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: 0947916
Sex: F
Age:
State: TX

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Test Date: 20210107; Test Name: Fever; Result Unstructured Data: Test Result:100.6; Test Date: 20210107; Test Name: Heart rate; Result Unstructured Data: Test Result:100; Comments: heart rate of greater than 100BPM all day on 07Jan21. Highest it got was 130; Test Name: Heart rate; Result Unstructured Data: Test Result:60; Test Name: Heart rate; Result Unstructured Data: Test Result:130

Allergies:

Symptoms: whole right arm is in pain; have a swollen lymph node (i think?) around right clavicle area; Pain with minor touch to clavicle and upper arm (at site of injection); body/muscle aches; body/muscle aches; nausea; At 0230 on 07Jan21 I woke up shivering with a high fever; heart rate of greater than 100BPM all day on 07Jan21; This is a spontaneous report from a contactable Nurse reporting for self. A 29-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot#: El3248), via an unspecified route of administration in right arm on 06Jan2021 15:30 at single dose for covid-19 immunisation. Medical history was not reported. There were no concomitant medications. At 0230 on 07Jan2021 patient woke up shivering with a high fever. Didn't realize it was a fever until 5am when woke up more, temperature taken at that time was 100.6. Fever stayed all day until 2000, no less than 99.0 even with Tylenol and ibuprofen until that time. Also developed body/muscle aches around 1200 on 07Jan2021, and some nausea. Got sent home from work that day. On 08Jan21 patient synced my (brand withheld) and checked my heart rate for day before. Didn't know it till then, but had heart rate of greater than 100BPM all day on 07Jan2021. Highest it got was 130, my resting heart rate is usually in the 60s. Also on 08Jan2021 no more fever, but whole right arm is in pain and have a swollen lymph node around right clavicle area. Pain with minor touch to clavicle and upper arm (at site of injection). Will be going to visit a doctor to make sure it is just a swollen lymph node since it is now 09Jan08Jan2021 and it's still swollen and there's still a lot of pain to R arm. Outcome of event fever was recovered, of others was not recovered.

Other Meds:

Current Illness:

ID: 0947917
Sex: F
Age: 51
State: IA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: nka

Symptoms: at injection site irritated area about the size of a golf ball hard red and warm to touch ran low grade temp 99.6-100 arm had sharp pain with aching in hand

Other Meds:

Current Illness:

ID: 0947918
Sex: F
Age:
State: CO

Vax Date: 01/08/2021
Onset Date: 01/01/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: feeling extremely tired; severe headache; large palpable knot on her left upper lateral deltoid; weak; her middle finger and index finger feel tight; her left shoulder feel really tight but has full sensation; unable to lift her left arm more than 30 degrees; pain in her arm; unable to sleep very well last night; This is a spontaneous report from a contactable nurse (patient) reported that a 50-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot/Batch Number and Expiration Date unknown) via an unspecified route of administration on 08Jan2021(yesterday morning, Deltoid Left) at single dose for COVID-19 immunisation. The patient's medical history and concomitant medications was not reported. Historical Vaccine was included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot/Batch Number and Expiration Date unknown) via an unspecified route of administration on an unknown date at single dose for COVID-19 immunisation. Patient received her second dose and within an hour she started feeling extremely tired, had a severe headache. When she woke up she noticed a large palpable knot on her left upper lateral deltoid in Jan2021. She stated that the injection went well and noticed no problems when she received the shot. At this time she was still very weak, her headache was still severe and she has noticed that her middle finger and index finger feel tight and her left shoulder feel really tight but had full sensation. She stated that she was unable to lift her left arm more than 30 degrees. She does not have a primary care physician at this time as she just relocated to her current residence. She stated that she was so uncomfortable due to the pain in her arm she was unable to sleep very well last night. She was going to seek medical attention at a local urgent care to be safe. The outcome of events, fatigue, knot on her left upper lateral deltoid, finger feel tight, shoulder feel really tight, unable to lift her left arm more than 30 degrees, pain in her arm, unable to sleep very well was unknown. The outcome of events of severe headache, weak was not recovered. Information about lot/batch number has been requested.; Reporter's Comments: her symptoms online per the Fact Sheet instructions. Potential

Other Meds:

Current Illness:

ID: 0947919
Sex: F
Age:
State: PA

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Metal taste back of mouth; Burning Heat; pain radiating down arms with nerve pulling/moving sensation to tips of fingers; pain radiating down arms with nerve pulling/moving sensation to tips of fingers; This is a spontaneous report from a contactable other healthcare professional (patient). A 43-years-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), lot number: ejko85, intramuscular on 22-DEC-2020 11:45 (at the age of 43-years-old) as a single dose in the left arm for COVID-19 immunization. Medical history had known allergies to latex. The patient's concomitant medications were not reported. The patient was not pregnant at the time of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19. On 22Dec2020 01:15AM, the patient experienced metal taste back of mouth, burning heat, pain radiating down arms with nerve pulling/moving sensation to tips of fingers. The metal taste back of mouth, burning heat, pain radiating down arms with nerve pulling/moving sensation to tips of fingers did not result in death, was not life-threatening, did not cause/prolonged hospitalization, was not disabling/incapacitating and did not cause congenital anomaly/birth defect. No treatment was received for the events metal taste back of mouth, burning heat, pain radiating down arms with nerve pulling/moving sensation to tips of fingers. Outcome of the events metal taste back of mouth, burning heat, pain radiating down arms with nerve pulling/moving sensation to tips of fingers. Since the vaccination, the patient has not been tested for COVID-19. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0947920
Sex: F
Age: 24
State: TN

Vax Date: 01/05/2021
Onset Date: 01/11/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Lymph node in Between collar bone and neck on Left side( injection side) .. it?s sore and fluffy

Other Meds:

Current Illness: None

ID: 0947921
Sex: F
Age:
State: NJ

Vax Date: 12/19/2020
Onset Date: 12/26/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: This is a spontaneous report from a contactable consumer (patient). A 57-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EL0140), via an unspecified route of administration from 19Dec2020 11:00 AM at single dose on left arm for COVID-19 immunization. Age at vaccination was reported as 56 years. Patient was not pregnant at the time of vaccination. Medical history included cancer and penicillin allergies. Concomitant medications (received within 2 weeks of vaccination) included Irbesartan, Pantoprazole, Levothyroxine and Calcium. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient was not diagnosed with COVID-19 prior vaccination. COVID-19 vaccine was administered in the hospital. On 26Dec2020 13:00 (reported as 01:00 PM), patient experienced vertigo, then dizzy-lighted since. Patient also experienced loud hissing sounds in her ears. Patient's arm (site of injection) became sore again, numb to the touch and she felt like she had a sunburn when her clothes touch the skin. The events resulted in Doctor or other healthcare professional office/clinic visit. Treatment was received for "vertigo-dizziness". The events were assessed as non-serious. Outcome of the events was not recovered. The patient has not been tested for COVID-19 since the vaccination.

Other Meds:

Current Illness:

ID: 0947922
Sex: M
Age:
State: GA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: nausea; vomiting 3 times; chills/rigors; sore arm; This is a spontaneous report from a contactable physician (patient). A 30-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), lot number: EL0142, via an unspecified route of administration on left arm from 08Jan2021 09:30 to 08Jan2021 09:30 as single dose for COVID-19 immunisation. Historical vaccine includes first dose of BNT162B2, lot number: EJ1685, on 18Dec2020 at 09:00 AM on left arm. There were no medical history and no concomitant medications. On 08Jan2021 21:30 (12 hours after vaccine), the patient experienced sore arm; on 09Jan2021 at 00:30 (15 hours after vaccine), the patient experienced chills/rigors; on 09Jan2021 at 01:30 (16 hours after vaccine), the patient experienced nausea and vomiting 3 times. The outcome of the events was recovering. No treatment was given to the patient. No follow up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 0947923
Sex: M
Age: 68
State:

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Impressions Adverse reaction to vaccine, initial encounter Patient with sensation of generalized body warmth within 15 minutes after receiving first dose of Moderna COVID-19 vaccine No rash noted on exam No associated symptoms including but not limited to itching, chest pain, shortness of breath, difficulty swallowing, or any focal neurologic deficits We will monitor patient for 1 hour Patient states that his symptoms continue to improve and that he is feeling well Vital signs have remained stable throughout patient's ED course including oxygen saturation of 100% on room air Patient remains afebrile and nontoxic in appearance At the time of discharge the patient remained in stable condition. The patient was counseled to return the emergency department immediately with worsening symptoms. The patient voiced understanding and agreement with treatment plan. He is also aware that he may return to the emergency department at anytime for any reason for reevaluation, and should return with worsening or persistent symptoms.

Other Meds:

Current Illness:

ID: 0947924
Sex: F
Age:
State: GA

Vax Date: 01/05/2021
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: severe pain in her lower left side; Abdominal pain that feels like a cramp at first but the pain intensifies when you try to move.; This is a spontaneous report from a contactable health care professional (patient). A 30-year-old female patient received the first dose of BNT162B2 (Pfizer-BioNTech COVID-19 vaccine), via an unspecified route of administration on 05Jan2021 at 12:00 on the left arm at a single dose for COVID-19 immunization. The patient had no medical history and no known allergies. The patient was not diagnosed of COVID-19 prior to vaccination. The patient did not have any other vaccines in the last four weeks. The patient's concomitant medications were not reported. The patient experienced severe pain in her lower left side on 07Jan2021. The patient also reported abdominal pain that feels like a cramp at first but the pain intensifies when you try to move on 07Jan2021. The patient did not receive any treatment for the events. The outcome of the events was not recovered. The patient has not been tested for COVID-19 post vaccination. Information about lot and batch number was requested.

Other Meds:

Current Illness:

ID: 0947925
Sex: F
Age: 66
State: IL

Vax Date: 09/14/2020
Onset Date: 09/15/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Arm pain and soreness, nerve inflammation due to injection site too high. Patient has tried oral corticosteroids and oral NSAIDs, and is considering corticosteroid injection.

Other Meds:

Current Illness:

ID: 0947926
Sex: F
Age:
State: CA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fatigue; Body aches; Migraine; Vomiting; Chills; Sweats; This is a spontaneous report from a contactable other health professional (patient). A 31-year-old female patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL1283), intramuscular on 07Jan2021 09:15 at a single dose on Left arm for COVID-19 immunization. Medical history included Chronic back pain, and latex allergy. Concomitant medication included gabapentin, acetaminophen, tramadol, sulindac, methocarbamol. The patient previously took the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EH9899), intramuscular on 17Dec2020 09:30 at a single dose on right arm for COVID-19 immunization. The patient experienced fatigue, body aches, migraine, vomiting, chills, sweats on 07Jan2021 12:30. No treatment received for adverse event. The outcome of the event was recovered on an unspecified date in Jan2021. The events were assessed as non-serious. The patient was not pregnant at time of vaccination. Facility where the most recent COVID-19 vaccine was administered was Hospital. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19.

Other Meds: ; ACETAMINOPHEN; ; ;

Current Illness:

ID: 0947927
Sex: F
Age:
State: IL

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Myalgia; intense headache; high fever; This is a spontaneous report from a contactable Nurse reporting for herself. A 32-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on 07Jan2021 (Lot number: EL3248) at single dose (dose number 2, left arm) for COVID-19 immunization. The patient medical history included COVID-19 (Prior to vaccination, patient was diagnosed with COVID-19). The patient's historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) for COVID-19 immunization, on 19Dec2020 07:30 (Lot number: EJ1685) at single dose (dose number 1, left leg) which was administered intramuscularly at left leg. The patient is not pregnant. No other vaccine was given in four weeks and no other medication was given in two weeks. Patient has no known allergies. Vaccine was administered at hospital. It was unknown if patient tested for COVID-19 after vaccination. Concomitant medications were not reported. The patient experienced Myalgia, intense headache, and high fever on 07Jan2021 17:00. Treatment was not received. Outcome of the events was recovered on an unspecified date in Jan2021. The reporter assessed the events as non-serious.

Other Meds:

Current Illness:

ID: 0947928
Sex: F
Age: 51
State:

Vax Date: 12/28/2020
Onset Date: 01/11/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Delayed injection site reaction.

Other Meds:

Current Illness:

ID: 0947929
Sex: F
Age:
State: IN

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Test Date: 20201212; Test Name: COVID-19; Test Result: Positive

Allergies:

Symptoms: I vomited several times; Severe headache; Muscle aches; Chills; Joint pain; Tiredness; Fever; This is a spontaneous report from a contactable physician (patient). A 41-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/lot number: EL0142), via an unspecified route of administration from 07Jan2021 10:00 at left arm, at single dose for covid-19 immunization. Medical history included COVID 19 positive 12Dec2020, the patient was diagnosed with COVID-19 prior to vaccination. Allergies to medications, food, or other products was reported no. The patient was not pregnant at the time of vaccination. There were no concomitant medications. The patient received vaccine at 07Han2021 10:00PM (as reported). 4 hours after receiving the vaccine 07Jan2021 14:00 the patient vomited several times, the patient had and still have severe headache, muscle aches, chills, joint pain, tiredness and fever. The patient realized that these are side effects and not adverse reactions but she felt that they were quite severe and she thought it was due to the fact that she so recently had COVID 19. OTC meds were received for all events. The outcome of the events was recovering. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. No seriousness criteria: no Results in death, no Life threatening, no Caused/prolonged hospitalization, no Disabling/Incapacitating, no Congenital anomaly/birth defect.

Other Meds:

Current Illness:

ID: 0947930
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/15/2021
Hospital:

Lab Data: Test Name: temperature; Result Unstructured Data: Test Result:did not have a fever

Allergies:

Symptoms: having cold chills; This is a spontaneous report from a contactable consumer reporting for herself. A 59-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number: unknown), via an unspecified route of administration on an unspecified date at SINGLE DOSE (first dose) for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced having cold chills on an unspecified date. The patient asked what to do about the cold chills and just try to stay warm. She reported no other symptoms. She checked her temperature and stated that she did not have a fever. She asked how long these cold chills will last. She asked if she will have these same symptoms with the second dose too. Outcome of the event was unknown. Information of lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0947931
Sex: M
Age: 55
State: CA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: septra and niacin

Symptoms: mass in left brachial lymph nodes 11cmX8cmX5cm i also have fever chills and night sweats body aches

Other Meds: none

Current Illness: none

ID: 0947932
Sex: F
Age:
State: PA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Flu symptoms,; fever; chills; achy body; dry mouth with weird metal taste; dry mouth with weird metal taste; very thirsty at times; throat seemed swollen; Still feeling tired and weak; Still feeling tired and weak; running nose and draining in the back of my throat; running nose and draining in the back of my throat; This is a spontaneous report from a contactable other HCP (patient). A 46-year-old female patient received first dose of BNT162B2 (Lot# EK9231), via an unspecified route of administration, in left arm, on 07Jan2021 14:30 at single dose for COVID-19 immunization. The patient was not pregnant at the time of vaccination. Facility where the most recent COVID-19 vaccine was administered was hospital. The patient was not diagnosed with COVID-19 prior to vaccination. Since the vaccination, the patient hasn't been tested for COVID-19. Medical history included migraines, depression and allergy: latex. The patient's concomitant medications were not reported. No other vaccines were received within 4 weeks prior to the COVID vaccine. The patient experienced flu symptoms, fever, chills, achy body, dry mouth with weird metal taste, very thirsty at times, throat seemed swollen, all symptoms started Thursday, the evening of getting the vaccine and lasting until Saturday morning. Still feeling tired and weak. Now have running nose and draining in the back of my throat. The start date of all the events was 07Jan2021. No treatment was received for the events. The outcome of the events was not recovered.

Other Meds:

Current Illness:

ID: 0947933
Sex: M
Age: 45
State: NC

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data: 1/4/21(-)COVID test

Allergies: Aspirin

Symptoms: 12/28/20 EE received 1st COVID vaccine; 1/4/21 EE began feeling increased fatigue with dry cough; COIVD(-)

Other Meds: Adderall; Symbicort; Vyvanse; Proventil HFA; Hydroxyzine Hydrochloride; Humalog; Singular

Current Illness: N/A

ID: 0947934
Sex: F
Age:
State: MI

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fever; chills; malaise; body aches; Metallic taste in mouth; cotton mouth; flush/tingly sensation in extremities (like when receiving IV contrast dye) after receiving vaccine for about an hour after; flush/tingly sensation in extremities (like when receiving IV contrast dye) after receiving vaccine for about an hour after; This is a spontaneous report from a contactable Nurse, the patient. This 53-year-old female patient received BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine) (dose #1), via an unspecified route of administration in the right arm on 07Jan2021 at 14:30 (at the age of 53-years-old) as a single dose for COVID-19 vaccination. Medical history included food allergy (shellfish) from an unknown date and unknown if ongoing, drug hypersensitivity (sulfa) from an unknown date and unknown if ongoing, migraine headaches from an unknown date and unknown if ongoing and contrast media allergy (lodine dye) from an unknown date and unknown if ongoing. Concomitant medication included propranolol (PROPRANOLOL), vitamin d3 (VITAMIN D3) and ascorbic acid, zinc (VITAMIN C + ZINC). The patient previously took avelox and experienced drug hypersensitivity. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient was not pregnant at the time of vaccination. On 07Jan2021 at 14:30, the patient experienced metallic taste in mouth, cotton mouth and flush/tingly sensation in extremities (like when receiving IV contrast dye) after receiving vaccine for about an hour after. She did not tell anyone, just tried to work through it. The patient thought it was strange. She has a shellfish allergy/sensitivity, not sure if it was related. On 08Jan2021 (reported as the following day after vaccination), the patient experienced low grade fever, chills, malaise and body aches. Therapeutic measures taken included Advil and Tylenol. The clinical outcome of metallic taste in mouth, cotton mouth, flush/tingly sensation in extremities, low grade fever, chills, malaise and body aches was resolved on an unspecified date in Jan2021. It was also reported that 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: ; VITAMIN D3; VITAMIN C + ZINC

Current Illness:

ID: 0947935
Sex: F
Age:
State: CA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Test Date: 20210105; Test Name: Weight; Result Unstructured Data: Test Result:loss

Allergies:

Symptoms: Stomach is upset and firm. Yellow brown loose stool. Weight loss; Stomach is upset and firm. Yellow brown loose stool. Weight loss; Stomach is upset and firm. Yellow brown loose stool. Weight loss; This is a spontaneous report from a contactable nurse. A 34-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; lot number: E51685), intramuscular on 05Jan2021 10:00 at SINGLE DOSE at arm left for COVID-19 immunization. There were no relevant medical history. Concomitant medication included metronidazole. On 05Jan2021 17:00, the patient experienced Stomach is upset and firm. Yellow brown loose stool and Weight loss. The patient did not receive treatment for the events. The events were assessed as non-serious. The outcome of the events was not recovered.

Other Meds:

Current Illness:

ID: 0947936
Sex: F
Age:
State: FL

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rash on upper body, extreme itching on face, chin & neck; Rash on upper body, extreme itching on face, chin & neck; This is a spontaneous report from a contactable consumer. A 57-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration on 08Jan2021 14:30 at SINGLE DOSE at left arm for COVID-19 immunization. Medical history included Sarcoma Gist (removed on 12Oct2020), seasonal allergies, known allergies: peanut, sesame. The patient's concomitant medications were not reported. On 08Jan2021 20:00, the patient experienced Rash on upper body, extreme itching on face, chin & neck. The events were assessed as non-serious. The patient did not receive treatment for the events. The outcome of the events was recovering. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0947937
Sex: M
Age: 44
State: TX

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Fatigue and soreness the day after vaccine received. 5 days after vaccine was received symptoms of chills and sweating that went away after a couple of hours

Other Meds: Lisinopril 20mg

Current Illness: N/A

ID: 0947938
Sex: F
Age:
State: NY

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Test Name: fever; Result Unstructured Data: Test Result:between 100 and 102

Allergies:

Symptoms: Chills; body aches; nausea; vomiting; fever between 100 and 102 with Tylenol and Motrin that lasted 36 hrs; This is spontaneous report from a contactable nurse. A 42-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) intramuscular on the left arm first dose on 16Dec2020 06:00 (lot number: EK57303121) and second dose on 07Jan2021 16:45 (lot number: EL3246) at a single dose for COVID-19 immunization. The patient had no medical history. There were no concomitant medications. On 08Jan2021 05:00 AM, the patient experienced chills, body aches, nausea, vomiting, fever between 100 and 102 with Tylenol and Motrin that lasted 36 hrs. No treatment was received for the events chills, body aches, nausea, vomiting. The events resulted to a doctor or other healthcare professional office/clinic visit. Events were reported as non-serious. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. There were no other medications the patient received within 2 weeks of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. No known allergies to medications, food, or other products. Outcome of the events was recovering.

Other Meds:

Current Illness:

ID: 0947939
Sex: F
Age: 29
State: FL

Vax Date: 12/29/2020
Onset Date: 01/03/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: December 30th- chills, body aches January 3rd, swollen subclavicular lymph node. Swollen lymph node is still present s/p 2 weeks.

Other Meds: 500mg Tylenol

Current Illness: None

ID: 0947940
Sex: F
Age:
State: IN

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Next day sore arm, neck, body, headache, tired chills, afebrile; Next day sore arm, neck, body, headache, tired chills, afebrile; Next day sore arm, neck, body, headache, tired chills, afebrile; Next day sore arm, neck, body, headache, tired chills, afebrile; Next day sore arm, neck, body, headache, tired chills, afebrile; Next day sore arm, neck, body, headache, tired chills, afebrile; Nauseous with injection.; This is a spontaneous report from a contactable nurse (patient). A 54-years-old female patient (not pregnant) received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19), intramuscular at left arm on 08Jan2021 15:30 at single dose for COVID-19 immunization. Medical history included migraine and No known allergies. Concomitant medication included sumatriptan succinate (IMITREX), fluoxetine hydrochloride (PROZAC). The historical vaccine included the first dose of BNT162B2 for COVID-19 immunization at right arm on an unknown date. The patient experienced nauseous with injection on 08Jan2021. Next day (09Jan2021), she had sore arm, neck, body, headache, tired chills, afebrile. No treatment received for the adverse events. The events outcome was not recovered. No COVID prior vaccination, since the vaccination the patient hadn't been tested for COVID-19. Information about lot and batch number was requested.

Other Meds: IMITREX; PROZAC

Current Illness:

ID: 0947941
Sex: F
Age:
State: CA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Sore body & bones; Sore body & bones; Headache; Dizziness/Light headed; Nauseous; Vomiting; Fever; Night sweats; Chills; Goosebumps from being so cold; Goosebumps from being so cold; Feeling like I'm in a dream/Foggy; This is a spontaneous report from a contactable consumer (patient). A 24-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number: El1284), via an unspecified route of administration at Left arm on 06Jan2021 08:30 AM at single dose for covid-19 immunization. The COVID-19 vaccine was administered at Workplace clinic. Medical history included covid-19, Known allergies: Latex. There were no concomitant medications within 2 weeks of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 06Jan2021 at time of 03:30 PM, the patient experienced Sore body & bones, headache, dizziness, nauseous, vomiting, fever, night sweats, chills, light headed, goosebumps from being so cold, feeling dizzy, feeling like i'm in a dream, foggy. No treatment received for the events. Prior to vaccination, the patient was diagnosed with COVID-19 and since the vaccination, the patient was not been tested for COVID-19. The outcome of the events was recovering.

Other Meds:

Current Illness:

ID: 0947942
Sex: M
Age: 84
State:

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: No adverse event reported. Only reporting administration of vaccine in possible temperature excursion

Other Meds:

Current Illness:

ID: 0947943
Sex: F
Age: 42
State: NY

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: Walnuts

Symptoms: Moderna Covid-19 Vaccine Red patch, itchy in site of injection which developed on January 11, 2021

Other Meds: Vit. C

Current Illness: none

ID: 0947944
Sex: F
Age:
State: NC

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Numbness and tingling in left side of face starting on morning on 08Jan.; Numbness and tingling in left side of face starting on morning on 08Jan.; This is a spontaneous report from a contactable Nurse, the patient. This 39-year-old female patient received BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine) (Lot number: EK9231) dose #2, via an unspecified route of administration in the left arm on 06Jan2021 at 08:30 (at the age of 39-years-old) as a single dose for COVID-19 vaccination. Medical history included guillain-barre syndrome from 2017 (reported as not related to a vaccine) and unknown if ongoing, asthma from an unknown date and unknown if ongoing, attention deficit hyperactivity disorder from an unknown date and unknown if ongoing, latex allergy from an unknown date and unknown if ongoing known, environmental allergy (unspecified) from an unknown date and unknown if ongoing known and an allergy to metals from an unknown date and unknown if ongoing known. Concomitant medication included amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL), montelukast sodium (SINGULAIR), drospirenone, ethinylestradiol betadex clathrate (YAZ), omeprazole (PROTONIX [OMEPRAZOLE]), cetirizine hydrochloride (ZYRTEC [CETIRIZINE HYDROCHLORIDE]) and mometasone furoate (FLONASE [MOMETASONE FUROATE]). Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient was not pregnant at the time of vaccination. The patient previously received BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine) (lot number: EK5730), dose #1, via an unspecified route of administration in the left arm on an 19Dec2020 at 08:15 as a single dose for COVID-19 vaccination. On 08Jan2021 at 05:00, the patient experienced numbness and tingling in left side of face. No therapeutic measures were taken as a result of the events. The clinical outcome of numbness and tingling in left side of face was not resolved. It was also reported that since the vaccination, the patient had not been tested for COVID-19.

Other Meds: ADDERALL; SINGULAIR; YAZ; PROTONIX [OMEPRAZOLE]; ZYRTEC [CETIRIZINE HYDROCHLORIDE]; FLONASE [MOMETASONE FUROATE]

Current Illness:

ID: 0947945
Sex: F
Age:
State: CO

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Right arm became painful and could not touch or move without lots of pain; Muscle pain; Pain; very achy all over; This is a spontaneous report from a contactable nurse (patient). A 58-year-old female patient (non-pregnant) received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number: EK9231), intramuscular in right arm, on 07Jan2021 at 10:00, at a single dose, COVID-19 immunization. The patient's medical history included hypertension (HTN), exercise induced asthma, allergies to sulfa, and hormones. The patient's concomitant medications included lisinopril, carvedilol (COREG), acetylsalicylic acid (ASA), levothyroxine sodium (SYNTHROID), and unspecified hormones. The patient previously took the first dose of BNT162B2 on 16Dec2020 (also reported as 20Dec2020) at 2:00 PM for COVID-19 immunization (intramuscular in left arm; Lot Number: EK5730). The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. The most recent COVID-19 vaccine was administered in a hospital. On 07Jan2021 at 10 PM (also reported as 7 hours after shot), the patient's right arm became painful and could not touch or move without lots of pain. 1 hour later, the patient went to bed, only to be woken with excruciating muscle pain all over. The patient was unable to lie down, sit, stand, or move without severe pain. The patient took ibuprofen (MOTRIN) and applied heat and lied down on stomach. Within 4 hours, that pain decreased, and the next 24 hours was very achy all over. The patient used heat most of the day. Since the vaccination, the patient has not been tested for COVID-19. The patient was recovering from the events. No follow-up attempts are possible. No further information is expected.

Other Meds: ; COREG; ASA; SYNTHROID

Current Illness:

ID: 0947946
Sex: F
Age: 36
State: NY

Vax Date: 12/01/2020
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Circular rash around injection site

Other Meds: Multivitamin

Current Illness: None

ID: 0947947
Sex: F
Age:
State: OR

Vax Date: 12/21/2020
Onset Date: 12/01/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Abdominal cramping; watery diarrhea; loose stools; This is a spontaneous report from a contactable nurse reporting for herself. A 56-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) (lot number EK5730/expiration date: not provided), via intramuscular route of administration, on 21Dec2020 01:30 PM (at the age of 56 years old) as a single dose in the left arm for COVID-19 vaccination. Relevant medical history included rosacea. 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 medication was not provided. The patient was not pregnant at the time of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 23Dec2020, the patient experienced abdominal cramping followed by watery diarrhea for 2-3 days. Then on an unspecified date in Dec2020, the patient experienced abdominal cramping followed by non-watery loose stools for 4-5 days. The patient did not receive any treatment for these events. The outcome of the events abdominal cramping, watery diarrhea and non-watery loose stools was recovered on an unspecified date. Since the vaccination, the patient had not been tested for COVID-19.

Other Meds:

Current Illness:

ID: 0947948
Sex: F
Age: 63
State: SC

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: soreness and redness of injection area

Other Meds: Vitamin D; Potassium; Calcium/Magneslym/Zinc

Current Illness: None

ID: 0947949
Sex: F
Age:
State: CO

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Shortness of breath; Joint pain; fatigue; headache; ribs pain; chest pressure; burning feeling of my eyes; This is a spontaneous report from a contactable healthcare professional reporting for herself. A 51-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) (lot number/expiration date: not provided), via an unspecified route of administration, on 04Jan2021 03:45 PM (at the age of 51 years old) as a single dose in the left arm for COVID-19 vaccination. Relevant medical history included prior to the vaccination, the patient was diagnosed with COVID-19 on an unknown date. The patient did not have any known allergies to medications, food, or other products. Concomitant medication (other medications taken in two weeks) were none. The patient was not pregnant at the time of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 05Jan2021, at 05:00 AM, the patient experienced shortness of breath, joint pain, headache, fatigue, ribs pain, chest pressure and burning feeling of her eyes. Treatment received for the events included an inhaler and acetaminophen (TYLENOL). The outcome of the events shortness of breath, joint pain, headache, fatigue, ribs pain, chest pressure and burning feeling of her eyes 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:

Current Illness:

ID: 0947950
Sex: F
Age:
State: TX

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Test Name: Temperature; Result Unstructured Data: Test Result:100.1 Fahrenheit; Test Name: Temperature; Result Unstructured Data: Test Result:is rising Fahrenheit

Allergies:

Symptoms: After second dose, extreme chills and shivering that lasted 2.5 hrs. Temperature of 100.1F; After second dose, extreme chills and shivering that lasted 2.5 hrs. Temperature of 100.1F; This is a spontaneous report from a contactable Consumer (patient). This 39-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) (lot number: EL3248/expiration date: unknown), via unknown route of administration, on 08Jan2021 at 07:15 AM (at the age of 39 years old) as a single dose in the left arm for COVID-19 immunization at hospital facility. Relevant medical history was unknown. The patient had known allergies to penicillin. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included ascorbic acid, ergocalciferol, folic acid, nicotinamide, panthenol, retinol, riboflavin, thiamine hydrochloride (MULTIVITAMINS). The patient previously received the first dose of BNT162B2 (lot number: Eks5730/expiration date: unknown) on 18Dec2020 at 02:45 PM (at the age of 39 years old) as a single dose in the left arm via unknown route of administration for COVID-19 immunization. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 08Jan2021 at 09:30 PM, after the second dose, the patient experienced extreme chills and shivering that lasted 2.5 hrs with temperature of 100.1F. The patient took ibuprofen and temp went down. Then give or take a few hours, the temperature was rising again. The patient stated that she is " self-medicating currently and hope it does not get worse". Treatment was received for the events extreme chills and shivering included ibuprofen. The outcome of the events extreme chills and shivering was not recovered. The patient was not pregnant at the time of vaccination. Since the vaccination, the patient had not been tested for COVID-19.

Other Meds: MULTIVITAMINS [ASCORBIC ACID;ERGOCALCIFEROL;FOLIC ACID;NICOTINAMIDE;PANTHENOL;RETINOL;RIBOFLAVIN;THI

Current Illness:

ID: 0947951
Sex: F
Age: 28
State: NJ

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: Pet dander Hay fever Soy Aspirin (makes whites of eyes swell up)

Symptoms: I received the vaccine around 10:40 am on January 8th, 2021. My arm was a little sore that night, but nothing too bad. I took some ibuprofen before I went to bed (400mg, I think). I felt fine the morning of January 9th; I went and bought some groceries and then took a walk in the neighborhood. I did get pretty chilled while walking since it was so cold. When I got back to my apartment around 2:00 I took a nap, then took a very hot shower trying to get warm again. Around 3:00 pm my arm started to become noticeably more sore so I took ibuprofen (600mg). Between 3:15 pm and 3:30 pm I suddenly started to feel warm and nauseous. I felt light-headed and while I was upright (standing or moving around) I would get some black spots in my vision. I went and lay down around 4:00 pm. I stayed in bed that whole evening with a fever (at its highest, 102), I was pretty nauseous, my arm hurt to the point where I couldn't move it and my wrist and hand felt very weak. I took some more ibuprofen (maybe another 600mg?) sometime after 8:00pm. The next day, Sunday January 10th, I mostly stayed in bed and ran a light fever (99.9) and was very fatigued. Arm was very sore and I had limited use of it until the latter part of the day. Monday, January 11th, I felt mostly fine, I could use my arm with no issue, but I stayed home from work due to the fatigue. By Tuesday I was fairly normal, just tired.

Other Meds: Loratadine 10mg (allergies) Latin 24 FE (birth control) Vitafusion Womens Gummy Vitamins mixed berry

Current Illness: N/A

ID: 0947952
Sex: F
Age: 31
State: NJ

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: Coconut, Augmentin, Levaquin, Contrast Dye

Symptoms: -Developed redness of left arm 5 hours after vaccine administration. -Rash under (L) breast developed next day. -Redness/Warmth @ injection site noted to be lower (L) deltoid

Other Meds: Zyrtec, Pantoprazole, Nasal Spray-OTC Mesalamine

Current Illness: Just Finished a course of Prednisone on 12-29-20 for Crohns-recent DX.

ID: 0947953
Sex: M
Age:
State: PA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Arm pain; Injection site pain; Fever; Chills; Nausea; Headache; Body aches; General malaise; This is a spontaneous report from a contactable nurse, the patient. This 49-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number: EL9231 ), dose 2 , single dose via an unspecified route of administration in the left arm on 07Jan2021 at 07:30 AM (at the age of 49 years-old) for COVID-19 vaccination. Relevant medical history included high cholesterol. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number: EL0140,), single dose, dose 1 in the left arm on 18Dec2020 at 09:30 AM. The patient did not have any allergies to medications, food, or other products. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included aspirin, rosuvastatin (CRESTOR), D3, zinc and multivitamin. The patient did not receive any other vaccine within 4 weeks prior to the vaccine. On 07Jan2021 at 10:00 PM, the patient experienced arm pain, injection site pain, fever, chills, nausea, headache, body aches and general malaise. The report was reported as non-serious. The patient was not treated for arm pain, injection site pain, fever, chills, nausea, headache, body aches and general malaise. The clinical outcome of arm pain, injection site pain, fever, chills, nausea, headache, body aches and general malaise was recovering. It was also reported that since the vaccination, the patient had not been tested for COVID-19.

Other Meds: ASPIRIN [ACETYLSALICYLIC ACID]; CRESTOR; D3;

Current Illness:

ID: 0947954
Sex: F
Age: 53
State: PA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: Crab

Symptoms: approx. 5 minutes after vaccine administration, patient reported lightheadedness, tingling in toes. Patient complained feeling like "throat closing" but no - objective skin, respiratory or GI signs. VS: 160/99, HR 158, POX 100% R/A at 11:42 138/113, HR 135, POX 100%, R/A at 11:45 168/100, HR 112, POX 100%, R/A at 11:47 Epinephrine 0.3mg subq given via Epi Pen at 11:43 in the right leg Patient was sent to ER for further evaluation at 11:50 am via ambulance Patient was monitored briefly in ER without further intervention, and then discharged home

Other Meds:

Current Illness:

ID: 0947955
Sex: M
Age:
State: AR

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Injection site: soreness, rash/warmth/itchiness; Injection site: soreness, rash/warmth/itchiness; Injection site: soreness, rash/warmth/itchiness; Injection site: soreness, rash/warmth/itchiness; Tiredness; This is a spontaneous report from a contactable healthcare professional, the patient. This 28 year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number: EL1284 ), dose 1 , single dose via an unspecified route of administration in the left arm on 06Jan2021 at 12:00 PM (at the age of 28 years-old) for COVID-19 vaccination. There was no relevant medical history reported. The patient had allergies to non-steroidal anti-inflammatories (NSAIDS). Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included alprazolam, lacosamide (VIMPAT) and pantoprazole. The patient did not receive any other vaccine within 4 weeks prior to the vaccine. On 06Jan2021 at 12:00 PM, the patient experienced injection site soreness, rash/warmth/itchiness and tiredness all improving over 3 days. The report was reported as non-serious. The patient was treated for injection site soreness, rash/warmth and itchiness with acetaminophen. The clinical outcome of injection site soreness, rash/warmth/itchiness and tiredness was recovered. It was also reported that since the vaccination, the patient had not been tested for COVID-19.

Other Meds: ; VIMPAT;

Current Illness:

ID: 0947956
Sex: M
Age:
State: CO

Vax Date:
Onset Date: 01/08/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: prominent lower axillary swelling same side as shoulder injection site; Flu-like symptoms; soreness (other than injection areas including thighs); soreness (other than injection areas including thighs); more severe soreness/generalized soreness (other than injection areas including thighs); more severe soreness including back of shoulder; generalized weakness; This is a spontaneous report from a contactable physician (patient himself). A 49-year-old male patient received a second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EK9231; expiry date: unknown) via an unspecified route of administration (right arm), on an unspecified date, at a single dose, for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient previously received chlorhexidine and propylene glycol and experienced allergies. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number and expiry date unknown) in the left arm on 17Dec2020 at 17:30 for COVID-19 immunization. On 08Jan2021, the patient experienced more severe soreness including back of shoulder, generalized weakness, and generalized soreness (other than injection areas including thighs) beginning at 13:00 following day lasting the rest of the day. On an unspecified date, the patient also had prominent lower axillary swelling same side as shoulder injection site, flu-like symptoms, and focal soreness. The patient received over the counter (OTC) Motrin as treatment for the events. The patient recovered from flu-like symptoms, but has not yet recovered from the remaining events.

Other Meds:

Current Illness:

ID: 0947957
Sex: F
Age: 30
State: NY

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Reported headache,light sensativity,pain, heart palpitations and fever 103F

Other Meds:

Current Illness:

ID: 0947958
Sex: F
Age:
State: AZ

Vax Date: 12/26/2020
Onset Date: 01/03/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Hidradenitis Suppurativa that has been stable/large flare up on R. buttock and 1 smaller on R. thigh; Hidradenitis Suppurativa that has been stable/large flare up on R. buttock and 1 smaller on R. thigh; This is a spontaneous report from a contactable nurse (patient). A 55-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE lot/batch number: not provided), via an unspecified route of administration on the left arm on 26Dec2020 03:00 at SINGLE DOSE for COVID-19 immunization. Medical history included ongoing Hidradenitis Suppurativa has been stable, gastrooesophageal reflux disease (GERD), and morbid obesity. The patient also had penicillin (PCN) allergy. Concomitant medications included omeprazole (OMEPRAZOLE), losartan (LOSARTAN), and cetirizine hydrochloride (ZYRTEC). The patient reported that she was diagnosed with hidradenitis suppurativa that has been stable then on 03Jan2021 09:00 (approximately 1 week after receiving the vaccine), she had a large flare up on right buttock and 1 smaller on right thigh. The events required doctor or other healthcare professional office/clinic visit and was treated with Doxycycline 100mg BID. Outcome of the event was not recovered. Information on the lot/batch number has been requested.

Other Meds: ; ; ZYRTEC [CETIRIZINE HYDROCHLORIDE]

Current Illness: Hidradenitis suppurativa (has been stable)

ID: 0947959
Sex: F
Age:
State: GA

Vax Date: 12/22/2020
Onset Date: 01/01/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Shingles type reaction without a rash or redness; Extreme skin sensitivity on torso (chest and back) on left side of body parallel to injection site.; This is a spontaneous report from a contactable pharmacist (patient). A 61-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE lot/batch number: EJ1685), via an unspecified route of administration on the left arm on 22Dec2020 07:45 at SINGLE DOSE for COVID-19 immunization at the hospital. Medical history included diabetes and hypertension (HTN). It was also reported that the patient had allergies with quinolones. Concomitant medications included metformin (METFORMIN), cetirizine hydrochloride (ZYRTEC), semaglutide (OZEMPIC), simvastatin (ZOCOR), levothyroxine sodium (SYNTHROID) and "elav". On 01Jan2021 19:00, the patient had extreme skin sensitivity on torso (chest and back) on left side of body parallel to injection site. The patient also had shingles type reaction without a rash or redness. Prior to vaccination the patient was not diagnosed with COVID-19 and since the vaccination, has not been tested for COVID-19. The patient did not receive any treatment for the events. Outcome of the events were not recovered.

Other Meds: ; ZYRTEC; OZEMPIC; ZOCOR; SYNTHROID

Current Illness:

ID: 0947960
Sex: F
Age: 33
State: OR

Vax Date: 01/07/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: n/a

Allergies: Sumatriptan

Symptoms: Day after vaccine 01/08 I had the normal side effects of arm soreness, some swelling, headache, body ache and fatigue. This was gone by 01/09. On 01/14 I developed a headache and low grade temp and a scratchy throat. The morning of 01/15 I noticed the injection site was swollen with some redness, warm to the touch, feels like a hard ball, arm is hurting a little and there's off an on itching.

Other Meds: Omeprazole 40mg daily Albuterol inhaler PRN

Current Illness:

ID: 0947961
Sex: F
Age:
State: TX

Vax Date: 12/16/2020
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Severe Headache; body ache/pain; malaise; nausea; This is a spontaneous report from a contactable consumer. A 51-year-old female patient received bnt162b2 (lot number and expiry date were not reported), via an unspecified route of administration in the left arm on 16Dec2020 at single dose for Covid-19 immunization. The patient is not pregnant. Medical history was none. The patient had no known allergies. The patient's concomitant medications were not reported. It was unknown if other vaccine was administered in four weeks. On 07Jan2021, the patient experienced severe headache, body ache, malaise, pain and nausea fit for 30 hours. Prior vaccination the patient had no COVID. It was unknown if the patient was COVID tested post vaccination. No treatment received for the events. The patient recovered from the events on unspecified date in Jan2021. Information on the batch number has been requested.

Other Meds:

Current Illness:

ID: 0947962
Sex: M
Age:
State: CT

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills followed by low grade fever; Chills followed by low grade fever; fatigue with body aches; fatigue with body aches; first dose on 22Dec2020/ second dose on 08Jan2021; This is a spontaneous report from a non-contactable consumer (patient) received via a Pfizer sales representative. A 56-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration; the first dose (lot EH9899) on 22Dec2020 01:00 AM at a single dose in the left arm and the second dose (lot EL0142) on 08Jan2021 13:00 (01:00 PM) at a single dose in the left arm; for COVID vaccine. Medical history and concomitant medications were not reported. The patient experienced chills followed by low grade fever and fatigue with body aches on 08Jan2021 19:00 (07:00 PM). Treatment was not received for chills followed by low grade fever and fatigue with body aches. Facility type vaccine was noted as hospital. It was unknown if other vaccines were received in four weeks. It was unknown if he had COVID prior to vaccination and if he had COVID tested post vaccination. The outcome of chills followed by low grade fever and fatigue with body aches was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 0947963
Sex: M
Age: 24
State: NJ

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Cat scan

Allergies: None

Symptoms: I had Synocope and possible seizure 5 minutes after getting the shot.

Other Meds: Motrin

Current Illness: Had a root canal done

ID: 0947964
Sex: F
Age:
State: NC

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: rash on her face/rash all over her body with most of it on her left arm/rash was small, close together bumps; This is a spontaneous report from a contactable healthcare professional (patient). A 37-year-old female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EL0140 and expiry date: unknown, vaccine location: right arm, dose number: 1), via an unspecified route of administration on 08Jan2021 09:30 at a single dose for COVID-19 immunization. Medical history included allergies: kiwi fruit and pollens. The patient's concomitant medications were not reported. The patient is not pregnant at the time of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient received unspecified other medications within two weeks of vaccination. The evening of 08Jan2021 at 18:00, the patient noticed a rash on her face. She thought maybe it was from wearing her mask. The next morning, she woke up with the rash all over her body with most of it on her left arm. This is the opposite arm she received the vaccine. The rash was small, close together bumps. There was no pain or itching with the rash. No treatment was received. The patient was not tested for COVID post vaccination. Outcome of the event was not recovered. The event was reported as non-serious. No treatment was received for the adverse event. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19.

Other Meds:

Current Illness:

ID: 0947966
Sex: F
Age:
State: PA

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache; muscle pain; fatigue; pain at injection site; This is a spontaneous report from a contactable nurse. A 36-years-old female patient started to receive BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot# unknown), intramuscular on 08Jan2021 at single dose for COVID-19 immunisation. Medical history included COVID-19. Vaccine location was left arm. Concomitant medication included topiramate (TOPAMAX), bupropion hydrochloride, naltrexone hydrochloride (CONTRAVE), escitalopram oxalate (LEXAPRO), clonazepam (KLONOPIN). The patient experienced headache, muscle pain, fatigue, pain at injection site all on 09Jan2021. The events outcome was recovering Information on the lot/batch number has been requested.

Other Meds: TOPAMAX; CONTRAVE; LEXAPRO; KLONOPIN

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm