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: 1165929
Sex: F
Age: 70
State: HI

Vax Date: 03/29/2021
Onset Date: 04/02/2021
Rec V Date: 04/04/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Mild, Systemic: large hematoma around injection site, began 4 days after vaccination-Medium, Additional Details: large hematoma on left upper arm, about 6 inches in diameter, mild pain, no swelling or itching, not raised, began approximately 4 days after vaccine was administered

Other Meds:

Current Illness:

ID: 1165930
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/04/2021
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: Over the course of 48 hours, I experienced flu or cold like symptoms including chills, flushing in the face, aches, fatigue, and sore throat. Extreme soreness at injection site also continues 48 hours after injection.

Other Meds:

Current Illness:

ID: 1165931
Sex: F
Age: 62
State: OH

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/04/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)

Other Meds:

Current Illness:

ID: 1165933
Sex: F
Age: 48
State: FL

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Site: Pain at Injection Site-Medium, Systemic: Abdominal Pain-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Headache-Medium, Systemic: Nausea-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Vomiting-Medium, Additional Details: Patients states she cannot lift arm more than 45 degrees, difficulty breathing secondary to chest tightness.

Other Meds:

Current Illness:

ID: 1165934
Sex: F
Age: 56
State: NY

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 04/04/2021
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: Site: Pain at Injection Site-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: She felt her whole left side of her face and arm was causing a tingling and numbing sensation. Patient felt better, thinks it may have been a panic attack. left store without incident.

Other Meds:

Current Illness:

ID: 1165935
Sex: F
Age: 27
State: MA

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 04/04/2021
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: Fainting / Unresponsive-Medium

Other Meds:

Current Illness:

ID: 1165936
Sex: F
Age: 38
State: NC

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/04/2021
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: Pyrexia, White blood cell count decreased

Symptoms: Chills! Fever, headache, lots of muscle pain, nausea, dizziness. Most gone by 10 pm the next night. Headache lasted two days. I still have pain and inflammation at the injection site.

Other Meds: Cholesterol

Current Illness: None

ID: 1165937
Sex: F
Age: 28
State: IL

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 04/04/2021
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: Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Chills-Mild

Other Meds:

Current Illness:

ID: 1165938
Sex: F
Age: 61
State: TX

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 04/04/2021
Hospital:

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

Lab Data:

Allergies: Sulfur

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Pain when moving arm

Other Meds: Lexapro Gabapentin Biotin Fiber

Current Illness: No

ID: 1165939
Sex: M
Age: 53
State: IN

Vax Date: 03/29/2021
Onset Date: 03/31/2021
Rec V Date: 04/04/2021
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: Swollen lymph node in arm pit 2 days after shot. 4 days after vaccine, swollen testicle and tube (Epididymis). It has now been 6 days since vaccine and still swollen testicle and tube. Armpit gland swelling has gone away.

Other Meds: None

Current Illness: 1 month prior ear infection

ID: 1165940
Sex: F
Age: 64
State: CA

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 04/04/2021
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: Systemic: Dizziness / Lightheadness-Mild, Additional Details: patient described feeling anxious, gave her gatorade and had her lie down intially for a while then sit down until someone came to pick herup

Other Meds:

Current Illness:

ID: 1165942
Sex: M
Age: 52
State: IN

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/04/2021
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: None

Symptom List: Rash, Urticaria

Symptoms: Woke up around 4 AM the morning after the vaccine. Had pains are crossed my entire trust and felt as if I was having a heart attack. Got up I had a couple glasses of water and a couple of ibuprofen and it seem to clear up after about 30 minutes. Next day I was very lethargic and had increased stomach issues. Injection site very sore

Other Meds: Metoprolol Bupropion Zinc, vitamin c, vitamin d, glucosamine/chi droit in, tumeric, pro and pre biotics

Current Illness: Infection from bowel and colon perforation

ID: 1165943
Sex: F
Age: 51
State: IL

Vax Date: 04/02/2021
Onset Date: 04/03/2021
Rec V Date: 04/04/2021
Hospital:

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

Lab Data:

Allergies: penicillin, clindamycin

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

Symptoms: pain, swelling, heat, large red rash not extending to elbow, but circumferential to inner and outer upper arm

Other Meds: none

Current Illness: nono

ID: 1165944
Sex: M
Age: 60
State: IN

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/04/2021
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: None

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

Symptoms: Swelling, tenderness, redness in the armpit of injected arm continuing at time of report.

Other Meds: Venlafaxine, Bupropion HCL, Omeprazone

Current Illness: None

ID: 1165945
Sex: M
Age: 43
State: IN

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 04/04/2021
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: Strong heart palpitations for 2-3 hours starting about 8 hours after injection. As soon as the palpitations passed I got an onslaught of symptoms including fever, chills, sore muscles, weakness, headache, and light headed.

Other Meds: None

Current Illness: None

ID: 1165946
Sex: F
Age: 58
State: NY

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/04/2021
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: Dairy intolerance

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

Symptoms: Severe headache, body aches, fever of 102.6, sore throat, nausea, discomfort in chest-center right.

Other Meds: Prevacid 30mg, Femring .10mg

Current Illness: One week prior , stomach virus

ID: 1165947
Sex: F
Age: 56
State: NY

Vax Date: 03/26/2021
Onset Date: 03/30/2021
Rec V Date: 04/04/2021
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: Mold

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

Symptoms: After my first dose of vaccine earlier in March I noticed a red pimply itchy rash on the back of my left hand that emerged a couple of days after my vaccine. It lasted a few days then went away. Several days after my second dose the same itchy pimply red rash we appeared on my left hand, only worse than the first time. I?ve had the rash for about three days now.

Other Meds: Vitamin d

Current Illness:

ID: 1165948
Sex: F
Age:
State: AL

Vax Date: 03/16/2021
Onset Date: 03/01/2021
Rec V Date: 04/04/2021
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: she is having itchiness on her body.; This is spontaneous report from a Pfizer sponsored program Covax Support. A contactable consumer (Patient) reported herself that a female patient of an unspecified age received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 16Mar2021 (Batch/Lot number was not reported) as single dose for covid-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient experienced itchiness on her body in Mar2021. She was asking if she can take Benadryl. The outcome was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1165949
Sex: M
Age: 19
State: IN

Vax Date: 04/02/2021
Onset Date: 04/03/2021
Rec V Date: 04/04/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Dizzy ness diarrhea nausea muscle ache drowsyness

Other Meds: None

Current Illness: None

ID: 1165950
Sex: F
Age: 41
State: IN

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/04/2021
Hospital:

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

Lab Data:

Allergies: N/a

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

Symptoms: Flu like symptoms which include: chills, body aches, extreme fatigue, dizziness

Other Meds: Synthroid 100mcg

Current Illness: None

ID: 1165951
Sex: M
Age: 69
State: NC

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 04/04/2021
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: Extreme tinnitus, now persistsnt

Other Meds:

Current Illness:

ID: 1165952
Sex: F
Age: 62
State: NY

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 04/04/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, penicillin, molds, environmental allergies

Symptom List: Unevaluable event

Symptoms: After 15 minutes of waiting and as we were leaving I started with a headache and had problems breathing. By the time we reached the car, I felt worse and went back inside to the paramedics. At that time I was having heart palpitations, problems breathing, BP was 194/120, felt lightheaded and dizzy. Was having problems with walking. The next day I woke up and my hands were curled up, hips were sore, body aches, hard to walk shuffling instead of lifting feet.

Other Meds: Adderall and Claritin

Current Illness: None

ID: 1165953
Sex: F
Age: 48
State: CT

Vax Date: 03/26/2021
Onset Date: 04/03/2021
Rec V Date: 04/04/2021
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: None

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

Symptoms: 8 days after I got the first Moderna vaccine my arm started to hurt again (pain had been gone for 5 days) and I have an oval shaped red mark around the injection site. It hurts, is itchy and the spot is hot.

Other Meds: None

Current Illness: none

ID: 1165954
Sex: F
Age:
State:

Vax Date: 02/18/2021
Onset Date: 02/01/2021
Rec V Date: 04/04/2021
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: received her first covid-19 vaccine on 18Feb2021, a week later on Feb2021 she tested positive for covid-19; This is a spontaneous report from a contactable consumer (patient) via the Pfizer-sponsored program COVAX Support. A female patient of an unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiry date unknown), via an unspecified route of administration, on 18Feb2021, at a single dose, for covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient received her first covid-19 vaccine on 18Feb2021, a week later on Feb2021 she tested positive for covid-19. She was inquiring if she should receive the second dose. The outcome of the event was unknown. Information about the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1165955
Sex: F
Age: 41
State: IN

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/04/2021
Hospital:

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

Lab Data:

Allergies: Tobrex Adhesives

Symptom List: Injection site pain, Menorrhagia

Symptoms: A few minutes after leaving from getting my shot I had a cooling sensation go through my chest. It lasted for about 5 minutes. Around 5:30 pm that same day I became very achy, had a fever, and felt spacey at times. The body aches lasted through the night, by the morning both my arms were just sore. The spaciness cleared up, but my fever continued till about midday.

Other Meds: Provigil 200mg Singulair 10mg Rhinocort Magnesium Oxide 200mg Vitamin B2 400mg Vitamin D3 4000IU Omeprazole 40mg Spirolactone 50mg Flunstones Complete Viramins

Current Illness: Seasonal Allergies

ID: 1165956
Sex: M
Age:
State: MI

Vax Date:
Onset Date:
Rec V Date: 04/04/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: This is a spontaneous report from a contactable consumer. A male patient of an unspecified age received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN), via an unspecified route of administration on an unspecified date as a single dose for COVID-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. On an unknown date, the patient experienced COVID-19. The patient underwent lab tests and procedures which included SARS-CoV-2 test: positive for COVID. Clinical outcome of the event 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: 1165957
Sex: F
Age:
State:

Vax Date: 03/12/2021
Onset Date:
Rec V Date: 04/04/2021
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: shoulder pain lot of shoulder pain extremely harsh joint pain; swelled up; finger was very sore like arthritis; knee weakness; This is a spontaneous report from a contactable patient. A 72 years old female patient received her first shot of the Pfizer vaccine bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported), first dose via an unspecified route of administration on 12Mar2021 as a single dose for COVID-19 immunization. Patient medical history and concomitant medication were not reported. The patient reportedly experienced ailments lot of shoulder pain extremely harsh joint pain, in her arm. Her hands swelled up a little bit, her finger was very sore like arthritis, knee weakness. Ten days after the vaccination the patient still has pain in arm and shoulders Outcome of the events weakness, arthritis and joint swelling were unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1165958
Sex: F
Age:
State:

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 04/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: headaches; fever; This is a spontaneous report from a contactable consumer (patient). A 57-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration at the age of 57-years, on 16Mar2021 as single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. She had headaches and fever as side effects of the vaccine. By Wednesday (17Mar2021) she had a fever for 1 night and it broke that evening. She didn't take anything and let it ride it out. Until Thursday night (18Mar2021); everything was fine. Side effects which was mentioned and not overly ill. The outcome of the events was resolved in 18Mar2021. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1165959
Sex: M
Age:
State: PR

Vax Date: 02/20/2021
Onset Date:
Rec V Date: 04/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: negative antibody detection against SARS COV-2 spike protein; received the vaccine first dose on December 30 2020 and the second dose on February 20th 2021/got administered with Pfizers COVID-19 vaccine at the same time he got it; received the vaccine first dose on December 30th 2020 and the second dose on February 20th 2021/got administered with Pfizers COVID-19 vaccine at the same time he got it; This is a spontaneous report from a contactable physician (reported for himself). A 62-years-old male patient received bnt162b2 (BNT162B2, Pfizer-BioNTech Covid-19 Vaccine), dose 2 via an unspecified route of administration on 20Feb2021 (Batch/Lot number and Expiry date was not reported) as single dose for covid-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient received the vaccine first dose on December 30th 2020 and the second dose on February 20th 2021/got administered with Pfizers COVID-19 vaccine, none antibodies developed as expected and negative laboratory results for antibody detection against SARS COV-2 spike protein (vaccination failure and SARS COV-2 antibody test negative), received the vaccine first dose on december 30th 2020 and the second dose on february 20th 2021/got administered with pfizer covid-19 vaccine at the same time he got it (off label use and inappropriate schedule of product administration), physician called requesting information regarding appropriateness of administering to himself a booster dose of Pfizer's COVID-19 vaccine considering his negative laboratory results for antibody detection against SARS COV-2 spike protein. Physician reported that he and his colleague, another health professional, who got administered with Pfizer's COVID-19 vaccine at the same time. The patient underwent lab tests and procedures which included antibody test: negative results for antibody detection against SARS COV-2 spike protein, blood test: rapid blood one, physician reported that results throwed 3 when the expected for a positive result of immune response is 10. Physician reported he has no concomitant conditions that limit his immune response. The outcome of the events was unknown. Follow-up activities have been completed and information on Lot/Batch number has been requested.; Sender's Comments: Linked Report(s) : -PFIZER INC-2021326452 same drug/AE, different patient

Other Meds:

Current Illness:

ID: 1165960
Sex: F
Age:
State: NY

Vax Date:
Onset Date:
Rec V Date: 04/04/2021
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: felt paralyzed and nauseous; felt paralyzed and nauseous; fever; This is a spontaneous report from a contactable consumer. A 78-years-old non-pregnant female patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) (at the age of 78-years-old) as a single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had been tested for COVID-19 via antibodies test on an unspecified date with positive result. On an unspecified date, a day after receiving the vaccine, the patient developed a fever and said that she felt paralyzed and nauseous. The patient needed to go to the hospital in order to recover and tested positive for antibodies. The outcome of events, fever, felt paralyzed and nauseous was unknown. The lot number for the vaccine, BNT162b2, was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1165961
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/04/2021
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: felt unwell; tensed, nerves tensed; flinching and involuntary jerking; flinching and involuntary jerking; Lightheaded and dizzy; a delay in how she felt, her body was feeling sort of a delay, like her body was trying to catch up after the vaccination, had a sense of having to catch up to herself; This is a spontaneous report from a contactable consumer (patient). This 61-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), on an unspecified date at single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. The patient experienced side effects included, 5 or 10 minutes after she received first dose of BNT162B2, she felt unwell and tensed, nerves tensed, flinching and involuntary jerking. Lightheaded and dizzy; a delay in how she felt, her body was feeling sort of a delay, like her body was trying to catch up after the vaccination, had a sense of having to catch up to herself, felt that way for at least 3 days. On the 4th day it had gone away. Events reported as non-serious. The outcome of the event was Recovered. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1165962
Sex: F
Age:
State:

Vax Date: 03/01/2021
Onset Date:
Rec V Date: 04/04/2021
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: fever; Chills; This is a spontaneous report from a contactable consumer. A 72-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in Mar2021 (reported as two weeks ago last Saturday, as of 22Mar2021) as single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not provided. Consumer stated he and his wife received the first dose of the Pfizer COVID vaccine two weeks ago last Saturday and last night his wife experienced some side effects. Consumer stated his wife had a fever and chills but also had a couple glasses of hot water before her temperature was taken. Consumer stated the fever went away fairly quickly and it may not be related to the vaccine but he just wanted to call to check. Consumer stated they were scheduled to receive the second dose this Saturday. Treatment measures received for fever and chills. The outcome of the event fever was recovered on unspecified date, while of the other event was unknown. Information on the lot/batch number has been requested.; Sender's Comments: Based on known on available information and quite long time interval (more than 1 week) between event onset and vaccination, the event Fever is more likely represent an intercurrent condition and unrelated to suspect product BNT162B2.

Other Meds:

Current Illness:

ID: 1165963
Sex: F
Age:
State:

Vax Date: 02/27/2021
Onset Date:
Rec V Date: 04/04/2021
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: positive with COVID virus/getting cold/ lost taste and smell; positive with COVID virus/getting cold/ lost taste and smell; This is a spontaneous report from a Pfizer-sponsored program from a contactable consumer, the patient. A female patient of an unspecified age received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN), via an unspecified route of administration on 27Feb2021 as a single dose for COVID-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. On an unspecified date, the patient experienced positive with COVID virus/getting cold/ lost taste and smell. 14 days after the first dose of the vaccine, the patient thought she was getting cold. That following Sunday, she lost taste and smell. She went in to get tested and was positive with COVID virus. Patient still didn't have taste or smell. The patient underwent lab tests and procedures which included SARS-CoV-2 test: positive. The clinical outcomes of the events positive with COVID virus/getting cold/ lost taste and smell was not recovered. The lot number for the vaccine, BNT162b2, was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1165964
Sex: F
Age:
State: CO

Vax Date: 03/05/2021
Onset Date: 03/01/2021
Rec V Date: 04/04/2021
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: she felt like she had been in a car accident. My entire body was sore; I was very hungry - ate three breakfasts and a big lunch and was still starving; I had a 101 temp; chills; extreme joint pain; muscle aches; dizziness; exhaustion; she felt off; unusual hair loss; This is a spontaneous report from a contactable consumer (patient). A 40-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), first dose via an unspecified route of administration, administered in Arm Left on 05Mar2021 17:15 (Batch/Lot Number: EN6198) as SINGLE DOSE for covid-19 immunisation, 40 years old at doctor's office/urgent care. Medical history included coeliac disease, sjogren's syndrome, hypersensitivity (known allergies), all from an unknown date, and Covid-19 from Nov2020 (First, I had a mild case of COVID in Nov2020 and recovered fully). No other vaccine in four weeks and not other medications in two weeks. Patient is not pregnant. The patient's concomitant medications were not reported. On 06Mar2021 09:00, the day after first vaccine, patient had a 101 temp, chills, extreme joint pain, muscle aches, dizziness, exhaustion. The following morning on 07Mar2021, she felt like she had been in a car accident. My entire body was sore, she was exhausted, and she was very hungry - ate three breakfasts and a big lunch and was still starving. The following week (Mar2021) she felt off and experienced some unusual hair loss. She does not feel comfortable taking the second shot. Patient was asking some guidance on whether to take the second shot. Treatment was not given for the events. Outcome of the events was recovering.

Other Meds:

Current Illness:

ID: 1165965
Sex: F
Age:
State: OH

Vax Date: 02/24/2021
Onset Date:
Rec V Date: 04/04/2021
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: she was hospitalized due to a stroke; This is a spontaneous report from a contactable nurse (patient herself). An 81-year-old female patient received BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine), dose 1 via an unspecified route of administration, administered in arm at age 81 years on 24Feb2021 (Batch/Lot Number: EN6201) as single dose for COVID-19 vaccination. Medical history was reported as none. Patient had not had any other recent vaccinations. The concomitant medication includes an unspecified medication since she started a new cancer drug that starts with a L.Registered nurse calling as patient says she was supposed to have her second Pfizer COVID-19 shot 17Mar2021, but she was in the hospital. She says she is trying to reschedule her second shot. She says the first dose was given at (Hospital Name), and it says BNOI on her vaccine card. Patient was admitted to the hospital this past Monday evening (15Mar2021) and it was (Hospital name). She says her admitting diagnosis was unknown. She says she was discharged from the hospital Thursday 18Mar2021. Hospitalization seriousness patient says it was not serious. Patient missed the 2nd dose (17Mar2021) because she was hospitalized due to a stroke on an unspecified date. The outcome of the event was unknown.; Sender's Comments: Based on the information provided by the reporter, it appears unlikely that subject vaccine contributed to the event of stroke. The reported event likely represent intercurrent medical condition in this elderly patient. There is limited information provided in this report. This case will be reassessed upon receipt of follow-up information. 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: 1165966
Sex: F
Age:
State: CT

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 04/04/2021
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: didn't believe they actually put anything in my arm. It's just starting to hurt now; syringe snapped and my arm was sprayed with liquid; syringe snapped and my arm was sprayed with liquid; so not knowing if any at all went in my arm I asked them to redo it. They finally did; This is a spontaneous report from a contactable consumer. A female patient of an unspecified age received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration, administered in the arm on 19Mar2021 (Batch/Lot number was not reported) as single dose for COVID-19 immunization. The facility where the patient was vaccinated was unknown. It was unknown if the patient received other vaccine in four weeks. The patient's medical history and concomitant medications were not reported. It was reported that the patient received her 2nd Pfizer vaccine today (19Mar2021). Unfortunately, and nothing to do with the vaccine, it didn't go so well. The syringe snapped and her arm was sprayed with liquid, so not knowing if any at all went in her arm she asked them to redo it. They finally did but until a few minutes ago she didn't believe they actually put anything in her arm. It was just starting to hurt now. She thinks with mass vax sites there are a lot of people who are dolling out medical advice and they shouldn't. And in this case today, no one knew what they should actually do. The patient stated "Concerning but hopefully I feel some side effects to know I got some good juice in my arm!". It was unknown if the patient received treatment for the events. It was also unknown if the patient had COVID prior to vaccination and if the patient was tested for COVID post vaccination. The outcome of the events was unknown. Information on the lot/ batch number has been requested.

Other Meds:

Current Illness:

ID: 1165967
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/04/2021
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: she was getting soreness in her muscles that continued throughout the night; neck was becoming sore with some pain in her collarbone area; her warm was "very, very" sore and could not even lift it; feeling like "swollen jelly gland" and "pea size."; This is a spontaneous report from a contactable consumer or other non hcp. A 64-years-old female patient received bnt162b2 (BNT162B2, PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection, Batch/Lot number was not reported, expiration date: unknown), dose 1 via an unspecified route of administration on an unspecified date as SINGLE DOSE for covid-19 immunization. Medical history included endometrial cancer, COVID-19 twice - once in May where she was asymptomatic and the second time in July, respiratory disorder where she had "every symptoms but respiratory problems" and was subsequently hospitalized and given steroids. The patient's concomitant medications were not reported. The patient experienced little sore, getting soreness in her muscles (myalgia) on the day of vaccination, neck was becoming sore with some pain in her collarbone area, her arm was very, very sore and could not even lift it (pain in extremity), feeling like swollen jelly gland and pea size. (lymphadenopathy) on the next day of vaccination with the outcome of unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1165968
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/04/2021
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: She stated that she had corona virus and got the first dose of the Pfizer Covid vaccine.; got very sick; body ache; chills; high fever; This is a spontaneous report from a contactable consumer. A female patient of unspecified age received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, lot number: unknown), via an unspecified route of administration on an unspecified date as single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The consumer stated that the patient had corona virus and got the first dose of the Pfizer Covid vaccine. On an unspecified date, the patient got very sick, body ache, chills and high fever within 48 hours. The consumer asked if the patient could get the second dose of the Pfizer Covid vaccine. The outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1165969
Sex: F
Age:
State:

Vax Date: 03/18/2021
Onset Date: 03/23/2021
Rec V Date: 04/04/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: headache; This is a spontaneous report from a contactable consumer (patient). A female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) at single dose for COVID-19 immunization, and paracetamol (TYLENOL) on 18Mar2021 for unknown indication. Medical history and concomitant drug were not reported. The patient reported that she received the second dose of the vaccine last Thursday 18Mar2021. She had a headache today (23Mar2021). She went for emergency dental work right the next morning of her vaccine appointment. She took paracetamol 2 hours before receiving the vaccine and the nurse told her shouldn't have. It also stated in the fact sheet not to take paracetamol before getting the vaccine. The patient asked that did she need to restart the vaccination series again? Caller states that it made her suspicious because she had no symptoms at all after receiving the vaccine." The outcome of the event was unknown. Information on the lot number and batch number has been requested.

Other Meds: TYLENOL

Current Illness:

ID: 1165970
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/04/2021
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: aches/pains; low grade fever around 100; This is a spontaneous report from a contactable consumer. A 71-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date as single dose for Covid-19 immunisation. The patient medical history and concomitant medications was not reported. Reporter's wife got her first shot 4 weeks ago and the last two weeks she has had aches, pains, low grade fever around 100. She has had 4 Covid tests, chest x ray for pneumonia, a blood panel. X ray and blood panel were negative. Advil and Tylenol is what suppresses the temperature. She was scheduled for the second shot last Thursday. She keeps moving it back and it's supposed to be this going this Thursday. The doctor advised not to take the second shot because her symptoms may have come from the first shot. Event outcome of low grade fever around 100 was recovered, of the remaining was unknown.

Other Meds:

Current Illness:

ID: 1165971
Sex: F
Age:
State:

Vax Date: 03/11/2021
Onset Date: 03/01/2021
Rec V Date: 04/04/2021
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: It hurt a little where the shot was; there is a slight lump; still warm; This is a spontaneous report from a contactable 76-years-old female consumer reported for herself that she received first dose of bnt162b2 (BNT162B2 PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection) via an unspecified route of administration on 11Mar2021, as single dose in left arm for covid-19 immunization. Medical history included neurological condition (she is unable to receive vaccine in her right arm). Concomitant medications were not reported. On an unspecified date in Mar2021, the patient had it hurt a little where the shot was and there was a slight lump, and it was still warm. The outcome of the events was unknown. Information on the lot/batch number has been requested

Other Meds:

Current Illness:

ID: 1165972
Sex: F
Age:
State:

Vax Date: 03/16/2021
Onset Date: 03/19/2021
Rec V Date: 04/04/2021
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: muscle pain under her rib cage and sides; Chills; This is a spontaneous case received from a contactable female consumer(patient) A 63-year-old female patient received the first dose of the bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number unknown, Expiration Date: unknown), via an unspecified route of administration for COVID-19 immunization. On 16-MAR-2021 at single dose for Covid-19 immunization. The patient medical history and concomitant medications were not reported. On 19 MAR 2021 patient experienced muscle pain under her rib cage and sides and chills. The caller would like to know if this is normal to experience these side effects a couple days after receiving the vaccine. How long will the side effects last and what can be done about the side effects. The outcome of event was unknown. Follow-up attempts are needed. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1165973
Sex: F
Age:
State:

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 04/04/2021
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: Sore throat; Fever; Headache; Feeling unwell; Achiness; Fatigue; Swollen lymph nodes; Chills; Sore arm; Congestion; This is a spontaneous report received from contactable female consumer (patient herself). A female patient of unknown age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: Unknown), via unspecified route of administration on 03Mar2021 as single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. A day after vaccination, patient experienced sore throat, fever, headache, feeling unwell, achiness, fatigue, swollen lymph nodes, chills and sore arm. Patient currently had sore throat and congestion and was getting better now. The second dose of patient scheduled on 31Mar2021, and wanted to postpone the second dose as her husband will have a heart surgery pacemaker on the following day - She does not want to feel sick since she will take care of her husband post-surgery. The outcome of events Sore throat and Congestion were recovering and for other events outcome was unknown. Information on lot/batch number has been requested

Other Meds:

Current Illness:

ID: 1165974
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/04/2021
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: headache; This is a spontaneous report received from a contactable consumer reported for herself. A female patient of an unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration at single dose on 2021 for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient received the first dose of the vaccine on Thursday and developed a headache on Saturday. Outcome of the event was unknown. The case was reported as non-serious. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1165975
Sex: F
Age:
State:

Vax Date: 03/22/2021
Onset Date:
Rec V Date: 04/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: her bottom lip went numb.; right eye twitched for about 0.5 minute; This is a spontaneous report from a non-contactable consumer (patient herself) of 53-years-old female received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for Injection, Batch/Lot number were not reported, Expiration date: unknown) via an unspecified route of administration on 22Mar2021 as single dose for covid-19 immunization. The patient medical history and concomitant medications were not reported. About 11.5 hours after vaccination the patient experienced right eye twitched for about 0.5 minute and her bottom lip went numb. She reported her lip continues to remain numb on 23Mar2021. The outcome of events was unknown.

Other Meds:

Current Illness:

ID: 1165976
Sex: F
Age:
State: NY

Vax Date: 03/02/2021
Onset Date: 03/12/2021
Rec V Date: 04/04/2021
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: tested positive for COVID virus; This is a spontaneous report from a contactable consumer (patient) via a Pfizer-sponsored program, COVAX US Support. A female patient of unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Unknown lot number and expiration), via an unspecified route of administration on 02Mar2021 at a single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient reported that she received her 1st dose of COVID-19 vaccine on 02Mar2021, but last 12Mar2021, she tested positive for COVID virus. She was scheduled to receive her 2nd dose on 23Mar2021, but she wanted to know if she could get it or if she needs to reschedule it since she has COVID virus. Outcome of the event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1165977
Sex: F
Age:
State: CA

Vax Date: 03/22/2021
Onset Date: 03/01/2021
Rec V Date: 04/04/2021
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: Pain on the arm; This is a spontaneous report from a contactable consumer (patient) via Medical Information Team. This consumer reported similar events for two patients (herself and her husband). This is the first of two reports. A 56-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiration date were not reported), via an unspecified route of administration on 22Mar2021 at a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient experienced pain on the arm in Mar2021. The patient was referred to a healthcare professional for treatment. The outcome of the event was unknown. Information on the lot/batch number has been requested.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021324105 same reporter/drug, different patient/events

Other Meds:

Current Illness:

ID: 1165978
Sex: F
Age:
State:

Vax Date: 01/29/2021
Onset Date: 02/14/2021
Rec V Date: 04/04/2021
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: Constant Bilateral Tinnitus, with attacking episodes multiple times a day; This is a spontaneous report from a contactable physician (patient). A 40-year-old non-pregnant female patient received BNT162B2 (BNT162B2, Formulation: Solution for injection, Batch/Lot Number: EL1283) first dose via an unspecified route of administration on 29Jan2021 as single dose for COVID-19 immunization. The patient medical history was not reported. The patient concomitant medications included iron supplement (SPATONE IRON supplement) for unspecified indication. On 14Feb2021 the patient experienced constant bilateral tinnitus, with attacking episodes multiple times a day (tinnitus) (disability). Therapeutic measures were taken as a result of constant bilateral tinnitus included prednisone taper. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, was the patient did not underwent diagnosed with COVID-19. After the vaccination patient did not tested for COVID-19. The outcome of the events was not recovered.

Other Meds: SPATONE IRON SUPPLEMENT

Current Illness:

ID: 1165979
Sex: M
Age:
State: OR

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/04/2021
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: he had severe chills, 101.7 F; He has been very fatigued and in bed all day; threw up small amount of fluid twice and then everything came up; This is a spontaneous report from a contactable consumer (patient's husband). A 88-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) at single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient received second dose on Sunday. Monday evening after dinner he had severe chills, 101.7 F, his wife gave him some acetaminophen (TYLENOL). The patient threw up small amount of fluid twice and then everything came up. The patient went to bed from 11:30pm, woke up at 8am and had a temperature of 99.4 F. He took morning pills and fruit juice, and one spoon of oatmeal and some glasses of water. He had been very fatigued and in bed all day, which was not like him. He was usually very active. The outcome of events was unknown. No follow-up attempts are possible, information about batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1165980
Sex: F
Age:
State:

Vax Date: 03/01/2021
Onset Date:
Rec V Date: 04/04/2021
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: Fever; Chills; Muscle ache; This is a spontaneous report from a contactable consumer (patient). A 73-year-old female patient received her first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration in Mar2021 at the age of 73-year-old at SINGLE DOSE for COVID-19 immunization. Medical history included COVID-19 from Dec2020. Concomitant medications were reported as none. Patient mentioned she had COVID-19 last Dec2020, received the Pfizer-BioNTech COVID-19 Vaccine first dose this Mar2021. Patient reported to have the "normal reaction" of the vaccine (fever, chills, muscle ache). Patient mentioned that she saw doctors on TV that said it would be okay to not get the second dose if had COVID-19 before and experienced the "normal reaction" to the vaccine. Patient was seeking information on this. Treatment was received for fever, chills, muscle ache. Outcome of events was unknown. Information on Batch/Lot number has been requested.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm