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: 0978850
Sex: F
Age:
State: IL

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: Test Date: 20210111; Test Name: Temperature elevation; Result Unstructured Data: Test Result:100 Fahrenheit

Allergies:

Symptoms: headache; fever; L Arm (injection site) pain/severe left arm pain; dizziness; blurred double vision and couldn't function; eyes wouldn't focus, Couldn't function; blurred double vision and couldn't function; eyes wouldn't focus, Couldn't function; This is a spontaneous report from a contactable nurse (patient). A 56-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; batch/lot number and expiration date unknown), via an unspecified route of administration on 11Jan2021 15:00 at a single dose in the left arm for COVID-19 immunization. The patient received the vaccine in a skilled nursing facility or long term care facility. The patient received no other vaccinations recently. Medical history included attention deficit disorder diagnosed at least 5 years ago for which the patient was taking Ritalin; hypothyroidism diagnosed a long time ago, probably 10 years and depression diagnosed a long time ago, probably at least 25 year, she takes a cocktail of anti-depressants for this (no further details provided about her anti-depressants). The patient also had a similar reaction of blurred double vision and couldn't function/eyes could not focus before when her doctor put her on an antibiotic (unspecified). The patient was also very overweight. Concomitant medications included methylphenidate hydrochloride (RITALIN; lot: unknown, expiry: 28Jul2021) for attention deficit disorder and the patient takes a cocktail of anti-depressants (unspecified) for her depression. The patient received the first dose of the covid vaccine on 11Jan2021 at 3 PM and by 5PM she was experiencing bad headache, fever, L arm (injection site) pain that was severe. Later that evening she had blurred double vision and couldn't function. She also got a fever of about 100 degrees Fahrenheit, was dizzy and her eyes could not focus and were almost like double vision but not quite, it was hard to explain. She just remembered that she had a similar reaction with her eyes before, when her doctor put her on an antibiotic. She cannot recall what antibiotic that was. The patient also experienced dizziness on 11Jan2021. The patient treated her side effects with ibuprofen and most of these improved. The injection was given in her left arm, her non-dominate one. She says that the pain was so bad it woke her up, and she doesn't take any pain meds, but that was really bad. She says that she took some Ibuprofen (lot: P113671, exp: Jan2022), about a total of 800mg over a few hours. Her fever had started pretty fast, by 05:00PM on the 11th, and it was better after taking the Ibuprofen, as was her arm pain, and headache. She says that the dizziness went away probably around 02:00AM the following day (12Jan2021). She says her eyes can focus again as well. The patient thinks that these effects are medically significant, mostly that her eyes were not able to focus, it was very scary. The patient stated that the purpose of this call is to have this documented, and possibly find out if there are recommendations that she should not get the second dose, since she had to call out of work because she couldn't function. The outcome of the event "blurred double vision and couldn't function; eyes wouldn't focus, couldn't function" was recovered on an unspecified date and dizziness recovered on 12Jan2021 at 02:00. The outcome of the event "she had to call out of work because she couldn't function" was unknown while the other events were recovering. Information on the lot/batch number has been requested.; Sender's Comments: The 56-year-old female patient had medical history included attention deficit disorder; hypothyroidism and depression and she takes a cocktail of anti-depressants for this. The patient also had a similar reaction of blurred double vision and couldn't function/eyes could not focus. Based on information reported, the reported double vision and difficulty focusing eyes were more likely due to pre-existing condition (s); and less likely causally related to the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE). The rest events fever, headache, vaccination site pain and dizziness were likely causally related to the use of vaccine due to plausible temporal relationship and known safety profile of this product. The case will be reassessed should additional information become available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Other Meds: RITALIN

Current Illness:

ID: 0978851
Sex: F
Age:
State: NJ

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/27/2021
Hospital:

Lab Data: Test Date: 202012; Test Name: COVID-19 PCR test; Test Result: Negative

Allergies:

Symptoms: Tingling lips; Swollen lips; myalgia; joint pain; tachypnic; headache; Weakness generalized; Nausea; she said she was really pale, so much so, that her husband was scared for her; This is a spontaneous report from a contactable other HCP. A 50-year-old female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EH9899), intramuscular in left deltoid on 22Dec2020 07:00 at a single dose for covid-19 immunization. Vaccination was done in a hospital. There were no relevant medical history and concomitant medications. On to 22Dec2020, she said she feels like she has had a severe reaction to the COVID-19 Vaccine, saying she was not doing so great. Reported she received her first COVID-19 Vaccine dose on 22Dec2020 at 7:00AM in her left Deltoid. She said she had a reaction after receiving the first dose of the COVID- 19 Vaccine. She said her lips were tingling slightly, clarifying her lips were swollen too. She said she took some Benadryl (she clarified she did not have the Benadryl NDC/UPC, Lot or Expiration Date), and the Benadryl took away the lip tingling and swelling. She said she was tachypneic, and developed muscle pains (clarified as myalgia), joint pain, severe headache, weakness, and nausea. She said she also was really pale, so much so, that her husband was scared for her. She said the symptoms lasted for about 3 days, but the weakness lasted longer. Reported she took some Zofran disintegrating tablets for her nausea. Clarified she did have a PCR COVID-19 Virus test after she developed symptoms from receiving the first COVID-19 Vaccine dose. She said she had the PCR COVID-19 Virus test about 3 weeks ago, Dec2020 and the test was negative. She said she thought she had the COVID-19 Virus after receiving the first COVID- 19 Vaccine dose because no one else she knew who had the COVID-19 Vaccine had any issues. The outcome of the events joint pain,. myalgia, tachypnic, headache, pale and nausea was recovered on an unknown date in Dec2020; the outcome of the event tingling lips and swollen lips was recovered on 22Dec2020; while the outcome of weakness was unknown. The events were assessed as medically significant and causality was reported as related.; Sender's Comments: Based on the close compatible temporal association, there was a reasonable possibility that the events were related to the vaccination with BNT162B2. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Other Meds:

Current Illness:

ID: 0978852
Sex: F
Age:
State: TX

Vax Date: 01/04/2021
Onset Date: 01/01/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: Test Date: 202101; Test Name: Oxygen saturation; Test Result: 98 %

Allergies:

Symptoms: joint pain/still having joint pain and muscle aches in her knees and lower legs; It is mainly irritating; still having joint pain and muscle aches in her knees and lower legs; body aches; a fever for about 3 days; feeling heaviness in her chest; She was chocking it up to anxiety; This is a spontaneous report from the contactable nurses (one is the patient). A 45-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number and expiration date not reported), via an unspecified route of administration, on the right deltoid, on 04Jan2021 at a single dose as she wanted added protection (Covid-19 immunization). The patient medical history was not reported. The patient has no heart issues but has a family history of heart disease. The patient's concomitant medications were not reported. The patient was asking if it is okay to take second dose after experiencing side effects of fever, body ache, joint pain, probably anxiety, chest heaviness 8-10h after (not wheezing, 98% O2 saturation) which returned next day and subsided. On 04Jan2021, the patient got her first dose of the Pfizer COVID Vaccine, she was one of the lucky people who had joint pain, body aches, and a fever for about 3 days. She noticed about 8-10 hours after she got the vaccine that she started feeling heaviness in her chest, chest felt tight and heavy; not shortness of breath, harder to take a deep breath. She had no wheezing. In Jan2021, her oxygen level was 98%. She was chocking it up to anxiety in Jan2021. It went away. She had it the same day and the next day intermittently. It was short and passing. She is still having joint pain and muscle aches in her knees and lower legs. It is intermittent and mainly at night. She is supposed to get the second dose next Friday and asking should she go ahead and get the second dose. The joint pain had went away intermittently on Tuesday, then hit her harder on Wednesday. Thursday she felt okay but the Friday again was having the pain. It is still occurring. It is mainly at night. In the day she feels okay. It is when she lays down to relax that it kicks in. It is mainly irritating but she would say it is medically significant as it has lasted for a while, almost 2 weeks now and she is still having issues. She takes 1000mg of acetaminophen (TYLENOL) to knock it out. The heaviness in her chest lasted about 1.5 hours the first day, and then went into Tuesday intermittently. The patient recovered from anxiety in Jan2021, body aches and fever on 07Jan2021, heaviness in her chest recovered on 05Jan2021, while other events were not recovered. The reporter assessed the events of Joint pain and muscle aches in her knees and lower legs, and irritating as medically significant. The reporter causality of the events for joint pain and muscle aches in her knees and lower legs, body aches, fever and heaviness in her chest were related to the suspect drug, causality for other events was not reported. Information about lot number/batch number was requested.; Sender's Comments: Based on the information currently provided, the vaccination with BNT162B2 might play a contributory role in triggering the onset of events of Joint pain and muscle aches in her knees and lower legs and irritating. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Other Meds:

Current Illness:

ID: 0978853
Sex: F
Age: 43
State: VT

Vax Date: 01/18/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Patient reports experiencing right upper arm pain for 48 hours following injection and slight headache. 8 days later she woke up with a 5 x 4 cm area of redness at site of injection, warm to touch, painful and radiating into shoulder. Seen in clinic the same day and placed on cephalexin for suspected cellulitis.

Other Meds: None

Current Illness: None

ID: 0978854
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/27/2021
Hospital: Y

Lab Data: Test Name: blood pressure; Result Unstructured Data: Test Result:low

Allergies:

Symptoms: he reported a low blood pressure episode that requires hospitalization; This is a spontaneous report from a non-contactable consumer reported for her father. A male patient of unknown age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), on unknown date at SINGLE DOSE for COVID-19 immunization. Medical history and Concomitant medications were not reported. After 18 hours of the administration he reported a low blood pressure episode that required hospitalization. The outcome of the event was unknown. No follow-up attempts are possible; Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 0978855
Sex: F
Age:
State: OR

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: auditory hallucination; This is a spontaneous report from a contactable physician (patient herself). A 42-year-old female patient (non-pregnant) received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EK5730), via an unspecified route of administration on 28Dec2020 in left arm at single dose for covid-19 immunization. The patient medical history was not reported. The patient had taken other medications in two weeks. No other vaccine in four weeks was taken. The patient had no COVID prior vaccination and was not tested COVID post vaccination. Facility type vaccine was hospital. The patient experienced auditory hallucination on 29Dec2020 with outcome of recovered. No treatment was received for the event.; Sender's Comments: Based on the time association, the possible contribution of suspect BNT162B2 to the event auditory hallucination cannot be excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Other Meds:

Current Illness:

ID: 0978856
Sex: F
Age:
State: NY

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: metallic taste in throat; mid chest tightness and weakness; flushed feeling in body and legs; went to the emergency room since she didn't feel any better; mid chest tightness and weakness; This is a spontaneous report from a contactable nurse (patient). A 51-year-old female patient received 1st dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot: EK5730, expiration date: Mar2021), via an unspecified route of administration on 30Dec2020 12:00 at single dose on deltoid left for COVID-19 immunisation. Medical history included patient was working in healthcare and around Covid positive patients daily. There were no concomitant medications. 10 minutes after getting bnt162b2, patient noticed side effects. Patient had a metallic taste in throat and a few more things. Right after getting it she had a flushed feeling in her body and legs, similar like IV contrast. 10 minutes after that so about 20 minutes later she had mid chest tightness and weakness that was gone after about 40 minutes to an hour. Patient was unable to provide any seriousness criteria, stating it was scary for a moment and she didn't know what it was, but the mid chest tightness could have progressed to something more serious. That was how she felt at that moment, but after it was all gone, it was not serious. She did not know why or what the reason was or if she was lucky or what. Patient was sitting for 10 minutes after receiving Pfizer COVID vaccine and was doing something on her phone when she started experiencing these symptoms unexpectantly. Eventually the nurses observing her after a half hour took her to the emergency room since she wasn't feeling any better. Patient had emergency room visit for all events. Outcome of events was resolving.; Sender's Comments: The Company cannot completely exclude the possible causality between the reported mid chest tightness and the administration of the COVID 19 vaccine, BNT162B2, based on the plausible temporal association and lacking alternative explanations. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RA, IEC, as appropriate.

Other Meds:

Current Illness: Exposure to SARS-CoV-2

ID: 0978857
Sex: M
Age: 32
State: CA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: N/a

Allergies: N/A

Symptoms: Lightheaded was, headache, fatigue for 48 hours

Other Meds: N/A

Current Illness: Covid-19 on 11/30/2020

ID: 0978858
Sex: F
Age:
State: PA

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: Test Date: 20210107; Test Name: Torax CT; Result Unstructured Data: Test Result:Unknown Results

Allergies:

Symptoms: intense chest pain; nasal congestion; Fever; body ache; This is a spontaneous report from a contactable physician. A 38-year-old not pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL3249), intramuscular at left arm on 06Jan2021 14:00 at single dose for COVID-19 immunization. Patient had Covid prior vaccination. There were no concomitant medications. No other medications in two weeks. No other vaccine in four weeks. On 07Jan2021, The patient experienced fever and body ache for the first 2 days. On the 3rd day (19Jan2021) experienced intense chest pain and nasal congestion. she needed to go to Emergency Room where she stayed for 4 hours, and performed Thorax CT. No treatment received. The outcome of events was recovering.; Sender's Comments: Based on a compatible temporal relationship, causality between reported events and BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) cannot be completely excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Other Meds:

Current Illness:

ID: 0978859
Sex: F
Age:
State: FL

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: Test Date: 20210114; Test Name: EKG; Result Unstructured Data: Test Result:diagnosed with Post COVID Vaccine SVT; Test Date: 20210114; Test Name: Holter Monitor; Result Unstructured Data: Test Result:Unknown results

Allergies:

Symptoms: This is a spontaneous report from a contactable nurse, the patient. This nurse reported similar events for three patients. This is 1st of 3 reports. A 61-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EL1284), via an unspecified route of administration in the left arm on 13Jan2021 as a single dose for COVID-19 immunization. Medical history included ongoing arrhythmias, which started about 3 years ago (2018) and got worse over time. Ongoing concomitant medications included metoprolol (MANUFACTURER UNKNOWN) taken arrythmia from Sep2020. On 13Jan2021, the patient received the vaccine. Afterwards her right wrist was itching. She took diphenhydramine hcl (BENADRYL) for the itching. Then, she felt different when she got home and was lightheaded. She also had a headache. She took acetaminophen/diphenhydramine (TYLENOL PM) before bed for the itching and headache. In the morning of 14Jan2021, she felt really bad. She did not have itching, but it started back up again later. She also took acetaminophen for the headache as the headache was on and off. She called her cardiologist due to her cardiac history, and asked if she could come in. On 14Jan2021, she had an electrocardiogram done and was diagnosed with post COVID vaccine supraventricular tachycardia (SVT). On 14Jan2021, she had head and chest congestion. She felt stuffed up. She was coughing but she had no mucus. She thought that when the arrhythmia occurred, she coughed because of the SVT. The cardiologist ordered her to wear a 24hour HOLTER monitor, the results of which were unknown. The clinical outcomes of the wrist itching and post-COVID vaccine SVT were not recovered; while the events of felt different, lightheaded, and headache were recovered on 13Jan2021. The outcome of felt really bad was recovering. The outcomes of the cough and head and chest congestion were unknown. The events of felt different, lightheaded, felt really bad, and post-COVID vaccine SVT were reported as serious for being medically significant. The seriousness of the other events was not reported.; Sender's Comments: Based on temporal association, a possible contributory role of BNT162B2 cannot be excluded for events supraventricular tachycardia, lightheadedness and feeling abnormal. The patient's underlying arrhythmias may also predispose the patient to developing supraventricular tachycardia. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.,Linked Report(s) : US-PFIZER INC-2021042313 same reporter, same drug and event, different patient.;US-PFIZER INC-2021042339 same reporter, same drug and event, different patient.

Other Meds: METOPROLOL

Current Illness: Arrhythmia (Started about 3 years ago and got worse over time, which is when she went on the Metoprolol)

ID: 0978861
Sex: F
Age: 45
State: FL

Vax Date: 01/14/2021
Onset Date: 01/18/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Severe anxiety ( Pt has never had anxiety before in her life), Pain in arm tremendous, numbness in arm. Pt still having Anxiety.

Other Meds:

Current Illness:

ID: 0978862
Sex: F
Age:
State: MN

Vax Date: 12/29/2020
Onset Date: 01/03/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: broke out in hives all over her body; didn't sleep for 2 nights because she was so uncomfortable; didn't sleep for 2 nights because she was so uncomfortable; areas on her legs and ankles that are reddened; This is a spontaneous report from a contactable nurse (patient). A 25-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot number: EJ1685), via an unspecified route of administration in the left deltoid, on 29Dec2020 at 18:40 (at the age of 25-years-old) as a single dose for COVID-19 immunization. The patient had no medical history or concomitant medications. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient experienced broke out in hives all over her body on 03Jan2021, which was reported as medically significant. The patient also didn't sleep for 2 nights because she was so uncomfortable and areas on her legs and ankles that are reddened on 03Jan2021. The clinical course was reported as follows: The patient received her first dose of the vaccine on 29Dec2020 and said 5 days later she broke out in hives. The patient stated her hives began on the evening of 03Jan2021. She clarified she had hives all over her body and didn't sleep for 2 nights because she was so uncomfortable. She said she still had areas on her legs and ankles that were reddened. She said the reddened areas on her legs and ankles are not fully raised or itchy, like she had experienced with the hives on the rest of her body. The patient went to an urgent care on 06Jan2021. She saw a dermatologist for the hives on 07Jan2021, who suspected that since she did not have any prior history of hives, her hives are from the COVID-19 vaccine. She said the dermatologist told her there is no way to truly test if the vaccine caused her hives. The patient received an intramuscular unspecified steroid shot at the dermatologist and was prescribed methylprednisolone (MANUFACTURED BY: PAR PHARMACEUTICAL; Lot number: 1129091; Expiration date: Dec2021) 4 mg tablets in a taper dose pack. She also stated that she took the following over-the-counter medications: diphenhydramine hydrochloride (reported as: generic BENADRYL; MANUFACTURER UNKNOWN; Lot number: 0MR0456; Expiration date: Sep2022) 25 mg tablet, taken as needed; cetirizine hydrochloride (ZYRTEC; Lot number: 1652346; Expiration Date: Dec2021) 10 mg tablet, taken as one tablet up to four times a day; and hydrocortisone (MANUFACTURER UNKNOWN) cream. Therapeutic measures were taken as a result of all of the events as aforementioned. The clinical outcome of broke out in hives all over her body and didn't sleep for 2 nights because she was so uncomfortable was recovering and of areas on her legs and ankles that are reddened was not recovered.; Sender's Comments: Based on temporal association, a possible contributory role of suspect BNT162B2 cannot be excluded for reported events. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Other Meds:

Current Illness:

ID: 0978863
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/27/2021
Hospital: Y

Lab Data: Test Name: Height; Result Unstructured Data: Test Result:approximately 5 feet 5 inches.; Test Name: Weight; Result Unstructured Data: Test Result:approximately 130 lbs

Allergies:

Symptoms: tremor or shaking of her entire body; This is a spontaneous report from a non-contactable consumer. A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date at single dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient seemed to have some sort of neurological effect of causing a tremor or shaking of her entire body (hospitalization) on an unspecified date with outcome of not recovered. Date of onset of the adverse event was unknown, but the earliest that caller was aware of could be 12Jan2021, which could be the date of admission to the hospital related to this event; but event onset and hospitalization could have occurred earlier than 12Jan2021, she was not sure of exact dates. Patient age at onset was unknown but if caller had to guess probably 58 or 59 years. Height was guessed approximately 5 feet 5 inches. Weight was guessed approximately 130lbs. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 0978864
Sex: F
Age:
State:

Vax Date: 12/02/2019
Onset Date:
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: pain on her arm for over a year; This is a spontaneous report from a contactable consumer reporting for herself. A female patient of unspecified age received pneumococcal 13-valent conjugate vaccine (diphtheria crm197 protein) on 02Dec2019 via an unspecified route of administration in the arm at single dose for immunization. The patient's medical history and concomitant medications were not reported. The patient received a pneumonia shot (unspecified trade name) on 02Dec2019 then she had been suffering with pain on her arm for over a year. The patient was seeing an orthopedic, she has had been on steroid pills, shots, done physical therapy, everything, and she didn't know the problem, why she was still hurting. The patient was concern that when that COVID vaccine, that Pfizer or Moderna, she doesn't know which she will get, but she was afraid to get the vaccine, so she was trying to find out, if there is any place else she can get it, like the butt or someplace else, she is afraid to get the shot in the arm. The vaccine was still bothering her. The outcome of the event was not recovered. Information regarding lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0978865
Sex: F
Age: 44
State: CA

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None.

Allergies: None

Symptoms: Within 30 minutes of vaccine administration, lower back myalgia developed. Myalgia worsened over the next 24 hours with gradual improvement by 72 hours after injection. Fatigue developed 7 hours after injection and improved by 24 hours after injection given. Chills developed 9 hours after injection and resolved by 24 hours after injection given. Moderately severe injection site tenderness developed 4 hours after injection given and improved after 48 hours. Still with some low back pain, but slowly improving .

Other Meds:

Current Illness: N/A

ID: 0978866
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: had lung cancer diagnosed after receiving the vaccine first dose; This is a spontaneous report from Pfizer-sponsored program . A contactable other health profession (patient's friend) reported that a patient of unspecified age and gender received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date at single dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient had lung cancer diagnosed after receiving the vaccine first dose on an unspecified date with outcome of unknown. Information on the lot/batch number has been requested.; Sender's Comments: Based on known pathophysiology of lung malignancies, reported lung cancer is considered intercurrent and unrelated to suspect BNT162B2. Carcinogenesis takes years. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.

Other Meds:

Current Illness:

ID: 0978867
Sex: F
Age: 26
State: NY

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: I woke up the day after receiving my COVID vaccination with cold chills and nausea. Once I got to work, took temp. was 99.3. After meeting, I took my temp. again because I was having intense cold chills but felt warm and it was 102.9. I still have cold chills, nausea, headache, and 101.1 fever now.

Other Meds: Omeprazole 40mg

Current Illness: none

ID: 0978868
Sex: F
Age:
State: WA

Vax Date: 01/10/2021
Onset Date: 01/13/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: health has totally deteriorated; She sleeps, barely opens her eye; refuses to eat or drink; dizzy; didn't feel well; she can't talk, walk or anything; she can't talk, walk or anything; She is weak and frail; This is a spontaneous report from a contactable consumer (patient's daughter). A 100-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiry date not reported), via an unspecified route of administration on 10Jan2021 at single dose for COVID-19 immunization. Medical history included dementia from an unknown date and unknown if ongoing and walking aid user from an unknown date and unknown (prior to the vaccine, she walked well with her walker). Concomitant medication included quetiapine. The reporter reported that the patient's health has totally deteriorated as of a few days after receiving the vaccine on 13Jan2021. She is dying. She sleeps, barely opens her eyes and refuses to eat or drink. Three days after receiving the vaccine on 13Jan2021, she said she was dizzy and didn't feel well. Now she can't talk, walk or anything. She is weak and frail. Prior to the vaccine, she walked well with her walker, ate well and had energy. The reporter visited with her and had conversations but the patient doesn't talk or respond. She is her daughter and POA. She lives in the facility due to dementia. No treatment was received for the events. The patient did not recover from the events. Information on the lot/batch number has been requested.

Other Meds: QUETIAPINE

Current Illness:

ID: 0978869
Sex: F
Age:
State: MD

Vax Date: 01/12/2021
Onset Date: 01/01/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: surface blisters, like deep blisters all over her body/blistering rash all over; Hives; Itchy tongue; Headache; This is a spontaneous report from a contactable nurse (patient). A 44-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EK4176 and expiry date: unknown), via an unspecified route of administration on 12Jan2021 at a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. After receiving the vaccine, patient had hives and an itchy tongue on an unspecified date in Jan2021. Patient received some Benadryl at site. She spoke for about two hours and it seemed to ease a little bit. Patient came home and slept a quite a bit. As soon as she woke up, patient had the itchy tongue and hives again, so she took another the Benadryl. She woke up and then had a blistering rash all over on Jan2021. But the blisters were like surface blisters, like deep blisters all over her body. She went to the urgent care and received some IM steroid and Benadryl as treatment. Patient also had the headache on Jan2021. Outcome of the events was unknown. Patient was asking if she should get her second dose as back in the emergency room, they said they would not suggest to get the second dose.; Sender's Comments: Based on the time association, the blistery rash is possibly related to suspect BNT162B2 administration. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Other Meds:

Current Illness:

ID: 0978870
Sex: M
Age:
State: AZ

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: Test Date: 20210114; Test Name: Covid-19 test; Test Result: Negative

Allergies:

Symptoms: Heart event stopped him from breathing; stroke; lack of air; This is a spontaneous report from a contactable consumer, the patient. A 40-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EL3249), via an unspecified route of administration in the left arm on 13Jan2021 (at the age of 40-years-old) as a single dose for COVID-19 immunization. Medical history included nut allergy from an unknown date and unknown if ongoing. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included zolpidem tartrate (AMBIEN) and doxepin (MANUFACTURER UNKNOWN). The patient did not receive any other vaccines within four weeks prior to the vaccination. On 14Jan2021 at 13:00, the patient experienced heart event that stopped him from breathing and the lack of air caused a stroke; all reported as life-threatening. On 14Jan2021, the patient underwent lab tests and procedures which included COVID-19 test which was negative. The patient was treated for the events which included being put on a ventilator and sedation. The clinical outcomes of the heart event stopped him from breathing, lack of air, and stroke, were not recovered.

Other Meds: AMBIEN; DOXEPIN

Current Illness:

ID: 0978871
Sex: F
Age: 52
State: WY

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None at this time.

Allergies: Walnuts-canker sores in the mouth if ingested. Benadryl makes the employee feel anxious.

Symptoms: 1/25/21 5PM-Fever chills , red hot arm. 830PM-Fever, increased chills, increased heat and pain to L arm until 0345 on 1/26/21., but then started with hot/cold sweats, and achy everywhere. 0900AM-started feeling very nauseated and dizzy, 10AM-couldn't stand up , arms and legs felt hot and kinda fluttery, then both hands "ceased up" and couldn't move fingers for about 10 minutes, increased anxiety, then started with complete cold sweat and hands started to relax, after 20 minutes symptoms subsided and felt like a covid headache and aches every where. Husband took temperature throughout experience, hovered around 100.00. 1/26/21-2:00PM symptoms improving, still have headache, achy everywhere and increased fatigue. 1/27/21 0900AM-Felt like "I did a full body workout for 6 hours yesterday but much improved".

Other Meds: Metoprolol 25mg once per day, Hydrochlorothiazide 25mg once per day, 81mg aspirin once per day, doxylamine succinate 25mg at bedtime and diphenhydramine HCL 25mg taken for allergies, did take one pill on 1/24/21 in the evening.

Current Illness: No illness at time of vaccination or 1 month prior. Covid+ 11/19/20 (not tested, only symptomatic-loss of taste/smell, severe headache, body aches, fatigue, shortness of breath, fever).

Date Died:

ID: 0978873
Sex: U
Age:
State: CA

Vax Date:
Onset Date:
Rec V Date: 01/27/2021
Hospital:

Lab Data: Test Date: 202012; Test Name: Covid-19; Test Result: Positive

Allergies:

Symptoms: died several hours after receiving a Covid-19 vaccine; This is a spontaneous report from a contactable consumer. A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date at single dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient died several hours after receiving a Covid-19 vaccine on an unspecified date. The patient died on an unspecified date. It was not reported if an autopsy was performed. The person had tested positive for the virus (Covid-19) in late Dec2020. Information on the batch/lot number has been requested.; Reported Cause(s) of Death: died several hours after receiving a Covid-19 vaccine

Other Meds:

Current Illness:

ID: 0978874
Sex: F
Age: 36
State: AZ

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: All vital signs were within normal limits.

Allergies: egg, wheat, soy and dairy

Symptoms: within a few minutes after the vaccination, patient felt her arm go cold and numb. Patient has never had this happen before. She denies any other symptoms. Both hands are cold to touch. She soon felt better but symptoms did not completely resolve. Patient is refusing any treatment or transport.

Other Meds: NP thyroid, depression medication

Current Illness: none

ID: 0978875
Sex: M
Age:
State: NC

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fell twice and looks like he may have had a stroke; Fell twice and looks like he may have had a stroke; This is a spontaneous report from a Pfizer-sponsored program "Pfizer First Connect" from a contactable consumer (patient's wife). A 77-year-old male patient received the 1st dose of bnt162b2 (BNT162B2, Manufacturer Pfizer-BioNTech), via an unspecified route of administration, on 15Jan2021, at single dose, for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient fell twice and looks like he may have had a stroke on 16Jan2021 with outcome of unknown. The information on the lot/batch number has been requested.

Other Meds:

Current Illness:

Date Died:

ID: 0978876
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Autoimmune disease; This is a spontaneous report from a Pfizer-sponsored program from a contactable nurse. A male patient of an unspecified age received bnt162b2 (BNT162B2, Manufacturer Pfizer-BioNTech), via an unspecified route of administration, on an unspecified date, at single dose, for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient experienced autoimmune disease on an unspecified date. The patient died on an unspecified date due to autoimmune disease. It was unknown if an autopsy was performed. The information on the lot/batch number has been requested.; Sender's Comments: The information available in this report is limited and does not allow a medically meaningful assessment of the case. The company cannot completely exclude a causal relationship between the fatal autoimmune disease and suspect vaccine BNT162B2. Additional information regarding therapy duration, relevant medical history, underlying conditions, concomitant medications and detailed clinical course around the event onset will aid in comprehensive assessment of the case. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics committees and Investigators, as appropriate.; Reported Cause(s) of Death: Autoimmune disease

Other Meds:

Current Illness:

ID: 0978877
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: got the worst respiratory infection/ deathly sick; Initial information received on 23-Nov-2020 regarding an unsolicited valid serious case received from a physician and consumer or non-healthcare professional. This case involves female patient (age not reported) who experienced got the worst respiratory infection/ deathly sick (respiratory tract infection), while she received vaccine INFLUENZA VACCINE. The patient's medical history, past medical treatment, vaccination, concomitant medication and family history were not provided. On an unknown date, the patient received a dose of suspect INFLUENZA VACCINE (produced by unknown manufacturer) (lot number not reported) via an unknown route at an unknown administration site for prophylactic vaccination. On an unknown date, the patient developed a serious got the worst respiratory infection due to which she was deathly sick for 12 long weeks (respiratory tract infection) within a week following the administration of INFLUENZA VACCINE (patient took the influenza vaccine once in his life). This event was assessed as medically significant. It was the sickest he had ever been. She will never take another flu shot. She said they are poison and that is not debatable. Then she made it a mission after that to get educated about these things like vaccines and what she found was astonishing. They have crippled and killed many caused autism, polio, nervous system disorders just to name a few by the thousands but they will always tell you they are safe. She just have one simple question that everyone should think about how in the world does it make any sense at all to inject poisons and toxins into your natural immune system as a means to stay healthy. Staying truly healthy is to not do that Laboratory details were not reported. Patient had to make three trips to the Doctor and they had to put her on three different strong antibiotics that didn't work. Finally had to be put on complete bed rest to recover. On an unknown date, the patient recovered from respiratory tract infection (patient haven't been sick again once recovered). Batch number has been requested for suspect product for this case.; Sender's Comments: A female patient (age not reported) who presented with respiratory tract infection within a week following the vaccination with INFLUENZA VACCINE (unknown manufacturer). Time to onset is compatible. Medical history, concomitant medication, precise final diagnosis and lab data ruling out alternative etiologies would be needed for complete assessment of the case. Based upon the reported information, role the vaccine cannot be assessed.

Other Meds:

Current Illness:

ID: 0978878
Sex: F
Age: 28
State: OH

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: EKG

Allergies: Latex

Symptoms: Patient describes increased blood pressure, tachycardia, queezy feeling, tremors, tingling/numbness of the lips and eyes, and heavy feeling in tongue and jaw that started to develop ~15 minutes after vaccine administration and worsened overtime. Patient took Benadryl which provided minimal relief, then presented to the ED.

Other Meds: Probiotic, vitamin D supplement once weekly

Current Illness: None

ID: 0978879
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: swelling in the back of throat and nasopharyngeal area; myalgia; chills; fever; malaise; Initial information regarding an unsolicited valid non-serious case was received from a consumer via The Agency (Reference number- 00416318) on 05-Jan-2021. The case involved a female patient of unknown age who experienced swelling in the back of throat and nasopharyngeal area (pharyngeal swelling), myalgia, chills, fever (pyrexia) and malaise, while she received INFLUENZA USP TRIVAL A-B HIGH DOSE SUBVIRION VACCINE [FLUZONE HD]. Relevant medical history, past medical treatment, vaccination details, concomitant medications and family history were not provided. On an unknown date in 2016, the patient received a dose of suspect INFLUENZA USP TRIVAL A-B HIGH DOSE SUBVIRION VACCINE (lot UI691AA, expiry date not reported) via unknown route in unknown administration site for prophylactic vaccination. On an unknown date, the patient developed non-serious significant reactions of swelling in the back of throat and nasopharyngeal area (pharyngeal swelling), myalgia, chills, fever (pyrexia) and malaise, unknown latency following the administration of INFLUENZA USP TRIVAL A-B HIGH DOSE SUBVIRION VACCINE. The patient had not received a flu vaccine since. Now that she had to get a Covid vaccine, the patient wanted to know what agents in the vaccine might possibly had caused the reaction so that she could avoid those things in the Covid vaccine if possible. The doctor only listed the name and she assumed lot number above and told the patient to contact you for more specific information. Relevant laboratory test was not reported. It was not reported if the patient received any corrective treatment. At the time of reporting, the outcome was unknown for the reported events.

Other Meds:

Current Illness:

ID: 0978880
Sex: U
Age:
State: OR

Vax Date:
Onset Date:
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 17 year old patient was given DAPTACEL with no adverse event; 17 year old patient was supposed to be given TENIVAC but was given DAPTACEL instead with no adverse event; Initial information regarding an unsolicited valid non-serious case was received from a other health professional (physician assistant) via Medical Information (Reference number- 00428721) and transmitted to Sanofi on 13-Jan-2021. The case involves a 17 year old patient who received DIPHTHERIA-15/TETANUS/5 AC PERTUSSIS VACCINE [DAPTACEL] (lot number and expiry date not reported) via unknown route in unknown administration site for prophylactic vaccination (product administered to patient of inappropriate age) instead of DIPHTHERIA-2/TETANUS-5 ADSORBED TOXOIDS NO PRESERVATIVE ADULT [TENIVAC] (wrong product administered). Relevant medical history, past medical treatment, vaccination, concomitant medications and family history were not provided. It was an actual medication error case due to wrong vaccine administered and inappropriate age at vaccine administration (latency same day). At the time of reporting, no adverse event was reported. The reporter wanted to know if patient should be revaccinated. The reporter stated that the patient had left the office and was doing fine. This suspected adverse reaction report was submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error was in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party had contributed to or was to be held liable for the occurrence of this medication error. There would be no information available on batch number for this case.

Other Meds:

Current Illness:

ID: 0978881
Sex: F
Age: 39
State:

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Employee suffering from headache, congestion, chills & muscle ache.

Other Meds:

Current Illness:

ID: 0978882
Sex: M
Age: 32
State: IA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever; migraine; sinus pressure; chills; fatigue; feet/arms cold

Other Meds:

Current Illness:

ID: 0978883
Sex: F
Age: 57
State: NY

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: modern shot #2. Beginning 23 hours after dose, lasting 4 hours, 1. sustained high fever 102-103 , even after Advils. 2. Teeth chattering Shivering, 3. Sustained tachycardia 4 hours when lying down 96+ 4. booming headache 5. sore arm, sore neck 6. achy body 7. pulsatile tinnutis ( I thought workers were hammering outside) 8. incredible thirst, drank (2) 27 oz thermoses of water at the 27 hour mark

Other Meds: none

Current Illness:

ID: 0978884
Sex: F
Age: 69
State: IN

Vax Date: 01/18/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: Sulfa, codeine

Symptoms: One week after the injection in my left arm the area swelled, reddened, warmed , became itchy and hives developed. I?ve taken ibuprofen for symptoms. 24hrs later site remains reddened, warm and itchy but remains manageable with ibuprofen. No office visit.

Other Meds: Synthesis, lexapro, climara patch 6mg, calcium w D, Biotin, krill

Current Illness: None

ID: 0978885
Sex: M
Age: 29
State: WA

Vax Date: 01/14/2021
Onset Date: 01/17/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: On 1/26/2021 - ER at Hospital evaluated me with an EKG, chest x-ray, and lab work. All of which they said appeared normal, but I am to meet with my doctor tomorrow to possibly get a holter monitor.

Allergies: Ceclor

Symptoms: * 01/14/21 - Received first Pfizer COVID Vaccine. Felt really strange for first 10 mins after vaccine. * 01/17/21 - Noticed my heart rate was at 120 bpm and I was extremely tired. * 01/24/21 - I noticed that I?ve started getting headaches more frequently. I rarely got headaches before (maybe 3-4 per year) * 1/25/21 - Had one of the worst migraines I?ve ever had. Blurred vision. * 1/26/21 - Went to the E.R. to get my heart checked because my heart rate was high and I was extremely tired. Also had a minor headache. * 1/27/21 - I still do not feel right. My heart flutters. Come and go headache. Very sleepy, though I had good sleep the night before.

Other Meds: Lithium - 1200mg / day Quetiapine - 600mg / day

Current Illness: None.

ID: 0978886
Sex: F
Age: 52
State: PA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: N/A

Allergies: Percoset allergy

Symptoms: I felt fine after the first shot. The second shot brought me chills, headache, and severe body aches approximately 24 hours after receiving it.

Other Meds: Multi-vitamin, Valsaartan, HCTZ, Advair, Zoloft, Vitamin C

Current Illness: N/A

ID: 0978887
Sex: F
Age: 54
State:

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, back pain, brain fog

Other Meds:

Current Illness:

ID: 0978888
Sex: F
Age: 61
State: IN

Vax Date: 01/18/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital: Y

Lab Data: CT, MRI, hospitalization

Allergies: bacitracin, keflex, tape, metals?

Symptoms: hemiparesis left, facial droop, weakness on left upper and lower extremity

Other Meds:

Current Illness: none

ID: 0978889
Sex: F
Age: 55
State: LA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever 99.9 Dry cough Mild headache

Other Meds: Synthroid 88 mcq Collagen supplement MVI

Current Illness: None

ID: 0978890
Sex: F
Age: 71
State: GA

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: none

Allergies: sulfa

Symptoms: Arm became itchy, reddened, hot, swollen, and hard. Approx. 3 by 4 inches round. Used Benedryl 50mm, next morning some better progressing. More Benedryl and Tylanol. Contacted Primary doctor, added pepsid and antibiotic. Antibiotic ordered out of caution for possible skin infection. Symptoms greatly resolved after 24 hours...by 48 hours gone.

Other Meds: Atenolol, Lysinopril/hctz, Celebrex, , Cetirizine, KCl, Gabapentin, Omeprazole, Melatonine, Zinc, Vit.D3

Current Illness: none

ID: 0978891
Sex: F
Age: 65
State: KY

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None.

Allergies: none reported by patient.

Symptoms: 1320 Patient here for Moderna Covid Injection; states "I'm feeling really anxious about this injection" Moderna Injection discussed with patient including risk associated with injection; allergies noted; patient states "I want the vaccine rather than get covid". 1323 Moderna vaccine given, patient encouraged to wait 30 minutes after receiving Moderna vaccine, with patient verbalizing understanding through teach back. 1330 Nurse at patient's side, patient state's I'm feeling okay, thanks"; patient's husband at side 1346 patient c/o of fast heart rate; pulse taken with 90 bpm noted; pharmacist at side and RRT notified and at side. 1350 Rash noted on patient's neck, face is flushed and patient complains of lips burning. doctor notified of patients complaints and instructed to tell patient that she can go to the ER if symptoms persist with patient verbalizing understanding through teach back. 1351 Benadryl 25 mg given po as ordered; wash cloth applied to patient's face. 1400 Patient states "I'm not feeling any better, I would like to go to the ER", patient taken to ER. -------------------------------------------------------------------------------

Other Meds: none reported by patient.

Current Illness: none reported by patient.

ID: 0978892
Sex: F
Age: 0
State: MN

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Headache, muscle aches, sore throat, and chills

Other Meds: None

Current Illness: None

ID: 0978893
Sex: F
Age: 31
State:

Vax Date: 12/17/2020
Onset Date: 12/17/2020
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: EE develop tachycardia, hypertension, and face flushing within 40 mins of receiving dose. Symptoms resolved without treatment.

Other Meds:

Current Illness:

ID: 0978894
Sex: F
Age: 27
State:

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient had a syncopal episode after receiving dose of vaccine and after asking for some water stating she felt dizzy and faint, pale, stiff, unaware of surroundings, nonverbal for approximately 1 minute. Hx of getting anxious at times and hx of seizures. EMS activated - and patient went with EMS for further evaluation.

Other Meds:

Current Illness:

ID: 0978895
Sex: F
Age: 62
State: IN

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Hydrocodone causes rash & itching

Symptoms: T 99.9, Chills, aching, no breathing pblms. I/2 dollar size red hot to touch, pain @ insertion site the same day & night. T down to to 98.6, no further chills, no aching today. Site is still painful & painful & hot to touch. Dr notified. Took Benadryl when obtained vaccine per drs recommendation.u

Other Meds: Xarelto 20 mg q d

Current Illness: Active covid bilateral pneumonia 11/28/20 & DVT R leg

ID: 0978896
Sex: F
Age: 33
State: CA

Vax Date: 01/20/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: nothing done so far, medical appointment with PCP on Friday. infection control nurse notified

Allergies: N/A

Symptoms: vaccine site is itchy warm to touch, swollen red with a bump. on day 6 post vaccine

Other Meds: Vit C, prenatal vitamin

Current Illness: none

ID: 0978897
Sex: M
Age: 66
State: NC

Vax Date: 12/31/2020
Onset Date: 01/03/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: none

Allergies: Codeine

Symptoms: Three days After the second shot was given, a rash appeared from the injection site, up the arm toward the shoulder, then the rash ran down the patient's back towards his waistline. The rash was approximately 3 inches wide at places on the patinet's back.

Other Meds: Vit B 3, Vit B 12

Current Illness: Heart attack, high blood pressure, high cholesterol,

ID: 0978898
Sex: F
Age: 43
State:

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Around 11:30pm 1/25, I muttered "I don't feel good," which reminded me of being a child getting sick. within 30 minutes of then end escalating over the next hour, I had a severe headache, bilateral, occipital, pressure in entire head and neck. The headache as also in my eyes and in my ears. Back was also painful - not as bad as neck, but i can't explain how horribly a hope a massage could fix me. There was no comfortable position to alleviate any of that. I also got the chills, constantly, suddenly switching from shivering cold to so hot i needed to take blankets off - but soon as i took the blankets off I'd be freezing cold again. I was also super nauseous, though i didn't vomit. I pretty much couldn't get out of bed much for 24-36 hours. During that time, i was unable to sleep as well, i think mostly due to the chills, constantly having to move about to keep warm or cool off, but not sure. I did take acetaminophen around 10pm 1/26 (36 hours after injection)- i felt like I knew you're not supposed to, but I couldn't take it any more and it might have less anti-inflammatory impact than ibuprofen. It dulled the pains some, but didn't make it stop. the chills and nausea mostly stopped and was able to sleep more the second night, last night. I'm now up and trying to work today (1/27). Head still has pressure headache throughout. Neck is still sore, like a pressure headache. I feel generally foggy and heavy.

Other Meds:

Current Illness:

ID: 0978899
Sex: M
Age: 73
State: IN

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Antihistamines

Symptoms: Temp 100.5 - Chills - Joint & Muscles hurt - Lethargic & and slept a lot - Felt like having the flu -Soreness around injection site

Other Meds: Amlodipine 10 MG = Losartan/HCTZ 100-12.5MG Multivitamins - Zinc - D3

Current Illness: Previously tested positive for Covid19 in August

ID: 0978900
Sex: F
Age: 69
State: FL

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: n/a

Allergies: penicillin, latex, sulfa

Symptoms: vaginal herpes, Dr. consultation over the phone, RX Valtrex

Other Meds: Synthroid

Current Illness: n/a

ID: 0978901
Sex: F
Age: 26
State: NY

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: 01/26: pending labs drawn by PMD

Allergies: Environmental Allergies: Cats, dogs, dust; seasonal allergies

Symptoms: 1/19- 6 hours after receiving vaccine, patient experienced fever, weakness, joint pain 1/20- developed a severe throbbing headache and fatigue. 1/21- headache continued 1/22- severe dizziness, extremely weak and pale: presented to Hospital Emergency Dept presently still experiencing headaches and dizziness

Other Meds: Flonase Nasal Spray

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm