin. Concomitant medication included carbamazepine, citalopram, buspirone hydrochloride (BUSPAR) and omeprazole. The patient previously received the first dose of BNT162B2 on 17Dec2020 (Age at vaccination: 41 years) for COVID-19 immunisation and experienced flu-like symptoms, headache, aches, chills, night sweats and more fatigue than normal. The patient experienced flu-like symptoms on an unspecified date. It was reported that with the second shot, the patient took ibuprofen shortly after receiving it and mainly had a headache and fatigue. Just for 24 hours after the shot did the patient have symptoms. The outcome of the events was recovered on an unspecified date. Information on the lot/batch number has been requested.

Other Meds: CARBAMAZEPINE; CITALOPRAM; BUSPAR; OMEPRAZOLE

Current Illness:

ID: 1068133
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

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

Symptoms: headache after the second shot; This is a spontaneous report from a Pfizer-sponsored program. A non-contactable healthcare professional (HCP) reported that a female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Lot unknown, second dose) solution for injection intramuscular on an unknown date (at an unknown age) at single dose for COVID-19 vaccination. Medical history and concomitant medications were not reported. Historical vaccine included BNT162B2 (first dose) for COVID-19 vaccination on an unknown date with no adverse effect reported. The patient completed the vaccination series, and she took some pain reliever for her headache after the second shot. The outcome of the event headache was unknown. No follow-up attempts are possible. Information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1068134
Sex: F
Age:
State: FL

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: She has started developing rash all over her neck and now coming on to arm, it's a very bad rash; Right now it is getting kind of worse; She is feeling very bad after the vaccine; This is a spontaneous report from a contactable consumer (patient). A 72-year-old female patient started to receive bnt162b2 (BNT162B2 also reported as Pfizer Covid vaccine, lot ENS318), via an unspecified route of administration from 30Jan2021 to 30Jan2021 at SINGLE DOSE for an unspecified indication. The patient's medical history was not reported. Concomitant medications included diclofenac, gabapentin, losartan, levothyroxine sodium (SYNTHROID), vitamin C (ASCORBIC ACID) and ergocalciferol (VITAMIN D). On 31Jan2021, she was feeling very bad after the vaccine administration and started developing rash all over her neck and now coming on to arm. Reported that it's a very bad rash and right now it was getting kind of worse (no treatment). The outcome of rash aggravated was not recovered; for other event was unknown.

Other Meds: DICLOFENAC; GABAPENTIN; LOSARTAN; SYNTHROID; VITAMIN C [ASCORBIC ACID]; VITAMIN D [ERGOCALCIFEROL]

Current Illness:

ID: 1068135
Sex: F
Age:
State: AL

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

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Irritation and redness in both eyes; Flushing of the face; Irritation and redness in both eyes; This is a spontaneous report received from a non-contactable consumer (patient herself). An elderly female patient (not pregnant) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection Lot number: EL9264), via an unspecified route of administration on arm left on 05Feb2021 16:15 at single dose for COVID-19 immunisation at hospital. Medical history included occasional rosacea with stress or excitement. Concomitant medication included metformin and zinc, which are received within 2 weeks of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient previously took tetracycline and experienced allergy. On 05Feb2021 16:30, the patient experienced irritation and redness in both eyes and flushing of the face. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The patient was not received any treatment for the events. The events were assessed as non-serious by the reporter. Outcome of the events was recovered on unspecified date in 2021.

Other Meds: METFORMIN; ZINK

Current Illness:

ID: 1068136
Sex: F
Age:
State: MI

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

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

Lab Data:

Allergies:

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

Symptoms: exhausted; body aches; headache; This is a spontaneous report from a contactable consumer (patient). A 54-year-old female patient (non-pregnant) received second dose of (BNT162B2, Solution for injection, Batch/lot: EL3248), via an unspecified route of administration on 03Feb2021 14:30 at single dose in left arm for covid-19 immunisation. The patient was not pregnant at the time of vaccination. The patient medical history was not reported. Historical vaccine of BNT162B2 for covid-19 immunisation, (administration date: 15Jan2021, time=02:30 PM, vaccine location: Left arm, dose number: 1, lot number: EL3248). Concomitant medication included desvenlafaxine succinate (PRISTIQ), levofloxacin (LEVOXAL), ergocalciferol (VIT D), ascorbic acid (VIT C), zinc, calcium. The patient was exhausted, body aches and had headache on 04Feb2021 and it started 04:30 AM. The treatment was not received for the adverse events. 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. Since the vaccination, the patient has not been tested for COVID-19. The patient had no allergies. The outcome of the events was recovered on an unspecified date of Feb2021.

Other Meds: PRISTIQ; LEVOXAL; VIT D; VIT C; ZINC; CALCIUM

Current Illness:

ID: 1068137
Sex: F
Age:
State: MI

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: I slept all day; I could not eat; I could not get out of bed, I hurt so bad/Body aches; Muscle spasms; Headache; Tired; I had a 100.4 temperature for 2 days; This is a spontaneous report from a contactable consumer (reporting for herself). A 52-year-old female patient received her first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration from 29Jan2021 to 29Jan2021 at SINGLE DOSE for COVID-19 immunization. The patient medical history was not reported. Concomitant medication included amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL) for unspecified indication. On 30Jan2021, the patient stated that "I slept all day, I could not eat, I could not get out of bed, I hurt so bad and has body aches, muscle spasms, headache, tired and I had a 100.4 temperature for 2 days." The patient underwent lab tests and procedures which included sars-cov-2 test: positive on 26Nov2020. The outcome of the events was unknown. Information about lot/batch number has been requested.

Other Meds: ADDERALL

Current Illness:

ID: 1068138
Sex: M
Age:
State: CT

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Mild soreness at the injection site; This is a spontaneous report from a non-contactable consumer (patient). A 78-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: EM9809), via an unspecified route of administration on left arm on 08Feb2021 at the age of 78 years old at a single dose for COVID-19 immunisation at Doctor's office/urgent care. Medical history included high cholesterol. Allergies to medications, food, or other products was none. Concomitant medications included unspecified medications. It was unknown if the patient received any other vaccines within 4 weeks prior to the COVID vaccine. The patient received other medications within 2 weeks of vaccination. Historical vaccination included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) received at the age of 78 years old on an unknown date for COVID-19 immunization. On 08Feb2021, the patient experienced mild soreness at the injection site. The patient assessed the event as non-serious. It was unknown if the treatment was received in response to the adverse event. The patient was not diagnosed with COVID-19 prior to vaccination. Since the vaccination, patient was not tested for COVID-19. The patient was recovering from the event. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1068139
Sex: F
Age:
State: CT

Vax Date:
Onset Date: 02/08/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Very mild soreness at the injection site; Very Mild fatigue; This is a spontaneous report from a non-contactable consumer (female patient). A 78-year-old female non pregnant patient received second dose of bnt162b2 (Formulation: Solution for injection, Lot number: em9809) via unspecified route of administration on left arm, on an unknown date at single dose for COVID-19 immunization. The patient medical history and concomitant medication were not reported. The patient previously took historical vaccine, first dose of bnt162b2 for COVID-19 immunization. It was reported that the patient experienced very mild soreness at the injection site and very mild fatigue on 08Feb2021. The patient administered most recent COVID-19 vaccine at doctor's office/urgent care, had not received any other vaccines within 4 weeks prior to the COVID vaccine. The patient received medication (unspecified) within 2 weeks of vaccination (as reported). The patient didn't receive treatment for the adverse events. The patient had not diagnosed with COVID-19 prior to vaccination and since the vaccination. It was reported that patient had no allergies to medications, food, or other products. The seriousness of the events was reported as non-serious by the reporter. The outcome of the events was reported as recovered on an unknown date in Feb2021. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1068140
Sex: U
Age:
State:

Vax Date: 01/01/2021
Onset Date: 01/01/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Muscles were aching on the opposite shoulder/Neck and back and shoulders, arms; I do get achy muscles; Rash like dry skin on cheeks and like nose; it's red, kind of burns but it's not hot; Rash like dry skin on cheeks and like nose; it's red, kind of burns but it's not hot; Not feeling well/not feeling really good; Rash like dry skin on cheeks and like nose; it's red, kind of burns but it's not hot; Muscles were aching on the opposite shoulder/Neck and back and shoulders, arms; I do get achy muscles; Muscles were aching on the opposite shoulder/Neck and back and shoulders, arms; I do get achy muscles; Muscles were aching on the opposite shoulder/Neck and back and shoulders, arms; I do get achy muscles; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration (right arm) on Jan2021, single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. Patient had the shot on Friday and patient believes patient is having reactions to this, patient is not sure because it was not really listed. First of all, they mentioned like muscle aches on where you got the shot but patient's muscles were aching on the opposite shoulder. Patient got the shot in the right arm and patient's muscles were aching on the other side. That's one minor thing because it's like in patient's neck and back and patient's shoulders, like patient's arms. Patient do get achy muscles now and then. Paitent noticed that, the first thing, patient doesn't know if it's possible that it could be on the other of the side of that. It could be one of them but that's not what is really concerning patient. Actually, the one thing it said on the thing that it's a possibility you might get a puffy face. Patient has a rash, like dry, dry skin on patient's cheeks and like patient's nose and it's red that's one thing. Patient was sure that's from the shot. But patient's real concern, patient's main concern is, patient was in home service. Patient helps out people that are either handicapped or whatever and patient want to get this done. Does this mean patient should not have the second shot because patient was having like the red face, it kind of burns but it's not hot.Patient was not feeling really good because of the shot. This was the only number that patient was given when patient got the shot and patient would like to know what your purpose is. Patient was so angry for this (call issue). The outcome of the events was unknown. Information on the Lot/Batch has been requested.

Other Meds:

Current Illness:

ID: 1068141
Sex: F
Age:
State: IN

Vax Date: 01/28/2021
Onset Date: 01/01/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: she was not feeling well/she just has not felt good, just have felt blah; just can't taste anything; pain in her arm; Injection site did have a little pain; Tiredness; Muscle pain; This is a spontaneous report from a contactable consumer (patient herself). An 83-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EL9262), via an unspecified route of administration, on 28Jan2021, at single dose, for covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number unknown) on 08Jan2021 for covid-19 immunization and experienced couldn't taste anything. The patient called about the vaccine as she was having some effects. She stated she got the first shot on 08Jan2021 and, last 28Jan2021 she got the second shot. She informed she was given a "paper" to tell her of the effects that one might possibly have when getting the shot, and then she checked all of those. On 30Jan2021, 2 days after the shot, she was not feeling well. She stated her injection site did have a little pain on Jan2021, but it was okay, it went away the next day. She also had on Jan2021 some tiredness and muscle pain which was on there; other than that, she just has not felt good, just have felt blah. She informed that her lymph nodes were not swollen, and she has not been nauseated or have had any of these things written on the paper. She also informed having read on the paper that "the people with Covid-19 and it gave the symptoms of people with COVID 19 and one of them was loss of taste, and smell was okay". She then added that after she got her first shot, she noticed once in a while she couldn't taste anything but that wasn't all the time. But now, since she got the second shot, it seemed like all day yesterday, 30Jan2021, and this morning also, that she just can't taste anything. Then she stated "So, my problem is, would that be a result of the shot?" She stated she was feeling a little bit better today other than that, her mouth - she can't taste anything. Also, yesterday, she took an extra strength Tylenol every 4 hours to try to help with the pain in her arm on Jan2021; but she has not taken any today. She was just trying to help her arm feel better. The outcome of the event injection site did have a little pain was recovered on Jan2021. The outcome of the event she was not feeling well/she just has not felt good, just have felt blah was recovering. The outcome of the event just can't taste anything was not recovered. While the outcome of all other remaining events was unknown.

Other Meds:

Current Illness:

ID: 1068142
Sex: F
Age:
State: CA

Vax Date: 01/29/2021
Onset Date: 01/01/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: I started really scratching and it's really is pink red pumps on my stomach; it spread my whole stomach, then over the breast and under the arm, around my back; rash; I started really scratching and it's really is pink red pumps on my stomach; it spread my whole stomach, then over the breast and under the arm, around my back; rash; I started really scratching and it's really is pink red pumps on my stomach; it spread my whole stomach, then over the breast and under the arm, around my back; rash; Blood sugar was very high; Blood pressure was very high; I had shingles on it; This is a spontaneous report from a contactable consumer (patient). A 78-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiry date: unknown), via an unspecified route of administration on 29Jan2021 (at 78-year-old) at single dose for COVID-19 immunization (Because she was of that age and she wanted to travel again). Medical history included ongoing Diabetic. There were no concomitant medications. Reason for no lot number of COVID 19 Vaccine, consumer stated, "It says Pfizer, EL9267, no 62, I am not sure now. Maybe I think it says 2, it's a 2." She woke up at 1 in the morning and started really scratching (31Jan2021) and it's really is pink red pumps (31Jan2021) on her stomach. It started to spread in the whole stomach, then over the breast and under the arm, around her back. She had the reactions. It was a total rash (31Jan2021) and red. She took her blood sugar, she was diabetic, her blood sugar was very high (Jan2021), then she took her blood pressure, her blood pressure was very high (Jan2021). She was all ready to go to the hospital because when you have a rash that's not good. But now 3 hours later her rash disappeared and she felt much better again. When confirmed if the consumer wanted to report the same or have some questions, consumer stated, that she have question, why did she get the rash after she had the COVID vaccine, she had her shot on Friday, Pfizer shot vaccine on Friday. She stated that she felt better, she only have a little bit in her back itching. But everything else it was so red, she meant she had shingles (Jan2021) on it. It's the hospital who gave her the shot. Due date for the next shot was on 19Feb2021. It was stated that she is Diabetic, she don't take any medication, she did it on her own and she is border lined. On lab work, consumer stated that every half a year she had a blood test. Regarding treatment, the consumer stated that she didn't take anything, she was wondering if she was allowed to take anti-histamine. The outcome of the event Itching and Redness was recovering, rash was recovered, while other events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness: Diabetic

ID: 1068143
Sex: F
Age:
State: IN

Vax Date: 01/08/2021
Onset Date:
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: after I got my first shot, I noticed once in a while I couldn't taste anything; This is a spontaneous report from a contactable consumer (patient). An 83-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; batch/lot number and expiration date unknown), via an unspecified route of administration on 08Jan2021 at a single dose for covid-19 immunisation (because they want everybody to have the vaccine and age). The patient has no medical history and concomitant medications. After the patient got her first shot, she noticed once in a while that she couldn't taste anything but that wasn't all the time. The patient stated that they want everybody to have the vaccine and age. And they started with the older people which that is her, she was 83 so that's the reason she was getting it. It was not a prescription; in her town, they are giving them free. So, the patient did not have to have a prescription. They went by age. The outcome of the event was unknown. Information about Lot/Batch has been requested.

Other Meds:

Current Illness:

ID: 1068144
Sex: U
Age:
State:

Vax Date: 01/29/2021
Onset Date:
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Nauseous; I am not feeling good; Vomiting; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine, Batch/lot number: EL9261), via an unspecified route of administration, on 29Jan2021 at single dose for COVID-19 vaccination. The patient's medical history and concomitant medications were not reported. Patient stated receiving COVID vaccine on Friday (29Jan2021) and have been nauseous and vomiting from an unspecified date and was asking if it was normal. Patient also reported not feeling good from an unspecified date. The outcome of the event was unknown.

Other Meds:

Current Illness:

ID: 1068145
Sex: F
Age:
State: NY

Vax Date: 01/28/2021
Onset Date:
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Fatigue extreme; Terrible headache bordering on a migraine; Terrible headache bordering on a migraine; Muscle pain; Feeling unwell; Joint pain; bloody nose, a little bit of the bloody nose when she blew it; Some blisters on my lips; Nausea; This is a spontaneous report from a contactable consumer (patient). A 70-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 upper left arm, 28Jan2021 16:11 at a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On an unspecified date, patient had extreme fatigue, terrible headache bordering on a migraine, muscle pain, joint pain, nausea and just feeling unwell and also had a bloody nose, a little bit of the bloody nose when she blew it and some blisters on her lips. Patient was just putting some Vaseline on her lips and to the migraine she took Imitrex. She have had a headache every single day, very bad. Outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1068146
Sex: M
Age:
State: IL

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: soreness, really bad in my shoulder; soreness, really bad in my shoulder and left side of the neck; Dizzy; Achy bones; Hands were very stiff; sore; This is a spontaneous report from a contactable consumers (patient and patient's wife). A 66-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL9265 and expiry date: 31May2021), via an unspecified route of administration on 30Jan2021 at single dose for COVID-19 immunization. Medical history included blood pressure and cholesterol from an unknown date and unknown if ongoing. Concomitant medication included metoprolol for blood pressure and atorvastatin (lot number: E003816) for cholesterol. The patient stated, "My wife and I have received Pfizer's COVID-19 Vaccine, yesterday, around this time, noon. I was fine. I didn't feel any discomfort in my shoulder but later on at night, it started getting sore on 30Jan2021. And then, this morning 31Jan2021, I woke up with a soreness, really bad in my shoulder, my left shoulder and also my left side of the neck. And I woke up really like dizzy and achy bones. My hands were very stiff which I have never experienced that. And I was a little scared if that was a side effect and if they are going to continue for a long time? No lab work done". The patient took Tylenol or Aleve 6 hours apart as treatment for the events. The outcome of the events was unknown.

Other Meds: METOPROLOL; ATORVASTATIN

Current Illness:

ID: 1068147
Sex: F
Age:
State: TX

Vax Date: 01/26/2021
Onset Date: 01/29/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Blisters in my mouth, my tongue; Blisters in my mouth, my tongue; Hadn't have any other symptoms except I had not been feeling right that I had been feeling real bad.; All blistered and swollen ; whole mouth is sore and my tongue is blistered; Big blotch, not at the injection site but below it, it was red, swollen and itchy; All blistered and swollen ; whole mouth is sore and my tongue is blistered; All blistered and swollen ; whole mouth is sore and my tongue is blistered; Tongue is tightening; I think that was a symptom of Covid, called Covid tongue; This is a spontaneous report from a contactable consumer (patient). An 86-year- old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EN5318 and expiration date not provided), via an unspecified route of administration second dose on 26Jan2021 at single dose for Covid-19 immunization. The patient's medical history included High Blood Pressure. The patient's concomitant medication included amlodipine, alendronate sodium, hydrochlorothiazide, levothyroxine, losartan for Hypertension, and simvastatin. The patient historical vaccine includes BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EL0142 and expiration date not provided) first dose on 05Jan2021. It was reported that patient had the second dose 5 days ago on 26Jan2021 and three days after the patient got the vaccine on 29Jan2021 the patient experienced got all these blisters in my mouth, my tongue and everything, top of my tongue is tightening. The patient wonder if that was a type of reaction from the vaccine. The patient think that was a symptoms of Covid, called Covid tongue. The patient did not know if she should go to the doctor or thought that it was just a reaction. It was still on, it was 5 days now and it was still all blistered and swollen. The whole mouth was sore and patient tongue was blistered. The patient did not have any other symptoms except the patient had not been feeling right that I had been feeling real bad. The patient had a real big blotch, not at the injection site but below it, it was red, swollen and itchy but other than that I have nothing and I just know for sure I hadn't heard of anything that there had been a reaction from the vaccine. The patient wanted was wondering if these reaction was from the vaccine or you think I should go, get tested? The events Oral mucosal blistering, Tongue blistering, Oral pain, Swollen tongue, Mouth swelling, and Tongue disorder was treated with mouth wash. The outcome of the events was unknown.

Other Meds: AMLODIPINE; ALENDRONATE SODIUM; HYDROCHLOROTHIAZIDE; LEVOTHYROXINE; LOSARTAN; SIMVASTATIN

Current Illness:

ID: 1068148
Sex: M
Age:
State: CA

Vax Date: 01/21/2021
Onset Date:
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Weird rash on that arm on his forearm, on the top of the elbow and then he kind of started on the other arm and then on the legs a little bit, around his belly; His tongue looks like he has swollen taste buds or something; Itchy; This is a spontaneous report from a contactable consumer. A 45-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE lot number: EL3247) intramuscular on the right arm on 21Jan2021 at a single dose for COVID-19 immunization. The patient had no medical history. Concomitant medications included supplements and vitamins. The patient got the COVID Vaccine on the 21st of January the Pfizer one and the following day he felt fine but he has this weird rash on that arm on his forearm, on the top of the elbow and then he kind of started on the other arm and then on the legs a little bit, around his belly and then his tongue looked like he has swollen taste buds or something, but he said he felt fine but the reporter don't if that's a side effect. "Should he be worried, should he go to a doctor?" Reporter stated, "Because we weren't sure what it was, he did take one Benadryl like the ones you find at the drug store and then that was it. And then I put Calamine lotion, so topically couple times just to prevent him from scratching but not regularly just when he feels really, really itchy." Outcome of the events was unknown.

Other Meds:

Current Illness:

ID: 1068149
Sex: M
Age:
State: OK

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: really tired; headache; started throwing up; diarrhea; dry hives; feeling kind of 'wheezy'; stomach was still upset; couldn't breathe, little short breath; Feeling lousy; I had a temperature; heavy sweat; This is a spontaneous report from a contactable consumer (patient). A 72-year-old-male patient received first dose of BNT162B2 (Pfizer COVID vaccine), lot no. EL9261, via an unspecified route of administration on 29Jan2021 at a single dose for COVID-19 immunization. Medical history included Histoplasmosis (it's a lung fungus), Hepatitis B, and meningitis. Concomitant medications included unspecified blood thinner. The patient got the first Pfizer COVID shot Friday morning. He experienced feeling lousy. And about 2 o'clock in the afternoon on 29Jan2021, he started feeling kind of 'wheezy' as by 1 o'clock and his stomach (incomplete sentence). At 3 o'clock, he started throwing up, he had the dry hives for about 3 hours along with diarrhea. And then he had a temperature. He laid down and woke up just heavy sweat on the break down he meant big time. At 2 in the morning (30Jan2021) he couldn't breathe, little short breath and that lasted about 3 hours that was Friday night. On Saturday (30Jan2021), his stomach was still upset with diarrhea, still had the headache and really tired on Saturday and today Sunday. No treatment received for the events. He asked if he should take the second shot. The outcome of the events was not recovered.

Other Meds:

Current Illness:

ID: 1068150
Sex: M
Age:
State: OK

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Shoulders was all sore both of them; He was sore all over; Chills; Running 101 fever; This is a spontaneous report from a contactable consumer (patient's wife) reported that a 78-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number and expiration date were not reported) on 29Jan2021 at a single dose, with route of administration unspecified, for COVID-19 immunization. Medical history included COVID-19 (reported as "has had that virus before"). There were no concomitant medications. On 30Jan2021, in the morning after the vaccination, the patient's shoulders were both sore. By the afternoon of the same day, the patient was sore all over, ran in a 101 fever (unit was not reported), and was having chills. The patient did not receive any treatment for the reported events. The outcome of the events, 'shoulders were both sore', 'sore all over', 'ran in a 101 fever' and 'chills', was recovering; patient was feeling better at the time of reporting. Information on lot/ batch has been requested.

Other Meds:

Current Illness:

ID: 1068151
Sex: F
Age:
State: NC

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: When I cough it was blood in that cough couple of times; Left leg swell up from my feet to all the way up; When I woke up, I didn't know what time, what date, nothing; I was all confused; Feeling achy/ body ache; This is a spontaneous report from a contactable consumer (patient). A 73-year-old female patient received first dose of BNT162B2 (Pfizer COVID vaccine), lot no. EL347, via an unspecified route of administration on 22Jan2021 at a single dose for COVID-19 immunization at a health department because she was at high risk and she was 73. Medical history was not reported. Concomitant medications included unspecified medications. The patient had an injection done 2 weeks, not this last Friday, the Friday before that. They had to make her wait for half an hour before she left and she was okay. Then Saturday (23Jan2021), she started feeling achy but to she was okay. Then Sunday (24Jan2021), she had a very bad experience, she went and start watching TV and she fell asleep. When she woke up, she didn't know what time, what date, nothing. And she looked at the time on her TV and it said 6:45, she didn't know if it was am or pm. And it was dark outside and she didn't know if it was Monday or Sunday. She was all confused, she called someone to make sure what day and time and all and still she was still confused. And then she had to call her aunt and then she told her no it's Sunday and it's night time and so on. Then she got better. Then during the week she didn't have that much body ache, she expected that because that was in that papers. Then today is Sunday, Friday morning (29Jan2021) she got up and she coughed, when she coughed it was blood in that cough couple of times. Then her daughter came over and took her to the hospital (hospitalization details were not clarified). She had lab work the day they took her in the emergency room. At the hospital, they did all kind of tests, on top of that her leg, her left leg swelled up from her feet to all the way up, all the way up. They thought that it could have been some blood clot. And they took test and all and nothing, everything was okay. They couldn't find out why her whole leg was swollen. On top of that, they did chest x-ray and they did something else she can't remember, another test. And they took all kind of blood work and all. And they did to see if she had the virus, the COVID. And yesterday they called her from the hospital and they said that she didn't have the virus. And she asked them about the blood work and they told her if there was anything more than they would call her. So, she thinks all this came from that injection. She called because this was not guaranteed if this was from injection. When confirmed that COVID test was negative and blood work report was not out, she stated they haven't called her that meant her blood work was okay. The swollen leg has been gone down and blood once in a while she sees a little bit. They gave her 2 prescriptions, one was antibiotic and one is steroid. Due date for the next shot is 12Feb2021. The outcome of the events was recovering.

Other Meds:

Current Illness:

ID: 1068152
Sex: F
Age:
State: CO

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: dizzy; broke out into a sweat; feeling a little nauseous; chills; breast cancer stage 1/taking anastrozole; breast cancer stage 1/taking anastrozole; This is a spontaneous report from a contactable consumer (patient). A 77-year-old female patient received the first dose of BNT162B2 (Pfizer-BioNTech COVID-19 vaccine, lot number: ELV5318, expiry date unknown), via an unspecified route of administration on 30Jan2021 at a single dose for COVID-19 immunization. Medical history included stage 3 kidney disease, breast cancer stage 1 and blood pressure abnormal (reported as 'blood pressure') all from an unknown date and all ongoing. Concomitant medication included anastrozole (manufacturer unknown) for breast cancer, levothyroxine (manufacturer unknown) for kidney disease and amlodipine (manufacturer unknown) for blood pressure. The patient has breast cancer stage 1 and was taking anastrozole. The patient got the vaccine on 30Jan2021 and did not have any side effects 22 hours later, on the day of the report, 31Jan2021. The patient was grocery shopping and became very dizzy and thought she has to keep this together. The patient then just broke out into a sweat and managed to get herself home. She was feeling a little nauseous and she got the chills and then it (unspecified) was pretty much over in about 2-3 hours. The patient was scheduled for the second dose on 20Feb2021. The patient did not receive any treatment for the events. The outcome of the events was unknown.

Other Meds: ANASTROZOLE; LEVOTHYROXINE; AMLODIPINE

Current Illness: Blood pressure abnormal; Breast cancer stage I; Kidney disorder

ID: 1068153
Sex: M
Age:
State:

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Fever; This is a spontaneous report from a contactable other health professional. A 39-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), lot number: EN5318, via an unspecified route of administration on 29Jan2021 15:30 at a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. Historical vaccine included BNT162B2 on 08Jan2021, 22:00 in the Left arm, for COVID-19 immunization (first dose). The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient hasn't been tested for COVID-19. The patient experienced fever on 30Jan2021 09:00. The outcome of event was recovered. The patient did not receive any treatment due to the event. Follow-up attempts are completed. The following information on the batch number has been obtained.

Other Meds:

Current Illness:

ID: 1068154
Sex: M
Age:
State: MO

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Started with soreness in the arm; Turned into horrible muscle and joint aches; Turned into horrible muscle and joint aches; pounding headache; an immense amount of pressure behind the eyes; uncontrollable body aches; This is a spontaneous report from a contactable other hcp (patient). A 22-year-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number=En5318), via an unspecified route of administration on 29Jan2021 11:30 (at 22-year-old) at single dose (Right arm) for COVID-19 immunization. The patient medical history was not reported. Patient had known allergies. Facility type vaccine was Public Health Clinic/Veterans Administration facility. No other vaccine was administered in four weeks. No other medications in two weeks. Patient had no covid prior to vaccination. The patient was covid tested post vaccination. There were no concomitant medications. The patient took first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number=El3248), on 08Jan2021 12:00 (at 22-year-old) on Right arm for COVID-19 immunization. It was reported that it started with soreness in the arm. Turned into horrible muscle and joint aches, pounding headache, an immense amount of pressure behind the eyes, and uncontrollable body aches. This lasted from about 12 hours and then got progressively better. By hour 48 he was totally fine. Events started on 29Jan2021 22:00. No treatment was received for events. The patient underwent lab tests and procedures which included covid test: Nasal Swab: negative on 31Jan2021. The outcome of the events was recovered.

Other Meds:

Current Illness:

ID: 1068155
Sex: F
Age:
State: NY

Vax Date: 01/07/2021
Onset Date:
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: mild headache; tiredness; bruised arm not at injection site; This is a spontaneous report from a contactable healthcare professional (patient). A 64 -year-old female (not pregnant at time of vaccination) patient received her first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, lot number: Ek9231), via an unspecified route of administration (on the left arm) on 07Jan2021 14:30 (at the age of 64-years-old), single dose for COVID-19 immunization. Relevant medical history included Allergies, mvp, hbp, thalassemia all from an unknown date. The patient's concomitant medication was not reported. The patient experienced mild headache, tiredness and bruised arm not at injection site, all from an unknown date. The patient underwent lab tests and procedures which included sars-cov-2 test on 10Jan2020, 15May2020 and 01Oct2020, all negative. Patient has no other vaccine in four weeks. No covid prior to vaccination. No treatment received for the adverse events. The outcome of the events was not recovered.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021143321 same reporter/patient/drug, different events separated with time

Other Meds:

Current Illness:

ID: 1068156
Sex: M
Age:
State: TN

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

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

Lab Data:

Allergies:

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

Symptoms: bad body rash; shingles; This is a spontaneous report from a contactable consumer (wife). An 80-year-old male patient (husband) received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot EL0142) via an unspecified route of administration in the right arm on an unspecified date (about three weeks ago) at a single dose for COVID-19 immunisation. There were no medical history and no concomitant medications. The reporter noted that both she and her husband took the Covid vaccine about 3 weeks ago, stated is time to take the second part. She read the pamphlet that came with it when we got the vaccine, said that a person could have a bad body rash. She stated her husband has had a bad body rash on an unspecified date. Noticed the rash right away, maybe the day or two after and it has persisted since, it was a nightmare for him, that she thought it was shingles on unspecified date. They went to the dermatologist and he told them it could be attributed to him eating red meat. The reporter wanted to know what they should do for it. Investigation assessment was noted as no. The outcome of rash was not recovered and of shingles was unknown.

Other Meds:

Current Illness:

ID: 1068157
Sex: F
Age:
State: FL

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Low-grade fever, chills, lethargy, muscle soreness; Low-grade fever, chills, lethargy, muscle soreness; Low-grade fever, chills, lethargy, muscle soreness; Low-grade fever, chills, lethargy, muscle soreness; This is a spontaneous report from a contactable consumer (patient). A 65-year-old female patient received the second dose of bnt162b2 (BNT162B2 also reported as product COVID 19 brandPfizer, lot EL9265), via an unspecified route of administration in left arm on 30Jan2021 13:30 at SINGLE DOSE for Covid-19 immunisation. Medical history included MAC (mycobacterium avium complex) and allergic to strawberries. She had her first dose of bnt162b2 (lot EL3246) on 09Jan2021 in the left arm. The patient's concomitant medications were not reported. The patient previously took rifampin and and experienced, both had drug allergy. On 31Jan2021 12:00, the patient experienced low-grade fever, chills, lethargy, muscle soreness with no treatment. The outcome of events was unknown.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm