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: 0925489
Sex: F
Age: 26
State: FL

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Ciprofloxacin

Symptoms: At approx 0700 on 1/6/2021, I had severe pain in my left axillary lymph nodes. Pain is still present.

Other Meds: Metformin, synthroid, birth control

Current Illness:

ID: 0925490
Sex: F
Age: 44
State: PA

Vax Date: 12/26/2020
Onset Date: 01/02/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Prometrium (hives) Pollen, especially tree (upper respiratory reactions) Nickel (contact rash) Spironolactone (not tolerated, but not true allergy)

Symptoms: Injection given 12/26/2020. On 1/2/2021 around 1:40 pm injection site erupted into a painful, red, itchy hot rash. Seen in Urgent Care on 1/3/2021 where doctor diagnosed probable cellulitis and advised time off of work. Given antibiotics and steroid cream to treat. Seen for follow up with same doctor but in occupational health on 1/6/2021. Doctor extended course of antibiotics and did not release me for work. At time of this writing, I am still being treated and my next appointment with occupational health is 1/14/2021.

Other Meds: Levothyroxine 25 mcg/day Mirena IUD Duac face cream Lorazepam 0.5 mg at night Vitamin D3 4000IU/day Vitamin B12 2500 mcg/day Albuterol inhaler as needed (not taken recently)

Current Illness: N/A

ID: 0925491
Sex: F
Age: 38
State: TX

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: NA

Allergies: NA

Symptoms: 8 days after my injection I developed a large red, swollen, hot, raised circle at the injection site.

Other Meds: Prilosec 2X a day Plexus Bio Cleanse 2X a day

Current Illness:

ID: 0925492
Sex: F
Age: 63
State: FL

Vax Date: 12/30/2020
Onset Date: 01/01/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: 2 days after injection Swelling, redness, warm, itchy to left arm, then 1/6 red swollen and itchy, area getting bigger. 1/7 swelling, turning more red and burning, hot to touch.

Other Meds: Multi Vitamin; Probiotic; Fish Oil; Lisinopril; CoQ-10; Osteo Bi Flex

Current Illness: Arthritis; High Cholesterol

ID: 0925493
Sex: F
Age: 33
State: DC

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: About 12 hours after receiving the shot, I woke up with chills, body aches, and nausea. Fever peaked at 100.4. Could not sleep for 4 hours, probably related to the fever. Took 400mg of motrin after 2 hours of fever, temperature was normal by 10 am.

Other Meds: none

Current Illness: none

ID: 0925494
Sex: F
Age: 41
State: PA

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Fruits vegetables soy milk bleu cheese walnuts plants

Symptoms: Hives, sneezing, anaphylaxis, wheezing, itchy throat, stuffy, started in evening, hives first then itchy throat, probably about an hour, as that got worse throat started swelling. Took 50mg prednisone 2 benadryl and albuterol inhaler. Breathing got better and hives went away but still had swollen throat and took pepcid. Headache afterwards but that's typical of an allergic reaction. I can't be sure it was from the vaccine or not but nothing I did yesterday would normally trigger that reaction

Other Meds: Zyrtec, symbicort, melodic, omeprazole, and Ashwagandha

Current Illness: Asthma

ID: 0925495
Sex: F
Age: 46
State: WI

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: PCN

Symptoms: Moderna COVID-19 Vaccine administered in right arm. Side effects include fatigue, pain at injection site and pain from injection site to elbow, and swelling in right hand.

Other Meds: Estrogen Progesterone

Current Illness: None

ID: 0925496
Sex: F
Age: 56
State: IA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Darvon, Singulair, PABA, ?Latex

Symptoms: Extreme debilitating headache

Other Meds: Thyroid, Daily Vitamin, Albuterol Inhaler

Current Illness: None

ID: 0925497
Sex: F
Age: 54
State: TN

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

Lab Data:

Allergies:

Symptoms: Pt stated she felt dizzy and lightheaded. She laid down and VS were taken. BP 120/85, HR 67. Pt recovered and left.

Other Meds:

Current Illness:

ID: 0925498
Sex: F
Age: 64
State: OH

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

Lab Data:

Allergies: seasonal

Symptoms: fever 100.6 chills diarrhea x3 days decreased appetite x 3 days brick on chest, resolved after first day weak sinus drainage nausea x 3 days

Other Meds: Humera, Lefiunomive, Simvistatin, Hydoxychloroquine, Vitamin D3, Calcium, Multivitamin, Iron, tylenol prn

Current Illness: RA

ID: 0925499
Sex: M
Age: 28
State: PR

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

Lab Data:

Allergies: No

Symptoms: nause and headache

Other Meds: No

Current Illness: No

ID: 0925500
Sex: F
Age: 61
State: MS

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: codeine

Symptoms: site discomfort first day Day 2 woke with a severe headache, more discomfort at injection site, muscle soreness difficultly lifting arm, fatigue Day 3 same as above not as severe, new symptom joint pain in right shoulder

Other Meds: none

Current Illness: none

ID: 0925501
Sex: F
Age: 48
State: VT

Vax Date: 12/24/2020
Onset Date: 12/31/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 7 days after vaccine developed local red, rash at injection site. Rash resolved on its own

Other Meds: 7 days after vaccine developed local red, rash at injection site. Rash resolved on its own

Current Illness:

ID: 0925502
Sex: F
Age: 46
State: TX

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: redness, swelling, erythema, and itching at injection site

Other Meds:

Current Illness:

ID: 0925503
Sex: F
Age: 44
State: NJ

Vax Date: 12/30/2020
Onset Date: 01/02/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: none

Allergies: shellfish

Symptoms: Headaches, neck spasm with blurred vision at times started 3 days after administration of Moderna COVID-19 Vaccine EUA.

Other Meds: None

Current Illness: No

ID: 0925504
Sex: F
Age: 42
State: OH

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: Rapid Covid test, CBC, BMP, EKG 01/06/2021

Allergies: Bactrim DS

Symptoms: Extreme weakness, profuse sweating, severe headache, body aches, Temp 102.4, nausea and vomiting, fatique

Other Meds: None

Current Illness:

ID: 0925505
Sex: F
Age: 33
State: CA

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Itchy red warm to the touch hard on the injection site raised up at the injection site

Other Meds:

Current Illness:

ID: 0925506
Sex: F
Age: 49
State: FL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Left axillary lymph node swollen and very painful Hard to move left arm.

Other Meds: Synthroid

Current Illness: None

ID: 0925507
Sex: F
Age: 53
State: NY

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

Lab Data: NONE

Allergies:

Symptoms: INJECTION SIDE REDNESS, WIDE SPEARD HIVES, AND ICHYNESS

Other Meds: amlodopine

Current Illness: n/a

ID: 0925508
Sex: F
Age: 58
State: OH

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: Going to send My Chart Note to family Dr Friday 1/8/21 with results from Vaccine and see if patient should get the 2nd dose 1/30/21.

Allergies: Estropipale (muscle aches), Carvedilol (swelling/muscle aches) and Latax bandaids

Symptoms: Moderna COVID-19 Vaccine EUA - 12/31/20 Patient was fatigued and slight headache, arm had bump, hard and very sore. 1/1/21: Patient was hot, sweaty and fever, very tired, arm had bump, hard and sore. 1/2/21: Patient was hot, sweaty and fever off/on, very tired, arm had bump, hard and tender. 1/3/21: Patient had no symptons except arm still had bump, hard and tender. 1/6/21: Patient where shot was given still bump, hard, turned red (like small rash just in that area) and very itchy. 1/7/21: Patient where shot was given still bump, hard, red (like small rash just in that area) and itchy (not as itchy as 1/6/21).

Other Meds: Premarin 0.625 (3 x week), Lisinopril 20/12.5 (2 in morning), Bystolic 5 mg (1 at night), multi-vitmain (4 a week).

Current Illness: None

ID: 0925509
Sex: F
Age: 41
State: TX

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: none, physical assessment and vs with PCP

Allergies: seasonal allergies

Symptoms: 24-48 hrs site red, swelling, pain, sore arm, severe fatigue, hive to arm and neck of injection site, 48-96 nausea and diarrhea X24hrs, severe migraine, improving fatigue and hives. treated with rest, advil , and Benadryl

Other Meds: singular, Flonase nasal spray, mig relief (vit B12+magnesium), centrum daily women's vitamin, D3, oral progesterone, topical testosterone, Zyrtec, Ambien, glucosamine chondroitin, Nexium

Current Illness: none

ID: 0925510
Sex: F
Age: 40
State: WA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: I received the vaccine at 0930 am 1/6, about 6 hours later I started feeling extreme fatigue and a slight sore throat. I left work early at that time. When I got home I couldn't stay awake and fell asleep around 6pm. Then starting having GI distress cramping, pain and diarrhea around 9pm-11pm. At 2 am I woke up with chills and fever, I took a Tylenol around 3-4 m and then broke out if huge sweat, then finally fell asleep. 1/7/21 I mostly have soreness, headache and fatigue now.

Other Meds: Multivitamin, Vit D3, Vit C

Current Illness: None

ID: 0925511
Sex: F
Age: 31
State: PA

Vax Date: 12/28/2020
Onset Date: 01/01/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None yet, reporting this prior to medical evaluation

Allergies: Penicillin

Symptoms: Starting roughly 50 hours post vaccine I had site swelling and low grade fever (tmax 100.5), resolved on its own. Then, one week following vaccine return of site induration and itching with itchiness spread to whole arm and shoulder. Induration roughly 3-4 inches. Pain is 4/10, itching 8/10. Arm is warm feeling and some itchiness and warm feeling progressing up left side of face.

Other Meds: Zoloft 200mg, Wellbutrin 150mg, Amlodipine 5mg, one a day vitamins

Current Illness: None

ID: 0925512
Sex: M
Age: 85
State: FL

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

Lab Data:

Allergies: Unknown

Symptoms: Dizzy during observation period immediately after vaccine administration during occupational vaccine drive. Then the patient still decided to go back to work. Upon going back to work was noted to be flushed in the face. And was noted to have high blood pressure. Ultimately was sent to on-site ER for evaluation. Upon questioning, unclear if patient ate or drank prior to administration.

Other Meds: Unknown

Current Illness: unknown

ID: 0925513
Sex: F
Age: 38
State: MO

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

Lab Data: Blood pressure just taken today 10:30 am 134 /90, Heartrate 72 bpm, O2 level 96%

Allergies: Reglan, Tramadol, Cymbalta, blueberry food allergy

Symptoms: Just about 15 mins after recieving vaccination, I experienced increased shortness of breath, feeling weak, slight headache, and my heart seemed to race. When I shared this with the pharmasist, she did not offer to take vitals nor seemed concerned. She suggested that I was experiencing anxiety, and that it was not a typical reaction to the vaccine. However, each day since vaccine I have continued to have episodes of shortness of breath. Today, 3 days after the vaccine, I had more shortness of breath than I had since first contracting Covid-19(which was on 10th of Dec). I also was having to stop walking several times every 5 mins or so in order to catch my breath, feeling weakness and fatigue. My sense or taste/smell is gone as well. I was so short of breath today, work was worried anough about me they urged me to go home and call my doctor. I now have a tele-visit set up with my doctor today.

Other Meds: Neurotin, Prozac

Current Illness: Tested positive for Covid-19 on 12/10/20 and was symptomatic up to the day of vaccination. I was still expeiencing occasionally shortness of breath but other symptoms had deminished. I told the pharmacist that gave me the vaccination I was still short of breath that morning but said it would be okay to still recieve the vaccine. After the vaccine, my heart was racing and had some increased shortness of breath. I talked to another pharmasist about 20 mins after recieving and shared with her my symptoms. She suggested that it was anxiety and not a side effects from the vaccine. I was hoping they would check my vitals but they did not. Today, I have experienced great increase in short of breath and have had a migraine. The days after recieving vaccine, I had other Covid symproms re-immerge including loss of smell/taste, fatigue, dizziness.

ID: 0925514
Sex: F
Age: 32
State: MO

Vax Date: 12/28/2020
Onset Date: 01/01/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I had a COVID vaccine on Dec 28th. My arm hurt a little but nothing bad. I felt like shot was given sub q at the time but didn?t worry about it. It was little red, but as the week has gone by it have gotten red, larger, firm. I have included picture.

Other Meds:

Current Illness:

ID: 0925515
Sex: M
Age: 13
State: CA

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

Lab Data: 1/5/21 Covid test came up negative

Allergies: dairy

Symptoms: days of lack of energy, upset stomach, tiredness, headache, body aches. Unable to go to school day after through 3rd day and counting after receiving vaccine

Other Meds: guaifenesin

Current Illness: none

ID: 0925516
Sex: F
Age: 72
State: ND

Vax Date: 12/29/2020
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: client has red area approximately 2-3 inches in diameter over injection site arm. Area is slightly warm and some slight swelling is present. RN, recommended to patient to monitor site closely, use ice and Tylenol/Ibuprofen as needed and consult with primary healthcare provider or other healthcare provider if no improvement.

Other Meds:

Current Illness: None

ID: 0925517
Sex: F
Age: 49
State: UT

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: sulfa

Symptoms: Patient reported numbness and tingling in arm as well as lip tingling after receiving first dose of COVID vaccine. Monitored for 45 min and given 50 mg of Benadryl.

Other Meds:

Current Illness:

ID: 0925518
Sex: M
Age: 30
State: OR

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Headache, muscle and joint aches, and fatigue

Other Meds: No

Current Illness: No

ID: 0925519
Sex: F
Age: 68
State: NY

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Redness and swelling at injection site 8 days post vaccine- took OTC anti-inflammatories

Other Meds: None

Current Illness: None

ID: 0925520
Sex: F
Age: 49
State: IN

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Numbness of mouth,blurry vision for 24 hrs post vaccine

Other Meds: None

Current Illness: None

ID: 0925521
Sex: F
Age: 89
State:

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Numbness in arm of injection site, x 3 days. Now resolved.

Other Meds:

Current Illness:

ID: 0925522
Sex: F
Age: 44
State: AR

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: FEVER,BODY ACHES, AND HEADACHE

Other Meds:

Current Illness:

ID: 0925523
Sex: F
Age: 64
State: VT

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Mild headache, pressure over forehead/eyes. Feeling feverish. Temp 97.6 oral. Generalized aches and pains. Slight dizziness. The next day, all symptoms gone. Injection site/sore arm for 3 days.

Other Meds: None

Current Illness: None

ID: 0925524
Sex: F
Age: 35
State: MO

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Moderate tingling to arms, itching throat, and flushing. Vital Signs 1315 - HR 91, RR 24, SPO2 99% Vital Signs 1320 - BP 125/88, HR 86, RR 20, SPO2 100% Vital Signs 1335 - BP 109/80, HR 84, RR 16, SPO2 98% Vital Signs 1345 - BP 123/90, HR 89, RR 16, SPO2 100%

Other Meds:

Current Illness:

ID: 0925525
Sex: M
Age: 88
State: TN

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

Lab Data: none Talked to the Dr. and he advised to continue what we were doing.

Allergies: none

Symptoms: 10 minutes after vaccine was administered fever and diarrhea started. Extra Strength Tylenol was administered every 4 hours. Over the Counter anti-diarrhea was given. Highest temperature was 102.8. Ibuprofen was given when the fever was highest

Other Meds: Spirono / HTCZ 25/25 Levothyroxin 100 MCG Nifedipine Extended Release 30MG Triamt/HTCZ Cap 37.5 -25 Levetiracetam 500 MG Pot Chloride 10 MEQ ER Sanguenol Nitric Oxide Baby Asprin Omega Q-Plus

Current Illness: none

ID: 0925526
Sex: F
Age: 56
State: IL

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: penicillin (reaction not documented)

Symptoms: Patient received COVID-19 vaccine and waited 15 mins prior to leaving clinic. Patient begin to walk back to work area and started to feel numbness and tingling in tongue and throat, face as itching and cheeks red. Patient taking in observation room and emergency response team called for precaution. Patient remained alert. Team arrived taking taking blood pressure which was 185/108, Benadryl given, patient monitored. Team and patient agreed no emergency department care needed. Patient monitored for another 30 mins, blood pressure rechecked 158/95 . Patient allowed to return to unit. Had no signs of distress, denies shortness of breath or any throat discomfort. Patient was stable when leaving unit.

Other Meds: synthroid 75mcg daily metformin 500mg twice daily

Current Illness: none

ID: 0925527
Sex: F
Age: 66
State: VT

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: BP 132/80, HR 82, RR 18; O2 99%

Allergies: Has a history of hypersensitivity reactions.

Symptoms: BP 132/80 HR 82 RR 18 O2 99% Developed Hives 5-7 minutes after injection. No respiratory distress. Given 50 mg of PO Benadryl and hives lessened. No worsening of symptoms. Has a history of hypersensitivity reactions. Released after 1 hr with strict instructions to self monitor.

Other Meds:

Current Illness:

ID: 0925528
Sex: F
Age: 49
State: UT

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Patient reported some numbness and tingling in arm as well as lip tingling after receiving first dose of COVID vaccine. Monitored for 45 min and given 50 mg of Benadryl. Patient reported feeling better and was sent home.

Other Meds:

Current Illness:

ID: 0925529
Sex: M
Age: 57
State: SC

Vax Date: 12/17/2020
Onset Date: 12/17/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: EKG, D Dimer(elevated), Creatinine (elevated)

Allergies: Septra, Sulfur drugs

Symptoms: After receiving the vaccine within 15 mins I had a metallic taste in my mouth. I exp fatigue and couldn't sleep I went to ER HR 180/10, elevated HR/BP, muscle joint pain and tremendous back pain. After I followed up with my PCP still elevated BP 140/70 as a result I'm on blood pressure medication. I was advised to stay on this new medicine until I receive the second dose of the vaccine. Also was told to take Benadryl and Tylenol before taking 2nd Covid vaccine.

Other Meds: Estrogen patch

Current Illness: No

ID: 0925530
Sex: M
Age: 31
State: NY

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: About 12 hours after receiving the shot (11:30pm) I experienced fatigue, body aches, and chills. I took 650 APAP and 400mg Advil, drank some water and went to bed. I woke up this morning still feeling slightly achy but no chills and no fatigue. These side effects are common and known based on the VIS provided to me but felt the need to still report it for documentation purposes.

Other Meds: Descovy Anastrazole Testosterone cypionate

Current Illness: None

ID: 0925531
Sex: F
Age: 41
State: TX

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swollen clavicular lymph node, arm soreness, body aches. Taking tylenol and motrin for arm soreness and body aches with improvement.

Other Meds:

Current Illness:

ID: 0925532
Sex: F
Age: 21
State: CO

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: None. though she is now know to be allergic to the Moderna COVID 19 vaccine

Symptoms: Left arm swelling and itching. Swelling extending to hand.

Other Meds: None

Current Illness: None

ID: 0925533
Sex: F
Age: 40
State: FL

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: ER visit 12/31/2020- treated for allergy and cellulitis

Allergies: none

Symptoms: fist size red area with some burning and itching. On day 6, red area began increasing in size and burning and itching increased significantly

Other Meds: multi-vit, vit D, zinc

Current Illness: none

ID: 0925534
Sex: F
Age: 90
State: KY

Vax Date: 12/22/2020
Onset Date: 12/27/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Raised, red area with warmth and tender to touch. On right deltoid around injection site Kelflex 500mg TID x 7 days and ice packs until redness is resolved Reaction 12/27/2020 Resolved 12/29/2020

Other Meds: KEFLEX; Aricept 10mg Aspirin 81mg Seroquel 25mg Vitamin D 5000 Zinc 50mg Coreg 3.125 Multi-vitamin Namenda 10mg

Current Illness: Covid-19 Positive on 12/1/2020

ID: 0925535
Sex: F
Age: 53
State: MO

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Severe hypotension, loss of consciousness, vertigo. Unresponsive. Transported to ED by RN at bedside.

Other Meds:

Current Illness:

ID: 0925536
Sex: F
Age: 49
State: FL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Swollen and very painful left axillary lymph node. Hard to move the arm.

Other Meds: Cynthroid

Current Illness: None

ID: 0925537
Sex: F
Age: 34
State: CA

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: BLOOD DRAWN: NORMAL; COVID: NEGATIVE

Allergies: Penicillan; sulfa

Symptoms: 12/21 VACCINE 11:30. BY 12:30 , TINGLING/NUMBNESS ON L CHEEK BONE. 12/22 I STARTED FEELING MORE NUMBNESS AND PRESSURE ON L CHEEK, TINGLING OF LIPS ON L SIDE, HA ON L SIDE. WENT TO THE ER AROUND 5PM. I TOOK SOME IBUPROFREN, TYLENOL. 12/23 SOMEWHAT RESOLVED FOLLOWING WEEK; SWOLLEN LYMPHNODES ON L SIDE , BACK OF HEAD. COVID TEST; NEGATIVE

Other Meds: levothyroxine daily; vit D

Current Illness: n/a

ID: 0925538
Sex: F
Age: 30
State: FL

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

Lab Data: COVID PCR, respiratory viral panel

Allergies: Pineapple, Dust. sunscreen

Symptoms: soreness in arm, fatigue, body aches, headache, pressure behind eyes, blood blister to right arm. runny nose, scratchy throat, racing heart rate

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm