VAERS 2021 Database www.vaers.hhs.gov

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

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

COVID19 Lot Number

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

Incidents per State

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

ID: 0974647
Sex: F
Age: 33
State: IA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974648
Sex: F
Age: 50
State: IA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974649
Sex: F
Age: 23
State: IA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974650
Sex: F
Age: 58
State: IA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974651
Sex: F
Age: 30
State: IA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974652
Sex: F
Age: 37
State: IA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974653
Sex: F
Age: 36
State: IA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974654
Sex: F
Age: 48
State: IA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974655
Sex: F
Age: 65
State: NJ

Vax Date: 01/12/2021
Onset Date: 01/19/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: Actonel, Fosamax, penicillins, pennsaid, feentanyl, Zithromax, Q10

Symptoms: In the area where the injection was administered was very red, itchy and warm. Also a little painful Where the injection was injected there was a bump raised up

Other Meds: None

Current Illness: None

ID: 0974656
Sex: F
Age: 41
State: ME

Vax Date: 01/11/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: PCN, Amoxicillin, Bactrim hives to all

Symptoms: Patient reports she received her 1st Moderna covid 19 vaccine lot number 039K20A on 1/11/2021. Patient reports on 1/20/2021 she noted redness and itching to her arm at injection site. Patient reports the area is 4 inches in diameter and raised. She denies pain or fever. Patient advised to take antihistamine per Hospital policy and advised her to monitor redness and notify Hospital if it worsens or she develops red streaking or fever. Patient

Other Meds: Atenolol

Current Illness: denies

ID: 0974657
Sex: F
Age: 28
State: IA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974658
Sex: F
Age: 49
State: IA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974660
Sex: F
Age: 32
State: IA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974661
Sex: F
Age: 67
State: IA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974662
Sex: F
Age: 42
State: IA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974664
Sex: F
Age: 36
State: IA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974665
Sex: F
Age: 30
State: IA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974667
Sex: F
Age: 33
State: IA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974668
Sex: F
Age: 29
State: IA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974670
Sex: F
Age: 26
State: IA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974671
Sex: F
Age: 41
State: IA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974672
Sex: M
Age: 62
State: IA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974673
Sex: F
Age: 30
State: IA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974674
Sex: F
Age: 36
State: IA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974675
Sex: F
Age: 63
State: IA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974676
Sex: F
Age: 33
State: IA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974677
Sex: F
Age: 30
State: IA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974678
Sex: F
Age: 27
State: IA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974679
Sex: F
Age: 49
State: IA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974680
Sex: F
Age: 49
State: IA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974681
Sex: F
Age: 35
State: IA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974682
Sex: F
Age: 37
State: IA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974685
Sex: F
Age: 65
State: LA

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Employee states she received her second vaccination on Friday, January 22nd at 11:30 am to left deltoid. Noticed redness that day. Has become more red and swollen each day. States 1/4 of arm is swollen. Very red and hot to touch. Does not fell like she has a fever but has not checked. Note: Vaccine documentation record indicates that vaccine given on 1/18/2021, not 1/22/2021

Other Meds:

Current Illness:

ID: 0974691
Sex: F
Age: 62
State: LA

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Caller states she received her vaccines 9 days ago. 2 days ago she developed a rash under her right arm that is described as fine bumps that are itchy. The rash has now spread to both thighs. She denies other symptoms. She is going to call her PCP for appointment or instructions.

Other Meds:

Current Illness:

ID: 0974708
Sex: F
Age: 56
State: WI

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: Latex

Symptoms: Day after vaccine Arm was red at injection site & warm had lump where given. Day 7 had episode of feeling faint Day 8 Red area & bump again at inj. site

Other Meds: Propranolol, metformin, hctz, spironolactone Vit D, Vit B2, Magnesium, baclofen ASA Probiotic

Current Illness: none

ID: 0974729
Sex: U
Age: 36
State: OH

Vax Date: 12/29/2020
Onset Date: 01/04/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 2ND DAY AFTER SHOT WAS GIVEN DEVELOPED REDNESS & SWELLING ON THE INJECTION SITE AND PAIN AS WELL. A WEEEK AFTER THE SHOT-REDNESS & SWELLING IS STILL NOTICEABLE WITHITCHINESS & HARD ON THE INJECTION SITE NO PAIN.

Other Meds:

Current Illness:

ID: 0974753
Sex: F
Age: 68
State: IL

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/25/2021
Hospital: Y

Lab Data:

Allergies: Adhesive Tape NKDA

Symptoms: Experienced shortness of breath upon minimal exertion 24 hours after having receieved the vaccine. Called MD 72 hours vaccine received - MD advised hospital ER. Admitted with pulmonary embolism and deep vein thrombosis. Remains short of breath and is on 4L of oxygen. Receiving anti-coagulants.

Other Meds: Methotrexate DIOVAN HCT Protonix Folic Acid Multivitamin Vit D, Vit C XANAX

Current Illness: none

ID: 0974771
Sex: F
Age: 65
State: CA

Vax Date: 03/03/2020
Onset Date: 03/04/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data: N/A

Allergies:

Symptoms: Patient experienced pain longer than normal. Possible shoulder injury due to vaccine.

Other Meds:

Current Illness: NO

ID: 0974773
Sex: F
Age: 47
State: TN

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Morphine

Symptoms: 5 minutes after vaccine administration, patient complains of throat tightening. Given IM Benadryl 100mg in clinic. Patient taken by ambulance to ER.

Other Meds: none

Current Illness: none

ID: 0974774
Sex: F
Age: 88
State: FL

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: N/A

Allergies: NKDA

Symptoms: - redness, swelling, itching since vaccine was administered. Pt treated at home with Benadryl. - Pt sought treatment at our facility - given oral Keflex 500mg one QID x 5d and Prednisone 5mg one QD x 7d.

Other Meds: Amlodipine, Tylenol, Vit D3

Current Illness: Arthritis, Osteoporosis

ID: 1281112
Sex: F
Age: 53
State: TX

Vax Date: 01/13/2021
Onset Date:
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I called facility to check on everyone and see how they felt, and pt stated that her eyes looked very very red. She me a pic which I shared with. She has a burning sanitation and she bought over the counter eye drops.

Other Meds:

Current Illness: NONE

ID: 1281113
Sex: M
Age: 64
State: IL

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: Had been to ER, no workup done in ER & examination only

Allergies: Thorazine & Ritalin

Symptoms: Patient received Covid- 19 vaccine on 1/15/2021 at 5.15pm. On the 1/16/2021 around 8.35pm, he had chills and required assistance for walking and up on nurse assessment his temperature noted to be 101.9 F. nurse administered Tylenol 650mg and fluids were given. Up on follow up assessment of nurse on 1/17/2021 at 1.03am, the repeat temperature was 103.6F per ear probe. Due to high fever the 911 was called and was taken to ER. Normal assessment per ER evaluation and discharged to center with the diagnosis of vaccine reaction without any labs or chest x ray. Up on return to center, his temperature was 101F around 3.45 am on 1/17/2021, he was placed on increased oral fluids and Tylenol given as needed basis for fever. No more spiking of fever noted after that. He was hospitalized for Covid - 19 pneumonia from 11/6/2020 to 11/20/2020 at center, during the hospitalization he had intermittent spiking of temperature [101f-102F]. He had prolonged hospitalization due to intermittent fevers only and did not require ICU care. His work up was negative for infection other than Covid -19 infection and received broad spectrum antibiotics. He lives in facility for developmentally delayed individuals, due to group home setting & high risk of mortality in developmentally delayed [DD] population with Covid -19 infection - it was decided to vaccinate with Covid -19 vaccine after 2 weeks of Covoid -19 infection with they remain asymptomatic after 14 days of isolation with contact & droplet precautions.

Other Meds: Olanzapine 5mg daily, Depakote 1000mg daily, VitaminD2 [ergoca cetirizine 10mg daily, Glycopyrrolate 1mg daily, Ezetimibe 10mg daily, omeprazole 20mg daily , artificial tears and bisacodyl rectal suppository as needed basis. artificial tear

Current Illness: none

ID: 1281114
Sex: F
Age: 50
State: ME

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: none

Allergies: Amoxicylin

Symptoms: EE reports she received Modena Covid 19 vaccine lot #013L20A on 01/21/21. The following day, the injection site was red, swollen, and warm to touch. EE states "it was about the size of a quarter." EE reports, by evening, injection site spread to a larger area, became more painful, red and swollen. EE self managed with cold and Benadryl cream. EE reports the next day, injection site was red, hot to touch and swelling spread to the size of a baseball. EE contacted her PCP for an appointment. EE was prescribed Doxycycline and Naproxen. EE states "it is less red and inflamed today. EE reports she was on a steroid tapper for Covid related upper respiratory sx about 2 weeks prior to vaccine.

Other Meds:

Current Illness: denies

ID: 1281115
Sex: F
Age: 33
State: OH

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data: Primary care physician wants to perform antibody testing

Allergies: Gluten allergy

Symptoms: complained of heated, burning feeling in arm of injection right after vaccination. Noticed rash on arm in area of injection that spread to neck, behind ears and face. Injection given in Left arm and rash is on left side. Took Benadryl 25mg for itching and helped symptoms, but still feeling sick.

Other Meds: No supplements

Current Illness: None

ID: 1281116
Sex: F
Age: 36
State: OH

Vax Date: 01/04/2021
Onset Date: 01/12/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: NONE

Allergies: Sulfa/ Walnuts

Symptoms: Received vaccine on 1-4-21 and began itching on 1-11-21. Started as small, round, rash at injection site on 1-11-21. Informed us on 1-15-21 that the area was getting larger. Patient utilizing Benadryl cream to help with itching.

Other Meds: Vitamin D 5,000IU; Qvar

Current Illness: NONE

ID: 1281117
Sex: F
Age: 32
State: OH

Vax Date: 01/07/2021
Onset Date: 01/17/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: Cefzil

Symptoms: Received injection on January 7, 2021 and began itching on January 17. On January 18 she noticed the area was red and still had itching. On January 19 the area became warm, swollen and continued to be red.

Other Meds: None

Current Illness: None

ID: 1281118
Sex: F
Age: 52
State: OH

Vax Date: 12/28/2020
Onset Date: 01/02/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Patient complained of experiencing heart palpitations a few days after receiving vaccine.

Other Meds: Diclofenac, Omeprazole

Current Illness: None

ID: 0973090
Sex: F
Age:
State: VA

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

Lab Data:

Allergies:

Symptoms: welts on her legs and swelling in her hands; welts on her legs and swelling in her hands; This spontaneous report was received from a consumer regarding to herself; a 66 year old female patient. . Information regarding the patient's concomitant therapies, concurrent conditions, medical history and historical drugs was not provided. On an unknown date, the patient was vaccinated with measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live(M-M-R II) for prophylaxis (strength, dose, frequency, route of administration, lot number and expiration date were not reported). On an unknown date the patient experienced welts on her legs (urticaria) and swelling in her hands (peripheral swelling). The outcome of urticaria and peripheral swelling was reported as recovered. The reporter considered urticaria and peripheral swelling to be related to Measles, Mumps, and Rubella (Wistar RA 27-3) Virus Vaccine, Live(M-M-R II).

Other Meds:

Current Illness:

ID: 0973091
Sex: F
Age:
State: WY

Vax Date:
Onset Date: 01/11/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: No additional AEs; Inappropriate schedule of vaccine administered; This spontaneous report was received from a pharmacist and a consumer concerning to a female patient of unknown age. The patient's concurrent conditions included chronic lung disease. No information regarding the patient's pertinent medical history, historical drugs, drug reactions, allergies or concomitant therapies was provided. On an unspecified date in 2014, the patient was vaccinated with dose of pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX 23), 1 time dose for prophylaxis (formulation, strength, dose, vaccination scheme, route of administration, anatomical site of vaccination, lot number and expiration date were not provided). On 11-JAN-2021, the patient was vaccinated with a second dose of pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX 23), 1 time dose for prophylaxis (formulation, strength, dose, vaccination scheme, route of administration, anatomical site of vaccination, lot number and expiration date were not provided). It was reported that the patient's healthcare professional (HCP) recommended and requested that she receive the vaccine pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX 23) every 5 years (previously reported as ''every 6 years'').

Other Meds:

Current Illness: Chronic lung disease

ID: 0973093
Sex: U
Age:
State: OH

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

Lab Data:

Allergies:

Symptoms: bronchitis; post herpetic neuralgia; herpes zoster; Information has been received from a lawyer and a consumer regarding a case in litigation referring to a patient (pt) of unknown age or gender. The pt's concurrent conditions, medical history and concomitant medications were not reported. On an unspecified date, the pt was inoculated with zoster vaccine live (ZOSTAVAX) (dosage regimen, route of administration, anatomical location, lot number and expiration date were not provided) for routine health maintenance and for its intended purpose: the prevention of shingles (herpes zoster). Shortly after being vaccinated, the pt suffered multiple outbreaks of herpes zoster, post herpetic neuralgia and bronchitis. As a result of these symptoms, the pt was seen and treated by medical providers and was still under their care. As a direct and proximate result of the pt's use of the defective zoster vaccine live (ZOSTAVAX), the pt's symptoms resulted in physical limitations not present prior to using the company's product. The pt also experiences mental and emotional distress due to resulting physical limitations and seriousness of her condition. As a result of the manufacture, marketing, advertising, promotion, distribution and/or sale of zoster vaccine live (ZOSTAVAX), the pt sustained severe and permanent personal injuries. Further, as a tragic consequence of the company's wrongful conduct, the pt suffered serious, progressive, permanent, and incurable injuries, as well as significant conscious pain and suffering, mental anguish, emotional distress, loss of enjoyment of life, physical impairment and injury. As a direct and proximate result of company's conduct, the pt suffered and incurred damages, including medical expenses; the loss of accumulations; and other economic and non-economic damages. The outcome of the claimed events was not recovered, and causal relationship was reported as related to zoster vaccine live (ZOSTAVAX). The reporter considered bronchitis, post herpetic neuralgia and herpes zoster to be disabling events.

Other Meds:

Current Illness: Routine health maintenance

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm