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: 0977552
Sex: F
Age: 23
State: AR

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: NA

Allergies: no

Symptoms: fever, fatigue, body aches

Other Meds: None

Current Illness: None

ID: 0977553
Sex: F
Age: 46
State: MI

Vax Date: 01/11/2021
Onset Date: 01/20/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Approximately 1 week after vaccination client stated developed a slightly itchy, warm, red rash below the COVID vaccination site. Person showed a picture of the rash on her phone and stated rash was still present. Rash area was red, maculopapular, and spread around 75% of the upper arm just below the vaccination site and approximately 2 inches wide. Client did not seek medical attention for the rash or any other symptoms.

Other Meds: Lisinopril, Hydrochlorothiazide, Metformin, Celexa, Vitamin C, Vitamin D, Zinc, Glucosamine OTC

Current Illness: None reported.

ID: 0977554
Sex: M
Age: 61
State: CA

Vax Date: 10/01/2020
Onset Date: 11/19/2020
Rec V Date: 01/27/2021
Hospital:

Lab Data: Negative work up for acute hepatitis, serum protein electrophoresis, HIV, Lupus panel, HTLV, Lymes, Anti-mitochondrial antibody, Quantirferon-TB, RPR, B12 deficiency and zinc deficiency. NMO/MOG Ab panel negative. Elevated levels of c3 and c4 are non-specific. Relevant labs: MRI imaging on 11/19/20 shows a longitudinally extensive transverse myelitis extending from C7 through the conus medullaris with cord expansion throughout and also enhancement from T7-T9.

Allergies: Coreg (dyspnea), dorzolamide, levaquin (anaphylaxis), lisinopril (hypotension), metformin

Symptoms: Suspected drug or drugs: Flu and PNA vaccine. Drug start and stop dates: early October. Description and date of reaction: Transverse myelitis vs dural AVF, any association with vaccines? A 61yo admitted on 11/19 for slowly progressive paraplegia over 3 months and patient reports getting the flu shot and pneumococcal vaccine in early October and after that he had left lower extremity edema and was given lasix and states he had acute onset of lower extremities weakness. . Of note, patient had previously received multiple times of Flu and PNA vaccine in the past years (last documented pneumonia vaccination was in 2017). Relevant medical history: N/L knee severe osteoarthritis, Afib on warfarin, Morbid obesity with BMI of 52, HFrEF. What was used to treat this reaction? PLEX, steroids, IVIG, Rituximab, and apheresis.

Other Meds: latanoprost (XALATAN) 0.005% Ophth Soln Multiple Vitamin (MULTIVITAMINS) netarsudil (RHOPRESSA) 0.02% Ophth Soln furosemide (LASIX) 40mg Tab digoxin (LANOXIN) 0.125mg Tab omeprazole DR (PRILOSEC) 40mg DR Cap fexofenadine (ALLEGR

Current Illness: Unknown

ID: 0977555
Sex: F
Age: 42
State: AZ

Vax Date: 01/15/2021
Onset Date: 01/23/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Sulfa, latex

Symptoms: Itching began 1/23/21 at site of injection. Upper arm became swollen in oblong shape around injection site, lasted 4 days. Oblong ring of red remains on arm and itchiness remains.

Other Meds: Bupropion XL 100mg, Junel 1/20

Current Illness:

ID: 0977556
Sex: F
Age: 35
State: MI

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: Initial EKG reassuring. Complete blood count unremarkable. Troponin <6, MP unremarkable and CXR negative.

Allergies: NKDA

Symptoms: Patient reported numbness and tingling following 2nd dose of vaccine. (also reported with 1st) Patient presented to the Emergency Department: 4 days following vaccination (1.24.21) with CHEST PAIN (Pt receive the 2nd dose of Covid Vaccine on Wednesday and since then she has had numbness/tingling and chest pressure. Hasn't been able to sleep and just feels funny. PT has HX of MS). Chest pressure started last night and is 5/10 in severity not reproducible on exam and not pleuritic. Vital signs stable at time of presentation. She is in moderate distress related to chest pressure. On exam she has diminished sensation on her entire right side of her body as well as numbness and tingling in her left hand. Discharge with instructions to follow-up with neurologist regarding numbness and tingling and to obtain MRA as planned

Other Meds: Gilenya, cholecalciferol, MVI

Current Illness: Patient had 1st COVID vaccine followed by numbness/tingling in her face. She states now the back of her head is numb as well as her left arm. She states she has tingling all over her body. She does have MS but hasn't had a flare up in a few years. Was seen for back pain in month prior to 2nd dose.

ID: 0977557
Sex: F
Age: 54
State: NY

Vax Date: 01/22/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: GI symptoms: diarrhea, nausea." Hives on my face" palpitations for the past couple of nights including last night, hot flashes, no fever

Other Meds:

Current Illness:

ID: 0977558
Sex: M
Age: 43
State: MA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Levaquin Percocet Hydrocodone

Symptoms: Chills (followed by heavy sweating), Aches, Head aches, sore throat, indigestion, fitful sleep/ dreams, increased heart rate. The big change from dose 1 to 2 is muscle twitching. The twitches coincide with the more extreme joint aches. Sore arm All started about 9 hours after vaccine. Sore arm was mitigated with movement and stretching (as compared to the first dose). Other symptoms have lessened since 7am (19 hours after shot), but linger. Ibuprofen seems to lessen, but not end eymptoms.

Other Meds: Ibuprofen b12 Claratin

Current Illness: None

ID: 0977559
Sex: F
Age: 33
State: UT

Vax Date: 01/12/2021
Onset Date: 01/20/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 33 Y O female presents with redness and knot and warmth to left upper arm. She received the moderna Covid vaccine about 9 days ago. Felt fine for couple of days without any reaction. However, she noticed the reaction mentioned above yesterday. Has applied cold pack, and rubbed with no improvement.

Other Meds:

Current Illness:

ID: 0977560
Sex: F
Age: 79
State: GA

Vax Date: 01/15/2021
Onset Date: 01/24/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: thinks Sulfur - at 5 years I had a reaction and never taken anything since with Sulfur

Symptoms: I do not remember if it was the 23rd or 24th but I noticed a little red/pink area. I have watched it everyday and it has gotten larger. It kind of itches but not a lot. It doesn't hurt when I touch it. As of today it is several inches across.

Other Meds: Lisinopril 40 MG once a day, Atorvastatin 10 MG at bedtime, Tacrolimus 0.1 ointment every night, Hydroxyzine between 5-10 MG at bedtime, Q10 300 MG, Vitamin D3 1000 IU, Turmeric with pepper 3/5 MG, Citrucel 2 tablets at bedtime, Biotin 50

Current Illness:

ID: 0977561
Sex: F
Age: 27
State: TX

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

Lab Data: COVID test performed at the walk in clinic and also flu test and blood was drawn. Both tests negative.

Allergies: None

Symptoms: After my shot I felt fatigued and body aches I slept most of the day and hydrated myself. The next day when I got up I had full blown sinus problems, headache, congestion, cough (progressed over a couple of days), throat and nasal pain/soreness. I felt that way until about the 01/02 or 01/03 and I was on antibiotics and fluids during this time period.

Other Meds: Nexplanon, Zyrtec

Current Illness: No

ID: 0977562
Sex: F
Age: 50
State: NM

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: BP 144/98 HR 77 BPM SP02 98% 4L of O2 via nasal cannula. Patient stated she felt dizzy and had mid chest pressure. Not radiating pain and some dizziness. No blurred vision, no nausea. Patient was placed supine and monitored for an elevated blood pressure. first BP was 180/110. HR was 101. Sat at 94% on room air. Had med history of cancer and other conditions. Normal VP baseline is usually low. Vital s taken before 2 EMTs and on-scene doctor. Patient recovered.

Other Meds:

Current Illness:

ID: 0977563
Sex: M
Age: 54
State: TN

Vax Date: 12/21/2020
Onset Date: 12/30/2020
Rec V Date: 01/27/2021
Hospital:

Lab Data: Holter monitor 1/6/21-1/8/21 Intermittent SVT, Echocardiogram 1/11/21 normal, Calcium score 1/27/21 normal. Chemistry analysis and thyroid functions normal.

Allergies: none

Symptoms: Onset of SVT, resolving after 10 day; worsening of hypertension; first occurrence of shingles (herpes zoster recurrence)

Other Meds: lisinopril 10 mg daily

Current Illness: none

ID: 0977564
Sex: F
Age: 26
State: WI

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Bell peppers

Symptoms: DATA: 2:45pm: Pt scheduled for first dose Moderna COVID-19 vaccine today. Allergies and appropriateness for injection reviewed with pt prior to immunization. Pt reported bell pepper allergy only and denied prior use of epi pen. Pt received immunization at 2:45pm and waited in waiting room for 15min. 3:00pm: This RN evaluated pt for response to vaccine. Pt reported her neck was itchy, anterior neck assessed which showed multiple red "hive-like" spots. Pt was brought back to procedure room and informed that a provider would need to evaluate her. Provider evaluated pt. This RN then assisted per provider with interval vitals and assessments and medication administration of the following: 3:06pm VITALS: 123/80 bp; 73 HR 3:07pm MEDICATION: Administered per verbal of BJB solumedrol 125mg/2ml (lot AK5128, exp 10/21), 2mL administered in R dorsal gluteal. Pt had site tenderness, otherwise tolerated well. 3:07pm MEDICATION: Diphenhydramine 25mg two capsules administered to patient. Exp 1/2021. 3:20pm VITALS/LUNGS: 128/78 bp; 58 HR; 96% O2 on room air; clear lung sounds bilat. 3:35pm Pt reported feeling dizzy and that her throat was itchy. Vitals and assessment done by this RN; provider called in to room who evaluated further. 3:35pm VITALS/LUNGS/THROAT: 125/87 bp; 69 HR; 97% O2 room air; clear lung sounds bilat; throat check, no visible swelling. 3:50pm Pt reported feeling hot as well as throat slightly swelling. Denied dizziness. Vitals and assessment done by this RN; provider called in to room who evaluated further. 3:50pm VITALS/LUNGS/THROAT: 108/79 bp; 66 HR; 98% O2 room air; clear lung sounds bilat; throat check, no visible swelling. 4:04pm MEDICATION: This RN administered per verbal of BJB, Epi pen 0.3mg lot OFM128 exp 09/30/21 in to pt's right vastus lateralis. Pt tolerated well. 4:05pm VITALS/LUNGS/THROAT: 120/79 bp; 68 HR; 97% O2 room air; clear lung sounds bilat; no visible throat swelling. 4:15pm Pt reported lessened throat swelling sensation. 4:15pm VITALS: 116/77 bp; 78 HR; 97% O2 room air. Pt reported continued sensation of throat swelling sensation to provider. Pt refused EMS and agreed to further treatment of 2nd epi pen and famotidine IV. 4:25pm MEDICATION: This RN administered per verbal of BJB, 2nd Epi pen 0.3mg lot OFM128 exp 09/30/21 in to pt's left vastus lateralis. Pt noted site tenderness upon injection, otherwise tolerated well. 4:35pm MEDICATION: Pt began IV drip of famotidine 20mg/50ml over 15min through left arm. 4:40pm VITALS: 129/80 bp; 80 HR; 96% O2 room air. Pt's mother arrived to help pt home. 4:45pm VITALS: 126/78 bp; 83 HR. 4:50pm IV disconnected and pt was assisted with transferring to wheel chair. Discharge instructions for pt included provider recommending she go to ED for further evaluation. Pt refused. Provider sent pt home with #8 capsules of benadryl 25mg PO two Q4-6hrs; x2 epi pen pack of 0.3mg each, lot OFM128, exp 09/2021; provider also gave recommendation for pt to use triamcinalone pt already had on hand at home topically for red spots on anterior neck BID 7-10days and to avoid hot showers. This RN educated patient on epi pen administration, instructing her to try and do it while sitting due to affects on heart; to remove from plastic case, remove blue top, and to dart perpendicularly into outer middle thigh, hold for 3 seconds. Pt instructed to contact office for any questions and to seek emergency medical care for any worsening. Pt referred to allergist for consultation and approval for 2nd COVID-19 Moderna dose. Pt stated understanding.

Other Meds:

Current Illness: Pityriasis versicolor - upper chest and back. Diagnosed 1/5/21.

ID: 0977565
Sex: M
Age: 82
State: NY

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Urine turned dark brown. After drinking large amount of water, it cleared up in one day.

Other Meds:

Current Illness:

ID: 0977566
Sex: F
Age: 25
State: TX

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: N/A

Allergies: Seasonal & salmon

Symptoms: Woke up around 5AM with a severe headache and tenderness at injection site. Throat was also very dry. Was not able to go back to sleep due to pain. Checked temperature around 7AM and it was at 99.6. Took a rescue medication for the headache. Headache still has not gone away. If not drinking something, throat becomes dry within minutes. Dizzy when standing and it is exhausting to move/walk around. Checked injection site around 9:30AM, site is very red and swollen, redness is about the size of a strawberry. Have the chills. Checked temperature at 9:40AM and temperature is now at 101.3. Heart is also pounding and beating very fast. Called local urgent care to determine if medical assistance was needed, they were vague and said they do not know how/if they could help or treat me but I was welcome to make an appointment with a current wait time of 90 to 120 minutes.

Other Meds: Birth control, amitriptyline

Current Illness: N/A

ID: 0977567
Sex: F
Age: 71
State: FL

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: Kerflex, Amoxicillin, and Naproxen.

Symptoms: COVID-19 vaccine EUA. My shot was on Thursday morning. Sunday morning I woke up and the instant I moved the world swirled around me. I have never experienced that sensation before. Every time I changed position or moved my head the swirling happened for five days. The swirling lessened daily afterwards for about 3 more days. I messaged my Dr. But didn't go to see anyone.

Other Meds: Cuturell, chicory, Atorvastatin, Tylenol, and maybe Claritin.

Current Illness: none

ID: 0977568
Sex: F
Age: 37
State: MA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt presented to COVID vaccine clinic today and developed a mild reaction after receiving her first Pfizer vaccination. Denies hx of known allergies or hx of anaphylaxis reactions. Pt reported palpitations and metallic taste in mouth 15 minutes after receiving the vaccination as well as a slight tightness sensation in her throat like there was something stuck in her throat. Metallic taste resolved after a few minutes. Pt denied SOB, swelling of face/tongue/throat, difficulty swallowing, nausea, rash, itchiness, dizziness. No visible swelling. BP: 127/66 HR: 80 O2: 100% Paged Allergy. Pt advised to stay for 30 more minutes and reassess. After 30 minutes pt reported palpitations had resolved. Throat symptoms improved but not completely resolved. Paged Allergy again to check in. Advised to give Zyrtec 10 mg and observe to see if there is any improvement

Other Meds:

Current Illness:

ID: 0977569
Sex: M
Age: 70
State: GA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: Allergic to tetanus shot

Symptoms: Fever of 99. 6 the morning after the shot, in the afternoon it went up to 100.1 and stayed that way until morning of 1/27/2021, chills, fatigue, night sweats, no appetite, achy, wheezing at night, coughing

Other Meds: Blood pressure medicine, fluid pill, potassium, gout medicine, Singulair, diabetes Bacformin, thyroid pill

Current Illness: Covid on 12/15/2020

ID: 0977570
Sex: M
Age: 73
State: MI

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: At approximately 2:35pm on 1/7/21 I drew up 0.5mL of Moderna COVID-19 vaccine in a 3mL syringe attached to a 1.5 inch safety needle. The safety needle and syringe came already attached to one another in a sterile package. I had no difficulty drawing up the vaccine. I was able to inject the needle into the patient's right deltoid without difficulty and began pushing on the syringe plunger. Part of the way through administering the vaccine, the needle separated from the syringe and the remaining vaccine was sprayed from the syringe and onto the patient's arm. Since I couldn't confirm how much vaccine was or wasn't administered, I informed the patient that giving another dose would not be indicated. I confirmed this with the clinic supervisor and the nurse practitioner working the clinic with me. I monitored the patient for 15 minutes after the injection and he had no difficulties or reactions. Discussed efficacy concerns with the patient and advised him to return in 4 weeks for his booster dose. Patient verbalized understanding.

Other Meds:

Current Illness:

ID: 0977571
Sex: F
Age: 55
State:

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: Office visit on January 27 2021

Allergies: None

Symptoms: Patient reported L neck and shoulder stiffness, sore throat with difficulty swallowing, and bumps on the back of her tongue that developed 1 day after receiving the second dose of the Moderna vaccine and resolved with Alka-Seltzer cold and flu tablets by January 27 (time of visit with provider).

Other Meds: Cyclobenzaprine, hydrochlorothiazide, vitamin C, vitamin D3, ibuprofen

Current Illness:

ID: 0977572
Sex: F
Age: 39
State: FL

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Soreness and swelling at the injection site, panful sensation while lifting the arm, chills, headache, fatigue, drowsiness.

Other Meds: Iron, vitamin D3

Current Illness: anemia, elevated liver enzymes

ID: 0977573
Sex: F
Age: 56
State: MD

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Asprin

Symptoms: about three hours after adminstration severe chills, fever (100), weakness and muscle aches and headache and nausea -- took fluids tylenor and advil and fever and chills subsided around midnight and just have residual body aches, and muscle weakness

Other Meds: Juice Plus vitamin

Current Illness: none

ID: 0977574
Sex: F
Age: 42
State: GA

Vax Date: 01/14/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Na

Symptoms: Red raised oblong rash at injection sight and upper arm. Slightly itchy. Sore armpit and breast left side

Other Meds: Victoza, metformin

Current Illness: Na

ID: 0977575
Sex: F
Age: 32
State:

Vax Date: 01/16/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Itchy, warm rash developed on upper left arm approximately 9 days after receiving vaccine. Rash is a 7? x 3? area on day 11. Light pink on the inside with a darker ring around the edge.

Other Meds: None

Current Illness: None

ID: 0977576
Sex: F
Age: 77
State: GA

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Arm redness still present after 1/11 dose until present date 1/27. Area of redness seems to be growing in size.

Other Meds: Irbesartan klor-con Lyrica Oxcarbazephine furosemide atorvastatin probiotic melatonin Super B complex

Current Illness: Lung Cancer

ID: 0977577
Sex: M
Age: 32
State:

Vax Date: 01/08/2021
Onset Date: 01/24/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: R torso shingles, ~T10 dermatome

Other Meds: none

Current Illness: none

ID: 0977578
Sex: F
Age: 67
State: AR

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: January 8th, I experienced flu like symptoms (aching, tiredness) which I understand this is normal. These symptoms lasted only aprox. four hours. The other reaction, the one I am concerned about is that my bottom lip began to swell. The swelling continued throughout the night, swelling 3x normal size. It began to recede back to normal within 48 hours. Also, my lymph nodes under my right arm ( the injection arm) was very sore for 48 hours as well.

Other Meds: Prescriptions: Temazepam 15 mg, buPROPion HCL HL 300 mg vitamins: c, b, d, k, calcium, ortho biotic

Current Illness: none

ID: 0977579
Sex: U
Age: 32
State: KY

Vax Date: 01/26/2021
Onset Date:
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: When the nurse went to draw up last dose for patient only 0.3 ml was in the vial. Emailed the Department of Public Health Immunization Branch, was directed to the regional preparedness and informed to complete VAERS report. Another facility contacted in hopes to get the booster dose for the patient. Currently, awaiting call.

Other Meds:

Current Illness:

ID: 0977580
Sex: F
Age: 40
State: AR

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: n/a

Symptoms: After receiving vaccination, patient stated she felt dizzy. I sat her down in the designated Covid chairs and advised that she wait here for 30 minutes, I got her a water and a cool towel. After the 30 minutes she said she had a headache and still felt dizzy so I gave her 25mg of benedryl liquid. After about 10 minutes she said she was feeling better and was going home.

Other Meds: n/a

Current Illness: n/a

ID: 0977581
Sex: F
Age: 18
State: IA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: Developed a fever of 102.7 at 2000 on 1/21/2021 with a headache and chills with sweating. Noticed generalized weakness. When she work up on 1/22/2021 she noted hearing loss bilaterally with a "ringing" sensation. This lasted approximately 1 minute. She has never experienced this sensation before.

Other Meds: depo-provera

Current Illness: none

ID: 0977582
Sex: M
Age:
State: AZ

Vax Date:
Onset Date:
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0977584
Sex: M
Age: 79
State: AL

Vax Date: 01/18/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: no known allergies

Symptoms: Arm started swelling, has a hard place, and a lot of itching.

Other Meds:

Current Illness:

ID: 0977585
Sex: M
Age: 55
State: IN

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: After dose two - immediate feeling of fogginess then twelve hours later severe chills and headaches Muscle and joint aches along with headache lasting 48 hours

Other Meds: Voltaren Vit D

Current Illness:

ID: 0977586
Sex: F
Age: 34
State: TX

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: Told patient IF she get worse/or has airway difficulty GO to An ER. Think about seeing her PCM

Allergies: none

Symptoms: 25 Jan evening-fatigue, sleepy, injection site red, HA, runny nose 26th Jan 2021-more fatigued, low back, hips, legs achy, runny nose, HA 27th January-SAME-nose stopped running, increased fatigue, site of injection-more red/swollen, rt armpit-achy & swollen Treatment-she said she took an aleve this AM-27th Jan, and she will get some PEDILYTE today to sip

Other Meds: Melatonin

Current Illness: no

ID: 0977587
Sex: F
Age: 21
State: NY

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Erythromycin and kiwi

Symptoms: Neck pain almost immediately after injection. Headache followed about 4 hours later. Continued to get worse. Very irritable and tired around 3 hours after injection. Advil did not help headache, only sleep did. Feeling much better now (~21 hrs post injection.)

Other Meds: Zoloft, Levothyroxine, multi vitamins, vitamin d

Current Illness:

ID: 0977588
Sex: F
Age: 22
State:

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received Covid Dose #1 vaccine on 01/25/2021. Patient felt well immediately after receiving vaccine. 30 minutes later, she stood up and started to feel lightheaded, nauseous, and dizzy. She also experienced bilateral leg weakness - legs gave out under when she tried to stand. Feels some subjective shortness of breath. She has experienced similar constellation of symptoms plus palpitations in past related to her tachycardia-induced myopathy. Patient admitted to observation for monitoring same day 1/25/21 at 1618. Patient did well in observation overnight, no acute events. Patient was discharged at 1035am on 1/26/21. Patient instructed to follow up with primary care physician in 1-2 weeks.

Other Meds:

Current Illness:

ID: 0977589
Sex: F
Age: 33
State: CA

Vax Date: 01/25/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Non raised red rash over upper chest and back.

Other Meds: Tylenol/ibuprofen 14 hrs after vaccination. Prenatal vitamin daily

Current Illness: None

ID: 0977590
Sex: M
Age: 51
State: GA

Vax Date: 01/22/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Modern a COVID-19 Vaccine: Extreme fatigue started 1/25/2021 @ 09:30 I was at work and realized that I was very tired, I took the rest of the day off and went home and slept 4.5 hours and between Monday and today I have been sleeping approximately 16 hours a day. Also, I?ve noticed loose stool / diarrhea.

Other Meds: Daily multi-vitamin, omeprazole, move-free, antihistamine Loratadine 10mg, Vitamin D3, & CholestOff.

Current Illness: 1/7/2021 - 1/10/2021 had bad diarrhea and upset stomach had COVID-19 test from pharmacy and results were negative.

ID: 0977592
Sex: F
Age: 59
State: CA

Vax Date: 01/13/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: THIS IS NOW ABOUT 2 WEEKS AFTER THE SHOT, AND MY ARM BEGAN HURTING AGAIN, THERE IS A VISIBLE AREA OF REDNESS ABOUT 4-5 INCHES LONG, LIKE A PLUME, AND IT IS HOT

Other Meds: VITAMIN D, NOT EVERY DAY

Current Illness: NONE

ID: 0977593
Sex: F
Age: 71
State: MN

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 01/27/2021
Hospital: Y

Lab Data: While I don't know/think this stroke was caused by a stroke, I thought it was a reportable event.

Allergies: Aspirin

Symptoms: Patient is a 71-year-old female with PMH of type 2 diabetes, hypertension, hyperlipidemia, cataracts, glaucoma who was transferred from Medical Center as a stroke code after she presented there for right-sided weakness, facial droop and visual changes. Patient was given TPA in the past she was within window and she was then transferred here for further management. Patient's symptoms continue to resolve. She was admitted in the ICU and managed by neuro critical care and neurology. Further imaging including CTA head and neck, MRI brain did not reveal any stroke. An assessment of small vessel disease was made which likely resolved after TPA was given. Patient was assessed by PMR and PT/OT and deemed safe to go home with family care and no restrictions. Echo, telemetry and EKG showed no signs of cardiac involvement. Patient was started Plavix x21 days and chronic baby aspirin. She was also started on Crestor 20 mg daily. Patient is to follow-up with neurology in 3 months as she got TPA. She will also follow-up with her PCP on discharge.

Other Meds: amlodipine, simvastatin, metformin, losartan, omeprazole

Current Illness: Pt had strep throat that was treated on January 4, 2021

ID: 0977594
Sex: F
Age: 39
State: WI

Vax Date: 01/07/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: Positive COVID-19 nasal swab test

Allergies: Hydrocodone Codeine Latex Medroxyprogesterone Acetate Miconazole Nitrate Adhesives Tioconazole Pork Levofloxacin

Symptoms: Reinfected with COVID after caring for child with an active COVID infection. Below are my symptoms, and the approximate date they started 1/24 Abdominal discomfort, nausea, and fatigue started 1/25 Extreme fatigue, sore throat, chest tightness, fry cough, and worsening headache 1/26 Body aches, ear pain, feels like there's a lump in my throat 1/27 Neck pain/tension, face tingles like the tingling sensation when a cold sore is starting, eyes ache/burn

Other Meds: Adderall, escitalopram, Lamictal, spironolactone

Current Illness: Still having headaches from first COVID infection in September

ID: 0977595
Sex: M
Age: 35
State: NM

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chest Pain SOB Feeling hot 30 min- numbness to mouth Tingling to hands/fingers Rest and recovered.

Other Meds:

Current Illness:

ID: 0977596
Sex: F
Age: 32
State: CA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever body aches, chills, nausea, headache

Other Meds:

Current Illness:

ID: 0977597
Sex: F
Age: 65
State: RI

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: 0950 Pt c/o redness and itching to left posterior ear. Stated she self administered 50mg of Bendaryl at 0900 prior to vaccine and an additional 25mg while being monitored in the waiting room. 0958 Pt c/o continual itching. Pharmacy Supervisor notified. Pharmacy Supervisor escorted Pt to ED for further evaluation.

Other Meds: Benadryl 75mg [self administration of: 50 mg prior to vaccination, 25mg while being monitored], Pepcid, Zyrtec

Current Illness: N/A

ID: 0977598
Sex: F
Age: 61
State: IN

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: none

Allergies: Formaldehyde allergy

Symptoms: Approx 18 hours after the vaccine: Cold and hot flashes with chills (no fever) weakness, fatigue, slight left arm ache, loss of appetite, insomnia, body/joint aches. I took a couple of Aleve tabs 24 hours after the vaccine and then switched to 500 mg Tylenol 30 hours after the vaccine, with no relief of symptoms from either meds. I've been sleeping (taking 2 hour naps) and called off of work (I work in home health). Today, 1.27.21 I feel better, still having 'hot flashes' and some chills (again, without fever). I feel tired, slept last night for 12 hours (no further insomnia). I am eating, but really have no appetite.

Other Meds: Armour Thyroid 60 mg daily; Melatonin 10 mg nightly; Montelukast sodium 10 mg daily; BREO 200mcg/25 mcg inhalation daily; Estroven max strength 1 cap daily; Pseudoephedrine Hydrochloride 1/2 of 120 mg caplet daily; Welby brand MultiVite 2

Current Illness: none

ID: 0977599
Sex: F
Age: 63
State: NY

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: pt stated she got nauseated the night of the vax and when she woke up this she was dizzy and felt like the room had turned upside down. She is now feeling like she is trying to get a migraine headache. She called her PCP and has an appt scheduled for tomorrow 1/28/2021.

Other Meds: Vitamin D shot one day before, Topical Cream

Current Illness: tooth extraction, muscular pain

ID: 0977600
Sex: F
Age: 46
State: WI

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Red skin rash surrounding the injection site about 3.5 - 4 inches long and 2 - 3 inches wide.

Other Meds: trazodone, venlafaxine, lisinopril

Current Illness: None

ID: 0977601
Sex: M
Age: 48
State: WA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Mild Tingling in upper left arm left side of neck and face for a few hours, which remitted After 11pm: low grade fever, body aches and chills, headache

Other Meds: Levoxotyroine Singular Zocor Amlodipine Testosterone Wellbutrin Lunesta Multi Vitamin Melatonin

Current Illness: None

ID: 0977602
Sex: F
Age: 43
State: NY

Vax Date: 01/15/2021
Onset Date: 01/23/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: sore arm lower than injection site on same arm. lasted 2 days with sore throat and low grade fever. 8 days later (1/23/21) woke with very painful swollen arm in the same area that i had the pain in the 2 days immediately following vaccination. Area hard, hot and red. Appears to be growing and is more painful today (1/27/2021) Have begun icing the area intermittently.

Other Meds: biotin bupropion 200mg 2x/daily escitalopram 20mg 1/daily Chantix 1 pill/day Lunesta 3mg 1 daily Loratadine 10mg 1 daily bariatric vitamin stool softener

Current Illness:

ID: 0977603
Sex: F
Age: 51
State: VA

Vax Date: 01/19/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: penicillin sulfa containing drugs erythromycin

Symptoms: Muscle under injection site is hard and has a lump. Injection site is red, itchy, and swollen.

Other Meds: Pristiq Welbutrin Vit B complex Vit D Multivitamin

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm