VAERS 2021 Database www.vaers.hhs.gov

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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: 1011530
Sex: F
Age: 35
State: NC

Vax Date: 12/17/2020
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Complaint of severe right shoulder pain that occurred almost immediately after vaccination. Shot up and down her arm. States any type of movement makes the pain worse. Denies numbness or tingling. Reported to ED for evaluation the following day. Prescribed: Oxycodone/APAP 5/325 prn pain; Prednisone 10mg- 6day; Robaxin 750 PRN pain;

Other Meds:

Current Illness:

ID: 1011531
Sex: M
Age: 70
State: CA

Vax Date: 01/22/2021
Onset Date: 01/25/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Loss of sense of smell, extreme lethargy, Brain fog

Other Meds:

Current Illness:

ID: 1011532
Sex: F
Age: 60
State: CA

Vax Date: 01/20/2021
Onset Date: 01/24/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: none to date; unsure who to contact and what tests should be performed

Allergies: Sulfa

Symptoms: Had trigger finger in right hand lasting 3 days -resolved. Began experiencing tingling and electrical impulses down both legs (no pain). This becomes worse with walking. Comes and goes throughout the entire day and wakes me up at night at intervals. Began 4 days after vaccine and has continued since.

Other Meds: Vitamins C, D, zinc, Magnesium; Pepcid; plexus (vitamin, probiotic, cleanse); melatonin

Current Illness: none

ID: 1011533
Sex: F
Age: 44
State: AZ

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

Lab Data: None

Allergies: Environmental allergies

Symptoms: Rash (pruritic) and swelling distal and medial to the vaccination site that continued to migrate distally over the course of a week. Treated at home with topical antihistamine cream and oral antihistamines. Incremental resolution each day after the first two days, 95% resolved by day 6. Adverse event did not prevent any ADLs.

Other Meds: Fexofenadine; levothyroxine

Current Illness: None

ID: 1011534
Sex: F
Age: 61
State: KY

Vax Date: 01/27/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Moderna COVID 19 Vaccine EUA 9 days after vaccine red rash appeared on left arm at injection site. Rash slightly itchy and painful. 3 days later rash has increased by 50% but lighter appearance and no longer itchy or painful

Other Meds: Synthroid 75mcg pravastatin 40mg Vitamin D Calcium Multi Vitamin

Current Illness:

ID: 1011535
Sex: F
Age: 52
State: CA

Vax Date: 02/05/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: pt has known allergy to squid ink

Symptoms: Pt received oral benadryl at 1140 due to complaint of itchiness and feeling "flushed". 2.25hours later, pt had bright red ears and did not "feel right". She came back to the medical dept, her BP was markedly elevated (180s/100), 70-90 HR, 02 saturation was WNL. Pt has normal blood pressure as her baseline. Pt c/o palpitations and racing heart beat. Pt was sent to local ED.

Other Meds:

Current Illness: none reported

ID: 1011536
Sex: F
Age: 68
State: WI

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: No formal testing. However, my daughter that is a nurse took my BP and unfortunately I don't remember the numbers. After the Benadryl, about 1 hour she again took my BP and it was lower, but still in the high range. The following day she came and took it again and it was just fine.

Allergies: Sulfa druga, Azithromycin

Symptoms: Classic Anxity attack with upset stomach. Blood pressure spiked, and heart raced. No pain, only terror feeling. Spoke with NP and seh recommended 2 Benardyrl. If things got worse to go to ER. They did get better. Next day foggy head and still upset stomach, Yesterday was better, stomach still huts but better.

Other Meds: Valsartan 40mg, Rosuvastatin 10mg, Euthrox 50 mcg, Asprin 81mg, Centrum Silver women's, Calcium 500 mg, Vitamin D2001 mg,

Current Illness: None.

ID: 1011537
Sex: F
Age: 28
State: CA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: NA

Symptoms: 6pm: body aches, feeling cold, not hungry or able to finish my dinner, drowsy. I went to bed around 7pm. All that night, I was hot and sweating and freezing cold. I had a lot of pain in my lower back and would have to position myself in fetal position. There was no position that felt comfortable. 24 hours after the shot, still fatigue, stayed in bed for most of the day. No appetite. 48 hours: limited appetite, I was hungry, but when eating just felt bloated and not interested. Would feel stomach aches if I attempted to eat more. The monday following the vaccine, I had eaten lunch and noticed I had a burning feeling in a lower area of my throat. My stomach felt slightly upset.

Other Meds: Ibuprofen 600mg

Current Illness: NA

ID: 1011538
Sex: F
Age: 66
State: NC

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

Lab Data: NA

Allergies: Penicillin, Not Specified, 6/21/2016; Codeine, Itching, Low Allergy 6/21/2016; Etodolac, Itching, Low Allergy, 6/21/2016; Hydrocodone-acetaminophen, Itching Low Allergy, 6/21/2016; Macrodantin [Nitrofurantoin Macrocrystal], Rash Low, 6/21/2016; Polymyxin B, Rash Low, 12/15/2017; Septra [Sulfamethoxazole-trimethoprim], Itching, Low Allergy, 6/21/2016; Amoxicillin, Nausea And Vomiting, Low Intolerance, 6/21/2016; Baclofen, Diarrhea, Nausea Only Low Intolerance, 6/21/2016; Crestor [Rosuvastatin Calcium], Low Intolerance, 2/22/2019; Simvastatin, Low Intolerance, 5/17/2018

Symptoms: The patient called stating that she had Pneumococcal -23 on Tuesday and her right arm is swollen and she has red blotches from the injection site to her elbow. She states the first night after the immunization her arm ached even under her armpit. She denies itching. She denies fever. She denies difficulty swallowing or swelling of her lips or tongue. Per protocol, the patient was asked to go to ER for evaluation. She states that she works at the cancer center and will have the nurse supervisor look at it. She was again advised to seek medical care. Unsure if she will go.

Other Meds: Acetaminophen (Tab) TYLENOL 500 MG; Adalimumab (Pen-injector Kit); Humira Pen 40 MG/0.4ML; Albuterol Sulfate (Aero Soln); VENTOLIN HFA 108 (90 Base) MCG/ACT; ALPRAZolam (Tab); XANAX 0.25 MG; Amitriptyline HCl (Tab); ELAVIL 25 MG; Aspirin EC

Current Illness: N/A

ID: 1011539
Sex: F
Age: 42
State: FL

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Swollen, red, hot, painful arm, armpit, and trap muscle ipsilateral of injection site. Accompanied by headache, epigastric and RUQ abdominal pain and nausea. This happened the day after the injection and has continued to today (3rd day following 2nd Moderna vaccine shot). I had no reactions after the 1st shot.

Other Meds: None

Current Illness: None

ID: 1011541
Sex: F
Age:
State: CA

Vax Date:
Onset Date:
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: very bad reaction/ she was swollen, hot, lymph nodes enlarged, and she hurt; hurt; she was swollen; she was hot/ doctor put cold packs on it; very bad reaction; she didn't mix the vaccine and feels like it wasn't mixed correctly; 0.5 ml; This spontaneous report was received from a currently 71-year-old nurse who is also a female patient and she refers to herself. There was no information about the patient's concurrent conditions or medical history provided. Her concomitant therapies included possibly blood pressure medication. She had drug hypersensitivity to doxycycline and penicillin, she had rubber (latex) sensitivity, and she was allergic to bee stings. On an unknown date, approximately in 2011 (reported as 10 years ago), the patient was vaccinated with zoster vaccine live (ZOSTAVAX) injection in dose 0.5 (units not reported) for shingles (exact dose, dose number, lot #, expiration date, route of administration and anatomical location were not reported). On an unknown date, approximately in 2011 (reported as 10 years ago), the patient had a very bad reaction when she was vaccinated. She stated, she was swollen, hot, lymph nodes were enlarged, and she was hurt. It got worse 48 hours later. The patient did see the doctor and put cold packs on it as she was taking anti-inflammatories. Caller stated that she didn't mix the vaccine and it felt like it wasn't mixed correctly. She had never had a reaction like that before and it seemed uncommon. The patient recovered from all the events on an unknown date. The causality assessment between all the events and zoster vaccine live (ZOSTAVAX) was not provided.

Other Meds:

Current Illness: Allergic reaction to antibiotics; Allergic reaction to bee sting; Latex allergy; Penicillin allergy

ID: 1011542
Sex: U
Age:
State: TX

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: No other AE reported; a temperature excursion involving PNEUMOVAX23; This spontaneous report as received from a "HBP" refers to a patient of unknown age and gender. The patient's medical history, concurrent conditions and concomitant medications were not reported. On 22-DEC-2020, the patient was vaccinated with an improperly stored dose of pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) 0.5 ml, lot # T007790, expiration date: 03-DEC-2021 (anatomical location and route of administration were not reported), for prophylaxis. Administered dose of vaccine underwent the temperature excursion of 31.2 degrees Fahrenheit for 30 minutes. Digital data logger was involved. There were no previous excursions reported. No adverse event was reported. This is one of several reports received from the same reporter. combinationproductreport: Yes; brandname: PNEUMOVAX23 SYRINGE (DEVICE); commondevicename: Pneumococcal Vaccine, Polyvalent (23-valent); productcode: FMF; devicetype: SYRINGE, PISTON (FMF); manufacturername: Merck Sharp & Dohme Corp.; devicelotnumber: T007790; expirationdate: 03-DEC-2021; deviceage and unit: 0 ; malfunction: Unknown; deviceusage: Initial; reasonfornoneval: 81 Other; labeledsingleusedevice: No; mdcpreportability: No; mdcpreprationale: Case information does not meet the criteria for Reportability; Sender's Comments: US-009507513-2101USA010281: US-009507513-2101USA010448:

Other Meds: PNEUMOVAX23 SYRINGE (DEVICE)

Current Illness:

ID: 1011543
Sex: U
Age:
State: NY

Vax Date: 12/07/2020
Onset Date: 12/07/2020
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: temperature excursion for VARIVAX/administered to patients; This spontaneous report was received from a nurse and refers to a patient of unknown age and gender. The patient's concurrent conditions, medical history and concomitant medication were not provided. On 07-DEC-2020, the patient was vaccinated with improperly stored dose of varicella virus vaccine live (oka/merck) (VARIVAX) lot # S038698, expiration date 01-DEC-2021, 0.5 ml, administered subcutaneously (SQ), 1 dose prophylaxis. The temperature was 32.4 degrees Fahrenheit (F) for 4 hours. There was no previous temperature excursion. Data logger was involved. The outcome was unknown. This is one of several reports received from the same reporter.; Sender's Comments: US-009507513-2101USA010446: US-009507513-2101USA009977: US-009507513-2101USA010358: US-009507513-2101USA010369:

Other Meds:

Current Illness:

ID: 1011544
Sex: U
Age:
State: MN

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: No additional AE reported; a dose of VAQTA was inadvertently administered after its labeled expiry date; This spontaneous report as received from a registered nurse referring to a 64-year-old patient of unknown gender. Information about medical history, concurrent conditions and concomitant therapies was not provided. On 21-JAN-2021, the patient was inadvertently vaccinated with hepatitis a vaccine, inactivated(VAQTA) 50U/1.0 ml (lot # S036494, expiration date not reported, upon internal validation established as 09-JAN-2021, 1 dosage form) after its labeled expiry date for prophylaxis (expired product administered). There were no known temperature excursions on the involved vaccine. No adverse event was reported. combinationproductreport: Yes; brandname: VAQTA SYRINGE (DEVICE); commondevicename: Hepatitis A Vaccine, Inactivated; productcode: FMF; devicetype: SYRINGE, PISTON (FMF); manufacturername: Merck Sharp & Dohme Corp.; devicelotnumber: S036494; expirationdate: 09-JAN-2021; deviceage and unit: 0 ; malfunction: Unknown; deviceusage: Initial; reasonfornoneval: 81 Other; labeledsingleusedevice: No; mdcpreportability: No; mdcpreprationale: Case information does not meet the criteria for Reportability

Other Meds: VAQTA SYRINGE (DEVICE)

Current Illness:

ID: 1011545
Sex: U
Age:
State: CA

Vax Date: 09/25/2020
Onset Date: 01/26/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: No additional AEs or PQCs reported in this case; This is an adverse event for use outside of the recommended dosing intervals in the prescribing information; This spontaneous report as received from a health care professional (also reported as administrator) to a patient of unknown age. There was no information about the patient's medical history, concurrent conditions or concomitant medication. On 25-SEP-2020 and 05-NOV-2020, the patient was vaccinated with a first and second dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast)(GARDASIL 9),dose :0 .5 milliliter for prophylaxis (routes of administration, lot numbers and expiration date were not reported). It was reported that the patient received a third dose of of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast)(GARDASIL 9),dose :0 .5 milliliter for prophylaxis (route of administration, lot number and expiration date were not reported), on 26-JAN-2021, used outside of the recommended dosing intervals in the prescribing information. No additional AEs or PQCs reported in this case, and no further information was provided.

Other Meds:

Current Illness:

ID: 1011546
Sex: F
Age: 68
State: CA

Vax Date: 11/13/2020
Onset Date: 11/13/2020
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: side effects and an allergic reaction to this pneumonia vaccine; allergic reaction to this pneumonia vaccine; not being able to bend her arm; disoriented; whole arm swelled up; fever; sharp pain at the injection site; administered two shots together on the same day; This spontaneous report was received from a 68 years old female patient, who was referring to herself. The patient's current conditions included thyroid issues, asthma and 22 unspecified allergies. The patient had a history of epistaxis while on therapy with montelukast sodium (SINGULAIR) (case # 2101USA013273). Concomitant therapies included sucralfate and levothyroxine sodium. On 13-NOV-2020, the patient was vaccinated with 2 shots of pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) (reported as "pneumonia vaccine" but lot # confirmed it was Company product) injection, prefilled syringe, intramuscularly, lot # T016159, expiration date was not reported but upon internal validation process, it was established as 28-FEB-2022 (dose and anatomical location were not reported) for prophylaxis (overdose). On the same date, the patient started experiencing side effects and an allergic reaction to pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23). Her whole arm swelled up and it affected her arm muscles "intermittently". She was having a fever and was feeling disoriented and she was not able to bend her arm. At the reporting time, she was still feeling sharp pain at the injection site. She sought medical attention, but she did not receive any treatment for the event. No laboratory diagnostics or studies were performed. The outcome of the events was reported as not recovered. The reporter considered side effects and an allergic reaction related to pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23). The causality assessment between the rest of the events and pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) was not provided. combinationproductreport: Yes; brandname: PNEUMOVAX23 SYRINGE (DEVICE); commondevicename: Pneumococcal Vaccine, Polyvalent (23-valent); productcode: FMF; devicetype: SYRINGE, PISTON (FMF); manufacturername: Merck. devicelotnumber: T016159; expirationdate: 28-FEB-2022; deviceage and unit: 0 ; malfunction: Unknown; deviceusage: Initial; reasonfornoneval: 81 Other; labeledsingleusedevice: No; mdcpreportability: No; mdcpreprationale: Case information does not meet the criteria for Reportability; Sender's Comments: US-009507513-2101USA013273:

Other Meds: levothyroxine sodium; sucralfate

Current Illness: Asthma; Hypersensitivity NOS (22 allergies); Thyroid disorder NOS

ID: 1011547
Sex: U
Age:
State: OH

Vax Date: 10/19/2012
Onset Date:
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: peripheral neuropathy; This initial spontaneous report was received from a lawyer regarding a case in litigation, referring to a patient of unknown age and gender. No information was provided regarding medical history, concurrent conditions, or concomitant medications. On or about 19-OCT-2012, the patient was vaccinated with zoster vaccine live (ZOSTAVAX) for routine health maintenance and for its intended purpose the prevention of shingles (herpes zoster) (strength, dose, route of administration, anatomical location, lot number, and expiration date were not reported). On an unknown date, reported as after received zoster vaccine live (ZOSTAVAX) vaccine, the patient suffered peripheral neuropathy. As a result of these symptoms, the patient was saw and treated by medical provider and was still under their care. As a direct and proximate result of zoster vaccine live (ZOSTAVAX) vaccine, the patient symptoms have resulted in physical limitations not presented prior to used zoster vaccine live (ZOSTAVAX). The patient also experienced mental and emotional distress due to resulted physical limitations and seriousness of patient condition. As a resulted of the manufacture, marketing, advertising, promotion, distribution and/or sale of zoster vaccine live (ZOSTAVAX), the patient sustained severe and permanent personal injuries. Further, as a tragic consequence of wrongful conduct, the patient suffered serious progressive, permanent, and incurable injuries, as well as significant conscious pain and suffering, mental anguish, emotional distress, loss of enjoyment of life, physical impairment and injury. As a direct and proximate result of conduct, the patient had suffered and incurred damaged, included medical expenses, the loss of accumulations, and other economic and non-economic damages. The outcome of peripheral neuropathy was not recovered. The reporter considered peripheral neuropathy to be related to zoster vaccine live (ZOSTAVAX).

Other Meds:

Current Illness:

ID: 1011548
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: He was meant to receive step 1 of VARlVAX but instead got PROQUAD; This spontaneous report was received from a physician assistant and refers to a male adult patient. There was no information about his concurrent conditions, concomitant therapies or medical history provided. On 01-FEB-2021, the patient was meant to be vaccinated with varicella virus vaccine live (Oka/Merck) (VARIVAX) (formulation, strength, dose, route of administration, frequency, lot # and expiration date were not reported) for prophylaxis but instead he received measles, mumps, rubella and varicella (oka-merck) virus vaccine live (PROQUAD) (formulation, strength, dose, route of administration, frequency, lot # and expiration date were not reported) for prophylaxis (wrong vaccine administered).

Other Meds:

Current Illness:

ID: 1011549
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache; arm pain; mild nausea; This case was reported by a consumer and described the occurrence of headache in a adult patient who received Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient received Shingrix. On an unknown date, unknown after receiving Shingrix, the patient experienced headache, pain in arm and nausea. On an unknown date, the outcome of the headache, pain in arm and nausea were unknown. It was unknown if the reporter considered the headache, pain in arm and nausea to be related to Shingrix. Additional details were provided as follows: The age at vaccination was not reported. The age group was not reported but it was selected as adult as per the vaccine indication. The patient received Shingrix and had headache, pain in arm and nausea. The reporter asked could take Motrin to treat side effects of shingrix.

Other Meds:

Current Illness:

ID: 1011550
Sex: U
Age:
State:

Vax Date: 12/16/2020
Onset Date: 12/18/2020
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Shingles; Rash on back; This case was reported by a consumer via interactive digital media and described the occurrence of shingles in a adult patient who received Herpes zoster (Shingrix) for prophylaxis. On 16th December 2020, the patient received Shingrix. On 18th December 2020, 2 days after receiving Shingrix, the patient experienced shingles and rash. On an unknown date, the outcome of the shingles and rash were unknown. It was unknown if the reporter considered the shingles and rash to be related to Shingrix. Additional details were procided as follows: The age at vaccination was not reported. The age group of the patient was not reported but selected as an adult as per vaccine indication. Then reporter stated that, received dose of Shingrix on wednesday and by friday night had rash on back and shingles. The reporter stated that, rash was not listed as side effect but no doubt, had shingles.

Other Meds:

Current Illness:

ID: 1011551
Sex: U
Age:
State:

Vax Date: 12/26/2020
Onset Date: 12/27/2020
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: swollen throat; headache; felt tired; This case was reported by a consumer and described the occurrence of headache in a adult patient who received Herpes zoster (Shingrix) for prophylaxis. On 26th December 2020, the patient received Shingrix. On 27th December 2020, 1 days after receiving Shingrix, the patient experienced headache and fatigue. On 28th December 2020, the patient experienced throat swelling. On an unknown date, the outcome of the headache, fatigue and throat swelling were not recovered/not resolved. It was unknown if the reporter considered the headache, fatigue and throat swelling to be related to Shingrix. Additional details were provided as follows: The age at vaccination was not reported. The age group of the patient was not reported but selected as an adult as per vaccine indication. The reporter stated that, the symptoms were on left side. The patient was looking for more advice.

Other Meds:

Current Illness:

ID: 1011552
Sex: F
Age: 76
State: FL

Vax Date: 12/02/2020
Onset Date: 12/02/2020
Rec V Date: 02/08/2021
Hospital:

Lab Data: Test Date: 2020; Test Name: Covid; Test Result: Negative

Allergies:

Symptoms: tiredness / still tired; feeling muscle pain; fever; shivering; flu-like symptoms started; hasn't been walking due to her symptoms; achy; out of breath; her arm (where the injection was given) was sore / soreness/achiness / little soreness left; This case was reported by a consumer and described the occurrence of injection site pain in a 76-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. Previously administered products included shingrix with an associated reaction of pain in extremity (1st dose received on 26th September 2020). Concurrent medical conditions included irritable bowel syndrome and drug hypersensitivity. On 2nd December 2020, the patient received the 2nd dose of Shingrix (intramuscular). On 2nd December 2020, less than a day after receiving Shingrix, the patient experienced injection site pain. On 5th December 2020, the patient experienced tiredness, muscle pain, fever, shivering, flu like symptoms, mobility decreased, pain and shortness of breath. On an unknown date, the outcome of the injection site pain, flu like symptoms, mobility decreased, pain and shortness of breath were unknown and the outcome of the tiredness and muscle pain were not recovered/not resolved and the outcome of the fever and shivering were recovered/resolved. It was unknown if the reporter considered the injection site pain, tiredness, muscle pain, fever, shivering, flu like symptoms, mobility decreased, pain and shortness of breath to be related to Shingrix. Additional details were provided as follows: The reporter reported herself. The reporter stated that received 2nd dose of shingrix and experienced (where the injection was given) arm soreness is mostly resolved there is only a very little soreness. The patient stated that still feeling muscle pain and tiredness. Shivering and fever have resolved. The patient stated that 76 years old and in good shape. The patient stated that she usually takes a walk every day,she hasn't been walking due to her symptoms but today she did take a walk. The patient stated that today she is still tired and achy and a little out of breath. The reporter stated that on 2nd december 2020,i did not check the calendar while we were talking,I see that 02-Dec-2020 was actually a Wednesday. The reporter stated that she did not had batch number. The reporter provided the pharmacy's name and contact information as they would have a record of the lot numbers and the injection dates could also be confirmed. The reporter stated that pharmacist administered 1st and 2nd dose of shingrix. The reporter informed that on Saturday morning that her (systemic) flu-like symptoms started. She reported this to her pharmacist (because she states she was frightened by her symptoms) The pharmacist suggested she get tested for Covid her Covid result came back negative. The reporter consented to follow up. No further information was available. This case was 1 of 3 linked cases reported by same reporter.; Sender's Comments: US-GLAXOSMITHKLINE-US2020245582:same reporter US-GLAXOSMITHKLINE-US2020245580:same reporter

Other Meds:

Current Illness: Irritable bowel syndrome

ID: 1011553
Sex: F
Age: 70
State: NC

Vax Date: 09/27/2020
Onset Date: 09/01/2020
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: COVID; This case was reported by a pharmacist and described the occurrence of coronavirus infection in a 70-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. On 27th September 2020, the patient received the 1st dose of Shingrix. In September 2020, less than a week after receiving Shingrix, the patient experienced coronavirus infection. The patient was treated with monoclonal antibody (nos) (Monoclonal Antibody). On an unknown date, the outcome of the coronavirus infection was recovered/resolved. It was unknown if the reporter considered the coronavirus infection to be related to Shingrix. Additional details were provided as follows: The patient received Shingrix and developed COVID. The patient received monoclonal antibody treatment and the COVID infection has resolved. The reporter consented to follow up. The HCP did not had the exact date of the COVID diagnosis and did not had the lot and expiry.

Other Meds:

Current Illness:

ID: 1011554
Sex: M
Age: 89
State: PA

Vax Date: 07/09/2020
Onset Date: 07/09/2020
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Unable to sleep; second shot on 09 JUL 2020; red bumps that look like mosquito bites; red bumps that look like mosquito bites / bumps are red and itchy; This case was reported by a consumer and described the occurrence of red rash in a 89-year-old male patient who received Herpes zoster (Shingrix) for prophylaxis. Co-suspect products included prednisone for local swelling and itchy rash. Previously administered products included Shingrix (1st dose received in May 2018). On 9th July 2020, the patient received the 2nd dose of Shingrix (intramuscular). On an unknown date, the patient started prednisone at an unknown dose and frequency. On 9th July 2020, immediately after receiving Shingrix, the patient experienced red rash, itchy rash and drug dose administration interval too long. On an unknown date, the patient experienced sleeplessness. The patient was treated with steroid cream. The action taken with prednisone was unknown. On an unknown date, the outcome of the red rash and itchy rash were not recovered/not resolved and the outcome of the sleeplessness and drug dose administration interval too long were unknown. It was unknown if the reporter considered the red rash and itchy rash to be related to Shingrix. Additional details were provided as follows: The reporter was the patient's spouse. The patient received 2nd dose later than the recommended interval, which led to lengthening of vaccination schedule. The patient received Shingrix dose in left arm. The reporter did not have batch number or expiry date but did have prescription (rx) number, it was 1741250. Immediately after the shot, the patient developed red bumps that look like mosquito bites. The bumps spread to his other arm and on his back. The bumps were red and itchy and he scratches until it bleeds. The patient seen a dermatologist and had tried prednisone by mouth and steroidal creams. The Prednisone made him unable to sleep. The bumps started right after the injection in July and have not resolved till the time of reporting. The reporter consented to follow up. It was unknown if the reporter considered the sleeplessness to be related to Prednisone. This case has been linked to US2021001354 and US2021001358, reported by the same reporter.; Sender's Comments: US-GLAXOSMITHKLINE-US2021001354:same reporter US-GLAXOSMITHKLINE-US2021001358:same reporter

Other Meds:

Current Illness:

ID: 1011555
Sex: F
Age:
State: TN

Vax Date:
Onset Date:
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: anaphylactic reaction after receipt of her first dose of Bexsero; This case was reported by a nurse via call center representative and described the occurrence of anaphylactic reaction in a adolescent female patient who received Men B NVS (Bexsero) for prophylaxis. Co-suspect products included meningococcal B recom vaccine + aloh + omv pre-filled syringe device (Bexsero Pre-Filled Syringe Device) injection syringe for prophylaxis. On an unknown date, the patient received the 1st dose of Bexsero and Bexsero Pre-Filled Syringe Device. On an unknown date, unknown after receiving Bexsero and Bexsero Pre-Filled Syringe Device, the patient experienced anaphylactic reaction (serious criteria GSK medically significant). On an unknown date, the outcome of the anaphylactic reaction was unknown. It was unknown if the reporter considered the anaphylactic reaction to be related to Bexsero and Bexsero Pre-Filled Syringe Device. This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences. Additional details were reported as follows: The age at vaccination was not reported. The patient had anaphylactic reaction after receipt of her first dose of Bexsero. The patient's physician wrote a note that she had anaphylaxis after her first dose and needed to be exempt from receipt of a second dose. She had no vaccine details as it was not administered at her facility. The reporter consented to follow up.

Other Meds:

Current Illness:

ID: 1011556
Sex: F
Age:
State: VA

Vax Date: 10/27/2020
Onset Date:
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: seizures; diagnosed with Cavernoma Disorder; This case was reported by a pharmacist via call center representative and described the occurrence of seizure in a 54-year-old female patient who received Herpes zoster (Shingrix) (batch number AP257, expiry date 26th November 2021) for prophylaxis. On 27th October 2020, the patient received the 1st dose of Shingrix (intramuscular). On an unknown date, less than 4 months after receiving Shingrix, the patient experienced seizure (serious criteria GSK medically significant) and cavernoma. On an unknown date, the outcome of the seizure and cavernoma were unknown. It was unknown if the reporter considered the seizure and cavernoma to be related to Shingrix. Additional information was provided as follows: The age at vaccination was not reported, however it could be 53 or 54 years. The patient received vaccine in right deltoid. On an unknown date after receiving the Shingrix vaccine the patient began to experience seizures and was diagnosed with cavernoma disorder. The reporter consented to follow up.

Other Meds:

Current Illness:

ID: 1011557
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: got the flu; Initial information received on 22-Jan-2021 regarding an unsolicited valid non-serious case received from a consumer/non health care professional via social media. This case involves an adult patient who got the flu (Influenza), while he/she received vaccine INFLUENZA VACCINE. The patient had no medical history, concomitant disease or risk factor. Concomitant medication(s) and family history were not provided. On an unknown date, the patient received first dose of suspect INFLUENZA VACCINE produced by unknown manufacturer [lot number and expiry date not reported] via an unknown route at an unknown administration site for prophylactic vaccination. On an unknown date, the patient got the flu (Influenza), unknown latency following the administration of INFLUENZA VACCINE. It was reported patient got flu shot every year. Patient did not think that was from the shot. It was unknown if the patient experienced any additional symptoms/events There were no lab data/results available. Medication Details and reason for taking the medicine was: Flu On an unknown date, the event outcome was unknown. There will be no information available on the batch number for this case.

Other Meds:

Current Illness:

ID: 1011558
Sex: F
Age:
State: PA

Vax Date:
Onset Date: 10/01/2014
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: swelling of her right arm from the injection site, up her shoulder, into her neck and tongue; swelling of her right arm from the injection site, up her shoulder, into her neck and tongue; Initial information received on 25-Jan-2021 regarding an unsolicited valid non-serious case received from a consumer. This case involves female patient of an unknown age who experienced swelling of her right arm from the injection site, up her shoulder, into her neck and tongue (swelling) and (vaccination site swelling), while she received vaccine INFLUENZA QUADRIVAL A-B MULTIDOSE VACCINE PRESERVED. Medical history, medical treatment, vaccination, concomitant medication and family history were not provided. In 2014, the patient received a dose of suspect INFLUENZA QUADRIVAL A-B MULTIDOSE VACCINE PRESERVED (lot UI196AA and expiry date: not reported) via an unknown route in the right arm for prophylactic vaccination. In Oct-2014, the patient developed a non-serious swelling of her right arm from the injection site, up her shoulder, into her neck and tongue (swelling) and (vaccination site swelling), (unknown latency) following the administration of INFLUENZA QUADRIVAL A-B MULTIDOSE VACCINE PRESERVED. It was also reported that her allergist wants her to obtain the ingredients to compare it to the coronavirus disease (Covid) vaccine ingredients Details of laboratory data not reported. The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) at the emergecy room (ER). At the time of reporting, the outcome of event was reported as unknown.

Other Meds:

Current Illness:

ID: 1011559
Sex: U
Age:
State: IL

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: patient was received expired dose of MENACTRA, no AE; Initial information received on 01-Feb-2021 regarding an unsolicited valid non-serious case received from a pharmacist. This case involves patient (unknown demographics) who was vaccinated with an expired dose of MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE [MENACTRA] (expired product administered). Medical history, medical treatment, concomitant medication, vaccination and family history were not provided. Patient did not received other vaccines. On 01-Feb-2021, the patient received a 0.5 ml dose of suspect MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE (lot U6521AA and expiry date: 26-Jan-2021) via an intramuscular route at an unknown administration site for prophylactic vaccination. It was a case of actual medication error due to expired vaccine used (latency on same day). At the time of report, no adverse event was reported. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.

Other Meds:

Current Illness:

ID: 1011560
Sex: F
Age: 70
State: GA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: No

Allergies: Sulfa drugs Seasonal Allergies (ragweed)

Symptoms: At 5 am on Friday 2/5/21 I was having chills but I had been sweating and my sheets and pillow case were wet. I took my temperature and it was 99.7 and then I took it again later when I started feeling much worse and my temp at 10am was 101.8. I took Tylenol and I went to sleep. I woke around 12:30pm and I was freezing to death! I had a horrible headache! I had chills and fever. every joint and bone in my body ached. I had a floating feeling in my head. I felt real unbalanced and very strange feeling like I was underwater. I would not have felt safe driving or standing up. I drank fluids, and I took my temperature around 3pm and it was 101.1 and I took more tylenol. I had no appetite. At 6 pm I took more tylenol. I went to bed at 11pm and the next morning I was feeling the same way. I had a low temp of 99. I still had no appetite. I went to bed that night (saturday night) I woke up every hour on the dot feeling very sick. I stayed in bed all day sunday as well. I started feeling better as the day went on. I noticed 2 red circles nickle sized on my arm about 3 inches below where I got the shot. I noticed it saturday and its still there. I feel fine today 2/8/21. its very hot to the touch.

Other Meds: Fenofibrate- 160mg daily Eliquis-5mg twice daily Syntheroid- .1 mg daily Januvia-50mg daily Pramipexole-1mg-1.5mg every night Nexium-40mg daily Celexa-20mg one every night Avapro-75mg daily Wellbutrin-300mg daily

Current Illness: No

ID: 1011561
Sex: F
Age: 0
State: PA

Vax Date: 12/07/2020
Onset Date: 12/08/2020
Rec V Date: 02/08/2021
Hospital: Y

Lab Data:

Allergies: none

Symptoms: fevers within 24 hours up to 100.3, red puffy eyes, fussy, liquid stool, rashes on skin, lethargic/sleepy

Other Meds: vitamin D, Mylicon Gas Drops, Mommy's Bliss Gripe Water

Current Illness: none

ID: 1011562
Sex: F
Age: 31
State: MD

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever and chills started around 11 PM. About 12 hours after receiving the dose. I took 2 tablets of Tylenol 500 mg. I still woke up with a fever and had to take another dose. Every time a fever would break, I would get another fever. I took about 4 doses of Tylenol about 6 hours apart. I was also fatigued and slept most of the day.

Other Meds: 10,000 mg biotin; 1,000 mg Fish Oil

Current Illness:

ID: 1011563
Sex: F
Age: 70
State: FL

Vax Date: 01/26/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: Patient had telephone consult with provider

Allergies: All fruit, latex, tomatoes, celery, potatoes, carrots

Symptoms: Patient reported itchy rash around the injection site and spreading a little way down the arm appearing approximately 12 days after immunization. Description by patient sounded consistent with presentation of "covid arm," and immunizer suggested patient contact regular provider to confirm. Patient spoke to providers nurse who confirmed that it was a localized immune reaction.

Other Meds: methotrexate, folic acid, multivitamins, fish oil, calcium

Current Illness: None

ID: 1011564
Sex: F
Age: 43
State: NY

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: soreness on the left side of head, neck, arm and upper abdomen 2 days after vaccine

Other Meds:

Current Illness:

ID: 1011566
Sex: F
Age: 40
State: WA

Vax Date: 02/05/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: none

Allergies: pineapple, dust

Symptoms: I woke up with what feels like a golf ball in my arm pit, lymph node swelling I am guessing, I also have some discomfort in my groin though no noticeable swelling. It is day two with it, i did take ibuprofen and used a hot compress without relief.

Other Meds: ibuprofen for mild headache post vaccine

Current Illness: none

ID: 1011567
Sex: F
Age: 69
State:

Vax Date: 01/27/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: Penicillin; all mycin antibiotics

Symptoms: 8 days after injection, red circle around injection site about 3 inches in diameter. Alternating Itch and ache. a little warm to the touch. No fever. slight intestinal discomfort and tiredness for two days, but not sure if it was related to this. slowly subsiding now and small amount of benadryl gel applied to skin after day four after onset.

Other Meds: OTC-Fish Oil and 81mg aspirin daily

Current Illness: N/A

ID: 1011568
Sex: F
Age: 48
State: MD

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: denies

Symptoms: Got vaccine on 2/5/2021 started with diarrhea that evening and the next day, Saturday became fatigue continues intermittently, Sunday 2/7/2021 noticed swelling to the left axilla with enlarged lymph node continues with it today 2/8/2021

Other Meds: Tylenol 500mg

Current Illness: denies

ID: 1011569
Sex: F
Age: 57
State: KY

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The evening of the vaccine, patient experienced typical symptoms, but also fluttering in chest. Two days later patient still had cardiac flutter and presented to the emergency department where she was found to have frequency PVCs and hypokalemia. Patient was instructed to follow up with her cardiologist and reports still having dizziness and chest fluttering on 1/31/21

Other Meds:

Current Illness:

ID: 1011570
Sex: F
Age: 46
State:

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Mild headache, muscles aches, and fatigue for 48 hrs.

Other Meds:

Current Illness:

ID: 1011571
Sex: F
Age: 74
State: TN

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

Lab Data:

Allergies: Cosine

Symptoms: Chills Headache Difficulty breathing Swelling of throat Weak In bed for 2 days

Other Meds: Daily fiber Daily multivitamin Glucosamine Venlafaxine Stool softener BusPIRone Esomeprazole Atorvastatin Rivastigmine

Current Illness:

ID: 1011572
Sex: F
Age: 56
State: CO

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Headache (3 days), sore injection site (4 days so far), numb fingers in injection arm (1 day), chills (1 day), exhaustion (2 days), and back ache (2 days)

Other Meds: Zyrtek

Current Illness: None

ID: 1011573
Sex: M
Age: 18
State: NY

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: patient had received his vaccine and was still sitting at the vaccinators table, stood up to leave and became very dizzy and unsteady. Per the vaccinator she had him sit down on the ground. Patient was give water, BP was taken and WNL. Refused further intervention. Remained sitting for about15 minutes at the vaccinators table as well as in the waiting area for 30 more minutes and resolved. Encouraged the patient to let us know for the second vaccine and we will let him lie down for the second vaccine

Other Meds: not aware of any, was not told

Current Illness:

ID: 1011574
Sex: F
Age: 35
State: NJ

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: No

Allergies: environmental allergies

Symptoms: I went to work 7-12am and around 7p I had muscle soreness, around 3am when I get home, I developed fever and I had body aches, chills, headache, l felt like I had the flu. The whole day I felt bad, and yesterday I took Tylenol, and the fever broke but I still had headache and body aches that lingered. Today I still have the headache that?s lingering.

Other Meds: None

Current Illness: No

ID: 1011575
Sex: F
Age: 51
State: PA

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: Extreme chills, muscle and joint aches, headache, weakness, shortness of breath, and extreme tiredness.

Other Meds: Levothyroxine 150 MCG, Ibuprofen

Current Illness: Migraine

ID: 1011576
Sex: F
Age: 74
State: CA

Vax Date: 01/31/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: Allergies: Tetracycline

Symptoms: Some tenderness at vaccine site the day of the vaccination and the next day; then no tenderness. On 7th day there was a red, round lesion about 2 inches in diameter around vaccination site; with some raised bumps and some itching.

Other Meds: Levothyroxine 100 MCG 1/day Pantoprazole Sodium 40 MG 1/day Calcium 600 MG 2/day Vitamin B12 1000 mcg 1/day Vitamin D 800 IU 2/day Vitamin C

Current Illness: None

Date Died: 02/05/2021

ID: 1011577
Sex: M
Age: 93
State: MN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None performed due to hospice status.

Allergies: no known allergies

Symptoms: Resident expired on 2/5/21 at 03:35pm, about 25 hours after second dose of vaccine. At breakfast, resident was spitting a lot of secretions, coughing up liquids from nose and phlegm, facial swelling, which were all symptoms that he was struggling with prior to both doses of COVID vaccine, but had increased more than prior incidences on 2/5/21. Gurgling noted in upper airways, hyscolamine given, bath given to loosen secretions, morphine given. Family notified and came into facility for compassionate care visit around 1300. 1400 HR was 3 and RR was 2, but increased back to 60 and 12 within 20 minutes. Then resident expired at 1535.

Other Meds: albuterol sulfate nebulization hyoscyamine sulfate atropine sulfate lorazepam concentrate morhpine sulfate metolazone lasix benadryl robitussin levothyroxine fluocinonide cream nystatin cream remeron spironolactone tylenol extra strength tr

Current Illness: Was started on hospice between first dose of vaccine (1/7/21) and second dose (2/4/21), primarily for inability to control fluid balance due to heart failure and kidney failure. Started to have increased edema and respiratory symptoms (nasal drainage, raspy voice but denied sore throat) and tested negative for COVID twice starting 1/5/21 and 1/7/21 (day of first vaccine), and once again after the vaccine, increased confusion at that time and continued between vaccination. Later the nasal drainage was attributed to fluid overload. UTI on 1/11/21. Hospice referral by MD on 1/15/21.

ID: 1011578
Sex: F
Age: 81
State: TX

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: Penicillin and fin fish

Symptoms: 1. Extreme Dizziness and Vertigo, 25 hours after inoculation. I experience these symptoms often because of other medications and vestibular disorder. Vertigo lasted approx 36 hours. I fell twice. Once forward on my face and lower body. No damage, other then bruise on leg and sore hands from trying to break the fall. I was able to get myself up and assess no severe damage The other time when lowering myself onto the toilet. 2. Sore arm at injection sight; I exercised arm to alleviate discomfort. Lasted 36 hours.

Other Meds: Synthroid 75 mg, Enalapril 5 mg 2x daily, Lopressor 25 mg 2x daily, Livolo 4 MG, Prolia 2x per year, Calcium 1000 mg and vit 3 800 IU, Vit D3 1000 units, Vit C 2000 mg, vit B12 2500 mg every other day, Metamucil 10 capsules per day, duco

Current Illness:

ID: 1011579
Sex: F
Age: 47
State: CO

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: none

Allergies: codeine

Symptoms: severe joint aches, sensitive skin, fatigue, headache, restlessness started Friday, February 4. On Friday evening/Saturday morning swollen glands on right side, severe right armpit pain, and sweating. Took Tylenol 2 times for armpit pain on Saturday. Fatigue and mild armpit pain persist today (Monday) but 90% relieved.

Other Meds: progesterone, paroxetine, magnesium

Current Illness: none

ID: 1011580
Sex: M
Age: 47
State: MA

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: Stone fruit allergies (cherries, peaches, etc...). Season allergies.

Symptoms: At time of the vaccine: I experienced a tingling/numbing sensation down my left arm into my left hand and fingers. Approximately 18 hours after the vaccine: I experienced chills, elevated temperature (99 to 100 degrees F), headaches, fatigue. Approximately 42 hours after the vaccine: the chills, elevated temp, headaches, and fatigue were gone, but I had a armpit aching on the left side. The armpit ache faded over the next 24 hours. Today is 7 days post vaccine and I still have periodic tingling/numbing/cool sensation on the pinky and ring fingers on my left hand.

Other Meds: none

Current Illness: none.

ID: 1011581
Sex: M
Age: 41
State: MN

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

Lab Data: none

Allergies: no

Symptoms: Patient screened for first dose of Pfizer vaccine. He checked no history of allergies or reactions to medications or vaccines. In the initial screening he informed me he had a phobia of needles but this is usually with blood draws. He reported he should be fine with vaccinations. I inquired on previous reactions and he denied any allergic reaction just that he does not like them. I asked him how I can help give the vaccine. We had him look away and to think of a different situation. I asked him if he would like to know when I am administering or just use distraction. He chose to be informed when he would feel a slight poke. Vaccine was administered with no issues. Within the minute following the vaccine patient started to feel dizzy. Hung his head a bit but was responsive. I requested staff assistance to help the situation including RN to prevent any episodes of syncope. We provided water which he was able to drink. He was still seated and we suggested putting head between legs. This was not comfortable for him so we moved him to the floor. About 3-4 min in he began to sweat a bit more and appeared Pale. We obtained a BP and pulse. BP was 112/60 and pulse around 60. When he felt hot, sweaty and appeared pale we all decided to call EMS to be cautious. He maintained BP, no SOB, did not lose conscious. EMS evaluated him, med list provided and vitals. He was on medications for anxiety. They released him after about 30min and reported a panic attack and not related to the vaccine. Patient walked out of the clinic with his partner and was stable. He is requesting 2nd dose of the vaccine. I informed him nurse would review and would have a plan for future injection.

Other Meds: sertraline, buspar, hydroxyzine, finasteride

Current Illness: no

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm