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: 0982287
Sex: M
Age: 82
State: WA

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

Lab Data: None

Allergies: Penicillin

Symptoms: Severe shoulder joint pain(level 9) first night following injection, unable to sleep. Second night some sleep with pain medication. Third night(last night ) some sleep without pain medication. Pain located deep in arm/shoulder joint. Getting better each day, still painful lifting arm straioght up or swing out. WHERE SHOULD I GET MY SECOND INJECTION?

Other Meds: Allopurinol, Metformin, Insulin(Tresiba), Levothyroxine, Lipitor, Benazepril, Daily Multivitamin, 81mg Aspirin, SLF Forte Fiber cap,, 61mg Iron Supl

Current Illness: None

ID: 0982288
Sex: F
Age: 22
State: IA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills; sweating; headache; nausea Left work early

Other Meds:

Current Illness:

ID: 0982290
Sex: F
Age: 33
State: NE

Vax Date: 01/18/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: I was told by my doctors office to call the health department here in and see if I need an appointment. I called the HD and was told if the warm redness/swelling doesn?t go down and/or over this weekend that I should get in on Monday to have it looked at.

Allergies: Amoxicillin/Penicillin

Symptoms: Tuesday the 26th when I got up around 7am I noticed on my left arm at the vaccine site that there was a splotchy rash about 2 1/2in, a little warm and itchy. Wednesday was about 4/5in, more red/warm, a little itchy and soar to the touch. Thursday it was bigger, about 7in now from the bottom of my palm to the tips of my fingers and it?s swollen/red/warm, a little itchy and soar to touch still. Not hurting me, but I hope it goes down in a few days. I wasn?t expecting this to happen over a week after I got the vaccine.

Other Meds: None

Current Illness: None

ID: 0982291
Sex: M
Age: 73
State: FL

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: none

Allergies: NONE

Symptoms: Patient received second dose of Moderna COVID19 vaccine at another facility and was seen via televisit by our office on 01/27/2021 for complaints of moderate joint pain, intolerance to external temperatures, rash covering body from head to knees.

Other Meds: Taking *ALA CR (Alpha-Lipoic Acid) 600 mg capsules Taking *Clear Fiber 100% powder Taking *Quercetin + Nettles 200 mg capsule Taking *Xlear Nasal Spray - nasal spray Taking *Curcumin 300mg (90% Curcumin) Taking *Absolute EPA

Current Illness:

ID: 0982292
Sex: F
Age: 35
State: NC

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: unknown

Allergies: UnKnown

Symptoms: Dizziness with nausea and vomiting. Short period of unresponsiveness

Other Meds: Unknown

Current Illness: UnKnown

ID: 0982293
Sex: F
Age: 37
State: KS

Vax Date: 12/30/2020
Onset Date: 01/09/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: staff tested positive for COVID on 1-9-2021

Other Meds:

Current Illness:

ID: 0982294
Sex: F
Age: 65
State: PA

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: none

Allergies: PCN, Sulfa and Tramadol

Symptoms: very large reddened area at the injection site, 6 x 4 inches, warm, itchy and indurated. Initially on 1/22 was only 1 inch in diameter by 1/25 it had enlarged to the above measurement. Warm compresses over w/e 1/23,24 and switched to cool compresses, Ibuprofen taken as needed nightly, area quite tender. Visited MD on 1/25 with no medications.."local reaction." 1/28 remains red but fading slowly.

Other Meds: Spiriva Respimat Daily, Fasenra injection every 8 weeks (last given 12/9/20) MVT every AM and PM, MG citrate nightly Ibuprofen after vaccination

Current Illness: none

ID: 0982295
Sex: F
Age: 40
State: CA

Vax Date: 12/27/2019
Onset Date: 12/29/2020
Rec V Date: 01/28/2021
Hospital:

Lab Data: none

Allergies: nka

Symptoms: Headache from 2 days post vaccine through 4 days. Most severe day 4. 12/31/19. Day 5 resolved.

Other Meds: none

Current Illness: none

ID: 0982296
Sex: F
Age: 50
State: KY

Vax Date: 01/19/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: celiac disease, gluten allergy

Symptoms: Started with rash/ hives on face Tuesday 1/26/21, 7 days after receiving vaccine. Have taken Benadryl and is not getting better. Rash/hives are spreading . Have scheduled a doctors appointment today to be seen,

Other Meds: daily paroxetine 10mg

Current Illness: none

ID: 0982297
Sex: F
Age: 65
State: NY

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: being tested at employee site in hospital

Allergies: codeine

Symptoms: low grade fever, body aches, swollen lymph node under armpit

Other Meds: Centrum silver

Current Illness: none

ID: 0982298
Sex: M
Age: 42
State: NJ

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

Lab Data:

Allergies:

Symptoms: Symptoms- light headed, stomach cramping Vitla signs- BP- 160/90, P- 98, 02 sat- 98 Pt was discharged by physcian, Pt stated that she feels fine and less anxious.

Other Meds:

Current Illness:

ID: 0982300
Sex: M
Age: 52
State: WI

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

Lab Data: None

Allergies: none

Symptoms: Severe myalgia, chills x24hr. Moderate Myalgia at 48hr. Minor myalgia at 72hr. Ibuprofen, acetaminophen

Other Meds: none

Current Illness: none

ID: 0982301
Sex: F
Age: 44
State: CA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Aches, chills, fever, fatigue along with headache.

Other Meds:

Current Illness:

ID: 0982302
Sex: F
Age: 59
State: MO

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

Lab Data:

Allergies: Codine

Symptoms: Pain to injection site, body aches, severe headache, approximately 15 hours after injections vomiting occurred every 15 min for 4 hours and 2 times after, unable to eat or drink, weakness, fatigue, into second day after.

Other Meds: Levothyroxine Metoprolol Singular Hydrochlorothiazide Simvastatin Multivitamin

Current Illness: None

ID: 0982303
Sex: F
Age: 34
State: AZ

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Latex

Symptoms: Headache, myalgia, fatigue, local site injection soreness

Other Meds: Vitamin d

Current Illness: None

ID: 0982304
Sex: F
Age: 57
State: PA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Body aches, chills, headache, dizziness, buzzing noise in ears, staticky feeling and noise in head. Chronic fatigue. Nausea.

Other Meds: Meds take at 6am Alprazolam, Fluoxetine, Esomeprazol, Losartan, Levothyroxine, Omega 3 acid Med taken at 6pm Alprazolam, Metoprolol, Atorvastin, Omega 3 acid

Current Illness: None

ID: 0982305
Sex: F
Age: 82
State: OH

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: CBC with Differential 1-25-21; showed elevated white count

Allergies: none

Symptoms: Initial sore arm, then vomiting and diarrhea, then pain intestional tract like diverticulitis from past. Saw doctor on 1-25-21; prescribed ciprofloxacin HCI with blood work done, Blood work showed infection

Other Meds: 81 mg aspirin, 10,000 mcg biotin po; 1000 units Vit. D3; 1000 mcg B-12; 800 folic acid; 500 mg metformin; 40 mg pravastatin; 50 mcg Synthroid;

Current Illness: none

ID: 0982306
Sex: F
Age: 42
State: KS

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: no

Allergies: secore, reglin, erythromycin Augmentin, wool

Symptoms: Mild to moderate headache 6/10, pain in right arm, nothing like the first reaction, tolerable, nausea, inability to sleep, very off right leg pain in the hip area that is still there, I called Dr. this AM and started steroid pack for headache, butalbolat to start taking agian and I took a zofran for my stomach.

Other Meds: I don't want to list them

Current Illness: I felt fine at the time of 2nd dose - other than first dose symptoms that were within 30 days

ID: 0982307
Sex: F
Age: 39
State: OH

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Latex

Symptoms: Fever, extreme chills, body aches, headache that last about 12 hours. Some Body aches and slight headache still present after 12 hours.

Other Meds: Melatonin

Current Illness: None

ID: 0982308
Sex: F
Age: 44
State: CA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient started to have a rash on the chest

Other Meds:

Current Illness: Prior Adverse reaction on first dose of Moderna LOT 025J20-2A on 12/31/2020

ID: 0982309
Sex: M
Age: 75
State: FL

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: Dilaudid

Symptoms: Rash- truncal- fine sandpaper textured. Now on day #8 after vaccine administration and not resolved. Prickly feeling and some pruritis.

Other Meds: Finasteride 5 mg PO Qday Vitamin D Omeprazole 20 mg PO Qday Valacyclovir 1 g PO Qday Acalabrutinib 100 mg PO BID

Current Illness: NONE

ID: 0982310
Sex: F
Age: 55
State: ID

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: previous reactions to vaccines

Symptoms: 1008 - pt c/o itchy spot on right side lower back. one hive noted. bp 150/81, p 99, rr 20, sats 97. 25 mg of po Benadryl given 1017 - 128/75, p 87, rr 18, sats 98. Pt reports I feel must better, no itching noted.

Other Meds: Lipitor, synthyroid, Wellbutrin, HCTZ, migraine treatments

Current Illness: none reported

ID: 0982311
Sex: M
Age: 41
State: WI

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient had fever, headache and dizziness the day after receiving his second Moderna vaccine.

Other Meds:

Current Illness:

ID: 0982312
Sex: F
Age: 47
State: OH

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

Lab Data: COVID - test on 31st

Allergies: Allergic to penicillin - Swell up really bad

Symptoms: Woke up with a really sore arm the next day.The day after around 2:00 pm - at work, started feeling achy. Home at night - still extremely achy. I felt better the next day. I felt pretty normal until I went to work. Achiness again - on Thursday (New Year's Eve). Temperature was very low grade. Took Tylenol sporadically Tested for COVID - 31st- positive test result on New Year's Day. Others in my family had COVID. Got out of quarantine on the 9th - I was fever free for three or four days by the 9th. Lost my sense of smell for a couple days during my quarantine time, too. Went to urgent care to get seen and to take the COVID test.

Other Meds: Pulmicort inhaler for asthma; Multi -vitamin and Vit C - daily; Xydal - for sinuses; Singular

Current Illness: I didn't have COVID but I was exposed it. Husband tested positive on 12/8/2020.

ID: 0982313
Sex: F
Age: 52
State: VA

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: Bloodwork taken today (1/28/2021)

Allergies: Levaquin

Symptoms: 1 week after vaccine, red, warm, swollen, sore and itching suddenly - about half an inch below injection site (bruise is still at injection site). next day (today) more swelling, warm, sore swelling and itching. Saw PA - could be delayed reaction, also testing for Lyme. Will watch.

Other Meds: Celexa 20mg/day

Current Illness: None

ID: 0982314
Sex: M
Age: 43
State: KS

Vax Date: 12/30/2020
Onset Date: 01/11/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: CNA tested positive for COVID 1/11/2021

Other Meds:

Current Illness:

ID: 0982315
Sex: F
Age: 77
State: NV

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Tetnus

Symptoms: Pain, swollen, warm and slightly red area around shot.

Other Meds: Levothroxine Lorsartin Citolopram Metaformin

Current Illness: None I received my first COVID vaccine on 1/19/2021. I had soreness after 24 hours. As the days went on, I am now swollen at the shot area, it is warm, slightly red, and sore. Is this normal?

ID: 0982316
Sex: F
Age: 45
State: IA

Vax Date: 01/09/2021
Onset Date: 01/11/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Body aches; chills; cough Seen doctor and was released

Other Meds:

Current Illness:

ID: 0982317
Sex: F
Age: 24
State: NJ

Vax Date: 01/15/2021
Onset Date: 01/24/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: After about 2 weeks I had a red, circular, swollen rash on my arm. It was tender to the touch.

Other Meds: Birth Control Junel Fe

Current Illness: None

ID: 0982318
Sex: M
Age: 59
State: MA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: chills, body ache and fever

Other Meds: metamorphine

Current Illness: none

ID: 0982319
Sex: F
Age: 39
State: WA

Vax Date: 01/14/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: Reglan, doxycycline

Symptoms: Developed red raised itchy rash on left upper arm (deltoid) extending down approx 4? down arm from where injection was given; symptoms first started 1/27/21 at approx 8pm. Treated with cold compress. Rash decreased by next morning (8am) but quarter sized red, blotchy area remained at that time.

Other Meds: Topamax, Alvesco, albuterol, Zoloft

Current Illness: None

ID: 0982320
Sex: M
Age: 80
State: GA

Vax Date: 01/18/2021
Onset Date: 01/20/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: severe explosive diarrhea on 1/20/2021 and 1/22/2021 with generalized abdominal pain stayed at home and forced fluids, recovered slowly over three days

Other Meds: proscar, hytrin

Current Illness: none

ID: 0982321
Sex: M
Age: 41
State: NY

Vax Date: 01/14/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: Will be getting a Covid test today 1.28

Allergies: None

Symptoms: Stomach upset, headaches, fatigue, sore throat

Other Meds: Escitalopram, cannabis (sober that day and four days prior, used that weekend)

Current Illness:

ID: 0982322
Sex: F
Age: 28
State: OH

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Amoxicillin, penicillin, loratadine, Vicodin, vancomycin

Symptoms: After receiving the vaccine in right arm on 1/13 I had injection site pain and an severe upset stomach until 1/19. I was fatigued from 1/13 until 1/24. On Friday Jan 15 the pain in my injection site improved, but the pain moved to my right collar bone and right side of neck muscles. On Jan 16 the pain returned to the injection site and increasingly got worse in my collar bone and neck. The pain continued to worsen and become intolerable on 1/20. On 1/20 I was having pain in my injection site, collar bone, neck muscles, and my throat was sore and hurt to swallow. I went to the ER . After going to the ER and waiting for medications to be ready at the pharmacy the pain moved into my ear and I had a severe ear ache for two days. My symptoms improved after 2 days with ibuprofen 3x/day, muscle relaxers 3x/ day, Benadryl and lidocaine patches. The pain was localized to the right side of body and did limit the ability to complete ADLs

Other Meds: Hydroxycut, adrenal support vitamin, hair, skin and nail vitamin. I have botox and facial fillers

Current Illness: no

ID: 0982323
Sex: F
Age: 32
State: TX

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Augmentin

Symptoms: Malaise, fevers, chills, hot flashes, headaches. Lasted about 36 hours.

Other Meds: Levothyroxine Fluoxetine Trazodone Primidone Buspar Pre-Natal vitamins Melatonin Benedryl

Current Illness: None

ID: 0982324
Sex: F
Age: 30
State: WV

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Left arm red, warm to touch, no soreness reported at this time. Describes a "knot" at injection site and a 3" by 2" area of redness that is warm to touch. This was noted on 1/20/2021 in the morning. The area became more red over the next few days and gradually became a light pink color although the knot remained. Patient believed site was healing. Woke at five am on 1/25/21 and noticed the area was again red and warm with a yellow "puss filled" area in the center. States this area looks like "ringworm". Reports has not seen a physician regarding this. Advised patient to make an appointment with her physician today for follow up.

Other Meds: none

Current Illness: none

ID: 0982325
Sex: F
Age: 45
State: IA

Vax Date: 01/09/2021
Onset Date: 01/11/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Body aches; chills; cough....See physician and was released

Other Meds:

Current Illness:

ID: 0982326
Sex: F
Age: 34
State: IN

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: N/A

Allergies: Dialadid, Vancomyacin, Amoxicillin

Symptoms: Fever of 102 degrees, chills, dizziness, headache, soreness throughout entire body, weakness, headache, trouble standing, tiredness

Other Meds: Lexapro

Current Illness:

ID: 0982327
Sex: F
Age: 64
State: TX

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Bactrim DS

Symptoms: Sore arm, Bloating, gas and diarrhea

Other Meds: Cymbalta, Atovastatin, Hydroxychloroquine, Muti-vitamin, calcium, zinc. NAC, COQ10, Tumeric, Tylenol, Colace, Magnesium

Current Illness:

ID: 0982328
Sex: F
Age: 54
State: IN

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Flagyl, sulfa

Symptoms: None stated.

Other Meds: Synthroid, estrogen (patch), multi-vitamin, zinc, vitamin D

Current Illness: n/a

ID: 0982329
Sex: F
Age: 44
State: MN

Vax Date: 01/15/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: EKG, Troponin, CBC, CMP

Allergies: Ampicillin

Symptoms: Chest pain and nausea enough thru out the day that she sought medical care in the ER

Other Meds: labetalol (NORMODYNE, TRANDATE) 200 mg tablet metFORMIN (GLUCOPHAGE) 500 MG tablet

Current Illness: None

ID: 0982330
Sex: F
Age: 24
State: KS

Vax Date: 12/30/2020
Onset Date: 01/11/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: CNA tested positive for COVID on 1-11-2021

Other Meds:

Current Illness:

ID: 0982331
Sex: F
Age: 64
State: IN

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Fever 101. High pulse 120. Body aches. Chills. Lasted 24 hours

Other Meds: Hydrochlorathiazide lisinipril simvastin. Vitamin e. Collagen peptides. Aspirin low dose

Current Illness: Had allergic reaction to a phenothiazide for nausea as a child

ID: 0982332
Sex: F
Age: 33
State: NC

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Amoxicillin, cephalosporins, clindamycin, PCN

Symptoms: Patient received Pfizer vaccine #2 today. After the vaccine, the employee reported the following symptoms: burning sensation that started in the abdomen that traveled up to her throat within two minutes of receiving the vaccine Lot: EL3247 Time of Administration: 11:55 Time Symptoms Began: ~11:57 _____ Patient alerted observer who took the patient to the medical observation area. I was alerted and responded. Initial Assessment @ _1158_: Patient is Patient is AAO. The employee is sitting up on the sofa. The employee is pink and does not appear to be in distress. She is talking and making conversation. She thinks its just anxiety. I gave her some juice. She was able to drink it without problem. She noted that the sensation was going away. At 11:59-12:00, it was resolved and she returned to observation. Her time to leave the clinic was 12:10. She was going to let me know if any new sx began. Employee was discharged without treatment. The RN was notified for follow up.

Other Meds: none

Current Illness: N/A

ID: 0982333
Sex: F
Age: 41
State: PA

Vax Date: 01/25/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: 9/7/19: WBC 3.5, ANC 1.6, plats 166 1/4/21: COVID vaccine #1 1/14/21: WBC 4.2, ANC 2.1, plats 191 1/25/21: COVID vaccine #2 1/27/21: WBC 2.2, ANC 1.0, plats 130

Allergies: Gluten

Symptoms: neutropenia & thrombocytopenia

Other Meds: Adderall 30 mg BID

Current Illness: none

ID: 0982334
Sex: M
Age: 36
State: MT

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

Lab Data:

Allergies: None

Symptoms: . He felt fine for one hour then stated that his lips swelled a bit more from the interior of his mouth. He kept biting on his cheeks. He felt a scratchy throat too but it did not swell as far as he knew. His lips and tongue felt tingly for 2 hours after. He took benydril and a clarting. He has no known allergies. No hives no rashes

Other Meds: None

Current Illness: No

ID: 0982335
Sex: M
Age: 24
State: CA

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Sulfa Base Meds

Symptoms: Within 30 minutes Left arm pain/soreness. Fatigue after 2 Hrs. Night sweats, chills, more fatigue after 12 hr (sleeping). Total left arm pain (to point of unusable) after 20 hrs. Night sweats, chills, worse fatigue, worse arm pain through till 48 hrs after injection. Light to no arm pain after 48 hrs. All symptoms gone by 72 Hrs post injection.

Other Meds: n/a

Current Illness: N/A

ID: 0982336
Sex: F
Age: 36
State: WI

Vax Date: 12/27/2020
Onset Date: 01/07/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Red rash on left upper arm- not painful or itchy. Resolved in 24 hours.

Other Meds: Meclizine Prn OCP's daily

Current Illness: N/A

ID: 0982337
Sex: M
Age: 69
State: IA

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: Pt is being tested for COVID 19 and as well influenza A/B, those results are pending at the time of this submission.

Allergies:

Symptoms: Pt states that he received Moderna Vaccine # 1 (lot 025J202A) 12/30/2020 through the Regional Health Care Center and did well following that shot. Received Moderna vaccine # 2 shot through the same setting on 1/27/2021 @ 1400. Felt flush and fatigued through the early morning, took his temp this a.m. at 0930 and reported temp ranging to 100.4 F Pt states that his usual baseline body temp is 97. Pt states aside from a bit of fatigue he is otherwise without symptoms. He works part time as a mental health counselor. Pt was screened for COVID 19 and as well for influenza, those test results are pending at the time of this submission. I did discuss with the patient that a bit of fever following receiving vaccines is not an uncommon side effect. I did also encourage the patient to participate in the V-Safe registry program.

Other Meds:

Current Illness:

ID: 0982338
Sex: F
Age: 24
State: NJ

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

Lab Data: None

Allergies: Prednisone,

Symptoms: About 10 min after receiving injection, patient began to feel hot, lightheaded and unable to swallow. Patient was provided with a dose of 50mg of diphenhydramine. Patient sat down and was able to leave on her own accord within an hour. Patient reported feeling much better after a couple of hours.

Other Meds: Multivitamin

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm