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: 0926275
Sex: F
Age: 41
State: VT

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

Lab Data:

Allergies:

Symptoms: Body aches. Stayed home from work

Other Meds:

Current Illness:

ID: 0926276
Sex: M
Age: 58
State: IN

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

Lab Data:

Allergies: Benadryl

Symptoms: Ringing in the ears. lightheaded and dizziness. Having trouble concentrating.

Other Meds: Valsartan 320mg

Current Illness: Hypertension

ID: 0926277
Sex: F
Age: 60
State: MA

Vax Date: 12/23/2020
Onset Date: 12/27/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: COVID swab 12/27 negative COVID swab 12/30 negative

Allergies: none

Symptoms: sore arm for 48 hours after vaccine however the 1:30 AM 12/27, spiked a fever to 101.7 oral with generalized aches, pains and GI of diarrhea, loss of appetite. fever persisted for 48 more hours reduced fever by taking 220 mg naproxen every 12 hours. Had COVID nasal swab 12/27 and again on 12/30 BOTH NEGATIVE. No real respiratory symptoms. No contacts at home with COVID. Was not working since 12/23, wears surgical mask or N95 with all patient interactions ( patient is an allergist immunologist with medical group)

Other Meds: Pepcid 20 mg daily, flax seed, chondroitin sulfate, soluble fiber 2 tablets, Losartan 50 mg nightly Amlodipine 5 mg nightly, Divigel 1 mg/ml ,

Current Illness: none

ID: 0926278
Sex: F
Age: 35
State: CA

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

Lab Data:

Allergies:

Symptoms: Arm feeling hot and swollen and a low grade fever. Patient reports taking Tylenol and feeling better afterward

Other Meds: Multivitamins, Sertraine and Claritin as needed

Current Illness:

ID: 0926279
Sex: F
Age: 39
State: NJ

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

Lab Data:

Allergies: Latex

Symptoms: Hives and Itchiness

Other Meds: Tylenol, Benadryl, & Zrytec

Current Illness: N/A

ID: 0926280
Sex: F
Age: 34
State: NJ

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

Lab Data: n/a

Allergies: Sulfa medications

Symptoms: Approximately 4 hours after vaccine administration, I developed hives on my right arm. Afterward my eyes began to itch. The inner corners of both eyes swelled, along with upper and lower eyelids.

Other Meds: Vyvanse Toprol XL

Current Illness: n/a

ID: 0926281
Sex: F
Age: 60
State:

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

Lab Data:

Allergies:

Symptoms: Burning starting at left ear and radiating down to jaw.

Other Meds:

Current Illness:

ID: 0926282
Sex: F
Age: 39
State: NY

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

Lab Data: None , IV Benadryl and Solumedrol given,

Allergies: Copaxone allergic reaction

Symptoms: Increased heart rate, tongue and lip swelling, dizzyness, sweating.

Other Meds: Aubagio, Metoprolol, Sertraline, Gabapentin, Birthcontrol, Vitamin D, Lactobacillus

Current Illness:

ID: 0926283
Sex: M
Age: 31
State: NV

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

Lab Data:

Allergies: None

Symptoms: Administration error: Pfizer vaccine given as dose 1 on 12/17/2020, Moderna vaccine given as dose 2 on 1/7/2021.

Other Meds: None

Current Illness: None

ID: 0926284
Sex: F
Age: 40
State: IN

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

Lab Data:

Allergies:

Symptoms: Headache, Clammy Skin, Dizziness, Lower extremity Weakness

Other Meds:

Current Illness:

ID: 0926285
Sex: F
Age: 66
State: NV

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

Lab Data: None

Allergies: Anaphylaxis to bee stings, anaphylaxis to cephalexin, rash to ondansetron IV

Symptoms: The patient states on 12/18/2020 at approximately 1430 a rash on both arms appeared. The rash has lasted several weeks. The rash continues to be present on 01/06/2020. No itchiness. Patient also states on 12/18/2020 at approximately 1700, she started with chills which got progressively worse throughout the evening, fever (99.8 F), patient states this temperature is 'high' for her, body aches, shortness of breath and a cough. All these symptoms got worse enough where she thought she had to call 911. However, the symptoms eventually subsided that night and she did not need to call 911. The body aches, chills and "fever" lasted for about 2 days.

Other Meds: None

Current Illness: None

ID: 0926286
Sex: F
Age: 49
State: WI

Vax Date: 12/31/2020
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Raised, red, warm and itching at the injection site starting on 1-6-2021. No treatment 1-7-2021 same symptoms other than a little less itching

Other Meds: birth control pills (Emoquette) simvastatin 20 mg (Zocor) multi vitamin calcium supplement Osteo Bi-Flex

Current Illness: None

ID: 0926287
Sex: F
Age: 64
State: NY

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

Lab Data:

Allergies: no

Symptoms: Patient received vaccine at 1130 and immediately felt dizzy per patient. She did not state this to registered nurse at the time. Patient waited the 15 mandatory minutes and then reported back to work which is upstairs. At 1400 patient reported back down stating she had blurry vision. She was asked to sit and be monitored again and writer did this form. Patient stated her vision is blurry on and off and has not improved. Patient was evaluated and vital signs normal which patient concurred with. She was advised to follow up with primary or emergency care. Patients daughter works here as well and was agreeable to have patient be evaluated by HCP in ED to rule out any other causes.

Other Meds: mexotrexate, calcium with d, atorvastatin, prozac, propranolol, osteo biflex, fish oil

Current Illness: none

ID: 0926288
Sex: F
Age: 29
State: UT

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

Lab Data: N/A

Allergies: Nickel, NSAIDS, seasonal/environmental allergies; history of immunotherapy

Symptoms: generalized itchiness, itchy scratchy throat, vertigo. She was monitored for 2 hours and these symptoms resolved with 50mg oral Benadryl.

Other Meds: Claritin 10mg, Benadryl 50mg

Current Illness: None

ID: 0926289
Sex: F
Age: 57
State: FL

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

Lab Data: Positive strep throat

Allergies: None

Symptoms: Severe headache, severe sore throat, severe body aches

Other Meds: No

Current Illness: None

ID: 0926290
Sex: F
Age: 23
State: MI

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

Lab Data: CBC, CMP, Lactic acid, CT angiogram of thorax with IV contrast to R/O PE, EKG

Allergies: None known

Symptoms: Presented to ED 1/3/2021 Tachycardia, fever, headache and myalgia. Complaints of shortness of breath.

Other Meds: None

Current Illness: Covid positive within 3 weeks of vaccine

ID: 0926291
Sex: F
Age: 56
State: TX

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

Lab Data: none

Allergies: Sulfa, erythromycin, avocado

Symptoms: Extreme body ache, intermittent chills,

Other Meds: Amlodipine, Labetalol

Current Illness: none

ID: 0926292
Sex: F
Age: 58
State: OK

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

Lab Data: NONE

Allergies: NONE

Symptoms: NAUSEOUS, MUSCLE ACHE, FEVER, HEADACHE, SORE AT INJECTION SITE AND UNDER ARM AREA

Other Meds: SYNTHYOID, LEVERTHYROXIN, VALSARTIN, AMLODIPIN, FLUXETINE, DELUXETINE

Current Illness: NONE

ID: 0926293
Sex: F
Age: 55
State: IL

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

Lab Data: None at this time

Allergies: Lactose

Symptoms: Dizziness, slight headach and tiredness. The dizziness and started the day after 01-06-21 and the tiredness started 01-07-21. I, also, had a shingles vaccine 15 days prior to taking this vaccine which i told them about and wrote on my form.

Other Meds: Metformin, atorvastatin, triamterene-hctz, fluticasone propionate, breo ellipta 200/25, and albuterol

Current Illness: Asthma, hypertension, type 2 diabetes and hx of rectal cancer

ID: 0926294
Sex: F
Age: 45
State: OK

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

Lab Data: none.

Allergies: None.

Symptoms: 12/31/2020: Around 2pm, feeling dizzy and rapid heartbeat. 3:30pm, rapid heartbeat. 6pm rapid heartbeat 01/01/2021: 6am, rapid heartbeat. 8pm, rapid heartbeat 01/02/2021: 8am, rapid heartbeat. 2pm, rapid heartbeat 01/03/2021: 1:30pm, rapid heartbeat lasted until around 3pm. 01/04/2021: 7am, rapid heartbeat. around 8pm, rapid heartbeat. 01/05/2021: 10am rapid heartbeat The first two days I experienced the rapid heartbeat, I almost had an anxiety attack but I learned to breath through my nose and I would be okay after that. Today is January 7 and i haven't experienced anything in the last two days.

Other Meds: Singular, Wixela, Albuterol inhaler, Potassium, water pills and Centrum vitamins

Current Illness: None.

ID: 0926295
Sex: F
Age: 17
State: MN

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

Lab Data: none

Allergies: unknown

Symptoms: Patient was given Moderna vaccine, but was found that she was only 17 during billing process.

Other Meds: unknown

Current Illness: unknown

ID: 0926296
Sex: F
Age: 29
State: FL

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

Lab Data:

Allergies: Sulfa

Symptoms: Fever, chills, sweats, loss of appetite. Note: i previously had Covid in June 2020 so I wonder if that?s why I has a bigger reaction to the vaccine

Other Meds: Birth control

Current Illness:

ID: 0926297
Sex: M
Age: 38
State: CA

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

Lab Data: Not applicable

Allergies: No

Symptoms: Fever(38C), muscle aching, lethargy,

Other Meds: Multiple vitamin

Current Illness: No

ID: 0926298
Sex: F
Age: 55
State: IN

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

Lab Data:

Allergies: Iodine, Betadine, Bactrim, Adhesives (medical tape/bandaids), Pine sap/wood chips. Lots of pollen/seasonal allergies.

Symptoms: RED PRICKLY RASH STARTED AT BEDTIME. WAS AWAKENED WITH SEVERE ITCHING. IN THE MORNING, THE PRICKLY RASH WAS RED, HOT SWOLLEN ARE WITH A KNOT UNER THE SKIN.

Other Meds: Wellbutrin xl 150 mg, Claritin OTC, Benedryl OTC

Current Illness: None

ID: 0926299
Sex: F
Age: 29
State: UT

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

Lab Data: N/A

Allergies: Nickel, NSAIDS

Symptoms: Generalized itching, scratchy itchy throat, vertigo. She was monitored for 2 hours and symptoms resolved with 50mg oral benadryl

Other Meds: Claritin 10mg, Benadryl 50mg

Current Illness: None

ID: 0926300
Sex: M
Age: 31
State: NJ

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

Lab Data:

Allergies:

Symptoms: Facial palsy, feeling cold, oral numbness

Other Meds:

Current Illness:

ID: 0926301
Sex: F
Age: 38
State: NC

Vax Date: 12/21/2020
Onset Date: 12/23/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: right 2nd toe numbness that spread to great toe and then midfoot. The next day the left foot was numb. Some paresthesias in hands but that quickly resolved. Right foot still feels "asleep" most of the time, regardless of positioning. No weakness.

Other Meds: none

Current Illness: none

ID: 0926302
Sex: M
Age: 32
State: CA

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

Lab Data: n/a.

Allergies: Shells fish, bee stings, (an antibiotic), and a lot environmental allergies.

Symptoms: c/o "itchiness" on arm and back; observed red raised descending rash from nape of neck to lower back and banding clavicle area; elevated B/P 167/111 HR 89/79; became anxious and diaphoretic; declined treatment/transport to ED however agreed to walk over to ED accompanied by RN. Evaluated by ED Triage RN , not checked in ED. Also reported has chest tightness with reaction. Patients reported ED doctor told him to take Benadryl. But he was working and wanted to continue to work so took Zyrtec instead. Still have the rash just above the injection site?comes and goes.

Other Meds: Stopped taking in October-- Losartan. No others.

Current Illness:

ID: 0926303
Sex: F
Age: 38
State: CO

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

Lab Data: None

Allergies: Sulfa

Symptoms: After 1 week of no problems, Cellulitis in left hip (injection site) treating with Augmentin.

Other Meds: Elmiron, omeprazole, zyrtec, Wellbutrin, cymbalta, fish oil, probiotic, Vit D

Current Illness: None

ID: 0926304
Sex: F
Age: 75
State: FL

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

Lab Data:

Allergies: Codeine

Symptoms: Chills, headache, diarrhea, muscle pain 24 hours

Other Meds: Lisinopril/HTC20-12.5 ARMOUR Thyroid 60mg Metoprolol Tart 50mg Zyrtec Bayer Aspirin low dose

Current Illness: no

ID: 0926305
Sex: M
Age: 73
State: IL

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

Lab Data: None

Allergies: None

Symptoms: Injection Site: Swollen and Pain-it seems it lasts longer than 24 hours. At the time of this report, S/S still continue. Fever, Muscle pain, Malaise, Headache All longer than expected

Other Meds: None

Current Illness: None

ID: 0926306
Sex: F
Age: 22
State: VT

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: I received the Moderna COVID vaccine on 12/29. I had some minor swelling and soreness the first couple days after receiving the vaccine, but these symptoms both went away after a couple of days. A week later on 1/5, I noticed that the area where I had been injected was very swollen, red and itchy. It was localized to this year. There was some slight bruising around the top of where the swelling started. The area was not sore. There is still some redness and itching on 1/7 but the swelling has mostly gone down. I work in a community health center and had a PA I work with look at the reaction. I took some Benadryl as directed on 1/5 but have not treated the symptoms further.

Other Meds: ethinyl estradiol; norgestimate birth control

Current Illness: None

ID: 0926307
Sex: F
Age: 45
State: OH

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

Lab Data: none

Allergies: nka

Symptoms: woke up at 0400 on 1/7 with headache, low grade temp (99.8), chills, and as day went on I became nausea, tired and my joints in my hips ached along with my back and neck. I got home from work took 2 Tylenol and slept from 7pm till 4am on 1/8. on 1/8 I woke feeling back to normal minus some arm tenderness and a small red circle at injection site.

Other Meds: multi vitamin, v-d, omeprazole, iron, B12

Current Illness: none was positive for covid-19 10/10/20

ID: 0926308
Sex: F
Age: 53
State: ME

Vax Date: 12/25/2020
Onset Date: 01/02/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Arm became red, itchy and warm one week post vaccination

Other Meds:

Current Illness:

ID: 0926309
Sex: F
Age: 35
State: LA

Vax Date: 12/15/2020
Onset Date: 12/16/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: COVID PCR done, negative 12/17/2020

Allergies: None

Symptoms: Fever 102.4, severe fatigue, chills, aches, HA; Tylenol with reduced fever. Fever for 24 hours, symptoms gradually resolved in 3 days from initiation.

Other Meds: None

Current Illness: None

ID: 0926310
Sex: F
Age: 42
State:

Vax Date: 12/17/2020
Onset Date: 12/19/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: I had visual aura with migraine which is a normal event for me. This time, however, it was accompanied by confusion and memory loss that lasted about 15 minutes. I couldn?t say names of people known to me or read a list on my counter. In 25 years of migraines I have never had these symptoms with my migraine. I took an over the counter migraines medicine which resolved the symptoms.

Other Meds: None

Current Illness: None

ID: 0926311
Sex: F
Age: 43
State: VT

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

Lab Data:

Allergies:

Symptoms: Body aches and chills, no fever. Felt poorly. Sent home from her shift.

Other Meds:

Current Illness:

ID: 0926312
Sex: F
Age: 30
State: MI

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

Lab Data: NA

Allergies: NA

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Approximately 17 hours post vaccination, I woke with moderate body aches, moderate headache, moderate congestion, mild chills (NO fever), mild nausea, and significant overall fatigue. Symptoms ongoing for 8 hours, however chills and nausea are gone.

Other Meds: NA

Current Illness: Mild sinus congestion and pressure

ID: 0926313
Sex: F
Age: 46
State: MI

Vax Date: 12/22/2020
Onset Date: 12/26/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: Blood test, urine test, CT abdomen

Allergies: Medications (Amoxicillin, Ketoconazole)

Symptoms: I had abdominal cramps, generalized that lasted for two days. On the second day, went to ER. Then on the 3rd and 4th day, I had chest pain radiating to left arm and jaw. Fever and chills reported 100.2 in fever. Severe right arm pain. I have difficulty lifting objects. I have recovered from the chest pain and abdominal pain but the arm pain is still bothersome and continues to be hurtful.

Other Meds: Vitamin D., Vitamin C, Eldererry

Current Illness: No

ID: 0926314
Sex: F
Age: 33
State: IL

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

Lab Data:

Allergies: none

Symptoms: Pt stated that her arm started to fell heavy and then her chest, throat felt "itchy". Heart rate was 96-104, blood pressure 140/100, SpO2 100%. Rested with legs elevated. Benadryl 25 mg 1 tab given. Nurse Practitioner evaluated pt. Lungs clear, symptoms improved and was sent home after 1 1/2 hours.

Other Meds: unknown

Current Illness: unknown

ID: 0926315
Sex: F
Age: 58
State: MD

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

Lab Data: None

Allergies: None

Symptoms: Extreme sharp throbbing pain in left arm at injection site. Unable to move top half of my arm without stabbing pain. .Have to keep my arm straight at my side. I can bend at the elbow, as long as I don't move upper arm. Soreness from wrist to neck and shoulder. I first noticed the pain and stiffness about 5 hours after shot, and then it increased and was extremely painful and I was unable to sleep lying down. Had to sit up in a recliner most of the night. Arm continues to have sharp , stabbing, throbbing pain 24 hours later

Other Meds: Levothyroxine and Lexapro. Vitamin D3, B Complex, and iron.

Current Illness: None

ID: 0926316
Sex: F
Age: 55
State: NC

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

Lab Data: None

Allergies: Pine nuts

Symptoms: Swollen, sore lymph nodes

Other Meds: Escitalopram Bupropion Zyrtec Levothyroxine Saxenda

Current Illness: None

ID: 0926317
Sex: F
Age: 55
State: OH

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

Lab Data:

Allergies:

Symptoms: I awoke at 3:30am in severe, excruiting pain in entire left arm! I took some ibuprofen and propped arm on pillow to relieve pain. Did not work at all! Reported off of work at about 4am. Waited until appropriate hour and called Nurse Access hot line. I notified of symptoms of swelling of left side, face, neck, shoulder, arm to finger tips. itchy watery eyes , a little nausea and headache. Was advised to contact Doctor for appt. Doctor had no available appointments and advised to go to urgent care. Went to Urgent care and was treated with steroid shot and given Tylenol, benedryl, and Pepcid oral medications. Dr. prescribed prednisone 20mg twice daily along with Tylenol, Pepcid, Flonase, clariton and benedryl as nee

Other Meds:

Current Illness:

ID: 0926318
Sex: F
Age: 49
State: GA

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

Lab Data: None

Allergies: Brand Ultracet, Triptan family, Iodine, Shellfish & Chocolate

Symptoms: Nausea, Headache, Weakness, Shortness of breathing, elevated heart rate, light-headed. Just felt bad (Still having some of these problems)

Other Meds: Tylenol

Current Illness: Some headaches, shortness of breath, some dizziness

ID: 0926319
Sex: F
Age: 42
State: NH

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: N/A

Allergies:

Symptoms: On day 7 post injection- developed redness, swelling, itching and hard lump. On day 9 symptoms increased and size of redness spread to 3 inches in diameter.

Other Meds: Latuda Lithium Atorvastatin Pristiq CoQ10 Fish Oil Magnesium Turmeric

Current Illness:

ID: 0926320
Sex: F
Age: 44
State: WI

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

Lab Data:

Allergies:

Symptoms: Received Moderna vaccine on 12/28/20. Patient texted me a picture of her arm which is swollen, red and indurated. Induration measures 3x4 inches. Also complained of itching. Has used hydrocortisone cream with no improvement.

Other Meds:

Current Illness:

ID: 0926321
Sex: F
Age: 38
State: SD

Vax Date: 12/23/2020
Onset Date: 01/03/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Received Vaccination on 12/23/2020; mild headache and tiredness on 12/24 and 12/26. 1/3/2021 swelling, redness, and itching localized to injection site Sought medical advise on 1/6/2021; prescribed hydrocortisone 2.5%, Claritin, Pepcid and Benadryl

Other Meds: None

Current Illness: None

ID: 0926322
Sex: F
Age: 17
State: MN

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

Lab Data:

Allergies: unkown

Symptoms: Patient was 17 years old

Other Meds: unkown

Current Illness: unkown

ID: 0926323
Sex: F
Age: 50
State: ME

Vax Date: 12/27/2020
Onset Date: 01/03/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Site of injection became red, itchy, and warm with a hard spot

Other Meds:

Current Illness:

ID: 0926324
Sex: F
Age: 64
State: NY

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

Lab Data: None

Allergies: None

Symptoms: Five minutes after receiving the Pfizer Covid-19 vaccine, the pt. informed the RN that she was feeling "itchy" on her right arm, her right scapula and across her abdomen. She was given the vaccine in her left arm. The pt did not have any rash or hives noted. The PA spoke with the pt and 50 mgs Benadryl was given p.o.(@ 1450). The pt stayed to be observed and after an additional 40 minutes (@ 1531) she said she was feeling better and was going to her unit to work (eve shift). The pt. spoke to her Nurse Manager upon arrival back to her unit and was sent home instead of working. Her unit was called at 4pm and we were informed that the pt went home, as she was concerned of being too tired to work.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm