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: 0924544
Sex: F
Age: 22
State: IN

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

Lab Data: No

Allergies: Green chilies, Mushroom, Bell Peppers, Jalapenos, Olives

Symptoms: The next day, I had a fever of 100, body aches, sore shoulder, and headaches after getting the vaccine. It's been two days already, and I'm still down with a fever, bad headaches, dizziness, and a sore shoulder - I put ice pack, which didn't really work. Whenever I stand, I feel like I'm gonna pass out. I've been in bed for the past two days, and I can't work.

Other Meds: No

Current Illness: No

ID: 0924545
Sex: F
Age: 49
State: MA

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

Lab Data: I was sent for COVID test on 1/5/2021 to r/o covid. Resulted negative on 1/5/2021

Allergies: No

Symptoms: Fever (101F), body aches, joint pain, headache, left upper abdominal pain (under base of ribs) all lasting apx 16hrs. Then the next 24 hrs just mild HA and some body aches.

Other Meds: Qysmia

Current Illness: None

ID: 0924546
Sex: F
Age: 34
State: SD

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

Lab Data: N/A

Allergies: Sulfa Drugs

Symptoms: My arm started out sore with redness at the injection site, it decreased after a few days. Then the redness came back bigger in size than it was previously. My axilla started having pain, that pain is consistent and doesn?t subside with any intervention. The pain seems to be increasing by the day. I have not sought evaluation on this, hoping it will go away soon.

Other Meds: Prozac Wellbutrin Trazodone Multivitamin

Current Illness: N/A

ID: 0924547
Sex: F
Age: 35
State:

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

Lab Data:

Allergies:

Symptoms: Noted had history of various allergies. Received vaccine at 6:06 pm and about 10 minutes later noted headache. BP 150/70; p 86. Then neck pain, bilateral leg soreness, and hip pain; R foot tingling, felt warm, itching, no rash noted. Treated with 25mg benadryl at 0624 pm; BP 130/82. And went to ED for evaluation via wheelchair/personnel.

Other Meds:

Current Illness:

ID: 0924548
Sex: M
Age: 28
State: IL

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

Lab Data:

Allergies: Penicillin

Symptoms: Adverse Reactions: Chills, Nausea, Low Grade Fever (100.5-100.6), Lethargy, muscle pain Treatment: Ibuprofen 200mg: 4 tabs (800 mg) taken once for single dose Outcome: Fever lowered, however, lethargy remained all day. The next morning (12/31/2020) I felt completely fine.

Other Meds: N/A

Current Illness: N/A

ID: 0924549
Sex: F
Age: 52
State: OR

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

Lab Data: She had blood work performed at the Emergency department.

Allergies: She states she never had any allergies or allergic reactions until this year following cancer chemotherapy treatments.

Symptoms: On 1/5/2021- Pt. noticed left eye lid was starting to swell in the corner of her eye at 1 pm. It then became bigger and started to shut her eye. Her right eye then started to swell around 2 pm and she began to have difficulty talking and swallowing. She was not short of breath but felt like her throat was tightening. She arrived to work at 2:50 pm and informed her boss who sent her to the employee health department. She reported having oral Benadryl and was going to take that. Anesthesiology evaluated her, felt it was a progressive allergic reaction, and recommended evaluation at an urgent care or ED. She later developed hives, her lower lip became swollen. She was later evaluated at Emergency Department. She will be able to provide you with information on the doctor, treatment. She was prescribed a course of prednisone and will have allergy testing scheduled. MD indicated uncertain if caused by vaccine. She missed work on 1/6 due to the ongoing reaction which had improved.

Other Meds: Patient has recent history of breast cancer and treatment. We are not her PCP or oncologist so we do not have a complete medical history.

Current Illness: No other reported illnesses.

ID: 0924550
Sex: M
Age: 58
State: WI

Vax Date: 12/16/2020
Onset Date: 12/17/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: No known allergies

Symptoms: Patient reported a fever and tingling to his face in the morning on 12/17/20. EHS followed up with him at 11:30 am on 12/17. He reported that the fever had resolved, and he was no longer having tingling to his face. He denied paralysis to his face, shortness of breath, and chest pain.

Other Meds:

Current Illness:

ID: 0924551
Sex: F
Age: 47
State: NE

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

Lab Data: ECG normal sinus rhythm, Labs normal except K 3.4, glucose 124, wbc 11.34. CXR negative. BP (!) 130/98 (BP Location: Right arm, Patient Position: Lying) | Pulse (!) 125 | Temp 37.3 ?C (99.2 ?F) | Ht 1.6 m (5' 3") | Wt 166 lb 14.2 oz (75.7 kg) | SpO2 97% | BMI 29.56 kg/m? Multiple diagnoses were considered in evaluating this patient. Available pertinent medical records were reviewed. Pertinent Labs & Imaging studies reviewed. (See chart for details). Patient was given cardiac monitor and pulse oximeter.

Allergies: cephalosporins, indomethacin, ketoprofen, penicillins

Symptoms: Pfizer-BioNTech COVID-19 Vaccine: Emergency Department Visit 01/07/21: 47 y.o. female who presents with complaints of fever, rapid heart rate and body aches that began around 1 PM this afternoon. Patient states that she received her second Covid vaccination yesterday and began developing symptoms today. States she had a temperature of 102. She is a nurse here in the rehabilitation center. She denies any cough, sore throat, abdominal pain that is new, vomiting, diarrhea or bloody stools. She has had no urinary symptoms. She denies any leg swelling or pain. No history of DVT or pulmonary embolism. No recent travel, immobilizations, surgeries, bedrest or history of malignancy. No hemoptysis. Again, no cough. Patient is taken no medications for the symptoms other than Tylenol which she states has not improved her symptoms. ROS negative. No pertinent history - Ovarian cyst, Spontaneous abortion, Uterine fibroid. She is given a liter normal saline 1 ibuprofen as she has allergies and side effects to multiple medications including pain medication and the patient did refuse any pain medications other than ibuprofen. Symptoms are consistent with side effects of the Covid vaccine. She does not appear ill appearing. She has no fever at this time. She does state that her symptoms are somewhat improved. Chest x-ray and labs are otherwise unremarkable. Encouraged the patient to get rest, drink plenty fluids and take ibuprofen and follow-up with her primary physician or return if symptoms worsen. This is the patient's second dose of vaccine for Covid.

Other Meds: MECLIZINE 25mg PO TID PRN dizziness

Current Illness:

ID: 0924552
Sex: F
Age: 40
State:

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: body aches and sore arm. body aches started up on the 6th of January. Headache as well and a cough.

Other Meds:

Current Illness:

ID: 0924553
Sex: F
Age: 23
State: WA

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

Lab Data:

Allergies: NKDA

Symptoms: Started 45 minutes after, feeling faint and fatigued. Next morning feeling generalized pain fatigue later in the day had a temp and feeling chills as well.

Other Meds: Viibryd Levothyroxine Wellbutrin Enskyce Liothyronine

Current Illness: N/A

ID: 0924554
Sex: F
Age: 38
State: CA

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

Lab Data:

Allergies:

Symptoms: Numbness and tingling on the injection site and the left side of your face. Also reports a metallic taste in her mouth

Other Meds: Motrin, as well as regular medications

Current Illness:

ID: 0924555
Sex: F
Age: 53
State: TX

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

Lab Data:

Allergies: PCN

Symptoms: Tested positive for COVID on 01/06/2021

Other Meds: Amlodipine 5 mg daily Celebrex 50 mg daily Pantroprozole 40mg daily DiviGel 1% daily

Current Illness: Localized Scleroderma Raynaud's disease HTN

ID: 0924556
Sex: F
Age: 35
State: NY

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

Lab Data:

Allergies: Penicillin Codeine Mushroom

Symptoms: Heart racing 120 bpm, felt numbness on left side, lasted about 5 minutes

Other Meds: Vitamin C Multivitamin Magnesium

Current Illness: Denies

ID: 0924557
Sex: F
Age: 22
State: TX

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

Lab Data: temperature checks

Allergies: Unknown

Symptoms: a day after receiving the vaccine, she felt some soreness to injection site and arm, unable to raise arm up; felt achy, fatigued then at the end of the day, noticed fever, temperature going up from 97 to 99 to100, then as high as 101 F over a 4 hour time frame; she took ibuprofen 400mg that night then awoke this morning feeling better; she has not taken any more fever reducing medications and has no fever today even though her arm is still sore, she can move it more now and just sore to touch

Other Meds: Metronidazole 500 mg 1 PO BID x 7 days (on 5th day)

Current Illness: infection

ID: 0924558
Sex: F
Age: 43
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient presented for Moderna COVID vaccine and was asked to wait 15 min post vaccine for monitoring. Patient presented with numbness, tingling sensation in the neck and left wrist pain with weakness including 4th and 5th digit. Injection was administered in opposite arm (right). Tingling sensation then escalated to whole body with nausea and dizziness. BP reading was 149/78 and 160/74 with 15 min intervals. EMS was contacted at 1355 to transport patient to the ED. Numbness and tingling in the knee, unable to use left hand to text and left side whole body. Patient is able to elevate both arms at same level. EMS arrived at 1408 and transported patient to the ED at 1411

Other Meds:

Current Illness:

ID: 0924559
Sex: F
Age: 28
State: IN

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

Lab Data:

Allergies: None

Symptoms: On January 6, the area around the injection site started itching. I then noticed it was more tender. The area is now red, raised, swollen, tight and warm. The area is about the size of a deck of cards. I have now taken 50mg of diphenhydramine PO and 1000mg of Tylenol PO.

Other Meds: Sertraline 100mg daily, Women?s Daily Multivitamin

Current Illness: None

ID: 0924560
Sex: F
Age: 37
State: OH

Vax Date: 12/24/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Broke out with pimples all over body

Other Meds: Vitamin d vitamin B Multivitamin

Current Illness: None

ID: 0924561
Sex: F
Age: 34
State: MN

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

Lab Data: None

Allergies: Latex

Symptoms: Fever up to 102 accompanied by headache, fatigue and significant body aches. Onset of severe symptoms about 12.5 hours after administration, treated with Tylenol (1gm q6H) and ibuprofen 600mg q6H alternating. Fever initially unresponsive to antipyretic. 24 hours post-administration has decreased to 99.4.

Other Meds: None

Current Illness: None

ID: 0924562
Sex: F
Age: 36
State: NY

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

Lab Data: None

Allergies: None

Symptoms: Approximately 7 minutes after the vaccination was given, my face became red and flushed and I experienced a sensation of heat in my body. I recieved additional monitoring by staff and felt better approximately 20 minutes later

Other Meds: Wellbutrin 300xl

Current Illness: None

ID: 0924563
Sex: F
Age: 37
State: SD

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Headache, neck pain, trapeze muscle pain, nausea, fever of 101.2. Lasted a few hours resolved with ibuprofen.

Other Meds: Welbutrin, Metformin, ibuprofen, Tylenol, vitamin d, zyrtec, omeprazole

Current Illness: None

ID: 0924564
Sex: F
Age: 28
State: MA

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

Lab Data:

Allergies: No know allergies

Symptoms: I received my first dose of the Moderna COVID-19 vaccine on 12/29/2020 and to date, have had mild symptoms, which I have reported via the V Safe Check Ins. To date, I experienced some injection site soreness with redness for a few days post vaccine and had minimal swelling on the day after vaccination. This evening, I noticed a sudden onset of severe swelling at the site of the injection accompanied with redness, which as noted above, had previously resolved approximately 3 days post vaccination. In addition, the area surrounding the injection site is now warm to the touch and is mildly itchy. In taking the temperature of the injection site versus the rest of the arm, it is running about 3 degrees warmer than the rest of my arm.

Other Meds: None

Current Illness: No known other illnesses at time of vaccination and up to one month prior

ID: 0924565
Sex: F
Age: 44
State: CO

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

Lab Data:

Allergies: Seafood

Symptoms: Swelling, redness and pain at injection site. Parameters of inflammation marked to monitor for worsening. Still monitoring have not had to seek medical attention yet.

Other Meds: Zyrtec, Omeprazole, Lisinipril, Buproprion, Premarin, prednisone

Current Illness: COVID positive on 11/17/2020,

ID: 0924566
Sex: F
Age: 25
State: CO

Vax Date: 12/26/2020
Onset Date: 01/03/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: My left arm began to swell around the site where I got the vaccine. It became very warm, bright red, and felt hard to the touch. It was also incredibly painful, such as when my shirt was just resting on it, as shirts do. This lasted for 2 days and it still has some redness and sensitivity. The joints on my hands and wrist also became swollen and incredibly sore, and this has still not gone away.

Other Meds: Venlafaxine 37.5 mg Modafinil 200 mg 2x/day Xyrem 9 grams/night Sunosi 150 mg Ropinirole 0.25 mg Gabapentin 300 mg Iron supplement B12 vitamin OTC generic allergy pill

Current Illness: None

ID: 0924567
Sex: F
Age: 21
State: NV

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

Lab Data: blood testing and EKG but all were normal

Allergies: Denies

Symptoms: Client felt dizzy, mouth and upper throat went numb, chest tight, shakey, felt terrible. Seeing double and nauseated. went to ER and received IV benadryl and relieved many symptoms but had heart rate escalating and dizzy continuously. Body aches

Other Meds: Denies

Current Illness: Denies

ID: 0924568
Sex: F
Age: 58
State: NY

Vax Date: 12/22/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: None.

Allergies: None known of.

Symptoms: Approximately 8 days after receiving the Moderna injection, I had a reaction in my upper arm (left arm-the one I received the vaccination in). My upper arm broke out in what looked like a bright red rash in the area of the injection. The first thing that happened was it started itching, so I scratched it, then realized the area was very warm, so I looked and noticed the bright red color of it. Also, at the same time, the area felt almost bruised when I scratched, but it wasn't bruised to look at, maybe under the skin it was bruised? It got to be about 4 inches by 2-3 inches and then within a couple days, it went away. I did put hydrocortisone cream on it off and on. As an interesting aside---when I had the first dose of Shingrix I broke out with a rash below the area where they gave me the vaccination. This rash happened within a day or so of the vaccine, whereas with the Moderna, it was a tad more than a week later. This was also my left arm. With Shingrix though, it was a bit larger and raised up a bit. That only lasted for a few days also. I don't remember which arm I had the second Shingrix vaccine in, but I do not remember any adverse reaction after receiving it.

Other Meds: Metoprolol, levothyroxine, pravastatin, ibuprofen

Current Illness: None

ID: 0924569
Sex: F
Age: 38
State: NH

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

Lab Data: None

Allergies: None

Symptoms: Shoulder bursitis pain immobility

Other Meds: Metoprolol , lipitor

Current Illness: None

ID: 0924570
Sex: F
Age: 48
State: MO

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

Lab Data: None

Allergies: 1) adhesive; 2) ativan; 3) Cipro; 4) Coconut; 5) Dilaudid; 6) Erythromycin; 7) Fluorescein; 8) Mastisol adhesive; 9) Morphine; 10)Stadol ; 11) Toradol

Symptoms: Itching

Other Meds: 1) alprazolam 0.25mg TID; 2) aspirin 325 mg daily; 3) dicyclomine 20 mg QID; 4) dicyclomine 10 mg PRN TID; 5) Farxiga 5mg daily; 6) ketoconazole 2% topical cream daily to affected area; 7) Lipitor 10 mg daily; 8) Novolog Flezpen U-100 Insu

Current Illness: DM

ID: 0924571
Sex: F
Age: 40
State: WI

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

Lab Data: None

Allergies: Compazine Seasonal

Symptoms: The first 2 days after the shot my arm was sore. That went away and then on 1/5/21 my arm became sore, red, raised and warm around the injection site. It still is 1/6/21 along with body aches

Other Meds: Sertraline buspirone claritin tylenol lisinopril Allergy drops prescribed by an allergist

Current Illness: Cold symptoms 1 week before with 2 negative covid tests

ID: 0924572
Sex: F
Age: 32
State: CA

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

Lab Data:

Allergies:

Symptoms: During post vaccination monitoring pt began to complain of tingling in her throat and palpitations. Was sent from chair to gurney. At that time was evaluated. Symptoms included elevated BP and HR. 911 called at 1304 and pt sent to ED

Other Meds:

Current Illness:

ID: 0924573
Sex: M
Age: 61
State: MO

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

Lab Data:

Allergies:

Symptoms: LOW GRADE FEVER, 99.9, MILD BODY ACHES, MILD MALAISE LASTED ABOUT 24 HOURS

Other Meds: LISINOPRIL, PROTONIX, ASPIRIN, OMEGA-3 OIL, ATORVASTATIN

Current Illness: URI

ID: 0924574
Sex: F
Age: 44
State: TX

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

Lab Data:

Allergies: Seasonal allergies - Cedar

Symptoms: 1 week after I felt welts on my arm around the injection site that we're itchy. I took Benadryl and applied an ice pack. The next day where the welts were my arm is now red and warm feeling.; Slightly itchy. My arm has felt heavy like a swollen feeling although not swollen - as if my arm was asleep.

Other Meds: Birth control pill. Brand name Nortel.

Current Illness: None

ID: 0924575
Sex: F
Age: 45
State: CA

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

Lab Data: None

Allergies: Allergy to PCN

Symptoms: Had a flushed feeling across her chest no shortness of breath or rash noted . Was given 50 mg Benadryl watched for another 30 minutes no other issues. Stable and is feeling fine.

Other Meds: C, d and Zinc Monocycline . probiotic

Current Illness: None

ID: 0924576
Sex: M
Age: 53
State: MA

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

Lab Data: N/A

Allergies: Penicillin as child but reaction unknown.

Symptoms: Fairly rapid onset of excess fatigue, difficulty keeping eyes open associated with oscillating vision, near simultaneous distortion of sound (at the time was watching a show using my phone, and the actors no longer sounded like themselves), sense of subtle disequilibrium, and a sense of intense heat involving my upper abdomen and lower chest, centered around my xiphoid process as if being pressed up against a space heater, the latter symptom was non-painful, perhaps the best example is the feeling one has after receiving intravenous contrast dye for CT imaging although more the "warmth" was more intense. Lasted 90-120 minutes before going to sleep, then gone by morning.

Other Meds: Aspirin 81 mg daily. Multivitamin one tablet daily. Vitamin B12 1000 mcg daily. Vitamin B complex one tablet daily. Vitamin D3 2000 units daily. Olmesartan 40 mg daily. Lamotrigine 150 mg QAM and 300 mg QHS. Rosuvastatin 10 mg QHS. Cetiri

Current Illness: None.

ID: 0924577
Sex: M
Age:
State: WA

Vax Date: 09/24/2000
Onset Date: 11/04/2020
Rec V Date: 01/06/2021
Hospital: Y

Lab Data: MRI, lumbar puncture, brain biopsy, CSF infectious studies including autoimmune panels, infectious metagenomic panel, genetic testing.

Allergies: No known allergies

Symptoms: Patient was admitted to the hospital, critically ill and intubated in the ICU with encephalomyelitis consistent with acute disseminated encephalomyelitis (ADEM) associated with MOG-IgG positivity (or MOGAD). Course complicated by respiratory failure, paroxysmal sympathetic hyperactivity, optic neuritis, staph aureus tracheitis requiring antibiotics and ongoing encephalopathy. - underwent thorough infectious work up, multiple MRIs, lumbar puncture and brain biopsy - underwent several days of electroencephalogram (EEG) - Received 5 days IV methyl prednisone followed by a slow taper - Received 6 days of plasma exchange or PLEX - Received IVIg 2mg/kg (and will received monthly IVIg for 6 months)

Other Meds:

Current Illness: none.

ID: 0924578
Sex: F
Age: 68
State: MA

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

Lab Data: EKG -tachycardia

Allergies: penicillin, erythromycin CT contrast dye, shellfish,

Symptoms: Moderna vaccine EUA within 4 minutes i began to feel faint, heart started pounding ,immediate headache and was very shaky. I was laid down, cold compress. It came in waves over a period of 20 minutes. I was given a few sips of water. When it did not resolve I was taken to the ER and given IV fluids. The doctor said I had an adverse reaction to something in the vaccine. The chief of Infectious disease thought I had a vaso vagel response. While I am nervous to get the second vaccine , I will go forward and get it..

Other Meds: furosemide, metformin, omeprazole, amlodipine. loratadine

Current Illness: none

ID: 0924579
Sex: F
Age: 52
State: MA

Vax Date: 12/20/2020
Onset Date: 12/20/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: Telemonitored and Vitals monitored EKG - showed Premature Atrial Tachycardia, Lab work possibly - not sure what labs. Observation

Allergies: Flu Vaccine circa 2013/2014 Had a flu vaccine in 2020 w/out incidence

Symptoms: Immediate after injection- tingling, numbness, dizziness, confusion, vision disturbance (dilated pupils), loss of BP, rapid heart rate, uncontrollable rigors/trembling. Rushed down hall to ED via stretcher. Received IV fluids, IV steroids, IV benedryl, IV pepcid, IV ativan.

Other Meds: Pepcid

Current Illness: Not that I know of

ID: 0924580
Sex: F
Age: 21
State: FL

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

Lab Data:

Allergies:

Symptoms: 1/5/21-About an hour after receiving vaccine, I had mild nausea, my left arm kind of hurt after receiving the vaccine.. which is weird because I got it in my right arm. 1/5/21- Around 8:00 PM I noticed raised red bumps on both of my forearms.. it?s worse on the right arm. It looked like a mild rash. Around 10:00 PM I developed chills, muscle aches, my right arm was in a lot of pain, I had a slight headache, nausea, and my temperature kept going up. I?ve been taking Advil/ Tylenol to try and get my temperature down.. but after every dose wears off my temp goes back up. I kept waking up multiple times in the middle of the night. In the middle of the night around 2AM, my temperature was as high as 102.9. Later on in the night around 4AM, my chills had stopped and I actually felt really warm. 1/6/21- I woke up about 6:30 AM and had to call out of work. My temp was about 98 something at this point and I still had muscle aches. I slept most of the day and my temp continues to go over 100 now every time a dose of Advil wears off. I still have muscle aches and there is still a lot of pain at the injection site. My arm doesn?t hurt as bed as it did though. However, the rash on my forearms is still there. On my right forearm it looks worse than it did yesterday.

Other Meds:

Current Illness:

ID: 0924581
Sex: F
Age: 46
State: NY

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

Lab Data: None.

Allergies: Sulfa (delayed reaction) and then environmental: ragweed, dust, pollen, mold, grass

Symptoms: The first AE was simple and was the next day--headache/malaise with a possible facial droop (and right side of my face felt funny) that resolved in 24 hours with 600mg of ibuprofen. I did Zoom with a neurologist who checked up on me later and by then I felt better. What I want to report is that I got a GIANT HIVE exactly one week later at the injection site--raised, white, itchy, indurated, with satellite hives and surrounding erythema. I am a doctor and called an allergist colleague and did FT who concurred it looked like a histamine reaction.. I took 20mg Zyrtec and 400mg ibuprofen. It looked much better the next day. Now it is just red and flat--about 8.5 x 5.5 cm. I have great pictures. Very strange that the injection site was fine and then I got this reaction there.

Other Meds: levothyroxine, wellbutrin, diazepam, OCP

Current Illness: None

ID: 0924582
Sex: F
Age: 61
State: CO

Vax Date: 12/17/2020
Onset Date: 12/17/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: Aspartane

Symptoms: Reported feeling minor SOB and felt like her throat was closing about 30-40 minutes after receiving the vaccines. States that she was driving home when she started having DOB. She took OTC Benadryl PO and the issue resolved.

Other Meds: Gabapentin PO daily; Ibuprofen 300 mg PO prn and Omeprazole PO prn

Current Illness: None

ID: 0924583
Sex: F
Age: 23
State: TN

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

Lab Data:

Allergies: Amoxicillin / penicillins

Symptoms: For past two days since and continuing... fever (tmax 101.6) & GI upset. Diarrhea (frequency) , nausea, stomach pain, poor appetite. And arm pain.

Other Meds: Multivitamin & Zyrtec

Current Illness: None

ID: 0924584
Sex: M
Age: 39
State: CT

Vax Date: 01/04/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: Nsaids

Symptoms: Fever, chills, myalgias, arthralgias, weakness, nightmares.

Other Meds: Biktarvy, mesalamine,

Current Illness:

ID: 0924585
Sex: F
Age: 38
State: IN

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

Lab Data: Did not go to the dr, pretty much slept the whole day.

Allergies: N/A

Symptoms: I got my 1st shot Monday evening. I was fine, arm started hurting about 9pm which was to be expected. Tuesday I woke up within 20mins I was nauseous and threw up multiple times. My body was achy and just felt "blah". Was weak and dizzy when I stood up. I felt like my insides were on fire (like the worst temperature you've ever had) but didn't have a fever. Felt like my brain was going to swell out of my head and it was the worst headache. I slept all day. Woke up long enough to call the dr and fell back asleep. Halfway through the day I ended up with a fever of 102 (it went down after a few hrs). Today I woke up still feeling weak and somewhat dizzy, spacey.

Other Meds: N/A

Current Illness: Tested positive for covid 12/19.

ID: 0924586
Sex: M
Age: 61
State: FL

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Severe night sweats for 3 nights in a row. Severe fatigue for 2 weeks. No fever. No cough. No sick contacts and no contacts became sick.

Other Meds: none

Current Illness: none

ID: 0924587
Sex: F
Age: 36
State: CA

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

Lab Data:

Allergies: Flonase; Anaphylactic reaction

Symptoms: She arrive at 3:43 and she was nervous before the vaccination for COVID19 ( Morena) because has had anaphylactic reactions to Flonase. She was feeling well up to 15 min post vaccination when she felt she is going to pass out w/o loosing consciousness. She felt weak and feeling fainted when we transferred her to the stretcher. Her BP was 163/106 P=112, Pulse Ox 100% at 16:09. She was resting, received O2 lit per min, she was feeling chest tightness when she used her inhaler Albuterol 2 puffs X2 within 5 min. She was feeling weak and stating "I am going to pass out." Her repeat BP=152/110, P=94 with pulse Ox 100% at 16:12 911 called and arrived at 1643

Other Meds: Albuterol 90 mcg Inhaler

Current Illness:

ID: 0924588
Sex: F
Age: 61
State: CO

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

Lab Data: None

Allergies: Aspartane

Symptoms: The individual was premedicated with 25 mg of Benadryl IM in the L arm. She was given the COVID Pfizer vaccine approximately 10-15 minutes after receiving Benadryl. Reported feeling like her throat started closing about 10 minutes after receiving the vaccine. She was provided with 2 doses of PO Bendaryl that she would take home with her. Instructed to take Benadryl PO q 8 hours for the next 72 hours. Family came to pick her up to take her home. She reported feeling better prior to leaving.

Other Meds: Gabapentin PO daily; Ibuprofen 300 mg PO daily and Omeprazole PO daily

Current Illness: None

ID: 0924589
Sex: F
Age: 65
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient received the second dose of the covid vaccine on 01/06/2021. c/o of fever, chills, hot flashes (face), numbness of the Left buttock, soreness of Left breast, dizziness, headache few hours after the injection. She is concerned about the numbness of the Left buttock and sore Left breast. The injection site was on the Left arm.

Other Meds:

Current Illness:

ID: 0924590
Sex: F
Age: 32
State: VA

Vax Date: 12/26/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Derma Bond, Fentanyl, Ketamine, Metrogel (metronidazole), Tylenol (diphenhydramine-acetaminophen)

Symptoms: Recieved the Pfizer-Biontech Covid-19 vaccination on Dec 26th 2020, and had no major adverse reaction to vaccine except for mild soreness and heat around injection site and intense fatigue for three days after. Symptoms went away after the 4th day. Two weeks later on Jan 5th 2021, i began to notice an intense itching, burning, and swelling at the injection site. Pain and soreness in arm made it difficult to do my job and seem to just get worse. Upon the next morning of Jan 6th 2021, pain remained but itching had gone down, but intense burning, soreness and massive redness around injection site remained and seemed to be getting worse. Pain remains and redness has not gone down, arm is very tender near site and lifting and moving arm is very stiff and sore. Feeling of lump or stiffness on injection site comes and goes and feeling of heavy and sore muscles move from upper left arm down to elbow and extend to hand; making movement and function slowed or slightly numb. Stiffness in arm and intense heat at injection site makes it uncomfortable to move or use arm. Cold tingling sensation on occasion and stiffness in elbow joint. Slight dizziness and fatigue follow with pain in arm. Was informed to see a physician on Jan 6th, 2021 who said to fill out vaccination adverse event report and to keep an eye on arm. If pain or symptoms become worse to return.

Other Meds: Multi-vitamins

Current Illness:

ID: 0924591
Sex: F
Age: 26
State: TN

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

Lab Data:

Allergies: Sulfa, lexapro, bee stings

Symptoms: Abdominal rash beginning approximately 2 hours after vaccine administration. Severe sharp right shoulder pain beginning approximately 2 hours after injection, lasting 3 days, resulting in inability to move arm away from rib cage. Excessive fatigue despite rest that has continued into Day 6, and has not recovered from this at the time of this report. Patient has been unable to participate in daily life or attend work shifts.

Other Meds: Multivitamin. Vitamin D supplement

Current Illness:

ID: 0924592
Sex: F
Age: 56
State: MO

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

Lab Data:

Allergies: Stadol, septra, statins

Symptoms: Chills, body aches began about 12 hours after injection. Side effects lasted approximately 24 hours. Tylenol resolved side effects for about 3 hours after taking it. Had to wait additional time to take more.

Other Meds:

Current Illness:

ID: 0924593
Sex: M
Age: 52
State: CO

Vax Date: 12/17/2020
Onset Date: 01/03/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: On 1/3/2021, I broke out with shingles outbreak in my face. I have never had this before.

Allergies: None

Symptoms: On 1/3/2021, I broke out with shingles outbreak in my face. I have never had this before.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm