VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer

Incidents per State

State Total
92,076
AK1,880
AL6,345
AR4,151
AS46
AZ14,991
CA66,887
CO12,550
CT8,943
DC1,795
DE2,009
FL42,724
FM4
GA17,031
GU124
HI2,580
IA4,919
ID2,892
IL22,128
IN24,197
KS5,047
KY9,111
LA5,500
MA15,718
MD13,434
ME3,351
MH8
MI20,971
MN13,585
MO10,747
MP30
MS3,198
MT2,477
NC18,051
ND1,501
NE3,109
NH3,218
NJ20,216
NM4,218
NV4,728
NY37,667
OH20,793
OK6,692
OR9,244
PA25,607
PR2,588
QM2
RI2,163
SC7,261
SD1,282
TN10,445
TX39,890
UT4,618
VA15,980
VI67
VT1,830
WA16,071
WI12,042
WV2,571
WY926
XB5
XL1
XV2

ID: 1011958
Sex: F
Age: 33
State: WI

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Vax Site:

Lab Data:

Allergies: penicillin & bee stings

Symptom List: Dysphagia, Epiglottitis

Symptoms: Approximately 24 hours after receiving the vaccine, left arm punctured area became red, hot, tight and sore. The 2nd day after vaccination the area was somewhat itchy for that day. Area is increasing in size daily. Currently 5 & 3/4 inches in height by 7 & 1/2 inches in width. 18 hours after vaccination began feeling general fatigue, chills and body aches which continue. Benadryl is not really helping. Tylenol & Ibuprofen help for the body aches. When she gets bee stings it's almost the same reaction. When she takes Penicillin she developed hives and rashes. She has never been prescribed an epi-pen. Denies any breathing or vision changes. No recent changes in medication. Advised consult w/ her M.D. A.S.A.P.

Other Meds: escitalopram

Current Illness: none

ID: 1011959
Sex: F
Age: 67
State: MI

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient had an increase in heart rate and anxiety post administration of vaccine. EMS was called on site.

Other Meds:

Current Illness:

ID: 1011962
Sex: F
Age: 44
State:

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/08/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Itching and swelling in hands and feet.

Other Meds: Extra Strength Tylenol

Current Illness:

ID: 1011963
Sex: M
Age: 79
State: AZ

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

Vax Type:
Manufacturer:
Vax Name:
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Lab Data:

Allergies: asprin

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: dark all black stool for day of vaccine shot and Sunday again

Other Meds: prasugrel , carvedilol , atorvastatin , lisinopril

Current Illness: Heart attack Nov. 8, 2020

ID: 1011964
Sex: F
Age: 72
State: MD

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Lactose intolerant, sulfa, mold; opioid sensitivity

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

Symptoms: On 1st day after shot (Fri), felt achy, tired and feverish. I was recovering from that when I broke out in a very itchy rash with several blisters on torso Saturday night. Thinking that it might be an allergic reaction, I took Zyrtec and went to bed. It was about the same on Sunday but by today (Monday) it is clearing up.

Other Meds: Toprol XL, Pantoprazole, baby aspirin, vitamins

Current Illness: vertigo 2 weeks prior

ID: 1011965
Sex: F
Age: 18
State: NC

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: pt did not have a reaction after first dose of moderna 12/28/2021 025j20a. Today, 02/08/2021: 11:57am moderna shot given. 12:00pm 25mg Benadryl given to patient to chew, and one EpiPen 0.3mg given to patient on right lateral thigh. Patient complains of severe trouble breathing, swollen lips, and swollen tongue, patient was given oxygen through a mask. Patient did not improve, and needed a re-dose of 0.3mg EpiPen into the left lateral thigh, and another 25mg Benadryl for patient to chew. 12:06pm patient has not improved, 98% o2 sat, 73bpm, and another 0.3mg EpiPen administered to right lateral thigh. 12:07pm 96% o2 sat, 106bpm, 152/98mmHg, and ambulance arrived and took patient to ER.

Other Meds:

Current Illness:

ID: 1011966
Sex: F
Age: 66
State: CO

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Shellfish; iodine dye; codeine; all narcotic pain releivers

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Approx. 36 hours after injection, fever spiked very quickly. Eyes became blood red; severe stomach cramps; for 24 more hours had diarrhea, watery, bloody, uncontrolled; 104F fever; severe body aches; Dizzy. 3" red oval on left arm at injection site; hives at site as well. Three days after injection, still itchy, very sore in abdomen, fever of 101.2F Still achey and missing work due to symptoms.

Other Meds: Effexor, Venlafaxine, Lisinopril (40 mg); Tizanidine, Trazadone

Current Illness: None

ID: 1011967
Sex: M
Age: 40
State: MT

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: NKA

Symptom List: Pharyngeal swelling

Symptoms: 3:15 - Pt was leaning against wall c/o being dizzy and going to pass out - Pt was moved to reclining position - BP 144/100, RR 44, HR 120 - No itching ect. - Respirations rapid - O2 62 - Cannula applied - Pt continued c/o thinking he would pass out - Color pink - 3:15 1 cc Benedryl administered in R arm - 3:27 Epi 1 dose (0.7 cc) administered in R thigh - 3:30 EMS arrived - 3:34 EMS transferred pt to Medical Center

Other Meds: Zoloft for reflux

Current Illness: 1/15/2021: swollen lymph nodes

ID: 1011968
Sex: F
Age: 49
State: TX

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Red itchy firmness in my left arm

Other Meds:

Current Illness:

ID: 1011969
Sex: F
Age: 56
State: NC

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: PCN, Keflex, Cipro, Avelox, Sulfa, Zithromax (causes cough)

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Bells Palsy, we to PCP and received a steroid dose pack and Valcyclevaier.

Other Meds: Synthroid, Dexilant, Folic Acid, Multi Vitamin

Current Illness: Had a fever blister. Had a UTI 10 days prior to vaccine

ID: 1011970
Sex: M
Age: 79
State: IN

Vax Date: 01/26/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: no known allergies

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

Symptoms: Developed a minor red itchy rash within inches of the injection site. After 2 days applied 1% hydrocortisone to the affected area 3 times a day. Today, 02/08 2021, the itching and redness have substantially declined to the point that I have discontinued the hydrocortisone treatment.

Other Meds:

Current Illness: none

ID: 1011971
Sex: U
Age:
State:

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 02/08/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: administration of ROTATEQ after temperature excursion; This spontaneous report was received from a consumer and refers to a patient of unknown age and gender. The patient's concurrent conditions, medical history and concomitant medication were not provided. On 11-JAN-2021, the patient was vaccinated with improperly stored after temperature excursion dose of rotavirus vaccine, live, oral, pentavalent (ROTATEQ) lot # 1742457, expiration date was reported as 16-FEB-2022, but upon internal review was determined as 06-JAN-2022, 2 ml, administered orally for prophylaxis. Temperature was 1.3 Celsius degree for 19 minutes. Data logger was involved. The outcome was not reported.

Other Meds:

Current Illness:

ID: 1011972
Sex: F
Age: 34
State: MO

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

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: None

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

Symptoms: Intense chills, uncontrollable shaking & teeth chattering for 2 hours (hours 12-14 after injection), leg aches so great unable to stand. Fever measured up to 100F while on 400mg ibuprofen, temperature not taken during the intense chills. Ongoing fever of around 100F from hours 14 - 24, chills, exhaustion, and general malaise. continued treatment with 400mg ibuprofen. Headache and exhaustion from hours 24 post vaccine through day 5. Ibuprofen and tylenol taken to mitigate symptoms with marginal benefit. Minimal muscle soreness at injection site.

Other Meds: None

Current Illness: None

ID: 1011973
Sex: U
Age:
State: NY

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: temperature excursion for V ARlV AX/administered to patients; This spontaneous report as 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 04-JAN-2021, the patient was vaccinated with improperly stored dose of varicella virus vaccine live (oka/merck) (VARIVAX) lot # T010313, expiration date 24-MAR-2022, dose 1, 0.5 milliliter, administered subcutaneous for prophylaxis. Temperature was 32.4 Fahrenheit degrees (F) for 4 hours. There was no previous temperature excursion. Data logger was involved. This is one of several reports received from the same reporter.; Sender's Comments: US-009507513-2101USA010446: US-009507513-2101USA009977: US-009507513-2101USA010358: US-009507513-2101USA010348:

Other Meds:

Current Illness:

ID: 1011974
Sex: U
Age:
State:

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 02/08/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: administration of ROTATEQ after temperature excursion; This spontaneous report was received from a patient of unknown age and gender. The patient's concurrent conditions, medical history and concomitant medication were not provided. On 11-JAN-2021, the patient was vaccinated with improperly stored (after temperature excursion) rotavirus vaccine, live, oral, pentavalent (ROTATEQ) lot # 1742457, expiration date was reported as 16-FEB-2022, but upon internal review was determined as 06-JAN-2022, 2 milliliter, administered orally for prophylaxis. Temperature was 1.3 Celsius degree (C) for 19 minutes. There was no previous temperature excursion. Data logger was involved. This is one of several reports received from the same reporter.

Other Meds:

Current Illness:

ID: 1011975
Sex: U
Age:
State: WI

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: no additional AE/PQC reported; expired dose of rotateq was given to a patient; This spontaneous report was received from a nurse and refers to a patient of unknown age. There was no information about the patient's concurrent conditions, allergies, drug reactions, concomitant therapies or medical history provided. On 26-JAN-2021, the patient was vaccinated with expired dose of rotavirus vaccine, live, oral, pentavalent (ROTATEQ) (lot # S006050, expiration date was reported as 12-DEC-202, but upon internal validation was established as 12-DEC-2020) (exact dose, dose number, route of administration and anatomical location were not reported) for prophylaxis. Caller verified that there were no known temperature excursions. No additional adverse events were reported.

Other Meds:

Current Illness:

ID: 1011976
Sex: M
Age: 78
State: NJ

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Cipro, Pollen

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

Symptoms: Felt fine after the shot, shoveled some snow mid to late afternoon. Felt woozy around nine, check BP and recorded results below. 2nd shot scheduled for 2/22,. Apparently this could have been a rare reaction, any input re the second dose would be appreciated. Per website, " Among the 21,621 people in the trial who received BNT162b2, four related serious adverse events were reported: shoulder injury related to vaccine administration, right axillary lymph adenopathy, paroxysmal ventricular arrhythmia and right leg paresthesia."

Other Meds: Medication Size-Mg AM PM Bed Furosemide 20 2 1 x Ramipril 2.5 1 x x Metoprolol Succinate 50 x x 1 MetFORMIN HCl ER 750 1 1 x Terazosin HCl 5 x 1 x Coated Asprin 325 x 1 x Shark Cartlidge 740 2 2 x GlucChondMSM 1347 1 1 x CO CQ-10 120

Current Illness: None

ID: 1011977
Sex: U
Age:
State: IL

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: improperly stored vaccine was administered on 25JAN2021; This spontaneous report was received from a registered nurse and refers to a patient of unknown age and gender. There was no information about the patient's concurrent conditions, concomitant therapies or medical history provided. On 25-JAN-2021, the patient was vaccinated with an improperly stored dose of hepatitis b vaccine (recombinant) (RECOMBIVAX HB) vial, lot # T004378 was confirmed to be valid, expiration date was reported as 31-OCT-2022, but upon internal validation process, it was established as 01-NOV-2022 (dose, route of administration and anatomical location were not reported). Administered dose of vaccine was stored in the temperature of above 9 degrees Celsius (C) (13.4 degrees C) for 2 hours 9 minutes. There were no previous temperature excursions reported. The improper storage was recorded by digital data logger.

Other Meds:

Current Illness:

ID: 1011978
Sex: U
Age:
State: NJ

Vax Date: 10/19/2020
Onset Date: 01/29/2021
Rec V Date: 02/08/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: The patient is a 14 year old who received the first dose of GARDASIL9 on 19-OCT-2020 and the second dose today, 29-JAN-2021, but the patient should have received the second dose 6 months from the first dose; This spontaneous report was received from a medical assistant regarding a 14-year old patient of unknown gender. The patient's concurrent conditions, medical history, drug reactions, allergies, and concomitant therapies were not provided. On 19-OCT-2020, the patient was vaccinated with the first dose of HPV rL1 6 11 16 18 31 33 45 52 58 VLP vaccine (yeast) (GARDASIL 9) (route of administration, vaccination scheme, anatomical site, lot number and expiration date were not provided). On 29-JAN-2021 (reported as "today"), the patient received the second dose of HPV rL1 6 11 16 18 31 33 45 52 58 VLP vaccine (yeast) (GARDASIL 9) 0.5 milliliter for prophylaxis (route of administration, vaccination scheme, anatomical site was not reported) the lot number 1867291 with a expiration date of 11-SEP-2022 was confirmed to be non valid. However, the patient should have received the second dose six months form the first dose (Inappropriate schedule of product administration). No additional adverse event details.

Other Meds:

Current Illness:

ID: 1011979
Sex: F
Age:
State: NV

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/08/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: No additional AEs reported; GARADASIL 9 given to a 5 year old female; This spontaneous report was received from a nurse and refers to a 5 years old female patient. No information regarding the patient's medical history, concurrent conditions, drug reactions or allergies and concomitant medications was provided. On 29-JAN-2021, the patient was vaccinated with hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) 1 injection, prefilled syringe, 0.5 milliliter, lot # 1586749 was confirmed to be valid, expiration date was 13-FEB-2021 (route of administration and anatomical location were not reported) for prophylaxis (product administered to patient of inappropriate age). No additional adverse events was reported. No further information was provided. combinationproductreport: Yes; brandname: GARDASIL 9 SYRINGE (DEVICE); commondevicename: HPV rL1 6 11 16 18 31 33 45 52 58 VLP vaccine (yeast); productcode: FMF; devicetype: SYRINGE, PISTON (FMF); manufacturername: Merck Sharp & Dohme Corp.; devicelotnumber: 1586749; expirationdate: 13-FEB-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: GARDASIL 9 SYRINGE

Current Illness:

ID: 1011980
Sex: U
Age:
State:

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: She reported that a child may have received VAQTA too early; She reported that a child may have received VAQTA too early; This spontaneous report was received from a consumer and refers to a child patient of unknown age. No information regarding the patient's medical history, concurrent conditions, drug reactions or allergies and concomitant medications was provided. On an unknown date, the patient may have received vaccinated with hepatitis a vaccine, inactivated (VAQTA) (formulation, dose, route of administration, anatomical location, lot # and expiration date were not reported) for prophylaxis (product administered to patient of inappropriate age and circumstance or information capable of leading to medication error). No additional information was available.

Other Meds:

Current Illness:

Date Died: 11/13/2020

ID: 1011981
Sex: M
Age: 21
State: FL

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Suicide

Other Meds:

Current Illness:

ID: 1011982
Sex: M
Age:
State:

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: autistic; Seizures; bad reactions after injections; This spontaneous report was received from a patient's mother and refers to an 18-month-old male patient. It was reported that the patient was adult at the time of the report. No information regarding the patient's medical history, concurrent conditions, concomitant medications and previous drug reactions or allergies was reported. On an unknown date, the patient was vaccinated with measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (manufacturer unknown) for prophylaxis (strength, dose, route of administration, lot number and expiration date were not provided. On an unknown date, the patient experienced bad reactions and seizures after injection. It was also reported, that the patient was autistic from an unknown date. The outcome of the events was unknown. The causality assessment between the events and measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (manufacturer unknown) was not provided. It was reported that the events occurred due to thiomersal (reported as thimerosal). Upon internal review, the events of autism spectrum disorder and seizures were considered to be medically significant.

Other Meds:

Current Illness:

ID: 1011984
Sex: F
Age:
State:

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Polycystic Ovarian Syndrome; has a chronic lower back pain; severe menstrual cramps.; This case was reported by a consumer via interactive digital media and described the occurrence of polycystic ovarian syndrome in a 19-year-old female patient who received HPV 16-18 (HPV vaccine) for prophylaxis. On an unknown date, the patient received HPV vaccine. On an unknown date, 7 years after receiving HPV vaccine, the patient experienced polycystic ovarian syndrome, chronic back pain and menstrual cramp. On an unknown date, the outcome of the polycystic ovarian syndrome, chronic back pain and menstrual cramp were not recovered/not resolved. It was unknown if the reporter considered the polycystic ovarian syndrome, chronic back pain and menstrual cramp to be related to HPV vaccine. Additional information was provided as follows: The case was reported by the patient's mother. The age at vaccination was not reported, but could be 19 or 20 years. The patient received HPV vaccine and experienced polycystic ovarian syndrome, chronic lower back pain and severe menstrual cramps. The reporter mentioned that, HPV vaccine had been used to sterilize the girls and she wished, she could have known this 7 years ago when her daughter was vaccinated. The reporter was regretting so bad, getting her daughter vaccinated at the age of 12. The case is linked with the case number- US2020AMR247406, reported by the same reporter ; Sender's Comments: US-GLAXOSMITHKLINE-US2020AMR247406:same reporter

Other Meds:

Current Illness:

ID: 1011985
Sex: F
Age: 58
State: NJ

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: NONE

Symptom List: Injection site pain, Menorrhagia

Symptoms: 02/06/2021: 30 hours after injection, mild stiff neck began on right side. 02/07/2021: Neck pain traveled up to lower skull, around to front of neck including lymph node. 02/08/2021: Pain became severe, swallowing became difficult and painful to lymph node. Developed a fever of 100.3 an hour after taking 2 Tylenol.

Other Meds: Ambien CR, Lipitor, Vitam C, Zinc, Fish Oil, Collagen

Current Illness: NONE

ID: 1011986
Sex: M
Age:
State: TX

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Chills; Stomach upset; Sore arm; This case was reported by a consumer and described the occurrence of chills in a 54-year-old male patient who received Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient received the 1st dose of Shingrix. On an unknown date, less than 2 weeks after receiving Shingrix, the patient experienced chills, upset stomach and pain in arm. On an unknown date, the outcome of the chills, upset stomach and pain in arm were unknown. It was unknown if the reporter considered the chills, upset stomach and pain in arm to be related to Shingrix. Additional details were provided as follows: The age at vaccination was not reported. The reporter was patient's father. It was reported that patient received the 1st dose Shingrix about a week or so ago and experienced chills, stomach upset and a sore arm. The reporter did not consent to follow up.; Sender's Comments: US-GLAXOSMITHKLINE-US2020246459:Same reporter.

Other Meds:

Current Illness:

ID: 1011987
Sex: M
Age: 44
State: CT

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 02/08/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: When the nurse the nurse pulled siringe out, blood abs assuming vaccine squirted out. A lot. Should I get revaccinated?

Other Meds:

Current Illness:

ID: 1011988
Sex: F
Age:
State: TX

Vax Date: 12/01/2020
Onset Date: 12/01/2020
Rec V Date: 02/08/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Chills; Stomach upset; Sore arm; This case was reported by a consumer and described the occurrence of chills in a adult female patient who received Herpes zoster (Shingrix) for prophylaxis. In December 2020, the patient received the 1st dose of Shingrix. In December 2020, less than a week after receiving Shingrix, the patient experienced chills, upset stomach and pain in arm. On an unknown date, the outcome of the chills, upset stomach and pain in arm were unknown. It was unknown if the reporter considered the chills, upset stomach and pain in arm to be related to Shingrix. Additional details were provided as follows: The reporter was the father in law of the patient. The patient was either 57 or 58 years old. The age at vaccination was not reported, however it could be 57 or 58 years. The reporter had very limited information. The patient received the 1st dose a week or so ago from the time of reporting and experienced chills, stomach upset and a sore arm. The reporter did not consent to follow up.; Sender's Comments: US-GLAXOSMITHKLINE-US2020246458:Same reporter.

Other Meds:

Current Illness:

ID: 1011989
Sex: F
Age: 70
State: WI

Vax Date: 12/10/2020
Onset Date: 12/10/2020
Rec V Date: 02/08/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Difficulty Walking; unable to get out of bed; Weakness; This case was reported by a consumer and described the occurrence of walking difficulty in a 70-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. On 10th December 2020, the patient received the 1st dose of Shingrix (intramuscular) .5 ml. On 10th December 2020, less than a day after receiving Shingrix, the patient experienced weakness. On 11th December 2020, the patient experienced walking difficulty and mobility decreased. On an unknown date, the outcome of the walking difficulty, mobility decreased and weakness were not recovered/not resolved. It was unknown if the reporter considered the walking difficulty, mobility decreased and weakness to be related to Shingrix. Additional details were provided as follows: The case was reported by the daughter of the patient. The patient received Shingrix in left deltoid and on same night the patient complained of weakness. The patient was unable to get out of bed next morning due to severe weakness. The patient needed assistance getting out of bed to make it to the bathroom and had difficulty walking.

Other Meds:

Current Illness:

ID: 1011991
Sex: M
Age:
State:

Vax Date: 12/10/2020
Onset Date: 12/10/2020
Rec V Date: 02/08/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: jaw and face pain; jaw and face pain; discomfort in the jaw; tooth discomfort; headache; discomfort along the bridge of the nose; discomfort in the cheek area; This case was reported by a consumer and described the occurrence of jaw pain in a 76-year-old male patient who received Herpes zoster (Shingrix) for prophylaxis. The patient's past medical history included tmj syndrome. On 10th December 2020, the patient received the 1st dose of Shingrix. On 10th December 2020, less than a day after receiving Shingrix, the patient experienced jaw pain, facial pain, musculoskeletal discomfort, dental discomfort, headache, nasal discomfort and facial discomfort. On an unknown date, the outcome of the jaw pain, facial pain, musculoskeletal discomfort, dental discomfort, headache, nasal discomfort and facial discomfort were not recovered/not resolved. It was unknown if the reporter considered the jaw pain, facial pain, musculoskeletal discomfort, dental discomfort, headache, nasal discomfort and facial discomfort to be related to Shingrix. Additional details were provided as follows: The patient experienced jaw and cheek discomfort on the day after receiving Shingrix. The patient was experiencing jaw and face pain and the patient asked if this was a side effect. The patient reported that currently he was experiencing discomfort in the jaw, tooth discomfort, headache, discomfort in the cheek area, and discomfort along the bridge of the nose. The reporter declined to provide additional information. The reporter did not consent to follow up.

Other Meds:

Current Illness:

ID: 1011992
Sex: F
Age: 68
State: PA

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/08/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Erythromycin, azithromycin

Symptom List: Injection site pain

Symptoms: Red arm, 2 inches below injection site. Hot to the touch. Started 1/30/21. Got a bit better 2/3/21. Symptoms returned 2/6/21. The redness has enlarged. Still hot to the touch. I went to my doctor 2/8/21. She believes it is Cellulitis. She has prescribed Cephalexin 500 mg.

Other Meds: Atorvastatin 40 mg, MiraLax, Multi-vitamin, Vitamin D3

Current Illness: none

ID: 1011993
Sex: F
Age: 55
State: GA

Vax Date: 12/13/2020
Onset Date: 12/01/2020
Rec V Date: 02/08/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: received the first dose / on 03/09/20 / I did / get my 2nd Shingrix / on Sunday; made my arm sore, like someone slugged me; This case was reported by a consumer and described the occurrence of pain in arm in a 55-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. Previously administered products included Shingrix (first dose received intramuscular on 9th March 2020 in left arm). On 13th December 2020, the patient received the 2nd dose of Shingrix (intramuscular). On 13th December 2020, unknown after receiving Shingrix, the patient experienced drug dose administration interval too long. In December 2020, the patient experienced pain in arm. On an unknown date, the outcome of the pain in arm was recovered/resolved and the outcome of the drug dose administration interval too long was unknown. It was unknown if the reporter considered the pain in arm to be related to Shingrix. Additional details were provided as follows: The patient had not received the second dose of Shingrix till the time of reporting (inappropriate schedule of vaccine). VAERS details reported for 1st dose. The patient did not have lot number or expiration date information to provide for the 1st dose. The patient gave consent to follow up with health case professional. Follow up was received from the patient on 18th December 2020 and the patient stated she finally got 2nd Shingrix vaccine, later than the recommended interval, which led to lengthening of vaccination schedule. The patient stated surely made her arm sore, like someone slugged her but the issue was resolved. No further information was obtained from the patient. The patient consented to follow up.

Other Meds:

Current Illness:

ID: 1011994
Sex: U
Age:
State:

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: Vaccine given subcutaneously; Given lower on arm than where intramuscular injections are usually given; Injection site is red-purple in color and measures 2" by 2'; It occasionally itches; A spontaneous report was received from a consumer, regarding himself, a patient who received Moderna's COVID-19 vaccine, but it was given subcutaneously instead of intramuscularly, it was given lower on my arm than where intramuscular injections are usually given, my arm at the injection site is red-purple in color and measures 2" x 2", it occasionally itches. No relevant medical history and concomitant medications were provided by the reporter. On 02-Jan-2021, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (lot number unknown) in the arm for prophylaxis of COVID-19 infection. Patient reported that she received vaccine on 02-Jan-2021 and she taught that it was given subcutaneously instead of intramuscular as it was given lower on her arm, where intramuscular injections are usually given. Ona n unspecified date, patient also stated that her arm was red purple at the injection site and the discoloration measures 2" x 2", which occasionally itches. No treatment information was provided. Action taken with mRNA-1273 in response to the events were not provided. The events, it was given subcutaneously instead of intramuscularly and it was given lower on my arm than where intramuscular injections are usually given were considered to be resolved on 02-Jan-2021. The outcome of the events my arm at the injection site is red purple in color and measures 2" x 2", it occasionally itches were not reported.; Reporter's Comments: This report refers to a case of a patient who experienced non-serious event of mRNA-1273 vaccine was given subcutaneously instead of intramuscularly, it was given lower on my arm than where intramuscular injections are usually given (Vaccine given subcutaneously Vaccine administered at inappropriate site) and events of injection site is red-purple in color and measures 2" by 2, it occasionally itches. (lot # unknown), Exp date-unknown). The event of injection site is red-purple in color and measures 2" by 2 is temporarily associated with the administration of mRNA-1273 vaccine, hence a causal association cannot be excluded. The events of vaccine given subcutaneously, and vaccine administered at inappropriate site are considered not applicable

Other Meds:

Current Illness:

ID: 1011995
Sex: F
Age: 77
State: CA

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: arrythamyacin

Symptom List: Tremor

Symptoms: felt like i had covid all over again, severe head and body ache, chills, fatigue, nausea

Other Meds: losartan high blood pressure, Spironolactone, power zinc with vitamin C, women multi vitamin

Current Illness:

ID: 1011997
Sex: F
Age: 45
State: CA

Vax Date: 01/29/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: hot to touch and raised golf ball size on injection site. Keeps getting bigger everyday.

Other Meds:

Current Illness:

ID: 1011998
Sex: F
Age: 73
State: WY

Vax Date: 01/26/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: cats and dogs

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

Symptoms: 10 days after her vaccine, the patient observed a 3x5 inch rectangular rash on her arm at the injection site. She did not experience pain or itching. The rash resolved on day 13.

Other Meds: Aracept

Current Illness: none

ID: 1011999
Sex: F
Age: 74
State: FL

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

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

Symptoms: Fever (99.6), chills, muscle aches, fatigue from about 9am day after shot for 12-18 hours; took Aleve Large red patch at and below vaccine point, hot, hard, painful from day of shot through Monday, Feb 8, and has not yet ended; took Aleve and Advil

Other Meds: Pravastatin, acyclovir, propranolol, bupropion, amitriptyline, restasis, fibercon, probiotics, aloe juice

Current Illness: noon

ID: 1012000
Sex: F
Age: 42
State: IN

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Shellfish

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Pain at injection site beginning at about 6:00 pm 2/6, by 10:00 severe chills began resulting in uncontrollable shivering that caused my entire body to shake. By about 10:30 pm severe muscle pain began. The pain was so severe I was unable to sleep much that night. despite also experiencing fatigue. Severe muscle pain, severe fatigue, and intermittent severe chills continued throughout the next day, 2/7. Today is 2/8 and I have only mild muscle pain and injection site pain remaining, as well some mild fatigue. I treated it by taking Aleve, 2 tablets at 10:30 pm 2/6, 1 tablet 10:30 am on 2/7, and 1 tablet 10:30 pm on 2/7.

Other Meds: Zyrtec, Flonase, Acyclovir, Mirena IUD

Current Illness:

ID: 1012001
Sex: F
Age: 74
State: TN

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: N/A

Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Patient complained of incontinence and knee pain the day following vaccine administration. Patient stated she drank lots of water the night after receiving the vaccine. Patient also has history of prior knee replacement surgery. Pain lasted for a day and a half following the administration of the vaccine/.

Other Meds: N/A

Current Illness: N/A

ID: 1012002
Sex: F
Age: 68
State:

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/08/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Mostly everything

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: ****Caller did not want to provide any personal information. ****Soreness began 24hrs after inj. Warm to the touch and hard at the inj site. 3hrs later became so sleepy like someone gave her a drug. It lasted a few hours. Palms and neck got itchy for a few hour. Had loose stools. This lasted for about 6 hours in total.

Other Meds: N/A

Current Illness: no

ID: 1012003
Sex: F
Age: 57
State: TX

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/08/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Pt has allergies to Chlorhexidine - rash Penicillins - rash Sulfa Drugs - hives PriLOSEC - anxiety

Symptom List: Pain in extremity

Symptoms: At midnight the same day after the vaccine she awakened feeling cold, sweating, and had a temp of 101.6 F. Pt had fever for 24 hours. She took Tylenol at that time. Her face was also red after the second vaccine and has remained red around the lower half of her face. Her face tingles at times. She feels like bugs are walking on her face and body at times, get itchy at times, gets hot, then gets cold. Pt felt a zap like electricity in her bosom for on 1 day in her left breast/ chest fleetingly. She feels it, zaps, sometimes in other places in her body since then rarely, not daily.

Other Meds: Tylenol, Aleve, Benadryl, Xyzal

Current Illness:

ID: 1012004
Sex: F
Age: 60
State: CT

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

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

Symptoms: Fever 100.2F; chills, nauseous, weakness

Other Meds: I took two Ibuprofen four hours after the vaccination for arm soreness at the injection site.

Current Illness: None

ID: 1012005
Sex: F
Age: 31
State: MD

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

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

Symptoms: Fevers > 101 for > 24 hours Chills Headache Eye pain Chest heaviness Fatigue

Other Meds: Metoprolol 25mg

Current Illness: None

ID: 1012006
Sex: M
Age:
State: WA

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: He received the Prevnar 13 vaccination and developed another hyperinflammatory episode; complicated by steroid responsive pericardial effusion and presumed inflammatory pneumonitis; complicated by steroid responsive pericardial effusion and presumed inflammatory pneumonitis; This is a literature report. A contactable other healthcare professional reported that an approximately 7-year-old boy developed an episode of hyperinflammatory flare following vaccination with pneumococcal-13-valent-CRM197-vaccine-conjugate. Additionally, he exhibited lack of efficacy during treatment with azathioprine and methotrexate for chronic pulmonary disease and hyperinflammatory flares [dosages and routes not stated]. The boy was admitted at the age of 10 years for diagnostic lung biopsy in the setting of progressive chronic hypoxic respiratory failure and recurrent hyperinflammatory episodes. He had history of multiple hospital admissions due to infection-triggered recurrent hyperinflammatory flares. At the age of 4 months, he was admitted, for respiratory syncytial virus (RSV) infection. He was again admitted at the age of 1 year for hypospadias repair, and at the age of 3 years and 4 months he was hospitalised for another RSV infection. At the age of 3 years and 8 months he was admitted for what was thought to be mononucleosis due to Epstein-Barr virus positive IgM. Mild gross motor developmental delay was also noted. Till the age of 3 years he received regular vaccination. Subsequently, he stopped receiving vaccine. Approximately, at the age of 4 years, he was admitted with viral bronchiolitis. Respiratory symptoms slowly resolved and haematologic findings improved, thus representing a hyperinflammatory flare that recurred regularly over the following 6 years ranging from 4 to 17 weeks duration mainly treated with unspecified steroids. During the next flare he exhibited with anaemia, leucocytosis and thrombocytosis along with abdominal pain, hepatomegaly, and fevers. Infarcted spleen was also noted. This flare was associated with human herpes virus 7 viraemia. He was readmitted to hospital multiple times for such episodes. During two separate hospitalisations for flares, the diagnosis of haemophagocytic lymphohistiocytosis (HLH) and macrophage activation syndrome (MAS) were both considered based upon his laboratory features. Overall, two bone marrow biopsies were performed approximately 1 year apart, and both demonstrated normal cellularity and markedly increased hemophagocytosis. Subsequently, he received pneumococcal-13-valent-CRM197- vaccine-conjugate [prevnar-13] vaccine, and developed an episode of hyperinflammatory flare [duration of treatment to reaction onset not stated] which lasted for 4 months. It was complicated by prednisone responsive pericardial effusion and presumed inflammatory pneumonitis. He became corticosteroid dependent weaning of which resulted into haemolysis and dark urine. By the age of 8 years, his episodes were characterized less by persistent febrile episodes but more by shortness of breath, chest discomfort and intermittent desaturations. His condition was steroid responsive and therefore he was treated with prednisone. Subsequently, he started receiving steroid sparing therapy with methotrexate and azathioprine for hyperinflammatory flares and chronic pulmonary disease (later diagnosed as interstitial lung disease). The boy stopped receiving methotrexate and azathioprine. Later, due to his progressive respiratory symptoms, he was admitted to the hospital at the age of 10 years for lung biopsy. After lung biopsy, his condition worsened with right haemothorax and pneumothorax along with respiratory distress. For treatment of his inflammatory state corticosteroid dose was increased and gradually weaned, while anakinra and ciclosporin [cyclosporine] were trialed followed by tocilizumab, with minimal benefit. He died prior to his 11th birthday due to respiratory failure. Whole exome sequencing revealed compound heterozygous paternal frame shift a HMOX1 c.264_269delCTGG (p.L89Sfs*24) and maternal splice donor HMOX1 (c.636 + 2 T > A) consistent with HMOX1 deficiency. Finally he was diagnosed with HMOX1 deficiency that had recurrent autoinflammatory episodes marked by fever, hemolysis and hyperferritinaemia with pathologic features similar to MAS and HLH. Author Comment "He received the Prevnar 13 vaccination and developed another hyperinflammatory episode lasting 4 months complicated by steroid responsive pericardial effusion and presumed inflammatory pneumonitis." "Steroid sparing therapies, such as methotrexate and azathioprine, were briefly introduced but discontinued because no benefit was observed." The outcome of the events was unknown. It was unknown whether an autopsy was performed.; Sender's Comments: The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators as appropriate.; Reported Cause(s) of Death: respiratory failure

Other Meds:

Current Illness:

ID: 1012007
Sex: U
Age:
State:

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: had the flu; Initial information received on 28-Jan-2021 regarding an unsolicited valid non-serious case received from a consumer/non health care professional. 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 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 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: Not provided. On an unknown date, the event outcome was recovered (Flu for 3 weeks). There will be no information available on the batch number for this case.

Other Meds:

Current Illness:

ID: 1012008
Sex: M
Age: 79
State: SC

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: tape adhesives (rash), Hydrocodone (rash)

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Extreme diarhea, gas, and lower back pain beginning about 10:30 PM the day after receiving the vaccine injection. The pain is centered in the area of the surgeries (L3- L5) There was no discomfort at the injection site after the injection. There was no significant physical activity or strain, and no extraordinary dietary changes prior to the reactions. the injection may not be the cause of pain and diarhea, but some of the possible reactions include "..muscle pain.. and feeling unwell". My primary concerns are: 1) Will the back pain subside? It is less now, and I hope it will return to normal in time. 2) Should I take any additional injections of the vaccine?

Other Meds:

Current Illness: None

ID: 1012009
Sex: F
Age: 32
State: TX

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Dust mites Mt Cedar Cypress

Symptom List: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: Rash under the eyes

Other Meds: Kurvelo

Current Illness: None

ID: 1012010
Sex: F
Age: 73
State: TX

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Macabed, Penicillin, Nickel sulfate, dairy, black pepper, corn

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Fever went up slowly, spiked at 103, then went down, sleepiness, blood pressure went up, similar symptoms to when I had COVID, except did not have heightened taste, neither time did I have trouble breathing, Cough, swollen red arm. Just rested and watched if had trouble breathing

Other Meds: Dexalent, Zertic,

Current Illness: allergies

ID: 1012011
Sex: F
Age: 56
State: IN

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None known.

Symptom List: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Headache for 33 hours, nausea for 30 hours and Severe chills for 8 hours. Symptoms began about 6 hours after vaccination.

Other Meds: Lisinopril 20mg, Singulair 10mg, Spironolactone 25 mg, Bystolic 10mg, D3 25mcg, Flaxseed oil 1000mg, Advair 250/50

Current Illness: None.

ID: 1012012
Sex: M
Age: 67
State: FL

Vax Date: 10/06/2020
Onset Date: 10/07/2020
Rec V Date: 02/08/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: N/A

Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: PATIENT PAT HAD SEVERE PAIN AND LOSS of MOTION in left ARM from Day after SHOT ContiNuing untiNl preseNt

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am