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: 0971604
Sex: F
Age: 38
State:

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

Lab Data:

Allergies:

Symptoms: After the second dose on Tuesday morning (1/19/21) patient had severe arm pain that got worse as the day progressed. The next morning patient woke up with a fever of 100.8, chills, headache, nausea, severe arm pain (hard to even use it), and extreme fatigue. 1/22/2021, patient is feeling much better but still not 100% in terms of arm pain and fatigue.

Other Meds:

Current Illness:

ID: 0971605
Sex: F
Age: 30
State: LA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Generalized hives; OTC Benadryl per PCP recommendation; resolved after 1 week

Other Meds:

Current Illness:

ID: 0971606
Sex: F
Age: 17
State: AZ

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: EMT treated on site. provided anti-nausea medication.

Allergies: Lactose Intolerant

Symptoms: nausea, vomiting, sensitivity to light, hearing was muffled, a bit of dizzines. She vomited 3 times. in a span of 30 minutes.

Other Meds: N/a

Current Illness: n/a

ID: 0971607
Sex: F
Age: 32
State: UT

Vax Date: 01/13/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Environmental allergies

Symptoms: This past weekend, I noticed that my arm had a dull ache. I happened to look at it, and I found a hive/welt where I received the Covid vaccine. My arm hurt right after getting the vaccine for a day or two but then it seemed find until this past weekend.

Other Meds: Thyroid meds, add meds,

Current Illness: No

ID: 0971608
Sex: F
Age: 47
State: FL

Vax Date: 12/31/2020
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Weakness, trouble breathing, URI, sinusitis, diarrhea, abdominal pain.

Other Meds: Lisinopril, Zoloft, coreg

Current Illness:

ID: 0971609
Sex: M
Age: 71
State: CA

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: Check with MD

Allergies: NKDA

Symptoms: 71 yo M admitted for sepsis from perforated gangrenous cholecystitis c/b E coli bacteremia, s/p lap chole 1/14 then found to have post-op collections now s/p drain placement of medial collection and aspiration of lateral collection. CT evaluation for pulmonary emboli on 1/22/21 discovered, "Bilateral upper lobe segmental/subsegmental pulmonary emboli. No evidence of pulmonary infarct or right heart strain."

Other Meds: 1) ACETAMINOPHEN TAB 650MG PO Q6H PRN Mild pain 1-3 or temp > 100.4F 2) BISACODYL SUPP,RTL 10MG RTL DAILY PRN hold for >1 BM daily 3) BISACODYL TAB,EC 10MG PO DAILY PRN FOR CONSTIPATION, second line 4

Current Illness: Cholecystitis

ID: 0971610
Sex: F
Age: 70
State: NV

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Sore arm,slight chills

Other Meds: Advil

Current Illness: None

ID: 0971611
Sex: M
Age: 45
State: NM

Vax Date: 01/17/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: N/A

Allergies: Seasonal allergy

Symptoms: Telephone conversation 01/25/2021: He reports after left arm injection on 01/17/2021 he had sore arm (no redness) and fatigue. He reports symptoms went away after 2-3 days . Then he reports injection site of left arm started itching 01/24/2021 and then site became red, hot and puffy. He denies fever, chills, SOB, cough, diarrhea . He reports redness extends from the shoulder area to the bicep. Denies break in skin. He reports his temperature is 98f. He reports took his arm temperature at the site of injection and it is 101.6. He reports has full ROM and strength of arm. Pain on scale of 1-10 is 1-2 per his reports. Advised RICE, benadryl /Zyrtec. If not better advised go to Urgent Care/ED for evaluation.

Other Meds: Denies

Current Illness: Denies

ID: 0971612
Sex: M
Age: 45
State: NH

Vax Date: 01/15/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: I had the Moderna COVID vaccine on Friday 1/15/2021 at 11:40am

Allergies: None

Symptoms: I didn't have any adverse affects until 5 days after I received the vaccination. Early in the afternoon on Wednesday 1/20 I noticed that my lymph nodes in the armpit of my left arm and on the left side of my neck were swollen and sore. This worsened as the day went on. I also noticed a pimple had formed and came to a head in the exact spot of where the needle stick had been. It "popped" that day and a small amount material came out. My lymph nodes have remained sore and swollen since 1/20. On the 7th day after (1/22) I noticed a couple of smaller, dime sized red blotches/rash on my left shoulder and left side of my neck. I also noticed that the injection site on my left shoulder was sore, swollen and hot to touch. On the 8th day (1/23) I noticed that there were more of these dime sized red blotches/rash across both shoulders, my back and a small area in the center of my chest. It continues to be like that as of today (1/25). On the 9th day, (1/24) starting just after noon, I began to feel poorly. Achy and just generally not very good. I had a few bouts of diarrhea throughout the afternoon. I also had a pretty strong headache when I awoke on the morning of the 24th. Today, (1/25) I awoke again with a headache although it was not as sore as yesterday. I don't feel great today, but I do feel better than I did yesterday. The rash looks the same and my lymph nodes seem to be slightly less swollen and less sore.

Other Meds: Chia seeds as a fiber supplement. Vitamin D supplement. Probiotic supplement. Daily low dose sildenafil

Current Illness: None

ID: 0971613
Sex: F
Age: 50
State: GA

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: Na

Allergies: Pcn, Brazilian nuts

Symptoms: Pf,izer-biotech covid-19 vaccine eau Body aches, chills, fever

Other Meds: Vitamins

Current Illness: None

ID: 0971614
Sex: F
Age: 51
State: WA

Vax Date: 01/19/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: nickel allergy

Symptoms: I received dose 2 on tuesday 1pm, after 12 hours the fever kicked in and lasted 24 hours through late wednesday night rendering me fairly useless. But that's not the event I'm reporting. On saturday, my period started, and it's literally the heaviest period that I've ever had in my life (and it's still going). I'm perimenopausal, and haven't had a period in 5 months, so at first I chalked it up to that, but the timing is suspicious so I asked around - there seems to be a lot of women who have been having off-schedule, very-heavy periods after their vaccinations. I'm a research scientist and I think this is worth investigating to see if it's truly a vaccine effect and what the implications are, especially knowing that covid affects clotting. I've also submitted this info on pfizer's site.

Other Meds: none

Current Illness:

ID: 0971615
Sex: F
Age: 28
State: VA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Reporter received the first COVID-19 vaccine on 12/30/2020 and waited the recommended 15 minutes for observation. After the observation period, she left the facility and started to notice tightness and what she describes as a "bubble" at the top of her throat. She also noticed a tingling sensation in the top of her lip, but did not notice any swelling. Reporter took 25 mg of liquid Benadryl and within an hour the sensation in her throat began to go away. Reporter received the second COVID-19 vaccine on 1/20/2021 at 08:25 AM. She had proactively taken diphenhydramine following the reaction to her first dose. Around 08:40 AM, she began to feel tightening in her throat and some heaviness in her chest. She was evaluated by a nurse who took her blood pressure (normal), however, her heart rate was elevated (noted this could be that she was nervous following initial reaction and repeat tightness in throat). Around 08:55AM, she began to feel like her tongue was swelling and that she had a "bubble" on the top of her throat. She was taken to the Emergency Department for evaluation. She was given hydroxyzine, famotidine, and dexamethasone in the ED and was discharged and felt stable. She reported a continued odd sensation in her throat the evening of the second vaccination. This feeling resolved the next day, and she reports no additional side effects from the vaccine.

Other Meds: Omeprazole, birth control

Current Illness: None

ID: 0971616
Sex: F
Age: 50
State: MN

Vax Date: 11/20/2020
Onset Date: 11/20/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: n/a (stomach upset with erythromycin)

Symptoms: The injection site felt warm in the evening (after dinner) and started to swell and become hardened. By the next morning, I had a low grade fever (99.5-100) and felt exhausted. Over the next two days, the hardness around the injection site was only slightly raised, but was about 3.5" in diameter. I continued to feel run down and tired with a low fever (99) for the next three days (about 5.5 days after the shot), then started to feel better. I had been told to expect some pain or swelling at the site and suggested that I alternate Tylenol & ibuprofen every few hours, starting as soon as I got home.

Other Meds: amphetamine salts ER (20 mg daily) caps, levothyroxine (75 mcg daily), spironolactone (50 mg daily), Pure Encapsulations magnesium glycinate (240 mg daily), Mirena IUD put in Sep 2017.

Current Illness: n/a

ID: 0971617
Sex: F
Age: 37
State: WA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: COVID test- 1/23/21= negative

Allergies: Morphine, Imitrex

Symptoms: Extreme exhaustion, nausea, significant headache that has been going since 1/20/21 to present day

Other Meds: Novolog Insulin, Metformin, Levothyroxine, Wellbutrin, Lexipro

Current Illness: none

ID: 0971618
Sex: F
Age: 32
State: OR

Vax Date: 01/13/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Delayed reactivity to vaccine. 1/22/2021 - noticed red circle around injection site approximately the size of a dime. 1/24/2021 - the red mark had reduced in color but increased in size to approximately that of a silver dollar. Red outline with purplish red color (light color) in center. Some heaviness/fatigue feeling in arm. Mark still present as of 1/25/2021. Redness did not appear until over one week after initial injection of vaccine. Tenderness at injection site is mild. No treatment taken at this time. No hospital visit.

Other Meds: Fish oil, vitamin C, women's daily vitamin, berberine, hair multivitamin, probiotic, Claritin, 5-HTP.

Current Illness: Seasonal allergies.

ID: 0971619
Sex: F
Age: 62
State: PA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: denies

Symptoms: 1/13/2021-9am pt. received the moderna vaccine to left arm. Around 3-4 pm patient developed headache, nausea, and could not lift her left arm, muscle aches, and swelling to right eye, Pt. states that she took Arnica on day number two. Pt. states that she cannot say if arnica helped with symptoms or she naturally became better. Pt. states symptoms resolved on 1/16/21.

Other Meds: yes, lisinopril, hctz, zinc, vitamin c, vitamin d, calcium

Current Illness: denies

ID: 0971620
Sex: F
Age: 40
State: CT

Vax Date: 01/14/2021
Onset Date: 01/17/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: Penicillin , aspirin, mushrooms, bee stings.

Symptoms: Day 4 after vaccine: headaches, muscle aches and chills. Day 5: same plus add nausea. Day 6: fever, severe muscle aches, sore throat, and extreme fatigue. Day 7&8: non verbal from throat pain. Day 9x: woke up able to move around, headache still present, redness around injection site hot too touch and hard. Day 10: exhaustion and arm pain again. Day 11: rash covering all of chest area.

Other Meds: NONE

Current Illness: NONE

ID: 0971621
Sex: F
Age: 55
State: PA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Complained of itchy throat and was clearing throat. Then said tongue felt thick and swollen. Po Bendaryl and Epi 0.3mg IM given. EMS called. Pt refused transport after leaving clinic on stretcher.

Other Meds:

Current Illness: none

ID: 0971622
Sex: F
Age: 39
State:

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

Lab Data:

Allergies:

Symptoms: Patient developed pretty severe dizziness, headache, generalized joint and muscle pain, chills, temperature of 99.9, nausea and weakness that continued for the next 24 hours.

Other Meds:

Current Illness:

ID: 0971623
Sex: F
Age: 72
State: FL

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: none

Allergies: demerol, lisinopril, amoxycillin

Symptoms: 1) 12 hr post injection very red and hot at injection site about 8" diameter area 2) 15 hr post injection very minor dizzy spell did not last more than 20 seconds 3) 48 hour post injection, took 200mg advill for red hot injection area 4) 60 hour post injection, beginnings of anaphalaxis - throat swelling, closing. Took one otc 25mg benadryl

Other Meds: progesteron, atenenol,

Current Illness: none

ID: 0971624
Sex: M
Age: 45
State: NC

Vax Date: 12/28/2020
Onset Date: 01/11/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: patient (medical director of Nursing Center) reported on 1/25/21 that after receiving the first dose on 12/28/20, two weeks later he developed two areas with swollen lymph nodes. Both areas occurred on the left arm which is the arm in which the first COVID19 vaccine was administered. The swollen areas lasted one week then resolved.

Other Meds: unknown

Current Illness: diabetes

ID: 0971625
Sex: F
Age: 62
State: ID

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

Lab Data: None

Allergies: Amoxicillin, Codeine

Symptoms: Allergic Urticaria

Other Meds: None

Current Illness: None

ID: 0971626
Sex: F
Age: 28
State: VA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: none

Allergies: penicillin

Symptoms: Reporter received the second COVID-19 vaccine on 1/20/2021 at 08:25 AM. She had proactively taken diphenhydramine following the reaction to her first dose. Around 08:40 AM, she began to feel tightening in her throat and some heaviness in her chest. She was evaluated by a nurse who took her blood pressure (normal), however, her heart rate was elevated (noted this could be that she was nervous following initial reaction and repeat tightness in throat). Around 08:55AM, she began to feel like her tongue was swelling and that she had a "bubble" on the top of her throat. She was taken to the Emergency Department for evaluation. She was given hydroxyzine, famotidine, and dexamethasone in the ED and was discharged and felt stable. She reported a continued odd sensation in her throat the evening of the second vaccination. This feeling resolved the next day, and she reports no additional side effects from the vaccine. Of note, patient had experienced a similar reaction following her first vaccination (E-number 261589)

Other Meds: omeprazole, birth control

Current Illness: none

ID: 0971627
Sex: F
Age: 34
State: IN

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Diarrhea- started around 1am, on and off for 12 hours. Fatigue-from 9am-10pm Muscle soreness-at vaccintion site on left arm, both shoulders, upper back, neck. Lasted all day while awake.

Other Meds: None

Current Illness: None

ID: 0971628
Sex: M
Age: 60
State: IL

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: Moderna COVID?19 Vaccine EUA. On the day after my shot, injection site muscle pain, nausea, flu-like symptoms throughout the day.

Other Meds: Pantoprazole, Escitalopram, Pravastatin

Current Illness: N/A

ID: 0971629
Sex: F
Age: 41
State: NV

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: Bactrim

Symptoms: At 1410 patient stated they felt their heart beating fast, BP= 171/93, HR= 188, O2 Sats RA= 100%, Temp= 36; at 1420: BP= 152/100, HR= 82, O2 Sats RA= 100%, at 1430: BP= 142/87, HR= 80, O2 Sats RA= 100%. At approximately 1430 patient stated she felt fine and left the facility.

Other Meds: Losartan

Current Illness: None

ID: 0971630
Sex: F
Age: 35
State: TX

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data: blood panel; negative ct scan; negative

Allergies: n/a

Symptoms: 12/29 Vaccine 12/31 soreness in arm. Redness. Started increasing in size to where there was hardening. I started getting chills, fever (100.1, 102.3); ibuprofren / tylenol. Fever for 24 hours. Nausea, vomiting. *prescribed omeprazole. *still feeling 'hot'

Other Meds: n/a

Current Illness: n/a

ID: 0971631
Sex: F
Age: 72
State: GA

Vax Date: 01/13/2021
Onset Date: 01/18/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Pt advises the area where vaccine was received 2-3 days later site became red/started itching and she also experienced redness down her arm approximately 2-3 from vaccine site. Pt advises she took Benadryl and it helped with the itching but the redness remained. She continues to have some redness but advises it is starting to fade some.

Other Meds: Aspirin 81mg, Meloxicam, Atorvastin

Current Illness: No

ID: 0971632
Sex: F
Age: 38
State: OR

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Urticaria development on chest two days after receiving the vaccine and still intermittently present to date (approximately two weeks post vaccine).

Other Meds:

Current Illness:

ID: 0971633
Sex: F
Age: 31
State: PA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Yes

Symptoms: Complained of difficulty swallowing that quickly progressed to difficulty breathing and answering questions. Taken to ER at 1540.

Other Meds: Unknown

Current Illness: Unknown

ID: 0971634
Sex: M
Age: 48
State: CA

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Arm is very painful. The day after achy, muscle pain, head ache fatigue and chills. Just lasted 4 to 5 hours.

Other Meds:

Current Illness:

ID: 0971635
Sex: F
Age: 77
State: AZ

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: Nothing aware of

Symptoms: Noticed the next day after the vaccination my arm was sore, then itching with hives. Took Benadryl and put some cortisone on it to stop the itching.

Other Meds: Centrum Silver daily, fish oil, kombucha

Current Illness: No

ID: 0971636
Sex: F
Age: 44
State: WV

Vax Date: 01/15/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: Urgent care visit- prescribed antihistamine and steroid

Allergies: none

Symptoms: After initial common side effects (headache, chills, lethargy) lasting no more than 18 hours after injection, I felt great until day 9 post vaccination. Injection site became very inflamed, red, itching, painful. It spread the length of upper arm and around inside of arm. General all over body itching began about 12 hours after initial redness near injection site.

Other Meds: Lisinopril 5mg

Current Illness: none

ID: 0971637
Sex: F
Age: 40
State: PA

Vax Date: 01/17/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Day of had low grade fever, muscle fatigue, and soreness at injection site. 5 days later, left shoulder itching, hard, red and swollen

Other Meds: Nexium

Current Illness: none

ID: 0971638
Sex: F
Age: 69
State: NC

Vax Date: 01/20/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Mouth swelling Hives on arms and face (forehead and near eyes) Itching mainly on arms , ears , along back hairline

Other Meds: Synthroid, Lipitor, multiple vitamin, vitamin D, calcium

Current Illness: Skin cancer removal

ID: 0971639
Sex: F
Age: 35
State: NY

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Reported sore arm and cellulitis PCP prescribed antibiotics.

Other Meds:

Current Illness:

ID: 0971640
Sex: F
Age: 40
State: CA

Vax Date: 01/14/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Red, warm rash around injection site. Swollen lymph node in armpit of arm where injection was given. All showed up approximately 1 week after receiving vaccine. Trated with antihystamine orally, hydrocortisone topically on injection site, and intermittent cold and warm pack on lymph node.

Other Meds: Rainbow Light Women's One Multivitamin Vitamin D3 50mcg Portia Tab levonorgestrel and ethinyl estradiol tabs 0.15mg/0.03mg

Current Illness: None

ID: 0971641
Sex: F
Age: 12
State: OK

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: none

Allergies: nkda

Symptoms: pruritis, erythema, and edema to injection site and arm, measurements: 10x12 cm. pt went home. no s/s of anaphylaxis or any life threatening reaction. no labored breathing or swelling anywhere but injection site.

Other Meds: none

Current Illness: none

ID: 0971642
Sex: F
Age: 72
State: MD

Vax Date: 01/15/2021
Onset Date: 01/22/1921
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Adhesive causes rash

Symptoms: Redness, swelling, warmth and itching at the injection site several days after injection. 2-3 cm diameter approx. still going on.

Other Meds: Dexilant , digoxin , melatonin rosuvastatin

Current Illness: Chronic sinusitis, but no acute flare

ID: 0971643
Sex: F
Age: 80
State: TN

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: Latex, Ancef, Nickel

Symptoms: Pt. left POD after receiving vaccine and waiting allotted 15 minutes. Pt. then returned to POD clinic because was feeling flushed. Pt. also c/o headache. Pt. was noted to be very shaky and have elevated blood pressure upon assessment. BP: 198/92, rechecked 179/82, RR: 16, O2 sats: 98%. Assessed by local EMS. Pt. plans to follow up with PCP.

Other Meds: Keppra, Nexium, Rosuvastatin

Current Illness: None

ID: 0971644
Sex: F
Age: 48
State: AK

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: sulfa

Symptoms: sore arm

Other Meds:

Current Illness:

ID: 0971645
Sex: F
Age: 65
State: IL

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital: Y

Lab Data:

Allergies: Penicillin, Shellfish, Aspirin

Symptoms: A few hours after the vaccine was administered, patient experienced increased shortness of breath. Baseline O2 requirement is usually 2-3 Liters; required 7L on home O2. Was using nebulizers 2-3 times a day afterward as well (typically uses 1-2 times a month). Patient does not have history of COPD exacerbations that present similarly. Presented to the emergency department and now admitted to the ICU.

Other Meds:

Current Illness:

ID: 0971646
Sex: F
Age: 60
State: MN

Vax Date: 01/13/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: Patient received vaccine on 01/13/2021. The night of 01/24/2021 she noticed a rash starting to form around the vaccine injections site. Area is red and inflamed but not warm or itchy.

Other Meds: unknown

Current Illness: no

ID: 0971648
Sex: F
Age: 50
State: MI

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: HIVE LIKE RASH SPREADING FROM LOWER EXTREAMITYS TO HEAD AND NECK, ON GOING FOR A MONTH SEFT TREAT WITH ANTIHISTAMINE WITH SOME IMPROVEMENT. SCHEDULED FOR DERMATOLOGIST VIIST

Other Meds: TRETINOIN, CLARITIN.

Current Illness: NONE

ID: 0971649
Sex: F
Age: 48
State: CA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 01.15.21 nauseous, headache with Fever with chills. 01.20.21 fever with chills still have chills and body aches.

Other Meds:

Current Illness:

ID: 0971650
Sex: M
Age: 73
State: AZ

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: None stated.

Other Meds: Hydroclorathizide , omprezole, lovastin

Current Illness: None

ID: 0971651
Sex: F
Age: 42
State: CA

Vax Date: 01/10/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: Positive rapid PCR

Allergies: Dust, animal dander, pollen

Symptoms: Sore throat, then headache and nasal congestion with variable gastrointestinal upset

Other Meds: Zyrtec, Flonase, multivitamin

Current Illness: None

ID: 0971652
Sex: F
Age: 35
State: CA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: Positive Covid rapid test 11/21/2020

Allergies: Unknown

Symptoms: Numbness and swelling of the face, throat and hands. No difficulty breathing or swallowing, Denies pain. Pt reports that symptoms are similar to covid illness in November.

Other Meds: Unknown

Current Illness: Diagnosed with COVID-19 approx. 6-8 weeks prior to immunization.

ID: 0971653
Sex: F
Age: 67
State: WI

Vax Date: 01/12/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Morphine, latex

Symptoms: Itchy red, swollen rash around injection site appeared 12 days after shot. However, patient tested positive for covid on January 20.

Other Meds: Humira 40 mg injection, Tylenol,

Current Illness:

ID: 0971654
Sex: F
Age: 47
State: AK

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: morphine, reglan, phenergan, novocaine

Symptoms: sore arm x4 days

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm