VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 11/12/2021
** VAERS DATABASE Last updated: November 12, 2021**
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Manufacturers

Total Manufacturer
46,870MODERNA
532GLAXOSMITHKLINE BIOLOGICALS
353PFIZER\BIONTECH
231MERCK & CO. INC.
221UNKNOWN MANUFACTURER
62SEQIRUS, INC.
25DYNAVAX TECHNOLOGIES CORPORATION
13EMERGENT BIOSOLUTIONS
12SANOFI PASTEUR
9NOVARTIS VACCINES AND DIAGNOSTICS
5PFIZER\WYETH
5PAXVAX
2TEVA PHARMACEUTICALS
2PROTEIN SCIENCES CORPORATION
1BERNA BIOTECH, LTD.
1INTERCELL AG
1CSL LIMITED

COVID19 Lot Number

VAX LOT Total
2S9CL1,906
1,575
289
IMM209286
252
236
229
s029456178
171
UT7065MA166
155
149
145
S034636133
107
U62828AA103
100
98
P10025327596
U6737AA85
UJ446AA79
78
78
59
57
4BH3254
4F47253
52
27656352
50
PP9L548
49TM346
42
40
38
MENVEO38
4F47237
R1B252M36
34
C5763AA30
93362229
25
300057A24
UNK24
22
CW311621
18
17
15
UH894AB15
3Y7NL12
R1B743M12
EJ168611
el128410
10
10
10
9
ARBA141A9
UNK9
8
UNK8
8
1F4EB8
Unknown7
7
No batch number6
5
5
UJ090AA5
5
5
4
4
4
UNK4
JEV18K95E4
UNK3
A115A3
Z127A3
3
3333324181073
2
2
2
TAR352
1
1
1
1
1
A739081
1
1
1
1
1
037K20A68,542
EL128447,700
133

Incidents per State

State Total
15,185
CA14,096
NY7,507
TX7,196
FL6,939
IN5,527
PA4,560
IL4,179
OH4,054
AZ3,856
MI3,771
NJ3,411
MA3,278
VA3,208
NC3,114
WA3,034
GA2,864
MD2,652
MN2,534
CO2,532
WI2,457
MO2,029
OR1,943
TN1,715
CT1,693
KY1,603
OK1,226
AL1,201
KS1,162
IA1,157
SC1,106
NM1,065
UT973
AR951
LA945
NE829
NV797
ME795
MT789
NH756
ID674
AK661
WV661
PR650
MS585
HI536
RI510
VT441
SD361
ND356
DE350
DC239
WY209
GU32
AS16
VI13
MP9
MH3
FM2
QM1
XB1

ID: 0962273
Sex: F
Age:
State: NY

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: hives; rash on her neck, largely on her chest across both breasts and some going down her belly, near her belly button and upper back; This is a spontaneous report from a contactable pharmacist reporting for herself. A 38-year-old female patient received the 1st dose of bnt162b2 (BNT162B2, Manufacturer Pfizer -BioNTech, Lot# EL0140), intramuscular in left arm, on 08Jan2021 at 14:00, at single dose, for COVID-19 immunisation. Medical history included ongoing hypothyroidism (diagnosed about 25 years before) and COVID-19 from Oct2020 to an unknown date. Concomitant medications were not reported. The patient experienced hives on 10Jan2021 with outcome of not recovered; rash on her neck, largely on her chest across both breasts and some going down her belly, near her belly button and upper back on 10Jan2021 with outcome of not recovered. The events did nor require emergency room visit or physician office visit. The reporter considered the events as non serious, stated they were not interfering, not causing any issues. The reporter also stated that she was not convinced that they were due to the vaccine, since she thinks it is autoimmune (her body's immune response to the vaccine). She gets the same type of rash when she gets sick.

Other Meds:

Current Illness: Hypothyroidism (Diagnosed about 25 years before.)

ID: 0962274
Sex: F
Age:
State: CO

Vax Date: 01/11/2021
Onset Date:
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: severe abdominal pain; This is a spontaneous report from a Pfizer-sponsored program. A contactable consumer (patient's fiance) reported that a female patient of an unspecified age received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiration date unspecified), via an unspecified route of administration on 11Jan2021 at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient previously took first dose of BNT162B2 for COVID-19 immunization on an unspecified date. It was reported that the patient got her second dose today (11Jan2021); however, she experienced a severe abdominal pain on an unspecified date. Outcome of event was unknown. Information on the batch/lot number has been requested.

Other Meds:

Current Illness:

ID: 0962275
Sex: M
Age:
State: OH

Vax Date: 01/01/2021
Onset Date: 01/01/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Test Name: Covid-19; Test Result: Positive

Allergies:

Symptoms: tested positive with the covid-19 after getting the first dose; tested positive with the covid-19 after getting the first dose; This is a spontaneous report from a contactable consumer reporting for himself from a Pfizer sponsored program, Pfizer First Connect. A male patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number and expiry date not reported) via an unspecified route of administration, on Jan2021, single dose for COVID-19 immunization. Relevant medical history and concomitant medications were not reported. The patient experienced cough, runny nose and tested positive with the covid-19 after getting the first dose of the covid-19 in Jan2021. He asked if he should still get the second dose three weeks after the first one. Information on the lot/batch number was requested.

Other Meds:

Current Illness:

ID: 0962276
Sex: M
Age:
State: NE

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Test Date: 20210114; Test Name: Fever; Result Unstructured Data: Test Result:98.6 Fahrenheit; Test Date: 202101; Test Name: Fever; Result Unstructured Data: Test Result:experienced fever last night Fahrenheit; Test Date: 202101; Test Name: Was tested for COVID Virus; Result Unstructured Data: Test Result:Unknown; Comments: either on 07Jan2021 or 08Jan2021; Test Date: 202101; Test Name: Was tested for COVID Virus; Result Unstructured Data: Test Result:negative

Allergies:

Symptoms: fever; chills; fatigue; weakness; pain in the arm (injection site)/sore arm; joint pain; Headache; This is a spontaneous report from a contactable other HCP. This 46-Year-old male Other HCP (patient) reported that he received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number unknown) at 1 DF single dose at right upper arm for covid-19 immunisation on 11Jan2021 around 10 AM. Relevant history included ongoing asthma, environmental and food allergies (ongoing). The patient was also allergic to a few medications, both had his entire life. Relevant concomitant drugs were unknown. The subject previously received the first dose BNT162B2 (Batch/lot number: EK4176, Lot number: EJ1685) at the right upper arm on 21Dec2020 for covid-19 immunisation. The patient was tested for COVID Virus before his vaccination either on 07Jan2021 or 08Jan2021. The patient experienced fever last night (11Jan2021), this symptom was gone but he described it as if fever went and came back but it seemed to be gone, he had also experiencing waking up with chills, fatigue, weakness, pain in the arm (injection site) and joint pain since the evening/night of 11Jan2021. He went and saw his primary care doctor. He had been using Tylenol and Antihistamines. He took Tylenol for joint pain. The patient stated it was not bad to start. Experienced fever, headache, fatigue, weakness, joint pain, waking up with chills, and a sore arm, which was to be expected. In general he was just really fatigued. Fever: Had come and gone. It was hopefully gone for good. He had a low grade fever last night, but he checked his temperature an hour ago and it was 98.6 Fahrenheit on 14Jan2021. The outcome of fever was recovered on 13Jan2021, the outcome of headache was recovering, the outcome of event pain in the arm (injection site)/sore arm was unknown. The outcome of other events was not recovered. on the 3rd day. He did a test for the virus and it came back negative. Information about lot/batch number has been requested.

Other Meds:

Current Illness: Asthma; Environmental allergy (had his entire life); Food allergy (had his entire life)

ID: 0962277
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/21/2021
Hospital:

Lab Data: Test Name: body temperature; Result Unstructured Data: Test Result:fever (unknown value)

Allergies:

Symptoms: Fever; sore arm; This is a spontaneous report from a contactable consumer from Pfizer-sponsored Program. A male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. On an unspecified date, the patient experienced fever and a sore arm. The patient outcome of the events was unknown. No follow-up attempts are possible, information about batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 0962278
Sex: F
Age:
State: MO

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Test Date: 20210107; Test Name: Fever; Result Unstructured Data: Test Result:100.5

Allergies:

Symptoms: fever of 100.5; severe muscle and joint aches for about 24 hours; severe muscle and joint aches for about 24 hours; severe headache; This is a spontaneous report from a contactable consumer. A 62-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot: E11283), via an unspecified route of administration on 07Jan2021 06:30 at a single dose for covid-19 immunization. The patient's medical history included osteoarthritis from an unknown date and unknown if ongoing. Concomitant medication included aciclovir sodium (ACYCLOVIR [ACICLOVIR SODIUM]), famotidine (FAMOTIDINE), hydroxychloroquine (HYDROXYCHLOROQUINE), escitalopram oxalate (LEXAPRO), rosuvastatin calcium (ROSUVAST) , cetirizine hydrochloride (ZYRTEC [CETIRIZINE HYDROCHLORIDE]). The patient previously took cipro [ciprofloxacin hydrochloride monohydrate] and experienced drug hypersensitivity, vioxx and experienced drug hypersensitivity, ees and experienced drug hypersensitivity. On 07Jan2021 at 18:30, 12 hours after the injection, the patient experienced fever of 100.5 with severe muscle and joint aches for about 24 hours. Then the fever subsided and had severe headache for 24 hours. All the events recovered in Jan2021.

Other Meds: ACYCLOVIR [ACICLOVIR SODIUM]; ; ; LEXAPRO; ROSUVAST; ZYRTEC [CETIRIZINE HYDROCHLORIDE]

Current Illness:

ID: 0962279
Sex: F
Age:
State: PA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Nausea; Headache; Dizziness; This is a spontaneous report from a contactable nurse. A 48-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: EK9231; Expiration date was not reported) on 11Jan2021 (19:30) at a single dose on the left arm, with route of administration unspecified, for COVID-19 immunization at the hospital. Medical history included sulfa allergy and penicillin (PCN) allergy. The patient's concomitant medications were not reported. The patient had previously received the first dose of (PFIZER-BIONTECH COVID-19 VACCINE, Lot number and expiration date were not reported) for COVID-19 immunization. On 12Jan2021 (11:00), the patient had nausea, headache and dizziness. The patient did not receive any treatment for the reported events. The outcome of the events, 'nausea', 'headache' and 'dizziness', was recovering. The patient was not diagnosed with COVID-19 prior to vaccination. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 0962280
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever; sore arm; This is a spontaneous report from a Pfizer . A non-contactable consumer reported that a male patient (dad) of unspecified age received the first single dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on an unknown date, for COVID-19 immunization. Medical history and concomitant medications were not reported. On an unspecified date the patient experienced fever and a sore arm, which was normal. Events outcome was unknown. No follow-up attempts are possible. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 0962281
Sex: F
Age:
State:

Vax Date: 01/12/2021
Onset Date: 01/01/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Six hours later, i woke up with a terrible headache and took more Tylenol; This is a spontaneous report from a Pfizer-sponsored Program. A contactable consumer (patient) reported that a female patient of an unspecified age (age: 72 ; unit: unknown) received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 12Jan2021 at a single dose for COVID-19 immunization. The patient's medical history included headache prior to vaccination. The patient's concomitant medications were not reported. The patient was experiencing a headache prior to vaccination. Patient received her first dose on 12Jan2021 and then took 2 TYLENOL five minutes later after vaccination. Patient wanted to know if that would lower her immune response to vaccine. Patient had headache before she got the vaccine, she did not take anything for her headache before the vaccine. She did take TYLENOL 5 minutes after getting the vaccine for her headache and is asking if that will interfere with the vaccine. Patient stated that six hours later in Jan2021, she woke up with a terrible headache and took more TYLENOL. The outcome of the event was unknown. Information on the batch/lot number has been requested.

Other Meds:

Current Illness:

ID: 0962282
Sex: F
Age:
State: TX

Vax Date:
Onset Date: 01/09/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache on front lobe of head; This is a spontaneous report from a contactable consumer (reporting for herself). A 79-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration on an unspecified date at a single dose for COVID-19 immunization. Medical history included high blood pressure and breathing problem. Concomitant medication included salbutamol (ALBUTEROL) taken for breathing problem and unspecified high blood pressure medications and blood thinners. The patient experienced headache on front lobe of head on 09Jan2021. The outcome of headache on front lobe of head was unknown. The batch/lot number for the vaccine, BNT162B2, was not provided and will be requested during follow-up.

Other Meds: ALBUTEROL [SALBUTAMOL]

Current Illness:

ID: 0962283
Sex: F
Age:
State: FL

Vax Date: 01/01/2021
Onset Date: 01/01/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Test Date: 202010; Test Name: Blood test; Result Unstructured Data: Test Result:Unknown results; Test Date: 202101; Test Name: fever; Result Unstructured Data: Test Result:light fever

Allergies:

Symptoms: Body ache; Headache; Light fever; Sore arm; neck pain; It's swollen under my right arm; This is a spontaneous report from a contactable (patient). A 56-year-old female patient receive first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration at right arm, on an unspecified date in Jan2021 at single dose for COVID-19 immunisation. Medical history included hypertension. Concomitant medication included hydrochlorothiazide for hypertension. Patient reported that on Friday (Jan2021), she took her first dose of vaccine. She didn't have any reaction right away but after like 8 to 9 hours in Jan2021 she had body ache and headache, light fever. She knew this sore arm would be, it always will be there, she knew it's now under her arm, it's swollen under her right arm that she took the vaccine, was swollen. Patient took ibuprofen (MOTRIN, Expiry Date: Jun2023) 200 mg orally two times a day for treatment. Her body does not as hurt as it used to after taking it, but she still has neck pain and her arms still hurting and right now under her right arm that she took the shot that was swollen, patient said she still has 'this band' (not clarified further) in her neck right now. Patient works in the healthcare. She does cut skin. She took it at her work. Patient did blood test three months ago (Oct2020) at her doctor's office. Outcome of sore arm was not recovered, outcome of body ache was recovering, outcome of other events was unknown. Information on lot number/batch number was requested.

Other Meds:

Current Illness:

ID: 0962284
Sex: F
Age:
State: OH

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Test Name: INR; Result Unstructured Data: Test Result:unknwon results; Test Date: 202006; Test Name: Covid; Result Unstructured Data: Test Result:Postive; Comments: I had Covid way back in June last year; Test Date: 202101; Test Name: Covid; Test Result: Negative ; Comments: they tested me again for Covid, I do not have Covid, I am clear, I am negative for Covid; Test Name: Weight; Result Unstructured Data: Test Result:About 150 lbs

Allergies:

Symptoms: Severe headache; Nausea; Throwing up; I got so sick; Body ache; I was in pain everywhere; This is a spontaneous report from a contactable consumer (patient). A 75-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 08Jan2021 at a single dose for COVID-19 immunisation. Medical history included migraine, depression, AFib, COVID-19 in Jun2020, and sleep disorder. Concomitant medications included prednisolone, ciprofloxacin, warfarin, timolol, sleep medications (unspecified), and eye drop (unspecified). The patient experienced body ache; stated that she was in pain everywhere on ; severe headache, nausea, throwing up, The patient stated that she felt like she had COVID all over again. She got so sick. It was reported that she worked for a clinic (also reported as a hospital) and on Friday (08Jan2021), she got the COVID shot. By Friday evening, she had body ache, and by Saturday, she was in pain everywhere. She also had severe headache, nausea, and was throwing up on 09Jan2021. According to her, the whole thing felt like she had COVID all over again and this went on through yesterday, she still had the headache today and some nausea. She stated that they were supposed to report this. When further clarified, the patient stated that she was tested yesterday again, just because it felt like COVID and because she had COVID way back in June last year. Stated that it felt like that all over again. She went to the [unclear statement], after hours to urgent care yesterday, they tested her again for COVID. She did not have COVID, she was clear, she was negative for COVID. Stated that she now knows that's what she has was just a result to the shot. When probed to clarify if it was the first dose or the second dose, the patient stated that she was just calling to ask. According to her, she was due to have it, the 29 (not clarified). She doesn't know if she should do it, she got so sick, she had been throwing up and everything. The patient was inquiring if she should do the second dose. The patient stated that she was about 150 lbs. and she does get her INR checked. As treatment, the patient took Tylenol and then took Zofran for the nausea. Outcome of the events 'Severe headache' and 'Nausea' was not recovered, while for the other events was unknown.

Other Meds: ; ; ;

Current Illness:

ID: 0962285
Sex: M
Age:
State: NY

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: Test Name: MRI from head to toe; Result Unstructured Data: Test Result:Unknown results; Test Name: PET scan; Result Unstructured Data: Test Result:Unknown results; Test Date: 202006; Test Name: antibody; Result Unstructured Data: Test Result:antibody was positive; Test Name: COVID; Result Unstructured Data: Test Result:Positive 2 times; Test Date: 202006; Test Name: COVID PCR; Result Unstructured Data: Test Result:COVID PCR negative; Test Name: Swab test; Test Result: Negative

Allergies:

Symptoms: Hands started to shake; shaking of the hands that I could barely write/My legs were shaking very bad while I was walking down three slides of stairs; My hands became weak; Soreness of the arm the injection site for 2 days; This is a spontaneous report from a contactable physician (patient himself). A 58-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EJ1685; expiry date: unknown) via an unspecified route of administration, on 22Dec2020, at a single dose, for COVID 19 immunization. Relevant medical history included COVID infection last Apr2020. On the peak of the COVID pandemic he had the COVID infection, he lost the sense of taste and smell, had diarrhea although he did not have fever and did not have coughing. He also has medical history of opsoclonus myoclonus ataxia syndrome. He was tested for COVID, he was positive 2 times and then they did PET scan, MRI from head to toe. They were looking for tumor, neuroblastoma, what was causing the shaking, the myoclonus, the opsoclonus, the ataxia, they could not find anything. They gave him convalescent plasma and then they gave him immunoglobulin human normal (IVIG) 5 doses and they gave him high dose of steroid to the point that his blood sugar was reaching sky high they have to give him insulin. He was hospitalized 2 times, 3rd time was 2 days and sent home and then it got worst, so he was readmitted for another '3' days. So, he was sent home on clonazepam, it makes him drowsy and he went for physical therapy and slowly after almost after 8 weeks his symptoms disappear, and he was able to go back to work. His symptoms all recovered by the end of May, towards the beginning of Jun2020 he went back for the swab test, it was negative, COVID PCR negative and my antibody was positive. Concomitant medications included clonazepam, metformin and simvastatin. Patient went back to work and have no symptoms until this 07Jan2020. Like almost 3 week or two and half weeks after he received the Pfizer COVID vaccine. Two and half weeks later he started having symptoms like shaking of the hands that I could barely write and yesterday he could barely walk down the stairs. The patient received the Pfizer COVID vaccine on 22Dec2020. Immediately after the vaccination the patient felt that his hands became weak. He ignored it because it went away, like after a minute or so it went away. He went home and nothing happened, except for the soreness of the arm the injection site for 2 days, which really did not bother him. Then this past Thursday, 07Jan2021, he went to the church, he was lightning a candle and his hands started to shake, he can barely light a candle. He was able to do it although his hands were shaking. So, he went home. He ate breakfast, and called his neurologist and he said just to observe and then it went away. On Saturday night (09Jan2021) he noticed that his hands were shaking again when he was typing in the keyboard. He can manage to type but his hands were shaking. He went to sleep and just ignored it. Then yesterday, Sunday he worked again, it became worse, his handwriting was shaking. He was really holding on to the pen to write legibly and then he was in the third floor hospital, elevators did not work. So, he walked down through the stairs, both of his legs were shaking very bad while he was walking down three slides of stairs but he thought he came to the ground so he was able to walk on the flat floor on the street and able to walk home. The patient did not receive treatment for the events. Outcome of the event tremor was unknown, while for the other events was unknown. The consumer considered a causal relationship between the events and the vaccine.

Other Meds: ; ;

Current Illness:

ID: 0962286
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: My arm is really great, it was just sore for a day; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received first dose of BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine; lot/batch number and expiry date were unknown), via an unspecified route of administration on unspecified date at a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient got his/her vaccine on Friday. The patient stated he/she had no effects, his/her arm was really great, it was just sore for a day. The outcome of the event was recovered. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0962287
Sex: F
Age:
State: TX

Vax Date: 12/27/2020
Onset Date: 12/27/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: felt very uncomfortable; Mental fogginess; Nausea; Dizziness/Lightheaded; Vertigo; Some extreme fatigue; This is a spontaneous report from a contactable nurse (patient). A 61-year-old female patient received the first dose of the bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot Number: EL0140 and Expiration Date: 31Mar2021), via an unspecified route of administration in the right deltoid on 27Dec2020 at a single dose for COVID-19 immunization. The patient medical history was not reported. Concomitant medications included progesterone (MANUFACTURER UNKNOWN), estradiol (MANUFACTURER UNKNOWN), testosterone (MANUFACTURER UNKNOWN); all taken for hormonal treatment from an unspecified date to an unspecified date. The patient experienced the following events and outcomes: some extreme fatigue (non-serious) on 27Dec2020 with outcome of unknown, nausea (non-serious) on 31Dec2020 with outcome of unknown, dizziness/lightheaded (non-serious) on 31Dec2020 with outcome of unknown, vertigo (non-serious) on 31Dec2020 with outcome of unknown, felt very uncomfortable (non-serious) on an unspecified date with outcome of unknown, mental fogginess (non-serious) on an unspecified date with outcome of not recovered. The patient stated she wanted to report her experience with the first dose of the Pfizer Vaccine (COVID Vaccine), which was received on 27Dec2020. The patient stated she experienced some extreme fatigue starting that first day and then about four days later on 31Dec (not clarified), she experienced some nausea, some dizziness that advanced to vertigo and that occurred late at night; at the time she was getting ready for bed time around 22:00, but it just lasted for about one hour. The patient "went to bed just thinking about and staying in bed and then I felt very uncomfortable and I got up and then I went back to bed about at 01:30, that's how I just fell asleep." Then the next day, the patient was not feeling the vertigo, however, she was feeling lightheaded for about two days and then the fatigue continued to 08Jan (not clarified). Then starting on a Saturday, the patient "felt normal myself energetic and positive." The patient was still feeling mental fogginess, " I was getting here." The patient stated that dizziness and vertigo, or the mental fogginess were not listed on her list of possible side effects. The patient even asked her doctor what it would be, and the patient let her know that she received the vaccines. The events did not require any emergency room or physician office visits. The causality assessment from the reporting patient was reported as: "Yes, I believe it did."

Other Meds: ; ;

Current Illness:

ID: 0962288
Sex: F
Age:
State: IL

Vax Date: 01/07/2021
Onset Date: 01/01/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Nausea; Vertigo; Dizzy; This is a spontaneous report from a contactable Nurse (patient). A 55-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, batch/lot#: EJ1685, Expiry Date: Mar2021), via an unspecified route of administration on 07Jan2021 04:30 at single dose for COVID-19 immunization. Medical history included GERD (Gastrooesophageal reflux disease). Concomitant medication included montelukast sodium (SINGULAIR), pantoprazole sodium sesquihydrate (PROTONIX) for GERD, omeprazole for GERD. The patient experienced nausea on 08Jan2021, vertigo and dizzy in Jan2021. Investigation Assessment: No. The patient received the second dose of Pfizer COVID Vaccine (later confirmed) on 07Jan2021 around 4:30. And since 08Jan2021 night till now, the patient was feeling, it started out with nausea and now it's just vertigo. The patient had been in bed since 08Jan2021 night, pretty much except to get something to eat or drink. The patient just very dizzy. When probed if the product was prescribed by a doctor, consumer stated, "The hospital, the patient worked there." Treatment: the patient had some Meclizine, took it once it didn't do anything, 12.5 mg. The outcome of all the events was unknown. Causality: the patient thought yes.

Other Meds: SINGULAIR; PROTONIX [PANTOPRAZOLE SODIUM SESQUIHYDRATE];

Current Illness:

ID: 0962289
Sex: F
Age:
State: MA

Vax Date: 01/08/2021
Onset Date:
Rec V Date: 01/21/2021
Hospital:

Lab Data: Test Name: lab work; Result Unstructured Data: Test Result:Unknown

Allergies:

Symptoms: Body shaking; Chills; Tingling; Nauseous; Body ache; Tiredness; having like little sweat; This is a spontaneous report from a contactable nurse (reporting for herself). A 59-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EK5730), via an unspecified route of administration from 08Jan2021 07:40 at single dose for COVID-19 immunization. Medical history included hypertension, high cholesterol and COVID-19 survivor from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. The patient had historical vaccine of first dose of BNT162B2 on unspecified date for COVID-19 immunization. The patient stated, "I am calling to report a side effect from the vaccine (Clarified COVID-19 vaccine). I am a health care worker, I got the first dose I was fine but I got the second dose last Friday and I woke up hour later with terrible chills, tingling, my body shaking. It was not half an hour later, it was hours later. I took it at 07:40 in the morning at work and then I came home, I was fine but then chills woke me up in mid night Friday it was Saturday, let's say Saturday morning 12 am. I woke up with chills like, I am in refrigerator and I felt like I wanted to warm it but I did not, I felt nauseous, it happened like two different times and after that I took like Motrin (treatment) I did not have any temperature but I have like body ache and after that I started having like little sweat and tiredness. I just call my job now. Having the same symptoms now." The patient took Motrin and Tylenol and underwent lab work at the hospital with unknown result. The patient think that the events were related to COVID as the patient stated, "I think so because I woke up with the chills extreme chills. I never felt that way, it's like the last time when I felt it, when I had COVID, I woke up with extreme chills the only difference between this one was that I didn't have a temperature with these chills but with COVID I have temperature but this one was extreme chills." The outcome of the events was unknown.

Other Meds:

Current Illness:

ID: 0962290
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Weakness; Joint pain; Dizziness; Tiredness; Headache; Swollen lymph nodes; Feeling unwell; Muscle pain; A bad rash; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number not reported), via an unspecified route of administration on an unspecified date at single dose for covid-19 immunization. The patient medical history and concomitant medications were not reported. The consumer reported the side effects included dizziness and weakness, a bad rash on the patient's "right leg where it was given in his/her right arm" (not clarified further), tiredness, headache, muscle pain, joint pain, feeling unwell and swollen lymph nodes. The outcome of the events was unknown. Information on lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0962291
Sex: F
Age:
State: PA

Vax Date:
Onset Date:
Rec V Date: 01/21/2021
Hospital:

Lab Data: Test Date: 2020; Test Name: Blood test; Result Unstructured Data: Test Result:Unknown result; Test Name: Fever; Result Unstructured Data: Test Result:101.5

Allergies:

Symptoms: I got a fever of 101.5; Chills; Body ache; This is a spontaneous report from a contactable healthcare professional (patient). A 60-years-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EK9231), via an unspecified route of administration on an unspecified date at a single dose for COVID-19 immunization. Medical history included Graves' disease, hypothyroidism, cholesterol, thyroid problems, hyperthyroidism, and had COVID in July (year unspecified). Concomitant medications included atorvastatin (generic) and atorvastatin calcium (LIPITOR) for cholesterol, and levothyroxine sodium (SYNTHROID). The patient had first vaccine and then next evening on an unknown date she got a fever of 101.5 and then had the chills and body ache and everything and she was scheduled to have her next one on 25 (not clarified). Patient had blood test before the end of the year 2020 but nothing new now. Patient took TYLENOL as treatment for the events. The outcome of the events was unknown.

Other Meds: ; LIPITOR [ATORVASTATIN CALCIUM]; SYNTHROID

Current Illness:

ID: 0962292
Sex: U
Age:
State:

Vax Date: 01/05/2021
Onset Date: 01/01/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: feeling extremely nauseous; My arm was sore; Headache; Slightly tired; Little dizzy; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Reason for no lot number: of Covid-19 Vaccine: It just say Pfizer INC it's hard to read it, this is 0 crossed out EN0142. The patient didn't know what looking at, thought it says E and O or E21042 Pfizer INC.), via an unspecified route of administration on 05Jan2021 at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient experienced feeling extremely nauseous, arm was sore, headache, slightly tired, little dizzy, all in Jan2021. The patient received this first dose of the Covid-19 Vaccine on 05Jan2021, the patient had been feeling extremely nauseous yesterday and today but after the vaccination the arm was sore, the patient had a headache and slightly tired but did not feel nauseous at all but the patient was feeling extremely nauseous yesterday and today and a little dizzy was that the common side effect and should have subside. The outcome of all the events was unknown. Information about Lot/Batch has been requested.

Other Meds:

Current Illness:

ID: 0962293
Sex: F
Age:
State: MS

Vax Date:
Onset Date:
Rec V Date: 01/21/2021
Hospital:

Lab Data: Test Name: blood count; Result Unstructured Data: Test Result:Unknown Results; Comments: I just had my blood count checked that's all.; Test Name: I was negative; Test Result: Negative ; Test Name: weight; Result Unstructured Data: Test Result:lost; Comments: 120 pounds, I lost some weight

Allergies:

Symptoms: Bruise in arm; I lost some weight; This is a spontaneous report from a contactable Consumer. This consumer reported for herself that the 62-year-old female patient received first dose of bnt162b2 (BNT162B2), via an unspecified route of administration on unknown date at a single dose for covid-19 immunisation. Medical history included "I went to the doctor because I wasn't feeling well just little congestion inside my lungs." Concomitant medications included "Yes, Antibiotics, I was worried I didn't think about it since I think about it yesterday, wow is this going to effect the vaccine (further not clarified)." Consumer stated, "I have a question I received the First shot (clarified as Covid 19 vaccine) here 20th of this month I get my second but 7th of this month I didn't even think about it I went to the doctors even though I was negative and they put me on antibiotics is that going to interfere with the vaccine. Consumer stated, "I guess no, I had no side effects, I got a bruise in my arm and that was all." Consumer stated, "120 pounds, I lost some weight." Consumer stated, "I just had my blood count checked that's all." The outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0962294
Sex: F
Age:
State: AL

Vax Date: 01/04/2021
Onset Date: 01/10/2021
Rec V Date: 01/21/2021
Hospital: Y

Lab Data: Test Date: 20210117; Test Name: COVID-19 test (Nasal Swab); Test Result: Negative

Allergies:

Symptoms: Acute liver injury; This is a spontaneous report from a contactable physician. A 35-year-old female non-pregnant patient received the first dose of BNT162B2 (Pfizer-Biontech Covid-19 Vaccine) intramuscularly, in the right arm, at single dose, on 04Jan2021 at 11:00 AM, for COVID-19 immunisation. The patient had not received any other vaccines within 4 weeks prior to the BNT162B2 vaccine. Relevant medical history included hypertension and drug hypersensitivity to amoxicillin; clavulanic acid (AUGMENTIN). Concomitant medications included labetalol; ascorbic acid, betacarotene, calcium sulfate, colecalciferol, cyanocobalamin, ferrous fumarate, folic acid, nicotinamide, pyridoxine hydrochloride, retinol acetate, riboflavin, thiamine mononitrate, tocopheryl acetate, zinc oxide (PRENATAL VITAMINS) and cetirizine hydrochloride (ZYRTEC). On 10Jan2021, at 12:00 AM, the patient experienced acute liver injury and hospitalization was required (duration of hospitalization: 1 day). Treatment was received (supportive care for acute liver injury). Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has been tested for COVID-19 (Nasal Swab) on 17Jan2021. Covid test result: negative. The adverse event was assessed as serious (Hospitalization, Life threatening illness). Clinical outcome of the adverse event was unknown at time of this report. Information on Lot/Batch number has been requested.; Sender's Comments: The information currently provided is too limited to make a meaningful medical assessment hence, the events are conservatively assessed as related to the suspect drug BNT162B2 until further information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RAs, Ethics Committees, and Investigators, as appropriate.

Other Meds: ; PRENATAL VITAMINS [ASCORBIC ACID;BETACAROTENE;CALCIUM SULFATE;COLECALCIFEROL;CYANOCOBALAMIN;FERROUS ; ZYRTEC [CETIRIZINE HYDROCHLORIDE]

Current Illness:

ID: 0962295
Sex: U
Age:
State:

Vax Date: 01/10/2021
Onset Date:
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Shivering/Chills; Diarrhea; Not feeling well; This is a spontaneous report from a contactable physician (patient self). A patient of unspecified age and gender received 2nd dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot: EJ1686), via an unspecified route of administration on 10Jan2021 at single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced chills and shivering and then diarrhea. Patient was not feeling well. Outcome of the events was unknown.

Other Meds:

Current Illness:

ID: 0962296
Sex: M
Age:
State: NE

Vax Date: 01/06/2021
Onset Date:
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Breaking out rash; This is a spontaneous report from a contactable consumer reported for himself. A male patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 06Jan2021 09:00 at single dose for covid-19 immunisation. Medical history was not reported. There were no concomitant medications. The patient experienced breaking out rash on an unspecified date with outcome of unknown. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0962297
Sex: F
Age:
State: OR

Vax Date:
Onset Date:
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache; Loss of taste and smell; Loss of taste and smell; Nausea; Dizziness; General body aches; This is a spontaneous report from a contactable nurse reported for herself. A 58-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date at single dose for covid-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient experienced Headache, loss of taste and smell, nausea, dizziness, general body aches. Outcome of events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0962298
Sex: F
Age:
State: VA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I developed the rash on the inside of my elbow about an inch and half in circular; This is a spontaneous report from a contactable consumer (patient). This 57-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (Batch/lot number: EL1284), via an unspecified route of administration on 08Jan2021 at single dose for COVID-19 immunization. The patient's medical history included high blood pressure. The patient's concomitant medications included lisinopril for blood pressure high. Patient stated she was keeping that under control with lisinopril. Patient stated she took bnt162b2 because she didn't want to die. Patient stated she got the vaccine shot on and 08Jan2021 and just this evening she developed the rash on the inside of my elbow about an inch and half in circular. Patient was fine, she meant it's just a skin rash nothing itchy. No treatment received in response to event. Outcome of the event was unknown.

Other Meds:

Current Illness:

ID: 0962299
Sex: F
Age:
State: TX

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Migraine; Mild pain at injection site; This is a spontaneous report from a contactable other healthcare professional (HCP, patient). A 53-year-old female patient (pregnant: No) received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: 4178) Intramuscular on 08Jan2021 09:15 AM at left arm at single dose for COVID -19 immunization in Hospital. Medical history was none. No Known allergies. Concomitant medication in two weeks included cetirizine hydrochloride (ZYRTEC [CETIRIZINE HYDROCHLORIDE]). No other vaccine in four weeks. Patient receive the first dose of bnt162b2 (lot number: EK5730), intramuscularly on the left arm on 18Dec2020 at 13:15 at single dose for COVID-19 immunization and experienced injection site soreness (Day 1 and Day 2) and mild headache (Day 2). Patient experienced mild pain at injection site (Day 1 and Day2, 08Jan2021 12:00 PM) and Migraine (Day 2, 08Jan2021 12:00). COVID was not tested post vaccination. No treatment received. Patient was recovered from the events in Jan2021.

Other Meds: ZYRTEC [CETIRIZINE HYDROCHLORIDE]

Current Illness:

ID: 0962300
Sex: F
Age:
State: LA

Vax Date:
Onset Date:
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Finger tips on left hand were numb/my fingers were numb; This is a spontaneous report from a contactable consumer (patient). This 72-year-old female consumer received the first dose of BNT162B2 (PFIZER COVID-19 VACCINE, lot: EL0140 or EL, don't know if that's an O or 0, 14, O or 0), via an unspecified route of administration on an unspecified date about 10 o' clock at single dose on left arm for COVID-19 immunization. Medical history included type 2 diabetes, stent in right coronary artery and cardiac issues. Concomitant medication included metformin for diabetes mellitus and rosuvastatin calcium as cardiac medication. The consumer realized that the finger tips on her left hand were numb. By 2 pm her fingers were numb. The consumer 'can drive a needle across her palm' (not clear over the call and not clarified) and can't feel it. The outcome of the event was unknown. No treatment was received for the event. Information about lot/batch number has been requested.

Other Meds: ; CRESTOR

Current Illness:

ID: 0962301
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fever; This is a spontaneous report from a contactable consumer (friend). A patient of unspecified age and gender received the first dose of BNT162b2 (Lot/batch number and Expiration date were not provided), via an unspecified route of administration on an unspecified date at single dose for covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient experienced fever on an unspecified date and it went away and patient was getting ready to take the second dose. The outcome of the event was recovered on unspecified date. Information on the lot/ batch number has been requested.

Other Meds:

Current Illness:

ID: 0962302
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: sore throat; This is a spontaneous report from a contactable consumer. A patient of unspecified age and gender received the first dose of BNT162b2 (Lot/batch number and Expiration date were not provided), via an unspecified route of administration on an unspecified date at single dose for covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient experienced sore throat on an unspecified date and it went away and patient was getting ready to take the second dose. The outcome of the event was recovered on unspecified date. Information on the lot/ batch number has been requested.

Other Meds:

Current Illness:

ID: 0962303
Sex: M
Age:
State: MS

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: he smelled some kind of chemical; he began to feel real bad; This is a spontaneous report from a contactable consumer (patient's wife). An 87-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 15Jan2021 in left upper arm shoulder area at single dose for vaccination; glimepiride (manufacturer unknown), via an unspecified route of administration from 2020 and ongoing at 2 mg, 1x/day (once per day in the morning) for diabetes; vitamin d (manufacturer unknown, lot# 300015, expiration date: Jan2022), via an unspecified route of administration from 2019 and ongoing at 3000 iU, daily (2000 IUs in the morning and 1000 IUs nightly) for bone and immune health; acetylsalicylic acid (ASPIRIN, lot# P139558, expiration date: Aug2022), via an unspecified route of administration from an unspecified date and ongoing at 81 mg, 1x/day for helping thin his blood; apixaban (ELIQUIS, 2.5 mg), via an unspecified route of administration from 2018 and ongoing at 2.5 mg, 2x/day (morning and night) for blood thinner; simvastatin (ZOCOR, 20 mg), orally from an unspecified date and ongoing at 20 mg, 1x/day for cholesterol; metoprolol (manufacturer unknown, 50 mg), via an unspecified route of administration from an unspecified date and ongoing at 25 mg, daily (1/2 tablet once daily (25mg total daily dose)) for an unspecified indication; celecoxib (CELEXA), via an unspecified route of administration from an unspecified date and ongoing at unknown dose with daily (1-20 mg tablet once daily) for clinical depression; vitamin c (manufacturer unknown, lot# 205348, expiration date: Jun2023), via an unspecified route of administration from 2020 and ongoing at 1 DF, daily for supplement to boost immunity; famotidine (manufacturer unknown), via an unspecified route of administration from 2020 and ongoing at unknown dose with 2x/day (1-40mg tablet twice daily) for nauseated; cyanocobalamin (VITAMIN B12, 2500 mg, lot# 511333-01, expiration date: Jun2023), via an unspecified route of administration from 2020 and ongoing at 2500 mg, 1x/day for supplement; magnesium (manufacturer unknown, lot# 205340, expiration date: Jun2022), via an unspecified route of administration from an unspecified date and ongoing at unknown dose with daily (400 mg mostly every day but not strictly every day) to keep himself going; immuneti (manufacturer unknown, Capsule, NDC: 2817636726), via an unspecified route of administration from an unspecified date and ongoing at 1 capsule taken daily for an unspecified indication. Medical history included bad hearing problem. This consumer called on behalf of her husband to ask about possible side effects he was having. She reported that these possible side effects could be from Pfizer COVID-19 Vaccine or his other medications: glimepiride; Vitamin D; acetylsalicylic acid; apixaban; simvastatin; metoprolol; celecoxib; Vitamin C; famotidine; Vitamin B12; magnesium; and Immuneti. She was concerned about the possible side effects and wanted to ask Pfizer if these possible side effects could be from the Pfizer COVID-19 Vaccine or his other medications. Caller's husband was administered the Pfizer COVID-19 Vaccine on 15Jan2021. Caller also got her Pfizer COVID-19 Vaccine on 15Jan2021. Neither patient or caller had any problems with the product initially. Then her husband had onset of possible side effects last night. Starting 17Jan2021 after patient took his usual night medications, which caller was unable to clearly define which of the other suspect products that included, patient began to feel real bad. He said he smelled some kind of chemical and caller said she did not smell anything. Patient got to feeling worse and worse and they stayed up fairly late to see if he got to feeling better. When he got up this morning: 18Jan2021, he was feeling some better. He came in the room and when he put his medications in his mouth, before he even got them swallowed, he began to feel bad again-caller was unable to clearly define which of the other suspect products that included. Patient had been on simvastatin a long time and one time they took him off of this and started it back; he had been back on this for about 1 year. Metoprolol was discarded after 10th and 9th of 2021, documented as provided by reporter. Patient started it maybe 2-3 years ago. Vitamin C was Over the counter product, start date was probably 6-8 months ago. Vitamin B12 was probably started about 6-8 months ago. Magnesium was Over the counter product and probably started about 6-8 months ago. Caller verified that there are no other relevant products/medical conditions to provide for this report. She mentioned separately that patient had a bad hearing problem so caller handled his calls for him. The action taken in response to the events for all drugs (except for bnt162b2) was dose not changed. Outcome of events were unknown. Information about Lot/Batch has been requested.

Other Meds:

Current Illness:

ID: 0962304
Sex: F
Age:
State: NC

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache; This is a spontaneous report from a contactable consumer (patient). A 47-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 07Jan2021 at single dose for COVID-19 immunization. The patient medical history was not reported. Patient received a long list of concomitant medications which were not specified. The patient experienced headache on 07Jan2021 with outcome of recovered in Jan2021. Information on lot and batch number has been requested.

Other Meds:

Current Illness:

ID: 0962305
Sex: M
Age:
State: PA

Vax Date: 12/23/2020
Onset Date:
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Left eye has been twitching; This is a spontaneous report from a contactable consumer (patient). This 23-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (Batch/lot number: EL0401), via an unspecified route of administration on 23Dec2020 at single dose on the left arm for COVID-19 immunization. The patient's medical history was not reported. The patient's concomitant medications included fluoxetine hydrochloride (PROZAC) and clonazepam (KLONOPIN). Patient stated he got the vaccine at the hospital. Patient stated he was just calling because it was actually something that for the past like couple of weeks, it was like his left eye has been kind of twitching on an unspecified date. Patient stated he did not have lab work and treatment, it just happened like 2 weeks ago. Patient stated he did not visited any emergency clinic or physician's office and haven't seen anybody. Outcome of the event was unknown.

Other Meds: PROZAC; KLONOPIN

Current Illness:

ID: 0962306
Sex: F
Age:
State: CA

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: received the COVID-19 Vaccine really high, which was almost given into the shoulder bone / this is a complete medication error.; Vaccine really high and caused blisters she presumes at the injection site.; This is a spontaneous report from a contactable other HCP. This other HCP reported for a female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) at left deltoid at single dose for COVID-19 immunization on 09Jan2021 at 10:10 am. Patient's Medical History included seasonal allergies. Relevant concomitant drugs were unknown. The patient received the COVID-19 Vaccine really high, which was almost given into the shoulder bone and caused blisters she presumes at the injection site. It was almost on the very top of the shoulder. The blisters appeared one day after the injection on 09Jan2021. The patient presented to the clinic on 11Jan2021, with kind of a cluster of blisters; one blister was kind of longer than the other at about 7mm's. Patient took ibuprofen and had been guarding her shoulder. The patient was a physician and cardiologist, she was worried that the vaccine was not effective. The blisters were reported as improving. Reporter stated that she could send a picture of these blisters, if needed. The patient stated that the nurse who gave this COVID-19 vaccine injection to this patient, had been pulled from giving any more vaccines. This was a complete medication error. The patient removed the band aid from where the COVID-19 vaccine had been given and there were the blisters. The AE was not required a visit to Emergency Room, nor Physician office. No other Vaccinations received other than COVID-19 first dose were given in the last 4 weeks. No other AE's related to other vaccinations. The information on the lot/batch number has been requested.

Other Meds:

Current Illness:

Date Died: 01/04/2021

ID: 0962307
Sex: M
Age:
State: SD

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: tired; legs felt heavy; stopped breathing; This is a spontaneous report from a Pfizer-sponsored program a non-contactable consumer. A 93-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 04Jan2021 11:00 at single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Patient received vaccine around 11:00 a.m. About two hours later, he said he was tired and couldn't continue with the physical therapy he was doing. He was taken back to his room, where he said his legs felt heavy. Soon after, he stopped breathing. A nurse declared a do-not-resuscitate order. The patient died on 04Jan2021. It was not reported if an autopsy was performed. Outcome of stopped breathing was fatal. Outcome of tired and legs felt heavy was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Reported Cause(s) of Death: stopped breathing

Other Meds:

Current Illness:

Date Died:

ID: 0962308
Sex: F
Age:
State: UT

Vax Date:
Onset Date:
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: died; This is a spontaneous report from a Pfizer-sponsored program. A contactable consumer reported that an 83-year-old female patient (reporter mother) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration on an unspecified date at single dose for covid-19 immunization. Medical history included hospice care and dementia. The patient's concomitant medications were not reported. The patient died one day after getting vaccine. She was reportedly in good health the day before receiving vaccine. She was on hospice, frail, but in good condition and checked by a hospice nurse the day before which she reported her in good health considering. She was with dementia but stable in her health. The reporter read investigating 23 deaths of people receiving vaccine in similar conditions. The patient died on an unspecified date. It was not reported if an autopsy was performed.; Reported Cause(s) of Death: died

Other Meds:

Current Illness:

ID: 0962310
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: rheumatoid arthritis; inflammation; pain in joints; allergic reaction to flu vaacine; Initial information was received on 12-Jan-2021 regarding an unsolicited valid serious case from consumer/ non-health care professional. This case involves a patient of unknown age who experienced rheumatoid arthritis, allergic reaction to flu vaccine (hypersensitivity), inflammation and pain in joints (arthralgia), while the patient received INFLUENZA VACCINE. Medical history, past medical treatment, vaccination, family history and concomitant medication were not reported. Concomitant medications were not reported. On an unknown date, the patient received a dose of suspect INFLUENZA VACCINE produced by unknown manufacturer (batch number and expiration date were not reported) via unknown route in unknown administration site for prophylactic vaccination. On an unknown date, the patient experienced rheumatoid arthritis with inflammation and pain in joints (arthralgia) and allergic reaction to flu vaccine (hypersensitivity) (latency: unknown) following administration of INFLUENZA VACCINE. The events rheumatoid arthritis, inflammation and arthralgia were assessed as medically significant. No laboratory data was reported. The patient was taking XELJANZ XR (TOFACITINIB CITRATE) 11 mg once daily via oral route for rheumatoid arthritis since AUG-2020. It was not reported if the patient received any corrective treatment for hypersensitivity. On an unknown date, the patient recovered from inflammation and arthralgia (reported as symptoms of rheumatoid arthritis, inflammation and arthralgia finally resolved). At the time of report, outcome of rheumatoid arthritis and hypersensitivity were unknown. Information on the batch number was requested.; Sender's Comments: This case concerns a patient of unknown age who had rheumatoid arthritis, allergic reaction, inflammation and pain in joints after vaccination with INFLUENZA VACCINE produced by unknown manufacturer. The time to onset was unknown. However, patient's laboratory data, concomitant medications ruling out alternate etiologies were not reported. Based upon the reported information, the role of an individual vaccine cannot be assessed.

Other Meds:

Current Illness:

ID: 0962311
Sex: M
Age: 41
State: MO

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Sulfides

Symptoms: Approximately 5 minutes after receiving injection, patient reported feeling mildly short of air. 1410-BP 132/89 HR 104 SpO2 99% 1420-BP 130/86 HR 85 SpO2 99% - reports that symptoms have resolved. Denies need for further intervention. Education provided to seek medical attention for further sx Pt was ambulatory and left the clinic.

Other Meds: none

Current Illness:

ID: 0962312
Sex: F
Age: 92
State: WI

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: fosamax, Bactrim, Nitrofurantoin, Nylon, methylprednisolone

Symptoms: Redness, warmth, pain, RUE measuring 9.5cm x 15.0 cm noted on 1-17-2021 continues with redness (fading) on 1-21-2021 warmth. Denies pain unless bumped. Resident afebrile. Size remains unchanged

Other Meds: tylenol, ARED, trolamine salicylate, diprolene, hydrocortisone

Current Illness:

ID: 0962313
Sex: F
Age: 40
State: PR

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: pulse oxymeter, oxygen by nasal cannula.

Allergies: demerol +phenergan at the same time, hives and SOB.

Symptoms: 40 y/o female who refers dizziness 10 minutes after vaccination covid-19. also sensation of heaviness on back of neck.

Other Meds: enalapril 5mg, vitamin c, magnesium citrate

Current Illness: HBP

ID: 0962314
Sex: M
Age: 73
State: PA

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vaccine recipient requested vaccine be administered in the abdomen. This was discovered after the vaccine was given. 1"synringe given LLQ

Other Meds:

Current Illness:

ID: 0962315
Sex: F
Age: 47
State: KY

Vax Date: 01/07/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: left axillary, 1/21/21, enlarged lymph nodes

Allergies: ceclor

Symptoms: Swollen painful lymph nodes (3) left axillary, tylenol/ibuprofen

Other Meds: Armour thyroid, buproprion

Current Illness: none

ID: 0962316
Sex: F
Age: 23
State:

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: After sitting about 15 minutes, felt a bit dizzy. States had minimal breakfast; had water, oj, crackers. Pulse device on arm showed HR 145; refused BP initially. Feeling better after po intake; still reports "shaky". Agreeable to VS: BP 122/80; HR 100. Continued sitting for 10-15 minutes and drinking water. Feels comfortable leaving; works in hospital and escorted to floor. Will be eating snack once back at work.

Other Meds:

Current Illness:

Date Died: 01/19/2021

ID: 0962318
Sex: M
Age: 80
State: KY

Vax Date: 12/29/2020
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: unknown

Allergies: unknown

Symptoms: Called to schedule second vaccine and daughter reports that he died on01/19/2021 with "COVID"

Other Meds: Unknown

Current Illness: unknown

ID: 0962319
Sex: F
Age: 50
State: IA

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Red, Rashy hot and painful area below the shot site

Other Meds: Tecfidera, Effexor, Biotin, Vitamin D, Probiotic, Omega 3

Current Illness: none

ID: 0962320
Sex: F
Age: 30
State: OH

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Waiting for call back from occupational health facility.

Allergies: Penicillin

Symptoms: Arm soreness started evening on 1/20/21. At 1:30AM 1/21/2021 I woke with a fever, chills, muscle pain, joint pain, muscle cramps, headache, nausea and fatigue. Highest fever 102.3, fever holding at 100.5 with Tylenol. Drinking fluids.

Other Meds: Celexa 40 mg once daily. Multivitamin chewable 2 tabs twice daily

Current Illness: None

ID: 0962321
Sex: F
Age: 75
State: FL

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Body aches neck stiffness

Other Meds:

Current Illness:

ID: 0962322
Sex: F
Age: 27
State: WI

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: UNKNOWN

Symptoms: Systemic: Anaphylaxis

Other Meds:

Current Illness:

ID: 0962323
Sex: F
Age: 27
State: NY

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Reported muscle aches, chest tightness and fever 101.3F

Other Meds:

Current Illness:

ID: 0962324
Sex: F
Age: 39
State: WA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Sore arm starting a couple of hours after injection, starting at injection site, then slowly spreading to include entire upper arm. . Difficult to lift arm or do tasks (washing hair) the next day. Trouble sleeping, fatigued and achy the next day.

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm