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: 1522268
Sex: F
Age:
State: GA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 08/03/2021
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: started getting hives; vomiting; nausea; This is a spontaneous report from a contactable consumer, the patient. A 22-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8733) via an unspecified route of administration in the arm right on 20Apr2021 at 09:30 (at the age of 22-year-old) as a single dose for COVID-19 immunisation. Medical history included shrimp/shellfish allergy. The patient did not receive any medication within two weeks of vaccination. The patient did not receive any other vaccines within four weeks prior to the vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 20Apr2021 at 10:00, 10 minutes after the wait time for the vaccine, patient started getting hives (not critical enough to warrant a hospital as had worse allergic reactions) and from 22:00 patient was vomiting due to the nausea that had been increasing throughout the day from the vaccine. The hives and vomiting lasted until 02:00 the next day. The clinical outcome of the event hives and vomiting were recovered on 21Apr2021 at 02:00. The clinical outcome of the event nausea was recovered on an unknown date Apr2021. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1522269
Sex: M
Age:
State: NY

Vax Date: 04/11/2021
Onset Date: 04/12/2021
Rec V Date: 08/03/2021
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: Developed shingles symptoms; This is a spontaneous report from a contactable consumer, the patient. A 44-year-old male patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8737) via an unspecified route of administration in the left arm on 11Apr2021 (at the age of 44-years-old) as a single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. On 12Apr2021, the patient experienced shingles symptoms after the first shot and diagnosed a few days later. The event resulted in doctor or other healthcare professional office/clinic visit. Therapeutic measures were taken as a result of shingles symptoms which was unspecified. The clinical outcome of shingles symptoms was recovering. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1522270
Sex: M
Age:
State: NJ

Vax Date: 04/06/2021
Onset Date: 04/28/2021
Rec V Date: 08/03/2021
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: I developed Shingles in my chest and back on the right side of my body.; This is a spontaneous report from a contactable consumer, the Patient. A 33-year-old male patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EP6955) via an unspecified route of administration in the arm left on 06Apr2021 at 16:30(at the age of 33-year-old) as a single dose for COVID-19 immunisation. Medical history included high cholesterol and diabetes. The patient did not take any concomitant medication. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EN6206) via an unspecified route of administration in the arm left on 06Mar2021 at 11:30 (at the age of 33-year-old) as a single dose for COVID-19 immunisation and Ciprofloxacin on unknown date for unknown indication. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 28Apr2021 the patient developed Shingles in his chest and back on the right side of his body. The events resulted in doctor or other healthcare professional office/clinic visit. Therapeutic measures were taken as a result of shingles and included treatment with valacyclovir. The clinical outcome of the event Shingles in his chest and back on the right side of his body was recovering. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1522271
Sex: M
Age:
State: AZ

Vax Date: 05/03/2021
Onset Date: 05/04/2021
Rec V Date: 08/03/2021
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: Nausea; vomiting; diarrhea; severe vertigo; lethargy; brain fog; This is a spontaneous report from a contactable consumer, the patient. A 30-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0172) via an unspecified route of administration in the left arm on 03May2021 at 14:30 (at the age of 30-years-old) as a single dose for COVID-19 immunisation. Medical history was reported as none. The patient did not received any concomitant medication within two weeks of vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 04May2021 at 10:00 the patient experienced nausea, vomiting, diarrhea, severe vertigo, lethargy and brain fog. The clinical outcome of the events nausea, vomiting, diarrhea, severe vertigo, lethargy and brain fog was recovering at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1522272
Sex: F
Age:
State: NY

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 08/03/2021
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: Low-level continuous burning sensation at the injection site; Bit unsettling.; This is a spontaneous report from a contactable consumer, the patient. A 58-year-old non-pregnant female patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: en6205) via an unspecified route of administration in the arm left on 22Mar2021 at 14:30 (at the age of 58-years-old) as a single dose for COVID-19 immunisation. The patient had no medical history. The patient did not take any concomitant medications. The patient previously received first dose of BNT162b2 for COVID -19 immunisation (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: e9264l) via an unspecified route of administration in the left arm on 01Mar2021 (at the age of 58-years-old) as a single dose for COVID-19 immunisation. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 22Mar2021, the patient experienced low-level continuous burning sensation at the injection site. It was not painful or debilitating but it was a bit unsettling. The clinical outcome of low-level continuous burning sensation at the injection site and bit unsettling were not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1522273
Sex: F
Age:
State: CA

Vax Date: 05/01/2021
Onset Date: 05/06/2021
Rec V Date: 08/03/2021
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: Irritation; Anxiety; Unable to concentrate; Blurry vision; Loss of appetite; Fatigue; Pounding headache; This is a spontaneous report from a contactable consumer, the patient. A 41-year-old non-pregnant female patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: AE178057) via an unspecified route of administration in the left arm on 01May2021 at 15:45 (at the age of 41-years-old) as a single dose for COVID-19 immunisation. The patient had no medical history. The patient did not take any concomitant medications. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. On 06May2021 at 20:00, the patient experienced irritation, anxiety, unable to concentrate, blurry vision, fatigue, event loss of appetite and pounding headache. The clinical outcomes of irritation, anxiety, unable to concentrate, blurry vision, fatigue, event loss of appetite and pounding headache were recovering. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1522274
Sex: F
Age:
State: WA

Vax Date: 04/18/2021
Onset Date: 04/18/2021
Rec V Date: 08/03/2021
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: Very tired; sore left arm; bone/muscle aches for first day and a half; bone/muscle aches for first day and a half; This is a spontaneous report from a non-contactable consumer, the patient. A 44-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0161) via an unspecified route of administration in the left arm on 18Apr2021 at 16:15 (at the age of 44-years-old) as a single dose for COVID-19 immunisation. Medical history included hypothyroidism from an unspecified date. Concomitant medications included liothyronine (MANUFACTURER UNKNOWN), levothyroxine (MANUFACTURER UNKNOWN), melatonin (MANUFACTURER UNKNOWN), and iron (MANUFACTURER UNKNOWN) 25 mg all from an unknown date for an unspecified indication. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 18Apr2021 at 16:15 the patient experienced very tired, sore left arm, random bone/muscle aches for first day and a half. The clinical outcome of the events tiredness, pain in arm, bone pain, muscle pain was recovered on an unspecified date in Apr2021. No follow-up attempts are needed. No further information is expected.

Other Meds: LIOTHYRONINE; LEVOTHYROXINE; MELATONIN; IRON

Current Illness:

ID: 1522275
Sex: F
Age:
State: CA

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 08/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Severe arm pain; Headache; This is a spontaneous report from a non-contactable consumer, the patient. A 52-year-old non- pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0171) via an unspecified route of administration in the arm left on 03May2021 at 13:00 (at the age of 52-years-old) as a single dose for COVID-19 immunisation. The patient had no medical history included. Concomitant medications were not reported. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8729) via an unspecified route of administration in the arm left on 05Apr2021 at 13:00 as a single dose for COVID-19 immunisation. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccine within four weeks prior to the vaccination. On 03May2021 at 15:30, the patient experienced severe arm pain and headache. Therapeutic measures were taken as a result of severe arm pain and headache and included treatment with ADVIL twice on 2nd day after shot to an unknown stop date. The clinical outcomes of the events severe arm pain and headache were recovering at the time of reporting. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1522276
Sex: F
Age:
State: NC

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 08/03/2021
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; Chills; Nausea; Joint pain; This is a spontaneous report from a contactable consumer, the patient. A 40-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0170), via an unspecified route of administration in the right arm on 30Apr2021 at 15:30 (at the age of 40-years-old), as a single dose for COVID-19 immunisation. Medical history included interstitial cystitis. Concomitant medications included vitamin a nos (MANUFACTURER UNKNOWN), vitamin d nos (VITAMIN D) and LDA trace minerals (MANUFAUCTRER UNKNOWN); all from unknown dates for unknown indications. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: ER8731), via an unspecified route of administration in the right arm on 10Apr2021 at 15:45, as a single dose for COVID-19 immunisation. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 01May2021 at 08:00, the patient experienced fever, chills, nausea and joint pain. The clinical outcome of the events fever, chills, nausea and joint pain were recovered on an unknown date in May2021. No follow-up attempts are needed. No further information is expected.

Other Meds: VITAMIN A NOS; Vitamin d

Current Illness:

ID: 1522277
Sex: F
Age:
State: CA

Vax Date: 05/04/2021
Onset Date: 05/05/2021
Rec V Date: 08/03/2021
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: Change in taste; Developed taste aversion to seafood and eggs; Seafood and eggs; eating such foods caused nausea; This is a spontaneous report from a contactable consumer, the patient. A 34-years-old non-pregnant female patient received the unspecified dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ew0172) via an unspecified route of administration in the left arm on 04May202 (at the age of 34-years-old) as a single dose for COVID-19 immunisation. Medical history included alopecia areata. The patient did not receive any concomitant medication within two weeks of vaccination. The patient previously took Bactrim on an unknown date. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 05May202, the patient experienced change in taste, developed taste aversion to seafood and eggs and eating such foods caused nausea. The clinical outcome of the events of change in taste, developed taste aversion to seafood and eggs and eating such foods caused nausea were not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1522278
Sex: F
Age:
State: MN

Vax Date: 04/27/2021
Onset Date: 04/01/2021
Rec V Date: 08/03/2021
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: Headache; Fever, felt like she was on fire and had chills; Fever, felt like she was on fire and had chills; Fever, felt like she was on fire and had chills; Achiness; Fatigue; Sleeping 18 hours in a 24 hour period; Pain in hips; Severe pain in right hip; More tired than normal/ I was so exhausted; muscle ache; I got sick within 2 hours; This is a spontaneous report from a contactable consumer (patient). A 57-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0170), dose 1 via an unspecified route of administration, administered in Arm on 27Apr2021 11:15 (at the age of 57-years-old) as a single dose for covid-19 immunization. Medical history included ongoing intervertebral disc degeneration Diagnosed about 4 years ago. Mother had Degenerative disc disease, ongoing spinal stenosis Diagnosed about 4 years ago. Father had Spinal stenosis, ongoing facet joint block, ongoing covid-19 - she had Covid 19 in the winter for 5 and a half weeks and was sleeping a lot back then. Family got COVID this winter, drug hypersensitivity -her son and mother-in-law had different types of drug allergy to different medications, cardiac disorder- her husband had a heart problem or has a heart problem. The patient's concomitant medications were not reported. The patient previously took celebrex for back pain. On 27Apr2021, about 2 hours later she experienced a headache, fever, achiness, muscle ache and fatigue. She got sick within 2 hours. She noticed she was taking more naps than normal. She also has had hip pain for about 2 weeks. It has been very painful. It has resolved some in the left hip, but not resolved in the right. At times it has been so painful it was hard to get out of bed. She has back issues and sees a Physical Therapist. The Physical Therapist said they don't believe the hip pain is related to her back issues. The first couple of days after the vaccine she was sleeping 18 hours in a 24 hour period. The last couple of weeks she has been more tired than normal. She felt like she was on fire and had chills. She states she was too tired to check her temperature. She woke up a few times thinking that her hips were hurting but fell back to sleep. Both of her hips hurt for about a week and a half. The right hip continues to hurt. States that it is hard to get up steps. It is a sharp aching pain in her right hip. She does not normally cry because of pain, but this pain makes her want to cry. She doesn't have bone cancer but it hurt so bad she was thinking it hurts like bone cancer must hurt. States the pain was constant for about the first 8 days. She has been walking now, but not as much as normally. She watched a friend's baby today for about 20 minutes and now she is in bed with ThermaCare wraps on her hip. She still cannot do as much as she used to. She has also been previously diagnosed with a facet fracture. Her physical therapist thought this may have some swelling to contribute to the hip pain; but said unlikely that it would be on both sides. She doesn't want to get the second dose of the vaccine if this is some type of reaction that she is having. She denies any labs, testing, or treatments relevant to event. When probed for Second COVID shot Scheduled on 18May. Outcome of the event was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness: COVID-19 (My family got COVID this winter.); Degenerative disc disease (Diagnosed about 4 years ago. Mother had Degenerative disc disease.); Facet joint block; Spinal stenosis (Diagnosed about 4 years ago. Father had Spinal stenosis.)

ID: 1522279
Sex: F
Age:
State: FL

Vax Date: 02/03/2021
Onset Date: 04/04/2021
Rec V Date: 08/03/2021
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: My cancer had spread significantly.; This is a spontaneous report from a contactable consumer (Patient). A 70-years-old non pregnant female patient received second dose of bnt162b2(PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot Number EL1203), via an unspecified route of administration on 03Feb2021 (at the age of 70-year-old) in the right arm as a single dose for COVID-19 immunisation. The patient had received first dose of bnt162b2(PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot Number EN5318), via an unspecified route of administration on 13Jan2021 (at the age of 70-year-old) in the Left Arm as a single dose for COVID-19 immunisation. Medical history included Cancer, allergies to Latex, Stage 4 Metastatic Breast cancer. Concomitant medication(s) included everolimus (AFINITOR); everolimus. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The patient did not receive any other vaccine in four weeks. On 04Apr2021, the patient cancer had spread significantly. The patient took chemotherapy for the event. It was reported that I have had Stage 4 Metastatic Breast Cancer for the last 4 years and have been successfully treated by oral therapies. Shortly after receiving the second Covid-19 vaccine, I had a P.E.T. scan, the results of which showed my cancer had spread significantly. My question is this. have you had any other adverse effects from other cancer patients? Also, did Pfizer have sufficient data on the results of their vaccine on cancer patients. I find it remarkable that I was doing so well for so long and then all of a sudden, after the vaccine, my cancer "blew up". Coincidence? Device Date: 18May2021. The patient underwent lab tests and procedures which included PET Scan with result which showed my cancer had spread significantly on an unspecified date, sars-cov-2 test with negative result on 20Apr2021.The outcome of the event was not recovered. Follow-up (19Jul2021): This follow-up is being submitted to notify that the lot/batch number is not available despite the follow-up attempts made. Follow-up attempts completed. No further information is expected.

Other Meds: AFINITOR; EVEROLIMUS

Current Illness:

ID: 1522280
Sex: F
Age:
State: MA

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 08/03/2021
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: clicking in my ears and different high pitched sounds; This is a spontaneous report from a contactable consumer (patient). A 46-year-old female patient (non-pregnant) received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, lot number: unknown), via an unspecified route of administration on 05Apr2021 at 12:30 PM (at the age of 46-years-old), as a single dose for COVID-19 immunisation at Pharmacy or Drug Store. The patient medical history included COVID-19 (diagnosed prior to vaccination). Concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Since the vaccination, the patient had not been tested for COVID-19. On 06Apr2021 at 12:00 PM, the patient had clicking in the ears and different high-pitched sounds. The patient did not receive any treatment for the event. The event did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The clinical outcome of the clicking in my ears and different high pitched sounds was not recovered at the time of this report. Information about lot/batch number have been requested.

Other Meds:

Current Illness:

ID: 1522281
Sex: F
Age:
State: VA

Vax Date: 05/18/2021
Onset Date: 05/19/2021
Rec V Date: 08/03/2021
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: fatigued; Dizzy; fatigued, tired was reported as worsened.; This is a spontaneous report from a contactable consumer (patient). A 31-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, formulation: solution for injection) via an unspecified route of administration administered in Arm Left on 18May2021 09:10 (at the age of 31-years-old) as single dose for covid-19 immunisation. The patient's medical history included ongoing G6PD deficiency. She says she only found out about it a couple of years ago but she assumes it's a life thing, dust mold and blood deficiency. The patient's concomitant medications were not reported. It was reported that the patient got her vaccine about 9:00 yesterday and a little after, she stayed 30 minutes to be watched because she has some blood disorders, she was fully getting more and more fatigued throughout the day on 19May2021. She says her one concern is part of the severe allergic reaction: she is dizzy on 19May2021. She says the dizzy is not so bad. She says she is tired and wants to make sure she was ok if she would go to sleep would that be an issue. The patient said that her vaccination card was in her car. She does not know the NDC number, LOT number, or expiration date of the first dose. The outcome of the events fatigued and dizzy was not recovered while, the outcome of another event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness: G6PD deficiency

ID: 1522282
Sex: F
Age:
State: DE

Vax Date: 05/03/2021
Onset Date: 05/04/2021
Rec V Date: 08/03/2021
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: diarrhea/ loose bowel movements; depressed; does not feel well; This is a spontaneous report from a contactable consumer or other non hcp (patient reported for herself). a 73-years-old female patient received BNT162B2 (pfizer-BioNtech covid-19 vaccine, formulation solution for injection, batch/lot number was not reported) via intramuscular, administered in arm left on 03may2021 at 12:00-13:00 as dose 2, single dose for covid-19 immunization (at the age of 73-years-old). Medical history included ataxia, which was a genetic abnormality, diagnosed 5 years ago she got the diagnose but she had symptoms since 2008 and irritable bowel syndrome which was diagnosed prior to receiving the vaccine and patient upped her medication for that because her system is being irritated. The patient's concomitant medications were not reported. the patient previously received first dose BNT162B2 (pfizer-Biontech covid-19 vaccine) on an unspecified date, as single dose for covid-19 immunization and received flu vaccine on Feb2021 for flu vaccination. It was reported that on 03may2021 patient received second dose of vaccine and stated that on 04may2021 she experienced diarrhea/loose bowel movements, was depressed and does not feel well. the patient stated that after receiving vaccine she was having diarrhea, no ER or physician's office required. She stated that she had a family physician visit on Friday after the vaccination and she said she had diarrhea that had not stopped. Her doctor told her to go to the ER. she told her it was not that bad and did not go. she has irritable bowel syndrome, and she upped her medication for that because her system is being irritated. it helped somewhat. she was still having loose bowel movements and it was not watery or explosive but just draining. she was getting depressed and she does not feel well and has been drinking lots of fluids so that she does not get dehydrated. She mentioned that she was diagnosed with irritable bowel syndrome prior to receiving the vaccine. The medication that she increased was dicyclomine 10 mg capsules. She stated it was in a pharmacy vial and she does not have a lot or expiration. She just empties the bottle into another bottle and no longer has it. The count size was 270 capsules. There was no seal on the bottle and she would be willing to send a sample. She has a new bottle, but she has not used any out of them yet. She gets them from (pharmacy name) and they get from different placed. The directions are for her to take one 10 mg capsules three times daily. She was now having to take 4 pills daily and that has helped somewhat. instructions on bottle say she can double dose with acute episodes. She has not doubled it, just taken an extra dose. product strength and count size dispensed was 10mg, 270 count. The outcome of the event diarrhoea was not recovered and outcome was unknown for rest of the other events. Information on the Lot/batch number has been requested. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1522283
Sex: M
Age:
State: GA

Vax Date:
Onset Date:
Rec V Date: 08/03/2021
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: tingling sensation on the injection site to the thumb.; numbing; This is a spontaneous report from a Pfizer sponsored program. A contactable pharmacist reported for a male patient of an unspecified age received bnt162b2 (BNT162B2, 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 immunisation. The patients medical history and concomitant medications were not reported. On an unknown date, the patient experienced numbing and tingling sensation on the injection site to the thumb. The outcome of the events was reported as unknown. Follow up attempts are needed. Further information has been requested. Follow-up (22Jul2021): This follow-up is being submitted to notify that the lot/batch number is not available despite the follow-up attempts made. Follow-up attempts have been completed and no further information is expected. Amendment: This follow-up report is being submitted to amend previously reported information: Suspect product BNT162B2 recoded appropriately.

Other Meds:

Current Illness:

ID: 1522284
Sex: F
Age:
State: AZ

Vax Date:
Onset Date:
Rec V Date: 08/03/2021
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: having a flare-up of her migraines; chronic daily headaches/ other complicated headache syndrome; This is a spontaneous report from a contactable physician. A 75-years-old female patient received unknown dose of 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 (at the age of 75-years-old) as a single dose for covid-19 immunization. Medical history included migraine and headache from an unknown date and unknown if ongoing. Concomitant medication included pregabalin (LYRICA) taken for prophylactic treatment, start and stop date were not reported. The physician previously talked to the patient at her last appointment on 24Mar2021 and asked if her headaches worsened over the summer monsoon season, so they could potentially go up on her Lyrica. The patient was diagnosed with other complicated headache syndrome. The physician spoke with the patient on 23Apr2021 and reported that she experienced flare-up of her migraines and had chronic daily headaches, especially after her recent covid vaccination. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds: LYRICA

Current Illness:

ID: 1522285
Sex: F
Age:
State: NY

Vax Date: 05/19/2021
Onset Date:
Rec V Date: 08/03/2021
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: Itchiness/Feel itchiness on legs, other times on arms. At times in neck, and other times in head; Sluggish/she is feeling a bit sluggish; tired/Is feeling tired; This is a spontaneous report from a contactable consumer. A 74-years-old female patient received BNT162B2 (Formulation: Solution for injection; Batch/Lot number was not reported, dose 1 via an un-specified route of administration on 19May2021 as DOSE 1, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date reporter calling because she is having secondary effects of the COVID-19 Vaccine. Caller requested an interpreter. Got vaccine on 19May2021and didn't feel anything on the first day but is now itchy. Feel itchiness on legs, other times on arms. At times in neck, and other times in head. Filled out a form before taking the vaccine. At the moment of getting it, did tell the representative about all the allergies she has. Second dose is scheduled to take place on 09Jun2021, that is why she is kind of worried. Vaccine. Advised caller Pfizer does not have information regarding specific vaccination facilities. Is feeling tired. Due to the COVID-19 Vaccine, she is feeling a bit sluggish and a bit tired. The patient underwent lab tests and procedures which included body height: 5.5 on an unspecified date. The outcome of the event was unknown. Information about lot/batch no has been requested.

Other Meds:

Current Illness:

ID: 1522286
Sex: F
Age:
State: WA

Vax Date:
Onset Date: 04/18/2021
Rec V Date: 08/03/2021
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: Tinnitus; It improved slightly a few weeks later but got worse again after the second dose; This is a spontaneous report from a contactable consumer (patient). A 29-years-old non-pregnant female patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: EW0182), via an unspecified route on unspecified date of 2021 as dose 2, single in the left arm 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 VACCINE, solution for injection, Lot Number: ER8731), via an unspecified route on unspecified date of 2021 as dose 1, single in the left arm for covid-19 immunisation experienced very loud tinnitus 3 days after the first shot. The patient did not receive any other vaccines within four weeks prior to the vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 18Apr2021, the patient experienced tinnitus: Patient started getting very loud tinnitus 3 days after the first shot. Patient received an audiogram which showed no hearing loss in the tested frequencies. It improved slightly a few weeks later but got worse again after the second dose. It's been 5 weeks now and it hadn't gone away. Patient received sought treatment and was told there was none. The outcome of the events was not recovered.

Other Meds:

Current Illness:

ID: 1522287
Sex: F
Age:
State: CT

Vax Date:
Onset Date:
Rec V Date: 08/03/2021
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: diahrea after first shot; This is a spontaneous report from a contactable consumer via Pfizer sponsored program. A female patient of an unspecified age 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 1, SINGLE for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unknown date, the patient experienced diahrea after first shot. The reporter wanted to know if not receiving second shot would cause further adverse reactions. The outcome of the event was unknown. Information on lot/batch number has been requested. Additional information is expected.

Other Meds:

Current Illness:

ID: 1522288
Sex: F
Age:
State: CO

Vax Date:
Onset Date:
Rec V Date: 08/03/2021
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: can't keep eyes open; ache all over; chills; they just lay down and sleep; then they are cold; they have a headache; still get this annoying thing that will pop up; This is a spontaneous report from contactable consumer. This consumer reported for a female patient (2nd cousin). A female patient of an unspecified age received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on an unspecified date as single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient had historical vaccine of BNT162B2 (PFIZER-BIONTECH COVID-19 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 immunisation. On an unspecified date the patient experienced can't keep eyes open, ache all over, chills, they just lay down and sleep, then they are cold, they have a headache, still get this annoying thing that will pop up. Clinical course was reported as she was going to call a while back and she thought no, until she spoke with her cousin who had the same thing she went through. Report 2 of 2. Report 2 is she reporting on her cousins. She has a first cousin and her sister who live in and they had their shots pretty close the same time she did. Talking to her cousin, she has gone through the same thing and wanted her to find out if this is the same. There was a tough spell 4 days after the shot, then she was fine, then the same thing happened again for a couple of days at a time were they can't keep their eyes open because they ache all over, have chills, and then it goes away and then comes back. she adds her other cousin had the same shots and she did the same thing she had. She does not want to complete her report or complete a report on her cousins. That it has been the same for them as hers, their last shot was a few days before her second one. hey had the exact same thing happen. She does not know if maybe it is in the DNA or something. They still get this annoying thing that will pop up and they just lay down and sleep, then they are cold, then they have a headache. It does not last long, a day or a day and a half. The clinical outcome of events they just lay down and sleep, cold, headache was recovered and another still get this annoying thing that will pop up was not recovered other was unknown. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1522289
Sex: F
Age:
State: GA

Vax Date: 01/01/2021
Onset Date:
Rec V Date: 08/03/2021
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: GI Symptoms; states same exact stuff/indigestion; GI Symptoms; states same exact stuff/intermittent nausea; GI Symptoms; states same exact stuff/abdominal bloating; GI Symptoms; states same exact stuff/epigastric pain; GI Symptoms; states same exact stuff/chest pain; GI Symptoms; This is a spontaneous report from a contactable HCP. A female patient (her wife) of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, NDC number and Expiry Date of Covid Vaccine: Not Provided, Reason for no lot number of Covid Vaccine: Caller unwilling to complete the report), via an unspecified route of administration on Jan2021 (Batch/Lot number was not reported) as dose number unknown, single for COVID-19 immunization. The patient medical history was not provided. The patient's concomitant medications were not reported. Other Products and Investigation Assessment: Not Provided.The patient experienced GI symptoms; states same exact stuff/indigestion/ intermittent nausea/ abdominal bloating/epigastric pain/chest pain and GI symptoms; all (non-serious) on an unspecified date. Dates for GI Symptoms; states same exact stuff: (From: Unspecified To: Unspecified). Reporter seriousness for GI Symptoms; states same exact stuff was unspecified. Caller stated she was calling about the Covid Vaccine, verified Pfizer Covid Vaccine. Caller was a Physician Assistant, PA, calling on behalf of herself and mentioned other cases as well. This is the report for her wife. She declined to complete a full report. Caller stated she was trying to find all of the literature she can. Caller stated she wanted to know what symptoms are being seen in the area of reflux and gastritis status post vaccine, 2-3 months out? Caller stated she started peri menopause and it through her into menopause. Caller stated she presented tested with waves of intermittent nausea, abdominal bloating, epigastric pain, indigestion, and chest pain. Caller stated she was put on a PPI and she tried to do 20mg a day, but she has to do 20mg twice a day. Caller stated she thought maybe she developed a gluten sensitivity and that reacts to wheat protein, so she tried to cut that out. Caller stated she could not determine the process, and wanted to know why it was occurring and/or if she needed to do preventative measures. Caller stated does an alert need to be put out. Caller asked what are call handler thoughts on this. Caller stated her wife has had the same exact stuff and she had the Pfizer vaccine in January. Communication: Report 2 of 5. Queried for patient's gender since provided as ''her wife'', are the reporter and patient both female. Response was provided as after reviewing the call recording, the caller, who is female, confirms her wife experienced the events. Patient's sex of female is documented as provided by the call handler. The outcome of events was unknown. information about lot/batch number cannot be obtained. Additional information has been requested.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021623215 same reporter/similar event, different patient;US-PFIZER INC-2021619792 same reporter/similar event, different patient;US-PFIZER INC-2021623869 same reporter/similar events, different patient

Other Meds:

Current Illness:

ID: 1522290
Sex: F
Age:
State: MI

Vax Date:
Onset Date:
Rec V Date: 08/03/2021
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: She got her 2nd Covid19 vaccine about a week ago in her right arm and her left arm hurt.; This is a spontaneous report from a contactable consumer or other non hcp. A female patient of an unspecified age received second dose bnt162b2 (BNT162B2, Formulation: solution for injection, Batch/Lot Number and Expiration date was not reported) via an unspecified route of administration, administered in Arm Right on an unspecified date as DOSE 2, SINGLE for covid-19 immunization. Patient had historical vaccine of first dose bnt162b2 (BNT162B2, Formulation: solution for injection, Batch/Lot Number and Expiration date was unknown), via an unspecified route of administration on an unspecified date as DOSE 1, SINGLE for COVID-19 immunization. The patient medical history was not reported. The patient's concomitant medications were not reported. On an unspecified date the patient experienced she got her 2nd covid19 vaccine about a week ago in her right arm and her left arm hurt. She got her 2nd Covid19 vaccine about a week ago in her right arm and her left arm hurts. And if you get her to the medical information, I tried to give her the phone number but she declined it. If you can transfer her over there to find out if that is from the Covid19 vaccine. Consumer hung up the call before it could be transferred to Pfizer Drug Safety. Call Back was done but it was unsuccessful. Hence, limited information available over the call. Thus, product details (LOT#, NDC#, UPC# and expiry date) and pharmacy details could not be probed over the call. The outcome of event was unknown. Information about lot/batch has been requested.

Other Meds:

Current Illness:

ID: 1522291
Sex: U
Age:
State: FL

Vax Date:
Onset Date:
Rec V Date: 08/03/2021
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: platelets dropped to 6,000. Dr. stated that she felt it was vaccine induced; This is a spontaneous report based on the information received by Pfizer from (Reference ID: NVSC2021US113694_NS). A contactable physician reported for a patient. A patient of unspecified age and gender received bnt162b2 (BNT162B2, PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection, Lot number: unknown; Expiration Date: unknown), via an unspecified route of administration on an unspecified date as dose number unknown, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date, the patient experienced platelets dropped to 6,000 dr. stated that she felt it was vaccine induced. The clinical outcome of the event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1522292
Sex: U
Age:
State: MD

Vax Date: 05/12/2021
Onset Date: 05/13/2021
Rec V Date: 08/03/2021
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: severe muscle pain; numbness in both my arms and both my legs; This is a spontaneous report from a contactable consumer (patient). A patient of unknown age and gender received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number: unknown), via an unspecified route of administration on 12May2021 as dose 1, single for covid-19 immunisation. Medical history and concomitant medications were not reported. The patient experienced severe muscle pain and numbness in both arms and legs on 13May2021 (within 24 hours of the shot). The patient stated that, I am still experiencing pain and set to begin physical therapy this week with hopes that it helps restore my strength in my arms and legs as I am slowly losing strength to carry out daily activities. This is a first time occurrence for me, no history of any muscle pain in the past. The outcome of the events was not recovered. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1522293
Sex: M
Age:
State: WA

Vax Date: 06/03/2021
Onset Date: 06/03/2021
Rec V Date: 08/03/2021
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: Rash at injection site; 2 days after: sore throat; Eye pain in one eye that lasted for a half hour; 3 bloody nose events; This is a spontaneous report from a contactable consumer (patient and patients mother). A 13-year-old male patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; solution for injection, Lot Number: EW0180), dose 2 via intramuscular, administered in Left upper arm on 03Jun2021 15:00 (age at vaccination 13-year-old) as dose 2, single for covid-19 immunisation. The patient had no other medical history and no concomitant medications. The patient had no known allergies. The patient previously received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; solution for injection, Lot Number: EW0183), dose 1 via intramuscular, administered in Biceps/ Upper arm Left on 13May2021 17:30 (age at vaccination 13-year-old) as dose 1, single for covid-19 immunisation. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not tested for COVID-19. On 03Jun2021 17:45 the patient experienced eye pain in one eye that lasted for a half hour, 3 bloody nose events within 4 hrs after vaccine, on 05Jun2021 (2 days after) the patient had sore throat. On 06Jun2021 the patient experienced Rash at injection site (covid arm). 3 bloody nose events within 4 hrs after vaccine required visit to consultation with primary care doctor. The patient did not receive any treatment for the events. Seriousness of the event was reported as non-serious. No relevant tests were done. The outcome of the events eye pain in one eye that lasted for a half hour, 3 bloody nose events, Rash at injection site was recovered on unspecified date in 2021 and sore throat was recovering. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1522294
Sex: M
Age:
State: IL

Vax Date: 09/01/2018
Onset Date: 02/07/2021
Rec V Date: 08/03/2021
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: Pulse rapid; Dizziness; Weakness; Feeling abnormal; Flu like symptoms; This is a spontaneous report from a contactable physician. A 65-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Batch/Lot Number and Expiration date was not reported) via intramuscular route of administration (age at vaccination 65-year) on 06Feb2021 as dose 1, single for COVID-19 immunization; adalimumab (HUMIRA) received via subcutaneous route of administration from Sep2018 (Batch/Lot number: Unknown) and ongoing, as 40 mg, 1 in 2 weeks for ankylosing spondylitis, rheumatoid arthritis. Medical history included alcoholism (Alcohol use occasionally, four to five glass of wines per week) from 1973 to an unknown date; tobacco use from 2002 to 2007; Premature Atrial Contractions and Penicillin Allergy Manifested by Tissue Swelling, both from an unknown date and unknown if ongoing. The patient concomitant medications were not reported. The patient experienced pulse rapid, dizziness and weakness on 07Feb2021; flu like symptoms and feeling abnormal in 2021. It was reported that in 2021, the patient experienced flu like symptoms and feeling like been run over by truck. On 07Feb2021, the patient experienced rapid heart rate, dizziness and weakness. On 12Apr2021, the patient experienced HUMIRA was not effective as before, joint pain and joint stiffness. In Apr2021, the rapid heart rate, dizziness and weakness resolved. COVID-19 Vaccine was also considered suspect. It was unknown if patient was enrolled in a COVID-19 Vaccine Trial. On 06Feb2021, patient COVID-19 Vaccine manufactured by Pfizer. On 05Mar2021, patient received 2nd dose COVID-19 Vaccine manufactured by Pfizer. Therapeutic measures were taken as a result of the adverse events, as reported the patient was treated with PREDNISONE. The action taken in response to the events for adalimumab was unknown. The clinical outcome of pulse rapid, dizziness and weakness, was recovered on an unspecified date in Apr2021, while the outcome of other events was not recovered. Causality for HUMIRA 40MG/0.4ML(ADALIMUMAB): The reporter & as causality for the events of rapid heart rate, dizziness, HUMIRA was not effective as before, joint pain, flu like symptoms, weakness, joint stiffness and feeling like been run over by truck with HUMIRA 40MG/0.4ML(ADALIMUMAB) was a reasonable possibility. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1522295
Sex: F
Age:
State: TX

Vax Date:
Onset Date:
Rec V Date: 08/03/2021
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: I feel like I was cold; Low grade fever; Have some numbness in my right fingers; This is a spontaneous report from a contactable consumer (patient). An unspecified age of female patient started to receive Bnt162b2 (BNT162B2; Formulation: Solution for injection; Lot number: It looks like EWO175) via unknown route of administration from unknown date with 2nd dose on left arm for COVID-19 immunization. Patient's Medical includes i have arthritis pretty badly so you know that may not be anything to do with shot I don't know. Concomitant medications were not reported. It was reported that "I had my second Pfizer shot yesterday afternoon around 2:00 or 2:30 and today about 3:00 I had I feel like I was cold. So, I took my temperature, and my temperature was 99.7 and then about 15-20 minutes later it was 100.2 and I have taken it again in the last hour might be so I saw that fever is the common side effect, so I did know if I needed to take an aspirin or something or what. And I had some numbness, both shot in my left arm, but I have some numbness in my right fingers, but I am elderly my date of birth is 1936 and I have arthritis pretty badly so you know that may not be anything to do with shot I don't know. I am running a low-grade fever so I just wandered if I need to take an aspirin or something." When confirmed vaccine as Pfizer Covid-19 Vaccine, consumer stated, "Yes and I just has the second one yesterday." When asked to probe further questions, Consumer stated "I am just trying to find out that if I need the second Aspirin or something about for the fever that is it.". The outcome of the events was "unknown". Information about batch/Lot number has been requested.

Other Meds:

Current Illness:

ID: 1522296
Sex: F
Age:
State:

Vax Date:
Onset Date: 06/14/2021
Rec V Date: 08/03/2021
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: She reports that her arm has become "magnetic" at the site of the two doses of the pfizer vaccine were injected.; This is a spontaneous report from a contactable consumer. A 28-years-old non pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot number was not reported), Solution for injection, via an unspecified route of administration, administered in Arm Left on an unspecified date single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. It was unknown if patient had any known allergy. It was unknown, if patient received other vaccine in four weeks or any other medications in two weeks. Patient was not diagnosed with COVID-19 prior to vaccination. Patient was not tested with COVID-19 since vaccination. On 14Jun2021, the patient reported that her arm has become "magnetic" at the site of the two doses of the Pfizer vaccine were injected. Patient MD friend contacted her to let her know that her MA was reporting that she saw on social media that people who received the Pfizer vaccine have become magnetic. The patient subsequently tried to stick various metal objects to her left arm, over the deltoid and noted that they stuck. She reported that her arm has become "magnetic" at the site of the two doses of the Pfizer vaccine were injected. Patient sent three pictures of her arm where a paperclip, small key and a small magnet seem to be balanced over the deltoid muscle/"stuck" to her. Treatment received was unknown. The clinical outcome of event was reported as unknown. The lot number for the vaccine, BNT162B2 was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1522297
Sex: F
Age:
State: MI

Vax Date: 04/03/2021
Onset Date: 04/05/2021
Rec V Date: 08/03/2021
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: severe dizziness two days following second Covid 19 vaccine; Inflammation to vestibular system; This is a spontaneous report from a contactable other hcp. A 52-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection) dose 2 via an unspecified route of administration, administered in Arm Right on 03Apr2021 (Age at vaccination 52 years old) (Batch/Lot number was not reported) as DOSE 2, SINGLE for covid-19 immunisation. Medical history included food allergy, gastrooesophageal reflux disease, food allergy, gluten sensitivity, dairy intolerance, drug hypersensitivity from an unknown date and unknown if ongoing. Concomitant medication(s) included vitamins nos taken for an unspecified indication, start and stop date were not reported. Historical Vaccine includes BNT162B2 for COVID-19 immunisation Dose:1st product=COVID 19, brand=Pfizer, lot unknown=True, lot unknown reason=Not available/provided to reporter at the time of report completion, administration time=02:30 PM vaccine location=Right arm (mild dizziness). Seriousness criteria for Results in death, Life threatening, Caused/prolonged hospitalization, Disabling/Incapacitating, Congenital anomaly/birth defect: No. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. List of any other medications the patient received within 2 weeks of vaccination vitamins, digestive enzymes. Prior to vaccination the patient was not diagnosed with COVID-19. On 05Apr2021 18:00 patient experienced mild dizziness two days following first Covid 19 vaccine which continued for the next 3 weeks. This symptom then escalated to severe dizziness two days following second Covid 19 vaccine. Was not dizzy prior to this vaccine. It is still unresolved 5 weeks after second vaccine. Inflammation to vestibular system that is not BPPV or other type condition. Outcome of events was not recovered. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds: VITAMINS NOS

Current Illness:

ID: 1522298
Sex: M
Age:
State:

Vax Date: 06/25/2021
Onset Date:
Rec V Date: 08/03/2021
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: metallic taste in mouth; sweating; his skin is crawling; extremely nauseous; clammy; anxiety attack; Itchy; This is a spontaneous report from a contactable pharmacist. This pharmacist reported for patient that a 46-years-old male patient received BNT162B2 (Pfizer-BIONTECH COVID-19 Vaccine, solution for injection, NDC number: Unknown, UPC number: Unknown, Expiry Date: Unknown, lot number: EW0187), via an unknown route of administration in left deltoid on 25Jun2021 at 12:20 (at the age of 46-years-old) as dose 1, single for COVID-19 immunisation (at the age of 46 years). Expiration date: Pharmacist stated, " 8 of 21 (Further not clarified hence, not captured in tab) and I have literally mixed up the vaccine (Further clarification was unknown), his two-family member got the shot and they have no problem. It was only him." Pharmacist stated, "Well, he would be schedule three weeks for second dose from today. So, 17Jul2021. The patient's medical history included asthma, elevated heart rate, diabetes, heart disease; all were from an unknown date and unknown if ongoing. He was slightly overweight. Concomitant medications were not reported but it was confirmed that he has a whole list of medication. The patient was just administered the Pfizer Covid Vaccine and immediately experienced adverse reactions such as metallic taste in mouth, nausea, sweating, and he feels like his skin is crawling. Patients reports that he was "extremely nauseous" now and was clammy. Pharmacist believes patient was having an anxiety attack due to patient rocking back and forth. Emergency response has been contacted. When paraphrased the above concern, "There is no fever. But rest all event were there." Pharmacist said, "Metal taste in his mouth, nauseous then he said his skin get really crawled, he get sweaty and itchy." Pharmacist stated, "Immediately. It was today and literally I am calling and it happened in last 45 minutes ago." He had no lab test. The outcome of the adverse event was unknown. Follow-up attempts are possible. Further information is expected. Follow up #1: This is a Follow up spontaneous report from a contactable pharmacist.

Other Meds:

Current Illness:

ID: 1522299
Sex: U
Age:
State:

Vax Date: 06/01/2021
Onset Date: 06/01/2021
Rec V Date: 08/03/2021
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: Poking symptom on my left heart; This is a spontaneous report from a contactable consumer (patient). This consumer reported that, a patient of unspecified age and gender received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on Jun2021 as single dose for covid-19 immunization.The patient medical history and concomitant medications were not reported. The patient experienced poking symptom on my left heart on Jun2021. It was reported that patient took the Pfizer vaccine (Unspecified vaccine) last, yesterday around 4 pm at one of the CVS locations and from this morning and patient stated to have, it's something, like a poking symptom on his left heart. Patient was wondering if need to be taken care of at the hospital or can just wait to see. Later Consumer stated, so, right now it's already 8 pm, so, don't have any, this phone number patient can't use it. So, do they want the patient to call like hospital or emergency room and ask about symptom or do they happen to know if this was a serious symptom, or the patient don't have to worry about it. Further probing could not be done as the consumer was unwilling to share any further information. Hence limited information available over the call. Reporter seriousness for Poking symptom on my left heart: Unspecified. The outcome of event was unknown. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1522300
Sex: U
Age:
State:

Vax Date: 06/26/2021
Onset Date: 06/26/2021
Rec V Date: 08/03/2021
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: Chills; Migraine; Diarrhea; very sick; Headache; metallic taste in my mouth; Nausea; Vomiting; This is a spontaneous report from a contactable consumer (Patient). A patient of unspecified age and gender received bnt162b2 ((PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Lot Number: EW019), via an unspecified route of administration on 26Jun2021 as dose number unknown, single for covid-19 immunization. The patient medical history and concomitant medications were not reported. On 26Jun2021, Patient took the Pfizer vaccine at withheld and felt right away that there's a metallic taste in mouth and then had nausea, vomited once and then on 27Jun2021 patient had the chills, got migraine, patient was vomiting and there's diarrhea, and asked what can be taken for headache. Patient asked whether to take Advil. patient cannot support it anymore. Patient was very sick and cannot answer. Consumer was unwilling to complete the report therefore further probing could not be done. Hence limited information available over the call. Outcome of events was unknown. Follow up attempts needed. Further information is expected.

Other Meds:

Current Illness:

ID: 1522301
Sex: U
Age:
State:

Vax Date: 06/24/2021
Onset Date: 06/27/2021
Rec V Date: 08/03/2021
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: Blurry vision; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EW0178), via an unspecified route of administration on 24Jun2021 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 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on an unspecified date as a single dose for COVID-19 immunisation. The patient experienced blurry vision on 27Jun2021. When probed for the concern, patient stated patient got 2nd shot of Pfizer Covid Vaccine on Thursday on 24Jun2021 and today on 27Jun2021 patient was just experiencing blurry vision. The outcome of events was unknown. Information on Lot/Batch number was available. Additional information has been requested.

Other Meds:

Current Illness:

ID: 1522302
Sex: U
Age:
State:

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 08/03/2021
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: I get tired every time; When I am walking I feel, I always walk a lot and the when I was walking I don't want walking; I feel some pain on the right side of my chest; I feel so bad; Very scary of all these things; I feel like sometimes I can't breathe; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported), second dose via an unspecified route of administration on 01May2021, as a single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. Historical vaccine given to patient was bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported), first dose via an unspecified route of administration on an unspecified date, as a single for COVID-19 immunisation. It was reported that, "No, I don't have it with me the card, I don't have because I am outside, so I don't have it, I have it in my house the card." Consumer stated the patient concern was that patient got the vaccine and then (incomplete sentence). The thing was that the patient went to the place and the patient had two shots from "my vaccine" (COVID 19 vaccine), Pfizer, the patient had the Pfizer one. The patient got the first one and got the second one but that happen in May2021, on May 1st. And "now" patient felt, the patient felt a lot of side effects like patient get tired every time and then when the patient was walking I feel, I always walk a lot and the when I was walking I don't want walking, I just feel tired, and I feel some pain on the right side of my chest not on the left side but I feel like sometimes I can't breathe like not only that I feel different, you know your body right if you feel something different and that happened to me and that is concerning because I have been (word not clear). The patient did not know they confuse because they say the vaccine, the FDA says it's fine and you can get the vaccine and then on the mean time they say they did not authorize the vaccine and "now" the patient felt so bad because patient did not know what patient put the vaccine. The patient never gets the COVID, and did not know why the patient, FDA was supposed to do the vaccine and "now" the patient feel so bad." Consumer stated, "So you don't have any, do you think that can happen for the vaccine or this thing is bad, it's going to be the whole time, I am going to die with that now because I don't know". Consumer stated, "No, I don't have it with me the card, I don't have because I am outside, so I don't have it, I have it in my house the card". Consumer stated, "No but I don't have, I don't have that card don't I don't know if I have the expiration date. They put on the passport. I don't have it, I don't know, I don't have the card with me". Consumer stated that the patient's mailing address was, why you need the patient's mailing address. The patient was so scared "now". Consumer was informed that a safety report was being filed and for that this information was required, Consumer stated, "Okay, no I don't want to provide anything because I am very scary of all these things, I don't know what I called (voice not clear). Do you have the vaccine or no. Do you do the vaccine did you have it. No, I am saying if you put the vaccine, you vaccinated". The outcome of the events was reported as unknown. Information on lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1522303
Sex: U
Age:
State:

Vax Date: 06/25/2021
Onset Date: 06/01/2021
Rec V Date: 08/03/2021
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: I have a huge amount of swelling in my arm pit area; This is a spontaneous report from a contactable consumer (patient). A patient of an unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection, Lot number: EW0185, Expiration date: not reported), via an unspecified route of administration on 25Jun2021 as dose number unknown, single for Covid -19 immunization. The patient medical history and concomitant medications were not reported. It was reported that the patient received the vaccine on Friday on an unspecified date and experienced a huge amount of swelling in arm pit area. The patient wanted to know if it common for people to get swelling in the arm area after the vaccine. The outcome of event was unknown. Information on Lot/Batch number was available. Additional information has been requested.

Other Meds:

Current Illness:

ID: 1522304
Sex: U
Age:
State:

Vax Date: 06/11/2021
Onset Date:
Rec V Date: 08/03/2021
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: Fever; Chills; Headache; Shortness of breath; This is a spontaneous report from a contactable consumer, the patient. A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0181), dose 1 via an unspecified route of administration on 11Jun2021 as a single dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. On an unspecified date, a week later, the patient experienced fever, chills, headache, shortness of breath and still having all issues. Outcome of the event was unknown.

Other Meds:

Current Illness:

ID: 1522305
Sex: M
Age:
State: OH

Vax Date: 03/16/2021
Onset Date:
Rec V Date: 08/03/2021
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: It hurt really bad; Now he is having sleep effects; It tore up his arm; This is a spontaneous report from a contactable consumer or other non hcp. A 57-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: not reported; Expiry Date: unknown), dose 1 via an unspecified route of administration, administered in Arm Right on 16Mar2021 as dose 1, single for covid-19 immunisation. Medical history included covid-19 from Jul2020 to an unknown date. There were no concomitant medications. Prior Vaccinations (within 4 weeks) patient had no vaccination.On an unspecified date, the patient experienced it hurt really bad, now he is having sleep effects, it tore up his arm and stuck his phone and coins to his body. No additional Vaccines was Administered on Same Date of the Pfizer Suspect. It was reported that the patient and his wife, as well as a friend of theirs report "quarters and cell phones" sticking to their arms and they are asking has this been reported after receiving the Pfizer COVID19 vaccine. Caller has had only 1 dose of the vaccine while his wife has had 2 doses. Caller stated he didn't know if it is from the shot. He has never had this before and it is like his wife has the same issue along with their friend. He was calling because it is more than that it is affecting like that he have tried it on people who have not had the shot and it has not worked. He has had quarters "pitched at him" and they have "stuck to his body and finds that weird. Not placed" He also states he had a quarter that actually slid and stuck on his lower arm. He asked if there was any information on magnetic effects at the injection site after receiving vaccination with the Pfizer-BioNTech COVID-19 vaccine. This report is not related to a study or programme. Patient didn't not have his patient card and has no lot, expiry date or NDC number to provide. Investigation Assessment was not provided. He had a crazy question and stated he had the 1st dose of the Pfizer shot and he just took and stuck his phone and coins to his body and they are sticking and asking if this has been reported. He can actually pitch quarters at his body and it will stick and the quarter fell down and stuck on his arm. Caller states he just found this out yesterday and clarified in the call that he saw it on a video and then stated guys at work pitched quarters at him and they were sticking and flipping quarters at his chest and they hit his chest and stuck; stated this occurred today. Caller stated he does not have his patient card and has no lot, expiry date or NDC number to provide for the 1st dose of his vaccine but it was administered on 16Mar2021 and he did not get the 2nd dose of the Pfizer shot. Stated his wife got her 2nd dose of the Pfizer vaccine and has her card. He did not get the 2nd dose of the Pfizer vaccine because it tore up his arm for like 3 days and it hurt really bad and then now he is having sleep effects and stated his sister said the sleep issue is from him having covid real bad. He had covid back in Jul2020 and got the Pfizer shot because he thought he was leaving the country and somebody misinformed him he had to have the shot to leave the country. He has no other vaccines administered the same day as the Pfizer shot; states he normally does not take vaccines and does not go to the HCP and does not need medical help except the only reason he goes is once a year for his regular health check with vitals, lungs and kidneys and to check for diabetes once a year. He does not participate with the flu shot and does not mess with that. He had no treatment and just tried this out yesterday with sticking quarters and his phone to himself and thought it was just crazy and saw one of the social media videos with a girl on there crying who got the Pfizer shot and her phone stuck to her and has no lot number or patient information for the girl and clarifies to state it was on the video. He thought he would try this too and his phone stuck to him and it stuck to another person he saw on the social media video. States his wife got the Pfizer shot also and her phone stuck to her arm too. He informed some people did not get the shot and one girl and another person on the video had the phone fall of their arm and the phone would not stay stuck. Patient underwent lab test and procedure included SARS-CoV-2 test result positive on Jul2020. The event did not cause Emergency Room or Physician Office visit. Outcome of the events were unknown. Information on batch/lot number has been requested.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021800831 Same Vaccine/event, different patient

Other Meds:

Current Illness:

ID: 1522306
Sex: M
Age:
State: MO

Vax Date:
Onset Date:
Rec V Date: 08/03/2021
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: burning type sensation in the lungs; Difficulty breathing; Initial information received on 23-Jul-2021 regarding an unsolicited valid non-serious case from a pharmacist (patient itself) and physician. This case involves a 31 years old male patient (185 cm and 117 kg) who experienced burning type sensation in the lungs (burning sensation) and difficulty breathing (dyspnea), after receiving INFLUENZA QUADRIVAL A-B VACCINE [FLUZONE QUADRIVALENT]. The patient got the Flublock several times. Patient's medical history (including any illness at time of vaccination) and family medical history was reported as none. The patient's past medical treatment(s) and concomitant medication(s) were not provided. Patient was not allergic to eggs. On an unknown date, the patient received a dose of suspect INFLUENZA QUADRIVAL A-B VACCINE (lot number and expiration date not reported) via unknown route in an unknown administration site for prophylactic vaccination. On an unknown date, the patient developed a non-serious burning type sensation in the lungs if ever made a fire and when trying to get the embers if inhale the smoke (burning sensation) and difficulty breathing (dyspnoea) (unknown latency) following the administration of INFLUENZA QUADRIVAL A-B VACCINE. It was reported that "Caller is a pharmacist calling on behalf of himself about the Pfizer Covid (coronavirus disease) Vaccine. Caller states he reported this event to VAERS and they told him to contact Pfizer as well. Caller states he had his first Covid Vaccine on Friday 16-Jul-2021 and he started having severe heart palpitations on Saturday and he ended up going to the ED (emergency department). Caller states he felt like his heart was pounding though his chest, he was sick, and felt like he was going to pass out. Caller states he didn't know what it was, but his heart was pounding through his chest. Caller states when he got to the ED his blood pressure was 197/97 and his pulse was 101. Caller states they retook his blood pressure and it was 167/97 and pulse was 101. Caller states the doctor at the ED blew him off and said this is a common reaction to the vaccine, heart palpitations. Caller states if that is a common reaction, man, he felt like his heart was going to explode out of his chest. Caller states he had more palpitations and then they finally broke. Caller states the next day, he had the palpitations again. Caller states he tried to walk and get them to calm down, tried laying down and it was still not going down, so he went back to the ED because his heart was still beating through his chest. Caller states yesterday 03:00 a.m. the palpitations started again, and it lasted 4 hours. Caller states he took a video with his phone of his pulse ox showing his heart rate of 119. Caller states he was still trying to calm down and it would go down to 80 but then it would go back to 100. Caller states he could get his pulse to come down but then it would go straight back up for 4.5 hours and then they finally stopped yesterday around 20:00-21:00. Caller states his pulse so far at rest is back in the 60s sometimes 50s, and he is not going through the oh my god he is going to die in his chest. Caller states the Tachycardia started at 10:30-11:00 on Saturday, and it would go for several hours and then go back to normal, then it would start pounding again and then it was normal overnight, he thought it was over and then Sunday morning he was checking with his pulse ox and it was in the 60s like it normally is. Caller states he got in his truck because his friend was coming over and he felt a huge pressure in his chest and his hands were pale so went home and put his pulse ox on and it was reading 88 for O2 (oxygen) saturation and his heart rate was in the 120s. Caller states he started walking to de-stress himself and his color came back to his hands, but his heart was still pounding, so he walked on the treadmill for 30 minutes, and his O2 sat came back up, and the pressure was slightly relieved. Caller states he sat in his recliner and leaned back and tried to do vagal maneuvers and deep breathing, and he felt it start to go down and rev back up again and it wouldn't stay down and on his pulse ox his heart rate would go down to 70s and 80s and back up to 100s. Caller states he did deep breathing and it would go up and down up and down. Caller states he decided he didn't know how much more his heart could take, so he went back to the ED. Caller states they did an EKG (Electrocardiography), CBC (complete blood count), CMP (comprehensive metabolic panel), and Troponins because it was the second day of a high heart rate, but they all came back normal. Caller states the troponins were undetectable so no heart damage. Caller states they say it was a strong fight or flight reaction and if it doesn't go away in a few days, he needs to do something else. Caller states yesterday he woke up at 03:00 a.m. and his heart was pounding through his chest again. Calling states prior to this, his heart was feeling like it literally was going to explode so he recorded it with his phone going up and down up and down, because when he would get to the ED it is back to normal and it is hard to get a diagnosis. Caller states he video taped it several times. Caller states yesterday morning it lasted 4.5 hours and then his heart rate went back to the 60s. Caller states praise Jesus, now for 24 hours it has been back in the 60s and like normal. Caller states the 60s is at rest, sometimes dropping down to the 50s, but it stays in the 60 range maybe hits the 70 range. Seriousness Criteria: Caller states he would say this is serious. Caller states for 3 days, he couldn't do anything, and he thought he was going to die. Caller states now it appears to have went away, but it was pretty scary. Caller states he has never had that issue randomly show up". It was unknown if the patient experienced any additional symptoms/events. It was not reported if the patient received a corrective treatment. At time of reporting, the outcome was unknown for the reported events. There will be no information on the batch number for this case.

Other Meds:

Current Illness:

ID: 1522313
Sex: M
Age: 33
State: NY

Vax Date: 07/25/2021
Onset Date: 07/30/2021
Rec V Date: 08/03/2021
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: Heart Palpitations. Random Sharp pain around left side of chest area and even left side of neck and left back side. Strange feeling in chest area which makes me cough frequently.

Other Meds:

Current Illness:

ID: 1522314
Sex: F
Age: 54
State: FL

Vax Date: 08/02/2021
Onset Date: 08/02/2021
Rec V Date: 08/03/2021
Hospital:

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

Lab Data:

Allergies: Seasonal allergies

Symptom List: Pain in extremity

Symptoms: About eight hours later, extreme fatigue, fever, chills, shivering, headache, body aches, red watery eyes

Other Meds: Vitamins A, B complex, C, D E, K, ultimate Omega

Current Illness: Fibromyalgia

ID: 1522315
Sex: M
Age: 21
State: OH

Vax Date: 07/10/2021
Onset Date: 07/29/2021
Rec V Date: 08/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: NONE

Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: AROUND 2100 MY SON C/O FEELING LIKE SOMEONE WAS SQUEEZING HIS HEART AND FEELING NAUSEATED. THE EKG ON HIS SMART WATCH WAS SHOWING SOME INVERTED, LONGATED WAVES. SO, I TOOK HIM TO THE HOSPITAL, EMERGENCY ROOM.

Other Meds: VITAMIN D 5000 UNITS DAILY

Current Illness: NONE

ID: 1522316
Sex: F
Age: 32
State: FL

Vax Date: 07/28/2021
Onset Date: 07/28/2021
Rec V Date: 08/03/2021
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: Lactose intolerance

Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Pain, sensitivity, and heat where vaccine wad injected. Major pain in the muscle the following days, pain is in the muscle and spreading over my shoulder, the same amount of pain as if I pulled muscles or pinched a nerve, I cannot use my right arm.

Other Meds: Advil before vaccine

Current Illness: None

ID: 1522425
Sex: M
Age: 79
State: NY

Vax Date: 12/01/2020
Onset Date:
Rec V Date: 08/03/2021
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: loose of vision in one eye; shingles; first dose /December of 2020/not had his second dose; This case was reported by a consumer via call center representative and described the occurrence of loss of vision in a 79-year-old male patient who received Herpes zoster (Shingrix) for prophylaxis. Co-suspect products included Herpes zoster (Shingrix) for prophylaxis. The patient's past medical history included shingles (5 years before the date of reporting) and heart attack. Concurrent medical conditions included bone marrow disorder, coronary stent placement, neuropathy, cancer and pancreatic disorder. Concomitant products included chemotherapy, nos (Chemotherapy). In December 2020, the patient received the 1st dose of Shingrix. On an unknown date, the patient received the 2nd dose of Shingrix. On an unknown date, less than 9 months after receiving Shingrix and not applicable after receiving Shingrix, the patient experienced loss of vision (serious criteria GSK medically significant), shingles and incomplete course of vaccination. On an unknown date, the outcome of the loss of vision, shingles and incomplete course of vaccination were unknown. It was unknown if the reporter considered the loss of vision and shingles to be related to Shingrix. Additional details were provided as follows: The case was reported by patient himself. The age at vaccination was not applicable for 2nd dose. The patient received first dose of Shingrix and now currently experiencing shingles and had loss of vision in one eye and was seeking care. Till the time of reporting, the patient did not receive 2nd dose of Shingrix, which led to incomplete course of vaccination. The patient wanted to seek guidance, as to when he should receive his second dose of Shingrix. The reporter consented to follow up.

Other Meds: CHEMOTHERAPY

Current Illness: Bone marrow disorder; Cancer; Coronary stent placement; Neuropathy; Pancreatic disorder

ID: 1522427
Sex: F
Age: 63
State: MT

Vax Date: 07/28/2021
Onset Date: 07/28/2021
Rec V Date: 08/03/2021
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: Patient was accidentally given a third dose; This case was reported by a nurse via call center representative and described the occurrence of extra dose administered in a 63-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. On 28th July 2021, the patient received the 3rd dose of Shingrix (intramuscular). On 28th July 2021, unknown after receiving Shingrix, the patient experienced extra dose administered. On an unknown date, the outcome of the extra dose administered was unknown. Additional details were provided as follows: The nurse reported that, the patient was accidently administered third dose of Shingrix, which led to extra dose administered. The nurse wanted to know if the patient might have any complications.

Other Meds:

Current Illness:

ID: 1522428
Sex: M
Age:
State: NJ

Vax Date:
Onset Date:
Rec V Date: 08/03/2021
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: first dose / on Oct 23 2020 / has not received the 2nd dose yet; This case was reported by a pharmacist via call center representative and described the occurrence of incomplete course of vaccination in a male patient who received Herpes zoster (Shingrix) for prophylaxis. Previously administered products included Shingrix (1st dose received on 23rd October 2020). On an unknown date, the patient received the 2nd dose of Shingrix. On an unknown date, unknown after receiving Shingrix, the patient experienced incomplete course of vaccination. On an unknown date, the outcome of the incomplete course of vaccination was unknown. Additional details were provided as follows: The age at vaccination was not applicable for this report. The pharmacist asked should patient receive the 2nd dose of Shingrix at the time of reporting. Till the time of reporting the patient did not receive the 2nd dose of Shingrix,which led to incomplete course of vaccination. The reporter consented to follow up. The HCP (health care professional) declined to leave any additional patient details.

Other Meds:

Current Illness:

ID: 1522429
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/03/2021
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: PAIN ALL OVER BODY; BONE PAIN/COULD FEEL EACH ONE OF BONES BECAUSE THEY WERE HURTING SO BAD; COLD SWEAT; FEVER THAT WOULD NOT GO DOWN; EXTREME HEADACHE; This spontaneous report received from a patient via a company representative concerned a patient of unspecified age and sex. The patient's height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On an unspecified date, the subject experienced pain all over body, bone pain/could feel each one of bones because they were hurting so bad, cold sweat, fever that would not go down, and extreme headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from fever that would not go down, and the outcome of pain all over body, cold sweat, bone pain/could feel each one of bones because they were hurting so bad and extreme headache was not reported. This report was non-serious.; Sender's Comments: V0: Medical assessment comment is not required as per standard procedure as case assessed as non-serious.

Other Meds:

Current Illness:

ID: 1522430
Sex: M
Age:
State:

Vax Date:
Onset Date: 07/28/2021
Rec V Date: 08/03/2021
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: SUSPECTED CLINICAL VACCINATION FAILURE; SUSPECTED COVID 19 INFECTION; This spontaneous report received from a parent via a company representative concerned a 27year old male. The patient's height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805029, expiry: UNKNOWN) dose was not reported, 1 total, administered on 11-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 26-JUL-2021 (Monday), the patient experienced sore throat, body aches with no fever. It was reported that the patient had over the counter medication, but he still felt ill. On 28-JUL-2021 (Wednesday), the patient tested positive for covid-19 infection (suspected covid-19 infection and suspected clinical vaccination failure). Laboratory data included: COVID-19 virus test (NR: not provided) positive. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the suspected covid-19 infection and suspected clinical vaccination failure was not reported This report was serious (Other Medically Important Condition). This report was associated with product quality complaint: 90000187932.; Sender's Comments: V0: 20210800788-Covid-19 vaccine ad26.cov2.s-Suspected clinical vaccination failure. This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: SPECIAL SITUATIONS

Other Meds:

Current Illness:

ID: 1522431
Sex: F
Age:
State: FL

Vax Date:
Onset Date: 07/27/2021
Rec V Date: 08/03/2021
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: SUSPECTED CLINICAL VACCINATION FAILURE; SUSPECTED COVID-19 INFECTION; This spontaneous report received from a female patient. The patient's height, and weight were not reported. The patient's pre-existing medical conditions included the patient had no medical history and no known drug allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown and expiry: Unknown) dose was not reported, 1 total, start therapy date was not reported, administered into left arm for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 27-JUL-2021, the patient lost sense of smell (suspected covid-19 infection) and suspected clinical vaccination failure. On 28-JUL-2021, Laboratory data included: COVID-19 virus test (NR: not provided) positive. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the suspected clinical vaccination failure and suspected covid-19 infection was not reported. This report was serious (Other Medically Important Condition).; Sender's Comments: V0: 20210801295-COVID-19 VACCINE AD26.COV2.S-Suspected clinical vaccination failure. This event(s) is considered not related.The event(s) has an compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: SPECIAL SITUATIONS

Other Meds:

Current Illness:

ID: 1522432
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/03/2021
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: STUFFY NOSE NEXT DAY OF VACCINATION; ARM HURTING; NAUSEA; TIRED; This spontaneous report received from a patient via a company representative concerned a female of unspecified age. The patient's height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On an unspecified date, the subject experienced stuffy nose next day of vaccination, arm hurting, nausea, and tired. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from stuffy nose next day of vaccination, arm hurting, nausea, and tired. This report was non-serious. This case, from the same reporter is linked to 20210801898.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm