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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 1020368
Sex: F
Age: 36
State: GA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Quick evaluation by Nurse on 1/15/21. Advised to ice and rest, and to follow-up if condition worsens or doesn't improve.

Allergies: IV morphine; environmental allergies (mold, trees, weeds, grasses)

Symptoms: 1/13/21-felt feverish (T=99.0), moderate HA, moderate arthralgias, moderate fatigue, mild BA, mild intermittent nausea. 1/14/21-moderate right axillary lymphadenopathy, mild right arm injection site pain, mild BA, mild nausea-lymphadenopathy impacted daily activities. Treated pain with Tylenol 1G, took twice over the course of the day. 1/15/21-felt feverish (T=98.8), moderate right axillary lymphadenopathy, little impact on daily activities. Took Tylenol 1G once. 1/16/21-symptoms resolved.

Other Meds: Multivitamin, cetirizine.

Current Illness: None

ID: 1020369
Sex: F
Age: 0
State: CA

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: NA

Allergies: non stated

Symptoms: pt c/o nausea following vaccine administration. vitals: BP 100/62, O2 96%, RR 18, T 98.4, P 62. denies pain, stated nausea and anxiety are normal following an injection. pt's s/s resolved after 30 mins pt was d/c and wad educated on contacting medical services if s/s worsens or reoccur.

Other Meds: levothyroxine,

Current Illness: non stated

ID: 1020370
Sex: F
Age: 47
State: AZ

Vax Date: 02/02/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Covid arm. Yesterday evening I noticed that my injection site was firm, warm, and a little tender. I looked in the mirror and saw large red patch where I was injected. I took Benadryl and put some hydracortisone cream on. It doesn't itch anymore, but it is still red, a little swollen, warm, and tender.

Other Meds: Omeprazole

Current Illness: No

ID: 1020371
Sex: F
Age: 68
State: MD

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none so far

Allergies: Codeine, Z-Pack, Clindamycin, Cats

Symptoms: Dizziness, such that I couldn't stand Vomiting Body aches Headache Chills Subnormal temperature Diarrhea Started the morning after the shot and continued for 2 days

Other Meds: Aleve, Losartan,, Levothyroxine, HCTZ, magnesium, D3, 5MTFH, zine, omega3, boron, VitC, Lutien

Current Illness: None

ID: 1020372
Sex: F
Age: 23
State: MD

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Fever, aches, chills, slight cough/phlegm that persisted for over a week, fatigue, headache

Other Meds: Women's vitamins, biotin vitamin

Current Illness: none

ID: 1020373
Sex: F
Age: 77
State: NC

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Bees, High dose flu vaccine

Symptoms: "I started to feel strange". "Funny taste in mouth, dizziness, difficulty swallowing, and not thinking clearly, history of reaction to high dose flu shot, HTN

Other Meds:

Current Illness:

ID: 1020374
Sex: F
Age: 58
State: FL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: l felt clammy, lightheadedness lasted few hours. Also exp shoulder/neck pain left side and difficulty swallowing food,water lasting couple days.I still have periodically swallowing issues not sure of this related to reflux or vaccine.On 1/16 palms felt clammy and red I told pharmacist at my local grocery store was told to take Benadryl.

Other Meds: Dexilant, Bupropioxl,Chlordiaz-Clidinium

Current Illness:

ID: 1020375
Sex: F
Age: 63
State: IN

Vax Date: 01/26/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: 11\2diametor round rash at sight. Itchy to touch

Other Meds: albuterol2.5 amlodipine 2.5mg citalopram 40mg crestor 10mg hydrochlorothiazide25 mg isosorbide 60mg leventhyroxine 100 metformin 1000 x2 metoprolol 25 mg omeprazole 40mg symbicort 160 mcg aspirin 325

Current Illness:

ID: 1020376
Sex: M
Age: 65
State: FL

Vax Date: 01/27/2021
Onset Date: 01/31/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: venus doppler bilateral both legs........normal with no blood clots. EKG normal. Blood work......elevated WBC of 12,200.

Allergies: None

Symptoms: Severe loss of muscle strenth in waste, legs, knees, ankles......difficult to stand and walk. Severe joint pain in both knees and ankles. Extreme swelling in both ankles and feet.

Other Meds: one-a day-men's 50 plus, Metamucil, Lumigan eyedrops

Current Illness: None

ID: 1020377
Sex: F
Age: 38
State: CA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: This was the patients second dose of Moderna, she informed our staff there was an allergic reaction the first time stating her PMD instructed her to take Benadryl prior and hold her BP meds. She was given Benadryl 25mg in site and received the vaccine a few minutes after. She then was watched out in observation where she began to shiver, became clamy and would respond but eyes closed and would not open them. Vitals were taken BP 189/147, HR 87, O2 97 room air. Oxygen was applied for comfort, she stated her throat was not closing up like it did with first dose. Staff from her company then decided to call 911 where LAFD took over, she was then released home as she refused any care from them.

Other Meds:

Current Illness:

ID: 1020378
Sex: F
Age: 77
State:

Vax Date: 01/26/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Ampicillan, Lamictol, Melatonin

Symptoms: Nine days after receiving the vaccine, I got a rash on my left upper arm at the site of the shot. It grew steadily bigger and itched and went away in about week. I used hydorcortizone cream to relieve the itching.

Other Meds: polyethylene glycol, latanaprost, myrbetriq, timolol maleate, montelukast, atorvastin, aspirin, tramadol, tylenol, zyrtec, D3, beano, extra strength gas relief, calcium citrate with D3

Current Illness: None

ID: 1020379
Sex: M
Age: 79
State: VT

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: NA

Allergies: NKA

Symptoms: PT states active lymphoma, sees Doctor. Did not discuss vaccine with PCP. Received verbal permission from Pt to contact D=providers. TC to Doctor's office, spoke with nurse, who states, spoke with Doctor who gave permission to vaccinate. 14:22 - After vaccination patient stood and stated he felt dizzy. Mentioned has a history of anxiety with vaccination. Rested while seated. After 5 minutes, c/o nausea, denies SOB, urticaria, or other SX anaphylaxis. Escorted via WC to first aid area. 14:33 VS: BP- 162/78 P 56 O2 Sat 98%. Provided rest / H2O. 14:45 - States SX resolved. VS - BP 164/72P - 52, O2 Sat 97%. Escorted to driver @ 15:00.

Other Meds:

Current Illness:

ID: 1020380
Sex: F
Age: 42
State: TX

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: I was awakened the next morning (22 hours after vaccine) from the discomfort of pressure in my chest which lasted for 2 and half days. The only way I can explain it is that it felt like I had a 15 to 20 pound cat lying on me. I was able to breathe ok and my vitals were normal. The day after the pressure stopped I started getting shooting pains in the armpit of the arm where I got the shot and that pain lasted for 2 weeks.

Other Meds: NA

Current Illness: NA

ID: 1020381
Sex: M
Age: 70
State: CA

Vax Date: 01/27/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Rash around vaccination site. About 5 inches. Itchy and a bit stiff.

Other Meds: Atorvasstatin, , micardis, HCT, clopidogrel, gabapentin

Current Illness: N/A

ID: 1020382
Sex: F
Age: 83
State: WA

Vax Date: 02/03/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: checked by family doctor

Allergies: pennicillen,

Symptoms: large red and ichy at injection sight on the 5th day

Other Meds: spirolactone, mega red, cinnamon, vitamin D, calicum, CoQ10, multi vitamin Advair inhaler

Current Illness: none

ID: 1020383
Sex: F
Age: 97
State: WI

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Severe pain in UE at injection site, severe fatigue and disabling headache,

Other Meds: unknown

Current Illness:

ID: 1020384
Sex: F
Age: 74
State: NY

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Had the vaccine at approximately 2:45 pm. At about 10 pm that night I got hives on my face and my left eye was itchy. The next day I called my doctor and I took Benadryl. As of today 2/10/21 it is clearing up

Other Meds: Metoclopramide 10 mg 2x day/ Omprazaole 40 mg 1xday /Rosuvastatin 5 mg 1xday Vitamin D3 5000 IU / Magnesium 400mg/ Biotin 10,000 mg/ CoQ-10 200 mg/ Move Free Joint Health 2 pills per day

Current Illness: none

ID: 1020385
Sex: F
Age: 36
State: NJ

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: ER. Treated for anaphalaxis (Auvi-q self-administered)

Allergies: Rice, squash

Symptoms: Anaphylaxis While driving home: difficulty breathing, tightness in chest, swelling of tongue and lips, difficulty swallowing, tingling in left arm

Other Meds: Famotidine Xhance

Current Illness: Cold symptoms 1/18/21. Tested negative for COVID

ID: 1020386
Sex: F
Age: 81
State: AL

Vax Date: 02/05/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Codeine, Sulfa

Symptoms: on the 8th i had an itching rash all over my body. I had not eaten or taken anything out of the normal.. Called 911 and they sent EMA to come out and they gave me a shot of Benadryl 50 mg . I stayed awake all night. after a while the itching did stop. When i got up the next morning the rash was gone.

Other Meds: metoprolol 25 mg, HTTZ 12.5 mg , citalopram hbr, amlodipine besylate, Aspirin 81 mg, Multivitamin Vitamin B, D, and C,

Current Illness:

ID: 1020387
Sex: F
Age: 72
State: SC

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Floxin drugs, Cipro

Symptoms: Severe flu like symptoms, chills, headache, nausea, vomiting, severe body aches

Other Meds: Esomprazole Losartan Trazodone Lorazepam Metoprolol Probiotic Vitamin D3, C, One a day Vitamin

Current Illness:

ID: 1020388
Sex: F
Age: 32
State: KY

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: no

Allergies: Dilaudid (full body hives)

Symptoms: day after vaccine I experienced chills, fever muscle and bone pain as well as fatigue

Other Meds: Prenatal vitamin Allegra Protonix 40mg daily Adderall 30mg

Current Illness: no

ID: 1020389
Sex: M
Age: 0
State: MN

Vax Date: 12/14/2020
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: No known allergies

Symptoms: Patient was a 5 month old that received the Kinrix vaccine. Kinrix is not approved for use in persons younger than 4 years of age. No signs or symptoms at time of vaccination noted.

Other Meds: Patient is formula fed

Current Illness: None

ID: 1020390
Sex: F
Age: 36
State: NY

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Hydroxychloroquine, Zoloft, B Complex, Pantoprazole, Ceftin/Cephlosporins.

Symptoms: I was extremely fatigued and had a headache after the second dose. Arm was very sore and had some body aches.

Other Meds: Lantus, duloxetine, glipizide, nystatin, famotidine

Current Illness: None

ID: 1020391
Sex: F
Age: 29
State: AR

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: No known allergies

Symptoms: Patient received 2nd Moderna Covid vaccine on 2/9/21 around 2:00pm. Around 9:00pm she stated she started breaking out in a rash all over body. She took 50mg benadryl by mouth. She states she got better. She came to work at 8:00am on 2/10/21 with a little rash lef but as time went by rash got worse and spread. Around 9:30am rash started to get worse. 9:50am-She stated throat is getting scratchy. She took Allegra 180mg by mouth. Physician in office next to immunization room took over care. Doctor ordered 50mg Benedryl IVP, Pepcid 20mg IVP, and Solumedrol 125mg IVP. 10:12am-BP 100/70, resp 20, pulse 120, O2 sat 99% on room air. IV started to right hand. Benadryl 50mg given IVP over 5 minutes. Lot #070110, exp date 7/20/22, NDC 064107376-21. Line flushed with20cc NS. 10:22am-pulse 94, BP 114/80, resp 20. Pepcid 20mg given IVP over 20 minutes. Lot # 090126, exp 9/22, NDC 0641-6022-01. Line flushed with 20 cc NS. 10:28am-Solumedrol 125mg given IVP over 5 minutes. Lot # DF5453082022, exp 8/20/22, NDC 0009-004725. Flushed with20cc NS. 10:55am-BP 120/82, Pulse 82, resp 18.. No s/sx of distress noted. Flushing decreasing. Patient states throat no longer itchy. 11:15am-BP 116/80, Pulse 107, resp 20, O2 sat 99% on RA. 11;35am-BP 112/80, pulse 98, O2 sat 98% on RA, IV dc'd. Patient discharged home via W/C in stable condition with husband driving.

Other Meds: Birth Control Pills

Current Illness: none

ID: 1020392
Sex: F
Age: 31
State: WI

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Moderna Four hours post injection pain in left arm started. Was unable to use the arm until Thursday 01/21/2021. The pain was not managed with over the counter medications, disrupted sleep, unable to use arm at all. Pain was worse than previously experienced with a sprained ankle.

Other Meds: Pre Natal Vitamin, Vitamin D Supplement

Current Illness: N/A

ID: 1020393
Sex: M
Age: 81
State: CO

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: Horse serum

Symptoms: Both eyes red day after injection. Second day, L eye very red and R eye slightly red.

Other Meds: HCTZ, Micardis, Amlodipine Besylate, Lipitor, Niaspan, Finasteride, Tamsulosin, Metformin, Pioglitazone, Vitamin C, Vit D, Vit B-12, baby aspirin, fish oil, glucosamine condroitin, turmeric, garlic extract, blue heron, AHREDS-2

Current Illness: None

ID: 1020394
Sex: F
Age: 73
State: CO

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: statins, lidocaine

Symptoms: drowsiness, chills, stiffness and soreness all over. 2 inch red blotch appeared at vaccine site about 10 hrs after injection--slight itching. On the second day could hardly get out of bed..very stiff and sore overall, slept most of the day, on awakening I was groggy and confused. Perspired thru the night as though a fever was breaking and when I awoke I felt slight headache but otherwise NORMAL! tHIS WAS THE 2ND DOSE.

Other Meds: amlodopine/olmesarten 5mg -1xdaily latanoprost - 1 drop in each eye daily aspirin low dose 81 mg - 4xweek refresh eyedrops daily as needed

Current Illness: none

ID: 1020395
Sex: F
Age: 58
State: FL

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I exp chills, body aches, lasting 2 days. The neck pain(felt like car accident), pain around the injection site(left arm) and headache lasted 5 days. I had loss of appetite, extreme fatigue and felt nausea on 2/12-2/13 felt better on following Sunday.

Other Meds:

Current Illness:

ID: 1020396
Sex: M
Age: 65
State: CA

Vax Date: 02/01/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Benzalkonium chloride, fluorescein.

Symptoms: Delayed hypersensitivity around injection site (occured day # 8): swelling, itching, redness (around 9 cm in diameter). Responded partially to oral fexofenadine and topical fluocinonide cream.

Other Meds: Celebrex, Hyzaar, Lipitor, Trilipix, Verapamil, Centrum silver for men (All for several years).

Current Illness: none

ID: 1020397
Sex: M
Age: 80
State: CA

Vax Date: 01/31/2021
Onset Date: 02/02/2021
Rec V Date: 02/10/2021
Hospital: Y

Lab Data: SARS-CoV2 PCR Positive; Total bilirubin 5.2; Hemoglobin 7.2 on 2/2/2021 Folate 2.88 on 2/3/2021

Allergies: None known.

Symptoms: Dizziness, jaundice secondary to acute hemolytic anemia, COVID-19 POSITIVE

Other Meds: Amlodipine, Tamsulosin, Enzalutamide, Lupron

Current Illness: None.

ID: 1020398
Sex: F
Age: 52
State:

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: Cephalosporins only (rash)

Symptoms: Rash onset 48 hours after vaccine. Moderate, pruritic, maculopapular, starting on hands, bilateral, gradually spread up both arms, then anterior trunk, then shins over course of many days, then fading in reverse fashion, now 2 weeks post vaccine with mild lingering on arms

Other Meds: Multivitamin

Current Illness: None

ID: 1020399
Sex: M
Age: 65
State: MO

Vax Date: 01/29/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital: Y

Lab Data: Cardiac cath on 2/4/21 with 100% stenosis of RCA

Allergies: Ace inhibitors, amoxicillin

Symptoms: Patient had vaccine on 1/29/21 and had STEMI on 2/4/21, started with back pain symptoms on 1/31/21 requiring hospitalization and MI occurred in the hospital

Other Meds: aspirin, plavix, tresiba, gabapentin, jardiance, trulicity, metformin, prilosec, wellbutrin, atorvastatin, metoprolol, spironolactone, losartan, lovaza

Current Illness:

ID: 1020400
Sex: F
Age: 72
State: CA

Vax Date: 01/27/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: NONE

Symptoms: On Feb. 4, 2021 @ 7pm all of a sudden my left arm started to itch rash like and turned reddish in color and started to swelled up slightly where the vaccine injection was given. Feb. 5, 2021 My left arm around the vaccine area is still slightly swollen and still reddish in color and still itching. Feb 6 & 7th my left arm now is slightly less swollen and less itchy with no rash Feb. 8 arm started to itch again with with very little swelling and very little reddish color Feb. 9 Arm Slightly swollen and very itchy and a little more to the right of the vaccine injection area, are itched all night Feb. 10 Arm slightly swollen slightly reddish but still but very itchy

Other Meds: NONE

Current Illness: NONE

ID: 1020401
Sex: M
Age: 70
State: IL

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: Sulfites, tree nuts, ragweed.

Symptoms: ~10:AM 2/09/21 onset of detectable light headedness - progressed stronger to 7:30PM, but still remained functional, and reduced with food. 3:30PM - 2/9/21 Taking easy chair nap - awoke with right hand numb up to elbow, but still had feeling and could move. 10 min of moving dissipated the numbness completely. 5:30PM - 2/9/21 - Drove car for 25 min, after 15 min left foot began numbing, by arrival tingling to upper thigh, but after walking for ~10min completely dissipated. No other symptoms other than soreness at the injection site, mild like a sensitive bruise.

Other Meds: none

Current Illness: None

ID: 1020402
Sex: F
Age: 77
State: MA

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Lipitor (Atorvastatin) Iodinated Contrast Media Ondansetron PenicillinsHives ShellfishHives Latex, Natural Rubber

Symptoms: 3 hours post-vac: hives on scalp and rt side of forehead. Itchy scalp. 4 hr post-vac: itchy on stomach.

Other Meds: ascorbic acid, vitamin C, (VITAMIN C) 100 MG tablet Take 100 mg by mouth as needed. aspirin 81 MG EC tablet Take 81 mg by mouth daily. calcium carbonate (CALCIUM 500 ORAL) Take 1,000 mg by mouth daily. cholecalciferol, vitamin D3, 25 mc

Current Illness:

ID: 1020403
Sex: F
Age: 58
State: PA

Vax Date: 02/04/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: penicillin

Symptoms: 2/8/21 -10:00am patient noticed tingling in all ten fingers. Pt. denies taking anything for it. Pt. states that symptoms are improving.

Other Meds: denies

Current Illness: denies

ID: 1020404
Sex: F
Age: 37
State:

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Facial flushing. HR 72, O2 97%. Slight erythema of L arm injection site. Declined meds. NO SOB, respiratory symptoms.

Other Meds:

Current Illness:

ID: 1020405
Sex: F
Age: 43
State: AZ

Vax Date: 01/29/2021
Onset Date: 01/31/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: watermelon honeydew cantaloupe

Symptoms: Moderna COVID-19 Vaccine EUA I have redness, swelling, mild pain and warm to the touch, sometimes itchy at the injection site. It has not subsided since the date of the injection.

Other Meds: none

Current Illness: none

ID: 1020406
Sex: F
Age: 31
State: IN

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 1020407
Sex: F
Age: 43
State: IL

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Portable CXR- 2/9/2021, Accu-check- 2/9/2021.

Allergies: NKA

Symptoms: Present to ER with SOB and coughing. Second COVID-19 vaccine was given at 10:30 am and she started feeling chills and cough about 2 hours later. Also, pt reported body aches and neck spasm. Patient given EpiPen as reports feels hard to breath, Solumedrol, Pepcid and Benadryl and reports sob resolved. Ptient watched for 2 hours, no return of symptoms, SOB resolved, and patient start eating and drinking and feeling well. discussed with patient use of Tylenol and Motrin for post vaccine aches and fever and follow up with employee health tomorrow. Patient discharge to home. Note: 1) patient doing well and get back to working the next morning (2/10/21) 2) Past medical history: Asthma and diabetes

Other Meds: None

Current Illness: NONE

ID: 1020408
Sex: F
Age: 50
State:

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Moderna COVID-19 Vaccine EUA: side effects very in line with the general side effects listed on your factsheet: severe headache, nausea, vomiting, muscle/joint pain, chills, and fever

Other Meds:

Current Illness:

ID: 1020409
Sex: F
Age: 67
State: TX

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Sulfa drugs

Symptoms: Fever, deep chills, shakes, muscle aches over my entire body, even my hair hurts, a slight dry cough. Very extreme fatigue and I am not able to sleep well which is causing me to be really tired. This started as a pain in my arm couple of hours after vaccination and by the next morning all these symptoms started. These symptoms are causing me to not be able to function. She has no appetite. I have spoke to our doctor on the phone Monday evening 02/08/2021, our doctor said to drink fluids and take ibuprofen and it will probably go away. My wife is confused.

Other Meds: Atrovastatin 10 MG, Diabetic injection Ozempic 2 MG, Lantus Solostar Insulin Glargine Injection, Lisinopril 20 MG daily, Metformin HCL ER, L-thyroxine, Gliminpridine, Venlafaxine HCL, Cruel oil, Apple Cedar Vinegar extract, Omega 3 gummy,

Current Illness:

ID: 1020410
Sex: F
Age: 29
State:

Vax Date: 02/05/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Cat dander

Symptoms: Large, localized reaction at injection site characterized by erythema, warmth, and pruritus involving the left upper arm, which became apparent within 4 days of the vaccine.

Other Meds: None

Current Illness: None

ID: 1020411
Sex: F
Age: 62
State: MO

Vax Date: 02/01/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Left arms swelled up and has itched on and off the last few days . On day 2 had aching and flu like symptoms

Other Meds:

Current Illness:

ID: 1020412
Sex: M
Age: 45
State: PA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Severe Left shoulder and arm pain Can?t lift arm It started approximately 2 hours after vaccine I believe it was given incorrectly ....too high

Other Meds: Escitalopram

Current Illness:

ID: 1020413
Sex: F
Age: 28
State: WA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none at this time

Allergies: NKA

Symptoms: Pt called to report pain radiating down her arm and up her neck.

Other Meds: Not Known

Current Illness: Not Known

ID: 1020414
Sex: F
Age: 35
State:

Vax Date: 02/01/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: developed bruising on inner thighs 2-3 days after second COVID-19 vaccine - received Pfizer as first dose and incorrectly Moderna as second dose 3 weeks later

Other Meds:

Current Illness:

ID: 1020415
Sex: F
Age: 26
State: CA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: penicillin sesame

Symptoms: Monday night I started getting pretty fatigued and my arm was tired, and the next morning I woke up with body aches, headaches and joint pain. The next morning I had fevers and chills, so I took a tylenol and I started feeling better. This morning I had a bump at the injection site and it's very tender to the touch. I'm currently icing it. The injection site is a little warm

Other Meds: Tulana (birth control)

Current Illness: None

ID: 1020416
Sex: F
Age: 83
State:

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: atenolol & chlorthalidone - anaphylaxis/wheezing

Symptoms: Patient reports she received vaccine at 10:10 a.m. in the morning. At about 1237 at night she woke up feeling throat swelling and increased wheezing. She took 50 milligrams of Benadryl and got up and walked around. She reports that her symptoms resolved after about 30 minutes and she went back to bed without any difficulty. She has had a previous history of anaphylactic reaction to atenolol and chlorthalidone, which do not appear to have a cross reaction to the vaccine. She is wondering if she should cancel her 2nd vaccine appointment and is concerned that she may not have full immunity with only 1 vaccine dose. Dr. recommends that she not receive the 2nd dose of COVID-19 vaccine.

Other Meds: amlodipine 5mg PO QD, aspirin 81mg PO QD, cholecalciferol 1,000

Current Illness:

ID: 1020417
Sex: F
Age: 25
State: CA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Lactose intolerant

Symptoms: Mild swelling in throat during 15 minute watch period. Stopped about 4 hours after.

Other Meds: Bupropion XR 150 mg

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm