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: 1733301
Sex: F
Age: 51
State:

Vax Date: 09/23/2021
Onset Date: 09/23/2021
Rec V Date: 09/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Administration error mixed series mRNA vaccine Pfizer and Moderna

Other Meds:

Current Illness:

ID: 1733302
Sex: F
Age: 34
State:

Vax Date: 08/12/2021
Onset Date: 08/13/2021
Rec V Date: 09/25/2021
Hospital:

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

Lab Data:

Allergies: penicillin, metronidazole

Symptom List: Anxiety, Dyspnoea

Symptoms: The morning following vaccination, I had shortness of breath, chest pressure, nausea and fatigue. I called Walgreens pharmacy where I received my vaccination thinking this was not a normal reaction. They told me to head to the urgent care. Once at the urgent care, they ran an ekg, which showed a possible incomplete right bundle branch block. They rushed me in an ambulance over to the nearest ER. Ran a full blood and metabolic panel, another ekg, and chest x-ray. All came back normal. Over the next few hours symptoms dissipated. Doc mentions the possibility of myocarditis. Tells me to come back to the ER if symptoms return. Symptoms come and go over the week but then come back strong. Check in to the same ER, they run the same tests in addition to an ultrasound on my heart. Tests return back normal. Doc recommends checking in with my primary care doc in a week and mentions that my body is most likely creating some kind of inflammatory response to the vaccine and that if this continues we may have to run more tests. A week later I see my primary care doc, still experiencing shortness of breath but not as severe throughout the week. Doc prescribes an albuterol inhaler and mentions if things don't clear up we may want to try prednisone. The doctor thinks I may have a mild case of myocarditis. Symptoms flared up again, I then startee prednisone. The shortness of breath seems combated, chest pressure/pain continues on and off. Doctor referred me out to a pulmonary specialist.

Other Meds: nexplanon

Current Illness: none

ID: 1733303
Sex: M
Age: 63
State:

Vax Date: 09/23/2021
Onset Date: 09/23/2021
Rec V Date: 09/25/2021
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:

Allergies:

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

Symptoms: Administration error mixed series mRNA vaccine Pfizer and Moderna

Other Meds:

Current Illness:

ID: 1733304
Sex: F
Age: 52
State:

Vax Date: 09/23/2021
Onset Date: 09/23/2021
Rec V Date: 09/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Administration error mixed series mRNA vaccine Pfizer and Moderna

Other Meds:

Current Illness:

ID: 1733305
Sex: F
Age: 55
State: WA

Vax Date: 09/11/2021
Onset Date: 09/13/2021
Rec V Date: 09/25/2021
Hospital:

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

Lab Data: Ultrasound of right eye, laser surgery of right eye

Allergies: Sulfa

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

Symptoms: Severe headache for 2 days then spontaneous retinal tear with hemorrhage

Other Meds: Glucosamine, vitamin d3, multivitamin, motrin

Current Illness: None

ID: 1733306
Sex: F
Age: 45
State: CA

Vax Date: 08/23/2021
Onset Date: 08/24/2021
Rec V Date: 09/25/2021
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: none

Allergies: none

Symptom List: Chills, Confusional state, Eye inflammation, Headache, Laboratory test

Symptoms: Severe headache that lasted 8 days, then it went away for 2-3 days and came back very strong headache and spinal pain that lasted for about one more week, i went to the doctor and dr prescribed pain medicine and anti-inflamatory meds for 7 days.

Other Meds: none

Current Illness: none

ID: 1733307
Sex: M
Age: 30
State:

Vax Date: 05/27/2021
Onset Date: 05/30/2021
Rec V Date: 09/25/2021
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: Pyrexia, White blood cell count decreased

Symptoms: High fever,headache,diarrhea,shortness of breath started on May 30th 2021,treated and cured on June 14th,2021. Sphincter weakness of urine and feces,lower limbs weakness numbness and zonesthesia,abdomen and lumbar numbness and zonesthesia gradually started from June 4th,which still has not been cured till now with over 3 months past. Based on the symptoms above,doctors think it might be acute myelitis caused by Vaccine. And I was given treatment of acute myelitis but I still can not get recovered. I am looking forward to your help.

Other Meds:

Current Illness:

ID: 1733308
Sex: M
Age: 44
State: CA

Vax Date: 09/17/2021
Onset Date: 09/17/2021
Rec V Date: 09/25/2021
Hospital:

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

Lab Data: Myocarditis

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: Sharp pain right to my heart, instant pain, inflammation, irregular heartbeat, esophagus inflammation, myocarditis,

Other Meds: None

Current Illness: None

ID: 1733309
Sex: F
Age: 39
State: FL

Vax Date: 09/09/2021
Onset Date: 09/17/2021
Rec V Date: 09/25/2021
Hospital:

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

Lab Data: Blood tests resulted in nothing. Covid test was done and was negative. Brain MRI is pending.

Allergies: Sulfa, Chantix, lidocaine, excedrine

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Extreme burning sensation starting over a week after second dose and has continued throughout the entire body and has increased in intensity. It feels like a sunburn under the skin or as if I had shingles all over my body. Pain level 8/9.

Other Meds: Albuterol, percocet, tizanidine, temazepam, lorazapam, gabipentin, imitrex

Current Illness: Asthma

ID: 1733310
Sex: F
Age: 40
State: IN

Vax Date: 09/20/2021
Onset Date: 09/21/2021
Rec V Date: 09/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: The injection site is fevered, swollen and hard about 6 inches long and 3 inches wide. The second day after the vaccine the actual puncture mark swelled and you can tell exactly where the needle was stuck. It is hot to the touch. I've been experiencing Very super severe fatigue. I mean tiredness I've never felt nor ever been (and I do have 3 children.) The day after ( on the 21st) I was very very queasy and anything I ate made my stomach hurt and I couldn't eat much. Thankfully that passed as of the 22nd but the swelling, heat and pain is still present as of this report as well as the fatigue. I have a fever tonight and the symptoms (besides the stomach ) have worsened progressively!

Other Meds:

Current Illness:

ID: 1733311
Sex: F
Age: 55
State: CA

Vax Date: 06/09/2021
Onset Date: 08/01/2021
Rec V Date: 09/25/2021
Hospital:

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

Lab Data: None, except I have my thyroid checked via blood work

Allergies: None

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

Symptoms: I am 56 and ive beem in menopause for several years, I?d say this past month My hot flashes are hitting me hard. For the past month, I?m experiencing hot flashes constantly. Worse than ever. Every day all day and night off and on. And I feel a bit of cramping but no blood or discharge. I stay onto of annual OB appointments. I was officially on memopause several years ago. No problems with bleeding for years. Not even break through bleeding. This past month Im getting hot flashes constantly. All day no latter the weather. Now, Im experiencing cramps. Not severe. Just an ache such as when you are menstrating. Thats something new this past week. Again, its not severe at all. Its mild, but its unusual because Its been years since my last menstruation. My concern other than comstantly having hot flashes is going back to menstruating.

Other Meds: Levothyroid prestiq vitamin D3 adderall 25 mg strensiq

Current Illness: None

ID: 1733312
Sex: F
Age: 35
State: CA

Vax Date: 08/23/2021
Onset Date: 09/20/2021
Rec V Date: 09/25/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data: None yet

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: As of this past Monday I started to experience severe fatigue and body ache. Symptoms have only increased. Today muscle twitch and electrical sensation began, mostly in my upper arms.

Other Meds: None

Current Illness: None

ID: 1733514
Sex: F
Age:
State:

Vax Date: 09/09/2021
Onset Date: 09/09/2021
Rec V Date: 09/25/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Syncope; Vasovagal reflex; This case was received via a company (Reference number: 2021TJP092479) on 10-Sep-2021 and was forwarded to Moderna on 21-Sep-2021. This case, initially reported to a regulatory authority by a physician, was received via another regulatory authority (Ref, v21126402). Syncope was assessed as a serious. On an unknown date, body temperature before examination: 36.5 degrees Celsius. On 09-Sep-2021, the patient received the 1st dose of this vaccination in the afternoon. The patient had a sick feeling during follow-up observation after vaccination. Around 14:30, vasovagal reflex developed, which led to syncope. The patient recovered with the leg elevation. The symptoms remitted. The outcome of vasovagal reflex and syncope was reported as recovered. Follow-up investigation will be made. Company Comment: The events developed after the administration of COVID-19 vaccine mRNA (mRNA 1273) and there is temporal relationship.; Reporter's Comments: Vasovagal reflex accompanied by syncope.; Sender's Comments: This case concerns a 30-year-old, female patient with no relevant medical history, who experienced the unexpected event of syncope. The event occurred on the same day after the first dose of Spikevax (Moderna COVID-19 vaccine). The rechallenge was not applicable as the event occurred after the first dose. The event was considered unrelated to the vaccine per the reporter's assessment. The benefit-risk relationship of Spikevax (Moderna COVID-19 vaccine) is not affected by this report. Event seriousness assessed as per Regulatory Authority reporting.

Other Meds:

Current Illness:

ID: 1733561
Sex: F
Age: 85
State: LA

Vax Date: 08/10/2021
Onset Date: 08/11/2021
Rec V Date: 09/25/2021
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: 8/11/21 ekg: afib rvr troponin 0.08 -> 0.1

Allergies: none known

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

Symptoms: fever, afrib with rvr and NSTEMI

Other Meds: norvasc lotensin vit d3 cymbalta amaryl hctz keppra norco synthroid lisinopril lovastatin metformin multivitamin

Current Illness:

ID: 1733563
Sex: F
Age: 54
State: CA

Vax Date: 09/23/2021
Onset Date: 09/24/2021
Rec V Date: 09/25/2021
Hospital:

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

Lab Data: None yet

Allergies: Morphine, and fruits like , kiwi and mangoes most likely from pesticides in the fruit.

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

Symptoms: Heart racing, fever, headache, body aches, chest tightness, coughing shortness of breath.

Other Meds: All my bariatric vitamins, currently taking Tylenol for fever, chill , body aches, chest tightness, short of breath.. I don?t take prescription medication.

Current Illness: I?m still shedding Covid which I had July 26, 2021 and I never felt the same post infection. I?ve reported these on going symptoms to my doctors but they kept pushing me to get vaccinated. Regardless of my current post Covid physical health complaints. Also my job has mandated the vaccine in order to keep working.

ID: 1733564
Sex: M
Age: 23
State: LA

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

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

Lab Data: 9/4/21 CT head, CT c-spine, CXR, trop, crp, cbc, cmp, drug screen, u/a no significant findings

Allergies: azithromycin

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

Symptoms: fever, syncopoe, ataxia with ambulation and LE weakness

Other Meds: HCTZ

Current Illness:

ID: 1733565
Sex: M
Age: 31
State: ME

Vax Date: 09/17/2021
Onset Date: 09/18/2021
Rec V Date: 09/25/2021
Hospital:

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

Lab Data:

Allergies: NONE

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

Symptoms: allergic reaction/rash/hives Pt. reports had johnson and johnson shot wed. 9/17/21. Now has hives and swelling to mouth, face and all over his body. Large hives/welts on buttocks.

Other Meds: GABAPENTIN SEROQUEL

Current Illness: NONE

ID: 1733566
Sex: F
Age: 37
State: CA

Vax Date: 08/02/2021
Onset Date: 08/03/2021
Rec V Date: 09/25/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Numbness in both arms

Other Meds: Both of my my arms arm numb and I have a sinus infection that won't go away

Current Illness: No

ID: 1733567
Sex: F
Age: 56
State: RI

Vax Date: 09/01/2021
Onset Date: 09/01/2021
Rec V Date: 09/25/2021
Hospital:

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

Lab Data: none

Allergies: PCN, doxycycline, Tamiflu

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: chest tightness, SOB, bilat arms and leg weakness. Still ongoing

Other Meds: chest tightness, SOB, bilat arms and leg weakness

Current Illness: none

ID: 1733568
Sex: M
Age: 61
State: IL

Vax Date: 05/20/2021
Onset Date: 09/23/2021
Rec V Date: 09/25/2021
Hospital: Y

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

Lab Data: CT 9/24

Allergies: nkda

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

Symptoms: acute saddle pulmonary embolism w acute cor pulmonale

Other Meds: albuterol buprenorphine, doxepin folic acid, gabapentin, lisinopril, hctz, mobic, sertraline, tiazanidine

Current Illness:

ID: 1733569
Sex: M
Age: 49
State: MI

Vax Date: 08/05/2021
Onset Date: 08/19/2021
Rec V Date: 09/25/2021
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: lisinopril

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: Pt. states feels fatigued x2weeks and heart heart beat skips occasionally over last month. Pt pcp ordered blood work which showed low potassium level.

Other Meds: PEPCID THERAGRAN ZANTAC

Current Illness: NONE

ID: 1733686
Sex: F
Age:
State: NY

Vax Date: 08/05/2021
Onset Date: 08/05/2021
Rec V Date: 09/25/2021
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: Severe early menstruation / Menstruation 8 days after my last 1; Short of breath; Body ache/ muscle pain generalized; Severe headaches; Extreme debilitating fatigue; Weak; ferritin levels critical / Ferritin levels btw dropped to 9; This spontaneous case was reported by a consumer and describes the occurrence of MENSTRUATION IRREGULAR (Severe early menstruation / Menstruation 8 days after my last 1), DYSPNOEA (Short of breath), MYALGIA (Body ache/ muscle pain generalized), HEADACHE (Severe headaches), FATIGUE (Extreme debilitating fatigue), ASTHENIA (Weak) and SERUM FERRITIN DECREASED (ferritin levels critical / Ferritin levels btw dropped to 9) in a 42-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 088D21A) for COVID-19 vaccination. The patient's past medical history included GERD. Concurrent medical conditions included Celiac disease. On 05-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Aug-2021, the patient experienced MENSTRUATION IRREGULAR (Severe early menstruation / Menstruation 8 days after my last 1) (seriousness criterion medically significant), DYSPNOEA (Short of breath) (seriousness criterion medically significant), MYALGIA (Body ache/ muscle pain generalized) (seriousness criterion medically significant), HEADACHE (Severe headaches) (seriousness criterion medically significant), FATIGUE (Extreme debilitating fatigue) (seriousness criterion medically significant), ASTHENIA (Weak) (seriousness criterion medically significant) and SERUM FERRITIN DECREASED (ferritin levels critical / Ferritin levels btw dropped to 9) (seriousness criterion medically significant). The patient was treated with IRON for Ferritin decreased, at an unspecified dose and frequency. At the time of the report, MENSTRUATION IRREGULAR (Severe early menstruation / Menstruation 8 days after my last 1), DYSPNOEA (Short of breath), MYALGIA (Body ache/ muscle pain generalized), HEADACHE (Severe headaches), FATIGUE (Extreme debilitating fatigue), ASTHENIA (Weak) and SERUM FERRITIN DECREASED (ferritin levels critical / Ferritin levels btw dropped to 9) had not resolved. mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was withdrawn on an unknown date. The concomitant medications were not reported. It was reported that patient had menstruation 8 days after her last one, 5 days after the vaccine. The second menstruation intensified symptoms of patient. The patient stated that her hemoglobin was normal. At the time of reporting the patient was on Iron infusions number 3. Company Comment : The case concerns a 42-year-old-male patient with previous relevant medical history of celiac disease , who experienced the unexpected event of mentruation irregular, dyspnoea, myalgia, headache, fatigue, asthenia and serum ferritin decreased. The event occurred the same day, after the first dose of Spikevax. The rechallenge was not applicable since only information about the first dose was disclosed. The medical history of celiac disease remains a confounder. The benefit-risk relationship of Spikevax is not affected by this report.; Sender's Comments: The case concerns a 42-year-old-male patient with previous relevant medical history of celiac disease , who experienced the unexpected event of mentruation irregular, dyspnoea, myalgia, headache, fatigue, asthenia and serum ferritin decreased. The event occurred the same day, after the first dose of Spikevax. The rechallenge was not applicable since only information about the first dose was disclosed. The medical history of celiac disease remains a confounder. The benefit-risk relationship of Spikevax is not affected by this report.

Other Meds:

Current Illness: Celiac disease

ID: 1733687
Sex: F
Age: 37
State:

Vax Date: 08/26/2021
Onset Date: 08/26/2021
Rec V Date: 09/25/2021
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: report side effects; insomnia for 3 weeks; This spontaneous case was reported by a consumer and describes the occurrence of INSOMNIA (insomnia for 3 weeks) in a 37-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 052E21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Food allergy, Asthma and Allergy to antibiotic. On 26-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 26-Aug-2021, the patient experienced INSOMNIA (insomnia for 3 weeks) (seriousness criterion medically significant). On an unknown date, the patient experienced VACCINATION COMPLICATION (report side effects). At the time of the report, INSOMNIA (insomnia for 3 weeks) had not resolved and VACCINATION COMPLICATION (report side effects) outcome was unknown. No concomitant medication were reported. MD had prescribed medication but did not worked. So she had taken self medication with over the counter medications to help him asleep. Company comment- This case concerns a 37-year-old, female patient with previous relevant medical history of Food allergy, Asthma and Allergy to antibiotic, who experienced the unexpected events of Insomnia and Vaccination complication. The event Insomnia occurred the same day as the first dose of Moderna Covid-19 vaccine. The rechallenge was not applicable since the events occurred after the first dose. The reporter assessed the events as possible. The benefit-risk relationship of Moderna Covid-19 vaccine is not affected by this report. Most recent FOLLOW-UP information incorporated above includes: On 16-Sep-2021: Follow Up information was received on 16-Sep-2021 and contains new event added.; Sender's Comments: This case concerns a 37-year-old, female patient with previous relevant medical history of Food allergy, Asthma and Allergy to antibiotic, who experienced the unexpected events of Insomnia and Vaccination complication. The event Insomnia occurred the same day as the first dose of Moderna Covid-19 vaccine. The rechallenge was not applicable since the events occurred after the first dose. The reporter assessed the events as possible. The benefit-risk relationship of Moderna Covid-19 vaccine is not affected by this report.

Other Meds:

Current Illness: Allergy to antibiotic; Asthma; Food allergy

ID: 1733688
Sex: F
Age:
State: FL

Vax Date: 02/10/2021
Onset Date: 09/09/2021
Rec V Date: 09/25/2021
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:

Symptom List: Injection site pain, Pain

Symptoms: 3rd dose on 10th sep/ second dose on 10-Feb-2021; slight headache, flu like symptoms, very tired and feeling out of sorts; slight headache, flu like symptoms, very tired and feeling out of sorts; slight headache, flu like symptoms, very tired and feeling out of sorts; slight headache, flu like symptoms, very tired and feeling out of sorts; This spontaneous case was reported by a consumer and describes the occurrence of MALAISE (slight headache, flu like symptoms, very tired and feeling out of sorts), INFLUENZA LIKE ILLNESS (slight headache, flu like symptoms, very tired and feeling out of sorts), FATIGUE (slight headache, flu like symptoms, very tired and feeling out of sorts), HEADACHE (slight headache, flu like symptoms, very tired and feeling out of sorts) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (3rd dose on 10th sep/ second dose on 10-Feb-2021) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 10-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 10-Sep-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 09-Sep-2021, the patient experienced MALAISE (slight headache, flu like symptoms, very tired and feeling out of sorts), INFLUENZA LIKE ILLNESS (slight headache, flu like symptoms, very tired and feeling out of sorts), FATIGUE (slight headache, flu like symptoms, very tired and feeling out of sorts) and HEADACHE (slight headache, flu like symptoms, very tired and feeling out of sorts). On 10-Sep-2021, the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (3rd dose on 10th sep/ second dose on 10-Feb-2021). On 16-Sep-2021, MALAISE (slight headache, flu like symptoms, very tired and feeling out of sorts), INFLUENZA LIKE ILLNESS (slight headache, flu like symptoms, very tired and feeling out of sorts), FATIGUE (slight headache, flu like symptoms, very tired and feeling out of sorts) and HEADACHE (slight headache, flu like symptoms, very tired and feeling out of sorts) was resolving. At the time of the report, INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (3rd dose on 10th sep/ second dose on 10-Feb-2021) outcome was unknown. Not Provided Patient History contained no known allergies. No concomitant medications were reported. No treatment medications were reported.

Other Meds:

Current Illness:

ID: 1733741
Sex: U
Age:
State: DC

Vax Date:
Onset Date:
Rec V Date: 09/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: developed mucousy, blood streaked diarrhea and tested positive for rotavirus; developed mucousy, blood streaked diarrhea and tested positive for rotavirus; developed mucousy, blood streaked diarrhea and tested positive for rotavirus; This spontaneous report was received from a nurse and refers to a 2-month-old patient. The information about the patient's medical history, drug reaction/ allergies and concomitant therapy was unknown. On an unknown date, the patient was vaccinated with rotavirus vaccine, live, oral, pentavalent (ROTATEQ), orally (dose, lot # and expiration date were not provided) for prophylaxis. On unknown dates, a few days after the vaccination, the patient developed mucousy, blood streaked diarrhea and tested positive for rotavirus. The outcome of the events was unknown. The causality assessment between the events and the suspect vaccine was not provided. Upon internal review, the event haematochezia was considered to be medically significant.

Other Meds:

Current Illness:

ID: 1733745
Sex: F
Age:
State: FL

Vax Date: 12/01/2011
Onset Date:
Rec V Date: 09/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: acute stroke secondary to intraventricular bleed in left hypothalamus and intraventricular blood with no mass effect; acute stroke secondary to intraventricular bleed in left hypothalamus and intraventricular blood with no mass effect; This initial spontaneous report was received from a lawyer regarding a case in litigation and refers to a female patient (pt) of unknown age. No information was provided regarding concomitant medications, concurrent conditions or medical history. In or around 01-DEC-2011, the pt was inoculated with zoster vaccine live (ZOSTAVAX) (dose, route of administration, anatomical location, lot # and expiration dates were not provided) for routine adult health maintenance and for its intended purpose: the prevention of shingles (herpes zoster). Shortly after receiving Zoster Vaccine Live (ZOSTAVAX), the pt suffered slurring speech, development of facial droop and loss of consciousness and was later diagnosed with an acute stroke secondary to intraventricular bleed in left hypothalamus and intraventricular blood with no mass effect (haemorrhagic stroke and intraventricular haemorrhage). As a direct and proximate result of Zoster Vaccine Live (ZOSTAVAX) vaccine, the pt symptoms had resulted in physical limitations not presented prior to using Zoster Vaccine Live (ZOSTAVAX). The pt 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), the pt sustained severe and permanent personal injuries. Further, as a tragic consequence the pt suffered serious, progressive, permanent and incurable injuries, as well as significant conscious pain and suffering, mental anguish, emotional distress, loss of enjoyment of life, physical impairment and injury. As a direct and proximate result, the pt had suffered and incurred damages, including medical expenses; the loss of accumulations; and other economic and non-economic damages. Outcome of the events was not recovered. Causal relationship of the events was reported as related to Zoster Vaccine Live (ZOSTAVAX). The reporter considered intraventricular haemorrhage and haemorrhagic stroke to be disabling events. Upon internal review, intraventricular haemorrhage and haemorrhagic stroke were determined to be medically significant event.

Other Meds:

Current Illness: Routine health maintenance

ID: 1733751
Sex: M
Age:
State:

Vax Date: 12/01/2014
Onset Date:
Rec V Date: 09/25/2021
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: Nausea, Pain in extremity, Pyrexia

Symptoms: the caller has pulmonary fibrosis; the caller has not received the prescribed second administration of Pneumovax; This spontaneous report was received from a a male patient of unknown age referring to himself. His historical vaccine included "the 13" (the patient believed this was pneumococcal vaccine conj 13V (PREVNAR 13), but it was unable to verify), the patient stated he was vaccinated prior to 2014, but a physician noted a fictitious date of 01-JAN-2017 for this administration. There was no information about the patient's concurrent conditions, allergies, drug reactions, concomitant therapies or medical history provided. On an unspecified date in December 2014, the patient was vaccinated with pneumococcal vaccine, polyvalent (23-valent)(PNEUMOVAX23) for prophylaxis (exact dose, dose number, lot #, expiration date, route of administration and anatomical location were not reported). On an unknown date, the patient experienced pulmonary fibrosis. The patient's physician was now recommending a second administration of pneumococcal vaccine, polyvalent (23-valent)(PNEUMOVAX23) because of the pulmonary fibrosis. The caller stated insurance had denied covering a second administration of pneumococcal vaccine, polyvalent (23-valent)(PNEUMOVAX23) and would not give him a reason for denial. Therefore, the patient had not received the prescribed second administration of pneumococcal vaccine, polyvalent (23-valent)(PNEUMOVAX23). On an unknown date in 2021, the patient experienced the incomplete course of vaccination (onset based on information that vaccination was recommended "now"). The outcome of pulmonary fibrosis and incomplete course of vaccination was unknown. The causality assessment between the event of pulmonary fibrosis and pneumococcal vaccine, polyvalent (23-valent)(PNEUMOVAX23) was not reported. Upon internal review the event of pulmonary fibrosis was considered to be medically significant.

Other Meds:

Current Illness:

ID: 1733759
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Got shot but had shingles/Suspected vaccination failure; shingles/ still have problems; This case was reported by a consumer via interactive digital media and described the occurrence of 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 was unknown and the outcome of the shingles was not recovered/not resolved. It was unknown if the reporter considered the vaccination failure and shingles to be related to Shingles vaccine. Additional details were provided are as follows: The case was reported by patient himself/herself. The age at vaccination was not reported. The patient got shot but had a really bad case of shingles and still had problems. This case was considered as suspected vaccination failure since the details regarding completion of primary vaccination schedule, time to onset and laboratory test confirming shingles were unknown at the time of reporting. The follow-up could not be possible as no contact details were available.

Other Meds:

Current Illness:

ID: 1733765
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/25/2021
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: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: neuropathy; This case was reported by a consumer via interactive digital media and described the occurrence of neuropathy in a female 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 neuropathy (serious criteria GSK medically significant). On an unknown date, the outcome of the neuropathy was unknown. The reporter considered the neuropathy to be related to Shingles vaccine. Additional details were provided as follows: The age at vaccination was not reported. The reporter knew the patient who had terrible reactions to the shingles shot. The reporter stated that the shots had metal in them and caused neuropathy. One of the patient's friend sued and won her case. lt took 2 years to receive the settlement. This case has been linked with US2021AMR199707, reported by the same reporter.; Sender's Comments: US-GLAXOSMITHKLINE-US2021AMR199707:Same reporter

Other Meds:

Current Illness:

ID: 1733766
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/25/2021
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: Nausea

Symptoms: got this vaccine & had 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 an unspecified number of patients 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 case details were reported as follows: The age at vaccination was not applicable for this report. The reporter stated that lots of friends had this vaccine and still had shingles. This case was considered as suspected vaccination failure, as details regarding completion of primary vaccination schedule, laboratory test confirmation and time to onset for shingles were unknown at the time of reporting. The follow up was not required. This case has been linked with US2021AMR182894 reported by same reporter.; Sender's Comments: US-GLAXOSMITHKLINE-US2021AMR182894:same reporter

Other Meds:

Current Illness:

ID: 1733767
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: got the vaccine and 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. On an unknown date, the patient received Shingles vaccine. On an unknown date, several weeks 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 reporter was the patient. The age at vaccination was not reported. The reporter stated that, had the shot few years ago and got shingles few weeks later. This case was considered as suspected vaccination failure since the details regarding completion of primary vaccination schedule and laboratory confirmation of shingles were not provided.

Other Meds:

Current Illness:

ID: 1733768
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/25/2021
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: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: had the vaccine and have shingles now/ Suspected vaccination failure; have shingles now; 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 reporter was the patient. The age at vaccination was not reported. The reporter stated that, had shingles vaccine and had shingles now. This case was considered as suspected vaccination failure since the details regarding completion of primary vaccination schedule and laboratory confirmation of shingles were not provided.

Other Meds:

Current Illness:

ID: 1733769
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/25/2021
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: got the shot, 2 years later 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. On an unknown date, the patient received Shingles vaccine. On an unknown date, 2 years 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 reporter was the patient. The age at vaccination was not reported. The reporter stated that,got the vacine shot and 2 years later got the shingles This case was considered as suspected vaccination failure since the details regarding completion of primary vaccination schedule and laboratory confirmation of shingles were not provided.

Other Meds:

Current Illness:

ID: 1733770
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/25/2021
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: Tremor

Symptoms: had the vaccine and had it\ suspected vaccination failure; had it; 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: This case was reported by patient himself /herself. The age at vaccination was not reported. The patient stated he/she had Shingles vaccine and still had shingles twice. The follow-up would not possible as no contact details were available. This case was considered as suspected vaccination failure as details regarding completion of primary vaccination schedule, time to onset and laboratory test confirming herpes zoster were unknown at the time of reporting.

Other Meds:

Current Illness:

ID: 1733771
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/25/2021
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: Erythema, Pruritus

Symptoms: husband got the shot, didn't stop from getting them\ suspected vaccination failure; shingles, not a bad case; This case was reported by a consumer via interactive digital 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) 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: This case was reported by patient's Wife. The age at vaccination was not reported. The reporter stated got Shingles shot but shot did not stop him from getting them shingles, the patient did but not a bad case. The follow-up would not possible as no contact details were available. This case was considered as suspected vaccination failure as details regarding completion of primary vaccination schedule, time to onset and laboratory test confirming herpes zoster were unknown at the time of reporting.

Other Meds:

Current Illness:

ID: 1733772
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/25/2021
Hospital: Y

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:

Allergies:

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

Symptoms: got vaccinated. got out of the hospital because of shingles\ suspected vaccination failure; got out of the hospital because of shingles; pain; 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 hospitalization and GSK medically significant), shingles (serious criteria hospitalization) and pain. On an unknown date, the outcome of the vaccination failure and shingles were unknown and the outcome of the pain was recovering/resolving. It was unknown if the reporter considered the vaccination failure and shingles to be related to Shingles vaccine. The reporter considered the pain to be related to 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 got Shingles vaccine and just got out of the hospital because of shingles. The patient stated he/she did support getting vaxed, because the pain was quite manageable after less than a week, which seems to be due to the shot. The follow-up would not possible as no contact details were available. This case was considered as suspected vaccination failure as details regarding completion of primary vaccination schedule, time to onset and laboratory test confirming herpes zoster were unknown at the time of reporting.

Other Meds:

Current Illness:

ID: 1733773
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/25/2021
Hospital:

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

Lab Data: Test Name: biopsy; Result Unstructured Data: (Test Result:shingles,Unit:unknown,Normal Low:,Normal High:)

Allergies:

Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Suspected vaccination failure; shingles; sick; tired; pain; 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. The patient's past medical history included 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), shingles, sickness, tiredness and pain. On an unknown date, the outcome of the vaccination failure, shingles, sickness, tiredness and pain were unknown. It was unknown if the reporter considered the vaccination failure, shingles, sickness, tiredness and pain to be related to Shingles vaccine. Additional details were provided as follows: The case was reported by patient. The age at vaccination was not reported. The patient taught that you only get shingles once but the patient keep getting them so his/her doctor started doing a biopsy to make sure they were shingles and not herpes, and sure enough they were shingles. The patient was vaccinated but still experienced shingles. The patient was so sick and tired of getting shingles, and the pain was sometimes unbearable. This case was considered as suspected vaccination failure since the details regarding completion of primary vaccination schedule, time to onset of shingles were not provided. This case has been linked with case US2021AMR200635 reported by same reporter.; Sender's Comments: US-GLAXOSMITHKLINE-US2021AMR200635:same repoter

Other Meds:

Current Illness:

ID: 1733774
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/25/2021
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: 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 female 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 was reporter's sister. The age at vaccination was not reported. The patient was vaccinated and experienced shingles. This case was considered as suspected vaccination failure since the details regarding completion of primary vaccination schedule, time to onset and laboratory confirmation of shingles were not provided. This case has been linked with the case US2021AMR200633 reported by same reporter.; Sender's Comments: US-GLAXOSMITHKLINE-US2021AMR200633:same repoter

Other Meds:

Current Illness:

ID: 1733776
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/25/2021
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: Had the vaccine now have shingles / Suspected vaccination failure; now have 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, more than 2 years 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 case details were reported as follows: The reporter was patient itself. The age at vaccination was not reported. The patient had the vaccine 3 years before day of reporting and now had shingles. This case was considered as suspected vaccination failure, as details regarding completion of primary vaccination schedule, laboratory test confirmation were unknown at the time of reporting. The follow up was not required.

Other Meds:

Current Illness:

ID: 1733777
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/25/2021
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: had both shots and have 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 case details were reported as follows: The reporter was patient itself. The age at vaccination was not reported. The patient had both shots and had shingles 3 times since. This case was considered as suspected vaccination failure, as details regarding laboratory test confirmation and time to onset for shingles were unknown at the time of reporting. The follow up was not required.

Other Meds:

Current Illness:

ID: 1733778
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/25/2021
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: suffering from shingles. Had the 2 shot / suspected vaccination failure; suffering from 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, more than 2 years 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 case details were reported as follows: The reporter was patient itself. The age at vaccination was not reported. The patient had the two shot regimen a couple of years before day of reporting. The patient currently suffering from shingles and everyone was surprised, especially patient itself. This case was considered as suspected vaccination failure, as details regarding laboratory test confirmation was unknown at the time of reporting. The follow up was not required.

Other Meds:

Current Illness:

ID: 1733779
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/25/2021
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: took shot shingles comes back / 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 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) 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 case details were reported as follows: The reporter was patient's wife. The age at vaccination was not reported. The patient took shot and shingles came back monthly if not weekly. The reporter stated it was not always good. This case was considered as suspected vaccination failure, as details regarding completion of primary vaccination schedule, laboratory test confirmation and time to onset for shingles were unknown at the time of reporting. The follow up was not required.

Other Meds:

Current Illness:

ID: 1733783
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/25/2021
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: had 2 dose and still get 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 (Shingrix) for prophylaxis. Co-suspect products included Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient received the 2nd dose of Shingrix and the 1st dose of Shingrix. On an unknown date, unknown after receiving Shingrix and Shingrix, 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 Shingrix and Shingrix. Additional details were provided as follows: The reporter was the patient. The age at vaccination was not reported. The reporter stated that, had the 2 dose Shingrix vaccine and still get Shingles. This case was considered as suspected vaccination failure since the details regarding completion of primary vaccination schedule, time to onset and laboratory confirmation of shingles were not provided.

Other Meds:

Current Illness:

ID: 1733784
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/25/2021
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: I got the 2 dose shindig vaccine but this year got shingles/ 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 (Shingrix) for prophylaxis. Co-suspect products included Herpes zoster (Shingrix) for prophylaxis. The patient's past medical history included shingles (had shingles on face 4 years ago). On an unknown date, the patient received the 2nd dose of Shingrix and the 1st dose of Shingrix. On an unknown date, unknown after receiving Shingrix and Shingrix, 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 Shingrix and Shingrix. Additional details were provided as follows: The reporter was the patient. The age at vaccination was not reported. The reporter stated that, got the 2 dose Shingrix vaccine but this year got shingles in same place. The reporter asked should get the Shingrix vaccine again. 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: 1733785
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/25/2021
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: vax and get 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 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) 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 reporter was the patient's son or daughter. The age at vaccination was not reported. The reporter stated that, his or her father got the shingles vaccine and still get a terrible outbreak of shingles. This case was considered as suspected vaccination failure since the details regarding completion of primary vaccination schedule, time to onset and laboratory confirmation of shingles were not provided. This case was linked with case US2021AMR201261 and US2021AMR201259, reported by same reporter for different patient.; Sender's Comments: US-GLAXOSMITHKLINE-US2021AMR201261:tag at post US-GLAXOSMITHKLINE-US2021AMR201259:same reporter

Other Meds:

Current Illness:

ID: 1733786
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/25/2021
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: vax and get 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 an unspecified number of patients 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 age at vaccination was not reported. The reporter stated that, seen plenty of people get the shingles vaccine and still got a terrible outbreak of shingles. This case was considered as suspected vaccination failure since the details regarding completion of primary vaccination schedule, time to onset and laboratory confirmation of shingles were not provided. This case was linked with case US2021AMR201252 reported by same reporter for different patient.; Sender's Comments: US-GLAXOSMITHKLINE-US2021AMR201252:same reporter

Other Meds:

Current Illness:

ID: 1733787
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/25/2021
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: vax but 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. The patient's past medical history included shingles (had shingles outbreak). 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 reporter was the patient. The age at vaccination was not reported. The reporter stated that, got the shingles vaccine but also got my second shingles outbreak, it was terrible ,worst then my first outbreak. This case was considered as suspected vaccination failure since the details regarding completion of primary vaccination schedule, time to onset and laboratory confirmation of shingles were not provided.

Other Meds:

Current Illness:

ID: 1733788
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/25/2021
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: got the vaccine and got shingles/uspected 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 reported as follows: The case was reported by the patient's friend. The age at vaccination was not reported. The patient got the vaccine, and still got shingles, apparently, it must fall under the Center for Disease Control and Prevention (CDC's) guidelines as the covid vaccine. The reporter also said, in other words, it was not. 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: 1733789
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/25/2021
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: got them after the vaccine/suspected vaccination failure; got them; 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 reported as follows: The case was reported by the patient. The age at vaccination was not reported. The patient got them two after the vaccine but it was not as bad, thank God. 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: 1733790
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/25/2021
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: got the shots, got shingles/suspected vaccination failure; got mild case of 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. The patient got the shots, but got mild case of shingles. 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:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am