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: 1040552
Sex: F
Age:
State: MA

Vax Date: 01/05/2021
Onset Date: 02/02/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: experienced crippling lower abdominal pain followed by very very heavy bleeding and clotting; experienced crippling lower abdominal pain followed by very very heavy bleeding and clotting; experienced crippling lower abdominal pain followed by very very heavy bleeding and clotting; This is a spontaneous report from a contactable healthcare professional (patient). A 32-years-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; batch/lot number and expiration date unknown), via an unspecified route of administration in the left arm on 05Jan2021 10:15 at a single dose for COVID-19 immunization at a hospital. Medical history included idiopathic hypersomnia and allergies to eggplant. The patient has no covid prior to vaccination. Concomitant medications included methylphenidate hydrochloride (CONCERTA), methenamine, levonorgestrel (MIRENA), propranolol hydrochloride (PROPRANOL) and vitamin c [ascorbic acid] (VITAMIN C [ASCORBIC ACID]). The patient had no other vaccine in four weeks. The patient previously took cefazolin and levaquin and experienced allergies to both. The patient has a Mirena IUD and never get her period at all. Within 6 hours of her first Pfizer injection (02Feb2021 16:00), the patient experienced crippling lower abdominal pain followed by very very heavy bleeding and clotting. Resolved within 48 hours as quickly as it came and didn't occur with second dose 1 week out. The patient was not tested for Covid post vaccination. The events were not treated. The outcome of the events was recovered on 04Feb2021. Information on the lot/batch number has been requested.; Sender's Comments: Based on available information and known drug profile it is unlikely that the reported events were causally related to BNT162B2. These are intercurrent conditions. A contributory role of the patient's Mirena IUD should be evaluated. Case will be reassessed if additional information is received. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Other Meds: CONCERTA; METHENAMINE; MIRENA; PROPRANOL; VITAMIN C [ASCORBIC ACID]

Current Illness:

ID: 1040553
Sex: F
Age:
State: CA

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

Lab Data: Test Date: 20210201; Test Name: Blood pressure; Result Unstructured Data: Test Result:Raised

Allergies:

Symptoms: Tongue swelling; difficulty swallowing; raised blood pressure; body weakness; redness; This is a spontaneous report received from a contactable consumer (patient). A 46-year-old female patient (not pregnant) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: not available), via an unspecified route of administration on left arm on 01Feb2021 16:00 at single dose for COVID-19 immunization. Age at vaccination was 46 years. The patient was not pregnant at the time of vaccination. Medical history included food irritations. Concomitant medications included unspecified vitamins (received within 2 weeks of vaccination). The patient didn't received any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with COVID-19, Prior to vaccination. The patient has not been tested for COVID-19, since the vaccination. The patient experienced tongue swelling, difficulty swallowing, raised blood pressure, redness, body weakness on 01Feb2021 at 16:30. The events resulted in emergency room visit/ department or urgent care visit. The patient received breathing treatments and unspecified IV medication for the events. The events were assessed as non-serious by the reporter. The outcome of the events was reported as unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1040554
Sex: F
Age:
State: PA

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Test Date: 202102; Test Name: blood work; Result Unstructured Data: Test Result:Unknown Results

Allergies:

Symptoms: Went to sit down and passed out; felt dizzy; nausious/nausia; sweaty; sick feeling; as she was ghost white; bad headache.; This is a spontaneous report from a contactable other Health Professional reported for herself. A 16-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EN5318) via intramuscular on left arm on 02Feb2021 03:45 PM, at age of 16 years old at single dose for Covid-19 immunization. Patient was not pregnant at the time of vaccination. Medical history reported as allergies to medications, food, or other products was reported as none known. Prior to vaccination, patient was not diagnosed with COVID-19. Other medications the patient received within 2 weeks of vaccination included multivitamin and melatonin gummies. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL3248), via intramuscular at left arm on 12Jan2021 03:45 PM for Covid-19 immunization. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. It was reported morning after vaccine 03Feb2021 08:00 patient was felt dizzy and nausious. Told her mom and her mom ran over as she was ghost white. Went to sit down and passed out. Patient experienced sweaty, nausia, sick feeling and bad headache. Patient went to the emergency room (ER), they gave fluids and blood work. No heart issues noted. Felt better around 3 hours after. Headache was bad and continued on 05Feb2021 (reported today). Also, still feel nausious and had to lay down. All events occurred on 03Feb2021 08:00 AM. Patient was recovering. It was reported the adverse event result in emergency room/department or urgent care. The seriousness criteria were reported as not serious, no results in death, no life threatening, no caused/prolonged hospitalization, no disabling/incapacitating, no congenital anomaly/birth defect. Patient was received treatment for the adverse event included fluids and heart monitoring. The patient underwent lab tests and procedures which included blood work in Feb2021. Since the vaccination, patient had not been tested for COVID-19. Outcome of events bad headache and nauseous was not recovered, for felt dizzy, as she was ghost white, passed out, sweaty, sick feeling was recovering.; Sender's Comments: Based on the information provided and plausible temporal association, a contributory of the suspect drug to the reported events cannot be completely excluded. Case will be reassessed when additional information is available. The impact of this report on the benefit/risk profile of the Pfizer drug is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Other Meds: MELATONIN GUMMIES

Current Illness:

ID: 1040555
Sex: F
Age:
State: NY

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

Lab Data: Test Date: 20210205; Test Name: ENT; Result Unstructured Data: Test Result:chondritis or polychondritis; Test Date: 20210203; Test Name: Saliva test; Test Result: Negative

Allergies:

Symptoms: chondritis or polychondritis; chondritis or polychondritis; my nose and right ear swelled up; my nose and right ear swelled up; dose number=1: administration date=28Dec2020/dose number=2: vaccine date=08Jan2021; dose number=1: administration date=28Dec2020/dose number=2: vaccine date=08Jan2021; This is a spontaneous report from a contactable nurse reported for herself. A 65-year-old female patient received the second dose of bnt162b2 (COVID-19 MRNA VACCINE BIONTECH, lot number EJ1686) via intramuscular on 08Jan2021 into left arm at a single dose for covid-19 immunisation. Prior to vaccination, the patient was not diagnosed with COVID 19. The patient got allergies to bentyl, codein, flagyl and got Hx diverticulitis, ileitis, hypothyroid. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient received other medications within 2 weeks of vaccination included levothyroxine, metoprolol and diazepam. The patient previously took the first dose of bnt162b2 (COVID-19 MRNA VACCINE BIONTECH, lot number EK5730) via intramuscular on 28Dec2020 12:00 into left arm at a single dose for covid-19 immunisation. On 11Jan2021 04:00, the patient nose and right ear swelled up. On 05Feb2021, per ENT, it was chondritis or polychondritis. Refer to rheumatologist pending, for further diagnostics. The adverse event resulted in doctor or other healthcare professional office/clinic visit and received treatment included amoxicillin, labs drawn, then prednisone tx, more labs drawn, more prednisone prescribed on 05Feb2021. Since the vaccination, the patient has tested for COVID 19 named saliva test on 03Feb2021 and got negative result. The outcome of the events was not recovered.; Sender's Comments: Based on the information provided, it is unlikely that chondritis or polychondritis is unlikely related to suspect product. Case will be reassessed as and when additional information is available. The impact of this report on the benefit/risk profile of the Pfizer drug is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Other Meds: LEVOTHYROXINE; METOPROLOL; DIAZEPAM

Current Illness:

ID: 1040556
Sex: F
Age:
State: CO

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Test Date: 20210128; Test Name: BP; Result Unstructured Data: Test Result:182/98; Comments: 182/98, elevated for the patient; Test Date: 202102; Test Name: BP; Result Unstructured Data: Test Result:90/62; Comments: Over the next week, BP low 90/62; Test Date: 202102; Test Name: Pulse; Result Unstructured Data: Test Result:58 intermittently

Allergies:

Symptoms: Over the next week, BP low 90/62; Pulse 58 intermittently; lightheadedness; difficulty breathing; red flush to skin on the face; left neck & shoulder pain; left neck & shoulder pain/ hip pain; fatigue; Very disoriented; BP 182/98, elevated for me; Felt extremely unwell; This is a spontaneous report from a contactable other HCP reported for self. This 71-year-old female patient (No pregnant) received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 28Jan2021 14:00 on Arm left at single dose (Lot # EK4176) for covid-19 immunisation. Medical history included Codeine experienced upset stomach only, Osteoporosis, nothing else ongoing. No covid prior vaccination. No other medications in two weeks. No other vaccine in four weeks. Within 6 minutes of injection had lightheadedness & difficulty breathing. This was followed by red flush to skin on the face. Within the next hour, left neck & shoulder pain, hip pain and fatigue. Very disoriented and BP 182/98, elevated for the patient, felt extremely unwell all on 28Jan2021. Over the next week, BP low 90/62 Pulse 58 intermittently in Feb2021. Doctor or other healthcare professional office/clinic visit, Prolongation of existing hospitalization. No covid tested post vaccination. No treatments received. Outcome of the events was not recovered.; Sender's Comments: Considering the plausible drug-event temporal association, a contributory role of the suspect product bnt162b2 (COMIRNATY) to the reported events cannot be excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics committees and Investigators, as appropriate.

Other Meds:

Current Illness: Osteoporosis (nothing else ongoing)

ID: 1040557
Sex: M
Age:
State: AZ

Vax Date:
Onset Date:
Rec V Date: 02/19/2021
Hospital: Y

Lab Data: Test Name: temp; Result Unstructured Data: Test Result:97.2

Allergies:

Symptoms: pneumonia; something wrong with his kidneys; dry heaves; he won't eat; had dots all over his back like it had exploded; rash; got sick; rash/ got sick; This is a spontaneous report from a contactable consumer. This consumer (wife) reported for a male patient (husband) that a male patient of an unspecified age received second dose of bnt162b2 (BNT162B2), via an unspecified route of administration, on an unspecified date at single dose for COVID-19 immunization. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient previously received first dose of BNT162B2 and got sick and rash. The reporter's husband had second shot and she knew he broke out in a red rash all over. He had the first one and got sick eight days later. He had been in the hospital. He saw his primary doctor when he got out of the hospital. He had dry heaves and he won't eat. He didn't want to drink any liquid. She was trying to make him drink. He didn't have a fever. His temp was 97.2. He might have had the rash with both doses. When he came home from the hospital he had a rash, but yesterday he was broken out all over. He got sick and had a test and didn't have it. It was on the twenty eighth when she put him in the hospital and he had pneumonia and something wrong with his kidneys. He was on an antibiotic. He got a rash anytime of the year. When he came home he had dots all over his back like it had exploded. She wanted to know if he could be allergic to this. The patient was hospitalized for the events pneumonia and something wrong with his kidneys. Treatment was received for the events pneumonia and something wrong with his kidneys. The outcome of the events was unknown. Information about Lot/Batch number is requested.

Other Meds:

Current Illness:

ID: 1040558
Sex: F
Age:
State: ND

Vax Date: 01/13/2021
Onset Date: 01/01/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Test Name: Markers for CR; Result Unstructured Data: Test Result:more than double; Test Name: markers for ESR; Result Unstructured Data: Test Result:more than double

Allergies:

Symptoms: Shoulders, ankles, elbows and everything were all hot with flare ups; markers for ESR, and CR were more than double what they should be; markers for ESR, and CR were more than double what they should be; 5 days after, I started feeling soreness and it has got progressively worse; 5 days after, I started feeling soreness and it has got progressively worse; This is a spontaneous report from a contactable Nurse, the patient. A 71-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number EL8982), via an unspecified route of administration on 13Jan2021 (at the age of 71-years-old) as a single dose for COVID-19 vaccination and started to receive methotrexate (ACCORD HEALTHCARE, lot number unknown, expiration date 12Nov2021) on an unspecified date (reported as seven years ago) at a dose of 17.5 mg weekly (seven tablets once a week) for Rheumatoid Arthritis. Medical history included rheumatoid arthritis from an unspecified date. Historical vaccinations included "every vaccine known. I've had all my vaccines, flu whatever" (as reported) on unspecified dates. It was unknown if the patient had received any other vaccinationa in the fourteen days prior to this inoculation. Concomitant medications included folic acid (MANUFACTURER UNKNOWN). On 18Jan2021 (reported as about five days after the shot), the patient had just a little soreness and she thought that was one of the side effects that you have that with the vaccine. So, she didn't worry so much about it. But then it got progressively worse. And by the time just before she was supposed to get the second shot, it was really bad. But she thought that she was still going to get that second shot which was planned for "02Feb2021 or 03Feb2021" (also reported as on 02Feb2021) because she didn't want to not get it. She was struggling with the pain before she got the second one. She mentioned that by the time she got her second dose, she was in an RA flare. She continued by saying that she had her blood work done, "on Tuesday morning" because she was due for her RA exam in Mar and it was due, and her markers for ESR, and "CR whatever" were more than double what they should be. Her Rheumatololgist saw her and when she went to the doctor her shoulders, her ankles, her elbows and everything were all hot with flare ups. Treatment included Prednisone 10mg every day which was given, according to the patient, in order to "calm down my joints and everything." The action taken with methotrexate was not reported. The clinical outcomes Rheumatoid Arthritis flare up, pain, condition aggravated, ESR increased and CRP increased were reported as unknown.; Sender's Comments: Based on the current available information and the plausible drug-event temporal association, a possible contributory role of the suspect product BNT162B2 to the development of events Rheumatoid arthritis flare up, ESR increased, and CRP increased cannot be excluded. The case will be reassessed if additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Other Meds: FOLIC ACID

Current Illness:

ID: 1040559
Sex: F
Age:
State: NC

Vax Date:
Onset Date:
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: cataract surgery; This is a spontaneous report from a contactable consumer via a Pfizer Sponsored program. A female patient of an unspecified age started to receive BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration from an unspecified date to an unspecified date at single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient scheduled next week for the 2nd dose of the vaccine on Friday. Will have a cataract surgery that needs Pre-Covid Test 2 days after the 2nd dose. Outcome was unknown. Information on lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1040560
Sex: M
Age:
State:

Vax Date: 02/05/2021
Onset Date:
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Diarrhea with bloody discharge; This is a spontaneous report from a Pfizer sponsored program via a contactable consumer. A male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 05Feb2021 at SINGLE DOSE for Covid vaccine. The patient medical history and concomitant medications were not reported. The patient experienced diarrhea with bloody discharge. The outcome was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1040561
Sex: F
Age:
State: CT

Vax Date:
Onset Date:
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: also suffers from Narcolepsy; fatigue; moderate body aches; This is a spontaneous report from a contactable consumer reported for self. This 23-year-old female consumer (patient) received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) at single dose for covid-19 immunisation. She experienced fatigue and moderate body aches. She also suffers from Narcolepsy and takes Xywav nightly. Outcome of the events was unknown. Information on lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1040562
Sex: F
Age:
State: PA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Sudden never hearing loss; This is a spontaneous report from a contactable other healthcare professional (patient). A 33-year-old female patient received the first dose of bnt162b2 (Pfizer-Biontech COVID-19 Vaccine, Lot number: EJ1685), via an unspecified route of administration at the left arm on 20Jan2021 10:00 at single dose for COVID-19 immunization. The vaccine was administered in the hospital. The patient medical history was not reported. The patient was not pregnant. There was no other vaccine in four weeks. Prior to vaccination the patient had no COVID. The patient has not tested for COVID post vaccination. Concomitant medication included fluoxetine hydrochloride (PROZAC) and hctz. On 21Jan2021, the patient experienced sudden never hearing loss. It was reported that the event resulted to doctor or other healthcare professional office/clinic visit and Disability or permanent damage. The patient received an oral steroid as treatment. The outcome of the event was not recovered.; Sender's Comments: Based on the compatible temporal association and in absence of strong confounding factors, a possible contributory role of the suspect BNT162B2 in triggering the onset of sudden never hearing loss cannot be excluded. Additional information regarding relevant medical history, etiologic and diagnostic work-up will aid in comprehensive assessment of the case. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics committees and Investigators, as appropriate.

Other Meds: PROZAC; HCTZ

Current Illness:

ID: 1040563
Sex: M
Age:
State: NY

Vax Date:
Onset Date:
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Lost consciousness; possibly had a seizure; tingling in his hands; unable to speak; felt dizzy; was tired afterwards; felt sick; This is a spontaneous report from a contactable physician. A 27-year-old male patient started to received dose 2 bnt162b2 (UNSPECIFIED TRADE NAME), via an unspecified route of administration from an unspecified date to an unspecified date at SINGLE DOSE for covid-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient received BNT162B2 first dose on unspecified date with unspecified lot and expiration date. The patient reported at 4:30 after second dose of vaccine lost consciousness for 15 seconds on an unspecified date, possibly had a seizure on an unspecified date, tingling in his hands on an unspecified date at 9:00 in the evening, unable to speak on an unspecified date for 15 seconds, felt dizzy on an unspecified date, was tired afterwards for about 2 hours on an unspecified date, and felt sick on an unspecified date. Outcome of event Lost consciousness was recovered, possibly had a seizure was unknown, tingling in his hands recovered, unable to speak was recovered, felt dizzy was unknown, was tired afterwards recovered, and felt sick was unknown. Information on the lot/batch number has been requested.; Sender's Comments: Based on available information, a possible contributory role of the subject product, BNT162B2 vaccine, cannot be excluded for the seizure, LOC and other reported events due to temporal relationship. There is limited information provided in this report. Additional information is needed to better assess the case, including complete medical history, diagnostics including Head CT/MRI, serum toxicology screen, chemistry panel and EEG, counteractive treatment measures and concomitant medications. This case will be reassessed once additional information is available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Other Meds:

Current Illness:

ID: 1040564
Sex: M
Age:
State: MD

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

Lab Data:

Allergies:

Symptoms: Tonic clonic seizure; This is a spontaneous report from a contactable physician. A 41-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot/batch number and expiry date unknown), via an unspecified route of administration on 01Feb2021 14:00 at a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient experienced tonic clonic seizure on 01Feb2021, the same day. The patient received the dose at 14:00 and had the seizure around 19:00. Patient has recovered from the event on an unspecified date. No treatment was received for the event. Information about lot/batch number has been requested.; Sender's Comments: The Company cannot completely exclude the possible causality between the reported tonic clonic seizure and the administration of the COVID-19 vaccine, BNT162B2, based on the reasonable temporal association and lacking alternative explanations. 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 RA, IEC, as appropriate.

Other Meds:

Current Illness:

ID: 1040565
Sex: M
Age:
State: KS

Vax Date: 02/03/2021
Onset Date:
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: does have a compromised immune system and he is given Bivigam via IV on a monthly basis; This is a spontaneous report from a contactable consumer (patient). An 81-year-old male patient receive BNT162B2 (reported as COVID-19 vaccine, unspecified manufacture, lot/batch number and expiration date were unknown) via an unspecified route of administration on 03Feb2021 at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. He got to a second and noticed something. He had a compromised immune system and he was given immunoglobulins human normal (Bivigam) via intravenous on a monthly basis. Patient wondering if this is okay with the vaccine. The outcome of event was unknown. Pfizer is a marketing authorization holder of BNT162B2 in the country of incidence or the country where the product was purchased (if different). This may be a duplicate report if another marketing authorization holder of BNT162B2 has submitted the same report to the regulatory authorities. Information on batch number has been requested.

Other Meds:

Current Illness:

ID: 1040566
Sex: F
Age:
State: GA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Blood in stool; Stomach discomfort; This is a spontaneous report from a contactable consumer reporting for herself. A 65-year-old female patient received the 1st dose of bnt162b2 (BNT162B2, Manufacturer Pfizer BioNTech, Lot# FL9264), via an unspecified route of administration, on 04Feb2021 at 13:00, at single dose, for COVID-19 immunisation. Medical history was none. Concomitant medications were not reported. Patient did not have vaccinations within 4 weeks prior. The patient experienced blood in stool and stomach discomfort both on 05Feb2021 with outcome of recovering.

Other Meds:

Current Illness:

ID: 1040567
Sex: F
Age:
State:

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Test Name: BP/min; Result Unstructured Data: Test Result:103/min

Allergies:

Symptoms: Arrhythmia; Tachycardia, BP 103/min; This is a spontaneous report from a contactable other HCP. A 25-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EL9264) on 05Feb2021 at single dose via an unspecified route of administration on left arm for COVID-19 immunization. The patient received first dose of BNT162B2 on 14Jan2021 at 03:45 pm on left arm. Concomitant medications were not reported. On 05Feb2021 at 15:00 the patient experienced Tachycardia with BP 103/min and Arrhythmia. No treatment was given for reported events. At the time of the reporting the patient had not yet recovered from the events. The information on the lot/batch number has been requested.; Sender's Comments: Based on the temporal relationship, the association between the event arrhythmia with BNT162b2 can not be completely excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.

Other Meds:

Current Illness:

ID: 1040569
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Allergic to vaccine; Initial information was received on 08-Feb-2021 regarding an unsolicited valid non-serious case from a consumer/non-healthcare professional (patient). This case involves a patient (unknown demographics) who was allergic to vaccine (allergy to vaccine), while he/she received INFLUENZA VACCINE. The patient's medical history, past medical treatment(s), vaccination(s), concomitant medications and family history were not provided. It was unknown if the patient had any medical history, concomitant disease or risk factor On an unknown date, the patient received a dose of suspect INFLUENZA VACCINE (produced by unknown manufacturer) (batch number and expiry date not reported) via an unknown route in an unknown administration site for prophylactic vaccination. On an unknown date, the patient was allergic to vaccine (allergy to vaccine) (unknown latency) following the administration of INFLUENZA VACCINE. The event was non-serious. It was unknown if the patient experienced any additional symptoms/events. The details of medication and reason for taking the medicine were not provided. There were no lab data/results available. At the time of reporting, the outcome was unknown for the event. There will be no information available on batch number for this case.

Other Meds:

Current Illness:

ID: 1040570
Sex: M
Age: 1
State: FL

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: the patient received an expired dose of vaccine, no AE; Initial information regarding an unsolicited valid non-serious case was received from a other health care professional via Medical Information (Reference number- 00459652) and transmitted to Sanofi on 03-Feb-2021. This case is linked to case 2021SA045576 (same reporter). This case involves a 17 months old male patient who received 0.5 ml fourth dose of DIPHTHERIA/TETANUS/5 HYBRID AC PERTUSSIS/IPV(MRC5)/HIB(PRP/T) VACCINE [PENTACEL] (lot UJ21AAA, expiry date: 21-Oct-2020) via intramuscular route in the left deltoid for prophylactic vaccination on 26-Jan-2021 (Expired product administered) The patient's past vaccination(s) included PENTACEL on 30-Oct-2019 (first dose) for prophylactic vaccination. Medical history, medical treatment(s) and family history were not provided. Concomitant medications included HEPATITIS A VACCINE for prophylactic vaccination It was a case of an actual medication error due to Expired vaccine used (latency same day). The reporter stated that 2 patients have received expired doses of Pentacel and asked if they need to re-dose second patient who received expired Pentacel by mistake. 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: HEPATITIS A VACCINE

Current Illness:

ID: 1040591
Sex: F
Age: 46
State: CA

Vax Date: 02/09/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: Tamiflu

Symptoms: Rash with a bump underneath at the injection site that occurred 8 days after injection. Rash decreased after taking hydroxazine, bump was still present at time of this reporting.

Other Meds: Rinvoq, Arava, cymbalta, Zyrtec, omeprazole, rosuvastatin, metoprolol, vitamin d, vitamin c, omega 3, calcium, magnesium, zinc

Current Illness: None

ID: 1040592
Sex: F
Age: 34
State: UT

Vax Date: 02/05/2021
Onset Date: 02/13/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Rash, itchiness, very hot to the touch

Other Meds: None

Current Illness: None

ID: 1040593
Sex: F
Age: 15
State: CA

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

Lab Data: 2/18/2021- POCT Glucose: 92 BP normal

Allergies: None

Symptoms: 15 year old, received Flu vaccine in nurses room, walked to room and 7 minutes later had syncope, 70 seconds later while sitting had loss of conscious and activity myoclonic in arms, head rolling back and eyes, seizure type activity, lasted 10-20 seconds. BP and POCT glucose were normal-

Other Meds: None

Current Illness: None

ID: 1040594
Sex: M
Age: 25
State: NY

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Grand mal seizure. Lasting 4 minutes , unconscious for 10/12 minutes. Transported to hospital via ambulance. Vomiting and loss of bladder.

Other Meds: Levetiracetam, trokendi xr , Divalproex. Humalog, Basaglar.

Current Illness:

ID: 1040595
Sex: F
Age: 52
State: WA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: erythromycin, penicillin, terramycin, sulfa

Symptoms: Fatigue several hours after shot. Muscle soreness the day after the shot lasting for about 2 days. The fatigue would come and go for up to 5 days after the shot. I felt fine for a while then suddenly felt completely exhausted and had to lay down. The fatigue was the worst symptom. I did not seek treatment but rested. After five days, all symptoms were gone, and I returned to feeling well and normal function.

Other Meds: levothyroxine

Current Illness: sinus infection (weeks prior)

ID: 1040596
Sex: F
Age: 70
State: LA

Vax Date: 02/12/2021
Onset Date: 02/15/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Migraine type headache, lethargic, nausea . Duration just one 12 hour period.

Other Meds: Metformin Lantus Novalog

Current Illness: Diabetes

ID: 1040597
Sex: F
Age: 47
State: OR

Vax Date: 01/21/2021
Onset Date: 01/28/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Raised red ring appeared approx 7 days after the injection. It was itchy and very painful. The lump on my arm is still there and the are remains slight bruised looking.

Other Meds: Fluoxetine

Current Illness: None

ID: 1040598
Sex: F
Age: 34
State: IL

Vax Date: 01/27/2021
Onset Date: 02/01/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: CBC 2/17/2021 Platelet Result 89

Allergies: Cipro and ace inhibitors

Symptoms: I developed nose bleeds after taking COVID shot and saw on the news that I?m the vaccine could cause thrombocytopenia. I had my doctor order a CBC on 2/17 and platelets came back at 89. I did have a past history of thrombocytopenia throughout my pregnancy from 07/2019-01/2020. Thrombocytopenia went away after delivering my baby and I haven?t had an issue since. Last CBC was 10/16/20 and at that time platelets were 156. Last abnormal platelet level was on 1/9/20 and level was 132. As of now Dr. is monitoring me and will have me repeat CBC in 2 weeks.

Other Meds: Prednisone, hydroxychloroquine, xarelto, bupropion, lorazepam, nifedipine, losartan, Flonase and a multivitamin.

Current Illness:

ID: 1040599
Sex: M
Age: 47
State: CA

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Full blood panel conducted on Wednesday, 02/17/21 around 0830 hours. I have not received results as of the evening of 02/18/21.

Allergies: Cats

Symptoms: Appears that ITP has come back. I have significant bruising on my left triceps, right triceps, and left hand. I have not sustained any significant trauma that would have caused this type of bruising. In addition, my right foot is very sore around the metatarsals.

Other Meds: Sertraline 1x daily

Current Illness: None

ID: 1040600
Sex: F
Age: 65
State: MI

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: had severe pain in arm... hard hot spot from shoulder to elbow. went to bed woke up just after midnight shaking/very cold/burning up felt like I was going to be sick ended up have violent diarrhea and throwing up, all the while shaking uncontrollably. went on until almost 5am

Other Meds: none

Current Illness: none

ID: 1040601
Sex: F
Age: 65
State: FL

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Chills, headache, sweating, fatigue, can?t sleep

Other Meds: Amlodipine , Celexa, Telmisartan

Current Illness: None

ID: 1040602
Sex: M
Age: 42
State:

Vax Date: 01/22/2021
Onset Date: 02/15/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 3 weeks later I'm noticing hair loss on both legs that has no other likely cause. V-safe check-in app does not allow me to add this 3 weeks after vaccine, but I wanted to share it. I did not find this listed on side effects and want to know if this is a concern and if I should get checked out by physician.

Other Meds: None

Current Illness: None

ID: 1040603
Sex: F
Age: 52
State: AZ

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

Lab Data:

Allergies: Bandages

Symptoms: Fever chills achy

Other Meds: Gabapentin and norco

Current Illness: None

ID: 1040604
Sex: F
Age: 60
State: AR

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: Morphine

Symptoms: Chills, fever, headache, body ache. Three Advil. Symptoms went away after about 9 hours

Other Meds: Levothroxine, allegra d, benedryl, hydrochlorothiazide, lisinopril, melatonin

Current Illness: None

ID: 1040605
Sex: F
Age: 30
State: NM

Vax Date: 02/11/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: No.

Allergies: Seasonal allergies and severe asthma.

Symptoms: My left arm is hot like on fire and with extreme itching. It?s very hard around the area of injection and is very red.

Other Meds: Hydrocortisone cream

Current Illness:

ID: 1040606
Sex: M
Age: 49
State: CA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Ultrasound, chest ct angiogram

Allergies: Compazine,raglan

Symptoms: L external cephalic phlebitis

Other Meds: Paxil,nortryptoline,minicylcine

Current Illness: No

ID: 1040607
Sex: F
Age: 24
State: NV

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: 1Feb2021 Viral culture- negative. BV-negative. HIV-negative. 5Feb2021 Viral serology negative 7Feb2021 EVB nulcear IgG

Allergies: Amoxicillin

Symptoms: Vaginal (lipschutz) Ulcers developed 48 hours after administration. went to the urgent care 36 hours later. Provider prescribed 3% lidocaine gel and 0.05% steroid cream and told to follow up with OBGYN. Next day OBGYN swabbed the ulcers for BV, HIV, and viral culture. All results were negative. 2 days later, pain was significantly worse, saw the OBGYN again. Diagnosis of Lipschutz ulcers given. Perscribed 5% lidocaine ointment, 8 day oral steriod, tylenol and motrin for pain and witch hazel pads. Examination of by provider showed covers of ulcers coming off. Dr. learned of association of lipschutz ulcers and EBV. Got tested for EBV 8 days after developing symptoms. EBV nuclear IgG positive, but no active EBV. Complete healing of ulcers 3 weeks after receiving the vaccine.

Other Meds: oral birth control, one-a -day women vitamin, biotin

Current Illness: none

ID: 1040608
Sex: F
Age: 32
State: WA

Vax Date: 02/09/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Penicillin Latex

Symptoms: Redness, pain, swelling itching at injection site, lasting at least 2 days so far, treated with ice, benadryl and ibuprofen with minimal effect

Other Meds:

Current Illness: Gallstone pancreatitis/laparoscopic cholecystectomy less that one week prior to first dose of vaccine

ID: 1040609
Sex: F
Age: 28
State: KY

Vax Date: 02/08/2021
Onset Date: 02/15/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Environmental allergies, none to food or medications

Symptoms: Rash at injection site that showed up seven days after the shot. Currently on day four and the rash has spread every day. Currently covering about one third of upper left arm. Rash has been red, swollen, and hot, with occasionally itchiness. Rash is about four inches tall and wraps around most of the upper arm.

Other Meds: Tri-estrella, allegra, flonase, Spironolactone, biotin gummy, cranberry probiotic

Current Illness: None

ID: 1040610
Sex: F
Age: 18
State: MN

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Unknown as client went to clinic and hospital. This information was not made available to local public health.

Allergies: None reported

Symptoms: Complaint of chest pain with no other signs and symptoms. Denied shortness of breathe. Vitals assessed. Patient became pale in color and continued to have chest pain. Given Benadryl and sent to local clinic for evaluation. Clinic reported additional services at local emergency room. No additional health outcome diagnosed or treated.

Other Meds: Unknown

Current Illness: None reported

ID: 1040611
Sex: F
Age: 84
State: FL

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: none. I wanted to check w/you first.

Allergies: macrodantin, 2d pneumonia shot

Symptoms: It became red, swollen w/a big lump, achy. Then it went away. On 2/17 it came back again only covered a bigger area & was very itchy. I was concerned that I got a 2d reaction a week after the first reaction. As of 12:50 a.m. 2/19 it is still reacting.

Other Meds: tums for calcium, vit d3, hctz

Current Illness: none

ID: 1040612
Sex: F
Age: 48
State: CA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Compazine

Symptoms: Dose #1 given 1/15/2021 Dose #2 was given too early on 2/6/2021 (day 22)

Other Meds:

Current Illness:

ID: 1040613
Sex: F
Age: 30
State: CA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Gardasil-- > hives

Symptoms: She is a nurse and received her vaccine outside at the Vaccine Site. She had an immediate reaction to her first dose of the Pfizer Covid vaccine with acute hives within 15 minutes on 12/26. She had hives on her neck, arms chest, headache arm pain and mild dizziness. Symptoms resolved with Benadryl She received her second dose of the Covid vaccine 12/26 with immediate symptoms within 30 minutes of respiratory symptoms, shortness of breath, hives, dizziness, fainting with treatment of epinephrine on site at the Vaccine Site by ambulance to the ER. She reports she was hypoxic with O2 sat 70 to 75%. Went to hospital and received 3 doses of epinephrine, IV Benadryl, IV fluids, Pepcid, and 7 days of prednisone. 1/26: c/o chest tightness had video visit with primarily MD, continued diphenhydramine and refer to allergy. She does have a history of vaccine reaction in the past to Gardasiln (contains polysorbate 80) given at age 16 with delayed hives 24 hours later. Allergist assessment: Covid vaccine 19 mRNA anaphylaxis with 2nd dose and acute hives with 1st dose of Pfizer vaccine S/p repeated doses of epipen With ongoing asthma, dizziness, light headed , nausea and fast heart rate 1.5 weeks after anaphylaxis but normotensive With prior history of delayed hives with gardisil --may be sensitive to polysorbate 80 in both vaccines. Added COVID vaccine to allergy list

Other Meds: unknown

Current Illness: unkown

ID: 1040614
Sex: F
Age: 61
State: AZ

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: none. I have not gone to the doctor because the symptoms fever, pain, etc. I had them for two days and the pharmacy informed me that they could occur. However, when the above symptoms disappeared, I felt like I had a cut on the top of my external genitalia and a large blister or pimple appeared last night. This one hasn't disappeared yet and it bothers me.

Allergies: Sulfa

Symptoms: Fever, headache, muscle pain, abdominal pain and what really worries me is that all these symptoms have disappeared. But I have a kind of blister on my genitals and that has not disappeared. All the symptoms appeared the same day I received the second dose of the vaccine (in the first dose I received I did not have any problems or strange symptoms), except for the blister that appeared two days later.

Other Meds: None

Current Illness: None

ID: 1040615
Sex: F
Age: 49
State: CA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Codeine

Symptoms: Rash on back of right arm, left arm, left thigh, right thigh, both feet and arms.

Other Meds: Armour Thyroid, Vitamin D, B12, Beta Plus, Magneisum Taurate, Lemon Balm, Milk Thistle, EPO, Grape Seed, Thytrophin,

Current Illness: none

ID: 1040616
Sex: M
Age: 46
State: CA

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: none at this time

Allergies: none

Symptoms: Vaccinated on February 13, 2021. About 2 hours after the vaccine Left shoulder started to get sore. The next day at around 3:00 AM body aches, neck pain, severe head ache and fever started to rise. The highest temperature noted was 101.7 Fahrenheit. On February 17,2021 around noon time, hives or itchy rashes started to appear on the neck, body and arms. Up to this day there are still hives or rashes present. Headaches is starting to diminish and less intense in nature and no Fever anymore.

Other Meds: multivitamins, fish oil, vitamin D

Current Illness: none

ID: 1040617
Sex: F
Age: 66
State: CA

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Weakness, dizziness, fever

Other Meds: None

Current Illness: None

ID: 1040618
Sex: F
Age: 45
State: CA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: Codeine Augmentin Compezine

Symptoms: First dose: just a little itchy arm day 2. Second dose: 26 hours post dose very tired, sore muscles,chills,headache,insomnia. 42 hours post dose left arm at injection site very red 6inches by 4 inches, hot to touch, painful, itchy

Other Meds: Valtrex Wellbutrin Loloestrin Centrum women?s Liaise

Current Illness: None

ID: 1040619
Sex: F
Age: 33
State: CA

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: a hx of Hashimoto Thyroiditis and Monoarthritis of the left knee received Covid Moderna Vaccine on 1/13/21. Developed chills, then joint pain, headaches and on 1/15 swelling around face and eyes. 1/19/21 Eyes are still itchy and had been taking Benadryl for it. Had video visit with MD, changed to Zyrtec and also refresh tears to the eyes but sx's not getting better with redness and itchiness. Pt put hydrocortisone cream under her eyes and SX's got better.

Other Meds:

Current Illness: unknown

ID: 1040620
Sex: F
Age: 58
State: HI

Vax Date: 01/27/2021
Onset Date: 02/11/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: EKG x3 --1st ?-- last 2 normal Troponins x3--negative CBC and CMP completed--no elevation in WBC

Allergies: Lactose intolerance

Symptoms: Injection on 1/27-- On 1/28 chills, no temp, pain in left arm including injection site, underarm and left chest, extreme fatigue and though intake was limited excessive urination was noted. 2/11 heart noted to be above 120 at home to ER where heart rate was over 110.Shortness of air with increased heart rate. 2/15 Resting heart rate remained elevated and left side chest and arm pain.

Other Meds: Holy basil, Vit b, vitamin c, zinc, vit.D, and ashwagandha

Current Illness: none

ID: 1040621
Sex: F
Age: 87
State: OR

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: estrogens

Symptoms: Acute CVA

Other Meds: vit C, ASA, atenolol, B complex, Ca/vit D, fish oil, HCTZ, Fibercon, KCL

Current Illness: none

ID: 1040622
Sex: M
Age: 33
State: NV

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: Doxycycline

Symptoms: Arm soreness , myalgia, fatigue, headaches

Other Meds: Omeprazole and escitalopram

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm