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: 0944473
Sex: F
Age: 48
State: NY

Vax Date: 12/22/2020
Onset Date: 12/25/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Reported heart rate of 108, a week of paresthesias. Symptoms resolved

Other Meds:

Current Illness:

ID: 0944474
Sex: F
Age: 63
State: VT

Vax Date: 12/24/2020
Onset Date: 01/06/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Cephalosporins, thimerosal

Symptoms: arm red and sore approx 10 cm in diameter

Other Meds:

Current Illness:

ID: 0944475
Sex: F
Age: 22
State: NY

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

Lab Data:

Allergies:

Symptoms: Patient had onset of shortness of breath, chest tightness, elevated heart, diaphoresis.

Other Meds:

Current Illness:

ID: 0944476
Sex: F
Age: 41
State: SC

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

Lab Data:

Allergies: none

Symptoms: swollen lip

Other Meds: none

Current Illness: none

ID: 0944477
Sex: F
Age: 75
State: NJ

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

Lab Data:

Allergies:

Symptoms: Patient given vaccine. Within 5 minutes husband said she?s having another spasm. She was being monitored for 15 minutes after the injection. After the spasm it appeared to. become a seizure and passed out for 5 minutes . Husband said she missed her medicine and needed her carbidopa/levodopa. 911 arrived and administered oxygen and took to the hospital.

Other Meds:

Current Illness: Parkinson?s with spasm for the past 3 days

ID: 0944478
Sex: F
Age: 23
State: MD

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

Lab Data: None

Allergies: Allergy to Benadryl. Sensitivity to narcotics

Symptoms: Patient reports numbness in distal part of left arm and 2 fingers post vaccination. Observed patient for 15 minutes. Patient stated numbness was dissipating prior to departure. Advised patient to follow up with doctor.

Other Meds:

Current Illness: None

ID: 0944479
Sex: F
Age: 49
State: WA

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

Lab Data:

Allergies: Latex

Symptoms: Anaphylactic reaction requiring EpiPen 0.3, Benadryl IM and transport to Emergency Department per EMS.

Other Meds:

Current Illness:

ID: 0944480
Sex: F
Age: 59
State: TX

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

Lab Data: no laboratory testing performed

Allergies: aspirin

Symptoms: Abscess and surrounding skin infection localized to the right face/neck region that initially began as a "pimple" that patient popped two weeks ago with resolution. Post Moderna vaccination, patient noted swelling to the same area where she popped her pimple

Other Meds: none available

Current Illness: none available

ID: 0944482
Sex: F
Age: 53
State: PA

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

Lab Data: None

Allergies: None

Symptoms: 7 days after receiving the shot developed a hard painful red lump at injection site . Lump and pain subsided next day but still have a large red swollen and warm to touch area around injection sight approximately 5 x5 in. in size

Other Meds: None

Current Illness: None

ID: 0944483
Sex: F
Age: 26
State: IA

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

Lab Data:

Allergies:

Symptoms: Systemic: Nausea, Systemic: shortness of breath

Other Meds:

Current Illness:

ID: 0944484
Sex: F
Age: 41
State: VT

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

Lab Data:

Allergies: Benadryl & Morphine

Symptoms: Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Rash (other than injection site)-Mild; symptoms lasted 0 days

Other Meds:

Current Illness:

ID: 0944485
Sex: F
Age: 61
State: FL

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None. Instructed to report adverse effect. Applied hydrocortisone cream, taking Motrin, Benadryl otc, Pepcid and applying cool compress.

Allergies: Latex

Symptoms: Swelling and redness has steadily increased the past week right deltoid. Throbbing, localized cellulitis. Very hot to touch. No fever. I feel otherwise fine. No hives, fatigue.

Other Meds: Amour Thyroid, Baby ASA, Metroprolol, Albuterol prn, Flax seed oil, Vit C, B vitamins, Probiotics,

Current Illness: None

ID: 0944486
Sex: M
Age: 31
State: NY

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

Lab Data: n/a

Allergies: Unknown

Symptoms: Patient experienced fogginess, slightly elevated BP (142/82) for several hours. Discharged at 12:07 once symptoms were resolved, went home for the day to rest.

Other Meds: Unknown

Current Illness: Unknown

ID: 0944488
Sex: M
Age: 44
State: CA

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

Lab Data:

Allergies: None

Symptoms: Both eyes started twitching that day a bit after 5pm. They still continue to twitch every so often.

Other Meds: Zyrtec Fluticasone

Current Illness: None

ID: 0944489
Sex: M
Age: 50
State: VA

Vax Date: 12/18/2020
Onset Date: 12/28/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: See above 1/13 dx pericarditis Split S2 PR depressions St elevations

Allergies: Amoxicillin

Symptoms: Feverish feeling and chills with myalgias and weakness at 4am on 12/18/2020. Took 800mg advil and 1000mg tylenol. Felt perfect by 7 am. Despite this, fearing covid, I did not go to work, was rapid trsted covid negative that day and pcr tested that day retirning negative 2 days later. Days later I began to have vague nagging chest pain with occasional sharp chest pain over my heart. I had what I would describe as chest tightness in addition in which it felt hard for me to expand my chest fully like pressure without being short of breath. This would last at most several minutes and perhaps occurred three or four times over a seven day period. Throughout this. I could exercise with no chest pain no increasing shortness of breath, including a PR on Peloton and two hours of tennis without cardiac symptoms. Yesterday, my smart internist heard a split S2 heart sound as I lay on my left side and held my breath; the EKG showed a depressed PR interval ad some ST elevstions consistent with pericarditis, which I am treating with motrin. I assume this is a viral pericarditis. I had two types of Covid tests during that time period. My second dose of the vaccine was January 8. The feverish feeling occurred before dose 2, as did some of the chest oains and tightness.

Other Meds: Modafinil 200mg daily

Current Illness: No

ID: 0944490
Sex: F
Age: 33
State: NY

Vax Date: 12/22/2020
Onset Date: 01/04/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: None to my knowledge

Symptoms: Large reddened area expanding/covering most of left arm. Measured 90mm wide and 170mm long on upper outer left arm on 1/4/21. Outer edges were darker then inner area. Entire area had a purple hue. On Day 2(1/5/21) the size of the area had gone down, though the outer edges had gotten darker and the inside of the rash appeared as though it may bruise. By Day 3(1/6/21), the rash had disappeared completely.

Other Meds: Levothyroxine 75mcg, Vitamin D, Vitamin B12, Multivitamin

Current Illness: none

ID: 0944491
Sex: F
Age: 31
State: CA

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: n/a

Allergies: NKDA

Symptoms: injection site is red, warm, swollen, had induration, and feels itchy

Other Meds: Levothyroxine Cytomel

Current Illness: no

ID: 0944493
Sex: F
Age: 38
State: AR

Vax Date: 12/31/2020
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Went to my Primary care provider to be seen and she did do bloodwork

Allergies: None

Symptoms: Moderna-Covid -19 vaccine EUA I started with scalp itching really bad, then swollen lymph nodes, the rash that spread over entire body and hoarseness in voice and moldy sore throat

Other Meds: Prozac 20 mg daily

Current Illness: None

ID: 0944494
Sex: M
Age: 22
State: FL

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Large red circle rash (4 inches in diameter) appearing at site of injection. Appeared 6 days after shot

Other Meds:

Current Illness:

ID: 0944495
Sex: F
Age: 39
State: PR

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

Lab Data: NONE

Allergies: NONE

Symptoms: CHILLS, FEVER, AND CONGESTION.

Other Meds: NONE

Current Illness: NONE

ID: 0944496
Sex: F
Age: 22
State: MD

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

Lab Data: EKG changes: T wave inversion in 2 leads, tachycardia . (rate 111)

Allergies:

Symptoms: within 15', developed tongue swelling, dizziness, palpitations. Transferred to ED & treated with steroids, Benadryl, Pepcid. Observed in ED for 6 hrs, then d/c to home 7 will f/u with PCP re: EKG changes

Other Meds:

Current Illness:

ID: 0944497
Sex: F
Age: 59
State: TX

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

Lab Data: No laboratory testing performed in clinic

Allergies: aspirin

Symptoms: Abscess formation and surrounding skin infection associated with drainage , worsening in the last 2 days post Moderna vaccine.

Other Meds: none available

Current Illness: none available

ID: 0944499
Sex: F
Age: 33
State: MO

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

Lab Data: NA

Allergies: Penicillin, amoxicillin

Symptoms: Fatigue, muscle soreness throughout body, headache

Other Meds: Sertraline Mutli vitamin gummies Vitamin D3 gummies Vitamin B12 gummies Vitamin C gummies

Current Illness: Dx with Covid 12/2/2020

ID: 0944500
Sex: F
Age: 48
State: WI

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

Lab Data:

Allergies: tree nuts and aspirin

Symptoms: Systemic: Patient complained of swelling around the eyes, She presented with increased blood pressure and pulse. Patient was given two doses of benadryl with no response. 911 was called due to high BP

Other Meds:

Current Illness:

ID: 0944501
Sex: F
Age: 42
State: NE

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

Lab Data:

Allergies:

Symptoms: Patient reported severe pain in injection site waking her at 4 am morning after vaccination. She c/o "frozen shoulder" requiring her to see her PCP who has prescribed 8 day course of steroids and physical therapy. This information was provided to the institution who provided the injection 9 days after vaccine was administered.

Other Meds:

Current Illness:

ID: 0944502
Sex: F
Age: 43
State: PR

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

Lab Data: cbc, bmp, pt, ptt, inr, abg-wnl chest xray-wnl ekg-wnl

Allergies: ASA

Symptoms: chest tightness, bradycardia, sandy eye sensation, dry mouth

Other Meds: metoprolol caltrate

Current Illness:

ID: 0944503
Sex: F
Age:
State: CT

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

Lab Data:

Allergies: No allergies

Symptoms: Fever of 102/103, pain, tenderness, redness, hardness,swelling at injection site, fatigue, headache, muscle pain, joint pain, overall itchy ness and swelling, chills, stomachache, numb fingers

Other Meds: Levothyroxzine, atorvastin, amyloid pine besylate, vitamin d and e, fish oil, cinnamon, zyglamen, citracal, aspirin, co q 10, Allegra, milk thistle, b 12, glucosamine

Current Illness: None

ID: 0944504
Sex: U
Age:
State: OR

Vax Date: 05/20/2014
Onset Date:
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: psoriasis; This initial spontaneous report was received from a lawyer on 07-JAN-2021, regarding a case in litigation and refers to a currently 57-year-old patient of unknown gender. The patient's pertinent medical history, concurrent conditions or concomitant medications were not reported. On 20-MAY-2014, the patient was vaccinated with zoster vaccine live (ZOSTAVAX) (lot# and dosage regimen information was not provided) for the long-term prevention of shingles and zoster-related conditions. On an unknown date, the patient experienced psoriasis. At the time of the report, the outcome of psoriasis was unknown. The reporter considered psoriasis was related to Zoster Vaccine Live (ZOSTAVAX).

Other Meds:

Current Illness:

ID: 0944505
Sex: F
Age: 51
State: PA

Vax Date: 11/05/2020
Onset Date: 11/05/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: major headache, severe shivers & chills, sore muscle ache all over, flu like symptoms, fatigue, sore injection site 3 days. Lasted 24 hrs.

Other Meds: Lisinopril, baby aspirin

Current Illness: n/a

ID: 0944506
Sex: U
Age:
State: TX

Vax Date: 05/28/2015
Onset Date:
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: occipital lobe stroke; postherpetic neuralgia; vision problems and balance issues; vision problems and balance issues; herpes zoster; This initial spontaneous report was received from a lawyer on 08-JAN-2021, regarding a case in litigation and refers to a currently 72-year-old patient of unknown gender. The patient's pertinent medical history, concurrent conditions or concomitant medications were not reported. On 28-MAY-2015, the patient was vaccinated with zoster vaccine live (ZOSTAVAX) (lot# and dosage regimen information was not provided) for the long-term prevention of shingles and zoster-related conditions. On an unknown date, the patient was treated for a provider for the following injuries: herpes zoster, postherpetic neuralgia, occipital lobe stroke, vision problems and balance issues. At the time of the report, the outcome of cerebrovascular accident, herpes zoster, balance disorder, visual impairment and post herpetic neuralgia was unknown. The reporter considered that herpes zoster, postherpetic neuralgia, occipital lobe stroke, vision problems and balance issues were related to zoster vaccine live (ZOSTAVAX). Upon internal review, occipital lobe stroke was considered to be medically significant.

Other Meds:

Current Illness:

ID: 0944507
Sex: M
Age: 46
State: NV

Vax Date: 12/23/2020
Onset Date: 12/27/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Loss of vision; Possible lowgrade central retinal occlusion; retinal venous dilation; Decreased vision; Unexplained Retinal Hemorrhages; A spontaneous report was received from an ophthalmologist retinal specialist concerning a 46-year-old, male patient who received Moderna's COVID-19 Vaccine and developed loss of vision, decreased vision, unexplained retinal hemorrhages, retinal venous dilation, and possible low grade central retinal occlusion. The patient's medical history was not provided. Concomitant product use was not provided by the reporter. On 23 Dec 2020, approximately four days prior to the onset of the symptoms, the patient received their first of two planned doses of mRNA-1273 (Lot number: 025J20-2A) intramuscularly in the arm for prophylaxis of COVID-19 infection. On 27 Dec 2020, the patient experienced decreased vision. On 29 Dec 2020, the physician examined the patient. There was some retinal hemorrhage, venous dilation, and possible low grade central retinal occlusion. Lab work was requested by the physician and results were pending. Treatment information was not provided. Action taken with mRNA-1273 in response to the events was not provided. The outcome of the events, loss of vision, decreased vision, unexplained retinal hemorrhages, retinal venous dilation, and possible low grade central retinal occlusion were unknown.; Reporter's Comments: This case concerns a 46 year old male patient. The patient's medical history is not provided. The patient experienced a serious, unexpected event of loss of vision, unexplained retinal hemorrhages, retinal venous dilation, and possible low grade central retinal occlusion. The event occurred 4 days after first dose of the mRNA-1273. Very limited information regarding this event has been provided at this time. Based on temporal association between the use of mRNA-1273 and the event, a causal relationship cannot be excluded. Additional information are required for further assessment.

Other Meds:

Current Illness:

ID: 0944508
Sex: F
Age: 56
State: FL

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

Lab Data:

Allergies:

Symptoms: Anaphylactic shock; feeling some stuff in my throat; A spontaneous report was received from a 56-year-old, female nurse, who was also the patient, who received Moderna's COVID-19 vaccine and experienced anaphylactic shock and feeling some stuff in my throat. The patient's medical history included having general allergies. Concomitant product use was not provided by the reporter. On 28 Dec 2020, immediately prior to the onset of symptoms, the patient received their first of two planned doses of mRNA-1273 (Lot number: 025J20A) intramuscularly in the left deltoid for prophylaxis of COVID-19 infection. On 28 Dec 2020, while the vaccination needle was being pulled out of the patient's arm, the patient experienced anaphylactic shock. Two epinephrine injections were used within ten minutes of the reaction. The patient continued to take steroids due to her still feeling some stuff in her throat at the time of reporting. Treatment for the events included two epinephrine injections and steroids. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the event, anaphylactic shock, was unknown. The event, feeling some stuff in my throat, was considered not resolved.; Reporter's Comments: This case concerns a 56-year-old female patient with medical history of unspecified allergies requiring Epi-pen, who received their first of two planned doses of mRNA-1273 (Lot 025J20A), and who experienced a serious unlisted event of Anaphylactic shock and a non-serious unlisted event of Oropharyngeal discomfort immediately following vaccination. Very limited information regarding the events has been provided at this time. Based on temporal association between the use of the product and the onset of the events, a causal relationship cannot be excluded and the events are considered possibly related to the vaccine. The patient's history of general allergies requiring Epi-pen remain as confounders.

Other Meds:

Current Illness: Allergy

ID: 0944509
Sex: F
Age: 40
State: OH

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

Lab Data:

Allergies:

Symptoms: Vaccine was administered in shoulder and seemed kind of high; shot felt strange going in; can't move or lift arm at all; Nicked nerve; left shoulder much lower than the right; level of pain was a 10 out of 10 a few hours later; A spontaneous report was received from a 40-year-old, female consumer who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced the events, vaccine was administered in should and seemed kind of high, shot felt strange going in, can't move or lift arm at all, nicked nerve, left shoulder much lower than the right, and level of pain was 10 out of 10 a few hours later. The patient's medical history was not provided. Concomitant product use reported included vitamins, bupropion and trazadone. On 29 Dec 2020, the patient received their first of two planned doses of mRNA-1273 (Lot # 039K20A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 29 Dec 2020, the patient reported that the vaccine was administered in her left shoulder but that it seemed kind of high. The patient mentioned to the nurse giving her the vaccine that it felt strange going in and that it did not feel like a normal injection. A few hours later, she stated that her pain level was 10/10. On 30 Dec 2020, she followed up with her primary physician and was instructed to go to urgent care the next day if she did not feel any better. On 31 Dec 2020, patient reported that she literally could not move or lift her left arm at all and had to use her right arm to lift it due to the pain. She also stated that her left shoulder was much lower than the right. On that same day, she went to an orthopedic urgent care where she was told that the vaccine had potentially nicked a nerve causing the issues in her arm. However, without an MRI, the urgent care was unable to provide a definitive diagnosis. The patient was prescribed steroids and was told that she could not be referred for an MRI until the nerve became less agitated and inflamed once the steroids took effect, in approximately one week. Treatment for the event included oral steroids. Action taken with mRNA-1273 in response to the events was not provided. The outcome of the events, vaccine was administered in should and seemed kind of high, shot felt strange going in, can't move or lift arm at all, nicked nerve, left shoulder much lower than the right, and level of pain was 10 out of 10 a few hours later, was not reported.; Reporter's Comments: This case concerns a 40-year-old female patient who experienced the events of vaccine was administered in should and seemed kind of high, shot felt strange going in, can't move or lift arm at all, nicked nerve, left shoulder much lower than the right, and level of pain was 10 out of 10 a few hours later. The event of shot felt strange going in occurred on the same day when the product was administered, and the events of can't move or lift arm at all, nicked nerve, left shoulder much lower than the right, and level of pain was 10 out of 10 a few hours later occurred within 2 days following administration of the first dose of mRNA-1273, Lot #039K20A. Based on the limited available information, a definitive assessment with regards to a drug: event-causal association cannot be provided at this time. However, due to the temporal association between the onset of the event and the administration of the drug, a causal relationship cannot be excluded. Hence, the events of shot felt strange going in, can't move or lift arm at all, nicked nerve, left shoulder much lower than the right, and level of pain was 10 out of 10 a few hours later are assessed as possibly related to mRNA-1273. The event of vaccine was administered in should and seemed kind of high is a procedural issue and assessed as not applicable.

Other Meds: TRAZODONE; WELLBUTRIN; VITAMINS NOS

Current Illness:

ID: 0944510
Sex: F
Age: 50
State: NV

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

Lab Data:

Allergies:

Symptoms: Symptoms like an allergic reaction; Flu like symptoms; Tiredness in her muscles; Shortness of breath (she feels it in her chest); Skin is itchy and feels as if she had a rash; A spontaneous report was received from a 50 year-old female patient, who received Moderna's COVID-19 Vaccine and experienced flu like symptoms, symptoms like an allergic reaction, tiredness in her muscles, shortness of breath (she feels it in her chest), and skin is itchy and feels as if she had a rash. The patient's medical history included allergies. No relevant concomitant medications were reported. On 30 Dec 2020, the patient received the first of two planned doses of mRNA-1273 (batch number 025J20-2A) intramuscularly for COVID-19 for infection prophylaxis. On 30 Dec 2020, the patient received her first dose of the vaccine and later in the day she presented flu like symptoms and symptoms like an allergic reaction. She also reported she felt tiredness in her muscles, shortness of breath (she feels it in her chest), her skin is itchy and feels as if she had a rash but she didn't have a rash. No treatment information was reported. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the events, symptoms like an allergic reaction, tiredness in her muscles, shortness of breath (she feels it in her chest), and skin is itchy and feels as if she had a rash, was considered not resolved.; Reporter's Comments: This case concerns a 50 year old female patient with medical history of allergies, who experienced a serious unexpected event of Hypersensitivity and NS unexpected events of Influenza like illness, Muscular weakness, Dyspnoea, and Pruritus. The events occurred on the same day when the patient received the first of two planned doses of mRNA-1273 (batch number 025J20-2A). Very limited information regarding the events has been provided at this time. Based on temporal association between the use of the product and the start of the events, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 0944511
Sex: F
Age:
State: PA

Vax Date: 12/30/2020
Onset Date: 01/03/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Test Date: 20210105; Test Name: COVID-19 virus test; Result Unstructured Data: Test Result:Unknown

Allergies:

Symptoms: Body ache; fatigue; Weakness; Abdominal noises; Sick to her stomach/super sick stomach; Not feeling good; awful stomach ache; could not eat/she can't eat; This is a spontaneous report from a contactable consumer reporting for herself. A 49-year-old female patient received the 1st dose of bnt162b2 (BNT162B2, Manufacturer Pfizer-BioNTech, lot# EL1284), via an unspecified route of administration, on 30Dec2020, at single dose, for COVID-19 immunisation. Medical history included ongoing overweight. Concomitant medications were not reported. The patient experienced sick to her stomach/super sick stomach on 03Jan2021 with outcome of unknown, not feeling good on 03Jan2021 with outcome of unknown, awful stomach ache on 03Jan2021 with outcome of unknown, could not eat/she can't eat on 03Jan2021 with outcome of unknown, body ache on 07Jan2021 with outcome of unknown, fatigue on 07Jan2021 with outcome of unknown, weakness on 07Jan2021 with outcome of unknown, abdominal noises on 07Jan2021 with outcome of unknown. The patient underwent lab tests and procedures which included COVID-19 virus test: unknown on 05Jan2021. Therapeutic measures were taken as a result of sick to her stomach/super sick stomach (nausea) and included treatment with Pepto-Bismol.

Other Meds:

Current Illness: Overweight

ID: 0944512
Sex: F
Age:
State: IL

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: Test Date: 20210102; Test Name: Covid 19 infection tested; Test Result: Positive

Allergies:

Symptoms: felt kind of tired; Tested positive for COVID after receiving the first dose of the COVID Vaccine; Tested positive for COVID after receiving the first dose of the COVID Vaccine; slight fever; body aches; headache; This is a spontaneous report from a Pfizer-sponsored program. A contactable nurse (the patient) reported that a 39-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/lot number: EK5730) via unspecified route of administration on the left arm/shoulder on 22Dec2020 at single dose for COVID-19 immunisation. Medical history included gained weight since the pandemic started. The patient's concomitant medications were not reported. Patient received first dose of the vaccine. She had symptoms right after she got the vaccine the next day, on 23Dec2020. She had a slight fever, body aches, and a headache, which she never gets. She had these for about 2-3 days, they lingered around, and kicked back up around 26Dec2020/27Dec2020. She also felt kind of tired. She got covid 19 infection tested on 02Jan2021 and the results came back positive on 03Jan2021. Patient was calling to report this and see what to do about the second dose. She was supposed to get her second dose next Tuesday. The outcome of events was unknown.; Sender's Comments: Based on the information currently available, a lack of efficacy with the suspected vaccine BNT162B2 cannot be completely excluded. However, individuals may not be protected until at least 7 days after their second dose of the vaccine. It is unlikely that the patient would have fully developed immunity due to the very short time lag between the first vaccine dose and the event onset.

Other Meds:

Current Illness:

ID: 0944513
Sex: F
Age:
State: UT

Vax Date: 12/22/2020
Onset Date: 12/27/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Shingles outbreak 5 days after vaccination; This is a spontaneous report from a contactable other healthcare professional. A 48-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number: EL0140), intramuscular on 22Dec2020 at single dose on the right arm for COVID-19 immunization. The patient is not pregnant at the time of vaccination. The patient's medical history and concomitant medications were not reported. The patient previously took morphine and experienced allergies. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, patient was not diagnosed with COVID-19. COVID-19 vaccine was administered in the hospital. The patient experienced shingles outbreak 5 days after vaccination on 27Dec2020. The event was assessed as non-serious. Acyclovir pills were given as treatment. Since the vaccination, the patient has not been tested for COVID-19. It was also reported that "Did the adverse event result in any of the following?: Doctor or other healthcare professional office/clinic visit". Outcome of the event was not recovered.

Other Meds:

Current Illness:

ID: 0944516
Sex: M
Age:
State: AR

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

Lab Data:

Allergies:

Symptoms: Felt like a fever; super hot; nauseous; GI issues; fatigued; Arm was sore; This is a spontaneous report from a contactable healthcare professional reporting for himself. A 25-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) (lot number EK9231/expiration date: not provided), via an unspecified route of administration, on 07Jan2021 12:30 PM (at the age of 25 years old) as a single dose in the right arm for COVID-19 vaccination. Relevant medical history included known allergies to sulfa antibiotics. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medication (other medications taken in two weeks) included lisdexamfetamine mesilate (VYVANSE) 20 mg once daily, and paroxetine hydrochloride (PAXIL) 20 mg once daily. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) (lot number EJ1685/expiration date: not provided), via an unspecified route of administration, on 19Dec2020 04:00 PM (at the age of 25 years old) as a single dose in the right arm for COVID-19 vaccination. The patient did not receive any other vaccines within 4 weeks prior to the second dose of COVID vaccine (except for the first dose of BNT162B2). On 07Jan2021, the patient's arm was sore at night. The patient woke up in the morning on 08Jan2021 at 03:00 AM morning and was super hot. He reported that it felt like a fever. The patient also felt super fatigued, nauseous and had gastrointestinal (GI) issues. The patient drank water and took 400 mg of ibuprofen. The patient reported that this did not happen during the first dose. The patient reported that he felt fine at 09:00 AM on 08Jan2021. Treatment for these events included 400 mg of ibuprofen. The outcome of the events arm was sore, was super hot, felt like a fever, fatigued, nauseous, and GI issues was recovered on 08Jan2021 at 09:00 AM. Since the vaccination, the patient had not been tested for COVID-19.

Other Meds: VYVANSE; PAXIL [PAROXETINE HYDROCHLORIDE]

Current Illness:

ID: 0944517
Sex: F
Age: 43
State:

Vax Date: 12/23/2020
Onset Date: 12/25/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Myalgia chills, fatigue, syncope vs seizure 43 yo employee falt fatigue on 12/24 and again on 12/25/20. The patients husband reports she was walking down the stairs, seemed "off" and missed the step/slid on step injuring both feet/ankles. Pt got up and was able to stand for a few minutes. Husband reports that he than sat her on the steps-few minutes later she had syncope with convulsions vs seizure. Per his report this lasted over a minute, she stopped breathing and was unresponsive. He reports she was confused while he was on the phone with 911 operator (3 minutes). Patient was taken to Health Center for work up. The head CT, labs, X-rays, EKG were unremarkable. Followed up her physician Dr. and was referred to neurologist. She had a MRI without contrast which was unremarkable and is scheduled to undergo a sleep deprived EEG. She is undergoing physical therapy at this time for injury to bilateral feet/ankles.

Other Meds:

Current Illness:

ID: 0944519
Sex: F
Age:
State: FL

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

Lab Data:

Allergies:

Symptoms: Body aches; fever; chills; diarrhea; headache; joint pain; nausea; fatigue; This is a spontaneous report from a contactable other HCP (patient). This 62--year-old female HCP reported for herself received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) (lot number/expiration date: unknown), via intramuscular route of administration, on 07Jan2021at 02:00 PM (at the age of 62 years old) as a single dose in the left arm for COVID-19 immunization at hospital facility. Relevant medical history included chronic Fatigue. The patient have known allergies to Sulfa. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included liothyronine sodium (T3), levothyroxine sodium (T4), progesterone, estradiol, estriol (BIESTROGEN), testosterone, colecalciferol (VITAMIN D), calcium, zinc sulfate (XINC), ascorbic acid (Vitamin C), magnesium. The patient previously received the first dose of BNT162B2 (lot number/expiration date: unknown) on 17Dec2020 at 10:30 AM (at the age of 62 years old) as a single dose in the left arm for COVID-19 immunization. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 07Jan2021 at 10:00 PM, after the second dose, the patient experienced body aches, fever, chills, diarrhea, headache, joint pain, nausea, fatigue. No treatment was received for the events body aches, fever, chills, diarrhea, headache, joint pain, nausea, fatigue. The outcome of the events body aches, fever, chills, diarrhea, headache, joint pain, nausea, fatigue was recovering. Since the vaccination, the patient had not been tested for COVID-19. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

Other Meds: T3; T4; ; BIESTROGEN; ; VITAMIN D [COLECALCIFEROL]; ; XINC; VITAMIN C [ASCORBIC ACID];

Current Illness:

ID: 0944520
Sex: F
Age:
State: FL

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

Lab Data:

Allergies:

Symptoms: very weak and sleepy; very weak and sleepy; Vomiting; Shivers; had gotten sick; Pain injection site; This is a spontaneous report from a contactable consumer. A 74-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot EL3246, expiry date not reported), intramuscular on 05Jan2021 13:30 at a single dose in the upper left arm for COVID-19 prophylaxis. There were no medical history and concomitant medications. Patient had no prior vaccinations (within 4 weeks). Patient asked if there was any contraindication to getting the second dose. Patient reported having vomiting and shivers the day after receiving the vaccine as well as pain at injection site which was reportedly now resolved. Patient was calling about the Covid-19 vaccine and reported that she received the vaccine this past Tuesday 05Jan2021. She said that she was very sick the next day (06Jan2021). She said that 5 people went with her to get the vaccine and she was the only one who had gotten sick. Patient clarified that she had vomiting throughout the day the next day after receiving the vaccine. She also reported that she had shivers for hours and hours. She said that she had blankets and quilts on her and she could not stop shivering. She said that when she went to the doctor, the doctor thought it was because of the vaccine. Patient wanted to know if she should she take the second shot and if these will happen to her again or not and asked if there are any contraindications. She said that the vomiting started in the morning around 10:00 on 06Jan2021. It lasted a couple of hours until about 13:00 06Jan2021. She said that the shivers were bad, and she had big time shivering and there was nothing she could do to stop the shivering. The shivering lasted from 10:00 06Jan2021 until about 5-6 in the evening 06Jan2021. As the day progressed the pain where they gave her the shot was very bad on 05Jan2021. She said that she had pain at the injection site (pain injection site) on 05Jan2021. She said that it only hurts now if she touches the area. She said that the site previously it hurt without touching it. Patient was very weak and sleepy the next day. She said that she felt very weak and sleepy on 07Jan2021. She said that it lasted throughout the entirety of the day and she fell asleep and felt better today (at the time of the report). She said that today she felt fine. The events did not require emergency room visit but events required physician's office visit. The events were reported as not serious. Therapeutic measures were taken as a result of the events weak and sleepy. The patient recovered from vomiting on 06Jan2021 13:00, from shivers on 06Jan2021, from weak and sleepy on 07Jan2021. The patient was recovering from pain injection site. The outcome of the event sick was unknown.

Other Meds:

Current Illness:

ID: 0944522
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: experienced soreness in her arm; experienced being achy like she was having the flu; experienced being achy like she was having the flu; fever; palpitation; shortness of breath; nausea; her eyes were burning; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on unspecified date at 8AM at single dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. Patient did not feel anything until 5PM. At 5PM, she experienced soreness in her arm until the next day at 6:30PM or 7PM. At this time, she also experienced being achy like she was having the flu. In addition to that, she also experienced having fever, palpitation, shortness of breath, nausea, and her eyes were burning. That night, she took 2 paracetamol (TYLENOL) and got up fine. Outcome of all events was recovered on unspecified date. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0944523
Sex: F
Age:
State: AL

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

Lab Data:

Allergies:

Symptoms: injection site pain; tiredness; headache; muscle pain; chills; nausea; feeling unwell; This is a spontaneous report from a contactable pharmacist (patient). This 32--year-old female pharmacist reported for herself received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) (lot number: EK9231/expiration date: unknown), via intramuscular route of administration, on 06Jan2021 at 09:30 AM (at the age of 32 years old) as a single dose in the left arm for COVID-19 immunization at hospital facility. Relevant medical history was not provided. The patient did not have any known allergies to medications, food, or other products. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included bupropion hydrochloride (WELLBUTRIN XR) 300mg daily, levothyroxine 25mcg QAM and prenatal vitamin one-a-day. The patient previously received the first dose of BNT162B2 (lot number: EH9899/expiration date: unknown) on 16Dec2020 at 09:30 AM (at the age of 32 years old) as a single dose in the left arm for COVID-19 immunization. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 06Jan2021 at 09:00 PM, after the second dose, the patient experienced injection site pain, tiredness, headache, muscle pain, chills, nausea, feeling unwell. Treatment was received for the events injection site pain, tiredness, headache, muscle pain, chills, nausea, feeling unwell included Acetaminophen 1000mg Q6Hrs. The outcome of the events injection site pain, tiredness, headache, muscle pain, chills, nausea, feeling unwell was unknown. Since the vaccination, the patient had not been tested for COVID-19.

Other Meds: WELLBUTRIN; ; PRENATAL VITAMINS [ASCORBIC ACID;BETACAROTENE;CALCIUM SULFATE;COLECALCIFEROL;CYANOCOBALAMIN;FERROUS

Current Illness:

ID: 0944524
Sex: F
Age:
State: LA

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: feeling lightheaded; dizzy; nauseous; diarrhea; This is a spontaneous report from an Other Healthcare Professional, the patient. A 23-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number: unknown), dose 1 , single dose via an unspecified route of administration in the left arm on 07Jan2021 at 03:45 PM (at the age of 23 years-old) for COVID-19 vaccination. There was no relevant medical history. The patient did not have any allergies to medications, food, or other products. The patient was not pregnant at the time of vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any concomitant medications. The patient did not receive any other vaccine within 4 weeks prior to the vaccine. On 08Jan2021 at 05:00 AM, the patient woke up feeling lightheaded, dizzy, nauseous and experienced diarrhea. The report was reported as non-serious. The patient was not treated for feeling lightheaded, dizzy, nauseous and experienced diarrhea. The clinical outcome of feeling lightheaded, dizzy, nauseous and experienced diarrhea was recovered. It was also reported that since the vaccination, the patient had not been tested for COVID-19. Information on the Lot/Batch Number has been requested.

Other Meds:

Current Illness:

ID: 0944525
Sex: U
Age:
State: OH

Vax Date: 12/21/2020
Onset Date: 01/07/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Test Date: 20210107; Test Name: Covid-19; Test Result: Positive

Allergies:

Symptoms: received the first dose of the vaccine on 21Dec2020 and tested positive for Covid-19; received the first dose of the vaccine on 21Dec2020 and tested positive for Covid-19; This is a spontaneous report from a contactable consumer. A patient of unspecified age and gender received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiration date was not provided) via an unspecified route of administration on 21Dec2020 at single dose for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient received the first dose of the vaccine on 21Dec2020 and tested positive for covid-19 on 07Jan2021. The patient was isolated for 10 days. Outcome of event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0944526
Sex: F
Age:
State: TN

Vax Date: 12/20/2020
Onset Date: 12/28/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: Test Date: 20201229; Test Name: COVID nasal swab test; Test Result: Positive

Allergies:

Symptoms: COVID virus/on 29Dec2020 tested positive/symptoms of cough, chills, lost of taste and smell; COVID virus/on 29Dec2020 tested positive/symptoms of cough, chills, lost of taste and smell; This is a spontaneous report from a contactable other health professional (patient). A 57-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/lot number EJ1685, expiration date: 31Mar2021), intramuscularly on 20Dec2020 17:43 at left deltoid, at single dose for vaccination. Medical history included asthma and diabetes. There were no concomitant medications. The patient received the first dose of vaccine on 20Dec2020. On 22Dec2020 she was exposed to Covid, on 28Dec2020 developed symptoms of cough, chills, lost of taste and smell, she had onset of COVID virus symptoms on 28Dec2020 with positive COVID result from COVID nasal swab test performed on 29Dec2020. She has already completed her Bamlanivimab infusion therapy to treat COVID virus on 31Dec2020. Her 2nd dose is due on 10Jan2020 and she wanted information on the use of antibody therapy with the Covid-19 vaccine. She asked if she should still get the second dose of Pfizer-BioNTech COVID-19 Vaccine as scheduled on 10Jan2021 relative to these events. She reported she still has COVID symptoms which have improved, but the symptoms she can't taste or smell are ongoing and persistent. Seriousness criteria: she thought it was serious but she was not injured or anything with it; she thought event was offset it by taking some medication and the Bamlanivimab infusion. In addition to Bamlanivimab infusion for treatment of the COVID virus she was also prescribed Azithromycin for 5 days started on 29Dec2020 which she completed; and Prednisone for 7 days started on 29Dec2020 which she stopped after 5 days of therapy because she did not like how it made her feel. The outcome of the event was recovering. Event relatedness between Pfizer-BioNTech COVID-19 Vaccine and COVID virus was unrelated.; Sender's Comments: Based on the information currently available, lack of efficacy of the suspected vaccine BNT162B2 cannot be completely excluded. However, individuals may not be protected until at least 7 days after their second dose of the vaccine. It is unlikely that the patient would have fully developed immunity due to the very short time lag between the first vaccine dose and the event onset.

Other Meds:

Current Illness:

ID: 0944527
Sex: M
Age:
State: NY

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

Lab Data: Test Date: 202101; Test Name: Heart rate; Result Unstructured Data: Test Result:Elevated

Allergies:

Symptoms: Body aches; Low grade fever; Headache; Nausea; An elevated heart rate; This is a spontaneous report from a contactable consumer (patient). A male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number and expiry date were unknown) via an unspecified route of administration, on 07Jan2021, at a single dose, for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient received COVID-19 vaccine yesterday (07Jan2021). Ten hours later, he noticed body aches, low grade fever, headache, nausea, and an elevated heart rate. He is concerned on how long these symptoms last. Outcome of the events was unknown. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0944528
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: facial twitching on the left side of the face which started with her lip which lasted for a couple of hours and moved to her left cheek the next day. These were resolved until she noticed left lower eyelid twitching last Sunday night; left lower eyelid twitching; This is a spontaneous report from a contactable nurse (patient). A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiry date not reported), via an unspecified route of administration on Dec2020 at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient reported to have received the first dose of the vaccine almost 3 weeks ago and it will be exactly 3 weeks on Monday. Last week on possibly Friday (Jan2021), she noticed facial twitching on the left side of the face which started with her lip which lasted for a couple of hours and moved to her left cheek the next day. These were resolved until she noticed left lower eyelid twitching last Sunday night which had happened about 30 times with durations of about 4 seconds until now since Sunday. She is asking if this was reported and if she was to proceed with 2nd dose. The patient recovered from facial twitching on the left side of the face which started with her lip which lasted for a couple of hours and moved to her left cheek while did not recover from left lower eyelid twitching. Information about Lot/Batch number has been requested.

Other Meds:

Current Illness:

ID: 0944529
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: a little fuzzy in the head; This is a spontaneous report from a contactable consumer, the patient. A 71 year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number: unknown), dose 1 , single dose via an unspecified route of administration on an unknown date for COVID-19 vaccination. She is due to get the next dose on 27Jan2021. Relevant medical history was unknown. On an unknown date, the patient was "a little fuzzy in the head" no other side effects reported, no injection sight pain. She carries an (epinephrine (EpiPen). The clinical outcome of fuzzy in the head was unknown. Information on Lot/Batch has been requested.

Other Meds:

Current Illness:

ID: 0944530
Sex: M
Age:
State:

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

Lab Data: Test Date: 20201217; Test Name: Covid; Result Unstructured Data: Test Result:Negative

Allergies:

Symptoms: Headache; This is a spontaneous report from a non-contactable consumer. A 49-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), second dose on 08Jan2021 (lot number: EK9231) and first dose on 19Dec2020 (lot number: EN9899); both via unspecified route of administration at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. Prior to vaccination, patient was not diagnosed with COVID-19. The patient experienced headache on 08Jan2021. The patient did not receive treatment for the adverse event. The patient underwent lab tests and procedures which included COVID-19 test: negative on 17Dec2020. Outcome of the event was unknown. No follow-up attempts are possible; information about batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm