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: 0926633
Sex: F
Age: 61
State:

Vax Date: 12/30/2020
Onset Date: 01/03/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: allergies to kiwi allergies to latex

Symptoms: Hematoma at the site of injection after 3 days.

Other Meds: none

Current Illness: none

ID: 0926634
Sex: F
Age: 35
State: MA

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

Lab Data: N/A

Allergies: N/A

Symptoms: Fatigue, headache and muscle pain (on site of injection).

Other Meds: Sertraline, HCl 25mg

Current Illness: N/A

ID: 0926635
Sex: F
Age: 29
State: CO

Vax Date: 12/16/2020
Onset Date: 12/18/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I received the pfizer COVID vaccine Wednesday 12/16. I noted an erythematous raised warm painful confluent blanching rash on 12/18. So far I have not has SOB, fatigue, N/V - any other systemic sx.

Other Meds:

Current Illness:

ID: 0926636
Sex: F
Age: 36
State: PA

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

Lab Data: Patient was observed for adverse events after administration

Allergies:

Symptoms: Moderna COVID?19 Vaccine EUA Moderna vaccine vial was opened on 12/30/2020, and the vial was placed back into the fridge later that afternoon, like 2-3 hours after puncture. The opened vial was reused for this patient the next morning for an injection when it should have been discarded. No adverse events occurred

Other Meds:

Current Illness:

ID: 0926637
Sex: F
Age: 55
State: CT

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

Lab Data: covid test 1/7/21

Allergies: Asprin, penicillin,

Symptoms: 12 hours after injection I had chills, body aches, fever, headache, nausea, vomited, diarrhea. Temperature was in the 101.5 range for more than 24 hours, About 30 hours with a fever.

Other Meds: synthyroid

Current Illness: Nothing

ID: 0926638
Sex: F
Age: 38
State: VA

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

Lab Data:

Allergies: Shellfish

Symptoms: 5days after the shot had raised rashes right below the injected site and itchy. 2 days later the raised area has flattened but the rash site got bigger and less itchy.

Other Meds: Only vitamins

Current Illness: Acid reflux

ID: 0926639
Sex: F
Age: 56
State: MA

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

Lab Data:

Allergies:

Symptoms: C/O left arm pain radiating down arm and up neck; pointed to mid-sternal area and reported "chest twinge". Radial pulse measured 88- pulse felt weak. Brought over to EMS for evaluation, monitor shows HR 87, BP 185/98 (160/88 manual), O2 99% on RA. HR came down to 79, BP 142/80. Around 0910 c/o nausea and dizziness. 0915 called daughter to drive her home, refused to transfer with EMT to hospital.

Other Meds:

Current Illness:

ID: 0926640
Sex: F
Age: 43
State: NC

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

Lab Data: Unknown

Allergies: None

Symptoms: Dizzy, lightheaded, shortness of breath, tachycardic Vaccine given at approximately 1612 Benadryl given at 1614. 1615 Epi in L thigh. Pt transported to ED by wheelchair

Other Meds: Unknown

Current Illness: Unkown

ID: 0926641
Sex: F
Age: 47
State: MO

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

Lab Data: None

Allergies: Wellbutrin and Trazadone hives

Symptoms: Pt phoned in to clinic with complaints of severely swollen, red, itchy, tender left upper arm. Pt denies any systematic reactions at this time. Referred to follow-up with PCP, pt stated she is going to send him a picture of her arm per MD request. Per pt, Dr. instructed her to elevate, ice, and to take ibuprofen/anti-histamine as well. Pt stated it started getting much better last night and is going to follow-up with PCP for order to continue series or not.

Other Meds: Vitamin D, Flonase, and Zyrtec

Current Illness: None

ID: 0926642
Sex: F
Age: 49
State: NJ

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

Lab Data:

Allergies: Tetanus and sulfa allergy listed with reported hives reaction

Symptoms: Patient reports arm became numb right after receiving the COVID-19 vaccine. Two hours later patient reports the numbness being limited to the bottom of the arm and hand. Patient states to being able to use hand but reports there is numbness and tingling.

Other Meds:

Current Illness:

ID: 0926643
Sex: F
Age: 41
State: MI

Vax Date: 11/29/2020
Onset Date: 01/02/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Insomnia lasting for 5 days at this time an continuing

Other Meds: Vitamin c, zinc

Current Illness: None

ID: 0926644
Sex: F
Age: 64
State: IL

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

Lab Data: none reported

Allergies: NKDA

Symptoms: Pt reports running a temperature of 102.5 with chills that started at about 1700 and lasted 10-12 hours. After temperature lowered to "low grade temp" and patient reported fatigue for 2-3 days. Also reported "lymph glands" swollen in right side of neck, right axillary area and tenderness extending down right arm to elbow. Symptoms have resolved at this time.

Other Meds: Losartan Bid

Current Illness: none reported

ID: 0926645
Sex: F
Age: 43
State: OH

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

Lab Data: Telehealth Visit 1/6/21

Allergies: Bactrim and Penicillin

Symptoms: I received Moderna dose 1 on December 29th, 2020 around 10:30 a.m. I did experience chills, body aches, extreme fatigue, pain and swelling at injection site for about 36 hours. However, symptoms seems to resolve after a couple of days. On Tuesday, January 5th around 5 p.m. at the injection site in my right arm it began to itch. By 9 p.m. I had a huge red circle around 3 inches in diameter around the injection site, it was sore, swollen, warm to the touch. itchy and lymph nodes under right axilla were swollen. I contacted my Dr. immediately the morning of Wednesday, January 6th and after assessing me she felt it was a skin infection. She prescribed Doxycycline antibiotic and Zyrtec by day, Benadryl by night. I began the antibiotic treatment with first dose on 1/6/21 at 1:30 p.m., dose 2 9:00 p.m. and dose 3 on Thursday, January 7th 2020 around 8:00 a.m. I have responded well to the treatment and already my arm is much improved. My Dr. felt it could have been the technique of the administration of the vaccine that caused infection. However, I wanted to report in case anyone else with this batch also experienced similar response.

Other Meds: Women's Vitamin

Current Illness: None

ID: 0926646
Sex: M
Age: 51
State: CA

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

Lab Data: Full blood count work up, chest x rays, ekg, on Day 4, Jan. 3, 2021 Covid-19 test Jan. 3 was negative Rapid COVID-19 test Jan 4 was negative

Allergies: Seasonal allergies, flu shot, codein, mild wheat

Symptoms: 25min after. Rapid heart rate, drop in blood pressure ER visit 1 Day 1-3headache, neck ache Day 4 heart palpitations/dizziness ER visit 2 Day 5 Heart palpitations/dizziness ER visit 3 Day 6 mild heart palpitations, bone aches in left ankle Day 7 general weakness, aching joints, tired all week, ankle still aches

Other Meds: Symbicort, multivitamin, potassium

Current Illness: N/A

ID: 0926647
Sex: F
Age: 67
State: IL

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

Lab Data:

Allergies: Ancef

Symptoms: 100 degree fever, body aches, chills, insomnia overnight. Other symptoms still persist . I was unable to work today as scheduled due to these symptoms.

Other Meds: Metoprolol tartrate 25mg BID

Current Illness: None

ID: 0926648
Sex: F
Age: 24
State: NM

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

Lab Data: None

Allergies: Amoxicillin, Bactrim

Symptoms: Rapid heart rate >170, flushing, chills, shaking, increased blood pressure

Other Meds: None

Current Illness: None

ID: 0926649
Sex: M
Age: 51
State: IL

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

Lab Data: NONE

Allergies: NONE

Symptoms: PAPULAR RASH/DERMATITIS AFFECTING BOTH UPPER EXTREMITIES, NECK AND BEHIND EARS, HAPPENED 3.5 HOURS AFTER THE DOSE

Other Meds: NONE

Current Illness: NONE

ID: 0926650
Sex: F
Age: 53
State: OH

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

Lab Data: None

Allergies: None

Symptoms: Soreness to left arm and neck, extreme itching of hands and feet, feeling of being on fire from inside/out, fatigue. Treatment: Tylenol and Benadryl. Lasting 2 days.

Other Meds: None

Current Illness: None

ID: 0926651
Sex: F
Age: 57
State:

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

Lab Data:

Allergies:

Symptoms: pt c/o tingling in B/L arms and head. pt stated she was a "bit" dizzy at first but sx subsided. Pt sat in view of Rn for extended time period. VS 198/108 HR92 SPO2 97. Pt VS rechecked BP 148/90 SPO2 97 HR 94 pt stated she felt better. Pt ambulated independently, RR even and unlabored, NAD noted, Skin NFR. Pt declined transport to ED.

Other Meds:

Current Illness:

ID: 0926652
Sex: F
Age: 30
State: WI

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

Lab Data: none

Allergies: Seasonal

Symptoms: One hour after administration adverse events noticed: major headache that continued on and off for 7+ days, metallic taste with fullness of throat on and off for a few days, following day neck and upper shoulder soreness on and off for 7 + days, general fatigue on and off for 7+ days

Other Meds: Vaginal Progesterone

Current Illness: None

ID: 0926653
Sex: F
Age: 28
State: KS

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

Lab Data:

Allergies:

Symptoms: Patient received the Moderna COVID vaccine and 24 hours later her eyelids were puffy. She had also experience puffy eyelids when she had COVID. At that time, she sought medical guidance and everything else was ruled out. No itching and no watery eyes.

Other Meds:

Current Illness: Had COVID 90 days prior and experience eyelid swelling for 6 weeks with it.

ID: 0926654
Sex: F
Age: 56
State: ME

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

Lab Data:

Allergies: lortab, potassium cultivate, red dye, aspirin, azithromycin (and others that she was unable to remember)

Symptoms: 50 minutes after administration of the vaccine, the patient started to feel like her throat was somewhat itchy and tight. There was no wheezing or difficulty breathing. IM benadryl was administered immediately, and blood pressure taken--which was found to be elevated. Blood pressure continued to elevate further to the 180s/110s, and patient developed a "pounding headache" She also complained of pressure behind her eyes and "a funny feeling in my face" (bilateral). She was given 0.1mg of clonidine and was taken to the hospital by EMS

Other Meds: Amlodipine, Dexilant, hydroxychloroquine, lisinopril, tizanidine

Current Illness: none

ID: 0926655
Sex: F
Age: 59
State: FL

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

Lab Data: CBC, CMP, Cardiac Enzymes, Glucose, EKG

Allergies: NKDA

Symptoms: Dizziness, generalized weakness, and palpitations, and chills.

Other Meds: ESTRADIOL 0.01% VAGINAL (ESTRACE 0.01% VAGINAL) 2 GM VAGINAL DAILY CYANOCOBALAMIN (VITAMIN B-12) 1,000 MCG IM DAILY HYDROmorphone (DILAUDID) 2 MG PO Q4H PRN traMADol (ULTRAM) 50-100 MG PO Q6H PRN ENOXAPARIN (LOVENOX) 40 MG SUBQ DAIL

Current Illness: Unknown

ID: 0926656
Sex: F
Age: 51
State: MD

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

Lab Data: NONE

Allergies: NONE

Symptoms: Patient reported she felt her blood pressure was going down 8 minutes after getting vaccinated. Patient complained of dizziness and palpitations. Vital signs were checked: 190/100(L) PR 121 HR was regular. RR 20 BT 98.2.. Rechecked blood pressure: 160/98(R) PR 72. Called 911 at 3pm, and the patient reached her family. Rescue squads arrived at 3:08pm. Patient sent to Shady Grove Hospital with ambulance..

Other Meds: NONE

Current Illness: NONE

ID: 0926657
Sex: F
Age: 58
State: PA

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

Lab Data: None

Allergies: Sulfa

Symptoms: Tired, nausea, muscle soreness, shivering, mild headache, shivering, stomach pain, low grade temp (99.9F), red, sore, swollen injection site for 3 days.

Other Meds: Magnesium, B100, Vitamin D3, Probiotic

Current Illness: None

ID: 0926658
Sex: F
Age: 41
State:

Vax Date: 12/26/2020
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Delayed onset (9 days) injection site induration.

Other Meds:

Current Illness:

ID: 0926659
Sex: F
Age: 45
State: NY

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

Lab Data: None

Allergies: Tree Nuts, Shellfish

Symptoms: Patient complained of having an itchy throat. Patient seen by Resident and examined. Vital signs stable. Patient given Benadryl for itchy throat.

Other Meds:

Current Illness:

ID: 0926660
Sex: M
Age: 55
State: MO

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

Lab Data:

Allergies: none

Symptoms: chills and body aches

Other Meds:

Current Illness:

ID: 0926661
Sex: F
Age: 57
State: KS

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

Lab Data: None

Allergies: No known allergies

Symptoms: Reported Chilling and headache for approximately 8 hours.

Other Meds: Unknown

Current Illness: none

ID: 0926662
Sex: F
Age: 32
State: MO

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

Lab Data:

Allergies:

Symptoms: Local reaction because vaccine was given SubQ not IM

Other Meds:

Current Illness:

ID: 0926663
Sex: F
Age: 41
State: CO

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

Lab Data: N/a

Allergies: PCN Aspirin

Symptoms: Fever, chills, body aches, ( muscle and joint pain), pain at injection site, nausea, 1 episode of vomiting, abdominal pain

Other Meds: Advair Allegra Ventolin Multivitamin

Current Illness: N/a

ID: 0926664
Sex: F
Age: 38
State: FL

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

Lab Data:

Allergies: none

Symptoms: left foot swelling and pain

Other Meds: none

Current Illness: none

ID: 0926665
Sex: F
Age: 31
State: FL

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

Lab Data: Mild tachycardia on vital signs. P=103, BP=137/84, O2 99% RA

Allergies: Denies

Symptoms: Facial flushing with extension to anterior neck approximately 10 minutes status post vaccination. Mild pruritis forehead reported. Denies SOB and other symptoms. Epinephrine x 1 administered 15 minutes after vaccination left thigh. After epinephrine felt better and transported to ER via ambulance without incidence.

Other Meds: None listed

Current Illness: Denies

ID: 0926666
Sex: F
Age: 61
State: PA

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

Lab Data:

Allergies: topamax, levothyroxine

Symptoms: left fingers felt cold and numb slightly light headed Felt 'goofy' and headache still feeling the same today - did register for V-safe

Other Meds: amlodipine, propranolol

Current Illness:

ID: 0926667
Sex: F
Age: 21
State:

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

Lab Data: Patient was COVID positive.

Allergies: Latex

Symptoms: Pt received Pfizer-COVID vaccine (under EUA) yesterday 16 Dec 2020 at approx 1700. She did not have any immediate problems after vaccination. . She woke up today feeling achy and feverish, and measured her oral temp at 1000 as 101.4 at home. She drank fluids, but took no meds -- repeat oral temp at 1200 was 99.0. . Other sxms include sore arm at vaccination site with min redness but no swelling. . She additionally reports nasal congestion and sore throat that began 1 day prior to vaccination, that she attributed to her seasonal allergies. No meds for allergies. No cough or SOB. No headache or neuro sxms. No GI sxms. . She was concerned about fever and went to drive-thru COVID testing at approx 1300... results due back in 24h. She has no known COVID contacts. . She works in sterile processing at NMCSD with no direct patient contact usually; She is on night shift now. - Fever and achy symptoms, as above, in previously healthy hospital worker, with onset approx 18h after receipt of COVID-Pfizer vaccine, dose #1. With questionable URI-like sxms one day prior to vaccination, COVID testing was very reasonable -- and results are pending now. If COVID test negative, this most likely represents mild-moderate systemic reaction to vaccine. Advised no work this evening, rest at home, increase clear fluids, and take Motrin 400mg q4-6h as needed for subjective fever or achiness -- use/precautions reviewed. Will follow-up tomorrow with this team by phone. If vaccine reaction, expect sxms to lessen rapidly and resolve over next 1-2 days. Indications for urgent care -- including marked worsening of sxms or new sxms -- reviewed. She also has number for 24/7 Immunization Support. Will file VAERS, since work missed for sxms. Will encourage enrollment in VSAFE as well. Advised that, if mild-moderate systemic reaction determined most likely source of sxms, dose #2 of COVID-Pfizer vaccine will still generally be recommended. Pt expresses understanding and appreciation of all issues.

Other Meds: Detrol

Current Illness: URI symptoms prior to vaccine.

ID: 0926668
Sex: F
Age: 44
State: FL

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

Lab Data:

Allergies:

Symptoms: Shingles outbreak with no previous history

Other Meds:

Current Illness:

ID: 0926669
Sex: F
Age: 39
State: MO

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

Lab Data:

Allergies: Aspirin, Latex, Adhesives

Symptoms: Presented to ER 12/31/2020 red rash to chest, arms became splotchy, cough and shortness of breath. 25mg Benadryl and 1000mg Tylenol administered Chest x-ray completed-No acute intrathoracic process. RX for Prednisone 50mg PO daily for 5 days given

Other Meds:

Current Illness:

ID: 0926670
Sex: F
Age: 33
State: VA

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

Lab Data: None

Allergies: Pommelo

Symptoms: Moderate headache, back pain, R arm muscle soreness, moderate fatigue, loss of appetite, hot flashes/chills alernating

Other Meds: Prenatal vitamins

Current Illness: None

ID: 0926671
Sex: F
Age: 26
State: CO

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

Lab Data:

Allergies:

Symptoms: I experienced side effects from the COVID vaccine, including notable fatigue, chills/shaking, body aches for approximately 2 days. The third day I woke up without any symptoms.

Other Meds:

Current Illness:

ID: 0926672
Sex: F
Age: 47
State: MO

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

Lab Data: none

Allergies: Hives with Wellbutrin and Trazadone

Symptoms: Pt phoned into clinic with complaints of severely swollen, red, itchy, tender left upper arm a week after receiving vaccination. Referred to follow-up with PCP. Pt stated she did phone MD, however was not seen in office. Pt stated, her PCP wanted her to take a picture and send; she was also instructed to elevate, ice, and take ibuprofen/antihistamine for relief. Pt arm started to improve last night with no systematic problems at this time. Following up with PCP regards continuation of vaccination series.

Other Meds: Vitamin D, Flonase, and Zyrtec

Current Illness: No

ID: 0926673
Sex: M
Age: 30
State: KS

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

Lab Data:

Allergies:

Symptoms: Tuesday- Headache, temp from 97 to 98.1. Took Tylenol. Headache didn't go away. Wednesday- temp ranged from 100.0 to 101.0 Thursday- no temperature

Other Meds:

Current Illness:

ID: 0926674
Sex: F
Age: 50
State: NJ

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

Lab Data: none

Allergies: fragrances, cipro , cat scan injectable dye

Symptoms: at the injection site, burning at insertion site radiating down the arm, then extreme fatigue with blurry vision and my face started burning at this time took claritin ready tabs x2 . mild sob they took my BP it was over 170/90 hr was over 90 they took it every 15 min until it started lowering and the reddness and burning in my face got better and my vison cleared up and was allowed to go home. 3 hours after the shot started feeling short of breath , was on the phone with the allergist and was told to take my inhaler , albuterol 2 puffs and allegra 180mg. and had extreme fatigue and chills and body aches, took 2 tylenol and took a nap. 7hours after the shot all symptoms had resolved except for the arm site pain and a mild headache.

Other Meds: allegra 360mg po

Current Illness: none

ID: 0926675
Sex: F
Age: 24
State: AZ

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

Lab Data:

Allergies: penicillins

Symptoms: Pfizer-BioNTech COVID-19 VACCINE EUA; Throat swelling/closing up; SOB, dizziness 15 min post injection; lasting about 5 min but dizziness remains

Other Meds: nalocone nasal prn, prenatal vitamin, senokot S

Current Illness:

ID: 0926676
Sex: F
Age: 42
State: MN

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

Lab Data: none

Allergies: none

Symptoms: Started with a head ache and sore arm last night. Today she has a strong headache, her arm hurts, is achy, and is having intolerable hip pain. Is taking ibuprofen for comfort.

Other Meds: Citalopram and ibuprofen.

Current Illness: none

ID: 0926677
Sex: F
Age: 39
State: KS

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

Lab Data:

Allergies: penicillin, sulfa and ceftin

Symptoms: Large raised bump under skin at injection site. The area is about 2 inches in diameter and hot to touch. the raised bump is itchy and slightly tender

Other Meds: Damphetamine 20mg ibuprofen 200mg

Current Illness: asthma

ID: 0926678
Sex: F
Age: 48
State: AL

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

Lab Data:

Allergies:

Symptoms: numbness left arm to elbow and left upper cheek, denies shortness of breath, denies itching, no rash noted, Initially refused Benadryl po instead requested to stay for observation for an additional 15minutes. Symptoms persisted, denies shortness of breath, ithcing, denies swelling of tongue, At 1500 Benadryl 25mg given po, patient stayed for observation for 15 minutes and was ready to leave at that time.

Other Meds:

Current Illness:

ID: 0926679
Sex: F
Age: 26
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: Fever, diaphoretic, full body muscle aches, swollen and painful lymph nodes in the right side of the neck, muscle pain at the injections site in right arm, metallic taste in mouth, fatigue, headache.

Other Meds: None

Current Illness: Positive COVID test on 12/16/2020

ID: 0926680
Sex: F
Age: 38
State:

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

Lab Data:

Allergies:

Symptoms: EE reports, HA and body aches that improved with Tylenol.

Other Meds:

Current Illness:

ID: 0926681
Sex: M
Age: 39
State: SD

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

Lab Data:

Allergies: penicillin and bee stings

Symptoms: Swelling under my armpit.....black and blue....tender to touch...noticeably different than my right armpit in terms of swelling

Other Meds: baby aspirin, vitamin D3, and Zinc - taken since early November when I got COVID Meloxicam - 1mg tablet - take 1 tablet 1 time per day - started on Dec. 29th

Current Illness:

ID: 0926682
Sex: F
Age: 37
State: NV

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

Lab Data: None

Allergies: NKDA

Symptoms: On 01/06/21 increased "pounding" heart rate started within minutes of vaccine administration. 01/06 at 08:03 am: BP= 143/86, HR= 72, O2 sats= 96% RA; at 08:12 am: BP= 130/83, HR= 68, O2 sats= 97% RA; at 08:20 am: BP= 141/80, HR= 61, O2 sats= 96% RA; 08:30 am: BP= 129/83, HR= 68, O2 sats= 97% RA

Other Meds: NuvaRing

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm