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

Date Died: 03/24/2021

ID: 1142806
Sex: M
Age: 80
State:

Vax Date: 02/16/2021
Onset Date: 01/28/2021
Rec V Date: 03/29/2021
Hospital: Y

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: altered mental status cardiac arrest hyperglycemia death

Other Meds:

Current Illness:

ID: 1142807
Sex: F
Age: 64
State: TX

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/29/2021
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: Pt received vaccine at 1159. 1224 pt c/o "tingling" lips and tongue only. No redness, swelling, hives, sob. Benadryl 50mg/20ml given PO. 1236 Pt reports reduction of symtoms and wants to leave. Pt released to home being driven by another person.

Other Meds:

Current Illness:

ID: 1142808
Sex: M
Age: 73
State: VA

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/29/2021
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: none

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

Symptoms: Previous mild Sciatica, knee pain, nerve pain in the left side became extreme the next day. Nothing relieved pain. Nothing was done the day of injection that would cause this. Pain continues to be so severe seeing spine specialist and scheduled for injections.

Other Meds: Celebrex, Alsace, Vytorin, Cialis, Nexium, Coreg tabs, aspirin, glucosamine, multivitamin, turmeric,

Current Illness:

ID: 1142809
Sex: F
Age: 60
State: MD

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Tetracycline

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Swollen Lymph Nodes, chills, headache, nauseous stomach, pain radiating in left boob & left back, and tireness

Other Meds: Matzim 420mg, Losartan 100mg, D3 50 mcg, Ginger Root 550 mg, C 500 mg, Tumeric 500 mg, Cinnamon 1,000mg

Current Illness:

ID: 1142915
Sex: F
Age: 54
State: WA

Vax Date: 01/02/2021
Onset Date: 01/20/2021
Rec V Date: 03/29/2021
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: Blue/black blood clot on middle finger right hand; Burning in middle finger on right hand; Itchiness on middle finger on right hand; Pain in middle finger on right hand; A spontaneous report was received from a Consumer concerning a 55-years-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events burning in middle finger on right hand/burning sensation, itchiness on middle finger on right hand/pruritus, pain in middle finger on right hand/pain in extremity, blue black blood clot on middle finger right hand/thrombosis. The patient's medical history was not provided. No relevant concomitant medications were reported. On 2 Jan 2021, prior to the onset of the events the patient received their first of two planned doses of mRNA-1273 (lot batch: 037K20A) intramuscularly for prophylaxis of COVID-19 infection. On 20 JAN 2021 1.00 pm, after taking mRNA-1273, the patient felt weird sensation in right hand middle finger. She felt burning, itchiness, pain and had a dark blue/black blood clot on inside of finger. 2 hours later it started to fade down (purple in color). In the evening it was considerably lighter. On 21 Jan 2021 there was a light imprint of the blood clot. Blood clot went away later that day. Patient did not received treatment. Action taken with mRNA-1273 in response to the events was not reported. On 20 Jan 2021 the outcome of events burning in middle finger, itchiness on middle finger on right hand, pain in middle finger on right hand was resolving. On 21 Jan 2021 the outcome of event blue black blood clot on middle finger right hand 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 events, a causal relationship cannot be excluded. Further information has been requested.

Other Meds:

Current Illness:

ID: 1142916
Sex: F
Age:
State: FL

Vax Date: 01/12/2021
Onset Date: 01/18/2021
Rec V Date: 03/29/2021
Hospital: Y

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: Pneumonia; A spontaneous report was received from a consumer concerning a 73-year-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced pneumonia. The patient's medical history was not provided. No relevant concomitant medications were reported. On 12 Jan 2021, approximately six days prior to the onset of the symptoms, the patient received their first of two planned doses of mRNA-1273 (Batch number: 039K20A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 17 Jan 2021, the patient started experiencing cold symptoms. The patient had pneumonia and was hospitalized on 18 Jan 2021. Since the patient was taking antibiotics, healthcare professional recommended to wait on the second dose of the vaccine. The second dose was scheduled 49 days after the first one. The reporter stated that the patient was immunosuppressed. Treatment information included antibiotics. Action taken with mRNA-1273 in response to the events was unknown. The outcome of the event, pneumonia, 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 event, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1142917
Sex: M
Age: 68
State: CO

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 03/29/2021
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: feeling faint; internal sensation jolt; increase blood pressure; pulse declined; face flush; fatigue; A spontaneous report was received from a consumer, concerning a 68-year old, male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced internal sensation body jolt, feeling faint, increase blood pressure, pulse declined, face flush, fatigue. The patient's medical history includes allergic to codine drug. Concomitant product use was not provided by the reporter. On 12-Feb-2021, prior to the onset of events, the patient received their first of two planned doses of mRNA-1273 (lot number 029L20A) via intramuscularly for prophylaxis of COVID-19 infection. On 12-feb-2021,he experienced internal sensation body jolt, feeling faint, increase blood pressure, pulse declined, face flush, fatigue. After 45 minutes following injection his blood pressure are as follows 145/90 mmhg,172/92 mmhg, Late 1 hr of injection blood pressure was decreased . No HCP consulted, advised him to consult HCP before receiving second vaccine. Action taken with mRNA-1273 in response to the event was unknown. The outcome of the events were unknown; Reporter's Comments: This case concerns a 68-year-old female who had a serious unexpected event of syncope along with nonserious unexpected myoclonus, blood pressure increased, heart rate decreased, flushing, and fatigue. Event onset occurred the same day as the first dose of mRNA-1273. Treatment not reported. Event outcomes unknown. Based on 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: Drug allergy (allergic to codine)

ID: 1142918
Sex: F
Age: 71
State: TX

Vax Date: 02/28/2021
Onset Date: 02/28/2021
Rec V Date: 03/29/2021
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: It was a feeling of paralyzed type of thing/lip was drooping-eyelid; Feeling that went up to my neck, head, cheek, forehead around my eye; Feeling that went up to my neck; Right face looked funny; Whole right side did not look correct; Blood pressure has gone up\blood pressure was 215 over 90-something; Her right eyelid drooped; A spontaneous report was received from a consumer concerning a 71? years-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced a feeling that went back her head, cheek, forehead around her eye/ facial discomfort, feeling that went up to her neck/ musculoskeletal discomfort, It was a feeling of paralyzed type of thing/ facial paralysis, her right face looked funny/ feeling abnormal, lip was drooping/facial paralysis, right eyelid drooped/ eyelid irritation, whole right side did not look correct/ hemiplegia, her blood pressure had gone up/ Hypertension. The patient's medical history as provided by the reporter included hypertension. Concomitant medications reported included atenolol,chlortalidone. On 28 Feb 2021, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (batch: 012A21A) intramuscularly in the right arm for prophylaxis of COVID-19 infection. On 28 Feb 2021, the patient experienced a feeling that went up her neck, head, cheek, forehead around her eye. It was a feeling of paralyzed type of thing. Her right face looked funny, lip was drooping, eyelids, whole right side did not look correct. The patient's blood pressure was 215. Treatment information provided included doctor gave her a little bit more unspecified medication. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the events, a feeling that went back her neck, head, cheek, forehead around her eye, It was a feeling of paralyzed type of thing, her right face looked funny, lip was drooping, right eyelid drooped were resolved. The outcome of events, whole right side did not look correct, her blood pressure had gone up were unknown. Follow-up received on 17 Mar 2021, outcome of events updated.; 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, a causal relationship with the events cannot be excluded. However, patient is hypertensive and the blood pressure recording was 215. which also stands as a confounder and alternative etiology

Other Meds: ATENOLOL/CHLORTHALIDONE

Current Illness: Hypertension

ID: 1142919
Sex: F
Age: 84
State:

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 03/29/2021
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: neuropathy; tingling sensation from the upper arm to the fingers; Hot; Large red area on the left arm; small lump close to the vaccination site; itchy; A spontaneous report was received from a consumer concerning a 84-year-old, female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced a large, red area that was hot and itchy, small lump close to the vaccination site,neuropathy, a "badness site" in the left arm, with a tingling sensation from the upper arm to the fingers. The patient's medical history, as provided by the reporter, included seasonal allergy,high blood pressure and high cholesterol. Concomitant medications reported included high blood pressure medications and simvastatin for high cholesterol. On 07 Jan 2021 prior to the onset of the events, the patient received the first of two planned doses of mRNA-1273 (Lot number: 025L20A)) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 02 Feb 2021 the patient received their second of two planned doses of mRNA-1273 (Lot number: unknown) in the right arm for prophylaxis of COVID-19 infection . On 07 Jan 2021, after receiving vaccination of mRNA-1273, the patient felt large, red area that was hot and itchy, small lump close to the vaccination site,neuropathy, a "badness site" in the left arm, with a tingling sensation from the upper arm to the fingers. Treatment for the events included physical therapy to recover the mobility of this arm. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the events, a large, red area that was hot and itchy, small lump close to the vaccination site were considered resolved on 14 Jan 2021 and the outcome of events neuropathy, a "badness site" in the left arm, with a tingling sensation from the upper arm 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: SIMVASTATIN

Current Illness: High cholesterol; Hypertension; Seasonal allergy

ID: 1142920
Sex: M
Age: 66
State: IN

Vax Date: 02/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/29/2021
Hospital: Y

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: tested positive for COVID; cough; A spontaneous report was received from a consumer, concerning a 66 years old male patient, who received Moderna's COVID-19 vaccine and was hospitalized due to COVID-19 and Cough. The patient's medical history was not provided. Concomitant product use was not provided by the reporter. On 11 Feb 2021, the patient received the first of two planned doses of mRNA-1273 (lot number unknown) intramuscularly in the right arm for prophylaxis of COVID-19 infection. On 12 Mar 2021, the patient tested positive for COVID -19 and was administered Monoclonal antibody infusion at hospital on 15 Mar 2021. The patient was scheduled to get second dose of Moderna COVID-19 vaccine on 13 Mar 2021 but it was rescheduled for 29 Mar 2021. The patient was prescribed benzonatate for cough. Treatment details included monoclonal antibodies and benzonante. The second dose of mRNA-1273 was delayed in response to the events. The outcome of the events, COVID-19 and cough was considered to be not resolved at the time of this report.; Reporter's Comments: This case concerns a 66 Y/O M hospitalized with serious unexpected events of COVID-19 and cough. Event onset 30 days after first dose mRNA-1273. Treated with monoclonal antibodies and benzonante. Events ongoing. Based on current available information and temporal association between use of the product and the start date of the event, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1142921
Sex: F
Age: 38
State: PA

Vax Date: 01/15/2021
Onset Date:
Rec V Date: 03/29/2021
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: Pregnant patient miscarried; got pregnant in between the first and second dose; A spontaneous report was received from a pharmacist ,concerning a 38-year-old, female patient , who received Moderna's COVID-19 vaccine(mRNA-1273) and experienced getting pregnant in between the first and second doses (Exposure during pregnancy) and miscarried/abortion spontaneous. The patient's medical history was not reported. Concomitant medications were not reported. On 15 Jan 2021, patient received the first of two planned doses of mRNA-1273 (Lot/batch: unknown) vaccine intramuscularly for prophylaxis of COVID-19 infection. Between an unknown date and 17 Mar 2021, the patient become pregnant and experienced a miscarriage. On March 17 2021, the patient received the second of two planned doses of mRNA-1273 (Lot/batch: unknown) vaccine for prophylaxis of COVID-19 infection. The event, miscarriage, was medically significant. Laboratory details were not reported. Treatment information was not reported. Action taken with mRNA-1273 in response to the events was not applicable. At the time of report , the outcome of events; got pregnant in between first and second dose and pregnant patient miscarried were, 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 event, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1142922
Sex: M
Age:
State: NY

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 03/29/2021
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: Developed paresthesias in right arm, into axilla, nex and right side of face; burning irritation of right eye; This is a spontaneous report from a contactable nurse (the patient). A 51-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot#: EL0142), via an unspecified route of administration, in the right arm on 29Dec2020 at 15:00 PM (at the age of 51 years) as a single dose for COVID-19 immunization. Medical history included sciatica. There was no known allergies. There were no concomitant medications. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 29Dec2020, within 4 hours of vaccination, the patient developed paresthesia's in right arm, into axilla, neck and right side of face, burning irritation of right eye. The patient was evaluated by neurologist. No treatment given. Symptoms resolved in 10 days. The clinical outcome of the events paresthesia's in right arm, into axilla, neck and right side of face, burning irritation of right eye was recovered on 08Jan2021. It was also reported that since the vaccination, the patient had not been tested for COVID-19.; Sender's Comments: Based on the current available information and the plausible drug-event temporal association, a possible contributory role of the suspect product BNT162B2 to the development of events cannot be excluded. The case will be reassessed if additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified.

Other Meds:

Current Illness:

ID: 1142923
Sex: F
Age:
State: NY

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/29/2021
Hospital: Y

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: Dehydration, hospitalized/dehydrated; My fever broke on Monday; Cruel, incapacitating headache/have such a painful headache that I can't eat; Eye pain; Aversion to food/ can't eat; Constant watery diarrhea despite not much food/diarrhea I have so bad; Constant nausea; Utter and complete lassitude/ exhausted; Being in bed, low energy; Stomach upset; Cough; This is a spontaneous report from a contactable consumer (patient). A 65-year-old female consumer patient received her second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiry date were not reported), via an unspecified route of administration in the left arm on 04Mar2021 16:00 as a single dose for COVID-19 immunisation. Medical history included, in the 1990's, was diagnosed with systemic sclerosis (limited, used to be called CREST scleroderma), pretty severe Raynaud's syndrome, telangiectases, fatigue and sometimes joint aches. Patient was healthy despite this. Patient was not pregnant. The patient was not diagnosed with COVID prior vaccination. Concomitant medications in two weeks included amlodipine besylate, escitalopram oxalate (LEXAPRO), and clonazepam (KLONOPIN). The patient previously received her first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration in left arm on 11Feb2021 04:00 PM and felt unwell but went to work and was fine in 2 days. On 04Mar2021, it was very different, the patient began having symptoms within 4 hours after receiving vaccine at 9 o clock that night. The patient stated "symptoms worsened and it is one week today and I am still sick. My fever broke on Monday. I still have cruel, incapacitating headache, eye pain, aversion to food (extremely weird for me), constant watery diarrhea despite not much food, constant nausea, utter and complete lassitude, dehydration (hospitalized, 2 liters of fluids), pain meds and anti-nausea meds. I have missed a week of work and this is a serious issue for many. I am OK but using precious sick time." Events resulted in doctor or other healthcare professional office/clinic visit and emergency room/department or urgent care. Patient stated "I missed whole week to work and I'm still sick. I have had so many different symptoms and some have gone away like my fever is gone but I have such a painful headache that I can't eat, nausea and constant diarrhea, you get the idea. I'm not against the vaccine but I think it would be good if people like me, people that have had my experience know, I hope it's within the normal range, I still don't know I would love to talk to somebody and find out if what I am experiencing is in the normal range, but it's not, people saying they experience so far the kind of the level of being in bed, low energy, unable to eat, fever, headache, stomach upset, I didn't have a cold, I had respiratory, I had a cough that has cleared up. I was hospitalized yesterday with fluids to become hydrated. It's important for us, you know, I mean, I leave the work that not good, people need to be prepared, it should be sick time I think it's important there is a follow up, absolutely. I was very happy I got the vaccine but I am so sick and it's been a week today so, that's why I decided to call and I was in the hospital yesterday, getting fluids dehydrated and I was admitted (reason for hospitalization was not clarified). I wasn't admitted, I was in the hospital for the day on IV fluids, anti-nausea medication, pain medication also, 3 things they gave me in an IV. They sent me home but the diarrhea I have so bad, I'm exhausted, but I have to spent all my time in the toilet, I thought today might be, I might wake up it would be healing today but I'm still pretty sick." Outcome of fever and cough was recovered, and of remaining events was not recovered. The patient underwent COVID-19 virus test via nasal swab on 03Mar2021 with negative result. Information about lot/batch number has been requested.

Other Meds: AMLODIPINE BESYLATE; LEXAPRO; KLONOPIN

Current Illness:

ID: 1142924
Sex: M
Age:
State: NY

Vax Date:
Onset Date:
Rec V Date: 03/29/2021
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: Cancer; Shingles; This is a spontaneous report from a contactable consumer (patient). A 75-year-old male patient received the first and second doses of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number and expiration date were not reported) as a single dose, with route of administration and therapy dates unspecified, for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient had cancer and shingles. The patient had developed the shingles due to the chemotherapy (for the cancer). The patient got the shingles after the first dose, and around the time of the second (but was not sure it before or after). The patient was also on radiation therapy for cancer and valaciclovir (VALTREX) for the shingles. The outcome of the events, cancer and shingles, was unknown. Information on the batch/lot number has been requested.

Other Meds:

Current Illness:

ID: 1142925
Sex: F
Age:
State: IL

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 03/29/2021
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: Frequent arrhythmias; 20 point systolic BP rise; sense of oppression in breathing; vertigo on arising; brain fog; night sweating with normal temp; burning feet; trembling hands; weak muscles; fatigue; audible pulse in ears; This is a spontaneous report from a contactable consumer (patient). An 81-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot: EN6200), via an unspecified route of administration administered in left arm on 19Feb2021 18:00 (at the age of 81-years-old) as single dose for covid-19 immunisation. The patient was not pregnant at the time of vaccination. The reported facility type was a hospital. No other vaccine in four weeks. The patient did not have covid prior vaccination and was not covid tested post vaccination. Medical history included Hashimotos Thyroiditis, irritable bowel syndrome (IBS), food and seasonal allergies, allergies Iodine isotope contrast, latex, cows milk protein. Concomitant medications included levothyroxine sodium (SYNTHROID); amlodipine and spironolactone. The patient previously took paracetamol (TYLENOL) and thiomersal and experienced allergies from these drugs. The patient experienced frequent arrhythmias day after; several days of 20 point systolic BP rise; audible pulse in ears; sense of danger; sense of oppression in breathing; vertigo on arising; brain fog; night sweating with normal temp; burning feet; trembling hands; weak muscles; fatigue all on 20Feb2021 at 13:00. After 20 days (in Mar2021), all has abated but muscle weakness and fatigue. Unwilling to risk the booster. There was no treatment for the events. The outcome of the events muscular weakness and fatigue was not recovered while for the remaining events was recovered with sequelae in Mar2021.

Other Meds: SYNTHROID; AMLODIPINE; SPIRONOLACTONE

Current Illness:

ID: 1142926
Sex: F
Age:
State: CA

Vax Date: 03/04/2021
Onset Date: 03/01/2021
Rec V Date: 03/29/2021
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: The second day after injection temperature dropped to 93.7; I was very cold; I was dizzy almost passed out; tired; nausea; headache; almost passed out; Hypertension/BP 155/103; This is a spontaneous report from a contactable consumer (patient). A 46-years-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection, Lot Number: EN6203, expiry date not reported) via an unspecified route of administration, administered in left arm on 04Mar2021 at a single dose for COVID-19 immunisation. Medical history included interstitial cystitis and endometriosis, known allergies to milk and sulfa, have had a complete hysterectomy, and patient was getting hormone injections. The patient was not pregnant at the time of the report and vaccination. The patient had no covid prior to vaccination. Concomitant medications were unspecified; it was reported that patient had other medications in two weeks. The patient previously took ibuprofen and experienced known allergies; and had first dose of bnt162b2 for covid-19 immunisation on an unknown date. The patient had no other vaccine in four weeks. The second day after injection (06Mar2021), temperature dropped to 93.7, BP 155/103, and patient was very cold. Patient was dizzy, almost passed out (Mar2021). Patient temp ran from 97 to 98 and was able to get temp up to 95 (2021) but it's been there and dropping to 94.9 since 06Mar2021. Patient did have hypertension BP but take meds for it (Mar2021). Patient was also very tired, nausea and headache on and off (Mar2021). But all those have been reported. It's not normal for the patient to be cold because patient have had a complete hysterectomy and was getting hormone injections. Therapeutic measures were taken as a result of the event hypertension. No treatment received for the other events reported. The patient was not tested for covid post vaccination. The outcome of the events was not recovered.

Other Meds:

Current Illness:

ID: 1142927
Sex: F
Age:
State: FL

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/29/2021
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: autoimmune was exacerbated; shortness of breath; chest tightening; Lose of voice/Loss of voice; Fatigue; This is a spontaneous report from a contactable other healthcare professional (HCP, patient). A 51-year-old female received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number= EN6199) injected intramuscularly in left shoulder (left arm) on 09Mar2021 13:30 at age of 51 years old at single dose for COVID-19 immunisation. Medical history included hypertension (HTN), Ehlers-Danlos syndrome (EDS), neurosarcoidosis (diagnosied 1997 with remission since 2002), high cholesterol, depression, gastrooesophageal reflux disease (GERD), osteoarthritis. Allergies to penicillin (no specific manufacturer, lot or expiration) in 1990. Obesity through all her life. No relevant test. Diagnosed allergies, compromised immune status, respiratory illness. There was no family medical history. Patient was not pregnant. There were no additional vaccines administered on same date of the Pfizer Suspect. There were other medications in two weeks. There was not covid prior vaccination. There was no other vaccine in four weeks prior vaccinations. The adverse event patient experienced: lose of voice with shortness of breath with communication and chest tightening, fatigue. This similar to her neurosarcoidosis diagnosied 1997 with remission since 2002. The events started on 10Mar2021 11:30 AM. Received call from consumer regarding the Pfizer COVID vaccine 1st dose. She was losing her voice. She was a pediatric Occupational Therapist. She was eligible on Tuesday for the first dose and went and got it. Her main concern was the symptoms she was having was the same thing that comes out when her autoimmune was exacerbated. She would like to know if it was safe to get next dose. When providing her weight, she said she was not a small girl. There was no prescriber. She was waiting to see if it would disappear before calling Pfizer to report it and it did not. It started yesterday about 24 hours after the vaccine. She received it for prevention and for the population she works with. A lot of her kids she worked with were autoimmune compromised. The majority of her medications she had been on for over two years, so she did not feel they were relevant. No further details provided. No Emergency Room (ER) or physician's office required. She called her physicians' office and they suggested she contact Pfizer. Patient received covid tested post vaccination: nasal Swab/Antigen on 09Feb2021: negative. Outcome of events was not recovered.; Sender's Comments: Based on the current available information and the plausible drug-event temporal association, a possible contributory role of the suspect product BNT162B2 to the development of serious events cannot be excluded. The case will be reassessed if additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Other Meds:

Current Illness:

ID: 1142928
Sex: F
Age:
State: CO

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/29/2021
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: something in her throat; rash/bumpy rash; nausea; vomiting; started having a taste in her mouth; tickle in her throat, and she kept trying to clear her throat, and then her voice was gone; it felt like her throat was closing up.; rash/red rash; lost of voice; dizziness; headache; This is a spontaneous report from a contactable consumer. A 67 -year-old female patient received her first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, lot number: EN6200, expiration date: 30Jun2021), via an unspecified route of administration on 04Mar2021 (at the age of 67 -years-old), single dose for COVID-19 immunisation. Medical history included diagnosed in 1978 with Gestational Diabetes, and that went away, but it came in 1995 and has been active and progressing ever since; Diabetes, Type Two; allergies to various medications; food allergy. Caller had concomitant medicines of unspecified anxiety medicine, pain medicine,anti-inflammatory, diabetic, blood pressure medicines, the statins. After getting the first dose of the Pfizer BioNTech COVID-19 vaccine, caller had adverse events that made her become hospitalized. She said she had developed dizziness, light headedness, headache, something in her throat, lost of voice, rash nausea, and vomiting. She was in the hospital for 5.5 hours. She originally has the appointment for the second dose of the vaccine on 25Mar2021 but it got cancelled. Caller got the vaccine on 04Mar2021, and the guy gave her the shot, and then said the would check on her in 10 minutes, because of the caller's history of allergies to various medications and foods. Caller reports that she started having a taste in her mouth, and then she got lightheaded, she was dizzy, she got a headache, she felt sick to her stomach and that progressively got worse to where she ended up throwing up twice at the hospital. Caller was given a Bendaryl, and some anti-nausea pills under her tongue, but she did not know she was rashy, until she got home, there was a rash on her chest, arms, back, and legs that was all bumpy and red. Caller started to feel a tickle in her throat, and she kept trying to clear her throat, and then her voice was gone. An ambulance was called, but her husband took her to the hospital because it was right across the street, because her doctor had advised her to get the shot at a site near the hospital because of her history of allergies. Caller reports that she was in the ER for like five and a half hours, and when she started to feel better, she said she wanted to go home and lay in her own bed if she is just going to be puking her guts out. Caller states that she went home and crashed and burned for a few days, with no voice, and she was still coughing to try and clear her throat, it felt like her throat was closing up. Caller confirms she was not admitted to the hospital for this reaction. All events started 04Mar2021. Treatment was given for all events. The outcome of the events was unknown. Caller had no other vaccines on the same day.

Other Meds:

Current Illness:

ID: 1142929
Sex: M
Age:
State: FL

Vax Date: 01/06/2021
Onset Date: 01/19/2021
Rec V Date: 03/29/2021
Hospital: Y

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: temperature of 107; COVID-19 confirmed by postive COVID-19 test; COVID-19 confirmed by postive COVID-19 test; This is a spontaneous report from a contactable consumer (patient). An 81-year-old male patient received dose 1 of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration on 06Jan2021 at 12:00 AM (at the age of 81-years-old) as a single dose in the left arm for COVID-19 immunization. Medical history included back surgery for which he had a complication and was in a Rehabilitation facility for the first shot. The patient did not have any allergies reported. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medications were not reported. On 19Jan2021, the patient experienced a temperature of 107. The patient was taken by ambulance to the hospital and was hospitalized for one week. The patient was tested for COVID-19 post vaccination via a nasal swab test on 20Jan2021 and the results were positive. Therapeutic measures were given for the event temperature of 107 (unspecified). The clinical outcome of the event temperature of 107 was recovered on an unknown date; COVID-19 was unknown. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1142930
Sex: F
Age:
State: PA

Vax Date: 03/11/2021
Onset Date:
Rec V Date: 03/29/2021
Hospital: Y

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: low white and red blood cells; low white and red blood cells; low potassium; low sodium; low magnesium; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), first dose via an unspecified route of administration on 11Mar2021 (Batch/Lot number was not reported) as SINGLE DOSE for covid-19 immunization. Medical history included history of lupus, myocarditis, heart attack and chronic kidney stage 3, all from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. The reporter stated that "I have received the first vaccine and my second dose is scheduled for 08Apr2021. I have read the literature which indicates to get the second dose 21 days apart." It was added that the patient has been recently discharged from ICU. She reported low white and red blood cells, low potassium, low sodium and low magnesium. She cannot have a heart transplant. She is on wheelchair and bed rest currently. She doesn't want to wait 4 weeks to get the second dose because it states clearly in the fact sheet to get the second dose 3 weeks apart. She believes the CDC has a political agenda and they are trying to get as many to get first dose, so the number looks good. She states" I know all about corporate world and the pharmaceutical bureaucracy. It's disaster." The patient wanted to know if she can override and get the vaccine sooner as the clinic refuse to give it to her earlier then the scheduled appointment. The CDC has information on the prioritized population and distribution process during an Emergency Use Authorization. In the Pfizer-BioNTech COVID-19 Vaccine clinical study, the second dose was allowed to be given 19-23 days after the first dose. We are independent of CDC recommendations anything outside of the 19-23 day interval. It was also stated that the patient had taken the vaccine 11Mar2021 and wanted to know what would happen if she taken it outside of the 3 week window period. She was told that she can go and take it within four weeks. The patient also said she had a lot of medical issue and wanted to know if its okay for the four week period. The outcome of the events was unknown.

Other Meds:

Current Illness:

ID: 1142931
Sex: F
Age:
State:

Vax Date: 03/07/2021
Onset Date:
Rec V Date: 03/29/2021
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: recently cut herself with a piece of metal which led to some bleeding; recently cut herself with a piece of metal; This is a spontaneous report from a contactable consumer (patient). A female patient of unspecified age received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number and expiration date unknown), via an unspecified route of administration on 07Mar2021 (lot number/expiration date: unknown), as a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient received the second dose of the vaccine last Sunday (07Mar2021) and reported no side effects post-vaccination. On an unspecified date, the patient recently cut herself with a piece of metal which led to some bleeding. She hasn't had her tetanus shot in the last 20 years and she wanted to know if she can get it. The event outcome was unknown. Information on the batch/lot number has been requested.

Other Meds:

Current Illness:

ID: 1142932
Sex: M
Age:
State: CA

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 03/29/2021
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: Facial Paralysis of the left side, including the forehead of acute onset that occurred two days after receiving the vaccine; moderate to severe pain on the left side of the back of the neck and head.; moderate to severe pain on the left side of the back of the neck and head.; This is a spontaneous report from a contactable consumer (patient). This 66-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (Lot Number: EL3247) at the age of 66 years via an unspecified route of administration at single dose in the left arm on 28Jan2021 05:30 for COVID-19 immunisation. Medical history included appendicectomy, prediabetes, aortic valve calcification, allergy to Sulfa. Concomitant medication included pantoprazole. The vaccine was administered at Clinic. Prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination, the patient had not been tested for COVID-19. The patient previously took codeine and experienced allergy. On 30Jan2021 07:00, the patient experienced facial paralysis of the left side, including the forehead of acute onset that occurred two days after receiving the vaccine (medically significant), moderate to severe pain on the left side of the back of the neck and head. Primary Care physician prescribed Prednisone 20 mg BID (twice a day) for 5 days with improvement of neck pain but no improvement on facial paralysis. Facial paralysis has improved in 60%, still with some degree of compromise. The outcome of the events was recovering.

Other Meds: PANTOPRAZOLE

Current Illness:

ID: 1142933
Sex: F
Age:
State: ID

Vax Date: 02/27/2021
Onset Date: 03/01/2021
Rec V Date: 03/29/2021
Hospital: Y

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: Trouble speaking; legs are swollen and numb; legs are swollen and numb; This is a spontaneous report from a contactable consumer. An 83-year-old female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE) lot number: EN6202, via an unspecified route of administration, administered in left arm on 27Feb2021 18:00 as single dose for COVID-19 immunisation. Medical history included Parkinson's disease. Concomitant medications were not reported. The patient is not pregnant at the time of vaccination. The patient experienced trouble speaking, and legs are swollen and numb on 01Mar2021. The patient was hospitalized due to the events. No treatment was received. The outcome of the events was not recovered.

Other Meds:

Current Illness:

ID: 1142934
Sex: F
Age:
State: WA

Vax Date: 01/12/2021
Onset Date: 02/12/2021
Rec V Date: 03/29/2021
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: Brachial neuritis w/ suprascapular nerve injury and weakness; Brachial neuritis w/ suprascapular nerve injury and weakness; Brachial neuritis w/ suprascapular nerve injury and weakness; This is a spontaneous report received from a contactable physician (who is also the patient). A 47-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiry date unknown), via an unspecified route of administration in the left arm, on 12Jan2021 13:30, as single dose, for COVID-19 immunisation. There was no medical history. The patient did not have COVID-19 prior to vaccination and has not tested for COVID-19 post vaccination. The patient had no known allergies and was not pregnant at the time of vaccination. The patient's concomitant medications were not reported. Historical vaccine included the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL0140, expiry date: unknown), via an unspecified route of administration, on an unspecified date, as single dose, for COVID-19 immunisation. The patient did not receive other vaccines in four weeks. On 12Feb2021, the patient experienced brachial neuritis w/ suprascapular nerve injury and weakness. The events required physician's office visit and resulted to disability or permanent damage. Treatment for the events included physical therapy. The outcome of the events was not recovered. Information about lot/batch number has been requested.; Sender's Comments: A causal association between BNT162B2 and the reported events cannot be excluded based on a compatible temporal relation. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RAs, Ethics Committees, and Investigators, as appropriate.

Other Meds:

Current Illness:

ID: 1142935
Sex: M
Age:
State: NV

Vax Date: 02/17/2021
Onset Date: 02/24/2021
Rec V Date: 03/29/2021
Hospital: Y

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: 1 week after second dose I developed a blood clot behind my left knee, in hospital for 9 days; This is a spontaneous report from a contactable consumer (patient). An 87-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), dose 2 via an unspecified route of administration, administered in Arm Left on 17Feb2021 09:00 (Lot Number: EN6201) as SINGLE DOSE for COVID-19 immunization. Medical history included high blood pressure, controlled from an unknown date and unknown if ongoing and penicillin allergy from an unknown date and unknown if ongoing. The patient previously had first dose of BNT162B2 in the left arm (lot number: EL3244) on 20Jan2021 for COVID-19 immunization. Concomitant medications included apixaban (ELIQUIS), metformin, caredevil and fish oil; all taken for an unspecified indication, start and stop date were not reported. On 24Feb2021 12:00 PM, it was reported that the patient 1 week after second dose, developed a blood clot behind left knee, in hospital for 9 days that also resulted in emergency room/department or urgent care. The event was treated with blood thinners. The patient had no COVID prior to vaccination and has not tested for COVID post vaccination. The outcome of the event was recovering.

Other Meds: ELIQUIS; METFORMIN; FISH OIL

Current Illness:

ID: 1142936
Sex: F
Age:
State: TX

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/29/2021
Hospital: Y

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: facial drooping/Bells Palsy; This is a spontaneous report from a contactable consumer (patient). A 46-year-old female patient (not pregnant) received dose number 1 of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EN6206) via an unspecified route of administration, administered in the left arm, on 11Mar2021 08:15 AM at a single dose for COVID-19 immunisation. Medical history included diabetes, thyroid, and hernia. The patient had no known allergies. Concomitant medication(s) included metformin hydrochloride (METFORMIN ER); levothyroxine; and omeprazole. The patient had no other vaccine in four weeks. On 12Mar2021 at 2AM, the patient woke up and had facial drooping; went to the ER and was admitted for possible stroke. It was further clarified that it was not a stroke but she has Bell's palsy. The adverse event (AE) resulted in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care, and hospitalization (duration for 1 day, from 12Mar2021 to 13Mar2021). AE treatment included medicine, methylprednisolone, valacyclovir, eyedrop. The patient had no COVID prior to vaccination. The patient underwent lab tests which included COVID test type post vaccination (nasal swab, rapid test): negative on 12Mar2021 (COVID tested post vaccination). The outcome of the event was not recovered.

Other Meds: METFORMIN ER; LEVOTHYROXINE; OMEPRAZOLE

Current Illness:

ID: 1142937
Sex: F
Age:
State: NY

Vax Date:
Onset Date:
Rec V Date: 03/29/2021
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: Bell's Palsy; Sharp headaches; cold; This is a spontaneous report from a non-contactable consumer. A 57-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration, on an unspecified date at 57 years old (Batch/Lot Number: EL9264) as single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. The patient experienced sharp headaches and cold then she went to ER, diagnosed with Bell's Palsy on an unspecified date. The events resulted in a Doctor or healthcare professional office/clinic visit and/or Emergency room/department or urgent care. Treatment was received for the events. The outcome of the events was unknown.

Other Meds:

Current Illness:

ID: 1142938
Sex: M
Age:
State: FL

Vax Date: 02/24/2021
Onset Date: 03/13/2021
Rec V Date: 03/29/2021
Hospital: Y

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: broken ribs; broken pelvis; bike accident; fell off his bike; This is a spontaneous report from a contactable consumer (patient's wife). A 78-year-old male patient (reporter's husband) received the first dose of BNT162B2 (Pfizer-BioNTech COVID-19 vaccine, lot number and expiry date unknown), via an unspecified route of administration on 24Feb2021 as a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The reporter was asking how to get her husband his second vaccine dose which was due on 17Mar2021 not that he is in the hospital. The reporter then explained that the patient received his first Pfizer Covid vaccine on 24Feb2021 but on the day of the report, 13Mar2021, the patient had a bike accident. The patient fell off his bike and is now admitted to the hospital with broken ribs and a broken pelvis. The outcome of the events was unknown. The case was reported as non-serious. Information about lot/batch has been requested.

Other Meds:

Current Illness:

ID: 1142939
Sex: F
Age:
State:

Vax Date: 03/07/2021
Onset Date: 03/08/2021
Rec V Date: 03/29/2021
Hospital: Y

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: Severe headache, too much pain; suffers from migraine normally; Severe headache, too much pain; suffers from migraine normally; Severe headache, too much pain; suffers from migraine normally; This is a spontaneous report from a contactable consumer (patient daughter). A female patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection) via an unspecified route of administration on 07Mar2021 (Batch/Lot number was not reported) as single dose for covid-19 immunisation. Medical history included migraine (she suffers from migraine normally). The patient's concomitant medications was not reported. Reporter stated, "Me and my daughter had vaccination Sunday (07Mar2021). My daughter is in severe headache, too much pain, migraine on 08Mar2021. We were in a hospital yesterday with IV (treatment) and she got home last night, but she is still having headache. She has been getting it from Monday to this date. We don't know what we can do, she suffers from migraine normally." The outcome of the events headache was not recovered and the outcome of the events migraine and pain was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1142940
Sex: M
Age:
State: VA

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/29/2021
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: near loss of consciousness; Sudden, intense nausea; vomiting; soreness across entire body; very sensitive skin; This is a spontaneous report from a contactable consumer. A 22-year-old male patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE) lot number and expiration date not provided, via an unspecified route of administration, administered in left arm on 12Mar2021 13:30 as single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. On 12Mar2021, roughly 4 hours after receiving shot, the patient experienced sudden, intense nausea, vomiting, near loss of consciousness, soreness across entire body and very sensitive skin. No treatment was received. The outcome of the event was recovering. Information on lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1142941
Sex: F
Age:
State: VT

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/29/2021
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: peripheral neuropathy in face; Covid-like symptoms; allergic reaction immediately after vaccination; dizziness; weakness; tingling; increased heart rate; brain fog; fatigue; chills; muscle and joint soreness and stiffness; muscle and joint soreness and stiffness; muscle and joint soreness and stiffness; muscle and joint soreness and stiffness; swollen lymph nodes; intermittent heart racing for 3 more days; This is a spontaneous report from a non-contactable consumer (patient). A 66-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EN6204), via an unspecified route of administration, administered in the left arm on 10Mar2021 at a single dose (at the age of 66-years-old) for COVID-19 immunisation. Medical history included mild asthma, arthritis, known allergies: react to some food, insect bites, and had a bad reaction to shingles vaccine. There were no concomitant medications. The patient had no other medication in the last two weeks and no other vaccine in the last four weeks. On 10Mar2021, the patient experienced an allergic reaction immediately after vaccination which included dizziness, weakness, tingling, increased heart rate - lasting approximately 2 hours; followed by COVID-like symptoms of brain fog, fatigue, chills, muscle and joint soreness and stiffness, peripheral neuropathy in face, swollen lymph nodes and intermittent heart racing for three more days. The patient was not COVID tested post vaccination. No treatment was given in response to the events. The patient was recovering from the events. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1142942
Sex: M
Age:
State: FL

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/29/2021
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: Hypothermia; I had a horrible headache; This is a spontaneous report from a contactable consumer. A 26-year-old male consumer received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number EN6208) via an unspecified route of administration in left arm on 11Mar2021 at 05:30 PM (at the age of 26-year-old) for COVID-19 immunisation. Relevant medical history included asthma and hypertension. Concomitant medications were not reported. On 12Mar2021, 24 hours after vaccination (also reported at 01:00AM), the patient had a horrible headache and temperature was 94F (hypothermia). The patient was treated with hot water baths. He had no COVID prior vaccination and was not tested post vaccination. The event resolved on an unspecified date.

Other Meds:

Current Illness:

ID: 1142943
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 03/29/2021
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: Graves's thyroid; Swelling on my neck, tender when I touch it; Swelling on my neck, tender when I touch it; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number: EN6200), via an unspecified route of administration on an unspecified date as SINGLE DOSE for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient stated, "Well, today before my second vaccine which is due tomorrow of the Pfizer vaccine, I noticed that I have some I could have "Graves's thyroid" (not clarified), swelling on my neck. So, I don't have a temperature. I don't have any other symptoms except that is tender when I touch it but I just wanted to know should I proceed with the second dose." The patient underwent lab test and procedure which included body temperature: unknown result ("So, I don't have a temperature") on an unspecified date. The outcome of the events was unknown.

Other Meds:

Current Illness:

ID: 1142944
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 03/29/2021
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: Bells Palsy; This is a spontaneous report from a contactable physician. A patient of unspecified age and gender received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; batch/lot number and expiration date unknown), via an unspecified route of administration on an unspecified date at a single dose for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient was diagnosed with Bells Palsy after first dose of vaccine on an unspecified date. The outcome of the event was unknown. Information on the batch/lot number has been requested.; Sender's Comments: A causal relationship between the event Bells Palsy and suspect product BNT162B2 is possible based on the information provided, drug profile and a temporal association. This case will be reassessed should additional information become available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RAs, Ethics Committees, and Investigators, as appropriate.

Other Meds:

Current Illness:

ID: 1142945
Sex: M
Age:
State: NY

Vax Date: 01/25/2021
Onset Date:
Rec V Date: 03/29/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: I was also tested positive/pneumonia; This is a spontaneous report from a Pfizer-sponsored program. A contactable consumer reported that a male patient of an unspecified age received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE) lot number and expiration date not provided, via an unspecified route of administration on 25Jan2021 as single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. In 2021, a week later, the patient was tested positive and was there in the hospital for 5 days, the patient had pneumonia in the hospital. Still recovering on 15Feb2021 supposedly the date of patient's 2nd shot and cannot get it and cannot go down due to the storm. The outcome of the event was unknown. Information on lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1142946
Sex: F
Age: 27
State: MI

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/29/2021
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: Fever, chills, fatigue, body muscle aches, headache - began about 15 hours after vaccine administered Sore arm about 12 hours after Redness, swolleness, pain, slight itchiness around injection site

Other Meds:

Current Illness:

ID: 1142947
Sex: F
Age: 51
State: PA

Vax Date: 03/22/2021
Onset Date: 03/29/2021
Rec V Date: 03/29/2021
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: none

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

Symptoms: Red and itchy at the site of the vaccine on my upper arm. Arm pit sore and swollen.

Other Meds: Baby aspirin powdered collagen multi-vitamin

Current Illness: none

ID: 1142948
Sex: F
Age: 61
State: IN

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 03/29/2021
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: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Saturday afternoon start to feel fatigue 8:00 pm 102.7 degrees (2 Tylenols) 9:00 pm 103.2 10:00 pm 103.7 11:00pm 2 Tylenols 11:00 102. degrees Frim 8:00 - Monday 7:00 am; pain was immense; legs, arms, abdomen, jaw, neck and a headache to the moon and back. offset every 4 hrs Tylenols' Monday; continue pain on right side, left chest and headache; continue to us Tylenols' every 4 hrs.

Other Meds: None

Current Illness: None

ID: 1142949
Sex: F
Age: 44
State: OH

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/29/2021
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: None

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

Symptoms: Swelling at injection site pain at injection site Fever Chills Nausea Trouble sleeping Muscle aches Fatigue Headache

Other Meds: None

Current Illness: None

Date Died: 03/27/2021

ID: 1142950
Sex: M
Age: 90
State:

Vax Date: 02/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/29/2021
Hospital: Y

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: ALTERED MENTAL STATUS Bradycardia Elevated troponin Non-traumatic rhabdomyolysis Death

Other Meds:

Current Illness:

ID: 1142951
Sex: F
Age: 17
State: OH

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 03/29/2021
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: Two minutes after receiving her vaccination, she experienced lightheadedness, nausea, and dry heaving. She was taken to a private section of the arena monitored.

Other Meds: Lexapro

Current Illness: None

ID: 1142952
Sex: F
Age: 47
State: MN

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: Eggs

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

Symptoms: 36 hrs ongoing significant myalgia, mild headache

Other Meds:

Current Illness: No

Date Died: 03/26/2021

ID: 1142953
Sex: M
Age: 83
State:

Vax Date: 02/27/2021
Onset Date: 03/26/2021
Rec V Date: 03/29/2021
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: death

Other Meds:

Current Illness:

ID: 1142954
Sex: M
Age: 37
State: NE

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/29/2021
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: Penicillin, Clindamycin

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

Symptoms: Started with general headache and malaise the evening of the injection, 26Mar2021. Woke-up 27Mar2021 with slight headache and achiness. Went on walk and came back and napped. Woke up around 06:00 pm with increase in headache, achiness, fatigue, chills, and fever. These general symptoms continued through Sunday evening when a rash covering half of my torso became apparent. The rash had progressed by 11:00 pm when I went to bed. Woke-up 29Mar2021 with rash still present, but diminished.

Other Meds: Omeprazole 20 mg daily

Current Illness:

ID: 1142955
Sex: F
Age: 38
State: IN

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/29/2021
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: Latex, shellfish

Symptom List: Vomiting

Symptoms: Fever of 104, body aches, vomiting and nausea, headache

Other Meds:

Current Illness: None

ID: 1142956
Sex: F
Age: 53
State: TX

Vax Date: 02/28/2021
Onset Date: 02/28/2021
Rec V Date: 03/29/2021
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: Pt c/o itching at injection site and feeling of flushing. Pt also had not eaten or had anything to drink for 3.5. After pt ate symtoms subsided and pt left.

Other Meds:

Current Illness:

Date Died: 03/28/2021

ID: 1142957
Sex: M
Age: 86
State:

Vax Date: 02/16/2021
Onset Date: 03/22/2021
Rec V Date: 03/29/2021
Hospital: Y

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: SHORTNESS OF BREATH Pleural effusion Acute renal failure superimposed on chronic kidney disease, unspecified CKD stage, unspecified acute renal failure type (CMS/HCC) DEATH

Other Meds:

Current Illness:

ID: 1142958
Sex: F
Age: 30
State: NJ

Vax Date: 03/23/2021
Onset Date: 03/26/2021
Rec V Date: 03/29/2021
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: Migraine. I am prone to migraines for the last 13 years. Unsure if this migraine is related to the vaccine or not. I took 1 dose of sumatriptan as soon as I felt the auras coming. For the first couple hours I needed to lay down with an ice pack. I felt a lot better as the day/night went on.

Other Meds:

Current Illness:

ID: 1142959
Sex: F
Age: 47
State: MD

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: NA

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

Symptoms: Vomiting, Shaking violently, muscle contractions throughout body, joint pain, headache

Other Meds: Levathroxin, Serquel, Naxonex, Lyrica

Current Illness: NA

ID: 1142960
Sex: F
Age: 61
State: IN

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/29/2021
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: chills - mild, fever-mild, body aches-moderate, fatigue-major Lasted about 20 hours, patient slept nearly entire time

Other Meds: Prozac, Synthroid, aspirin

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm