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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 0985534
Sex: F
Age: 22
State: WA

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

Lab Data:

Allergies: N/A

Symptoms: Large localized swelling, roughly "tennis ball-sized" - developing around 24 hours post injection.

Other Meds: Implanon

Current Illness: N/A

ID: 0985535
Sex: F
Age: 29
State: IA

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

Lab Data:

Allergies:

Symptoms: Employee started to have an itchy/tingling mouth about 10 minutes following vaccine administration. She was given diphenhydramine, which helped alleviate the symptoms. As the day went on she developed hives on her neck, chest, back, arms and hands. She continued to take Benadryl every 4-6 hours and all symptoms were gone within 24 hours after vaccination.

Other Meds:

Current Illness:

ID: 0985537
Sex: F
Age: 38
State: OR

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: Zithromax

Symptoms: About 10 mins after receiving the first dose of Pfizer vaccine - I experienced chest pounding tachycardia. They had me lay on the gurney and checked my pulse ox. My heart rate was 147 but my Sp02 100%. After about 30 mins or so it naturally came down with no medical interventions. Otherwise for the first dose my only other reaction was expected fatigue, injection site soreness and mild headache. Of note - I did go ahead and get my second COVID19 vaccine after consulting with medical professionals on 1/24 and did not experience any chest pounding tachycardia. Maybe mild tachycardia but I was also nervous due to the previous first inject reaction.

Other Meds: Post natal vit and birth control norethindrone

Current Illness: None but it was the first day of my menstrual cycle.

ID: 0985538
Sex: F
Age: 74
State:

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0985539
Sex: F
Age: 40
State: VA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: TPO antibody 342; Free T3 12.25; Free T4 4.13; TSH <0.04; Thyrotropin receptor Ab 30.90

Allergies: none

Symptoms: Woke up on day 1 post dose #2 (Jan 27) with hot flashes, anxiety, elevated HR (100's lying down; 140's when up) in addition to body aches, headache. Have lost 5 pounds over previous 2 weeks without trying. HR has been steadily increasing over last month, along with increasing anxiety. Was seen by endocrinologist on Jan 28 who drew lab work and confirmed on Jan 29 that all thyroid labs were elevated. Prescribed methimizole and metoprolol. Will follow up in 4 weeks.

Other Meds: Methimizole 2.5 mg Q week

Current Illness:

ID: 0985540
Sex: M
Age: 56
State: SC

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: unk

Symptoms: nausea and vomiting, chills, body aches, chest discomfort

Other Meds: unk

Current Illness: unk

ID: 0985541
Sex: F
Age: 57
State: NM

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

Lab Data: NA

Allergies: Allergies SEROQUEL: Myalgias (muscle pain) SULFA (SULFONAMIDE ANTIBIOTICS): Hives (Moderate) TETRACYCLINE: GI bleed (Moderate) THORAZINE: Confusion (Severe) z pack sensitivity, melaro

Symptoms: Patient comes to ER to report left upper arm redness, pain and swelling to the injection site where she got the covid-19 Moderna vaccine on reported 01/20/21 at the local Pharmacy

Other Meds: Home Medications allopurinol 100 mg tablet aripiprazole 30 mg tablet Take 1 tablet every day by oral route at bedtime for 30 days. aspirin 81 mg chewable tablet Chew 1 tablet every day by oral route. atenolol 100 mg tablet Atrovent HFA 17 m

Current Illness: none

ID: 0985542
Sex: F
Age: 49
State: CO

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

Lab Data: None

Allergies: NKDA, NKFA

Symptoms: Redness at the site started developing within 5 minutes of receiving the vaccine. Also reported feeling like the site was itchy and lips began tingling.

Other Meds: Effexor

Current Illness: None

ID: 0985543
Sex: F
Age: 43
State: CA

Vax Date: 01/11/2021
Onset Date: 01/19/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Sulfa- hives (childhood)

Symptoms: Delayed-onset mild intramuscular itching at injection site on day 8-9. Associated nontender geographic red plaque-like area with underlying firmness measuring ~4 inches at injection site on day 9-10. Resolved by day 11.

Other Meds: Vitamin D and glucosamine supplements

Current Illness: None

ID: 0985544
Sex: F
Age: 84
State: CA

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

Lab Data:

Allergies: No

Symptoms: At 11 pm she threw up. Then she got achey and incredibly dry mouth. Her arm was really sore and she was cold.

Other Meds: Vitamin D, Baby aspirin B12 Zinc PreserVision

Current Illness: No

ID: 0985545
Sex: F
Age: 32
State: CO

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Unknown

Symptoms: Had 2nd vaccine on Wednesday, today she has shortness of breath and chest pain

Other Meds: Unknown

Current Illness: Unknown

ID: 0985546
Sex: F
Age: 60
State: KS

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: While patient was waiting her 15 minutes after receiving the Moderna vaccine (1/21/2021), she complained of a bad pain in the left side of her neck & that it was hard for her to breathe. She was assisted by EMS (who was on site). Her blood pressure was 249/149 per the patient. She also experienced some lightheadedness. It was strongly suggested by EMS & nursing staff that she be transported to the ER but she refused stating she had to work the next day. She continued to be monitored by EMS until her blood pressure stabilized & she felt better. She continued to refuse ER. She was driven home by her companion. On 1/28/2021 she sent an email to the health department showing a picture of her left arm showing redness from the injection site down to above the bend in her left arm. She reported that on 1/26/2021 her physician recommended that she not receive the second dose of Moderna. She continues to complain of high blood pressure. It is unkown if she takes medication for high blood pressure.

Other Meds: unknown

Current Illness: unknown

ID: 0985547
Sex: F
Age: 70
State: OK

Vax Date: 01/13/2021
Onset Date: 01/18/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: No food or drug alergies known, but do have Hay Fever

Symptoms: Rash below shot sight . Only noticed because of itching. Red rash that was warm to touch and dissipated in a bulls eye manner. Used Benadryl to stop itching so not to scratch. Lasted about 4-5 days but did not think much about it until I read where several people had the same symptoms, but only happened in primarily women 30-40 years of age. Thought you may be interested as I am 70.

Other Meds: Alendronate Sodium Tab 70mg/wk;1200 mg fish oil/daily; Calcium w/D 2400mg/2000IU/daily; Silver Multi Vit/daily; Super B Complex/daily; Vit E 800IU/daily; Glucosamine/Chondroitin 1500mg/1200mg /Pravastatin 40mg/daily; Zyrtec- D/as needed

Current Illness: None

ID: 0985548
Sex: F
Age: 37
State: NC

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

Lab Data:

Allergies: None

Symptoms: On 1/28 at ~1330 employee woke up from nap with chest pains. No previous history of chest pain or any other significant health issues. No medication was taken at time of vaccination or prior to appointment. Was advised to seek care. Went to urgent care and diagnosed with costochondritis. Given Toradol shot and chest pain began relieve within 30 min. 1/29 reports no chest pain, but still has weakness and persistent headache.

Other Meds: None

Current Illness: None

ID: 0985549
Sex: M
Age: 76
State: AZ

Vax Date: 01/20/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: shoulder a little sore for two days

Other Meds:

Current Illness:

ID: 0985550
Sex: M
Age: 59
State: WA

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

Lab Data: N/A

Allergies: N/A

Symptoms: Headache, severe fatigue, shaking chills, muscle weakness and ocular migraine. Has now lasted for more than 12 hours, but is getting better.

Other Meds: Odefsey

Current Illness: None

ID: 0985551
Sex: F
Age: 76
State: MN

Vax Date: 01/16/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Penicillins

Symptoms: Large red rash to injection site.

Other Meds: Tylenol, lipitor, vitamin d, cystex plus, diltiazem, lisinopril-hydrochlorothiazide, magnesium oxide, mirtazapine, propranolol, rogaine, zoloft.

Current Illness: NA

ID: 0985552
Sex: F
Age: 27
State: PA

Vax Date: 01/20/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: Hives (red, itchy rash) at place of injection. Size was approximately 4 inches in diameter. Rash started 6 days after vaccination and has lasted 6 days so far. Use of diphenhydramine every 6 hours helped ease the itch and redness.

Other Meds: NONE

Current Illness: NONE

ID: 0985553
Sex: F
Age: 71
State: FL

Vax Date: 01/10/2021
Onset Date: 01/18/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: Bacitracin, Band Aids

Symptoms: Large, swollen red circle on left arm at site of injection. Tender to the touch. It lasted several days. Decreased each day after 3rd day, until it was gone.

Other Meds: Vitamin D3 - 25mcg, Fish Oil- 1200 mg, Resuvastatin - 20MG

Current Illness: None

ID: 0985555
Sex: F
Age: 58
State: VA

Vax Date: 01/15/2021
Onset Date: 01/25/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: no

Symptoms: Large welt at site, itchy and warm. Antibiotics, Motrin

Other Meds: Lisinopril

Current Illness: none

ID: 0985556
Sex: F
Age: 45
State:

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient was very nervous prior to injection. Patient received Moderna covid vaccine. Patient was instructed on waiting in the store for a 15 minute observation period. A few minutes later she said her vision was blurry, and then it had passed shortly thereafter and her vision was clear again. She also said she felt tingling in her hands and feet. The pharmacy technician called 911 and the medics arrived and she went to the hospital. The husband had stated he though it was her anxiety.

Other Meds:

Current Illness:

ID: 0985557
Sex: M
Age: 60
State: NY

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

Lab Data:

Allergies:

Symptoms: Muscle aches, fever, diarrhea, really bad chills, headache

Other Meds: Simvastatin Omeprazole Flonase

Current Illness:

ID: 0985558
Sex: F
Age: 71
State: NV

Vax Date: 01/01/2021
Onset Date: 01/24/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: PCN, Aciphex. Cipro, Adhesive

Symptoms: Exactly the 8th day after vaccine my injection site got about a 3? red spot on my skin with some slight morning and evening itching. Was not hot to touch. Symptoms lasted about 2 1/2 days. Just put Cetaphil on it.

Other Meds: Levemeer, Ozempic, Metforman, Synthroid, Atorvistaton, Ezoplicone, Vit D, Centrum Silver for women, B-12 pill

Current Illness: None

ID: 0985559
Sex: F
Age: 51
State: ME

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: sharp pain shooting down the arm after injection with some tingling

Other Meds: none

Current Illness: none

ID: 0985560
Sex: M
Age: 16
State: TX

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: NKDA or No known other allergies

Symptoms: Administered 1st dose to patient under the age limit parameter for the Moderna Vaccination. Patient under the age of 18 (currently 16 years, 11 months).

Other Meds: None

Current Illness: None

ID: 0985561
Sex: F
Age: 29
State: MO

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: shellfish

Symptoms: Developed mild swelling, mild itchiness and redness on left lower arm , not on injection site after 8 days of vaccination.

Other Meds:

Current Illness:

ID: 0985562
Sex: F
Age: 69
State: NY

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: No

Allergies: Penicillin and codeine

Symptoms: When I got the shot I sat out there 15 minutes to wait. I got an odor in my mouth. My nose started irritating a little bit. So then i left it alone because I didn't now if that was part of a reaction. When i got home i still had the odor in my mouth. i drank cold water and it went away. I waited. I felt sore on my arm but it wasn't that bad but as the hours went on it started getting more sore and painful. My arm was sore up to my shoulder and the back. After that the pain started traveling towards to my chest and i started getting pain in my chest. i took Tylenol (1 500 mg extra strength at 11:15 PM). So i waited 15 minutes to go to sleep. i got up the next day and everything was the same, i started putting ice on it and gave it time. I took another Tylenol but the pain was in my chest again a little bit. The third day the pain didn't come back in my chest and from then i was alright. I also started getting an itch.

Other Meds: Losartan potassium 100 mg; hydrochlorothiazide 25 mg; levothyroxine 88 mg

Current Illness: No

ID: 0985563
Sex: M
Age: 53
State: CA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 30 minutes after injection, numb cheeks for 1 hour after. For 2 days, sore arms.

Other Meds:

Current Illness:

ID: 0985564
Sex: F
Age: 31
State: CO

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: ASSESSMENT

Allergies: n/a

Symptoms: 1ST DOSE REC'VD 12/31/2020 - RASH AROUND INJECTION SITE THAT LASTED UP TO 2 WEEKS 2ND DOSE REC'VD 1/29/2021 - RASH APPEARED AT INJECTION SITE WITHIN 15 MINUTES OF ADMINISTRATION. LARGE CIRCLE RASH

Other Meds: n/a

Current Illness: n/a

ID: 0985565
Sex: F
Age: 61
State:

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: 0

Symptoms: Fever, chills, weakness, body ache, dizziness didn't get out of bed for over 24 hours. Took Tylenol for relief. still feeling weak. can't stand up long without feeling dizzy.

Other Meds: 0

Current Illness: 0

ID: 0985566
Sex: F
Age: 41
State: MI

Vax Date: 01/23/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Laxtex

Symptoms: Sores/blisters in my mouth and tongue

Other Meds:

Current Illness:

ID: 0985567
Sex: F
Age: 62
State: PA

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: none known

Symptoms: headache, chills, fever 101, malaise

Other Meds: tylenol 325 Multivit Flonase

Current Illness: Covid exposure and positive 11-17 2020

ID: 0985568
Sex: F
Age: 49
State: IL

Vax Date: 01/11/2021
Onset Date: 01/25/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: Diagnosed and treated for shingles on 1/29/21

Allergies: None

Symptoms: Developed shingles 2 weeks after second injection

Other Meds: None

Current Illness: None

ID: 0985569
Sex: F
Age: 44
State: MO

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Ciprofloxacin; Percocet; morphine

Symptoms: Sore arm; headache, chills, itchy, swollen tongue

Other Meds:

Current Illness:

ID: 0985570
Sex: M
Age: 74
State: WA

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

Lab Data: None

Allergies: None

Symptoms: COVID-19 Vaccine Have a history of AFIB - no events for four years under medication. Not currently under medication (metaprolol) Event of irregular heart rythym began 2hrs after injection. Stopped three hours later Am currently feeling normal 13 hours after event.

Other Meds: Pradaxa Lipitor

Current Illness: None

ID: 0985571
Sex: F
Age: 28
State: WI

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

Lab Data:

Allergies: Duloxetine, lamotrigine

Symptoms: Shortly after first dose, patient complained of itching and localized "tightness" in arm at the site of injection.

Other Meds: Cholecalciferol daily, sertraline 75 mg daily

Current Illness: N/A

ID: 0985572
Sex: M
Age: 42
State:

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Approximately 15" after receiving vaccine, patient stated his 'throat started to feel tight, tongue felt swollen and face and head itchy". Medical staff administered Benadryl, took VS and stayed with patient. Voice is very hoarse. Medical provider in with patient and did a physical assessment. At 30" patient stated his tongue remained swollen, more Benadryl given. Medical staff remains with patient. After about 60 minutes from time of administration of vaccine he drove himself home. Rested all afternoon, did take Tylenol. Stated he had a restless night, not much sleep, very achy, tongue and throat better.

Other Meds:

Current Illness:

ID: 0985573
Sex: F
Age: 28
State: IN

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: n/a

Allergies: No known allergies

Symptoms: I had a fever of 102.3 degrees with chills/shaking/malaise/headache that lasted for 18 hours after the symptoms started. I was unable to go to work/care for my children secondary to my reaction. I have completely recovered now and have no lasting effects.

Other Meds: Prenatal Vitamin, Vitamin D supplement

Current Illness: N/A

ID: 0985574
Sex: F
Age: 51
State: VA

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

Lab Data: N/A

Allergies: N/A

Symptoms: severe headache, body aches

Other Meds: N/A

Current Illness: N/A

ID: 0985575
Sex: F
Age: 35
State: OR

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: Bactrim.

Symptoms: Itching in arm since vaccine, swollen axillary lymphnodes (started 6 days later), extreme fatigue/weakness.

Other Meds: Low dose naltrexone, NP thyroid, Yaz.

Current Illness: None

ID: 0985576
Sex: F
Age: 35
State: NC

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: NA

Allergies: milk, latex

Symptoms: diarrhea, abdominal cramping, nausea

Other Meds: levothyroxine, lexapro, singulair

Current Illness: NA

ID: 0985577
Sex: F
Age: 76
State: NY

Vax Date: 01/16/2021
Onset Date: 01/25/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: Allergies (positive test): dust, cocamide DEA.

Symptoms: Itching, large red rash, hard bump in left outside upper arm. Appeared the morning of the ninth day after the vaccine (Monday, Jan. 25). Slowly improved. By today (Jan. 29), still slight redness and hard bump, but much improved.

Other Meds: Supplements: Drisdol (2X/month); Calcium; Multivitamin for women 50+, Vitamin C (1000), Align. Occasional: melatonin 5 mg. OTC: saline nasal spray; balance eye drops. Prescription: Valtrex (2X/week); Levothyroxine (3X/week), Prolia (2X/year

Current Illness: No active illness, just chronic ones (see item 12)

ID: 0985578
Sex: M
Age: 34
State: NH

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Peanuts

Symptoms: Pt received first dose of COVID vaccine today and reports about 3 minutes later started feeling tingling and itching round his lips And in the mouth, he reported his symptoms About 10 min after the dose and white code was called . When we arrive patient sitting on a floor, appears anxious, ashen color, breathing hard, appears a little out of it but responding to questions well. His vitals were stable, , tachycardic 102-118, No rashes, no wheezing on exam, lips not appear swollen, he is speaking OK, reports sensation of swelling or lump in his throat. EpiPen was used and 0.3mg administered at 16:59, 911 called , IV access obtained and solumedrol 125 mg administered followed by pepcid 20 mg IV. Patient felt N, no V. His breathing efford and color improved, reports feeling better. Pt has h/o anaphilactic reaction to peanuts in th

Other Meds: None

Current Illness: None

ID: 0985579
Sex: F
Age: 29
State: MO

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Medication error. Received Moderna vaccine 12/31/20 as first dose. Received Pfizer vaccine 1/29/2021 as second dose.

Other Meds: Tri sprintec

Current Illness: None

ID: 0985580
Sex: F
Age: 30
State: OH

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

Lab Data: BP 140/90, HR 102, o2 SAT 98%, T 97.6, NSR ON CARDIAC MONITOR.

Allergies: LATEX

Symptoms: 1/26/21 @ 3:40PM - CHEST PRESSURE AT A 2 ON 0-10 SCALE. DENIES SOB, DIZZINESS, CHEST PAIN OR RADIATION. A/O X3, SKIN PINK, W/D, RESP WITHOUT DISTRESS, LUNGS CLEAR TO AUSCULTATION. 1/26/21 @ 4PM - ALL SYMPTOMS RESOLVED. 1/27/21 @ 9:20AM DENOES SOB, FEELS "A LITTLE TIRED AND ACHEY TODAY".

Other Meds: NONE

Current Illness: NONE

ID: 0985581
Sex: F
Age: 43
State: CA

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

Lab Data: N/A

Allergies: None

Symptoms: 1:15 PM: pt received vaccination. 1:18 PM: pt states her throat feels "thick" and "uncomfortable to swallow". Oxygen saturation: 100% and HR: 85. 1:30 PM: Oxygen saturation : 98%, HR: 69 1:35 PM: Oxygen saturation: 98%, HR: 70. Reports feeling better. Sensation is improving. 1:40 PM: Oxygen saturation: 99%, HR 65, pt reports she feels okay 1:45 PM: Oxygen saturation: 98%, HR 67. 1:50 PM: Oxygen saturation: 98%, HR 70. Pt states she is ready to go and is feeling better. She had no difficulty talking or breathing.

Other Meds: Synthroid 50 mcg/day

Current Illness: None

ID: 0985584
Sex: F
Age: 23
State: CA

Vax Date: 01/25/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Tomato

Symptoms: Sensitive teeth when drinking liquids, no treatment and the outcome was that it went away after two days.

Other Meds: N/A

Current Illness: N/A

ID: 0985586
Sex: F
Age: 30
State: IL

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

Lab Data:

Allergies: N/A

Symptoms: Fatigue Headache Nausea Chills Foggy

Other Meds: Daily vitamin Sprintec

Current Illness: N/A

ID: 0985587
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 2 vials of the COVID19 while mixing too much diluent was added none was given to any patient. 2 other separate vials of same lot we only got 3-4 doses out of them, this was reported after they were given and nurses could not remember which patients received these.

Other Meds:

Current Illness:

ID: 0985588
Sex: F
Age: 49
State: IN

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

Lab Data: None

Allergies: None

Symptoms: Unusually cold, very lethargic, achy(mostly in legs), generalized weakness within 12 hours of vaccination. The majority of these symptoms resolved by 11:00 PM EST on 1/28/21. Around this time head became stuffy with a headache. Headache and stuffy head are continuing to the present moment on 1/29/21. Some lethargy also noted.

Other Meds: None

Current Illness: Sinus infection in December 2020

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm