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: 0926074
Sex: F
Age: 41
State: LA

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

Lab Data:

Allergies: Azithromycin

Symptoms: Around midnight on 1/7/21, I started to have a pain in my left arm. It hurts to move my arm. The pain included the entire left side of the arm above the elbow, including the bone and muscle pain. At 8 am- 12:45 pm on 1/7/21, I put an ice pack on the injection site and it provided no relief. I took a Tylenol at 11:45 am and it brought the pain level down from a 7 to a 6. I took a picture this morning of the site and there is a little swelling at injection site, almost looks like a rash, and the area is extremely tender to touch.

Other Meds: Losartan, amlodipine

Current Illness: N/a

ID: 0926075
Sex: F
Age: 54
State: GA

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

Lab Data:

Allergies: none

Symptoms: Received the vaccine on 12/30/2020, I had sore arm and slight itchy arm for 2 days. On 1/6/21 my arm started feeling itchy, a slight burn and turned red around the injection site.

Other Meds: Valsartan-hctz 160-25 mg Sertraline hcl 25 mg Alprazolam 0.5 mg

Current Illness: none

ID: 0926076
Sex: F
Age: 30
State: KS

Vax Date: 12/19/2020
Onset Date: 12/20/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever for 8 hours with max 101.7, Tylenol taken x2 doses Chills and body aches for 30 hours Sore arm for 60 hours

Other Meds: Prenatal vitamin Norethindrone

Current Illness: None

ID: 0926077
Sex: F
Age: 22
State: TX

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

Lab Data: seen and treated in ER on 01/05/2021 and received Prednisone injection and prescription for oral Prednisone - had an appointment scheduled with own PCP on 01/06/2021 and will discuss if she will receive 2nd dose

Allergies: none

Symptoms: Employee contacted Employee Health on 01/05/2021 after receiving COVID vaccine #1 complaining of cough, sinus headache, redness and streaking across eyelids, congestion, facial swelling that spread down her cheeks and chin area - took OTC Benadryl, fell asleep, and when she awaken, swelling to face had worsened - went to ER

Other Meds: unknown

Current Illness: unknown

ID: 0926078
Sex: F
Age: 38
State: GA

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

Lab Data: Observation

Allergies: None

Symptoms: After leaving the facility the pt. returned and advised she was having chest tightness and dizziness. After sitting at the site for approximately one hour pt. advised still having what she described as chest tightness. Pt. was given 25mg Benadryl PO taken on scene. Pt. was healthcare worker and was advised to seek further medical attention if symptoms persist.

Other Meds: Unknown

Current Illness: Unknown

ID: 0926079
Sex: F
Age: 32
State: CA

Vax Date: 01/03/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: COVID test NEGATIVE on 1/6/2021

Allergies: none

Symptoms: Fever 101.9F, chills, fatigue, headache

Other Meds: none

Current Illness: none

ID: 0926080
Sex: F
Age: 16
State: TX

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

Lab Data: NONE

Allergies: NONE

Symptoms: ITCHING AND PAINFUL TO TOUCH. 2.75 " REDNESS AT AREA OF VACCINE. PT WAS TAKING IBUPROFEN AND USING A COLD COMPRESS. PT WAS ALSO USING A WARM COMPRESS. ALL SYMPMTOMS ONE HOUR AFTER THE VACCINE WAS ADMINISTERED.

Other Meds: EYE DROPS, IBUPROFEN

Current Illness: NONE

ID: 0926081
Sex: F
Age: 51
State: MA

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

Lab Data:

Allergies: Bees, penicillin, Amoxicillin,sulfur, Keflex, poison ivy

Symptoms: severe red rash/hives on bilateral arms. Very itchy. spread drom hands up to shoulders, Benadryl and Prednisone taper

Other Meds: Lisinopril, Breo-eplita, atorvastin, Vitamin 2, daily vitamin, Xyzol, Paroxetine

Current Illness: none

ID: 0926082
Sex: F
Age: 71
State: AZ

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

Lab Data:

Allergies:

Symptoms: She had a fever, fatigue and some shortness of breath

Other Meds:

Current Illness:

ID: 0926083
Sex: F
Age: 47
State: AR

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

Lab Data:

Allergies: penicillin

Symptoms: knot on right side shoulder blade...not hard, feels like fluid is in it. pain and discomfort under arm on right side

Other Meds: n/a

Current Illness: shingles

ID: 0926084
Sex: F
Age: 61
State: MD

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

Lab Data:

Allergies:

Symptoms: Within several minutes after receiving the vaccine she began experiencing chest tightness. She was given oxygen and benedryl but the chest tightness worsened and EMS was called. She was transported to the ED.

Other Meds:

Current Illness:

ID: 0926085
Sex: F
Age: 69
State: FL

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

Lab Data:

Allergies: Augmentin

Symptoms: "bad taste in mouth, tongue feels funny, numb." B/P 102/60 P 68

Other Meds:

Current Illness:

ID: 0926086
Sex: F
Age: 28
State: IN

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

Lab Data: Na

Allergies: Na

Symptoms: 1 week and 2 days later my arm where the injection was given is red, painful, swollen, warm to the touch, and itchy

Other Meds: Vitamin D and b12

Current Illness: Na

ID: 0926087
Sex: F
Age: 30
State: KS

Vax Date: 12/19/2020
Onset Date: 12/19/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: No e

Allergies: None

Symptoms: Chills and body aches, 30 hours Fever, 8 hours, max 101.7, Tylenol Soreness and injection site, 48 hours

Other Meds: Prenatal vitamin Norethindrone

Current Illness: None

ID: 0926088
Sex: F
Age: 24
State: UT

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

Lab Data:

Allergies: latex and bleach- dermatitis

Symptoms: Complaining of rubber taste in throat after receiving 1st shot. Pt vitals remained stable throughout RRT. Pt released back to work, advised to come to the ED if symptoms worsened or persisted.

Other Meds:

Current Illness:

ID: 0926089
Sex: F
Age: 57
State: CA

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

Lab Data: n/a.

Allergies: n/a.

Symptoms: Complained of tingling of the lips and felt very nervous. Was assessed and BP and pulse were normal. Has hx of anxiety. Pt reassured and monitored for 1 hour and then left after reporting that she felt better. She texted back at 3 pm when she got home and said she was feeling better. Took Allegra at home.

Other Meds: Meloxicam, B12, C, D, Mag, turmeric, bromelain

Current Illness: Bike injury.

ID: 0926090
Sex: F
Age: 23
State: UT

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: I received my first dose of the Moderna vaccine on 12/28/2020. On 01/04/2021 night, I had a red lump on the injection site that was slightly itchy. The following day, the lump was still there, it was red and hot, but not painful. The redness had spread towards my chest but did not go past my armpit. The size of the lump has decreased since then, nearly gone today on 01/07/2021.

Other Meds: None

Current Illness: None

ID: 0926091
Sex: M
Age: 39
State: OH

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

Lab Data: None.

Allergies: None.

Symptoms: Moderna COVID-19 Vaccine EUA I contracted COVID-19 on 11/24/2020. I received the first dose of the Moderna COVID-19 vaccine around 9:40AM on 1/6/2021. At around 9:45PM on 1/6/2021 I started to feel very nauseous and vomited twice within the hour.

Other Meds: None.

Current Illness: None.

ID: 0926092
Sex: M
Age: 45
State: MS

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

Lab Data: Vitals: BP 128/81 | Pulse 91 | Temp 98.7 ?F (37.1 ?C) (Oral) | Resp 20 | Ht 5' 8" (1.727 m) | Wt 95.3 kg (210 lb) | SpO2 95% | BMI 31.93 kg/m?

Allergies: Codeine - N/V Hydromorphone - N/V

Symptoms: Presented to the ED with a chief complaint of LUE pain. Patient recently received the COVID-19 vaccine and is now experiences some redness, swelling and pain to the area which started about 7 hours after vaccine administration. Skin is also warm to the touch. He called his PCP who advised taking antihistamines and icing the area. Patient received single oral doses of both cephalexin 500 mg and diphenhydramine 25 mg in the ER at 1020 on 1/7/21.

Other Meds: Cetirizine 10 mg PO Daily Ondansetron 8 mg PO Q6H prn N/V Promethazine 25 mg PO Q6H prn N/V Pseudoephedrine 30 to 60 mg Q4H prn congestion Rizatriptan 10 mg BID prn headache Rosuvastatin 20 mg PO Daily

Current Illness: 12/13-12/17: Presented to outpatient clinical with severe headache, SOB, fatigue and chest pain. Was negative for COVID, flu and strep even with repeat testing. Received treatment for bacterial sinus infection which included 10 days of cephalexin 500 mg PO TID and 3 doses of IM ceftriaxone on different days. Patient suspects he was truly positive for COVID.

ID: 0926093
Sex: M
Age: 34
State: UT

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: I got the 1st dose of the Moderna vaccine on 12/28/2020. 7-8 days later I started feeling itchiness. Rash was red, warm to the touch, and after a couple of days it spread. At least 6 co-workers also expressed the similar symptoms 7-8 days later after administration of the shot. No treatment done except for use of heating pad for one night. Will set up a doctor's appt.

Other Meds: none

Current Illness: none

ID: 0926094
Sex: F
Age: 52
State: RI

Vax Date: 12/26/2020
Onset Date: 12/29/1920
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: Tegretol, eggs, and cats

Symptoms: Day 3 bilateral swollen glands with bilateral ear pain Resolved by day 5 Day 9 Left arm redness (like 1st degree burn) swelling, pain/itching along whole upper arm and bicep area to the present. Taking Zyrtec daily

Other Meds: Metropalol, Zyrtec

Current Illness: Hx. Epstein Barr Syndrome

ID: 0926095
Sex: F
Age: 39
State: NJ

Vax Date: 12/16/2020
Onset Date: 12/21/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: When I got my first shot of the vaccine , I had some of the symptoms mentioned including a headache but after 24 hours , everything went away, however a few days after after , my headache Came back and has not gone away ever since , yesterday , I went to get my second vaccine but thankfully my headaches haven?t gotten worst.

Other Meds: Omega 3 Shark cartilage tablets Selenium Vitamin b complex Vitamin c Zinc Vitamin d Multi vitamin Biotin gummies for hair and nails

Current Illness: None

ID: 0926096
Sex: F
Age: 43
State: NY

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

Lab Data: none

Allergies: Demerol

Symptoms: According to patient on 1/6/21 around 9:00 PM,, one week post 1st dose Moderna injection, left arm injection site started to itch. On the morning of 1/7/2021, patient noted site was red, warm and tender to touch. Reported to RN and MD and observed erythema approximately 1 " circle around injection site, warm to touch with slight swelling. Itching somewhat subsided.

Other Meds: Multivitamin, Ibuprofen prn

Current Illness: No

ID: 0926097
Sex: F
Age: 31
State: CA

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

Lab Data:

Allergies: None

Symptoms: Body Aches, Chills, Fatigue, Headache, Cough, stuffy nose

Other Meds: Just Birth Control

Current Illness: None

ID: 0926098
Sex: F
Age: 46
State: OR

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

Lab Data: EKG was normal sinus

Allergies: Acetaminophen, Amoxicillin, Hydrocodone-Acetaminophen, Simvastatin, Oxycodone-Acetaminophen

Symptoms: Patient while waiting after receiving her second COVID Vaccine dose started to feel short of breath, anxious and shaky. She was taken to the ED, where they took a set of vitals, listened to her lungs (clear) and completed an EKG.

Other Meds: Mirena

Current Illness: None

ID: 0926099
Sex: F
Age: 53
State: WI

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

Lab Data: None; self-care

Allergies: molds, ash trees

Symptoms: Felt like skin, head to toe was "on fire" and mild hives (burning- similar to past reactions with things) - I took 50mg benadryl [I have an epi pen but chose to try benadryl first as my symptoms were only skin and I was breathing fine (pulse ox was 98 which is normal for me); also had racing heart and was only a little above my norm of 80's -90's, but did not feel PVCs or irregularity, aches, chills, fatigue, eye pain, severe headache on weds night night and thursday; drove 2 hrs home to cabin for new years the next day on thursday (new years eve) (I am working for COVID - epidemiologist, retired nurse), aches, cold/chills/severe headache remained (took 1000 of tylenol in the morning and then before going to bed that night); in bed at 2000pm because I was so tired and felt "sick." the next day I had no symptoms when I woke up. My arm was not even hardly sore in the two days that I did not feel bad; I could feel the injection but it was not painful like previous vaccines that I had received. Before the vaccine I called my ex housemate who is a trauma nurse practitioner and she advised me to take tylenol and not aspirin after I get the vaccine; I did not administer 1000mg tylenol and benadryl (50mg) to myself until bedtime that even after my symptoms began)

Other Meds: levothyroxine, acyclovir, fluoxetine, serevent, qnasl, Flovent, singulair, vitamin D3, vit b12, MVI women's

Current Illness: none

ID: 0926100
Sex: F
Age: 40
State: PA

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

Lab Data: None

Allergies: Adhesive tape: rash Codeine Sulfate: Itching Dilaudid: throat swelling Mucinex: vomiting

Symptoms: Severe muscle pain, that went into back, and all the way down to fingers of left hand. Swelling at injection site, and then swelling and tingling in left hand. and head ache. Symptoms didn't subside until day 3. Still have pain in left arm that radiates down to elbow. All other symptoms subsided.

Other Meds: Levothyroxine 25MCG Adderall 30mg Cyanocobalamin 1000MCG/ML

Current Illness: none

ID: 0926101
Sex: F
Age: 54
State: IL

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

Lab Data: None

Allergies: Augmentin

Symptoms: Within 30 minutes of receiving the vaccine, I experienced mild chest tightness and a mild cough. Later that day I experienced fatigue, headache, and chills. The next day I felt like I had the flu but went to work anyway. I became lightheaded and nauseous at work and was sent home. I spent all day in bed with a fever of 100 degrees, chills, and fatigue. The fever persisted until about 10 pm, at which time I began to feel better. My arm is also extremely red and sore at the injection site.

Other Meds: Lisinipril, Diltiazem, Aleve

Current Illness: None

ID: 0926102
Sex: F
Age: 31
State: OR

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

Lab Data: None

Allergies: Unknown

Symptoms: VACCINE ERROR: First dose of COVID-19 vaccine (PFizer, lot EJ1865) was given on 12/20/2020. The second dose was given on 1/5/2020 (16 days after initial dose). No adverse reaction was noted at the time of this submission

Other Meds: Unknown

Current Illness: Unknown

ID: 0926103
Sex: F
Age: 38
State: NY

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

Lab Data: none

Allergies: Walnuts, Flu vaccine, Sudafed

Symptoms: According to patient on 1/6/21 around 11:00 PM, one week post 1st dose Moderna injection, right arm injection site started to itch. On the morning of 1/7/2021, patient noted site was red, warm and tender to touch. Reported to RN and MD and observed erythema approximately 1/2 " circle around injection site, warm to touch with slight swelling. Continues to itch. Patient was pre-medicated with Benedryl 50 mg. po.

Other Meds: Vitamin C & D, Protonix, Allegra, Singular

Current Illness: none

ID: 0926104
Sex: F
Age: 45
State: MA

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: shellfish

Symptoms: One week after vaccine was administered, red rash appeared in area below injection site. Itchy but does not require medical attention.

Other Meds: Ocella, general multivitamin

Current Illness: none

ID: 0926105
Sex: F
Age: 25
State: GA

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

Lab Data:

Allergies: Penicillin, Amoxicillin, HCTZ, Augmentin Bromfed DM

Symptoms: vaccine administered at 12:18pm, client ambulated to observation area. @12:23pm client complained of nausea and vomiting, redness noted to chest and neck. Client given 20ml Benadryl PO*1 @ 12:27pm. Client moved from chair to floor @ 12:34pm. Client complained of tightness in chest, lungs clear no wheezing noted. 0.5mg Epi administered RT @ 12:33pm. 911 called at 12:32pm, arrived @ 12:42pm. Client alert and oriented to person, place and time. Redness centralized to chest and neck, not noted on abdominal area or arms. Client transported to local hospital.

Other Meds:

Current Illness:

ID: 0926106
Sex: M
Age: 63
State: NH

Vax Date: 02/04/2020
Onset Date: 02/05/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: I have examined by 7 dermatologists, had 3 biopsies-back, forehead, and shoulder. Also I have had 2 blood tests. I have also had an allergy test. The results show that the rash is not on the epidermis. I have checked all soaps, detergents, and shampoos and am not allergic to any of these. Nothing else touches my skin. I have tried numerous creams too many to remember. They have failed to ameliorate the problems.

Allergies: None

Symptoms: The day after the Shingrix shot, I had the same symptoms as the flu. My head began to itch and my scalp began to turn red. Over the course of 5 months, my forehead, neck, and upper back had a red rash and itched. Then the rash began to work it's way down my face so that it is now on my cheeks.

Other Meds: None

Current Illness: None

ID: 0926107
Sex: F
Age: 32
State: NY

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

Lab Data: none

Allergies: None

Symptoms: According to patient on 1/6/21 around 400 PM,, one week post 1st dose Moderna injection, right arm injection site started to itch. On the morning of 1/7/2021, patient noted site was red, warm and tender to touch. Reported to RN and MD and observed erythema approximately 1 " circle around injection site, warm to touch with slight swelling. Itching somewhat subsided.

Other Meds: None

Current Illness: None

ID: 0926108
Sex: F
Age: 22
State: WY

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

Lab Data: None

Allergies: Sulfa

Symptoms: Shortness of breath, body ache, headache, sore scratchy throat, chest pains, vomiting and nausea

Other Meds: Hailey birth control

Current Illness: Covid-19 11-16-20 to 12-7-20

ID: 0926109
Sex: M
Age: 49
State: KS

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

Lab Data: none

Allergies: CT CONTRAST MORPHINE

Symptoms: Moderna COVID-19 Vaccine EUA I developed a hard red and warm welt on my arm approx 3cm x 4 cm in size about 2 hours after the vaccinatin. 48 hours later there is still a red , warm and hard area at the injection site.

Other Meds: MAGNESIUM LOSARTAN EFFEXOR ASPIRIN IRON MIDAMOR VITAMIN C VITAMIN D PRAVASTATIN

Current Illness: NONE

ID: 0926110
Sex: F
Age: 44
State: IA

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

Lab Data: none

Allergies: lactose latex

Symptoms: tingling in both hands - along ulnar nerve to 4th/5th fingers - severe - reports 8/10 discomfort BILATERALLY - felt like she was going to pass out and have diarrhea and vomit at same time - these symptoms awakened her from sleep at 11:45pm; sxs lasted about 15 minutes and then abated; tingling in 4th/5th fingers BILATERALLY persists today- though much less intense - reports at level of 1/10; never did vomiting and never had diarrhea; never passed out; feeling well today - able to run 4 miles and teach yoga and work at a physical therapist

Other Meds: none

Current Illness: no

ID: 0926111
Sex: F
Age: 64
State: NY

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

Lab Data: None

Allergies:

Symptoms: Moderna COVID-19 Vaccine EUA On the 7th day after the inoculation I woke up a with a headache and swelling under my left arm, in the lymph nodes. The nodes were quite tender (hard) to the touch as was the area around them. No fever or chills.

Other Meds:

Current Illness:

ID: 0926112
Sex: F
Age: 26
State: MO

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

Lab Data: None

Allergies: Effexor

Symptoms: Redness, swelling, and discomfort at injection site. Gradually improved over the next 5-6 days. Symptoms now almost resolved.

Other Meds:

Current Illness:

ID: 0926113
Sex: F
Age: 54
State: IN

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

Lab Data: no

Allergies: Bananas, Cipro, Latex, Penicillin, Compazine, Clindamycin,

Symptoms: Low Grade fever temp 100.0, Body aches and joint aches, fatigue,

Other Meds: Levothyroxine 225mcg

Current Illness: No

ID: 0926114
Sex: F
Age: 41
State: NY

Vax Date: 01/02/2021
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Cat, dogs, horses, hay fever

Symptoms: Itchy Vesicular rash on arms, legs, abdomen

Other Meds: HCTZ Nifedipine

Current Illness: Poison ivy 12/27

ID: 0926115
Sex: F
Age: 54
State: TX

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

Lab Data:

Allergies: none

Symptoms: On day one, I felt the typical soreness to site. Starting day 2, a headache presented. Starting day 3, in addition to the headache, fatigue, body aches and a knot and soreness at the site. It is day 9 now post... and body aches & fatigue continue. In addition, the injection site is inflamed (swollen, red and hot). I am an RN and one of the docs I work with suggested I may have possible cellulitis at the site and I need to watch it for worsening.

Other Meds: NP Thyroid, multi-vitamins, Vit D3

Current Illness: none

ID: 0926116
Sex: F
Age: 27
State: NJ

Vax Date: 12/30/2020
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: penicillin and dairy products

Symptoms: I didn't have an adverse reaction until 6 days after the injection. The injection site became red and swollen and my whole body has been itching for 2 days now since 1/05/2021.

Other Meds: Lo loestrin fe

Current Illness:

ID: 0926117
Sex: F
Age: 34
State: NV

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

Lab Data:

Allergies: Latex

Symptoms: Patient received dose #1 of Moderna Covid vaccine at about 8:15am at a mass vaccination event for Tier 1 recipients. Within 3-5 minutes the female patient reported a sensation of her throat being swollen and reported mild difficulty breathing. She was noted to be mildly tachypneic and tachycardic. Patient was observed over the next few minutes. She was diaphoretic and reported her symptom of difficulty breathing was getting worse. Oxygen at 2-3 liters per minute was administered. BP 170/95. Epinephrine 0.3mg was subcutaneously administered at 8:27am. 911 was called. Patient reported improvement in symptoms within one minute of receiving the epinephrine. Oxygen and monitoring continued. Patient remained tachycardic but her respiratory rate decreased and her diaphoresis improved. Paramedics arrived at about 8:40 am and patient was transported via ambulance to ER in stable condition.

Other Meds:

Current Illness:

ID: 0926118
Sex: F
Age: 35
State: OH

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient notified the pharmacist who administered the vaccine on 1/6/21 stating presence of a nodule/bump, tenderness and warmth at the injection site. The pharmacist advised to seek medical advice in case of infection. Patient says the provider recommended to monitor for now and thinks it may be an allergy. Pharmacist will continue to follow up with patient to make sure symptoms are improving.

Other Meds:

Current Illness:

ID: 0926119
Sex: F
Age: 58
State: MA

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

Lab Data:

Allergies: none

Symptoms: Raised rash on right arm at and around insertion site

Other Meds: One a day vitamin

Current Illness: none

ID: 0926120
Sex: M
Age: 31
State: LA

Vax Date: 12/17/2020
Onset Date: 12/22/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: Tested for COVID-19; which I was positive.

Allergies: Shellfish

Symptoms: I had general symptoms of covid-19. Fatigue, loss taste and smell.

Other Meds: Lexapro

Current Illness: None

ID: 0926121
Sex: F
Age: 51
State: CA

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

Lab Data: None.

Allergies: NKDA

Symptoms: L hand felt sweaty and arm "felt numb" at 10:25AM. Vital signs are as follows: P 105 BP 140/88, O2sat 100% T 99.6. Grip strength WNL and no deficits noted on exam. No adverse reactions to previous shots or similar event happening in the past. Repeat VS P 100 BP 158/82 O2sat 100

Other Meds: metformin XR, pravastatin, singulair

Current Illness:

ID: 0926122
Sex: F
Age: 50
State: NY

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

Lab Data: Seen by PCP 1/8/2021 Form being filed at 2 pm 1/8

Allergies: Compazine, Phenergan, Ultram, Sulfa, eggs, casein, gluten

Symptoms: Pfizer Vaccine 45 min after dose, needed to clear my throat allot. Took Claritan and quieted down. By 8 pm left side neck ache. By 3 am the next day lots of trouble with throat and swallowing. Moderate to sever neck pain, muscle tight and contracted like cervical dystonia. Took another claritan. 2 hours later 25 mg Bendadryl. 830am called healthcare clinic and was seen. "Immune response" Not "allergy" Recommends not getting shot number 2

Other Meds: none

Current Illness: none

ID: 0926123
Sex: F
Age: 66
State: CA

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

Lab Data: None

Allergies: Possible rash with Ampicillin 30 years ago, seasonal allergies

Symptoms: Had initial redness, swelling and pain at injection site. Resolved after 2-3 days, then mildly itchy. One week later, swelling, pain, itching have recurred. Day 8 with 5x8 cm red, tender, itchy swelling left deltoid at injection site. Unexpected after reviewing published side effects.

Other Meds: Pradaxa 150 mg bid, Advair inhaler BID, Centrum multivitamin, Vit. D, Gulcosamine

Current Illness: DVT 12/22/20

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm