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: 0974268
Sex: F
Age: 42
State: KY

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: Bananas

Symptoms: red face flush, blood pressure elevated 173/101, headache sent to ED to monitor

Other Meds: Losartan, Levoxyl, Motrin,

Current Illness: none

ID: 0974269
Sex: F
Age: 37
State: MO

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: Demerol

Symptoms: Swelling and hot spots in Right Hand

Other Meds: Gabapentin Cyclobezaprine Advil Tylenol Ambien Ketrolac Hydrocodone

Current Illness: No

ID: 0974270
Sex: F
Age: 65
State: NE

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: DAY AFTER VACCINATION, HAD LOW GRADE FEVER, FATIGUE, AND WEAKNESS

Other Meds:

Current Illness:

ID: 0974271
Sex: F
Age: 56
State: CA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: Treated without medical assistance.

Allergies: none

Symptoms: Excruciating pain in arm that received the shot, from elbow to shoulder, after 3 hrs. of getting the injection. Extreme pain inhibited sleep, required constant maximum allowed pain reliever medication for 2 days straight (1/21/21-2/23/21); could not use that arm nor put any pressure on it for 2 days. On a scale of 1-10 (10 being the highest degree of pain) my pain was a 9 for 2 days.

Other Meds: a generic statin to prevent heart attacks and strokes

Current Illness: Positive for COVID from 12/26/2020 to 01/13/2021

ID: 0974272
Sex: M
Age: 21
State: MN

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: None known

Symptoms: Patient stated around 1800 on 23 Jan 2021 he began to notice a tightness in his throat, and had a headache. He went to sleep, and woke up Sunday (24 Jan 2021), felt fine until that evening, when the symptoms returned, this time he also felt that his heart was racing. He stated he went to sleep, and early Monday afternoon (25 Jan 2021) he felt like it was harder to breathe and had an increased tightness in his throat. He then went to the ER. He was seen on 25 Jan 2021 around 1530. Nothing conclusive was found at this visit, he was seen by MD and was prescribed Prednisone 20mg PO, 2 tabs daily for 5 days. Member stated he is feeling well today.

Other Meds: None

Current Illness: None

ID: 0974273
Sex: F
Age: 54
State: CA

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: none

Allergies: aspirin

Symptoms: A week later the site turned bright red, warm to the touch and itchy. This then extended through most of my upper arm and traveled to my inner arm. At this point 1/26 site is painful and red with some itchiness.

Other Meds: Losartin, Nora B, Hydrochothiazide, fish oil, multi-vitamin, iron tab, glucosamine chondroitin

Current Illness: none

ID: 0974274
Sex: F
Age: 64
State: TX

Vax Date: 01/15/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: Codeine

Symptoms: 11 days after the injection, the injection site became red, sore and hardened.

Other Meds: Irbesartan, synthroid, doxycycline, montelukast

Current Illness: None

ID: 0974275
Sex: F
Age: 25
State: VA

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

Lab Data: none

Allergies: none

Symptoms: At site of injection - soreness, and numbness

Other Meds: none

Current Illness: none

ID: 0974276
Sex: F
Age: 43
State: KS

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 01/26/2021
Hospital:

Lab Data: Went to the doctor and was dx with Erysipelas and prescribed Keflex 500mg, 1 cap TID for 5 days

Allergies: PCN, codeine, gentamicin, dilantin, celexa, klonopin

Symptoms: woke up next morning with a knot and extremely red area at injection site. Arm began swelling, was painful and was hot to the touch. After 2 weeks of this and the area affected, I went to the doctor

Other Meds: Gabapentin 300mg once daily

Current Illness: N/A

ID: 0974277
Sex: F
Age: 61
State: CA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: n/a

Allergies: Penicillin Sulfa drugs

Symptoms: About 14 hours after injection I awoke suddenly with severe joint pain in both knees, (8 on pain scale of 1-10) muscle aches in quadriceps and calves, as well as chills. Had a fever of 101 degrees. As the hours passed, the joint pain spread to both hips and ankles. Alternated Motrin and Tylenol with fever reduced to 100 degrees. All muscle aches, joint pain and chills continued for the next 2 days. Finally by day 3 the fever was down to 99. Experienced fatigue, followed by severe vertigo by day 3. Although muscle aches and joint pain slowly decreased over time, the vertigo has persisted and at times is accompanied by nausea and vomiting.

Other Meds: Evista 60 mg once daily Centrum Silver multi vitamin Calcium Super B complex

Current Illness: n/a

ID: 0974278
Sex: F
Age: 60
State: SC

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

Lab Data: All test performed on 1-25-2021 include: Chest Xray EKG Laboratory blood tests

Allergies: None

Symptoms: Pfizer-BioNTech COVID- 19 Vaccine EUA Symptoms included exacerbated blood pressure of 200/90, chest tightness, itching throat, and headache,

Other Meds: Amour thyroid 6mg daily Prilosec 20mg daily Albuterol inhaler Turmeric/Ginger with Bioperine 1950 mg Hyaluronic Acid 100mg

Current Illness: Asthma

ID: 0974280
Sex: F
Age: 96
State: NE

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: ON 1/22/21 DEVELOPED REDDENED AREA AT INJECTION SITE

Other Meds:

Current Illness:

ID: 0974281
Sex: F
Age: 37
State: IN

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

Lab Data: None

Allergies: None

Symptoms: Severe pain in left arm traveling up into neck and down to elbow lasting 3 days. Fatigue lasting 3 days Headache lasting 3 days Body aches lasting 3 days

Other Meds: Cymbalta Magnesium Zyrtec Flax seed oil Malic acid Vitamin d Vitamin b D-Ribose

Current Illness: None

ID: 0974282
Sex: M
Age: 41
State: UT

Vax Date: 01/19/2021
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Extreme swelling at the vaccination site.

Other Meds: Atorvastatin, Metformin, Lisinopril, Trulicity, Vit. D, Levemi

Current Illness: None

ID: 0974283
Sex: F
Age: 44
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: No known allergies

Symptoms: Patient presented with possible allergic reaction described as feeling "tingles everywhere" and "weird taste" in mouth. The symptoms began about 15 minutes ago after receiving the Pfizer COVID vaccine dose #1 Patient was treated with Benadryl, Solu-medrol and NS 1L bolus. Symptoms improved. Normal lung sounds. No signs of further reaction

Other Meds: Ibuprofen, nicotine patch, docusate, estradiol patch

Current Illness: None known

ID: 0974284
Sex: F
Age: 31
State: IN

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: NA

Symptoms: Localized swelling, redness, warmth. 1 week post vaccine red welt remains present that is swollen, raised , red and warm. Area in question is about 2 inches x 2 inches.

Other Meds: Levothyroxine 150mcg Multivitamin Biotin 5000mcg Probiotics Colace

Current Illness: NA

ID: 0974285
Sex: F
Age: 28
State: CA

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: Latex

Symptoms: Localized swelling, redness, itching

Other Meds: Prenatal vitamins

Current Illness: None

ID: 0974286
Sex: F
Age: 45
State: NV

Vax Date: 01/17/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 7 days later, large red hot spot appeared on upper arm where injection occurred. Muscles still very tender on upper arm where injection occurred. Slight swelling of upper arm.

Other Meds: Losartan 25 mg Wellbutrin XL 150 mg Crestor 25 mg zetia 10 mg over the counter: Ambien, Benedryl, Tylenol, Aleve

Current Illness: None

ID: 0974287
Sex: F
Age: 39
State: NY

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: No medical test but as of today 1/26 placed on oral steroid

Allergies: Penicillin

Symptoms: First vaccine on 12/30/20 almost immediately after receiving vaccine metallic taste in mouth, followed by itchy throat and felt throat slightly thighten took Benadryl and received relief Second dose on 1/20/21 took a Zyrtec per doctor?s instruction prior to receiving vaccine about 15 minutes after receiving second dose tongue numbness and weird taste in mouth now and developed itchy face, managed with Zyrtec although itchiness not resolved, taking Zyrtec every day since second dose, yesterday 1/25 in afternoon still medicated under Zyrtec face began to swell on left side of face, persistent itchy face, itchiness went down to other areas including neck, chest, bumps on left hand now on an oral steroid per my doctor

Other Meds: Lexi pro

Current Illness: None

ID: 0974288
Sex: F
Age: 25
State: MI

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: Benadryl 20 mg

Allergies: UNKNOWN

Symptoms: Tingling in nose/lip

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 0974289
Sex: F
Age: 47
State: ME

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

Lab Data: Went to walk in clinic today. Prescribed prednisone and ongoing otc meds.

Allergies: Dust mites

Symptoms: Itchy swollen upper lip. Eyes watered and filled with fluid, itchy, sealed shut.

Other Meds: Lexapro, zyrtec, Flonase

Current Illness: None known

ID: 0974290
Sex: F
Age: 70
State: OR

Vax Date: 01/21/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None

Allergies: Hay fever

Symptoms: Nausea, vomiting, chills

Other Meds: None

Current Illness: None

ID: 0974291
Sex: F
Age: 58
State: KY

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: First fatigue, then headache, progressing to chills with fever up to 102 lasting approximately 24 hours, body/joint aches, deep cough, felt like I couldn't get a deep breath (shallow breathing)

Other Meds: hormone patch estrogen

Current Illness: None

ID: 0974292
Sex: F
Age: 79
State: NE

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: ON 1/22/21 DEVELOPED REDNESS AT INJECTION SITE.

Other Meds:

Current Illness:

ID: 0974293
Sex: F
Age: 69
State: IN

Vax Date: 01/14/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: sulfa

Symptoms: Not quite 2 weeks since my vaccination I developed a slight rash, redness and some swelling in my upper left arm. I think slightly below where I received the shot. Not sure if it had to do with vaccination. Just letting you know.

Other Meds: l-throxine\ lovastatin

Current Illness:

ID: 0974294
Sex: M
Age: 73
State: MI

Vax Date: 01/20/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None

Allergies: High doses of Motrin

Symptoms: Itchy large welts on back and side of right leg from buttocks to ankle. Took 50 mg of Benadryl and applied Afterbite to leg immediately. Most welts subsided within a few hours. Took another 50 mg of Benadryl Saturday night. Still have a few small areas of redness. Between the time of vaccination and outbreak, I did not eat anything new, no new clothes detergent, no changes.

Other Meds: Vitamin D

Current Illness: None

ID: 0974295
Sex: M
Age: 58
State: MN

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/26/2021
Hospital:

Lab Data: TB testing

Allergies: None

Symptoms: The next day after getting the vaccine I had a doctors appointment and my TB test was abnormal which never happened. I am getting retested soon to get a final result

Other Meds: Opempreziol Hydrochlorothiazide Vitamin D

Current Illness: None

ID: 0974296
Sex: F
Age: 80
State: FL

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: Blood work results available at the ER

Allergies: years ago, reaction to shellfish no reaction in last 20 years

Symptoms: Pfizer-BioTech COVID-19 Vaccine EUA Witihin 5 minutes, burning chest pain. Within less than 20 minutes BP measured at 203/185 and 15 minutes later 191/187. (normal for me is 128/65). Heart rate 130 (normal is 92) Lightheadedness. EMTs on site did EKG and subsequent BP checks. Recommended Emergency Room care, which I did. Aspirin given, blood work done (at 3 different times). 2 Additional EKGs done with no abnormalities noted.. BP and heart rate went down in approximately 2 hours, to 138/85 and 105, but not to normal status. Have been normalized since.

Other Meds: Levothyroxine 100 mg Pravastatin 20 mg Biotin 10000 mcg Vitamin B 12 1000mcg

Current Illness: none

ID: 0974297
Sex: F
Age: 68
State: MD

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: 3 view left shoulder xray on 01/22/2021: no acute fracture or dislocation. No radiopque object within subacromial or joint space.

Allergies: sulfa drugs

Symptoms: Shoulder Injury Related to Vaccine Administration Signs and Symptoms: decreased ROM, persistent left shoulder pain, Positive Neer's and Hawkins tests Treatment: Left subacromial bursa corticosteroid injection on 01/22/2021.

Other Meds: calcium carbonate-vitamin D3 500 mg-200 unit per tablet cholecalciferol (VITAMIN D3) 400 unit Tab tablet, Take 2,000 Units by mouth fluticasone propion-salmeteroL (ADVAIR) 250-50 mcg/dose diskus inhaler, Inhale 2 puffs into the lungs. mult

Current Illness:

ID: 0974298
Sex: F
Age: 53
State: CO

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

Lab Data:

Allergies: Pecan, walnuts, avocado, asparagus

Symptoms: Itching on the right knee and both legs below the knees. Swollen spot below right knee that itches. Right eye is swollen. I took allergy eye medicine , a 24 hour tablet of Allegra, and put Cortizone 10 on my legs below the knees. As of 1/26/2021 - the medicine has stopped the itching, but eye is still slightly swollen.

Other Meds: Bio-Identical Hormone Pellet, Progesterone

Current Illness: none

ID: 0974299
Sex: F
Age: 81
State: OH

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: none

Allergies: Sulfa and Codeine

Symptoms: Pt came into be evaluated for a possible reaction to covid vaccine that she received at senior center. Pt was experiencing left subzygomatic cheek swelling (quarter sized area), Pt denies difficulty breathing, denies ever having facial dermal fillers. Pt on low dose of prednisone that has been previously prescribed by HCP. Pt took Claritin D. Pt was told to take OTC Benadryl at Dr. Visit with other HCP.

Other Meds: Pt takes Vitamin D3 2,000 unit daily, B12 1,000 mcg daily, iron 325 mg daily, Folic Acid 800 mcg daily, Glucosamine daily, multi- vitamin Daily, zinc 50 mg daily, Melatonin 3 mg at HS, Flexiril 10 mg pt takes 5 mg daily (may take up to tid

Current Illness: none noted

ID: 0974300
Sex: F
Age: 51
State:

Vax Date: 01/20/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: nausea, tiredness and cold

Other Meds:

Current Illness:

ID: 0974301
Sex: F
Age: 58
State: CA

Vax Date: 01/16/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: gluten sensitivity, seasonal allergies

Symptoms: After a week: itching at the injection site, rash, slight swelling

Other Meds: Standard Process Daily Vitamins (but not taken at least 5 days prior to the vaccine)

Current Illness: NA

ID: 0974302
Sex: F
Age: 56
State: GA

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

Lab Data:

Allergies: None

Symptoms: symptoms - headache and body aches

Other Meds: None

Current Illness: None

ID: 0974303
Sex: F
Age: 65
State: NY

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

Lab Data:

Allergies: Amoxicillin Teyracycline

Symptoms: Chills, bad headache, fever and muscle aches

Other Meds: Synthroid Ritalin Allopurinol

Current Illness: COVID

ID: 0974304
Sex: F
Age: 48
State: CA

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: Covid-19 nasal swab 1/20/2021 - negative.

Allergies: Benadryl Sensitive to dairy

Symptoms: Severe joint pain, myalgias on January 17. Developed fever of 37.9C max, chills and runny nose on January 19. All symptoms resolved by late morning of January 20. Covid test performed on January 20 which was negative.

Other Meds: Centrum multi-vitamins Turmeric capsules Ibuprofen

Current Illness: URI approximately 7 days prior

ID: 0974305
Sex: F
Age: 51
State: OH

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

Lab Data:

Allergies: No allergies

Symptoms: Chills, fatigue, nausea, elevated heart rate, tightness in chest, shortness of breathe began in the evening on the day of my injection. Symptoms are continuing on day 4, post vaccine. I am seeing my family doctor this afternoon.

Other Meds: Vitamin B, Vitamin D3, Zyrtec, Vivelle Dot, baby aspirin, Krill Oil

Current Illness: None

ID: 0974306
Sex: F
Age: 39
State: IN

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

Lab Data:

Allergies: Chantix, "four antidepressants", doxycycline

Symptoms: "itchy, swollen throat" - resolved with Benadryl (50mg) by month. steroids later prescribed

Other Meds: multivitamin, vitamin B

Current Illness: none

ID: 0974307
Sex: F
Age: 76
State: PR

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Left arm swelled, turned red and was very painful. Lasted about 5 days

Other Meds: Losartan, hyddrochlorothiazide Citalopram Rosuvastatio

Current Illness:

ID: 0974308
Sex: F
Age: 81
State: VA

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None

Allergies: Percocet

Symptoms: 10 days after receiving my first shot I notices a red area where the shot was administered. The site is about 3" wide and 5" long. It is warm to the touch and is firmer that the areas not affected. It itches a little but has not caused and other symptoms or problems. I started to rub the area and it seems to grow bigger like there is a pocket of liquid just under the skin.

Other Meds: Pravastatin, Atenolol, Forteo, Acyclovir, Aspirin, Polyethylene, Vitamins K, D3, Calcium

Current Illness: None

ID: 0974310
Sex: F
Age: 89
State: NE

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: ON 1/22/21, DEVELOPED REDNESS AT INJECTION SITE.

Other Meds:

Current Illness:

ID: 0974311
Sex: F
Age: 32
State: TX

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Started feeling a lump forming under my right armpit. At first it wasn't hurting that much I just felt it was normal of the swelling and soreness, but then I started feeling more pain at night time when I tried to sleep. On Monday the 25th woke up feeling more pain bigger then a pea on my right armpit had a fever of 100.1 in the morning. I went to the doc around the same day in the afternoon. The doc said it was an infection and inflamed from the vaccine I recently got on Friday.

Other Meds: N/A

Current Illness: N/A

ID: 0974312
Sex: F
Age: 57
State: KY

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/26/2021
Hospital:

Lab Data: 12/31/2020 the Emergency Room did EKG, Labs to include Triponen level and Chest XRay. They also gave me Tordol and fluids. They found that I had UTI and prescribed me antibiotics and AZO to take until antibiotics kicked in.

Allergies: None

Symptoms: Chills, fever, achy joints, high heart rate, UTI symptoms. UTI symptoms and achy joints happened same day as vaccine. Achy joints a couple hours after vaccine. UTI at 14:15, that hit me instantaneously. Chills, fever and high heart rate hit me the next day. 12/31/2020. That's when I went and the sent me to the ER.

Other Meds: Liothyronine, Levothyroxine, Metformin, Gabapentin, Omeprazole, Trazodone, Meloxicam, Venlafaxine ER, Atorvastatin, Fish Oil, Complete Multivitamin, Biotin, Vitamin C, Folate, D3, Calcium/Magnesium/Zinc.

Current Illness: Covid and Pneumonia

ID: 0974313
Sex: F
Age: 54
State: WI

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
Hospital: Y

Lab Data: MRI, antiphospholipid panel (results not returned yet).

Allergies: None

Symptoms: Patient vaccinated on 1/22. The next morning (1/23), patient experienced diminished sensory and motor function in left arm and leg, as well as facial numbness. Presented to the hospital on 1/24, and was found to have a small stroke in pontine medullary junction. Discharged on 1/25. There is some suspicion that her COVID infection in December may have precipitated this, and patient is currently being evaluated for coagulation disorders, primarily antiphospholipid antibody testing. It is unlikely that the vaccine contributed to this, but given close timeline between the two, filing this report.

Other Meds: Cholecalciferol daily, fish oil daily, garlic capsule daily, glucosamine daily, losartan daily, zinc daily, metformin 500 mg po daily (most doses are unclear from her medication history)

Current Illness: Patient was confirmed to be COVID positive in early December (did not require hospitalization).

ID: 0974314
Sex: F
Age: 59
State: CA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None

Allergies: Unknown

Symptoms: Med Error: An empty syringe with 0.5 ml of air was inadvertently administered into the left deltoid instead of the Moderna COVID-19 vaccine. The RN giving the medication disclosed the error to administration and to the patient. The patient was called back to receive the dose of Moderna as planned that same day. Writer is not aware of any adverse reaction due to the medication error.

Other Meds: Unknown

Current Illness: Unknown

ID: 0974315
Sex: F
Age: 89
State: NE

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: ON 1/22/21 DEVELOPED RED, RAISED RASH AT INJECTION SITE.

Other Meds:

Current Illness:

ID: 0974316
Sex: M
Age: 43
State: NY

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: felt itchy in the face and legs. Benadryl 25mg po at 1135 with good effect

Other Meds: Novolog

Current Illness: Type 1 Diabetes

ID: 0974318
Sex: F
Age: 69
State: FL

Vax Date: 01/12/2021
Onset Date: 01/15/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: n/a

Allergies: Levaquin Silk Tape

Symptoms: site inflammation, redness, approx. size of reddened area 5cm x 5 cm still persist 2 weeks out

Other Meds: Ativan as needed Meclazine as needed

Current Illness: N/A

ID: 0974319
Sex: F
Age: 61
State: CA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Itchy really red, got worse the 2nd day, 01.22.21. Getting redder with bigger circle each day.

Other Meds:

Current Illness:

ID: 0974320
Sex: F
Age: 36
State: CO

Vax Date: 12/24/2020
Onset Date: 01/01/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: 1/1/21 itchy, red, warm at site. took benadryl and better. On 1/4 presented to EH. Large pale pink area about 3x5cm and larger red area outside it about 10x18cm. Outline marked w sharpie and date. sent her to pcp for eval. She saw PCP 2/5 and dx as cellulitis and prescribed ABX. She took for one day and stopped. Reaction completely gone 2/10/21. Likely will decline dose #2

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm