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: 1086960
Sex: F
Age:
State: NY

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 03/10/2021
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: body aches; chills; my back started aching; feeling feverish but no fever; felt like a headache was coming on/was going to get a headache; her arm hurt/arm pain/iced the injection site; never falling back asleep; This is a spontaneous report from a contactable consumer (patient). A 33-year-old female patient received her second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 04Feb2021 15:15 at single dose for COVID-19 immunization. The patient medical history was not reported. There were no concomitant medications. The patient previously received first dose of BNT162B2 on 12Jan2021 for COVID-19 immunization. After 2nd vaccine. The patient felt fine most of the evening and through the night. The patient woke up in the middle of the night around 3/3:30 am (totally normal for her) and felt fine except for some arm pain on 05Feb2021. The patient iced the injection site, but by 4:30/5 the patient was still awake and now felt like she was going to get a headache (also common for patient). The patient took her temperature (was normal), took 2 Tylenol (5am), and went back to bed (but never falling back asleep). The patient left for work at 6:45am. The patient felt totally fine, even energetic, most of the morning. The following day at 10 am caller reported body aches and feeling feverish but no fever. At almost 10am exactly, her back started aching and by 10:30 the patient had full body aches and started getting chills. The patient left work at 11am, was home before 12pm with a temperature of 98.5, took 2 more Tylenol and napped. The patient had no symptoms the rest of the afternoon until 5pm when the back aches returned. Took 2 more Tylenol. The patient napped later in the evening, too, but took 2 more Tylenol at 10pm before going to sleep for the night. Woke up Saturday morning without symptoms. The outcome of events was recovered in Feb2021. Information about Lot/batch number requested.

Other Meds:

Current Illness:

ID: 1086961
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 03/10/2021
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: UTI; This is a spontaneous report from a Pfizer sponsored program Pfizer First Connect. A contactable female consumer (patient) of an unspecified age reported that she received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient experienced UTI (urinary tract infection) on an unspecified date with outcome of unknown. She was currently on antibiotics due to the UTI and wanted to know if that would effect the 2nd dose of the vaccine she was scheduled to get the 2nd dose next Friday 12Feb2021. Information on the Lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1086962
Sex: F
Age:
State:

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 03/10/2021
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: She reports the rash started on her upper body; This is a spontaneous report from a contactable consumer (patient). A female patient of unknown age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 05Feb2021 14:00 at single dose in arm for COVID-19 immunization. Medical history included allergic to sulfa drugs. Concomitant medication included BP medications. The patient received her first dose of Pfizer-Biontech Covid19 vaccine, yesterday 05Feb2021 around 2pm. She reported an all-over body rash that woke her up at 3am which she treated with a ointment that she had "and that helped". She reported the rash started on her upper body, but now radiated all the way down her buttocks and legs. The outcome of the event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1086963
Sex: F
Age:
State: MI

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 03/10/2021
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: Headache; fever; chills; nausea; vomiting; This is a spontaneous report from a contactable consumer (patient). A 27-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 03Feb2021 15:45 at single dose in left arm for COVID-19 immunization. Medical history included allergies to Zithromax. Concomitant medication included topiramate. The patient previously received first dose of BNT162B2 on 13Jan2021 03:45 PM in left arm. The patient had no covid prior vaccination. The patient had no covid tested post vaccination. The patient experienced Headache, fever, chills, nausea, vomiting. Headache began about 2 hours after 2nd dosage administered (03Feb2021 17:45). Rest of symptoms began about 12 hours after headache. Vomiting, fever, chills and nausea all lasted about 8 to 10 hours. Headache lasted about 24 hour. No treatment was received for the events. The outcome of all events was resolved on 04Feb2021. Information about lot/batch has been requested.

Other Meds: TOPIRAMATE

Current Illness:

ID: 1086964
Sex: F
Age:
State: NY

Vax Date: 02/04/2021
Onset Date:
Rec V Date: 03/10/2021
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: stress; She has a cold sore; a little puffy around her lip; This is a spontaneous report from a contactable consumer reporting for self via Pfizer sponsored program. A female patient of an unspecified age (age: 92 or 79, unit: unknown) received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 04Feb2021 at single dose for covid-19 immunisation. Patient received the first dose on unknown date. The patient medical history was not reported. The patient's concomitant medications were not reported. Patient has a cold sore that started coming on a few days ago. It didn't come out yet but it has been a little puffy around her lip starting 3-4 days ago. She stated, with all the stress from the whole year her resistance is probably low but it has nothing to do with the vaccine. She definitely knows it is from all the stress going on. She stated she had relatively no effects from either dose. She asked if it is okay to take Valacyclovir for the cold sore. After verbal response provided, she stated she probably will err on being conservative and not take it. She wanted to take Valaciclovir (for herpes) but she don't want to do anything since she waited so long for the vaccine and she would like to ask if it is okay to take another medication after her 2nd shot. Outcome of events was unknown. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1086965
Sex: F
Age:
State: NY

Vax Date: 02/03/2021
Onset Date: 02/01/2021
Rec V Date: 03/10/2021
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: having lots of Gastrointestinal issues/have gastrointestinal stuff going on; up in the middle of the night; body aches/achy; chills (no fever); nausea; got the sore arm; diarrhea; This is a spontaneous report from a contactable consumer (patient). A 66-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EN5318 (not clarified further)), via an unspecified route of administration on 03Feb2021 at single dose for COVID-19 immunisation and loratadine (CLARITIN), via an unspecified route of administration from 03Feb2021 at an unspecified dose for unspecified indication. Medical history included ongoing High cholesterol and Sleep disorder, both from unknown date. Concomitant medication included alprazolam (XANAX), calcium (CALCIUM), cyanocobalamin (VITAMIN B12), Multivitamin, taking a statin to prevent high cholesterol and L-methylfolate, stated it is like a folic acid drug. Because the patient really can't take anti-depressant she reacted to them all (Unspecified Medications), so that worked for her and helped her to keep up her spirit. The patient reported her side effects. She didn't want to interfere with anything but she was having lots of Gastrointestinal issues which were inconvenient. She was up in the middle of the night, happened not within 48 hour after the first dose of the Pfizer vaccine but around 60 hours after the vaccine, early this morning (06Feb2021) like around 2 am. The patient was having a reaction after the vaccine but they seemed to be like delayed reactions. Not anything with breathing, she had gastrointestinal stuff going on. The patient had chills, no fever, body aches and she was really going to the bathroom nonstop in the night. It seemed to have been like 2 days after she got the shot like they were worst yesterday (05Feb2021). And she experienced achy, chills, nausea, diarrhea and sore arm in Feb2021. She would like to take TYLENOL and IMODIUM and she didn't know what she could take because she didn't want anything to interfere with that as she had been reading a lot. The patient wanted information on IMODIUM to prevent diarrhea, TYLENOL for body aches, chills (no fever), and FLONASE for sinus. The patient did not receive any treatment for the events. The patient actually didn't even take, that morning that day when she was getting the shot, she called the pharmacist to see if she could spray her nose with the FLONASE for sinus and he told her that he didn't think it was a good idea and that maybe she should just take CLARITIN, so she did. But she took CLARITIN that morning (03Feb2021) and she was hoping that didn't interfere. She was just nervous about it as she didn't want that to interfere with the work that it was. The patient was still suffering, less, like she didn't have the diarrhea anymore. She still had a little achy. She did get the sore arm but only for one day, so it wasn't so bad. The action taken in response to the events for loratadine was unknown. The outcome of event diarrhea and got the sore arm was recovered on an unspecified date in Feb2021, of event achy was recovering, of other events was unknown. Information on the lot/batch number has been requested.

Other Meds: XANAX; CALCIUM; VITAMIN B12 [CYANOCOBALAMIN]; L-METHYLFOLATE

Current Illness: High cholesterol

ID: 1086966
Sex: F
Age:
State: IL

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 03/10/2021
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: Appear to be either Shingles or hives, itchy spots on neck face and scalp; Appear to be either Shingles or hives, itchy spots on neck face and scalp; Appear to be either Shingles or hives, itchy spots on neck face and scalp; This is a spontaneous report from a contactable consumer (patient). A 46-years-old female patient received dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (Lot number EL9265), via an unspecified route of administration in left arm on 05Feb2021 10:30 at single dose for COVID-19 immunization. Medical history included Allergic to shellfish, Allergic to soy, Mould allergy, pollen allergies, Atopic dermatitis. There were no concomitant medications. The patient previously took dupilumab (DUPIXENT) from unknown date to 20Dec2020 for Atopic dermatitis. The patient experienced appear to be either shingles or hives, itchy spots on neck face and scalp on 06Feb2021 06:00. Treatment received for the events included Desoxymetasone steroid applied without any effect. The patient was not pregnant. The patient had no COVID prior vaccination. She had no COVID tested post vaccination. There was no other vaccine received at the same date of the COVID-19 vaccine. There was no other vaccine received in four weeks. The outcome of the events was not recovered.

Other Meds:

Current Illness:

ID: 1086967
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 03/10/2021
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: Covid vaccine given, 4 days later infected with Covid; This is a spontaneous report from a contactable Physician. A male patient of an unspecified age received bnt162b2 (BNT162B2) first dose, 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 patient experienced covid vaccine given, 4 days later infected with covid on an unspecified date with outcome of unknown.Reported Question: Covid vaccine given, 4 days later infected with Covid. He was treated with Bamlanivimab 1 week after vaccine. Should this patient got both doses of vaccine in 3 months? Information about Lot/ Batch has been requested.

Other Meds:

Current Illness:

ID: 1086968
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 03/10/2021
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: extremely cold and she thought it's because of the PEG within it; I'm extremely cold/freeze to death; Shaky; This is a spontaneous report from a contactable nurse (patient). A female patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunisation. Medical history included high blood pressure and it hadn't been this high in a quiet a few years, colonoscopy. The patient's concomitant medications were not reported. The patient was extremely cold and she thought it's because of the PEG within it. PEG is one of excipients of BNT162B2. Last year, when the patient had her colonoscopy done, they gave her Gavilyte and she frozen to death, walked like a frozen death person (Miralax/Gavilyte) It was for about a week. She stayed so cold. It took all her vitamins, that stuff was wicked. As she ate different foods that had the component in it. She felt better. The last one she ate was potato chips (eat very few). It was the salt, so she could eat more. The salt in the chips straightened her out. Gavilyte took the salt out of her system. The patient had to drink 12 Gatorades. It was making her fall. It's not the chills, she was cold from the inside out. It was worse than being cold from cleaning a walk in freezer. She was a "walking dead person" same cold. It's that bad. She had 3 outfits on, a cold and blankets. Never been that cold in her life and it was from Gavilyte. (After receiving the first dose of the Pfizer vaccine) She felt that away for about a week and now it's gone. It brought it all back, same feeling, freeze to death, shaky. The patient stated she would see her heart doctor. The outcome of events was unknown. On 17Feb2021 she's scheduled for the 2nd dose of BNT162B2.

Other Meds:

Current Illness:

ID: 1086969
Sex: F
Age:
State:

Vax Date: 02/05/2021
Onset Date:
Rec V Date: 03/10/2021
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: a little tired; her arm is a little sore; This is a spontaneous report from a contactable consumer (patient) from a Pfizer Sponsored Program. A 75-year-old female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration at the night of 05Feb2021 at single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient was a little tired and her arm was a little sore on an unspecified date. The event outcome was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1086970
Sex: M
Age:
State: MD

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 03/10/2021
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: I didn't sleep last night; parts of face and under chine was swollen; BP102 at 3pm blood pressure was 132/82; This is a spontaneous report from a contactable Other HCP. A 68-year-old male patient received first dose of BNT162B2(PFIZER-BIONTECH COVID-19 VACCINE, Lot number: EL9261), via an unspecified route of administration on 05Feb2021 08:15 at single dose, right arm for COVID-19 immunization. Medical history included high blood pressure, Crohn's disease and mental health issues. Known allergies included valproate semisodium(DEPAKOTE) and fluoxetine hydrochloride(PROZAC). The patient's concomitant medications were not reported. The patient didn't sleep last night. Parts of face and under chine was swollen, blood pressure(BP) 102 at 3pm blood pressure was 132/82. Noticed after waking up at 2:30PM. The patient went to sleep at 9:30pm. Events start date was 05Feb2021, 03:00PM. Events resulted in: Doctor or other healthcare professional office/clinic visit. There was no covid prior vaccination, no covid tested post vaccination. No treatment received for the events. The outcome of the events was recovering.

Other Meds:

Current Illness:

ID: 1086971
Sex: F
Age:
State: PA

Vax Date: 01/01/2021
Onset Date: 01/01/2021
Rec V Date: 03/10/2021
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: skin felt like itchy pinpricks all over; tiredness; dizziness/lightheadedness; This is a spontaneous report from a contactable Consumer (Patient). A 74-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL3246), via an unspecified route of administration at left arm on an unknown date in Jan2021 at single dose for covid-19 immunization. The COVID-19 vaccine was administered at Hospital. Medical history included Chronic Sinusitis, patient's known allergies: Systemic steroids, Amoxicillin, Prednisone, Cortizone, Levofloxacin, Famotidine, Apples, Pineapples, Shellfish. Concomitant medication included hydrochlorothiazide, lisinopril (LISINOPRIL AND HYDROCHLOROTHIAZIDE), colecalciferol (D3), cyanocobalamin (VITAMIN B12). The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced Skin felt like itchy pinpricks all over, tiredness, dizziness and lightheadedness for about 2 days happened eight days after receiving first dose on an unknown date in Jan2021. Adverse event resulted in: Doctor or other healthcare professional office/clinic visit. No treatment received for the events. Prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination, the patient was not been tested for COVID-19. The outcome of the events was recovered on an unknown date.

Other Meds: LISINOPRIL AND HYDROCHLOROTHIAZIDE; D3; VITAMIN B12 [CYANOCOBALAMIN]

Current Illness:

ID: 1086972
Sex: F
Age:
State: WY

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 03/10/2021
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: joint pain; weakness; chills; diarrhea; dizziness; minor difficulty breathing; headache; Injection site pain; malaise; muscle cramping; swollen lymph nodes; projectile vomiting; This is a spontaneous report from a contactable consumer (patient). A 50-year-old female patient (not pregnant) received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) (lot number: EN9581) via an unspecified route of administration in right arm on 03Feb2021 15:45 at single dose for covid-19 immunisation. Medical history included diabetes, hypertension (HTN), and gastrooesophageal reflux disease (GERD). Known allergies included xylometazoline hydrochloride (SUDAFED). Concomitant medication included omeprazole (PROTONIX), metformin hydrochloride, sitagliptin (JANUMET), empagliflozin (JARDIANCE), insulin glargine (BASAGLAR), escitalopram oxalate (LEXAPRO). There was no other vaccine in four weeks. The patient had no COVID prior vaccination. The patient had no COVID tested post vaccination. The patient experienced joint pain, weakness, chills, diarrhea, dizziness, minor difficulty breathing, headache, injection site pain, malaise, muscle cramping, swollen lymph nodes, projectile vomiting, all on 04Feb2021 09:15 with outcome of recovering. No treatment received for the events.

Other Meds: PROTONIX [OMEPRAZOLE]; JANUMET [METFORMIN HYDROCHLORIDE;SITAGLIPTIN]; JARDIANCE; BASAGLAR; LEXAPRO

Current Illness:

ID: 1086973
Sex: F
Age:
State: NJ

Vax Date: 02/02/2021
Onset Date: 02/01/2021
Rec V Date: 03/10/2021
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: Severe arm pain going down to hands and fingers.; could not unfold elbow or arm due to pain; She could not dress b/c the feeling of clothing in arm was excruciating.; This is a spontaneous report from a consumer (patient). A 75-year-old female patient received first dose of BNT162B2 (lot/batch number and expiration date were unknown) via an unspecified route of administration at left arm on 02Feb2021 08:00 at single dose for covid-19 vaccine. Medical history included diabetes and hypertension. Unspecified concomitant medication used in two weeks. There was no known allergies. There was no other vaccine in four weeks. Patient did not have COVID prior vaccination. The patient had severe arm pain going down to hands and fingers on 02Feb2021 at 18:00. She had severe sensitivity. She could sleep due to pain but could not unfold elbow or arm due to pain. She could not dress b/c the feeling of clothing in arm was excruciating. She was in tears. It was been about 5 days and the pain and sensitivity has increased every day. Patient had taken paracetamol (Tylenol), ibuprofen (Advil) went to my primary and got prescribed tramadol for pain. Nothing was helping. Patient visited doctor or other healthcare professional office/clinic visit due to events. She did not have COVID tested post vaccination. The outcome of events was not recovered. Information on batch number has been requested.

Other Meds:

Current Illness:

ID: 1086974
Sex: M
Age:
State: CA

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 03/10/2021
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: Rash on back and partially on chest; This is a spontaneous report from a contactable consumer (Patient). A 68-years-old male patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) , via an unspecified route of administration on 23Jan2021 14:00 at single dose at Left arm for covid-19 immunisation . Medical history included type 1 diabetes mellitus. Concomitant medication included insulin. The patient experienced rash on back and partially on chest on 23Jan2021. This has persisted since vaccination date (23Jan2021) until 06Feb2021. Therapeutic measures were taken as a result of rash on back and partially on chest included Benadryl and Calamine. The outcome of event was not recovered. No other vaccine in four weeks; No covid prior vaccination; No covid tested post vaccination. Information on lot/batch number has been requested.

Other Meds: INSULIN

Current Illness:

ID: 1086975
Sex: F
Age:
State: AZ

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 03/10/2021
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: Left hand tingling and cold.; Left hand tingling and cold.; This is a spontaneous report from a contactable consumer (patient). A 39-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (Lot number EL9264), via an unspecified route of administration in left arm on 06Feb2021 15:30 at single dose for COVID-19 immunisation. Medical history included asthma. She had no known allergies. Concomitant medication included beclometasone dipropionate (QVAR) and mometasone furoate (FLONASE). The patient experienced left hand tingling and cold on 06Feb2021 15:30. No treatment received for the events. The patient was not pregnant. The patient had no COVID prior vaccination. She had no COVID tested post vaccination. The outcome of the events was recovering.

Other Meds: QVAR; FLONASE [MOMETASONE FUROATE]

Current Illness:

ID: 1086976
Sex: F
Age:
State: IL

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 03/10/2021
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: received first dose on 27Dec2020 and second dose on 13Jan2021; received first dose on 27Dec2020 and second dose on 13Jan2021; chills; fever; dizziness; headache; nausea; lack of appetite; fatigue; hot flashes; This is a spontaneous report from a contactable nurse (patient). A 27-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EK4176, ), intramuscular in the Left arm on 13Jan2021 13:30 PM at single dose for covid-19 immunisation. Patient was not pregnant. Medical history was None. No known allergies. No other medical history. No other vaccine in four weeks. Other medications in two weeks included Birth control. The patient previously took first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number=EH9899, administrator route=Intramuscular, vaccine location=Left arm) on 27Dec2020 at age of 27 years old for COVID-19 immunization and nothing after the first shot. The night of the second shot (13Jan2021) patient had chills, fever, dizziness, headache, nausea, lack of appetite, fatigue, and hot flashes until the following two days (15Jan2021). Then dizziness, fatigue, nausea, lack of appetite, chills, and hot flashes for about a week (in Jan2021). No treatment for the adverse events. No covid prior vaccination. No covid tested post vaccination. The patient administered vaccine in Doctor's office/urgent care. The outcome of 'received first dose on 27dec2020 and second dose on 13jan2021' was unknown, of other events was recovered.

Other Meds:

Current Illness:

ID: 1086977
Sex: M
Age:
State: FL

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 03/10/2021
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: Soreness at injection site; tiredness; achiness; slight fever 99.2 degrees; This is a spontaneous report from a contactable consumer(patient) . A 72-year-old male patient received the second dose of BNT162B2 (lot number: EL9262), via an unspecified route of administration in left arm, on 05Feb2021 15:00 at single dose for COVID-19 immunisation. The patient's medical history was none. Concomitant medications were not reported. The patient had previously received the 1st dose of BNT162B2(Lot number: EL3246) on 15Jan2021 03:00 PM in left arm for COVID-19 immunization. The patient was not diagnosed with COVID-19 prior to vaccination. Since the vaccination, the patient was not tested for COVID-19. No known allergies. No other vaccines were received within 4 weeks. The patient experienced soreness at injection site, tiredness, achiness, slight fever 99.2 degrees on 06Feb2021. No treatment was received for the event. The patient underwent lab test included body temperature: 99.2 degrees on 06Feb2021. The outcome of the events was recovering.

Other Meds:

Current Illness:

ID: 1086978
Sex: F
Age:
State: AL

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 03/10/2021
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: sore arm; slept for 17 straight hours; chills; upset stomach; upper body flushing for up to 4 days later; This is a spontaneous report from a contactable consumer (patient). A 54-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in left arm on 16Jan2021 08:00 at single dose for COVID-19 immunization. Medical history included Known allergies to Possible latex, Diabetes, sleep apnea, PTSD (Post-traumatic stress disorder)/anxiety, herpes, vitamin d deficiency, environmental allergies, asthma. Concomitant medication was unspecified medication in two weeks. On 16Jan2021 08:00, The patient experienced sore arm, slept for 17 straight hours, chills, upset stomach, upper body flushing for up to 4 days later. Treatment received for the events included OTC medications. The patient was not pregnant. She had no COVID tested post vaccination. There was no other vaccine received in four weeks. The outcome of the events was recovered in 2021. information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1086979
Sex: F
Age:
State: IL

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 03/10/2021
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: my heart beating fast/the pulse reading 170; This is a spontaneous report from a contactable consumer (patient). A 75-year-old female patient received first dose bnt162b2 (PFIZER COVID 19 VACCINE, Lot number unknown), via an unspecified route of administration in the right arm on 05Feb2021 15:00 at SINGLE DOSE for covid-19 immunisation. Medical history included arthritis and Penicillin Allergies. The patient was not pregnant. The patient did not receive other vaccine on the same date and in four weeks. The patient's concomitant medications were unspecified other medication in two weeks. Yesterday (05Feb2021) the patient received her first dose of Covid-19 vaccine at (vaccine facility name) around 3PM. They had everyone wait in the observation room for 15 minutes after the shot. She was fine during that time. In the evening around 8PM she noticed that her heart beating fast. A home use Oximeter showed the pulse reading 170 around 10PM. An hour later it went down to 105. This morning it came down to 84. She slept well last night. Her next appointment for the second dose is on 26Feb2021. Ae resulted in [None of the above]. The patient did not receive treatment for adverse event. The patient did not have COVID prior vaccination. The patient did not have COVID tested post vaccination. This event was non-serious and did not result in death and cause/prolong hospitalization, was not life threatening, Disabling/Incapacitating, Congenital anomaly/birth defect. Facility type Vaccine was Hospital. The outcome of the event was recovered on 06Feb2021. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1086980
Sex: F
Age:
State: CA

Vax Date: 02/05/2021
Onset Date: 02/01/2021
Rec V Date: 03/10/2021
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; feeling unwell; muscle pain; chills; injection site pain; This is a spontaneous report from a contactable consumer (patient). An 82-year-old female patient (not pregnant) received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (lot number: EN5318) via an unspecified route of administration in right arm on 05Feb2021 17:15 at single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient previously took bacitracin and experienced allergies, nalidixic acid and experienced allergies. The patient experienced fever, feeling unwell, muscle pain, chills, injection site pain, all in Feb2021. No treatment received. No other vaccine in four weeks. No covid prior vaccination. No covid tested post vaccination. The outcome of the events was not recovered.

Other Meds:

Current Illness:

ID: 1086981
Sex: M
Age:
State: IN

Vax Date: 01/21/2021
Onset Date:
Rec V Date: 03/10/2021
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: inflamed testicle; testicle infection/ got an infection in the testicles; This is a spontaneous report from a contactable consumer (patient). A 74-years-old male patient received the first dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EK9231) , via an unspecified route of administration on 21Jan2021 15:00 at single dose left arm for covid-19 immunisation. Medical history included ongoing inflamed testicle, H blood pressure. Concomitant medication included apixaban (ELIQUIS), venlafaxine, carvedilol, terazosin, lisinopril. The patient was getting ready to take second shot on 14Feb2021, on 04Feb2021 patient started Sulfamethoxazole-TMP Ds Tablets for inflamed testicle. The patient had first shot of the COVID and did not have any problem. Since then patient got an infection in the testicles and then gave antibiotics (treatment) for the 4th of this month. So, the patient had 2, 3 doses of it. The patient was due to have second COVID shot on 14Feb2021 and patient am just trying to find out if patient should stop the antibiotics. The outcome of events was unknown.

Other Meds: ELIQUIS; VENLAFAXINE; CARVEDILOL; TERAZOSIN; LISINOPRIL

Current Illness: Testicular inflammation

ID: 1086982
Sex: F
Age:
State: FL

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 03/10/2021
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; body aches; headache; general malaise; This is a spontaneous report from a consumer (patient). A 66-year-old female patient received first dose of BNT162B2 (lot/batch number and expiration date were unknown) via an unspecified route of administration at left arm on 05Feb2021 13:30 at single dose for COVID-19 immunisation. Medical history included idiopathic hypertrophic subaortic stenosis (IHSS). Unspecified concomitant medication used in two weeks. There was no known allergies. There was no other vaccine in four weeks. Patient did not have COVID prior vaccination. Patient was not pregnant. The patient had fatigue, body aches, headache and general malaise on 06Feb2021 at 08:00 a.m. Patient did not receive any treatment for events. She did not have COVID tested post vaccination. The outcome of events was recovering. Information on batch number has been requested.

Other Meds:

Current Illness:

ID: 1086983
Sex: F
Age:
State:

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 03/10/2021
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: Pt experienced lymph node swelling in arm that injection was given; This is a spontaneous report from a non-contactable pharmacist. A 31-years-old female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL3246), intramuscular on arm on 08Jan2021 at SINGLE DOSE for covid-19 immunisation. Medical history included allergies to sulfa. Concomitant medication included montelukast sodium (SINGULAIR), cetirizine hydrochloride (ZYTREC), and birth control. The patient experienced lymph node swelling in arm that injection was given on 09Jan2021 with outcome of recovered. The patient received the 2nd dose of the vaccine with no issue. No follow-up attempts are possible. No further information is expected.

Other Meds: SINGULAIR; ZYTREC

Current Illness:

ID: 1086984
Sex: F
Age:
State: CA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 03/10/2021
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: This is a spontaneous report from a contactable consumer (patient). A 50-years-old female patient (not pregnant) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration at left arm on 05Feb2021 08:30 at the age of 50-years-old at single dose for COVID-19 immunization. Medical history included obesity, inflammatory lung disease. No known allergies. The patient's concomitant medications were not reported. The historical vaccine included BNT162B2 on 15Jan2021 at the age of 50-years-old for COVID-19 immunization. The patient experienced 6 out of 10 pain, tenderness and mass of some sort behind left collarbone pain radiating toward shoulder and neck, injection site minimally sore on 05Feb2021 20:00. Pain resolves with ibuprofen, no treatment received for the other events. The events outcome was not recovered. No COVID prior vaccination, since the vaccination the patient hadn't been tested for COVID-19. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1086985
Sex: F
Age:
State: GA

Vax Date: 01/14/2021
Onset Date:
Rec V Date: 03/10/2021
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: This is a spontaneous report from a contactable Consumer(patient). This consumer reported similar events for the patient. This is the first of two reports. A 67-year-old female patient received first dose BNT162B2 (Pfizer BioNTech Covid 19 vaccine), via an unspecified route of administration at Arm Right on 14-JAN-2021 at the 67 years old at single dose for COVID-19 immunization. The medical history included breast cancer survivor, allergies to strawberries, bananas, lobster, mahi, whiting fish. The concomitant medications were cholecalciferol (VITAMIN D), ascorbic acid(VITAMIN C), collagen, curcuma longa(TURMERIC) , olive oil. The patient previously took VALIUM and experienced allergy. The patient got hives near her left eye with the first Pfizer shot in 2021 but wasn't sure if that was the cause as she did have food allergies. Her arm was a little stiff but not significantly and she did not have any other side effects in 2021. There was not treatment received for all the events. The patient had no Covid prior vaccination. There was no Covid tested post vaccination. The outcome of the events was recovered in 2021. The information on the batch number has been requested.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021148988 same patient, same product( different dose), similar events

Other Meds: VITAMIN D [COLECALCIFEROL]; VITAMIN C [ASCORBIC ACID]; COLLAGEN; TURMERIC [CURCUMA LONGA]; OLIVE OIL

Current Illness:

ID: 1086986
Sex: F
Age:
State: MA

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 03/10/2021
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: Nausea for 4 days to this point, individual "is never nauseous" and has been since the vaccine; This is a spontaneous report from a contactable consumer. A 75-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on 02Feb2021 at single dose for COVID-19 immunisation. Medical history included thyroid imbalance, high blood pressure. The patient had no known allergies. No other vaccine was received in four weeks. No COVID prior vaccination. The patient's concomitant medications were not reported. The patient experienced nausea for 4 days to this point, she "is never nauseous" and had been since the vaccine on 02Feb2021. No treatment was received for event. No COVID tested post vaccination. The outcome of event was not recovered. Information on lot/batch has been requested.

Other Meds:

Current Illness:

ID: 1086987
Sex: M
Age:
State: GA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 03/10/2021
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: Swollen lymph node in left arm pit pain 3/10; Swollen lymph node in left arm pit pain 3/10; This is a spontaneous report from a contactable consumer (patient). A 37-year-old male patient received his second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number=El9264), via an unspecified route of administration on left arm on 05Feb2021 15:00 (at age of 37 years old) at single dose for COVID-19 immunization. The patient medical history was not reported. There were no concomitant medications. The patient previously received his first dose of BNT162B2 (lot number=El3302) on left arm on 15Jan2021 01:00 PM for COVID-19 immunization. The patient experienced swollen lymph node in left arm pit pain 3/10 on 06Feb2021. The outcome of events was not recovered.

Other Meds:

Current Illness:

ID: 1086988
Sex: F
Age:
State: NJ

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 03/10/2021
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: Chilblain's of all 10 fingers. Onset 32 hours post vaccine./ Chilblains persist now 86 hours s/p vaccine; Fatigue; myalgia's; chills; This is a spontaneous report from a contactable physician reporting for herself. A 41-year-old female patient (not pregnant) received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EL9264), intramuscularly on 03Feb2021 09:00 on left arm at single dose for COVID-19 immunization. Facility type vaccine was at Public Health Clinic/ facility. Medical history included gluten intolerance, known allergies: Penicillin, latex, suspect that she had COVID-19 in Feb2020. Concomitant medications included estradiol (DIVIGEL), progesterone (PROMETRIUM). The patient experienced Chilblain's of all 10 fingers, fatigue, myalgia's, chills, all on 04Feb2021 23:00. Chilblains persist now 86 hours s/p vaccine. No treatment was received for the events. The outcome of the events were not resolved.

Other Meds: DIVIGEL; PROMETRIUM [PROGESTERONE]

Current Illness:

ID: 1086989
Sex: F
Age:
State: TX

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 03/10/2021
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: nausea; General malaise; diarrhea; localized pain 3-4/10; This is a spontaneous report from a contactable nurse (patient). The nurse reported 2 reports for same patient, same product. This is the first report. A 39-years-old female patient (not pregnant) received 1st dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: Ej1685), intramuscular at arm left on 22Dec2020 at the age of 39-years-old at single dose for COVID-19 immunization. The patient medical history was not reported. Concomitant medication included VITAMIN B complex (B COMPLEX), collagen marine, methylsulfonylmethane (MARINE COLLAGEN PEPTIDES WITH MSM), saw palmetto [serenoa repens] and zinc. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient had allergies to Tramadol and Lexapro. The patient experienced general malaise with nausea and diarrhea, localized pain 3-4/10 after first dose on 22Dec2020 for 5 days (as reported). Therapeutic measures were taken as a result of general malaise with adverse event included antihistamine (as reported). The events outcome was recovering. No COVID prior vaccination, since the vaccination the patient hadn't been tested for COVID-19.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021148928 same patient, same product (second dose), different events with time gap

Other Meds: B COMPLEX [VITAMIN B COMPLEX]; MARINE COLLAGEN PEPTIDES WITH MSM; SAW PALMETTO [SERENOA REPENS]; ZINC

Current Illness:

ID: 1086990
Sex: F
Age:
State: TX

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 03/10/2021
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: after about 5-6 hrs left side of my face became partially numb/feels like a hand is on my face/ Now been 4 days and still somewhat numb; This is a spontaneous report from a contactable consumer (patient). A 67-years-old female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on left arm on 03Feb2021 09:00 am at SINGLE DOSE for covid-19 immunisation. Medical history included sjogren's syndrome, allergies to sulfa. The patient's concomitant medications were not reported. It is reported on 03Feb2021 02:00 PM, about 5-6 hours after the vaccination, left side of patient face became partially numb. Everything functions fine but feels like a hand is on her face. Went to doctor who couldn't find anything else wrong and encouraged her to still get second shot. Now been 4 days and still somewhat numb, possible getting better but hard to tell. No treatment received for the events. Outcome of the event was not recovered. The patient is not pregnant. No covid prior vaccination. No covid tested post vaccination.

Other Meds:

Current Illness:

ID: 1086991
Sex: F
Age:
State: NY

Vax Date: 01/17/2021
Onset Date: 01/01/2021
Rec V Date: 03/10/2021
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: Started as localized tingling/pins and needle sensation by injection site approximately 4 hours after initial injection.; the sensation spread to all extremities (arms, hands, legs, and feet).; This is a spontaneous report from a contactable consumer (patient). This 27-year-old female patient received dose 1 of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number EL3247) via an unspecified route of administration on 17Jan2021 at 15:00 (at the age of 27-years-old) as a single dose in the left arm for COVID-19 immunization. Medical history was not reported. The patient was not pregnant at the time of vaccination. It was unknown if the patient had COVID-19 prior to vaccination. The patient did not receive any other vaccines within 4 weeks prior to the vaccine. The patient did not receive any concomitant medications. The patient previously received cefprozil (CEFZIL) and vancomycin from unknown dates and experienced allergy. On 17Jan2021 at 19:00, the patient experienced localized tingling/pins and needle sensation by the injection site approximately 4 hours after initial injection. Over the course of the next day the sensation spread to all extremities (arms, hands, legs, and feet). It was three weeks since first dose and sensation had lessened but still felt at times. The patient did not receive any treatment for the events. The outcome of tingling by the injection site and sensation spread to all extremities was not recovered. It was also reported the patient had not been tested for COVID-19 since the vaccine. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1086992
Sex: F
Age:
State: NY

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 03/10/2021
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: Fever at 102; Aches; Nausea; Chills; Headache; This is a spontaneous report from a contactable consumer (patient). A non-pregnant 51-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 in left arm, on 01Feb2021 at 07:15 AM, at a single dose, for COVID-19 immunization. The patient's medical history included allergies to penicillin and diagnosed with COVID-19 prior vaccination. There were no concomitant medications. No other vaccine was administered in four weeks. The patient received the first dose of BNT162B2 on 12Jan2021 at 05:00 PM for COVID-19 immunization (in left arm). On 01Feb2021 at 05:00 PM (around 10 hours after the patient received the vaccine), the patient had symptoms including fever at 102, aches, nausea, chills, and headache. The patient was unable to go to work for 2 days. No treatment was received for the adverse events. The patient underwent COVID-19 test post vaccination that was negative on 04Feb2021. The patient recovered from the events in Feb2021. Information about lot number and expiration date for the suspect product will be requested in follow-up attempts.

Other Meds:

Current Illness:

ID: 1086993
Sex: F
Age:
State: AK

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 03/10/2021
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: Swollen, painful lymph node in left armpit 30hrs after vaccine; Swollen, painful lymph node in left armpit 30hrs after vaccine; This is a spontaneous report from a contactable nurse (patient). This 30-year-old non-pregnant female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; lot number EN9581) via unspecified route of administration in the left arm on 05Feb2021 at 14:15 (at the age of 30-years-old) as a single dose for COVID-19 immunization. Medical history included allergy to sulfa from an unknown date and unknown if ongoing. The patient did not have COVID prior to vaccination. Concomitant medications were not reported. The patient previously received the first dose of BNT162B2 (lot number EL3246) in the left arm on 15Jan2021 at 14:00 (at the age of 30-years-old) for COVID-19 immunization. On 06Feb2021 at 20:00 the patient experienced swollen, painful lymph node in left armpit 30 hours after vaccine. No treatment was provided for the events. The clinical outcomes of swollen, painful lymph node in left armpit 30 hours after vaccine were unknown. It was also reported the patient had not been COVID tested post vaccination.

Other Meds:

Current Illness:

ID: 1086994
Sex: F
Age:
State: IA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 03/10/2021
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: Mere stiffness of muscle/ Felt like my muscle did not want to slide in movement; This is a spontaneous report from a contactable consumer (patient). This 71-year-old female patient received dose 1 of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number EL9261) via an unspecified route of administration on 05Feb2021 at 11:00 as a single dose in the right arm for COVID-19 immunization. The patient did not have any medical history ("0"). The patient was not pregnant at the time of vaccination. 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 vaccine. Concomitant medications included pantoprazole, sertraline hydrochloride (ZOLOFT), valacyclovir, and biotin from unknown dates for unknown indications. The patient did not have any known allergies. On 05Feb2021 at 22:00, the patient experienced mere stiffness of muscle that set in at 12 hours and was mostly gone at 24 hours. It felt like the muscle did not want to slide in movement. The patient reported it was not terribly severe and was really to be expected. The patient did not receive any treatment for the event. The outcome of mere stiffness of muscle was recovered. It was also reported that the patient was not tested for COVID-19 after vaccination. No follow-up attempts are needed. No further information is expected.

Other Meds: PANTOPRAZOLE; ZOLOFT; VALACYCLOVIR [VALACICLOVIR]; BIOTIN

Current Illness:

ID: 1086995
Sex: F
Age:
State: IA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 03/10/2021
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: Muscle aches (back); Injection site pain; Headache; Flushing in face; Brain fog; This is a spontaneous report from a contactable other hcp (reporting for herself) A 28-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot# EL1283), via an unspecified route of administration single dose on 06Feb2021 10:15 (at the age of 28) left arm for covid-19 immunisation. The first dose (lot# EL12849) was taken on 15Jan2021 10:15 am, left arm. The patient medical history was not reported. There were no concomitant medications. No other vaccine was received in four weeks. The patient experienced muscle aches on 06Feb2021 19:00, injection site pain on 06Feb2021 19:00, headache on 06Feb2021 19:00, flushing in face on 06Feb2021 19:00, brain fog on 06Feb2021 19:00. No treatment received. The events outcome was not recovered.

Other Meds:

Current Illness:

ID: 1086996
Sex: F
Age:
State: MA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 03/10/2021
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: My heart rate elevated to 120bpm; This side effect was unexpected, uncomfortable; This side effect was unexpected, uncomfortable and resulted in me being unable to work for the rest of the day.; This 25- year-old female patient contactable consumer (reported for herself) received the first dose BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE lot EL3247), via an unspecified route of administration, on 03Feb2021 at 1:00 PM (at the age of 25-years-old) as a single dose for COVID-19 immunization, in left arm. She has had no other vaccines in the past 4 weeks. Patient has not taken any medications in the past 2 weeks. The patient has no relevant medical history and is not taking any concomitant medications. The patient is not pregnant. Prior to the vaccination, the patient was not diagnosed with COVID-19. On 03-FEB-2021 13:05, she reported: my heart rate elevated to 120bpm approximately 5 minutes after receiving the Pfizer COVID19 vaccine. This side effect was unexpected, uncomfortable and resulted in me being unable to work for the rest of the day. This side effect lasted approximately 36 hours. Patient did not receive any treatment. The outcome of the events heart rate elevated and unable to work the rest of the day was recovered. It was reported that since the vaccination, the patient had not been tested for COVID-19.

Other Meds:

Current Illness:

ID: 1086997
Sex: F
Age:
State: NY

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 03/10/2021
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: injection site pain, redness, and swelling; injection site pain, redness, and swelling; injection site pain, redness, and swelling; headache; chills; muscle and joint pain; muscle and joint pain; nausea; dizziness; weakness; This is a spontaneous report from a contactable consumer (the patient). A 66-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EM9809), via an unspecified route of administration in the left arm on 06Feb2021 13:30 (at the age of 66-years-old) as a single dose for COVID-19 immunization. The patient's medical history included slightly elevated blood pressure, not taking medication, and COVID prior to vaccination, on an unspecified date. The patient had no known allergies. The patient was not pregnant at the time of vaccination. Concomitant medications included paracetamol (TYLENOL) and vitamin supplements. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. On 06Feb2021 16:00, the patient experienced injection site pain, redness, and swelling; headache, chills, muscle and joint pain, nausea, dizziness and weakness. No treatment was received for the events. The clinical outcome of the events was not recovered. It was also reported that since the vaccination, the patient had not been tested for COVID-19.

Other Meds: TYLENOL

Current Illness:

ID: 1086998
Sex: F
Age:
State: TX

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 03/10/2021
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: bone ache; body shaking chills; no appetite; exhaustion; headache; occasional nausea; incapacitating fever; This is a spontaneous report from a contactable consumer, the patient. This 67-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number: EL9265), dose 2 , single dose via an unspecified route of administration in the left arm on 02Feb2021 at 14:00 (at the age of 67 years-old) for COVID-19 vaccination. The patient was not pregnant. Medical history included primary immunodeficiency, diabetes, irritable bowel disease, gastroesophageal reflux disease (GERD), high cholesterol and allergy to cefazolin (ANCEF). Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number: EL3248, dose 1 on 12Jan2021 at 2:15 PM in the left arm. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included famotidine, lansoprazole, pioglitazone and rosuvastatin. The patient did not receive any other vaccine within 4 weeks prior to the vaccine. On 03Feb2021 at 09:00 AM, the patient experienced bone ache, body shaking chills, no appetite, exhaustion, headache, occasional nausea and incapacitating fever. Treatment was not received for the events. The clinical outcome of bone ache, body shaking chills, no appetite, exhaustion, headache, occasional nausea and incapacitating fever was recovering. It was also reported that since the vaccination, the patient had not been tested for COVID-19.

Other Meds: FAMOTIDINE; LANSOPRAZOLE; PIOGLITAZONE; ROSUVASTATIN

Current Illness:

ID: 1087000
Sex: F
Age:
State: NY

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 03/10/2021
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: Fever ranging from 100 to 100.9; Chills; Headache; Soreness at site of injection; This is a spontaneous report from a contactable consumer (patient). A non-pregnant 60-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number: EL3249), via an unspecified route of administration in left arm, on 05Feb2021 at 12:30 PM, at a single dose, for COVID-19 immunization. The patient's medical history was not reported. There were no concomitant medications. The patient previously took the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number: EK9231) on 13Jan2021 at 01:45 PM for COVID-19 immunization (in left arm). The patient had no known allergies. The patient was not diagnosed with COVID-19 prior vaccination. No other vaccine was administered in four weeks. The vaccine was administered in a hospital facility. On 06Feb2021 at 02:00 AM, the patient experienced fever ranging from 100 to 100.9 accompanied by chills and moderate headache as well. Fever subsided by the morning of 07Feb2021 and headache was mild by then. The patient also experienced soreness at site of injection on 06Feb2021 at 02:00 AM only if she touches it. No treatment was administered for the adverse events. The patient has not been tested for COVID-19 post vaccination. The patient was recovering from the events.

Other Meds:

Current Illness:

ID: 1087001
Sex: F
Age:
State: AL

Vax Date: 01/29/2021
Onset Date: 02/03/2021
Rec V Date: 03/10/2021
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: Very tired; headaches; This is a spontaneous report from a contactable consumer, the patient. An 85-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Lot EN5318, first dose) solution for injection intramuscular in the left arm on 29Jan2021 at 13:15 (at the age of 85-years-old) at single dose for COVID-19 vaccination. The patient was not pregnant at the time of vaccination. Medical history included blood pressure and known allergies: penicillin. Concomitant medications were not reported. The patient did not receive any other vaccine within 4 weeks prior to the vaccine. Prior to the vaccination, the patient was not diagnosed with COVID-19. On 03Feb2021 at 07:00, the patient experienced very tired and headaches. No treatment was provided for the events very tired and headaches. The outcome of the events very tired and headaches was not recovered. Since the vaccination, the patient has not been tested for COVID-19.

Other Meds:

Current Illness:

ID: 1087002
Sex: M
Age:
State: PA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 03/10/2021
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: Soreness in injection site; headache; fever like symptoms; This is a spontaneous report from a contactable healthcare professional (patient). A 35-year-old male patient received second dose of BNT162B2 (brand=Pfizer), lot no. EN5318, via an unspecified route of administration (left arm) on 04Feb2021 15:15 at a single dose for COVID-19 immunization. Medical history included hereditary slightly higher blood pressure without medicine. No known allergies. No covid prior to vaccination. Concomitant medications included losartan and acetylsalicylic acid (ASPIRIN). The patient previously took first dose of BNT162B2 (brand=Pfizer) for COVID-19 immunization on 12Jan2021 04:15 PM (lot no. EL3249, left arm). No other vaccine in four weeks. On 05Feb2021 05:00 PM (as reported), the patient experienced soreness in injection site followed by headache and fever like symptoms that only lasted 12 hrs. The symptoms showed up around 24 hours after getting the second dose. No treatment received for the events. No covid test post vaccination. The patient recovered from all events on 06Feb2021 05:00.

Other Meds: LOSARTAN; ASPIRIN [ACETYLSALICYLIC ACID]

Current Illness:

ID: 1087003
Sex: M
Age:
State: CA

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 03/10/2021
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: Drenching night sweats; This is a spontaneous report from a contactable physician (patient). An 80-year-old male patient received the 2nd dose of bnt162b2 (BNT162B2, lot # EL3249) intramuscular at single dose at left arm on 04Feb2021 08:30 for COVID-19 immunisation. Medical history included hypertension, gout, no known allergies. The patient had not experienced COVID -19 prior vaccination. Concomitant medication in two weeks included metoprolol (manufacturer unknown), irbesartan (manufacturer unknown), allopurinol (manufacturer unknown), ASA (manufacturer unknown). The patient previously received the 1st dose of bnt162b2 (BNT162B2, lot # EK9231) intramuscular at single dose at left arm on 15Jan2021 09:00 for COVID-19 immunisation. No other vaccine received in four weeks. The patient experienced drenching night sweats on 06Feb2021 01:30. Course events was as follows. drenching night sweats 2nd and 3rd nights. This report written morning after 3rd night, so the reporter did not know if sweats will continue. No treatment received. COVID was not tested post vaccination. The outcome of event was recovered in Feb2021 at time of reporting.

Other Meds: METOPROLOL; IRBESARTAN; ALLOPURINOL; ASA

Current Illness:

ID: 1087004
Sex: F
Age:
State: TX

Vax Date: 02/02/2021
Onset Date: 02/04/2021
Rec V Date: 03/10/2021
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: Diarrhea; This is a spontaneous report from a contactable consumer (the patient). A non-pregnant 72-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: UNKNOWN), via an unspecified route of administration, in the left arm on 02Feb2021 at 02:30 AM (at the age of 72-years) as a single dose for COVID-19 immunization. Medical history included carpal tunnel syndrome. (The patient stated she received the first dose of the vaccine a week ago. She was prescribed Methylprednisolone for her carpal tunnel problem. She stated its not due to COVID shot as she had it - carpel tunnel syndrome before. She wanted to know if there is any interaction with Methylprednisolone and COVID vaccine). The patient did not have any known allergies to medications, food, or other products. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medication taken within two weeks of vaccination included atenolol, cetirizine hydrochloride (CETRIZINE), pantoprazole, celecoxib (CELEXA) , vitamin b complex (VITAMIN B). The patient received other vaccines within four weeks prior to the vaccination, which included varicella zoster vaccine RGE (CHO) (SHINGRIX), dose 2 in the left arm as a single dose on 13Jan2021 for immunization. On 04Feb2021 at 10:00 AM the patient experienced diarrhea. No treatment was given. The clinical outcome of diarrhea was not recovered. It was also reported that since the vaccination, the patient had not been tested for COVID-19. Information about lot number has been requested.

Other Meds: ATENOLOL; CETRIZINE; PANTOPRAZOLE; CELEXA [CELECOXIB]; VITAMIN B

Current Illness:

ID: 1087005
Sex: F
Age:
State: AZ

Vax Date: 02/01/2021
Onset Date:
Rec V Date: 03/10/2021
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: seasonal allergies; This is a spontaneous report from a Pfizer sponsored program received from a contactable consumer (patient). A female patient of an unspecified age received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in Feb2021 at a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient previously took first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on an unspecified date for COVID-19 immunization. On an unspecified date, the patient experienced seasonal allergies. Patient wanted to know if she can take pseudoephedrine for the seasonal allergies. The outcome of the event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1087006
Sex: F
Age:
State:

Vax Date: 02/04/2021
Onset Date: 02/01/2021
Rec V Date: 03/10/2021
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: Scratchy throat; Shortness of breath; Hoarseness; Dry mouth; Wheezy; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age (reported as 66) received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 04Feb2021 at a single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. On an unspecified date in Feb2021, the patient experienced scratchy throat, shortness of breath, hoarseness, dry mouth, and wheezy. The outcome of the events recovered on 07Feb2021. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1087007
Sex: M
Age:
State: NY

Vax Date: 02/06/2021
Onset Date: 02/01/2021
Rec V Date: 03/10/2021
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: wasn't able to sleep; felt like he was in a refrigerator; shaking; lower back pain; The patient reported receiving the Pfizer vaccine in his right arm; right arm/shoulder pain; right arm/shoulder pain; This is a spontaneous report from a contactable consumer (patient). An 82-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number and expiry date were not reported), via an unspecified route of administration on 06Feb2021 at a single dose on the right arm for COVID-19 immunization. The patient also started to receive mirtazapine (MIRTAZAPINE, 50 mg, Capsule, soft), via an unspecified route of administration, from an unspecified date at 50 mg, once a day for sleep. Medical history included sleep (disorder). Concomitant medications included aspirin [acetylsalicylic acid], calcium, escitalopram, finasteride, lamotrigine, simvastatin, tamsulosin. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiry date were not reported), on an unspecified date for COVID-19 immunization. The patient reported receiving the Pfizer vaccine in his right arm on 06Feb2021. That evening he took his nightly medication and went to bed at 11:30 pm. He stated he wasn't able to sleep because he felt like he was in a refrigerator and he was shaking. He had lower back pain, right arm/shoulder pain, and went to the bathroom 5 times (all on an unspecified date in Feb2021), which was not normal for him. The patient added that it was the second dosage of the Pfizer (Covid-19 Vaccine) her received on 06Feb2021. And he had some negative response: a little pain in his shoulder but the worst thing that happened, he went to bed 11:30 did not sleep at all. At 11:30 night, he took his medication (Mirtazapine) and went to bed. He was shaking and he had to put another blanket on himself. Eventually, it was okay, but the problem is he was not able to sleep all night, from 11:30 to 9' O clock this morning (07Feb2021). Consumer stated, "Yesterday my wife and I had the second dose of the Pfizer and I had really strange reaction and I will tell you what it was. Last night at about 11:30 I took my night medicine (later clarified as Mirtazapine), I went to bedroom, I started shaking all over. And the worst part is from 11:30 to 10 o' clock this morning, I was not able to sleep. There is slight pain in my shoulder". When confirmed if the consumer wanted to report the same or have any questions, consumer stated, "No, we have no problem with temperature is fine, the oxygen is fine. Just I don't understand why in fact the medication (mirtazapine) is to induce sleeping, use to for sleep within half hour but it didn't help. I wanted to know what happened. So, this will eventually go away?" The action taken in response to the events for mirtazapine was unknown. Outcome of the events was unknown. Information on batch number has been requested.

Other Meds: ASPIRIN [ACETYLSALICYLIC ACID]; CALCIUM; ESCITALOPRAM; FINASTERIDE; LAMOTRIGINE; SIMVASTATIN; TAMSULOSIN

Current Illness:

ID: 1087008
Sex: F
Age:
State: AL

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 03/10/2021
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: fever; chills; back pain; injection site redness w/ itching & heat; injection site redness w/ itching & heat; injection site redness w/ itching & heat; injection site redness w/ itching & heat; swelling under arm; head ache; This is a spontaneous report from a contactable other healthcare professional (patient). A 57-year-old female patient received the second dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: F19264), via an unspecified route of administration on 05Feb2021 09:45 at a single dose for COVID-19 immunization. The patient's medical history included hypothyroidism and sulfer allergy. The patient was not pregnant at the time of vaccination. Concomitant medication included thyroid (ARMOUR THYROID) and rosuvastatin. The patient previously took the first dose of bnt162b2 (lot number: EL1283) in the right arm on 15Jan2021 at the age of 57 years old for COVID-19 immunization. The patient was not diagnosed with COVID-19 prior to vaccination and had not been tested for COVID-19 since the vaccination. On 05Feb2021 20:30, the patient experienced fever, chills, back pain, injection site redness with itching and heat, swelling under arm, and head ache. No treatment was received for the adverse events. Outcome of the events was recovering.

Other Meds: ARMOUR THYROID; ROSUVASTATIN

Current Illness:

ID: 1087009
Sex: F
Age:
State: TX

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 03/10/2021
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: jitteriness; Sore arm; brain fog; loss of some exercise ability; This is a spontaneous report from a contactable consumer (patient). A 65-year-old female patient received first single dose of BNT162B2 (Pfizer, Solution for injection, batch/lot number and exp date not reported), via an unspecified route of administration (vaccine location: right arm) on 01Feb2021 09:30 for COVID-19 immunization. Facility type vaccine: Hospital. The patient medical history was not reported. The patient had no known allergies. The patient did not have Covid prior vaccination. Concomitant medication/other medications given within two weeks included 'Metropol.' There was no other vaccine given to the patient within four weeks. On 01Feb2021 12:00, the patient experienced sore arm, first day brain fog and loss of some exercise ability. The patient also experienced jitteriness two days after (03Feb2021). No treatment given for the adverse events. The patient was not Covid tested post vaccination. The patient recovered from the events on an unspecified date in Feb2021. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1087010
Sex: F
Age:
State: MI

Vax Date: 01/20/2021
Onset Date:
Rec V Date: 03/10/2021
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: started to feel numb on the fingertips going to the arms, hands, toes, legs/ I am experiencing numbness, my whole body is going numb; Left arm feeling frozen; This is a spontaneous report from a contactable healthcare professional (patient). A female patient of an unspecified age (age: 50, unit: unknown) received her first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date were not provided), via an unspecified route of administration on right arm on 20Jan2021 at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient asked if it was ok to get the second dose of COVID vaccine on 10Feb2021 after experiencing side effects. The patient got the first dose 20Jan2021 and started to feel numb on the fingertips going to the arms, hands, toes, legs, and left arm was feeling frozen; she was experiencing numbness, her whole body was going numb, all on an unspecified date in 2021. She did not report the symptoms to a healthcare professional. The first day, her fingertips were going numb and it's gradually crawling up, now it's going to her hand and up to her arm. She also mentioned that in the beginning, it was her toes and now it was crawling up and when she wakes up in the morning, she has completely numb leg and arms and added that this was progressive. The patient did not receive any treatment and has not visited the emergency room or a physician in response to the events. The outcome of the events was unknown. The events were assessed as non-serious. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm