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: 0943496
Sex: M
Age: 33
State: IN

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

Lab Data:

Allergies: NKDA

Symptoms: Left arm pain that began around 5pm. Chills and headache started around 7pm. Low grade fever, hot flashes and cold chills persistent all night.

Other Meds: None

Current Illness: None

ID: 0943497
Sex: F
Age: 62
State: IN

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

Lab Data: None

Allergies: None

Symptoms: Knot in arm, very sore arm, severe headache, fatigue, chills, fever, nauseous all on first night after shot. All gone by next morning with the exception of the headache, which is not as severe now.

Other Meds: Lisinopril, baby aspirin, Zyrtec

Current Illness: Head cold in at end of December

ID: 0943498
Sex: F
Age: 68
State: WA

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

Lab Data: None at the time of this report

Allergies: None stated

Symptoms: .3After receiving the vaccine, being monitored for 15 minutes the patient returned home. At approximately 1530 she called clinic concerned about a rash, redness and itching on left arm. On arrival to the clinic she was found to have erythematous macules on her upper inner arm staring to extend down her left arm. She also had a large red macule on upper inner right arm and some small areas under her eyes, all that were itchy. There was no throat swelling, wheezing, SOB or chest pain. She was given 60 mg of prednisone and 50 mg of diphenhydramine orally and observed for 30 minutes. Her rash intensity reduced and the itching stopped. Advised she should not receive second dose of vaccine

Other Meds: Prednisone

Current Illness: None reported

ID: 0943500
Sex: M
Age: 35
State: NY

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

Lab Data: none

Allergies: Sulfa

Symptoms: Within 1 hour of receiving vaccine patient complained of metal taste in his mouth, palpitations, fatigue, skin pruritus and rash. He went to the emergency room and was treated with Benadryl and steroids. The following morning he continued to have skin pruritus and developed a few skin lesions. He was also fatigued and had some shortness of breath with exertion. He had Allegra in the home so he was encouraged to take it and also had been prescribed Benadryl which he could take as needed.

Other Meds: Dupixent, fexofenadine, Xhance nasal spray

Current Illness: nasal polyps, chronic sinusitis, eczema

ID: 0943501
Sex: F
Age: 36
State: WA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Symptoms started approximately 16 hours after receiving the vaccine. Body aches all over including breast, under arms, legs, feet stomach. Horrible headache that did improve with tylenol and ibuprofen taken at the same time. Body shakes and can't control body temperature. Felt freezing cold but skin was very hot to the touch (according to my husband). Then, I started sweating and felt really hot and couldn't cool down. Felt nauseous but no vomiting. Could not sleep but felt very tired. Today is now 48 hours after vaccine and body aches are gone but I am still extremely fatigued.

Other Meds: Birth Control (Apria), Vitamin B12, Probiotic, Biotin

Current Illness: None

ID: 0943502
Sex: F
Age: 87
State: MI

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 24 hours following vaccination resident experienced emesis X1 & low grade fever.

Other Meds: Tylenol, Toprol, Vitamin D, Loratidine, Zyprexa, Preservision

Current Illness: COVID 19 on 12/04/2020

ID: 0943503
Sex: M
Age: 55
State: FL

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

Lab Data: VS: BP 139/89, HR 75, SPO2 98% on room air, temp 97.7 F.

Allergies: NKDA

Symptoms: Flushed, diaphoretic, itching, and nausea. Vitals obtained (below). Vitals within normal limits. Patient denied dyspnea or SOB. Evaluated by a Primary Care Physician. Monitored for a total of 30 min until symptoms went away on their own. No medications given. Vaccine was given around 10AM. Patient presented back to immunizations clinic at approximately 10:40 AM. Was discharged from clinic at 11:10 AM. Instructed to follow-up with primary care provider.

Other Meds:

Current Illness:

ID: 0943504
Sex: F
Age: 74
State: WI

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Systemic: Anaphylaxis-Severe; symptoms lasted 1 day

Other Meds:

Current Illness:

ID: 0943505
Sex: F
Age: 69
State: FL

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

Lab Data: none

Allergies: Latex exam gloves

Symptoms: Patient stated she developed a blister around the size of a quarter on her right dorsal foot and ultimately ended up with all over pruritus and urticaria. states that it was pretty much head to toe. She utilized high-dose Benadryl and topical cortisone and after stated resolution

Other Meds: diclofenac, lunesta, ipratropium nasal spray, metformin, singulair, probiotic, crestor

Current Illness: none known

ID: 0943506
Sex: F
Age: 39
State: MD

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

Lab Data:

Allergies: Pcn

Symptoms: Shingles under R breast Valtrex 1g tid x 7 days

Other Meds: Vit D, Vit C, magnesium

Current Illness: n/a

ID: 0943507
Sex: F
Age: 78
State: PA

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital: Y

Lab Data: None

Allergies: Amoxicillin, Pseudoephedrine, Latex, Tape

Symptoms: Resident, , initially started on the 11th with mental status changes. She was unable to follow directions, pocketing food, all new for her. She was sent toHospital ( and she was sent back with orders to monitor and increase fluid intakes. On 1/13/2021 was found seizing and was again transferred to hospital where she was admitted with a seizure diagnosis which is a new diagnosis for her.

Other Meds: Aricept daily, Aspirin daily, Vitamin D3 daily, Melatonin q hs, Multi-vitamins with minerals daily, Miralax daily, Seroquel TID, Rosuvastatin daily, Gabapentin daily, Senna BID, Acetaminophen q 8 hours, Diclofenac gel TID,

Current Illness: None

ID: 0943509
Sex: F
Age: 66
State: AZ

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

Lab Data: N/A

Allergies: Penicillin shellfish

Symptoms: N/A

Other Meds: Acyclovir 400mg and omeprazole and allergies shoots once a month

Current Illness: arthritis in the knees

ID: 0943510
Sex: F
Age: 33
State: PR

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

Lab Data:

Allergies:

Symptoms: Patient reports that after vaccine administration she presented redness in the injection site, arm pain, and induration. Patient refers that she applied ice on the area and took Panadol.

Other Meds:

Current Illness:

ID: 0943511
Sex: M
Age: 39
State: NY

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: none.

Allergies: none

Symptoms: Chills and weakness lasting for 48 hours.

Other Meds: In the morning, I took Nutrilite Vitamin D and Vitamin C

Current Illness: none

ID: 0943513
Sex: F
Age: 61
State: CO

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Fever to 102 F. Chills. Total body aches. Severe headache. Nausea. All began around midnight, 16 hours post-shot. Worsened throughout the night and began to diminish about 8 hours later. After about 12 hours had only slight fever, more manageable headache, was achy all over and fatigued. Back to baseline 36 hours after onset of symptoms.

Other Meds: Atorvastatin Synthroid

Current Illness:

ID: 0943514
Sex: M
Age: 93
State: AL

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

Lab Data: None so far

Allergies: None

Symptoms: No energy, could hardly get out of bed, can?t hardly move legs

Other Meds: Sinemet ( Parkinson?s) , ropinorol, naprosyn, probiotics, multivitamin, etc

Current Illness: None

ID: 0943515
Sex: M
Age: 44
State: PR

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

Lab Data: CARDIAC MONITORING

Allergies: none

Symptoms: SHORTNESS OF BREATH 30 MINUTES AFTER VACCINATION

Other Meds: none

Current Illness: none

ID: 0943516
Sex: M
Age: 72
State: AL

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

Lab Data: Medical Director notified and asked us to report adverse event.

Allergies: NKA

Symptoms: Redness noted around injection site approx. 1 hour after administration. Next morning a couple of red streaks noted & Cold compress applied. Resident on scheduled Benadryl. Today, redness extends to elbow. PRN Benadryl given.

Other Meds: Humalog, Lantus, Metformin, Potassium Chloride ER, Ferrous Sulfate, Magnesium Oxide, Escitalopram Oxalate, Aspirin EC, K2 plus D3, Lasix, Vit C, Wellbutrin XL, Requip, Primidone, Vit D3, Dexamethasone Acetate, Benadryl, Atorvastatin,

Current Illness: None

ID: 0943518
Sex: F
Age: 28
State: NC

Vax Date: 12/19/2020
Onset Date: 01/03/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: no known allergies

Symptoms: Developed a rash around my neck and swollen eyes (thought to be poison ivy) on 1/3/2021. Since that time, the rash has spread to my back, abdomen, chest, neck, ears. It appears to be urticaria and is extremely itchy. I completed a steroid taper early on and the rash is no loner affecting my face. I am taking daily antihistamines and using hydrocortisone cream for the itching. The rash continues to spread and is made worse with scratching. I am unsure if this is related to the vaccine, but this has never happened before and I have no known allergies. I got the second vaccine on 1/8/2021 (at the time the rash was improving and I thought it to be poison ivy).

Other Meds: multivitamin

Current Illness: none

ID: 0943519
Sex: F
Age: 45
State: AZ

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

Lab Data:

Allergies: latex, sulfa

Symptoms: Headache, dizziness, fatigue, and night sweats, and slight nausea. I took Aleve for the headache, it did help.

Other Meds: Birth Control-Kurvelo, & Spironolacton

Current Illness: none

ID: 0943520
Sex: F
Age: 54
State: NV

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

Lab Data:

Allergies:

Symptoms: Systemic: Vomiting

Other Meds:

Current Illness:

ID: 0943521
Sex: F
Age: 37
State: IN

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

Lab Data:

Allergies: Nka

Symptoms: Extreme fatigue Headaches Swollen lymph node left armpit size of soft ball very sore

Other Meds: Advair Labatelol Spirinolactin Hydrochlorothiazide

Current Illness: None

ID: 0943523
Sex: F
Age: 46
State: MD

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: 8 days from the date of injection, my arm again became sore to touch at the injection site. At the same time, I also developed a red area (about 2 inches wide) at the injection site, which is warm to touch. This is accompanied by a mild dull ache throughout my left arm. This started yesterday (the 8th day since receiving the vaccine) and is still present today (9th day since vaccine)

Other Meds: none

Current Illness: none

ID: 0943524
Sex: F
Age: 43
State: GA

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: lab, ekg, cxr, fluids and potassium given

Allergies: hydrocodone

Symptoms: fast heart rate (135), nausea, diarrhea, chills, fever 101.3

Other Meds: Zinc, Vitamin C, Vitamin D3

Current Illness: COVID positive 12/14/2020 and asthma allergy issues.

ID: 0943525
Sex: F
Age: 66
State: CA

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

Lab Data:

Allergies:

Symptoms: Body Aches Back aches chest tightness

Other Meds:

Current Illness:

ID: 0943526
Sex: F
Age: 50
State: TX

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

Lab Data:

Allergies:

Symptoms: Symptoms - ? EE reports at approximately 2:00 pm she began feeling tired and so fatigued she left work. EE reports at time of call still fatigued, with muscle weakness and joint pain. EE denies fever. EE denies COVID-19 exposure without proper PPE and recent travel. Last day of work and shift - ? yesterday Home remedies? - rest Any improvement? - mild Recommendation? EE reports she called off of work today due to feeling unwell. EE encouraged to continue to monitor her symptoms and to contact the vaccine support line for further questions or concerns. EE educated to continue to manage per Illness in the Workplace Policy. EE verbalized back understanding and denied further questions at this time.

Other Meds:

Current Illness:

ID: 0943528
Sex: F
Age: 34
State: NE

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

Lab Data: none at this time

Allergies: seasonal allergies, monostate

Symptoms: left lower leg pain

Other Meds: ibuprofen

Current Illness: None

ID: 0943529
Sex: F
Age: 62
State: MN

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: N/A

Allergies: valsartan

Symptoms: I had to leave work as I was achy, fatigued and had a headache

Other Meds: metoprolol, Advair discus, Singulair

Current Illness: None

ID: 0943532
Sex: F
Age: 29
State: IN

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

Lab Data: Negative Covid result 1/10/21 swab done 1/8/21

Allergies: Codeine, Azithromycin, Doxycycline, Sulfa, and nickel.

Symptoms: Received 1st vaccine 1/5/21. Arm was tender. Around midnight 1/6/21 my arm was very painful to the touch, move, awful. 24 hours later just sore. On 1/7/2021 I started to feel short of breath and run down. Sinus infection symptoms. I was sent home from work to get a COVID swab. That evening I lost my taste and began to feel achey. Negative test on 1/10/21. Saw urgent care on 1/9/21 for Covid swab and visit. He diagnosed viral and was sure I was positive. On 1/11/21 my energy returned and I wasn?t achey. Congestion and cough. By 1/13/21 felt fine other than lingering wet cough. This morning, 1/14/21 I noticed my arm itched and looked at it and I?ve got a small red rash around the injection sight and tenderness on palpation.

Other Meds: Adderall 40mg a day, Wellbutrin, naproxen, mucinex

Current Illness:

ID: 0943535
Sex: F
Age: 34
State: IN

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

Lab Data:

Allergies:

Symptoms: Muscle aches, joint pain, headache, nausea, weakness. Lasted ~24 hours.

Other Meds:

Current Illness:

ID: 0943537
Sex: M
Age: 46
State: TX

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

Lab Data: None

Allergies: None

Symptoms: I started having fever chills, fever and headache combined, as well as fatigue.

Other Meds: Zinc, Vitamin C and D

Current Illness: None

ID: 0943538
Sex: M
Age: 35
State: GA

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

Lab Data:

Allergies: None

Symptoms: On 1/11/21 At 4:30pm I started with Chills/Shivers. At 7:30pm the body pains and headache started with fever. That lasted through the night. On 1/12/21 the fever stopped but body pains and headache still persists all day. On 1/13/21 woke up at 7am. No headache but still a bit of body pain till about 8pm. After 8pm I was about to get out of bed and move freely.

Other Meds: None

Current Illness: IBS

ID: 0943539
Sex: F
Age: 38
State: CT

Vax Date: 01/05/2021
Onset Date: 01/07/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: At site of injection, itching, swelling, redness, warmth redness and warmth was in a 8 cm diameter continued and looked worse on day 8 (01/13/21) sought medical attention on 01/14/21 to rule out cellulitis, dr believes it to be localized adverse reaction to injection site area beginning to look better on day 9 (01/14/21)

Other Meds: Charlotte Birth Control, Flintstone Multi-Vitamin, Vitamin C, Vitamin D

Current Illness: None

ID: 0943541
Sex: F
Age: 49
State: FL

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

Lab Data: na

Allergies: Metronidazole

Symptoms: Day after redness, hot and large lump. Benedryl and Tylenol taken. Few days later, continued redness. Tylenol taken Day 7 redness subsided but injection site still warm, itchy and sore Day 14 no more redness but injection site still warm and itchy Day 15, injection site still warm and itchy. Today a red ring about an inch around the entire injection site appeared.

Other Meds: Lisinopril 40MG daily Fluoxetine HCL 40MG daily

Current Illness:

ID: 0943542
Sex: U
Age:
State: KS

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

Lab Data:

Allergies:

Symptoms: No adverse event; temperature excursion; This spontaneous report has been received from a registered nurse referring to a patient of unknown age and gender. Information regarding the patient's medical history, drug reactions or allergies, concurrent conditions and concomitant medications was not provided. On 29-DEC-2020, the patient was vaccinated with an improperly stored dose of pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) (strength, indication, dose, route, frequency, and anatomical location were not provided) lot # T032003 with expiration date of 08-MAY-2022 for prophylaxis. The vaccines were exposed to a temperature below 2 C for 24 minutes. Data logger was used (product storage error). Lot number T02003 is an invalid lot number for pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23). Lot number T02003 does not match any company product as confirmed by Lot verification team. combinationproductreport: Yes; brandname: PNEUMOVAX23 SYRINGE (DEVICE); commondevicename: Pneumococcal Vaccine, Polyvalent (23-valent); productcode: FMF; devicetype: SYRINGE, PISTON (FMF); manufacturername: Merck Sharp & Dohme Corp.; devicelotnumber: T032003; expirationdate: 08-MAY-2022; deviceage and unit: 0 ; malfunction: Unknown; deviceusage: Initial; evaluatedbymfr: Not returned to manufacturer; reasonfornoneval: 81 Other; labeledsingleusedevice: No; mdcpreportability: No; mdcpreprationale: Case information does not meet the criteria for Reportability

Other Meds: PNEUMOVAX23 SYRINGE (DEVICE); PNEUMOVAX23 SYRINGE (DEVICE); PNEUMOVAX23 SYRINGE (DEVICE)

Current Illness:

ID: 0943543
Sex: F
Age: 38
State: TX

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

Lab Data: Covid Test PCR performed 3 times: Negative (12/31, 1/5,1/9) CMP shows AKI and elevated LFT (1/9/20221) CBC shows low RBC, higher level of normal WBC (1/9, 1/12) High Neutrophyls (1/9, 1/12) CRP and Sed Rate normal (1/12)

Allergies: Biaxin: Rash Fentanyl: Anaphylaxis

Symptoms: On 12/28/2020 at 1930 I had a throbbing HA, nausea, chills, no appetite, body aches, extreme fatigue and low grade fever. Temp was 99.4-100.3. 1 gram of Tylenol was taken that evening, to relieve HA pain. Zofran 4 mg ODT was also taken for nausea. The following morning, I felt extremely fatigued and had a persistent headache that was not consistently responsive to OTC meds. I developed a fever on 12/29/2020 in the evening. Low grade and ranging 99.3-100.6. Along with fever, my s/s were extreme fatigue, no appetite, headache, body aches, chills. On 12/30/2020, I spiked a Tmax of 101.0 around 11 am. Again, the same s/s were there. I went home from work early. Same s/s and low grade fever persisted past 7 days, so I called my PCP as well as the Pharmacy where I received the vaccine. On the 10th day after vaccination, I notified my Infectious Disease Dr. He advised me to wait 6 months to 1 year to receive the second injection. He stated that my s/s were likely vaccine related and would go away with time. Fever persists through every day for the month of January 2021, with exact same symptoms. Started to notice Shortness of breath with activity, occasional sharp pain in chest. Presented to ER on 01/09/2021 with chest pain and shortness of breath. Labs revealed Acute Kidney Injury and Transaminitis. Cardiac work-up was performed, all tests negative. I was hypotensive. MD recommended I either get transferred to hospital, or stay in ER for min 23 hours observation for monitoring of kidney function and blood pressure. I received 2 L of Normal Saline. BP eventually began to rise with SBP above 90 and DBP above 40. (Normal BP range for me is 120/60-70's. Baseline Creatinine is 0.9. Discharged from ER per patient request, after second Creatinine level came down to 1.5. MD advised patient to not return to work for the next 2 business days. Spoke with PCP on 1/11/2021 in AM, and informed him of the events over the weekend. Also informed him that I am still febrile with same symptoms as reported previously. Was told I could not return to work until I was fever free. Was fever free for about 12 hours, until evening of 1/12/2021. MD not allow patient to RTW.

Other Meds: No OTC medications were taken for prophylactic effects of vaccine, prior to nor after the vaccine. Normal scheduled prescription medications were taken the morning of 12/28/2020 @ 0630.

Current Illness: Migraines

ID: 0943546
Sex: F
Age: 43
State: MN

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: I developed a spotty rash on my face and ankle Wednesday afternoon. By the evening, it had spread to my hands and arms. I woke up in the middle of the night and my hands,face,scalp,ears,wrists knees and ankles were covered by a raised blotchy painful , itchy rash. I took a. Claritin, famotadine and a Benadryl with some minor relief. I have not had a formal eval yet.

Other Meds: Nuva ring, Bactrim ds, multi vitamin, vitamin D.

Current Illness: Uti

ID: 0943547
Sex: U
Age:
State: VA

Vax Date: 12/31/2020
Onset Date:
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: improperly stored vaccine administered; This spontaneous report has been received from a medical assistant referring to a patient of unknown age. Information regarding the patient's medical history, drug reactions or allergies, concurrent conditions and concomitant medications was not provided. On 31-DEC-2020, the patient was vaccinated with hepatitis a vaccine, inactivated (VAQTA) (strength, dose, route, frequency and anatomical location were not provided) lot # T013204 with expiration date of 03-DEC-2021 for prophylaxis. The vaccine was exposed to a temperature below 36 F for 5 hours and 40 minutes. There were no previous temperature excursions and the vaccines were back in range. Data logger was used (product storage error). combinationproductreport: Yes; brandname: VAQTA SYRINGE (DEVICE); commondevicename: Hepatitis A Vaccine, Inactivated; productcode: FMF; devicetype: SYRINGE, PISTON (FMF); manufacturername: Merck Sharp & Dohme Corp. ; devicelotnumber: T013204; expirationdate: 03-DEC-2021; deviceage and unit: 0 ; malfunction: Unknown; deviceusage: Initial; evaluatedbymfr: Not returned to manufacturer; reasonfornoneval: 81 Other; labeledsingleusedevice: No; mdcpreportability: No; mdcpreprationale: Case information does not meet the criteria for Reportability

Other Meds: VAQTA SYRINGE (DEVICE)

Current Illness:

ID: 0943548
Sex: F
Age: 44
State: IL

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

Lab Data:

Allergies: no known allergies

Symptoms: Error: Diluent Administered Instead of Vaccine; symptoms lasted 0 days

Other Meds:

Current Illness:

ID: 0943549
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: No Additional AE; Consumer reporting administration of improperly stored VAQTA and VARIVAX; Information has been received from a consumer regarding itself, a patient of unknown age and gender. The patient's medical history, drug allergies, previously drug reactions, concurrent conditions and concomitant medications were not reported. On 11-JAN-2021, the patient was vaccinated with an improperly stored hepatitis a vaccine, inactivated (VAQTA) lot # S037576 with expiration date 10-APR-2021 and varicella virus vaccine live (Oka/Merck) (VARIVAX) lot number T020653 with expiration date reported as 12-JUN-2022, but upon internal validation 16-JUN-2022 (dose, route of administration, strength and anatomical location not reported). Both vaccines were administered as prophylaxis. The varicella virus vaccine live (Oka/Merck) (VARIVAX) and hepatitis a vaccine, inactivated (VAQTA) were stored at a temperature of 14 degrees Fahrenheit (?F) for the time frame of 1 hour and at a temperature of 21.3?F for 1 hour (time frame also reported as 2 hours). There was no previous temperature excursion and the call was because of a data logger. No adverse effects reported. combinationproductreport: Yes; brandname: VAQTA SYRINGE (DEVICE); commondevicename: Hepatitis A Vaccine, Inactivated; productcode: FMF; devicetype: SYRINGE, PISTON (FMF); manufacturername: Merck Sharp & Dohme Corp. devicelotnumber: S037576; expirationdate: 10-APR-2021; deviceage and unit: 0 ; malfunction: Unknown; deviceusage: Initial; evaluatedbymfr: Not returned to manufacturer; reasonfornoneval: 81 Other; labeledsingleusedevice: No; mdcpreportability: No; mdcpreprationale: Case information does not meet the criteria for Reportability

Other Meds: VAQTA SYRINGE (DEVICE)

Current Illness:

ID: 0943550
Sex: F
Age:
State: CA

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

Lab Data:

Allergies:

Symptoms: loss of consciousness; felt flush; felt hot / felt warm; This case was reported by a pharmacist via call center representative and described the occurrence of loss of consciousness in a adult female patient who received Herpes zoster (Shingrix) for prophylaxis. In November 2020, the patient received the 1st dose of Shingrix. In November 2020, 1 day after receiving Shingrix, the patient experienced loss of consciousness (serious criteria GSK medically significant), flushing and feeling hot. On an unknown date, the outcome of the loss of consciousness, flushing and feeling hot were unknown. It was unknown if the reporter considered the loss of consciousness, flushing and feeling hot to be related to Shingrix. Additional details were reported as follows: The age at vaccination was not reported. The patient experienced loss of consciousness, felt warm, felt hot, and felt flush the next day, one day after the first dose of Shingrix (unknown day in November 2020). Consented to follow up.

Other Meds:

Current Illness:

ID: 0943551
Sex: M
Age:
State:

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

Lab Data:

Allergies:

Symptoms: synthetic flu from the flu shot; Initial information received on 21-Nov-2020 regarding an unsolicited valid non-serious case from a consumer/non-healthcare professional (grandparent of the patient). This case involves a male patient of an unknown age who had synthetic flu from the flu shot (influenza), while he received INFLUENZA VACCINE. The patient's medical history, past medical treatment(s), vaccination(s) and family history were not provided. Concomitant medication was not reported. On an unknown date, the patient received a dose of suspect INFLUENZA VACCINE [lot number: unknown and expiration date: unknown] at an unknown dose and frequency via unknown route and unknown site for prophylactic vaccination. On an unknown date (unknown latency), after starting the suspect vaccine therapy, the patient had synthetic flu from the flu shot (influenza). No laboratory data was not reported. It was not reported if the patient received any corrective treatment. At the time of reporting, outcome of the event was unknown.

Other Meds:

Current Illness:

ID: 0943552
Sex: F
Age: 43
State: MN

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

Lab Data:

Allergies:

Symptoms: Patient complains of fever, chills, body aches, headache and fatigue

Other Meds:

Current Illness:

ID: 0943553
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: I dont get the flu shots anymore. When I did I got sick; Initial information received on 08-Dec-2020 regarding an unsolicited valid non-serious case received from a consumer (patient) via media. This case involves an unknown age patient for whom patient did not get the flu shots anymore. when patient did he/she got sick (illness) was reported, 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 did not get the flu shots anymore. when patient did he/she got sick (illness) (Unknown latency) following the administration of influenza vaccine. So no more shots. Final diagnosis was patient did not get the flu shots anymore. when patient did he/she got sick. No laboratory data was reported. It was not reported if the patient received a corrective treatment. The event outcome was reported as Unknown. No further information was reported.

Other Meds:

Current Illness:

ID: 0943554
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: in 56 years only had flu like symptoms 3 times, within days of getting a flu shot; Initial information regarding this unsolicited valid non-serious media case received from a consumer (patient) and transmitted to Sanofi on 08-Dec-2020. This case involved a patient who experienced flu like symptoms, after receiving vaccine INFLUENZA VACCINE. Relevant medical history, 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 and expiry date not reported) via unknown route in unknown administration site for prophylactic vaccination. On an unknown date, the patient developed a non-serious flu like symptoms ((influenza like illness) 3 times, within days of getting a flu shot, unknown latency following the administration of INFLUENZA VACCINE. Relevant laboratory test was not reported. Final diagnosis was influenza like illness. It was not reported if the patient received a corrective treatment. At the time of reporting, the outcome was unknown for the reported event. There would be no information available on batch number for this case

Other Meds:

Current Illness:

ID: 0943555
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: The one time I got a flu shot I got to sick; Initial information received on 09-Dec-2020 regarding an unsolicited valid non-serious case received from a consumer (patient) via media. This case involves an unknown age patient for whom the one time patient got a flu shot patient got to sick to die not happening again had not the flu In over 15 years (illness) was reported, 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 the one time patient got a flu shot patient got to sick to die not happening again had not the flu In over 15 years (illness) (Unknown latency) following the administration of influenza vaccine. Final diagnosis was the one time patient got a flu shot patient got to sick to die not happening again had not the flu In over 15 years. No laboratory data was reported. It was not reported if the patient received a corrective treatment. The event outcome was reported as Unknown. No further information was reported.

Other Meds:

Current Illness:

ID: 0943556
Sex: F
Age: 63
State: IL

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Bee allergy

Symptoms: Fever of 100.1, chills, body aches (Lower half of body only), headache, extreme fatigue. Missed work. Started at 4 am, about 18 hrs after vaccine given. Lasted 24 hrs.

Other Meds: none

Current Illness: none

ID: 0943557
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Got it 25 years ago and I I got the flu; Initial information regarding an unsolicited valid non-serious case received from a consumer via media and transmitted to Sanofi on 08-Dec-2020. This case involved an unknown age patient who reported influenza vaccine got it 25 years ago and got the flu (Influenza). The patient's medical history, medical treatment(s), vaccination(s) 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. On unknown date, (latency unknown) patient reported influenza vaccine got it 25 years ago and got the flu (influenza). It was not reported if the patient received a corrective treatment. The event outcome was reported as Unknown.

Other Meds:

Current Illness:

ID: 0943559
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: sore arm for a few days; Initial information regarding an unsolicited valid non-serious case received from a consumer via media and transmitted to Sanofi on 13-Dec-2020. This case involved an unknown age patient who experienced sore arm for a few days (Pain in extremity), while he/she received vaccine INFLUENZA VACCINE. The patient's medical history, medical treatment(s), vaccination(s) 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. On unknown date, (latency unknown) Got flu shot every year. Patient reported never had a problem except a sore arm for a few days (Pain in extremity), while received vaccine influenza vaccine. It was not reported if the patient received a corrective treatment. The event outcome was reported as Unknown.

Other Meds:

Current Illness:

ID: 0943560
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: I'm sick one whole month and counting later after my shot.; Initial information received on 12-Dec-2020 regarding an unsolicited valid non-serious case received was received from a consumer (patient) via media. This case involves an unknown age patient who sick one whole month and counting later after her/his shot (illness), 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 the patient sick one whole month and counting later after her/his shot (illness) (Unknown latency) following the administration of Influenza Vaccine. Final diagnosis was the patient sick one whole month and counting later after her/his shot (illness). No laboratory data was reported. It was not reported if the patient received a corrective treatment. The event outcome was reported as Unknown. No further information was reported.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm