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: 0922587
Sex: F
Age: 34
State: NY

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

Lab Data:

Allergies: No

Symptoms: Sligh soreness at the injection site tiredness persistent headache bloating and gassiness stomach upset slight nausea

Other Meds: None

Current Illness: No, the vaccine was administered a the end of my menstrual cycle.

ID: 0922588
Sex: M
Age: 26
State: GA

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

Lab Data: None

Allergies: None

Symptoms: Persistent 102+F fever unresponsive to Tylenol. Diffuse overwhelming weakness unable to even open a water bottle. Severe chills, body aches, and headache. Nausea and feeling of vomiting. Pain at injection site. Symptoms started as exhaustion and body aches approximately 7-8 hours after receiving vaccination. Symptoms became more severe as time progressed through the night. Still having moderate to severe symptoms almost 24 hours after receiving vaccination.

Other Meds: Zinc 30 MG, vitamin D3, Boron 9 MG, multivitamin, aspirin 325 mg

Current Illness: Covid-19 diagnosed 12/4/2020

ID: 0922589
Sex: F
Age: 21
State: TX

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Patient was awoken about 6:25am with severe pain at injection site, sweating, shaking all over and nausea. Patient took 4- 200mg ibuprofen at 6:30am. Patient fell back asleep and awoke at 8:40am. Patient stated that arm is still in pain, still sweating. Nausea and shaking has gone.

Other Meds: None

Current Illness: Patient diagnosed with flu 12/23/2020. Patient asymptomatic but was given tamiflu. Patient took 2-3 days worth of Tamiflu.

ID: 0922590
Sex: F
Age: 33
State: PA

Vax Date: 12/28/2020
Onset Date: 01/02/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: COVID-19 screening test 01/05/2021

Allergies: Cats

Symptoms: Approximately 5 days after receiving the vaccine I woke up and my left arm was sore to extend and to the touch. On the side bicep and forearm. The next day I noticed a lump in my underarm. After that a raised red mark appeared on the outside of my arm near the injection site. Only used a warm compress.

Other Meds: levonorgestrel, vitamin C, vitamin D, levocetirizine

Current Illness:

ID: 0922591
Sex: F
Age: 50
State: NM

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

Lab Data: 1/5/2021: CBC, BMP, Troponinx3 taken and all within defined normal limits except WBC- 11.5 K/uL. Chest xray ordered and showed no significant findings

Allergies: No known allergies

Symptoms: Vaccinated 1510. Observed until 1530. at 1540 it was reported that she had chest tightness. no trouble breathing but substernal chest pain 8/10. Vital signs- Temp-97.9 Pulse-95 BP- 162/100 Resp- 22 oxygen saturation- 95 @ room air. 1600- transported to ER for evaluation and treatment.

Other Meds:

Current Illness: Hypertension

ID: 0922592
Sex: F
Age: 74
State: IN

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: On 1/2/2021, at the Hospital vaccination clinic we had a patient present for her appointment. Patient was greeted by a new patient registration person. Patient stated that her appointment was either yesterday (1/1/2021 or tomorrow 1/3/2021) when in fact her appointment was scheduled for 1/8/2021. The new registrar did not catch the upcoming appointment and made a new appointment for today. Patient received her first vaccination of Pfizer on 12/18/2020. Her second appointment was scheduled for 1/8/2021. She did not inform the registrar or vaccine administrator that she had received a previous shot. Subsequently, she received a vaccination of Moderna this morning. Patient has not responded to our attempts to reach for monitoring check and/or recommendations.

Other Meds:

Current Illness:

ID: 0922593
Sex: M
Age: 31
State: MA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: Seen by MD

Allergies: NA

Symptoms: Jaw pain and uncomfortable to bite down. Was seen at urgent care. MD prescribed naproxen and flexeril and adverse event has since improved.

Other Meds: NA

Current Illness: NA

ID: 0922594
Sex: F
Age: 36
State: NH

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: penicillin

Symptoms: A few hours after the vaccine my arm hurt. The next day (1/5/21) the body aches and nausea started. I wasn't worried because this is well known for side effects from the vaccine but I wasn't prepared for the heart palpitations and tachycardia I had for about 4 hours the night of 1/5/21. I had COVID in May 2020 and per my cardiologist probably had myocarditis that I am still taking a beta blocker for as a result of the COVID infection. There may or may not be a link between the immune response to the vaccine and my previous COVID complications. The morning of 1/6/21, I am pretty much back to normal.

Other Meds: Metropolol, atorvastatin

Current Illness:

ID: 0922595
Sex: F
Age: 40
State: NE

Vax Date: 12/24/2020
Onset Date: 01/02/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Rash appeared on 1/2/2021, last 36 hours and disappeared. Rash re-appeared on 1/5/2021 in the AM, large and red, slightly warm. No fever, no itching, no tenderness to touch. Got bigger over night and on 1/6/2021 rash still present.

Other Meds: Lexapro

Current Illness: none

ID: 0922596
Sex: F
Age: 44
State: NY

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

Lab Data: None

Allergies: Hives to a whey protein meal bar and shake (assumed)

Symptoms: It started with a neck ache, then chills ,muscle aches , headache, bone pain to my forearms and fever. 101.8 after Motrin, this morning 100.5.

Other Meds: Motrin for fever/body aches

Current Illness: None

ID: 0922598
Sex: M
Age: 50
State: NY

Vax Date: 12/29/2020
Onset Date: 01/01/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: bees

Symptoms: nauseous vomiting headache dizziness

Other Meds: valsarten/sertraline/tamulosin

Current Illness: none

ID: 0922599
Sex: F
Age: 31
State: NJ

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

Lab Data: none

Allergies: none

Symptoms: Sore arm, could not lift arm 1/5/2021 12:30PM - 11:00PM Sore arm 1/5/2021 11:00PM - current Nausea, fatigue 1/6/2021 7:00AM - current

Other Meds: none

Current Illness: none

ID: 0922600
Sex: M
Age: 35
State: IL

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: n/a - unknown

Allergies: n/a

Symptoms: Patient tolerated injection well. Post vaccination the patient was scheduling his second appointment when he passed out at our clinic. He fumbled around the room and hit his back on the chair. After patient came to we called his wife and contacted MD. Patient's wife drove him to medical facility to be examined and cleared.

Other Meds: n/a - unknown

Current Illness: n/a

ID: 0922601
Sex: F
Age: 26
State: MA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: NA

Allergies: NA

Symptoms: Left side of face and left forehead were numb. Lasted approximately one hour. Went away on it's own.

Other Meds: NA

Current Illness: NA

ID: 0922602
Sex: F
Age: 61
State: IN

Vax Date: 12/28/2020
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: none

Allergies: sulfa, ragweed, animal dander

Symptoms: 8 days later, after receiving vaccine, developed warm reddened, slightly raised 45X55mm area at injection site. Not painful. Slightly itchy. Will monitor to see how long it lasts or change in status.

Other Meds: Allegra, over 50 multivitamin

Current Illness: none

ID: 0922603
Sex: F
Age: 46
State: OH

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: none

Allergies: bactrim

Symptoms: same day felt run down "like crap". 1.5 hour later, felt heart palpitations. Nausea. That night was sweating profusely. Pain at injection site. Was not able to lift left arm (site of injection) at all. Following day, lost all control of left hand and experiencing tremors for about 10-15 minutes. Arm still not feeling right (8 days later). Still having palpitations and tenderness at injection site. Injections site still hot, red itchy.

Other Meds: estrogen pill, vitamins

Current Illness: none

ID: 0922604
Sex: F
Age: 50
State: FL

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: CXR-01/05/2021

Allergies: None

Symptoms: Nausea, weakness, joint pain, back pain and cough

Other Meds: Avalide; Cymbalta; Ibuprofen

Current Illness: None

ID: 0922605
Sex: F
Age: 42
State:

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Received Moderna lot 0225J20-2A on 12-29-2020 in the left arm. 1-5-2021 developed redness and soreness at insertion site. She state that one of her lymph node in her neck is also sore and swollen

Other Meds:

Current Illness:

ID: 0922606
Sex: F
Age: 45
State: TN

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: fever, chills, body ache, headache, vomiting and diarrhea The fever, chills, body ache and headache started around 8 pm, diarrhea started at 9:00 pm and vomiting started at 10 pm. The vomiting and diarrhea lasted until early morning hours (around 6:00). The fever, chills and body ache ended the next day. I took an Aleve around 10:00 am and the headache went away.

Other Meds: Pentasa,Imuran, B-12 injection and Ocella

Current Illness:

ID: 0922607
Sex: M
Age: 26
State: GA

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

Lab Data:

Allergies: N/A

Symptoms: Sore/nauseas stomach, light headed

Other Meds: N/A

Current Illness: N/A

ID: 0922608
Sex: F
Age: 58
State: KY

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: RED SLIGHTLY SWOLLEN ITCHING AT INJECTION SITE

Other Meds:

Current Illness:

ID: 0922609
Sex: M
Age: 28
State: MS

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

Lab Data: None

Allergies: None

Symptoms: 7 AM 01/06/2021: Soreness at injection site, fatigue 9 AM 01/06/2021: Soreness at injection site, fatigue, nausea

Other Meds: None

Current Illness: None

ID: 0922610
Sex: F
Age: 31
State: NJ

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

Lab Data: None

Allergies: none

Symptoms: Sore arm, could not lift arm 12:30pm - 11:00PM Sore arm 11:00PM - current Nausea 7:00am - current

Other Meds: none

Current Illness: none

ID: 0922612
Sex: F
Age: 45
State: NC

Vax Date: 12/28/2020
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: none

Allergies: Allergies to wasps and hornets. Receive allergy shots every 8 weeks since ~2001 for these.

Symptoms: Raised, red, itchy rash on injection arm. Treated with topical hydrocortisone, oral cetirizine, oral famotidine. Rash resolved by approximately 90% after ~3-4 hours post-medications.

Other Meds: None

Current Illness: None

ID: 0922613
Sex: F
Age: 49
State: NY

Vax Date: 12/27/2020
Onset Date: 12/27/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: Not recorded at this visit.

Symptoms: This is not an adverse report. This is a report of suboptimal injection. The nurse reports that some of the vaccine "ran down the subject's arm" after injection. The cause of this is unknown - perhaps a leaky hub or improper injection technique.

Other Meds: Not recorded at this visit.

Current Illness: Not recorded at this visit.

ID: 0922614
Sex: F
Age: 28
State: FL

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: n/a

Allergies: sulfa, cefdinir

Symptoms: Extreme fatigue day of vaccine. Headache, fever, body aches, nausea, dizziness two days post vaccine. One week post vaccine developed redness at injection site. Redness has been spreading and is warm to the touch. Pain at the injection site and radiating up and down left arm.

Other Meds: Synthroid 88mcg qd, Oxcarbazepine 150 mg BID, Lamotrigine 200mg one-half q am and 1 q pm, Venlafaxine ER 75mg 1 qd, Carvedilol 3.125mg BID

Current Illness: none

ID: 0922615
Sex: F
Age: 37
State: IL

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

Lab Data: went to the ER for treatment. got cetirizine, dexamethasone, Epinephrine, famotidine. They keep me for 2 hours to make sure i felt better, witch i did and went home. But still have the tingly all over my face.

Allergies: n/a

Symptoms: 1) Throat got tight 2) numb around my mouth 3) felt like i had nauseating, water in my mouth 4) tingly all over my face

Other Meds: n/a

Current Illness: n/a

ID: 0922624
Sex: F
Age: 38
State: MD

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Grass Amoxycillian

Symptoms: swollen, red, hot, itchy, circle about 9 cm circumference with right arm pain directly around injection site. in addition, a cold sore on the same day.

Other Meds: Vitamin C Ashwagandha Keratin Astaxanthin Collagen

Current Illness: n/a

ID: 0922625
Sex: F
Age: 75
State: TN

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Chills, fever, muscle and body aches, headache, fatigue, vomiting and nausea for three days. Right arm sore and a rash with smelling

Other Meds: Aspirin Levothyroxine Plavix Atorvastatin coreg Gabapentin Isosorbide Mono er

Current Illness: none

ID: 0922626
Sex: F
Age: 64
State: IN

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

Lab Data:

Allergies: Erythromycin and penicillin.

Symptoms: About 2 hours after injection, patient felt a big lump on throat to the point of it almost closing. Pt got over the counter benedryl and took some on her way home from work where she received the vaccine. Had chills during the night. Patient still has lump on throat but it is about 50% recovered. Throat is sore also and voice changed a bit.

Other Meds: Valsartan 40 mg and Euthyrox , Liothyronine Vitamin c, B12.

Current Illness: no

ID: 0922627
Sex: F
Age: 62
State: OH

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: N/A

Allergies: Sulfa Sensitivity to Iodine

Symptoms: Report of hives, body aches, soreness in the arm

Other Meds: Benadryl Allegra Flonase Adderall Naproxen

Current Illness: Unknown

ID: 0922628
Sex: F
Age: 44
State: TN

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: No test done.

Allergies: none

Symptoms: I got the vaccine and three hours later I had both legs below the knee go numb and start tingling . They are still tingling today but the numbness went away the day after I had the vaccine.

Other Meds: URSODIOL CAP 300 mg

Current Illness: none

ID: 0922629
Sex: F
Age: 36
State: CA

Vax Date: 12/26/2020
Onset Date: 12/29/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Severe joint pain and muscle aches rash on hands

Other Meds:

Current Illness:

ID: 0922630
Sex: F
Age: 32
State: IA

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

Lab Data: none

Allergies: none

Symptoms: Mild headache and light headed for around 2 hours. Dry mouth for around 4 hours. I took 500mg Naproxen for the headache, and drink water for the dry mouth

Other Meds: Rizatripan, Spironolactone

Current Illness: none

ID: 0922631
Sex: M
Age: 58
State: CT

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

Lab Data: None

Allergies: no

Symptoms: Aches, Dizzy, Chills, high pulse rate, cant sleep

Other Meds: simvistatin - lethrodroxine

Current Illness: none

ID: 0922632
Sex: F
Age: 17
State: AR

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient was vaccinated and is under 18. Patient has had no adverse reactions

Other Meds:

Current Illness:

ID: 0922633
Sex: F
Age: 40
State: IA

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: n/a

Allergies: cockroaches, dustmites, methyldilbromo glutaronitrile/phenoxyethanol (MDBGN/PE-Euxyl K 400), Sodium benzoate, Cobalt (II) sulphate, Copper sulphate, glutaraldehyde, nickel sulfate hexahydrate, cobalt (II) chloride hexahydrate, 1,3-diphenylguanidine, iodopropynyl butylcarbamate, carvone, fragrance mix II, sorbic acid, stearyl alcohol, sodium disulphite

Symptoms: 1 week after injection (1/5/21), I developed hives around the injection site. They went away on their own last night and a red, swollen circle remains today.

Other Meds: n/a

Current Illness: n/a

ID: 0922634
Sex: F
Age: 28
State: NY

Vax Date: 12/29/2020
Onset Date: 01/03/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: Dr. stated possible late reaction as well as a bacterial infection at the injection site. He ordered cephalexin 1/6/2021 as well as labs ordered 1/6/2021 to check CMP w/ Egfr, CBC w/ Auto Diff, C- Reactive Protein.

Allergies: Augmentin

Symptoms: Very minimal pain after initial shot on 12/29/2020. Pain subsided and I was well for 6 days no reactions. On 1/3/2021 my armpit became very swollen and painful, on 1/4/2021 the Right arm where I received the injection became severely painful, dull throbbing ache from shoulder down to my fingers. On 1/5/2021 my Right arm was now swollen, hot to the touch and a small red circle was forming on my bicep and pain continued to worsen. Today 1/6/2021 I saw my primary care physician that confirmed there is swollen lymph nodes in the arm pit and swelling at the site. The redness of the spot increased in size from the size of a dime to now the size of a half dollar.

Other Meds: Clonazepam 1mg PRN, Medroxyprogestrone 1mL IM injection Q 3 months, Levothyroxine 25 mcg QD, Tylenol 500mg PRN

Current Illness: None.

ID: 0922635
Sex: F
Age: 55
State: WA

Vax Date: 12/20/2020
Onset Date: 12/20/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: Allergic to Percocet and Vicodin

Symptoms: Within five minutes of the vaccine my face broke out with a rash and was warm to the touch. Doctor took my blood pressure and it was fine, recommended Benadryl when I got home.

Other Meds: Bupropion, 150mg Doxyclycline Hyclate, 20mg Vitamin B-12, 2mg

Current Illness: None

ID: 0922636
Sex: F
Age: 67
State: TN

Vax Date: 01/01/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: The patient experienced swelling at the injection site. The swelling occurred at the upper arm. The patients arm was hot as well.

Other Meds: Multivitamin, fish oil, vitamin D + calcium, telmisartan, hydrochlorothiazide, oxybutynin, atorvastatin, dexilant, trazodone, otezla, sulfasalazine, tizanidine, carvedilol, alendronate, fluticasone, symbicort, pratrop, naproxen, lamotrigine

Current Illness: None besides chronic conditions

ID: 0922637
Sex: F
Age: 39
State: CT

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

Lab Data:

Allergies: Penicillin (swelling), ondansetron (lump in throat), codeine (throat swelling), walnut (anaphylaxis)

Symptoms: Patient reported "lump in throat" to RN observation staff about 20 minutes post-vaccination. MD examined patient, patent reports throat tightness, HYPERtension, cough, dizziness, headache and nausea. Administered EpiPen 0.3 mg IM left thigh and diphenhydramine 25 mg IV. EMS called, reported within 5 minutes and transported to hospital for evaluation. By time of transport, patient reported improvement in respiratory symptoms.

Other Meds: norethidrone 0.35 mg daily

Current Illness:

ID: 0922638
Sex: F
Age: 61
State: IN

Vax Date: 12/28/2020
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: n/a

Allergies: Sulfa, ragweed, animal dander

Symptoms: 8 days after receiving dose #1 of the COVID-19 vaccine, upper arm developed warm reddened, slightly raised 45x55mm area at injection site. Not painful. Slightly itchy. Will monitor to see how long it lasts or change in status.

Other Meds: Allegra, MVI for over 50

Current Illness: none

ID: 0922639
Sex: F
Age: 61
State: OH

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

Lab Data:

Allergies:

Symptoms: severe headache, hot, flush, nausea. patient took own ibuprofen from purse

Other Meds:

Current Illness:

ID: 0922640
Sex: M
Age: 64
State: MN

Vax Date: 12/18/2020
Onset Date: 12/29/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 64-year-old male who presented to the clinic with complaints of left-sided weakness on his face. He stated when he woke up this morning he noticed that the left side of his mouth drooped and that he could not close his left eye all the way. Yesterday he felt fine. Today he went to work. Patient stated that on 12/18 he got the COVID vaccine. It was on a Friday. The following day he had a headache and he felt flu-like. He stated that those symptoms resolved quickly. He then had the facial weakness today (11 days after the vacciantion). He has not had any fever, sweats, or chills. Patient stated that he had called ask a nurse, and he was advised to hang up and call 911 and go to the emergency room. However, he stated he was an EMT and did not feel that was necessary. He denies headache. He has not had any vision change. He has been eating and drinking well without any difficulty. PHYSICAL EXAMINATION: General appearance - patient was not in any distress. He was conversant, pleasant and appropriate. HEENT - normal conjunctivae and lids. Sclerae anicteric. Pupils equal and reactive to light. Patient was not able to close his left eyelid. Normal ear canals. TMs are pearly gray with bright light reflex. Neck - supple. No lymphadenopathy. Skin - pink, warm and dry. Neuro - alert and oriented. Deep tendon reflexes 2+ upper and lower extremities with no focal weakness. Normal range of motion. Patient can raise his right eyebrow. Could not raise his left eyebrow. There was impaired eyelid closure on the left; tight closure on the right. Smiling of the face revealed lateralization to the right side. When frowning, he had upper and lower facial paralysis on the left with flattening of the forehead. The patient could not tighten the left side of his mouth. ? ASSESSMENT: Bell's palsy. ? PLAN: Discussed pathophysiology of Bell's palsy. Advised patient I recommended him to call the number that he got with the information when he received his COVID vaccine. Advised patient that I could not definitively correlate the Bell's palsy with the COVID immunization, but that he can call the number he has to let them know of his symptoms. Discussed treatment options. Since patient woke up with his symptoms this morning, I advised patient that he would have hopefully the best outcome because he would be able to get on the steroid and antiviral soon after developing the symptoms. He is to wear an eye patch to prevent corneal drying or abrasion of the left eye at night. Using Lacri-Lube at night before placing the eye patch and then following up by using artificial tears during the day. ? Patient was placed on prednisone 60 mg once a day for 1 week to be taken with food. Valtrex 1,000 mg 3 times a day for 1 week. ? Side effects of medication discussed. Handouts were provided. He will follow up with PCP if any changes or concerns. Advised patient that it may take up to 3 weeks before all his symptoms have resolved

Other Meds:

Current Illness:

ID: 0922641
Sex: F
Age: 32
State: MT

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: none

Allergies: chlorahexadine

Symptoms: Starting the evening of 1/5/2021, week after shot, the injection site is red, swollen, itchy and hot

Other Meds: Aller-Tec

Current Illness: none

ID: 0922643
Sex: F
Age: 30
State: TX

Vax Date: 12/26/2020
Onset Date: 12/26/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: rosphyane, tomatoes, shell fish, red, iodine

Symptoms: First I started itching really badly starting in my head then working its way all over my body then my blood pressure went up to 158/108. Recheck and it was 158/98, went home and took some benadryl.

Other Meds:

Current Illness:

ID: 0922644
Sex: F
Age: 28
State: VA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Chills, body aches, fatigue

Other Meds: Lexapro and Otezla

Current Illness: None

ID: 0922645
Sex: F
Age: 66
State: MI

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Morphine, codeine, erythromycin

Symptoms: Severe headache and nausea

Other Meds: None

Current Illness: None

ID: 0922646
Sex: M
Age: 66
State: MO

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: None taken.

Allergies: Don't laugh, ripe black olives

Symptoms: Starting about 16 hours post-injection, left arm was becoming very sore and painful to move.. almost 24 hours post-injection I started getting strong chills. I was shivering and chattering on the walk out to the car (it was 30 degrees outside). When I got home, even though it was New Year's Eve, I put a light jacket on and sat in my cozy chair most of the evening, celebrated New Year's with the family, then I had to put on flannel pajamas in order to be warm enough to sleep. I usually don't have to wear pajamas to bed. And for most of New Year's Day I kept the pajamas on and a light jacket and I was in my chair most of the day trying not to shiver. The shivering finally stopped late on the First, about 54 hours post-injection. And over the weekend the pain in my arm slowly went away, and by now, one week post-injection, I feel no pain in my arm at all.

Other Meds: Hydrochlorothiazide, Toprol, Metformin, Eloquist

Current Illness: None

ID: 0922648
Sex: F
Age: 61
State: NJ

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Shortly following vaccination, employee reported tongue tingling. She had no difficulty swallowing or breathing. She was evaluated by the physician present at the clinic who felt it might be angioedema. She was observed for an extended time and cleared to return to work at the hospital. No treatment was given.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm