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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 0954657
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I am still little nauseous; This is a spontaneous report from a contactable consumer (patient). This unknown age and gender patient received BNT162B2 (COVID Vaccine, Batch/lot number: EL3246) on an unspecific date at single dose for COVID-19 immunization. Medical history and concomitant drug were not reported. Patient stated that feeling nauseous. 'I took it on Wednesday, 6th (not clarified) and I am still little nauseous'. Outcome of the event was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 0954658
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Sore throat; Head congestion; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 05Jan2021 at single dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient had the first Covid vaccine shot on Tuesday and the patient have got like head congestion and drainage and kind of a sore throat on an unknown date in Jan2021. The patient wanted to know should the patient went get a Covid test. The patient also stated that "Is it possible that I still got Covid". The outcome of the events was unknown.

Other Meds:

Current Illness:

ID: 0954659
Sex: F
Age:
State: TX

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: Test Name: Body temperature; Result Unstructured Data: Test Result:101.2; Test Date: 20210104; Test Name: Nasal Swab; Result Unstructured Data: Test Result:Negative

Allergies:

Symptoms: Body aches; Fatigue; Headache; Loss of appetite; Fever-T-Max 101.2; This is a spontaneous report from a contactable nurse (patient). A 37-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EK3248), via an unspecified route of administration on 07Jan2021 15:30 in right arm at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient was previously vaccinated with first dose of BNT162B2 on unspecified date. The patient was not pregnant. The patient experienced fever-T-Max 101.2, body aches, fatigue, loss of appetite and headache on 07Jan2021 20:00. No treatment was given to the patient for the events. The outcome of the events was recovering. The facility where the most recent COVID-19 vaccine was administered was in the hospital. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has been tested for COVID-19, nasal swab: negative on 04Jan2021.

Other Meds:

Current Illness:

ID: 0954660
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: soreness at injection site after second dose; This is a spontaneous report from a non-contactable consumer (patient). This patient of unspecified age and gender received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on an unspecified date for COVID-19 immunization. Patient experienced extreme fatigue after first dose of Pfizer COVID vaccine and soreness at injection site after second dose. Outcome of the event was unknown. No follow-up attempts are possible, information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 0954661
Sex: F
Age:
State: NY

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: Test Date: 20200109; Test Name: temperature; Result Unstructured Data: Test Result:99.2

Allergies:

Symptoms: Started feeling achy; temperature of 99.2; Sore arm; This is spontaneous report from a contactable consumer (patient). A 64-year-old female patient received the first dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 08Jan2021 at single dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient experienced sore arm on 08Jan2021, temperature of 99.2 and started feeling achy on 09Jan2021. Event details: The patient received the first dose of the vaccine yesterday (08Jan2021). Yesterday night, she started with a sore arm which she expected then this afternoon (09Jan2021) she started to experience feeling achy and when she checked her temperature it was 99.2, for the sore arm last night and this morning she took Ibuprofen for treatment. The outcome of the events was unknown. Information on the batch/lot number has been requested.

Other Meds:

Current Illness:

ID: 0954662
Sex: F
Age:
State: CT

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills; Fever; Cough; The patient received first dose of BNT162B2 (lot number: EH9899) on 21Dec2020/ received second dose of BNT162B2 (Batch/lot number: EL1283), on 08Jan2021; The patient received first dose of BNT162B2 (lot number: EH9899) on 21Dec2020/ received second dose of BNT162B2 (Batch/lot number: EL1283), on 08Jan2021; This is a spontaneous report from a Pfizer-sponsored program Pfizer First Connect. Two contactable consumers (Patient's boyfriend and 54-year-old female patient) reported that a 54-year-old female patient received second dose of BNT162B2 (Batch/lot number: EL1283), via an unspecified route of administration on 08Jan2021 at single dose for covid-19 immunization. Medical history included low thyroid from an unknown date and unknown if ongoing. The patient previous received first dose of BNT162B2 (lot number: EH9899) on 21Dec2020 for covid-19 immunization. Concomitant medication included levothyroxine sodium (SYNTHROID) for low thyroid. The patient experienced chills, fever, cough all on 09Jan2021. Treatment was not received. There was a caller on other line, and he was reporting that his girlfriend already received the vaccine. It was been less than 24 hours, but his girlfriend was starting to get fever, chills and cough. When paraphrased the concern, Reporter stated, "What the side effects we haven't able to track down was cough. She was also got a cough in past 24 hours along with the fever and chills. So the question was could that be a side effects may be not in info sheet and was that mean she could be contagious in anyway or receive got the virus in between. She worked in healthcare. That was what we kind of concern. It would be Covid 19 Vaccine. This is the second shot. The outcome of events was not resolved.

Other Meds: SYNTHROID

Current Illness:

ID: 0954663
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/19/2021
Hospital:

Lab Data: Test Name: sugar; Result Unstructured Data: Test Result:down to 38

Allergies:

Symptoms: nauseous; vomited; dizzy; tired; itchy all over, it started behind my knees and then just went all over my legs; feeling unwell; arm hurts, swollen; arm hurts, swollen; weak; sugar was down to 38; This is a spontaneous report from a non-contactable consumer. This patient with unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via unspecified route of administration on unspecified date at single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. It was reported that the patient woke up 3 in the morning and that's one most of the side effects got it happening and it continue now, patient was extremely nauseous, almost vomited and then patient tested sugar was down to '38' (further not clarified) and was too tired and dizzy to do anything, he/she couldn't take a shower but was nauseous all the time and now he/she was itchy all over, it started behind knees and then just went all over legs, so he/she was going to try to take a shower, he/she was just feeling unwell, his/her arm hurts, swollen, hurts when move it, patient was so dizzy and weak. The outcome of sugar was down to '38' was unknown, outcome of other events was not recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 0954664
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever; Headache; This is a spontaneous report from a Contactable consumer. This contactable consumer reported for a female patient (wife) who received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number unknown) at single dose for COVID-19 immunization on unknown date. Relevant history and concomitant drugs were unknown. Reporter stated, his wife get the Pfizer-BioNTech COVID-19 Vaccine and she got a fever and kind of like a headache. So, he was just asking if she could have a pain reliever (Unspecified Medication). Outcome of evens was unknown. Information on the Batch/Lot number has been requested.

Other Meds:

Current Illness:

ID: 0954665
Sex: F
Age:
State: NY

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data: Test Name: EKG; Result Unstructured Data: Test Result:Unknown results; Test Name: blood work; Result Unstructured Data: Test Result:Unknown results

Allergies:

Symptoms: Feeling sick/Not feeling well; Exhaustion; Dizziness; Shakiness; Sore throat; Sleeping nonstop; Headache; Vomiting; Diarrhea; This is a spontaneous report from a contactable consumer. A 60-year-old female patient received BNT162B2 (batch/lot number: EK5730), via an unspecified route of administration on 21Dec2020 at single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Patient worked at a hospital doctor's office. On 22Dec2020, the next day of vaccination, patient immediately for two days had "immense" (not clarified) headache and then had two days of vomiting and diarrhea. And she had been sick "ever felt" (not clarified) on an unspecified date. She had extreme exhaustion. She had been tested for everything from "manual" to mild "disease" (not clarified). She had extreme exhaustion, dizziness, shakiness, sore throat and Monday would be three weeks that she had been feeling like this. She had never been sick like that she felt like this way. She was supposed to get the second vaccine the day after the time of the report yeah so any way. They wouldn't give her because she was not feeling well but she wished just going to hold off and might be try it all over again in couple of weeks when she felt better but she really felt not well since had gotten this vaccine. She had never felt like this before in her life had ever felt this way all ever. She had taken an over the counter medication cold and flu medication (further clarified CareOne (batch/lot number: OCE2948, expiry date: Nov2021)), and ibuprofen (ADVIL, batch/lot number: R85569, expiry date: Mar2023) and she had been doing lot of sleeping. She had been sleeping nonstop. The patient underwent lab tests and procedures which included EKG and all kind of blood work with unknown results. Outcome of the events was unknown. Causality was reported as yes by the consumer.

Other Meds:

Current Illness:

ID: 0954666
Sex: U
Age:
State:

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiry date: unknown), via an unspecified route of administration on 06Jan2021 at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient previously received the first dose of BNT162B2 on an unspecified date for COVID-19 immunization. The patient experienced headache on 08Jan2021. Patient stated "I took my second vaccine on Wednesday. And yesterday afternoon and this morning, I have been experiencing headache. Is that part of the vaccine side effects?". The outcome of the event was unknown. Information on Lot/ Batch number has been requested.

Other Meds:

Current Illness:

ID: 0954667
Sex: F
Age:
State: TN

Vax Date:
Onset Date:
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Mild throat swelling; This is a spontaneous report from a contactable Physician (patient). A 50-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date at first single dose for COVID-19 immunization. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient shared that after her first dose, she had mild throat swelling. It did get better with antihistamine, she did share that information with her allergist and they decided that the benefits of having the second dose outweigh the risk of the second dose. So today, the patient took the second dose and pretreated with Prednisone, Claritin and Pepcid and she did not have any throat swelling the second time. Outcome of the event was recovered. The reporter considered the event related to BNT162B2. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0954668
Sex: M
Age:
State:

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: Test Name: sugar; Result Unstructured Data: Test Result:up to 300

Allergies:

Symptoms: This morning he is diabetic. His sugar it was elevated, it was up to 300 which is he said much higher than normal; This is a spontaneous report from a contactable consumer (patient) from a Pfizer-sponsored program Pfizer First Connect. A male patient of unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on 09Jan2021 at single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. He has his first dose of the COVID Vaccine yesterday and this morning he is diabetic. When he woke up this morning to test his sugar it was elevated, it was up to 300 which is he said much higher than normal and wants to know if that would be a symptom. Outcome of event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0954669
Sex: F
Age:
State: NC

Vax Date: 01/06/2021
Onset Date: 01/01/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: Test Name: height; Result Unstructured Data: Test Result:about 5'4' or maybe 5'4.5'; Test Name: Covid-19; Result Unstructured Data: Test Result:Negetive; Test Name: Covid-19; Result Unstructured Data: Test Result:Negetive; Test Name: weight; Result Unstructured Data: Test Result:141

Allergies:

Symptoms: legs from the knees down especially kept patient awake at night from itching; Patient got it in the upper left arm in the muscle it was not hurt when it went in but it was kind of hurting now; Reaction on both legs they covered in red spots and at knees it was especially bad/it's more like a color; kept patient awake at night from itching/it woke patient up; red spot over the injection site; also there was a swelling just that gone bad; it was more like a discoloration in skin; Hurting so bad like a waxing kind of stinging and burning; Hurting so bad like a waxing kind of stinging and burning; skin it felt very warm; This is a spontaneous report from a contactable consumer (patient). An 83-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/lot number: EK92321), via an unspecified route of administration on 06Jan2021 at single dose at left arm for covid-19 immunization. Medical history included arthritis and lost a couple of inches from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. Patient had the Covid-19 shot on 06Jan2021 and had reaction on both legs. They were covered in red spots and at knees it was especially bad, it wasn't like bumps, it wasn't like rash it's more like a color and skin it felt very warm and legs from the knees down especially kept patient awake at night from itching and the itching started on 07Jan2021 night into 08Jan2021 and it woke patient up and patient was just calling at knees. So patient got up and went into bathroom and patient put some anti-itch that's what patient husband had for his allergies. Patient said the spots on knees, the red spots are basically gone but they were still there and the left knees was specially bad and you can feel through pants even that it's warm on these places but when rubbing hands on it you can't feel rash or anything, it was more like a discoloration in skin, there was also a red spot over the injection site, patient would say about the size of a tennis ball and also there was a swelling just that gone bad but and it was okay really but it was there, patient had at a place on belly and it was gone, so let do something else but the discoloration on leg the splotches, patient guess they called splotches not a rash like a pimply rash but just there and they itch something there but it was getting better now. Patient was about 5'4' or maybe 5'4.5', and patient weighed a 141. Patient had 2 Covid test that were negative. Patient got the vaccine at the College. Patient got it in the upper left arm in the muscle it was not hurt when it went in but it was kind of hurting now, but it was okay. Patient put some kind of cream as treatment. The adverse events resulted in neither doctor or other healthcare professional office/clinic visit, nor emergency room/department or urgent care. Patient was going to because it was hurting so bad like a waxing kind of stinging and burning but then patient just put more cream on it and it would stop, it was going to the doctor on 09Jan2021 morning but it was so much less and now patient didn't think she feel any ill effects. Outcome of all events was recovering.

Other Meds:

Current Illness:

ID: 0954670
Sex: F
Age:
State: TN

Vax Date: 12/19/2020
Onset Date: 12/22/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data: Test Date: 20201222; Test Name: Temperature; Result Unstructured Data: Test Result:went up around 101.4; Test Name: Flu A; Test Result: Negative ; Test Name: Flu B; Test Result: Negative ; Test Name: COVID test; Test Result: Negative ; Test Name: Weight; Result Unstructured Data: Test Result:About 170 lbs; Comments: About 170 (pounds)

Allergies:

Symptoms: right groin became red and develop lymph node; right groin became red and develop lymph node; Fever/ temperature went up around 101.4; Chills; This is a spontaneous report from a contactable nurse (patient). This 64-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot#: EJ1685) via an unspecified route of administration on 19Dec2020 at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. Patient was a nurse anaesthetist who received the COVID-19 vaccine on the 19Dec2020 and on 22Dec2020 after she got home from work that afternoon in the evening, her temperature went up around 101.4 and had the chills and the fever. Later that evening and next morning (23Dec2020) her right groin became red and develop the lymph node that patient did not never felt before. Patient called physician and they put her on Antibiotics Keflex (treatment) for four times a day for 10 days. After the reaction, patient had a COVID test and Flu A and Flu B test and all of them were negative. The outcome of events was unknown.

Other Meds:

Current Illness:

ID: 0954671
Sex: F
Age:
State:

Vax Date: 01/07/2021
Onset Date:
Rec V Date: 01/19/2021
Hospital:

Lab Data: Test Name: weight; Result Unstructured Data: Test Result:Should be about 130 pounds.

Allergies:

Symptoms: Swollen for about 4 days; pain and redness in the site; pain and redness in the site; It feels a little hard but it's just blood in that area; This is a spontaneous report from a contactable Nurse. A 19-year-old female nurse reported for herself that received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number Unknown), on 07Jan2021 in the left arm at single dose for COVID-19 immunization. The patient had not any medical history and did not receive any concomitant drugs. The nurse reported that she had got this shot in her left arm and it is not too swollen but it has been swollen for about 4 days and there is still pain and redness in the site as well. It feels a little hard but it's just blood in that area. The nurse took a Tylenol (LOT# EK9231) or 2, but it didn't really do much. At the time of reporting the patient had not recovered. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0954672
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: severe heavy, leg weakness; leg weakness; Based on information previously received, the following information that is non case was amended to valid case. Initial information received on 22-Dec-2020 regarding an unsolicited valid non-serious case from other health professional (patient's spouse) via Pfizer. This case involves female patient of unknown age who experienced severe heavy leg weakness (limb discomfort) and (muscular weakness), after receiving INFLUENZA VACCINE. Patient medical history includes allergy to walnuts. Medical treatment(s), vaccination(s), concomitant vaccination(s) and family history were not provided. On an unknown date, the patient received a dose of suspect INFLUENZA VACCINE produced by unknown manufacturer (lot number and expiration date not reported) via unknown route in unknown administration site for prophylactic vaccination. On an unknown date, the patient developed a non-serious severe heavy leg weakness (limb discomfort) and (muscular weakness), (unknown latency) following the administration of INFLUENZA VACCINE. Reporter also reported that he was with the question "as he received the shot (PFIZER-BIONTECH COVID-19 VACCINE) 2 hours ago and states that once he received the second dose, will be immune to the virus". No laboratory data reported. It was not reported if the patient received a corrective treatment. At the time of reports, the outcome was not reported for the reported events. There will be no information on the batch number for this case.

Other Meds:

Current Illness: Allergy to nuts

ID: 0954673
Sex: F
Age:
State: WA

Vax Date: 09/25/2020
Onset Date: 09/25/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Entire arm swole up and turned slightly red; Entire arm swole up and turned slightly red; Bruise in the are of the shot; Product administration error; This spontaneous case was retrieved on 22-Dec-2020 from Vaccine Adverse Event Reporting System (VAERS) (reference number: 898661-1), reported by other health professional and concerned a 68-year-old, female patient. The patient's concurrent conditions included allergy to clavulanic acid, sulphonamide compounds, penicillin, sulfa antibiotics. The patient's concomitant medications were not reported. On 25-Sep-2020, the patient was vaccinated with Fluad Quadrivalent (influenza vaccine, inactivated influenza virus surface antigen (subunit), egg-derived, mf59; dose: reported as one, route of administration: intramuscular, anatomical location: left arm and indication: not reported) (explicitly coded as 'Product administration error'). The batch number reported was 279786. On the same day, the patient was vaccinated with non-company, co-suspect Shingrix (varicella zoster vaccine rge (cho); dose reported as one, route of administration: intramuscular, anatomical location: left arm and indication: not reported). The batch number reported was zx27e. On 26-Sep-2020, one day after receiving Fluad Quadrivalent and co-suspect Shingrix, the patient's entire arm was swollen and turned slightly red. She had a bruise in the area of the shot. On 27-Sep-2020, the patient returned for second dose and reported that her entire arm was still swollen and still slightly red. She still had a bruise in the area of the shot. At the time of initial reporting on 22-Dec-2020, the patient had not recovered from the events. The reporter did not provide causality assessment. The case was assessed as non-serious. Company comment: A 68-year-old female patient experienced peripheral swelling, erythema and vaccination site bruising one day after administration of Fluad Quadrivalent and a non-company, co-suspect Shingrix, both in left arm. Causality is assessed as possibly related for peripheral swelling and erythema and unassessable for vaccination site bruising. All events are confounded with reported co-suspect vaccine/ medication error. Product administration error is assessed as unrelated per company conventions.; Sender's Comments: A 68-year-old female patient experienced peripheral swelling, erythema and vaccination site bruising one day after administration of Fluad Quadrivalent and a non-company, co-suspect Shingrix, both in left arm. Causality is assessed as possibly related for peripheral swelling and erythema and unassessable for vaccination site bruising. All events are confounded with reported co-suspect vaccine/ medication error. Product administration error is assessed as unrelated per company conventions.

Other Meds:

Current Illness: Allergy to antibiotic

ID: 0954674
Sex: F
Age: 19
State:

Vax Date: 10/28/2020
Onset Date: 10/30/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Shoulder pain; Trouble sleeping due to the pain; This spontaneous case was received on 22-Dec-2020 from other non-health professional (consumer) via Agency (reference number: SEQW20-05912) and concerned a 19-year-old, female patient. The patient had no relevant medical history and was not taking any concomitant medications. On 28-Oct-2020, the patient was vaccinated with Afluria Quadrivalent (influenza vaccine; dose: 0.5 ml, route of administration: intramuscular and anatomical location: not reported) for influenza prophylaxis. The batch number reported was P100267084. On 30-Oct-2020, 48 hours after receiving Afluria Quadrivalent, the patient felt shoulder pain and had trouble sleeping due to the pain. On an unspecified date in 2020, the patient visited physician's office. She had no improvement on shoulder. At the time of initial reporting on 22-Dec-2020, the patient had not recovered from events. The reporter did not provide a causality assessment. This case was assessed as non-serious. This case is linked to case 202008399 (due to same reporter). Company comment:The patient developed arthralgia and sleep disorder two days after vaccination with the suspect product, Afluria Quadrivalent. Chronology is plausible. The patient had no relevant medical history and was not taking any concomitant medications. Considering all above mentioned, causal relationship for arthralgia is assessed as possibly related (defaults to ''related'' in the safety database for reporting purposes). Causality for sleep disorder is assessed as not related, since the event developed due to pain.; Sender's Comments: The patient developed arthralgia and sleep disorder two days after vaccination with the suspect product, Afluria Quadrivalent. Chronology is plausible. The patient had no relevant medical history and was not taking any concomitant medications. Considering all above mentioned, causal relationship for arthralgia is assessed as possibly related (defaults to ''related'' in the safety database for reporting purposes). Causality for sleep disorder is assessed as not related, since the event developed due to pain.

Other Meds:

Current Illness:

ID: 0954679
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Alzheimer's diease from 40 year's of flu vaccines; Initial information received on 06-Jan-2021 regarding an unsolicited valid serious case received from a consumer/non-healthcare professional . This case involves Adult female patient (unspecified age) who had alzheimer's diease from 40 year's of flu vaccines (dementia allzheimer's type), while she received vaccine INFLUENZA VACCINE. The medical treatment(s), vaccination(s) and family history were not provided. The patient had no medication details and reason for taking the medicine, medical history, concomitant disease or risk factor. On an unknown date, the patient received a dose of suspect INFLUENZA VACCINE produced by unknown manufacturer (lot number and expiry date not reported) via unknown route in unknown administration site for prophylactic vaccination. On an unknown date, the patient developed a serious alzheimer's diease from 40 year's of flu vaccines (dementia alzheimer's type) unknown latency following the administration of INFLUENZA VACCINE. This event was assessed as medically significant. There were no lab data and results available. It was not reported if the patient received a corrective treatment. At the time of reporting, the outcome of event was not recovered. Information on lot number was requested for this case.; Sender's Comments: This case concerns a female patient (unspecified age) who had dementia alzheimer's type after vaccination with INFLUENZA VACCINEs over 40 years. The time to onset is unknown. The patient had no reported medical history, concomitant disease or risk factor at the time of vaccination. There were no lab data/results available excluding other predisposing etiologies for complete assessment of the case. Based upon the reported information, the role of the suspect vaccinations cannot be assessed.

Other Meds:

Current Illness:

ID: 0954680
Sex: F
Age: 38
State: CA

Vax Date: 01/14/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Severe itching and burning on face, ears and scalp.

Other Meds: No

Current Illness: No

ID: 0954681
Sex: F
Age: 35
State: FL

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: Reglan

Symptoms: At 11:00 pm on 1/14/21, I awakened with chills/rigors. My temperature at that time was 103 F, taken tympanic. I took Motrin and the fever broke at 2:00 am on 1/15/21. I had an accompanying headache that lingered into the next day. I experienced muscle aches in my shoulders as well as fatigue through 1/18/21. Pain of my right upper extremity (injected arm) lasted from 1/15/21-1/18/21.

Other Meds: Vitamin C supplements

Current Illness: None

ID: 0954682
Sex: F
Age: 55
State: GA

Vax Date: 12/28/2020
Onset Date: 12/31/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: Wellbutrin

Symptoms: Headache and developed pustule rash on back that began 3 days post vaccine and lasted 4 days from onset

Other Meds: Estratest Hydrocodone Aspirin Tylenol

Current Illness: None

ID: 0954683
Sex: F
Age: 80
State: FL

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: B/P 111/67 pulse 86 O2 100%

Allergies: Iodine, mushrooms, Bandaid, tetracylcline, Cipro, red dye, PCN and latex.

Symptoms: 1/15/21 at 9:54 am was alerted to observation area. Client attended by EMS. Client stated she was having shortness of breath. Client had removed her Oxygen that she usually uses. Client stated she felt better and was released to go home with her son.

Other Meds: Corig, Eloquest

Current Illness: Cardiac, GERD and COPD

ID: 0954684
Sex: F
Age: 35
State: AZ

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

Lab Data: None

Allergies: None

Symptoms: Fever 38.2 Celsius, chills, body aches, head ache, nasal congestion, lower back pain, muscle soreness, sleeplessness that started about 14 hours post vaccination.

Other Meds: Armour thyroid, liothyronine

Current Illness: None

ID: 0954685
Sex: F
Age: 67
State: FL

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: Sulfa

Symptoms: Verbalize red rash on neck and chest. Was evaluated by Fire Rescue and MD on site and released home at 11:37 am feeling better.

Other Meds: Tyroids?

Current Illness: Tyroids?

ID: 0954686
Sex: F
Age: 53
State: MI

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: penicillin, sulfa and griseofulvin

Symptoms: Redness and itchy

Other Meds: Xultophy injection, Glucophage, lisinopril, lovastatin, ferrous sulfate, omeprazole,

Current Illness: none

ID: 0954687
Sex: F
Age: 67
State: FL

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

Lab Data:

Allergies: none

Symptoms: After receiving the vaccine, client verbalized she feels hot and sweaty. Client was evaluated by Fire Rescue on site. Client's symptoms resolved and released to go home per Fire Rescue at 10:28 am.

Other Meds: none

Current Illness: none

ID: 0954688
Sex: F
Age: 48
State:

Vax Date: 01/14/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: SAME SYMPTOMES as i used to get in standing waters with REED inside and maybe in combination with sun

Symptoms: i was vacinated at the 15th of january in the evening! Everything was perfect and i was happy, just my legs itched, but on Sunday I suddenly noticed the beginning of an allergie which i normally get just in summer if I swim in standing waters with reef inside. I got a rash on my neck and my tongue felt bit swollen and as my eyes. In the evening i took a cortisone tablet and ointment and it was much better. The ointment i still take, but no tablets anymore. I still do have rash but it is much better. now I am concerned about the second vacine, can you give me a recommendation?

Other Meds:

Current Illness:

ID: 0954689
Sex: F
Age: 55
State: VA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: Sulfa, biaxin, doxycycline, codeine, nsaids like Celebrex , Paxil, erythromycin

Symptoms: Bruising red hard inflammation at injection site. Extremely sleepy within hour of injection lasted 3 days. Itching all over on day 2. Called online Dr for advice. Was told to take Benadryl and use hydrocortisone cream. Was also told it was normal reactions. Missed day of work. Day 4 injection site not as inflamed and itching is gone. Site is still sore and bruised looking with little redness left.

Other Meds: Zyrtec

Current Illness: TMJ

ID: 0954690
Sex: F
Age: 41
State: ME

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: PCN, Percocet, adhesive tape

Symptoms: Day after- significant left arm soreness, severe fatigue and muscle aches, painful red spots on palms. Raised redness at injection site, significantly itchy still on day 18 post injection. Has not gone away.

Other Meds: Lisinopril 20 mg, trazodone 100 mg prn for sleep

Current Illness:

ID: 0954694
Sex: M
Age:
State: NY

Vax Date:
Onset Date:
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: shingles; This initial spontaneous report was received from a lawyer regarding a case in litigation and refers to a male patient of unknown age. No information was provided regarding medical history, concurrent conditions, or concomitant medications. In or around 2013, the patient was inoculated with zoster vaccine live (ZOSTAVAX) (lot#, expiration date, dose, strength, dose# and route not specified) for routine health maintenance and for its intended purpose: the prevention of shingles (herpes zoster). Shortly after receiving zoster vaccine live (ZOSTAVAX) vaccine, the patient suffered shingles. As a direct and proximate result of zoster vaccine live (ZOSTAVAX) vaccine, the patient's symptoms had resulted in physical limitations not present prior to using zoster vaccine live (ZOSTAVAX). The patient also experienced mental and emotional distress due to resulting physical limitations and seriousness of her condition. As a result of the manufacture, marketing, advertising, promotion, distribution and/or sale of zoster vaccine live (ZOSTAVAX), the patient sustained severe and permanent personal injuries. Further, the patient suffered serious, progressive, permanent, and incurable injuries, as well as significant conscious pain and suffering, mental anguish, emotional distress, loss of enjoyment of life, physical impairment and injury. As a direct and proximate result of zoster vaccine live (ZOSTAVAX), the patient had suffered and incurred damages, including medical expenses; the loss of accumulations; and other economic and non-economic damages. The outcome of the event of shingles was considered to be not recovered and causal relationship was assessed as related. The lawyer considered the event of shingles to be disability.

Other Meds:

Current Illness:

ID: 0954695
Sex: M
Age: 33
State: PA

Vax Date: 01/09/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Pain at injection site (day 2 only ) Fatigue (day 2 only ) Chills (day 2 only ) Nausea (day 2 only ) Feaver (day 2 only ) Swollen lymph nodes (day 8 - present)

Other Meds: N/A

Current Illness: N/A

ID: 0954696
Sex: M
Age: 10
State: PA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: amoxicillin

Symptoms: was given flublok for 18 years of age and older, instead of fluzone for under 18 years of age

Other Meds: none

Current Illness: none

ID: 0954697
Sex: F
Age: 8
State: PA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: given flublok for 18 years of age and older instead of fluzone for 18 years of age and younger

Other Meds: none

Current Illness: none

ID: 0954698
Sex: F
Age: 39
State: MA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: doxycycine

Symptoms: on Friday after injection developed sore arm at site and worsened as the day went on. Hours later arm and neck and left side of body felt like lead balloon and have been beat up and had no energy and couldn't lift arm or legs. very lethargic, overnight couldn't sleep because of pain and developed a fever that went up to 100.5 and took Advil. fever lasted on and off until Sunday night, Also developed nights sweats and chills lasted until early Monday morning (1/18/21)

Other Meds: none

Current Illness: none

ID: 0954699
Sex: F
Age: 35
State: OR

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: EKG at the ED 1/15/2021

Allergies: None

Symptoms: After 5-8 minutes I suddenly became hot/sweaty, pale, dizzy, nauseous, sudden drop in blood pressure, syncope. I was given epinephrine and a rapid response team was called and I was taken to the ED

Other Meds: Levothyroxine, bupropion

Current Illness: None

ID: 0954700
Sex: F
Age: 56
State: VA

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

Lab Data: None

Allergies: Cipro Contrast Dye, Citalopram

Symptoms: Hives

Other Meds: Effexor, Ibuprofen, Colace, ProBiotic, Xyzal, Hydroxyzine, Crestor, Vitamin D, Amlodipine,

Current Illness: none

ID: 0954701
Sex: F
Age: 59
State: SC

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: Sulfa Drugs

Symptoms: Eight hours after receiving vaccine, a fever of 100-102 lasted for 40 hours. Body aches, fatigue, headache, arm redness, under arm soreness were additional symptoms.

Other Meds: None

Current Illness: 01/04/2021: Two day "flu". testes for COVID with negative results. 01/02/2021 thru 01/03/2021: Symptoms of 100.3 temp lasting <24 hours.

ID: 0954702
Sex: M
Age: 52
State: OH

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: self administered check and pulse ox was at or below 95

Allergies:

Symptoms: fatigue, shortness of breath and measured low pulse ox

Other Meds: take zyrtec one in a while

Current Illness: none

ID: 0954703
Sex: F
Age: 39
State: AZ

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: It started about 18 hours after the second dose. I was nauseous and got the chills first. About 3 hours later I had body aches and dizziness. Then I got really hot. Friday morning I was better with just a slight body ache that went away that day.

Other Meds: birth control pill, generic zyrtec and multi vitamin

Current Illness: none

ID: 0954704
Sex: F
Age: 40
State: NY

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: After the shot a few hours later my arm start to hurt and feel like pins and needles. My hand feels like pins and needles which comes and goes. Each day after my hurt hurts more and more like I was hit with a hammer. I have headache and dizziness and can?t sleep.

Other Meds: Vitamin c, elderberry, vitamin D

Current Illness:

ID: 0954705
Sex: F
Age: 47
State: CT

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: NA

Symptoms: I had the normal swelling for the first 2-3 days but it went away. On Monday 1/18/21 I woke up and it was itchy again and is now red and swollen, itching and feels hot.

Other Meds: NA

Current Illness: NA

ID: 0954706
Sex: F
Age: 56
State: NY

Vax Date: 01/08/2021
Onset Date: 01/12/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills, dizziness, tiredness, not feeling well from 1/12/21 to 1/17/21.. From 1/15/21 one side of head headache for 3 days

Other Meds:

Current Illness:

ID: 0954707
Sex: F
Age: 35
State: VA

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

Lab Data:

Allergies: none

Symptoms: Moderna COVID-19 Vaccine Low-grade fever (99.2), muscle aches in shoulders, neck and arms, headache, fatigue - being treated with ibuprofen Symptoms started at approximately 8:30pm 1/18/2021

Other Meds: Lexapro Claritin

Current Illness: none

ID: 0954708
Sex: F
Age: 32
State: KY

Vax Date: 01/14/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: penicillin- ash and blister on lips and face Lortab- just makes me sick

Symptoms: on 1/17/21 I was at home watching a movie around 6:00pm started itching and eyes started swelling when to the bathroom to look and I had hives all over my upper body. I have not changed in anything in my house or tried any new food. I took some Pepcid and a cold shower. in about an hour the itching stopped but I was still red. went to bed then when I woke up the next morning my hands was so swollen I couldn't move my fingers and they was numb, itching and hurting all at the same time. so i went to the clinic. they gave me a steroid shot, Benadryl, Pepcid and Claritin. my hands started to go down some before i left the clinic. not i have to take all the meds the next 3 days. still on 1/19/21 @ 6:00am my face started to flush before i took my meds.

Other Meds: Z-pack

Current Illness: chest cold

ID: 0954709
Sex: F
Age: 62
State: NC

Vax Date: 09/11/2020
Onset Date: 09/13/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: Penicillin, azelastine, doxycycline

Symptoms: Angio edema, treated with prescription benadryl and steroids administered intravenously

Other Meds: Montelukast, multi-vitamin, Vitamin D and Calcium supplements

Current Illness: None

ID: 0954710
Sex: F
Age: 85
State: NJ

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Fever

Other Meds:

Current Illness: None

ID: 0954711
Sex: F
Age: 72
State: FL

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

Lab Data:

Allergies: Sulfa

Symptoms: Client verbalized feeling anxious and nervous. Client was evaluated by Fire Rescue and released to go home 3:21 pm accompanied by spouse.

Other Meds: None

Current Illness: None

ID: 0954712
Sex: F
Age: 47
State: NC

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: tomatoe, basil, garlic

Symptoms: Lymph node on the side of the injection, behind ear at base of head swelled about 1.5 hours after injection swelled. within a few hours unable to turn head without pain. From base of head to back was so sore and for 24 hours hard to turn head..

Other Meds: flonase

Current Illness:

ID: 0954713
Sex: F
Age: 65
State: GA

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

Lab Data: I called my doctor?s office and am awaiting a call back.

Allergies: Insect stings

Symptoms: 11 hours after the shot I woke up with chills, fever, aching, headache, dizziness, elevated heart rate 113 beats per minute( i take Atenolo so my heart rate rarelly gets above 70 bpm).

Other Meds: Atenolol, Calcium, gabupentin, Vitamin C, viatmin D3, Pantoprazole

Current Illness: I tested positive for Covid on Dec. 18,2020

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm