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: 1008421
Sex: F
Age: 48
State: RI

Vax Date: 01/16/2021
Onset Date: 01/20/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: NA

Allergies: NA

Symptoms: persistent headache daily since receiving vaccine

Other Meds: BCP

Current Illness: NA

ID: 1008422
Sex: F
Age: 42
State: PA

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

Lab Data:

Allergies: Gadolinium (rash), methylparaben (similar to current symptoms)

Symptoms: Sinking feeling, hollowness in chest, lightheadedness. No dyspnea, rash, itching, or swelling. Vitals stable (BP 126/89, HR 84, pulse ox 98-100%) Patient reports that she has had very similar symptoms after methlparaben, although those were more severe. She does not feel that she needs additional medical attention, declined ED visit.

Other Meds: Oxycontin, oxycodone, famotidine, pristiq, omeprzole, Estrotest, Advair

Current Illness: None

ID: 1008423
Sex: F
Age: 35
State: MA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Swollen lymph nodes in neck with sore throat and clicking when swallowing. Taking mortin for the swelling.

Other Meds: Prenatal vitamin B12

Current Illness: None

ID: 1008424
Sex: M
Age: 47
State: TX

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies: Nil

Symptoms: Have high fever next day after taking first dose of moderna vaccine

Other Meds: Amlodipine 5mg Levothyroxine 100micro Crestor 20mg Bystolic 5 mg Brilinta 90mg

Current Illness: Had covid positive on December 15 2020. Hospitalized for low saturation (value at the time of hospitalization is 89) on 12/30/2020

ID: 1008425
Sex: F
Age: 38
State: WI

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Red rash on arm where vaccine was given. Rash is splotchy and bumpy and has spread down from vaccine site. Very hot to touch. Itchy and painful to touch. Started night after vaccine and got larger 2 days after. Also have pain in armpit on right side.

Other Meds: Levothyroxine, sertraline, vit D, MVI, CoQ10, folic acid

Current Illness:

ID: 1008426
Sex: M
Age: 50
State: WV

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: None

Allergies: Med intolerances--Demerol Food intolerances--milk, gluten, oats, beef

Symptoms: Sore left shoulder/arm and chills--lasting 1-2 days, started about 8-10 hours after vaccine.

Other Meds: Nature Made Brand Vitamin D3 and Multi Complete

Current Illness: None

ID: 1008427
Sex: F
Age: 71
State: IN

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: Very tired, sleepy ,achy muscles like I had the flu

Other Meds: Wellbritrin 450,amalodinine 5 mg , gabapentin 800, metformin 800mg. Xanax 1 mg, hydrocodeine 20 mg , beta blocker, benedryll 12.5 Presvasratin

Current Illness:

ID: 1008428
Sex: M
Age: 46
State: CA

Vax Date: 01/12/2021
Onset Date: 01/20/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: January 18, 2021- Complete blood work for my annual- Uric acid level normal. This is prior to the adverse event.

Allergies: Bactrim/Augmentin= ? not confirmed, causes rashes but not sure if it cause by this ABT

Symptoms: 8 days after my first dose, 01/20/2021, around 9am, my eyes started to turn red, and teary and difficulty to look on computer screens and TV. Thinking it might be a Conjunctivitis, assuming it was a windy week in my area, I did do some yard work. That night it started to build pressure, pain and headache. I asked my spouse to buy me eyedrops., did used with no relief. I've putting cold packs at the beginning, but it gives me more headache, I changed to warm compress, and had some relief. For 4 days I suffered the same symptoms and discomfort, not until the 4th day (Friday) I can't take it anymore, I went to an urgent care, they check my V/S, BP is elevated, ranging from 140's/92's. They check my eye pressure, it was elevated. The PA prescribed Tobramycin eyedrop(Tobrex) and recommend me to see an Ophthalmologist to do further evaluation. The next day 5th day (Saturday) went to Dr., get evaluated both of my eyes had high pressure,

Other Meds: Uloric 40mg daily Losartan 25 mg daily Multi-Vit. daily

Current Illness: None

ID: 1008429
Sex: F
Age: 24
State: CA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: Glucose done by paramedics was normal, pulse oximetry was normal and EKG was normal. B/P at 3:22 was 158/100 , pulse 115; 3:26= 141/84; 125/78 pulse 109 thereafter unk time

Allergies: Contact dermatitis possibly to "a cleaner."

Symptoms: Approximately 10 minutes after receiving vaccination I was called to the observation area where patient was complaining of difficulty swallowing and tightness in the chest. She denied itching, wheezing or difficulty breathing, lightheadedness, nausea, swelling of lips or face or mouth. Also denied history of anxiety. Patient was mildly anxious, not in distress, verbalizing well. No visible urticaria or oral abnormalities, no angioedema. lungs clear heart RR&R. She c/o worsening sense of difficulty swallowing and tightness in chest and was given an EpiPen dose of .3ml IM. She improved thereafter regarding subjective symptoms but became "jittery." paramedics arrived and evaluated her, asked her to stand up (from reclining) and she did well. Approximately 30-40 minutes later she was picked up by family members and asked to follow up with ER, paramedics or PMD as needed. i advised that I did not see a reason to not get the 2nd dose of vaccine . I gave her my name and contact information.

Other Meds: Trileptal, Klonopin,Prozac, Zofiran

Current Illness: None known

ID: 1008430
Sex: F
Age: 50
State: TX

Vax Date: 01/28/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 1 day after my vaccination all of the redness at the site was gone but a week later in the same place I developed a 3 by 4 red welp that was hot and tender. Within 24 hours it has started to get better. I also have this delayed reaction if I?ve been stung by a bee or wasp.

Other Meds: Ozempic, vitamin D, vitamin C, zinc, multi daily vitamin, bupropion HCL XL

Current Illness: None

ID: 1008431
Sex: F
Age: 70
State: LA

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

Lab Data: none. did not report to my doctor.

Allergies: Skin rash from Bactrim (sulfa drugs); topical rash from adhesive like Bandaids; rapid heart beat and pale skin from epinephrine.

Symptoms: Unable to fall asleep the night of the second dose. Felt progressively worse as night went on. By 3am, had fever, chills, couldn't stop shaking or get warm, had headache, skin sensitive almost hurt when touched. Felt too bad to get out of bed but eventually got up, took acetimetophen, drank water, added clothes and blankets and returned to bed. Body kept tensing up very tightly so that all muscles were constricted/tights and impossible to relax. This continued for a few hours. By morning, I thought I was starting to feel better. These symptoms returns for a second round about 2pm that afternoon and continued until about 6pm. On the nights of 2/3, 2/4 and 2/5, I wake up around 3am extremely hot and sometimes damp, despite air temp of 66 to 68 degrees. This resolves after about an hour and body feels normal.

Other Meds: Preservision Areds 2 tablets, Centrum Women 50+, Psyllium Husk Powder; monthly injection of B12

Current Illness: None

ID: 1008432
Sex: M
Age: 35
State: NJ

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

Lab Data:

Allergies: food allergies: Avocado , melon

Symptoms: Within 30 minutes of injection patient experiences hives on both arms. Hives spread over the mid section and legs over the next 24 hours. Reaction was treated with Prednisone, Benadryl, and Zyrtec. Hives reduced, but persisted for 8 days.

Other Meds: none

Current Illness: none

ID: 1008433
Sex: F
Age: 36
State: TX

Vax Date: 01/29/2021
Onset Date: 02/06/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Bump at injection site, itchy at injection site, raised rash at injection site, hot to touch at injection site - 8 days post injection

Other Meds: Allegra Flonase Zoloft Iron

Current Illness: None

ID: 1008434
Sex: F
Age: 73
State: ID

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: heacache, muscle pain, joint pain, burning, swelling at injection site, fatigue, fever

Other Meds:

Current Illness: depression, high blood pressure treated with medication, hyperlipidemia controlled with medication, sleeping disorder, anxiety, mild COPD

ID: 1008435
Sex: M
Age: 74
State: NM

Vax Date: 09/15/2020
Onset Date: 09/16/2020
Rec V Date: 02/06/2021
Hospital:

Lab Data: None except an on-line contact with my physician and a talk with the pharmacist.

Allergies: none known

Symptoms: Beginning the day following the injection, I started having significant bursitis-like shoulder pain. This has been relatively constant for the five months subsequent to the inoculation. The pain is significant but tolerable. I cannot raise that arm over my head. Also, direct pressure on the site where I presume the injection was made causes a slight dull ache.

Other Meds: Enalapril, Carvidolol, baby aspirin, multi-vit, Vit d

Current Illness: none

ID: 1008436
Sex: F
Age: 43
State: CA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, fatigue, chills

Other Meds:

Current Illness:

ID: 1008437
Sex: F
Age: 44
State: TN

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies: Chili powder, Chile peppers

Symptoms: Fever of 101.8 - 102.3, rigors, severe headache, severe diffuse joint pain. Unable to get out of bed. Unable to perform normal ADLs.

Other Meds: Allegra, celecoxib, atorvastatin, Align probiotic, Citracal, Centrum Women?s MVI

Current Illness: None

ID: 1008438
Sex: F
Age: 64
State: CT

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

Lab Data:

Allergies: Codeine Morphine Environmental seasonal

Symptoms: Pain in L forehead and face, superficial. Started 2/2/2021, called MD 2/6/2021. MD diagnosed likely shingles reactivation (have had once before). Prescribed valcyclovir.

Other Meds: Clonazepam as needed Losartan 25 mg PO daily Rosuvastatin 20 mg daily Vitamin D3 Multivitamin Cod Liver Oil

Current Illness:

ID: 1008439
Sex: F
Age: 69
State: CA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: None

Allergies: Vancomycin, Penicillin, Prednisone, Bactrim

Symptoms: I developed a large red inflammed area on left arm (location of vaccine shot given on 1/26/21). Monitored for 13 days and the inflammed area continued to grow larger. The area started out measuring 2" x 2" in diameter and grew by the 12th day to measure 4 1/2" x 4" in diameter. It continued to be red and had a dark area in the middle of the inflammed area. It has been warm to touch, swollen and itchy at times. Registered with V-Safe; phoned CDC on 2/4/21 and was advised to go to emergency room. On 2/4/21, I contacted my primary physician and visited Urgent Care. Doctor described it as an allergic reaction, left arm swelling, vaccine reaction and I was given Solu-Medrol Steroid shot in buttocks. On 2/5/21, the area continued to spread in size. I consulted with my primary physician and he was concerned and referred me to an Allergist who I have been unable to reach at this time. My primary physician thinks I definitely am having an allergic reaction to the Moderna Vaccine.

Other Meds: Atenolol 25 mg once a day; Colace 100 mg once a day; Pepcid 20 mg once a day

Current Illness:

ID: 1008440
Sex: F
Age: 55
State: WV

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: N/A

Allergies: shellfish, morphine

Symptoms: After 30 minute observation period pt reported bad headache, foggy mind, numbness/tingling of the tongue. Pt experience dizziness upon standing and then starts to dry heave. The tingling of the tongue becomes worse at this point. Pt is then given 25mg of liquid bendryl. Pt denies EMS help. Pt stands and "zones out". Pt unable to respond to commands and is unaware of her name. Pt is seated and has unequal hand grips, left pupil larger than right, flaccid arms when raised. Pt then speaks clearly but not appropriate. Thought her grown adult kids were babies, couldn't tell their names or her sister's name. Pt's husband shows up and she recognizes him but doesn't know why he is there. Husband says she acts like this when she is anxious and he can take care of her. The nausea/dry heaving is a new symptom. Recommended to go to hospital but leaves with husband. Later spoke with patient and she seems better and has been taking Benadryl every 4 hours. She is still experiencing tongue numbness and is going to her PCP.

Other Meds: cetirizine, clonazepam, prednisone, omeprazole

Current Illness: unknown

ID: 1008441
Sex: F
Age: 69
State: AZ

Vax Date: 02/03/2021
Onset Date: 02/06/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies: Bee stings

Symptoms: Severe headache for 1/12 days. Started getting better second day Extreme nausea the second day Better the 3rd day

Other Meds: Vitamin D Atorvastain Advil

Current Illness: No

ID: 1008442
Sex: F
Age: 63
State: MN

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Sore left arm, which I expected. Fever of 100.2.

Other Meds: none

Current Illness: none

ID: 1008443
Sex: F
Age: 41
State: PA

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Warm raised itchy reaction noticed 1 week at injection site. From moderna covid 19 vaccine

Other Meds: Diovan/hctz Synthroid Atenolol Prevacid

Current Illness: None

ID: 1008445
Sex: F
Age: 24
State: WI

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Itching, redness, swelling and small rash on arm of injection one week following first injection

Other Meds: Birth control, women?s daily vitamin

Current Illness: None

ID: 1008446
Sex: F
Age: 36
State: MD

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Itchy red hot swollen arm it?s injection site. Horrible headache

Other Meds:

Current Illness:

ID: 1008447
Sex: F
Age: 43
State: CT

Vax Date: 01/08/2021
Onset Date: 01/14/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: Blood test done by my PCP initially Referred them to my Neurologist and sent for MRI and EMG

Allergies: Sulfa, Cipro

Symptoms: Woke in morning on 1/14/21 with burning/throbbing pain in right great toe. As the day went on, I felt like I had ice blocks on both feet although right more than left. As the days went on I started feeling loss of warm/hot sensation to both feet, tingling/burning and coldness sensation through both feet and halfway up calves. I could not get my feet or lower legs warm. Eventually I began feeling this same coldness and tingling sensation in both hands/forearms along with extreme coldness to both hands. As of today, I do have more sensation back to both feet although the right big toe still throbs at times. The tingling sensation is minimal in bilateral hands and wrists at this time.

Other Meds: Lexapro 20mg Vitamin b12

Current Illness:

ID: 1008448
Sex: F
Age: 35
State: IN

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

Lab Data:

Allergies: Ambien

Symptoms: Body aches Hives on arms, chest, neck Chills Low grade fever Nausea

Other Meds: Carvedilol Lasix Hydralazine Coreg

Current Illness:

ID: 1008449
Sex: F
Age: 55
State: NY

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

Lab Data:

Allergies:

Symptoms: Headache, lightheaded, dizziness, bilat foot and arm numbness, chest pain, SOB

Other Meds:

Current Illness:

ID: 1008450
Sex: M
Age: 41
State: MO

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

Lab Data: CT pelvis/back 01/29/21, ultrasound left leg 01/29/21, CBC, cmp on 1/29/21 and 1/30/21. Pt/inr on 1/29 and 1/30.

Allergies: None

Symptoms: Developed DVT in left leg from groin to ankle. Diagnosed on 01/29/2021. Pain, swelling, and difficulty walking lead to emergency room visit, admission to hospital for 2 days.

Other Meds: None

Current Illness: None

ID: 1008451
Sex: M
Age: 61
State:

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: injection site pain and tenderness. fatigue , headache, muscle pain , joint pain , chills, fast heartbeat.

Other Meds: Brilinta,Metoprolol, Atorvastin, Anagrelide, Hydroxyurea, Entresto mulivatimin , aspirin 81mg., Resveratrol, Turmeric Curcumin

Current Illness:

ID: 1008452
Sex: F
Age: 68
State: MD

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: No medical tests or labs.

Allergies: Penicillin, vancomycin, sulfa

Symptoms: developed a rash on the lower part of the inner thighs within 24 hours after the injection. My internist saids that it looks like something call a viral exantham and is considered benign. It itches and burned for about a day and the rash is still present. So far it does not itch or hurt or has gotten significantly worse and I have no other symptoms. It looks like the kind of rash that I had as a teenager with MONO that was treated with penicillin or a measles rash.

Other Meds: Levothyroxine 112MCG, Losartan 25MG

Current Illness: NONE

ID: 1008453
Sex: F
Age: 77
State: FL

Vax Date: 01/25/2021
Onset Date: 02/01/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: None

Allergies: Mango

Symptoms: Developed tremors/shakes on Feb 1, 2021. Have had symptoms since. Trouble holding items.

Other Meds: Gabapetin 600mg tramadol 50mg duloxetine 30mg carvedilol 25mg todiramate 25mg simvastatin 10mg olmesartan 40mg lansoprazole 30mg fenofibric 135mg furosemide40mg

Current Illness: No known

ID: 1008454
Sex: M
Age: 86
State: TX

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies: NO KNOWN ALLERGIES

Symptoms: THE PATIENT CALLED AND SAID THAT HIS TREMORS HAVE WORSENED, SIGNIFICANTLY. HE STATES THAT HE USUALLY HAS TREMORS, BUT HE WAS BARELY ABLE TO FEED HIMSELF TODAY.

Other Meds: UNAWARE. HE DOES NOT FILL HIS MEDICATIONS WITH US AT OUR PHARMACY.

Current Illness:

ID: 1008455
Sex: F
Age: 49
State: CO

Vax Date: 12/17/2020
Onset Date: 12/21/2020
Rec V Date: 02/06/2021
Hospital:

Lab Data: CBC, LDH, chemistry, ESR, CRP all normal 2/3/21

Allergies: none

Symptoms: Bilateral large (3cm) axillary LAD, persisting for > 6 weeks epitrochlear adenopathy L arm Intercostal adenopathy R chest

Other Meds: none

Current Illness: none

ID: 1008456
Sex: F
Age: 67
State: PA

Vax Date: 02/03/2021
Onset Date: 02/06/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: Only adverse reaction is redness warmth Six inches below injection site

Allergies: None

Symptoms: I received vaccine subcutaneous in left arm and below the deltoid muscle- rash five to six inches below injection site from gravity - wondering if vaccine will be effective- have pictures.

Other Meds: Metoprolol 25mg daily, hydochlothyazide 12mg daily

Current Illness: None

ID: 1008457
Sex: F
Age: 66
State: MI

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies: None known

Symptoms: Swelling under both eyes - right more pronounced ~ where filler had been injected in October 2020

Other Meds: Hair, skin & nail gummies with biotin, CoQ 10, Centeum silver, calcium, magnesium, zinc , hyaluronic acid, vivid cal, estroven

Current Illness: none known

ID: 1008458
Sex: F
Age: 33
State: DE

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

Lab Data:

Allergies: Cefdinir

Symptoms: Patient presented to COVID-19 Vaccine clinic on 02/06/21. Patient reported the following allergies on immunization consent form: "cefdinir - anaphylactic". Patient took diphenhydramine (dose unknown) at ~4:00pm prior to appointment. Patient received 0.3mL Pfizer COVID-19 Vaccine at 4:17PM from pharmacist. Pt. noticed she was developing hives and itching. Nurse at vaccine clinic was monitoring and called EMS. At 4:47PM, patient reported difficulty swallowing and had facial hives. Epi-pen was administed by pharmacist - per Immunization Emergency Protocol. At 4:50pm, EMS arrived at clinic, and patient was taken via ambulance to emergency department for further treatment at 4:53pm. Current status unknown.

Other Meds: Unknown

Current Illness: Unknown

ID: 1008459
Sex: F
Age: 75
State:

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Semi-severe flu symptoms appearing about three hours post-injection. Treated with Tylenol and rest/sleep. Lasted about 12 hours, gradually lessening.

Other Meds:

Current Illness:

ID: 1008460
Sex: F
Age: 51
State: PA

Vax Date: 01/20/2021
Onset Date: 01/31/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: none

Allergies: Penicillin, cephalosporin, clindamycin, sulfa

Symptoms: "Covid arm" - red, itchy rash on upper left arm, tender muscles on upper left arm. Developed 11 days after injection. Tenderness different than initial sore arm from injection - more tender to touch, and not sore with movement/use. No treatment. 90% resolved 6 days after onset.

Other Meds: Allegra 180 mg qd, Omeprazole 20 mg qd

Current Illness: none

ID: 1008461
Sex: F
Age: 56
State: MS

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Red raised rash on arm near injection site. With 1st shot it didn?t show up for 10 days and lasted about 5 days. Received 2nd dose yesterday and it was on arm this morning. It?s warm to touch but does not itch. It?s about 3 ? across by 4 ? long.

Other Meds:

Current Illness:

ID: 1008462
Sex: F
Age: 49
State: AL

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: cbc, bmp, liver panel, crp, esr, chest xray, pcr covid test x 2--all labs were normal except for slight elevation creatinine-but was better than her usual baseline

Allergies:

Symptoms: pt was vaccinated at work with her 2nd dose on 1/20/21 and began having symptoms on 1/22. pt presented to my office on 1/25/21 she had confusion, memory loss, labial bp, relative hypotension, bradycardia, severe fatigue, muscle pain and weakness, barely able to rise from a chair or walk, also reported HA, diarrhea, hiccups,decreased O2 sat to a low of 91%-her baseline is 98-100%, she developed a rash after her appointment with me.

Other Meds: fluoxetine, pantoprazole, metoprolol, emgality, lyrica, lasix, carafate, vitamin d, maxalt, butorphanol

Current Illness: none

ID: 1008463
Sex: M
Age: 74
State: FL

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: Slight temperature (100.0), headache, sore arm

Other Meds: protonix, lisinopril, metropilol, sertraline, aspirin

Current Illness: no

ID: 1008464
Sex: F
Age: 50
State: AR

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: got vaccine on Friday 2/5/2021, symptoms started on 2/6/2021 with fever chills, aches, and headache

Other Meds:

Current Illness:

ID: 1008465
Sex: F
Age: 27
State: OR

Vax Date: 01/23/2021
Onset Date: 01/25/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies: Codeine: Shellfish: hives

Symptoms: Axillary and cervical lymphadenopathy, hives on neck

Other Meds: Isibloom OCP Proair albuterol inhaler citalopram 40mg daily

Current Illness: n/a

ID: 1008466
Sex: F
Age: 73
State: CA

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

Lab Data:

Allergies: Sulfa drugs X-ray contrast dyes chocolate

Symptoms: About 20 minutes after receiving the shot, I started feeling uneasy. Realized that my fingers were getting tight with swelling. I could feet the sides of my chests getting tight - felt like pressures were building up with swelling. I did not have problems with breathing. About 10 minutes later I could feel my lips swelling, but stopped after about 10 minutes. In the evening, felt nausea. Did not feel well for two days. Got a little better on the third day but not completely well. Completely recovered on the fourth day. Should I get the second shot? I am afraid it might be worse on the second shot if what I was feeling were due to allergy.

Other Meds: Levothyroxine 100 mcg Losartan-hctz 50-12.5 mg D3 50 mcg

Current Illness:

ID: 1008467
Sex: F
Age: 42
State: NJ

Vax Date: 01/09/2021
Onset Date: 01/18/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: A big red lesion on vaccine site.

Other Meds: None

Current Illness:

ID: 1008468
Sex: F
Age: 85
State:

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Moderna COVID-19 Vaccine EUA. Red itchy rash at site of injection on right arm appeared seven days after injection. Prior to onset there were no other adverse reactions to the injection.

Other Meds: Vitamin D

Current Illness:

ID: 1008469
Sex: M
Age: 27
State: VA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: A lot of severe dizziness, chills, fatigue, headache, tingling, swelling in legs, and maybe a fever.

Other Meds: Abilify 30mg daily, lamictal 150mg daily, paxil 30mg daily. One-a-day multivitamin

Current Illness: None

ID: 1008470
Sex: F
Age: 60
State: PA

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: diffuse hives on anterior and posterior chest; now confluent. No wheezing or throat constriction.

Other Meds: none

Current Illness:

ID: 1008471
Sex: M
Age: 16
State: IL

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The patient was given a dose of Moderna covid 19 vaccine, but he is only 16 years old.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm