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: 0988110
Sex: F
Age: 55
State: MA

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

Lab Data:

Allergies:

Symptoms: Swelling of the tongue. Patient was given benadryl

Other Meds:

Current Illness:

ID: 0988111
Sex: F
Age: 69
State: OK

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: none

Allergies: sulfa

Symptoms: Vaccination given higher than ideal location. Immediate pain with needle insertion. Immediate pain when medication injected.

Other Meds: Tylenol and Benadryl

Current Illness: none

ID: 0988112
Sex: F
Age: 44
State: IN

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Aches, fever,chills

Other Meds: None

Current Illness: None

ID: 0988113
Sex: F
Age: 29
State: IN

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever of 99.5 for approximately 2 hours muscle aches in back and legs for approximately 7 hours mental fatigue ?cloudy? thinking, still coherent and oriented, congruent with typical ?sickness? approximately 7 hours

Other Meds: Adderall 20mg XR Blisovi loestrin

Current Illness: None

ID: 0988114
Sex: F
Age: 23
State: OR

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: Lactose intolerance, almonds

Symptoms: Mild nausea the beginning the following evening (approximately 10PM on 01/27/21) that subsided upon waking up the following morning. Mild to moderate full body aches, particularly around the shoulder and hip joints, beginning the following evening (approximately 10PM on 01/27/21) that persisted through the following day. General fatigue coincided with the full body aches and followed a similar time course. Migraine beginning the following morning (approximately 9am) that still persists through till 01/30/21. No medication were taken for any of the symptoms at any time.

Other Meds: Ethinylestradiol/etonogestrel (NuvaRing)

Current Illness:

ID: 0988115
Sex: F
Age: 31
State: IN

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Chills, fever, body aches, runny nose, nausea

Other Meds:

Current Illness:

ID: 0988116
Sex: F
Age: 62
State: TX

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: BP 239/129 Spo2 100 P 88 R 22

Allergies:

Symptoms: Felt woozy like; felt like she's drunk. Pt denies tightness in chest, jaw pain or heaviness in chest. Treatment: Rest and water also referred to primary care clinic as she refused to go to the emergency room for further care. The pt was able to walk without assistance and stated she was fine.

Other Meds:

Current Illness:

ID: 0988117
Sex: F
Age: 47
State: VA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: Hydrocodone

Symptoms: Soreness at injection site Red, bumpy rash on chest, breast, stomach, sides, both legs front and back ( treated with Benadryl and hydrocortisone cream, after 8 days called back to dr and she prescribed triamcinolone acetonide cream because still itching badly)

Other Meds: Amlodipine Folic acid Methotrexate Plaquenil Benlysta infusion monthly Levothyroxine Hydrochlorothiazide

Current Illness:

ID: 0988118
Sex: F
Age: 36
State: MI

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: I received the Pfizer COVID vaccine on Wednesday, January 20th at 1:15 PM. After I got the vaccine, I went in to the observation tent for observation. I sat down and immediately felt a tingle sensation in my fingers on my left hand and my arm hurt at the injection site on my left arm. After I left the observation and returned home, the rest of the day/night, my left arm hurt where I received the shot, I had a headache, my neck hurt, and I felt a little nauseous. The next day, January 21st, I felt a slight tingle sensation in both my hands and feet on my left and right side. January 22nd, the slight tingle sensation in both hands and feet on my left and right side continued, and I had a very bad headache. The slight tingle sensation has continued along with some muscle soreness in my arms and legs. The tingle sensation is intermittent throughout the day in my fingers and toes. I have no numbness and it is not painful. It is just a slight minor tingle sensation. I messaged my doctor on January 25th and was advised to monitor it and contact back if it doesn't go away. Present day January 30th, I still have slight tingling sensation in my fingers and toes on my left and right side, the muscle soreness has since subsided.

Other Meds: Vitamin D, Prenatal Vitamin (I stopped breastfeeding the day prior, January 19, 2021).

Current Illness: No

ID: 0988119
Sex: F
Age: 37
State: MO

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

Lab Data: None

Allergies: Penicillin, Ceclor, sulfa drugs, tree nuts, eggs, mushrooms

Symptoms: Approximately 8hrs after receiving vaccine I developed itchy eyes, hives around my eyes, itchy throat. I took 2 benadryl capsules. The symptoms resolved in approximately 2 hours. I woke up the next day with some itching and 2 hives on my abdomen (approximately 21 hrs after injection). Nothing was taken and symptoms resolved on their own.

Other Meds: Multi vitamin, Protonix

Current Illness: No

ID: 0988120
Sex: F
Age: 78
State: PA

Vax Date: 11/13/2020
Onset Date: 11/01/2020
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reports she is still experiencing injection site pain and muscle stiffness. She is unsure if it was related to the vaccine, but the pain is around the location she had her injection.

Other Meds:

Current Illness:

ID: 0988121
Sex: F
Age:
State: CT

Vax Date: 01/01/2021
Onset Date: 01/01/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: Codine

Symptoms: Around 3PM about 7 hours later of shot The left side injection / problem left side of Face from cheek bone to jaw line redness , puffiness plus skin irritation chaffing . her left side of lip she complained of slight numbness it was suggested that if irritation take Tylenol which we did two over 4 hours before bed around 1AM took one Advil she was restless to go to sleep fearful finally around 3AM tired enough to fall asleep About 11AM called my niece Nurse Hospital she said take Benadryl but speak to DOCTOR First he said same thing did for about 4 days Swelling and Redness went down numbness lower lip still slight their now about 10 days later acceptable feeling still wondering why??

Other Meds: Morning daily one Levothyroxine .88 mcg // Evening daily one Memantine 28MG // one Donepezil 10MG /// Twice a day Azelastine /Flutic 137 50 MCG one spray Flovent HFA 110 MCG twice daily

Current Illness: none

ID: 0988122
Sex: F
Age: 28
State: IN

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: Naproxen

Symptoms: Had body aches, chills, and a fever. Took Ibuprofen that helped

Other Meds: None

Current Illness: None

ID: 0988123
Sex: F
Age: 66
State: NJ

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: Crabmeat

Symptoms: Soreness at injection site, fever, extreme fatigue, dizziness, fast heart rate. 24 hour duration

Other Meds: None

Current Illness: IBS

ID: 0988124
Sex: F
Age: 38
State: FL

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: Doxycycline/Tetracycline

Symptoms: Light red, itchy, small bumps rash at injection site not occurring until 1 week after injection. It?s about 3 inches long and 2 inches wide. Will treat with Benadryl today. Initially only felt pain in the injection arm for about 36 hours after initial injection.

Other Meds: Daily multivitamin, Elderberry gummy, Vitamin D

Current Illness: None

ID: 0988125
Sex: F
Age: 37
State: MI

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

Lab Data: N/A

Allergies: Penicillin

Symptoms: Fever and chills, it came on quick this morning

Other Meds: Women?s one-a-day vitamins and abilify

Current Illness: COVID-19 on 12/20

ID: 0988126
Sex: F
Age: 27
State: WI

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: antibiotics/antifungals

Symptoms: While in monitoring area after receiving vaccination client reported hoarse voice, redness, swelling, and tingling of tongue and lips. Redness was in face, chest and right arm. Client denied difficulty breathing or throat tightness. Client reported at this time "significant hx of anaphylactic reaction." This was not noted clearly on screening form signed by client. Client given 50 mg Benadryl per standing order due to symptoms. Epinephrine was not given. 911 was called. Client vitals remained stable with slightly elevated blood pressure ate 140/102. EMS arrived before repeat vitals were taken. Lung sounds were clear and equal bilaterally. Report was given to EMS and care transferred.

Other Meds:

Current Illness:

ID: 0988127
Sex: M
Age: 63
State: OH

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Mild headache. malaise, extra "aching" is areas of known osteoarthritis. Started about 12 hours after vaccine. Resolved about 36 hours after vaccine.

Other Meds: CBD Oil Glucosamine/Chondroitin

Current Illness: none

ID: 0988128
Sex: F
Age: 49
State: PA

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

Lab Data: BP 136/88, 124/82, 119/83. Pulse 84. Pulse oxygen 98 and 99

Allergies: IVP Dye

Symptoms: Patient was asked to be observed for 30 minutes due to a previous serious reaction to IVP dye. About 20 minutes after she received her vaccine, she felt chest pain and claustrophobia. She refused an epi pen. She took 50mg of diphenhydramine. She quickly said that she felt better, but we monitored her blood pressure, pulse, and pulse ox. We also called a paramedic, they arrived shortly and evaluated her. She refused to get treatment. Her vitals were all normal, she was drowsy from the diphenhydramine. The chest pain and feeling of claustrophobia were gone. She worked at a school and the school nurse checked on her throughout the rest of the day, and she was feeling fine. She was very nervous about the vaccine, and her reaction could have been anxiety related (although she felt fine after her vaccine).

Other Meds: unknown

Current Illness: unknown

ID: 0988129
Sex: F
Age: 28
State: MI

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

Lab Data:

Allergies: Azithromycin and amoxicillin

Symptoms: Nausea, headache, joint pain, back and neck pain, pain at injection site, chills, hot flashes, eye pain when looking at light

Other Meds: Synthroid, oral birth control

Current Illness: None

ID: 0988130
Sex: F
Age: 54
State: PA

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Facial numbness

Other Meds: Plaquenil; prednisone; Synthroid; Nadine; b2; b12; d3; Prilosec

Current Illness:

ID: 0988131
Sex: M
Age: 52
State: WA

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Lethargic, Joint Pain, Headache. Lasted about 24 hours

Other Meds: Daily Vitamins

Current Illness: None

ID: 0988132
Sex: F
Age: 42
State: IN

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever 100.8. Body aches. Headache. Fatigue. Nausea. Arm pain

Other Meds: Fish oil. Vitamin B. Synthroid.

Current Illness: None

ID: 0988133
Sex: M
Age: 81
State: CA

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: Not known although I do have springtime allergic reactions of sneezing and running nose.

Symptoms: Extreme sleepiness that afternoon and the next two days.

Other Meds: Multaq 400 Mg, (2 per day; all others 1 per day unless otherwise stated), Xarelto 15 Mg, Esomeprazole Mag 20 Mg, Verapamil 120Mg, Alprazolam .5 Mg nightly, Aliskeren 300 Mg, Febuxostat 40 Mg, Atovastatin 40 Mg, Minocycline 50 Mg (Mon, Wed,

Current Illness: None

ID: 0988134
Sex: F
Age: 33
State: MA

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

Lab Data: blood work run on 01/29/2021 - I believe inconclusive IV steroids and oral benadryl and pepcid admin

Allergies: Penicillin, Augmentin, Imipramine, Bactrim, Zpack, Shellfish

Symptoms: moderna covid19 vaccine EUA about 10 minutes after injection i was extremely dizzy, experienced brain fog in that i had trouble repeating my medication allergies. My vitals were monitored, BP i believe was 170/130 and I was in hypertensive crisis. Headache shortly thereafter. I was transfered to the ER where I stayed for 3 hours. oral Benadryl was administered. 25 mins later my left arm became numb and fingers tingled but subsided quickly. 1 hour later, I experienced oral effects - tongue and lips were burning and it felt like there was a golf ball in my throat and voice became a bit hoarse. I was given IV Prednisone and oral Pepcid and quickly recovered. Dizziness continued for the 3 hours. I was released and dizziness occured sporadically all day with headache and musle/neck soreness. At 10 PM that night I experienced a fever of 101.3 and chills. Tongue/mouth tingling remains periodically. 01/30/2021 left arm tingling and numb pinky and ring finger, shortly subsided. Swollen injection site and body aches. Trouble with asthma - used ProAir to conbat.

Other Meds: Birth control pill

Current Illness: n/a

ID: 0988135
Sex: F
Age: 66
State: KY

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Migraine. Fever(101). Chills. Aching joints. Fatigue. Length of event - 20 hours.

Other Meds: Amlodipine. vit D

Current Illness: None

ID: 0988136
Sex: F
Age: 33
State: VA

Vax Date: 01/09/2021
Onset Date: 01/22/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Slight circular welt at injection site with red ring around the edges. Ring was about 2inches in diameter. No pain and slight warmth to touch. Symptoms remained for about 2-3 days then dissipated.

Other Meds: none

Current Illness: GERD

ID: 0988137
Sex: M
Age: 43
State: MA

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

Lab Data:

Allergies: Bee venom

Symptoms: I received my second dose of the Moderna vaccine at approximately 11:00am. At approximately 7:00pm, I began experiencing flu-like symptoms including fever, weakness, fatigue, severe body aches, a swollen axillary lymph node (on the side of the injection). 48 hours after receiving the shot, I still maintain a fever of greater than 100 and body aches.

Other Meds: None

Current Illness: None

ID: 0988138
Sex: F
Age: 76
State: AZ

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

Lab Data: None

Allergies: None

Symptoms: AFib / rapid heartbeat an hour after receiving first dose. AFib again two days later around 11a on 1/30. Lasts for about 45 minutes

Other Meds: Antihistamine, Simethicone

Current Illness: None just seasonal allergies

ID: 0988139
Sex: F
Age: 32
State: TX

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: BP 130/75 P 76 Spo2 99

Allergies: unknown

Symptoms: Pt developed tingling around mouth and cheeks as well as itching in on the right Shin. Treatment: Cetirizine 10 mg PO and an addition 30 minute observation. The pt felt better after the additional wait time, vitals signs stable She was released home.

Other Meds: unknown

Current Illness: N/A

ID: 0988140
Sex: F
Age: 30
State: TX

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: NO DRUG ALLERGIES NO FOOD ALLERGIES

Symptoms: APPROXIMATELY 10 MINUTES AFTER RECEIVING VACCINE C/O THROAT TINGLING, FEELING OF CLOSING AND BODY FEELS WIERD. BENADRYL GIVEN PO AND 911 CALLED. PT TRANSPORTED TO ED AT MHSO BY EMS. PT STILL AWAKE WITHOUT FURTHER SYMPTOMS

Other Meds: IBUPROFEN PRN

Current Illness: FLU 3 WEEKS AGO

ID: 0988141
Sex: F
Age: 39
State: TX

Vax Date: 01/21/2021
Onset Date: 01/27/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: Sensitivity to codeine, latex

Symptoms: The round itchy red swollen rash at injection site

Other Meds: Montelukast Syeda Omega-3 acid Sertraline Pravastatin Omeprazole Vitamin d3 Women?s multivitamin

Current Illness: None

ID: 0988142
Sex: F
Age: 60
State: WI

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: Tylenol/acetaminophen

Symptoms: 2? diameter redness/swelling, soreness, some itching, resolved after 2 days

Other Meds: Ibuprofen 200mg, 1 Women?s one-a-day Vitamin, ***2- 10,000mcg Biotin tabs, 1 tab Triple Strength Osteo Bi-Flex, 2-50mcg Vitamin D3 tabs, ***2-Glucosamine Chondroitin capsules. ***Nature?s Bounty brand

Current Illness: None

ID: 0988143
Sex: M
Age: 75
State: OH

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: none

Allergies: latex, plavix

Symptoms: chills, fever +3 degrees, joint aches, muscle aches, headaches ,fatigue starting 20 hr after injection. fever lasted 20 hours, headache lasted 36 hr, everything resolved in 48 hr.

Other Meds: aspirin, lipitor, lisinipril, multivitamin, folic acid, zinc, D3, zytec, CoQ10

Current Illness: basal cell skin cancer

ID: 0988144
Sex: F
Age: 23
State: TX

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Rash at site of vaccine

Other Meds: Lexapro, Buspirone, Bupropion, birth control (June?s Fe), Pepcid, Claritin

Current Illness: None

ID: 0988145
Sex: F
Age: 41
State: IL

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: My doctor had done blood work, EKG, MRI which have come back clear. (completed 1/28). Further appointments with primary doctor and neurologist are scheduled. Told to go to immediate care if pain increases or other symptoms arise.

Allergies: None known

Symptoms: I had a warm rush come from my left chest up through the left side of my neck about 12 minutes after the shot. I did not report it at the time because I didn't know it was possibly from the shot. The feeling continued to come and go through the left side of my chest and neck area. I also began feeling a tingling sensation in my left jaw, arm, hand. The tingling sensation has remained fairly consistent. The heat rush comes and goes and varies in intensity from a warm feeling to very hot and uncomfortable like there was a tube of hot lava inside my body causing quite a bit of pain.

Other Meds: Iron, Vit D, Multi-vitamin

Current Illness: None

ID: 0988146
Sex: F
Age: 61
State: PR

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: Aspirin

Symptoms: Extensive skin rash in right arm. I started on my own treatment with Cephadroxil Hydrocortisone Cream and cold pads.

Other Meds: Lotrel , Lipito , Vitamin C and Probiotic

Current Illness: None

ID: 0988147
Sex: F
Age: 57
State: IN

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

Lab Data: None

Allergies: Codeine, shellfish, percocet and tetracycline

Symptoms: Immediately after injection the site was warm and tender to touch; approximately 5 hours later my arm hurt so badly I could barely lift it; I had body aches especially my hips: I had a horrible headache and a fever. My symptoms lasted about 20 hours. Today the only symptom I have is mild tenderness at the injection site. All other symptoms have resolved themselves.

Other Meds: Lithium, ambien, amlodipine, levothyroxine, plavix, lamictal, Latin and metformin

Current Illness: None

ID: 0988148
Sex: F
Age: 50
State: IN

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Sore arm started immediately. Chills, body aches started 24 hours after injection. Lasted all night but was better in morning.

Other Meds: Multivitamin, melatonin, elderberry, xyzal

Current Illness: N/A

ID: 0988149
Sex: F
Age: 53
State: CA

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

Lab Data: None

Allergies: NKDA

Symptoms: Mild red raised itchy rash face and bilateral forearms with mild scratchy throat.

Other Meds: Mild scratchy throat. Mild red raised itchy rash on face and bilateral forearms. No SOB or tachycardia. BP 127/74 HR 57 at time of first noted presentation of symptoms listed above.

Current Illness: No acute illnesses one month prior to first dose Pfizer COVID vaccine.

ID: 0988150
Sex: F
Age: 41
State: CT

Vax Date: 01/26/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: Anaphalaxis to PCN, Cephlosporins, Bee Venom

Symptoms: 8 hours post injection: fever (101 tmax), chills, headache, injection site soreness. Fever, chills, headache resolved 36 hours post injection. Approx 90 hours post injection wheal lesions on R arm appear (not on injection site) ,red/warm to touch, swelling to injection site, decreased ROM to RUE.

Other Meds: Med List Includes: MTX 25mg SC Qweek Plaquenil 200mg PO QD Lyrica 75mg PO HS Vitamin D 2000 units PO QD Lexapro 10mg PO QD Claritin 10mg PO QD

Current Illness:

ID: 0988151
Sex: F
Age: 59
State: OK

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: Latex, peanuts, eggs, cantaloupe, peanuts

Symptoms: Hives began 5 minutes following injection, located on upper arm at site of injection. This spread to opposite arm within 5 minutes. BP at this time was 148/98, HR 90, no difficulty breathing, chest pain, SHOB, headache. Over following 45 minutes this spread to patient's back, abdominal area, then to upper legs, then lower legs. 25mg Benadryl chewable given to patient at 15 minutes following start of hives. No change in level of itching associated with hives, or progression of hives to other parts of her body. Additional 25mg Benadryl chewable given to patient 15 minutes after initial dose. 30 minutes after second dose of Benadryl, patient experienced reduction in itching in upper body.

Other Meds:

Current Illness: none

ID: 0988152
Sex: F
Age: 41
State: CA

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: Blood pressure taken and basic vitals.

Allergies: N/a

Symptoms: Swelling in the jaw and neck. At 30 min mark she had hives developing and numbness going down the side she had the injection. Benadryl administered and transported to hospital.

Other Meds: N/a

Current Illness: N/a

ID: 0988153
Sex: F
Age: 60
State: NJ

Vax Date: 01/20/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Red rash at injection site, Warm to touch and very itchy

Other Meds: N/A

Current Illness: none

ID: 0988154
Sex: F
Age: 72
State: TX

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: Codeine, penicillin, Clindamycin

Symptoms: Knot in muscle below vaccine site. Also redness and warm to touch in left upper arm. Symptoms disappeared after day 4 but returned day 8-9. Some itching and splotchy skin.

Other Meds: Hydrochlorothyazide, atorvastatin, vitamin D

Current Illness:

ID: 0988155
Sex: M
Age: 71
State: CA

Vax Date: 01/21/2021
Onset Date: 01/27/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: Penicillin and derivatives, Aleve.

Symptoms: Covid Arm. Red itching Rash (4.5 inches x 2.5 inches) around injection site appeared approximately six days after receiving vaccine. At time of this reporting it is 9 days after receiving vaccine and the rash is yet to subside.

Other Meds: None

Current Illness: None

ID: 0988156
Sex: F
Age: 23
State: CO

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

Lab Data:

Allergies: none

Symptoms: Arm in severe pain. Unable to move arm without intense pain.

Other Meds: none

Current Illness: none

ID: 0988157
Sex: M
Age: 51
State: HI

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

Lab Data: Nothing was taken by doctor at facility and nothing by my internist.

Allergies: Sulfa, Penecillin, Shellfish, Bugs, cat dander, pollen, dust, mold, latex

Symptoms: Began with a slight headache that eventually got worse. Started, when treated, at a 5 of 10. Left facility with a 7 of 10 headache. Then I had a weird taste in my mouth (metallic like). My tongue started to tingle and was a bit numb. Eventually after Doctor at facility took me in, I was given benedryl 50 mg and an antacid. After a few minutes the right side of my mouth became itchy but the tingling stopped. The itch was not unbearable but it was getting there. I was already having a slight difficulty breathing but that was from the morning even with inhalers. As an instrument player a doctor said I have super lungs so my results would be skewed due to how much air I take in. But any loss of air, although in the safe range for others, is like breathing through a straw for me. My blood pressure was 139/90 at the time. My normal blood pressure is 117/70. I went home feeling cold and just not feeling well, relatable to flu symptoms. This is the next day after taking benedryl every 6 hours at 50mg/dose. My breathing is slightly labored. I feel ok but my arm hurts, I have been moving it around a lot just to get it mobile. My chest feels like there is a slight weight on it which is weird for me. At the moment my pulse is 81bpm and my oxygen is at around 96. My norm is around 70bpm and oxygen at 99. No temperature is consistent at 97.3. I feel a little weird today. I am stiff all over as well. Little aches here and there but that is a norm. Doing my stretches and exercise is not a go today. Can't breathe as normal.

Other Meds: Xopanex, Symbacort, Flonase, Zyrtec, Zinc, Vit D, Vit B complex, Probiotics, PreBiotics, Tylanol max strength

Current Illness: I did have an asthma attack before shot in the early morning. But it was on the mild side. Allergies were playing havoc after the hard rain we had this week. And, I injured my lower back, not sure how. Pinched nerve.

ID: 0988158
Sex: F
Age: 38
State:

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

Lab Data:

Allergies: aspirin, ibuprofen, fluoxetine

Symptoms: 38 year old female observed post 1st COVID vaccine @ 1:18PM. 5 minutes post vaccine patient reported tinnitus, itchy throat, dizziness and neck/face flush. On exam lungs clear, BP and O2 stable, HR 102 BPM. Patient was administered Benadryl PO and observed. 10 minutes post benadryl patient became tachycardic and reported chest tightness and shortness of breath, patient was then administered EPIPEN to Left outer thigh. EMS activated and patient was sent to ER

Other Meds:

Current Illness:

ID: 0988159
Sex: F
Age: 21
State: WI

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies:

Symptoms: While in monitoring area, client reported feeling dizzy and faint. Client was ambulatory. Vitals taken and normal. After getting out of her car, client reported cold air helped and was not experiencing symptoms any longer. Client declines EMS tranpsport for further evaluation, instructed to follow up with PCP or ER if symptoms worsen/recur. Client assisted back to car with boyfriend.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm