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: 0991905
Sex: F
Age: 69
State: AZ

Vax Date: 01/01/2021
Onset Date: 01/22/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Woke up with severe chills, low fever, nausea, headache. Sick about 24 hours. 2 days later got very dizzy and shaky had to sit most of the day.

Other Meds: Vitamin C Calcium

Current Illness: None

ID: 0991906
Sex: F
Age: 58
State: KY

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: Vision exam performed

Allergies: Methotrexate; ACE inhibitors; cephalosporins; PCN

Symptoms: Increased fluid in left eye with significant decreased vision started 1 week post immunization; and shingles started 1/29/2021

Other Meds: Lopressor; Wellbutrin; Lexapro; Entresto; Maxzide; Xeljanz; Horizant; Synthroid

Current Illness: None--Post vaccination Experienced increase fluid and significant vision change 1/13/2021 Experienced shingles 1/29/2021

ID: 0991907
Sex: M
Age: 66
State: NY

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 02/01/2021
Hospital:

Lab Data: Unknown

Allergies: Unknown

Symptoms: Vaccine administration error. It is suspected that a 1/2? needle syringe was used instead of a 1? needle syringe IM.

Other Meds: Unknown

Current Illness: Unknown

ID: 0991908
Sex: F
Age: 76
State: FL

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: Calcium, iron

Symptoms: Injection site with redness, warmth, tender and hard

Other Meds: Yes

Current Illness: None

ID: 0991909
Sex: F
Age: 72
State: NY

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, upset stomach, nausea and diarrhea, and her face was sunburn red and started Friday the 29th and still sick. throwing up every 15 to 20 mins. Called Dr. on Sunday and was told to take aspirin and Tylenol

Other Meds: Gabapentin 100 mg, trazadone 50 mg, certilene HQ 100 mg, vitamin B-12, oloppogrel 75 mg, farisolfate, mepoprolol SUCC 50 mg, amitropaline, antratrola

Current Illness:

ID: 0991910
Sex: F
Age: 20
State: CO

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

Lab Data:

Allergies: Penicillin

Symptoms: Fever 100, sore throat, body aches, warmth, tenderness and redness at injection site, approximately 3", increased in size overnight since onset. Recent hospitalization for CD. Tested negative at hospital discharged 1/19.

Other Meds: Venlafaxine 250mg, Topiramate, Gabapentin 100 mg

Current Illness: C. Diff.

ID: 0991911
Sex: F
Age: 47
State: GA

Vax Date: 01/06/2021
Onset Date: 01/16/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: No known drug or food allergies

Symptoms: A delayed, large oval-shared rash at the injection site 10 days after vaccination with redness, itchiness, and mild irritation. Gradually diminished in size and redness in 2 weeks.

Other Meds: multi-vitamin

Current Illness: None

ID: 0991912
Sex: F
Age: 82
State: CA

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: Codeine

Symptoms: At 0843, RRT was called at the post-vaccination area for an 82 y/o female C/O chest tightness after administration of the Pfizer vaccine at 0836. RRT RNs responded to scene with E-Kit, stethoscope, and pulse ox at hand. Initial vitals ? BP: 190/94, HR: 86, O2: 96% on RA. Client reports that chest tightness does not radiate anywhere else. Client denies N/V, vision changes, or difficulty breathing. Client appears in no acute distress, no sweats seen. Head-to-toe assessment done, all WNL. Client reports she took Metoprolol, Prilosec, a vitamin supplement, and Synthroid this AM. Has a history of macular degermation, thyroid dx, arthritis, and HTN. Throughout RRT, chest tightness improved. At 0855, BP was 182/92. At 0900, client?s head-to-toe assessment remained in WNL. She remained in no acute distress and was not SOB or had difficulty breathing. 911 assistance not needed at this time. Recommendation to client was to be monitored for an additional 15 minutes and that if symptoms worsen, she should contact her PCP and go to the nearest hospital/ER and/or call 911. Client verbalized understanding. At the end of additional 15-minute waiting period, client felt so much better. Symptoms improved. Client left AMA and left premises at 0915 via car.

Other Meds: None taken at the time of vaccination but on the AM of vaccination day, client took Metoprolol, Prilosec, a vitamin supplement, and Synthroid.

Current Illness: None

ID: 0991913
Sex: M
Age: 17
State: NE

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: No adverse events were reported. The vaccine was administered to the patient who is 17 year old.

Other Meds:

Current Illness:

ID: 0991914
Sex: F
Age: 75
State: CA

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: none

Allergies: Shell Fish

Symptoms: Day after the injection I experienced a red rash about the size of a tennis ball at the injection site. There was no pain or problems swallowing, no hives or headaches, just the rash. It lasted for two full days and was warm to the touch.

Other Meds: Losartin Zonisamide Metopolol Botox injections every three months in neck by neurosurgeon Fish Oil/Flaxseed Oil/ Vitamin C-E-D, Biotin, Cranberry pills, Preser Vision

Current Illness: n/a

ID: 0991916
Sex: M
Age: 40
State: ND

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: Anaphylaxis to bee venom

Symptoms: Pt developed throat constriction/pressure about 20 minutes after vaccine #2 of the COVID-19 series. He had no symptoms after the first dose. He denied any other symptoms. Denies SOB, cough, throat/tongue/lip swelling. Physical exam and initial vitals were normal. At 1100, he was given Benadryl 25mg po x1 dose. He reported symptoms were improving shortly after. At 1110, repeat vitals were still normal and physical exam was unchanged. Pt reported feeling better. He was discharged back to work in stable condition at 115.

Other Meds: Vitamin D

Current Illness: None

ID: 0991917
Sex: F
Age: 68
State: NC

Vax Date: 01/31/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: Syncope?? I 've had the above symptoms when eating and drinking caffeine.

Allergies: caffeine, sufur-based, codeine

Symptoms: difficulty breathing, faintness, extreme weakness, unable to communicate

Other Meds: klor-con 20gm, claritin 10mg, amlodipine 10mg, aspirin, calcuim/vitmin D, multi-vitamin, pantoprazole 40mg

Current Illness: none

ID: 0991918
Sex: F
Age: 47
State: MN

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Purpose: Sores in mouth and nose. Eye swollen, sores on nose and mouth jaw pain, headache and swollen glands after COVID-19 vaccine

Other Meds: Anastrozole clonazePAM Venlafaxine

Current Illness:

ID: 0991919
Sex: F
Age: 87
State: CO

Vax Date: 01/16/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: Penicillin LisinOpril Lefofloxacin

Symptoms: Below injection site, 3 inch by 3 inch area red, slightly raised/swollen, itchy.

Other Meds: Probiotic-8 1x Olmesarton 20mg 1x Amlodipine 10mg 1x Triamterene 37.5-25 1x Loratadine 10mg 1x Advair 250/50 2x Rhinocort 32mcg as needed Oxygen 4 liter night/ 2-3 liter day Krill 500mg 1x CoQ-10 Essential Enzymes 500 mg 1x Omeprazole 10 mg

Current Illness:

ID: 0991920
Sex: F
Age: 97
State: PA

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

Lab Data:

Allergies:

Symptoms: Systemic: Other- Dizziness, lightheaded, rapid heart rate

Other Meds:

Current Illness:

ID: 0991921
Sex: F
Age: 72
State: IN

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: Sulfa drugs

Symptoms: On day following shot, I became achy all over, had a headache and slight fever. I went home from my shopping trip, took a 3 hour nap. I felt worse so I went to bed and slept 14 hours. I felt better Saturday morning. That evening I noticed a rash on both legs, from ankles to my knees. It is still there, though it doesn't itch or make me feel sick.

Other Meds: Synthroid, Atorvastatin, Losartan, Amlodipine Fish oil, multivitamin, vitamin c, coq10, magnesium, GNC hair, skin & nails, cranberry, Juice Plus fruits and vegetables,.

Current Illness: None. I was recovered from COVID just before the end of December

ID: 0991922
Sex: F
Age: 79
State:

Vax Date: 01/22/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Started with stinging and then itching in her arm on 1/31/21. Deep red rash noted to area on this day as well, very itchy if she touches this at all. Arm was so sore after injection she could barely move her arm. She was also extremely tired for two days after getting the vaccine.

Other Meds:

Current Illness:

ID: 0991923
Sex: F
Age: 30
State: AZ

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: none

Allergies: vicodine

Symptoms: warm feeling on chest, increase heart beat, pulse 125, going down to 60 up to 120s, was told i was nervous, i felt this 5-8 minutes after vaccine.

Other Meds: none

Current Illness: none

ID: 0991924
Sex: M
Age: 48
State: KS

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: ER visit

Allergies: Codeine, Phenobarbital, Influenza Vaccine

Symptoms: fatigue, decreased mobility, minimal swelling of feet, O2 dips, lethargy

Other Meds: See PO

Current Illness: N/A

ID: 0991925
Sex: F
Age: 60
State: WA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt came in for Dose 2 of covid vaccine and did not have her card with first vaccine. Moderna was administered. Upon entering information into the state immunization registry, it was determined that the patients first dose had been Pfizer on 12/31/2020. Contacted CDC who indicated that no further dose is necessary.

Other Meds:

Current Illness:

ID: 0991926
Sex: M
Age: 26
State:

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: animal dander

Symptoms: chest tightness, overall itching, no rash

Other Meds: Truvada

Current Illness:

Date Died: 01/12/2021

ID: 0991927
Sex: M
Age: 86
State: ND

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: No known defined allergies.

Symptoms: Patient was found deceased at Nursing Home in his room 01/12/2021 at 5:25 AM.

Other Meds: Diphenhydramine HCl, atorvastatin, furosemide, gabapentin, Healthy Eyes (vitamin A, C, & E with lutein minerals), Imodium, Isosorbide mononitrate, Jantoven, Potassium Cl, Metoprolol succinate, Nitroglycerin.

Current Illness:

ID: 0991928
Sex: F
Age: 38
State: IL

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: amoxicillin, erythromycin

Symptoms: Was drawing up doses from Moderna vial. Pulled a needle back for 0.5ml of air to equalize the pressure once in the vial. Had to stop what I was doing as customers came up to the counter to drop off and pick up along with multiple calls ringing (pharmacy has only 1 person at all times - 1 pharmacist, no techs, no other pharmacists). After finishing up with all of the customers and calls, my Covid-19 vaccine appointment showed up. Instead of grabbing a pre-drawn needle with Moderna in it, I grabbed the needle pulled back to 0.5ml with just air in it. I noticed the mistake as I pierced the needle into the patient's deltoid muscle. I explained what happened and the patient was completely understanding. She received the Moderna vaccine immediately right after. She was stuck with a needle twice, one time air and one time with Moderna in it. Patient had no issues or adverse events. Patient has not called back for any problems to report.

Other Meds: Unknown

Current Illness: Unknown

ID: 0991929
Sex: F
Age: 58
State: TN

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: unknown, transferred to hospital

Allergies: NKDA

Symptoms: Patient immediately started experiencing a "fullness" in back of throat. No breathing difficulty. Adenoid was very swollen.

Other Meds: Vitamins, calcium, Armour thyroid

Current Illness: None

ID: 0991930
Sex: M
Age: 76
State: IN

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: TOTAL BODY SEVERE PAIN OF ALL JOINTS AND MUSCLES (FROM HEAD TO TOE, PLUS PAIN BEHIND BOTH EYES

Other Meds: HEART, CHOLESTEROL, DIETARY (POTASSIUM,ZINC,VITAMINS C,B-12,D-3, TERBINAFINE HCL,LOW DOSE ASPIRIN.

Current Illness: COVID-19 POSITIVE TEST ON JAN. 7, 2021.

ID: 0991931
Sex: F
Age: 78
State: LA

Vax Date: 01/23/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Six days after vaccination she developed a round red circle around injection site. Site is itchy and warm to touch. No other symptoms are apparent.

Other Meds:

Current Illness: NONE NOTED

ID: 0991932
Sex: F
Age: 86
State:

Vax Date: 01/22/2021
Onset Date: 02/01/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: No symptoms noted until 2/1/21 where resident noted redness around the injection site. No other symptoms.

Other Meds:

Current Illness:

ID: 0991933
Sex: M
Age: 59
State: NY

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 02/01/2021
Hospital:

Lab Data: Unknown

Allergies: Unknown

Symptoms: Vaccine administration error. It is suspected that a 1/2? needle syringe was used instead of a 1? needle syringe IM.

Other Meds: Unknown

Current Illness: Unknown

ID: 0991934
Sex: F
Age: 56
State: MI

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: Aspirin

Symptoms: 1/26/2021 at about 1pm I began getting chills and was very cold. Later on the night I got a bad headache. This went on for 2 more days. The headache was so bad I couldn't eat, drink, or lift my head and I was so cold I had a heater, heating pad and several blankets.

Other Meds: Omeprazole

Current Illness:

ID: 0991935
Sex: M
Age: 70
State: CA

Vax Date: 01/25/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Patient was given vaccine on 1/25/2021, he was observed for 30 minutes, and did well. The patient then called 1/29/2021, and spoke with the receptionist. He stated he had a rash on thigh prior to the vaccine that seems to have worsened after getting the vaccine. I attempted to called the patient back 1/29/2021 at 1:17 pm, and again at 4:00pm he did not answer so I left a message. He returned my call 2/1/2021 and states he now has a blister like rash on his back, chest, arms, and thighs that is itchy. I advised the patient I would be reporting this to VARES, however if he develops any shortness of breath, trouble swallowing, or severe hives to go to the ER. He is not a patient of this clinic and stated he called his PCP who referred him back to us.

Other Meds: Blood thinner

Current Illness: Unknown

ID: 0991936
Sex: F
Age: 42
State: NY

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: none

Allergies: none but have strong reactions to insect bites

Symptoms: one week after injection, injection site became inflamed, this went away in a few days. however, fingers and toes became very red and itchy that same day & has not gone away yet (3 weeks). also developed red itchy bumps on right side beneath under arm.

Other Meds: none

Current Illness: none

ID: 0991937
Sex: M
Age: 92
State: FL

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/01/2021
Hospital: Y

Lab Data: CBC Cat Scan Blood work

Allergies: Sulfa

Symptoms: weakness in legs, difficult to get out of chair, fell and could not get up. fever loose stool Went into AFIB and it snowballed from there. Was taken to Emergency.

Other Meds: Coreg, Eliquis Vitamin D

Current Illness: N/a

ID: 0991938
Sex: F
Age: 45
State:

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: c/o feeling warm on left side going down the throat. Same feeling with first dose, this time not as severe as the first time. Denies chest pain, SOB, fatigue, lightheaded, rash, throat pain. No acute distress BP: 157/92 HR: 90 Sp02: 98% room air Seen and cleared by EMS

Other Meds: metformin. lisinopril. levothyroxine

Current Illness:

ID: 0991939
Sex: M
Age: 16
State: NM

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

Lab Data:

Allergies:

Symptoms: Error: Too Young for Vaccine

Other Meds:

Current Illness:

ID: 0991940
Sex: M
Age: 27
State: FL

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: Awaiting emergency room records

Allergies: NKDA

Symptoms: Fever, chills, fatigue, headache developed on 1/28/21 after receiving 2nd Moderna vaccine. 1/29/21 began vomiting. 1/29/21 treated in the emergency department for dehydration and hypotension.

Other Meds:

Current Illness:

ID: 0991941
Sex: F
Age: 65
State: TX

Vax Date: 01/27/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: Sulfa drugs

Symptoms: My friends said I should report this, but it seemed too minor. I had the shot on Wed, 1/27/21. My arm ached until Sat, 1/30. I noticed a couple of red dots on my front torso. I didn't look anywhere else. Sunday morning after I worked out and got out of the shower, I noticed that I had several red dots on the front of my torso and a few on both shoulders. When I looked at my back, they were all over there as well. I don't know whether or not they were there when I first woke up. After a couple of hours, they were gone. I don't know if that's because of the work out in conjunction with the shot, or if it was a fluke but felt it was better to report it than not.

Other Meds: low dose aspirin, centrum seniors, calcium, Move Free, tumeric, fish oil, red yeast rice

Current Illness: none

ID: 0991942
Sex: F
Age: 39
State: IA

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

Lab Data: NA

Allergies: NA

Symptoms: 30 minutes after receiving my heart was racing and my chest felt tight. My symptoms progressed to severe arm pain and warm fatigue fever pain nausea diarrhea dizziness I was in bed for 2 days.

Other Meds: NA

Current Illness: NA

ID: 0991943
Sex: F
Age: 41
State: IN

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Fever, chills, body aches, arm soreness., fatigue

Other Meds: Sertraline

Current Illness: None

ID: 0991944
Sex: M
Age: 23
State: FL

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

Lab Data:

Allergies: NKDA

Symptoms: Beginning around 1900 on 1/27/2021, experienced chills, body aches and lethargy for approx. 24hr

Other Meds: None

Current Illness: None

ID: 0991945
Sex: M
Age: 56
State: NJ

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 02/01/2021
Hospital:

Lab Data: Unknown

Allergies: Unknown

Symptoms: Vaccine administration error. It is suspected that a 1/2? needle syringe was used instead of a 1? needle syringe IM.

Other Meds: Unknown

Current Illness: Unknown

ID: 0991946
Sex: F
Age: 57
State: CA

Vax Date: 01/23/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None yet

Allergies: None

Symptoms: 1/23/21 Initial 'stinging' on injection (not bothersome). Other course of several hours the (L) deltoid muscle was sore (deep muscle ache and superficial 'burning sensation'). Other reactions included chills and myalgias in both shins (these resolved within 12 hours). Over night, the left deltoid became painful to even light touch (almost like a severe sunburn). The area was not erythematous and there was full ROM. Over ensuing 3 days the pain gradually resolved. On 1/31/21 the (L) deltoid became very 'itchy'...deep within the muscle. The sensation was alleviated by deep massage and superficial scratching of the area. No nodules were appreciated on deep palpation. On 2/1/21, the left deltoid region was markedly erythematous and pruritis persists. Reporting event due to new vaccine.

Other Meds: None

Current Illness: None

ID: 0991947
Sex: F
Age: 61
State: FL

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: none

Allergies: DILAUDID

Symptoms: Within 10 minutes of shot: slight nauseousness then throat instantly went completely dry. Kept clearing throat. Drank 5 glasses of water. Took Benadryl that night to sleep. Next day slept only 41 minutes in 36 hour period. Followed that with a nap, woke up with migraine and vomited. I haven't vomited in over 25 years. Next two days had a slight headache. Then back to normal.

Other Meds: LEVOTHROXINE 0.088 MG DAILY LANSOPRAZOLE - 30 MG TWICE DAILY

Current Illness: NONE

ID: 0991948
Sex: F
Age: 35
State: MI

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Onset of Left axillary pain and swelling 2.5 days after 2nd dose of Pfizer vaccine. Injection was performed on the Left. These symptoms have lasted at least 4 days (still ongoing) with gradual improvement.

Other Meds:

Current Illness:

ID: 0991949
Sex: F
Age: 33
State: WI

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: UNKNOWN

Allergies: "RADIOGRAPHY DYE"

Symptoms: Approximately 17 minutes after vaccination to right deltoid, (patient) approached medical assistant in observation area reporting difficulty breathing and feeling of throat swelling; verbal and visual evaluation performed promptly by COVID-19 RN in observation area, as exam room was occupied by another patient; patient then escorted to office room adjacent to exam room and placed into sitting position in office chair by COVID-19 RN ; (nurse practitioner) notified as was escorted to office and verbal and clinical evaluation performed by RN after patient placed into seated position; erythematous patch noticed circumscribing injection site during visual inspection; Epinephrine administered via auto-injector to left vastus lateralis at 20min minutes post immunization as patient reported worsening tightness in the throat and chest and increasing difficulty breathing ; EMS personnel, already onsite for other patient, responded and assumed care shortly after administration of epinephrine; patient alert and accompanied by one of her co-workers for transport to Hospital via EMS

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 0991950
Sex: F
Age: 92
State: MI

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: none at facility. In the ER they did a UA and found that she has a UTI

Allergies: no known allergies

Symptoms: developed joint and body aches and pains, generalized complaints of not feeling well and weakness. She fell as a result of weakness. Physician ordered her to be sent to the ER

Other Meds: Budesonide Delayed release capsule 3mg daily; ditiazem CDextended release 120mg BID; Eliquis 5mg BID; Lasix 20mg daily; Levothyroxine Sodium Tab 100mcg daily; Metoprolol Succiate ER 50mg daily; Norvasc 10mg daily; Omeprazole Delayed Release

Current Illness: none

ID: 0991951
Sex: F
Age: 73
State: NV

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: PCN, Amoxicillin, Clindamycin

Symptoms: Swelling , redness, tender and itching 1/29 am, Vaccine given 1/22

Other Meds:

Current Illness: asthma

ID: 0991952
Sex: F
Age: 79
State: SD

Vax Date: 01/22/2021
Onset Date: 02/01/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: mercury

Symptoms: a week later a sudden swelling, redness and itch appeared

Other Meds:

Current Illness:

ID: 0991953
Sex: F
Age: 70
State: TX

Vax Date: 01/23/2021
Onset Date: 01/26/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: Ct scan, blood work and medications given.

Allergies: Motrin, aspirins and NSAIDs. Very sensitive to medications.

Symptoms: Shingles on Tuesday. Two visits to ER to determine what it was. Pain right side and back.

Other Meds: Colcrys, pilocarpine, losartin, restasis, vitamin d 3, omega-3 krill oil and cranberry pills. I take 6 extra strength arthritis pills a day also.

Current Illness: None

ID: 0991954
Sex: F
Age: 25
State:

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Received vaccine at 1745 on 1/27. On 1/28 had fever chills, body aches, headache. Fever lasted one day. Fatigue headache continued. Now day 5 post vaccine and still have fatigue, headache. Feeling of light headedness, has continued. Near syncope event on 1/31. I have been unable to work.

Other Meds: Zyrtec 10mg, multivitamin, Nexplanon birth control implant

Current Illness: none

ID: 0991955
Sex: F
Age: 25
State: VA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Received second dose Moderna vaccine on Monday 1/25/21 at approx 0730. On Tuesday 1/26, woke up with fever of 101.1, body aches, and redness/swelling at injection site on R arm--approx 1 inch diameter. Treated fever with Motrin and fever was reduced. On Wednesday 1/27, woke up with increased redness/swelling to R arm, 2-3 inches across up, 2 inches up arm. Area red, hot, swollen, with increased tenderness. No fever noted on 1/27. Contacted employee wellness and occ health. On Thursday 1/28, redness and swelling decreased, tenderness still present. Large bruise noted to area.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm