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: 0923498
Sex: F
Age: 27
State:

Vax Date: 12/26/2020
Onset Date: 12/26/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Nausea, vomiting 5 hours after vaccine administration

Other Meds: Sertraline, zyrtec

Current Illness: None

ID: 0923499
Sex: F
Age: 33
State: NE

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: none

Allergies: sulfa, cipro

Symptoms: Individual developed "gello" heavy legs and "foggy" heavy head, occurred 2-3 (4:00pm)hours after injection. no symptoms till than. lasted 2 hours (5:30) then legs were better and head heaviness lasted till 830 pm symptoms improve but today 1/6/2021 still has some fatigue, chest congestion and headache. Did find out she had exposure on Friday 1/1/2021 will get testing for Covid 19 today

Other Meds: vyvanse , lamectal, Claritin, Xanax had dose that day

Current Illness: anxiety ,

ID: 0923500
Sex: F
Age: 40
State: ID

Vax Date: 12/28/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: NA

Allergies:

Symptoms: Headache

Other Meds:

Current Illness:

ID: 0923501
Sex: F
Age: 61
State: WI

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: none

Allergies: Erythromycin, levaquin

Symptoms: The day after getting the vaccine my arm had redness, moderate pain, and was swollen at the injection site. I also developed a fever of 100.6 degrees the day after receiving the vaccine. I also had muscle pain throughout my body and a headache. I took Tylenol for the headache and fever.

Other Meds: Zoloft

Current Illness: none

ID: 0923502
Sex: F
Age: 18
State: MA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: No known allergies

Symptoms: Patient received 1st dose of Trumenba vaccine and fainted shortly after. Struck right eyebrow on chair. Doctor evaluated laceration on right eyebrow. Parent came to office and took patient to urgent care where they placed 8 sutures and then discharged home.

Other Meds: Junel Fe 1.5/30 oral tablet. 1 tab, oral, daily

Current Illness: Right sided otalgia

ID: 0923503
Sex: F
Age: 43
State: CA

Vax Date: 12/01/2020
Onset Date: 12/21/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: Latex

Symptoms: 5minutes post injection. I had Sour taste of medicine in back of throat. Couple minutes later. Felt throat swell. Not lymph nodes. Swelling sensation Inside throat. Had a mild headache. Was given 50mg of Benadryl. Taken to ER for observation. Swelling resolved couple hours later without any further reactions. Swelling never impeded my ability to breathe.

Other Meds:

Current Illness:

ID: 0923504
Sex: F
Age: 34
State: MI

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

Lab Data:

Allergies: NKDA

Symptoms: Numb roof of mouth, tingling tongue and lips; no medications given; patient transferred to ED

Other Meds:

Current Illness:

ID: 0923505
Sex: F
Age: 35
State: MI

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

Lab Data: n/a

Allergies: penicillin, sulfa , doxycline

Symptoms: Left side numbness of face including cheek, lips forehead and chin area all on left side of face

Other Meds: Motrin 200

Current Illness: n/a

ID: 0923506
Sex: M
Age: 37
State: TX

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: nka

Allergies: nka

Symptoms: he had some facial drooping then resolving and his hand released an object he was holding, limbs going numb and he felt like he was having a stroke. This occurred about an hour after his vaccine. in the next few days he experienced severe headaches. All adverse experiences have resolved as of 1/6

Other Meds: none

Current Illness: none

ID: 0923507
Sex: F
Age: 30
State: OH

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Intolerance Jasmine tea

Symptoms: I experienced arm soreness at the injection site immediately after. Fatigued two days afterwards. Also experienced Hixton Braxton contractions after the injection.

Other Meds: Pre-natal vitamins

Current Illness: DtaP injection (got a headache right after the injection)

ID: 0923509
Sex: F
Age: 36
State: CA

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: chills fever felt off body aches hives over stomach pounding headache lethargic

Other Meds:

Current Illness:

ID: 0923510
Sex: M
Age: 85
State: TN

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital: Y

Lab Data: UNKNOWN

Allergies: PCN

Symptoms: PATIENT SPOUSE REPORTS THAT PATIENT RECEIVED VACCINE ON 1/4/2021 AND ON 1/5/2021 PATIENT'S ARM BEGAN TO TURN RED AND SWELL AT THE INJECTION SITE. THE SWELLING AND REDNESS BEGAN TO GO DOWN HIS ARM AND HE BROKE OUT INTO A RASH. PATIENT THEN BECAME SHORT OF BREATH. EMS WAS CALLED AND PATIENT WAS TRANSPORTED TO HOSPITAL, WHERE HE WAS TREATED FOR ANAPHYLACTIC SHOCK TO THE COVID MODERNA VACCINE.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 0923511
Sex: F
Age: 27
State: MN

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Headache, nausea/vomiting, chills, fatigue

Other Meds: N/A

Current Illness: N/A

ID: 0923512
Sex: M
Age: 65
State: IN

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: COVID test in progress

Allergies: None

Symptoms: Fever of 100.4, chills, aches, malaise, lethargy, muscle weakness

Other Meds: Trazadone 50 mg 1x daily, Advil PM, Tamsulisin 0.4 mg 1x daily

Current Illness: None

ID: 0923513
Sex: F
Age: 37
State: CA

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: contacted provider-waiting for appointment

Allergies: unknown

Symptoms: dizziness, chills, nausea and vomiting, headache, weakness and pain in the arm/injection site.

Other Meds: on birth control pills

Current Illness: no

ID: 0923514
Sex: F
Age: 27
State: PA

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: WITHIN THE SAME DAY STARTED WITH RIGHT ARM SWELLING, REDNESS, WARMTH, AND ITCHING AT INJECTION SITE. TAKING IBUPROFEN AND ICED AREA. GOT BETTER AFTER A FEW DAYS AND STARTED BACK UP AGAIN, WORSE THAN BEFORE.

Other Meds: NUVARING

Current Illness:

ID: 0923515
Sex: F
Age: 59
State: MT

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: Multi

Symptoms: Itchy mainly in head ears slight swelling around my eyes. My throat ticked I had a headache and felt tired It feels like it is starting to get better today so far

Other Meds: Ibuprofen metformin glyburide asa vit E multi vit fish oil

Current Illness: No

ID: 0923517
Sex: F
Age: 55
State:

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

Lab Data:

Allergies:

Symptoms: Rash, chest pain, tachycardia, numb tongue, hard to swallow

Other Meds:

Current Illness:

ID: 0923518
Sex: F
Age: 63
State: ME

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: right axillary lymphadenopathy

Other Meds: not known

Current Illness: no

ID: 0923519
Sex: F
Age: 37
State: IN

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Queasy and cold chills

Other Meds:

Current Illness:

ID: 0923520
Sex: F
Age: 25
State: IN

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever

Other Meds:

Current Illness:

ID: 0923521
Sex: F
Age: 50
State: MT

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

Lab Data:

Allergies:

Symptoms: Dizziness, Elevated

Other Meds:

Current Illness:

ID: 0923522
Sex: F
Age: 51
State: WI

Vax Date: 12/28/2020
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Extreme erythema and edema across entire Left shoulder, approx. 5 inches from shoulder joint, 3 1/2 x 2 1/2, with extreme itching. It was reported that small amount of redness at injection site was noted 2 days after the injection, that later resolved, and noted itching at the site on 01/03/2021, and noted the extreme redness, with increased itching on early morning of 01/06/2021 at 4:40am. MD appointment is pending.

Other Meds: Blood Pressure medication( Metroprolol); Hypothyroidism Medication, and Cholesterol reducing medication

Current Illness:

ID: 0923523
Sex: F
Age: 53
State: AZ

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: Nausea to codeine

Symptoms: Moderna COVID-19 Vaccine EUA Initial injection site symptoms (itching, redness, warmth, swelling, pain) were slowly dissipating. Approaching 1 wk post injection, however, the itching increased and the next morning (1/5/21), a marked erythemal response began, which continues to advance, along with increased warmth. I've also begun to experience temperature swings between hot/cold (as of 1/5/21).

Other Meds: Daily multi-vitamin

Current Illness: None

ID: 0923524
Sex: F
Age: 43
State: IN

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: none

Allergies: nka

Symptoms: extreme headache with sensitivity to light, low grade fever (99.8), large muscle body ache, fatigue lasted from around 2am 1/6 until 5pm 1/6.

Other Meds: Lexapro 20mg Protonix 40mg

Current Illness: Positive COVID result 11/29/2020

ID: 0923525
Sex: F
Age: 73
State: TX

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: N?A

Allergies: N/A

Symptoms: Day/night 1, no problem. Day 2 - soreness in arm around injection site. Only felt soreness when touched. Night 2 - had long-sleeve t-shirt on all day, so didn't notice the large red area until nighttime. Also same area had swelling/hardness that was sore. Day 3 - morning - redness/swelling still evident.

Other Meds: 600mg Calcium, 4000IU Vitamin D, 5000mcg Biotin, 500mg Rutin, 1000mg Fish Oil, 400mg Magnesium, 2500mcg B12(every other day)

Current Illness: N/A

ID: 0923526
Sex: F
Age: 33
State: WV

Vax Date: 12/23/2020
Onset Date: 01/01/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: NA

Allergies: mobic, trulicity

Symptoms: Erythema, swelling, warmth to the site (5in x 2.5in) sore lymph nodes (axillary, cervical, tonsil)

Other Meds: NPH, metformin, ozempic

Current Illness: NA

ID: 0923527
Sex: M
Age: 29
State: TX

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: n/a

Allergies: N/A

Symptoms: Moderna COVID-19 Vaccine EUA. Rather moderate joint soreness, Chills, body aches, slight fever.It all started the night of the vaccine with the soreness at the injection site (1/5/21). Then the next morning I was riding in my car (1/6/21 around 9:45am) and a weird virtigo feeling settled in. After that was when the chills started with the body aches. I checked my temperature before I went in to the shower and it was running 99.7. Then when I was showering I had that uncomfortable feeling when the water hits you right before you get sick. Kind of a werid feeling to describe if you've never experienced it before. I have just been monitoring my symptoms and staying home, and hydrating.

Other Meds: Finasteride 1mg: qd; JOCKO JointWARFARE: 4c po qd; Acidophilus

Current Illness: N/A

ID: 0923528
Sex: F
Age: 31
State: IN

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Benzocaine

Symptoms: Low grade fever between 99 and 100 lasting 24 hours the day following vaccination, injection site reaction (moderate arm soreness starting 4 hours after injection

Other Meds: Zyrtec, montelukast, qvar, lillow, omepraxile, azelastine, fluticasone

Current Illness: Flu 2-3 weeks prior (COVID test negative)

ID: 0923529
Sex: F
Age: 37
State: CA

Vax Date: 12/27/2020
Onset Date: 01/01/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: Compazine

Symptoms: First 2 days had redness and swelling at injection site. 5 days later left arm pit was in pain. It was extremely painful to move my arm or touch. I didnt think it was related to the vaccine. I just thought it was a muscle strain but now i have lump under my arm pit. I believe this is lymphadenopathy.

Other Meds: Multivitamin

Current Illness: None

ID: 0923530
Sex: F
Age: 49
State: WA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: None. Only vital sign checks at vaccination clinic.

Allergies: None

Symptoms: moderna COVID-19 Vaccine EUA. Tachycardia sudden onset 4 minutes after injection (6:09am). Arms and legs cold and weak. Generalized weakness. BP 167/78, o2 sats 100%. Tachycardia lasted about 10-15minutes and resolved to HR 88 and BP 138/78. Still left with overall weakness, malaise, cold feeling. No other symptoms. Released from the facility at 6:48am. Drove 2 blocks to my husband's workplace (hospital). Had diarrhea x 2, dull diffuse headache, odd feeling and malaise that persisted. Sudden onset of terrible feeling, the need to get to the ER at 8:36am. Had a bathroom visit to urinate. By the time we got to the ER the intense malaise improved. I sat in the ER lobby not wanting to be admitted to the ER (didn't want to be having a vaccine reaction). I stayed in the ER lobby. Symptoms completely resolved at 9:45am. I stayed there for 30 more minutes to be sure and then drove home with no other symptoms but Left arm soreness. Tachycardia never returned after the first episode. No rash, no itching, no swelling, no dyspnea. Just felt toxic. Then it resolved completely at hour 4.

Other Meds: none. Mirena IUD

Current Illness: None

ID: 0923531
Sex: F
Age: 45
State: NJ

Vax Date: 12/27/2020
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: Negative rapid antigen test 1/5/2020

Allergies: none

Symptoms: COVID toes and fingers, with itchy and painful nodules on fingers, feet

Other Meds: Wellbutrin, levothyroxine, Deplin, vitamin D, fish oil

Current Illness: no

ID: 0923532
Sex: F
Age: 44
State: NC

Vax Date: 12/16/2020
Onset Date: 12/16/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: developed nausea right after taking vaccine.

Other Meds:

Current Illness:

ID: 0923549
Sex: M
Age: 61
State:

Vax Date: 12/24/2020
Onset Date: 12/25/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, Myalgia, Anaphylaxis, Fever, HYPERtension, oral thrush Narrative:

Other Meds:

Current Illness:

ID: 0923561
Sex: U
Age:
State: PA

Vax Date: 12/09/2020
Onset Date: 12/09/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Product storage error; This spontaneous report was received from a physician regarding to a patient of unknown age and gender. Information regarding the patient's concomitant therapies, concurrent conditions, medical history and historical drugs was not provided. On 08-DEC-2020, the patient was vaccinated with an improperly stored dose of measles, mumps, rubella and varicella (oka-merck) virus vaccine live rHA (recombinant Human albumin) (PROQUAD) lot # T021302, expiration date 19-DEC-2021, 0.5 milliliter for prophylaxis (route of administration was not provided). The improperly stored suspect vaccine experienced a temperature of -5 degree Celsius (?C) for 20 hours with no previous temperature excursion. The call was made due to a digital data logger.

Other Meds:

Current Illness:

ID: 0923562
Sex: F
Age:
State: FL

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

Lab Data:

Allergies:

Symptoms: Suspected vaccination failure / have gotten the Shingrix shot / Since having / Shingrix series / continues to have shingles outbreaks; have shingles for over 20 yrs have gotten outbreak now / has the shingles outbreaks at least twice a year; she does get blisters; blisters / they do itch; blisters/ are painful; This case was reported by a consumer and described the occurrence of suspected vaccination failure in a adult female 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 (for over 20 yrs). Previously administered products included Zostavax. On an unknown date, the patient received the 1st dose of Shingrix and the 2nd dose of Shingrix. On an unknown date, less than 2 years after receiving Shingrix and Shingrix, the patient experienced vaccination failure (serious criteria GSK medically significant), shingles, blister, pruritus and pain. On an unknown date, the outcome of the vaccination failure, blister, pruritus and pain were unknown and the outcome of the shingles was not recovered/not resolved. It was unknown if the reporter considered the vaccination failure, shingles, blister, pruritus and pain to be related to Shingrix and Shingrix. Additional details were provided as follows: The case was repored by patient herself. The patient had the Shingrix 2-dose series in 2018. Since having the Shingrix series, she continued to have shingles outbreaks. She had the shingles outbreaks at least twice a year. She stated they were not as severe as they were prior to being vaccinated with Shingrix but she did get blisters and they do itch and were painful. They were treated with (unspecified) antiviral prescription medications. She usually goes to urgent care when she had an outbreak. She tried to go to urgent care as soon as the symptoms begin but with her last outbreak she was hesitant to go to the urgent care due to the Covid-19 epidemic and so she waited over a week to go and due to that her outbreak lasted 3 weeks. The patient was calling to see if she could receive a third dose of Shingrix. She states that her shingles outbreaks were triggered by stress such as the stress of wearing a mask while at the gym. The patient was currently on an anti-viral drug being have gotten outbreak now. Also yearly, the patient get the shingles minimum of 2 times a year and need to take the anti-viral drug. This case was considered as suspected vaccination failure since the details regarding laboratory test were unknown at the time of reporting.

Other Meds:

Current Illness:

ID: 0923563
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: suspected vaccination failure; whooping cough; lose my breath; asthma; did not feel well; cough.; sick; This case was reported by a consumer via interactive digital media and described the occurrence of vaccination failure in a patient who received DTPa (Reduced antigen) (Tdap Vaccine) for prophylaxis. On an unknown date, the patient received Tdap Vaccine. On an unknown date, unknown after receiving Tdap Vaccine, the patient experienced vaccination failure (serious criteria GSK medically significant), whooping cough (serious criteria GSK medically significant), apnea (serious criteria GSK medically significant), asthma, sickness, malaise and cough. The patient was treated with anti-asthmatic (nos) (Asthma Medicines (Nos)). On an unknown date, the outcome of the vaccination failure, whooping cough, apnea and asthma were unknown and the outcome of the sickness and malaise were recovered/resolved and the outcome of the cough was not recovered/not resolved. It was unknown if the reporter considered the vaccination failure, whooping cough, apnea, asthma, sickness, malaise and cough to be related to Tdap Vaccine. Additional details were reported as follows: The age at vaccination was not reported. The patient received TDAP vaccine in 2016. The patient experinced whooping cough two years ago from the day of reporting The patient had developed asthma after over whooping cough The patient had coughed every day for over two years The patient lose breath when talk a lot (which patient normally do not do). The patient waas sick for 5 months and I did not feel well until months after that. At the time of reporting felt better. The patient's pulmonologist upped the asthma medicine and still patient had cough.

Other Meds:

Current Illness:

ID: 0923564
Sex: M
Age:
State: NJ

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

Lab Data:

Allergies:

Symptoms: covid; covid; This is a spontaneous report from a contactable physician. A male patient of an unspecified age received single dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, batch/lot number and exp date not reported), via an unspecified route of administration on an unspecified date for immunization. The patient's medical history and concomitant medications were not reported. The physician inquired whether a person with previous history of COVID would experience more significant reaction to the COVID vaccine than a person without a previous diagnosis due to having already produced antibodies. Reporter's colleague (physician) had the vaccine 2 weeks ago, had a severe reaction (unspecified) wherein he got a shot of epi. Patient recovered and was okay. At the time of reporting, patient now had Covid or maybe he had Covid before, reporter was not sure. The outcome of the events was unknown. Information on the Batch/Lot number has been requested.; Sender's Comments: Based on available information, a possible contributory role of suspect BNT162B2 vaccine cannot be completely excluded for event "Covid".

Other Meds:

Current Illness:

ID: 0923565
Sex: F
Age:
State: PA

Vax Date: 12/19/2020
Onset Date: 12/19/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: Test Date: 20201219; Test Name: temp; Result Unstructured Data: Test Result:99.5 Fahrenheit; Comments: 7pm; Test Date: 20201219; Test Name: temp; Result Unstructured Data: Test Result:101 Fahrenheit; Comments: 10pm and 10:30pm; Test Date: 20201220; Test Name: temp; Result Unstructured Data: Test Result:99 Fahrenheit; Comments: By morning it was 99 degrees Fahrenheit; Test Date: 20201220; Test Name: temp; Result Unstructured Data: Test Result:98 Fahrenheit; Comments: then 98 degrees Fahrenheit a little later; Test Date: 20201220; Test Name: temp; Result Unstructured Data: Test Result:102.5 Fahrenheit; Comments: 2:30 am; Test Date: 20201226; Test Name: PCR test; Test Result: Positive ; Comments: at 14:50 and it came back positive 28Dec2020 18:45

Allergies:

Symptoms: positive COVID-19 test with symptoms; positive COVID-19 test with symptoms, tested for COVID (PCR); night sweats; Soreness at injection site; slight temp 99.5 degrees/her temperature was 101 degrees Fahrenheit/it was 102.5 degrees Fahrenheit/99 degrees Fahrenheit and then 98 degrees Fahrenheit; Tiredness she related to giving blood; This is a spontaneous report from a contactable nurse (patient). A 54-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL0140) via intramuscular on 19Dec2020 15:45 on left deltoid at a single dose for prevention as frontline health worker at hospital (COVID-19 immunisation). The patient donated blood on 18th and no antibodies were present then. The patient was a former smoker and quit 2 or 3 years ago. Patient diagnosed Osteoporosis in 2015, benign heart arrhythmia in 2005. The patient took 70 mg alendronate sodium (FOSAMAX) once weekly and just a regular OTC daily multivitamin. Caller reported she was having the covid vaccine on 19Dec2020 and began having fever, night sweats, loss of taste and smell and then tested positive for covid. The patient received the Pfizer COVID 19 vaccine through work on 19Dec2020. She received it at 3:45 pm and should have taken temperature before, but she was afebrile the day before because she donated blood. At 7pm, she had slight temp 99.5 degrees Fahrenheit and by 10:30, her temperature was 101 degrees Fahrenheit and she still felt fine. She was surprised that it was that. She woke up at 2:30 am on 20Dec2020 and took her temperature and it was 102.5 degrees Fahrenheit. She took 2 Tylenol and went back to bed and felt fine. By morning it was 99 degrees Fahrenheit and then 98 degrees Fahrenheit a little later. She has been afebrile since then. She was a little tired because she gave blood and though it was related. She does not know if it was a side effect or not. It was not significant tiredness and was just not having energy in the evening of 19Dec2020. She also had soreness at injection site that night after 22:00 and the next day. It did not bother her until she woke up in the middle of night, and she noticed her left arm was sore. She received the vaccine at 3:45pm and started with low grade fever at 6:30 pm, earlier stated at 7:00 pm. There was no prescriber. She tested for COVID (PCR) on Saturday, 26Dec2020 at 14:50and it came back positive 28Dec2020 18:45. At 10pm on 19Dec2020, her temperature was 101 degrees Fahrenheit. If she had not been monitoring her temperature, she would not have known. She has been Afebrile since morning of 20Dec2020. Tiredness she related to giving blood and the holidays. She was a little stressed about the holidays and running around. It was very mild. Soreness at injection site was during the night after 10pm when she went to bed. On Wednesday, 23Dec2020, she woke up congested, sniffly, sneezy, with a runny nose. This persisted through Wednesday night. Her sense of taste was off. She had no problem with that on Tuesday. She had some horrible smell at work she recalled, so she knew her sense of smell was fine. On Thursday, 24Dec2020, she had no sense of taste or smell. She could not smell a pine candle. She was congested on Thursday and called employee health on 24Dec2020. This both improved and persisted. She is still congested but it has improved. She has never had a complete loss of sense of taste or smell before. Mild cough started yesterday morning. On the night of 20Dec2020, and 21Dec2020, she developed night sweats. She had not had any night sweats before this since menopause and she woke up really wet. The patient was not hospitalized and not admitted to an Intensive Care Unit. NO ER or physician's office required. She did not know if she was exposed on the day of the vaccine or if a couple of days later if the fever is from the vaccine. She stated what are the chances she goes 10 months and is super careful and then gets the vaccine and test positive. The patient did not display clinical signs at rest indicative of sever systemic illness. The patient did not require supplemental oxygen nor receive mechanical ventilation. No Multiorgan failure. The patient did not receive any additional therapies for COVID- 19. No initiation of new medication or other treatment or procedure. Not any preexisting diseases worsen during the SARS-CoV2 infection. She would like to know if there is a chance of false positive for this. It would just be her luck to be 10 months and not getting it. She has not gone anywhere without her N95 and then gets the vaccine and gets COVD. She wears mask and face shield at work always. She also wanted to know if she should get the second dose. The outcome of the event slight temperature was recovered on 20Dec2020 and the other event was recovering.; Sender's Comments: Based on the information currently available, a lack of efficacy with the suspected vaccine BNT162B2 in this patient cannot be completely excluded.

Other Meds: FOSAMAX

Current Illness:

ID: 0923566
Sex: M
Age:
State: AZ

Vax Date: 12/24/2020
Onset Date: 12/01/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: Test Date: 20201226; Test Name: Nasal Swab/NP PCR; Result Unstructured Data: Test Result:Positive

Allergies:

Symptoms: tested positive for Covid two days after getting vaccine; tested positive for Covid two days after getting vaccine/nasal swab/ NP PCR and result was positive; This is a spontaneous report from a contactable physician. A 39-years-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number and expiration date not reported), intramuscular on the left arm on 24Dec2020 at 08:30 at a single dose for Covid-19 immunization. There were no medical history and no concomitant medications. The patient has no known allergies to medications, food, or other products. On 25Dec2020 at 09:00 am, also reported as 26Dec2020, the patient was tested positive for Covid two days after getting vaccine. He was wondering if he should get the booster dose in 3 weeks or not since he will have natural immunity. The patient did not receive any treatment for the events. The patient had a nasal swab/ NP PCR and result was positive on 26Dec2020. The outcome of the events was not recovering. The events were assessed as non-serious. Information on the lot/batch number has been requested.; Sender's Comments: No effect of the suspect vaccine could be reasonably achieved to protect from the targeted infection/disease due to the very short time lag. Instead, the COVID-19 PCR test positive represents the pre-existing infection prior to vaccine use. Further information like confirmative COVID 19 nucleic acid/ PCR test together with any associated symptoms are needed for full medical assessment.

Other Meds:

Current Illness:

ID: 0923567
Sex: F
Age:
State: NV

Vax Date: 12/16/2020
Onset Date: 12/23/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: left supraclavicular lymph adenopathy; This is a spontaneous report from a contactable nurse (patient). A 29-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot EH9899) intramuscular on 16Dec2020 14:00 (02:00 PM) at a single dose on the left arm as COVID-19 vaccine. The patient had no medical history/concurrent conditions and no known allergies to medications, food, or other products. Concomitant medication included paracetamol (TYLENOL) (received within 2 weeks of vaccination). The patient had an adverse event (AE) left supraclavicular lymph adenopathy on 23Dec2020 which resulted to doctor or other healthcare professional office/clinic visit and emergency room/department or urgent care. Treatment for the AE included antibiotics. It did not result in death, not life threatening, did not caused/prolonged hospitalization, not disabling/incapacitating, did not cause congenital anomaly/birth defect. She was not pregnant at the time of vaccination. She did not receive other vaccines within four weeks prior to the COVID vaccine. She was not diagnosed with COVID-19 prior to vaccination and did not have Covid tested post vaccination (had not been tested for COVID-19 since the vaccination). The patient was vaccinated in a hospital (facility where the most recent COVID-19 vaccine was administered). The outcome of the event was unknown.

Other Meds: TYLENOL

Current Illness:

ID: 0923568
Sex: F
Age:
State:

Vax Date: 12/22/2020
Onset Date: 12/24/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: Test Date: 20201228; Test Name: COVID-19 test; Result Unstructured Data: Test Result:Positive

Allergies:

Symptoms: positive COVID-19 test with symptoms; positive COVID-19 test with symptoms; This is a spontaneous report from a contactable unspecified HCP reporting for herself. This 61-year-old female patient received on 22Dec2020 BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) at single dose for COVID-19 vaccination. Medical history and concomitant medications were not reported. On 24Dec2020, the patient had a bad reaction, coughing, headache, no taste, tiredness and body aches. The patient thought originally, she was having a reaction to the vaccine, and took some ibuprofen (ADVIL). The patient was still congested and was sent for testing. She was tested positive on 28Dec2020. The test was a nasal swab. Outcome was unknown. The patient was wondering if this was part of the side of effect of the vaccine. Information on the batch number has been requested.; Sender's Comments: Based on the current available information and the plausible drug-event temporal association, a possible contributory role of the suspect product BNT162B2 to the development of events Drug ineffective and COVID-19 cannot be totally excluded. The case will be reassessed if additional information becomes available.

Other Meds:

Current Illness:

ID: 0923569
Sex: F
Age:
State: MN

Vax Date: 12/21/2020
Onset Date: 12/29/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: injection site tenderness/it is a little tender; swollen at injection site/It is swollen at the injection site; itchiness at injection site; This is a spontaneous report from a contactable consumer. A 58-year-old female patient started to receive BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: unknown), via an unspecified route of administration (upper left arm) on 21Dec2020 (between 9:00AM and 9:30AM) at single dose for Covid-19 immunization. Medical history included allergic to dust mites and grass, summertime allergies (haven't been diagnosed but she has sneezing and watery eyes during the summer), obese at 190, and flu vaccine in Oct2020, and smoker. Her mother passed from COPD and stated that more than likely she has that because she is a smoker. Her father had congestive heart failure. Concomitant medications were not reported. The patient previously took flu vaccine vii and experienced migraine; also, previously took Novocaine (probably 10 to 15 years ago) out of the blue she had a reaction. "Eons ago" when she was probably 25 she had a reaction to the very first flu shot that she got. The reaction was a migraine and she could not get out of bed. The patient wanted to know if it was normal to have side effects a week later after receiving Covid vaccine. She received vaccine on 21Dec2020 and today (29Dec2020 5AM) she was experiencing injection site tenderness, appearing swollen at injection site, and itchiness at injection site. It was further reported that she woke up this morning and her arm is itchy. It is swollen at the injection site. It is about the size of a fifty-cent piece. It is itchy and it is a little tender. The patient added, "It is a little tender": it was a little sore the first day like a flu shot. It is annoying like a bug bite itch. The swelling has been the same throughout the day. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The outcome of events was not recovered. Information on the Lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0923570
Sex: U
Age:
State:

Vax Date: 12/01/2020
Onset Date: 12/01/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: Test Date: 202012; Test Name: COVID-19; Result Unstructured Data: Test Result:Positive; Comments: the COVID-19 vaccine last week and six days later tested positive for COVID-19

Allergies:

Symptoms: got the COVID-19 vaccine last week and six days later tested positive for COVID-19; got the COVID-19 vaccine last week and six days later tested positive for COVID-19; This is a spontaneous report from a contactable pharmacist. A patient of unspecified age and gender received bnt162b2 (BNT162B2 also reported as PFIZER-BIONTECH COVID-19 VACCINE, lot/batch number and expiry date were not reported), via an unspecified route of administration on unspecified date in Dec2020 at single dose, for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient got the covid-19 vaccine last week and six days later (Dec2020) tested positive for Covid-19. The outcome of event was unknown. Information about Lot/Batch number has been requested.; Sender's Comments: The information currently provided is too limited to make a meaningful medical assessment hence, the events are conservatively assessed as related to the suspect drug BNT162B2 until further information becomes available.

Other Meds:

Current Illness:

ID: 0923571
Sex: F
Age:
State: CO

Vax Date: 12/27/2020
Onset Date: 12/27/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: breathlessness; racing heart rate; shaking disease; This is a spontaneous report from a contactable consumer (patient). A 28-year-old female patient received the first dose of BNT162B2 (Pfizer-BIONTECH Covid-19 Vaccine), via an unspecified route of administration on 27Dec2020 at a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On 27Dec2020, the patient had an immediate reaction which included breathlessness, racing heart rate, and "shaking disease." She said that the reactions happened a minute after getting the vaccine. She was observed for an hour and said she still had the breathlessness, but was improving. She wanted to know if she should still take the second dose of the vaccine. Outcome of the event breathlessness was recovering, while for the other events was unknown. Information about the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0923572
Sex: F
Age:
State: CA

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: Test Name: BGL; Result Unstructured Data: Test Result:within normal limits

Allergies:

Symptoms: anaphylaxis; ALOC/decreased level of consciousness; This is a spontaneous report from a contactable Pharmacist (patient). a 40-year-old female patient (no pregnant) received first dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number EL0140) via intramuscular at Left arm on 23Dec2020 at single dose for COVID-19 immunization. The patient's medical history included known allergies to egg, seafood, azithromycin, orange and seasonal allergies. The concomitant was reported as cetirizine hydrochloride (ALLERTEC) and PRN 1371. The patient with no known past medical history brought in by CODE Team to RUH ED with concern for ALOC after getting the COVID vaccination 30-40 minutes PTA. Patient was a nurse and experienced decreased level of consciousness following her COVID vaccination. Patient reports h/o anaphylaxis. She was given epinephrine PTA. Denies SOB, oral swelling, CP. Blood glucose (BGL) within normal limits. Patient denies any other complaints or symptoms at this time. Adverse event start date: 23Dec2020. Treatment was unknown for decreased level of consciousness. The outcome of the events was recovered in Dec2020.; Sender's Comments: A possible causal association between administration of BNT162B2 and the onset of anaphylaxis /decreased level of consciousness cannot be excluded, considering the plausible temporal relationship and the known adverse event profile of the suspect product. The underlying predisposing condition of allergies to multiple materials may put the patient at high risk of anaphylactic reactions. 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: ALLERTEC;

Current Illness:

ID: 0923573
Sex: F
Age:
State: AZ

Vax Date: 12/22/2020
Onset Date: 12/01/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: Test Date: 20201216; Test Name: Covid virus; Test Result: Negative ; Test Date: 20201218; Test Name: Covid virus; Test Result: Negative ; Test Date: 20201222; Test Name: Covid virus; Test Result: Positive ; Test Date: 20201224; Test Name: Covid virus; Test Result: Positive

Allergies:

Symptoms: She has been feeling rotten for a few days; This is a spontaneous report from a Pfizer-sponsored program via a contactable physician reporting for herself. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 22Dec2020 at a single dose for COVID-19 immunization. Medical history included ongoing COVID positive since 22Dec2020. She was COVID positive before she got the vaccine. She got tested for COVID Corona Virus, because they do it weekly. She does weekly self-testing as part of a study she is in. There was an outbreak at her office and that is why she had to get a whole other test. On 22Dec2020 she did a nasal swab. She didn't get the results from the nasal swab until the day of report. The patient's concomitant medications were not reported. It was reported she was having an immune reaction to the vaccine and she was expecting it and said it was ok. On the 23rd she had symptoms. On the 24th, the rapid test was positive. The results from the nasal swab on 22Dec2020 was positive, so she was COVID positive before she got the vaccine. She has been feeling rotten for a few days and couldn't reach out before today. The patient wanted to know if it would be effective for her to receive the second dose of the COVID vaccine after being positive for the COVID virus. Outcome of the event was unknown. Information on the batch/lot number has been requested.

Other Meds:

Current Illness: COVID-19 virus test positive

ID: 0923574
Sex: F
Age:
State: NV

Vax Date: 12/16/2020
Onset Date: 12/16/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: Test Date: 20201216; Test Name: HR; Result Unstructured Data: Test Result:Elevated HR up to 130; Comments: Elevated HR up to 130 for a few hrs after administration and intermittently for several days.

Allergies:

Symptoms: Elevated HR up to 130 for a few hrs after administration and intermittently for several days; Severe fatigue; This is a spontaneous report from a contactable nurse. A 43-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: eh9899, expiry date not reported), intramuscular on the left arm on 16Dec2020 12:00 at single dose for COVID-19 immunisation. Medical history included asthma. Concomitant medications were not reported. On 16Dec2020 14:00, the patient experienced elevated HR up to 130 for a few hours after administration and intermittently for several days and severe fatigue. No therapeutic measure was taken as a result of the events. Clinical outcome of the events was recovered with sequelae on Dec2020. Follow-up attempts are not possible. No further information is expected.

Other Meds:

Current Illness:

ID: 0923575
Sex: F
Age:
State: WI

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: Test Date: 20201229; Test Name: COVID test; Test Result: Positive

Allergies:

Symptoms: caller couldn't hear properly; got the Covid vaccine last 18Dec2020/her second dose of COVID-19 Vaccine was scheduled on 06Jan2021; Caller got the Covid vaccine last 18Dec2020 and was tested positive, 29Dec2020; Caller got the Covid vaccine last 18Dec2020 and was tested positive, 29Dec2020; Nausea; Headache; Body aches; fatigue; Cold sweat; This is a spontaneous report from a contactable other health professional. A 51-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number reported as either EK5730, ER5730, or EX5730), via an unspecified route of administration on 18Dec2020 16:00 at single dose at left deltoid for COVID-19 immunisation. Medical history and concomitant medications were none. The patient previously had shingles shot in Sep2020, previous shingles shot either three months or six months prior to the one in Sep2020 (2020), both for immunization, and severe myalgia and fever that lasted for two days after the second shingles shot (adverse events followed prior vaccinations). It was reported that did a callback as caller couldn't hear properly. Caller got the Covid vaccine last 18Dec2020 and was tested positive, 29Dec2020. Want to know if it's safe for her to get the second dose. The patient received Pfizer COVID-19 Vaccine on 18Dec2020 at 16:00. Patient had a couple days worth of symptoms. Now patient had COVID. Patient believed most likely got COVID from her son who was home from college. She was in between dosages of COVID-19 Vaccine. Looked like from research her quarantine would be done on 05Jan2021 and her second dose of COVID-19 Vaccine was scheduled on 06Jan2021. Everything she had read stated if her symptoms were gone to go ahead and get the second COVID-19 Vaccine. Patient wanted to know if Pfizer was doing any studies regarding people who test positive for COVID after receiving the COVID-19 Vaccine. Not sure if Pfizer would be interested in doing antibody studies. Declined obtained COVID-19 Vaccine through work Clarified caller's days worth of symptoms as: Headache the same evening as vaccination. Body Aches: began overnight on 18Dec2020. Fatigue that lasted all week, began overnight on 18Dec2020. Cold sweats: Lasted two days and began overnight on 18Dec2020. Nausea: began on 21Dec2020, not sure if it was related to COVID-19 Vaccine or not. The reporter considered the events weren't serious, but felt like she was having an immunological response. Diagnosed with COVID Seriousness: As of now, not serious. Is having a recurrence of all of those same symptoms as the COVID-19 Vaccine and then some. Lot number provided from patient card. Stated she was unable read it accurately. would take picture in case Pfizer wanted it. Stated lot number was either EK5730, ER5730, or EX5730. A sample of the product was not available to be returned. Vaccination facility type was Hospital, not administered at military site. No additional vaccines administered on same date of Pfizer suspect. No adverse events required a visit to. No prior vaccinations received within 4 weeks. The outcome of the event "Cold sweat" was recovered on 20Dec2020. The outcome of the other events was unknown. The reported considered the events Headache, Body aches, fatigue, Cold sweat, Nausea were related to the suspect drugs. Information on the lot/batch number has been requested.; Sender's Comments: The reported COVID test positive after COVID-19 immunization is considered ineffective of BNT162B2, and the Company cannot completely exclude the possible causality between the reported event and BNT162B2 administration.

Other Meds:

Current Illness:

ID: 0923576
Sex: F
Age:
State:

Vax Date: 12/22/2020
Onset Date: 12/01/2020
Rec V Date: 01/06/2021
Hospital:

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

Allergies:

Symptoms: had her shot of Covid vaccine last (22Dec2020) 7 days and was tested positive on Dec2020; had her shot of Covid vaccine last (22Dec2020) 7 days and was tested positive on Dec2020; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on 22Dec2020 at a single dose as Covid vaccine. Medical history and concomitant medications were not reported. It was reported that the patient had her shot of Covid vaccine last (22Dec2020) 7 days and was tested positive on Dec2020. She wanted to know if this was normal to get false positive results after getting the vaccine. The outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm