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: 0947602
Sex: F
Age:
State:

Vax Date: 12/28/2020
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Test Date: 20210109; Test Name: Covid; Test Result: Positive

Allergies:

Symptoms: On (Dated) tested positive for Covid; On (Dated) tested positive for Covid; On (Dated) tested positive for Covid; Felt run down; This is a spontaneous report from a contactable other health professional (HCP). A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 28Dec2020 at a single dose (first dose) for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient got her first dose on 28Dec2020 and on 07Jan2021, she felt run down so she decided to get tested for COVID. On 09Jan2021, she tested positive for COVID. Her second dose is due 18Jan2021 and she needed to know if it is ok for her to get her second dose. The patient underwent lab tests and procedures which included sars-cov-2 test: positive on 09Jan2021. The outcome of the events was unknown. Information on the lot/batch number has been requested.; Sender's Comments: The association between the event lack of effect (tested positive for COVID) with BNT162b2 can not be completely excluded.

Other Meds:

Current Illness:

ID: 0947603
Sex: M
Age:
State:

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Test Date: 20210105; Test Name: tested; Test Result: Positive

Allergies:

Symptoms: Caller tested positive on 05Jan2021.; Caller tested positive on 05Jan2021.; Caller tested positive on 05Jan2021.; This is a spontaneous report from a contactable physician (patient). A male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 29Dec2020 at a single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. Patient received the first dose of the COVID 19 vaccine on 29Dec2020, second dose is due on 20Jan2021. Patient tested positive on 05Jan2021. Patient wanted to know if he should get the second shot and if he chooses to wait the 90 days, would he need to start over. The patient underwent lab tests and procedures which included sars-cov-2 test: positive on 05Jan2021. The outcome of the events was unknown. Information on the lot/batch number has been requested.; Sender's Comments: The association between the event lack of effect (tested positive) with BNT162b2 can not be completely excluded.

Other Meds:

Current Illness:

ID: 0947604
Sex: M
Age:
State: MD

Vax Date: 01/08/2021
Onset Date: 01/01/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: had neck pain prior to receipt of the first dose of the vaccine, but it persisted and became worse after getting the vaccine; had neck pain prior to receipt of the first dose of the vaccine, but it persisted and became worse after getting the vaccine; This is a spontaneous report from a contactable physician (reporting for himself). A male patient of an unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration on 08Jan2021 at a single dose for COVID-19 immunization. Medical history included neck soreness/neck pain (takes a Medrol dose pack for neck pain, reporting a history of neck soreness occasionally). The patient's concomitant medications were not reported. In Jan2021, the patient reported that he had neck pain prior to receipt of the first dose of the vaccine, but it persisted and became worse after getting the vaccine. The outcome of the events was unknown. The batch/lot number for the vaccine, BNT162B2, was not provided and will be requested during follow-up.

Other Meds:

Current Illness:

ID: 0947605
Sex: F
Age:
State:

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Test Date: 20200413; Test Name: tested positive for COVID; Result Unstructured Data: Test Result:positive

Allergies:

Symptoms: nausea; vomiting; light-headed; This is a spontaneous report from a non-contactable consumer. A female patient of an unspecified age (also reported as: 83, unit unknown) received BNT162B2 (PFIZER BIONTECH COVID-19 VACCINE), via an unspecified route of administration, first dose on 09Jan2021 at single dose for COVID-19 vaccination. Medical history included tested positive for COVID on 13Apr2020. The patient's concomitant medications were not reported. Resident received 1st dose of vaccine 09Jan2021. On 10Jan2021, resident had nausea, vomiting and "light-headed". The outcome of the event 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: 0947606
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: swelling; redness injection; nausea; not feeling well; tiredness; difficulty of breathing; heart fast; 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) via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Patient experienced these side effects after getting the first dose: swelling, redness injection, nausea, not feeling well, tiredness, difficulty of breathing and heart fast. The outcome of the events was unknown.

Other Meds:

Current Illness:

ID: 0947607
Sex: U
Age:
State: WV

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: swollen lymph nodes, 8cm by 5cm; This is a spontaneous report from contactable healthcare professional. A patient of unspecified age and gender received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number and expiry date were reported), via an unspecified route of administration on 23Dec2020 at a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. It was reported that the patient received first dose of vaccine on 23Dec2020 and displayed swollen lymph nodes on 24Dec2020, 8cm by 5cm. The patient was scheduled to receive second dose of vaccine on 13Jan2021 and asking for recommendations. The outcome of the event was unknown. The information on the batch/lot number has been requested.

Other Meds:

Current Illness:

ID: 0947608
Sex: F
Age:
State: CA

Vax Date: 12/29/2020
Onset Date: 01/03/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Diffuse pins and needles feeling that affected my feet, legs, hands, arms, trunk, and (only a little) face; This is a spontaneous report from a contactable other HCP. A 58-year-old female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EL1284), via an unspecified route of administration in left arm on 29Dec2020 11:00 at a single dose for COVID-19 immunization. Vaccination was done in a hospital. Medical history included Scleroderma, Interstitial Lung Disease, and Raynaud's. The patient had no known allergies. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant medication included tadalafil (ADCIRCA), amlodipine, pentoxifylline, ASA, and fish oil. The patient experienced diffuse pins and needles feeling that affected my feet, legs, hands, arms, trunk, and (only a little) face that started around 03Jan2021 and was at its worst on 04Jan2021. The patient went to the doctor's office on 05Jan2021. The outcome of the event was recovering. The event was assessed as non-serious. Since the vaccination, the patient has not been tested for COVID-19. No treatment was received for the events.

Other Meds: ADCIRCA; ; ; ASA;

Current Illness:

ID: 0947609
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/15/2021
Hospital:

Lab Data: Test Name: corona; Test Result: Positive ; Comments: after a week

Allergies:

Symptoms: 13 people, who were applied the vaccine previously, were corona positive after a week; 13 people, who were applied the vaccine previously, were corona positive after a week; This is a spontaneous report from a non-contactable consumer. This consumer reported similar events for 13 patients. This is second of 13 reports. A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; lot number and expiration date: not known), 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. It was reported that 13 people, who were applied the vaccine previously, were corona positive after a week 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.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021018407 same reporter, similar suspect drug and event; different patient

Other Meds:

Current Illness:

ID: 0947611
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/15/2021
Hospital:

Lab Data: Test Name: corona; Result Unstructured Data: Test Result:Positive; Comments: after a week

Allergies:

Symptoms: 13 people, who were applied the vaccine previously, were corona positive after a week; 13 people, who were applied the vaccine previously, were corona positive after a week; This is a spontaneous report from a non-contactable consumer. This consumer reported similar events for 13 patients. This is third of 13 reports. A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; lot number and expiration date: not known), 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. It was reported that 13 people, who were applied the vaccine previously, were corona positive after a week 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.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021018407 same reporter, similar suspect drug and event; different patient

Other Meds:

Current Illness:

ID: 0947612
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/15/2021
Hospital:

Lab Data: Test Name: Covid 19; Test Result: Positive ; Comments: after a week

Allergies:

Symptoms: 13 people, who were applied the vaccine previously, were corona positive after a week; 13 people, who were applied the vaccine previously, were corona positive after a week; This is a spontaneous report from a non-contactable consumer. This consumer reported similar events for 13 patients. This is fourth of 13 reports. A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; lot number and expiration date: not known), 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. It was reported that 13 people, who were applied the vaccine previously, were corona positive after a week 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.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021018407 same reporter, similar suspect drug and event; different patient.

Other Meds:

Current Illness:

ID: 0947613
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/15/2021
Hospital:

Lab Data: Test Name: corona; Result Unstructured Data: Test Result:Postive; Comments: after a week

Allergies:

Symptoms: 13 people, who were applied the vaccine previously, were corona positive after a week; 13 people, who were applied the vaccine previously, were corona positive after a week; This is a spontaneous report from a non-contactable consumer. This consumer reported similar events for 13 patients. This is fifth of 13 reports. A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; lot number and expiration date: not known), 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. It was reported that 13 people, who were applied the vaccine previously, were corona positive after a week 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.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021018407 same reporter, similar suspect drug and event; different patient.

Other Meds:

Current Illness:

ID: 0947614
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/15/2021
Hospital:

Lab Data: Test Name: Corona; Test Result: Positive ; Comments: after a week

Allergies:

Symptoms: 13 People, who were applied the vaccine previously, were corona positive after a week; 13 People, who were applied the vaccine previously, were corona positive after a week; This is a spontaneous report from a non-contactable consumer. This consumer reported similar events for 13 patients. This is 6th of 13 reports. A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; lot number and expiration date: not known), 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. It was reported that 13 people, who were applied the vaccine previously, were corona positive after a week 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.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021018407 same reporter, similar suspect drug and event; different patient.

Other Meds:

Current Illness:

ID: 0947615
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/15/2021
Hospital:

Lab Data: Test Name: corona; Test Result: Positive ; Comments: after a week

Allergies:

Symptoms: 13 people, who were applied the vaccine previously, were corona positive after a week; 13 people, who were applied the vaccine previously, were corona positive after a week; This is a spontaneous report from a non-contactable consumer. This consumer reported similar events for 13 patients. This is 7th of 13 reports. A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; lot number and expiration date: not known), 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. It was reported that 13 people, who were applied the vaccine previously, were corona positive after a week 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.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021018407

Other Meds:

Current Illness:

ID: 0947616
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/15/2021
Hospital:

Lab Data: Test Name: CORONA; Test Result: Positive ; Comments: after a week

Allergies:

Symptoms: 13 people, who were applied the vaccine previously, were corona positive after a week; 13 people, who were applied the vaccine previously, were corona positive after a week; This is a spontaneous report from a non-contactable consumer. This consumer reported similar events for 13 patients. This is 8th of 13 reports. A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; lot number and expiration date: not known), 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. It was reported that 13 people, who were applied the vaccine previously, were corona positive after a week 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.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021018407

Other Meds:

Current Illness:

ID: 0947617
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/15/2021
Hospital:

Lab Data: Test Name: Corona; Test Result: Positive ; Comments: were corona positive after a week

Allergies:

Symptoms: 13 people, who were applied the vaccine previously, were corona positive after a week; 13 people, who were applied the vaccine previously, were corona positive after a week; This is a spontaneous report from a non-contactable consumer. This consumer reported similar events for 13 patients. This is 9th of 13 reports. A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; lot number and expiration date: not known), 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. It was reported that 13 people, who were applied the vaccine previously, were corona positive after a week 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.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021018407 : same reporter, similar suspect drug and event; different patient.

Other Meds:

Current Illness:

ID: 0947618
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/15/2021
Hospital:

Lab Data: Test Name: COVID; Test Result: Positive ; Comments: after a week

Allergies:

Symptoms: 13 people, who were applied the vaccine previously, were corona positive after a week; 13 people, who were applied the vaccine previously, were corona positive after a week; This is a spontaneous report from a non-contactable consumer. This consumer reported similar events for 13 patients. This is tenth of 13 reports. A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; lot number and expiration date: not known), 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. It was reported that 13 people, who were applied the vaccine previously, were corona positive after a week 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.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021018407 same reporter, similar suspect drug and event; different patient

Other Meds:

Current Illness:

ID: 0947619
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/15/2021
Hospital:

Lab Data: Test Name: corona; Test Result: Positive ; Comments: after a week

Allergies:

Symptoms: 13 people, who were applied the vaccine previously, were corona positive after a week; 13 people, who were applied the vaccine previously, were corona positive after a week; This is a spontaneous report from a non-contactable consumer. This consumer reported similar events for 13 patients. This is 11th of 13 reports. A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; lot number and expiration date: not known), 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. It was reported that 13 people, who were applied the vaccine previously, were corona positive after a week 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.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021018407 same reporter, similar suspect drug and event; different patient

Other Meds:

Current Illness:

ID: 0947620
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/15/2021
Hospital:

Lab Data: Test Name: corona; Test Result: Positive ; Comments: after a week

Allergies:

Symptoms: 13 people, who were applied the vaccine previously, were corona positive after a week; 13 people, who were applied the vaccine previously, were corona positive after a week; This is a spontaneous report from a non-contactable consumer. This consumer reported similar events for 13 patient. This is the 13th of 13 report. A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection, batch/lot number 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. It was reported that 13 people, who were applied the vaccine previously, were corona positive after a week. 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.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021018407 same reporter, similar suspect drug and event; different patient

Other Meds:

Current Illness:

ID: 0947621
Sex: F
Age:
State:

Vax Date: 01/06/2021
Onset Date: 01/01/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever; Chills; She developed a "weird" taste in her mouth; Loss of appetite; This is a spontaneous report from a non-contactable consumer (patient sister in law) via Pfizer sales representative. A 57-years-old female patient started to receive BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 06Jan2021 at second single dose for an COVID-19 immunization. The patient medical history was not reported. The patient's concomitant medications were not reported. Historical vaccine included BNT162B2 for COVID-19 immunization (1st injection). The reporter was made aware this morning that the patient received the vaccine booster shot (2nd injection) of Pfizer's COVID-19 vaccine yesterday morning (06Jan2021). After receiving the vaccine she experienced a mild fever and chills overnight which were now resolved. Furthermore, after the fever/chills resolved, she developed a "weird" taste in her mouth and loss of appetite but overall doing well. Despite the events she continued to perform her duties as an anesthesiologist today. Outcome of the event fever and chills was recovered, of events "weird" taste and loss of appetite 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: 0947622
Sex: F
Age:
State:

Vax Date: 12/29/2020
Onset Date:
Rec V Date: 01/15/2021
Hospital:

Lab Data: Test Name: positive for Covid-19; Result Unstructured Data: Test Result:positive

Allergies:

Symptoms: She tested positive for Covid-19 a week later after receiving the first dose of the vaccine; She tested positive for Covid-19 a week later after receiving the first dose of the vaccine; This is a spontaneous report from a Pfizer-sponsored program IBCC (Inbound Call Center for HCPs) received from a contactable consumer (patient). A female patient of an unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot/batch number unknown), via an unspecified route of administration on 29Dec2020 at a single dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient took the first dose of Covid-19 vaccine on 29Dec2020. She tested positive for Covid-19 a week later after receiving the first dose of the vaccine. She is scheduled to get the second dose on 19Jan2021 and she was asking what to do. The outcome of the event was unknown. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0947624
Sex: F
Age:
State: PA

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fatigue; fever; Chills; body aches; This is a spontaneous report from a contactable consumer (patient). A 53-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on the left arm on 07Jan2021 09:00 at a single dose for COVID-19 immunization. The patient had no medical history. The patient previously took 1st dose of BNT162B2 on an unknown date for COVID-19 immunization. There were no concomitant medications. The patient wanted to report a side effect of the Pfizer COVID vaccine. Stated that she had her second dose yesterday morning at 9am. Stated that she woke up this morning 08Jan2021 at 3am with fever, chills and body aches. The reporter is a nurse's aide in ICU COVID unit. Stated that she took acetaminophen (TYLENOL) and her fever resolved at 6am this morning. Stated that the chills resolved at 6am this morning. Stated that the fatigue started at 9am this morning. Outcome of the events fever and chills was recovered on 08Jan2021 at 06:00 while not recovered for the other events. Information on the Lot/Batch number has been requested.

Other Meds:

Current Illness:

ID: 0947625
Sex: F
Age:
State: CA

Vax Date: 12/21/2020
Onset Date: 12/24/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data: Test Date: 20201231; Test Name: COVID; Test Result: Positive

Allergies:

Symptoms: tested positive for COVID; tested positive for COVID/fatigue, headache, body aches again; allergies were flaring up; Coughing; congestion; body aches; This is a spontaneous report from a Pfizer-sponsored program IBCC (Inbound Call Center for HCPs). A contactable nurse (female) reported that a female patient of an unspecified age received first dose of bnt162b2, 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. The patient experienced tested positive for covid on 31Dec2020, coughing, congestion, body aches on 24Dec2020, fatigue, headache, allergies were flaring up on 28Dec2020. The caller got her first COVID-19 injection on 21Dec2020. She didn't have symptoms until 2 days after the vaccine. She then experienced coughing, congestion, body aches, but no fever. Then the next day, she felt fine. On 28Dec2020, she thought her allergies were flaring up. She started to feel fatigue, headache, body aches again. She went and got tested for the virus. She tested positive on 31Dec2020. Caller was due for a second vaccine on 11Jan2021. She was to remain in quarantine until 10Jan2021. Caller wanted to know should she get her second shot on 11Jan2021 or should she wait. The patient underwent lab tests and procedures which included Covid-19: positive on 31Dec2020. The outcome of events for tested positive for covid, fatigue, headache and allergies were flaring up was unknown, for other events was resolving. No further information was obtained. Information on lot/batch number has been requested.; Sender's Comments: A causal association between BNT162B2 and the events drug ineffective and COVID-19 cannot be excluded based on a compatible temporal relation between vaccination and onset of events.

Other Meds:

Current Illness:

ID: 0947626
Sex: F
Age:
State: IL

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Test Date: 20210108; Test Name: Body temperature; Result Unstructured Data: Test Result:99.7

Allergies:

Symptoms: her whole body is achy; Chills; Temperature of 99.7; Tired all over; Headache; muscle and joint pain; muscle and joint pain; GI Issues; having soreness of her left arm where she got the injection; This is a spontaneous report from a contactable pharmacist. A 46-year-old female patient received second dose of BNT162B2(PFIZER-BIONTECH COVID-19 VACCINE), intramuscular on 07Jan2021 at single dose for COVID-19 immunisation. The patient had no medical history. There were no concomitant medications. The patient previously took first dose of BNT162B2 on 18Dec2020. The patient received her second dose. After getting the second dose she is having soreness of her left arm where she got the injection, it is painful and she expected that. It is not depriving her of moving or anything. Now (08Jan2021) her whole body is achy, has chills, she has a temperature of 99.7, she is tired all over. She is calling to see if it safe to take acetaminophen or something else OTC around the clock to pass the symptoms or will it cause a delay in anything with the vaccine? She mentioned she heard there was a time frame where could not take anything because it would cause a delay. She is wondering if she should be worried she has COVID and get tested since it came back? She doesn't want to report she is doing it online. The side effects she is experiencing are headache, chills, muscle, and joint pain. Also, last night she had GI issues. The outcome of the events was not recovered. Information on lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0947627
Sex: M
Age:
State: NC

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: feel bad; he did not have the energy to do anything/ felt drained; his arms just feel like dead weight, does not know how to describe it, but they ache; This is a spontaneous report from a contactable consumer. A 75-year-old male patient receive BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), intramuscular at the left deltoid (shoulder) on 06Jan2021 10:30 at a single dose for COVID-19 prophylaxis at a clinic. There were no medical history and concomitant medications. On 07Jan2021, patient stated that he knew that he would feel bad the next day of vaccination, but he was into the second day and he just does not feel good. Patient clarified that he felt drained. He said that he slept most of the day and went to the gym and he did not have the energy to do anything. Patient added that his arms just feel like dead weight, he does not know how to describe it, but they ache. The patient has not recovered from the events Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0947629
Sex: M
Age:
State:

Vax Date: 12/16/2020
Onset Date: 12/16/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Stiffness at the vaccination site; stiffness at the vaccination site (especially when lifting his arm; felt heavy and sore); Pain at the time of syringe injection; This is a spontaneous report from a non-contactable consumer (patient). A male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via unspecified route of administration on 16Dec2020 at single dose for COVID-19 immunization. Patient medical history and concomitant medications were not reported. The patient experienced pain at the time of syringe injection on 16Dec2020 at 1st administration. It was reported that on unspecified date, there was stiffness at the vaccination site (especially when lifting his arm; felt heavy and sore). No specific allergic reaction after being watched for around 30 minutes after administration. At first dose administration there was no bleeding after the injection. 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: 0947630
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: aches; fever; chills; This is a spontaneous report from a contactable consumer (Pfizer colleague). A male patient of an unspecified age received his second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiry date were 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 reporter reported for a patient who had some side effects following receiving the second dose of the COVID vaccine. The patient experienced aches, fever, and chills on an unspecified date. The patient was aware that "the second shot in the series can be kind of bad." The outcome of the events was unknown. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0947631
Sex: F
Age:
State:

Vax Date: 01/08/2021
Onset Date:
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Her flare ups on her skin; This is a spontaneous report from a non-contactable consumer via the Pfizer-sponsored program. A female patient of an unspecified age started to receive bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration from 08Jan2021 to 08Jan2021 at a single dose for an unspecified indication. The patient's medical history and concomitant medications were not reported. It was reported by the patient that she got the first dose of vaccine yesterday. She was prescribed Clindamycin as needed but it seems she needs to take it again because of her flare ups on her skin. 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: 0947632
Sex: F
Age:
State: VA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Test Date: 20201106; Test Name: COVID-19 PCR test/nose test; Test Result: Negative

Allergies:

Symptoms: Chills; Diarrhea; Again today 24 hours later she had abdominal cramping that was almost debilitating; Abdominal cramps; This is a spontaneous report from a contactable consumer. A 61-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EH9899), via an unspecified route of administration on the right arm on 07Jan2021 07:00 at single dose for COVID-19 immunisation. The patient had no medical history. There were no concomitant medications. The patient experienced abdominal cramps on 07Jan2021 13:30, diarrhea and chills for 20 or 30 minutes and then it all went away on 08Jan2021. Again today 24 hours later, she had abdominal cramping that was almost debilitating. Had Covid 19 Test up the nose test, thinks it was PCR that was negative on 06Nov2020. The outcome of events was recovered on 08Jan2021.

Other Meds:

Current Illness:

ID: 0947633
Sex: F
Age:
State:

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Ringing in ears; This is a spontaneous report from a contactable nurse (patient). A 55-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number: EL1284, expiry date not reported), intramuscular on 06Jan2021 at a single dose into left arm as COVID prevention. There were no medical history and concomitant medications. Patient did not receive any other vaccines on the same day as the COVID Vaccine. Patient received the COVID shot on Wednesday (06Jan2021), and about two hours after she got the shot, she starting having godawful ringing in her ears that lasted the last two days. Patient confirmed that the product was not specifically prescribed to her, but rather it was given via workplace policy. The ringing in her ears started that same day (06Jan2021) and that the ringing has stopped, it stopped around 5:30 am morning of the report date (08Jan2021). Therapeutic measures were taken as a result of ringing in ears. Patient stated that she took Benadryl before bed last night (07Jan2021). The event ringing in ears recovered on 08Jan2021 at 5:30 am.

Other Meds:

Current Illness:

ID: 0947634
Sex: M
Age:
State:

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Left elbow tendinitis onset approximately 48 hours after administration. Occurred with first and second dose.; This is a spontaneous report from a non-contactable physician. A 31-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), lot number:EL1284, via an unspecified route of administration on the left arm on 08Jan2021 09:00 at a SINGLE DOSE and (Lot number: EH9899), via an unspecified route of administration on the left arm on 17Dec2020 20:00 at a SINGLE DOSE for covid-19 immunisation. Medical history included none from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. The patient experienced left elbow tendinitis onset approximately 48 hours after administration which occurred with first and second dose on 10Jan2021 07:00 with outcome of recovering. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 0947635
Sex: M
Age:
State: PA

Vax Date: 01/05/2021
Onset Date: 01/01/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Test Date: 202101; Test Name: Heart rate; Result Unstructured Data: Test Result:irregular

Allergies:

Symptoms: I was having like sore throat but not very severe almost like a tight throat; I was having like sore throat but not very severe almost like a tight throat; Difficulty swallowing; I began to have a stuffy nose; Sleep restless; Upon swallowing I had increased amount of mucus going down; Since getting the second dose, I have been breathing more shallow; I have had tiredness, body aches, just not feeling well; I have had tiredness, body aches, just not feeling well; I have had tiredness, body aches, just not feeling well; I noticed my heart rate, it seems to be irregular; I feel like mine is like speeding up and just an irregular; Weakness, I have been super weak, I have not been able to do much physically/I have just been sleeping, just resting, my body is getting weak from that; This is a spontaneous report from a contactable consumer (patient). A 29-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot # EL3246), via an unspecified route of administration, on 05Jan2021 at 9:40 am at single dose for COVID-19 immunisation. Age at vaccination was 29-years-old. Medical history was none. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 14Dec2020. Concomitant medications included multivitamins. He is a very health conscious individual. He is very healthy. On same day of getting the vaccine, 05Jan2021, on that evening the patient began to have a stuffy nose and then he had a very restless sleep. He woke up the very next day. On 06Jan2021, with difficulty swallowing. He was having like sore throat but not very severe almost like a tight throat. He noticed that he had, upon swallowing he had increased amount of mucus going down and then he noticed yesterday and today as well, it was like not difficulty breathing but very shallow breathing. He is typically a deep abdominal breather. Since getting the second dose, he has been breathing more shallow. He has noticed increased amount of tiredness. He has body aches, he is not sure about body aches because he has just been sleeping, just resting, his body is getting weak from that. He is not sure but he has had tiredness, body aches, just not feeling well. He is still able to eat and he is still able to drink. he noticed his heart rate, it seems to be irregular, not alarming but it was like, he is not sure if you are a coffee drinker but sometimes when you take caffeine your heart rate speeds up. He feels like his is like speeding up and just an irregular. Also, weakness, he has been super weak, he has not been able to do much physically. Outcome was unknown.

Other Meds: MULTIVITAMINS [VITAMINS NOS]

Current Illness:

ID: 0947636
Sex: M
Age:
State: PA

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills; Right eye was swollen; This is a spontaneous report from a contactable consumer (patient). A 61-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EK9231), via an unspecified route of administration on 05Jan2021 at single dose for COVID-19 immunization. The patient medical history included ongoing diabetes and blood pressure high from an unknown date and unknown if ongoing. The patient's concomitant medication included metformin at 500 mg for diabetes. On 06Jan2021, the patient experienced chills and right eye was swollen. The patient outcome of chills was recovered and the outcome of "right eye was swollen" was not recovered.

Other Meds:

Current Illness: Diabetes

ID: 0947637
Sex: M
Age:
State: GA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/15/2021
Hospital: Y

Lab Data: Test Name: Work; Result Unstructured Data: Test Result:normal; Test Name: COVID Test; Test Result: Negative

Allergies:

Symptoms: short of breath; aching so bad again; was still short of breath, getting worse, aching so bad again; choking; got as cold as ice; throat was real swollen; started itching terribly; This is a spontaneous report from a contactable consumer (patient). A 73-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EK4176), via an unspecified route of administration on 06Jan2021 single for COVID-19 immunization. Medical history included hypertension and had 4 heart attacks. The patient's concomitant medications were not reported. The patient just had the Covid 19 Vaccine first shot. After the shot he went to the dining room to get some lunch. He was reading since 'calculative'. He started itching terribly. Onset date for started itching terribly was reported as 06Jan2021. He got as cold as ice. He started getting real short of breath, he was choking but he managed to get them out of his throat. His throat was real swollen and choked. He went back to the clinic and the Nurse took him straight to the emergency room. He was there in his wheelchair freeze in and crawling himself, struggling to breathe for almost 25 minutes before the Nurse finally came in and helped him get him on the stretcher. She took his time, she got the IV started and gave him a steroid a shot and Benadryl. He did not know the dosage and some capsules. He did not know why the capsules and he was still struggling for a while but he found day tough for about an hour. When he came too he was still short of breath, getting worse, aching so bad again. He was struggling to breathe, he was still having some breathing problem, some choking and aching. The events was still short of breath, getting worse, aching so bad again were serious as hospitalization. Laboratory work: Work was normal. The COVID Test was negative. The outcome of events short of breath and started itching terribly was not recovered while for other events were unknown.

Other Meds:

Current Illness:

ID: 0947638
Sex: F
Age:
State: SC

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Mild reaction; Left arm swelling; This is a spontaneous report from a contactable nurse. A 57-year-old female nurse reported for herself that received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number EL0142, Expiry Date 31Mar2021), intramuscular into the left arm on at single dose on 05Jan2021 for COVID-19 immunization. The patient's medical history was none and the patient did not receive other products. The patient reported that when I received the vaccination she patient experienced mild reaction left arm swelling. She did not had it before this vaccine. At the time of reporting it is gone down now. She did not take any treatment.

Other Meds:

Current Illness:

ID: 0947639
Sex: U
Age:
State: OK

Vax Date:
Onset Date:
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: dehydration; This is a spontaneous report from a contactable Nurse. A patient of unknown age and gender received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, on an unknown date at single dose for COVID-19 immunisation. Medical history and concomitant medications were unknown. After vaccination on an unknown date, the patient went to ER and was diagnosed with dehydration. Patient was hydrated and recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Sender's Comments: The information currently provided is too limited to make a meaningful medical assessment hence, the events are conservatively assessed as related to the suspect drug BNT162B2 until further information becomes 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 RAs, Ethics Committees, and Investigators, as appropriate.

Other Meds:

Current Illness:

ID: 0947640
Sex: F
Age:
State:

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Sweating; Chills with clattering teeth; bad headache; Nausea; This is a spontaneous report from a non-contactable consumer (reporting on behalf of the mother). A female patient of unspecified age (in her mid- 40's) received the first single dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 05Jan2021, for COVID-19 immunisation. Medical history and concomitant medications were not reported. On 06Jan2021 at 03:00 the patient woke up sweating, having chills with clattering teeth, a bad headache and nausea, no fever. Ibuprofen helped with the headache and she did a bland diet for the following day. Events outcome was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 0947641
Sex: U
Age:
State: CA

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Test Date: 20210103; Test Name: fever; Result Unstructured Data: Test Result:104

Allergies:

Symptoms: fever; arm pain; vomiting; diarrhea; body aches; was not able to sleep; This is a spontaneous report from two contactable nurses via a Pfizer Sales Representative. A patient of unspecified age and gender received second dose of bnt162b2 (PFIZER COVID VACCINE), via an unspecified route of administration in arm on 03Jan2021 at single dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient experienced fever, arm pain, vomiting, diarrhea, body aches, not able to sleep on 03Jan2021. Approximately 24 days ago, the patient received shot in dominant arm. Within hours that arm was sore and hard to move without pain. Could not get keys out of pocket without pain. Pain continued for 12 days. 3 days ago, same patient got second shot in non-dominant arm to avoid the lack of mobility. 5 hours post shot, arm pain, vomiting, diarrhea, body aches and a fever of 104. Doctor was not able to sleep due to all side effects. The patient underwent lab tests and procedures which included body temperature: 104 on 03Jan2021. The outcome of events was unknown. Information about Lot/Batch has been requested.

Other Meds:

Current Illness:

Date Died: 01/09/2021

ID: 0947642
Sex: M
Age:
State: PA

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: died two days after receiving the vaccine; Fever; This is a spontaneous report from a contactable consumer (patient's stepchild). A 66-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration, on 07Jan2021 (at the age of 66-years-old) as a single dose for COVID-19 immunization. The patient's medical history was not reported. Concomitant medications included an unspecified statin. The patient experienced fever on 08Jan2021. The patient died two days after receiving the vaccine on 09Jan2021, which was reported as fatal. The clinical course was reported as follows: The patient had a fever the day after getting the vaccine and then he just died in the middle of night. It was reported that it was not clear what exactly happened, but they are looking into this. The clinical outcome of fever was unknown and of died two days after receiving the vaccine was fatal. The patient died on 09Jan2021. The cause of death was not reported. An autopsy was not performed (was reported to be taking place soon). The batch/lot number for the vaccine, BNT162B2, was not provided and has been requested during follow up.; Reported Cause(s) of Death: died two days after receiving the vaccine

Other Meds:

Current Illness:

ID: 0947644
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I got a flu shot I got the flu the same damn day; Initial information received on 20-Nov-2020 regarding an unsolicited valid non-serious case from a consumer (patient). This case involves a patient of unknown demographics who got a flu shot got the flu the same day (influenza), while the patient received vaccine 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 influenza vaccine (Strength, formulation, dose, frequency, route, batch number and expiry date were unknown) for prophylactic vaccination. On an unknown date (unknown latency), after started therapy with suspect vaccine, the patient got a flu shot got the flu the same day (influenza). Action taken with the suspect drug was not applicable. It was not reported if the patient received a corrective treatment. The event outcome was reported as unknown.

Other Meds:

Current Illness:

ID: 0947645
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Only time I have had the flu was the one time I got a flu shot; Initial information received on 08-Dec-2020 regarding an unsolicited valid non-serious case received from a consumer (patient) via social media. This case involves an unknown age patient for whom only time patient had the flu was the one time patient got a flu shot! Never again (influenza) 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 only time patient had the flu was the one time patient got a flu shot! Never again (influenza) (Unknown latency)following the administration of influenza vaccine. Final diagnosis was time patient had the flu was the one time patient got a flu shot! Never again. No laboratory data was reported. It was not reported if the patient received a corrective treatment. The event outcome was reported as Unknown for most likely they did get the flu. No further information was reported.

Other Meds:

Current Illness:

ID: 0947649
Sex: F
Age: 62
State: CA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fatigue, body aches, nausea. Resolved.

Other Meds:

Current Illness:

ID: 0947650
Sex: F
Age: 53
State: MI

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: covid test preformed 01/08/21

Allergies: none

Symptoms: Muscle aches, diarrhea, fever, chills, injection site is red, warm to touch swollen 2 lumps in area, rash 5cmx 3cm

Other Meds: tramadol, adderral, Zyrtec, albuterol, amlodipine, Claritin, Gabapentin, spironlatone

Current Illness: none

ID: 0947651
Sex: M
Age: 51
State: NY

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data: none

Allergies: NSAIDS

Symptoms: fluctuating Temperatures up to 103.7 Painful Body aches throughout all joints Chills Symptoms lasted 36 hours Right leg fluctuating tissue/faccia pain lasting 2+weeks, MD states related to virus/vaccine

Other Meds: Toprol XL 25mg

Current Illness: none

ID: 0947652
Sex: F
Age: 80
State: FL

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Light-headed lasted about 15 minutes

Other Meds:

Current Illness:

ID: 0947653
Sex: F
Age: 50
State: NC

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

Lab Data: 1/13/21-EKG-Sinus Brady but otherwise normal

Allergies: Dihydroergotamine; HCTZ; Lisinopril; MSO4; Peanuts; Phenergan

Symptoms: 1340-EE c/o nauseated( with heaves but no emesis), dizziness, with a severe HA. BP 193/83 HR 62 O2 88-96%RA; 1345-EE to ED room 14 for further evaluation.

Other Meds: Wellbutrin; Omeprazole

Current Illness: c/o severe HA (-)COVID test 1/7/21

ID: 0947654
Sex: F
Age: 40
State: NY

Vax Date: 01/04/2021
Onset Date: 01/08/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Was tested for COVID 19 at Urgent Care clinic, both rapid and standard version were negative. Tested on 1/11/21.

Allergies: Celebrex Morphine

Symptoms: Rash- red, warm, 4 " in diameter at injection site. Flu-like symptoms (body aches and pains, chills, nasal congestion, sore throat, headache, nausea). Symptoms lasted approximately 72 hours.

Other Meds: Trokendi 300mg Gabapentin 300mg Vitamin D 50,000 i.u. Pristiq 100mg Dexilant BID MVI Riboflavin 400mg Magnesium 400mg BID Super B-Complex BID Pepcid 20mg BID Aimovig 140mg Q4 weeks Nurtec 75mg ODT prn

Current Illness: none

ID: 0947655
Sex: F
Age: 49
State: NY

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Left Upper Extremity Ultrasound (1/14/2021) to rule out Deep Vein Thrombosis Blood works done today - no results yet

Allergies: N/A

Symptoms: Exactly 1 week after my 1st dose of Covid 19 vaccine (Moderna), my left arm felt so itchy, that night I saw redness and swelling. Next day, I went back to the site in my workplace where I got the vaccine, they said it looks like cellulitis and to go directly to the doctor. Doctor prescribed antibiotics. The redness became bigger even if I am already taking antibiotics although swelling subsided, but it is still itchy. There is also a throbbing pain near my elbow. My Primary Care Doctor confirmed that it is cellulitis.

Other Meds: Junel Fe contraceptives

Current Illness: N/A

ID: 0947656
Sex: F
Age: 37
State: AK

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: none

Allergies: sulfa, benzoyl peroxide

Symptoms: Full body aches and fever 12 hours after vaccine, lasted 2 hours, relieved by acetaminophen and ibuprofen. Daily headaches and nausea since second dose administration. Ibuprofen and acetaminophen PRN for headaches. No treatment for nausea. Headaches and nausea are still ongoing.

Other Meds: sertraline, acetaminophen, ibuprofen

Current Illness: none

ID: 0947657
Sex: F
Age: 45
State: CA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: ciprofloxacin

Symptoms: after 5 minutes i got vertigo and dizziness, then at my work place i was with headache and diarrea the whole afternoon my whole body was hurting me i took a tylenol and i was much better.

Other Meds: Gabapentin, tryleptol, tylenol, Ibuprofen, melatonin.

Current Illness: no

ID: 0947658
Sex: F
Age: 43
State: CA

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

Lab Data:

Allergies: none

Symptoms: non urticarial rash on chest and around neck that occurred 48 hrs post vaccine. No sob, wheezing. Pt only took zyrtec the night before. No medications this morning when she noticed the rash.

Other Meds: zyrtec, multivitamins, and birth control

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm