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: 0925821
Sex: F
Age: 53
State: KY

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

Lab Data:

Allergies: None

Symptoms: Severe chills, shivering, headache, whole body aches, nausea, low grade fever

Other Meds: Amlodipine, Simvastatin, flaxseed oil, Vitamin b3 and d, tumeric, nicotinamide

Current Illness: None

ID: 0925822
Sex: F
Age: 40
State: TX

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

Lab Data:

Allergies:

Symptoms: On January 01, 2021 this 40-year-old female the patient reported pain at the injection site, patient was then treated with Tylenol 650 mg. On January 02, 2021 the patient continued to complain of pain on her right arm, site was warm to touch, with a red appearance. The patient was then treated with Tylenol 650 mg, and Benadryl 50 mg once. That same day the provider accessed the patients reported events and ordered ice pack placement, and Tylenol as needed for pain. On January 07, 2021 I spoke with the provider to follow-up on this ADR; the provider confirmed that the patients' events had resolved.

Other Meds:

Current Illness:

ID: 0925823
Sex: F
Age: 38
State:

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

Lab Data:

Allergies:

Symptoms: Itchiness on right side of body, Mild headache, running nose and moderate soreness around injection site.

Other Meds:

Current Illness:

ID: 0925824
Sex: F
Age: 57
State: NC

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

Lab Data: vitals taken at facility Within normal range

Allergies: erythromycin Tramadol

Symptoms: Migraine red Spots all over Itchy Tired Generally feel bad Tired Chills and pouring sweat Joint pain

Other Meds: Synthroid Los art an HCTZ Vicodin Meloxicam Vyvanse Quetipine Ropinerole Cyrtizine Multivitamin D3 E Super C

Current Illness: None

ID: 0925825
Sex: F
Age: 59
State: TX

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Tramadol

Symptoms: Dizziness, Headache, Pain in joints,chills, Pain at site, swollen and red

Other Meds: Celexa 40 mg and HCTZ 25 mg

Current Illness: Covid 19

ID: 0925826
Sex: F
Age: 36
State:

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

Lab Data:

Allergies:

Symptoms: Numbness in right arm. Loss of feeling in fingers x 3 days. Following up with PCP.

Other Meds:

Current Illness:

ID: 0925827
Sex: F
Age: 71
State: WV

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: localized redness, erythema, itching at injection site

Other Meds:

Current Illness:

ID: 0925828
Sex: F
Age: 56
State: UT

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

Lab Data: 01/05/21 Attempted to contact staff at site of where injection was received / only voice mail (after hours) was available // Went to emergency room - MRI was done / labs were done

Allergies: none

Symptoms: left leg / left arm -- numbness / tingling / cold / severe headache

Other Meds: none

Current Illness: none

ID: 0925829
Sex: F
Age: 64
State: FL

Vax Date: 11/07/2020
Onset Date: 11/07/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: none

Allergies: none we know of

Symptoms: patient reported burning sensation when dose was administered. said she ecxperienced burning for several days afterwards and ahas felt a lingering soreness in her arm for the 2 months since injection

Other Meds: none we know of

Current Illness: none we know of

ID: 0925830
Sex: F
Age: 26
State: MO

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

Lab Data:

Allergies: Eggs - yolk and whites Shrimp Iodine Morphine Oxycodone Hydrocodone

Symptoms: Burning at injection site - Start: 5 mins after injection, End: 7 mins after injection Sore arm - Start: 2 hrs after injection, End: Evening of 1/6/21 Night sweats - Night of 1/4/21 (moderate-severe), Night of 1/5/21 (mild)

Other Meds: Bupropion XL 300 mg PO QHS Cetirizine 10 mg PO QAM Multivitamin PO QAM

Current Illness: None

ID: 0925831
Sex: F
Age: 56
State: CA

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

Lab Data: None

Allergies: No

Symptoms: Fever, body aches, and body rash on Day 2

Other Meds: Triamterene 25 mg QD

Current Illness: No

ID: 0925832
Sex: F
Age: 25
State: TX

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

Lab Data:

Allergies:

Symptoms: Patient reported muscle aches that started on 01/6/2020 at 9: 00 AM. Muscles aches completely resolved without the use of medication. She reports feeling fine no other complaints.

Other Meds:

Current Illness:

ID: 0925833
Sex: M
Age: 63
State: NY

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

Lab Data:

Allergies: Penicillin. History of previous reaction to HDCV Pre-exposure rabies vaccine in 1998, experiencing fever and nausea after dose 1, and temporary blindness (15min) after dose 2. No other doses of HDCV pre-exposure rabies vaccine were given after 2nd dose.

Symptoms: Patient was monitored for 1 hour after receiving his vaccine as requested by his primary care provider due to history of reaction to a previous vaccine. Patient monitored by EMS provider x 1hr, no s/s adverse reaction. Patient started walking out of facility on his own and came back reporting he felt dizzy. He was initially hypertensive with a pulse of 70, respiratory rate 12, systolic BP 188. We had him lay down and about 10 minutes later his blood pressure was 140/70. After another 10 minutes or so we had him sit and drink water but his dizziness, while improved, did not go away and he started to have chills and was visibly shaking so 911 was called as we did not feel he could drive himself home. Patient was monitored in the emergency department at Hospital x 1hr and released with blood pressure WNL.

Other Meds: Symbicort

Current Illness: None

ID: 0925834
Sex: M
Age: 54
State: KY

Vax Date: 12/28/2020
Onset Date: 01/02/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: NONE

Symptoms: Facial drooping No treatment Symptoms have improved but not completely resolved.

Other Meds: Atenolol, Fenofibrate

Current Illness: None

ID: 0925835
Sex: F
Age: 37
State: OH

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

Lab Data: N/A

Allergies: UNKNOWN

Symptoms: VOICEMAIL MESSAGE LEFT BY CLIENT- UNABLE TO REACH MY PHONE CURRENTLY - THIS INFO GIVEN-CLIENT STATES 72+ HOURS POST VACCINE, LEFT DELTOID AT INJECTION SITE WARM, RED AND TENDER, WHICH IS INCREASING . PURITTIS NOTED. ALSO LEFT SIDED LYMPHADENOPATHY , NO PARTICULAR SITE NOTED. NO OTHER SYMPTOMOLOGY VOICED.

Other Meds: UNKNOWN

Current Illness: NONE

ID: 0925836
Sex: F
Age: 37
State: TX

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

Lab Data: none

Allergies: none

Symptoms: Woke up in the morning on Wednesday 01/06/2021 with nausea and injection site arm pain that I could barely left my arm up. Around noon I started to feel hot with chills (I took a Tylenol). Around 3:30 pm I started to feel hot again, I took my temperature and I was at 100 F. I then took ibuprofen. I started to feel some fatigue, chills, and lower back pain around 4:30 pm and went home from work. I went home and fell asleep until 7 pm. The nausea was constant throughout the whole day. After 7 pm most of my symptoms subsided except the back pain. The back pain and arm pain improved next morning Thursday 01/07/2021.

Other Meds: Birth Control: Enskyce once a day

Current Illness: none

ID: 0925837
Sex: F
Age: 58
State: NH

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

Lab Data:

Allergies:

Symptoms: Developed symptoms 1 week after injection. Red, raised area on arm, size of a quarter.

Other Meds:

Current Illness:

ID: 0925838
Sex: F
Age: 60
State:

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

Lab Data:

Allergies:

Symptoms: Fatigue, body aches, headache x 1 day now resolved.

Other Meds:

Current Illness:

ID: 0925839
Sex: F
Age: 39
State: OH

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Penicillin- Generalized swelling and hives

Symptoms: 12/31/2020 @ 0700- Client awoke with stuffy nose and "did not feel right". 1/3/2021- Starting in AM: Headache and fatigue that are continuous. Taking Tylenol, Excedrin, and Advil PM. 1/7/2021- Advised client to get Covid Testing and go to Urgent Care, as she has no PCP at this time. 1/7/2021 @ 1230- Client states has Covid test scheduled at 1430 today at Urgent Care.

Other Meds: Multi-vitamin and Depo-Provera

Current Illness: None

ID: 0925840
Sex: F
Age: 41
State: CA

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

Lab Data:

Allergies:

Symptoms: Itchy, rash, super hot, and swollen at injection site.

Other Meds:

Current Illness:

ID: 0925841
Sex: F
Age: 44
State: OH

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None. Awaiting Healthcare call from employer to see if there are any additional tests needed.

Allergies: None

Symptoms: 1/5/2021 Woke up with chills, body aches, fatigue, headache, GI cramping/upset, severe headache, pain at injection site that moved through neck/shoulder. Later in the day, began breaking out into sweats, headache worsened, very fatigued. Symptoms lasted over 48 hours. Had taken tylenol and slept and drank fluids throughout this time to help. 1/7/2021 Woke up feeling much better. Only symptom is pain at injection site. Called professional ouchline through employer to update due to missing 2 days of work on 1/6/2021 and 1/7/2021.

Other Meds: Levothyroxine Cabergoline Vit D Women's multivitamin

Current Illness: None

ID: 0925842
Sex: F
Age: 48
State: FL

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

Lab Data: Urinalysis, Troponins, CMP, CBC with diff, EKG Fluids given

Allergies: NKDA

Symptoms: Patient felt warm and dizzy and fainted twice during monitoring period.

Other Meds: Prozac

Current Illness: Unknown

ID: 0925843
Sex: M
Age: 61
State: WA

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

Lab Data: None

Allergies: None

Symptoms: Very bad chills developed overnight approx Arm is very sore

Other Meds: None

Current Illness: None

ID: 0925844
Sex: F
Age: 37
State: WA

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

Lab Data:

Allergies: None

Symptoms: 37yoF presenting 8 days s/p left deltoid administration of her first dose of Moderna COVID vaccine with localized urticarial skin reaction about the injection site (1.5cm in diameter) with secondary site of urticarial skin eruption over the lateral arm approximately 10cm inferior to this which is approximately 5cm x 3cm. Denies any other symptoms associated with vaccine administration except localized arm soreness. No fevers, chills, night sweats. No prior diagnosed COVID infections. Not recently ill. Seasonal allergies historically, but no vaccine adverse effects. No anaphylactoid symptoms. No headaches, myalgias. Treatment with antihistamines and topical corticosteroids prescribed.

Other Meds: None

Current Illness: None

ID: 0925845
Sex: F
Age: 35
State: AZ

Vax Date: 12/26/2020
Onset Date: 12/28/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Relatively severe pain in joints (knees, ankles, shoulders) where there was none previously. Still ongoing as of today (01/07/2021). OTC anti-inflammatories taken with very little relief.

Other Meds: Humira Mirena MVI

Current Illness: none

ID: 0925846
Sex: F
Age: 47
State: PA

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

Lab Data:

Allergies:

Symptoms: Developed red area at injection site, hot to touch, itchy, burning, increasing in size

Other Meds:

Current Illness:

ID: 0925847
Sex: F
Age: 60
State:

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

Lab Data:

Allergies:

Symptoms: Fatigue, body aches, headache x 1 day now resolved.

Other Meds:

Current Illness:

ID: 0925848
Sex: F
Age: 27
State: TX

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

Lab Data:

Allergies: Peanuts

Symptoms: Soreness from site of shot that radiated to most of my muscles and joints including shoulders, back, wrists, hips, and thighs. I also experienced nausea and a slight headache. I was unable to sleep because of my symptoms for at least 5 hours. I still am having some symptoms or aching as of 11:30am on 01/07/2021

Other Meds: N/a

Current Illness:

ID: 0925850
Sex: F
Age: 30
State: NJ

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

Lab Data: CBC, CMP, TSH, Free T4 and Free T3 ordered 01/05/2021 and results are pending. Concern for thyroid storm noted and patient educated on ER protocol, especially if HR > 150 and sustained, Temp > 101 and sustained, chest pain, or acute and severe headache.

Allergies: Naproxen (hives), Sulfa drugs (hives)

Symptoms: After she got home she noticed she had headache, nausea, injection site was warm, hot, and itchy. 01/01/2021 she had "usual" side effects including headache, body aches, chills which subsided on their own. 01/02/2021 she started having heart palpations that later subsided on their own. 01/03/2021 heart was racing again, elevated HR up to 125 bpm measured by patient, plus dizziness; both of which again eventually subsided on their own. 01/04/2021 she had vomiting (30 min of constant fluid loss) and diarrhea (twice just prior to the vomiting). She called me (PCP) 01/05/2020 to discuss this reaction.

Other Meds: Levothyroxine 75 mcg daily, liothyronine 5 mcg daily

Current Illness: None

ID: 0925851
Sex: M
Age: 72
State: FL

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

Lab Data: None

Allergies: Biaxin

Symptoms: Little red dots on torso

Other Meds: Amlodepine, vitamin B, folic acid and multi-vitamin

Current Illness: None

ID: 0925852
Sex: F
Age: 43
State: IN

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

Lab Data: None

Allergies: None

Symptoms: Low grade fever, dizziness, fatigue

Other Meds: None

Current Illness: None

ID: 0925853
Sex: F
Age: 32
State: IL

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Sulfa antibiotics

Symptoms: "My arm was sore for the first 24 hours, but the next morning I noticed that my hands were red. Otherwise I just felt tired, and my skin felt hypersensitive"

Other Meds:

Current Illness:

ID: 0925854
Sex: F
Age: 58
State: TX

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

Lab Data:

Allergies:

Symptoms: body aches, weakness, sore throat, headache

Other Meds: metformin

Current Illness:

ID: 0925855
Sex: M
Age: 81
State: MN

Vax Date: 01/31/2020
Onset Date: 01/02/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: 1/5/BMP: Na 129, K 5.1, chloride 95, CO2 23, Anion Gap 11, glucose 174, Calcium 8.8, BUN 30, creat 0.80, GFR > 60, HgbA1C 6.6

Allergies: Nickel

Symptoms: Starting on 1/2/2021 patient started experiencing intermittent tremors of upper /lower extremities that have been impacting on his mobility including transfers, ADLs and eating. Staff has now given the resident cups with lids to decrease spilling with meals. Provider was updated on resident's condition on 1/5/2021. On interview on 1/6/2021 resident stated he was feeling better, less tremor. Still felt unstable with transfers. Was able to eat and drink normally 1/6 and 1/7/2021. On exam on 1/6/2021 no tremor seen with rest or movement. In update from nursing staff 1/7/2021 no tremor noted, back to baseline. Had been on Losartan K 25 mg daily which was d/c'd 1/6/2021

Other Meds: APAP 650 mg daily, ASA 325 mg daily, Effexor 150 mg daily, Finasteride 5 mg daily, Metformin 1000 mg BID, Metoprolol 25 mg BID, Oscal/calcium carb/vit D 500/200 mg-units 1 tab BID, Pioglitazone HCl 45 mg daily, Pravastatin 40 mg daily

Current Illness: UTI, treated starting 12/7/2020 with 250 mg of Cipro BID x 7 days. Experienced physical decline after getting sick with UTI

ID: 0925856
Sex: F
Age: 50
State: AR

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

Lab Data: Rapid covid test- negative. PCR sent off pending results

Allergies: None

Symptoms: Pfizer BioNTech COVIS 19 Vaccine EUA developed body aches, chills, malaise, vomiting the morning after the vaccine

Other Meds: HCTZ, Vitamin D

Current Illness: none

ID: 0925857
Sex: F
Age: 42
State: OR

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

Lab Data:

Allergies: Latex sensitivity

Symptoms: Wheezing, shortness of breath, macular itchy rash at site and distal sites, headache, fatigue and joint pain at 7-8 pm. Benadryl improved eruption, albuterol and airduo and assisting with wheezing but symptoms return after 2-4 hours.

Other Meds: Airduo Albuterol inhaler Flonase

Current Illness: N/a

ID: 0925858
Sex: F
Age: 47
State: MI

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

Lab Data: None

Allergies: Sulfa

Symptoms: Itchiness and Hives all over body

Other Meds: Norethedrone

Current Illness: None

ID: 0925859
Sex: F
Age: 50
State:

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

Lab Data:

Allergies:

Symptoms: Fatigue, body aches, headache x 3 days now resolved.

Other Meds:

Current Illness:

ID: 0925860
Sex: F
Age: 66
State: GA

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

Lab Data:

Allergies: PCN

Symptoms: Patient complained of facial and lip tingling and numbness. Patient was A&O x 4, no abnormal breathing, V/S where: 1st attempt at 10:36AM: BP 180/98; P -100; RR-20, 2nd attempt at 10:40AM: BP 170/88; P-88; RR 20, 3rd attempt at 10:48AM : BP 168/88; P: 86; RR-18, and 4th attempt at 11:06AM: BP 120/78; P-80; RR-16. Patient received 25mg (12.5mg/5mL) of oral Benadryl at 10:45AM after initially refusing, reports decrease in the amount of tingling. Patient asked to stay for full hour of monitoring, patient refused stating that she felt better.

Other Meds:

Current Illness:

ID: 0925861
Sex: F
Age: 41
State: MO

Vax Date: 11/30/2020
Onset Date: 12/02/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: N/A

Allergies: Medrol, Prednisone.

Symptoms: Worsening shoulder pain over 1 month later.

Other Meds: Vitamin D, Lexapro 10mg.

Current Illness: None

ID: 0925862
Sex: F
Age: 42
State: TX

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

Lab Data:

Allergies: Demerol Sulfa medications Gut Sutures Derma bond Latex

Symptoms: Patient stated 15 minutes post vaccination she felt tingling to her right hand for about 4 hours. Reports palpitations 30 minutes post vaccine. Unknown duration as per patient.. Patient denies any palpitations, chest pain, or shortness of breath at time of phone interview. At about 9pm on the day of vaccine patient reports a rash all over her body. Describes it as bumpy and very itchy, getting worse. Patient reports taking Benadryl. States it helped with the itching but rash is continuing to spread. Denies respiratory complaints at time of phone interview. Patient instructed to see her provider as soon as possible for evaluation and treatment.

Other Meds: Topamax Lasix 10m daily

Current Illness:

ID: 0925863
Sex: F
Age: 37
State: WA

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

Lab Data: None

Allergies: None

Symptoms: 37yoF presenting today 8 days s/p left deltoid administration of her first dose of Moderna COVID vaccine with new localized skin reaction about the injection site (1.5cm in diameter) with secondary site of urticarial skin eruption over the lateral arm approximately 10cm inferior to this which is approximately 5cm x 3cm. Denies any other symptoms associated with vaccine administration except localized arm soreness. No fevers, chills, night sweats. No prior diagnosed COVID infections. Not recently ill. Seasonal allergies historically, but no vaccine adverse effects. No anaphylactoid symptoms. No headaches, myalgias. Antihistamines and topical corticosteroids prescribed.

Other Meds: None

Current Illness: None

ID: 0925864
Sex: F
Age: 37
State: CA

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

Lab Data:

Allergies:

Symptoms: 5 min after injection, pt developed L shoulder pain radiating to clavicle 4/10, now increasing to 6-7/10 and has decreased mobility of shoulder. sporadic burning sensation in arm between elbow and wrist.

Other Meds: 400mg gabapentin 200mg lamictal 200mg wellbutrin 75mg effexor.

Current Illness:

ID: 0925865
Sex: F
Age: 37
State: OH

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

Lab Data: NONE

Allergies: UNKNOWN- NO ANAPHALXIS TO ANYTHING

Symptoms: PHONE MESSAGE RECEIVED WITH ENTERED INFO- UNABLE TO CONTACT X2. CLIENT IS HEALTHCARE PROVIDER. SYMPTOMS BEGAN 72HR+ POST VACCINATION. TENDERNESS, REDDNESS AND EDEMA AT INJECTION SITE. "ITCHY". THESE SYMPTOMS CONTINUE TODAY. ALSO NOTED L-SIDE LYMPHADENOPATHY- NOT SPECIFIC SITE

Other Meds: UNKNOWN

Current Illness: NONE

ID: 0925866
Sex: F
Age: 57
State: MA

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

Lab Data: consulted PCP suggested possible not receiving the second dose

Allergies: none

Symptoms: temp and chills began at 6pm(1/5/20) , starting at 99.9 and the highest was 101.2 lasted until 1/7/21 at 2AM-also had headache,body aches and nausea . on 1/7 at 7AM I noticed increase pain in my rt arm with a distinctive red area at the vaccine site approximately 3 inches around and swollen lymph nodes in the rt under arms. Had to call out of work for two days so far. I am covid recovered from 4/1/20

Other Meds: Insulin,cozar,HCTZ,metformin

Current Illness: none

ID: 0925867
Sex: F
Age: 36
State: UT

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

Lab Data:

Allergies: Metronidazole

Symptoms: Pt reports numbness/tingling in hand and fingers on the right. Pt received 2nd dose of COVID-19 in right upper arm approximately 5 minutes prior to time of RRT. Observed pt from 1146 to 1205. Pt maintained stable vital signs throughout observation period, maintained a strong regular pulse ranging from 80 - 90 bpm. Maintained oxygen saturation on room air between 98-100%. At time of release, pt was still exhibiting numbness in fingers and palm of right hand. Good range of motion with right arm. Denies any symptoms other than the above stated. Provided pt of option to be seen in the emergency department, but pt declined, and stated that she would like to wait and if her symptoms persisted or worsened, she would come back to the ER.

Other Meds:

Current Illness:

ID: 0925868
Sex: M
Age: 63
State: MO

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

Lab Data: None

Allergies: None

Symptoms: One week after the vaccination, sudden onset of severe itching at the site, with a raised red bump at site of needle puncture. The itching is severe, bad enough to prevent sleep, and there is redness around the injection site followed by burning pain. It has been a day since the itching started, and it has not let up.

Other Meds: None

Current Illness: None

ID: 0925869
Sex: F
Age: 50
State: AR

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

Lab Data: rapid covid test- negative- PCR sent off results pending

Allergies: none

Symptoms: Pfizer BioNTech COVID 19 Vaccine EUA developed body aches, chills, malaise, vomiting the morning after the vaccine

Other Meds: HCTZ, Vitamin D

Current Illness: none

ID: 0925870
Sex: F
Age: 22
State: NC

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

Lab Data: Zofran ODT 4 mg PO given 1/7/2021

Allergies: Latex, Natural Rubber

Symptoms: Severity of symptoms: At their worst the symptoms were mild in the emergency department and the symptoms are unchanged. Pt is an employee here. Just received the Covid vaccine in the left arm. Shortly after vaccination she started to feel anxious with nausea. No vomiting, rash or swelling. No CP or SOB. Felt flushed without diaphoresis.

Other Meds: Vraylar, Celexa, Trazodone, Sprintec

Current Illness: None noted

ID: 0925871
Sex: F
Age: 52
State: KY

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

Lab Data:

Allergies: EGG WHITE, PEANUTS, SOYBEAN, MILD, CLAM, SHRIMP, SALMON, WALNUTS, CHESTNUTS, CODFISH, SCALLP, WHEAT, CORN, SESAME SEED

Symptoms: MY UPPER ARM/MUSCLE WHERE I GOT THE SHOT IS EXTREMELY SORE. IT IS STILL SORE I THOUGHT THE SORENESS WOULD GO AWAY . I CANT LIFT MY ARM LEVEL TO THE GROUND IT IS SO SORE I CANT HARDLY SLEEP ON IT , WAKES ME UP OUT OF A DEAD SLEEP, WHEN I PUT DEODORANT ON IT HURTS TO LIFT MY ARM TO THAT LEVEL. IT IS A STRUGGLE TO PUT MY ARM OVER MY HEAD.

Other Meds: ALENDRONATE 70 MG, LEVOTHYROXINE .075MG, VITAMIN D3, PANTOPRAZOLE 40MG, CALCIUM CITRATE D

Current Illness: N/A

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm