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: 0923829
Sex: M
Age: 41
State: PA

Vax Date: 12/30/2020
Onset Date: 01/02/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swollen Lymphnodes above right clavical and under right armpit. Sore joints in right arm.

Other Meds: Fish Oil, Ibuprofen, Multivitamin

Current Illness:

ID: 0923830
Sex: M
Age: 63
State: CA

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: pending cbc, cmp, esr, crp and lactic acid results

Allergies: NKA

Symptoms: fever 101-102 on 12/30/2020 with confusion

Other Meds: aspirin 81 mg, gabapentin 100 mg qd, ibuprofen 400 mg prn, januvia 100 mg qd, vemlidy 25 mg qd, diovan-hct 160-12.5 mg qd

Current Illness: htn, dm, chronic hep b

ID: 0923831
Sex: F
Age: 26
State: ND

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: Sulfa Meds

Symptoms: Injection site became itchy, and then around the entire area, shoulder area, down arm. Would lessen, then become worse again, Injection site ice packed, hydrocortisone cream applied to area at 5:45pm and 6:10pm with some relief. Small welts noted at times, but decreased with treatments. Benadryl 25mg PO at 5:15pm, Benadryl 12.5mg PO Chewable at 5:45pm and Benadryl 25mg PO at 6:10pm, all on 1/5 Repeated 25 mg PO at 8:30 on 1/6 for slight itchy HR regular, no swelling in face or tongue, no shortness of breath, no headache or visual disturbances. No nausea or vomiting, or diarrhea. Drove to home, took bath and slept well that night. Still reports general itchiness throughout body on 01/06 with some relief from benadryl.

Other Meds: None

Current Illness: None

ID: 0923832
Sex: F
Age: 37
State: PA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: 1/5: Ekg--tachycardia

Allergies: PCN, latex, coconut

Symptoms: 8:00 am: tongue numbness and reported to observer 8:05 am: tongue swollen lips numb 8:10 am: registering in ER tachycardia. Throat mouth dry and tight change to hoarse voice lightheaded. EpiPen administered. Ekg done. Other meds provided: 500 ml saline bolus. Famotidine, prednisone, benadryl Angioedemia and readmittance to ER approximately 18hrs later: prednisone,epipen, benadryl iv and po, famotidine, saline bolus

Other Meds: Allegra, hydochlorothiazide, spirlanolactone, norvasc,famotidine, metformin

Current Illness: None

ID: 0923833
Sex: F
Age: 27
State: MI

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

Lab Data: none

Allergies: no allergies: Previous delayed ( 3 days after administration) injection site reaction (localized redness and pain) and flu shot in 2020 and after varicella vaccination in 2017. Tolerated first dose of vaccine without adverse reaction

Symptoms: Patient developed acute pain, itching and warmth at site of vaccine administration. She developed a rash extending to the top of the LEFT shoulder into the LEFT earlobe

Other Meds:

Current Illness:

ID: 0923834
Sex: M
Age: 60
State: VA

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

Lab Data:

Allergies:

Symptoms: Patient may have received double dose, 58 mcg, in single injection. Unsure of exact dilution used. Once one vaccine was administered and error was discovered, no other doses administered. Patient experienced side effects consistent with vaccine side effects.

Other Meds:

Current Illness:

ID: 0923835
Sex: F
Age: 59
State: MD

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: labs, cxr, ekg 1/5/2021

Allergies: solumedrol

Symptoms: Patient received moderna vaccine and while waiting started to have tingling of tongue, had to be taken to the ER.

Other Meds: azathioprine, vit c, budesonide, calcium, Celebrex, vit d, prempro, vit b1, omeprazole, vitamin a

Current Illness: autoimmune hepatitis, rheumatoid arthritis

ID: 0923836
Sex: F
Age: 24
State: PA

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills; Headache; Elevated temperature (100.7F)

Other Meds:

Current Illness:

ID: 0923837
Sex: M
Age: 24
State: IN

Vax Date: 01/03/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Was fine for ~8 hours then started to feel ?off? after completing an upper body workout. I then felt nauseous and threw up, and my body began to ache. 12 hours post vaccination I began to develop a fever of 99.8 with the use of acetaminophen and had severe chills / muscle aches. The fever progresses to 101.1 about 36hours post vaccine and declined to 100.8 48 hours post vaccine. By 72 hours the fever was gone as well as all symptoms excluding fatigue and a slight headache.

Other Meds: Melatonin 3mg QD fluoxetine 20mg QD Flinstones multivitamin QD

Current Illness: POSITIVE COVID TEST. Was cleared to return to work 6 days prior to receiving vaccine

ID: 0923838
Sex: F
Age: 36
State: ID

Vax Date: 12/26/2020
Onset Date: 01/01/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Amoxicillin

Symptoms: Under arm pain on arm of injection. Swelling of under arm as well. Lasting 6 days. Did require me to take over the counter pain relief.

Other Meds: Lexpro 10 mg daily Vitamin D3 Multi Vitamin

Current Illness:

ID: 0923839
Sex: F
Age: 58
State: IN

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: Tele visit today scheduled

Allergies: None

Symptoms: Pfizer COVID vaccine gine. Headsche weakness and extreme conjunctivitis present

Other Meds: Amlodipine 5mg dly Vit D 1000IU dly

Current Illness: None

ID: 0923840
Sex: F
Age: 29
State: FL

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

Lab Data: None

Allergies: NKDA

Symptoms: Onset of disorientation and epitaxis from the L naris 90 minutes after injection. Resolved without medical intervention.

Other Meds: Liocaine patch, naproxin

Current Illness: None

ID: 0923841
Sex: F
Age: 56
State: MO

Vax Date: 12/22/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: site redness, little warm and itchy about dime size for couple days after, felt a little sluggish for 1 day or 2 after. Last Wednesday 12/30/20 injection site came back with itching, redness about a dime size again, never gone away. Last night it was bigger about a size of a quarter, warm, red and itchy, took Zyrtec. This morning 1/6/21 it is about the size of my palm, warm, little itchy. I had headache and neck stiffness last week, but none as of yesterday. Forgot to mention on phone this morning.

Other Meds:

Current Illness:

ID: 0923842
Sex: F
Age: 19
State: GA

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: NA

Allergies: NKA

Symptoms: Pt. reports that she noticed her left arm where she received Moderna COVID- 19 Vaccine EUA was red, swollen and itching this morning (01/06/2021) at approximately 7:45 AM. Pt. also states that she started taking Bactrim on 01/05/2021 for a UTI and she took only one dose prior to the event. Reports taking Amoxicillian for stye last week and was switched to Bactrim on Monday for a UTI but did not take first dose of Bactrim until Tuesday 01/05/2021. Pt. also reports all over itching including legs and face it red and blotchy on both cheeks that also began today. Pt. came into clinic on 01/06/2021 at 1:54 PM for visual evaluation of arm. Upper outer left arm (left deltoid area) has red rash 55MM Length & 30 MM Wide Area is also warm to touch. Pt. used cool compress for the redness, swelling and Benadryl for the itching.Pt. reports that swelling and redness has improved but itching continues along with aching. Reports a numb feeling in the area of the shot on left deltoid. Pt. also reports left axillary tenderness but states that started shortly after vaccination. Patient's mother notified primary care provider due to current use of Bactrim but no actual visit to doctor was made. Pt. instructed to continue to monitor for side effects and to contact HD and primary healthcare provider if symptoms worsen.

Other Meds: No medications at time of vaccination.

Current Illness: None

ID: 0923843
Sex: F
Age: 52
State: PR

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Feldene

Symptoms: Fever, body aches, severe headaches, the vaccine site is hot and swollen and painful

Other Meds: Zoloft ,pepcid,protonix, advil liquid gels

Current Illness:

ID: 0923844
Sex: F
Age: 16
State: WI

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient had completed the VAR form prior to the clinic. Staff was aware that only ages 18 and over could get immunization. They allowed her to have the shot with parental approval, which we as the vaccinators did not notice or approve of.

Other Meds:

Current Illness:

ID: 0923845
Sex: F
Age: 56
State: MA

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

Lab Data:

Allergies: NKA

Symptoms: States she felt her heart was racing. Denies CP, SOB. She was talking without difficulty. No rash or hives. Walking without difficulty. No dizziness. Evaluated by EMS. VS-156/70, 90, 22. O2 Sat 100%. Recheck-148/76, 86, 18, 100%. States she felt it could be due to anxiety. No history of anxiety. She declined transfer to hospital. Left to go to work. No complaints. Left at 6:45PM.

Other Meds: None

Current Illness: None

ID: 0923846
Sex: M
Age: 43
State: ND

Vax Date: 12/24/2020
Onset Date: 12/25/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: Rapid Covid Swab-neg.

Allergies: Maize plant

Symptoms: On 12/24, at 8:30a I began to get nauseated which lasted about 2hrs. Around 1am I woke up with SOB which continued thru the night, with off and on sleep. I woke back up at 5:45am, went to work with the SOB which lasted until 12N and resolved on its own. Around 3-330pm I began to feel feverish and had chills and was told I was disoriented. My temp was 100.5, HR 122 R 34 BP 170/100 O2-93%. I notified the DON of my feelings who advised me those were possible side effects of the vaccine and made me continue to work until I just couldnt take the feelings anymore and went to the ER. I was there for about 2 hrs and my body began to calm down. I took taken 100mg of Tylenol on my own just to help with the fever which did break shortly and I have been fine every since. I was positive for COVID 12/14.

Other Meds: Metoprolol Succinate 50mg,

Current Illness: no

ID: 0923847
Sex: M
Age: 43
State: WA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Promethazine

Symptoms: Nausea, Diarrhea, Sore throat, headache and congestion. Started an hour after receiving the vaccination. Symptoms increased the following day.

Other Meds:

Current Illness:

ID: 0923848
Sex: F
Age: 42
State: IN

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

Lab Data:

Allergies: NKDA

Symptoms: Tingling in left arm radiating to hand, little finger. BP 110/80 HR 90 @ 1139. Injection site has no redness or swelling. BP 120/80 HR 70 @ 1150. Tingling better, feels ok to leave.

Other Meds: Advil & Tylenol PRN

Current Illness: None

ID: 0923849
Sex: M
Age: 63
State: CA

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: pending cbc, cmp, esr.crp lactic acid

Allergies: nka

Symptoms: fever 101-102 on 12/30/2020 followed by confusion, headaches

Other Meds: asa 81, diovan- hct 160-12.5 mg qd, januvia 100 mg qd, ativan 0.5 mg tid prn, vemlidy 25 mg qd, gabapentin 100 mg qd, ibuprogen 400 mg q6h prn

Current Illness: htn, dm2, chronic hep b, occipital neuralgia

ID: 0923850
Sex: F
Age: 26
State: CO

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: No

Allergies: I am allergic to cephalexin

Symptoms: I had vomitting and that was moderate. The following day I was nauseous. My arm was pretty swollen and pain in the arm for two day. I had a headache that was pretty severe for two days. The third day I felt a little bit of arm soreness but I could use my arm a little better. I started having a little bit of a rash at the point of where I received the vaccine.

Other Meds: I take prenatal vitamins, zofran, zoloft.

Current Illness: No

ID: 0923851
Sex: F
Age: 56
State: CA

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

Lab Data:

Allergies: NKA

Symptoms: Numb lips, tongue. Benadryl given

Other Meds: Unknown

Current Illness: Unknown

ID: 0923852
Sex: F
Age: 28
State: MO

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Starting on 01/04/21 Employee noticed red swollen area below injection site. States itching warm to the touch. Area is 7 X 4.5cm on posterior of left arm not deltoid. States took 2 doses of Benadryl with minimal improvement. Explained conservative interventions including, cool compresses, IBU and OTC allergy medication if allowed by PCP. Employee verbalized understanding and will continue to monitor site. Employee advised to contact patient safety as the injection was misplaced by the vaccinator.

Other Meds:

Current Illness:

ID: 0923853
Sex: M
Age: 52
State: IA

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: injection site tenderness; swelling/pain of lymph node left armpit

Other Meds: fish oil Vit D

Current Illness: None

ID: 0923854
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0923855
Sex: F
Age: 38
State: TX

Vax Date: 12/27/2020
Onset Date: 01/02/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: large, diffuse local reaction including erythema, edema, tenderness, itching around whole deltoid area where injection was given

Other Meds: multi-vitamin, Nasacort nasal spray, calcium supplement, elderberry, omega

Current Illness: seasonal allergies

ID: 0923856
Sex: F
Age: 69
State: MN

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: Extremely tired, arms and legs felt like lead. Sharp pain top of ankles. Tireness, achiness, joint pain, muscle pain, headache. Feeling unwell.

Other Meds: Prilosec

Current Illness: no

ID: 0923857
Sex: F
Age: 30
State: WI

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: N/A

Allergies: Banana - Anaphylaxis, Hives, Itching Kiwi Extract - Anaphylaxis, Hives Shellfish Allerg - Anaphylaxis Shellfish-derived Products - Anaphylaxis, Hives, Itching Cat Hair Extract - Itching, Sinusitis Pollen Extract - Itching, sinusitis

Symptoms: At approximately 1630, patient was getting ready to leave the vaccine clinic. She advised writer that she had a strong metallic taste in her mouth. It started 10-15 minutes after the injection. Denied all other symptoms that could be considered a side effect or allergic reaction to the vaccination. Advised patient she could stay later for further observation. Patient declined to stay. She felt fine otherwise. Patient was further advised if develops shortness of breath, or throat tightening to call 911 immediatley. Patient verbalized understanding. She indicated that she does have an epi pen due to allergies and will use it if necessary. Called patient at approximately 1830. She informed writer that she did have the strong Metallic taste in her mouth that started 15 minutes after the immunization and it lasted for about 1 hour. She reports that she was slightly light headed once she got home. Patient is not sure if it is due to starting night shift last night or if it was from the vaccine. Patient encouraged to increase her water intake. She was also encouraged to call PCP's office if light headedness does not completely resolved. If develops life threatening symptoms, to call 911. She was in agreement with plan. Writer will completed VAERS report tomorrow.

Other Meds: Unknown

Current Illness: None that writer is aware of

ID: 0923858
Sex: F
Age: 44
State: ME

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Adhesive tape, oxycodone, Vicryl sutures

Symptoms: Red circular area that started day two. Seemed to not really grown until day 7 and has gotten bigger on day 8 and 9 and arm is sore again with a hard lump under injection site.

Other Meds: Ambien 10 mg QHS PRN

Current Illness: No illnesses

ID: 0923859
Sex: M
Age: 22
State: NY

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Chills, upper arm ache, stomach ache, and fever (100.7) at about 11 am on Wednesday January 6, 2021. Called employee health and went to get a COVID test

Other Meds: None

Current Illness: None

ID: 0923860
Sex: F
Age: 47
State: FL

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 7 days after receiving the vaccine I have developed a red patch that is hot to the touch at the injection site.

Other Meds: None

Current Illness: I was sick 2 days before a holiday. Took pharmacy test which came back negative. I had a fever of 101 and 102, severe chills and body aches,

ID: 0923861
Sex: F
Age: 41
State: MA

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: none

Allergies: Allergies to Bee stings, bananas and avocado's.

Symptoms: Approxametly 12 hours after receiving the vaccine I had feelings of nausea, headache, left arm pain and general malaise. This lasted about 2 hours and then subsided. For the last week, I've had off and on headaches and feelings of tiredness. I've also had soreness in left arm at the injection site. Yesterday, 1/5/2021 I noticed increased redness, warmth and a raised area at the injection site. It's hard and a little itchy. I've also had soreness in my neck and arm pitt. I have reached out to employee health through the hospital that i work at and whom i recieved that vaccine from in regards to my symptoms. The only invervention I've taken has been taking tylenol for a headache.

Other Meds: Tylenol

Current Illness:

ID: 0923862
Sex: F
Age: 63
State: KY

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

Lab Data:

Allergies: Aspartame, sulfa

Symptoms: Temperature 101, headache, ears hurt, body aches , nauseated

Other Meds: Fish oil, eye vitamins. vit d. Tumeric

Current Illness: Had a cold

ID: 0923863
Sex: F
Age: 44
State: WI

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: None, given toradol

Allergies: Metoclopramide and Prednisone

Symptoms: Persistent migrane pain with nausea

Other Meds: acetaminophen (TYLENOL) 500 MG tablet Apply topically to the affected daily for acne once daily.. clindamycin (CLINDAGEL) 1 % gel Take 10 mg by mouth Every 8 (Eight) Hours As Needed for Muscle Spasms. fluconazole (DIFLUCAN) 150 MG tablet

Current Illness: None

ID: 0923864
Sex: F
Age: 30
State: MO

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Employee here for COVID vaccine reaction, Left upper arm in deltoid area is red, swollen, warm to the touch. States this reaction started 01/05/21 with redness and itching area was outlined in pen at that time measured 7 X 9cm. The area has now expanded and is 11.5 X 11.5cm. States it is itching tender to the touch, swelling seems to wax and wane. No medication taken at this time. Redness does appear to be spreading toward collar bone and streaks are noted extending up shoulder. Recommending that the employee get seen for this reaction by PCP or walk in clinic to rule out possible cellulitis. Employee verbalizes understanding and agrees.

Other Meds:

Current Illness:

ID: 0923865
Sex: F
Age: 40
State: TX

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

Lab Data:

Allergies:

Symptoms: approximately 3 hours after vaccine, complaining of L arm pain. Patient concerned the vaccine was placed ?too high.? Patient reports she spoke with RN?s on her unit and showed location of vaccination and was educated it was placed too high. Patient reports sore arm after 1st dose but reports, ?this feels so much worse. I can barely lift my arm.? Patient educated to rotate Tylenol and motrin according to the medical directive for prescription medication and to apply ice to injection site. Patient educated to call vaccine support line for worsening symptoms, patient verbalized back understanding and denied further questions at this time.

Other Meds:

Current Illness:

ID: 0923866
Sex: F
Age: 33
State: NM

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: penicillin, Sulfa, Keflex, Aleve, tree, weeds, mold, pollen

Symptoms: Fully body itch, no redness and no rash

Other Meds: Claritin, Birth control, breo inhaler, incruse inhaler, metformin, montelukast, probiotics

Current Illness: asthma, allergies, insulin resistance, Polycystic ovary syndrome (PCOS)

ID: 0923867
Sex: F
Age: 28
State: NY

Vax Date: 12/27/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: N/a

Allergies: Phenethyl alcohol- anaphylaxis. Reglan- visual changes

Symptoms: Soreness at injection site day 2 that resolved. Diarrhea days 5- present. Hives surrounding injection site started day 9 post injection.

Other Meds: Prenatal vitamins, fish oil supplement, lactaid supplement, Nasocort, vitamin D

Current Illness: None

ID: 0923868
Sex: F
Age: 24
State: IL

Vax Date: 12/23/2020
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Patient is a 24 years old female seen today for Follow-Up (Received covid vax on 12/23, swollen, painful lymphnodes in L armpit and L side of neck) The LE is seen today on call with chief complaint of swelling of the left anterior neck. She received the Pfizer co bid 19 vaccine on 12/23 in the upper outer left on her. On the 25th she noted some discomfort in the axilla which then persisted all week. She did not have any fever or chills or malaise. She noted no redness in the axilla or in the area of the injection. She then developed visible swelling in the anterior left side of her neck and a sonogram was done which shows 6 areas of enlargement the largest one is 1.7 cm in diameter. Patient has the image on her phone and this was reviewed with her. She has no discomfort in the right axilla and no swelling elsewhere in the neck. She has no history of similar swelling.

Other Meds: None

Current Illness: None

ID: 0923869
Sex: F
Age: 37
State: ME

Vax Date: 12/31/2020
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: PCN, sulfa, and kiwi

Symptoms: 6 days after administration I have a large area of redness at the area of injection (15x10cm) that is also slightly raised

Other Meds: Prenatal vitamin

Current Illness: None

ID: 0923870
Sex: F
Age: 46
State: WA

Vax Date: 12/31/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: None. Doctor seen in video visit at 10:00 AM this morning.

Allergies: None known

Symptoms: Rash on my back since last night. I saw my doctor in a visit today and she believes that this is hot tub folliculitis, but she wanted me to report anyway.There are about 30 pustules on my back that are uncomfortable but not painful, nor itching. This has not worsened. Prescribed by doctor is topical medication. I will begin this medication later this afternoon.

Other Meds: Omeprazole, Tylenol

Current Illness: None known

ID: 0923871
Sex: F
Age: 54
State:

Vax Date: 12/18/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: PATIENT RECEIVED VACCINE ON DEC 18TH. ON DEC 30, PATIENT BEGAN EXPERIENCING HAND AND JOINT PAIN THAT SPREAD TO ENTIRE UPPER BODY. SHOOTING PAINS UP HER NECK AND DOWN HER ARMS. DEVELOPED ITCHY RASH ALL OVER UPPER BODY AS WELL AS HEADACHE AND SWOLLEN LYMPH NODES. CRP WAS 3.6 AND SED RATE 25. COVID TEST WAS NEGATIVE. PATIENT PUT ON MEDROL DOSE PACK AND SYMPTOMS RESOLVED IN 5 DAYS

Other Meds:

Current Illness:

ID: 0923872
Sex: F
Age: 50
State: MN

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: upcoming appointment for chest x-ray/EKG/other labs on Jan. 7 9:30AM

Allergies: Sulfa antibiotics

Symptoms: Severe Nausea within 30 minutes - has not subsided - still present after 24 hours Chest Pain - began after 10 hours - reduced pain after 24 hours, but still present Headache - began after 8 hours - still present Cough - began after 8 hours - still present Sore Throat - began after 8 hours - still present Shaking hands - began next morning - still present

Other Meds: Warfarin Linzess Oxycodone Vit B12 Vit D Iron

Current Illness:

ID: 0923873
Sex: F
Age: 36
State: MO

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: mushrooms penicillin

Symptoms: Day of injection developed a nickel sized raised bump at injection site. 1 week after this red area began enlarging; did not start subsiding until 1/5/2021. See photo taken 1/3/2021: perimeter was red and raised. Itching started on 1/4/2021.

Other Meds:

Current Illness:

ID: 0923874
Sex: F
Age: 33
State: IN

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 103 fever, chills, severe muscle pain, hypersensitive nerves, chest pain, headache, lightheaded

Other Meds: None

Current Illness: None

ID: 0923875
Sex: M
Age: 0
State: NJ

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 01/06/2021
Hospital: Y

Lab Data: Video EEG- 12/19-12/20/20- no seizure activity noted Brain MRI 12/21/2020- normal Ophthalmology exam- 12/21/2020 normal Dilated ophthalmology exam 1/6/2021- felt that movements were a tic and referred to neuro ophthalmology

Allergies: Intolerances through breastmilk (dairy, soy, peanut)

Symptoms: Abnormal eye movements (multiple an hour) the following day (12/19). He was taken to local emergency room and admitted to neurology for continuous video EEG, sedated for brain MRI, ophthalmology exam. All tests were normal, but movements have continued. He saw ophthalmology for a dilated exam today, 1/6/2020, and they referred us to neuro ophthalmology.

Other Meds: Vitamin D

Current Illness: Upper respiratory infection (covid negative), vomiting (12/14)

ID: 0923876
Sex: F
Age: 33
State: AZ

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Headaches, nausea, slight fever

Other Meds: Birth control- Sprintec

Current Illness: No

ID: 0923877
Sex: M
Age: 52
State: IN

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

Lab Data:

Allergies: Lisinopril

Symptoms: Neck pain, left jaw pain, headache in both temple regions

Other Meds: Novolog, 81MG aspirin, Metformin

Current Illness: n/a

ID: 0923878
Sex: M
Age: 41
State: KY

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

Lab Data:

Allergies:

Symptoms: FLUSHING, STIFFNESS IN LEFT ARM MOVING UPWARDS TOWARD NECK. NUMBNESS IN THROAT/MOUTH/FACE. ADMINISTERED ORAL DIPHENHYDRAMINE 25MG AND CALLED PT'S PCP. PCP WAS ABLE TO SEE PATIENT IMMEDIATELY AND PATIENT TRANSPORTED TO THE OFFICE (ON-SITE).

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm