VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 11/12/2021
** VAERS DATABASE Last updated: November 12, 2021**
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Manufacturers

Total Manufacturer
46,870MODERNA
532GLAXOSMITHKLINE BIOLOGICALS
353PFIZER\BIONTECH
231MERCK & CO. INC.
221UNKNOWN MANUFACTURER
62SEQIRUS, INC.
25DYNAVAX TECHNOLOGIES CORPORATION
13EMERGENT BIOSOLUTIONS
12SANOFI PASTEUR
9NOVARTIS VACCINES AND DIAGNOSTICS
5PFIZER\WYETH
5PAXVAX
2TEVA PHARMACEUTICALS
2PROTEIN SCIENCES CORPORATION
1BERNA BIOTECH, LTD.
1INTERCELL AG
1CSL LIMITED

COVID19 Lot Number

VAX LOT Total
2S9CL1,906
1,575
289
IMM209286
252
236
229
s029456178
171
UT7065MA166
155
149
145
S034636133
107
U62828AA103
100
98
P10025327596
U6737AA85
UJ446AA79
78
78
59
57
4BH3254
4F47253
52
27656352
50
PP9L548
49TM346
42
40
38
MENVEO38
4F47237
R1B252M36
34
C5763AA30
93362229
25
300057A24
UNK24
22
CW311621
18
17
15
UH894AB15
3Y7NL12
R1B743M12
EJ168611
el128410
10
10
10
9
ARBA141A9
UNK9
8
UNK8
8
1F4EB8
Unknown7
7
No batch number6
5
5
UJ090AA5
5
5
4
4
4
UNK4
JEV18K95E4
UNK3
A115A3
Z127A3
3
3333324181073
2
2
2
TAR352
1
1
1
1
1
A739081
1
1
1
1
1
037K20A68,542
EL128447,700
133

Incidents per State

State Total
15,185
CA14,096
NY7,507
TX7,196
FL6,939
IN5,527
PA4,560
IL4,179
OH4,054
AZ3,856
MI3,771
NJ3,411
MA3,278
VA3,208
NC3,114
WA3,034
GA2,864
MD2,652
MN2,534
CO2,532
WI2,457
MO2,029
OR1,943
TN1,715
CT1,693
KY1,603
OK1,226
AL1,201
KS1,162
IA1,157
SC1,106
NM1,065
UT973
AR951
LA945
NE829
NV797
ME795
MT789
NH756
ID674
AK661
WV661
PR650
MS585
HI536
RI510
VT441
SD361
ND356
DE350
DC239
WY209
GU32
AS16
VI13
MP9
MH3
FM2
QM1
XB1

ID: 1032727
Sex: F
Age: 43
State: FL

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Right arm became very painful and unable to move due to the stiffness of the upper arm. Could NOT use or lift arm at all for 24 hours. At 10:30pm on the 13th, my husband and I decided to try and move my arm slowly up and down to help "loosen the stiffness" when my husband lifted my right arm to about shoulder height, the pain was so bad I fainted. I have never fainted before in my life. I was out for about 2-3 minutes.

Other Meds: none

Current Illness: none

ID: 1032728
Sex: F
Age: 33
State: PA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: NA

Allergies: NKA

Symptoms: Arm pain (painful 5/10 to move arm at all), chills, low grade fever, body aches, muscle cramping, headache, low back pain, nausea, difficulty sleeping- onset 2000 after 1400 shot and ongoing next day at 0640

Other Meds: Daily multivitamin

Current Illness: NA

ID: 1032729
Sex: F
Age: 66
State: NY

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: After receiving the 2nd dose of the COVID vaccine on Sunday morning, Feb. 14, my left underarm began to hurt in the evening. I was tired that day but no other symptoms. Through the night I had chills and sweats. In the morning there was a large lump in my left underarm. Swollen lymph glands about 3 inches wide and 2 inches deep. This has continued through Monday and now Tuesday morning it is the same. No sign of it growing larger or smaller.

Other Meds: estrodial, multivitamin, vitamin D, Vitamin B12

Current Illness:

ID: 1032730
Sex: F
Age: 42
State: MA

Vax Date: 01/20/2021
Onset Date: 01/23/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Rash/hives on lower legs very itchy in morning and evening. Started 3 days after vaccination, symptoms mostly gone after being present for 3 weeks. No treatment seeked.

Other Meds: Birth control - alyacen Multi vitamin

Current Illness: None

ID: 1032731
Sex: F
Age: 47
State: DE

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Arm was very achy the first 12-14 hours. Kept me awake that night. Injection site was very sore to touch. After 5 days, still have severe joint pain in left shoulder (side which injection was given) which is constant.

Other Meds: Humira 40 mg injections bi-weekly Celebrex 200 mg Gabapentin 200 mg Vyvanse 70 mg Ambien 12.5 mg

Current Illness: Tendon release surgery 1 week prior

ID: 1032732
Sex: M
Age: 21
State:

Vax Date: 02/10/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: started to have a headache the day after the shoot, tried to sleep it off. Had chills and felt slightly weak. Went away after the day after the side affects.

Other Meds: None

Current Illness: None

ID: 1032733
Sex: F
Age: 76
State: FL

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: saw her PA yesterday, and the PA said those were just allergic reactions

Allergies:

Symptoms: summary of her symptoms: 1 hr post vaccination - feeling tired and sneezing excessively for a couple of days. 3rd day post vaccination-skin tingling sensation all over that resolved with oatmeal bath. 5th day post vaccination-was seen by pcp who told she was fine. received a call from pa from office to inform her she had an allergic rxn and was not to receive the second vaccine. today-she is asymptomatic.

Other Meds: Niacin 500 mg tablet Aspirin 81 mg tablet Multivitamin Calcium with Vitamin D Lumigan eye drops

Current Illness:

ID: 1032734
Sex: F
Age: 41
State: VA

Vax Date: 01/25/2021
Onset Date: 02/06/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: ER visit on the 6th where they conducted an EKG, CT Scan and bloodwork. Confirmed diagnosis of Bell's Palsy.

Allergies: Shellfish, Nuts, Fish, Mushrooms, Tomatoes, Rosemary, Oregano, Gluten

Symptoms: Bell's Palsy, Fever, Fatigue, Headache, and Dizziness

Other Meds: Metformin, Birth Control IUD

Current Illness: None

ID: 1032735
Sex: F
Age: 38
State: VA

Vax Date: 01/27/2021
Onset Date: 01/31/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: physical examination 2/3/21; 2/4/21; 2/5/21

Allergies: glyburide, ceclor

Symptoms: developed s/s consistent with brachial neuritis in R arm a few days post vaccination; required medical treatment and 10 day course of oral steroids; imagining and physical therapy ordered as well; as of today (2/16/21) condition has improved with majority of R arm function regained

Other Meds: Levothyroxine, venlafaxine, cetirizine

Current Illness: injection site reaction from initial COVID vaccine, generalized malaise and joint pain after both 1st and 2nd COVID vaccine

ID: 1032736
Sex: F
Age: 47
State: MD

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: none

Allergies: NKDA

Symptoms: On Tylenol 500 mg every 6 hours from Tuesday to Friday; On Ibuprofen 600 mg every 6 hours from Tuesday to Friday fever from Tuesday to Thursday; headaches, joint pain and pain on injection site from Tuesday to present; fatigue from Tuesday to present; tachycardia/ shortness of breath on exertion Thursday and Friday

Other Meds: Spironolactone 50 mg once a day Mylan 1 tablet once a day

Current Illness: none

ID: 1032737
Sex: F
Age: 66
State: WI

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Arm pain, moderate

Other Meds: Celecoxib 200MG, Ezetimibe 10MG, Vitamin B12, Vitamin B1, Vitamin C, Calcium w/Vitamin D

Current Illness: N/A

ID: 1032738
Sex: F
Age: 67
State: FL

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: n/a

Allergies: morphine, sulfur, Epinephrine

Symptoms: Client c/of nausea and dizziness. states that she hand's had anything to eat since am. client started having symptom after getting out of car to walk her dog. Pt voice that she suffers from panic disorder and was having an episode. Pt assessed, vital signs are as follows: BP 130/84, HR 80, O2 97%. Client cleared to go home after stating she felt better.

Other Meds: Prosec, Klonopin, advair

Current Illness: no

ID: 1032739
Sex: F
Age: 36
State: NY

Vax Date: 01/06/2021
Onset Date: 01/10/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Demerol/Phenergan

Symptoms: Intermittent facial tingling/numbness-still occuring

Other Meds: Omerprozole 20 mg twice daily, Mirena, Gabapentin 100 mg daily, and Tylenol PRN

Current Illness: SORE THROAT-Negative Covid- and Negative strep.

ID: 1032740
Sex: M
Age: 20
State:

Vax Date: 01/20/2021
Onset Date: 01/28/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: troponin levels, 2d echo

Allergies: None

Symptoms: Patient developed fever on day 8 post-vaccine followed by tachycardia, dyspnea and chest pain. Elevated troponin in the ER. ED echo confirmed pericarditis with likely myocarditis.

Other Meds: Adderall

Current Illness: None

ID: 1032741
Sex: U
Age:
State: OH

Vax Date: 02/08/2021
Onset Date: 02/10/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Date and time adverse event started: red toes 2 /10 estimated..caller says she didnt tell me exactly Date and time of vaccination: (list both if they received both shots): 2/8/21 he thinks

Other Meds:

Current Illness:

ID: 1032742
Sex: F
Age: 55
State: OH

Vax Date: 01/28/2021
Onset Date: 02/08/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Sulfa, latex

Symptoms: Minor hives on upper back 3 weeks after round 1. Resolved before receiving round 2. Rash came back with a vengeance round 2. Rash was shingle like in patches on upper back. Rash then extended to patch on lower back. It was itching and burning and had papules. Rash spread to area around umbilicus. Rash extended to spots down left arm. Went to physician on 02/15/2021. Unsure if shingles or reaction to vaccine. Prescribed a steroid shot and Zyrtec daily. Prescribed Valacyclovir.

Other Meds: Elderberry, zinc, vitamin C gummy

Current Illness: None

ID: 1032743
Sex: F
Age: 37
State: FL

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 13 hrs post vaccine fever, aches chills. 36 hrs pst vaccine swollen left supraclavicular lymph node, still swollen 2.5 wks later. 10 days post vaccination rash on left arm near injection site lasted 3 days. PCP notified and will f/u if node still swollen at 1 month.

Other Meds: Prenatal vitamins, iron, calcium

Current Illness: None

ID: 1032744
Sex: F
Age:
State: FL

Vax Date:
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: daughter states that mother took 600 mg of ibuprofen

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 1032745
Sex: F
Age: 37
State: AZ

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever lasted 8+ hours, chills, body ache, headache

Other Meds: Fish oil, vitamin d

Current Illness:

ID: 1032746
Sex: F
Age: 66
State: FL

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: PCN, hives rashes

Symptoms: Client attended by onsite EMS. Client concerned about dizziness after receiving COVID-19 vaccine. Decided to have bp taken. Pulse/heart rate 107, O2 96%, stated had anxiety.

Other Meds: Denies

Current Illness:

ID: 1032747
Sex: F
Age: 34
State: PA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: CERTIRIZINE

Symptoms: Pt. states that she received the second vaccine on 2/15/21 at 1720 and then five minutes later she developed shortness of breath, itchy throat, and coughing. pt. was brought to the Emergency room. Pt. currently in hospital.

Other Meds: DENIES

Current Illness: DENIES

ID: 1032748
Sex: F
Age: 41
State: PA

Vax Date: 02/06/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None. It was harmless.

Allergies: Actifed Fish oil

Symptoms: 8 days after I received the Moderna vaccine, I got an itchy, hard red patch about the size of a quarter with a smaller patch right below about the size of a nickel at the injection site which lasted for a little over 24 hours.

Other Meds: Wellbutrin Protonix Pepcid Sinulair Multi-vitamin

Current Illness: None

ID: 1032749
Sex: F
Age: 27
State: NH

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: reports, "I got my second covid vaccine Lot 031L20A vaccine to my left arm around 1540 the day before, 2/10 and I woke up fine". reports, "around 9 ish, I felt cold but was told it is always cold on this floor and while standing in patient room, 10 minutes later, I felt nausea and dizzy, then realized I was falling to the floor and hit the floor but used both hands to lessen the fall and then hit the left side of my nose". denies any headache, nose bleeding, hitting head or LOC. reports, "someone from the unit took me down to the ED by wheelchair". reports, " I was fully aware I was falling". denies any problems with lighting, monitors, headache, visual or gait disturbance".

Other Meds:

Current Illness:

ID: 1032750
Sex: M
Age: 76
State: FL

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: sulfa

Symptoms: Client verbalized feeling anxious after receiving the vaccine. Client was evaluated by Fire Rescue Paramedics onsite and cleared to go home. Patient wanted to be transported to the hospital for further evaluation. Client was transported to Hospital at 10:am.

Other Meds: none

Current Illness: none

ID: 1032751
Sex: F
Age: 69
State: FL

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: 1/16/2021( first dose) LOT first (011J20A); 2/13/2021 (second dose) second (028L20A); patient reported she woke up today 02/14/2021 @0700 to sorness amd pink color around the area of injection. dizziness is gone , but the pink color around the injection site and the sorness still present

Other Meds: Amlodipine, Prozac, Lisinopril, Furosemide, clonazepam, Seroquel

Current Illness:

ID: 1032752
Sex: F
Age: 53
State: MD

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: none

Allergies: sulfa

Symptoms: nausea, headache, muscle aches, fatigue, swollen lymphnodes in armpit (left side)

Other Meds: none

Current Illness: none

ID: 1032753
Sex: F
Age: 61
State: FL

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Dairy, Environmental Allergies, Allergic Asthma

Symptoms: Fever, body aches , shortness of breath, headache

Other Meds: No

Current Illness: None

ID: 1032754
Sex: F
Age: 52
State: WV

Vax Date: 02/05/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Skin rash to clindamycin, sometimes get immediate injection site reaction to Emgality but not always. It looks like what I have going on with covid vaccine

Symptoms: Delayed injection site reaction. Felt like the muscle was getting sore again. After shower noticed the rash. I sometimes get this after Emgality shot but not always. It isn't bothersome. Shot was Feb 5. Noticed renewed pain on Feb 15, noticed rash Feb 16. Will monitor.

Other Meds: Multi vitamin, probiotic, stool softener, estradiol, buspirone - daily Emgality - monthly Triptan, hydroxyzine, promethazine, celecoxib - PRN Did not take pain or antiinflammatories before or after vaccine

Current Illness:

ID: 1032755
Sex: F
Age: 27
State: GA

Vax Date: 02/01/2021
Onset Date: 02/09/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Flu symptoms, nausea, chills, severe headache

Other Meds: Duloxetine 90mg a day

Current Illness: Rash on eyes, OTC steroid for 5 days starting 1/1/2021

ID: 1032756
Sex: F
Age: 48
State: PA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: Had blood work and stool specimen on the 12th. Stool was passive for fecal lactoferrin

Allergies: Sulfa Amoxicillin

Symptoms: Diarrhea for 3 weeks and still going on

Other Meds: Prilosec Daily vitamin

Current Illness: N/A

ID: 1032757
Sex: F
Age: 68
State: PR

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: Ancef (antibiotic)

Symptoms: After the vaccination at around 6 PM the injection site (arm) started to feel sore and warm. The day after the vaccine in the early morning hours I started to feel a headache and I took Aleve and also nausea where I then took Zofran. Once I took medication hours later I started to feel a bit of relief but then the symptoms came back again. On 02/16/2021 my arm didn't feel sore but I still feel the headache.

Other Meds: Synthroid, ginger tea, Aleve

Current Illness: None

ID: 1032758
Sex: F
Age: 34
State:

Vax Date: 02/10/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Allergic to Duoneb and an antibiotic that starts with a C.

Symptoms: I was throwing up all of Friday, had chills, fever, dizzy, weak, and exhaustion. These symptoms lasted all day Friday. I could barely get out of bed. Saturday I was still dizzy, body was weak but no more throwing up. The effects lasted until Sunday but my stomach is still having issues and still a little weak.

Other Meds: None

Current Illness: none

ID: 1032759
Sex: F
Age: 27
State: KY

Vax Date: 02/10/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Hazelnut

Symptoms: Swollen lymph node (in the armpit) on the side where injection occurred

Other Meds: Birth control

Current Illness: No

ID: 1032762
Sex: F
Age: 30
State: TN

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Exposure during pregnancy; No additional AE reported; patient inadvertently received a dose of GARDASIL 9 instead of FLU vaccine; This spontaneous prospective pregnancy report was received from an office manager, via field representative and refers to a 30-year-old female patient. Her concomitant medications included prenatal vitamins and loratadine. The patient's pertinent medical history included history of thrombocytopenia. Reported allergies included allergies for tree nuts, mango and gluten. She became pregnant with last menstrual period (LMP) on 11-OCT-2020 and estimated due date on 18-JUL-2021. On 21-JAN-2021, the patient was vaccinated with HPV rL1 6 11 16 18 31 33 45 52 58 VLP vaccine (yeast) (GARDASIL 9) lot # 1687291, expiration date 11-SEP-2022 (dose, route of administration and anatomical location were not reported) for prophylaxis, instead of influenza virus vaccine (unspecified). The pregnancy outcome was pending. There was no additional adverse event reported. 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: 1687291; expirationdate: 11-SEP-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

Other Meds: loratadine; GARDASIL 9 SYRINGE (DEVICE)

Current Illness: Allergy to nuts; Fruit allergy; Gluten sensitivity; Prophylaxis

ID: 1032763
Sex: M
Age: 64
State: MA

Vax Date: 03/18/2013
Onset Date: 03/18/2013
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: administered zoster vaccine live (ZOSTAVAX) at a dose of 0.5 (units not provided); This spontaneous report (split from legal case MARRS # 2008USA010988) was received from an other health professional via a Patient Vaccine Administration Record and from a physician via medical records, and refers to a 64-year-old male patient. No information about the patient's medical history, concurrent conditions or concomitant medications was provided. On 18-MAR-2013 (also reported as "3/18"), the patient was vaccinated with zoster vaccine live (ZOSTAVAX) (also reported as "historical Zostervax"), dose: 0.5 (units not provided), lot # J000433 was found to be valid for zoster vaccine live (ZOSTAVAX), expiration date was not provided but upon internal validation established as 10-APR-2014, for prophylaxis (route of administration and anatomical location were not provided). All available medical records will be provided upon request. This is one two reports received from the same reporter.; Sender's Comments: US-009507513-2008USA010988:

Other Meds:

Current Illness:

ID: 1032764
Sex: U
Age:
State: LA

Vax Date:
Onset Date:
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: significant local reactions to Bexsero-Itching; significant local reactions to Bexsero-Redness; significant local reactions to Bexsero-swelling; Concerned that this may have been an allergic reaction; This case was reported by a physician via sales rep and described the occurrence of localized itching in a 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 localized itching, localized erythema, local swelling and allergic reaction. On an unknown date, the outcome of the localized itching, localized erythema, local swelling and allergic reaction were unknown. It was unknown if the reporter considered the localized itching, localized erythema, local swelling and allergic 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 provided as follows: The age at vaccination was not reported. The patient had significant local reactions like redness, swelling & Itching to Bexsero. The reporter was concerned that this might have been an allergic reaction. The physician was not planning on giving 2nd dose. The reporter did not give consent to follow-up.

Other Meds: Bexsero Pre-Filled Syringe Device

Current Illness:

ID: 1032765
Sex: F
Age: 60
State: VA

Vax Date: 10/28/2020
Onset Date: 11/02/2020
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Numbness / in her left hand; Tingling in her left hand; Continues to have mild discomfort; Decreased range of motion / unable to lift her left arm independently / has used physical therapy; unable to lift her left arm independently / has used physical therapy; Left side of her neck became sore / increasingly worse; Left arm soreness; This case was reported by a consumer and described the occurrence of pain in arm in a 60-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. Concurrent medical conditions included osteoarthritis and rheumatoid arthritis. Concomitant products included methotrexate. On 28th October 2020, the patient received the 1st dose of Shingrix (intramuscular). On 2nd November 2020, 5 days after receiving Shingrix, the patient experienced neck pain. On 4th November 2020, the patient experienced joint range of motion decreased and injected limb mobility decreased. On an unknown date, the patient experienced pain in arm, numbness in hand, tingling of extremity and discomfort. The patient was treated with prednisone and non-drug therapy (Physical Therapy). On an unknown date, the outcome of the pain in arm, joint range of motion decreased and injected limb mobility decreased were recovered/resolved and the outcome of the neck pain and discomfort were not recovered/not resolved and the outcome of the numbness in hand and tingling of extremity were unknown. It was unknown if the reporter considered the pain in arm, neck pain, joint range of motion decreased, injected limb mobility decreased, numbness in hand, tingling of extremity and discomfort to be related to Shingrix. Additional details were provided as follows: The patient received the dose of Shingrix in left arm. The patient had left arm soreness for approximately two days. On days three and four, she felt fine. On 2nd November 2020, the left side of her neck became sore and became increasingly worse. On 4th November 2020, she had a decreased range of motion. She was unable to lift her left arm independently. She also had numbness and tingling in her left hand. She had taken prednisone and had used physical therapy. The patient's range of motion was back to baseline, but she continued to have mild discomfort. The reporter consented to follow up.

Other Meds: METHOTREXATE

Current Illness: Osteoarthritis; Rheumatoid arthritis

ID: 1032766
Sex: F
Age: 41
State: MI

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient only received a portion of the 0.5ml dose, less than one cc is what fell out of the syringe; A spontaneous report was received from a healthcare professional concerning a 42-year-old female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and only a portion of the 0.5 ml dose, less than one cc is what fell out of the syringe. The patient's medical history was not provided. No relevant concomitant medications were reported. On 01 Feb 2021, prior to the onset of the events, the patient received her first of two planned doses of mRNA-1273 (Lot number: 026L20A) for prophylaxis of Covid-19 infection. On 01 Feb 2021, It was stated that the patient only received a portion of the 0.5 ml dose, less than one cc is what fell out of the syringe. No treatment information was provided. Action taken with the second dose of mRNA-1273 in response to the event was not reported. The event, the patient only received a portion of the 0.5 ml dose, less than one cc is what fell out of the syringe, were considered resolved on 01 Feb 2021.; Reporter's Comments: This report refers to a case of accidental underdose for mRNA-1273. There were no reported AEs associated with this case.

Other Meds:

Current Illness:

ID: 1032767
Sex: M
Age:
State: CA

Vax Date:
Onset Date:
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: received his first dose of the Moderna COVID19 vaccine. 12 days later, he received the Pfizer; received his first dose of the Moderna COVID19 vaccine. 12 days later, he received the Pfizer; A spontaneous report was received from a consumer concerning a 74-year-old male patient who receive his first dose of Moderna Covid-19. 12 days later, he received the Pfizer vaccine. The patient's medical history was not provided. Concomitant product use was not provided by the reporter. On an unknown date, prior to the onset of events, the patient received their first of two planned doses of mRNA-1273 (batch number: not provide) intramuscular for prophylaxis of COVID-19 infection. Twelve days later the patient was given the Pfizer vaccine. The pharmacist on the phone did not want to provide any further information. Treatment information was not provided. Action taken with mRNA-1273 in response to the event(s) was not provided. The events were considered resolved.; Reporter's Comments: This case concerns a 74 year old male patient who received their first of two planned doses of mRNA-1273 (batch number not provide) intramuscularly for prophylaxis of COVID-19 infection. Twelve days later the patient was given the Pfizer vaccine. There were no reported adverse events in this case of product substitution issue and Inappropriate schedule of product administration.

Other Meds:

Current Illness:

ID: 1032768
Sex: F
Age: 48
State: CT

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Some shellfish, iodine, aspirin, ibuprofen

Symptoms: It started with tingling in my tongue (which I ignored), then it became numbness that spread down my throat I also became short of breath. That's when I notified one of the nurses. They checked my blood pressure. I vaguely remember hearing it was high (189/?). They called 911 and the paramedics came. Shortness of breath became worse and chest pains started. The paramedic gave me Benadryl and then epinephrine since I was increasingly getting worse. I was shaking and I felt lethargic. I could not control the shaking and I felt cold. I do not remember a lot of details when I got to the Emergency Room. Looking at my record they gave me: LORazepam (ATIVAN), methylPREDNISolone sod suc(PF)(SOLU-MEDROL) and famotidine. I went home that night with the condition that I see my primary care physician. I felt like I have the flu and soreness of arm the next couple days. I went back to work after four days.

Other Meds: None

Current Illness: none

ID: 1032769
Sex: F
Age: 36
State: PA

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: EKG

Allergies: bactrum

Symptoms: Several days after 1st Covid-19 vaccine I have incidents at least 2 times per day feeling shakiness, feeling like blood sugar was low, feeling weak and dizzy and clammy This lasted for 2 weeks post the 1st vaccine. Also experienced headache for 10 days post vaccine. After dose 2, Flushing on face and chest. Tingling and heaviness on chest. Feeling short of breath and feeling tightness in throat Tingling of arms. BP was 141/101 (normally runs low). I was informed that I was having a panic attack and was released by the staff. Chest tightness, heaviness and difficulty breathing continued. On Saturday 2/13 I went to urgent care and was prescribed an inhaler and steroids for shortness of breath. I continue with feeling heaviness in my chest, difficulty with shortness of breath, and hoarseness in my voice/tightness in my throat especially with increased activity or talking.

Other Meds: Levothyroxine; Lexapro

Current Illness: Slight congestion 2-3 days prior to vaccine. Was seen by PCP and informed that this was probably a common cold. No other symptoms on the day of the vaccination. Was tested for Covid-19 on 1/22 after the 1st vaccine to rule COVID out as a possibility following my adverse reaction to the first dose of the COVID vaccine. My test was negative at that time.

ID: 1032770
Sex: M
Age: 70
State: NJ

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: N/A

Allergies: Injected iodine.

Symptoms: At times, moderate to severe pain in left arm, left elbow, left wrist and fingers ,At times, a searing, burning pain that comes and goes. Also went into left chest muscles and left shoulder. Kept me awake a few nights after the shot. When pain was bad, little or no strength in left arm.

Other Meds: Blood Pressure Medications, Hipprex, Toprol, Zetia

Current Illness: None

ID: 1032771
Sex: F
Age: 74
State: NH

Vax Date: 02/01/2021
Onset Date: 02/09/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: Because of my symptoms on 2/9/21 U was tested fir Covid (nasal swab sent to a lab) results came bac k NEGATIVE on 2/10/21

Allergies: Tetanus Shot

Symptoms: On 2/9/21 I woke up with a raised, red, swollen rash on my left arm probably 2" x 2" in size. I had a scratchy throat, mild headache and chills. I went to Urgent Care (per my primary care's instructions). Diagnosis was Cellulitis (skin infection caused by bacteria at the injection site) and put on 100mg Doxycycline twice a day for 7 days. Over the next few days the rash increased in size and I still was getting chills and tingling sensations on my skin especially my face so I contacted my Primary Care and had a follow-up appointment with them on 2/11/21. I was told to stop the Doxycycline because they did not think it was Cellulitis, but was a reaction to the Vaccine (Covid Arm). On 2/15/21 I saw my Dermatologist because I am still having tingling sensations on my face and my Rosacea is acting up - they put me on a topical cream Ketoconazole. The rash on my arm is just a little red at the outer edge, but slowly disappearing.

Other Meds: Atorvastatin 20mg, Travoprost eye drops, Aspirin 81 md, Vitamin D3

Current Illness:

ID: 1032772
Sex: F
Age: 86
State: MI

Vax Date: 02/08/2021
Onset Date: 02/11/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: Urinalysis and Urine culture 2/10/2021

Allergies: CiprofloxacinDizziness Aciphex [Proton Pump Inhibitors] Adhesive Tape Cefuroxime Codeine FurosemideSwelling Losartan [Angiotensin Receptor Blockers]Angioedema Milk Morphine Neurontin [Fd&c Blue #2, Indigotine] Omeprazole Penicillin [Aspartame And Phenylalanine] Skelaxin [Metaxalone] Sulfa Drugs Vicodin [Hydrocodone-acetaminophen]Nausea and Vomiting, Dizziness Voltaren [Cremophor Containing Drugs]

Symptoms: She had her 2nd COVID-19 vaccine 2 days ago. Yesterday she developed sudden onset of weakness and tiredness. She had a hard time sitting up, trying to lift her arms, had a hard time articulating how she felt and what was wrong, her speech seemed a little slurred, and she felt nauseated. Her daughter denied facial droop and localizing weakness. She continued to be "out of it" and weak until her daughter put her in bed about 7 hours later. She slept well and got up twice during the night to use the bathroom and seemed ok. She is feeling better today. Pt reports she kept hearing the telephone ringing all night and thought she heard someone yelling about the phone.

Other Meds: acetaminophen (TYLENOL) 500 MG tablet apixaban (ELIQUIS) 5 MG TABS aspirin 81 MG chewable tablet Bacillus Coagulans-Inulin (PROBIOTIC FORMULA) 1-250 BILLION-MG CAPS divalproex (DEPAKOTE ER) 250 MG 24 hr tablet fluorouracil (FLUOROPLEX) 1 %

Current Illness: Paroxysmal Atrial Fibrillation 1/13/2021

ID: 1032773
Sex: F
Age: 63
State: NY

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 1st dose - Soreness and swollen at injection site for around 8 days; 2nd dose - Soreness at injection site and fever of up to 100.7 for approximately 24 hours..

Other Meds: 25 mg. zoloft 2000 IU vitamin D calcium supplents

Current Illness: none

ID: 1032774
Sex: F
Age: 65
State: NY

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Aspirin, anti-inflammatory

Symptoms: Joint pain in hands, feet and elbows beginning the evening after 1st dose and is still an issue hampering life a month later - the day I am getting does #2

Other Meds: Metformin, Ramipril, Simvistatin, Synthroid, Calcium/Vitamin D supplement, Iron supplement

Current Illness: None

ID: 1032775
Sex: F
Age: 44
State: MA

Vax Date: 01/01/2021
Onset Date: 02/03/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Apple Carrot Peach Pear Nectarines Plum Wild Cherry Dilaudid [hydromorphone] Latex

Symptoms: Had covid vaccine #1 1/26/21; 2/4/21 developed localized red, warm mildly indurated rash at injection site. Treated With ice, rest, elevation, doxycycline added for ? Cellulitis, and took antihistamine; 2/9/21 - spread of reaction in left arm at site of injection; Area of redness has spread from 5cm to 15-20cm covering left lateral upper arm with mild erythema , mild warmth, no pain or itching. Denies f/c, malaise or pain.

Other Meds: lisinopril (PRINIVIL,ZESTRIL) 10 MG tablet cephalexin (KEFLEX) 500 MG capsule metFORMIN (GLUCOPHAGE-XR) 500 MG 24 hr tablet cholecalciferol (VITAMIN D3) 2,000 unit capsule albuterol 90 mcg/actuation inhaler fluticasone propionate (FLOVENT H

Current Illness: Essential hypertension Asthma Morbid obesity with BMI of 40.0-44.9, adult Prediabetes Hypertriglyceridemia Chondromalacia DJD (degenerative joint disease) Fatty liver disease, nonalcoholic PONV (postoperative nausea and vomiting) PTSD (post-traumatic stress disorder) Depression with anxiety Anxiety Knee pain Adverse effect of anesthetic

ID: 1032776
Sex: U
Age:
State: FL

Vax Date: 02/03/2021
Onset Date: 02/07/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: She began having an ear ache and now has shingles. She went to the MD office and is now on an antiretroviral. She has no appetite, has bumps on the face, and is always tired now. From the first shot she began very tired and nauseated. She did also have some shortness of breath after the first shot as well.

Other Meds:

Current Illness:

ID: 1032777
Sex: F
Age: 35
State: OH

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: She passed out a couple hours after the second dose of the vaccine was received. The employee was contributing it to the vaccine, but she has been to 3 emergent/urgent visits since then for continued episodes of syncope. She has not returned to work since the vaccine she works in a Dr.'s office.

Other Meds:

Current Illness:

ID: 1032778
Sex: F
Age: 66
State: FL

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

Lab Data: took pfizer coronavirus vaccine on monday; been taking benadryl since monday; 25 mg bid; shortly after vaccine began to feel half face numb and red; called her doctor that night and took benadryl and prednisone under MD advice; gets a heat rash up to her face every afternoon and feels jittery and sweaty. vaccine was Monday 8th; Hard Rock Stadium. Pfizer ; has not been physically seen by doctor Said no to anaphylaxis question when was being vaccinated but now remembers that 40 years ago had anaphylaxis on a plane ride. Pfizer vaccine LOT: EL 9269; When she got the vaccine, she states she didn't feel the injection, after 5 mins her arm was red and hot; half way home the swelling/redness went to her left check; numbness on half of her nose and half tongue; cheek; numbness lasted for 2 days; the symptom that remains and what's most bothersome to the patient is a "hot flash" that comes on every day since the vaccine was prescribed her prednisone for 3 days; and benadryl bid as needed; also had pain for 2 days on arm; rec'd to be seen by her doctor. This is not anaphylaxis.

Allergies:

Symptoms: pain, swelling and redness of arm; redness and numbness of face, redness and burning sensation of face persists.

Other Meds: metoprolol olmesartan prn alprazolam multivitamin lipoflavinoid vitamin D3 Airborne flax seed oil magnesium

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm