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: 0986472
Sex: F
Age: 62
State: NY

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

Lab Data: Covid pcr 1/29 Negative

Allergies: Nkda

Symptoms: Headache, Temp max 101.8. Tylenol, motrin taken. Fever from 8pm 1/27 to 8pm 1/28

Other Meds: Crestor,Vitamin D, Calcium

Current Illness: None

ID: 0986473
Sex: F
Age: 82
State: NM

Vax Date: 01/20/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: watermelon

Symptoms: On the eighth day after the first shot of vaccine, I noticed a red patch just below the injection. It was about three inches by three inches. I had itching but otherwise, no symptoms. This am, which was the day after, I noticed that the patch had diminished in size but was still red.

Other Meds: levothyroxine , centrum silver, ester-C, osteoMD

Current Illness: None

ID: 0986474
Sex: F
Age: 63
State: WA

Vax Date: 01/21/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Erythema and induration (13x7 cm), pruritis and tenderness at injection site along with increased fatigue, beginning 1 week following vaccination. There had been a local injection site reaction as well as fatigue and headache starting 24 hours after vaccine administration, which had resolved entirely within 72 hours. New onset of injection site reaction began with pruritis only, starting in the morning 7 days after the vaccination, which progressed to include fatigue, erythema and induration during that day and into the next (today, the day of reporting). Oral certrizine was taken the evening that symptom recrudescence began, with some relief of pruritis but not erythema or induration.

Other Meds: Premarin, HTCZ/triamperine, gabapentin, ergocalciferol

Current Illness: none

ID: 0986475
Sex: F
Age: 74
State: TN

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

Lab Data: pending

Allergies: nkda

Symptoms: severe headache, dizziness, diarrhea and nausea followed by 1 day gross hematuria

Other Meds: celexa 10mg daily, singulair 10mg daily, advair 250/50 inhaled bid

Current Illness: none

ID: 0986476
Sex: M
Age: 71
State: PA

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

Lab Data:

Allergies:

Symptoms: Chills, fatigue, fever, Arm soreness

Other Meds:

Current Illness:

ID: 0986477
Sex: F
Age: 37
State: CA

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

Lab Data: BP 157/82, Pulse 84, RR=16 O2 sat 100% on room air, T=98.2 F at 6:14pm, then 147/83, p 77, O2 sat 100% , then 130/83, pulse 78 at 6:24pm, then 120/80 p 76, 100% at 6:32pm Lungs clear, no dermatologic changes, etc

Allergies: Seasonal allergies

Symptoms: Pt. developed feeling of flushing and dizziness immediately after receiving the vaccine , then C/O palpitations and chest tightness a few minutes later at 6:14pm. After vital signs were found to be stable and improving with reassurance her complaints resolved without medication or treatment.

Other Meds: inhaled steroid and inhaled Albuterol prn Depo-Provera I.M.

Current Illness: intermittent asthma

ID: 0986478
Sex: M
Age: 49
State: NY

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

Lab Data: None.

Allergies: None.

Symptoms: Headache, Chills and Fever. Chills began at 4pm with Headache appearing shortly thereafter. Fever began the next morning. Took Tylenol and Advil at intervals prior to the vaccination.

Other Meds: Multi-Vitamin Vitamin B-12 Vitamin C Vitamin D3 Zinc Magnesium Atorvastatin Hydrochlorothiazide Anastrozole Sildenafil Sermorelin Testosterone Cypionate

Current Illness: None.

ID: 0986479
Sex: M
Age: 79
State: CA

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

Lab Data: None.

Allergies: None.

Symptoms: Starting noticing at 4:00 PM noticing pain in the shoulder. The pain in the shoulder got worse to where he had tightness in his chest, but was shaking uncontrollably shivering sensation but was not cold that continued for several hours. Today is still having the pain in his shoulder, and while laying down has the neck stiffness. While sitting up has pain in the shoulder and is applying ice on it now. He took some Acetimenophen as he was told to wait 24 hours before taking anything. Has chronic back pain for which he takes that as well, but now for the shoulder pain as well.

Other Meds: Multivitamin, fish oil, vitamin C, Probiotic, vitamin D3, Gramatidine, Latanapros, Lopressor, Dozilamide/Timalol.

Current Illness: None.

ID: 0986480
Sex: F
Age: 25
State: CA

Vax Date: 12/22/2020
Onset Date: 12/29/2020
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: One week after my first dose I noticed that my right supraclavicular lymph node became swollen, today is 01/29/2021 and it hasn't gone away. (I got my second dose 2 weeks after the first one).

Other Meds: ethinylestradiol (35 ?g) and cyproterone acetate (2 mg) pills for PCOS

Current Illness: none

ID: 0986481
Sex: M
Age: 30
State:

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

Lab Data:

Allergies:

Symptoms: 2nd dose given too soon

Other Meds:

Current Illness:

ID: 0986482
Sex: F
Age: 76
State: NY

Vax Date: 01/21/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: No tests were done.

Allergies: None

Symptoms: I had no symptoms until one week later, 1/28/21. I began getting itchy, redness and minor swelling at injection site. I spoke to a doctor and he prescribed Twice daily, of Doxycycline Hyclate. He said it was unusual to develop symptoms at this time so it could be a delayed reaction or an infection. Airing on the side of caution, he prescribed the antibiotic. My temperature is normal and I have no other symptoms. I?m also taking Benadryl to relieve itching. I?m on the medication for the next ten days.

Other Meds: Hydrochlorothiazide Rosuvastatin Levothyroxine Multi vitamin Calcium + magnesium +D3 Tylenol Prolix (1 dose every six months)

Current Illness: None

ID: 0986483
Sex: F
Age: 55
State: FL

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: latex

Symptoms: Maculopapular pruritc rash on bilateral arms, chest, and back-improving 1/29/21 only with rash on arms-prescribed Zyrtec and Clobetasol cream She is recovering but 100% back to noraml

Other Meds: cymbalta, singulair, robaxin, plaquenil

Current Illness:

ID: 0986484
Sex: F
Age: 37
State: CA

Vax Date: 01/19/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Rash and swelling at injection site 8 days after vaccine. Swelling of the throat, light headedness, then tiny rash bumps all over hands and forearms and some amounts on stomach.

Other Meds:

Current Illness: none

ID: 0986485
Sex: F
Age: 37
State: PA

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

Lab Data: unknown

Allergies: Bactrim Ceclor Diazepam Glyburide Tramadol Celexa

Symptoms: Hot Hypertensive (BP checked 6 times, elevated all times). Given Juice and crackers, felt cooler and better after sitting and eating

Other Meds: Unknown

Current Illness: Unknown

ID: 0986486
Sex: F
Age: 32
State: MD

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: One week later, developed soreness and a localized skin rash with a small fever. The rash is only around the injection site. Arm feels hard under the skin.

Other Meds: Birth control pill

Current Illness: None

ID: 0986487
Sex: M
Age: 68
State: NC

Vax Date: 01/24/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: See comments above

Allergies: bactrim, minocycline

Symptoms: Three days post-vaccine, I began to experience chest pressure and slight pain in my chest--directly under each of my armpits. After 3 hours I called my primary care physician's office and they suggested I call 911 and go to the Emergency Department to be sure I was not having a heart attack. Multiple EKGs, a chest xray, and blood tests revealed that my heart was in good shape. I have continued to have very slight pressure in that area, but it is occasional and is almost gone. Even after 5 days since the vaccination, I am experiencing side effects although they have reduced in severity. Fatigue, occasional slight dizziness, occasional shortness of breath, occasional slight pain in various parts of my body.

Other Meds: atorvistatin, tamsulosin

Current Illness: None

ID: 0986488
Sex: F
Age: 31
State: NY

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

Lab Data: None

Allergies: Penicillin

Symptoms: 103-104 fever, night sweats, severe headache/dizziness upon rising, mild shortness of breath/chest tightness.

Other Meds: None

Current Illness: No

ID: 0986489
Sex: F
Age: 17
State: IA

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

Lab Data: none

Allergies: none

Symptoms: We had a COVID 19 vaccine clinic that was held on 01/27/21. We had an employee who was given a first dose of the vaccine in December 2020, and was 17 years old. The employee had a signed consent from her mother who is a ED nurse. The employee had no adverse reaction from the vaccine, and she and her mother wanted the vaccine series completed. She was given her second dose of Moderna vaccine on 01/27/21 at 10:45am, or the dose would have been wasted. Patient has not reported any adverse symptoms except pain in her left deltoid where the immunization was given.

Other Meds: none

Current Illness: none

ID: 0986490
Sex: F
Age: 26
State: NY

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: N/A

Allergies: Penicillin Sutures

Symptoms: Immediately following injection patient developed painful numbness in her right 3rd, 4th and 5th digits.

Other Meds: loratadine and fluticasone nasal spray as needed.

Current Illness: N/A

ID: 0986491
Sex: F
Age: 74
State: FL

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: N/A

Allergies: Iodine Shellfish and Steroids

Symptoms: Temperature of 104 deg F, Body Aches, Sweats and Chills and mild cough. Symptoms lasted 3 days. Recipient did not seek medical treatment.

Other Meds: Augmented Bethamethasone, Hydroxyne HCL, LoSarten, Cardevilol, Omprazole, Meloxicam, Methotrexate, Folic Acid, Ronalazine ER, Synthroid, Nitroglycerin PRN, Bistene MK, Vitamins B & C, Aspirin

Current Illness: None

ID: 0986492
Sex: F
Age: 58
State: IN

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

Lab Data: None

Allergies: Keflex rash

Symptoms: Chills, body aches, headache 102 temp just reporting my symptoms taking Tylenol and anti inflammatory meds

Other Meds: None

Current Illness: None

ID: 0986493
Sex: F
Age: 73
State: FL

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

Lab Data: none

Allergies: sulfa drugs

Symptoms: Extreme tiredness next day, sore arm. Redness and swelling at injection site. Same today 3rd day.

Other Meds: quinipril,metrorolol,prempro,pentasa

Current Illness: none

ID: 0986494
Sex: F
Age: 61
State: AK

Vax Date: 01/08/2021
Onset Date: 01/18/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: unknown

Allergies: unknown

Symptoms: Received second dose of vaccine and had minor symptoms X approximately 1 day. On day 10 after 2nd dose of Pfizer vaccine developed vertigo requiring medical treatment and has not returned to work as of 1/29/21.

Other Meds: unknown

Current Illness: unknown

ID: 0986495
Sex: F
Age: 34
State: MA

Vax Date: 01/15/2021
Onset Date: 01/23/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rash developed 8 days after injection just below injection site, felt itchy, hot, and sore. Lasted 2 days. Experiencing frequent diarrhea.

Other Meds: Levothyroxine, Vitron C, prenatal vitamin, Vitamin C, Coq10

Current Illness:

ID: 0986496
Sex: F
Age: 29
State:

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

Lab Data:

Allergies:

Symptoms: 2nd dose given too soon

Other Meds:

Current Illness:

ID: 0986497
Sex: F
Age: 77
State: IN

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

Lab Data: None

Allergies: Penicillin Sulfa Clams

Symptoms: On day 8 after injection my arm was red and blotchy all around the site. It is not sore. It looks like ?Covid arm? that I have seen a picture of.

Other Meds: Diltiazem 180mg Levothyroxin .75mcg Lipitor 40mg Lisinopril 20 mg Metoprolol 25 mg Indapamide 1.25mg Percocet 7.5/325mg. B. I. D. Zanaflex 4 mg. T. I.D. Morphine Sulfate ER 30 mg T.I.D. Eszopiclone 2mg. Aspirin 81 mg Omeprazole 20 Calcium

Current Illness: Chronic degenerative arthritis

ID: 0986498
Sex: F
Age: 23
State: FL

Vax Date: 01/21/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Aching right arm pain with tensed upper arm muscle as well as a clear demarcated red rash about the size of my hand. Rash is hot to touch, but not raised. Started 24 hours ago and is continuing with these symptoms. Nothing notable occurred before pain and rash came on. Taking NSAIDs for pain and will be taking Benadryl at night in hopes of clearing up the rash.

Other Meds:

Current Illness:

ID: 0986499
Sex: F
Age: 37
State: GA

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: At 4:26pm patient reported that she has itchy eyes and nose and also a runny nose. Vital signs taken. Patient given Diphenhydramine by mouth at 4:33pm. Patient was discharged to go home.

Other Meds:

Current Illness:

ID: 0986500
Sex: F
Age: 38
State:

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

Lab Data:

Allergies:

Symptoms: 1/27/2021 - Freezing cold, shivering, full body muscle aches, shot site pain worse than before. Symptoms continued through the night, requiring multiple blankets, layers of clothing, and figuring how to lay to avoid pain. 1/28/2021 - I had to call off from work. Exhaustion found; remained in bed all morning. Muscle pain worsened, but improved at about 6pm. Continued to be cold, but no shivering; improved at about 2pm. But started having cycles of cold/hot. Headache developed. 1/29/2021 - Returned to work late. Continued weak muscle pains, cold/hot cycles, and headache. All mild.

Other Meds:

Current Illness:

ID: 0986501
Sex: F
Age: 30
State: OH

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: no

Allergies: Zithromax - get hives

Symptoms: 7:00 pm that night, my arm started to hurt very intensely and then the next day when I woke up and it hurt - felt like it broke my arm. It hurt really bad - couldn't left it or move it. I took Tylenol once or twice that day with six hours in between. I was a little bit drowsy and headache and a little bit nauseous. So I slept that day. I felt like my arm got hit by truck. 10th - I felt better that day. By Monday, the 11th, I was totally fine. Pregnancy: I'm due May 29, 2021; I have had a miscarriage before so it's my second pregnancy. So far everything has been normal.

Other Meds: prenatal vitamin; fish oil; iron; fluoxetine 20 mg; vit B6

Current Illness: no

ID: 0986502
Sex: F
Age: 73
State: CO

Vax Date: 01/20/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: cipro, flomax

Symptoms: Type IV (DTH) local hypersensitivity response

Other Meds: ASA, Atorvastatin, sertraline, metoprolol

Current Illness: none

ID: 0986503
Sex: M
Age: 64
State: GA

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

Lab Data:

Allergies:

Symptoms: PATIENT HAD SENSITIVE URINATION, ALMOST FELT LIKE A UTI. IT HAPPENED THAT DAY OF THE VACCINE UNTIL ABOUT 24 HOURS. PATIENT DIDN'T TAKE ANY MEDICATIONS FOR IT

Other Meds:

Current Illness: CHRONIC PAIN

ID: 0986504
Sex: F
Age: 36
State: KS

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

Lab Data:

Allergies:

Symptoms: Within 20 minutes of my shot I started to have pain around the injection site, within two hours it was difficult to move my arm due to the pain, this persisted until about 36 hours after my shot. About 12 hours after the shot I started to experience high fever in the range of 102, body aches, extreme chills, and exhaustion. About 36 hours after the shot I finally started to feel more normal, and my fever finally broke. Now just short of 48 hours after my I have developed a red rash like spot on top of my injection site.

Other Meds:

Current Illness:

ID: 0986505
Sex: F
Age: 36
State: AZ

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

Lab Data: None

Allergies: Allergies to bees and shellfish Sensitive to many types of medications/ shots

Symptoms: Directly after, bright red/ hot ears, itchy face, tingling face and lips Some hives later Severe headache and nausea the next day

Other Meds: Zoloft Zyrtec Riboflavin Calcium Multivitamin Epi (as needed) Albuterol (as needed)

Current Illness: Cold- tested negative for COVID 2x

ID: 0986506
Sex: F
Age: 34
State: TX

Vax Date: 01/19/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: pain in middle finger and shoulder of left arm starting on day 6 after injection, which is now very mild (day 10). Red spot and moderate itching starting day 8 after injection.

Other Meds: none

Current Illness: none

ID: 0986507
Sex: F
Age: 56
State: TX

Vax Date: 01/19/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None yet

Allergies: Sulfa Drugs, Tetracycline, Clindamycin and urticaria to cold

Symptoms: Day 9- Redness at the injection site, continued lump in arm at injection site some ichy-ness at injection site; aches and stiffness in back and neck Day 10- More redness spreading down my arm about one inch longer than Day 9 , hives on both forearms on waking and then on both legs about an hour after waking (which could be from vaccine or my urticaria due to cold--our outside temp was 38 this morning)

Other Meds: Euthyrox

Current Illness: none

ID: 0986508
Sex: F
Age: 50
State: WI

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: latex causes a rash

Symptoms: New onset bilateral tinnitus, severe headaches and joint pain. 3 weeks after the injection while the headaches had resolved, the joint pain and tinnitus were unchanged.

Other Meds: Vitamin D 2000units, multivitamin, turmeric, escitalopram 2.5mg

Current Illness: none

ID: 0986509
Sex: F
Age: 77
State: FL

Vax Date: 01/14/2021
Onset Date: 01/21/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: penicillin, sulfa drugs, strawberries, grass pollen, milk

Symptoms: Rash started 1 week after injection. Went away in 4 days and came back today.

Other Meds: pantoprazole, simvastatin, amlodipine, multi-vitamin, calcium+D

Current Illness: none

ID: 0986510
Sex: M
Age: 67
State: KS

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

Lab Data: none

Allergies: none

Symptoms: pt stated he woke up with body aches and fever. pt states still has body aches and feels like he did when had the corona virus.

Other Meds: none

Current Illness:

ID: 0986511
Sex: F
Age: 32
State:

Vax Date: 01/21/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Benadryl

Symptoms: Exactly one week after receiving my first dose of the Moderna vaccine I developed itching and a red rash at the injection site. There is also a small swollen lump at the site - no other adverse reactions or symptoms at this time. I had a much milder version of this after this year?s influenza vaccination.

Other Meds: Prenatal/postnatal Multivitamin, Vitamin D

Current Illness: None

ID: 0986512
Sex: F
Age: 59
State: CA

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

Lab Data:

Allergies: Penicillin

Symptoms: redness and swelling at the time of injection. Was told to ice and take Tylenol. Redness and warm to the touch continued. I caught a cold and went to Urgent care to take a COVID test so I could return to work. I had the Dr. look at my arm while I was there. He said I had cellulitis and put me on antibiotics for 10 days. It is slowly getting better.

Other Meds: Tylenol, Amberen, Allertec

Current Illness: None

ID: 0986513
Sex: F
Age: 31
State: MD

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Gold, mold, dust, and certain trees.

Symptoms: On Friday night 1/22 ( one week post vaccine) I developed hives and a rash on my neck, by Saturday the hives and rash spread to my arms and back and by Sunday I was covered in hives to my toes. I took Benadryl but nothing seemed to help so I contacted my doctor immediately on Monday to schedule and appointment. I have never experienced an allergic reaction to anything like this before and nothing has changed within my diet and environmental factors (such as soaps or detergents) other than taking the vaccine. I was prescribed methyl prednisone (steroid taken orally) and hydoxyzine (an oral antihistamine) . As a result from this allergic response i am unsure of whether or not it is safe to take the second dose of the vaccine.

Other Meds: Larissa (Birth control), levothyroxine, albuterol (as needed), beclamethasone, and Flonase.

Current Illness:

ID: 0986514
Sex: M
Age: 77
State: CA

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

Lab Data:

Allergies: NKDA

Symptoms: Pt receive his 1st dose of COVID-19 vaccine today at approximately 0915. At 0930, pt reported feeling "a rapid heart rate, like I have my A-fib again." Pt was non-ill appearing upon complaint, spoke clearly and was a good historian. Denied shortness of breath. Denied N/V Denied dizziness Denied Blurry vision Denied Chest discomfort or chest pain --"I just have the palpitation feeling, but not any pain." Pt reports a history of A-fib and needing Cardioversion in his past ("about 6 years ago I think." Pt offered to be seen in ED and states, "yes, I think that would be a good idea. This is what I felt like in the past when I had A-fib. I feel it right above my heart." Pt was moved via wheelchair safely to observation; vitals taken (see flow sheet). Charge RN called to give report; Charge RN arrived quickly to transport patient to ED.

Other Meds:

Current Illness: NOne

ID: 0986515
Sex: F
Age: 25
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient was administered 0.5ml COVID19 vaccine into left deltoid by IM injection, subsequently noticed leakage of vaccine onto arm and down patients leg. After discussion with physician on site it was decided a full dose to right arm would be provided as it was unclear how much vaccine patient received appropriately. Patient expressed no adverse effects when contacted two days post injection other than soreness of arms. Syringe which was used to give first dose to left arm was not retrievable, injection technique appeared standard, no other event reported during vaccination clinic

Other Meds:

Current Illness:

ID: 0986516
Sex: F
Age: 71
State: IN

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

Lab Data:

Allergies:

Symptoms: Moderna Covid 19 Vaccine received 1/20/2021. On 1/29/21 patient noticed palm sized, flat, reddened area near injection site. Reports it is not painful, but is slightly tender when touched, and she can feel a small knot under her skin. Patient to contact her PCP office.

Other Meds:

Current Illness:

ID: 0986517
Sex: F
Age: 28
State: PA

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

Lab Data: unknown

Allergies: Haldol

Symptoms: Dizziness, Flushing Denies trouble breathing. Escorted to stretcher to lie down. BP 157/88, HR 98 RA 100%. Snack/juice given. BP rechecked 130/84 and HR 86.

Other Meds: unknown

Current Illness: Unknown

ID: 0986518
Sex: F
Age: 31
State: TN

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

Lab Data: I am reporting because as a pharmacist there was no literature to be found on the side effects associated with the mouth. It caused me to fear I might actually have covid, but I was tested today and it came back negative.

Allergies: None

Symptoms: I experienced dry mouth, unquenchable thirst, metallic taste in mouth, diminished taste, dizziness, nausea, chills, fever, myalgia, joint pains, soreness at injection site, congestion, mild headache.

Other Meds: None

Current Illness: None

ID: 0986519
Sex: F
Age: 48
State: ME

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

Lab Data: None

Allergies: Latex, Sulfa

Symptoms: Very sore arm.

Other Meds: Multivitamin, Pepcid, Vitamin D, Meloxicam

Current Illness: None

ID: 0986520
Sex: M
Age: 52
State: MN

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Lisinopril

Symptoms: Developed hives/welts along arms, back and neck (waist up). Continues to take Benadryl. Has not spoken to his doctor.

Other Meds: Insulin, Benadryl, Levothyroxine, Atorvastatin, baby aspirin, Ramipril

Current Illness: Diabetic

ID: 0986521
Sex: F
Age: 67
State: NY

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

Lab Data: None

Allergies: None

Symptoms: Blanching red rash, diffuse, spreading out from injection site. Began approx 2 hrs from injection. Treated with OTC Benadryl. Occasional tingling, angioderma around mouth. Disssapated after Benadryl. Rash is gradually fading and requires less Benadryl to keep in check. Had similar reaction to Shrinyx vaccine 2 years ago. Rash lasted 1-2 weeks without Benadryl treatment.

Other Meds: Cetrizine, atorvastatin, multivitamin, D3

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm