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: 0986822
Sex: F
Age: 75
State: FL

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

Lab Data: none

Allergies: latex tape

Symptoms: I noticed today when I was taking a shower that the upper arm at the area of the injection site is reddened. The size of the reddened area is approximately 4 inches by 2 1/2 inches. The reddened area is slightly tender. It has been 10 days since I received the vaccine. I don't know if it is normal for the site to be reddened.

Other Meds: Verapamil Hydrochlorothiazide Atorvastatin Famotidine multivitamin Vitamin d magnesium Vitamin B12

Current Illness: none

ID: 0986823
Sex: F
Age: 28
State: RI

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

Lab Data:

Allergies:

Symptoms: Panic attack, observed & released

Other Meds:

Current Illness:

ID: 0986824
Sex: F
Age: 65
State: CA

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

Lab Data: None

Allergies: none

Symptoms: 2-3 hours after vaccine had soreness of injection site. 8 hours after vaccine had fever 101.8, shivering, painful muscles and bones, exploding headache. symptoms didn't resolve until 2 days later.

Other Meds: none

Current Illness: none

ID: 0986825
Sex: M
Age: 17
State: OK

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

Lab Data:

Allergies:

Symptoms: Client was inadvertently scheduled at a Moderna Covid vaccination POD per mother, client is 17 y/o and Moderna is licensed for 18 years and above. Mother aware that the vaccination POD was for the Moderna vaccine and for 18 years and above. After realizing that the recipient of the Moderna vaccine was 17 y/o, parent was notified and alerted that the booster dose would not be able to be given due to age of the client.

Other Meds:

Current Illness:

ID: 0986826
Sex: F
Age: 44
State: TX

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None. I do have photographs of arm to document from onset to resolve.

Allergies: Food: Orange, Tomato, Tuna, Chocolate, Corn Environmental: Cedar, Oak

Symptoms: 1 week after injection I woke up with severely swollen lymph nodes in neck, swollen throat and could barely swallow. Right arm at site of injection 1 week prior was acutely hard, elevated, red, warm and tender to touch. I immediately took a benadryl and 5 mg predniosne tablet, water, elevated position to rest. Swelling of lymph nodes in neck improved and gradually resolved 3-4 days later. Right arm redness and size of affected area doubled over the next two days, but then started improving. Resolved in about 8 days.

Other Meds: Vitamin (Nutrafol Women's), B complex drops, Adderall, OrthoTriCyclen generic rx

Current Illness: none

ID: 0986827
Sex: F
Age: 60
State: IL

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

Lab Data:

Allergies: Tetracycline

Symptoms: Swelling of lips and tongue Intense itching Bright red rash on neck, face

Other Meds:

Current Illness:

ID: 0986828
Sex: F
Age: 53
State: MI

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

Lab Data: unknown

Allergies: Pneumonia vaccine, shrimp, verapamil

Symptoms: patient may have received an increased concentration of the vaccine due to administration error

Other Meds: unknown

Current Illness: unknown

ID: 0986829
Sex: F
Age: 49
State: AR

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: decongestants, excidrin, celexa, bc powder, ceclor

Symptoms: Fever 101.8, chills, shaking, sweating. took Advil and Tylenol alternating every 3 hours. Fever went away after 10 hours Fatigue, slept for most of the following day mild body aches and mild headache for 24 hours, moderate arm pain from injection for 24 hours, could not lift arm. lymph node, jaw line, neck swelling left side, ice pack and Advil, still swollen on day 4.

Other Meds: synthroid, advil, remeron, zyrtec, biotin, vitamin D

Current Illness: none

ID: 0986830
Sex: F
Age: 42
State: NY

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

Lab Data: Unknown.

Allergies: Unknown

Symptoms: Vaccine administration error. It is suspected that a ?? needle syringe was used instead of a 1? syringe IM.

Other Meds: Unknown

Current Illness: Unknown

ID: 0986831
Sex: M
Age: 77
State: NY

Vax Date: 01/03/2021
Onset Date: 01/08/2021
Rec V Date: 01/29/2021
Hospital: Y

Lab Data: NA

Allergies: NKDA

Symptoms: The patient was discharged from the facility on 1/4/2021 and was re-hospitalized on 1/8/2021, currently in the MICU. Hospital feels that current admission is due to a reaction to the COVID vaccine but not specific with the presenting symptoms.

Other Meds: Colace, Crestor, Proscar, Flomax, Folic Acid, Lunesta, Metformin, Miralax, Multivitamin Mylanta, Pantoprazole, Senna, Thiamine, Tylenol Valsartan

Current Illness: T11,T12 Compression Fracture

ID: 0986832
Sex: F
Age: 33
State: CO

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

Lab Data: 1/27/21: afebrile, HR 92-106, RR 18-22, BP WNL, room air

Allergies: NKDA

Symptoms: Patient received 2nd dose of COVID vaccination just prior to ER admission. After receiving the vaccine, she developed difficulty swallowing, difficulty breathing, and the feeling of swelling in her pharynx. She took a claritin after her symptoms developed (prior to presenting to ER). In the ER, she was given methylprednisolone, famotidine, and diphenhydramine. Her symptoms resolved. She was sent home with prescriptions for prn prednisone (10 mg po) and diphenhydramine (50 mg po). Also of note, patient did not she had hives after receiving her first COVID vaccine.

Other Meds: Atarax, inderal, desyrel, cymbalta

Current Illness: N/A

ID: 0986833
Sex: M
Age: 58
State: NY

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

Lab Data:

Allergies:

Symptoms: Reported Symptoms: Shoulder/Neck pain, achy, chills, headache Date of Onset: 1/9. Symptoms persist for 2-3 days then abate for a day or two before reappearing, ongoing Medication taken for Symptoms: Tylenol

Other Meds:

Current Illness:

ID: 0986834
Sex: F
Age: 75
State: FL

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

Lab Data: 01/29/2021 No lab test

Allergies: Pencillian, No other know other than Demoral

Symptoms: Left arm has a red rash starting at the injection site running around the arm to the inside and extending to within 2 inches of the bend in the arm. It itches, is red, but other than the itch it has not bothered me at this point. I went to a walk-in clinic and was told it could be cellulitis. (bacteria) at the injection site. He has placed me on an antibiotic starting today. The rash, swelling on my arm, is hot to the touch and I prefer non-one touch it. The physician at the walk in said to add heat to the site. I have also gotten a cough. He prescribed something for this also. My Covid case was very mild.

Other Meds: Synthroid, Omega Red, Centrum Silver, Bio-Flex, Something for bones

Current Illness: Diagnosed with Covid by Health Dept. December 28, 2020. Did not know had Covid and took first vaccination on 12/30/2020. No adverse reaction. Am having problems with second vaccine. Have spoken to Health Dept. and 24 hour nurse with insurance. They both said to see a physician.

ID: 0986835
Sex: F
Age: 49
State: IL

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

Lab Data:

Allergies: Yes

Symptoms: The client complained of scratch/itchy throat

Other Meds: not known

Current Illness: Yes

ID: 0986836
Sex: M
Age: 73
State: FL

Vax Date: 01/12/2021
Onset Date: 01/25/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rash,itchiness,redness

Other Meds: Metformin,Ramipril,

Current Illness:

ID: 0986837
Sex: F
Age: 50
State: MA

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

Lab Data:

Allergies:

Symptoms: 28 minutes after accination, SOB mild dizziness with tachycardia. resolved after 15-20 min lying down.

Other Meds:

Current Illness:

ID: 0986838
Sex: M
Age: 74
State: NC

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: I developed a previously never experienced constipation, with soft, not impacted stool. I'm a physician of Internal Medicine and would equate this w/ something of an atonic colon. I self-administered two separate Fleets Childrens rectal suppositories w/o response, then repeated digital disimpaction every hour or so, for the next 12-16 hours. Began Miralax powder the evening of January 16, 2021 around 7PM and repeated full doses at bedtime, again at approximately 4AM on January 17, 2021 and a fourth full dose at 8AM. The Miralax finally resulted in a more liquid stool that morning around 10AM, w/ relief of the generalized abdominal discomfort

Other Meds: Metformin, lisinopril, atorvastatin, testosterone gel,

Current Illness: none

ID: 0986839
Sex: F
Age: 37
State: WV

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: keflex, aspirin

Symptoms: Approx 1 hour after vaccination of 2nd vaccine, I began having vertigo until noon of that day. headache persisted multiple days after vaccination. Next day after vaccination I developed systemic edema, rash on legs below knees, migraine, generalized pain, malaise, fatigue. also developed reddened warm area to injection site, dx as cellulitis. Psoriasis areas flared, psoriatic arthritis areas increased in pain. Seen primary care physician after symptoms did not cease on day 6 (Monday) after getting dose 2. Said it was side effect from vaccine and prescribed prednisone taper, doxycycline, and lasix

Other Meds: methotrexate, zyrtec, verapamil, celexa, folic acid, ibuprofen

Current Illness: none

ID: 0986840
Sex: F
Age: 48
State: VA

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

Lab Data: n/a

Allergies: Penecillin, Amoxycillin

Symptoms: I have a cysts/lesion on the outside of my lip (I thought it was a pimple but it was so big and I never felt anything come on like I always do). I also have internal cold sores - one almost right on the other side of the lesion, one on the other side of my lip. I DO NOT KNOW IF THIS IS A SIDE EFFECT or just a coincidence. I don't have herpes or any history of lip lesions. I don't remember biting my inside lip and they are too high for that type of injury anyway.

Other Meds: Cymbalta, Symbacort, Lisinopril, Oxcarbezaprine, Cyclobenzaprine, Lipitor, Loratadine, Metoprolol Succinate er

Current Illness: none

ID: 0986841
Sex: M
Age: 60
State: WA

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

Lab Data: N/A

Allergies: Penicillins

Symptoms: Rash and swelling in the shoulder area from injection site downward. approximately 4 inches wide and 6 inches long.

Other Meds: losartan-hydrochlorothiazide 100-25 MG per tablet - Blood Pressure

Current Illness: none

ID: 0986842
Sex: F
Age: 47
State: NV

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: NO TESTS, BUT MY PCP HAS PRESCRIBED ANTIBIOTICS.

Allergies: NONE

Symptoms: THE DAY AFTER THE INJECTION THE AREA WAS RED, ITCHY AND SWOLLEN WHICH I KNOW IS NORMAL. TWO WEEKS AFTER INJECTION MY ARM IS STILL SORE, VERY RED, WARM TO THE TOUCH AND THE REDNESS HAS GROWN FROM A SMALL AREA RIGHT AROUND THE INJECTION SITE TO AN AREA LARGER THAN MY HAND.

Other Meds: NONE

Current Illness: NONE

ID: 0986843
Sex: F
Age: 38
State: AL

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

Lab Data:

Allergies: Sulfa

Symptoms: I got multiple very painful ulcers on the roof of my mouth and just behind my right front tooth.

Other Meds: Binorerhindrone acetate tablet (birth control)

Current Illness: None

ID: 0986844
Sex: F
Age: 80
State: VT

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Developed shingles 2 days after her COVID vaccine.

Other Meds:

Current Illness:

ID: 0986845
Sex: M
Age: 32
State: NH

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

Lab Data: none

Allergies: none

Symptoms: VR passed out several minutes after injection. He had brief seizure like activity and quickly regained consciousness within approximately a minute. His BP , HR, RR and 02 saturation were within normal limits afterward. He notes that he stayed up all night working the night shift as a police officer and then had caffeine this morning. He had an identical episode years ago after being sleep deprived and receiving a dental injection. EMS was summoned, but he declined transport to the hospital and elected to go home. He was driven home by his wife.

Other Meds: none

Current Illness: none

ID: 0986846
Sex: M
Age: 66
State: AK

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: fresh fruits and veg_ irritation in throat, codeine- cough, latex- rash.

Symptoms: The first 3-5 days patient had redness and swelling at the injection site. Reports it got better, but then got "lumpy", swelling and redness started spreading, was up to 6 inches in diameter. The past few days it has been improving. Patient has been seen at urgent care on 1/29/21, told there is no cellulitis, most likely reaction to the vaccine.

Other Meds:

Current Illness:

ID: 0986847
Sex: M
Age: 35
State: IL

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

Lab Data: N/A

Allergies: N/A

Symptoms: 9 hours after vaccine: chills, fever, headache, nausea and body ache for 12 hours. Treated with Tylenol and Zofran. Second night fever occurred again and was again treated with Tylenol.

Other Meds: Probiotic

Current Illness: COVID vaccine #1 12/31/2020

ID: 0986848
Sex: F
Age: 50
State: CA

Vax Date: 01/19/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Gluten, Latex, preservatives like Blue Lake, Yellow 40 etc.

Symptoms: I have noticed increased soreness at the site of the injection and my left shoulder is red, swollen and sore as if I am having an allergic reaction to the vaccine. I have also had moderate to severe headaches and fatigue. I do not have a fever and my daily temperature has been ~97.0.

Other Meds: Thyrogold, ThyroEcho-37, evening primrose, Astra Isatis, Oxicell Kr 22; Miscellized D3 , Neuro Methylation Cream, Adrenal stim

Current Illness: None

ID: 0986849
Sex: F
Age: 68
State: AK

Vax Date: 01/19/2021
Onset Date: 01/25/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Sulfa allergy

Symptoms: Moderna covid-19 vaccine EUA Adverse reaction includes one period at night of cold sweats, very painful in area on arm where vaccine was administered, rash on arm at sight of vaccine covering a little less than half my arm circumference, skin there so tender, a slight itching made it bleed slightly.

Other Meds: Juice Plus, Plant based calcium, Vit. D

Current Illness: None

ID: 0986850
Sex: F
Age: 39
State: MA

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

Lab Data:

Allergies: none

Symptoms: exactly 7 days after injection site extremely itchy and large hard welts appear, warm to touch and left arm weakness

Other Meds: none

Current Illness: none

ID: 0986851
Sex: F
Age: 81
State: IN

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

Lab Data: none

Allergies: Cipro Sulfa

Symptoms: Approx 3 cm x 4 cm area of redness, warmth and itching at the injection site that developed over a week after the injection

Other Meds: Norvasc 10mg, Breo 200/25, Vitamin D, Vitamin B12, triamcinolone cream 0.1%, Premarin vaginal cream

Current Illness:

ID: 0986852
Sex: F
Age: 60
State: OH

Vax Date: 01/19/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: NA; seen in office today. No blood work needed.

Allergies: Pre gabalin; mental status changes

Symptoms: Initially had injection site pain (mild), fatigue, headache. She states these symptoms ceased and than around day 7 she developed left arm injection site redness, swelling, and pain that radiated into her elbow. With ibuprofen and ice this seemed to alleviate the symptoms. The past 24 hours the redness and swelling surrounding injection site is back; deep aching from shoulder into her elbow. The swelling is very localized.

Other Meds: Allegra PRN, Motrin PRN, Cosopt eye drops, vitamin D3, calcium tablets, gabapentin

Current Illness: None

ID: 0986853
Sex: F
Age: 37
State: PA

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

Lab Data: NA

Allergies: Bactrim Percocet Chloraprep

Symptoms: 10 minutes following injection, feeling hot and flush, nausea. Instructed by nurse at clinic to take benedryl. i stunted to remain at site additional time, mild improvement of symptoms by time permitted to leave. Symptoms returned intermittently throughout the day, and included headache and chest palpitations. Resting HR 110 to 120 bpm. Treated with additional doses of benedryl, tylenol, and Ibuprofen. Persisted for over 24 hours. Throughout night also developed vomiting, sinus congestion, sorethroat, chills, and intense body aches. Contacted PCP office and instructed to continue with OTC treatments and rest.

Other Meds: Flexerall 5mg Magnesium B2 Zyrtec 10mg Aldactone 25mg

Current Illness: NA

ID: 0986854
Sex: F
Age: 51
State: FL

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

Lab Data:

Allergies: none

Symptoms: Fever, chills, body aches, headaches

Other Meds: none

Current Illness: none

ID: 0986855
Sex: F
Age: 70
State: PA

Vax Date: 01/04/2021
Onset Date: 01/14/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: Zetia

Symptoms: 1 week post vaccine Lt Deltoid very red, hot, swollen and itchy

Other Meds: Metoprolol 100mg QD, Metoprolol 50 QD, Amlodipine 5 mg QD, Simvastatin 10mg 3x /week, Warfarin 4 mg QD, Multi Vitamin QD

Current Illness: None

ID: 0986856
Sex: F
Age: 40
State: MN

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

Lab Data: none

Allergies: NKDA

Symptoms: Localized swelling without redness, itching

Other Meds: citalopram, levothyroxine, mesalamine, ?nitrofurantoin?

Current Illness:

Date Died: 01/04/2021

ID: 0986857
Sex: M
Age: 66
State: TX

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

Lab Data:

Allergies: Fish / seafood

Symptoms: Extreme bouts of nausea first few days after vaccine. Estimated that patient died at home within 3-4 days after receiving the vaccine. Last phone call to daughter expressed extreme nausea and seemed to have altered mental status. Found dead by daughter on 01/04/2021.

Other Meds: Tresiba Flextouch Insulin Pen Victoza Pen Gabapentin Symtuza Sertraline HCL Anoro Inhaler Atorvastatin Risperidone Aspirin Men's Multivitamin Melatonin Pioglitazone

Current Illness: Uncontrolled insulin levels (high glucose)

ID: 0986858
Sex: F
Age: 77
State: CA

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

Lab Data: None. Not reported to medical clinic or physician. Expect to recover soon with no lasting impact. Do not need intervention. Thought purpose was to report reactions.

Allergies: maybe ibuprofen

Symptoms: Red blotch (1.5" x 2.5") near injection appeared 2nd day, sensitive to touch, faded away within a few days. Nine days later, suddenly reappeared, bright red and itched a lot unlike initial appearance.

Other Meds: statin 10mg Flonase

Current Illness:

ID: 0986859
Sex: F
Age: 56
State: NY

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

Lab Data: Unknown.

Allergies: Unknown

Symptoms: Vaccine administration error. It is suspected that a ?? needle syringe was used instead of a 1? syringe IM.

Other Meds: Unknown

Current Illness: Unknown

ID: 0986860
Sex: F
Age: 40
State: MN

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

Lab Data: none

Allergies: NKDA

Symptoms: Localized swelling without redness, itching

Other Meds: citalopram, levothyroxine, mesalamine, ?nitrofurantoin?

Current Illness:

ID: 0986861
Sex: F
Age: 34
State: TN

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Large itchy rash on arm near injection site. Treated with topical hydrocortisone and hydroxyzine for 3 days

Other Meds: Lexapro, vitamin d, multi vitamin

Current Illness: None

ID: 0986862
Sex: F
Age: 75
State: NC

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

Lab Data:

Allergies: Zocor

Symptoms: Redness, itching, and swelling at injection site; soreness of arm that began the evening of the date of vaccine and grew more intense until beginning to subside 4 days after vaccine. I continued to use my arm normally as much as possible and took Tylenol at night. Today, the 8th day after receiving the vaccine, the injection site is still slightly sore to the touch.

Other Meds: Lisinopril, Pravastatin, Omeprazole; Lumigan; Dorzolamide; Restasis; Systane Complete drops; Systane Nighttime ointment; L-Lysine; fish oil (OTC); Hair, Skin, & Nails; Vitamin D-3; Yuvafem

Current Illness: None

ID: 0986863
Sex: F
Age: 26
State: MN

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

Lab Data: January 1st - at ER - found Low magnesium Rapid Heartrate - ST abnormalities

Allergies: penicillin; clindamycin; allergy to shrimp

Symptoms: Had a cold sweat; Rapid heartrate; Went to ER on Jan 2 - decreased magnesium; IV therapy - magnesium infusion (January 2st) - ER - Put me on a magnesium supplement; the symptoms resolved a few days later; Saw Dr on January 5th After 2nd dose of - had rapid heartrate for second dose but it was only periodically for two days and I didn't seek medical care

Other Meds: Metropol 25mg; Colchicine 0.6 mg; Endomethesine - 25 mg capsules; Estarylla - Birth Control

Current Illness: not any

ID: 0986864
Sex: F
Age: 35
State:

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

Lab Data:

Allergies:

Symptoms: injection side turned red and swollen, measured at 7.5 x 5.5 cm and warm to touch. Fatigue, low grade fever at 100.9.

Other Meds:

Current Illness:

ID: 0986865
Sex: F
Age: 50
State:

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

Lab Data:

Allergies:

Symptoms: SOB with chest tightness and syncope episode with loss of consciousness. c/o elephant sitting on the chest. O2 92%, BP 160/ 90, AED no shock advised. EMS arrived and transported to ED

Other Meds:

Current Illness:

ID: 0986866
Sex: F
Age: 43
State: CA

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

Lab Data:

Allergies: none

Symptoms: 1 week after the vaccine I started to develop inflammation at the injection site, a round large red circle and it felt very warm and the red circle got bigger. It is still warm to the touch and it has been two days. It itches slightly. I guess this is called "Covid Arm"

Other Meds: None

Current Illness: none

ID: 0986867
Sex: F
Age: 43
State: MN

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

Lab Data: Paramedics called 1/25/21 mins after receiving vaccine-EMS ruled it out as a panic attack.

Allergies: Penicillin, PCE, Phenergan, Methylprednisolone, Silver, Z-pack

Symptoms: 1/25/21 received vaccine; mins after paramedics called pt was experiencing blackout, blood pressure high, high heart rate, heart flip flops, weak, tingling hands/feet, difficulty breathing, cough to be able to breath, chest pains, splotchy skin areas, brain fog, hot/cold, happens every morning since besides 1/28/21 takes two hours to shake, symptoms returned 1/29/21 morning.

Other Meds: None

Current Illness: None

ID: 0986868
Sex: F
Age: 55
State: SC

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

Lab Data: 124/84, HR 66, O2 99% on RA.

Allergies: hydromorphone, nalbuphine, codeine, wellbutrin. shellfish.

Symptoms: Pt was waiting her 15 minutes post vaccine administration when pt began to feel hot & flushed, have difficulty swallowing ( constant need to clear throat), dry mouth, numbness & tingling in feet & legs. 2mL of dexamethasone 4mg/mL given IM to left deltoid by FNP. Epinephrine 0.3mg/0.3mL given IM to right upper thigh by FNP. Pt placed on 2LPM O2 via NC for comfort. Pt tolerated well. Pt recovered & left our clinic at 1635.

Other Meds: albuterol inhaler, alprazolam, cyclobenzaprine, dicyclomine, duloxetine, drisdol, estradiol patch, zetia, loratadine, metaxalone, montelukast, pantoprazole, glycolax, lyrica, maxalt.

Current Illness: N/A

Date Died: 01/01/2021

ID: 0986869
Sex: F
Age: 79
State: NY

Vax Date: 01/03/2021
Onset Date: 01/10/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: NA

Allergies: NKA

Symptoms: Patient noted with respiratory distress on 1/10/2021, transferred to hospital via 911.

Other Meds: Prednisone, Miralax, Labetalol, Gas-X, Gabapentin, Folic Acid, Fluconazole, Famotidine, Eliquis, Crestor, Bactrim

Current Illness: Pembro associated pneumonitis and nuronal inflammation, Candida Esophagitis

ID: 0986870
Sex: F
Age: 77
State: FL

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

Lab Data: Covid test- positive

Allergies: none

Symptoms: pt developed fever, chills and backache after the vax . Pt had a tele visit w/ her PCP today 1/29/2021 - pt tested positive for COVID. Pt will FU w/ PCP.

Other Meds: Zyrtec, Vitamin C, D, Zinc and Multivitamin

Current Illness: none

ID: 0986871
Sex: F
Age: 25
State: NY

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

Lab Data: Unknown

Allergies: Unknown

Symptoms: Vaccine administration error. It is suspected that a ?? needle syringe was used instead of a 1? syringe IM

Other Meds: Unknown

Current Illness: Unknown

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm