This document provides a summary of spontaneous adverse reaction reports received between January 4th and February 28th, 2021 for the AstraZeneca COVID-19 vaccine in the UK. It lists various blood disorders, cardiac disorders, and nervous system disorders among the reported reactions, with lymphadenopathy/lymph node pain and palpitations being the most commonly reported reactions totaling 904 and 1130 cases respectively. A small number of reported fatal reactions are also noted, including 1 death related to immune thrombocytopenia and 15 deaths related to cardiac issues.
This document provides a summary of spontaneous adverse reaction reports received between January 4th and February 28th, 2021 for the AstraZeneca COVID-19 vaccine in the UK. It lists various blood disorders, cardiac disorders, and nervous system disorders among the reported reactions, with lymphadenopathy/lymph node pain and palpitations being the most commonly reported reactions totaling 904 and 1130 cases respectively. A small number of reported fatal reactions are also noted, including 1 death related to immune thrombocytopenia and 15 deaths related to cardiac issues.
This document provides a summary of spontaneous adverse reaction reports received between January 4th and February 28th, 2021 for the AstraZeneca COVID-19 vaccine in the UK. It lists various blood disorders, cardiac disorders, and nervous system disorders among the reported reactions, with lymphadenopathy/lymph node pain and palpitations being the most commonly reported reactions totaling 904 and 1130 cases respectively. A small number of reported fatal reactions are also noted, including 1 death related to immune thrombocytopenia and 15 deaths related to cardiac issues.
Case Series Drug Analysis Print Name: COVID-19 vaccine AstraZeneca analysis print Report Run Date: 09-Mar-2021 Data Lock Date: 08-Mar-2021 19:00:03 Earliest Reaction Date: 03-Feb-1921 MedDRA Version: MedDRA 23.1 Reaction Name Total Fatal Gastrointestinal disorders cont'd Gastrointestinal disorders Tooth loss 1 0 Gastrointestinal disorders SOC TOTAL 22336 5
Report Run Date: 09-Mar-2021, Page 14
Case Series Drug Analysis Print Name: COVID-19 vaccine AstraZeneca analysis print Report Run Date: 09-Mar-2021 Data Lock Date: 08-Mar-2021 19:00:03 Earliest Reaction Date: 03-Feb-1921 MedDRA Version: MedDRA 23.1 Reaction Name Total Fatal General disorders Administration site reactions NEC Administration site bruise 5 0 Administration site pain 14 0 Administration site urticaria 1 0 Puncture site bruise 11 0 Puncture site pain 7 0 Puncture site reaction 1 0 Adverse effect absent No adverse event 7 0 Application and instillation site reactions Application site bruise 4 0 Application site erythema 6 0 Application site joint pain 1 0 Application site pain 7 0 Application site pruritus 4 0 Application site swelling 1 0 Instillation site discomfort 1 0 Instillation site pain 1 0 Instillation site warmth 6 0 Asthenic conditions Asthenia 1247 3 Chronic fatigue syndrome 9 0 Fatigue 13202 0 Malaise 3631 3 Sluggishness 3 0 Body temperature altered Hyperthermia 5 0 Hypothermia 19 0 Temperature regulation disorder 6 0 Complications associated with device NEC Phantom shocks 1 0 Death and sudden death Brain death 1 1 Death 134 134 Sudden death 9 9 Febrile disorders Hyperpyrexia 25 0 Masked fever 1 0 Pyrexia 18640 1 Feelings and sensations NEC Chills 14442 0 Feeling abnormal 558 0 Feeling cold 1688 0 Feeling drunk 19 0 Feeling hot 628 0 Feeling jittery 8 0 Feeling of body temperature change 319 0 Hangover 25 0 Hunger 9 0 Sensation of foreign body 7 0 Temperature intolerance 12 0 Thirst 402 0 Thirst decreased 3 0
Report Run Date: 09-Mar-2021, Page 15
Case Series Drug Analysis Print Name: COVID-19 vaccine AstraZeneca analysis print Report Run Date: 09-Mar-2021 Data Lock Date: 08-Mar-2021 19:00:03 Earliest Reaction Date: 03-Feb-1921 MedDRA Version: MedDRA 23.1 Reaction Name Total Fatal General disorders General disorders cont'd Fibrosis NEC Fibrosis 1 0 Gait disturbances Decreased gait velocity 1 0 Gait disturbance 78 0 Gait inability 52 0 Loss of control of legs 10 0 General signs and symptoms NEC Condition aggravated 42 0 Crying 42 0 Discharge 1 0 Energy increased 2 0 Exercise tolerance decreased 2 0 Foaming at mouth 2 0 General physical health deterioration 7 2 General symptom 4 0 Illness 1514 0 Induration 5 0 Influenza like illness 3006 0 Local reaction 74 0 Moaning 3 0 Multiple organ dysfunction syndrome 2 0 Nonspecific reaction 1 0 Peripheral swelling 1172 0 Screaming 3 0 Secretion discharge 6 0 Swelling 530 0 Swelling face 211 0 Symptom recurrence 1 0 Implant and catheter site reactions Implant site pain 1 0 Implant site rash 1 0 Implant site warmth 3 0 Inflammations Inflammation 120 0 Infusion site reactions Infusion site bruising 1 0 Infusion site pain 2 0 Infusion site warmth 1 0 Injection site reactions Injected limb mobility decreased 12 0 Injection site bruising 22 0 Injection site coldness 1 0 Injection site discolouration 1 0 Injection site discomfort 3 0 Injection site erythema 176 0 Injection site haemorrhage 1 0 Injection site hypoaesthesia 4 0 Injection site indentation 2 0 Injection site inflammation 21 0 Injection site injury 1 0 Injection site irritation 2 0 Injection site joint erythema 2 0
Report Run Date: 09-Mar-2021, Page 16
Case Series Drug Analysis Print Name: COVID-19 vaccine AstraZeneca analysis print Report Run Date: 09-Mar-2021 Data Lock Date: 08-Mar-2021 19:00:03 Earliest Reaction Date: 03-Feb-1921 MedDRA Version: MedDRA 23.1 Reaction Name Total Fatal General disorders General disorders cont'd Injection site joint pain 16 0 Injection site mass 344 0 Injection site muscle weakness 1 0 Injection site nodule 1 0 Injection site oedema 9 0 Injection site pain 1248 0 Injection site papule 1 0 Injection site paraesthesia 6 0 Injection site pruritus 90 0 Injection site rash 72 0 Injection site reaction 35 0 Injection site scab 1 0 Injection site scar 2 0 Injection site swelling 51 0 Injection site urticaria 9 0 Injection site vesicles 2 0 Injection site warmth 106 0 Interactions Drug interaction 5 0 Inhibitory drug interaction 1 0 Mass conditions NEC Cyst 1 0 Mass 8 0 Nodule 1 0 Mucosal findings abnormal Mucosal disorder 1 0 Mucosal haemorrhage 1 0 Mucosal inflammation 2 0 Mucosal pain 1 0 Oedema NEC Face oedema 6 0 Localised oedema 4 0 Oedema 4 0 Oedema peripheral 9 0 Pain and discomfort NEC Axillary pain 103 0 Chest discomfort 468 0 Chest pain 887 0 Discomfort 53 0 Facial discomfort 4 0 Facial pain 63 0 Inflammatory pain 4 0 Non-cardiac chest pain 8 0 Pain 4018 0 Tenderness 509 0 Therapeutic and nontherapeutic responses Adverse drug reaction 17 0 Diet failure 1 0 Drug ineffective 11 0 Drug intolerance 1 0 Inadequate analgesia 1 0 No reaction on previous exposure to drug 10 0 Therapeutic product effect decreased 1 0
Report Run Date: 09-Mar-2021, Page 17
Case Series Drug Analysis Print Name: COVID-19 vaccine AstraZeneca analysis print Report Run Date: 09-Mar-2021 Data Lock Date: 08-Mar-2021 19:00:03 Earliest Reaction Date: 03-Feb-1921 MedDRA Version: MedDRA 23.1 Reaction Name Total Fatal General disorders General disorders cont'd Therapeutic response shortened 1 0 Therapeutic response unexpected 7 0 Treatment failure 2 0 Vaccine positive rechallenge 1 0 Ulcers NEC Ulcer 5 0 Vaccination site reactions Extensive swelling of vaccinated limb 7 0 Shoulder injury related to vaccine administration 1 0 Vaccination site bruising 24 0 Vaccination site discolouration 2 0 Vaccination site discomfort 5 0 Vaccination site erythema 172 0 Vaccination site extravasation 1 0 Vaccination site granuloma 3 0 Vaccination site haemorrhage 1 0 Vaccination site hypersensitivity 2 0 Vaccination site hypoaesthesia 2 0 Vaccination site induration 20 0 Vaccination site inflammation 18 0 Vaccination site irritation 4 0 Vaccination site joint erythema 1 0 Vaccination site joint movement impairment 5 0 Vaccination site joint pain 20 0 Vaccination site joint swelling 1 0 Vaccination site joint warmth 1 0 Vaccination site lymphadenopathy 1 0 Vaccination site mass 128 0 Vaccination site movement impairment 7 0 Vaccination site oedema 2 0 Vaccination site pain 490 0 Vaccination site papule 2 0 Vaccination site paraesthesia 4 0 Vaccination site pruritus 25 0 Vaccination site rash 42 0 Vaccination site reaction 8 0 Vaccination site swelling 143 0 Vaccination site urticaria 1 0 Vaccination site vesicles 1 0 Vaccination site warmth 89 0 Withdrawal and rebound effects Drug withdrawal syndrome 1 0 Withdrawal syndrome 4 0 General disorders SOC TOTAL 71732 153
Report Run Date: 09-Mar-2021, Page 18
Case Series Drug Analysis Print Name: COVID-19 vaccine AstraZeneca analysis print Report Run Date: 09-Mar-2021 Data Lock Date: 08-Mar-2021 19:00:03 Earliest Reaction Date: 03-Feb-1921 MedDRA Version: MedDRA 23.1 Reaction Name Total Fatal Hepatic disorders Bile duct infections and inflammations Biliary colic 3 0 Cholecystitis and cholelithiasis Cholecystitis 2 0 Cholelithiasis 3 0 Cholestasis and jaundice Jaundice 7 0 Ocular icterus 1 0 Hepatic fibrosis and cirrhosis Hepatic cirrhosis 1 0 Hepatobiliary signs and symptoms Hepatic pain 11 0 Hepatocellular damage and hepatitis NEC Hepatitis 1 0 Hepatic disorders SOC TOTAL 29 0
Report Run Date: 09-Mar-2021, Page 19
Case Series Drug Analysis Print Name: COVID-19 vaccine AstraZeneca analysis print Report Run Date: 09-Mar-2021 Data Lock Date: 08-Mar-2021 19:00:03 Earliest Reaction Date: 03-Feb-1921 MedDRA Version: MedDRA 23.1 Reaction Name Total Fatal Immune system disorders Acute and chronic sarcoidosis Sarcoidosis 5 0 Allergic conditions NEC Allergic oedema 5 0 Allergy to metals 1 0 Allergy to sting 1 0 Allergy to venom 1 0 Hypersensitivity 243 0 Infusion related hypersensitivity reaction 2 0 Multiple allergies 5 0 Serum sickness 9 0 Serum sickness-like reaction 7 0 Type III immune complex mediated reaction 2 0 Allergies to foods, food additives, drugs and other chemicals Allergy to chemicals 1 0 Allergy to vaccine 14 0 Drug hypersensitivity 18 0 Food allergy 1 0 Reaction to excipient 2 0 Reaction to preservatives 4 0 Anaphylactic and anaphylactoid responses Anaphylactic reaction 173 0 Anaphylactic shock 14 0 Anaphylactoid reaction 5 0 Anaphylactoid shock 2 0 Atopic disorders Seasonal allergy 6 0 Autoimmune disorders NEC Autoimmune disorder 1 0 Immune and associated conditions NEC Bacille Calmette-Guerin scar reactivation 6 0 Immune system disorder 3 0 Immunisation reaction 1 0 Sensitisation 8 0 Immunodeficiency disorders NEC Immunodeficiency 1 0 Transplant rejections Transplant rejection 1 0 Immune system disorders SOC TOTAL 542 0
Case Series Drug Analysis Print Name: COVID-19 vaccine AstraZeneca analysis print Report Run Date: 09-Mar-2021 Data Lock Date: 08-Mar-2021 19:00:03 Earliest Reaction Date: 03-Feb-1921 MedDRA Version: MedDRA 23.1 Reaction Name Total Fatal Nervous system disorders cont'd Nervous system disorders Monoplegia 24 0 Paralysis 49 0 Paraparesis 2 0 Paraplegia 1 0 Paresis 1 0 Peripheral nerve palsy 1 0 Parkinson's disease and parkinsonism Freezing phenomenon 47 0 Parkinson's disease 8 0 Parkinsonism 6 0 Reduced facial expression 1 0 Partial complex seizures Dreamy state 3 0 Focal dyscognitive seizures 1 0 Partial simple seizures NEC Simple partial seizures 2 0 Peripheral neuropathies NEC Neuropathy peripheral 33 0 Seizures and seizure disorders NEC Alcoholic seizure 1 0 Atonic seizures 2 0 Clonic convulsion 1 0 Epilepsy 50 0 Febrile convulsion 25 0 Partial seizures 10 0 Psychogenic seizure 1 0 Seizure 241 2 Seizure anoxic 1 0 Seizure cluster 2 0 Seizure like phenomena 2 0 Status epilepticus 3 1 Tonic convulsion 8 0 Sensory abnormalities NEC Ageusia 235 0 Allodynia 16 0 Aura 2 0 Central pain syndrome 1 0 Complex regional pain syndrome 2 0 Dysgeusia 424 0 Hypogeusia 1 0 Loss of proprioception 2 0 Neuralgia 216 0 Phantom limb syndrome 8 0 Post herpetic neuralgia 2 0 Restless arm syndrome 4 0 Restless legs syndrome 81 0 Sensory disturbance 15 0 Sensory loss 19 0 Taste disorder 118 0 Sleep disturbances NEC Poor quality sleep 173 0 Sleep deficit 11 0 Speech and language abnormalities
Report Run Date: 09-Mar-2021, Page 42
Case Series Drug Analysis Print Name: COVID-19 vaccine AstraZeneca analysis print Report Run Date: 09-Mar-2021 Data Lock Date: 08-Mar-2021 19:00:03 Earliest Reaction Date: 03-Feb-1921 MedDRA Version: MedDRA 23.1 Reaction Name Total Fatal Nervous system disorders cont'd Nervous system disorders Dysarthria 51 1 Incoherent 2 0 Language disorder 1 0 Slow speech 3 0 Speech disorder 9 0 Spinal cord and nerve root disorders NEC Myelopathy 2 0 Radiculopathy 1 0 Structural brain disorders NEC Brain injury 1 0 Transient cerebrovascular events Transient ischaemic attack 25 0 Tremor (excl congenital) Action tremor 1 0 Essential tremor 1 0 Head titubation 5 0 Intention tremor 1 0 Resting tremor 3 0 Tremor 3492 1 Trigeminal disorders Facial neuralgia 4 0 Trigeminal neuralgia 10 0 Nervous system disorders SOC TOTAL 43951 19
Report Run Date: 09-Mar-2021, Page 43
Case Series Drug Analysis Print Name: COVID-19 vaccine AstraZeneca analysis print Report Run Date: 09-Mar-2021 Data Lock Date: 08-Mar-2021 19:00:03 Earliest Reaction Date: 03-Feb-1921 MedDRA Version: MedDRA 23.1 Reaction Name Total Fatal Pregnancy conditions Abortions spontaneous Abortion spontaneous 4 0 Labour onset and length abnormalities Precipitate labour 1 0 Premature labour 1 0 Premature rupture of membranes 1 0 Maternal complications of pregnancy NEC Hyperemesis gravidarum 1 0 Morning sickness 11 0 Normal pregnancy, labour and delivery Pregnancy 1 0 Pregnancy conditions SOC TOTAL 20 0
Report Run Date: 09-Mar-2021, Page 44
Case Series Drug Analysis Print Name: COVID-19 vaccine AstraZeneca analysis print Report Run Date: 09-Mar-2021 Data Lock Date: 08-Mar-2021 19:00:03 Earliest Reaction Date: 03-Feb-1921 MedDRA Version: MedDRA 23.1 Reaction Name Total Fatal Device incompatibility issues Patient-device incompatibility 1 0 Device malfunction events NEC Oversensing 7 0 Stent malfunction 1 0 Undersensing 1 0 Product physical issues Product taste abnormal 1 0 null SOC TOTAL 11 0
Case Series Drug Analysis Print Name: COVID-19 vaccine AstraZeneca analysis print Report Run Date: 09-Mar-2021 Data Lock Date: 08-Mar-2021 19:00:03 Earliest Reaction Date: 03-Feb-1921 MedDRA Version: MedDRA 23.1 Reaction Name Total Fatal Social circumstances Dietary and nutritional issues Inadequate diet 1 0 Disability issues Bedridden 25 0 Disability 1 0 Immobile 8 0 Impaired driving ability 1 0 Impaired work ability 3 0 Loss of personal independence in daily activities 1 0 Sight disability 4 0 Employment issues Retirement 2 0 Social issues NEC Impaired quality of life 1 0 Tobacco use Tobacco user 1 0 Social circumstances SOC TOTAL 48 0
Report Run Date: 09-Mar-2021, Page 60
Case Series Drug Analysis Print Name: COVID-19 vaccine AstraZeneca analysis print Report Run Date: 09-Mar-2021 Data Lock Date: 08-Mar-2021 19:00:03 Earliest Reaction Date: 03-Feb-1921 MedDRA Version: MedDRA 23.1 Reaction Name Total Fatal Surgical & medical procedures Anaesthesia and allied procedures Nerve block 1 0 Analgesia supportive care Analgesic therapy 1 0 Antiinfective therapies COVID-19 treatment 1 0 Cardiac device therapeutic procedures Pacemaker generated rhythm 1 0 Cardiac therapeutic procedures NEC Pericardial excision 1 0 Dietary and nutritional therapies Medical diet 1 0 Facial therapeutic procedures Face lift 1 0 Gastrointestinal therapeutic procedures NEC Prophylaxis against gastrointestinal ulcer 1 0 Prophylaxis of nausea and vomiting 12 0 Hormonal therapeutic procedures NEC Hormone replacement therapy 2 0 Immunisations COVID-19 immunisation 50 1 Immunisation 31 0 Joint therapeutic procedures Hip surgery 1 0 Large intestine therapeutic procedures Appendicectomy 1 0 Limb therapeutic procedures Limb immobilisation 9 0 Limb operation 1 0 Limb reattachment surgery 1 0 Muscle therapeutic procedures Muscle relaxant therapy 1 0 Nervous system therapeutic procedures NEC Central nervous system stimulation 1 0 Patient positioning Prone position 1 0 Prophylactic procedures NEC Anaphylaxis prophylaxis 1 0 Small intestine therapeutic procedures Ileostomy 1 0 Therapeutic procedures NEC Bed rest 5 0 Fatigue management 1 0 Hospitalisation 3 0 Injection 13 0 Localised alternating hot and cold therapy 2 0 Mass excision 2 0 Therapeutic hypothermia 2 0 Therapy change 1 0 Uterine therapeutic procedures Endometrial ablation 1 0 Surgical & medical procedures SOC TOTAL 151 1
Report Run Date: 09-Mar-2021, Page 61
Case Series Drug Analysis Print Name: COVID-19 vaccine AstraZeneca analysis print Report Run Date: 09-Mar-2021 Data Lock Date: 08-Mar-2021 19:00:03 Earliest Reaction Date: 03-Feb-1921 MedDRA Version: MedDRA 23.1 Reaction Name Total Fatal Vascular disorders Accelerated and malignant hypertension Hypertensive crisis 1 0 Hypertensive emergency 1 0 Hypertensive urgency 1 0 Tyramine reaction 1 0 Aortic aneurysms and dissections Aortic aneurysm 1 0 Arterial infections and inflammations Arteritis 1 0 Giant cell arteritis 9 0 Blood pressure disorders NEC Blood pressure fluctuation 2 0 Circulatory collapse and shock Circulatory collapse 28 1 Neurogenic shock 3 0 Shock 16 0 Shock symptom 3 0 Haemorrhages NEC Bloody discharge 1 0 Haematoma 8 0 Haemorrhage 20 1 Lymphoedemas Lymphoedema 15 0 Non-site specific embolism and thrombosis Embolism 1 0 Thrombosis 3 0 Non-site specific necrosis and vascular insufficiency NEC Arteriosclerosis 1 0 Non-site specific vascular disorders NEC Vascular pain 6 0 Vasodilatation 4 0 Peripheral embolism and thrombosis Blue toe syndrome 2 0 Deep vein thrombosis 14 0 Pelvic venous thrombosis 1 0 Thrombophlebitis 1 0 Thrombophlebitis superficial 1 0 Peripheral vascular disorders NEC Cyanosis 26 0 Erythromelalgia 1 0 Flushing 205 0 Hot flush 504 0 Peripheral vasoconstriction, necrosis and vascular insufficiency Ischaemic limb pain 2 0 Peripheral coldness 296 0 Poor peripheral circulation 3 0 Raynaud's phenomenon 20 0 Phlebitis NEC Phlebitis 2 0 Site specific vascular disorders NEC Pallor 131 0 Plethoric face 1 0 Varicose veins NEC
Report Run Date: 09-Mar-2021, Page 62
Case Series Drug Analysis Print Name: COVID-19 vaccine AstraZeneca analysis print Report Run Date: 09-Mar-2021 Data Lock Date: 08-Mar-2021 19:00:03 Earliest Reaction Date: 03-Feb-1921 MedDRA Version: MedDRA 23.1 Reaction Name Total Fatal Vascular disorders Vascular disorders cont'd Spider vein 1 0 Varicophlebitis 1 0 Varicose vein 1 0 Vascular hypertensive disorders NEC Diastolic hypertension 1 0 Hypertension 126 0 Vascular hypotensive disorders Capillary leak syndrome 2 0 Hypotension 142 0 Orthostatic hypotension 13 0 Vasculitides NEC MAGIC syndrome 3 1 Vasculitis 9 0 Vascular disorders SOC TOTAL 1635 3 TOTAL REACTIONS FOR DRUG 201622 275
Test Bank For Medical Surgical Nursing Assessment and Management of Clinical Problems Single Volume 10th Edition Lewis Bucher Heitkemper Harding Kwong Roberts