VAERS 2021 Database www.vaers.hhs.gov

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

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

Incidents per State

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

ID: 1144483
Sex: M
Age: 83
State: MN

Vax Date: 03/07/2021
Onset Date: 03/09/2021
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: Hospitalization within 6 weeks after receiving vaccine

Other Meds:

Current Illness:

ID: 1144484
Sex: F
Age: 52
State: NJ

Vax Date: 03/28/2021
Onset Date: 03/28/2021
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: Latex, nuts, tree nuts

Symptom List: Anxiety, Dyspnoea

Symptoms: dizziness, palpitations, elevated blood pressure, nausea which alleviated after 35 minutes or so

Other Meds: Bystolic 5mg

Current Illness: None

ID: 1144485
Sex: F
Age: 92
State: MA

Vax Date: 03/15/2021
Onset Date: 03/15/2021
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 known

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

Symptoms: EMT who administered the vaccine alerted me to swelling posterior to the injection site. Vaccine appears to have been aimed at the posterior edge of left deltoid. Skin laxity probably led to tracking subcutaneously. Unclear how much of the vaccine was IM vs SQ.

Other Meds: noncontributory

Current Illness:

ID: 1144486
Sex: M
Age: 65
State: FL

Vax Date: 03/22/2021
Onset Date: 03/23/2021
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: Sulpha

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Pain in right shoulder x3 days; tiredness x1 day; increase in volume of Tinnitus in Right ear-continuing; stiff neck and headache-continuing; Advil x2 day for stiff neck and headache-continuing.

Other Meds: Sambucus Elderberry w/vit. C and zinc; Vitamin C+Rose Hips; Omega-3+COQ10; Garlique

Current Illness: None

ID: 1144487
Sex: F
Age: 72
State: CT

Vax Date: 03/21/2021
Onset Date: 03/22/2021
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: Ajovy, penicillin, Zocor, Rizatriptan Benzoate, Prozac, Tylenol, anti-depressants, statins, sulfur drugs, pimecrolimus cream, parmesan cheese,tree nuts, yeast, ginger, berberine (phellodrendon amurense bark)

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

Symptoms: woke with headache and dizziness; dizziness went away after about 1 hour; headache after about 24 hours

Other Meds: protoprazole, calcium, magnesium, pregnenolone, tumeric curcumin, red rice yeast, bitter melon pills and tincture, align probiotic, beano, melatonin

Current Illness: Diabetes, GERD, hearing loss, exzema, bulging discs in lower back, migraines, high cholestrol

ID: 1144488
Sex: M
Age: 45
State: IL

Vax Date: 03/21/2021
Onset Date: 03/21/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium

Other Meds:

Current Illness:

ID: 1144489
Sex: M
Age: 67
State: IN

Vax Date: 03/08/2021
Onset Date: 03/09/2021
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: Latex

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Sore left arm after shot. Next morning whole body ached. By that afternoon was so bad I could hardly walk. Effects wore off within 36 hours.

Other Meds: Losartan/Hctz 100/25 Doxazosin 4mg Pravastatin 80mg Ezetimibe 10mg Brilinta 90mg Vitamin D3 1000 IU

Current Illness: None

ID: 1144490
Sex: M
Age: 21
State: TX

Vax Date: 03/18/2021
Onset Date: 03/18/2021
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: unknown

Symptom List: Pharyngeal swelling

Symptoms: Patient complained of dizzy spells, and fainted. He bit his tongue while experiencing a possible seizure. No prior history of seizure disorder. Parent was called right after the student experienced adverse reaction. Vital signs taken B/P 128/88, Pulse - 80, Pulse oximetry - 99 %, temperature was 97.4. Patient had not prior history of COVID-19, not taking any medications, no hypertension. Patient became alert 30 seconds afterwards.

Other Meds: unknown

Current Illness: none

ID: 1144491
Sex: F
Age: 50
State: TX

Vax Date: 03/17/2021
Onset Date: 03/20/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Body aches, fatigue, cough with phlegm that started that 3 days after vaccine administration.

Other Meds:

Current Illness:

ID: 1144492
Sex: M
Age: 41
State: VA

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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Fever with chills that didn't come down easily even under the administration of Acetaminophen 500mg every 4 hours (strangely temperature was only 37 C), throbbing head ache, body ache, drowsiness and fatigue, loss of apetite, nausea, heartburn, constipation.

Other Meds: Atenolol 50mg 2x a day, vitamin D 50 mcg 1x a day, probiotic, Fish Oil 1000mg.

Current Illness: None

ID: 1144493
Sex: F
Age: 80
State: NC

Vax Date: 03/24/2021
Onset Date: 03/25/2021
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: Statins, pollen

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

Symptoms: Red, swollen arm down to elbow, fever, chills,(for both shots) very tired and sleepy most of the time. Bad several days, better each day thereafter except for tiredness and sleepiness.

Other Meds: Atenolol, Airborne, ibupropen

Current Illness:

ID: 1144494
Sex: F
Age: 69
State: OH

Vax Date: 03/25/2021
Onset Date: 03/27/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium

Other Meds:

Current Illness:

ID: 1144495
Sex: F
Age: 59
State: NJ

Vax Date: 03/01/2021
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: LA

Lab Data:

Allergies:

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

Symptoms: Pt called stating on 3-26-21. She woke up with 102 fever. Had been taking Tylenol since received vaccine Twice that night and continued the next day. Later that day puts husband who is an md said she experienced a seizure for about 10 seconds and wanted to report the adverse effect to someone. The patient did not go to er or md office. Did not call her regular md. She stated she was fine and had no other ill effects

Other Meds:

Current Illness:

ID: 1144496
Sex: F
Age: 38
State: OH

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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Triptans Penicillin Banana Watermelon/melons Apples

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

Symptoms: About 33 hours after 2nd Pfizer Covid vaccine my armpit lymph node(left side only which is same as vaccine side) started to become painful and a bit swollen. It?s been 3 days since 2nd dose and still have this pain. *only other symptoms were a headache first and 2nd day that went away with OTC.(excedrin migriane)

Other Meds: Propanol ER 80mg Advair diskus inhaler 250/50 Vitamin C 1000mg Vitamin D 10,000IU

Current Illness: Seasonal allergies

ID: 1144497
Sex: M
Age: 39
State: AZ

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: penicillin

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

Symptoms: Fever, body ache, dizzy, headache for 2 days. Ongoing headache, neck stiffness and dizziness. Car sickness type feeling. Stiff neck and migraine.

Other Meds: None

Current Illness: none known

ID: 1144498
Sex: F
Age: 38
State: MD

Vax Date: 03/26/2021
Onset Date: 03/26/2021
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: Gluten, shrimp, latex

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

Symptoms: Chills, fever to 102.5, nausea, diarrhea

Other Meds: Zyrtec

Current Illness: None

Date Died: 03/11/2021

ID: 1144499
Sex: F
Age: 73
State: WA

Vax Date: 02/05/2021
Onset Date: 03/05/2021
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: tomatoes

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

Symptoms: pts arm was bothering her after taking the covid vax. On 3/10/2021 pt went to Hospital to have a Echocardiogram procedure. Pt was sent home. The next day pt was vomiting and heaving. Her blood pressure was high and she was having symptoms of a heart attack. 911 was called. First Responder was first to arrive so pt was put on gurney and put on a flight to Hospital. Pt was loaded for the heart flight but perished in flight to the hospital due to cardiac arrest.

Other Meds: Cozaar, red young living oils, Ventolin inhaler

Current Illness: unknown

ID: 1144500
Sex: M
Age: 87
State: MN

Vax Date: 03/10/2021
Onset Date: 03/10/2021
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: Niaspan, quinapril HCL, spironolactone, tetanus toxoid

Symptom List: Ear pain, Hypoaesthesia

Symptoms: 10 min after patient received vaccine patient bent over and felt dizzy. After taking vitals patient reported that he felt as if he was going to vomit. Patient was assessed by provider, after several minutes patient felt better.

Other Meds: Chlorthalidone, klor-con, atorvastatin, aspirin, multivitamin, vitamin D, nitro

Current Illness: unknown

ID: 1144501
Sex: F
Age: 47
State: TX

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

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

Lab Data:

Allergies: Penicillin and pork products.

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Hives all over the body and inside mouth and throat. Shortness of breath and pressure on my lungs.

Other Meds: Multi vitamins

Current Illness: None

ID: 1144502
Sex: F
Age: 17
State: CA

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

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

Lab Data:

Allergies: pollen

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

Symptoms: patient was administered Moderna COVID 19 vaccine

Other Meds: Albuterol; Flonase; lidocaine cream; Ativan; Zofran; bacttim; Flomax; pataday

Current Illness: carcinoma of tail of pancreas; acinar cell tumor

ID: 1144504
Sex: F
Age: 72
State: NY

Vax Date: 03/28/2021
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: 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: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1144505
Sex: F
Age: 59
State:

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: Unevaluable event

Symptoms: redness on arm and cheek. Evaluated by EMS-Cleared

Other Meds:

Current Illness:

ID: 1144506
Sex: M
Age: 75
State: NH

Vax Date: 12/23/2020
Onset Date: 03/02/2021
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: Latex

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

Symptoms: Diagnosed with Covid-19

Other Meds: Aspirin, galantamine, magnesium oxide, tamsulosin, sertraline, meclizine, lisinopril, pantoprazole, melatonin, acetaminophen, trazodone

Current Illness: NA

ID: 1144507
Sex: F
Age: 60
State:

Vax Date: 03/16/2021
Onset Date: 03/27/2021
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: Hard red bump in arm near vaccine area. Painful , itchy

Other Meds:

Current Illness:

ID: 1144508
Sex: F
Age: 59
State: AR

Vax Date: 01/20/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: Sulfa

Symptom List: Injection site pain, Menorrhagia

Symptoms: After going to sleep on my legs started hurting really bad and better next morning.

Other Meds: Wellbutrin, Celexa, Protonic, Maxzide, Multi Vit, Vit B, Vit D, Biotin, Claritin Clonidine, Seroquel, Benadryl

Current Illness: No

ID: 1144509
Sex: F
Age: 24
State: WI

Vax Date: 03/22/2021
Onset Date: 03/23/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: The next day I started feeling extreme fatigue. Other symptoms I?ve had are chest pain, congestion, a slight cough, and brain fog. I have mucus buildup as well.

Other Meds: Lamictal 100 mg, seroquil 100 mg, stattera 25 mg, isotretnoin 40mg

Current Illness: None

ID: 1144555
Sex: F
Age: 41
State: NY

Vax Date: 01/10/2021
Onset Date: 01/20/2021
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: red, itchy, tender, swollen giant hives around a few inches from injection site; red, itchy, tender, swollen giant hives around a few inches from injection site; red, itchy, tender, swollen giant hives around a few inches from injection site; red, itchy, tender, swollen giant hives around a few inches from injection site; A spontaneous report was received from a consumer concerning a 41-year-old female patientwho received Moderna's COVID-19 vaccine (mRNA-1273) and experienced red, itchy, tender, swollen giant hives around a few inches from injection site. The patient's medical history not provided. The concomitant medications were not reported. On 10-JAN-2021, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (lot: 012L20A) via unknown route in the left arm for prophylaxis of COVID-19 infection. On 20-JAN-2021, the patient noticed red, itchy, tender, swollen giant hives around a few inches from injection site. The event swollen giant hives around a few inches from injection site was assessed as serious as per IME list. Labs were not reported. Consumer took Benadryl at 10:30am to treat symptoms. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the events red, itchy, tender, swollen giant hives around a few inches from injection site 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 events, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1144556
Sex: F
Age: 73
State: NC

Vax Date: 02/04/2021
Onset Date: 02/11/2021
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: blood sugar was high (758 mg/dL); Ketoacidosis; A spontaneous report was received from consumer concerning a 73 Year old female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced High blood sugar(758mg/Dl) and Ketoacidosis. The patient's medical history was not provided. No relevant concomitant medications were reported. No information on allergies were provided. The report stated that the patient was physically and mentally healthy before vaccination. On 4 Feb 2021, prior to the onset of the events, the patient received the first of two planned doses of mRNA-1273 (Lot number: unknown) via intramuscular route on her upper Arm for prophylaxis of COVID-19 infection. On 11 Feb 2021, Patient experienced high blood sugar (758 mg/DL) and she was admitted to hospital because of her high blood sugar and ketoacidosis. The patient was hospitalized on 11 Feb 2021 and released on 20Feb 2021. High blood sugar and Ketoacidosis were deemed as life threatening for seriousness criteria. Consent was received to save the caller information within our database and for safety to follow up. Action taken with mRNA-1273 in response to the events was not reported. The outcome for the events experienced High blood sugar (758mg/Dl) and Ketoacidosis was considered recovered.; 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: 1144557
Sex: F
Age: 75
State: NV

Vax Date: 02/20/2021
Onset Date: 02/20/2021
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: Began throwing up; Face swelled up; A spontaneous report was received from a consumer concerning her sister, a 75-years-old female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced face swelled up/swelling face and began throwing up/ vomiting. The patient's medical history was not provided. No relevant concomitant medications were reported. On 20 Feb 2021, prior to the onset of the events, the patient received their second of two planned doses of mRNA-1273 (Batch Number: Unknown) intramuscularly for prophylaxis of COVID-19 infection. On 20 Feb 2021, immediately after the second dose, the patient experienced face swelled up. A few hours later, patient began throwing up and had to go to the hospital and was hospitalized for 3 days. Treatment details not provided. The patient received both scheduled doses of mRNA-1273 prior to the events, therefore action taken with the drug in response to the events was not applicable. The outcome of events, face swelled up and began throwing up was resolved (ok now) on an unspecified date.; 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 events, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1144558
Sex: U
Age:
State: TX

Vax Date:
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: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Fainted in the shower; A spontaneous report was received from a consumer concerning a friend who is a patient of unknown age and race that received Moderna's COVID-19 Vaccine (mRNA-1273) and fainted in the shower (Syncope). The patient's medical history was not provided. Concomitant product use was not provided by the reporter. On an unknown date, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (batch number: unknown) intramuscularly for prophylaxis of COVID-19 infection. On an unknown date, the patient fainted in the shower. No treatment information was provided by the reporter. Action taken with mRNA-1273 in response to the events was unknown. The outcome of event, fainted in the shower was considered as unknown.; Reporter's Comments: Very limited information regarding this event/s has been provided at this time. Further information has been requested.; Sender's Comments: MOD-2021-031707:patient's case

Other Meds:

Current Illness:

ID: 1144559
Sex: M
Age: 81
State: NY

Vax Date: 03/08/2021
Onset Date: 03/09/2021
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: Diarrhea; Felt hot, but no temperature; Nausea; Vomiting; Appears the Botox did not work; Shaking from the Parkinson's is aggravated; He was not feeling well; A spontaneous report was received from a consumer concerning a 81-year-old, male patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced he was not feeling well, diarrhea, nausea, vomiting, felt hot, but no temperature, shaking from the parkinson's is aggravated and appears the botox did not work. The patient's medical history, as provided by the reporter included parkinson's. Concomitant medications reported included botox injection. On 08 Mar 2021 at 01:00 pm, prior to the onset of the events, the patient received their second of two planned doses of mRNA-1273 (Lot number: 003A21A) unknown route of administration in the left arm for prophylaxis of COVID-19 infection. On the 09 Mar 2021, after receiving mRNA-1273, the patient experienced he was not feeling well, shaking from the parkinson's is aggravated and appears the botox did not work. On 10 Mar 2021, the patient experienced, diarrhea, nausea, vomiting, felt hot, but no temperature. Lab details was not provided by the reporter. Treatment for the events was not provided by the reporter. Action taken with mRNA-1273 in response to the events was not applicable. The outcome of the events experienced he was not feeling well, diarrhea, nausea, vomiting, felt hot, but no temperature, shaking from the parkinson's is aggravated and appears the botox did not work 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: BOTOX

Current Illness: Parkinson's disease (Medical history reported as patient has Parkinson's.)

ID: 1144560
Sex: F
Age: 68
State: MO

Vax Date: 03/08/2021
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: 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: passed out on way to bathroom; Maybe it was a seizure; Feeling weak; Fever of 103,Lowest the fever could get is 101; Diverticulitis attack; A spontaneous report was received from a consumer concerning a female patient of 68 years old, who received Moderna's COVID-19 vaccine(mRNA-1273) and experienced Diverticulitis attack, felt weak, passed out, seizure and Fever of 103. The patients medical history included sensitivity to medicines. No relevant Concomitant medications were reported. On 08 Mar 2021,prior to the onset of events, the patient received the first of two planned doses of mRNA-1273(Lot number: 011A21A) vaccine through unknown route for prophylaxis of COVID-19 infection. On 10 Mar 2021, at 1am, she woke up with a fever of 103. The highest was 103 and the lowest she could get it down to was 101. The patient passing out on way to bathroom at one point also and does not know how long she was out for. She believes she could have had a seizure. She also had a diverticulitis attack in this time period which she states being the worse attack and she felt pretty weak . Treatment for the event included Tylenol and used icepacks and was on a liquid diet. Action taken with the mRNA-1273 in response to the event was not provided. The fever resolved on 12 Mar 2021 while the diverticulitis attack and weakness resolved on 16 Mar 2021. The outcome were unknown for other events.; 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: 1144561
Sex: F
Age:
State: NJ

Vax Date: 01/18/2021
Onset Date: 01/23/2021
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: RA

Lab Data:

Allergies:

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

Symptoms: 5 days after I started to have chest pain. It was variable and now I have been diagnosed with Prinzmetal angina; This is a spontaneous report from a contactable other healthcare professional (patient). A 58-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EL3247) via an unspecified route of administration, administered on the left arm on 18Jan2021 11:00 at a single dose for COVID-19 immunisation. Medical history included high BP that was under control and allergy: glue on tape used in hospitals. Concomitant medications included losartan, levothyroxine and hydrochlorothiazide. On 23Jan2021 02:00 PM (5 days after), the patient started to have chest pain. It was variable and now I have been diagnosed with Prinzmetal angina. Treatment was received for the events. The events resulted to a doctor or other healthcare professional office/clinic visit and emergency room/department or urgent care. The patient is in the process of stabilizing the angina. Prior to vaccination, the patient was not diagnosed with COVID-19. Post vaccination, the patient has not been tested for COVID-19. Patient was not pregnant. The facility where the vaccine was administered was in a hospital. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Outcome of the events was not recovered.; Sender's Comments: Based on temporal association, the causal relationship between BNT162B2 and the event Prinzmetal angina cannot be excluded. The information available in this report is limited and does not allow a medically meaningful assessment. This case will be reassessed once 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: LOSARTAN; LEVOTHYROXINE; HYDROCHLOROTHIAZIDE

Current Illness:

ID: 1144562
Sex: M
Age:
State: IN

Vax Date: 02/17/2021
Onset Date: 03/03/2021
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: Tremor

Symptoms: developed coryzal sxs of nasal stuffiness; developed coryzal sxs of nasal stuffiness; ear fullness; decreased hearing L ear; unilateral hearing loss without dizziness or pain; sensorineural dysfunction; This is a spontaneous report from a contactable physician (patient). A 66-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; batch/lot number and expiration date unknown), intramuscular, administered in left arm on 17Feb2021 09:15 as single dose for covid-19 immunisation at a hospital. Medical history included allergies to sulfa-urticaria, hypertension (HNT), hyperlipidemia, hypothyroidism, GERD, osteoarthritis, and coronary artery calcification per cardiac CT scan. Concomitant medications included levothyroxine sodium (SYNTHROID), atorvastatin, metformin hydrochloride (METFORMIN ER), hctz, famotidine, ergocalciferol (VIT D), and melatonin. The patient had no other vaccine in four weeks. The patient previously took fenofibrate and experienced allergies: photosensitivity. The patient received IM injection on 17Feb2021 with no sequelae initially. On or about 03Mar2021 at 13:00, the patient developed coryzal sxs of nasal stuffiness and ear fullness. The patient used Flonase and Z pack and Afrin. The patient also developed decreased hearing L ear confirmed yesterday by ENT doc. This was unilateral hearing loss without dizziness or pain. Hearing has improved but is still abnormal. Tympanograms are normal. Exam was consistent with sensorineural dysfunction. The patient was reluctant to receive the second dose scheduled for Wednesday, 17Mar2021. The events were assessed as serious due to disability or permanent damage and resulted in doctor or other healthcare professional office/clinic visit. The patient was not tested for Covid post vaccination. The outcome of the events was recovering. Information about lot/batch has been requested.; Sender's Comments: A possible contributory effect of suspect BNT162B2 on reported events cannot be excluded. 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: SYNTHROID; ATORVASTATIN; METFORMIN ER; HCTZ; FAMOTIDINE; VIT D; MELATONIN

Current Illness:

ID: 1144563
Sex: F
Age:
State: NY

Vax Date: 03/06/2021
Onset Date: 03/06/2021
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: Erythema, Pruritus

Symptoms: had Parkinson's and my symptoms got worse; Full blown period with clotting/haven't had period since 18 years so now it's heavy; Headache; Acne/cramping/was very irritable/it was PMS; tremor; an itchy chest including nipples/itchy rash, not swollen but a rash on chest and nipples which were itchy; This is a spontaneous report from a contactable consumer (patient). This 63-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in arm right on 06Mar2021 14:45 (Batch/Lot Number: EL3302) as a single dose for COVID-19 immunization. Medical history included Parkinson's, hypothyroidism, aortic insufficiency, allergies: penicillin, tea tree oil, latex, whey. Patient is not pregnant at the time of vaccination. Concomitant medications included levothyroxine sodium (SYNTHROID) taken for hypothyroidism from 1998 and ongoing, carbidopa, levodopa (CARBIDOPA LEVODOPA) taken for Parkinson's disease from Feb2013; and estradiol (VIVELLE DOT) for estrogen therapy. Patient previously took prochlorperazine edisylate (Compazine) and morphine and experienced allergies for both. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with COVID-19 prior to vaccination. Patient has not been tested for COVID-19 since the vaccination. Patient has not had a period for 18 years. On 07Mar2021 12:00, patient got an itchy chest including nipples, irritability, acne and a heavy full blown period with clotting, cramping, etc. AE resulted in doctor or other healthcare professional office/clinic visit. Events were also reported as follows: patient experienced itchy rash, not swollen but a rash on chest and nipples which were itchy. Patient had Parkinson's and her symptoms got worse. She just went to her neurologist and thought that was a little strange and patient had headache. It was reported that she was irritable, it was PMS. Then patient had full blown period and patient have not had period since 18 years so now it was heavy. Patient had neurology appointment a short time ago and she was doing great and she also had her urology appointment on 23Feb2021 and everything was fine. Patient did use Vivelle-Dot which is half of a milligram, it is an estrogen therapy, but patient have never had any problems with bleeding at all, "nothing like that ever". Itching started on 06Mar2021, and then over the next couple of days, patient started having headaches, irritability, cramping, just overall Parkinson's symptoms, and tremor (medication wasn't controlling her tremor anymore). Patient has not recovered from the events.

Other Meds: SYNTHROID; CARBIDOPA LEVODOPA; VIVELLE DOT

Current Illness:

ID: 1144564
Sex: F
Age:
State: IL

Vax Date:
Onset Date:
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: She has recently fallen and broken her hip which caused her to have surgical repair; She has recently fallen and broken her hip which caused her to have surgical repair; This is a spontaneous report from a contactable consumer (patient) via Medical Information Team. A 73-year-old female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration on an unspecified date as SINGLE DOSE for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient was scheduled to receive the second dose on Monday, 15Mar2021. She has recently fallen and broken her hip which caused her to have surgical repair on 03Mar2021 and now she was in a nursing home recovering. She wanted to know what she should do about postponing her second dose. The reporter considered the events as non-serious. Therapeutic measures were taken as a broken hip which included surgical repair. The patient was recovering from the events. Information on lot number/batch number has been requested.

Other Meds:

Current Illness:

ID: 1144565
Sex: F
Age:
State: FL

Vax Date: 03/11/2021
Onset Date: 03/11/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: fainted when I sat down; stood up and started to feel dizzy; I felt throat pain like strep throat pain; started feeling very intensive cramps in my lower abdomen like very intense period cramps for about 10 minutes.; felt very weak with no energy to get out of bed; This is a spontaneous report from a contactable consumer (patient). A 21-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE lot number: EL3302) via an unspecified route of administration, administered on the right arm on 11Mar2021 16:00 at a single dose for COVID-19 immunisation. Medical history included low thyroid. There were no concomitant medications. After receiving the shot of the vaccine on 11Mar2021 16:00, the patient stood up and started to feel dizzy. She was able to find a nearby chair and fainted when she sat down. When she woke up seconds later of fainting, she felt throat pain like strep throat pain and then she started feeling very intensive cramps in her lower abdomen like very intense period cramps for about 10 minutes. The patient stated that nobody in the (Pharmacy name) was prepared to react to these symptoms and the rescue took too long to come in, when they came in she was feeling better and did not see the need of going to the hospital. But it was an immediate reaction that affected 3 different parts of her body that was very painful. During the day and the day after she felt very weak with no energy to get out of bed. "I am wondering if I can still receive the second dose after this reaction to the first dose?" No treatment was received for the events. Prior to vaccination, the patient was not diagnosed with COVID-19. Post vaccination, the patient has not been tested for COVID-19. Patient was not pregnant. No known allergies. The facility where the vaccine was administered was in a pharmacy drug store. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Outcome of the events was recovering.

Other Meds:

Current Illness:

ID: 1144566
Sex: F
Age:
State: IL

Vax Date: 01/08/2021
Onset Date: 01/16/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: On 16Jan2021, both ears were clogged but I couldn't hear well out of left ear and there is a constant hum in it. On 17Jan, I had pain in left ear but it went away. My left ear still is clogged; has decreased hearing/decreased hearing of lower register; On 16Jan2021, both ears were clogged but I couldn't hear well out of left ear and there is a constant hum in it. On 17Jan, I had pain in left ear but it went away. My left ear still is clogged; On 16Jan2021, both ears were clogged but I couldn't hear well out of left ear and there is a constant hum in it. On 17Jan, I had pain in left ear but it went away. My left ear still is clogged; On 16Jan2021, both ears were clogged but I couldn't hear well out of left ear and there is a constant hum in it. On 17Jan, I had pain in left ear but it went away. My left ear still is clogged; This is a spontaneous report from a contactable nurse (patient). A 50-year-old female patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number: EL1283), via an unspecified route of administration administered in left arm in the hospital on 08Jan2021 07:30 as SINGLE DOSE for COVID-19 immunisation. The patient had no other vaccine in four weeks. The patient had unspecified medical history and concomitant medications in two weeks. The patient had no known allergies. The patient had no COVID prior vaccination and was not tested for COVID post vaccination. Historical vaccine includes first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number: EK5730) administered in left arm on 18Dec2020 at 06:30 PM for COVID-19 immunisation. On 16Jan2021, both ears were clogged but patient couldn't hear well out of left ear and there was a constant hum in it on 16Jan2021 at 06:00 AM. On 17Jan2021, the patient had pain in left ear but it went away. Her left ear still was clogged, has constant hum and has decreased hearing on 17Jan2021. Right ear hearing was always fine and clogged feeling went away in two weeks. The patient saw ear, nose, and throat (ENT) on 19Jan2021, patient was started on steroids. The patient had magnetic resonance imaging (MRI)and several types of hearing tests on 19Jan2021. MRI was normal. Hearing tests showed decreased hearing of lower register. One doctor thought she should mention it since it happened within 8 days of receiving her second vaccination. The events resulted in doctor or other healthcare professional office/clinic visit. Therapeutic measures were taken as a result of all events which includes MRI, steroids, and hearing test. The patient recovered from ear pain on an unspecified date while outcome of the rest of the events was not yet recovered.; Sender's Comments: Based on the information provided, and on plausible temporal association, the Company assessed that a reasonable possibility could not be completely excluded that the reported event Hearing loss (both ears were clogged but I couldn't hear well out of left ear and there is a constant hum in it) was related to the PFIZER-BIONTECH COVID-19 VACCINE. 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: 1144567
Sex: M
Age:
State: NY

Vax Date: 03/07/2021
Onset Date: 03/09/2021
Rec V Date: 03/29/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: stroke; Left side stroke which affected his speech, and right side; This is a spontaneous report from a contactable consumer. A 69-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number En6199 and expiration date unknown), via an unspecified route of administration in the left arm on 07Mar2021 at 11:00 at a single dose for COVID-19 immunization. Medical history included myasthenia gravis, rheumatoid arthritis, and high blood pressure. Concomitant medications included pyridostigmine (PYRIDOSTIGMINE), metoprolol (METOPROLOL), tamsulosin (TAMSULOSIN) and amlodipine (AMLODIPINE). The patient had known allergies with aspirin [acetylsalicylic acid]. The patient had no other vaccine in four weeks. The patient had a left side stroke which affected his speech and right side, on Tuesday morning 48 hours after taking the vaccine (on 09Mar2021 at 05:00). The event resulted in emergency room/department or urgent care, hospitalization, disability or permanent damage. It was also reported that treatment was administered for the events and the patient was still in the hospital. The patient had no COVID-19 prior vaccination and has tested post vaccination (09Mar2021), with a pending result. The patient was recovering from the events at the time of the report.

Other Meds: PYRIDOSTIGMINE; METOPROLOL; TAMSULOSIN; AMLODIPINE

Current Illness:

ID: 1144568
Sex: M
Age:
State: WA

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: my ears started ringing; some amount of loss due to the ringing i wasn't able to hear high frequency at low volumes; I called in sick; This is a spontaneous report from a contactable consumer (patient). A 51-year-old male patient received first dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot: En6200), via an unspecified route of administration in left arm on 17Feb2021 12:00 (at the age of 51-years-old) as single dose for covid-19 immunisation. The vaccine facility type was a school or student health clinic. Medical history included heart attack in Oct2020. The patient had no known allergies. The patient did not have covid prior vaccination and was not covid tested post vaccination. The patient did not have other vaccine in four weeks. Concomitant medications included atorvastatin; clopidogrel and metoprolol. It was reported that on 18Feb2021 (the day after the patient got the covid shot) at approximately 17:00 his ears started ringing, he called in sick and got a doctor's appointment asap. The patient said that there was no blockage or infection, so he got a referral to an audiologist to get hearing test. The test only revealed some amount of loss due to the ringing he wasn't able to hear high frequency at low volumes. The patient was concerned about getting second shot. Not sure what to do. The events resulted in doctor or other healthcare professional office/clinic visit and was considered disability or permanent damage. There was no treatment for the events. The outcome of the events was not recovered.

Other Meds: ATORVASTATIN; CLOPIDOGREL; METOPROLOL

Current Illness:

ID: 1144569
Sex: F
Age:
State: WA

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: LA

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Weakness in hands, feet and legs; Facial numbness and drooping 30 mins after injection; Facial numbness and drooping 30 mins after injection; This is a spontaneous report from a contactable consumer (patient). A 26-year-old female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration, administered in left arm on 12Mar2021 14:00 (Batch/Lot number was not reported) as single dose for covid-19 immunization at age 26 years old. The patient was not pregnant at the time of vaccination. The patient had covid prior to vaccination. No known allergies. Patient was not tested post vaccination. There were no concomitant medications. No other vaccines in four weeks and no other medication in two weeks. On 12Mar2021 14:30, 30 mins after injection, the patient experienced facial numbness and drooping 30 mins after injection. On 13Mar2021 02:00, weakness in hands, feet and legs starting 12 hours after injection. Treatment was not given for events. The patient had not recovered from the events. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1144570
Sex: M
Age:
State: TX

Vax Date: 03/11/2021
Onset Date: 03/12/2021
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:

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

Symptoms: Atrial fibrillation; This is a spontaneous report from a contactable consumer (reporting for himself). A 36-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EN6204, expiration date: unknown), via an unspecified route of administration in left arm on 11Mar2021 at 12:00 as single dose for COVID-19 immunization. Medical history included gout. The patient's concomitant medications were not reported. On 12Mar2021 at 01:00, the patient experienced atrial fibrillation. The patient stated that it was his first time to have ever had any heart issues. The patient did not received treatment for the event. The outcome of the event was not recovered. The patient did not had COVID-19 prior to vaccination and was not tested post vaccination.

Other Meds:

Current Illness:

ID: 1144571
Sex: M
Age:
State:

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/29/2021
Hospital: Y

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: experience his legs and arms shaking/quivering (went to ER for treatment) which resolved but came back the morning of 12Mar2021; This is a spontaneous report received from a contactable pharmacist (patient) via Medical information team. A 55-year-old male patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation Solution for injection dose, Lot number and expiration date was not reported) via unspecified route of administration on 10Mar2021 at single dose for COVID-19 immunization. The patient medical history concomitant medications were not reported. Historical vaccine included BNT162b2 first Pfizer COVID vaccine dose on 13Feb2021 for COVID-19 immunization, after which he experienced neck tightness and denies any issues with breathing. On 10Mar2021 the patient experienced his legs and arms shaking/quivering went to ER for treatment which resolved but came back the morning of 12Mar2021. As per the reporter seriousness criteria reported as hospitalization. Therapeutic measures were taken as a result of experience his legs and arms shaking/quivering went to ER for treatment which resolved but came back the morning of 12mar2021. The outcome of the event was unknown. Information on the lot/batch number has been requested.; Sender's Comments: Based on known drug safety profile, there is reasonable possibility of causal association between the event tremor limb and the suspect drug. 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: 1144572
Sex: M
Age:
State: CA

Vax Date: 03/02/2021
Onset Date: 03/02/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Paralyzed in his arms and legs; Legs were weak; Severe shivers; This is a spontaneous report from a contactable consumer, the patient. A 75-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot number: EN6198), via an unspecified route of administration in the right arm on 02Mar2021 at 09:30 (at the age of 75-years old) as a single dose for COVID-19 immunization. Medical history included dizziness, hyperuricemia (he produces too much uric acid and it causes kidney stones), back pain, COVID-19 in Dec2020 and was cleared by the end of Dec2020. Ongoing concomitant medications included diazepam for dizziness since 1978, allopurinol for hyperuricemia, oxycodone hydrochloride/paracetamol (PERCOCET) for back pain since 7-8 years ago. There were no other vaccines administered on the same day or within 4 weeks prior to the vaccination. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot number: EL9262) on 09Feb2021 at 09:30 (at the age of 75-years-old) in the left arm and experienced muscle aches. On 02Mar2021 at 21:00, the patient experienced severe shivers. On 03Mar2021 at 02:30, the patient woke up to go to the bathroom and noticed his legs were weak. On 03Mar2021 at 07:00 he was paralyzed in his arms and legs- he could feel his muscles but couldn't make them move. He just laid there for ten hours, and it was scary, and he thought that over a period of time the vaccine would get filtered out. After that, he was fully recovered and able to move. The events did not require a visit to the physician or the emergency room. The patient was concerned that he got the second shot too soon after having COVID-19 in Dec2020. The clinical outcome of legs were weak and paralyzed in his arms and legs was resolved on 03Mar2021, severe shivers was resolved on 04Mar2021.

Other Meds: DIAZEPAM; ALLOPURINOL; PERCOCET [OXYCODONE HYDROCHLORIDE;PARACETAMOL]

Current Illness:

ID: 1144573
Sex: M
Age:
State: MO

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 03/29/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Severe GI pain; gastritis; ulcers; This is a spontaneous report from a contactable consumer (patient). A 35-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) (at 35 years age), dose 1 via an unspecified route of administration, administered in arm left on 29Jan2021 14:00 (Batch/Lot Number: EL9262) as a single dose for COVID-19 immunisation. Medical history included allergy from an unknown date. Concomitant medication included cetirizine hydrochloride (ZYRTEC ALLERGY) taken for allergy, start and stop date were not reported. The patient had no COVID prior vaccination. The patient experienced severe GI pain, gastritis and ulcers, all on 05Feb2021 with outcome of recovering. The patient was hospitalized for the events on the 6th day (Feb2021) after initial COVID vaccine dose (as reported). The events resulted in doctor or other healthcare professional office/clinic visit and Emergency room/department or urgent care. Therapeutic measures were taken as a result of the events; patient was given ulcer medicine. The patient underwent lab tests and procedures which included sars-cov-2 test (nasal swab) with negative result on 16Feb2021. The patient took dose 2 of vaccine on 19Feb2021.

Other Meds: ZYRTEC ALLERGY

Current Illness:

ID: 1144574
Sex: F
Age:
State: CA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
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: lost hearing of the right ear; ear infection; sinus infection; couple of hours later she started hearing like a buzzing sound, hollow sound; she couldn't hear very well; This is a spontaneous report from a contactable consumer. This consumer reported for a 51-year-old female patient (Reporter's sister-in-law) that she received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number; EL3247;solution for injection), dose 1 via an unspecified route of administration on 29Jan2021 at single dose for covid-19 immunization. Patient's age was 52 years old at the time of vaccination with weight 76.644 kg, height; 154.94 cm. Patient's medical history included diabetes. Patient's concomitant medications included Metformin at 1000 mg for diabetes, Lisinopril at 10 mg for blood pressure, Insulin at 100 units, Atorvastatin at 40 mg (therapy dates unspecified). Reporter stated, "This is regarding my sister-in-law, it's in regards to, I had called few weeks ago and they had told me to call back I need to know who do I speak to as I need to send some paper work. She had a reaction to the Covid injection and I have all the paper work here. They told me that we needed to send also that they are going to try and see how she can get compensated back because she had to go to the hospital, she had to go to the urgent care twice, she had to see specialist and things like that." Reporter stated, "On 29Jan2021 (Later corrected), she got it done at work and couple of hours later she started hearing like a buzzing sound, she end up she couldn't hear very well and then the next day she (word incomprehensible) out of her right ear. It's been like the longest time. Pfizer EL3247." Treatment: Reporter stated, "Well she went to the urgent care twice although she had, one doctor said she had sinus infection the other doctor said she had ear infection. So, she went to a specialist ENT and he said she had none of those infections. He did put her on Prednisone because she lost hearing of the right ear so, he gave her 10 mg of Prednisone, gave 6 tablets 5, 4, 3 like that." She did not take the 2nd vaccine. She had loss of hearing, a buzzing sound, hollow sound, still has loss of hearing in right ear. Reporter was provided with the number of Pfizer Medical Information as # and was requested to select option 3, timings as 8 am to 8 pm Monday to Sunday as per (EST). Investigation assessment; no. The outcome of events was not recovered for lost hearing of the right ear and for other events were unknown.

Other Meds: ATORVASTATIN; INSULIN; LISINOPRIL; METFORMIN

Current Illness:

ID: 1144575
Sex: F
Age:
State:

Vax Date: 01/01/2021
Onset Date: 02/01/2021
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: RA

Lab Data:

Allergies:

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

Symptoms: shortness of breath; headache; fatigue; pneumonia; This is a spontaneous report from a contactable other health professional. A 24-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot number was not reported), via an unspecified route of administration on Feb2021 as a single dose for COVID-19 immunisation; tofacitinib citrate (XELJANZ XR, Batch/Lot number was not reported), oral from Jan2021 and ongoing, at 11 mg, 1x/day for rheumatoid arthritis. The patient's medical history and concomitant medications were not reported. Patient reported receiving samples from medical doctor (MD) office to start in January. Patient reported having COVID vaccine at the end of February, 9 days later started having COVID symptoms including shortness of breath, headache, and fatigue; called primary MD and was instructed by MD to go to urgent care 10Mar2021 where she was treated with steroids and given prescription for antibiotic and sent home. COVID test negative, treating as rule out pneumonia on Feb2021 as they are unsure if it is related to vaccination as a delayed reaction or separate infection. Prescribing MD not aware. Patient has not stopped XELJANZ therapy as she has not been able to speak with prescribing physician. She has appointment for second shingles vaccine. Encouraged patient to inform MD of illness/infection and being on XELJANZ prior to receiving vaccine. The patient underwent lab tests and procedures which included SARS-COV-2 test: negative on an unspecified date. The action taken in response to the event for tofacitinib citrate was dose not changed. Therapeutic measures were taken as a result of shortness of breath, headache and fatigue. The outcome of the events was unknown.; Sender's Comments: Reported event pneumonia is probably associated to tofacitinib based on its drug safety profile but is unlikely related to BNT162B2.

Other Meds:

Current Illness:

ID: 1144576
Sex: F
Age:
State: MI

Vax Date: 03/09/2021
Onset Date: 03/01/2021
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: feels drugged; fluid in her chest that she didn't have before; Coughing and spitting up white mucous out of her chest; feels so tired; no appetite, food doesn't taste right; sweating and chills; sweating and chills; feels weak; extremely sick; joints and arms hurt; joints and arms hurt; doesn't feel like walking around/Lethargic; can't hardly even talk to people; Headache; feels like she has been poisoned; This is a spontaneous report from a contactable consumer (patient). A 66-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EL9267), via an unspecified route of administration on Left arm on 09Mar2021 between 15:00 and 16:00 at single dose for covid-19 immunisation. Medical history and concomitant medications were not reported. The patient states she took that shot on Tuesday and she is still sick and still doesn't feel good. States that she feels better, but she is coughing and spitting up white mucous started on 10Mar2021. She feels like she has been poisoned in Mar2021. States that she is coughing stuff up out of her chest. States that she took this on Tuesday (09Mar2021) and still feels drugged and tired. She states that it made her extremely sick and she is not taking the second shot. She states she took the shot Tuesday and didn't get sick until three to four hours after, she was down feeling so bad, like an ailment or disease. She states she feels like we gave her the Covid. She states she won't even go to the hospital because can't trust anyone. States that her joints and arms hurt and can't hardly even talk to people on 09Mar2021. States she has fluid in her chest that she didn't have before on 10Mar2021. States that this is the first day she has gotten out of bed. States that she is not taking the second shot. States that she had to sit for fifteen minutes after her shot and she felt fine. Clarified that she couldn't eat, she had sweating and chills for two to three days and she couldn't even get out of bed on 19Mar2021. States she feels better but still feels weak and lethargic on 09Mar2021. States it has improved since yesterday. States that her food doesn't taste right but no appetite on 09Mar2021. States the sweating and chills ended 11Mar2021. She states that she had a headache and it started on 09Mar2021 and it went away 12Mar2021 with treatment of Aspirin. Not sure if she is going to recover. Prior to vaccination, was the patient was not diagnosed with COVID-19. The outcome of events Poisoning; feels drugged, extremely sick was unknown, for Coughing and spitting up white mucous out of her chest was not resolved, for headache it was resolved on 12Mar2021, for feels so tired; no appetite, food doesn't taste right; joints and arms hurt; doesn't feel like walking around; can't hardly even talk to people; feels weak; Lethargic was resolving, for fluid in her chest that she didn't have before was not resolved, for sweating and chills it was resolved on 11Mar2021. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1144577
Sex: U
Age:
State: FL

Vax Date:
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: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: getting the shot lost vision of half of patient right eye.; This is a spontaneous report received from a contactable consumer. This consumer reported similar events for 02 patients. This is the 2nd of 02 reports. An unspecified age and gender patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation solution for injection) via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunization. Patient medical history and concomitant medications were not reported. On an unspecified date a friend of patient was reported as after 20 minutes after getting the shot lost vision of half of patient right eye. That lasted a few minutes. Have a friend who has a friend who suffered the same effect. Outcome of event was unknown. Information on the lot/batch number has been requested.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021274179 same reporter/drug/AE, different patients.

Other Meds:

Current Illness:

ID: 1144578
Sex: M
Age:
State: NY

Vax Date: 03/03/2021
Onset Date: 03/03/2021
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: Part of the face started to clench a little, don't know if that's part of Bell's palsy or that was just; Heart palpitations; Chills; This is a spontaneous report from a contactable consumer, who reported for himself. A 50-years-old male consumer received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE lot EN6206), via an unspecified route of administration, on 03Mar2021 at 3:15 pm (at the age of 50-years-old) as a single dose for COVID-19 immunization, in left arm. Relevant medical history included cholesterol. Concomitant medications included: Rosuvastatin 20mg, once a day for cholesterol, started a year ago and Vitamin C. On 03Mar2021, the patient had heart palpitations that lasted multiple days. I went to a cardiologist and he wasn't sure whether I should do a second vaccine dose, given that was one of the side effect. He gave me metoprolol which took down the heart rate. But I had the chills, I had part of the face started to clench a little. I don't know if that's part of Bell's palsy or that was just, I just don't know. It wasn't strong, it went away relatively quickly, within 4 hours. Treatment for heart palpitation: Metoprolol Tartrate, 25 mg, one. No treatment received for chills. The clinical outcome of the events Heart palpitations and chills was recovered on 11Mar2021, the outcome of the event face started to clench a little was recovered on 03Mar2021.

Other Meds: ROSUVASTATIN; VITAMIN C [ASCORBIC ACID]

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm