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: 0927089
Sex: M
Age: 28
State: OR

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

Lab Data: None

Allergies: Unknown

Symptoms: 01/06/2020 Patient complained of dizziness 45 minutes after vaccination, resolved in 15 minutes 01/07/2020 Patient complained of Headache, dizziness, nausea onset at 0400.

Other Meds: Unknown

Current Illness: Unknown

ID: 0927090
Sex: F
Age: 29
State: CO

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

Lab Data:

Allergies: NKDA

Symptoms: Next morning, I woke up with severe positional headache (headache with standing or sitting up, resolved completely with ibuprofen and tylenol within 20 minutes). The next morning I also had a sore left deltoid, and soreness extending into my left chest and shoulder, which diminished throughout the day after ibuprofen and tylenol. I also had a left swollen armpit, which I interpreted as swollen lymph nodes. My left armpit was sore and was visibly swollen compared to the right. The left lymph node is still visibly swollen as I report this (approximatley 36 hours after vaccine administration), and is sore but less sore than initially. Of note, when I received the first vaccine in this series, my left deltoid was more sore than with the second administration, but soreness was limited to the deltoid and resolved within 3 days.

Other Meds: prenatal vitamin, calcium

Current Illness: no

ID: 0927091
Sex: F
Age: 43
State: CA

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

Lab Data:

Allergies:

Symptoms: Rash over my back /neck/torso . Fever /body aches /left lower abdominal pain and cramping /diarrhea /lower back pain /headache

Other Meds: Albuterol inhaler

Current Illness:

ID: 0927092
Sex: F
Age: 34
State: TN

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

Lab Data: no

Allergies: penicillin

Symptoms: Next morning after shot. Red, hot to touch, arm soreness, fatigue. Next morning arm burning, swollen, itchy. Temp 99.8.

Other Meds: Multi vitamin, baby aspirin, Ferosul 1 every other day, Drisdol 1.25mg 1x/wk.

Current Illness: strep throat.

ID: 0927093
Sex: F
Age: 51
State: FL

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

Lab Data:

Allergies: NONE

Symptoms: CELLULITIS OF THE LEFT ARM, REDNESS, AND WARMTH PT TOOK IBUPROFEN AND USED ICE PACK

Other Meds: IBUPROFEN

Current Illness: NONE

ID: 0927094
Sex: F
Age: 75
State: UT

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

Lab Data: None

Allergies: Sulfas, penicillins, most antibiotics, and pain medicines, dairy, nuts, all fish, citrus, soy, corn, beef, pork

Symptoms: Much itching and rash on upper and lower back

Other Meds: Excedrine, Sudafed, synthroid, calcium citrate, vit. D, vit.C, D mannose

Current Illness: Urinary tract infection

ID: 0927095
Sex: M
Age: 64
State: FL

Vax Date: 12/24/2020
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: 2 weeks post-vaccination acute onset of headache, body aches, abdominal pain, and severe chills

Other Meds: Celebrex Losartan Rosuvastatin Welbutrin Tamsulosin Tylenol

Current Illness:

ID: 0927096
Sex: M
Age: 60
State: MA

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

Lab Data: CT head without contrast Blood work CT abdomen/pelvis with contrast Xray chest Covid-19 RT-PCR Legionella and Strep Urine Echo TTE MRI brain with and without contrast MRA head without contrast US abdomen CT chest Pulmonary embolism with contrast

Allergies: N/A

Symptoms: Day 2 (12/29/20): Fever (<100 degrees), Mild muscle aches, Fatigue Day 3 (12/30/20): Fatigue, Muscle aches Day 4 (12/31/20): Alternating chills and profuse sweating starting at 8am, Full body flushing, Grand Mal Seizure at 4:30pm

Other Meds: Venlafaxine 150mg daily Ibuprofen 600mg 2x/week

Current Illness: None

ID: 0927097
Sex: F
Age: 41
State:

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

Lab Data:

Allergies:

Symptoms: Arm soreness and weekends 20-48hrs after vaccine. Fatigue 24 hrs after vaccine. Prolonged migraine 3-5 days after vaccine.

Other Meds:

Current Illness:

ID: 0927098
Sex: F
Age: 55
State: IL

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

Lab Data:

Allergies: Erythromycin, amlodipine, augmentin, diltiazem, codeine, contrast, gentamicin ointment, hydralazine, lyrica, nitrofurantoin, clopidogrel, nifedipine, trandolapril/verapamil, tramadol

Symptoms: Patient complained of palpitations 30 minutes after receiving the COVID19 vaccine. She had this same reaction after the first dose. She felt her heart racing and throat closing with chest pain. She received diphenhydramine 25 mg IV, famotidine 20 mg IV, and methylprednisolone 80 mg IV.

Other Meds: Metoprolol succinate, hydrocodone/acetaminophen, diphenhydramine, ascorbic acid, aspirin, atorvastatin, cyclobenzaprine, lisinopril/hctz, melatonin, multiple vitamin, nucynta

Current Illness: None

ID: 0927099
Sex: F
Age: 47
State:

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

Lab Data: None

Allergies: PENICILLIN, ERYTHROMYCIN, TETRACYCLINE, SULFA, BENADRYL, PSEUDOEPHEDRINE SULFATE, ADHESIVE TAPE, SAGE, MOLD, JUNIPER TREES, RABBITS, HAMSTERS, GUINEA PIGS

Symptoms: Large localized reaction at injection site. Pain, swelling, redness, lumps under the skin and intense itching lasting for just over 1 week and unresolved but slowly improving. Initial reaction was approximately 10 cm in diameter and lasted for 5 days. Current reaction is approximately 5 cm but itching is worsening.

Other Meds: ESCITALOPRAM, IBUPROFEN, ALBUTEROL, CYANOCOBALAMINE

Current Illness: ASTHMA, PERNICIOUS ANEMIA, DEPRESSION

ID: 0927100
Sex: F
Age: 47
State:

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

Lab Data:

Allergies:

Symptoms: About 10 minutes after Covid vaccination was given patient experienced itching up and down left arm (which was the arm the injection was given in). Patient describes itching as mild. Vitals 1820: BP:129/94 P:83 SaO2: 99% Itching still present but has not worsened or moved to more areas of body. Vitals 1830: BP: 132/88 P: 85 SaO2: 99 Patient states itching has lessened somewhat. Patient denies the need for further care or medication. Patient was able to stand/walk without dizziness and had no other symptoms or complications. After her 30 minute wait time was complete patient left.

Other Meds:

Current Illness:

ID: 0927101
Sex: M
Age: 32
State: MA

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

Lab Data:

Allergies: Occasional minor itching to pitted fruits

Symptoms: Received my vaccine on Wednesday 12/30/20. The following Tuesday 1/5/21, I woke up with uncomfortable swollen Axillary lymph nodes. Thursday evening (1/7/21) I noticed redness and slight swelling at the injection site. Swollen nodes continue.

Other Meds: Montelukast Sodium 10mg 1xDaily Olopatadine Hydrochloride Nasal Spray

Current Illness:

ID: 0927102
Sex: F
Age: 37
State: FL

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

Lab Data:

Allergies: Peanuts causes anaphylaxis and Verapamil causes hives

Symptoms: 2 to 3 inch raised fevered circular whelp stated 7 days after injection. Took Zyrtec and Chlorphenamine and put a cold compress on site.

Other Meds: Adderall 20mg, Cymbalta 60 mg, Zyrtec 10mg, Chlorphenamine 4mg, Prilosec 40mg, Singulair 10mg, Epi-Pen prn

Current Illness: Nothing

ID: 0927103
Sex: F
Age: 41
State: WA

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

Lab Data:

Allergies: metformin nuts

Symptoms: Vomiting, diaphoresis

Other Meds:

Current Illness:

ID: 0927104
Sex: F
Age: 35
State: UT

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

Lab Data:

Allergies: Sulfa Penicillin

Symptoms: Severe headache, muscle weakness, tingling sensation on left side, dizzy, feeling itchy but no rash, red and hot cheeks come and go, from day 1 until Day 8. Today new swelling, itchy, redness and hard lump at injection site.

Other Meds: Sertraline 100mg

Current Illness:

ID: 0927105
Sex: F
Age: 59
State: CA

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

Lab Data:

Allergies:

Symptoms: Fever that went away with tylenol.

Other Meds:

Current Illness:

ID: 0927106
Sex: F
Age: 40
State: TN

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

Lab Data: none

Allergies: biaxin clendamician omnicef keflex cipro doxycycline

Symptoms: 9:02am rec'd vaccine approx 9:10am - severe itching that started on the left side and crossed over to the right side and included small hives on my chest 9:38am, I took 2 - 25 mg benadryl tablets advised by the nurse at the testing center approx 10am, the itching was worsening and was advised to take another 25mg benadryl approx 10:10am was feeling relief and left the vaccine distribution site 10:45 am arrived home and and slept for the rest of the day experienced arm soreness for 4 days post vaccine

Other Meds: Synthroid celexa

Current Illness: none

ID: 0927107
Sex: F
Age: 34
State: MI

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

Lab Data:

Allergies: None

Symptoms: Red, swollen, itchy injection site beginning 7 days after injection. Redness continued through day 9 after injection.

Other Meds: Prenatal vitamins, birth control

Current Illness: None

ID: 0927108
Sex: F
Age: 46
State: NY

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

Lab Data:

Allergies:

Symptoms: 12 hours after vaccine I felt chills, headache, fever, dizziness, weakness, pain and swelling to injection site, body aches, lymph node swelling. 36 hours after, still have piercing headache, fever, body aches, lymph node swelling, weakness, on and off chills and dizziness.

Other Meds:

Current Illness:

ID: 0927109
Sex: F
Age: 62
State: MN

Vax Date: 10/05/2020
Onset Date: 10/05/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Shot given high in left arm and EE immediately felt pain. 1 month later EE continued to have severe pain and was seen by provider (11/3/2020). At rest has sensation of discomfort and pressure in left shoulder and along outside of her arm towards the elbow. With any movement she has pain rated at 7/10 from injection site and radiating downwards towards the elbow on outside of arm. Received cortisone injection in November with relief and started PT. 12/31/2020 pain was starting to come back.

Other Meds:

Current Illness:

ID: 0927110
Sex: F
Age: 44
State: CA

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

Lab Data: None

Allergies: none

Symptoms: Approximately 10 minutes after vaccination developed increased heart rate, dizziness, and shakiness.

Other Meds: Welbutrin xL 450 mg one daily

Current Illness: None

ID: 0927111
Sex: M
Age: 30
State: IL

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

Lab Data: COVID testing

Allergies: penicillin, celcor, sulfa, bactrim

Symptoms: The vaccination was administered on Saturday evening, December 19th, 2020. The next morning around 10 am I began to feel nauseous and light-headed. That feeling waxed and waned all day and improved in the evening. The next morning on Monday, December 21st I was 10/10 nauseous and near vomiting. I went to work but had to leave because of nausea. Ultimately I vomited upon returning home and was nauseous with abdominal pain and achy all day. The next morning on Tuesday, December 22 nausea continued but with a rating of around 6/10. Then came the intense headache, body aches, and fatigue. This continued into the next day (Wednesday, December 23) prompting me to get COVID tested and take off of work on Thursday, December 24th. Nausea improved (5/10) on December 24th but fatigue, abdominal pain, and body aches did not. December 25-27 were slow improvements with nausea, abdominal pain, and fatigue but were limiting activities of daily living. By Monday, December 28th most symptoms had cleared.

Other Meds: nasonex

Current Illness: none

ID: 0927112
Sex: F
Age: 49
State: GA

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

Lab Data:

Allergies: Allergies Allergies as of 1/7/2021 Severity Noted Reaction Type Reactions Covid-19 Vaccine, Mrna, Bnt162b2, Lnp-s (pfizer) Not Specified 01/07/2021 ? Allergy Nausea and/or Vomiting, Other Diaphoretic, nausea, lightheadedness, dizziness and blurred vision 5 minutes afterwards

Symptoms: @12:45pm Pt c/o slight dizziness w/nausea, blurred vision after 5 minutes and diaphoretic, obtained v/s (stable) assisted laying down on stretcher. Bottle water offered and took several sips. ? @12:54pm Dr arrived for provisder Assessment and noted stable just continue monitoring. Waiting for longer observation for 20 more minutes. Pt states,"I feel a lot better." ? Pt taking Ceftriaxone currently and finished prednisone x2 days after a course of several days. ? Pt advise to call if s/sx return or get worse. ? Allergies updated and Covid-19 vaccine added, suggested "not recommended for 2nd dose" and 2nd dose appt canceled.

Other Meds: Medications Outpatient Medications at End of Encounter on as of 1/7/2021 Disp Refills Start End Montelukast (SINGULAIR) 10 mg Oral Tab 90 1/1 3/16/2020 3/15/2024 Sig - Route: TAKE 1 TAB PO QHS - Oral Class: Historical Med Levothyroxine (

Current Illness: Problem List Date Reviewed: 3/16/2020 as of 1/7/2021 ICD-10-CM Priority Class Noted - Resolved INTERMITTENT ASTHMA (Chronic) J45.20 3/16/2020 - Present ACQUIRED HYPOTHYROIDISM (Chronic) E03.9 3/16/2020 - Present

ID: 0927113
Sex: F
Age: 57
State: CA

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

Lab Data:

Allergies:

Symptoms: at 4:08 pm, 10 minutes after receiving vaccine pt reports feeling dizzy and has bilateral rash on arms. pt was evaluated by EMS. BP 124/80, P 82, O2 Sat 100%. pt reports feeling better and declined EMS transport to hospital and left AMA 4:26

Other Meds:

Current Illness:

ID: 0927114
Sex: F
Age: 20
State: OR

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

Lab Data: 01/07/2021 COVID-19 rapid test, results negative

Allergies: Unknown

Symptoms: 01/06/2021 Patient complains of sore throat onset 2030 01/07/2021 Patient continues to have sore throat, temperature 100.1 at 1300 with headache and body aches. Pt also found out she had direct exposure to COVID on 01/04/2021

Other Meds: Unknown

Current Illness: Unknown

ID: 0927115
Sex: M
Age: 69
State: IN

Vax Date: 10/14/2020
Onset Date: 10/14/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 1. pain in rt arm, unable to use for 3 days 2. shivers (body wrapped in clothing, jacket, bath robe and blanket), unable to control shivers. felt very cold 3. temperature up to 102, fluctuated overnight 4. nausea, unable to eat for 5 days (included diarrhea) lost 10 lbs. in 5 days 5. headache The shivers, temp fluctuation lasted only 24 hours. The arm pain lasted for 3 days. The nausea lasted 5days. I did not contact my doctor nor did I seek treatment the reactions were gone 5-6 days later. I haven't felt this bad for years, but I'll have to say it was over in less than a week, but I'm very wary of taking the second shot.

Other Meds: Aspirin 325 mg., Janumet 50/1000 2x, Glimperide 4 mg. 2x, Jardiance 25 mg 1x, Metoprolol 25 mg 1x, Atorvastatin 40 mg 1x, Pantoprozole 40 mg 1x,Ceterizine 10 mg 1x

Current Illness: none

ID: 0927116
Sex: F
Age: 59
State: WI

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: none

Allergies: environmental allergies to mold, latex, hydrocodone

Symptoms: Patient reported headache-like symptoms with pressure, tightness and extreme fatigue. Patient also reported worsening tinnitus which started 12/22/2020, prior to the vaccine administration date.

Other Meds: cetirizine, famotidine, GAVISCON EXTRA RELIEF FORMULA PO, albuterol inhaler HFA as needed, flonase nasal spray

Current Illness: asthma, GERD, allergic rhinitis to mold

ID: 0927117
Sex: F
Age: 63
State:

Vax Date: 12/26/2020
Onset Date: 12/27/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient describes a red, itchy rash at the injection site in a 3" diameter. She also reports nausea and a headache for 2 days. The rash was warm to the touch

Other Meds:

Current Illness:

ID: 0927118
Sex: M
Age: 36
State: ID

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

Lab Data: None

Allergies: None

Symptoms: Hives on torso and upper extremities

Other Meds: None

Current Illness: None

ID: 0927119
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: N/A

Allergies: Unknown

Symptoms: When patient initially received the vaccination, she complained of mild dizziness. She went home after monitoring and returned to work the PM shift rested. Approximately 45 minutes into the shift, she c/o dizziness. She had elevated BP 209/102 and HR 108 and at one point had a syncopal episode. Emergency services was called and she was transferred to the hospital for further evaluation.

Other Meds: HTN medication

Current Illness: Unknown

ID: 0927120
Sex: F
Age: 48
State: AS

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

Lab Data:

Allergies: Augmentin--unknown reaction type

Symptoms: Itching on arm in area of injection site, reports feeling weird, eyes are reddened and itchy. Patient reports feeling short of breath but no noted drop in oxygen saturation. Oral diphenhydramine 50mg administered.

Other Meds: None reported by patient

Current Illness: None on record

ID: 0927121
Sex: F
Age: 61
State: NY

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

Lab Data: none

Allergies: latex: itchiness, blisters kiwi: itchiness in the throat, hard to swallow okra: hard to swallow, itchiness in the throat morphine: trouble breathing penicillin: lightheadedness, itchy

Symptoms: Pt stated that she was feeling a tickle in her throat 10 minutes after administration of the vaccine. Pt stated that her throat is dry and feels a sensation to cough. Pt stated that started feeling swelling of the tongue 30 minutes after administration of the vaccine. Pt was given water and says that it helped relieve itching. Pt was given benadryl 25mg IM and is being monitored. Charge nurse is taking over monitoring and care of patient.

Other Meds: levothyroxine - 75mg once daily losartan - 25mg once daily pantoprazole - 40mg once daily creon - 24,000 units with meals

Current Illness: pt denies

ID: 0927122
Sex: F
Age: 49
State: PA

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

Lab Data: none

Allergies: unknown

Symptoms: Patient reported weakness and pain in neck and back

Other Meds: unknown

Current Illness: unknown

ID: 0927123
Sex: F
Age: 62
State: MO

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

Lab Data:

Allergies: No known allergies

Symptoms: Patient reported by telephone on 1-7-2020 arm redness, itching, and firmness one hand down from the injection site. Patient was counseled to apply a cool compress, could take Benadryl, as well as Tylenol or ibuprofen if needed.

Other Meds:

Current Illness:

ID: 0927124
Sex: F
Age: 46
State: NM

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

Lab Data: none

Allergies: none

Symptoms: Patient received IMZ on 12/30/20. One 1/7/21 at approximately 2:00pm she developed 2 raised areas on her arm with a valley between. There was also pain in the arm at that area.

Other Meds: Patient took a Tylenol 8 days after vaccination

Current Illness: none

ID: 0927125
Sex: F
Age: 50
State: GA

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

Lab Data: not available

Allergies: Cephalosporins and Penicilline

Symptoms: patient had Covid 19 vaccine from Pfizer with lot #EJ1686 with expiration date 3/2021 on 1/7/2021 and after 45 minutes, she came back and stated she has chest tightness, lip swelling, chest congestion, shortness of breath, asthma-like symptoms with mucus type in her chest. her BP at that time was 184/109. She was given 1 EpiPen and 2 Benadryl 25mg tablets.

Other Meds: not available

Current Illness: no, her temp. taken at the time vaccinated 96.3

ID: 0927126
Sex: F
Age: 39
State: WV

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

Lab Data:

Allergies:

Symptoms: Fever High heart rate Chills

Other Meds:

Current Illness:

ID: 0927127
Sex: F
Age: 33
State: WA

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

Lab Data: No

Allergies: No

Symptoms: Felt my arm was about to fall it was sever pain I couldn't touch it or do anything with it I also had lower back ache.

Other Meds: prenatal vitamins

Current Illness: No

ID: 0927128
Sex: F
Age: 32
State: PA

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

Lab Data:

Allergies: None

Symptoms: Tingling in left arm about 30 minutes after administration, followed by numbnes in the pinky and ring fingers for approximately 12 hours. Moderate left arm pain for approximately 48 hours.

Other Meds: Cymbalta 35mg daily, imitrex 100mg as needed

Current Illness: None

ID: 0927129
Sex: F
Age: 49
State: OH

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

Lab Data: None yet

Allergies: None

Symptoms: About an hour after the injection I had pain and burning going down my left side and in the left side of my chest that lasted about 45 min. I was fine for the next 12 hr. Around midnight I started with chills, joint pain body aches and a headache. I woke up around 2 am with a fever. All day on the 6th I felt horrible with body aches, joint pain and a severe headache. Around 10 pm on the 6th I started again with chills fever chest pain SOB Cough and vomiting (3 episodes throughout the night.) My lungs currently feel like they are on fire and I continue to have chest tightness, joint pain Severe headache and a cough. I am approximately 56 hr post second vaccination. I had no problems with the first vaccination

Other Meds: None

Current Illness: None

ID: 0927131
Sex: F
Age: 44
State: CA

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

Lab Data: not applicable

Allergies: none

Symptoms: The employee kind of tasted the vaccine then had tingling sensation on the sides of her tongue. After several minutes, her sides of tongue was numb. After 4 hours, she felt fine but had that tingling sensation on the side of her tongue still

Other Meds: Hypothyroid pill

Current Illness: none

ID: 0927132
Sex: F
Age: 31
State: CA

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

Lab Data:

Allergies: Unknown

Symptoms: Unrelated to vaccine. Related to method of injection. Pt stated she felt ?like a nerve in my arm had been hit?. Medics assessed her further and she AMA?d from their care.

Other Meds: Unknown

Current Illness: Unknown

ID: 0927133
Sex: F
Age: 55
State: MN

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

Lab Data: none

Allergies: steri strips Bioxin

Symptoms: fever feeling of unwell fatigue

Other Meds: CS-Progeterone 80 Taurine. 1,000 mg- Black Cohosh- 300 mg Magnesium 400mg

Current Illness: Per-menopause symptoms

ID: 0927134
Sex: M
Age: 30
State: VA

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

Lab Data:

Allergies: N/A

Symptoms: fever, soreness in arms and legs, headache, fatigue, began last night around midnight (january 7)

Other Meds: N/A

Current Illness: N/A

ID: 0927135
Sex: F
Age: 51
State: CA

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

Lab Data:

Allergies: Nsaids, Non-selective [non-steroidal Anti-inflammatory Agents] High GI Bleeding Higher risk GI Bleed ?in sleeve gastrectomy. If absolutely necessary please cover with a proton pump inhibitor. Adhesive Tape Not Specified Plastic tape causes skin irritation Covid-19 Vaccine, Mrna, Bnt162b2, Lnp-s (pfizer) Not Specified Cough Fever, cough, wheezing Epinephrine Not Specified Patient states allergic to EPI Erythromycin Base Not Specified 1999-03-16;ANAPHYLAXIS Morphine Sulfate Not Specified Hallucinations pruritis Prochlorperazine Not Specified Other. 2000-09-12;dystonic rxn Reglan [metoclopramide] Not Specified Dystonic Reaction Had dystonia at high dose 40 mg/day.able to tolerate 20 mg/day Seroquel [quetiapine Fumarate] Not Specified dystonia Valium [diazepam] Not Specified

Symptoms: Patient had her first dose of Pfizer covid 19 vaccine. She was observed for 30 minutes, 15 minutes longer than normal as a precaution, due to her allergies. Patient continued to moniter her oxygenation saturation and did not report a drop in oxygen saturation, however, she reported a funny feeling in her throat, difficulty swallowing and shortness of breath. She was escorted to the emergency department via wheelchair for further observation and treatment.

Other Meds: vBariatric Vitamin Regimen: Multivitamin with iron, B12, B1, Vitamin D and calcium citrate plus D chews (sometimes) Doc-senna 2 tabs BID, docsenana 2 tabs daily, Bisacodyl 5 mg PO Bisacodyl 5mg at bedtime miralax 1x a day ergocalciferol 12

Current Illness:

ID: 0927136
Sex: F
Age: 39
State: PA

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

Lab Data:

Allergies: Penicillin

Symptoms: Nausea and vomiting within 30-45 minutes Fatigue and sore muscles the following day

Other Meds: Labetolol Nifedipine

Current Illness:

ID: 0927137
Sex: F
Age: 48
State: NJ

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

Lab Data: None

Allergies: None

Symptoms: Within 2 - 3 minutes of receiving the vaccine in my left deltoid muscle, the upper half of my left middle finger felt numb, had tingling and felt very cold. There was significant color change: it turned white and my pulse oxygen level could not be measured in that finger. It took approximately 25-30 minutes to go back to normal. I?ve never had any type of reaction to a vaccine or injectable medication in the past. No treatment was necessary and no additional symptoms have been noted this evening / 6 hours later.

Other Meds: Emgality, Multivitamin, Vitamin D3

Current Illness: None

ID: 0927138
Sex: F
Age: 40
State: TX

Vax Date: 12/29/2020
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: Sulfa

Symptoms: Moderna COVID-19 Vaccine EUA Pain in arm for 24 hours Have redness at injection site Itch at injection site

Other Meds: Synthroid 88mcg Cranberry supplement Vitamin D supplement

Current Illness: None

ID: 0927139
Sex: F
Age: 48
State: RI

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

Lab Data:

Allergies:

Symptoms: 1633 - patient c/o dizziness and tingling to lips. 1641 - BP 167/63, pulse 80, anxious, Benadryl 25 mg PO administered. Requested water, 2 bottles given. 1643 - BP - 142/91, pulse 75. RN continue to monitor. 1700 - States feels much better. No further complaints voiced, continue to closely monitor. 1707 - Discharged to home in stable condition.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm