Received Oct 9, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | UNK | — | — |
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | UNK | — | LA |
usually gets the chills that last a couple of hours and then everything is fine; This is a spontaneous report received from a Consumer or other non HCP. A 78-year-old female patient received BNT162b2 (BNT162B2 NOS), as dose number unknown, 0.3 ml single (Batch/Lot number: unknown), in left arm for covid-19 immunisation; elasomeran (MODERNA COVID-19 VACCINE), as dose number unknown, single for covid-19 immunisation. The patient's relevant medical history included: "Seasonal Allergies" (ongoing), notes: Does not take anything for her seasonal allergies; "Arthritis in her knees" (ongoing), notes: Takes Bayer back and body in the evening for her knees; "high blood pressure" (unspecified if ongoing); "constipation" (unspecified if ongoing); "allergies to oral sulfa drugs" (unspecified if ongoing), notes: gets heart flutter when ingested; "heart flutter" (unspecified if ongoing). Concomitant medication(s) included: CAPTOPRIL taken for hypertension; HYDROCHLOROTHIAZIDE taken for hypertension; SIMVASTATIN taken for hypertension. The following information was reported: CHILLS (non-serious), outcome "recovering", described as "usually gets the chills that last a couple of hours and then everything is fine". Additional information: She thought about filing something with the government, but it did not seem the right thing to do. Usually after she gets the vaccines, she has had Pfizer covid vaccines and including Moderna covid vaccines. She usually gets the chills that last a couple of hours and then everything is fine. The information on the batch/lot number for BNT162b2 will be requested and submitted if and when received.
Knee arthritis (Takes Bayer back and body in the evening for her knees); Seasonal allergy (Does not take anything for her seasonal allergies)
Medical History/Concurrent Conditions: Blood pressure high; Constipation; Heart fluttering; Sulfonamide allergy (gets heart flutter when ingested)
CAPTOPRIL; HYDROCHLOROTHIAZIDE; SIMVASTATIN