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: 1082878
Sex: M
Age:
State: NC

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 03/08/2021
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: Woke up with a nose bleed that afternoon; discovered blood in the urine; This is a spontaneous report from a contactable nurse. A 50-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), lot number: EK 4176, intramuscular, in the right arm, on 02Feb2021 09:00 at SINGLE DOSE for covid-19 immunization. Patient has no relevant medical history. 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's concomitant medications were not reported. On 02Feb2021,the patient woke up with a nose bleed that afternoon then went to work that night and discovered blood in the urine. The outcome of events was unknown. The patient did not receive any treatment due to the events. Follow-up attempts are completed. The information on the batch/lot number has been obtained.

Other Meds:

Current Illness:

ID: 1082879
Sex: F
Age:
State: MN

Vax Date: 01/22/2021
Onset Date: 01/25/2021
Rec V Date: 03/08/2021
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: Breakout of 4 cold sores lower left lip despite 400mg daily prophylactic acyclovir.; This is a spontaneous report from a contactable nurse. A 59-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) lot number: EK4176, intramuscular in the left arm, on 22Jan2021 15:00 at SINGLE DOSE for covid-19 immunization. Medical history included depression, SEM, Herpes Simplex 3 and BET. Concomitant medications included sertraline, clonazepam and propranolol. The patient also had thiomersal allergy. 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. On 25Jan2021, the patient experienced breakout of 4 cold sores lower left lip despite 400mg daily prophylactic acyclovir. The outcome of event was recovered. Follow-up attempts are completed. The information on the batch/lot number has been obtained.

Other Meds: SERTRALINE; CLONAZEPAM; PROPANOLOL [PROPRANOLOL]

Current Illness:

ID: 1082880
Sex: F
Age:
State: NY

Vax Date: 12/28/2020
Onset Date: 01/20/2021
Rec V Date: 03/08/2021
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: arm soreness at injection site (both vaccines); fever <100.6F x 24 hours; delayed headache x 3 days; enlarged left breast lymph nodes; This is a spontaneous report from a contactable health care professional (patient) reported for herself. A 61-year-old non-pregnant female patient (Patient was not pregnant at the time of vaccination) received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number; EL0140, expiry date: unknown) via an Intramuscular on 28Dec2020 at 12:00 PM (at the age of 61-years-old) on Left arm at single dose and second dose (lot number; EL0142, expiry date: unknown) via an intramuscular route on 19Jan2021, at 08:30 AM on left arm at single dose; both for COVID-19 immunization. Medical history included hypothyroidism and hyperlipidemia. Patient received unspecified concomitant medications (Other medications the patient received within 2 weeks of vaccination (unspecified)). Patient had no Allergies to medications, food, or other products. On an unknown date, the patient had arm soreness at injection site (both vaccines); on 20Jan2021, at 05:00 am, patient had fever less than 100.6 F x 24 hours, delayed headache x 3 days for 3 days, enlarged left breast lymph nodes (routine mammogram/sonogram was 2 days post injecting on left arm). No treatment was received for the adverse events. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, patient was not diagnosed with COVID-19. Since the vaccination, the patient has been tested for COVID-19. On 25Jan2021, patient underwent nasal swab (SARS-COV-2-BY-NAAT) test and resulted as negative. Seriousness of the events was reported as non-serious. Outcome of the events was recovered on an unknown date in Jan2021.

Other Meds:

Current Illness:

ID: 1082881
Sex: F
Age:
State: AR

Vax Date: 01/29/2021
Onset Date: 01/01/2021
Rec V Date: 03/08/2021
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: flu like symptoms (headache, body aches); feels weak and woozy; feels weak and woozy; This is a spontaneous report from a sponsored program. A contactable consumer (patient) reported that an 82-year-old female patient started to receive bnt162b2 (manufacturer not specified), via an unspecified route of administration from 29Jan2021 to 29Jan2021 at SINGLE DOSE for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. In Jan2021, the patient experienced flu like symptoms (headache, body aches) yesterday she was feeling better but now feels weak and woozy The final outcome of events was reported as unknown. Information on the Lot/Batch number has been requested.

Other Meds:

Current Illness:

ID: 1082882
Sex: F
Age:
State: CT

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 03/08/2021
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: Extreme soreness in the arm that received the shot; This is a spontaneous report from a contactable consumer (patient herself). A 46-year-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number and Expiration date was unknown), via an unspecified route of administration in arm on 28Jan2021 10:15 AM at single dose for COVID-19 immunization in workplace clinic. The patient's medical history and concomitant medications were none. The patient did not have allergies to medications, food, or other products. The patient was not diagnosed with COVID-19 prior to vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient has not been tested for COVID-19 since the vaccination. The patient did not receive any other medications within 2 weeks of vaccination. The patient experienced extreme soreness in the arm that received the shot on 28Jan2021. The event was considered as non-serious by the consumer. No treatment was received for the adverse event. The outcome of the event was recovered on an unspecified date in 2021. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1082883
Sex: F
Age:
State: CT

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 03/08/2021
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: itching/ itching on her face, arms, head/ itching in her scalp, ears, head, face, neck and a little bit in my arms and legs; itching/ itching on her face, arms, head/ itching in her scalp, ears, head, face, neck and a little bit in my arms and legs; This is a spontaneous report from a contactable consumer (patient herself). A 69-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: EL9262, Expiration date: Unknown, NDC number: Unknown), intramuscularly in left arm on 26Jan2021 14:00 at single dose for COVID-19 immunisation in clinic. The patient's medical history included thyroid issues, back issues, she had done some reading and she has allergies to some antibiotics, one of them being sulfa, allergic to bicillins, she has a whole host of antibiotic allergies which she investigated prior to receiving the vaccine and she was told it wasn't an issue. Concomitant medications were none. The patient previously took azithromycin (ZITHROMAX), levofloxacin (LEVAQUIN), omeprazole (PRILOSEC), levothyroxine and experienced allergy to all drugs. The patient did not receive prior vaccinations (within 4 weeks). The patient did not administer additional vaccines on same date of the Pfizer suspect. It was reported that the caller received her COVID-19 vaccine yesterday at 14:00. She had no problems at all. She was feeling some itching on her face, arms, head on 28Jan2021. She was wanting to know was there any kind of sulfa product in the COVID-19 vaccine. Caller confirms she had no problems at all with the administration of the vaccine. She didn't feel a thing. It was very organized. The caller states the itching began about an hour ago on 28Jan2021. Caller clarifies she actually received her first vaccine on 26Jan2021 14:00. On her vaccine record card, she sees EL and the third digit was either a 9 or 4. She was able to look at her husband's vaccine card and it looks like a different person wrote on his and she sees "EL9262" on his card so she assumes that was what was written on hers. Caller explains she has thyroid issues and back issues, but she considers herself to be in pretty decent health. Caller states she received her first Pfizer vaccine dose 2 days ago and today around 5 pm started itching in her scalp, ears, head, face, neck and a little bit in my arms and legs. No rash. Allergic to sulfa, also allergic to "the cillins", caller states she did her research before she got the vaccine. "Enquired was there any sulfa in the vaccine or not." No investigation assessment. The patient did not require a visit to emergency room and physician office. No relevant tests. The outcome of the events was unknown.

Other Meds:

Current Illness:

ID: 1082884
Sex: M
Age:
State: MA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 03/08/2021
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: arm very sore; her son received 6 times the amount of the vaccine dosage/overdosed 6 times the normal amount/over dosed him on the amount by 6 times, a huge mistake; This is a spontaneous report from a contactable consumer company CEP 2191. A 26-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot/Batch number: Unknown) on 04Feb2021 via an unspecified route of administration in the arm at SINGLE DOSE for COVID-19 Immunization. The patient's medical history and concomitant medications were not reported. The reporter stated her son received 6 times the amount of the vaccine dosage. The patient had not administered pfizer vaccine on same date and not had prior vaccinations (within 4 weeks prior to the first administration date of the suspect vaccine. The patient had no AE's prior vaccinations. The patient had no any illness at time of vaccination and was not diagnosed with allergies, compromised immune status, respiratory illness, genetic /chromosomal abnormalities, endocrine abnormalities (including diabetes) and obesity. The patient experienced her son received 6 times the amount of the vaccine dosage/overdosed 6 times the normal amount/overdosed him on the amount by 6 times, a huge mistake on 04Feb2021 and arm very sore on an unspecified date. The patient was concerned about side effects. The patient has been feeling fine and has not mentioned any issues since the overdose. The patient had no relevant test and no had any illness. The outcome of the events was not recovered. This follow-up is being submitted to notify that the lot/batch number is not available despite the follow-up attempts made. Follow-up attempts have been completed and no further information is expected.

Other Meds:

Current Illness:

ID: 1082885
Sex: F
Age:
State: TN

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 03/08/2021
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: Rapid heart beat; jitteriness; fatigue; sore arm; This is a spontaneous report from a contactable health care professional (patient). A 62-year-old female patient received the first dose of BNT162B2 (Pfizer-BioNTech COVID-19 vaccine, lot number: EN6201), via an unspecified route of administration on 05Feb2021 at 08:15 on the left arm at a single dose for COVID-19 immunization. Medical history included sleep apnea from an unknown date and unknown if ongoing and meningioma removal on an unspecified date, 3 years ago. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient's concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Since the vaccination, the patient has not been tested for COVID-19. The patient experienced rapid heart beat, jitteriness, fatigue and sore arm on 05Feb2021 at 10:00. The patient did not receive treatment for the events. The outcome of the events was recovering. The events were reported as non-serious.

Other Meds:

Current Illness:

ID: 1082886
Sex: F
Age:
State: TX

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 03/08/2021
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: Severe Fatigue; moderate nausea; severe headache; moderate muscle aches; mild diarrhea; This is a spontaneous report from a contactable nurse (patient). A 40-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiry date: unknown), via an unspecified route of administration on the left arm, on 03Feb2021 08:30 at a single dose for COVID-19 immunization. Medical history included HTN (hypertension), depression, anxiety, RLS (Restless leg syndrome) and insomnia. Patient was not pregnant at the time of vaccination. Concomitant medication included lisinopril, trazodone, clozapine, pramipexole dihydrochloride (MIRAPEX), duloxetine hydrochloride (DULOXEE). The patient experienced severe fatigue, moderate nausea, mild diarrhea, severe headache, moderate muscle aches on 03Feb2021 10:00 with outcome of recovering. No treatment was received. The reporter considered the events non-serious. Patient was not diagnosed with COVID-19 prior to vaccination and has not been tested post-vaccination. Information on the lot/batch number has been requested.

Other Meds: LISINOPRIL; TRAZODONE; CLOZAPINE; MIRAPEX; DULOXEE

Current Illness:

ID: 1082887
Sex: M
Age:
State: WA

Vax Date: 02/02/2021
Onset Date: 02/04/2021
Rec V Date: 03/08/2021
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: bad stomach ache; severe chills; tired; This is a spontaneous report received from a contactable consumer (patient). A 66-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EN5318, expiry date: unknown), via an unspecified route of administration in the left arm, on 02Feb2021 19:30, at single dose, for COVID-19 immunization, at the hospital. The patient's medical history and concomitant medications were not reported. The patient was not diagnosed with COVID-19 prior to vaccination and was not tested for COVID-19 since the vaccination. The patient did not receive any other vaccines within 4 weeks prior to BNT162B2 vaccine. On 04Feb2021 at 14:00, the patient had a bad stomachache, severe chills and was tired. No treatment was given for the events. The patient was recovering from the events. The reporter assessed the events as non-serious.

Other Meds:

Current Illness:

ID: 1082888
Sex: F
Age:
State: SC

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 03/08/2021
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: dizzy; nauseous; sweating and sweated all night; fever of 99; achy; feeling cold/freezing; chills; This is a spontaneous report from a contactable other healthcare professional (patient herself). A 51-year-old female patient, not pregnant, received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EL9265), via an unspecified route of administration on the left arm, on 03Feb2021 15:00, at single dose, for covid-19 immunization. Medical history included high blood pressure and, diagnosed with COVID-19. The patient has unspecified concomitant medications. The vaccine was received at the doctor's office/urgent care. The patient did not receive any other vaccines within 4 weeks prior to the COVID-19 vaccine. On 04Feb2021 around 12NN, the patient started feeling cold and chills. By 17:00 on 04Feb2021, she had fever of 99 and was freezing and achy. Around 20:00 on 04Feb2021, she started sweating and sweated all night. She felt better on 05Feb2021 around 14:00. On 06Feb2021 she got up, and then was dizzy and nauseous. At the time of the report, the patient was recovering from all the adverse events with no treatment received. The patient has not been tested for COVID-19 since the vaccination.

Other Meds:

Current Illness:

ID: 1082889
Sex: F
Age:
State: NJ

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 03/08/2021
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: very bad headache; nausea; muscle aches; fatigue; vomited; This is a spontaneous report from a contactable consumer (patient). A 47-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 20Jan2021 at 12:15 at a single dose in the right arm for COVID-19 immunization. The patient's medical history was reported as none. Concomitant medications included bupropion hydrochloride (BUPROPION HCL XL) and topiramate. 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 was not pregnant at the time of vaccination. On 21Jan2021 at 08:00, the patient experienced very bad headache, nausea, muscle aches, and fatigue. The patient also vomited on 21Jan2021 at 08:00. The patient took Tylenol as instructed by her doctor and rested. Since the vaccination, the patient has not been tested for COVID-19. The outcome of the events was recovered on an unspecified date. Information on the lot/batch number has been requested.

Other Meds: BUPROPION HCL XL; TOPIRAMATE

Current Illness:

ID: 1082890
Sex: F
Age:
State: IN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 03/08/2021
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: Tiredness too much of the time; This is a spontaneous report from a contactable consumer. An 80-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; lot number: EN5318), via an unspecified route of administration on 04Feb2021 14:30 at SINGLE DOSE in left arm for covid-19 immunisation. Medical history included allergies: yes, Idiopathic Neuropathy. Concomitant medication included alendronate sodium. On 05Feb2021 06:30, the patient experienced tiredness too much of the time. The patient did not receive treatment for the event. The outcome of the event was not recovered.

Other Meds: ALENDRONATE SODIUM

Current Illness:

ID: 1082891
Sex: F
Age:
State: NY

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 03/08/2021
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: where she's had the fillers, she was swollen and it's very painful; fever; body aches; chills; too sick to get out of bed; This is a spontaneous report from a contactable nurse (patient herself). A 27-year-old female patient, not pregnant, received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiry date unknown), intramuscularly on the left arm, on 04Feb2021 16:15, at single dose, for covid-19 immunization. Medical history included having had fillers before. Concomitant medications were not reported. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number unknown) on an unknown date at 27-years-old for covid-19 immunization. The vaccine was received at the hospital. The patient did not receive any other vaccines within 4 weeks prior to the COVID-19 vaccine. She was not diagnosed with COVID-19 prior to vaccination. She stated having had fillers before and now where she's had the fillers, she was swollen and it's very painful. This was also besides the fever, body aches, and chills she has. As for the lot number of the vaccine, she was too sick to get out of bed to look for it. All the adverse events happened on 05Feb2021. The outcome of all the adverse events was unknown. The patient has not been COVID-19-tested post-vaccination. Information about the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1082892
Sex: M
Age:
State: NC

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 03/08/2021
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: Tingling in torso, arms and legs almost like pins and needles sensation; This is a spontaneous report from a contactable healthcare professional (patient). A 33-year-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, lot number: EN9581, expiry date not reported), via an unspecified route of administration at the left arm on 05Feb2021 10:15 at single dose for COVID-19 immunization. Medical history included hyperlipidaemia, COVID-19, and sulfa drugs. The patient was vaccinated at a hospital. Concomitant medications included atorvastatin (LIPITOR) and fish oil. Historical vaccine included first dose of bnt162b2 (lot number: EK9231, expiry date not reported) in the right arm on 15Jan2021 08:00 at single dose for COVID-19 immunization. The patient experienced tingling in torso, arms and legs almost like pins and needles sensation on 05Feb2021 16:00 with outcome of unknown. No therapeutic measurement was given as a result of the event.

Other Meds: LIPITOR; FISH OIL

Current Illness:

ID: 1082893
Sex: M
Age:
State: NJ

Vax Date: 01/31/2021
Onset Date: 02/04/2021
Rec V Date: 03/08/2021
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: severe dizziness on arising from bed; This is a spontaneous report from a contactable consumer (patient). A 77-year-old male patient received his first dose of bnt162b2 (BNT162B2 reported as PFIZER COVID-19 VACCINE; lot number: EJ1686; expiration date: unknown) at 77-year-old vaccination age via an unspecified route of administration in the left arm on 31Jan2021 13:15 at a single dose for covid-19 immunization. Medical history included allergy to artificial crabmeat, NIDDM (non-insulin-dependent diabetes mellitus), HBP (high blood pressure), GERD (gastrooesophageal reflux disease) and BPH (benign prostatic hyperplasia). The patient was not diagnosed with COVID-19 prior to vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine but has other medications the patient received within 2 weeks of vaccination. On 04Feb2021, the patient experienced severe dizziness on arising from bed at 0800 hours. The dizziness subsided approximately 6 minutes later with no recurrence. The event did not require treatment. The event was considered non-serious. The patient has not been tested for COVID-19 since the vaccination. The outcome of the event was recovered on 04Feb2021 0806 hours. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1082894
Sex: F
Age:
State: NY

Vax Date: 01/14/2021
Onset Date: 02/04/2021
Rec V Date: 03/08/2021
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: Headache; Tired; Arm soreness; This is a spontaneous report from a contactable consumer, the patient. This 56-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number: EL3247), dose 1, single dose via an unspecified route of administration in the left arm on 14Jan2021 at 20:30 for COVID-19 vaccination. There was no relevant medical history. There were no known drug allergies. The patient was not pregnant. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included colecalciferol (VITAMIN D), estradiol (VIVELLE) patch .05 estrogen only and famotidine (PEPCID). On 04Feb2021 at 12:00, the patient had headache, tired and arm soreness. No treatment was received for headache, tired and arm soreness. The clinical outcome of headache, tired and arm soreness was recovered.

Other Meds: VITAMIN D [COLECALCIFEROL]; VIVELLE [ESTRADIOL]; PEPCID [FAMOTIDINE]

Current Illness:

ID: 1082895
Sex: F
Age:
State: MI

Vax Date: 02/04/2021
Onset Date: 02/01/2021
Rec V Date: 03/08/2021
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: generalized aches and pains; fatigue; head fog; hot and cold flashes; Nausea; vomiting; insomnia; Site pain persisted; This is a spontaneous report from a contactable nurse (patient). A 44-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EL9265 and expiry date: unknown), via an unspecified route of administration on the right arm, 04Feb2021 16:00 at a single dose for COVID-19 immunization. Medical history included HTN and Asthma. Patient was not pregnant at the time of administration. Concomitant medication included Olmesartan, bupropion hydrochloride (WELLBUTRIN), loratadine and vitamins. The patient previously took sulfur and morphine and experienced allergies. Events began with insomnia the night of injection on 04Feb2021 23:00. The following morning of 05Feb2021, patient woke with generalized aches and pains, fatigue, head fog, and hot & cold flashes. She had nausea and vomiting midday. Symptoms resolved by second day on 05Feb2021 but site pain persisted on Feb2021. TYLENOL and ibuprofen were given as treatments for the events. The reporter considered the events non-serious. Patient was not diagnosed with COVID-19 prior to vaccination and has not been tested post-vaccination.

Other Meds: OLMESARTAN; WELLBUTRIN; LORATADINE

Current Illness:

ID: 1082896
Sex: F
Age:
State: FL

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 03/08/2021
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: Headache; Tired; feeling unwell; This is a spontaneous report from a contactable consumer (Patient). A 72-year-old female patient (non-pregnant) received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EN5318), via an unspecified route of administration on the left arm on 02Feb2021 at the age of 72 years old at a single dose for COVID-19 immunisation. The patient medical history was none. Concomitant medications included ibuprofen and paracetamol (TYLENOL). The patient previously took keflex [cefalexin monohydrate] and experienced allergy, first dose of BNT162B2 (lot number: EI8982) on arm left on 12Jan2021 04:00 PM at the age of 72 years old for COVID-19 immunisation. 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. It was reported that on 02Feb2021 20:00 PM, Headache started about 5-7 hours after injection. Continued for another 24 hours. Tired and feeling unwell also for the 30-36 hours after injection. The patient assessed the events as non-serious. No treatment was received in response to the adverse 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 Feb2021.

Other Meds: IBUPROFEN; TYLENOL

Current Illness:

ID: 1082897
Sex: F
Age:
State:

Vax Date: 02/05/2021
Onset Date:
Rec V Date: 03/08/2021
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: Diarrhea; Joint pain; Arm pain at injection site; Nausea; This is a spontaneous report from a contactable consumer (patient). A 57 (unspecified unit) old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection, unknown lot number and expiration), via an unspecified route of administration in arm on 05Feb2021 at a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient received COVID-19 vaccine on 05Feb2021 and experienced diarrhea, joint pain, arm pain at injection site, and nausea on unspecified dates. The patient wanted to know if these are side effects of the vaccine. The patient took Imodium for diarrhea. Outcome of the events was unknown. The events were assessed as non-serious. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1082898
Sex: F
Age:
State: NC

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 03/08/2021
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: Loss of taste and smell; Loss of taste and smell; This is a spontaneous report from a contactable consumer (patient). A 49-year-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot and expiry were not reported), via an unspecified route of administration on right arm on 04Feb2021 at 12:30 (at the age of 49years) at single dose for Covid-19 immunization. The patient was not pregnant at the time of vaccination. Medical history included high blood pressure and high cholesterol. The patient had no allergies to medications, food, or other products. The patient's concomitant medications were not reported. Historical vaccine included first dose of bnt162b2 on right arm on 14Jan2021 at 08:00 (at the age of 49years) at single dose for Covid-19 immunization. The patient experienced loss of taste and smell on 05Feb2021 at 18:00. Treatment was received for the adverse events. The events were considered non-serious as did not result in death, non-life threatening, did not cause/prolong hospitalization, non- disabling/incapacitating and no congenital anomaly/birth defect. The facility where the most recent COVID-19 vaccine was administered was in a military base. 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 had not been tested for COVID-19. The outcome of the events was recovering. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1082899
Sex: F
Age:
State: NC

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 03/08/2021
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: has a lump at the site where vaccine was administered; started scratching the arm at the injection site; This is a spontaneous report from a contactable consumer (patient). An elderly female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EL9263), via an unspecified route of administration on 29Jan2021 at 16:45 at a single dose in the left arm for COVID-19 immunization. Medical history included rheumatoid arthritis (RA), hypertension, and allergies. Concomitant medications were not specified. 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. On 05Feb2021, the patient started scratching the arm at the injection site and has a lump at the site where vaccine was administered. The patient did not receive any treatment for the reported events. Since the vaccination, the patient has not been tested for COVID-19. The patient was not pregnant at the time of vaccination. The outcome of the events was unknown.

Other Meds:

Current Illness:

ID: 1082900
Sex: F
Age:
State: AR

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 03/08/2021
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: Fatigue; severe chills; slight fever; received second dose of bnt162b2 on 04Feb202; received the first dose of bnt162b2 on 12Jan2021; This is a spontaneous report from a contactable other health professional. A 41-year-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, in the left arm, on 04Feb2021 13:30 at SINGLE DOSE for covid-19 immunization. Medical history included IgA nephropathy, chronic kidney disease, hypertension, familial hyperlipidemia and pre diabetes/metabolic syndrome. The patient received the first dose of bnt162b2 on 12Jan2021 at 14:15 in the left arm, covid-19 immunization. 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. Concomitant medication included losartan and labetalol, both from an unspecified date for an unknown indication. On 05Feb2021 07:15, the patient experienced fatigue, severe chills and slight fever. The outcome of events fatigue, severe chills and slight fever was recovering. Outcome of the other event was unknown. Follow-up attempts are completed. The information on the batch/lot number has been obtained.

Other Meds: LOSARTAN; LABETALOL

Current Illness:

ID: 1082901
Sex: F
Age:
State: IL

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 03/08/2021
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: sharp, unremitting R axillary pain; lymphadenopathy/swelling; This is a spontaneous report from a contactable physician, reporting for herself. A 56-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EL9269), intramuscularly at the right deltoid on 04Feb2021 12:30 at a single dose for COVID-19 immunization. Vaccination was done in a Public Health Department. The patient's medical history and concomitant medications were not reported. The patient was not pregnant at the time of vaccination. 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 has not been tested for COVID-19. There were no other medications received within 2 weeks of vaccination. There were no known drug allergies. The patient previously received fist dose of BNT162B2 (lot number: EL3246), intramuscularly at the right arm on 14Jan2021 14:30 for COVID-19 immunization. On 05Feb2021 22:00, the patient developed sharp, unremitting right axillary pain and lymphadenopathy. She had a normal mammogram earlier this year and no injuries or other reasons to suspect this pain and swelling was due to anything other than a reaction to the 2nd COVID-19 vax. The patient was not worried nor upset, just wanted to pass along this information. No treatment was received. The outcome of the events was not recovered.

Other Meds:

Current Illness:

ID: 1082902
Sex: M
Age:
State: MO

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 03/08/2021
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: ears plugged with fluid (cannot hear well); ears plugged with fluid (cannot hear well); ears plugged with fluid (cannot hear well); loss of balance; unstable walking around; This is a spontaneous report from a contactable consumer (patient). A 48-year-old male patient received the first dose of BNT162B2 (BNT162B2, lot number: EN6201), via an unspecified route of administration, on 05Feb2021 03:00 PM at a single dose on the left arm for COVID-19 immunization. The patient did not receive any other vaccines within 4 weeks prior to receiving bnt162b2. Prior to vaccination, the patient was not diagnosed with COVID-19. Medical history included diabetes, high blood pressure, pancreatic cancer in 2012 and fully recovered no treatment since 2013 and NED all scans have been clear. Concomitant medications included ondansetron (ZOFRAN), prochlorperazine (COMPAZINE SPANSULE), and oxycodone (OXYCODONE). The patient previously took Zocyn and experienced migraines (Allergies to medications, food, or other products: The antibiotic Zocyn causes migraines). On 06Feb2021 at 12:45 AM, the patient woke up in the middle of the night with ears plugged with fluid (cannot hear well) and had a loss of balance. He was unstable walking around. Since the vaccination, the patient has not been tested for COVID-19. It was unknown if patient received treatment for the reported adverse events. Outcome of the events was not recovered. The patient assessed the events as non-serious. No follow up attempts are possible. No further information is expected.

Other Meds: ZOFRAN [ONDANSETRON]; COMPAZINE SPANSULE; OXYCODONE

Current Illness:

ID: 1082903
Sex: M
Age:
State: MN

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 03/08/2021
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: extreme fatigue; feeling of faint; This is a spontaneous report from a contactable consumer (patient). An 80-year-old male patient received the first dose of BNT162B2 (Pfizer-BioNTech COVID-19 vaccine, lot number: EN5318) at the hospital, via an unspecified route of administration on 03Feb2021 at 17:00 at a single dose on the right arm for COVID-19 immunization. Medical history included 10 nerves killed in back lumbar region on an unknown date (reported as '5/02'). The patient had no known allergies. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant medication included levothyroxine sodium (manufacturer unknown), gabapentin (manufacturer unknown) and tamsulosin hcl (manufacturer unknown). The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Since the vaccination, the patient has not been tested for COVID-19. The patient experienced extreme fatigue and feeling of faint on 05Feb2021 at 07:00. The patient did not receive any treatment for the events. The patient recovered from the events on an unspecified date. The events were reported as non-serious.

Other Meds: LEVOTHYROXINE SODIUM; GABAPENTIN; TAMSULOSIN HCL

Current Illness:

ID: 1082904
Sex: M
Age:
State: IN

Vax Date: 01/22/2021
Onset Date: 01/25/2021
Rec V Date: 03/08/2021
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: allergies; allergy induced asthma; This is a spontaneous report from a contactable physician (patient). This physician reported similar events for 2 patients. This is the first of two reports. A 50-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiry date: unknown), via an unspecified route of administration on 22Jan2021 at a single dose for COVID-19 immunization. Medical history included HTN (hypertension, Asthma, Allergies and allergy to penicillin. Concomitant medication included varicella zoster vaccine rge (SHINGRIX), olmesartan (OLMESARTAN), nebivolol hydrochloride (BYSTOLIC), hydrochlorothiazide and triamterene (MAXZIDE). It started several days after the vaccine. Patient have allergies and allergy induced asthma on 25Jan2021. It started slowly and became worse. Patient had to take allergy pills and double his steroid inhalent. Its the middle of winter and this never happens. No treatment was received. Outcome of the events was not recovered. The reporter considered the events non-serious. Information on the lot/batch number has been requested; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021125841 Same reporter/product/event, different patient

Other Meds: OLMESARTAN; BYSTOLIC; MAXZIDE

Current Illness:

ID: 1082905
Sex: M
Age:
State: VA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 03/08/2021
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: Numbness and tingling down my left arm to my middle and ring finger; Numbness and tingling down my left arm to my middle and ring finger; Occasional thoracic spasms; chills; This is a spontaneous report received from a contactable consumer (patient). A 57-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: ELD26U, expiry date: unknown), via an unspecified route of administration in the left arm, on 05Feb2021 09:00, at single dose, for COVID-19 immunization, at a physician's office. The patient's medical history and concomitant medications were not reported. The patient was not diagnosed with COVID-19 prior to vaccination and was not tested for COVID-19 since the vaccination. Historical vaccine included the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL3303, expiry date: unknown) received at 57 years of age, via an unspecified route of administration in the left arm, on 15Jan2021 10:45, at single dose, for COVID-19 immunization. The patient did not receive any other vaccines within 4 weeks prior to the BNT162B2 vaccine. On 06Feb2021 at 10:00, the patient experienced "numbness and tingling down my left arm to my middle and ring finger and occasional thoracic spasms and chills". It was unknown if treatment was provided. The outcome of the events was unknown. The reporter assessed the events as non-serious.

Other Meds:

Current Illness:

ID: 1082906
Sex: M
Age:
State: NY

Vax Date: 01/31/2021
Onset Date:
Rec V Date: 03/08/2021
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: very painful arm; chills; extreme fatigue; Moderate prefrontal headaches; mild nausea; This is a spontaneous report from a contactable consumer (patient) reporting for himself. A 26-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number: EL3247), on the left arm, via an unspecified route of administration, on 31Jan2021 12:00 pm at single dose for COVID-19 immunization. Medical history was reported as none. The patient has no allergies. There are no concomitant medications. The patient previously received the first dose of BNT162B2 (lot number: EL3248) on 10Jan2021 at 08:00 am on the left arm for COVID 19 immunization. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. No other medications taken with 2 weeks of vaccination. The patient was not diagnosed with COVID-19 prior to vaccination. On an unspecified date, 48 hours after the second dose, it was reported that the patient had very painful arm, chills, and extreme fatigue. On an unspecified date, 8 days after the second dose, the patient had moderate prefrontal headaches and mild nausea. No treatment was received for the events. The events were considered as non-serious and the events did not result in death, life-threatening condition, hospitalization, disability or congenital anomaly. The patient was tested for COVID-19 since the vaccination on 02Feb2021 via nasal swab with a negative result. The patient was vaccinated in a hospital. The outcome of the events was reported as recovering.

Other Meds:

Current Illness:

ID: 1082907
Sex: F
Age:
State: OR

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 03/08/2021
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: Extreme dizziness; nausea; It felt like the worst motion sickness all day; Disorientation/Hard time with orientation; This is a spontaneous report from a contactable consumer (patient). A 29-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, lot number and expiry date not reported), via an unspecified route of administration at the left arm on 04Feb2021 09:00 at single dose for COVID-19 immunization. Medical history was none. Concomitant medications were not reported. The patient was not pregnant at the time of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient had no allergies to medications, food, or other products. The patient was not diagnosed with COVID-19 prior to vaccination. Since the vaccination, the patient has not been tested for COVID-19. On 05Feb2021 09:00, the patient experienced extreme dizziness, nausea, it felt like the worst motion sickness all day, and disorientation/hard time with orientation. No treatment was given as a result of the events. Clinical outcome of the events was recovering. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1082908
Sex: M
Age:
State: CO

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 03/08/2021
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: Severe flu like symptoms; fatigue; muscle and joint pains; muscle and joint pains; headache; fever and chills; This is a spontaneous report from a contactable physician (patient). A 79-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number LTM 2), via an unspecified route of administration (arm right) on 04Feb2021 00:00 (12 AM) at SINGLE DOSE for covid-19 immunisation, at 79 years old. Medical history included prostate cancer from an unknown date. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient received no other medications within 2 weeks of vaccination. No allergies to medications, food or other products. 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's concomitant medications were not reported. The patient experienced severe flu like symptoms; fatigue; muscle and joint pains; headache; and fever and chills on 04Feb2021. Treatment was not received for the adverse events. Outcome of the events was recovering. The events were reported as non-serious.

Other Meds:

Current Illness:

ID: 1082909
Sex: M
Age:
State: MI

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 03/08/2021
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: Headache; Low grade fever; Nausea; Diarrhea; Sore injection site; Dose 1 administration date:21Jan2021/ Dose 2 administration date:04Feb2021.; This is a spontaneous report from a contactable consumer (patient). A 28-year-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot: EL3248), via an unspecified route of administration on right arm on 04Feb2021 at 14:00 (at the age of 28years) at single dose for covid-19 immunization. Medical history included asthma. Concomitant medications included cetirizine hydrochloride (ZYRTEC) and an unspecified multivitamin which were received within 2 weeks. Historical vaccine included first dose of bnt162b2 (lot: EL3248) on left arm on 21Jan2021 at 16:30 (at the age of 28years) for COVID-19 immunization. On 05Feb2021 at 12:00, the patient experienced headache, low grade fever, nausea, diarrhea, and sore injection site. No treatment was received for the adverse event. The events were considered by the patient as non-serious as did not results in death, non-life threatening, did not cause/prolong hospitalization, non-disabling/incapacitating and no Congenital anomaly/birth defect. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The facility where the most recent COVID-19 vaccine was administered at the workplace clinic. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The outcome of the events headache, pyrexia, nausea, diarrhoea and vaccination site pain was recovered in Feb2021.

Other Meds: ZYRTEC [CETIRIZINE HYDROCHLORIDE]

Current Illness:

ID: 1082910
Sex: F
Age:
State: CA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 03/08/2021
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: Sore at injection site; numbness to elbow; This is a spontaneous report from a contactable consumer. A 66-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; lot number: 10T EL 9262), via an unspecified route of administration on 05Feb2021 13:30 at SINGLE DOSE in left arm for covid-19 immunisation. Medical history included hypersensitivity allergies: Yes. Concomitant medications included ashwagandha, ascorbic acid (VIT C). On 06Feb2021 04:00, the patient experienced Sore at injection site and numbness to elbow. The patient did not receive treatment for the events. The outcome of the events was not recovered. The patient was not diagnosed with COVID-19 prior to vaccination. Since the vaccination, the patient has not been tested for COVID-19.

Other Meds: ASHWAGANDHA; VIT C

Current Illness:

ID: 1082911
Sex: F
Age:
State: NJ

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 03/08/2021
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: pain in arm; This is a spontaneous report from a contactable consumer (patient) reporting for herself. A 70-year-old female patient started to receive the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number: EM9809), on the left arm, via an unspecified route of administration on 05Feb2021 17:45 (5:45 pm) at single dose for COVID-19 immunisation. Medical history included high blood pressure (HBP) and allergies to medications, food, or other products, both from an unknown date. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient received an unspecified medication within 2 weeks of vaccination. On 05Feb2021, it was reported that the patient experienced pain in arm. No treatment was received. The event was considered as non-serious and it did not result in death, life threatening condition, hospitalization, disability, or congenital anomaly. The patient was not diagnosed with COVID-19 prior to vaccination and has not been tested for COVID-19 since vaccination. The patient was vaccinated in a school. The outcome of the event was reported as not recovered. The patient is not pregnant.

Other Meds:

Current Illness:

ID: 1082912
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 03/08/2021
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: dizziness; felt stiff; This is a spontaneous report from a contactable consumer. A male patient in the 90's received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration from an unspecified date to an unspecified date at SINGLE DOSE for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The consumer reported that she is reporting about her friend. He got his first covid vaccine and afterwards experienced dizziness on unspecified date. He also did yard work for about 6 hours felt stiff so he took some acetaminophen and oxycodone (PERCOCET) and she wonders if that could have interfered with the vaccine effectiveness. The consumer was asking if taking acetaminophen and oxycodone after getting the covid vaccine will nullify the vaccine. 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: 1082913
Sex: M
Age:
State: FL

Vax Date: 01/15/2021
Onset Date: 01/18/2021
Rec V Date: 03/08/2021
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: diarrhea; This is a spontaneous report from a contactable consumer (patient). A 60-year-old male patient, who was also 60-year-old at the time of vaccination, received first dose of bnt162b2 (BNT162B2), lot number not reported, via an unspecified route of administration on left arm from 15Jan2021 14:00 as dose for COVID-19 immunisation. The patient medical history was not reported. There were no concomitant medications. The patient received second dose of BNT162B2 on 05Feb2021 at 02:00 PM on left arm. On 18Jan2021 10:00, patient experienced diarrhea with outcome of not recovered. Therapeutic measures were taken as a result of diarrhea which includes Imodium. Information regarding the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1082914
Sex: F
Age:
State: WI

Vax Date:
Onset Date:
Rec V Date: 03/08/2021
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: Achiness; A sore arm; tachycardia, reaching 120-130 BPM; Keep her awake at night; This is a spontaneous report from a contactable nurse, the patient. A 70-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration on an unspecified date in 2021 as a single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. After receiving the vaccine, the patient had no reaction after the 15-minute observation period. On an unspecified date in 2021, 6 hours after the vaccination, the patient experienced achiness and a sore arm, which she expected, but she also experienced tachycardia, reaching 120-130 BPM for 8 hours through the night. It was enough to keep her awake at night. She mentioned that it resolved the next day and experienced no other cardiac symptoms. She asked if it would be safe for her to receive the 2nd dose. She already consulted with her doctor who had not yet responded. The clinical outcome of achiness, sore arm, keep her awake at night was unknown; of tachycardia, reaching 120-130 BPM was resolved on an unspecified date in 2021. Information on the Lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1082915
Sex: M
Age:
State: AZ

Vax Date: 01/31/2021
Onset Date: 02/04/2021
Rec V Date: 03/08/2021
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: Insomnia; 103 Fever; Chills; Muscle and Total body pain; Muscle and Total body pain; Profuse vomiting; Migraine; Tiredness; Stomach pain; Diarrhea; This 37- year-old male patient contactable consumer (reported for himself) received the first dose BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE lot El3247), via an unspecified route of administration, on 31Jan2021 at 10:00 AM (at the age of 37-years-old) as a single dose for COVID-19 immunization, in left arm. The facility where COVID-19 vaccine was administered was at a Hospital. She has had no other vaccines on the same day or in the past 4 weeks. The patient has allergy to Ceclor and Cephalosporin. The patient has no relevant medical history and is not taking any concomitant medications. On 04Feb2021 at 5:00PM, the patient experienced 103 Fever, Chills, Muscle and Total body pain, Profuse vomiting, Migraine, Tiredness, Stomach pain and Diarrhea, Insomnia. The patient did not receive treatment for the events. The clinical outcome of the events 103 Fever, Chills, Muscle and Total body pain, Profuse vomiting, Migraine, Tiredness, Stomach pain and Diarrhea, Insomnia was not recovered. It was reported that since the vaccination, the patient had been tested for COVID-19 via nasal swab on 05Feb2021 with a negative result.

Other Meds:

Current Illness:

ID: 1082916
Sex: M
Age:
State: NV

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 03/08/2021
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: Feeling unwell; Injection site pain; Headache; Chills; Nausea; This is a spontaneous report from a contactable consumer (patient). A 47-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 (13:15) at a single dose on the right arm, with route of administration unspecified, for COVID-19 immunization. Medical history included diabetes. Concomitant medications included amlodipine, atorvastatin, lisinopril and metformin HCl. On 29Jan2021 (19:00), the patient was feeling unwell; had injection site pain; headache; chills; and nausea. The patient did not receive any treatment for the reported adverse events. The outcome of the events was not recovered for 'feeling unwell' and 'headache'; was recovered on 01Feb2021 for 'injection site pain' and 'chills'; and was unknown for 'nausea'. The patient was not diagnosed with COVID-19 prior to vaccination; and had not tested positive post-vaccination. Information about lot/batch number has been requested.

Other Meds: AMLODIPINE; ATORVASTATIN; LISINOPRIL; METFORMIN HCL

Current Illness:

ID: 1082917
Sex: U
Age:
State: CA

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 03/08/2021
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: I got shingles after both my first and second dose of the vaccine; This is a spontaneous report from a contactable consumer (patient). A 63-year-old patient of an unspecified gender received bnt162b2 (BNT162B2 reported as PFIZER COVID 19 VACCINE) at 63-year-old vaccination age for the first dose via an unspecified route of administration in the left arm on 13Jan2021 18:30 (unknown lot number and expiration date) at a single dose and at 63-year-old vaccination age for the second dose via an unspecified route of administration in the left arm on 03Feb2021 (unknown lot number and expiration date) at a single dose for covid-19 immunisation. The patient's medical history was none. The patient has no known allergies. The patient was not diagnosed with COVID prior vaccination. The patient did not receive other vaccine in four weeks and did not have other medication in two weeks. The patient received vaccine in the hospital. On 20Jan2021, the patient had shingles after both the first and the second dose of the vaccine. The event resulted in a doctor or other healthcare professional office/clinic visit. The patient received treatment which included valacyclovir (VALTREX) medication and antiviral cream. The patient has been COVID tested (nasal swab) post vaccination with unknown results on an unspecified date. The outcome of the event was not recovered. Information on the Lot/Batch number has been requested.

Other Meds:

Current Illness:

ID: 1082918
Sex: F
Age:
State:

Vax Date: 02/06/2021
Onset Date: 02/01/2021
Rec V Date: 03/08/2021
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: redness underneath her opposite (non-injection arm) armpit and on both sides of her opposite elbow; This is a spontaneous report from a contactable consumer (patient). This 68-year-old female patient received 2nd dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) at single dose via an unknown route in arm on 06Feb2021 for Covid-19 immunization. Medical history and concomitant drug were not provided. Historical vaccine included 1st dose of BNT162B2 VACCINE for Covid-19 immunization and didn't have any reaction. Patient reported a redness underneath her opposite (non-injection arm) armpit and on both sides of her opposite elbow, but nothing at the vaccination site. She stated that it was "not itchy or anything". She stated redness under armpit and fleshy side of the elbow, but nothing at the vaccine, opposite from injection site. Outcome of the event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1082919
Sex: F
Age:
State: TX

Vax Date:
Onset Date:
Rec V Date: 03/08/2021
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: her throat felt like she had something stuck/she felt like she had a lump in her throat; This is a spontaneous report received from a contactable pharmacist. An unspecified aged female patient received first dose BNT162B2 (PFIZER-BIONTECH COVID-19 Vaccine, formulation: Solution for injection) via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunization. Patient relevant medical history and concomitant medications were not reported. On an unspecified date it was reported that patient got the COVID vaccine and her throat felt like she had something stuck that lasted for a few minutes. Stated that it started two hours after the vaccine. Stated that she felt like she had a lump in her throat for about four days and then it went away. Stated that the nurse is worried about her mom getting the second one if this one is that bad. Wanted to know if her mom should get the second shot. Outcome of event was unknown. Information on the lot/ batch number has been requested.

Other Meds:

Current Illness:

ID: 1082920
Sex: F
Age:
State: IN

Vax Date:
Onset Date:
Rec V Date: 03/08/2021
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: I have allergies/ My Mom has same thing happen; allergy induced asthma/ My Mom has same thing happen; This is a spontaneous report from a contactable physician. This physician reported similar events for two patients. This is the second of two reports. A female patient of an unspecified age (mother) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiration date unknown), via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The physician has allergies and allergy induced asthma. It started slowly and became worse. The physician had to take allergy pills and double the steroid inhalent. It's the middle of winter this never happens. The physician's mom has same thing happen and she had vaccine near the same time. The outcome of the events was unknown. Information on the lot/batch number has been requested.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021122699 Same reporter/product/event, different patient

Other Meds:

Current Illness:

ID: 1082921
Sex: M
Age:
State: MI

Vax Date: 01/20/2021
Onset Date: 01/31/2021
Rec V Date: 03/08/2021
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: shingles; he started feeling strange; This is a spontaneous report from a contactable consumer. A 71-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/lot number: EL9261), via an unspecified route of administration on the left arm, at the age of 71 years, on 20Jan2021 at 0.3 mL, single for covid-19 immunisation. Medical history included white blood cell count decreased from an unknown date and unknown if ongoing. The patient stated that his white blood cell count was usually on the low side and his doctor sends him to a hematologist to do whatever, then they say he was fine. Concomitant medication included an unspecified flu shot. The patient said that he had his first Pfizer COVID-19 shot 20Jan2021, and this coming Wednesday he was supposed to have his second shot, but unfortunately in the interim he found out he has shingles. He says he would like to know if he can get a second shot or would he need to hold off. He says that developed shingles 9 days later after getting first COVID-19 vaccine shot (31Jan2021), and he doesn't want to do something that will be a problem. He says that he was on an antiviral to treat the shingles. No further details provided about the antiviral. He says he didn't go see his doctor until last Wednesday, he thinks he has been suffering from shingles since 07Feb2021 or a little before that when he started feeling strange. The patient clarified he meant 31Jan2021 since he began dealing with this. The patient said when he was diagnosed with shingles they didn't do any tests, the doctor walked into the room and looked at him, though he didn't have a lot then, over the days it has gotten worse. Therapeutic measures were taken as a result of shingles (herpes zoster). The outcome of the events was unknown.

Other Meds:

Current Illness:

ID: 1082922
Sex: F
Age:
State: NY

Vax Date: 01/07/2021
Onset Date: 01/01/2021
Rec V Date: 03/08/2021
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: Subjects has COVID-19; Subjects has COVID-19; This is a spontaneous report received from a contactable consumer. A 42-year-old female patient received first dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation solution for injection) via an unspecified route pf administration on 07Jan2021 at single dose for Covid-19 immunization. Patient medical history and concomitant medications were not reported. Lab data was reported as patient was tested post vaccination and results was reported as unknown. On an unspecified date in Jan2021 it was reported as subjects has COVID-19. Outcome of events was unknown. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1082923
Sex: M
Age:
State: AZ

Vax Date: 01/13/2021
Onset Date: 02/01/2021
Rec V Date: 03/08/2021
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: shingles; rash; shoulder pain; little nerve pain thing; This is a spontaneous report from a contactable consumer (patient). A 42-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: from vaccine card: EL then either 0 or O 142), via an unspecified route of administration by injection once to left arm on 13Jan2021 at single dose for prevention (covid-19 immunisation). Medical history was none. There were no concomitant medications. Patient was diagnosed with shingles about 3 weeks after receiving his first injection of the Pfizer covid-19 vaccine. This male consumer received his first injection of the Pfizer-BioNTech COVID-19 vaccine on 13Jan2021. He reported being diagnosed with shingles last Thursday (04Feb2021) and stated his symptoms started that same week (Feb2021), which were described as rash and shoulder pain. He reported his shingles are improved and are scabbing over. The consumer was prescribed and was taking valacyclovir for treatment of the shingles. Shingles was now (base on 09Feb2021) healing. Shingles occurred after the first dose, he was not blaming the vaccine, he did fine, he had no reaction, his first dose was on 13Jan2021, and shingles came up last week (on 04Feb2021). The consumer's second dose of the covid-19 vaccine was supposed to be last week (base on 09Feb2021) but this physician recommended he delay due to the shingles. Currently on an antiviral, getting better, feels great, wondering if he can proceed with second dosage. The consumer was wanting to get his second dose this week (base on 09Feb2021). No investigation Assessment. Outcome: he scabbed up, he never had fever, just a rash and the little nerve pain thing (Feb2021), that's it. Stated he had no reaction to the vaccine whatsoever. The outcome of shingles was recovering, of other events was unknown. Information on the lot/ batch number has been requested.

Other Meds:

Current Illness:

ID: 1082924
Sex: F
Age:
State:

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 03/08/2021
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: Feeling sick; Headache; Fever; Body aches; Nausea; Lethargy; This is a spontaneous report from a contactable consumer, the patient. A 36-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Lot number unknown), via an unspecified route of administration on 02Feb2021 at 15:00 as a single dose for COVID-19 vaccination. Medical history and concomitant medications were not reported. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Lot number unknown), via an unspecified route of administration on an unknown date as a single dose for COVID-19 vaccination. On 03Feb2021 at 06:00 the patient woke up feeling sick with headache, fever, body aches, nausea, and lethargy. The patient was asking how long do side effects normally last. The clinical outcome of the feeling sick with headache, fever, body aches, nausea, and lethargy was unknown. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1082925
Sex: M
Age:
State: OH

Vax Date: 01/19/2021
Onset Date: 02/07/2021
Rec V Date: 03/08/2021
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: First time occurrence of shingles on right shoulder, arm pit and scapula area; This is a spontaneous report from a contactable nurse (patient). A 47-year-old male patient received his second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EL1284), intramuscularly on right arm at 10:00 on 19Jan2021 (at 47 years old) at single dose for COVID-19 immunization. Medical history included hypertension (HTN). The patient's concomitant medications included: fingolimod hydrochloride (GILENYA), baclofen, mirabegron (MYRBETRIQ), bupropion hydrochloride (WELLBUTRIN), and hydroxyzine hydrochloride (HYDROXIN). The patient previously took his first dose of BNT162B2 (Lot number: EK5730) on Left Arm at 10:00 AM on 29Dec2020 for COVID-19 immunization, Ceftin and experienced drug allergies, erythromycin and experienced allergies. The patient experienced first time occurrence of shingles on right shoulder, arm pit and scapula area on 07Feb2021. The patient underwent lab tests and procedures which included Nasal Swab (PCR): negative on 05Feb2021. The patient received Valcyclovir as treatment. The outcome of event was not recovered.

Other Meds: GILENYA; BACLOFEN; MYRBETRIQ; WELLBUTRIN; HYDROXIN

Current Illness:

ID: 1082926
Sex: F
Age:
State:

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 03/08/2021
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: big bump that came on her right thumb/ It is on the hand right below the thumb where there is a normal bone, but on the side of the thumb it is enlarged./ she has a bump on her bone on the bottom of her thumb that is on the same arm as the vaccine; arm pain the next day and sore while sleeping the night of the vaccine; This is a spontaneous report from a contactable consumer (patient). A 58-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: EL1283, Expiry date: unknown), via an unspecified route of administration on 22Jan2021 at 01:30 (age at the time of vaccination was 58-years-old) on right arm at single dose to prevent from getting COVID. Medical history was none. The patient reported that, she is calling because she had her vaccination for COVID on the 22Jan2021. She has a big bump that came on her right thumb. She doesn't know if that is side effect. It is on the hand right below the thumb where there is a normal bone, but on the side of the thumb it is enlarged on 22Jan2021. She works in health facility. she is on two medications. One is a topical medication. The reporter did not provide the medication names. She doesn't think it is relevant. History of all previous immunization with the Pfizer vaccine considered as suspect were one. Additional Vaccines Administered on Same Date of the Pfizer Suspect was none. No adverse event requires a visit to Emergency Room or Physician Office. No Prior Vaccinations (within 4 weeks). The patient stated that she has a bump on her bone on the bottom of her thumb that is on the same arm as the vaccine she reported arm pain the next day and sore while sleeping the night of the vaccine on 22Jan2021. she wanted to know if this is a side effect. Potential duplicate AE. She was provided information from the attached documents and referred her to HCP. The outcome of the event was not recovered.

Other Meds:

Current Illness:

ID: 1082927
Sex: F
Age:
State: OH

Vax Date:
Onset Date:
Rec V Date: 03/08/2021
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: felt tired; This is a spontaneous report from a sponsored program. A contactable nurse (patient) reported that a 34-year-old female patient received first dose of BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine; lot number and expiry date were unknown), via an unspecified route of administration on unspecified date at a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. She felt tired after getting the first dose of the vaccine on unspecified date. The outcome of the event was unknown. Information on the lot number has been requested.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm