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: 0920248
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Swollen lymph nodes on my neck; This is a spontaneous report from a non-contactable consumer (patient). A patient of unspecified age and gender received bnt162b2 (Pfizer-BioNTech COVID-19 vaccine), via an unspecified route of administration in Dec2020 at single dose in arm for covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient got the Pfizer Vaccine last Tuesday in Dec2020 and today in Dec2020 the patient woke up with swollen lymph nodes on the neck, opposite side where the arm was injected. The outcome was unknown. No follow-up attempts are possible. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 0920249
Sex: F
Age:
State: CO

Vax Date: 12/27/2020
Onset Date: 12/27/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: Test Date: 20201227; Test Name: heart rate; Result Unstructured Data: Test Result:racing

Allergies:

Symptoms: Nausea; racing heart rate; restlessness; Dizziness; Shaking; breathlessness; This is a spontaneous report from a contactable consumer reporting for herself. A 28-years-old female patient received bnt162b2 (BNT162B2 ; Lot # EK9231) vaccine , via an unspecified route of administration on 27Dec2020 at single dose for Covid-19 immunisation . Medical history included drug hypersensitivity to amoxicillin sodium on an unknown date and unknown if ongoing. There were no concomitant medications. The patient experienced about one minute and a half after receiving the vaccine racing heart rate on 27Dec2020 with outcome of recovered , restlessness on 27Dec2020 with outcome of recovered , dizziness on 27Dec2020 with outcome of recovered , shaking on 27Dec2020 with outcome of recovered , breathlessness on 27Dec2020 with outcome of recovering , nausea on 28Dec2020 with outcome of recovered. The patient underwent lab tests and procedures which included heart rate: racing on 27Dec2020. The patient received diphenhydramine (BENADRYL) to treat dyspnea.

Other Meds:

Current Illness:

ID: 0920250
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: I am like itchy all over in my the body; Rash; This is Spontaneous report from a non-contactable consumer (patient). A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 29Dec2020 at single dose for Covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient got the Pfizer vaccine for COVID earlier on 29Dec2020 and few hours past, the patient got at around 3 O'clock and then at time of the report the patient was like itchy all over in the body and the patient had like rashes. The outcome of the events was unknown. No follow-up attempts are possible. Information on lot/batch cannot be obtained.

Other Meds:

Current Illness:

ID: 0920251
Sex: F
Age:
State: GA

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: dehydration; Headache; nausea; vomiting; This is a spontaneous report from a contactable physician. A 25-year-old female patient (no pregnancy) received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 Vaccine, lot number: EL0142), intramuscularly at site of right arm on 28Dec2020 at single dose for COVID-19 immunization. Age at vaccination was 25-year-old. Medical history included COVID-19 (Prior to vaccination, the patient was diagnosed with COVID-19). The patient's concomitant medications were not reported. The patient experienced headache, nausea, vomiting, dehydration on 29Dec2020. Events were resulted in emergency room/department or urgent care. The patient received treatment (IV fluids, ondansetron (ZOFRAN), metoclopramide (REGLAN)) for the adverse event. Facility where the most recent COVID-19 vaccine was administered in hospital. Since the vaccination, the patient has not been tested for COVID-19. The outcome of events was recovering.

Other Meds:

Current Illness:

ID: 0920252
Sex: F
Age:
State: IL

Vax Date: 12/24/2020
Onset Date: 12/24/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: some redness was noted at injection site; Pain at injection site; This is a spontaneous report from a contactable Physician (patient). A 29-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE;lot number: EL0140), intramuscular in Left arm on 24Dec2020 at 11:45 am at single dose for COVID-19 immunisation . Medical history was none.No known allergies to medications, food, or other products. There were no concomitant medications. On 24Dec2020 at 10:00 pm (as reported) the patient experienced pain at injection site and on 25Dec2020 some redness was noted at injection site; events were reported as non-serious and described as follows: pain at injection site, started 10 hours after vaccination (as reported), lasted 24 hours. Also some redness was noted at injection site a day after vaccination, that self resolved in 2 days. Patient did not need to take any pain medication, no treatment given for the events. Patient recovered from the events in Dec2020.

Other Meds:

Current Illness:

ID: 0920253
Sex: F
Age:
State: AZ

Vax Date: 12/28/2020
Onset Date:
Rec V Date: 01/05/2021
Hospital:

Lab Data: Test Name: Covid Rapid testing; Result Unstructured Data: Test Result:not provided; Test Date: 20201222; Test Name: Covid Rapid testing; Result Unstructured Data: Test Result:negative

Allergies:

Symptoms: Headache; Chills; just really tired; achy; This is a spontaneous report from a contactable consumer. A 56-year-old female patient received bnt162b2 (BNT162B2; reported as Covid Vaccine Pfizer; batch/lot number: EH9899; expiration date: 31Mar2021), via an unspecified route of administration on 28Dec2020 at single dose for COVID-19 vaccination. Medical history included AFib (atrial fibrillation), high blood pressure and has 25 percent of her colon. The patient's concomitant medications were not reported. The patient reported that she a Pfizer shot yesterday (28Dec2020) which was clarified as Covid Vaccine Pfizer and today (29Dec2020) she was having some reactions to it, but they are not serious. The patient mentioned that she has like a headache and some chills and something like that which she hoped would go away by tomorrow (30Dec2020) and hoping that it doesn't last long. The patient mentioned that this was her first dose. When inquired on treatment, the patient mentioned that she was just really tired and achy and was just going to try sleep. The patient underwent lab tests and procedures which included Covid Rapid testing every single week [unspecified date] but no results were provided and last time she was tested was on last Tuesday (22Dec2020) with negative results. The outcome of the event headache and chills were not recovered while the outcome of the other events was unknown.

Other Meds:

Current Illness:

ID: 0920254
Sex: F
Age:
State:

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: Test Name: Body temperature; Result Unstructured Data: Test Result:increase

Allergies:

Symptoms: throat pain; increase body temperature; feels has something in throat; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: unknown), via an unspecified route of administration on 28Dec2020 at single dose for Covid-19 immunization. The patient's medical history and concomitant medications were not reported. After getting the vaccine on 28Dec2020, the patient asked if it is okay to get tested for Covid or if it might result in false positive. The patient reported that she has throat pain, increase body temperature and feels has something in her throat and keeps swallowing to clear it. She felt it yesterday (29Dec2020) and now is okay, only her throat was hurting. The outcome of event throat pain was not recovered, while the outcome of other events was recovered on an unspecified date. Information on the batch/lot number has been requested.

Other Meds:

Current Illness:

ID: 0920255
Sex: M
Age:
State: AZ

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: Test Name: COVID-19 test; Result Unstructured Data: Test Result:diagnosed with COVID-19; Comments: prior to vaccination

Allergies:

Symptoms: Headaches; This is a spontaneous report from a contactable Nurse (patient). A 30-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 28Dec2020 at 13:30 at single dose in left arm for COVID-19 immunisation. Medical history included COVID-19 on an unknown date (prior to vaccination the patient was diagnosed with COVID-19). Since the vaccination, the patient was not tested for COVID-19. No known allergies to medications, food or other products. There were no concomitant medications. The patient experienced headaches on 29Dec2020 at 05:00 am. Event was non serious . No treatment given and patient recovered from the event in Dec2020. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0920256
Sex: F
Age:
State: CA

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

Lab Data:

Allergies:

Symptoms: Some flu symptoms; heavy; taste at the back of her throat; This is a spontaneous report from a Pfizer-sponsored program Pfizer First Connect. A contactable consumer (patient) reported that a female patient of an unspecified age received the first dose of bnt162b2 (Pfizer-Biontech Covid-19 Vaccine) via an unspecified route of administration on an unspecified date in Dec2020 at a single dose for Covid-19 immunisation; and naproxen (NAPROSYN) via an unspecified route of administration on an unspecified date in Dec2020 at 2 dosage forms (DF) to prevent symptoms you could get with the vaccine. The patient's medical history and concomitant medications were not reported. The patient reported that she received her first vaccine last night but two hours before, she took two naproxen to try to prevent the symptoms she heard you could get with the vaccine. She did feel some flu symptoms and heavy and a taste at the back of her throat. She was concerned that the naproxen may have had a negative effect on the vaccine. She wanted to know if there were any information. Outcome of the events were unknown. Information on the batch/lot number has been requested.

Other Meds:

Current Illness:

ID: 0920257
Sex: F
Age:
State: TX

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

Lab Data: Test Date: 202012; Test Name: Antibody/antigen testing; Covid; Result Unstructured Data: Test Result:Negative; Test Date: 202012; Test Name: Antibody/antigen testing; Covid; Result Unstructured Data: Test Result:Positive

Allergies:

Symptoms: antibody/antigen testing; received vaccine on Monday then tested positive last night; This is a spontaneous report from a contactable pharmacist (patient). A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on an unspecified date in Dec2020 at a single dose for Covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient called about antibody/antigen testing. She tested negative on Sunday (Dec2020), received vaccine on Monday (Dec2020) then tested positive last night (Dec2020). She wanted to know if she truly has Covid or if it positive due to the vaccination. She gets tested every three day because she works in a long-term care facility. Outcome of the event was unknown. Information about batch/lot number has been requested.

Other Meds:

Current Illness:

ID: 0920258
Sex: F
Age:
State:

Vax Date: 12/17/2020
Onset Date: 12/17/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I developed a bitter taste; I am not able to eat; I felt so bad; I started coughing; I feel so sick and helpless; This is a spontaneous report from a contactable consumer (the patient), a front line worker. A 67-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) Batch/Lot number unknown, via an unspecified route of administration on 17Dec2020 at single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On 17Dec2020, a moment after vaccination, the patient experienced a bitter taste, was not able to eat, felt so bad, started coughing, felt so sick and helpless. The events were non-serious with outcome of unknown. The information on the batch/lot number has been requested.

Other Meds:

Current Illness:

ID: 0920259
Sex: F
Age:
State: NJ

Vax Date: 12/19/2020
Onset Date: 12/01/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: headache; redness, soreness and itchiness on her arm that lasted a week; redness, soreness and itchiness on her arm that lasted a week; redness, soreness and itchiness on her arm that lasted a week; This is a spontaneous report from a contactable nurse (patient). A female patient of an unspecified age (reported as Age: 51; Unit: Unknown) received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE lot/batch number not provided), via an unspecified route of administration on 19Dec2020 at SINGLE DOSE for COVID-19 immunization. Medical history and concomitant medications were not reported. For the first two days (on 21Dec2020) she had a headache, treated with paracetamol (TYLENOL) and headache went away. Then she developed redness, soreness and itchiness on her arm in Dec2020 that lasted a week. This week these side effects have been more intermittent. She queried if it was okay to receive second dose on 08Jan2021. The patient recovered from the events in Dec2020. Information on the batch/lot number has been requested.

Other Meds:

Current Illness:

ID: 0920261
Sex: F
Age:
State: RI

Vax Date: 12/19/2020
Onset Date: 12/20/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Left deltoid was sore initially, then pain progressed upward into left neck up to just under left ear; Left deltoid was sore initially, then pain progressed upward into left neck up to just under left ear; Also felt a little stiffness in that neck area; This is a spontaneous report from a contactable nurse, the patient. A 62-years-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot number EH9899) via an unspecified route of administration, in the left arm, on 19Dec2020 at 07:00 AM (at the age of 62-year-old) as a single dose for COVID-19 immunization. Medical history was none. The patient was not pregnant at the time of vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medication taken within two weeks of vaccination included fish oil (OMEGA 3 FISH OIL), calcium carbonate, colecalciferol (VITAMIN D 2000). The patient did not receive any other vaccines within four weeks prior to the vaccination. On 20Dec2020, at 08:00 AM, the patient experienced left deltoid was sore initially, then pain progressed upward into left neck up to just under left ear, she also felt a little stiffness in that neck area. The neck pain lasted 24 hours. The events were reported as non-serious. The patient did not receive any treatment for left deltoid was sore initially, then pain progressed upward into left neck up to just under left ear, she also felt a little stiffness in that neck area. The clinical outcome of the events left deltoid was sore initially, then pain progressed upward into left neck up to just under left ear, she also felt a little stiffness in that neck area was recovered. It was also reported that since the vaccination, the patient had not been tested for COVID-19.

Other Meds: OMEGA 3 FISH OIL [FISH OIL]; VITAMIN D 2000

Current Illness:

ID: 0920262
Sex: F
Age:
State: CO

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

Lab Data:

Allergies:

Symptoms: Redness and warmth around injection site 5-6 hours after receiving vaccine; Redness and warmth around injection site 5-6 hours after receiving vaccine; soreness 2 hours after administration until currently; This is a spontaneous report from a contactable healthcare professional, the patient. A 20-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Lot EK9231) solution for injection in the left arm on 29Dec2020 at 17:30 (at the age of 20-years-old) as a single dose for COVID-19 vaccination. The patient was not pregnant at the time of vaccination. Medical history included asthma. Concomitant medications included clonidine, lamotrigine (LAMICTAL), ethinylestradiol/etonogestrel (NUVARING) and bupropion hydrochloride (WELLBUTRIN). The patient did not have allergies to medications, food, or other products. The patient did not receive any other vaccine within 4 weeks prior to the vaccine. Prior to the vaccination, the patient was not diagnosed with COVID-19. On 29Dec2020, the patient experienced redness and warmth around injection site 5-6 hours after receiving vaccine and soreness 2 hours after administration until currently. No treatment was provided for the events redness and warmth around injection site and soreness. The outcome of the events redness and warmth around injection site was recovering. The outcome of the event soreness 2 hours after administration was not recovered. Since the vaccination, the patient has not been tested for COVID-19.

Other Meds: ; LAMICTAL; NUVARING; WELLBUTRIN

Current Illness:

ID: 0920263
Sex: F
Age:
State:

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

Lab Data: Test Date: 20201230; Test Name: Nasal Swab; Result Unstructured Data: Test Result:Pending

Allergies:

Symptoms: Nausea; body aches; headache; unable to sleep; This is a spontaneous report from a non-contactable nurse, the patient. A 35-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Lot number Eh9899) solution for injection in the left arm on 29Dec2020 at 14:00 (at the age of 35-years-old) as a single dose for COVID-19 vaccination. The patient was not pregnant at the time of vaccination. Medical history included asthma, pituitary adenoma, IBS (irritable bowel syndrome) and COVID (prior to vaccination). Concomitant medications were unknown. Past drug history included known allergies: ciprofloxacin hydrochloride (CIPRO). The patient did not receive any other vaccine within 4 weeks prior to the vaccine. Prior to the vaccination, the patient was diagnosed with COVID-19. In Dec2020, the patient experienced nausea, body aches, headache and unable to sleep. No treatment was provided for the events nausea, body aches, headache and unable to sleep. The outcome of the events nausea, body aches, headache and unable to sleep was recovering. Since the vaccination, the patient has been tested for COVID-19 via nasal swab on 30Dec2020 and result was pending. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 0920264
Sex: F
Age:
State: CA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Left hand feels sleepy; This is a spontaneous report from a contactable health care professional nurse, the patient. A 29-years-old non-pregnant female patient (nurse) received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE); Lot Number: EK5730), intramuscular in the left arm on 30Dec2020 at 14:00 as a single dose, for COVID-19 vaccination. The patient had no known medical history or allergies. Concomitant medication included amoxicillin (AMOXICILLIN). No other vaccines were given within 4 weeks. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination the patient had not been tested for COVID-19. On 30Dec2020 at 16:45, the patient experienced left hand feels sleepy. No Treatment was given for the event. The clinical outcome of left hand feels sleepy was not recovered.

Other Meds:

Current Illness:

ID: 0920265
Sex: F
Age:
State: NC

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: swelling or mask like feeling to face with sensation changes (mild numbness) to face(both sides), tongue, lips and feeling of lump in throat; also same changes in sensation to fingers on both hands; swelling or mask like feeling to face with sensation changes (mild numbness) to face(both sides), tongue, lips and feeling of lump in throat; also same changes in sensation to fingers on both hands; swelling or mask like feeling to face with sensation changes (mild numbness) to face(both sides), tongue, lips and feeling of lump in throat; also same changes in sensation to fingers on both hands; swelling or mask like feeling to face with sensation changes (mild numbness) to face(both sides), tongue, lips and feeling of lump in throat; also same changes in sensation to fingers on both hands; swelling or mask like feeling to face with sensation changes (mild numbness) to face(both sides), tongue, lips and feeling of lump in throat; also same changes in sensation to fingers on both hands; This is a spontaneous report from a contactable nurse, the patient. A 51-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), lot number: ek5730, via an unspecified route of administration on 30Dec2020 at 12:00 (at the age of 51 years old) as a single dose in the right arm for COVID-19 vaccination. Medical history included lupus from an unknown date, and allergy to Celebrex (itching). The patient was not pregnant at the time of vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medication included hydroxychloroquine sulfate (PLAQUENIL), levothyroxine, vitamin D3, and zinc, all for unknown indications from unknown dates and unknown if ongoing. The patient did not receive any other vaccines within four weeks prior to the vaccination. The vaccine was given at a hospital. On 30Dec2020 at 14:30, the patient experienced swelling or mask like feeling to face with sensation changes (mild numbness) to face (both sides), tongue, lips and feeling of lump in throat; also same changes in sensation to fingers on both hands. The patient received treatment for the events which included Pepcid, Benadryl and prednisone. The clinical outcome of swelling or mask like feeling to face with sensation changes (mild numbness) to face (both sides), tongue, lips and feeling of lump in throat; also same changes in sensation to fingers on both hands was recovered. It was also reported that since the vaccination, the patient had not been tested for COVID-19.

Other Meds: PLAQUENIL [HYDROXYCHLOROQUINE SULFATE]; ; VITAMIN D3;

Current Illness:

ID: 0920266
Sex: F
Age:
State: PA

Vax Date: 12/17/2020
Onset Date: 12/18/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: swollen arm swollen shoulder and swollen clavicle; lymphadenopathy; hands swelled, were red and itchy/swollen arm swollen shoulder and swollen clavicle; body rash to her arms, legs, abdomen with bubbly, clear bumps the size of a pea; hands swelled, were red and itchy; hands swelled, were red and itchy; This is a spontaneous report from a contactable nurse, the patient. A 65-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration on 17Dec2020 (at the age of 65 years old) as a single dose for COVID-19 vaccination. Medical history and concomitant medications were not reported. On 18Dec2020, the patient experienced hands swelled, were red and itchy, she took a shower and then experienced a "body rash to her arms, legs, abdomen with bubbly, clear bumps the size of a pea, as well as lymphadenopathy". The next day (19De2020) she started having a "swollen arm swollen shoulder and swollen clavicle". The clinical outcome of "body rash to her arms, legs, abdomen with bubbly, clear bumps the size of a pea, as well as lymphadenopathy" and "swollen arm swollen shoulder and swollen clavicle" was unknown. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 0920267
Sex: U
Age:
State: NM

Vax Date: 12/17/2020
Onset Date: 12/01/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: having a little bit of like a flu, don't know if it's like a cold; having a little bit of like a flu, don't know if it's like a cold; This is a spontaneous report from a contactable consumer, the patient. This patient of unspecified age and gender received BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine) via an unspecified route of administration on 17Dec2020 as a single dose for COVID-19 vaccination. The patient's medical history was not reported. On an unspecified date in Dec2020, the patient experienced having a little bit of like a flu, don't know if it's like a cold. Limited information was available. The clinical outcome of the flu like illness and a cold was unknown. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 0920268
Sex: F
Age:
State: CA

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

Lab Data:

Allergies:

Symptoms: Rash; Inflammation; Swelling; Itchy; This is a spontaneous report from a Pfizer-sponsored program from a contactable consumer, the patient. This female patient of an unspecified age received BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine) via an unspecified route of administration on an unspecified date at SINGLE DOSE for COVID-19 vaccination. The patient's medical history and concomitant medication were not reported. On an unspecified date, the patient experienced a rash, inflammation, swelling and itchy after receiving the vaccine. She stated it was not uncommon for her to get. The patient wanted to know if she could take a Benadryl. Limited information was available. The clinical outcome of rash, inflammation, swelling and itchy was unknown. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 0920269
Sex: F
Age:
State:

Vax Date: 12/31/2020
Onset Date:
Rec V Date: 01/05/2021
Hospital:

Lab Data: Test Name: body temperature; Result Unstructured Data: Test Result:101.8; Test Name: body temperature; Result Unstructured Data: Test Result:100.6

Allergies:

Symptoms: fever of 101.8 (unit not reported); This is a spontaneous report from a contactable consumer reported for herself. This female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on 31Dec2020 at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient experienced a fever of 101.8 (unit not reported) that initially did not improve with aspirin or Tylenol. Temperature is currently 100.6. The outcome of event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0920270
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: weakness; This is a spontaneous report from a contactable consumer. An 88-year-old female patient to received bnt162b2 (BNT162B2), via an unspecified route of administration on an unspecified at a single dose for covid-19 immunisation, apixaban (ELIQUIS), via an unspecified route of administration from an unspecified date and ongoing at an unknown dose and frequency for an unspecified indication. The patient's medical history and concomitant medications were not reported. On an unknown date, the patient experienced weakness. It was further reported that patient got the first shot scheduled to get the second on 08Jan2020. The patient had weakness from the shot and would like to known how long will the weakness last. The action taken in response to the event for apixaban was dose not changed. The outcome of the event was unknown. Information about lot/batch number is requested

Other Meds:

Current Illness:

ID: 0920271
Sex: F
Age:
State:

Vax Date: 12/20/2020
Onset Date:
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Little cough; This is a spontaneous report from a contactable Nurse. A female patient of an unspecified age started to receive BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration from 20Dec2020 to 20Dec2020 single dose for COVID-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient experienced little cough on an unspecified date. The action taken in response to the event for BNT162B2 was not applicable. The outcome was recovered Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0920272
Sex: F
Age:
State:

Vax Date: 10/19/2020
Onset Date: 10/21/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swollen lymph node on left side of neck; Initial information was received on 09-Nov-2020 regarding an unsolicited valid non-serious case from a consumer/non-hcp (healthcare professional). This case involves female patient who experienced swollen lymph node on left side of neck (lymphadenopathy), while she received vaccine INFLUENZA QUADRIVALENT RECOMBINANT VACCINE [FLUBLOK QIV]. Medical history, past medical treatments, vaccinations, concomitant medication and family history were not provided. On 19-Oct-2020, the patient received a dose of suspect INFLUENZA QUADRIVALENT RECOMBINANT VACCINE (lot number and expiration date were not reported) via unknown route in the right arm for prophylactic vaccination. On 21-Oct-2020, the patient developed a non-serious swollen lymph node on left side of neck (lymphadenopathy), two days following the administration of INFLUENZA QUADRIVALENT RECOMBINANT VACCINE. Laboratory data was not reported. It was not reported if the patient received any corrective treatment or not. The outcome of the event was unknown at the time of reporting. There will be no information on the batch number for this case.

Other Meds:

Current Illness:

ID: 0920273
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: a lttle soreness in arms; Initial information regarding an unsolicited valid non-serious case was received from a non-health care professional via social media on 14-Dec-2020. This case involves a patient of an unknown demographics who had a little soreness in arms (pain in extremity), after receiving INFLUENZA VACCINE. The patient's medical history, past medical treatments, past vaccinations, family history and concomitant medications were not provided. On an unknown date, the patient received a dose of suspect INFLUENZA VACCINE produced by unknown manufacturer (batch number and expiration date not reported) via an unknown route in unknown administration site for prophylactic vaccination. On an unknown date, the patient had a little soreness in arms (pain in extremity), (non-serious event) (unknown latency) following the administration of INFLUENZA VACCINE. No laboratory data was reported. It was not reported if the patient received a corrective treatment. At the time of report, the outcome was unknown for the event. There will be no information available on the batch number for this case.

Other Meds:

Current Illness:

ID: 0920274
Sex: F
Age:
State: SC

Vax Date: 10/01/2016
Onset Date:
Rec V Date: 01/05/2021
Hospital:

Lab Data: Test Date: 2016; Test Name: serum albumin; Test Result: 3.0 {DF}; Test Date: 2016; Test Name: creatinine; Test Result: 0.7 {DF}; Test Date: 2016; Test Name: 24 hour protein urine; Test Result: 1.5 g; Result Unstructured Data: proteinuria; Test Date: 2016; Test Name: urine protein; Test Result: 100 {DF}

Allergies:

Symptoms: Relapse of MCD; frothy urine; periorbital edema; 24 hour proteinuria was 1.5 gram; Initial information was received on 24-Dec-2020 regarding an unsolicited valid serious case from the other healthcare professional issued from a literature article. This case involved a 45-year-old female patient who had relapse of MCD (Minimal Change Disease) (glomerulonephritis minimal lesion) with frothy urine (urine abnormality), periorbital edema (periorbital oedema) and her 24 hour protein urine was 1.5 gram (proteinuria), after she received INFLUENZA VACCINE. The patient's medical history included abrupt onset of bilateral hand, facial, lower extremity edema and frothy urine and she was diagnosed with MCD after kidney biopsy on an unknown date of Dec-2014 (ongoing). Urinalysis (UA) showed 3+ protein and urine protein to creatinine (UPCR) was 6.5. Serum albumin was 1.5 g/dL (grams per deciliter), total cholesterol 465 mg/ dL, WBC (white blood cell) 6.79 K/mm (1000 per millimeter), hemoglobin (Hgb) 14.5 g/dL, platelets 417 K/mm, BUN (blood urea nitrogen) 20 mg/ dL, creatinine 1.0 mg/dL, AST (Aspartate Aminotransferase ) 29 iU/L (International units per liter), ALT (Alanine Transaminase) 20 iU/L, C3 (complement component 3) 155 mg/dL and C4 29.3mg/dL. RPR (Rapid Plasma Reagin), hepatitis B & C serologies, and ANA (Antinuclear Antibody) were negative. After approximately 2 weeks, UPCR worsened to 12 g/g. The patient's past medical treatment included oral prednisone 1mg/kg (milligram per kilogram) daily, torsemide with 5mg/day and rosuvastatin with 5mg/day for MCD. Complete remission of proteinuria was documented 2 weeks later and persisted after completing a 6-month course of prednisone. The patient had no other significant medical or allergy history and no signs of systemic infection. She was normotensive and she denied recent infections or use of NSAID (Nonsteroidal anti-inflammatory drugs). The patient's past vaccination(s), family history and concomitant medication were not reported. The patient remained in complete remission until Oct-2016. On an unknown date of Oct-2016, the patient received a dose of suspect INFLUENZA VACCINE produced by unknown manufacturer (batch number and other dosing details were not reported) for prophylactic vaccination. On an unknown date of 2016, the patient experienced serious relapse of MCD in the absence of other potential triggers of MCD(glomerulonephritis minimal lesion) with frothy urine (urine abnormality), periorbital edema (periorbital oedema) and her 24-hour protein urine was 1.5 gram (proteinuria), just after administration of INFLUENZA VACCINE. These events were assessed as medically significant. The patients renal and hepatic chemistries were normal with creatinine 0.7 mg/dL except for serum albumin of 3.0 g/dL. UA showed protein 100 mg/dL. The patient was treated with oral Prednisone 50mg/day from an unknown date of 2016. The patient had recovered from proteinuria within 21 days after treatment with Prednisone and at the time of reporting, outcome was not reported for other events. It was reported that, this case as well as previous anecdotal reports suggested that influenza vaccination and the resulting stimulation of the immune system may cause MCD. There will be no information available on the batch number for this case.; Sender's Comments: This case concerns 45-year-old patient who presented with relapse of glomerulonephritis minimal lesion, just after vaccination with INFLUENZA VACCINE (produced by unknown manufacturer). The time to onset is compatible. However, the patient already had same events before vaccination and information regarding past vaccination, its tolerance and concomitant medications were needed to fully assess the case. Based upon the reported information, the role the vaccine cannot be assessed.

Other Meds:

Current Illness: Minimal change disease

ID: 0920275
Sex: F
Age:
State:

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

Lab Data: Test Name: body temperature; Result Unstructured Data: high fever

Allergies:

Symptoms: seizure; high fever; Initial information was received on 29-Dec-2020 regarding an unsolicited valid serious case from a consumer(patient) via other company. This case involves a 24-year-old female patient who experienced seizure and high fever (pyrexia), while she received TETANUS TOXOID, DIPHTHERIA TOXOID, TYPHOID VACCINE and CHOLERA VACCINE. Medical history, medical treatment, concomitant medications, vaccination and family history were not provided. At the time of the event, the patient had ongoing latex allergy (Rubber sensitivity) and injectable Iodine allergy. On an unknown date, the patient received a dose of each suspect TYPHOID VACCINE produced by unknown manufacturer and suspects DIPHTHERIA TOXOID, TETANUS TOXOID and CHOLERA VACCINE not produced by Sanofi Pasteur (lot number and expiry date not reported) all vaccines via unknown route at an unknown administration site for prophylactic vaccination. On an unknown date, the patient developed a serious seizure and high fever (pyrexia) 6 hours following the administration of TYPHOID VACCINE, DIPHTHERIA TOXOID, TETANUS TOXOID and CHOLERA VACCINE. The patient was hospitalized for this event. (hospitalization duration 4 days). The event seizure was assessed as medically significant. It was reported that, the patient having previous reactions to vaccines when she was 24 years old prior to trip and doctors told during hospitalization that she should not have received all four vaccines at the same time. Reporter asked if she can receive the COVID-19 vaccine, she also told that (this whole thing has been a waste of her time). Other relevant laboratory data not reported. It was not reported if the patient received any corrective treatment. At the time of report, the outcome was unknown for both the events. Information on the lot number was requested.; Sender's Comments: This case concerns a 24-year-old female patient who experienced seizure and pyrexia after vaccination with TETANUS TOXOID, DIPHTHERIA TOXOID, TYPHOID VACCINE and CHOLERA VACCINE. The time to onset is compatible. The patient has allergies to latex and injectable iodine. Further information regarding medical condition at the time of vaccination, previous vaccinations and laboratory investigations excluding alternative etiologies is needed for complete assessment of the case. Based upon the reported information, the role of an individual vaccine cannot be assessed.

Other Meds:

Current Illness: Iodine allergy; Latex allergy

ID: 0920276
Sex: F
Age:
State: MA

Vax Date: 09/30/2013
Onset Date:
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: angioedema; arm swelled up; Initial information regarding an unsolicited valid serious case was received from a consumer (patient) on 28-Dec-2020. This case involves female patient of an unknown age who experienced arm swelled up (peripheral swelling) and angioedema, while she received vaccine INFLUENZA QUADRIVAL A-B INTRADERMAL VACCINE [FLUZONE]. The patient's medical history, past medical treatment(s), vaccination(s) and family history were not provided. Concomitant medication was unknown. On 30-Sep-2013, the patient received suspect INFLUENZA QUADRIVAL A-B INTRADERMAL VACCINE [lot number: UH894AB and expiration date: unknown] at an unknown dose and frequency via unknown route and unknown site for prophylactic vaccination. On an unknown date, (latency unknown) patient had a reaction as the arm swelled up (peripheral swelling). Patient was on a lot of vitamin D and then got the vaccines; that she had angioedema but had not had it in a few years. The event angioedema was assessed as medically significant as per important medical event (IME) list. It was not reported if the patient received a corrective treatment. The outcome of the both events was unknown. There will be no information available regarding batch number in this case.; Sender's Comments: This case concerns a patient of unknown age who experienced swelling of her arm and had angioedema after vaccination with FLUZONE. The time to onset is unknown. Moreover, there is no information on patient's allergic history and lab tests do not rule out alternate etiologies. Based upon the reported information, the role of the vaccine cannot be assessed.

Other Meds:

Current Illness:

ID: 0920277
Sex: F
Age: 35
State: SD

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: Stadol, fresh fruit

Symptoms: Raised red, warm lump at injection site. About the size of golf ball

Other Meds: Bentyl, tramadol, Benadryl, flexeril

Current Illness:

ID: 0920278
Sex: F
Age: 41
State: OH

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: pcn, scallops

Symptoms: Total body aches and chills, followed by 101.2 fever.

Other Meds: Celebrate, sythroid, Celexa, Allegra, iron

Current Illness: no

ID: 0920279
Sex: F
Age: 23
State: WI

Vax Date: 12/26/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effect noted.

Other Meds:

Current Illness:

ID: 0920280
Sex: M
Age: 54
State:

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital: Y

Lab Data:

Allergies: DENIES

Symptoms: 54yoM presented for a sudden-onset diaphoresis and loss of body strength. Pt had received COVID-19 vaccine this morning at the clinic and noted severe sweating all over the body while lying in bed @ approx 2030. Then pt described severe loss of body strength with dizziness as he was trying to sit up and get to his feet from the floor. Denied palpitation, chest pain, headache, N/V, LOC. His symptoms continued for 20mins until he drank a cup of water. At approx 2050, smoked E-cigarette and arrived at facility at 2100. On arrival, pt denied any symptoms, however, vitals indicated severe hypertension: BP 188/99, HR 56, T 97.6 F. Pt given 81mg ASA x2 and immediately transported to hospital.

Other Meds: Multivitamins

Current Illness: DENIES

ID: 0920281
Sex: F
Age: 34
State: WI

Vax Date: 12/26/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effects noted.

Other Meds:

Current Illness:

ID: 0920282
Sex: M
Age: 77
State: FL

Vax Date: 12/22/2020
Onset Date: 12/27/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: None

Allergies: Penicillin??

Symptoms: Moderate persistent headaches which began several days post vaccination

Other Meds: Xarelto, Aldactazide/HCTZ, Lisinopril, Amlodipine, Cardevilol, Omeprazole, Atorvastatin, Trazadone, Montelukast Sod, Folic Acid, Fish Oil, Magnesium, Ocular Vitamin

Current Illness: None

ID: 0920283
Sex: M
Age: 25
State: MA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever, immune response due to covid-19, I believe from being sick with covid recently

Other Meds: None

Current Illness: Tested positive for Covid-19 on December 10th

ID: 0920284
Sex: F
Age: 64
State: IA

Vax Date: 12/26/2020
Onset Date: 01/02/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Day 9 post-vaccine, employee developed a raised, red patch around injection site, approximately 3 inches wide by 5 inches long. The area is not warm or painful.

Other Meds:

Current Illness:

ID: 0920285
Sex: F
Age: 45
State: WI

Vax Date: 12/26/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: amoxicillin

Symptoms: Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effects noted.

Other Meds:

Current Illness:

ID: 0920286
Sex: F
Age: 46
State: OH

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: None

Allergies: Sulfa

Symptoms: 11 hours after injection: Pain and swelling at injection site. Blister at injection site. Itching of arm of injection site. 13 hour after injection: Chills and muscle aches 20 hour after injection: Fever (101.4 - 101.7), Nausea, Vomiting, Muscle cramping, diarrhea. Symptoms persisted 48 hours, until about 72 hours after injection

Other Meds: Prempro

Current Illness: N/A

ID: 0920287
Sex: F
Age: 48
State: CT

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: EKG showing SR Sent to ER for further follow up

Allergies: Codeine

Symptoms: Approximately 20 minutes after vaccination developed burning sensation in sternum. States non radiating. Felt similar to heartburn. Persistent. No SOB. No changes to pain with deep breathing. Approximately 445 mins post vaccination developed dizziness as well. Patient was seen in clinic and EKG performed. Noted to be SR. Vital signs stable. Patient sent via EMS to local hospital for full workup.

Other Meds: Meloxicam. Topomax. NSAIDs PRN. Lexapro

Current Illness: Hx. of currently being worked up by rheumatologist for unknown "viral inflammatory condition"

ID: 0920288
Sex: M
Age: 53
State: NY

Vax Date: 12/20/2020
Onset Date: 12/21/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: rash on body, pain in both arms

Other Meds: gabapentin, chlorthalidone, diclofenac gel, jardiance, omeprazole, rosuvastatin, trulicity

Current Illness: tested positive for covid-19 a few days after

ID: 0920289
Sex: M
Age: 26
State: MI

Vax Date: 01/03/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 24 hours after administration started having fever up to 101.5, chills, body aches, headache. Fever and chills lasted about 12 hours. Headache and body aches continue past 24 hours

Other Meds: Bupropion Omeprazole Cetirizine

Current Illness: None

ID: 0920290
Sex: F
Age: 54
State: MD

Vax Date: 12/29/2020
Onset Date: 01/02/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: Sulfa and avelox

Symptoms: Painful swollen lymph nodes collar bone and underarm of Left side. Started 1/2 Injection site raised lumpy and itchy started 1/4 Raised itchy rash on R hip started 12/31.

Other Meds: Lisinopril 5mg daily Vit c 1500mg daily Vit D 2000units daily Magnesium 400mg daily Vit b12 50mcg daily

Current Illness: Sinus infection 1onth prior

ID: 0920291
Sex: F
Age: 59
State: WI

Vax Date: 12/26/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effect noted.

Other Meds:

Current Illness:

ID: 0920292
Sex: F
Age: 11
State: MI

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: Telemedicine visit and exam 1/4/2021

Allergies: seasonal, no known medication allergies

Symptoms: Patient is a 11y.o. female who complains of rash. She got Tdap, menactra 12/30. That night started with little rash on forehead. Itchy and spread across face. 12/31 very itchy, spreading down neck. Used some hct. Examined 1/4/2021. Rash does not come and go. Remains on face. Now nose, eyelids, ears, chin. Some bumps on arms. Did not eat today, but feeling fine. No runny nose or cough, no sore throat, no abdominal pain or diarrhea. Sleeping fine.

Other Meds: Zyrtec 5mg tabs, 1 tab by mouth as needed

Current Illness: none reported per patient

ID: 0920293
Sex: F
Age: 38
State: FL

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: None

Allergies: Dust, cockroaches, Bahia, pine, dogwood, nettle

Symptoms: Nausea, bloating, gas, and pain at the injection site. Nausea set in 3 hours after injection and lasted about 36 hours. Bloating and gas continue day 3. Pain set in 10 hours after injection and lasted 24 hours. No medical attention needed, tea, soup, fluids, moving the arm, and rest helped.

Other Meds: Montelukast 10 mg Cetirizine 10mg Flucticasone 50mcg B12 100mcg Multi Collagen Joint support (glucosamine 1500, chondroitin 1200, MG MSM 1000) Multi stran probiotic

Current Illness:

ID: 0920294
Sex: M
Age: 42
State: FL

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: None

Allergies: erythromycin

Symptoms: Moderate soreness at injection site.

Other Meds: None

Current Illness: None

ID: 0920295
Sex: F
Age: 58
State: GA

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: coughing shortly after injection, lasted a few minutes but went away. Benadryl given

Other Meds:

Current Illness:

ID: 0920296
Sex: F
Age: 53
State: WI

Vax Date: 12/26/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: meperidine

Symptoms: Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effects noted.

Other Meds:

Current Illness:

ID: 0920297
Sex: F
Age: 63
State: IL

Vax Date: 01/03/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: Sulfa, cephalosporins

Symptoms: Swollen painful eyes

Other Meds: None

Current Illness: None

ID: 0920298
Sex: F
Age: 54
State: MI

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

Lab Data: none done

Allergies: nausea to codeine not true allergy

Symptoms: Vaccine at 8:40 am. 1 pm same day started with headache that progressed to severe headache. Marked pain in injection sight that radiated to neck and all the way to fingers. injection sight Felt warm, moderate swelling, not red. pain in arm lasted 2.5 day. Also Severe arthalgias and myalgia all over. Extreme fatigue, Foggy head. Blurry vision mild 48 hr. Very aggitated. Slept more but disturbed sleep. Could not work 24 hr. Very tired at work 12/31/2020. Naueas, no vomiting, mild constipation. Patient still feels tired and foggy today 1/5/2021 but improving

Other Meds: occasional tylenol or ibuprofen. Take multivitamin

Current Illness: no. Did donate one unit of blood the day before

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm