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: 0942840
Sex: U
Age:
State:

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Weird taste in mouth; This is a spontaneous report from a contactable consumer (patient) reported that a patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 04Jan2021 05:00 at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient was calling because he/she wanted to know as he/she looked up the side effect of the COVID vaccine and he/she got it on the 4th and then he/she noticed this weird taste in his/her mouth and he/she just wanted to know if that is kind of a side effect of the vaccine. The outcome of the event was unknown. Information on the Lot/Batch number has been requested.

Other Meds:

Current Illness:

ID: 0942841
Sex: F
Age:
State:

Vax Date: 01/01/2021
Onset Date: 01/01/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: muscle pain; headache; chills; fever; tiredness; This is a spontaneous report from a Pfizer-sponsored program from a non-contactable healthcare professional who reported for herself. A female patient of an unspecified age received BNT162B2 (Pfizer/ BioNTech Covid-19 vaccine) at a single dose on an unspecified date in Jan2021 (reported as "yesterday") for Covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient was experiencing headache muscle pain, chills fever and tiredness. She was asking even though she was experiencing these side effects it did or did not mean she was positive for COVID 19. The outcome of the events was unknown. No follow-up attempts are possible. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 0942842
Sex: M
Age:
State:

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Test Name: Oxygen; Result Unstructured Data: Test Result:He can't get his oxygen up above a certain level

Allergies:

Symptoms: He can't get his oxygen up above a certain level; It could be some swelling; His back and arms are covered with hives; This is a spontaneous report from a non-contactable consumer (wife). A male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 05Jan2021 at single dose for COVID-19 immunization. Medical history included chronic obstructive pulmonary disease (COPD). The patient's concomitant medications were not reported. The patient received yesterday (05Jan2021) and during the night he has developed hives. The concern was if the patient should he get the next shot. The wife doesn't consider what's happened to the husband was a severe reaction although his back and arms are covered with hives. The wife doesn't think that they will go to the hospital or anything. The patient can't get his oxygen up above a certain level and he can't get it to where it normally comes when it does on oxygen. But the wife assumes that's going to improve during the day. It was probably from the hives it could be some swelling and guessed it was going to change. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 0942843
Sex: F
Age:
State: NC

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: body rash/back and arms were covered with rash; face flushed; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiry date: unknown), via an unspecified route of administration on 06Jan2021 at a single dose for COVID-19 immunization. Medical history was reported as none. There were no concomitant medications. The patient received the vaccine in, health department. On 06Jan2021, patient had a body rash as soon as she got the shot. Her back and arms were covered with rash and her face flushed, it's been six hours. The patient has been taking Benadryl as treatment for the events. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 0942844
Sex: U
Age:
State:

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Test Date: 20210106; Test Name: Temperature; Result Unstructured Data: Test Result:34.5; Test Date: 20210106; Test Name: Temperature; Result Unstructured Data: Test Result:Low

Allergies:

Symptoms: Kind of like a hot feeling; temperature is low like 34.5; temperature is low like 34.5/My temperature dropped; it's very low; This is a spontaneous report from a contactable consumer. A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 06Jan2021 at single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient stated, "I had a Covid-19 shot this morning and when I got home, I feel kind of like a hot feeling and I took my temperature and it's low, is that normal? My temperature is low, I think it's my temperature is dropped is this going to be a problem? I want to know if your temperature would drop because my temperature was like 34.5. My temperature should not be that. I took a Covid-19 shot this morning and I took my temperature a while ago and it's very low is this going to be a normal, to be a low "temperature" (not clarified). How do I know what to do? I mean do I need to call the doctor about it or what but there has my "temperature" (not clarified) dropped." The outcome of the events was unknown. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0942845
Sex: F
Age:
State:

Vax Date: 12/21/2020
Onset Date: 12/01/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: She had an allergy from latex and gums are swollen; lips were tiny bit swollen; latex allergy; This is a spontaneous report from a contactable consumer (patient) via a Pfizer-sponsored program. A female patient of an unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiration date were unknown), via an unspecified route of administration on 21Dec2020 at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. A week after patient was vaccinated, she had an allergy from latex and gums were swollen on Dec2020. She said it was mild and her question was if she can still take the second dose of the Covid vaccine this week. She have an allergy to Latex but its a very mild one, her lips were tiny bit swollen and gums were a little swollen on Dec2020. Outcome of the events was unknown. Information on lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0942846
Sex: F
Age:
State: CA

Vax Date: 01/05/2021
Onset Date: 01/01/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Body ache; This is a spontaneous report from a contactable nurse (patient) via Pfizer sponsored program. A 55-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection) lot number: EJ1686, via an unspecified route of administration on 05Jan2021 at a single dose to prevent getting Covid. The patient's medical history and concomitant medications were not reported. The patient received the covid vaccine about 24 hours ago and was now having a body ache (unknown date in Jan2021) with outcome of unknown. She was wondering if she can take Tylenol or Advil or something to help that. The patient did not receive any treatment for the event.

Other Meds:

Current Illness:

ID: 0942847
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: When Nurse pushed the needle into deltoid muscle after the shot there was some vaccine small amount that dripped out from his arm;; When Nurse pushed the needle into deltoid muscle after the shot there was some vaccine small amount that dripped out from his arm;; When Nurse pushed the needle into deltoid muscle after the shot there was some vaccine small amount that dripped out from his arm;; Feel soreness in arm; This is a spontaneous report from a contactable consumer. A male patient of an unspecified age started to receive BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: unknown), via an unspecified route of administration from an unspecified date to an unspecified date at SINGLE DOSE for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient stated that when nurse pushed the needle into deltoid muscle after the shot there was some vaccine small amount that dripped out from his arm. The patient also stated that he feel soreness in arm on an unspecified date. Outcome of the events was unknown. Information about Lot/Batch number has been requested.

Other Meds:

Current Illness:

ID: 0942848
Sex: F
Age:
State: VT

Vax Date:
Onset Date:
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: she has arm pain after receiving covid vaccine; This is a spontaneous report from a contactable consumer from a Pfizer-sponsored program. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), lot number and expiry date unknown, via an unspecified route of administration on an unspecified date at a SINGLE DOSE for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient called because she has arm pain after receiving covid vaccine and she wanted to know if she can take tylenol for the pain. The outcome of the event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0942849
Sex: M
Age:
State:

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: pain at the injection site; fever; chills last night; This is a spontaneous report from a contactable healthcare professional. A male patient of an unspecified age started to receive bnt162b2 (BNT162B2), via an unspecified route of administration from 06Jan2021 to 06Jan2021 at a single dose for an unspecified indication. The patient's patient medical history and concomitant medications were not reported. It was reported that the patient had reported pain at the injection site, fever and chills last night on 06Jan2021 and feels better today. The outcome of the events was recovering.

Other Meds:

Current Illness:

ID: 0942850
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: soreness; This is a spontaneous report from a non-contactable physician via Pfizer sales representative. A patient of unspecified age and gender received bnt162b2 (BNT162B2 also reported as Pfizer COVID-19 vaccine, lot/batch number and expiry date were not reported), via an unspecified route of administration on an unspecified date at single dose for Covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient reported very mild soreness with first and second dose of Pfizer COVID-19 vaccine. The outcome of event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained

Other Meds:

Current Illness:

ID: 0942851
Sex: F
Age:
State:

Vax Date: 12/17/2020
Onset Date:
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: injection site pain; This is a spontaneous report from a non-contactable pharmacist (patient). A 27-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number: EK5730, expiry: unknown), via an unspecified route of administration on 17Dec2020 12:00 at single dose (Left Arm) for COVID-19 immunization. Medical history reported as none. Patient had no known allergies. Patient is not pregnant. The patient's concomitant medications were not reported. Other medications within 2 weeks of vaccination was reported as oral contraceptives. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Only adverse event related to first dose was injection site pain from an unspecified date. The outcome of the event was unknown. The events were reported as non-serious. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 0942852
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/14/2021
Hospital:

Lab Data: Test Name: tested; Test Result: Positive

Allergies:

Symptoms: the person who took the 1st dose of the vaccine and still tested positive; the person who took the 1st dose of the vaccine and still tested positive; This is a spontaneous report from a Pfizer sponsored program Pfizer First Connect. A non-contactable consumer reported that a patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via unspecified route of administration on unspecified date at single dose for COVID-19 immunization. Patient medical history and concomitant medications were not reported. ~The patient took the 1st dose of the vaccine and still tested positive on unspecified date. They would like to know if the patient still needs to take the 2nd dose of the vaccine or not. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 0942853
Sex: M
Age:
State: MA

Vax Date:
Onset Date:
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: High fever; Other symptoms of a cold; This is a spontaneous report from a non-contactable consumer. A male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot/batch number not reported), via an unspecified route of administration on an unspecified date at a single dose for Covid-19 immunization. The patient's medical history and concomitant medications were not reported. The consumer reported the secondary effects of the Covid-19 Pfizer Vaccine. The consumer reported that a patient was vaccinated with Pfizer's Covid vaccine at a Medical Center on an unspecified date. The patient was having several secondary effects due to the vaccination. He has high fever and other symptoms of a cold on an unspecified date. The outcome of the events was unknown. No follow-up attempts are possible: information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 0942854
Sex: F
Age:
State: CA

Vax Date:
Onset Date:
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fever; body aches; had 2nd dose of COVID-19 vaccine yesterday at 17 days from 1st dose; This is a spontaneous report from a contactable consumer via a Pfizer Sponsored Program. A female patient of an unspecified age received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient has historical COVID-19 vaccine BNT162B2 as first dose on unspecified date. The patient had 2nd dose of COVID vaccine yesterday at 17 days from 1st dose. The patient was experiencing fever and body aches and is wondering if taking the 2nd dose at 17 days was alright. The outcome of the events was unknown.

Other Meds:

Current Illness:

ID: 0942855
Sex: F
Age:
State: CA

Vax Date: 12/17/2020
Onset Date:
Rec V Date: 01/14/2021
Hospital:

Lab Data: Test Name: injection site pain; Result Unstructured Data: Test Result:moderate 6/10

Allergies:

Symptoms: First dose side effect of moderate 6/10 injection site pain; This is a spontaneous report from a contactable physician. A 35-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), intramuscular in left arm on 17Dec2020 11:00 at single dose for an COVID-19 immunization. The patient medical history included attention deficit hyperactivity disorder (ADHD), allergic rhinitis (no serious/life threatening allergies). Known allergies: isoniazid (rash). The patient's concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. First dose side effect of moderate 6/10 injection site pain, responded well to naproxen. Did not seek medical care. Prior to vaccination, the patient was not diagnosed with COVID19. Since the vaccination, the patient had not been tested for COVID-19. Outcome of the event was recovering. Information on the Lot/Batch Number has been requested.

Other Meds:

Current Illness:

ID: 0942856
Sex: U
Age:
State:

Vax Date: 01/06/2021
Onset Date:
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Cold sores; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 06Jan2021 at single dose for COVID-19 immunization. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient got the COVID Vaccine on 06Jan2021, the first shot and the patient now had broken out with cold sores and the patient has had cold sores before in mouth. Normally, the patient would just take some Acyclovir and Valacyclovir (Intent: Treatment) that had prescribed by doctor but now the patient was concerned about taking it (Acyclovir and Valacyclovir) and it doing something to the vaccine and making it not as efficacious. The patient wondered if that is true. Outcome of the event was unknown. Information on Lot/Batch has been requested.

Other Meds:

Current Illness:

ID: 0942857
Sex: F
Age:
State: NY

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Test Date: 202012; Test Name: Lab work; Result Unstructured Data: Test Result:everything was ok.

Allergies:

Symptoms: Feels a little weaker/ a little weak like after the Flu shot; Feels a little weaker/ a little weak like after the Flu shot; This is a spontaneous report from a contactable nurse (patient). A 75-years-old female patient received the second dose of of BNT162B2 (PFIZER-BIONTECH COVID-19, Batch/lot number: EK5730), via an unspecified route of administration on 06Jan2021 at 0.3 mL single (reported as 0.3cc injection) for covid-19 immunization (reported as works with COVID patients on daily basis). Medical history included hypertension, hip replacement from an accident four years before 07Jan2021 in December (Dec2016). The patient was not overweight, exercises, was older, but considered in good health. The had labs in Dec2020 and everything was ok. The patient's concomitant medications were not reported. The past vaccine event included weak after the Flu shot and first dose BNT162B2 on 16Dec2020 (75-years-old) and experienced dental implants and bridge fell out, bones were hurting her, pain in hip. It was reported on 06Jan2021 1PM (06Jan2021 13:00) was kind of weak. And felt a little weaker on 06Jan2021 and 07Jan2021. She did not have a temperature. She wants to know if this only happened to her or if it was a coincidence. She felt ok, but a little weak like after the Flu shot. The event outcome was unknown.

Other Meds:

Current Illness:

ID: 0942858
Sex: F
Age:
State: MO

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: soreness in the left arm; This is a spontaneous report from a contactable healthcare professional reporting for herself. A 46-year-old female patient received the first single dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (lot number EK5730, expiry date 31Mar2021) via an unspecified route of administration in the left arm on 18Dec2020 right before 9:00 am for COVID-19 immunization. Medical history included migraine (she occasionally had migraines and treated it with ibuprofen). The patient's concomitant medication included ibuprofen for migraine. No other vaccine received within 4 weeks. The patient experienced soreness in the left arm on 18Dec2020. The event lasted for a day and a half and was resolved on 20Dec2020. The reporter considered the event soreness in the left arm was related to the vaccine.

Other Meds:

Current Illness:

ID: 0942859
Sex: F
Age:
State: MO

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: paresthesia of the left arm and hand; heaviness of the left arm.; This is a spontaneous report from a contactable healthcare professional reporting for herself. A 46-year-old female patient received the second single dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (lot number EK9231, expiry date 30Apr2021) via an unspecified route of administration in the left arm on 08Jan2021 at 15:30 for COVID-19 immunization. Medical history included migraine (she occasionally had migraines and treated it with ibuprofen). The patient's concomitant medication included ibuprofen for migraine (the last dose of Ibuprofen was two or three days ago before 08Jan2021). The patient had received the first single dose of BNT162B2 on 18Dec2020 for COVID-19 immunization and experienced soreness in the left arm which lasted for a day and a half. No other vaccine received within 4 weeks. The patient experienced paresthesia of the left arm and hand on 08Jan2021. She received the first dose of the vaccine on 18Dec2020 in her left arm and had some soreness in the left arm at that time, which was resolved on 20Dec2020 (event reported in AER 2021019477). On 08Jan2021, she received the second dose also in her left arm and within five minutes she had this strange paresthesia of the left arm and hand. She also described it as strange heaviness of the left arm. No limited range of motion of the left arm. She didn't know if it was serious. She didn't visit emergency room or physician office. After two hours (the time of reporting) she still had the same sensation. The event was not resolved. The reporter considered the event paresthesia of the left arm and hand was related to the vaccine.

Other Meds:

Current Illness:

ID: 0942860
Sex: F
Age:
State: MN

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: Test Date: 20210104; Test Name: calcium; Result Unstructured Data: Test Result:normal; Comments: calcium and blood sugar were all normal; Test Date: 20210104; Test Name: blood sugar; Result Unstructured Data: Test Result:normal; Comments: calcium and blood sugar were all normal; Test Date: 20210104; Test Name: blood work; Result Unstructured Data: Test Result:fine; Comments: When she did all the blood work and everything was fine.; Test Date: 20210104; Test Name: CBC; Result Unstructured Data: Test Result:Unknown Results; Comments: She had a CBC count on Monday, 04Jan2021; Test Date: 20210104; Test Name: Hemoglobin; Result Unstructured Data: Test Result:elevated; Comments: She had a slightly elevated Hemoglobin; Test Date: 20210104; Test Name: white blood count; Result Unstructured Data: Test Result:normal; Comments: white blood count was normal

Allergies:

Symptoms: feeling fatigue; she has swollen lymph nodes in the right axillary area and the right breast; swollen lymph nodes in the right axillary area and the right breast: She noticed at night on 05Jan2021 because it was sore; swollen lymph nodes in the right axillary area and the right breast: She noticed at night on 05Jan2021 because it was sore; had a slightly elevated Hemoglobin; soreness in the left arm where she received injection; This is a spontaneous report from a contactable consumer. A 33-year-old female patient started to receive bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: EK9231) in the left arm via an unspecified route of administration on 29Dec2020 08:00 at single dose for covid-19 immunisation. Medical history included supraventricular tachycardia from 2015 (It is under control currently. She was diagnosed in 2015 and she had ablation right away). The patient got the flu vaccine which was required by her workplace was Oct2020. She had flu symptoms, sore throat, and a little headache. Concomitant medication included colecalciferol (VITAMIN D) from 2020 and ongoing. The main side effects was soreness in the left arm where she received injection for one to two days. She couldn't lift her arm. Soreness in the left arm started around 17:00 on 29Dec2020. The patient had a physical on Monday (04Jan2021) and everything was perfectly fine. When she did all the blood work and everything was fine. She had a CBC count on Monday (04Jan2021) and the white blood count was normal. She had a slightly elevated Hemoglobin. All other test like calcium and blood sugar were all normal. Swollen lymph nodes in the right axillary area and the right breast: She noticed at night on 05Jan2021 because it was sore. Then on 06Jan2021 when she looked in the mirror she flexed her arm and saw a line around the breast and it was a little swollen. She got the injection in the left arm. She clarified that she has swollen lymph nodes in the right axillary area and the right breast. There is no swelling on the left. The patient stated today (08Jan2021) the swollen lymph nodes and breast is worse. She is feeling fatigue and can't palpate nodes in breast or axillary area. When she lifts her arm there is a line on the right breast. The outcome of Swollen lymph nodes was not recovered; of other events was unknown.

Other Meds: VITAMIN D [COLECALCIFEROL]

Current Illness:

ID: 0942861
Sex: U
Age:
State:

Vax Date: 01/06/2021
Onset Date:
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: little sore on the injection spot; This is a spontaneous report from a non-contactable pharmacist. A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration on 06Jan2021 at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient experienced "only felt little sore on the injection spot, no other symptoms and feeling great, so far." The 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: 0942862
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I get bronkidious after the Flu shots; 3 days 24/7 coughing; Initial information received on 11-Dec-2020 regarding an unsolicited valid non-serious case was received from a consumer (patient) via social media. This case involves an unknown age patient who get bronkidious after the Flu shots (bronchitis) , 3 days 24/7 coughing (cough), while he/she received vaccine Influenza Vaccine. The patient's past medical history, medical treatment(s), vaccination(s), concomitant medications and family history were not provided. On an unknown date, the patient received a dose of suspect Influenza Vaccine produced by unknown manufacturer lot number not reported via unknown route in unknown administration site, for Prophylactic vaccination. On an unknown date, it was reported that patient get bronkidious after the Flu shots (bronchitis) , 3 days 24/7 coughing (cough) will just take you out (Unknown latency) following the administration of Influenza Vaccine. Final diagnosis was patient get bronkidious after the Flu shots and 3 days 24/7 coughing. No laboratory data was reported. It was not reported if the patient received a corrective treatment. The event outcome was reported as Unknown for both events. No further information was reported.

Other Meds:

Current Illness:

ID: 0942863
Sex: F
Age: 73
State: CT

Vax Date: 11/03/2020
Onset Date:
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: shakes; She could not move her hands and toes, the back of her legs and arms; She has lost 13 pounds/She reports she felt like she had no skin on her bones; She was vomiting.; Initial information received on 06-Jan-2021 regarding an unsolicited valid non-serious case received from a consumer. This case involves Elderly female patient who experienced shakes (tremor), she could not move her hands and toes, the back of her legs and arms (hypokinesia), she was vomiting. (vomiting), she has lost 13 pounds/she reports she felt like she had no skin on her bones (weight decreased), while she received vaccine INFLUENZA QUADRIVAL A-B VACCINE [FLUZONE QIV]. The patient's medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications were unknown. On 03-Nov-2020, the patient received a dose of suspect INFLUENZA QUADRIVAL A-B VACCINE lot J536AA via unknown route in unknown administration site for prophylactic vaccination. On an unknown date, the patient developed a non-serious shakes (tremor), she could not move her hands and toes, the back of her legs and arms (hypokinesia), she was vomiting. (vomiting), she has lost 13 pounds/she reports she felt like she had no skin on her bones (weight decreased) (Unknown latency) following the administration of INFLUENZA QUADRIVAL A-B VACCINE. Relevant laboratory data was not reported. It was not reported if the patient received a corrective treatment. The outcome was reported as Resolving for all events.

Other Meds:

Current Illness:

ID: 0942864
Sex: M
Age:
State: MN

Vax Date:
Onset Date: 01/07/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: expired dose of DAPTACEL was given to a patient an 11 month old patient/no AE; Initial information regarding an unsolicited valid non-serious case via Agency (Reference number- 00420720) was received from a nurse and transmitted to Sanofi on 07-Jan-2021. This case involved an 11 month old male patient who received an expired dose of 0.5 ml of DIPHTHERIA-15/TETANUS/5 AC PERTUSSIS VACCINE [DAPTACEL] (lot number: C5367AA and Expiry date: 30-Jan-2021) on 07-Jan-2021 via unknown route at an unknown administration site for prophylactic vaccination (expired product administered). The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included HIB VACCINE CONJ (TET TOX) (ACT-HIB) for prophylactic vaccination. It was an actual medication error case due to expired vaccine used (latency same day). At the time of reporting, no adverse event was reported. Nurse stated another staff member couldn't put the product lot into the computer after she gave the dose. Also stated the employee was new and fortunately this was the first dose out of this box but didn't know how it slipped by and stayed in the refrigerator so long. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holders 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: 0942868
Sex: F
Age:
State: NJ

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: no additional AE; temperature excursion; This spontaneous report was received from medical assistant and refers to a 42-year-old female patient. Her pertinent medical history, concomitant medications and drug reactions or allergies were unknown. On 28-DEC-2020, the patient was vaccinated with improperly stored dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) (exact dose and route of administration were not reported) lot # S022598, expiration date 25-FEB-2022, 1 dose for prophylaxis. The medical assistant reported that the temperature excursion occurred on 24-DEC-2020, recorded temperature was 47.77 degrees Fahrenheit (F) for 31 minutes and there was no previous excursion. A digital data logger was used to capture the excursion. No additional adverse event was reported. combinationproductreport: Yes; brandname: GARDASIL 9 SYRINGE (DEVICE); commondevicename: HPV rL1 6 11 16 18 31 33 45 52 58 VLP vaccine (yeast); productcode: FMF; devicetype: SYRINGE, PISTON (FMF); manufacturername: Merck Sharp & Dohme Corp.; devicelotnumber: S022598; expirationdate: 25-FEB-2022; deviceage and unit: 0 ; malfunction: Unknown; deviceusage: Initial; reasonfornoneval: 81 Other; labeledsingleusedevice: No; mdcpreportability: No; mdcpreprationale: Case information does not meet the criteria for Reportability

Other Meds: GARDASIL 9 SYRINGE (DEVICE)

Current Illness:

ID: 0942869
Sex: F
Age:
State: MA

Vax Date: 11/25/2020
Onset Date: 12/04/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: Test Date: 202012; Test Name: Varicella IgM antibody; Result Unstructured Data: (Test Result:Varicella IgM antibody increased,Unit:unknown,Normal Low:,Normal High:)

Allergies:

Symptoms: Alterations in her mouth that seemed Bell?s Palsy; Not sure whether patient has Bell?s Palsy or shingles; This case was reported by a physician via call center representative and described the occurrence of bell's palsy in a 76-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. On 25th November 2020, the patient received the 1st dose of Shingrix. On 4th December 2020, 9 days after receiving Shingrix, the patient experienced bell's palsy (serious criteria GSK medically significant) and shingles. On an unknown date, the outcome of the bell's palsy and shingles were unknown. It was unknown if the reporter considered the bell's palsy and shingles to be related to Shingrix. Additional information was provided as follows: The age at vaccination was not reported, however it could be 75 or 76 years old. On 4th December 2020, the patient experienced little alterations in her mouth that seemed Bell?s Palsy. Her VZV (Varicella zoster virus) IgM antibodies levels were measured 4 weeks after vaccination and they had increased. The reporter was not sure whether patient had Bell?s palsy or shingles. The reporter was reticent to provide details but agreed to follow-up.

Other Meds:

Current Illness:

ID: 0942870
Sex: F
Age: 4
State: MI

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: FLUBLOK was administered to 4 year old female patient with no adverse event; Initial information regarding an unsolicited valid non-serious case was received from a nurse via Medical Information (Reference number- 00414233) and transmitted to Sanofi on 04-Jan-2021. This case was linked with 2021SA002156, 2021SA002607, 2021SA002631, 2021SA002726, 2021SA002799, 2021SA002850, 2021SA002575, 2021SA003127, 2021SA003182, 2021SA002085 (same reporter) This case involved a 4 year old female patient who was administered with a standard 0.5ml dose of INFLUENZA QUADRIVALENT RECOMBINANT VACCINE [FLUBLOK QIV] (prefilled syringe, lot UJ509AA, expiration date 10 May 2021) once via intramuscular route at the left deltoid for prophylactic vaccination on 22-Dec-2021 (Product administered to patient of inappropriate age). Medical history, past medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included MEASLES VACCINE LIVE (ENDERS-EDMONSTON), MUMPS VACCINE LIVE (JERYL LYNN), RUBELLA VACCINE LIVE (WISTAR RA 27/3) (MMRVAXPRO) and DIPHTHERIA VACCINE TOXOID, PERTUSSIS VACCINE ACELLULAR 3-COMPONENT, POLIO VACCINE INACT 3V (VERO), TETANUS VACCINE TOXOID (KINRIX) both for prophylactic vaccination. It was a case of actual medication error due to inappropriate age at vaccine administration (latency-same day). Reporter stated that FLUBLOK had been administered to 11 pediatric patients and would like to know if patients were covered for influenza vaccination for the season At the time of reporting, no adverse event reported (reported as none). 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: MMRVAXPRO; KINRIX

Current Illness:

ID: 0942871
Sex: U
Age:
State: VA

Vax Date:
Onset Date:
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The patient had an adverse event reaction at some point; Initial information received on 08-Jan-2021 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a patient who experienced the patient had an adverse event reaction at some point (adverse event), while he/she received vaccine INFLUENZA QUADRIVAL A-B VACCINE [FLUZONE QUADRIVALENT]. The patient's medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications were unknown. On an unknown date, the patient received a dose of suspect INFLUENZA QUADRIVAL A-B VACCINE lot number not reported via unknown route in unknown administration site for prophylactic vaccination. On an unknown date, the patient developed a non-serious the patient had an adverse event reaction at some point (adverse event) (Unknown latency) following the administration of INFLUENZA QUADRIVAL A-B VACCINE. Relevant laboratory data was not reported. It was not reported if the patient received a corrective treatment. The patient outcome is reported as Unknown for the patient had an adverse event reaction at some point. There will be no information available on the batch number for this case.

Other Meds:

Current Illness:

ID: 0942893
Sex: F
Age: 59
State: CO

Vax Date: 11/18/2020
Onset Date: 11/18/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: penicillin and its derivatives, latex, gluten, lactose intolerance, accumulated dust on surfaces , cigarette smoke

Symptoms: Significant shivering, especially from hips down through legs and feet and heat in kidneys area, headache, muscle weakness in both legs, energetic fatique, painful digestive bloat with pain wrapping around front and back of left-bottom of rib cage and radiating up left side of spine into back of left shoulder--this pain was so significant that it was difficult to take full breaths. Taking an NSAID helped to reduce this pain. Digestive distress continued daily for approximately 12 days, not as painful as the first attack. Bottom of left side of ribcage remains slightly tender to date.

Other Meds: probiotic+prebiotic, whole food multi-vitamin, plant-based omega-3, vitamin D3, vitamin C, amino acids complex, panax ginseng, cordyceps, magnesium+calcium+potassium complex

Current Illness: None. I have been in excellent health and fitness otherwise.

ID: 0942894
Sex: F
Age: 38
State: FL

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Flushing sensation, tachycardia, tongue swelling, dry mouth - occurred within 3 minutes of receiving vaccine. Benadryl 25 mg PO was immediately administered. I was observed for approximately 75 minutes. Dry mouth, flushing, and tachycardia resolved. I was able to eat and drink and drove home. My uvula appeared swollen until approximately 5 hours after the injection.

Other Meds: None

Current Illness: None

ID: 0942895
Sex: M
Age: 83
State: HI

Vax Date: 12/24/2020
Onset Date: 12/26/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: lactose, starceptic brand soap

Symptoms: Patient states that the vaccine administered to his left arm worsened his left arm weakness. He had surgery as listed earlier on 12/2/2020, he then mentioned to multiple healthcare providers on 12/21/2020 that he could not lift his left arm past his nipple line. He was then started on dexamethasone for three days. The vaccine was then given on 12/24/2020 to the left deltoid. Of note, PPSV23 was given to his right arm that day as well. The patient then states that a few days later and according to our documentation (1/2/21) he could no longer lift his left arm past his navel. He has been getting occupational/physical therapy with minimal to no improvement.

Other Meds: levocetirizine, astaxanthin, turmeric, furosemide, hydrocodone/acetaminophen, bioastin, ipratropium nasal spray, lidocaine patch, levothyroxine, cyclobenzaprine, bisacodyl suppository, senna/docusate, krill oil, tamsulosin, allopurinol, fam

Current Illness: cervical stenosis (had C3-C6 laminectomy and fusion on 12/2/2020) actually had new left arm weakness starting 12/21/2020, which is prior to injection, heart failure with current exacerbation

ID: 0942896
Sex: M
Age: 63
State: AZ

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Itchy eyes. Skin around both eyes turned red and puffy. Lasted about 24 hours. Stinging sensation in both eyes.

Other Meds: Lotrel, synthroid, HCTZ, Androgel, alfuzosin, atorvastatin

Current Illness: None

ID: 0942897
Sex: M
Age: 80
State: PA

Vax Date: 12/29/2020
Onset Date: 01/01/2021
Rec V Date: 01/14/2021
Hospital: Y

Lab Data: 1/1/21 2318 Troponin I ng/mL <0.02 ECG 12 lead Status: Final result Study Result Normal sinus rhythm Left axis deviation Right bundle branch block Abnormal ECG

Allergies: Nsaids High GI Bleeding Long term NSAID use, 30 years for back pain/migraines. Experienced GI bleed in 2013, no longer takes NSAIDS Vicodin [hydrocodone-acetaminophen] Medium GI Intolerance NAUSEA/VOMITING

Symptoms: History of Present Illness: ? Patient is a 80 y.o. male who presents with chest pain. Patient reported that he 1st had the chest pain approximately 2 weeks ago when he woke from sleep. At that time patient pain lasted about 5 minutes or so and resolved when he got out of bed. He did well for the rest of the day up until yesterday. Patient reported that yesterday morning he woke up with the pain at the lasted about 30 minutes or so. Patient also had associated burping felt that it is likely GI in nature. The pain was located mainly in the left side of the chest without any radiation. No diaphoresis. No shortness of breath or palpitation. No radiation for the pain. Since yesterday morning he had another 3 episodes of pain the last after dinner tonight. Patient reported that this pain was located more on the left side of the chest, likely lasted about 10 minutes or so. There was no exertional component to the pain. No known history of heart disease. Due to rather recurrent nature of the pain patient was brought to the hospital by his son who is a cardiologist to be evaluated. No fever or chills. No cough . Patient reported that he got vaccination for COVID 2 days ago-of a concern that this may be a side effect of the vaccine. No dizziness lightheadedness. Patient with history of GI bleed in the past at that time patient was on NSAIDs. Patient with burping associated with the pain

Other Meds: Medication List As of 12/29/2020 ?4:07 PM ALPRAZolam 1 mg Oral Daily at bedtime Atorvastatin Calcium 10 mg Oral Once at bedtime (Medrol Dose Pack ONLY) Celecoxib 200 mg TAKE ONE CAPSULE BY MOUTH EVERY DAY Gabapentin 300 mg Caps, TAKE

Current Illness: n.a.

ID: 0942898
Sex: F
Age: 32
State: OR

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: Penicillin, Bactrim, Sulfa

Symptoms: Approximately 24 hours after receiving the vaccine, I experienced extreme nausea and vomiting, diarrhea, lightheadedness/dizziness, and migraine. Symptoms began on Wednesday 12/30/2020 and lasted until Saturday 01/02/2021 after I called my primary care physician who prescribed Imodium and Zofran to help with the Diarrhea and Nausea/Vomiting. Symptoms lessened and around Monday 010/04/2021 I was able to keep fluids down and felt better overall.

Other Meds: Blisovi, Metoprolol, Citalopram

Current Illness: None known

ID: 0942899
Sex: F
Age: 52
State: TX

Vax Date: 01/06/2021
Onset Date: 01/10/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: generalize papular rash; very itchy, 4 days post vaccine, lasted 48hrs; treated with Benadryl

Other Meds: multivitamin, Slim4Life herbal supplements, EFA

Current Illness: None

ID: 0942900
Sex: M
Age: 80
State: AZ

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Peniccillin

Symptoms: Pneumococcal symptoms

Other Meds: Plavix, metropole largest. Losartan

Current Illness: None

ID: 0942901
Sex: F
Age: 47
State: PA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: pencillin

Symptoms: fever, body pain, head ache

Other Meds: nil

Current Illness: nil

ID: 0942902
Sex: M
Age: 49
State: AZ

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rapid heart rate, dizziness, light headed, felt like i was going to pass out - lasted a few minutes then went away. Maybe I was having a panic attack?

Other Meds:

Current Illness:

ID: 0942903
Sex: M
Age: 44
State: CO

Vax Date: 01/01/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Ache, chills, fatigue, headache. Fever of 101 at 7pm on 1/12/2021. Fever resolved by 11pm that nighr.

Other Meds: Vitamin d and c

Current Illness: No

ID: 0942904
Sex: M
Age: 50
State: PA

Vax Date: 12/29/2020
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital: Y

Lab Data: 1/9/21 2217 CRP mg/L 34.2 Ferritin ng/mL 558 1/10/20 XR CHEST PORTABLE Images: 2 FINDINGS: Cardiomediastinal silhouette appears unremarkable. Shallow depth of inspiration. Groundglass opacities right mid and left lower lung zones. No pneumothorax or pleural effusion. Osseous structures appear within normal limits for patient age. IMPRESSION: Groundglass opacities right mid and left lower lung zones. Although nonspecific, given clinical scenario, findings are suggestive of Covid-19 viral pneumonia. ECG 12 lead Status: Final result Study Result *** Age and gender specific ECG analysis *** Normal sinus rhythm Low voltage QRS Septal infarct , age undetermined Abnormal ECG No previous ECGs available

Allergies: Keflex [Cephalexin

Symptoms: Chief Complaint Patient presents with ? Generalized Body Aches Pt presents via EMS c/o DOE, dry non-productive cough, subjective fevers Tmax 101.9, decreased appetite, aches since testing + for COVID on 1/5. Patient is a 50 year old male with PMH of Crohns/MS on fingolimod presenting to the Hospital for fevers, shortness of breath and weakness. Patient received COVID vaccine on 12/29. Patient had initial left arm discomfort though has had worsening weakness, cough, shortness of breath and fevers since that time. Patient tested positive for COVID19 on Patient has shortness of breath with exertion that is relieved by rest. Patient denies N/V/D. Patient has taken tylenol at home to attempt to alleviate symptoms.

Other Meds: cholecalciferol (VITAMIN D3) 1,000 units tablet fingolimod (Gilenya) 0.5 MG capsule gabapentin (NEURONTIN) 100 mg capsule ibuprofen (MOTRIN) 600 mg tablet vitamin B-12 (VITAMIN B-12) 1,000 mcg tablet

Current Illness: n.a.

ID: 0942905
Sex: M
Age: 34
State: OH

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: ceclor, sulfa

Symptoms: For several hours I had no side effects, including soreness at the injection site. In the evening, maybe 6-8 hours after the injection, the site became sore. After midnight, I started having severe chills and needed several layers of clothing and blankets to stay warm. I checked for a fever and did not have one. In the morning the chills were gone but I had a strong headache that lingered with varying intensity throughout the day. It is unclear if the headache was more from the vaccine or more from a lack of sufficient sleep because I couldn't sleep with the chills. The injection site has continued to be sore and seems to be increasingly sore. After waking up on 1-13-2021, I found myself feeling fatigued and lethargic, not dissimilar to the fatigue I felt when I had COVID. The fatigue has somewhat subsided over the course of the day, with lots of rest helping. The headache and soreness are ongoing, and the fatigue is present but less than earlier today. There's been somewhat of an ongoing lack of appetite, but I've been able to eat in small amounts and keep down what I eat. The chills have come and gone a couple times throughout the day today, but that doesn't seem to last long.

Other Meds: Insulin Lispro, Vitamin D, Iron

Current Illness: None

ID: 0942906
Sex: M
Age: 41
State: OR

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Pending covid 19 pcr test scheduled for 01/14/21

Allergies: None known

Symptoms: Fever 103.8 Perspiration Generalized fatigue and weakness Mild dyspnea without cough- now resolved. Soreness at injection site right arm.

Other Meds: Lisinopril Allupurinol

Current Illness: Gout

ID: 0942907
Sex: F
Age: 25
State: IN

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Allergy to mango

Symptoms: I have never had abnormal menstrual cycles. I have a cycle every 4 weeks and 5 days. I am not sexually active. I have had no sudden stressful events/changed in diet/change in activity. Following the vaccine I had moderate lower back and right lower quadrant abdominal pain that I wrote off as maybe something I ate. This cramping pain did not cease and stayed at a severity of 4/10. I did not take over the counters for relief. Upon wakening the the next day I found I had bled through my under garmets and had a severe headache. This went away as the day professed and I did not have any more break through bleeding since.

Other Meds: None

Current Illness: No illness

ID: 0942908
Sex: F
Age: 59
State: CA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: right after vaccine, she went to the observation area. Once there she stated having heart palpitations and chest pain. She was taken to the ED for evaluation

Other Meds:

Current Illness:

ID: 0942909
Sex: M
Age: 68
State: PA

Vax Date: 12/28/2020
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital: Y

Lab Data: 1/12/2021 CTA NECK AND BRAIN WITH AND WITHOUT CONTRAST: IMPRESSION: ? No mass effect, acute intracranial hemorrhage or evidence of recent infarction. ? No evidence for high-grade stenosis, major branch vessel occlusion or vascular aneurysm of the intracranial circulation. ? Atherosclerotic plaque at the carotid bulbs. No evidence for high-grade stenosis or focal occlusion. 1/13/21 MRI BRAIN WITHOUT CONTRAST IMPRESSION: ? Mild chronic microangiopathic change within the cerebral hemispheres. No mass, hemorrhage or acute ischemia. No etiology for vertigo identified.

Allergies: n.a

Symptoms: Chief Complaint Patient presents with ? Vomiting ? ? pt reports dry heaving and nausea that started an hour ago ? Patient is an 68 y.o. year old male with PMHx significant for HTN, BPH, who presents to the ED today with nausea and dry heaving for one hour PTA. States that he was at work as a courier when he had onset of sensation of room spinning, nausea, and dry heaving. Also having tinnitus which he thinks is b/l. This happened once about two weeks ago and resolved spontaneously overnight when he was asleep. No preceding illnesses, medication changes, or other associated symptoms. Vertigo has no clear exacerbating or relieving factors. Has not yet taken anything for symptoms. ? The patient denies fevers, chills, headaches, syncope, chest pain, shortness of breath, rhinorrhea, sore throat, cough, abdominal pain, changes in usual bowel movements, changes with urination, back pain, pain anywhere else in body. The patient has no sick contacts, recent travel history.

Other Meds: Medication List As of 12/28/2020 ?9:21 AM Lisinopril 20 mg Oral Daily Sildenafil Citrate 20 mg Take 3-5 tablets PO PRN erectile dysfunction Tamsulosin HCl 0.4 mg Oral Daily with dinner

Current Illness: n.a

ID: 0942910
Sex: M
Age: 40
State: CA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: severe headache, neck stiffness, fever up to 102F, diffuse myalgias; symptoms started ~12 hr after 2nd dose and persisted for another ~48-60hr before resolving

Other Meds: famotidine

Current Illness: None

ID: 0942911
Sex: F
Age: 27
State: CA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None on site

Allergies: NKDA. did not report food or product allergies

Symptoms: Hives on chest, neck, and face, headache, diaphoresis five min after COVID vaccine A & O x4, ambulates. Administered Benadryl 50mg PO. symptoms persist after 20min. Called 911, evaluated and transported to Emergency Dept.

Other Meds: Claritin for seasonal allergies

Current Illness: none reported

ID: 0942912
Sex: F
Age: 56
State: AK

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None at this time. Used cortisone cream and took antihistamine

Allergies: Flagyl

Symptoms: 1 week post: Right arm injection site became itchy, swollen, red, with a histamine rash and hardened nodule. Lymph nodes at arm only slightly swollen/tender.

Other Meds: Vitamins, calcium, glucosamine, fish oil, vit D, probiotics

Current Illness: None

ID: 0942913
Sex: M
Age:
State: AZ

Vax Date: 01/18/2021
Onset Date:
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: None stated.

Other Meds: Losartan Hydroclorrizide Biktarvy Centrum (adults)

Current Illness: hiv-+ high blood pressure

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm