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: 1405661
Sex: U
Age:
State: CT

Vax Date:
Onset Date:
Rec V Date: 06/17/2021
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: feel cold; feel like that i have fever; Headache; Body ache; Feeling tired; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Batch/Lot number and Expiration date were not reported), via an unspecified route of administration on an unspecified date as unknown, single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient experienced feel cold, feel like that i have fever, headache, body ache and feeling tired. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1405662
Sex: F
Age:
State: FL

Vax Date: 05/13/2021
Onset Date: 05/13/2021
Rec V Date: 06/17/2021
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: my bottom lip has a little puffiness on it; I have a tingling on my lips/ My lip is so tingly; the bottom lips is little swollen; This is a spontaneous report from a contactable consumer (patient). A 78-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot number: EW0172, Expiration Date: not reported), via an unspecified route of administration on 13May2021 (at the age of 78 years old) as second dose, single for COVID-19 immunisation. Medical history included hypertension from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. The patient previously received the first dose of BNT162B2 (lot number: EP7533), via an unspecified route of administration on 20Apr2021 (at the age of 78 years old) as single dose for COVID-19 immunisation. On 13May2021, when the patient got home after having the second shot of BNT162B2, the patient experienced that her lips was so tingly and the bottom lips was little swollen. On 14May2021, it looked like the patient's bottom lip has a little puffiness on it. Treatment was received in response with the events which included diphenhydramine (BENADRYL, 25mg) about 4 doses about over the night (as reported). Outcome of all events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1405663
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/17/2021
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: lymph node swelling; acute pain in the upper right side of my chest; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Batch/Lot number and Expiration date were not reported), via an unspecified route of administration on an unspecified date as 1st dose, single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient experienced lymph node swelling and acute pain in the upper right side of my chest. It was reported that after the first dose the patient had some lymph node swelling which was believed the side effect and then this morning it was about 10 minutes of acute pain in the upper right side of chest and then it stopped. Abruptly as it started so the patient wanted to know if that was the vaccine side effect. The outcome of the event acute pain in the upper right side of my chest was recovered while the outcome of the event lymph node swelling was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1405664
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/17/2021
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: Fever; patient's temperature was checked and recorded to be at 101.5; pain; I gave her the shot; This is a spontaneous report from a contactable consumer (parent). A female patient of an unspecified age 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: unknown; Expiration date: unknown) as 2nd dose, single dose for COVID-19 immunisation. Patient's medical history and concomitant medications were not reported. The patient previously received BNT162B2 on an unspecified date as 1st dose, single dose for COVID-19 immunisation. On an unspecified date, the patient experienced fever and pain. The reporter stated that he/she gave the patient the shot and the patient got her 2nd shot yesterday at 4:00 pm. The reporter was asking if paracetamol (TYLENOL) can be given to the patient or if he/she should call a doctor. On an unspecified date, the patient's temperature was checked and recorded to be at 101.5. The outcome of the reported events was unknown. No follow up attempts are possible. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1405665
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/17/2021
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: first shot that I received I felt like a little hives just once/ Hives on my face and I wonder it is like alarming; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Batch/Lot number and Expiration date were not reported), via an unspecified route of administration on an unspecified date as first dose, single; second dose of BNT162B2 (Batch/Lot number was not reported), via an unspecified route of administration 12Apr2021 as second dose, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient felt like a little hives just once after the first shot. The second shot, the patient have had hives on the face. It was reported that it was a hives situation that like very alarming in it. The patient was wondering if there was any information on this or did someone called and noticed about the event. 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: 1405666
Sex: F
Age:
State: NC

Vax Date: 05/13/2021
Onset Date: 05/14/2021
Rec V Date: 06/17/2021
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: Got a 102 fever; This is a spontaneous report from a contactable consumer(mother). A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot Number and expiration date were not reported), via unspecified route of administration on 13May2021 as second dose, single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient experienced a 102 (unit was unspecified) fever. It was reported that the patient's normal temperature was 97.2 (unit was unspecified). The patient underwent lab test and procedure which included Body temperature: 102 (unit was unspecified) on 14May2021. The outcome of the event was unknown. The reporter was querying what to do to get that (temperature) down and reported that she saw on the papers that it could be one of the side effects (the fever). No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1405667
Sex: F
Age:
State:

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 06/17/2021
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: some dizziness/moves her head left and right and she feels dizzy; she can't close her eyes and looks down right now the room is spinning; This is a spontaneous report from a contactable consumer or other non hcp. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, batch/lot number, and expiration date not reported), via an unspecified route of administration on 14May2021, as first dose, single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient experienced some dizziness/moves her head left and right and she feels dizzy and she can't close her eyes and looks down right now the room is spinning on 14May2021. Reporter said patient was not dizzy earlier today and was able to read online that dizziness is an allergic reaction. With this, he asked if could it be severe. Reporter also wondered if they should go to the hospital then proceeds to state that they are just going to the hospital just to be safe. The outcome of events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1405668
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/17/2021
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: felt like my hamstring was pulled but it wasn't my hamstring, in my foot like my veins in my foot and they still hurt; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number unknown), via an unspecified route of administration on an unspecified date as first dose, single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient stated that he/she was at a vaccination center because he/she was due to get the 2nd shot but was also a little bit worried about getting a 2nd shot because (and told the doctor already too) after getting the 1st shot, he/she felt like a reaction. On an unspecified date, the patient reported that he/she felt like his/her hamstring was pulled but it wasn't the hamstring, in the foot like the veins in foot and they still hurt, and they were just uncomfortable and it felt like a little pinging sensation. The patient reported that he/she can walk and everything but knew that there was something that's not right and has never felt any kind of issues with the heels of his/her foot or any veins on the feet so the patient thought it was really odd and just wanted to talk to someone before getting the 2nd dose. The outcome of event was not recovered. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1405669
Sex: F
Age:
State: TX

Vax Date: 05/06/2021
Onset Date: 05/08/2021
Rec V Date: 06/17/2021
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: Infection stated 2nd day spread on 9-12th day3 to 6; This is a spontaneous report from a contactable consumer (patient). A 78-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot Number and expiration date were not reported), via unspecified route of administration in the left arm on 06May2021 15:00 (at the age of 78-years-old) as second dose, single dose for COVID-19 immunization at a Pharmacy/drug store. Medical history included allergy (not specified) from an unknown date and unknown if ongoing. The patient also has relevant medical history (reported as yes but was not specified). Concomitant medications included valsartan (DIOVAN), omeprazole (PROTONIX), loratadine (CLARITIN), oxycodone hydrochloride, oxycodone terephthalate, paracetamol (PERCOCET), montelukast sodium (SINGULAIR) and caffeine, paracetamol, promethazine methylene disalicylate, salicylamide (PL); all taken for an unspecified indication, start and stop dates were not reported. The patient was previously vaccinated with BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via unspecified route of administration in the left arm on 15Apr2021 12:30PM (at the age of 78-years-old) as first dose, single dose for COVID-19 immunization. The patient was not pregnant at the time of vaccination. No other vaccine was received by the patient in four weeks. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination the patient has not been tested for COVID-19. On 08May2021 12:00 AM, the patient experienced infection which started on the 2nd day, spread on 9-12th day 6 to 6 spreading towards the core (reported as today). No treatment was given as a result of the event. The outcome of the event was not recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds: DIOVAN; PROTONIX [OMEPRAZOLE]; CLARITIN [LORATADINE]; PERCOCET [OXYCODONE HYDROCHLORIDE;OXYCODONE TEREPHTHALATE;PARACETAMOL]; SINGULAIR; PL

Current Illness:

ID: 1405670
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/17/2021
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: This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot number and Expiration Date: not reported), via an unspecified route of administration on an unspecified date as unknown, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient experienced a little back pain in the right side, it continued to the hip, it could be just my back (as reported). The patient's back was hurting, he cannot walk too quickly. It was further reported that the patient was not feeling any fever nor anything like that. The patient was told to take only paracetamol (TYLENOL) but the patient was wondering, if it was okay to take anything else at this point since it was on Monday (as reported) that the patient had the vaccine. The patient have a back pain at the time of the report and didn't think it was really vaccine related, it could be the patient's own issue. The patient was asking if something can be taken other than paracetamol. Outcome of all events was not recovered. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1405671
Sex: U
Age:
State:

Vax Date: 05/07/2021
Onset Date:
Rec V Date: 06/17/2021
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: Headache; Backache; Body ache; Nausea; Vomiting; Diarrhea; Fever; seems like every night temperature goes up at night time mostly; This is a spontaneous report from a contactable consumer(patient). A patient of an unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot Number and expiration date were not reported), via unspecified route of administration on 07May2021 as first dose, single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient experienced headache, backache, body ache, nausea, vomiting, diarrhea and fever, it seems like every night the (temperature) goes up at night time mostly. Events were described as the worst side effects by the reporter. The patient was querying on how to know if was already been exposed to virus and would it be safe to get second dose out 3 weeks. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1405672
Sex: M
Age:
State:

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 06/17/2021
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: Having cramps in legs, thigh and calf; This is a spontaneous report from a contactable consumer (parent). A 17-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Batch/Lot number and Expiration date were not reported), via an unspecified route of administration on an unspecified date in May2021 as 2nd dose, single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unspecified date in May2021, the patient experienced having cramps in legs, thigh, and calf. The reporter just wanted to see if it was just normal or something they should be concerned about. 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: 1405673
Sex: F
Age:
State: MN

Vax Date: 05/13/2021
Onset Date: 05/13/2021
Rec V Date: 06/17/2021
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: Fever; Rash; Numbness; Tingling; Nerve pain; This is a spontaneous report from a contactable consumer (patient). A 21-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE Solution for injection), dose 2 via an unspecified route of administration on 13May2021 (at the age of 21-years-old) (Lot Number: EW0170) as 2nd dose, single dose for covid-19 immunization. Medical history included asthma. Concomitant medication included salbutamol (ALBUTEROL) taken for asthma. The patient previously took first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE Lot number: ER8735) on 21Apr2021 for COVID-19 immunization. On 13May2021, the patient experienced rash, fever, nerve pain, numbness, and tingling. No treatment was received for the events. The outcome of the events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: ALBUTEROL [SALBUTAMOL]

Current Illness:

ID: 1405674
Sex: F
Age:
State: IL

Vax Date: 04/26/2021
Onset Date: 05/01/2021
Rec V Date: 06/17/2021
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: heavy dirty diarrhea; This is a spontaneous report from a contactable consumer (patient). A 74-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: E00172), via an unspecified route of administration on 26Apr2021 (at the age of 74 years old) as first dose, single dose for COVID-19 immunisation. Medical history included high blood pressure, cholesterol, and diarrhoea. Concomitant medications included pravastatin taken for blood cholesterol and hydrochlorothiazide, lisinopril (LISINOPRIL HCTZ) taken for hypertension. The patient underwent lab tests and procedures which included blood test revealing a normal result on an unspecified date in Apr2021. The patient experienced heavy dirty diarrhea on an unspecified date in May2021 almost three weeks after receiving the first dose of BNT162B2. The patient reported that she doesn't know if it's from something that she ate or it's from the vaccine because she was due to get her second shot on 18May2021. The patient reported that she had it once before and then it's cleared up by its own, but this was ridiculous. She was on the 'pot' all day yesterday and it started again this morning, so the patient needs to know if it's a side effect or it's just something she ate that caused this. The outcome of event was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds: PRAVASTATIN; LISINOPRIL HCTZ

Current Illness:

ID: 1405675
Sex: M
Age:
State: TX

Vax Date: 05/12/2021
Onset Date: 05/12/2021
Rec V Date: 06/17/2021
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: This is a spontaneous report from a contactable consumer (patient). A 31-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot number: EW0167, Expiration Date: not reported), via an unspecified route of administration, administered in left arm on 12May2021 at 08:30 (at the age of 31 years old) as first dose, single for COVID-19 immunisation in a hospital. Medical history included overactive bladder from an unknown date and unknown if ongoing. The patient has known allergies with beeswax. Prior to vaccine the patient was not diagnosed with COVID-19. Concomitant medications included tolterodine, xantofyl (LUTEIN), fish oil and vitamin d, all taken for an unspecified indication, start and stop date were not reported. The patient did not receive any other vaccines in 4 weeks. When the patient got his shot of BNT162B2, the patient felt no pain when the nurse administered the shot. On 12May2021 at 21:00, the patient started to feel numbness occasionally in the thenar muscle on the radial side of the patient's left hand. The numbness was most obvious during complex hand movements such as hand washing and but it wasn't persistent. It was further described that it felt like the sudden numbness the patient gets when he accidentally hit his elbow against the wall but less intense. The patient woke up the next day with persistent numbness in his entire left hand, affecting the wrist, palm, and all 5 fingers. This persistent numbness the patient had felt was like the numbness he gets when he was sleeping on his side with his hands under his head. It extended to the patient's distal forearm on 15May2021. At the day of the report ,the 5th day after vaccination (as reported), the soreness of the injection site had subsided but both types of numbness in the patient's left hand remained. They're were not as bad as "pins and needles" and there was no tingling sensation but it was concerning the patient. No treatment was received for the adverse events. Since vaccination, the patient has not been tested for COVID-19. Outcome of all events was not recovered.

Other Meds: TOLTERODINE; LUTEIN; FISH OIL; VITAMIN D NOS

Current Illness:

ID: 1405676
Sex: F
Age:
State: CA

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 06/17/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Soreness on Arm (though not as much as the first shot); This is a spontaneous report from a contactable consumer (patient). A 30-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot number: EW0153, Expiration Date: not reported), via an unspecified route of administration, administered in left arm on unspecified date in Apr2021 (at the age of 30 years old) as first dose, single for COVID-19 immunisation in a Pharmacy or Drug Store. Medical history included anxiety from an unknown date and unknown if ongoing. The patient was not pregnant at the time of vaccination and did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccine the patient was not diagnosed with COVID-19. The patient has list of other medications received within 2 weeks of vaccination. The patient experienced soreness on arm on Apr2021. The case was considered as non-serious. Since vaccination, the patient has not been tested for COVID-19. Treatment was given in response to the event which included ibuprofen. Outcome of the event was recovered on an unspecified date. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1405677
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/17/2021
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: My son is troubling by the stomach ache; He feel everything like hot; Body itch; This is a spontaneous report received from a contactable consumer (patient's mother). This consumer reported similar event for 2 patients. This is the second of two reports. A male patient of an unspecified age received BNT162B2 (PFIZER-BIOTECH COVID-19 VACCINE, solution for injection, Batch/Lot number: not reported), 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 was troubling by the stomachache, he felt everything like hot, and body itch. The reporter's concern was the patient's stomachache. The outcome for the events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021550808 same reporter/drug, similar event, different patient.

Other Meds:

Current Illness:

ID: 1405678
Sex: U
Age:
State:

Vax Date: 05/10/2021
Onset Date:
Rec V Date: 06/17/2021
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: Swelling in the arm; hives; I started having charley horses, cramps in my back; Underarm started hurting; Lymph is swollen under my arm and my lymph node around my clavicle; muscles are all tight, all my muscles around my leg, my back, my skull, underneath my neck and back of my leg; back of my knee is paining, aching, throbbing; Vision was a little blurry; I am itchy; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot number and Expiration Date: not reported), via an unspecified route of administration on 10May2021 as first dose, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient had swelling in the arm and hives. The patient then started having charley horses, cramps in the back, and the patient's underarm started hurting. The lymph was swollen under the patient's arm and the lymph node around the patient's clavicle. The patient's muscles were all tight, all the muscles around the leg, the back, the skull, underneath the neck. The back of the patient's knee was paining, aching and throbbing. It was also noticed that the patient's vision was a little blurry and the patient was itchy. The patient wanted to call and make sure that the patient was okay and was asking of what should be done. Outcome of all events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1405679
Sex: M
Age:
State:

Vax Date: 05/15/2021
Onset Date:
Rec V Date: 06/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: This is a spontaneous report from a contactable consumer or other non hcp. A male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Batch/Lot number, and Expiration date not reported), via an unspecified route of administration on 15 May 2021, as unknown, single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient experienced tired, cold, stomach ache, and diarrhea on an unspecified date. Reporter stated that her husband and son got the vaccine yesterday, Pfizer vaccine. They have the side effect. Patient was tired and cold he think he got like stomach ache and diarrhea. But reporter's son is troubling by the stomach ache and he feel everything like you know hot, body itch and like the stomach ache is the my concern. Reporter stated she doesn't know what's going on. The outcome of events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1405680
Sex: U
Age:
State:

Vax Date: 05/16/2021
Onset Date: 05/16/2021
Rec V Date: 06/17/2021
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: Arm hurts; Shortness of breath; I can hardly breathe; Heart is beating like so fast; This is a spontaneous report from a contactable consumer. A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration on 16May2021 11:00 (Batch/Lot number was not reported) as 1st dose, single dose for Covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient experienced arm hurts, shortness of breath and heart was beating like so fast on 16May2021. The outcome of the events was unknown. The patient just wanted to know if it was normal because she never had and it was her first time having the vaccine. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1405681
Sex: F
Age:
State: CT

Vax Date: 05/13/2021
Onset Date: 05/15/2021
Rec V Date: 06/17/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: This is a spontaneous report received from COVAES. A non-contactable consumer (patient) reported a non-pregnant 37-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 1 via an unspecified route of administration, administered on the right arm on 13May2021 11:45AM (Lot number: EW0182)(at the age of 37 years old) as 1st dose, single dose for COVID-19 immunization. The vaccine was administered in a Workplace Clinic. Patient's medical history included hypothyroidism and prediabetes. The patient was diagnosed with COVID-19 prior to vaccination. Patient tested positive for COVID-19 prior to vaccination on an unspecified date. The patient has no known allergies. Concomitant medications included levothyroxine sodium (LEVOTHYROXINE, 50 mcg tablet). On 15May2021 10:00 AM, the patient experienced rash/discoloration on groin lymph nodes, chills, dizziness, fever and extreme fatigue. The patient did not receive any treatment for the reported events. The events were assessed as non-serious, did not result in death, not life threatening, did not cause/prolonged hospitalization, not disabling/incapacitating, did not cause congenital anomaly/birth defect. The patient has not received any other vaccines within 4 weeks prior to the COVID vaccine. Since the vaccination, the patient has not been tested for COVID-19. The outcome of the reported events were recovering. No follow-up attempts are possible. No further information is expected.

Other Meds: LEVOTHYROXIN

Current Illness:

ID: 1405682
Sex: U
Age:
State:

Vax Date: 05/13/2021
Onset Date: 05/14/2021
Rec V Date: 06/17/2021
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: Allergic reaction; Breaking out rash; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; solution for injection), via an unspecified route of administration on 13May2021 (batch/lot number was not reported) as unknown, single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient reported had the shot on 13May2021 and the patient was breaking out rash on 14May2021. The patient wanted to know if you get an allergic reaction like breaking out and one of the symptoms is rash. The outcome of the events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1405683
Sex: F
Age:
State: MA

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 06/17/2021
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: Upset stomach; Abdominal cramps have gotten worse/cramps still persisting after vomiting/hurts more when moving or breathing deeply; Vomiting; This is a spontaneous report from a contactable consumer (patient). A 30-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Lot number: EW0183), via an unspecified route of administration, administered in the left arm on 14May2021, at 14:30 (at the age of 30 years old) as second dose, single dose for COVID-19 immunization at a public health clinic/ veterans administration facility. Medical history included penicillin allergy. The patient was not pregnant by the time of vaccination. Concomitant medications included fluticasone and desogestrel, ethinylestradiol (ENSKYCE). The patient previously received the first dose of BNT162B2 (Lot number: EW0171), administered in the left arm on 23Apr2021, at 14:30 for COVID-19 immunization with no reaction on previous exposure to vaccine. The patient did not receive other vaccines within four weeks prior to the COVID vaccine. On 14May2021 at 16:30, the patient experienced upset stomach about two hours after the second dose. Her abdominal cramps had gotten worse for eight hours until she experienced vomiting. Her cramps was still persisting after vomiting and it hurts more when moving or breathing deeply. The patient was not diagnosed with COVID-19 prior to vaccination and had not been tested for COVID-19 since the vaccination. Therapeutic measures were taken as a result of the events which included famotidine (PEPCID AC), bismuth subsalicylate (PEPTO-BISMOL), and drinking plenty of liquids. The patient reported that famotidine and bismuth subsalicylate didn't help. The patient was recovering from the events. No follow-up attempts are needed. No further information is expected.

Other Meds: FLUTICASONE; ENSKYCE

Current Illness:

ID: 1405684
Sex: F
Age:
State: OH

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 06/17/2021
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: slight fever (99.9?F); joint pain; felt cold; nasal congestion; injection site soreness / injection site pain; muscle soreness / muscle pain; tiredness; felt warm; This is a spontaneous report from a contactable consumer or other non hcp (patient herself). A 24-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EW0161, expiration date were not reported), via an unspecified route of administration, administered in the left arm on 26Apr2021 09:30 (at the age of 24-years-old), as second dose, single dose for COVID-19 immunisation. The patient medical history was not reported. Concomitant medications included iron; colecalciferol (VITAMIN D [COLECALCIFEROL]) both taken for an unspecified indication, start and stop date were not reported. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EW0150, expiration date were not reported), via an unspecified route of administration, administered in the left arm on 05Apr2021 09:30 (at the age of 24-years-old), as first dose, single dose for COVID-19 immunisation. After 1st dose administration, patient experienced injection site soreness, muscle soreness, and tiredness on 05Apr2021. The patient was not pregnant at the time of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19; and since the vaccination, has not been tested for COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 26Apr2021 10:00 to 12:00, the patient experienced injection site soreness, muscle soreness, tiredness, and felt warm. On 27Apr2021 and 28Apr 00:00 to 06:00, the patient experienced injection site pain, muscle pain, joint pain, tiredness, felt cold, and nasal congestion. On 27Apr2021 06:00 to 12:00, the patient experienced injection site pain, muscle pain, joint pain, tiredness, felt warm, nasal congestion, and slight fever (99.9?F). On 27Apr2021 12:00 to 18:00, the patient experienced injection site pain, muscle pain, joint pain, tiredness, felt warm, and slight fever (99.9?F). On 27Apr2021 18:00 to 28Apr2021 00:00, the patient experienced injection site pain, muscle pain, joint pain, tiredness, felt warm, and slight fever (99.9?F). The patient underwent lab tests and procedures which included body temperature: 99.9 fahrenheit (slight fever) on 27Apr2021. Patient rested, slept, took 2 acetaminophen (TYLENOL extra strength) caplets, and used camphor, eucalyptus oil, menthol (VICK'S VAPOR RUB) topical ointment as a result of the events. The outcome of slight fever and felt warm was recovered on 28Apr2021 00:00 and the rest of the events recovered on 28Apr2021 06:00. No follow-up attempts are needed. No further information is expected.

Other Meds: IRON; VITAMIN D [COLECALCIFEROL]

Current Illness:

ID: 1405685
Sex: M
Age:
State: NC

Vax Date: 02/05/2021
Onset Date: 02/08/2021
Rec V Date: 06/17/2021
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: Costochondritis/ chest area quite painful/ lower left ribcage; Taking my breath away as I moved; This is a spontaneous report from a contactable consumer (patient). This 83-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; lot number EL9809) via an unspecified route of administration in the left arm on 05Feb2021 (at the age of 83-years-old) as a single dose for COVID-19 immunisation. Medical history included benign prostatic hyperplasia (BPH), glaucoma, hypertension, and gastrooesophageal reflux disease, all from unknown dates and unknown if ongoing. Prior to vaccination the patient had not been diagnosed with COVID-19 and had not received any other vaccines in the four weeks prior to the COVID vaccine. Concomitant medications included amlodipine, dutasteride, esomeprazole, and brimonidine tartrate (ALPHAGAN), all from unknown dates for unknown indications. The patient previously received sulfur from an unknown date for an unknown indication and experienced drug allergy; unspecified beta blockers from unknown dates for unknown indications and experienced drug allergy; and the first dose of BNT162B2 (lot number EL3247) in the left arm on 15Jan2021 (at the age of 83-years-old) for COVID-19 immunisation. The patient reported that on days 3-5 following the second shot, his entire chest area was quite painful, taking his breath away as he moved. On days 6 and 7, it was in the left side only, and on day 8 it settled in his lower left ribcage. The patient stated that over 3 months later, it was still there, some days were worse than others. He reported it was diagnosed as costochondritis, stating he visited urgent care, emergency room, two pulmonologists and his primary care physician. No treatment was received for the events. The clinical outcomes of costochondritis and taking his breath away as he moved were not recovered. It was also reported that on 29Mar2021 the patient was tested for COVID-19 via nasal swab, the results were not reported.

Other Meds: AMLODIPINE; DUTASTERIDE; ESOMEPRAZOLE; ALPHAGAN

Current Illness:

ID: 1405686
Sex: M
Age:
State: NY

Vax Date: 04/05/2021
Onset Date: 04/01/2021
Rec V Date: 06/17/2021
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: Sore joints and muscles; Sore joints and muscles; This is a spontaneous report from a contactable consumer (patient). A 63-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 2 via an unspecified route of administration, administered in arm left on 05Apr2021 at 16:00 (Batch/Lot Number: ER2613) (at the age of 63-years-old) as 2nd dose, single dose for COVID-19 immunisation. Medical history included allergies: penicillin. The patient had no COVID prior to vaccination. Patient had no other vaccines in within 4 weeks prior to COVID vaccine. Concomitant medication included sertraline taken for an unspecified indication, start and stop date were not reported. The patient was previously administered with first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot: EN6199) on 15Mar2021 at 16:00 (at the age of 63-years-old) in the left arm for COVID-19 immunisation. In Apr2021, patient reported sore joints and muscles. The events appeared the week of second injection and then went away and reappeared on 05May2021 and is continuing. It was unknown if treatment was given to the patient. Patient had not tested for COVID post vaccination. Outcome of events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: SERTRALINE

Current Illness:

ID: 1405687
Sex: F
Age:
State: FL

Vax Date: 03/30/2021
Onset Date: 05/09/2021
Rec V Date: 06/17/2021
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: cyst on my left ovary; I was informed that I had a cyst on my left ovary, two in my uterus and three on my cervix; I was informed that I had a cyst on my left ovary, two in my uterus and three on my cervix; Abdominal pain; This is a spontaneous report from a contactable consumer (patient). This non-pregnant 48-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; lot number unknown) via an unspecified route of administration in the left arm on 30Mar2021 at 09:30 (at the age of 48-years-old) as a single dose for COVID-19 immunisation. Medical history included migraine, high blood pressure, border line diabetes, hardening of arteries, and allergy to "most blood pressure medications," all from unknown dates and unknown if ongoing. Prior to vaccination the patient had not been diagnosed with COVID-19 and had not received any other vaccines in the four weeks prior to the COVID-19 vaccine. Concomitant medication included semaglutide (RYBELSUS), diltiazem hydrochloride (DILT-XR), fish oil, and multivitamin, all from unknown dates for unknown indications. the patient previously received the first dose of BNT162B2 (lot number unknown) on an unspecified date for COVID-19 immunisation. The patient reported that on 09May2021, she started to experience abdominal pain and went to the emergency room on 12May2021. The patient was informed that she had a cyst on her left ovary, two in her uterus and three on her cervix. She believed all these had developed after the vaccine as she did not have any issues before. The patient reported she received treatment for the events and "follow-up" with an obstetrician/gynecologist (OBGYN). The clinical outcomes of abdominal pain and she had a cyst on her left ovary, two in her uterus and three on her cervix were not recovered. It was also reported that since vaccination, the patient had not been tested for COVID-19. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

Other Meds: RYBELSUS; DILT-XR; FISH OIL

Current Illness:

ID: 1405688
Sex: F
Age:
State: FL

Vax Date: 03/30/2021
Onset Date:
Rec V Date: 06/17/2021
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: very small pockets of liquid (maybe 4); This is a spontaneous report from a contactable consumer (patient). A 45-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Batch/Lot number: ER8732, Expiration date was not reported), via an unspecified route of administration (administered on the right arm) on 30Mar2021 16:00 (at the age of 45-years-old) as 1st dose, single dose for COVID-19 immunisation. The patient has no medical history. Concomitant medications were not reported. The patient has no known allergies. The patient has no other medications in two weeks. The patient didn't receive any other vaccines within 4 weeks prior to COVID vaccine. Prior to vaccination, the patient has not been diagnosed with COVID-19. The patient experienced very small pockets of liquid (maybe 4) on an unspecified date. No treatment was received for the event. Since the vaccination the patient has not been tested for COVID-19. The outcome of the event was recovering.

Other Meds:

Current Illness:

ID: 1405689
Sex: F
Age:
State: CT

Vax Date:
Onset Date:
Rec V Date: 06/17/2021
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: headache; This is a spontaneous report from a Pfizer sponsored program. A contactable consumer (patient's mother) reported that a female patient of an unspecified age received the second dose of BNT162B2 (Pfizer-BioNTech COVID-19 vaccine, lot number and expiry date unknown), via an unspecified route of administration on an unspecified date as a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient's mother reported that the patient was having a headache after taking the 2nd dose on an unknown date and was asking if the patient can take Ibuprofen, Tylenol. The outcome of the event was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1405690
Sex: F
Age:
State: WA

Vax Date: 04/30/2021
Onset Date: 05/05/2021
Rec V Date: 06/17/2021
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: tiredness; This is a spontaneous report from a contactable consumer reported for herself that a 39-year-old female patient (not pregnancy) received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, lot number: ew0172), via an unspecified route of administration, administered in arm left on 30Apr2021 15:00 (at the age of 39-year-old) as 1st dose, single dose for COVID-19 immunisation. Medical history included only allergies. There were no concomitant medications. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. There were no other medications the patient received within 2 weeks of vaccination. Prior to vaccination, the patient did not diagnose with COVID-19. The patient did not been tested for COVID-19 post vaccination or since the vaccination. The patient experienced tiredness on 05May2021 in between first dose and second dose. No treatment received. Outcome of the event was resolved in May2021.

Other Meds:

Current Illness:

ID: 1405691
Sex: F
Age:
State: CA

Vax Date:
Onset Date:
Rec V Date: 06/17/2021
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: His wife reported shingles after receiving the second dose of the Pfizer COVID-19; gotten a rash that covered most of her body after receiving Pfizer vaccine; This is a spontaneous report from a contactable consumer (patient's husband). A female patient of an unspecified age received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA 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. Medical history included varicella and herpes zoster when she was pregnant. The patient's concomitant medications were not reported. The patient had previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection) on an unspecified date for COVID-19 immunization. It was reported that on an unspecified date in 2021 the caller was calling regarding his wife as his wife reported shingles after receiving the second dose of the Pfizer COVID-19 vaccine. Caller wanted to know if Pfizer can provide precaution recommendation or information for his 15-year son, so he did not get similar side effects as his mother. Caller stated he read an article in US. There were few reports of people who previously had chicken pox reporting an outbreak of shingles after receiving the vaccine. Caller also stated that his wife received the vaccine and gotten a rash that covered most of her body after receiving Pfizer vaccine and lasted for about a week. The outcome of shingles after receiving the second dose of the Pfizer COVID-19 was unknown while rash was recovered on unspecified date in 2021. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1405692
Sex: F
Age:
State: OH

Vax Date: 03/26/2021
Onset Date:
Rec V Date: 06/17/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: This is a spontaneous report from a contactable consumer. A 49-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 1 via an unspecified route of administration on 26Mar2021 (Batch/Lot number was not reported) as 1ST DOSE, SINGLE DOSE, dose 2 via an unspecified route of administration on 16Apr2021 (Batch/Lot number was not reported) as 2ND DOSE, SINGLE DOSE for COVID-19 immunization. The patient's medical history was not reported. There were no concomitant medications. Caller received her 1st Pfizer vaccine dose on 21 and she received her 2nd Vaccine dose on 16Apr2021. Caller states her menstrual cycle started the beginning of March/2021 and "then my cycle started the very next day right after I received the 1st vaccine dose. So, I had 2 menstrual cycles in March and none in April. Caller states she knows she is at the age for "menopause" but did not think it would happen this quickly. The outcome of the event was unknown. Follow-up needed. Information about batch/lot number has been requested.

Other Meds:

Current Illness:

ID: 1405693
Sex: M
Age:
State: NY

Vax Date: 05/13/2021
Onset Date: 05/13/2021
Rec V Date: 06/17/2021
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 horrible; Since the first dose he woke up with what mother states is herpes zoster on his lips; Arm hurt; headache; Tonsils hurt; didn't feel well; This is a spontaneous report from a contactable consumer (patient's mother). A 13-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), Solution for injection, Lot number: EW0167, expiry date: Aug2021), dose 1 via an unspecified route of administration, administered in left arm on 13May2021 at 12:15, as 1st dose, single for COVID-19 immunization. The patient's medical history and other allergies compromised immune status, respiratory illness, genetic/chromosomal abnormalities, endocrine abnormalities (including diabetes) and obesity were none. The patient's concomitant medications were not reported. The patient had no family medical history relevant to AE. The patient received no other vaccinations within four weeks prior to the first administration date of the suspect vaccine. No additional vaccines administered on same date of the Pfizer Suspect. On 13Jan2021 at 20:00, 8 hours after getting the shot, the patient experienced tonsils started hurting. He didn't feel well and had headaches. On 14Jan2021, he had some pretty bad symptoms on Saturday morning, he woke up with herpes zoster on his lips and his mother called to pediatrician and he was very dismissive about it and said that if the body was under stress it can come out, but he never had anything like this before. It looks like little pustules around his mouth and looks like when my mom had shingles. He did mention his arm hurt a little but went to soccer practice. Clarifies the herpes zoster didn't show up until Saturday evening/night and it was starting to go away. She took son to get Covid PCR testing on 14Jan2021 and it was negative and was told that the herpes zoster was probably a reaction to the vaccine. The patient received treatment with Abreva. The outcome of the events Since the first dose he woke up with what mother states is herpes zoster on his lips was not recovered, and the other event feeling horrible was unknown, and all other events was recovering. PSCC Communication: PC Filed Product Complaint: Yes, Description of Product Complaint: Description of complaint: Asks if this could be a bad one since he was so sick and took him to get Covid PCR testing and it was negative. Thought was weird since she and her husband both had the Pfizer Covid shot and did not have any reactions. This was son's first Covid vaccine, Lot number: EW0167, expiry.

Other Meds:

Current Illness:

ID: 1405694
Sex: F
Age:
State: MD

Vax Date: 04/28/2021
Onset Date: 04/01/2021
Rec V Date: 06/17/2021
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: This is a spontaneous report from a contactable consumer reported (herself). A 78-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number & Expiry date not reported) via unspecified route of administration in left arm 28Apr2021 16:15 (at age of 78-years-old) as 1st dose, single dose for COVID-19 Immunization. Patient medical history includes ongoing blood pressure, ongoing (Gastroesophageal reflux disease) GERD reflux, ongoing back pain. Patient had allergies to things like hay fever, pollen, dust, mold. Historical vaccine include Shingles shot on unspecified date and experienced flu. If she had the booster, she would not have shingles. Patient past drug includes Zantac for about 6-8 months ago. Other conditions include scoliosis, has had back operations. She has lost a lot of height due to scoliosis. Patient concomitant medications include irbesartan used for prevention of high blood pressure from unspecified date and ongoing, metformin hydrochloride (METFORMIN ALPHARMA) (1000 mg, 1x/day frequency) used for preventative for Diabetes, she does not have Diabetes from unknown date and ongoing, Famotidine (20mg) taken for GERD reflux from 6 to 8 months from unspecified date, Vitamins taken from unspecified date and unknown till ongoing. The patient didn't receive any other vaccines within 4 weeks prior to the COVID vaccine. On Apr2021, Patient experienced shingles, pain in her back, rash on lower back which are ongoing and does not feel great, itching or burning in her back was worse. She is unsure if it started the day before or the day of the vaccine. Patient received treatment for events by Mederol/ Methylprednisolone 4 mg for pain as prescribed by the doctor only taken for 1 day/ 6 pills. Also took an Advil the day before and the night of the shot. Patient didn't visit any emergency room but just called her physician. she had a rash on back which doctor confirmed was shingles. The patient had a side effect after the first dose of the vaccine. She asked should I get the second dose. The patient wanted to know if it is accurate that she can delay the 2nd dose up to 6 weeks. She is supposed to get her second dose of Pfizer Covid Vaccine this coming Wednesday, 19May2021, but she still has shingles and does not feel great. As noted in the Fact Sheet for Recipients, you should not get the Pfizer-BioNTech COVID-19 Vaccine if you had a severe allergic reaction after a previous dose of the vaccine or if you had a severe allergic reaction to any ingredient of the vaccine. In response to caller, they suggested to consult healthcare provider they know your health situation and has access to information that can better help inform this decision. Second Pfizer Covid Vaccine shot, she said it is scary, and the doctor said it was scary for her not to take it, all. The Outcome of events was recovering. Follow up attempts are needed. Further information has been requested.

Other Meds: IRBESARTAN; METFORMIN ALPHARMA; FAMOTIDINE; VITAMINS NOS

Current Illness: Allergy (verbatim: Allergies); Back pain (verbatim: Very bad back); Blood pressure (verbatim: Blood pressure); GERD (verbatim: GERD reflux)

ID: 1405695
Sex: F
Age:
State: VT

Vax Date: 04/28/2021
Onset Date:
Rec V Date: 06/17/2021
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: Shingles; Really fatigued; Took a nap; Had a low grade fever; Getting a little rash to her left butt cheek and it got worse and was spreading and oozing; Oozing; Burning; Itching; Her 2nd dose is when this began and states she had soreness in her arm; This is a spontaneous report from a contactable consumer or other non hcp. A 44-years-old female patient received bnt162b2, dose 2 via an unspecified route of administration, administered in Arm Left on 28Apr2021 14:00 (Batch/Lot Number: EW0170) as 2ND DOSE, SINGLE for covid-19 immunization. Patient had received her 1st dose of bnt162b2 vaccine (Batch/lot number: EW0158 administered left arm ) on 07Apr2021. Patients' Medical history was not known. Concomitant medications include multivitamins. The patient was not hospitalized, no Prior vaccinations were taken within 4 weeks, no AE prior to vaccinations, no Relevant tests were done. After 1st dose patient experienced sore arm. After her second dose patient experienced shingles- herpes zoster, fatigue, took a nap- somnolence, low grade fever- pyrexia, a little rash to her left butt cheek and it got worse and was spreading and oozing- skin weeping, burning sensation, itching- pruritus, soreness in her arm- pain in extremity. The patient underwent lab tests and procedures which included body temperature: 101 Fahrenheit. Patient took Tylenol for fever, antiviral medication for shingles, ointments like Neosporin (expiry date is Jul2022 and lot is 2210 LZ/1 imprinted on the bottle and the box has lot 2210LZ with UPC number 0081074688, and is dual action strength ointment and pain relief), Hydrocortisone 1% and is Cortisone 10 (expiry date Oct2023, lot 20L109 and UPC on the box of 4116703396) and it is water resistant itch relief. The outcome of events was unknown. Follow-up (17May2021): This is a follow up spontaneous report received from a contactable consumer. No new information was recorded. Information on Lot/Batch number was available. Additional information has been requested.

Other Meds:

Current Illness:

ID: 1405696
Sex: F
Age:
State:

Vax Date: 04/25/2021
Onset Date: 05/03/2021
Rec V Date: 06/17/2021
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: Shingles diagnosis 1.5 weeks after vaccine.; This is a spontaneous report from a contactable consumer (patient). A 35-years-old (non-pregnant) female patient received bnt162b2 (BNT162B2), Formulation: Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 25Apr2021 at 16:00 as UNKNOWN, single dose for COVID-19 immunization. The patient was 35-years-old and was not-pregnant at the time of vaccination. Facility where the most recent COVID-19 vaccine was administered was public Health Clinic Administration facility. No other vaccines received by patient within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with COVID prior to vaccination. The patient has not been tested for COVID since the vaccination. The patient received other medications within 2 weeks of vaccination was valacyclovir. The patient medical history and concomitant medications were not reported. It was reported that on 03May2021, the patient experienced shingles diagnosis 1.5 weeks after vaccine. The adverse event result in doctor or other healthcare professional office/clinic visit. Therapeutic measures were taken as a result of shingles diagnosis 1.5 weeks after vaccine. Valacyclovir treatment received for the adverse event. The clinical outcome of event was recovering. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1405697
Sex: M
Age:
State: TN

Vax Date: 05/03/2021
Onset Date: 05/08/2021
Rec V Date: 06/17/2021
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: painful left arm/shoulder where shot was administered; painful left arm/shoulder where shot was administered; Hard to lift up arm, nothing noticeable on arm; bloodshot eyes; muscle aches; unable to take full breathes/shortness of breath; minor cough; migraine headache; chills; exhausted; aches; nausea; covid like symptoms; body aches; low energy; This is a spontaneous report from a contactable consumer (patient). A 62-years-old male patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration, administered in Arm Left on 03May2021 15:30 (Batch/Lot Number: EW0173) as single dose for covid-19 immunisation. The patient medical history was reported as none. Patient had not any known allergies. Patient had not received any other vaccine in four weeks nor received any other medications in two weeks. The patient did not received concomitant. The patient had previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, lot number: unknown; Expiration date: unknown) via an unspecified route of administration, administered in Arm Left on 05Apr2021 07:30 PM, as single dose for COVID-19 immunization. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. 2nd shot administered on 03May2021 and on 08May2021 09:00 PM six days later developed migraine headache, chills, exhausted, aches, nausea. Chills, migraine, lasted 1 day, night of 08May2021- 09May2021. It was reported that due to lifting weights, vaccine was trapped in the arm/shoulder muscle, released slowly where he developed covid like symptoms 6 days after shot followed by week of covid like symptoms, shortness of breath, body aches, exhausted, low energy. Week of 10May2021 exhausted, bloodshot eyes, muscle aches, unable to take full breathes, developed a minor cough. On 15May2021- 16May2021, painful left arm/shoulder where shot was administered. Hard to lift up arm, nothing noticeable on arm. No treatment was received for the events. The seriousness of events was reported as non serious by the reporter. The outcome of the events chills, migraine were recovered on 09May2021; events painful left arm/shoulder where shot was administered and hard to lift up arm were recovered on 16May2021 and recovering for other events.

Other Meds:

Current Illness:

ID: 1405698
Sex: F
Age:
State: CA

Vax Date: 04/26/2021
Onset Date: 04/28/2021
Rec V Date: 06/17/2021
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: Shingles on my face; This is a spontaneous report from a 48-year-old female contactable consumer. This consumer (patient) reported. A 48-year-old non-pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EW0170), via an unspecified route of administration in left arm on 26Apr2021 at 16:00 (at the age of 48-year-old) as a 1st dose, single dose for COVID-19 immunization. The patient's medical history included rheumatoid arthritis. The patient had no known allergies. The patient experienced COVID prior to the vaccination. The patient's concomitant medications included abatacept (ORENCIA) injection, methotrexate (METHOTREXATE). The patient did not receive any other vaccine in four weeks of COVID vaccine. The patient was not tested for COVID post vaccination. The patient did not receive any other vaccines 4 weeks prior to the COVID vaccine. On 28Apr2021, after 2 days of vaccination, the patient experienced shingles on my face. The patient received antiviral pills which were prescribed as treatment medication for the event. The adverse events resulted in Doctor or other healthcare professional office/clinic visit. The outcome of the event was resolving. Follow up attempts are needed. Further information has been requested.

Other Meds: ORENCIA; METHOTREXATE

Current Illness:

ID: 1405699
Sex: F
Age:
State: MI

Vax Date: 05/08/2021
Onset Date: 05/13/2021
Rec V Date: 06/17/2021
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: Developed shingles 5 days after 2nd dose; This is a spontaneous report from a contactable consumer (patient) other hcp. A 47-year-old female received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number: Ew0179 Expiration date: unknown) via an unspecified route of administration, administered in Arm Left on 08May2021 08:00 (age at vaccination 47-year-old) as 2ND DOSE, SINGLE DOSE for COVID-19 immunisation. the patient received first dose of BNT162b2 (BNT162B2, Lot number: Ew0150 and Expiration date: unknown), administered in Arm Left on 19Apr2021 08:00 AM as first dose single doe for COVID-19 immunisation. Medical history included evans syndrome, rubber sensitivity, CVID (immunodeficiency common variable). The patient previously took doxycycline and experienced drug hypersensitivity. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with COVID-19 prior to vaccination and not tested for COVID-19 since vaccination. Concomitant medication(s) included curcuma longa root (TURMERIC CURCUMIN), zingiber officinale root (GINGER ROOT [ZINGIBER OFFICINALE ROOT]) taken for an unknown indication from unknown dates and unknown if ongoing. On 13May2021, the patient experienced developed shingles 5 days after 2nd dose. adverse event result in patient visited Doctor or other healthcare professional office, clinic visit. Therapeutic measures were taken as a result of developed shingles 5 days after 2nd dose tried Valtrex. Developed shingles 5 days after 2nd dose. patient understand that this is not an allergic/anaphylactic reaction. she think this needs to be taken into consideration. The outcome of event was recovering. Information on Lot/Batch number was available. Additional information has been requested

Other Meds: TURMERIC CURCUMIN; GINGER ROOT [ZINGIBER OFFICINALE ROOT]

Current Illness:

ID: 1405700
Sex: U
Age:
State:

Vax Date: 04/22/2021
Onset Date: 04/01/2021
Rec V Date: 06/17/2021
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: left hand was tingly/pins and needles/feeling lots of pins and needles in my left hand/tingling/ pins and needles in both hands and both legs/left foot and calf tingling; Hand numbness and tingling was very intense; hand numbness and tingling was very intense to the point that it hurt; Hand was tingly/pins and needles and kept me awake; Left arm weakness/ some weakness in my legs; Some loss of balance when walking occasionally; My left hand felt very cold; My left neck lymph node got tender and swollen; My left neck lymphnode got tender and swollen/ felt my lymph nodes in my neck and jaw somewhat swollen; Headache; Felt congested; 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, and Expiration date not reported), via an unspecified route of administration, administered in the left arm on 22Apr2021, as second dose, single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On 23Apr2021, the patient experienced my left neck lymph node got tender and swollen, my left neck lymph node got tender and swollen/felt my lymph nodes in my neck and jaw somewhat swollen. On an unspecified date in Apr2021, the patient experienced headache and felt congested. On an unspecified date in May2021, the patient experienced left hand was tingly/pins and needles/feeling lots of pins and needles in my left hand/tingling/ pins and needles in both hands and both legs/left foot and calf tingling, hand numbness and tingling was very intense, hand numbness and tingling was very intense to the point that it hurt, hand was tingly/pins and needles and kept me awake, left arm weakness/ some weakness in my legs, some loss of balance when walking occasionally, and my left hand felt very cold. Patient had 2nd Pfizer dose on 22Apr2021 in the left arm. Next day, patient's left neck lymph node got tender and swollen for few days. Few days later, patient had a headache and felt congested. During the first week, one night, patient's left hand was tingly/pins and needles and kept him/her awake. Then on 09May2021, he/she woke up with a headache and felt lymph nodes in neck and jaw somewhat swollen. He/She started feeling lots of pins and needles in left hand and some weakness in legs. Also felt some loss of balance when walking occasionally. Patient also noted his/her left hand felt very cold. Last night he/she woke up around 4AM with tingling/ pins and needles in both hands and both legs. They lasted until patient got up. Now, patient have tingling in left hand, left arm weakness and left foot and calf tingling. Patient was concerned about how these side effects are lasting. Patient stated he/she will make an appointment with a neurologist. Patient stated any insight would help. The outcome of all events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1405701
Sex: F
Age:
State: TN

Vax Date:
Onset Date:
Rec V Date: 06/17/2021
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: queasy stomach; This is a spontaneous report received from a contactable consumer (patient). An adult female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, on an unspecified date, (lot number was not reported), as unknown, single dose, for COVID-19 immunisation. The patient medical history was not reported. Concomitant medication included tofacitinib citrate (XELJANZ XR) taken for an unspecified indication, start and stop date were not reported. On an unspecified, the patient experienced queasy stomach and had health problems (unspecified, pending clarification). The outcome of the event was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds: XELJANZ XR

Current Illness:

ID: 1405702
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/17/2021
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: Side headache; Fever; Slight Nausea; Soreness in injection site; This is a spontaneous report from a contactable consumer (patient) via a sales representative. A 25-year-old (reported as 20 - 30) female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Lot number and expiry date unknown), via an unspecified route of administration on an unspecified date as second dose, single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient previously received the first dose of BNT162B2 on an unspecified date. The patient experienced side headache, fever, slight nausea, and soreness in injection site after she got second dose of COVID-19 vaccine on an unspecified date. The outcome for the events was unknown. No follow-up attempts are needed. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1405703
Sex: M
Age:
State:

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 06/17/2021
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: general malaise; general weakness; fever; chills; body ache; This is a spontaneous report from a contactable consumer. A 50-year-old male patient received his second dose of BNT162B2 (PFIZER-BIOTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: not reported), unspecified route of administration on 01May2021 as 2nd dose, single dose (at the age of 50 years old) for COVID-19 immunization. The patient's medical history includes hypertension but it is under control with medication (not mentioned). Concomitant medications included unspecified hypertension medication. Historical vaccine includes first dose of Pfizer COVID vaccine on 08Apr2021 (at the age of 50 years old), for COVID-19 immunization and no reported issues. On an unspecified date, while the reporter was playing cricket with his teammates against another team, he overheard the patient talking about general malaise and weakness. The patient also mentioned how he feels exactly how he felt after the 2nd shot of vaccine, which was the Pfizer COVID vaccine. The patient had body ache that night (01May2021) but took paracetamol (TYLENOL) and even played cricket the next day. On 03May2021, the patient had chills and fever, took paracetamol again and then no issues afterwards. On 12May2021, the patient had chills and general weakness but no fever and continued until 14May2021. On 15May2021, the patient was starting to feel better, no fever or chills but slight weakness. On an unspecified date, the patient experienced malaise. The reporter was not sure if the most recent malaise was vaccine related, but he figured he should err on the side of too much information. The outcome for general weakness was recovering; outcome for body ache, fever and chills was recovered on an unspecified date; outcome for malaise was unknown. No follow-up attempts are needed. Information about lot/batch number can not be obtained.

Other Meds:

Current Illness:

ID: 1405704
Sex: M
Age:
State:

Vax Date: 05/15/2021
Onset Date: 05/01/2021
Rec V Date: 06/17/2021
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: Mild fever; This is a spontaneous report from a Pfizer Sponsored Program. A contactable consumer (patient himself) reported that a male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Batch/Lot number, and Expiration date not reported), via an unspecified route of administration on 15May2021, as second dose, single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient experienced mild fever on an unspecified date in May2021. Patient was having a mild fever and was wondering if he could take a pain reliever. The outcome of event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1405705
Sex: M
Age:
State: WI

Vax Date:
Onset Date:
Rec V Date: 06/17/2021
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: patient was having allergies; This is a spontaneous report received from a Pfizer-sponsored program. A contactable consumer (parent) reported a male patient of an unspecified age 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: not reported) as 1st dose, single dose for COVID-19 immunisation. Patient's medical history and concomitant medications were not reported. On an unspecified date, it was reported that the patient was having allergies. The patient was scheduled to take the 2nd dose of BNT162B2 on the date of report. The reporter wanted to know what would be the recommendation for this situation. The reporter could not remember the exact date the patient received the 1st dose of BNT162B2 but said it was 3 weeks ago. The outcome of the reported event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1405706
Sex: M
Age:
State: OH

Vax Date: 05/12/2021
Onset Date: 05/12/2021
Rec V Date: 06/17/2021
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: tingling in his right pinky/tingling in certain parts of my legs saying "it'll flash then stop/Tingling in my fingers; My arm felt stiff; A loss of sensation stating "I really haven't had any sense of sharp pain; He states that the sensation is more warm or burning; that it was a "swelling/numbing effect".Swell little bit; I could feel things were swelling; He reports that immediately after he received the dose (in his right arm) he "could feel it throughout my body" and that it was a "swelling/numbing effect".; This is a spontaneous report from a contactable consumer or other non hcp (Patient). A 47-years-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection,Batch/Lot Number: ER8735), via an unspecified route of administration, administered in Arm Right on 12May2021 (Age at time of vaccination 47-years-old) as 1ST DOSE, SINGLE DOSE for covid-19 immunization. The patient medical history was not reported. Patient stated that I took the Ibuprofen because when I first got the shot I could feel things were swelling (further details unknown), I could feel some like, I took pills at the time like a it was swelling like some pain initially and then I heard from other that to prevent the headaches and to prevent the soreness of the arm, to took Ibuprofen, so that I took it as a preventive measure that, I would not get sore but I didn't have any of those, my arm felt stiff but I never felt the pain, and I never feel any headache at the time, like I said, I kind of lost sense of acuteness, loratadine taken for hypersensitivity, start and stop date were not reported. Patient reports that immediately after he received the dose (12May2021) (in his right arm) he "could feel it throughout my body" and that it was a "swelling/numbing effect". He has since been experiencing neurologic symptoms that include: tingling in his right pinky, a loss of sensation stating "I really haven't had any sense of sharp pain. I can feel pressure but can't determine actual point of pressure." He also reports "tingling down [his] left arm while laying down last night" and tingling in certain parts of my legs saying "it'll flash then stop" and is most notable in the calf/shin of his right leg. He states that the sensation is more warm or burning, "not sharp pain" and that it will be a "small burst in a certain area, then go away". On an unknown date Patient also experienced that ,I kind of noticed that I can't feel thing I will say go numb as if kind of feeling through my body,Swell little bit; I could feel things were swelling,I don't have like feeling like touch like when I touch something I feel pressure but I don't have that huge sense of feeling,Tingling in my fingers, its practically I lost my left arm The outcome of events was unknown. Information on the lot/ batch number has been requested.

Other Meds: IBUPROFEN; LORATADINE

Current Illness:

ID: 1405707
Sex: F
Age:
State: AZ

Vax Date: 05/12/2021
Onset Date: 05/15/2021
Rec V Date: 06/17/2021
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: lump in her vein on the neck part; This is a spontaneous report received from a Pfizer sponsored program. A contactable consumer (patient) reported that a female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Lot number and expiry date unknown), via an unspecified route of administration on 12May2021 as second dose, single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient previously received the first dose of BNT162B2 on 21Apr2021 for COVID-19 immunization. The patient reported that a lump in her vein on the neck part just appeared in the morning of 15May2021 with the outcome of unknown. No follow-up attempts are needed. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1405708
Sex: F
Age:
State: KY

Vax Date: 05/13/2021
Onset Date: 05/01/2021
Rec V Date: 06/17/2021
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: she is still feeling side effects and not well; 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 VACCINE, solution for injection; Batch/Lot Number and expiration date were not reported), via unspecified route of administration on 13May2021 (reported as Thursday morning) as unknown, single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On an unspecified date in May2021, the patient experienced that she was still feeling side effects and not well. The outcome of the event was not recovered. The patient was querying if when she would be feeling back to normal. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1405709
Sex: M
Age:
State: IN

Vax Date: 05/16/2021
Onset Date: 05/16/2021
Rec V Date: 06/17/2021
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: This is a spontaneous report from a Pfizer-sponsored program. A contactable female consumer (patient's mother) reported that a 13-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number not available), via an unspecified route of administration on 16May2021 at 12:30 PM (at the age of 13 years old) as first dose, single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient experienced pain at the injection site, vomiting and feeling tired on 16May2021. The reporter said that her son's second dose was scheduled on June 6, 2021. The outcome of events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1405710
Sex: M
Age:
State: TX

Vax Date: 05/14/2021
Onset Date: 05/01/2021
Rec V Date: 06/17/2021
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: By that day he felt a little chest pain; This is a spontaneous report from a Pfizer Sponsored Program. A contactable consumer (patient himself) reported that a male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Batch/Lot number, and Expiration date not reported), via an unspecified route of administration on 14May2021 , as second dose, single dose for COVID-19 immunisation. Medical history included blood pressure (hypertension), cholesterol, and gout. The patient reported he continues taking unspecified medications for his blood pressure, cholesterol, and gout, and he also took blood thinner. Patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Batch/Lot number, and Expiration date not reported), via an unspecified route of administration on 23Apr2021, as first dose, single dose for COVID-19 immunisation. The patient experienced by that day he felt a little chest pain on an unspecified date in May2021. The outcome of event was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm