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: 0972527
Sex: F
Age: 34
State: AZ

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

Lab Data: EKG

Allergies: allergies cipro

Symptoms: pt reports tightness in chest and throat she reports palpatations and she felt she couldn't breath.

Other Meds:

Current Illness:

ID: 0972528
Sex: F
Age: 79
State: CA

Vax Date: 01/20/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: visit to Emergency Room on 1/23/2021 at 4pm. Tests were Blood work, EKG and chest xray

Allergies: Toradol, Tramadol, Prednisone

Symptoms: Headache, nausea, fever, chills,body ache, high blood pressure

Other Meds: Hydrochlothiaz,Isosorbide MN ER,Levothyroxine, Losartan, Metoprolol Succ ER,Pantoprazole, Trazodone Alive Multi, B12, Biotin,Bosweilla,CoQ10,D3,Vitamin K2, Green maxx powder, Move Free, Sleep Essentials, Triple Magnesium Complex, Tumeric &

Current Illness: Blepharoplasty (eyelid surgery) on 01/21/2021

ID: 0972529
Sex: F
Age: 63
State: TX

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

Lab Data:

Allergies:

Symptoms: Next day (Saturday, 1/23/21) I experienced extreme myalgia and lethargy, sweats, chills, itching and rash around neck area, stiffness in left shoulder and neck. (Injection was in the left arm). Rash & itching continued through Sunday, 1/24/21 & Monday, 1/25/21 but seems to be subsiding.

Other Meds:

Current Illness:

ID: 0972530
Sex: M
Age: 74
State: GA

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: nka

Symptoms: rash at site of injection

Other Meds: Aspirin, 81 mg, PO, qDay ibuprofen 800 mg oral tablet, 800 mg, 1 tab(s), PO, TID Multivitamin Valtrex 1 g oral tablet, See Instructions, 3 refills

Current Illness:

ID: 0972531
Sex: F
Age: 88
State: OH

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: n/a

Allergies: penicillin

Symptoms: front left arm is red and warm and itching

Other Meds: mamlodipine

Current Illness: n/a

ID: 0972532
Sex: F
Age: 71
State: CA

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

Lab Data: None

Allergies: Penicillin

Symptoms: Pt had mild arm pain at site of injection for 2-3 days which eventually resolved. But 10 days after injection pt developed 8 cm x 5 cm erythematous hot to touch area circumferentially and pain at site of injection. Pt has been treated with an antibiotic for probable cellulitis.

Other Meds: None

Current Illness: None

ID: 0972533
Sex: F
Age: 36
State: PA

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

Lab Data:

Allergies:

Symptoms: Approximately 5 minutes after vaccination patient reported feeling feverish and nauseous. Patient began sweating and vomiting, and was sent home from work.

Other Meds:

Current Illness:

ID: 0972534
Sex: F
Age: 28
State: PA

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

Lab Data: None

Allergies: None

Symptoms: Rash, redness (around site of injection. Spread on upper arm

Other Meds: None

Current Illness: None

ID: 0972535
Sex: F
Age: 43
State: KY

Vax Date: 12/30/2020
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Day 5 post vaccine noted development of painful lymphadenopathy and edema in right axilla that progressed to the point that right arm could not be relaxed next to side. The edema gradually subsided by day 12 but the lymphadenopathy persisted since and this morning day 26 I noticed that I am developing fibrous cords in the axilla that are tender to touch and are starting to restrict my range of motion in the right shoulder. I am having to urgently see a physical therapy lymphedema specialist to address this problem.

Other Meds: Synthroid

Current Illness:

ID: 0972536
Sex: M
Age: 49
State: ID

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

Lab Data:

Allergies: Tylenol

Symptoms: Vomited, headaches, fever, chills , pain in joints and bokes, stiffness in muscles.

Other Meds: Lisinopril 12.5 mg, albuterol, metoprolol, CBD

Current Illness: None

ID: 0972537
Sex: F
Age: 22
State: MA

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

Lab Data: None

Allergies:

Symptoms: At home, when I was cooking dinner I had arm pain. The next day I started feeling chills, and the symptoms progressed to body aches, fatigue and loss of smell and taste. No fever. Had cough.

Other Meds:

Current Illness:

ID: 0972538
Sex: F
Age: 63
State: ID

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

Lab Data: N/A

Allergies: sensitivities to unknown herbs.

Symptoms: Started 01/21/2020, red, hot, swollen, itchy and 3 inches in diameter. Cortisone cream on site for two or three applications. Site is still pink, but no swelling or itching and no other side effects. Normal arm ache the night vaccine was administered and lasted for two days.

Other Meds: Synthroid, Multivitamin, digestive enzymes

Current Illness: N/A

ID: 0972539
Sex: M
Age: 33
State: OH

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

Lab Data: none

Allergies: NO.

Symptoms: Dizziness and Weakness. Hot flashes and Sweating. Swelling of the face and throat. 4hours of time span.

Other Meds: none.NO.

Current Illness: no.

ID: 0972540
Sex: M
Age: 51
State: MN

Vax Date: 01/19/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital: Y

Lab Data: Please check with Hospital to see all the exact tests that were done. Many tests were done while in the ICU including the emergency craniotomy. This resident is still in the hospital. He was extubated this morning. He is stable enough to transfer to a med floor.

Allergies: NKDA. Some intolerance to food with dairy in it.

Symptoms: 1/22/2021 this resident was found on his kitchen floor having severe Grand Mal seizures and was profusely foaming from the mouth. RN (writer) responded to the emergency. Resident had 8 seizures between the time of calling 911 and them arriving. They had been IV pushing Ativan and Versed. The seizures did not stop. He was rushed to Hospital, intubated, placed on life support and admitted to the ICU. Resident had an emergency craniotomy and they did not find any infection or cause of the seizures. Many other tests were done and nothing was determined to be the cause at this time. Reported to ICU nurse on 1/23/2021 that resident had received the Moderna vaccine a couple days prior.

Other Meds: Tylenol, Clonidine, Melatonin. Nicotine patch , and Senna PRN

Current Illness: No

ID: 0972541
Sex: F
Age: 35
State: MI

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

Lab Data: None

Allergies: None

Symptoms: Fatigue, headache, muscle pain, chills and elevated temperatures/fevers. Morning temperatures were 100.0 F, 99.7 F and 100.4 F and by the afternoon they were elevated to 101.2, 101.4 and 101.5. Ibuprofen was then taken to bring down the fever and for comfort. Fever controlled well with ibuprofen. Fatigue, headache, muscle pain and chills started about 12 hours after the vaccine was administered and persisted past 24 hours after the vaccine was administered (still present as I am filling out this form).

Other Meds: Ortho Tri-Cyclen Lo, Triamcinolone/Nystatin topical ointment, Women's one a day multivitamin, 1000mg Vitamin C daily

Current Illness: None

ID: 0972542
Sex: F
Age: 51
State: OR

Vax Date: 01/16/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Sulfa, amoxicillan, hazelnuts, apples, peaches, fruits with pits

Symptoms: About 7 days after the shot, I had a hard, red lump about the size of a cherry pit form about three inches below the injection site. The redness began to spread and feel warm to the touch. The rash on day 9 is about four inches wide and four inches long in an oblong shape. The lump feels slightly less concentrated, but the rash is a discolored reddish brown.

Other Meds: None

Current Illness: none

ID: 0972543
Sex: F
Age: 26
State: CA

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

Lab Data:

Allergies: None known

Symptoms: 1 day after injection, the injected arm was sore. This was greatly diminished the next day. Some itching at the injection site but very mild. In the evening exactly 7 days after vaccination more itching was noticed. Area felt like one large, flat bump. About 1 inch under the injection site the skin is large, itchy, and hard, maybe 2 inches in diameter. Area is slightly warm to the touch.

Other Meds: None

Current Illness: None

ID: 0972544
Sex: F
Age: 71
State: AK

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

Lab Data: did not seek medical assistance at this time

Allergies: none known

Symptoms: rapid onset of red, hot and bumpy rash on arm where shot was administered. Size about 4 inches in diameter. Took benadryl and iced area. Area as of now still same and it itches. Today rubbed in some cortisone -10

Other Meds: levothyroxine and I take supplements--multiple vitamins 2x daily

Current Illness: none

ID: 0972545
Sex: M
Age: 93
State: WI

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital: Y

Lab Data:

Allergies: Lisinopril, pravastatin

Symptoms: Reporting per Pfizer that patient tested positive for COVID post-vaccination (1/21/2021) and was hospitalized (1/24/2021). Patient received Bamlanivimab treatment 1/22/2021, 2nd dose will be deferred 90 days per PCP. Patient admitted for hypoxia, improved SPO2 to >95% on room air, and was discharged back to ALF 1/25/2021.

Other Meds:

Current Illness:

ID: 0972546
Sex: F
Age: 44
State: MD

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

Lab Data:

Allergies:

Symptoms: After patient received vaccine she C/O tingling face was given Benadryl @1341 , 15 minutes later patient was C/O tight throat, Solumedrol 60mg IM administered to Rt buttocks by this nurse. Pt then escorted to ER for further evaluation. On 1/25/21 at 1359: Patient reported tingling of lips and throat felt tight. SPO2 via finger with a result of 99%. Emergency room provider's note: 44-year-old female patient presents ED after allergic reaction. Patient received her first COVID-19 vaccination and during the 15-minute observation period began to feel as if she had some tightness in her throat and difficulty swallowing. She has a scratchy sensation to her posterior pharynx. She denies specifically shortness of breath, nausea vomiting, dizziness or near syncope. She was medicated with 50 mg of Benadryl p.o. as well as 60 mg of Solu-Medrol IM prior to arrival. She states she has never previously had allergic reactions to vaccinations in the past

Other Meds:

Current Illness:

ID: 0972547
Sex: F
Age: 21
State: MN

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

Lab Data: n/a

Allergies: n/a

Symptoms: Lower left half lip twitching and pulsating intermittently. Lasted about approximately 2-5 mins. I could visibly see the half lip pulsating and touching it I could feel it pulsating. It's never happed before. So far it has happened once

Other Meds: n/a

Current Illness: n/a

ID: 0972548
Sex: F
Age: 36
State: MA

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

Lab Data:

Allergies: Seasonal/environmental

Symptoms: Nausea, slight headache, general malaise, body aches, itching/hive a few inches to left of the injection site noted the following day

Other Meds: Levoxyl, metoprolol, folic acid, methotrexate, Remicade

Current Illness: None

ID: 0972549
Sex: M
Age: 63
State:

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Flat, erythematous, itchy rash to bilateral arms, chest, neck, and L ribcage

Other Meds: lisinopril, atorvastatin, aspirin

Current Illness: none

ID: 0972550
Sex: M
Age: 81
State: FL

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

Lab Data: I did not seek medical attention.

Allergies: NONE

Symptoms: My heart began to skip beats on Friday, the day after the shot, at around 8:20 am. The skips continued for 3 days , Fri., Sat., & Sun. And finally on Monday they ceased. I could feel my heart beat skipping, and by taking my pulse, it would beat 1-2-skip 1-2-skip 1-2-3-4-skip at times it would beat Consecutively for 27-28 beats then revert back to 1-2-skip - 1-2-skip etc. I did not go to my heart doctor during this time, as I have experienced Skipped heartbeats previously , but not for several years, and not as long as they continued for the 3 days after my shot.

Other Meds: AMLODIPINE 2.5 mg 1 a day; clopidogrel 75mg 1 a day; lisinopril 2.5mg 1 a day; atorvastatin 20mg 1 a day; low dose aspirin 81mg. 1 a day; Vitamin D 1000 unit tablet 1 a day; fish oil 1 a day;

Current Illness: None

ID: 0972551
Sex: F
Age: 47
State: CA

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: none

Allergies: I do not believe that I am allergic per se to any medications, food, or other specific products. However, I am extremely sensitive to medications and other products as well as have intolerances to certain foods (FODMAPs).

Symptoms: On the date of the vaccination, my arm itched at the site of the injection. However, one week later, the itch turned to a red spot and the red spot got larger and larger and redder over the next couple of days. I called my doctor and he told me to take a Benadryl. I did that for one night and it got a lot better. But, it is coming back. I will try more Benadryl.

Other Meds: Probiotics, nasonex nasal spray, clear skin vitamins (vitamedica)

Current Illness: None

ID: 0972552
Sex: F
Age: 32
State: CA

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

Lab Data: EKG - normal, oxygen level normal.

Allergies: Walnuts and pecans

Symptoms: Tightness in throat, rapid heartbeat, headache, sore throat.

Other Meds: None

Current Illness: Na

ID: 0972553
Sex: M
Age: 49
State: CA

Vax Date: 01/14/2021
Onset Date: 01/18/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: platelet count on cbc drawn 01/21/2021 was normal

Allergies: none

Symptoms: 49 yo male h/o coumadin for DVT 2013 and family hx of leukemia vaccinated 01/14/2021 and noted purpuric rash and nose bleed without clos 01/18/2021 but denies bleeding gums or blood in stool or blood in urine. denies asa or nsaid usage . platelet count on cbc drawn 01/21/2021 was normal

Other Meds: none

Current Illness: none

ID: 0972554
Sex: F
Age: 72
State: GA

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: I went to the clinic close to my home today, 01-25-21. I got a steroid shot and had lab work done to see if there might be another reason for the itching. I will probably not receive the results from the lab for a week or so and I am suppose to get the 2nd pfizer shot on 02-03-21. I am concerned as whether or not I should get the 2nd one. The first shot was given at the Health Department.

Allergies: sulfa drug, penicillin. rubber, plastics, silicone, aspirin.

Symptoms: 1 week after the shot, I started itching from head to foot. No outward rash, just non-stop itching. A little nausea at times. I took benadryl which helped a little for a short time.

Other Meds: Claritin - benadryl

Current Illness: none

ID: 0972555
Sex: F
Age: 27
State: MD

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

Lab Data:

Allergies:

Symptoms: Med error. Patient inadvertently received her second dose of COVID vaccine as Moderna but received her first dose as Pfizer. Medical and pharmacy staff apologized and explained the error while describing the recommendations from ACIP that allow vaccination 28 days from 1st dose with either mRNA COVID vaccine if 1st dose product is indeterminable. Instructed patient to contact her PCP and/or our medical staff if any questions or feel that any adverse reactions are out of the normal described in the EUA. Pfizer 1/6/2021 - Lot#EJ1686 Moderna 1/25/2021 - Lot# 025J20A

Other Meds:

Current Illness:

ID: 0972556
Sex: F
Age: 29
State: TX

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

Lab Data: COVID-19 Test and Pulmonary Angiogram, Blood work and started on Vitamin Zinc and Vitamin C and blood thinner Lovenox injection

Allergies: No

Symptoms: Having a head arch, chest pains and shortness of breath pulmonary embolism and was tested for COVID-19 and tested positive.

Other Meds: Wellbutrin 150 mg Copritalog 10 mg

Current Illness: Endometriosis surgery a week before vaccine

ID: 0972557
Sex: F
Age: 73
State: FL

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

Lab Data: None

Allergies: Amoxicillin

Symptoms: Itchy at site Hard ?baseball-like? area at site Swollen lips inside mouth

Other Meds: Diltiazem CD 180mg - 1/day Amlodipine Besylate 5mg - 1/day Eliquis 5mg - 1/day Calcitriol .25mcg - every 72 hours Vitamin D3 50,000iu - 1/week

Current Illness: None

ID: 0972558
Sex: M
Age: 70
State: FL

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

Lab Data:

Allergies: None

Symptoms: I am a Covid survivor (March 2020) still with antibodies (at least I had them last November when I donated plasm). The morning after I received the Moderna injection (Tuesday), I had a fever of 99 and diarrhea. My fever rose during the day and I had chills. By 9:00 PM my temperature peaked at 102.4. I was taking Tylenol (1000 grams?) every 6 hours. The diarrhea, chills and fever all subsided during the night, so that on Wednesday morning, my fever was back to 99. It did not rise during the day and was back to normal Wednesday evening. The chills and diarrhea never returned.

Other Meds: Lialda

Current Illness: None

ID: 0972559
Sex: F
Age: 63
State: TX

Vax Date: 12/18/2020
Onset Date: 12/31/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Hydrocodone

Symptoms: Had received my first dose of vaccine on 12/18 with some adverse reactions that had gotten better. On 12/31/20 begin to develop drainage, light cough, not feeling all that good. Got up next morning with deeper cough, congestion and slight headache. Went to urgent care clinic as have problem in winter with chronic cough and bronchitis so thought this was the problem. I was tested for COVID and strep of which I was positive for both. As am a healthcare worker was placed in quarantine .and given antibiotic for strep. I did not then or at any time have a sore throat. Ran slight fever a couple of days of 99.8 and was sleeping a lot but never got any worse. Returned to work on 1-11-21. Continue to have a cough at times but this is nothing I haven't experienced before. I did not receive my second dose of vaccine that was scheduled on 01/08/21 as I was still in quarantine .

Other Meds: Montelukast, Pantoprazole Sod, Losartan, Bisoprolol, calcium, fish oil, elderberry, Vit D, AREDs2, CoQ10

Current Illness: none

ID: 0972560
Sex: F
Age: 50
State: MD

Vax Date: 12/18/2020
Onset Date: 12/20/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data: Covid PCR pos

Allergies: Keflex Azithromycin

Symptoms: Mild wheezing and hoarse without sore throat on 12/21 Developed cough and wheezing, malaise, low grade temp, myalgia, arthralgia on 12/22 Tested positive for Covid on 12/23/20 at a drive through site. No other medical treatment was needed. I suspect I was infected but asymptomatic at the time I was vaccinated. I was told by the Health Department on the telephone to complete this form anyway.

Other Meds: Lexapro

Current Illness: None

ID: 0972561
Sex: M
Age: 58
State:

Vax Date: 01/15/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Increase in occurrence of loose stools (more than usual), and gas.

Other Meds:

Current Illness:

ID: 0972562
Sex: F
Age: 63
State: CA

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

Lab Data:

Allergies: None

Symptoms: 25 min after injection feeling flush and swelling of tongue. Immediately went to ER

Other Meds: Hydrochlorithizide 25 mg Fish oil, vit c, multi vit, zinc, nac, D3, joint health

Current Illness: None

ID: 0972563
Sex: F
Age: 30
State: TX

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

Lab Data: 1/25 around 3:50PM BP was 130s/70s and HR was 64

Allergies: Keppra, black pepper

Symptoms: Patient has history of seizures under control with medication. After administration of vaccination, patient had seizure episode within 10 minutes. Patient said while waiting during observation period she got very hot and heat can be a trigger for her seizures. Patient's head and body was secure. Patient claims no injuries from seizure. With ice and water patient cooled down. Checked on patient frequently, Patient felt hot again after 2 hours, however patient was working at this time. Patient again sat and ate some ice and water. Checked patient's blood pressure and heart rate at 2 and half hours after administration. BP was 130s/70s and HR was 64. Patient was recommended to take Tylenol whenever she gets a chance or when she gets warm and was advised to contact her PCP or specialist as soon as possible. Patient felt good enough to continue working according to patient.

Other Meds: Lamotragine

Current Illness: Not that we know of

ID: 0972564
Sex: F
Age: 50
State: NY

Vax Date: 12/22/2020
Onset Date: 12/24/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data: CT scan and MRI of head in ER

Allergies: Stone fruit (ie cherries)

Symptoms: Severe crushing headache

Other Meds: Synthroid

Current Illness: none

ID: 0972565
Sex: F
Age: 24
State: NC

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

Lab Data:

Allergies:

Symptoms: Chills, fever, weakness, fatigue

Other Meds:

Current Illness:

ID: 0972566
Sex: F
Age: 59
State: MI

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

Lab Data:

Allergies: Sulfa

Symptoms: Left side of my face became numb. Then my eye, tongue and throat began to swell. I stopped and purchased Benadryl. The swelling started to diminish after about 4 hours, but tingling and slight numbness continued for about 3 days.

Other Meds: None

Current Illness: None

ID: 0972567
Sex: F
Age: 46
State: MO

Vax Date: 12/22/2020
Onset Date: 12/26/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data: MRI- came back fine

Allergies: no

Symptoms: Had soreness in the arm for two days. On the 26th, evening, I went to take drink of water and some of spilled down my face and I thought I just had a fat lip. 27th, I went to work and went to lunch at noon, I went to eat food and I noticed that my mouth -right side was numb. I thought something might be wrong and someone told me that my right side of my face looked slack. Saw on Dec 28, Dr. - had already scheduled an appt for follow up for diabetes - and I told her about my symptoms and she looked at my face and had me smile and crinkle my face. She sent me to my doctor downstairs (she had the nurse call downstairs and told them I needed to be seen that day). I went downstairs and I saw my doctor and my doctor scheduled an MRI on 28th at 7 PM and also ordered for me to take Prednisone and Valtrex. MRI result came back fine. I responded well to both of these meds - I started to get muscle control back into my face. It shot my sugar numbers up but solved the other problem in about 15 days I could shut my eyes without delay and I feel like I have muscle control in my face. January 22, I got the second dose and so far I don't notice anything different.

Other Meds: Humalog - insulin; Metformin: Toprol; Norvasc; Multi-vitamin

Current Illness: no

ID: 0972568
Sex: F
Age: 29
State: TX

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

Lab Data: COVID swab pending.

Allergies: none

Symptoms: fever, chills, lymphadenopathy

Other Meds: none

Current Illness: none

ID: 0972569
Sex: M
Age: 47
State: IN

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Approximately 48 hrs after my second Pfizer vaccination for covid I experienced chills, migraine, lethargy, loss of appetite, and general digestive discomfort. Treated with plenty of fluids, naproxen, and rest. Experienced mild fever but never > 100 degrees that I know of.

Other Meds: Paroxetine 30mg

Current Illness: None

ID: 0972570
Sex: M
Age: 72
State: SD

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

Lab Data:

Allergies:

Symptoms: 1ml was given instead of 0.5ml. Patient was monitored for 30 minutes after vaccination and no side effects occurred. Will call to follow-up with the patient daily for 2 days.

Other Meds:

Current Illness:

ID: 0972571
Sex: F
Age: 41
State: MS

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

Lab Data:

Allergies: Penicillin

Symptoms: Soreness of injection sight-48 hours Diarrhea-72 hours Fatigue/Malaise-48 hours

Other Meds: Effexor, Metoprolol, Klonopin, Trazadone, Cocentyx, Tylenol, Centrum 21 MultiVitamin

Current Illness:

ID: 0972572
Sex: F
Age: 47
State: NV

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

Lab Data: spoke with moderna 1/25/21

Allergies: bactrim

Symptoms: a huge red burning sensation rash has developed all over left arm extending down to my wrist and going under towards armpit. this has developed and grown since the vaccination and no sense of smell

Other Meds: singulair, zyrtec, xanax

Current Illness: none

ID: 0972573
Sex: F
Age: 34
State:

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

Lab Data:

Allergies:

Symptoms: Dizziness since Saturday with movement

Other Meds: Rabeprazole

Current Illness:

ID: 0972574
Sex: F
Age: 60
State: ME

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

Lab Data: Unknown

Allergies: History of anaphylaxis

Symptoms: Patient has history of anaphylaxis, and carries her own EpiPen. Patient received dose 2 at 1640, and was instructed to wait in observation area for 30 minutes. At 1650 patient reported that her tongue and back of throat were beginning to itch. No other symptoms. No difficulty breathing. Vital signs stable. Symptoms persisted, so decision was made to send patient to hospital emergency department. Patient did not want emergency transport, and was stable, and husband transported to hospital in POV. Onsite and hospital care team agreed to this plan. RN escorted patient from clinic to car. Patient and husband knew how to use EpiPen and drove directly to nearby ED for observation.

Other Meds: EpiPen

Current Illness: Unknown

ID: 0972575
Sex: F
Age: 73
State: LA

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

Lab Data: none

Allergies: none

Symptoms: one week after receiving first dose of vaccine a raised red rash appeared at vaccination site.. it was itching and urgent care doctor prescribed hydrocortisone cream to be used 3 times a day - itching and redness is getting better after third day of outbreak

Other Meds: vitamin D3; Vitamin C; Zinc; fenofibrate; simvastatin; metformin; levothryoxine

Current Illness: none

ID: 0972576
Sex: F
Age: 21
State: MN

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

Lab Data: n/a

Allergies: n/a

Symptoms: Half lower left lip twitching and pulsating intermittently. Lasted about 2-5 mins. Could visually see it and could feel it pulsating. Very scary because it's never happened before. Does the vaccine cause Bell's Palsy and should I not take the second dose??

Other Meds: n/a

Current Illness: n/a

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm