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: 0973803
Sex: M
Age: 77
State:

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/25/2021
Hospital: Y

Lab Data: 1/14/21 Urine culture: no growth 1/14/21 Blood culture: no growth Covid-19 negative per nasopharynx swab: Jan 14, 2021 12:40 Not Detected Jul 07, 2020 10:30 Not Detected Jun 29, 2020 18:00 Not Detected Apr 15, 2020 14:32 Not Detected Temperature trend: 01-13-21 08:56:36 98.1 Facility 01-13-21 12:47:00 98 O Facility 01-13-21 16:13:00 97.9 O Facility 01-14-21 00:40:00 97.7 O Facility 01-14-21 10:00:00 100.7 Facility 01-14-21 14:07:00 100.5 O Facility 01-14-21 16:45:00 100.5 O Facility 01-14-21 21:45:00 99.4 ER-DAY (PAD) 01-14-21 22:25:00 100.4 O acute care ward 01-15-21 08:37:00 98.7 O acute care ward 01-15-21 15:32:00 98.4 O Facility Heart rate trend: 01-13-21 12:47:00 97 Facility 01-13-21 16:13:00 99 Facility 01-14-21 00:40:00 75 Facility 01-14-21 10:00:00 118* Facility 01-14-21 14:07:00 120* Facility 01-14-21 16:45:00 121* Facility 01-14-21 21:45:00 97 ER-DAY (PAD) 01-14-21 22:25:00 92 acute care ward 01-14-21 22:26:00 91 acute care ward 01-15-21 08:37:00 85 acute care ward 01-15-21 15:32:00 77 Facility Blood pressure trend: 01-12-21 09:43:00 113/70 Facility 01-13-21 00:33:00 113/73 Facility 01-13-21 08:56:36 117/79 Facility 01-13-21 12:47:00 130/82 Facility 01-13-21 16:13:00 112/74 RA Ly Ad Facility 01-14-21 00:40:00 113/75 Facility 01-14-21 10:00:00 102/78 Facility 01-14-21 14:07:00 98/59* Facility 01-14-21 16:45:00 96/60* Facility 01-14-21 21:45:00 115/65 ER-DAY (PAD) 01-14-21 22:25:00 105/69 acute care ward 01-14-21 22:26:00 115/71 acute care ward 01-15-21 08:37:00 100/63* acute care ward 01-15-21 15:32:00 115/71 Facility 01-15-21 22:52:00 109/73 Facility 01-16-21 00:56:00 120/75 RA Ly Ad Facility 01-16-21 09:54:00 117/75 Facility 01-16-21 16:21:00 96/62* Facility 01-17-21 06:10:00 122/78 Facility

Allergies:

Symptoms: hypoxemia, urinary retention Narrative: Transferred from facility to ED with 1 day of fevers, hypotension, and c/f new oxygen requirement and admitted to acute care ward on 1/14/21. Tachycardia resolved w/ fluids. Patient was ruled out for PE and infectious workup negative. Fevers, hypoxia resolved overnight. Medicine Team felt symptoms were side effects from COVID vaccine (2nd dose received 1/13). He was treated for possible cellulitis at L shin wound (warm and tender to touch with mild erythema, without fluctuation) with 14-day cephalexin course, however cellulitis not deemed severe and unlikely contributing. Regarding urinary retention, the Discharge Summary stated, "Urinary retention seemed new in the last day. Pt on condom cath during admission, urinating well." Discharged 1/15/21 and returned to facility.

Other Meds:

Current Illness:

Date Died: 01/10/2021

ID: 0973808
Sex: M
Age: 73
State:

Vax Date: 12/17/2020
Onset Date: 12/31/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data: Covid tests- negative: Jan 10, 2021 10:30 Not Detected Jan 03, 2021 14:13 Not Detected Dec 31, 2020 17:25 Not Detected Dec 31, 2020 08:40 Not Detected Dec 10, 2020 09:45 Not Detected Nov 05, 2020 16:58 Not Detected Nov 01, 2020 18:15 Not Detected Aug 25, 2020 12:20 Not Detected Aug 12, 2020 Not Detected Jan 01, 2021@11:25 SERUM BD GLUCAN: >500 H Jan 01, 2021@11:25 SERUM BD GLUCAN INTERPRETATION:POSITIVE normalcy status - Abnormal INTERPRETATION REFERENCE RANGE: <60 pg.mL Fungal serology 1/8/21 Crypto: not detected CocLPA: negative CocIDTP: negative 1/15/21: Outside Coccidioidomycosis serology laboratory report received. Complement fixation serum 1/13/21 2:40pm: Negative. Immunodiffusion Serum 1/15/21 11:17am: Negative. Interpretation Serum 1/15/21 11:17am: Any coccidioidal infection is so well focalized that serology is not positive to a diagnostic level. If onset of illness has been within the past four weeks you may wish to follow up with another specimen in 2 to 3 weeks.

Allergies:

Symptoms: shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative: 73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, "Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely." 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, "Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. " 1/7/21 Infectious Disease note: "This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving." 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is "hypoxic respiratory failure"

Other Meds:

Current Illness:

ID: 0973816
Sex: M
Age: 85
State:

Vax Date: 12/17/2020
Onset Date: 12/20/2020
Rec V Date: 01/25/2021
Hospital: Y

Lab Data: covid-19 swabs negative: 12/22/20: tested at ED Sep 09, 2020 09:21 Not Detected Sep 07, 2020 01:50 Not Detected Sep 04, 2020 07:21 Not Detected Aug 31, 2020 18:42 Not Detected Apr 15, 2020 12:01 Not Detected

Allergies:

Symptoms: right hand swelling, right knee swelling, right ankle swelling, facial swelling of left cheek Narrative: Following 1st COVID-19 vaccine dose on 12/17/20, patient seen at Emergency Department on 12/21/20- 12/22/20 for eval of new left cheek swelling and right hand/ankle swelling. Hand x-ray did not show signs of fracture, head CT did not show any signs of new strokes, and labs showed mild BNP elevation. Per ED note, "Based on the patient history, physical, and initial vital signs - the patient's initial presentation is concerning for heart failure/volume overload->pulmonary edema and bilateral pedal edema." He received ipratropium neb x1 and returned to facility. Neurology consulted (12/22/20), "It is difficult to determine whether the patient has a new facial palsy or whether this is recrudescence of his previous stroke deficits. Given the swelling of his left face it is quite possible that there is inflammation causing some partial left facial nerve dysfunction that would not include the forehead. The pattern of weakness is, however, also consistent with what would be expected from his documented right MCA stroke. At this point it is appropriate to consider this a possible complication of his vaccination (Bell's palsy has been reported in some after Covid19 vaccination). However, I would not recommend any specific treatment for the facial weakness as the etiology is still somewhat unclear." Patient admitted to hospital 1/2/21-1/8/21 for mild hypothermia with possible AMS and found to have adenovirus. Head CT negative for CVA. Sepsis/toxic/metabolic w/u was unrevealing. Given IVF for diarrhea; C diff negative. Discharged to facility. Patient received 2nd COVID-19 pfizer vaccine on 1/13/21 in Right Deltoid w/o complications (lot#: EK9231, exp. 04/30/2021)

Other Meds:

Current Illness:

ID: 0973828
Sex: F
Age: 40
State: CA

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

Lab Data: n/a

Allergies: Penicillin

Symptoms: At 7:15 pm I developed a migraine, chills and low grade fever (99.9) on 01/22/2021.Also, The incision site was red, and hard. Continued to have a migraine, chills and raised fever (101.0) on 01/23/21. Fever went down through out the day on 1/23. Chills and migraine continued. Incision site was more swollen, and redness had expanded to 1.5 inches around injection site. On 1/24/21, woke up at 8:00 am with a low grade fever (99.9). Chills subsided, however migraine continued. At 1:00 pm fever was 100.1, 6:00 pm 101.1, 9:00 pm 99.8. On 01/25/2021, I still have a migraine. Fever is down this morning 98.9 and chills have subsided. Also, the redness on my injection site had gone down. There is still hard area at the injection site. I have been alternating between Tylenol, Motrin for fever and Imatrex for migraines.

Other Meds: multi-vitamin, prilosec

Current Illness: None

ID: 0973880
Sex: F
Age: 76
State: FL

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

Lab Data: Unknown

Allergies: Sulfa

Symptoms: At 1038 Client started with flushing of the face and started feeling as though her throat was swelling. She took an allergy pill that she had brought with her in case of a reaction. She carries an epi pen but stated that she has never had to use it. She stated that she had a similar reaction to receiving a flu vaccine 25 years ago (flushing, itching and swelling). She was assessed by EMS staff that was on site.

Other Meds: Levothyroxine 150 mg, daily; Calcium, 2 tabs daily; Lovarastan 150 mg, PO Daily; B12 500 mcg daily; Metoprolol 100 mg, PO daily

Current Illness: None

ID: 0973975
Sex: F
Age: 60
State: NY

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

Lab Data: None - no adverse effect.

Allergies: none

Symptoms: Vaccine administered >6 hrs after the beyond use time

Other Meds: N/A

Current Illness: none

ID: 0973978
Sex: F
Age: 78
State: NY

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

Lab Data: None-No advese effect reported

Allergies: none

Symptoms: Vaccine administered greater than 6 hrs after the beyond use time

Other Meds: N/A

Current Illness: None

ID: 0973988
Sex: F
Age: 79
State: NY

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

Lab Data: None

Allergies: None

Symptoms: Vaccine administered >6 hrs after the beyond use time.

Other Meds: N/A

Current Illness: None

ID: 0974013
Sex: M
Age: 82
State: NY

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

Lab Data: N/A - No adverse effect reported/noted

Allergies: None

Symptoms: Vaccine administered > 6 hrs after the beyond use time.

Other Meds: N/A

Current Illness: None

ID: 0974021
Sex: M
Age: 61
State: NY

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

Lab Data: None

Allergies: None

Symptoms: Vaccine administered >6 hrs after the beyond use time

Other Meds: N/A

Current Illness: None

ID: 0974072
Sex: F
Age: 55
State: IA

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

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not received full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974075
Sex: M
Age:
State: IL

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

Lab Data:

Allergies:

Symptoms: Hx Asthma Hx anxiety with injections Albuterol inhaler Felt dizzie, lightheaded after covid vaccine

Other Meds: NONE

Current Illness: NONE

ID: 0974103
Sex: F
Age: 13
State: PA

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

Lab Data: NA

Allergies:

Symptoms: Syncope

Other Meds:

Current Illness: N/A

ID: 0974104
Sex: F
Age: 69
State: FL

Vax Date: 12/31/2020
Onset Date: 01/03/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: Mammogram with Breast Ultrasound 01/19/2021

Allergies: NKDA

Symptoms: Fever Breast Discomfort/Pain Breast Mass. Sore to the touch.

Other Meds:

Current Illness:

ID: 0974105
Sex: F
Age: 22
State: CO

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

Lab Data: None

Allergies:

Symptoms: Seizure after returning home from getting vaccination (Grand mal) 2 hours post vaccination She had an stressful episode with elevated HR and normal SPO2 5 minute after the shot which was controlled with clonazepam

Other Meds: Lezonorgestrel Clonazepam

Current Illness: Seizure

ID: 0974106
Sex: U
Age: 70
State: NY

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

Lab Data: None

Allergies: Trichloroacetic Acid, macrobid, Levaquin Moxifloxacin, MSG

Symptoms: throat slightly swelling, Lips tingle, mouth outside tingle, itching. Area next to injection Red itching for days after. had to use Benadryl & throat felt better.

Other Meds: Allegra, Vit D3, citalophram mucinex, Elderberry

Current Illness: none

ID: 0974117
Sex: F
Age: 49
State: FL

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

Lab Data:

Allergies: Phenergren and Codine

Symptoms: Headache, fever, body aches and pains, nausea, disorientation, extreme thirst weakness all over, could not sleep loss of appetite

Other Meds: Zyrtec, Xanax, Linzess, Forskolin

Current Illness: Lupus and IBS

ID: 0974127
Sex: F
Age: 62
State: TX

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data: CBC lab results normal chest x-ray - normal and ultrasound left head/neck -no abnormality

Allergies:

Symptoms: Within 10 min after injection had pain in left side of neck and jaw. was given 800mg Ibuprofen and took for a few days. On Jan 6, 2021 supraclavicular swelling occurred near base of neck size of a baseball and lt neck pain. Saw physician on 1/8/21 and have soft tissue swelling

Other Meds: Carvedilol, olmesartan, sertraline, levocetirizine

Current Illness: None

ID: 0974140
Sex: F
Age: 61
State: CA

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

Lab Data:

Allergies:

Symptoms: Erythema and pruritis for at least 11 days; continues as this report is being completed, through has improved

Other Meds:

Current Illness: none

ID: 0974197
Sex: F
Age: 81
State: GA

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

Lab Data: none

Allergies: penicillin, shellfish

Symptoms: Severe rash & swelling at vaccination site

Other Meds: Trazodone, Oxybutynin Prolia calcium Pravastatin Bupropion vitamin

Current Illness:

ID: 0974224
Sex: F
Age: 73
State: CA

Vax Date: 01/08/2021
Onset Date:
Rec V Date: 01/25/2021
Hospital:

Lab Data: N/A

Allergies:

Symptoms: patient was nausous, severe fatigue to the point she couldn't stay awake and had vertigo

Other Meds:

Current Illness:

ID: 0974240
Sex: F
Age: 39
State: OR

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

Lab Data: Benedryl injection

Allergies: sulfa & gabapentin, Bee sting

Symptoms: tongue became tingling, numb lips, dry throat, then hives, increased anxiety

Other Meds: none

Current Illness: none

ID: 0974279
Sex: M
Age: 16
State: OR

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

Lab Data:

Allergies:

Symptoms: Patient under age indication per vaccine recommendation (patient 16, vaccine for 18+)

Other Meds:

Current Illness:

ID: 0974309
Sex: F
Age: 45
State: MA

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

Lab Data: Referred to Allergist

Allergies: None

Symptoms: 5min heart racing, flushing 20 min rash on chest, dizzy, thirsty Resolved after 1 hr 3 days fatigue Patient reports declined ED at time of reaction

Other Meds: Amlodipine, medroxyprogesterone, valacyclovir

Current Illness: None

ID: 0974317
Sex: M
Age: 27
State: TX

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

Lab Data: DC tongue ok lungs clear no stridor. Airway patent Cor NSR. EMS called & transported to ER 6:21pm.

Allergies: ?

Symptoms: Pt complained of developing an "aura" that he associates with pre seizure sxm initially followed by shaking. He took an additional dose of Keppra 1000mg & then stated that his throat felt like it was closing Epipen SQ injection given R thigh @ 6:07 pm. (VS 99% RA P 78 BP 158/90) 6:13pm pt walked to chair verbalized he felt better. 6:17p O2 Sat 99% P83 6:19 BP 160/98 P78 O2 sat 99%

Other Meds: Several medications reported to EMS

Current Illness:

ID: 0974321
Sex: F
Age: 42
State: ID

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0974327
Sex: F
Age:
State: WA

Vax Date: 12/31/2020
Onset Date: 01/08/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: opioids, tramadol, naproxene, latex, adhesive and iodine

Symptoms: I had my first Covid 19 vaccine on 12/31/2020; I was obviously a little nervous and after the shot I was a bit light headed (likely related to stress and after some deep breathing it went away). The next few days I had pain in my arm and it hurt to lift it. As well I had pain in my elbow and shoulder joints. Stomach issues and a headache followed. About 8 days after my injection, my arm swelled up, bright red and tender to touch with a fever. Noted small red welt encompassing injection site and about a 1/2 dollar coin size red mark (similar to the one above). It continued to spread across my upper arm and the swelling was quite significant. Went to the doctors, they thought it was Cellulitis and treated for this. However, after 5 days being on antibiotics it was back with a vengeance. This time it started on outer and inner part of my arm; welts on back of arm and rash on part of arm closest to chest; it burned, itched like crazy and was again feverish. Back to the doctors, doctor thought it odd that it came back even though I have 5 more days of antibiotics to take and stated she believes it to be a post injection site reaction (not necessarily an allergic reaction, but definitely a reaction to either the need or what was in the needle). I was put on another antibiotic, prednisone and benadryl. This was Wednesday 1/13/2021 (2 weeks after my vaccine, noticed the welts on Tuesday 1/12/2021) and today is 1/17/2021; it is still very much there. Less red, less irritated, less painful...still quite itchy. With that said, doctor advised not to get the shot, but if I decide to I need to take benadryl and ibuprofen before the shot and be monitored for another reaction, possibly worse than this one. I also spoke to the place where I got my vaccine and they advised the same per-steps before getting the second dose on 1/28/2021.

Other Meds: sulfamethozazole, cephalexin, predisone ibuprofen, benadryl

Current Illness:

ID: 0974331
Sex: F
Age: 27
State: ND

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

Lab Data: None

Allergies: None

Symptoms: Moderna COVID 19 Vaccine EUA Patient stated "my red spot was about 4 inches at it's largest. It was red, warm and painful. Redness lasted about 72 hours. Slight fever of 100.6 on 12-31-20, with next day having fatigue, body aches and diarrhea. Starting 1-1-21 no fever or diarrhea, but fatigued and body aches. 1-2-21 - bodyaches

Other Meds: Birth control, Adderall

Current Illness: None

ID: 0974340
Sex: F
Age: 38
State: ND

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: Oxycodone, Sulfa, Doxycycline

Symptoms: Moderna Covid-19 Vaccine EUA I received the Covid 19 vaccine on December 22nd. On December 23rd in the evening I noticed that my injection site was warm to the touch, slightly erythematous and indurated. I was running a low grade fever of 99.9 that night. Start to get body aches, fatigue, headache, congestion and sore throat. The fatigue, body ache, congestion, sore throat and headache progressed/got worse into the 24th and 25th. By the 26th the symptoms had went away. The evening of December 29th, I noticed an intense itching in my left deltoid (which was my injection site). When I went to itch the area I could feel how hard the area was through my clothing. I looked at the area and it was indurated, erythematous and warm to the touch. It was approximately 5x3cm area. The itching continue to intensify going down my arm and up my neck. Over the next several days, I started to develop congestion, sore throat, body aches, fatigue, joint pain, headaches and the symptoms intensified. Friday January 8th, I was in severe pain and unable to walk that well. I went to rheumatology where I was given both oral and IM steroid to try to calm down the reaction and was told that was thrown into a full blown lupus flare. Restarted on methotrexate. Friday and Saturday improved slightly. Monday was difficulty to was due to pain and fatigue, not able to walk that well. Tues/Wednesday. Pain and fatigue manageable but noticeably above baseline and can definitely tell flare is no where under control. Thursday woke up at 5 am could not sleep due to pain. Pain intensified throughout the day and was un able to walk by 5pm due to severe joint pain. Rheumatologist and allergist confirmed that I am unable to get second dose of Covid vaccine. This maybe too much information but I figure you could used what you needed.

Other Meds: Vyvanse, Sertraline, folic acid Methotrexate, Topiramate, Hydroxychloroquine

Current Illness: Chronic fatigue, COVID, Depression, Anxiety lupus

ID: 0974349
Sex: F
Age: 43
State: ND

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: patient stated "quarter-sized, red, hot and it did hurt, felt like a blood pressure cuff not being released from elbow to shoulder. Noticed 1-5-21 after work, felt heavy. Spoke with Nursing Supervisor the morning of 1-6-21. No breathing issues." Moderna COVID-19 Vaccine EUA

Other Meds: None

Current Illness: None

ID: 0974356
Sex: F
Age: 34
State: ND

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Moderna COVID-10 EUA patient stated "The spot was red and there was a lump/welt, it was slightly warm but not Hot! It did itch and it did hurt to touch or lay on it. Small red area day after being given (Wed.), then darker and bigger (Thurs) very faint but still sore (Fri)

Other Meds: Mirapex, gabapentin, metformin, Vitamin B-12

Current Illness: None

ID: 0974362
Sex: M
Age: 39
State: ND

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

Lab Data: None

Allergies: None

Symptoms: Moderna COVID-10 Vaccine EUA Fever (101.0), Body aches, flu-like symptoms

Other Meds: None

Current Illness: None

ID: 0974373
Sex: M
Age: 60
State: ND

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

Lab Data: None

Allergies: Shrimp

Symptoms: Moderna COVID-19 Vaccine EUA Had chills during night. Took Naproxen with some relief. 12N had uncontrolted shaking and chills and malaise, unable to handle mouse to do work. No redness, swelling or irritation of injection site. Extremely tired.

Other Meds: Metformin, Crestor, Vitamin D

Current Illness: N/A

ID: 0974375
Sex: F
Age: 34
State: ND

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

Lab Data: None

Allergies: None

Symptoms: Moderna Covid-19 Vaccine EUA Fever (102), Body, aches, bruise/ tender at injection site. Large tender lymph node of axilla area with swelling. Flu-like symptoms

Other Meds: Effexor XR, Vit. D

Current Illness: None

ID: 0974376
Sex: F
Age: 34
State: ND

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

Lab Data: None

Allergies: None

Symptoms: Moderna COVID-19 Vaccine EUA Flu-like symptoms

Other Meds: None

Current Illness: None

ID: 0974377
Sex: F
Age: 78
State: AZ

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

Lab Data:

Allergies: tylenol, codeine

Symptoms: Patient complains of dizziness.

Other Meds: Airpower, activated charcoal, chanca piedra

Current Illness: gallstones

ID: 0974378
Sex: F
Age: 32
State: ND

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

Lab Data: None

Allergies: Latex, Bleach

Symptoms: Moderna Covid-19 Vaccine EUA Injection site-red, warm at touch, sore, episodes of feeling hot and cold of body. had wierd sensation, Lightheaded, nauseated.

Other Meds: None

Current Illness: None

ID: 0974379
Sex: F
Age: 34
State: ND

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

Lab Data: None

Allergies: Ibuprofen

Symptoms: Moderna Covid 19 Vaccine EUA Injection site red, warm with induration starting at 1 1/2 x 1 increasing to 2 1/2 x 2. General mailaise, sore throat, achey, headache, chills diarrhea

Other Meds: Trazodone, Sprintec, Metformin Setraline, prenatal, buspirone

Current Illness: None

ID: 0974380
Sex: F
Age: 57
State: ND

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

Lab Data: None

Allergies: None

Symptoms: Moderna COVID-19 Vaccine EUA Low grade fever (99.9). Arm red, warm, tender Swolten at 2 1/2" x 2". Itchy. Body aches

Other Meds: None

Current Illness: None

ID: 0974484
Sex: F
Age: 58
State: ND

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

Lab Data: None

Allergies: PCN, Sulfa

Symptoms: Moderna Covid-19 Vaccine EUA Almost immediate dizziness, lasted for about 3-4 hours.

Other Meds: Cozaar, atorvastatin, HCTZ

Current Illness: None

ID: 0974538
Sex: F
Age: 22
State: ND

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

Lab Data: None

Allergies: None

Symptoms: Moderna Covid-19 Vaccine EUA Complaints of feeling tired/groggy, sore arm nauseated, warm, "feel like Zombie"

Other Meds: None

Current Illness: None

ID: 0974549
Sex: F
Age: 56
State: ND

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

Lab Data: None

Allergies: None

Symptoms: Moderna COVID 19 Vaccine EUA Injection site red, warm, tender at touch, measures about 2" x 2". Minor flu-like symptoms.

Other Meds: None

Current Illness: None

ID: 0974559
Sex: F
Age: 48
State: LA

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

Lab Data:

Allergies:

Symptoms: Pt stated she felt as if her throat was closing; swelling of the tongue and shortness of breath. Pt was given oxygen; methylprednisolone 80mg; and diphenhydramine 50mg.

Other Meds:

Current Illness:

ID: 0974619
Sex: F
Age: 63
State: IA

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

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974640
Sex: F
Age: 54
State: IA

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

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974641
Sex: F
Age: 53
State: IA

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

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not received full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974642
Sex: F
Age: 39
State: IA

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

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974644
Sex: F
Age: 36
State: IA

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

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974645
Sex: F
Age: 53
State: IA

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

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

ID: 0974646
Sex: F
Age: 40
State: IA

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

Lab Data:

Allergies: unknown

Symptoms: Possible that patient did not receive full 0.5 ml dose of vaccine, due to draw up issue.

Other Meds: unknown

Current Illness: No illness date of vaccination, unknown prior

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm