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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 0928424
Sex: F
Age: 40
State: KY

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

Lab Data:

Allergies: Latex

Symptoms: Severe headache about 12 hours , severe nausea 18 hours

Other Meds: Biotin Zoloft Zyrtec Wellbutrin Spirinolactone Linzess Miralax

Current Illness: None

ID: 0928425
Sex: F
Age: 46
State:

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Employee began experiencing pain and decreased ROM in shoulder hours after injection. She was evaluated by ortho, and IR was determined that injection was placed too high and went into her bursa.

Other Meds:

Current Illness:

ID: 0928426
Sex: F
Age: 63
State: WI

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: none

Allergies: Sulfa

Symptoms: fever, muscle aches,headache

Other Meds: atorovastin,Bupropion,Fluoxitine,Protonix,Lantus,Iron,Ocuvitr,Multivitamins,Montulukast Metformin,Lisinopril,Ozempic,Vit d

Current Illness: none

ID: 0928427
Sex: F
Age: 59
State: NC

Vax Date: 12/23/2020
Onset Date: 01/01/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: n/a

Symptoms: Arm Pain, Swelling

Other Meds: n/a

Current Illness: n/a

ID: 0928428
Sex: M
Age: 44
State:

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

Lab Data:

Allergies:

Symptoms: Posterior headache, nape and upper back pain Low grade fever for about 18 hrs Armpit tenderness on the side of injection

Other Meds:

Current Illness:

ID: 0928429
Sex: F
Age: 59
State: CT

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

Lab Data:

Allergies: bees/spiders/wasp stings-emycin and sulfa drugs

Symptoms: fever-low grade starting 8 hrs after injection lasting 36 hrs-99.3-100.5 bilateral axillary tenderness lymph node swelling bilaterally-neck lasting 36 hrs mild headache eye swelling/itch all symptoms relieved with Benadryl 50-75mg x2 doses and Tylenol 500mgx2

Other Meds: HCTZ

Current Illness: none

ID: 0928430
Sex: F
Age: 62
State: MA

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: neosporin/neomycin/garamycin/erythromycin/sulfa; rash alcohol/general anesthesia; very nauseous and sick feeling alendronate: gi upset denosumab: back of throat numbness

Symptoms: body aches, low grad temp, nausea that led to one episode of dry heave vomiting, weakness & fatigue

Other Meds: New Chapter 55+ every woman's one daily multi New Chapter Plant Calcium Bone Strength Nordic Naturals Ultimate Omega + CoQ10

Current Illness: none

ID: 0928431
Sex: F
Age: 34
State: MI

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: None known

Symptoms: Numbness and tingling over entire body. Settled to left side. Still present 9 days post vaccination.

Other Meds: None known

Current Illness: None

ID: 0928432
Sex: F
Age: 59
State: PA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: From Patient: I received my shot on 12/30/20. When I got to my car I was having some face numbness and tingling. I went back to work I also had some weakness and being tired but that went away and weakness in my legs but that went away didn?t last long. The numbness and tingling in my face and neck did not go away. My arm is still sore. I did go to the er last night cause my blood pressure was high at home and face still numb and tingling. Just thought I better check things out. Dr wasn?t sure if it was a reaction from the covid shot he was checking for stroke issues all tests he ran were good.

Other Meds:

Current Illness:

ID: 0928433
Sex: M
Age: 70
State: MT

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies: Allergic reaction to contrast used in CAT scans. Two instances - hives only. Pretreated before second instance.

Symptoms: Moderna COVID-19 Vaccine EUA. Welts and itching on left arm started Jan 7 in the evening. This started either at or very close to the injection site. By the morning of the 8th the area was no longer itching but there was a red rash still visible.

Other Meds: Aspirin 82mg once per day Iron 65mg once per day Fomatidine and Omeprazole as need Acetaminophin as needed

Current Illness: None

ID: 0928434
Sex: F
Age: 59
State: PA

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

Lab Data: None

Allergies: Possibly Macrobid

Symptoms: Facial swelling, increased heart rate, chills, dizziness. Immediately went back to doctor's office where they monitored my heart rate and blood pressure for 2 hours

Other Meds: Metoprolo Succinate ER

Current Illness: Gut/GI issues

ID: 0928437
Sex: U
Age:
State: PA

Vax Date: 12/10/2020
Onset Date: 12/10/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Temperature excursion involving PROQUAD; This spontaneous report has been received from a registered nurse concerning a patient of unknown age and gender. The patient's concurrent conditions, historical drugs, medical history and concomitant therapies were not reported. On 10-DEC-2020, the patient was vaccinated with the following vaccine involved in a temperature excursion: measles, mumps, rubella and varicella (oka-merck) virus vaccine live (rHA)(PROQUAD) 0.5 ml Lot # T021302, expiration date 19-DEC-2021 for prophylaxis(dosage regimen, and anatomical location were not reported). The temperature excursion occurred in two separate dates with the exact same temperature conditions in each excursion. The temperature was reported to had been below -5?Celsius (C) for 10 hours. The total time frame was reported as 20 hours. There was digital data logger involved and no previous temperature excursion was reported.

Other Meds:

Current Illness:

ID: 0928438
Sex: U
Age:
State: OK

Vax Date: 06/01/2014
Onset Date:
Rec V Date: 01/08/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: vision loss; other zoster-related conditions; Information has been received from a lawyer regarding a case in litigation and refers to a patient (pt) of an unknown age and gender. No information was provided regarding medical history, concurrent conditions, or concomitant medications. On or about 01-JUN-2014, the pt was inoculated with zoster vaccine live (ZOSTAVAX) (strength, dose, dose number, route, anatomical site of vaccination, lot number and expiration date were not provided) as prescribed and/or administered by a pharmacist for the long-term prevention of shingles and/or zoster-related conditions. On an unknown date (reported as subsequent to pt's zoster vaccine live (ZOSTAVAX) inoculation), the pt was treated by a physician for vision loss (blindness) and other zoster-related conditions (ill-defined disorder). On an unknown date, he was admitted to the hospital due to the events. As a direct and proximate result of pt's use of the zoster vaccine live (ZOSTAVAX) vaccine, the patient had and would continue suffer ongoing injuries, including but not limited to: mental and physical pain and suffering; medical care and treatment for these injuries; significant medical and related expenses as a result of these injuries, including but not limited to medical losses and costs include care for hospitalization, physician care, monitoring, treatment, medications, and supplies; diminished capacity for the enjoyment of life; diminished quality of life; increased risk of premature death, aggravation of preexisting conditions and activation of latent conditions; and other losses and damages; and would continue to suffer such losses, and damages in the future. At the time of this report, the outcome of blindness and ill-defined disorder was unknown. The lawyer considered the events to be related to zoster vaccine live (ZOSTAVAX). Upon internal review, blindness was considered a medically significant event.

Other Meds:

Current Illness:

ID: 0928439
Sex: U
Age:
State: NY

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: No additional AE; a temperature excursion for PROQUAD that reports doses were administered following the excursion; Information has been received from a physician regarding a 12-months patient of unknown gender. The patient's medical history, drug allergies, previously drug reactions, concurrent conditions and concomitant medications were not reported. On 28-DEC-2020, the patient was vaccinated with an improperly stored dose of measles, mumps, rubella and varicella (oka-merck) virus vaccine live recombinant human albumin (rHA) (PROQUAD)0.5 ml injection, for prophylaxis, lot number T021642 with expiration date in 21-DEC-2021 (route of administration, strength and anatomical location not reported). The measles, mumps, rubella and varicella (oka-merck) virus vaccine live (PROQUAD) was stored at a maximum temperature of 16.2 degrees Fahrenheit (?F) for the time frame of 2 hours and 28 minutes. There was no previous temperature excursion and the call was because of a data logger. No adverse effects reported.

Other Meds:

Current Illness:

ID: 0928440
Sex: F
Age: 18
State: MA

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

Lab Data: Test Date: 2020; Test Name: Body temperature; Result Unstructured Data: (Test Result:105,Unit:degree F,Normal Low:,Normal High:); Test Date: 2020; Test Name: Laboratory test; Result Unstructured Data: (Test Result:negative,Unit:unknown,Normal Low:,Normal High:)

Allergies:

Symptoms: Crying; Agitated; Body aches; Headaches; Patient received third dose in error on 13th January 2020; Severe fever at 105 Fahrenheit; This case was reported by a consumer via call center representative and described the occurrence of fever in a 18-year-old female patient who received Men B NVS (Bexsero) for prophylaxis. Co-suspect products included meningococcal B recom vaccine + aloh + omv pre-filled syringe device (Bexsero Pre-Filled Syringe Device) injection syringe for prophylaxis. Previously administered products included Bexsero with an associated reaction of pyrexia (1st dose received on 13th June 2019, refer linked case US2020233733) and Bexsero (2nd dose received on 21st August 2019). On 13th January 2020, the patient received the 3rd dose of Bexsero and Bexsero Pre-Filled Syringe Device. On 13th January 2020, unknown after receiving Bexsero and Bexsero Pre-Filled Syringe Device and an unknown time after starting Motrin, the patient experienced extra dose administered. On an unknown date, the patient experienced fever, crying, agitation, general body pain and headache. The patient was treated with ibuprofen (Motrin) and paracetamol (Tylenol). On an unknown date, the outcome of the fever was recovered/resolved and the outcome of the crying, agitation, general body pain, headache and extra dose administered were unknown. It was unknown if the reporter considered the fever, crying, agitation, general body pain and headache 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 patient had received a third dose of Bexsero in error and she had severe fever at 105 Fahrenheit, and she was crying, agitated, had body aches, and headaches. She was taken to the Emergency Department and all test came back negative and was told that the fever was due to vaccine injury. The patient was then taken home and was given Motrin alternating with Tylenol and it took 5 days for the fever to resolve. The reporter did not consent to follow-up and neither wanted to provide her address or phone number nor wanted to provide health care professional information. This case has been linked to US2020233733 (same patient), reported by the same reporter.; Sender's Comments: US-GLAXOSMITHKLINE-US2020233733:same reporter

Other Meds:

Current Illness:

ID: 0928441
Sex: F
Age: 73
State: SC

Vax Date: 09/12/2019
Onset Date: 11/25/2019
Rec V Date: 01/08/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Guillain Barre syndrome; Syncopal episode; Acute inflammatory demyelinating polyneuropathy (AIDP); GASTROPARESIS; Insomnia; Poor short-term memory; Spinal stenosis in cervical region; polyneuropathy; Numbness; weakness; Chest pain; Lower extremity pain/bilateral leg pain; Malignant tumor of breast; Lightheadedness; Muscle weakness; Fatigue; This case was reported by a lawyer and described the occurrence of demyelinating polyneuropathy in a patient who received Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient received Shingrix (intramuscular). On an unknown date, an unknown time after receiving Shingrix, the patient experienced demyelinating polyneuropathy (serious criteria GSK medically significant) and guillain barre syndrome (serious criteria GSK medically significant). On an unknown date, the outcome of the demyelinating polyneuropathy and guillain barre syndrome were unknown. It was unknown if the reporter considered the demyelinating polyneuropathy and guillain barre syndrome to be related to Shingrix. The initial information received on 10 December 2020, via medical records. As per records, she was alcohol user for 2 to 4 times a month. As per records, she had history of orthostatic hypotension, gastroparesis, retention of urine, unspecified. As per records, he had concurrent 28 April 2019, of spinal stenosis in cervical region, Microscopic colitis, Essential hypertension, dyslipidemia and hypothyroidism. As per records, the female patient received shingles vaccine in 2012. As per records, on 12 September 2019, she had Shingrix (PF) 0.5 ml intramuscular suspension. On 25 November 2019, she had Cobalamin deficiency, muscle weakness, lightheadedness, fatigue, acute inflammatory demyelinating polyneuropathy, In October 2019, she was hospitalized. On 06 January 2020, she was hospitalized for Guillen Barre and chronic diarrhea. On 07 January 2019, breast cancer screening. As per records dated 30 April 2020, she had malignant neoplasm of nipple and areola, left female breast. She also had dyslipidemia, acute inflammatory demyelinating polyneuropathy, cobalamin deficiency. As per records dated 13 February 2020, she had adult hypothyroidism, bilateral renal artery stenosis, Chest pain, chronic pain of lower extremity, dyspnea on exertion, lipedemia, lower extremity pain, syncope, Guilliain-barre syndrome onset date 21 November 2019. As per records, she had gotten the shingles vaccination in September 2019, and developed symptoms of bilateral leg pain and then had a syncopal episode. She was then admitted to the hospital. As per records dated 21 September 2020, she had Guillain-Barre syndrome a year ago. She was hospitalized and in rehab for an extensive amount of time. It thought that might have occurred after her shingles vaccine.

Other Meds:

Current Illness: Alcohol use (2 to 4 times a month); Colitis microscopic; Dyslipidemia; Essential hypertension; Hypothyroidism; Nonsmoker; Spinal stenosis in cervical region

ID: 0928442
Sex: F
Age: 73
State: GA

Vax Date: 10/17/2020
Onset Date: 10/17/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: scab formed over the injection site bruising; injection site had bruising; may have hit a blood vessel; This case was reported by a pharmacist via call center representative and described the occurrence of injection site scab in a 73-year-old female patient who received Herpes zoster (Shingrix) (batch number 2ZN2D, expiry date 16th September 2022) for prophylaxis. On 17th October 2020, the patient received the 1st dose of Shingrix (intramuscular). On 17th October 2020, unknown after receiving Shingrix, the patient experienced wrong injection technique. On 19th October 2020, the patient experienced injection site bruising. On 24th October 2020, the patient experienced injection site scab. On an unknown date, the outcome of the injection site scab and injection site bruising were recovered/resolved and the outcome of the wrong injection technique was unknown. It was unknown if the reporter considered the injection site scab and injection site bruising to be related to Shingrix. Additional details were reported as follows: The patient received Shingrix in the left arm. The pharmacist reports that upon injection, she might have hit a blood vessel. Injection site had bruising 2 days after the injection, which appeared about 2 days post injection. A scab formed over the injection site bruising at about 7 days post injection, and that had resolved. The reporter consented to follow up.

Other Meds:

Current Illness:

ID: 0928443
Sex: F
Age: 51
State: IN

Vax Date: 08/25/2020
Onset Date: 12/03/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: Test Date: 20201203; Test Name: Alanine aminotransferase increased; Result Unstructured Data: (Test Result:Elevated liver enzymes,Unit:unknown,Normal Low:,Normal High:); Test Date: 20201203; Test Name: Aspartate aminotransferase increased; Result Unstructured Data: (Test Result:Elevated liver enzymes,Unit:unknown,Normal Low:,Normal High:)

Allergies:

Symptoms: Increased liver enzymes (ALT and AST); Increased liver enzymes (ALT and AST); This case was reported by a consumer via call center representative and described the occurrence of alanine aminotransferase increased in a 51-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. On 25th August 2020, the patient received the 1st dose of Shingrix (intramuscular). On 3rd December 2020, 100 days after receiving Shingrix, the patient experienced alanine aminotransferase increased and aspartate aminotransferase increased. On an unknown date, the outcome of the alanine aminotransferase increased and aspartate aminotransferase increased were unknown. It was unknown if the reporter considered the alanine aminotransferase increased and aspartate aminotransferase increased to be related to Shingrix. Additional details were provided as follows: The age at vaccination was not reported. Patient did not have lot number or expiration date information to provide. The patient received the dose of Shingrix vaccine. The patient reported increased liver enzymes (ALT and AST) that was reported to her by her doctor. The reporter did not consent to follow up.

Other Meds:

Current Illness:

ID: 0928444
Sex: F
Age: 60
State:

Vax Date: 01/15/2020
Onset Date:
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Injection site reactions in her left arm. The area was red; Injection site reactions in her left arm / Hot to touch; Arm was sore; 1st dose 1/15/2020 and has not received the 2nd dose; This case was reported by a consumer via call center representative and described the occurrence of injection site erythema in a 60-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. Co-suspect products included Herpes zoster (Shingrix) for prophylaxis. Concurrent medical conditions included rheumatoid arthritis. On 15th January 2020, the patient received the 1st dose of Shingrix. On an unknown date, the patient received the 2nd dose of Shingrix. On an unknown date, less than a year after receiving Shingrix and not applicable after receiving Shingrix, the patient experienced injection site erythema, injection site warmth, pain in arm and incomplete course of vaccination. On an unknown date, the outcome of the injection site erythema, injection site warmth and pain in arm were recovered/resolved and the outcome of the incomplete course of vaccination was unknown. It was unknown if the reporter considered the injection site erythema, injection site warmth and pain in arm to be related to Shingrix. Additional details were reported as follows: The patient received Shingrix and experienced injection site reactions in her left arm. The area was red, hot to touch and the arm was sore for several days. Till the tme of reporting, the patient did not receive 2nd dose, which led incomplete course of vaccination. This case has been linked with case US2020244407, reported by same reporter. The reporter did not consented to follow up.; Sender's Comments: US-GLAXOSMITHKLINE-US2020244407:same reporter

Other Meds:

Current Illness: Rheumatoid arthritis

ID: 0928445
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Injection site reactions. The area was red; Injection site reactions / Hot to touch; Arm was sore; This case was reported by a consumer via call center representative and described the occurrence of injection site erythema in a adult female 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 years after receiving Shingrix, the patient experienced injection site erythema, injection site warmth and pain in arm. On an unknown date, the outcome of the injection site erythema, injection site warmth and pain in arm were recovered/resolved. It was unknown if the reporter considered the injection site erythema, injection site warmth and pain in arm to be related to Shingrix. Additional details were reported as follows: The patient received her 1st dose sometime last year (in 2019). She experienced injection site reactions. The area was red, hot to touch and the arm was sore for several days. She received her 2nd dose and did not experience any reactions. The reporter did not consent to follow-up. This case has been linked with case US2020244406, reported by same reporter.; Sender's Comments: US-GLAXOSMITHKLINE-US2020244406:same reporter

Other Meds:

Current Illness:

ID: 0928446
Sex: F
Age:
State:

Vax Date: 07/01/2020
Onset Date:
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: redness at injection site; chills; tiredness for 3 to 4 days; This case was reported by a consumer via call center representative and described the occurrence of injection site erythema in a female patient who received Herpes zoster (Shingrix) for prophylaxis. In July 2020, the patient received the 1st dose of Shingrix. On an unknown date, less than 6 months after receiving Shingrix, the patient experienced injection site erythema, fatigue and chills. On an unknown date, the outcome of the injection site erythema and chills were unknown and the outcome of the fatigue was recovered/resolved. It was unknown if the reporter considered the injection site erythema, fatigue and chills to be related to Shingrix. Additional details were reported as follows: The age at vaccination was not reported. The patient experienced tiredness for 3 to 4 days. The reporter did not consent to follow-up.

Other Meds:

Current Illness:

ID: 0928447
Sex: M
Age:
State: NC

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

Lab Data: Test Name: Blood cholestrol increased; Result Unstructured Data: (Test Result:Increased,Unit:unknown,Normal Low:,Normal High:); Comments: On an unknown date blood cholestrol test was performed.

Allergies:

Symptoms: patient has Diabetes; High Cholesterol; Thyroid problems; received 1st dose of Engerix B in 2010 and did not complete the series yet; This case was reported by a pharmacist via call center representative and described the occurrence of diabetes in a adult male patient who received HBV (Engerix B) for prophylaxis. Co-suspect products included HBV (Engerix B) for prophylaxis. On an unknown date, the patient received the 1st dose of Engerix B and the 2nd dose of Engerix B. On an unknown date, more than 2 years after receiving Engerix B and not applicable after receiving Engerix B, the patient experienced diabetes (serious criteria GSK medically significant), blood cholesterol increased, thyroid disorder and incomplete course of vaccination. On an unknown date, the outcome of the diabetes, blood cholesterol increased, thyroid disorder and incomplete course of vaccination were unknown. It was unknown if the reporter considered the diabetes, blood cholesterol increased and thyroid disorder to be related to Engerix B. Additional details were reported as follows: The age at vaccination was not reported. The patient received the 1st dose of Engerix B in 2010. The reporter stated that the patient had diabetes, thyroid problems and high cholesterol but was not aware if these conditions were prior to dose 1 of Engerix B. The reporter consented to follow up. All patient identifiers were reported, no batch number or expiration date reported when asked. The patient received the 1st dose in 2020 and did not complete the series till the time of reporting which led to incomplete course of vaccination. The reporter asked should they have to revaccinate or administering 2nd and 3rd dose would be ok.

Other Meds:

Current Illness:

ID: 0928448
Sex: F
Age: 68
State:

Vax Date: 11/04/2020
Onset Date: 11/01/2020
Rec V Date: 01/08/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Pain is so bad / had an episode of passing out; Severe pain behind her right knee; Severe pain / left bicep; Unable to walk without a walker; Swelling behind her right knee; This case was reported by a consumer via call center representative and described the occurrence of passed out in a female patient who received Herpes zoster (Shingrix) for prophylaxis. On 4th November 2020, the patient received the 2nd dose of Shingrix (intramuscular) .5 ml. In November 2020, less than a week after receiving Shingrix, the patient experienced passed out (serious criteria hospitalization and GSK medically significant), knee pain (serious criteria hospitalization), muscle pain (serious criteria hospitalization), unable to walk (serious criteria hospitalization) and swelling of knees (serious criteria hospitalization). On 4th January 2021, the outcome of the knee pain, muscle pain and unable to walk were recovered/resolved. On an unknown date, the outcome of the passed out was recovered/resolved and the outcome of the swelling of knees was unknown. It was unknown if the reporter considered the passed out, knee pain, muscle pain, unable to walk and swelling of knees to be related to Shingrix. Additional details were reported as follows: The case is reported by husband of patient. He stated that his wife received the second dose of Shingrix and about 3 to 4 days later, she began to experience severe pain behind her right knee and left bicep. She also had swelling behind her right knee. The pain was so bad, she had an episode of passing out. She went to the emergency room and was kept overnight for observation and then discharged. She was unable to walk without a walker. Provided medical disclaimer and advised to follow up with his wife's health care professional. The reporter did not consent to follow-up. Note: Reaction end date is given for pain and swelling behind right knee and pain in left bicep but outcome given as not recovered. Captured outcome as recovered as reaction end date is given. Discrepant information reported in XML and narrative for onset date of events. Events onset date captured as per narrative.

Other Meds:

Current Illness:

ID: 0928449
Sex: F
Age: 31
State: IN

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: None known

Symptoms: Redness around injection site the day after. Swelling like a lump or knot under skin and pain increase second day. Third day itchy skin at injection site but less pain.

Other Meds: Pantoprazole, Klonapin, Tri-Sprintec, Viibryd, Wellbeing, ibuprofen

Current Illness: None

ID: 0928450
Sex: M
Age: 58
State:

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Received a COVID-19 vaccination in his left arm and 9:15 on 12/182020 and states that he felt some swelling sensation in his throat. He received 25 mg of Benadryl there initially and then a few minutes later got another 25. He had no chest pain or shortness of breath. He had no difficulty swallowing. He has had somewhat of a similar reaction in the past when he is exposed to cat hair. He was sent to ED by EMS for further evaluation. No rash. Arrived 10:16am, given pepcid, declined steroids and discharged at 11:47am. Felt normal within 2-3 hrs after receiving the vaccine. Given EpiPen for second dose.

Other Meds:

Current Illness:

ID: 0928451
Sex: F
Age: 46
State: NC

Vax Date: 12/31/2020
Onset Date: 01/04/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Shoulder, Trapezius pain..severe. Severe headache. All occurring days afterwards

Other Meds:

Current Illness:

ID: 0928452
Sex: F
Age: 37
State: AZ

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: none

Allergies: allergic to PCN and Sulfa

Symptoms: -on 1/6/21 my right arm started feeling sore -on 1/7/21 when I woke up in the morning I was very cold for four hours. My feet remained cold the entire day. I also woke up with a headache which lasted all day. In the late afternoon my body started aching which lasted all night. On my right arm well below the injection site my skin pigmentation changed; there is a patch of skin which is now lighter. -on 1/8/21 my head still hurts, my neck area feels very sore. I still have the skin color change on my arm

Other Meds: allegra womens daily vitamin magnesium retin-A

Current Illness: none

ID: 0928453
Sex: U
Age: 46
State: TX

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

Lab Data: EKG 01/07/2021

Allergies: none

Symptoms: Approximately 1 hour after receiving dose #1 of Moderna COVID vaccine, I was sitting at work desk and suddenly felt flushed/hot throughout body; told nearby co-workers I felt light-headed; nearby co-workers then noticed I became quiet, sat and stared into space for about a 30 second timespan while sitting at desk; Co-workers then noticed I was confused and seemed to lose a span of time; Co-workers assisted me to lay down and made suggestion to go to ED. I refused to go to ED and continued to be confused for about 15 mins. Patient returned to baseline state and did not recall the events; I then agreed to go to ED; Co-workers wheeled me to ED where an EKG was done and released after an hour of observation.

Other Meds: Zoloft, Iron, Vyvanse

Current Illness: none

ID: 0928454
Sex: M
Age: 93
State: OK

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: NONE

Allergies: CODEINE

Symptoms: DIZZINESS

Other Meds: NORVASC PLAVIX DEPAKOTE SPRINKLES COLACE ARICEPT CYMBALTA LASIX NAMENDA PRILOSEC FLOMAX TYLENOL MOM POLYETH GLYC POW

Current Illness: NONE

ID: 0928455
Sex: F
Age: 42
State:

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

Lab Data:

Allergies:

Symptoms: Started with hives approximately 15 minutes after and then went into full Anaphylaxis. Required epi and Benadryl.

Other Meds:

Current Illness:

ID: 0928456
Sex: F
Age: 28
State: ID

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

Lab Data: None

Allergies:

Symptoms: Fever, chills, flu like symptoms

Other Meds:

Current Illness:

ID: 0928458
Sex: M
Age: 40
State: PR

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

Lab Data: none

Allergies: shellfish - angioedema, does not carry an epipen

Symptoms: Nausea and dry heave, diarrhea once, epigastric pain. 18 hours post injection. Treated with Maalox 60 ml single dose. Symptoms resolved.

Other Meds: omeprazole 20mg once a day

Current Illness: none

ID: 0928459
Sex: M
Age: 31
State: NJ

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 1. Pulsing pain at dose administration site at 11 pm. -No treatment, went to sleep. 2. (12 hrs after administration). Woke up at 1:00 am with severe chills. Lasted 2 hours. -Threw on sweats and another blanket, went back to sleep. 3. Woke up at 6:30 am with intense body and head pain. "was a cant get comfortable in any position type of pulsing pain" Something im accustomed to when i get the Flu. I rolled around in pain for 4 hours while trying to go back to sleep; it even hurt to breathe deeply. - took Tylenol at 11am and the symptoms never came back. *Note. I think i suffered so much pain in the 4 hours that it lasted with me until even now as i write this. Hard to describe, but my entire body has had this tiny ache that has not gone away. Not a big deal to me, but just wanted it documented. I am selecting recovered even with that tiny ache still apparent because physical pain usually takes time to heal. Assuming that's all it is.

Other Meds: none

Current Illness: none

ID: 0928460
Sex: F
Age: 58
State: OH

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

Lab Data: BP, Pulse

Allergies: Lisinopril

Symptoms: Injection given in Left Deltoid. No complaints at this time of injection. Arrived in waiting area at 0725. At 0750 C/o feeling warm, skin clammy, alert and oriented x 3. Felt like a hot flash. BP 141/75, P=74. At 0754A states feeling much better, skin warm, dry. BP 139/69, P=67 At 0757 Patient chatting, alert and oriented x 3, skin warm, dry BP 169/93, P = 76. patient left observation room with husband who drove her home

Other Meds: Blomplexi, Buproprion, Calcium, Vit B-12, Biotin, MVI, Protonix, Zoloft, Diovan HCT

Current Illness: none

ID: 0928461
Sex: M
Age: 67
State: FL

Vax Date: 12/29/2020
Onset Date: 01/03/2021
Rec V Date: 01/08/2021
Hospital: Y

Lab Data: Multiple labs, ct scan soft tissue edema of throat

Allergies: Cephlasporin

Symptoms: Anaphylactic reaction, Severe edema and raised red rash entire body, Severe itching ,Soft tissue edema of throat. Swelling of, eyes, lips, face. Multiple trips to ER, treated with steroids, Benadryl, prevacid. , CURRENTLY IN ICU ON EPINEPHRINE DRIP, STEROIDS, MULTIPLE MEDS

Other Meds: Metformin, Lisinopril, Simvastatin, Ozempic , pantopazol

Current Illness: none

ID: 0928462
Sex: F
Age: 64
State: CT

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Hot , raised, itchy rash below injection site on Left Arm resembling cellulitis

Other Meds: Citalpram, Amlodipine, Pravastatin, Vitamin D ,Multivitamin. B Complex, Magnesium

Current Illness: none

ID: 0928463
Sex: F
Age: 43
State: MN

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

Lab Data:

Allergies:

Symptoms: I had pretty severe symptoms about 12 hours after the vaccine. I received the vaccine on 1/6 at 8 am. Serve headache, body aches, chill, fever. They lasted about 12 hours and then most of today just overall fatigue. I now have discomfort in my back and chest. Is this normal?

Other Meds:

Current Illness:

ID: 0928464
Sex: F
Age: 69
State: RI

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

Lab Data:

Allergies:

Symptoms: Upon leaving observation, pt stated her lips felt "tingly". No edema present to site. Pt, recieved (2) Benadryl 25mg from this nurse to take w/ her. Pt was currently @ work, and did not want to take meds @ present time. Left observation @ 11.02.

Other Meds:

Current Illness:

ID: 0928465
Sex: F
Age: 47
State: IN

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Arm swelling,, baseball sized knot. fever, chills, nausea

Other Meds:

Current Illness: N/a

ID: 0928466
Sex: F
Age: 69
State: MT

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Developed facial swelling. Diphenydramine administered.

Other Meds:

Current Illness:

ID: 0928467
Sex: F
Age: 37
State: TX

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

Lab Data:

Allergies:

Symptoms: Symptoms - ? EE reports beginning at approximately 19:00 (1/7) chills and myalgias. EE reports she tossed and turned last night so woke up feeling pretty tired. EE reports today she feels okay minus feeling a bit tired. EE denies fever, COVID-19 exposure without proper PPE and recent travel. Last day of work and shift - ? unknown Home remedies? - none Any improvement? - yes Recommendation? EE encouraged to continue to monitor her symptoms and to call vaccine support line with further questions/concerns. EE verbalized back understanding and denied further questions at this time.

Other Meds:

Current Illness:

ID: 0928468
Sex: F
Age: 48
State: CO

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

Lab Data: none

Allergies: none

Symptoms: Within an hour, I started having a headache and feeling a little "prodromal". Within 12 hours, I started having severe diffuse muscle aches. The next 17-29 hours, I continued with severe diffuse muscle aches, headache, nausea, and chills. Symptoms subsided after 29 hours.

Other Meds: mirena

Current Illness: none

ID: 0928469
Sex: F
Age: 78
State: TX

Vax Date: 12/30/2020
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies: None known.

Symptoms: It has been over a week. Early this week 1/5 I noticed continued mild pain, itching, redness and a keloid on left arm at site of injection. Very uncomfortable, especiall itchiness.

Other Meds: Calcium, D3, Zinc,Magnesium

Current Illness: None

ID: 0928470
Sex: F
Age: 43
State: TX

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: On day 2 evening the 5th I developed severe arm soreness. Could not lift or put pressure on it. That evening I developed fever that lasted a full day. On the 8th I have numbness and tingling on the same left arm.

Other Meds: no

Current Illness: no

ID: 0928471
Sex: F
Age: 28
State: OH

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

Lab Data: 1/8 ED monitoring

Allergies: History of amoxicillin mono rash

Symptoms: 1/8: 10:00- began to develop increased soreness and fatigue 14:00 began to develop fever, chills, headache, nausea l, muscle soreness, bone pain, fatigue onset and are consistently present.. Required to leave early secondary to symptoms. Tylenol administered 20:00 lip and facial edema noted to onset. Nausea and dry heaving onsets, feeling of malaise. Fever of 102.3. tylenol given 23:30 lip edema worsening. Pain worsening. Weakness onsets . Continued fever of 101.3. 50 mg of benadryl and pepcid administered 1/9 4:00 bone pain and chills improced. Continued fatigue, muscle aches, headache and nausea. lip edema not improved. Mild facial edema noted. Increased difficulty swallowing noted and dry heaving continues. Care sought in ED. IV decadron and benadryl administered 6:30 discharged from ED with zyrtec, prednisone taper and pepcid scripts. Countinued home monitoring 11:00 lip edema stable. Fever improved. Fatigue, soreness, headache continue to be present, but improved

Other Meds: Birth control

Current Illness: COVID 19 diagnosed 12/15/20- all symptoms resolved

ID: 0928472
Sex: F
Age: 39
State: MD

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies: None known

Symptoms: Moderna COVID-19 Vaccine EUA 7 days after the first injection of the Moderna vaccine, the area of my left shoulder where the vaccine was given became red, mildly sore, raised and warm. It was an area about 4 inches long and 2 inches wide. I also experienced some discomfort in my left underarm at the same time. My arm was sore, but not as sore as it was in the initial 24 hours after receiving the vaccine. I did not have a fever.

Other Meds: Daily multivitamin

Current Illness: None known

ID: 0928473
Sex: M
Age: 54
State: IN

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: None. Symptoms are mild.

Allergies: None

Symptoms: Have had sniffles and a scratchy throat with dry cough. Symptoms usually associated with a cold. Unsure if related to vaccine, but haven't been around anyone sick.

Other Meds: Zyrtec, Protonix, Metformin, Glipicide, Ozempic and Linsipril.

Current Illness: None

ID: 0928474
Sex: F
Age: 40
State: CA

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

Lab Data: None, but My doctor told me I have Bell?s Palsy after taking the vaccine

Allergies: No knows allergies

Symptoms: Tingling and numb face and lips mostly on right side of face, right ear pain, right jaw pain, right side headache, sore arm at site, nausea, dizziness, lethargic

Other Meds: Allegra was taken in the morning

Current Illness: None

ID: 0928475
Sex: F
Age: 40
State: NJ

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: The employee health tested me for COVID - 2 swabs - negative

Allergies: No

Symptoms: Around at 7AM when I arrived at work I started feeling chills, took temperature 99.5F that is already elevated for me. About 9:30 my temp was 101.8F and they sent me home. I just had the chills and fever. I got home and developed a headache and around 1PM I started feeling really dizzy. The temperature did not subside and the next day I woke up and I couldn't function, I felt really dizzy I kept laying down and drinking water, I could not keep anything down my stomach did not feel well. I felt like I had to vomit. When I sat down in the toilet then my ears started ringing pretty bad all of a sudden I could not hear anything and I passed out in the toilet. My husband found me and tried to wake me up. After that I still feel dizzy. I did not have any appetite either. I could barely hold water. The next day I was not as dizzy but my stomach was still upset but I could hold some soup down but then started with diarrhea. Employee health kept calling me everyday and I did the the telehealth appt and I also had a little bit of a rash in my chest that appeared all of a sudden red like a streak. The dizziness I had for the first 4 days, diarrhea did not come until the 3rd day and I had it for 2 days and my temperature was back to normal on the 4th day. Everything started to get better (my stomach stopped feeling queezy) around the 4th day but still felt fatigued until about 12/29/2020.

Other Meds: No

Current Illness: No

ID: 0928476
Sex: M
Age: 62
State: WI

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

Lab Data:

Allergies:

Symptoms: Patient stated his arm from his elbow to his shoulder was warm for 1 hour. He also stated he was achy and he had joint aches more then usual.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm