VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer
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: 1277068
Sex: F
Age:
State: SC

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 05/01/2021
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: breathing changed; headaches all day and night; tiredness; This is a spontaneous report from a contactable consumer (patient) via medical information team. A 42-year-old female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: ER8727) via an unspecified route of administration in left arm on 06Apr2021 as single dose for covid-19 immunization. The patient was 42-years-old at the time of vaccination. Patient relevant medical history included high blood pressure from unspecified date and is ongoing (she was on Atenolol for it, but her doctor took her off because her blood pressure was normal), sinus issues from an unspecified date and is ongoing. The concomitant medication included pseudoephedrine hydrochloride (SUDAFED 12 HOUR) taken for sinus issues and it is ongoing. She asked if the headaches and tiredness experienced were also reported as side effect to the vaccine. Response: used headache and fatigue info following the 1st dose of the vaccine under Table 2: Study 2 Frequency and Percentages of Participants with Solicited Systemic Reactions, by Maximum Severity, Within 7 Days After Each Dose Participants 18 to 55 Years of Age Safety Population of the Full EUA PI, LAB-1457-7.0, revised: 06Apr2021. Caller asked if the change in her breathing was reported as a side effect of the Pfizer-BioNTech COVID-19 vaccine. Response: For the change in breathing pattern used section Drug or Food Interaction / Concomitant Administration of the VR-Consumer Inquiry Management (Off-Label or No Info). Added currently, symptom pertaining to breathing is under signs of a severe allergic reaction can include: Difficulty breathing from section What are The Risks of The PFIZER-BIONTECH COVID-19 mRNA vaccine?" of Fact Sheet for Recipients and Caregivers, LAB-1451-4.0, revised: 06Apr2021. Patient experienced on 07Apr2021 headaches all day and night, on 06Apr2021 was tired, on 10Apr2021 breathing changed and are persisting. Headaches are not as bad, but they are still there she has taken Tylenol for the headaches. The outcome of the event headache was unknown for tired was recovering and for breathing changed was not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds: SUDAFED 12 HOUR

Current Illness: Blood pressure high (she was on Atenolol for it, but her doctor took her off because her blood pressure was normal.)

ID: 1277069
Sex: M
Age:
State: WI

Vax Date: 04/08/2021
Onset Date: 03/16/2021
Rec V Date: 05/01/2021
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: Frequent urination; UTI; This is a spontaneous report from a Pfizer sponsored program. A contactable consumer (patient) reported that a 34-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) 1st dose on 11Mar2021 12:30 PM and 2nd dose on 08Apr2021 12:30PM, both at single dose via an unknown route in left arm for Covid-19 immunization. Medical history included Attention deficit hyperactivity disorder (ADHD), Nonalcoholic fatty liver disease (NAFLD), Obsessive-compulsive disorder (OCD), allergies to ammonium chloride and watermelons. Concomitant drug was "none". The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient did not receive any other medications within 2 weeks of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19. About a week after the first vaccine a developed a need to urinate frequently, every 5-20 minutes. Patient presumed it was a UTI and took steps to treat it. Event onset date was 16Mar2021 01:00. The symptoms abated about four days before the second vaccine. The symptoms returned on 21Apr021, four days after the second vaccination. Treatment received for the adverse event included antibiotics, pain reliever, antihistamines. Outcome of the events was resolved with sequel. Since the vaccination, the patient was not been tested for COVID-19. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1277070
Sex: F
Age:
State:

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 05/01/2021
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 felt like I was drugged; I was slow and I was swaying.; I was slow and I was swaying.; I had trouble getting my feet to step up into the garage.; This is a spontaneous report from a contactable consumer (reporting herself). This 59-year-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection), via an unspecified route of administration on 09Apr2021 at a single dose for COVID-19 immunization. The patients medical history and concomitant medication were not reported. The patient received the 2nd shot of the Pfizer vaccine last Friday. Everything was good until 2 and 3 hours into. The patient was outside felt like the patient was drugged. The patient was slow and the patient was swaying. The patient had trouble getting my feet to step up into the garage. Through the rest of the night, stayed in bed, did not like that feeling and did not want to fall. Everything was fine except that feeling. That lasted most of that day, that evening. when the patient woke up the next day felt ok. The patient no issues after that. The patient did not have control of her body. The patient had trouble getting into the garage. Outcome of events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1277071
Sex: F
Age:
State: KS

Vax Date: 03/24/2021
Onset Date: 03/26/2021
Rec V Date: 05/01/2021
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: soreness; her bowels were a little iffy; Feeling Ill; rumbling bowels; diarrhea; upset stomach; nausea; vomiting; accelerated heart rate; dizziness; fever; chills; This is a spontaneous report from a contactable consumer. A 80-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number: EK8730; Expiry date: Unknown), dose 1 via an unspecified route of administration, administered in Arm Right on 24Mar2021 14:45 at SINGLE DOSE for covid-19 immunisation. Medical history included arthropod sting, hypersensitivity, sinus disorder, hypertension, blood cholesterol, covid-19.C oncomitant medications included fluticasone taken for hypersensitivity, sinusitis; hydrochlorothiazide, lisinopril taken for hypertension, simvastatin taken for blood cholesterol. The patient previously took z-pak. No history of all previous immunization with the Pfizer vaccine considered as suspect. No additional vaccines administered on same date of the Pfizer suspect. No prior vaccinations (within 4 weeks). No visit to emergency room and physician office. No patient's medical history (including any illness at time of vaccination), relevant tests and family medical history. On 25Mar2021, the patient experienced had minimal soreness, no discomfort, 26Mar2021, she awoke with accelerated heart rate, upset stomach, rumbling bowels, and ran to the bathroom and vomited. Then she had diarrhea. Eventually her heart rate slowed, it was elevated for a while and slowed to normal that morning. she had 6-7 episodes of each- the vomiting and the diarrhea. In between those episodes, she had chills, dizziness, then fever. It rolled along, then her heart rate gradually slowed down. Her symptoms stopped after 2-3 rounds of diarrhea episodes. Her chills came on after she experienced accelerated heart rate. The chills stopped after the first or second throwing up/diarrhea episodes. She had brief dizziness following that. She had a couple or one more episode of throwing up and diarrhea. She got warm, calling it a fever and it did not last long. She has a tendency to get dizziness and takes Flonase to keep her allergies at bay. She thinks the dizziness this time went along with her chills and fever. On 27Mar2021, her stomach had a little discomfort, but nothing major. On 28MAr2021, 02:45 she awakened feeling ill and though she might vomit. It ended up being diarrhea and had 3 episodes of that, spaced out. It was over at 09:00. On 29Mar2021, her stomach was queasy and it went away by evening. On 1Apr2021, she had been experiencing tummy aches, taking Tums and her bowels were a little iffy. Therapeutic measures were taken for dizziness with Flonase. The outcome of the events nausea, vomiting, diarrhea, upset stomach, soreness and abdominal discomfort were unknown and events accelerated heart rate, dizziness, fever, chills and illness were recovered. No follow-up attempts are needed. No further information is expected.

Other Meds: FLUTICASONE; LISINOPRIL HCTZ; SIMVASTATIN

Current Illness:

ID: 1277072
Sex: F
Age:
State: DE

Vax Date:
Onset Date:
Rec V Date: 05/01/2021
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: lump on her arm/a small lump; lump on her arm that was red and swollen; lump on her arm that was red and swollen; This is a spontaneous report from a Pfizer sponsored program, from a contactable nurse and consumer. A 66-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. Patient stated got the second covid vaccine and got a lump on her arm that was red and swollen its been about a week and there was a small lump there. The outcome of the event was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1277073
Sex: M
Age:
State: CT

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 05/01/2021
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: did not feel well; severe chills; felt feverish; achy; This is a spontaneous report received from a contactable consumer. A 56-year-old male patient received the 2nd dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration In the left arm on 12Apr2021 09:30 AM at single dose for COVID-19 Immunization. Medical history was unknown. The patient had no allergies to medications, food, or other products. Concomitant medications included caffeine/paracetamol (EXCEDERIN) and zolmitriptan (ZOMIG). The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient previously received the 1st dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 22Mar2021 at 56 years old for COVID-19 Immunization. Approximately 14 hours after inject to about 19 hours after inject, the patient intermittently had severe chills, felt feverish, also was achy and did not feel well from 12Apr2021 11:30 PM. No treatment received for the adverse events. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19.Outcome of the events was recovered. This report was reported as non-serious. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds: Excederin; ZOMIG

Current Illness:

ID: 1277074
Sex: F
Age:
State: FL

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 05/01/2021
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: sores in my mouth; my tongue felt like I burned it; This is a spontaneous report from a contactable consumer (patient). A 42-years-old non-pregnant female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in the right arm on 09Apr2021 at 15:00 (Batch/Lot Number: ER8737) as a single dose for COVID-19 immunization. Medical history included no medication or food allergies, but the patient did reach mildly to insect bites. The patient swells up more than normal, but not strong enough to need medical attention. Concomitant medications included multivitamins; no other vaccine in four weeks. The patient was not tested post vaccination. The day after the vaccine, on 10Apr2021 at 12:00PM, the patient's tongue felt like she burned it and 3 days after the vaccine (12Apr2021), she had sores in her mouth. No treatment was administered for the events. The events resolved on an unspecified date in Apr2021.

Other Meds:

Current Illness:

ID: 1277075
Sex: F
Age:
State: FL

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 05/01/2021
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: tired; headache; This is a spontaneous report from a contactable consumer. A 62-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in Arm Right on 05Apr2021 (Batch/Lot number was not reported) as SINGLE DOSE for covid-19 immunisation (Age at vaccination: 62 years). Medical history included fibromyalgia. Concomitant medication included etanercept (ENBREL). The patient experienced tired and headache on 05Apr2021 12:00. The patient's hospitalization was prolonged as a result tired and headache on an unspecified date. The patient underwent lab tests and procedures which included Nasal Swab: unknown on 13Apr2021. Patient is not pregnant. Outcome of the event was not recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds: ENBREL

Current Illness:

ID: 1277076
Sex: F
Age:
State:

Vax Date: 04/09/2021
Onset Date:
Rec V Date: 05/01/2021
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: sore arm; distressed; depressed; This is a spontaneous report from a contactable consumer (patient). This 81-year-old female patient received the 1st dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on 09Apr2021 at single dose for COVID-19 Immunization. Medical history included covid headaches and arthritis. Concomitant medications included prednisone acetate, supplements and vitamins. The patient had the Monoclonal waited 90 days to get the first dose, but never got antibodies from the monoclonal. The patient had covid headaches. She didn't have the headaches since she got the vaccine. She felt better all around: mentally, physically. She was still not going out. She hadn't felt this good since last year. She had no reaction after her first dose just a sore arm. The patient was scheduled to get second Covid shot later than 21 days after the first on 30Apr2021, marked for 03May2021. She was told there was a 4 day window. She asked if this was true. She was concerned about the second covid vaccine shot timeline. She needed to know she will be okay. She was housebound and was going crazy. She was so distressed/depressed and needed to get out of here. Once she got the second shot she can leave and see her grandchildren and children. It was not fair that she was scheduled for 03May2021. It was supposed to be 21 days after and she was very upset. Outcome of the events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds: PREDNISONE ACETATE

Current Illness:

ID: 1277077
Sex: M
Age:
State:

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 05/01/2021
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: Fever; Feeling sluggish; This is a spontaneous report from a contactable consumer. A 6-decade-old (mid-to-late 50s) male patient (brother-in-law) received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection), via an unspecified route of administration on 08Apr2021 at approx. 14:55 as a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection) as a single dose for COVID-19 immunisation. The next day, 09Apr2021, he had a fever and was feeling sluggish. The outcome of the events was recovered on 10Apr2021. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1277078
Sex: F
Age:
State:

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 05/01/2021
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: Fever; Extreme body aches; headache; lethargy; earache; This is a spontaneous report from a contactable other healthcare professional (patient). A 31-year-old female patient received second dose of BNT162B2 (BNT162B2; Lot number and expiry date not available), via an unspecified route of administration, in left arm on 08Apr2021 at 18:00 (at the age of 31-year-old) as a single dose for COVID-19 immunization. Medical history included sickle cell trait. The patient's concomitant medications were not reported. Historical vaccine included first dose of BNT162B2 (Lot number and expiry date not reported), via an unspecified route of administration, in left arm on 18Mar2021 at 18:00 as a single dose for COVID-19 immunization. The patient had no known allergies. The patient was not pregnant. No other vaccine was given in four weeks. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient experienced fever, extreme body aches, headache, lethargy and earache on 09Apr2021. The events were reported as non-serious. The patient underwent lab tests and procedures which included nasal swab test: unknown results. The outcome of the events was unknown. No follow-up attempts are needed. Information about lot/batch number can be obtained.

Other Meds:

Current Illness:

ID: 1277079
Sex: M
Age:
State: MI

Vax Date: 03/24/2021
Onset Date:
Rec V Date: 05/01/2021
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: chills; feeling fatigue; This is a spontaneous report from a Pfizer sponsored program. A contactable male consumer (patient) reported that a male patient of unspecified age received BNT162B2 first dose on 24Mar2021 at single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. Patient had his 1st dose of the Pfizer Covid-19 vaccine 18 days ago(24Mar2021) and is scheduled to return for his 2nd dose on 14Apr2021. He mentioned that after getting the 1st shot, at first he experienced no adverse events but later on he started to have chills and feeling fatigue. He wants to know if these are normal. The outcome of the events was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1277080
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 05/01/2021
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: armpit was swollen; This is a spontaneous report from a contactable consumer (patient's cousin). An adult male patient in in his late 40s / early 50s received BNT162B2 at single dose for COVID-19 immunisation on unknown date. Relevant history and concomitant drugs were unknown. The patient experienced armpit was swollen after receiving his first COVID-19 shot. Outcome of event was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1277081
Sex: F
Age:
State: MD

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 05/01/2021
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 has been very sick since yesterday; This is a spontaneous report from a Pfizer- sponsored program. A contactable female consumer (patient) reported for herself that she received 2nd dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 09Apr2021 single dose for COVID-19 immunization. Medical history included COVID positive before at around 05Jun2020. The patient had 1st dose of BNT162B2 on 18Mar2021 for COVID-19 immunization. The patent has been very sick since yesterday (10Apr2021). She said she was feeling this same symptom when she was a COVID-19 positive. The outcome of the event was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1277082
Sex: F
Age:
State: CA

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 05/01/2021
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: Very sore injection site, chills, fever (100.7), fatigue for about 14 hours starting about 16 hours after injection.; Very sore injection site, chills, fever (100.7), fatigue for about 14 hours starting about 16 hours after injection.; Very sore injection site, chills, fever (100.7), fatigue for about 14 hours starting about 16 hours after injection.; Very sore injection site, chills, fever (100.7), fatigue for about 14 hours starting about 16 hours after injection.; This is a spontaneous report from a contactable consumer. A 54-years-old female patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection, Lot Number: Er8735), via an unspecified route of administration, administered in Left Arm on 08Apr2021 16:30 as single dose for covid-19 immunisation. Medical history and concomitant medications were not reported. The patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection, Lot Number: En6208) for covid-19 immunization. The patient was not received any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, patient was not diagnosed with COVID-19. Since the vaccination, patient had not been tested for COVID-19. On 09Apr2021 08:30, It was reported that, very sore injection site, chills, fever (100.7), fatigue for about 14 hours starting about 16 hours after injection. Therapeutic measures was not taken. The outcome of event was recovered/resolved. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1277083
Sex: F
Age:
State: MI

Vax Date: 04/09/2021
Onset Date:
Rec V Date: 05/01/2021
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: Soreness; This is a spontaneous report from a contactable consumer (patient) via a Pfizer sponsored program. A female patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot/batch number and expiration date were not reported), via an unspecified route of administration on 09Apr2021 at single dose for COVID-19 immunization. Medical history included back pain. Concomitant medication included paracetamol (TYLENOL) taken for back pain. The patient experienced soreness on an unspecified date. The outcome of the event was unknown. No follow-up attempts are possible; Information about lot/batch number cannot be obtained.

Other Meds: TYLENOL

Current Illness:

ID: 1277084
Sex: F
Age:
State: NC

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 05/01/2021
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: Sore Arm; This is a spontaneous report from a contactable consumer reported for herself. This 61-year-old female patient received the 1st dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: ER8727) via an unspecified route of administration In the left upper arm on 20Mar2021 09:35 AM at single dose for COVID-19 Immunization. Medical history included migraines and family history of migraines. Concomitant medications was unknown. The patient stated that she had only a sore arm on 20Mar2021 after the first dose of the vaccine. The patient said started the day of the vaccine and lasted for a couple of days then it was gone. The patient had a CT Scan of her sinuses and throat; about a week or so ago; had not received any results. The patient had no prior vaccinations (within 4 weeks). Outcome of the event was recovered. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1277085
Sex: F
Age:
State: MD

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 05/01/2021
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: Heart Palpiations; elevated resting heart rate; This is a spontaneous report from a contactable consumer reported for herself. This 31-year-old female patient received the 1st dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EW0150) via an unspecified route of administration In the right arm on 07Apr2021 12:45 PM at single dose for COVID-19 Immunization. Medical history included migraine. Family history of penicillin allergy. Concomitant medications included folic acid supplement. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced heart palpitations/elevated resting heart rate on 07Apr2021 12:45 AM. No treatment received for the adverse events. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. Outcome of the events was not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds: FOLIC ACID

Current Illness:

ID: 1277086
Sex: U
Age:
State: VT

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 05/01/2021
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: This is a spontaneous report from a non-contactable consumer. A 50-years-old patient of an unspecified gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in Arm Right on 08Apr2021 17:45 (Batch/Lot number was not reported) as SINGLE DOSE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced elevated temperature, body aches, fatigue on 09Apr2021 16:00. Outcome of event was recovering. No treatment received. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1277087
Sex: F
Age:
State: VA

Vax Date: 03/13/2021
Onset Date:
Rec V Date: 05/01/2021
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: sore arm; more of a tingle/tingling arm; like a nerve, maybe she hit a nerve; injection site pain; injection site swelling; injection site redness; This is a spontaneous report from a contactable consumer (husband). A 79-year-old female patient (unknown pregnant at time of vaccination) received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 13Mar2021 in the arm as single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not provided. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date in 2021 as single dose for COVID-19 immunization. On unspecified date, patient still had a sore arm, she just wanted to shake it, more of a tingle, like a nerve, maybe she hit a nerve. Patient saw her PCP doctor last week (Apr2021) and she was told that it sometimes happened. Patient experienced tingling arm 1 month after 2nd injection. She also experienced injection site pain, injection site swelling or redness on unspecified date. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1277088
Sex: F
Age:
State: CT

Vax Date: 04/08/2021
Onset Date:
Rec V Date: 05/01/2021
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: This is a spontaneous report received from a non-contactable consumer (patient). This 25-year-old female patient receive bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), first dose on 08Apr2021 at 03:00 PM (lot unknown) as single dose at Right arm for COVID-19 immunization. The patient did not pregnant at the time of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID-19 vaccine. Medical history and concomitant medications were not reported. The patient experienced Nausea, vomiting, fever, chills, headache on 02Apr2021. Since the vaccination, the patient has not been tested for COVID-19. The outcome of the event was Not recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1277089
Sex: F
Age:
State: MA

Vax Date:
Onset Date: 03/26/2021
Rec V Date: 05/01/2021
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: This is a spontaneous report from a contactable consumer. A 63-years-old female patient received bnt162b2 dose 2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot Number: unknown) via an unspecified route of administration on an unspecified date as SINGLE DOSE , for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient previously took dose 1 via an unspecified route of administration on 26Mar2021 11:30 with Lot Number: EP6955 as single dose for COVID-19 immunization. The patient experienced couldn't raise arm above head or put on a coat without pain (limb discomfort), pain radiating from neck down to left arm, felt like muscles were being shredded (myalgia) on an unspecified date, pain radiating from neck down to left arm (pain in extremity) on 26Mar2021 14:00, a few hours after 1st pfizer vaccine dose had a sinus pressure headache which eventually went away within 24 hrs had soreness in left arm injection site plus pain lifting and moving arm (sinus headache) on an unspecified date, had soreness in left arm injection site plus pain lifting and moving arm (injection site pain) on 30Mar2021 14:00. Therapeutic measures were taken as a result of had soreness in left arm injection site plus pain lifting and moving arm (injection site pain). The outcome of the events were unknown and the outcome for the event injection site pain was not recovered. She still has pain intermittent in her arm where she can't put a coat on without pain or sleep on that side with pain. The pharmacist told her to take Aleve twice daily and use ice packs. The pain is the same and is the same consistency. She states the pharmacist states she had the exact same situation but it was after her second shot and that it lasted a month for her. Patient that pharmacist described the exact same pain and experiences that the patient had, noting that the pain went into the neck, she could not put her coat on and that it was not constant. Patient verified that the pharmacist was female. She did not know her name or initials. Patient stated that the pharmacist provided her with the information to call Pfizer. Patient states she thinks the pharmacist might have called in and reported her events also. The Pharmacist had the same as patient did after second dose and it lasted a month. Patient is also concerned that the second dose will be more severe than the first dose. Stated that the PI doesn't state if they vaccine should be given in the same arm for both doses or if you can get one dose in each arm. It simply states it is an intramuscular injection 2 DOSAGE AND ADMINISTRATION LAB-1457-7.0 Revised on 06 April 2021 Request Name: REQ-242581 Product: PFIZER-BIONTECH COVID-19 VACCINE. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1277090
Sex: M
Age:
State: OH

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 05/01/2021
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: Fever, chills, congestion, fatigue, muscle aches, headache. Notably: today, I have experienced gradually increasing "bone ache" deep in top of my RIGHT humerus that shoots down my arm, into my ribs, a; Fever, chills, congestion, fatigue, muscle aches, headache. Notably: today, I have experienced gradually increasing "bone ache" deep in top of my RIGHT humerus that shoots down my arm, into my ribs, a; Fever, chills, congestion, fatigue, muscle aches, headache. Notably: today, I have experienced gradually increasing "bone ache" deep in top of my RIGHT humerus that shoots down my arm, into my ribs, a; Fever, chills, congestion, fatigue, muscle aches, headache. Notably: today, I have experienced gradually increasing "bone ache" deep in top of my RIGHT humerus that shoots down my arm, into my ribs, a; Fever, chills, congestion, fatigue, muscle aches, headache. Notably: today, I have experienced gradually increasing "bone ache" deep in top of my RIGHT humerus that shoots down my arm, into my ribs, a; Fever, chills, congestion, fatigue, muscle aches, headache. Notably: today, I have experienced gradually increasing "bone ache" deep in top of my RIGHT humerus that shoots down my arm, into my ribs, a; Fever, chills, congestion, fatigue, muscle aches, headache. Notably: today, I have experienced gradually increasing "bone ache" deep in top of my RIGHT humerus that shoots down my arm, into my ribs, a; The is a spontaneous report received from contactable consumer (patient). A 28-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration administered in left arm on 08Apr2021 13:30 (Batch/Lot Number: ER8734) as single dose for COVID-19 immunisation. Medical history included seizures, migraines, depression, all from an unknown date and unknown if ongoing. No allergies to medications, food, or other products. Concomitant medications included levetiracetam (KEPPRA), ascorbic acid (VIT C), ergocalciferol (VIT D), vitamin b complex (VIT B COMPLEX), Fish Oil and Mg received within 2 weeks of vaccination. The patient previously took the second first of BNT162B2 administered in left arm on 18Mar2021 13:30 (Batch/Lot Number: EP7534) for COVID-19 immunisation. 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. No COVID prior vaccination. No COVID tested post vaccination. On 08Apr2021 18:30, the patient experienced fever, chills, congestion, fatigue, muscle aches, headache. notably: today, he has experienced gradually increasing "bone ache" deep in top of his right humerus that shoots down his arm, into his ribs and behind his shoulder. 8/10 severity of pain. Currently recovered from all symptoms ASIDE from the "bone ache" which has just started today. No treatment received for the adverse event. Outcome of the events was unknown. The events were assessed as non-serious. No follow-up attempts are possible; Information about lot/batch number cannot be obtained.

Other Meds: KEPPRA; VIT C; VIT D; VIT B COMPLEX; FISH OIL

Current Illness:

ID: 1277091
Sex: F
Age:
State: WI

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 05/01/2021
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: soreness at injection site; fatigue; joint pain; This is a spontaneous report from a contactable consumer (patient). A 61-year-old female patient (not pregnant at time of vaccination) received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 09Apr2021 at 14:15 (lot number: ew0162) on the left arm as single dose for COVID-19 immunization. Medical history was not reported. Concomitant medications included ibuprofen (ADVIL [IBUPROFEN]) and loratadine that received within 2 weeks of vaccination. The patient previously took the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 19Mar2021 at 14:15 (lot number: er2613) on the left arm as single dose for COVID-19 immunization; and on 19Mar2021, patient experienced injection site pain and soreness, fatigue, extreme thirst. Patient previously also took codeine family and experienced allergies. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient did not diagnose with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 10Apr2021, patient experienced soreness at injection site, fatigue, joint pain. There was no treatment received for the adverse event. The outcome of the events was recovered on unspecified date. No follow-up attempts are needed. No further information is expected.

Other Meds: ADVIL [IBUPROFEN]; LORATADINE

Current Illness:

ID: 1277092
Sex: F
Age:
State: TX

Vax Date: 04/08/2021
Onset Date: 04/10/2021
Rec V Date: 05/01/2021
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: Lemon size knot at site very red and hot to touch; Lemon size knot at site very red and hot to touch; Lemon size knot at site very red and hot to touch, bruiseing around edges hurts down arm; Lemon size knot at site very red and hot to touch, bruiseing around edges hurts down arm; This is spontaneous report from a contactable consumer (patient). A 44-year-old female patient (not pregnant at the time of vaccination) received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 08Apr2021 at 12:00 (Lot number: Ep7533) on the left arm as single dose for COVID-19 immunization. Medical history included allergies to Msg. There were no concomitant medications that no other medications the patient received within 2 weeks of vaccination. The patient previously took the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 18Mar2021 at 12:00 (Lot number: En6207) on the left arm as single dose for COVID-19 immunization. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient did not diagnose with COVID-19. Since the vaccination, the patient did not test for COVID-19. On 10Apr2021 at 10:00, patient experienced lemon size knot at site very red and hot to touch, bruising around edges hurts down arm. There was no treatment received for the adverse events. The outcome of the events was not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1277093
Sex: F
Age:
State: FL

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 05/01/2021
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: First 12 hours: skin burning shoulder, fizzy tongue, petechia on tongue, arm pain, diarrhea. After: abdominal pain, malaise, nausea, eye puffiness, water retention; First 12 hours: skin burning shoulder, fizzy tongue, petechia on tongue, arm pain, diarrhea. After: abdominal pain, malaise, nausea, eye puffiness, water retention; First 12 hours: skin burning shoulder, fizzy tongue, petechia on tongue, arm pain, diarrhea. After: abdominal pain, malaise, nausea, eye puffiness, water retention; First 12 hours: skin burning shoulder, fizzy tongue, petechia on tongue, arm pain, diarrhea. After: abdominal pain, malaise, nausea, eye puffiness, water retention; First 12 hours: skin burning shoulder, fizzy tongue, petechia on tongue, arm pain, diarrhea. After: abdominal pain, malaise, nausea, eye puffiness, water retention; First 12 hours: skin burning shoulder, fizzy tongue, petechia on tongue, arm pain, diarrhea. After: abdominal pain, malaise, nausea, eye puffiness, water retention; First 12 hours: skin burning shoulder, fizzy tongue, petechia on tongue, arm pain, diarrhea. After: abdominal pain, malaise, nausea, eye puffiness, water retention; First 12 hours: skin burning shoulder, fizzy tongue, petechia on tongue, arm pain, diarrhea. After: abdominal pain, malaise, nausea, eye puffiness, water retention; First 12 hours: skin burning shoulder, fizzy tongue, petechia on tongue, arm pain, diarrhea. After: abdominal pain, malaise, nausea, eye puffiness, water retention; First 12 hours: skin burning shoulder, fizzy tongue, petechia on tongue, arm pain, diarrhea. After: abdominal pain, malaise, nausea, eye puffiness, water retention; This is a spontaneous report from a 44-year-old female consumer (patient). A 44-years-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration administered in left arm on 07Apr2021 11:30 (Batch/Lot Number: EW0151) as single dose for COVID-19 immunization. Medical history included asthma and allergies multiples (all antibiotics) from an unknown date and unknown if ongoing. Concomitant medications included vitamins and collagen received within 2 weeks of vaccination. Patient was not pregnant at the time of vaccination. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced first 12 hours: skin burning shoulder, fizzy tongue, petechia on tongue, arm pain, diarrhea. after: abdominal pain, malaise, nausea, eye puffiness, water retention on 07Apr2021 12:00. The adverse event result in doctor or other healthcare professional office/clinic visit. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. No treatment received for the adverse event. Outcome of the events was not recovered. The events were assessed as non-serious. No follow-up attempts are needed. Information on the lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1277094
Sex: M
Age:
State: PA

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 05/01/2021
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 depression; anxiety; deep emotional distress; Fatigue; Insomnia; This is a spontaneous report from a contactable consumer (patient). A 55-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 08Apr2021 (Lot number: ER8735) on the right arm as single dose for COVID-19 immunization. Medical history included ADHD, hypothyroidism. No Allergies. Concomitant medication included lisdexamfetamine mesilate (VYVANSE). The patient previously took the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 18Mar2021 (Lot number: EP7534) on the right arm as single dose for COVID-19 immunization. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Since the vaccination, the patient did not test for COVID-19. The patient did not have covid prior vaccination and did not have covid tested post vaccination. On 09Apr2021, patient experienced severe depression, anxiety, deep emotional distress, fatigue, insomnia. Events resulted in Doctor or other healthcare professional office/clinic visit. There was no treatment received for the adverse events. The outcome of events was not recovered. This report was assessed by the reporting consumer as non-serious. No follow-up attempts are needed. No further information is expected.

Other Meds: VYVANSE

Current Illness:

ID: 1277095
Sex: U
Age:
State: PA

Vax Date: 04/06/2021
Onset Date:
Rec V Date: 05/01/2021
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: nausea; This is a spontaneous report from a contactable consumer (patient). This patient of unspecified age and gender received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 06Apr2021 as single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not provided. The patient previously took the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date as single dose for COVID-19 immunization. Patient received 2nd dose of the covid vaccine and was still experiencing nausea on unspecified date. 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: 1277096
Sex: F
Age:
State: IA

Vax Date:
Onset Date:
Rec V Date: 05/01/2021
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: This is a spontaneous report from a contactable consumer. A 75-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 on 05Feb2021 or 08Feb2021 as single dose to help prevent and make the caller immune (COVID-19 immunization). Medical history included blood pressure high diagnosed 15 years ago, high cholesterol diagnosed 10 years ago. The patient's concomitant medications were none. Historical vaccine included BNT162B2, first dose, received 2 weeks prior to the second dose. The patient has developed a skin condition since she has had her second dose of the vaccine, it came up about 3-4 days after it. She had the skin condition in her hairline and eye, it is improved but when she comes off of the cream it comes back, it is starting to get red again, flake and itch. She received the second dose of the vaccine on 05Feb2021 or 08Feb2021 the skin condition showed up in the following week. She applied a cortisone cream before contacting her doctor and the skin condition was still there, unknown lot or expiration date as she finished the tube and threw it out. The patient thought she had eczema and her doctor thought it may be dermatitis. She has been doing and antibiotic ointment and cortisone cream and the skin condition is still there and irritating. She has never had any skin conditions before. The caller's doctor recommended another cortisone cream but he didn't want her to use it more than a week or a week and a half. She discontinued it yesterday because she has been on it so long. Hydrocortisone cream 1% over the counter- lot 9736488T1, expiration date Jan 2022. The antibiotic cream the caller's doctor prescribed is Ketoconazole 2% cream, lot REVA9-2018, expiration date Oct 2022. Treatment received. Outcome was not recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1277097
Sex: F
Age:
State:

Vax Date: 04/06/2021
Onset Date: 04/10/2021
Rec V Date: 05/01/2021
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: Rash on side of body shingles like; Rash on side of body shingles like; This is a spontaneous report received from a non-contactable consumer. A 60-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in left arm on 06Apr2021 14:00 as single dose for covid-19 immunization in pharmacy or drug store. The patient medical history and concomitant medications were not reported. No Pregnancy.Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Historical vaccine included Covid-19 vaccine, dose 1 for covid-19 immunisation. The patient experienced rash on side of body shingles like on 10Apr2021 with outcome of not recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained

Other Meds:

Current Illness:

ID: 1277098
Sex: M
Age:
State: CT

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 05/01/2021
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: Fever 100 degrees F; This is a spontaneous report from a contactable consumer (parent). A 36-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/lot number: Unknown), via an unspecified route of administration in left arm on 12Apr2021 at 09:15 (at the age of 36-year-old) as a single dose for COVID-19 immunization. The patient's medical history included hypertension. The patient did not have allergies to medications, food, or other products. Concomitant medication included lisinopril received within 2 weeks of vaccination at 40 mg, once a day. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/lot number: Unknown) on 22Mar2021 in left arm as a single dose for COVID-19 immunization. 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. The patient experienced fever 100 degrees F on 12Apr2021 at 13:00. The patient underwent lab test and procedure which included body temperature: 100 degrees F on 12Apr2021. No treatment medication was received for the adverse event. The outcome of the event was not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds: LISINOPRIL

Current Illness:

ID: 1277099
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 05/01/2021
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: This is a spontaneous report from a non-contactable consumer. A 70-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date as single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. After reporter got the 2nd shot of the Pfizer COVID-19 vaccine, she had 48 hours of flu like symptoms, aching, extremely fatigued, headache that went away, just like someone opened the blinds, very quickly, 5 weeks from last shot, she got the same symptoms and they lasted for 7 days. Reporter could do nothing, went from the couch to the bed, ached all over. Reporter went to urgent care, had two swabs in 48 hours, negative for COVID-19 swabs one done on Thursday and Saturday went to urgent care and both were negative. Her friend(patient) is experiencing the same thing. Reporter thought maybe she got another bug, patient started to tell reporter that hers came back after 9 weeks after. Patient is 70, she is not doing well, every time she sits down she falls asleep. It's like something gets triggered. Reporter is going to encourage her friend to report this as well. Outcome for events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1277100
Sex: M
Age:
State: OH

Vax Date: 04/02/2021
Onset Date: 04/04/2021
Rec V Date: 05/01/2021
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: Dizziness; This is a spontaneous report from a contactable consumer (patient). A 78-years-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in Arm Left on 02Apr2021 14:10 (Lot number FR8733 or ER8733) as SINGLE DOSE for covid-19 immunization. Medical history included ongoing High cholesterol, ongoing COPD, ongoing to help his blood circulation. Prior Vaccinations (within 4 weeks) was None. The patient received first dose of bnt162b2 (lot number: EN6199 or FN6199) on 05Mar2021 14:10 Intramuscular in left arm for COVID-19 Immunization. Concomitant medication(s) included atorvastatin taken for High cholesterol from an unspecified start date (for years) and ongoing; budesonide, formoterol fumarate (SYMBICORT) taken for chronic obstructive pulmonary disease from an unspecified start date (for about a year, maybe more than that) and ongoing; acetylsalicylic acid (BABY ASPIRIN) taken To help his Blood circulation from an unspecified start date (for at least 10 years) and ongoing. The patient experienced dizziness on 04Apr2021 after his second Pfizer COVID-19 vaccination shot and it has lasted approximately 7-8 days. The event did not require a visit to Emergency Room or Physician Office. The outcome was not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds: ATORVASTATIN; SYMBICORT; BABY ASPIRIN

Current Illness: Blood disorder prophylaxis; COPD; High cholesterol

ID: 1277101
Sex: F
Age:
State:

Vax Date: 04/09/2021
Onset Date:
Rec V Date: 05/01/2021
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: she did not have much pain in her arm; sometimes feels like arm is numb; kind of like it is under anesthesia, from the site of injection until her pinky on the left side; This is a spontaneous report received from a contactable consumer (patient). A female patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 09Apr2021 (Batch/Lot Number: Not Provided) as SINGLE DOSE for covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient did not have much pain in her arm but she sometimes felt like her arm was numb, kind of like it was under anesthesia, from the site of injection until her pinky on the left side. It comes and goes. Sometimes she did not feel anything, sometimes it felt numb again. The outcome was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1277102
Sex: F
Age:
State:

Vax Date: 04/11/2021
Onset Date: 04/12/2021
Rec V Date: 05/01/2021
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: Soreness at injection site 12 hrs later; Fever; headache; chills; muscle aches; This is a spontaneous report from a non-contactable consumer (patient). A 25-years-old female patient (not pregnant) received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in Arm Left on 11Apr2021 (Lot Number: En6208,) as SINGLE DOSE, for covid-19 immunisation. The patient medical history was not reported. There was no other vaccine in four weeks or other medications in two weeks. There was no known allergies. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient's concomitant medications were not reported. The patient received first dose of bnt162b2 via an unspecified route of administration, administered in Arm Left on 21Mar2021 09:30 AM (Lot Number: EN6198) for Covid-19 immunization. The patient experienced soreness at injection site 12 hrs later on 12Apr2021, Fever, chills, headache, muscle ache. The patient received no treatment. Since the vaccination, the patient has not been tested for COVID-19. The outcome was recovering. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1277103
Sex: M
Age:
State: OH

Vax Date: 03/05/2021
Onset Date: 03/09/2021
Rec V Date: 05/01/2021
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: Distal paraesthesia, pins and needles, tingling feeling throughout body.; This is a spontaneous report from a contactable consumer reported for self. This 34-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) at the age of 34 years old on 05Mar2021 04:00 PM Arm Right at single dose (Lot: EN6204) for COVID-19 immunisation. Medical history included Childhood food allergies, but years since allergic reaction. Prior to vaccination, was the patient did not diagnose with COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. None other medications the patient received within 2 weeks of vaccination. He experienced Distal paraesthesia, pins and needles, tingling feeling throughout body on 09Mar2021 08:00 which result in Doctor or other healthcare professional office/clinic visit and Emergency room/department or urgent care. Since the vaccination, has the patient has not been tested for COVID-19. 4mg 6 day course of Prednisone was received for the events. Outcome of the event was not recovered. No follow-up attempts are needed. No further information is expected

Other Meds:

Current Illness:

ID: 1277104
Sex: F
Age:
State: NC

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 05/01/2021
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: Hasn't eaten much; Really bad headache; Migraine; nausea; vomiting; This is a spontaneous report from a contactable consumer reported for herself. This 61-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 10Apr2021 09:35 Arm Left at single dose (Lot: EW0151) for COVID-19 immunisation. Family medical history included Migraines. No other products. No additional vaccines administered on same date of the Pfizer Suspect. The patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 20Mar2021 at age of 61-year-old Left Upper Arm at single dose (Lot: ER8727) for COVID-19 immunisation. She had only a sore arm after the first dose of the vaccine. Says it started the day of the vaccine and lasted for a couple of days then it was gone. She got her second dose of the vaccine on Saturday 10Apr2021. States right after that she started having a really bad headache on 10Ap2021, not long after the vaccine, that turned into a migraine, Continues but has gotten better. She was nauseous and vomiting on 10Apr2021. States she stayed in bed most of the weekend. Nausea and Vomiting began on 10Apr2021. States she had eaten that day. Hasn't eaten much since then besides crackers. States the nausea and vomiting started before the headache got really bad. States the nausea and vomiting have improved and then again mentions she hasn't eaten anything besides some crackers. States she has also taken some nausea medication. Lab data included a CT Scan of her sinuses and throat; about a week or so ago; has not received any results. Outcome of the event headache, Migraine, nausea, vomiting was recovering. Outcome of other events was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1277105
Sex: F
Age:
State: NY

Vax Date:
Onset Date:
Rec V Date: 05/01/2021
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: I recently got the vaccine while on my period and I feel that it exacerbated my symptoms; This is a spontaneous report from a contactable consumer reported for self. This female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) at single dose for COVID-19 immunisation. The patient recently got the vaccine while on period and felt that it exacerbated symptoms. The patient spoke with many of friends and consulted online resources and they all agree. Women who get vaccinated while menstruating have much worse reactions than those who are not. The patient believe you should research this further because it can be really harmful. Outcome of the event was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1277106
Sex: F
Age:
State: KS

Vax Date: 03/31/2021
Onset Date:
Rec V Date: 05/01/2021
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: faster heart beats; This is a spontaneous report from the Pfizer-sponsored program Pfizer via a contactable consumer (patient). A female patient of an unspecified age received the first dose of BNT162B2 (Pfizer Covid-19 Vaccine), via an unspecified route of administration on 31Mar2021 at single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient was asking whether the second dose was supposed to be on 21Apr2021. She was also asking whether it was alright to receive the second dose of the vaccine after experiencing faster heart beats after being given the first dose of the vaccine. Outcome of the event was unknown. No follow-up attempts are needed. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1277107
Sex: M
Age:
State:

Vax Date: 03/30/2021
Onset Date: 04/04/2021
Rec V Date: 05/01/2021
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: Severe leg (confined to the thigh/quad area) muscle pain; This is a spontaneous report received from a non-contactable consumer (patient). This 65-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot: EP7534) via unspecified route of administration in left arm on 30Mar2021 at single dose for COVID-19 immunization. Medical history included strong seasonal allergies, eosinophilic esophagitis. No known allergies to medications, food, or other products. Concomitant medications were not provided. On 04Apr2021, the patient experienced severe leg (confined to the thigh/quad area) muscle pain following a routine run 3 days after the injection. The intense pain worsened over the subsequent days peaking at about 6 days from onset when the right leg suddenly got better leaving the left still in extreme pain. At 8 days from onset the pain slowly started to subside. Patient was still in moderate pain at day 10 from onset. Over the counter pain meds were not effective, so patient tried 50mgs tramadol, also not effective, 200mgs celecoxib 2x/day brought some relief. This report was assessed as non-serious. The patient was not diagnosed with COVID-19 prior to vaccination. Since the vaccination, the patient had not been tested for COVID-19. Outcome of the event was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1277108
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 05/01/2021
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: Blood Blisters; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number: unknown), via an unspecified route of administration on an unspecified date as single dose for covid-19 immunization. The patient medical history and concomitant medications were not reported.On an unspecified date, the patient experienced blood blisters after receiving her first dose of the Covid-19 Vaccine. The outcome of event was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained

Other Meds:

Current Illness:

ID: 1277109
Sex: M
Age:
State: NY

Vax Date:
Onset Date: 04/11/2021
Rec V Date: 05/01/2021
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: exhaustion; stomach upset; This is a spontaneous report from a contactable consumer. A 80-years-old male patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as SINGLE DOSE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. He received his second dose also on Saturday and experienced exhaustion afterwards. He told me that he had a similar reaction and stomach upset on 11Apr2021 for about a day after the first dose. Outcome of events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021406911 same patient/reporter/drug in separate time

Other Meds:

Current Illness:

ID: 1277110
Sex: M
Age:
State: PA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 05/01/2021
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: had different aches and pains anyways/ Especially in the arm that he received the covid vaccine in; Body aches; He did notice his arthritis seemed to be more intense; This is a spontaneous report from a contactable consumer (patient). This 74-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 08Apr2021 at 8:00 AM in left arm at single dose for COVID-19 immunization. Medical history was blood pressure abnormal. No family medical history relevant to events. Concomitant medications included blood pressure medication. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 10Mar2021 at 12:00PM in left arm as single dose for COVID-19 immunization at the age of 73-year. No other prior vaccinations (within 4 weeks). No additional vaccines administered on same date of the Pfizer suspect. Patient received second dose of the covid vaccine on Thursday, 08Apr2021, had body aches on 08Apr2021. It is hard for him to personally know exact dates. Patient had different aches and pains anyways. Especially in the arm that he received the covid vaccine in because he pulled a muscle in that arm. He had issues with that arm before, so it was hard for him to tell. He did notice his arthritis seemed to be more intense on 08Apr2021. He did not have a fever. He was now back to his normal aches and pains. He did not have any medications, medical history or testing to add that he felt was relevant. He was a typical old guy with aches and pains and that sort of thing. This report was assessed as non-serious. The events did not require a visit to Emergency Room or Physician Office. Outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1277111
Sex: M
Age:
State: NY

Vax Date:
Onset Date:
Rec V Date: 05/01/2021
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: Exhaustion; This is a spontaneous report from two contactable consumers via the Pfizer representative. An 80-year-old male patient received 2nd dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) at single dose on an unknown date via an unknown route for Covid-19 immunization. Medical history and concomitant drug were not provided. Historical vaccine included 1st dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) for Covid-19 immunization and experienced similar reaction of exhaustion and stomach upset for about a day after the first dose. He received his second dose on "Saturday" (unknown date) and experienced exhaustion afterwards. 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: 1277112
Sex: F
Age:
State:

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 05/01/2021
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: Insomnia; flushed face; This is a spontaneous report from a contactable consumer (patient). This 39-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot: Pfizerew0162) in left arm on 09Apr2021 for COVID-19 immunization. Medical history included endometriosis, hypothyroidism, mitral valve prolapse. Patient was not pregnant, not pregnant at time of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant medication within 2 weeks of vaccination included levothyroxine sodium (TIROSINT) and lisdexamfetamine mesilate (VYVANSE). Patient previously received metoclopramide hydrochloride (REGLAN) and morphine and experienced allergies. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 10Apr2021, patient experienced insomnia for three consecutive days after vaccine and flushed face. No treatment received for the adverse events. Since the vaccination, patient had not been tested for COVID-19. Outcome of the events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: TIROSINT; VYVANSE

Current Illness:

ID: 1277113
Sex: F
Age:
State: OH

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 05/01/2021
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: Metallic taste; sore arm; This is a spontaneous report from a contactable consumer (patient). This 53-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot: EP7533) on 12Apr2021 05:45 PM in right arm at single dose for COVID-19 immunization. Medical history included epilepsy, bradycardia, hypothyroidism, trigeminal neuralgia, allergies to sulfa. Patient was not pregnant, not pregnant at the time of vaccination. It was unknown if the patient diagnosed with COVID-19 prior to vaccination. Concomitant medications within 2 weeks of vaccination included levothyroxine sodium (LEVOTHROID) and acetylsalicylic acid (ASPIRINE).The patient previously received levetiracetam (KEPPRA) and experienced allergies. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced metallic taste and sore arm on 12Apr2021. No treatment received for the adverse events. Since the vaccination, the patient had not been tested for COVID-19. Outcome of the events was not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds: LEVOTHROID; ASPIRINE

Current Illness:

ID: 1277114
Sex: F
Age:
State:

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 05/01/2021
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: chills; aches; diarrhea; headache; nausea; vomiting; This is a spontaneous report from a non-contactable consumer (patient). This 22-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 12Apr2021 as single dose for COVID-19 immunization. Medical history was not provided. Prior to vaccination, the patient was not diagnosed with COVID-19. Patient was not pregnant, was not pregnant at the time of vaccination. Concomitant medications were not provided. Patient experienced chills, aches, diarrhea, headache, nausea, vomiting, all on 12Apr2021. This report was assessed as non-serious. Since the vaccination, the patient had not been tested for COVID-19. Outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1277115
Sex: F
Age:
State: MA

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 05/01/2021
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: Anaphylactic reaction; it started like a flushed feeling; She felt woozy; she still feels a little tight in her throat/she does feel tight, scratchy, and hoarse; she still feels a little tight in her throat/she does feel tight, scratchy, and hoarse; she still feels a little tight in her throat/she does feel tight, scratchy, and hoarse; she is just a little uncomfortable, just a little today, not too bad; She adds that she is having a hard time focusing; This is a spontaneous report from a contactable consumer (patient). This 60-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: ER8731 and expiry date unknown, Solution for injection), via an unknown route on 12Apr2021 at 15:05 (at the age of 60-years-old) at single dose on left arm for COVID-19 immunization. Relevant medical history included allergies, asthma, she had anaphylaxis in the past to allergies. (Unspecified allergens). The patient added that she had issues for about a year before her surgeon had to do a surgery on her throat. She added she was fortunate because her thyroid was in her airways 14 years ago and her body exploded with allergies and her throat closed a lot. When the doctor did the surgery, the doctor opened her throat up more so that if she had another anaphylaxis it would not result in death. Concomitant medications was not reported. On the same date, after the vaccination the patient had anaphylactic reaction. She stated that happened 62 minutes, it might have been 64 minutes and also stated a few minutes after 60 minutes. The vaccination facility released her after 30 minutes at 15:35 and when she realized something was happening it was 16:10 when the patient realized what it was that she was experiencing. The vaccine facility held onto her for 30 minutes, so she got the vaccine around 15:05 and they watched her for 30 minutes. She believed it was around 65 minutes later that she started noticing something was happening. The patient started like a flushed feeling. She does not know to describe it, it was like she had a drink or something like she felt flush or something over her system like a wave or something. It was like a strong drink or something. She does not drink a lot but it was like woohooo, a wave of something, and then she felt woozy. It was not too bad at first, she was at a bank drive through and she was not driving. The patient was going to pick something up so she stopped for 5 to 10 minutes. She was on the phone with a friend. She felt woozy. The patient asked her husband to buy diphenhydramine (Benadryl). Her husband called back when she got done at the bank, and she was only 10 minutes from her house. The patient had her EpiPen with her. The patient was feeling better and she still feels a little tight in her throat and the way she explained it yesterday was that it was like someone had their finger down her throat, it was uncomfortable. She was just a little uncomfortable, just a little today, not too bad. She added that she was having a hard time focusing. Today, the patient felt tight, scratchy, and hoarse. It was not like it was last night. The patient did not receive any treatment for the events. Outcome of the events were unknown. Description of Product Complaint: Description of complaint: Consumer reporting an AE for the Pfizer COVID 19 vaccine mentions that they told her not to take the flu vaccine because she would get sick. Her flu symptoms would go on for 2-3 months. If she got the flu shot in September or October, she would not feel well through Christmas. Caller adds that she never got the flu again when she stopped the vaccine. Caller does not know manufacturer, NDC, lot or expiration date for the flu vaccine she had that made her sick Caller does not have any information about the Benadryl - and she does not have the bottle that she took that made her sleepy because she added that the only bottle she had was the one that her husband bought yesterday and it was not opened and she had not taken it. Caller added that she had not taken Benadryl in 14 years since before her surgery. Caller adds it might have been 15 years, she would have to remember that. AE identified after call completed. No NDC, lot or expiration date provided for Benadryl caller took 14 to 15 years ago. Follow-up attempts completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1277116
Sex: M
Age:
State: OH

Vax Date: 04/09/2021
Onset Date: 04/13/2021
Rec V Date: 05/01/2021
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: patient tested positive after receiving the first dose; This is a spontaneous report from a contactable consumer (patient's parent). A 37-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 1 via an unspecified route of administration, administered in left arm on 09Apr2021 (lot number: ER8733) at the age of 37 years old, as single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient tested positive for COVID-19 after receiving the first dose on 13Apr2021 with outcome of not recovered.

Other Meds:

Current Illness:

ID: 1277117
Sex: F
Age:
State: IL

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 05/01/2021
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: My left hand, right side of my face and right foot were numb; numbness in my left hand; My left hand, right side of my face and right foot were numb; This is a spontaneous report from a contactable consumer (patient). A 38-years-old non-pregnant female patient, received bnt162b2 (BNT162B2, solution for injection, batch/Lot Number: ER8729), first dose at unspecified route of administration, administered in left arm on 09Apr2021 13:00 as SINGLE DOSE for covid-19 immunization. The patient medical history was not reported. Concomitant medication included paracetamol (TYLENOL) taken for an unspecified indication, start and stop date were not reported. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. On 09Apr2021, within minutes of getting the vaccination the patient felt numbness in left hand. Throughout the rest of the day his left hand, right side of the face and right foot were numb. It's been 3 days and he still felt numbness in left hand. No treatment was given for the events. On 09Apr2021 outcome of the events was not recovered. Follow up #1(PRD/SRD 13Apr2021): Vaccination facility zipcode was added. No follow-up attempts are needed. No further information is expected.

Other Meds: TYLENOL

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm