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: 0929621
Sex: F
Age: 38
State: TX

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

Lab Data:

Allergies:

Symptoms: Patient received first vaccine (12.29.20) and experienced injection site reaction for 3 days. 10 days later the redness and tenderness re-appeared. The area is approximately 1.5 by 1.5 inches, somehwat round "wheal" urticarial center. Patient has been taking benadryl for symptom relief with little change in symptoms or appearance. No other complaints.

Other Meds:

Current Illness:

ID: 0929622
Sex: M
Age:
State: AZ

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

Lab Data: Test Name: Fever; Result Unstructured Data: Test Result:high; Test Name: Fever; Result Unstructured Data: Test Result:102; Test Name: flu; Test Result: Negative ; Test Name: COVID tests; Test Result: Negative ; Test Name: COVID tests; Test Result: Negative

Allergies:

Symptoms: Fever; Chills; Body aches; Headaches; This is spontaneous report from a contactable Other HCP. A male patient (age unknown) received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unknown route, on 23Dec2020 at single dose for COVID-19 immunisation. No relevant medical history and concomitant medications were provided. On unknown date, after vaccination, the patient had fever, chills, body aches, and headaches. Fever was high. Sunday night his fever was 102 which went away with ibuprofen (ADVIL). He had no respiratory issues. He had body aches, but they were not severe. He had headaches. He has had 2 negative COVID tests and he was negative for the flu. The patient asked if he could not take the second dose of the vaccine planned for 13Jan2021. Fever resolved on unknown date while the outcome of the remaining events was unknown. Information on lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0929623
Sex: F
Age:
State: IL

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

Lab Data:

Allergies:

Symptoms: gets an enlarged lymph node; This is a spontaneous report from a contactable physician (patient) received via a Pfizer-sales representative. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiration date were unknown), via an unspecified route of administration on Dec2020 at a single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. Patient reiceved the Pfizer COVID vaccine a week ago. She typically gets an enlarged lymph node after receiving the influenza vaccine and had the same reaction to the COVID vaccine on an unspecified date. Outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 0929624
Sex: F
Age:
State:

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

Lab Data: Test Name: Covid; Result Unstructured Data: Test Result:Unknown results; Comments: I think I had the lab test for Covid, PCR test within two weeks I think. (Not clarified further)

Allergies:

Symptoms: I have a cyst developed on my arm; Injection site is very swollen and very painful; Injection site is very swollen and very painful; redness on my forearm; This is a spontaneous report from a contactable consumer (patient). A 34-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (lot number EK9231), via an unspecified route of administration from 02Jan2021 in the morning (yesterday of 03Jan2021) at single dose for covid-19 immunization. Vaccine location was upper arm and it was the first dose. None medical history. The patient's concomitant medications were not reported. The patient start to develop some redness on her forearm, injecting site is in her upper arm. Patient have a cyst developed on her arm. The cyst, it is on the same arm but on the forearm, it (cyst) was very small like pen tip right now it is like a 2 mm or like 4 mm. She was not sure if it is going to get dissolve or not but it is not recovering for now and it had some yellowish fluid inside the cyst. Patient also stated the injection site was very swollen and very painful. Patient stated she took one Tylenol 400 mg last night and took another one this morning. Patient think she had the lab test for Covid, PCR test within two weeks. The outcome of event "cyst on arm" was not recovered, the other events was unknown.

Other Meds:

Current Illness:

ID: 0929625
Sex: F
Age: 50
State: AZ

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

Lab Data: None- BP 106/70 which is normal for me

Allergies: Seasonal allergies

Symptoms: Day 1 Night: Sleeplessness Day 2: Muscle aches in left arm, left shoulder, neck. Fullness in ear, dizziness.

Other Meds: metformin 750 HS for longevity levothyroxine 12.5 mcg zoloft 75 mg HS Supplements: Zinc, Magnesium, Vitamin C, Vitamin B Complex, DHEA 5 mg, Magnesium, Vitamin D3, Milk Thistle

Current Illness: none

ID: 0929626
Sex: M
Age:
State: AZ

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

Lab Data: Test Date: 202012; Test Name: COVID-19 test; Test Result: Positive

Allergies:

Symptoms: started to feel a little sick; had COVID-19 test and results came back positive; had COVID-19 test and results came back positive; This is a spontaneous report from a contactable healthcare professional. A 27-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number EH9899/expiration date unknown) via an unspecified route of administration on 27Dec2020 at a single dose for COVID-19 immunization. The patient had no relevant medical history. Concomitant medications were not reported. The patient stated that he got the vaccination on the 27th and then that same night he started to feel a little sick. He was assuming that it has just to be the side effect of the vaccine (unspecified vaccine). On 28Dec2020, he was feeling pretty sick; he did not go to the work. He had COVID-19 test (Dec2020) and results came back positive. He added that he didn't know if it was the COVID because he was reading up on the vaccines and it said that one could not get COVID from the vaccine. The outcome of the events was unknown.; Sender's Comments: The reported positive with COVID-19 test after COVID-19 immunization is considered ineffective of BNT162B2, and the Company cannot completely exclude the possible causality between the reported event and BNT162B2 administration.

Other Meds:

Current Illness:

ID: 0929627
Sex: F
Age:
State: KS

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

Lab Data:

Allergies:

Symptoms: feeling kind of shaky/got a little shaky; severe headache; super nauseous; This is a spontaneous report from a contactable consumer (patient). A 22-year-old female patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE) on 05Jan2021 13:00 (lot number: EK9231), and first dose on 16Dec2020 (Lot Number: ETT9899 as provided), via an unspecified route of administration in left arm at single dose for covid-19 immunization. Vaccine was not administered at Facility but in hospital. Medical history was none. There were no concomitant medications. No additional administered vaccines. Prior vaccinations (within 4 weeks) was none. Relevant tests were None. Caller was a phlebotomist calling regarding Pfizer's COVID vaccine, the second one. It's been an hour since she received the second vaccine. She was feeling kind of shaky. She had a severe headache and she was super nauseous. She mentioned she was probably going to be sent home. The caller explained it's like she would rather be in bed right now than dealing with patients. It's the nausea and headache that was the main thing, she just got a little shaky right now. The caller stated she received the vaccine about an hour ago, around 1:00 p.m. The caller explained her symptoms have stayed the same so far. The events were occurred on 05Jan2021 did not require a visit to emergency room or physician Office. Outcome of the events was not recovered.

Other Meds:

Current Illness:

ID: 0929628
Sex: F
Age:
State: CA

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

Lab Data:

Allergies:

Symptoms: sore arm/ arm started to get sore; This is a spontaneous report from a contactable consumer (reported for herself). A 37-year-old female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EH9899), intramuscularly on 16Dec2020 at single dose at right upper arm for COVID-19 immunization. Medical history included Asthma: She explained she had seasonal asthma as a kid and as she got older, it got worse, she couldn't remember when. The patient's concomitant medications were not reported. The patient received the first COVID vaccine on 16Dec2020. She clarified further with the first vaccine, she was fine. She had a sore arm and that's it in Dec2020. With the first COVID vaccine, she had a sore arm but has recovered completely from it. She got the first vaccine and it didn't hurt or anything. Her arm started to get sore in the early hours of the morning like 1am. She thought it took her 2 days to recover completely and then she was fine. Investigation Assessment was no. Vaccination Facility Type was Hospital, not Administered at Military Facility. The outcome of the event was recovered on an unspecified date in Dec2020.

Other Meds:

Current Illness:

ID: 0929629
Sex: F
Age: 27
State: NY

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

Lab Data: N/A

Allergies: anaphylaxis to tree nut

Symptoms: Lip tingling and lower lip swelling. Patient carries epinephrine but does not use it. She was treated in the emergency department with Benadryl 50 mg IM and solumedrol 125 mg IV.

Other Meds: Aspirin 81 mg once daily Cyclobenzaprine once daily Prevident Sharobel Ventolin HFA Vitamin D2 Xyzal

Current Illness:

ID: 0929630
Sex: F
Age:
State: PA

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fever; chills; body aches; headache; hand swelling; This is a spontaneous report from a contactable Pharmacist. This Pharmacist reported for a female patient of an unspecified age received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration on 29Dec2020 at single dose on one of the deltoids, but not sure which one for COVID-19 immunization. The medical history and concomitant medications were not reported. It was known if the patient had prior vaccinations within 4 weeks. By the next day on 30Dec2020, she started to experience chills, fever, body aches, headache, and also hand swelling which all lasted for four days. Seriousness Criteria was stated as not significant. What was odd was the hand swelling. She did not have any redness or itchiness with it. It was just swelling that lasted four days and the patient thought this was odd. The outcome of the events was recovered on 03Jan2021. The Pharmacist want to known if the patient should still get the booster on the 19th. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0929631
Sex: M
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Swelling; Tingling; hand swollen; This is spontaneous report from a contactable Pharmacist. A 51-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), Lot EH9899, Expiration Date Mar2021, intramuscular in deltoid, on an unspecified date at 0.3 mL, single for COVID-19 immunisation. Medical history was none. There were no concomitant medications. On an unspecified the patient experienced swelling, tingling, and hand swollen. The events were non serious. Therapeutic measures for the events included treatment with BENADRYL. The outcome of the events swelling and tingling was unknown. The outcome of the event hand swollen was recovering. Causality provide by the Pharmacist: "Most probably."

Other Meds:

Current Illness:

ID: 0929632
Sex: U
Age:
State: CA

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

Lab Data: Teledoc diagnosis on 12/14/2020. 5 days of prednisone has been my only relief. Appointment with orthopedic surgeon on 01/13/2021.

Allergies:

Symptoms: Felt intense pain at time of injection. Pharmacist bent needle in half, said "that's never happened before." Immediately unable to move my arm, have INTENSE pain, unable to sleep through the night, no range of motion. Constant symptoms for 2 months and getting worse each day.

Other Meds:

Current Illness:

ID: 0929633
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Just a sore arm; This is a spontaneous report from a non-contactable consumer (patient) from a Pfizer sponsored program. A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), 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 "just a sore arm" on an unspecified date. The patient outcome of the event was unknown. This follow-up is being submitted to notify that the batch number is not available despite follow-up attempts made. Follow-up attempt have been completed and no further information is expected.

Other Meds:

Current Illness:

ID: 0929634
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: little soreness; This is a spontaneous report from a Pfizer-sponsored program. A non-contactable consumer reported that a patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number and expiry date not reported), via an unspecified route of administration on 29Dec2020 at a single dose as Covid Vaccine. The patient's medical history and concomitant medications were not reported. Patient got the vaccine on 29Dec2020. Patient stated that so far so good just a little soreness since an unknown date. The patient was feeling good and happy. The outcome of the event little soreness was unknown. No follow-up attempts are possible. Information about Lot/Batch could not be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 0929635
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: arm sore; heaviness on my left side of the body upper/upper back kind a like sore a little bit in my rib cage; heaviness on my left side of the body upper/upper back kind a like sore a little bit in my rib cage; This is a spontaneous report from a contactable consumer (patient) via Pfizer sponsored program. A patient of unspecified age and gender received the 1st dose of bnt162b2 (BNT162B2) at single dose on 28Dec2020 for Covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced just arm sore and heaviness on left side of the body upper/ and upper back kind a like sore a little bit in my rib cage on an unspecified date. The outcome of events was recovered after 24hrs. No follow-up attempts are possible. Information on Lot/Batch cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 0929636
Sex: F
Age: 34
State: GA

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

Lab Data: Diagnosis was viral laryngitis. No respiratory distress, stridor or other abnormality assessed.

Allergies: dimetapp

Symptoms: employee awoke with throat tightness/soreness, eye swelling, itching and redness. She reports difficulty breathing and felt like her throat was closing. symptoms are 2 days post vaccination. No fever, chills or body aches. sent was sent to the ER.

Other Meds: none

Current Illness: eczema

ID: 0929637
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Sore arm; This is a spontaneous report from a Pfizer-sponsored program, from a non-contactable consumer. A patient of an unspecified age and gender received BNT162B2 (Pfizer-Biontech Covid-19 Vaccine) on an unknown date, at single dose, for COVID-19 immunisation. Relevant medical history and concomitant medications were unknown. On an unspecified date, the patient experienced sore arm. Clinical outcome of the adverse event was unknown at time of this report. No follow-up attempts are possible, information about lot number cannot be obtained.

Other Meds:

Current Illness:

ID: 0929638
Sex: F
Age:
State:

Vax Date: 12/29/2020
Onset Date: 01/02/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Hives everywhere, further described as on the torso; arms; neck; chest; feet; and just the chin area of her face; This is a spontaneous report from a contactable nurse. A 36-years-old female patient started to the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE) injection, lot number EL0140, expiration date Mar2021, unspecified route of administration, on 29DEC2020 10:00 (at the age of 36-years-old) as a single dose in the left arm for COVID-19 immunization. Medical history was none. There were no concomitant medications. nurse reported that they had their Pfizer Clinic on 29Dec2020 and she had a nurse that started having hives on 02Jan2020 after having received the Pfizer COVID- 19 Vaccine on 29Dec2020. The patient reported as everywhere, further described as on the torso; arms; neck; chest; feet; and just the chin area of her face. It was bothersome. Her second dose is scheduled to be administered on 19Jan2021, but she was not sure if she will or will not continue with therapy and receive the second dose. The patient was thinking it could be related but was unsure. Outcome of the event was unknown (reported as unknown but ongoing, hives come and go).

Other Meds:

Current Illness:

ID: 0929639
Sex: M
Age:
State:

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

Lab Data:

Allergies:

Symptoms: exposure to someone that tested positive; This is a spontaneous report from a contactable pharmacist, who is also the patient. This male pharmacist 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. Relevant medical history and concomitant medications were not reported. On an unspecified date, the patient experienced exposure to someone that tested positive. The outcome of the event was unknown. The information on the Batch number has been requested.

Other Meds:

Current Illness:

ID: 0929640
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Injection site numbness and pain; Injection site numbness and pain; The whole arm where injected was numb and was in pain.; The whole arm where injected was numb and was in pain.; This is a spontaneous report from a non-contactable consumer (patient). A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), lot unknown, via an unspecified route of administration in arm on an unspecified date at single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date the patient experienced injection site numbness and pain, the whole arm where injected was numb and was in pain. The events were non-serious with outcome of recovered: the events went away by the 2nd day. No follow-up attempts are possible. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 0929641
Sex: M
Age: 38
State: DE

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

Lab Data: I haven't notified my doctor yet

Allergies: nkda

Symptoms: I received the Vaccine on Wednesday 1/6/2021 . Later that evening, my right deltoid was slightly swollen and painful. I would rate the pain 5/10. The next day Thursday 1/7/21, I noticed intermittent heart flutter/palpitations. I had my routine morning coffee and I thought the combination of the vaccine and the coffee might be the caused. The flutter/palpitations continue to the present. I don't have shortness of breath. The left deltoid pain and swelling subsided. The flutter is intermittent and last 10 to 15 seconds.

Other Meds: none

Current Illness: none

ID: 0929642
Sex: M
Age:
State: PA

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

Lab Data:

Allergies:

Symptoms: a nurse has administered Fluzone Quadrivalent to an elderly patient instead of Flublok with no reported adverse event; Initial information regarding an unsolicited valid non-serious case was received from a healthcare professional via Medical Information (MI) (Reference number- 00410287) on 29-Dec-2020. This case involves a 73-year-old male patient who had administered INFLUENZA QUADRIVAL A-B VACCINE [FLUZONE QUADRIVALENT] instead of QUADRIVALENT RECOMBINANT VACCINE [FLUBLOK QIV] by nurse on 21-Dec-2020 (lot UT7035LA, expiration date: 30-Jun-2021) via intramuscular route in the left deltoid for prophylactic vaccination (wrong product administered). The patient's medical history, past medical treatment(s), vaccination(s), Concomitant medication and family history were not provided. This was an actual medication error case due to the event wrong product administered (latency: on the same day). At the time of reporting, no adverse event was reported. Disclaimer: this suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in directive 2001/83/EC and module VI of the good Pharmacovigilance practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.

Other Meds:

Current Illness:

ID: 0929643
Sex: F
Age: 55
State: CA

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

Lab Data: n/a.

Allergies: Contrast dye, Fresh-water Lobster, dust mites, Amoxicillin.

Symptoms: Symptoms: Face puffiness, feeling of uneasiness but able to talk and breathe without difficulty. Vitals: BP 185/110, Po2 sat 98%. Received 50mg Benadryl and taken to ED. Symptoms subsided. ED, left prior to exam by ED MD.

Other Meds: Multi-vitamins, D and C, (unknown brand names).

Current Illness: No

ID: 0929644
Sex: F
Age: 50
State: PA

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

Lab Data: None

Allergies: Seasonal/Allergic rhinitis, Ethylenediamine Dihydrochloride- contact dermatitis

Symptoms: Sinus congestion, mild headache for 1-2 hours post injection, site sore/warm to touch later same day. Day 2- Took Motrin 4PM for bilateral hip and knee pain & low back achiness. Chills, fell run down, arm sore with occasional twingey pains. Day 3- Tired, foggy, anxious. R arm sore to touch and with movement only. Day 4- Woke up in night itching random sites-R ankle, L dorsal foot. Day 5-R shoulder joint achy with arm movement(injection side only) Itchy hive on top of right shoulder, injection site ok.

Other Meds: Provigil 200mg PO QD, Unithroid 112 PO QD, fluoxetine 40mg PO QD, Loratidine 10mg QD, Vitamin D 5000iu daily,

Current Illness:

ID: 0929645
Sex: F
Age: 52
State: PR

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

Lab Data:

Allergies: QUINOLONES

Symptoms: SEVERE FATIGUE AND WEAKNESS, LEFT AXILLARY PAIN AND EDEMA, HOT TO TOUCH, SINCE 1/8/2021 UNABLE TO GO TO WORK DUE TO SYMPTOMS

Other Meds: COREG, ATACAND, LIPITOR, ASA 81MG, LASIX, VIT C, VITD3, VITAMIN B COMPLEX

Current Illness: VIRAL SYNDROME

ID: 0929646
Sex: F
Age: 47
State: PR

Vax Date: 12/29/2020
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies: Aspirin

Symptoms: After the vaccine administration, redness, swelling occurred at the injection site. Pain in the left arm. Symptoms resolved after 3 days. At day 9 new symptoms surged, such as rash, redness and swelling of the injection site area. The pain in the arm is worse than the pain at the day of vaccination. Had to take acetaminophen to relieve the pain. A physician prescribed Augmentin 875 mg 1 po q 12 hours/7 days.

Other Meds: None

Current Illness: None

ID: 0929648
Sex: F
Age: 49
State: IN

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

Lab Data: None

Allergies: None

Symptoms: Diarrhea 2 days Headache 1 day Tiredness 2 days

Other Meds: Loratadine 20mg, Propranlol 20 mg, Hydroxyzine 50 mg, Omeprazole 20 mg, Magnesium 500 mg, Estradiol .01 patch

Current Illness: None

ID: 0929649
Sex: F
Age: 71
State: PR

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

Lab Data: NOT REPORTED

Allergies: NOT ALLERGIES REPORTED

Symptoms: EDEMA ERYTHEMA

Other Meds: NOT KNOWN

Current Illness: NOT REPORTED

ID: 0929650
Sex: F
Age: 40
State: NY

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

Lab Data:

Allergies: Fluoroquinolones, Clams

Symptoms: Low grade fever with chills, headache, neck stiffness, pain behind eyes, sensitive skin (from fever), muscle aches and cramping, severe fatigue. Pain in arm and stiffness. Started 5 hours post injection and continued to intensify despite tylenol over the course of 36 hours. After 36 hours the symptoms began to subside.

Other Meds: Metformin 2g qPM, Prenatal Vits

Current Illness:

ID: 0929651
Sex: F
Age: 34
State: KY

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

Lab Data:

Allergies: Pennicillin

Symptoms: Within 30-45 minutes of receiving my vaccines, I notices a red rash on part of my face and my ears were burning red and hot. My right cheek felt a little numb and I felt like there was a bit of a lump in my throat. The cheek and throat sensation went away in just a few minutes after I noticed them at first, did not persist. The redness on my face and ears went away, but returned on a smaller area later in the afternoon, then went away and have not returned either in the 3 days since I've had it.

Other Meds: None

Current Illness: None

ID: 0929652
Sex: F
Age: 40
State: LA

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

Lab Data: none

Allergies: none

Symptoms: Severe headache, facial tingling that lasted 30 minutes.

Other Meds: none

Current Illness: none

ID: 0929653
Sex: F
Age: 34
State: RI

Vax Date: 12/29/2020
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I have now gotten a lump on my infection site its is red and itchy.

Other Meds: Aptium

Current Illness:

ID: 0929654
Sex: M
Age: 34
State: VT

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

Lab Data:

Allergies: Sulfa Antibiotics

Symptoms: Approximately 12 hours post 2nd injection systemic rigors, uncontrollable tremors, tachycardia, severe tachypnea, nausea, fever >103F, severe diaphoresis. Most acute reaction lasted 8-12 hours. Sub-acute reaction of mild fever, generalized ache, and malaise 48 hours post. I am a health care provider, Certified Registered Nurse Anesthetist (CRNA).

Other Meds:

Current Illness: none

ID: 0929655
Sex: F
Age: 40
State: FL

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

Lab Data: None.

Allergies: SEPTRA , ALL SULFA DRUGS AND TOPICAL CREAMS

Symptoms: After receiving the vaccine, I went into a waiting room for the post-vaccine 15 minute observation. Approximately 2 minutes after sitting down I felt a sensation that can be described as a wave through my body. It only lasted for 10 seconds; however, it was immediately followed by a rapid heartbeat. It almost felt as though I might pass out (I have never passed out before). I alerted a nurse, and she monitored me for the 15 minute duration. After about 2 minutes, I felt 'normal' again.

Other Meds: OMEPERAZOLE

Current Illness: NONE

ID: 0929656
Sex: F
Age: 25
State: IA

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

Lab Data:

Allergies: unknown

Symptoms: Patient called and said she felt weak, her temp was 99.1, she was going from having chills to being hot, and it hurt to touch her body. I instructed the patient to call the CDC hot line at 1-800-232-4636

Other Meds: unknown

Current Illness: unknown

ID: 0929657
Sex: F
Age: 35
State: PA

Vax Date: 12/20/2020
Onset Date: 12/20/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I started a little dizzy after the vaccine but could have been my cycle. Later that evening my arm was soar and swollen. I didn't take anything, a little difficult to sleep. The next day it started wearing off, I did ice the area.

Other Meds: Excedrin (24 hrs prior to vaccine)

Current Illness:

ID: 0929658
Sex: F
Age: 59
State: VA

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

Lab Data: MRI head 1/6/2021 with civilian HCP

Allergies: denies

Symptoms: This 59 yo contractor was referred to for HA, dizziness and nausea after her first COVID vaccine. She received Pfizer COVID vaccine on 12/31/2020. She advised 8 hours later she developed a severe headache. She advised she took 800 mg Ibuprofen and 4 hours later took 1000mg Tylenol and was able to go to sleep. She awoke the next day with her headache persisting and was nauseated. She stated she would alternate Ibuprofen and Tylenol every 4 hours and drink gatorade/water (appetite was low and didn't eat). She denied any fever, rash, SOB, arthralgia, myalgia or other systemic symptoms. Day 4 post vaccination (1/4/2021) she cut med use down to every 8 hours. She stated use of Ibuprofen/Tylenol did resolve

Other Meds: Ibuprofen and tylenol prn

Current Illness: deneied

ID: 0929659
Sex: F
Age: 47
State: MN

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

Lab Data: I received a COVID and Strep swab, which were negative.

Allergies: Codeine, Sulfa

Symptoms: Within 45 minutes, my neck and face became hot and red. No issues with breathing, 6 hours later, I received a rash over the arm in which I had the injection. Since the shot Monday, I have continued to have redness on neck and face and along with felling hot. I have been taking Benadryl since Monday and finally went to UC on Thursday 01/07/2021. At the appointment, I received a Decadron injection, which helped, but today I am back to red face/neck and warmth.

Other Meds: Inderal, Maxalt, Ibuprofen, Prilosec

Current Illness: No

ID: 0929660
Sex: F
Age: 58
State: AR

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

Lab Data: CBC with differential, Renal CHEM 10, TSH, Troponin I, CK, Sedimentation Rate, C-Reactive Protein, ECG 12 lead

Allergies: Dairy, Cow's Milk, Corn, Mold, Mildew, Dust Mites

Symptoms: 2-3 minutes after the vaccination I developed a very fast heart rate, had a strange taste in my mouth, and for a brief second I thought my throat would close in. I was immediately taken to the ER and monitored for about 2 hours. During that time I had about 4 episodes of my heart rate going very high. I was told 120-150 beats/m. I was also told that I had PVC's and PAC's. I was released after 2 hours and had another episode of a fast heart rate on my way home. Since then I have had daily episodes of fast heart rate but not as long and not as intense. Last episode was 2 days ago.

Other Meds: Metoprolol , Omeprazole, Ambien, Vitamin C, Fish Oil, B12, Milk Thistle, Probiotics, Magnesium, Co Q10

Current Illness: no

ID: 0929661
Sex: F
Age: 58
State: MN

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

Lab Data:

Allergies: nka

Symptoms: dry cough started-1/6/2021 7:30pm-now deep bronchial cough overall muscle and joint achiness started 1/7/2021 5pm low grade fever (99.9) 1/7/2021 at around3pm nausea and diarrhea 1/8/2021 11am general malaise-started 1/7/2021 early morning

Other Meds: tyelnol PM omeprazole multi vitamin calcium supplement vit D trazadone hydroxazine

Current Illness: none

ID: 0929662
Sex: F
Age: 32
State: ME

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

Lab Data: N/A

Allergies: Penicillins, dust mites, percocet, sulfa antibiotics

Symptoms: One week after receiving vaccine my right deltoid was swollen, red and warm to the touch with heavy arm and discomfort down whole arm. This lasted several days. Treatment was antihistamine and ibuprofen.

Other Meds: Sertraline, xyzal, and Gianvi birth control

Current Illness: N/A

ID: 0929663
Sex: F
Age: 27
State: WI

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

Lab Data: I was tested for COVID-19 on Monday 1/4 which resulted negative.

Allergies: None

Symptoms: On friday 1/1 around 10 pm I developed some chills. Saturday morning 1/2 I woke up feeling like I was hit by a bus, I had body aches, muscle aches, fatigue, chills, fever, headache and sore throat. Throughout the day I took 1000mg of tylenol every 8 hours, 2000mcg of vitamin C and Zinc two times per day. My fever got as high as 102.1. Sunday I woke up feeling slightly better, but not much. Fever of 100 throughout the day with same course of treatment. Monday 1/4 I was feeling better, I did not have a fever but still had some fatigue, headache and a sore throat. Tuesday I was feeling improved just had fatigue and no appetite. By wednesday 1/6 I was feeling back to normal.

Other Meds: None

Current Illness: None

ID: 0929664
Sex: F
Age: 41
State: AL

Vax Date: 10/05/2020
Onset Date: 10/06/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: PCM visit approx 10/20/2020. Received IM steroid and Toradol. Wen to walk in clinic for workers comp r/t left arm on 12/19/2020 which resulted in SIRVA diagnosis and Physical Therapy to be initiated once worker receives office visit.

Allergies: Latex, oranges

Symptoms: Daily Pain and Weakness in injection site area. Increases with use of arm.

Other Meds: None

Current Illness: None

ID: 0929665
Sex: M
Age: 53
State: OH

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

Lab Data:

Allergies: none

Symptoms: Headache, chills, night sweats, body aches, slight fever. Lasted from Tuesday at 11:00 pm to Thursday early morning 5:00am.

Other Meds:

Current Illness:

ID: 0929666
Sex: F
Age: 35
State:

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

Lab Data:

Allergies: No

Symptoms: About 2:00 a.m. on 1/8/21, patient experienced diahhrea about 4 - 5 times during the night; vomited twice; injection site is sore; has severe nausea (8/10 scale); pateent has taken nothing for the symptons. The diahhrea and vomiting lasted until about 7:30 a.m.

Other Meds: Type II Diabetes: Humalog / insulin, Toujeou/insulin, Ozempic, Glimeperide, Lysinapril, Rosuvestatin, Zetia

Current Illness: tested Covid positive on 12/07/20

ID: 0929667
Sex: F
Age: 58
State: PA

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

Lab Data: none

Allergies: Anectine, duramorph, latex

Symptoms: 12 hrs post injection awoke with shaking chills with fever eventually 102. 2 more episodes of lesser chills in next 12 hrs, with gradual decrease in fever over 24 hrs to low grade 99. Had severe body aches/joint pains during this time which also slowly improved.

Other Meds: Omeprazole, losartan, nature's valley multivits

Current Illness: none

ID: 0929668
Sex: F
Age: 43
State: TX

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: NONE

Allergies: None

Symptoms: FATIGUE, MALAISE, INJECTION SITE PAIN, VERTIGO, HYPOTENSION

Other Meds: None

Current Illness: None

ID: 0929669
Sex: F
Age: 49
State: WA

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

Lab Data: unknown

Allergies: none reported

Symptoms: Caregiver complained of a "heavy" throat and had redness and itching to her neck and chest area

Other Meds: unknown

Current Illness: none reported

ID: 0929670
Sex: F
Age: 22
State: NY

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

Lab Data: Covid-19

Allergies: phenylephrine, sulfa, shelfish, blue, green, purple dye, rabbi

Symptoms: After vaccination, she reported to the ER. She stayed in observation for about 4 hours. States about 20 minutes afterward developed some sensation of tightness in her throat, upper chest pain, and some dizziness. Patient has a history of allergic reactions and in the past has had anaphylaxis she does carry a EpiPen. Patient took Benadryl prior to vaccine this morning and then again afterwards a total of 50 mg, did not notice any swelling of her face tongue or lip, there is no wheezing or difficulty breathing not noticed any rash or hives. Received Famotidine, methylprednisolone and IV fluids when in the ER. The next morning she was found be Covid Positive and they did not know it previous.

Other Meds: See page 2

Current Illness: unknown

ID: 0929671
Sex: M
Age: 50
State: NM

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

Lab Data:

Allergies:

Symptoms: Patient reported severe nausea, body aches, and chills

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm