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: 0953560
Sex: F
Age: 61
State: WI

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: NA

Allergies: Sulfa - allergy Ibuprofen - anaphylactic response Percocet - significant heart rate increase Terbutaline - significant heart rate increase

Symptoms: 2nd and 3rd branches of trigeminal nerve, bilateral, more left than right: odd feeling throughout muscles, tongue felt thick, mild tongue coordination alteration. Left 2nd and 3rd branch trigeminal nerve mild numb sensation though unclear if I have mild paresis too. Mildly reduced tongue coordination continues.

Other Meds: Coenzyme Q10 Multi-vitamin

Current Illness: None

ID: 0953561
Sex: F
Age: 60
State: AL

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: patient states that she had a reaction with the first vaccine but not until after she left the clinic here. She states she had tingling in her lips and throat, she states she has already taken Benadryl 25mg prior to coming here today. Within 10 minutes of receiving vaccine she began with tingling of throat and lips, feeling woozy and ears itching. After speaking with healthcare worker the patient was given Benadryl 25mg IM. A medical alert was then called due to patient c/o chest pain. She was taken to the ER as a precaution.

Other Meds:

Current Illness:

ID: 0953562
Sex: F
Age: 33
State:

Vax Date: 01/08/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None; dr. Recommended icing, allergy medication, and Benadryl lotion on rash and to continue to monitor.

Allergies: None

Symptoms: Itchiness began 6 days post vaccine on and around injection site. Rash started shortly after (within hours of itchiness); rash changed from small dots to quarter size hives to rings. The rash moved around the upper arm and is still present at day 10 post vaccine. Continues to itch on and off and occasionally has a burning sensation.

Other Meds: Birth control

Current Illness: None

ID: 0953563
Sex: F
Age:
State: CA

Vax Date: 12/19/2020
Onset Date: 12/19/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: Test Name: Serology tests; Test Result: Negative ; Test Name: Ultrasound; Result Unstructured Data: Test Result:Normal; Comments: 8 Wks; Test Name: Ultrasound; Result Unstructured Data: Test Result:Normal; Comments: 14 Weeks

Allergies:

Symptoms: Arm soreness; I received the first dose of the Pfizer covid vaccination/currently 14 weeks pregnant; I received the first dose of the Pfizer covid vaccination/currently 14 weeks pregnant; I received the first dose of the Pfizer covid vaccination/currently 14 weeks pregnant; Dose/Frequency: 0.3mcg IM X 1; This is a spontaneous report from a contactable Pharmacist. A 33-year-old pregnant female pharmacist reported for herself that she received her first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE also reported as Covid-19 Vaccine) intramuscular left deltoid on 19Dec2020 09:10 (lot number: EJ1685; expiration date: Mar2021) at 0.3 mcg [ug] single dose and second dose was via intramuscular 09Jan2021 (unknown lot number and expiration date) at 0.3 mcg [ug] single dose for COVID-19 immunization. Medical history included ongoing seasonal allergies since 01Jan1991, ongoing pregnancy and ongoing GI health (gastrointestinal disorder). The patient reported that her last menstrual period was 10Sep2020 and estimated date of conception was 29Sep2020 and estimated delivery date is 17Jun2021. The patient's gestational period at time of initial exposure was 3 months (14 weeks, 17 weeks). The patient does not smoke, drink alcohol and use illicit drugs during this pregnancy. The patient had two live births and two C-sections with no complications. The patient has no maternal medical history and no family history of genetic abnormalities on either maternal or paternal. The patient did not have treatment for infertility. The results of serology tests (e.g., rubella, toxoplasmosis, etc) was negative. Ante-natal check-up included ultrasound at 8 weeks and at 14 weeks with both normal results. Since the patient has not delivered the baby yet, no information about the neonatal information, delivery information and baby details. There is no paternal medical history and history of genetic abnormalities. The father does not take any drugs during the wife's pregnancy. The father does not smoke or use illicit drugs during the mother's pregnancy but drinks alcohol 1 drink per week during the wife's pregnancy. History of all previous immunization with the Pfizer vaccine included MMR [Measles, Mumps, and Rubella vaccine], Tdap (Tetanus, Diphtheria, Pertussis vaccine), Varicella (Varicella vaccine), Hepatitis B (Hepatitis B vaccine) and Gardasil. Ongoing concomitant medication included cetirizine hydrochloride (ZYRTEC) and fluticasone propionate (FLONASE), both since 01Jan2010 for seasonal allergies; ascorbic acid, betacarotene, calcium sulfate, colecalciferol, cyanocobalamin, ferrous fumarate, folic acid, nicotinamide, pyridoxine hydrochloride, retinol acetate, riboflavin, thiamine mononitrate, tocopheryl acetate, zinc oxide (PRENATAL VITAMINS) since 09Jan2020 for pregnancy; and probiotics since 01Jan2015 for GI health. The patient 14 weeks pregnant at the report time. The patient volunteer to have any information collected from her be used to inform recommendations on pregnant patients receiving the covid vaccine. As of 08Jan2021, the patient reported that she did not report adverse events with the use of the product as there was no adverse event that occurred. The patient had arm soreness at 17:00. The patient did not visit the emergency room or the physician's office. The patient did not have any vaccination within 4 weeks prior to vaccination. The patient did not have lack of efficacy or a primary infection site. No antipyretic was used. The patient mentioned that she does consider the Pfizer product had a causal effect to the adverse events. The outcome of the events was unknown. The information on the lot/batch number has been requested. Amendment: This follow-up is being submitted to amend previously reported information: the coding of event 'The patient 14 weeks pregnant' was recoded from 'Exposure during pregnancy' to 'Maternal exposure during pregnancy'. Follow up (08Jan2021): New information received from a contactable pharmacist (patient) reported in response to HCP letter sent via email included: patient details, medical history, partner medical history, product details, lab data, new events (0.3 mcg single, arm soreness) and clinical course of the events.

Other Meds: FLONASE [FLUTICASONE PROPIONATE]; PRENATAL VITAMINS [ASCORBIC ACID;BETACAROTENE;CALCIUM SULFATE;COLECALCIFEROL;CYANOCOBALAMIN;FERROUS ; ; ZYRTEC [CETIRIZINE HYDROCHLORIDE]

Current Illness: Gastrointestinal disorder; Pregnancy; Seasonal allergy

ID: 0953564
Sex: F
Age: 83
State: NJ

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: PCN, Shellfish

Symptoms: Fever

Other Meds:

Current Illness: none

ID: 0953565
Sex: F
Age: 62
State: TX

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: Doctor did routine bloodwork on the 11th not related to this event

Allergies: latex

Symptoms: The next day vaccine arm became sore and lasted 2 days. The second day after vaccine did not have energy. The day after that went away and I was fine. Rash appeared 12 days after vaccine, small red bumps, close to armpits and itchy.

Other Meds: Janumet XR - 50-1000 one in the am and one in pm, Lisinopril - HCTZ two tablets in the am, vitamin D3 5000 IU - once daily, Jardiance 10 mg - one a day, Duloxetine - one a day, Onetrazole - one a day, Rosuvastatin - once daily, Victoza -

Current Illness:

ID: 0953566
Sex: F
Age: 40
State: FL

Vax Date: 01/06/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: codeine

Symptoms: On day 8 i began to have itching at the sight of the injection around noon and then by that evening there was redness and heat to the deltoid area along with itching and tenderness. The next morning the warmth and induration spread up the deltoid into the shoulder. I was treated for cellulitis with 1 gram of Rocephin and I am currently on Keflex 750mg bid for 7 days.

Other Meds: Lisinopril 20 mg Celexa 40mg Omeprazole 40mg Propranolol 20mg

Current Illness: none

ID: 0953567
Sex: F
Age: 55
State: MN

Vax Date: 01/14/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies: Sulfa

Symptoms: Headache, Large welts across back ,right arm , and right leg

Other Meds: Metoprolol, Losartan, Venlafaxine

Current Illness: None

ID: 0953568
Sex: F
Age: 35
State: MA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Received 2nd dose of Covid vaccine on Wednesday January 13th at 1040am, soon after had headache but was able to work. Thursday morning at 0330 severe body aches, chills, headache. Symptoms lessened with Tylenol but would come back through Friday the 15th. Had to call out of work Friday the 15th. Saturday the 16th Woke in a sweat and aches/chills have since stopped. Still experiencing headaches

Other Meds: Acetaminophen taken after vaccine

Current Illness:

ID: 0953569
Sex: F
Age: 65
State: TN

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: PCN, Cephlasporins, Quinilones, Sulfa

Symptoms: Area at injection site became red, warm to touch. Size approximately half dollar. Mild pain associated with this.

Other Meds: HCTZ, KCL, Vitamins B, D, C, Elderberry, Colace, Lexapro, ASA, Motrin, Robaxin Pepcid AC, Claritin

Current Illness: None

ID: 0953570
Sex: F
Age: 36
State: NC

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Statin (muscle pain), prednisone (shortness of breath)

Symptoms: Elevated heart rate, dizzy, sweating, throat numb

Other Meds:

Current Illness:

ID: 0953571
Sex: M
Age: 21
State: MI

Vax Date: 01/02/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: 1/17/2021 CRX, EKG, Lab work (CBC, CMP, ESR)

Allergies: none

Symptoms: 14 days post vaccination developed: chest pain, back pain, paresthesia of bilateral upper extremities. CXR, EKG and Lab work done. Symptoms not disabling yet present; musculoskeletal pain in upper extremities with paresthesia

Other Meds: none

Current Illness: none

ID: 0953572
Sex: F
Age: 90
State: NJ

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: Shell fish

Symptoms: Fever of 101.9, disorientation, pain in arm, ache red spot of 7 inches in diameter

Other Meds: 5 mg prednisone, lisopril 20mg, methotrexate 5 X 2.5 mg once a week

Current Illness: None

ID: 0953573
Sex: F
Age: 36
State: OH

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Sulfa drugs, doxycycline, bananas

Symptoms: Starting after vaccine had redness, itching around injection site. It was hot to the touch. About two inches in diameter. Contacted pcp who advised hydrocortisone for itch and monitoring. Symptoms seemed to drastically improve and were not noticeable for a few days. Starting 1/17/21 the injection site began itching again and felt very hot and was noticeably red. Overnight the size of the redness increased to about 4 inches in diameter and became increasingly uncomfortable. I reached out to my PCP and sent pictures. He prescribed keflex for presumed cellulitis.

Other Meds: Fluoxetine, bupropion, clonezapam, Zyrtec, Flonase, vitamin d, vitamin c, zinc, multi vitamin

Current Illness: None

ID: 0953574
Sex: F
Age: 32
State: MT

Vax Date: 01/07/2021
Onset Date: 01/10/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: CBC, CMP, and urinalysis were obtained at urgent care and all normal.

Allergies: Spironolactone

Symptoms: Petechial rash developed on bilateral lower extremities. Nonpuritic. Coalesced into purpural lesions on the bilateral posterior knees. Rash resolved within one week.

Other Meds: None

Current Illness: None

ID: 0953575
Sex: F
Age: 56
State: NM

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

Lab Data: UA, noting hematuria

Allergies: NKDA

Symptoms: Hematuria noted about 1 1/2 days after receiving the first COVID vaccine. No treatment, pushed fluids and cleared up.

Other Meds: None

Current Illness: None

ID: 0953576
Sex: M
Age:
State: AZ

Vax Date:
Onset Date:
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: AUGMENTIN, ZYBAN

Symptoms: None stated.

Other Meds: LEVOTHYROXINE 112MCG. 1 TAB DAILY,FUROSEMIDE 20MG 2 TABS DAILY, POTASSIUM CL SR MC TB 10MEQ.

Current Illness: COPD, HEART PACEMAKER, HEART VALVE AORTIC REPLACEMENT

ID: 0953577
Sex: F
Age: 72
State: CA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Penicillin, Bactrim, beta blockers, sulfur drugs

Symptoms: I got the shot and i was ok the first day but the next day I felt groggy and week. I went and had breakfast and then i got the chills, then i started sitting up but i felt awful so i went back to bed and dizziness weakness headache, redness around injection site. My whole left side felt like it was achy and almost like it was numb. I lost bladder control, I had a couple of accidents. I stayed in bed until next day, couldn't get out of bed, couldn't eat. Got up Saturday, not feeling good, queasy, diarrhea but not as bad as Friday. Every time i would try to do something i would fall asleep. went and had covid test for surgery. Sunday I felt better but not to par. Today i feel the best so far. Put antibiotic cream on injection site because it was itching, and it is still hard and warm to touch. Today i have a small cough that I didn't have before.

Other Meds: Metformin 1000 mg VID, Albuteral as needed, invocana 100 mg daily, candesartan 8 mg 1 tab daily, voltorin cream as needed, vytorin 10 mg tab daily, flonase as needed, asthma advir 1 puff every 12 hours, glitizide 10 mg 1 tab twice a day,

Current Illness:

ID: 0953578
Sex: M
Age: 3
State: CA

Vax Date: 01/06/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever running three days so far, hives from head to toe

Other Meds: Gummy multivitamin

Current Illness: None

ID: 0953579
Sex: F
Age: 33
State: MN

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

Lab Data:

Allergies: none that i am aware of

Symptoms: swelling of lymph node(?) or gland under left arm about 12 hours after injection, swelled to about 3 times normal size, any movement or pressure cause intense pain, started to decrease in size after 2 days

Other Meds: topiramate 100mg, buspirone 10mg, vitamin d, vitamin b2, magnesium, pre-natal multi-vitamin

Current Illness: none

ID: 0953580
Sex: F
Age: 17
State: IL

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: the patient was 17 years old and 11 months when given the vaccine. this vaccine is approved for 18 years old and above. she did not have an adverse reaction.

Other Meds:

Current Illness:

ID: 0953581
Sex: F
Age: 54
State: NJ

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: SEASONAL

Symptoms: ITCHING, NO RASH. TOOK CLARITIN

Other Meds: CLARITIN, VITAMINS C & D

Current Illness: NONE

ID: 0953582
Sex: U
Age:
State: CA

Vax Date:
Onset Date:
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: difficulty breathing; This is a spontaneous report from contactable other healthcare professional via Pfizer Sales Representative. A patient of unspecified age and gender received bnt162b2 (also reported as Pfizer COVID 19 Vaccine, lot no. and expiry date were not reported), via an unspecified route of administration on an unspecified date at single dose for Covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient had difficulty breathing after receiving the vaccine on unspecified date. The outcome of the event was unknown. The patient and the healthcare professional who also received the vaccine were in the same recovery room after receiving the vaccine. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0953583
Sex: F
Age: 36
State: MA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Received vaccine on 01/12/2021 at 1530 - woke up at 0330 01/13/21 with chills, body aches, headache, nausea, dizziness. This lasted for 48 hours.

Other Meds:

Current Illness:

ID: 0953584
Sex: M
Age:
State: NY

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

Lab Data:

Allergies:

Symptoms: Arm was sore at the injection site; This is spontaneous report from a contactable consumer (patient). A 65-year-old male patient received of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) first dose on 18Dec2020 at 10:30 A.M (lot number: EK5730) and second dose on 08Jan2021 at 10:15 (lot number: EL0140); both taken via unspecified routes of administration, in the left arm, at single doses, for COVID-19 immunization. The patient has no relevant medical history and has no known allergies. Concomitant medication included rosuvastatin calcium (SUVASTATIN). The patient was not diagnosed with COVID prior vaccination. The patient did not receive other vaccines within four weeks prior to COVID vaccination. The vaccine was administered in the facility. On 18Dec2020, at 15:00, the patient's arm was sore at the injection site. On 08Jan2021, at 16:00, the patient's arm was sore at the injection site. The patient did not receive treatment for the event. Outcome of the event was recovered.

Other Meds: SUVASTATIN

Current Illness:

ID: 0953585
Sex: F
Age:
State: SC

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: Test Date: 20210106; Test Name: Heart rate; Result Unstructured Data: Test Result:went up

Allergies:

Symptoms: tightness in my chest; sob/shortness of breathe; headache; chills; body aches; extreme fatigue; bloating; shakes; blurred vision and couldn't focus on my cell phone; tachycardia/heart rate went up; dizziness/ felt dizzy; This is a spontaneous report from a contactable nurse (patient). A 41-year-old female patient received the first dose of BNT162B2 (Pfizer-BIONTECH Covid-19 Vaccine; Lot number: ER9231), via an unspecified route of administration in the right arm on 06Jan2021 at 10:00 AM at a single dose as COVID-19 vaccine. Medical history included anaemia and anaphylactic reaction to shellfish. The patient was not pregnant at the time of vaccination, did not receive any other vaccine within 4 weeks prior to the COVID vaccine, and had no other medications within 2 weeks of vaccination. The patient was not diagnosed with COVID-19 prior to the vaccination and was not tested for COVID-19 post vaccination. There were no concomitant medications. On 06Jan2021, within 2 hours (at 12:00 PM), the patient experienced blurred vision, within 4 hours tachycardia and dizziness, within 8 hours headache, chills, body aches, and extreme fatigue, and within 12 hours, tightness in her chest, SOB, extreme fatigue, and body aches. As treatment, the patient received ibuprofen. The patient stated that she had a pretty severe reaction. She also informed her employer but nobody helped. They observed her 15 mins. post-vaccination. She was fine within 15 minutes. It was also reported that within 2 hours, she had blurry vision, tachycardia, and felt dizzy. In the middle of the day, she felt chills, shivers, dizziness, bloating, and headache. The patient also stated that she experienced shakes and taking a shower hurt, also, chest was tight all day. It was further reported that when she was sent back home from work, she started having a severe body ache, fatigue, chills, and shivers. She experienced tightness in her chest , shortness of breath, and she could barely get out of bed. This lasted all day. She still had the blurred vision and couldn't focus on her cell phone. She felt a little bit better today but was still not 100%. She contacted her MD who advised her to report this to Pfizer. The patient wanted to know if it was safe to receive the second dose of COVID-19 vaccine. It was reported that the events resulted in a doctor or other healthcare professional office/clinic visit. Outcome of the event 'Vision blurred' was not recovered, for the event 'Tremor' was unknown, while for the rest of the events was recovering. The case was reported as non-serious (did not result in death, was not life-threatening, did not cause/prolong hospitalization, was not disabling/incapacitating, and did not result to any congenital anomaly/birth defect).

Other Meds:

Current Illness:

ID: 0953586
Sex: F
Age: 65
State: VA

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Penicillin, Levaquin

Symptoms: Moderna Covid-19 Vaccine EUA - Severe dizziness, violent vomiting, fatigue. Foggy brain and felt horrible. Could not turn head without extreme dizziness which lead to vomiting. Could not move for 20 hours. Slept all day. Called doctor twice - prescribed Meclizine. - 12.5 mg. Could eat or keep down liquids. Took Tylenol every 4 hours. Starting improving morning of 1/18/21. Still having improved dizzy spells as of 0335 pm. Still sleeping but able to keep down food and liquids. Normal vitals throughout reaction. Can someone contact me about advice on the 2nd vaccine?

Other Meds: Multi vitamin, C, Fish Oil, Zinc

Current Illness: none

ID: 0953587
Sex: M
Age:
State: NJ

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: severe body aches; severe chills; night sweats; Fatigue; This is a spontaneous report from a contactable Physician (patient). A 55-year-old male patient received the second dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 06Jan2021 at 12:00 at single dose in left arm for covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient previously received the first dose bnt162b2 in Dec2020 three weeks ago at 12:00 noon in the left arm for covid-19 immunization and experienced mild pain at the injection site which lasted two days and then was gone. The patient experienced severe body aches, severe chills, night sweats, and fatigue on 07Jan2021. Event details: The patient reported that he received the first dose of the Pfizer COVID 19 vaccine three weeks ago at 12:00 noon in the left arm. He did not know the exact date. After the first dose there was mild pain at the injection site which lasted two days and then was gone. He received the second dose of the Pfizer COVID 19 vaccine on 06Jan2021 at 12:00 noon in the left arm. He noticed 12 hours later severe body aches, severe chills, and night sweats. He also felt fatigue. Everything had mostly resolved except for the night sweats and they were still pretty severe. All events were reported as serious by reporter per medically significant. The outcome of event night sweats was not resolved, outcome of other events was resolved on 10Jan2021. Information about lot/batch number has been requested.; Sender's Comments: The Company cannot completely exclude the possible causality between the reported severe body aches, severe chills, fatigue and night sweats, and the administration of the COVID 19 vaccine, bnt162b2, based on the reasonable temporal association. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RA, IEC, as appropriate.

Other Meds:

Current Illness:

ID: 0953588
Sex: F
Age: 48
State: VA

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: 3 ED visit; labs were normal with the exception of low potassium on visit 3. Holte did not show arrhythmia, but did confirm bouts of tachycardia. ECHO was normal;

Allergies: penicillin (rash), Relafen (rash)

Symptoms: Reporter received the Pfizer Covid-19 vaccine on Dec 28 around 7:55 am. That afternoon ~12:55, she started experiencing tachycardia. EMS was called to her home. She was evaluated and transported by car to the ER. EKG and labs were done (normal). It could not be determine if the vaccine was the cause. Dec 29th she went back to the ER for tachycardia and shortness of breath. Once again labs and EKG performed (normal). She had an appointment with a cardiologist that evening; a Holter monitor and an echo were ordered. She continued to have bouts of shortness of breath, tachycardia, muscle aches, and intermittent twitching. Went back to the ER Dec 31st

Other Meds: mvi, magnesium, vitamin d, famotidine.

Current Illness: none

ID: 0953589
Sex: F
Age:
State:

Vax Date: 12/21/2020
Onset Date:
Rec V Date: 01/18/2021
Hospital:

Lab Data: Test Name: eosinophil count; Test Result: 12.2 %

Allergies:

Symptoms: eosinophil count is 12.2%; Congestion; rhinitis; Cough; This is a spontaneous report from a contactable consumer. A 68-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot/batch number unknown), via an unspecified route of administration on 21Dec2020 at a single dose for Covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient who is an MD received the COVID vaccine on 21Dec2020. She quickly developed rhinitis, cough, and congestion which have persisted. Her eosinophil count is 12.2%. She received a Medrol pack, but it did not relieve her symptoms. She has delayed her second injection for now. The outcome of the events was unknown. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

Date Died: 01/11/2021

ID: 0953590
Sex: M
Age:
State: NY

Vax Date: 01/05/2021
Onset Date: 01/11/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: Test Date: 20210109; Test Name: Nasal Swab; Test Result: Negative

Allergies:

Symptoms: resident expired; This is a spontaneous report from a contactable healthcare professional. An 82-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot number: EL0140), intramuscular in the left arm on 05Jan2021 15:00 at a single dose for COVID-19 immunization. Medical history included metabolic encephalopathy from, failure to thrive (FTT), diabetes mellitus (DM) 2 , chronic obstructive pulmonary disease (COPD), arthritis, weakness, hyperlipidemia, chronic kidney disease (CKD), dementia. Known allergies was none. The patient took unspecified concomitant medication. On 11Jan2021, the resident expired. The patient underwent lab tests and procedures which included nasal swab: negative on 09Jan2021. There was no treatment given for the event. The patient died on 11Jan2021. An autopsy was not performed.; Sender's Comments: Lacking information on the cause of patient's demise, the Company cannot completely exclude a causal relationship between COVID 19 vaccine, BNT162B2, and patient's death of unknown cause, as a cautionary measure and for reporting purposes. The patient's pre-existing medical condition of metabolic encephalopathy from, failure to thrive (FTT), diabetes mellitus (DM) 2 , chronic obstructive pulmonary disease (COPD), arthritis, weakness, hyperlipidemia, chronic kidney disease (CKD), dementia may have provided the contribution to the event in this 82-year-old male patient. The impacts of this report on the benefit/risk profile of the product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.; Reported Cause(s) of Death: resident expired

Other Meds:

Current Illness:

ID: 0953591
Sex: F
Age: 40
State: IL

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None, but I did have COVID in November (1st day of symptoms November 19, 2020) which lasted 10 days.

Allergies: N/A

Symptoms: Around 12 hours after time of vaccine dose until 28 hours post-vaccine, I felt very nauseous, had intense body aches, chills, shivering, body weakness, rapid heart rate (around 120), decreased O2 sat (around 90), and difficulty breathing. Symptoms came on very suddenly (around 10pm on the day of the vaccine) and ended very suddenly (around 2pm the next day). Body was still weak once recovered.

Other Meds: Trintellix, Metoprolol ER Succinate, Vyvanse, Allegra, Vitamin D, Flovent, Albuteral (as needed)

Current Illness: N/A

ID: 0953592
Sex: F
Age:
State: SC

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Facial paralysis; This is a spontaneous report from a contactable consumer (patient herself). A 36-year-old female patient received bnt162b2 (COVID-19 Vaccine by Pfizer, lot EK9231, expiry date was not reported), via an unspecified route of administration on 08Jan2021 at SINGLE DOSE for Covid-19 immunisation (to prevent the COVID). Medical history was none. There were no concomitant medications. The patient experienced facial paralysis on the left side of her face upon waking up on 09Jan2021. The outcome of event was not recovered.

Other Meds:

Current Illness:

ID: 0953593
Sex: F
Age: 49
State: CA

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

Lab Data:

Allergies:

Symptoms: This ADR was referred to me by the code blue committee. B: Patient is a 49y/o female who received her first Moderna vaccine at 12:56 pm. A: Upon arrival, patient is on the gurney with VSS, HR 73, BP 130's over 80's and 96% O2 Sats R: c/o numbness in her face, tongue, and lips, with slight tingling and different swallowing sensation than normal. She reports no drug allergies except for Penicillin. Administered 25 mg PO Benadryl per Vaccine clinic standing orders and transported patient to the triage ED area with no episodes of desaturation or noticeable facial swelling, lips or tongue swelling. No issues with transport to ED department."

Other Meds:

Current Illness:

ID: 0953594
Sex: F
Age: 49
State: MI

Vax Date: 01/06/2021
Onset Date: 01/11/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: Found "small P.E." per client on visit to ER 1/15/2021

Allergies: None Reported

Symptoms: Vaccinated 1/6/2021. No issues reported per client until day 5, 1/11/2021. Reports lymphadenopathy, axillary area, left side, left breast area and chest. Reports some swelling noted lymph nodes right axillary and sore to touch. Report fever onset 1/11, 1/12, 1/13. Then Thursday 1/14/2021 contacted PCP and was told on 1/15/2021 to see medical evaluation. Reports on 1/15/2021 went to ER and was evaluated. Reports lymphadenopathy and "small P.E." found. Unsure if incidental as history of P.E. 4 years ago. Also reports over 25 years ago had lymphadenopathy from Flu Vaccine and has not had any vaccines prior to this COVID-19 vaccine. Reports discharged same day to home with Topical Benadryl Cream for redness and itching at site of injection which per client also did not start until day #5 after vaccination. Reports no issues prior to day #5 post vaccination. Home and doing better but with continued lymphadenopathy left side axillary, breast and chest area. Denies any follow-up appointments other than a request to talk w/LHD Doctor to see if she should get vaccine #2. This RN will relay to MD for advisement/consult.

Other Meds: None

Current Illness: None Reported

ID: 0953595
Sex: F
Age: 43
State: CA

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

Lab Data: none

Allergies: possible latex, hayfever

Symptoms: started off slight headache and sore arm, next day had constipation and extreme abdominal pain including inflammation of entire area.

Other Meds: none

Current Illness: none

ID: 0953596
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Congestion in my lungs; I am coughing up junk; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiry date was not reported) via an unspecified route of administration on an unspecified date at single dose for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient experienced congestion in lungs and was reportedly coughing up "junk" on an unspecified date. It was also reported that the patient woke up this morning with a pretty bad side effect. Outcome of events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0953597
Sex: F
Age: 83
State: NV

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

Lab Data: No

Allergies: Codein, Sulfa, aprin based medication.

Symptoms: Friday night between 6 or 6:30 lost apatite, began to feel like had the flu, body aches. fatigue. pain in knee worsened, very tired. had to take half of a perkaset. and did not help. could not sleep because of the pain. the next day. felt really horrible, bad body aches. Could not stay awake. no apatite, eating made stomach upset Went to bed early about 9:00 and slept all night and all that day. just felt like fighting the flu. Had no energy. Felt better on the third day.

Other Meds: Ivy profin metrazol, 2.5 apramzol, in the morning, and evening motrin and lacinapril , Gabapetine, 05 Alprazolam , Sertraline, A topical for knee- Diclosenac.

Current Illness:

ID: 0953598
Sex: F
Age:
State: FL

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Started to have symptoms and fainted; Hit her nose and has a scar now; She blacked out; hit her nose, got the scar in the nose, ?she was bleeding from that scar; hit her nose, got the scar in the nose, ?she was bleeding from that scar; She started to feel unwell; Chills; Nausea; Rash in her arm; She had little red in her bumps; This is a spontaneous report from a contactable physician. A 29-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE Solution for injection, batch/lot no. and expiry date: unknown), via an unspecified route of administration on arm on unspecified date at a single dose (2nd dose) for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. Physician stated, "she had no medical conditions, she was in very good you know very like standing with herself." Patient had her 1st dose of Covid vaccine on unspecified date for COVID-19 immunization. Physician (reporter) stated, "I am the parent of someone who got the COVID dose, the second dose yesterday. I am very concerned because my daughter yesterday (08Jan2021) started to have symptoms and fainted at 4:00 in the morning and hit her nose and has a scar now. She had her second dose yesterday (pending clarification), after the second dose last night she started to feel unwell, getting chills, nausea and when she got up to go to the bathroom, she fainted, she blacked out. She lives alone, she is an adult, she hit her nose, got the scar in the nose, and the bleeding wouldn't stop, she was bleeding from that scar. She told me it took two hours for bleeding to stop from that scar." When asked when the events started, Physician stated, "Last night (08Jan2021), at 4:00 am she took the shot during the day while she was at work. She said, she started to getting chills and then she was nauseated." When asked if patient was still experiencing the event, the parent reported no as patient was just resting. Also stated, "She didn't take any treatment but she said she took Tylenol." Physician further added, "I am concerned, we are going to be taking her to the urgent care now but I am concerned about what is going on with platelets and all of that because of what had happened, last night the bleeding wouldn't stop for two hours and she was alone at the night and weekends. She said, she had to lay down and then her dad is there now because he is closer, he is going to be taking care of the urgent care but I want Pfizer to know what my daughter has gone through last night after she took this second dose." Physician further added, "she is having a rash in her arm, she had little red in her bumps as well. I want her to go get checked up as soon as possible in urgent care." Patient was taking some Ibuprofen (later clarified that patient took Tylenol as treatment). She was not taking any other medication. Outcome of the events was unknown. Information Requested on Lot/ Batch number.; Sender's Comments: The reported faint was most likely due to an accident, and less likely causally related to the use of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE). The case will be reassessed should additional information become available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Other Meds:

Current Illness:

ID: 0953600
Sex: F
Age: 28
State: ID

Vax Date: 01/08/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: Urgent care visit, no tests, Bactrim prescribed for cellulitis, and topical steroid

Allergies: Amoxicillin, adhesives

Symptoms: Red, raised, itchy and warm to touch around and at the site of injection. Also, some tenderness throughout arm. This did not happen until 8 days after injection

Other Meds:

Current Illness: none

ID: 0953601
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/18/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Respiratory complications; This spontaneous case was received on 07-Jan-2021 from other non-health professional (consumer) via Health Authority (reference number: SEQW21-00081) and concerned an adult, female patient. At the time of this report, the patient was a 39-year-old. The patient's concurrent conditions included severe asthma and brain tumor that was not cancerous. The patient's concomitant medications were not reported. On an unknown date in 2018, reported as both 13-Oct-2018 and mid Monday, the patient was vaccinated with Afluria Quadrivalent (influenza vaccine, dose: 0.5 ml, route of administration and anatomical location: not reported) for influenza prophylaxis. The batch number reported was YF41408, expiration date: 30-Jun-2019. On the same day in the night, after receiving Afluria Quadrivalent, the experienced severe respiratory complications, so she went to the emergency room and was hospitalized. The patient did not exactly remember the treatment measures, but she usually got anything respiratory related, steroid injections, nebulizer, and oxygen. On an unspecifed date in 2018, a week after the admission, the patient was discharged. She did not remember the admission or the discharge date. The patient stated that since then she had not received any influenza vaccine, but now she was trying to figure out if she will have the same reaction to COVID-19 vaccine. The outcome of event was not reported. The reporter did not provide causality assessment. The event of 'respiratory disorder NOS' was considered serious due to seriousness criteria of hospitalization. Company comment:The patient developed respiratory disorder (reported as severe respiratory complications) on the same day after vaccination with the suspect product, Afluria Quadrivalent. Chronology is plausible. Causality was confounded by patient's medical history of severe asthma. The patient's concomitant medications were not reported. Since the event was not specified, at this moment causal relationship is assessed as unassessable due to lack of information regarding event characteristics.; Sender's Comments: The patient developed respiratory disorder (reported as severe respiratory complications) on the same day after vaccination with the suspect product, Afluria Quadrivalent. Chronology is plausible. Causality was confounded by patient's medical history of severe asthma. The patient's concomitant medications were not reported. Since the event was not specified, at this moment causal relationship is assessed as unassessable due to lack of information regarding event characteristics.

Other Meds:

Current Illness: Asthma; Benign brain neoplasm NOS

ID: 0953602
Sex: F
Age: 35
State: PA

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Tree nuts, poppy seeds

Symptoms: Severe chills, severe migraine, severe body aches, fever reaching 104.3 . 48 hours later GI issues and slight sore throat.

Other Meds:

Current Illness:

ID: 0953603
Sex: F
Age: 23
State: CT

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Prednisone and latex

Symptoms: Fatigue, headache, diarrhea, arm soreness, swollen glands, ear infection, sore throat, muscle aches-- started two days after and is still occurring on day five

Other Meds: Blisovi 24 Fe, Claritin, vitamin C

Current Illness: N/A

ID: 0953604
Sex: F
Age: 50
State: VA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Woke up on 1/15 with dry, irritated nose, mild nausea. My nose continued to get stuffier as the day went on and I began to have a slight headache. On 1/16 my nose was very stopped up and I had a constant headache and an upset stomach, fatigue. On 1/17 I was very stopped up with a intense headache. Today, 1/18 my symptoms are much better.

Other Meds: Sertraline Bupropion Zocor

Current Illness: None

ID: 0953605
Sex: F
Age: 61
State:

Vax Date: 01/09/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Several days after receiving the vaccine, she reports her arm became swollen, red and hot below the injection site.

Other Meds:

Current Illness:

ID: 0953606
Sex: F
Age: 27
State: ME

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies: tree nuts

Symptoms: dizziness, lightheadedness, palpitations, diaphoresis about 5-10 minutes after

Other Meds: OCP

Current Illness: none

ID: 0953607
Sex: F
Age: 35
State: NC

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient's reaction(s) noted during COVID vaccine observation period: Pt states that 5 minutes after receiving covid vaccine she started to feel flush, sweaty, throat tingling. Vital signs taken: 1135: 134/80, HR 133, 97%O2 on RA. Pt sitting up in chair, drinking ice water, 1142: 133/61, HR 125, 97%O2 on RA, sitting in chair comfortable. Actions Taken: called ED clinician for evaluation per patient request. ED here at 11:56 to transport patient via wheelchair for evaluation. Pt in stable condition. Disposition: sent to ED for evaluation, received dose of diphenhydramine in ED with additional observation and then discharged.

Other Meds:

Current Illness:

ID: 0953608
Sex: F
Age: 55
State:

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: About 3min following 1st Covid vaccine administration pt began coughing and having shortness of breath during 15min of observation by facility staff. Pharmacist immediately notified and pt requested we administer her personal EpiPen. EpiPen administered in right leg. Coughing slowed, pt relaxed. After immediate reaction slowing patient said she did not feel like it warranted an ER visit. Pharmacist contacted primary healthcare dr and nurse informed pharmacist that pt should go to ER if we believed it was necessary. Pharmacy depot leader contacted and advised protocol directs pt to be sent to ER. Patient agreed to be sent to ER. Facility staff contacted 911, ambulance arrived within 5-10 min, pharmacist relayed all information to emergency personnel and took patient to ER for followup.

Other Meds:

Current Illness:

ID: 0953609
Sex: F
Age: 68
State: OH

Vax Date: 01/08/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Erythema and swelling to right upper arm at site of vaccination concerning for cellulitis versus localized skin infection. Onset of symptoms 8 days after receiving COVID vaccine.

Other Meds:

Current Illness:

ID: 0953610
Sex: M
Age: 48
State: MO

Vax Date: 12/16/2020
Onset Date: 12/22/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: COVID testing - positive

Allergies: None

Symptoms: 12/22/2020 - Fever - jumped up from 98.9 which is warm for me to 102.5 and that took me in to get tested. Four days of fever. Tylenol and Ibuprofen. Went in and got tested for COVID positive.

Other Meds: Cardiac meds: Sotalol; Coreg; Spironolactone; Xarelto; Entresol - take some twice a day others once a day.

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm