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: 0971909
Sex: F
Age: 43
State: PR

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Presents left side of face with edema.

Other Meds: none

Current Illness: none

ID: 0971910
Sex: F
Age: 44
State: NY

Vax Date: 01/16/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Itchy circular reddened area at injection site 8 days after injection. My private doctor is aware and monitoring at this time for any spreading of the affected area.

Other Meds: Vitamin D, multivitamin

Current Illness: None

ID: 0971911
Sex: M
Age: 70
State: GA

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

Lab Data:

Allergies: n/a

Symptoms: Itching

Other Meds: n/a

Current Illness: n/a

ID: 0971912
Sex: M
Age: 30
State: NE

Vax Date: 01/06/2021
Onset Date: 01/17/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: See above statement from patient

Allergies: unknown

Symptoms: "Hi Provider, Here are dates and symptoms. 1/17/2021 ? awakened by feeling nauseated, dry heaves/vomited small amount. Fever 100.3F. Had body aches all over. 30 minutes later felt a shift in stomach and vomited several times in a few minutes. Fever of 101.3F. Went back to sleep, slept for 4 more hours, woke up for 45 minutes had severe body aches. Went back to sleep and had severe body aches, couldn?t get comfortable due to pain. Slept for 5 more hours. Went to the ER in afternoon 1-17-2021. Got a liter of LR, Ketorolac 30mg IV, Zofran 4mg IV. Discharged. Still had aches and pain but lessened from the morning. Ate supper, Hadn?t ate anything for 24 hours. Took Tylenol 1,000mg. Went to sleep at 8pm to 6am. 1-18-2021 ? Woke up and had body aches but less severe than day before. Fever of 100.5F in mid-morning. Nauseated for short time, resolved with Zofran 4mg ODT. Took Tylenol 1,000mg. Felt exhausted, slept 4 hours during the day. Ate two meals, breakfast and supper. Took Tylenol 1,000mg and Ibuprofen 600mg at bedtime. 1-19-2021 ? Tuesday felt much better. No nausea, minor body aches. 1-19-2021 ? Wednesday, back to 100% resolved."

Other Meds: None reported

Current Illness: None reported

ID: 0971913
Sex: F
Age: 54
State: CA

Vax Date: 01/15/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Today is day #9 after receiving the 1st dose of Moderna vaccine and I have a red 2 inch patch on my left arm at the site of the injection. It?s hot and feels like a sunburn - my skin feels tight in the area.

Other Meds:

Current Illness:

ID: 0971914
Sex: F
Age: 73
State: TN

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

Lab Data:

Allergies: PCN

Symptoms: Patient left clinic approximately 15 minutes after receiving the vaccine without having any reactions. About 1200pm we received a phone call from patient reporting that approximately an hour after receiving the vaccine (10am) she started to experience tingling around her mouth, roaring in her ears, swelling in her lips and nasal passages. Patients reports that she had a bottle of Benadryl with her took 2 "big swigs" of the Benadryl. Patient reports swelling went away an hour after taking the Benadryl. Patient called to make us aware of the issue. Patient was not seen in clinic as a follow up, but was directed to notify her PCP. Patient verbalizes understanding.

Other Meds: Unknown

Current Illness: Unknown

ID: 0971915
Sex: F
Age: 38
State: VA

Vax Date: 01/16/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: n/a

Allergies: Sulfa

Symptoms: Quarter sized red circle at injection site, slightly itchy - 1/24 at 8:00 pm Circle became larger (two inch diameter) morning of 1/25; itches a little bit more. Slightly warm to touch.

Other Meds: Daily Vitamin

Current Illness: n/a

ID: 0971916
Sex: F
Age: 31
State: NC

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

Lab Data:

Allergies:

Symptoms: Arm redness on second shot. Chills

Other Meds:

Current Illness:

ID: 0971917
Sex: F
Age: 81
State: VA

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: WINDBURN TYPE OF RASH ON FACE THAT WAS MOVING DOWN TO UPPER NECK, FACE SWELLING WITH SKIN FEELING REAL TIGHT THAT STARTED ON 01/22/2021. ITCHING THAT STARTED ON.NEXT DAY WITH REDNESS INCREASING ON 01/23/2021. WENT TO URGENT CARE ON 01/24/2021 THINKING i HAD POISEN OAK/IVY/SUMAC UNTIL I READ SIDE EFFECTS ON INFO PROVIDED AFTER COVID-19 SHOT ON 01/21/2021. PA PROVIDED PERSCRIPTIONS METHYLPREDNISOLONE 4MG DOSEPK AND TRIAMCINOLONE 0.5% OINTMENT. OINTMENT DID NOT HELP ITCHING SO CHANGED TO CORTISONE 1% 2X A DAY. 01/25/2012 STATUS - RASH AND ITCHING GETTING BETTER BUT NOT GONE. SWELLING SEEMS TO BE GONE.

Other Meds: ADVIL, SYNTHROID 100mcg, ASPRIN 81MG, LISINOPRIL 10 MG, PROTONIX 40MG, ZETIA 10MG, PREMARIN, STOOL SOFTENER

Current Illness: NONE

ID: 0971918
Sex: M
Age: 75
State: NE

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
Hospital: Y

Lab Data: Persistent fevers through 01/22 with Tmax of 103.1 F. On admit, Xray only showed left basilar inflammatory changes. CT showed large amount of stool present, inguinal hernias, possible tiny gallstone, and no definite acute intracranial pathology. Procal was collected on 01/22 AM due to fevers, and was 1.9. This trended down to 1.5 in the PM. Repeat Chest Xray 01/22 showed no changes. All other labs were unremarkable.

Allergies: None

Symptoms: Patient presented to the ED with altered mental status and extreme agitation. Patient was given lorazepam 1 mg IV, haloperidol 5 mg IM, and Olanzapine 5 mg IM. Patient's quetiapine was also increased. Infectious workup was negative besides elevated temperature. Patient's agitation had resolved by the next morning 01/21 but was still experiencing AMS. By 01/23 patient had seen marked improved mental status and fever free for > 24 hours.

Other Meds: Tylenol, allopurinol, aspirin, atenolol, docusate, benadryl, lisinopril, lorazepam, melatonin, metformin, Myrbetriq, mirtazapine, nyamyc pwd, fish oil, oyster shell calcium, quetiapine, simvastatin, Toujeo, Thera-M multivitamin, vit D3

Current Illness: No new dx but ALF nursing staff did notice more anxiety in patient in week prior to hospitalization. COVID + test 2 weeks prior to vaccination. Follow up tests were negative, and first positive was ruled a false +

ID: 0971919
Sex: M
Age: 41
State: TX

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

Lab Data:

Allergies: no Allergies

Symptoms: Fatigue, Nausea, Body Ache, Low grade fever ,

Other Meds: phentermine 37.5mg Benadryl

Current Illness: No Illnesses

ID: 0971920
Sex: F
Age: 24
State: UT

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

Lab Data: None.

Allergies: None that I'm aware of.

Symptoms: A few hours after the first dose (1/15), a welt grew around the injection site about the size of a silver dollar. This went away after three days. Arm was sore for the first two days. One week later (1/22), injection site became itchy, red and was very warm to the touch. A welt formed as well. It started out the size of a silver dollar, and over the course of 48 hours the welt, itchiness, and redness grew to the size of a large russet potato (Friday 1/22- Saturday1/23). It was the most red around the injection site, with the most red being about the size of a silver dollar. After 48 hours, it remained itchy, red, and had a welt for the next 24 hours (Sunday 1/24). The next morning (Monday 1/25) redness and swelling were gone but site was still a little itchy. Site was only slightly tender throughout these three days but not painful. No other side effects were noticed i.e. fever, chills, chest pain. Slight dizziness was felt if I hadn't eaten anything.

Other Meds: A women's daily vitamin.

Current Illness: None.

ID: 0971921
Sex: F
Age: 61
State: CA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: BP/ HR, pulse oximeter and EKG done by paramedics/ Fire Dept staff Vital signs were stable, O2 sat via pulse oximeter 96-98%,

Allergies: NKDA

Symptoms: tachycardia, dizziness, diaphoresis, weakness, Temp 100.8 F, 911 called, above symptoms resolved by the time ambulance arrived.

Other Meds: Vit D 2000 units hot tea/ Sleepytime Sinus Soother | Celestial Seasonings "Airborne" effervescent tablets " Nature Made" B12 sublingual 3000 mcg

Current Illness: epistaxis: 1-13-2021, 1-16-2021

ID: 0971922
Sex: F
Age: 30
State: WA

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

Lab Data:

Allergies: None

Symptoms: ER for restricted airway after 3 hours. Muscle pain, joint pain, extreme dizziness, sore throat, headache, cold hot sweats, fatigue, for 5 days. dizziness, sore throat, still after 6 days

Other Meds: Ambien, Humalog, Lorazepam, Buspar

Current Illness: None

ID: 0971923
Sex: F
Age: 55
State: RI

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

Lab Data:

Allergies: contrast dye and nuts were stated at time of vaccination

Symptoms: Was sitting for observation, around 5 minutes later starting coughing and getting flushed in the face and saying it was getting hot. Then, continued to cough and was using her prescribed inhaler ( unknown what type of inhaler it was ). Administered epi-pen immediately, and called 9-1-1. Had to administer second epi-pen 5 minutes later, and patient also took two 25 mg benadryls. A nurse at the facility was the one to administer her epi-pens. They were the patient's prescribed epi-pens

Other Meds:

Current Illness:

ID: 0971924
Sex: F
Age: 59
State: MA

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

Lab Data:

Allergies: Penicillin

Symptoms: Headache, Nausea, Tiredness

Other Meds: Lisinopril, Amlodipine, Prednisone, Doxycycline

Current Illness: Bronchitis

ID: 0971926
Sex: F
Age: 60
State:

Vax Date: 12/21/2020
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: High grade fever, chills, body aches

Other Meds:

Current Illness:

ID: 0971927
Sex: F
Age: 43
State: CA

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

Lab Data:

Allergies:

Symptoms: Arm sore armpit was sore red raised hive below the injection site

Other Meds:

Current Illness:

ID: 0971928
Sex: F
Age: 95
State: IN

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

Lab Data: n/a

Allergies: Albuterol, Codeine

Symptoms: Headache, body aches, shivering, shaking, shooting pain in top part of head lasting 24 hours

Other Meds: Levothyroxine

Current Illness: n/a

ID: 0971929
Sex: F
Age: 63
State: MI

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

Lab Data:

Allergies: Penicillin, chocolate

Symptoms: 30 minutes after injection I experienced dizziness/light headedness, mild facial numbness, numbness in lips and roof mouth. I returned to the vaccination distribution site - EMT's checked my O2, pulse and blood pressure which were all normal. They check my blood sugar which was at 40. I had eaten about 90 minutes before (egg, toast, coffee). They administered glucose and rechecked 10 minutes later. I was at 41. I was oriented and by then the numbness and dizziness had subsided and has completely resolved. I experienced flu-like symptoms beginning in the evening of 1/22 and continuing consisting of tiredness, body aches, runny nose, sneezing, cough, stomach rumblings and diarrhea (mainly on 1/24).

Other Meds: multi-vitamin Vitamin D, Alpha Brain (Onnit), L-Lysine, Traumeric (Ortho Molecular Products), Vitamin E, Omega 3, Cal-Mag-Zinc (365)

Current Illness: none

ID: 0971930
Sex: F
Age: 66
State: PA

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

Lab Data:

Allergies: Vicodin and iodine

Symptoms: I had severe cramping in both legs from my thigh to my toes I couldn?t bend I couldn?t sit I couldn?t even lift my leg to go up to the stairs I broke out of a sweat heart was racing and I had to shuffle my feet to walk around for about an hour then it subsided and then all night I kept getting little cramps in my legs

Other Meds: Synthroid vitamin D vitamin C calcium and turmeric

Current Illness:

ID: 0971931
Sex: F
Age: 44
State: CA

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

Lab Data:

Allergies: Unknown, but had an incident where I had to go to the hospital for epi many years ago.

Symptoms: 8 days after receiving the vaccine (Saturday), next to the injection site, I noticed a circular slightly elevated redness on upper left arm (deltoid) and warm approx 730pm. On Sunday, upon wakening, the area took on an irregular circular pattern, larger in size and still warm to touch. On Monday morning, the area takes on a defined rectangular shape, red, and warm. No discomfort or other symptoms associated.

Other Meds: Generic Zyrtec for seasonal allergies.

Current Illness: NA

ID: 0971932
Sex: F
Age: 46
State: NY

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

Lab Data: Emailed my Doctor but she hasn't ordered any tests and gave any treatment options.

Allergies: No known allergies. Gluten intolerance

Symptoms: 9 days after injection, I began getting hives on both the insides of my ankles. The next day, I got 2 hives on my right upper arm,

Other Meds: Nortriptyline, 40 mg a day

Current Illness: no

ID: 0971933
Sex: F
Age: 26
State: MA

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

Lab Data:

Allergies: None

Symptoms: Left side Supraclavicular Lymph node swelling

Other Meds: None

Current Illness: None

ID: 0971934
Sex: M
Age: 43
State: NM

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Lump under right arm with tenderness

Other Meds: leflunomide 20mg

Current Illness: Inflammatory polyarhtropathy 1/4/2021

ID: 0971935
Sex: F
Age: 55
State: WA

Vax Date: 01/14/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Arm started getting hot and itchy 9 days after injection . Big red spot on upper arm 4 x 3 approx.

Other Meds: none

Current Illness: none

ID: 0971936
Sex: M
Age: 78
State: FL

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

Lab Data: PENDING LABS

Allergies: SULPHA ABX

Symptoms: L ARM IMMUNE HEMOLYSIS

Other Meds: PLAVIX 75 MG Cyproheptadine 4 mg Tab TAKE 1 TO 2 TABLETS BY MOUTH AT BEDTIME FOR WEIGHT GAIN #180 RFx0 Entresto 24/26 mg Tab 1 tablet orally one time daily Samples: 1 DULoxetine 30 mg Cap delayed rel 1 po qd #30 capsule RFx2 Ativan 1 mg

Current Illness: HTN, GOUT, CKD, GERD,, DEPRESSION, CAD

ID: 0971937
Sex: M
Age: 43
State: PA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: Not done yet.

Allergies: PPD -- swelling occurs but not that severe.

Symptoms: On the day of the vaccination, I only had a little sore arm. But when I woke up the next day, around 4:30 am, I had a fever. I felt very cold and tried to sleep, but I could not fall asleep because of body aches and fever. So, I tried to get up and sit, but I could not and had to go back to bed with the pains and lethargy. I lied on the bed until around 8 am and realized that my fever was high. I took the temperature with my digital thermometer. It showed 108.7F. I could not believe it and retook it on my ears; it still showed 108.6F. My headache was really bad. So, I took 500mg Tylenol. The fever did not go away completely, and I had to keep sleeping the whole day. In the evening, before I went to bed, I took another 500 mg Tylenol and slept. I could not sleep well with the body aches. The next morning I still had 103F temp that slowly waned by the evening that day. Now I am feeling okay but have been struggling with a sleep problem.

Other Meds: None.

Current Illness: None.

ID: 0971938
Sex: F
Age: 87
State: CA

Vax Date: 01/14/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Red rash size of an orange that itchs at injection site. Showed up on January 23th ten days after injection. I still have rash on January 25th

Other Meds:

Current Illness:

ID: 0971939
Sex: F
Age: 43
State: WA

Vax Date: 12/17/2020
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Parsonage-turner syndrome, confirmed by neurologist and primary care provider. 5 days after 2nd dose, the patient developed severe pain around vaccination site and arm, followed by muscle atrophy, weakness and clinical signs consistent with acute brachial neuritis.

Other Meds: None

Current Illness: None

ID: 0971940
Sex: F
Age: 44
State: MI

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

Lab Data: none

Allergies: sulfa (rash), morphine (migraine), COVID vaccine (felt flushed, throat swelling)

Symptoms: Patient stated "throat feels funny" and felt generalized flushing. Treated with benadryl 25 mg PO and observed 30 minutes with improvement of symptoms.

Other Meds: cetirizine, esomeprazole, folic acid, plaquenil, ibuprofen, metoprolol, ondansteron, prednisone, riztriptan,

Current Illness: none

ID: 0971941
Sex: F
Age: 46
State: CA

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

Lab Data:

Allergies: Sulfa, avocado

Symptoms: erythema at injection site that continues to increased in size around the injection site.

Other Meds: magnesium, vitamin D

Current Illness: none

ID: 0971942
Sex: F
Age: 62
State: NC

Vax Date: 01/07/2021
Onset Date: 01/10/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: none

Allergies: NKA

Symptoms: Patient had her first Moderna Covid Vaccine on 01/07/2021 she awoke on 01/10/2021 with pain, and stiffness in her shoulder neck and back that lasted for 5 days and then on 01/16/2021 her arm around her injection site turned very red and was itching badly, this was relieved by Benadryl and all the issues were resolved by 01/20/2021

Other Meds: Synthroid daily Motrin PRN

Current Illness: none

ID: 0971943
Sex: F
Age: 29
State: IN

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

Lab Data: None

Allergies: Ceclore, coedine, mango

Symptoms: Less than 24 hours after the vaccine, I had hives all over my body. Face, neck, stomach, back and legs. They have lasted for 48 hours and have not gone away.

Other Meds: Sertraline 50mg, cerafolin fe

Current Illness: Nothing

ID: 0971944
Sex: F
Age: 52
State:

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever of 99-99.5 body aches. Nausea. Lack of appetite. Next day swollen lymph nodes only left side.

Other Meds:

Current Illness:

ID: 0971945
Sex: F
Age: 62
State: GA

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

Lab Data: none

Allergies: Gelatin

Symptoms: Patient c/o shortness of breath and "throat closing up"after receiving Covid vaccine at 10:00am.. O2 started at 4l/min via n/c at 10:10am. , BP taken and advised to administer her Epi pen that she had with her due to allergy to Gelatin, administered Left thigh by patient.at 10:15am. 911 called at 10:20am. BP 152/93 HR 80 at 10:25am, 154/105 HR 75 at 10:27am, 148/92 HR 75 at 10:30 when departed to Medical Center. 02 sat remained at 99%. Skin warm and dry and remained alert through out process.

Other Meds: not known

Current Illness: none

ID: 0971946
Sex: F
Age: 48
State: PA

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Patient reports developing an itchy rash on entire torso on Jan. 15th. She visited her pcp for follow-up, who indicated that this was a reaction to the vaccine. No medication was prescribed, and suggested to use OTC medication for relief.

Other Meds:

Current Illness:

ID: 0971947
Sex: F
Age: 75
State: TX

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Bees

Symptoms: Swelling in both hands Unable to close due to edema Resolved in 24 hrs

Other Meds: B12 D3 Multi vitamin VitC

Current Illness: None

ID: 0971948
Sex: F
Age: 60
State: NC

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Debilitating soreness, chills, and body aches. So bad, Patient could barely move. Spent most of her night and day in a chair sitting up, because no other position was comfortable. Absolutely miserable. Described as most sick she has ever felt

Other Meds:

Current Illness:

ID: 0971949
Sex: F
Age: 49
State: MI

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

Lab Data: None. I did not pursue testing for COVID-19 because of the symptom onset proximity to vaccine, and I had absolutely no respiratory symptoms (no sinus, ear, throat, or lung involvement, and no loss of taste/smell). I also did not seek medical care because I am a PHN and clinical supervisor of our communicable disease and immunization programs. I did not feel medical treatment was necessary.

Allergies: Sulfa, Ampicillin, Buspar

Symptoms: I received my second Pfizer covid vaccine at 4:00 p.m. on 1/14/2021 from a co-worker. At 2:30 a.m. on 1/15/2021 I woke up with severe rigors that lasted 2 hours. Over the course of the day 1/15/2021 I had a second 2 hour episode of rigors. They were almost violent and seizure-like. In addition, I had severe nausea, dizziness, decreased vision, fever, myalgia, and exhaustion. My temperature reached 103.4 and lasted over 24 hours. Ibuprofen would bring the fever down 1 degree and helped decrease rigors, but did not help the headache. On 1/16/2021 I developed redness and swelling of entire upper left arm, and edema in arm pit. I spent three days unable to work or sit up in a chair. Symptoms began to decrease after three days, but I was unable to resume full work days until 1/22/2021. Vision returned to 100%, and nausea resolved, on 1/23/2021. Decreased appetite and fatigue are still an issue as of 1/25/2021.

Other Meds: Losartan/HCTZ, Synthroid, Multivitamin, Vitamin D

Current Illness: none

ID: 0971950
Sex: U
Age: 35
State: GA

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

Lab Data:

Allergies:

Symptoms: Tingling, treatment and outcome is unknown as well as time of the adverse reaction.

Other Meds:

Current Illness:

ID: 0971951
Sex: F
Age: 53
State: AZ

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

Lab Data:

Allergies: SULFA (SULFONAMIDE ANTIBIOTICS)

Symptoms: Four days ago the patient received her 2nd coronavirus vaccine. She received at the hospital pot. She received her 2nd Pfizer vaccine. She tolerated her 1st vaccine dose without incident. She did not have any problems approximately 15 minutes after her 2nd dose and she was then released to drive away. About 30 minutes after her 2nd dose she developed nonspecific symptoms of shortness of breath and a sensation of something sticking in her throat. She presented to the emergency department. She did not receive epinephrine. She was monitored and received intravenous fluids and diphenhydramine. She notes ongoing itching with rash and which she describes as exacerbation of asthma. She has known asthma with frequent exacerbations. She has been hospitalized numerous times in the past for asthma exacerbation. Now that it has been several days since her vaccination and she is still having rash and difficulty with her asthma we have discussed initiation of low-dose steroids for ongoing improvement.

Other Meds: Advair Diskus 500 mcg-50 mcg/dose powder for inhalation, albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization, Metformin ER 750 mg tablet, extended release 24 hr, ProAir HFA 90 mcg/actuation aerosol inhaler, spironolactone 25 m

Current Illness: NO

ID: 0971952
Sex: F
Age: 51
State: PR

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

Lab Data: cEKG,

Allergies: Some

Symptoms: N/V, Cough

Other Meds: none

Current Illness: none

ID: 0971953
Sex: F
Age: 33
State: MD

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Starting around noon the day after the vaccine she began getting chills and joint aches, then a fever up to 101.6. She took Tylenol for the fever. The following day she only had a headache and some soreness. Starting around 11:00am she had chills again and a rising temp. She took Tylenol again with some improvement.

Other Meds:

Current Illness:

ID: 0971954
Sex: F
Age: 34
State: IN

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

Lab Data:

Allergies:

Symptoms: Patient previously received Moderna vaccine on 12/23/2020 and received Pfizer vaccine on 1/20/21 instead of 2nd Moderna vaccine. No adverse reactions to vaccine noted. Patient has been informed that at this time she does not need any further doses of COVID vaccine

Other Meds:

Current Illness:

ID: 0971955
Sex: F
Age: 34
State: OR

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

Lab Data: None yet - waiting on a call from dr

Allergies: No known allergies

Symptoms: 7 days after injection, itchy red hives on stomach and legs and left arm and around rib cage. Took antihistamines and has not gotten better yet. (Have had for 2 days now)

Other Meds: Multi vitamin (gummy)

Current Illness: None

ID: 0971956
Sex: F
Age: 27
State:

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

Lab Data:

Allergies:

Symptoms: Fatigue, headache, body aches. Ibuprofen and felt better.

Other Meds:

Current Illness:

ID: 0971957
Sex: F
Age: 18
State: MA

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

Lab Data: unknown

Allergies: NKA

Symptoms: Immediately after vaccination patient reported feeling lightheaded, diaphoretic. Witnessed syncopal episode in bay (no head trauma), assisted to recliner by vaccinator. BP 90/80 at start of event. Given Gatorade and crackers with minimal effect. 15 minutes after treatment BP 80/70 and administered O2 via nasal canula. Transported via wheelchair at 12:06pm.

Other Meds: Unknown

Current Illness: No current illness

ID: 0971958
Sex: F
Age: 39
State: ID

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

Lab Data: none

Allergies: none

Symptoms: chills, muscle aches, joint pain, fatigue, dizziness, lightheadedness, irritability, injection site pain Administered Tylenol 1000mg and Tramadol 100mg Fell Asleep

Other Meds: Flagyl 500mg BID

Current Illness: BV

ID: 0971959
Sex: M
Age: 71
State: CO

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

Lab Data: None.

Allergies: None.

Symptoms: Accidental administration of 1.0 mL instead of 0.3 mL. Error identified immediately. Patient informed. Patient monitored for 30 minutes. No side effects reported by patient. Patient contacted next day and reported sore arm and fatigue. No further reported side effects.

Other Meds: Latanoprost 0.005% Solution 1 drop into affected eye in the evening

Current Illness: None.

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm