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: 1316208
Sex: M
Age:
State: TN

Vax Date:
Onset Date:
Rec V Date: 05/14/2021
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: a steadily increase on his blood sugar; This is a spontaneous report from a contactable consumer reporting for himself. A male patient of an unspecified age received a dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) (lot number/expiration date: not provided), via an unspecified route of administration, on an unspecified date as a single dose for COVID-19 IMMUNIZATION. Relevant medical history and concomitant medication were not provided. On an unspecified date after receiving the vaccine, the patient experienced a steadily increase on his blood sugar which arrived to glucose values nearing 575. The patient would like to note there was no change in his diet or routine, and his conclusion was that it had to be a possible side effect from the vaccine. The outcome of the event a steadily increase on his blood sugar was not recovered. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1316209
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 05/14/2021
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: Feeling dizzy; blurred vision; vertigo; This is a spontaneous report from a contactable consumer (patient) received via medical information team. A female patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date were not reported), 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. The patient asked if the vaccine contains polyethylene glycol and sulfur. She also mentioned that she had an immediate response to the first dose. The patient experienced feeling dizzy, blurred vision and vertigo on an unspecified date. The events lasted for about 4 hours but got better. The patient said she is hesitant in getting the second. Outcome of the events was resolving. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1316210
Sex: M
Age:
State:

Vax Date: 04/10/2021
Onset Date: 04/19/2021
Rec V Date: 05/14/2021
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: tested positive for covid on 19Apr2021; This is a spontaneous report from a contactable Pharmacist. A 66-years-old male patient received bnt162b2 (BNT162B2), via an unspecified route of administration on 10Apr2021 (Batch/Lot number was not reported) as 1ST DOSE, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced tested positive for covid on 19apr2021. patient asked what is the acceptable time frame for the patient to receive the second dose or does he need to start the series over. The patient underwent lab tests and procedures which included sars-cov-2 test: positive on 19Apr2021. The action taken in response to the event for bnt162b2 was not applicable. 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: 1316211
Sex: F
Age:
State: AZ

Vax Date: 04/23/2021
Onset Date:
Rec V Date: 05/14/2021
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: Hives around the jaw and back; This is a spontaneous report from a Pfizer sponsored program . A contactable female consumer (patient) reported that a female patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number and expiry date not reported), via an unspecified route of administration on 23Apr2021 at a single dose for COVID-19 immunization. Medical history included allergies to medication. The patient's concomitant medications were not reported. The patient experienced hives around the jaw and back 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:

Current Illness:

ID: 1316213
Sex: M
Age:
State:

Vax Date: 05/01/2021
Onset Date: 05/02/2021
Rec V Date: 05/14/2021
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: The patient's medical history and concomitant medications were not reported. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number and expiry date were not reported), via an unspecified route of administration on an unspecified date at a single dose for COVID-19 immunization. The patient experienced chills on 02May2021, 24hours after the second dose but then it went away. The outcome of the event was recovered in May2021. No follow-up attempts are possible. information about lot/batch number cannot be obtained.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021510504 Same reporter/drug, different patient/event.

Other Meds:

Current Illness:

ID: 1316214
Sex: M
Age:
State:

Vax Date: 03/09/2021
Onset Date: 04/01/2021
Rec V Date: 05/14/2021
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: Diarrhea; Nauseated; Tired; No appetite; This is a spontaneous report from a contactable consumer. A 53-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number and expiry date not reported), via an unspecified route of administration in Apr2021 (3 weeks ago as reported) at a single dose for COVID-19 immunization. Other medications included treprostinil sodium (TYVASO), nasal from 09Mar2021 and ongoing, at 0.6 mg/ml, 4times a day via inhalation for pulmonary arterial hypertension and macitentan (OPSUMIT). Medical history included pulmonary arterial hypertension from 09Mar2020 and ongoing. Concomitant medications included warfarin sodium (COUMADIN SODIUM) and tadalafil (TADALAFIL). The patient experienced diarrhea, nauseated, tired and no appetite in Apr2021. The outcome of the event was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds: COUMADIN SODIUM; TADALAFIL

Current Illness: Pulmonary arterial hypertension

ID: 1316215
Sex: M
Age:
State:

Vax Date: 04/17/2021
Onset Date: 04/01/2021
Rec V Date: 05/14/2021
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: it was painful where he was given the COVID vaccine but he had no symptoms; This is a spontaneous report from a contactable consumer (patient). An adult male patient of an unspecified age received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration on 17Apr2021 (Batch/Lot number was not reported) as single dose for covid-19 immunisation. The patient had received the first dose of vaccine on unknown date at the top of the arm and had minimal to no pain (only some swelling upon administration). The patient medical history and the patient's concomitant medications were not reported. The patient experienced "it was painful where he was given the covid vaccine but he had no symptoms" (vaccination site pain) on an unspecified date with outcome of unknown. The clinical course was as follows, "cold transfer from unknown department and caller says that he has symptoms but the whole thing started when he had his first COVID vaccine and he felt nothing. With his second shot he is not sure about it. The guy who gave the caller his second COVID vaccine did it on the side of his arm and the caller had doubts that it may of not gone in all the way into his muscle and let's just say it didn't- so put that question on the side. Then it was painful where he was given the COVID vaccine but he had no symptoms. Then a week or so later, and now, he has a little bit of pain there or a sensation." No follow-up attempts are needed; Information related to batch/Lot number could not be requested.

Other Meds:

Current Illness:

ID: 1316216
Sex: F
Age:
State: WV

Vax Date: 04/26/2021
Onset Date: 04/01/2021
Rec V Date: 05/14/2021
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: A female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in arm left on 26Apr2021 at 10:00 (Batch/Lot number was not reported)(at the age of 93-year-old) as single dose for COVID-19 immunisation. Medical history included anaphylactic shock and blood cholesterol abnormal, both from an unknown date and unknown if ongoing and total knee replacement in 2009. Concomitant medications included simvastatin taken for blood cholesterol abnormal, start and stop date were not reported; furosemide (LASIX) taken for diuretic therapy, start and stop date were not reported and potassium taken for an unspecified indication, start and stop date were not reported. The patient reported that around on 26Apr2021 at 21:00 she experienced diarrhea. She said that she has had it 8-10 times, and she was just a little bit nauseous. The patient outcome of the events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds: SIMVASTATIN; LASIX [FUROSEMIDE]; POTASSIUM

Current Illness:

ID: 1316217
Sex: M
Age:
State: AR

Vax Date: 04/22/2021
Onset Date: 04/01/2021
Rec V Date: 05/14/2021
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: Severe headache/His headache is severe it feels like he is being hit on one onside of his head; Fever; Fatigue; He feels like its shocking his body because of the pain all over, his body shakes because of the pain.; He feels like its shocking his body because of the pain all over, his body shakes because of the pain.; Diarrhea; This is a spontaneous report from a contactable consumer (patient). A 44-years-old male patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration on 22Apr2021 at 44 years old as single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced headache, fever, fatigue, shaking, pain and diarrhea in Apr2021 with outcome of not recovered. The patient reported severe headache, a fever and fatigue, not sure when he will get relief. The patient wanted to know when he will get some kind of relief. His headache was severe it feels like he was being hit on one onside of his head. He felt like it was shocking his body because of the pain all over, his body shaked because of the pain. He was surviving on Tylenol and Ibuprofen right now. The patient clarified having a maybe a little diarrhea along with the pain all over, fever, fatigue and severe headache. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1316218
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 05/14/2021
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: All of her body aches; Chills; This is a spontaneous report from a contactable consumer (patient's husband) reported for his wife. A female patient of an unspecified age received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date (Lot number was not reported) as single dose for COVID-19 immunisation. Medical history included heart murmur, asthma. Concomitant medications were not reported. Previously the patient received the first dose of BNT162B2 on an unspecified date for COVID-19 immunisation without adverse event. On an unspecified date, the patient experienced all of her body aches, chills. Therapeutic measures were taken as a result of the events included Tylenol. 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: 1316219
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 05/14/2021
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: Redness; Little swelling; Continuous itching; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received the 2nd dose of bnt162b2 (BNT162B2, Manufacturer Pfizer-BioNTech), via an unspecified route of administration, on an unspecified date, at single dose, for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. Previously the patient received the 1st dose of bnt162b2 (BNT162B2, Manufacturer Pfizer-BioNTech) for COVID-19 immunisation with no adverse effect. The patient experienced redness (non-serious) on an unspecified date with outcome of unknown, little swelling (non-serious) on an unspecified date with outcome of unknown, continuous itching (non-serious) on an unspecified date with outcome of unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1316220
Sex: F
Age:
State:

Vax Date: 04/26/2021
Onset Date:
Rec V Date: 05/14/2021
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: Site of injection really hurts; Site and muscle were all inflamed; Site and muscle were all inflamed; This is a spontaneous report from a contactable consumer (patient). A 55-years old female patient received BNT162B2 (Pfizer-Biontech Covid-19 Vaccine) at single dose, on 26Apr2021, for COVID-19 immunisation. Relevant medical history and concomitant medications were unknown. On an unspecified date, the site of injection really hurts and site and muscle were all inflamed. Caller stated that the site of the injection really hurts and she just wanted to know should she use a cold compress or warm compress. Clinical outcome of the events was unknown at time of this report. No follow-up attempts are needed, information about batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1316221
Sex: F
Age:
State: PA

Vax Date: 04/17/2021
Onset Date: 04/18/2021
Rec V Date: 05/14/2021
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: Shortness of breath; Can't eat; Lightheaded; Nauseated; Throwing up; This is a spontaneous report from a contactable consumer, the patient. This 57-year-old female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0161; Expiration Date: 31Jul2021), via an unspecified route of administration in the right arm on 17Apr2021 14:30 (at the age of 57-year-old) as a single dose for COVID-19 immunization. The patient was not enrolled in any clinical study or program. Medical history included ongoing chronic obstructive pulmonary disease (COPD), ongoing Crohn's disease, ongoing diabetes mellitus, ongoing neuropathy peripheral, and ongoing liver disorder. The patient had allergic to a lot of antibiotics; she is allergies to metronidazole, Compazine, she is very highly allergic to Compazine, Penicillin, Augmentin, Bactrim, Iodine, Sulfa, IV contrast (iodine), Prozac and Avelox; the allergies to these medications occurred years ago with the same type of reactions with all these medications: Her throat closes up, she turns black and blue (bruising), or she vomits. Concomitantly, the patient takes medications but does not feel her medications are relevant. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient previously took the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8730, Expiry Date: 31Jul2021); via an unspecified route of administration in the left arm on 27Mar2021 at 14:30 (at the age of 57-year-old) as a single dose for COVID-19 immunization. The patient reported she had her second Covid 19 vaccine on 17Apr2021, it seems like the next day on 18Apr2021, she didn't feel that good where she has been nauseated, lightheaded, throwing up, can't eat and has shortness of breath. Every day it seems worse. She doesn't know if she's sick with something else or if it's the vaccine. She called and spoke with her doctor and her doctor didn't know if her symptoms were related to the Covid 19 vaccine or maybe she had bronchitis or COPD (since she does have a history of COPD). No investigation assessment reported. The patient also called her liver doctor who told her to call and report her symptoms to Pfizer. Her symptoms are still persisting. The clinical outcomes of the events, nauseated, lightheaded, throwing up, can't eat and has shortness of breath were not resolved.

Other Meds:

Current Illness: Allergic reaction to antibiotics (allergic to Metronidazole, Augmentin, Bactrim, Avelox; these allergies occurred years ago); Chronic obstructive pulmonary disease; Crohn's disease; Diabetes; Liver disorder; Neuropathy

ID: 1316222
Sex: F
Age:
State: TN

Vax Date: 04/24/2021
Onset Date: 04/25/2021
Rec V Date: 05/14/2021
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: They have had every symptom from COVID.; This is a spontaneous report from a contactable consumer. This consumer (husband) reported for a 53-year-old female patient (wife) received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection, Batch/Lot Number: ER8735), via an unspecified route of administration, administered in Arm Right on 24Apr2021 (at the age of 53-year-old) as 1st, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. Caller wanted to know what should he and his wife would do if they developed "every symptom on the list" of COVID-19 after receiving the first dose of the COVID-19 vaccine, as On 25Apr2021, they both had a "pretty severe" reaction, his reaction was "coming down quite a bit" but his wife?s reaction was not coming down as quick. Within 24 hours of after receiving the first dose of the Pfizer COVID-19 vaccine their symptoms started growing like if they got the shot and got the virus at the same time. During the call he mentioned that maybe the virus was on their systems for weeks or months but did not activate until they received the shot. Caller is trying to figure out the shot he got. On the 24Apr2021, Saturday, he and his wife went to an open vaccination clinic where they didn't have to have appointments. They both got the shot Saturday, and by Sunday afternoon, the next day, they were both getting sick. Now for the last week they have been sick as a dog. They have had every symptom from COVID. They were told that someone can't catch COVID from the vaccine. That is not true. What is he supposed to do Is it safe for them to go out after this sickness or cold? Pfizer needs to change the information that says people cannot get COVID. Him and his wife both have symptoms of COVID. Can they get the virus from the vaccine. It is unlikely both had it before the shot. He did not have diabetes, and he doesn't take medications. He has no health problems. He did not have a prescribing doctor. He went through the city's vaccination site. His COVID symptoms are improving. His wife's COVID symptoms are slowly improving. Caller has not received treatment. Him nor his wife have gone to the doctor or ER, not yet. He got the vaccine in his left arm. He had no diabetes, no heart problems, and no high blood pressure. They were feeling perfectly fine. They figured they may have to travel to Germany out of the blue to see family, so they better get vaccinated. The outcome for the event the patient experienced they have had every symptom from covid was recovering. Follow up #1 (03May2021): This is a follow up-spontaneous report received from a contactable consumer reported for the patient via follow-up letter which included: event details and clinical information. No follow-up attempts are needed. No further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021494357 same reporter/drug/event, different patient.

Other Meds:

Current Illness:

ID: 1316223
Sex: U
Age:
State:

Vax Date: 04/07/2021
Onset Date:
Rec V Date: 05/14/2021
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: feel kind of little bit of pain in my heart, I feel like in my lung; feel kind of little bit of pain in my heart, I feel like in my lung; got huge swelling under my neck on the left side/ swelling in the back; some pain in my chest; left arm has got kind of also very numb I cannot hold stuff with my left arm; Fever; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, batch/lot number and expiration date unknown) via an unspecified route of administration at left arm on 07Apr2021 (unknown age at time of vaccination), at single dose, for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. Patient stated, "I took second shot of Pfizer vaccine COVID 19, for COVID it was almost 07Apr2021 and right after that a period later I got huge swelling under my neck on the left side and I took the vaccine on the left arm also and then I had huge fever also for basically 24 hours and recently I have been experiencing swelling in the back and also some pain in my chest and today my left arm has got kind of also very numb I cannot hold stuff with my left arm and sometimes I also feel kind of little bit of pain in my heart, I feel like in my lung. So, I don't know whom I should go visit to show me. Do these symptoms make sense is it dangerous or not?" The outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1316224
Sex: F
Age:
State: OH

Vax Date: 03/25/2021
Onset Date: 04/09/2021
Rec V Date: 05/14/2021
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: First dose: She felt a little tired; her leg swelled up; 15-16 days after receiving the first dose of the covid vaccine, she developed a rash. The rash moves around her body. The rash is itchy. The rash hurts a little bit.; the rash does hurt a little bit; This is spontaneous report from a contactable consumer (patient). A 74-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: ER8727), via an unspecified route of administration in left arm on 25Mar2021 at 10:40AM as 1st dose, single for COVID-19 immunization. Medical history included hives, rheumatic fever, cataract surgery and lobectomy. The patient received shingles vaccine in 2018 and pneumonia vaccine. Concomitant medications were not reported. It was reported that she had no symptoms from the first dose, maybe she felt a little tired. 15-16 days after receiving the first dose of the COVID vaccine, on 9 Apr 2021, she developed a rash. The rash was itchy. She has not changed anything about her life style. She has not changed where she lives, laundry soap, or diet. In the past, if she has had hives, they have been very little. The rash on her now is moving around. The rash moves around from her bra line, stomach, back and left side of her neck. The left side of her neck is also itching. The rash does not hurt. Clarified that the rash does hurt a little bit. She describes that she wants to scratch the rash, clarifies that it almost feels like poison ivy where she wants to itch it. On 12 Apr 2021, she went to see a nurse practitioner. The nurse practitioner prescribed her a high dose hydrocortisone cream USP 2.5% (Lot number: AC11168, Expiration date: 20 Nov 2021) and it did not do much good. It only helped a little bit, whenever she was using it together with Benadryl. The rash also moved to the back of her neck, and side of her neck. She was excited that maybe the COVID vaccine aggravated the shingles vaccine she received in 2018. She received the second dose of the COVID vaccine (Lot number: ER8731), via an unspecified route of administration in left arm on 15 Apr 2021 at 10:40AM. Before she received the second dose of the COVID vaccine, she showed her rash to the nurse at the hospital. The nurse at the hospital said that she saw redness and bumpiness, but the nurse recommended her to go ahead and get the second dose of the COVID vaccine. The nurse stated that she was surprised they did not give caller a steroid shot. She happened to have a routine yearly appointment with her dermatologist on 21 Apr 2021. By then, the rash had gotten worse because she had to stop taking Benadryl. She had to stop taking Benadryl because it was making her blood pressure go high. Since stopping Benadryl, the rash got worse, and was itching and swelling up. Benadryl lot number: unknown. She states that it was written in white writing and she can not read it. Benadryl NDC: 50580-226-51 Benadryl expiration date: unknown. The dermatologist prescribed her an antihistamine and a cream. The very next day, Thursday 22 Apr 2021, the rash was almost better. From 22 Apr 2021 to 26 Apr 2021 she was doing good, and not bad at all. She still had hives in little places that would move around. The rash had not gone to her legs or top of feet. The rash was basically around her waistline. She has been using cold packs and taking two antihistamines a day. She was doing pretty good for a couple of days, until the right side of her leg swelled up. The rash is still there, and it hurts. She is continuing using the antihistamine cream and cold pack. She was anxious to see if her rash gets worse about 15 days after receiving the second dose of COVID vaccine. Since her rash appeared about 15 days after receiving the first dose of the COVID vaccine. Her doctor told her that her rash could very well be from the COVID vaccine. Her doctor told her that the COVID vaccine could have aggravated something in her body. Whenever she was five years old, she survived rheumatic fever. She has never had any problems with the shingles vaccine or pneumonia vaccine. She does not get the flu vaccine. The COVID vaccine did not affect her arm at all. She was only a little tired. She is tired now. She thinks that she might be tired now because she is taking an antihistamine. Antihistamine name, lot number, NDC and expiration date: not provided. Her dermatologist said that he did not want to give her a steroid shot, because that would be one more thing to add. Her dermatologist also said that a steroid shot might not last long enough. The morning the rash had moved. The rash was worse on the right side, upper part of her leg, towards her hip. The rash was also on her buttocks. All other areas are okay this morning. She does not have any allergies to mediations. She has been through several surgeries here and there. She has never had anything like this happen before. This is the first time she has ever experienced anything like this. She first noticed it whenever she was outside working in the yard. The rash started on her knee. She had been kneeling over a little bit. She put some old cortisone cream on the rash on her knee and then it went away. On 10 Apr 2021, the rash was really bad. It will still there on 11 Apr 2021, and she could not get an appointment with her primary care physician. She would say over all that the moving rash is generally getting better. Expect for this morning, whenever it came back on her right side. She knows that the rash is not from her laundry detergent. She knows that the rash is from the COVID vaccine. Because of her age. Her and her husband both received the COVID vaccine. Her husband did not have any symptoms, and her husband is older than her. Her husband went through cancer treatments. She was calling to report symptoms after receiving the COVID vaccine. She was asking if she called the right place to report her symptoms. She was calling about the Pfizer COVID vaccine. She does not think Primary / Prescribing Healthcare Professional Info is necessary to include because she has not seen her primary care physician about her symptoms. Her and her husband talked to people who had COVID that were younger than them. Those people told her and her husband that they did not want to catch COVID. Those people missed a lot of work because of COVID. Her and her husband wanted the J&J COVID vaccine at first. Her and her husband were going to wait to get it, but it was not offered in their area. She was really glad that her and her husband chose to get the Pfizer COVID vaccine. She got the COVID vaccine because she does not want COVID. She does not have any medications, medical history or testing that she feels is relevant to include. She had cataract surgery years ago. She has a chip in her breast from a lobectomy. Caller did not wish to clarify or provide any more information. She asked to not include that in the report, because it was not relevant. All of her surgeries were years ago. Patient visited Physician Office. because of her rash. She was asking if other people have reported a rash. She saw on the internet that other people had rashes. The outcome of the event itchy rash was recovering and outcome of the other events was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1316225
Sex: F
Age:
State:

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 05/14/2021
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: heart rate elevated really bad; This is a spontaneous report from a contactable consumer(patient). A 33-year-old female patient received first dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number and expiry date unknown), via an unspecified route of administration, in right arm on 12Apr2021 (at the age of 33-years-old), at a single dose for COVID-19 immunization. The patient did not have any medical history or concomitant medications. The patient's heart rate elevated really bad 3 hours after vaccination on 12Apr2021. The event resulted in emergency room visit on 14Apr2021. The outcome of the event was recovered after a week in Apr2021. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1316226
Sex: F
Age:
State: NJ

Vax Date: 04/26/2021
Onset Date: 04/27/2021
Rec V Date: 05/14/2021
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: Left arm hurt at injection site; Whole arm hurt; Left arm hurt at injection site, then whole arm hurt, now it feels weak and numb/Left leg felt tingly now it feels weak and numb; Left arm hurt at injection site, then whole arm hurt, now it feels weak and numb/Left leg felt tingly now it feels weak and numb/Left side of face feels kind of numb; Left leg felt tingly now it feels weak and numb; Left eye is blurrier than normal; Left eye is blurrier than normal; This is a spontaneous report from a contactable consumer (patient). A 19-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EW0170), via an unspecified route of administration in left arm on 26Apr2021 at 16:30 (at the age of 19-years-old), 1st dose, single for COVID-19 immunization. Medical history included left eye was blurry and wear glasses. Concomitant medications included loratadine (CLARITINE), vitamin B complex (VITAMIN B) and ascorbic acid, cyanocobalamin, ergocalciferol, nicotinamide, pyridoxine hydrochloride, retinol, riboflavin, thiamine mononitrate (ONE-A-DAY). Prior to vaccination, the patient was not diagnosed with COVID-19, did not receive other vaccines four weeks prior. The vaccine was administered at public health department. On 27Apr2021 at 6:30, the patient's left arm hurt at injection site, then whole arm hurt, and then it felt weak and numb. On the same day of 27Apr2021 at 6:30, the patient's left leg felt tingly, then it felt weak and numb. Her left side of face felt kind of numb and the left eye was blurrier than normal. No treatment was received for the events. The patient had not been tested for COVID-19 since vaccination. The outcome of the events was not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds: CLARITINE; VITAMIN B; ONE-A-DAY [ASCORBIC ACID;CYANOCOBALAMIN;ERGOCALCIFEROL;NICOTINAMIDE;PYRIDOXINE HYDROCHLORIDE;RETINOL

Current Illness:

ID: 1316227
Sex: F
Age:
State: CA

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 05/14/2021
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: I also woke up in the evening drenched with sweat and chills, completely sweat; I also woke up in the evening drenched with sweat and chills, completely sweat; shaking so badly; I was that sick; First shot was February 25, the second shot was April 22nd; First shot was February 25, the second shot was April 22nd; have anaphylaxis at 30 minutes/probably something in the medication that she was allergic to; This is a spontaneous report from a contactable (patient) reported for herself that a 71-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (Batch/Lot Number reported as EDOL71/ENOL71, unsure) via an unspecified route of administration on 22Apr2021 12:15 pm as 2nd dose, single for covid-19 immunisation. Medical history included shortness of breath, asthma. Concomitant medications included albuterol (SALBUTAMOL) and budesonide/formoterol fumarate (inhalation aerosol). Patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 25Feb2021 at the age of 71 years for covid-19 immunisation and she did fine. Patient stated that lot number for shot 2 looked like EDOL71. It could be ENOL71. The lady didn't write it very well. It could be EN or ED. She was calling to report she had a terrible side effect and she want to document it in the data. She couldn't give that to computer right now, she didn't feel well, she had the Pfizer shot 1 and Pfizer shot 2. She had anaphylaxis at 30 minutes and almost she had crashed her car just after the highway. First shot was February 25, she did fine, the second shot was April 22nd and she had a horrible reaction at 30 min. Patient stated that the problem is they didn't asked her if she was short of breath or if she had any pulmonary complication and so on the second shot she didn't say anything and she forgot to say she has asthma and no one asked her. she forgot to say and so they had her sit in 15min observation and she was fine and she had gone out after she got her vaccination record card sign, she got in her car and 15min. Later while she was driving she went into anaphylaxis. She had to pull over, thank god she didn't hit anybody, she pulled over and parked and she had her inhaler with her so she used the inhaler and she got in the back seat for half an hour to make sure that she drove home, she did not call 911. Patient further stated that she wanted to put it in documentation, if someone is taking something for asthma that probably should not have the second shot one medication is not good enough, the second dose and she also woke up in the evening drenched with sweat and chills, completely sweat and that happened about 8 to 10 hours after the shot on 22Apr2021. After the shot at 12:15 pm and she had the sweat about 11 O'clock at night when she had to lay down and she was shaking so badly she thought she was going to call 911, she was that sick. That's scary, patient stated "I must, I did have crashed in 3 or 4 people during that." So, it was very dangerous to someone who has asthma. That was probably something in the medication that she was allergic to. Outcome of the events was unknown.; Sender's Comments: Based on the very close temporal association, there was a reasonable possibility that the vaccination with BNT162B2 played a contributory role in triggering the onset of the anaphylaxis.

Other Meds: ALBUTEROL [SALBUTAMOL]; BUDESONIDE;FORMOTEROL FUMARATE

Current Illness:

ID: 1316228
Sex: M
Age:
State:

Vax Date: 03/26/2021
Onset Date: 04/06/2021
Rec V Date: 05/14/2021
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: The patient medical history and concomitant medications were not reported. Patient was asked that, "I got my first vaccine on March 26th and then the following, on April 6th I tested positive for Covid. my second dose was supposed to be on April 16th but I was still positive. I was positive through April 23rd. I am no longer positive, What do I do with the second shot". The outcome of the events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1316229
Sex: F
Age:
State: CA

Vax Date: 04/21/2021
Onset Date:
Rec V Date: 05/14/2021
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: the muscle aches and pain; felt horrible; could not get out of bed; the muscle aches and pain; This is a follow up-spontaneous report from a contactable patient who reported that a patient of 67-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection) via unspecified route of administration on 21Apr2021 09:00 at single dose for COVID-19 immunization. Medical history reported was ongoing high cholesterol and it is controlled by medication. Concomitant medication reported was cholesterol for high cholesterol. Anatomical location was reported as left. History of all previous immunization with the Pfizer vaccine considered as suspect, Prior Vaccinations (within 4 weeks) and additional Vaccines Administered on Same Date of the Pfizer Suspect was reported as None. Caller received the first dose of the Pfizer-BioNTech COVID-19 Vaccine last 21Apr2021, at 9AM and mentioned by 9PM, she felt horrible. Caller mentioned she could not get out of bed, as if somebody beat her up. Caller took Tylenol for the pain. Two weeks later, the muscle aches and pain still persisted. Caller mentioned she will be receiving the next dose pretty soon, on 12May2021. She stated also that she was taking medications for high cholesterol. Offered to transfer to Safety, but Caller declined because she is busy. Consumer called regarding the Pfizer COVID 19 vaccine. Stated she got the first dose of the vaccine last week, when ask to provide the exact date and time she states she doesn't remember and does not have this information. Caller stated after the shot for three days she was in so much pain she can't get up; every morning that she wakes up she was in pain; all her muscles are hurting like someone hit her with a baseball bat and this in not normal. She was asking what if she get the second one and it gets worse. Regarding Muscle Pain patient stated she got the shot two weeks ago at about 0900AM and by 2100PM at that night it was horrible. It has continued to hurt; it is the same and sometimes worse especially when she wakes up in the morning. It was reported treatment was two weeks ago and caller does not have vaccination card with her to provide NDC, lot or expiration date. Caller mentioned the only thing she has high cholesterol, and it was controlled by medication. Caller attempts to provide a name of a product but was unsure of the spelling or pronunciation and stated it was cholesterol medication. Outcome of all the events was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds: CHOLESTEROL

Current Illness: High cholesterol

ID: 1316230
Sex: F
Age:
State: GA

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 05/14/2021
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: Bruise; She had a "goose egg" under her skin that was swollen, hard, painful to touch, red, and hot; She had a "goose egg" under her skin that was swollen, hard, painful to touch, red, and hot; She had a "goose egg" under her skin that was swollen, hard, painful to touch, red, and hot; She had a "goose egg" under her skin that was swollen, hard, painful to touch, red, and hot; She had a "goose egg" under her skin that was swollen, hard, painful to touch, red, and hot; This is a spontaneous report from a contactable consumer. This consumer (patient) reported that a 52-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection, Batch/Lot Number: ER2613; Expiration Date: Jul2021), via an unspecified route of administration, administered in Arm Left on 13Apr2021 14:15 (at the age of 52-year-old) as 2ND DOSE, SINGLE for covid-19 immunisation. Medical history included, she lost 85 pounds in 9 months from an unknown date. The patient received first dose of bnt162b2 on 22Mar2021 in her left arm. Lot: EP6955. It might by SS, there are no dashes. It looks like EP or ER 6955. Expiration date: Jun2021. The patient's concomitant medications were not reported. Caller states that when she gets her second dose, she had it in the same arm that she received her first dose and reports the next evening she had a "goose egg" under her skin that was swollen, hard, painful to touch, red, and hot. Caller states she just assumed this was normal and did not think anything of it. She reports that over the last 3 weeks this has slowly gotten smaller and report it is the "size of an eraser" that she can feel if she presses on her skin. She states that she has also now noticed that there is a bruise and states that she did not initially have any bruising. Caller would like to know if this bruising is normal with the vaccine as she is concerned since it has been so long since she received her second dose. The patient didn't know who else to call. She had her first Covid shot and waited 3 weeks, then she got the second. She got the second one 3 weeks ago today, and she got it in the same arm. With the second shot she noticed by the next day, it didn't hurt to raise her arm and it didn't hurt until she touched it. She had a swollen area on her arm the size of a goose egg. Over the last 3 weeks it has finally shrunk and is now the size of a grain of rice. Now that it has shrunk, a bruise has appeared. She feels fine. She doesn't have Covid. She smokes, that's why she is coughing. She was wondering if this was something serious. It has been 3 weeks and she still has a bruise. Caller declines to provide a physician. She has not been to a doctor in years. She can't tell the last time she went to a doctor. The patient noticed the swelling the next day on 14Apr2021. She can still feel a little knot maybe the size of an end of a pencil. It has slowly gotten smaller over the last 3 weeks. It was the size of a goose egg, bigger than a regular chicken egg. She assumed it was because she had both shots in the same arm. She should have had it in her other arm. It would have been in the evening maybe around 2200 or 2300 at night because she was just about to go to bed. The lights were out in the living room and she came charging out of her bedroom and caught her arm on the door. She thought oh that hurts and put her hand over it and noticed a goose bump. The outcome of the event bruise was not recovered, swelling was recovering, and she had a "goose egg" under her skin that was swollen, hard, painful to touch, red, and hot were unknown. Follow up #1 (04May2021): This is a follow up-spontaneous report received from a contactable consumer reported that the date of vaccination, event and clinical information. No follow-up attempts are needed. No further information is expected. .

Other Meds:

Current Illness:

ID: 1316231
Sex: F
Age:
State: MD

Vax Date: 04/03/2021
Onset Date: 04/11/2021
Rec V Date: 05/14/2021
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: she had COVID-19; Tested positive COVID; Fever; This is a spontaneous report from a contactable consumer (patient) via Pfizer sponsored program. A 50-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection), via an unspecified route of administration, administered in Arm Left on 03Apr2021 11:30 (Batch/Lot Number: EW0150) as SINGLE DOSE for covid-19 immunisation. Patient medical history was not reported. Concomitant medications included influenza vaccine (FLU). The patient experienced fever on 11Apr2021. Patient stated, she received the first dose of the vaccine on 03Apr2021 and on 09Apr2021 she was tested for COVID and on 11Apr2021 she got the results for being positive for COVID. The COVID 19 vaccine lot number is EW0150 and unknown expiry date and NDC number. Patient clarified that herself and family mem-bers tested positive for COVID 1 week after getting the first dose of the COVID 19 vaccine and then tested negative 2 weeks after that. Patient stated the appointments had to be rescheduled for the second dose of the vaccine. Patient asked what was the best time to get the second dose of the COVID 19 vaccine or does it matter. Patient stated people keep asking her why she was getting the second shot since she had the antibodies already that the second shot would be giving her. Patient asked should she try to get the second dose at all. Therapeutic measures were taken as a result of events. Patient stated she took Advil for fever and also got an albuterol inhaler. The patient underwent lab tests and procedures which included sars-cov-2 test: positive on 11Apr2021 positive. The outcome of the events was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds: FLU

Current Illness:

ID: 1316232
Sex: M
Age:
State: PA

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 05/14/2021
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: Dizzy; Nauseous; This is a spontaneous report received from a Pfizer-sponsored program. A contactable consumer (patient's wife) reported that a 49-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection) via unspecified route of administration on 04May2021 13:00 as single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. Patient previously received BNT162B2 for covid-19 immunization. It was reported that caller and her husband received the second dose of the Pfizer Covid-19 vaccine around 1 p.m. today. Caller stated that her husband started feeling dizzy and nauseous around 7-7:30 p.m. Caller stated the onset of these symptoms occurred very quickly. Outcome of the events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1316233
Sex: F
Age:
State: MN

Vax Date: 01/27/2021
Onset Date: 02/04/2021
Rec V Date: 05/14/2021
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: Pericarditis; Pneumonia; Tachycardia; Headache; Achy; Fatigue; Heart rate was higher; Pain in my back, in my shoulder; I was very ill, I was unable to do anything; Pain in my back, in my shoulder; pain in my chest; Sed Rate was 48; by 04Feb2021 and 10Mar2021 my White blood count went down from 16,600 to 11,400; This is a spontaneous report from a contactable consumer (patient). A 72-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), first dose at the age of 72-years-old via an unspecified route of administration administered in arm left on 27Jan2021 (Batch/Lot Number: Unknown) as 1st dose, single for covid-19 immunisation. Medical history included hypertension (blood pressure high) from an unknown date and unknown if ongoing, pacemaker from an unknown date. Concomitant medication included a 10 mg high blood pressure pill (unspecified). The patient reported that after her COVID shot on 27Jan2021, she had the headache, achy, fatigue on unspecified dates; but she know that her heart rate was higher, she was exercising. It was higher than it normally was and her pacemaker, she have a pacemaker and she happen to have a pacemaker check 4 days after her COVID shot which they monitor every 7 months and it was working and it was pacing 100 percent of the time which was much higher than it had been before and the week after the shot she started having pain in her back, in her shoulder and it was hard to breathe, it's hard when she breathe and by the next day she ended up in the emergency room where she was diagnosed with pneumonia, tachycardia and pericarditis all on unspecified dates. She further reported that she was still suffering from them. She have some other tests on the 04Feb2021in the ER, her hemoglobin was 14.6 and on 10Mar2021 it was 11.6 so, it gone down 3 points, by 04Feb2021 and 10Mar2021, her White blood count went down from 16,600 to 11,400 and her Sed rate count (ESR or sed rate) was 48 (clarification unknown). She was very glad that she had the vaccination and was not sad that she had it but she was very ill, she was unable to do anything but lie around for about 25 days from 27Jan2021 to 25Mar2021 so for 2 months, and she still have pain in her chest not as bad as she had, it's not like intense with every single breathe, it's only if she take deep breath. She had the second shot of the vaccine on 17Feb2021 and got sicker faster after the second shot. The patient underwent lab tests and procedures which included haemoglobin: 14.6 on 04Feb2021, haemoglobin: 11.6 on 10Mar2021, red blood cell sedimentation rate: 48 on an unspecified date, white blood cell count: 16,600 on 04Feb2021, white blood cell count: 11,400 on 10Mar2021 and heart rate: higher on an unspecified date. Therapeutic measures were taken which included treatment with prednisone, flecainide, antibiotic for pneumonia and some kind of morphine pill for pain (given in the emergency room). On 24Mar2021, she had a cardioversion to try to deal with the tachycardia and in order to do that she had to take Eliquis. The outcome of erythrocyte sedimentation rate increased and white blood cell high was unknown and for the other events was not recovered. Information on Batch number/Lot number has been requested.

Other Meds:

Current Illness:

ID: 1316234
Sex: F
Age:
State: NJ

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 05/14/2021
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: Neuropathy; Feel crazy; Irritable; Depression; Feel extremely agitated and unstable; This is a spontaneous report from a contactable consumer (patient). A 21-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number and expiration date were not reported) on the left arm on 23Apr2021 (10:00) as a single dose, with route of administration unspecified, for COVID-19 immunization. Medical history included type 1 diabetes; peripheral neuropathy; autonomic neuropathy; and clinical depression. The patient was not pregnant at the time of vaccination. Concomitant medications included propranolol, gabapentin, metformin and duloxetine hydrochloride (CYMBALTA). On 23Apr2021 (18:00), the patient had neuropathy; had felt crazy; was irritable; had depression; and had felt extremely agitated and unstable. The outcome of the events was not recovered. The patient had no COVID-19 prior to vaccination, and had not been tested post-vaccination. Information on lot/batch number was available. Additional information has been requested.

Other Meds: PROPRANOLOL; GABAPENTIN; METFORMIN; CYMBALTA

Current Illness:

ID: 1316235
Sex: M
Age:
State: FL

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 05/14/2021
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: Mild myocarditis; This is a spontaneous report from a contactable consumer (patient). A 20-year-old male patient received bnt162b2, via an unspecified route of administration, administered in left arm on 27Apr2021 12:30 (Lot Number: EW0170) at unknown dosage #, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient experienced mild myocarditis minutes after the second shot (on 27Apr2021 12:45) with outcome of not recovered. 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. Additional information has been requested.

Other Meds:

Current Illness:

ID: 1316236
Sex: F
Age:
State: IL

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 05/14/2021
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: Hallucinations; This is a spontaneous report from a contactable consumer, reporting for herself. A 65-year-old non-pregnant female patient received the second dose of the bnt162b2 (BNT162B2), via an unspecified route of administration in Apr2021 at a single dose for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient previously received the first dose of the bnt162b2 (Lot Number: ER8729) at 65 years of age on 06Apr2021 at 9:30AM for covid-19 immunization and experienced slurred speech and confusion for a week starting 07Apr2021 12:00AM. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. In Apr2021, the patient experienced hallucinations. Prior to and since the vaccination, the patient was not diagnosed with COVID-19. The clinical outcome of the event was unknown. The batch/lot number for the vaccine, bnt162b2, was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1316237
Sex: F
Age:
State: GA

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 05/14/2021
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: breakthrough bleeding/Bleeding heavily with large clots; period started 1 day later with breakthrough bleeding; nausea; headache; lethargic; This is a spontaneous report from a contactable consumer (patient). A 45-year-old female patient (not pregnant) received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: ew0169), via an unspecified route of administration, administered in Left arm on 17Apr2021 at 13:45 (at the age of 45-year-old) at single dose for COVID-19 immunisation. Medical history reported as no. Prior to vaccination, patient was not diagnosed with COVID-19. Concomitant medications included probiotic (probiotics nos); daily vitamins; birth control pills. The patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: er8730), administered in left arm on 27Mar2021 at 10:00 AM (at the age of 45-year-old) at single dose for COVID-19 immunisation. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced nausea, headache and lethargic, all on 17Apr2021; and period started 1 day later (18Apr2021) with breakthrough bleeding. Bleeding heavily with large clots beginning 25Apr2021 and still happening 4 days later. Normal period lasts 6 days with 2 heavy days, 3 regular days and one light day. Since the vaccination, patient had not been tested for COVID-19. The outcome of the events was not recovered.

Other Meds: PROBIOTICS NOS; VITAMINS NOS

Current Illness:

ID: 1316238
Sex: F
Age:
State:

Vax Date: 04/17/2021
Onset Date: 04/20/2021
Rec V Date: 05/14/2021
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: Facial spasms left side of forehead starting 72 hours; Heart palpitations around 80 hours after second dose; This is a spontaneous report from a non-contactable consumer (patient). A 47-year-old female patient (not pregnant) received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: EW0169), via an unspecified route of administration, administered in Left arm on 17Apr2021 at 15:00 (at the age of 47-year-old) at single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. Prior to vaccination, patient was not diagnosed with COVID-19. The patient previously received sulfa; first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) on 27Mar2021 at 03:15 PM (at the age of 46-year-old) at single dose for COVID-19 immunisation. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced heart palpitations around 80 hours after second dose on 20Apr2021. Lasted only 20 minutes. Facial spasms left side of forehead starting 72 hours after second dose on 20Apr2021 at 15:00 and lasted 5 days. Since the vaccination, patient had not been tested for COVID-19. The outcome of the event facial spasms was recovered in Apr2021 for 5 days, outcome of event palpitation was recovered on 20Apr2021 for 20 minutes. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1316239
Sex: F
Age:
State: MD

Vax Date: 04/03/2021
Onset Date: 04/11/2021
Rec V Date: 05/14/2021
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: Tested positive COVID; Tested positive COVID; This is a spontaneous report received from a contactable consumer (mother) reported for a 16-year-old (reporter's daughter). A 16-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection), via an unspecified route of administration, administered in left upper arm like shoulder on 03Apr2021 11:30 (Batch/Lot Number: EW0150) as SINGLE DOSE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The reporter stated that 4 of the family members after getting the first dose of the COVID 19 vaccine tested positive for COVID and then tested negative 7 weeks after the vaccine and wondering if they should still get the second dose of the vaccine. Reporter clarified that herself and family members tested positive for COVID 1 week after getting the first dose of the COVID 19 vaccine and then tested negative 2 weeks after that. Reporter stated herself and daughter was scheduled for the second 6 weeks and 4 days from the first dose. Reporter stated her daughter was tested positive for COVID on 11Apr2021. Reporter stated no her daughter might have taken Advil one day but she does not think so. The outcome of the events was unknown. No follow-up attempts are needed. No further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021498996 same drug/similar event, different patients;US-PFIZER INC-2021502035 same drug/similar event, different patients;US-PFIZER INC-2021502099 same drug/similar event, different patients

Other Meds:

Current Illness:

ID: 1316240
Sex: F
Age:
State: NY

Vax Date: 04/15/2021
Onset Date: 04/25/2021
Rec V Date: 05/14/2021
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: Tested positive on 25Apr2021, her 1st dose on 15Apr2021; This is a spontaneous report from a Pfizer sponsored program. A contactable consumer (patient) reported that a female patient of an unspecified age received first dose of bnt162b2 (BNT162B2, Solution for injection), via an unspecified route of administration on 15Apr2021 as single dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. On 25Apr2021, the patient experienced tested positive on 25Apr2021, her 1st dose on 15Apr2021. Caller called to say that she tested positive on 25APR2021. She wants to know if this will affect her second dose of the vaccine which is scheduled on 06MAY2021. Were any unaddressed medical questions referred or forwarded to Medical Information? Yes: Customer and/or medical inquiry forwarded or referred to MI. On 25Apr2021, the patient underwent lab test which included covid test: positive. The patient did not receive any treatment for the events. The clinical outcome of the tested positive on 25Apr2021, her 1st dose on 15Apr2021 was unknown. No follow-up attempts are needed. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1316241
Sex: F
Age:
State: VA

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 05/14/2021
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: she experiencing side effects (fatigue, a little bit nausea and achiness); she experiencing side effects (fatigue, a little bit nausea and achiness); she experiencing side effects (fatigue, a little bit nausea and achiness); This is a spontaneous report from a Pfizer sponsored program. The contactable female consumer reported for herself. A female patient of unspecified age received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Lot number and expiration date unknown) via unspecified route on 30Apr2021, at 2:00 pm as 2nd dose single for COVID-19 immunisation. The patient received first dose of BNT162b2 on PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Lot number and expiration date unknown) via unspecified route on 07Apr2021, as 1st single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On 01May2021, the patient experienced side effects (fatigue, a little bit nausea and achiness). The patient wanted to know and asked for over the counter medications for side effects. Cold transfer due to longer than normal wait time. Unaddressed medical questions referred or forwarded to Medical Information. The outcome of the events was unknown. Information on the lot/ batch number has been requested.

Other Meds:

Current Illness:

ID: 1316242
Sex: M
Age:
State: MD

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 05/14/2021
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: tested positive a week after receiving first dose; This is a spontaneous report from a Pfizer sponsored program. A contactable consumer (patient) reported that a male patient of an unspecified age received first dose of BNT162B2 (solution for injection) via an unspecified route of administration on an unspecified date in Apr2021 at singled dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On an unspecified date it was reported that patient received 1st Pfizer dosage 3 weeks ago, tested positive a week after receiving first dose and was scheduled to receive 2nd dose on 04May2021. The patient underwent lab tests and procedures which included COVID-19 virus test: positive on an unspecified date in Apr2021. 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: 1316243
Sex: M
Age:
State: NY

Vax Date: 04/06/2021
Onset Date: 04/18/2021
Rec V Date: 05/14/2021
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: The patient's medical history and concomitant medications were not reported. It was reported that the patient got the first dose last 06Apr2021 and tested positive of Covid 19 last 18Apr2021. Second dose was on 16May (more than 21 days). The outcome of event was unknown. No follow-up attempts are needed. Information related to batch/lot number could not be requested.

Other Meds:

Current Illness:

ID: 1316244
Sex: F
Age:
State:

Vax Date: 03/18/2021
Onset Date: 03/01/2021
Rec V Date: 05/14/2021
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: Usual sore arm; Frozen shoulder. Hurts just to touch; Frozen shoulder. Hurts just to touch; This is a spontaneous report from a non-contactable consumer (patient). A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number was not reported), dose 2 via an unspecified route of administration on 18Mar2021 as second dose, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient stated second dose on 18Mar2021. It was reported that usual sore arm for a week following vaccine getting more sore. Also frozen shoulder, hurts just to touch on Mar2021. It was advised that mention it to family doctor. The patient inquired as it was safe getting another vaccine in the future. The outcome of event usual sore arm was not recovered and other events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1316245
Sex: F
Age:
State: FL

Vax Date: 04/02/2021
Onset Date: 04/10/2021
Rec V Date: 05/14/2021
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: first dose of the vaccine was on 2Apr2021, after a week, she tested positive for the Covid virus and has not gotten her second dose; This is a spontaneous report from a contactable consumer(patient). A 60-year-old female patient received first dose of bnt162b2 (BNT162B2, Solution for injection, Lot Number: EN6208), via an unspecified route of administration, administered in arm left on 02Apr2021 12:00 (at an age of 60-years-old) as single dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. On 10Apr2021, the patient experienced first dose of the vaccine was on 2Apr2021, after a week, she tested positive for the covid virus and has not gotten her second dose. Caller states her symptoms started on 09Apr2021 but she tested positive for Covid on 10Apr2021, after receiving her first dose of the Covid Vaccine on 2Apr2021. On 10Apr2021, the patient underwent lab test which included covid-19 test: positive. On 19Apr2021, the patient underwent lab test which included covid-19 test: negative. The clinical outcomes of the first dose of the vaccine was on 2Apr2021, after a week, she tested positive for the covid virus and has not gotten her second dose was recovered on 19Apr2021. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1316246
Sex: F
Age:
State: FL

Vax Date:
Onset Date:
Rec V Date: 05/14/2021
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: tested positive from covid-19 virus; This is a spontaneous report from a Pfizer sponsored program. A contactable consumer (patient) reported that a female patient of an unspecified age received first dose of BNT162B2 (Pfizer Covid-19 Vaccine, solution for injection) 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. On an unspecified date it was reported that she got her 1st dose and about a week later she tested positive from covid-19 virus. She was done with the quarantine and already surpassed the covid-19 virus. she had to start over or wait for weeks or months to take her 2nd dose of vaccine. The outcome of the event was recovered. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1316247
Sex: F
Age:
State:

Vax Date: 05/05/2021
Onset Date:
Rec V Date: 05/14/2021
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: A female patient received bnt162b2 (Pfizer- Biontech COVID-19 Vaccine Formulation: Solution for injection), via an unspecified route of administration on 05May2021 16:30 as 1ST DOSE, SINGLE for covid-19 immunisation. Medical history included eczema ( I have eczema, its since I was a baby) , food allergy, food allergy, drug hypersensitivity and food allergy from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. The patient experienced i had an uti on an unspecified date. The patient underwent lab tests and procedures which included sars-cov-2 test: negative on unspecified date. I have anaphylactic shock. Penicillin - not sure my reaction, I have eczema, its since I was a baby. I was told I was allergic to it, probably itching because of the eczema, I haven't drank orange juice in a long time, it makes me itchy, that's probably what the reaction to penicillin was. 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: 1316248
Sex: M
Age:
State: NY

Vax Date: 03/17/2021
Onset Date: 03/27/2021
Rec V Date: 05/14/2021
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: The patient received the first shot of Pfizer COVID-19 vaccine seven weeks ago. However, 10 days after getting the vaccine he got COVID. He had severe symptoms for week and a half but not to the point needed hospitalization. One week later he was clear and received a negative result. HE was clear now still have minor side effects. He did not feel comfortable getting the second dose of the vaccine at that time. He feel good enough to take the Pfizer COVID-19 vaccine but on him 49 day today. The patient asked the question would the vaccine be effective if he receive it 49 days after dose 1 and would it cause any danger to his health if he receive the vaccine this late. He went to get his vaccine, but they had some advisory at the clinic stating the vaccine could not be given later then 42 days after dose 1. The patient received first vaccine and 10 days later tested positive for Covid; symptoms afraid her because slight increased symptoms; it was dangerous, betrayed and it infected him. The patient stated, he had a very specific question to ask about the Pfizer Covid vaccine just for brief describe, he took the 1st dose of vaccine on 17Mar2021 and after 10 days later he tested positive for Covid and since then he thought recovering from Covid but now he betrayed, but symptoms afraid him, slight increases in symptoms when he had ever been want to go back to get his second shot or feel well enough to go back and get his second shot until now. The point was they gave him first shot and second shot was currently 49 days, was second shot still available for him or it was dangerous or it infected or was there another scenario that comes in private for research was there something secret. Patient was informed about Pfizer Medical information Department. Because it was on 10 days after the first dose, the time frame was significant in that probably the first dose had no impact to when that happening had it been three weeks before or 4 weeks before was probably medical value in that for what do or not, because he want to know if he can get the second shot that was more important if give him that number, would like to call that number. The patient underwent lab tests and procedures which included COVID test: positive (after getting the vaccine I got COVID) on 27Mar2021, negative (One week later I was clear and received a negative result) on Apr2021. The outcome of event was recovered on Apr2021. No follow-up attempts are possible. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1316249
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 05/14/2021
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: nauseous for several days; This is a spontaneous report from a non-contactable pharmacist. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiration date were not reported), via an unspecified route of administration on an unspecified date at unknown single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. It was unknown if the patient was pregnant. The patient stated she was nauseous for several days after getting vaccine 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:

Current Illness:

ID: 1316250
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 05/14/2021
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: On an unspecified date, approximately 14 hours after the 2nd dose, the patient experienced pain up and down her left side, the side of the shot. The next day, the patient had a migraine when standing up. Outcome of the events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1316251
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 05/14/2021
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: He received the first dose of the covid 19 vaccine noted body aches improved; This is a spontaneous report from a contactable consumer (patient). This is the second of two reports. The first report is a report received by Pfizer . A 53-year-old male patient received his first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date were not reported), via an unspecified route of administration on an unspecified date as first dose, single for COVID-19 immunization. The patient's medical history included hypertension from 2011 and body aches. The patient's concomitant medications were not reported. The patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) and noted body aches improved on an unspecified date. Information on the lot/batch number has been requested.; Sender's Comments: Linked Report(s) : same patient, diff drug/event

Other Meds:

Current Illness:

ID: 1316252
Sex: U
Age:
State:

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/14/2021
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: Feeling bad; My brain feels like it's going totally different way; Nauseous; Headache/sometimes during my headache I have my head hurts; Tired all the time; I am not well; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiration date were not reported), via an unspecified route of administration on 29Apr2021 (Thursday) as second dose, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Historical vaccine included the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiration date were not reported), via an unspecified route of administration on an unspecified date as first dose, single for COVID-19 immunization. The patient was feeling bad since 29Apr2021 (late Thursday) evening and was just curious to know how long that these symptoms can go on because the patient had to go back to work the next day (30Apr2021). The patient was feeling a little nauseous and had a headache while sometimes during headache, the head hurts on an unspecified date in 2021. The patient was tired all the time and the brain feels like it's going totally different way on an unspecified date in 2021. The outcome of these events was unknown at the reporting time.

Other Meds:

Current Illness:

ID: 1316253
Sex: M
Age:
State:

Vax Date: 04/26/2021
Onset Date:
Rec V Date: 05/14/2021
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: Got a bad cough and each day is getting worse, as far as the coughing; Not a high fever but a 99.8 fever; Oxygen between 93 and 94; Very weak; This is a spontaneous report from a contactable consumer (patient's spouse). A male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiration date were not reported), via an unspecified route of administration in arm on 26Apr2021 (Monday), 2nd dose, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiration date were not reported) administered via an unspecified route of administration on an unspecified date, 1st dose, single for COVID-19 immunization. On an unspecified date in 2021, the patient experienced a bad cough and he was very weak. The reporter stated that each day was getting worse, as far as the coughing. The patient did not have a high fever but had a 99.8 fever. It was reported that the patient put the oxygen thing on his finger, and it flicked between 93 and 94. The reporter asked whether she should bring the patient to the emergency room, or minute clinic and was advised to contact health care provider if she thought it was necessary. The outcome of the event got a bad cough and each day was getting worse, as far as the coughing was not recovered. Outcome of other events was unknown. No follow-up attempts are possible; Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1316254
Sex: M
Age:
State:

Vax Date: 04/26/2021
Onset Date: 04/28/2021
Rec V Date: 05/14/2021
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: A male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration on 26Apr2021 (Batch/Lot Number: ER8737; Expiration Date: 31Jul2021) as single dose for COVID-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. It was reported that the patient went to get the shot on 26Apr2021 and on 28Apr2021 he was diagnosed with COVID. They wanted to know if they need to get the second shot or delay it. Outcome of the event was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1316255
Sex: U
Age:
State:

Vax Date: 04/23/2021
Onset Date: 04/30/2021
Rec V Date: 05/14/2021
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: Pain kind of hurt; Watery Nose; I came down with Fever; Watery eyes; Burning throat; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received the first dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 23Apr2021 (Lot Number: SW0172) as SINGLE DOSE for COVID-19 immunization. The patient's medical history and the concomitant medications were not reported. On 30Apr2021, the patient came down with a fever and watery eyes, burning throat and just had sinus passageway and then on 01May2021, patient woke up with a fever again and had the pain kind of hurt, and still had fever and watery nose the whole day.That's all the problem patient had. The patient asked whether he/she should get a COVID test or it was normal. The outcome was reported as not recovered for fever and runny nose and unknown for rest of the events at the time of reporting. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1316256
Sex: M
Age:
State: MA

Vax Date: 03/29/2021
Onset Date: 03/01/2021
Rec V Date: 05/14/2021
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: Dizzy after the first dose of the vaccine; Felt very sick/Sick as a dog; 102 degree fever after first dose of the vaccine; He felt dizzy and thought he was going to fall over; This is a spontaneous report from a contactable consumer (patient). A 52-years-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: ER8732 ), at single dose via an unspecified route of administration on 29Mar2021 for covid-19 immunization (at the age of 52 years). Medical history included ongoing asthma (had for 20-30 years), diabetes (from 2018 and ongoing but on and off since 2018), covid-19 from Jan2021 to an unknown date (No Investigation Assessment), motor vehicle accident he had in 2002- took Naprosyn and it helped. States that before all of this he had lost (weight) pounds and been eating very well. The patient's concomitant medications were not reported. Previously, the patient had flu vaccine and he got the flu every time he got it (Vaccination Date: 2002 or 2003). No other products. After the first dose of the vaccine, on 29Mar2021 he had a 102degree fever a few minutes after the shot and was dizzy. He felt dizzy and thought he was going to fall over on an unspecified date in Mar2021. On 29Mar2021 he felt very sick; dizzy after first dose of the covid vaccine and stated that he sat for a bit after his shot. Paramedics there who took his temperature and that it was 101 point something; close to 102. They told him to go home and relax and take Tylenol. States he went home and took Aleve as therapeutic measure and felt better. It lasted one more day then went away. The patient underwent lab tests and procedures which included body temperature: 102 on 29Mar2021 it was 101 point something; close to 102. Rest relevant tests were none. The Outcome for fever, dizzy and felt sick was recovered on 30Mar2021; for going to fall over was unknown. Information on Lot/Batch number was available. Additional information has been requested.

Other Meds:

Current Illness: Asthma (States has had for 20-30 years.); Diabetes (Verbatim: Diabetes)

ID: 1316257
Sex: F
Age:
State: OH

Vax Date: 04/15/2021
Onset Date: 04/01/2021
Rec V Date: 05/14/2021
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: The patient's medical history and concomitant medications were not reported. The patient reported that she was sick everyday after she took the first dose and experienced all of the symptoms like colds, fever, chills and diarrhea. The outcome of the events was not recovered. No follow-up attempts are needed. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1316258
Sex: F
Age:
State: TN

Vax Date: 04/30/2021
Onset Date: 05/02/2021
Rec V Date: 05/14/2021
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: she started to feel abdominal cramps; She had the urge to go to the bathroom but the stool is described as formed; This is a spontaneous report from a contactable consumer (patient) via Pfizer-sponsored program. A female patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE ; Lot number and expiration date were not reported), via an unspecified route of administration on 30Apr2021 at 1st dose single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient started to feel abdominal cramps on 02May2021 and then it became horrendous. She described the abdominal cramps like diarrhea. She had the urge to go to the bathroom but the stool is described as formed (not watery) on 02May2021. She wanted to know if this was because of the virus or a side effect from the shot. The outcome of the events was unknown. She stated that next vaccine dose was scheduled on 29May2021. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm