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: 1049048
Sex: F
Age: 74
State: MI

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: NKMA

Symptoms: Approximately 32 hours of extreme fatigue, low grade fever, chills and she lost function in her hands which occurs when she gets sick due to her multiple sclerosis

Other Meds: synthroid, baclofen, lyrica, calcium, multivitamin, vitamin C, magnesium, acidophilus, potassium, miralax, azelastine, Flonase, Prilosec, melotonin, Lipitor, Senna, B12, Lasix, Cymbalta, bacrim, trazadone

Current Illness: none noted

ID: 1049049
Sex: F
Age: 65
State: NY

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None.

Allergies: Thimerosal, p-Phenylenediamine, bee stings, dust mites, seasonal allergies

Symptoms: I was vaccinated nine days ago. I have consistently been having chills, a dull headache and fatigue. I was really sick by the end of the day after the vaccine. The fatigue, initially, put me in bed for a few days. It is not as severe now. It is mild to moderate. I feel week sometimes. It comes and goes.

Other Meds: Amlodipine Besylate, Rosuvastatin Calcium, Atenolol, Spironolactone, Famotidine, Synthroid, Metformin, Hydrochlorothiazide, Allegra (over the counter 180 mg)

Current Illness: none

ID: 1049050
Sex: F
Age: 16
State: MI

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Client present for second dose, and nurse discovered that she was only 16 years old. Client had received first does of Moderna 4 weeks prior, and therefore was due for her second Moderna- despite the fact that she was underage for that manufacturer. Moderna is currently approved for those 18 and up. Our Medical Director was contacted, and he informed us that we should continue with Moderna instead of switching to Pfizer for the second dose. While the client was underage for the Moderna vaccine- there is no research done to choose to switch manufacturers between dose one and dose two. Mom was informed of what happened, and stated she was OK with continuing with the Moderna shot.

Other Meds:

Current Illness:

ID: 1049051
Sex: F
Age: 28
State: IN

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: none

Allergies: Amoxicillin, Penicillin

Symptoms: Fever 101-102, body chills, body aches, generalized skin sensitivity, sore eyes, sore at injection site, headache, fatigue

Other Meds: Tylenol right after vaccination

Current Illness: none

ID: 1049052
Sex: F
Age: 62
State: DE

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever (103+), vomiting, chills, headache, nausea, sweating, fatigue for 36+ hours.

Other Meds: None

Current Illness: Covid positive with low temp and headache and mild symptoms December 11-18, 2020.

ID: 1049053
Sex: M
Age: 73
State: NE

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fatigue, loss of appetite, diarrhea, chills. Began 20 hours after first vaccination and lasted for 8 hours

Other Meds:

Current Illness: None

ID: 1049054
Sex: F
Age: 73
State: FL

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: A lump at injection site that is bruised. Not tender or painful.

Other Meds: Pravastatin Lisinopril Levothyroxine

Current Illness:

ID: 1049055
Sex: F
Age: 65
State: FL

Vax Date: 02/13/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: None known

Symptoms: Itchy at injection site with red circular area about 3 inches in diameter. First noticed on 2/22/21, 9 days after receiving the vaccine.

Other Meds: Olmesartan Medoxomil 20 mg/daily Ibandronate Sodium 150 mg/once a month low dose aspirin/daily

Current Illness: None

ID: 1049056
Sex: M
Age: 74
State: CA

Vax Date: 02/20/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Extreme sensitivity / intolerance to loud sounds. During the cleaning of my house by people who have been doing it for years I found that the sounds of a vacuum cleaner working and normal conversations between the cleaners and my wife and daughter became almost intolerable. I was unable to concentrate on work I was doing and had to go to a room where those sounds were significantly less. I have never before experience this intolerance to customary sound levels. The intolerance passed within about three hours of when I noticed it.

Other Meds:

Current Illness: None

ID: 1049057
Sex: F
Age: 53
State: NJ

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: none known

Symptoms: Severe Headache, Hives, Vomiting, Body Aches, Fever

Other Meds: daily vitamin

Current Illness: none

ID: 1049058
Sex: F
Age: 78
State: FL

Vax Date: 02/10/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: erythema and itching at injection site; warm to touch

Other Meds: voltaren, omperazole, gabapentin, pravastatin, aricept

Current Illness:

ID: 1049059
Sex: M
Age: 72
State:

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Woke at 4:30am with a pounding headache, every muscle and bone in my body ached. I was freezing and couldn't get warm. Site of injection was very sore. I had no temperature. Got out of bed at 7:00 am and still had a pounding headache and couldn't get warm without a blanket. Throughout the day I felt better but still had the headache, (I rarely get headaches and if I do they don't last). Went to bed at 11 pm 02 /22/2021 with a headache. Woke 02/23/2021 with a slight headache. I didn't take aspirin or anything else. but may later today.

Other Meds:

Current Illness:

ID: 1049060
Sex: F
Age: 76
State: KY

Vax Date: 02/09/2021
Onset Date: 02/17/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: n/a

Symptoms: Rash and welts on arm that appeared 8 days later at injection site- 4 were raised about 1/2 inch, hot and itchy.

Other Meds: n/a

Current Illness: n/a

ID: 1049061
Sex: F
Age: 75
State: GA

Vax Date: 02/14/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital: Y

Lab Data: MRI, CT Scan (both negative) 2/21/2021 Diagnosis: Temporary Global Amnesia (TGA)

Allergies: none

Symptoms: Disorientation, temporary loss of memory, headache lasting 12-36 hours

Other Meds: Lisinopril, Hydrochlorothiazide, simvastatin, Pantaprazole, Vitamin D, Preservision

Current Illness: None

ID: 1049062
Sex: M
Age: 17
State: MT

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: penicillin

Symptoms: No side effects: 17 year old given moderna vaccine

Other Meds: none

Current Illness:

ID: 1049063
Sex: F
Age: 66
State: NC

Vax Date: 02/01/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: NONE.

Allergies: latex(mild), prednisone(oral).

Symptoms: 1.) 1 Day after receiving 2nd Covid19 vaccine had a low dose temperature between 99.6-100.6 degrees, achy joints, and fatigue. 2.) 1-2 days after receiving the 2nd Covid 19 vaccine had a local reaction in left arm where i recieved the vaccine. Itchy , red, warm to touch and sore.

Other Meds: multi vitamin gummies(2 daily), RX's: levothyroxine, cymbalta, diclofenac, pravastatin, baby aspirin (all 1 daily)

Current Illness:

ID: 1049064
Sex: F
Age: 86
State: MO

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Dose 2 administered 13 days after dose 1 (given 2/5/21 at another clinic)

Other Meds:

Current Illness:

ID: 1049065
Sex: F
Age: 58
State: KY

Vax Date: 01/24/2021
Onset Date: 01/27/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: Steroids, Penicillin, Cipro, Fentanyl

Symptoms: Nausea, Diarrhea, Headache (4 weeks), Joint Pain (Ongoing), Injection Site Injury - Skin Discoloration/Scab (On Going), Pain Injection Site (Ongoing)

Other Meds: Concerta, venlafaxine, Vitamin D

Current Illness: None

ID: 1049066
Sex: F
Age: 29
State: MA

Vax Date: 02/11/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: food allergies- apples, pears, peaches, plums, nectarines, cherries, pistachios, hazelnut

Symptoms: red, circular rash, warm around the injection site started 11 days after injection

Other Meds: none

Current Illness: none

ID: 1049067
Sex: F
Age: 35
State: MD

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: N/A

Allergies: Smallpox vaccine

Symptoms: Beginning around 4pm on 2/22/21 I began feeling hot, but did not have a fever (98.8). I was also more tired than usual. Later that evening my injection site was sore, itchy, and raised, like a hive. On 2/23/21 I woke up at about 7:30AM and the injection site was the same as before, but I also had a sore/stiff neck and headache at the base of my skull. The reactions have not warranted a trip to the doctor, but I remember hearing somewhere that the CDC was interested to know about any side effects that may be related to the vaccine.

Other Meds: Fluoxetine - 70mg

Current Illness: Not an illness, but 6 months, 2 weeks postpartum.

ID: 1049068
Sex: F
Age: 54
State:

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Cough, shortness of breath, tachycardia. Transported to ER. Tryptase drawn - 4.6. Symptoms resolved with benadryl

Other Meds:

Current Illness:

ID: 1049069
Sex: F
Age: 67
State: MD

Vax Date: 02/14/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Red rash developed about one week after injection and is very itchy. It also hurts a little under my arm when I move it.

Other Meds:

Current Illness:

ID: 1049070
Sex: F
Age: 73
State: NC

Vax Date: 02/17/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: FEVER 100 COUGH ACHING MALAISE

Other Meds: VASEPA 2 GM BID VIT D3 2000U QD CELECOXIB200MG QD CO210 100 MG QD MYRBETRIQ 50 MG PANTOPRAZOLE 40 MG PREMERIN 0.4

Current Illness: NONE

ID: 1049071
Sex: M
Age: 17
State: SD

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: none at this time

Allergies: none

Symptoms: Patient is 17 yrs 2 months and the Moderna Vaccine has not gotten official approval for those under 18 at this time. Pt did not report any physical symptoms at time of vaccination and none reported back to this writer at this time.

Other Meds: hyrdoxyzine prn

Current Illness: fever with chills 2/8/2021

ID: 1049072
Sex: F
Age: 68
State: WI

Vax Date: 02/17/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: n/a

Allergies: No known

Symptoms: Redness and swelling 9cm in diameter on Right Arm 3 days after vaccination, itchiness. Started to improve by Sunday, gone as of Tuesday 2/23/21

Other Meds: Acidophilus, Atorvastatin, Fiber-lax, Hydrochlorothiazide, Levothyroxine, Lorazepam, Magnesium Oxide, Metformin, Potassium, Propranolol

Current Illness: no known

ID: 1049073
Sex: F
Age: 50
State: MD

Vax Date: 02/20/2021
Onset Date: 02/23/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: na

Allergies: Pennecillin and Iodine

Symptoms: Swelling at injection site leaving round circle that itches. Swelling under arm and tenderness in glands under arm. Muscle spasms in arms and chest. Slight nausea.

Other Meds: Pantropozole Zinc Vitamin B1, A, B12

Current Illness: Spinal Stenosis

ID: 1049074
Sex: F
Age: 68
State: IN

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: Tetracycline & Thimerosol

Symptoms: Discomfort at injection site immediately, Started running a low grade temp at 24 hrs in the 100.+*, with the highest being 100.6. Temp lasted for 12 hrs, with chills & again weird nausea. Experienced headache from 24 hrs for 36 hrs that could be controlled with Aleve.

Other Meds:

Current Illness:

ID: 1049075
Sex: F
Age: 32
State: PA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: Unknown

Symptoms: Bulls eye allergic reaction around injection site about 4-5? wide. Area site burning hot and itchy.

Other Meds: Lexapro

Current Illness: No

ID: 1049076
Sex: F
Age: 32
State: NM

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: blood panel; negative

Allergies: n/a

Symptoms: 1/7 vaccination Within a couple minutes after vaccination, my tongue started to tingle. like pop rocks in mouth. I got extremely nauseous. Within 5 minutes, everything was spinning. Continued progressing. HR 180. Within 10 min, i was in ER. They gave my epi pen but it didn't work right away. They were about to start an epi pen and to knock me out, they gave me Benadryl IV, Pepcid?, and they were 30 seconds from intubating me. My vocal cords; broncho spasms. I slowly started to get better. They monitored me for 7 hours. *Still experiencing, daily, SOB. My voice gets harsh. I run out of breath walking, talking, etc. I use prednisone, 2 inhalers daily; Advere and Rescue inhaler. I also suffer from EXTREME HA since then and am on 2 medications for the HA.

Other Meds: zero meds I normally take, did not take the date of vaccination Wellbutrin, Adderall, birth control

Current Illness: n/a

ID: 1049077
Sex: F
Age: 52
State: TN

Vax Date: 02/10/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Left arm is swollen, hot, itching. Patient took Zyrtec and is now putting Hydrocortisone cream to help.

Other Meds: NKA

Current Illness: NKA

ID: 1049078
Sex: M
Age: 0
State: MD

Vax Date: 02/19/2021
Onset Date: 02/23/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: Not done.

Allergies: NONE

Symptoms: Blood in stool four day after vaccination with no rash, irritability, vomiting or abdominal distension.

Other Meds: NONE

Current Illness: NONE

ID: 1049079
Sex: M
Age: 46
State:

Vax Date: 02/14/2021
Onset Date: 02/16/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Headache, fatigue, joint pain, lethargy

Other Meds: Pravastatin, Aleve, One a Day Multivitamin

Current Illness: None

ID: 1049080
Sex: F
Age: 76
State: WA

Vax Date: 01/20/2021
Onset Date: 02/06/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: No testing done by her primary care provider as clear case of zoster.

Allergies: NKDA

Symptoms: Patient developed right facial zoster following her first dose of the Moderna Covid-19 vaccine. She was placed on valacyclovir and gabapentin. She was seen by Ophthalmology due to eyelid involvement and double vision. She was immunized 20 JAN and developed zoster 06FEB.

Other Meds: Lisinopril, Metoprolol, ASA, Atorvastatin

Current Illness:

ID: 1049081
Sex: F
Age: 31
State: NV

Vax Date: 02/18/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: left armpit tenderness and node swelling, left nipple sensitivity

Other Meds:

Current Illness:

ID: 1049082
Sex: F
Age: 40
State: KS

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: N/A

Allergies: Ampicillin, Phenergan, Zpack make me nauseous and vomit.

Symptoms: Evening of vaccine starting around 3 pm I had Diarrhea, Nausea, Headache, & Fatigue. Over night I had chills so possible fever but I did not check it. Next morning woke up with Full Body Aches, Very Fatigued, Headache, Injection Site Pain and Swelling.

Other Meds: Losartan, Pro Air, Brio, Dexilant, Escitalopram, Atorvastatin, Women's one a day vitamin.

Current Illness:

ID: 1049083
Sex: F
Age: 77
State: MD

Vax Date: 02/15/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: fish

Symptoms: Rash, soreness and swelling developed seven days after vaccination

Other Meds:

Current Illness:

ID: 1049084
Sex: F
Age: 56
State: MA

Vax Date: 02/15/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: Guaifenesin

Symptoms: Itchy; Red; hard, warm patch approx 2? x2?

Other Meds: Propranolol Lexapro Vitamin D3 Vitamin C Lysine

Current Illness:

ID: 1049085
Sex: F
Age: 32
State: NM

Vax Date: 12/17/2020
Onset Date: 12/18/2020
Rec V Date: 02/23/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: 12/17 vaccination 12/18 within 24 hours, arm was hurting. Immense pain to arm. Flu like symptoms. Took Motrin. Symptoms lasted for 3 days.

Other Meds: Wellbutrin, Adderall, birth control

Current Illness: n/a

ID: 1049086
Sex: F
Age: 66
State: IL

Vax Date: 01/19/2021
Onset Date: 01/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: SWOLLEN LEFT ARM, FEVER, FATIGUE, AND PAIN ON RIGHT SIDE.

Other Meds:

Current Illness:

ID: 1049087
Sex: F
Age: 76
State: WI

Vax Date: 02/03/2021
Onset Date: 02/12/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: NONE

Allergies: ENVIRONMENTAL ALLERGIES ( DUST- SOME PLANTS)

Symptoms: LEFT ANKLE APPROX 10 DAYS AFTER INJECTION: BUMPY RED RASH, ITCHING, BURNING EVENUALLYSPREAD TO COVER APPROX 4.5" IN DIAMETER . NOW NO MORE ITCHING OR PAIN BUT LIGHTER RED ANDDRY FLAKY SKIN. BASE OF LEFT THUMB AND RIGHT THUMB" APPROX 14 DAYS AFTER INJECTION. SAME SYMPTOMS AND CURRENT STATUS. SITE OF INJECTION ON UPPER RIGHT ARM:

Other Meds: METOPROLOL, LISINOPRIL, HYDROCHLOROTHIAZ, SIMVASTATIN, MELOXICAM, VIT D, MULTIVITAMIN AND LORATADINE

Current Illness: NONE

ID: 1049088
Sex: F
Age: 39
State: AZ

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: Mild allergy to kiwi fruit. Moderate allergy to bee stings.

Symptoms: Pain at injection site, immediate but worsened w time, mild the next day. Nausea, chills, malaise, muscle and joint pain-started 15 hours after vaccine and lasted about 4-5 hours Fever up to 101.2- after nausea mostly resolved, lasted overnight Headache -24 hours

Other Meds: None

Current Illness: Mild to moderate Cold symptoms prior

ID: 1049089
Sex: F
Age: 37
State: CO

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt was here for 1st dose of COVID vaccine. Had received vaccine approx. ten minutes before incident. Pt noted to be slumped in chair, hives noted to forehead, diaphoretic, arms rigid, non-responsive to stimuli, Incontinent of bladder. Pt lowered to ground Zoll applied, COR called. Vital signs: 108/58 100% RA 77 26. Pt given EPI-Pen @ approx. 1352. COR Team arrived, pt mildly responsive. Assisted to Backboard and sent to ER with ED Provider. Pt was monitored in the ED for 3 hours with no recurrent symptoms. Pt advised to follow up with PCP and an allergist and avoid getting the 2nd dose of the covid vaccine.

Other Meds:

Current Illness:

ID: 1049090
Sex: F
Age: 48
State: IL

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Within 4 hours of vaccine patient developed some redness and itch to the site. The redness and itch became much worse 9 days after the vaccination. Additionally, the site was very warm and tender. Patient was treated for a local allergic reaction and possible infection. Medrol and Bactrim were prescribed

Other Meds: None

Current Illness: None

ID: 1049091
Sex: F
Age: 70
State: NY

Vax Date: 02/05/2021
Onset Date: 02/13/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: Spoke with my doctor after first reaction. Indicated rash is common, but not serious. I should have second shot. I've decided NOT to have second shot.

Allergies: None known, but had an anaphilatic reaction age 32 that need emergency room treatment. For several months after developed small itchy patches on arms. Eventually went away after 6-8 months. Occassionally have small reactions to food. Sever reaction to Red Yeast Rice supplement, causing serious muscle pain.

Symptoms: Raised red bumps (size of quarter) on back of forearms. Only one or two bumps, very itchy. Started on left arm, moved to right arm. Small round raised bumps on lower, inside of left forearm (about 3-4.) Then gastoinstestinal symptoms with diarrhea (second bout more severe.) Subtle red coloration on trunk that when stroked with finders turned white. Trunk itching, genitals itching. Hot burning hands, feeling of unease. The symptoms have lasted for days. Injected on 2/5 still having symptoms on 2/23. Taking Benadryl.

Other Meds: Omeprozole

Current Illness: Gastrointestinal problems, GERD

ID: 1049092
Sex: F
Age: 58
State: NY

Vax Date: 02/11/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: None.

Symptoms: Was feeling some fatigue, some chills. On day 9 after a shower noticed redness on the injection area, all around it. She looked it up and noticed it was called Covid arm. She called her derm, and told her to put Cortisone cream on it. She left it alone and did not do anything for it. It is day 17 and is a little concerned about the 2nd vaccine. It has lightened up a little but she does still see it.

Other Meds: Vitamin D, vitamin Super-C, eye drops for glaucoma.

Current Illness: None.

ID: 1049093
Sex: F
Age: 78
State: IA

Vax Date: 02/02/2021
Onset Date: 02/09/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: sulfa

Symptoms: Had rash, swelling and itching below injection site on 2/9, followed with rash on left midriff and lower right back. This was treated with Triamcinolone 0.5% cream for 4 days, starting 2/15/2021. Rash is gone.

Other Meds: Lisinopril 20mg, Famotidine 20mg, Preservision Areds 2, Calcium 600mg, D3 50mcg. Turmeric Curcumin 500mg. Cetirizine Hydrochloride 10mg, Clucosamine Chrondronitin, Vit C 1000mg

Current Illness:

ID: 1049094
Sex: M
Age: 40
State: NY

Vax Date: 02/21/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Sweating, nausea, unable to sleep, arm pain, pain in muscles, stiff neck

Other Meds: none

Current Illness: none

ID: 1049095
Sex: F
Age: 47
State: CA

Vax Date: 02/08/2021
Onset Date: 02/16/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: Visual test . I have pictures if you need them.

Allergies: None

Symptoms: I received the Moderna vaccine on 2/8/21. On 2/16)21 Shingles symptoms occured pain to left scalp on 2/19/21 first rash noted to left scalp , left temple and left eyebrow. I went to urgent care and was Treated with acyclovir and neurontin and on 2/22/21 I went to the ER due to pain and eye swelling and more shingle rashes occuring to left eye lid. I was started on Steroids and stronger pain meds were added.

Other Meds: Levothyroxine HCTZ/lisinopril

Current Illness: None

ID: 1049096
Sex: F
Age: 78
State: IN

Vax Date: 01/26/2021
Onset Date: 02/02/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: formaldehyde, Sulphur,

Symptoms: Week after shot my arm started to itch. and my injection site was raised and kept itching. I tried not to scratch it.

Other Meds: trilogy, lisinopril, rosuvastatin , baby aspirin , magnesium, D2, Zinc, multivitamin, B Complex, Cinnamon,

Current Illness: NO

ID: 1049097
Sex: M
Age: 50
State:

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 02/23/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Flushed, pale, diaphoretic, bradycardic. Epi administered and RRT called. Admitted to hospital with cardiac cath - likely unrelated.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm