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: 0940691
Sex: F
Age: 38
State: KY

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: Sulfa drigs

Symptoms: Left supraclavicular adenopathy. Fatigue. Joint pain.

Other Meds: Nine

Current Illness: Uti with augmenting treatment 2 weeks prior

ID: 0940694
Sex: M
Age:
State: AZ

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0940695
Sex: F
Age: 32
State: MO

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: Unknown, she did not report any labs to us.

Allergies: None

Symptoms: Client complained of feeling flushed, hot, heart racing and tight throat and difficulty breathing. Vitals taken and placed in supine position with feet elevated but complained of hard to breathe so sat up. Started yelling she couldn't breathe, encouraged her to calm down take deep breaths, able to take drinks of water, and talk. BP 144/80 Pulse: 119 No swelling noted and no blueness of lips or fingers. Calmed down after drank water but then started yelling again in about 2 minutes she couldn't breathe and she wanted EPI would I please give her EPI. Gave 0.5cc Epinephrine, this immediately helped she said still wanted 911 called noted no breathing issues or swallowing issues drinking water, also called 911 . Ambulance here at 1:45 and checked o2 sat reported 98% Vitals taken by ambulance but not reported to us. Called the patient this morning 01/13/2021, she reported she had another episode in the ambulance she felt she couldn't breathe and they gave her Benadryl 0.5cc and she said she never had another episode after she got to the hospital, she reported the ER DR. diagnosed her with anaphylactic reaction to the vaccine. She returned to work this morning no issues she reported.

Other Meds: Celexa daily High caffeine tea

Current Illness: None reported

ID: 0940698
Sex: F
Age: 32
State: KY

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: chest tightness and cough up yellow mucus, very fatigued

Other Meds: zinc, calcium, magnesium, b complex, antihistamine for allergies, cranberry, and probiotic

Current Illness: headaches on and off but have a history of migraines

ID: 0940701
Sex: M
Age: 31
State: NM

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: sulfa antibiotics

Symptoms: Site: Swelling at Injection Site-Mild, Error: Wrong Route (SC, IM, etc.)

Other Meds:

Current Illness:

ID: 0940704
Sex: F
Age: 65
State: CA

Vax Date: 12/26/2020
Onset Date: 12/27/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Most extreme chills Fever 100 F Headache Neck ache Body aches Fatigue All lasted until about 6pm and then patient was fine. Got Covid at work in March 2020

Other Meds:

Current Illness:

ID: 0940708
Sex: F
Age: 79
State: NY

Vax Date: 12/30/2020
Onset Date: 01/01/2021
Rec V Date: 01/13/2021
Hospital: Y

Lab Data: CT scan negative for blood clot or stroke. UTI tested negative on friday Jan. 1 Tested postive on Monday January 3rd. Arrived at the hospital with a BP of 221/98. 96.6 temp. 02 93% Tested Negative for Covid

Allergies: None

Symptoms: Jan 1st, patient had a seizure after breakfast. Temperature was 98.5 Pulse 95. B.P. 160/70 Two hours later another seizure at the home, with emesis, Sent to hospital at 2pm. Focal Status elepticus. Seizure activity along with continuous persistent activity with emesis throughout the 12 hour time in the ED. Seizure during the CT scan.

Other Meds: Lysinopril, Lipitor, Limictal, tegratol, lexapro, eiquis, careg, prilosec, torsamid, B12, Vit D. Tylenol, lexapro

Current Illness: Epilepsy. High BP,

ID: 0940711
Sex: F
Age: 53
State: CA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills fever body aches

Other Meds:

Current Illness:

ID: 0940713
Sex: F
Age: 36
State: CA

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: N/A

Allergies: Amoxcillin, Erythromycin

Symptoms: Following day 1 after vaccine given redness swollen hot to touch on injection site. By day 5 went away by day 8 came back redness bigger than before swelling warm to touch. After vaccine given stopped Imovan got better but came back. Arm keeps tingling will take Benadryl

Other Meds: Imivan 150mg

Current Illness: N/A

ID: 0940715
Sex: F
Age: 63
State: NY

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: up a lot during the night after vaccination, lots of body ache, temp 100.2 dizziness during the day on 1/12

Other Meds:

Current Illness:

ID: 0940719
Sex: M
Age: 40
State: AK

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

Lab Data:

Allergies:

Symptoms: Pt reports no adverse events - patient received 0.5ml dose instead of 0.3ml dose

Other Meds:

Current Illness:

ID: 0940728
Sex: M
Age: 44
State: AL

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: nausea, vomiting, muscle pain,

Other Meds:

Current Illness:

ID: 0940729
Sex: M
Age: 1
State: FL

Vax Date: 01/06/2021
Onset Date:
Rec V Date: 01/13/2021
Hospital:

Lab Data: CBC normal, UA normal, Chest XRay normal, Negative RSV test, Negative COVID 19 test, Negative flu test (Influenza), Negative strep test of throat

Allergies:

Symptoms: Seizure & fever on 1/9/21

Other Meds:

Current Illness: None

ID: 0940732
Sex: F
Age: 29
State: CA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: At 3PM: fatigue. At 6PM: muscle aches, chills, headache that lasted for the next day. Muscle aches persisted for 2 days.

Other Meds:

Current Illness:

ID: 0940735
Sex: M
Age: 40
State: IN

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: High heart rate. 130+

Other Meds: Protonix

Current Illness: None

ID: 0940739
Sex: F
Age: 41
State: WI

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: none

Allergies: penicillin, codeine

Symptoms: bruising at injection site

Other Meds: none

Current Illness: none

ID: 0940742
Sex: M
Age: 37
State: CO

Vax Date: 12/18/2020
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: Five days after vaccination MRI of brain with and without contrast results: normal MRI of the brain

Allergies: None known

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA: Eight hours following vaccination patient developed numbness of left the lower face. No other symptoms documented. Numbness resolved without intervention within one week of vaccination.

Other Meds: erythromycin, lorazepam, meclizine, ondansetron, podofilox, promethazine, sulfacetamide-sulfur, triamterene-hydrochlorothiazide

Current Illness: None known

ID: 0940745
Sex: M
Age: 68
State: AZ

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Wrong Patient (documentation in EMR); symptoms lasted 0 days

Other Meds:

Current Illness:

ID: 0940749
Sex: F
Age: 66
State: MN

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Received vaccine on 1/11/2021, the next day patient started with chills, arm redness, warmth at site, just did not feel good

Other Meds:

Current Illness:

ID: 0940753
Sex: F
Age: 55
State: IN

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: codeine

Symptoms: After getting out of the bathtub as I was reaching for my towel, A VERY SUDDEN ONSET of severe weakeness hit me and I had to sit on toilet. I was unable to move my arms or legs for 20 minutes, then was able to get up but walked VERY WOBBLY AND WEAK to my bed just a few feet away. I collapsed on my bed and turned my fan blowing on me directly. {Im NEVER hot, usually cold ALL the time}. I layed there so weak I could barely move for another 20 to 30 minutes. I thought I was having a stroke honestly and my thoughts were about my doors being locked so nobody could get in to help me and my phone was in the living room and for that time period I WAS TOTALLY UNABLE to go get it. THANKFULLY, after about 45 minutes total, all symptons went away and I returned to my baseline mobility. Im very grateful that this was not a stroke as I thought. but I do believe it may have been a reaction to the vaccine. I did not notify any physicians yet, and as of this writing Im perfectly fine, Thank the Lord.

Other Meds: Losartin, albuterol, Soliqua, Wellbutrin, Lexapro. Avorstatin

Current Illness: Nothing acute.

ID: 0940757
Sex: F
Age: 43
State: PA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Pain at site of injection, L shoulder, started several hours after injection, worsened by the end of the day to the point that it was difficult to use L arm. In addition, there were diffuse body aches, chills and fatigue overnight. Chills resolved by next morning. Body aches and fatigue still present.

Other Meds: Citalopram, lisdexamfetamine, B vitamin complex, magnesium

Current Illness: No

ID: 0940759
Sex: M
Age: 66
State: TX

Vax Date: 12/17/2020
Onset Date: 12/17/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Caffiene- Laxtose in tolerant

Symptoms: Sever cold chills with high? fever for over 7 days. extreme headache for 5 days Urge to cough when taking deep breath. Your office has more info from the Physician that called

Other Meds: Vit C, Fish oil, clonazepam 5mg, Vit D3, atorvastatin 10mg, acetaminaphen 300mg, codene 20mg

Current Illness: None

ID: 0940761
Sex: F
Age: 42
State: IN

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: n/a

Allergies: intolerance to eggs and dairy

Symptoms: numbness in tongue, bottom lip and chin. Lasted around 3.5 hours after taking a dose of OTC benadryl.

Other Meds: Wellbutrin 150 mg

Current Illness: none

ID: 0940762
Sex: M
Age: 43
State: CA

Vax Date: 12/31/2020
Onset Date: 01/06/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: insect stings

Symptoms: Large raised Hive at injection site 1 week from injection, spread down upper arm for a few days. Discomfort, itching and heat. greatly reduced one week later but still present, no treatment sought. used Ice packs and topical cream to reduce itching.

Other Meds: Lisinopril 10 MG

Current Illness: none known

ID: 0940765
Sex: F
Age: 26
State: PA

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

Lab Data: n/a

Allergies: n/a

Symptoms: Pt received COVID19 Vaccine (Moderna) on 1/8/2021 at 1:52PM. -Pt felt fine immediately after the vaccine. -10 min later was reporting dizziness and that her tongue felt numb for 1 minute. -Also reported dry (but not itchy) throat. -I evaluated patient. -Denies itchy/sore throat, itchy/watery eyes, rash, difficulty breathing, shortness of breath, N/V, chest pain, numbness/tingling, swelling. -Pt's symptoms subsided within 10 minutes after she rested and was given water. -She was observed for ~30 minutes total and discharged.

Other Meds: -singular 10mg -ibuprofen 800mg cetirizine 10mg cyclobenzaprine 10mg prenatal vitamin ventolin inhaler

Current Illness: n/a

ID: 0940767
Sex: F
Age: 32
State: PA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: No tests done just fluids and monitoring.

Allergies: latex

Symptoms: After 20 minutes of administration patient became dizzy. Patient saw black spots. Patient lost color in face and stated she felt funny and going to pass out. Patient sat down and was told to drink water. Dizzy episode lasted 10 minutes with no loss of consciences. Bp after loss of color was 120/77 with sinus tach present. Was able to ambulate to bathroom. After 30 minute another dizzy episode happened with loss of color to face and patient slumped over this time with no loss of consciences, patient stated right before she slumped over that she felt numb. Patient looked dazed and out of it. episode lasted 15 minutes. Patient stated she felt off and ambulance was called. Patient had one dizzy episode in ambulance while emt stated she lost color in face. Iv was placed fluids started, vitals were normal except for sinus tach 110-130's . Patient received fluids in emergency room and monitored where bp remained stable and sinus tach present 100- 120's .

Other Meds: prevacid 15mg

Current Illness: none

ID: 0940770
Sex: F
Age: 37
State: WI

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: Nothing abnormal resulted

Allergies: Vancomycin

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Patient is a 37 year old female who presents with dyspnea and myalgias following her second COVID vaccination today. Patient denies any history of vaccine associated reactions. After her first dose of the COVID vaccine she had fever, chills and myalgias as well as some sensory changes to the left arm. These symptoms lasted for around a day before resolving. Today, she received the second dose of the vaccine around noon and then began having dyspnea and chest pain around an hour later. Chest pain is moderately severe and worse with deep inspiration. Patient also having back aches and feeling clammy. Patient re-presented to the vaccine site and was brought to the emergency department for evaluation. Patient received acetaminophen 1000mg orally, ketorolac 15mg IV, and lactated ringers 1000ml IV and was discharged.

Other Meds:

Current Illness:

ID: 0940772
Sex: F
Age: 62
State: WY

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

Lab Data: DR. APPT 1/13/21- PUT ON KEFLEX ANTIBIOTIC

Allergies: none

Symptoms: NEXT DAY AFTER SHOT, 1/5/21, I HAD A HEADACHE ALL DAY 1/12/21 I NOTICED LATER IN THE DAY THAT MY ARM WAS SORE AND LARGE RED SPOT ABOUT THE SIZE OF A BASEBALL, HOT TO THE TOUCH

Other Meds: hctz

Current Illness: none

ID: 0940773
Sex: F
Age: 51
State: IN

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: NA

Allergies: amino amides

Symptoms: Severe pain at site starting by 1800 01/11/2021. 01/12/2021 Severe pain at site kept me awake most the night, headache, nausea, joint pain starting at 0615 01/12/2021 which continued to get worse through out the day. Left work early 01/12/2021. Woke 01/13/2021 with slight headache still.

Other Meds: Wellbutrin, Vit E

Current Illness: acute bronchitis

ID: 0940774
Sex: F
Age: 28
State: MA

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Systemic: Chills, Systemic: Fever, Systemic: Nausea, Systemic: clammy

Other Meds:

Current Illness:

ID: 0940775
Sex: M
Age: 48
State: AZ

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: oxycodone (itching), keflex (hives), erythromycin (hives), iodine, shellfish products (nausea), pollen, seasonal

Symptoms: This patient is a 48 y.o. male presenting to the emergency department with a chief complaint of allergic reaction s/p 1st COVID vaccine at 1330 this afternoon. Patient states he became very flushed to his face/chest 2-3 minutes after receiving the vaccine. EMS was on scene and evaluated the patient. He was found to be a little confused/disoriented upon questioning which quickly resolved. Patient was also having mild difficulty swallowing, however states he was not gasping for air. He had an IV placed for precautions, however no medications were given. Patient was transferred here for evaluation. He currently feels asymptomatic aside from a dry throat. Patient denies having any hives, shortness of breath, or syncopal episodes. He also denies having prior episodes of anaphylaxis requiring epinephrine.

Other Meds: Multiple Vitamin (MULTI-VITAMINS) Take 1 tablet by mouth daily. cetirizine (ZYRTEC) 10 mg tablet Take 10 mg by mouth daily. HYDROcodone-acetaminophen (NORCO) 5-325 mg per tablet TAKE ONE T PO Q 4 H PRN 7/24/2 lidocaine (XYLOCAINE) 5 % oint

Current Illness:

ID: 0940778
Sex: F
Age: 47
State: MI

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: CBC, Comprehensive panel, C-reactive protein, Lactic acid, and eGFR ordered on 1/12/20 in ED. All lab results were within normal limits, except for the following: Glucose 100mg/dL, Potassium 2.7 mEq/L, Lactic acid 2.0 mmol/L.

Allergies: Eastern cottonwood tree, wheat, methotrexate, Zoloft

Symptoms: Patient had Moderna COVID-19 vaccine about 10 minutes prior to reaction and began having coughing and itchiness to her throat, difficulty breathing, chest tightness, the constant sensation to cough, and rash to trunk and upper extremities. ED physician ordered NS 1000 mL IV x1, albuterol HFA, diphenhydramine 50 mg IV x1, epinephrine 0.3 mg IM x1, famotidine 20 mg IV x1, guaifenesin-codeine 200/20 mg, and methylprednisolone 125 mg IV x1 while in ED. Potassium chloride 20 mEq PO x1 also given to correct incidental hypokalemia. Pt improved, rash resolved, coughing resolved, lung sounds clear, O2Sat normal, and HR improved prior to discharge from SCH ED. Patient given scripts for diphenhydramine, Epipen, and prednisone. Moderna COVID-19 vaccine was added to patient allergies in medical chart.

Other Meds: Albuterol, Clonazepam, Fluticasone nasal spray, Ibuprofen, Lisinopril-Hydrochlorothiazide

Current Illness: Positive test for COVID-19 on 12/09/2020. Mild cough.

ID: 0940779
Sex: F
Age: 65
State: PA

Vax Date: 12/30/2020
Onset Date: 01/02/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: none

Allergies: PCN & Celebrex

Symptoms: on 1/2 to 1/4 experienced extreme fatigue on 1/4 developed chills and fever of 102 which lasted 2 days along with body aches and headache last day of fever was 1/5 returned to work on 1/7. was feeling fine then on 1/9 at night started with chills, fever of 102 extreme weakness, tiredness, headache dizziness, on 1/10 continued with chills and fever, tiredness, weakness, and dizziness vomited x1. had loss of appetite but was able to keep fluids down fever continued until the evening of 1/11 which was 101.8 but was unable to keep fluids down but only vomited x 2. I remained NPO for 2 hrs and then was able to tolerate small sips of fluids on 1/12 no fever in am was able to tolerate plain toast and fluids appetite returning later that night and was able to tolerate soup had no fever since 1/11 Monday evening and was able to return to work on 1/13. I was unable to work on 1/11 and 1/12

Other Meds: Vytorin, Metformin, Jardiance, Ozempic, Losartan ,HCTZ, fenofribric , Xanax ,Motrin

Current Illness: none

ID: 0940780
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Allergies: Swelling; This spontaneous report was received from an other health professional and refers to a currently 58-year-old female patient. There was no information about the patient's concurrent conditions or medical history provided. Concomitant therapies included mycophenolate mofetil (CELLCEPT), albuterol sulfate, albuterol, alprazolam (XANAX), betamethasone valerate (DEL-BETA), budesonide (+) formoterol fumarate(SYMBICORT), cetirizine hydrochloride (ZYRTEC), cholecalciferol (VIT D3), doxepin hydrochloride (SINEQUAN), filgrastim (NIVESTYM), omeprazole (PRILOSEC), ondansetron hydrochloride (ZOFRAN), thyroid (ARMOUR THYROID), tramadol hydrochloride (ULTRAM), valsartan (DIOVAN), folic acid (FOLVITE), hydroxychloroquine sulfate (PLAQUENIL), levofloxacin (LEVAQUIN), losartan potassium (COZAAR), megestrol acetate (MEGACE), metformin hydrochloride (GLUCOPHAGE), mometasone furoate (NASONEX) and montelukast sodium (SINGULAIR). On an unknown date, the patient was vaccinated with pneumococcal vaccine, polyvalent (23-valent)(PNEUMOVAX23) (strength, dose, route of administration, lot # and expiration date were not reported) for prophylaxis. On an unknown date, the patient experienced allergies: swelling. The outcome of the event was unknown. The relatedness between pneumococcal vaccine, polyvalent (23-valent)(PNEUMOVAX23) ant the event was not provided.

Other Meds: CELLCEPT; albuterol sulfate; albuterol; XANAX; BETA (betamethasone valerate); SYMBICORT; ZYRTEC; cholecalciferol; SINEQUAN; NIVESTYM (filgrastim); FOLVITE; PLAQUENIL; LEVAQUIN; COZAAR; MEGACE; GLUCOPHAGE; NASONEX; SINGULAIR; PRILOSEC; ZOFRA

Current Illness:

ID: 0940781
Sex: M
Age:
State: ME

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

Lab Data:

Allergies:

Symptoms: he received 1 dose of regular hepatitis B on unknown date and two doses of combination of hepatitis B and HIB in 2008.; he received 1 dose of regular hepatitis B on unknown date and two doses of combination of hepatitis B and HIB in 2008.; No AE; This spontaneous report was received from a nurse refers to a male patient of unknown age. No information about the patient's pertinent medical history, concurrent conditions, concomitant medications and drug reactions or allergies was provided. It was reported that he received 1 dose of regular hepatitis B vaccine, on unknown date, and two doses of combination of hepatitis b vaccine (recombinant) (RECOMBIVAX HB) in 2008 (interchange of vaccine products and inappropriate schedule of product administration). The reporter referred that she was trying to figure the name of the vaccine to determine if he needed another dose due to state records indicating patient needing a fourth dose of hepatitis B. No adverse event was reported.

Other Meds:

Current Illness:

ID: 0940782
Sex: F
Age: 63
State: NY

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: none

Allergies: none known allergies. get nauseous with penicillian

Symptoms: day 1 ?..12 hours following vaccination. chills. within 30 minuteslater, vomiting. The vomiting continued for 6 hours until I took Pepto Bismol. Fatigue followed with aches and pains from vomiting all night. Day 2....Slept the entire day was dehydrated and drank Pedi light no appetite had I slice of bread. Day 3 began to feel better with mild diarrhea, still experiencing aches and pains in chest and ribs from the results of the horrific vomiting. Day 4.. Feeling better than day 3 with still mild diarrhea and less aches and pains. could actually cough without feeling my lungs may implode. day 5 back to work still mild gastrointestinal issues. definitely on the mend

Other Meds: metformin Losartan Tresiba Trulicity Zoloft Jardiance Carvedilol Atorvastatin Bayer aspirin

Current Illness: none

ID: 0940783
Sex: U
Age:
State:

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: No other AE or PQC identified. No other information available.; Caller reports administration of expired dose of GARDASIL 9; This spontaneous report was received from a 24-year-old patient of an unknown gender. No information regarding the patient's concurrent conditions, medical history, drug reactions or allergies and concomitant medications was provided. On 05-JAN-2021, the patient was vaccinated with expired dose of HPV rL1 6 11 16 18 31 33 45 52 58 VLP vaccine (yeast) (GARDASIL 9) 0.5 milliliter, lot# R009614 was confirmed to be valid, expiration date 30-NOV-2020 (route and site of administration were not provided) for prophylaxis. No additional adverse event was reported.

Other Meds:

Current Illness:

ID: 0940784
Sex: F
Age: 28
State: ND

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Anaphylaxis reaction; A spontaneous report was received from a nurse concerning her co-worker, a 28 year-old female patient, who received Moderna's COVID-19 Vaccine and experienced anaphylaxis reaction. The patient's medical history was not provided. No relevant concomitant medications were reported. On 23 Dec 2020, prior to the onset of the event, the patient received the first of two planned doses of mRNA-1273 for prophylaxis of COVID-19 infection. On 23 Dec 2020, within five minutes of vaccine administration, the patient experienced anaphylaxis reaction. The patient had symptoms of throat tightness, dizziness, nausea, weakness, and increased heart rate. Treatment for the event included an epinephrine pen On 29 Dec 2020, the nurse reported that the patient was still having some of the symptoms, including dizziness, nausea, and weakness. Action taken with mRNA-1273 in response to the event was not reported. The outcome of the event, anaphylaxis reaction, was considered not resolved. The reporter assessed the event, anaphylaxis reaction, as related to Moderna's COVID-19 Vaccine.; Reporter's Comments: This case concerns a 28 year old female patient, who experienced a serious unexpected event of anaphylactic reaction. The event occurred apparently 5 min after first dose of mRNA-1273 (Lot# unknown) vaccine administration. She was treated with epinephrine pen. Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 0940785
Sex: M
Age: 21
State: OH

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Moderna COVID-19 Vaccine EUA I received the first dose of my vaccine at about 8:30am on January 12. Around 6pm on January 12 I started to experience chills. As the night went on the chills got worse and I developed a terrible throbbing headache. In addition to that I was feeling hot and sweating profusely. I fell asleep around 10pm and woke up around 11pm, at this time the headache was worse, the chills were getting better, and I was still hot and drenched in sweat. I was able to fall back to sleep shortly after. I then woke up at 1am on the 13th, I still had a headache, the chills were gone, I was still hot and sweaty. At this time I also started vomiting. I preceded to vomit until there was nothing left in me and went back to bed. I woke up at 3am and proceeded to dry heave as there was nothing left to come up. My headache was extremely bad at this point and I was still hot and sweaty. I could not keep down Tylenol so I used a cold wet rag to help with the headache. I was finally able to sleep again. I woke up at 5am still with a headache and still hot at this time I was able to take my temperature and it was 99.8. I fell asleep again and woke up at 9am with a temperature of 100.1, at this time I was able to take Tylenol and keep it down which broke my fever and alleviated the headache. Now at about 1pm on the 13th I am still only able to sip liquids and my stomach is upset. This was the sickest I have been in a long time. I have spoken on the phone with a triage nurse at my doctors office and I am waiting for her to consult with a doctor and call me back.

Other Meds: Zinc, Vitamin C, Vitamin D, Vitamin E, Calcium, and Elderberry

Current Illness: N/A

ID: 0940787
Sex: F
Age: 63
State: WI

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Received COVID vaccine on 1/6. On 1/7 had body aches and chills, which resolved. On 1/13 had nausea and diarrhea which resolved.

Other Meds:

Current Illness:

ID: 0940788
Sex: M
Age: 83
State: TX

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Gluten: diarrhea; Penicillins: swelling,hives; Sulfonamides: Rash; Tetracyclines: hives

Symptoms: Rash, erthema to injection site, tender

Other Meds: eye drops; olopatadine; Gabapentin; calcium carbonate-vitamin D3; aspirin; amitriptyline; multivitamin/mineral supplement; Vitamin D3; Coenzyme Q10; losartan; Crestor

Current Illness:

ID: 0940790
Sex: M
Age: 32
State: NM

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: Amoxicillin

Symptoms: Swelling of throat, face and weakness

Other Meds: Lisinopril Advair Buporion

Current Illness: None

ID: 0940791
Sex: M
Age:
State: TX

Vax Date: 12/20/2020
Onset Date: 12/22/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: Test Date: 20201230; Test Name: nasal swab for covid test; Test Result: Negative ; Comments: Antigen Test

Allergies:

Symptoms: severe stabbing-shooting lower back pain; severe stabbing-shooting lower back pain that radiated to both legs; Pricking, pins and needles sensations in the hands and feet; numbness; weakness to both legs but mostly the right leg; Coordination problems, unsteadiness; Coordination problems, unsteadiness; This is a spontaneous report from a contactable nurse (patient). A 39-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/lot number: EL0140), intramuscular on 20Dec2020 08:00 at single dose at left arm for covid-19 immunization. Medical history included hypertension from an unknown date and unknown if ongoing. The patient's concomitant medications in two weeks included multivitamins. Patient didn't receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with COVID-19 prior to vaccination. No known allergies to medications, food, or other products. On 22Dec2020 at approximately 19:15, the patient experienced sudden onset of severe stabbing-shooting lower back pain that radiated to both legs. Pricking, pins and needles sensations in the hands and feet. Coordination problems, unsteadiness, numbness, and weakness to both legs but mostly the right leg. The patient underwent lab tests and procedures post-vaccination which included nasal swab for covid test: negative on 30Dec2020 (Antigen Test). Adverse events resulted in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care, disability or permanent damage. Patient received pain medication, steroid dose pack, MRI (pending), and physical therapy (pending) as treatment. Outcome of all events was not recovered.; Sender's Comments: Based on the compatible temporal association, a contributory role of vaccination with BNT162B2 in the onset of the events cannot be excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Other Meds:

Current Illness:

ID: 0940792
Sex: F
Age:
State: MA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/13/2021
Hospital: Y

Lab Data: Test Name: BP (Blood pressure); Result Unstructured Data: Test Result:180/94; Comments: BP 180/94/vaccine given on 05Jan2021 at 10:30 am, by 10:45am BP was 180/94; Test Date: 20210105; Test Name: BP (Blood pressure); Result Unstructured Data: Test Result:202/110; Comments: (Hospital name) where her pressure was 202/110/Sister took her home but made her go to the hospital where her BP rose to 202/110

Allergies:

Symptoms: high blood pressure within 15 min post vaccination. BP 180/94/BP rose to 202/110; This is a spontaneous report from a contactable nurse. An adult female (age:18-64 Years) patient (pregnant: No) received first dose of BNT162B2 (Pfizer), intramuscularly in left arm on 05Jan2021 10:30 at single dose for COVID-19 immunization. The patient's medical history was not reported. The patient was received other concomitant drugs. The patient experienced high blood pressure within 15 min post vaccination. BP (blood pressure) 180/94 rose to 202/110 on 05Jan2021 10:45. The event resulted in doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care. The events were reported as non-serious. Recipient experienced high blood pressure within 15 min post vaccination. Went to hospital where her pressure was 202/110, vaccine given on 05Jan2021 at 10:30 am, by 10:45 am BP was 180/94, recipient refused hospitalization. Sister took her home but made her go to the hospital where her BP rose to 202/110. IV (intravenous) steroids given. The outcome of event was resolved in Jan2021. The patient didn't receive any other vaccines within 4 weeks prior to the COVID vaccine. The medications the patient received within 2 weeks of vaccination: Protein drink. Unknown whether was the patient diagnosed with COVID-19 prior to vaccination. Unknown whether the patient been tested for COVID-19 Since the vaccination. Unknown allergies to medications, food, or other products. Information on the lot/batch number has been requested.; Sender's Comments: Based on temporal association, a possible contributory role of BNT162B2 cannot be excluded for reported event hypertension. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Other Meds:

Current Illness:

ID: 0940793
Sex: F
Age: 63
State: IN

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: area red , sore, swelled up to the size of two half dollars , hard

Other Meds: cyclobenzaprine, diclofenac, benazepril, tyenol

Current Illness: covid-19 Dec 17 to Jan 1

ID: 0940794
Sex: F
Age:
State: VA

Vax Date: 01/05/2021
Onset Date: 12/17/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: First dose on 16Dec2020, second dose on 05Jan2021; Tinnitus; constant ringing in ears; louder this time; This is a spontaneous report from a contactable nurse (patient). A 51-year-old female patient (no pregnancy) received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), with first dose (lot number: EH9899) on 16Dec2020 via intramuscular route, with second dose (lot number: EK4176) on 05Jan2021 via an unspecified route of administration, both at single dose for covid-19 immunization. Medical history included allergies: penicillin. Concomitant medication included famotidine, ibuprofen (DUEXIS), iron (IRON) and multivitamins, all received within two weeks of vaccination. On 17Dec2020, the patient experienced tinnitus, constant ringing in ears that started 24 hours after first vaccine, lasted about 2-3 days and went away. Ringing in ears started again and is louder this time on 06Jan2021. Facility where the most recent COVID-19 vaccine was administered was in hospital. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. No treatment received for the adverse event. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The event was identified as serious and resulted in disability or permanent damage. The outcome of event tinnitus was not recovered. The outcome of the other event was unknown.; Sender's Comments: Based on the compatible temporal association with positive rechallenge result, the Company considers the event tinnitus is possibly related to vaccination with BNT162B2. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Other Meds: DUEXIS;

Current Illness:

ID: 0940795
Sex: M
Age: 44
State: CA

Vax Date: 01/10/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fluid collection and discomfort of left axilla, no erythema, hematoma starting approximately 1.5 days after injection and ongoing. Also had low grade temp and dizziness that was self-limiting.

Other Meds:

Current Illness:

ID: 0940797
Sex: F
Age: 30
State:

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: - lots of pain at injection sight, hard to move arm, especially the next day after shot - whole body fatigue - chills

Other Meds: Lamictal 200 mg Ambilify 2mg

Current Illness: Cold 1 week before

ID: 0940798
Sex: F
Age:
State: LA

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Injection site was red and a little swollen the next day and has become increasingly larger. Today (3 days later) the injection site is red, warm, swollen, and about the size of a grapefruit.; Injection site was red and a little swollen the next day and has become increasingly larger. Today (3 days later) the injection site is red, warm, swollen, and about the size of a grapefruit.; Injection site was red and a little swollen the next day and has become increasingly larger. Today (3 days later) the injection site is red, warm, swollen, and about the size of a grapefruit.; This is a spontaneous report from a contactable other HCP. A 39-yearsold female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EL1284), intramuscular in left arm on 04Jan2021 14:00 at a single dose for COVID-19 immunization. Medical history included COVID-19 prior to vaccination. Concomitant medication included desvenlafaxine succinate (PRISTIQ), fluoxetine (FLUOXETINE), bupropion hydrochloride, naltrexone hydrochloride (CONTRAVE), hydrochlorothiazide (HYDROCHLOROTHIAZIDE), etonogestrel (NEXPLANON) , ergocalciferol (VITAMIN D [ERGOCALCIFEROL]), cyanocobalamin (VIT B12), and iron. On 05Jan2021, the patient experienced injection site was red and a little swollen and has become increasingly larger. 3 days later, on 08Jan2021, the injection site was red, warm, swollen, and about the size of a grapefruit. The outcome of the event was not recovered. Treatment included over the counter medications and ice. The patient was not tested for COVID-19 post vaccination.; Sender's Comments: Based on the information currently provided, the vaccination with BNT162B2 might play a contributory role in triggering the onset of the reported injection site reactions. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Other Meds: PRISTIQ; ; CONTRAVE; ; NEXPLANON; VITAMIN D [ERGOCALCIFEROL]; VIT B12;

Current Illness:

ID: 0940799
Sex: F
Age: 64
State: CO

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: none

Allergies: Darvon, amoxicillin, tetanus toxoid-per records

Symptoms: Pt reports hard knot day after vaccine at injection site that resolved and then several days later noticed redness, hard knot and itching in the left arm that is at injection site and then moves down arm toward elbow. No fever or chills associated with s/s. Pt was evaluated and note placed in pt chart by MD.

Other Meds: unknown

Current Illness: none reported

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm