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: 1013019
Sex: F
Age: 38
State: CA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: sulfa

Symptoms: nausea, fever, headache, body aches intense all day on1/13 thru mid-day 1/14/21. 1/15/21 still had slight headache.

Other Meds: MVI, Vit. D

Current Illness: covid 12/11/2020

ID: 1013020
Sex: F
Age: 37
State:

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: N/A

Allergies: Ceclor, Rondec DM, Diflucan, and seasonal allergies

Symptoms: I received the vaccine on 01/13/2021. On 01/21/21, I noticed several hives on the anterior part of my neck along with itching of that area. On 01/22/21, the hives were gone upon waking, but returned that evening in the same spot, anterior portion of neck. I awoke on 01/23/21 and no hives were present. Later in the day I notice a flattened hive like rash by the injection site, on my upper shoulder, and the anterior part of my chest. This rash became more defined on the 01/24/21 and lasted through 01/26/21.

Other Meds:

Current Illness:

ID: 1013021
Sex: F
Age: 63
State: MA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: nausea, tired, light headed, brain fog

Other Meds: Lisinopril 40 mg, Vitamin C, Joint Support

Current Illness:

ID: 1013022
Sex: F
Age: 29
State: MA

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Starting at 3am I started feeling symptoms of Fatigue, headache, muscle and joint pain, chills, fever of 100.7

Other Meds:

Current Illness:

ID: 1013024
Sex: M
Age: 91
State: FL

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: NONE

Allergies: PENICILLIN SULFA

Symptoms: SORE ARM, CHILLS, FEVER 102, DIZZINESS, FATIGUE, 72 HOURS WITH SEVER SYMPTOMS GONE IN 48 HOURS

Other Meds: BABY ASA, B12, VITAMIN E, VITAMIN D, METAMUCIL

Current Illness: NONE

ID: 1013025
Sex: F
Age: 38
State:

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: lightheaded dizzy and stiffness of body. felt better. dispo home.

Other Meds:

Current Illness:

ID: 1013026
Sex: F
Age: 45
State: CA

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: Duramorph, Wheat and Rye

Symptoms: Migraine-type headache Body aches Low-grade fever Fatigue

Other Meds: Armour Thyroid, Synthroid, Buproprion, Celexa, Clonazepam, Cyclobenzeprine

Current Illness: None

ID: 1013027
Sex: F
Age: 88
State:

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Very dizzy when I got up at night. In morning somewhat nauseous, could not get out of bed. chills and light headed. general feeling terrible. felt somewhat better by around 4PM. but still a little headed the next morning. Took Aleve and 2 Magnesium pills

Other Meds:

Current Illness:

ID: 1013028
Sex: F
Age: 32
State: PA

Vax Date: 12/29/2020
Onset Date: 01/02/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: none

Allergies: Amoxicillin, PCN, erythromycin, celcor, zithromax, sulfa, vicodin, percocet, codiene, Reglan, Soy

Symptoms: 4 days post vaccine I started having a painful swollen lymph node under my injected arm. The lymph node increased in size and severity of pain over the following 4-5 days. Then it gradually improved with no residual effects. For this, I consulted my PCP and we treated with Tylenol and warm compresses.

Other Meds: Dulera inhaler 2 puffs BID; Dupixent injection 300mg 1 syringe every 2 weeks; Protonix 40mg BID; Singulair 10mg daily; Claritin 10mg daily; albuterol inhaler PRN; Multivitamin; B complex; Vitamin D; Vitamin C

Current Illness: none

ID: 1013029
Sex: F
Age: 32
State: NJ

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Vaccine Tuesday 6 PM Wednesday Afternoon, sore arm, neck, upper back. As the day went on, felt very flushed, hot ears, felt flu-ish, lower back pain. Temperature of 100.9. Thursday, small lump above collar bone, sore to touch. Friday Migraine and nausea, lump going down in size. Saturday, slight headache, symptoms gone by end of day.

Other Meds: Birth Control Pills

Current Illness: None

ID: 1013030
Sex: F
Age: 71
State: CO

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: sulfa

Symptoms: The left arm was sore following the injection, same day. Woke me up during night when I would turn in bed. But not bad (level 3 of a 1-10 chart). Following morning, I had a slight foggy headache, but not bad. Approximately 9:30, my joints (knees, elbows, hands, shoulders, ankles - started becoming uncomfortable and hurting. I took 800 mg of Ibprofen about 10:00 am and around 12 - 1:00 realized I did not have any more discomfort. That was it. It did not come back. No more headache either.

Other Meds:

Current Illness:

ID: 1013031
Sex: F
Age: 30
State: NY

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: "Trembling ,numbness to her upper arm and lower extremities, felt dizzy and near syncopal" vitals 78/55 pulse 58 O2 sat 100% , " patient was pale ,felt uncomfortable reported nausea, was given oral hydration EMS was dispatched and she agreed to be taken to nearest Emergency room repeat BP 100/59 pulse 62

Other Meds:

Current Illness:

ID: 1013032
Sex: F
Age: 39
State: TX

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

Lab Data:

Allergies: Penicillin, Sulfonamides

Symptoms: Within 30-60 minutes after administration of vaccine, patient began experiencing whelps and swelling of the right arm as well as numbness and tingling. Benadryl 50mg PO given. Symptoms worsened. Began feeling numbness to tongue.. Heart rate elevated at 118. Patient sent to emergency department for further evaluation and received epinephrine and solumedrol. Discharged home approximately 4 hours later.

Other Meds: amitriptyline, Lexapro, Colace, Lisinopril/HCTZ

Current Illness: None

ID: 1013033
Sex: M
Age: 42
State: AZ

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: No

Allergies: No

Symptoms: He feels tense and he there's a bump on the nerves on between his neck and shoulder, and when you press on it hurts.

Other Meds: No

Current Illness: No

ID: 1013034
Sex: F
Age: 36
State: NY

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: Bilateral Diagnostic Mammogram and Bilateral Ultrasound 01/29/2020. Core needle biopsy and Fine Needle Aspiration 02/02/2020.

Allergies: nuts, shellfish

Symptoms: Developed left axillary lymphadenopathy 48 hours post 2nd dose of vaccine. Lymph node measured 4 cm x 2.9 cm x 3.9 cm and is described as having a thin cortex and fatty hilum. Said lymph node was biopsied via core needle and fine needle aspiration on 02/02/2020 and pathology is consistent with reactive lymphoid changes, with lymphocytes and red blood cells present. Sample was sent to Lab for additional testing and results remain consistent with reactive follicular and paracortical hyperplasia.

Other Meds: no

Current Illness: none

ID: 1013035
Sex: F
Age: 87
State: HI

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital: Y

Lab Data: MRI brain unremarkable 2/6/21 2/5/21 labs unremarkable. WBC 5.5. Na-137

Allergies: torsemide, phenylephrine

Symptoms: Moderna COVID 19 vaccine #1 given 2/4/21 at 130pm. Patient had malaise, confusion on 2/5. She then had 3 generalized seizures- status epilepticus- on 2/5 around 4-5pm. MRI brain and labs unremarkable. She recovered 36 hr later - on Keppra.

Other Meds: ACETAMINOPHEN taken morning after vaccination

Current Illness: No illness specifically at the time of the vaccination. She fell and hit her head 3 weeks prior to the vaccination, but fully recovered without concussion symptoms and head CT showed no signs of trauma

ID: 1013036
Sex: M
Age: 76
State:

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: vomit - once nausea tiredness bed rest

Other Meds:

Current Illness:

ID: 1013037
Sex: F
Age: 41
State: PA

Vax Date: 01/16/2021
Onset Date: 01/24/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: Amoxicillin (hives)

Symptoms: Injection site reaction 8 days post. Localized itchy rash with raised plaques and warm to the touch. Treated with oral Allegra and topically with alternating Triamcinolone and Benadryl creams. Rash continued for 5 days before resolving. Area remains hyperpigmented.

Other Meds: Prescriptions: Synthroid, Spironolactone, Advair, Albuterol, VD3, Soolantra OTC meds: Allegra, Sudafed Supplements: Super B Complex, Evening Primrose Oil, spore-based probiotic and prebiotic

Current Illness: none

ID: 1013038
Sex: F
Age: 46
State: IL

Vax Date: 01/30/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Covid Arm-- sore arm, redness around injection site, starting about 9 days after vaccine received

Other Meds: Lexapro, calcium, magnesium, Women's One-A-Day

Current Illness:

ID: 1013039
Sex: F
Age: 71
State: CA

Vax Date: 01/22/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 2 weeks after the injection i started developing a rash on the inside of both elbows and at the injection site.

Other Meds:

Current Illness: none

ID: 1013040
Sex: M
Age: 21
State: PA

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

Lab Data: HR 112 BP 132/76 Spo2 97%

Allergies: N/a

Symptoms: Onset of symptoms occurred 10 minutes after vaccination. Symptoms included elevated heart rate, light headed, heart palpitations, dizziness, dry mouth, mild chest discomfort, chills

Other Meds: N/a

Current Illness: Covid-19 in December

Date Died: 01/31/2021

ID: 1013041
Sex: M
Age: 85
State: NY

Vax Date: 01/15/2021
Onset Date: 01/31/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Vaccine was administered on 1/15/2021 and death occurred on 1/31/2021.

Other Meds: Unknown-Patient doesn't not regularly use our pharmacy

Current Illness: None

ID: 1013042
Sex: F
Age: 60
State: IL

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: Penicillin Nuclear dye

Symptoms: Started to feel achy, then it got worse; very painful. Some nausea, chills, headache, lethargic. Most symptoms gone in 20 hrs. After that a few days feeling sluggish.

Other Meds: Sporanolatone Armour Thyroid Adderall Acyclovir Progesterone Magnesium D3 Fish Oil CoQ10 Folic Acid B Complex B12 Metforman Zyertec Probiotic

Current Illness: None

ID: 1013043
Sex: M
Age: 37
State: CA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Woke up at 1am with chills and a fever I didn't check my fever until I woke again at 3:30am with headaches and nausea at which point my fever was measuring every hour between 101 and 104.5F at which point I took an OTC tylenol which lowered my fever to 98F. I had to take the tylenol every 4 hours to keep my temp below 100 until that evening. Chills persisted until the following afternoon and the headaches ended the day after that.

Other Meds: none

Current Illness: none

ID: 1013044
Sex: F
Age: 71
State: TX

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: nitrofur, slight allergy to latex

Symptoms: onset was about 36 hrs. started with modest fever and chills, gradually increasing pain that started in my left arm shoulder and down the left side of my body. my right side of my head hurt. The pain was pretty extreme. I ached deep like in the joints and bones. about 10 hours later it stopped

Other Meds: mesalamine 2.4 grams per day, Zolpidem 5 mg PRN, Tymlos 2000 MCG injectable pen, red yeast rice 2400MG twice a day, vitamin D3 10 units a day, folate 400 MCG per day, glucosamine sulfate, vitamin C 500 mg

Current Illness:

ID: 1013045
Sex: F
Age: 72
State: VA

Vax Date: 01/30/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: none

Allergies: Sulfa; Codeine

Symptoms: Itching, slightly raised red rash on upper left arm around injection site. Rash has increased slightly in size over the past 24 hours. Muscle under rash is tight and rash area is slightly warm.

Other Meds: Simvastatin; Quinapril/HCTZ; Restasis; Plaquenil; Vitamin D; Vitamin B12

Current Illness: none

ID: 1013046
Sex: F
Age: 35
State: KY

Vax Date: 01/27/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: 1st vaccine 12/30/20; 2nd vaccine 1/27/21; seen at on 2/5/21 for postnasal drip, chills, cough onset x 1 day

Other Meds:

Current Illness:

ID: 1013047
Sex: F
Age: 51
State: IL

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: NA

Allergies: None

Symptoms: Extremely sore upper left arm - 5 hours in Fever - 13 hours in Body aches Extremely tired Chills Runny nose Headache Stomach ache Took Tylenol & Ibuprofen alternately every 4 hours Sore arm & headache lasted until about 32 hours in

Other Meds: Synthroid, Paxil, daily vitamin

Current Illness: None

ID: 1013048
Sex: F
Age: 51
State: CA

Vax Date: 01/27/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
Hospital: Y

Lab Data: Unknown

Allergies: NKMA

Symptoms: Patient was admitted to the Hospital with dx of a Pulmonary Embolus 2/9/21 Above named Hospital

Other Meds: Unknown

Current Illness: Unknown

ID: 1013049
Sex: F
Age: 72
State: FL

Vax Date: 01/25/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Received vaccine on 1/25/21. On 2/04/21 started getting itchy at 10:45pm around injection site. Broken out in welts/hives approx 11:10pm around injection site as well as area being slightly warm. Welts/hives gone by morning on 2/05/21.

Other Meds: None

Current Illness: None

ID: 1013050
Sex: F
Age: 72
State: TN

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: PCN, Norco, client states multiple meds. by mouth and eye drop

Symptoms: CLIENT C/O TINGLING IN HER THROAT AND SAID SHE WAS HOARSE. STATES FEEL JUST A LITTLE SOB. APN GIVE BENYDRYL 50MG IM IN L. DELTOID. VITAL SIGNS STABLE WITH O2 SAT AT 98% ROOM AIR. CLIENT C/O WORSENING OF SYMPTOMS. APN GIVE 0.5MG OF EPI IM IN L. DELTOID. EMS ARRIVED AND TRANSPORTED CLIENT VIA AMBULANCE TO EMERGENCY ROOM. ON 01/29/2021 NURSING SUPERVISOR CALLED CLIENT. STATES SHE WAS DOING MUCH BETTER AT THAT TIME.

Other Meds: unknown

Current Illness: none

Date Died: 02/13/2021

ID: 1013051
Sex: F
Age: 89
State: MN

Vax Date: 01/24/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital: Y

Lab Data:

Allergies: No known allergies.

Symptoms: On 2/6/21 at 6:00PM, resident experienced sudden left facial droop, left arm and left leg weakness. She was sent to hospital and they confirmed she had an acute ischemic stroke.

Other Meds: Aspirin 81mg, Citalopram 10mg, Furosemide 40mg, Insulin glargine, Losartan 50mg, Metoprolol 25mg, Vitamin B-12 1000mcg

Current Illness:

ID: 1013052
Sex: F
Age: 48
State: AK

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: N/A

Allergies: Celery internal/external, bleach topical.

Symptoms: Persistent increasing body aches, Muscles/joints, headache and severe fatigue. Received late Wed 2/3. No major issues. Thursday very achey and tired, Friday severe fatigue and body aches. Sat same, still able to do stuff just very slow and painful. Sun. slept all day and body hurt even more. Monday back to work still fatigued and achey not as bad as yesterday. Advil taken on Sat. with no benefit. Sunday took an old FLexeril that I had and that did knock some of the pain down. Monday aleve with no benefit.

Other Meds: Lisdexamfetamine, Meprobamate, LDN

Current Illness: n/a

ID: 1013053
Sex: F
Age: 95
State: MI

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: Covid 19 test.

Allergies: Augmentin

Symptoms: Red eyes, developed cough, Right shoulder and chest pain.

Other Meds:

Current Illness: None

ID: 1013054
Sex: F
Age: 59
State: TX

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: NA

Allergies: none

Symptoms: basically flu-like symptons: woke up with splitting headache-lasted approx 22hrs: tylenol 1000mg 2pm, rizitriptan ODT 10mg 10pm , tylenol 1000mg 4:50am injection arm very very sore-hurt to move-lasted all day & night; woke up Sunday am not near as sore & could move. fever 2.2 degrees over normal ( normal 97.2 after injection 99.4) all morning; went down after took tylenol @ 2pm Sat, came back then went away in evening body very achey all day after/Sat.-back to normal next day/Sun

Other Meds: see UTSW files

Current Illness: none

ID: 1013055
Sex: F
Age: 43
State:

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever and fatigue started 24 hours after shot, resolved after 48 hours. Rash, itching, hot. swollen and hardness in skin on upper arm near injection site started after 48 hours, has not yet resolved.

Other Meds:

Current Illness:

ID: 1013056
Sex: M
Age: 77
State: OH

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: 2 days after the shot I woke up and I had a hard time moving my mouth and my bottom lip was completely swollen. Its still puffy and very very red.

Other Meds: Vit. C Aspirin 81mg Atorvastatine 40mg Clopidogrel 75mg furosemide 20mg levothyroxine 50mg lisinopril 45mg meoprolol 25mg mineral tab vit D3 1000mcg amloditine 2.5mg

Current Illness: no

ID: 1013057
Sex: F
Age: 67
State: CA

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

Lab Data: None

Allergies: Tree nut allergy

Symptoms: Pt initially reported feeling tingling sensation of lips and, "eyes feeling tight". Then pt states she had throat tightness. She was given crackers, juice but she said it was difficult to swallow. Per RN documentation "Pt continued to complain of lips slightly feeling numb and diffuse tingling sensation. IM Benadryl administered at 1840 with improvement, pt reported "numbness improving" and "eyes feeling back to normal". After further observation, pt c/o difficulty swallowing, rapidly became anxious and reported SOB. EPI pen administered at 1902, supplemental O2 provided with improvement." Pt brought to the ED by paramedics Per ED MD "Upon arrival, patient mildly hypertensive, no stridor, speaking in full sentences, no wheezing, clear lungs bilaterally. Based on history exam, concern for allergic reaction vaccine" Tryptase not drawn.Pt discharged in good condition

Other Meds: No

Current Illness: No

ID: 1013058
Sex: U
Age: 56
State:

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Syncope after vaccination requiring medical intervention to treat symptomatic hypotension. Patient also complaining of nausea. Initial vitals 90/50, HR 65, RR 16, SPO2 100. Given IV fluids, 50mg Benadryl and Solumedrol 125mg . BP recovered to 140/90. Transferred to local hospital via EMS.

Other Meds:

Current Illness:

ID: 1013059
Sex: F
Age: 33
State: ND

Vax Date: 02/05/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The patient states she noticed a rash that itches less than 1 inch in diameter on her right forearm that she noticed today. Patient also states the injection site has red ring around it and the injection site feels hard.

Other Meds:

Current Illness:

ID: 1013060
Sex: M
Age: 76
State: CA

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: LETHARGY, DIZZINESS, SHORTNESS OF BREATH ON EXERTION, MILD ABDOMINAL DISCOMFORT

Other Meds:

Current Illness:

ID: 1013061
Sex: F
Age: 5
State: CA

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Fever above 102.6 Extreme Swelling in a 4' diameter, heat radiating at the source whole body aches dizzy irritability, inability to sleep for 48 hours

Other Meds: multi-Vitamin only

Current Illness: none

ID: 1013062
Sex: F
Age: 76
State: AL

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: PCN, Sulfa Drugs, aspirin, lortab, novicaine, ibuprofen, oxicodone, TB skin test, Ranitipin, Methylpredenisolone (plans to call ER Back)

Symptoms: Had itching off and on since injection. Did not have soreness until 2 days after injection and itching off and on. Became progressively worse until Sunday, February 7. Noticed very red rash, slight swelling, "knots" in area but only slightly swollen overall. "lumps" in arm.

Other Meds: Cortisone injection and hydrocortisone cream 2.5%gm Methylpredenisolone 4mg DOS pack

Current Illness: none

ID: 1013063
Sex: M
Age: 62
State: NY

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: chills, 100.4 fever

Other Meds: n/a

Current Illness: n/a

ID: 1013064
Sex: F
Age: 42
State: MI

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: Wheat, dairy

Symptoms: Intermittent loss of taste and smell. I was diagnosed with covid Nov 10, 2020 and lost my sense of smell and taste through Nov 24, 2020, since then I have had full taste and smell. About 6 hours after my 2nd shot things began to taste like cigarette ash, but my smell was fine. Then that evening things returned to normal. The next morning through about 1pm I was fine, things began a bit off around 1pm. By 4pm my taste and smell was gone on Sunday. Monday I have some smell and taste but it comes and goes. For instance I could taste the arugula in my salad but not the tomato. I could not taste a tangelo, but could taste a blood orange, eaten one right after the other. I now have most smell back as of 2pm Monday, but taste is intermitten.

Other Meds: Multi vitamin, calcium, biotin

Current Illness:

ID: 1013065
Sex: F
Age: 62
State: PA

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

Lab Data: VS: BP: 155/77; P 77; RR 12; Pulse Ox 98%

Allergies: patient has seasonal allergies

Symptoms: Patient described flushing, lips tingling. No itching, hives or shortness of breath reported. No facial/lip swelling reported. Patient took Benadryl that she brought with her. Event improved within minutes. No other intervention.

Other Meds: None

Current Illness: None

ID: 1013066
Sex: M
Age: 45
State: NY

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: zero

Symptoms: well that night i lost all taste and smell that was Friday today is Monday and still no better - Saturday was the hardest i just tried to sleep the pain away- by Sunday i had full on covid19 symptoms and was very sick - now 4 days in i still have a headache , cant brethe these symptoms arent just mild and i worry about someone older then me taking this

Other Meds: zero took aleeve after pain started

Current Illness:

ID: 1013067
Sex: F
Age: 78
State: IN

Vax Date: 02/02/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: none

Allergies: Latex

Symptoms: Severe Muscle ache over entire body. 1st day bedridden. 3rd day improving. 1st evening trying to sleep I had very vivid, realistic dreams.

Other Meds: Lexapro &Multi-vitamin

Current Illness: none

ID: 1013068
Sex: F
Age: 33
State: CA

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Cellulitis in whole arm.

Other Meds:

Current Illness:

ID: 1013069
Sex: F
Age: 42
State: WA

Vax Date: 01/29/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: Seasonal allergies (pollen, grasses, trees); latex/rubber Portuguese man-o-war (jelly fish) sting Prior reaction to Tdap vaccine - SIRVA, possible allergic reaction

Symptoms: Moderna COVID-19 Vaccine EUA 8 days after injection, developed into hot, red, raised, rashy area around injection site. Contacted PCP and was told to use hydrocortisone and OTC allergy medication (Allegra). Prior adverse events: Immediately after injection - some shortness of breath and dizziness. continued for 24 hours. Used albuterol inhaler. Lump at injection site; painful for 4 days after injection.

Other Meds: Omeprazole; phentermine; singular; metformin; Synthroid; diclofenac; low dose aspirin; albuterol inhaler daily vitamin; folic acid; fish oil; CoQ10; Vitamins B6, B12, C, D3, Magnesium; Biotin

Current Illness: vertigo

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm