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

Incidents per State

State Total
92,076
AK1,880
AL6,345
AR4,151
AS46
AZ14,991
CA66,887
CO12,550
CT8,943
DC1,795
DE2,009
FL42,724
FM4
GA17,031
GU124
HI2,580
IA4,919
ID2,892
IL22,128
IN24,197
KS5,047
KY9,111
LA5,500
MA15,718
MD13,434
ME3,351
MH8
MI20,971
MN13,585
MO10,747
MP30
MS3,198
MT2,477
NC18,051
ND1,501
NE3,109
NH3,218
NJ20,216
NM4,218
NV4,728
NY37,667
OH20,793
OK6,692
OR9,244
PA25,607
PR2,588
QM2
RI2,163
SC7,261
SD1,282
TN10,445
TX39,890
UT4,618
VA15,980
VI67
VT1,830
WA16,071
WI12,042
WV2,571
WY926
XB5
XL1
XV2

ID: 1436991
Sex: M
Age: 17
State: NY

Vax Date: 06/29/2021
Onset Date: 06/29/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Error: Patient Too Young for Vaccine Administered-

Other Meds:

Current Illness:

ID: 1436992
Sex: M
Age: 36
State: PA

Vax Date: 06/26/2021
Onset Date: 06/26/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Site: Pain at Injection Site-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Additional Details: Injection arm is numb

Other Meds:

Current Illness:

ID: 1436993
Sex: F
Age: 29
State: IL

Vax Date: 06/26/2021
Onset Date: 06/26/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium, Additional Details: Pt reported feeling "queasy", "hot", having "chills" and "sweating", pt fainted and fell out of chair. Was responsive after fainting and reports no pain, no trouble breathing. Assessed by NP from clinic, BP and HR normal. EMS was called and pt was transferred to their care for follow up. Contacted patient around 3pm same day and pt spouse reported pt feeling much better and was "doing ok"

Other Meds:

Current Illness:

ID: 1436994
Sex: M
Age:
State: AZ

Vax Date: 05/16/2021
Onset Date: 05/17/2021
Rec V Date: 06/30/2021
Hospital: Y

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: vision was off and even confusion; vision was off and even confusion; dizzy; showed the lymph nodes were inflamed; got hives; arm swelled; This is a spontaneous report from a contactable consumer. A 49-years-old male patient received first dose of BNT162B2 (Formulation: Solution for injection, Batch/Lot Number: ER8735), via an unspecified route of administration, administered in Arm Left on 16May2021 10:00 AM as DOSE 1, SINGLE for COVID-19 immunisation. The patient medical history included drug allergy to penicillin from an unknown date and unknown if ongoing. COVID-19 from an unknown date and unknown if ongoing. The patient concomitant medication included amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL) and sertraline hydrochloride (ZOLOF) taken for an unspecified indication, start and stop date were not reported. The patient was diagnosed with COVID-19 prior to vaccination and not diagnosed since the vaccination. The patient was not received any other vaccines within 4 weeks prior to the COVID vaccine. The patient received shot on Sunday May 16th at 10 am, slept for 23 or 24 hours and would not eat or drink, second day better but arm swelled and got hives gave Benadryl and missed two day of work went back on Wednesday then on May 23rd, woke up dizzy and vision was off and even confusion, went to ER and started stroke protocol, did all testing including a chest x-ray that showed the lymph nodes were inflamed, kept treating as if a possible stroke, MRI machine down so they admitted and waited for machine next day was released after negative scan. The adverse event result in emergency room/department or urgent care. The patient received treatment with adverse event all testing for stroke protocols. Seriousness criteria was Caused/prolonged hospitalization. Since the vaccination, the patient has not been tested for COVID-19. The patient underwent lab tests and procedures which included chest x-ray: lymph nodes were inflamed on 23May2021, magnetic resonance imaging: negative scan on 23May2021, sars-cov-1 test positive: positive on an unspecified date. On an unspecified date, the events were resolved.

Other Meds: ADDERALL; ZOLOF

Current Illness:

ID: 1436996
Sex: F
Age:
State: FL

Vax Date: 06/08/2021
Onset Date: 06/01/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Passed a very large mucous plug; Vomiting; Nose was running; Headache; When she woke up, her throat hurt and she could barely swallow. It was getting worse and worse; Fever; By the second day of antibiotics, she started feeling like whatever infection she had was drying out,; Felt really tired; Throat hurt and could barely swallow; Throat hurt and could barely swallow; Body ache; Chest and ribs hurt from coughing; Chest and ribs hurt from coughing; Coughing; like the shot of death for her. It was hard and hit like nothing had ever been hit before.; This is a spontaneous report from a Pfizer-sponsored program from a contactable consumer or other non hcp. A 54-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection. Lot number: unknown), via an unspecified route of administration, on 08Jun2021 at 10:00 (at the age of 54-years-old) as dose 1, single for COVID-19 immunization. Medical history included had vomiting that has been going on and was an underlying issue and gastric irrigation. The patient's concomitant medications were not reported. The patient previously took omeprazole for gastric ulcer and experienced no reaction on previous exposure to drug, hydroxyzine arrow for vomiting and experienced no reaction on previous exposure to drug, famotidine acid reducer for gastritis and experienced no reaction on previous exposure to drug, ondansetron for vomiting and experienced no reaction on previous exposure to drug. The patient experienced by the second day of antibiotics, she started feeling like whatever infection she had was drying out, like the shot of death for her, it was hard and hit like nothing had ever been hit before, felt really tired, throat hurt and could barely swallow, body ache, chest and ribs hurt from coughing, coughing, passed a very large mucous plug, when she woke up, her throat hurt and she could barely swallow. it was getting worse and worse, fever, vomiting, nose was running, headache. Patient knows her immune system was down and patient was on a whole lot of medication right now. Patient had been taking all of these medications for about a month and a half. Had been going through a lot of tests. With vomiting, it could make the mucosal lining thin, which could be a reason for the sore throat. What ever was going on in belly, patient did not know what it was. Something was in there, and it hurts. Patient going for a CT scan. Her NCLEX was scheduled for 04Jul2021 and it was one day that week. Patient was otherwise super healthy and rides bikes and runs. Patient went to the doctor because patient had some underlying issues and was on Z-pack right now. Patient got some antibiotics, Z-Pack, patient really felt like that was what she needed for some kind of infection in her body. On third day of the z-pack and patient was feeling better. Patient had no history of all previous immunization with the Pfizer vaccine considered as suspect. No additional vaccines administered on same date of the Pfizer suspect. Patient had no adverse event prior vaccinations, was going through all of the vaccines for nursing school and never had a reaction. Patient had no medical history (including any illness at time of vaccination). Patient had no family medical history relevant to adverse event. Patient did not perform relevant tests. The patient previously took omeprazole, patient had some type of mass in abdomen. Was very painful and can vomit anywhere. The most was 17 times in a day and was projectile. Had helped a little bit. Hydroxyzine can be used for an anti emetic. Got excited a lot when body was stressed, had to take when eczema was flaring. It was helping. Famotidine another gastric medication and taken it at night. Ondansetron Generic form of Zofran. Onset of adverse event was 08Jun2021. On last Tuesday at 10:00, patient got the injection and within 2 hours, patient started to feel really tired. Rides 60 miles a day minimum on bike and couldn't even get to 30 or forty miles. Patient lied down for a nap and slept for 2 hours. When patient woke up, throat hurt and patient could barely swallow. It was getting worse and worse. The Fatigue set in and nose was running, patient had a headache and low grade fever. Today was first day of feeling better and was able to get out of bed. Patient was not exercising yet, though. had no more body aches, chest, ribs and everything were hurting from all of the coughing. Had a large amount of coughing and passed a humungous, very large mucous plug. From her throat, all the way down to ear, it felt like something had just popped. By the second day of antibiotics, patient started feeling like whatever infection had was drying out, today actually. Patient was going to study now and can think again. Patient can think clearly now, everything was very foggy. Fever was very low grade and was less than 100.4. Occurred 4 hours after administration. Patient went to the doctor for some lab test. Patient had lots of gastric irrigation and had been taking medication. Patient was waiting for an endoscopy. Had vomiting that has been going on and is an underlying issue. Indication: patient did not initially want to get the vaccine. Patient had some underlying things going on and was waiting for tests. Patient was worried about vomiting and stuff patient had been through would affect body. Patient was going to wait until passed NCLEX and was started in the hospital. Patient was going to get vaccinated. It was like the shot of death for her. It was hard and hit like nothing had ever been hit before. Patient did not visit to emergency room or physician office. The patient underwent lab test and procedure which include, endoscopy on Jun2021 result was unknown. Patient had fever less than 100.4 on 08Jun2021. Streptococcus test was negative on Jun2021. Therapeutic measures were taken as a result of by the second day of antibiotics, she started feeling like whatever infection she had was drying out, vomiting which were some antibiotics, Z-pack. The outcome of the event pain recovered, event vomiting not recovered, Infection, pyrexia, rhinorrhea and headache were recovering and rest of the events were unknown. Information about Lot/Batch number has been requested.

Other Meds:

Current Illness:

ID: 1436997
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Her Husband got the 2nd dose of the Pfizer vaccine and he collapsed and after speaking with the V.A; This is a spontaneous report from a non-contactable consumer. A 50-years-old male patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as DOSE 2, SINGLE for covid-19 immunisation The patient medical history was not reported. The patient's concomitant medications were not reported. The patient got the 2nd dose of the vaccine and he collapsed on an unspecified date. The outcome of event was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1436998
Sex: M
Age:
State: IL

Vax Date:
Onset Date: 05/01/2021
Rec V Date: 06/30/2021
Hospital: Y

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: having difficulty breath; too much stress for the heart; Having problems swallowing was reported as worsened; He is not able to eat or drink; swelling; She stated patient's weight has fluctuated; Fluid retention/ Fluid retention and high level of CO2 in blood system; CO2 was high/ Elevated CO2 levels and unable to arouse; This is a spontaneous report from a contactable consumer (patient's daughter). A 85-years-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, lot number was not reported), via an unspecified route of administration on an unspecified date as 2nd dose, single (at the age of 85-years-old) for COVID-19 immunization; tafamidis (VYNDAMAX, 61mg once daily by mouth), via an unspecified route of administration from an unspecified date for amyloidosis. Medical history included amyloidosis, sleep apnea which was diagnosed before he was taking either Vyndamax or Vyndaqel. There were no concomitant medications. Previously patient received first dose of BNT162B2 as 1st dose, single (at the age of 85-years-old) for COVID-19 immunization. Patient was on Vyndaqel 4 times a day and had some diarrhea. He was switched to Vyndamax about 3 months ago and in the last month, he started to have problems with swallowing. He was hospitalized and had to be intubated because he was having difficulty breath and his CO2 was high and the doctors thought it was too much stress for the heart, so they intubated him. While in the hospital, a feeding tube was put in because he could not pass the swallow test and they gave him one Vyndamax through the feeding tube but no more. He has been in the hospital twice and since then, has had difficulty swallowing food and pills. She has read on social media that other people on Vyndamax have had difficulty swallowing. The swallowing issues also started after having received his second dose of Pfizer's covid vaccine. Maybe about a month and a half ago, he started having problems swallowing and realizing it was possibly a side effect from it. He was having problem with the pills. He is currently in the hospital. He ended up where they had to intubate him and now extubate him. He is not able to eat or drink. Because of him being intubated, they were not able to continue giving him the medication. He has not taken it for 7-8 days. If the swelling is partly from being intubated, she is guessing that was part of the problem before, once they have been off the medication for a while, if that occurred with the swelling, would that go down after a while. She stated patient's weight has fluctuated. This occurred during the whole time, off and on. He was on Vyndaqel before this and does not know how long. It has been over a month that he has been having issues swallowing. He actually came home from the first hospitalization on 05Jun2021 and was only home for a day and a half before they had to take him back. He was again experiencing effects of CO2 where he was sleeping and they could not wake him up. On an unspecified date in May2021, the patient experienced having difficulty breath, too much stress for the heart, fluid retention/ fluid retention and high level of co2 in blood system, having problems swallowing was reported as worsened, have problems with swallowing, on 07Jun2021, the patient experienced co2 was high/ elevated co2 levels and unable to arouse, on an unspecified date in 2021, the patient experienced he is not able to eat or drink, swelling, she stated patient's weight has fluctuated. The patient was hospitalized for all events. Reporter seriousness for Having problems swallowing was reported as worsened, reporter seriousness for Fluid retention and high level of CO2 in blood system was hospitalization from 22May2021 to 05Jun2021, reporter seriousness for Elevated CO2 levels and unable to arouse was Hospitalization from 07Jun2021 to Ongoing. The patient underwent lab tests which included CO2 with high, swallow test which was not pass. Patient received treatment for having difficulty breath, co2 was high/ elevated co2 levels and unable to arouse, too much stress for the heart, having problems swallowing was reported as worsened, have problems with swallowing. The outcome of events (having difficulty breath, CO2 was high/ Elevated CO2 levels and unable to arouse, too much stress for the heart, Fluid retention/ Fluid retention and high level of CO2 in blood system, He is not able to eat or drink, swelling, She stated patient's weight has fluctuated) was unknown, the outcome of events (Having problems swallowing was reported as worsened, have problems with swallowing) was not recovered. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1437000
Sex: F
Age:
State: LA

Vax Date: 05/19/2021
Onset Date: 05/19/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: felt like spine was being crushed; severe lymphatic swelling in axilla, chest, back and left breast; fever > 102F with tylenol for over 48 h then remained > 100F for 3 days; debilitating extreme pain in every cell for 24 hours; migraine; sores in mouth; lethargy; lt arm swollen hot, red itchy for a week and a half; lt arm swollen hot, red itchy for a week and a half; This is a spontaneous report received from a contactable other health care professional. A 50-years-old non pregnancy female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/lot number: EN6206) via intramuscularly in left arm on 19May2021 07:45 (age at vaccination 50year old) as single dose for covid-19 immunization. Medical history included hypertension, Hypothyroid, High blood sugar TB test from an un-known date and unknown if ongoing. Prior to vaccination, the patient was not diagnosed with COVID-19 and Since the vaccination, patient was not been tested for COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Concomitant medications included hctz (HCTZ), metformin (METFORMIN); levothyroxine sodium (SYNTHROID); ethinylestradiol, ferrous fumarate, norethisterone acetate (LO LOESTRIN FE); olmesartan medoxomil (BENICAR). For all these concomitant products start and stop date and indication were not reported. The patient previously received first dose of BNT162B2 (Lot: EN6199) on 28Apr2021 09:00 AM (age at vaccination 50year old), via intramuscularly, in left arm for covid-19 immunisation. Historical vaccination include flu shot, and patient had history of receiving seldane for unspecified indication. Patient doent had covid prior vaccination and had not tested positive to covid post vaccination. The patient experienced felt like spine was being crushed, severe lymphatic swelling in axilla, chest, back and left breast, fever > 102f with tylenol for over 48 h then remained > 100f for 3 days, debilitating extreme pain in every cell for 24 hours, migraine, sores in mouth, lethargy, lt arm swollen hot, red itchy for a week and a half on 19May2021 19:15. The patient did not receive any treatment for the adverse events. The patient underwent lab tests and procedures which included body temperature resulted as 102 on 19May2021. The clinical outcome of the events recovered with sequelae on unspecified date in 2021. Information on Lot/Batch number was available. Additional information has been requested.; Sender's Comments: Based on the information in the case report and a plausible temporal relationship, a possible causal relationship between the events and suspect drug BNT162B2 cannot be excluded The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.

Other Meds: HCTZ; METFORMIN; SYNTHROID; LO LOESTRIN FE; BENICAR

Current Illness:

ID: 1437001
Sex: M
Age:
State: CA

Vax Date: 03/01/2021
Onset Date:
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: the patient has been diagnosed with cancer; This is a spontaneous report received from a contactable consumer (patient's wife). A male patient of an unspecified age received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number, NDC number and Expiry date: unknown), via an unspecified route of administration on 01Mar2021 as DOSE 2, SINGLE for COVID-19 immunization. No medical history and concomitant medications were reported. Patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number: unknown) in Feb2021 as DOSE 1, SINGLE for COVID-19 immunization. On an unspecified date in 2021, the patient was diagnosed with cancer. Outcome of the event was unknown. Investigation Assessment: Not Provided Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1437003
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: After the second dose has findings of neutropenia; This is a spontaneous report from a Pfizer Sponsored Program via a contactable consumer reported for a patient. A female patient of an unspecified age received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: unknown, Expiration date: unknown) via an unspecified route of administration, administered at an unspecified anatomical location on an unspecified date (age at vaccination was unknown) as 2nd dose, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: unknown, Expiration date: unknown) via an unspecified route of administration, administered at an unspecified anatomical location on an unspecified date (age at vaccination was unknown) as 1st dose, single for COVID-19 immunization and had no reaction. The reporter was enquiring about the side effect of the COVID vaccine. On an unspecified date, after the second dose the patient had findings of neutropenia and they were trying to figure it out if it would be a side effect. The reporter stated that they were just investigating neutropenia in a patient that had developed recently and they wondered if they had reports of neutropenia in the Pfizer vaccine. The reporter stated that they were not sure if that's what causing in first place they just wanted to know if there had been any report about it. The reporter confirmed Pfizer Covid-19 vaccine. The reporter was informed about the role of Pfizer drug safety and medical information department. The outcome of the event was unknown. Information on the lot/batch number has been requested. Follow-up attempts not completed; information about lot/batch number cannot be obtained. No further information expected.

Other Meds:

Current Illness:

ID: 1437004
Sex: F
Age:
State: PA

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: I passed out immediately; severe sweating immediately; My tongue felt thick for the next 12+ hours; Itching at the site started the next day and lasted for a week.; This is a spontaneous report from a contactable consumer (patient). A 65-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EW0177, Expiration date: Unknown), via an unspecified route of administration, administered in left arm on 18May2021 12:30 (at the age of 65-years-old) as dose 1, single for COVID-19 immunisation in hospital. Medical history included Crohn's (in remission), Graves (in remission), Hashimoto's and celiac. perfume sensitivity and COVID-19. Concomitant medications included liothyronine sodium (CYTOMEL) taken for an unspecified indication, start and stop date were not reported; levothyroxine sodium (SYNTHROID) 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 previously took sulfa g and experienced drug hypersensitivity, antibiotics and experienced drug hypersensitivity, peppermint bell and experienced drug hypersensitivity, nickel and experienced allergy to metals. On 18May2021 at 12:30, she passed out immediately, severe sweating immediately, her tongue felt thick for the next 12+ hours and itching at the site started the next day and lasted for a week. Since the vaccination, the patient has not been tested for COVID-19. The patient did not received treatment for the events. The clinical outcome of the events was resolved on an unspecified date of May2021. Information on Lot/Batch number was available. Additional information has been requested

Other Meds: CYTOMEL; SYNTHROID

Current Illness:

ID: 1437005
Sex: F
Age:
State: MA

Vax Date: 02/23/2021
Onset Date:
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Neuropathy; after a week of second shot neuropathy came back; Static electric shocks; This is a spontaneous report from a contactable consumer. This 70-year-old female consumer (Patient) reported for herself that she received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot Number: Unknown, and Expiration date: Unknown), via an unspecified route of administration on 23Feb2021 (at the age of 70-year-old) as dose 1, single for COVID-19 immunization, at the local health center. The patient medical history included anxiety, chemotherapy (I had chemotherapy), neuropathy in feet and hands (2 years ago the patient had chemotherapy and experienced neuropathy in my feet and hands). Concomitant medication included duloxetine hydrochloride (CYMBALTA) taken for anxiety. The patient reported that she was getting a lot of static electric shocks, from an unspecified date in 2021. She was not concerned or worried. Caller wanted to know if this was normal or could have been reported. The patient reported about the adverse event that it was about a week after 1st vaccine. So, it was somewhere between Feb 23 and March 17, let us say it was March 1st. The patient stated that she had the vaccine, the two vaccine back in March and April and she felt fine. She did not have severe reactions to the shot, she had the typical side effect but there was something started happening about a week after she got the first shot that had continued. And she could not imagine this was related to vaccine but she had never had this before, the patient was getting static electric shock, she thought it was the weirdest thing because it was the summer time and the area was humid where they live. The patient was getting them when she touch surfaces, when she touch car door, so just she could not imagine it was related. As per the patient, patient's daughter who didn't get the BNT162B2 vaccine, who got the Johnson and Johnson over our house about 2-3 week, she got the Johnson and Johnson, she just not out of now where. The patient stated, she so tired of getting the static electric shock which was, so the patient did not said anything to her. The patient had been wondering if there were any other crazy reports. The patient stated, she just wanted to report it because she did report she was on that CDC. They checked in with her every weekend when she got the vaccine and at some point, she did report it. But she did not. She did not anything because it was relegated to will go away because it was now after so months later. The patient stated 2 years ago she had chemotherapy and she did experienced neuropathy in her feet and hands. It was almost gone and after the patient had the second shot, about after a week of second shot neuropathy came back in 2021 and it really had gone much better and it started to fade again. It is almost like it is awakened but its getting better lot. The patient was still experiencing adverse event which she thought was wired. The event was persisting. The patient and her husband was wondered this was something that other people has experienced. The patient was not concerned about it, but she just did not, anything anybody else has reported. No further information available. The patient received second dose of Pfizer vaccine on 17Mar2021 (Lot Number: EN6207). The outcome of the events neuropathy and static electric shocks was reported as not resolved. Follow up letter has been generated for further information.

Other Meds: CYMBALTA

Current Illness:

ID: 1437006
Sex: F
Age:
State: ID

Vax Date: 03/07/2021
Onset Date:
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: her rheumatoid arthritis has been worse since the shots, flare up with her rheumatoid arthritis; He has left the house because his wife is still in bed; This is a spontaneous report from a contactable consumer (patient husband) via a Pfizer sponsored program. A 76-year-old female patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 07Mar2021 and first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 07Feb2021 as a single dose for COVID-19 immunization. The patient medical history included ongoing rheumatoid arthritis. Concomitant medication included tofacitinib citrate (XELJANZ XR) 11mg tablets for Rheumatoid arthritis. She was off of her Xeljanz XR for 7-8 days before and 4-5 days after both COVID shots.On an unspecified date in 2021, the patient experienced rheumatoid arthritis has been worse since the shots and more pain with her rheumatoid arthritis since the shots, she was just having a flare up, her husband has left the house because she was still in bed. He doesn't think this was any different than normal and he just wants to let it go and was needed to speak with her Rheumatoid Arthritis doctor, but he has been off this whole week and usually, they can get Xeljanz XR from the doctor to tide them over until the paperwork is done. The outcome of the events was not recovered. Information about lot/batch number has been requested.

Other Meds: XELJANZ XR

Current Illness: Rheumatoid arthritis

ID: 1437007
Sex: F
Age:
State: NY

Vax Date: 05/15/2021
Onset Date:
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Grave's disease; tachycardia; This is a spontaneous report from a contactable consumer (Patient's grandfather) via Pfizer sponsored program. A 15-years-old female patient (Reporter's granddaughter) received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration on 15May2021 (Batch/Lot number was not reported) as 1ST DOSE, SINGLE for covid-19 immunization. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient experienced Grave's disease and tachycardia. He called in because he heard or saw somewhere regarding the myocarditis side effect of the vaccine. With that, wanted to know if could take the second dose of the vaccine due tomorrow. The outcome of the events was unknown. Information of lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1437008
Sex: M
Age:
State: NC

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Extremely fatigued; mucus and sinus drainage increased by 500%; electrical shock in muscles and tendons; breathing issues 02 sat is staying between 70 and 90; This is a spontaneous report from a contactable consumer (patient, self-reporting). A 55-years-old male patient received BNT162B2 (Pfizer-BioNTech COVID-19 Vaccine, Formulation: Solution for injection, Lot number: er8729 and Expiration date: unknown), via an unknown route of administration, in left arm on 22Apr2021 at 12:00 (at the age of 55-years-old) as dose number unknown, single for COVID-19 immunisation. Medical history included congestive heart failure, diabetes, bundle bunch blockage, coronary heart disease from an unknown date. The patient's concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient received long list of other medications within 2 weeks of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, patient has not been tested positive for COVID-19. On 23Apr2021 at 10:00, the patient was extremely fatigued, mucus and sinus drainage increased by 500%, electrical shock in muscles and tendons, breathing issues 02 sat is staying between 70 and 90. The patient still have ongoing symptoms and issues from shot three months later. Doctor requested him not take second dose. The adverse events resulted in doctor or other healthcare professional office/clinic visit. Treatment for events included Steroids and increased treatment for congestive heart. Outcome of events reported as recovered with sequelae on an unknown date in 2021. Follow up needed, further information has been requested.

Other Meds:

Current Illness:

ID: 1437009
Sex: F
Age:
State: ID

Vax Date: 04/22/2021
Onset Date:
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Racing heart for a month. Over 140 bpm; This is a spontaneous report received from a contactable consumer (reported for herself). A 39-year-old non-pregnant female consumer (patient) reported for herself that she received first dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot Number: 240720, and Expiration date: Unknown), via an unspecified route of administration, administered in left arm on 22Apr2021 at 10:00 (at the age of 39-year-old) as dose 1, single and second dose (BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot Number: 240720, and Expiration date: Unknown) via an unspecified route of administration, administered in left arm on 13May2021 at 10:00 at dose 2, single for COVID-19 immunization, in hospital. She was not pregnant at the time of vaccination. The patient medical history and concomitant medications were not reported. on an unspecified date in 2021, the patient experienced racing heart for a month. over 140 bpm. Device date was 15Jun2021. The patient underwent lab tests and procedures which included heart rate: racing heart for a month. over 140 bpm (Racing heart for a month. Over 140 bpm). The outcome of the event was unknown.

Other Meds:

Current Illness:

ID: 1437010
Sex: M
Age:
State: FL

Vax Date: 04/05/2021
Onset Date:
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: once I would stopped my medication (Prednisone) all my Urticaria will come back and I would breakup with Urticaria; Breaking out on hives; Chronic urticaria; Like I have bitten by bugs and down my hamstrings, my buttocks and on my legs; none of the antihistamine weren't doing anything for me and the only thing that helps my Urticaria is the Prednisone; This is a spontaneous received report from contactable reporter. This case is for second dose. A 34-years-old male patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EP7533), via an unspecified route of administration on 05Apr2021 (at the age of 34-years-old) as dose 2, single for COVID-19 immunization; and also received prednisone; doxepin hcl (SINEQUAN); montelukast, via an unspecified route of administration from an unspecified date (Batch/Lot number was not reported) to an unspecified date, for an unspecified indication. The patient medical history was not reported. Concomitant medication included finasteride (PROPECIA) taken for alopecia. The patient had no other vaccination before my COVID vaccine. Patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot number: EP753A), via an unspecified route of administration on 15Mar2021 as a single dose for COVID-19 immunization and experienced pruritus, prednisolone for urticaria. Week after, first injection he started waking up itchy when 'I then I thought that I have been bitten by bug and I thought I had bed bugs and since 2nd COVID vaccination on 05Apr2021 I have been breaking out on hives. So the point when I have chronic urticaria. So I have been seeing dermatologist and hopefully this week I will be able to get the problem still there to treat my chronic urticaria probably this condition didn't started happening until after I was vaccinated'. He did a lab test on Monday last week. One thing I wanted to say about my blood work was that he was on a corticosteroid prednisone and had been on and off on prednisone for the past month because of my chronic urticaria. So when had blood work done this past week, was still on the steroid prednisone. The patient was experiencing this problem every single day. So originally thought a, week after first COVID vaccination and he started waking up itchy 'like I had been bitten by bugs and down my hamstrings, my buttocks and on my legs mostly so I thought I had bad bug problem'. The patient went to a dermatologist because it started a break out of hives throughout April after 2nd vaccination. So dermatologist prescribed Prednisone and recommended that he stay on Prednisone until can treat with a allergist. So was on Prednisone for two weeks and 'once I would stopped my medication all my Urticaria will come back and I would breakup with Urticaria it would go away and then we come back and now I urticaria constantly. The patient was taking some amount of Prednisone in the 10 to 20 milligram range; prescribed as much as 10mg, 40mg per day; prescribed as much as 80 mg per day. He was hoping to bad work when I was not on it however the minute I was off Prednisone I break on hives. So I constantly breaking on hives constantly on Prednisone until I can get nowhere'. The patient consulted with allergist and prescribed him with all kinds of different antihistamine and prescribed Montelukast, Doxepin, amlodipine and all kinds of antihistamine in addition to the prednisone in hope you know so he was just having a other reaction for antihistamine to do their job. However 'none of the antihistamine weren't doing anything for me and the only thing that helps my urticaria is the Prednisone. So what I have done is now with my allergist to get special prescription for Xolair which is very expensive drug which will treat chronic urticaria and I'm hopeful that I can get my first treatment with Xolair this week but the more I can get about this and the more I look back into when I started coming out the hives and I can do with my COVID vaccination. So I'm curious now what is the next step, what can be done'. The patient received treatment for events. The outcome of the events was unknown. Batch/Lot number has been obtained. Further information has been requested.

Other Meds: PROPECIA

Current Illness:

ID: 1437011
Sex: M
Age:
State: AZ

Vax Date: 06/14/2021
Onset Date: 06/14/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: He blacked out; This is a spontaneous report from a contactable consumer reporting for her grandson (patient). A 14-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number and Expiry Date are unknown) via an unspecified route of administration on 14Jun2021 15:00 at the age of 14-years-old as dose 1, single for COVID-19 immunisation. The Patients Medical History including any illness at time of vaccination were none. The Patients concomitant medications were none. Family Medical History Relevant to AE(s) were none. Relevant Tests were none. History of all previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available) were none. Additional vaccines administered on same date of the Pfizer suspect if applicable, list all vaccines administered on same date with the Pfizer vaccine considered as suspect were none. Prior Vaccinations within 4 weeks were none. AE(s) following prior vaccinations were none. On 14Jun2021 at 10 PM, 7 hours later, when he got out of his chair, he blacked out stated this morning, she checked on him. The patient underwent lab tests and procedures which included 'vitals (investigation): ok on an unspecified date in 2021, breathing (investigation): ok on an unspecified date in 2021, pulse (heart rate): ok on an unspecified date in 2021. The outcome of event was unknown. Follow-up attempts are needed. Information on Batch/Lot number has been requested. Follow up attempts are needed. Additional information has been requested.

Other Meds:

Current Illness:

ID: 1437012
Sex: M
Age:
State: OR

Vax Date: 03/25/2021
Onset Date: 03/27/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: I thought I was having a heart attack and went to the hospital; I had an SVT event and called 911 and had an EKG in the ambulance; I was having increased heart rate and SVT after my vaccine; This is a spontaneous report from a contactable consumer consumer(patient) reported for himself that. A 40-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number Er8727, age at vaccination 40 years), dose 1 via an unspecified route of administration, administered in Arm Right on 25Mar2021at 12:30 as 1ST DOSE, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. 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 did not diagnose with COVID-19 Prior to vaccination. The patient did not test for COVID-19 since the vaccination. On 27Mar2021 the patient experienced 2 days after 1st dose patient stated that he had an SVT event and called 911 and had an EKG in the ambulance. They said I was not having a heart attack, but we are not surprised that I was having increased heart rate and SVT after my vaccine. I have had several since. I went to the emergency room on 13Jun2021 after another event. I thought I was having a heart attack and went to the hospital. They want to monitor me with a Holter monitor for 15 days to see if they can catch an event when it takes place. The adverse event was resulted in a visit to doctor or other healthcare professional office/clinic or Emergency room/department or urgent care. The patient underwent lab tests and procedures which included (EKG) electrocardiogram on 27Mar2021, (Holter monitor) electrocardiogram ambulatory on 13Jun2021 was unknown. The outcome of the events was not recovered. Information on batch/lot no. are available. Further information has been requested.

Other Meds:

Current Illness:

ID: 1437013
Sex: F
Age:
State: MA

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: autoimmune disease; sore and swollen joints; sore and swollen joints; ANA screen positive; My right wrist is swollen and quasi immobile and my left hand also; My right wrist is swollen; Inappropriate schedule of vaccine administered; This is a spontaneous report from a contactable consumer. A 64-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EW0164), via an unspecified route of administration in left arm on an unspecified date (at the age of 64-years-old) as dose 2, single for COVID-19 immunisation. Patient medical history included thalassaemia minor. The patient had no known allergies. Concomitant medications included Venlafaxine Hydrochloride (EFFEXOR XR) and Trazadone. Other medications the patient received within 2 weeks of vaccination was trazadone and effexor XR. Patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: ER8733), via an unspecified route of administration in left arm on 16Apr2021 at 13:00 as dose 1, single for COVID-19 immunisation. 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 vaccination. On 01Jun2021 at 12:00, almost one month after the second dose, the patient developed autoimmune disease symptoms including sore and swollen joints. Patient received treatment for adverse events. Antinuclear antibody test (ANA) titer positive at 1:640 speckled and ANA screen positive. Erythrocyte Sedimentation Rate (ESR) and rheumatoid factor were normal. She never had such symptoms before. Her right wrist was swollen and quasi-immobile and left hand also. She was referred to a rheumatologist. Outcome of the events was not resolved on an unspecified date.

Other Meds: TRAZODONE; EFFEXOR

Current Illness:

ID: 1437014
Sex: F
Age:
State: MI

Vax Date:
Onset Date:
Rec V Date: 06/30/2021
Hospital: Y

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Complications from heart surgery; consumer reports receiving a first injection of the Moderna covid-19 vaccine on 31Mar2021./she was administered her first injection of the Pfizer covid-19 injection about a week ago; This is a spontaneous report from a contactable consumer (patient) via Medical Information Team. A 38-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection), via an unspecified route of administration in arm on an unspecified date/between noon at 14:00 (at the age of 38 years) as a dose 1, single for COVID-19 immunisation. Co-suspect medication included MRNA 1273 (MODERNA COVID-19 VACCINE, Formulation: Solution for injection), via an unspecified route of administration on 31Mar2021 as a dose 1, single for COVID-19 immunisation. The family medical history relevant to adverse event was reported as none. The patient's medical history (including any illness at time of vaccination) included congenital heart defect, since birth and surgery, the patient had surgery last year and was having complications from that. The patient did not had concomitant medications. History of all previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available) was reported as this was her first dose. Additional vaccines administered on same date of the Pfizer suspect was reported as she had a shot that she now had to give herself that was similar to Warfarin. It was reported that, the patient needed help in finding out how to schedule her second injection of the Pfizer covid-19 vaccine. This female consumer worked as an in home caregiver for a while but not recently, reported receiving a first injection of the Moderna covid-19 vaccine on 31Mar2021. After that, she was hospitalized twice and unable to receive her second injection of the Moderna covid-19 vaccine. Stated that, she didn't have any symptoms from the vaccine, she has a congenital heart defect. She had surgery last year and was having complications from that. It was hard to tell her weight because of water retention. This morning it was 183.3. She declines to provide physician information. The complications from heart surgery, she doesn't remember exactly when that started or what days she was in the hospital. It was a week or a week and a half ago. She finally started getting better. The patient received Pfizer Covid Vaccine after receiving Moderna Covid Vaccine. Stated that, she doesn't remember exactly what day she got it. It was a week or a week and a half ago while she was in the hospital. She doesn't know which arm she had it in, there were lots of needle. She has paperwork, but she would have to read through to fine the lot number. She does not have an NDC, lot or expiration date. She got the Moderna Covid Vaccine on 31Mar2021 in her right arm. After when she was scheduled for the second dose she was in the hospital both times and could not do it. The last time she was in the hospital it had been too long for it to be considered the second dose of the Moderna, so they gave her the Pfizer. She called to find out when exactly to get the second Pfizer. She was recently released from the hospital and she was unable to get the second injection of the Moderna covid-19 vaccine from her physician, but the physician had the Pfizer covid-19 vaccine and she was administered her first injection of the Pfizer covid-19 injection about a week ago. Stated that, her hospitalizations were not related to the Moderna covid-19 vaccine. The consumer stated that, she was supposed to get a second injection of the Pfizer covid-19 vaccine when it was due. Response included referred to her vaccination provider/physician. Explained that, Pfizer was not involved in scheduling and also explained from PI Pfizer has no data on interchangeability with other covid-19 vaccines. The reporter seriousness and dates for the events was unspecified. The AE(s) following prior vaccinations was reported as probably really good at forget. Stated that, she had everything and on an unspecified date, the patient underwent lab tests and procedures which included blood tests, cerebro-spinal fluid culture, pleural fluid culture, urine culture, Chest X-ray, MRI, all resulted as unknown results and water retention, resulted as 183.3 this morning on an unspecified date. The outcome of the events was recovering. Follow up information has been requested.

Other Meds:

Current Illness:

ID: 1437015
Sex: F
Age:
State: CA

Vax Date:
Onset Date:
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: I am immunosuppressed; This is a spontaneous report from a Pfizer sponsored program from contactable consumer (patient). A female patient of an unspecified age received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for Injection, Batch/Lot number and Expiration date was not reported) 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. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for Injection, Batch/Lot number and Expiration date was not reported) via an unspecified route of administration, on an unspecified date, as single dose for covid-19 immunisation. It was reported that, when patient got two doses, patient had no symptoms at all. Patient was immunosuppressed on an unspecified date. The outcome of the event was unknown. Information about batch/ lot number has been requested

Other Meds:

Current Illness:

ID: 1437016
Sex: M
Age:
State: NY

Vax Date: 06/15/2021
Onset Date: 06/15/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Seizure; This is a spontaneous report from a contactable physician reported for a 42-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), intramuscular, administered in left arm on 15Jun2021 at 18:00 (Batch/Lot Number: Ew0191), at the age of 42-years-old, as dose 2, single for Covid-19 immunisation. The patient has no medical history and no know allergies. The patient has no Covid prior to vaccination. Concomitant medication included benzylpenicillin potassium (PFIZERPEN) taken for an unspecified indication from 05May2021 to 05May2021. The patient previously took first dose of BNT162B2 on 05May2021 (Lot number EW0177) for Covid-19 immunisation. The patient experienced seizure on 15Jun2021 at 18:00 with outcome of unknown. The patient underwent lab test which included Covid-19: negative on an unspecified date. Therapeutic measures were taken as a result of seizure. The event resulted to visit emergency room/ department or urgent care. Patient was not Covid tested post vaccination. Information about lot/batch number is available; Follow-up attempts are needed

Other Meds: PFIZERPEN

Current Illness:

ID: 1437017
Sex: U
Age:
State: MA

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: wheezing upper respiratory; high blood pressure; bronchitis; This is a spontaneous report from a contactable consumer or other non-hcp (Patient). A 67-year-old patient of an unspecified gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation solution for injection; Lot Number: EW0153) via intramuscular route of administration (age at vaccination 67-year) in Left Arm on 14Apr2021 02:00 PM as dose 2, single for COVID-19 immunization. It was reported that the patient previously received the first dose of BNT162B2 (Lot number: ER8732) on 24Mar2021 in Left shoulder for COVID-19 immunization. Medical history included Illness: No illness at time of vaccine; Sometimes wheezing from change of seazures- pollen had very mild here and there but became chronic after vaccines for COVID-19 from an unknown date and unknown if ongoing No illness at time of vaccine. Concomitant medication included azithromycin taken for upper respiratory tract infection, bronchitis from 15Apr2021 and ongoing. On 15Apr2021 the patient experienced wheezing upper respiratory, high blood pressure. The patient underwent lab tests and procedures which included chest x-ray (Check for clots blood pressure): negative on 19Apr2021; computerised tomogram: check for clots foot swollen and previous knee fracture- swelling more-checked for clots 03May2021; COVID-19 (Wheezing upper respiratory Cushing- high blood pressure): negative on 19Apr2021; ultrasound scan (Check for clots blood pressure high): negative on 20Apr2021. The events were reported as serious (medically significant). AE required to visit physician office. Therapeutic measures were taken as a result of wheezing upper respiratory, high blood pressure. The clinical outcome of the events was not recovered. Information on Lot/Batch number was available. Additional information has been requested.

Other Meds: AZITHROMYCIN

Current Illness:

ID: 1437018
Sex: F
Age:
State:

Vax Date: 01/26/2018
Onset Date:
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: her left arm had become swollen, hard, turned red and got very hot; her left arm had become swollen, hard, turned red and got very hot; her left arm had become swollen, hard, turned red and got very hot; her left arm had become swollen, hard, turned red and got very hot; This is a spontaneous report received from Merck, form a contactable consumer (patient). A female patient of an unspecified age received pneumococcal 13-val conj vac (dipht crm197 protein) (PREVNAR 13), first dose via an unspecified route of administration on 26Jan2018 as single dose for immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient mentioned that after receiving her first dose on 26Jan2018, she experienced an adverse event. It was reported that her left arm (injection site) had become swollen, hard, turned red, and got "very hot". She was taken to emergency clinic. She was advised not to receive the 2nd dose and had not received it. The outcome of the events was unknown. No follow-up attempts are needed. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1437019
Sex: M
Age:
State: NY

Vax Date: 01/15/2021
Onset Date: 06/15/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Patient developed acute pericarditis Grade 2 per CTCAE V 4.03); This is a spontaneous report received from a contactable other health care professional. A 37-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, lot number: EL3302), via intramuscular route of administration on 15Jan2021 (at the age of 37-year-old ) as single dose for covid-19 immunisation. The patient's medical history was not reported. The patient's concomitant medication included as multivitamins. The patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, lot number: EJ1685, patient was 37-year-old at the time of vaccination), via intramuscular route of administration on 20Dec2020 as single dose for covid-19 immunisation and no event experienced. Patient had no underlying medical conditions, no history of cardiac events, or recent infections or trauma. No chronic health conditions or underlying medical history reported. No know allergies with past drug reported. Patient had not received any other vaccines within 4 weeks prior to the COVID vaccine, patient was not diagnosed with COVID-19 prior to vaccination, not tested for COVID-19 since the vaccination. On 15Jun2021 at 08:00, the patient experienced patient developed acute pericarditis grade 2 per ctcae v 4.03. Reported that event require emergency department visit after events experienced. The patient received treatment for event with Toradol 15mg IV, ASA 324 mg PO (orally). The outcome of event was not recovered. Follow-up attempts are possible. Further information is expected.; Sender's Comments: As there is temporal relationship in the case provided, the causal association between the event and the suspect drug cannot be excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Other Meds:

Current Illness:

ID: 1437021
Sex: M
Age:
State: CA

Vax Date: 06/16/2021
Onset Date: 06/16/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient inadvertently received his first dose of the Pfizer-BioNTech COVID-19 vaccine diluted with sterile water rather than 0.9% sodium chloride; Patient inadvertently received his first dose of the Pfizer-BioNTech COVID-19 vaccine diluted with sterile water rather than 0.9% sodium chloride; This is a spontaneous report from a contactable Nurse. A contactable nurse reported for a 66-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number: ER8735 and expiry date: 24Jun2021), via Intramuscularly, in Deltoid Left, on 16Jun2021 (age at vaccination: 66 years), as a single dose, 0.3 ml, for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. It was reported that on 16Jun2021, the patient inadvertently received his first dose of the Pfizer-BioNTech COVID-19 vaccine diluted with sterile water rather than 0.9% sodium chloride. She asked if the dose should be repeated and what to clinically expect from the patient who inadvertently received his first dose of the Pfizer-BioNTech COVID-19 vaccine diluted with sterile water. Pfizer has not tested the effects of using sterile water for injection as the diluent for the current formulation of the Pfizer-BioNTech COVID-19 Vaccine. The diluted vaccine using sterile water for injection as the diluent should be appropriately discarded and not used for vaccination. If the vaccine that was diluted with sterile water for injection was inadvertently administered to individuals, a definitive statement on the quality and usability of the vaccine diluted in water cannot be made. The Pfizer-BioNTech COVID-19 Vaccine has not been tested with sterile water for injection as the diluent. Based on this lack of information, Pfizer was unable to definitively state if the vaccine dose was valid or invalid. Therefore, we kindly refer you to discuss revaccination need or timing. It was not within Pfizer's remit to recommend revaccination from FAQ-COVID-19 Vaccine-sterile water as diluent; - Off-label disclaimer and "Table 1. Interim Recommendations for COVID-19 Vaccine administration Errors and Deviations (ACIP)/Diluent" from Revaccination after administration of Invalid Dose. Outcome of the events was unknown.; Sender's Comments: Based on the information currently available, there is no relation between the suspect vaccine BNT162B2 and the onset of poor quality product administered,product preparation error.

Other Meds:

Current Illness:

ID: 1437022
Sex: M
Age:
State: MA

Vax Date: 05/08/2021
Onset Date: 05/01/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Breakthrough seizure; This is a spontaneous report from a contactable consumer. This consumer reported for a 16-year-old male patient (reporter's son) who received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number was EW0183 and expiration date was not reported), dose 1 via intramuscular route, administered in arm right on 08May2021 at 09:00 as dose 1, single and dose 2 via intramuscular route, administered in arm right on 29May2021 at 09:00 (lot number was EW0191 and expiration date was not reported) as dose 2, single for COVID-19 immunisation. Medical history included epilepsy. The additional information reported as: he had not a seizure in over an year until he got the vaccine. He was on medication and he has just got his level checked, a month before and they were fine, they were in range. The patient did not receive any other vaccination within 4 weeks prior to the first administration of the suspect vaccine. Concomitant medications included levetiracetam (KEPPRA) taken for an unspecified indication, start and stop date were not reported. On an unspecified date in May2021, the patient experienced breakthrough seizure. The clinical course of the event was reported as: The reporter was calling just to let know that, a week after each of the vaccine shot the reporter's son got, a week after each of those shots he had a bad seizure, a breakthrough seizure which was he was on his medication. His end level range and had seizure that whether it was the side effect from Pfizer or not the reporter just wanted to make aware it happened both times the first time was coincidence but happened twice, just wanted to make aware. 09 days after the first shot he got a seizure and then after his second shot, 12 days later he had a seizure. The reporter inquired if someone aware of it, in case someone else had the same thing. The outcome of the event was unknown. Information on lot/batch number was available. Additional information has been requested.

Other Meds: KEPPRA

Current Illness:

ID: 1437023
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: her O2 levels have dropped, the lowest level reached was 72; This is a spontaneous report from a contactable consumer. A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection), via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as dose number unknown, single for covid-19 immunisation. The medical history and concomitant medications were not reported. On 2021 the patient experienced her o2 levels have dropped, the lowest level reached was 72. The patient underwent lab tests and procedures which included oxygen saturation: 72 on 15Jun2021. The outcome of the event was unknown. Information about the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1437024
Sex: M
Age:
State: AZ

Vax Date: 05/29/2021
Onset Date: 06/06/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: severe ringing in his ear on Sunday June 6; he couldnt hear/he has significant hearing loss; This is a spontaneous report from a contactable consumer (patient's parent). A 16-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; solution for injection; Lot number: unknown) via unspecified route of administration in left arm on 29May2021 at 14:00 (at the age of 16-year-old) as a dose 1, single for COVID-19 immunization at Pharmacy or Drug Store. Medical history of the patient was not reported. Patient had no known allergies. Patient did not receive any other medications (concomitant) within 2 weeks of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient did not have COVID prior vaccination and was not tested for COVID post vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination, the patient has not been tested for COVID-19. On 06Jun2021 (Sunday) at 08:00, patient started having severe ringing in his ear and could not hear. His parent took him to urgent care on June 9 and patient was prescribed a steroid, nothing changed after a week. Appointment was Scheduled with ENT where they did hearing test and said patient has significant hearing loss. Patient was getting an MRI tomorrow and going back to ENT to get a steroid shot in his ear to see if they can restore hearing loss. They mentioned they did have other patients that received COVID vaccine and now have hearing loss but are not 16 and were much older than patient (reporter son). They told us not to get second vaccine shot. The event resulted in doctor or other healthcare professional office/clinic visit along with visit to Emergency room/department or urgent care. The event as serious [Seriousness criteria-Disabling/Incapacitating]. Device date was 17Jun2021. Patient received steroid as a corrective treatment. Outcome of the events were not resolved on an unspecified date.

Other Meds:

Current Illness:

ID: 1437025
Sex: F
Age:
State:

Vax Date: 06/16/2021
Onset Date: 06/01/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: She is not that stable today; She has like a chest pain; This is a spontaneous report from a contactable consumer (patient husband). An unspecified age female patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: unknown; formulation: solution for injection; expiration date: unknown), via an unspecified route of administration on 16Jun2021 as unknown, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. It was reported that the consumer calling for his wife, she had the vaccine yesterday. consumer stated that both had the vaccine (Confirmed as Pfizer Covid 19 vaccine) yesterday, consumer feeling okay, a little fever but he is good, but patient has like chest pain. So, what we should do, should we wait drink some water or go to a like emergency room, is that normal. consumer stated that the patient has like a chest pain in Jun2021, and she was not that stable today on 17Jun2021. consumer stated that they do not think they have expiration date and lot. Yes, they have it, but consumer do not have it here with them. consumer stated that he will call the medical information department. What you think, what should we do, can we go to emergency room better, if we will spend time on phone, we do not know what is going to happen. The outcome of the events was unknown. Information about batch/lot number has been requested.

Other Meds:

Current Illness:

ID: 1437026
Sex: F
Age:
State: MO

Vax Date: 05/15/2021
Onset Date: 06/07/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Bumps from the shingles and little redder around the edges; Bumps from the shingles and little redder around the edges; Barely had pain; Fever was still in the 99's. She normally ran low at 97.2 or 97.4; Slept for 18 hours; Tired/exhausted; Entire arm hurt so much; Was a little sick with both vaccines; flu-like symptoms; Didn't feel well; Thought she had 3 bug bites on arm; Felt like little person under the skin poking her with needles; This is a spontaneous report from a contactable consumer (patient herself). A 46-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration in Upper left arm on 15May2021 15:00 or 15:30 (Lot number EW0177) as single dose and second dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration Upper left arm on 07Jun2021 10:00 (Lot number EW0217) as single dose for COVID-19 immunization. The patient had not received any other vaccines within 4 weeks prior to the COVID vaccine. The patient's medical history included Thyroid, Bipolar Depression, Anxiety, Ulcer, Hiatal Hernia, Jitteriness/Hand shaking, Back pain, threw back out all are ongoing and experienced Vitamin D low and Flu shot makes her sick for 24 hours. The patient's concomitant medications included Levothyroxine for Thyroid, Levonorgestrel (MIRENA IUD) for Birth Control, Dextroamphetamine Hydrochloride for Bipolar Depression, Bupropion Hydrochloride (WELLBUTRIN XL) for Bipolar Depression, Pantoprazole for Ulcer, Clonazepam for Anxiety and Bipolar Depression, Lamotrigine for Bipolar Depression, Oxcarbazepine for Bipolar Depression, Propranolol for Jitteriness, Metoclopramide for Nausea, Oxycodone for threw her back out, Tizanidine for Back issue, colecalciferol (VITAMIN D3) for Really tired and Folic Acid for Help regulate menstrual cycle. On an unspecified date 2021 patient experienced Tired/Exhausted, did not feel well, felt like little person under the skin poking her with needles, was a little sick with both vaccines and Entire arm hurt so much and flu-like symptoms. On 07Jun2021 she experienced fever for 24 hours and slept for about 18 hours. Her fever broke and Slept for 18 hours. On 12Jun2021 Thought she had 3 bug bites on arm and on 16Jun2021 she experienced bumps from the shingles she thought she had banged her arm on something when she was working on her apartment. She still had the bumps. They were getting slightly bigger and she still had pain. They were a little redder around the edges. Caller stated that the little dude under the skin was still poking. She said the pain medicine was working. She with the pain killers. Treatment of Shingles took an Antibiotics and pain medication. The outcome of events (pain, fever, shingles and Slept for 18 hours) was not recovered and unknown for other events. Information on Lot/Batch number was available. Additional information has been requested.

Other Meds: LEVOTHYROXINE; MIRENA; DEXTROAMPHETAMINE HYDROCHLORIDE; WELLBUTRIN XL; PANTOPRAZOLE; CLONAZEPAM; LAMOTRIGINE; OXCARBAZEPINE; PROPRANOLOL; METOCLOPRAMIDE; OXYCODONE; TIZANIDINE; VITAMIN D3; FOLIC ACID

Current Illness: Anxiety (Anxiety); Back pain (Back pain); Bipolar depression (Bipolar Depression); Endocrine gland operation (Thyroid); Essential tremor; Hiatal hernia (Hiatal Hernia); Jitteriness (Jitteriness); Nausea (Nausea); Ulcer (Ulcer); Vitamin D low (Vitamin D low )one and one half years ago))

ID: 1437027
Sex: M
Age: 37
State: VA

Vax Date: 06/29/2021
Onset Date: 06/29/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1437028
Sex: M
Age: 19
State: FL

Vax Date: 06/29/2021
Onset Date: 06/29/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Systemic: Shakiness-Medium, Systemic: Visual Changes/Disturbances-Severe, Systemic: Weakness-Medium

Other Meds:

Current Illness:

ID: 1437029
Sex: F
Age: 53
State: TX

Vax Date: 06/22/2021
Onset Date: 06/22/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: hardening as the site of the injection plus swollen.

Other Meds:

Current Illness:

ID: 1437030
Sex: F
Age: 27
State: MO

Vax Date: 06/29/2021
Onset Date: 06/29/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Systemic: Fainting / Unresponsive-Mild, Systemic: Seizure-Mild, Additional Details: Patient informed pharmacist of vasovagal history of passing out from vaccines. Patient passed out 3 minutes after administration and was layed to floor by pharmacist and her close friend. Patient possibly started to a 15 second tonic-clonic seizure from the vaccine. Previous history of seizures.

Other Meds:

Current Illness:

ID: 1437031
Sex: F
Age: 12
State: IL

Vax Date: 06/29/2021
Onset Date: 06/29/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Headache-Mild, Additional Details: Mom stated pt felt lightheaded, her eyes rolled back, and fainted for a few seconds. When we observed her, pt was ok but a little shaky. The paramedics came and checked on her, but mother declined going to ER

Other Meds:

Current Illness:

ID: 1437032
Sex: M
Age: 56
State: NC

Vax Date: 06/28/2021
Onset Date: 06/28/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1437033
Sex: F
Age: 64
State: NC

Vax Date: 06/28/2021
Onset Date: 06/28/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1437034
Sex: F
Age: 33
State: NC

Vax Date: 06/28/2021
Onset Date: 06/28/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1437035
Sex: M
Age: 21
State: NE

Vax Date: 06/29/2021
Onset Date: 06/29/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Shakiness-Medium, Additional Details: Patient passed out about 5 minutes after receiving the covid vaccine, he was sweaty, and recovered after a few minutes, we gave water and crackers

Other Meds:

Current Illness:

ID: 1437036
Sex: M
Age: 13
State: IN

Vax Date: 06/28/2021
Onset Date: 06/28/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Systemic: Nausea-Mild, Additional Details: PATIENT EXPERIENCED MILD NAUSEA IMMEDIATELY POST IMMUNIZATION. PARENT GAVE CHILD-PATIENT WATER. PARENT AND CHILD EXPRESSED IMPROVMENT PRIOR TO LEAVING PHARMACY. NO ONGOING CONCERNS.

Other Meds:

Current Illness:

ID: 1437037
Sex: F
Age: 33
State: PA

Vax Date: 06/21/2021
Onset Date: 06/24/2021
Rec V Date: 06/30/2021
Hospital: Y

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash Generalized-Medium, Systemic: Hypotension-Medium, Additional Details: Patient states that she woke up in the middle of the night a few days after receiving the vaccine feeling unwell. She reports itchy palms, hives, and malaise. She was hospitalized for 2 days and received epinephrine and steroids in the hospital. She is feeling better post-hospitalization.

Other Meds:

Current Illness:

ID: 1437038
Sex: F
Age: 28
State: IN

Vax Date: 06/26/2021
Onset Date: 06/27/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: NKDA

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

Symptoms: 20 hours after vaccine began having copious vomiting, 2 episodes of diarrhea, myalgia, fatigue, and tingling to BUE

Other Meds: Sertraline

Current Illness: None

ID: 1437039
Sex: M
Age: 18
State: TN

Vax Date: 06/29/2021
Onset Date: 06/29/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient received covid vaccine, approximately 10 minutes after patient slumped foward in chair then fell out of the chair and struck there face on an unkown object, blacked eye and chipped patients tooth. I went to the pharmacist rushed to patient's side made sure they were awake, asked technician to call 911, assisted patient back in the chair. Had technician stay with patient got him a water and waited for paramedics to arrive. The paramedics determined patient could leave.

Other Meds:

Current Illness:

ID: 1437040
Sex: M
Age: 33
State: CA

Vax Date: 06/29/2021
Onset Date: 06/29/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Systemic: Dizziness / Lightheadness-Mild, Systemic: Nausea-Mild

Other Meds:

Current Illness:

ID: 1437041
Sex: M
Age: 51
State: IN

Vax Date: 06/28/2021
Onset Date: 06/29/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: N/a

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

Symptoms: Clue like symptoms. Muscle aches and fever

Other Meds: N/a

Current Illness: N/a

ID: 1437042
Sex: F
Age: 12
State: IL

Vax Date: 06/29/2021
Onset Date: 06/29/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Severe, Systemic: Nausea-Severe, Systemic: Vomiting-Severe, Additional Details: Patient reported severe dizziness and nausea about 5 minutes after receiving the Pfizer vaccine. She ended up vomiting few times. Patient was given water and crackers. She did not end up feeling better even after resting for 15 minutes. The family called 911 and Emergency services took her to the hospital

Other Meds:

Current Illness:

ID: 1437043
Sex: F
Age: 20
State: IN

Vax Date: 06/08/2021
Onset Date: 06/08/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Site: Pain at Injection Site-Severe, Systemic: enitre arm pain to the point of TEARS and unable to use arm day 2-Severe, Systemic: Headache-Severe, Additional Details: Day of Vax = Arm pain in upper arm..but NEXT DAY = entire Arm pain / unable to move it arm at all with Severe Migraine (" I get headaches but never migraines") ...pain level enough to make me cry.

Other Meds:

Current Illness:

ID: 1437044
Sex: F
Age: 37
State: NY

Vax Date: 05/19/2021
Onset Date: 05/23/2021
Rec V Date: 06/30/2021
Hospital: Y

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Amoxcillin, Cipo, latex

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

Symptoms: After my 2nd shot on May 19th I started having symptoms may 23 in my hip.. then it started to travel down my leg to the point where I couldn't walk.. by may 27 my left leg gotten worse to the point where I couldn't walk sit or anything I went to my primary doctor on may 28 and was told by him go to the ER.. went to the ER they ran test to find out I have huge blood clots in my whole left leg.. my thigh was very swollen with a huge bulge on the inner side of it.. on May 28th I was admitted into the hospital

Other Meds: Birth control

Current Illness: N/a

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am