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: 0972879
Sex: F
Age: 73
State: AR

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

Lab Data:

Allergies: penicillin

Symptoms: fatigue for 2 days; swelling, pain, redness, and fever at injection site continuing for over 4 days showing little sign of improvement

Other Meds: atorvastatin, metformin, glimiporide, tradjenta, lisinopril, eliquis, alendronate, biotin, calcium + D3, multivitamin, happy joints, meticore

Current Illness: diabetes

ID: 0972880
Sex: F
Age: 59
State: CA

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

Lab Data: n/a

Allergies: no

Symptoms: Delayed localized reaction - onset of swelling, erythema, itching at vaccine site 7 days after injection

Other Meds: unknown

Current Illness: unknown

ID: 0972881
Sex: F
Age: 37
State: VA

Vax Date: 01/17/2021
Onset Date: 01/19/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Haldol

Symptoms: Pain in arm red and itching

Other Meds: none

Current Illness: none

ID: 0972882
Sex: F
Age: 59
State: CA

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: sore arm for five days extremely cold body aches dry cough extreme fatigue

Other Meds:

Current Illness:

ID: 0972883
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:

Allergies: unknown

Symptoms: Nausea, feverishness and chills started on Sunday morning, January 24th at around 2:30 AM. I was very pale and felt clammy, and the muscles in my upper arm, shoulder and neck were hurting more than just the normal ache from the shot. I had a hard time falling back asleep until I took more ibuprofen until the fever was gone. When the ibuprofen started to wear off I started to feel nauseous and fevered again, until I was able to take my next dose. I took 600 mg of ibuprofen every six hours for 24 hours to make the fever down to 99 degrees F. (My average body temperature is about 97.6 degrees F) At the time of this form I am still experiencing muscle pain, but it is more of a sore pain than the stabbing pain is had been on Sunday the 24th.

Other Meds: Zoloft 150 mg Trazadone 50 mg Synthroid 25 mcg Welbutrin 50 mg Vitex 250 mg Vitamin D 2000 IU Panothenic Acid 500 mg Magnesium 500 mg

Current Illness: unknown

ID: 0972884
Sex: M
Age: 70
State: MO

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

Lab Data: Ongoing

Allergies: Ativan

Symptoms: Hospitalization severe pneumonia liver damage

Other Meds: Metoprol, Torsemide, Spirolactone, potassium,Midodrine, vit C, vit D3,

Current Illness: Excited

ID: 0972885
Sex: F
Age: 75
State: CA

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

Lab Data:

Allergies: zoledronic acid, aspirin, erythromycin, and septra

Symptoms: Patient c/o of feeling shaking and pulse racing. Vitals taken 206/93 P98 sao2 98% on RA. at 4:05PM. 4:06 PM vitals 209/88 P 94 sao2 99%. Pulse increased to 110 at 4:10 PM. Patient transferred to urgent care via w/c. Patient checked and left with nursing staff for evaluation.

Other Meds: zrytec, Pepcid,raloxifene,lipitor

Current Illness: none

ID: 0972886
Sex: F
Age: 46
State: MA

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

Lab Data: None

Allergies: None

Symptoms: Same day about two hours following the injection through the entire following day?headache so severe that face and teeth hurt which did not improve with OTC pain reliever, taste of metal in mouth Fatigue?for 48+ hours following injection Next day?swelling of lymph area in armpit spreading into breast area through today and has not resolved. Fever 101.3?starting approximately 40 hours after the injection

Other Meds: Claritin, Nexium, Tamoxifen, Hiprex, Levoxyl, multivitamin, calcium, peri-colace, DHA, cranberry, biotin

Current Illness: None

ID: 0972887
Sex: F
Age: 80
State: IN

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

Lab Data:

Allergies:

Symptoms: irregular / rapid heartbeat; a-fib (irregularity) lasted about 30 minutes.

Other Meds:

Current Illness:

ID: 0972888
Sex: U
Age: 59
State:

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

Lab Data:

Allergies:

Symptoms: sore arm super cold body aches dry cough fatigue, extreme rapid heart rate shortness of breath

Other Meds:

Current Illness:

ID: 0972889
Sex: F
Age: 20
State: KY

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

Lab Data: REFERRED TO ER THROUGH EMS

Allergies: PENICILLIN

Symptoms: PATIENT REPORTED "SHAKY BREATHING," "PAIN ALL OVER BODY," AND FEELING NAUSEATED. SYMPTOMS WERE NOT RESOLVING UPON USING CONTROLLED BREATHING TECHNIQUES, AND RELAXATION. PATIENT WAS BECOMING DISTRESSED ALTHOUGH WAS NOT EXPERIENCING RESTRICTED AIRWAY.

Other Meds: NONE REPORTED

Current Illness: NONE

Date Died: 01/17/2021

ID: 0972890
Sex: F
Age: 96
State: NY

Vax Date: 12/29/2020
Onset Date: 01/10/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: Unknown

Allergies: None

Symptoms: On the evening of 10JAN2021, patient experienced a low grade fever, decreased oxygen saturation of 38%, heart rate of 124, confusion. Patient received oxygen via face mask, morphine and ativan. By 11JAN2021, patient was no longer verbal, able to eat or communicate and was kept on comfort measure only. On the morning of 17JAN2021, the patient passed away.

Other Meds: unknown

Current Illness: COVID-19 positive on November 19, 2020 and didn't test negative until December 26, 2020

ID: 0972891
Sex: M
Age: 34
State: IN

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

Lab Data:

Allergies: None

Symptoms: 1/19 chills, fever, headache. 1/23 awful headache and sick to stomach. Went to ER and received fluids, pain and nausea medication.

Other Meds: NP thyroid, Lexapro, multivitamin.

Current Illness:

ID: 0972892
Sex: F
Age: 47
State: ID

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

Lab Data: None

Allergies: Levaquin Nuts Strawberries

Symptoms: Approximately 7 days after shot noticed a small red/ rash area on left arm at injection site has grown over the last 4 days - now approximately 6cm x 12cm Not raised - the border is more red or defined Sporadic itching - but feels itchy beneath the skin

Other Meds: Losartan HTZ 50-12.5 1 x day mykind organic plant calcium 1 tab 2 x day mykind organic elderberry immune gummy 2 1x day

Current Illness:

ID: 0972893
Sex: F
Age: 42
State: WI

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

Lab Data: n/a

Allergies: mushrooms, remicaid, lisinopril

Symptoms: sneezing, stuffy nose, facial pain, coughing, entire body ache/pain, sore right arm, headache, foggy

Other Meds: naproxen

Current Illness: None

ID: 0972894
Sex: F
Age: 55
State:

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

Lab Data: Went to ER to get checked. EKG and CT of head were normal. No other tests.

Allergies: NKA

Symptoms: Intense throbbing and pain at injection site, severe nausea, got up to vomit in bathroom, fainted and hit my head, was unconscious a couple of minutes.

Other Meds: Combi Patch, sumatriptan, aleve, benadryl

Current Illness: Sinus infection 2 weeks prior

ID: 0972895
Sex: F
Age: 49
State: AK

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

Lab Data: none

Allergies: none

Symptoms: Fever up to 103, body aches, loss of appetite, all treated with ibuprofen. Fever did not go under 100 for 40 hours. Also had extreme drowsiness (slept 21 of 24 hours).

Other Meds: calcium carbonate 500mg, vitamin B complex, vitamin D 1000iu

Current Illness: none

ID: 0972896
Sex: F
Age: 51
State: TX

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

Lab Data: None

Allergies: None

Symptoms: Headache, fatigue, sore at injection site, muscle and joint pain from evening of 1/21/2021 through 1/23/2021 AM. Nausea the night of 1/21/2021. Chills night of 1/21 through evening of 1/22. Took Tylenol for headache. Felt better 1/23/2021, appetite back. Injection site sore through 1/24/2021. Called out sick from work on 1/22/2021.

Other Meds: Synthroid, buspar, cymbalta, Vit D

Current Illness: Seasonal allergies

ID: 0972897
Sex: F
Age: 27
State: CT

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

Lab Data:

Allergies: None

Symptoms: 18-36 hours after dose (entire next day)- fatigue, generalized myalgia and joint pain Arm soreness within 1 hour of dose. Warm, firm, red area below injection site. This area is still tender and raised as well.

Other Meds: None

Current Illness: None

Date Died: 10/09/2019

ID: 0972898
Sex: M
Age: 68
State: OH

Vax Date: 09/30/2019
Onset Date: 10/05/2019
Rec V Date: 01/25/2021
Hospital: Y

Lab Data: Many tests performed during hospitalization 10/06/2019 through 10/09/2019

Allergies: NKDA

Symptoms: 5 days after receiving the vaccination the patient developed generalized malaise progressing to encephalopathy. He was admitted to the hospital with presumed septic shock, and work-up revealed hemophagocytic lymphohistiocytosis. He died from the disease process 9 days after vaccination.

Other Meds: pred forte right eye, zaditor right eye, finasteride 5 mg daily, aspirin 81 mg daily, MVI, xyzal 5 mg daily, saw palmetto, antivert 25 mg TID PRN, pantoprazole 40 mg daily, lisinopril 20 mg daily, verapamil 180 mg daily, atorvastatin 20 mg

Current Illness:

ID: 0972899
Sex: F
Age: 23
State: AZ

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

Lab Data:

Allergies: none.

Symptoms: Fever, sweats, severe muscle aches, red/painful injection sight

Other Meds: venlafaxine, levothyroxine

Current Illness: no.

ID: 0972900
Sex: F
Age: 43
State: IL

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

Lab Data: none

Allergies: celery carrots soy

Symptoms: Fever max of 100.6, headache, body aches, fatigue, dizziness, nausea

Other Meds: Synthroid Topamax claritin singulair

Current Illness: none

ID: 0972901
Sex: M
Age: 21
State: CA

Vax Date: 01/18/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 1 rash/blister on finger for about 4 days. Itchy. Skin looks raw. It started out looking like a hive, now it is peeling.

Other Meds: None

Current Illness: None

ID: 0972902
Sex: F
Age: 51
State: RI

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

Lab Data:

Allergies: Aspirin

Symptoms: Within 10 minutes of 2 dose of COVID 19 vaccination, Patient experiences RIGHT side facial numbness. Monitored patient vitals and facial symptoms until mostly resolved. With facial numbness, patient could still laugh, smile, wink, talk, breath. Vitals 30min post vaccination= 135/78 bp, 105 pulse, Temp 98.2F, O2 100%, 18 RR. 2hrs post vaccination= 138/90 bp, 96 pulse, Temp 97.3F, O2 100%, 18RR Right side facial numbness is resolving downward past eye. 2hr 20min post vaccination= 140/82 bp, 92 pulse, temp 98.2F, O2 100%, 18 RR Patient feels better and will notify Facility if facial numbness does not resolve.

Other Meds: Unknown

Current Illness: Unknown

ID: 0972903
Sex: F
Age: 55
State: TX

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

Lab Data:

Allergies: Allergic to Lansoprazole, Omeprazole.

Symptoms: Pain in the left armpit, with swollen glands, oral temperature of 38 degrees Celsius for 24 hours, general decline in evaluation.

Other Meds: 9. Vitamin D3 125mcg/day. Collagen 3 g/day.

Current Illness:

ID: 0972904
Sex: F
Age: 34
State: VT

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

Lab Data: none

Allergies: NKA

Symptoms: Dizzy and felt "weird, resolved within 20 hrs

Other Meds: unknown

Current Illness: unknown

ID: 0972905
Sex: F
Age: 36
State: OR

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

Lab Data:

Allergies: None

Symptoms: 5 days after vaccine administration developed raised red rash about 2 inches in diameter. Also axillary lymphadenopathy

Other Meds: None

Current Illness: None

ID: 0972906
Sex: F
Age: 57
State: CT

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

Lab Data: -ECG- normal, troponin 1- normal, BMP,( CBC- normal, rapid COV-2 RNA and PCR both negative, CXR- no active disease (but nodule found)

Allergies: none

Symptoms: Moderna Covid-19 Vaccine EUA

Other Meds: Topamax, aimovig, ibuprofen

Current Illness: none

ID: 0972907
Sex: F
Age: 66
State: GA

Vax Date: 10/20/2020
Onset Date: 10/20/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Patient came by and stated that her left arm still hurts from the flu shot she received in October. She stated the pains comes and goes and sometimes more painful than other times. She stated it does not hurt all the time but when it does the pain comes from the area she received her shot. She stated that she takes Tylenol arthritis that helps sometimes. She stated she had asked her doctor about it as well and was told it can sometimes be sore for awhile.

Other Meds: Tylenol arthritis

Current Illness: NA

ID: 0972908
Sex: M
Age: 36
State: FL

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

Lab Data: EKG,, Bloodwork

Allergies: aspirin, Ibuprofen

Symptoms: Swelling of eyes and face, throat swelling, rapid heart rate over 140 beats a minute, Blood Pressure 220/132, dizziness. Stayed in hospital emergency room for several hours.

Other Meds:

Current Illness: none

ID: 0972909
Sex: F
Age: 39
State: NV

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

Lab Data: none

Allergies: only known allergy is vicodin (vomiting) and pine (sneezing and loss of voice)

Symptoms: I got the first dose of the Moderna COVID-19 vaccine last Thursday (1/14/21) at clinic and had a pretty severe reaction within a few minutes of the receiving the vaccine. I didn?t alert anyone because I wasn?t sure if it was related to the vaccine or not. I felt hot suddenly, then very dizzy/faint, then experienced very bad tinnitus and couldn?t hear any of the words being spoken around me, just muffled sounds. I felt slightly nauseous, was seeing spots, and felt very close to fainting. My pulse was racing. I did deep breathing until it subsided (which was about 10 minutes later). For the next 5 days after the vaccine, I experience extreme soreness and weakness in the left arm where the injection was given. I also had redness and itching and it was hot to the touch and slightly swollen. I had extreme fatigue and a headache and a loss of appetite. After 5 days, those subsided. 1 week after the vaccine (01/21/21), I experienced intense itching at the injection site and redness and it was hot to the touch. I also experienced intense itching on my chin and skin numbness in that area of my chin. The chin area resolved after about 4 hours. The arm itching did not resolved. i woke up on 01/22/21 with the entire left shoulder area swollen, red, hot to the touch, and extremely itchy. it lasted all day. I woke up on 01/23/21 and the swelling had gone down, but the redness spread to a larger area on the upper left arm and the itching persisted all day. I woke up on 01/24/21 and the redness and swelling was almost gone but the itching was still there and the area that had swollen up felt very bruised, but no visible bruising. Today (01/25/21) there is no more itching or redness but the bruised sensation continues.

Other Meds: lisinopril and chlorthalidone

Current Illness: none

ID: 0972910
Sex: F
Age: 47
State: CA

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

Lab Data:

Allergies: Zithromax=rash

Symptoms: Severe arm pain 7/10, flu-like body aches, chills.

Other Meds: None

Current Illness: None

ID: 0972911
Sex: F
Age: 30
State: CA

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

Lab Data: ED physician ordered Tryptase, C3 and C4, and Ch50 total Hemolytic complement. Results pending.

Allergies: Demerol [Meperidine Hcl] Skin Rash and/or Hives ? Entex [Phenyleph-Phenylprop-Gg] unknown reaction ? Latex Itching

Symptoms: Patient immediately on administration became flushed, reported metallic taste in her mouth, thickening of her throat, and light headedness. VS, O2 6l/min via NC and EPI 0.3mg/0.3ml IM injection given and patient transferred to ED.

Other Meds: none

Current Illness: none known or reported by patient

ID: 0972912
Sex: F
Age: 76
State: MD

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: Went to physical therapy.

Allergies: aspirin Penicillin

Symptoms: Joint pain. Subsided they reoccurred with much more intensity. Could barely walk my right knee hut so badly. Other joints can and went but knee just intensified. Today both my eyes are vpred , swollen and stinging

Other Meds: HCTZ

Current Illness:

ID: 0972913
Sex: F
Age: 36
State: MO

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Hot flash Shortness of breath Dizziness All within 2 minutes of injection, relieved on its own after resting for 15 minutes, remained extremely tired for the remainder of the day and the day following

Other Meds: Synthroid Lexapro Prilosec Multivitamin Vitamin b12 Calcium Vitamin d Juice plus

Current Illness: None

ID: 0972914
Sex: F
Age: 71
State: CA

Vax Date: 01/17/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Sulpha Drugs, Bactrim, Infliximab Injection

Symptoms: Site of injection became, red, swollen, and itchy. My right thumb became very red and swollen. Both occurred the evening of the 6th day.. Both areas slightly better on day 7.

Other Meds: Tirosint

Current Illness:

ID: 0972915
Sex: F
Age: 87
State: IN

Vax Date: 01/11/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Red patch 2 1/2 x 2 inches suddenly appeared at vaccination site There is no itching, swelling or or fever at the site I have no other symptoms This occurred 2 weeks after vaccination

Other Meds: CoQ10, vitamin C Multivitamin, ground flax seed Citracal Simvastatin 20mg Metoprolol 25mg

Current Illness: None

ID: 0972916
Sex: F
Age: 62
State: AZ

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

Lab Data:

Allergies:

Symptoms: Pain and very tender to touch in left clavicle area.

Other Meds: Dexilant, Amlodipine, Prozac

Current Illness: None

ID: 0972917
Sex: F
Age: 41
State: WA

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

Lab Data:

Allergies: PCN, Aleve, Cipro, Tetracycline, Iodine

Symptoms: This is a 41 y/o woman with who received her second COVID-19 vaccination today. Following this immunization, she appropriately stayed in the waiting area for the 30 minutes. She then got in car and 15 minutes after, she noticed that her tongue was feeling full/swollen and that was experiencing neck swelling. These symptoms persisted and resembled a prior allergic response to Tetracycline and Aleve. Wheezing and breathing difficulty ensued and EMS was activated. On arrival to the emergency department she was found to have wheezing with stridor. A dose of epinephrine was administered and she was monitored in the emergency department with an initial improvement in symptoms. Approximately one hour and 30 minutes after initial epinephrine administration patient reported that she was having continued difficulty swallowing and she was starting to feel a little worse. At this point a second dose of IM epinephrine was administered. The patient was subsequently admitted to inpatient medicine team for further monitoring.

Other Meds: HCTZ (25mg daily) every morning Metformin (500mg twice daily) Celexa (40mg PO every day at bedtime) Wellbutrin (150mg ER PO daily) Topomax (50mg PO BID) Potassium supplement(BID, OTC) Magnesium gluconate supplement OTC MV

Current Illness: None

ID: 0972918
Sex: F
Age: 51
State: OR

Vax Date: 12/30/2020
Onset Date: 01/13/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Received covid vaccine on December 30th. Developed Bells Palsy.

Other Meds: none

Current Illness: none

ID: 0972919
Sex: F
Age: 25
State: NY

Vax Date: 01/11/2021
Onset Date: 01/19/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Amoxicillin

Symptoms: Raised, red, itchy inflammation surrounding injection site over 1 week after injection. Treated with cold compress and anti histamines

Other Meds: IUD

Current Illness:

ID: 0972920
Sex: F
Age: 31
State: IN

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

Lab Data: None

Allergies: Clindamycin

Symptoms: Hive slightly below injection site that continues to grow in size.

Other Meds: Daily Multivitamin, Claritin

Current Illness: None

ID: 0972921
Sex: F
Age: 19
State: VT

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

Lab Data: none

Allergies: NKA

Symptoms: fever,chills,nausea,fatigue,body aches, and dizziness

Other Meds: Unknown

Current Illness: Unknown

ID: 0972922
Sex: F
Age: 76
State: MI

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

Lab Data: NA

Allergies: ALLANTOIN, SILICONES, POLYMIXIN B, NEOMYCIN,

Symptoms: Patient has hives on her chest and on her thighs

Other Meds: losartan, mirtazapine, tylenol,xarelto, senakot, omeprazole,

Current Illness: NONE

ID: 0972923
Sex: F
Age: 26
State: MA

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

Lab Data: Nothing

Allergies: None

Symptoms: Warm to touch, itchy and hives 2 weeks later. Nothing but muscle soreness the first day until now.

Other Meds: Atenolol, topiramate, norethindrone, famotidine, escitalopram, bupropion, multivitamin,

Current Illness: None

ID: 0972924
Sex: F
Age: 30
State: PA

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

Lab Data: None

Allergies: No

Symptoms: Injection was given and burned on insertion. That evening and proceeding into next day I experienced loss of Range of motion in Left upper extremity, pain up to neck and down left arm, and back behind shoulder blade.

Other Meds: No

Current Illness: No

ID: 0972925
Sex: F
Age: 71
State: MD

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

Lab Data:

Allergies: Sulfa drugs when I was younger

Symptoms: Strange sensation on my tongue and a strange taste almost like antibiotic drops in your eyes. Lasted for 2 days. I am scared for the next dose. Please advise me if I should take Benadryl 2 hours before I get the vaccine?

Other Meds:

Current Illness:

ID: 0972926
Sex: F
Age: 47
State: CA

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

Lab Data:

Allergies:

Symptoms: Fever Body Aches left underarm pain, and swollen

Other Meds:

Current Illness:

ID: 0972927
Sex: F
Age: 59
State:

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

Lab Data:

Allergies:

Symptoms: patient received moderna covid 19 vaccine "this afternoon" on 01/25/2021. "a few hours later" caller developed a feeling of dizziness, went to the bathroom and saw a diffuse rash on her chest. also felt like her throat was scratchy. advised to take 50mg diphenhydramine and go to emergency department for further evaluation. in ED pt was well-appearing, no rash or signs of distress, was discharged home with steroids.

Other Meds:

Current Illness:

ID: 0972928
Sex: M
Age: 52
State: FL

Vax Date: 01/07/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: COVID-19 and Flu- Test both test on 1/21/2021 results negative.

Allergies: Demerol

Symptoms: Fever, chills, weakness, fatigue, diarrhea, nausea, headache, joint pains, muscle pain.

Other Meds: Metformin, Omeprazole, Hydrochlorothiazide, Topamax

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm