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: 0929571
Sex: U
Age:
State: TN

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

Lab Data:

Allergies:

Symptoms: fatigue; headache; This is a spontaneous report from a contactable consumer via Pfizer Sales Representative. A elderly patient (reported as over 80 years) of an unspecified gender received BNT162b2 (Lot/batch number and Expiration date were not provided), via an unspecified route of administration on an unspecified date at single dose for covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient experienced fatigue, headache on an unspecified date with outcome of unknown. No follow up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 0929572
Sex: U
Age:
State: TN

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

Lab Data:

Allergies:

Symptoms: fatigue; This is spontaneous report from a contactable consume via Pfizer Sales Representative. This consumer reported similar events for 2 patients. This is a second of two reports. A 9-decade-patient of an unspecified gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, batch/lot number and expiration date unknown), via an unspecified route of administration on an unknown date at single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced fatigue after use of vaccine. The outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 0929573
Sex: F
Age: 45
State: GA

Vax Date: 12/24/2020
Onset Date: 12/28/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: EKG 12/30/2020, 1/05/2021 ECHO 1/05/2021 wearing heart monitor for 30 days starting 1/05/2021

Allergies:

Symptoms: Tachycardia on 4th day after vaccine, the onset started in the morning while at rest, heart rate returned to normalcy after an hour but had intermittent episodes of tachycardia. I went to the ER on 12/30/2020 due to continued tachycardia. An EKG, chest xray, and blood was drawn, which showed slightly elevated troponin, stayed most of the night in the EC with second lab draws. I was given a prescription of metropolol 12mg to be taken twice a day for 14 days. Went to see a cardiologist on 1/05/2021, another EKG was preformed along with an ECHO which was normal but was placed on a heart monitor to be observed for 30 days

Other Meds:

Current Illness:

ID: 0929574
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Tachycardia; Palpitation; Full body flush; Full body feeling hot; This is a spontaneous report from a non-contactable nurse. A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. Caller stated, "So, she said that this person, (Name) had the same effect that she had and I already reported her side effects and basically they had the full body flush with the tachycardia, palpitations and it lasted for about 5 minutes and then went away. It said, it felt like a full body flush and she said it reminds me when you get those IVs that make your full body feeling hot, so she said it's full body flush, tachycardia, palpitation and then after 5 minutes, it went away and they were all fine." The outcome of events was recovered. No follow-up attempts are possible, information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 0929575
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Mild nausea shortly after injection; Injection site soreness beginning in the afternoon of that day, continuing for days; Fatigue; This is a spontaneous report from a non-contactable other HCP. A 29-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 04Jan2021 12:30 at single dose for COVID-19 immunization. Medical history included endometriosis. There were no concomitant medications. The patient experienced Mild nausea shortly after injection. Injection site soreness beginning in the afternoon of that day, continuing for days and Fatigue on 04Jan2021 12:45. Patient has not been diagnosed with COVID-19 prior to vaccination. Patient has not tested for coronavirus disease (COVID-19) since having the vaccine. Outcome of events was recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 0929576
Sex: M
Age: 24
State: CA

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

Lab Data: N/A

Allergies: NONE

Symptoms: I received the vaccine on 1/7/21 and the next morning (1/8/21) I woke up with a fever of 100.5, a headache, and nausea.

Other Meds: N/A

Current Illness: Covid-19 a month ago

ID: 0929577
Sex: F
Age:
State: MO

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

Lab Data:

Allergies:

Symptoms: Fatigue; fever; chills; body aches; headache; This is spontaneous report from a contactable other hcp (patient). A 40-year-old female patient (not pregnant) received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EH9899) intramuscularly at right arm on 29Dec2020 11:45 at single dose for COVID-19 immunization. Medical history included anxiety/depression-mild, known allergies to penicillin (PCN), patient was diagnosis (dx) with Covid 19 on 20Nov2020. Concomitant medication included duloxetine, hydrochlorothiazide, triamterene (TRIAMTERENE AND HYDROCHLOROTHIAZID), colecalciferol (VITAMIN D), paracetamol (TYLENOL) and MV, all received within 2 weeks of vaccination. The patient experienced fatigue, fever, chills, body aches, headache that lasted about 24 hours, all started from 29Dec2020 11:45. Then continued fatigue and mild body aches since then. No treatment received. This is a non-serious report. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The outcome of the events was recovering.

Other Meds: ; TRIAMTERENE AND HYDROCHLOROTHIAZID; VITAMIN D; TYLENOL

Current Illness:

ID: 0929578
Sex: M
Age: 45
State: CA

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

Lab Data: Have had thorough work up twice (blood, x-ray, EKG, negative COVID then Fluvid test). All tests were normal.

Allergies: Lisinopril

Symptoms: Shortness of breath, coughing, some deep chest soreness. Worse when laying down in any position. Began using Albuterol this morning (approx 3 hours ago) with no change in symptoms.

Other Meds: Amlodipine, Truvada , Fish Oil , Vitamin C

Current Illness: None

ID: 0929579
Sex: F
Age: 37
State: WA

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

Lab Data: none

Allergies: Cephalexin Sulfamethoxazole-trimethoprim Erythromycin

Symptoms: Patient developed a rash within 24 hours of vaccine administration. It gradually spread from abdomen to the rest of her trunk, arms, and thighs. It spared her face and neck, hands and feet. I made the clinical diagnosis of pityriasis rosea. Treatment is topical anti-itch medications only.

Other Meds: spironolactone 50 MG tablet Cetirizine HCl (ZYRTEC PO) tretinoin 0.025 % cream Norethin Ace-Eth Estrad-FE (MINASTRIN 24 FE PO) Multiple Vitamin (DAILY VITAMIN PO)

Current Illness: None

ID: 0929580
Sex: F
Age: 52
State: AZ

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

Lab Data:

Allergies:

Symptoms: C/O: DIZZINESS. 1140: VS: 184/98, P: 92; 02 SAT: RA: 98%; 1152: VS: 167/88, P: 70; 02 SAT: RA: 98%

Other Meds:

Current Illness:

ID: 0929581
Sex: F
Age: 41
State: AK

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

Lab Data: none

Allergies: Levaquin

Symptoms: chest tightness arm pain nausea diarrhea body aches fatigue lost work two days

Other Meds: Prednisone Omeprazole Imuran Metoprolol Spirolactate Zoloft Birth Control Zoloft Furosemide

Current Illness: none

ID: 0929582
Sex: M
Age:
State:

Vax Date: 01/03/2021
Onset Date: 01/04/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills; body aches; high fever; This is a spontaneous report from a contactable other HCP (patient). A 45-year-old male patient received first dose of BNT162b2 (Lot number: EL0140), via an unspecified route of administration at left arm on 03Jan2021 20:00 at single dose for covid-19 immunization. Medical history included Sleep apnoea. Concomitant medication included ramipril. The patient experienced Chills, body aches, high fever within 23 hours of vaccine administration on 04Jan2021 19:00. No treatment received. The outcome of the events was recovering.

Other Meds:

Current Illness:

ID: 0929583
Sex: F
Age: 44
State: WI

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

Lab Data:

Allergies:

Symptoms: 01/06/2021 developed a rash, redness, itching and is warm to touch at the injection site.

Other Meds:

Current Illness:

ID: 0929584
Sex: F
Age:
State: NY

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

Lab Data:

Allergies:

Symptoms: Muscle aches; joint pain; injection site pain; This is a spontaneous report from a non-contactable nurse reported for herself. A 31-year-old female patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EK9231 and expiration date unknown), via an unspecified route of administration on left arm 05:30 PM on 04Jan2021 at single dose for covid-19 immunisation. The patient medical history was not reported. The patient concomitant medications include escitalopram oxalate (LEXAPRO), bupropion hydrochloride (WELLBUTRIN). The patient previously took the first dose of bnt162b2 (lot number: EH9899) via an unspecified route of administration on arm left on 14Dec2020 at single dose for covid-19 immunisation. The patient experienced muscle aches, joint pain, injection site pain on 05Jan2021 04:00 AM after the second vaccine administrated, with outcome recovered. The patient received treatment for the events with Ibuprofen. No follow-up attempts are possible. No further information is expected.

Other Meds: LEXAPRO; WELLBUTRIN

Current Illness:

ID: 0929585
Sex: F
Age: 43
State: MI

Vax Date: 12/31/2020
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: Urinalysis, CBC, CMP, ESR, CRP

Allergies: None

Symptoms: I saw patient on 1/6/2021 for a possible vaccine reaction. She had her vaccine on Dec 31 and had arm soreness. On the evening of 1/5/2021 she had headache, chills, and during the night sweating. She woke on 1/6/2021 with itching on wrists with a red raised rash and then noted it was also on her hips when she took a shower. In office on 1/6/2021 she had erythema on wrists (she had applied Kenalog cream and states that it was no longer raised after application of the cream) and she had small dime to quarter sized hives on bilateral hips. My colleagues and I researched and found that people can get a serum illness with any vaccine so we checked labs and a UA ? it was all normal but a little protein in her UA. I spoke with patient on 1/7/2021 and she stated that her hives had spread over her buttocks the evening of 1/6/2021 but had resolved by the time she woke on 1/7/2021 and she was not having any current symptoms yesterday late afternoon when I spoke with her. She feels sluggish on 1/8/2021 but overall feels okay. No more rash. We discussed that she can return to her next shift on Monday 1/11/2021 unless she notes any other symptoms / return of symptoms she will let us know.

Other Meds: Synthroid

Current Illness: Hypothyroidism

ID: 0929586
Sex: F
Age:
State: MA

Vax Date: 12/17/2020
Onset Date: 01/03/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: Test Date: 20210103; Test Name: Nasal Swab; Result Unstructured Data: Test Result:Positive

Allergies:

Symptoms: I tested positive for COVID-19; I tested positive for COVID-19; This is a spontaneous report from a contactable nurse. A 29-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EH9899), intramuscular in left arm on 17Dec2020 19:45 at single dose for covid-19 immunisation. Medical history was not reported. There were no concomitant medications. The patient tested positive for COVID-19 on 03Jan2021. Outcome of event was recovering. Patient has not been diagnosed with COVID-19 prior to vaccination.

Other Meds:

Current Illness:

ID: 0929587
Sex: F
Age:
State: MO

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

Lab Data: Test Name: fever; Result Unstructured Data: Test Result:99.5; Test Name: fever; Result Unstructured Data: Test Result:99.9

Allergies:

Symptoms: I was like tired; Headaches which comes and goes; Straight at 99.5 and it went to 99.9; Joint Pain from head to toe; Foggy/ Weird feeling/ Back of my neck, upper-lower back my elbow it was just like my legs which is just in a lot of joint pain/ just didn't feel quite like myself; t was all expected the painful site; This is a spontaneous report from a contactable Nurse (patient). The 59-years-old female patient received first of bnt162b2 (BNT162B2, lot nunber: EH9899), unknown on an unknown date in Dec2020 at SINGLE DOSE on Left Deltoid for covid-19 immunisation. Medical history included Patient History: No. The patient's concomitant medications were not reported. It was reported "I had this vaccine, my dad gave it to me Thursday about noon and last night I became very symptomatic, I am feeling a little better today and it said to report the symptom, I mean it was all expected the painful site but I feel very fatigue I mean I was like tired, headaches which comes and goes through on 01JAN2021 and not sure I don't normally have unless it's my sinuses so this is the headache I believe the Tylenol didn't do anything for it (Further clarification was unknown) and I have been taking Tylenol and Ibuprofen, a fever I experienced last night went from straight at 99.5 and it went to 99.9 just kind feel foggy, it was just a weird feeling I experienced, Joint Pain from head to toe, I mean back of my neck, upper-lower back my elbow it was just like my legs which is just in a lot of joint pain and just didn't feel quite like myself I guess pretty much just to say. I was due to get it the 2nd one on the 19th and I was told you may have more symptoms with that one, is that correct?" The patient took Tylenol and Ibuprofen for joint pain and fever. The outcome of the events was unknown. No follow-up attempts are needed..

Other Meds:

Current Illness:

ID: 0929588
Sex: M
Age:
State:

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

Lab Data:

Allergies:

Symptoms: injection site soreness; chills; fever; hyperthermia; tachycardia; This is a spontaneous report from a non-contactable other HCP. A 25-year-old male patient received the first dose of BNT162b2 (lot number: ELI284), intramuscular at left arm on 04Jan2021 11:00 at single dose for covid-19 immunization. Medical history was none. The patient's concomitant medications were not reported. The patient experienced injection site soreness several hours following administration. Approximately 12 hrs later, patient experienced severe chills and fever lasting for several hours, followed by several hours of hyperthermia and tachycardia. The all events were reported from 04Jan2021 23:00. No treatment received. The outcome of the events was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 0929589
Sex: F
Age: 0
State: OH

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

Lab Data: Intussusception ultrasound- negative; xray- showed stool burden

Allergies: none

Symptoms: 2 incidents with a temporal relationship to rotavirus Rotateq vaccine; at 2 months and 4 months of age. Patient received 1st dose of Rotateq 11/9/20. Had blood and mucous in stool 3x on 11/11/20 within 24 hr period; resolved. Reveived 2nd dose of Rotateq on 1/6/21, Starting 1/7/21 patient had episodic periods of pain and fussiness with exhaustion. Would suddenly fall asleep and arouse again as fussy. Atypical spit up for this patient occurred. Pt was seen and imaged at urgent care and discharged home.

Other Meds: none

Current Illness: n/a

ID: 0929590
Sex: F
Age:
State: TX

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

Lab Data: Test Name: temperature; Result Unstructured Data: Test Result:98.1 F.; Comments: it is 98.1 F.

Allergies:

Symptoms: heaviness in the arm at the injection site/ left arm is in pain; heaviness in the arm at the injection site/ left arm is in pain; This is a spontaneous report from a contactable nurse reported for herself. A 34-year-old female received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, batch/lot number: EK9230 and expiration date: Apr2021), via an unspecified route of administration on left arm on 04Jan2021 at 7:40am at single dose for covid-19 immunisation. The patient medical history included food allergy from 29Jan2020 and ongoing, reported as allergic to avocado, banana, beef, cantaloupe, cashews, chicken, coconut, coffee mix, corn, cucumber, egg, fish mix, green pea, milk, onion, olive, peach, pecan, potato, rice, shrimp, strawberry, watermelon. The patient concomitant medications reported as none. The patient is a registered nurse reporting she got her Pfizer Covid vaccine shot yesterday 04Jan2021 at 7:40 am, she had heaviness in the arm at the injection site on 04Jan2021, clarifies her left arm, she already took Tylenol yesterday. When she woke up this morning, left arm is in pain, the pain will not go away it has been 24 hours. She took her temperature and it is 98.1 F. She does have a lot of food allergies. She attempted to treat the arm pain with acetaminophen, 500mg (expiration Dec2022, purhased from store, Manufacturer is unknown, states it is the generic, LOT P142171). The reporter considered the event as non serious. The outcome of the event was not recovered. .

Other Meds:

Current Illness: Food allergy (Verbatim: Food allergy: allergic to avocado, banana, beef, cantaloupe, cashews, chicken, coconut, coffee mix, corn, cucumber, egg, fish mix, green pea, milk, onion, olive, peach, pecan, potato, rice, shrimp, strawberry, watermelon)

ID: 0929591
Sex: F
Age:
State: CA

Vax Date: 12/21/2020
Onset Date: 12/23/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Joints and muscle aches; Joints and muscle aches; nausea; This is a spontaneous report from a contactable nurse. A 58-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EK5730), intramuscular in arm right on 21Dec2020 10:00 at single dose for covid-19 immunisation. Medical history included allergies to dust, grass, and some weeds. Concomitant medication included fexofenadine hydrochloride (ALLEGRA), estradiol, vitamin c [ascorbic acid] (VITAMIN C [ASCORBIC ACID]), zinc. The patient experienced Joints and muscle aches for 15 days so far, nausea mainly in the mornings for 10 days on 23Dec2020 06:00. Outcome of events was not recovered. Patient has not been diagnosed with COVID-19 prior to vaccination. Patient has not tested for coronavirus disease (COVID-19) since having the vaccine.

Other Meds: ALLEGRA; ; VITAMIN C [ASCORBIC ACID];

Current Illness:

ID: 0929592
Sex: F
Age: 63
State: AK

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: localized allergic rxn 9 days after the shot.

Other Meds:

Current Illness:

ID: 0929593
Sex: F
Age:
State: NY

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

Lab Data:

Allergies:

Symptoms: Fatigue; achy; chills; This is a spontaneous report from a contactable other hcp (patient). A 27-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) intramuscularly at left arm on 04Jan2021 14:30 at single dose for COVID-19 immunization. Medical history included known allergies to shellfish. The patient's concomitant medications were not reported. The patient previously took first dose of bnt162b2 for COVID-19 immunization. The patient experienced fatigue, achy, chills, all on 05Jan2021 01:15. No treatment received for the adverse events. This a non-serious report. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The outcome of the events was recovered in Jan2021. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0929594
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Red bumps and itching to arms, legs and belly; Red bumps and itching to arms, legs and belly; This is a spontaneous report from a non-contactable Other HCP (patient). A 40-year-old female patient received the first dose of BNT162b2 (Lot number: EL1284), via an unspecified route of administration at left arm on 05Jan2021 12:00 at single dose for covid-19 immunization. Medical history included Allergies to medications, food, or other products (unspecified allergies). The patient's concomitant medications were not reported. The patient experienced red bumps and itching to arms, legs and belly at 12:30 on 05Jan2021. The patient received the Benadryl as treatment. The events resulted in Doctor or other healthcare professional office/clinic visit. The patient was not pregnant at the time of vaccination. The outcome of the events was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 0929595
Sex: F
Age: 61
State: FL

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

Lab Data: COVID PCR on 1/6-negative

Allergies: NKA

Symptoms: fever 101, arm soreness, body aches, fatigue, nausea, congestion and dry cough

Other Meds: lamictal, wellbutrin

Current Illness: None

ID: 0929596
Sex: F
Age:
State: NY

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

Lab Data: Test Date: 20210104; Test Name: body temperature; Result Unstructured Data: Test Result:fever

Allergies:

Symptoms: chills; fever; headache; muscles pain; joint pain; difficulty of breathing; arm pain; tiredness; dizziness; weakness; This is a spontaneous report from a contactable nurse reporting for herself. A 54-year-old female patient (not pregnant at the time of report) received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number PFR EL 3246) on 04Jan2021 12:00, received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number PFR EK 5730) on 18Dec2020 11:00, both intramuscularly on left arm at single dose for COVID-19 immunization. Facility where the most recent COVID-19 vaccine was administered in Hospital. Medical history included migraine, known allergies: kiwi. Concomitant medications were not reported. The patient experienced chills, fever, headache, muscles pain, joint pain, difficulty of breathing, arm pain, tiredness, dizziness and weakness, all on 04Jan2021 19:00. Treatment received for all events included Ibuprofen, Alive. The outcome of all events were not resolved.

Other Meds:

Current Illness:

ID: 0929597
Sex: F
Age:
State: CT

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

Lab Data:

Allergies:

Symptoms: Difficulty breathing; Weakness; This is a spontaneous report from a contactable consumer (on behalf of his mother). A 50-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot: EJ1686), via an unspecified route of administration on 31Dec2020 between 09:00 and 10:00 at single dose on left arm for covid-19 immunisation (works in food staff at a hospital). Medical history and concomitant medications were none. Patient experienced: difficulty breathing and weakness on 01Jan2021. Events were ongoing and had gotten a little worse today (05Jan2021). The action taken in response to the events for bnt162b2 was not applicable. Outcome of the events was not resolved.

Other Meds:

Current Illness:

ID: 0929598
Sex: M
Age:
State: NC

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

Lab Data: Test Name: COVID-19 test; Test Result: Positive ; Comments: about 2 weeks after receiving the 1st dose of BNT162B2

Allergies:

Symptoms: Patient tested positive for COVID-19 about 2 weeks after receiving the 1st dose of COVID vaccine; Patient tested positive for COVID-19 about 2 weeks after receiving the 1st dose of COVID vaccine; This is a spontaneous report from a contactable consumer reported that a male patient of unspecified age received his first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on an unspecified date, at single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. Patient is a health care worker who works with COVID patients as part of his daily work duties. He tested positive for COVID-19 about 2 weeks after receiving the 1st dose of BNT162B2. Outcome of the events was unknown. No follow up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 0929599
Sex: F
Age: 59
State: WV

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

Lab Data:

Allergies:

Symptoms: 1-7 middle of the night was achy and had headache. Thursday headache became more severe and had body aches. Thursday night had a low grade temp and the headache got severe and she developed lymph node swelling in R axilla. She continues with headache that is bad and body aches but no fever today 1-8-2021

Other Meds:

Current Illness:

ID: 0929600
Sex: F
Age:
State:

Vax Date: 12/17/2020
Onset Date: 12/23/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: Test Date: 20201223; Test Name: Tested positive; Test Result: Positive

Allergies:

Symptoms: Tested positive; Tested positive; This is a spontaneous report from a contactable nurse via Pfizer sales representative. A 35-year-old female patient received BNT162B2 (lot: EKS730), via an unspecified route of administration on 17Dec2020 at single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. Patient received 1st COVID vaccine dose on 17Dec2020 and tested positive on 23Dec2020. Patient was exposed to COVID. She was curious if and when she should get a second dose having tested positive after her first dose. Outcome of the events was unknown.; Sender's Comments: Based on the information available, a possible contributory role of the suspect BNT162B2 cannot be excluded for the reported event SARS-CoV-2 test positive based on the known safety profile. However given the short duration of 6 days since the vaccine first dose, it is unlikely patient would have fully developed immunity.

Other Meds:

Current Illness:

ID: 0929601
Sex: F
Age:
State: LA

Vax Date: 12/16/2020
Onset Date:
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: joint pain; This is a spontaneous report from a contactable consumer (patient). This female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) at single dose on 16Dec2020 between 12:30 and 1:30 for COVID-19 immunisation. Medical history and concomitant medication were not reported. She got the first vaccine on the 16Dec2020 between 12:30 and 1:30 and had symptoms 12 to 13 hours post injection. She had joint pain which was normal. She didn't think it was necessary to call about that. The outcome of event was unknown. Information about Lot/Batch number is requested.

Other Meds:

Current Illness:

ID: 0929602
Sex: M
Age:
State:

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

Lab Data:

Allergies:

Symptoms: extreme fever; chills; shortness of breath; This is a spontaneous report from a contactable Physician via Pfizer Sales Representative. A 6 decades male patient (reported as in his 50's) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. the patient experienced extreme fever, chills, shortness of breath after receiving the vaccine. Outcome of events was unknown. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0929603
Sex: F
Age: 58
State: CO

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

Lab Data:

Allergies: Celecoxib (respiratory distress), Neosporin (hives), Sulfa (hives), Fish containing products, Levofloxacin, Shellfish

Symptoms: After first dose of Moderna COVID-19 vaccine, patient started to experience mild pruritus on her forehead. The patient was monitored for 30 minutes and did not experience worsening of symptoms. Patient was discharged home in stable condition.

Other Meds:

Current Illness:

ID: 0929604
Sex: F
Age:
State: FL

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

Lab Data: Test Name: Heartbeat; Result Unstructured Data: Test Result:had 2-3 good beats and then kind of has like 2; Comments: or 3 slower beats, missing beats, they are not as strong/Heartbeat seems to be a little erratic

Allergies:

Symptoms: I have 2-3 good beats and then kind of has like 2 or 3 slower beats, missing beats, they are not as strong/ Heartbeat seems to be a little erratic; I have 2-3 good beats and then kind of has like 2 or 3 slower beats, missing beats, they are not as strong; Woke me last night, at 3 o' clock this morning; This is a spontaneous report from a contactable consumer (patient himself). An 86-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 30Dec2020 at single dose for COVID-19 immunization. Medical history included atrial fibrillation (Afib), gastrooesophageal reflux disease (Reflux), macular degeneration, ongoing It's for heart, ongoing bleeding disorder. Concomitant medication included metoprolol for heart; ascorbic acid, betacarotene, cupric oxide, tocopheryl acetate, zinc oxide (PRESERVISION) for macular degeneration; fish oil for Omega 3; Vitamins. Clinical course: She had a bleeding disorder, she was on a blood thinner (unspecified medication), they didn't know she took a blood thinner. She had noticed with her heartbeat seems to be a little erratic, but she also had AFib. So, it seems like she had 2-3 good beats and then kind of has like 2 or 3 slower beats, missing beats, they are not as strong. But she thought that would have been AFib but seems to be a little bit different. It woke her last night, at 3 o' clock this morning on 01Jan2021. She wanted to know if it would have an effect on her heartbeat by taking the blood thinner. The outcome of events was unknown. Information about Batch/Lot number has been requested.

Other Meds: ; PRESERVISION;

Current Illness: Haemorrhage NOS; Heart disorder

ID: 0929605
Sex: F
Age:
State: KS

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

Lab Data: Test Name: fever; Result Unstructured Data: Test Result:recovered; Test Date: 20210105; Test Name: fever; Result Unstructured Data: Test Result:fever; Comments: at 20:00

Allergies:

Symptoms: Fever; This is a spontaneous report from a contactable Other-HCP (patient herself). This 38-year-old female patient received the first dose of the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unknown route, on 05Jan2021 at 08:45 at single dose for COVID-19 immunisation. Vaccine location was arm right. The patient was not pregnant. Relevant medical history included COVID 19 (prior to vaccination). Past drug history included allergy to penicillin. Relevant concomitant medication included birth control pill. The patient was vaccinated at hospital, age at vaccination was 38-year-old. No other vaccine was received in four weeks. Post-vaccination COVID test was not performed. On 05Jan2021 at 20:00, the patient developed fever. The patient was not treated for the event. The patient recovered from the event on unknown date. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0929606
Sex: F
Age: 53
State: CA

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

Lab Data: NONE

Allergies: NKDA

Symptoms: RED, ITCHY, ROUND, 4 INCH DIAMETER RAISED, WARM RASH

Other Meds: none

Current Illness: None

ID: 0929607
Sex: F
Age:
State: FL

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

Lab Data:

Allergies:

Symptoms: Fatigue; Migraine; Body aching everywhere including joint and muscle everything; General aches, pain; Headache; Severe muscle pain around the injection site; Severe muscle pain around the injection site; This is a spontaneous report from a contactable nurse (patient). A 55-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (lot number EK9231), via an unspecified route of administration on 30Dec2020 at single dose for covid-19 immunization. Medical history included diabetes mellitus from an unknown date, covid-19 from an unknown date. Concomitant medication included metformin. The patient stated the side effects were initially day one (30Dec2020) was this general aches, pains and headache. It almost started as if it was a Covid itself starting all over again because she had this disease already earlier this year and the headache and general ache and pains and pretty severe muscle pain around the injection site and also the general aches and pain. The second day (31Dec2020) was extreme fatigue, migraine that the never went away, body aching everywhere including joints and muscle everything. It almost felt like the Covid itself all over again. Patient took Motrin essentially around the clock something 6 (intent: 600mg) to 800 mg every 6 hours or so. The outcome of event migraine was not recovered, the other events was unknown.

Other Meds:

Current Illness:

ID: 0929608
Sex: M
Age:
State: CA

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

Lab Data:

Allergies:

Symptoms: Injection site muscle soreness/pain; This is a spontaneous report from a contactable pharmacist (patient himself). This 26-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number EL0142), via an unknown route, on 05Jan2021 at 17:30 at single dose for COVID-19 immunisation. Age at vaccination was 26-year-old. Vaccine location was left arm. The patient did not have a relevant medical history. No known allergies. No relevant concomitant medications were provided. No other vaccine was received in four weeks. Pre-vaccination and post-vaccination COVID tests were not performed. On 06Jan2021 at 08:00, the patient developed injection site muscle soreness/pain. The patient was not treated for the event. The patient was recovering from the event. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 0929609
Sex: F
Age:
State: IL

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

Lab Data:

Allergies:

Symptoms: Injection site pain; Tiredness; Muscle pain; Chills; Fever; Nausea; Feeling unwell; This is a spontaneous report from a contactable nurse, the patient. A 54-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Lot EJ1685, Expiration 31Mar2021) solution for injection in the left arm on 02Jan2021 (at the age of 54-years-old) as a single dose for COVID-19 vaccination. There was no medical history. There were no concomitant medications. On 03Jan2021 at 02:00, the patient experienced injection site pain, tiredness, muscle pain, chills, fever, nausea and a feeling of unwell. Treatment was provided for the events injection site pain, tiredness, muscle pain, chills, fever, nausea and a feeling of unwell included ibuprofen. The outcome of the events injection site pain, tiredness, muscle pain, chills, fever, nausea and a feeling of unwell was unknown. There was no physician office/ emergency room visit.

Other Meds:

Current Illness:

ID: 0929610
Sex: F
Age: 83
State: FL

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

Lab Data:

Allergies: PCN, Shellfish

Symptoms: C/o shortness of breath routine oxygen increased cannula changed to mask oxygen sats at 88%

Other Meds: Align, Amlodipine, Arimidex, Atorvastatin, Calcium, Colace, Gabapentin, Losarten, Mucinex, Namenda, MVI, Pataday drops, Prilosec, Remeron, Vitamin d3

Current Illness: Pneumonia (resolved 12-17-20

ID: 0929611
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: allergic reaction; hives; This is a spontaneous report from a contactable consumer. (patient). A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: unknown), via an unspecified route of administration in Dec2020 at single dose for Covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient reported that she got the Covid vaccine last week and she think she was having like a slight allergic reaction like hives and stuff on an unspecified date. The outcome of events was unknown. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0929612
Sex: F
Age:
State: PA

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

Lab Data: Test Name: temp; Result Unstructured Data: Test Result:101.5; Comments: I took temp, I was 101.5

Allergies:

Symptoms: Congestion; Felt warm; took temp, I was 101.5; Chills; Everything hurts; Feel sick; Coughing; Really tired/exhausted; This is a spontaneous report from a contactable nurse (patient). A 50-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 30Dec2020 at single dose for covid-19 immunization. Medical history included Hashimoto's Goitre, migraine, Pacemaker, she just had her third one replaced, that was since I was 27. Concomitant medication included levothyroxine for Hashimoto's Goitre, sertraline, topiramate (TOPAMAX). The patient received the vaccine on 30Dec2020. She had congestion, she was still congested. That night on 30Dec2020 she was tired, just tired and exhausted and woke up Thursday on 31Dec2020, really tired. The patient had been really busy with work with everything, so, she just 'threw to the wind'. She was really tired on Thursday, 31st, just like, she really feel sick, coughing, really exhausted. she came home and just got to go to bed and 7 to 3:30. She felt warm but she didn't get hot and she took temp, she was 101.5. She had chills, a cough. She was so exhausted, everything hurts her. The patient don't feel like terrible, terrible, like mostly she would say Friday on 01Jan2021, she was mostly in bed. She just didn't want to just lay there. She thought that was worse laying there. She didn't know if I was positive with COVID in the middle of this, or was it the vaccine. About causality, the reporter stated that she didn't know, 50-50, it partly felt like she didn't know if she was having a reaction to the vaccine or she was positive for COVID or she was getting (incomplete sentence). She was congested and the all of a sudden, she didn't know if positive for this. She guessed if she get tested which she was assuming if she call or occupational health, they want her to get tested for COVID because she already have the symptoms. She didn't do anything yet for events. She had just been home and quarantined. Her brother who she have been around, he doesn't live with her but he lived down the street. He was in critical care right now in (state) and with COVID, so that's another concern, why she was thinking she could be COVID. The outcome of the events was unknown. Information for Lot/Batch number has been requested.

Other Meds: ; ; TOPAMAX

Current Illness:

ID: 0929613
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: None

Allergies: Tetracycline

Symptoms: Severe headache, severe body aches, skin sensitivity, fatigue and diarrhea for 18 hours then spontaneously resolved

Other Meds: Lexapro, estrace, vit D3, biotin, magnesium

Current Illness: None

ID: 0929614
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: arm was slightly swollen; rash around the injection site; Arm soreness; This is a spontaneous report from a contactable consumer (patient). A 77-year-old female patient started to receive BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EL1284, expiry date: unknown), via an unspecified route of administration on 02Jan2021 08:00 at a single dose for COVID-19 immunisation. There were no medical history and concomitant medications. The patient noticed her arm was sore a few hours after vaccination on 02Jan2021. Yesterday on 03Jan2021, her arm was sore. On 04Jan2021, when getting dressed she noticed her arm was slightly swollen and there's a rash around the injection site. Outcome of the events was unknown.

Other Meds:

Current Illness:

ID: 0929615
Sex: F
Age: 41
State: CO

Vax Date: 12/27/2020
Onset Date: 01/04/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: none

Allergies: thimerosal, formaldehyde, peanuts, pecans, latex

Symptoms: Day 8-10 post moderna vaccine a red rash developed on my entire lateral upper arm of injection site, Area red, burning, itchy. I am breastfeeding 17 months and first time had breast pain that came not sure if related or not but same days the evening of day 8-10 after the rash started in the morning. Both came and returned to baseline but wanted to report to help for clinical data. I have had a history of allergic reactions.

Other Meds: vitamin d

Current Illness: no

ID: 0929616
Sex: U
Age: 27
State:

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

Lab Data:

Allergies:

Symptoms: I received the vaccine around 12:15 pm and this reaction started around 9 pm that evening. I felt soreness and significant warmth 2 cm above the injection site. I felt a raised lump, the size of a quarter. It was very tender to touch. The actual injection site was not painful. This lasted for about 1 week, until complete resolution.

Other Meds:

Current Illness:

ID: 0929617
Sex: F
Age: 65
State: CT

Vax Date: 12/18/2020
Onset Date: 12/21/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: I took a covid-19 test.

Allergies: Neomyocn

Symptoms: It was 3 days after I became fatigue and chill. I also had body aches.

Other Meds: -Levothyroxine -Metoprolol -Amylodipne -Oxcarbazine -Elxapro -Meloxicam -Singulair -Symbicort

Current Illness: None

ID: 0929618
Sex: U
Age:
State: CA

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

Lab Data:

Allergies:

Symptoms: Headaches after vaccine; This is a spontaneous report from a Pfizer-sponsored program, General Company Information, received via a contactable consumer. A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number/expiration date unknown) via an unspecified route of administration on an unspecified date at a single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. The patient experienced headaches after vaccine on an unspecified date. The outcome of the event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0929619
Sex: F
Age:
State: FL

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

Lab Data:

Allergies:

Symptoms: Tingling sensation; This is a spontaneous report from a Pfizer Sponsored Program. A contactable consumer reported that a female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiration date unspecified), via an unspecified route of administration on 31Dec2020 at single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient previously took valacyclovir (VALTREX) and experienced tingling sensation. On an unspecified date, the patient experienced tingling sensation. It was reported that the patient experienced tingling sensation a week and a half with valacyclovir before getting the vaccine. When the patient got the vaccination last Thursday and even after receiving the vaccine, the tingling started again. She's was asking if she can restart/retake the valacyclovir now that she had the vaccine. Outcome of event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0929620
Sex: F
Age:
State: NC

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

Lab Data:

Allergies:

Symptoms: pain on the injection site; swelling; Inflammation; This is a spontaneous report from a Pfizer-sponsored program, reported by a contactable consumer (patient). A 64-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/lot number: unknown) via an unspecified route of administration on 02Jan2021 at single dose for Covid-19 immunization. The patient's medical history and concomitant medications were not reported. It was reported that the patient had the vaccine yesterday (02Jan2021) around 6 O'clock and then late in the afternoon she was experiencing pain on the injection site and she is asking if that is normal or if she can take Ibuprofen to relieve the pain. It was further reported that there was also a little bit swelling and inflammation. The outcome of events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm