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

Incidents per State

State Total
92,076
AK1,880
AL6,345
AR4,151
AS46
AZ14,991
CA66,887
CO12,550
CT8,943
DC1,795
DE2,009
FL42,724
FM4
GA17,031
GU124
HI2,580
IA4,919
ID2,892
IL22,128
IN24,197
KS5,047
KY9,111
LA5,500
MA15,718
MD13,434
ME3,351
MH8
MI20,971
MN13,585
MO10,747
MP30
MS3,198
MT2,477
NC18,051
ND1,501
NE3,109
NH3,218
NJ20,216
NM4,218
NV4,728
NY37,667
OH20,793
OK6,692
OR9,244
PA25,607
PR2,588
QM2
RI2,163
SC7,261
SD1,282
TN10,445
TX39,890
UT4,618
VA15,980
VI67
VT1,830
WA16,071
WI12,042
WV2,571
WY926
XB5
XL1
XV2

ID: 1254349
Sex: F
Age:
State: MD

Vax Date: 02/04/2021
Onset Date: 02/16/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: rash; This is a spontaneous report from a contactable consumer reported in response to Non-HCP follow-up letter sent in cross reference case. A 76-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE: Solution for injection), dose 2 via an unspecified route of administration on 04Feb2021 (Batch/Lot number was not reported) as SINGLE DOSE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Patient's historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE: Solution for injection), dose 1 via an unspecified route of administration (Batch/Lot number was not reported) as SINGLE DOSE for covid-19 immunisation causes pain, right knee-could barely walk and all of her joints that had been previously hurt in the past started killing her. The patient experienced rash on 16Feb2021. The action taken in response to the event for bnt162b2 was not applicable. The outcome of event was recovered. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1254350
Sex: M
Age:
State: AK

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: clusters of small blisters; splotchy red rash; felt very unwell; headache; Fever; chills; exhausted; had little sleep; pain in my neck and left shoulder; pain in my neck and left shoulder; sore muscles; This is a spontaneous report received from a contactable consumer (patient). This 48-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; lot number EN6202) via an unspecified route of administration in the left arm on 03Mar2021 at 13:00 (at the age of 48-years-old) as a single dose for COVID-19 immunisation. Medical history was not reported. Prior to vaccination the patient the patient had not been diagnosed with COVID-19 and had not received any other vaccines within 4 weeks prior to the COVID vaccine. Concomitant medications included fish oil, Men's Multivitamin and "avmacol," all from unknown dates for unknown indications. The patent reported he started having pain in his neck and left shoulder; further described as like sore muscles, for which he was annoyed enough to take ibuprofen and use ice packs. On Sunday 07Mar (2021) the patient noticed there were clusters of small blisters all over his left shoulder and neck, overlaying a splotchy red rash; reporting they were mostly on the left shoulder, but started in the center of his chest and went all through to his back and stopped at his spine. The patient also reported the past very days he felt very unwell, enough to miss work. Aside from the rash/blisters, he had a headache, chills, and a fever that had come and gone, which measured 103.4 at it's worst. He reported taking dextromethorphan hydrobromide, guaifenesin, paracetamol, pseudoephedrine hydrochloride (DAYQUIL) and dextromethorphan hydrobromide, doxylamine succinate, ephedrine sulfate, ethanol, paracetamol (NYQUIL) every six hours which he thought helped, and he reported using cold compresses for the rash, blisters. He stated he felt exhausted the whole time but had little sleep, which was helped by the dextromethorphan hydrobromide, doxylamine succinate, ephedrine sulfate, ethanol, paracetamol for a few hours. He reported today (as of 22Mar2021) was the first day in a few that he'd felt alive enough to report. The blisters/rash were about the same, "but the blisters." The events required a doctor or other healthcare professional office/clinic visit. The clinical outcomes of pain in my neck and left shoulder, sore muscles, cluster of small blisters, splotchy red rash, felt very unwell, headache, fever, chills, exhausted, and had little sleep were reported as recovering. It was also reported the patient was tested for COVID-19 post vaccination, and on 14Mar2021 had a negative nasal swab. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

Other Meds: FISH OIL

Current Illness:

ID: 1254351
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Chills; fluctuating temperature 0.5 -1 degree changes; Localized pain; Slightly burning sensation in the right thigh; This is a spontaneous report from a contactable consumer (patient). This 69-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; lot number unknown) via an unspecified route of administration on an unspecified date, reported as about 19 days ago (as of 22Mar2021), as a single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. The patient previously received the first dose of BNT162B2 (lot number unknown) on an unspecified date for COVID-19 immunisation. The patient reported he received the second dose about 19 days ago and still had on and off side effects like minor chills, fluctuating temperature 0.5 -1-degree changes, localized pain that went away and slightly burning sensation in the right thigh. The clinical outcomes of minor chills, fluctuating temperature 0.5 - 1-degree changes, and slightly burning sensation in the right thigh were unknown. The clinical outcome of localized pain was recovered on an unspecified date. Information on the lot/batch number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1254352
Sex: F
Age:
State: NY

Vax Date: 03/03/2021
Onset Date:
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: The swollen lymph nodes is on both sides, but is subsiding; On the side where she got her shot the swelling has come down to her collar bone.; This is a spontaneous report from a contactable consumer. A female patient of an unspecified age received first dose of BNT162B2 (Pfizer-Biontech Covid-19 Vaccine, Formulation: solution for injection, Lot number and expiry was not reported) via an unspecified route of administration on 03Mar2021 as single dose for covid-19 immunization. Medical history included 2 Autoimmune diseases. The patient's concomitant medications were not reported. On an unspecified date, after receiving the vaccine she noticed her lymph nodes were swollen. The patient reported the swollen lymph nodes is on both sides but is subsiding. The patient questioned if second dose should be taken as it is scheduled for 24Mar2021 and enquired if it will get worse. Follow up letter has been generated for lot/batch number and for further information Follow-up (22Mar2021): This is a follow-up spontaneous report from a contactable consumer. This consumer (patient) reported for herself that: Follow-up (22Mar2021): Follow up information included. The patient reportedly noticed 5 days later that she had swollen glands around her neck. She has autoimmune problems, Sjogren's, which affects the lymphatic system. When she asked her doctor he said it was a side effect from the vaccine. She is supposed to go on 24Mar2021 for her second dose. The swollen glands have calmed down now. On the side where she got her shot the swelling has come down to her collar bone. No follow-up attempts are possible; information about lot/batch number cannot been obtained This follow-up report is being submitted to amend previously reported information: The classification of at risk was removed as true event PT Lymphadenopathy is reported.

Other Meds:

Current Illness:

ID: 1254353
Sex: M
Age:
State:

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Sick process; Slip disc; Back ache; This is a spontaneous report from a contactable consumer (patient). This male patient of unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; lot number unknown) via an unspecified route of administration in Mar2021, reported as between 01Mar2021 and 10Mar2021, as a single dose for COVID-19 immunisation. Medical history was not reported. Concomitant medications were unknown. The patient reported he had a slipped disc and was taking pain relievers for backache which helped him sleep better at night. He reported he received the first dose of BNT162B2 somewhere in between 01Mar2021 and 10Mar2021; his second dose was due on 31Mar2021. The patient inquired if he could take ibuprofen after vaccination with BNT162B2 and if he could drink alcohol after vaccination. The patient reported he had been going through a sick process ever since vaccination, inquiring if that was normal. The clinical outcome of sick process was not recovered, the outcome of slipped disc and backache were unknown. Information on the lot/batch number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1254354
Sex: F
Age:
State:

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Allergies; Flu; fever; headache; my nose keeps running; This is a spontaneous report received from a non-contactable consumer (patient). This female patient of unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; lot number unknown) via an unspecified route of administration on 02Mar2021 as a single dose for COVID-19 immunisation. Medical history included pollen allergy, which the patient reported gets worse during spring, from an unknown date and unknown if ongoing. Concomitant medications were not reported. The patient reported that during Spring season, her allergies to pollen got much worse. She stated it had nothing to do with COVID-19. She stated she received the first dose of BNT162B2 on 02Mar2021 and the second dose was due 23Mar2021. She reported she had a little bit of allergies, possibly a little bit of the flu last week, further reporting it had nothing to do with COVID. She reported that last week (as of 22Mar2021) she had a little bit of the flu, reported as nothing major, fever of 99 degrees Fahrenheit that went away, headache that went away, and allergies were terrible. She stated she usually took loratadine, pseudoephedrine sulfate (CLARITIN-D) for a couple days, although this time she would not take any antihistamines before her vaccination tomorrow. She further reported sometimes she took cetirizine (ZYRTEC) on a regular basis, although she was not going to take it tomorrow. She didn't know if she could take guaifenesin (MUCINEX) because her nose kept running. The clinical outcomes of allergies and flu were unknown; the outcome of fever and headache were recovered in Mar2021; the outcome of her nose kept running was not recovered. No follow-up attempts are possible. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1254355
Sex: F
Age:
State:

Vax Date: 03/21/2021
Onset Date: 03/01/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Arm soreness; She couldn't sleep; Woken up every 20 minutes; Was on fire all last night; Sweaty; Very irritable; This is a spontaneous report from a contactable consumer (patient). This female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; lot number unknown) via an unspecified route of administration on 21Mar2021 as a single dose for COVID-19 immunisation. Medical history included an ankle sprain which the patient stated occurred prior to vaccination, from an unknown date and unknown if ongoing. Concomitant medications were not reported. The patient previously received a tetanus shot on an unknown date for immunisation. The patient reported she received the first dose of BNT162B2 yesterday and last night she couldn't sleep and was woken up every 20 minutes, further reporting she was on fire all last night, was sweating and was very irritable. She also reported today (as of 22Mar2021) she developed arm soreness. She inquired if this was normal. The clinical outcomes of she couldn't sleep, woken up every 20 minutes, on fire all last night, sweaty and arm soreness were unknown. The clinical outcome of very irritable was not recovered. Information on the lot/batch number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1254356
Sex: F
Age:
State:

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Hypertension 226/136; Felt dizzy; Sick; This is a spontaneous report from a contactable consumer (patient). A 74-year-old female patient received dose 1 of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE) via an unspecified route of administration on 07Jan2021 (at the age of 74-years-old) as a single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. Two days after dose 1 of BNT162B2 (09Jan2021) the patient experienced hypertension, felt dizzy, and sick. The patient had not experienced dizziness and hypertension before. She decided not to receive dose 2 of BNT162B2 and wanted to know if it was too late to receive dose 2. The patient underwent lab tests and procedures which included blood pressure measurement of 226/136. The outcomes of hypertension, felt dizzy, and sick were unknown. No follow-up attempts are possible. Information about lot/batch cannot be obtained.

Other Meds:

Current Illness:

ID: 1254357
Sex: F
Age:
State: CA

Vax Date: 02/27/2021
Onset Date:
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: sometimes loses her memory; This is a spontaneous report received from a non-contactable consumer (patient). This female patient of unspecified age received dose 1 of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE) via an unspecified route of administration on 27Feb2021 as a single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. The patient sometimes lost her memory. The patient wanted information on how to receive the second dose of BNT162B2. She received dose 1 on the 27th day a month ago (27Feb2021). During the call she stated she sometimes lost her memory. The outcome of sometimes lost her memory was unknown. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow-up.

Other Meds:

Current Illness:

ID: 1254358
Sex: F
Age:
State:

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Injection site was hurting bad; Not able to move her shoulder; Itching all over her body and now her face; This is a spontaneous report received from a contactable consumer. A 62-year-old female patient (reporter's wife) received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; lot number unknown) via an unspecified route of administration on an unknown date in Mar2021, reported as 10 days ago (as of 22Mar2021), as a single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. The reporter stated his wife got the COVID vaccine 10 days ago (as of 22Mar2021) and the injection site was hurting bad for two days and she was not able to move her shoulder for two days. She also had itching all over her body and now her face (as of 22Mar2021) and it comes and goes. The reporter inquired how long it would last and was concerned if she got the second dose it might be worse; further inquiring what he should do. He reported he spoke with his doctor about his wife's side effects and his concern about her getting the second shot and whether or not he should get the vaccine, but his doctor didn't know anything. He stated Pfizer should give guidance on what to do about side effects. The clinical outcomes of injection site was hurting bad, not able to move her shoulder and itching all over her body and now her face were unknown. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1254359
Sex: F
Age:
State:

Vax Date: 03/16/2021
Onset Date:
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: No taste in my mouth; Bitter taste in my mouth; I cannot drink water or eat food; I cannot drink water or eat food; Aches; This is a spontaneous report received from a non-contactable consumer (patient). A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), first dose, via an unspecified route of administration on 16Mar2021 (Batch/Lot number Unknown) as a single dose for COVID-19 immunisation. Medical history was not reported. Concomitant medications were not reported. The patient received the vaccination last Tuesday (16Mar2021). Ever since the vaccination she has no taste in her mouth and she has a bitter taste in her mouth. She cannot drink water or eat food and she has aches. She spoke with the doctor's office. The patient inquired if she needed to get a COVID-19 test. The outcome of the events no taste and bitter taste in mouth, cannot drink water or eat food and aches was not recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1254360
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Brain fog; This is a spontaneous report from a contactable consumer (patient). This female patient of unspecified age received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; lot number unknown) via an unspecified route of administration on an unknown date as a single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. The patient previously received the first dose of BNT162B2 (lot number unknown) on an unspecified date for COVID-19 immunisation. The patient reported she received both doses of BNT162B2 and she had brain fog immediately after the second dose. The clinical outcome of brain fog was unknown. Information on the lot/batch number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1254361
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: nausea; vomiting; stomach pains; This is a spontaneous report from a contactable consumer, the patient. A 47-years-old female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as a single dose for COVID-19 immunisation. The patient's medical history included 'gallbladder our' and migraines. The patient's concomitant medication included galcanezumab gnlm (EMGALITY) for migraines. On an unspecified date on the day of the shot, the patient had fish and chips which she hadn't had since getting her 'gallbladder our' and she started her period the same day. On an unspecified date that night, she had a lot of nausea, vomiting and stomach pains. The outcome of events, nausea, vomiting and stomach pains was unknown. The lot number for the vaccine, BNT162b2, was not provided and will be requested during follow up.

Other Meds: EMGALITY [GALCANEZUMAB GNLM]

Current Illness:

ID: 1254362
Sex: F
Age:
State:

Vax Date: 03/14/2021
Onset Date: 03/01/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Describe the adverse event(s), treatment, and outcome(s), if any: (symptoms, signs, time course, etc.) lump in my throat; turned red on my face and neck and chest and arms; when I get nervous; between my eyes on my forehead felt like a round circle (no bump) (past the bridge above eyebrows). It didn't hurt, but I felt something; felt odd; felt like my eyes were moving back and forth; very very cold; hands were ice cold; This is a spontaneous report received a contactable consumer, the patient. A 60-year-old adult female received the first dose BNT162b2 (solution for injection; batch/lot and expiry information not reported) as a single dose via unspecified route on 14Mar2021 (at 60-years-old), for COVID-19 immunisation. Relevant medical history included high blood pressure, and diabetes. There were no concomitant medications or past drug history reported. The patient reported that she had a couple of reactions the first day, so she was afraid to take the second one. The patient stated that within eight minutes she had a lump in her throat, which she gets when she is nervous and was unsure if from shot or nervousness. The patient reported that then she turned red on her face, neck, chest, and arms. The patient reported that the redness lasted about six or seven hours and did not bother her at all. The patient explained that then between her eyes on her forehead felt like a round circle (no bump) past the bridge above eyebrows. The patient stated that it did not hurt but felt like something. The patient also stated that she felt like she was going to get headache, though did not. The patient reported that it just felt odd. The patient also stated that she felt like her eyes were moving back and forth. Though when she looked in the mirror, they were fine. The patient stated that the eyes happened three times but by the time she looked in the mirror they looked fine. The patient added that she never felt sick or anything though about six or eight hours later she got very very cold which only lasted about a minute. The patient stated that her hands were ice cold and then it all went back to normal. The outcome of the events turned red on my face and neck and chest and arms was recovered on an unspecified date in Mar2021 after 6-7 hours. The outcome of the event she got very very cold was recovered on an unspecified date in Mar2021 after one minute. The outcome of the events hands were ice cold, and felt like my eyes were moving back and forth was recovered on an unspecified date in Mar2021. The outcome of the events, lump in my throat, get nervous, between my eyes on my forehead felt like a round circle (no bump), felt something, and felt odd, was unknown. Information on lot/batch number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1254363
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: didn't feel well; slight fever; possibly fatigue; This is a spontaneous report received from a contactable consumer (reporting for his wife). A 32-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number not provided), via an unspecified route of administration on an unspecified date (age at vaccination unknown) as a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient didn't feel well after the first dose. She had a slight fever and possibly fatigue. The outcome of the events was unknown. Information on the lot number has been requested.

Other Meds:

Current Illness:

ID: 1254364
Sex: F
Age:
State: AL

Vax Date: 01/25/2021
Onset Date: 01/06/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: 2nd dose caused some symptoms 48 hours fever with body aches and Fatigue; 2nd dose caused some symptoms 48 hours fever with body aches and Fatigue; 2nd dose caused some symptoms 48 hours fever with body aches and Fatigue; This is a spontaneous report from a contactable consumer (patient). A 50-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE: Solution for injection), dose 2 intramuscular on 25Jan2021 09:30 (Batch/Lot Number: EK5730) at Arm Right as SINGLE DOSE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Patient's historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE: Solution for injection), intramuscular, administered in Arm Right on 05Jan2021 as SINGLE DOSE for covid-19 immunisation and causes hours fever with body aches and fatigue. On 06Jan2021 02:00, The patient reported 2nd dose caused some symptoms 48 hours fever with body aches and fatigue. The action taken in response to the event for bnt162b2 was not applicable. The outcome of events was recovered.

Other Meds:

Current Illness:

ID: 1254365
Sex: F
Age:
State:

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Congestion; Sore throat; Feverish 98-100.8F body temperature; This is a spontaneous case received from a contactable consumer (patient). A 21-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), first dose via an unspecified route of administration on 18Mar2021 (Batch/Lot number unknown) as a single dose for COVID-19 immunisation. Medical history was not reported. Concomitant medications were not reported. On 19Mar20201, the day after vaccination, the patient developed congestion, sore throat and feverish 98-100.8F body temperature. She wants to know if these symptoms are normal side effects of the vaccine or if she has an illness. The outcome of events congestion, sore throat and feverish was unknown. No follow-up attempts possible; no request for batch number will be pursued.

Other Meds:

Current Illness:

ID: 1254366
Sex: F
Age:
State:

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 04/25/2021
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Symptom List: Ear pain, Hypoaesthesia

Symptoms: feeling dizzy; tired; This is a spontaneous report 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), via an unspecified route of administration on 19Mar2021 in the morning (Batch/Lot number was not reported) as a single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. By late afternoon on 19Mar2021, the patient started feeling dizzy and very tired. She felt that way all day on Saturday. On Sunday, she was feeling "so much better". The outcome of events, feeling dizzy and very tired was recovering. No follow-up attempts are possible; information about lot number cannot be obtained.

Other Meds:

Current Illness:

ID: 1254367
Sex: M
Age:
State:

Vax Date: 03/18/2021
Onset Date:
Rec V Date: 04/25/2021
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Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: dizziness; This is a spontaneous report from a contactable consumer (patient). This male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) dose 1, via an unspecified route of administration, on 18Mar2021 (Batch/Lot number was not reported) as single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. After getting the first dose of the Pfizer-BioNtech Covid vaccine on 18Mar2021 he experienced a little dizziness on an unspecified date. The dizziness dissipated after a few hours. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1254368
Sex: F
Age:
State: TX

Vax Date: 02/26/2021
Onset Date:
Rec V Date: 04/25/2021
Hospital: Y

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

Symptoms: vertigo; This is a spontaneous report from a contactable consumer (patient's daughter), from a Pfizer sponsored program COVAX US Support. A 79-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot number was not reported), via an unspecified route of administration on 26Feb2021 (at an unspecified age) at single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient felt dizzy. Later on, she was diagnosed with vertigo. She was hospitalized. Consumer wanted to know if it would still be safe and okay for the patient to receive the 2nd dose. Patient had already been past the 3 weeks since her 1st dose and she still has not received the 2nd dose. 12Apr2021 is her second dose. The outcome of the event was unknown. Information on the batch/lot number has been requested.

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Current Illness:

ID: 1254369
Sex: F
Age:
State:

Vax Date: 03/16/2021
Onset Date: 03/01/2021
Rec V Date: 04/25/2021
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Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: Describe the adverse event(s), treatment, and outcome(s), if any: (symptoms, signs, time course, etc.) pain; It started in her neck; upper nerves in her head; now radiates down to her lower back; muscle weakness; nauseated; This is a spontaneous report from a contactable consumer (patient). A 60-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: EN6206), via an unspecified route of administration on 16Mar2021 as single dose for COVID-19 immunization. The patient's medical history was not reported. Concomitant medications included levothyroxine, ascorbic acid (VITAMIN C), and cholecalciferol (VITAMIN D); all taken for unspecified indications, start and stop dates were not reported. The patient received the first dose of the Pfizer covid vaccine on 16Mar2021. The patient reported that she had a lot of side effects from the vaccine. She reported that on Mar2021, she was still experiencing pain after the vaccine. It started in her neck and upper nerves in her head and now radiates down to her lower back. She has been using heat and ice. She also had muscle weakness on Mar2021 but that was improving. She also was nauseated on Mar2021 but was keeping hydrated and was still able to eat. She didn't like to take over the counter medications because anytime she does that it might cause her liver enzymes to be up. The patient asked when this will go away. The patient reported that she was supposed to get her second dose on 08Apr2021 and asked if the side effects will be worse. The patient reported that she had been hearing a lot of rumors that it was not wise to get like an MRI or CAT scan after the vaccine and the patient asked if this was correct. The outcome of the event muscle weakness was recovering. The outcome of event nauseated was unknown. The outcome of the remaining events was not recovered.

Other Meds: LEVOTHYROXINE; VITAMIN C; VITAMIN D

Current Illness:

ID: 1254370
Sex: U
Age:
State: NC

Vax Date: 02/11/2021
Onset Date: 02/15/2021
Rec V Date: 04/25/2021
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Symptom List: Unevaluable event

Symptoms: Itching; Losted all my hair; Weight loss; I had rash that started on my chest/ The rash has gotten worst has taken over entire body; The initial safety information received was reporting only non-serious adverse drug reactions. Upon receipt of follow-up information on 07Apr2021, this case now contains serious adverse reaction. Information processed together. This is a spontaneous report from contactable consumers (including the patient). A 65-year-old patient of an unspecified gender received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE lot number: EN6201) intramuscular on 11Feb2021 10:00 at a single dose for COVID-19 immunization. Medical history included ongoing blood pressure (high) from Jan2015 and stomach (discomfort). Family history of heart attack. Concomitant medications included ongoing metoprolol succinate taken for blood pressure (high) from Oct2020; ongoing hydrochlorothiazide taken for blood pressure (high) from 2020; esomeprazole magnesium taken for stomach from 2020. On 15Feb2021, patient had rash that started on the chest. Patient contacted the doctor and dermatologist. The rash has gotten worst has taken over entire body. Prescribed a cream but it was getting worst. Before the 1st short patient was fine, never took the second one. Advise doctor of the rash. Patient needed help. Suffering from an all over body rash. Still have rash, pimple like pumps all over body better but not gone. "After Covid shot, skin covered with rash, even in my hair. Losted all my hair, face and damaged too. Still not feeling good. Never had the Covid virus never been tested". It was further reported that on Monday 15Feb2021- rash started on chest. Made Dr. Appt 16Feb2021 Doctor was not sure what was causing rash gave the patient something for Itching- referred me to dermatologist. Saw Dermatologist on 19Feb2021 and she did not know what it was either. Prescribed the triamcinolone acetonide - virus still have new bumps still appearing. "Weight loss look a mess. Just said that I was healthy and now I am a mess". The event rash was considered serious, Life-threatening Persistent / Significant disability / Incapacity. The facility where the vaccine was administered was in a clinic. Outcome of the event rash was recovering, while unknown for the other events.

Other Meds: METOPROLOL SUCCINATE; HYDROCHLOROTHIAZIDE; ESOMEPRAZOLE MAGNESIUM

Current Illness: Blood pressure high

ID: 1254371
Sex: F
Age:
State:

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 04/25/2021
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Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: lips were swelling; swelling inside of cheek as well; heaviness in chest/felt like someone was stepping on her chest; shortness of breath; really bad stomach ache; Inside of cheek felt rough; This is a spontaneous report from a contactable consumer (the patient). A 55-year-old female patient received BNT162b2 (PFIZER- BIONTECH COVID-19 mRNA VACCCINE; Lot Number: UNKNOWN), dose 1 via an unspecified route of administration (at the age of 55 years) on 22Mar2021 (Batch/Lot number was not reported) as a single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. It was unknown if the patient received any other vaccine within 4 weeks prior to the COVID-19 vaccine. The patient reported that she was very sensitive to a lot of things, so she opted to stay for half an hour (after vaccination). Once she got in the car, she took her mask off, and realized her lips were swelling. She turned around and went back, and they let her sit for a little while longer. The swelling eventually stopped, but she did have swelling inside her cheek as well. It also felt like someone was stepping on her chest the rest of the day, she experienced shortness of breath, heaviness in chest, a really bad stomach ache, but didn't really eat much so didn't think that it was from food. Inside her cheek felt rough. The lip swelling went away without medication. The outcome of swelling inside her cheek, felt like someone was stepping on her chest, shortness of breath, heaviness in chest, a really bad stomach ache, cheek felt rough was unknown. No follow-up attempts are possible, information on lot number cannot be obtained.

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Current Illness:

ID: 1254372
Sex: F
Age:
State:

Vax Date: 09/28/2020
Onset Date:
Rec V Date: 04/25/2021
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Symptom List: Injection site pain, Pain

Symptoms: blood pressure was elevated about 140-150's/80-90's; headaches; This is a spontaneous report from Pfizer-sponsored program from a contactable other healthcare professional and consumer (patient). A 63-year-old female patient received tofacitinib citrate (XELJANZ XR), via an unspecified route of administration from 28Sep2020 (Batch/Lot number was not reported) to an unspecified date, at 11 mg for an unspecified indication and BNT162B2 (Pfizer-BioNTech COVID-19 vaccine, lot number and expiry date not reported), via an unspecified route of administration on Dec2020 as a single dose for COVID-19 immunization. The patient medical history was not reported. Concomitant medication included unspecified covid vaccines. Side effects reported includes headaches and increased blood pressure. Patient stated from end of Dec to end of Feb, blood pressure was elevated about 140-150's/80-90's. Only thing that changes was she got her Covid vaccines in Dec. States now her blood pressure is back to normal. The action taken in response to the events for tofacitinib citrate was unknown. The outcome of event blood pressure was elevated was recovered while for other events was unknown. No follow-up attempts are needed. No further information is expected. Amendment: This follow-up report is being submitted to amend previously reported information: COVID-19 vaccine (BNT162B2) was added as a co-suspect drug.

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Current Illness:

ID: 1254373
Sex: F
Age:
State: NY

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 04/25/2021
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Symptom List: Injection site pain, Menorrhagia

Symptoms: main issue was hearing/ear discomfort. The patient's hearing swells and subsides, in 3- 4 quick successions. It makes sort of a vibration noise; main issue was hearing/ear discomfort. The patient's hearing swells and subsides, in 3- 4 quick successions. It makes sort of a vibration noise; main issue was hearing/ear discomfort. The patient's hearing swells and subsides, in 3- 4 quick successions. It makes sort of a vibration noise; has kept her up nights three nights; vision was double; fatigue; Arm soreness; This is a spontaneous report from a contactable consumer (patient). A 42-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), intramuscular on 18Mar2021 (at the age of 42-years-old; not pregnant), at 10:00 AM (Lot Number: ER2613) as a single dose in the left arm for COVID-19 immunisation. Medical history included eosinophilic oesophagitis and known allergies: sulfa drugs both from an unknown date and unknown if ongoing. Concomitant medications included finasteride (PROPECIA), lorazepam (ATIVAN) and fluticasone propionate (FLOVENT (reported as FLOVENT 200)); all taken from an unspecified date for an unspecified indication. On 18Mar2021 at 5:00 PM, the patient reported that the main issue was hearing/ear discomfort. The patient's hearing swells and subsides, in 3- 4 quick successions. It makes sort of a vibration noise and has kept her up nights three nights since vaccine. After the dose, the patient's vision was double, but she thought it was just because of fatigue. Patient also reported that arm soreness was going away. No treatment was received by the patient for the reported adverse events. Post vaccination COVID test: polymerase chain reaction (PCR) COVID test/ nasal swab was conducted on 18Mar2021 and the result was negative. The outcome of the event "arm soreness" was recovering and not recovered for all other events. No follow up attempts are needed. No further information is expected.

Other Meds: PROPECIA; ATIVAN; FLOVENT

Current Illness:

ID: 1254374
Sex: F
Age:
State:

Vax Date: 03/01/2021
Onset Date: 03/18/2021
Rec V Date: 04/25/2021
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Symptom List: Arthralgia, Chills, Headache, Mobility decreased, Myalgia

Symptoms: lumps on one hand; lumps on neck; This is a spontaneous report from a non-contactable consumer (patient). This 33-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in Mar2021 (Batch/Lot number was not reported) as a single dose for COVID-19 immunization. Patient had no medical history. The patient's concomitant medications were not reported. The patient was not diagnosed with COVID-19 prior to vaccination. Patient has not been tested for COVID-19 since the vaccination. Patient has no known allergies. Four days after the vaccination on 18Mar2021, patient had lumps on neck and 6 days later on 20Mar2021, patient noticed lumps on one hand. AEs resulted in: doctor or other healthcare professional office/clinic visit. Patient is recovering. Treatment received for events was ice pack and pain killer. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

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Current Illness:

ID: 1254375
Sex: F
Age:
State: OH

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 04/25/2021
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Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Superficial thrombophlebitis; Breathing difficulties; Itching around mouth, eyes, and joints; Itching around mouth, eyes, and joints; Itching around mouth, eyes, and joints; This is a spontaneous report from a contactable consumer (patient). A 48-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 1 via an unspecified route of administration, administered in Arm Right on 23Mar2021 14:30 (Batch/Lot Number: en6201) at the age of 48 years old, as single dose for covid-19 immunisation. Medical history included asthma, nonalcoholic fatty liver disease (NAFLD), latex allergy, and shellfish allergy; all from an unknown date and unknown if ongoing. The patient was not pregnant at the time of vaccination. The patient was not diagnosed with COVID prior to vaccination. Concomitant medication included fluticasone propionate (FLOVENT) taken for an unspecified indication, start and stop date were not reported. The patient previously took loratadine (LORTAB) and experienced allergies. On 23Mar2021 14:30, the patient experienced superficial thrombophlebitis, breathing difficulties and itching around mouth, eyes, and joints. Patient was administered with cetirizine HCl 10mg antihistamine at onset of symptoms and 2 puffs Albuterol Sulfate HFA Inhalation Aerosol 90mcg per actuation approximately 90 minutes after onset to control symptoms until they fully subsided. The patient recovered from all the events on unspecified date. The patient has not been tested for COVID post vaccination. No other vaccines received 4 weeks prior to COVID vaccination.

Other Meds: FLOVENT

Current Illness:

ID: 1254376
Sex: M
Age:
State: KY

Vax Date: 03/19/2021
Onset Date: 03/21/2021
Rec V Date: 04/25/2021
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Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: nausea; diarrhea; excessive sweating; chills; hot flashes; shortness of breath; chest tightness; elevated liver enzymes; blood pressure and heart rate were high. BP was approx 180/120; heart rate were high; This is a spontaneous report from a contactable consumer (patient). A 34-year-old male patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration in the left arm on 19Mar2021 08:15 (Batch/Lot Number: ER2613) as a single dose for covid-19 immunisation. Medical history included asthma, IBS (irritable bowel syndrome), and allergies to shellfish, fish and seafood. The patient was not diagnosed with Covid-19 prior to vaccination. Concomitant medications included glucosamine and cetirizine, all indication, start and stop date were not reported. The patient did not receive other vaccine in four weeks. The COVID 19 vaccine was received in a hospital. Approximately 12:15 AM on 21Mar2021, the patient began to experience chest tightness, shortness of breath, nausea, diarrhea, excessive sweating, chills and hot flashes. The patient took himself to the emergency room (ER) on 21Mar2021. The patient also mentioned that his temperature was normal, but his blood pressure (BP) and heart rate were high. BP was approximately 180/120 (unit unspecified). The ER ran Chest X-Ray, EKG, CBC, CMP, Protime-INR, Magnesium, Troponin, Partial Thromboplastin Time and TSH. The results were normal ranges besides high heart rate and elevated liver enzymes. The adverse events required doctor or other healthcare professional office/clinic visit and emergency room/department or urgent care. The events received treatment for the adverse events which included albuterol-ipratropium, aspirin and IV fluids. The patient has not been covid tested post vaccination. The outcome of the events was recovering.

Other Meds: GLUCOSAMINE; CETIRIZINE

Current Illness:

ID: 1254377
Sex: F
Age:
State: FL

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 04/25/2021
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Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: ringing sound that is loud. Everything sounds as if it is echoing. What would be described as tenatus; same pain only it is far worse; This is a spontaneous report from a contactable consumer, the patient. A 46-year-old non-pregnant female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EP6955) via an unspecified route of administration, administered in he left arm on 22Mar2021 17:30 (at the age of 46-years-old) as a single dose for COVID-19 immunisation. Medical history included Ehlers-Danlos syndrome from an unknown date and unknown if ongoing. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. Concomitant medication included paracetamol (TYLENOL) for an unspecified indication, start and stop date were not reported. The patient previously received the first dose of BNT162b2 on 01Mar2021 (Lot Number: En6205) in the left arm for COVID-19 immunisation (reported in Pfizer case # 2021314445). The patient had not received any other vaccines within 4 weeks prior to the COVID-19 vaccine. The patient reported, that on 22Mar2021 at 05:30 PM, "Immediately after injection the first dose time I had a weird pain in the left side of my head. Today, I received my second dose and I had the same pain only it is far worse. It was within 10 minutes of injection. Within 30 minutes there is a ringing sound that is loud. Everything sounds as if it is echoing. What would be described as tenatus". No treatment for the events was provided. Outcome of the events, ringing sound that is loud. Everything sounds as if it is echoing. What would be described as tenatus and same pain only it is far worse was unknown.

Other Meds: TYLENOL

Current Illness:

ID: 1254378
Sex: F
Age:
State: MD

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 04/25/2021
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Symptom List: Nausea

Symptoms: immediately started with tingling on tops of both feet particular on left foot/ tingling in toes; I am having trouble with my left foot; it's a sensation of tingling that is weird; tripping periodically; It doesn't hurt but it could hurt/pain threshold/foot; it is like I have drop foot / Like foot drop; This is a spontaneous report from two contactable consumers (patient and her husband). A 62-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: ENS208 (patient's husband also reported that the 3rd digit could be a 6 or an 8, patient added that it was EN8208 but her husband stated he was less confident)), via an unspecified route of administration, administered in Left Arm (also reported as left shoulder) on 11Mar2021 at 15:00 (at the age of 62-year-old) at single dose for there's a pandemic going on. Medical history included she walked everyday and exercise a minimum of 45 min/day, for years, 20 years; high blood pressure; her condition, there was something in her esophagus and there was a problem; had a problem with her parathyroid and they removed it, there were 4 nodes and they took 2 and there were still 2. Patient's mother is 99 and had an accident. Ongoing concomitant medications included lisinopril from an unspecified date (reported as has been on 10 years or so, so a long time) for high blood pressure; colecalciferol (VITAMIN D) from an unspecified date (reported as has been on for about 3 years) as she had a problem with her parathyroid and they removed it; alendronate sodium (ALENDRONATE) from an unspecified date (reported as has been on for approximately 3 years) for bones and back to make sure she has enough calcium in her bones; pantoprazole from an unspecified date (reported as has been on around 3 years but she does not remember, it has been about three years) for her condition, there is something in her esophagus. Despite all of these medications she is healthy. Patient reported that she did not know if this was vaccine related or not, but the timing was. She got the vaccine on 11Mar2021, and immediately started with tingling on tops of both feet particular on left foot on the way home, which was side she got vaccinated on. She got tingling immediately following vaccination on 11Mar2021, and it's worse now but stable, not getting worse, it was like she have drop foot, sort of like that in 2021, she had to remember to lift her foot. She exercise. She walked everyday and exercise a minimum of 45 min/day, for years, 20 years. She had been walking and now she was having trouble with her left foot in 2021. Tingling on feet started right away, she drove back from vaccination site about an hour. She was able to drive and walk, it's not stopping her life she was tripping periodically mostly on her left foot in 2021, because she was not always conscious of lifting her foot. It's not painful, it's a sensation of tingling that is weird, it did not hurt but it could hurt, if it got worse it could be in the pain threshold, it's just in the annoying threshold in 2021. Like foot drop, like nerve damage on the top of left foot in 2021. She thought that if she didn't have a vaccine, she would say it felt like a nerve damage sort of thing, in both feet but predominantly in left one giving her trouble. Patient's husband added that the tingling was not excessively painful, it easy for him to say it was not painful. Tingling in toes was primarily on the left. She added that the tingling was not debilitating but it was just her husband she did not know if it had anything to do with the covid19 vaccine. No previous immunizations with suspect product. No additional vaccines administered same date. No AE required visit to Physician's Office or Emergency Room. No prior vaccination within 4 weeks. Family medical history relevant to AE was none. No investigation assessment for this, she had a physical next week which was just standard and just a standard battery of tests. Therapeutic measures were taken as result of all events included lifting her foot. The outcome of the event tingling was not recovered, outcome of the other events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds: LISINOPRIL; VITAMIN D [COLECALCIFEROL]; ALENDRONATE; PANTOPRAZOLE

Current Illness:

ID: 1254379
Sex: F
Age:
State: FL

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 04/25/2021
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Symptom List: Injection site pain

Symptoms: low grade fever; severe throat pain; red purplish dots on skin; This is a spontaneous report from a contactable consumer (patient). This female patient of unspecified age received dose 1 of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; lot number EL9267 or FL9667) intramuscularly on 16Feb2021 at 11:00 as a single dose in the left arm for COVID-19 immunization. Medical history included hypertension, diabetes, acid reflux, and spasmatic esophagus, all ongoing. The patient did not receive any other vaccines within 4 weeks prior to the vaccine. Concomitant medications included lisinopril-hydrochlorothiazide from an unknown date for high blood pressure, rosuvastatin (CRESTOR) from an unknown date for cholesterol, metformin from an unknown date for "prediabetics," and amoxicillin (AMOXYCILLIN) from 22Jan2021 to 05Feb2021 for ear infection. On 17Feb2021, the patient experienced red purplish dots on skin. On 18Feb2021, the patient experienced severe throat pain and low-grade fever. The events were reported as non-serious. The patient underwent lab tests and procedures which included a COVID-19 test on 10Mar2021 with a result of negative. The patient received treatment for fever with paracetamol (TYLENOL). The outcomes of red purplish dots on skin, severe throat pain, and fever were unknown. No follow-up attempts are needed. No further information is expected.

Other Meds: CRESTOR; METFORMIN; AMOXYCILLIN; LISINOPRIL/HCTZ

Current Illness: Acid reflux (esophageal); Diabetes; Ear infection; Esophageal spasm (spasmatic esophagus); Hypertension

ID: 1254380
Sex: F
Age:
State: CA

Vax Date: 03/24/2021
Onset Date: 03/26/2021
Rec V Date: 04/25/2021
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Symptom List: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: headache; chin/head itches; left side face nerve pain; hand tremors; on edge emotionally; something is off neurologically--minor but enough for me to call in sick; This is a spontaneous report received from a contactable consumer (reporting on herself). A 55-years-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VAC-CINE, Formulation: solution for injection, Lot Number: EN 6208 and Expiration Date was not re-ported), via an unspecified route of administration in in Arm Left on 24Mar2021 16:15 as single dose for COVID-19 immunization. Medical history included restless legs syndrome from an un-known date and unknown if ongoing. Concomitant medication(s) included carbidopa, levodopa (SINEMET); levothyroxine sodium (LEVOTHYROXIN) both taken for an unspecified indication, start and stop date were not reported. Historical vaccine includes first dose of BNT162B2 on 03Mar2021 15:30 for COVID-19 immunization and patient experience minor shingles outbreak (left side face nerve pain, headache, itching chin/head and blister on lips), exhaustion for four days, intense arm pain at injection site (pain began when shot was being given), slight nausea/light headed/dizzy on day 2. On 26Mar2021 at 06:00 patient after second shot of BNT162B2 patient experienced left side of face nerve pain (more than shot one), headache, chin/head itches, hand tremors, on edge emotionally (was fine yesterday), something is off neurologically minor but enough for me to call in sick, hope it is not another shingles outbreak. And saying hopefully in a few days this shall pass. The outcome of the events was unknown.

Other Meds: SINEMET; LEVOTHYROXIN

Current Illness:

ID: 1254381
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/25/2021
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Manufacturer:
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Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Possible anxiety issues; This is a spontaneous report received from a non-contactable consumer (patient's child). A female patient of unspecified age received dose 1 of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE) via an unspecified route of administration on an unspecified date as a single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. On an unspecified date the patient experienced possible anxiety issues. The outcome of possible anxiety issues was unknown. No follow-up attempts are possible. Information about lot/batch cannot be obtained.

Other Meds:

Current Illness:

ID: 1254382
Sex: F
Age:
State: MO

Vax Date:
Onset Date:
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Chills; low-grade fever; This is a spontaneous report from a Pfizer Sponsored Program. A contactable consumer (patient) reported a female patient of unspecified age received doses 1 and 2 of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE). Medical history and concomitant medications were not reported. The patient experienced chills and low-grade fever on an unspecified date. The outcomes of chills and low-grade fever were unknown. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow-up.

Other Meds:

Current Illness:

ID: 1254383
Sex: F
Age:
State: WI

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Sore arm for less than 24 hrs.; Rash on my arms and wrists that I noticed almost 24 hrs after injections; Mildly itchy; Looked like tiny blisters; This is a spontaneous report from a contactable 41-year-old female other health care professional (reported herself). A 41 year old non pregnant Caucasian women received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection; lot number: EN6207), at an unknown dosage via unknown route of administration in left arm on 12Mar2021 at 15:45 as a single dose for COVID-19 immunization. The patient's medical history and concomitant medication were not reported. The patient did not receive any other vaccines with 4 weeks prior to the COVID vaccine. The patient received other medications within 2 weeks of vaccination. The patient had no allergies to medications, food, or other products. On 13Mar2021, the patient experienced sore arm for less than 24 hrs, rash on my arms and wrists that I noticed almost 24 hrs after injections, mildly itchy. Looked like tiny blisters. Last 3-4 days. As a corrective treatment for the events the patient received benadryl and applied topical OTC (over the counter) ointment. The outcome of the events was recovered. Additional information has been requested.

Other Meds:

Current Illness:

ID: 1254384
Sex: M
Age:
State: VA

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: My leg was numb; Felt swollen from my right leg.; This is a spontaneous report from a contactable consumer. A 40-years-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: Er8727), via an unspecified route of administration in Left Arm on 26Mar2021 04:30 PM as single dose for covid-19 immunization. Medical history included allergy to fish. The patient's concomitant medications were not reported. On 26Mar2021, 04:45 pm the patient reported his leg was numb and felt swollen from my right leg. Until he took a Benadryl, the feeling in leg came back after hour. The outcome of event was recovered on an unknown date in 2021. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1254385
Sex: M
Age:
State: NC

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: blood pressure went up to 180/96; fatigue; headache; cough; This is a spontaneous report from a non-contactable consumer (patient). An 81-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; Batch/Lot Number: EM9809), via an unspecified route of administration on 08Mar2021 11:30 (at 81-year-old) as single dose for COVID-19 immunization. Medical history included Stage 4 kidney failure, Frequent premature ventricular contractions, allergy (Allergies to medications, food, or other products:Yes), COVID-19 (Prior to vaccination, the patient diagnosed with COVID-19). The patient's concomitant medications were not reported. The patient had the expected side effects of fatigue, headache and cough from 08Mar2021 16:00 for 48 hours. But what he did not expect was that his blood pressure went up to 180/96 and stayed that way from 08Mar2021 16:00 for two days. He was not on blood pressure medication and his blood pressure has never been that high. No treatment received. Since the vaccination, the patient has not been tested for COVID-19. The outcome of the event blood pressure went up to 180/96 recovered on an unspecified date (duration 2 days); while for other events was recovered on 10Mar2021 16:00. No follow-up attempts are possible. No further information expected.

Other Meds:

Current Illness:

ID: 1254386
Sex: F
Age:
State: WI

Vax Date: 03/22/2021
Onset Date: 03/26/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Swollen supraclavicular lymph node on same side as injection; This is a spontaneous report received from a contactable consumer. This 41-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: ER8727), via an unspecified route of administration on 22Mar2021 at 17:45 (at the age of 41-years-old) as single dose in left arm for COVID-19 immunisation. The patient's medical history included POTS and Hashimoto's. The patient has known allergies. Patient was not pregnant at the time of vaccination. Concomitant medications were not reported. The patient previously took first dose of BNT162B2 (Lot Number: EN6202) on 01Mar2021 at 05:45 PM in left arm. The patient did not receive any other vaccines within four weeks prior to the vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 26Mar2021, the patient experienced swollen supraclavicular lymph node on same side as injection. There was no treatment received for the event. The outcome of the event was not recovered. Follow up information requested.

Other Meds:

Current Illness:

ID: 1254387
Sex: F
Age:
State: MA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: my left arm and the left side of face became very hot; I have pins and needles tingling and numbness along the left side of my body; This is a spontaneous report received from contactable consumer (patient) via Pfizer-sponsored program. A 54-year-old non-pregnant female patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection and Lot Number: El6955) via an unspecified route of administration in the left arm on 19Mar2021, 15:45 (at the age of 54-year-old) as a single dose for COVID-19 immunization in Pharmacy or Drug Store. Medical history included left foot surgery in 1997. Patient was not allergic to medications, food, or other products. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. Concomitant medications included liothyronine sodium and levothyroxine sodium (SYNTHROID). The patient did not receive any other vaccines within four weeks prior to the vaccination. On 19Mar2021, about 25 minutes after injection, patient left arm and the left side of face became very hot, after that, and still to this day the patient experienced pins and needles tingling and numbness along the left side of body including fingers, arm, face, leg and foot. All on left side. The patient did not receive any treatment for the events. The outcome of the events was unknown.

Other Meds: LIOTHYRONINE SODIUM; SYNTHROID

Current Illness:

ID: 1254388
Sex: M
Age:
State: IA

Vax Date: 03/04/2021
Onset Date: 03/01/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Headache; sore arm; This is a spontaneous report received from a contactable consumer (patient himself). A 48-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection and Lot Number: EJ1685) via an unspecified route of administration in left arm on 04Mar2021 at 15:30 (at the age of 48-year-old) for COVID-19 immunisation. Medical history included allergies to tartrazine, gluten and penicillin. Concomitant medications were not reported. Patient previously took ciprofloxacin, differin and tessalon perle and experienced with allergy for all. On 04Mar2021 (stated within 1 hour of receiving vaccine) patient had headache and on an unknown date in Mar2021 (after first dose), patient had sore arm. Treatment was not received for the adverse events. Outcome for the event headache was not recovered and was unknown for sore arm.

Other Meds:

Current Illness:

ID: 1254389
Sex: F
Age:
State: FL

Vax Date: 03/13/2021
Onset Date: 03/26/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Headache and 38 C fever two weeks after getting the first dose; Headache and 38 C fever two weeks after getting the first dose; This is a spontaneous report from a contactable physician (patient). A 44-year-old female patient received first dose of BNT162B2, (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: EN 6206) via an unspecified route of administration on 13Mar2021 09:00 AM at single dose in left arm for COVID-19 immunisation. Medical history was reported as none. Patient was not pregnant at the time of vaccination. Concomitant medication was not reported. The patient does not have any allergies to medications, food, or other products. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 26Mar2021 04:00 PM, the patient had headache, fever 38 C two weeks after getting vaccinated with first dose. The patient received paracetamol for the treatment of the above events. The outcome of the events was not recovered No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1254390
Sex: F
Age:
State: TN

Vax Date: 03/23/2021
Onset Date:
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: pain at her back; fever; nausea; chills; body ache; headache; This is a spontaneous report from a Pfizer-sponsored program. A contactable consumer (patient) reported a female patient of unspecified age received dose 2 of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE) via an unspecified route of administration on 23Mar2021 at 10:00 as a single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. The patient experienced some reactions which were chills, fever, body ache, headache, nausea, and pain at her back. The outcomes of chills, fever, body ache, headache, nausea, and pain at her back were unknown. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow-up.

Other Meds:

Current Illness:

ID: 1254391
Sex: F
Age:
State: TX

Vax Date: 03/16/2021
Onset Date: 03/01/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: sore arm; injection site swelling; This is a spontaneous report from a contactable consumer via a Pfizer-sponsored program. A female patient of unspecified age (reporter's wife) received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; lot number unknown) via an unspecified route of administration on 16Mar2021 as a single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. The patient previously received the first dose of BNT162B2 (lot number unknown) on an unspecified date for COVID-19 immunisation. The reporter called because his wife experienced sore arm and injection site swelling after the second dose of the vaccine. The clinical outcomes of sore arm and injection site swelling were unknown. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1254392
Sex: M
Age:
State: TX

Vax Date: 03/05/2021
Onset Date: 03/22/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Sick; Felt weak/ no energy; This is a spontaneous report received from a contactable consumer (patient) via a Pfizer-sponsored program, COVAX . A male patient of unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; lot number unknown) via an unspecified route of administration on 05Mar2021 as a single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. The patient reported he took his first dose on 05Mar2021 and was schedule for his second dose on 26Mar2021. He mentioned he got sick last Monday, 22Mar2021, and felt weak and had no energy. He went to his pharmacy to get tested and would be back in two to three days for his results. He inquired about rescheduling his second dose. The clinical outcomes of sick and felt weak/no energy were unknown. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1254393
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: After receiving covid vaccine it actually woke her up, even after 1st dose; This is a spontaneous report from a contactable consumer (patient's daughter) received via the Pfizer-sponsored program. A female patient of an unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration on an unspecified date as a single dose for COVID-19 immunization. Medical history included ongoing Alzheimer's. Concomitant medications were not reported. The patient has Alzheimer's and after receiving the vaccination, it woke her up, on an unspecified date. The clinical outcome of "after receiving covid vaccine it actually woke her up, even after 1st dose" was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness: Alzheimer's disease

ID: 1254394
Sex: F
Age:
State: CA

Vax Date: 03/05/2021
Onset Date: 03/01/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: she had a procedure Bone graft; This is a spontaneous report from a Pfizer sponsored program. A contactable consumer (patient) reported that a female patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection, Batch/Lot number: unknown), via an unspecified route of administration on 05Mar2021 as single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. She had her 1st dose of Covid 19 Vaccine on 05Mar2021 but on the 18Mar2021 she had a procedure Bone graft and took Amoxicillin 500mg on 19Mar2021. She has 2nd dose scheduled on 31Mar2021 that is more than the usual 21days interval between doses. The outcome of event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1254395
Sex: U
Age:
State: OH

Vax Date: 03/07/2021
Onset Date:
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Teeth chattering/ Chills; Headache; Tiredness; Muscle pain; Joint pain; 101 fever; Sweating; Soreness in the arm; This is a spontaneous report received from a contactable consumer (patient). A 55-year-old patient of an unspecified gender received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; lot Number: EN6205), via an unspecified route of administration in the left arm on 07Mar2021 at 13:00 (at the age of 55-year-old) at a single dose for COVID-19 immunisation. Patient medical history included thyroid and blood pressure from years and it was still ongoing. Concomitant medications included ongoing levothyroxine sodium (LEVOXYL) for thyroid and ongoing lisinopril for blood pressure. The patient did not receive any other vaccines within four weeks prior to the first date of vaccination. Patient historical vaccine included first dose of BNT162B2 (Solution for injection, PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL9267) via an unspecified route of administration, administered in left arm on 14Feb2021 at 13:00 at a single dose for COVID-19 immunisation. On an unspecified date in 2021, the patient experienced headache, tiredness, chills/teeth chattering, muscle pain, joint pain, 101 fever, sweating and soreness in the arm. The outcome of the events was unknown. Information on the lot/batch number already available. Other information has been requested.

Other Meds: LEVOXYL; LISINOPRIL

Current Illness: Blood pressure abnormal; Thyroid disorder

ID: 1254396
Sex: M
Age:
State: TX

Vax Date: 03/23/2021
Onset Date: 03/01/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: runny nose; sniffles; arm soreness; sore throat; Feeling bad; This is a spontaneous report received from Pfizer-sponsored program, received from a contactable consumer (patient's mother). A male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), dose 1, via an unspecified route of administration on 23Mar2021 (Batch/Lot number was not reported) as SINGLE DOSE for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. In Mar2021, the patient experienced feeling bad after that with runny nose, sniffles, arm soreness, and sore throat. Outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1254397
Sex: F
Age:
State: NY

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: little bit of headache; This is a spontaneous report from a contactable consumer (patient) via a Pfizer-sponsored program. This female patient of an unspecified age received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN), via an unspecified route of administration on 24Mar2021 as single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient previously took 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 single dose for COVID-19 immunization. On 24Mar2021, the patient was experiencing a little bit of headache and wants to know if she can take Tylenol. The clinical outcome of "a little bit of headache" was unknown. No follow-up attempts are needed; information about batch/lot number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1254398
Sex: M
Age:
State: FL

Vax Date: 02/15/2021
Onset Date:
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: He thinks the vaccine may have affected the Mefalamine or something.; Caller stated he was not eating much but did eat a banana, yogurt, and apple sauce.; States that something in the vaccine aggravated his Crohn's or Ulcerative Colitis.; lost weight; This is a spontaneous report from a contactable consumer (patient herself). A 71-years-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: solution for injection, Lot number and Expiry date was not reported) via an unspecified route of administration on 15Mar2021 18:30 at single dose for covid-19 immunisation. Medical history included ongoing crohn's disease, colitis ulcerative. Concomitant medication included mesalamine taken for crohn's disease, colitis ulcerative from 15Feb2021.The patient underwent lab test blood cholesterol was abnormal. The patient experienced he thinks the vaccine may have affected the mefalamine or something (drug interaction), caller stated he was not eating much but did eat a banana, yogurt, and apple sauce, states that something in the vaccine aggravated his crohn's or ulcerative colitis, lost weight on an unspecified date. On Sunday 21Mar2021, he had a bout with vomiting, stomach pain, chest pain, back pain, skeleton pain on the right side. Caller stated he felt constipated and needed to go to the bathroom. When he finally went to the bathroom it was not solid or compacted, it was more stringy and long. Caller stated it was hard to swallow water and the pill he takes for Crohn's or Ulcerative Colitis, which is Mefalamine. Caller stated he was not eating much but did eat a banana, yogurt, and apple sauce. He thinks the vaccine may have affected the Mefalamine or something. He stated he felt lousy. He said he still feels weak. Caller stated he does not know his current weight but he has probably lost weight because of not being able to eat much and the vomiting. Caller stated he started vomiting at 7:00PM on Sunday 21Mar2021 until 7:00-10:00AM Monday morning. Caller stated the first time he vomited was at 7:00PM and it was solid. It looked like the banana, apple sauce and yogurt he had ate, brown in color. The second time he vomited it was a green liquid, like bile from the stomach. States that something in the vaccine aggravated his Crohn's or Ulcerative Colitis. The outcome of the event was unknown. Information on the lot/batch number has been requested.

Other Meds: Pfizer, Inc. EUA 027034; MESALAMINE

Current Illness: Crohn's; Ulcerative colitis

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am