VAERS 2021 Database www.vaers.hhs.gov

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VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer
187,133MODERNA
33,878JANSSEN
2,321PFIZER\BIONTECH
1,091GLAXOSMITHKLINE BIOLOGICALS
983UNKNOWN MANUFACTURER
363MERCK & CO. INC.
229SEQIRUS, INC.
45DYNAVAX TECHNOLOGIES CORPORATION
41NOVARTIS VACCINES AND DIAGNOSTICS
29SANOFI PASTEUR
18EMERGENT BIOSOLUTIONS
8PAXVAX
7TEVA PHARMACEUTICALS
4PFIZER\WYETH
3BERNA BIOTECH, LTD.
2SMITHKLINE BEECHAM
2INTERCELL AG
2PROTEIN SCIENCES CORPORATION
1CSL LIMITED

Incidents per State

State Total
77,548
AK1,869
AL5,581
AR3,688
AS47
AZ14,288
CA61,984
CO11,665
CT8,149
DC1,663
DE1,807
FL37,749
FM5
GA15,058
GU120
HI2,453
IA4,625
ID2,692
IL20,334
IN24,007
KS4,615
KY7,696
LA4,887
MA14,654
MD12,514
ME3,129
MH11
MI18,739
MN12,528
MO9,710
MP29
MS2,790
MT2,375
NC16,368
ND1,356
NE2,880
NH3,100
NJ17,634
NM3,916
NV4,239
NY34,355
OH19,081
OK6,195
OR8,636
PA23,083
PR2,370
QM2
RI2,088
SC6,411
SD1,212
TN9,131
TX35,174
UT4,273
VA14,937
VI64
VT1,676
WA14,909
WI11,259
WV2,388
WY861
XB5
XL1
XV2

ID: 1261596
Sex: F
Age:
State: NC

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Temp dropped to 94.3; Had a very sore arm for two days; swelling in gland under the arm; Strong headaches were common & continue; She had lost a week of her life trying to keep warm; This is a spontaneous report received from a contactable other healthcare professional (patient). A 66-year-old female (non-pregnant) patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/lot number: unknown) via an unspecified route of administration in left arm on 10Feb2021 at 09:00 AM (at the age of 66-years-old) as a single dose for COVID-19 immunization in Public Health Clinic/Veterans Administration facility. Medical history included allergic to dust, mold, mildew, hay, cat & rabbit hair. Concomitant medications included atorvastatin, cetirizine, amlodipine, all received in two weeks. No other vaccines received in four weeks. The patient previously took moxifloxacin hydrochloride (AVALOX) and had allergies (Bayer wide spectrum antibiotic). The patient had not been tested for COVID prior vaccination. It was reported that 10 hours after receiving the vaccine Temperature dropped to 94.3 on 10Feb2021 at 08:00 PM. For next 8 days it has varied as sub-normal from 95 to 97.6, mostly ranging from 95.4 to 96.5. Had a very sore arm for two days with swelling in gland under the arm. Strong headaches were common & continue. Eight days out that swelling is still going down. The doctor visit was a waste of time & money. They knew little & couldn't offer any suggestions. She was afraid to get the second shot because the doctor did tell her side effects would be worse with that one. She had lost a week of her life trying to keep warm. Her temperature did go up to normal & past on day 8 after she was in a very hot vehicle for 1/2 hr. Events resulted in visit to Doctor or other healthcare professional office/clinic. No treatment received for events. The patient had not been tested for COVID post vaccination. The outcome of events was recovering. Information on lot/batch number has been requested.

Other Meds: ATORVASTATIN; CETIRIZINE; AMLODIPINE

Current Illness:

ID: 1261597
Sex: F
Age:
State: MO

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 04/27/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Fever 102; very fatigued; Headache; left arm pain; increased nasal congestion; This is a spontaneous report from a contactable consumer (Patient herself). A 46-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), Formulation: Solution for injection via an unspecified route of administration in the left arm on 17Feb2021 09:00 (Batch/Lot Number: EN 5318) as SINGLE DOSE for covid-19 immunisation. The patient medical history was not reported. Concomitant medication included esomeprazole sodium (NEXIUM [ESOMEPRAZOLE SODIUM; famotidine (PEPCID [FAMOTIDINE]); beclometasone dipropionate (QNASL); magnesium (MG [MAGNESIUM]); amylase, ascorbic acid, cellulase, folic acid, lipase, protease nos (JUICE PLUS); ergocalciferol (VIT D). The patient previously took BNT162b2 for covid-19 immunisation, anaprox and experienced drug hypersensitivity. On 17Feb2021 17:00 patient experienced fever 102, very fatigued, headache, left arm pain, increased nasal congestion. Patient perform lab tests which included body temperature: 102. The patient not tested for COVID-19 prior to vaccination and post vaccination. The patient did not receive treatment. The outcome of the events was not recovered.

Other Meds: NEXIUM [ESOMEPRAZOLE SODIUM]; PEPCID [FAMOTIDINE]; QNASL; MG [MAGNESIUM]; JUICE PLUS; VIT D

Current Illness:

ID: 1261598
Sex: F
Age:
State: AZ

Vax Date: 02/11/2021
Onset Date: 02/18/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: I can't smell or taste today; Sniffles lots of mucus in throat; couldn't catch my breath; fever; Sore arm at the injection site; sore throat, felt like pins in throat; burning eyes; cough; achy; tired; chills; This is a spontaneous report from a contactable consumer (patient). This 65-year-old non pregnant female patient received the bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), dose 1 via an unspecified route of administration on left arm on 11Feb2021 10:30 (Batch/Lot Number: EL 9269) as single dose for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. Patient not received other vaccine in four weeks. patient had Sore arm at the injection site the following 2 days in 20Feb2021. 18Feb2021 achy, tired, chills. 19Feb2021 burning eyes, achy, chills, cough. 20Feb2021 aches in lower back mild cough sniffles, chills, sore throat, felt like pins in throat, tired. At 20Feb2021 16:30 fever of 100.9. 21Feb2021 sore throat felt like pins poking them and also in ears. Sniffles lots of mucus in throat. Felt like I couldn't catch my breath to clear it. It's was a drowning feeling. 22Feb2021 sore throat sore ears, lots of mucus, chills. Temp of 100.1. Still stuffed up the pain in the throat and ears were better but no energy. 23Feb2021 still a lot of mucus, stuffy nose, Slight chills. 2.24 still stuffed up but better. Now I can't smell or taste today. Please get back with me as I want to know if this is just vaccine symptoms. Because if this is the case people need to know. The patient not received any treatment. patient not having covid prior vaccination; patient not tested covid post vaccination; The outcome of the events was recovering.

Other Meds:

Current Illness:

ID: 1261599
Sex: F
Age:
State:

Vax Date: 02/23/2021
Onset Date:
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: it was much worse and nausea; there was nothing in my stomach to throw up (dry heaving); I have a severe headache; This is a spontaneous report from a contactable consumer (patient) via medical information team. A female patient of an unspecified age, received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number and expiry dates were not provided) via unspecified route of administration on 23Feb2021 (reported as yesterday) as a single dose for COVID-19 immunisation. Patient's medical history included headaches occasionally. Concomitant medications were not reported. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number and expiry dates were not provided) via unspecified route of administration, on an unknown date as a single dose for COVID-19 immunisation and had a little sore arm but no problem. Patient previously took paracetamol (TYLENOL) for headache, which doesn't work and ibuprofen for headache, which was didn't help. Patient reported that she received her second dose of the COVID vaccine yesterday. Also reported that at around 8 or 9 (date unspecified in 2021), it was much worse and nausea but there was nothing in my stomach to throw up (dry heaving). It was reported that after first dose, had a little sore arm but no problem. She had a severe headache and do get headaches occasionally. Asked about excedrin Migraine, is that ok to take for headache? Usually Tylenol doesn't work for me. Ibuprofen didn't help, didn't make it go away. The outcome of the events was unknown. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1261600
Sex: F
Age:
State: MA

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: 100.0 fever; Chills; body ache; left armpit lymph node; site of injection sore; fatigue; This is a spontaneous report from a contactable consumer (patient). A 32-year-old female non-pregnant patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: El3247) via unspecified route of administration on Left arm on 16Feb2021 (at the age of 32 years old) as single dose for COVID-19 immunization at workplace clinic. The patient medical history was none. The patient had no known allergies. Concomitant medications included ethinylestradiol/ norgestimate (SPRINTEC) and escitalopram. The patient historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: El2347) on Left arm on 27Jan2021 01:45PM for COVID-19 immunization. The patient did not receive any other vaccines in four weeks. The patient did not have COVID prior vaccination and did not tested for COVID post vaccination. On 17Feb2021 at 02:00 AM, the patient experienced chills, body ache, left armpit lymph node, site of injection sore, fatigue and 100.0 fever. The patient did not receive any treatment for the events. The outcome of the events was reported as received on an unspecified date in 2021.

Other Meds: SPRINTEC; ESCITALOPRAM

Current Illness:

ID: 1261601
Sex: M
Age:
State: MD

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 04/27/2021
Hospital:

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: slight headache; very mild injection site soreness; This is a spontaneous report from a contactable consumer (patient). A 69-year-old male patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection) via unknown route of administration on 24Feb2021 02:00 PM as single dose in the right arm for COVID-19 immunisation at Hospital. The patient medical history and concomitant medication were not reported. No COVID prior vaccination. No other vaccine in four weeks. The patient previously took amoxicillin and had allergy. On 25Feb2021 at 07:00 AM, the patient experienced slight headache and very mild injection site soreness. No COVID tested post vaccination. The patient recovered from both the events on an unknown date in Feb2021. Information on Lot/Batch number has been requested.

Other Meds:

Current Illness:

ID: 1261602
Sex: F
Age:
State: DE

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: worst chills in my life; Spiked temperature; Stiffness on left side of neck and shoulder; Headache; This is a spontaneous is received from a contactable consumer (patient). A 69-years-old female patient received first dose ifbnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot Number: EL9266), via an unspecified route of administration in arm left on 23Feb2021 14:30 as single dose for covid-19 immunisation. Medical history included HBP, Treated for high cholesterol, Sicca syndrome. Concomitant medications included loteprednol etabonate (LOTREL [LOTEPREDNOL ETABONATE]), pravastatin (PRAVASTATIN), aspirin [acetylsalicylic acid] (ASPIRIN [ACETYLSALICYLIC ACID]), clarithromycin (MACROBID [CLARITHROMYCIN]) taken for an unspecified indication. The patient previously took tetracycline. The patient experienced worst chills in my life, spiked temperature, stiffness on left side of neck and shoulder, headache on 24Feb2021 20:15. The patient underwent lab tests and procedures which included body temperature: spiked on 24Feb2021 Spiked temperature, lasting all through the night. The outcome of the events was with recovering.

Other Meds: LOTREL [LOTEPREDNOL ETABONATE]; PRAVASTATIN; ASPIRIN [ACETYLSALICYLIC ACID]; MACROBID [CLARITHROMYCIN]

Current Illness:

ID: 1261603
Sex: F
Age:
State: IN

Vax Date: 01/28/2021
Onset Date: 02/14/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: started having symptoms for Shingles approximately 2 weeks 3 days after receiving 1st vaccine. I was diagnosed 4 days later; This is a spontaneous report from a contactable consumer (patient) reporting herself. A 48-year-old non-pregnant female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Lot Number: EL9262) via an unspecified route of administration, administered in Arm Left on 28Jan2021 at 07:45 as SINGLE DOSE for covid-19 immunization. Medical history included colon cancer, hypothyroidism and hypertension. Concomitant medication in two weeks included thyroid (ARMOUR THYROID); sertraline (SERTRALINE) and hydrochlorothiazide (HYDROCHLOROTHIAZIDE). The patient did not receive any other vaccines in four weeks. The patient previously took Vicadine and experienced known allergies: Vicadine. On 14Feb2021, the patient experienced, started having symptoms for shingles approximately 2 weeks 3 days after receiving 1st vaccine and was diagnosed 4 days later. The patient not had covid prior vaccination; not tested covid post vaccination. Therapeutic measures were taken as a result of event and included treatment with Medication. The patient visited a Physician Office. The outcome of event is recovering.

Other Meds: ARMOUR THYROID; SERTRALINE; HYDROCHLOROTHIAZIDE

Current Illness:

ID: 1261604
Sex: F
Age:
State: MO

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: developed two watery like blisters in the palm of Right hand; This is a spontaneous report from a contactable consumer(patient). A 66-years-old non pregnant female patient received bnt162b2 (COVID 19, Formulation: solution for injection), dose 2 via an unspecified route of administration in Arm Right on 22Feb2021 at 15:45 (Lot Number: EN6200) as SINGLE DOSE for covid-19 immunisation. Medical history included historical vaccine received bnt162b2 (COVID 19, Lot number= EL9264), dose 1 via an unspecified route of administration in Arm Right on 29Jan2021 at 11:45 AM, hypertension from an unknown date and unknown if ongoing, hyperlipidaemia from an unknown date and unknown if ongoing. Concomitant medications included sertraline hydrochloride taken for an unspecified indication, start and stop date were not reported; metoprolol taken for an unspecified indication, start and stop date were not reported; hctz taken for an unspecified indication, start and stop date were not reported; atorvastatin taken for an unspecified indication, start and stop date were not reported. There was no other vaccine in four weeks. There was no COVID prior vaccination and no COVID tested post vaccination. On 23Feb2021 at 17:00, The patient experienced developed two watery like blisters in the palm of right hand. The event was considered as non-serious. The outcome of the event was reported as Not recovered. No follow up attempts are needed. No further information is expected.

Other Meds: SERTRALINE HYDROCHLORIDE; METOPROLOL; HCTZ; ATORVASTATIN

Current Illness:

ID: 1261605
Sex: F
Age:
State: KY

Vax Date: 02/23/2021
Onset Date:
Rec V Date: 04/27/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: I had all this pain at the injection side; tired; headache; chill; throat pain; fever; nausea; swollen lymph nodes; This is a spontaneous report from a contactable consumer (Patient) reported for herself. A 60-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot/expiration date: unknown) via an unspecified route of administration on 23Feb2021 (at age of 60 years) at single dose for COVID-19 immunization. Patient relevant medical history included chronic obstructive pulmonary disease (COPD). Patient concomitant medications were not reported. After receiving covid-19 vaccine patient started running really high temperature and pain at the vaccination side, really tired, headache, chill, throat pain, fever, nausea, Patient said swollen lymph nodes, throat has been sore on unspecified date. Patient stated that run temperature but took Tylenol and it took it down it was high, but I still have the soreness. Patient also mentioned having COVID 19 infection months ago. Treatment received for events was unknown. The outcome of event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1261606
Sex: M
Age:
State: MI

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

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

Lab Data:

Allergies:

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

Symptoms: little soreness on his arm; This is a spontaneous report from a contactable consumer (patient). A male of an unspecified age received both doses of bnt162b2 (BNT162B2 Formulation: solution for injection, Batch/Lot number: unknown), via an unspecified route of administration on unspecified date as single dose, for covid-19 immunisation. Medical history and procedures included immunosuppressed and kidney transplant. Concomitant medication was not reported. Patient experienced a little soreness on his arm after taking the vaccine. Patient's doctor told him not to get the vaccine since he already got a kidney transplant. Outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot been obtained.

Other Meds:

Current Illness:

ID: 1261607
Sex: F
Age:
State: MD

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 04/27/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Injection site pain; This is a spontaneous report from a contactable consumer (patient) received from Pfizer sponsored program. An 85-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: Unknown) via an unspecified route of administration in Feb2021, as single dose for COVID-19 immunisation. The patient's medical history included cancer and had surgery 2 weeks ago. Concomitant medications were not reported. In Feb2021 (2 weeks ago from reporting date), the patient experienced injection site pain. The patient wanted to know if she will still get the 2nd dose. Outcome of the event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1261608
Sex: F
Age:
State: NV

Vax Date: 02/09/2021
Onset Date: 02/11/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: severe throbbing pain in my left arm; Tingling in my left hand for 3-days til present time; This is a spontaneous report from a contactable other health care professional. A 77-years-old non-pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot number: EL3247, Expiry date: Unknown), via an unspecified route of administration, administered in Arm Left on 09Feb2021 17:30 at SINGLE DOSE for covid-19 immunization. The patient had a previous history of allergy to amoxicillin therapy. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient did not test Covid post vaccination. Concomitant medication includes Vitamins taken in two weeks. The patient experienced tingling in my left hand for 3-days til present time, severe throbbing pain in my left arm on 11Feb2021 12:00. The treatment included Tylenol-MAPP 650 Mg every 8 hrs and Ibuprofen 400MG 4-hrs after taking Tylenol. The outcome of the events was not recovered. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1261609
Sex: F
Age:
State: AL

Vax Date: 02/10/2021
Onset Date: 02/01/2021
Rec V Date: 04/27/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: She still has a red plaque on her arm today, there is a swelling with it; There was a little pony knot where the injection was, and it was red; it is like elongated about 2 inches, an inch and a half to 2 inches long and maybe 3 quarters of an inch wide; Swelling of the node; It's just a little puffy now but there is like a little knot, It's not tender but it's just too red."; This is a spontaneous report from a contactable consumer (patient sister). A 74-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, lot number: EN5318) via an unspecified route of administration at upper part of her right arm on 10Feb2021 as a single dose for COVID-19 immunisation. Medical history included thyroid removed and blood pressure. Patient takes 5 or 6 of concomitant medications (cannot pronounce half of them), takes blood pressure medication and medication for she had a thyroid removed. On 10Feb2021, the day after the shot there was a little pony knot where the injection was, and it was red and thought that's okay but it had stayed red and the area, the whole width of it is like elongated about 2 inches, an inch and a half to 2 inches long and maybe 3 quarters of an inch wide. On an unspecified date in 2021, patient still had a red plaque on her arm today, there was a swelling with it. It has been 9 days since the shot, and were wondering (incomplete sentence). The swelling of the node was probably, she had it on Wednesday so probably she had the swelling on Thursday a little on Friday. It's just a little puffy now but there is like a little knot. It's not tender but it's just too red. Patient was not treated for events. Outcome for the events were unknown. Second dose was scheduled on 03Mar2021.

Other Meds:

Current Illness:

ID: 1261610
Sex: F
Age:
State: TN

Vax Date: 02/08/2021
Onset Date:
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Flushing of face and chest; This is a spontaneous report from a contactable consumer (patient) via a Pfizer sponsored program. A female patient of an unknown age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, batch/lot number and expiration date unknown) via unspecified route on 08Feb2021 at single dose for COVID-19 immunization. The patients medical history and concomitant medication were not reported. The patient experienced flushing of face and chest after receiving the 1st dose on 08Feb2021. The outcome of the event was unknown. Information on the lot batch number has been requested.

Other Meds:

Current Illness:

ID: 1261611
Sex: F
Age:
State: VA

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: was achy with the first dose; sore arm with first dose; This is a spontaneous report from a contactable consumer (patient). A 85-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: EK4176), via an unspecified route of administration on 22Jan2021 as single dose (at the age of 85-years) in Arm Left for covid-19 immunization. Medical history included: knee arthroplasty from Apr2018 to an unknown date (knee cap was not replaced) and breast cancer from Aug2013 to an unknown date. The patient did not receive any other vaccination within 4 weeks. Concomitant medications included: levothyroxine sodium (SYNTHROID) 200mcg daily taken for hypothyroidism (since 35 years); omeprazole 20 mg daily taken for gastrooesophageal reflux disease; furosemide 40mg daily taken for left ventricular failure from 2017 to an unspecified stop date; spironolactone 25mg, takes half tab daily, taken for left ventricular failure from 2017 to an unspecified stop date; ascorbic acid, betacarotene, cupric oxide, tocopheryl acetate, zinc oxide (PRESERVISION), 1 daily taken for macular degeneration from 2011 to an unspecified stop date; colecalciferol (VITAMIN D) 5,000 units daily taken for vitamin d deficiency (since 6-7 years) (all are ongoing). On 23Jan2021, the patient experienced achy and sore arm with first dose. She is always achy. The degree of the achiness went away. On an unspecified date, the patient had ultrasound to check for deep vein thrombosis and results were unknown. The outcome of pain in extremity was recovered on 25Jan2021 and for another event it was unknown.

Other Meds: SYNTHROID; OMEPRAZOLE; FUROSEMIDE; SPIRONOLACTONE; PRESERVISION; VITAMIN D [COLECALCIFEROL]

Current Illness:

ID: 1261612
Sex: F
Age:
State: ND

Vax Date: 02/09/2021
Onset Date:
Rec V Date: 04/27/2021
Hospital:

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

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

Symptoms: Iron deficiency; arm soreness; tingling in her toes that gradually kind of was in her legs then her arms too; weakness in her legs; altered sense of touch; Numbness of tongue; trouble moving her lips; This is a spontaneous report from a contactable consumer(patient). A 20-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number was not reported), second dose via an unspecified route of administration, administered in left arm on 09Feb2021 13:00 as SINGLE DOSE for covid-19 immunization. Patient was 20 years old at the time of vaccination. Patient medical history and concomitant medications were not reported. On 12Jan2021 at 07:30PM patient received her first dose of Bnt162b2 and experienced sore arm. On an unspecified date patient stated that her arm was sore again after the second dose, then she started having tingling in her toes that gradually kind of was in her legs then her arms too. She said that she has weakness in her legs , and an altered sense of touch, when she kind of touches her skin it feels not normal, like an altered kind of touch, she says her tongue is numb, and her mouth has trouble moving. She says that when she rubs her lips together like to swish mouthwash, it is difficult. She says she saw someone yesterday, a nurse practitioner, who got labs and her blood work came back, and the nurse practitioner said she had a possible iron deficiency and recommended a supplement. The patient underwent lab tests and procedures which included blood test: unknown. Outcome of the events was unknown. Information about lot/ batch number has been requested.

Other Meds:

Current Illness:

ID: 1261613
Sex: M
Age:
State: CT

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 04/27/2021
Hospital:

Vax Type: HIBV
Manufacturer: MERCK & CO. INC.
Vax Name: HIB (PEDVAXHIB)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: restlessness in legs; soreness in left arm (injection site) & lower back; Fatigue; soreness in left arm (injection site) & lower back; This is a spontaneous report from a contactable consumer. A 38-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EL3247), dose 2 via an unspecified route of administration, in left arm on 25Feb2021 09:00 (at 38-year age) as single dose for covid-19 immunisation and patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EL3247), dose 2 via an unspecified route of administration, in left arm on 02Feb2021 10:00 (at 38-years age) as single dose for covid-19 immunisation. The patient had not received any other vaccines within 4 weeks prior to the COVID vaccine. The patient medical history and concomitant medications were not reported. The patient underwent lab tests and procedures which included post vaccination covid test nasal swab covid test on May2020 and result was negative. The patient experienced fatigue, restlessness in legs, and soreness in left arm (injection site) and lower back on 26Feb2021 03:30. No treatment received for reported adverse event. Patient not tested for COVID-19 after the vaccination. The outcome of the was resolving.

Other Meds:

Current Illness:

ID: 1261614
Sex: F
Age:
State: CA

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Pain from idiopathic peripheral neuropathy increased in arms, hands and feet; Pain from idiopathic peripheral neuropathy increased in arms, hands and feet; This is a spontaneous report from a contactable consumer (patient). An elderly female patient of an unspecified age received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: unknown), via an unspecified route of administration on 11Feb2021 at 11:30 AM as single dose for COVID-19 immunization. The patient previously took first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: unknown), via an unspecified route of administration in left arm on 21Jan2021, at 10:45 AM as single dose for COVID-19 immunization. Medical history included neuropathy. Concomitant medications were not reported. The patient did not received other vaccine in four weeks and also did not received any other medication in two weeks. The patient did not have covid prior to vaccination and not tested for covid tested post vaccination. There were no known allergies. On 13Feb2021 at 09:00 AM, the patient experienced pain from idiopathic peripheral neuropathy increased in arms, hands and feet. No treatment was received. The outcome of the events was not recovered. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1261615
Sex: F
Age:
State: CT

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Mild headache; mild nausea; chills; general feeling of unwell; This is a spontaneous report from a contactable consumer (patient). A 58-years-old female patient received first dose of BNT162B2 (Solution for injection, PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL3247) via an unspecified route of administration on left arm on 19Feb2021 at 11:45 (at the age of 58 years) as single dose for COVID 19 immunization. The patient medical history included sulfa containing medication allergy. Concomitant medication patient received within 2 weeks of vaccination included levothyroxine sodium (LEVOXYL). Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient was not tested for COVID-19. The patient did not receive any other vaccine within 4 weeks prior to the vaccine. On 20Feb2021 at 08:00, the patient experienced mild headache, mild nausea, chills and general feeling of unwell. The patient did not receive any treatment to the event. The outcome of the events was recovered in 2021.

Other Meds: LEVOXYL

Current Illness:

ID: 1261616
Sex: F
Age:
State: TX

Vax Date: 02/10/2021
Onset Date:
Rec V Date: 04/27/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: Numbness and sensitivity on right side of face, nose, right nostril and upper lip; took Lyrica to see if this was a nerve issue; Numbness and sensitivity on right side of face, nose, right nostril and upper lip; took Lyrica to see if this was a nerve issue; This is a spontaneous report received from a contactable consumer (patient). A 77-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number: EL7Z69 ; expiry was not reported) via an unspecified route of administration on 10Feb2021 as single dose for covid-19 immunisation (at the age of 77 years). The patient medical history and concomitant medications were not reported. On an unspecified date, the patient experienced numbness and sensitivity on right side of my face, nose, right nostril, and upper lip; and she took Lyrica (lot number: 19074111; Investigation Assessment: No) to see if this was a nerve issue and as therapeutic measures. She took a Lyrica this morning (12Feb2021) to see if this was a nerve issue and she took a Lyrica, Saturday as well. She was just checking to see if she had numbness and sensitivity on the right side of my face and the nose, the right nostril, and the upper lip of the mouth, was this a cause of the shot and is this the reason of Covid or not. The outcome of numbness and sensitivity on right side of face, nose, right nostril and upper lip; took Lyrica to see if this was a nerve issue was unknown. Information about Lot/Batch number has been requested.

Other Meds:

Current Illness:

ID: 1261617
Sex: F
Age:
State: MD

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Fever; aches; severe arm pain; skipped menstrual cycle completely; chills; This is a spontaneous report from a contactable consumer (Patient). A 30-years-old not pregnant female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number and expiry dates were not provided), via an unspecified route of administration, in arm right, on 15Feb2021 at 11:30 AM (at the age of 30-years-old) as a single dose for COVID-19 immunisation. Patient past medical history included Asthma, depression, anxiety. Patient concomitant medications were not reported. The patient had experienced fever, chills, aches, severe arm pain, skipped menstrual cycle completely on 16Feb2021, 03:00 AM. Outcome of the events were recovering. No follow-up attempts are possible; Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1261618
Sex: F
Age:
State: CT

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Minimum soreness around injection site; Some chills; muscle ache; This is a spontaneous report from a contactable consumer (Patient) self-reporting. A 58-year-old female patient (who was not pregnant at the time of vaccination), received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: BNT162), via an unspecified route of administration, administered in Arm Right on 23Feb2021 as SINGLE DOSE for covid-19 immunisation. Patient did not receive other vaccine in four weeks of vaccination. Patient was not diagnosed with COVID, prior vaccination. Patient has not been tested for COVID, post vaccination. The patient medical history and concomitant medications were not reported. On 24Feb2021 the patient experienced minimum soreness around injection site, some chills and muscle ache. The outcome of the event was recovered.

Other Meds:

Current Illness:

ID: 1261619
Sex: F
Age:
State: IA

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 04/27/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Sore arm at injection site; chills; tiredness/no energy; slept a lot; This is a spontaneous report from a contactable consumer (patient herself). A 65-year-old female patient received second dose bnt162b2 (BNT162B2, Formulation: Solution for injection), via an unspecified route of administration in Arm Left on 24Feb2021 11:15 (Lot Number: EN6203, Expiry date: Unknown) as single dose for COVID-19 immunisation. Medical history included arthritis, type II diabetes, hypertension, hypothyroidism and seasonal allergies. There were no other vaccines with in four weeks. The patient previously received first dose of bnt162b2 (BNT162B2, Formulation: Solution for injection), via an unspecified route of administration in Arm Left on 03Feb2021 12:45 (Lot Number: EM9810, Expiry date: Unknown) as single dose for COVID-19 immunisation. It was reported that there was no COVID prior vaccination and COVID not tested post vaccination. Concomitant medications included allopurinol, levothyroxine, lisinopril and nabumetone. The patient had known allergies for aspirin, penicillin, septra, levaquin, motrin, naprosyn, feldene, lodine, lipitor, zocor and hydrocodone. On 24Feb2021 16:30, the patient experienced Sore arm at injection site, chills, tiredness/no energy and slept a lot for 48-hours. Therapeutic measures were taken with Tylenol. The outcome of all events was recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: ALLOPURINOL; LEVOTHYROXINE; LISINOPRIL; NABUMETONE

Current Illness:

ID: 1261620
Sex: F
Age:
State: TX

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: larger red and swollen itching injection spot; patient had larger red and swollen itching injection spot; patient had larger red and swollen itching injection spot; tired; sore arm; nausea tired; Earache; headache; This is a spontaneous report from a contactable consumer (Patient) reported for himself. A 44-years-old female (Non-Pregnant) patient received first dose of bnt162b2(PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot number: EN6203, Expiration date: unknown), via an unspecified route of administration in left arm on 24Feb2021 at 11:30 AM (at age of 44years) at single dose for COVID-19 immunization. Patient medical history included which was acid reflux. Patient had Known allergies to gluten, food sensitivity to dairy and tomatoes. Patient concomitant medications included esomeprazole (20mg) two times in daily, vitamin B12 (5000mcg). Patient did not receive any vaccine in four weeks. The patient was not diagnosed with COVID-19 prior to vaccination. The patient was not tested for COVID-19 since the vaccination. On 24Feb2021 at 12:00 the patient experienced headache, nausea, earache and on 25Feb2021 second day patient had sore arm headache and tired, on 26Feb2021 (day 3) the patient had red, swollen, and itching at vaccination site also, tired, nausea. and on 27Feb2021 (day 4) the patient had larger red and swollen itching at vaccination spot nausea tired. Patient didn't take treatment for the events. The outcome of the events was recovering. No follow up attempts are possible. No further information is expected.

Other Meds: ESOMEPRAZOLE; B12 [CYANOCOBALAMIN]

Current Illness:

ID: 1261621
Sex: F
Age:
State: CA

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: itchy rash; bruise; slight ache upper arm; This is a spontaneous report from a contactable consumer (patient). This 69-year-old non pregnant female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EN5318 and expiry date unknown), via an unknown route on 18Feb2021 at 10:45 (at the age of 69-years-old) at single dose on the left arm for COVID-19 immunization. Relevant medical history and concomitant medications were not provided. The patient had no known allergies. The patient had no prior Covid vaccination and Covid tested positive after post vaccination. On the same date after vaccination, the patient had no immediate reaction, only slight ache upper arm which resolved by day 2. On 23-Feb2021,(5th day) the patient had bruise appeared at site. On 24-Feb2021, (Day 6) a slightly itchy rash appeared and on day 7 rash became very itchy and the rash area about 3x6 was red, raised and warm. Resolved almost completely by day 9. The patient did not receive any treatment. Outcome of the events slight ache upper arm, bruise and itchy rash was recovered.

Other Meds:

Current Illness:

ID: 1261622
Sex: F
Age:
State: PA

Vax Date: 02/26/2021
Onset Date:
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Severe headache several days; Fever; This is a spontaneous report from a contactable consumer (patient). This 73-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Lot number: EN6202 expiry date was not provided), via unknown route of administration in the left arm, 26Feb2021 12:15 as single dose for COVID-19 immunisation. Patient's medical history included COPD (chronic obstructive pulmonary disease). Concomitant medications were not reported. No COVID-19 prior vaccination. No COVID-19 tested post vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient took blood pressure medications in two weeks. On an unknown date, the patient had severe headache several days and a fever. No treatment medications were reported. Outcome of the events were recovering. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1261623
Sex: F
Age:
State: CA

Vax Date: 01/30/2021
Onset Date: 02/04/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: I had a series of migraines after dose 1 of the vaccine; This is a spontaneous report from a contactable consumer. A 69-years-old female patient (not pregnant) received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EL9261) via an unspecified route of administration, administered in left arm on 30Jan2021 at 10:15 at single dose for covid-19 immunization.Medical history included covid-19 from Jul2020 since having covid in july. The patient's concomitant medications were not reported. No Known allergies. No other vaccine in four weeks. No other medications in two weeks. She had covid prior vaccination. No covid tested post vaccination. On 04Feb2021 at 08:00 am, she had a series of migraines after dose 1 of the vaccine. Since having Covid in July she had more migraines than normal. She used to get 4 or 5 a year. She have probably had 10 to 12 since July. The event assessed as non-serious. No treatment was received. The outcome of event was not recovered. No follow up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1261624
Sex: F
Age:
State: NC

Vax Date: 02/17/2021
Onset Date: 01/27/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: moderate memory loss after 2nd injection; This is a spontaneous report from a contactable consumer (patient). The 69-year-old non-pregnant female patient received second dose of PFIZER-BIONTEC COVID-19 VACCINE, Solution for injection, Batch/ Lot Number and expiry date were not provided), via an unspecified route of administration, in the left arm, on 17Feb2021 (at the age of 69-year-old) as a single dose for covid-19 immunisation. The patient did not have any allergies to medications, food or other products. Patient's medical history and concomitan medications were not reported. Patient previously received first dose of covid vaccine on 27/01/2021 and experienced mild, short-term memory loss. Patient did not have covid prior vaccination. Patient was not tested covid post vaccination. Patient did not receive any other vaccine in four weeks. Patient did not receive other medications in two weeks. On 27Jan2021 at 10:30, patient experienced moderate memory loss after 2nd injection. Patient visited emergency room due to event. As reported, treatment received was unknown. The outcome of event was not resolved. Information of lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1261625
Sex: F
Age:
State: WA

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

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: sore left arm; This is a spontaneous report from a contactable consumer (patient). A 74-year-old female received first dose of BNT162B2 ((PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number EN6198) via unspecified route of administration in left arm on 27Feb2021 at 01:15 PM as single dose for COVID-19 immunisation. Medical history included glaucoma, diffuse large B-cell lymphoma (DLBCL), thyroid nodules. Concomitant medication included levothyroxine, vitamin D Nos [VITAMIN D], tocopherol (VITAMIN E), curcumin, acetylsalicylic acid (ASA), fenofibrate (NORTRICOL) (medications in two weeks). No other vaccine in four weeks. On 27Feb2021 at 03:00 PM, patient experienced sore left arm. No covid prior vaccination, Patient has not tested COVID post vaccination. The case was considered as nonserious. The outcome of event was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds: LEVOTHYROXINE; CURCUMIN; ASA; NORTRICOL; VITAMIN D [VITAMIN D NOS]; VIT E [TOCOPHEROL]

Current Illness:

ID: 1261626
Sex: M
Age:
State: TX

Vax Date:
Onset Date: 02/21/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: diarrhea; This is a spontaneous report from a contactable consumer (patient's wife) via Pfizer-sponsored program. A male patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number unknown, Expiration date unknown), via an unspecified route of administration on an unknown date at a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On 21Feb2021 (today), the patient had experienced diarrhea upon waking up. Second dose was due 21Feb2021 (today) and reporter was worried about having patient take the second dose. The outcome of the event was unknown.

Other Meds:

Current Illness:

ID: 1261627
Sex: F
Age:
State: FL

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: lost her appetite; Slight fever; tiredness; headaches; Nausea; Weakness; This is a spontaneous report from a contactable consumer(patient). A 73-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: EI9269), first dose via an unspecified route of administration, administered in left arm on 17Feb2021 as SINGLE DOSE for covid-19 immunization. Patient was 73 years old at the time of vaccination. The patient's medical history and concomitant medications were not reported. On 17feb2021, Wednesday the patient went to work after getting the vaccine and about 2 or 3 in the afternoon, she started having headaches, and nausea that came on slowly. She also experienced tiredness and weakness. She had a slight fever also, but she took Tylenol and that went away. Next day on 18Feb2021 the patient lost her appetite. She was still experiencing tiredness, weakness and headaches as well as the loss of appetite and nausea. She was wondering if she should expect the same side effects from the second dose, as she was scheduled for it on 10Mar2021, and she was scared she might get the same side effects, because she still had not been able to go back to work yet. Her nausea had improved a very little, but when she moves around it persists again, but when she rests is slows down. She confirmed that she had no other vaccines on the same day as her COVID vaccine. The patient underwent lab tests and procedures which included blood test: unknown: she has not received the results yet. She had not taken any medication at all, because all the medicines she was taking, she did not take them because she was worried they would interfere with the vaccine. Stated that when she gets the flu, which is very seldom, it is months before she gets better and states that the symptoms she was experiencing now, were the same thing she experiences when she has the flu. Therapeutic measures were taken as a result of slight fever. The outcome of fever was reported as unknown and other events was recovering.

Other Meds:

Current Illness:

ID: 1261628
Sex: M
Age:
State: FL

Vax Date: 01/30/2021
Onset Date: 02/01/2021
Rec V Date: 04/27/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Cluster headaches that was in remission for the last three years have returned with a vengeance; Bad taste in my mouth; Head feels foggy; ringing in my right ear; This is a spontaneous report from a contactable consumer (Patient). A male patient (age: 67 unit: not given) received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: EL8982), via an unspecified route of administration in right arm on 30Jan2021 at 03:15 PM as single dose for COVID-19 immunization. The patient previously took first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: EL3249) via unspecified route of administration in right arm on 09Jan2021 at 03:15 PM as single dose for COVID-19 immunization. Medical history included cluster headaches. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not have any known allergies. Concomitant medications included levothyroxine sodium (SYNTHROID) and verapamil hydrochloride. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 01Feb2021, patient head feels foggy, developed ringing in my right ear. Cluster headaches that was in remission for the last three years have returned with a vengeance, bad taste in my mouth. No treatment was received. The events resulted in doctor or other healthcare professional office/clinic visit. The outcome of the events was not recovered.

Other Meds: SYNTHROID; VERAPAMIL HYDROCHLORIDE

Current Illness: Cluster headaches

ID: 1261629
Sex: M
Age:
State: IA

Vax Date: 02/09/2021
Onset Date: 02/11/2021
Rec V Date: 04/27/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Little tired; This is a spontaneous report from a contactable consumer (patient). A 71-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE Solution for injection), dose 1 via an unspecified route of administration, administered in Arm Left on 09Feb2021 18:45 (Lot Number: EN6201) at the age of 71 years old as single dose for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. Facility type vaccine was Pharmacy or Drug Store. No other vaccine in four weeks. The patient experienced little tired on 11Feb2021 12:00. No treatment received for the event. No COVID prior vaccination and no COVID tested post vaccination. The outcome of the event was recovered on an unspecified date in Feb2021. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1261630
Sex: F
Age:
State: MO

Vax Date: 02/18/2021
Onset Date: 02/22/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: she woke up and her right leg from her knee to her hip was beet red and itching; her left arm was itching; This is a spontaneous report from a contactable consumer (Patient). A 84-year-old female patient received first dose of BNT162B2 (Covid 19 Vaccine, Formulation: Solution for injection, Batch/Lot no: EL9264, expiry date 30May2021) via an unspecified route of administration on 18Feb2021 as single dose for COVID-19 immunization. The patient medical history included Back pain (she takes a pain pill for a pain in her back every once in a while, and lung cancer but she is in remission right now. It is Percocet and it is the lowest dose of Percocet). The patient concomitant medications were not reported. On 22Feb2021, the patient experienced the itching and redness early Monday morning. she woke up and her right leg from her knee to her hip was beet red and itching and her left arm was itching. She is not on any medication she takes a pain pill for a pain in her back every once in a while. It is a Percocet, and it is the lowest dose of Percocet. She does not take it every day. She is not on anything else except a blood pressure pill. The outcome of the events she woke up and her right leg from her knee to her hip was beet red and itching and her left arm was itching were reported as unknown.

Other Meds:

Current Illness:

ID: 1261631
Sex: M
Age:
State: MS

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 04/27/2021
Hospital:

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies:

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

Symptoms: I can't sleep at night; arm hurts so it has settled in joints, shoulder, and up neck to down to elbow; This is a spontaneous report from a contactable consumer. A 67-years-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection) via an unspecified route of administration, in right arm on 13Feb2021 as single dose for COVID-19 immun-ization. Patient's medical history and patient's concomitant medications were not reported. On 14Feb2021, Patient reported, I can't sleep at night and arm hurts so it has settled in joints, shoulder, and up neck to down to elbow. Patient wanted to know that how long this will last. Treatment for the events was Tylenol. LOT#: Patient stated that Pfizer GN5318, it looked like. Outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1261632
Sex: F
Age:
State: TN

Vax Date: 02/13/2021
Onset Date: 02/16/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Rash; This is a spontaneous report from a contactable consumer (patient). A 69-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot no. EN6200; Expiration date: unknown) via an unspecified route of administration on 13-FEB-2021 at single dose for COVID -19 immunisation. The patient medical history and concomitant medications were not reported. patient experienced a rash three days after received first dose. patient received treatment with Hydrocortisone cream and it has started to go away and Benadryl. it was reported that second dose scheduled on 6Mar2021. the outcome of event was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1261633
Sex: F
Age:
State: IL

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 04/27/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: This is a spontaneous report from a contactable consumer (patient). A 70-year-old female consumer received unspecified dose number of BNT162B2 (solution for injection; Batch/Lot Number: EN6203) via an unspecified route of administration on 22Feb2021 as single dose for COVID-19 immunization. Medical history included hypertension, diabetes mellitus and thyroid. Concomitant medications included metoprolol, lisinopril, glipizide, metformin. On 22Feb2021, the patient experienced swelling in my face and arm was extremely sore and tender. No treatment received for the adverse events. The outcome of the event arm is extremely sore and tender was recovered and swelling in face was not recovered.

Other Meds: METOPROLOL; LISINOPRIL; GLIPIZIDE; METFORMIN

Current Illness:

ID: 1261634
Sex: F
Age:
State: MD

Vax Date: 02/17/2021
Onset Date: 02/01/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Could not sleep; Effected upper part of my body, my arms, my neck, my shoulders, It's been very severe/ /severe muscle condition; I had tiny bit of shingles on my side; I did not have memory of anything that happened/Do not remember all of it, I was out of my mind; This is a spontaneous report from a contactable consumer (patient). An 85-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EN5318, Expiration Date: unknown), dose 2 via an unspecified route of administration on 17Feb2021 as single dose for COVID-19 immunization. Medical history included blood pressure and cholesterol. Concomitant medications included hydrochlorothiazide taken for blood pressure and rosuvastatin taken for cholesterol. On 20Feb2021, the patient experienced could not sleep. In Feb2021, the patient experienced effected upper part of body, arms, neck, shoulders, it's been very severe/severe muscle condition, had tiny bit of shingles on my side, did not have memory of anything that happened/do not remember all of it, was out of my mind. The patient reported that she had some very severe muscle condition. She could not sleep. It was horrible. The patient understood that they put it in the muscle so that is why she was feeling that. It's been very severe, she was ok now and she think it is going to be better now. She have been taking treatment Tylenol 500 mg, two of them every 6 hours and the doctor gave a medication for tiny bit of shingles on my side to keep it from growing any further. The patient did not remember all of it, she was out of her mind. They took her to the hospital and then the patient underwent MRI to see if her brain was okay and they come up with a conclusion that is what it was and she did not have memory of anything that happened. The outcome of the events was recovering. No follow-up attempts are possible; No information is required.

Other Meds: HYDROCHLOROTHIAZIDE; ROSUVASTATIN

Current Illness:

ID: 1261635
Sex: F
Age:
State: CO

Vax Date: 02/13/2021
Onset Date: 02/20/2021
Rec V Date: 04/27/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: raised bumps on torso from neck to butt, about 10 of them, when run finger over them they sting for a few seconds; also dizzy last night; This is a spontaneous report from a contactable consumer or other non-healthcare professional. A 46-years-old non-pregnant female patient received BNT162B2 (BNT162B2) via an unspecified route of administration, in left arm on 13Feb2021 at 17:15 as single dose for COVID-19 immunization at the age 46 years. Medical history included hypothyroidism and osteoarthritis. Concomitant medication(s) included Synthroid. No known allergies were reported. Patient did not receive any other vaccines in four weeks. Prior to vaccination, the patient was not diagnosed with COVID-19. Post vaccination, the patient was not tested for COVID-19. On 20Feb2021, patient experienced raised bumps on torso from neck to butt, about 10 of them, when run finger over them they stung for a few seconds, also dizzy last night and investigated bed bugs or mites but haven't found evidence of them. No treatment was received for the events. Outcome of the events was not recovered.

Other Meds: SYNTHROID

Current Illness:

ID: 1261636
Sex: F
Age:
State: CA

Vax Date: 02/18/2021
Onset Date:
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Soreness in my arm; This is a spontaneous report from a contactable consumer (patient). The 73-year-old female patient received BNT162B2 (COMIRNATY, solution for injection) (Batch/Lot Number: EN6200) on 18Feb2021 (at the age of 73-years-old) via unspecified route of administration as a single dose for COVID-19 immunization. The medical history included Rheumatoid arthritis (since 1999). Patient had rheumatoid arthritis, she was wondering if it was okay for her to take Tylenol after, well she had shot like 5 days ago, for arthritis pain. The concomitant medication included Methotrexate (Four 2.5 mg, Weekly) for Rheumatoid arthritis, Folic acid (1mg) Prescribed to 1 mg to counteracts the side effects of Methotrexate that was also prescribed, Vitamin D3 (2000 units), calcium citrate and Turmeric(It was just supposed to help arthritis so she took that over the counter. It was not prescribed). Patient reported soreness in arm. Patient didn't have any pain other than little bit of soreness in arm after the shot. This was just an ongoing thing. Patient further explained pain in her knees from ski. When she did ski she wanted to able to take Tylenol before she went skiing but patient didn't wanted to affect her have a Covid shot would work. Patient reported action(s) taken with drug was unknown. Patient did not receive any treatment. The outcome of the event was unknown.

Other Meds: CALCIUM CITRATE; FOLIC ACID; METHOTREXATE; TURMERIC [CURCUMA LONGA]; VITAMIN D3

Current Illness:

ID: 1261637
Sex: F
Age:
State: MO

Vax Date: 02/18/2021
Onset Date: 02/22/2021
Rec V Date: 04/27/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Dental cavity; This is a spontaneous report received from a contactable consumer (reporting on herself). A 76-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: solution for injection, Lot Number: EN6200 and Expiration Date was not reported), via an unspecified route of administration in Arm Right on 18Feb2021 12:00 as single dose for COVID-19 immunization. Medical history included atrial fibrillation, hypothyroidism, blood pressure ab-normal, hypoacusis all from an unknown date and unknown if ongoing. Concomitant medication(s) included levothyroxine (LEVOTHYROXINE) taken for hypothyroidism from an unspecified start date and ongoing (has been taking for at least 2 years); apixaban (ELIQUIS) taken for atrial fibrillation from 2018 and ongoing; diltiazem hydrochloride (DILTIAZEM CD) taken for blood pressure abnormal from 2016 and ongoing; metoprolol tartrate (METOPROLOL TARTRATE) taken for blood pres-sure abnormal from an unspecified start date and ongoing (has been taking for a couple of years); colecalciferol (VITAMIN D3) taken for an unspecified indication from an unspecified start date and ongoing (has been taking since at least 2016); cyanocobalamin (VITAMIN B12 [CYANOCOBALAMIN]) taken for an unspecified indication from 2016 and ongoing (She does not know why she takes this. She states she was low on something). Historical vaccine includes Flu shot. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. It was reported that on 18Feb2021 first dose of the BNT162B2. She did not have any problems after getting the vaccine. She goes back on 11Mar2021 for the second dose. Patient mentioned that she was hard of hearing. Confirms this has been going on for a long time. She diagnosed with a cavity and has an appointment to have it filled the day prior to receiving the second dose. She has a dentist appointment on 10Mar2021 to have a cavity filled. Asking will this be a problem. She will probably have to have Novacaine but she does not know. Yesterday she went for a 6 month check-up and was found to have a cavity. She was scheduled for an appointment to have the cavity filled. Patient was asking should she cancel the appointment. She had a flu shot in Sep2020. She has not had any other vaccines. The outcome of the event was unknown.

Other Meds: LEVOTHYROXINE; ELIQUIS; DILTIAZEM CD; METOPROLOL TARTRATE; VITAMIN D3; VITAMIN B12 [CYANOCOBALAMIN]

Current Illness:

ID: 1261638
Sex: F
Age:
State: NY

Vax Date: 02/17/2021
Onset Date: 02/23/2021
Rec V Date: 04/27/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Shingles - right gluteal region - S2 dermatome - 7 days after dose 2; This is a spontaneous report from a contactable physician (the patient). A 46-years-old non-pregnant female patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: El9266, Expiration date: Unknown), via intramuscular, administered in right arm on 17Feb2021 08:00 (at the age of 46-years-old) as a single dose for COVID-19 immunization. Patient previously received first dose of bnt162b2 on 22Jan2021 for covid-19 immunization. The patient had known allergies with Latex, adhesive, perfume, fragrance, pollen. The patient was not pregnant at the time of vaccination. The patient had no other vaccine in four weeks and no other medication within 2 weeks. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient medical history and concomitant medications were not reported. On 23Feb2021 08:00, the patient experienced shingles - right gluteal region - S2 dermatome - 7 days after dose 2. The patient was not given treatment. Outcome of event was not recovered. No follow up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1261639
Sex: F
Age:
State: CA

Vax Date: 02/18/2021
Onset Date:
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: This is a spontaneous report from a contactable male (husband). Caller and his wife of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection), via an unspecified route of administration on 18Feb2021 (Batch/Lot number was not reported) as single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. The patient experienced soreness in the skin and reported that the soreness was experienced in 6 years' time. The patient wanted to know if she can take Tylenol or Ibuprofen for the soreness of skin. The outcome of event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1261640
Sex: F
Age:
State: KS

Vax Date: 02/22/2021
Onset Date: 03/01/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Swelling in the lower legs and feet; This is a spontaneous report from a contactable consumer (Patient). A 82-year-old (non-pregnant) female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number: unknown), via an unspecified route of administration in left arm on 22Feb2021 at 10:00 AM as single dose for COVID-19 immunization. Patient had historical vaccine (at 82-year-old) BNT162B2, first dose in left arm on 01Feb2021 11:00 AM for COVID-19 immunization. There was no other vaccine in four weeks. Patient medical history included glaucoma, high blood pressure, pacemaker and known allergies from Sulfa. The patient took concomitant medications (Other medications in two weeks). On 01Mar2021 at 08:00 AM, the patient experienced swelling in the lower legs and feet. There was no COVID prior vaccination and not tested for COVID post vaccination. The outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1261641
Sex: F
Age:
State: NJ

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

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: shingles; chicken pox; This is a spontaneous report from a Pfizer sponsored program. A contactable 71-year-old female consumer(patient) received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot/Expiration date: Unknown), via an unspecified route of administration on unspecified date as single dose for COVID-19 immunization. Patient medical history and concomitant medications were no reported. Patient had a condition called shingles chicken pox and Patient currently on a medication of Valtrex and was about to finish taking it on Wednesday. The outcome of event was unknown. Information on the Lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1261642
Sex: M
Age:
State: IL

Vax Date: 02/20/2021
Onset Date: 02/23/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: itching at injection site; swelling at injection site; injection site warm to touch; This is a spontaneous report from a contactable consumer (patient). A 65-year-old male patient received bnt162b2 (BNT162B2 Formulation: Solution for injection, Batch/Lot number: EN6198, Expiry Date: 30Jun2021), on left arm at the age of 65, dose 2 via an unspecified route of administration on 20Feb2021 as single dose, dose 1 (Lot EL9266, Expiry: 31May2021) via an unspecified route of administration on 30Jan2021 as single dose for covid-19 immunization. Vaccination Facility was Physician Office Hospital. Medical history included diabetes for which patient takes unspecified high blood pressure medication. Concomitant medication was Januvia for diabetes. On 23Feb2021 the patient experienced itching at injection site, swelling at injection site, injection site warm to touch. It was reported should he seek further treatment or advice. The adverse events does not require physician office visit and emergency room visit. The patient did not receive any other vaccines within 4 weeks prior to the covid-19 vaccine. Patient was not administered any vaccine on same date of the suspect. Outcome of reaction/event at the time of last observation was not recovered/not resolved.

Other Meds: JANUVIA [SITAGLIPTIN]

Current Illness:

ID: 1261643
Sex: M
Age:
State: NY

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 04/27/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Fatigue; This is a spontaneous report from a contactable consumer (patient). A 46-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EN6202) via an unspecified route of administration on 22Feb2021 as single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On 23Feb2021, the patient experienced fatigue. He said that the fatigue is mild. Outcome of the event was unknown.

Other Meds:

Current Illness:

ID: 1261644
Sex: F
Age:
State: NJ

Vax Date: 02/22/2021
Onset Date: 02/27/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Herpes simplex; This is a spontaneous report from a contactable other health professional (reported for herself). A 54-year-old female patient (not pregnant) received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), dose 1 via an unspecified route of administration, administered in Arm Left on 22Feb2021 16:00 (Batch/Lot number was not reported) at the age of 54 years old as single dose for covid-19 immunisation. Medical history included Encephalitis Herpes simplex; No Known allergies. Concomitant medications in two weeks included amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL); vitamins nos (MULTIVITAMIN [VITAMINS NOS]). Facility type vaccine other Public housing. No other vaccine in four weeks. The patient experienced Herpes simplex on 27Feb2021 07:00. No Treatment Received. No covid prior vaccination and no covid tested post vaccination. The outcome of the event was not recovered. No follow-up attempts are possible; information about lot/batch number cannot been obtained.

Other Meds: ADDERALL; MULTIVITAMIN [VITAMINS NOS]

Current Illness:

ID: 1261645
Sex: F
Age:
State: NV

Vax Date: 02/18/2021
Onset Date:
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: This is a spontaneous report received from a Pfizer-sponsored program. A female patient (reported herself) of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: Expiry date: Unknown), via an unspecified route of administration on 18Feb2021 at SINGLE DOSE for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient experienced cough tickling on her throat. The treatment included Benzonatate 100mg yesterday wants to know if that is safe given that she had 1st dose. The outcome of the event was Unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm