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: 0947809
Sex: F
Age: 65
State: NM

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

Lab Data:

Allergies: CEPHALOSPORINS (SELF REPORTED HX OF FACIAL SWELLING AFTER 10 DAY COURSE OF DURICEF 30+ YEARS AGO) AVOIDS ALL CEPHALOSPORINS SINCE. TOLERATES PENICILLIN

Symptoms: Pt reports receiving Covid-19 vaccine on 1/9/2021 on left arm. She states that "immediately" after she received vaccine she felt "tongue tingling". About 10 min later she felt "lip tingling" and started to develop "large red bump" at injection site. She advised nurse observing patients and physician on site was advised. Pt reports she was administered EPI and Benadryl IM and "felt better almost immediately". Pt states "tingling" resolved within the hour and she felt "scalded tongue" for about 24 hrs. Large local reaction slowly resolved over a 3 day period. She denies any visible skin rash / hives or AE. No throat sx. No resp sx. No GI sx. Pt denies a hx of adverse reactions to any injected medication or to any vaccine in the past. *Neg hx of Covid - 19 infection

Other Meds: RHINOCORT 32MCG 1 SP EN BID QVAR 80MCG 2 PUFFS BID TAGAMET 100MG QD LEVOXYL 112MCG QD LOSARTAN 50MG QD ROSUVASTATIN 5MG QD MONTELUKAST 10MG QD ZYRTEC 5MG BID TRIAMCINOLONE 0.1% CRM PRN PROAIR HFA PRN VITAMIN D 3 2000U QD COQ10 300MG QD FLAX

Current Illness: NONE

ID: 0947810
Sex: M
Age: 67
State:

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: No adverse event reported. Only reporting administration of vaccine in possible temperature excursion

Other Meds:

Current Illness:

ID: 0947811
Sex: F
Age: 42
State: FL

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

Lab Data: none - pictures taken of swelling of the eyes/lip

Allergies: NSAIDS - angioedema of face

Symptoms: Moderna COVID?19 Vaccine EUA - had mild swelling of right eye about 30-45 min after injection - later that day had headache, fatigue and mild dizziness. For 24-48 hours after injection had nausea, fatigue, dizziness off and on - swelling of right eye about the same. 72 hours after injection noticed moderate swelling of both eyes, right worse than left and swelling of upper lip. Also had some numbness and tingling to upper palate and back of throat. Took 3 doses of benadryl that day and have continued to take zyrtec daily for 5 days - swelling has improved quite a bit but still noticed in right eye. Swelling of lip and numbness and tingling of throat resolved after 2-3 doses of benadryl.

Other Meds: sertraline 25mg daily vitamin D3 5000 units daily

Current Illness: none

ID: 0947812
Sex: F
Age: 39
State: WI

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

Lab Data:

Allergies:

Symptoms: Employee reports sensation of significant warmth/heat that comes in waves. Vital signs checked: 10:35- 144/95 1045- 137/89 1049- 123/90 Episodes of warmth would come in waves. Symptoms would resolve and then return. Improved after 35 minutes of observation

Other Meds:

Current Illness:

ID: 0947814
Sex: F
Age: 51
State: CA

Vax Date: 12/30/2020
Onset Date: 01/01/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Itch in throat Cough Fever 99.6 F Body aches Short of breath

Other Meds:

Current Illness:

ID: 0947815
Sex: F
Age: 35
State: AL

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

Lab Data: None

Allergies: None

Symptoms: Arm pain and fever

Other Meds: A Lodi pine 10mg Daily

Current Illness: None

ID: 0947816
Sex: F
Age: 56
State: VA

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital: Y

Lab Data: as above 1/14 WBC 2.7 and plt 145 CK 3400

Allergies: Mango, nickel

Symptoms: mild rhabdomyolysis presentation and lymphopenia and thrombocytopenia

Other Meds: synthroid, mutli-vitamin, Vit C, whey protein

Current Illness:

ID: 0947817
Sex: M
Age: 27
State: PA

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

Lab Data: None

Allergies: Lamisil

Symptoms: Patient stated he did not feel good about 3-4 minutes after the injection, sat on the floor and a few moments later he lost consciousness and began to have dyskinetic movements for a period of 3-4 minutes. Patient then regain consciousness and stated that he felt like he was having a seizure. He was alert to person and place and knew that he had just gotten a vaccine. He was given some apple juice and blood pressure was taken 5-10 minutes after episode. Patient stated he felt ok and was able to leave office on his own, his mother was waiting in the car and drove him home.

Other Meds: None

Current Illness: None

ID: 0947818
Sex: F
Age: 66
State: TX

Vax Date: 01/04/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient called 1-15-2021 reporting delayed reaction from her Moderna vaccine given 1-04-2021. She reported soreness, redness, warmth, swelling and a lump 2"x2" at the injection site. The message was sent to me and I have tried to call the patient with no answer. I have left a voicemail for her to return my call. Date for onset of side effects is unknow at this time.

Other Meds:

Current Illness:

ID: 0947819
Sex: F
Age: 42
State: CA

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

Lab Data:

Allergies:

Symptoms: SORE ARM

Other Meds:

Current Illness:

ID: 0947820
Sex: M
Age: 32
State: GA

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

Lab Data: None

Allergies: None

Symptoms: Started experiencing fevers, chills, body aches, and sensitivity to touch on top of head.

Other Meds: Omerapole

Current Illness: Gallbladder removal

ID: 0947821
Sex: F
Age: 53
State: NY

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

Lab Data:

Allergies: Influenza Vaccine

Symptoms: Hives across face and upper torso, arms.

Other Meds:

Current Illness:

ID: 0947822
Sex: F
Age: 42
State: VA

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: CT scan and blood work WNL

Allergies: None

Symptoms: 2nd Shot given 21 days after the first shot. Next day seemed like normal side effects. Day 2 those effects went away low grade fever, aches, but had a knot axillary lymph node, and my arm hurt worse then the swelling spread to my chest and neck. No trouble breathing. I went to the ER because the swelling was getting worse and they did a CT scan and gave me IV fluids. The CT scan revealed swollen lymph nodes.

Other Meds: None

Current Illness: Arthroscopic knee surgery 1/5/21

ID: 0947823
Sex: F
Age: 30
State: KS

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

Lab Data:

Allergies:

Symptoms: 30 y.o. female who was seen at a COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination. She denied any history of previous adverse reactions to vaccines. She was given the Moderna vaccination in the left deltoid muscle. During her 15 minute waiting period after the injection, the patient began to experience Right arm pain, numbness/tingling and soreness, note that injection was given in left arm. She denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, lightheadedness, dizziness, facial swelling, lip swelling and tongue swelling. This provider was notified of patient reaction and she was then assessed in the emergency bay area. Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , chest pain, collapse, drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress, skin changes, tongue swelling and vomiting. ALLERGY REVIEW OF SYSTEMS: Patient complains of muscle aches (Right arm) Previous Reactions: No previous reactions to vaccines. Objective Vitals Vitals: 01/15/21 1239 01/15/21 1248 BP: 137/89 134/89 Pulse: 99 100 SpO2: 100% 100% Blood Sugar 66 collected at 1236 * Patient given snack (granola bar) just before blood glucose checked. Physical Exam Constitutional: General: She is not in acute distress. Appearance: Normal appearance. She is not ill-appearing. Cardiovascular: Rate and Rhythm: Normal rate. Pulmonary: Effort: Pulmonary effort is normal. No respiratory distress. Musculoskeletal: Right shoulder: She exhibits pain. She exhibits normal range of motion and no tenderness. Right elbow: She exhibits normal range of motion and no swelling. No tenderness found. Right wrist: She exhibits normal range of motion and no tenderness. Skin: General: Skin is warm and dry. Neurological: Mental Status: She is alert and oriented to person, place, and time. Assessment/Plan Treatment included: Ibuprofen/analgesics. Follow up response to treatment: no change. Patient discharge: Stable to go home and follow up with PCP. Reports that she had work up for Guillain Barre 2.5 years ago but this was ruled out. States that she has had intermittent pain of all extremities since that time and has a handicap parking placard due to this. She denies any pain in right arm prior to the vaccine but states it started just a few minutes after administration. She has full ROM without difficulty and full sensation but reports some numbness and tingling as well as soreness but not necessarily tender to touch. Ibuprofen was administered but shortly after patient requesting to leave and feels this pain is the same as what she's had over the past 2.5 years but wanted to keep us aware. She will be discharging home and states she does not live alone.

Other Meds:

Current Illness:

ID: 0947824
Sex: F
Age: 53
State: FL

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

Lab Data: None

Allergies: NKA

Symptoms: 3:00 PM injection site pain swelling resolved within 48 hours 7:00 PM Skin redness sensitivity on chest, abdomen right trunk resolved within 6 hrs. 9:00 PM chills, body aches, nausea resolved within 48 hrs 1:50 AM. Diarrhea resolved within 12 hours 2:00 AM. Vomiting multiple times resolved within 30 minutes

Other Meds: Multi-vitamin, Emergence ?C? with vitamin D & Zinc

Current Illness: None

ID: 0947825
Sex: F
Age: 36
State: PA

Vax Date: 01/08/2021
Onset Date: 01/12/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: Penicillin Ciprofloxacin Naproxen

Symptoms: Fatigue, malaise, and mild body aches from about 12 hours to 36 hours post vaccine. Then, starting about 4 days post vaccination, noted 2 enlarged (1-2cm) right axillary lymph nodes and 1 tender 2-3cm enlarged supraclavixular lymph node. These lymph nodes are on the same side and area that the vaccine was received. It is 7 days post vaccine and the nodes persist but are less tender.

Other Meds: Dulera Singulair Zyrtec Multivitamin Magnesium

Current Illness: None

ID: 0947826
Sex: F
Age: 66
State: NC

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

Lab Data: N/A

Allergies: IV contrast, almonds

Symptoms: 2043-patient received 2nd dose; 2055- c/o dizziness, lightheadedness, nauseated. Patient has not eaten since 0800 in the morning. 2100 Patient-given granola bar and water and reports feeling much better. Patient declined ED or Urgent care at this time. Patient to call if symptoms return.

Other Meds: Amlodipine, Aspirin, Biotin, Vitamin D3 2000Iu; Vitamin B12 500mcg; Docuate Sodium 100mg; Femhrt 0.5mg/2.5mcg; Toprol XL; Troprol; Protonix, Xarelto, sertraline

Current Illness: COVID+ per patient 12/31/2020

ID: 0947827
Sex: F
Age: 42
State: NY

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

Lab Data: None

Allergies:

Symptoms: Vaso vagal response. No LOC. No additional medical treatment required.

Other Meds:

Current Illness:

ID: 0947828
Sex: F
Age: 47
State: FL

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Swollen, painful lymph node in the left axilla and an erythematous, macular rash with distinct borders on the left deltoid, where the injection was given.

Other Meds: None

Current Illness: None

ID: 0947829
Sex: F
Age: 86
State:

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: No adverse event reported. Only reporting administration of vaccine in possible temperature excursion

Other Meds:

Current Illness:

ID: 0947830
Sex: M
Age: 26
State: MD

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

Lab Data: None

Allergies: Cranberry

Symptoms: Client complained of dizziness.

Other Meds: Medical Cannabinoid

Current Illness:

ID: 0947831
Sex: F
Age: 27
State: WI

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

Lab Data:

Allergies:

Symptoms: Seizure like reaction after COVID-19 vaccine, experienced weakness and shortness of breath.

Other Meds:

Current Illness:

ID: 0947832
Sex: F
Age: 46
State: VA

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: I had chilliness and body ache same day of the vaccine, second day I had sourness in my arm then after 4 days I had fever with pressure on my chest, the fever last for one day and pressure last for more than one week.

Other Meds: none

Current Illness: none

ID: 0947833
Sex: F
Age: 52
State:

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

Lab Data:

Allergies: aspirin ibuprofen

Symptoms: 15 minutes after vaccination, patient's hand on injection site started itching and tingling around the knuckles. Patient not in acute physical or respiratory distress. Pulse oximetry taken and within normal limits. Patient stayed in the observation area for a longer duration.

Other Meds:

Current Illness:

ID: 0947836
Sex: M
Age: 54
State: MD

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

Lab Data: na

Allergies: nkda

Symptoms: 1/9/2021- went from minor fatigue to inability to stand . Vomiting body aches ( back and shoulder), pain at injection site, possible fever and night sweats. 1/10/2021- still fatigued 1/11/2021- tired not as fatigued- called out MOnday 1/11/2021 1/12/2021- felt well again

Other Meds: unknown

Current Illness: Covid in August 2020

ID: 0947838
Sex: F
Age:
State: FL

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

Lab Data:

Allergies:

Symptoms: severe reaction to the pneumonia vaccine; This spontaneous report was received from a 66 year old female patient, via other company. No information was given regarding the patient's concurrent conditions, concomitant medications or medical history. On an unknown date, the patient was vaccinated with pneumococcal vaccine, polyvalent (23-valent)(PNEUMOVAX23) for prophylaxis (dose, route of administration, lot number and expiration date were not reported). On an unknown date, the patient experienced a severe reaction to pneumococcal vaccine, polyvalent (23-valent)(PNEUMOVAX23) (vaccination complication). The outcome of the event vaccination complication and the causal relationship between the event and vaccination with pneumococcal vaccine, polyvalent (23-valent)(PNEUMOVAX23) was not reported.; Sender's Comments: AE-2020-24035

Other Meds:

Current Illness:

ID: 0947839
Sex: F
Age: 51
State: CA

Vax Date: 12/30/2020
Onset Date: 01/01/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Itch in throat Cough Fever 99.6 F Body aches Shortness of breath Headache

Other Meds:

Current Illness:

ID: 0947840
Sex: U
Age:
State: CA

Vax Date: 09/14/2020
Onset Date:
Rec V Date: 01/15/2021
Hospital:

Lab Data: Test Name: Body temp.; Result Unstructured Data: Test Result:'Body temp. went up 2 degree: 97-99 Fahrenheit

Allergies:

Symptoms: mild headache; Body temp. went up 2 degree: 97-99F; The initial case was missing the following minimum criteria: adverse event. Upon receipt of follow-up information on [05Jan2021], this case now contains all required information to be considered valid. This is a spontaneous report from a contactable consumer from a Pfizer sponsored program, Pfizer RXPathways. A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), lot number and expiry date unknown, via an unspecified route of administration on the left arm on 14Sep2020 14:00 at a SINGLE DOSE for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient experienced mild headache for 12 hours, no medication needed-very mild and body temperature went up 2 degrees 97-99f on an unspecified date with outcome of unknown. The patient stated these side effects were only present with second dose on 14Sep2020, no side effects with first injection. Information on the Lot/Batch number has been requested.

Other Meds:

Current Illness:

Date Died: 01/14/2021

ID: 0947841
Sex: M
Age: 83
State: MI

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

Lab Data: unknown.

Allergies:

Symptoms: Patient had no immediate effects from the vaccine, but died approximately 8 hours after receiving first dose of vaccine.

Other Meds:

Current Illness:

ID: 0947842
Sex: F
Age: 25
State: VA

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: Sumac, Some milk products

Symptoms: Muscle Aches and Joint Pains; Headache; Nausea; Pain, swelling, redness and heat at injection site; Feverish symptoms without fever: hot and cold flashes and profuse sweating. Elaboration: the pain in my body was global and severe. At a time I could not move because my spine and neck felt like they were in fire. I also felt like vomiting, but could not. These symptoms continued through the night and into the next day with periods of feeling extremely hot and sweating and having chills like ice and sweating.

Other Meds: N/A

Current Illness: N/A

ID: 0947843
Sex: F
Age: 81
State: WI

Vax Date: 12/29/2020
Onset Date: 01/08/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: Penicillins, Estrogens, Estrogens, Conjugated, Codeine, Epen, Epinepherine, Raloxifene HCl, Warafrin, Hydrochlorothiazide, Lasix, Triamterene, Cephalexin, Sulfas, Azathioprine, Clarithromycin, Zolpidem Tartrate, Alendronate Sodium

Symptoms: Resident began having a general decline in condition on 1/8/21 and continued to decline until her passing on 1/10/21.

Other Meds: Metoprolol, Ferrex, Hydroxychloroquine, Calcitriol, Fluticason,Loperamide, Levothyroxine, Famotdine, Amlodipine, ES Tylenol, Prednisone, Slow-Magnesium

Current Illness: Sepsis, Chronic Kidney Disease, A-Fib, Nonrheumatic aortic val valve stenosis, Crohn's Disease

ID: 0947844
Sex: F
Age: 32
State: CA

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

Lab Data:

Allergies:

Symptoms: Shot on Thursday (1/7/21h at 1PM) Immediate: Experienced some light headiness right after shot. 2-3 hours later - Some chest tightness, even up to throat. Resolved evening that day. Usual soreness in arm, expected resolved after about 48 hours. Around 2 pm 1/14, felt chest tightness return up to throat, looked at arm, hot red and swollen, like a bug bite, itchy. Did not take antihistamine. 1/15/21 redness and itchiness still at injection site. Mild itching. Lingering mild chest tightness. Upon big inhalation, feels like someone squeezing ? numb pain ? in chest and up to throat with a big breath.

Other Meds:

Current Illness:

ID: 0947845
Sex: F
Age: 82
State:

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: No adverse event reported. Only reporting administration of vaccine in possible temperature excursion

Other Meds:

Current Illness:

ID: 0947846
Sex: M
Age:
State: MI

Vax Date: 12/22/2020
Onset Date:
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: this is a report of a vaccine-administration error with no known adverse event to date; vaccinated individual is a health care worker (physician assistant) who works at two different systems and mistakenly believed he needed to receive vaccine series at each system, thus he received 2 separate series of COVID-19 mrna vaccine, a total of 4 injections: COVID-19 (Pfizer) 1 12/21/2020 Pfizer lot # EK5730 COVID-19 (Pfizer) 2 12/22/2020 Pharmacy Pfizer lot # EL0140 COVID-19 (Pfizer) 3 01/08/2021 Pfizer lot # EL0142 COVID-19 (Pfizer) 4 01/12/2021 Pfizer lot # EK9231

Other Meds:

Current Illness:

ID: 0947847
Sex: M
Age:
State: FL

Vax Date: 12/16/2020
Onset Date: 12/23/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: ODOR. I am constantly smelling smoke. As if I am holding a cigarette ashtray against my nose when taking deep breath; This is a spontaneous report from a contactable nurse (patient). A 50-year-old male patient received first dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; lot number: EH9899; expiration date: not known), via an unspecified route of administration on left arm on 16Dec2020 13:30 at single dose for covid-19 immunization, administered in hospital. The patient's medical history and concomitant medications were not reported. The patient previously took aspirin and experienced allergies. The patient was not diagnosed with COVID-19 prior to vaccination and had not been tested for COVID-19 since the vaccination. On 23Dec2020 13:00, the patient experienced "ODOR". He was constantly smelling smoke. As if he was holding a cigarette ashtray against his nose when taking deep breath. This started a week after the first injection. The reported event is non-serious. No treatment was received for the event. The outcome of the event was not recovered.

Other Meds:

Current Illness:

ID: 0947848
Sex: M
Age: 32
State: GA

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

Lab Data: None

Allergies: None

Symptoms: Experiencing fever, chills, body aches, sensitivity to touch. When top of head is being touched sends jolts of pain through out the body

Other Meds: Omezrapole

Current Illness: Gallbladder removal

ID: 0947849
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: 20210107; Test Name: fever; Result Unstructured Data: Test Result:100.4; Comments: 20:00; Test Date: 20201006; Test Name: Antibody test; Test Result: Positive ; Test Date: 20201006; Test Name: Blood test; Result Unstructured Data: Test Result:unknown results; Test Date: 20201001; Test Name: Nasal Swab; Test Result: Negative

Allergies:

Symptoms: body aches; chills; fever 100.4; headache; runny nose; This is a spontaneous report from a contactable nurse (patient). A 25-year-old female patient received first dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; lot number: EL0140; expiration date: not known), intramuscular on left arm on 07Jan2021 10:00 at single dose for COVID-19 immunization, administered in hospital. Medical history included COVID-19 (reported as "COVID prior vaccination: Yes"). The patient is not pregnant at the time of vaccination. The patient's concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to vaccine and no other medications received within 2 weeks of vaccination. The patient experienced body aches, chills, fever 100.4, headache, and runny nose on 07Jan2021 20:00. The reported events were non-serious. There were no treatment received for the reported events. The patient underwent lab tests and procedures which included nasal swab on 01Oct2020: negative; blood test and antibody test on 06Oct2020: unknown results and positive respectively. The outcome of the events was recovering.

Other Meds:

Current Illness:

ID: 0947850
Sex: F
Age: 34
State: VA

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

Lab Data: N/A

Allergies: None

Symptoms: Red, circular site reaction. No itching or burning at site.

Other Meds: Adderall, Alive vitamin by natures way, collagen by you theory

Current Illness: None

ID: 0947851
Sex: F
Age:
State: GA

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

Lab Data:

Allergies:

Symptoms: Persistent nausea; headaches in the morning; She is extremely fatigued, zero energy she said; This is a spontaneous report from a contactable consumer (mom/caregiver). A 44-year-old female patient (daughter) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: not provided), via an unspecified route of administration in Jan2021 at single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient (daughter) works at a hospital as a Radiation Therapist. The patient got her first vaccination of the Pfizer vaccine a week ago (Jan2021). She was in bed unable to function for two days and was experiencing persistent nausea, headaches in the morning, and she was extremely fatigued, zero energy she said. The mom stated "This is so not like her. I think she may have gotten too big a dose of the vaccine. Please advise of what I can do to help her. I am a worried mom". The events were assessed as non-serious (reported as "Serious: No"). Outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0947852
Sex: F
Age:
State: NY

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

Lab Data:

Allergies:

Symptoms: severe aches; voice very raspy; headache/lingering headache; wiped out /fatigued/tired; lethargic; it took a minute for her to catch her breath; flushed; itchy; muscle aches; something that look like hives on the arm/hives on the lower right arm; skin felt really hot to touch; fire engine red on the right upper arm; pain at the injection site; This is a spontaneous report from a contactable nurse (patient herself). A 46-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot: EK9231), via an unspecified route of administration on 06Jan2021 11:00 in deltoid left at single dose for covid-19 immunization. There were no medical history and concomitant medications. Family medical history relevant to event was none. Relevant tests were none. Patient reported she received the Pfizer COVID-19 vaccine on 06Jan2021 and had pain at the injection site. On 07Jan21 she started having muscle aches and got something that look like hives on the arm and her skin felt really hot to touch, it was fire engine red on the right upper arm. On 08Jan2021, she woke up and felt like she got hit by a tractor trailer, has severe aches, voice very raspy, and very wiped out with headaches. Patient mentioned injection site arm was bright red and warm to touch after injection, but has improved. When waking up this morning on 08Jan2021 even walking this morning from the bedroom to the bathroom she was fatigued and it has gotten better with her walking around, but she still felt wiped out. The muscle aches was very short lived. She went to do something at work and it took a minute for her to catch her breath and that and the muscle aches went away and that was it. An hour later she felt very flushed and itchy and coworkers joked with her about what she ate for lunch, which was nothing different. On the opposite arm from injection arm she had hives on the lower right arm. They were there about 15-20 minutes and it turned completely fire engine red and that lasted about half an hour. She showed the doctor she worked with and they recommended diphenhydramine hydrochloride (BENADRYL), which she didn't take, it was weird. All this subsided and she felt fine afterwards. Last night she felt very fatigued when walking around the house. This morning when she woke up she felt very, very, very fatigued. Walking took a lot of effort out of her. It is hard to explain, but people say this was how they felt when they had Covid. She felt very lethargic and very tired. Patient still had a lingering headache, but nothing like she felt earlier this morning. It's not terrible, but it wasn't pleasant for a couple of hours. Patient was unable to provide seriousness for today's events (08Jan2021), and stated it wasn't really life threatening, but more significant than yesterday. Patient denied having any other vaccines the same day or 4 weeks prior. No history of problems or adverse events with vaccines in past. Pfizer Covid-19 vaccine with events were reported as related. Events did not require a visit to emergency room or physician office. Outcome of severe aches, voice very raspy, headache/lingering headache, wiped out /fatigued/tired were not recovered; outcome of lethargic, it took a minute for her to catch her breath, flushed and itchy was unknown, and outcome of other events were recovering.

Other Meds:

Current Illness:

ID: 0947853
Sex: F
Age: 51
State: CA

Vax Date: 12/30/2020
Onset Date: 01/01/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Itch in throat Cough Fever 99.6 F Body aches Shortness of breath Headache

Other Meds:

Current Illness:

ID: 0947854
Sex: F
Age:
State: NC

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

Lab Data: Test Date: 20210108; Test Name: Fever; Result Unstructured Data: Test Result:101.2; Test Name: covid test; Result Unstructured Data: Test Result:Unknown results

Allergies:

Symptoms: Fever 101.2 orally; chills; body aches; headache; nausea; vomiting; first dose on 18Dec2020, second dose on 07Jan2021; This is a spontaneous report from a contactable nurse. A 45-year-old female patient received BNT162B2 (PFIZER BIONTECH COVID-19 VACCINE), via an unspecified route of administration on the left arm, first dose (lot number: EL0140) on 18Dec2020 at single dose then second dose (lot number: EK9231) on 07Jan2021 18:45 at single dose for COVID-19 vaccination. Medical history included hypertension, depression, osteoarthritis (OA) and known allergies to ACE inhibitors and sulfa eye drops, on unspecified dates. The patient is not pregnant. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine, did not have COVID-19 prior to vaccination. Concomitant medications in 2 weeks included losartan, bupropion, fluoxetine hydrochloride (PROZAC), triamcinolone acetonide (NASACORT), naproxen sodium (ALEVE), and colecalciferol (VITAMIN D) from unspecified dates. Facility where the most recent COVID-19 vaccine was administered was at the hospital. The patient experienced fever 101.2 orally, chills, body aches, headache, nausea, vomiting on 08Jan2021, 5 hrs 15 min onset from last dose on 07Jan2021. Adverse event resulted in doctor or other healthcare professional office/clinic visit. Treatment received for the adverse events includes paracetamol (TYLENOL), ondansetron (ZOFRAN). Since the vaccination, the patient has not been tested for COVID-19. The patient underwent lab tests and procedures which included body temperature: 101.2 (unit unknown) on 08Jan2021, and SARs-CoV-2 test (COVID test) with unknown results on an unspecified date. The outcome of the events was not recovered.

Other Meds: ; ; PROZAC; NASACORT; ALEVE; VITAMIN D [COLECALCIFEROL]

Current Illness:

ID: 0947855
Sex: F
Age: 28
State: CA

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: UNKNOWN

Symptoms: MAX TEMP 101.5, CHILLS, BODY ACHES, HEADACHE. ALL RESOLVING WITHIN APPROXIMATELY 48 HOURS.

Other Meds: UNKNOWN

Current Illness: NONE

ID: 0947856
Sex: F
Age:
State: GA

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

Lab Data: Test Name: temperature; Result Unstructured Data: Test Result:98 degrees Fahrenheit; Test Name: temperature; Result Unstructured Data: Test Result:101 Fahrenheit; Comments: fevers of 101

Allergies:

Symptoms: fevers of 101; getting worse; she is so sick; felt 'nausea, chilly and hot'/she is feeling hot; felt 'nausea, chilly and hot'/nauseous; arm been sore; This is a spontaneous report from a contactable consumer (patient). A 74-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in left arm on 05Jan2021 09:30 at single dose for prevention. Medical history included covid-19 from Jul2020, hair loss. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced fevers of 101 on an unspecified date with outcome of unknown, felt 'nausea, chilly and hot'/nauseous on 08Jan2021 with outcome of not recovered, felt 'nausea, chilly and hot'/she was feeling hot on 08Jan2021 13:00 with outcome of not recovered, getting worse on an unspecified date with outcome of unknown, arm been sore on 06Jan2021 08:00 and on 08Jan2021 08:00 with outcome of not recovered, she was so sick on an unspecified date with outcome of unknown. Clinical course: She had it on Tuesday and arm been sore since then. now she gotten very nauseous. Her temperature is around 98 degrees Fahrenheit now and she is feeling hot. She does not have a temperature. After transfer caller stated ' I felt nauseous but now its gone, but also getting worse.' She was usually 96 or 97 degrees Fahrenheit. She was nauseous. Is this normal after 4 days. There was no prescriber. She was more sore on Wednesday than she is now. It is better yesterday and now than on Wednesday when it was real sore. She did something she should not have done. She went to a yoga class and had not eaten. Afterwards, she had a strawberry and did not feel like eating. Then she said she did not take her pills, which are mostly vitamins. The thought of taking pills made her sick. After she took them she ate something and has been nauseous ever since. She did not confirm if she needed glasses prior to getting the vaccine. She had COVID in Jul2020. She is taking a lot of vitamins. She had hair loss and is taking Biotin. She takes very few prescribed medications. Now she was so sick she would not think of taking them. No further details provided. The patient underwent lab tests and procedures which included body temperature: 98 degrees fahrenheit on unknown date. Information on the Lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0947857
Sex: M
Age:
State: CA

Vax Date: 12/22/2020
Onset Date: 01/04/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Got chills when tired; Got chills when tired; This is a spontaneous report from a contactable consumer (patient). A 58-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: EK5730; Expiration date: Mar2021) on 22Dec2020 (11:15) at a single dose on the left arm, with route of administration unspecified, for COVID-19 immunization at the hospital (not at a facility). The patient had no relevant medical history and concomitant medications. On 04Jan2021, the patient got chills when tired; further described as very minor chills in the evening or on and off in the day. The outcome of the events, chills when tired, was recovering. The patient was planning to receive the second dose on 12Jan2021.

Other Meds:

Current Illness:

ID: 0947858
Sex: F
Age: 38
State: TX

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

Lab Data:

Allergies: Bananas, Avocados, and Suspected Pork Allergy

Symptoms: Roughly 36 hours after the injection I experienced external swelling of my nose. Swelling went down, though not entirely, after I woke up and went about my day. Sent a photo of my nose with notes to my general practitioner who suspected it was a delayed reaction to the vaccine and instructed me to take an antihistamine that evening.

Other Meds: Advair 250/50, albuterol inhaler, Flonase, and Zyrtec

Current Illness: None

ID: 0947859
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Severe allergic reaction; injection site pain/It hurt way more than the first one; her arm still hurts/Hurt way more than the first one; Tiredness; Headache; Muscle pain; Chills; Joint pain; Feeling unwell; Difficulty breathing; Fast heartbeat; Dizziness; Weakness; This is a spontaneous report from a contactable other healthcare professional (patient). A 20-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number and expiration date not provided), via an unspecified route of administration on 07Jan2021 at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient was a healthcare worker and she got the second round of the Pfizer Covid-19 vaccine on 07Jan2021 (reported as yesterday). The patient had a severe allergic reaction in Jan2021. It hurt way more than the first one in Jan2021. It's been over 24 hours and her arm still hurts in Jan2021. The patient experienced: tiredness, headache, muscle pain, chills, joint pain, feeling unwell, difficulty breathing, fast heartbeat, dizziness, weakness in Jan2021. It happened once she was home, 5 hours after she had received the second dose of the vaccine in Jan2021 and these symptoms lasted 3 to 4 hours. She still had some weakness and kind of feeling unwell, injection site pain and tiredness. The patient was a patient care tech and work directly with Covid patients. The outcome of events Weakness, Feeling unwell, injection site pain and tiredness was not recovered. The outcome of the other events was unknown. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0947860
Sex: F
Age:
State: AR

Vax Date: 12/18/2020
Onset Date: 01/04/2021
Rec V Date: 01/15/2021
Hospital:

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

Allergies:

Symptoms: positive for Covid; positive for Covid; This is a spontaneous report from a contactable healthcare professional (patient). A 48-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number EH9899, expiration date unknown), via an unspecified route of administration in right deltoid, on 18Dec2020 07:15 at a single dose for Covid-19 immunization. Medical history included ongoing hypothyroidism and hysterectomy. Concomitant medications included estradiol (taking after hysterectomy) and levothyroxine for hypothyroidism, both ongoing. The patient has no any other vaccinations within four weeks prior to the first administration date of the suspect vaccine. The patient stated that she received the Covid vaccine mid- Dec2020. She stated she was supposed to receive the 2nd dose 2 days ago, 06Jan2021. On 03Jan2021, she started feeling bad the day before testing positive, went to urgent care to be tested, thought she had the flu. She tested positive for Covid on Monday 04Jan2021, so she has been in quarantine. She was unable to receive her 2nd dose because she was in quarantine. She wanted to know if it's ok to delay the second dose or if she needs to re-start the series. The reporter assessed the event relatedness was unknown, patient stated that she doesn't know the causality, she has not been in contact with anyone that was known to be positive, but she is a healthcare worker who sees multiple patients a day, so one of them could have been asymptomatic. Outcome of the events was not recovered.; 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.

Other Meds: ;

Current Illness: Hypothyroidism

ID: 0947861
Sex: F
Age: 27
State: VA

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

Lab Data: None

Allergies: latex oxycodone midazolam capsaicin cream Monistat tape

Symptoms: Patient reports, "Received COVID-19 Moderna Vaccine yesterday in my right arm. About 10 minutes after the shot my arm became hot, then numb, and my fingers went cold. Eventually the whole arm numbness resided and only from my elbow up was still numb. However, the numbness radiated to the front of my right chest and back of my right shoulder. I called the Associate health number as instructed by the pharmacy team who then told me to go to the ER for further evaluation. "

Other Meds: trazodone Symbicort memantine Lo-envo estradiol Botox IUD- Skyla vitamin B-12 vitamin C vitamin D3 multivitamin probiotic

Current Illness: N/A

ID: 0947862
Sex: F
Age:
State: NE

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

Lab Data:

Allergies:

Symptoms: administered an undiluted dose of the Pfizer-BioNTech Covid-19 Vaccine to a patient; administered an undiluted dose of the Pfizer-BioNTech Covid-19 Vaccine to a patient; local reaction; This is a spontaneous report from a contactable nurse. A female patient of unspecified age received bnt162b2 (BNT162B2, 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. Medical history and concomitant medications were not reported. The nurse reported that one of their healthcare facilities administered an undiluted dose of the Pfizer-BioNTech Covid-19 Vaccine to a patient. She said she wants to know if there is going to be any more of an issue to the patient other than a local reaction. Outcome of the event local reaction was unknown.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm