VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 11/12/2021
** VAERS DATABASE Last updated: November 12, 2021**
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Manufacturers

Total Manufacturer
46,870MODERNA
532GLAXOSMITHKLINE BIOLOGICALS
353PFIZER\BIONTECH
231MERCK & CO. INC.
221UNKNOWN MANUFACTURER
62SEQIRUS, INC.
25DYNAVAX TECHNOLOGIES CORPORATION
13EMERGENT BIOSOLUTIONS
12SANOFI PASTEUR
9NOVARTIS VACCINES AND DIAGNOSTICS
5PFIZER\WYETH
5PAXVAX
2TEVA PHARMACEUTICALS
2PROTEIN SCIENCES CORPORATION
1BERNA BIOTECH, LTD.
1INTERCELL AG
1CSL LIMITED

COVID19 Lot Number

VAX LOT Total
2S9CL1,906
1,575
289
IMM209286
252
236
229
s029456178
171
UT7065MA166
155
149
145
S034636133
107
U62828AA103
100
98
P10025327596
U6737AA85
UJ446AA79
78
78
59
57
4BH3254
4F47253
52
27656352
50
PP9L548
49TM346
42
40
38
MENVEO38
4F47237
R1B252M36
34
C5763AA30
93362229
25
300057A24
UNK24
22
CW311621
18
17
15
UH894AB15
3Y7NL12
R1B743M12
EJ168611
el128410
10
10
10
9
ARBA141A9
UNK9
8
UNK8
8
1F4EB8
Unknown7
7
No batch number6
5
5
UJ090AA5
5
5
4
4
4
UNK4
JEV18K95E4
UNK3
A115A3
Z127A3
3
3333324181073
2
2
2
TAR352
1
1
1
1
1
A739081
1
1
1
1
1
037K20A68,542
EL128447,700
133

Incidents per State

State Total
15,185
CA14,096
NY7,507
TX7,196
FL6,939
IN5,527
PA4,560
IL4,179
OH4,054
AZ3,856
MI3,771
NJ3,411
MA3,278
VA3,208
NC3,114
WA3,034
GA2,864
MD2,652
MN2,534
CO2,532
WI2,457
MO2,029
OR1,943
TN1,715
CT1,693
KY1,603
OK1,226
AL1,201
KS1,162
IA1,157
SC1,106
NM1,065
UT973
AR951
LA945
NE829
NV797
ME795
MT789
NH756
ID674
AK661
WV661
PR650
MS585
HI536
RI510
VT441
SD361
ND356
DE350
DC239
WY209
GU32
AS16
VI13
MP9
MH3
FM2
QM1
XB1

ID: 0944239
Sex: F
Age:
State: MO

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Egg sized lymphadenopathy under right arm 36 hours after 2D injection; flu symptoms; joint aches; muscle and joint aches; arm pain; arm pain and swelling; 1st dose of BNT162B2 on 17Dec2020 15:45/ 2nd dose on 06Jan2021 14:30; 1st dose of BNT162B2 on 17Dec2020 15:45/ 2nd dose on 06Jan2021 14:30; This is a spontaneous report from a contactable nurse (patient). A 55-year-old female patient received 2nd dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in right arm on 06Jan2021 14:30 at single dose for COVID-19 immunisation. Medical history included mild hypertension and arthritis. The patient was not pregnant. No Covid prior vaccination, no Covid tested post vaccination. No known allergies. Concomitant medication included estradiol, norethisterone acetate (COMBIPATCH), meloxicam, propanol. The patient previously received 1st dose of BNT162B2 in left arm on 17Dec2020 15:45 for COVID-19 immunisation. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced egg sized lymphadenopathy under right arm 36 hours after 2D injection (08Jan2021 03:00), after flu symptoms of muscle and joint aches, arm pain and swelling at 20 hours (07Jan2021 12:00). No treatment received for the events. The outcome of events was not recovered. This case was reported as non-serious. Information on the lot/batch number has been requested.; Sender's Comments: Based on the compatible temporal association and the drug's known safety profile, the vaccination with BNT162B2 might play a contributory role in triggering the onset of lymphadenopathy. 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: COMBIPATCH; ;

Current Illness:

ID: 0944240
Sex: M
Age: 58
State: MA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: ER visit 1/13/21 exact testing/treatment unknown

Allergies: No

Symptoms: Tingling sensation, flu like symptoms, chest pain, sore throat, tiredness. ER visit for chest pains, labs and testing done, heart attack ruled out. Patient reported that symptoms were result of Covid Vaccine side effects. Onset of symptoms began on 1/11/21, ER visit on 1/13/21 for chest pains, returned home on 1/13/21 after tests were completed. Patient reports feeling better.

Other Meds: unknown

Current Illness: No

ID: 0944241
Sex: M
Age: 87
State: SC

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Systemic: Nausea, Systemic: Vomiting, Systemic: shortness of breath, increased Heartrate, pulse ox fell to 88-93-Normal 95%, orthostatic hypotension

Other Meds:

Current Illness:

ID: 0944242
Sex: F
Age:
State: TN

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: mild right sided tear through swelling where dermal filler has been used; mild right sided tear through swelling where dermal filler has been used; received BNT162B2; first dose on 18Dec2020 15:00 and second dose on 06Jan2021 20:45; This is a spontaneous report from a contactable other healthcare professional (patient). A 33-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number EH9899 and expiry date unknown) via unspecified route of administration on 06Jan2021 20:45 at left arm for Covid-19 immunization in a workplace clinic. Medical history included covid prior to vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not pregnant at the time of vaccination. Concomitant medications was none. Historical vaccine included first dose of BNT162B2 (lot number EJ1685) on 18Dec2020 15:00 at right arm for Covid-19 immunization. On 08Jan2021 18:30, the patient experienced mild right sided tear through swelling where dermal filler has been used. The patient was not covid tested post vaccination. The outcome of the events mild right sided tear through swelling where dermal filler has been used was recovering. The reporter considered the event non-serious; which did not result in death, not life threatening, did not cause/prolong hospitalization, not disabling/incapacitating and no congenital anomaly/birth defect.

Other Meds:

Current Illness:

ID: 0944243
Sex: F
Age: 48
State:

Vax Date: 12/17/2020
Onset Date: 12/17/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Facial Flushing, face tingling, tongue swelling, appx 5' after injection. transferred to ED & tx with Benadryl, Pepcid. solumedrol IV. : with sx resolution - observed for 4 hrs in ED & d/cd

Other Meds:

Current Illness:

ID: 0944244
Sex: F
Age:
State: OH

Vax Date: 12/29/2020
Onset Date: 12/01/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: Test Date: 20201229; Test Name: temperature; Result Unstructured Data: Test Result:normal; Comments: the morning before she got the vaccine; Test Date: 20201229; Test Name: temperature; Result Unstructured Data: Test Result:100; Test Date: 20201229; Test Name: temperature; Result Unstructured Data: Test Result:101; Comments: fever went to 101; Test Date: 20201229; Test Name: temperature; Result Unstructured Data: Test Result:102.6; Comments: which was the highest.; Test Date: 20201229; Test Name: 12 lead EKG; Result Unstructured Data: Test Result:Unknown results; Test Date: 20201229; Test Name: heart rate; Result Unstructured Data: Test Result:100; Comments: elevated; Test Date: 20201229; Test Name: heart rate; Result Unstructured Data: Test Result:110; Test Date: 20201229; Test Name: heart rate; Result Unstructured Data: Test Result:120s; Comments: high

Allergies:

Symptoms: She was wiped out the next day with aches and pains still.; tired; brain fog; started to get cold; shake/her hands were shaking so hard; they took her temperature and it was 100/her fever went to 101/temperature had gone to 102.6; heart rate was elevated at 100/heart rate was 110/heart rate went to the high 120s; headache; backache; nauseated; chest was hurting; The initial case was missing the following minimum criteria: Invalid for unspecified adverse event. Upon receipt of follow-up information on 08Jan2021, this case now contains all required information to be considered valid. This is a spontaneous report from a contactable nurse (patient). A 54-year-old female patient received 1st dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot# EK5730), via an unspecified route of administration in deltoid left on 29Dec2020 07:30 at single dose for COVID-19 immunisation. Medical history included ongoing sleep apnoea (diagnosed about 3-4 years ago, wear her CPAP religiously), Hashimoto's hypothyroid, and chronic low vitamin d (lack of sunlight). Concomitant medication included levothyroxine sodium (SYNTHROID) from 2016 and ongoing for Hashimoto's hypothyroid, ergocalciferol (VIT D) from 2018 for chronic low vitamin d; lack of sunlight (She did not take it religiously, but was supposed to take it everyday). At 10:30 AM (29Dec2020), she started to get cold and shake. She thought that this was insane and it was in her head. It became so severe she could not use her computer her hands were shaking so hard. She went back up to where they were giving vaccines, they took her temperature and it was 100. It had been normal the morning before she got the vaccine. Her heart rate was elevated at 100. They put a blanket on her and said they wanted to watch her for 15 minutes. In that time her fever went to 101 and her heart rate was 110. They took her to the ER. She was there for 5 hours. Her heart rate went to the high 120s. They did a 12 lead EKG. Her temperature had gone to 102.6, which was the highest. They gave her a liter of Normal Saline. She also had a headache, backache, and felt nauseated. The liter of fluid helped, no doubt. She was not admitted. She was wiped out the next day (30Dec2020) with aches and pains still. Their concern was they said they did not give her epinephrine because her heart was too high. She had no breathing issues. Just extreme cold. At one point she had woke up in the ER (29 or 30Dec2020) and her chest was hurting, she knows from her heart rate being too fast. She was so cold. She had on 6 blankets. The next day (30Dec2020) she still had the aches and pains, she was tired, and had brain fog. It all went away on 30Dec2020. She had nothing after that. What scared her was the heart rhythm. The ER doctor says its not great, but felt that getting the second dose was better than her having COVID. The Electrophysiologist she saw, said she was unsure if she should get the second dose. The hospital said that for this next dose, they would give her the injection, wait 15 minutes, then send her home, expecting that she would have the same thing happen. When after the first dose, she was in the ER on a 12 lead EKG with an intravenous (IV). She had no arm pain the whole time. The reporter assessed all events related. She felt fine prior, walking in to get the vaccine. But she was much better the next day and recovered completely. She was just worried about the second dose. The outcome of events was recovered on 30Dec2020.; Sender's Comments: Based on the compatible temporal association and the drug's known safety profile, the vaccination with BNT162B2 might play a contributory role in triggering the onset of the reported events. 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; VIT D

Current Illness: Sleep apnea

ID: 0944245
Sex: F
Age:
State: AL

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I had a swollen lymph node approximately the size of a baseball that developed under my left armpit; This is a spontaneous report from a contactable nurse, the patient. A 41-year-old non-pregnant female patient received the first dose on BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot Number EJ1685), intramuscular in the left arm on 18Dec2020 10:00 AM (at the age of 41-years-old) as a single dose for COVID-19 immunization. Medical history included that the patient was diagnosed with COVID-19 prior to the vaccination. The patient did not have any allergies to medications, food, or other products. There were no concomitant medications. The patient did not receive any other vaccines within 4 weeks prior to the vaccination. The patient did not receive other medication in the two weeks prior to the vaccination. On 19Dec2020 14:00 PM, the patient experienced a swollen lymph node approximately the size of a baseball that developed under her left armpit. It took about 5 days to completely resolve. The patient did not receive any treatment for the event. The patient had not tested for COVID-19 post vaccination. The outcome of the event, swollen lymph node, was recovered, in Dec2020.

Other Meds:

Current Illness:

ID: 0944246
Sex: M
Age:
State:

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Moderate pain in left arm around injection site; This is a spontaneous report from a contactable physician, the patient. A 57-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot Number EK9231), via an unspecified route of administration in the left arm on 07Jan2021 17:00 (at the age of 57-years-old) as a single dose for COVID-19 immunization. Medical history included hypertension and allergy to penicillin. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medication included lisinopril. The patient did not receive any other vaccine within 4 weeks prior to the vaccination. On 07Jan2021 23:00, the patient experienced moderate pain in left arm around injection site. The patient did not receive any treatment for the event. Since the vaccination, the patient had not been tested for COVID-19. The outcome of the event, moderate pain in left arm around injection site, was recovering.

Other Meds:

Current Illness:

ID: 0944247
Sex: F
Age: 53
State: MD

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: swollen, warm itchy knot at injection site lasting 3 days

Other Meds:

Current Illness:

ID: 0944248
Sex: M
Age:
State: CT

Vax Date:
Onset Date:
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: cold; This is a spontaneous report from a contactable physician reporting for himself. A male patient of an unspecified age (reported as "aged 64") received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: not provided), via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunization. Medical history included hypertension and borderline diabetes. The patient's concomitant medications were not reported. The patient called on 08Jan2021 after receiving second dose on 07Jan2021. He is concerned he has not had a single side effect from the second vaccine. Patient reported that a doctor said "if you get side effects its good because you're body is building antibodies". Patient's toddler daughter had a cold that he caught between the two immunizations. Patient stated that he felt well yesterday during immunization and could honestly answer the questionnaire that he was not ill. Patient asked if he should have antibody testing done two weeks after his second dose to check his immunity. Outcome of the event was recovered on an unspecified date. Information on lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0944249
Sex: F
Age:
State:

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Test Date: 20210107; Test Name: fever; Result Unstructured Data: Test Result:100

Allergies:

Symptoms: Sore arm; a low grade fever of 100; Body aches; chills; runny nose; sneezing; This is a spontaneous report from a non-contactable consumer. A 24-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE) solution for injection in the left arm on 06Jan2021 at 12:00 (at the age of 24-years-old) as a single dose for COVID-19 vaccination. The patient was not pregnant at the time of vaccination. Medical history included prior to vaccination the patient was diagnosed with COVID-19 on an unknown date. Concomitant medications were not reported. The patient did not receive any other vaccine within 4 weeks prior to the vaccine. Prior to the vaccination, the patient was diagnosed with COVID-19 on an unknown date. On 07Jan2021, the patient experienced sore arm, had a low grade fever of 100, body aches, chills, runny nose, and sneezing. The outcome of the events sore arm, had a low grade fever of 100, body aches, chills, runny nose, and sneezing was unknown. Since the vaccination, the patient has not been tested for COVID-19. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 0944250
Sex: F
Age: 35
State:

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Followed directions of seeking assistance but no one came after vaccine was administered.

Allergies: N/a

Symptoms: Dizziness, headache

Other Meds: Prenatal, omega-3, curcumin, vitamin c.

Current Illness: Congestion

ID: 0944251
Sex: F
Age:
State: TX

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: swollen lymph nodes to left arm pit; headache; fatigue; severe neck pain; This is a spontaneous report from a contactable health care professional (nurse), the patient. A 34-years-old non-pregnant female patient (nurse) received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot Number: eha899), in the left arm on 06-JAN-2021 12:00 as a single dose, for COVID-19 vaccination. The most recent COVID-19 vaccine was administered was a Nursing Home/Senior Living Facility. Medical history included covid-19 (prior to vaccination) from an unknown date and unknown if ongoing. The patient had no known allergies. Concomitant medication included duloxetine hydrochloride (CYMBALTA), omeprazole (PROTONIX [OMEPRAZOLE]). On 07-JAN-2021 05:00, The patient experienced swollen lymph nodes to left arm pit, headache, fatigue, severe neck pain.. No treatment was given for the event. . No other vaccines were given within 4 weeks. Prior to vaccination, the patient was diagnosed with COVID-19. Since the vaccination the patient had not been tested for COVID-19. The clinical outcome of swollen lymph nodes to left arm pit, headache, fatigue and severe neck pain.was not recovered.

Other Meds: CYMBALTA; PROTONIX [OMEPRAZOLE]

Current Illness:

ID: 0944252
Sex: M
Age:
State: FL

Vax Date: 12/16/2020
Onset Date: 12/19/2020
Rec V Date: 01/14/2021
Hospital: Y

Lab Data: Test Date: 20201220; Test Name: Covid test via Nasal Swab; Test Result: Negative

Allergies:

Symptoms: Myocardial Infarction; This is a spontaneous report from a contactable Other healthcare professional (patient). A 64-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/lot number: 20201216-1), via an unspecified route of administration on 16Dec2020 08:15 at single dose for COVID-19 immunization, vaccine location provided as Left arm. Medical history included arthritis and sulfa allergy. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient's concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced myocardial infarction on 19Dec2020 23:00. The patient was hospitalized for myocardial infarction for 3 days. The patient underwent lab test which included Covid test via Nasal Swab post vaccination on 20Dec2020 with test result Negative. Therapeutic measure Cardiac cath procedure was taken as a result of myocardial infarction. The outcome of the event was recovering. This case was reported as Serious with seriousness criteria hospitalization.; Sender's Comments: The Company cannot completely exclude the possible causality between the reported myocardial infarction and the administration of COVID-19 vaccine, BNT162B2, based on the reasonable temporal association. However, more information is required, such as the complete medical history, clinical course, for the Company to make a more meaningful causality assessment. 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 RA, IEC, as appropriate.

Other Meds:

Current Illness:

ID: 0944253
Sex: F
Age: 72
State: TX

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: no

Allergies: Lisinopril, metformin

Symptoms: About 4inches down from the injection site. There was bruising all the way down to my elbow. Very sore to the touch Purplish Red. I spoke to my MD CNA and she stated that it should be OK by the time I get my next shot. Eveyday The bruise is getting better but it is not 100% gone

Other Meds: asa, CoQn1o, Feurosimide, glipizide, Januvia, lilida, metoprol

Current Illness: no

ID: 0944254
Sex: F
Age:
State: AL

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Test Date: 20210106; Test Name: Fever; Result Unstructured Data: Test Result:102

Allergies:

Symptoms: Fever of 102; Body aches; Chills; Confusion; Headache; This is a spontaneous report from a contactable other health professional (patient). A 50-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number: EKS730 and expiration date not provided), via an unspecified route of administration in the right arm on 05Jan2021 09:30 at a single dose for COVID-19 immunization. The patient has no medical history. The patient was not pregnant at the time of vaccination. The patient had no known allergies to medications, food, or other products. The patient's concomitant medications were not reported. The patient did not receive any other vaccine within 4 weeks prior to the COVID vaccine and did not take any other medication within 2 weeks of vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. On 06Jan2021 02:00, the patient experienced fever of 102, body aches, chills, confusion, and headache. Treatment was not provided in response to the events. The outcome of the events was recovering. The patient assessed the events as non-serious. Since the vaccination, the patient has not been tested for COVID-19.

Other Meds:

Current Illness:

ID: 0944255
Sex: F
Age:
State: UT

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rash over all over body, started at neck.; itching; This is a spontaneous report from a contactable Nurse. A 25-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EL3246, expiry date: unknown), intramuscular on 06Jan2021 15:15 at single dose (Left arm) for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Facility type vaccine was Clinic/Facility. The patient experienced rash over all over body, started at neck and also complained of itching on 06Jan2021 15:30. Patient denied breathing difficulties. EMTs arrived and gave client oxygen and Benadryl. AE resulted in Emergency room/department or urgent care. It was unknown if patient had COVID prior vaccination. The patient was not tested for COVID post vaccination. Therapeutic measures were taken as a result of rash over all over body, started at neck and itching. The outcome of the events was recovering.; Sender's Comments: Based on the close temporal association, the Company considers the events rash and pruritus are possibly related to vaccination with BNT162B2. 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: 0944256
Sex: F
Age: 57
State: IN

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: Latex

Symptoms: Upon arising at 7AM I had tunnel vision. Just a little headache that morning. By 1:30pm I was chilling and could not get warm. Fever reached 101 degrees. I took 2 Tylenol every 4 hours. While I had a fever, I could not seem to drink enough water. I consumed about 90 ounces of water from 2pm til 9pm. The fever and chills became less prevalent by 9pm. Continued the Tylenol through 7AM the morning of 1/12/21. My chills were gone and I had no fever by then.

Other Meds: Toprol XL 50mg, Losartan 25mg, levothyroxin 50mcg, valacyclovir 500mg, Risendronate, Calcium 1200mg, Vitamin D

Current Illness: None

ID: 0944257
Sex: F
Age:
State: CA

Vax Date: 12/30/2020
Onset Date: 01/02/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Test Date: 20210104; Test Name: fever; Result Unstructured Data: Test Result:100.8; Test Date: 20210107; Test Name: nasal swab (rapid antigen testing - SARS-CoV-2); Test Result: Positive

Allergies:

Symptoms: took a rapid test and it came up positive; took a rapid test and it came up positive; fever 100.8; coughing; This is a spontaneous report from a contactable consumer (patient herself). A 41-year-old female patient (non-pregnant) received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, reported as Pfizer covid19 el1284), via an unspecified route of administration on 30Dec2020 14:30 in left arm at single dose for covid-19 immunisation. Medical history included asthma and arthritis. Concomitant medication included ibuprofen and paracetamol (TYLENOL). The most recent COVID-19 vaccine was administered in public health clinic/ veterans administration facility. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had been tested for COVID-19. Patient got the vaccine on Wednesday 30Dec2020, and by Saturday (02Jan2021 22:30) she started with a little coughing that increase on Monday (04Jan2021), Monday afternoon she had fever 100.8. She thought she was experiencing side effects and reported to her supervisor and didn't work the 2 next days. She when back to work on Thursday (07Jan2021), she was sent to a covid clinic and took a rapid test and it came up positive. The patient underwent lab tests and procedures which included nasal swab (rapid antigen testing - SARS-CoV-2): positive on 07Jan2021. The events were reported as non-serious. No treatment was received for the events. Outcome of events were recovering. Information on the lot/batch number has been requested.

Other Meds: ; TYLENOL

Current Illness:

ID: 0944258
Sex: F
Age: 28
State: WA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: Amoxicilin

Symptoms: Fever, chills, tiredness, headache, face feels swollen/punched in face

Other Meds: Heather (Norethindrone tablets)

Current Illness: none

ID: 0944259
Sex: F
Age:
State: AZ

Vax Date:
Onset Date:
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: diebities; overweight; This is a spontaneous report from a contactable consumer. A 53-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiry date were not reported), via an unspecified route of administration on an unspecified date t a single dose for COVID-19 immunization. Medical history included 'dibeities'. The patient's concomitant medications were not reported. The patient experienced 'diebities' and was overweight on an unspecified date with outcome of unknown. The patient was not tested for COVID-19 post vaccination. Information on the Lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0944260
Sex: F
Age:
State: NM

Vax Date: 01/02/2021
Onset Date: 01/06/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: wanted to sleep; eyes being weak and hurting; eyes being weak and hurting; sore throat; tiredness; headache, muscle spasms in abdomen; headache, muscle spasms in my abdomen; This is a spontaneous report from a contactable other healthcare professional (HCP) (patient). A 59-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL0142), via an unspecified route of administration on 02Jan2021 at a single dose in left arm for COVID-19 protection. Medical history included ongoing type 2 diabetes mellitus (diagnosed about 18 or 19 years ago), COVID-19 previously and did not have side effects like this (the patient had COVID 19 last month and did not feel this bad at all. Patient was asymptomatic). Concomitant medication included ongoing liraglutide (VICTOZA), ongoing insulin detemir (LEVEMIR), both started about 2 or 3 years ago for diabetes Type 2. She received the product vial workplace policy, so it was not specifically prescribed to her. The patient received the first dose of the vaccine on 02Jan2021, and starting on 06Jan2021, she started with headaches, and muscle spasms all over her abdomen and back. Headaches was reported as worsened. The headache will not go away and even with Tylenol it still lingers. Muscle spasms all over her abdomen and back was reported as worsened. Her eyes were weak and hurting, started on 08Jan2021. She was so tired, she wanted to sleep. The tiredness, started on 06Jan2021, and it is like in the morning she is okay, but then during the day she just got worse and worse and worse. Her sore throat starting 07Jan2021 night, and this morning it was really bad. Throat was very sore was reported as worsened. She received no other vaccines on the same day at the COVID vaccine. The patient was wondering if those are side effects of the vaccine, because the patient had COVID-19 previously and did not have side effects like this. This is a non-serious report. The outcome of event eyes being weak and hurting, and wanted to sleep was unknown, outcome of the other events was not resolved.

Other Meds: VICTOZA; LEVEMIR

Current Illness: Type 2 diabetes mellitus

ID: 0944261
Sex: F
Age: 33
State: WI

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Flu shot, beets, yogurt, wasps

Symptoms: Systemic: Anaphylaxis-Severe, Systemic: Headache-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Medium; symptoms lasted 1 day

Other Meds:

Current Illness:

ID: 0944262
Sex: F
Age: 49
State: MN

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: 01/12/2021-MRI head/c-spine. Negative.

Allergies: NONE

Symptoms: Right arm numbness occurred within the 15 minute waiting period. It did not start immediately with the injection but rather 5 minutes after. Lasted about 3 minutes before completely resolving. The right arm numbness returned on 01/01/2021 and persisted through 01/03/2021. Went away and returned on 01/06/2021 then migrated to the left arm. Waxes and wanes and added numbness to bilateral lower legs and feet. Improved with less frequency by 01/14/2021.

Other Meds: NONE

Current Illness: NONE

ID: 0944263
Sex: F
Age:
State: LA

Vax Date: 12/22/2020
Onset Date: 12/01/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: Test Date: 2020; Test Name: blood work; Result Unstructured Data: Test Result:Unknown results; Comments: she has blood work every 4 months, and her last blood work was probably done in Oct2020 or Nov2020.

Allergies:

Symptoms: was afraid; she was nervous; vomiting; Fatigue; felt chills/chill became a bone chill, and she was freezing; felt chills/chill became a bone chill, and she was freezing; randomly felt miserable/she felt like her body was purging/feeling "blah"; she wasn't really eating; Feeling sick; This is a spontaneous report from a contactable consumer (patient). A 62-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, batch/lot number: EK5730), via an unspecified route of administration in her right upper arm on 22Dec2020 16:00 at single dose for COVID-19 immunization. Vaccination Facility Type is hospital and which was not a facility. Medical history included type 2 diabetes mellitus from an unknown date and unknown if ongoing and it was maybe 10 years ago that she was diagnosed, and she was treated for her diabetes. There were no concomitant medications. There was no history of all previous immunization with the Pfizer vaccine (within 4 weeks) or additional vaccines administered on Same Date of the Pfizer Suspect. The patient received the first dose of the COVID-19 vaccine 22Dec2020 and is due for her second dose this upcoming Tuesday, 12Jan2021. She asked if it would be safe to receive the second dose at a different time, due to personal plans. She said after she received the first dose of the COVID-19 Vaccine on 22Dec2020, she was feeling sick in Dec2020. She said she had vomiting, chills, and randomly felt miserable, fatigue from 23Dec2020. She said she was nervous about getting the second dose of the COVID-19 Vaccine on Tuesday, 12Jan2021. She said she had plans around that time period and she was afraid she was going to be sick after she receives the second COVID-19 Vaccine dose. She asked if the second COVID-19 Vaccine dose had to be administered in the timeframe that was scheduled. The patient reported she felt chilled when she woke up the next morning, 23Dec2020. She said at first she thought she felt chilled because it was cold outside. She said after she arrived at work on 23Dec2020, the chill became a bone chill, and she was freezing. She said she realized the chill was not a normal cold feeling. She said by mid-morning on 23Dec2020, she began to vomit, and went home and went to bed. She said she got sick 2 more times that day. She said she went to work on Thursday, 24Dec2020, and randomly got sick. She said she wasn't really eating at that point (Dec2020), so it was not like she got sick before or after she ate something. She said she continued to get randomly sick through holiday, 25Dec2020. She said she felt like her body was purging. She said she was feeling "blah", but she was not bedridden or out of commission. She said she had no fever that she knew of. She said her symptoms resolved right after holiday, clarifying she started to feel like herself, saying she felt good. The patient declined any treatment and reported she didn't think her symptoms were that severe, though her family wanted her to go to the doctor. There was nothing had changed in her routine prior to receiving the first dose of the COVID-19 Vaccine. Reported she had blood work every 4 months, and her last blood work was probably done in Oct2020 or Nov2020. The events did not require a visit to emergency room or physician office. The outcome of the event feeling sick, she wasn't really eating, were resolved in Dec2020, outcome of fatigue, felt chills/chill became a bone chill, and she was freezing were resolved on 23Dec2020, outcome of vomiting, randomly felt miserable/she felt like her body was purging/feeling "blah" were resolved on 25Dec2020, outcome of fear and nervous were unknown.

Other Meds:

Current Illness:

ID: 0944264
Sex: M
Age:
State:

Vax Date: 12/29/2020
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Test Date: 20210108; Test Name: Nasal Swab; Test Result: Positive

Allergies:

Symptoms: Received the first dose of the COVID Vaccine on 29Dec2020 and tested positive for COVID on 08Jan2021; Received the first dose of the COVID Vaccine on 29Dec2020 and tested positive for COVID on 08Jan2021; This is a spontaneous report from a non-contactable consumer. A 45-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EK5730), via an unspecified route of administration on 29Dec2020 at single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient received the first dose of the COVID Vaccine on 29Dec2020 and tested positive for COVID (Nasal Swab) on 08Jan2021. The outcome of the event was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 0944266
Sex: F
Age: 68
State: OH

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: none

Allergies: zithromycin, penicillin, darvocet

Symptoms: Woke up at 11/132021 4:30AM with fever (101.4), injection site pain and chills. Took Tylenol. Later in morning experience nausea and vomiting for "a couple hours". Fatigued throughout day. Reports feeling better 1/14/2021. Spoke to Dr (PCP) he has recommended getting 2nd dose when she is able

Other Meds: aspirin, synthyroid, singulair, symbicort, duoneb

Current Illness: Had Covid Oct 2020

ID: 0944267
Sex: F
Age:
State: VA

Vax Date: 12/28/2020
Onset Date: 12/01/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 12/31-mild facial weakness left forehead, left cheek/smile asymmetry.; 12/30-headache, left ear pain, left face pain/continued numbness tingling; 12/30-headache, left ear pain, left face pain/continued numbness tingling; 12/30-headache, left ear pain, left face pain/continued numbness tingling; 12/30-headache, left ear pain, left face pain/continued numbness tingling; 12/29-+fatigue, SOB, left sided lowback pain - severe; 12/29-+fatigue, SOB, left sided lowback pain - severe; 12/29-+fatigue, SOB, left sided lowback pain - severe; 19:00- chills, myalgias, cold sensation of b/l feet; 19:00- chills; 19:00- chills, myalgias; At 16:00- palpitations; At 16:00- palpitations, chest tightness; At 12:00 (within 4 hrs) began experiencing L sided facial and Left foot numbness/tingling and left hand.; Reported to health care provider, began steroids for early onset bell's palsy; This is a spontaneous report from a contactable other health professional (patient). An adult female patient (not pregnant) received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) lot number EL1284 via intramuscular in left arm on 28Dec2020 08:30 at single dose for COVID-19 immunization. Medical history included Crohns, asthma, migraine, GERD (gastrooesophageal reflux disease), Known Allergies: pyridium. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient did not have COVID tested post vaccination and did not have COVID prior vaccination. Concomitant medication included mesalazine (PENTASA), famotidine (PEPCID), paracetamol (TYLENOL), calcium phosphate, colecalciferol (VITAFUSION CALCIUM), ascorbic acid, biotin, calcium, choline bitartrate, chromium, copper, folic acid, inositol, iodine, iron, magnesium, manganese, molybdenum, nicotinamide, pantothenic acid, phosphorus, potassium, pyridoxine, retinol, riboflavin, selenium, thiamine, tocopherol, vitamin b12 nos, vitamin d nos, zinc (MULTIVITAMIN) , biotin, colecalciferol (VITAMIN D). Reported Event: on 28Dec2020 at 12:00 (within 4 hrs) began experiencing L sided facial and Left foot numbness/tingling and left hand. At 16:00- palpitations, chest tightness. 19:00- chills, myalgias, cold sensation of b/l feet. 12/29-+fatigue, SOB, left sided low back pain - severe. 12/30-headache, left ear pain, left face pain/continued numbness tingling. 12/31-mild facial weakness left forehead, left cheek/smile asymmetry. Reported to health care provider, began steroids for early onset bell's palsy. On 08Jan2021 continue to have paresthesia of my left face, left hand, left foot, headache, mild left facial weakness/altered sensation. The events resulted in Doctor or other healthcare professional office/clinic visit. The patient received treatment received for the adverse events on 01Jan2021. The outcome of the events was recovering.; Sender's Comments: A possible causal association between administration of BNT162B2 and the onset of bell's palsy /facial paresis cannot be fully excluded, considering the plausible temporal relationship and the known adverse event profile of the suspect product. 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: PENTASA; PEPCID [FAMOTIDINE]; TYLENOL; VITAFUSION CALCIUM; MULTIVITAMIN [ASCORBIC ACID;BIOTIN;CALCIUM;CHOLINE BITARTRATE;CHROMIUM;COPPER;FOLIC ACID;INOSITOL;IO; ; VITAMIN D [COLECALCIFEROL]

Current Illness:

ID: 0944268
Sex: F
Age: 48
State:

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reported symptoms of headahce, weakness and nausea starting at 1600 on the day of recieving the vaccine. Patient reported symptoms got worse over the course of 48 hours. Same symptoms with added body aches. Patient repoted right arm where injection was given was so sore she could hardly move arm. She also had low grade temp of 99.8

Other Meds:

Current Illness:

ID: 0944269
Sex: F
Age:
State: CA

Vax Date: 01/05/2021
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Bell's palsy; Loss of taste; Can not close one eye, no muscle movement on one side of the face.; This is a spontaneous report from a contactable nurse. An adult female (not pregnant) patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), intramuscular in left arm on 05Jan2021 15:30 at single dose for COVID-19 immunization. There were no medical history or concomitant medications. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient did not have COVID tested post vaccination and did not have COVID prior vaccination. The patient had no known allergies. The patient experienced Half face paralysis, Bell's palsy. Loss of taste. Can not close one eye, no muscle movement on one side of the face. All on 08Jan2021 14:30 with outcome of unknown. No treatment was received.; Sender's Comments: A possible causal association between administration of BNT162B2 and the onset of Half face paralysis/Bell's palsy cannot be fully excluded, considering the plausible temporal relationship and the known adverse event profile of the suspect product. 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: 0944270
Sex: M
Age:
State: MA

Vax Date: 12/16/2020
Onset Date: 12/16/2020
Rec V Date: 01/14/2021
Hospital: Y

Lab Data: Test Date: 20201218; Test Name: BP; Result Unstructured Data: Test Result:high as 200s/100; Test Date: 20201218; Test Name: BP; Result Unstructured Data: Test Result:179/101; Test Date: 20201218; Test Name: head CT; Result Unstructured Data: Test Result:Rt basal ganglia hemorrhage w/ edema and mass effe; Comments: Rt basal ganglia hemorrhage w/ edema and mass effect; Test Name: platelets; Result Unstructured Data: Test Result:normal coags; Test Date: 20201218; Test Name: platelets; Result Unstructured Data: Test Result:114 (unknown baseline); Test Date: 20201218; Test Name: platelets; Result Unstructured Data: Test Result:Low; Test Date: 20201218; Test Name: Nasal Swab; Result Unstructured Data: Test Result:Negative

Allergies:

Symptoms: He collapsed with left sided hemiparesis; Stroke; Rt basal ganglia hemorrhage w/ edema and mass effect.; Rt basal ganglia hemorrhage w/ edema and mass effect.; Low platelets, 114; His bp as high as 200s/100; Hand weakness; Myalgia; Fever; Severe fatigue; This is a spontaneous report from a contactable physician. A 58-year-old male patient received first dose of bnt162b2 (Pfizer BioNTech COVID vaccine), intramuscularly on 16Dec2020 at a single dose for COVID-19 immunization. Medical history included hypertension with reported med noncompliance in the last few months due to stress. Concomitant medication included hypertension medications in two weeks. The patient was presumed neg covid status prior to vaccine. He worked as a Pulm/critical care physician. He reported fever, myalgia, fatigue on 16Dec2020. Next day (17Dec2020), he took off from work due to his symptoms. The following day (18Dec2020), he came to work. He c/o ongoing severe fatigue & hand weakness in am. Staff noted him to be evaluating his hands during clinic. At 12:15, he collapsed with left sided hemiparesis. The reporter had suspicion for stroke. He was transported to the Emergency Room (ER), head CT showed Rt basal ganglia hemorrhage w/ edema and mass effect. Labs notable for Low platelets, 114 (unknown baseline) on 18Dec2020, normal coags on an unspecified date. BP recorded as 179/101, but it was noted in trauma room his bp as high as 200s/100. He had a history of hypertension with reported med noncompliance in the last few months due to stress. Patient was transferred for further care. Full course was unknown but had rebleed there with low plts. Adverse event (he collapsed with left sided hemiparesis) resulted in hospitalization (22 days), life threatening illness (immediate risk of death from the event), disability/incapacitating or permanent damage. Treatment was received for adverse events. Results of tests and procedures for investigation of the patient: on 18Dec2020, Nasal Swab test: negative. The outcome of events was not recovered. Unknown if any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient was not tested for COVID-19. Information on the lot/batch number has been requested.; Sender's Comments: Collapsed with left sided hemiparesis/suspicion for stroke are as consequences of basal ganglia hemorrhage with edema, which is caused by worsening of hypertension. Low platelet also contributes to brain hemorrhage. All these serious events are unrelated to the vaccine use. 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: 0944271
Sex: M
Age: 35
State: PA

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: none recommended antihistamine

Allergies: none

Symptoms: arm pain and swelling initially then subsided over the next 7 days/ day 7 arm became swollen / red and itchy arm pain and swelling came back after 7 days

Other Meds: none

Current Illness: none

ID: 0944272
Sex: F
Age:
State: TX

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Sore throat, severe chest tightness and pressure, very hard to breathe in, more than 30 minutes after covid vaccine, dizziness, headache, lightheadedness; severe chest tightness and pressure; very hard to breathe in, more than 30 minutes after covid vaccine; Dizziness /lightheadedness; headache; This is a spontaneous report from a contactable consumer (patient). A 35-year-old female (not pregnant at the time of vaccination) patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (lot number EL0142), via an unspecified route of administration at left arm on 09Jan2021 10:30 at single dose for COVID-19 immunization at a hospital. The patient's medical history included migraines, asthma, diabetes, sleep apnea, low immune system, post-traumatic stress disorder (PTSD), depression, panic attacks, insomnia, borderline personality disorder, and known allergies to medications, food, or other product (10 total). Concomitant medications included adult tetanus vaccine on 04Jan2021 received at right arm, for immunization (within 4 weeks prior to the COVID vaccine); first dose of botulinum toxin type a (BOTOX) on 06Jan2021 at single (31 shots in 7 muscle groups) for migraines (within 4 weeks prior to the COVID vaccine); and clindamycin antibiotic for infection in finger (took within in two weeks). The patient was not diagnosed with COVID-19 prior to vaccination, and had not been tested for COVID-19 since the vaccination. On 09Jan2021 11:00, the patient experienced sore throat, severe chest tightness and pressure, very hard to breathe in, more than 30 minutes after COVID vaccine, "dizziness/lightheadedness", and headache. The above mentioned events resulted in emergency room/department or urgent care visit, and patient received breathing treatment, oxygen for over an hour for these events. The outcome of the events was unknown. The reporter considered the events as non-serious.

Other Meds: BOTOX;

Current Illness:

ID: 0944274
Sex: F
Age: 37
State: WA

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: none

Allergies: Food: Mango and Melon

Symptoms: 1/13 Histamine reaction: sore, itchy, red, warm, swollen. distal injection site. 3 inches wide and 4 long. including a small ring around the injection site. Also a histamine reaction on my R cheek ~ 1cm. 1/14 1000 new spot medial to original site 1inx1in red, swollen, warm. Marginal reduction in 1st reaction site and face reaction. 25mg Benadryl 1/13 2300.

Other Meds: Loratadine, Ibuprofen

Current Illness: none known.

ID: 0944275
Sex: M
Age:
State: MI

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: complete hearing loss at the right ear, 5 hours post injection, continued till now 3 days past injection, not resolved yet prior to report; This is a spontaneous report from a contactable physician. A 72-years-old male patient started to receive bnt162b2 (BNT162B2) Lot number# ek9231 intramuscularly on 06Jan2021 12:00 at single dose for covid-19 immunisation. Anatomical Location: Arm Right. Facility where the most recent COVID-19 vaccine was administered: Hospital. Medical history included diabetes mellitus, hypertension. The patient did not received any other vaccines within 4 weeks prior to the COVID vaccine. Concomitant medication included alprazolam (AZOR [ALPRAZOLAM]), metformin hydrochloride, sitagliptin phosphate monohydrate (JANUMET [METFORMIN HYDROCHLORIDE;SITAGLIPTIN PHOSPHATE MONOHYDRATE]), atorvastatin calcium (LIPITOR [ATORVASTATIN CALCIUM]). The patient on 06Jan2021 18:00 reported complete hearing loss at the right ear, 5 hours post injection, continued till now 3 days past injection, not resolved yet prior to report. The action taken was not applicable.; Sender's Comments: A possible contributory effect of suspect BNT162B2 on reported hearing loss 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: AZOR [ALPRAZOLAM]; JANUMET [METFORMIN HYDROCHLORIDE;SITAGLIPTIN PHOSPHATE MONOHYDRATE]; LIPITOR [ATORVASTATIN CALCIUM]

Current Illness:

ID: 0944276
Sex: F
Age: 34
State: WV

Vax Date: 12/30/2020
Onset Date: 01/01/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: red, swollen, warm at injection site

Other Meds:

Current Illness:

ID: 0944277
Sex: F
Age:
State: HI

Vax Date: 12/23/2020
Onset Date: 12/01/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Allergic reaction to vaccine; tingling to upper lip and face; tingling to upper lip and face; red rash on bilateral forearms; Patient developed Bell's Palsy 2-3 days later; This is a spontaneous report from a contactable consumer. A 45-year-old non-pregnant female patient received the first dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/lot number: EL1284), via an unspecified route of administration on 23Dec2020 at 14:30 at single dose in left arm for covid-19 immunization. Medical history included mitral valve prolapse from an unknown date, and allergies: Cephalosporins and nut (peanut derived). Concomitant medication included epinephrine (EPIPEN) 0.3MG/0.3ML, fluticasone propionate 50MCG/ACT nasal spray. On 23Dec2020 at 14:45, the patient experienced allergic reaction to vaccine, tingling to upper lip and face, red rash on bilateral forearms. Reactions resolved with no treatment. The patient developed Bell's Palsy 2-3 days later in Dec2020. Currently being treated with high dose steroids and acyclovir. All events required emergency room visit and physician office visit. All events were reported as non-serious by reporter. The outcome of event Bell's Palsy was not resolved, outcome of other events was resolved on an unspecified date. The patient was not diagnosed with COVID-19 prior to vaccination, and it was unknown if the patient has been tested for COVID-19 since the vaccination.

Other Meds: EPIPEN;

Current Illness:

ID: 0944278
Sex: M
Age: 66
State: OH

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: None known

Symptoms: On Jan 11, 21 immediately after the vaccine I felt my heart wad high. Then after an hour I felt dizzy for couple hours. At night on the same day, I had chills, temperature 101 F. Had Tylenol. Next day on January 12, 21 felt feverish, body pain, tired and lost some food taste. So slept all day. Same later in the evening started coughing. January 13 and 14, 21 felt tired and dizzy when I stand up. Had cough syrup and today it has improved. However, still feel dizzy but hope to recover gradually. Daughter is listed as my doctor. She is my daughter. She watches me but she is not my official physician.

Other Meds: Losarton 25 mg, Lipitor, multivitamin one a day, vitamin d3, b-12

Current Illness: Was infected by COVID-19 on November 25, 2020 and recovered by December 8, 2020

ID: 0944279
Sex: F
Age:
State: NH

Vax Date: 01/08/2021
Onset Date: 01/01/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Test Date: 20210109; Test Name: Blood pressure measurement; Result Unstructured Data: Test Result:low, about 90/50

Allergies:

Symptoms: fever and chills; fever and chills; blood pressure was low, about 90/50; did not feel well; syncope episode; unconscious; This is a spontaneous report from a contactable other health professional. A 27-year-old non-pregnant female patient received the first dose of the bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot Number: EH9899), via an unspecified route of administration in the left arm on 08Jan2021 at 12:00 at a single dose for COVID-19 immunization; received at a nursing home/senior living facility. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. Medical history included COVID-19 from an unknown date and unknown if ongoing. No known allergies. Concomitant medications included unspecified birth control taken for an unspecified indication from an unknown date to an unknown date; within two weeks of vaccination. The patient experienced the following events and outcomes: syncope episode in Jan2021 with outcome of unknown, unconscious in Jan2021 with outcome of unknown, fever and chills on 09Jan2021 with outcome of unknown, blood pressure was low, about 90/50 on 09Jan2021 with outcome of unknown, did not feel well in Jan2021 with outcome of unknown; all of which were assessed as medically significant. The clinical course was reported as follows: the fever and chills began about one hour after vaccination (as reported). About 18 hours after the vaccination, the patient was getting up to take more paracetamol (TYLENOL) and did not feel well. The patient had a syncope episode in the bathroom (no issues as she sat on the floor before hand). The patient was unconscious for about 1-2 minutes. The patient's blood pressure several minutes later was low, about 90/50; however, the patient took the blood pressure measurement herself, so it may not have been exactly accurate. The patient underwent lab tests and procedures which included blood pressure measurement: low, about 90/50 on 09Jan2021. Therapeutic measures were taken as a result of fever. Prior to vaccination, the patient was diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19.; Sender's Comments: A possible causal association between administration of BNT162B2 and the onset of all reported serious events cannot be excluded, considering the plausible temporal relationship and the known adverse event profile of the suspect product. 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: 0944280
Sex: F
Age:
State: IL

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/14/2021
Hospital: Y

Lab Data: Test Date: 202101; Test Name: Blood work; Result Unstructured Data: Test Result:Unknown results; Test Date: 202101; Test Name: Xray of heart; Result Unstructured Data: Test Result:Unknown results; Test Date: 202101; Test Name: EKG; Result Unstructured Data: Test Result:Unknown results; Test Date: 20210106; Test Name: Heart rate; Result Unstructured Data: Test Result:170; Comments: up to 170 with numbness of feet; Test Date: 202101; Test Name: Heart rate; Result Unstructured Data: Test Result:135-140; Comments: Heart rate at the hospital was 135-140

Allergies:

Symptoms: Heart rate shot up to 170 with numbness of feet.; Heart rate shot up to 170 with numbness of feet.; Chest pain; feeling like I was going to vomit and faint; feeling like I was going to vomit and faint; This is a spontaneous report from a contactable other hcp (patient). A 25-year-old non-pregnant female patient received the first dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 06Jan2021 at 11:45 at single dose in left arm for covid-19 immunization. There was no medical history. Concomitant medication included valaciclovir hydrochloride (VALTREX), topiramate (TOPAMAX), lamotrigine (LAMICTAL), duloxetine hydrochloride (CYMBALTA), ziprasidone hydrochloride (GEODON). On 06Jan2021 at 12:30, The patient experienced heart rate shot up to 170 with numbness of feet, started to feel chest pain, and feeling like she was going to vomit and faint. The events required emergency room visit and were reported as serious per hospitalization. Heart rate at the hospital was 135-140 where two EKG were done and fluids were given. An x-ray of the heart was done and blood work was completed. The patient didn't receive treatment for the events. The patient didn't receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with COVID-19 prior to vaccination, and has not been tested for COVID-19 since the vaccination. The outcome of the events was resolved in Jan2021. Information on batch/lot number has been requested.; Sender's Comments: There is a reasonable possibility that the event "feeling like she was going to vomit" was related to BNT162b2 based on known drug safety profile. Based on the temporal relationship, the association between the other reported serious events with BNT 162b2 can not be completely 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: VALTREX; TOPAMAX; LAMICTAL; CYMBALTA; GEODON [ZIPRASIDONE HYDROCHLORIDE]

Current Illness:

ID: 0944281
Sex: F
Age: 32
State: VA

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: half dollar sized area of itching, erythema, and swelling at the injection site

Other Meds:

Current Illness:

Date Died: 01/09/2021

ID: 0944282
Sex: M
Age:
State: NY

Vax Date: 01/05/2021
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: resident coded on 09Jan at 8am and expired; This is a spontaneous report from a contactable Other Health Professional. A 70-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/lot number: EL0140), intramuscularly in left arm on 05Jan2021 15:15 at single dose for COVID-19 immunization. Medical history included DM2(Type two diabetes mellitus), CHF(congestive heart failure), open wound, wound infection, heart failure. Allergies to medications, food, or other products: none. Concomitant medications included unspecified products (List of any other medications the patient received within 2 weeks of vaccination: yes). If the patient received any other vaccines within 4 weeks prior to the COVID vaccine: Unknown. Facility where the most recent COVID-19 vaccine was administered: Nursing Home/Senior Living Facility. The resident coded on 09Jan2021 at 8 AM and expired. The patient died on 09Jan2021. An autopsy was not performed. AE resulted in: patient died. Death cause: unknown at this time. Was treatment received for the adverse event: Unknown. Prior to vaccination, was the patient diagnosed with COVID-19: No. Since the vaccination, has the patient been tested for COVID-19: No. Serious: Yes. Seriousness criteria-Results in death: Yes. Seriousness criteria-Life threatening: No. Seriousness criteria-Caused/prolonged hospitalization: No. Seriousness criteria-Disabling/Incapacitating: No. Seriousness criteria-Congenital anomaly/birth defect: No.; Sender's Comments: The old patient had diabetes mellitus, congestive heart failure, open wound complicated by infection, all these pre-existing medical conditions contribute to the patient death. More information including complete medical history, concomitant medications and event term details especially death cause and autopsy results are needed for a full assessment of the case. 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; Reported Cause(s) of Death: resident coded on 09Jan at 8am and expired

Other Meds:

Current Illness:

ID: 0944283
Sex: F
Age:
State: IL

Vax Date: 01/08/2021
Onset Date: 01/01/2021
Rec V Date: 01/14/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Saturday had. Sweating. Chills. Headache. Nausea.; Saturday had. Sweating. Chills. Headache. Nausea.; Saturday had. Sweating. Chills. Headache. Nausea.; Saturday had. Sweating. Chills. Headache. Nausea.; Sunday had emergency appendectomy for actuate appendicitis.; Friday at 3pm, the patient had numbness and tingling to left hand, lips and throat; Friday at 3pm, the patient had numbness and tingling to left hand, lips and throat; Friday at 3pm, the patient had numbness and tingling to left hand, lips and throat; Friday at 3pm, the patient had numbness and tingling to left hand, lips and throat; Friday at 3pm, the patient had numbness and tingling to left hand, lips and throat; Friday at 3pm, the patient had numbness and tingling to left hand, lips and throat; Post surgery had allergic reaction unknown reason with head to toe rash; Post surgery had allergic reaction unknown reason with head to toe rash; This is a spontaneous report from a contactable nurse (patient). A 34-year-old female patient (pregnant: No) received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via intramuscular (lot number: EL1283) on left arm on 08Jan2021 at 6:30 AM at single dose for covid-19 immunisation. The relevant medical history included celiac, anemia, known allergies: Sulfa and Gluten. Concomitant medications were not reported. The patient received first dose of BNT162B2 via intramuscular (lot number: Ek5730) on left leg on 18Dec2020 at 11:00 AM at single dose for covid-19 immunisation. The patient previously took Codeine, fish oil and experienced allergies. Friday at 3pm, the patient had numbness and tingling to left hand, lips and throat. On Saturday the patient had sweating, chills, headache, nausea. On Sunday had emergency appendectomy for actuate appendicitis. Post surgery had allergic reaction unknown reason with head to toe rash. It was also reported that the adverse event started on 08Jan2021 at 03: 15 PM (as reported). The patient had 1-day hospitalization. The patient received treatment for the events. The adverse events resulted in Emergency room/department or urgent care. The events were reported as serious due to life threatening and hospitalization. The most recent COVID-19 vaccine was administered at hospital. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The outcome of the events was recovering.; Sender's Comments: A causal association between BNT162B2 and the reported events cannot be excluded based on a compatible temporal relation between vaccination and onset of events. Medications administered during appendectomy may confound reactions experienced post-surgery. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RAs, Ethics Committees, and Investigators, as appropriate.

Other Meds:

Current Illness:

ID: 0944284
Sex: M
Age: 28
State: AL

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Bee stings

Symptoms: my lips started to swell about 24hrs after the shot i took some Benadryl and the swelling went down

Other Meds: none

Current Illness: none

ID: 0944285
Sex: F
Age:
State:

Vax Date:
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: passing out sensation; heart palpitations; sweating; diarrhea; This is a spontaneous report from a contactable consumer (patient's boyfriend). A female patient of an unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date at single dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. The reporter reported that symptoms were related to the use of Covid 19 vaccine. The patient received the first dose on 15Jan (as reported) and the day after developed sweating, passing out sensation, heart palpitations and this morning on 11Jan2021 when she woke up she had the same symptoms plus diarrhea. The outcome of the events was unknown. Information on the lot number/batch number was requested.

Other Meds:

Current Illness:

ID: 0944286
Sex: F
Age:
State: AZ

Vax Date:
Onset Date:
Rec V Date: 01/14/2021
Hospital:

Lab Data: Test Name: blood pressure; Result Unstructured Data: Test Result:190/100

Allergies:

Symptoms: severe hypertension (190/100); flushing tachycardia; flushing tachycardia; blurred vision in the left eye; This is a spontaneous report from a contactable healthcare professional reporting for self. This 65-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via unspecified route of administration on unspecified date at single dose for COVID-19 immunisation. Medical history included ongoing underlying HTN (hypertension). Concomitant medications were not reported. The patient experienced AE following administration of first dose of vaccine of including: severe hypertension (190/100), flushing tachycardia, and blurred vision in the left eye. These symptoms started 20minutes after administration. The patient stated her PCP thought that she had underlying hypertension and had since started her on medications. She was looking for guidance with regard to receiving the second dose. The outcome of events was unknown. Information about Batch/Lot number has been requested.; Sender's Comments: The administration of BNT162B2 might have played a contributory role in triggering the onset of serious event hypertension worsened, considering the plausible temporal relationship. 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: Hypertension

ID: 0944287
Sex: M
Age:
State: MO

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/14/2021
Hospital: Y

Lab Data: Test Name: heart rate; Result Unstructured Data: Test Result:117; Comments: watch told him his heart rate was 117

Allergies:

Symptoms: he was in AFIB for about 3 hours after receiving his first dose of the COVID19 Vaccine; he noticed the rest of the day, right up to going to bed that he felt cold; This is a spontaneous report from a contactable consumer. A 66-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: EL1284) at arm, left upper, via an unspecified route of administration on 29Dec2020 06:15 at single dose for covid-19 immunisation. Medical history included atrial fibrillation (Afib) formally diagnosed around Jan2020. There were no concomitant medications. The patient reported he got the COVID-19 Vaccine at 06:15 on 29Dec2020 and had to sit for 15 minutes afterwards before he could leave. He said everything was fine, and he walked out to the hospital lobby, and was speaking with a work associate for 10 minutes before he headed to his car. When he got ready to leave, he got in his car, and started his car. He started driving home, and realized he was in AFIB. He did have an AFIB issue. His AFIB has been pretty well controlled for a year now, as long as, he didn't do something stupid. He had a moderately aggressive run of AFIB. He said his "smart" watch told him his heart rate was 117. His normal heart rate is around 60-70. He was in AFIB for about 3 hours. His typical runs of AFIB are considerably shorter. He only had a total of 2 episodes of AFIB in the last year. His prior AFIB episodes would have been about 4-5 minutes. The last time he had AFIB that lasted any length of time was when he was hospitalized for AFIB around Jan2020. He said at that time, he was hospitalized overnight for observation. He received medication during the hospitalization and his AFIB broke. He didn't remember what medications were given to him during the hospitalization. He said he had flutters before that hospitalization, but the flutters were always gone after a few minutes, so he never sought treatment because there would be nothing to treat. The patient reported he noticed the rest of the day on 29Dec2020, right up to going to bed that he felt cold. His house wasn't cold, and he didn't have a fever. He said the cold feeling went away during the night while he was sleeping. He said the cold feeling easily lasted for a 12 hours. He said the cold feeling could have been something else. The outcome of "he was in afib for about 3 hours after receiving his first dose of the covid19 vaccine" was recovered on 29Dec2020; of "he noticed the rest of the day, right up to going to bed that he felt cold" was recovered on 30Dec2020.

Other Meds:

Current Illness:

ID: 0944288
Sex: U
Age: 37
State: CA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: nkda

Symptoms: fever chill, body ache, dizziness

Other Meds: none

Current Illness: stomach flu

ID: 0944289
Sex: F
Age:
State: NJ

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital: Y

Lab Data: Test Date: 20210109; Test Name: Nasal Swab; Test Result: Negative

Allergies:

Symptoms: she was diagnosed with bilateral deep vein thrombosis (DVT) and pulmonary embolism (PE); she was diagnosed with bilateral deep vein thrombosis (DVT) and pulmonary embolism (PE); This is a spontaneous report from a contactable nurse (patient). A 22-year-old female patient received 2nd dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot# EK9231), via an unspecified route of administration in left arm on 06Jan2021 13:45 at single dose for COVID-19 immunisation. Medical history included allergy to all fish, and clots. The patient was not pregnant. There were no concomitant medications. The patient previously received 1st dose of BNT162B2 (lot numer: EH9899) in left arm on 16Dec2020 13:45 for COVID-19 immunisation and experienced left sided lower back pain on 20Dec2020. No other vaccine received in four weeks. It was reported that the patient had the first covid vaccine on 16Dec2020 and on 20Dec2020 started with left sided lower back pain and then received the second on 06Jan2021 and then on 09Jan2021 11:00 her legs became blue and swollen and she was diagnosed with bilateral deep vein thrombosis (DVT) and pulmonary embolism (PE). The patient otherwise healthy and had never had covid. Other than the clots, she had no other health issues. The patient underwent lab tests and procedures which included nasal swab: negative on 09Jan2021. Events resulted in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care, hospitalization, and life threatening illness (immediate risk of death from the event), hospitalized for 2 days (in Jan2021). Adverse event treatment: heparin drip and xarelto at home. Recovered with lasting effects on an unspecified date of Jan2020. This case was reported as serious, serious criteria was life threatening, caused/prolonged hospitalization.; Sender's Comments: The underlying risk factors/predisposing condition of thrombotic diathesis have been assessed to have played a contributory role toward the events.

Other Meds:

Current Illness:

ID: 0944290
Sex: F
Age: 62
State: KS

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: On day 7, the injection site ITCHED a lot for about 36 hours and was red, mesuring about 4 cm diameter area. No pain.

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm