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**
PLEASE CHECK BACK SOON
Download the files above while you wait.






Manufacturers

Total Manufacturer

Incidents per State

State Total
88,334
AK1,815
AL6,133
AR3,993
AS45
AZ14,539
CA64,759
CO12,159
CT8,719
DC1,747
DE1,868
FL41,499
FM3
GA16,132
GU92
HI2,477
IA4,739
ID2,763
IL21,496
IN23,655
KS4,844
KY8,414
LA5,328
MA15,281
MD13,105
ME3,277
MH8
MI20,143
MN12,873
MO10,275
MP30
MS3,073
MT2,392
NC17,450
ND1,440
NE3,023
NH3,124
NJ19,456
NM4,089
NV4,600
NY36,525
OH20,140
OK6,525
OR8,918
PA24,920
PR2,483
QM2
RI2,092
SC6,952
SD1,243
TN10,038
TX38,745
UT4,482
VA15,477
VI62
VT1,780
WA15,487
WI11,573
WV2,461
WY894
XB5
XL1
XV2

ID: 1150474
Sex: F
Age: 17
State: VA

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: No additional adverse events reported; improperly stored doses of VARlVAX that was administered; This spontaneous report as received from a nurse and an other reporter and refers to a 17-year-old female patient. No information regarding the patient's medical history and concomitant medications was provided. The patient had no illness at time of vaccination and had no pre-existing allergies, birth defects or concurrent medical conditions. There was no concomitant vaccines administered. On 17-FEB-2021, the patient was vaccinated with improperly stored dose of varicella virus vaccine live (oka/merck) (VARIVAX) 0.5 milliliter, subcutaneously (SQ) in the left arm (LA) for prophylaxis (lot # S006021 was verified to be valid, expiration date reported and established as 27-FEB-2021). It was reported that the excursion occurred on 11-FEB-2021 and lasted for 1 hour and 6 minutes, the temperature reached -6 Celsius degrees and the freezer returned to range. The excursion was notced on 19-FEB-2021. The patient did not experience any additional adverse reactions after administration of the vaccine. The vaccine was used according to the instruction and the operator was trained. The improper storage was recorded by digital data logger. This is one of two reports received from the same reporter.; Sender's Comments: US-009507513-2102USA007657:

Other Meds:

Current Illness:

ID: 1150475
Sex: U
Age:
State: IA

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: No additional adverse events reported; PROQUAD that was administered post expiry; This spontaneous report was received from an administrator referring to a patient of unknown age. Information regarding the patient's pertinent medical history, historical drugs, concurrent conditions, concomitant therapies, and previous drug reactions or allergies was not reported. The reporter was inquiring about the potency of measles, mumps, rubella and varicella (oka-merck) virus vaccine live, recombinant human albumin (rha) (PROQUAD) that was administered post expiry. The reporter informed that measles, mumps, rubella and varicella (oka-merck) virus vaccine live , rha (PROQUAD) (lot S027463 expiration date 02-MAR-2021) was given on 09-MAR-2021, at a dose of 0.5 milligram subcutaneously for prophylaxis (vaccination scheme frequency and anatomical site of vaccination were not reported). The reporter informed that measles, mumps, rubella and varicella (oka-merck) virus vaccine live, rha (PROQUAD) was stored properly up through administration. No additional adverse events reported.

Other Meds:

Current Illness:

ID: 1150476
Sex: F
Age: 79
State:

Vax Date: 02/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/31/2021
Hospital: Y

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Discomfort and pressure felt in the bladder; Bleeding from her bladder; Passing clots; A spontaneous report was received from a consumer concerning a female patient who received Modern's COVID-19 vaccine (mRNA-1273) and experienced discomfort and pressure felt in the bladder, passing clots, and bleeding from the bladder. The patient's medical history is unknown. Concomitant medication includes blood pressure medication, cholesterol medication, thyroid medication and aspirin were reported. On 11-FEB-2021, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (lot/batch: 031L20A) for prophylaxis of COVID-19 infection. No adverse events after the first dose were reported. On 10-MAR-2021, the patient received their second of two planned doses of mRNA-1273 (lot/batch: 031L20A) for prophylaxis of COVID-19 infection. On 12-MAR-2021, the patient experienced discomfort and felt pressure in the bladder. She was also passing clots and had CAT scanning which reports as she has many clots in the bladder. She took medicine and was on observation for 48 hours, after which the clots were gone in the scanning and the bleeding stopped. Laboratory tests included CAT scanning, which found that there were more clots in the bladder. The treatment details were not provided. Action taken with mRNA-1273 in response to the events was not applicable she completed both the doses. At the time of this report, the outcome of the events were resolved on 14-MAR-2021.; Reporter's Comments: Very limited information regarding this event/s has been provided at this time. Further information has been requested.

Other Meds: ASPIRIN (E.C.)

Current Illness:

ID: 1150477
Sex: F
Age:
State: UT

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: She had seizure while driving home; Broken back as a result on an accident after receiving the vaccine; Previously diagnosed with seizure but it had been well controlled with medicine; A spontaneous report was received from a consumer concerning a 69 year old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced a seizure while driving home and a broken back as a result of an accident after receiving the vaccine. The patient's medical history was reported as she had previously been diagnosed with a seizure disorder but it had been well controlled with medication. It had been over three to four years since she had a seizure and last time she could remember was in 2017. Concomitant medications taken by the patient were not provided. On 19 Feb 2021, prior to the onset of the event, the patient received the first of two planned doses of mRNA-1273 (Lot number: 023N20A) intramuscularly in the right arm for prophylaxis of COVID-19 infection. On 19 Feb 2021, within about 30 minutes of getting the vaccine she had a seizure while driving home. This led to an vehicular accident and she had to be rushed to the hospital. Her car was totaled and she had a broken back. Treatment activities for event was not provided. Action taken with mRNA-1273 in response to the events was unknown. The outcome of events, Seizure, Spinal fracture , and Condition Worsened, were unknown.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Other Meds:

Current Illness: Seizure (Last seizure was in 2017)

ID: 1150478
Sex: F
Age: 84
State: PA

Vax Date: 02/05/2021
Onset Date: 03/10/2021
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Atrial Fibrillation acted up; Hot in my injection site arm; Itching in my injection site arm; Hives in my injection site arm; Swelling in my injection site arm; Pain in my injection site arm; Red in my injection site arm; A spontaneous report was received from a consumer concerning herself, an 84-years-old female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced atrial fibrillation acted up/atrial fibrillation, hives/urticaria, pain/injection site pain, red/injection site erythema, itching/injection site pruritus, swelling/injection site swelling, hot sensation/injection site warmth. The patient's medical history was not reported. Relevant concomitant medications were included losartan, furosemide, warfarin, thyroid, diltiazem, carvedilol, lorazepam. On 05 Feb 2021, the patient received the first of two planned doses of mRNA-1273 (Lot number: 031L20A) intramuscularly for prophylaxis of COVID-19 infection and patient had no reactions to that vaccination. On 05 Mar 2021, prior to the onset of event, the patient received the second of two planned doses of mRNA-1273 (Batch number: 048A21A) intramuscularly in the left arm deltoid for prophylaxis of COVID-19 infection. On 10 Mar 2021, the patient experienced atrial fibrillation acted up which was considered medically significant and hives, pain, red, itching, swelling and hot sensation in the injection site. No treatment information was provided. Action taken with mRNA-1273 in response to the event was not applicable. The outcome of the events atrial fibrillation acted up, hives, pain, red, itching, swelling and hot sensation in the injection site were unknown, at the time of this report.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.

Other Meds: LOSARTAN; LASIX [FUROSEMIDE]; WARFARIN; ARMOUR THYROID; DILTIAZEM; CARVEDILOL; LORAZEPAM

Current Illness:

ID: 1150479
Sex: M
Age:
State: PA

Vax Date: 02/05/2021
Onset Date: 02/09/2021
Rec V Date: 03/31/2021
Hospital: Y

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: His tongue became puffy; Allergic episode after being on the elliptical bike.; Diagnosed with angioedema from a urologis; Genitals became swollen; A spontaneous report was received from a healthcare professional concerning reporter's husband who is a male patient of unknown age, who received Moderna's COVID-19 Vaccine (mRNA-1273) experienced puffy tongue, angioedema, genitals became swollen and allergic episode after being on the elliptical. The patient's medical history was not provided. Concomitant product use was not provided by the reporter. The patient received his first of two planned doses of mRNA-1273 (Batch number not provided) on an unspecified date. On 05 Feb 2021, approximately 5 days prior to the onset of the symptoms, the patient received his second of two planned doses of mRNA-1273 (Batch number not provided) intramuscularly for prophylaxis of COVID-19 infection. On 09 Feb 2021, initially patient was diagnosed with angioedema and swollen genitals from a urologist and then diagnosed with angioedema and allergic episode from a cardiologist on 23 Feb 2021. the patient was hospitalized on 15 Mar 2021 for puffy tongue. Treatment for the event included Benadryl for angioedema from a urologist when genitals became swollen. The patient received both scheduled doses of mRNA-1273 prior to the events; therefore, action taken with the drug in response to the events is not applicable. The events, diagnosed with angioedema and swollen glands from a urologist were recovered on 12 Feb 2021. The outcome of the events, tongue became puffy, angioedema and allergic episode from a cardiologist, after being on the elliptical bike were not reported.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Other Meds: LISINOPRIL

Current Illness:

ID: 1150480
Sex: F
Age: 28
State: CO

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Anaphylactic reactions; Within 5 minutes could not breath; Heart was racing; A spontaneous report was received from a consumer concerning a 28-yearsold female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced within five minutes could not breath/ dyspnea, heart was racing/ palpitations, and anaphylactic reaction. The patient's medical history was not provided. Concomitant product use was not provided by the reporter. On 13 Feb 2021, five minutes prior to the onset of the symptoms, the patient received their second of two planned doses of mRNA-1273 (Batch Number: 16M20A0) intramuscularly for prophylaxis of COVID-19 infection. On 13 Feb 2021, the patient experienced within 5 minutes could not breathe, heart was racing, and anaphylactic reaction. The patient was seen in the emergency room for treatment. The event anaphylactic reactions was considered as Medically significant. Treatment for the event included oxygen, prednisone, cetirizine hydrochloride, diphenhydramine and two doses of epinephrine. The patient received both scheduled doses of mRNA-1273 prior to the events; therefore, action taken with the drug in response to the events is not applicable. The outcome of the events, could not breathe and heart racing, was resolved on 13 Feb 2021. The outcome of the event anaphylactic reaction was unknown.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1150481
Sex: F
Age: 82
State: NC

Vax Date: 01/22/2021
Onset Date: 03/03/2021
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Had pneumonia; Loss of smell; Loss of taste; received her first Moderna vaccine on 22JAN2021 and has not received second vaccine yet; Tested positive covid; Felt not right; A spontaneous report was received from a consumer concerning herself, a 82-year-old, female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced loss of smell / anosmia, loss of taste/ageusia, had pneumonia, felt not right / malaise, tested positive for Covid and received her first Moderna vaccine on 22JAN2021 and has not received second vaccine yet/product dose omission issue. The patient's medical history, as provided by the reporter, included high blood pressure and high cholesterol. Concomitant medications reported included medications for high blood pressure and for high cholesterol. On 22 Jan 2021, prior to the onset of the events, the patient received the first of two planned doses of mRNA-1273 (Lot number: 013L20A) intramuscularly for prophylaxis of COVID-19 infection. On an unknown date, the patient experienced loss of smell, loss of taste, and had pneumonia. The event, pneumonia, was found to be medically significant. On 03 Mar 2021, the patient was not feeling right and on 04 Mar 2021 she was tested positive for Covid-19. Treatment details included the use of some nebulizers and quarantine. Action taken with mRNA-1273 in response to the events was not reported. The outcome of events, loss of smell, loss of taste, pneumonia, felt not right, and tested for Covid-19 was unknown and of event and has not received second vaccine yet was resolved.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded except for the events of COVID-19 and Pneumonia. The events of COVID-19 and Pneumonia is unlikely related to mRNA-1273 since the vaccine does not contain infectious elements capable of causing infection.

Other Meds:

Current Illness: Blood pressure; Cholesterol

ID: 1150482
Sex: M
Age:
State: MS

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Brain disorder; A spontaneous report was received from a consumer concerning a unknown age of, male patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced ended up in hospital, had brain surgery. The patient's medical history, as provided by the reporter, included brain surgery. Concomitant medications were not reported. On unknown date, prior to the onset of the events, the patient received their dose of two planned doses of mRNA-1273 (Lot number: unknown) intramuscularly in the unknown site for prophylaxis of COVID-19 infection. On unknown date, the patient experienced a brain disorder, ended up in hospital, and had brain surgery. Treatment for the event included brain surgery. Action taken with mRNA-1273 in response to the events was not reported. The outcome for the reported event was unknown.; Reporter's Comments: Very limited information regarding this event has been provided at this time.Further information has been requested.; Sender's Comments: MOD21-056185:Patient case

Other Meds:

Current Illness:

ID: 1150483
Sex: F
Age: 66
State: ID

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: bell's palsy; wrinkles in right eye was very smooth; patient nerves felt like little electricity lines zapping through constantly/still feels like cranial 7 nerves are on fire; most severe ice pick headache/headaches happened in bed while laying down/headaches feel dangerous; heart muscle is a little sore; felt like the biggest wasp in the world stung her head; painful cranial nerve felt like it was on fire (5minutes)/still throbbed a little/hot lava runnign through that nerve for 20 minutes/still nerve pain; afraid to go to sleep; sore arm; A spontaneous report was received from a consumer concerning a 66 year-old female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced sore arm, severe ice pick headache, felt like the biggest wasp in the world stung her head, nerve pain, afraid to go to sleep, most severe ice pick headache/headaches happened in bed while laying down/headaches feel dangerous, patient nerves felt like little electricity lines zapping through constantly/still feels like cranial 7 nerves are on fire, bell's palsy, wrinkles in right eye was very smooth, patient feels pressure in her brain/scared there may be swelling in her brain and heart muscle is a little sore. The patient's medical history included COVID-19 and concomitant medication included Vitamin B12. On 24-FEB-2021, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (Lot number: 011A21A) intramuscularly on left deltoid for prophylaxis of COVID-19 infection. On 25-FEB-2021, one day after receiving mRNA-1273, patient started to experience sore arm. On 26-FEB-2021 patient had severe severe ice pick headache, it felt like the biggest wasp in the world stung her head. She states that it was so painful, and it scarred her. Patient claims she searched it up and it was the cranial 7 nerve from her temple to the back of her head that was on fire which lasted for 5 minutes. The next day 27-FEB-2021 patient states the headache was gone however the nerve still throbbed a little and she was afraid to go to sleep that night. She then woke up that same night with severe ice pick headaches that were slamming into her head. On 28-FEB-2021 the patient took protective measures and got up early and did not experience anything on that day. On 1-MAR-2021, she accidentally touched her husband's forehead with her head lightly and had the most severe ice pick headache (like hot lava running through that nerve for 20 minutes). It alleviated when she took two Advil's. The next morning 2-MAR-2021 the patient nerves felt like little electricity lines zapping through constantly. Patient had looked up Bell's Palsy within our clinical trials and when she went to the doctors on 3-MAR-2021, they said the wrinkles in the right eye was very smooth compared to the left but her eyes were not drooping), doctors believed it to be Bell's palsy and prescribed her Gabapentin, and Zovirax. Since then her ice picks have left but there is still nerve pain. She feels like the cranial 7 nerves are still on fire. All her headaches happened in bed while laying down. Patient states that the headaches feel dangerous and feel like they will cause her permanent damage. Patient still feels pressure in her brain and is scared there may be swelling in her brain. Treatment medications included Advil, Gabapentin, and Zovarax. Seriousness criteria included medically significant events. Action taken with mRNA-1273 in response to the events was not reported. Outcome of the event sore arm, severe ice pick headache, felt like the biggest wasp in the world stung her head, nerve pain, afraid to go to sleep, most severe ice pick headache/headaches happened in bed while laying down/headaches feel dangerous, patient nerves felt like little electricity lines zapping through constantly/still feels like cranial 7 nerves are on fire were considered recovered but bell's palsy, wrinkles in right eye was very smooth, patient feels pressure in her brain/scared there may be swelling in her brain and heart muscle is a little sore were considered unknown.; Reporter's Comments: Based on the current available information which shows a temporal association between the use of the mRNA-1273 and the reported events and excluding all other etiology, a causal relationship cannot be excluded. Headache is consistent with the known safety profile of he vaccine.

Other Meds: VITAMIN B12 NOS

Current Illness:

ID: 1150484
Sex: F
Age: 71
State: FL

Vax Date: 02/10/2021
Onset Date: 03/12/2021
Rec V Date: 03/31/2021
Hospital: Y

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Severe aches on the buttocks; Cramps 2 days after the second shot; A spontaneous report was received on 18 Mar 2021 from a consumer concerning, a 71-year old, female patient, who received Moderna's COVID-19 vaccine and experienced severe aches on the buttocks/ musculoskeletal pain and Cramps 2 days after the second shot/ muscle spasms. The patient's medical history was not provided. Concomitant product use was not provided. On 10 Feb 2021, the patient received the first of two planned doses of mRNA-1273 (Batch number: 010M20A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 10 Mar 2021, approximately 2 days prior to the onset of the symptoms, the patient received the second of two planned doses of mRNA-1273 (Batch number: 031M20A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 12 Mar 2021, the patient experiencing severe aches on the buttocks and cramps 2 days after the second shot. Patient reports being hospitalized for 3 months. Treatment information provided included iv fluids and pain killers Action taken with mRNA-1273 in response to the event was not applicable. The outcome of events, severe aches on the buttocks and cramps, were considered unknown.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1150485
Sex: F
Age:
State: MO

Vax Date: 02/23/2021
Onset Date:
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: first dose caused flareup from my autoimmune disease; A spontaneous report was received from a consumer concerning a female patient, who received Moderna' s COVID-19 vaccine (mRNA-1273) and experienced first dose caused flareup from my autoimmune disease As provided by the reporter ,The patient does not have medical history. On 23 FEB 2021,the patient received her first planned dose of mRNA-1273 intramuscularly in arm for prophylaxis of COVID-19 infection. On 23 FEB 2021, after receiving mRNA-1273, the patient experienced first dose caused flareup from my autoimmune disease 23Mar2021. This patient reports having an autoimmune disease. She is calling because she believes the first dose of the vaccine caused an autoimmune disease flare up. Concerned because she believes she might still be having a flare up by the time its due for her second dose next week. Wants to know if she should postpone her appointment until the flareup is gone and is there a limit for how long it is able to be from the first dose. Action taken with mRNA-1273 in response to the events was not reported.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1150486
Sex: F
Age: 77
State: FL

Vax Date: 03/08/2021
Onset Date:
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: allergic anaphylaxis; A spontaneous report was received from a consumer, concerning herself a 77 years old female patient, who received Moderna's COVID-19 vaccine and experienced allergic anaphylaxis reaction in which the throat is swollen and could not eat and drink liquids. The patient's medical history was not provided. Concomitant product use was not provided by the reporter. On 08 MAR 2021 prior to the onset of events, the patient received their first of two planned doses of mRNA-1273 (Batch Number: 030A21A) via Intramuscular route for COVID-19 infection prophylaxis. On unknown date, she experienced allergic anaphylactic reactions which the throat was swollen and could not eat and drink liquids. She took Benadryl (diphenhydramine) as the treatment. Action taken with mRNA-1273 in response to the event was unknown. The outcome of the event was considered to be unknown at the time of this report.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the onset date of the reported event, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1150487
Sex: F
Age:
State: FL

Vax Date: 01/22/2021
Onset Date:
Rec V Date: 03/31/2021
Hospital: Y

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Acute Bronchitis; A spontaneous report was received from a consumer concerning a 70-years-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events acute bronchitis. The patient's medical history included thyroid and cholesterol. Concomitant medications reported were Thyroid medication, Cholesterol medication, Prednisone for drug use for unknown indication. On 22 Jan 2021, prior to the onset of the events the patient received first of two planned doses of mRNA-1273 (lot/batch: 029L20A) via unknown route for prophylaxis of COVID-19 infection. On 19 Feb 2021, prior to the onset of the events the patient received their second of two planned doses of mRNA-1273 (lot/batch: 013M20A) via unknown route for prophylaxis of COVID-19 infection. On an unknown date, the patient experienced the event(s) acute bronchitis. Treatment details included Prednisone. Action taken with mRNA-1273 in response to the events was not reported. The outcome of event(s), acute bronchitis was unknown.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded.

Other Meds: PREDNISONE

Current Illness: Cholesterol; Thyroid disorder

ID: 1150488
Sex: F
Age: 80
State: FL

Vax Date: 02/26/2021
Onset Date: 03/15/2021
Rec V Date: 03/31/2021
Hospital: Y

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: mini stroke; still weak; A spontaneous report (United States) was received from a consumer concerning an 80 years old, female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced event mini stroke/transient ischaemic attack and still weak/asthenia. The patient's medical history was not provided. The concomitant medications on use were also not provided. On 26 Feb 2021, approximately 17 days prior to the onset of the events, the patient received their first of two planned doses of mRNA (Batch number: 011A21A) through unknown route of administration for prophylaxis of COVID-19 infection. On 15 Mar 2021, patient experienced mini stroke. The patient was hospitalized on the same day till 17 Mar 2021.It was serious event which required hospitalization. Laboratory tests performed included ultrasounds, cat scan of the brain, MRI of brain, ultrasound of arteries, and chest x-ray. The findings of lab tests were not provided. The patient was given acetylsalicylic acid and an injection in the belly to prevent blood clots. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the events was unknown; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded

Other Meds:

Current Illness:

ID: 1150489
Sex: F
Age:
State: FL

Vax Date: 01/12/2021
Onset Date:
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Sore shoulder; This is a spontaneous report from a contactable consumer (patient) received via medical information team. A 73-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: EL1283), via an unspecified route of administration on 12Jan2021 (at an age of 73-years-old) at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. She got her first dose on 12Jan2021 at the center (City name withheld) and scheduled to come back for her second dose 4 weeks after receiving her first dose. The appointment for 4 weeks out was already made for 09Feb2021, states she did not know who to call to change it. Upon follow up on 08Feb2021, patient reported that when she originally scheduled her appt. online, she was told that she would get moderna and follow up appt. in 4 weeks. When she ended up getting Pfizer, she tried to change her appt. to 3 weeks, but she was not able to. She called the county and was told it would be ok to have it at 4 weeks per their epidemiologist. She had no side effects other than a sore shoulder that night. Patient was not admitted to the hospital due to the event. No treatment was received for the event. The outcome of the event sore shoulder was unknown. Upon Follow-up (08Feb2021): New information received from a contactable consumer. This consumer reported in response to Non-HCP letter sent which included: patient details (age group: adult, weight: 123 lb, height: 5 feet, 2 inches), new event (sore shoulder), treatment and clinical information. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1150491
Sex: F
Age:
State:

Vax Date: 01/26/2021
Onset Date: 01/01/2021
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: received her 1st dose on 20Jan2021 and her 2nd dose yesterday 26Jan2021; soreness in the injection site; This is a spontaneous report from a contactable pharmacist. A 79-year-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE solution for injection; lot number and expiry date: unknown) via an unspecified route of administration, on 26Jan2021 at a single dose, for COVID -19 immunization. The patient's medical history and concomitant medications were not reported. The patient previously received first dose of bnt162b2, on 20Jan2021, for COVID -19 immunization. The patient accidentally received her 2nd dose of the Pfizer Covid vaccine earlier than the recommended interval. She received her first dose on 20Jan2021 and her 2nd dose yesterday, 26Jan2021. She has no other symptoms other than soreness in the injection site on an unspecified date in Jan2021. Outcome of the event soreness in the injection site was unknown. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1150492
Sex: F
Age:
State:

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: a low grade fever of 99.7; developed total body aches; This is a spontaneous report from a non-contactable nurse (Patient). A 31-year-old non pregnant female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, lot number: EL0142, Expiration date: Unknown) via an unspecified route of administration in Arm Right on 18Jan2021 16:00 as single dose for COVID-19 immunisation. Medical history included Hashimoto's thyroiditis. Allergies to medications, food, or other products: Bactrim. The patient received levothyroxine, daily multivitamin, collagen within 2 weeks of vaccination. The patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: EL0140) via an unspecified route of administration in left arm on 28Dec2020 03:45 pm as a single dose for COVID-19 immunization. On 19Jan2021 10:30, the patient experienced a low-grade fever of 99.7 and developed total body aches. As a therapeutic measure, ibuprofen was taken. On 25Jan2021, nasal swab was taken and the result was negative. The outcome of the events was recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: LEVOTHYROXINE; COLLAGEN

Current Illness:

ID: 1150493
Sex: F
Age:
State:

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Metallic taste in my mouth; Mild face swelling; This is a spontaneous report from a non-contactable other health care professional (patient). A 39-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection Batch/Lot number: EL9265 Exp Date:not reported),via an unknown route of administration in right arm (at the age of 39-year-old) on 27Jan2021 at 4pm at a single dose for COVID-19 immunization. Medical history included asthma, obesity and post-traumatic stress disorder, all from an unknown date and unknown if ongoing. Patient has allergies with bee stings from unknown date and unknown if ongoing. It was also reported that prior to vaccination, the patient was not diagnosed with COVID-19. Patient was also reported not to be pregnant at the time of vaccination. Concomitant medications included cetirizine hydrochloride (ZYRTEC ALLERGY) and ibuprofen (MOTRIN), both taken for an unspecified indication and start and stop date were not reported. Patient previously received Hepatitis A vaccine and had allergies. The patient experienced mild face swelling at 4:45pm (about 45 minutes after injection, as reported) then she had a metallic taste in her mouth that started about 6:30pm (about 2.5 hours after injection) and lasted until about 8 pm. She reported that she could still taste the food. Patient has not been tested for COVID-19 since vaccination. The outcome of mild face swelling was recovered on an unknown date while metallic taste recovered on 27Jan2021 at 8pm. No follow-up attempts are possible; information about lot/batch number already obtained

Other Meds: ZYRTEC ALLERGY; MOTRIN [IBUPROFEN]

Current Illness:

ID: 1150494
Sex: F
Age:
State: PA

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Tired; headache; chills; fever; nausea; dizziness; weakness; body shook; This is a spontaneous report from a contactable 70-year-old female consumer (patient, non-pregnant) received second dose BNT162B2 (Solution for injection, brand: Pfizer, lot number: EL3246) via an unspecified route of administration in Arm Left on 23Jan2021 at 08:15 AM for COVID-19 immunization. Patient medical history included High BP, Hyatal hernia. Concomitant medications included fish oil, atenolol, omeprazole, ascorbic acid, calcium, minerals nos, retinol, tocopheryl acetate, vitamin b nos, vitamins nos, zinc (CENTRUM SILVER). Patient previously took rosa canina (ROSE HIPS, need to take over time) and had allergy. Historical vaccine included first dose BNT162B2 (COVID19, brand: Pfizer, lot number: EK9231) on 02Jan2021 at 08:45 AM on Left arm for 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 has not been tested for COVID-19. On 23Jan2021 20:45, patient had tired, headache, chills, fever, nausea, dizziness, weakness body shook for about a hour and half. No Seriousness criteria was reported. Outcome of events was recovering.

Other Meds: FISH OIL; ATENOLOL; CENTRUM SILVER [ASCORBIC ACID;CALCIUM;MINERALS NOS;RETINOL;TOCOPHERYL ACETATE;VITAMIN B NOS;VITAMINS; OMEPRAZOLE

Current Illness:

ID: 1150495
Sex: F
Age:
State: NY

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Could not stay awake fully; Arm pain persistent; Growing lower back pain; Fever; Night sweats; Chills; General body aches (especially at shoulder joints in both arms); General body aches (especially at shoulder joints in both arms); Brain fog; Very specific muscle spasm in left upper thigh on backside/persistent muscle spasm; This is a spontaneous report from a contactable 31-year-old female other health professional reported that: A 31-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; solution for injection), dose 2 via an unspecified route of administration, administered in Arm Right on 26Jan2021 (Batch/Lot Number: EL9262) as single dose and on unspecified date, route of administration patient received bnt162b2for covid-19 immunisation. Medical history included autoimmune thyroiditis. Concomitant medications received from unspecified date frequency and unspecified indication were levothyroxine (LEVOTHYROXINE) dose was at 88mcg, ethinylestradiol, norgestimate (TRI-LO-SPRINTEC). The patient was not diagnosed with COVID-19 prior to vaccination. The patient had not been tested for COVID-19 since the vaccination. Facility where the most recent COVID-19 vaccine was administered in hospital. The patient was not pregnant at the time of vaccination. The patient was not allergic to medications, food, or other products. On 26Jan2021, the patient experienced fever, night sweats, chills, general body aches, brain fog, very specific muscle spasm in left upper thigh on backside/persistent muscle spasm, could not stay. On 27Jan2021, awake fully, arm pain persistent, growing lower back pain, growing back pain. Reported event was reported post 2nd vaccination: 1st night experienced fever, night sweats, chills, general body aches (especially at shoulder joints in both arms), brain fog, and very specific muscle spasm in left upper thigh on backside; 1st day post could not stay awake fully with arm pain persistent and growing lower back pain; 2nd night post continued to experience night sweats and w/ persistent muscle spasm that was previously mentioned in left back thigh and growing back pain. The patient was not received treatment. Outcome of the events were recovering.

Other Meds: LEVOTHYROXINE; TRI-LO-SPRINTEC

Current Illness:

ID: 1150496
Sex: M
Age:
State: TN

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Welts over my chest and back as well as neck and face.; This is a spontaneous report from a contactable consumer (patient). A 59-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, batch/lot number EL1283; expiration date not reported), via an unspecified route (administered on left arm) at the age of 59-years-old, on 22Jan2021 01:00 PM as single dose for COVID-19 immunization. Medical history included childhood asthma from an unknown date and unknown if ongoing which the patient has out grown. The patient has no allergies to medications, food, or other products. Prior to vaccination, the patient has not been diagnosed with COVID-19. Concomitant medication included simvastatin taken for an unspecified indication, start and stop date were not reported. The patient didn't take any vaccine within 4 weeks prior to the Covid vaccine. The patient experienced welts over his chest and back as well as neck and face on 22Jan2021 02:00 PM. The adverse event result in Doctor or other healthcare professional office/clinic visit. Since the vaccination the patient has not been tested for COVID-19. Therapeutic measures were taken as a result of the event included Benadryl 125 mg over 6 hours. The outcome of the event was recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: SIMVASTATIN

Current Illness:

ID: 1150497
Sex: F
Age:
State: NH

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Pain at injection site; Bruising; This is a spontaneous report from a contactable consumer (patient). A 56-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: EL3247) via an unspecified route of administration in left arm on 27Jan2021 14:00 as SINGLE DOSE for COVID-19 immunization. The patient was not pregnant at the time of vaccination. The patient medical history was not reported. Concomitant medications included letrozole 2.5mg, aspirin 81 mg, multivitamins (within 2 weeks of vaccination). The patient had allergies to Amoxicillin. On 27Jan2021 14:00 the patient experienced pain at injection site, bruising. The most recent COVID-19 vaccine was administered at the workplace clinic. No other vaccines within 4 weeks prior to the COVID vaccine. No treatment received for the adverse event. No covid prior to vaccination, Since the vaccination, the patient has been tested for COVID-19. The reporter reported seriousness criteria as non-serious. The outcome of event was recovering. No further follow-up is possible. No information is required.

Other Meds: LETROZOLE; ASPIRIN [ACETYLSALICYLIC ACID]

Current Illness:

ID: 1150498
Sex: F
Age:
State:

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: migraine; malaise; arm soreness; This is a spontaneous report from a contactable other hcp (patient). A female patient of an unspecified age received second dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, batch/lot number and expiration date were not reported), via an unspecified route on unspecified date as single dose for COVID-19 immunization. Medical history included Crohn's disease and on chronic steroids from an unknown date and unknown if ongoing. The patient's concomitant medications included chronic steroids for Crohn's disease. The patient experienced migraine, malaise and arm soreness on an unspecified date and asked if these are typical side effects and if she didn't have any side effect after the first dose, would that mean she didn't get the dose? Patient would like to know if she got the full dose and was asking for information about the efficacy of the Covid vaccine while taking a steroid. Patient was on chronic steroids for Crohn's disease and asked if this would minimize the efficacy. She also asked if this means she should get a third vaccine dose and if there was an antibody test she should get to see if the shot was effective or that she got it. The outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1150499
Sex: U
Age:
State:

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Can acyclovir or valcyclovir for shingles be administer during Covid 19 vaccinations; This is a spontaneous report received from a contactable pharmacist. A patient of unspecified age and gender received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number not provided), on unspecified date at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. It was asked if acyclovir or valaciclovir for shingles could be administered during COVID-19 vaccinations, patient had received (reported as rec'd) first dose and due second dose in 5 days. The outcome of the event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1150500
Sex: F
Age:
State:

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Mild headache; arm sore; This is a spontaneous report from a non-contactable consumer (patient herself). An adult female patient of an unspecified age received BNT162B2(PFIZER-BIONTECH COVID-19 VACCINE solution for injection; batch/lot number and expiry date were not reported) via an unspecified route of administration on an unspecified date at a single dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient experienced mild headache and arm sore. The outcome of these events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1150501
Sex: F
Age:
State: IL

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: fatigue; she threw up; her appetite is worse/lack of appetite; dizziness; nausea; This is a spontaneous report from a contactable other hcp. A 65-years-old female patient received bnt162b2 (BNT162B2), intramuscular, administered in Arm Right on 22Jan2021 (Batch/Lot Number: EL8982; Expiration Date: 31May2021) as SINGLE DOSE for covid-19 immunisation. Medical history included renal cancer from Sep2005 to an unknown date, nephrectomy from 05Oct2005 to an unknown date, spinal fusion surgery from 23Nov2020 to an unknown date, compression fracture from Dec2020 to an unknown date, spinal fusion surgery from 22Apr2020 to an unknown date, compression fracture from 2020 to an unknown date, neoplasm from an unknown date and unknown if ongoing, vertebral body replacement from an unknown date and unknown if ongoing, lung neoplasm malignant from an unknown date and unknown if ongoing, metastases to spine from an unknown date and unknown if ongoing. Concomitant medication(s) included fentanyl (FENTANYL) taken for pain from an unspecified start date and ongoing; oxycodone taken for pain, start and stop date were not reported; paracetamol (TYLENOL) taken for pain from 23Apr2020 and ongoing; calcium taken for supplementation therapy from an unspecified start date and ongoing; panax ginseng (GINSENGIN) taken for fatigue from an unspecified start date and ongoing; ascorbic acid, betacarotene, biotin, calcium, chloride, chromium, copper, folic acid, iodine, iron, magnesium, manganese, molybdenum, nickel, nicotinic acid, pantothenic acid, phosphorus, potassium, pyridoxine hydrochloride, riboflavin, selenium, silicon, thiamine, vanadium, vitamin b12 nos, vitamin d nos, vitamin e nos, vitamin k nos, xantofyl, zinc (CENTRUM SILVER WOMEN 50+) taken for supplementation therapy from an unspecified start date and ongoing; vitamin d3 (VITAMIN D3) taken for bone disorder from 02Jan2021 and ongoing; cyanocobalamin (VITAMIN B12 [CYANOCOBALAMIN]) taken for supplementation therapy from an unspecified start date and ongoing; vitamin c [ascorbic acid] (VITAMIN C [ASCORBIC ACID]) taken for supplementation therapy from an unspecified start date and ongoing; tart cherry (TART CHERRY) taken for inflammation from an unspecified start date and ongoing. The patient experienced dizziness (non-serious) on 24Jan2021, nausea (non-serious) on 24Jan2021 with outcome of not recovered , she threw up (vomiting) (non-serious) on 28Jan2021, her appetite is worse/lack of appetite (appetite disorder) (non-serious) on 24Jan2021, fatigue (non-serious) on an unspecified date. The action taken in response to the event(s) for bnt162b2 was not applicable. Therapeutic measures were taken as a result of fatigue (fatigue). The outcome of the events dizziness, nausea, vomiting and appetite disorder were reported as not recovered, The outcome of the event fatigue was unknown.

Other Meds: FENTANYL; OXYCODONE; TYLENOL; CALCIUM; GINSENGIN; CENTRUM SILVER WOMEN 50+; VITAMIN D3; VITAMIN B12 [CYANOCOBALAMIN]; VITAMIN C [ASCORBIC ACID]; TART CHERRY

Current Illness:

ID: 1150502
Sex: M
Age:
State: MA

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: feeling fatigued; achy; light case of the common cold; This is a spontaneous report from a contactable consumer (patient). A 25-years-old male patient received first dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, batch/lot number EL3247; expiration date were not reported), via unspecified route (administered in left arm) at the age of 25-years-old, on 27Jan2021 08:45 AM as single dose for COVID-19 immunization. Patient's medical history and concomitant medications were not reported. The patient didn't had covid prior vaccination and didn't take covid test post vaccination. The patient experienced feeling fatigued, achy and light case of the common cold on 28Jan2021 10:00 AM. No treatment was received for the events. The outcome of the events was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1150503
Sex: F
Age:
State: PA

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Left armpit lymph node swelling; This is a spontaneous report from a contactable nurse. This 38-year-old female nurse reported for herself that she received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number; EL 3249) via an unspecified route of administration from 27Jan2021 at 09:00 am to 27Jan2021 at 09:00 am at single dose (dose number; 2) on left arm for covid-19 immunisation. Vaccine facility type was reported as hospital. Patient was 38 years old and not pregnant at the time of vaccination. Patient's medical history included Grave's disease, factor 5 Leiden, Hashimotos, known allergies: PCN (dates unspecified). Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number; EJ1685) via an unspecified route of administration from 06Jan2021 at 08:30 am to 06Jan2021 at 08:30 am at single dose (dose number; 1) on right arm for Covid-19 immunisation. Patient's concomitant medications (other medications in two weeks) included ascorbic acid, betacarotene, calcium sulfate, colecalciferol, cyanocobalamin, ferrous fumarate, folic acid, nicotinamide, pyridoxine hydrochloride, retinol acetate, riboflavin, thiamine mononitrate, tocopheryl acetate, zinc oxide (PRENATAL VITAMINS), acetylsalicylic acid (ASA) and Vitamin D nos (therapy dates unspecified) for an unspecified indication. If other vaccine in four weeks; no. Patient experienced left armpit lymph node swelling on 28Jan2021 at 08:00 pm. Treatment received for adverse event was reported as no. Patient did not have covid-19 prior vaccination and was not tested for covid-19 post vaccination. The outcome of event was not recovered.

Other Meds: PRENATAL VITAMINS [ASCORBIC ACID;BETACAROTENE;CALCIUM SULFATE;COLECALCIFEROL;CYANOCOBALAMIN;FERROUS ; ASA; VITAMIN D NOS

Current Illness:

ID: 1150504
Sex: F
Age:
State: MN

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Nausea; Vomiting; Chills; Stomach pain; Slight headache; Uncontrollable shaking; This is a spontaneous report from a contactable consumer (patient) reported for herself. A 68-year-old 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: EL3247, Expiry date: unknown) via an unspecified route of administration, administered in Left arm on 28Jan2021 at 14:00 (at the age of 68-years-old) at a single dose for covid-19 immunisation. Medical history included bronchiectasis and dysthymia. Allergies to medications, food, or other products included Rash with amoxicillin. Concomitant medication patient received within 2 weeks of vaccination included sertraline hydrochloride (ZOLOFT) and ovata (METAMUCIL [PLANTAGO OVATA]). The patient previously took amoxicillin and experienced rash. The patient experienced nausea, vomiting, chills, stomach pain, slight headache and uncontrollable shaking on 28Jan2021 at 21:30 PM. The event was considered as non-serious. The most recent COVID-19 vaccine was administered in hospital. 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. No treatment was received for the adverse event. The patient was recovering form all the events.

Other Meds: ZOLOFT; METAMUCIL [PLANTAGO OVATA]

Current Illness:

ID: 1150505
Sex: F
Age:
State: CA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Fatigue; Fever (101.6); Chills; Shakes; Muscle pain; Joint pain; Headache; Foggy head; Loss of appetite; Nausea; Sore arm at injection site (minor); Swollen lymph gland under left arm; Dizzy; This is a spontaneous report received from a contactable nurse (reported for herself). A 61-year-old female patient received second dose of BNT162B2 (Comirnaty, Solution for injection and Lot number: EL3246), intramuscularly to left arm on 12Jan2021 10:00 at a single dose for COVID-19 Immunization. Patient medical history was reported as none. Patient concomitant medications included calcium, ergocalciferol (VITAMIN D), multivitamin and probiotic. The patient previously took BNT162B2 (Comirnaty, Lot number: EJ1685) vaccination, intramuscularly to left arm on 22Dec2020 for COVID-19 immunization. On 12Jan2021 22:00, 12 hours after the second dose of vaccination the patient experienced with fatigue, fever (101.6), chills, shakes, muscle pain, joint pain, headache, foggy head, loss of appetite, nausea, sore arm at injection site (minor), swollen lymph gland under left arm. patient was on bed and felt dizzy after fever broke for about 24 hours. Seriousness was reported as non-serious. Patient received on advil at night for treatment of events. The outcome of events was recovered on an unspecified date. No follow-up attempts are possible, No further information available

Other Meds: CALCIUM; VITAMIN D [ERGOCALCIFEROL]

Current Illness:

ID: 1150506
Sex: F
Age:
State: MI

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Heartbeat 15-20 bpm higher than my normal; Chest tightness; Difficulty breathing; Dizziness; Injection site pain; Headache; Tiredness/ Extreme exhaustion; Muscle pain; Joint pain; Fever; Feeling unwell; Swollen lymph nodes; This is a spontaneous report received from a contactable consumer (patient). A 30-year-old female non-pregnant patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot Number: EL9261), via an unspecified route of administration on Arm Left on 25Jan2021 18:30 as single dose for COVID-19 immunisation in hospital. Medical history included seasonal allergy and Known allergies. Concomitant medications included unspecified medications received within two weeks. The patient did not receive other vaccines within four weeks. The patient not had COVID prior vaccination. The patient was not tested for COVID post vaccination. On 25Jan2021 22:30, the patient was totally fine for 4 hours. After 4 hours she started to get injection site pain, headache, tiredness, muscle pain, joint pain, fever, feeling unwell, and swollen lymph nodes. All of this lasted for 2 days. At the end of the 24 hours mark (on 26Jan2021), she started having a heartbeat 15-20 bpm higher than her normal, chest tightness, difficulty breathing, and dizziness. She was now 3.5 days post vaccine dose 1 and still having all of the symptoms in her last sentence plus extreme exhaustion, muscle pain, and fever. The events result in doctor or other healthcare professional office/clinic visit. Unspecified therapeutic measures were taken as a for all the events. The outcome of the events was reported as not recovered.

Other Meds:

Current Illness:

ID: 1150507
Sex: F
Age:
State: CA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Low grade fever (37.7); fatigue; achiness; This is a spontaneous report from a contactable consumer. A 69-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration on 26Jan2021 as single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced low grade fever (37.7), fatigue and achiness on 27Jan2021. The symptoms onset day after vaccination; symptoms resolved within 24 hours. The patient underwent lab tests and procedures which included Low grade fever: 37.7 on 27Jan2021. Outcome of the events was recovered on an unknown date in Jan2021. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1150508
Sex: F
Age:
State: MI

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Date of start of drug 06Jan2021/ Date of start of drug 29Jan2021; 2nd dose Roof of mouth felt like it was swelling; My tongue and lips started tingling; Both ears red and felt very warm; Both ears red and felt very warm; Slight headache; This is a spontaneous report from a contactable other hcp (patient). A 48-years-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection, Lot Number: unknown; Expiration Date: unknown) via an unspecified route of administration in left arm on 29Jan2021 at 09:15 as a single dose for covid-19 immunization. Medical history included Allergies to medications, food, or other products: Penicillin, amoxicillin and codeine. Concomitant medications included esomeprazole magnesium (NEXIUM), ibuprofen (IBUPROFEN) and nature's bounty on unspecified date for unspecified indication. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE). The patient experienced second dose roof of mouth felt like it was swelling, y tongue and lips started tingling and both ears red and felt very warm and slight headache for the second dose on 29 Jan2021 at 09:15 AM. The outcome of the events was recovered on an unspecified 2021. Information on the lot/batch number has been requested.

Other Meds: NEXIUM; IBUPROFEN; NATURE'S BOUNTY B 12

Current Illness:

ID: 1150509
Sex: F
Age:
State: MS

Vax Date: 01/09/2021
Onset Date:
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: her arm was sore and there was redness and slight swelling; her arm was sore and there was redness and slight swelling; her arm was sore and there was redness and slight swelling/ redness underneath injection site; This is a spontaneous report from a contactable 74-year-old female consumer reported for herself that she received first dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection), via an unspecified route of administration on 09Jan2021 at single dose for covid-19 immunization. The medical history and concomitant medications were not reported. On an unknown date, the patient experienced arm was sore and there was redness and slight swelling and she had some discomfort and redness underneath injection site that lasted a few days and first day it was bad but then as the days went on the swelling got better and eventually resolved by the fourth or fifth day. The outcome of the events was unknown whereas the event Vaccination site swelling resolved on an unknown date. Information about Lot/batch number is requested

Other Meds:

Current Illness:

ID: 1150510
Sex: F
Age:
State: WI

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: her immune system since has not been the same and has been very deprived; her immune system since has not been the same and has been very deprived; wasn't feeling right; Dizzy; weak and very disoriented; weak and very disoriented; did not feel good; terrible headache and laid down right away; things started spinning/head spinning; Nauseous; Flu like symptoms; Flushed; very cold; chills; very cold; chills; Pain in arm; rapid heart beat; anxious; like something was going to happen; bathroom a couple times and felt week with the flu like symptoms, they were very bad; did eat something later yesterday, but food was flat tasting; didn't taste right; This is a spontaneous report from a contactable consumer (patient). A 78-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EL9262, Expiration date: Unknown) via intramuscular route of administration in left arm on 28Jan2021 10:00 as SINGLE DOSE for COVID-19 immunization in the clinic. Medical history included neoplasm malignant, chemotherapy, radiotherapy, immune system disorder (her immune system since has not been the same and has been very deprived) from an unknown date and unknown if ongoing. Concomitant medications included bee venom for arthropod sting. The patient experienced wasn't feeling right , dizzy, weak and very disoriented, did not feel good, terrible headache and laid down right away, things started spinning/head spinning, nauseous, flu like symptoms, flushed, very cold, chills, pain in arm, rapid heart beat, anxious, like something was going to happen, bathroom a couple times and felt week with the flu like symptoms, they were very bad, did eat something later yesterday, but food was flat tasting, didn't taste right on 28Jan2021 and her immune system since has not been the same and has been very deprived on an unspecified date. the first Covid shot yesterday at 10:00. They had her to sit for 15 minutes to make sure she was okay to walk. About 7-8 minutes she noticed she wasn't feeling right, dizzy, weak and very disoriented. She got up and didn't want to create a scene and started walking through the clinic and stopped to ask the receptionist to call her husband in the car. There was so many people so she just kept walking and luckily was able to get to car and told her husband she did not feel good. By then she had a terrible headache and when she got home she laid down right away. Then things started spinning and she was very nauseous and is aware that these things can happen with the vaccine. Had flu like symptoms like she never had before, but this was worse. She did not have a fever, but was flushed and very cold, chills. Her arm was not hurting until about 9pm and during the night she had a rapid heart beat, but not really. Was very anxious like something was going to happen and she tried to calm herself by taking deep breaths but does not know if that worked. Finally, after 3 hours she was able to go to sleep and did go to the bathroom a couple times and felt week with the flu like symptoms, they were very bad. When she got up today she was 60-65% better. She did eat something later yesterday and had thought the nausea was because she hadn't eaten all day long. The food was flat tasting and she know she has that whenever she has the flu where nothing tastes right. She clarifies she has that anyway since 16 years ago she had cancer and a strong dose of chemotherapy and radiation and her immune system since has not been the same and has been very deprived. Whenever she gets sick she gets deathly sick and has to be watched or she may have to get hospitalized due to weakened immune system. States some people say that the second dose is worse, is that true or is it the same feeling. If she feels like that with the second dose she may not get it. No further details provided. Mentions as the day goes on she comes around more. Has to get her glasses to see card given. No other vaccines given that day or 4 weeks prior. No problems with vaccines in past. The outcome of event her immune system since has not been the same and has been very deprived was unknown and other events were not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: BEE VENOM

Current Illness:

ID: 1150511
Sex: F
Age:
State: NY

Vax Date: 01/27/2021
Onset Date: 01/01/2021
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: swelling and pain to the left arm; swelling and pain to the left arm; throat closing; This is a spontaneous report from a contactable Physician. This 47-year-old female Physician reported for herself that she started to receive BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration from 27Jan2021 to 27Jan2021 at single dose, dose number; 2 on left arm for covid-19 immunization. Patient was 47 years old and not pregnant at the time of vaccination. Patient's medical history included covid-19 from an unknown date in Apr2020 to an unknown date (if covid prior vaccination: Yes), known allergies to aspirin and lactose intolerant (dates unspecified). Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), lot number; unknown; reason; not available/provided to reporter at the time of report completion. via an intramuscular route from 06Jan2021 at 12:00 pm to 06Jan2021 at 12:00 pm at single dose, dose number; 1 on left arm for Covid-19 immunization. Facility type vaccine was reported as hospital. Patient was tested for covid post vaccination. Relevant test included nasal swab (covid test type post vaccination); rapid test (covid test name post vaccination) on 08Jan2021 which resulted as negative. Concomitant medication (if other vaccine in four weeks, other medications in two weeks) was reported as none. On 10Jan2021 at 10:00 pm patient experienced left axilla swelling and tenderness 4 days after the first injection with pain at the injection site with the outcome of recovering. She stated that ?'scared I might have had breast cancer at the time, as there is family hx of cancer''. On an unknown date in Jan2021 she experienced repeat swelling and pain to the left arm which occurred less than 1 day after the second injection. She was concerned of the hot flashes and disturbed sleep consistent to the time when she was infected with covid back in Apr2020. She also experienced slight feeling of throat closing both times with the injections, with the first injection occurred 3-4 days afterwards with no SOB (shortness of breath) and with the second injection it occurred the within 24 hrs. No treatment for adverse event was given. The outcome of events was unknown.

Other Meds:

Current Illness:

ID: 1150512
Sex: F
Age:
State: FL

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Lightheaded; Like kind of lost a little bit; Sleeping a lot /All day I was sleepy, all the time I was sleepy, I slept a lot; Bodyaches; This is a spontaneous report from a contactable consumer or other non hcp. A female patient of an unspecified age received second dose of bnt162b2 (BNT162B2, Brand: PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EL9263, Expiration date: Unknown), via an unspecified route of administration on an unspecified date as single dose for covid-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient experienced lightheaded, like kind of lost a little bit, sleeping a lot /all day she was sleepy, all the time she was sleepy, she slept a lot (somnolence) and bodyaches. The action taken in response to the events for bnt162b2 was not applicable. The outcome of the events were reported as unknown.

Other Meds:

Current Illness:

ID: 1150513
Sex: F
Age:
State: FL

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: belly cramps; watery bowel; Felt tired; No pain or red at injection site just little tender to touch; This is a spontaneous report from a contactable consumer or other non hcp. A 79-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EL9263 ), dose 1 administered in Arm Left on 29Jan2021 11:15 as single for covid-19 immunisation. Medical history included breast cancer from 1984 and it was fully recoverd and cured. The patient's concomitant medications were not reported. It was reported that On 29Jan2021 03:00 PM after 3 hours of vaccination patient experienced felt belly cramps, watery bowel. Felt tired, had nap. Much better evening. No pain or red at injection site just little tender to touch. It was reported that all the events were recovered.

Other Meds:

Current Illness:

ID: 1150514
Sex: F
Age:
State: MN

Vax Date: 01/28/2021
Onset Date: 01/01/2021
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: muscle/joint aches; Shakey/jittery; jittery; rapid heart rate; Fever of 103.8; Chills; muscle/joint aches; This is a spontaneous report from a contactable female nurse reported for herself (Non pregnant). A 43-year-old female patient(nurse) received second dose of BNT162B2 (Solution for injection, lot number: unknown) via left arm on 28Jan2021, 15:00 PM, single dose for COVID-19 Immunization. Patients receive other vaccines within 4 weeks prior to the COVID vaccine the patient took other historical vaccine included first dose BNT162B2 (lot number: Unknown) on 07Jan2021, at single Covid-19 immunization. Facility where the most recent COVID-19 vaccine was administered in Hospital. The patient received other vaccines within 4 weeks prior to the COVID. Patient had allergies to medications Bactrim.

Other Meds:

Current Illness:

ID: 1150515
Sex: F
Age:
State: IL

Vax Date: 01/20/2021
Onset Date: 01/23/2021
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Severe nausea; dizziness; Body aches; Chills; This is a spontaneous report received from a contactable consumer (patient herself). A 50-year-old female patient (not pregnant at the time of vaccination) received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number: el3246), via an unspecified route of administration on Arm Left on 20Jan2021 13:45 as single dose for COVID-19 immunisation. The patient medical history and concomitant medications were reported as none. The patient previously took codeine and experienced allergies. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 23Jan2021 21:45, the patient experienced severe nausea, dizziness, body aches and chills. The patient was not diagnosed with COVID-19, prior to vaccination. The patient has been tested for COVID-19 since the vaccination. The patient underwent lab tests and procedures which included polymerase chain reaction: Negative on 24Jan2021 (COVID test type post vaccination: Nasal Swab). The events result in emergency room/department or urgent care visit. The patient did not receive any treatment for the events. The events were assessed as non-serious by the reporter. The outcome of the events was reported as recovered on an unspecified date in Jan2021.

Other Meds:

Current Illness:

ID: 1150516
Sex: F
Age:
State: FL

Vax Date: 01/29/2021
Onset Date:
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: light headedness; queasiness; I was functional but I wasn't myself; This is a spontaneous report from a contactable 81-year-old female consumer reported for herself started to receive first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/lot number: EL9263), via Intramuscular on 29Jan2021 at single dose in arm left for covid-19 immunization. The patient relevant medical history included I have environmental allergies pollen (took an antihistamine), mild asthma and paroxysmal atrial fibrillation. Concomitant medication included fexofenadine hydrochloride (ALLEGRA) for environmental allergies. Past drug included Allegra (before I took the shot and I also gave an Allegra to my husband before he took his shot, and he was fine). On an unknown date, the patient experienced a mild reaction which was light headedness, queasiness and it lasted several hours. She was functional but she wasn't herself. After about several hours the patient began to feel somewhat better. The patient didn't take any treatment for the events. The outcome of the events was recovering.

Other Meds: ALLEGRA

Current Illness:

ID: 1150517
Sex: M
Age:
State: MI

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: sore arm; injection site pain; extreme fatigue/Exhaustion; a little headache; chills; muscle pains which makes them a little achy overall; sleepy; feel like they have Covid all over again; feel achy; feel lousy; This is a spontaneous report from a contactable consumer. A 79-year-old male patient received 1st dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EL3248) via intramuscular in left arm on 28Jan2021 at single dose for COVID-19 vaccination. The patient medical history included Covid. Concomitant medications were not reported. On 29Jan2021 the patient was experiencing a sore arm, injection site pain, extreme fatigue, a little headache, chills, and muscle pains which makes them a little achy overall. It was reported that she and her husband both received the vaccine yesterday and stated that they feel like they have Covid all over again on 29Jan2021. She stated that they had Covid already and stated that they have chills and are achy 29Jan2021. Caller said that they are also having that Covid exhaustion. Their arms were quite sore too from the shot, but they did not expect to feel lousy on 29Jan2021. They have been sleepy all afternoon and stated that they sat down and just passed out, caller clarified that they went to sleep on 29Jan2021. Yesterday they were ok. The outcome of the events sore arm, injection site pain, a little headache was unknown, extreme fatigue/exhaustion, muscle pains which makes them a little achy overall, sleepy, feel like they have Covid all over again, feel achy, feel lousy was recovering, chills was resolved on 29Jan2021. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1150518
Sex: F
Age: 49
State: MO

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Penicillin, sulfa, cephalosporins

Symptom List:

Symptoms: Fatigue, fever of 101.4?, chills, muscle aches, muscle weakness, slight nausea, muscle pain in arm at injection site. Currently taking ibuprofen for fever and aches. Will contact a doctor if it hasn't improved by tomorrow, 01-Apr-2021.

Other Meds: Omeprazole, Trulicity, insulin

Current Illness: None

ID: 1150519
Sex: M
Age: 75
State: FL

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Mild fever, aches, and general lethargy

Other Meds: Multivitamin and baby aspirin only

Current Illness: None

ID: 1150520
Sex: F
Age: 42
State: KY

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Had breakthrough menstral bleeding this morning. I am 2 weeks away from menstration. Very light spotting.

Other Meds: Buspar, vit D, and B12

Current Illness: None

ID: 1150521
Sex: F
Age:
State: KY

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: 24 hour fever that reached 102. It would fluctuate; Body chills and body aches; Body chills and body aches; This is a spontaneous report from a contactable other Health Professional reported for herself. A 26-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) Formulation: solution for injection, Lot Number: EL9261, Expiration date: Unknown, Brand: Pfizer), via intramuscular route of administration in the left arm on 28Jan2021 06:15, as SINGLE DOSE for COVID-19 immunization in the hospital. Medical history was not reported. There was no special history of allergies to medications, food, or other products allergy. Concomitant medication included topiramate 50 mg and the patient received other medications within 2 weeks of vaccination. The patient was not pregnant at the time of vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient had not received any other vaccine within 4 weeks prior to the vaccine. On 28Jan2021 19:30, the patient experienced 24 hour fever that reached 102, it would fluctuate, body chills and body aches. The events were assessed as non-serious by the reporter. The patient has not been tested for COVID-19 since the vaccination, the patient underwent lab tests and procedures which included body temperature: fever that reached 102 on 28Jan2021. Therapeutic measures were not taken as a result of adverse events. The outcome of the events were recovered on an unspecified date in 2021.

Other Meds: TOPIRAMATE

Current Illness:

ID: 1150522
Sex: F
Age: 73
State: NJ

Vax Date: 03/10/2021
Onset Date: 03/16/2021
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: none

Symptom List:

Symptoms: A week after injection I developed vertigo and lightheadedness I went to my ENT Dr. my ears are fine went to my medical doctor and he diagnosed me with vertigo and recommended that I didn't get the second vaccine or at least postpone it

Other Meds: none

Current Illness: none

ID: 1150523
Sex: F
Age: 59
State:

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: reported r. sided (only) headache & r. facial discomfort; VS - 132/80 - 52- 96% SpO2; A&O x 3; symptoms resolved w/ mask removal, fresh air, emotional support & water. Remained in observational lot total of 40 mins. Drive home by spouse.

Other Meds:

Current Illness:

ID: 1150524
Sex: F
Age: 60
State: TX

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 03/31/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Codeine

Symptom List:

Symptoms: Moderate aches, fatigue and headache for 24 hours followed by lymph node inflammation in left armpit which is ongoing, though improving slightly every day.

Other Meds: Amlodipine Dulera Atorvastatin

Current Illness: None

Total 2021 VAERS Injuries: 679,999

Page last modified: 03 October 2021 5:28pm