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: 1053309
Sex: M
Age: 38
State:

Vax Date: 02/19/2019
Onset Date: 02/19/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Increased body temp, body aches, headache

Other Meds:

Current Illness:

ID: 1053310
Sex: F
Age: 34
State: OR

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Hydrocodone

Symptoms: When I received my first dose and second dose of the Moderna Covid vaccine I experienced the feeling of contrast solution going through my body. I had a weird taste in my mouth and a weird smell and a warm tingling sensation all over my body that started 30-60 seconds after the vaccine and lasted roughly 15 minutes. I also had slight swelling under my right side of my tongue. I notified the vaccine emergency employee and was told that is weird but that none of my symptoms had ever been reported and there was nothing they could do.

Other Meds: Prenatal vitamins

Current Illness: None

ID: 1053311
Sex: M
Age: 69
State: LA

Vax Date: 02/18/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data:

Allergies: NKA

Symptoms: The patient was admitted for recurrent syncope that began on Friday evening 2/19. He fell twice and struck his head, knocking 2 teeth loose. He continued to feel lightheaded the next day and came to the ED and was admitted for syncope workup. His workup was negative. On discharge, patient recalled that he received his 1st Covid vaccine. His symptoms resolved after admission. This event was likely related to his vaccination.

Other Meds:

Current Illness:

ID: 1053312
Sex: F
Age: 30
State: MD

Vax Date: 02/16/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: gluten, melons, bananas

Symptoms: Hot, swollen lump at injection site. lump is about 2" circular.

Other Meds: none

Current Illness: sinus infection December 2020

ID: 1053313
Sex: M
Age: 88
State: CA

Vax Date: 02/09/2021
Onset Date: 02/13/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None accomplished.

Allergies: None

Symptoms: Day after Vaccination: Chills, Muscle aches. Warmth and rest solved in 1 day. 4th day after Vaccination: Soreness at injection site, itching and rash extended from about 1 inch above injection site down to elbow mostly on inside of arm. 23rd day after vaccination: Still have very slight itching and rash in same area, hardly noticeable.

Other Meds: Diltiazem, Finasteride, HCTZ, Lisinopril, Questran, Rosuvastatin

Current Illness: None

ID: 1053314
Sex: F
Age: 76
State: HI

Vax Date: 02/11/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt experienced redness and warmth around the injection site the night she received the vaccine 2/11/21. It lasted for about 3-4 days, then went away. The redness and warmth returned ~2/20/21, along with some achiness. On 2/23/21, she experienced some itching, but that has gone away. Pt has not experienced any signs of anaphylaxis.

Other Meds:

Current Illness:

ID: 1053315
Sex: F
Age: 62
State:

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Body aches

Other Meds:

Current Illness:

ID: 1053316
Sex: F
Age: 24
State: VA

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Amoxicillin

Symptoms: Starting 12 hours after I got my second shot, I got chills, fever, fatigue, body aches in my joints, and I developed a swollen lymph node under my left arm. The symptoms remained in varying degrees for 84 hours. The swollen lymph node remains swollen and painful.

Other Meds: Aurovela birth control

Current Illness: None

ID: 1053317
Sex: F
Age: 40
State: CA

Vax Date: 02/13/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Moderate to severe itching and swelling of upper left arm. Firm and hot to the touch, tennis ball size rash appeared at injection site suddenly over a week after the first injection. Additionally, for 4-5 days following the vaccination: minor itching and swelling of injection site. Low grade fever (99.7 to 100.8), chills, extreme fatigue, weakness and mild nausea. Unable to perform many work tasks/chores. These symptoms all subsided prior to the onset of the severe arm rash and swelling.

Other Meds:

Current Illness:

ID: 1053318
Sex: M
Age: 17
State: CA

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Patient is under 18 and was given the first Moderna dose by mistake on 1/19/21. Mom was insistent that he receive the 2nd dose since he received the first already. I was told by legal department to go ahead and give the 2nd dose today. He did not have any reactions to the first dose and so far none from the second dose as well.

Other Meds: none

Current Illness: none

ID: 1053319
Sex: F
Age: 33
State: NM

Vax Date: 02/17/2020
Onset Date: 02/17/2020
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Chills, nausea, feverish, body pain, tiredness. Missed one day of work, also experienced diarrhea for 6 days after

Other Meds:

Current Illness: Graves? disease

ID: 1053320
Sex: F
Age: 37
State: IN

Vax Date: 02/01/2021
Onset Date: 02/17/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Tramdol

Symptoms: Redness spot keeps growing Injection site itchy Hot Sore

Other Meds: Aimovig Gabapentin Januvia Dexilant Vascepa Asprin Metformin Vitamin D3, B12, &B1 Atorvastatin Ferris Gluconate Metoprolol Imran

Current Illness: None

ID: 1053321
Sex: M
Age: 70
State: DE

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Flu like symptoms - aches, chills, sluggish

Other Meds: metformin, linsinopril, trulicity, jardiance

Current Illness: diabetes 2, hypertension, high cholesterol

Date Died: 01/01/2021

ID: 1053322
Sex: F
Age: 76
State: MO

Vax Date: 12/29/2020
Onset Date: 01/31/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt had passed away before second dose

Other Meds:

Current Illness:

ID: 1053323
Sex: F
Age: 35
State:

Vax Date: 12/29/2020
Onset Date: 01/07/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Developed fatigue, nausea and arm soreness for 48 hours post vaccination. 1 week after vaccination, developed a rash 4 cm below injection site- non-itchy, non expanding. Monitoring, ibuprofen for treatment, and rash resolved within 48hrs.

Other Meds: None

Current Illness: None

ID: 1053324
Sex: F
Age: 59
State:

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Temp 100.7, chills, body aches, headache

Other Meds:

Current Illness:

ID: 1053325
Sex: M
Age: 73
State: CA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: HCTZ Tramadol Zofran Mushrooms

Symptoms: Headache Nauseous Body Aches 4 days after injection red itchy rash that moved from the injection site to the elbow. Used topical antihistamine cream to relieve itch. Disappeared within one week.

Other Meds: Losartan Atorvastatin Finasteride Trujeo Tamsulosin Pepsid Prorenal multivitamin Fish oil Vitamin. D3 Vitamin B12 CoQ10 Alpha Lipoic Acid Vitamin C Therbiotic Complete Victoza

Current Illness: None

ID: 1053326
Sex: F
Age: 55
State: WA

Vax Date: 02/22/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Allergy to IV contrast for CT scans

Symptoms: "COVID arm" - redness, itchy rash, swelling at injection site

Other Meds: Estradiol patch

Current Illness: None

ID: 1053327
Sex: F
Age: 70
State: CA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Environmental (pollen/trees)

Symptoms: Chills, fatigue, muscle pain, body aches, mild headache Didn?t take any meds Slept 15 hours straight Drank water Lasted 36 hours

Other Meds: Lisinopril/HCZT, Atorvastatin, Lansoprazole, Vitamin C, Vitamin D, Fish Oil, Curcumin, CoQ10, Probiotic, Biotic Extra

Current Illness: None

ID: 1053328
Sex: F
Age: 76
State: RI

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None to date.

Allergies: penicillin, Pneumovax, Cymbalta

Symptoms: Developed intermittent fevers to 100.5 lasting 4 days with persistent diffuse body ache.

Other Meds: glucosamine-chondroitin, cranberry extract, multivitamin, biotin, calcium, vitamin D, prednisone 2 mg once daily, Claritin, Prolia, aspirin, temazepam, lovastatin, Singulair

Current Illness: presumed candida esophagitis

ID: 1053329
Sex: F
Age: 44
State: UT

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 5 min after Vaccine administered pt. fingers started to feel tingly then throat started to feel numb. BP elevated, alert and responsive. 25 mg Benadryl given PO 20 min later. Observed x 1 hour, VS stable, Throat still feeling numb but not worse. Given 25 mg Benadryl PO and observed 1 more hour. Pt feels the same, VS stable, alert and responsive with no resp. distress noted. Pt. left clinic. Reached out to pt. several days later with no answer. Message left with emergency protocol.

Other Meds: none

Current Illness: no

ID: 1053330
Sex: F
Age: 49
State:

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Vancomycin - Redman syndrome

Symptoms: Moderna vaccine dose #1 given within 15 minutes of administration patient started to experience warmth at the site of the injection all the way down her left arm with some tingling and numbness all the way to her chest and left leg. Vaccine was administered by the LAPD academy. Benadryl IV was given when en-route to the hospital by EMS.

Other Meds: Losartan 25 mg qday

Current Illness: none

ID: 1053331
Sex: F
Age: 28
State:

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Temp 99, chills, body aches, slight fatigue, dizziness

Other Meds:

Current Illness:

ID: 1053332
Sex: F
Age: 67
State: NY

Vax Date: 01/29/2021
Onset Date: 02/01/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Shrimp Walnuts Ginger Fruits

Symptoms: Initially, red, swelling, slight itch started day of injection. Swelling went away in 7 days. Used ice. 10th day upper arm red,very itchy. Took Benadryl. Lasted about 12 days.

Other Meds: Dexilant Pepcid Femara D3 with calcium and magnesium Moisture eye drops

Current Illness:

ID: 1053333
Sex: F
Age: 50
State: NH

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

Lab Data:

Allergies: None

Symptoms: Severe muscle aches and pain. Fever of up to 104 which did not come down with Tylenol or Motrin. Lasted 24 hours.

Other Meds: Estrogen

Current Illness: None

ID: 1053334
Sex: F
Age: 69
State: AZ

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: N/A

Allergies: None known

Symptoms: Over 2 days had severe joint and muscle aches in knees and back. Fatigue. Slight fever and chills.

Other Meds: Rosuvastatin, Turmeric, Multivitamin

Current Illness: None

ID: 1053335
Sex: F
Age: 61
State: MI

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Clyndamyacin

Symptoms: Red circular swelling at injection site; forearm and wrist swollen, wrist itchy.

Other Meds: Strattera; Synthroid; Sertraline

Current Illness: N/A

ID: 1053336
Sex: F
Age: 72
State:

Vax Date: 02/21/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: nkda

Symptoms: blurry vision, dizziness

Other Meds: cardiac meds, names unknown

Current Illness:

ID: 1053337
Sex: F
Age: 37
State: PR

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: No

Allergies: Cipro

Symptoms: Fatiga extrema, fiebre muy alta, escalofr?os, nodulo debajo del brazo izquierdo, migra?a, dolor de cabeza.

Other Meds: Hibertarzan, levotiroxina

Current Illness: Sinusitis

ID: 1053338
Sex: F
Age: 75
State: OR

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Alendronate, Amoxicillin, HCTZ, MTX, Morphine, Risedronate, Sulfa, Duloxetine, Furosemide, Gabapentin, Inflectra/Infliximab-DYYB, Glargine, Lispro, Levothyroxine, Lisinopril, Metoprolol Tartrate, Omeprazole, Ondansetron, Oxycodone, Prednisone, Miralax powder, Menthol-Methyl Salicylate cream

Symptoms: Vaccine administration error: Undiluted vaccine was given. Patient was monitored from 1/20/21 to 2/4/21. Injection site pain, tiredness and headaches were the only symptoms reported by patient.

Other Meds: APAP, ASA, Atorvastatin, Calcium, Cetirizine, Vitamin D

Current Illness:

ID: 1053339
Sex: M
Age: 84
State: PA

Vax Date: 02/15/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Large rash left deltoid area still present. Much itching. 4x6 inches.

Other Meds: Inderal,zetia,lovastatin Fish oil,vit.C, co-q-10,vit,D

Current Illness: None

ID: 1053340
Sex: F
Age: 39
State:

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fast heartbeat, tingling in hands and fingers, dizziness, shaking, difficulty swallowing like muscles in throat are not working, panting, feeling like will pass out. 2 waves of these symptoms, about 5 min apart, each lasting about 10 min. Called an ambulance. EMTs took vitals - very high heart rate and blood pressure. Was told this resembled a panic attack.

Other Meds:

Current Illness:

ID: 1053341
Sex: F
Age: 65
State: NY

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: none

Allergies: cephalosporins, demerol,gluten

Symptoms: 1 day of fever, chills and bad diarrhea

Other Meds: Ursodiol, omeprazole, Zetia, Pepsid,amiloride,furosemide, lactulose

Current Illness: Decompensated liver cirrhosis, hypothyroidism, psoriasis

ID: 1053342
Sex: F
Age: 39
State: UT

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: unknown

Allergies: Dairy, latex, red & blue dye, Iodine, season allergies

Symptoms: Tightness and tingling in throat, Itching on shoulders, arms, abd and lower extremities, hive on left ear lobe. 15 min after vaccine administered 25mg Benadryl given PO, continued to observe. 30 min later 25mg Benadryl given PO and observation continued. 1 hour later pt. discharged to friend, VS stable, No resp. distress, responds appropriately. Contacted pt. several days later and she had a HA, nausea and sore throat, no itching or resp. distress. Informed pt. of emergency protocol.

Other Meds:

Current Illness: none

ID: 1053343
Sex: F
Age: 57
State: LA

Vax Date: 01/25/2021
Onset Date: 02/02/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: 0

Symptoms: Arm tenderness immediately after shot + 5 days. Constant itching around site where shot was given, beginning 8 or 9 days after the shot; lasted about 3 days.

Other Meds: Ibuprofen, Tylenol, Natural Calm, Lipo Flavinoid

Current Illness: 0

ID: 1053344
Sex: F
Age: 65
State: MI

Vax Date: 02/16/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Penicillin, morphine, codeine, mold, dust, grass

Symptoms: ?Covid-19 Vaccine EAU? The day and evening after getting 1st vaccination I felt fine but slept all day. Could not keep my eyes open. All has been fine until Tuesday, Feb 23, in the afternoon, my arm where the injection site is started itching. I had a faint rash circle around injection site. Hard and a bit swollen. On Wednesday, February 24 all seemed better until evening around 8pm then started itching again and have a large red circle rash around injection site. I looked it up on line and sounds like I have what?s called ?Covid arm?. My 88 yr old Mom received her first Moderna vaccine a week before me and she had same symptoms as I?m describing now. Given that it sounds like I have ?Covid arm? I?m not too concerned but thought I should report it. It says it should go away within a week ? Thank you.

Other Meds: Yes

Current Illness: None

ID: 1053345
Sex: F
Age: 76
State: MO

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: rash on chest that moved to non vaccine arm and then back to vaccine arm over the course of a few days

Other Meds:

Current Illness:

ID: 1053346
Sex: F
Age: 66
State: IL

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Hemorrhagic Stroke

Other Meds:

Current Illness:

ID: 1053347
Sex: F
Age: 71
State: WI

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Amoxicillin

Symptoms: Swelling of feet and ankles. Joint and muscle aching all over body.

Other Meds: Sertraline 200 mg/daily Trazadone 50-100 mg at night when needed for sleep 1 Centrum Silver Multivitamin Daily

Current Illness: None

ID: 1053348
Sex: F
Age: 75
State: TX

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data: platelets 6 on 2/24/21

Allergies: NKDA

Symptoms: ITP

Other Meds: LEVOTHYROXINE OLMESARTAN

Current Illness: NONE

ID: 1053349
Sex: M
Age: 69
State:

Vax Date: 02/17/2021
Onset Date: 02/19/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Ibs fro amplifier

Symptoms: 8 days of strong fatigue with some confusion and some high blood pressure .. I haha even CFS and this seems to be a strong extension of my condition.. Will it end? Treatment is rest , hydrate .. also some very strong migraine like head aches ..My fear it won?t go away since the CDC mentions nothing for prolong symptoms

Other Meds: Psyllium husk ,omega 3 , 2.5 mg amlodipine

Current Illness: None

ID: 1053350
Sex: F
Age: 64
State: MA

Vax Date: 02/14/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Vital signs, including temperature WNL Resting EKG WNL Cardiac auscultation WNL

Allergies: None

Symptoms: Patient felt fine the day of and day following vaccination. 8 or 9 days after receiving the shot, however, her arm felt warm and itchy, and hurt somewhat. She now has a clearly demarcated, erythematous, swollen rash covering most of her anterior upper arm, which is warm to the touch. The affected area has grown in size over the last 24 hours. She is afebrile, with normal vital signs. No cervical, axillary, or epitrochlear lymphadenopathy.

Other Meds: Lisinopril 5mg QD

Current Illness: None

ID: 1053351
Sex: F
Age: 23
State: NY

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: n/a

Allergies: Morphine (throat tightness, hives) Toradol (throat tightness, hives) Hydrocodone (throat tightness, hives) Unknown food allergy (throat tightness, hives)

Symptoms: Patient was administered the first vaccine 0.5mL dose at 6:03pm in left deltoid and sent to observation area for 30min of monitoring. Allergies: - morphine (hives, throat tightness) - toradol (hives, throat tightness) - hydrocodone (hives, throat tightness) - unknown food allergy (hives, throat tightness) Denies history of reaction to injectable therapy. Approximately how long after the administration the reaction started? 22min Major signs and symptoms:Throat tightness, lips tingling, itching/hives/erythema across neck/chest/trunk/right ear Medication(s) given: 25mg PO Benadryl (6:31pm), additional 25mg PO Benadryl (6:41pm), 0.3mg EpiPen (IM right thigh 6:53pm) Vitals: At 6:25pm the patient reported itching, hives, tingling lips, throat tightness, and erythema on her chest. Taken to treatment area. Vitals: BP 133/76, R 78, RR18, O2 sat 99%. Diffuse erythema noted across upper chest and right ear. Vesicular breath sounds, no stridor, no wheezing. 6:31pm 25mg PO Benadryl administered. Patient reported sensation of worsening hives and itching. Diffuse erythema had spread to trunk. 6:41pm Additional 25mg PO Benadryl administered. BP 133/82, HR 79, RR18, O2 sat 99%. Diffuse erythema / hives had spread to trunk and neck. 6:51pm BP 134/93, HR 111, RR20, 99% O2 sat. Patient reported worsening throat tightening. Began appearing in acute distress. 6:53pm 0.3mg EpiPen administered to right thigh. Called EMS. 6:54pm BP 222/205, RR 71, 95% O2 sat Patient reported improved throat "looser than before", but still remaining tightness. Reports feeling "shaky from adrenaline". No longer appears in acute distress; still has hives/erythema across right ear, neck, chest, trunk. 7:01pm BP140/81, HR 89, RR16, 97% O2 sat. Patient reported a headache. Approximately 7:05pm EMS arrived. Tag# 3663 Unit 8X. Patient will be transferred to hospital.

Other Meds: n/a

Current Illness: n/a

ID: 1053352
Sex: F
Age: 71
State: MN

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Certain clothing fibers, aluminum, bug bites

Symptoms: Left arm first day swelled & got warm at injection site. Second day it seemed better , third day it really swelled, got red from shoulder down to elbow & itches. Using benedryl cream for itching & using ice packs on arm,

Other Meds: Tamoxifen

Current Illness:

ID: 1053353
Sex: F
Age: 46
State: TX

Vax Date: 02/11/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Rash on injection site

Other Meds: Metformin, Losartan, Metoprolol, Vitamin D, Vitamin C

Current Illness: None

ID: 1053354
Sex: M
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Flu like symptoms increasing throughout the day. Fever, aches, chills, digestive upset

Other Meds:

Current Illness:

ID: 1053355
Sex: F
Age: 45
State: WA

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

Lab Data:

Allergies: Sulfa, prozac

Symptoms: Fatigue, chills, body aches

Other Meds: Multi vitamin, calcium, fish oil, vitamin D3, phenyermine 37mg

Current Illness: None

ID: 1053356
Sex: F
Age: 29
State: OR

Vax Date: 01/27/2021
Onset Date: 01/31/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: 02/19/2021: C-Reactive Protein: 22.4 ANA Qualitative Screen: Negative Sedimentation Rate: 19 CCP IgG Antibodies: <16 WBC: 8.7 thousand/uL RBC: 4.95 million/uL Hemoglobin: 13.4 g/dL HCT: 41% MCV: 84 fL MCH: 27.1 fL MCHC: 32.2 g/dL RDW: 13.1% Platelet Count: 433 thousand/uL MPV: 9.2 fL Absolute Neutrophils: 5420 cells/uL, 62.3% Absolute Lymphocytes: 2480 cells/uL, 28.5% Absolute Monocytes: 583 cells/uL 6.7% Absolute Eosinophils: 14 cells/uL 2% Absolute Basophils: 44 cells/uL 0.5%

Allergies: AT RISK FOR MALIGNANT HYPERTHERMIA

Symptoms: severe lymphadenopathy of upper body (armpits, shoulders, neck, inner elbows), lymph masses approximately the size of golf balls painful joints (neck, shoulders, wrists, fingers) ADEs have not resolved or been treated since onset

Other Meds: ESCITALOPRAM, METFORMIN, BUPROPION, SEASONIQUE, VITAMIN D3, VITAMIN B12

Current Illness: N/A

ID: 1053357
Sex: M
Age: 17
State: UT

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: nonen

Symptoms: MEDICATION ERROR Given to 17 y/o pt. Vaccine licensed for 18 yrs and older. Pt contacted and informed that he could not receive dose #2 until he is 18 y/o

Other Meds: unknown

Current Illness: no

ID: 1053358
Sex: F
Age: 73
State: CA

Vax Date: 02/11/2021
Onset Date: 02/18/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: None Many years ago Iritis due to Fosamax.

Symptoms: COVID arm Red itchy

Other Meds: Pepcid, prolia injection 3 weeks prior, calcium plus Vit D tablets, PreserVision Areds 2.

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm