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: 0987374
Sex: M
Age: 78
State: TX

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

Lab Data: Unk

Allergies:

Symptoms: Patient was in distress and had a Stroke ( per his wife). Ambulance called and pt was admitted to hospital.

Other Meds:

Current Illness: Hypertension

ID: 0987375
Sex: F
Age: 48
State: NC

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

Lab Data:

Allergies: Effexor, artificial food coloring

Symptoms: The same evening of the vaccination, I had a low grade fever and started to feel body aches. The next morning I woke up with body aches, a headache, and nausea. By, midday I had a fever, severe body aches, and nausea. That night I could not sleep due to the nausea and chills. By Friday I've still felt nausea and chills.

Other Meds: lamictal singulair wellbutrin zyxal trazadone tolterodine

Current Illness: none

ID: 0987376
Sex: M
Age: 30
State: HI

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

Lab Data: N/A

Allergies:

Symptoms: Pt c/o slight throat numbness and slight dizziness aprox 20 minutes after receiving second dose of Pfizer Covid vaccine. Pt denied experiencing difficulty breathing, flushing of the skin, and itchiness.

Other Meds:

Current Illness:

ID: 0987377
Sex: M
Age: 29
State: KS

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

Lab Data: None

Allergies: None

Symptoms: Body aches, low back pain, minimal nausea, redness and swelling around injection site noted 2 days after injection

Other Meds: Tylenol

Current Illness: None

ID: 0987378
Sex: F
Age: 53
State: CA

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

Lab Data:

Allergies:

Symptoms: Throwing up dizzy body aches headache

Other Meds:

Current Illness:

ID: 0987379
Sex: F
Age: 34
State: OK

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

Lab Data: Had rapid covid test done at urgent care on 1/29/21 day after receiving vaccine and it was negitive

Allergies:

Symptoms: Had the shot at noon on 1/28/21 by 10:00 that night i started having really bad body aches and took some tylenol but but 3:00 am I woke up with 102 temperature and by the time I went into my urgent care clinic my body head and musles ached so bad and my temp was 102.8. I had fever most of the day and feel like it is starting to break for the first time on 01/29/21 at about 7:15 pm but still have some body aches and taken tylenol and ibuprofen every 6 hours or so

Other Meds: Sulfasalazine

Current Illness: Rheumatoid arthritis

ID: 0987380
Sex: F
Age: 78
State: OH

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

Lab Data:

Allergies: None

Symptoms: None stated.

Other Meds: None

Current Illness: None

ID: 0987381
Sex: M
Age: 45
State: NJ

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

Lab Data:

Allergies: Gadolinium dye

Symptoms: 15 minutes post vaccination, verbalizes feeling flushed; no respiratory symptoms noted/ reported, NAD Vitals assessed: BP 122/86 P82 RR 18 Monitored additional 20 minutes, reports "feeling better", noted status improved Released from facility to home

Other Meds:

Current Illness:

ID: 0987382
Sex: F
Age: 54
State: TX

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

Lab Data: none

Allergies: none

Symptoms: Feeling foggy

Other Meds: losartan

Current Illness: none

ID: 0987383
Sex: F
Age: 39
State: AL

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

Lab Data: None

Allergies: None

Symptoms: Approximately five days after the injection, I had my first period since 2013. Due to a combination of pregnancy (delivered 2/2014) and subsequently two Morena IUDs, I have not even had spotting since 2013. For three days, I had period-like blood and cramping. I reported this during my routine rheumatologist appointment who told me to report it here. Additionally, I had pain in the arm for three days as expected from the literature about side effects from the trials. I am scheduled to have my second dose on 2/4/21 and will report any other side effects.

Other Meds: Otezla, mirena IUD, daily multivitamin, melatonin

Current Illness: None

ID: 0987384
Sex: F
Age: 34
State: CA

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

Lab Data:

Allergies: None

Symptoms: Fever (101F), chills, body aches, headache, weakness, fatigue. Significant soreness at injection site. Started 5-6 hours after injection. No other symptoms. Some improvement after 400mg ibuprofen approximately 24h after symptom start. All symptoms besides injection site soreness resolved within 36 hours. Soreness resolved within 72 hours.

Other Meds: N/A

Current Illness: None

ID: 0987385
Sex: F
Age: 70
State: WA

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

Lab Data: None

Allergies: All ANSAIDS asa codeine sulfa All autoimmune Rx except prednisone.

Symptoms: Nocturnal chest tightness, rapid thready pulse, high blood pressure, fatigue and weakness. Symptoms began about 1:30 AM often on until 4 AM. Following day experienced mild fever and flu like symptoms.

Other Meds: Amlodipine. Hydrocodone. Mirtazipine

Current Illness:

ID: 0987386
Sex: F
Age: 70
State:

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

Lab Data:

Allergies:

Symptoms: pt was vaccinated with no reported issues. pt waited required 15 minutes in pharmacy area with no reported issues. when pt sat up from chair and began walking to care they experienced the following: tremors, flushing, sweating, near fainting like symptoms, muscle weakness. symptoms lasted approximately 5-10 minutes and were resolved completely after given cold water and after sitting for an extra 15 minutes.

Other Meds:

Current Illness:

ID: 0987388
Sex: M
Age: 44
State: MI

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

Lab Data: n/a

Allergies: none

Symptoms: significant sore arm 48 hours body chills lasted 12 hours muscle pain lasted 48 hours headache 24 hours sore throat- 3+ days (still experiencing) generalized malaise for 3+ days (still experiencing)

Other Meds: none

Current Illness: none

ID: 0987389
Sex: F
Age: 23
State: CA

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

Lab Data:

Allergies:

Symptoms: As reported on an incident report on 1/27 @17:21: "After receiving vaccination, patient became hypotensive and diaphoretic. Was reported to me that after visitor received vaccination injection she became diaphoretic, BP low, and FSBS. Visitor was observed and refused ED treatment. Left [building] ambulatory in no obvious distress"

Other Meds:

Current Illness:

ID: 0987390
Sex: F
Age: 62
State: VA

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

Lab Data: None.

Allergies: PCN

Symptoms: 9 days after receiving vaccine, site of inject has a round rash which is warm, red and itches. Tender to touch and hard at site. Lotion applied. At time of this report, rash is ongoing. V-Safe check in has already ended, so unable to report this avenue.

Other Meds: None

Current Illness: None

ID: 0987391
Sex: F
Age: 43
State: TX

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

Lab Data: none

Allergies: none

Symptoms: Patient felt dizzy

Other Meds: none

Current Illness: none

ID: 0987392
Sex: F
Age: 35
State: PR

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

Lab Data:

Allergies: Seafood

Symptoms: Redness and swelling in the injection site, arm discomfort, headache, general body discomfort, Chills.

Other Meds: None

Current Illness: None

ID: 0987393
Sex: F
Age: 37
State: IN

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

Lab Data: Vitals taken during and after the event BP 120/68 HR 76 RR 16 Biox: 97%

Allergies: PCN

Symptoms: Patient complains of nausea, lightheaded, and not feeling well. Patient looks weak, clammy, and lethargic. Pt at this time is unresponsive to verbal. She is laid down on supine position. Pulse is present and strong per carotid artery. Epi is given per IM (epi pen) at 10:46am and help is called. The facility code team report to the scene and patient is assessed by the MD. Pt is at this time approx. 10:48am is alert and oriented x3. Vitals BP: HR:98 RR: 22 Biox: n/a. Pt report feeling weak but ok. She states before the start of the event; she had tingling in her arm. Pt post event vitals are taken and within normal. Patient is assessed by the physician and recommend to be observed at the site for extra 30minutes and discharged to home.

Other Meds:

Current Illness: Pt reported no illness/sick today on pre vaccine form

ID: 0987394
Sex: F
Age: 48
State: NY

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

Lab Data: 1/28/21- labs drawn - per patient, nothing reported to her

Allergies: None

Symptoms: Upon receiving injection, the RN administering noted that pt appeared anxious. Following her 15 minute wait, EMT noted that as she stood up she commented to another pt that her throat felt "scratchy" after he made the same comment. This patient was a volunteer at the vaccination site, and returned to her assignment. Throughout the assignment, she began rubbing her chest and the injection site. She returned to the EMTs approximately 2 hrs after receiving the vaccine to report "feeling different". EMTs witnessed redness on her chest area. They administered Benedryl and Decadron IV, called 911. All vitals WNL. This writer called pt the following day, she reported having been transported to Hospital. Bloodwork was obtained, she noticed while at hospital that the arm below where injected was covered in a "scarlatina type" rash. This rash continues to persist, no additional symptoms reported. She was discharged from ER with Rx for Pepcid and Prednisone and told to f/u with primary. She saw the PA at her MDs office, and was told to f/u with an allergist. She intends to go to Medical Center Allergy Immunology for f/u and further advice on receiving second dose of vaccine. She will follow up with this writer regarding the scheduling/canceling of the second dose based on the consultation with the Allergist/Immunologist.

Other Meds:

Current Illness: None

ID: 0987395
Sex: F
Age: 59
State: FL

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

Lab Data:

Allergies: Levaquin, codeine

Symptoms: Tenderness and swelling below under arm (not on arm), severe chills, nausea, headache, severe achiness in lower back., insomnia. Had all these symptoms starting the day after the shot except swelling and tenderness under arm pit started this morning (2 days after shot)

Other Meds:

Current Illness: None

ID: 0987396
Sex: F
Age: 47
State: TX

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

Lab Data:

Allergies: Morphine, Sulfa, Augmentin (GI intolerance, tolerates PCN fine)

Symptoms: 8 days after vaccination developed indurated warm red area over the site of injection approximately 2 in x 5 in, along with mild fatigue and low-grade temperature 99.5'F.

Other Meds: Levothyroxine 175mcg, Mobic 15mg, Effexor XR 150mg, Trazodone 50mg, Pramipexole 0.5mg, Lisinopril 10mg, Lyrica 75mg TID, Lamictal 100mg, Multivitamin, Hair/skin/nails supplement, Fish oil, Vit D, Probiotic

Current Illness: None

ID: 0987397
Sex: M
Age: 42
State: WA

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

Lab Data:

Allergies:

Symptoms: Mild Fatigue, Mild Body Ache, Mild intermittent headache

Other Meds: Metoprolol Vitamin D3 supplement Vitamin C supplement

Current Illness:

ID: 0987398
Sex: F
Age: 46
State: TX

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

Lab Data: Did not go to doctor/clinic.

Allergies: Nkda

Symptoms: Malaise, sore muscles, swollen lymph nodes (supraclavicular- one became rather large that night. Swelling down but 2 remain swollen 3 days later.), chills. Lasted over 24 hours following vaccination. Had to leave work early the next day. 48 hours later much improved except lymph nodes.

Other Meds: Topamax

Current Illness: Migraines, gerd

ID: 0987399
Sex: F
Age: 65
State: WA

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

Lab Data: None at the clinic

Allergies: Soy, peanuts, cashews, codeine, and sulfa

Symptoms: Subjective: tongue swelling and throat swelling objective: bronchospasm

Other Meds: Unknown

Current Illness: None

ID: 0987400
Sex: M
Age: 90
State: NY

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

Lab Data: EKG and Echo were performed.

Allergies: nka

Symptoms: Patient left the pharmacy and was at his table eating. He dropped his bowl and appeared to be shaking and his eyes rolled back. He was unresponsive so his wife called 911 and an ambulance came and transported him to the Hospital. Concern at the time was either a seizure or stroke.

Other Meds: Nitrofurantoin 50mg hs, Ezetimide 10mg qd, Warfarin 3mg qd M,W,F and Warfarin 5mg qd

Current Illness: none listed

ID: 0987401
Sex: F
Age: 77
State: NY

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

Lab Data: CBC/CMP/LYME/Uric Acid = All within normal limits.

Allergies: NKDA

Symptoms: 24 hours s/p receiving a vaccination in the R deltoid, the patient noted R distal ulnar redness, swelling and discomfort. The next morning the swelling got worse and she also noted similar swelling around her Left Hallux Longus (similar to a pseudogout reaction). No intraoral swelling. Speaking clearly in full sentences. She has never had similar reactions such as this nor has a h/o pseudogout or polyarthritis.

Other Meds: None

Current Illness: None

ID: 0987402
Sex: F
Age: 46
State: OR

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

Lab Data:

Allergies: Penicillin

Symptoms: Erythema and swelling at injection site approximately 1 week post vaccination No treatment needed as of yet

Other Meds: Venlafaxine

Current Illness:

ID: 0987403
Sex: F
Age: 51
State: MD

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

Lab Data: None

Allergies: Sulfa

Symptoms: Intense chills started about 7:15 pm (about 10 hours after vaccine). Fever started about 12 hours post vaccine and measured as high as 102.3. Fever lasted about 18 hours; however fever reducer was used. Intense headache throughout the time of the fever and lasted until 24 hours after the vaccine. Tender lymph node noted about 48 hours after the vaccine in my left axilla and remains tender.

Other Meds: Levoxyl Vitamin D 2000IU

Current Illness: None

ID: 0987404
Sex: M
Age: 77
State: KY

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

Lab Data: none yet. It's Friday and it just began

Allergies: none

Symptoms: Today I began itching at the exact spot the injection was given. I rubbed it and the more I rubbed the spot the more it ached and itched. Later when I looked at the injection spot, I noticed a 3-4 inch in diameter red spots like hives or shingles. The place is a circle. Rem8indes me of shingles but I've had both shingle shots over a year ago and never had problems.

Other Meds: vitamins C, D3, Tricor, Metformin er, Finestide, Metropolol, insulin, Fursimede, Trajenta, Slo Niacin, Fish Oil, Qucertin, Lisinipril

Current Illness: none

ID: 0987405
Sex: M
Age: 84
State: TX

Vax Date: 01/15/2021
Onset Date: 01/24/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: Ampicillin, Bactrim

Symptoms: Redness, rash, and swelling around injection site migrating to adjacent areas of the upper arm associated with severe itching. This began 9 days after injection and has continued for 6 days and is on-going at this time. Doctor has prescribed cold compresses and Ultravate topical lotion.

Other Meds: Xarelto, irbesartan, Lipitor

Current Illness:

ID: 0987406
Sex: F
Age: 76
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient started to experience increased heart rate, tingling of the tongue (possibly swelling) patient just said it felt weird, feeling flushed or feeling hot, back of neck seemed warm. Shot was given 12pm (noon) 15 minutes later patient started to experience these symptoms. Blood pressure was checked initially (147/78).

Other Meds:

Current Illness:

ID: 0987407
Sex: F
Age: 75
State: TX

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

Lab Data: none

Allergies: none

Symptoms: patient reported feeling dizzy

Other Meds: unknown

Current Illness: none

ID: 0987408
Sex: F
Age: 66
State: LA

Vax Date: 01/15/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Developed Cystitis in arm due to no lymph nodes under arm. Did not realize I could get vaccine in thigh.. So far I have received 3 Infusions of Rocephin. I am also on day 3 of oral Bactrim. The redness and swelling seems to be getting better. I am to continue the Bactrim for 7 days. I will contact the Doctor Monday to see if I need another Rocephin infusion.

Other Meds: Armour Thyroid. Metatoprol. Xanax. Baby aspirin. Ultimate omega. Ceylon cinnamon. Magnesium. D3. EmergenC. Limu. Tart Cherry

Current Illness:

ID: 0987409
Sex: F
Age: 45
State: WI

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

Lab Data: None

Allergies: None

Symptoms: Red spot on injection site, 2 x 3 in

Other Meds: None

Current Illness: None

ID: 0987410
Sex: F
Age: 39
State: TX

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: Rapid Covid test- negative and PCR Covid test-negative.

Allergies: Na

Symptoms: 4 hours after receiving it I got dry mouth and mild headache. Next day severe headache, body ache, and severe Short of breathe. Third day was worse same symptoms as the next day had to go to Urgent care because I couldn?t even bend down, walk from my room to the restroom without getting Short of breathe. Got a steroid injection. Missed a whole of work bet it was getting worse. Called my doctor to get seen because on the fifth day both ear pain and my voice was going out. Started Pro-Air Inhaler, Amoxicillin, methyl prednisone pack, and Prednisone. Started getting better by Sunday. I have never been Short of breathe before

Other Meds: Adderall

Current Illness: Na

ID: 0987411
Sex: M
Age: 41
State: GA

Vax Date: 01/10/2021
Onset Date: 01/15/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: n/a

Allergies: None

Symptoms: Persistent rash, itching on different parts of the body - back of the knees, back of the right thumb, upper chest.

Other Meds: None

Current Illness: None

ID: 0987412
Sex: F
Age: 34
State: NJ

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

Lab Data:

Allergies: Clindamycin PCN

Symptoms: Swollen lymph nodes in neck bilateral at first now only on left side

Other Meds: Wellbutrin Suboxone

Current Illness: None

ID: 0987413
Sex: M
Age: 67
State: CA

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

Lab Data:

Allergies: I am allergic to the "caines"

Symptoms: About six minutes after the vaccination, while sitting in the clinic, I experienced a feeling like I was about to lose consciousness, together with salivary gland activation and heavier breathing. This lasted about one minute and I did not pass out. But about 25 minutes later, while driving home (alone), I experienced the same thing but for about 5 or 6 minutes. Fortunately I didn't pass out. About an hour after the shot I felt sort of back to normal.

Other Meds: Lisinopril, simvistatin, metformin, baby aspirin, cardizem

Current Illness: None

ID: 0987414
Sex: F
Age: 27
State: CA

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

Lab Data:

Allergies:

Symptoms: Late entry for 1/28/21 at 12:00 noon. Received info. reg possible reaction to Covid 19 vaccine 2nd dose. Triaged pt. Pt. sitting in office. Per pt. stated feels warm and face is hot. Per pt. bil hand are cold and clammy. Pt's faced is flushed and slight swelling noted. Per pt. feels throat is swollen an slightly tight. Pt. is able to speak well and is able to swallow. V/S B/P 161/100, Pulse-84 and Resp. 20. PO Benadryl 25mg given. Post 20min at 12:20pm per pt. felt a little better. B/P at this time 155/96. Con't with face flushed and hands feel cold, no longer clammy. BS checked, results 97. clinic manager informed of incident. Post 45min at 1:05pm, pt stated felt much better, does not feel throat closing or discomfort. Pt. remained alert and talkative. Pt. instructed on OTC Benadryl to always have at home, go to see PCP and of ER precautions. Pt's brother and mother on their way to pick her up and take her home. Pt. left and was alert and talkative.

Other Meds:

Current Illness:

ID: 0987415
Sex: M
Age: 79
State: TX

Vax Date: 01/11/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Rash around vaccination site & larger rash about 3 inches from vaccination site. Very red & hot to the touch.

Other Meds: Keppra; Lisinopril; Levothyroxine; Simvastatin; CoQ10; VitB12; VitD3; Probiotic: Tylenol

Current Illness: None

ID: 0987416
Sex: F
Age: 89
State: MI

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: aching in muscle of upper left arm. Hurts when I move the arm. Didn't sleep well last night due to the aching, and continue hurting all day.

Other Meds: oxybutynin, citalopram, D3,krill oil, calcium, centrum silver, vision, CQ10

Current Illness: none

ID: 0987417
Sex: M
Age: 49
State: NJ

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

Lab Data:

Allergies: Reports allergy to Levaquin

Symptoms: S/p vaccination c/o feeling dizzy w/associated nausea; reports did not eat breakfast this am Vitals assessed/ wnl; BP 120/77 P59 O2sat 95 Rest, po hydration tolerated w/cookies, and some juice Monitored x 30 minutes, reports "feeling better" Released from facility to home

Other Meds: None reported

Current Illness:

ID: 0987418
Sex: F
Age: 44
State: OR

Vax Date: 12/30/2020
Onset Date: 01/08/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 9 days after 1st dose covid-19 vaccine I developed two 1" diameter hives. one on, and one just below the injection site. itchy red raised welts. arm was hot not terrible itchy, after 8hrs I applied otc Benadryl cream topically. 24 hrs later was red flat and not itchy. redness dissipated over the next day or so

Other Meds:

Current Illness:

ID: 0987419
Sex: F
Age: 84
State: CA

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

Lab Data: None

Allergies: Fish

Symptoms: Rash, itching, warm feeling at injection site

Other Meds: Metformin; Atenolol; Sucrafate; Carafate; Zenpep; Benazepril; Pravastatin; Alendronate; Amlopdipine; Amiodarone HCL

Current Illness: Pollen & dust allergies.

ID: 0987420
Sex: F
Age: 39
State: TX

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

Lab Data: Rapid Covid test negative

Allergies: None

Symptoms: Next day Severe headache body ache nauseous. Second day got worse same symptoms along with mild short of breathe, voice sounds horse, left ear pain had to call dr office and go to the urgent care. Was give erythromycin, medrol dosepak, ear drops due to ear infection. Still the same on the third day.

Other Meds: Adderall

Current Illness: ADHD

ID: 0987421
Sex: F
Age: 51
State: NY

Vax Date: 01/05/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: Lactose intolerance

Symptoms: Started day after injection and worsened 2 days after. Large raised rash/large hive that started at the top of my arm and itched (ice helped) Rash proceeded to get larger and move down my arm. Day 4 on started to lessen. Advil taken for pain.

Other Meds: vitamin B12, Vitamin D

Current Illness: none

ID: 0987422
Sex: F
Age: 31
State: IL

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

Lab Data: N/A

Allergies: Not an allergy but I'm lactose intolerant. Allergic to penicillin and macrobid capsules. Seasonal allergies.

Symptoms: 12/30/20 dose 1 2:30am: extreme night sweats, entire body was drenched. Had to wipe chest off with a towel. Also had chills. The soreness pain in my left arm was so severe Everytime I moved it while asleep it woke me up. 6:30am: 101.7 fever, chills, body aches. I could not life my arm above shoulder height ALL day. 10:00am: fatigue and joint pain in my sacrum and across to hips, down my legs, into my knees, and sometimes my shin. (This was the worst symptom). Experienced all the above symptoms all day. Still had a fever over 101. 2:00pm took advil and fell asleep for the hours. When I woke up, the body aches and joint pain was gone. 6:30pm chills came back and get off 99.9 and Loss of appetite for dinner No fever or side effects the next day when I woke up. 1/27/21 dose 2 7:40am received vaccine dose 2 10:00am arm soreness at site injection began and progressively grew worse throughout the day but not nearly as bad as the first dose. 4:15pm chills began 5:40pm 99.8 fever 6:20pm mild body aches in neck, between shoulder blades. Still had mild chills. 8:00pm 101.2 fever Took an advil and all side effects resolved 1/28/21 Just fatigue, no other side effects.

Other Meds: Necon (birth control)

Current Illness: No other illinesses.

ID: 0987423
Sex: F
Age: 86
State: CA

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

Lab Data: CT brain non-contrast 1/28/2021 "FINDINGS: Brain: Mild generalized brain atrophy. Decreased attenuation within the periventricular deep white matter compatible with microangiopathic white matter disease given age. No hemorrhage. Ventricles: Unremarkable. No ventriculomegaly. Bones/joints: Unremarkable. No acute fracture. Soft tissues: Unremarkable. Sinuses: Unremarkable as visualized. No acute sinusitis. Mastoid air cells: Unremarkable as visualized. No mastoid effusion. IMPRESSION: Chronic changes as described. No acute intracranial hemorrhage or space-occupying lesion." CTA Head and Neck with contrast 1/29/21 "FINDINGS: Right internal carotid artery: Mild atherosclerotic disease of the cavernous portion of the internal carotid arteries with no evidence of stenosis. No aneurysm. Right anterior cerebral artery: Unremarkable. No occlusion or significant stenosis. No aneurysm. Right middle cerebral artery: Unremarkable. No occlusion or significant stenosis. No aneurysm. Right posterior cerebral artery: Fetal origin of the right posterior cerebral artery. No occlusion or significant stenosis. No aneurysm. Right vertebral artery: Unremarkable as visualized. Left internal carotid artery: See above. Left anterior cerebral artery: Unremarkable. No occlusion or significant stenosis. No aneurysm. Left middle cerebral artery: Unremarkable. No occlusion or significant stenosis. No aneurysm. Left posterior cerebral artery: Fetal origin of the left posterior cerebral artery. No occlusion or significant stenosis. No aneurysm. Left vertebral artery: Unremarkable as visualized. Basilar artery: Unremarkable. No occlusion or significant stenosis. No aneurysm. IMPRESSION: 1. Mild atherosclerotic the changes in the cavernous portion of the internal carotid arteries. 2. No evidence of stenosis, occlusion or aneurysmal dilatation involving the circle of Willis." Transthoracic ECHO 1/29/21 "FINAL CONCLUSIONS: 1. Normal left ventricular size, thickness, and systolic function with no significant regional wall motion abnormalities. 2. No significant valvular heart disease." MRI brain without contrast 1/29/21 "FINDINGS: Small focus of restricted diffusion in the right basal ganglia/frontal parietal periventricular white matter is likely related to acute lacunar infarct. There is cerebral atrophy which is within the upper limits of expected for age. Scattered abnormal T2 hyperintensity in the periventricular and subcortical white matter may be related to chronic small vessel ischemic disease. The ventricles are normal in size and midline and no significant mass effect is seen. No definite intracranial hemorrhage or extra-axial fluid collections are seen. Appropriate flow-voids are seen within the visualized intracranial vessels. Visualized paranasal sinuses are clear. Mastoid air cells are clear. IMPRESSION: 1.Suspected acute lacunar infarct in the right basal ganglia/frontal parietal periventricular white matter. 2.Nonspecific foci of abn

Allergies: furosemide (lip swelling), lisinopril (lip swelling)

Symptoms: Patient received COVID vaccine #1 at 5pm. At around 9pm, she went to bathroom and noticed that she felt dizzy, shortly thereafter she noticed that her speech was slurred. Her daughter saw that her mouth was droopy and called 911. Pt took 3 baby ASA at that time as well. Patient evaluated in ED for stroke, CT/CTA normal, TPA not given. Admission diagnosis CVA vs Bell's palsy (mild). MRI consistent with changes suspect acute infarct. No arrhytmias noted. ECHO unremarkable.

Other Meds: acetaminophen 325mg 2tabs PO q6h prn fever or pain, allopurinol 100mg PO BID, anastrozole 1mg PO daily, carvedilol 12.5mg take 1/2tab PO BIDWM, vitamin D 1000 units PO daily, clobetasol 0.05% cream 1 application to affected area BID PRN leg

Current Illness: none noted

ID: 0987424
Sex: F
Age: 67
State: CA

Vax Date: 01/17/2021
Onset Date: 01/21/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None. Only an office visit to my doctor on Friday, January 22.

Allergies: None

Symptoms: Reaction began 4 days post injection: Severe red itchy rash initially on legs from knees to hip; both hands and entire arms. Rash spread to both feet, parts of calves and and to waist on day 2 of adverse reaction. Doctor instructed me to take a Zyrtec at night for 2 nights and to decrease dosage to 1/2 pill each night until rash disappeared. He also instructed me to take Claritin during the day until rash disappeared. I used initially a topical cortisone cream without much success in stopping the itching. Rash was first noticed Thursday morning, January 21, 4 days after the injection on January 17. By Sunday, January 24 it was nearly gone and by Monday, January 25 it had disappeared.

Other Meds: Omeprazole 40mg 1X/day; Raloxifene Hydrochloride 60mg 1X/day Vitamin C 1000mg; Vitamin D3 1000 IU; Magnesium Malate 3.75mg ; Zinc 50 mg --all vitamins once a day.

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm