VAERS 2021 Database www.vaers.hhs.gov

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VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer

Incidents per State

State Total
65,492
AK1,571
AL4,992
AR3,141
AS44
AZ12,836
CA55,477
CO10,545
CT7,439
DC1,584
DE1,580
FL34,061
FM3
GA12,639
GU74
HI2,090
IA4,145
ID2,375
IL18,406
IN22,125
KS4,090
KY6,318
LA4,446
MA13,278
MD11,401
ME2,880
MH8
MI16,915
MN10,773
MO8,433
MP30
MS2,513
MT2,043
NC14,577
ND1,187
NE2,579
NH2,741
NJ16,287
NM3,564
NV3,846
NY31,275
OH17,205
OK5,713
OR7,567
PA21,376
PR1,980
QM2
RI1,845
SC5,676
SD1,094
TN8,131
TX32,344
UT3,832
VA13,287
VI49
VT1,610
WA13,152
WI9,930
WV2,134
WY759
XB5
XL1
XV2

ID: 1255756
Sex: U
Age:
State: MA

Vax Date: 01/01/2021
Onset Date:
Rec V Date: 04/25/2021
Hospital:

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Symptoms: unusually high number of covid infections in fully vaccinated employees; unusually high number of covid infections in fully vaccinated employees; This is a spontaneous report from contactable physician. This physician reported similar events for 11 patients. This report is for 7th of 11 patients. A patient of unspecified age and gender received the first dose and second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), on Dec2020 (reported as between 17Dec2020-30Dec2020 (lot number EH9899) and in Jan2021 (between range of 07Jan2021-20Jan2021) (lot number unknown), respectively, both via an unspecified route of administration (age at vaccination unknown), as a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The physician stated they were seeing an unusually high number of COVID infections in fully vaccinated employees, with second dose plus two weeks, plus well over two weeks. All of whom received Pfizer and all of whom received their first dose from the same lot. The physician stated they may need an investigation, because they are seeing high viral loads in these individuals and symptoms. The physician reports it is not right. All eleven individuals received their first dose from the same lot: EH9899. They did the standard dosage with the standard vanishing needle. The outcome of the event was unknown. The patent is not in a study or program. Information on the lot/batch number has been requested.; Sender's Comments: Based on the known product safety profile and plausible temporal relationship, a possible contributory role of the suspect product BNT162B2 to the reported COVID-19 cannot be completely excluded. Case will be reassessed upon receipt of additional information.,Linked Report(s) : US-PFIZER INC-2021392224 same reporter/ vaccine/ event, different patients;US-PFIZER INC-2021445810 same reporter/ vaccine/ event, different patients

Other Meds:

Current Illness:

ID: 1255757
Sex: U
Age:
State: MA

Vax Date: 01/01/2021
Onset Date:
Rec V Date: 04/25/2021
Hospital:

Vax Type:
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Symptoms: unusually high number of covid infections in fully vaccinated employees; unusually high number of covid infections in fully vaccinated employees; This is a spontaneous report from a contactable physician. This physician reported similar events for 11 patients. This is the eighth of 11 reports. A patient of unspecified age and gender received the first dose and second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), on 23Dec2020 (lot number EH9899) and in Jan2021 (lot number unknown), respectively, both via an unspecified route of administration (age at vaccination unknown), as a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The physician stated they were seeing an unusually high number of COVID infections in fully vaccinated employees, with second dose plus two weeks, plus well over two weeks. All of whom received Pfizer and all of whom received their first dose from the same lot. The physician stated they may need an investigation, because they were seeing high viral loads in these individuals and symptoms. It was not right. All eleven individuals received their first dose from the same lot: EH9899. They did the standard dosage with the standard vanishing needle. The reporter was unsure if they kept the empty vials. The outcome of the event unusually high number of COVID infections in fully vaccinated employees was unknown. Information on the lot/batch number has been requested.; Sender's Comments: The causal relationship between BNT162B2 and the events drug ineffective and Covid 19 infection cannot be excluded as the information available in this report is limited and does not allow a medically meaningful assessment. This case will be reassessed once additional information becomes available.,Linked Report(s) : US-PFIZER INC-2021392224 same reporter/ vaccine/ event, different patients;US-PFIZER INC-2021445810 same reporter/ vaccine/ event, different patients

Other Meds:

Current Illness:

ID: 1255758
Sex: U
Age:
State: MA

Vax Date: 01/01/2021
Onset Date:
Rec V Date: 04/25/2021
Hospital:

Vax Type:
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Symptom List:

Symptoms: unusually high number of covid infections in fully vaccinated employees; unusually high number of covid infections in fully vaccinated employees; This is a spontaneous report from a contactable Physician. This Physician reported similar events for 11 patients. This is 9th of 11 reports. A patient of unspecified age and gender received the first dose and second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), on Dec2020 (reported as between 17Dec2020-30Dec2020 (lot number EH9899) and in Jan2021 (between range of 07Jan2021-20Jan2021) (lot number unknown), respectively, both via an unspecified route of administration (age at vaccination unknown), as a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The physician stated they were seeing an unusually high number of COVID infections in fully vaccinated employees, with second dose plus two weeks, plus well over two weeks. All of whom received Pfizer and all of whom received their first dose from the same lot. The physician stated they may need an investigation, because they are seeing high viral loads in these individuals and symptoms. The physician reports it is not right. All eleven individuals received their first dose from the same lot: EH9899. They did the standard dosage with the standard vanishing needle. The outcome of the event was unknown. The patent is not in a study or program. Information on the lot/batch number has been requested.; Sender's Comments: Based on available information, a possible contributory role of the subject product, BNT162B2 vaccine, cannot be excluded for the reported events of COVID-19 and suspected Vaccination failure. It is reported that COVID infection developed in fully vaccinated employee, with second dose plus two weeks, plus well over two weeks. There is limited information provided in this report. This case will be reassessed once additional information is available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.,Linked Report(s) : US-PFIZER INC-2021392224 same reporter/ vaccine/ event, different patients;US-PFIZER INC-2021445810 same reporter/ vaccine/ event, different patients

Other Meds:

Current Illness:

ID: 1255759
Sex: U
Age:
State: MA

Vax Date: 01/01/2021
Onset Date:
Rec V Date: 04/25/2021
Hospital:

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Symptoms: unusually high number of covid infections in fully vaccinated employees; unusually high number of covid infections in fully vaccinated employees; This is a spontaneous report from a contactable Physician. This Physician reported similar events for 11 patients. This is 10th of 11 reports. A patient of unspecified age and gender received the first dose and second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), on Dec2020 (reported as between 17Dec2020-30Dec2020 (lot number EH9899) and in Jan2021 (between range of 07Jan2021-20Jan2021) (lot number unknown), respectively, both via an unspecified route of administration (age at vaccination unknown), as a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The physician stated they were seeing an unusually high number of COVID infections in fully vaccinated employees, with second dose plus two weeks, plus well over two weeks. All of whom received Pfizer and all of whom received their first dose from the same lot. The physician stated they may need an investigation, because they are seeing high viral loads in these individuals and symptoms. The physician reports it is not right. All eleven individuals received their first dose from the same lot: EH9899. They did the standard dosage with the standard vanishing needle. The outcome of the event was unknown. The patent is not in a study or program. Information on the lot/batch number has been requested.; Sender's Comments: Based on the current available information and the plausible drug-event temporal association, a possible contributory role of the suspect product BNT162B2 to the development of events Drug ineffective and COVID-19 cannot be totally excluded. The case will be reassessed if additional information becomes available,Linked Report(s) : PFIZER INC-2021392224 same reporter/ vaccine/ event, different patients;PFIZER INC-2021445810 same reporter/ vaccine/ event, different patients

Other Meds:

Current Illness:

ID: 1255760
Sex: U
Age:
State: MA

Vax Date: 12/01/2020
Onset Date:
Rec V Date: 04/25/2021
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Symptoms: unusually high number of covid infections in fully vaccinated employees; unusually high number of covid infections in fully vaccinated employees; This is a spontaneous report from contactable physician. This physician reported similar events for 11 patients. This report is for 11th of 11 patients. This physician reported for a patient that: A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: EH9899), dose 1 via an unspecified route of administration on 17Dec2020 and dose 2 via an unspecified route of administration in Jan2021 (Lot number: unknown), both as single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date, after two weeks of second dose, the patient experienced unusually high number of COVID infections in fully vaccinated employees. The physician further stated they may need some kind of investigation here because they are seeing high viral loads in these individuals and symptoms. The patient was well after two weeks. The outcome of the event was unknown.; Sender's Comments: Based on the information currently available, lack of efficacy of the suspected vaccine BNT162B2 cannot be completely excluded. The case will be reevaluated should additional information become available. ,Linked Report(s) : US-PFIZER INC-2021392224 same reporter/ vaccine/ event, different patients;US-PFIZER INC-2021445810 same reporter/ vaccine/ event, different patients

Other Meds:

Current Illness:

ID: 1255762
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/25/2021
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Symptoms: every month at the same time in the exact same place as the flu shot, it gets red, itchy and swollen/recurring every month at the same site; every month at the same time in the exact same place as the flu shot, it gets red, itchy and swollen/recurring every month at the same site; every month at the same time in the exact same place as the flu shot, it gets red, itchy and swollen/recurring every month at the same site; Initial information received on 02-Apr-2021 regarding an unsolicited valid non-serious case received from a physician. This case involves adult and unknown gender patient who experienced every month at the same time in the exact same place as the flu shot, it gets red, itchy and swollen/recurring every month at the same site (vaccination site erythema, vaccination site pruritus and vaccination site swelling) while receiving INFLUENZA QUADRIVAL A-B VACCINE [FLUZONE QUADRIVALENT]. The patient had no medical history, concomitant disease or risk factor. Past medical treatment, vaccination and family history were not provided. On an unknown date, the patient received a dose of suspect INFLUENZA QUADRIVAL A-B VACCINE [pre-filled syringe,lot number and expiry date not reported] via an unknown route at an unknown administration site for prophylactic vaccination. On an unknown date, the patient developed a non-serious event every month at the same time in the exact same place as the flu shot, it gets red, itchy and swollen/recurring every month at the same site (vaccination site erythema, vaccination site pruritus and vaccination site swelling) (unknown latency) following the administration of INFLUENZA QUADRIVAL A-B VACCINE. It was reported that, pediatrician called and reported that one of his patients has had a monthly recurring side effect from the flu vaccine. The mother reported that ever since her child received the flu shot in November, every month at the same time in the exact same place as the flu shot, it gets red, itchy and swollen. The mother said it happened a few weeks to a month after the flu shot but had been recurring every month at the same site. She was pretty angry when she was telling the office staff about that. There were no lab data/results available. It was unknown if the patient experienced any additional symptoms/events. It was not reported if the patient received any corrective treatment for the events. At the time of reporting, the event outcome reported as unknown for events. There will be no information available on the batch number for this case.

Other Meds:

Current Illness:

ID: 1255763
Sex: F
Age:
State:

Vax Date:
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Rec V Date: 04/25/2021
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Symptoms: a golf-ball sized ball in arm; Initial information received on 05-Apr-2021 regarding an unsolicited valid non-serious case from a non health care professional in courtesy from Pfizer. This case involves female patient of unknown age who had a golf-ball sized ball in arm (limb mas) , after receiving YELLOW FEVER VACCINE, HEPATITIS B VACCINE ,HEPATITIS A VACCINE and MEASLES VACCINE, MUMPS VACCINE, RUBELLA VACCINE [MMR VACCIN]. The patient has Familial Mediterranean Fever (FMF) but do not present active symptoms (Genetic asymptomatic carrier for Familial Mediterranean Fever) and also frequently suffered from migraines. Also reported that patient's immune system generally reacts strongly to all vaccines. Patient also has ongoing Allergy to Iodine. Patient reported that she shared all of this in case so as to help in documentation. Past medical treatment(s), medical treatment(s), vaccination(s) and concomitant medication(s) was not provided. In 2019, the patient received a dose of suspect YELLOW FEVER VACCINE produced by unknown manufacturer; a dose of suspect HEPATITIS A VACCINE not produced by Sanofi Pasteur ; a dose of suspect HEPATITIS B VACCINE not produced by Sanofi Pasteur and a dose of suspect MMR VACCIN not produced by Sanofi Pasteur (lot numbers and expiration dates were not reported) via unknown route in an unknown administration site for prophylactic vaccination. In 2019, the patient developed a non-serious strong reactions including a golf-ball sized ball in arm (limb mass), in the same year following the vaccinations and on the 3rd HepA/B dose. It was unknown if the patient experienced any additional symptoms/events. No laboratory data reported. Steroids as a corrective treatment was received by the patient to bring down the limb mass. At time of reporting, the outcome was unknown for the reported event. There will be no information on the batch number for this case. It was also reported that at the age of 42 Years (Pregnancy: no); start Date/Time: [Pfizer] 10- Mar-2021 07:15 AM, patient received the most recent COVID-19 (coronavirus disease, Two doses) vaccine in Hospital. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine and also no any other medications was received within 2 weeks of vaccination. Reported Event: For both doses: Chills for about an hour (began exactly 3 hours after the shot was administered in both doses). First dose had a hangover-type headache the day after the shot. Second dose the hangover-type headache started the same day as the shot and with much greater intensity. It was day 2 and the headache was still present but with less intensity. Some chills in the morning sporadically. Patient thanked and said let's get rid of this COVID pandemic. She did not received treatment for the adverse event; Prior to vaccination, the patient was not diagnosed with COVID- 19 and since the vaccination, she had not been tested for COVID-19; Vaccine Facility information available. Ethnicity information was available. Race information was available.

Other Meds:

Current Illness: Familial Mediterranean fever (Familial Mediterranean Fever (FMF) but do not present active symptoms (Genetic asymptomatic carrier for Familial Mediterranean Fever)); Iodine allergy (Allergies to medications, food, or other products: Iodine); Migraine

ID: 1255770
Sex: F
Age:
State: CA

Vax Date:
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Rec V Date: 04/25/2021
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Symptoms: stinging all over is the same, especially with the back of her neck; rash; Felt like needles sticking; itchy skin; Initial information received on 05-Apr-2021 regarding an unsolicited valid non-serious case from a non health care professional via Media Information (inquiry number 00547585). This case involves female patient of unknown age who experienced stinging all over is the same, especially with the back of her neck (pain), rash, felt like needles sticking (paraesthesia) and itchy skin (pruritus), after receiving INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE [FLUZONE HIGH-DOSE QUADRIVALENT]. The patient's past medical history, medical treatment(s), concomitant medication(s), vaccination(s) and family history were not provided. In 2020, the patient received a dose of suspect INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE (Lot number and expiration date not reported) via unknown route in an unknown administration site for prophylactic vaccination. On an unknown date, the patient developed a non-serious stinging all over is the same, especially with the back of her neck (pain), rash, felt like needles sticking (paraesthesia) and itchy skin (pruritus) (unknown latency) following the administration of INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE. It was reported that caller stated she had the 2020 FLUZONE HIGH DOSE and had a terrible reaction that the company warns about. Caller stated she called several weeks ago and reported adverse reactions. Caller wanted to know what was in part 2 of the flu shot. Caller request the exact name.The caller wants to know the ingredients of the Fluzone HD Quad and said that she had called about having an extreme reaction to the second part of the Fluzone HD Quad injection. She stated during the call that the stinging all over was the same, especially with the back of her neck. She wanted to know what in the Fluzone HD Quad was she allergic to. No laboratory data reported. It was not reported if the patient received a corrective treatment. At time of reporting, the patient did not recover from the event pain , while the outcomes were unknown for rest of the events. There will be no information on the batch number for this case.

Other Meds:

Current Illness:

ID: 1255772
Sex: F
Age:
State: ND

Vax Date:
Onset Date:
Rec V Date: 04/25/2021
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Symptoms: products reached 8.5 degrees Celsius for 30 minutes and the excursion cause was unknown with no reported adverse event; Human error involved, stability data of vaccine was not reported, and vaccine was not administered hence it is a non case.

Other Meds:

Current Illness:

ID: 1255774
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/25/2021
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Symptoms: Allergic reaction; Initial information regarding an unsolicited valid non-serious case was received from a other healthcare professional via Information (Reference number- 00550239). This case involves a female patient (age not reported) who had allergic reaction (hypersensitivity) while receiving INFLUENZA QUADRIVAL A-B MULTIDOSE VACCINE PRESERVED [FLUZONE]. The patient's medical history, past 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 QUADRIVAL A-B MULTIDOSE VACCINE PRESERVED lot number not reported via unknown route in unknown administration site. In 2017 (date not reported), the patient developed a non-serious allergic reaction (hypersensitivity) (unknown latency) following the administration of INFLUENZA QUADRIVAL A-B MULTIDOSE VACCINE PRESERVED. The reporter were trying to find the components to what was in this vaccine so they could do further allergy testing, but they were struggling to do so online. The details of laboratory data were not reported. It was not reported if the patient received a corrective treatment for the event. At time of reporting, the outcome was unknown for the event. There will be no information available on the batch number for this case.

Other Meds:

Current Illness:

ID: 1255775
Sex: M
Age: 1
State: IA

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/25/2021
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Symptoms: inadvertently administered QUADRACEL instead of DAPTACEL, no AE; Initial information received on 06-Apr-2021 regarding an unsolicited valid non-serious case from a nurse. This case involves a 16 months old male who was inadvertently administered with 0.5 ml first dose of DIPHTHERIA-15/TETANUS/5 HYBRID AC PERTUSSIS/IPV (MRC5) VACCINE [QUADRACEL] (lot O5763AA and expiration date 26-Aug-2022) via intramuscular route in the right thigh for prophylactic vaccination on 06-Apr-2021 (wrong product administered) instead of DIPHTHERIA-15/TETANUS/5 AC PERTUSSIS VACCINE [DAPTACEL] and DIPHTHERIA-15/TETANUS/5 HYBRID AC PERTUSSIS/IPV (MRC5) VACCINE [QUADRACEL]. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included HIB VACCINE (HIB) and PNEUMOCOCCAL VACCINE 13V (PNEUMOCOCCAL 13 VALENT VACCINE). It was an actual medication error due to wrong vaccine administered (same day latency). Also reported that the caller with questions on whether dose counts as valid dose of DTAP. Spoken with nurse supervisor, she had questions on if patient has already had 3 previous doses of IPV, does this extra dose of IPV pose any health risks? It was not reported whether the patient had any adverse event. 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. 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: HIB; PNEUMOCOCCAL 13 VALENT VACCINE

Current Illness:

ID: 1255776
Sex: M
Age: 1
State: KS

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/25/2021
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Symptoms: A patient received an expired vaccine, no AE; Initial information regarding an unsolicited valid non-serious case was received from other healthcare professional via Medical Information (Reference number- 00552062). This case involves a 20-month-old male patient who received an expired 0.5 mL dose of suspect DIPHTHERIA-15/TETANUS/5 AC PERTUSSIS VACCINE [DAPTACEL] (lot C5611BA and expiry date: 03-Apr-2021) via an unknown route in the right thigh (vastus lateralis) for prophylactic vaccination on 07-Apr-2021 (expired product administered). The patient's medical history, past medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included HEPATITIS A VACCINE and HIB VACCINE CONJ (OMPC) (PEDVAXHIB) for prophylactic vaccination. This was a case of actual medication error due to expired vaccine used (latency same day). At the time of reporting, no adverse event was reported. 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. 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: HEPATITIS A VACCINE; PEDVAXHIB

Current Illness:

ID: 1255780
Sex: M
Age: 2
State: CA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/25/2021
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Symptoms: expired on 03Apr2021 was given with no reported adverse event; Initial information was received on 09-Apr-2021 regarding an unsolicited valid non-serious case from a other health professional. (Inquiry number: 00555611). It was reported that DIPHTHERIA-15/TETANUS/5 AC PERTUSSIS VACCINE [DAPTACEL] (lot number: C5611BA) (Suspension For Injection) was expired on 03-Apr-2021 and it was administered to a two-year-old male patient on 09-Apr-2021 for prophylactic vaccination (expired product administered). It was a case of actual medication error due to expired vaccine used. Concomitant medications included HEPATITIS A VACCINE, HEPATITIS B VACCINE and FLUZONE [FLUCONAZOLE]. At the time of report, no adverse event reported. 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. 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: HEPATITIS A VACCINE; HEPATITIS B VACCINE; FLUZONE [FLUCONAZOLE]

Current Illness:

ID: 1255783
Sex: F
Age:
State: NJ

Vax Date:
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Rec V Date: 04/25/2021
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Symptoms: vestibular issues; vertigo; dizzy; Initial information regarding an unsolicited valid non-serious case was received from a consumer/non-healthcare professional via Medical Information (reference number-00557447 and 00558122) and transmitted to Sanofi on 12-Apr-2021. This case involves a 54 year old female patient who had vestibular issues (vestibular disorder), vertigo and dizzy (dizziness) after receiving vaccine INFLUENZA QUADRIVAL A-B VACCINE [FLUZONE QUADRIVALENT]. The patient's medical history included Vertigo. Past medical treatment(s), vaccination(s), concomitant medications and family history were not provided. On an unknown date in 2019, the patient received a dose of suspect INFLUENZA QUADRIVAL A-B VACCINE (batch number and expiry date: not reported) via unknown route in unknown administration site for prophylactic vaccination. On an unknown date 2019 the patient developed a non-serious vertigo and dizzy (dizziness) (unknown latency) following the administration of INFLUENZA QUADRIVAL A-B VACCINE. On an unknown date the patient developed a non-serious vestibular issue (vestibular disorder) (unknown latency) following the administration of INFLUENZA QUADRIVAL A-B VACCINE.. The reporter stated that on an unknown date in 2019 (Oct-2019 or Nov-2019), the patient received the FLUZONE QUADRIVALENT vaccine and felt dizzy and experienced vertigo. Also, since an unknown date, the patient had continued to experience vestibular issues. The patient was currently having physical therapy for vestibular issues. The reporter had a concern regarding the patient receiving the COVID (coronavirus disease) vaccine and was asking which of the COVID vaccines was best for the patient based on her reaction to FLUZONE QUADRIVALENT. No laboratory data was reported. It was not reported if the patient received a corrective treatment for the events dizziness and vestibular disorder. At the time of reporting the events were not recovered. There will be no information available on batch number for this case.

Other Meds:

Current Illness:

ID: 1255790
Sex: M
Age: 54
State: FL

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/25/2021
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Vax Type:
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Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Feathers, Cats, Sulfas, Cillins, Bee stings

Symptom List:

Symptoms: Took place after the 15 minute wait period. Approximately 30 minutes after injection. Lasted about 15-20 minutes before it passed. MINOR Allergic reaction, burning at injection site, face turned red, nose and lips went numb like a Novocain injection at the dentist. Itch in back of throat but NO swelling or issue breathing.

Other Meds: Metformin, Losartan, D3, Bayer low dose, Turmeric, Lantus Solostar, Trulicity

Current Illness:

ID: 1255791
Sex: F
Age: 57
State: CA

Vax Date: 04/09/2021
Onset Date: 04/16/2021
Rec V Date: 04/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Shellfish Codine Vicodin Penicillin

Symptom List:

Symptoms: Raised red rash and welts all over head, lower face (both sides), on sides of the tongue, neck (front and back), all over torso (front and back), both arms, palms of hands, both shoulders, and upper thigh (groin area). Smallest spot was the size of a pencil eraser, largest spot the size of a silver dollar. Extremely itchy. Needle like pain occurred 1 to 2 hours before the rash appeared. First appeared on the upper torso, then spread up and down from there. Voice became hoarse and remained that way as long as the rash was present. After taking oral prednisone (2 tablets once daily), topical prednisone (1%) and 2 (25mg) benedryl every 4 hours for 48 hrs rash lightened and disappeared. Raspy voice disappeared as well.

Other Meds: Allegra D Turmeric Zinc

Current Illness: Laryngitis type episode affecting the throat with no other complications. Lasted approx. 1 week and was over with the week before receiving the vaccination.

ID: 1255792
Sex: F
Age: 46
State: FL

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 04/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: I had all the normal side effects with both sides, but I also had painful swelling of lymph nodes under left arm, side of left breast, which was side of vaccinations both times. I was starting my period first dose, and it abruptly stopped, no tapering off. I had PmS symptoms, but my period never came. I feel like the vaccines stopped my menstrual cycle, and now I'm not having periods.

Other Meds: Unithyroid, Levoxythyrine, Bystolic, Rosuvastatin, Vitamin D, multivitamin

Current Illness:

ID: 1255793
Sex: M
Age: 49
State:

Vax Date: 03/16/2021
Onset Date: 03/20/2021
Rec V Date: 04/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Bee products

Symptom List:

Symptoms: Significant area of redness around injection site. 5 inches in diameter. Discovered day 4. Resolved day 7.

Other Meds: None

Current Illness: None

ID: 1255794
Sex: M
Age: 65
State: PA

Vax Date: 04/17/2021
Onset Date: 04/18/2021
Rec V Date: 04/25/2021
Hospital: Y

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: shell fish

Symptom List:

Symptoms: Stroke

Other Meds: novolog atorvastatin clopidogrel irbesar/hctz labetalol hcl

Current Illness: diabetic

ID: 1255795
Sex: F
Age: 29
State: IL

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Penicillin, peaches

Symptom List:

Symptoms: -severe chills, body aches, fever (101), fatigue, swollen arm -started Wednesday and still ongoing on Saturday although no fever and body aches now -loss of appetite (only one meal since Wednesday)

Other Meds: Dupixent

Current Illness:

ID: 1255796
Sex: F
Age: 57
State: VT

Vax Date: 04/19/2021
Onset Date: 04/20/2021
Rec V Date: 04/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None known

Symptom List:

Symptoms: My arthritis in my hips has started up again. My hips have been aching every night since the shot. They have been like this in the past but havnt been bothering me like this for quite some time. The pain will go away with pain meds, but I don't want to over use my oxicodone and the motrin starts to mess with my stomach after several days. This isn't life or death, I just thought it would be good data.

Other Meds: Floroxitin, estrogen, Maxalt, oxicodone, motrin

Current Illness: No

ID: 1255797
Sex: M
Age: 53
State: TN

Vax Date: 04/08/2021
Onset Date: 04/24/2021
Rec V Date: 04/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Prednisone

Symptom List:

Symptoms: Ringing in ears. Constant.

Other Meds: Multivitamin, complex b, vit D, vit K, CBD tinctures

Current Illness:

ID: 1255798
Sex: F
Age: 54
State: ME

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Chills, fever, extreme fatigue, headache, muscle ache. I stayed in bed from 6pm 4/17 until 8am 4/19/2021. The fever lifted at 10pm on 4/18/2021.

Other Meds: None

Current Illness: None

ID: 1255799
Sex: F
Age: 24
State: CA

Vax Date: 04/03/2021
Onset Date: 04/04/2021
Rec V Date: 04/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: none

Symptom List:

Symptoms: itchy rash that spread across body, starting on the lower legs and progressing upwards. rash persisted for 2.5 weeks and the dry patches for an additional .5 week.

Other Meds: none

Current Illness: none

ID: 1255800
Sex: F
Age: 60
State: GA

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 04/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Hydracodine Sulfur

Symptom List:

Symptoms: Had chills fever and nausa now have very high bp almost all the time even though taking meds 3/10

Other Meds: Black eldberry High bp meds

Current Illness:

ID: 1255801
Sex: F
Age: 24
State: CA

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: none

Symptom List:

Symptoms: Throat closure sensations beginning mildly 30 minutes after shot and persisting/progressing at least 15 hours later.

Other Meds: Zoloft

Current Illness: none

ID: 1255802
Sex: F
Age: 24
State: CT

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild

Other Meds:

Current Illness:

ID: 1255803
Sex: F
Age: 25
State: CA

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Mild, Systemic: Nausea-Medium, Systemic: Seizure-Mild, Systemic: Shakiness-Mild, Systemic: Tachycardia-Medium, Additional Details: hypotension 102/74. symptoms resided after pt laid down with feet/legs elevated. after 30 minutes additional observation, patient felt back to baseline.

Other Meds:

Current Illness:

ID: 1255804
Sex: F
Age: 70
State: PA

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Cipro Penicilin Clindimycin

Symptom List:

Symptoms: Hard, fast, shot, which bled n saturated the pad on my bandaid. Arm hurt n bruised with lump right away. First shot easy didn?t hurt at all till that night. Headache on way home. Developed 101.7 temperature, chills, muscle and joint aches n bouts of nausea around 11p. Lasted till about 4pm the next day. Today, just a sore arm. Did not take anything, Thought it best to let it run its course. Just rested, drank fluids till I felt better.

Other Meds: Prolia, Pravastation, calcium, vit D, probiotics

Current Illness: None

ID: 1255805
Sex: F
Age: 23
State: CA

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Tachycardia-Medium, Additional Details: ITCHY SENSATION AROUND FACE AND MOUTH. GAVE 50MG BENADRYL. PT RECOVERED WITHIN HALF HOUR.

Other Meds:

Current Illness:

ID: 1255806
Sex: F
Age: 59
State: MD

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1255807
Sex: M
Age: 91
State: FL

Vax Date: 01/03/2021
Onset Date: 01/06/2021
Rec V Date: 04/25/2021
Hospital: Y

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: On 1/6/21, 91 yo M amb to ER with c/c of allergic reaction to COVID x 1 day. Pt receive COVID vaccine Moderna Jan 3, 2021. Pt c/o fever, n/v, lower back pain, SOB, dark colored urine. Jaundice noted to bilat sclera and generalized skin. Patient hospitalized and discharged on 1/17/21. Admitting diagnosis was pneumonia, hepatitis, acute repiratory failure with hypoxia and acture renal failure. Patient was treated for sepsis due to acute cholangitis and completed 10 day course of IV zosyn

Other Meds:

Current Illness:

ID: 1255808
Sex: F
Age: 27
State: MD

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1255810
Sex: F
Age: 40
State: VA

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Site: Pain at Injection Site-Mild, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Dizziness/weakness, confusion-Mild, Systemic: Visual Changes/Disturbances-Mild, Systemic: Weakness-Mild, Additional Details: Patient felt weak and lightheaded after vaccine. EMS was dispatched. All vitals were normal. Patient started to recover within 5-10 minutes of calling 911. Suspected panic/anxiety attack to getting vaccine. Called patient 2 hours later and she reported feeling fine overall. Instructed her to call back if any issues occured.

Other Meds:

Current Illness:

ID: 1255811
Sex: F
Age: 40
State: VA

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Weakness-Mild

Other Meds:

Current Illness:

ID: 1255812
Sex: F
Age: 56
State: NH

Vax Date: 03/25/2021
Onset Date: 04/19/2021
Rec V Date: 04/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Codeine

Symptom List:

Symptoms: Ringing in ears- tinnitus

Other Meds: HRT

Current Illness:

ID: 1255813
Sex: M
Age: 22
State: MI

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Additional Details: after receiving the Moderna Covid 19 vaccine, the patient passed out in the chair. When I got to him, he was unresponsive, but within seconds he became alert. He said he had a history of passing out after medical procedures (when seeing a md after finger surgery). He layed down for about 20 minutes, then sat back in chair. About 30 min after passing out, he said he was dizzy and passed out a 2nd time. He became alert after about 10 seconds. He was here about 30 more min then felt ok and left.

Other Meds:

Current Illness:

Date Died: 03/28/2021

ID: 1255814
Sex: M
Age: 63
State: MA

Vax Date: 03/08/2021
Onset Date: 03/28/2021
Rec V Date: 04/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: .He had the Johnson and Johnson vaccine on March 8, 2021 and then started having a cough and was very tired. He died unexpectedly on March 28, 2021.

Other Meds: Lasix, lisinopril and insulin.

Current Illness: DM ll, CHF. Started having a cough and was very tired after the vaccine. He died on March 28, 2021.

ID: 1255815
Sex: M
Age: 60
State: PA

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1255816
Sex: M
Age: 56
State: IN

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever at 103, body aches for 36 hours

Other Meds: None

Current Illness: None

ID: 1255817
Sex: F
Age: 36
State: IL

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Exhaustion / Lethargy-Severe, Systemic: Nausea-Medium, Additional Details: Patient appeared sleepy a few minutes after administration. Patient says she felt extreme drowsiness almost immediately after injection. Several minutes later, patient reported nausea. Symptoms continued for 30 minutes under observation. As patient did not report dizziness or symptoms of anaphylaxis, I let her go home with her husband who was in store. Directed him to assist her in walking out so she did not fall. Discussed to contact PCP if symptoms got worse or did not get better within hou

Other Meds:

Current Illness:

ID: 1255818
Sex: M
Age: 19
State: NJ

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too Low.

Other Meds:

Current Illness:

ID: 1255819
Sex: F
Age: 37
State: PA

Vax Date: 04/23/2021
Onset Date: 04/25/2021
Rec V Date: 04/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Famotidine

Symptom List:

Symptoms: Fatigue, brain fog, mild nausea, body aches and skin sensitivity.

Other Meds: Qsymia

Current Illness:

ID: 1255820
Sex: M
Age: 25
State: IL

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Dizziness / Lightheadness-Medium, Additional Details: Checked in on patient within 5 minutes and he reported some dizziness. Directed patient to place his head between his legs for several minutes. Checked in on him again in another 5 minutes and he said he was feeling better. He continued with his head between his legs. After 15 minutes, patient was seated and stated he was no longer dizzy. Told him to stay seated longer if he would like and to get up slowly when he was absolutely sure he was fine. Patient got up within another 5 minutes.

Other Meds:

Current Illness:

ID: 1255821
Sex: M
Age: 35
State: IN

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Fever, chills, headache, mental foggyness

Other Meds:

Current Illness:

ID: 1255822
Sex: M
Age: 55
State: CT

Vax Date: 04/23/2021
Onset Date: 04/25/2021
Rec V Date: 04/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Massive pain left arm, shivering uncolorable for 5 hours, Very tiered. Nausea

Other Meds: metoprolol 25mg

Current Illness:

ID: 1255823
Sex: M
Age: 74
State: FL

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 04/25/2021
Hospital: Y

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Sulfa, sulfazalazine

Symptom List:

Symptoms: 1/7/21: Patient is a 74 y.o. male presenting with hematuria at MD office. Wife of pt states pt had Covid Vaccine yesterday and today appears to be confused. Wife states he is usually ambulatory. Pt has hx of Kidney cancer and renal stones. Pt is having trouble ambulating and wife states does not appear to be his normal self. presenting with hematuria onset 2 days ago. Gradual onset, progressively worsening, moderate severity, associated urinary urgency, fever, chills, confusion, fatigue. Wife reports pt was dx with a UTI on 1/5 but no abx were given. Seen in the ED, Abx started for possible UTI. VS significant for T 101.4F. PEx WNL

Other Meds: Unknown

Current Illness: Recent UTI

ID: 1255824
Sex: F
Age: 65
State: IN

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Sulfa, penicillin

Symptom List:

Symptoms: Diarrhea for 2 days Fatigue

Other Meds: Lipitor, Synthroid, Plaquenil

Current Illness:

ID: 1255825
Sex: M
Age: 21
State: CA

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Dizziness / Lightheadness-Severe, Systemic: PATIENT VOMITED WITH IN MINUTES AFTER SHOT AND HE BECAME DIZZY AND SWEATY.-Severe, Systemic: Flushed / Sweating-Severe

Other Meds:

Current Illness:

ID: 1255826
Sex: M
Age: 35
State:

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever, chills, mild body aches and fatigue, beginning approximately 8 hours after treatment, peaking in severity roughly 14 hours after treatment, and subsiding approximately 18 hours after treatment.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 567,608

Page last modified: 03 October 2021 5:28pm