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: 1367255
Sex: U
Age:
State: PA

Vax Date:
Onset Date:
Rec V Date: 06/02/2021
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: the other 15 people I know including my mom, my sister, my daughter, and a bunch of friends call to report they can stick a magnet to their arm too?; lymph node swelling; This is a spontaneous report from a contactable consumer (Patient). An unspecified years-old and gender patient received BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number and Expiration date was not reported), via an unspecified route on an unspecified date, as UNKNOWN, SINGLE DOSE for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date the patient stated that the other 15 people I know including my mom, my sister, my daughter, and a bunch of friends call to report they can stick a magnet to their arm too. Another family member got the Moderna vaccine, and they can do the same thing. So it is not only your vaccine, but Moderna as well. She is not one of those wackos that thinks it's a microchip, but she is sure others will. On an unspecified date, the patient experienced lymph node swelling. All the events were non-serious. The outcome of all the event were unknown. No follow-up attempts are needed; Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1367256
Sex: F
Age:
State: PA

Vax Date:
Onset Date:
Rec V Date: 06/02/2021
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: magnet sticks to the place she got the shot; This is a spontaneous report from a contactable consumer (patient's mother). A female patient (reporter's daughter) of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/lot number; Expiry Date; NDC number: Unknown), via an unspecified route of administration on an unspecified date as single dose for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. Reporter stated that a magnet sticks to patient's injection site/magnet sticks to the place she got the shot on an unspecified date. Her daughter could put a large or small magnet for it to hold on, and it sticks. She can feel it pulling. The outcome of event was unknown. Information about lot/batch number cannot be obtained.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021611456 same reporter/drug/AE, different patient

Other Meds:

Current Illness:

ID: 1367257
Sex: M
Age:
State: OH

Vax Date: 05/20/2021
Onset Date:
Rec V Date: 06/02/2021
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: Headache; Pain; This is a spontaneous report from a contactable consumer (patient's wife) reporting for a patient (her husband) via Pfizer sponsored program COVAX US Support. A 28-year-old male patient received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- UNKNOWN) via an unspecified route of administration on 20May2021 as 2nd dose single and had previously received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- UNKNOWN) via an unspecified route of administration as 1st dose single for COVID-19 immunization. The patient was 28-years-old at the time of vaccination. The main concern of the wife is that her husband the second dose of the vaccine on 20May and her husband experienced a bad headache and wanted to know if he can take Tylenol or Ibuprofen or any type of medicine for pain would be okay to take. While paraphrasing the concern, she stated, yes he did, she does not think it is from the Pfizer shot itself, he has been under a lot of stress at work but it is a stressful headache. 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: 1367258
Sex: F
Age:
State: PA

Vax Date:
Onset Date:
Rec V Date: 06/02/2021
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: Magnet sticks to site of injection; This is a spontaneous report received from a contactable consumer (patient's family members). The consumer reported for family members. This report is for 3 of 5 (reporting on the women). A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number and expiry date were not provided), via an unspecified route of administration on an unspecified date as single dose for COVID-19 immunization. The patient medical history was not reported. The patient's concomitant medications were not reported. Reporter was discussing how a magnet sticks to her injection site, at which time she mentioned that this happened to other people. Report 3 was caller reporting on the women. Reporter stated that she had a lot of family members who had a magnet stick to their site of injection, and most of them, the family members that it sticks to, are female. Follow-up attempts are needed. Information about batch/lot number is requested.

Other Meds:

Current Illness:

ID: 1367259
Sex: U
Age:
State:

Vax Date: 05/20/2021
Onset Date: 05/01/2021
Rec V Date: 06/02/2021
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: Headache; I feel horrible/ feel this bad before this get better; I feel like I got the flu; I got a fever for over a 100; This is a spontaneous report from a contactable consumer or other non-health professional (patient). A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, lot number and expiration date were not reported), dose 2 via an unspecified route of administration on 20May2021 as 2nd dose, single for covid-19 immunisation. The patient took historical vaccination with BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, lot number and expiration date were not reported), dose 1 via an unspecified route of administration on an unspecified date for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient got second dose yesterday morning, and have all of the regular symptoms headache, fever, felt like got the flu, and got a fever for over a 100 on an unspecified date in May2021. The patient was wondering that how much longer need to feel this bad before this get better. The patient also stated that it really was not that patient felt like hell but felt horrible so some other time. Limited information was available over the call. The outcome of the events was reported as not recovered. Information on lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1367260
Sex: F
Age:
State:

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 06/02/2021
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: Caller experienced swelling of the eyelid after receiving the second dose of the vaccine; swollen lymph nodes; This is a spontaneous report from a contactable consumer. A 53-years-old female patient received second dose bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 21May2021 as 2ND DOSE, SINGLE DOSE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The Patient previously took first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported) for covid-19 immunization. On 21May2021, the patient experienced swelling of the eyelid after receiving the second dose of the vaccine and also experienced swollen lymph nodes and has been using cold compresses and tea bags to remedy the swelling. Patient also mentioned that she had the photos of the AE she experienced take last Wednesday (19May2021) and yesterday (21May2021). Overall safety summary included in clinical studies, adverse reactions in participants 16 years of age and older included injection site swelling (10.5%). Clinical trials experience solicited local and systemic adverse reactions across both age groups, 18 through 55 years of age and 56 years and older, mean duration of swelling 2.3 days (range 1 to 34 days). No information found for swelling specifically in the eyelid area. Referred to HCP. The events were considered as non-serious. The outcome of events was unknown. Follow up attempts are needed. Further information has been requested.

Other Meds:

Current Illness:

ID: 1367261
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/02/2021
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: runny nose/My nose was running a little bit; cold; This is a spontaneous report from a contactable consumer or other non hcp. A female patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation solution for injection), via an unspecified route of administration on an unspecified date (Batch/Lot Number: EW0164, Expiration date: Unknown) as 1ST DOSE, SINGLE for COVID-19 immunization. Medical history included severe allergic reaction from an unknown date and unknown if ongoing history of a severe allergic reaction (e.g., anaphylaxis) to any component of the vaccine. There were no concomitant medications. On an unspecified date the patient experienced runny nose/my nose was running a little bit and cold. The reporter stated that she is scheduled to receive her second dose of the {Pfizer COVID-19 vaccine tomorrow, but yesterday she got wet in the rain, went into job and it was cold in there, and today has a runny nose/. my nose was running a little bit. is it okay to get vaccine tomorrow. Outcome of the events were reported as not recovered at this time of the report. Information about batch/lot number has been requested.

Other Meds:

Current Illness:

ID: 1367262
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/02/2021
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: First time he got a sore arm; This is a spontaneous report from a non-contactable consumer. A 51-year-old male patient (reporter's cousin) received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on an unspecified date as single dose for covid-19 immunisation. The patient medical history included as dialysis and concomitant medications were not reported. The patient experienced, first time he got a sore arm on an unspecified date. The caller started, just wondering how many days to wait before he doesn't have to wear a mask. The reporter stated, His cousin got the Pfizer covid vaccine. First time he got a sore arm. The reporter stated, first dose he didn't feel anything. After his 2nd vaccine he didn't have any adverse reactions either. His concern was, he was on dialysis. he has done 7 or 8 tests (SARS-CoV-2 test) and was tested negative. Seriousness reported as non-serious. The outcome of the event was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1367263
Sex: M
Age:
State: NJ

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 06/02/2021
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: sharp chest pain randomly; dizziness; slurred speech; severe joint pains; muscle pains; fast heart rate over 100 beats per min; This is a spontaneous report from a contactable consumer (patient). A 36-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), dose 1 via an unspecified route of administration, administered in Arm Left on 01May2021 15:00 (at the age of 36-years-old) (Batch/Lot Number: EW0172; Expiration Date: Aug2021) as single dose for COVID-19 immunisation. There were no medical history and concomitant medications. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient did not receive any other medications within 2 weeks of vaccination. The patient had no known allergies. Prior to vaccination, the patient was not diagnosed with COVID-19. Since 05May2021 13.00, the patient started experiencing sharp chest pain randomly, then had dizziness and slurred speech. Went into ER to check out and looked all fine per CT scans and MRI. Few days later, he started feeling severe joint pains and muscle pains. Last few days, he had fast heart rate over 100 beats per min (before his resting heart rate was 50-60). AE resulted in Emergency room/department or urgent care and Doctor or other healthcare professional office/clinic visit. No treatment received for AE. Reporter assessed the event as non serious. Since the vaccination, the patient has been tested for COVID-19. The patient underwent lab tests and procedures which included RT-PCR, covid test post vaccination (nasal swab): Negative on 11May2021. Outcome of the events was unknown.

Other Meds:

Current Illness:

ID: 1367264
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/02/2021
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: A little bit spilled on her arm, once needle removed from her arm.; Has injection site pain but no side effects; This is a spontaneous report from a non-contactable consumer (patient). A female patient of unspecified age received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, lot number and expiration dates were not reported) via an unspecified route of administration on unspecified date at 2nd dose, single dose for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, lot number and expiration dates were not reported) via an unspecified route of administration , on an unspecified date as 1st dose, single dose for Covid-19 immunization and experienced injection site pain. On an unspecified date, It was reported that patient was concerned that she did not get proper dose of vaccine because she did not have side effects after getting second dose of vaccine on the day of report (today). A little bit spilled on her arm once needle removed from her arm and she had no side effects at that time other than patient has had injection site pain. Patient declined to speak with safety. The outcome of event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1367265
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/02/2021
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: Caller states before with the first and second shot he got no symptoms except a sore arm; This is a spontaneous report from a contactable consumer or other non hcp. A 42-years-old male patient received bnt162b2 (PFIZER- BIONTECH COVID- 19 VACCINE, Solution for injection), dose 1 via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as 1st dose, single dose for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient stated, before with the first and second shot he got no symptoms except a sore arm. Caller would like to know if he can go outside. Caller stated he doesn't want to make other people sick and right at the time of report he was in quarantine since he does not know if he has COVID-19 or not. Caller stated he was not going to work right now either. Caller stated he does not have a health care provider and he does not have any health insurance. Caller stated he will just be calling and going to a primary care center. Caller stated okay for someone to call him back at a later time to get more information. The outcome of the event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1367266
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/02/2021
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: I have a slight headache; This is a spontaneous report from a non-contactable consumer (patient). A 63-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number and Expiration date: unknown), dose 2 via an unknown route of administration on an unknown date as single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously received the first dose of bnt162b2 for COVID-19 immunization. On an unknown date, the patient had a slight headache. The outcome of event was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1367267
Sex: F
Age:
State: KY

Vax Date: 05/15/2021
Onset Date: 05/19/2021
Rec V Date: 06/02/2021
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: Blister rash on top left wrist; red raised bumps in index and thumb; This is a spontaneous report from a contactable consumer or other non hcp reported for herself. A 54-years-old non-pregnant female patient received bnt162b2 (BNT162B2, Formulation: Solution for injection, Batch/Lot number: not reported), via an unspecified route of administration, administered in Arm Left on 15May2021 at 10:00 as 1st dose, single for covid-19 immunisation. Medical history included asthma and rubber sensitivity (known allergies: Latex tape) from an unknown date and unknown if ongoing. Concomitant medication(s) included Singular, Dupixent and Claritin (the patient received within 2 weeks of vaccination). On 19May2021, the patient experienced blister rash on top left wrist; red raised bumps in index and thumb. Patient did not receive any treatment. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, patient was not diagnosed with COVID-19. Since the vaccination, patient has been tested for COVID-19. The patient underwent lab tests and procedures which included sars-cov-2 test: negative on 15May2021 Nasal Swab. The outcome of both events was not recovered. Information on the lot/batch number has been requested.

Other Meds: SINGULAIR; DUPIXENT; CLARITIN [LORATADINE]

Current Illness:

ID: 1367268
Sex: F
Age:
State: CA

Vax Date: 05/20/2021
Onset Date: 05/21/2021
Rec V Date: 06/02/2021
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: Pain at injection site; Body aches and pains (esp. back and hips); fever; heavy sweating (esp. during sleep); headache; fatigue; Nervous fidgety energy; Nervous fidgety energy; An unusual increase in appetite, very hungry every couple hours; This is a spontaneous report from a non-contactable consumer, the patient. A 33-years-old non-pregnant female patient received BNT162B2(PFIZER, COVID 19 VACCINE; formulation: Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration, administered in Arm Left on 20May2021 at 16:30 (at the age Vaccination 33-years-old) as a 2ND DOSE, SINGLE for covid-19 immunisation. The patient's medical history was not reported. The patient received historical vaccine of BNT162B2 (PFIZER COVID 19 Vaccine) on 29Apr2021 at 04.00 PM as first dose on left arm, single for covid-19 immunisation. Prior to the vaccination, the patient was not diagnosed with COVID 19. Since the vaccination, the patient had not been tested for COVID 19. The patient's concomitant medications were not reported. The patient was not received any other vaccines within 4 weeks prior to the COVID vaccine. No list of any other medications the patient received within 2 weeks of vaccination. The patient was not prior to vaccination, was the patient diagnosed with COVID-19 and since the vaccination, has the patient been tested for COVID-19. On 21May2021 04:00 the patient experienced pain at injection site, body aches and pains (esp. back and hips), fever, heavy sweating (esp. during sleep), headache, fatigue, nervous fidgety energy, nervous fidgety energy, an unusual increase in appetite, very hungry every couple hours. The case was a non serious. The outcome of the events was recovering. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1367269
Sex: F
Age:
State: RI

Vax Date: 04/28/2021
Onset Date: 05/21/2021
Rec V Date: 06/02/2021
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: Chills; muscle aches; joint aches; vomiting; headache; fatigue; brain fog; This is a spontaneous report from a contactable consumer(patient). A 25-years-old non pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: solution for injection, Lot Number: EW0176) via an unspecified route of administration, administered in Arm Left on 28Apr2021 (at the age of 25-year-old) as single for covid-19 immunisation. The patient medical history was not reported. The patient received Birth control pill within 2 weeks of vaccination. The Patient did not receive any other vaccines within 4 weeks Prior to vaccination. The patient was not diagnosed with COVID-19 Prior to vaccination. Since the vaccination, patient was not tested for COVID-19. On 21May2021 at 23:00 the patient experienced chills, muscle aches, joint aches, vomiting, headache, fatigue and brain fog. The patient did not receive any treatment for the events. On an unspecified date, the outcome of the events was resolving.

Other Meds:

Current Illness:

ID: 1367270
Sex: F
Age:
State: NJ

Vax Date: 04/15/2021
Onset Date: 04/26/2021
Rec V Date: 06/02/2021
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: developed a cold sore below my lower left lip; Herpes simplex1; This is a spontaneous report from a contactable consumer (patient). A 53-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot Number: EW0162), dose 2 via an unspecified route of administration, administered in arm left on 15Apr2021 at 09:30 (at the age of 53-years-old) as single dose for COVID-19 immunisation. The patient's medical and concomitant medications were not reported. The patient previously received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: EP7534), dose 1 administered in left arm on 23Mar2021 at 11:00 for COVID-19 immunisation. The patient had no known allergies. 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. On 26Apr2021, the patient developed a cold sore below her lower left lip and Herpes simplex 1. First cold sore ever in her life. Herpes simplex 1 with COVID social distancing and constant hand sanitizing for over a year, no idea how else she contracted that, or what would trigger it if 'dormant' in her body for years. Therapeutic measures were taken as a result of the events included Valtrex and Denavir. The outcome of the events was recovering. Information on batch number has been obtained.

Other Meds:

Current Illness:

ID: 1367271
Sex: U
Age:
State:

Vax Date: 01/01/2021
Onset Date:
Rec V Date: 06/02/2021
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: I have been tracking my IgG, which was strongly responsive three weeks after the second dose. Now 5 1/2 months after, I am weakly positive for IgG.; I am still actively caring for Covid patients; This is a spontaneous report from a contactable Physician. This Physician (patient) reported for self. A patient of unspecified age and gender received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot number: unknown, expiry date: unknown), dose 1 via an unspecified route of administration on Dec2020 as 1ST dose single and second dose of bnt162b2(PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot number: unknown, expiry date: unknown), via an unspecified route of administration in Jan2021 for covid-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. Patient had been tracking immunoglobulin G, which was strongly responsive three weeks after the second dose. Now 5 1/2 months after, weakly positive for immunoglobulin G (blood immunoglobulin G abnormal) from unspecified date to Unspecified date. The patient underwent lab tests and procedures which included blood immunoglobulin G: strongly responsive on 2021 strongly responsive three weeks after the second dose, blood immunoglobulin G: weakly positive on 2021 Now 5 1/2 months after, He is weakly positive for IgG. The outcome of event of blood immunoglobulin G abnormal was unknown and second event actively caring for covid patients was recovered. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1367272
Sex: F
Age:
State: UT

Vax Date: 05/01/2021
Onset Date:
Rec V Date: 06/02/2021
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: 7 days later broke out in hives as big as half dollars on my arms, legs, stomach and itching all over; itching all over; throat was swelling; She awoke with rash and headache; She awoke with rash and headache; This is a spontaneous report from a contactable physician regarding Pfizer product BNT162B2. This report was received from a (Name) Colleague. An elderly non-pregnant female patient of unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot Number and Expiration date was not reported), via an unspecified route of administration on an unspecified date in May2021 as single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient was not diagnosed with COVID-19 prior to vaccination, and not tested for COVID-19 since the vaccination. In 2021, 7 days after vaccination, the patient broke out in hives as big as half dollars on my arms, legs, stomach and itching all over. She also felt like her throat was swelling. The patient visited MD and was given an unknown cream, Claritin and Benadryl which helped with rash but returned at end of Benadryl dosing. And she woke up with rash and headache, about to take another dose of Benadryl. The clinical outcome was unknown for rash and headache, and not recovered for the remaining events.

Other Meds:

Current Illness:

ID: 1367273
Sex: F
Age:
State: CA

Vax Date: 04/01/2021
Onset Date: 04/06/2021
Rec V Date: 06/02/2021
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: Tender and sore muscles at the back of both thighs and calves; Tender and sore muscles at the back of both thighs and calves; Also cannot hike without severe pain after; This is a spontaneous report from a contactable consumer or other non hcp. A 54-year-old non pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for Injection, Lot number was not reported), via an unspecified route of administration, administered in left arm on 01Apr2021 13:00 (age at vaccination 54 years) as single dose for COVID-19 immunisation at hospital. The patient medical history was not reported. Concomitant medication includes Steroid pills. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. There were no known allergies. Prior to vaccination, patient was not diagnosed with COVID-19. Since the vaccination, patient had not been tested for COVID-19. The patient experienced tender and sore muscles at the back of both thighs and calves so much so that she could no longer squat without pain or get back up from that position, also cannot hike without severe pain after, on 06Apr2021. No treatment received. The outcome of all event not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1367274
Sex: F
Age:
State: AK

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 06/02/2021
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: Terrible headaches lasting several days. Today the headache is very bad; This is a spontaneous report from a contactable consumer (Patient). A 56-years-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection), dose 1 via an unspecified route of administration in Arm Right on 21May2021 14:30 (Batch/Lot Number: Ew0161 RA, 56-years age at the time of vaccination) as single dose for covid-19 immunisation. Medical history included Sulfa drugs (Drug hypersensitivity) and some foods allergies. The patient's concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Since 21May2021 19:00, the patient experienced terrible headaches lasting several days. Today the headache is very bad. Patient was taking Aleve for terrible headaches; laying down. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The event outcome of event was not recovered.

Other Meds:

Current Illness:

ID: 1367275
Sex: F
Age:
State: VA

Vax Date: 04/05/2021
Onset Date: 04/29/2021
Rec V Date: 06/02/2021
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: Severe swelling and armpit pain on injection side; Severe swelling and armpit pain on injection side; severe hip pain; overall pain and tingling in left side; overall pain and tingling in left side; This is a spontaneous report from a contactable consumer (patient). A 58-years-old female non-pregnant patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration, administered in arm left on 05Apr2021 at 16:45 (at the age of 58-years-old) as 2nd dose, single for covid-19 immunization. The patient medical history was not reported. Concomitant medication(s) included rosuvastatin (ROSUVASTATIN), vitamin c [ascorbic acid] (VITAMIN C) and vitamin d [vitamin d nos] (VITAMIN D) taken for an unspecified indication, start and stop date were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with COVID-19 prior to vaccination. The patient was not tested for COVID-19 since the vaccination. The patient previously took bactrim and experienced drug hypersensitivity. The patient previously received first dose of BNT162B2 (Lot number was unknown), via an unspecified route of administration in arm left on 05Apr2021 at 16:45 for covid-19 immunization. On 29Apr2021 at 15:45, the patient experienced severe swelling and armpit pain on injection side, severe hip pain on injection side, overall pain and tingling in left side. The reporter classified the events as non-serious and stated the events result doctor or other healthcare professional office/clinic visit. The outcome of the events was not recovered. Information on the lot/batch number has been requested.

Other Meds: ROSUVASTATIN; VITAMIN C; VITAMIN D

Current Illness:

ID: 1367276
Sex: F
Age:
State: PA

Vax Date: 03/24/2021
Onset Date:
Rec V Date: 06/02/2021
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: She is in fact experiencing skin irritations on her face; It's around my cheek bones and itches and burns; It's around my cheek bones and itches and burns; This is a spontaneous report from a contactable consumer or other non HCP (patient). A 74-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number was not reported) via an unspecified route of administration on 03Mar2021 as 1st dose single and on 24Mar2021 received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number was not reported) as 2nd dose single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient stated that she was in fact experiencing skin irritations on her face, it's around her cheek bones and itches and burns on an unspecified date. It was reported that patient had received both doses of the Pfizer COVID-19 vaccine on 03Mar2021 (first dose) and on 24Mar2021 (second dose) and she was asking if anyone who was given the vaccine had reported skin irritations on the face. She mentioned that she was in fact experiencing skin irritations on her face though, she thought it could also be due to the hairspray that was directly sprayed on the left side of her face and about one or two days later she got this. Therapeutic measures were taken as a result of events. The patient was given Allegra and they wanted to put her on a dose pack steroid. The outcome of events was unknown. Information about batch/lot number is requested.

Other Meds:

Current Illness:

ID: 1367277
Sex: F
Age:
State: GA

Vax Date: 05/21/2021
Onset Date: 05/22/2021
Rec V Date: 06/02/2021
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: Heart beat is irregular.; Throwing up; severe shaking; achy joints; Really high fever; This is a spontaneous report from a contactable consumer or other non-hcp (Patient). A 31-year-old female patient (non-pregnant) received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation solution for injection; Batch/Lot Number: Unknown, Expiration date: Unknown) via an unspecified route of administration, administered in Arm Left on 21May2021 12:45 (at the age of 31-years-old) as 2nd dose, single dose for COVID-19 immunization. Historical vaccine includes first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation solution for injection; Batch/Lot Number: Unknown, Expiration date: Unknown) via an unspecified route of administration, administered in the left arm on 30Apr2021 at 02:00 PM. The patient medical history and concomitant medications were not reported. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 22May2021 at 06:00 AM, the patient experienced with heartbeat was irregular, throwing up, severe shaking, achy joints and really high fever. No therapeutic measures were taken as a result of events caused. The outcome of the events was recovering. Information on batch number has been requested.

Other Meds:

Current Illness:

ID: 1367278
Sex: M
Age:
State: CA

Vax Date: 05/09/2021
Onset Date: 05/17/2021
Rec V Date: 06/02/2021
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: Shingles developed on abdomen.; This is a spontaneous report received from a contactable consumer (patient). A 42-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot Number: EW0179, and Expiration date: Unknown), via an unspecified route of administration, administered in left arm on 09May2021 15:45 (at the age of 42-year-old) as 2nd dose, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient did not receive any other vaccine within 4 weeks prior to the COVID vaccine. The patient had no allergies. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot Number: ER8737, and Expiration date: Unknown), via an unspecified route of administration, administered in left arm on 18Apr2021 03:45 PM as 1st dose, single for COVID-19 immunization. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 17May2021, the patient experienced shingles developed on abdomen. The patient visited emergency room and physician office for the event. The patient received Valacyclovir as treatment for the event. The outcome of the event was reported as not recovered.

Other Meds:

Current Illness:

ID: 1367279
Sex: F
Age:
State: IL

Vax Date: 05/22/2021
Onset Date: 05/23/2021
Rec V Date: 06/02/2021
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: She drank a little bit of alcohol last night and today she is having diarrhea.; This is a spontaneous report from a contactable consumer (patient) . A 53-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/lot number: EW0187 and Expire Date: unknown), via an unspecified route of administration on 22May2021 as single dose for COVID-19 immunization. Patient' medical history and concomitant medications were not reported. On 23May2021, the patient experienced diarrhea.The patient inquired what should she take for diarrhea that she started having after her first vaccine dose.Caller report she drank a little bit of alcohol last night and today she was having diarrhea.The patient reports that she spoke with her HCP and was instructed to call because her doctor doesn't do anything with the covid vaccine.The patient was asking what can she take for diarrhea and wants to know what medication can she take. The outcome of event was unknown. Information on Lot/Batch number was available. Additional information has been requested.

Other Meds:

Current Illness:

ID: 1367280
Sex: M
Age:
State: NC

Vax Date: 05/22/2021
Onset Date: 05/23/2021
Rec V Date: 06/02/2021
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: lot of pain at the shot location; body aches; headache; Chills; muscle aches; tiredness; nausea; diarrhea; This is a spontaneous report from a contactable consumer. A 42-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection. Lot Number: EW0172), dose 2 via an unspecified route of administration, administered in left arm on 22May2021 at 15:45 (at the age of 42-years-old) as 2nd dose, single dose for COVID-19 immunization. Patient's medical history and concomitant medication were not reported. The patient had penicillin allergy. The patient did not receive any other vaccines within 4 weeks prior to the COVID-19 vaccine and did not receive any other medications within 2 weeks of vaccination. Prior to vaccination, patient was not diagnosed with COVID-19. Since the vaccination, patient was not tested for COVID-19. The patient previously received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: EW0172), dose 1, administered in left arm on 01May2021 at 15:30 as 1st dose, single dose for COVID-19 immunization. on 23May2021 at 00:00, the patient experienced lot of pain at the shot location, body aches, headache, chills, muscle aches, tiredness, nausea and diarrhea. The patient did not receive treatment for the events. The reporter assessed the events as non-serious. The outcome of the events was not resolved. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1367281
Sex: F
Age:
State: TX

Vax Date: 04/20/2021
Onset Date: 04/22/2021
Rec V Date: 06/02/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Severe neck pain between shoulder blades on right side of neck.; This is a spontaneous report from a contactable other hcp (nurse). A 50-years-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration, administered in Arm Right on 20Apr2021 08:30 as 1st Dose, single for COVID-19 immunization at facility. The patient's medical history included drug hypersensitivity, allergies: PCN; it was reported that the patient was diagnosed with COVID-19 prior to vaccination. The patient did not take any vaccinations prior to COVID-19 vaccination. Concomitant medications included levothyroxine, liothyronine (NP THYROID) taken for an unspecified indication, start and stop date were not reported. On 22Apr2021 at 07:00, the patient experienced severe neck pain between shoulder blades on right side of neck. Deep tissue massage were taken as therapeutic measures as a result of the event. The outcome for the event was recovered with sequelae. Information on the lot/batch number has been requested.

Other Meds: NP THYROID

Current Illness:

ID: 1367282
Sex: M
Age:
State: PA

Vax Date: 05/15/2021
Onset Date: 05/01/2021
Rec V Date: 06/02/2021
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: Large red circle at the injection area and he had a rash on his armpit area; Large red circle at the injection area and he had a rash on his armpit area; This is a spontaneous report received from a contactable consumer (parent). A 13-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EW0173, Expiration Date: Unknown), via an unspecified route of administration on 15May2021 (at the age of 13-years) as single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient's parent reported that the patient weight is around 65-70 pounds and height is around 5 foot (might be a little under 5 foot). On an unspecified date in May2021, the patient experienced large red circle at the injection area, and he had a rash on his armpit area where he received the vaccination. The outcome of the events was unknown. Information on Lot/Batch number was available. Additional information has been requested.

Other Meds:

Current Illness:

ID: 1367283
Sex: M
Age:
State: PA

Vax Date: 05/19/2021
Onset Date: 05/01/2021
Rec V Date: 06/02/2021
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: Dose 2. Sore arm; Headache; Fatigue; Vertigo; This is a spontaneous report received from a contactable consumer (reporting on himself). A 51-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: Ew0167 and Expiration Date was not reported) via an unspecified route of administration in Arm Right on 19May2021 18:30, as 2nd dose, single dose for COVID-19 immunization. Medical history included, vertigo from 2019 to an unknown date. The patient's concomitant medications were not reported. Patient did not have known allergies. Previously patient took first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: Ek8735 or ER8735 and Expiration Date was not reported) via an unspecified route of administration in Arm Right on 24APR2021 04:00, as 1st dose, single dose for COVID-19 immunization. Prior to vaccination, the patient was not diagnosed with COVID-19 and did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 20May2021 08:00, patient experienced dose 2. sore arm, headache and fatigue first 48 hours; vertigo and significant fatigue began at 48 hour point has continued for two days. Has a bout of vertigo around 2019 that lasted weeks. Patient did not received any treatment for adverse events. Since the vaccination, the patient has tested for COVID-19. The outcome of the events was not recovered.

Other Meds:

Current Illness:

ID: 1367284
Sex: M
Age:
State:

Vax Date: 05/14/2021
Onset Date: 05/01/2021
Rec V Date: 06/02/2021
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: Lethargic; So tired; Sore arm; Fever; This is a spontaneous report from a non-contactable consumer (patient cousin). A 51-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; solution for injection, Lot number was not received) via an unspecified route of administration on 14May2021 as single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. Patient previously received first dose of BNT162B2 (Lot number: unknown) on an unspecified date for COVID-19 immunisation and experienced sore arm. On an unspecified date, patient lab data included body temprature and result was showing fever. On an unspecified date in May2021 after second shot of vaccination, patient was lethargic, so tired, sore arm, fever off and now and was fine. The Outcome of all the event were resolved on an unspecified date in May2021. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1367285
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/02/2021
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: Caller reports that she did have injection site pain after her first dose; This is a spontaneous report from a non-contactable consumer (patient). A female patient of unspecified age received BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: UNKNOWN), via an unspecified route on unspecified date as 1st dose, single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. On unspecified date, the patient experienced injection site pain after her first dose. Patient concerned that she did not got proper dose of vaccine because she has not had side effects after getting second dose of vaccine and reported a little bit spilled on her armed, once needle removed from her armed. 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: 1367286
Sex: F
Age:
State: NC

Vax Date: 05/17/2021
Onset Date: 05/18/2021
Rec V Date: 06/02/2021
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: Headache; Chills; my heart rate is up; body ache ever since; I have abdominal pain on the right left side and its like my kidney area; This is a spontaneous report from a contactable consumer (patient). A 53-years-old female patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration on 17May2021 (Batch/Lot number was not reported) as 1ST DOSE, SINGLE for covid-19 immunization. Medical history included hypothyroidism (dates unknown). Concomitant medications included thyroid (ARMOUR THYROID) taken for hypothyroidism, start and stop date were not reported. On 18May2021, the patient experienced headache, chills, abdominal pain on the right left side and it's like my kidney area, heart rate is up, body ache. Outcome of events was unknown. Additional information has been requested.

Other Meds: ARMOUR THYROID

Current Illness:

ID: 1367287
Sex: M
Age:
State: TN

Vax Date:
Onset Date:
Rec V Date: 06/02/2021
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: A little anxiety; This is a spontaneous report from a contactable other hcp (patient). A 50-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, lot number and expiration date were unknown), via an unspecified route of administration on an unspecified date as single dose for covid-19 immunisation. Medical history included bipolar disorder, known allergies and covid-19 from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination the patient was diagnosed with COVID-19. Since the vaccination, the patient been tested for COVID-19. It was reported that after receiving first Pfizer's vaccine the patient got a little anxiety. But after receiving a second one of Pfizer's vaccine since 05May2021 started to have a severe anxiety until now today. Some medications will not help out as enough. The patient underwent lab tests and procedures which included Nasal Swab: positive on 11Dec2020. The outcome of the event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1367288
Sex: F
Age:
State: NY

Vax Date: 05/11/2021
Onset Date: 05/12/2021
Rec V Date: 06/02/2021
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: persistent headache on the right side of the head that various in strength over the day with sudden sharp pain in various areas of the head, front, between and behind eye and back of the head.; chills; light headache; tiredness; elevated temperature; This is a spontaneous report from a contactable consumer or other non hcp. A 27-years-old non-pregnant female patient received bnt162b2 (BNT162B2, Solution for injection, Batch/Lot Number: EW0183, expiry date: not reported), via an unspecified route of administration, administered in Arm Left on 11May2021 6:45 PM as 2nd dose, single for covid-19 immunization. The patient previously received bnt162b2 (BNT162B2, Solution for injection, Batch/Lot Number: EW0169, expiry date: not reported), dose 1 via an unspecified route of administration, administered in left arm on 20Apr2021 6:45 PM as SINGLE DOSE for covid-19 immunization. Medical history included Positive Anti-body test for COVID19 in summer 2020, after being sick around March-April, persisting throat pain till later in May and Digestive problems that resulted in anal fissure treated with Rectiv. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was diagnosed with COVID-19. Concomitant medications included dienogest, ethinylestradiol (DIENOVEL) taken for birth control, glyceryl trinitrate (RECTIV) and Biosteel Protein. On 12May2021, one day following the vaccination the patient experienced chills, light headache, tiredness, and elevated temperature, then on day 2 &3 following vaccination no side effects at all but beginning on day 4 following vaccination on 15May2021 persistent headache on the right side of the head that varies in strength over the day with sudden sharp pain in various areas of the head, front, between and behind eye and back of the head. Asperin (500mg) had no relieving effect and visit at Urgent Care resulted in prescribed Ibuprofen (800mg) that don't seem to provide much relief either. Doctor initially tested for neurological side effects, but tests turned out normal after 5 days with persistent headache. Headache persists after day 7 following onset. On 19MAY2021, the patient underwent lab tests and procedures which included sars-cov-2 test: negative. Therapeutic measures were taken because of the events. The outcome of the event ?persistent headache on the right side of the head that varies in strength over the day with sudden sharp pain in various areas of the head, front, between and behind eye and back of the head ?was reported as not recovered. The outcome of other events was reported as recovered. Information on Lot/Batch number was available. Additional information has been requested.

Other Meds: DIENOVEL; RECTIV

Current Illness:

ID: 1367289
Sex: M
Age:
State: CT

Vax Date: 05/21/2021
Onset Date: 05/01/2021
Rec V Date: 06/02/2021
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: Little bit headache; Muscle pain; Little bit tired; This is a spontaneous report from a contactable (patient). A 33-years-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: EW0191), via an unspecified route of administration, administered in Arm Left on 21May2021 (at the age of 33-years-old) as single dose for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: EW0169) via an unspecified route of administration, administered in Arm Left on 30Apr2021 (at the age of 33-years-old) as single dose for covid-19 immunisation. On an unspecified date in May2021, after second shot, patient experienced feeling like little bit headache and muscle pain. Reported that was not heavy, but just like little bit tired. Patient inquired that he could take pills for the pain, Tylenol or Advil. Patient was not treated for the events. The outcome for the events was unknown.

Other Meds:

Current Illness:

ID: 1367290
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/02/2021
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: Headache; back and spinal cord was certainly bad; back and spinal cord was certainly bad; This is a spontaneous report received from a contactable consumer(patient). A male patient of un-specified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Lot number: EW0168), via an unspecified route of administration on an unspecified date as unknown, at single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On unspecified date it was reported that patient took the Pfizer shot about a week ago and patient had a headache all week and patient's back and spinal cord was certainly bad. Patient was provided with the number of Pfizer Medical Information. When probed to see if patient needs any medical assistance, patient stated that's why patient was calling, patient did not know. Patient was unwilling to share further information hence product details (Expiration date, NDC#, UPC#) reporter type and other details were unknown. The outcome of events was unknown.

Other Meds:

Current Illness:

ID: 1367291
Sex: F
Age:
State: TX

Vax Date: 05/22/2021
Onset Date: 05/23/2021
Rec V Date: 06/02/2021
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: I feel sick; Still lousy; My arm swelled and felt like it going to fall off; Asthma attack; I could not breathe, that was wheezing; Asthma attack; I could not breathe, that was wheezing; Asthma attack; I could not breathe, that was wheezing; This is a spontaneous report from a contactable consumer or other non hcp (patient herself). A 72-years-old female patient received BNT162B2 (BNT162B2, PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection) via an unspecified route of administration in Arm Left on 22May2021 at 12:30 (Lot Number: EW0176, Expiration date: Unknown) as 2nd dose, single dose for COVID-19 immunization. The patient past Medical history included high blood pressure and irritable bowel syndrome not bothering her either. The patient previously received first dose of BNT162B2. The patient's concomitant medications included, yes lots of it, it will be on patient's record, because patient was on her medicines. On 23May2021, the patient experienced asthma attack, could not breathe, that was wheezing, on an unspecified date, experienced arm swelled and felt like it going to fall off, feel sick and still lousy. The first time all she had was 2nd day was her arm swelled and felt like it going to fall off, but patient got this 2nd injection yesterday and it really started bothering her but she woke up 4 this morning with an asthma attack and she have been using a nebulizer today, feel sick, really sick. The patient never had an asthma attack. Patient was breathing better but still lousy. The patient's lab data procedures included thyroids are little high, that was last month. Therapeutic measures were taken with nebulizer Ipratropium Bromide and Albuterol sulfate inhalation solution for asthma attack, could not breathe, that was wheezing. The outcome of the events asthma attack, could not breathe, that was wheezing was recovering, still lousy was not recovered and arm swelled and felt like it going to fall off, feel sick was unknown. NDC number and UPC number, consumer stated, "All she had was the product number, the date of injection." )."

Other Meds:

Current Illness:

ID: 1367292
Sex: F
Age:
State:

Vax Date: 05/22/2021
Onset Date: 05/01/2021
Rec V Date: 06/02/2021
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: she is having the horrible headache; This is a spontaneous report from a contactable consumer received from Pfizer sponsor program. A female patient of unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EW0178, NDC number, UPC number and Expiration date are unknown) via an unspecified route of administration on 22May2021 as 1ST DOSE SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. It was reported that, the patient had already taken the Pfizer BioNTech Covid 19 vaccine that was yesterday 22May2021, now the patient have already taken 2 Advil (Further not clarified hence captured as event conservatively) because she experienced a horrible headache on an unspecified date in May2021. The caller asked about if it was okay to take, she had already taken 2 Advil on an unspecified date (NDC number, UPC number and Expiration date are unknown) as per her first dose. Reporter seriousness for horrible headache was unspecified. The outcome of the event was unknown. Information on the lot/batch number is present; further information is expected.

Other Meds:

Current Illness:

ID: 1367293
Sex: F
Age:
State: IN

Vax Date: 04/20/2021
Onset Date: 04/01/2021
Rec V Date: 06/02/2021
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: Headaches after the first dose for a couple of days; This is a spontaneous report from a contactable consumer (patient). A 42-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number was not reported), via an unspecified route of administration, administered in arm right on 20Apr2021 (at the age of 42-year-old) as 1st dose, single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Family medical history relevant to adverse event and relevant tests was none. The patient did not receive any other additional vaccines on 20Apr2021 other than the suspect product. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. Prior to the vaccination no adverse event was there for the patient. The patient did not emergency room and physician office. The patient reported that "headaches after the first dose for a couple of days" on an unknown date in Apr2021. The outcome of the event was resolved on an unknown date in 2021. Information about batch/lot number has been requested.

Other Meds:

Current Illness:

ID: 1367294
Sex: M
Age:
State:

Vax Date: 05/11/2021
Onset Date: 05/12/2021
Rec V Date: 06/02/2021
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: felt tired / "worn out" (he could not describe the feeling more accurately); fever; chills; Nausea; This is a spontaneous report from a non-contactable consumer. A male patient in his mid-30 received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number and Expiration date was not reported), via an unspecified route of administration on 11May2021, as single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient historical vaccine included first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number and Expiration date was not reported), via an unspecified route of administration on an unknown date, as single dose for COVID-19 Immunization. On Wednesday, 12May2021, around 3-4 AM, the patient began to feel like he had fever and chills. He also felt some nausea and worn out (he could not describe the feeling more accurately). On Thursday, 13May2021, the patient felt tired but had no nausea and by Friday, 14May2021, the patient felt better. The outcome of the event nausea was resolved whereas the outcome of the events fever, chills, worn out and fatigue was unknown. Follow up (24May2021): This is a follow up spontaneous report in response to mail trail sent regarding the confirmation of the query. This reported included reporter country. Follow up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1367295
Sex: F
Age:
State: NJ

Vax Date: 05/22/2021
Onset Date: 05/01/2021
Rec V Date: 06/02/2021
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: Aching going from my neck to the back of my head; It's not really bad, but it's like aching; Aching going from my neck to the back of my head; It's not really bad, but it's like aching; This is a spontaneous report received from a contactable consumer (patient). A 47-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot Number: EW0185, NDC Number: Unknown, Expiry Date: Unknown), via an unspecified route of administration on 22May2021 as 1ST dose single, for COVID-19 immunization. The patient has medical history with Allergy and Heartburn from an unspecified date. Concomitant medications included Omeprazole for Heartburn and Cetirizine HCL for Allergy form an unspecified date and unknown if ongoing. Patient reported that, got the first dose of the Pfizer Covid-19 vaccine yesterday, 22May2021. This morning she got a dull ache from the neck to the back of the head on the left side, the same side that the vaccine was administered. she stated that, aching going from my neck to the back of my head; It's not really bad, but it's like aching. Patient reported that, she has bloodwork couple of months ago on an unknown date (Vitamin D deficiency). Everything was okay except for Vitamin D, so she was taking Vitamin D supplements. Patient did not receive any treatment for the event she reported that, she hasn't. she was trying not to, to see what the side effects are though. Outcome of the events were unknown. Follow up attempts are needed. Further information has been requested.

Other Meds: OMEPRAZOLE; CETIRIZINE HCL

Current Illness:

ID: 1367296
Sex: F
Age:
State: PA

Vax Date: 05/14/2021
Onset Date: 05/17/2021
Rec V Date: 06/02/2021
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: lethargic; sore throat; radh; This is a spontaneous report from a contactable consumer or other non hcp. This consumer reported for a 15-years-old non-pregnant female patient received bnt162b2 (BNT162B2, Formulation: Solution for injection, Batch/Lot number: not reported), dose 1 via an unspecified route of administration, administered in Arm Left on 14May2021 16:30 as 1ST DOSE, SINGLE for covid-19 immunisation . The patient's medical history was none. Patient's concomitant medications were not reported. Patient had no known allergies. On17May2021, 3 days after vaccine, she had a very sore throat, radh and was lethargic. Patient treatment was unknown. It was reported that most recent COVID-19 vaccine was administered at Public Health Clinic. Patient did not received any other vaccines within 4 weeks prior to the COVID vaccine. Patient did not received any medications within 2 weeks of vaccination. Prior to vaccination, patient was not diagnosed with COVID-19. Since the vaccination, patient has been not tested for COVID-19. The patient underwent lab tests and procedures which included sars-cov-2 test and strep: negative on 19May2021. The outcome of all event was recovering. Information on the batch/lot number has been requested.

Other Meds:

Current Illness:

ID: 1367297
Sex: U
Age:
State:

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 06/02/2021
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: Rash all over my legs.; It Didn't itch but it was red spots all over my legs; This is a spontaneous report from a contactable consumer. A 30-year-old patient of an unspecified gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection; Batch/lot number: ER8736), dose 1 via an unspecified route of administration at left arm on 01May2021 (age at the time of vaccination 30-year-old) as first dose, single for covid-19 immunization. The patient medical history was not reported. The patient's concomitant medications were not reported. consumer stated, "It happened a week after my vaccination I had rash all over my legs, It Didn't itch but it was red spots all over my legs. I did go to the minute clinic and they prescribed me a steroidal cream (further clarification unknown, captured as unspecified medication) and that I used on my legs, It seemed to go away but then kind a came back, then it went away and came back again, so it's been on and off for 3 weeks now." consumer stated, about 2nd shot of Vaccine scheduled " I was actually scheduled for yesterday, 22May2021." The outcome of the event rash was not recovered and for red spots all over legs was unknown. Follow-up attempts completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1367298
Sex: M
Age:
State: PA

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 06/02/2021
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: Continued soreness and sharp pain in upper left arm since first dose; Disrupts sleep and concentration; Disrupts sleep and concentration; This is a spontaneous report from a contactable consumer or other non hcp. A 63-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EW0162), via an unspecified route of administration, administered in left arm on Apr2021 10:00 am as 1st dose, single dose for COVID-19 immunization. The patient also received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EW0162), via an unspecified route of administration in left arm on May2021 09:00 am as 2nd dose, single dose for COVID-19 immunization.Medical history included drug hypersensitivity from an unknown date and unknown if ongoing known allergies: Penicillin. The patient's concomitant medications were not reported.Prior to vaccination, the patient was not diagnosed with COVID-19. The patient has not been tested for COVID-19 since the vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient did not receive any other medications within 2 weeks of vaccination. On Apr2021, the patient experienced continued soreness and sharp pain in upper left arm since first dose. Disrupts sleep and concentration. The events were assessed as non-serious. The treatment was not received for the events. The outcome of the events was reported as not recovered.

Other Meds:

Current Illness:

ID: 1367299
Sex: M
Age:
State: FL

Vax Date: 05/16/2021
Onset Date: 05/17/2021
Rec V Date: 06/02/2021
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: Inflammation of entire body/ specifically lower body; Headaches; double vision; Low energy; Low sensation; Neck pain; Extreme foot pain; Nervousness; anger; This is a spontaneous report from a contactable consumer (patient, self-reported). A 33-year-pld male patient received bnt162b2 (COMIRNATY, Formulation: Solution for injection, Lot number and Expiry date: unknown), dose 2 via an unspecified route of administration in the right arm, on 06May2021 at 17:00, as single for COVID-19 immunization in the pharmacy or drug store. The patient's medical history and concomitant medications were not reported. The patient had no allergies. The patient previously patient received bnt162b2 (COMIRNATY, Formulation: Solution for injection, Lot number and Expiry date: unknown), dose 1 via an unspecified route of administration in the right arm, on 24Apr2021 at 11:00, as single for COVID-19 immunization. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with COVID-19 prior to vaccination. The patient was not tested for COVID-19 since the vaccination. The patient did not receive any other medications within 2 weeks prior. On 17May2021 at 01:00, the patient had inflammation of entire body/ specifically lower body, headaches, double vision, low energy, low sensation, neck pain, extreme foot pain, nervousness, and anger. The outcome of the events were not recovered. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1367300
Sex: F
Age:
State: CO

Vax Date: 02/15/2021
Onset Date: 03/01/2021
Rec V Date: 06/02/2021
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: I developed shingles on my lower back; had swollen lymph nodes; pain in the sacral area; This is a spontaneous report from a Pfizer sponsored program. This 65-year-old other HCP (female patient) reported for herself that, a 65-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/Lot Number: EN5318), via an unspecified route of administration in right arm on 15Feb2021 11:00 as 1st dose, single dose for covid-19 immunisation. The patient was not pregnant at the time of vaccination. The patient's medical history included vein problems in leg. The patient previously had allergic reaction (no breathing) to local anaesthetic at dentist. The patient received shingles vaccine in 2018. There were no concomitant medications. Prior to the vaccination, the patient did not receive any other vaccines within four weeks, prior to the vaccination and not received any medications in two weeks. The patient did not have covid prior to vaccination. On March 1, 2021 approximately 2 weeks after 1st dose of Pfizer vaccine, she developed a very sore and stinging rash on the right upper buttocks and swelling of lymph nodes in right groin. she developed a pain in the right sacral area. The doctor diagnosed the rash as Shingles. She was wondering how an increased immune response from the COVID vaccine would unleash herpes zoster. Treatment received with Valacyclovir was received for a week. No covid-19 tested post vaccination. The reporter provided serious of the events as no. On an unspecified date in 2021, the patient was recovered from the events. Information on Lot/Batch number was available. Additional information has been requested.

Other Meds:

Current Illness:

ID: 1367301
Sex: F
Age:
State: PA

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 06/02/2021
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: a low grade fever; worried; emotional basket case; she experienced emotional side effects stating she felt paranoid and was crying.; she experienced emotional side effects stating she felt paranoid and was crying.; Body temperature running 2 degrees high; Headache; Arm site injection pain; Broke out into a couple of drenching sweats; This is a spontaneous report from a contactable consumer. A contactable 63-year-old female consumer(patient) reported for herself that she received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: EW0186) via an unspecified route of administration on 21May2021 on left arm as a single dose for COVID-19 immunization. The patient's medical history included Asperger's syndrome (From: Unspecified To: Ongoing), she was diagnosed with Asperger's at age 57 and has had this type of reaction with other drugs and foods in the past. She says she has taken antidepressants in the past which caused this type of reaction which included having suicidal thoughts. She had history of high blood pressure (From: Unspecified To: Ongoing) since she was 32 years old. The patient reported that she developed high blood pressure during pregnancy with her first child. She reported that she was never given a chance by her physician to see if her blood pressure would recover on its own after pregnancy, she just put on blood pressure medications, penicillin allergy (From: Unspecified To: Ongoing), she was overweight and had depression and suicidal thoughts with certain medications (From: Unspecified To: Unspecified). The patient reported that almost all antidepressant drugs and certain pain killers for arthritis caused her to have depression and suicidal thoughts. She did not provide details regarding which medications caused her to experience depression or suicidal thoughts. She had sensitivities to medications (From: Unspecified To: Ongoing). She reported that she cannot take any generic form of Imitrex, she can only take the brand name. Also reported that the medication sensitivity runs in her family. Her daughter was allergic to penicillin and had a moderate to severe reaction to the pertussis vaccine at 6 months old. The patient reported that her daughter could not take anything with the ingredients in that vaccine. She reported that her mother also almost died from anaphylactic shock from a penicillin drug. The medication sensitivities run right down the female family line. She did not provide details for medication that resulted in her mother's anaphylactic shock. The historical vaccine of the patient included the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: EW0167) via an unspecified route of administration on 30Apr2021 on left arm as 1st dose, single dose for COVID-19 immunization. It was reported that the patient did not receive any prior Vaccinations (within 4 weeks): and did not report any adverse events following prior vaccinations. The concomitants medications included lisinopril and hydrochlorothiazide (Start: Unspecified Stop: Ongoing). The patient reported that she has been taking lisinopril and hydrochlorothiazide since she was 32 years old for blood pressure. The patient reported that she was aware of all the side effects and everything, and kind of knew what to expect. After the second dose on 21May2021 caller reported that much to her surprise at 21:00 hours, her physical side were extremely mild. Body temperature running 2 degrees higher at 98.8 or 99.2 and she still felt ok. She reported that her body temperature normally runs a little low, 97.2 degrees F or 97.6degrees F. The same day she experienced arm site injection pain, she applied Aspercreme and CBD oil. The same day patient also experienced headache. She reported that she does not have a primary care physician. She was drenching sweat she experienced told her that she was running a low-grade fever. She reported that the elevated temperature continued through the night and into the morning of 22May2021. She reported that her body temperature returned to normal after she had the second episode of drenching sweat around 2:00 PM on 22May2021. She reported that she was done with the paranoia and was worried about if the paranoia was coming back, she would not think it was funny. She reported that she got the Covid-19 vaccine because she does not have health insurance and she is also 63, overweight, and has high blood pressure. She stated why would you not get the Covid- 19 vaccine if there was no charge for it and it could save your life and keep you out of the hospital. She stated that the pros of the Covid-19 vaccine outweigh the cons. She does not want other people that have the same issues with the Covid-19 vaccine affecting their mental health to get caught by surprise and think that it was permanent. She woke up the next morning on 22May2021 and did not even think about the arm pain. All the physical stuff was a walk in the park. She did not expect and what took her by surprise was that she was an emotional basket case on the morning of Saturday, 22May2021. She reported that she has had this side effect with various other drugs in the past. At first she did not put two and two together because thats how far removed it has been since she had this reaction to the other drugs. She inquired if becoming an emotional basket case was a known side effect of the Covid-19 vaccine and inquired if mental impact of the Covid- 19 was part of the study and if mental health questions were part of the surveys completed by patients. She reported that emotional changes for her can be associated with certain medications that she takes. She reported that antidepressants in particular will send her into a tailspin. She was encouraged to continue taking antidepressants in the past but stopped when she began feeling suicidal. She did not provide product details for the antidepressants that she experienced adverse events with while taking. She reported that she was basically on a 100% raw organic diet. After she had the second episode of drenching sweats, all of her side effects left. She stated that people may want to know that mental side effects of the Covid-19 vaccine are temporary and that it might happen. On 22May2021, she experienced emotional side effects stating she felt paranoid and was crying. She stated that this had been reported or evaluated for in the trials. The outcome of the events was crying, a low-grade fever and worried was unknown and rest of the events recovered on 22May2021. It was reported that the patient did not require emergency room or physician office visit. Information on Lot/Batch number was available. Additional information has been requested.

Other Meds: LISINOPRIL; HCTZ

Current Illness: Asperger's disorder (she was diagnosed with Asperger's when she was 57 years old); Blood pressure high (she developed high blood pressure when she was 32 during her first pregnancy.); Drug allergy (Verbatim-Sensitive to medications); Suicidal depression (medications throughout the years caused her depression and suicidal thoughts.)

ID: 1367302
Sex: F
Age:
State:

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 06/02/2021
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: That evening when she laid down she had some neck soreness; she woke up she saw the swollen lymph nodes.; She also experienced fatigue; arm soreness; This is a spontaneous report from a contactable consumer or other non-health care profession. A 61-years-old female patient received second dose of BNT162b2 (solution for injection, Lot number and expiration date was not reported), via an unspecified route of administration on 21Apr2021 (at the age of 61-year-old) as a single dose for covid-19 immunisation. Medical history included ongoing lymphadenopathy three narrowing's in her neck and needs to get surgery on it. The patient's concomitant medications were not reported. Historical vaccine include first dose of BNT162b2, via unspecified route of administration on unspecified date (at the age of 61-year-old) at a single dose for COVID-19 immunisation. On 21Apr2021, on evening of same day of vaccination, the when the patient laid down, she had some neck soreness, and the next morning when she woke up she saw the swollen lymph nodes. She still has swollen lymph nodes now. She also experienced fatigue and arm soreness and she just put some alcohol on that and it resolved. Therapeutic measures were taken as a result of arm soreness. The patient was called to see if this is a side effect/ how long it lasts and She cannot get her neck injections or surgery until it resolves. The outcome of some neck soreness and fatigue were unknown, swollen lymph nodes was not recovered, , arm soreness was recovered. Information on the lot/batch number has been requested.

Other Meds:

Current Illness: Swollen lymph nodes (three narrowings in her neck and needs to get surgery on it)

ID: 1367303
Sex: F
Age:
State: FL

Vax Date: 04/19/2021
Onset Date:
Rec V Date: 06/02/2021
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: her daughter experienced a swollen lymph node under the left armpit; bruising on the left breast.; she got lymph nodes left side, got it on left hand and lymph node is swollen under armpit; This is a spontaneous report from a contactable consumer (patient's mother) or other non HCP. reported for a 20-year-old female patient (reporter's daughter). A 20-year-old-female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: unknown, Expiration date: unknown), via unspecified route, administered on 19apr2021 as 2nd dose, single for COVID-19 immunization. The patient received first dose of vaccine BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: ER2613, Expiration date: unknown), via unspecified route of administration, on 29Mar2021, at first dose single for COVID-19 immunization. The patient medical history includes acne (from an unknown date). concomitant medications were not reported. On 19Apr2021, 1 to 2 days after the vaccination, the patient experienced a swollen lymph node left side, got it on left hand and lymph node is swollen under armpit, and she got bruises on her breast. The swollen lymph node under the left armpit and bruising on the left breast. symptom resolved in about 3 days, but then recurred about a month later. it was reported that symptom again appeared for the second time, the swollen lymph node under the left armpit and bruising on the left breast are much improved but have not gone away completely. patient did not received any treatment for events. Reporter enquired about the need of a third injection/booster of the Pfizer covid-19 vaccine due to the variants. The outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1367304
Sex: F
Age:
State:

Vax Date: 05/18/2021
Onset Date:
Rec V Date: 06/02/2021
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: Redness and swelling of arm after injection; Redness and swelling of arm after injection; This is a spontaneous report from a non-contactable consumer. A 13-year-old non pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 18May2021 as 1st dose, single for covid-19 immunisation. The patient medical history and concomitant medication were not reported. The patient experienced redness and swelling of arm after injection on an unspecified date. The outcome of the events were unknown. 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