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: 0941198
Sex: F
Age:
State: NY

Vax Date: 12/15/2020
Onset Date: 12/01/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Got menstrual cycle like almost two and a half weeks early; Abdominal pain radiating to upper and middle back; Abdominal pain radiating to upper and middle back; Stomach cramps; Nausea; Fatigue; Headache; Sinus infection; The initial case was missing the following minimum criteria: Unspecified AE. Upon receipt of follow-up information on (04Jan2021), this case now contains all required information to be considered valid. This is a spontaneous report from a contactable nurse (patient). A 32-year-old female patient started received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE lot/batch number not provided), via an unspecified route of administration on the left deltoid on 15Dec2020 at SINGLE DOSE for COVID-19 immunization at the hospital. Medical history included irritable bowel syndrome. Concomitant medications included fexofenadine hydrochloride (ALLEGRA), famotidine (PEPCID), ethinylestradiol, norgestimate (CILIQUE) for birth control and multivitamin. It was stated that the patient got the vaccine on 15Dec2020. On 17Dec2020, she developed severe abdominal pain radiating to her upper and her middle back with pretty bad nausea, fatigue and headache. It was also mentioned that the patient had stomach cramps. These continued all the way until like Christmas. And then on the 19Dec2020, she actually got her menstrual cycle though she was not due to start that till that week. So, it came like almost two and a half weeks early (which was super weird as for her). The patient took ondansetron (ZOFRAN) for the nausea; aluminium hydroxide, magnesium hydroxide (MAALOX); famotidine and hyoscyamine for like stomach cramping. She also took that as well, acetaminophen (TYLENOL) and ibuprofen (MOTRIN). It was mentioned that the symptoms stopped on 26Dec2020 then she sinus infection right after in Dec 2020. Outcome of the event of sinus infection was unknown while the remaining events recovered on 26Dec2020. The patient stated that the she don't think that sinus infection was correlated at all but all other symptoms were happening right after the vaccine (reported as related). Information on the lot/batch number has been requested.; Sender's Comments: The event sinus infection is likely intercurrent and is unrelated to suspect drug 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 RAs, Ethics Committees, and Investigators, as appropriate.

Other Meds: ALLEGRA; PEPCID [FAMOTIDINE]; CILIQUE

Current Illness:

ID: 0941199
Sex: F
Age: 49
State: FL

Vax Date: 01/04/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Bactrim, Tuberculosis (PPD) Skin Test

Symptoms: Received the vaccination on 1/4/21 and then yesterday on 1/12/21; I woke up and felt my right upper arm was very itchy and then throughout the day it got worse at the injection site. The site is sore, painful, tender, swelling and hard knot and extremely itchy. Today 1/13/21, I feel some soreness in my lymph nodes under my right arm pit. The injection site looks a little better and the knot is not as pronounced as the day before.

Other Meds: Daily medications: (1) Multivitamin tablet, (1) Vitamin D3 (5000IU), (1) Iron Supplement 65mg.

Current Illness: None

ID: 0941200
Sex: F
Age: 58
State: KY

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

Lab Data:

Allergies: NKDA

Symptoms: Systemic: Chills-Mild, Systemic: Vomiting-Mild, Systemic: hypotensive, heat flashes, dizziness, (patient recovered before leaving for ER, only sent due to past cardiovascular events)

Other Meds:

Current Illness:

ID: 0941201
Sex: F
Age:
State: NV

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

Lab Data: Test Date: 20201231; Test Name: Covid Test/Nasal Swab; Test Result: Positive

Allergies:

Symptoms: positive COVID-19 test with symptoms; positive COVID-19 test with symptoms; After the shot i have headache, sorethroat, cough and cold till this date; After the shot i have headache, sorethroat, cough and cold till this date; After the shot i have headache, sorethroat, cough and cold till this date; After the shot i have headache, sorethroat, cough and cold till this date; A 48-years-old non-pregnant female patient, receivedBNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration, in left arm, on 18Dec2020 (at the age of 41 years-old) as a single dose for COVID-19 immunization. The vaccination was administered at a pharmacy/drug store. Medical history was not reported. Concomitant medication included sertraline hydrochloride (SERTRALINE HYDROCHLORIDE). The patient had not received any other vaccines within four weeks prior to the vaccination nor received any other medications withing 2 weeks prior. It was reported that the patient had been tested for COVID-19 prior to vaccination and was negative. On 18Dec2020, the patient experienced itchy sore eyes one hour after vaccination, sore and itchy arm for 5 days, headache, swollen sore throat, tiredness all 5 days after. The patient was not hospitalized nor received treatment for the events. The clinical outcome of the events of Itchy, sore eyes 1 hour after, sore and itchy arm for 5 days, headache, swollen sore throat, tiredness all 5 days after, was not recovered., the outcome of the COVID-19 positive was unknown. It was reported that the patient tested positive for COVID-19 via nasal swab, post vaccination on 31Dec2020. No follow-up attempts possible. No further information expected. Lot/batch number was not provided and unable to obtain

Other Meds:

Current Illness:

ID: 0941202
Sex: F
Age: 25
State: WI

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

Lab Data: EKG normal

Allergies: Shellfish derived product

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Symptoms experienced: Chest heaviness. Denies all other symptoms. Patient transported to ER via wheelchair for evaluation. Upon re-evaluation in ER, patient felt back to her baseline and was discharged

Other Meds:

Current Illness:

ID: 0941203
Sex: F
Age: 42
State: IN

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

Lab Data:

Allergies: amoxicillin, ceclor, Zithromax

Symptoms: Large painful lump under right arm in the armpit about breast level.

Other Meds: Prozac, celoxib, amlopidine besalyte

Current Illness:

ID: 0941204
Sex: F
Age:
State:

Vax Date: 12/23/2020
Onset Date: 01/04/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: Test Date: 20210104; Test Name: Covid; Test Result: Positive

Allergies:

Symptoms: tested positive for Covid; tested positive for Covid; This is a spontaneous report from a contactable consumer. A 7-decade-old female patient (in her 60s) received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on 23Dec2020 at a single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. A pharmacy student received this drug information question in which a female patient in her 60s received the first Covid vaccine on 23Dec2020 and tested positive for Covid on 04Jan2021. Could the patient receive antibody treatment? Could she get the second vaccine and when? The outcome of the events was unknown. Information about Lot/Batch number has been requested.

Other Meds:

Current Illness:

ID: 0941205
Sex: M
Age:
State: CA

Vax Date: 12/17/2020
Onset Date: 12/21/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: Test Date: 20201221; Test Name: Covid-19; Test Result: Positive

Allergies:

Symptoms: Caller is a respiratory therapist who reports that he tested positive for covid after receiving the first dose of the vaccine on 17Dec; Caller is a respiratory therapist who reports that he tested positive for covid after receiving the first dose of the vaccine on 17Dec; This is a spontaneous report from a contactable consumer (patient) reported that a 32-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/lot number: EH9899), via an unspecified route of administration from on 17Dec2020 at single dose (once by injection in the right arm/bicep) for COVID-19 immunization (Healthcare worker). There were no medical history and concomitant medications reported. The patient/caller is a respiratory therapist who reported that he tested positive for covid after receiving the first dose of the vaccine on 17Dec2020. He called to ask if he can get the second dose. He also wanted to ask if people experienced side effects or what side effects people experience after the second dose. He tested positive for Covid-19 on 21Dec2020, after receiving the first dose of the vaccine. He said it had been 14 days since he tested positive for COVID and he is if he can get the second dose. He says he is actually on his way to get the second dose right now, and thought he should call. The outcome of the event was unknown.

Other Meds:

Current Illness:

ID: 0941206
Sex: F
Age: 48
State: AZ

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

Lab Data:

Allergies: No

Symptoms: None stated.

Other Meds: See List

Current Illness: Fibromyalgia

ID: 0941207
Sex: M
Age:
State: PA

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

Lab Data: Test Name: Fever; Result Unstructured Data: Test Result:104; Comments: Fever was up to 104.

Allergies:

Symptoms: Nose is stuffy; Shortness of breath; Felt not really ok; itchy; Muscle soreness, like arms would fall off; Couldn't sleep; joint pain; had to miss work; fever reaching 104 degrees; chills; muscle ache; headache; tiredness; weakness; This is a spontaneous report from a contactable consumer (patient). This 41-year-old male patient received the 1st dose of BNT162B2 (Pfizer-BioNTech COVID-19 vaccine) via an unspecified route of administration on at arm left 05Jan2021 at single dose (lot number: EK9231) for COVID-19 immunisation. Medical history and concomitant medications were unknown. The patient previously received flu vaccine and felt a little tired and sore with Flu vaccine. The patient got his first dose and then worked all day on 05Jan2021. Around 18:00-19:00 on 05Jan2021, he had fever, chills, muscle aches, headaches, joint pain, tiredness, and weakness. Fever was up to 104. The patient was referring to the Pfizer COVID-19 Vaccine first felt short of breath on 05Jan2021. He was wearing a mask and felt like he couldn't breathe. He did not feel really ok on 05Jan2021 like with a flu shot. He was working and felt a little itchy. He came home around 18:00-19:00 and had chills, headache, muscle soreness like arms would fall off. He couldn't sleep. He had fever and chills through the night. He had fever up to 104 on 05Jan2021 and had to miss work. The patient stated his nose was stuffy on an unspecified date. No additional vaccines administered on same date of pfizer suspect. No prior vaccinations within 4 weeks. Outcome of all events was unknown.

Other Meds:

Current Illness:

ID: 0941208
Sex: F
Age: 50
State: CA

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: arm swollen, red, itchy, sore which started on 1/6,

Other Meds:

Current Illness:

ID: 0941209
Sex: F
Age: 59
State: TX

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

Lab Data: @ 1210 fingerstick blood glucose result 301.

Allergies: none

Symptoms: At 1134 patient c/o tingling to lower lip. Pt. examined lip in mirror stating it is swollen. This nurse noted the lips very red. BP 148/88, P 64, R 20, SpO2 98%. Given water to drink. At 1146 given 25 mg oral Diphenhydramine solution for increase in swelling to lip and 'weird' feeling in throat.. At 1150 pt.'s PCP notified via [hone call by RN . Informed of pt.'s current status & VS. At 1150 BP 152/90, P 62, R 20, SpO2 98%. At 1204 BP 158/80, P 62, R 20, SpO2 98%. At 1210 BS 301. Per RN, states Dr. requested a BS check. At 1215 RN, notified Dr. of pt.'s current VS, BS and pt. reporting the tingling in lip has resolved but continues with 'weird' feeling in throat. At 1220 pt. released to go home. Instructed by Dr. to take Benadryl every 4-6 hours today, given ER precautions & has a f/u appt. for 1/16/21.

Other Meds: amlodipine, atorvastatin, glipizide ER, ibuprofen, levemir, lisinopril, metformin HCl, Novolin N,

Current Illness: unknown

ID: 0941210
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Fatigue; chills; nausea; vomiting; This is a spontaneous report from a non-contactable other health professional. A 31-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in the left arm, from 30Dec2020 16:30 at a single dose for COVID-19 immunization. Medical history included anxiety and intermittent SVT (supraventricular tachycardia). Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, patient has not been tested for COVID-19. Concomitant medication included escitalopram and buspirone for anxiety. On 01Jan2021 19:00, the patient experienced fatigue, chills, nausea and vomiting. The outcome of events was recovered. No treatment was required/received due to the events. No follow up attempts are possible. Information about lot/batch number cannot be obtained.

Other Meds: ;

Current Illness:

ID: 0941211
Sex: M
Age: 69
State: GA

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

Lab Data: none

Allergies: sodium glutamate, sodium nitrates, certain dyes

Symptoms: Patient said he felt like someone was holding his throat but he mentioned that he had a history of throat tightening. We gave him 2 Benadryl and checked on him about 8 times (roughly every 10 minutes or so) and he said he felt like normal. We checked on him a couple more times and he said he felt fine. We left him 2 more Benadryl just in case he needed it and we alerted the facility

Other Meds: not listed

Current Illness:

ID: 0941212
Sex: F
Age:
State: MA

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

Lab Data: Test Date: 20210106; Test Name: hypertension; Result Unstructured Data: Test Result:190/90; Test Date: 20210106; Test Name: tachycardia; Result Unstructured Data: Test Result:165

Allergies:

Symptoms: hypertension like 190/90; I had tachycardia to 165; Flushing; 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) lot number: EK9231, intramuscular on 06Jan2021 at single dose for COVID-19 immunization. Medical history included migraine. Concomitant medication included cyproheptadine for migraine, unspecified multivitamins; and diphenhydramine (BENADRYL) and famotidine as pre-medications. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 17Dec2020 for COVID-19 immunization, and experienced dizziness, palpitations, tingling in face and legs, myalgia, nausea, headache, fatigue. It was reported that patient got the second dose and had tachycardia to 165 and hypertension like 190/90 and had some flushing (event onset: 06Jan2021). Patient was no longer tachycardiac or hypertensive; lasted for about 30-40 minutes. Outcome of the events tachycardia and hypertension was recovered on 06Jan2021. Outcome of the event flushing was unknown.

Other Meds: ; BENADRYL;

Current Illness:

ID: 0941213
Sex: U
Age: 62
State:

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

Lab Data:

Allergies:

Symptoms: Initially had a red circle at the injection site for a couple days and it went away, then on 1/11 the red circle has returned bigger, raised, and itchy

Other Meds:

Current Illness:

ID: 0941214
Sex: M
Age: 38
State: CA

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

Lab Data: No tests due to not having visible swelling in the first 30 minutes or any other impairment. Adverse effect now gone 48 hours later.

Allergies: Iodine

Symptoms: Nausea, lightheadedness, and finally numbness to right side of face, slight drooping on right corner of mouth and right side of bottom lip. It began with a tingling feeling in lip. Observing staff did not notice any swelling, or other impairments, asked me if I had anxiety, and sent me on my way. Shortly after, it felt as if I had gotten a shot at the dentist, and had the tingling numbness left over on the right side of my face. About 4 hours later, my bottom lip and right side of my mouth drooped slightly, but I could still smile, talk, raise my arm, so there was no other impairment. By the next day the numbness had mostly subsided, and the nausea and lightheadedness was gone. This vaccine was given to me at a work clinic in the administration building. I do not have contact information for them but was provided a packet with this website. I don't have any pre-existing conditions, do not have anxiety, am not a hypochondriac, did not even know about the Bell's Palsy issues in trials until after I felt numbness, and the right side of my face felt as if it fell asleep, like a foot falling asleep but it was my face. It was not to the extent of Bell's palsy, and may have even been my bottom lip swelling slightly on the right side that caused the droop. It infuriates me that this side effect was dismissed as me having anxiety because I was nervous that my face was going numb which would be a natural reaction for anyone.

Other Meds: None

Current Illness: None

Date Died: 01/08/2021

ID: 0941215
Sex: F
Age:
State:

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Actual event and cause of death were unknown; This is a spontaneous report from a non-contactable consumer. A 90-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 06Jan2021 at single dose for COVID Prevention. The relevant medical history included aortic valve replacement from Nov2019. Concomitant medications were not reported. The consumer stated that she was taking the reporting responsibilities to report that a friend of hers, informed that the patient passed away on Friday, and had received the COVID vaccine on Wednesday. The consumer stated that it was unknown to her at this time, if the friend had called to complete a report herself, regarding the incident. Their conversation was very brief. The patient was 90 years old, and it was her friend's mother that was the patient. Actual event and cause of death were unknown. The patient had her vaccine on Wednesday 06Jan2021, and then the patient collapsed in front of the reporter at Friday night on 08Jan2021 and passed away that same day. The autopsy was unknown. The outcome of the event was fatal. No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Reported Cause(s) of Death: Actual event and cause of death were unknown

Other Meds:

Current Illness:

ID: 0941216
Sex: F
Age:
State:

Vax Date: 12/18/2020
Onset Date: 12/30/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: Test Date: 201612; Test Name: ECHO; Result Unstructured Data: Test Result:Normal; Test Date: 201612; Test Name: EKG; Result Unstructured Data: Test Result:Normal; Test Date: 20201230; Test Name: EKG; Result Unstructured Data: Test Result:showing RBBB; Comments: EKG showing RBBB with PR 234; Test Date: 20201230; Test Name: rate; Result Unstructured Data: Test Result:270; Comments: a rate of 270; Test Date: 202101; Test Name: SARS-CoV-2 antibody; Test Result: Negative ; Test Date: 20201230; Test Name: troponin; Result Unstructured Data: Test Result:0.07; Comments: positive troponin 0.07 that has remained stable in the following week

Allergies:

Symptoms: episodes of severe dyspnea and lightheadedness over the past couple of weeks; episodes of severe dyspnea and lightheadedness over the past couple of weeks; ventricular tachycardia with a rate of 270; severe right ventricular dilatation and dysfunction with inflammation and fibrosis throughout the RV and septum, but minimal LV involvement.; severe right ventricular dilatation and dysfunction with inflammation and fibrosis throughout the RV and septum, but minimal LV involvement.; severe right ventricular dilatation and dysfunction with inflammation and fibrosis throughout the RV and septum, but minimal LV involvement.; This is a spontaneous report from a contactable physician (patient). A 4-decade-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via unspecified route of administration on 18Dec2020 at single dose for COVID-19 immunization. Patient medical history and concomitant medications were not reported. Patient reported that on 18Dec2020, she received the first dose of Pfizer / BioNTech vaccine. On 30Dec2020 (Wednesday), she was diagnosed of ventricular tachycardia with a rate of 270, severe right ventricular dilatation and dysfunction with inflammation and fibrosis throughout the RV and septum, but minimal LV involvement. On 30Dec2020, EKG showing RBBB with PR 234 (in presence of normal EKG and ECHO from Dec2016), and positive troponin 0.07 that has remained stable in the following week. On unspecified date in Jan2021, the patient had been having episodes of severe dyspnea and lightheadedness over the past couple of weeks, but it had been sporadic - it became significantly worse in the last 2 weeks, which is why patient sought out an electrophysiologist (and purchased at-home EKG monitor on which she saw the VT). Patient do not know the cause at all. She was tested for SARS-CoV-2 antibody yesterday (unspecified date in Jan2021), which was negative. Patient was also trying to determine if she should get the second dose or not. She will have cardiac PET scan next week, which hopefully further elucidate causes. Outcome of the events dyspnea and lightheadedness was not recovered; while outcome of other events was unknown. Information on the Lot/Batch number has been requested.; Sender's Comments: Based on the available information, a causal relationship between reported events and BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) cannot be completely excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Other Meds:

Current Illness:

ID: 0941217
Sex: U
Age:
State:

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

Lab Data: Test Name: ultrasound; Result Unstructured Data: Test Result:Unknown results

Allergies:

Symptoms: My right leg from the knee down was purple and they thought I have a blood clot; My right leg from the knee down was purple and they thought I have a blood clot; This is a spontaneous report from a non-contactable consumer (patient). A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA 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. Three days after vaccination the patient felt very sick and he/she was so bad that he/she thought he/she might die with outcome of recovered after one week. The patient reported also that on unknown date his/her right leg from the knee down was purple and they thought he/she have a blood clot, due to which the patient was hospitalized for 14 days. The patient ended in the hospital because his/her right leg from the knee down was purple and they thought he/she have a blood clot but they did an ultrasound that was not the case but they put he/she on antibiotic. The patient was still taking them but his/her leg has got better. No follow-up attempts are possible. Information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 0941218
Sex: F
Age: 47
State:

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

Lab Data:

Allergies:

Symptoms: Metal taste immediately after injection. 8:20 felt hot and flushed. blood pressure 118/78 heart rate 100. 8:32 b\p 130/80 Heart rate 100 discomfort in neck back and headache. Reported she had a headache with the first dose. 8:50 states she is better and ready to go home. b\p 128/88 heart rate 90 Advised to seek medical help if symptoms worsen.

Other Meds:

Current Illness:

ID: 0941219
Sex: F
Age: 31
State: CA

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

Lab Data:

Allergies: SULPHA

Symptoms: STAFF C/O FEELING TINGLING IN HER TONGUE, A LUMP IN HER THROAT, AND A RACING HEART. CLINICIAN EXAMINED AND ORDERED BENADRYL 50MG IM. THE SITUATION WAS RESOLVED AFTER THE IM MEDICATION.

Other Meds: UNKNOWN

Current Illness: NONE

ID: 0941220
Sex: M
Age: 28
State: MA

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: patient developed rash on left arm close to vaccine injection site 8 days after vaccination. patient rash is improving

Other Meds: None

Current Illness:

ID: 0941221
Sex: M
Age: 32
State: NY

Vax Date: 02/20/2016
Onset Date: 02/20/2016
Rec V Date: 01/13/2021
Hospital:

Lab Data: Evaluated 24 hours later at the 176 Wing clinic. They checked my temperature directed me to return home.

Allergies: None

Symptoms: -Itching: for the first twelve hours -Bruising at injection site for over a weeks -Pain at injection site continued through a week -Muscle soreness causing limited mobility of left arm (the injection arm) -Soreness and aching pain throughout entire body -Severe fatigue and exhaustion for over one week (I could barely function, everything was slow to process) -Fever -Headache (Throughout entire head, it was painful and detracted from my ability to concentrate on mission planning) -Bumps on the back side of both arms which have continued to this day.

Other Meds: None

Current Illness: None

ID: 0941222
Sex: M
Age: 71
State: LA

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

Lab Data: Skin biopsy taken 1/13/2021. results pending (8days)

Allergies: None

Symptoms: Paitient had fever for 5 days and broke out in skin rash on body from neck to ankles

Other Meds: Atorvastatin, Plavix, Synthroid, asprin

Current Illness: None

ID: 0941223
Sex: F
Age: 34
State: TX

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

Lab Data: n/a

Allergies: n/a

Symptoms: 1/5/2021 vaccine 1/6/2021 woke up 7/730 with HA. Dont get usually. Nausea was worse then usual. Body aches, chills, arm was really sore and could barely lift for 48 hours. Took tylenol; helped for 30 minutes but then came back. Gone by the evening. 7/28/2021 2nd pregnancy

Other Meds: Prenatal vitamins / daily

Current Illness: n/a

ID: 0941224
Sex: F
Age: 50
State: IN

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

Lab Data:

Allergies: Doxycycline, Gabapentin, Avapro

Symptoms: Within hours of injection on 01/11/2021, patient stated she experienced severe diarrhea followed with facial and arm swelling and chest tightness the next morning 01/12/2021. Pt sought treatment in the Urgent Care on 01/13/2021. Pt prescribed methylprednisone (Medrol dosepack) by physician.

Other Meds:

Current Illness:

ID: 0941225
Sex: F
Age: 35
State: TX

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

Lab Data: None

Allergies: Sulfas - full body rash

Symptoms: Moderna COVID-19 Vaccine 1/4 (Day 1): Approx. 2 cm redness and swelling at injection site. Arm sore. 1/5 (Day 2): Approx. 2 cm redness and swelling at injection site. Arm sore. 1/6 (Day 3): Approx. 2 cm redness. No swelling. Arm sore 1/7 (Day 4): Approx. 2 cm redness (less redness, pink) 1/8 & 9 (Day 5 & 6): No redness, swelling, or soreness. 1/10 (Day 7): Approx. 2 cm redness returns with minimal itching. No swelling or arm soreness. 1/11 (Day 8): @ 0945 3 cm (widest point) redness, swelling, itching and warm to touch. @ 1845 6 cm redness, swelling, itching (increasing) and warm to touch. Applied hydrocortisone cream. No improvement @2042 Same size, itching increasing, 25 mg Benadryl PO. 1/12 (Day 9): No improvement from Benadryl. Awake at 0314 from itching. Applied ice pack. Improved enough to sleep. @0939 Redness, swelling, itching, and warm, size measures at 10.5 cm. 200 mg ibuprofen PO. @1042 Improvement with ibuprofen. Less itching, size decreased to 10 cm. Continues to be warm and swollen. @2145 220 mg naproxen sodium. Ice packs throughout the day (helps with itching and decreases redness but continues to increase in size). 1/13 (Day 10): Less redness (almost pink), less itching, minimal swelling, continues to be warm and spread. Size 12 cm. Report to Employee Health. Continuing to monitor, taking NSAIDs, and applying ice packs. Afebrile throughout event (temps range from 96.8 to 98.2). No other systemic effects noted.

Other Meds: None

Current Illness: None

ID: 0941226
Sex: F
Age: 58
State: ME

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

Lab Data: none needed

Allergies: stinging insects including bees, wasps, hornets

Symptoms: 30 minutes after vaccine patient experience localized itching to left supraclavicular, b/l neck and behind the ears with mild flushing of the associated skin without development of hives, normal vitals. given 50mg of benadryl by mouth, monitored for 30 minutes, decrease in itching in this time and was released to self-care.

Other Meds: losartan, atorvastatin, trazodone, ibuprofen

Current Illness: none

ID: 0941227
Sex: M
Age: 32
State: CO

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

Lab Data:

Allergies:

Symptoms: Site: Pain at Injection Site-Severe, Systemic: Joint Pain-Medium, Systemic: Confusion, Delrium -Severe

Other Meds:

Current Illness:

ID: 0941228
Sex: F
Age: 24
State: IN

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

Lab Data:

Allergies: None

Symptoms: Chills, soreness

Other Meds: Omeprazole, sertraline, zertec, flonase

Current Illness: None

ID: 0941229
Sex: F
Age: 24
State: MI

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

Lab Data:

Allergies:

Symptoms: Fever, muscle aches, headache, joint pain, nausea

Other Meds:

Current Illness:

ID: 0941230
Sex: U
Age: 62
State:

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

Lab Data:

Allergies:

Symptoms: Initially, they had a red circle at the injection site for a couple days then it went away. On 1/11/21, the spot returned, bigger, raised, and itchy

Other Meds:

Current Illness:

ID: 0941231
Sex: F
Age: 57
State: WI

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

Lab Data: N/A

Allergies: Diltiazem, hydromorphone, shellfish, aciphex, adhesive, bee stings, tessalon, collagen, iodine, lisinopril, neomycin, contrast media, neosporin

Symptoms: Patient waited the 30 minutes after receiving the vaccine, stated to have no side effects at that time. Patient left vaccine clinic. Between 10-15 minutes later patient came back stating that she was having "lip tingling". Patient denied any other adverse reactions. Lips appeared WNL. No redness or swelling. Patient then escorted with RN to ED. Once down by ED patient stated her HR was elevated at 109, and was beginning to feel dizzy.

Other Meds: Albuterol Sulfate 108 (90 Base) MCG/ACT, Aspirin 325 mg, Betamethasone Dipropionate Aug 0.05 %, Betamethasone Valerate 0.1 %, Calcium-Magnesium-Vitamin D, cloNIDine HCl 0.1 MG, EPINEPHrine 0.3 MG/0.3ML, Famotidine 20mg, Fluticasone Propiona

Current Illness: Not that I am aware of

ID: 0941232
Sex: F
Age: 31
State: WY

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

Lab Data: None.

Allergies: NKDA; Tree nuts; Cats

Symptoms: At about 0130 on 01/13/21, I woke up not feeling well (I had also not been sleeping well prior due to arm pain and minor aches). I became extremely dizzy and lightheaded feeling like passing out, I was tachycardic, had increased respirations, pale (per my husband), felt hot and cold, and was sweating. I also became very anxious. I had to go lay on the bathroom floor - my husband woke up with me and got me some water, Ibuprofen, and a cool rag for my head. He also said I wasn't sleeping well - moving around and making noises before then. I laid on the floor about 15 minutes until the symptoms had improved, but still didn't feel well. No further episodes at this time. Only other issues are the continued expected possible side effects (arm pain, body aches). I did notify our Nurse Manager this morning as well.

Other Meds: Daily multivitamin

Current Illness: None

ID: 0941233
Sex: F
Age: 35
State:

Vax Date: 01/09/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Soreness on right breast, there is one specific area that feels like a lump and it is painful to touch. This lump is on the lower part of my breast tissue towards the right side. I noticed the pain and soreness on 1/12/21. when I woke up.

Other Meds: none

Current Illness: none

ID: 0941234
Sex: F
Age: 35
State: TX

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

Lab Data: none

Allergies: powder latex, ampicillin

Symptoms: I received the 2nd dose of the Pfizer COVID19 on 1/12/21 at approx. 1:30pm. The next day (1/13/21) at approximately 05:30am I awoke feeling feverish with chills and aches. I treated this side effect 400mg ibuprofen Q6HPRN twice during the day and had an Epsom salt bath. The next morning, I was fully recovered.

Other Meds: Vitamin C 1000mg QAM, Daily Vitamin 1 tablet QAM, Citalopram 40mg QHS, Remeron 15mg QHS

Current Illness: none

ID: 0941235
Sex: F
Age: 42
State: IN

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

Lab Data: N/A

Allergies: none

Symptoms: weakness, breathlessness, pain at sight, body aches over two days I am not feeling better yet

Other Meds: zoloft, water pills, thyroid medication for Hashimotos

Current Illness: no

ID: 0941236
Sex: F
Age: 45
State: CA

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

Lab Data:

Allergies:

Symptoms: Body aches, fatigue. Improving.

Other Meds:

Current Illness:

ID: 0941237
Sex: F
Age: 28
State: IN

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

Lab Data: none

Allergies: none

Symptoms: at about 20 hours post vaccination I had onset of fatigue, generalized body aches, joint aches, headache, and felt febrile. I took my temperature twice in the absence of antipyretics and did not have a fever (98.7 and 98.2) but my skin felt hot and painful as it does when I have had a fever in the past. By about 5:00 or around 24 hours post vaccination, all symptoms resolved aside from fatigue and headache, but the headache was less than it was before. I experienced those symptoms for the rest of the evening and woke up this morning feeling completely normal.

Other Meds: 10mg zyrtec, 10,000iu vitamin D, 25billion probiotic, tylenol, ibuprofen

Current Illness: none

ID: 0941238
Sex: M
Age: 35
State: PR

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

Lab Data:

Allergies: N/A

Symptoms: At 5 min after the administration, the rash started on the whole hand where the vaccine was administered, petechiae and his right hand fingers began to swell, then eyes started swelling, back with rash, had vomits. On the second had swelling of the face and dark color on the orbit of the eyes and red and yellow lacerations on the inside of the eye. In addition a lot of pain in the joints without being able to walk.

Other Meds: Metformin

Current Illness:

ID: 0941239
Sex: M
Age: 52
State: HI

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

Lab Data:

Allergies:

Symptoms: Early administration of vaccine- Administration error: Patient received first dose of Pfizer COVID vaccine at another location on 28 DEC 2020. Pfizer COVID vaccine second dose to be given 21 days after first dose. Patient arrived to Bloch Arena for COVID Vaccine #2. Patient given dose number 2 on 12 Jan 2021, only 15 days after first dose.

Other Meds:

Current Illness:

ID: 0941240
Sex: F
Age: 36
State: CA

Vax Date: 12/29/2020
Onset Date: 01/04/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Arm swollen, red all the way down to elbow, lymph nodes under arms swollen, all symptoms started on 1/4,

Other Meds:

Current Illness:

ID: 0941241
Sex: F
Age: 27
State: MI

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

Lab Data:

Allergies:

Symptoms: Headache, fatigue, swollen lymph node on the right side of neck

Other Meds:

Current Illness:

ID: 0941242
Sex: F
Age: 66
State: NY

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

Lab Data: ED visit. Received fluids and meclizine

Allergies: None

Symptoms: Night after vaccine, experience dizziness and Vertigo that worsened until patient had to report to ED. Remains dizzy to this time. Never had this effect before vaccine.

Other Meds:

Current Illness: No

ID: 0941243
Sex: F
Age: 28
State: NJ

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

Lab Data:

Allergies: almonds, almond oil, shrimps, adderal, fruit flavoring, chlorhexidine, toradol

Symptoms: Patient received injection at 1045 to left deltoid. At approx. 1053, patient noted to be clearing throat and claims "it feels difficult to swallow". Patient assessed and lips noted to be slightly swollen and diaphoretic. No SOB or difficulty with speech at this time and patient remains A&0x4. Patient placed into wheelchair and escorted to ED immediately with proper precautions in place.

Other Meds: prednisone, singulair, Pepcid, allegra, vyvanse, Inderal, Zofran,revia, Glucophage, Tylenol, epipen PPRN, Proventil, mucinex, fluticasone-salmeterol inhaler

Current Illness: anaphylaxis to shrimp

ID: 0941244
Sex: F
Age: 45
State: CA

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

Lab Data:

Allergies:

Symptoms: Fatigue, body aches. Improving.

Other Meds:

Current Illness:

ID: 0941245
Sex: M
Age: 28
State: MA

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: patient developed delayed rash near vaccine injection site 7 days after vaccination. Rash remained for few days and now is improving

Other Meds: None

Current Illness:

ID: 0941246
Sex: M
Age: 68
State: TX

Vax Date: 12/24/2020
Onset Date: 12/27/2020
Rec V Date: 01/13/2021
Hospital: Y

Lab Data: see above

Allergies:

Symptoms: Covid symptoms began 2-3 days after shot. Presented to ER day 11 day after positive with extreme dyspnea O2 Sat at 88% Chest xray opacities throughout the bilateral hemithoracies would suggest multifocal infiltrate Admitted on high flow oxygen reduced to 6 liters currently D-dimer is >35.20

Other Meds:

Current Illness:

ID: 0941247
Sex: F
Age: 65
State: IL

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: None. My Dr. Told me to take Benadryl. Also was told to have next injection in other arm and to take Benadryl beforehand

Allergies: None

Symptoms: Large red bullseye circle at injection site that is warm to the touch and itches

Other Meds: Metoprolol Er succinate 25mg. 1/2 daily Paxil. 20mg. 1 daily Losartan/hctz. 12.5mg. 1/2 daily Coq10.

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm