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: 0921176
Sex: M
Age: 52
State: MN

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
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: Maple trees

Symptom List: Dysphagia, Epiglottitis

Symptoms: Left shoulder/upper arm pain and weakness in arm and hand. Approximately 21 hours at this time.

Other Meds: Testosterone, lansoprazole, famotidine.

Current Illness: Sinus infection

ID: 0921177
Sex: F
Age: 53
State: CO

Vax Date: 12/17/2020
Onset Date: 12/18/2020
Rec V Date: 01/05/2021
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: not avl to this reporter

Symptom List: Anxiety, Dyspnoea

Symptoms: This RN received the COVID 19 vaccine 12-17-2020 at 1730 . Called manager at 1040 to report nausea, vomiting and terrible headache. No fever noted.

Other Meds: not avl to this reporter

Current Illness: not avl to this reporter

ID: 0921178
Sex: F
Age: 40
State: MO

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/05/2021
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: unknown

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

Symptoms: At approx 7:00 in evening patient developed itching and noticed her back right side was covered in hives and a rash, she also then developed lymphedema down her right leg and up into her armpit on the right side. She also reports having a fever of 101, joint/muscle pain, and charlie horses.

Other Meds: N/A

Current Illness: none

ID: 0921179
Sex: F
Age: 34
State: TN

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Dizzy, headache, felt faint, high HR, felt off - few episodes for about 30 min after injection

Other Meds:

Current Illness:

ID: 0921180
Sex: M
Age: 45
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
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: Patient reports pain at injection site and about an hour later he reports not being able to move his arm at all, especially upward.

Other Meds: Tylenol

Current Illness:

ID: 0921181
Sex: F
Age: 26
State: WA

Vax Date: 01/03/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
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: Dust, dogs, cats, mold, Fluconazole

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

Symptoms: woke up in middle of the night (around 1 AM) due to intense pain in injection site. Took advil and went back to bed. Woke up in the morning with extreme headache and neck pain as well as pain in injection site. Took tylenol which did not help the pain or headache. Headache worsened until about noon, at which point I could not move due to neck/arm pain and headache. Symptoms dissipated quickly away pretty quickly around 1 PM

Other Meds: Bupropion, Monolinyah, Allertec,

Current Illness: none

ID: 0921182
Sex: M
Age: 60
State: NE

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 01/05/2021
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: NKA

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: SVT, significant palpitations, Shortness of breath

Other Meds: Lisinopril Calcitrol Urolic Lexapro Sodium Bicarb

Current Illness: Gout

ID: 0921212
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/05/2021
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: patient experienced: Allergies: Swelling; patient experienced: Allergies: Swelling; This spontaneous report was received from a health care professional (HCP) referring to a 58-year-old (at reporting time) female patient. The patient's past medical history, historical medication, and concurrent medical conditions were not provided. Her concomitant medication included mycophenolate mofetil (CELLCEPT), albuterol sulfate (manufacturer unknown) (HFA), albuterol, alprazolam (XANAX), betamethasone dipropionate (DEL-BETA), budesonide, formoterol fumarate (SYMBICORT), cetirizine hydrochloride (ZYRTEC), cholecalciferol (reported as "Vit D-3"), doxepin hydrochloride (SINEQUAN), filgrastim (NIVESTYM), folic acid (FOLVITE), hydroxychloroquine sulfate (PLAQUENIL), levofloxacin (LEVAQUIN), losartan potassium (COZAAR), megestrol acetate (MEGACE), metformin hydrochloride (GLUCOPHAGE), mometasone furoate (NASONEX), montelukast sodium (SINGULAIR), omeprazole (PRILOSEC), ondansetron hydrochloride (ZOFRAN), thyroid (ARMOUR THYROID), tramadol hydrochloride (ULTRAM), and valsartan (DIOVAN). On an unknown date, the patient was vaccinated with pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) for prophylaxis (formulation, concentration, administered dose, dose number, vaccination scheme frequency, route of administration, anatomical location of vaccination, lot number, and expiration date were not provided). On an unknown date, the patient experienced "allergies: swelling" (hypersensitivity and swelling). The outcome of the reported event was unknown. The causality assessment for hypersensitivity and swelling regarding pneumococcal vaccine polyvalent (23-valent) (PNEUMOVAX23) was not provided.

Other Meds: PROVENTIL; PROVENTIL INHALER (DEVICE); COZAAR; NASONEX; NASONEX NASAL SPRAY INHALER (DEVICE); SINGULAIR; CELLCEPT; albuterol; XANAX; betamethasone dipropionate; SYMBICORT; ZYRTEC; cholecalciferol; SINEQUAN; NIVESTYM (filgrastim); FOLVITE; P

Current Illness:

ID: 0921213
Sex: U
Age:
State: CA

Vax Date: 12/03/2020
Onset Date: 12/03/2020
Rec V Date: 01/05/2021
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: No additional AE/PQC reported; improperly stored; This spontaneous report was received from a medical assistant and refers to a patient of unknown age and gender. There was no information about the patient's pertinent medical history, concomitant therapies or drug reactions and allergies provided. On 03-DEC-2020, the patient was vaccinated with improperly stored dose of measles, mumps, rubella and varicella (oka-merck) virus vaccine live (rHA)(PROQUAD) lot # T015598, expiration date 02-NOV-2021, (exact dose, injection site and route of administration were not reported) for prophylaxis. Administered dose of vaccine experienced the temperature excursion of 20.5 degrees Fahrenheit for 1 hour and 54 minutes. The digital data logger was involved in recording the temperature excursion details. Administered dose of vaccine experienced the previous temperature excursion of 6 to 14 (12.3) degrees Fahrenheit for 23 hours. There was no additional adverse events reported.

Other Meds:

Current Illness:

ID: 0921214
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/05/2021
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: Hives completely covered his body; Face ears lips eyes swelled shut; ears lips eyes swelled shut; lips eyes swelled shut; eyes swelled shut; This case was reported by a consumer via interactive digital media and described the occurrence of hives in a male patient who received Flu Seasonal QIV Dresden (Influenza vaccine Quadrivalent unspecified season) for prophylaxis. On an unknown date, the patient received Influenza vaccine Quadrivalent unspecified season. On an unknown date, unknown after receiving Influenza vaccine Quadrivalent unspecified season and an unknown time after starting Cortison, the patient experienced hives, facial swelling, ear swelling, lip swelling and eye swelling. The patient was treated with cortisone acetate (Cortison) and steroid shot (nos). On an unknown date, the outcome of the hives, facial swelling, ear swelling, lip swelling and eye swelling were unknown. It was unknown if the reporter considered the hives, facial swelling, ear swelling, lip swelling and eye swelling to be related to Influenza vaccine Quadrivalent unspecified season. Additional details were reported as follows: The case was reported by patient's parent. The reporter mention the the patient had a severe reaction to the Flu shot. The patient experienced face, ear, lips and eyes swelled shut and had hives completely covered the body. The patient god shot or cortisone and steroids. The reporter said that the vaccines should not be pushed on people like the Flu vaccine was pushed on me. The reporter said no but they insisted and was persistent. The reporter said that see what happens when you did not listen to yourself and trust in god. No other information was provided. The reporter did not consent to follow up.

Other Meds:

Current Illness:

ID: 0921215
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/05/2021
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: Life threatening circumstances; This case was reported by a consumer via interactive digital media and described the occurrence of adverse event in a female patient who received DTP (A or W not known) (DTP (A or W not known)) for prophylaxis. On an unknown date, the patient received the 1st dose of DTP (A or W not known). On an unknown date, unknown after receiving DTP (A or W not known), the patient experienced adverse event (serious criteria life threatening). On an unknown date, the outcome of the adverse event was unknown. It was unknown if the reporter considered the adverse event to be related to DTP (A or W not known). Additional details were provided as follows: The reporter was patient's parent. The age at vaccination was not reported. The patient had life threatening circumstances following her 1st dose of DTP vaccine and her pediatrician said it would become a fatal event if she ever received the "P" part of the vaccine again. This case is 1 of the 4 cases reported by same reporter.; Sender's Comments: US-GLAXOSMITHKLINE-US2020AMR254860:Same reporter US-GLAXOSMITHKLINE-US2020AMR254861:Same reporter US-GLAXOSMITHKLINE-US2020AMR254863:Same reporter

Other Meds:

Current Illness:

ID: 0921216
Sex: F
Age: 58
State: AZ

Vax Date: 11/13/2020
Onset Date:
Rec V Date: 01/05/2021
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: Swelling / at the injection site/reaction progressed to her entire upper arm/reaction progressed to / her elbow/t was in her entire upper arm to her elbow; Itching at the injection site; Redness / at the injection site / site was red and round / 7 cm; it was raised; reaction progressed to her entire upper arm and to her elbow; reaction progressed to her entire upper arm and to her elbow; This case was reported by a pharmacist via call center representative and described the occurrence of extensive swelling of vaccinated limb in a 58-year-old female patient who received Herpes zoster (Shingrix) (batch number B93K4, expiry date 7th May 2022) for prophylaxis. On 13th November 2020, the patient received the 1st dose of Shingrix (intramuscular). In November 2020, less than a week after receiving Shingrix, the patient experienced extensive swelling of vaccinated limb, injection site itching, injection site erythema, injection site induration, pruritus and erythema. On an unknown date, the outcome of the extensive swelling of vaccinated limb, injection site itching, injection site erythema, injection site induration, pruritus and erythema were recovered/resolved. It was unknown if the reporter considered the extensive swelling of vaccinated limb, injection site itching, injection site erythema, injection site induration, pruritus and erythema to be related to Shingrix. Additional details were reported as follows: The patient received 1st dose of Shingrix and experienced redness, swelling and itching at the injection site. The patient stated that initially, the site was red and round, measuring approximately 7 centimeter. The patient also stated the reaction progressed to her entire upper arm and to her elbow. The reaction lasted approximately five days and currently resolved. The reporter consented to follow up. The patient stated that her physician filed an adverse event report as well and had no further information.

Other Meds:

Current Illness:

ID: 0921217
Sex: F
Age:
State: MD

Vax Date: 09/01/2020
Onset Date: 09/01/2020
Rec V Date: 01/05/2021
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: Fatigue; Headache; Weakness; Fever; Shivering; Shakes; Injection site pain; This case was reported by a consumer via call center representative and described the occurrence of injection site pain in a female patient who received Herpes zoster (Shingrix) for prophylaxis. In September 2020, the patient received the 1st dose of Shingrix (intramuscular). In September 2020, several hours after receiving Shingrix, the patient experienced injection site pain, fatigue, headache, weakness, fever, shivers and tremor. In September 2020, the outcome of the fatigue, headache, weakness, fever, shivers and tremor were recovered/resolved. On an unknown date, the outcome of the injection site pain was recovered/resolved. It was unknown if the reporter considered the injection site pain, fatigue, headache, weakness, fever, shivers and tremor to be related to Shingrix. Additional details were provided as follows: The age at vaccination was not reported. The patient received Shingrix 6 weeks ago sometime in September and within a couple of hours she developed injection site pain that lasted for 3 days and then resolved. The patient stated that about 12 hours after receiving dose woke up feeling fatigue, headache, weakness, fever, shivering and shakes. All these symptoms resolved within one day. The reporter did not consent to follow up and declines follow up for this adverse event.

Other Meds:

Current Illness:

ID: 0921218
Sex: F
Age: 51
State: VA

Vax Date: 11/18/2020
Onset Date: 11/19/2020
Rec V Date: 01/05/2021
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: redness at the injection site; swelling and redness at the injection site; pulse rate went as high at 120; erratic heart rate; headache; This case was reported by a consumer via call center representative and described the occurrence of injection site erythema in a 51-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. On 18th November 2020, the patient received the 1st dose of Shingrix. On 19th November 2020, 1 days after receiving Shingrix, the patient experienced injection site erythema, injection site swelling, high pulse rate, heart rate irregular and headache. On an unknown date, the outcome of the injection site erythema, injection site swelling and headache were recovered/resolved and the outcome of the high pulse rate was unknown and the outcome of the heart rate irregular was not recovered/not resolved. It was unknown if the reporter considered the injection site erythema, injection site swelling, high pulse rate, heart rate irregular and headache to be related to Shingrix. Additional details were provided as follows: The patient received Shingrix vaccine in right arm and the next day she observed swelling and redness at the injection site, and headache which all resolved. But also had erratic heart rate which had not resolved and was seen at the emergency room and multiple tests were done and was under observation for 7 hours and the doctor would not find the cause of the erratic heart rate. The blood pressure was normal at 110/75 and currently due to the erratic heart rate her pulse rate went as high at 120. The reporter was scheduled to see a cardiologist for further examination. The reporter consented to follow up and emergency room visit required.

Other Meds:

Current Illness:

ID: 0921219
Sex: F
Age: 73
State: AR

Vax Date: 09/23/2020
Onset Date:
Rec V Date: 01/05/2021
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: swelling / at the injection site; pain at the injection site; itch all over her body / middle of her back. torso, both legs / arms / underarms; red dots and they itch; cannot sleep well at night; states both her breast hurts; This case was reported by a consumer via call center representative and described the occurrence of injection site swelling in a 73-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. Co-suspect products included PNEUMOCOCCAL VACCINE (PNEUMONIA VACCINE) for prophylaxis. The patient's past medical history included psoriasis. On 23rd September 2020, the patient received the 1st dose of Shingrix and PNEUMONIA VACCINE. On an unknown date, less than 3 months after receiving Shingrix, the patient experienced injection site swelling, injection site pain, pruritus, red spotty rash, difficulty sleeping and breast pain. The patient was treated with hydrocortisone. On an unknown date, the outcome of the injection site swelling and injection site pain were recovered/resolved and the outcome of the pruritus, red spotty rash, difficulty sleeping and breast pain were unknown. It was unknown if the reporter considered the injection site swelling, injection site pain, pruritus, red spotty rash, difficulty sleeping and breast pain to be related to Shingrix. Additional details were reported as follows: The patient reported that she received 1st dose of Shingrix vaccine on left arm and on same day received Pneumonia vaccine on right arm. The patient experienced there was a swelling and pain at the injection site on the left arm which was resolved, but later, started to itch all over her body, the middle of back, torso, both legs and arms and also underarm. Sometimes they appeared as a red dots and they itch, but red dost went away. The patient stated most of her itching was at the torso. The patient stated because of the itching, she could not sleep well at night. The patient reported that both her breast hurts. The patient was seen by dermatologist who started some hydrocortisone cream. The reporter consented to follow up.

Other Meds:

Current Illness:

ID: 0921220
Sex: F
Age:
State: AK

Vax Date:
Onset Date:
Rec V Date: 01/05/2021
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: presented redness at the site of topical administration; reporter performed a skin test using the Boostrix; reporter performed a skin test using the Boostrix; This case was reported by a physician via call center representative and described the occurrence of erythema in a female patient who received DTPa (Reduced antigen) (Boostrix) for skin test. Previously administered products included DT vaccine with an associated reaction of cyst (cyst formation after the tetanus diphtheria vaccine received vaccine in 1979). On an unknown date, the patient received Boostrix (topical). On an unknown date, less than a week after receiving Boostrix, the patient experienced erythema, off label use in unapproved indication and exposure via skin contact. On an unknown date, the outcome of the erythema and off label use in unapproved indication were unknown and the outcome of the exposure via skin contact was not recovered/not resolved. It was unknown if the reporter considered the erythema to be related to Boostrix. Additional details were provided as follows: The age at vaccination was not reported. The reporter performed a skin test using the Boostrix vaccine to assess patient's reactivity and the initial test was negative. The patient returned after the test and presented redness at the site of topical administration it was mentioned that this redness started from 24 - 48 hours after the skin test. The reporter consented to follow up. The reporter agreed to follow up but mentioned that the first series, was not Boostrix. This case linked with US2020AMR234330, reported by same reporter.; Sender's Comments: US-GLAXOSMITHKLINE-US2020AMR234330:same reporter

Other Meds:

Current Illness:

ID: 0921221
Sex: U
Age:
State:

Vax Date: 12/25/2020
Onset Date: 12/25/2020
Rec V Date: 01/05/2021
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: eye and mouth swelling; eye and mouth swelling; injection site pain; unable to think straight; low energy; sweats; mild diarrhea; Chills; headache; bodyache; cough; dry throat; This is a spontaneous report from a non-contactable Other HCP reported that an adult patient receives first dose of BNT162B2 (COVID-19 MRNA VACCINE BIONTECH, Lot/Batch Number and Expiration Date unknown) intramuscularly on 25Dec2020 at single dose for covid-19 immunization. The patient's medical history included allergies to Pollen/dust, extreme weather. The concomitant medications were not reported. The patient experienced Chills, sweats, headache, bodyache, cough, dry throat, eye and mouth swelling (after 24 hours), injection site pain, unable to think straight, low energy, mild diarrhea. Adverse event start date: 25Dec2020. The patient been tested for COVID-19 and no COVID-19 prior vaccination. There is other vaccine in four weeks. The outcome of events was recovering. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 0921222
Sex: F
Age:
State: MD

Vax Date: 12/21/2020
Onset Date: 12/01/2020
Rec V Date: 01/05/2021
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: Palpitations; Weakness; sore throat; Burning sensation and the soreness in tongue; Burning sensation and the soreness in tongue; vomiting severely 5 times; could not eat and breathe; could not eat and breathe; abdomen was upset; cramps and pain; cramps and pain; diarrhea; This is a spontaneous report from a contactable nurse (patient). A 60-year-old female patient received the receive bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot Number: EK5730), via an unspecified route of administration on 21Dec2020 at 60-years-old at a single dose for COVID-19 immunization. Medical history included high cholesterol from an unknown date and unknown if ongoing. Concomitant medications included rosuvastatin calcium (CRESTOR) taken for high cholesterol from an unspecified date to an unspecified date. The patient experienced the following events and outcomes: palpitations (non-serious) on 22Dec2020 with outcome of unknown , weakness (non-serious) on 22Dec2020 with outcome of unknown, sore throat (non-serious) on 22Dec2020 with outcome of unknown, burning sensation and the soreness in tongue (non-serious) on 22Dec2020 with outcome of unknown, vomiting severely 5 times (non-serious) in Dec2020 with outcome of unknown, could not eat and breathe (non-serious) in Dec2020 with outcome of unknown, abdomen was upset (non-serious) in Dec2020 with outcome of unknown, cramps and pain (non-serious) in Dec2020 with outcome of unknown, diarrhea (non-serious) in Dec2020 with outcome of unknown. The nurse stated she received the COVID vaccine on 21Dec2020. The nurse stated she did not have any adverse reaction immediately on the first day but on the second day, after 24 hours, she started to have "little bit palpitations that too for a short period of time and a little bit weakness for a short period of time and sore throat. It is not just soring or swelling but it is burning sensation and, on my tongue, also I feel the same thing, burning sensation and the soreness. That was for a small period of time but on my tongue, it is still there, and my throat is still there and last night I experienced vomiting severely 5 times. After the vomiting, I could not eat and breathe." Then, the nurse slept about 3-5 hours, and woke up and her abdomen was upset. The nurse had cramps and pain and when she went to the bathroom and she had huge diarrhea, 2 times."

Other Meds: CRESTOR

Current Illness:

ID: 0921224
Sex: F
Age:
State: TX

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/05/2021
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: nausea; vomiting; This is a spontaneous report from a contactable consumer (patient). A 23-year-old female patient received bnt162b2 (BNT162B2 reported as Covid 19 vaccine or Pfizer-Biontech Covid-19 Vaccine; lot number: EL0140; expiration date: Mar2021), via an unspecified route of administration on 29Dec2020 08:15 at single dose for Covid-19 vaccination. The patient has no medical history. Concomitant medication includes unspecified birth control pills. The patient reported that she got the vaccine this morning and about maybe 30-45 min after getting the vaccine, she started being nauseous and vomiting. She doesn't have a prescribing doctor. She vomited 15 minutes ago. She has vomited 2-3 times in the last hour. She is trying to drink sprite and crackers to settle her stomach, but it is still there. She is not taking any other medication. She does take birth control but doesn't think it is pertinent. She is calling to see what she should do for symptom management and how long these side effects will last for. She mentioned that vomiting started after nausea. The patient reported that her employer does not believe she is having side effects. The outcome of the events was not recovered.

Other Meds:

Current Illness:

ID: 0921225
Sex: M
Age:
State:

Vax Date: 12/24/2020
Onset Date: 12/28/2020
Rec V Date: 01/05/2021
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: muscle pain; joint pain; severe chills; headache; nausea; This is a spontaneous report from a contactable other hcp (patient). A 37-year-old male patient received bnt162b2 (lot number: EL1284), via an unspecified route of administration at left arm, first dose on 24Dec2020 11:15, at single dose, for COVID-19 immunization. No relevant Medical history. No known allergies to medications, food, or other products. No concomitant medication was received. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient did not receive other medications within 2 weeks of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. Age at vaccination was 37 years old. The patient experienced muscle pain, joint pain, severe chills, headache, nausea on 28Dec2020 14:00. No treatment was received for the adverse event. The events were reported as non-serious. Outcome of the events was recovering.

Other Meds:

Current Illness:

ID: 0921226
Sex: M
Age:
State: MN

Vax Date:
Onset Date:
Rec V Date: 01/05/2021
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: worsening muscle aches; pains; joint site symptoms; This is a spontaneous report from a contactable physician (patient). A 55-year-old male patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number and expiration date were not reported), via an unspecified route of administration on an unspecified date at a single dose for COVID-19 immunization. The patient's medical history included muscle aches. Concomitant medications were not reported. He usually takes an anti inflammatory for muscle aches but decided to hold it prior to receiving the first dose of the vaccine. After getting the vaccine, he started to experience worsening muscle aches, pains, and joint site symptoms. He thinks nothing was out of the ordinary. He get these symptoms any time he receive a vaccine. Outcome of the events was unknown. The following information on the batch number has been requested.

Other Meds:

Current Illness:

ID: 0921227
Sex: M
Age:
State:

Vax Date: 12/24/2020
Onset Date: 12/25/2020
Rec V Date: 01/05/2021
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 from a contactable consumer (patient) via a Pfizer-sponsored program. A 57-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), intramuscular on 24Dec2020 at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient is a male nursing student. He received COVID vaccine 24Dec2020 and then realized he wasn't going to be available to receive the second dose at his facility until 26Jan2021 and was wondering if it would be too long to wait. He also reported he had a reaction to the 1st dose, a "tiny headache off and on, chills, low energy on 25Dec2020" all of which resolved within approximately 30 hours. He had also heard that the 2nd dose has "worse side effects". The outcome of events tiny headache off and on, chills and low energy was recovered in Dec2020. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0921228
Sex: M
Age:
State: VA

Vax Date: 12/24/2020
Onset Date: 12/24/2020
Rec V Date: 01/05/2021
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: vomited; nausea/ felt sick to his stomach; felt woozy; didn't feel well; right deltoid soreness; This is a spontaneous report from a contactable physician (patient). A 77-years-old male patient received the first dose of BNT162B2 (Lot: EH9899), via an unspecified route of administration in deltoid right, on 24Dec2020 11:30 at single dose for COVID -19 immunization. Medical history included pulmonary embolism half a dozen years ago. He has had no problems with Deep Vein Thrombosis or pulmonary emboli since then, since half a dozen years. He has had a battery of lab tests 2 months ago, his blood glucose was high, it was 106 mg. The potassium was ok. He has had no issues with vaccines in the past. He had an antibody test last Jul2020 because he had bacterial lower urinary tract prostate infection. Concomitant medication included rivaroxaban (XARELTO) at 10 mg a day and cefalexin sodium (CEPHALEXIN) at 500 mg three times a day, well approximately 3, sometimes he forget a dose. The physician reported possible side effects of Covid vaccine. The physician received the vaccine on 24Dec2020 at 11:30 in the late morning and felt fine. He woke up on 25Dec2020 and at 2:30AM he was sick to his stomach and vomited and didn't feel well the rest of the day. Since then he had been okay, he had occasional nausea and vomiting. He clarified that on 24Dec2020, in the late evening, his appetite which was usual, was robust. Then on 25Dec2020 at 2:30 in the morning he vomited, and had no trouble since then. From what he read, nausea and vomiting are observed following the injection. On 24Dec2020 just before bed, he had a light supper, his appetite was robust, then unexpectedly he woke up sick to his stomach and went back to bed on 25Dec2020. He clarified that he had not vomited since the one episode on 25Dec2020. He also added that he has not been nauseous since then. Caller also added that he felt a little woozy on Holiday 25Dec2020, it only lasted up until the evening of 25Dec2020. He had the 1 episode vomiting on 25Dec2020 and felt woozy until late evening of 25Dec2020. His right deltoid where he received the vaccine was a little bit sore on 24Dec2020, and he was still having a little bit of soreness, it is slight, not very tender, he is unable to do usual morning exercises with out noticing the discomfort, the exercise he is doing is chin ups, the soreness is not intense and it never was. The lab test in 2020 included Height: under 5 feet 5 inches. Weight: about 165lbs or 167lbs. He had no positive test for COVID prior to the vaccine. All the tests were negative. The 1st one was nasopharyngeal, and all the next ones after were nasal swabs. He thought they are all reverse transcriptase tests. The last time he had a COVID test they did a nasal swab, it was this morning, and before that was last Monday or Tuesday, but he thought more so Monday. He had one PCR test. The outcome of the events vomited, nausea and felt woozy was recovered on 25Dec2020. The outcome of the event right deltoid soreness was recovering. The outcome of the other event was unknown. The 2nd dose for Covid vaccine was schedule for 14Jan2021.

Other Meds: XARELTO; CEPHALEXIN [CEFALEXIN SODIUM]

Current Illness:

ID: 0921229
Sex: F
Age:
State: PA

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 01/05/2021
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: injection site was itchy, red, warm, and firm; injection site was itchy, red, warm, and firm; injection site was itchy, red, warm, and firm; injection site was itchy, red, warm, and firm; pain under her left arm near her left breast; very sore arm; This is a spontaneous report from a contactable nurse (patient herself). A 33-year-old female patient received the first dose of BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine, Solution for injection; lot number: EJ1685, expiration date: unknown), intramuscularly on the left arm on 21Dec2020 at 12:00 PM at a single dose for COVID-19 immunization administered at the hospital. The patient had no medical history. The patient had no known allergies; there were no allergies to medications, food, or other products. There were no concomitant medications. The patient was not pregnant at the time of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On the first (1st) day after vaccine (22Dec2020), the patient experienced very sore arm, but no other effects until the 8th day after vaccine. On 28Dec2020 at 08:00, the patient started with pain under her left arm near her left breast. On 29Dec2020, the injection site was itchy, red, warm, and firm. The reporter assessed the events as non-serious. The patient did not receive any treatment for all the events. The patient was not recovered from the events "very sore arm, pain under her left arm near her left breast, and injection site was itchy, red, warm, and firm."

Other Meds:

Current Illness:

ID: 0921230
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/05/2021
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: pain in the administration site; tired; feeling dehydrated; had a low degree fever; her nostrils were stuffed or clogged.; pain in the arm; went to sleep 3 hours earlier than usually did, waking up five hour later; feeling like that was about to had flu; This is a spontaneous report from a contactable consumer (patient). This consumer reported similar events for 2 patients. This is 1st of 2 reports. A female patient of an unspecified age received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date at single dose for covid 19 vaccination. The patient's medical history and concomitant medications were not reported. The patient previously took the first dose of BNT162B2. The patient reported that she experienced a few symptoms after the administration of the second dose of the Pfizer's COVID-19 vaccine. The consumer reported that she was in observation for 30 minutes after she was administered with the second dose of the Pfizer's COVID-19 vaccine and she felt only pain in the administration site. Then at night she felt really tired and she went to sleep 3 hours earlier than she usually does, waking up five hour later with pain in the arm and feeling dehydrated and with the need of sugar, also feeling like she was about to had flu. The patient measured her temperature and she reported that she had a low degree fever but maybe the thermometer was malfunctioning, also she noticed that her nostrils were stuffed or clogged. The consumer reported that today on 29Dec2020 in the morning she woke up feeling much better and with one nostril unclogged. The consumer reported that the same symptoms were experienced by a friend of hers after the administration of the second dose of the Pfizer's COVID-19 vaccine. The outcome of the events was recovering. Information on the lot/Batch number has been requested.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2020519005 same reporter and drug and AE, different patient;US-PFIZER INC-2020519005 Same Reporter and Drug/Diffrent Patient

Other Meds:

Current Illness:

ID: 0921231
Sex: F
Age:
State:

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/05/2021
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: lower back pain bilaterally; This is a spontaneous report from a contactable other healthcare professional. A female patient of an unspecified age started to receive BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: unknown), via an unspecified route of administration on 28Dec2020 at single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient experienced lower back pain bilaterally on 28Dec2020. She mentioned she didn't lift anything heavy or do anything since yesterday to cause the lower back pain. She clarified the pain started in her lower back and spread bilaterally. She asked if lower back pain is a common side effect of the COVID-19 Vaccine. She said she has never had lower back pain like that before. Event outcome was unknown. No follow up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 0921232
Sex: M
Age:
State: AZ

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/05/2021
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: light headed; heart was racing; itchy in one part of my right arm (back of the shoulder)/Itching like all over my body; abdomen were itchy and bumps/rashes and some bumps in my body; some rashes; it is like an allergy/like the allergic reaction the medication that causes it; This is a spontaneous report from a contactable Nurse reporting for himself. A 23-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EK5730), via an unspecified route of administration in left deltoid on 28Dec2020 15:00 at single dose for prevention for Covid-19. The patient medical history included electrolyte imbalance. Concomitant medications included ascorbic acid, rosa canina (VITAMIN C WITH ROSE HIPS), zinc, vitamin D3, all started from Dec2020 (18 or 19Dec2020) and ongoing for "immune system". At 3pm yesterday (28Dec2020) he received the vaccine. He experienced feeling light headed and his heart was racing a minute after receiving the vaccine. Around 11-12pm he was itching on his arm, abdomen and back. He took an allergy pill and rubbed hydrocortisone cream on his back, arm and armpit. After taking the medication and rubbing the cream the bumps went down 30 minutes to an hour later. He woke today and everything was clearing. These symptoms usually hit him from having an electrolyte imbalance. He had missed the past 2 doses of Vitamin C, Zinc and Vitamin D3. He had 2 Covid test prior to getting the vaccine. His height was 6 feet 3 or 6 feet 4. He started like itching like all over his body. He noticed some rashes and some bumps in his body, it was like an allergy. He was just wondering if this was like the allergic reaction the medication that causes it. The outcome of the events light headed and heart was racing was recovered on 28Dec2020 15:01 and the outcome of the other events was recovered on an unknown date in Dec2020.

Other Meds: VITAMIN C WITH ROSE HIPS [ASCORBIC ACID;ROSA CANINA]; ; VITAMIN D3

Current Illness:

ID: 0921233
Sex: F
Age:
State: FL

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/05/2021
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: Fever -102; Chills; Headache; Left arm pain and swelling; Left arm pain and swelling; General body aches; Nausea; Tired; Unwell; Dizzy; This is a spontaneous report from a contactable other HCP (patient). A 23-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (lot number E49899) (Brand: Pfizer), via an unspecified route of administration at 28Dec2020 15:45 at single dose for covid-19 immunization. Vaccine location was left arm and it was the first dose. The patient medical history and concomitant medications were not reported. No known allergies. Patient was not diagnosed with COVID-19 prior to vaccination nor tested for COVID-19 since the vaccination. The patient didn't receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced fever -102, chills, headache, left arm pain and swelling, general body aches, nausea, tired, unwell, dizzy at 29Dec2020 11:00 AM. It's unknown if patient received treatment for the adverse events. The action taken in response to the events for BNT162B2 was not applicable. The outcome of events was not recovered. The events were reported as non-serious.

Other Meds:

Current Illness:

ID: 0921234
Sex: F
Age:
State: NM

Vax Date: 12/16/2020
Onset Date: 12/16/2020
Rec V Date: 01/05/2021
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: Tiredness; sleepy; headache; malaise; This is a spontaneous report from a contactable Other HCP (patient). A 55-year-old female (not pregnant) patient received first dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot/batch number and expiry date were not provided), intramuscular in arm Left on 16Dec2020 12:45 at single dose for COVID-19 immunisation. Medical history included none. No allergies to medications, food, or other products. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient's concomitant medications were not reported. The patient experienced tiredness, sleepy, headache, malaise on 16Dec2020 16:00. The patient underwent lab tests and procedures which included Nasal Swab: negative on unknown date in Dec2020. The patient not received any other vaccines within 4 weeks prior to the COVID vaccine. Since the vaccination, the patient has been tested for COVID-19. No treatment received for the adverse event. Case was non-serious. The outcome of events was recovered in Dec2020. Information on the Batch/Lot number has been requested.

Other Meds:

Current Illness:

ID: 0921235
Sex: F
Age:
State: UT

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/05/2021
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: sore arm; Extreme fatigue; My arms felt like lead for three days; I felt so sleepy/I felt like I could barely keep my eyes open for three days; mild headache; menstrual cramps; diarrhea; I had bizarre dreams like being attacked by zombies for three days; chills; This is a spontaneous report from a contactable pharmacist. A 43-year-old non-pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EJ1686), via an unspecified route of administration at Left arm on 23Dec2020 17:45 at single dose for covid-19 immunization. Patient known allergies included Imitrex, beef, grass, weeds, trees, Cats. Other medical history included Asthma, allergies, migraine, Premenstrual syndrome (PMS), overweight. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine but received other medications in two weeks. The COVID-19 vaccine was administered at Hospital. The patient experienced extreme fatigue. Her arms felt like lead for three days, and she felt so sleepy. She felt like she could barely keep her eyes open for three days. She had a mild headache. It triggered menstrual cramps and diarrhea for three days. She had bizarre dreams like being attacked by zombies for three days. She had chills for a few hours. She had a sore arm for a couple of days. Adverse events start date was 23Dec2020 10:00 PM. Treatment included Tylenol. Prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination, the patient was not been tested for COVID-19. Outcome of chills was recovered on 24Dec2020, of headache, chills, fatigue and sore arm was recovered in Dec2020, of other events was recovered on 26Dec2020.

Other Meds:

Current Illness:

ID: 0921236
Sex: F
Age:
State:

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/05/2021
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: tingling a few hours after administration of vaccine and that the symptom has not resolved/from her elbow to her hand was tingling like she hit her funny bone; This is a spontaneous report from a contactable physician (patient herself). A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiry date not reported), via an unspecified route of administration on 28Dec2020 at a single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. On 28Dec2020, the patient experienced tingling a few hours after administration of vaccine and that the symptom has not resolved. She got her vaccine, and a few hours later, from her elbow to her hand was tingling like she hit her funny bone, and she was wondering if this was a known side effect of the vaccine. Clinical outcome of the event was not recovered. Information on Lot/Batch has been requested.

Other Meds:

Current Illness:

ID: 0921237
Sex: U
Age:
State:

Vax Date: 12/23/2020
Onset Date: 12/25/2020
Rec V Date: 01/05/2021
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: I have headache like migraine headache on the side, off and on like every four hour every three or four hour; Fever; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EK9231, expiry date not reported), via an unspecified route of administration on 23Dec2020 at single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. The patient experienced fever on 25Dec2020. The patient also had a headache like migraine headache on the side, off and on like every four hour every three or four hour on an unspecified date. Clinical outcome of fever was recovered on Dec2020, while for migraine headache was unknown. Follow-up attempts are not possible. No further information is expected.

Other Meds:

Current Illness:

ID: 0921238
Sex: F
Age:
State: NJ

Vax Date: 12/26/2020
Onset Date: 12/27/2020
Rec V Date: 01/05/2021
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: Dizziness since receiving the vaccine; This is a spontaneous report from a contactable nurse (patient). A 65-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE lot/batch number: ELO140), via an unspecified route of administration on the right arm on 26Dec2020 17:00 at SINGLE DOSE for COVID-19 immunization at the hospital. Medical history included reported as none and the patient had no known allergies. The patient's concomitant medications were not reported. It was mentioned that prior to vaccination, the patient was not diagnosed with COVID-19 and had not been tested for COVID-19 since vaccination. On 27Dec2020 05:00, the patient experienced dizziness since receiving the vaccine. The patient did not receive any treatment for the adverse event. Outcome of the event was recovering.

Other Meds:

Current Illness:

ID: 0921239
Sex: F
Age:
State: NY

Vax Date:
Onset Date:
Rec V Date: 01/05/2021
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: fair amount of bleeding after the needle was removed/lot of bleeding at the injection site; This is a spontaneous report from a contactable physician. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE lot/batch number: not provided), via an unspecified route of administration on an unspecified date at SINGLE DOSE for COVID-19 immunization at the hospital. Medical history and concomitant medications were not reported. On an unknown date, it was reported that a resident at the hospital had a fair amount of bleeding after the needle was removed. It also mentioned that a lot of bleeding at the injection site. The reporter was unsure if the resident received the Pfizer of Moderna vaccine. Outcome of the event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0921240
Sex: F
Age:
State: TX

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/05/2021
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: Shortness of breath; heaviness in chest; headache; dizziness; nausea; The patient also received first dose of unspecified other vaccine on the same day of COVID vaccine; This is a spontaneous report from a contactable nurse (patient) reported for herself. A 53-year-old female (not pregnant at the time of vaccination) patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration at left arm on 29Dec2020 11:30 at single dose for COVID-19 immunization at a hospital. The patient also received first dose of unspecified other vaccine on the same day of COVID vaccine (29Dec2020) at left arm. The patient's medical history included diabetes type 2, arthritis, known allergies to Shrimp and penicillin. The patient's concomitant medications received within 2 weeks of vaccination included unspecified medications. No other vaccines within 4 weeks prior to the COVID vaccine. The patient previously took lisinopril and experienced drug hypersensitivity (Known allergies: Lisinopril). The patient was not diagnosed with COVID-19 prior to vaccination, and had not been tested for COVID-19 post the vaccination. On 29Dec2020 11:30, the patient experienced shortness of breath, heaviness in chest, headache, dizziness and nausea. Treatment for above events included antihistamine. The outcome of the events shortness of breath, heaviness in chest, headache, dizziness and nausea was recovered in Dec2020. The events were reported as non-serious by the reporter. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0921241
Sex: F
Age:
State: PA

Vax Date: 12/22/2020
Onset Date: 12/01/2020
Rec V Date: 01/05/2021
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: Chills; Muscle ache; Headache; Did not feel well in general; Right arm soreness in the same arm that the COVID vaccine was given; It was hard to lift her arm and woke her up when she was sleeping; It was hard to lift her arm and woke her up when she was sleeping; This is a spontaneous report from a contactable consumer (patient, occupation: Respiratory Therapist). A 50-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number and expiration date not provided), via an unspecified route of administration on 22Dec2020 11:00 (reported as Approximately 11am in the morning) at single dose to help stop the spread of COVID. Location of the COVID Vaccine: Right arm. There was no additional Vaccines Administered on Same Date of the Pfizer Suspect. There were no prior Vaccinations with 4 weeks. Medical history included she had tested positive for COVID on 02Oct2020. The patient did not have any illness at time of vaccination. Family Medical History Relevant to adverse event also reported as none. There were no concomitant medications. The patient previously had flu vaccine given at the hospital she works at and She had mild arm soreness after the Flu vaccine. The patient experienced Right arm soreness in the same arm that the COVID vaccine was given on 22Dec2020, Chills on 23Dec2020, Muscle ache on 23Dec2020, Headache on 23Dec2020, did not feel well in general on 23Dec2020. Caller reported that she experienced right arm soreness, in the arm she received the vaccine, that was unlike any other vaccine she had ever had. The arm soreness began the same evening as the day she received the COVID vaccine. It was hard to lift her arm and woke her up when she was sleeping in Dec2020. The remainder of the side effects began the following morning after she had received the COVID Vaccine. Other side effects included chills, which lasted until the 24th or 25Dec2020. Muscle aches, which lasted until the 24th or 25th Dec2020. Headaches, which she is still getting off and on, but it is hard to say if the headaches that she is still getting is still from the COVID vaccine. The headaches are coming less often. She has had to take something for the headaches. Caller stated that she did not feel well, in general. Asked caller what other vaccines she had received and had experienced arm soreness but not to the extent she had after the COVID Vaccine and caller stated that she had mild arm soreness after the Flu vaccine. Previous flu vaccines had been given to her at the hospital she works at; therefore, she did not have any lot number information for these flu vaccines. The reported adverse events did not require a visit to Emergency Room and Physician's office. The patient was not hospitalized. The outcome of event Right arm soreness in the same arm that the COVID vaccine was given was recovered on 26Dec2020, the outcome of the event Chills, Muscle ache was recovered in Dec2020, the outcome of the event did not feel well in general was recovered on 25Dec2020. The outcome of the event Headache was recovering. The outcome of the other events was unknown. The causality assessment for events Right arm soreness in the same arm that the COVID vaccine was given, Chills, Muscle ache, Headache, did not feel well in general with suspect COVID vaccine was assessed as related by Primary Source Reporter via Method of assessment Global Introspection. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0921242
Sex: F
Age:
State: AR

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/05/2021
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: Facial Flushing; throat constriction; feeling faint; This is a spontaneous report from a contactable pharmacist. An adult female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) solution for injection, lot number: EJ1685, intramuscular in the left arm, first dose on 28Dec2020 07:45 at a single dose for Covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient was not pregnant. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced facial flushing, throat constriction, and was feeling faint on 28Dec2020 at 07:45 AM with outcome of recovered on an unspecified date. The patient received treatment for the events with diphenhydramin, methylpred and famotidine. The patient had no covid prior to vaccination nor was she tested post vaccination. The events was reported as non-serious. The events resulted to emergency room/department or urgent care.

Other Meds:

Current Illness:

ID: 0921243
Sex: F
Age:
State: TX

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/05/2021
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: itching on my left arm, face and neck; This is a spontaneous report from a contactable Other Health Professional (patient). A 55-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) lot number: ELO140, via an unspecified route of administration in the arm left, first dose on 28Dec2020 16:15 at a single dose for Covid-19 immunization. Medical history was none, she had no known allergies. There were no concomitant medications. The patient was not pregnant. The patient did not receive any other vaccine within four weeks prior to covid vaccine. She had no covid prior vaccination nor was she tested post vaccination. The patient experienced a little itching on her left arm, face and neck, but other than that, nothing else, all on 28Dec2020 at 04:30 PM with outcome of recovered in Dec2020. No treatment received for the event.

Other Meds:

Current Illness:

ID: 0921244
Sex: F
Age:
State: MI

Vax Date: 12/27/2020
Onset Date: 12/01/2020
Rec V Date: 01/05/2021
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: Light headedness/Dizziness/Feeling like I am going to faint; Body weakness like uncontrollable fatigue; Body weakness like uncontrollable fatigue; severe stomach pain; This is a spontaneous report from a contactable consumer (patient). A 34-year-old female patient received her first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EK5730, expiration date: 30Mar2021), via an unspecified route of administration on 27Dec2020 at single dose for COVID-19 immunization. Medical history included Hashimoto's thyroiditis and fibromyalgia. Concomitant medication included duloxetine hydrochloride (CYMBALTA) as thyroid medication (when probed for thyroid medication, consumer stated, "CYMBALTA." (Indication was not clarified further)) and the patient also took her thyroid medications, medication for fibromyalgia. Consumer stated that she just got the COVID vaccine, her first COVID vaccine yesterday (27Dec2020) and she was experiencing some side effects that were more severe than just pain in my arm. When clarified if had pain in arm, consumer stated "No", she was experiencing light headedness, dizziness, feeling like I am going to faint, severe stomach pain, body weakness like uncontrollable fatigue in Dec2020. The outcome of the events was unknown.

Other Meds: CYMBALTA

Current Illness:

ID: 0921245
Sex: F
Age:
State: MA

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/05/2021
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; fatigue; lightheaded; This is a spontaneous report from a contactable other health professional (patient). A 58-year-old female patient received the first of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), intramuscularly on 28Dec2020 16:15 to 28Dec2020 16:15 at left arm, at single dose for covid-19 immunization. Medical history was none. Allergies to medications, food, or other products was no. Concomitant medication included bupropion hydrochloride (WELLBUTRIN). The patient was not pregnant at the time of vaccination. The patient experienced sore arm, fatigue, lightheaded on 29Dec2020 14:00. No treatment was received for all event. The outcome of the events was not recovered. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. No seriousness criteria: no Results in death, no Life threatening, no Caused/prolonged hospitalization, no Disabling/Incapacitating, no Congenital anomaly/birth defect. Information about Lot/Batch number has been requested.

Other Meds: WELLBUTRIN

Current Illness:

ID: 0921246
Sex: F
Age:
State: PA

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/05/2021
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; chills and fever/ 99.2 degrees Fahrenheit; body aches; tired and lethargic/ feels very fatigue; tired and lethargic; severe headache; This is a spontaneous report from a contactable nurse (patient). A 54-years-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/lot number: ELO140), via an unspecified route of administration on 28Dec2020 09:15 at single dose on left deltoid for COVID-19 immunization in hospital. Medical history included allergies; COVID-19 and received her positive result on 22Oct2020, the reporter didn't know if that was pertinent, she was out of work for 15 days. Concomitant medication included lisinopril, clarithromycin (CLARITIN) for allergies, mometasone furoate (FLONASE) for allergies. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient received her flu vaccine was in Oct2020. The patient received the vaccine on 28Dec2020 and was having side effects. No shortness of breath, but she did have some side effects. She felt fine most of the day. In the afternoon around 2PM (28Dec2020 14:00), she developed a severe headache and took 600mg ibuprofen and it didn't touch it. She took another 600mg of ibuprofen in the evening. She felt tired and lethargic on 28Dec2020 20:00 so she went to bed. This morning (29Dec2020) she had body aches and feels very fatigue. She still has a headache. She has chills and fever on 29Dec2020 08:00. Her temperature was 99.2 degrees Fahrenheit about 2 hours before (29Dec2020). The severe Headache was compared to last night it was better, but she still had slight headache. About tired and lethargic, driving to work she wanted to go to sleep. she was at work at her desk and she was not as tired as before. The lot number was on the card she was given. She was not sure if it was ELO140 or EL0140. No emergency room or physician office was required for any adverse event. The outcome of headache, tired and lethargic was recovering, of chills and fever was not recovered, of body aches was unknown. For events severe headache, tired and lethargic, chills and fever, the seriousness was reported as non-serious, the relatedness was related with COVID vaccine.

Other Meds: ; CLARITIN; FLONASE

Current Illness:

ID: 0921247
Sex: F
Age:
State: AZ

Vax Date: 12/27/2020
Onset Date: 12/27/2020
Rec V Date: 01/05/2021
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: body aches/achy; Headache; not feeling great; congestion; Two hours after receiving the vaccine she had a runny nose; 4 hours after she was experiencing some itching in the back of her throat, on her chest, and on her back.; 4 hours after she was experiencing some itching in the back of her throat, on her chest, and on her back.; Allergic reaction; heated flushing feeling in her cheeks; This is a spontaneous report from a contactable Other healthcare professional (HCP) reporting for herself. A 56-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: E49899), via an unspecified route of administration on 27Dec2020 at single dose for covid-19 immunization. It was the first dose. Medical history included allergic to shellfish. There were no concomitant medications. Two hours after receiving the vaccine on 27Dec2020 she had a runny nose. Then, 4 hours after she was experiencing some itching in the back of her throat, on her chest, and on her back. She didn't have a rash. She did feel like what she was having was an allergic reaction. She had a heated flushing feeling in her cheeks. It was very similar to the reaction she has when she eats shellfish. The allergic side effects have subsided. When she was having the reaction she took one Claritin, and it ended up going away. Yesterday the 28Dec2020. She was also achy. She had a headache, and body aches. She wasn't feeling great, but they have gone away. She also had congestion. Those all started the 28Dec2020 in the morning. The outcome of the events was recovered on an unknown date in Dec2020.

Other Meds:

Current Illness:

ID: 0921248
Sex: F
Age:
State: MO

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/05/2021
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: Itching that began localized to the injection site then spread all over the body. Feels like a burning sensation as well and an itch you can't scratch; Itching that began localized to the injection site then spread all over the body. Feels like a burning sensation as well and an itch you can't scratch; Itching that began localized to the injection site then spread all over the body. Feels like a burning sensation as well and an itch you can't scratch; This is a spontaneous report from a non-contactable nurse (patient). A 41-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 28Dec2020 at single dose for covid-19 immunization. Vaccine location was right arm and it was the first dose. The facility type vaccine was hospital. The patient medical history and concomitant medications were not reported. Patient was not diagnosed with COVID-19 prior to vaccination nor tested for COVID-19 since the vaccination. The patient didn't receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient stated itching that began localized to the injection site then spread all over the body. Felt like a burning sensation as well and an itch you can't scratch on 29Dec2020. Patient received Benadryl as treatment for the adverse events. The action taken in response to the events for BNT162B2 was not applicable. The outcome of events was not recovered. The events were reported as non-serious. No follow-up attempts are possible; Information about batch/lot number cannot be obtained.

Other Meds:

Current Illness:

ID: 0921249
Sex: M
Age:
State:

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 01/05/2021
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: Contracted Covid after receiving the first vaccine; Contracted Covid after receiving the first vaccine; This is a spontaneous report from a contactable consumer (patient). A 51-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 21Dec2020 at single dose for covid-19 immunisation. Medical history included asthma, dry cough due to inhalation from fires over the years. The patient's concomitant medications were not reported. Contracted Covid after receiving the first vaccine was reported. The patient received the first dose of the Covid vaccine, then contracted Covid. He now had the option to receive antibodies through plasma. Since he had the vaccine, was that still an option? Or was that a no-no? He received the vaccine at work on 21Dec2020. He got sick on 22Dec2020 and he was at home. He didn't feel like eating, and can't lay down because it made it worse to cough. He didn't know what vitamins they were giving him. The patient probably should be in a hospital, but was not. The outcome of events was not recovered. Information on Lot/Batch number has been requested.

Other Meds:

Current Illness:

ID: 0921250
Sex: U
Age:
State:

Vax Date: 12/20/2020
Onset Date: 12/27/2020
Rec V Date: 01/05/2021
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: Fever was up to 102.4; Chills; Body ache; This is a spontaneous report from a contactable consumer (patient herself). A patient of unspecified age and gender received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiry date not reported), via an unspecified route of administration on 20Dec2020 at single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. On 27Dec2020, the patient experienced fever was up to 102.4, chills, and body ache. Therapeutic measures were taken as a result of the events that included ibuprofen (Motrin). Clinical outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0921251
Sex: F
Age:
State:

Vax Date: 12/01/2020
Onset Date: 12/01/2020
Rec V Date: 01/05/2021
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: Diarrhea; she had body aches; Tingling in her Jaw and in her mouth; Headache; Nausea; She is having extreme difficulties; not feeling well; Not sleeping well during the night; tingling in her Jaw; This is a spontaneous report from a contactable Consumer(mother). A female patient received (BNT162B2), via an unspecified route of administration in Dec2020 at single dose for COVID-19 immunization. The medical history and concomitant medications were not reported. The reporter was giving her daughter's name she was the respiratory therapist at the hospital and she received the Pfizer Covid Vaccine last Monday in Dec2020 and she was having extreme difficulties today. She had diarrhea, she had body aches, she had tingling in her mouth, headache, her nausea and all of the sudden it started with yesterday in Dec2020 and perhaps the day before it started with the tingling in her Jaw and in her mouth and she woke up today and not feeling well and she took a nap after not sleeping well during the night and when she woke up from the nap she had extreme body aches, diarrhea, nausea, headache. The outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0921252
Sex: F
Age:
State: HI

Vax Date: 12/23/2020
Onset Date: 12/01/2020
Rec V Date: 01/05/2021
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: Some swelling of arm; Rash developed 5cm x 4cm at injection site; Chills and shivers; Bronchospasm cough; Bronchospasm cough; Mild eczema flare ups, itchiness and sores; Mild eczema flare ups, itchiness and sores; Mild eczema flare ups, itchiness and sores; Spasm; she has a lot of allergies; This is a spontaneous report from a contactable nurse. This 60-year-old female nurse (patient) received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 23Dec2020 to 23Dec2020 at 0.3 mL single on left deltoid to prevent getting the COVID vaccine, for protection. Medical history included ongoing asthma diagnosed in her mid twenties, in the 80s, she had asthma when she was a child, then it stopped and resurfaced in her mid twenties, ongoing eczema diagnosed years already, a long time ago and unspecified allergies with medications. There were no concomitant medications. She received the vaccine on 23Dec2020. She has a lot of allergies in Dec2020, and had some side effects, and she got through it ok. Her side effects were some swelling of arm, a rash developed, like 5cm x 4cm at site of injection, chills and shivers, and a bronchospasm cough on 24Dec2020. Arm swelling event started 24 hours later, no more, it was stable for 24 hours, and the 3rd day, went down, was a little raised, the next day was flat but still red. She had recovered completely. The 4th day was a good day. The patient stated she had some allergy shots she had to go through before, this was no different. Rash was no more, it was gone by 27Dec2020. She was still able to go to work. Chills and shivers started 24 hours later, and took for 48 hours intermittently, she had since recovered completely. The patient stated this was all nothing different than getting like the flu shot. Bronchospasm cough event only took another 48 hours, the difference was, even when she calls it bronchospasm, it was close to when she had an asthma attack, but no chest tightness, shortness of breath, she just would cough, spasm in Dec2020 and stop. She had recovered completely. The patient stated she had no symptoms at all before the vaccine, she was healthy, she made sure nothing was going on, that she was not tired, had no cold, she took no medications for this, as she wanted to know how her body reacted and if it can handle it. They says it was ok to take paracetamol (TYLENOL), but she did not, but the second dose she would, now that she knows and she was comfortable through it. She did have some mild eczema flare ups, itchiness and sores that came up in Dec2020, but nothing to run to the hospital to the doctor for. Clarifies this occured after she received the vaccine. The outcome of the event allergies, mild eczema flare ups, itchiness and sores were unknown. The outcome of rash at site of injection was recovered on 27Dec2020. The outcome of other events was recovered in Dec2020. The causality between Pfizer COVID vaccine with some swelling of arm, rash developed 5cm x 4cm at injection site, chills and shivers, bronchospasm cough was related (Source of assessment: Primary Source Reporter, Method of assessment: Global Introspection). Information on the lot/batch number has been requested.

Other Meds:

Current Illness: Asthma; Eczema

ID: 0921253
Sex: F
Age:
State: MS

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/05/2021
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: throat sore and pain in neck; her throat is sore, feels like it may be swelling; some neck pain; it feels like muscle spasms; extremely tired; soreness in her arm; Chills; Nausea; felt weak/having some weakness; massive headache/mild headache; This is a spontaneous report from a contactable consumer (patient). A 49-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EK5730) via an unspecified route of administration on 28Dec2020 11:00 on left arm at a single dose for COVID-19 immunization. The patient was positive for Covid back in Jun2020, it was a bad case that she was hospitalized for 6 days, that she did not have to go on respirator. She stated these days she still struggled with chest pains and still struggled with her taste, she went to the emergency room in Sep2020 with some issues from that. The patient concomitant medications were none. The patient stated she was retired who works security at a hospital that she got her first dose of the Pfizer Covid vaccine yesterday on 28Dec2020. She was calling to report some side effects from the vaccine. She was skeptical about shot but she went ahead and got the vaccine, she took it and waited the 15 minutes and everything was fine except some soreness in her arm, about an hour after the shot, she felt extremely tired, could not even read, by last night she was getting chills, nauseated and weak, all she wanted to do was sleep, she had a massive headache. She kept thinking she was going to have to go to the ER. She woke up this morning and her throat was sore, felt like it may be swelling, felt sick. She took two advil and her headache was better. She was taking tumeric and ginger root and honey with lemon for her throat. She knew she was not sick that it is just the vaccine and she would power through it but wanted to call. She was starting to feel better but still having some weakness, still tired, had pain in the arm of the injection site, a mild headache. She stated these side effects are still ongoing but are improved. She was also having some neck pain started this morning sometime, but does not know exact time, it feels like muscle spasms. Caller wanted to know if because she had Covid before her side effects are so bad. The patient did not do any relevant tests. The outcome of the events soreness in her arm, extremely tired, Headache was recovering, the outcome of the events Chills, Nausea was recovered in Dec2020 and the other events was not recovered.

Other Meds:

Current Illness:

ID: 0921255
Sex: F
Age:
State: PA

Vax Date: 12/27/2020
Onset Date: 12/27/2020
Rec V Date: 01/05/2021
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: numbness in pinky of left arm; soreness at spot of injection; fatigue; This is a spontaneous report from a contactable consumer. An adult female non-pregnant patient received her first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number was not available), via an unspecified route of administration on 27Dec2020 at single dose on her left arm for Covid-19 immunization. The patient medical history was not reported. The patient had received unknown other medications within 2 weeks of vaccination. The patient experienced numbness in pinky of left arm and soreness at spot of injection and fatigue on 27Dec2020. The outcome of the events was recovering. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0921256
Sex: F
Age:
State: IL

Vax Date: 12/16/2020
Onset Date: 12/16/2020
Rec V Date: 01/05/2021
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: is nursing twins; is nursing twins; slight headache; arm soreness; This is a spontaneous report from a contactable other health professional (patient). This other health professional reported information for both mother and babies. This is the maternal report. A 32-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/lot number: EJ1685), via an unspecified route of administration on 16Dec2020 11:00 AM at left arm, at single dose for protect as a healthcare provider. Medical history was none. There were no concomitant medications. The patient experienced like arm soreness and slight headache on 16Dec2020, that was pretty much it. Arm soreness started that afternoon on 16Dec2020, she received the vaccine in the morning, at 11am, and maybe like shortly after she noticed, it was there for 1-2 days and went away, and she had since recovered completely. Slight headache started that afternoon on 16Dec2020, and that resolved by the evening, she took Tylenol and it went away. And she was nursing twins, they are about 14 months now. She was aware of the risks of getting it, and the only reason she reported it, is it may be beneficial from a research standpoint, she doubts many lactating mothers, especially twins, are involved. She is personally not concerned, she is probably expecting similar for her second dose, and there is not much research. Her next is dose 06Jan2021. The outcome of the events slight headache was recovered on 16Dec2020, the outcome of the event arm soreness was recovered in Dec2020.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2020518603 Same reporter/drug, different patient/event. baby case;US-PFIZER INC-2020518630 Same reporter/drug, different patient/event. bady case

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm