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: 0922701
Sex: F
Age: 24
State: NH

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

Lab Data:

Allergies: None

Symptoms: Swollen lymph node left armpit

Other Meds: Montelukast, Sprintec birth control, Advair, ProAir

Current Illness: None

ID: 0922702
Sex: F
Age: 39
State: CA

Vax Date: 12/28/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Approximately 3 days after initial injection, experienced significant brain fog, aphasia, panic, headache, dropping things.

Other Meds: None

Current Illness: Iron-deficiency anemia

ID: 0922703
Sex: F
Age: 50
State: FL

Vax Date: 12/29/2020
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: morphine, adhesive tape

Symptoms: redness, warmth and swelling with cellulitis appearance 6 days after injection.

Other Meds: multivitamin, 1000mg vitamin C and pepcid 10 mg

Current Illness: none

ID: 0922704
Sex: F
Age: 38
State: IL

Vax Date: 12/31/2020
Onset Date: 01/02/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Saturday, 2 days after I started having pain in the back of my throat and on my tongue. Not like a sore throat but pain then I noticed a small white bump on the back of my throat. The next day, Sunday I had small white bumps or blisters on the side and bottom of my tongue and the cheek of my mouth. These were painful. They started going away on Tuesday and by Wednesday 1/6/21 they were almost gone.

Other Meds: Sprintec birth control, 25mg of Sertraline

Current Illness: none

ID: 0922705
Sex: F
Age: 35
State: MT

Vax Date: 12/23/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: 12 days following the vaccine administration I noticed redness on my arm around the injection site. This redness was hot to the touch and rather large, exceeding the deltoid muscle and going down into my bicep. I also felt radiating soreness into my armpit and left breast. The following day the rash had grown in size and felt hot to the touch on my entire upper arm with swelling and edema that affected the movement of my arm and hand. Continued soreness and pain in my armpit, left breast and down my arm into my fingers and up into my neck. I proceeded to go to the urgent care as directed by Clinic employee health and my PCP. There was I was diagnosed with cellulitis and prescriped Keflex for 7 days, 3x a day. It has been recommended that I seek further medical care due to my reaction, but this has yet to be scheduled.

Other Meds: Ortho-Cyclen 0.25mg Fish Oil Multivitamin Probiotic Magnesium

Current Illness: none

ID: 0922706
Sex: U
Age: 30
State: PA

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Unknown

Symptoms: Patient c/o palpitations. Elevated HR. Red Face. Red Upper Chest. Lightheadedness and presyncopal. HR initially 120 bpm; BP 145/91 Observed for 40 minutes. Able to be released. Feeling better after monitoring. BP recheck 137/84; HR 88 bpm

Other Meds: Unknown

Current Illness: Unknown

ID: 0922707
Sex: M
Age: 28
State:

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

Lab Data:

Allergies:

Symptoms: Moderna COVID-19 Vaccine EUA Day 1 just local injection site pain, no treatment. Day 2 local injection site pain, body aches x 24 hours, chills x 24 hour. No treatment.

Other Meds:

Current Illness:

ID: 0922708
Sex: F
Age: 32
State: VA

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

Lab Data: n/a

Allergies: No allergies to medications, food, or products. Only environmental allergens.

Symptoms: On 1/5/20 developed swelling and soreness, on 1/6/20 noticed that arm is red, mildly itchy, swollen, sore, and indurated.

Other Meds: N/A

Current Illness: anaphylactic reaction to rat bite

ID: 0922709
Sex: F
Age: 39
State: AR

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

Lab Data:

Allergies:

Symptoms: Patient felt itchy. One dose of liquid benadryl 25mg/10ml resolved the issue.

Other Meds:

Current Illness:

ID: 0922710
Sex: M
Age: 32
State: NY

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

Lab Data: None

Allergies: No

Symptoms: Rash appeared and was noticed the morning after. Round red patch in appearance. Resolved by day 3.

Other Meds: NO

Current Illness: No

ID: 0922711
Sex: M
Age: 33
State: NM

Vax Date: 12/31/2020
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: Sore arm, chest pain, back pain runny nose and cough

Other Meds: None

Current Illness: None

ID: 0922712
Sex: F
Age: 53
State: VA

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: none

Allergies: sulfa, poison oak and ivy

Symptoms: Developed a rash on the right arm where the injection site was.

Other Meds: hydroxine, trazodone, Alprazolam

Current Illness: none

ID: 0922714
Sex: F
Age: 51
State: MS

Vax Date: 12/31/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Chills

Other Meds: Vitamin C Vitamin D Zinc Multiple Vitamin

Current Illness: None

ID: 0922715
Sex: F
Age: 38
State: OH

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: ER labs workup only 12/28/20- no scans. Audiogram 1/4/21

Allergies: None

Symptoms: Received Vaccine 12/23/20 (Weds) at 12:30pm, in left upper arm. Severe (Vice-Like) headache in back of head 5 minutes after, lasted til next morning. Lots of Sneezing over weekend on days 2-4; Monday 12/28- woke at 4a and was extremely dizzy and almost lost balance-went back to bed. Again at 5a and 10am but added vomiting along with any movement, could only lie flat on back, any movement of head caused reaction. No taste when vomiting, minimal smell; came back later in day. Advised to go to ER for Covid Test, since I had worked closely with someone else positive the previous week. Husband had to call an ambulance when I couldn?t make it out of the bedroom due to weakness, true vertigo-room was completely spinning and couldn?t keep my balance, and severe vomiting with any upright movement. Covid test negative. ER diagnosed as BPPvertigo because no other outright viral symptoms; only sneezing before; but they noted fluid in my left ear- said wasn?t infected. Told them of headache in back left rear of head, behind ear, and pressure behind left eye. Positive Dix-Hallpike;nystagmus. Vertigo continued, even with medication through Thursday 12/31/20 and turned to dizziness that subsided by Saturday 1/2/21. Weds 12/30/20- severe left ear pressure, feeling of fullness; focal pain/headache in bone behind left ear began, and pressure behind left eye increased. Low grade fever 1/2/21-1/4/21 (99.9). Seen by ENT on 1/4/21 due to continuing symptoms; and was misdiagnosed originally by ER- diagnosed by ENT as Acute Viral Labyrinthitis and Vestibular Neuritis. As of 1/6/2021- symptoms continue. *suspected recovered from Covid March 2020

Other Meds: Vyvanse 70mg; Linzess 75 mg

Current Illness: None

ID: 0922716
Sex: F
Age: 30
State: IL

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

Lab Data: None

Allergies: No

Symptoms: Pain in site of injection, malaise, chills, retro orbital pain for approximately 24h.

Other Meds: Levothyroxine 100 mcg

Current Illness: No

ID: 0922717
Sex: F
Age: 68
State: OH

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

Lab Data: none

Allergies: erythromycin, Donnatal

Symptoms: Chills and fever of 101.6; took Ibuprofen. Fever was gone after several hours.

Other Meds: Vitamin D, low dose aspirin, riboflavin

Current Illness: none

ID: 0922718
Sex: M
Age: 26
State: WI

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

Lab Data:

Allergies:

Symptoms: Immediately after vaccine administration, patient reported he felt faint. Had flushed cheeks and increased blood pressure. Had patient recline and was monitored for 20 minutes and felt better.

Other Meds:

Current Illness:

ID: 0922719
Sex: F
Age: 48
State: CA

Vax Date: 12/28/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swollen Redish brown color at site itching swelling has gotten the size of her hand

Other Meds:

Current Illness:

ID: 0922720
Sex: F
Age: 49
State: MS

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

Lab Data: No lab tests. Symptoms occurred 5-6 hours after injection.

Allergies: Pencillin

Symptoms: Body Aches, Fever, Chills, Muscle Pain, Joint Pain, Severe Headache, Severe Fatigue. redness and swelling t injection site Severe Nausea, Face feels like its on Fire.

Other Meds: None

Current Illness: None

ID: 0922721
Sex: F
Age: 37
State: AZ

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

Lab Data:

Allergies: apples; amoxicillin

Symptoms: At minute 12 after injection (8:31am on 1/5/20), the pruritis started on my scalp and my back. I informed the volunteer at the end of the drive line. She offered to have EMS evaluate me, however I declined as I thought the reaction was mild. Over the next 10 minutes, after being released from the driveline, I was so itchy I wanted to literally rip all of my skin off. The back of my throat started to itch, but never felt tight or swollen. No SOB or chest tightness. I checked my temp at 8:45 and I was at 101.0 and HR was 110bpm. I am a PA working in dermatology and got to work and took 50mg of diphenhydramine PO but was not improving. One of the doctors I work with and I decided it was best for me to get checked out in urgent care. I had my MA drive me there and was seen immediately. I had a blotchy rash over my entire body, but not raised or hived. Temp was 100.6, HR 86 and BP 127/78, respirations 16/min O2 sat 98% and the itchiness was still severe but I could tell the diphenhydramine was kicking in. I was then given 40mg of famotidine PO and 10mg Dexamethasone IM in the right buttocks while in urgent care. After about 15 minutes, my symptoms were improving, but not resolved. I was released and went home to rest. Throughout the day yesterday (1/5/20) my heart rate would spike as high as 130bmp (my normal is 60-70bpm). Then it would come down within a few seconds to about 100bpm and steadily stay between 90-100bpm all day. Last night I was woken up at 3:30am (1/6/20) with a HR of 132bpm and O2 at 97%. I took a few deep breaths, and it slowly started to drop to 100bpm. Since 6:00am, I am steady at 70-80bpm with occasional spikes of 96-100bpm and I can feel when my heart is starting to race. I have my pulse ox on for the day and will continue to monitor my symptoms. I still have occasional pruritis, but it's tolerable. I was discharged from urgent care with PO Prednisone tapered dose, however, I am very shaky already and do not want to make it worse, so have not started it yet. Not sure if I should? And I would like to know if I should receive the second dose? If so, should I pre-medicate? Please let me know if you have any further questions about my event. Thanks.

Other Meds: none

Current Illness: none

ID: 0922722
Sex: F
Age: 41
State: WA

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Erythromycin

Symptoms: Painful/swollen/firmness x 1 week, red/itchy starting day 7, diffuse redness day 8, resolved day 9

Other Meds: Synthroid , bcp, mirena, calcium, vit. C, vit. D, dhea, DIM,

Current Illness: None

ID: 0922723
Sex: F
Age: 59
State: FL

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

Lab Data:

Allergies: Penicillins Amoxicillin-Pot Clavulanate Moxifloxacin Hcl Erythromycin Base

Symptoms: Numbness/tingling in fingers/hand approx 5 min after injection; pain in wrist approx 10 minutes after injection which has extended into hand 48 hours after injection

Other Meds: Vitamin D3 81 mg aspirin esomeprazole

Current Illness:

ID: 0922724
Sex: F
Age: 44
State: NE

Vax Date: 12/31/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: tender, swollen lymph nodes left clavicle area noticed 5 days following injection 1/5/21 only experienced sore lt arm 1st 24 hrs of injection

Other Meds: Aleve prn daily multi vitamin

Current Illness: none

ID: 0922726
Sex: F
Age: 5
State: OH

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

Lab Data:

Allergies: NO

Symptoms: Redness, pain, and swelling to area at injection site.

Other Meds: NO

Current Illness: No

ID: 0922727
Sex: F
Age: 46
State: PA

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

Lab Data:

Allergies:

Symptoms: states 40 minutes after her vaccine she developed facial parasthesias and numbness that eventually resulted in an "ache". No muscle weakness. This has since improved.

Other Meds:

Current Illness:

ID: 0922728
Sex: M
Age: 26
State: IL

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: None.

Symptoms: Pain at the injection site. Pain abolished within 48 hours.

Other Meds: None.

Current Illness: None.

ID: 0922729
Sex: F
Age: 65
State: MN

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Muscle aches at site and other parts of my body,chills and very tired and just felt like I had a virus but just for one day,felt back to normal the next day

Other Meds: Multivitamin,fish oil,calcium,glocosomine,red yeast rice

Current Illness: My husband was positive for covid around 11/25 and a week later i had symptoms of muscle pain and some exhaustion for a couple of days but always tested negative

ID: 0922730
Sex: F
Age: 41
State: MD

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

Lab Data:

Allergies: none

Symptoms: Employee received the Pfizer vaccine for the initial dose which was 12/17/2020 and received Moderna for the second dose on 1/5/202. Employee has had no side effects

Other Meds: none

Current Illness:

ID: 0922731
Sex: F
Age: 73
State: LA

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Allergen: Response to Allergen Iodinated Contrast Media :Not Specified Codeine Low Itching:Rash Dilaudid [hydromorphone]: Low Itching, Rash Keflex [cephalexin]: Low Itching, Rash Lyrica [pregabalin]: Low Rash Morpholine Analogues: Low Itching, Rash, Hallucinations Penicillins: Low Itching, Rash Percocet [oxycodone-acetaminophen]: Low Itching, Rash Percodan [oxycodone Hcl-oxycodone-asa]: Low Itching, Rash Sulfa (sulfonamide Antibiotics): Low Itching, Rash Tramadol:Low Itching, Rash Vicodin [hydrocodone-acetaminophen]:Low Itching, Rash Zoster Vaccine Live (pf): Low Rash

Symptoms: The patient completed her 15 minute observation with no post injection reaction. At 1:15 pm, the patient called complaining of right eye drooping, right facial tingling, mild shortness of breath, facial flushing and new onset headache. She arrived at ED at 2:06 pm presenting with facial swelling, tingling and shortness of breath. At that time, she stated her shortness of breath had actually improved and stated "probably just nerves". She still had a funny sensation in her face. She denied any focal numbness or weakness in her extremities. She stated she felt a little lightheaded. She had no sensation of throat swelling, difficulty swallowing. Physical Exam in ED: Constitutional: She appears well-developed and well-nourished. HENT: Head: Normocephalic and atraumatic. Eyes: EOM are normal. Neck: Normal range of motion. Cardiovascular: Normal rate and regular rhythm. Pulmonary/Chest: Breath sounds normal. No respiratory distress. Abdominal: Soft. There is no abdominal tenderness. Musculoskeletal: Normal range of motion. Neurological: She is alert and oriented to person, place, and time. Patient has symmetric facial numbness, she has right periorbital swelling causing what appears to be a facial droop however her mouth seems symmetric, she has negative Romberg's, she has full strength and symmetric sensation throughout Skin: Skin is warm and dry. Psychiatric: She has a normal mood and affect.

Other Meds:

Current Illness:

ID: 0922732
Sex: F
Age: 50
State: IL

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

Lab Data: NONE

Allergies: NONE

Symptoms: CHILLS, FEVER, HEADACHE, DIZZINESS, UPSET STOMACH

Other Meds: NONE

Current Illness: NONE

ID: 0922733
Sex: M
Age: 43
State: MA

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

Lab Data:

Allergies: None reported

Symptoms: Employee received the Moderna vaccine in the left arm and noted numbness in the left finger tips approximately 20 minutes later. RN assessed patient and patient requested additional assessment by our Medical Assistance Team (MAT). The MAT team transferred the patient to the Emergency Department for further care. Patient released from ED. Contacted the following day and stated he had an elevated heart rate in the ED and when it returned to normal, they released him with instructions to follow up with his PCP if the arm pain and tingling did not subside in 1-2 days. He states his left shoulder is painful today (1/6/21 10:00 am) and his left fingers are still tingling. Patient instructed to call Occupational Health for further guidance.

Other Meds: Unknown

Current Illness: Unknown

ID: 0922734
Sex: F
Age: 55
State: GA

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

Lab Data: None

Allergies: Penicillin

Symptoms: Fever, headache, joint pain, muscle pain, nausea

Other Meds: Metformin, zoloft, enalapril, crestor daily

Current Illness: None

ID: 0922735
Sex: F
Age: 22
State: MI

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

Lab Data:

Allergies: None

Symptoms: Chills/cold sweats, headache, fatigue, extreme soreness at injection site, body aches and pains

Other Meds: Lexapro, acyclovir, Junel, and Zyrtec

Current Illness: None

ID: 0922736
Sex: F
Age: 61
State: SD

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

Lab Data: NA

Allergies: amoxicillin, penicillin

Symptoms: body aches - 1 hour after 6:10 pm vaccination for several hours. None by the next morning.

Other Meds: sudafed

Current Illness:

ID: 0922737
Sex: F
Age: 47
State: TN

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

Lab Data:

Allergies: I'm only allergic to pollen, dust, and dander.

Symptoms: soreness and swelling at injection site in small area, chills, and headache.

Other Meds: Nexium, Aleve, Cymbalta, Claritin, Multi-vitamin for Women, birth control pill, CBD oil, Flonase, Plaquinil, and fiber supplements.

Current Illness: None

ID: 0922738
Sex: F
Age: 54
State: NY

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

Lab Data:

Allergies: Sulfa drugs

Symptoms: Severe pain, swelling, heat at site. Low grade fever, chills, fatigue for 2 days thus far.

Other Meds: Synthroid, edarbi

Current Illness: HTN, Hypothyroidism

ID: 0922739
Sex: F
Age: 46
State: MA

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

Lab Data: None

Allergies: NKDA

Symptoms: AFTER ADMINISTRATION OF 1ST DOSE MODERNA, PATIENT FELT FLUSHED THEN SOB AND TACHYCARDIC. PT WAS MADE SUPINE AND PROMPTED TO TAKE SLOW DEAP BREATHS; BP CHECKED 180/90, RECHECKED 176/87, RECHECKED 139/80. LAST BP CHECK 129/75. HR INITICLALLY 106 THEN NORMALIZED IN THE 80S. O2 WAS CONSISTANTLY AT 100%. PATIENT WAS MONITORED FOR 30 MINS, WAS OFFERED TO BE TRANSPORTED TO ED. PT DECIDED SHE WAS GOOD TO GO HOME. NO OTHER SIGNIFICANT SYMPTOMS NOTED- NEGATIVE FOR SWELLING, RASH, HIVES.

Other Meds: Unknown

Current Illness: Unknown

ID: 0922740
Sex: M
Age: 79
State: MA

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

Lab Data:

Allergies: Unknown

Symptoms: The next day, around noon time. reported increased malaise. That evening temp of 101.1 with increased fatigue.

Other Meds: Unknown

Current Illness: None

ID: 0922741
Sex: F
Age: 43
State: NE

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: NA

Allergies: NA

Symptoms: swollen and reddened area surrounding injection site

Other Meds: none

Current Illness: none

ID: 0922742
Sex: M
Age: 47
State: NE

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever (102.6' @ 0800 12-24-20), Body ache, Injection site pain, chills, fatigue, slight headache. Lasting until early morning hours of 12-25-20.

Other Meds:

Current Illness:

ID: 0922743
Sex: F
Age: 25
State: NC

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Right arm swollen at injection site

Other Meds: N/A

Current Illness: N/a

ID: 0922744
Sex: M
Age: 45
State: NJ

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

Lab Data:

Allergies: NKA

Symptoms: I experienced flushing with fever and chills starting the evening of the 4th and ending on the morning of the 6th

Other Meds: Humalog, pravastatin

Current Illness: N/A

ID: 0922745
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: Walnuts, Ansaids, Statins, Pennicinin,

Symptoms: extreme fatigue, headache, muscle aches, very sore arm, low-grade fever and chills

Other Meds: ALENDRONATE SODIUM 70 MG TAB AMLODIPINE BESYLATE 10 MG TAB FOLIC ACID 1MG TABLET LEVOTHYROXINE 200 MCG TABLET MONTELUKAST 10 MG

Current Illness:

ID: 0922747
Sex: M
Age: 42
State: NY

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

Lab Data:

Allergies: none

Symptoms: -Chills -Fatigue

Other Meds: none

Current Illness: none

ID: 0922748
Sex: F
Age: 35
State: SD

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

Lab Data: None

Allergies: Raglan

Symptoms: Left shoulder pain, itching and swelling starting a week after vaccination. Treated with ibuprofen and diphenhydramine. Symptoms ongoing as of today 1/6/2021

Other Meds: Citalopram 10mg

Current Illness:

ID: 0922749
Sex: F
Age: 29
State: NJ

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

Lab Data:

Allergies: Carrots Celery Watermelon

Symptoms: Weakness, fatigue, body aches, injection site soreness/became hot, fever rushes, lack of appetite, sinus pressure, post nasal drip

Other Meds: CVS Health D3 (50mcg) One A Day Women's Complete Multivitamin

Current Illness:

ID: 0922750
Sex: F
Age: 77
State: IN

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

Lab Data:

Allergies: none

Symptoms: Patient c/o itching and hives that evening and went to bed. Patient states she took a Zyrtec home dose. Patient denies any trouble breathing. Associate states she came to hospital to report the event just in case. Patient states the itching and hives have resolved at this time.

Other Meds:

Current Illness:

ID: 0922751
Sex: F
Age: 42
State: OR

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: itching at the injection site then a red rash at the injection site

Other Meds:

Current Illness:

ID: 0922752
Sex: F
Age: 74
State: LA

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

Lab Data: N/A

Allergies: Codeine

Symptoms: Headache, sore arm, vomiting, diarrhea, chills Took injection @ approx. 10:45 am on 1/4/21; symptoms started about 3:30pm and lasted from 6-8 hrs. Headache & sore arm lingering on 1/6/21.

Other Meds: Morning: (didn't take 1/4/21) Metaprolol Tartrate, Digoxin, Levothyroxine, AReds2 Evening: Montelukast, Ibuprofin PM, Vitamin D, Atorvastatin, Magnesium

Current Illness: Had D&C on 12/16/20 for removal of vaginal polyp

ID: 0922753
Sex: F
Age: 47
State: AL

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

Lab Data:

Allergies: Flouroquinolones (Levaquin and Cipor)

Symptoms: Had a "histamine reaction" - Nose, mouth, eyes started itching and watery - all within 1.5 hours of receiving the vaccine. This resolved the next day except itching in sensitive areas (lips, nose, eyes, folds of skins, behind ears, inside ears). Patient started taking Pepcid and Zyrtec twice a day. The symptoms resolved with this treatment through 2/4/21. All symptoms resolved as of 2/6/21. She is taking Pepcid once a day. Never had any redness, rash, bumps at all - just itching.

Other Meds: Ortho-Tricycline daily Lexapro 10 mg daily Xyzal 5 mg daily

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm