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: 0996522
Sex: F
Age: 58
State: CA

Vax Date: 01/11/2021
Onset Date: 01/17/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: I phoned my Medical Doctor but have not taken any tests

Allergies: Penicillin as a child. Some red wines and Feta cheese give me headaches

Symptoms: On day six after the vaccine I started developing an itchy hot red rash bilaterally in my inner thighs, shins calves, forearms, wrists, head. My legs were the worst. Super red, itchy and extremely hot to the touch. It has taken about three weeks for the rash to be gone. But I still have itchiness off and on thru out various places on my body. I cant wear tight clothes as it really causes the itchy feeling to start. Ive been taking Benedryl since it started, which relieves it. Have been able to decrease the daily dose but still need it to feel completely comfortable.

Other Meds: None

Current Illness: None

ID: 0996523
Sex: F
Age: 33
State: CA

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

Lab Data:

Allergies: None

Symptoms: I received my vaccine and later around 11 pm I started feeling body aches and pain on the site of the vaccine around 4 am 02/02/2021 I started feeling chills I checked my temperature it was at 101.1 I get col and at times I get hot and start sweating I have had a fever that comes and goes today . My stomach has been extra active since 11 pm 02-01-21 I have had to use the restroom about 5 times not watery but more than normal also I?m not hungry o force myself to eat at 6pm today I started with a headache in the back of my head to the sides.

Other Meds: Tylenol extra strength 600 Ibuprofen Allegra

Current Illness: None

ID: 0996524
Sex: F
Age: 43
State: MD

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

Lab Data:

Allergies: Penicillin, amoxicillin, gentamycin, clindamycin, Sulfa- get delayed hypersensitivity diffuse rash

Symptoms: Just inferior to injection site, I developed a large, erythematous, indurated, warm, painful rash.

Other Meds:

Current Illness:

ID: 0996525
Sex: F
Age: 33
State: VA

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

Lab Data:

Allergies: NA

Symptoms: Fatigue and brain fog started 9 hours after injection and are still present 6 days later

Other Meds: Claritin, prenatal (breastfeeding)

Current Illness: NA

ID: 0996526
Sex: F
Age: 25
State: MI

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

Lab Data: none

Allergies: none

Symptoms: rash to upper arms and chest

Other Meds:

Current Illness: none

ID: 0996527
Sex: M
Age: 93
State: MN

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

Lab Data:

Allergies: No Known Allergies

Symptoms: The patient scheduled appt for 1/30/21 with the Clinic and received at that appointment what was thought to be his first dose of COVID vaccine (Pfizer brand). Three days later, it was determined that the patient had already received a first dose of (Moderna brand) COVID vaccine on 1/23/21, administered by an outside pharmacy that came to patient's Assisted Living complex. The dose that was administered by the pharmacy was not documented in the pharmacy EHR until 1/31/21 when that documentation was automatically transferred into the state vaccine registry. When the Pfizer brand was administered on 1/30/21, the documentation of the Moderna dose of 1/23/21 was not available to query due to having not yet been documented and was therefore unknown by the vaccination staff at the 1/30/21 vaccination appointment. The patient also did not have any recall of receiving any previous COVID-19 vaccine doses, when he was asked during the screening questions prior to administering the 1/30/21 Pfizer dose and when asked three days later. Patient denied any moderate or serious adverse effects from either dose of COVID-19 vaccine. The patient's Assisted Living nursing staff were notified that the patient did receive two doses of COVID-19 vaccine - Moderna as first dose and then Pfizer-1 week later as the second dose. Per CDC guidelines, it is recommended that the patient will not be advised to receive any additional COVID-19 doses. The state registry immunization coordinator and the Primary Care Immunization Program Medical Director were notified and will be following up with the pharmacy to determine what caused the delay in the documentation of the first vaccine dose and will put safety steps in place to prevent this from happening to future patients.

Other Meds:

Current Illness:

ID: 0996528
Sex: F
Age: 38
State: AZ

Vax Date: 12/15/2020
Onset Date: 12/15/2020
Rec V Date: 02/02/2021
Hospital:

Lab Data: none known

Allergies: none known

Symptoms: Adverse event: 2 of 7 people received a more concentrated dose of the vaccine. One vial of two was diluted incorrectly with less Normal Saline than require. This error was not noticed until person mixing vaccine said they were out of vaccine and did not have enough to get 5 dosages of 0.3ml. Two people mixed one vial of vaccine together demonstrating to the other. It appears the person making the error did not notice they did not have 1.8ml of NS but must have had some air and did not realize it. The error was noticed when all the vaccines were given and one person had not completed pulling up the vaccine. So, 2 of 7 patients received the incorrect dose of vaccine and it could not be determined which two received the incorrect dose. Reported sore arm for several days but it resolved.

Other Meds: none known

Current Illness: none known

ID: 0996529
Sex: M
Age: 68
State: TX

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

Lab Data:

Allergies:

Symptoms: The patient fainted ~20 minutes post-vaccine while talking to his colleague. I immediately assessed the patient for s/sx of anaphylactic or severe reaction. He woke up within ~30 seconds of fainting. He was breathing and speaking fine. He told me he was anxious and also did not have anything to eat or drink all day and believes this is the cause of why he fainted. I had him take a few deep breaths. Injection site looked normal and no issues with breathing. Called EMS to assess him: glucose, blood pressure, & vital signs were all normal. While being assessed he passed out in chair so EMS took him to the hospital. He was discharged from the ER the same day per RN, at the facility. They did not find anything wrong with him and also believe it was due to nerves/lack of eating. No significant medical history per form patient filled out or that he verbally stated.

Other Meds:

Current Illness:

ID: 0996530
Sex: F
Age: 92
State: AZ

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

Lab Data: none

Allergies: none

Symptoms: adverse events: headache, general body ache, unable to sleep due to pain treatments: advil capsules, relaxation, lying down Outcome: all pain resolved after 24 hours.

Other Meds: metformin Levothyroxine Citalopram fish oil multivitamin B12 calcium

Current Illness: diabetes

ID: 0996531
Sex: F
Age: 26
State: AZ

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

Lab Data:

Allergies: None

Symptoms: Severe mood swings, abdominal cramping (like period cramping), vaginal bleeding (spotting)

Other Meds: Birth control

Current Illness: None

ID: 0996532
Sex: F
Age: 33
State: TX

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

Lab Data: I just used a teledoc to get some cream. I didn?t know what else I could realistically do. I didn?t want to panic.

Allergies: None

Symptoms: EXTREMELY swollen, itchy and painful baseball sized bump at injection site. Nausea include. Started with itching and overnight it blew up. It?s been 24 hours and it?s still growing.

Other Meds: Edarbyclor , Sprintec,

Current Illness: None

ID: 0996533
Sex: F
Age: 24
State: TX

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: 12:30AM body aches 3:30 AM fever, chills, severe body aches, GI problems 12:30 PM starting feeling better 6:30 PM fever, chills, tiredness, severe body aches, GI problems, extreme night sweats 8:00 AM Sunday- starting feeling better

Other Meds: Advil, Tylenol

Current Illness: No

ID: 0996534
Sex: M
Age: 98
State: CA

Vax Date: 01/14/2021
Onset Date: 01/30/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: none

Allergies: Amlodipine-- >leg edema Hydrochlorothiazide--- >dizziness with orthostatic blood pressure changes.

Symptoms: 1st dose of Covid vaccine 1/14/2021. Exposed to positive Covid caregiver 1/28/2021 got tested for Covid PCR and 1/30/2021 reported positive result

Other Meds: Tylenol extra strength 500mg 2 tablets tid ; senna 8.6mg one po qd; Flomax 0.4mg one po qhs. Trazadone 50mg po qhs Docusate sodium 250mg po daily Ativan 0.5mg po q weekly one hour before his weekly shower Beneprotein supplement one scoop

Current Illness: none

ID: 0996535
Sex: F
Age: 57
State: WA

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: 1 14 2021 and 1 25 2021 er visits ct and pelvis labs and ua . Only finding diverticulosis on the 14th and blood in urine . Then on the 25th I only had trace blood in urine. The on call Dr treated me on the 22nd with amox/ clav just in case it was diverticulitis. On the 25th the er said no diverticulitis or kidney stones.

Allergies: Minocycline

Symptoms: 32 hours after shot severe flank kidney pain . 60 hrs after shot woke with what felt like hit to back of head . Bad headache that night next 3 days slight headache on rt side of forehead . Day six finally went to er for severe kidney pain left side worse than rt . Went another 8 days with pain in kidneys low energy slight headache . Then had loose stools start on Jan 22nd 2021. Called on call doc and said maybe it's diverticulitis so was treated . Stools slowly got bet. Loose stools got some better but kidney pain continued . I went back to er on 1 25 2021 . Missed 2 more days of work then back to work in the 27th of January starting to get better... I have a lot more energy but still have right kidney pain and blood in urine

Other Meds: Vit d 3 pravastatin probiotic Asa 81 calcium

Current Illness: None

ID: 0996536
Sex: F
Age: 49
State: IL

Vax Date: 01/24/2021
Onset Date: 01/28/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies: Bactrim results in rash

Symptoms: Vaccination day was Sunday. Sunday evening developed chills and malaise which lasted thru Monday mid-day. Monday night noticed canker sore on the gums in the mouth which gradually resolved over the course of the next few days. On Thursday I noticed a small rash on the left side of my upper back. Within next 48-72 hrs multiple blistery patchy rashes developed on the left lower back, hip and groin. The rash is painful and tingly. Dr. visit on Tuesday (2/2/21) diagnosed/confirmed shingles. Valacyclovir was prescribed by MD.

Other Meds: None

Current Illness: None

ID: 0996537
Sex: F
Age: 57
State: ID

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies: Allergic to Sulfa, some dirty foods like corn, wheat, coconut and some weeds from the family.

Symptoms: Very tired, achey and couldn't lift my arm away from my body more 8 inches

Other Meds: None

Current Illness: None

ID: 0996538
Sex: M
Age: 70
State: AZ

Vax Date: 12/15/2020
Onset Date: 12/15/2020
Rec V Date: 02/02/2021
Hospital:

Lab Data: none known

Allergies: not known

Symptoms: none known

Other Meds: not known

Current Illness: not known

ID: 0996539
Sex: F
Age: 51
State: WA

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

Lab Data:

Allergies:

Symptoms: Dizziness, nausea (Vasovagal). Pts vital signs taken and monitored for 30 minutes. Pts vital signs within normal limits; Pt skin PWD, Pt states she is now symptom free. Pt declines need for further evaluation or transport by medical.

Other Meds:

Current Illness:

ID: 0996540
Sex: F
Age: 63
State: OR

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

Lab Data: none

Allergies: Sulfa, Penicillin, Ceftin, Pistachios

Symptoms: 1-15-21: Headache, muscle spasm, tingling in finger joints, sore arm 1-17-21 Sore Throat 1-22-21 Extreme fatigue 1-23-21 Fatigue, small red spot at injection site in am; large red patch below injection site appeared in the afternoon, had extremely cold feet, hands and knees 1-25-21 Bullseye - prickly rash appeared on legs, arms, hands, heel, feet - stingy, burning-pain. Severe neuropathy in feet at night 1-26-21 More red spots, awakened in night by burning neuropathy pain in feet 1-27-21 Continued red spots 1-28-21 Saw Dermatologist who prescribed Clobetasol 0.05% cream for spots 1-29-21 Continued painful red spots on hands/feet, like paper cuts on the joints of my fingers 1-30-21 Red spots/lesion on fingers, finger pads and joints, very painful to touch, almost blister-like red circles on hands - fingers and between fingers. Burning pain on bottom of feet and toes, tingling, neuropathy also of fingertips 1-31-21 same 2-1-21 same plus end of fingertips stinging and very cold, fatigue 2-2-21 red spot on left leg and toe, very cold fingertips, itchy red bumps appearing in areas of body

Other Meds: Women's Centrum Silver 50+ and Vitamin D3 2000 IU -- Did take a Tylenol before vaccination and Advil 200 mg. after vaccination

Current Illness: none

ID: 0996541
Sex: F
Age: 29
State: TX

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

Lab Data:

Allergies: SULFA

Symptoms: TINGLING AND NUMBNESS BILATERAL LOWER EXTREMITIES, RIGHT LEG IS WORSE. DENIES SHORTNESS OF BREATH OR ITCHING,. 1647 CLAIMS TO FELL BETTER. WAS ANXIOUS ALL DAY, AMBULATED SOME, FLUIDS TOLERATED BY MOUTH. 1710 FEELS BETTER, LEFT THE SITE, INSTRUCTED TO CALL PRIMARY CARE PROVIDER, 911, OR GO TO THE EMERGENCY DEPARTMENT IF SYMPTOMS PERSIST OR GETS WORSE

Other Meds: ADDERALL

Current Illness:

ID: 0996542
Sex: F
Age: 74
State: AK

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

Lab Data: 1/27 MRI to r/o stroke - had difficulty with words and balance Followed up with Lumbar puncture, CT chest/abdomen/pelvis

Allergies: alphagan - eyes itchy/swollen/red Levaquin - serum sickness/total body aches olopatadine - eyes itchy/swollen/red adhesive - rash with welts meperidine - dermatitis

Symptoms: Day 1-3 severe chills, severe headache, tired, joint pain/body aches, temp >101 Day 3-6 or 7 sore throat, nausea, vomiting, diarrhea, altered taste Also complaint of intermittent acute shortness of breath and cough

Other Meds: aspirin B complex, Zyrtec Vitamin D3 Voltaren Cymbalta ephedrine sulfate estrace Flonase Atrovent lactobac no41/bifidobact no 7 xalatan 0.005% ophthalmic solution levothyroxine Medrol dose pack singulair Prilosec Zofran requip Ventolin hfa

Current Illness: none

ID: 0996543
Sex: M
Age: 79
State: CA

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

Lab Data: None

Allergies: Peniciliin & Fentanyl

Symptoms: After duing light work on Saturday morning. I sat down for a few minutes and felt a little light headed. My stomach became quisy and I had to go into the bathroom, became nauseated and had to vomit. I had a quisy stomach most of the balance of the day. I experiecnced a restless night. However, by mid-morning Sunday I began to feel better and have had no additonal inegative effect. The only other unexplained item was that on Sunday I checked my blood presure and it was 154/ 85. This is very unusual, as due to the nifedipine I take for my DES, my average for years is around 125/80. Today, Tuesday, I checked it again and it still at 158/87. I have an appointment with my cardiologist in 2 weeks and will discuss this with him.

Other Meds: Percocet (Hydrocodone 325-5), Clopidogrel (Plavix), Nifedipine, Nitroglycerin SUB Tab 25, Atorvastatin (Lipitor), Ezetimibe (Zetia), Oxybutynin, Ventolin HFA, Anoro Ellipta, Zaleplon, Pantoprazole

Current Illness: Nine

ID: 0996544
Sex: F
Age: 22
State: MN

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

Lab Data:

Allergies: Codeine

Symptoms: Rash that is raised above the skin with itching, on right side of torso. Heart rate of 120, Soreness in left arm.

Other Meds: Mirena IUD

Current Illness:

ID: 0996545
Sex: M
Age: 81
State: CA

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

Lab Data: CBC, chemistry, CT head

Allergies: NSAIDs, Lipitor, metoprolol

Symptoms: Felt itchy, became short of breath, and had sensory disturbances on left extremities

Other Meds: Albuterol, lisinipril, isosorbide mononitrate, advair, flomax, simvastatin, aspirin

Current Illness: None

ID: 0996546
Sex: M
Age: 67
State: TX

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

Lab Data: Accucheck (142); bp check 124/72 118-HR; and sent out lab work (CBC, CRP, CMP).

Allergies: IV Iodine (rash)

Symptoms: Fever (tmax reported per 100.0; temp at clinic 100.9); Rapid heartbeat; Chills, Fatigue, Dry mouth, loss of appetite, nausea

Other Meds: CoQ10 Afrin nasal spray

Current Illness:

ID: 0996547
Sex: M
Age: 53
State: AZ

Vax Date: 12/15/2020
Onset Date: 12/15/2020
Rec V Date: 02/02/2021
Hospital:

Lab Data: none known

Allergies: not known

Symptoms: Adverse event: 2 of 7 people received a more concentrated dose of the vaccine. One vial of two was diluted incorrectly with less Normal Saline than require. This error was not noticed until person mixing vaccine said they were out of vaccine and did not have enough to get 5 dosages of 0.3ml. Two people mixed one vial of vaccine together demonstrating to the other. It appears the person making the error did not notice they did not have 1.8ml of NS but must have had some air and did not realize it. The error was noticed when all the vaccines were given and one person had not completed pulling up the vaccine. So, 2 of 7 patients received the incorrect dose of vaccine and it could not be determined which two received the incorrect dose. Patient report; slightly sore arm, some slight body aches---resolved

Other Meds: not known

Current Illness: not known

ID: 0996548
Sex: F
Age: 55
State: CA

Vax Date: 01/17/2021
Onset Date: 01/18/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies: sulfa drugs, dust

Symptoms: Severe headache, mild arm pain, extreme fatigue, and brain fog. The headache subsided with advil after 12 hours. Arm pain was 2 days, brain fog lasted around 65 hours, fatigue lasted 3 days.

Other Meds: none

Current Illness: none

ID: 0996549
Sex: F
Age: 69
State: OK

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

Lab Data: None

Allergies: None

Symptoms: Recurrence of swollen, red itchy arm on day 3 and day 12 following vaccine

Other Meds: Desyrel Methotrexate Calcium Baby aspirin Valcyclovir Melatonin Quercetin

Current Illness: None

ID: 0996550
Sex: F
Age: 43
State: IL

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

Lab Data: None

Allergies: None

Symptoms: Terrible headache, chills to the point I?m shaking, upset stomach, body aches, fever 100.2, runny nose, sore throat

Other Meds: Metformin

Current Illness: No

ID: 0996551
Sex: F
Age: 34
State: CA

Vax Date: 01/12/2021
Onset Date: 01/18/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies: Penicillin, sulfa

Symptoms: Flare up of Crohn?s symptoms. Diarrhea, blood in stool.

Other Meds: Tylenol.

Current Illness:

ID: 0996552
Sex: F
Age: 54
State: CA

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

Lab Data: N/A

Allergies: Shellfish Penicillin Ibuprofen

Symptoms: Severe hives, heartburn,

Other Meds: N/A

Current Illness: N/A

ID: 0996553
Sex: F
Age: 50
State: AZ

Vax Date: 12/15/2020
Onset Date: 12/15/2020
Rec V Date: 02/02/2021
Hospital:

Lab Data: not known

Allergies: not known

Symptoms: Adverse event: 2 of 7 people received a more concentrated dose of the vaccine. One vial of two was diluted incorrectly with less Normal Saline than require. This error was not noticed until person mixing vaccine said they were out of vaccine and did not have enough to get 5 dosages of 0.3ml. Two people mixed one vial of vaccine together demonstrating to the other. It appears the person making the error did not notice they did not have 1.8ml of NS but must have had some air and did not realize it. The error was noticed when all the vaccines were given and one person had not completed pulling up the vaccine. So, 2 of 7 patients received the incorrect dose of vaccine and it could not be determined which two received the incorrect dose. Patient reported next day of having swollen lymph nodes, soreness, chills, slight headache--

Other Meds: not known

Current Illness: not known

ID: 0996554
Sex: M
Age: 34
State:

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

Lab Data: Covid testing on 2/2/21

Allergies:

Symptoms: Fever, chills, aches, shortness of breath. Shortness of breath prompted me to get Covid testing which returned negative.

Other Meds:

Current Illness:

ID: 0996555
Sex: M
Age: 72
State: CA

Vax Date: 12/26/2020
Onset Date: 01/13/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Left second toe acutely inflamed and swollen,no trauma or h/o gout looks like typical Covid toe

Other Meds:

Current Illness:

ID: 0996556
Sex: F
Age: 66
State: FL

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

Lab Data:

Allergies:

Symptoms: PATIENT STATED THAT SHE WAS FINE IMMEDIATELY FOLLOWING VACCINE BUT THE NEXT DAY WAS VERY ILL AND VOMITING 10 TIMES. SHE DROVE HERSELF TO HOSPITAL TO GET IV TREATMENT FOR DEHYDRATION.

Other Meds:

Current Illness:

ID: 0996557
Sex: F
Age: 25
State:

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

Lab Data:

Allergies: N/a

Symptoms: Headache Chills Body aches

Other Meds: Nuvaring

Current Illness: N/a

ID: 0996558
Sex: F
Age: 13
State: CA

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

Lab Data: Patient has not reported any adverse events.

Allergies: no known allergies

Symptoms: Called mother to explain that patient was too young to receive the COVID 19 Pfizer vaccine (13 years old). Mother reported no adverse reactions on 2/2/21 at 8:07pm, one day after the vaccine.

Other Meds: no known medication

Current Illness: no known

ID: 0996559
Sex: F
Age: 50
State: CA

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: None

Allergies: Sulfa; Ceclor

Symptoms: Sore arm after shot, but 8 days after shot given, arm became very itchy where shot was given; red lines ( may have been my nail scratch marks) but also small scab -like dots over the shot area (~8 scabby dots). Area was hot red and hard like a golf ball. Went away 2 days later.

Other Meds: Metamucil; Miralax; Multivitamin.

Current Illness: None

ID: 0996560
Sex: M
Age: 44
State: NY

Vax Date: 01/04/2021
Onset Date: 01/07/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: None

Allergies: Ackee

Symptoms: Myalgias Fever- 100.3

Other Meds: Norvasc 5mg daily; Multivitamin 1 dose daily

Current Illness: None

ID: 0996561
Sex: F
Age: 27
State: AZ

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

Lab Data:

Allergies: None

Symptoms: All over body hives with severe itchiness, medicated with Benadryl, took 2 doses of Benadryl and still feeling itchiness and hives. Symptoms started around 10 am and lasted all day

Other Meds: Biotin

Current Illness: None

ID: 0996562
Sex: F
Age: 40
State: AZ

Vax Date: 12/15/2020
Onset Date: 12/15/2020
Rec V Date: 02/02/2021
Hospital:

Lab Data: not known

Allergies: not known

Symptoms: Adverse event: 2 of 7 people received a more concentrated dose of the vaccine. One vial of two was diluted incorrectly with less Normal Saline than require. This error was not noticed until person mixing vaccine said they were out of vaccine and did not have enough to get 5 dosages of 0.3ml. Two people mixed one vial of vaccine together demonstrating to the other. It appears the person making the error did not notice they did not have 1.8ml of NS but must have had some air and did not realize it. The error was noticed when all the vaccines were given and one person had not completed pulling up the vaccine. So, 2 of 7 patients received the incorrect dose of vaccine and it could not be determined which two received the incorrect dose. Patient Reports: fatigue, body aches, persisting migraine headaches

Other Meds: not known

Current Illness: not known

ID: 0996563
Sex: F
Age: 43
State: OR

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

Lab Data: None. Area has been photographed and marked in pen to track growth.

Allergies: Codeine, Septra drugs and walnut allergy

Symptoms: On day 8 after the vaccine, my injection site became itchy, swollen and tender. Today is day 9 and it has continued to grow. It is currently about 3 and inches in diameter and the skin feels very thickened in the area. I have no other symptoms and am managing the reaction fine but did find some news reports asking patients to report it.

Other Meds: Fluoxetine

Current Illness: None

ID: 0996564
Sex: F
Age: 50
State: TX

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

Lab Data:

Allergies:

Symptoms: FLUSHED FACE, FEELS HOT, DENIES SHORTNESS OF BREATH OR ANY OTHER SYMPTOMS 1405 FELT BETTER AND LEFT THE SITE, INSTRUCTED TO CALL PRIMARY CARE PHYSICIAN , 911, AND NEAREST EMERGENCY DEPARTMENT FOR ANY ALLERGIC REACTION.

Other Meds: SYNTHROID STATIN

Current Illness:

ID: 0996565
Sex: M
Age: 31
State: WA

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

Lab Data:

Allergies: Penicillin, Cefprozil, and Related

Symptoms: Male patient 40 years of age reporting vision loss. After making contact with the patient he went unconscious. Medical crew contacted command. shortly after patient regained consciousness and was able to speak in full sentences and answered questions. Pt was moved into the back of Aid 46 for further evaluation. Pt states that this has happened before with previous vaccinations. Pt states he feels much better. Medical crew obtained continuous vital to include postural vital signs. patient states he does not want any further treatment or transport and will stay in care of his girls friend.

Other Meds: Hydroxychloroquine

Current Illness: Lupus

ID: 0997221
Sex: F
Age: 49
State: OH

Vax Date: 01/13/2021
Onset Date: 01/29/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1/29/21 Develop rash around injection site - itchy, red, raised, warm to touch 1/31/21 Develop random pinpoint rash over entire body - red, itchy, raised. Rash area around injection site worsened. Red, itchy, raised. Took 25mg Benadryl OTC at bedtime 2/1/21 Took 25mg OTC Benadryl in am. Rash very faint and itching diminished greatly. (8.9cm x 11.4cm) 2/2/21 Pinpoint rash still in random area, itchy

Other Meds:

Current Illness:

ID: 0997251
Sex: F
Age: 59
State: IN

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: None

Allergies: vicryl suture

Symptoms: Severe chills, body aches, nausea, headache, congestion, fever

Other Meds: CoQ10 vitamins Lipitor, Synthroid, hydrochlorothizide

Current Illness:

ID: 0997260
Sex: F
Age: 73
State: MO

Vax Date: 01/26/2021
Onset Date: 01/31/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Rash Around Vaccine Site approx. 3-4 cm in size, Warm to touch, Itchy, Resolving on its own. Feeling better today

Other Meds: none

Current Illness: no

ID: 0997722
Sex: F
Age: 56
State: IN

Vax Date: 12/11/2020
Onset Date: 12/11/2020
Rec V Date: 02/02/2021
Hospital:

Lab Data: ordered ANA, CRP, Sed, lymos screen, RF

Allergies: bee pollen, Darvocet N, diclofenac potassium, hydrochlorothiazide, NSAIDS, penicillin V potassium, Relafen, Triptans-5-HT1, Versed

Symptoms: Pt Reports - 1s day : dizziness -2nd day: c/o chills, body aches. Also c/o of Left Rib pain radiating left side, to side & back. Also developed Bilateral shoulder Pain Rt > Lt & Knee pain. -post 2 weeks: worsening joint Pain, hard to walk, stiffness. c/o weakness (Rt arm) (Per Patient) -currantly: wrist, fingers, hips, knees, ankles, shoulder Pain past week sx's better not significant

Other Meds: Armour Thyroid, avocado oil, dextroamphetamine-amphetamine ER, epinephrine, estradiol, hydrocodone-acetaminophen, melatonin, Ortho DF, progesterone, tretinoin

Current Illness: Pt denies

ID: 0997724
Sex: F
Age: 58
State: SC

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies: sulfer, demerol, artificial sweeteners

Symptoms: Swollen hands and face then on third day with face red and burning sensation, and red on neck. Also Gerd. Two dose steroid, benadryl as needed, Pepcid as needed. Hands and face still some swelling

Other Meds: none

Current Illness: none

ID: 0997725
Sex: M
Age: 44
State: WV

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

Lab Data: N/A

Allergies: none

Symptoms: woke up next day with "splotches" right side nipple area. Progressed to right under arm & right back area. Itchy & painful. He went to his PCP's office & saw NP. Diagnosed with shingles & started on medication. In process of recovering now.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm