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: 1436081
Sex: F
Age:
State: TX

Vax Date: 01/08/2021
Onset Date:
Rec V Date: 06/30/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Arm about 75% less sore; Less tired; slight surge energy; This is a spontaneous report from a contactable consumer. A 74-year-old non pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EK4170; Expiration Date: 20Mar2021) dose 2 via an unspecified route of administration on 08Jan2021 at 17:50 (at the age of 74 years old) as single for COVID-19 immunisation. Medical history include cancer when 27 Years age, blood pressure med, cholesterol med (from an unknown date and unknown if ongoing). Concomitant medication included paracetamol (TYLENOL) taken for an unspecified indication from 21Dec2020 to 23Dec2020. The patient historical vaccine included SHINGRIX on an unspecified date and SHINGRIX second dose 6 months later on an unspecified date. The patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EK5730, Exp 20Mar2021) on an unspecified date as single for COVID-19 immunisation. Reported as, second shot 08Jan2021 took 4 day early window; arm about 75 percent less sore, less tired felt same slight surge energy right after shot- less tired later next day for four days; time of onset: 09:50. No treatment was received for arm about 75% less sore. Outcome of the event arm about 75% less sore was recovered and unknown for other events. Follow-up attempts completed. No further information expected.

Other Meds: TYLENOL

Current Illness:

ID: 1436082
Sex: F
Age:
State:

Vax Date: 01/31/2021
Onset Date:
Rec V Date: 06/30/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: vomiting; diarrhea; fever of over 101 degrees/fever of 102 degrees; weight loss (approximately to 10lbs to date); This is a spontaneous report from a contactable consumer. A 66-year-old female patient received Bnt162b2 (BNT162B2; Formulation: Solution for injection) via unknown route of administration from 31Jan2021 at SINGLE DOSE for unknown indication. Patient's medical history included Mrs. (Name) stated that she has known co-morbidities, including Lupus. She has visited medical facilities several times since receiving the vaccine. Patient's concomitant medications were not reported. It was reported that Ms. (Name) states she has been vomiting, had diarrhea and had a fever of over 101 degrees for the past 6 days. Patient received her 1st dose of the vaccine on 31Jan2021 and within 24 hours began experience multiple symptoms including a fever of 102 degrees or higher temperature every day since receiving the vaccine. She has also experienced vomiting, diarrhea and weight loss (approximately to 10lbs to date), She believes that the vaccine may have contaminated or a counterfeit. She stated that she had some concerns regarding the qualifications of the persons administering the vaccine and that is why she believes may have been compromised in some way. She has been received multiple tests for COVID-19, but the results have come back negative; the HCP's treating her all believe to be the cause of her symptoms. The outcome of the events was unknown. Follow-up (09Feb2021): New information received from a contactable consumer which includes: New clinical information reported. Information on the lot/batch number has been requested. Follow-up (14May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1436083
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/30/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: soar throat; headache; This is a spontaneous report from a contactable physician. A 38-year-old male physician received Bnt162b2 (BNT162B2; Formulation: Solution for injection) via unknown route of administration from unknown date at unknown single dose for unknown indication. Patient's medical history and concomitant medications were not reported. It was reported that experiencing sore throat and headache four weeks after receiving second dose of covid vaccine. Event took place after use of product. The outcome of the events was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1436084
Sex: F
Age:
State: IL

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 06/30/2021
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: 26 hours after second dose I became dizzy; Fatigue; This is a spontaneous report from a contactable Nurse. A 43-year-old female (Patient age at the time of vaccination: Years: 43) Nurse reported in response to HCP letter sent in cross reference case which included that patient received Bnt162b2 (BNT162B2; Formulation: Solution for injection, Lot number: EL1283) Intramuscularly from 08Jan2021 2nd dose (17:00) on left arm for unknown indication. Reaction was recurred on re administration of the product. on 1st dose No Reaction. Vaccination Facility Type was Hospital. Vaccine was not administered at vaccination facility. Patient's history medical was reported as none. Other medications in two weeks includes multivitamin, and Omega 3. It was reported that 08Jan2021: 2nd Dose: 26 hours after second dose I became dizzy and fatigued. This lasted for a total of 6 days (15Jan) started resolving after 3 days. Then felt slight fatigue for a week, Then the dizziness and fatigue came back on 24Jan2021 for 4 days. Then resolved on 28Jan2021. Today is 29Jan2021. Event Onset Date and time of onset was 09Jan2021; 20:00. Causal Relationship is that there was a reasonable possibility that the event is related to suspect Product. Suspect Product Name: Covid 19 Vaccine, and Batch and/ or Lot Number and expiration Date: EL1283/ 30Apr2021. Patient was not admitted to hospital. Patient was not Deceased. No treatment required. No AE's required emergency room. No predisposing Factors. Culture was performed. The outcome of the events was Recovering. Follow-up (14May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1436085
Sex: M
Age:
State: MI

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 06/30/2021
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: change shirt 1-2 times at night due to excessive sweating; fatigue; mild head ache; body aches; low grade fever; hot flashes; This is a spontaneous report from a contactable 67-year-old male consumer reported for himself that received Bnt162b2 (BNT162B2; Formulation: Solution for injection, Lot number: GM9810) (Age at vaccination: 67) via unknown route of administration from 03Feb2021 2nd dose (09:15 AM) on left arm for unknown indication, and Bnt162b2 (BNT162B2; Formulation: Solution for injection, Lot number: EL3249) via unknown route of administration from 13Jan2021 1st dose (09:15 AM) on left arm for unknown indication. At Public Health Clinic/Veterans Administration facility was where the most recent COVID-19 vaccine was administered Patient did not received any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient not diagnosed with COVID-19. Since the vaccination, patient has not been tested for COVID-19. Allergies to medications, food, or other products includes Penicillin. Other medical history includes Atrial Fibrillation-under treatment. Other medications the patient received within 2 weeks of vaccination were Lipitor 80mg x1 daily, Lisinopril 20mg x1 daily. It was reported that 2 1/2 weeks after 1st shot, I experienced general fatigue with continued till 2 shot. 3 hours after second shot I continued to experience fatigue, mild headache, body aches and low-grade fever. 1 day after body and headaches disappeared, I've continued to experience fatigue, hot flashes throughout day and low-grade fever at night which result in having to change shirt 1-2 times at night due to excessive sweating. Adverse events start date was 03Feb2021, and adverse event start time was 12:00 PM. No seriousness criteria were reported. No treatment was received for the adverse event. The outcome of the events was Not recovered. Vaccine Facility information available. Ethnicity information is available. Race information is available. Follow-up (12May2021): Follow-up attempts completed. No further information expected.

Other Meds: LIPITOR; LISINOPRIL

Current Illness:

ID: 1436086
Sex: F
Age:
State: NY

Vax Date: 01/15/2021
Onset Date:
Rec V Date: 06/30/2021
Hospital:

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Pain on my arm; This is a spontaneous report from a contactable consumer. A 31-year-old female (pregnant at time of vaccination: no) consumer received Bnt162b2 (BNT162B2; Formulation: Solution for injection, Lot number: L3247) via unknown route of administration from 15Jan2021 at unknown 1st single dose (01:00 PM) on left arm for unknown indication, and Bnt162b2 (BNT162B2; Formulation: Solution for injection, Lot number: EL9264) via unknown route of administration from 06Feb2021 at unknown 2nd single dose (04:45 PM) on left arm for unknown indication. Patient's history medical was reported as none. Other medications in two weeks includes multivitamin, and Omega 3. It was reported that I only had a bit of pain on my arm during the first dose. After the second dose, I started feeling side effects after 12hrs. My side effects were injection site pain, tiredness, headache, muscle pain, chills, joint pain, and swollen lymph nodes. Adverse Event start date was 07Feb2021, and adverse event start time was 01:00 AM. No treatment received for AE. No allergies reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient not diagnosed with COVID-19. Patient weather tested positive for COVID-19 since having the vaccine is unknown. The outcome of event was "recovered". Follow-up (11May2021): Follow-up attempts completed. No further information expected.

Other Meds: OMEGA 3 [FISH OIL]

Current Illness:

ID: 1436087
Sex: M
Age:
State: CT

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 06/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: My blood pressure is 185/108 and 100 bpm; My blood pressure is 185/108 and 100 bpm; I'm very concerned; A few hours after the injection I woke with severe tinnitus; A slight headache, etc.; This is a spontaneous report from a contactable consumer (patient). A male patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot/Batch number: unspecified, Pfizer NTEC), via an unspecified route of administration on 26Jan2021 as 1st dose, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient stated that on 26Jan2021 she received her first Covid-19 Pfizer vaccine. A few hours after the injection she woke with severe tinnitus, a slight headache, etc. she contacted her PCP the next day and have been in contact with several medical personnel. The ringing was intense and has not stopped since the day of the vaccine, morning, noon and night. Her blood pressure was 185/108 and 100 bpm. She was very concerned, next vaccine on Feb 16th. The patient underwent lab tests and procedures which included blood pressure measurement: 185/108, 100 beats per minute on an unspecified date. The clinical outcome for the events was unknown. Information on lot/batch number has been requested. Follow-up (14May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1436088
Sex: M
Age:
State: GA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 06/30/2021
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: After taste in mouth; This is a spontaneous report from a contactable consumer. This consumer reported similar events for two patients. This is 2nd of two reports. This consumer (Wife) reported for a male patient (Husband) that, A male patient of an unspecified age received bnt162b2 (BNT162B2 Pfizer-BioNTech Covid-19 mRNA Vaccine, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration, administered in Arm Right on 05Feb2021 15:00 as DOSE NUMBER UNKNOWN, SINGLE for covid-19 immunisation. Medical history included meniere's disease. No known allergies. No other vaccine in four weeks. No Covid prior vaccination. No Covid tested post vaccination. Concomitant medication(s) included Multi Vitamins, rosuvastatin calcium (CRESTOR); furosemide (FUROSEMIDE) and sertraline (SERTRALINE) taken for an unspecified indication, start and stop date were not reported. On 05Feb2021 15:30 patient experienced after taste in mouth, Strong immediately after vaccine. Husband had same response. NO treatment was received for event. The outcome of event after taste was recovered on an unspecified date in Feb2021. Follow-up (13May2021): Follow-up attempts completed. No further information expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021127141 Same reporter/drug/event, different patient

Other Meds: CRESTOR; FUROSEMIDE; SERTRALINE

Current Illness:

ID: 1436089
Sex: F
Age:
State: IL

Vax Date:
Onset Date:
Rec V Date: 06/30/2021
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: fever of 101 F; muscle aches; This is a spontaneous report from a contactable consumer via Pfizer sales representative. This consumer reported similar events for 6 patients. This is 1st of 6 reports. This 31-year-old female consumer reported. A 31-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration (at the age of 31-years-old) on an unspecified date as dose 2, single for COVID-19 immunization. The patient's medical history and concomitant medications was not reported. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as dose 1, single for COVID-19 immunization. On an unspecified date, the patient experienced fever of 101 F and muscle aches 26 hours after receiving her second Pfizer - BioNTech COVID vaccine. Symptoms lasted approximately 7 hours and symptoms were relieved with treatment medication. Patient stated that 5 other individuals within her department also experienced similar symptoms after receiving the second dose. Treatment medication included one dose of Tylenol. The patient underwent lab test and procedures on an unspecified date which included body temperature of 101 F. Outcome of the events was reported was recovered on an unspecified date. Information on the lot/batch number has been requested. Follow-up attempts completed. No further information expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021157492 Same reporter/ drug/ event for different patients;US-PFIZER INC-2021157494 Same reporter/ drug/ event for different patients;US-PFIZER INC-2021157495 Same reporter/ drug/ event for different patients;US-PFIZER INC-2021157496 Same reporter/ drug/ event for different patients;US-PFIZER INC-2021157493 Same reporter/ drug/ event for different patients

Other Meds:

Current Illness:

ID: 1436090
Sex: F
Age:
State: IL

Vax Date:
Onset Date:
Rec V Date: 06/30/2021
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: fever of 101 F; muscle aches; This is a spontaneous report from a contactable consumer via Pfizer sales representative. This consumer reported similar events for 5 patients. This is 1st of five reports. This consumer reported for a patient (1st coworker) that: A 31-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as single dose for COVID-19 immunization. The patient's medical history and concomitant medications was not reported. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as dose 1, single for COVID-19 immunization. On an unspecified date, the patient experienced fever of 101 F and muscle aches 26 hours after receiving her second Pfizer- BioNTech COVID vaccine. Symptoms lasted approximately 7 hours and symptoms were relieved with treatment medication. Patient stated that 5 other individuals within her department also experienced similar symptoms after receiving the second dose. Treatment medication included one dose of Tylenol. The patient underwent lab test and procedures on an unspecified date which included body temperature of 101 F. Outcome for the events was reported as resolved on an unspecified date. Information on the lot/batch number has been requested. Follow-up attempts completed. No further information expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021157330 Same reporter/ drug/ event for different patients

Other Meds:

Current Illness:

ID: 1436091
Sex: U
Age:
State: IL

Vax Date:
Onset Date:
Rec V Date: 06/30/2021
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: fever of 101 F; muscle aches; This is a spontaneous report from a contactable consumer via Pfizer sales representative. This consumer reported similar events for herself and 5 patients. This is 4th of 6 reports. This consumer reported for a patient that: A patient of unspecified age and gender received BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine,, solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as dose 2, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On an unknown date, the patient experienced fever of 101 f, muscle aches. The patient underwent lab tests and procedures which included body temperature: 101 fahrenheit on an unknown date. The outcome of the events were unknown. Information on the lot/batch number has been requested. Follow-up (13May2021): Follow-up attempts completed. No further information expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021157330 Same reporter/ drug/ event for different patients

Other Meds:

Current Illness:

ID: 1436092
Sex: F
Age:
State: IL

Vax Date:
Onset Date:
Rec V Date: 06/30/2021
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: fever of 101 F; muscle aches; This is a spontaneous report from a contactable consumer via Pfizer sales representative. This consumer reported similar events for 5 patients. This is 5 of 5 reports. A 31-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, lot number was not reported), dose 2 via an unspecified route of administration on an unspecified date as dose 2, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, lot number was not reported), administered on an unspecified date as single dose for COVID-19 immunisation. The patient received of second Pfizer - BioNTech COVID vaccine, after 26 hours experienced fever of 101 F and muscle aches. The symptoms lasted approximately 7 hours and symptoms were relieved with one dose of Tylenol. The patient underwent lab tests and procedures which included body temperature: 101 Fahrenheit. Therapeutic measures were taken as a result of events and treatment with Tylenol. Outcome of the events was resolved on an unknown date. Follow-up attempts completed. No further information expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021157330 Same reporter/ drug/ event for different patients

Other Meds:

Current Illness:

ID: 1436093
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/30/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Had soreness in her arm; This is a spontaneous report from a non-contactable consumer or other non HCP (patient, self-reporting). An adult female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot number and expiration dates were not reported), via an unspecified route of administration on an unspecified date as dose 1, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The reporter reported that a friend shared that her adult daughter had soreness in her arm after the first does of the vaccine. No follow up attempts are possible, information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1436094
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/30/2021
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: Felt fatigued; Aches; This is a spontaneous report from a contactable other health care professional (patient). This report was received via a sales representative. A 5-decade-old (age: mid-40s, unit: unknown) male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: unknown), dose 2 via an unspecified route of administration on an unspecified date as dose 2, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously received the first dose of bnt162b2 for COVID-19 immunization. The patient reported having a rough time after his second vaccination which was received on a Wednesday. He left work early Thursday. The patient experienced felt fatigued and aches. Therapeutic measures were taken as a result of the events which included Tylenol. The outcome of the events was unknown.

Other Meds:

Current Illness:

ID: 1436095
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/30/2021
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: Extreme soreness in arm after COVID vaccine; This is a spontaneous report from a non-contactable consumer or other non-healthcare professional (patient) via Pfizer sales representative. A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as dose number unknown, single for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient experienced extreme soreness in arm after COVID vaccine. The event was occurred after use of product. The outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1436096
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/30/2021
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: Full body rash with burning sensation; Full body rash with burning sensation; This is a spontaneous report from a Contactable consumer (patient) or other non HCP. A 35-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Lot number and Expiration date was not reported) via an unspecified route of administration DOSE 2 SINGLE for covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient previously took first dose of BNT62B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Lot number: Unknown) via an unspecified route of administration at DOSE 1 SINGLE for covid-19 immunization. After 3 days post second dose, patient experienced full body rash with burning sensation. The outcome of event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1436097
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/30/2021
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: Repeated nose bleed (3) after second Pfizer COVID vaccine shot; This is a spontaneous report from a non-contactable consumer (patient). A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: Unknown, Expiration date: Unknown), via an unspecified route of administration on an unspecified date as dose 2, single dose for covid-19 immunisation. The patients medical history and concomitant medications were not reported. On an unspecified date, the patient experienced repeated nose bleed (3) after second pfizer covid vaccine shot. The outcome of the event was unknown. No follow-up attempts are possible, Information about batch/lot number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1436098
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/30/2021
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: Bloody noses 3 days after 2nd dose of Pfizer COVID vaccine; This is a spontaneous report from a Pfizer-sponsored program. A non-contactable consumer (patient) reported that a patient of an unknown gender and age received second dose of bnt162b2 (Pfizer-Biontech COVID-19 Vaccine, solution for injection, Batch/Lot Number: unspecified), via an unspecified route of administration on an unspecified date as a single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient received first dose of bnt162b2 (Pfizer-Biontech COVID-19 Vaccine, solution for injection, Batch/Lot Number: unspecified) on an unspecified as historical vaccination as single dose for covid-19 immunisation. On an unspecified date, the patient had bloody noses 3 days after 2nd dose of Pfizer COVID vaccine. The outcome of the event was unknown. Reporter does not wish to be contacted for follow-up. No follow-up attempts are possible. Information about lot/batch number cannot been obtain. No further information is expected.

Other Meds:

Current Illness:

ID: 1436099
Sex: F
Age:
State: NC

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 06/30/2021
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: Muscle, joint and nerve pain; Muscle, joint and nerve pain; Muscle, joint and nerve pain; fatigue; Fever; This is a spontaneous report from a contactable other hcp. This HCP (Patient) reported that a 36-year-old non-pregnant female patient received bnt162b2 (BNT162B2, Formulation: Solution for injection, Batch/Lot number: EM9810), dose 2 via an unspecified route of administration, administered in Arm Left on 05Feb2021 09:00 as DOSE 2, SINGLE for covid-19 immunisation. The patient had no medical history. Concomitant medication(s) included escitalopram oxalate (LEXAPRO) 20mg/day. Patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unknown route of administration on 15Jan2021 at 05:00 PM in Arm Left (Batch/Lot number : EL3248) as 1ST DOSE, SINGLE for covid-19 immunisation. Patient had no known allergies. On 05Feb2021 07:00, the patient experienced muscle, joint and nerve pain; fatigue and fever. The patient underwent lab tests and procedures which included pyrexia: 101-103 f on 05Feb2021 Fever starting -15 hrs after shot lasting -6 hours, ranging 101-103 F. Patient was received self treatment and OTC medications for events. It was reported that With 2nd shot, Fatigue starting 8 hours after shot lasting for 2 days, not improved with rest, Fever starting 15 hrs. After shot lasting 6 hours, ranging 101-103 F, resolved without medications. Muscle, joint and nerve pain starting 12 hours after shot, muscle and joint pain resolved within 30-60 min of taking 1 tablet naproxen 220 mg, nerve pain (characterized by pressure perceived as burning/tingling pain) resolved 12-15 hours after start but did not improve with rest or OTC painkillers. The clinical outcome of event fatigue was not recovered; while others were recovered. Follow-up attempts are completed. No further information is expected.

Other Meds: LEXAPRO

Current Illness:

ID: 1436100
Sex: M
Age:
State: TN

Vax Date: 02/01/2021
Onset Date:
Rec V Date: 06/30/2021
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: His sinuses are acting up; feels like he has the flu; aches; Chills; blood pressure has spiked/His blood pressure has been in the 120s on the high side over the 60s. His blood pressure has gone up to 160+ over 80+; This is a spontaneous report from a contactable consumer or other non hcp. A 76-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for Injection, Lot Number was not reported), via an unspecified route of administration at the age of 76-year-old on 01Feb2021 as single dose for covid-19 immunization. Medical history included blood pressure abnormal. The patient's concomitant medications were not reported. The patient reported that his sinuses were acting up and he called about the Pfizer covid vaccine. He read the pamphlet on the side effects. He did not have all of the side effects and he felt like he has the flu, aches, chills and did not have a fever and his blood pressure had spiked. The patient reported that he has never had a blood pressure problem except way back. His blood pressure had been in the 120s on the high side over the 60s, but his blood pressure had gone up to 160+ over 80+. He did not know if that has anything to do with the vaccine. The patient that he was on blood pressure medication and he has never had a problem. The patient underwent lab tests and procedures which included blood pressure measurement: spiked. Outcome of the events was unknown. Information on the lot/batch number has been requested. Follow-up (11May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1436101
Sex: M
Age:
State: AZ

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 06/30/2021
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: Lost weight; He had no appetite; Stomach cramps; Dehydrated; Tired; no energy; Confused; Headache; Diarrhea; Not digesting food; This is a spontaneous report from a contactable consumer (patient). A 76-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution injection; Lot Number: EL9269), in left shoulder on 13Feb2021 06:30 as dose 1, single for covid-19 immunisation (76 years old when vaccinated). Medical history included damaged his thumb a couple of years ago. There were no concomitant medications. The patient reported that he got the shot this morning. After he got the shot on 13Feb2021 he had to wait for 15 minutes before he could leave. While waiting the 15 minute time period he got a slight headache at that time. He later stared to drive home and realized he was feeling confused. He decided to get something to eat and that did make him feel better. However, he felt like he was not digesting his food all day. He felt like he was still bloated. He was not processing the food he had eaten. He added, the food he did eat he thought the eggs were not done. Normally, he would not eat them, but he was in a hurry. After that he did not eat any food. He was unable to eat any food. Later that day he began to have a bad reaction. He felt extremely tired. He then started to lose his body fluids. He would sit down and it would run out of him. He decided to quarantine himself. He stated he could not use the internet because he lives in a place where they do not have internet. He was tired, had no energy. He just kept losing body fluids constantly. He has lost weight. He felt dehydrated. Stated he did not have a fever. He had a thermometer and was checking it every hour. It felt like at the time when events first started he was getting worse and worse and so he just laid there. He stated he does not know his current weight. He was dehydrated so bad. He lost so much weight his shoes does not even fit his feet. Later, he confirmed he no longer has a headache. He last had a headache slightly yesterday. He added that the headache could have also occurred due to lack of eating. He had no appetite. He was unable to provide if recovered completely or recovered with lasting effects when probed for outcome. He stated he just felt ran down. He clarified losing body fluids as he had like water, like diarrhea, it was running right out like it would out of a body bag. He could not stop it from coming. It would happen every few minutes. He confirmed that he no longer has diarrhea. He had started taking Kaopectate. He reported that he last had diarrhea a little yesterday morning. He does not have it anymore. He just has no energy left. He would lay down because he was so tired and then he started having the diarrhea and it kept getting worse and worse. He ate a little this morning, a breakfast roll. The day he got the vaccine he was so tired. He slept a lot. This was early afternoon. He got up because he realized he had made a mess with the diarrhea. He started having stomach cramps the night of 13Feb2021. He had some when he laid down. He still had some last night when he laid down. He does not know if the stomach cramps have resolved yet, stated he is still waiting to see. He will have to see when he lies down. However, he is trying to get out and about to get some things done and get something to eat. He stated he was taking Tylenol, but the Tylenol was mainly for the stomach cramps. By 14Feb2021 he started to feel dehydrated. He felt that by then he had already stopped up the sewage system. He was taking electrodes from (Pharmacy) due to the dehydration. He knew this was going to be a problem. Therefore, someone went out and got this for him. He stated that he feels better overall. He will truly see when he tries to get something to eat. He stated he does not take any medications whatsoever on a regular basis. He added, the guy who gave him the shot caller does not believe he has given too many shots before. He thought he was a rookie. He stated he went too high to begin with. He said that normally, shots don't hurt with him and this time it did slightly. He reported that he gets the flu vaccine every year. He was supposed to get the second shot 06Mar2021, but he was not sure about if he should get it and has questions about that. The outcome of the event headache was recovered while diarrhea, he had no appetite, lost weight and confused was not recovered. The outcome of the event not digesting food, dehydrated and stomach cramps was unknown while the outcome of tired; no energy was recovering. Follow-up (14May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1436102
Sex: F
Age:
State:

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 06/30/2021
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: urinary tract infection; This is a spontaneous report from a contactable consumer. A 66-year-old female patient received second dose of BNT162B2(PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/lot number: not provided), via an unspecified route of administration on 14Feb2021 as a dose 2, single for COVID-19 immunization. The patient had received first dose of BNT162B2(PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/lot number: not provided), via an unspecified route of administration on 26Jan2021 as a single dose for COVID-19 immunization. The patient medical history and concomitant medication were not reported. On 14Feb2021, the patient experienced symptoms of a urinary tract infection the night. The outcome of the event was unknown. Information about lot/batch number is requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1436103
Sex: F
Age:
State: MI

Vax Date: 02/04/2021
Onset Date: 02/01/2021
Rec V Date: 06/30/2021
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: couldn't sleep, up all night; chills; With the second vaccine, her arm hurts; This is a spontaneous report from a Contactable Consumer (patient). A 76-year-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/lot number: E20792 (but she doesn't know for sure) and Expire Date: unknown) intramuscularly administered in left arm on 04Feb2021 10:15 (at the age 76-year-old) as dose 2, single for COVID-19 immunisation. Patient took her first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/lot number: unknown and Expire Date: unknown) intramuscularly administered in left arm on 14Jan2021 (at the age of 76 years), and stated that arm was really, really painful on 15Jan2021. Vaccination facility type was physician's office. The patient's medical history was not reported. She mentions she takes thyroid pills as concomitant medication. No further details provided or obtained regarding this statement. None of the additional vaccines administered on same date of the suspect. The patient did not receive any Prior vaccines within 4 weeks. With the second vaccine in feb2021, her arm hurts but it is not anything she cannot stand. However, she didn't sleep again all night last night. She was so tired but she could not sleep. She has taken other medications and she does have insomnia. She has tried melatonin for sleep and it worked just the opposite. It kept her up all night. Caller verifies she has no NDC, Lot number or expiry date for the melatonin, this was a while back. She mentions someone also told her to take Benadryl which typically makes one sleepy but she stayed up all night when she took it. She confirms she has no NDC/UPC, Lot, or expiry date to provide. She took that a while back. She was just wondering if the vaccine could cause patient not to sleep it was weird. The first vaccine she had, her arm was really, really painful. She was up all night but she was up because her arm was in so much pain. She just inquired if this could be a side effect of the vaccine and there been any reports of this. In Feb2021,She also had the chills which she read was normal. She mentions she does have sleep medication but she didn't know if it was safe to take after having a shot. Every once in a while she takes it. Caller mentions she did have a blood test done, not too long ago. Like cholesterol and everything and it was good. Caller verifies this was prior to receiving the vaccine. Caller was curious if this common or anybody else have trouble sleeping after receiving the vaccine. No emergency room visit and physician office visit was reported. Treatment was received for couldn't sleep, up all night. The outcome of events was unknown. No further details were provided or obtained. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1436104
Sex: F
Age:
State: MD

Vax Date: 02/05/2021
Onset Date:
Rec V Date: 06/30/2021
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: chest is extremely heavy; right lung hurts more than the left lung/her right lung hurts more when she breathes deep; This is a spontaneous report from a contactable consumer. This female consumer (Patient) reported that a female patient of an unspecified age received bnt162b2 ((PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, lot number: Unknown), dose 2 via an unspecified route of administration in right arm on 05Feb2021 12:30 as single for covid-19 immunisation from pharmacy. The patient medical history and concomitant medications were not reported. Historical vaccine included bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, lot number: Unknown), dose 1 via an unspecified route of administration on an unspecified date as single for covid-19 immunisation. the patient was diagnosed with Covid on 20Dec2020. The patient reported that, her chest is extremely heavy and the right lung hurts more than the left lung. Patient reported that it was definitely different than the first vaccine. Patient reported that she was alone and was freaked out a little. The patient reported that her right lung hurts more when she breathes deep. It was a tight, heavy hurt. She said that she feels constricted a little bit. The outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1436105
Sex: M
Age:
State:

Vax Date: 02/07/2021
Onset Date:
Rec V Date: 06/30/2021
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: his arm is much more sore than her arm; This is a spontaneous report from a contactable consumer (patient) via medical information team reported similar events for two patients. This report is for 2nd of 2 patient. This report is reported by consumer (wife) for a male patient (husband). A male patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: UNKNOWN), via an unspecified route of administration on 07Feb2021 as single dose for COVID-19 immunisation. The medical history and concomitant medications were not reported. On an unspecified date in 2021, the patient experienced sore arm. The reporter stated that she and her husband received their first dose of the Pfizer COVID-19 vaccine on Sunday, 07Feb2021, and his arm is much more sore than her arm. The outcome of the event was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1436106
Sex: M
Age:
State:

Vax Date: 01/17/2021
Onset Date:
Rec V Date: 06/30/2021
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: sore/Injection site pain; This is Spontaneous report from a non-contactable Pharmacist. This Pharmacist reported similar events for herself and 1 patient. This is a 2nd of Two reports. This report included that a 68-year-old male patient who received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, Lot Number and expiry date was unknown), via an unspecified route of administration first dose on 17Jan2021 and second dose on 05Feb2021(Age at vaccination was 68-year-old) as a single dose for COVID-19 immunisation. Medical history was not reported. Concomitant medications were not reported. On an unknown date patient experienced sore/Injection site pain. Outcome of the event was unknown. No follow-up attempts are possible. Information about lot/batch number cannot be obtained.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021130209 Same reporter/drug/similar event, different patient

Other Meds:

Current Illness:

ID: 1436107
Sex: F
Age:
State: MD

Vax Date: 01/23/2021
Onset Date:
Rec V Date: 06/30/2021
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: Other than normal body aches and pains, but the next day was high as a kite; Other than normal body aches and pains; Clearned up her runny nose and sinus problem; Clearned up her runny nose and sinus problem; This is a spontaneous report from a contactable other health care professional (Nurse). A 92-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot number and expiration date was not reported), via an unspecified route of administration on 23Jan2021 as dose1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date the patient experienced other than normal body aches and pains, but the next day was high as a kite followed by cleaned up her runny nose and sinus problem. It was reported that patient(her friend) got high after the vaccine and didn't want to talk to anybody, stated it was her first dose. Stated her friend is going to be 93 in March, exact date of birth is unknown, stated with the first vaccine her friend said she felt no other symptoms except it cleared up her runny nose and sinus problem she had, no more than the normal pains that she had. The outcome of the events was unknown. Information on the lot/batch number has been requested. Follow-up (12May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1436108
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/30/2021
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: "wiped out" for 3 days following the second dose. He also described it as being "exhausted"; This is a spontaneous report from a contactable other hcp. This contactable consumer reported for 2nd Dose administered. A 64-years-old male patient received bnt162b2 (COMIRNATY, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as DOSE 1, SINGLE for an COVID-19 immunization. The patient medical history was not reported. Concomitant medications included metformin and meloxicam taken for an unspecified indication, start and stop date were not reported. The patient historical vaccine included first dose of bnt162b2 (COMIRNATY) and had he headache for 1.5 days and sore arm for a week. The patient stated that he experienced "wiped out" for 3 days following the second dose and described it as being "exhausted" on an unspecified date. The patient expressed that they should make it a standard protocol not to take anti-inflammatory drugs prior to the COVID-19 vaccination series and were there any test to assess the immunity after the receipt of the COVID-19 vaccine. The patient asked could COVID-19 vaccination series be repeated? Has it been done? If so, what are the consequences. Caller stated he received both doses of the COVID-19 vaccine while being on Meloxicam and Metformin. He explained yesterday, he read on news that taking anti-inflammatory drugs interferes with the body's immune response to the COVID-19 vaccine. The patient asked was there a potential interaction between Meloxicam, being an non-steroidal anti-inflammatory drug and the COVID-19 vaccine and Would these anti-inflammatory drugs inhibit an optimal immune response to the vaccine and was there a potential interaction between Metformin and this vaccine and how many of the clinical trial participants were on anti-inflammatory drugs during the study, how does it correlate with the 95 percent effectiveness for the vaccine and what percentage of participants who responded to the vaccine were on anti-inflammatory drugs. The outcome of event was unknown. Follow-up attempts completed. No further information expected.

Other Meds: METFORMIN; MELOXICAM

Current Illness:

ID: 1436109
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/30/2021
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: only our shoulders was hurting a little but we had not fever; This is a spontaneous report from a contactable consumer. This consumer reported for 5 patients. This is 2nd of 5 reports. A patient of unspecified age and gender received BNT162B2 (BNT162B2 PFIZER-BIONTECH COVID-19 MRNA VACCINE; Solution for injection, Batch/Lot number and expiration dates were not reported), via an unspecified route of administration on an unspecified date as unknown dose number, single for COVID-19 immunisation. The patient medical history and concomitant medications was not reported. It was reported that, there was 5 of us and none of us had reactions, only our shoulders were hurting a little, but we had not fever" with outcome of unknown. Information on the lot/ batch number has been requested. Follow-up attempts are completed. No further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021171049 same drug/AE, different patient.

Other Meds:

Current Illness:

ID: 1436110
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/30/2021
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: shoulders was hurting a little; This is a spontaneous report from a contactable consumer. This consumer reported similar events for 5 patients. This is 3rd of 5th reports. A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as Dose number Unknown, Single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. It was reported on an unspecified date that if Consumer didn't get a reaction that means the shot was not effective and was not working, was that true? As per consumer there was 5 of us and none of us had reactions, only our shoulders were hurting a little but we had not fever. The outcome of event was unknown. Information on Lot/Batch number has been requested. Follow-up attempts are completed. No further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021171051 same drug/AE, different patient.;US-PFIZER INC-2021171050 same drug/AE, different patient.;US-PFIZER INC-2021171048 same drug/AE, different patient.;US-PFIZER INC-2021130494 same drug/AE, different patient.;US-PFIZER INC-2021171050 same drug/AE, different patient.

Other Meds:

Current Illness:

ID: 1436111
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/30/2021
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: there was 5 of us and none of us had reactions, only our shoulders was hurting a little but we had not fever; This is a spontaneous report from a contactable consumer (patient). This consumer reported similar events for five patients. This is fourth of five reports. A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as a dose number unknown, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unspecified date, the reporter stated that, there was 5 of them and none of them had reactions, only their shoulders were hurting a little, but they had not fever. The reporter wanted know that the patient didn't get a reaction that means the shot was not effective and was not working, was that true. The outcome of the event was unknown. Information on lot/batch number has been requested. Follow-up attempts are completed. No further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021171051 same drug/AE, different patient.;US-PFIZER INC-2021130494 same drug/AE, different patient.;US-PFIZER INC-2021171048 same drug/AE, different patient.;US-PFIZER INC-2021171049 same drug/AE, different patient.

Other Meds:

Current Illness:

ID: 1436112
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/30/2021
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: shoulders was hurting a little; This is a spontaneous report received from a contactable consumer. This consumer reported similar events for 5 patients. This is 5th of 5 reports. A patient of an unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for Injection, Batch/Lot number and Expiration date was not reported) via an unspecified route of administration, on an unknown date, as a single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date, the reported stated that "there was 5 of them had reactions and their shoulders was hurting a little but they did not have fever." The outcome of the event was unknown. Information on Lot/Batch number has been requested. Follow-up attempts are completed. No further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021171049 same drug/AE, different patient.

Other Meds:

Current Illness:

ID: 1436113
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/30/2021
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: Feeling very bad still/ I feel like crap; the flu symptoms and stuff but that will only last 24-48 hours but they did go on and off; It's been a low grade fever and highest is 100.4; Cold; Sneezing; Terrible headache; some kind of sore inside my nostril, my left nostril; This is a spontaneous report from a contactable consumer (patient). A patient of an unspecified age and gender received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number and Expiration date was not reported), via an unspecified route of administration, on an unspecified date (on Wednesday), as a single dose for covid-19 immunization. The patient medical history was not reported. The patient's concomitant medications were not reported. On an unspecified date, patient had experienced really feeling very bad still. I have had you know, I mean I was fine, a couple of hours after the injection I was expecting to get some kind of side effects like the flu symptoms and stuff but that will only last 24-48 hours but they did go on and off. I have had fever, the cold, the sneezing, the terrible headache and I have also developed some kind of sore inside my nostril, my left nostril. So I am starting to get a little concerned, the fever hasn't been that high, it's been a low grade fever, the highest it's been is 100.4 and it goes back and for so, it goes down and then it goes up a little and so far today so far I haven't had any fever, it's been 99.0 so that's alright but I was really starting to get concerned because I did not know how long this thing is supposed to last and I am not usually prone to get headaches or cold, I haven't had a cold or flu in years so I will like to have some information and the place where I got it was "Covid" (not clarified) Hospital. They did not have any contact number for this, so I want to know if I should be concerned, if I should go in to the emergency or see a doctor, I don't have a primary care doctor right now. I really did not have my primary doctor, retired back in July and I have always seen one doctor since 10 and it's hard getting to be ill (not clarified), getting through the doctors, to the clinic and appointment and stuff so I don't know if I should be concerned or how long this is going to last or whatever because I really feel like crap. Lab test fever: result: 99.0, 100.4 (unit not reported). The outcome of the event was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1436114
Sex: F
Age:
State: NY

Vax Date:
Onset Date: 02/07/2021
Rec V Date: 06/30/2021
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: a little soreness in arm where the vaccine was injected; This is a spontaneous report from a contactable consumer or other non-healthcare professional. An elderly non pregnant female patient received bnt162b2 (PFIZER-BIONTECH mRNA COVID-19 VACCINE, solution for injection, Lot number was not reported), via an unspecified route of administration on an unspecified date as single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. Other medications in two weeks were unknown. On 07Feb2021, the patient experienced a little soreness in arm where the vaccine was injected. The outcome of the event was unknown. Information on the lot/ batch number has been requested. Follow-up (12May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1436115
Sex: F
Age:
State: CA

Vax Date: 02/02/2021
Onset Date: 02/06/2021
Rec V Date: 06/30/2021
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: 4 days after 2nd dose I had vertigo/dizzy. I could not walk for about 30 minutes without holding on to something; 4 days after 2nd dose I had vertigo/dizzy. I could not walk for about 30 minutes without holding on to something; 4 days after 2nd dose I had vertigo/dizzy. I could not walk for about 30 minutes without holding on to something; This is a spontaneous report from a contactable consumer (patient). A 57-years-old non-pregnant female patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: EL9264), via an unspecified route in the left arm on 02Feb2021 at 15:00 (at the age of 57-years) as dose 2, single for covid-19 immunisation. The patient medical history was not reported. The patient had known allergic to amoxicillin. The patient concomitant medications were not reported. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: EL3302), via an unspecified route in the left arm on 12Jan2021 at 15:30 as dose 1, single for covid-19 immunisation. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient did not use other medications in two weeks. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had been tested for COVID-19. On 06Feb2021 at 08:00, the patient experienced vertigo/dizzy. She could not walk for about 30 minutes without holding on to something. The patient did not receive treatment for events. The patient underwent lab tests and procedures which included COVID test nasal swab was negative on unspecified date of 2021. The outcome of events was recovered on unspecified date of Feb2021. Follow-up (12May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1436116
Sex: F
Age:
State: CA

Vax Date: 02/03/2021
Onset Date: 02/06/2021
Rec V Date: 06/30/2021
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: This is a spontaneous report from a contactable consumer (patient). A 70-years-old non-pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTEC COVID-19 VACCINE, Solution for injection, Lot Number: EN5318) via an unspecified route of administration on 03Feb2021 at 11:00 (at the age of 70-years-old) as a single dose for COVID-19 immunization. Medical history not reported. Concomitant medication included antihistamine. patient had allergies to sulfa and latex. Patient did not receive other vaccine in four weeks of vaccination. Patient was not diagnosed with COVID-19, prior vaccination. Patient was tested COVID post vaccination. On 06Feb2021 (on the 3rd day) at 16:00, patient experienced that her throat felt like it was closing and could not swallow. The swallow reflex would not work. This went on for around an hour. No treatment was received. Patient wants to know if this happens again with the 2nd dose or should not take the 2nd dose. Lab test covid test: unknown. The outcome of all events was recovered. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1436117
Sex: M
Age:
State: NY

Vax Date: 01/19/2021
Onset Date: 01/24/2021
Rec V Date: 06/30/2021
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: Bilateral lower extremity pain; pain 9/10 ankle swelling w pain; pain 9/10 ankle swelling w pain/Knee pain; Unable to difficulty to ambulate; Night sweats; Chills w/o fever; Nausea; This is a spontaneous report from a contactable other hcp. A 45-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration, administered in right arm on 19Jan2021 14:30 (at the age of 45-year-old) as dose number unknown, single for COVID-19 immunization. Medical history included none. The patient concomitant medications were not reported. AE treatment was given at physicians office visit. The patient has no known allergies. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination the patient was not tested for COVID-19. The patient was not received any other vaccines within 4 weeks prior to the COVID vaccine. On 24Jan2021 the patient experienced bilateral lower extremity pain, pain 9/10 ankle swelling w pain, knee pain, unable to difficulty to ambulate. Night sweats, chills w/o fever and nausea. On 24Jan2021 the patient underwent lab tests and procedures which included pain assessment: 9/10. Therapeutic measures were taken as a result of bilateral lower extremity pain, pain 9/10 ankle swelling w pain, knee pain, unable to difficulty to ambulate, night sweats, chills w/o fever and nausea. The outcome of the events was unknown. Information about lot/batch number has been requested. Follow-up (11May2021): Follow-up attempts completed. No further information expected

Other Meds:

Current Illness:

ID: 1436118
Sex: F
Age:
State: IL

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 06/30/2021
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: Nausea; no appetite; felt woozy; Low grade fever; felt crummy and spent the day in bed /She is not feeling too good; This is a spontaneous report from a contactable consumer (patient). A 62-years-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration, administered in Arm Right on 04Feb2021 14:00 (at the age of 62-years-old) (Batch/Lot Number: EL9269) as single dose for COVID-19 immunisation. Medical history included hypothyroidism from 2015 and ongoing, hyperthyroidism, cholesterol, bipolar ii disorder. Concomitant medication(s) included levothyroxine sodium (SYNTHROID) taken for hyperthyroidism from 2012 and ongoing; simvastatin (SIMVASTATIN) taken for blood cholesterol abnormal from 2010 and ongoing; lamotrigine (LAMICTAL) taken for bipolar ii disorder from 2003 and ongoing; venlafaxine (VENLAFAXINE) taken for bipolar ii disorder from 2000 and ongoing. No history of previous immunization with the Pfizer vaccine considered as suspect. No additional vaccines administered on same date of the Pfizer suspect. The patient no Prior Vaccinations (within 4 weeks). The patient previously first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration on 14Jan2021 (at the age of 62-years-old) (Batch/Lot Number: EL3246) for COVID-19 immunisation. Since 05Feb2021, the patient experienced low grade fever, no appetite and felt woozy. Since 06Feb2021, the patient had nausea. That was day four since she received the second dose of the Covid-19 vaccine. She was not feeling too good. She has had a low grade fever and nausea. She has not had anything weird or unusual. She was still drinking liquids but had no appetite. She still felt woozy. still felt woozy. Her temperature was 100.2 degrees. She felt crummy and spent the day in bed. When asked about concomitant medications, patient asked if there would be a difference in taking these medications verses not taking the vaccination. She had a medical background and didn't go seek treatment. She wanted to know when she would feel better, there was anything that anyone could do. This had knocked her for a loop. The event did not require visit to Emergency Room/ Physician Office. The patient had no relevant tests done. Outcome of the events low grade fever was recovered on 06Feb2021; nausea, felt woozy was recovering; no appetite was not recovered; felt crummy and spent the day in bed /she is not feeling too good was unknown. Follow-up attempts completed. No further information expected.

Other Meds: SYNTHROID; SIMVASTATIN; LAMICTAL; VENLAFAXINE

Current Illness: Hypothyroidism (Verbatim: Hypothyroidism)

ID: 1436119
Sex: F
Age:
State: FL

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 06/30/2021
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: sore arm; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 73-year-old female patient received second dose of bnt162b2 (BNT162B2, PFIZER-BIOTECH COVID-19 VACCINE, solution for injection, Batch/Lot number was not reported), via an unspecified route of administration in the right arm on 04Feb2021 09:00 (age at the time 73-year-old) as single dose for covid-19 immunization at pharmacy. The patient's medical history and no concomitant medications was not reported. The patient did not receive any other vaccine within 4 weeks. The patient previously received first dose of bnt162b2 (BNT162B2, PFIZER-BIOTECH COVID-19 VACCINE, solution for injection, Batch/Lot number was not reported), via an unspecified route of administration in the right arm on 15Jan2021 16:00 (age at the time 73-year-old) as single dose for covid-19 immunization. On 04Feb2021, the patient had a sore arm which she noticed pretty soon after the second shot. It went away three days later. She had fully recovered from the sore arm. Patient did not required visit to physician or ER. No investigation assessment was reported. The outcome for the event was resolved on 07Feb2021. Information about lot/batch number has been requested. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1436120
Sex: F
Age:
State: NY

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 06/30/2021
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: left knee is really swollen; Knee pain; This is a spontaneous report from a contactable consumer or other non health care professional (Patient's daughter). A 90-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Batch/Lot Number: EL9269) via intramuscularly, administered in Arm Left on 05Feb2021 around noon (at the age of 89 years old) as dose 1, single for COVID-19 immunization at Church. No Patient's Medical History and no other products reported. There were no concomitant medications. The patient did not receive any other vaccines within four weeks prior to the vaccination. AE(s) following prior vaccinations were N/A. Caller explained she took her mom to get the vaccine on Friday, 05Feb2021 and explained her mother was fine on Friday when she received the vaccine. Probably the next day, Saturday, 06Feb2021, she stared experiencing really bad knee pains. Her left knee was really swollen. Caller was asking if patient could take an Advil or something to help with pain. Patient did not visit Emergency Room and Physician Office. The caller explains her mother was waiting it out because she knows she would have side effects. If the knee pains persist and goes on until tomorrow, maybe they will go somewhere. Relevant Tests were None. Investigation Assessment was reported as No. The clinical outcome of the event knee pain was not resolved, and left knee is really swollen was unknown. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1436121
Sex: F
Age:
State: WV

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 06/30/2021
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: Diarrhea; Very tired/tiredness; This is a spontaneous report from two contactable consumers (patient's husband and patient). A 77-years-old female patient received first dose of BNT162B2 (FPFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection; Lot Number: EM9810) via intramuscular administered in left arm on 06Feb2021 at 10:00 as dose 1, single (at the age of 77-years-old) for COVID-19 immunization at Clinic. No additional vaccines administered on the same date of Pfizer vaccine. Medical history included ongoing Chronic obstructive pulmonary disease (COPD) diagnosed probably 4 or 5 years ago; and also developed a blood clot 4 or 5 years ago; both from an unknown date. Concomitant medication included WARFARIN 3.5 tablet, by mouth, daily taken as blood thinner for blood clot. The patient not received any other vaccine within 4 weeks prior Vaccination. On 07Feb2021 (Yesterday), patient was very tired and on 08Feb2021, she experienced diarrhea which started early the morning. No Investigation Assessment. No Emergency Room or Physician Office visit and no relevant tests. It was reported reporter did call the physician's office to let her know he was experiencing these side effects. She did too and had the same thing happen. He clarifies further her, and her husband had the whole thing. The caller declined to compete a report on either the physician or the physician's husband. The outcome of the events was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds: WARFARIN

Current Illness: COPD (diagnosed probably 4 or 5 years ago.)

ID: 1436122
Sex: F
Age:
State: UT

Vax Date: 02/05/2021
Onset Date: 02/07/2021
Rec V Date: 06/30/2021
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: A raised painful red papule surrounded by inflamed purple tissue on the dorsal surface of the tongue anteriorly along with greatly diminished taste; a raised painful red papule surrounded by inflamed purple tissue on the dorsal surface of the tongue anteriorly along with greatly diminished taste; a raised painful red papule surrounded by inflamed purple tissue on the dorsal surface of the tongue anteriorly along with greatly diminished taste; a raised painful red papule surrounded by inflamed purple tissue on the dorsal surface of the tongue anteriorly along with greatly diminished taste; This is a spontaneous report from a contactable physician. A 76-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number: EL9265), intramuscularly, administered in Arm Right on 05Feb2021 at 12:00 (at the age of 76-year-old at vaccination) as a Dose 2, single for COVID-19 immunization. The patient was non-pregnant during vaccination. The patient' medical history included ablation for atrial fibrillation (AFib) from Mar2020, Hypertension, Hypothyroidism, Lymphoedema, Anaphylactic reactions to mango, pistachio, shellfish, glossitis and Glossitis to Sulfa drugs and the patient was inserted with Dual-chamber pacemaker May2021 for 3rd degree heart block. The patient' concomitant medication(s) included cyanocobalamin [B12], bioflavonoids NOS, lecithin, quercetin, ubidecarenone (CO-Q-10 PLUS), colecalciferol (D3), diltiazem, disopyramide, azilsartan kamedoxomil (EDARBI), furosemide (LASIX), levothyroxine sodium (SYNTHROID), hydrochlorothiazide, triamterene (TRIAMTERENE/HCTZ), rivaroxaban (XARELTO) within two weeks covid-19 vaccination. The patient's past medications included levofloxacin (LOVENOX) and Arixtra. The patient had bleeding and swelling because of Lovenox and Arixtra use and allergic to both the drugs. Vaccination facility type was reported as Clinic. The patient was not infected with Covid prior vaccination. The patient was not on any other vaccine in four weeks prior to Covid-19 vaccine. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number: EL3248) via unspecified route, administered in Arm Right on 11Jan2021 at 15:30 (at the age of 76-year-old at vaccination) as a Dose 1, single for COVID-19 immunization. On 07Feb2021 at 08:30 PM, the patient had a raised painful red papule surrounded by inflamed purple tissue on the dorsal surface of the tongue anteriorly along with greatly diminished taste. Symptoms started about 55-60 hours after 2nd Covid-19 vaccine injection. Both papule and diminished taste are present and unchanged 72 hours after vaccination. The AE resulted the patient to visit Doctor or other healthcare professional office/clinic visit. The patient was not covid tested post vaccination. The patient had not received any treatment medications for the resulted events. The outcome of the events was not recovered. Follow-up attempts completed. No further information expected.

Other Meds: B12 [CYANOCOBALAMIN]; CO-Q-10 PLUS; D3; DILTIAZEM; DISOPYRAMIDE; EDARBI; LASIX [FUROSEMIDE]; SYNTHROID; TRIAMTERENE/HCTZ; XARELTO

Current Illness:

ID: 1436123
Sex: F
Age:
State: FL

Vax Date:
Onset Date:
Rec V Date: 06/30/2021
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: had a little sore arm; This is a spontaneous report from contactable consumer (patient). This consumer reported similar events for 02 patients. This report is for 1 of 2 patient. A female patient with unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: unknown, Expiration date: unknown), via unspecified route, administered on unspecified date as 1st dose, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. On unspecified date, after the vaccination, the patient experienced little sore arm. The events assessed as non-serious. The outcome of the event was unknown. No follow-up attempts possible. No further information expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021171722 same reporter/event/drug, different patient

Other Meds:

Current Illness:

ID: 1436124
Sex: M
Age:
State: OH

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 06/30/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: extreme exhaustion; flu like symptoms set in; chills; body aches; uncomfortable; a little achy; This is a spontaneous report from a contactable consumer (patient). A 57-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection: Lot/Batch number: unknown) via an unspecified route of administration on 05Feb2021 at 04:45 pm on the left arm as a single dose for COVID-19 immunisation. The patient's medical history included depression. The patient's concomitant medications were not reported. Patient did not take any other medications with in four weeks of vaccination. Patient's other medications within two weeks included Effexor. The patient was not tested for COVID prior vaccination. Patient's COVID past vaccination was none. The patient stated that within the 1st 24 hrs of vaccination on 06Feb2021 at 08:00 am, the patient felt uncomfortable& a little achy. On the second day after vaccination, the patient had flu like symptoms, chills, body aches in joints and lower back. On the third day, the patient experienced chills, body aches and extreme exhaustion. The patient was treated with OTC medication for the events. The outcome of the events was resolving. No follow-up attempts are possible. Information about Lot/Batch number cannot be obtained. No further information is expected.

Other Meds: EFFEXOR

Current Illness:

ID: 1436125
Sex: U
Age:
State: FL

Vax Date:
Onset Date:
Rec V Date: 06/30/2021
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: had a little sore arm; This is a spontaneous report from a contactable consumer. This consumer reported similar events for 2 patients. This report is for 2 of 2 patient. A patient of unspecified age and gender received bnt162b2 (BNT162B2, Solution for injection, Batch/Lot number was not reported)dose 1, via an unspecified route of administration on an unspecified date as single dose for a covid-19 Immunization. The patient's medical history and concomitant were not reported. Caller stated that they were lucky enough to get first Pfizer shot last Friday, got their cards and are supposed to go back on 26Feb2021. Stated that she was trying to update their phone number for contact. Wanted to know how to reach them to update their number. Clarified that this is for the Pfizer Covid vaccine. Stated that administrator did not know if they would be there at the second location and would call them. Stated that they both had a little sore arm. The patient experienced had a little sore arm on an unspecified date in 2021 with outcome of unknown. Information about Lot/batch number is requested. Follow-up (11May2021): Follow-up attempts completed. No further information expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021171712 same reporter/event/drug, different patient

Other Meds:

Current Illness:

ID: 1436126
Sex: F
Age:
State: TX

Vax Date: 01/14/2021
Onset Date: 01/21/2021
Rec V Date: 06/30/2021
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: she broke out in rash. First it was on her knuckles. It was very red almost like hives. Then in a couple of days she had this rash on her knees and went down to her ankles.; There are still a few red spots; Rash on knees, legs, down to ankles; she broke out in rash. First it was on her knuckles. It was very red almost like hives. Then in a couple of days she had this rash on her knees and went down to her ankles.; she broke out in rash. First it was on her knuckles. It was very red almost like hives. Then in a couple of days she had this rash on her knees and went down to her ankles.; This is a spontaneous report from a contactable consumer (patient). A 73-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number: EK417U; Expiration Date: Mar2021), via an unspecified route of administration in the left arm on 14Jan2021 at 15:00 (at the age of 73-year-old) as dose 2, single for COVID-19 immunization in hospital. Medical history included ongoing diabetes mellitus, which was under control and blood pressure abnormal, lipids, blood cholesterol, herpes simplex from an unknown date and unknown if ongoing. Concomitant medications included empagliflozin, metformin hydrochloride (SYNJARDY) taken for diabetes mellitus, losartan taken for blood pressure abnormal; atorvastatin taken for lipids, blood cholesterol abnormal, colecalciferol (VITAMIN D3) taken for an unspecified indication, cyanocobalamin, folic acid (VITAMIN B12 & FOLIC ACID) taken for an unspecified indication, valaciclovir hydrochloride (VACLOVIR) to prevent the return of herpes II, all from an unspecified start date and ongoing. Historical vaccines included bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number: EK5730; Expiration Date: Mar2021), via an unspecified route of administration in the left arm on 21Dec2021 (at the age of 73-year-old) as dose 1, single for COVID-19 immunization. No Investigation assessment was not provided. The patient did not receive any other vaccines within four weeks prior to the vaccination. No vaccines were administered on the same date of Pfizer suspect. It was reported that "Psychologist calling about the Pfizer vaccine, the Pfizer COVID vaccine". Patient wanted to bring to our attention the symptom she has experienced as well as find out if other people have reported it. She mentioned seven days after getting the second Pfizer COVID vaccine she broke out in rash. First it was on her knuckles. It was very red almost like hives. Then in a couple of days she had this rash on her knees and went down to her ankles. It was more severe on her legs. The rash remained for ten days. She had to use a lot of Cortisone Cream and Benadryl to keep it in check. She had to use these medications multiple times a day. She also saw an allergist and they could not come up with any other exposure to cause this reaction. She was wondering if anyone else had this skin reaction, seven days after the dose. The rash on her knuckles started on 21Jan2021. It lasted about ten days. She noticed it around 5pm. A couple of days later, around 23Jan2021 she started to notice the rash on her legs. The rash on her legs was more severe than the rash on her knuckles. She stated the rash on her legs that was on her knees that went to ankles is not itching anymore. There are still a few red spots, but they have mainly gone away. She does not remember the time of onset for when she noticed the rash on her knees, legs, down to ankle. She was not sure of the lot number from the second dose as she cannot make the handwriting all the way out. She provided it as EK417U and stated the last digit does not look like a number, but she cannot make it out. The adverse event resulted in physician's office visit. The outcome of rash, redness, spot-like rash was reported as resolved, rash on leg was resolving and hives was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds: SYNJARDY; LOSARTAN; ATORVASTATIN; VITAMIN D3; VITAMIN B12 & FOLIC ACID; VACLOVIR

Current Illness: Diabetes (Stated it is under control)

ID: 1436127
Sex: F
Age:
State: TN

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 06/30/2021
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: severe diarrhea; Headache; This is a spontaneous report from a contactable consumer (patient). A 51-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/lot number: EL9269 and Expire Date: unknown) (age at the time of vaccination: 51) via unspecified route of administration, in right arm, on 06Feb2021 09:30 as DOSE 1, 0.3 ML SINGLE for Covid-19 immunisation. Medical history of patient included asthma and diabetes mellitus from an unspecified date and unknown if ongoing. Patient stated she had asthma all her life, and was born with it. Concomitant medications were none. Patient wanted to report a side effect, stated she got the first dose of the Pfizer Covid vaccine on Saturday 06Feb2021, stated one of the side effects is that it gave her severe diarrhea and stated there was no way to hold it. She got the vaccine around 9:30am, and a couple hours after it, started with the headache then the diarrhea. It did not stop with the diarrhea until 3PM the next day, 07Feb2021. She is a caregiver. The outcome of event was recovered on 07Feb2021. Follow-up (12May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1436128
Sex: M
Age:
State: KS

Vax Date: 01/11/2021
Onset Date: 01/01/2021
Rec V Date: 06/30/2021
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: previously have small psoriasis on neck; spot on neck became inflamed, hot, itchy.; spot on neck became inflamed, hot, itchy.; Which lead me to some anxious moments with racing heart; Which lead me to some anxious moments with racing heart; tightness/soreness in chest; tightness/soreness in chest; This is a spontaneous report from a contactable other healthcare professional (patient). A 35-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: ek9231), dose 1 via an unspecified route of administration, administered in left arm on 11Jan2021 07:30, as single dose for COVID-19 immunisation was in hospital. The patient medical history was not reported. Concomitant medications included citalopram and lisinopril. Prior to the vaccination, the patient was not diagnosed with COVID. The patient did not receive other vaccine in four weeks. Post vaccination, the patient had not been tested for COVID. On an unknown date in Jan2021, the patient experienced previously had small psoriasis on neck. After each dose, spot on neck became inflamed, hot, itchy. Which lead me to some anxious moments with racing heart and tightness/soreness in chest. The patient underwent lab tests and procedures which included heart rate: racing in Jan2021. The patient did receive treatment to the events. Outcome of the events was unknown. Follow-up attempts completed. No further information expected.

Other Meds: CITALOPRAM; LISINOPRIL

Current Illness:

ID: 1436129
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/30/2021
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: welt like rash under one of her breast and a round red circle on top of one another.; Itching by her chest; This is a spontaneous report from a contactable consumer (patient). A female patient of unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Lot number: unknown) via an unspecified route of administration on an unspecified date as single dose for COVID-19 immunization. Medical history, concomitant medications or past drug history of the patient were not reported. On an unspecified date, after vaccination, within 4 hours later when she went to bed, she was itching by her chest. She looked in the mirror and had a welt like rash under one of her breast and a round red circle on top of another one. She does not know if it is from the vaccine or not. She had no other symptoms, and it was gone the next morning when she woke up. Outcome of the events were resolved on an unspecified date. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1436130
Sex: M
Age:
State: WV

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 06/30/2021
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: Headache; Tiredness; The caller states he has some pain at the injection site; aller verifies he took the following at 9:25 am today, 08Feb2021: Blood pressure: 151/100; blood pressure was usually 140-145 somewhere in ther; emperature: it was low grade at 96.7 degrees, his temperature normally runs about 98.5, 98.7; Nausea; Diarrhea; Joint pain in hands; Congestion; This is Spontaneous report from a contactable consumer. This is report 1 of 4. This report is in regards to the husband. The husband completes the report on behalf of himself. A 68-year-old male patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot Number: EM9810), via intramuscular, administered in right arm on 06Feb2021 10:00 (at the age of 68-years-old) as a dose 1,single for covid-19 immunization. Medical history included ongoing diabetes mellitus, surgery (He also had a surgery a year ago on his right foot for his grand toe. He had three surgeries on that toe, and one surgery on his second toe. He was been working with a podiatrist because his toes do not want to heal right because of his diabetes. He was on antibiotics). He was tired and weary yesterday in the afternoon. He had some breathing problems yesterday afternoon that occurred. He became a little congested yesterday afternoon. He confirms the congestion started yesterday afternoon, on 07Feb2021. He was working with some stuff that was dusty and was doing some stuff around the house. So, he initially thought the symptoms he was experiencing were due to that. However, the symptoms are persisting. On 08Feb2021, at around 1am this morning, the nausea and diarrhea kicked in. He took Imodium for the diarrhea and kind of helped stem it but it hasn't stopped it. The joint pain in his hands started yesterday evening and its staying the same. He had some pain at the injection site, it was some pain that popped up later on. He states it doesn't hurt but if he touches it, he knows where the injection was given. Caller verifies he took the following at 9:25 am today, 08Feb2021: Blood pressure: 151/100; blood pressure was usually 140-145 somewhere in there, O2 oxygenation was 95%, temperature: it was low grade at 96.7 degrees, temperature normally runs about 98.5, 98.7. The Outcome of the event congestion and joint pain in hands was not recovered, while for other events was unknown. Description of Product Complaint: The caller explains him and his wife went Saturday and had the Pfizer COVID-19 vaccine at 10am. At around 1am this morning, the caller started to experience nausea and diarrhea. He took Imodium for the diarrhea and kind of helped stem it but it hasn't stopped it. Caller verifies he has no UPC Lot number or expiry date for the Imodium he took. He clarifies he believes it was the last one and he discarded of it. No further details were provided or obtained.

Other Meds:

Current Illness: Diabetic (Verbatim: Diabetic He was diagnosed with diabetes years ago)

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm