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: 1391129
Sex: F
Age:
State:

Vax Date: 02/04/2021
Onset Date: 02/01/2021
Rec V Date: 06/11/2021
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: Arm is locking up; Can't elevate past a certain degree; Lost mobility on the same arm where she got the vaccine.; Achiness and discomfort where she cant sleep on her arm; This is a spontaneous report from a contactable consumer (Patient). A 48-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Lot number: Unknown), via an unspecified route of administration on 04Feb2021, as 1st dose, single dose, for COVID-19 immunization. The patient's medical history was not reported. Concomitant medication included paracetamol (TYLENOL). On an unspecified date in Feb2021, the patient's arm was locking up, could not elevate past a certain degree, lost mobility on the same arm where she got the vaccine, achiness and discomfort where she can't sleep on her arm. Treatment medication included application of ice pack on the affected area. Physician suggested a physical therapy which patient did not agreed to perform. Patient did not receive second dose, which was reported as off-label timing. The clinical outcome of the events was unknown.

Other Meds: TYLENOL

Current Illness:

ID: 1391130
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/11/2021
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: Headache; This is a spontaneous report from a contactable consumer (Reporter's Grandson). A male patient of an unspecified age 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 single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient had previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, lot number was not reported) for COVID-19 immunization.The patient experienced headache on an unspecified date after the last vaccination (might be after third day of vaccination). The outcome of event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1391131
Sex: F
Age:
State: CA

Vax Date: 06/02/2021
Onset Date: 06/06/2021
Rec V Date: 06/11/2021
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: she began experiencing neck and shoulder pain; she began experiencing neck and shoulder pain; This is a spontaneous report from a contactable consumer (Patient). A 43-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot Number: Unknown, Expiration date: Unknown) via an unspecified route of administration in Right Arm on 02Jun2021 at 16:10 (Age at vaccination 43-year) as single dose for COVID-19 immunization. Medical history included gout from Jan2021 if ongoing. The patient's concomitant medications were not reported. The patient received first dose of BNT162B2(Batch/Lot Number: Unknown, Expiration date: Unknown) administered on 07May2021 13:30 in right shoulder for COVID-19 immunization. The patient states she took the vaccine for her mother because her mother is 72 and had kidney cancer. Patient states she lives at home with her mother. The patient also states her mother has arthritis and she has problems with degenerative discs in her back. On 06Jun2021 the patient reported she began experiencing neck and shoulder pain. The seriousness of the events was reported as non-serious. The clinical outcome of the events was not recovered. Follow-up attempts are needed; information about lot/batch number is requested.

Other Meds:

Current Illness: Gout

ID: 1391132
Sex: F
Age:
State: NJ

Vax Date: 06/05/2021
Onset Date: 06/05/2021
Rec V Date: 06/11/2021
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: had soreness in my left arm where the vaccine was administered; she felt a little more soreness; feeling lethargic; experienced dizziness, weakness and tiredness; experienced dizziness, weakness and tiredness; experienced dizziness, weakness and tiredness; This is a spontaneous report from a contactable consumer. This 60 (and a half)-year-old female consumer (patient) reported 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, administered in left arm on 05Jun2021 10:00 (at the age of 60 (and a half)-year-old) as 1st dose, single for COVID-19 immunization. The patient's medical history included blood pressure. The concomitant medications included unspecified basic blood pressure medication (no further details provided). No prior vaccination was taken within 4 weeks. The patient stated that her last vaccine she got as child. The patient believed she took her blood pressure medication that morning and that she wasn't told not to take anything. It was reported that on 05Jun2021, within 15 minutes after getting the vaccine the patient started to feel the dizziness. It wasn't severe. She felt a little week from it and those didn't start until probably 30 minutes after the injection and lasted for about 1 hour. The patient did not eat that morning. She did get up and before she left and she grabbed something to eat and drink (had a fruit smoothie). The patient took a car service there. The patient still felt it but not to a great degree. The patient reported that she sat there at the site for about 15-20 minutes and as she went to get up and started walking toward the door, she did feel slightly dizzy. The patient was asking if this was common or not. She stated it was not really dizzy, like faint dizzy, but she felt dizzy and weak. She stated that about 2 hours after the vaccine she felt tiredness and that lasted most of the afternoon for a good couple of hours and nothing else. The patient kept moving and pushing and stopped within a half hour after she got home and in the next hour, she started to feel tired. She was moving around getting things done (she was doing renovations at her house) and hour and half she got home she started to feel a little tired and sat down. In the evening hours she was feeling ok, not feeling as tired, feeling lethargic. It just lasted that Saturday. The patient stated weakness wasn't as bad as the feeling tired. On 06Jun2021, Sunday morning the patient had soreness in her left arm where the vaccine was administered. Most of the day she felt soreness no dizziness and not feeling tired. Today she was feeling fine and back to normal. Maybe a little tenderness at the site. The patient considered dizziness and weakness as severe allergic reaction and not just a side effect. The patient did not have emergency room visit or physician office visit for events. The patient came across the report. Her daughter and her husband got the Moderna: they had no side effects, and they were younger than the patient. The patient had scheduled her second dose on 26Jun2021, and she was wondering if what she experienced with the 1st dose is it possible to experience it to a greater degree with the 2nd dose. The patient reported that she was seen by her primary care for a complete physical before and did consult with her to discuss having the vaccine administered and she got the go ahead. The outcome of the event "feeling lethargic" was reported as resolved on 05Jun2021. The outcome of the events "experienced dizziness, weakness and tiredness", "had soreness in my left arm where the vaccine was administered", and "she felt a little more soreness" was reported as resolved on 07Jun2021. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1391133
Sex: U
Age:
State:

Vax Date: 06/02/2021
Onset Date: 06/01/2021
Rec V Date: 06/11/2021
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: I have whole long UTI or bladder infection/Bladder or urinary infection; I have a full grown infection; It really hurts; I have whole long UTI or bladder infection/Bladder or urinary infection; I have a full grown infection; This is a spontaneous report from a contactable consumer or other non hcp (patient). A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 02Jun2021 as 2nd dose, single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient previously took 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 1st dose, single dose for COVID-19 immunization. It was reported that the patient had second vaccination on 02Jun2021 and prior to that and during that time, patient had no urinary tract infection symptoms or bladder irritation of any kind and now had whole long urinary tract infection or bladder infection on an unspecified date in Jun2021. The patient wondering because now had a full-grown infection. The patient asked was that a side effect anyone had reported previously. The patient wanted to find out if that was associated. The patient stated that need to get taken care of because it really hurts. The outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1391134
Sex: M
Age:
State: HI

Vax Date: 05/15/2021
Onset Date: 06/06/2021
Rec V Date: 06/11/2021
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: 24 hours after injection I have gotten a 102F+ fever, uncontrollable body chills, body aches, horrible pounding migraine half a day for 2nd dose; 24 hours after injection I have gotten a 102F+ fever, uncontrollable body chills, body aches, horrible pounding migraine half a day for 2nd dose; 24 hours after injection I have gotten a 102F+ fever, uncontrollable body chills, body aches, horrible pounding migraine half a day for 2nd dose; 24 hours after injection I have gotten a 102F+ fever, uncontrollable body chills, body aches, horrible pounding migraine half a day for 2nd dose; This is a spontaneous report from a contactable consumer or other non hcp. A 35-years-old adult male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number:EW0168; Expiry date: unknown),via an unspecified route of administration, in the Left Arm on 15May2021 at 13:00 as a single dose for COVID-19 immunization. The patient's medical history included disability due to back injury and nerve damage in both legs. The patient reported No allergies. The patient's concomitant medications included buprenorphine (BUPRENORPHINE); oxycodone (OXYCODONE), etodolac (ETODOLAC); baclofen (BACLOFEN). The patient was not diagnosed with COVID-19 prior to vaccination. The patient has not been tested for COVID-19 since the vaccination. On 06Jun2021 at 12:00, the patient reported for both doses, 24 hours after injection I have gotten a 102F+ fever, uncontrollable body chills, body aches, horrible pounding migraine that lasted 2 days for 1st dose, and so far, half a day for 2nd dose. No treatment was received for the events. The clinical outcome for the events was not recovered/not resolved. Information on Lot/Batch number was available. Additional information has been requested.

Other Meds: BUPRENORPHINE; OXYCODONE; ETODOLAC; BACLOFEN

Current Illness:

ID: 1391135
Sex: F
Age:
State: AL

Vax Date: 05/18/2021
Onset Date: 05/19/2021
Rec V Date: 06/11/2021
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: fever 104F/the second day her fever was 100-98 degrees; nausea; sweats; vertigo; arthritic joint pain; headache; skin irritation; bone marrow pain; tiredness after the first dose; body aches; This is a spontaneous report from a contactable consumer (patient). A 67-years-old female patient received BNT162B2(PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot Number: EW0182, Expiration date: unknown), dose 1 via an unspecified route of administration, administered in arm left on 18May2021 as 1st dose, single dose for COVID-19 immunization. Medical history included Covid infection in January that lasted approximately 3.5 weeks. The patient's concomitant medications included ongoing Vitamins. No history of all previous immunization with the Pfizer vaccine considered as suspect and no Additional Vaccines Administered on Same Date of the Pfizer Suspect. No Prior Vaccinations within 4 weeks. No relevant family history. On 19May2021 (Next day morning), the patient experienced 104 degree Fahrenheit fever, nausea, sweats, vertigo, arthritic joint pain, headache, skin irritation, bone marrow pain, body ache, tiredness because when she was sick tired, and she felt like she got the Covid all over again; and on 29May2021, the second day her fever was 100-98 degrees Fahrenheit. She reports that her symptoms post vaccination were mild compared to Covid infection and she was the only one she knows of that developed these symptoms post vaccination. Patient normal body temperature was reported as 97.7 degrees Fahrenheit. Skin irritation was explained as flashes of skin irritation where she didn't want anything to be touching her skin; her skin was irritated by clothes, sheets, and the floor. States her whole skin reacted. No visit to Emergency Room or Physician Office. Therapeutic measures were taken with 2 Tylenol. No relevant tests done. No Investigation Assessment. The patient underwent lab tests and procedures which included body temperature: 104 Fahrenheit on 19May2021, and 100-98 Fahrenheit on 20May2021. Patient reported she didn't have an allergic reaction. The outcome of event was recovered on 22May2021. Follow up needed, further information has been requested.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021669700 same reporter/ product, different patient.;US-PFIZER INC-2021667900 same reporter/ product, different patient.

Other Meds:

Current Illness:

ID: 1391136
Sex: M
Age:
State:

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 06/11/2021
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: His grandfather tested positive in early March/received first dose of the vaccine and immediately after, tested positive for covid; His grandfather tested positive in early March/received first dose of the vaccine and immediately after, tested positive for covid; This is a spontaneous report from a Pfizer sponsored program support. A contactable consumer (patient's Grandson) reported that a 66-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: Unknown, Expiry date: Unknown) via an unspecified route of administration on an unspecified date as 1st dose, single dose for COVID-19 immunisation. The patient's family medical history included his mom tested positive for Covid-19 and eventually passed it on. The patient's concomitant medications were not reported. On an unspecified date in Mar2021, the patient experienced, tested positive in early March/received first dose of the vaccine and immediately after, tested positive for COVID. Caller states a week after that, they decided for him to get a monoclonal antibody infusion. Agent states he read something about a ninety-day interval for patients who received antibody infusion before receiving the second dose, and since ninety days has passed, he wants to know if his grandfather can get the second dose, or if the antibodies are enough. Agent states he also wants to know was he still needs the second dose and will it be effective since so much time has passed or if he needs to start the whole vaccination periods all over again. The patient underwent lab tests and procedures which included sars-cov-2 test: positive on an unspecified date. The outcome of events was unknown.

Other Meds:

Current Illness:

ID: 1391137
Sex: M
Age:
State: NY

Vax Date: 06/03/2021
Onset Date: 06/03/2021
Rec V Date: 06/11/2021
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: He developed achiness on both sides under his arm pit extending primarily to pectoral muscles and deltoid; He developed achiness on both sides under his arm pit extending primarily to pectoral muscles and deltoid; He couldnt sleep because of the pain; Also reports stomach discomfort; Experienced fatigue; Feeling under the weather and restless; Restlessness; This is a spontaneous report from a contactable consumer (patient's mother).Follow-up (06Jun2021) and Follow up (07Jun2021) received from previously reported consumer were processed together along with initial information. A 23-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number: EW0187; Expiration Date: 31Aug2021), via an unspecified route of administration on 03Jun2021 (at an age of 23-year-old during vaccination) as a 2nd dose, single dose for COVID-19 immunisation. The patient's medical history included multiple allergic reactions (including drug allergies) after having his wisdom teeth out and had chest muscle pain. The patient's concomitant medications were not reported. The reporter stated that, the patient was not related to any study or programme. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot Number: Not reported), via an unspecified route of administration on unspecified date as a 1st dose, single dose for COVID-19 immunisation. On 03Jun2021, the reporter stated that the patient experienced fatigue, feeling under the weather and restlessness. On Sunday early morning, the patient developed achiness on both sides under his arm pit extending primarily to pectoral muscles and deltoid, he could not sleep because of the pain and stomach discomfort. The reporter stated that as of last evening that it was kind of the same. No investigational assessment was reported. The reported wanted to know if her son chest muscles pain was normal or not. The reporter worried if her son needed medical care right away. The reporter concerned about lot number whether there was any issue involved with lot number. The reported stated that, the pharmacist did not follow proper procedure while with the administration of the vaccine however she was unable to identify a specific concern. The reporter was informed to provide information about side effects and to refer to doctor about side effects if there continue. The outcome of the events was unknown. Information on Lot/Batch number was available. Additional information has been requested.

Other Meds:

Current Illness:

ID: 1391138
Sex: F
Age:
State:

Vax Date:
Onset Date: 06/04/2021
Rec V Date: 06/11/2021
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: difficult to speak; nose bleed; fever; body aches; This is a spontaneous report from a contactable consumer (patient). A 30-years-old female patient received bnt162b2 (PFIZER- BIONTECH COVID- 19 VACCINE, Solution for injection), dose 2 via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as 2nd dose, single dose for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The 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. On 04Jun2021, the patient experienced fever and body aches. On 07Jun2021, she experienced nosebleed and on an unspecified date she experienced difficult to speak. The patient stated she received her second Pfizer covid vaccine on Friday. Over the weekend she had fever and body aches. On 07Jun2021, morning she developed a nose bleed. She wanted to know how to what to do about her nose bleed specifically. She was calling for treatment advice and agent referred her to her doctor. Agent asked if patient would like to complete a safety report based on the adverse events she has been experiencing. Patient stated if it is quickly, she could not speak more, and she would like to rest. Patient stated the fever has gone and she still has body aches. Patient stated did not had history and investigations, she was all good. Therapeutic measures were taken as a result of fever. The outcome of the event fever was recovered on 06Jun2021. The outcome of the event body aches was not recovered and unknown for nosebleed and difficult to speak.

Other Meds:

Current Illness:

ID: 1391139
Sex: M
Age:
State: PR

Vax Date: 06/07/2021
Onset Date: 06/07/2021
Rec V Date: 06/11/2021
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: His son had a weepy nose (runny nose)/A lot of sniffing; This is a spontaneous report from a contactable consumer (parent). A 13-year-old male patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: UNKNOWN), via an unspecified route on 07Jun2021 (at the age of 13-years-old) as 2nd dose, single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously received first dose of BNT162b2, via an unspecified route on unspecified date as 1st dose, single dose for covid-19 immunisation. On 07Jun2021, the patient experienced a weepy nose (runny nose)/a lot of sniffing. Caller advised that her 13 year old soon to 14 year son got his second dose today and he is okay but he has a runny nose and a lot of sniffing and she wanted to know if it would be alright to give him Benadryl. The clinical outcome of the his son had a weepy nose (runny nose)/a lot of sniffing was unknown. Information about batch/lot number has been requested.

Other Meds:

Current Illness:

ID: 1391140
Sex: F
Age:
State: NC

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 06/11/2021
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: back pain/severe pain; couldn't hardly take a breath; she couldn't even hardly; \This is a spontaneous report from a contactable consumer. A 66-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), dose 1 via an unspecified route of administration on 01Apr2021 (Batch/Lot number was not reported) as a single dose for covid-19 immunization. The patient medical history included type 2 diabetes mellitus and back pain (back issue which they knew was a small, herniated disc). There was no family medical history. The patient had no prior vaccinations (within 4 weeks). The concomitant medication was not reported. On an unspecified date in Apr2021, It was reported that he was calling on behalf of his sister-in-law. His sister-in-law got the vaccine because she stayed with his wife and his wife just had triple bypass. So, he signed his sister-in-law up and got her the vaccine and he and his wife had already had the vaccine and they did not have any issues. Prior to his sister-in-law getting the vaccine she had a little bit of a back issue which they knew was a small, herniated disc. She had some issues off and on. She got the first dose of the vaccine and not too long after, about the next day, she started being bothered. His sister-in-law was in severe pain right now. He wanted to go through the steps of where she was at today. He wanted to file a report because at first, he doesnot thought it was related or had anything to do with it. Now he was starting to wonder. Based off the timeline and research on the immune system and how sometimes things can work, he was wondering if it did add to what was going on. It's odd to him what was going on. He was saying something was going on and it's tied to the vaccine. Her pain was bad, and it started right after that first vaccine. He was trying to figure out if it has something to do with the vaccine. Then his sister-in-law got the second booster and from there it was downhill. It was like it amplified a thousand times. He thought it's a side effect or some type of combination between the vaccine. Somehow the vaccine has done something, but he couldnot figure out what. He knew it has done something to cause her immune system to make it worse. He thought it was initiated by the vaccine. He stated hopefully this does not impact her job at all. He does not think it would, but he was concerned for his sister-in-law. The vaccine seems to correlate with the back pain. He doesnot say anything until probably the second week or so after she got the second one. The first, she was kind of like, he thought it's doing something, but he wasnot sure. Then when she got the second one, it amplified it and then she was like yeah, it's got something to do with it. It's bad. His sister-in-law knew with her working here that he was going to investigate it and find out what was going on. He wanted to know everything about it, because he wouldn't think that that would have anything to do with it. His sister-in-law informed him of what was going on sometime in May2021, but she does not remember the exact date. It had to be around the 01may or sometime right around there, about a week or so ago from 22Apr2021. He stated his sister-in-law was a very strong lady. This morning he went in to see her and she couldn't even hardly move or take a breath. She was trying to move around. There was no previous immunization with the Pfizer vaccine considered and no vaccines administered on same date of the Pfizer suspect. The patient had no relevant tests. There was no investigation assessment. The outcome for the event were unknown. Information on the Lot/Batch number has been requested.

Other Meds:

Current Illness:

ID: 1391141
Sex: U
Age:
State: NM

Vax Date:
Onset Date:
Rec V Date: 06/11/2021
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: headache; Tiredness; slept all day; really draggy; This is a spontaneous report received from a consumer (patient) via other company. A patient of an unspecified age and gender received (Pfizer Covid 19 Vaccine, Solution for injection) via an unspecified route of administration on an unspecified date as single dose for Covid-19 immunization. The patient's medical history and concomitant medications were not reported. It was reported that, "after the Covid vaccine, patient had headache and tiredness was really draggy, and slept all day Pfizer Covid 19 vaccine". Reported of ADRS where the initial reporter identified the suspected drug as one marketed by another applicant, should be forwarded to that applicant. Outcome of the events was unknown. Information on lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1391142
Sex: M
Age:
State:

Vax Date: 05/12/2021
Onset Date:
Rec V Date: 06/11/2021
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: so sore everywhere and coulden't stay awake; coulden't stay awake; This is a spontaneous report from a non-contactable consumer (patient). A male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection Batch/Lot number was not reported, Expiration Date was not reported), via an unspecified route of administration on 12May2021 as 2nd dose, single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient historical vaccine included first dose of BNT162B2(PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection Batch/Lot number/Expiration Date was not reported), via an unspecified route of administration on unspecified date for COVID-19 immunization. Patient reported that his second Pfizer COVID shot was on 12May2021. Patient reported he was so sore everywhere & couldn't stay awake after the shot. Patient said those symptoms from the shot lasted for about 24 hours. The outcome of the events was unknown. No further follow up attempts are possible. no further information is expected.

Other Meds:

Current Illness:

ID: 1391143
Sex: F
Age:
State:

Vax Date: 05/01/2021
Onset Date:
Rec V Date: 06/11/2021
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: Developed a rash in her vaccinated arm; This is a spontaneous report from a contactable consumer (patient). A 69-year-old female 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 an unspecified date in May2021 as 1st dose, single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. It was reported that the patient got her first dose of the vaccine mid of May2021 and was set to get her 2nd dose this weekend, but she developed a rash in her vaccinated arm on an unspecified date. The patient wanted to know if there were reports regarding delayed rash reactions in the vaccinated arm 2-3 weeks after getting the first dose of the Pfizer BioNTech COVID-19 Vaccine. She also wanted to know if it would be safe to take the second dose while experiencing rash. The outcome of the event was unknown. Follow up attempts are needed. Information on lot/batch number is requested.

Other Meds:

Current Illness:

ID: 1391144
Sex: F
Age:
State: GA

Vax Date:
Onset Date:
Rec V Date: 06/11/2021
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: Experienced diarrhea; Weakness; Weight loss; This is a spontaneous report from a contactable consumer via Medical Information Team. A 71-year-old (a couple of weeks ago in the beginning of May) female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection) via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported, NDC number/Expiry Date: Unknown) (about 2.5 months ago but did not know her date of birth) as single dose for Covid-19 immunization. Caller stated she did not know the dates of the patient's 1st and 2nd doses of the Pfizer Covid Vaccine and did not have the lot numbers, expiry dates or NDC numbers to provide. The patient's medical history and concomitant medications were not reported. The patient previously took first dose of BNT162B2 (at the age of 71-year-old) for Covid-19 immunisation. The patient received both doses of vaccine. Experienced diarrhea, weakness (weaker and weaker) and weight loss. Caller stated steroids stopped it, side effects temporarily but she wanted to know what to do, how should the care for her or manage her side effects. Caller explained that she had seen several HCPs and they did not know what to do. Caller stated she was calling about the Pfizer Covid vaccine and stated her neighbour got this shot about 2.5 months ago and had diarrhea ever since and only weighed 90 pounds and was down to 82 pounds and she was calling to ask what to do; stated the patient's HCP could not figure out it and the patient was getting weaker and weaker. Caller stated the patient was not getting better and stated that Pfizer made the vaccine so they could tell her how to fix this problem and she did not know what to do and was trying to figure out what do to; stated the patient was in great health and walked miles every day and that bring her down; caller stated she told the patient did not to get the vaccine and the patient's daughter was out of Country so that she got it. HCP information: Caller declined to provide contact information for the HCP and stated she did not have that. Stated the patient began having diarrhea after the very first couple of days after the Pfizer COVID vaccine but she was not positive when it began and she was having the diarrhea so bad she had to wear diapers and it was ongoing and about the same but might be a little better because she learned to control it better and the patient was not eating anything to begin with and tried not to eat to not have an accident; stated the patient wakes up at night and realizes she had an accident with diarrhea in the morning. Caller stated the patient had no other treatment that she knows of and she was in very good health and had known the patient 21 years and always walked with her and walked every day she had known her and she rides her bicycle. Caller stated her questions are what they can do to stop the patient's reported events and she had been to the HCP more than once and tried everything and everything she tried did not work; stated she wants to see what junk they put in the Pfizer COVID vaccine. Caller was aware that Pfizer cannot provide treatment recommendations or medical advice and patient was referred to her HCP. Caller stated the patient went on steroids that worked for 5 days of the patient being on them and then the diarrhea came back and subsided and then came back; stated she had no names, dosages, lot numbers, expiry dates, NDC numbers or further information on the medications or treatments the patient stated did not work or for the steroids. No PQC present. Outcome of the events diarrhea was not recovered, whereas other events were unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1391145
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/11/2021
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: he had a "pretty significant tinnitus" from the skull; he also had pressure at the base of the skull, he had pressure at the occipital region and sides of his head just above the soft tissues at the temporal area,; nerves tingling in his skull; This is a spontaneous report from a contactable consumer (patient himself). A male patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number: not reported), via an unspecified route of administration on an unspecified date as 1st dose, single dose for covid-19 immunization. The patient medical history and concomitant medications were not reported. On an unknown date, the patient experienced he had a "pretty significant tinnitus" from the skull, he also had pressure at the base of the skull, he had pressure at the occipital region and sides of his head just above the soft tissues at the temporal area and nerves tingling in his skull. The adverse events started 3-4 days after getting the first dose of the vaccine. He said it got worse after the second dose of the vaccine. He has already visited his physician, acupuncturist, and neurologist. The outcome of the events was unknown. There was not product quality complaint (PQC) present. Information about Lot Batch number has been requested.

Other Meds:

Current Illness:

ID: 1391146
Sex: F
Age:
State:

Vax Date: 05/17/2021
Onset Date: 05/01/2021
Rec V Date: 06/11/2021
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: Throat tightness; This is a spontaneous report from a contactable pharmacist. A 64-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported and expiry date: unknown), via an unspecified route of administration on 17May2021 as SINGLE DOSE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. It was reported that the patient was resulted in throat tightness 15 minutes after dose in May2021. Asking for recommendation on whether patient should receive second dose. Outcome of the event was unknown. Follow-up attempts are needed. Further information is expected.

Other Meds:

Current Illness:

ID: 1391147
Sex: F
Age:
State: CA

Vax Date: 05/25/2021
Onset Date: 05/01/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: I have a patient with a lump at the injection site; This is a spontaneous report from a contactable pharmacist. A 43-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for Injection, Batch/Lot Number: not reported) via an unspecified route of administration on 25May2021 (at the age of 43-year-old) at a 2ND DOSE, SINGLE DOSE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Patient previously took first dose of BNT162B2 for covid-19 immunisation. On an unspecified date in May2021 the patient experienced a hard lump underneath the skin at the injection site. The lump is not painful, but it is not going away and it bothers the patient that the lump is still there. Outcome of the event was unknown. Information on Lot/Batch number has been requested.

Other Meds:

Current Illness:

ID: 1391148
Sex: F
Age:
State: TX

Vax Date: 06/05/2021
Onset Date: 06/05/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: mild migraine; sore arm; Caller stated she noticed that she is constipated; This is a spontaneous report received from a contactable consumer (patient). A 40-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Lot number: EW0191), via an unspecified route of administration, on Arm Left on 05Jun2021, as a 1st dose single for COVID-19 immunization. The patient medical history included ongoing irritable bowel syndrome (She does take a homeopathic pill, but she hasn't been taking it) and gallbladder removed. The patient's concomitant medications were reported as none. It was reported that, the patient got her first Pfizer COVID vaccine on 05Jun2021 (Saturday). On the same day (05Jun2021), when she got home, she had a mild migraine and sore arm. The same thing yesterday (06Jun2021) and today (07Jun2021). The migraine was only on the left side of her head, and it started 2 to 3 hours after the COVID vaccine. It went away 8-9 hours later. She took a small nap to help the migraine, and when she woke up, she felt the soreness. The sore arm started that night. She still has a little arm soreness. She got the shot in her left arm, and the soreness was in her left arm. Then, today she noticed that she has been constipated since the shot. She has IBS (irritable bowel syndrome), and normally when she has to go. She doesn't take medication for IBS because she doesn't have insurance. She does take a homeopathic pill, but she hasn't been taking it because she went on vacation. She noticed the constipation because after the vaccine she went and got her family breakfast. She always goes after eating. She ate three meals a day and still hasn't went. She has had her gallbladder removed, so she always goes. This was not like her, and she went fine on Friday. It was further stated that, she hasn't been taking the homeopathic pill for about a week and a half to two weeks now because she was on vacation. It was an IBS therapy pill (by Manufacturer TRP). The outcome of the event mild migraine was recovered on 05Jun2021, whereas not recovered from other events.

Other Meds:

Current Illness: Irritable bowel syndrome (She does take a homeopathic pill, but she hasn't been taking it)

ID: 1391149
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/11/2021
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: rash; This is a spontaneous report from a non-contactable consumer (patient's mother). A 15-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number was not reported), dose 1 via an unspecified route of administration on an unspecified date as 1st dose, single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On unspecified date the patient experienced, the reporter stated that her son was due for his second dose of the Pfizer COVID-19 vaccine at place on 09Jun2021, but they plan to go and receive his second dose one day early and she was informed by the Pharmacist at her place that the vaccine can be refrigerated for a longer period of time now. She called to verify if this information was accurate. She stated that she thought the vaccine could only be stored in the refrigerator for 3-5 days, however, the Pharmacist told her that it can now be stored for 30 days. The reporter stated that her son received the first dose of the Pfizer COVID-19 vaccine around 19May2021, she was not entirely sure of the exact date, however she reported that he did develop a rash on the tops of both of his arms. She stated that it had mostly resolved but it was still slightly visible, and she can still barely feel it when she rubs his skin. She stated that he had very sensitive skin and he put on a shirt at his grandmother's house the night that he received his first dose, and he received a haircut that night as well. The patient's mother was not sure if the rash that appeared was associated with the shirt that he wore and the detergent that it was washed in or if it had to do with the Pfizer COVID-19 vaccine. The patient's mother wanted to know if side effects with the second dose of the Pfizer COVID-19 vaccine could be worse than with the first. She stated that her son did not really have any side effects with the first dose other than the potential rash that occurred. The patient's mother stated that she specifically had concerns about diarrhea with the second dose. The clinical 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: 1391150
Sex: F
Age:
State:

Vax Date: 01/01/2021
Onset Date:
Rec V Date: 06/11/2021
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: Got ill; This is a spontaneous report from Pfizer Sponsored Program. A contactable consumer reported for a 63-year-old female patient (reporter's mother) via medical information team. A 63-year-old female patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number and expiration date: Unknown), via an unspecified route of administration on an unknown date in Jan2021 (at the age of 63-year-old) as single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. Reporter said that patient received her first dose of the Pfizer COVID-19 vaccine in Jan2021 while living in PRIVACY and then "got ill" on an unknown date and moved to PRIVACY and she was unable to get her second dose to due age restrictions and availability and was able to get her second dose now. Reporter was wondered if her mother needed to repeat the series or just get the second dose. The outcome of the event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1391151
Sex: F
Age:
State: FL

Vax Date: 03/02/2021
Onset Date: 03/08/2021
Rec V Date: 06/11/2021
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: got the 1st dose in last march but after a week she tested positive with COVID virus; This is a spontaneous report from a contactable consumer (patient) from a Pfizer sponsored program. A female patient of an unspecified age received BNT162B2(PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot Number: EN6198), dose 1 via an unspecified route of administration on 02Mar2021 as 1st dose, single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. On 08Mar2021, after a week later the patient tested positive with COVID virus got diagnosed with Covid-19 and had light symptoms. On 10Mar2021, Patient received monoclonal antibodies for the Covid-19. she undergo a with an body fluid infusion that was advised by her doctor, and when she ask about the 2nd dose when will be getting that she was informed not to get it for 3 months. and right now she want to know if she can go ahead and do that with facility where she got the 1st dose or she will be stating all over again? The patient underwent lab tests and procedures which included Covid test: positive on 08Mar2021. Therapeutic measures were taken with monoclonal antibodies and body fluid infusion as a result of covid-19. The outcome of event was unknown.

Other Meds:

Current Illness:

ID: 1391152
Sex: F
Age:
State: CA

Vax Date: 05/27/2021
Onset Date: 05/31/2021
Rec V Date: 06/11/2021
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: Broken out in a rash, felt extremely tired and fatigued, and brain fog; Broken out in a rash, felt extremely tired and fatigued, and brain fog; Broken out in a rash, felt extremely tired and fatigued, and brain fog; This is a spontaneous report from a contactable consumer (patient). A 56-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection. Lot Number: EW0178), via an unspecified route of administration on 27May2021 as 1st dose, single dose for COVID-19 immunization. Patient's medical history included osteoporosis, lung disease but it is very mild. It was reported that, a few months ago, on 28Mar2021, patient had a series of shingle shot and with the second shingle shot, patient also broke out in the same type of rash but this time, the first time with the shingle, patient had a rash on arms, legs, and chest but that cleared up. Patient waited longer than they told me to before getting the COVID-19 vaccine, the rash got cleared up, patient waited probably two to three more weeks, then patient got COVID-19 vaccine. Concomitant medications included prolia taken for osteoporosis from 14May2021, protonix (pantoprazole) and Valtrex. The patient experienced broken out in a rash, felt extremely tired and fatigued, and brain fog on 31May2021. The patient mentioned that she started noticing it 4 days after getting the first dose. The rash was still present, not getting any better; seem to be getting worse and was now being treated with cortisone. So, now the rashes are back, and patient just have a concern about getting second dose and asked what to do about that. Patient looking for some assistance and some support or advice. Patient shared that, would be travelling to the state of (withheld) and is required to have a COVID-19 Test just a few days after getting the COVID-19 vaccine. Patient mentioned the test is scheduled on 17Jun2021, and flight would be on 21Jun2021. The patient was not recovered from rash and the outcome of the events felt extremely tired and fatigued and brain fog was unknown. Information on Lot/Batch number was available. Additional information has been requested.

Other Meds: PROLIA; PROTONIX [PANTOPRAZOLE SODIUM SESQUIHYDRATE]; VALTREX

Current Illness:

ID: 1391153
Sex: F
Age:
State: TN

Vax Date: 05/19/2021
Onset Date:
Rec V Date: 06/11/2021
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: Slept for 15 hours a day; Extreme fatigue; A1C is 8.4/HAC1 were at 8.4 post-vaccination; This is a spontaneous report from a contactable consumer (nurse). This consumer reported for 89-year-old female patient (reporters godmother). A 89-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot number was not reported), dose 1 via an unspecified route of administration on 19May2021 (at the age of 89-year-old) as 1st dose, single dose for COVID-19 immunization. The patient medical history was not reported. There were no concomitant medications. Reported stated that patient received the first dose of the Pfizer-BioNTech COVID-19 vaccine 19May2021. The reporter stated that patient HAC1 were at 8.4 (2021) post-vaccination and she has been experiencing extreme fatigue on an unknown date on 2021. She described her godmother as 'active' and explained 'she works out, attends her physical therapies, and swims'. Reporter asked for the efficacy of a single dose of the Pfizer-BioNTech COVID-19 vaccine. Reporter again stated, she had extreme fatigue, her A1C is 8.4 and she doesn't have side effects listed. She slept for 15 hours a day (2021). She was scheduled for her next injection on Wednesday and they were concerned about the second injection. They didn't know if they could postpone it and if they did, does it affect the effectiveness. She wants to know the percentage of coverage after the first injection and how long she can wait. The events were reported as non-serious. The patient underwent lab tests and procedures which included A1C: 8.4 on 2021. The outcome of events were unknown. Information on Lot/Batch number has been requested.

Other Meds:

Current Illness:

ID: 1391154
Sex: M
Age:
State: NJ

Vax Date:
Onset Date:
Rec V Date: 06/11/2021
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: In bed with a fever; Chills; Tiredness; felt sick for two days; This is a spontaneous report from a contactable Nurse (Mother). A male patient of an unspecified age received BNT162B2 (Formulation: Solution for injection; Batch/Lot number: unknown), via an unspecified route of administration 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 caller was reporting on herself, she mentioned her son got the Pfizer covid vaccine and for two days he was in bed with a fever and chills and everything. She states he had tiredness, fever, chills and felt sick for two days. The outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1391155
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/11/2021
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: slight cold/feeling a cold; slight cold/feeling a cold; This is a spontaneous report from a Pfizer-sponsored program A non-contactable consumer (patient) reported that a male patient of an unspecified age received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number: Unknown), via an unspecified route of administration on an unspecified date as single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date, the patient had slight cold/ feeling a cold. He asked whether he should get the second dose the next day and did the vaccine contain live virus. The outcome of the events was unknown. No follow up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1391156
Sex: M
Age:
State:

Vax Date: 05/24/2021
Onset Date:
Rec V Date: 06/11/2021
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: little bit of weird pain on his arm pit; This is a spontaneous report received from a contactable consumer (Patient). A male patient of an unspecified age received BNT162B2 PFIZER-BIONTECH COVID-19 VACCINE, (Batch/Lot number was not reported, Solution for injection), via an unspecified route of administration on 24May2021 as unknown, single dose for covid-19 immunization. The patient medical history and concomitant medications were not reported. On an unspecified date, the patient experienced little bit of weird pain on his arm pit. He was vaccinated on 24May2021, and he still had a little bit of a weird pain on his arm pit. His kids and wife were feeling better, he wanted to know how long this will last. The outcome was not recovered. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1391157
Sex: M
Age:
State: NY

Vax Date: 03/24/2021
Onset Date: 03/26/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: This is a spontaneous report from a contactable consumer (father) or other non health care professional. A 46-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: ER8727), via an unspecified route of administration administered in arm left on 24Mar2021 as 1st dose, single dose for COVID-19 immunization. Medical history included Parkinsons diagnosed 12 years ago and dystonia diagnosed 8 years ago from an unknown date and unknown if ongoing states the patient has had four deep brain stimulations and was in neurological care and takes a lot of medications. The patient's concomitant medications were not reported. Patient did not receive any vaccination 4 weeks prior to receiving Covid 19 vaccine. On 24Mar2021, the patient had the Pfizer Vaccine and a day and a half later could not feel his legs and has not been able to walk since; states the vaccine was the only different thing he had and everything else was routine and going on for years and his dystonia did not just jump and he can't say the reason this happened but it should be looked at. He can't say the Pfizer Vaccine was the reason for the reported events and he can't say it isn't the reason. On 26Mar2021, the caller stated that in the morning but could have been the night before as the patient was in bed and said he could not feel his legs and couldn't walk; states he could not stand up to this day on an unknown date and was in a wheelchair and everything was done in a wheelchair. Caller stated the patient had nothing new and no kinds of other medication or vaccines done other than what was prescribed by his doctor. Stated he was healthy other than what the disease has done to him. Stated for treatment everything was exactly the way it has always been and they adjust his deep brain stimulations once in a while and basically try to help out the dystonia and the Parkinsons seems to be taken care of but the dystonia was really the culprit. Stated that the patient had the Pfizer Vaccine and a day and a half later could not feel his legs and had not been able to walk since, the patient went to the health care professional and was going back again next week and the health care professional tried to adjust the batteries and increased his medication to see if that would help and the increased medication did nothing and nothing changed. The medication that did nothing was Carvidopa or Levodopa or whatever it was called and he went from taking 2 pills twice per day to taking three pills twice per day after the incident with the Pfizer Vaccine trying to help out and nothing changed. Caller states for some reason the Pfizer Vaccine just went in and did something to some part of his brain and must have gone after the weakest point and he was only guessing this as no doctor has answers and they don't know. The patient had been Carvidopa Levodopa for 12 years. Patient was afraid to take 2nd dose which was scheduled on 14Apr2021, and the patient did not take that. The event he could not stand up to this day and was in a wheelchair and everything was done in a wheelchair was assessed as serious (disability).The adverse events resulted in physician office visit. The vaccination facility type was reported as hospital. The outcome of the events was reported as unknown.

Other Meds:

Current Illness:

ID: 1391158
Sex: M
Age:
State: NY

Vax Date: 04/11/2021
Onset Date: 04/01/2021
Rec V Date: 06/11/2021
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: Wasn't feeling great after first vaccine; sluggish; This is a spontaneous report from a contactable consumer (patient's wife). A 47-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Lot Number: EP7533; Expiration Date: Jul2021), via intramuscular route of administration in Arm Left on 11Apr2021, as 1st dose, single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Patient doesn't take any medication, doesn't drink or do drugs, he was a very healthy person. Patient has nothing and that's what was so strange, Patient was a tall, healthy person. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. It was reported that he wasn't feeling great after first vaccine and sluggish. The patient underwent lab tests and procedures which included covid-19: and influenza: negative on 25May2021. The outcome of the events was unknown. Information on Lot/Batch number is available; Further information has been requested.

Other Meds:

Current Illness:

ID: 1391159
Sex: U
Age:
State: NJ

Vax Date: 06/01/2021
Onset Date: 06/05/2021
Rec V Date: 06/11/2021
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: my left ankle was lightly swollen yesterday and it's still swollen today; This is a spontaneous report from a contactable consumer (reported for himself). A 65-year-old male patient received second dose of BNT162B2 (Pfizer covid-19 vaccine, Solution for Injection, Batch/lot number and Expiration date were not reported), via an intramuscular route on the right arm on 01Jun2021 (age at vaccination: 65-year-old) as a single dose for covid-19 immunization. Medical history included high cholesterol and high blood pressure. Concomitant medications included amlodipine Besylate 10 mg for high blood pressure and atorvastatin, 30mg tablet for cholesterol. Historical vaccine included first dose of BNT162B2 (Pfizer covid-19 vaccine, Solution for Injection) as a single dose for covid-19 immunization. Family history included swollen ankle of patient father who is 95-year-old. Patient did not receive any other vaccine after the covid vaccine. On 05Jun2021 yesterday, patient mentioned that his left ankle was lightly swollen yesterday, and it's still swollen today. He wanted to know if that is something he should worry about as the side effect. The patient underwent lab test and procedure which included blood work up and it all came out good, his cholesterol was low, and his blood pressure was good. The clinical outcome of the left ankle was not recovered. Information on the lot/batch number has been requested.

Other Meds: AMLODIPINE BESYLATE; ATORVASTATIN

Current Illness:

ID: 1391160
Sex: M
Age:
State: TX

Vax Date:
Onset Date:
Rec V Date: 06/11/2021
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: Arm hurt a little; This is a spontaneous report from a contactable consumer. A 62-years-old male consumer (patient) reported for himself that he received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot number, expiry date and NDC number were not reported) via an unspecified route of administration on an unspecified date as a single dose for covid-19 immunization. Medical history, other products, investigation assessment and concomitant medications were not reported. On an unknown date, the patient reported that his arm hurt a little bit after first shot of vaccine. 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: 1391161
Sex: F
Age:
State: GA

Vax Date: 06/04/2021
Onset Date: 06/01/2021
Rec V Date: 06/11/2021
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: feeling a little bit sick; feels a little bit funny once she got the vaccine; her head is hurting, Headache; shoulder is hurting; a little bit of trouble breathing; also feels in her stomach; sometimes like it is Anxiety attack; She started to fall asleep, she started to have Shivers; Dizzy; gas problems reappear; This is a spontaneous report from a contactable consumer or other non hcp (patient's son). A 47-years-old female patient (reporter's mother) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EW0179; Expiration Date: 31Aug2021) via an intramuscular route of administration arm left on 04Jun2021 as 1st dose, single dose for COVID-19 immunization. Medical history included some gas problems from an unknown date and unknown if ongoing while taking Simethicone. Patient has not had any vaccine in 4 weeks prior COVID vaccinations. Concomitant medication(s) included simeticone (SIMETHICONE, 125 mg; twice a day, one in the morning, one in the night; Chew Capsule), indication for Simethicone, Reporter stated, well it's also related to her symptoms because she feels, well she used to have the symptoms before she spoke to the doctor and she told her that it was some gas problems and the doctor told her that she could take this medication. But after she started taking it and then she stopped feeling it but then after she got the shot, she had started to reappear all the symptoms again. And now she has started to take the Anti-gas medication and the Aspirin pill. On 04Jun2021, the patient experienced feels a little bit funny, head is hurting, her shoulder is hurting and she had a little bit of trouble breathing, she also feels in her stomach, headache, feels sometimes like it is Anxiety attack, maybe and she feels them almost like in period, started to fall asleep, she started to have shivers, dizzy and on an unspecified date in Jun2021, experienced gas problems reappears. Reporter stated, calling for mom, she was feeling a little bit sick. She was feeling, well we got our Pfizer Vaccine on Friday and ever since then caller's mom had been telling me that she feels a little bit funny once she got the vaccine. It was like her head was hurting, her shoulder was hurting and she has a little bit of trouble breathing. She said that she also feels in her stomach. Reporter stated, she was still concerned about the side effects that she has, that she was feeling right now. The patient underwent lab tests and procedures on an unspecified date in Mar2021 she did not receive the test because her doctor told her that everything was fine and that everything was under regulation. Therapeutic measures were taken with 81 milligrams for the Aspirin and for the Ibuprofen it is its 220 milligrams. She says that the Aspirin she took it on the night that she had the vaccine. She is telling me that whenever she started to fall asleep, she started to have Shivers and she started to feel a little bit Dizzy. And for the Ibuprofen, she had it on the morning after, so June 5th and on the night of the June 5th and today morning. The outcome of the events was not recovered.

Other Meds: SIMETHICONE

Current Illness:

ID: 1391162
Sex: M
Age:
State: TX

Vax Date: 05/03/2021
Onset Date: 05/01/2021
Rec V Date: 06/11/2021
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: Felt tired; Back hurts; Pop in neck and back; Pop in neck and back; Headache; Cramps, sometimes in his legs and hands; Feels weak sometimes; Has a little bit of pain in his chest; Body hurt, reclarified, joints hurt; This is a spontaneous report from a contactable male consumer reported for himself. A 62-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: unknown, Expiration date: unknown), via unspecified route, on 03May2021 (at the age of 62-year-old) as 2nd dose, single dose for COVID-19 immunization. Patient previously received the first dose of BNT162B2 vaccine on an unspecified date (lot/batch and expiry date unknown). The patient medical history and concomitant medications were not reported. On 03May2021, after the vaccination, the first day patient felt tiredness, later (unspecified date in May2021) the patient explained his body hurt- reclarified as joints hurt, back hurts, pop in his neck and back, headache, cramps sometimes his legs and hands, feels weak sometimes, little bit of pain in his chest. Caller stated he has waited for his effects to go away, but it has been a month. Caller stated his body hurt, reclarified as joints hurt, and it was not going away (not recovered). The outcome of the other events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1391163
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/11/2021
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: chest pain; chest pain, near his arms like the upper the pectoral muscle like and it not just the site where he get the vaccine; bad pain in the both sides; This is a spontaneous report from a contactable consumer or other non-Health Care Professional. A male patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number and Expiry date: Unknown), via an unspecified route of administration on an unspecified date as UNKNOWN DOSE, SINGLE DOSE for covid-19 immunization. The patient medical history was not reported. The patient's concomitant medications were not reported. On an unspecified date the patient experienced chest pain, near his arms like the upper the pectoral muscle like and it not just the site where he get the vaccine, bad pain in the both sides. The outcome of event was unknown. Information on Lot/Batch number has been requested.

Other Meds:

Current Illness:

ID: 1391164
Sex: F
Age:
State: OK

Vax Date: 04/23/2021
Onset Date:
Rec V Date: 06/11/2021
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: The rash is coming and going on her chest, arm where she had the shot, and to her elbow and part of her back.; it was making her nervous and was not a good feeling; it was making her nervous and was not a good feeling; This is a spontaneous report from a contactable consumer A 55-years-old female 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 on 23Apr2021 01:00 as single dose for covid-19 immunisation. Medical history included allergies and allergy to plants (she was just allergic to everything - grass and flowers, so she took Zyrtec every night.Sometimes, she needed one in the morning and one at night because her allergies were very bad). The patient's concomitant medication included cetirizine hydrochloride (ZYRTEC [CETIRIZINE HYDROCHLORIDE]) taken for allergies as 5 mg, 120 mg something like that. The patient previously took dose 1 of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 01Apr2021, as single dose for covid-19 immunisation. 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 stated that since she had the second dose, she had been having a rash and it was bothering her. This started when she had the second rash, she was not sure the date. She was taking Benadryl and it was coming and going, it was making her nervous and was not a good feeling. The rash was coming and going on her chest, arm where she had the shot and to her elbow and part of her back. It was on her chest and the other side, just like one line from the elbow like a rectangle to the the other arm. The reporter stated that she carried her EpiPen with her in case that happened. She stated that what she was facing was uncomfortable. The reporter stated that they would have told her that she would have this side effect and then she could have made the decision to get the vaccine, she inquired if she had to go to the physician. Therapeutic measures were taken as a result of the event rash is coming and going on her chest, arm where she had the shot, and to her elbow and part of her back. The outcome of the event was unknown. Information on the lot/batch number has been requested.

Other Meds: ZYRTEC [CETIRIZINE HYDROCHLORIDE]

Current Illness:

ID: 1391165
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/11/2021
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: Developed rash and striations at injected left lower arm but not at injection site; This is a spontaneous report from a contactable consumer. A 15-year-old female patient received BNT162B2(PFIZER-BIONTECH COVID-19 VACCINE, formulation solution for injection, Lot number and Expiry Date was not reported), dose 2 via an unspecified route of administration in arm on an unspecified date as 2ND DOSE, SINGLE DOSE for COVID-19 immunization. The patient medical history was not reported. There were no concomitant medications. The patient historical vaccine includes BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation solution for injection, Batch/Lot number and Expiry Date was not reported), dose 1 via an unspecified route of administration on an unspecified date as 1st DOSE, SINGLE DOSE for COVID-19 immunization. On an unspecified date, It was reported that consumers granddaughter received second Pfizer vaccine on Friday. Today after 48 hours later she started having that Covid arm, she developed a rash but it's not at the site but the injection site's her lower arm, the lower arm on the injected arm, she had her shot in her left arm. I was really just looking at an information to see if they have any already know from (vaccine), so I wanted to report the reaction. She has like striations on the lower left arm the injected arm. I need to report that as well as to see if they, I looked up, I was googling to see CDC (not clarified) information to see if there was any advice on how to treat certain reaction. Seriousness of the event is reported as unspecified. Outcome of the event was reported as unknown. Follow-up attempts are needed; information about lot/batch number requested.

Other Meds:

Current Illness:

ID: 1391166
Sex: F
Age:
State:

Vax Date: 06/06/2021
Onset Date: 06/01/2021
Rec V Date: 06/11/2021
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: Arm got sore; Headache; Tiredness; Muscle pain; This is a spontaneous report from a contactable consumer (patient). This is report 1 of 2. Caller also reported information for her husband who is the patient in report 2 of 2. A female patient of an unspecified age received BNT162B2 (PFIZER-BIOTECH COVID-19 VACCINE, solution for injection, Lot number: unknown), via an unspecified route of administration on 06Jun2021 as single dose for covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient experienced minor side effects after vaccination. On 06Jun2021, the patient arm got sore on night. On an unspecified date in Jun2021, the patient experienced headache, tiredness and muscle pain. She thought these were just normal symptoms and called to ask if she can take Ibuprofen to see if she could knock this headache and muscle pain out. The outcome for the events was unknown. Information on the lot/batch number has been requested

Other Meds:

Current Illness:

ID: 1391167
Sex: U
Age:
State: NV

Vax Date:
Onset Date:
Rec V Date: 06/11/2021
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: Shingles; This is a spontaneous report a stimulated report from a contactable reporter Physician reporting on behalf of multiple patients. This is 1 of 6patients reported. A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as unknown, single dose for covid-19 immunization. The patient medical history and concomitant medications were not reported. On an unspecified date the patient experienced shingles. The outcome of the event was unknown.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021666292 same reporter/drug/AE, different patient;US-PFIZER INC-2021666293 same reporter/drug/AE, different patient;US-PFIZER INC-2021666294 same reporter/drug/AE, different patient;US-PFIZER INC-2021666296 same reporter/drug/AE, different patient;US-PFIZER INC-2021666295 same reporter/drug/AE, different patient

Other Meds:

Current Illness:

ID: 1391168
Sex: F
Age:
State: TX

Vax Date: 03/05/2021
Onset Date:
Rec V Date: 06/11/2021
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: Caller said that after her second dose, her lymph nodes swell up under her arm and then that subsided.; This is a spontaneous report from a contactable consumer (patient). A 48-year-old female patient received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- EN6202) via an unspecified route of administration in right arm on 05Mar2021 as 2nd dose, single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. Historical vaccine included BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- EL9265) via an unspecified route of administration in left arm on 04Feb2021as 1st dose, single dose for COVID-19 immunization and experienced injection site pain, mobility is gone. Patient said that after her second dose, her lymph nodes swell up under her arm and then that subsided. Agent stated she had on the line and she received the full series of the Pfizer COVID-19 Vaccine back in February and still has soreness in her arm, feels like its locking up, cant elevate it past a certain degree, and can't really carry anything with her left arm. Agent states the caller reports her whole shoulder is hurting and she feels like she has lost mobility. Caller has spoken to her doctor about this. Patient stated her hand movement and gripping was okay sometimes but if she was lifting something a certain weight, she can feel the pressure in arm. Patient stated she tries to elevate her arm to comb her hair and it will be like a sharp pain. She stated sometimes she cannot lay on it and a lot of nights she is tossing and turning trying to get comfortable. Patient stated she had been calling back and forth with her doctor and online about it. She stated that she did have soreness at the injection site. Caller stated the soreness started lingering after the first dose for a few days, and then she was talking to her family members and friends who had gotten the Pfizer and Moderna shots. She stated everyone was discussing side effects and she spoke about her soreness lasting and now her mobility was gone. Patient stated she goes on a one mile walk and can feel the pressure when she is stretching her arms over her head. She stated she had an MRI scheduled for 14Jun2021 after her doctor wanted her to do physical therapy and she told her doctor she was pushing against a wall because she has not had any injuries or accidents. She states she is just trying to find out if anyone has had these symptoms and if they have lingered with the loss of her range of motion. Patient stated she thought all the events started about a week after receiving the first dose but she was unsure of the exact date. Patient stated she was afraid to do left arm again as she felt like she really wouldn't be able to move it at all after that. Patient stated her arm was like it wants to catch, like it gets caught and wants to lock up, like it gets a cramp. She was forcing herself to use her arm and it will stop her in her tracks if she tries to do too much. Patient said that the soreness in her arm went away after about 3 days, but her arm was just never got back right after the injection. Not require to visit emergency room. Patient visited Physician Office. There was no family medical history relevant to adverse event. The outcome of the event was recovered on an unspecified date in 2021.

Other Meds:

Current Illness:

ID: 1391169
Sex: F
Age:
State: MI

Vax Date: 04/01/2021
Onset Date: 04/07/2021
Rec V Date: 06/11/2021
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: Burning Mouth Syndrome: Hard palate and Tip of Tongue; This is a spontaneous report from non-contactable consumer (patient). A 72-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Lot number: EW0150) via an unspecified route of administration in right arm on 01Apr2021 at 13:30 (age at vaccination 72-year-old) at single dose for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. Prior to the vaccination patient did not receive any other vaccines within 4 weeks. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had been not been tested for COVID-19. On 07Apr2021, patient experienced burning mouth syndrome: hard palate and tip of tongue. Began 1 week after 1st vaccine dose and had not gone away. It was reported that device date was 07Jun2021. No treatment was given for the event. Outcome of the events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1391170
Sex: U
Age:
State: NV

Vax Date:
Onset Date:
Rec V Date: 06/11/2021
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: Shingles; This is a spontaneous report from a contactable physician via a sales representative. A patient of unspecified age and gender received 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 unknown, single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient experienced shingles following vaccination. It was reported that on COVID 19 vaccine 6 patients developed shingles following vaccination. Event took place after use of product. The outcome of the event was unknown. Information about Lot/Batch number has been requested.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021666246 same reporter/drug/AE, different patient

Other Meds:

Current Illness:

ID: 1391171
Sex: U
Age:
State: NV

Vax Date:
Onset Date:
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Shingles; This is a spontaneous report from a contactable physician. This Physician reported for a behalf of 6-patients. This report was received via a sales representative. A patient of unspecified age and gender received bnt162b2 (BNT162B2, solution for injection), via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as UNKNOWN, SINGLE DOSE for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient experienced shingles on an unspecified date. The clinical outcome of the event was unknown. Information about lot/batch number has been requested.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021666246 same reporter/drug/AE, different patient

Other Meds:

Current Illness:

ID: 1391172
Sex: U
Age:
State: NV

Vax Date:
Onset Date:
Rec V Date: 06/11/2021
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: Shingles; This is a spontaneous report from a contactable Physician via a sales representative. This is one of 5th case out of 6th Patients. A patient of unspecified age and gender received bnt162b2 (PFIZER- BIONTECH COVID- 19 VACCINE, Formulation: Solution for injection, Lot number and Expiration date: unknown), via an unspecified route of administration on an unspecified date as single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient experienced shingles on an unspecified date. It was reported that on COVID 19 vaccine 6 patients developed shingles following vaccination. Event took place after use of product. The outcome of event was unknown.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021666246 same reporter/drug/AE, different patient

Other Meds:

Current Illness:

ID: 1391173
Sex: U
Age:
State: NV

Vax Date:
Onset Date:
Rec V Date: 06/11/2021
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: Shingles; This is a spontaneous report from a contactable physician reporting on behalf of 6 patients. This is the 6th of 6 patients reported. A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration 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 experienced shingles. It was reported that event took place after use of product. The outcome of the event was unknown. Information about Lot/Batch number has been requested.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021666246 same reporter/drug/AE, different patient

Other Meds:

Current Illness:

ID: 1391174
Sex: F
Age:
State: OH

Vax Date: 05/17/2021
Onset Date:
Rec V Date: 06/11/2021
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: Sore throat; Cold; This is a spontaneous report from a contactable consumer (patient mother) from Pfizer. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number was not reported) via an unspecified route of administration on 17May2021 as 1ST DOSE, SINGLE DOSE for covid-19 immunization. The patient medical history and concomitant medications were not reported. It was reported that just 3 days ago the patient got a cold and sore throat. The reporter was wondering if she still takes the 2nd one, she is supposed to get it today. The outcome of the events was unknown. Limited information was available over the call. Information about batch/lot number has been requested.

Other Meds:

Current Illness:

ID: 1391175
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/11/2021
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: 102.5 fever day 1 poster vax 2; This is a spontaneous report from a contactable consumer (on behalf of patient). A 12-years-old female patient received second dose of bnt162b2 (COVID VACCINE, formulation: solution for injection, Batch/Lot number: unknown, Expiry date: unknown), via an unspecified route of administration on an unspecified date (at the age of 12-years) as 2ND DOSE, SINGLE DOSE for covid-19 immunisation.The patient received first dose of bnt162b2 (COVID VACCINE) on an unspecified date. The patient's medical history and concomitant medications were not reported. On an unknown date, the patient experienced 102.5 fever day 1 poster vax 2. The patient underwent lab tests and procedures which included body temperature: 102.5. Outcome of the events was unknown. Information on Lot/Batch number has been requested.

Other Meds:

Current Illness:

ID: 1391176
Sex: F
Age:
State: CA

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 06/11/2021
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: Vertigo fir 8 weeks After approximately 5 weeks after #2; both ankles swollen; Light headed & dizzy all the time.; 14Apr2021 dose number=1/28Apr2021, dose number=2; This is a spontaneous report from a contactable consumer (patient). A 62-year-old non-pregnant female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection; Batch/Lot number was not reported, Expiration Date was not reported), via an unspecified route of administration, administered in Arm Left on 28Apr2021 14:00 (at the age of 62-year-old) as, single dose for covid-19 immunisation. The patient medical history was reported as none. The patient didnot have any allergies. The patient concomitant medications were not reported. The patient previously received first dose of BNT162B2 administered in left arm on 14Apr2021 01:00PM for COVID-19 immunization. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 28May2021 the patient experienced vertigo fir 8 weeks after approximately 5 weeks after #2, both ankles swollen light headed & dizzy all the time. Patient had not been diagnosed with COVID-19 prior to vaccination and had not tested positive since the vaccination. No treatment received for the events vertigo fir 8 weeks after approximately 5 weeks after #2, both ankles swollen, light headed & dizzy. The events were considered as non-serious by the reporter. The outcome of the events vertigo fir 8 weeks after approximately 5 weeks after #2, both ankles swollen, light headed & dizzy all the time were not resolved and unknown for other event. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1391177
Sex: F
Age:
State: NC

Vax Date:
Onset Date:
Rec V Date: 06/11/2021
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: Lumps popped up on right side of breast; Soreness in the arm; Caller states what's going on with her is she is having come concerns about the first dose; Bumps in her armpit; And she thinks they're swollen lymph nodes.; This is a spontaneous report from Pfizer Sponsored Program. A female consumer (patient) reported for herself. A female patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection), via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as 1st dose, single dose for covid-19 immunization.The patient medical history and concomitant medications were not reported. On an unspecified date two weeks after patient received her first one, the patient started having soreness in the arm, also stated then she had bumps in her armpit, lumps popped up on right side of breast and she thinks they are swollen lymph nodes, they are closer to the breast .The patient does have an appointment for the lumps to be looked at on her breast.She had some concerns about the first dose, said lumps popped up, not sure they are related to the Pfizer vaccine. The patient stated that she has lumps on the side of her right breast, and she does not know if that was due to coronavirus.The patient wanted to get some clarity before her appointment tomorrow for Pfizer and wanted to know if she should get the second dose. The outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1391178
Sex: F
Age:
State: TX

Vax Date: 06/06/2021
Onset Date: 06/07/2021
Rec V Date: 06/11/2021
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: I have a lump on my collarbone (left side, same side as where I got my shot). It's tender and it feels like a ball that can move when I press on it.; I have a lump on my collarbone (left side, same side as where I got my shot). It's tender and it feels like a ball that can move when I press on it.; I have a lump on my collarbone (left side, same side as where I got my shot). It's tender and it feels like a ball that can move when I press on it.; This is a spontaneous report from a contactable consumer (patient, self-reported). A female patient (age at vaccination: 28 year) received a dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number and expiry date were not reported), via an unspecified route of administration, in Arm Left, on 06Jun2021, as a single dose for COVID-19 immunization at pharmacy or drug store. The patient was not pregnant at the time of vaccination. The patient's medical history included gastritis. Concomitant medications were not reported. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient was not tested for COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient reported that she had a lump on her collarbone (left side, same side as where she got her shot). It's tender and it felt like a ball that could move when she press on it on 07Jun2021. The patient did not receive any treatment for the events. Device date was 07Jun2021. Outcome of the events was not recovered. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm