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: 1406069
Sex: F
Age:
State:

Vax Date: 05/27/2021
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: LA

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Hives; This is a spontaneous report from a contactable consumer. A female patient (daughter) of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot number was unknown and expiration date was unknown), via an unspecified route of administration, administered in Arm Left on 27May2021 as 1st dose, single dose for COVID-19 immunization. Medical history was none provided. The patient's concomitant medications were not reported. The patient did not receive any other vaccines prior to the vaccination (No, she was not there yet, she was going to get next vaccine next week). On May2021, patient experienced hives. Reporter stated, just wanted to know about the reaction that my daughter had with the first dose. Reporter stated, I just want to talk to somebody just to clarify before we get the second dose. Reporter again stated, 5 hours later, I just want to know about the reaction she had was normal, that's all. No, she had a reaction and wanted to know if that was an okay reaction and normal. Reporter stated, No, she did, I mean she was just taking systemic antihistamine does not like, because she has hives. Reporter stated treatment for hives was No. The outcome of event was unknown. Follow up attempt needed; information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1406070
Sex: F
Age:
State: NY

Vax Date:
Onset Date:
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: This is a spontaneous report received from a contactable consumer (patient's husband). A female patient of unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection) via an unspecified route of administration, on an unspecified date, as a single dose for COVID-19 immunization. The patient medical history and concomitant medications was not reported. The Patient received the covid vaccine and the Patient did not have any complications, other than some joint pain on an unspecified date. Outcome of the event was unknown. Follow-up attempts are needed. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1406071
Sex: F
Age:
State: VA

Vax Date: 05/25/2021
Onset Date: 05/25/2021
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: Lost my voice; Abdominal cramps; Vomiting non stop/ still been throwing up; Body aches; They thought I was having an allergic reaction; Sick; Felt dizzy/ lightheaded; Arm was very sore/ arm ached; Couldn't see straight; This is a spontaneous report received from a contactable consumer (the patient reported for herself). A 20-year-old non-pregnant female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 25May2021 (at the age of 20-years-old) as a single dose for COVID-19 immunisation. Medical history included Latex allergy. Concomitant medications included methylprednisolone taken for an unspecified indication, start and stop date were not reported and unspecified nausea medications. No COVID prior vaccination. Post vaccination tested for COVID with negative result. No other vaccine received in four weeks. On 25May2021 10:00, (since the day that the patient got shot) she was sick, felt dizzy, couldn't see straight and arm was very sore. The consumer reported that "The day after I was vomiting non-stop, arm ached, light headed, abdominal cramps, body aches, and overall not doing well. I was transported via ambulance to the ER as they thought I was having an allergic reaction. Since then I haven't really gotten better, I've been having issues and been out of work for over 2 weeks. I lost my voice about a week ago (Jun2021) and still been throwing up and just really over being sick at this point." On 26May2021, the patient underwent lab tests and procedures which included Nasal swab COVID test: negative. The events were assessed as medically significant. Adverse events were treated with steroids and unspecified nausea and abdominal pain medications. The outcome of events was not recovered. Information about the Lot/batch number has been requested.

Other Meds: METHYLPREDNISOLONE

Current Illness:

ID: 1406072
Sex: F
Age:
State: FL

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: 2 days of flu-like symptoms post 2nd dose; Post vaccination flare-ups; This is a spontaneous report from a contactable consumer (Patient spouse reported for his wife) via Medical Information Team. A 66-year-old female patient 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 a single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously received first 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 a single dose for COVID-19 immunisation. It was reported that the patient's spouse queried that had there been COVID-19 vaccine studies looking specifically on Epstein-Barr virus and Herpes II virus, and any related reactions, positive, perhaps lessened viral load, or no reaction. Reporter stated his wife has had post vaccination flare-ups (unspecified condition aggravated), and wondering if there are studies to find and share information. The reporter also stated they both had 2 days of flu-like symptoms post 2nd dose of COVID-19 vaccination on an unspecified date, that cleared. They were grateful and thankful for 'your' work. No product quality complaint was reported. The outcome of the event post vaccination flare-ups was unknown, and outcome of event 2 days of flu-like symptoms post 2nd dose was recovered on an unspecified date. Information about the Lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1406073
Sex: F
Age:
State: VA

Vax Date: 05/23/2021
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 erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: muscle ache; This is a spontaneous report from a contactable consumer. A 50-year-old female patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Lot/batch no: unspecified) via unspecified route, as a 1st dose, single dose on 23May2021 for COVID-19 immunization. The patient medical history and concomitant medications were not reported. On an unspecified date patient has experienced muscle aches within the past few days. She worked out and was not sure that if that was from working out or the vaccine. The clinical outcome of the event was unknown. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1406074
Sex: F
Age:
State: OH

Vax Date: 04/25/2021
Onset Date:
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: headache; This is a spontaneous report from a contactable other hcp. A 61-years-old non-pregnant female patient received 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 (at the age of 61-years-old) as single dose for COVID-19 immunisation. The patient medical history was not reported. Concomitant medications included fish oil (OMEGA-3 FISH OIL) 1000 mg capsule, paracetamol (TYLENOL) 325 mg tablet, nifedipine 10 mg capsule, hydroxychloroquine sulfate, methotrexate 2.5 mg tablet. On an unspecified date, patient stated she had a slight headache after her COVID vaccine last month. Patient held a dose due to vaccination and MD not aware. The outcome of the event was recovered. No follow up attempts are possible. No further information is expected.

Other Meds: OMEGA-3 FISH OIL; TYLENOL; NIFEDIPINE; HYDROXYCHLOROQUINE SULFATE; METHOTREXATE

Current Illness:

ID: 1406075
Sex: F
Age:
State: NM

Vax Date: 06/02/2021
Onset Date: 06/07/2021
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: After the second dose, her arm has a rash at the site she got the shot.; This is a spontaneous report from a contactable consumer. A contactable reporter reported that a 70-year-old female patient received second dose of bnt162b2 (BNT162B2, Solution for injection, lot: EW0179, expiry date: Aug2021) via unspecified route of administered on 02Jun2021 at 11:00 as single dose in left arm for COVID-19 immunization. Medical history and concomitant medication s were not reported. the patient previously took first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) intramuscularly administered in arm left on 12May2021 11:00 (Batch/Lot Number: EW01735; Expiration Date: unknown date on Aug2021) as single dose for covid-19 immunisation. No Prior Vaccinations (within 4 weeks) was reported. Caller remarked that the only time she had a reaction to a vaccine was in grade school, back in the 50's. She got a rash. Back then they did with not just one needle, they poked her, and she got a scab and rash. Caller reported on the Pfizer Covid 19 shot and who explained she had a reaction to the product. With the first dose she did fine. After the second dose, her arm has a rash at the site she got the shot. It started out the size of a nickel but was now about the size of the top of a soup can. The rash started 07Jun2021 and has gotten worse. Caller confirmed it has increased in size. It was noted she went to emergency care and wasn't given anything for treatment, this was last night 09Jun2021. Outcome of the event was unknown. No follow-up attempts possible. No further information expected.

Other Meds:

Current Illness:

ID: 1406076
Sex: F
Age:
State: VA

Vax Date: 02/02/2021
Onset Date: 05/09/2021
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: A lot of neuropathic pain; Shingles; This is a spontaneous report from a contactable Nurse (patient). A 75-years-old female patient received BNT162B2 (PFIZER-BIOECH COVID-19 VACCINE, solution for Injection, Batch/Lot Number: EN9581), via an unspecified route of administration, administered in Arm Left on 02Feb2021 as second dose, single dose for covid-19 immunization (at the age of 75-year-old). Patient previously received first dose of BNT162B2 (Lot number: ELO142) Anatomical Location: left upper arm on 12Jan2021. The patient medical history and concomitant medications were not reported. She is a very healthy person. It was reported that on 09May2021 the shingles started after the second dose. patient believes it seems to be a latent effect. The shingles show up a couple months later. Also reported A lot of neuropathic pain. Patient reported that she is calling about the Vaccine and is suspicious of the side effects with regard to Shingles. She is trying to follow it as she is a health care worker as well and find out how many people have gotten shingles after receiving the vaccine. she has shingles and has received the shingles vaccine. She is curious to know how many other people have had this happen after the vaccine. She is just relating if her shingles are related to the Pfizer COVID vaccine. She has been kind of trying to google it as she has been feeling suspicious. She has had shingles for about 5 weeks. She said after talking with multiple people she knows they have been noting the increase of shingles cases as well this year, seems it may hit the immune system in a way that brings these things back up more easily, even though they had received the shingles vaccine. She sent a picture to the hospice doctor she works with to show him her shingles. she also adds shingles aggravating. She has seen it, that is has been related to someone having had an active COVID case, that has shown shingles, She doesn't believe she has had an active case of COVID, but she guesses it could always have been subclinical, but there is relevance between people with active COVID and getting shingles after getting the COVID shot. Patient visited physician office for events. ER visit: no. the outcome for the event shingles was reported as not resolved and for A lot of neuropathic pain outcome was unknown. Information on Lot/Batch number was available. Additional information has been requested ; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021685057 Same reporter/ AE, different drug/ patient

Other Meds:

Current Illness:

ID: 1406077
Sex: M
Age:
State:

Vax Date: 06/07/2021
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: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: getting good sleep, but he's absolutely exhausted all day; feeling absolutely terrible; under his left armpit, there's a bump and it's super sore; his whole armpit and chest area has been sore out of no where for a few days; his whole armpit and chest area has been sore out of no where for a few days; This is a spontaneous report from a contactable consumer (Patient). A 25-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Lot number was not reported), via an unspecified route of administration on 07Jun2021 (at the age of 25-years-old) as, single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The details about patient history and other products were not provided. The patient previously took first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Lot number was not reported) on an unspecified date as single dose for COVID-19 Immunization and experienced the left arm was so sore after the first one but the soreness went away after a few days. On unspecified date, patient was getting good sleep, but he is absolutely exhausted all day. Patient stated that under his left armpit, there was a bump and its super sore and his whole armpit and chest area has been sore out of nowhere and its been for a few days. It was reported that the patient got his second dose of the Pfizer vaccine this Monday, it's now Thursday morning and he is honestly just feeling absolutely terrible and he just wants to make sure this was normal. Patient stated that he has other symptoms he is getting concerned about at this point, it's been a few days since he started having them. Patient stated that he honestly feels terrible, he cannot physically do anything. Patient stated that he was actually going to a doctor's appointment in 15 minutes and stated he will call back at a later time, he just wanted to know if what he was feeling was normal or if he needs to seek further medical advice and confirms it was the Pfizer Covid vaccine that he was speaking of and received. The outcome of the events was reported as unknown Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1406078
Sex: F
Age:
State: CO

Vax Date: 05/22/2021
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: Mouth infection; This is a spontaneous report received from Pfizer sponsored program received via contactable consumer or other non- health care professional (patient). A female patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EW0187), via an unspecified route of administration on 22May2021 as 1st dose, single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient stated that she got the first COVID 19 vaccine on 22May2021 and she will be getting the second dose on 12Jun2021 upon checking it is 21days apart but she mentioned inside three weeks she developed a mouth infection. The patient wanted to know if it will cause a complication if she has the mouth infection and is taking a disinfection. Therapeutic measures were taken as a result of mouth infection but the infection is not gone yet. The clinical outcome of the event was reported as unknown. Information on Lot/Batch number was available. Additional information has been requested

Other Meds:

Current Illness:

ID: 1406079
Sex: F
Age:
State: TN

Vax Date: 05/19/2021
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: had a little bit of weakness; feeling a little icky; This is a spontaneous report from a contactable consumer or other non hcp via medical information team. A 52-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in Arm Left on 19May2021 15:00 (Batch/Lot Number: EW0185) as 1st dose, single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient not had any prior vaccination. The patient experienced had a little bit of weakness and feeling a little icky on an unspecified date in 2021. It was reported that 19May2021 was patients first dose and patient only had a little bit of weakness and feeling a little icky but then it went away. Patient was taking Pfizer BioNTech Covid-19 Vaccine because lots of people died without it. She figured she needed to get it. Caller stated that she took the Pfizer first shot. She took it and had no serious reaction right after the needle was taken out of her arm. Later she felt weak. It went away. She knew this was common. Caller stated that she hadn't weighed herself in awhile. She thought she was about 230 pounds. Caller mentioned she was expecting that to feel weak. She later went on to explain about feeling a little weak. It stated that she felt weak a day or two after the shot. It lasted for a week. It went away to her feeling normal. The outcome of event was recovered on an unspecified date in 2021. Information on Lot/Batch number was available. Additional information has been requested.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021684035 same patient/drug, different dose/event

Other Meds:

Current Illness:

ID: 1406080
Sex: M
Age:
State:

Vax Date: 05/21/2021
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: pain; tired; his arm started feeling stiff and heavy in the area where he had the injection and back towards his shoulder; his arm started feeling stiff and heavy in the area where he had the injection and back towards his shoulder; This is a spontaneous report from a contactable consumer (Patient). A 46-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number: not reported), via an unspecified route of administration on 21May2021 as 1st dose single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient was tired the next day of vaccination (on 22May2021) and his arm was stiff, but then he felt fine. A 6-7 days later (in May2021), his arm started feeling stiff and heavy in the area where he had the injection and back towards his shoulder. The pain and stiffness were light but continued. He wanted to know if this was normal and if he should get his second vaccination in a few days. As a response he was suggested to discuss with his vaccinator. The outcome of the event tired and heaviness in arm was unknown, stiffness and pain was not resolved. Information about lot/batch number is requested.

Other Meds:

Current Illness:

ID: 1406081
Sex: M
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: had fever; couldn't get out of bed; arm swelled up; bright red then turned black and didn't feel good; bright red then turned black and didn't feel good; bright red then turned black and didn't feel good; This is a spontaneous report from a non-contactable consumer (patient himself). A male patient of an unspecified age received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- UNKNOWN) via an unspecified route of administration as 1st dose, single dose and received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- UNKNOWN) via an unspecified route of administration as 2nd dose single dose for COVID-19 immunization. Patient medical history and concomitant medications were not reported. Patient got Pfizer's first shot and had fever for 1and 1/2 days. The patient could not get out of bed. On the 3rd day arm swelled up, bright red then turned black and did not feel good. The patient got second shot and had fever again, arm did the same thing, it was a month before that the patient felt like old self. 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: 1406082
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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Feeling unwell; This is a spontaneous report from a contactable consumer (patient). A 60-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Lot number: unknown) via an unspecified route of administration on an unspecified date at single dose and second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Lot number: unknown) via an unspecified route of administration on an unspecified date at single dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. Patient has received both doses of the Pfizer COvid-19 Vaccine. Patient was asking what "feeling unwell" on the fact sheet means. Caller reported to DSU 16 Adverse Events. The outcome of event feeling unwell was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1406083
Sex: F
Age:
State: MO

Vax Date: 03/04/2021
Onset Date:
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: achy arm; This is a spontaneous report from a Pfizer- sponsored program. A contactable female consumer reported for herself via telephonic activity that includes: A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot Number: EN6205), dose 1 via an unspecified route of administration on 04Mar2021 as 1ST DOSE, SINGLE DOSE, dose 2 via an unspecified route of administration on 23Mar2021 (Batch/Lot Number: ER8730) as 2ND DOSE, SINGLE DOSE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. It was reported that patient had both doses of the Pfizer vaccine 3 months ago and got a (Name) email and she don't know why she got it. It was reported that she had a side effect of a little ache here and there, nothing major and that she has not called us. It was reported that Caller states the real reason she called is 1, she worked for 50 years in IT and the Pfizer logo is different and she though it was a phishing email kind of thing and she don't know if this is a legal email. It was reported that she didn't complain about her Pfizer shot. She had concerned about that email. It was reported that she had an achy arm like you would with a flu shot. It was reported that Caller is asking if making a report about her achy arm is important, she states it was no big deal and she was expecting that at the least. Caller declines to make a report. The outcome of event was unknown.

Other Meds:

Current Illness:

ID: 1406084
Sex: M
Age:
State:

Vax Date: 06/09/2021
Onset Date: 06/10/2021
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: He was throwing up and he was not eating; He was throwing up and he was not eating; Nauseous all day; Chills; Tiredness; Feeling sick; This is a spontaneous report from a contactable consumer (patient's father). A 14-years-old male patient received bnt162b2 (PFIZER- BIONTECH COVID- 19 VACCINE, Solution for injection), dose 1 via an unspecified route of administration on 09Jun2021 (Batch/Lot number was not reported) as 1st dose, single dose for covid-19 immunisation. The patient's medical history and concomitant medications were not reported.On 10Jun2021, the patient experienced feeling sick, he was throwing up and he was not eating, nauseous all day, chills and tiredness. The reporter wanted to know if those are normal adverse events with the Pfizer COVID-19 vaccine. Thee patient wanted to know if there was any recommendation for what he was feeling. The patient was referred to consult his doctor or health care provider for further guidance, as his doctor/healthcare provider was the most familiar with your medical condition.They wanted to know if those are normal adverse events with the vaccine.The case was assessed as non serious.The outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1406085
Sex: F
Age:
State: MI

Vax Date: 06/07/2021
Onset Date: 06/07/2021
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: her world started spinning; nausea; vomiting; This is a spontaneous report from a contactable consumer or other non hcp (patient). A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration on 07Jun2021 (Batch/Lot number was not reported) as 2nd dose, single dose for covid-19 immunisation. The patient medical history concomitant medications were not reported. Caller reported that after receiving the second dose of Pfizer covid vaccine 07Jun2021 and 20 minutes later her world started spinning having nausea and vomiting went to the ER continued vomiting was kept overnight, had 2 scans and blood work, test returned normal. The patient underwent lab tests and procedures which included blood test: normal on Jun2021, scan: normal on Jun2021. The clinical outcome of events was unknown.

Other Meds:

Current Illness:

ID: 1406086
Sex: F
Age:
State: TN

Vax Date: 06/10/2021
Onset Date: 06/10/2021
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: This is a spontaneous report from a contactable consumer (patient) received via Pfizer sponsored program. A female patient of an unspecified age received first dose of BNT162B2 (PFIZER CVOID-19 VACCINE), via an unspecified route of administration on 10Jun2021 07:15 (Lot Number: EW0175) as single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient experienced soreness arm on 10Jun2021 and enquired if she could take acetaminophen (TYLENOL). The outcome of the event was unknown.

Other Meds:

Current Illness:

ID: 1406087
Sex: F
Age:
State:

Vax Date: 06/10/2021
Onset Date: 06/10/2021
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: Sore arm; Her arm is feeling numb; This is a spontaneous report from a contactable consumer (patient's mother). A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number and Expiration date: unknown), via an unknown route of administration on 10Jun2021 as single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On 10Jun2021, after vaccination in the evening the patient experienced sore arm and her arm was feeling numb after vaccination. Reporter asking for treatment recommendations for her daughter's sore arm. Caller reports that she filed a report (no reference number for that encounter) and asked that agent for recommendations of what she should do and he gave her the number for medical information. Reporter reports that she asked the pharmacist who said its probably her nerve and advised to place an ice pack on the area and take Tylenol but she calls now to ask what else her daughter should do. The outcome of event was Unknown. DSU - E-transmitting for AE data capture. Caller reports that she already filed a report with some-one else but was sent over to medical information to assist with her question about treatment and management of her daughters sore arm. No reference number for that encounter. Response: Confirmed Pfizer Covid vaccine. Spoke from attached documentation and referred to HCP for evaluation and treatment recommendations. E-transmitting for AE data capture. Follow up attempts are needed; information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1406088
Sex: F
Age:
State:

Vax Date:
Onset Date:
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: She also has herpes and never has experienced an outbreak since getting the Pfizer-BioNTech COVID-19 vaccine; This is a spontaneous report from a contactable consumer or other non hcp (Patient). This consumer (patient) reported for herself. A 50-years-old female patient received bnt162b2 (BNT162B2, Formulation: Solution for injection, Batch/Lot number: not reported), via an unspecified route of administration on an unspecified date as unknown, single dose for covid-19 immunisation. Medical history of patient included herpes. The patient's concomitant medications were not reported. On an unknown date, the patient experienced she also has herpes and never has experienced an outbreak since getting the pfizer-biontech covid-19 vaccine. It was reported that she explained this group includes people with STD that have experienced positive reaction to the COVID-19 vaccine. She explained this individual called Pfizer earlier and reported never having an outbreak of her herpes since being vaccinated and encouraged Pfizer to make a study on such population. Caller explained she doesn't had the individual's gender since they are using false usernames. She added she also had herpes and never has experienced an outbreak since getting the Pfizer-BioNTech COVID-19 vaccine. She specified not having any medical inquiries. The outcome of event was unknown. Information about batch/lot number has been requested.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021687833 same reporter/drug/AE, different patient;US-PFIZER INC-2021694629 Same reporter/ drug/ AE, different patient

Other Meds:

Current Illness:

ID: 1406089
Sex: M
Age:
State: NY

Vax Date:
Onset Date:
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: Sore throat; Runny nose; Fatigue; This is a spontaneous report from a contactable consumer (patient's parent). A 12-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/lot number was not reported) via an unspecified route of administration on an unspecified date as second dose, single dose for covid-19 immunization. Medical history included ongoing obsessive-compulsive disorder (reported as His mother noticed some OCD symptoms yesterday which is common when his PANDAS is active). The patient's concomitant medications were not reported. On an unspecified date the patient experienced sore throat, runny nose, fatigue. The outcome of events was unknown. Information on Lot/Batch number can be requested.

Other Meds:

Current Illness: Obsessive-compulsive disorder

ID: 1406090
Sex: F
Age:
State: CT

Vax Date: 06/06/2021
Onset Date: 06/06/2021
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: patient developed a fever which lasted for a day; 1st dose:23May2021/2nd dose:06Jun2021; 1st dose:23May2021/2nd dose:06Jun2021; This is a spontaneous report from a contactable consumer. An adult female patient of unknown age received second dose of BNT162B2(PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot number: unknown) via an unspecified route of administration on 06Jun2021 as, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Batch/Lot number: unknown) dose 1 via an unspecified route of administration on 23May2021 as, single for covid-19 immunisation. On 07Jun2021 (One day after the second dose of vaccination), the patient had fever which lasted for a day. The outcome of the event was resolved on 08Jun2021. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1406091
Sex: M
Age:
State: NV

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: LA

Lab Data:

Allergies:

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

Symptoms: 3 days PV shingles flare up on mid-chest and R arm; This is a spontaneous report from a contactable Physician. A 74-years-old male patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: Unknown), via an unspecified route on unspecified date as single dose for covid-19 immunisation. The patient medical history included HX of kidney failure, anemia, HTN (hypertension), gout, heart failure, A-fib. Treated with valacyclovir and mupirocin, clinically diagnosed. Concomitant medications were not reported. On unspecified date, the patient experienced 3 days PV shingles flare up on mid-chest and R arm. Event took place after use of product. The patient received treatment for the event. The outcome of event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1406092
Sex: M
Age:
State: CA

Vax Date: 06/01/2021
Onset Date: 06/01/2021
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: He is experiencing swelling in the left arm; first dose 18May2021 and second dose 01Jun2021; This is a spontaneous report from a Pfizer sponsored program via contactable consumer (patient himself). A male patient of an unspecified age received bnt162b2 (BNT162B2, Pfizer COVID-19 Vaccine, Formulation: Solution for injection) via an unspecified route of administration on 01Jun2021 (Lot number and Expiry date was not reported) as 2nd dose, single dose for COVID-19 immunisation and first dose on 18May2021 (Lot number and Expiry date was not reported) as single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. On 01Jun2021, the patient had 1st shot was given 18May2021 and 2nd dose was given 01Jun2021, on an unspecified date, the patient experienced swelling in the left arm. The patient wanted to check how many days he can get the pneumococcal vaccine after getting the 2nd dose of the COVID-19 vaccine. The outcome of the event swelling in the left arm was not recovered and had 1st shot was given 18May2021 and 2nd dose was given 01Jun2021 was unknown. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1406093
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: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: mild sore throat; 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: EW0177), 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 mild sore throat. The consumer stated, the patient experienced some mild sore throat not too bad but just a little mild since I have received the vaccine. The outcome of the mild sore throat was unknown.

Other Meds:

Current Illness:

ID: 1406094
Sex: M
Age:
State: TX

Vax Date: 05/13/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: pain; This is a spontaneous report from a contactable consumer (patient) from a Pfizer sponsored program. An unspecified age male patient received the first dose of BNT162B2 via an unspecified route of administration on 13May2021 as single dose for COVID-19 immunization. Medical history and concomitant medication were not reported. On an unspecified date, the patient experienced pain. The patient scheduled to take the 2nd dose on 10Jun2021. The patient had the confirmation of their schedule on current date but would like to confirmed if they can rescheduled it due to Medical Appointment for his pain management. The patient stated he didn't experience any reactions after the shot and pain right now. The outcome of event was unknown. Information on the lot/batch number has been requested.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021687666 same reporter/drug/event and different patient.

Other Meds:

Current Illness:

ID: 1406095
Sex: U
Age:
State: TX

Vax Date: 05/13/2021
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: LA

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: pain; This is a spontaneous report from a contactable consumer or other non hcp received from a Pfizer sponsored program. A patient of unspecified age and gender received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot Number and Expiration date was not reported), dose 1 via an unspecified route of administration on 13May2021 as 1ST DOSE, SINGLE DOSE for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. It was reported that, the patient experienced pain on an unspecified date. It was reported that patient had their first dose on 13May2021 and scheduled to take the 2nd dose 10Jun2021. Reporter confirmed that patient had schedule today but would like to confirm if the date can be rescheduled due to Medical Appointment for his pain management. Reporter stated that patient did not experience any reactions after the first dose and pain right now. The outcome of the event was unknown. Information on the lot/batch number has been requested.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021687630 same reporter/drug/event and different patient.

Other Meds:

Current Illness:

ID: 1406096
Sex: F
Age:
State: VA

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: RA

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Some of her friends reported feeling tired; feel discomfort at the injection site; sore arm; muscle soreness, like an ache "on and off"; had an ache or pressure when lifting her arm up that happened sporadically throughout the day in the same muscle group; having a tingling feeling off and on; some weakness to her hand on the side of her injection; This is a spontaneous report received from a contactable consumer or other non hcp. A female patient of an unspecified age received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/lot number was not reported), via an unspecified route of administration on 18April2021 as Second dose ,single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Historical vaccine included first dose BNT162b2 for Covid-19 immunisation. The reporter stated that she has friends who have experienced similar symptoms such as feeling tired, feel discomfort at the injection site, sore arm ,muscle soreness, like an ache "on and off" , had an ache or pressure when lifting her arm up that happened sporadically throughout the day in the same muscle group , having a tingling feeling off and on but that went away , some weakness to her hand on the side of her injection and picking things up and dropping things .The outcome of all events was unknown. Information about lot/batch number has been requested.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021684418 same patient/drug/similar event, different patient;US-PFIZER INC-2021687674 same patient/drug/similar event, different patient;US-PFIZER INC-2021687677 same patient/drug/similar event, different patient;US-PFIZER INC-2021687676 same patient/drug/similar event, different patient

Other Meds:

Current Illness:

ID: 1406097
Sex: M
Age:
State: TX

Vax Date: 06/09/2021
Onset Date: 06/01/2021
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: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: he feel sick; This is a spontaneous report from a contactable consumer (patient's Mother). A male patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number EW0178 and expiration date: not reported), via an unspecified route of administration, on Right arm, on 09Jun2021 18:37 as 2ND DOSE, SINGLE DOSE for covid-19 immunization. The patient medical history was not reported. The patient's concomitant medications were not reported. Historical vaccine included bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; lot number EW0175 and expiration date: not reported) via unspecified route of administration, on 19May2021 as 1ST DOSE, SINGLE DOSE for covid-19 immunization. The patient didn't receive any other vaccines within 4 weeks prior to the COVID -19 vaccine. The patient felt sick on Jun2021. The reporter would like to know whether any medication can be given to the patient for sick. No treatment was received for the adverse event. The outcome of event is unknown.

Other Meds:

Current Illness:

ID: 1406098
Sex: F
Age:
State: AK

Vax Date: 06/09/2021
Onset Date: 06/11/2021
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: Her eyes are swollen and red; Her eyes are swollen and red; This is a spontaneous report from a contactable consumer (parent). A 13-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Batch/Lot Number: EW0176), via an unspecified route of administration, administered in Arm Left on 09Jun2021 about after 3pm (13-years age at the time of vaccination) as single dose for covid-19 immunisation. Medical history was provided none. There were no concomitant medications. Consumer reported that patient have vaccine yesterday then on 11Jun2021 patients eyes were swollen, and red. The patient did not receive any treatment for adverse events. The outcome of events was unknown. Information on Lot/Batch number was available. Additional information has been requested.

Other Meds:

Current Illness:

ID: 1406099
Sex: M
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: Injection site pain

Symptoms: His arm felt like it was punched 100 times; He had cold sweats; This is a spontaneous report from a contactable consumer (reported for himself). A 40-year-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/Lot number was not reported), dose 2 via an unspecified route of administration on an unspecified date (at the age of 40-years-old) as single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously 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 an unspecified date for COVID-19 immunisation. With his 1st dose, consumer said he did not feel anything, and did not have any side effects. On an unspecified date in 2021, the consumer stated that his arm felt like it was punched 100 times and he also said he had cold sweats. He wanted to know if it is possible that the arm would hurt worse after the 2nd dose. He said he known that the cold sweats are worse after the 2nd dose. The consumer wanted to know if it is possible that he did not receive the 1st dose since he did not feel anything. He also wanted to know if his arm should have hurt after the 1st dose. The consumer wanted to know if there is a way to test immunity after receiving both doses of the Pfizer-BioNTech COVID-19 Vaccine in response received 'Antibody tests are used to see if you have some level of protection against the virus. If your body developed an immune response, which was the goal of vaccination, there was a possibility you might test positive on some antibody tests after receiving the Pfizer-BioNTech COVID-19 Vaccine'. The outcome of the events was unknown. Additional information about Batch/Lot number has been requested.

Other Meds:

Current Illness:

ID: 1406100
Sex: F
Age:
State: GA

Vax Date: 03/15/2021
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: 1st dose: Migraine headache with scintillating scotoma after 12 hours.Fatigue for 1 week. Much heavier more painful period.; 1st dose: Migraine headache with scintillating scotoma after 12 hours.Fatigue for 1 week. Much heavier more painful period.; 1st dose: Migraine headache with scintillating scotoma after 12 hours.Fatigue for 1 week. Much heavier more painful period.; This is a spontaneous report from a contactable consumer (patient). The 44-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EN6207) via an unspecified route of administration at left arm on 15Mar2021 at 5:00 PM a single dose and second dose on 10Apr2021 at 10:00 AM (lot number: EPV0150 (might be ERV0150)) for COVID-19 immunization at a hospital. The patient's concomitant medications included Levothyroxine, Bupropion and Adderall. Patient medical history included hashimotos hypothyroid. No allergies were reported. Prior to vaccination patient did not diagnosed with COVID-19. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. It was reported that on an unspecified date after 1st dose patient experienced migraine headache with scintillating scotoma after 12 hours. Patient experienced fatigue for 1 week and much heavier and more painful period. On an unspecified date after 2nd dose patient experienced fatigue for 24 hours and much heavier and more painful period with palm sized blood clot. It was reported that outcome of events was resolved. No treatment was received. No follow-up attempts are possible. No further information is expected.

Other Meds: LEVOTHYROXIN; BUPROPION; ADDERALL

Current Illness:

ID: 1406101
Sex: F
Age:
State: NY

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: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Has problems when looks to the left and looks to the right, looks up or looks down; Suffering from migraine headaches that are severe ever since receiving the second dose Pfizer Covid 19 Vaccine; This is a spontaneous report received from a contactable consumer. A 19-years-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection) via an unspecified route of administration on 26Apr2021 (Batch/Lot number was not reported) as single dose for covid-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. On 26Apr2021, the patient experienced suffering from migraine headaches that are severe ever since receiving the second dose pfizer covid 19 vaccine and the headaches were very debilitating. On an unspecified date, the patient has problems when looks to the left and looks to the right, looks up or looks down, it began a few weeks after the patient received the second dose Pfizer Covid 19 Vaccine and then it has worsened. The reporter stated that to know if the patient will have long term issues because of this and need the patient to see an optic nerve specialist. The outcome of the events was not resolved. Information about batch/Lot number has been requested.

Other Meds:

Current Illness:

ID: 1406102
Sex: F
Age:
State: PA

Vax Date:
Onset Date:
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: joint pain which started after the second dose of Covid-19 Vaccine; The severity of the pain has been high enough to wake her up from sleep a couple of times; This is a spontaneous report from a contactable consumer. An adult female patient (age and unit unspecified) received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: unknown), via an unspecified route of administration on an unspecified date as 2ND DOSE, SINGLE DOSE for COVID-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient did not received any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination, it was unknown that the patient been tested for COVID-19. The patient experienced joint pain which started after the second dose of Covid-19 Vaccine and the severity of the pain has been high enough to wake her up from sleep a couple of times on an unspecified date. The outcome of the events was not recovered. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1406103
Sex: M
Age:
State: OH

Vax Date: 06/09/2021
Onset Date: 06/10/2021
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: Erythema, Pruritus

Symptoms: armpit on the side he got the vaccine is swollen and sore; armpit on the side he got the vaccine is swollen and sore; This is a spontaneous report from a contactable consumer (patient's mother). A 19-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection), via an unspecified route of administration, administered in Arm Left on 09Jun2021 (Batch/Lot Number: EW0187) as UNKNOWN, SINGLE DOSE for covid-19 immunisation. Medical history was reported as none. Family medical history relevant to AE(s) was reported as none. There were no concomitant medications. Prior Vaccinations (within 4 weeks) and AE(s) following prior vaccinations was none. Additional vaccines administered on same date of the Pfizer suspect was reported as none. Patient's mother reported that on 10Jun2021 her son's armpit on the side he got the vaccine was swollen and sore. She asked if this was normal. The caller stated her son got the vaccine on Wednesday and asked how long he should wait to go see the doctor about this symptom? The event armpit swollen and sore was reported as worsened. The seriousness of the events was assessed as non-serious. The patient did not undergo any relevant tests. Caller stated he (patient) has not gone to the doctor and has been putting it off and wants to know if she should go. The outcome of the events was not recovered. Additional information has been requested

Other Meds:

Current Illness:

ID: 1406104
Sex: M
Age:
State: IL

Vax Date: 06/08/2021
Onset Date: 06/10/2021
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: Fatigue; Dizziness; Headache; This is a spontaneous report from a contactable consumer (patient) via medical information team. A 49-years-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: solution for injection, Lot number: unknown), via an unspecified route of administration on 08Jun2021 (at the age of 49-years) as single dose for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. On 10Jun2021, the patient experienced fatigue, dizziness and headache. The clinical course included: the patient received the second dose on 08Jun2021 and called to report the adverse reactions he had felt, especially after the second dose. He felt a lot of fatigue, dizziness, was ongoing since yesterday (10Jun2021), even talking was causing fatigue and had a headache. The outcome of event headache was unknown and for other events it was not recovered. Information on Lot/Batch number was not available. Additional information has been requested

Other Meds:

Current Illness:

ID: 1406105
Sex: F
Age:
State: NJ

Vax Date: 06/09/2021
Onset Date: 06/10/2021
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: she experienced a lack of taste and smell; she experienced a lack of taste and smell; This is a spontaneous report. This consumer is reported for her granddaughter. A female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) at an unspecified age, via an unspecified route of administration on 09Jun2021 as 2nd dose, single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient received first dose of BNT162B2 for COVID-19 immunization on an unspecified date. On 10Jun2021, the patient experienced a lack of taste and smell. The reporter wanted to know if they have heard of this happening. The doctor and pharmacist said that was not normal and she could not find information on this on google. The outcome of the events was unknown. Follow-up attempts have been completed and no further information is expected.

Other Meds:

Current Illness:

ID: 1406106
Sex: F
Age:
State:

Vax Date: 05/21/2021
Onset Date:
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: experienced pain; swelling on her right side and in her joints; swelling on her right side and in her joints; The pain and swelling is located mostly in her knees; This is a spontaneous report from a contactable consumer (patient). A 74-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 21May2021 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- unknown) via an unspecified route of administration on an unspecified date as 1st dose, single dose for COVID-19 immunization. It was reported that patient received both doses of Pfizer Covid 19 vaccine. Her last dose was on 21May2021. She had experienced pain and swelling on her right side and in her joints. The pain and swelling was located mostly in her knees and the pain began on her right side and then moved to her left side. The swelling was now on both sides. She wanted to know how long swelling and pain will last. The outcome of the events was unknown. Information about lot/batch number is expected.

Other Meds:

Current Illness:

ID: 1406108
Sex: F
Age:
State: NJ

Vax Date: 05/25/2021
Onset Date: 05/01/2021
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: Last night all of the sudden the skin on my left leg started to fell like a had a sunburn; it started to feel like it was burning and tingling in different spots, pinching, stinging feeling kind of like when you have a sunburn; it started to feel like it was burning and tingling in different spots, pinching, stinging feeling kind of like when you have a sunburn; it started to feel like it was burning and tingling in different spots, pinching, stinging feeling kind of like when you have a sunburn; she did not get a good night of sleep; exhausted; too I was very aware of my stomach, now feel the tommy again and burning is getting less; This is a spontaneous report from a contactable consumer (patient). A 77-year-old female patient received first dose of bnt162b2 (COMIRNATY, Solution for injection, Lot Number: unknown) via unspecified route of administration on 25May2021 as single dose for COVID-19 immunization. Medical history included drug hypersensitivity. The concomitant medication was not reported. Patient reported that in May2021 after the first dose of the vaccine patient was exhausted for 5 full days, her arm never hurt but she was very aware of her stomach and for 5 days she had to seat still and that finally past. On 10Jun2021 all of the sudden the skin on her left leg started to feel like a had a sunburn, it started to feel like it was burning and tingling in different spots, pinching, stinging feeling kind of like when you have a sunburn, she tried to put the Aspercreme on it thinking that her take care of this terrible feeling but that did not help it made it worse so she washed it off. This all started off around 9:30 pm last night she finally got in bed around 10 pm. Patient was trying to sleep with her leg outside of the covers because it felt like it needed to be cooled down, she had AC on and fan. "she did not get a good night of sleep because she kept feeling her leg and did not know what else to do for it. "This morning she was very tired of course from last night, very aware of her stomach again which happen along of getting the first shot for those 5 days and she was exhausted and then too she was very aware of her stomach, now feel the tommy again and burning was getting less, but she had no clue was this was something anybody has reported. Patient was highly sensitive to medications. Patient never get any type of immunizations prior to this since she was a child. in a week she will be 78 years old, she was due for her second shot on 15Jun2021.The outcome of the event exhaustion was recovered, stomach burning sensation was recovering and sunburn, burning sensation, tingling sensation, feeling abnormal, sleep disorder was unknown. Information on Lot/Batch number has been requested.

Other Meds:

Current Illness:

ID: 1406109
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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: One eye swollen and red; One eye swollen and red and the other one itchy and red.; Other one itchy and red; This is a spontaneous report from a non-contactable consumer (parent) or other non-health care professional. A female patient (her daughter) of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Batch/Lot number: Not reported) via an unspecified route of administration on an unspecified date as unknown, single dose for COVID-19 immunization. On an unspecified date, (Hours after vaccination), the patient had one eye swollen and red and the other one itchy and red. 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: 1406110
Sex: F
Age:
State: NY

Vax Date: 02/15/2021
Onset Date: 02/01/2021
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: Pain in extremity

Symptoms: very slight to mild fever headache and tired; very slight to mild fever headache and tired; very slight to mild fever headache and tired; This is a spontaneous report from a contactable consumer (patient) reported for herself. A 66-years-old female patient received second dose of bnt162b2 (BNT162B2, Pfizer biontech covid 19 vaccine), via an unspecified route of administration on 15Feb2021 (at the age of 66 years) (Batch/Lot Number: EL9266) as 2nd dose, single dose for covid-19 immunisation. The patient had no relevant medical history and no illness was reported at the time of vaccination. The patient's family members are immunocompromised. The patient's concomitant medications were not reported. The patient previously took first dose of bnt162b2 (BNT162B2, Pfizer biontech covid 19 vaccine), via an unspecified route of administration on 25Jan2021 (at the age of 66 years) (Batch/Lot Number: El9262 ) as single dose for covid-19 immunisation. The patient did not receive any vaccination within 4 weeks prior to covid-19 vaccination. There were no additional vaccines administered on same date of the covid-19 vaccine. On an unspecified date in Feb2021, the patient ran very slight to mild fever headache and tired for 6-8 hours after second dose. It was reported that she and her husband both received the Pfizer biontech covid 19 vaccine. They received both doses back in January. She was going to visit family and the family members are immunocompromised, so they went to get antibody tested and they did not have antibodies to the vaccine and they are very concerned. she was tested for both the IGA and IGM and they were negative. She further confirmed that these were the results for both her and her husband. Laboratory tests included IGA, IGM and sars-cov-2 antibody test on an unspecified date and results were negative. Outcome of the event very slight to mild fever headache and tired was reported as recovered on an unknown date in Feb2021.

Other Meds:

Current Illness:

ID: 1406111
Sex: F
Age:
State: NJ

Vax Date: 05/25/2021
Onset Date: 06/10/2021
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: she had 5 days of exhaustion where she felt like she couldn't get out of her chair; she was also very aware of her stomach; two twinges in her arm; she couldn't even stand clothes on her legs; skin on her left leg started to hurt so much that it reminded of her of having a neuralgia; She had stinging on the top and behind her knee and it traveled down towards her ankle and up towards her upper thigh/stinging in certain parts of her leg; skin on her left leg feels burning; left leg felt like it needed cold and not heat; This is a spontaneous report from a contactable consumer (patient). A 77-year-old female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EW0178; Expiration Date: 31Aug2021), via an unspecified route of administration, administered in left arm on 25May2021 at 14:30 (at the age of 77-year-old) at a single dose for covid-19 immunisation at Clinic. Medical history included ongoing high blood pressure, high cholesterol and it runs in her family (She has tried all the different "statin" medications and she couldn't tolerate any of them. Her cardiologist told her there was an injection she could take for her cholesterol every two weeks and it was supposed to be like a "liquid plumber" for your veins. She is so sensitive to medications including all these "statin" medications, there is no way she can take the bi-weekly injection. It might have a much more profound negative affect on her. She was so leery of taking medications, even over the counter medications), gastrooesophageal reflux disease (GERD), 4 cardiac stent placements in 2015, blood pressure abnormal, allergies (unspecified), sinus are swollen, neuralgia, cataract surgery (a year and half ago), retina had swelled and sensitivity to heat. Concomitant medications included acetylsalicylic acid (ASPIRINE) chewable tablets at a dose of 81 mg daily for sinuses are swollen (her sinuses are not swollen at this time), loteprednol etabonate (LOTREL) for blood pressure abnormal. The Lotrel keeps her blood pressure around 120/70mmHg, famotidine (PEPCID) for gastrooesophageal reflux disease. The patient previously took tylenol and experienced allergy and giant hives. Aspirin give her hives but usually a hive here or there, not real big hives, ilevro for retina swelling and affected her skin on her face (She did have a problem while she was taking the steroid eye drops. They made her feel very unwell. She does not take Prednisone for the same reason. She had tried many different steroid eye drops and so many of them gave her a problem. She ended up taking Ilevro. She had no choice but to take it. The Ilevro affected the skin on her face. Her retinas had to stop swelling. Everything is fine now. She has no glaucoma or macular degeneration. This occurred a year and half ago when she had her cataract surgery). She had given the nurse who gave her the injection a list of all her allergies and sensitivities and the nurse reviewed the list and didn't see anything in the Covid 19 vaccine that would cause the caller harm based on her list of allergies and sensitivities. The caller took a deep breath and prayed while she received the Covid 19 vaccine. After the vaccine she waited at the facility and she was fine and then she left to go home. She ever had an adverse event with any other vaccines she reports she has not been vaccinated with anything since she was a child. She didn't even have the Polio vaccine. The patient did not receive any other vaccinations within four weeks prior to the first administration of the suspect vaccine. After getting the Covid 19 vaccine, on an unspecified date, the patient had 5 days of exhaustion where she felt like she couldn't get out of her chair and she was also very aware of her stomach. Her stomach wasn't upset but she was aware of it. That slowly passed and she started doing the things she needed to do. She needs to walk because of her heart stents. She had been fine after the Covid 19 vaccine until last night on 10Jun2021 at 21:30 the patient skin on her left leg started to hurt so much that it reminded of her of having a neuralgia. She provides an example of her sometimes feeling a draft and she can develop a neuralgia from the draft for a day or two. That's what her leg felt like initially. As the night wore on, around 22:00, she realized she couldn't even stand clothes on her legs. She wears nightgowns, not pajamas and she had to take her nightgown off her leg. The sensation in her leg started changing, she could feel that she not only had the skin hurting sensation but now she had stinging in certain parts of her leg. She had stinging on the top and behind her knee and it traveled down towards her ankle and up towards her upper thigh. It was bizarre. She thought about it this morning, 11Jun2021, what it felt like. She remembered way back, long ago, and she was not a sun person, but it felt like how a sunburn would feel. The skin on her left leg feels burning. She used Aspercreme on her leg thinking it will help with the pain. She wiped all the Aspercreme off her leg. She could not cover her left leg. Her left leg felt like it needed cold and not heat. She does have a history of sensitivity to heat. She runs her air conditioner, and she had a ceiling fan above her bed. She had her left leg exposed and out of her bed covers to try and get the cold air on her hot leg. Finally, around 23:30, her leg still bothered her, but she was able to go to sleep. She twisted and turned at night but was finally able to put her bed cover back on her leg but lightly. The sensation was still there in her leg. She was so sensitive. On an unspecified date, the patient had two twinges in her arm and then her arm never hurt again. The events did not result in emergency room or Physician Office. She is due for her second Covid 19 vaccine on 15Jun2021. The outcome of the events she had 5 days of exhaustion where she felt like she couldn't get out of her chair, she was also very aware of her stomach, two twinges in her arm was unknown and the rest of the events was not recovered. Information on lot/batch number was available. Additional information has been requested.

Other Meds: ASPIRINE; LOTREL [LOTEPREDNOL ETABONATE]; PEPCID [FAMOTIDINE]

Current Illness: Blood pressure high; GERD; High cholesterol

ID: 1406112
Sex: M
Age:
State:

Vax Date:
Onset Date:
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: developed shingles 3 weeks later; This is a spontaneous report from a contactable consumer reported for patient (brother). A male patient of an unspecified age received BNT162B2(PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number and Expiration date: 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. It was reported that, the patient has developed shingles 3 weeks later receiving Pfizer COVID-19 vaccine. The outcome of event was unknown. Information regarding batch/Lot number has been requested.

Other Meds:

Current Illness:

ID: 1406113
Sex: M
Age:
State: FL

Vax Date: 04/09/2021
Onset Date: 04/10/2021
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: extreme body aches/pain; joint aches; muscle pain; I can hardly function; This is a spontaneous report from a contactable consumer. A 78-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: en6206), via an unspecified route of administration on 09Apr2021 (at the age of 78-year-old), as 2nd dose, single dose in right arm for COVID-19 immunization. The patient's medical history included prior heart attack, diabetes, and neuropathy. Concomitant medications included atorvastatin, clopidogrel, metoprolol, finasteride, all taken for unspecified indications. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EN6200) on 05Mar2021, as single dose in left arm for COVID-19 immunization. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 10Apr2021, the next day after the second dose of vaccine, the patient experienced extreme body aches, joint aches, and muscle pain all over his body. Patient can hardly function and was in constant pain. Patient received treatment for the events with Predisone, Advil, and Tylenol. The patient had no COVID prior vaccination and was not tested COVID post vaccination. The clinical outcome of the events was not resolved. No follow-up attempts are needed. No further information is expected.

Other Meds: ATORVASTATIN; CLOPIDOGREL; METOPROLOL; FINASTERIDE

Current Illness:

ID: 1406114
Sex: F
Age:
State: TX

Vax Date: 05/18/2021
Onset Date: 05/18/2021
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: Anxiety; Energy with 24 hour of extreme tired; Neck and shoulder pain for few hours; Neck and shoulder pain for few hours; Left arm tingling around wrist at times; Increased appetite; Weight gain; Two vaccines administered on the same day lot no EW0185, lot WW185; This is a spontaneous report from a contactable consumer (patient). A 56-years-old non-pregnant female patient received bnt162b2 (BNT162B2, Formulation: Solution for injection) via an unspecified route of administration, administered in Arm Left on 18May2021 at 01:00 PM (Batch/Lot Number: EW0185) and another dose via an unspecified route of administration, administered in Arm Left on 18May2021 (Batch/Lot Number: WW185) both as a single dose for covid-19 immunization at Pharmacy or Drug Store. Patient relevant medical history included fast heart rate, HBP (high blood pressure), low thyroid, and meneres. The concomitant medications included Atenolol 25mg, fish oil (OMEGA 3), cetirizine hydrochloride (ZYRTEC), colecalciferol, menadione (VITAMIN K+D) all received within 2 weeks of vaccination. 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. Since the vaccination, the patient has not been tested for COVID-19. The patient previously took cefdinir and had allergy. Patient had known allergies to penicillin and Steroids. On 18May2021, the patient experienced anxiety, energy with 24 hour of extreme tired, neck and shoulder pain for few hours, left arm tingling around wrist at times. Weeks after anxiety and increased appetite and weight gain. Patient was administered with two vaccines on the same day (lot no: EW0185 and WW185). Patient received no treatment for the reported events. The events were considered as non-serious. The outcome of event for neck and shoulder pain for few hours was recovered and for the rest of events was unknown.

Other Meds: ATENOLOL; OMEGA 3 [FISH OIL]; ZYRTEC [CETIRIZINE HYDROCHLORIDE]; VITAMIN K+D

Current Illness:

ID: 1406115
Sex: F
Age:
State:

Vax Date: 05/23/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Ache; Unable to hold her phone; Puffiness on her hands including her knuckle, wrist, palm and to her forearm; Fever; Nausea; Joint pain (Relative to knuckle); Pain in her hands and feet; Puffiness and pain in her feet; This a spontaneous report from a contactable consumer (patient). A 48-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, batch/lot number: unknown) via an unspecified route of administration on 23May2021 as a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. Previously, the patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, batch/lot number: unknown) via an unspecified route of administration on an unknown date as a single dose for COVID-19 immunization. On an unknown date, the patient experienced fever, nausea, and ache. However, the worst part that the patient reported and was seeking recommendation on about the pain in her hands and feet. The patient experienced puffiness and pain in her feet went away after a week, however the pain and puffiness on her hands including her knuckle, wrist, palm and to her forearm was intolerable to the point that she was unable to hold her phone. The patient took Tylenol and other pain medications but seem not to work. There were also reports of joint pain (relative to knuckle) and injection pain but not in particular on the hand area specific to the locations she reported but having no information. The outcome of the events ache, unable to hold her phone, puffiness on her hands including her knuckle, wrist, palm and to her forearm, fever, nausea and joint pain (relative to knuckle) was unknown and recovered/resolved from puffiness and pain in her feet, pain in her hands and feet on an unknown date. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1406116
Sex: F
Age:
State: FL

Vax Date: 05/22/2021
Onset Date: 05/23/2021
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: veins were hurting; bad headaches; This is a spontaneous report from a contactable consumer (patient, self-reported). A 39-year-old female patient received first 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 Right, on 22May2021 at 14:00 PM, 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 did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient's medical history included hypothyroidism hashimoto and known allergies: allergic to a lot of meds but never a vaccine. Concomitant medication included Thyroid. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient was not tested for COVID-19. The patient reported that on 23May2021, she felt like the veins were hurting everywhere and been having bad headaches and it was recovered with lasting effects. Outcome of the events was recovered with sequel. Information on Lot/Batch number has been requested.

Other Meds: THYROID

Current Illness:

ID: 1406117
Sex: F
Age:
State: VA

Vax Date: 04/11/2021
Onset Date: 05/27/2021
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: arm swelled up; sick; woke up in pain; My arm has a creater/Sink hole under the skin; This is a spontaneous report from a contactable consumer or other non hcp. A 48-year-old non-pregnant female patient received second dose bnt162b2 (BNT162B2, Formulation: solution for injection, Batch/Lot Number: EW0153; Expiration date was not reported), via an unspecified route of administration, administered in Arm Right on 11Apr2021 14:00 as 2ND DOSE, SINGLE DOSE for covid-19 immunization. Facility where the most recent COVID-19 vaccine was administered: Other. Medical history included Asthmatic (Other medical history: Asthmatic), allergies: HOT PEPPERS (allergies: HOT PEPPERS), covid-19 (Prior to vaccination, was the patient diagnosed with COVID-19: Yes), Patient had historical vaccine of first dose bnt162b2 (COMIRNATY, Formulation: solution for injection, Batch/Lot Number: EP7534; Expiration date was not reported), via Unknown route of administration, on 21Mar2021 (15:15) in left arm as 1ST DOSE, SINGLE DOSE for COVID-19 immunization. Concomitant medication(s) included norethindrone [norethisterone] (NORETHINDRONE [NORETHISTERONE]) taken for birth control. The patient previously took sulfa and experienced drug allergy (known allergies: sulfa drugs). On an unspecified date the patient experienced arm swelled up, sick, on 27May2021 04:00 experienced woke up in pain, my arm has a creater/sink hole under the skin. No treatment was given to the patient. The outcome of event for event ?arm swelled up' was recovered, ?sick' was unknown, ?woke up in pain' and ?My arm has a creater/Sink hole under the skin' were not recovered.

Other Meds: NORETHINDRONE [NORETHISTERONE]

Current Illness:

ID: 1406118
Sex: M
Age:
State: NY

Vax Date: 06/09/2021
Onset Date: 06/09/2021
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: Tenderness to left shoulder where injected; face felt warm; loss of appetite; chills; headache; flu like symptoms; This is a spontaneous report from a contactable consumer (patient). A 36-year-old male patient received bnt162b2, dose 2 via an unspecified route of administration, administered in arm left on 09Jun2021 at 17:30 (Batch/Lot Number: Ew0182) as 2nd dose, single dose for covid-19 immunisation. Medical history included penicillin allergy from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. Historical vaccine included, on an unspecified date, patient received the first dose of bnt162b2 via an unspecified route of administration, as single dose for covid-19 immunization (Dose number 1, lot_number=Ew0182, for COVID-19 immunization, Vaccine location: Left arm). The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine and the patient did not receive medication within 2 weeks of vaccination. On 09Jun2021 at 19:30, the patient experienced tenderness to left shoulder where injected, face felt warm, loss of appetite, chills, headache, and flu like symptoms. The patient did not take any treatment for the events. The outcome of the events loss of appetite and flu like symptoms on 10Jun2021 whereas other events were resolved on an unknown date. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1406119
Sex: M
Age:
State: MI

Vax Date: 06/10/2021
Onset Date: 06/11/2021
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: Chest pain; heart pounding; chills; fever; tiredness; headache; This is a spontaneous report from a contactable consumer or other non hcp. A 14-years-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection, Batch/Lot number: EW0196), via an unspecified route of administration, administered in Arm Left on 10Jun2021 16:45 (at the age of 14-years-old) as 2nd dose, single dose for covid-19 immunisation. Patient did not administer any other vaccine prior to 4 weeks of vaccination. The patient medical history and concomitant medications were not reported. Patient received first dose of bnt162b2(PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, Batch/Lot number: EW0178) dose 1 via unspecified route of administration, administered in Arm Left on 20May2021 18:45 (at the age of 14-years-old) as single dose for covid-19 immunisation. On 11Jun2021 12:00 the patient experienced chest pain, heart pounding, chills, fever, tiredness and headache. The patient received Tylenol (acetaminophen) 1000mg as treatment drug. The outcome of the events was recovering. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm