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: 0968221
Sex: M
Age: 60
State: GA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: None

Allergies: Sulfa drugs, bee stings, poison plants

Symptoms: Mild fatigue, general aches & pains, very sore shoulder at injection site, chills, difficulty sleeping due to muscle aches.

Other Meds: Zyrtec daily for pollen allergies

Current Illness: None

ID: 0968223
Sex: F
Age: 49
State: NY

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: Vital signs were taken

Allergies: No known allergies

Symptoms: Pt c/o dizziness, SOB, feeling of something in her throat. I was not able to visualized the back of her throat very well, due to swelling. Mild wheezes heard. BP was 223/119, Pulse 73, RR 24, spo2 95% using 2 liters of oxygen via nasal cannula. Repeated BP confirmed similar results. Gave Benadryl IV, solumedrol, and epi 0.1 mg. After epi was given, pt started to throw up and c/o headache. Gave zofran IV. BP did come down to 159/100, she says she did not feel the throat swelling any longer, and wheezing disappeared. Left clinic alert, and verbally responsive to Emergency department for further management.

Other Meds: Amlodipine 10 mg

Current Illness: None

ID: 0968224
Sex: F
Age: 0
State: AZ

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: None

Allergies: No allergies

Symptoms: Panic, dizziness, sense of impending doom

Other Meds: Metformin 1000 mg Escilatopram 20 mg Cranberry pills Zinc 10mg

Current Illness: No illnesses

ID: 0968225
Sex: F
Age: 40
State: CA

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

Lab Data:

Allergies: No

Symptoms: Itchy red rash about the size of a silver dollar (started as small bumps and grew in size over the past few hour hours at the injection site

Other Meds: No

Current Illness: No

ID: 0968227
Sex: M
Age: 31
State: PA

Vax Date: 01/19/2019
Onset Date: 01/19/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: None

Allergies: Milk products

Symptoms: Moderna COVID 19 Vaccine EUA Fever 103, for 3 days, swollen left lymph nodes, nausea, vomiting, diarrhea, headache, chills, serve joint pain and pain at the injection site. All lasting for 4 days.

Other Meds: Synthroid .5mg Vitamin D3 1000 units

Current Illness: COVID Dec 1

ID: 0968228
Sex: F
Age: 43
State: MN

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: Niacin, Zithromax

Symptoms: My injection site felt very hot and itchy, I got very shaky and sweaty. I had to sit down and I felt ill due to this

Other Meds: None

Current Illness: None

ID: 0968229
Sex: F
Age: 66
State: TX

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: Bell peppers, bee stings

Symptoms: Had a knot the first two days and soreness. It got better, but last Monday, it started to get red and warm. Each day the redness grew. Went to an urgent care on day 6 when arm above elbow was very red and warm. Doctor said it was cellulitis and prescribed Bactrim for 7 days, and ice 3/4 times daily. Go to PCP if in a couple of days the issues have not improved. Am starting the first dose of the Bactrim shortly (twice a day)

Other Meds: Enalapril HCTZ; Meloxicam; Atorvastatin; Vitamin D3; baby aspirin; Metformin ER; Cinnamon tablets; Glimepiride; Ozempic.

Current Illness: none other than diabetes and arthritis

ID: 0968230
Sex: F
Age: 42
State: IN

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: No

Allergies: No

Symptoms: Nausea greater than 4 hours. Lightheaded

Other Meds: Citalopram Wellbutrin Pantaproazle

Current Illness: No

ID: 0968231
Sex: F
Age: 28
State:

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: Codeine, sulfa drugs

Symptoms: Fever 100.2 at 12am. Took Tylenol, fever of 101.0 at 8am. More Tylenol consistently, temp didnt go below 99.5 until Saturday morning.

Other Meds: Probiotics

Current Illness:

ID: 0968232
Sex: F
Age: 45
State: CA

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: Allergic to bactrium

Symptoms: At time of vaccination, sore arm.and headache One week later - itchy, soreness and rash

Other Meds: Tynenol Vegan calcium, vegan collagen booster, probiotic, vegan iron

Current Illness: No

ID: 0968235
Sex: F
Age: 21
State: CA

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: patient received moderna vaccine and reported to 15 min observation. patient noted to be slumped in chair, roused patient who sat up and vomited x3. Denies shortness of breath, no wheezing or respiratory distress. patient tearful. 125/92 96. EMS called Patient given O2 via mask. Arrived, patient reported feeling better. Patient and mother declined EMS transport and left vaccination clinic.

Other Meds:

Current Illness:

ID: 0968236
Sex: F
Age: 46
State: AZ

Vax Date: 01/15/2021
Onset Date: 01/18/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: I met with a tele doctor on January 22. I am keeping warm compresses on it but it is not decreasing in size or going away.

Allergies: none

Symptoms: I am pretty sure this developed in the week following the vaccine but I didn't notice it until Jan 22. Inside the soft tissue on my lower lip I developed a large brusie/clot....over 1 cm in diameter. It is a very dark red color. It is not bleeding or painful.

Other Meds: Junel Fe

Current Illness: Episcleristis in right eye

ID: 0968237
Sex: F
Age: 57
State: LA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: sore arm, nausea, temp, fatigue, elevated pulse 108, BP High 147/99, headache

Other Meds: Flexeril Lisinopril Pantoprazole Buspar Librium Hydroxyzine Buproprion

Current Illness: N/A

ID: 0968238
Sex: F
Age: 64
State: CA

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: none

Allergies: Erythromycin

Symptoms: 12 days after the vaccination noted erythema, swelling and tenderness at the injection site, about 2-3 inches diameter.

Other Meds: ? Famotidine (PEPCID) 20 mg Oral Tab Take 1 tablet by mouth 2 times a day ? traZODone (DESYREL) 50 mg Oral Tab Take 1 tablet by mouth daily at bedtime ? Sertraline (ZOLOFT) 25 mg Oral Tab Take 1 tablet by mouth daily ? Atenolol (TENORMIN) 2

Current Illness: Emergency visit for chest pain, nausea, vomiting, unhealthy alcohol use 12/17/21

ID: 0968240
Sex: F
Age: 34
State: TX

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

Lab Data:

Allergies: Gluten and Dairy. Latex

Symptoms: Day of and next day: aches, soreness, fever is 99.1, and fatigue Day 10: heat radiating off of arm at injection site. Swollen. Slightly itchy. The redness and swelling went down after a few hours. Day 12: pink at injection site but edges spread. Still warm. Itching.

Other Meds: Atenolol, NuvaRing

Current Illness: No

ID: 0968241
Sex: M
Age: 48
State: AK

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: None.

Allergies: Ultram Triptan Ergot Levaquin

Symptoms: Numbness in left face from below mandible to left eye.

Other Meds: Pepcid AC

Current Illness: None.

ID: 0968242
Sex: F
Age: 81
State: UT

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: N/A.

Allergies: None.

Symptoms: Ran a fever, chills, and body aches. Dizzy causing me to fall & exhaustion.

Other Meds: Prescriptions.

Current Illness: I had the virus in December.

ID: 0968243
Sex: M
Age: 24
State: CA

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever of over 101. Severe body aches (painful to touch skin). Headache. Nausea. All sx started 8 hours after receiving vaccine and lasted for 24 hours.

Other Meds: None

Current Illness: None

ID: 0968244
Sex: F
Age: 37
State: AL

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: I began to have extreme headache (occipital neuralgia distribution and intensity) 10 hours after shot, which worsened over the next day. During that next day I had some word-finding impairment and dulled thinking. 34 hours after shot, I experienced a transient Bell's palsy like episode with right-sided facial drooping (eye ptosis, cheek muscle flattening) and impaired speech, which lasted about 1-2 hours and self-resolved. I called doctor who put me in contact with on call doctor who said symptoms sounded like a complicated migraine with neurological involvement. I have had a migraine once or twice in the past, but nothing chronic and nothing like this episode. The next day (Thursday 1/21/21) I had fatigue, and by Friday 1/22/21 all symptoms had resolved.

Other Meds: Ibuprofen

Current Illness: None

ID: 0968246
Sex: F
Age: 66
State: CA

Vax Date: 01/09/2021
Onset Date: 01/17/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Two days after vaccine, cheeks very red ,hot to the touch resolved by evening. Nine days post injection woken up by very painful, swollen, fiery red area around injection site on left arm. Tried taking allergy med, ibuprofen neither helped. It is now 2 weeks exactly since injection less erythema ,still slightly swollen and tender.

Other Meds: Vitamin C,D fish oil , probiotic

Current Illness:

ID: 0968247
Sex: F
Age: 25
State: TX

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: None

Allergies: Biaxin and pineapple

Symptoms: Intense headache and neck ache, body aches, chills, night sweats, probable fever but unconfirmed as I just haven't taken it with a thermometer, sinusitis and sinus tap pain, and a wracking cough that has worsened in the following 24 hours. Symptoms are all still worsening.

Other Meds: Prozac 40mg/day and birth control

Current Illness: None

ID: 0968248
Sex: M
Age: 17
State: NY

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: NA

Allergies: NA

Symptoms: At approximately 7:30 AM the following day, the patient woke up with the left eye being swollen and puffy as well as tender and slightly painful. Felt weird to blink but only in left eye. Took Acetaminophen 500mg and swelling decreased significantly around 2 hours later from the time it was first noticed.

Other Meds: Abilify 20 mg Gabapentin

Current Illness: NA

ID: 0968249
Sex: F
Age: 44
State: IL

Vax Date: 01/14/2021
Onset Date: 01/23/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: Sulfa antibiotics

Symptoms: Redness, swelling, burning, itching at injection site 9 days after injection.

Other Meds: Farciga; Atacand; Berberine 1000mg; Lunesta; Trazadone

Current Illness: None

ID: 0968251
Sex: F
Age: 63
State: NY

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: penicillin, dust,chocolate, pollen,grass

Symptoms: injection site was red , hot and swelled for 10 days, on day 6 rash appeared and was itchy . Took antihistamines (zyrtec)for 4 days rash ,itchyness and swelling subsided.

Other Meds: synthroid, prempto

Current Illness: no

ID: 0968252
Sex: F
Age: 42
State: NY

Vax Date: 01/17/2021
Onset Date: 01/18/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Metallic Taste in mouth Cold extremities on feet.

Other Meds: None

Current Illness: None

ID: 0968253
Sex: F
Age: 34
State: AZ

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: none (yet).

Allergies: sulfa, cats

Symptoms: The evening of the day I got the shot, I began to get tired and started to have a sore arm. Throughout the night, the arm soreness got worse and I got joint pain. The whole next day, I experienced severe malaise, headache, chills, fever, and joint pain with the site soreness. The arm pain got worse. That night, I struggled to sleep. The whole day after that, I had less malaise and the fever had gone down but the injection site reddened and grew even warmer and more tender. That evening it was difficult to sleep as the soreness in my arm migrated to the shoulder, armpit and the right side of my chest, along where a bra band would go on the distal right side of the chest. The next morning (today) the entire armpit area and upper distal right side of the chest were hot and tender. This afternoon, I palpated the area and noticed at least one swollen lymph node. My arm still hurts.

Other Meds: Metformin, Bupropion, Levothyroxine, Flovent, Prilosec, Vitamin D, Nasacort, tylenol

Current Illness: none

ID: 0968254
Sex: F
Age: 35
State: AZ

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Injection site soreness (1 hour afterward, lasting through the following day and night), muscle soreness and pain (3 hours afterward, worse the next day, abated the evening of 1/21), slight vertigo (1 hour afterward, laying about 2 hours)

Other Meds: Vitamins C and D, iron, famotidine, omeprazole, birth control (progesterone only), Allegra

Current Illness: None

ID: 0968255
Sex: F
Age: 65
State: HI

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: None

Allergies: Penicillins Class, Erythromycin Base,Co-Trimoxazole

Symptoms: 8 days after my first injection, there appeared a red patch at the injection site downwards the size of my hand. It itched but there is no sign of a bug bite. Everyday it slightly lightens up.

Other Meds: Cranberry Supplement, daily vitamin, vitamin D, calcium supplement, grape seed supplement, probiotic

Current Illness:

ID: 0968257
Sex: F
Age: 69
State: FL

Vax Date: 01/10/2021
Onset Date: 01/18/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Itchy rash and swelling at vaccination sitr

Other Meds: Mirtazapine 7.5 mg, buspirone 15 mg, calcium citrate 600 mg, loratidine 10 mg, nadacort spray

Current Illness: None

ID: 0968258
Sex: F
Age: 46
State: NC

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: None

Allergies: Prednisone, latex, adhesive, avocado, sulfa antibiotics, erythromycin

Symptoms: Fever of 101.9, fatigue, chills, dizziness, body aches

Other Meds: Lunesta, Buspar, lexapro, Prilosec, atarax

Current Illness: None

ID: 0968259
Sex: F
Age: 47
State: TX

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

Lab Data: none

Allergies: none

Symptoms: On January the 15th I attended a mega vaccine hub to get injection. Later on that night around 4:00 in the morning I woke up to a numb, pain full, swelling, hardness of the arm. I was like that through out the day along with tiredness and chills all day long. I could barely pick up my arm. The next day was a bit better but during the week my arm still felt soreness, harness in the area of injection. on Saturday the 22nd, eight days later I woke up to a arm that was more severely swollen with redness in a circle where the injection shot was administered. It felt worse than the day i received the shot. I decided to document this and take pictures of my arm and to let you all know about this. I plan to go to the emergency room if i wake up worse tomorrow. I seemed to have an allergic reaction to the shot. I'm very worried and do not feel right. Been taking benadryl.

Other Meds: Spironolactone for acne; Rosuvastatin cholesterol; Probiotics; calcium plus vitamin d3

Current Illness: none

ID: 0968260
Sex: F
Age: 66
State: CA

Vax Date: 12/30/2020
Onset Date: 01/20/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: N/A

Allergies: Erythomycin Ciprofloxacin Lipitor

Symptoms: burning and itching on neck, began less than 1 day of COVID vaccination

Other Meds: Acyclovir (Zovirax), Albuterol, Aspirin, Calcium Carbonate, Vitamin D3, Diclofenac Postassium, Estradiol, Fluticasone, Progesterone, Rosuvastatin

Current Illness: no

ID: 0968261
Sex: F
Age: 33
State: KS

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

Lab Data:

Allergies:

Symptoms: Fever, headache, chills, body aches same night shot was given. Next morning experienced vertigo and have been experiencing only vertigo for the past 7 days and unable to work or function like normal.

Other Meds:

Current Illness:

ID: 0968262
Sex: F
Age: 29
State: PA

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: Amoxicillin

Symptoms: On the morning of 1/21/21 I noticed a 2" in diameter red circle around my injection site. I sent a picture to my doctor and I was seen on 1/22/21 and at that time I had just a red outline of a circle around the injection site that appeared to have moved/grown some since the day before. The doctors weren't able to say of it was an allergic reaction to the vaccine or not. They adviced me to use cortisone cream if it becomes itchy and to be seen again if continues to grow or I get a fever. As of today 1/23/21, the outline of the circle has seemed to have moved down towards my elbow. The area is not itchy or painful and that is the only place this has appeared. I've been taking pictures daily of the area to be able to see if it's changed at all.

Other Meds: NA

Current Illness: NA

ID: 0968264
Sex: F
Age: 42
State: CA

Vax Date: 01/15/2021
Onset Date: 01/20/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 5 days after injection in the evening, left side of base of neck felt tender and lump could be felt. Day 6, in the morning, visible swelling could be seen on left side base of neck where it meets the shoulder. Tenderness was still present throughout the day and by the evening around 6pm earache right side started to present itself. 400mg ibuprofen taken at 8:30pm for earache. 1230am 1000mg of Tylenol taken for same earache. Day 7-6:00am , swelling and hardness at sight of injection (left arm), earache gone, lymph node still swollen left side of neck . Felt very lethargic and lightheaded throughout day and some itchiness around injection site. By the early evening of day 7, large red swelling like welts appeared and was itchy around and down injection site. Area was also tender and sore. Benadryl taken at 9pm along with 600mg Ibuprofen. Day 8, redness and swelling still present but no longer itchy. Energy level back to normal. Headache present at 2pm, 1000mg tylenol taken. By 4pm, headache is gone. Some itchiness has returned to left arm, swelling still present.

Other Meds: Rx: Losartan, Sprintec; OTC: women's one a day multivitamin, women's probiotic, magnesium

Current Illness: none

ID: 0968265
Sex: M
Age: 67
State: FL

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Bell's Palsy, rx prednisone 25mg twice daily, acyclovir 400mg 5 times daily, local care to eye

Other Meds:

Current Illness:

ID: 0968276
Sex: M
Age: 58
State: FL

Vax Date: 12/17/2020
Onset Date: 12/31/2020
Rec V Date: 01/23/2021
Hospital: Y

Lab Data: MR Lumbar spine 1/4/2021 and 1/11/2021

Allergies: None

Symptoms: Left lower extremity sciatica came on gradually beginning Dec 31, 2020. Symptoms worsened requiring hospitalization on January 11, 2021. MR Lumbar spine demonstrated a stable mild disc bulge left paracentral at L5S1 unchanged from 2013.

Other Meds: None

Current Illness: None

ID: 0968277
Sex: F
Age: 32
State: MI

Vax Date: 01/12/2021
Onset Date: 01/19/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: I insisted on getting a full blood panel although the doctor I saw did not deem it necessary. Everything came out okay.

Allergies: Pine nuts Penicillin Cashews

Symptoms: 7 days after my first shot I started to develop a localized rash near the injection site. It grew over three days and then subsided shortly thereafter.

Other Meds: Birth control

Current Illness: None

ID: 0968278
Sex: F
Age: 47
State: AK

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: None

Allergies: bees, seafood, erythromycin

Symptoms: Anaphylaxis with shortness of breath, throat tightness, dizziness and wheezing with near syncope.

Other Meds: voltaren, vitamin D, Prilosec, zanaflex

Current Illness: Asthma Arthritis

ID: 0968279
Sex: F
Age: 49
State: CO

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Morning of 1/22/2021 upon awakening Bilateral swelling of lower arms and hands. Severe muscle joint pain in hands and loss of strength and mobility. At 0730 was given 15mg iv toradol and IM decadron 12mg along with 10 mg oral zyrtec. Swelling reduced minimally with this treatment. At 1730 was given 40 mg of depo medrol continued on oral benadryl and ibu at home and next day. 0123/2021 Swelling in hands reduced some but still uncomfortable with lethargy and overall muscle weakness on daily activities. Continuing on ibu tylenol and benadryl.

Other Meds: Levothryroxine and hormone biote pellet

Current Illness: None

ID: 0968280
Sex: F
Age: 32
State: OH

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: PCP notified

Allergies: Pediazole, Ventolin

Symptoms: Rash down arm of injection at 5:30pm same day. Resolved with a dose of Benadryl. Next day site redness and heat. 2nd day bruising. Approximately a week later bruise returned and intermittent itchiness.

Other Meds: Celexa, Levothyroxine, Atenolol, Exforge, Pravastatin, Adrenal Supplement, Generic Allegra

Current Illness: Not sick

ID: 0968281
Sex: F
Age: 32
State: CA

Vax Date: 12/28/2020
Onset Date: 01/08/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: COVID-19 testing 1/9/21 (nasopharyngeal), 1/11/21 (oropharyngeal): both negative

Allergies: Penicillin, tetracycline

Symptoms: I began to feel COVID-like symptoms approximately 1.5w post dose #1: fatigue, cough, runny nose, congestion, mild sore throat x 8 days total. Additionally immediately fter dose 1, I felt moderate fatigue for 5 days and body aches and felt cold. My temperature stayed at 96 deg. which is below my usual. This resolved after 5 days until the previously mentioned illness.

Other Meds: Trokendi XR 100mg, loratadine 10mg, buspar 10mg BID, phentermine 15mg, metformin 500mg BID, ibuprofen PRN, albuterol PRN

Current Illness: None

ID: 0968282
Sex: M
Age: 50
State: CT

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: i had the usual aches after second dose after 24 hours i felt better but have a swollen lymph node under my arm out of the shoulder where got vaccine. is this a normal reaction?

Other Meds: none

Current Illness: none

ID: 0968283
Sex: F
Age: 37
State: WA

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/23/2021
Hospital:

Lab Data: See above

Allergies: seafood and shellfish - rash; difficult breathing

Symptoms: About 15 min after vaccine, going back to work station and felt ringing in my ear (tinnitus) vertigo; headache - went downstairs and drank a lot of water and took my legs up to prevent fainting and i didn't get better. 30 min later - 103/115 BP (Higher than normal -- 96/58or 60); after 12 Pm started having chills, shaking and chest hurt and difficulty breathing. Went ER at 12:55 pm and they did an EKG - not a regular heartbeat; blood work and x-ray. My BP was high - 143/122; I had low potassium; white blood cells higher than normal -10.9 (in mid Nov - only 7.5); They gave me potassium to take. December 30, when I got home at 6:30 - nausea started and I was throwing up two-three days in a row more than 5 or 6 times a day; weird metallic taste; fever at night; arm pain and swollen under my armpits. (Stayed off work three days.) Went to dr on Jan. 7 - did a follow up appt. and did all the blood work again and everything was back to normal.

Other Meds: Vit D3; Vit C; Zinc

Current Illness: no

ID: 0968284
Sex: F
Age: 50
State: OR

Vax Date: 01/02/2021
Onset Date: 01/04/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Painful red nodules on right 3rd and 4th fingers

Other Meds:

Current Illness:

ID: 0968285
Sex: F
Age: 40
State: CA

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: none

Allergies: aspirin, clindamycin, covid 19 moderna vaccine, nsaid

Symptoms: Patient here for 2nd dose covid moderna vaccine. Reports that during her first dose, she had lightheadedness, increased BP, heart racing, acid reflux, symptoms resolved in 10 minutes. She was cleared by her PCP to receive the 2nd dose. On 1/23/20 at 1044, patient received her second dose moderna vaccine. At 1050, she reports feeling "heart racing", excessive acid reflux. VS at 1050, 165/95, HR 135, O2 100%. She denies n/v. +excessive burping. At 1055, VS BP 139/99, HR 95. O2 100%. Continues to have burping sensation. At 1114, VS BP 127/88, HR 86, O2 100. Provided fluids and snacks. Reports symptoms improved. But continues to have excessive burping. At 1129, BP 126/89, HR 107, O2 100%. Patient reports symptoms improved. Denies chest discomfort. But reports that she continues to have burping, relays that it is likely due to her history of gerd. She have not taken her medications yet (she takes omeprazole daily). At 1150, BP 151/94, HR 109. Patient reports feeling anxious , continues to have excessive burping, no heart palpitation. Transferring patient to ED. Patient initially declined and would like to go home instead. Discussed with patient and risks and benefits. She then agreed to go to ED for further evaluation. Patient was safety escorted to ED.

Other Meds: none

Current Illness: GERD

ID: 0968286
Sex: F
Age: 69
State: PA

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: shellfish

Symptoms: 1348 Pt reports burning up her arm and neck above injection site. VS obtained by BP 150/86 Sp02 100% HR 64. No redness noted at injection site or affected area. 1354 Pt reports feeling "gland" swelling on right side of neck. Benadryl 25 mg tab given. No SOB or hives noted. 1404 Repeat VS BP 136/70 Sp02 100% HR 73. Pt states burning in affected area has decreased and neck feeling better. Pt able to swallow without difficulty. Pt and her husband states they were both comfortable leaving. Pt advised to seek emergency medical treatment with worsening symptoms. Pt states she has epipen at home for known shellfish allergy and knows how to use if needed.

Other Meds:

Current Illness:

ID: 0968287
Sex: F
Age: 29
State: PA

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: Bees (anaphylaxis)

Symptoms: Red area below injection site, swollen axillary lymph node on shot side laterality

Other Meds: Nuva-Ring Xyzal

Current Illness: None

ID: 0968288
Sex: M
Age: 73
State: WA

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: penicillin

Symptoms: received the COVID-19 Pfizer EL3302 vaccine at 8:10 am this morning (Jan 23, 2021). All went well. He drove home had lunch and then complained of being dizzy. I got him to lie down. Then he said he felt nauseated. Then he vomited up his entire lunch. He vomited about 5 times over the next hour, and has been resting since then. I have taken his temperature twice and it is low: 97.4 and 97.1. At 3:30 PM he said he was feeling better and would like some tea.

Other Meds: C0Q10, fish oil, naproxen, cholecalciferol 400 iu

Current Illness: MERSA rash after lower back skin biopsy infection

ID: 0968289
Sex: F
Age: 87
State: OH

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: Epinephrine, Iodine, Vioxx, Sulfamethoxazole-trimethoprim

Symptoms: Red spots (rash) on back of hands, swelling of wrists, veins in wrists swollen, no itching

Other Meds: Atorvastatin, aspirin, Clopidogrel, centrum silver, Lisinopril, Metoprolol, Omeprazole

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm