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
199,106MODERNA
36,710JANSSEN
5,381PFIZER\BIONTECH
2,555GLAXOSMITHKLINE BIOLOGICALS
1,469UNKNOWN MANUFACTURER
897MERCK & CO. INC.
627SEQIRUS, INC.
112DYNAVAX TECHNOLOGIES CORPORATION
91SANOFI PASTEUR
75NOVARTIS VACCINES AND DIAGNOSTICS
40EMERGENT BIOSOLUTIONS
14PAXVAX
12TEVA PHARMACEUTICALS
12PROTEIN SCIENCES CORPORATION
9PFIZER\WYETH
4BERNA BIOTECH, LTD.
4SMITHKLINE BEECHAM
3INTERCELL AG
1MEDIMMUNE VACCINES, INC.
1CSL LIMITED

COVID19 Lot Number

VAX LOT Total
2S9CL7,949
7,473
2,547
1,506
1,187
1,051
1,049
s0294561,043
866
IMM209861
816
UT7065MA766
657
579
U62828AA563
557
538
U6737AA516
515
S034636506
4F472471
458
P100253275449
444
276563436
429
418
4BH32414
MENVEO404
PP9L5362
UJ446AA337
319
306
290
271
49TM3270
R1B252M253
4F472179
933622147
C5763AA144
CW3116134
3Y7NL126
UNK114
113
ARBA141A105
104
103
96
300057A90
79
1F4EB73
R1B743M62
56
UJ090AA55
51
UH894AB46
45
UNK44
UNK42
42
EJ168638
Unknown36
35
34
32
32
26
el128424
24
A115A22
22
EN620222
21
UNK20
20
19
Z127A19
19
17
JEV18K95E15
12
111798PI12
10
A739088
No batch number8
3333324181078
6
6
TAR356
5
5
U6935AA5
UNK5
4
unknown4
3
2
55RB72
2
2
2
2
2
U7124AA2
JEV18A68E2
2
ABYB05BA1
1
1
1
1
AMVA436A1
1
1
TJ3521
A130A; VIS give1
1
U7140BB1
1
1
SP UP016AA1
1
1808P08802/ESV01
037K20A300,947
EL1284288,578
57,766
1,432

Incidents per State

State Total
82,750
CA62,821
FL38,209
TX36,512
NY34,921
PA23,646
IN23,622
IL20,597
MI19,590
OH19,426
NJ18,413
NC16,769
GA15,932
WA15,351
VA15,234
MA14,876
AZ14,206
MN12,940
MD12,656
CO11,908
WI11,425
MO10,240
TN9,685
OR8,768
KY8,437
CT8,300
SC6,700
OK6,293
AL5,692
LA5,025
IA4,825
KS4,821
UT4,637
NV4,374
NM3,967
AR3,807
ME3,161
NH3,096
NE2,918
MS2,859
ID2,785
WV2,469
HI2,459
PR2,417
MT2,414
RI2,076
DE1,868
AK1,830
VT1,734
DC1,715
ND1,388
SD1,269
WY866
GU118
VI69
AS47
MP29
MH8
XB6
FM4
QM3
XV2
XL1

ID: 1671879
Sex: F
Age: 62
State: IL

Vax Date: 08/26/2021
Onset Date: 08/28/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data: None at this time

Allergies: Sulfamethoxazole/tmp Peroxide Bandages

Symptom List: Dysphagia, Epiglottitis

Symptoms: ?Jansen Covid-19 Vaccine EUA? Hives are spreading throughout my body. It started on my right calf.

Other Meds: Levothyroxine 0.088mg

Current Illness: None

ID: 1671880
Sex: F
Age: 58
State: OR

Vax Date: 09/01/2021
Onset Date: 09/03/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data: N/A

Allergies: Paxil, sulfa, percodan, adhesive for medical dressings, avocados, sensitive to latex

Symptom List: Anxiety, Dyspnoea

Symptoms: Rash on arm near the objection site

Other Meds: Tamoxifen, oxybutynin, Claritin, gabapentin, losartan, venlafaxine, vitamin c, d e, calcium-magnesium-zinc, b-complex, biotin

Current Illness: None

ID: 1671881
Sex: F
Age: 64
State: IL

Vax Date: 08/07/2021
Onset Date: 08/10/2021
Rec V Date: 09/03/2021
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: Holter Monitor

Allergies: Sulfa drugs, gluten, milk, oxalate sensitivity

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

Symptoms: Palpitations and PVC's , lethargy, sleepiness,

Other Meds: Hydrocortisone, levothyroxine, Insulin, Potassium,

Current Illness: Addisons disease type one diabetes, Hashimoto's thyroiditis

ID: 1671882
Sex: F
Age: 47
State: AR

Vax Date: 08/20/2021
Onset Date: 08/22/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data:

Allergies: Penecillin, Stadol, Zithromax, Thermosol,

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Reaction started Sunday, August 22, 2021 morning. I woke up with Tachocardia,my heart rate was 125bpm. I went ahead a took my Diltazem and hour later I was up to 165bpm so I took my Propanolol and still could not get it to lower so I had to repeat DIltazem but only lowered to 130. This continued for the rest of the day. For the next three days it was still more elevated than normal anywhere from 120-150 bpm. During this time I also experienced intense burning all through my body like it was on fire. This lasted only on Sunday and Monday. I had severe body aches and headaches, fever, and diarrehea from Sunday thru Thursday. On Friday both my left and right arm elbow down from 12:00 pm to 6:00 p.m. I did contact my family doctor but she told me that these were normal symptoms after receiving the vaccine but no one else I spoke with that had received the vaccine had my reaction. I feel that this is not normal for me.

Other Meds: Levothyroxine, Vit D2, Diltiazem, Propranolol, Sprivia

Current Illness: none

ID: 1671883
Sex: F
Age: 36
State: FL

Vax Date: 08/31/2021
Onset Date: 08/31/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data: Na

Allergies: None

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: By 7pm the day I received the vaccine, I started to feel bad. I went to the bathroom and was bleeding. I would fill the toilet bowl with blood the entire night until the next morning. It was discharging vagina my and through urine. I had bad cramping each time I had to pee. The next day the blood went away but the cramping continued and is still severe on Friday 9/3. I have wondered if I have a UTI. It feels like I?m going into labor.

Other Meds: No prescriptions, just regular multivitamins

Current Illness: None

ID: 1671884
Sex: M
Age: 12
State:

Vax Date: 09/03/2021
Onset Date: 09/03/2021
Rec V Date: 09/03/2021
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: A few moments after the patient received his second dose of Pfizer vaccine, he collapsed onto the ground and hit his head on the right side. His mom immediately called for help. He was responsive shortly after while laying on the floor. I (pharmacist) brought him a bottle of water and he was able to sit up slowly to drink some water. He gradually felt better but appeared to be pale and veins on the sides of his head were apparent, more apparent than usual per his mom. The patient felt dizzy and lightheaded throughout. He rested on the ground for a few minutes and then we moved him to the open waiting room area by the pharmacy to sit down. After talking to the patient, he mentioned that he only had a snack to eat all day. The store called EMS on the mom's behalf, the fire rescue team and EMS arrived shortly. His blood pressure was low per the EMS's observation. They took him to the hospital for further analysis.

Other Meds:

Current Illness:

ID: 1671885
Sex: F
Age: 37
State: NE

Vax Date: 09/01/2021
Onset Date: 09/03/2021
Rec V Date: 09/04/2021
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: Sulfa, prednisone, penicillin

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Covid arm- 2x3 inch raised red painful bump. Swelling itching sore no rash anywhere else. Other side effects were fever & headache.

Other Meds: Zyrtec Synthroid

Current Illness: Mine

ID: 1671886
Sex: M
Age: 51
State: AZ

Vax Date: 08/27/2021
Onset Date: 09/02/2021
Rec V Date: 09/04/2021
Hospital:

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

Lab Data: None

Allergies: Penicillin

Symptom List: Pharyngeal swelling

Symptoms: Lymph nodes in left armpit are swollen and sore.

Other Meds: Metoprolol Lovastatin Amitriptyline

Current Illness: None

ID: 1671887
Sex: F
Age: 50
State: CA

Vax Date: 08/09/2021
Onset Date: 08/09/2021
Rec V Date: 09/04/2021
Hospital:

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

Lab Data: None

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Within minutes ,felt shooting sharp glass like tingling in fingers on right hand that was felt on and off for approximately 30 minutes. Also raised blood pressure . One month later , now swelling in right hand pointer and pinky fingers joints . And continued intermittent raised blood pressure levels.

Other Meds:

Current Illness:

ID: 1671888
Sex: F
Age: 40
State: IL

Vax Date: 02/06/2021
Onset Date: 06/25/2021
Rec V Date: 09/04/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: Ultrasound, bleeding 06/26/21. Conception 5/15/21

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Miscarriage

Other Meds: None

Current Illness: None

ID: 1671889
Sex: F
Age: 12
State: UT

Vax Date: 08/27/2021
Onset Date: 08/28/2021
Rec V Date: 09/04/2021
Hospital:

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

Lab Data: Seen in pediatric emergency room for intense diffuse left leg pain prior to eruption of rash. Ultrasound performed to rule out blood clot. Herpes Zoster infection diagnosed by pediatrician after eruption of rash.

Allergies: none

Symptom List: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Herpes Zoster infection. Prodromal symptoms began approximately 16 hours after administration of second dose of COVID19 vaccine. Rapid onset Saturday morning as diffuse left leg pain, aggravated by movement and weight-bearing, and managed with acetaminophen, ibuprofen, and rest. Pain progressively worsened over five days. On Day 5 an itching, burning vesicular rash appeared along left low back and wrapping around anteriorly and coursing down leg. Rash does not cross the midline and follows along the distribution of the L3/L4 dermatome. Diagnosed by pediatrician as Herpes Zoster and treatment with Valacyclovir was initiated. Pain is improving after first 2 days of treatment though rash is still progressing.

Other Meds: none

Current Illness: none

ID: 1671890
Sex: F
Age: 38
State: MS

Vax Date: 07/31/2021
Onset Date: 08/02/2021
Rec V Date: 09/04/2021
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: Shellfish

Symptom List: Rash, Urticaria

Symptoms: Stomach cramps, diarrhea, muscle pain, fatigue

Other Meds:

Current Illness:

ID: 1671891
Sex: F
Age: 54
State: NY

Vax Date: 09/01/2021
Onset Date: 09/02/2021
Rec V Date: 09/04/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Swollen & red injection site, 3/4 inch high x 3 in round; Pain and Itching.

Other Meds: Synthroid, Celexa, Lisinopril, Vitamin D, Biotin, Vitamin B12, Multivitamin, Zyrtex

Current Illness: None

ID: 1671892
Sex: M
Age: 59
State: WA

Vax Date: 09/01/2021
Onset Date: 09/02/2021
Rec V Date: 09/04/2021
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: None

Symptom List: Dyspnoea, Fatigue, Feeling abnormal, Head discomfort, Headache

Symptoms: Severe lower back muscle spasms. Ibuprofen (1000 mg: 12 hours) along with rest & stretching exercises provide slight and brief temporary lessoning painful spasms.

Other Meds: Multivitamin

Current Illness: None

ID: 1671893
Sex: M
Age: 33
State:

Vax Date: 07/23/2021
Onset Date: 07/27/2021
Rec V Date: 09/04/2021
Hospital:

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

Lab Data: Tilt table test Cardiologist visits Neurologist visits

Allergies:

Symptom List: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: POTS syndrome

Other Meds:

Current Illness:

ID: 1671894
Sex: M
Age: 30
State: ME

Vax Date: 09/01/2021
Onset Date: 09/02/2021
Rec V Date: 09/04/2021
Hospital:

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

Lab Data: Had an EKG and XRAY on 9/3/21 for the chest pain.

Allergies: Possible issues with MMR vaccination. But there is no common ingredient i am aware of between the shots..

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Had no issues until i went to bed. Early morning on 9/2.. I was shivering so intensely that my muscles hurt despite a 72 degree temperature in he house. This was my first time noticing the chest pain.. Woke up the next morning after sleeping an astonishing amount. In excess of 10 hours feeling like I had ran a marathon. At which point I noticed my feet were covered in a measles like rash of red dots.. Missed work.. The red dots were still there the next day.. Took bendryl to try and control the itching. Began having severe chain pain following a dizzy spell taking care of hospital linen.. . Was seen in the ED. They released me after a chest xray. Will follow up with my doctor when the weekend is over..

Other Meds: Was taking bendryl to control the itch of the red dots on my feet.

Current Illness: none

ID: 1671895
Sex: F
Age: 28
State: CA

Vax Date: 08/15/2021
Onset Date: 08/18/2021
Rec V Date: 09/04/2021
Hospital:

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data: None yet. Waiting to see a doctor.

Allergies: Food sensitivity

Symptom List: SARS-CoV-2 antibody test, SARS-CoV-2 test negative

Symptoms: Extreme diarrhea 3-5 times (pure liquid) a day since a few days after vaccine, constant rumbling and cramping and the feeling of extreme heat in my stomach. Gas with uncontrollable diarrhea. I?ve began taking fiber supplements, probiotics, prebiotic, vitamin c, d3, and zinc, diarrhea is still occurring to this day 9/3 . Intensity and frequency has subsided but mentioned is still correcting at least 2 time a day

Other Meds: None

Current Illness: None

ID: 1671896
Sex: M
Age: 28
State: CA

Vax Date: 09/01/2021
Onset Date: 09/02/2021
Rec V Date: 09/04/2021
Hospital:

Vax Type: HIBV
Manufacturer: MERCK & CO. INC.
Vax Name: HIB (PEDVAXHIB)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data: UNKNOWN

Allergies: NONE

Symptom List: Ear pain, Hypoaesthesia

Symptoms: PATIENT REPORTED "BAD HEADACHE" AND FEVER OF 100.3F THE DAY FOLLOW ADMINISTRATION OF MODERNA COVID VACCINE. HE CLAIMS TO HAVE SOUGHT MEDICATION ATTENTION FROM HOSPITAL AND WAS TREATED WITH TYLENOL AND MOTRIN AND RELEASED THE SAME DAY.

Other Meds: NONE KNOWN

Current Illness: PATIENT REPORT "BAD HEADACHE", AND FEVER OF 100.3F

ID: 1671897
Sex: F
Age: 28
State: CA

Vax Date: 08/24/2021
Onset Date: 08/24/2021
Rec V Date: 09/04/2021
Hospital:

Vax Type: PNC13
Manufacturer: PFIZER\WYETH
Vax Name: PNEUMO (PREVNAR13)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: Ceclor, phenergan, tamiflu

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Swelling of throat on left side, difficulty breathing/swallowing, heart rate more than doubled, ulceration of left tonsil, tingling in hand. Began management with antihistamines and NSAIDs ? symptoms persisted for ~36 hours.

Other Meds: Loryna (birth control)

Current Illness: None

ID: 1671898
Sex: M
Age: 54
State: CO

Vax Date: 02/19/2021
Onset Date: 04/22/2021
Rec V Date: 09/04/2021
Hospital: Y

Vax Type: RV1
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: ROTAVIRUS (ROTARIX)
Lot:
Dose Series: 1
Vax Route: PO
Vax Site: MO

Lab Data: Hospital / doctor has these

Allergies: Only allergy is Keflex

Symptom List: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: Blood clots in lungs. May / probably formed in limbs and went unnoticed until severe pain in lower left bottom back. Also DVT in left leg.

Other Meds: None

Current Illness: None

ID: 1671899
Sex: F
Age: 46
State: IL

Vax Date: 09/01/2021
Onset Date: 09/03/2021
Rec V Date: 09/04/2021
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: Large red lump. Swollen, hot to touch. Rash. Increasing in size. Nurse called it covid arm. Take antihistamines and ice pack

Other Meds:

Current Illness:

ID: 1671900
Sex: F
Age:
State: KY

Vax Date:
Onset Date:
Rec V Date: 09/04/2021
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: Immediately after I felt sore tired as the days passed I felt like I?d been in a car wreck I?m so sore feels like my muscles are being twisted I hurt all the time I?m keeping headaches I can?t even go to work for so my pain I?ve missed over 2 weeks straight now.

Other Meds: None

Current Illness:

ID: 1671901
Sex: F
Age: 37
State: AL

Vax Date: 09/03/2021
Onset Date: 09/04/2021
Rec V Date: 09/04/2021
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: Palpitations, headache, shaky vision in both eyes

Other Meds: Effexor 150mg ER 1 PO at night

Current Illness: Covid-delta

ID: 1671902
Sex: F
Age: 46
State: KS

Vax Date: 08/12/2021
Onset Date: 08/12/2021
Rec V Date: 09/04/2021
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: Penecillin

Symptom List: Injection site pain, Pain

Symptoms: Fever hit 103, I had intermittent nausea, a migraine so bad it made my teeth hurt??.but by far my worst side effect was that every bone in my body felt like it was about to break or broken. My skeletal system hurt so bad, no matter if I was laying in bed?.I got no sleep, if I stood up, my hips and knees felt like they?d been in a car accident. I could not find a bearable position to be in for almost 20 hours. I wanted to die.

Other Meds: Pristiq, lorazepam, Adderrall, gabapentin

Current Illness: None

ID: 1671903
Sex: M
Age: 18
State: WA

Vax Date: 08/31/2021
Onset Date: 08/31/2021
Rec V Date: 09/04/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient received 2nd dose of Pfizer-BioNTech COVID-19 vaccine on 8/31/2021; and called pharmacy on 9/3/2021 to report symptoms of migraine/headache and diarrhea that began shortly after vaccination. Symptoms have not completely resolved.

Other Meds:

Current Illness:

ID: 1671904
Sex: M
Age: 43
State: CA

Vax Date: 04/14/2021
Onset Date: 05/01/2021
Rec V Date: 09/04/2021
Hospital:

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

Lab Data: x rays Vein study Ultrasound Steroids pills and injectios Change in medication ea drop only seizure medicaion that can cause possible swelling (Depikote) change to Dialiant tons of blood work iron pills fish oil

Allergies: none

Symptom List: Arthralgia, Chills, Headache, Mobility decreased, Myalgia

Symptoms: swollen hands to the point i can not sqeeze even pliers no hand strenghth been to PT been to Hand specialist (ortho) twice had steroid twice to try to reduce inflammation once pill form second injection at digits had vein study /ultra sound tried ex rays mri next no hand swelling no arm swelling no weight gain only fingers tripled in size both hands had wedding ring resized from 11 to 11.5/12/12.5/13/13.5/14 Extremely painful if bumped No one can figure it out other than possibly Moderno shot????? i will not be getting shot number 3

Other Meds: topamax depikote limictal

Current Illness: none

ID: 1671905
Sex: F
Age: 44
State: TX

Vax Date: 09/02/2021
Onset Date: 09/03/2021
Rec V Date: 09/04/2021
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: None known

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: 09/03/21; extremely sore arm; limited rom due to pain; extreme fatigue and weakness; extreme body aches and joint pain; 99.8F temp; chills. This vaccine was mandated after testing positive for high antibodies on 8/23/21 after previous Covid infection in July 2020. I fear second dose will be even worse.

Other Meds: None

Current Illness: None known

ID: 1671907
Sex: M
Age: 50
State:

Vax Date: 08/16/2021
Onset Date: 08/17/2021
Rec V Date: 09/04/2021
Hospital: Y

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

Lab Data: Chest, shoulder, hand x-rays. Blood tests, COVID-19 tests. No idea of results.

Allergies: Nil

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Injection ASTRAZENECA received Monday 16th August 4:30pm. Tuesday afternoon 17th August (24hrs post-vaccination): headache, malaise, pain at the injection site, injection site warm to touch Wednesday afternoon 18th August (48hrs post-vaccination): malaise, tiredness, muscular and joint pain, rash, pain at the injection site, fever, night sweats, loss of appetite Thursday afternoon 19th August (72hrs post-vaccination): malaise, extreme muscular and joint pain, swelling of extremities (hands/feet/wrists/ankles), unable to lift both arms, extreme pain in hip, pain at injection site, fever, night sweats, loss of appetite - these symptoms continued until escalation of pain approximately 11:30pm Saturday night. Saturday 21st August 11pm: Patient screaming in pain. Extreme pain in all joints and muscles. Rash present on lower legs, inside thighs, abdomen (front and back), upper arms, underarms. Patient still unable to lift arms. Called health advice line. Transferred to ambulance line. Ambulance transported patient to hospital just before 1am Sunday morning. Hospital advised extreme allergic reaction to ASTRAZENECA vaccination. Held for observation until just after 7am Sunday morning. Discharged and advised to rest for a week and to make appointment with immunology clinic to assess if should receive another vaccine. Slight improvement of condition Wednesday 01st September - able to lift left arm but still unable to lift right arm. Thursday 02nd September patient relapse with re-emergence of all symptoms previously indicated - cannot lift either arm, cannot close hands, swelling of extremities. Friday 03rd September 8am: Patient started screaming in pain shortly after waking up. Extreme joint and muscle pain. Admitted to hospital. Receiving Endone (unknown dosage) and prednisone(?). Some subsidence of pain and swelling symptoms at 3:30pm Saturday 04th September.

Other Meds: Nil

Current Illness: Psoriasis

ID: 1671908
Sex: F
Age: 75
State: TX

Vax Date: 02/22/2021
Onset Date: 07/14/2021
Rec V Date: 09/04/2021
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: August 16th breast biopsy identified triple negative cancer in right breast, and benign mass in right axillary lymph node. I am reporting this for full disclosure, but I am not claiming vaccine was the cause.

Allergies: Penicillin, Demerol, Codeine

Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Mammogram showed masses in right breast and in axillary lymph node. Referred for ultrasound and biopsy.

Other Meds: Levothyroxine, Vitamins: C, D, E, Niacin, calcium

Current Illness: None

ID: 1671909
Sex: M
Age: 62
State: CA

Vax Date: 08/20/2021
Onset Date: 08/21/2021
Rec V Date: 09/04/2021
Hospital:

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

Lab Data: none

Allergies: Radiocontrast, onions, garlic, leeks, MSG, lactose

Symptom List: Nausea

Symptoms: subsequently had rash, fever, polyuria, vocal hoarseness beginning day after Shingrix

Other Meds: carvedilol (COREG) 6.25mg Tab clindamycin (CLEOCIN-T) 1% Topical Soln metroNIDAZOLE (METROLOTION) 0.75% Lotion pimecrolimus (ELIDEL) 1 % Cream Sulfacetamide Sodium-Sulfur 10-5 % topical emulsion celecoxib (CELEBREX) 200mg Cap Eyelid Cleanse

Current Illness: none

ID: 1671910
Sex: F
Age: 40
State: TX

Vax Date: 08/31/2021
Onset Date: 09/03/2021
Rec V Date: 09/04/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: Pain in front of left leg, to the right of shin area. No treatment. Jaw pain when making side to side movement

Other Meds: Advil pm taken night before

Current Illness: None

ID: 1671911
Sex: M
Age: 44
State: WI

Vax Date: 08/16/2021
Onset Date: 08/17/2021
Rec V Date: 09/04/2021
Hospital:

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

Lab Data: Blood work to rule out pericarditis (chest pain). Blood pressure checked. Pulse/O2 levels with fingertip scanner.

Allergies: possible shellfish possible buspar

Symptom List: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Short-lived sharp chest pain across lung area, entire width of chest 12 hours after injection. Panic attack at 7 days with chest pains that varied in location and sensation. Insomnia began at about 10 days. Shortness of breath for hours at a time began around 12 days with Insomnia. Heavy anxiety since the 7 day mark, just don't feel normal, never felt this way in my life.

Other Meds: none

Current Illness: none

ID: 1672094
Sex: F
Age: 62
State: FL

Vax Date: 08/19/2021
Onset Date: 08/19/2021
Rec V Date: 09/04/2021
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: Large swollen area where recd injection red hard and hot to touch went from two inches to 4 inches; Large swollen area where recd injection red hard and hot to touch went from two inches to 4 inches; Large swollen area where recd injection red hard and hot to touch went from two inches to 4 inches; Large swollen area where recd injection red hard and hot to touch went from two inches to 4 inches; This spontaneous case was reported by a consumer and describes the occurrence of INJECTION SITE WARMTH (Large swollen area where recd injection red hard and hot to touch went from two inches to 4 inches), INJECTION SITE SWELLING (Large swollen area where recd injection red hard and hot to touch went from two inches to 4 inches), INJECTION SITE ERYTHEMA (Large swollen area where recd injection red hard and hot to touch went from two inches to 4 inches) and INJECTION SITE INDURATION (Large swollen area where recd injection red hard and hot to touch went from two inches to 4 inches) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 061e2a) for COVID-19 vaccination. Concurrent medical conditions included Drug allergy (Aleve), Allergy to topical drugs (Estrogen cream) and Drug allergy (Birth control pills). On 19-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form once. On 19-Aug-2021, the patient experienced INJECTION SITE WARMTH (Large swollen area where recd injection red hard and hot to touch went from two inches to 4 inches), INJECTION SITE SWELLING (Large swollen area where recd injection red hard and hot to touch went from two inches to 4 inches), INJECTION SITE ERYTHEMA (Large swollen area where recd injection red hard and hot to touch went from two inches to 4 inches) and INJECTION SITE INDURATION (Large swollen area where recd injection red hard and hot to touch went from two inches to 4 inches). At the time of the report, INJECTION SITE WARMTH (Large swollen area where recd injection red hard and hot to touch went from two inches to 4 inches), INJECTION SITE SWELLING (Large swollen area where recd injection red hard and hot to touch went from two inches to 4 inches), INJECTION SITE ERYTHEMA (Large swollen area where recd injection red hard and hot to touch went from two inches to 4 inches) and INJECTION SITE INDURATION (Large swollen area where recd injection red hard and hot to touch went from two inches to 4 inches) was resolving. Relevant concomitant medications were not reported. The treatment information was not provided.

Other Meds:

Current Illness: Allergy to topical drugs (Estrogen cream); Drug allergy (Birth control pills); Drug allergy (Aleve)

ID: 1672283
Sex: F
Age: 46
State: IL

Vax Date: 04/12/2021
Onset Date: 04/14/2021
Rec V Date: 09/04/2021
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: Amoxicillin

Symptom List: Tremor

Symptoms: Diarrhea for 2 weeks vomiting headaches rash extreme fatigue complete brainfog and forgetfulness lack of coordination and blurry vision and chest pains tightness with shortness of breath not to mention menstrual irregularities and heated feelings thru body with excruciating back and body pain

Other Meds: Metaprolol 100mg

Current Illness:

ID: 1672284
Sex: M
Age: 43
State: MS

Vax Date: 08/13/2021
Onset Date: 08/13/2021
Rec V Date: 09/04/2021
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: None known

Symptom List: Erythema, Pruritus

Symptoms: Intermittent Chest pain with Profuse sweating for 8-12 hour periods, extreme tremors/convulsing during sleep (without fever) from 8/13/21-8/18/21, nausea and dizziness.

Other Meds: Entresto 49/51mg twice daily Carvedilol 12.5mg twice daily Zyrtec 10mg daily Pravastatin 40mg daily Spirinolactone 25mg daily Aspirin 81mg daily

Current Illness: None

ID: 1672285
Sex: F
Age: 28
State: CA

Vax Date: 09/02/2021
Onset Date: 09/03/2021
Rec V Date: 09/04/2021
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: Abnormal EKG results. EKG shows bundle branch block.

Allergies: N/A

Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: Sudden onset of chest pain. Positive vomiting. Duration of 3 hours prior to arrival of emergency department. Nausea, vomiting, fatigue, day prior.

Other Meds: N/A

Current Illness: N/A

ID: 1672286
Sex: U
Age:
State: IL

Vax Date:
Onset Date:
Rec V Date: 09/04/2021
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: patient to received Gardasil vaccine and the patient was given Trumenba instead; patient to received Gardasil vaccine and the patient was given Trumenba instead; This spontaneous report was received from a physician via other company, referring to a unspecified patient of unknown age and gender. The patient's pertinent medical history, concurrent conditions and concomitant medications were not provided. On an unknown date, the patient was vaccinated with a dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast)(GARDASIL 9) (dose, frequency, route of administration, lot # and expiration date were not reported) for prophylaxis. It was reported that on an unspecified date the physician ordered the patient to received hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast)(GARDASIL 9) vaccine and the patient was given two doses of meningococcal vaccine b rfhbpa/fhbpb (TRUMENBA) (0.5 ml) instead (wrong product administered and interchange of vaccine products).

Other Meds:

Current Illness:

ID: 1672289
Sex: U
Age:
State: MI

Vax Date: 08/04/2021
Onset Date: 08/04/2021
Rec V Date: 09/04/2021
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: No additional AE reported; a dose of GARDASIL 9 that experienced a temperature excursion was administered to a patient; This spontaneous report was received from a medical assistant and refers to a patient of unknown age and gender. No information regarding the patient's pertinent medical history, drug reactions or allergies and concomitant therapies was provided. On 04-AUG-2021, the patient was vaccinated with an improperly stored dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) injection in prefilled syringe, lot # T029522, expiration date reported as 13-MAR-2022, but upon internal verification it was established as 13-MAR-2023, 0.5 milliliter (injection site and route of administration were not provided) for prophylaxis. The administered dose experienced a temperature excursion of -4.8 degrees Celsius for 20 minutes. No previous temperature excursion had occurred. No additional adverse event was reported. This is one of several reports received from the same reporter. combinationproductreport: Yes; brandname: GARDASIL 9 SYRINGE (DEVICE); commondevicename: HPV rL1 6 11 16 18 31 33 45 52 58 VLP vaccine (yeast); productcode: FMF; devicetype: SYRINGE, PISTON (FMF); manufacturername: Merck Sharp & Dohme Corp.; devicelotnumber: T029522; expirationdate: 13-MAR-2023; deviceage and unit: 0 ; malfunction: Unknown; deviceusage: Initial; reasonfornoneval: 81 Other; labeledsingleusedevice: No; mdcpreportability: No; mdcpreprationale: Case information does not meet criteria for reportability; Sender's Comments: US-009507513-2108USA003020: US-009507513-2108USA003314: US-009507513-2108USA003135: US-009507513-2108USA003288: US-009507513-2108USA003100: US-009507513-2108USA003123:

Other Meds: GARDASIL 9 SYRINGE (DEVICE)

Current Illness:

ID: 1672294
Sex: U
Age:
State: MS

Vax Date:
Onset Date:
Rec V Date: 09/04/2021
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: postherpetic neuralgia; multiple outbreaks of herpes zoster; This spontaneous report has been received from a lawyer, regarding a case in litigation and refers to a patient of unknown age and gender. The patient's concurrent conditions, medical history and concomitant medications were not provided. On an unknown date, the patient was inoculated with zoster vaccine live (ZOSTAVAX) (dose, route of administration, anatomical location, lot # and expiry date were not provided) for routine health maintenance and for the prevention of shingles (herpes zoster). On an unknown date, after receiving zoster vaccine live (ZOSTAVAX), the patient suffered multiple outbreaks of herpes zoster and postherpetic neuralgia. As a result of these symptoms, the patient was seen and treated by medical providers and was still under their care. As a direct and proximate result of zoster vaccine live (ZOSTAVAX) vaccine, the patient's symptoms resulted in physical limitations not present prior to using the vaccine. The patient also experienced mental and emotional distress due to resulting physical limitations and seriousness of the patient's condition. As a result of the manufacture, marketing, advertising, promotion, distribution and/or sale of zoster vaccine live (ZOSTAVAX), the patient sustained severe and permanent personal injuries. Further, as a tragic consequence, the patient 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, the patient suffered and incurred damages, including medical expenses; the loss of accumulations; and other economic and non-economic damages. The outcome of the events was considered to be not recovered. The reporter determined the events to be related to zoster vaccine live (ZOSTAVAX). The events of multiple outbreaks of herpes zoster and postherpetic neuralgia were considered to be disabling.

Other Meds:

Current Illness: Routine health maintenance

ID: 1672295
Sex: F
Age:
State: CA

Vax Date: 08/01/2013
Onset Date:
Rec V Date: 09/04/2021
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: hearing loss; This spontaneous report has been received from a lawyer, regarding a case in litigation and refers to a female patient of unknown age. Her concurrent conditions, medical history and concomitant medications were not provided. In or around August 2013, the patient was inoculated with zoster vaccine live (ZOSTAVAX) (dose, route of administration, anatomical location, lot # and expiry date were not provided) for routine health maintenance and for the prevention of shingles (herpes zoster). On an unknown date, shortly after receiving zoster vaccine live (ZOSTAVAX), the patient suffered hearing loss. As a direct and proximate result of zoster vaccine live (ZOSTAVAX) vaccine, the patient's symptoms resulted in physical limitations not present prior to using the vaccine. She also experienced 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), she sustained severe and permanent personal injuries. Further, as a tragic consequence, the patient 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, the patient suffered and incurred damages, including medical expenses; the loss of accumulations; and other economic and non-economic damages. The outcome of the event was not recovered. The reporter considered the event to be related to zoster vaccine live (ZOSTAVAX). Upon internal review, the event of hearing loss was considered to be medically significant. The event of hearing loss was determined to be disabling.

Other Meds:

Current Illness: Routine health maintenance

ID: 1672302
Sex: F
Age:
State: NY

Vax Date: 07/31/2021
Onset Date: 07/31/2021
Rec V Date: 09/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: pain / shoulder to elbow, left arm/Injection site shoulder pain; Pain at injection site, radiating from shoulder to elbow; arm is still slightly swollen; This case was reported by a consumer via call center representative and described the occurrence of injection site joint pain in a adult female patient who received Herpes zoster (Shingrix) for prophylaxis. The patient's past medical history included shingles. Previously administered products included Shingrix with an associated reaction of injection site pain (1st dose received on 19th March 2021, for tolerance refer case US2021182206). On 31st July 2021, the patient received the 2nd dose of Shingrix (intramuscular). On 31st July 2021, 5 hrs after receiving Shingrix, the patient experienced injection site joint pain, pain in elbow and swelling arm. On an unknown date, the outcome of the injection site joint pain, pain in elbow and swelling arm were not recovered/not resolved. It was unknown if the reporter considered the injection site joint pain, pain in elbow and swelling arm to be related to Shingrix. Additional details were provided as follows: The case was reported by the patient herself. The age at vaccination was not reported. The patient received the 2nd dose of Shingrix in left arm and patient experienced pain which was from shoulder to elbow in left arm. The patient also had slightly swelling on arm. The reporter stated that, she was still having pain since then and also still slightly swollen. The reporter referred her to HCP (Health care professional). The reporter consented to follow up. This case was linked with US2021182206 reported by the same reporter.; Sender's Comments: US-GLAXOSMITHKLINE-US2021182206:Same reporter

Other Meds:

Current Illness:

ID: 1672307
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/04/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: I got mine from a vaccine!/suspected vaccination failure; I got mine; sick; This case was reported by a consumer via interactive digital media and described the occurrence of suspected vaccination failure in a patient who received Herpes zoster (Shingles vaccine) for prophylaxis. On an unknown date, the patient received Shingles vaccine. On an unknown date, unknown after receiving Shingles vaccine, the patient experienced vaccination failure (serious criteria GSK medically significant), shingles and sickness. On an unknown date, the outcome of the vaccination failure was unknown and the outcome of the shingles and sickness were not recovered/not resolved. The reporter considered the vaccination failure, shingles and sickness to be related to Shingles vaccine. Additional details were reported as follows: The case was reported by the patient. The age at vaccination was not reported. The patient got the shingles from a vaccine and still had shingles 6 months later and he/she was sick of being sick. This case was considered as suspected vaccination failure as details regarding completion of primary vaccination schedule, time to onset and laboratory confirmation of shingles were unknown at the time of reporting.

Other Meds:

Current Illness:

ID: 1672308
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/04/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Suspected vaccination failure; Got shingles; High level of stress; This case was reported by a consumer via interactive digital media and described the occurrence of suspected vaccination failure in a patient who received Herpes zoster (Shingles vaccine) for prophylaxis. Co-suspect products included Herpes zoster (Shingles vaccine) for prophylaxis. The patient's past medical history included stress (4 years ago the patient had stressful situation ), difficulty in standing (the patient couldn't stand to wear pants for 6 weeks) and pain. Previously administered products included Shingles vaccine with an associated reaction of herpes zoster (received single dose of shingles vaccine 8 years ago and experienced shingles). On an unknown date, the patient received the 1st dose of Shingles vaccine and the 2nd dose of Shingles vaccine. On an unknown date, unknown after receiving Shingles vaccine and Shingles vaccine, the patient experienced vaccination failure (serious criteria GSK medically significant), shingles and stress. On an unknown date, the outcome of the vaccination failure, shingles and stress were unknown. It was unknown if the reporter considered the vaccination failure, shingles and stress to be related to Shingles vaccine and Shingles vaccine. Additional details were provided as follows: The case was reported by patient. The age at vaccination was not reported. The patient stated that 8 years ago the patient had the single vaccine. 4 years ago after a stressful situation the patient came down with shingles around waist and on upper hips. The patient could not stand to wear pants for 6 weeks and could barely stand loose underwear. When the patient recovered the doctor gave a prescription for the 2 shots about 2 months apart. The one shot vaccine was not as effective. The patient got shingles 3 years after taking shingles vaccine. They were so painful. The patient had received two shingles shots and still experienced shingles. The physician said high level of stress caused flare up. This case was considered as suspected vaccination failure since the details regarding time to onset and laboratory confirmation of shingles were not provided.

Other Meds:

Current Illness:

ID: 1672309
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/04/2021
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: Got shingles after having the shot/Suspected vaccination failure; Got shingles; This case was reported by a consumer via interactive digital media and described the occurrence of suspected vaccination failure in a patient who received Herpes zoster (Shingles vaccine) for prophylaxis. Co-suspect products included Herpes zoster (Shingles vaccine) for prophylaxis. On an unknown date, the patient received the 2nd dose of Shingles vaccine and the 1st dose of Shingles vaccine. On an unknown date, unknown after receiving Shingles vaccine and Shingles vaccine, the patient experienced vaccination failure (serious criteria GSK medically significant) and shingles. On an unknown date, the outcome of the vaccination failure and shingles were unknown. It was unknown if the reporter considered the vaccination failure and shingles to be related to Shingles vaccine and Shingles vaccine. Additional details were reported as follows: The case was reported by the patient. The age at vaccination was not reported. As per the patient vaccine did not work for everyone. The patient got shingles after had the 2 Shingles shots and hoped better results. This case was considered as suspected vaccination failure as details regarding time to onset and laboratory confirmation of shingles were unknown at the time of reporting. This case has been linked with the case US2021AMR186902, reported by the same reporter.

Other Meds:

Current Illness:

ID: 1672310
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/04/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: had the shots, still got shingles\ suspected vaccination failure; shingles; This case was reported by a consumer via interactive digital media and described the occurrence of suspected vaccination failure in a patient who received Herpes zoster (Shingles vaccine) for prophylaxis. Co-suspect products included Herpes zoster (Shingles vaccine) for prophylaxis. On an unknown date, the patient received the 2nd dose of Shingles vaccine and the 1st dose of Shingles vaccine. On an unknown date, unknown after receiving Shingles vaccine and Shingles vaccine, the patient experienced vaccination failure (serious criteria GSK medically significant) and shingles. On an unknown date, the outcome of the vaccination failure and shingles were unknown. It was unknown if the reporter considered the vaccination failure and shingles to be related to Shingles vaccine and Shingles vaccine. Additional details were provided as follows: This case was reported by patient himself/herself. The age at vaccination was not reported. The patient stated he/she had Shingles shots and still got the shingles, but they were not severe. The patient stated, if he/she did not get the Shingles shot, they would have been worse. The follow-up would not possible as no contact details were available. This case was considered as suspected vaccination failure as details regarding time to onset and laboratory test confirming herpes zoster were unknown at the time of reporting.

Other Meds:

Current Illness:

ID: 1672311
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/04/2021
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: New and approved vaccine, then got a real bad case/Suspected vaccination failure; got a real bad case that caused her to lose some vision in one eye; Lose some vision in one eye; This case was reported by a consumer via media and described the occurrence of suspected vaccination failure in a female patient who received Herpes zoster (Shingles vaccine) for prophylaxis. Previously administered products included Shingles vaccine with an associated reaction of herpes zoster (received first vaccine on an unknown date and then experienced a mild case of shingles). On an unknown date, the patient received Shingles vaccine. On an unknown date, unknown after receiving Shingles vaccine, the patient experienced vaccination failure (serious criteria GSK medically significant), ophthalmic herpes zoster (serious criteria GSK medically significant) and vision decreased. On an unknown date, the outcome of the vaccination failure, ophthalmic herpes zoster and vision decreased were unknown. It was unknown if the reporter considered the vaccination failure, ophthalmic herpes zoster and vision decreased to be related to Shingles vaccine. Additional details were reported as follows: The patient was the reporter's mother. The age at vaccination was not reported. The physician told the patient hat she needed the new and approved shignles vaccine. The patient then got a real bad case that caused her to lose some vision in one eye. This case was considered as suspected vaccination failure as details regarding completion of primary vaccination schedule, time to onset and laboratory confirmation were unknown at the time of reporting. No contact details were available.

Other Meds:

Current Illness:

ID: 1672312
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/04/2021
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: suspected vaccination failure; shingles in his eye; eye pain; This case was reported by a consumer via media and described the occurrence of suspected vaccination failure in a male patient who received Herpes zoster (Shingles vaccine) for prophylaxis. On an unknown date, the patient received Shingles vaccine. On an unknown date, unknown after receiving Shingles vaccine, the patient experienced vaccination failure (serious criteria GSK medically significant), ophthalmic herpes zoster (serious criteria GSK medically significant) and eye pain. On an unknown date, the outcome of the vaccination failure was unknown and the outcome of the ophthalmic herpes zoster and eye pain were not recovered/not resolved. It was unknown if the reporter considered the vaccination failure, ophthalmic herpes zoster and eye pain to be related to Shingles vaccine. Additional details were provided as follows The case was reported for the reporter's brother. The age at vaccination was not reported. After receiving Shingles vaccine, the patient got shingles in his eye in terrible pain. This case was considered as suspected vaccination failure, since the details regarding the completion of the primary immunization, time to onset for event and laboratory confirmation of shingles were not provided.

Other Meds:

Current Illness:

ID: 1672313
Sex: U
Age:
State: PA

Vax Date:
Onset Date:
Rec V Date: 09/04/2021
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: Not getting 2nd dose, not uncommon due to COVID pandemic; This case was reported by a pharmacist via call center representative and described the occurrence of social problem in an unspecified number of patients who received Herpes zoster (Shingrix) for prophylaxis. Previously administered products included Shingrix (1st dose received 2 years ago on an unknown date). On an unknown date, the patient received the 2nd dose of Shingrix. On an unknown date, unknown after receiving Shingrix, the patient experienced social problem. On an unknown date, the outcome of the social problem was unknown. Additional details were provided as follows: The age at vaccination was not applicable to this report. The pharmacist reported that, the patient never came back for second dose. The pharmacist had no further details regarding patient or product, She stated that, this was not uncommon due to COVID pandemic, which led to social problem. The reporter consented to follow up. This case had been link with US2021183424, reported by the same reporter.; Sender's Comments: US-GLAXOSMITHKLINE-US2021183424:Same reporter.

Other Meds:

Current Illness:

ID: 1672314
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/04/2021
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: did not get the 2nd dose within 6 months; This case was reported by a consumer via interactive digital media and described the occurrence of incomplete course of vaccination in a patient who received Herpes zoster (Shingrix) for prophylaxis. Previously administered products included Shingrix (1st dose received on an unknown date). 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 case was reported by the consumer for herself/himself. The age at vaccination was not applicable to this report. Till the time of reporting, the patient did not receive the 2nd dose of Shingrix, which led to incomplete course of vaccination.

Other Meds:

Current Illness:

ID: 1672315
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/04/2021
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: suspected vaccination failure; shingles; This case was reported by a consumer via interactive digital media and described the occurrence of suspected vaccination failure in a patient who received Herpes zoster (Shingles vaccine) for prophylaxis. On an unknown date, the patient received Shingles vaccine. On an unknown date, unknown after receiving Shingles vaccine, the patient experienced vaccination failure (serious criteria GSK medically significant) and shingles. On an unknown date, the outcome of the vaccination failure and shingles were unknown. It was unknown if the reporter considered the vaccination failure and shingles to be related to Shingles vaccine. Additional details were provided as follows: The patient had reported for him/herself. The age at vaccination was not reported. After receiving Shingles vaccine, the patient got shingles. This case was considered as suspected vaccination failure, since the details regarding the completion of the primary immunization, time to onset for event and laboratory confirmation of shingles were not provided.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am