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

Date Died: 04/29/2021

ID: 1426149
Sex: F
Age: 57
State: IN

Vax Date: 03/25/2021
Onset Date: 04/23/2021
Rec V Date: 06/25/2021
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: Death 4/29/2021 Causes of death listed on death certificate: 1) COVID 19 Pneumonia 2) Acute hypoxic respiratory failure 3) advanced amyotrophic lateral sclerosis

Other Meds:

Current Illness: COVID 19 Pneumonia

ID: 1426150
Sex: F
Age:
State: CO

Vax Date:
Onset Date:
Rec V Date: 06/25/2021
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: nausea; at the end she felt the gurgling and distress of her lower intestines; at the end she felt the gurgling and distress of her lower intestines; she experienced diarrhea for 45 minutes; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age 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 an unspecified date as single dose for COVID-19 immunization. Medical history included allergic to MSG (monosodium glutamate), allergic to soy, and allergic to NSAIDs. Concomitant medications were not reported. It was reported that she received the first dose of the Covid vaccine and within 14 minutes of administration, on an unspecified date, she experienced diarrhea for 45 minutes. She reports that it was so intense, and she would also experience waves of nausea. It was reported that she had one of the side effects with the Covid vaccine. It's listed diarrhea as one of side effects. She wanted to know when that is usually seen because she had the first shot and stayed the 15 minutes like she was supposed to and at the end she felt the gurgling and distress of her lower intestines on an unspecified date. She made it home and made it to the bathroom and had 45 minutes of intense diarrhea, like you would get with a colonoscopy prep. Also had a case of nausea since she had the intense diarrhea. She asked if it was typically seen with this vaccine or due to her nerves of getting the vaccine and being enclosed in a building for the first time in over a year or was it being in a room in line with 40-50 other people. She wanted to know when do this side effect was seen and does it occur within 15 minutes of the shot. She asked was it a side effect and if it was safe for her to get the second shot. She asked if diarrhea occurs 15 minutes or hours after receiving the Covid vaccine. The outcome of events was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

Date Died: 06/25/2021

ID: 1426151
Sex: M
Age: 71
State: TX

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 06/25/2021
Hospital: Y

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: nkda

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

Symptoms: On May 6, 2021, patients were relatively normal. On June 4th he started complaining of right sided abdominal pain along with increasing generalized weakness/fatigue. On June 10th CT Abdomen/Pelvis ordered by PCP, it was completed on 6/16/21. On 6/17/21 patient started c/o of right flank pain as well as ongoing right abdominal pain, U/A collected, normal results. On 6/22/21 patient contact PCP office c/o acute shortness of breath, chest pain and increased weakness. He was advised to call 9-1-1 and go to the ER. He was transported to local Medical Center and found to have extremely elevated platelet count as well as elevated liver enzymes. He was admitted to the ICU he ultimately succumbed to this acute illness on 6/25/21

Other Meds: Ropinirole, ,dabigatran, famotidine, KCl, ASA, Docusate, Trospium, Telmisartan, Fluticasone, HCTZ, montelukast, omeprazole, simvastatin, fexofenadine, losartan, metoprolol, pregabalin

Current Illness: Acute right sided abdominal pain onset 4 months after vaccination. HTN, Chronic back/leg pain, CAD, GERD,DM2, BPH, Sleep apnea

ID: 1426152
Sex: M
Age: 65
State: TX

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 06/25/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies: Penicillin; codeine, iodine; shell fish (seafood)

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: I was working at a university and that is why I got the shot there. 30 minutes after my 2nd shot, I was driving home and my heart started beating rapidly and it felt like I was having a asthma attack. I drove the apartment and laid down. I had the rapid heart beat and tiredness for several days. I had days where I was so exhausted I called in sick or worked from home. I still get tired easily , have rapid heart beats for up to an hour at a time and some days just take it easy. I resigned from my job because I felt I could not function and I wanted to be closer to home where my doctors were located. I had only taken a day or two sick leave before my injection, but took many days after the shot. I feel much better other than what I described above. I am reporting this because all news is talking about younger individuals. But I had/have the same symptoms and over 65.

Other Meds: verapamil ; mometasone furoate; symbicort; Life Extension mult -vitamins; turmeric curcumin; AL-Gal DHA; sublingual vitamin B-12; sublingual vitamin B- Complex

Current Illness: None

ID: 1426153
Sex: F
Age: 18
State:

Vax Date: 06/24/2021
Onset Date: 06/24/2021
Rec V Date: 06/25/2021
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: Vaccine injected was in syringe that had been drawn over 12 hours earlier

Other Meds:

Current Illness:

ID: 1426154
Sex: M
Age: 18
State:

Vax Date: 06/24/2021
Onset Date: 06/24/2021
Rec V Date: 06/25/2021
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: Vaccine injected was in syringe that had been drawn over 12 hours earlier

Other Meds:

Current Illness:

Date Died: 05/02/2021

ID: 1426155
Sex: F
Age: 82
State: IN

Vax Date: 04/06/2021
Onset Date: 04/26/2021
Rec V Date: 06/25/2021
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: Death: 5/2/2021 Causes of death listed on death certificate: Covid 19

Other Meds:

Current Illness: COVID 19

ID: 1426156
Sex: F
Age:
State: CA

Vax Date: 06/24/2021
Onset Date: 06/25/2021
Rec V Date: 06/25/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: My arm feels like it's on fire feels like an incision infected but worse on fire with 1st injection put in left 2nd in right arm. Excessive pain then normal extremely then normal, horrible sore throat, fever this was with 2st injection im starting with 2nd already same. With 1st vaccine I was in bed 5 days. My memory since the 1st injection has been horrible I really have severe loss of memory. Nauseous. I know there is more since this is 1st full day of 2nd vaccine I will write down. I just feel like the flu but worse. I feel like I'm going to die it's horrible!!!!!!

Other Meds: Morphine, oxycodon , valium, Zanaflex, vyvanse, modafinial, trazadone, arboreal inhaler , Tylenol 650mg, top-rated, triazolam

Current Illness:

ID: 1426157
Sex: F
Age: 49
State: NY

Vax Date: 06/24/2021
Onset Date: 06/24/2021
Rec V Date: 06/25/2021
Hospital:

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

Lab Data:

Allergies: Flu shot, eggs, dairy, shell fish, penicillin, citrus fruit, trees and grass.

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: during the first shot I experienced a bad taste in my mouth approximately 30 minutes after, upon brushing my teeth my gums bleed. Which I did not realize the connection at that time. Second shot I experienced the same bad taste and rinsing my mouth when I returned home, noticing that my gums were bleeding. They have continued to have a very slow rate of bleeding, however, it can be noticed when rinsing my mouth and taste remains.

Other Meds: Metropel 50 mg. Singular 10 mg, vitamin D & b12 and Biotin

Current Illness:

ID: 1426158
Sex: F
Age: 30
State: MA

Vax Date: 04/05/2021
Onset Date: 05/20/2021
Rec V Date: 06/25/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: gluten

Symptom List: Diarrhoea, Nasal congestion

Symptoms: None stated

Other Meds: Cyanocobalamin injection 100mcg etonogestreL-ethinyl estradioL (NUVARING) 0.12-0.015mg/24 hr vaginal ring rizatriptan (MAXALT) 10mg tablet

Current Illness:

ID: 1426159
Sex: M
Age:
State: CA

Vax Date: 01/22/2021
Onset Date: 01/25/2021
Rec V Date: 06/25/2021
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: Random heart palpitations; This is a spontaneous report from a contactable consumer (patient). A 28-years-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number: EL8982,) via an unspecified route of administration in left arm on 22Jan2021 at 12:00 (at the age of 28-years-old) as first dose, single for COVID-19 immunization. Medical history and concomitant medications were not reported. Patient did not receive any other vaccine received in four weeks. Patient had not been diagnosed with COVID prior to vaccination and had not been tested for COVID post the vaccination. On 25Jan2021, the patient reported that since receiving his vaccine, he noticed random heart palpitations. They have been less frequent as of recent but some of his coworkers have reported the same thing. They are non painful and happen irregular. Patient did not received the treatments. The outcome of the event was recovering. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1426160
Sex: F
Age:
State:

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 06/25/2021
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: on her right arm she experienced Bursitis or swelling on her elbow/Olecranon bursitis/Popeye's Bursitis; on her right arm she experienced Bursitis or swelling on her elbow.; hard of hearing; This is a spontaneous report from a contactable consumer (patient). A 80-year-old female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/Lot Number: EL9264; Expiration Date: 30May2021) via an unspecified route of administration, in right arm on 08Feb2021 (at the age of 80-year-old) as a single dose for covid-19 immunisation. The patient had no medical history and concomitant medications. Patient did not receive any other vaccines on the day of vaccination. On 08Feb2021, the patient got her first dose at her right arm and she experienced popeye's bursitis or olecranon bursitis/ Bursitis or swelling on her elbow. Patient stated that she was also hard of hearing on an unspecified date in 2021. Patient confirmed that the bursitis was located in her right arm. Patient was wondering if there was a connection, if the vaccine could have caused it as she had never had anything like that before. The outcome of the events was unknown. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1426161
Sex: F
Age:
State: MN

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 06/25/2021
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: very, very sore arm; This is a spontaneous report from a contactable consumer (patient) via medical information team. An 80-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EL9261; Expiration Date: 31May2021), via an unspecified route of administration administered in left arm on 05Feb2021 at 10:40 (age at vaccination was 80 years) as 1st dose, single for COVID-19 immunization. The patient's medical history included high blood pressure, acid reflux, allergies to like cats and stuff like to tree if she got too close to them, she smoked for years 2 puffs every other morning, she had some beginning touches of COPD she thinks. She had a lot of problems or anything with COPD, she just got out of breath sometimes, but she was also getting old. Patient concomitant medication included amlodipine (AMLODIPINE) and hydrochlorothiazide, losartan potassium (LOSARTAN/HCTZ) both taken for high blood pressure been on this product for years and ongoing, omeprazole (OMEPRAZOLE) taken for acid reflux, tiotropium bromide (SPIRIVA) taken for chronic obstructive pulmonary disease from an unspecified start date and ongoing and atorvastatin (ATORVASTATIN) taken for an unspecified indication from an unspecified start date and ongoing. Patient was on no blood thinners. The patient's family history included one sister was dead, had asthma and allergic to everything. Her other sister had a heart attack and recovered very well but she was only 62 years old. One of her brothers died of brain cancer; and another brother died in his sleep of a heart attack. They have a lot of heart problems in the family. Her mother also had a heart attack and recovered but was no longer with us but also had emphysema. Her father died in 1968 of the Hong Kong Flu. The patient previously got the Flu shot on unspecified date in Sep2020 and had kind of punky/punchy/ugh; but nothing where it keeps her down in bed or anything like that. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient had no additional vaccines administered on same date of the Pfizer suspect. On 05Feb2021 around 12:00-13:00 the patient experienced very, very sore arm and it does not seem to be getting any better. The patient inquired if she could take Tylenol or Motrin for the very, very sore arm and if it will reduce the effect of the vaccine, as she was scheduled to had second dose on 26Feb2021. The outcome of the event was not recovered. Follow-up attempts completed. No further information expected.

Other Meds: AMLODIPINE; ATORVASTATIN; LOSARTAN/HCTZ; OMEPRAZOLE; SPIRIVA

Current Illness:

ID: 1426162
Sex: M
Age:
State: PA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 06/25/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: pain and soreness at the sight of his pacemaker just below his pacemaker on the left side and it became increasingly worse; This is a spontaneous report from a contactable consumer (patient). A 91-years-old male patient received first dose of BNT162B2 (Pfizer-Biontech Covid-19 Vaccine, Formulation: solution for injection, Batch/Lot Number and expiration date unknown), via an unspecified route of administration, administered in Arm Right on 05Feb2021 11:00 as DOSE 1, SINGLE for COVID-19 immunization. Medical history included blood pressure, prostate issues and tremor. The patient slipped and fell and cracked his head and broke his back about a year ago (but they repaired his back on an unknown date). The patient's concomitant medications included blood pressure medication from an unknown date at twice daily by mouth, Prostate medication from an unknown date and dose, tremor medication from an unknown date (from past 3-4 years) at 125mg taken once daily and ongoing. On 05Feb2021, the patient experienced pain and soreness at the sight of his pacemaker just below his pacemaker on the left side and it became increasingly worse and so severe he was taken to the ER. The patient was examined a blood work was done and an X-ray was taken, and they could not find anything wrong. Patient stated the pain was really heavy and took more than 48 hours for it to subside and patient continued to have some pain today. The patient was concerned he might be having a heart attack. He went to the hospital ER, they checked him out and everything was fine. He was sent home, but the pain has just gotten worse. The doctor pushed down just below the pacemaker and he thought he would go through the ceiling. The outcome of the events was reported as recovering at the time of report. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1426163
Sex: M
Age:
State: NY

Vax Date: 01/22/2021
Onset Date: 02/08/2021
Rec V Date: 06/25/2021
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: general sense of malaise; feeling nauseated; He has felt bad all day; chills; GI discomfort; pretty bad diarrhea; feeling exhausted/He is in bed exhausted.; injection site soreness/His injection site is also really sore today; This is a spontaneous report received from a contactable consumer reported for a male patient (Husband) via medical information team. A 73-years-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number was not reported), via an unspecified route of administration in Arm Left on 22Jan2021 (age at vaccination was 73-years) as single dose for covid-19 immunization. Medical history included, prostate cancer, sensitive with food sometimes, fish allergy. There were no concomitant medications. On unspecified date, Saturday patient ate a piece of fish. He is sensitive with food sometimes. If there was bacteria, he gets a nausea feeling and he has to dry heave sort of. Patient had to do that a little bit on Saturday when he ate this fish. He had paused and then kept eating. So reporter was wondering if this onset was from that. It would have been 48 hours after. It could be possible. He had the dry heaving for about 3-4 mins. Then he kept eating. Normally that feeling is acute and will not eat. But he did not feel it again. Patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number was not reported), via an unspecified route of administration on 04Jan2021 as single dose for covid-19 immunization and experienced exhausted which was resolved. Reported that patient experienced events in morning and asked is it possible to experience adverse events at this point in time. Reported that patient is a physician and currently in bed feeling awful. Patient was in his 70's and winning a battle against prostate cancer. He was doing well. With the second dose of the vaccine he did not have any side effects. They worked out together and everything after he had the second dose. Then a week ago, they had someone helping them in their home who tested positive for COVID last Thursday. Reporter and her husband (patient) were not there when she was there. Reporter herself has tested negative twice now. Her husband did not get tested as he had already completed his series of the vaccine. Today he was having diarrhea and GI discomfort. He does not have a fever. He was in bed exhausted. He also had chills. His injection site is also really sore today. He does not recall it being sore the past week or so. Reporter querying for any possibility that her husband (patient) could be having a late onset response to the second dose of the vaccine. Reported that patient weight between 185-187. Reported that patient had dint get the vaccine in his providers office, he got it from the staff where they were giving the vaccine. The hospital was giving them. Patient had no symptoms at all after receiving his second vaccine. He had a really really good workout after the vaccine. They were joking that maybe his second dose was not effective since he had no side effects. They were joking about it because he had no reaction. Then today all of those symptoms hit him. Reporter stated that she was unsure of the outcome as of now. He did some patient work this morning and then went to bed. He has felt bad all day. She knows that the second dose was given in his left arm as that was the arm that was sore today. On 08Feb2021, the patient experienced chills, GI discomfort, pretty bad diarrhea, feeling exhausted/he is in bed exhausted, injection site soreness/his injection site is also really sore today, on an unspecified date, the patient experienced general sense of malaise, feeling nauseated, he has felt bad all day. Patient not received treatment for events. Outcome of events chills, GI discomfort, feeling exhausted/He is in bed exhausted, injection site soreness/His injection site is also really sore today (vaccination site pain) was not recovered, general sense of malaise, feeling nauseated, pretty bad diarrhea, He has felt bad all day was unknown. Information about lot/batch number has been requested. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1426164
Sex: F
Age:
State: CA

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 06/25/2021
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: headache; low temperature, temperature was 97 degrees and went up 101 at one point; stomach cramps; bad backache; This is a spontaneous report from a contactable consumer (patient). A 79-years-old female patient received BNT162B2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, solution for injection, batch/lot number: EN5318, expiration date and NDC number was unknown), via an unspecified route of administration, administered in left arm on 22Jan2021 at 16:00-16:30 hours as dose 1, single dose (at the age of 79-years-old) for COVID-19 immunisation. The patient had no medical history and relevant family medical history. There were no concomitant medications or other products used by the patient. Patient had no other vaccinations within four weeks prior to the first administration date of the vaccine. On 24Jan2021 at 07:30 hours, patient had bad backache, stomach cramps and low grade temperature. Patient stated that she was in bed for three days with a bad backache, stomach cramps and low temperature, temperature was 97 degrees and went up 101 at one point. Patient stated that on the information sheet paperwork that it stated that if she had a reaction with that one that she should not get the second vaccine, so patient wanted to know what to do. On 26Jan2021, at 10:00 hours, patient had a headache the last day. Patient took Tylenol, as treatment. Patient had no emergency room and physician office visit. No relevant lab tests were performed. The outcome of all the events was resolved on 26Jan2021. Lot/batch number was not available despite the follow-up attempts made. Follow-up attempts have been completed and no further information was expected.

Other Meds:

Current Illness:

ID: 1426165
Sex: F
Age:
State:

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 06/25/2021
Hospital:

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

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

Symptoms: I checked my blood pressure and it was 190/104; my vision was off, reading bothered; horrendous headache/had this tremendous headache and banger of a headache; This is a spontaneous report from a non-contactable Nurse (patient self, reported). A female patient of an unspecified age 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, on 04Feb2021, as a single dose for COVID-19 immunization. The patient's medical history included high blood pressure (that was controlled with medication). Concomitant medications were not reported. The patient reported that she had 1st dose of the Pfizer vaccine on Thursday, On 05Feb2021, Friday morning she started with, woke up with horrendous headache, took Motrin, didn't touch it, had it all afternoon, her vision was off, reading bothered. She checked her blood pressure, and it was 190/104. That was why she had this tremendous headache and banger of a headache. Because of her background, she knew what to do. She took her medications early and took additional medications that she knew was safe, and within an hour and a half the headache started to subside, she has been fine since. She was concerned about the second dose and would like some information and because of her adverse reaction, she was hesitant to get the second vaccine. Outcome of the events was unknown. No follow-up attempts are possible. Information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1426166
Sex: F
Age:
State: CO

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 06/25/2021
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: My hand and fingers were swollen and, unable to stretch fingers; Fingers were very stiff; My hand and fingers were swollen and, unable to stretch fingers; Fingers were very stiff; Mild headache at back of neck; swollen lymph nodes; This is a spontaneous report from a contactable other-health care professional (patient). A 60-year-old non-pregnant female patient (not pregnant at the time of vacciantion) received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EN5318), via intramuscular route of administration in right arm on 04Feb2021 at 10:00 AM (at the age of 60 year old) as single for covid-19 immunisation. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EK4176), via intramuscular route of administration in right arm on 14Jan2021 at 10:00 AM (at the age of 60 year old) for covid-19 immunisation. Medical history included high blood pressure, high cholesterol, seizures from an unknown date and unknown if ongoing. Patient had no known allergies. Concomitant medications included vitamin c [ascorbic acid]; colecalciferol (D); zinc; elderberry [sambucus nigra]; paracetamol (TYLENOL), high blood pressure med, seizure meds, high cholesterol med. The patient had no other vaccine in four weeks. Since the vaccination, the patient hasn't been tested for COVID-19. On 05Feb2021 at 02:30 AM, patient experienced hand and fingers were swollen and, unable to stretch fingers; fingers were very stiff; mild headache at back of neck and swollen lymph nodes. The patient did not received treatment due to the events. The outcome of events was recovered on an unspecified date in 2021. Follow-up (11MAY2021): Follow-up attempts completed. No further information expected.

Other Meds: VITAMIN C [ASCORBIC ACID]; D; ZINC; ELDERBERRY [SAMBUCUS NIGRA]; TYLENOL

Current Illness:

ID: 1426167
Sex: F
Age:
State:

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 06/25/2021
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: She experienced sweats and chills; She experienced sweats and chills; She states she began having a racing heart moments after the injection.; it continued with chest soreness; This is a spontaneous report received from a contactable consumer (patient). A 48-year-old female patient received BNT162B2 (PFIZER-BIONTECH COID-19 VACCINE, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 03Feb2021 1st Dose, Single for Covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient had the first dose of the Pfizer Covid 19 vaccine (last Wednesday) on 03Feb2021. On the same date, the patient began having a racing heart moments after the injection, it continued with chest soreness. On 04Feb2021, she experienced sweats and chills. The patient went back to work and it continued with chest soreness. She experienced sweats and chills the next morning on 04Feb2021 and the racing heart continued the next day. On 05Feb2021 (Friday) it was a little better but continued. Later she felt more normal and herself. She did not know what kind of reaction it was. "She asked how many people in the clinical trial reported a fast heartbeat". The patient underwent lab tests and procedures which included heart rate: racing on 03Feb2021. The outcome of the events was resolving. Information on the lot/batch number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1426168
Sex: F
Age:
State: NC

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 06/25/2021
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: diarrhea; lightheadedness; dizziness; This is a spontaneous report from a contactable consumer(patient). A 93-year-old non-pregnant female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: EN9581), via an unspecified route of administration, administered in Arm Left on 04Feb2021 at 09:45 (at the age of 93 years old) as first dose, single for covid-19 immunisation at School Health Clinic. Medical history included hypertension, hyperthyroidism, osteoarthritis from an unknown date and unknown if ongoing. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. Allergy to paper and Dairy products from an unknown date and unknown if ongoing. Concomitant medications included amlodipine (AMLODIPINE), telmisartan (MICARDIS) and levothyroxine sodium (SYNTHROID) taken for an unspecified indication, start and stop date were not reported. Patient was not received any other vaccine prior four weeks of vaccination. Patient received Amlodipine -10mg; Micardis 120mg; Synthroid 50m within two weeks of vaccination. Pfizer vaccine taken on Thursday 04Feb2021 at 09:45 and by Friday on 05Feb2021 at 14:15 afternoon had dizziness. Sunday on 07Feb2021 afternoon experienced lightheaded ness and on Monday 08Feb21 afternoon experienced dizziness and diarrhoea. Therapeutic measures were taken as a result of the events with Peptide Bismal. The outcome of the event was reported as not recovered. Follow-up (14May2021): Follow-up attempts completed. No further information expected.

Other Meds: AMLODIPINE; MICARDIS; SYNTHROID

Current Illness:

ID: 1426169
Sex: M
Age:
State: PA

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 06/25/2021
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: tinnitus; This is a spontaneous report from a contactable or other health care professional (patient). A 60-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EL3249), via an unspecified route of administration, administered in arm left on 27Jan2021 13:00 as dose 2, single (age at vaccination 60-years) for COVID-19 immunization. The patient's medical history included allergy to thimerasol. Concomitant medications included acetylsalicylic acid (ASPIRIN) taken for an unspecified indication. The patient did not have covid prior vaccination and was not tested covid for post vaccination. The patient did not receive any other vaccine within four weeks. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: unknown), via an unspecified route of administration, on an unspecified date as dose 1, single for COVID-19 immunization. On 29Jan2021, the patient stated that approximately 48 hours after second dose experienced constant tinnitus. Has not stopped at all for over 2 weeks. The treatment was not received for the event. The outcome of the event was not recovered. Follow-up attempts completed. No further information expected.

Other Meds: ASPIRIN

Current Illness:

ID: 1426170
Sex: F
Age:
State: NC

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 06/25/2021
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: This is a spontaneous report received from a contactable consumer or other non hcp. A 78-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/lot number: EM9809) via intramuscular route of administration in left arm on 05Feb2021 at 09:45 (age at vaccination 78 years old) as single dose for COVID-19 immunization. Medical history included cardiac disorder from an unknown date and unknown if ongoing Mother had heart issues, but she is passed away, ongoing panic attack the caller said that she has only had like 2 panic attacks in her life. She said that on 30Dec2021 she had a panic attack on the day of the vaccine, she had a light one on the way to get the injection, she said that she had COVID-19 previously and was diagnosed 05Jan2021 and was cleared so she took the vaccine, ongoing fatigue She said that her tiredness started during when she had COVID-19, but stated that she understands it was a symptom post COVID-19, ongoing gait disturbance She said that she may have been wobbly on her feet since she had COVID-19, but has gotten worse since the injection. There were no concomitant medications. On 05Feb2021 the patient experienced panic attack, her heart was racing/heart was racing to 132, unstable and wobbly on her feet, extremely tired and on unspecified date in February 2021 she said she feels like her eyesight has gotten worse, unstable and wobbly on her feet was reported as worsened/extremely tired was reported as worsened/she said she feels like her eyesight has gotten worse/and got very worse after vaccination. with outcome of unknown. The patient underwent lab tests and procedures which included electrocardiogram fine in 2021. The clinical outcome of the event panic attack, her heart was racing/heart was racing to 132 were recovered and unstable and wobbly on her feet, extremely tired were not recovered other events were unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness: Gait unsteady (She said that she may have been wobbly on her feet since she had COVID-19,.); Panic attack (The caller said that she has only had like 2 panic attacks in her life. She said that on 30Dec2021.); Tiredness (She said that her tiredness started during when she had COVID-19,)

ID: 1426171
Sex: M
Age:
State:

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 06/25/2021
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: experienced injection site pain, pain at the site of injection; a mild headache; This is a spontaneous report from a contactable consumer (patient). A 77-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: unknown) via an unspecified route of administration on 10Jan2021 as single dose and received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: unknown) via an unspecified route of administration on 01Feb2021 as single dose for covid-19 immunization. The patient's medical history was not reported. The concomitant medications included acetaminophen for his back and cosmetic fillers. After both doses of the vaccines he experienced injection site pain, pain at the site of injection and a mild headache the next morning on 11Jan2021. He wanted to know if this was related to the vaccine and if this meant the vaccine worked. The patient had read that he should not take acetaminophen before the vaccine, but he takes a dose every morning. He wanted to know if that affected the vaccine. The outcome of events was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds: ACETAMINOPHEN

Current Illness:

ID: 1426172
Sex: F
Age:
State:

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 06/25/2021
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: nausea; stomach pain; diarrhea; body aches; headache; This is a spontaneous report from a contactable consumer (nurse). A 75-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number and Expiration date was not reported), dose 1 via an unspecified route of administration on 28Jan2021 as dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On 29Jan2021 02:00 She reports waking up 8 hours later at 2am the patient experienced nausea, stomach pain, diarrhea, body aches and headache. Patient wanted to know After the second dose, do people have more or less side effects than the first dose. The patient received treatment of a tylenol and gasx and went back to bed. At the time of reporting, the outcome of the events were unknown. Information on the lot/batch number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1426173
Sex: F
Age:
State: CA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 06/25/2021
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: Felt weak; Dry throat; States she has noticed she has been burping a lot and coughing harder.; States she has noticed she has been burping a lot and coughing harder.; She has a dry cough and when she coughs hard she gags until almost vomiting/ she has had some coughing where she coughs until she feels like she has to throw up; she has been having shortness of breath that started when she got the first dose of the Pfizer COVID vaccine on 27Jan2021; Chills; she just felt tired was all; pain at the injection site in her right arm so she took Tylenol that morning; This is a spontaneous report from a contactable nurse (patient). A 80-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EL9265) dose 1 via intramuscular route of administration in Arm Right on 27Jan2021 at 13:30(at the age of 80 years old) as single for COVID-19 immunisation. Medical history was none. There were no concomitant medications. Patient had no other vaccines on the same day as the COVID vaccine. The patient experienced as, she has been having shortness of breath that started when she got the first dose of the pfizer covid vaccine, chills, she just felt tired was all, pain at the injection site in her right arm so she took tylenol that morning on 27Jan2021, felt weak on 07Feb2021, she has noticed she has been burping a lot and coughing harder, she has a dry cough and when she coughs hard she gags until almost vomiting/ she has had some coughing where she coughs until she feels like she has to throw up, and dry throat on an unspecified date on Feb2021. Therapeutic measures were taken as a result of she just felt tired was all and pain at the injection site in her right arm so she took tylenol that morning. The patient underwent lab tests and procedures which included weight: 145-147 on an unspecified date. Therapeutic measures were taken as a result of she just felt tired was all and pain at the injection site in her right arm so she took tylenol that morning. Outcome of the event shortness of breath and chills were recovered and unknown for rest events. Information about batch/lot number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1426174
Sex: M
Age:
State: NC

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 06/25/2021
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: Fatigued; Lymph nodes swollen under arm pit; This is a spontaneous report received from a contactable other health care professional. A 43-years-old male patient 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 01Feb2021 as dose 2, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously took first dose of bnt162b2 (Lot: unknown) on 11Jan2020 in the Left arm for COVID-19 immunisation. Patient had no known allergies. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, was the patient did not diagnosed with COVID-19. Since the vaccination, did not patient been tested for COVID-19. The patient experienced extremely fatigued and lymph nodes swollen under arm pit. No treatment was received for the events. The outcome of the events was reported as recovering. Information about lot/batch number has been requested. Follow-up (14May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1426175
Sex: M
Age:
State: NC

Vax Date:
Onset Date:
Rec V Date: 06/25/2021
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: some symptoms of a throat condition that he has often; Cold like symptoms; sinus problem; throat hoarseness; This is a spontaneous report from a contactable consumer reporting for her husband. A male patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EL3247, Expiration date was not reported), via an unspecified route of administration on an unspecified date as dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date the patient experienced some symptoms of a throat condition that he has often, cold like symptoms, sinus problem, throat hoarseness reporter asking if her husband can receive his second covid vaccine dose if about 1 week ago he started to develop some symptoms of a throat condition that he has often due for their second vaccination tomorrow, but she wonders if he will get denied. She reports that he does not have a fever but asks if there are any symptoms that would disqualify him from getting the second dose. He has had a cold which is not what she would consider a symptom. It could just be a sinus problem. She has looked at every source of information and does not see any information about preventing one from getting a second dose with this and wanted to know if it would be contraindicated. He did not get the symptom after he got the first dose. He has had this a lot of times. He has throat hoarseness occasionally. It is the same type thing. The outcome of events was unknown. Follow-up (11May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1426176
Sex: F
Age:
State:

Vax Date: 02/01/2021
Onset Date:
Rec V Date: 06/25/2021
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: high blood pressure; fever of 101F; headache; This is a spontaneous report from a contactable consumer (patient) via Medical Information Team. A female patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection) via an unspecified route of administration on 01Feb2021 as single dose for Covid-19 immunisation. The patient's medical history and concomitant medications were not reported. Caller got the first dose of the Pfizer vaccine on 01Feb2021. Her second dose was scheduled on 19Feb2021 which was only 18 days after. She would like to know whether there be a problem. Caller said she also experienced high blood pressure, fever of 101 F, headache from her first dose. She said that she had already reported this in DSU (possible duplicate AE). Caller was worried about her second shot of the vaccine since she had adverse events with the first shot. She wanted to know what to do. Outcome of the events was unknown. Information on the lot/batch number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1426177
Sex: F
Age:
State: CA

Vax Date: 02/05/2021
Onset Date: 02/08/2021
Rec V Date: 06/25/2021
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: Felt dizzy; Not been drinking enough water recently; Might be dehydrated; Stated she has been drinking water and her urine went to clear from yellow; Severely obese; This is a spontaneous report from a contactable consumer (patient herself) via a medical information team. A 68-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EN5318), via an unspecified route of administration in left arm on 05Feb2021 (Friday) at 09:48 (at the age of 68-year-old) as a single dose for COVID-19 immunisation. The patient's medical history included ongoing blood pressure, dehydration, hospitalization. Mentioned in the past she had a hospitalization for dehydration. Concomitant medication included felodipine, orally from an unspecified date (taking for years) and ongoing at 5 mg once a day (5 mg take once daily by mouth) for blood pressure. No history of all previous immunization with the Pfizer vaccine considered as suspect. No additional vaccines administered on same date of the Pfizer suspect. No prior vaccinations (within 4 weeks). Patient's medical history (including any illness at time of vaccination) was none. Family medical history was none. It was reported that, patient did not experience any immediate adverse event, however, today (08Feb2021) she felt dizzy, asked if: There are reports of other patients feeling dizzy days after vaccination, dizziness was usually followed by other side effects. Patient acknowledged she has not been drinking enough water recently (08Feb2021), considered the dizziness experienced may be a result of that and probably not an adverse event associated to the COVID-19 vaccine. She didn't have any side effects for three days and then she began to feel dizzy. Adds that it was not too bad as she was able to work but it was persisting. Mentioned she read that dizziness could be a severe side effect and she was asking could it come on three days later. Adds that she might be dehydrated on 08Feb2021 and stated she has been drinking water and her urine went to clear from yellow on 08Feb2021. Mentioned she didn't drink enough water on Saturday or Sunday, so she was trying to make that up today. Also asking would she have other side effects along with the dizziness if this was a side effect. Mentioned in the past she had a hospitalization for dehydration. Asking to have any of you girls heard anything about this. Mentioned that she was severely obese on an unspecified date in 2021. Adds she was scheduled to receive the second dose of the vaccine on 26Feb2021. The adverse events did not require a visit to physician or emergency room. No relevant test. No investigation assessment. The events were considered as non-serious by the consumer. The outcome of the event felt dizzy was not resolved and unknown for the other events. Follow-up attempts completed. No further information expected.

Other Meds: FELODIPINE

Current Illness: Blood pressure abnormal

ID: 1426178
Sex: M
Age:
State: NV

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 06/25/2021
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: Slightly swollen throat; This is a spontaneous report from a contactable consumer (patient). A 70-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: Solution for injection, Batch/Lot Number: EN53118), via an unspecified route of administration, administered in arm left on 05Feb2021 08:00 as 1st dose, single for COVID-19 immunization, (age at 70-year-old). Medical history included Gout, High Cholestrol & Enlarged Prostrate, food allergy (some Fish (not iodine). The patient previously took keflex and experienced drug allergies. The patient's concomitant medications was not reported. No other vaccine in four weeks. The patient did not receive any other vaccine prior to COVID-19 Vaccine. The patient did not test COVID-19 positive prior to vaccination. The patient had not been tested for COVID-19 since the vaccination. On 05Feb2021 08:30, the patient experienced slightly swollen throat. Treatment medication included OTC Benadryl for the event. Outcome of the event was reported as recovered. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1426179
Sex: M
Age:
State: VA

Vax Date: 02/01/2021
Onset Date: 02/04/2021
Rec V Date: 06/25/2021
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: feeling weak muscles; chills; sleep disturbance; This is a spontaneous report from a Pfizer-sponsored program via a contactable consumer (patient) reported for himself. An elderly male patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: LL9262; Expiration date: unknown) via an unspecified route of administration, administered at an unspecified anatomical location on 01Feb2021 at 14:00 pm (age at vaccination was unknown) as 1st dose, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient did not receive any other medications in two weeks. The facility where the most recent COVID-19 vaccine was administered was Doctor's office/urgent care. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient received his 1st dose and after three days on 04Feb2021, the patient experienced feeling weak muscles, chills and sleep disturbance and stated that he did not know where to go after his symptoms appear. No treatment was received for the adverse event. Post the vaccination, the patient has been tested for COVID-19. The patient underwent lab tests and procedures which included SARS-COV-2 test (Nasal Swab) which was negative on 19Jan2021. The outcome of the events was resolving. Follow-up attempts completed. No further information expected. Follow-up#01 (04Feb2021) and Follow-up#02 (14MAY2021): New information received from a contactable consumer (patient) reported for himself included: Updated the age group (Elderly), vaccination details (administration date: 01Feb2021 and administration time: 14:00 pm), facility type vaccine (Doctor's office/urgent care), added new events (feeling weak muscles and sleep disturbance), outcome of the events (resolving), treatment details (no), laboratory tests (SARS-COV-2 test (Nasal Swab) and details about follow-up attempts (Follow-up attempts completed. No further information expected).

Other Meds:

Current Illness:

ID: 1426180
Sex: F
Age:
State: CA

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 06/25/2021
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: Swelling and Soreness of Left arm; Swelling and Soreness of Left arm; This is a spontaneous report from a contactable consumer. A 26-years-old non pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), dose 1 via an unspecified route of administration, administered in Arm Left on 23Jan2021 (Batch/Lot Number: EL9263) as single dose for COVID-19 immunisation. The patient medical history was not reported. Allergies were unknown. There were no concomitant medications. The patient did not have any other vaccine in four weeks and any other medications in two weeks. The patient had no COVID prior vaccination. The patient had no COVID tested post vaccination. On 23Jan2021, the patient experienced swelling and soreness of left arm. The patient received no treatment for AE. Outcome of the events was recovered in 2021. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1426181
Sex: F
Age:
State: NY

Vax Date: 02/06/2021
Onset Date: 02/08/2021
Rec V Date: 06/25/2021
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: her shoulder hurts again (48 hours after the second dose); This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, lot number was not reported), dose 2 via an unspecified route of administration on 06Feb2021, as 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, solution for injection, lot number was not reported), administered on an unknown date, as single dose for COVID-19 immunisation and experienced shoulder was sore at the injection site. The patient previously took flu shot on an unspecified date for immunization and She had the same reaction to the flu shot. However when she went to sleep the pain was still bothering her so she called (Specialty Pharmacy name) and they told her it was okay to take Advil 24 hours after the vaccine, she took 2 Advil, after a couple of days the pain disappeared. When she received the second dose of the vaccine, the nurse told her that she should not have taken Advil. She would like to know if she should not have taken it because she reduces the effectiveness of the vaccine. After 48 hours of the second dose on 08Feb2021, the patient shoulder hurts again. The outcome of the event was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1426182
Sex: F
Age:
State:

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 06/25/2021
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: On my shoulder there is a large bump; circle around it; It's reddish and inflamed; itchy/The middle is solid, itchy around; Next morning developed a bump on her shoulder. It is red, swollen, and itchy; It's warm to the touch; This is a spontaneous report from a contactable consumer or other non health care professional (patient herself). A female patient (Age: 77 units: Unspecified) received bnt162b2, (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported), dose 1 via an unspecified route of administration on 06Feb2021 as dose 1, single for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient stated that, she had her first dose of the Pfizer vaccine on (Saturday) 06Feb2021 afternoon in her shoulder. She had an interesting reaction that appeared, next morning 07Feb2021 developed a large bump on her shoulder, circle around it. It was pretty reddish/red, inflamed, hot, swollen, and itchy. It was a little bigger, about 2.5 inches to 3 inches in diameter. It was at injection site. The middle was solid, itchy around. It was warm to the touch. It was around 2.5-4 inches. She wanted to know if the needle went in all the way. She didn't feel the vaccine, but she was pretty tough. She wanted to know if it was normal for people to get the rash and bump and asked for the second dose any contraindications on taking it. Investigation Assessment was not Provided. The outcome of the events was unknown. Description of complaint: Had a bump that was itchy and red after COVID-19 Vaccine. Concerned needle didn't go in deep enough. Caller declined to complete report. Full details not obtained. Product strength and count size dispensed and Additional lot numbers Not provided. sample of the product available to be returned, if requested as Not provided. Packaging sealed and intact was Not provided. From mail trail received in response to query sent regarding confirmation correct PRD involved in this report: Query: Please help to confirm correct PRD of attached report since "09Feb2021" provided in the source, but SRD is 08Feb2021in the processed ICSR screen. (Screen shot attached). Response: PRD is 08Feb2021(see below). Nurse is currently sending dates over to hospital format. If you have any questions around this, please contact your BT support or digital team for further information. Information on the lot/batch number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1426183
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/25/2021
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: Nausea after receiving vaccine; This is a spontaneous report from a non-contactable consumer or Non-healthcare Professional reporting for a patient. A female patient of an unspecified age received bnt162b2 (BNT162B2, solution for injection), via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as DOSE NUMBER UNKNOWN, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced nausea after receiving vaccine. The clinical outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1426184
Sex: F
Age:
State:

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 06/25/2021
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: Incision site pain; Joint Pains; Fatigue/Tiredness; This is a spontaneous report from a non-contactable physician. A 38-years-old non-pregnant female patient received first dose of bnt162b2 (BNT162B2, Formulation: Solution for injection, Lot number: 59267-1000-1 and Expiration date: unknown), via an intramuscular route, in left arm on 04Feb2021 at 08:30 as dose 1, single for covid-19 immunisation. Medical history included migraine headaches from an unknown date and covid-19 from an unknown date and unknown. The patient's concomitant medications were not reported. Patient has no known allergies. Patient did not receive any other vaccine in four weeks. On 04Feb2021 at 14:00, the patient experienced incision site pain for 24-48 hours, joint pains and fatigue/tiredness. Patient was not tested covid positive post vaccination. No treatment was received for events. Outcome of events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1426185
Sex: F
Age:
State: MI

Vax Date: 02/02/2021
Onset Date: 02/07/2021
Rec V Date: 06/25/2021
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: Event: numbness in left arm was reported as worsened; feeling tingling and numbness in my left arm; feeling tingling and numbness in my left arm; This is a spontaneous report from a contactable consumer (reporting on herself). A 23-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: solution for injection; Lot number and Expiry date was not reported) via an unspecified route of administration in Arm Left on 02Feb2021 as dose number unknown, single for COVID-19 immunization. The patient medical history was not reported. There were no concomitant medications. Patient got her Pfizer shot on 02Feb2021 (last Tuesday) in her left arm. 4-5 days later, on 07Feb2021 patient feeling tingling and numbness in her left arm. Is this a normal side effect. Patient dose not see it listed in the Pfizer vaccine information. Numbness in left arm. Event: numbness in left arm was reported as worsened. She was experiencing numbness in her arm that she got the injection in. She has not received treatment or seen a doctor. She was a medical sales rep, and she got it be-cause they fit patients for power wheel chairs. She was in and out of nursing homes and rehabs. The outcome of the feeling tingling and numbness in my left arm was not recovered and for event numbness in left arm was reported as worsened was unknown. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1426186
Sex: F
Age:
State: NY

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 06/25/2021
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: Feeling burn and itching behind the ears and under the back hair line; I have redness around those areas and a bit peeling; I have redness around those areas and a bit peeling; This is a spontaneous report from a contactable consumer (patient herself). A 23-year-old non-pregnant female patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration, administered in arm left on 06Feb2021 at 18:15 (Batch/Lot number was not reported) (at the age of 23-year-old) as single for covid-19 immunisation. The vaccine facility type was others. The patient medical history and concomitant medication were not reported. Patient received birth control was received within 2 weeks of vaccination. The patient had no known allergies. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient didn't receive any other vaccines within 4 weeks prior to the COVID vaccine. On 07Feb2021, the patient stated that "feeling burn and itching behind the ears and under the back hair line and had redness around those areas and a bit peeling". The events resulted in doctor or other healthcare professional office/clinic visit. Treatment received for the events was unknown. Post vaccination, the patient was not tested with COVID-19. The outcome of the events was resolving. Information about batch/lot number has been requested. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1426187
Sex: F
Age:
State: CO

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 06/25/2021
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: rash on both legs above the ankle and spreading upward; This is a spontaneous report from a contactable consumer (patient) or other non-healthcare professional. A 73-years-old female patient (non-pregnant) received bnt162b2 (BNT162B2, PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), dose 2 via an unspecified route of administration, administered in right arm on 05Feb2021 at 14:00 (Batch/Lot Number: EL9261, Expiry date was not reported) as single dose covid-19 immunisation. Medical history included diabetes mellitus and adverse reaction to narcotic pain relievers. The patient's concomitant medications were not reported. The patient previously received bnt162b2 (BNT162B2, PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), dose 1 via an unspecified route of administration on an unspecified date (Batch/Lot Number and Expiry date was not reported) as single dose covid-19 immunisation. The patient did not experience covid prior to vaccination and covid was not tested after vaccination. On 05Feb2021, at 12:00 AM, the patient experienced rash on both legs above the ankle and spreading upward. There was no treatment received for the reported event. Outcome of the event was reported as not recovered. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1426188
Sex: F
Age:
State: WA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 06/25/2021
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: Sore arm; headache; sore neck muscles; intense fatigue; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 73-years-old non-pregnant female patient received 1st Dose of bnt162b2 (COMIRNATY, Solution for injection, Batch/Lot number was not reported) administered Arm Left on 04Feb2021 at 15:00 as SINGLE DOSE for an unspecified indication. Medical history included hypersensitivity to penicillin. The patient's concomitant medications were not reported. The patient did not have Covid prior to vaccination nor the patient was tested for Covid post vaccination. The patient experienced sore arm, headache, sore neck muscles, and intense fatigue on 05Feb2021 at 01:00 am. The patient did not receive any treatment for the events. The outcome of the events was resolved. Follow-up attempts completed. No further information expected. Information about Lot/Batch is requested.

Other Meds:

Current Illness:

ID: 1426189
Sex: U
Age:
State: MA

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 06/25/2021
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: Fever, temp 100; Body aches; This is a spontaneous report from a non-contactable consumer. This consumer reported for a patient. A patient of unspecified age and gender received bnt162b2 (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 07Feb2021 as dose 1, single for covid-19 immunisation at Pharmacy. The patient medical history and concomitant medications were not reported. It was unknown if patient receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient diagnosed with COVID-19. Since the vaccination, it was unknown whether the patient been tested for COVID-19. On 08Feb2021, the reporter stated that a coworker of hers was experiencing symptoms after receiving a first dose of the covid vaccine, administered 07Feb2021. The patient had a fever, Temp 100, and body aches. The patient underwent lab tests and procedures which included body temperature: 100 on 08Feb2021. The outcome of the events was unknown. No follow up attempts are possible. Information on the lot/batch number could not be requested. No further information is expected.

Other Meds:

Current Illness:

ID: 1426190
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/25/2021
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: feel arm pain on the injection site; This is a spontaneous report from a female patient of an unspecified age received first dose of BNT162B2 (BNT162B2, PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number and Expiration date was not reported), via an unspecified route of administration, administered in arm on an unspecified date as 1st dose, single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date, patient got the first dose and feel arm pain on the injection site. The outcome of the event was unknown. Information about lot/batch number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1426191
Sex: F
Age:
State: MI

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 06/25/2021
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: Flu-like symptoms; aches and pains; fatigue; chills; headache; This is a spontaneous report from a contactable Other HCP. A 37-year-old non pregnant female patient received BNT162B2 (BNT162B2, Solution for injection, Batch number and Expiry date were not reported) intramuscularly in the right arm on 05Feb2021 10:00 as SECOND DOSE, SINGLE for covid-19 immunisation. The patient medical history included allergy-induced asthma; uterine fibroids; fibrocystic breast disease; chronic sinus issues; migraines; associated with pregnancy (2017-18): pre-eclampsia and postpartum anxiety disorder; and allergy to Amoxicillin, Penicillin, CT Scan Reaction dye, Allium family when raw (onions/garlic and all relatives), dust, mold and cat dander. Concomitant medications included Amfetamine aspartate, Amfetamine sulfate, Dexamfetamine saccharate, Dexamfetamine sulfate (ADDERALL XR and ADDERALL QR), Fluticasone Furoate (FLONASE SENSIMIST); Hydroxyzine, ibuprofen and Olly women's multivitamin. Historical vaccine included first dose of BNT162b2 (BNT162B2, Solution for injection, Lot number was not reported), intramuscularly in the left arm on 11Jan2021 10:00 as FIRST DOSE, SINGLE for covid-19 immunisation. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Facility where the most recent COVID-19 vaccine was administered was clinic/facility. On 05Feb2021 at 10:00 PM (beginning at 12 hours after vaccine), the patient experienced 48 hours of flu-like symptoms including aches and pains, fatigue, chills and headache. No treatment was received for the events. The outcome of the events was recovered. Information on lot/batch number has been requested. Follow-up (07May2021): Follow-up attempts completed. No further information expected.

Other Meds: ADDERALL; FLONASE SENSIMIST ALLERGY RELIEF; HYDROXYZINE; IBUPROFEN

Current Illness:

ID: 1426192
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/25/2021
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: Sciaitic nerve is acting up and wants to take ibuprofen to help.; This spontaneous report from a contactable consumer via Pfizer-sponsored program. A female patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: unknown), via an unspecified route of administration on an unspecified date as 1st dose, single for covid-19 immunisation.The patient medical history was not reported. The patient's concomitant medications were not reported. The patient experienced Sciatica nerve was acting up and wants to take ibuprofen to help on an unspecified date. Patient clarified has not taken ibuprofen or anything for nerve pain and has been many years since Sciatica nerve has acted up. The outcome of event was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1426193
Sex: F
Age:
State:

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 06/25/2021
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: neck pain radiating to my shoulder blade; she felt uncomfortable near my neck on the evening of getting vaccine; This is a spontaneous report received from a contactable consumer (patient). A 38-year-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EN5318 and expiration date was not reported), dose 1 via an unspecified route of administration, administered in arm left on 07Feb2021 at 09:30 as single dose (age at vaccination was 38 years) for COVID-19 immunisation. The patient was not pregnant at the time of vaccination. Medical history included hypothyroid (take daily Synthroid tablets in the morning). Concomitant medications included levothyroxine sodium (SYNTHYROID) taken for hypothyroidism, start and stop date were not reported. The patient did not receive other vaccine in four weeks. The patient had no COVID prior vaccination. The patient felt uncomfortable near her neck on the evening of getting vaccine on 07Feb2021 and experienced neck pain radiating to her shoulder blade on 08Feb2021 around 19:30. The clinical course of event was reported as: she took the vaccine on 07Feb2021 at 9:30 and on 08Feb2021 around 19:30, she started a neck pain radiating to her shoulder blade. Note that she received the shot on her left arm and the radiating pain was from her neck (right side of her neck near throat) to her right shoulder. She never had this type of pain until now. If she took a deep breath, she felt intense pain radiating from her neck to shoulder blade. She did not do anything unusual and spent her usual workday (work from home) as normal. She even took a short nap early evening too. Yesterday (as reported) she just stayed home and relaxed after getting vaccine. After getting the vaccine, she felt uncomfortable near her neck on the evening of getting vaccine (07Feb2021). She did not know if she could conclude that this was an adverse effect to the vaccine or not but as a precaution, she was reporting it. If the pain intensifies, she will visit an urgent care tomorrow (09Feb2021). The patient was not COVID tested post vaccination. No treatment received for the reported events. The outcome of the events was not recovered. Follow-up attempts completed. No further information expected.

Other Meds: SYNTHYROID

Current Illness:

ID: 1426194
Sex: M
Age:
State: CA

Vax Date: 01/29/2021
Onset Date: 02/02/2021
Rec V Date: 06/25/2021
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: a patient who received the 2 doses of the vaccine 4 days apart; a patient who received the 2 doses of the vaccine 4 days apart; Usual side effect of arm soreness, tenderness; Usual side effect of arm soreness, tenderness; This is a spontaneous report from a Pfizer-sponsored program. A contactable pharmacist reported that a 35-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, NDC number, Expiry Date of Pfizer COVID-19 Vaccine: unknown), via an unspecified route of administration, administered in arm on 29Jan2021 13:30 (Batch/Lot number was not reported) as 1st dose, 30 ug, single, [30mcg injection to unknown arm] and received BNT162B2 via an unspecified route of administration on 02Feb2021 09:45 (Batch/Lot number was not reported) as 2nd dose, single for covid-19 immunisation. The patient age at time of vaccination was 35 years. Medical history included ongoing depression and anxiety and looks like the patient has been getting treatment for depression and anxiety, further details unknown. Family history reported as none. Concomitant medications were not reported. HCP said that the patient had who received the 2 doses of the vaccine 4 days apart on 02Feb2021 and experienced usual side effect of arm soreness, tenderness on an unspecified date in 2021. The adverse events do not require a visit to emergency room and physician office and not hospitalized. No relevant tests performed. Prior vaccinations (within 4 weeks) If applicable, list any other vaccinations within four weeks prior to the first administration date of the suspect vaccines was none. The report assessed as non-serious. Outcome of the events arm soreness, tenderness was recovered on an unspecified date in 2021. Relatedness of the events was reported as unrelated. Information about lot/batch number has been requested. The batch number is not available despite the follow-up attempts made. Follow-up attempts have been completed and no further information is expected.

Other Meds:

Current Illness: Anxiety (Looks like he has been getting treatment for anxiety, further details unknown.); Depression (Looks like he has been getting treatment for depression, further details unknown.)

ID: 1426195
Sex: F
Age:
State: TX

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 06/25/2021
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: Hot and sweaty within 3 minutes; Hot and sweaty within 3 minutes; SOB; nausea; tired; headache; muscle pain/weakness; muscle pain/weakness; dizziness; fever; high BP and HR; high BP and HR; throat swelled up; This is a spontaneous report from a contactable consumer (patient). A 37-year-old non-pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number: Unknown), via an unspecified route of administration in left arm on 05Feb2021 at 12:30 PM as SINGLE DOSE for covid-19 immunisation. Medical history was reported as very healthy, no medical problems, MDD. The patient had no known allergies. The patient received other medication in two weeks. The patient did not receive any other vaccines within four weeks. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient hasn't been tested for COVID-19. On 05Feb2021 at 12:45 PM, patient experienced hot and sweaty within 3 minutes, SOB, nausea, tired, headache, muscle pain/weakness, dizziness, fever, high BP and HR, throat swelled up. The events resulted in: Doctor or other healthcare professional office/clinic visit. The patient underwent lab tests and procedures which included blood pressure measurement: high, heart rate: high. The patient received treatment due to the events with exam, muscle relaxers, pain meds, Zofran. The outcome of all events was recovered with sequel on an unspecified date in 2021. Follow-up (07May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1426196
Sex: F
Age:
State: NJ

Vax Date: 01/08/2021
Onset Date: 01/27/2021
Rec V Date: 06/25/2021
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: Blood pressure was high/blood pressure at the ER was high, around 140 something over 90 something/her blood pressure has been all over the place, it has been high; Tachycardia; chronic anxiety order; panic attacks; heart rate was up to 150; overwhelming heavy feeling all over her head; eyes got blurry; her throat felt like it was closing up; got real shaky; This is a spontaneous report from a contactable consumer (Patient). A 44-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection Lot: EJ1685, Expiration Date: 31Mar2021), via intramuscular route of administration, administered in left arm on 08Jan2021 at 17:30 (at the age of 44-year-old) as single dose for preventative at hospital. The patient medical history included none except sinus infection. There were no concomitant medications. The patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection Lot: EJ1685) via intramuscular route of administration, administered in left arm on 18Dec2020 in the afternoon at around 14:00 for preventative. No additional Vaccines administered on same date of the Pfizer suspect. None aside from first dose of covid vaccine was received prior vaccination within 4 weeks. It was reported that, the patient wanted to report a really bad reaction to the vaccine. She had the first dose the Friday before Christmas. She always gets vaccines and never has a problem. After the first dose she did not feel anything, she did not have any of the normal side effects, she was fine. She is a surgical tech. About 9 or 10 days later, clarifies it was Sunday 27Jan2021 she was fine all day and later that evening, she thinks she was either laying in her bed or getting changed and she experienced an episode which she describes as overwhelming heavy feeling all over her head, her throat felt like it was closing up, not like an asthma feeling. Her eyes got blurry. She has never passed out before or fainted, she just felt like she was at that point and got real shaky. She went to the ER since this episode lasted for a while. Her blood pressure at the ER was high, around 140 something over 90 something. They did a lot of blood work and nothing came back. Her pulse ox was fine. They gave her Benadryl in case she was having an allergic reaction. They did blood work and a chest x-ray to make sure for covid. States everything was fine. Her blood pressure went down while she was there for 6 or 7 hours. She was not admitted to the hospital She was told to follow up with primary for hypertension. She went to her primary doctor a couple of days later and explained that the only thing different was that she got the covid vaccine. Her primary doctor diagnosed her with chronic anxiety order and panic attacks and put her on medication, Paxil 10mg and Klonopin for panic attacks. Her primary doctor did not seem concerned about her blood pressure. She bought a pulse ox and blood pressure cuff since she continued to feel these episodes, it was not constant, but she still continued to feel the episodes. Reports her blood pressure has been all over the place, it has been high. When she was last seen by her primary doctor in Mar her blood pressure was 116/68 and she normally runs low. She exercises and she has never had high blood pressure. When she went to the doctor previously, she normally went in for a sinus infection. She is looking to get information about these episodes she is experiencing. The episodes starts with that heavy feeling on her head, her throat feels like it is closing up, her eyes get blurry and she reports her blood pressure has stayed up. She also has some tachycardia. She decided to go see a cardiologist on her own. She had another bad episode this past Friday and her heart rate was up to 150. The cardiologist had her on a Holter monitor for the weekend. She has O negative blood and does not know if this has something to do with her episodes. She is going to have an echocardiogram and stress test next week. She is still experiencing the episodes. About 10 days after the second dose, she went back to ER where she had the same bad episode it was the same symptoms as reported above. They did not find anything in the bloodwork. States she had no issues prior to getting the vaccine, she did not have any panic attacks. States she had nothing like this before getting the vaccine. She works in the healthcare field and she has had all the mandatory vaccinations and has never had a problem. She was not even nervous about getting the covid vaccine, she forgot that she even got it, it was not even on her mind. She did report the episode to occupation health with her employer. It was suggested for her to get the second vaccine, so she did. She has been sent home a couple of times by her director and her doctor is taking her out of work since her blood pressure is going high. The patient underwent lab tests and procedures which included blood pressure measurement: high, around 140 something over 90 something on an unspecified date, blood test: nothing came back on an unspecified date, chest x-ray: everything was fine on an unspecified date, electrocardiogram ambulatory: unknown results on an unspecified date, heart rate: 150 on an unspecified date, oxygen saturation: pulse ox was fine on an unspecified date. Therapeutic measures were taken as a result events. The outcome of the events was not recovered. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1426197
Sex: F
Age:
State: CT

Vax Date: 02/01/2021
Onset Date: 02/06/2021
Rec V Date: 06/25/2021
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: Slight cough; Chills; body aches; fatigue; migraine; Sore throat; This is a spontaneous report from a contactable consumer (patient). A 48-year-old female patient received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- EL3247) via an unspecified route of administration in left arm on 01Feb2021 at 12:30 as 1st dose, single for COVID-19 immunization. Medical history included recurring sinusitis, recurring migraines, hypothyroid, anxiety. Patient had allergies with Codiene, Dillauded. Concomitant medications included thyroid (ARMOUR THYROID), guaifenesin, pseudoephedrine hydrochloride (MUCINEX D), levocetirizine dihydrochloride (XYZAL), ibuprofen, ergocalciferol (VIT D). Patient did not receive any other vaccine in four weeks. Patient was not diagnosed with covid prior to vaccination. Patient was not pregnant. On 06Feb2021 at 04:30 PM, patient experienced slight cough, chills, body aches, fatigue, migraine, sore throat. No treatment was received for the adverse events. Patient had not been tested covid post vaccination. The outcome of the events was not recovered. Follow-up attempts completed. No further information expected.

Other Meds: ARMOUR THYROID; MUCINEX D; XYZAL; IBUPROFEN; VIT D

Current Illness:

ID: 1426198
Sex: F
Age:
State: TN

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 06/25/2021
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: hard time walking; tiredness; foot swollen; foot hot to touch; Since receiving the vaccine she has been sleeping a lot for about 3 days; Foot pain; foot redness; This is a spontaneous report from a contactable consumer. A 77-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number: EL9261)via an unspecified route of administration, administered in Left Arm on 02Feb2021 at 12:00 (at the age of 77-years-old) as DOSE 1, SINGLE for COVID-19 immunization. The patient's medical history included parkinson's disease, transient ischaemic attack, hypersensitivity, sinus disorder, Cardiac disorder, vaginal infection, pain, incontinence, antidepressant therapy, hallucination, unspecified vitamin D deficiency. No relevant tests done. The concomitant medications included ongoing estradiol (ESTRACE VAGINAL) taken for vaginal infection from 2019, ongoing colecalciferol (VITAMIN D 3) taken for vitamin d deficiency, ongoing pimavanserin tartrate (NUPLAZID) taken for hallucination from 05Feb2021,ongoing venlafaxine (VENLAFAXINE) taken for antidepressant therapy, ongoing carbidopa, levodopa (RYTARY) taken for parkinson's disease, ongoing mirabegron (MYRBETRIQ) taken for incontinence, ongoing atorvastatin calcium (ATORVASTATIN CALCIUM) taken for cardiac disorder, ongoing aspirin [acetylsalicylic acid] (ASPIRIN [ACETYLSALICYLIC ACID]) taken for transient ischaemic attack ,ongoing clopidogrel bisulfate (CLOPIDOGREL BISULFATE) taken for transient ischaemic attack, ongoing paracetamol (ACETAMINOPHEN) taken for pain, ongoing loratadine (LORATADINE) taken for hypersensitivity, sinus disorder, ongoing ascorbic acid, biotin, calcium, colecalciferol, cyanocobalamin, dl-alpha tocopheryl acetate, folic acid, potassium iodide, pyridoxine hydrochloride, retinol acetate, zinc sulfate (CENTRUM MULTIGUMMIES WOMEN), amantadine hydrochloride (AMANTADINE HYDROCHLORIDE) taken for parkinson's disease. Since receiving the vaccine she had been sleeping a lot for about 3 days (on 03Feb2021). Caller stated she knew that was supposed to be a side effect. Adds her mother was a Parkinson's patient and usually able to walk using a walker. She was having a hard time walking (03Feb2021) and had to use the wheelchair. Clarifies her mother started sleeping quite a bit about three days after the vaccine on Friday 03Feb2021. Mentions previous to this on Wednesday after the vaccine, her mother was complaining of foot pain (on 03Feb2021) towards the side midway on the foot in the arch and on the top where you tie your shoe. It was almost like she dropped something on it but she did not. It was slightly swollen on the top and red and warm (on 03Feb2021). Friday when her mother started sleeping so much, they had resort to the wheelchair. She took her to see the nurse practitioner on Friday for the foot, who sent her to the ER for an X-ray on Saturday so they went out again on Saturday to get the foot x-ray done. The foot was not broken. They did treat her mother's foot with Cephalexin. Her foot was fully recovered now. Her mother's tiredness (on 05Feb2021) was persisting and she was having a hard time just getting up from the bed and to go across the room even though the foot was fine. Today they have a message into her neurologist. Adds today was the first day her mother started talking about needing or wanting to go to the hospital for her tiredness and not being able to walk (06Feb2021) Her mother was scheduled for the next dose 23Feb2021.The patient underwent lab tests and procedures which included x-ray limb: the foot was not broken on. Therapeutic measures were taken as a result of foot pain, foot redness, foot swollen, foot hot to touch.The outcome for the events foot pain, foot redness, foot swollen, foot hot to touch was recovered/resolved on 08Feb2021 and not recovered/not resolved for rest of the events. Information on the lot/batch number has been requested. Follow-up attempts are completed. No further information is expected

Other Meds: ESTRACE VAGINAL; VITAMIN D 3; NUPLAZID; VENLAFAXINE; RYTARY; MYRBETRIQ; ATORVASTATIN CALCIUM; ASPIRIN [ACETYLSALICYLIC ACID]; CLOPIDOGREL BISULFATE; ACETAMINOPHEN; LORATADINE; CENTRUM MULTIGUMMIES WOMEN; AMANTADINE HYDROCHLORIDE

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm