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: 0926429
Sex: F
Age: 45
State: PA

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

Lab Data: None

Allergies:

Symptoms: Patient called, stating swelling of arm and lymph nodes within 24 hrs of injection and lump at site. Applied ice and heat. States it is getting better but if "ball" does not get any better would like to be seen. Agreed with aptient

Other Meds:

Current Illness:

ID: 0926430
Sex: F
Age: 33
State: WA

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

Lab Data: diphenhydramine 50 mg given intramuscularly and will pretreat with oral benadryl prior to next dose

Allergies: shellfish, mango, peanuts

Symptoms: swelling of eyes 10 minutes post vaccination, then tongue swelling and tingling lips. no shortness of breath, Given IM diphenhydramine. Some improvement of swelling 20 minutes after diphenhydramine, swelling of tongue and lips totally resolved.

Other Meds:

Current Illness:

ID: 0926431
Sex: M
Age: 84
State: SC

Vax Date: 12/31/2020
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Loss of taste and smell for past 4 days

Other Meds: Celcoxib 200 mg, Citalopram 10 mg, Loratadine 10 mg, Losartan 100 mg, Metformin 1000 mg, Omeprazole 20 mg, Pravastatin 20 mg, Propranolol 120 mg

Current Illness: Beginning bronchitis

ID: 0926432
Sex: F
Age: 43
State: NY

Vax Date: 12/23/2020
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Latex

Symptoms: Itchiness, rash

Other Meds: Oral Contraception, Vyvance, Prozac

Current Illness: n/a

ID: 0926433
Sex: F
Age: 88
State: FL

Vax Date: 12/28/2020
Onset Date: 12/31/2020
Rec V Date: 01/07/2021
Hospital: Y

Lab Data: 2 CT scans showing large bleed. ,

Allergies: none

Symptoms: Hemmoragic Stroke. Began with vision difficulty in the morning. Then I noticed she had left sided neglect. Went to ER. Treated with Andresxa (to counteract Elaquis). In SICU for 2 nights then telemetry unit for 3 nights. CUrrently in Rehab.

Other Meds: Elequis, Amiodoron, pravastatin, losartin, synthroid, timalol

Current Illness: high bp, high cholesterol,

ID: 0926434
Sex: F
Age: 57
State: ME

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

Lab Data: 99% on pulse oximeter - 1/7/2021

Allergies: NONE REPORTED

Symptoms: After being given the vaccine the patient was asked to wait 15 minutes before returning to work. After 5-10 minutes she reported shortness of breath and an anaphylactic type reaction. Patient was administered an Epi-pen by a nurse and the facility, and reported feeling "a little better." She was also given oxygen and put on a pulse oximeter. Her O2 sat was 99% throughout. She reported before that she had no allergies and no adverse reaction to a vaccine in the past, but after this happened she said something similar also happened in the past with a flu shot. Patient believes this reaction was due to anxiety and not an allergy. 911 was called and arrived about 15-20 minutes after administration and patient was taken to the hospital. A nurse called the hospital 2 to 3 hours later and they reported she was "doing fine" and would be discharged home later today.

Other Meds: UNKNOWN, NONE REPORTED

Current Illness: NONE REPORTED

ID: 0926435
Sex: M
Age: 28
State: IN

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

Lab Data:

Allergies: None

Symptoms: I had diarrhea in the morning and then my symptoms progressed to include chills, body aches, lightheadedness, and fatigue. The injection site was also very painful. When I woke up this morning, I didn?t have any symptoms other than a little bit of fatigue and slight soreness in the injection site.

Other Meds: None

Current Illness: None

ID: 0926436
Sex: M
Age: 72
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: Besides just having a sore arm at point of injection, I have had a pox come up on my right forearm. I did have my first shingles shot on November 18th, 2020 at the clinic here. I think it is a single pox and thought I would bring it to your attention. I have had the shingles before so I know what they look like and feel like. Since there is only one, I don't plan on going to my dermatologist to confirm that it is a pox plus I am not sure if the Covid shot is a side effect that caused the pox or not. It is not painful although itching and not responding much to antiseptic cream. I plan to go for my second Covid shot on January 26 and I am looking forward to it. I don't go for my second Shingles shot until February 17. There is a possibility that it could be something else besides a pox but wanted to bring it to your attention just in case. Thanks.

Other Meds: Omeprazol, Simvastatin, Levothyricin

Current Illness: None

ID: 0926437
Sex: F
Age: 40
State: NE

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

Lab Data: None

Allergies: Sulfa, levaquin

Symptoms: 1/5/2021 - Day 1: R) deltoid pain at injection site around 1600, mild headache viewing around 2100 when going to bed. I took ibuprofen prophylactically to prevent pain getting worse. 1/6/2021- Day 2 around 00:00, I was woken up out of bed with severe body aches all over. Mostly to bilateral hip joints and lower. Arm pain and headache were barely noticeable d/t other pain. Pain radiated to arms down to both shins. It hurt to touch skin and took ibuprofen around 0130-0200. It was so bad I couldn't roll my body up without assistance and I'd need to use restroom for almost 2 hours at this point. Had to call out of work because I knew this pain wouldn't go away in a few hours in addition to lack of sleep, I knew it'd be better to rest with OTC, rest, And heating pad. Later this day I was still feeling the same, went to store to get something for body aches. It wasn't until I was in this store, when my left femur bone hurt so bad I had to grab onto a shelf. I felt my bone was about to break - scary. (My1 st time experience the bone pain symptom) Later at home same day, spent an hour going back and forth to bathroom with large loose/water diarrhea. I slept most of the day, as I was too fatigued to do simple tasks. Went to bed around 21:00 after taking ibuprofen, laying on heated and covered in electric blanket. 1/7/2020 woke up at 05:50 to get ready for work and instantly felt the pain again and headache, I'm usually not so tired after sleeping, so contributed that to same fatigue. Although is not pounding, still dull. 1/7/2021 0900 took my HCTZ, Propranolol, and Potassium. Today the pain is not as high, but better than yesterday. I expect to feel a lot better tomorrow to go into work.

Other Meds: None

Current Illness: None

ID: 0926438
Sex: F
Age: 25
State: OH

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

Lab Data: None

Allergies: None

Symptoms: Muscle aches, nausea, hot/cold sweats, cramping, aching joints

Other Meds: Zanaflex, Lexapro, propranolol, diclofenac, tylenol, montelukast, zyrtec

Current Illness: None

ID: 0926439
Sex: F
Age: 30
State: MN

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

Lab Data:

Allergies: Ibuprofen-hives

Symptoms: Injection site swelling, redness, itchiness lasting more than 1 week. Swelling and redness is splotchy and 1-2 inches surrounding injection site

Other Meds: Fluoxetine Spironolactone Viviscal B12 Vitamin

Current Illness: None

ID: 0926440
Sex: M
Age: 54
State: NY

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

Lab Data: None

Allergies: Amoxicillin

Symptoms: Cold sweats, fever of 100, pain the my joints

Other Meds: None

Current Illness: None

ID: 0926441
Sex: F
Age: 30
State: WI

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

Lab Data:

Allergies: Avocado, broccoli

Symptoms: I received my vaccination at my place of work. Local pharmacy came in to administer them. In less then a minute of recieving the vaccination I experienced a tightness in my chest and difficulty breathing. I told my symptoms to the pharmacist that was there. I had to take my mask off due to the difficulty breathing. I sat down and was trying to catch my breath. Roughly 10 -15 minutes passes then my throat began to swell. My extremities were feeling tingly and I was very dizzy. I sat with my neck extended to maintain my airway until they could locate some benedryl. My voice was wheezy when attempting to answer questions the pharmacist was asking. The pharmacist wanted to administer the EpiPen but I would not allow her to because then they would have to call 911. It took about 45 minutes in total to locate benedryl. I took 50 mg. Roughly 15 -20 minutes after taking the benedryl I was able to breath with ease. I waited about another 15 minutes at the facility to ensure I was ok. I was told I would not be recieving the second dose due to my anaphylactic reaction.

Other Meds: None

Current Illness: None

ID: 0926442
Sex: F
Age: 32
State: CO

Vax Date: 12/16/2020
Onset Date: 12/17/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever 101.2 and body aches the day after receiving vaccine.

Other Meds:

Current Illness:

ID: 0926443
Sex: F
Age: 25
State: MO

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

Lab Data:

Allergies: 1)fish -Shell fish allergy- Reaction listed: Anaphylaxis 2)heparin 3)iodine

Symptoms: Patient received Pfizer COVID vaccine intramuscularly in the right arm. Patient reported initially she has a shellfish allergy. Patient was being monitored in designated location when the patient reported her tongue was becoming numb and experiencing dizziness. Onset of symptoms was about 7 minutes after her shot. The patient denies difficulty breathing . Patient was sent to the emergency room where labs were drawn with no critical results. Patient was discharge on a medrol dose pack and discharged from the ED after feeling better.

Other Meds: Aspirin Fondaparinux Methylprednisolone Prenatal

Current Illness:

ID: 0926444
Sex: F
Age: 64
State: NC

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

Lab Data: EKG to evaluate presyncope

Allergies: losartan, prilosec

Symptoms: Flu-like illness (fevers, rigors, chills) and one episode of presyncope due to orthostatic hypotension upon getting up the day after the vaccine

Other Meds: calcium citrate, nexium, hctz

Current Illness: none

ID: 0926445
Sex: F
Age: 34
State: TX

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

Lab Data:

Allergies: None

Symptoms: Headache, chills and significant body aches (back, neck, arms, legs) starting about 4 hours after administration.

Other Meds: Daily women's vitamin Biotin supplement

Current Illness: None

ID: 0926446
Sex: F
Age: 56
State: OH

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

Lab Data:

Allergies: Sulfates, bandaids

Symptoms: Red welted area at site of injection. Hot and risen about 2x2inches

Other Meds: Warfarin

Current Illness:

ID: 0926447
Sex: M
Age: 56
State: MD

Vax Date: 12/31/2020
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Starting on 1/4/21 he began having a severe headache, extreme fatigue, vertigo and lower back pain. The symptoms lasted about 36 hours.

Other Meds:

Current Illness:

ID: 0926448
Sex: F
Age: 45
State: CA

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

Lab Data:

Allergies: unknown

Symptoms: During the vaccination step of injection, a leak was noted. Since there was vaccine liquid outside of the syringe, it was likely that less than the drawn up 0.5 ml was given to the patient. Patient was notified of incomplete dose and told that she would need to be revaccinated. She verbalized understanding and was re-vaccinated with correct dose. Patient had no signs or symptoms of any adverse reaction during the 15 min post vaccination holding period.

Other Meds: unknown

Current Illness: unknown

ID: 0926449
Sex: M
Age: 23
State: NC

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

Lab Data: None

Allergies: not available

Symptoms: Patient described dizziness, decreased heart rate (67 bpm). Thought may be anxiety driven but had patient put feet up and wait an additional 15 minutes. Lasted less than 30 minutes, patient stated fine and left clinic shortly after 30 minutes.

Other Meds: not available

Current Illness: not available

ID: 0926450
Sex: F
Age: 34
State: VA

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

Lab Data: None

Allergies: None

Symptoms: The sight of the injection is red, spreading, hot, and tender. From yesterday to today, the sight has swollen and doubled in size of turning red.

Other Meds: Prozac

Current Illness: COVID 19

ID: 0926451
Sex: M
Age: 41
State: CA

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

Lab Data:

Allergies:

Symptoms: Sore swollen throat Fatigue Sore arm

Other Meds:

Current Illness:

ID: 0926452
Sex: F
Age: 64
State: MO

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: none

Allergies: no

Symptoms: At twelve hours post injection I awoke with severe chills even though I did not have a temperature. After taking 1000 mg of Tylenol the chills past in approximately an hour. The rest of the day I had extreme fatigue, headache, lethargy, and loss of appetite. By the next morning I still had the fatigue and weakness which improved gradually over the next 12 hours.

Other Meds: Toprol 100 mg daily, Protonix in AM, Norvasc 5 mg. daily, Loratidine 10 mg at hs, Myrbetriq 25 mg. at hs, Calcium with Vit D 600 mg at HS, Cranberry

Current Illness: no

ID: 0926453
Sex: F
Age: 40
State: GA

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

Lab Data: NONE

Allergies: NO

Symptoms: 1 WEEK POST-VACCINATION, WARM, RAISED, RED ITCHY 4X4CM AT INJECTION SITE

Other Meds: CARDIZEM JANUNET BIRTH CONTROL TRINTELIX ADDERALL

Current Illness: NO

ID: 0926454
Sex: F
Age: 62
State: FL

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

Lab Data: Surgery 1/6/2021

Allergies: Avelox, Dilaudid, Percocet, Pylera

Symptoms: Following vaccination the patient had progressively worsening abdominal pain over the next 24 hours. Presented to the ER and was initially thought to have appendicitis. However, it was then discovered during surgery that the appendix was surgically absent. The surgeon did not that the patient did have a "Round, infarcted ligamentous tissue was wrapped around ascending colon. "

Other Meds:

Current Illness:

ID: 0926455
Sex: F
Age: 42
State:

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

Lab Data:

Allergies:

Symptoms: 1300 vaccine received 1310 pt reported feeling dizzy. VS 97.6, BP 134/83, HR 68 O2 99% room air. 1315- persistent dizziness, first responder called and patient transferred to bed. 1318: VS O2 100% room air, HR 85, BP 165/89, temp 97.1 1319: First responder team arrived. Patient denied needing to be seen in the ED. 1320-1330 patient continued to lay supine. At 1330, patient was able to sit and dangle with no dizziness. Shortly after, patient ambulated and felt fine. Patient discharged from clinic and told to report to Employee Health or ED if symptoms return, or new symptoms occur.

Other Meds:

Current Illness:

ID: 0926456
Sex: F
Age: 30
State: MO

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

Lab Data: Was tested for COVID-19 rapid and antibody test, both were negative on Jan 5, 2021.

Allergies: None

Symptoms: Started having severe chills on saturday Jan 2, 2021 resolved with acetaminophen and rest. The next day it kept coming back and more symptoms became present. Symptoms: chills, fever (100.7F), diarrhea, shortness of breath, cough, fatigue, muscle and body aches all over and loss of appetite. OTC meds have helped, but does not resolve. Still unable to get out of bed or function due to severity of cough and shortness of breath as of today Thursday Jan 7th, 2021. This has been going on for 6 days now.

Other Meds: acetaminophen

Current Illness: None

ID: 0926457
Sex: F
Age: 32
State: VA

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: Pommelo

Symptoms: L arm muscle achiness, mild fatigue, mild headache- completely resolved 36 hrs after administration. No treatment.

Other Meds: Prenatal vitamins

Current Illness: None

ID: 0926458
Sex: F
Age: 45
State: PA

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

Lab Data:

Allergies:

Symptoms: patient called stating she had swelling of arm with lymph nodes.

Other Meds:

Current Illness:

ID: 0926459
Sex: F
Age: 34
State:

Vax Date: 12/27/2020
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Arm pain, induration, and erythema at injection site 1 inch appeared 8 days after vaccine.

Other Meds:

Current Illness:

ID: 0926460
Sex: F
Age: 74
State: KY

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

Lab Data: none

Allergies: allergy to nickel, codeine, ultram, all pain medicines, tylenol

Symptoms: had COVID in October and got doses of plasma. started about midnight after the vaccine: Fever 101.9, shaking, O2 sast 80s, hr 120, arms and leg joint ached terribly, headache.

Other Meds: prednisone 2.5mg

Current Illness:

ID: 0926461
Sex: F
Age: 44
State: AR

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

Lab Data: none

Allergies: none

Symptoms: Pfizer BioNTech COVID 19 vaccine EUA- Chills, nausea, muscle aches, headache. Motrin 400 mg taken Q4-6 hours

Other Meds: Zoloft, Metoprolol

Current Illness: none

Date Died: 01/05/2021

ID: 0926462
Sex: M
Age: 91
State:

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
Hospital: Y

Lab Data:

Allergies: no known food or medication allergies

Symptoms: Patient developed hypoxia on 1/4/2021 and did not respond to maximal treatment and passed way on 1/5/2021

Other Meds: Lorazepam, pantoprazole, miralax, senna plus, carbodopa-levodopa, metoprolol, mirtazipine, quetiapine

Current Illness: dementia, Upper gastrointestinal bleed

ID: 0926463
Sex: F
Age: 42
State: WA

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

Lab Data: none

Allergies: none

Symptoms: Tingling/numbness in neck, throat and roof of the mouth. Heart Palpitations

Other Meds:

Current Illness: none

ID: 0926464
Sex: F
Age: 47
State: OK

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

Lab Data:

Allergies: Keflex, theophylline, sulfa drugs.

Symptoms: 7 days post injection, red, itchy lumps appeared at the injection site. Day 8 post injection, diffuse swelling, but no longer multiple lumps. Area measures approximately 2.5x1.5 inches, is uniformly inflamed, uneven circular shaped, and is bright red. Redness has spread slightly since onset likely due to gravity (downward migration is slight). Day 2 experienced extreme fatigue, no other symptoms Day 3 sore at the injection site, no other symptoms Day 4 sore at the injection site, no other symptoms Days 5-7 no symptoms.

Other Meds: none

Current Illness: None.

ID: 0926465
Sex: F
Age: 41
State: AL

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

Lab Data: Covid test - negative

Allergies: Sulfa, ceclor

Symptoms: 24 hours post-vax woke with severe dizziness severe, fatigue, and muscle aches. Fever from 12/21 -12/22 21, peak temp 102.9. However, I am breastfeeding and suspect I may have had mastitus. Took measures to hydrate and express milk to ensure that was treated. Spoke to NP in the ER unit, did not take prescribed meds since fever broke.

Other Meds: Post natal vitamins

Current Illness: No

ID: 0926466
Sex: F
Age: 55
State: RI

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

Lab Data:

Allergies: Losartan

Symptoms: Patient reported rapid and immediate fatigue post vaccination and nose bleed. Patient oxygen saturation rate remained over 95% during 3 hours of monitoring post injection. One hour post injection patient noted right sided frontal headache that did increase in severity. Patient BP increase to 151/88 and was 130/80 at discharge

Other Meds: fluoxetine, trazadone, ibuprofen, vitamin

Current Illness: HTN

ID: 0926467
Sex: F
Age: 64
State: WV

Vax Date: 12/30/2020
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: left deltoid swollen, red and painful. No bruising

Other Meds:

Current Illness:

ID: 0926468
Sex: F
Age: 42
State: OH

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

Lab Data: No

Allergies: Rubber, multiple antibiotics, preservatives

Symptoms: Night of vaccination approx. 4 hours after began feeling flushed, dizziness, arm soreness, severe body aches, nausea. Continued through night worsening on/off with chills. Had episode for 4 hours where had numbness in hands bilat. Still feels fatigue, achiness today. Attempted to work today but kept getting flushed and dizzy so was sent home.

Other Meds: Lodine, Zyrtec

Current Illness: No

ID: 0926469
Sex: F
Age: 47
State: OK

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

Lab Data: n/a

Allergies: iodine contract

Symptoms: approximately 30 minutes after administration of vaccine, patient experienced tingling throat, cough and self-reported flushing. She was given Benadryl 50mg

Other Meds: unknown

Current Illness: unknown

ID: 0926470
Sex: F
Age: 28
State: CA

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

Lab Data: 1/7/20 - CBC, CHEM 7, TROPONIN, COVID-19 SWAB

Allergies: REGLAN

Symptoms: Pt c/o shortness of breath 2.5 hours after vaccine. Also reports hives, headache, dizziness and nausea since last night.

Other Meds: N/A

Current Illness: N/A

ID: 0926471
Sex: F
Age: 39
State: AL

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

Lab Data: 1/7/2021-saw eye dr. No problems with eye. Definite allergic type reaction

Allergies:

Symptoms: Right eye itching, swelling, watering

Other Meds: Lisinopril, ozempic, atorvastatin, celexa, ibuprofen

Current Illness:

ID: 0926472
Sex: F
Age: 48
State: PR

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

Lab Data:

Allergies: NKA

Symptoms: After 10 minutes of vaccine administration patient report metallic taste, she was oriented to stay in the observation area of the vaccine administration site for 10 additional minutes. At 12:00pm patient report throat itching "like chocking". Shock anaphylactic code (RR) was activated. At 12:03pm Epinephrine 0.3mg/1ml was administrated to the left thigh. Venous access was obtained and Solu-Cortef 200mg, Benadryl 50mg and O2 were administrated. Patient vital signs were blood glucose 121mg/dl, Oxygen Saturation 100%, BP 150/90 mmHg. Patient was transfer with the RR code team to the ER for observation.

Other Meds: Neurontin 300mg Cataflan 50 mg

Current Illness: None

ID: 0926473
Sex: F
Age: 30
State: SD

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

Lab Data: xrays 12/31/2020 (orthopedic provider recommended) MRI 12/31/2020 (orthopedic provider recommended) upcoming surgical consultation d/t this ongoing issue

Allergies: Morphine Tomatoes

Symptoms: When vaccine was administered, seemed high on my arm. I had immediate soreness and shoulder discomfort, I was told this was normal. It continued to progress and I eventually had decreased ROM, weakness and sharp shooting pain in my shoulder. Working at OI, I consulted provider, xrays were obtained and I was evaluated. He strongly suggested an MRI be obtained as well. That was completed the same day as my evaluation on 12/31/2020 (1 week and 2 days after the vaccine was administered). The provider informed me that they have had patients with similar situations that were evaluated for frozen shoulder after having a vaccine d/t administration site and vaccine going into subacromial space. He does report that this was my case/situation, upon my exam, I had severe inflammation with this as well-he is now having me follow up for a surgical consultation for my shoulder to be repaired. Today's date is 1/7/2021, I have these same ongoing symptoms that have continued since day of administration, without diminishing in severity. He is unable to provide an injection d/t my upcoming second dose of the COVID vaccine this next week, 1/12/2021. He strongly suggests that my 2nd vaccine be administered elsewhere-advised NOT be administered in the same shoulder OR in opposite to cause these symptoms to flare. He advised in gluteus if possible to avoid any further issues if at all possible.

Other Meds: Novolog, Trokendi, Metoprolol, Biotin, Vitamin D, Vitamin C, Potassium

Current Illness:

ID: 0926474
Sex: F
Age: 25
State: MN

Vax Date: 12/29/2020
Onset Date: 01/03/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: Hives over entire body started Sunday night (01/03/2021). No change in hives, worsening with heat and at night. Was seen in urgent care (on 01/05/2021) and given a topical cream (Triamcinolone Acetonide) that did nothing. Seen by dermatologist (1/07/2021) and given IM steroid injection and a methylprednisone pack for 6 days. Symptoms improved with IM injection. But still in the process of completing the steroid pack.

Other Meds: Junel Birth Control Vitamin B12

Current Illness: n/a

ID: 0926475
Sex: M
Age: 21
State: AZ

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

Lab Data: EKG (1/5/2021), CHEST X-RAY (1/5)

Allergies: NONE THAT IS AWARE OF

Symptoms: RASH AT SITE, SHORTNESS OF BREATH, DIZZINESS, INCREASED HEARTRATE, T-101, CHILLS

Other Meds: NONE

Current Illness: NO COVID POSITIVE ON 12/7/2020

ID: 0926476
Sex: F
Age: 43
State: ME

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

Lab Data:

Allergies:

Symptoms: Mild headache and eye floaters in left eye only

Other Meds: Biotin, multi-vitamin, Veranique

Current Illness:

ID: 0926477
Sex: F
Age: 42
State:

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

Lab Data:

Allergies:

Symptoms: Delayed (7 days) injection site swelling, induration, heat.

Other Meds:

Current Illness:

ID: 0926478
Sex: M
Age: 59
State: NY

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

Lab Data: none

Allergies: sensitive to ASA

Symptoms: Sore arm, tingling in hand and fingers. severe nausea and head ache. fatigue

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm