VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer
187,133MODERNA
33,878JANSSEN
2,321PFIZER\BIONTECH
1,091GLAXOSMITHKLINE BIOLOGICALS
983UNKNOWN MANUFACTURER
363MERCK & CO. INC.
229SEQIRUS, INC.
45DYNAVAX TECHNOLOGIES CORPORATION
41NOVARTIS VACCINES AND DIAGNOSTICS
29SANOFI PASTEUR
18EMERGENT BIOSOLUTIONS
8PAXVAX
7TEVA PHARMACEUTICALS
4PFIZER\WYETH
3BERNA BIOTECH, LTD.
2SMITHKLINE BEECHAM
2INTERCELL AG
2PROTEIN SCIENCES CORPORATION
1CSL LIMITED

Incidents per State

State Total
77,548
AK1,869
AL5,581
AR3,688
AS47
AZ14,288
CA61,984
CO11,665
CT8,149
DC1,663
DE1,807
FL37,749
FM5
GA15,058
GU120
HI2,453
IA4,625
ID2,692
IL20,334
IN24,007
KS4,615
KY7,696
LA4,887
MA14,654
MD12,514
ME3,129
MH11
MI18,739
MN12,528
MO9,710
MP29
MS2,790
MT2,375
NC16,368
ND1,356
NE2,880
NH3,100
NJ17,634
NM3,916
NV4,239
NY34,355
OH19,081
OK6,195
OR8,636
PA23,083
PR2,370
QM2
RI2,088
SC6,411
SD1,212
TN9,131
TX35,174
UT4,273
VA14,937
VI64
VT1,676
WA14,909
WI11,259
WV2,388
WY861
XB5
XL1
XV2

ID: 1426806
Sex: F
Age: 73
State: IN

Vax Date: 06/23/2021
Onset Date: 06/24/2021
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: Penicillin, sulfa, novacaine, kiwi

Symptom List: Dysphagia, Epiglottitis

Symptoms: Felt like I had a bad case of COVID-19. I was sick with COVID-19 in February, and, this was worse.

Other Meds: Lorazepam Buspirone Duloxetine Fluvoxamine Generic ability Multivitamin

Current Illness:

ID: 1426807
Sex: F
Age: 17
State: IL

Vax Date: 06/12/2021
Onset Date: 06/12/2021
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: Patient received the dose after manufacturer recommended freezer storage duration.

Other Meds:

Current Illness:

ID: 1426808
Sex: F
Age: 45
State: IL

Vax Date: 06/18/2021
Onset Date: 06/20/2021
Rec V Date: 06/25/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: ibuprofen pennecillin

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

Symptoms: Severe vertigo

Other Meds:

Current Illness:

ID: 1426809
Sex: M
Age: 18
State: MD

Vax Date: 06/25/2021
Onset Date: 06/25/2021
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: None reported

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient experienced syncope about 2 minutes after administration of vaccine. Consciousness regained within 15 seconds. Patient has reported previous syncopal episodes with vaccines in the past.

Other Meds: None

Current Illness: None Reported

ID: 1426810
Sex: F
Age: 45
State: CA

Vax Date: 05/07/2021
Onset Date: 05/07/2021
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: Augmentin, Biaxin

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

Symptoms: I had a rash that broke out on my face, severe fatigue, sore arms, major pelvic pain

Other Meds: I am taking prescriptions.

Current Illness: No other illnesses

ID: 1426811
Sex: M
Age: 26
State: MA

Vax Date: 05/14/2021
Onset Date: 05/15/2021
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: animal dander, dust, pollen

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

Symptoms: day after: all CDC side effects + sore chest + neck pain + sleeping for 16 or more hours 2 days after: all CDC side effects + chest pain + trouble breathing 3 days after: lessening of all CDC side effects to no CDC side effect + trouble breathing through ER prescribed medication (2 inhalers) 4 days - 4 weeks after: intermittent shortness of breath fixed through further prescribed medication (2 inhalers) and steroid given 5+ weeks after: no noticeable side effects

Other Meds: none

Current Illness: none

ID: 1426812
Sex: M
Age: 14
State: IL

Vax Date: 06/12/2021
Onset Date: 06/12/2021
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: Patient received the dose after manufacturer recommended freezer storage duration.

Other Meds:

Current Illness:

ID: 1426813
Sex: M
Age: 23
State: MA

Vax Date: 04/30/2021
Onset Date: 06/12/2021
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: Pharyngeal swelling

Symptoms: Severe Left Ear Tinnitus, high pitch.

Other Meds:

Current Illness:

ID: 1426814
Sex: F
Age: 15
State: IL

Vax Date: 06/12/2021
Onset Date: 06/12/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient received the dose after manufacturer recommended freezer storage duration.

Other Meds:

Current Illness:

ID: 1426815
Sex: F
Age: 51
State: IL

Vax Date: 06/22/2021
Onset Date: 06/22/2021
Rec V Date: 06/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Site: Itching at Injection Site-Mild, Systemic: Allergic: Itch Generalized-Mild, Additional Details: pt was itching away fromt the site but on the same arm and also rash on the chest...pt was otherwise fine no other symptoms

Other Meds:

Current Illness:

ID: 1426816
Sex: F
Age: 66
State: SD

Vax Date: 03/01/2021
Onset Date: 05/14/2021
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: Penicillin

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

Symptoms: After being fully vaccinated I contracted the COVID virus (05/14/2021). I had an bamlanizimab IV infusion.

Other Meds: Nexium

Current Illness: No

ID: 1426817
Sex: F
Age: 61
State: NC

Vax Date: 05/04/2021
Onset Date: 05/12/2021
Rec V Date: 06/25/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: N/A

Symptom List: Rash, Urticaria

Symptoms: Having what felt like a heart attack and ended up in the hospital for 4 days went home everything thing was fine but got admitted to the ICU again for 5 days on 05/23/2021. ECG kept changing and issues in lungs. Followed up on June 9th had to get IV fluid in the office went and saw PCP on the 10th and all of her numbers shot back up so she got 2 different shots in the office. CRP was 700. Has a follow up on July 2th.

Other Meds: N/A

Current Illness: N/A

ID: 1426818
Sex: F
Age: 30
State: OR

Vax Date: 01/29/2021
Onset Date: 01/30/2021
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: Clindamycin, Penicillin

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

Symptoms: SO the following day I was extremely tired and nauseous. I was shaky didn't have much of an appetite either. Those symptoms lasted for about two days, I was also a little bit out of breath and I thought at the time that it was just my asthma flaring up. On Sunday I contacted the employee health and talked to them about it and they told me it was "normal". I saw them in the beginning of February, I couldn't walk 50 steps in my living room without my chest getting really tight, they said not to worry about it and that it was "normal". My Oxygen levels were also going low like 91/92 for my blood oxygen levels. My pulse would go up to 102 at the lowest and jump up to 160/170 just to walk from my couch to my kitchen. That and the oxygen dropping lasted for 2 to 2.5 weeks. I also got a Covid test and that was negative.

Other Meds: 250mg Nuvigil, Vitamin D3, Sitrizone 10 mg, Ebastine, Emergency inhaler as needed - Albuterol

Current Illness: N/a

ID: 1426819
Sex: F
Age: 44
State: NC

Vax Date: 05/18/2021
Onset Date: 05/24/2021
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: none

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

Symptoms: Irregular period starting the following week on 5/24. 24 day cycle when usual cycle is 28 to 29 days. Then started next menstrual cycle on 6/22 (at normal 29 day time frame) BUT cycle only lasted 1 day. Have been menstruating 33 years and have never had just 1 day of bleeding. Normal bleeding for me lasts 5 days.

Other Meds: none

Current Illness: none

ID: 1426820
Sex: F
Age: 52
State:

Vax Date: 05/07/2021
Onset Date: 05/13/2021
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: None known

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

Symptoms: Upper Respiratory Infection and GERD attack. Recovered from upper respiratory infection but still recovering from GERD attack

Other Meds: Antidepressant

Current Illness: None

ID: 1426821
Sex: M
Age: 15
State: IL

Vax Date: 06/12/2021
Onset Date: 06/12/2021
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: Patient received the dose after manufacturer recommended freezer storage duration.

Other Meds:

Current Illness:

ID: 1426822
Sex: F
Age: 27
State: CA

Vax Date: 05/16/2021
Onset Date: 05/19/2021
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: N/A

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

Symptoms: Immediately following vaccine & last three days was a deep soreness in the arm of the injection site. This side effect was anticipated. However, since then, what feels like a tightness or pinched nerve sensation has continued in that arm. It has been over one month since the vaccination. It is mildly painful to raise that arm. No degree of stretching or exercise has relieved this pain. My concern is that it may be permanent.

Other Meds: N/A

Current Illness: N/A

ID: 1426823
Sex: F
Age: 77
State: AL

Vax Date: 06/22/2021
Onset Date: 06/22/2021
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: Systemic: Chills-Medium, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Shakiness-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium, Additional Details: Patient had faint feeling, chills, temperature normal, blood pressure 164/90 pulse 60. Chief complaint was unusual taste and numbness of lips. Symptoms improved over 30-45 min period

Other Meds:

Current Illness:

ID: 1426824
Sex: F
Age: 22
State: MO

Vax Date: 12/31/2020
Onset Date: 01/02/2021
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: Pineapple

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Sinus Tachycardia/SVT/Palpitations. Ongoing since January - Racing Heart -Heart beating hard -Shortness of breath -Dizziness

Other Meds: Aurovela 24 FE

Current Illness: N/A

ID: 1426825
Sex: M
Age: 60
State: CA

Vax Date: 04/21/2021
Onset Date: 04/21/2021
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: None

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

Symptoms: Horrible heart burn and GERD started the evening of my second Moderna shot- it has NOT stopped. Ive had to go on medicine - tried three different ones. I?m taking twice a day Omeprazole 20mg. Its very painful- Ive changed my diet, and still not helping.. Its Bad???..

Other Meds: Levothyroxine Bupropion Tamsulosin Trazadone

Current Illness: None

ID: 1426826
Sex: M
Age: 31
State: NC

Vax Date: 06/23/2021
Onset Date: 06/23/2021
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: Systemic: Fainting / Unresponsive-Severe, Additional Details: Patient came in w/ s/other to get 2nd covid shot. Gave shot to patients significant other first with patient watching. Patient got scared when they saw the needle, & we quickly moved forward with their dose. Patient walked to the observation area of the store and sat in the chair, before they felt light headed. Patient laid down on the floor on their side in fetal position, and went completely unconscious. Pharmacist shook pts arm and said name 4 times before pt regained consciousness. EMS calle

Other Meds:

Current Illness:

ID: 1426827
Sex: F
Age: 43
State: OH

Vax Date: 06/24/2021
Onset Date:
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: none

Symptom List: Unevaluable event

Symptoms: Vaccine was given late. First dose given on 5/4/2021 Lot # 025B21A. Second dose given on 6/24/2021, Moderna, Lot # 025B21A.

Other Meds: none

Current Illness: none

ID: 1426829
Sex: F
Age: 74
State: IL

Vax Date: 02/20/2021
Onset Date: 03/04/2021
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: none

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

Symptoms: States that within one month of dose 2 she has had shoulder pain Left arm that does not allow her to fully rotate the arm in a posterior position., Pain level 8. Unrelieved by tylenor or NSAIDS. Radiates to neck and down L arm. No numbness or tingling.

Other Meds: none

Current Illness: none

ID: 1426830
Sex: F
Age: 37
State: CO

Vax Date: 05/22/2021
Onset Date: 06/22/2021
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: Worse menstrual cycle of my life. One week late. Cramps so bad for three days that my back and hips hurt and couldn?t get off the couch. Normally I am twenty eight days and have no cramps.

Other Meds: Lorazepam and lithium

Current Illness:

ID: 1426831
Sex: F
Age: 41
State:

Vax Date: 05/26/2021
Onset Date: 05/26/2021
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: Vaccine administered after the expiration date of 04/28/21. Patient reports no adverse events.

Other Meds:

Current Illness:

ID: 1426832
Sex: M
Age: 74
State: KS

Vax Date: 02/06/2021
Onset Date: 02/06/2021
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: None. Childhood hay fever and asthma, cow's milk (infant).

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

Symptoms: Shoulder and back pain that has persisted. After second vaccination, 02-27-2021, administered at 1:50 pm, nausea and vomiting for two days that started that night. Abdominal pain that has persisted, radiating to back, exacerbated by eating fats and sugars. Pancreatitis diagnosed by labs and imaging. Treatment: Creon and diet.

Other Meds: Multivitamin, C, lecithin.

Current Illness: None.

ID: 1426833
Sex: F
Age: 60
State: MN

Vax Date: 04/14/2021
Onset Date: 05/05/2021
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: LA

Lab Data:

Allergies: Morphine

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: I got shingles. I got the shingles shot that should have prevented me from getting the shingles. I went to the doctor and was diagnosed with it.

Other Meds: Xirrdia ;Multi-vitamin; Fish oil; vitamin D; Turmeric

Current Illness:

ID: 1426834
Sex: M
Age: 18
State: IN

Vax Date: 06/21/2021
Onset Date: 06/21/2021
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: RA

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: In order in which they occurred: Fatigue, chills, fever, body aches, headache, and vomiting. Treatment included cooling packs and ibuprofen, and when I was finally able to sleep I woke up with just exhaustion the next day.

Other Meds:

Current Illness:

ID: 1426835
Sex: F
Age: 69
State: TX

Vax Date: 03/11/2021
Onset Date: 03/20/2021
Rec V Date: 06/25/2021
Hospital: Y

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: None

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

Symptoms: Three weeks after receiving the first Moderna Co-Vid vaccine, pt developed a stomach virus (?) vomiting and not being able to hold down anything but water. This lasted four days. She then started getting pain in his hips and legs. Over the next two weeks her condition worsened to where she couldn't even use a walker to stand. We went to the ER where they diagnosed her with Bell's Palsy (which went away in a few days) and did an MRI and took X-rays to ascertain the source of the pain and weakness in her legs. Another week at home and her condition deteriorated to where we went to the ER. A neurologist was called in who diagnosed her with Guillain-Barre Syndrome. She was admitted to the hospital and was given two IVIG treatments. She was released after three days to the rehab facility where she spent two weeks before being discharged to our home.

Other Meds: Eliquis, Simvastatin, calcium, Vitamin C

Current Illness: None

Date Died: 06/23/2021

ID: 1426836
Sex: M
Age: 86
State: WI

Vax Date: 06/09/2021
Onset Date: 06/20/2021
Rec V Date: 06/25/2021
Hospital: Y

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

Lab Data:

Allergies: quinine, sulfa

Symptom List: Nausea

Symptoms: The patient received his first dose of Pfizer COVID vaccine 6/9/21 at pharmacy. He was then admitted 6/20/21 at hospital with abdominal pain, sepsis and a suspected aspiration event and expired on 6/23/21. This was felt by the treating physicians to be most likely not related to or associated with the vaccine, but given the close proximity it was asked that this be reported.

Other Meds: acetaminophen, amlodipine, carvedilol, lisinopril, melatonin, memantine, quetiapine, terazosin, warfarin

Current Illness:

ID: 1426837
Sex: F
Age: 53
State: NJ

Vax Date: 03/29/2021
Onset Date: 04/19/2021
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: sulfa

Symptom List: Injection site pain

Symptoms: I developed Shingles

Other Meds: Rosuvastatin Lisinopril Metoprolol Trulicity Metformin Vit D Vit B12 Iron Ducolax

Current Illness: None

ID: 1426838
Sex: M
Age: 12
State: MD

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 induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Patient mother stated that patient was 12 by filling out date of birth on consent with wrong year and signed consent after reviewing information. When vaccine was processed a rejection was received "wrong date of birth". Pharmacy called insurance and confirmed year of birth. Mother then called and confirmed birth year. Patient will be 12 in 10 days, doctor told her ok to get vaccine

Other Meds:

Current Illness:

ID: 1426839
Sex: M
Age: 44
State: FL

Vax Date: 05/18/2021
Onset Date: 05/26/2021
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: RA

Lab Data:

Allergies: None

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

Symptoms: loss of consciousness, shortness of breath was prescribed antibiotics they did not work.

Other Meds: None

Current Illness: None

ID: 1426840
Sex: F
Age: 50
State: MN

Vax Date: 04/28/2021
Onset Date: 04/28/2021
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: Sulfa

Symptom List: Tremor

Symptoms: Body aches, fever, headaches, and fatigue

Other Meds: Zyrtec

Current Illness: No

ID: 1426841
Sex: M
Age: 66
State:

Vax Date: 02/17/2021
Onset Date: 02/01/2021
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: Erythema, Pruritus

Symptoms: hemocontration days later

Other Meds:

Current Illness:

ID: 1426842
Sex: F
Age:
State: CA

Vax Date: 03/12/2021
Onset Date: 03/12/2021
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: Onset of chronic Sinus Rhythm with Supraventricular Ectopy with chest tightness and respiratory difficulty immediatey 5 minutes after the first Covid vaccine dose; Onset of chronic Sinus Rhythm with Supraventricular Ectopy with chest tightness and respiratory difficulty immediatey 5 minutes after the first Covid vaccine dose; Onset of chronic Sinus Rhythm with Supraventricular Ectopy with chest tightness and respiratory difficulty immediatey 5 minutes after the first Covid vaccine dose; This is a spontaneous report from a contactable other healthcare professional. A 52-years-old non-pregnant female patient received first dose of bnt162b2 (BNT162B2, Solution for injection, Lot Number: EN6207), via an unspecified route of administration, administered in Arm Left on 12Mar2021 13:00 as 1ST DOSE, SINGLE DOSE for covid-19 immunization. Medical history included neuropathy peripheral from an unknown date and unknown if ongoing, fibromyalgia from an unknown date and unknown if ongoing, DCIS stage 0 (breast cancer) from an unknown date and unknown if ongoing. Concomitant medications included (TETANUS DIPTHERIA) taken for an unspecified indication from 20Mar2021 to 20Mar2021; duloxetine hydrochloride (CYMBALTA) and baclofen (BACLOFEN) taken for an unspecified indication, start and stop date were not reported. Patient received any other vaccinations prior to vaccination within 4 weeks. Patient received Cymbalta and Baclofen with in 2weeks prior to vaccination. Patient had no allergies. The patient was not diagnosed with COVID-19 prior to vaccination. Since vaccination patient was not tested for covid-19. On 12Mar2021 13:15 the patient experienced onset of chronic sinus rhythm with supraventricular ectopy with chest tightness and respiratory difficulty immediately 5 minutes after the first covid vaccine dose. Adverse event resulted in Doctor or other healthcare professional office/clinic visit. Therapeutic measures were taken as a result of events which included heart monitor and diagnosis and DBT treatment. Respiratory difficulty and chest tightness persisted for two weeks. Chronic Sinus Rhythm with Supraventricular Ectopy continues to persist to date. The outcome of the events Supraventricular extra systoles, Chest discomfort, Dyspnoea was not recovered. No follow-up attempts are needed. No further information is expected.; Sender's Comments: Based on temporal association, the causal relationship between BNT162B2 and the events cannot be excluded. The information available in this report is limited and does not allow a medically meaningful assessment. This case will be reassessed once additional information becomes available.

Other Meds: TETANUS DIPHTHERIA; CYMBALTA; BACLOFEN

Current Illness:

Date Died:

ID: 1426843
Sex: F
Age:
State: NH

Vax Date: 03/26/2021
Onset Date:
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: chest pain; had some acute shortness of breath; This is a spontaneous report from a contactable nurse (Registered Nurse) via Medical Information Team. This nurse reported for 7 patients. This report is 7 of 7 patient. 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 26Mar2021 (Lot number: EL9269, Expiry date: 01May2021) as single dose for Covid-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient had some acute shortness of breath and chest pain. Reportedly she was calling from the nursing home stated that she was trying multiple times and she needed to speak to someone to report adverse reactions, she had been reporting to the VAERS system since they started giving vaccines in January, stated: "she had summitted probably 30 reports at that point of all different various things in any of the patients even if they were in hospice if they had a vaccine and proceeded to pass away, she done all the reporting. She had a very abnormal large volume of patients that got vaccinated on 16th of April, with the first doses of Pfizer (PFIZER-BIONTECH COVID-19 VACCINE) one specific lot number and she had 7 adverse events in one group of patients out of 30. And it was way too complicated to get that information quickly, so she spoke to somebody as there was a chance that those could be a significant event and needed to tell somebody what was going on". Caller stated: "because all the reports involving one lot it was more suspicious than even all the other reports that she had ever done. It was just one whole group and now she had 3 deaths. She had 3 deaths and have 2 strokes in this group". Caller stated that she would file reports online she just wanted someone to call her back about the side effects and the lot involved. Stated "she got the whole group, who were due to get their second dose on Friday, two days from now, so obviously she not giving it to any of these people there was a 7 of them out of 33. She had 20 staff that have received it the same day she did not have any side effects in any of the staff but definitely little weary at the moment." Offered to forward provide information to safety. Caller provided lot EL9269, Expiry date 01May2021 (stated that it was weird because it was very close to the expiration date). Caller stated: "All those people were dosed on March 26th. Caller stated that she was going to give just basics (in terms of information to start the process) and that she would file a form online. Caller stated: "That day 31 patients received a vaccine and she had 7 patients worth investigating (caller stated that she had that portion written if there was a way to forward. Explained that there was an option to contact through our website but for adverse reports specifically she would refer them to Pfizer safety explained that she also had a fax, but caller declined she already had that information. Verified that she was reporting adverse events (7 patients, gender: 5 females and 2 males). Caller stated "three patients were send out and subsequently passed away in the hospital, one patient with bradycardia, hypotension and she passed away in the ER, critical labs, she did not even make it one day, we send her out and she passed away in the ER. She had one male patient who had acute stroke she did not have all the details because he was still hospitalized in ICU. She have one (patient) who we sent to the ER hypoxic, hypotensive, short of breath, she ended up passing away in the hospital, her diagnosis there was hypoxia and acute CHF. She had another male patient who had an acute CVA we send him to the hospital he had acute CVA, he had a right artery occlusion, he passed away. She had another female patient who was sent out with shortness of breath and increased confusion, she wound up in the ER with hypoxia and sepsis and she passed away. She was sure that she did not have hospital records, only know what she was told. And then had two others one that was send to the ER with shortness of breath and elevated D-dimer, she actually returned to us her scans were negative, so she was one of those we are not really 100 percent sure, but she did get send out to the ER. And we have another one (female) chest pain, shortness of breath, she was not sent out her D-dimer and her studies that we have done here were within normal limits but definitely had some acute shortness of breath and chest pain. Done troponin and bunch of cardiac labs there, she did not go out. So those were the seven that she had at the moment that were concerning. Outcome of the events was unknown. No follow up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1426844
Sex: F
Age:
State: MI

Vax Date: 04/11/2021
Onset Date: 04/13/2021
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: Heaviness in my chest; Upset stomach; This is a spontaneous report received from a contactable consumer, the patient. A non-pregnant, female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot no: UNKNOWN) via an unspecified route and in the left arm on 11Apr2021 at 00:15, as a single dose for COVID-19 immunisation. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot no: UNKNOWN) via an unspecified route on an unknown date, as a single dose for COVID-19 immunisation The patients medical history included kidney disorder from an unknown date. No concomitant medications were taken by the patient. The patient had not received any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination, the patient had not been tested positive for COVID-19. On 13Apr2021, the patient experienced heaviness in chest and upset stomach. The clinical outcome of heaviness in chest and upset stomach was not resolved at the time of this report. No follow-up attempts are possible. Information about lot number cannot be obtained.

Other Meds:

Current Illness:

ID: 1426845
Sex: F
Age:
State: NJ

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 06/25/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Swollen lymph nodes Right side of body neck, underarm and groin areas; Fever; Headache; Diarrhea; This is a spontaneous report from a contactable consumer, the patient. A 55-year-old non-pregnant female patient received her second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8729) via an unspecified route of administration in the right arm on 07Apr2021 at 1545, as a single dose for COVID-19 immunisation. Medical history included hypothyroidism, melanoma and squamous cell skin cancers and small intestines bacterial overgrowth and also had drug allergy to erythromycin antibiotic. The patient did not take any concomitant medications within two weeks of vaccination. The patient previously received her first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EP7534), via an unspecified route of administration in the left arm on 17Mar2021 at 1730, as a single dose for COVID-19 immunisation. Prior to vaccination, patient was not diagnosed with COVID-19 and also did not receive any other vaccine within four weeks of vaccination. Since the vaccination, patient not tested positive for COVID-19. On 04Apr2021 at 0300, the patient experienced Swollen lymph nodes on the right side of body at neck, underarm and groin areas and also had fever, headache and diarrhea. Therapeutic measures were not taken. The clinical outcome of all events was recovered on an unspecified date. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1426846
Sex: F
Age:
State: IN

Vax Date: 04/05/2021
Onset Date: 04/06/2021
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: Itching all over continuing for a week; Greatly increased tinnitis; This is a spontaneous report received from a contactable consumer, the patient. A 56-year-old non-pregnant female patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: UNKNOWN) via an unspecified route of administration in the left arm on 05Apr2021 at 14:30 as a single dose for COVID-19 immunisation. Medical history was not reported. Concomitant medications included vitamins (MANUFACTURER UNKNOWN), estrogen;progesterone;testosterone (MANUFACTURER UNKNOWN) and LIZEN all for an unknown indication from unknown dates. The patient was allergic to medications, food, or other products (unspecified). The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: UNKNOWN) via an unspecified route of administration in the left arm on 13Mar2021 at 09:00 as a single dose for COVID-19 immunisation. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not tested positive for COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccination. On 06Apr2021 at 12:00, the patient experienced itching all over continuing for a week and increased tinnitus greatly. It was reported that the patient did not receive any treatment for the reported events. The adverse events result in a visit to the doctors or other healthcare professional office/clinic visit. The clinical outcome of itching and tinnitus was not resolved. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds: estrogen/progesterone/testosterone

Current Illness:

ID: 1426847
Sex: F
Age:
State: MO

Vax Date: 04/12/2021
Onset Date:
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: chills; numbness inside mouth and face; numbness inside mouth and face; This is a spontaneous report from a contactable consumer (Patient). A 45-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: ER8734, Expiration date: Unknown), via an unspecified route of administration on 12Apr2021 at 10:00 (at the age of 45-year-old), as 1st dose, single in deltoid Left, for COVID-19 immunisation. The patient's medical history included sensitive to medication. Concomitant medications were not reported. The patient's historical vaccine included flu shot administrated on an unspecified date in 2021, and experienced pain in joints for like a couple of weeks. On an unspecified date, after the administration of the first dose of vaccine, the patient experienced chills for like a week, numbness inside mouth and face. The clinical outcome of the events was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1426848
Sex: F
Age:
State: MA

Vax Date: 04/09/2021
Onset Date: 04/13/2021
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: Unrelenting headache from day 3 post second injection with eye focusing issues.; Unrelenting headache from day 3 post second injection with eye focusing issues.; This is a spontaneous report received from a contactable consumer (patient). A 57-years-old non-pregnant female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: Ew0153 and Expiration date was not reported), via an unspecified route of administration, in left arm, on 09Apr2021 (at the age of 57 years), as a single dose for covid-19 immunization. The patient medical history included chronic neck back issue and concomitant medications received within 2 weeks of vaccination included diphenhydramine, trazondo (trazodone hydrochloride), gabapentin, and glimepiride for an unspecified indication. Known allergies included metformin (allergies to medications, food, or other products). Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: RP8535 and Expiration date was not reported), via an unspecified route of administration, in left arm, on 19Mar2021 at 10:45 AM, as a single dose for covid-19 immunization. Patient did not receive other vaccine within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. On 13Apr2021, the patient had experienced unrelenting headache from day 3 post second injection with eye focusing issues. The patient had not taken any treatment medications for reported events. The outcome of the events was not recovered. The seriousness of the events was reported as non-serious. Information on Lot/Batch number was available. Additional information has been requested.

Other Meds: DIPHENHYDRAMINE; TRAZODON; GABAPENTIN; GLIMEPIRIDE

Current Illness:

ID: 1426849
Sex: F
Age:
State: MI

Vax Date: 04/01/2021
Onset Date: 04/13/2021
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: I developed shingles on my face included nerve pain.; I developed shingles on my face included nerve pain.; This is a spontaneous report from a contactable other HCP (patient). A 25-year-old non-pregnant female patient received first dose of BNT162B2 (BNT162B2, Solution for injection, Lot number: EN6207), via unspecified route of administration, administered in left arm on 01Apr2021 at 15:15 AM at the age of 25 years as single dose for Covid-19 immunization. The patient's medical history included COVID-19. The patient had no other medical or allergic history. Concomitant medications included Aripiprazole (ABILIFY) and Venlafaxine hydrochloride (EFFEXOR). The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination the patient was diagnosed with COVID-19. The facility of vaccination was workplace clinic. On 13Apr2021 the patient developed shingles on face including nerve pain. Adverse event resulted in doctor or other healthcare professional office/clinic visit. The patient received treatment for the events which included Valacyclovir. The patient had been tested for COVID-19 since the vaccination. On 14Apr2021 the patient had COVID test via nasal swab and the result was negative. Outcome of the events was recovering. Information on lot/batch number was available. Additional information has been requested.; Sender's Comments: Based on known drug safety profile and temporal relationship there is reasonable possibility of causal association between the reported events Neuralgia and Herpes Zoster and the suspect drug BNT162B2.

Other Meds: ABILIFY; EFFEXOR

Current Illness:

ID: 1426850
Sex: F
Age:
State: OK

Vax Date: 02/25/2021
Onset Date: 03/05/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Numbness on left side of body, starting with the foot and going up; This is a spontaneous report from a contactable consumer (patient). A 58-years-old female patient received second dose of BNT162B2 (PFIZER-BIONTEC COVID-19 VACCINE, Solution for injection, Lot Number: EN6202 and expiry date was not provided), via an unspecified route of administration in the left arm on 25Feb2021 at 16:00 (at the age of 58-years-old) as a single dose for COVID-19 immunisation. Patient did not have any known allergies. Patient's medical history was not reported. Concomitant medication included pravastatin. Patient had previously received first dose of BNT162B2 (Lot Number: EN5318) in left arm, on 02Feb2021 at 16:00 (at age of 58-years-old) for COVID-19 immunisation. Patient did not receive other vaccine in four weeks of vaccination. Patient was not diagnosed with COVID, prior vaccination. Patient has not been tested for COVID, post vaccination. On 05Mar2021 at 08:00, patient experienced numbness on left side of body, starting with the foot and going up. This started 7 days after vaccine. Comes and goes every day still. Adverse events result in visit to Doctor or other healthcare professional office/ clinic. No treatment was received. The outcome of events was not recovered. Information on Lot/ Batch number was available. Follow up letter has been generated for further information.

Other Meds: PRAVASTATIN

Current Illness:

ID: 1426851
Sex: F
Age:
State: FL

Vax Date: 03/27/2021
Onset Date: 03/28/2021
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: Conjunctivitis; This is a spontaneous report from a contactable consumer (patient). A 58-years-old non-pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, lot number: EN6208; Expiration date: unknown) via an unspecified route of administration, administered in Arm Left on 27Mar2021 08:30 as single dose for COVID-19 immunization. The patient medical history was not reported. Concomitant medications included amlodipine (AMLODIPINE), fluticasone propionate, salmeterol xinafoate (ADVAIR), ketotifen fumarate (CLARITIN EYE) taken for an unspecified indication. Prior to vaccination the patient was not diagnosed with COVID-19. The patient previously took codine P and was allergic to codine. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 28Mar2021 08:00 the patient experienced conjunctivitis. The adverse event resulted in Doctor or other healthcare professional office/clinic visit. Therapeutic measures were taken as a result of conjunctivitis as patient had received treatment with TobraDex ST 1 drop 4Xdly, Moxifloxacin 1 drop 4X d. Since the vaccination, the patient was tested for COVID-19. The patient underwent lab tests and procedures which included SARS-COV-2 test Nasal swab (Rapid test) which was negative on 16Apr2021. The outcome of event was not recovered. Information on Lot/Batch number was available. Additional information has been requested

Other Meds: AMLODIPINE; ADVAIR; CLARITIN EYE

Current Illness:

ID: 1426852
Sex: F
Age:
State: MA

Vax Date: 02/15/2021
Onset Date: 02/19/2021
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: Urinary tract infection; This is a spontaneous report received from a contactable consumer (patient). A 79-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE Solution for injection Batch/lot number: EL9266) via an unspecified route of administration in arm left on 15Feb2021 as 1st dose, single and bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE Solution for injection Batch/lot number: EN6206) via an unspecified route of administration in arm left on 08Mar2021 as 2nd dose, single both for COVID-19 immunisation. Medical history included COVID in Dec2020, she did not felt good, but it was not bad, was tired, lost her sense of taste and smell. Concomitant medications were reported as none. Patient got both doses of the Pfizer BioNTech COVID19 vaccine. After each dose, she had a UTI. On 19Feb2021, patient experienced urinary tract infection which was ongoing. Reportedly, she got her first shot on a Monday, and by Saturday she had to go to Urgent Care because she had a Urinary Tract Infection. They gave her medicine, and it cleared it up. Then, she got the second COVID vaccine, and within the same time frame she was back at the Urgent care with another urinary tract infection. She got her second dose on a Monday. On Friday, she had symptoms. On Saturday she went to urgent care and got antibiotics because she had a Urinary Tract Infection and said that her urologist has seen other people have a UTI after the vaccine. Patient wanted to know if it has anything to do with the vaccine. Patient just went to the doctor Tuesday. They are sending of a test. She was going to go back and see the doctor at the end of the Month. She mentioned that she had COVID in December2020 (2 days before Christmas). She didn't feel good, but it was not bad. She was tired and lost her sense of taste and smell. She asked if it is okay to get vaccinated after having covid. On 01Feb2021, they told her she was alright to get it, but she thinks she should have waited later. After the first vaccine, she was prescribed Nitrofurantoin mono MCR, with expiration date 23Mar2022 and after the second vaccine she was prescribed Amoxicillin Clavulanic. She seemed alright again before she got the second dose. She got both doses on a Monday, and by Friday she was having issues, and then she went to Urgent care on Saturday both times. The first medication she was on for the UTI, Nitrofurantoin says not to be vaccinated on that medication. She was off the medication a week or so by the time she got the second vaccine. Patient called her doctor, and she said it was okay for her to go ahead and get the second dose. After the first vaccine she started feeling symptomatic 19Feb2021 and went to urgent care on 20Feb2021. After the second vaccine she started feeling symptomatic 12Mar2021 and went to urgent care the 13Mar2021. The patient underwent lab tests and procedures which included covid-19 resulted as positive on Dec2020. Patient questioned was it okay to get vaccinated after having COVID. The clinical outcome of the event was unknown. No follow-up attempts are needed. No further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021452640 Same reporter/ drug/ event for different patients

Other Meds:

Current Illness:

ID: 1426853
Sex: F
Age:
State: PA

Vax Date: 03/23/2021
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: RA

Lab Data:

Allergies:

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

Symptoms: First dose: maybe a sore arm a little bit; a sinus issue and it led to mucus; This is a spontaneous report from a contactable consumer (patient). This is report 1 of 4. A 77-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID VACCINE, solution for injection, Batch/Lot Number: ER8727), via an unspecified route of administration, administered in Arm Left on 23Mar2021 20:10 (76-years-old at the time of vaccination), as a SINGLE DOSE for covid-19 immunization. Patient vaccination because high risk of getting Covid, cannot wear mask due to breathing and lung issues. The patient's medical history included Breathing issues, Inoperable lung cancer, Diagnosed Nov2010. She took 2 different chemos for 3.5 years and had 6 weeks of strong radiation so that's whys she is at a risk of getting Covid, Lung issues (respiratory illness), Allergies like in spring and summer, compromised immune status, genetic / chromosomal abnormality, endocrine abnormalities (including diabetes), and obesity. The patient's concomitant medication included Xyzal every night for the allergies which does not always work and Amoxicillin 500mg 3 times daily for sinus issue. The patient previously took flu shot. On an unspecified date, the patient experienced first dose: maybe a sore arm a little bit and a sinus issue and it led to mucus. On An unspecified date Mar2021, the patient underwent lab tests and procedures which included blood test: unknown. On 12Apr2021, the patient was taking Amoxicillin, as Therapeutic measures as a result of a sinus issue and it led to mucus. The outcome of the events first dose: maybe a sore arm a little bit was recovered on an unspecified date and a sinus issue and it led to mucus was not recovered. No follow-up attempts are needed. No further information is expected

Other Meds: XYZAL, Amoxicillin

Current Illness: Breathing difficult; Lung disorder; Seasonal allergy (Verbatim: Allergies like in spring and summer.)

ID: 1426854
Sex: F
Age:
State: PA

Vax Date: 04/14/2021
Onset Date: 04/01/2021
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: Felt a pain in my upper left back shoulder area, shooting pain down my arm and fingers numb/tingle. It felt like nerve damage; Felt a pain in my upper left back shoulder area, shooting pain down my arm and fingers numb/tingle. It felt like nerve damage; Felt a pain in my upper left back shoulder area, shooting pain down my arm and fingers numb/tingle. It felt like nerve damage; Felt a pain in my upper left back shoulder area, shooting pain down my arm and fingers numb/tingle. It felt like nerve damage; Felt a pain in my upper left back shoulder area, shooting pain down my arm and fingers numb/tingle. It felt like nerve damage; feeling of pins and needles in her left hand; Shoulder and back pains; Muscle pain that radiates down her arm; Muscle pain that radiates down her arm; This is a spontaneous report received from a contactable consumer (the patient). A 54-years-old non-pregnant female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EP7533), via an unspecified route of administration, in left arm on 14Apr2021 at 09:45 (at the age of 54-years-old) as a single dose for COVID-19 immunisation. Medical history included chronic obstructive pulmonary disease. The patient's concomitant medications included vitamins (unspecified). The patient was not allergic to any medications, food, or other products. No other vaccines in four weeks. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient was not pregnant at the time of vaccination. On 14Apr2021 (reported as approximately 30 minutes after), the patient felt a pain in her upper left back shoulder area, shooting pain down her arm and fingers numb/tingle. It felt like nerve damage. On an unspecified date in Apr2021, she had shoulder and back pains, muscle pain that radiates down her arm. She will not be getting the second dose because of these. Clinical course included: the patient reported that she had a pain in back by shoulder by muscle that radiates down her left arm like stinger. She had shoulder and back pains. Stated that her fingers have feeling of pins and needles in left hand (numb). She wanted to find out what can be done to get pain to go away and if this is normal for her to experience. Stated that it brought her to tears. Stated that she has a muscle relaxer and a steroid, that both she has been on for three days and it still hurts on the pill. Later clarified muscle relaxer as methocarbamol (expiry date: 04Aug2022) pills in an orange-coloured bottle and the steroid as prednisone (expiry date: 20Apr2022) pills in an orange-coloured bottle. Stated that she normally uses her glasses to read the labels. It has been 8 days and she was still in pain. The adverse events resulted doctor or other healthcare professional office/clinic visit. The patient received treatment for adverse events with doctor prescribed methocarbamol pills and prednisone pills for pain. Since the vaccination, the patient has not been tested for COVID-19. The outcome of events was not resolved. No follow-up attempts are needed. No further information is expected.

Other Meds: VITAMINS NOS

Current Illness:

ID: 1426855
Sex: F
Age:
State: CA

Vax Date: 04/08/2021
Onset Date: 04/09/2021
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: Flu-like symptoms; Red raised welt with rash on arm at injection site of vaccine; Body aches; Fever (100F)/High fever of 102F; Chills; Nausea; Headache; This is a spontaneous report from a contactable consumer, the patient. A 51-year-old non-pregnant female patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: EW0158) via unspecified route of administration in left arm on 08Apr2021 at 11:30 (at the age of 51-year-old) as a single dose for COVID-19 immunisation. The patients medical history included latex allergy. The patient did not receive any medication within 2 weeks of vaccination. 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. Since the vaccination, the patient had not been tested for COVID-19. On 09Apr2021, the patient experienced fever (100F), chills, body aches, nausea, headache within first 48 hours of vaccine then resolved, but then all came back again 10 days later along with red raised welt with rash on arm at injection site of vaccine and high fever of 102F, somewhat resolved, and came back again over two weeks later along. Flu-like symptoms were intermittent but continued over two weeks later. No therapeutic measures were taken for the events. On 18Apr2021, the patient underwent the nasal swab (helix) and result was negative. The clinical outcome of the events fever (100F)/ high fever of 102F, chills, body aches, nausea, headache, red raised welt with rash on arm at injection site of vaccine and flu-like symptoms was not recovered at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1426856
Sex: F
Age:
State: MA

Vax Date: 04/19/2021
Onset Date: 04/20/2021
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: tongue numbness/burn feeling similar to my food allergies; tongue numbness/burn feeling similar to my food allergies; tongue numbness/burn feeling similar to my food allergies; This is a spontaneous report from a contactable consumer (patient). A 63-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot/Batch number: EN6205, Pfizer NTEC), via an unspecified route of administration in left arm on 19Apr2021 at 15:00 (at the age of 63-years-old) as 2nd dose, single for covid-19 immunization. Medical history included Hypertension, arthritis, mostly great health and known allergies: Flagyl, pollen, melon, some shellfish, latex. Prior to the COVID-19 vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. Concomitant medications included losartan and amlodipine. The patient did not receive any other vaccines within 4 weeks. The patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot/Batch number: EN62041, Pfizer NTEC), for COVID-19 immunization. On 20Apr2021 patient experienced tongue numbness/burn feeling similar to the food allergies, (melons/some shellfish). It lasted 3-4 days, lessened with Benadryl. The patient not hospitalized due to events. The patient received treatment for the events with Benadryl. The clinical outcome for the events was recovered on an unspecified date. No follow-up attempts are needed. No further information is expected.

Other Meds: LOSARTAN; AMLODIPINE

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm