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: 0928682
Sex: F
Age: 52
State: OK

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies: Erythromycin

Symptoms: On 1/6/2021 rash, redness, hot, itching, hematoma to injection site. Night sweats. Nausea. Side effects have not resolved at this time.

Other Meds: HCTZ

Current Illness: None

ID: 0928683
Sex: F
Age: 41
State: MA

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Recipient reported a temp of 101.2

Other Meds:

Current Illness:

ID: 0928684
Sex: F
Age:
State:

Vax Date:
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: swollen around injection site/upper arm, warm to touch, redness and itchiness.

Other Meds:

Current Illness:

ID: 0928685
Sex: M
Age: 26
State: KY

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies: Ritalin causes blood pressure to drop.

Symptoms: The day after the vaccine was given patient reports that he was sore and swollen at vaccine injection site. He also developed a headache later that day. He reports being able to use arm normally but it is still very sore. It was hot to the touch but is better now. He overall feels weak and tired and plans to see his PCP

Other Meds: None

Current Illness: None

ID: 0928686
Sex: F
Age: 55
State: MN

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: none

Allergies: PCN, Vicryl suture

Symptoms: HA starting for 1 hour after injection, lasted for 24-26 hours despite Advil, Excedrine and Fiorocet Abdominal cramps with diarrhea starting 4 hours later, lasted another 4 hours (I get diarrhea very rarely)

Other Meds: vitamin D, BP medication, Prilosec

Current Illness: none

ID: 0928687
Sex: F
Age: 25
State: TX

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pain and swelling at the site of the injection Heachaches, low grade fever, and muscle aches

Other Meds: Levothyroxine Lo-Lo Estrien

Current Illness:

ID: 0928688
Sex: M
Age: 67
State: OK

Vax Date: 01/05/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Numbness, drooping mouth and nose area.....Bells Palsy

Other Meds: Metoprol Lamactil Seroquel

Current Illness: None

ID: 0928689
Sex: F
Age: 50
State:

Vax Date: 12/12/2020
Onset Date: 12/30/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: Treated with Keflex x 7 days. Redness and warmth resolved, but induration improved but present. Tender to touch.

Allergies: Apples Celery oil (anaphylaxis) Carrots (anaphylaxis) Parsley (anaphylaxis)

Symptoms: Initial soreness x 3 days then: 12/29/20: itchy with a lump present, 12/30/30: worsening symptoms, redness measures 4cm x 2cm and the induration is 5 cm x 5cm, warm. No fever

Other Meds: Gabapentin B Complex Omega 3 fatty acids (OTC fish oil)

Current Illness: None

ID: 0928690
Sex: F
Age: 55
State: TX

Vax Date: 12/31/2020
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: N/A

Allergies: Latex , Skelaxin

Symptoms: 01/07/2020 11:00AM 1in red mark on injection site, warm to touch, mild itch and slightly raised. Fever 103. Mild headache Follow up with PCP and red mark has increased in size 1 1/2in in size.

Other Meds: Metoprolol 50 mg , Trokendi, Vitamin D 5,000, Estradiol patch Pepcid, Zyrtec, progesterone 200, nortriptyline 40 mg

Current Illness: N/A

ID: 0928691
Sex: M
Age: 61
State: CA

Vax Date: 12/14/2020
Onset Date: 12/18/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Facial paralysis diagnosed on 12/21/20. Pt. started having facial drooping 12/18/20.

Other Meds: Amlodipine 10mg daily Atorvastatin 20 mg daily Lisinopril 20 mg daily Eliquis 5 mg daily

Current Illness: None

ID: 0928692
Sex: F
Age: 53
State: TX

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

Lab Data:

Allergies:

Symptoms: Patient complained of restless, heart racing, anxious, felt like her blood pressure was up (did not take BP meds this morning) after immunization. Patient checked out by EMS. Patient advised to call 911 or go to the nearest emergency room for any additional issues as needed. Also advised to sign up for v-safe. Patient left site after being seen by EMS.

Other Meds:

Current Illness:

ID: 0928693
Sex: F
Age: 27
State: CA

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Injection site is red hot to touch Headaches going on for a week, since the injection

Other Meds:

Current Illness:

ID: 0928694
Sex: F
Age: 98
State: NE

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: AT 10:50 AM (5 MINUTES POST VACCINATION), FELT LIKE 'HEAD IS FILLING UP, MY LIPS ARE PUFFY, AND I HAVE NUMBNESS UNDER MY EYES AND NOSE'. RECEIVED BENADRYL 12.5MG AT 10:59AM. CONDITION RESOLVED BY 11:15AM. MD WAS NOTIFIED.

Other Meds:

Current Illness:

ID: 0928695
Sex: F
Age: 39
State: IL

Vax Date: 12/30/2020
Onset Date: 01/03/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Decreased range of motion, numbness and pain requiring pain medications more than one week after administration.

Other Meds: Multivitamin, magnesium, probiotic, Vitamin D3

Current Illness: Strep Throat.

ID: 0928696
Sex: F
Age: 48
State: TN

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: none

Allergies: sulfa

Symptoms: Approx 10 hrs after injection- headache and nausea, 12 hrs severe chills/fever x4 hrs then sweating x2 hours. Resolved at 24 hrs

Other Meds: Zyrtec, Benadryl, gabapentin

Current Illness: none

ID: 0928697
Sex: F
Age: 34
State: CO

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: N/A

Allergies: Nickel, adhesive, mercapto mix

Symptoms: Pain at injection site and fatigue about 5 hours after injection, nothing I wouldn't consider "normal". Mild headache and nausea started 10 hours after injection. Took 1000mg Tylenol and went to bed. Nausea, fever symptoms w/ no fever, pale, extreme fatigue started the next morning. Took 1000mg Tylenol, attempted to go to work, went back home and back to bed to rest.

Other Meds: Nexplanon Fluoxetine 40 mg Phentermine 37.5 mg Topirimate Methimazole 2.5 mg

Current Illness: N/A

ID: 0928698
Sex: F
Age: 45
State: VA

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: I took a rapid COVID test that was negative today (1-8-2021).

Allergies: None

Symptoms: I have developed an itchy rash a week after my injection with raised papules on my hands, wrists, arms and upper legs. The site of my injection has a large (half-dollar size) red rash that is itchy and slightly raised. A visual examination by 2 providers that I work with (Family Practice office) today due to extreme itching. I was instructed to take Ranitidine and Zyrtec at approximately 9am. It is now 12pm and the itchiness is a little better.

Other Meds:

Current Illness: None

ID: 0928699
Sex: F
Age: 52
State:

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: Sumatriptan (Chest tightness)

Symptoms: First dose of Pfizer COVID-19 vaccine administered to this individual. She reported dizziness and head feeling "fuzzy". Had patient drink water and juice. VS were BP 137/90 HR 91. She stated her HR routinely runs in the 90s. Observed her for greater than 30 minutes. Symptoms didn't worsen. She was awake, alert with a steady gait. Patient was released to home.

Other Meds:

Current Illness:

ID: 0928700
Sex: F
Age: 24
State: GA

Vax Date: 12/30/2020
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: Rash. Large teardrop shape, red and risen up from the skin around the injection site. If I touch it, I notice that it?s itchy. Just noticed it this morning after showering, can?t think of any other reason for it to be there and there?s not any rashes elsewhere on my body. Currently icing it.

Other Meds: Advil liquid gels prn Loratidine 10mg qd Sambucus gummies 2qd

Current Illness: None

ID: 0928701
Sex: F
Age: 68
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Extreme acid stomach. Can on the night of the vaccine and nausea the next day. I still have the stomach acid.

Other Meds: Calcium and multivitamin magnesium.

Current Illness: None

ID: 0928702
Sex: F
Age: 26
State: KY

Vax Date: 12/18/2020
Onset Date: 12/27/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: CBC done. WNL except platelets 150,000 (unknown normal)

Allergies: None

Symptoms: Patient reported expanded red petechia (red spots) on bilateral lower extremities including feet and knee area. Patient got CBC and went to PCP. CBC was normal except platelets low-normal 150,000. No itching, swelling, etc. This occurred about 9 days after vaccination. Improved gradually and mostly normalized 3 weeks out when receiving 2nd dose of vaccine. No other symptoms reported besides sore arm for 2 days.

Other Meds: Multivitamin

Current Illness: Viral infection (fever, chills) 12/1/2020 - COVID negative

ID: 0928703
Sex: F
Age: 64
State: PA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: denies

Allergies: penicillin-anaphylaxis

Symptoms: Pt. states that she developed nausea and vomiting for one day, no treatment, resolved on 01/06/2021

Other Meds: denies

Current Illness: denies

ID: 0928704
Sex: F
Age: 42
State: NM

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: BP: 120/70 - Lightheadedness, syncope. Outcome: rested, stabilized.

Other Meds:

Current Illness:

ID: 0928705
Sex: F
Age: 30
State: IL

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: I developed nausea the night of the vaccine, the next morning I woke up with a headache behind my eyes, and fainted while getting ready for work that morning. I then had a really bad headache and slept the entire day. I was unable to go to work or care for my house or children.

Other Meds: none

Current Illness: none

ID: 0928706
Sex: F
Age: 55
State: VA

Vax Date: 12/30/2020
Onset Date: 01/04/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Chil,bodyache, headache upset stomach

Other Meds: Levothyroxine, omeprazole dr

Current Illness: None

ID: 0928707
Sex: F
Age: 22
State: CA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Moderna COVID?19 Vaccine Chills (approximately 4 hours), muscle and joint ache (approximately 12 hours), fever (approximately 8 hours), syncope and ears ringing (momentary)

Other Meds: None

Current Illness: None

ID: 0928710
Sex: F
Age: 37
State: AR

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Chills, Dizziness, Night Sweats, Headache, Nausea, Body Aches, Weakness, Fatigue and Joint Pain

Other Meds: Prenatal Vitamins, Microgestin, Biotin and Airborne

Current Illness: N/A

ID: 0928711
Sex: F
Age: 58
State: CA

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Red hot patch 4 x 2 inches on L arm Arm soreness for a week

Other Meds:

Current Illness:

ID: 0928712
Sex: F
Age: 40
State: AZ

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

Lab Data:

Allergies:

Symptoms: 0920 VAC. ; 0930: AFTER VAC. SHOT- NAUSEA/VOMITING, "FOGGY FEELING"; 0930: VS: BP: 145/90, P: 89; T: 98.3 DEG. F; 02 SAT: RA: 97%; 0948: VS: BP: 129/82, P: 85, O2 SAT: 98 %R.A.

Other Meds:

Current Illness:

ID: 0928715
Sex: F
Age: 63
State:

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: unable to sleep, photo sensitive, lack of appetite and migraine.

Other Meds:

Current Illness:

ID: 0928716
Sex: F
Age: 50
State: CT

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Sore arm at the injection site.

Other Meds: buspirone, fluoxetine, quetiapine, clozapine

Current Illness: Bi-Polar

ID: 0928717
Sex: F
Age: 44
State: CA

Vax Date: 12/26/2020
Onset Date: 12/26/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Sxs started 15 minutes post vax, difficulty breathing, rash. Sent to ED. Sxs resolved by 12/29/2020.

Other Meds:

Current Illness:

ID: 0928718
Sex: F
Age: 35
State:

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

Lab Data:

Allergies:

Symptoms: Patient complained of itching on back of neck and behind ears. Denied shortness of breath, difficulty breathing, rash or sweating. 25 MG IM Benadryl administered at 1019. Patient watched for 15 minutes following Benadryl administration. Patient denied any symptoms following.

Other Meds:

Current Illness:

ID: 0928719
Sex: F
Age: 42
State: VA

Vax Date: 12/29/2020
Onset Date: 01/02/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: Percocet

Symptoms: Approximately 4 days after vaccine, employee noticed soreness and swelling in the armpit on the left side. This lasted about 4 days but got progressively better. On day 8 she noticed redness on her skin the size of a quarter that was not sore, itchy or warm.

Other Meds: Lexapro

Current Illness: none

ID: 0928720
Sex: F
Age: 37
State: TX

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

Lab Data:

Allergies:

Symptoms: Patient complained of being lightheaded, headache, felt like BP was elevated after immunization. Patient checked out by EMS, began feeling better shortly thereafter. Patient advised to call 911 or go to the nearest emergency room for any additional issues as needed. Also advised to sign up for v-safe. Patient left site stating he felt better.

Other Meds:

Current Illness:

ID: 0928721
Sex: F
Age: 21
State: ND

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever, body aches, very sore arm, headache, fatigue for 24 hours

Other Meds: Cryselle birth control

Current Illness: None

ID: 0928722
Sex: F
Age: 65
State: CA

Vax Date: 12/26/2020
Onset Date: 12/26/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Sxs 5 minutes post vax with tingling in LUE, but vaccine given in RUE. Tingling is persistent. No improvement. Persistent sxs.

Other Meds:

Current Illness:

ID: 0928723
Sex: F
Age: 35
State: WV

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: Sulfa Latex

Symptoms: >Sore arm - Days 1 to 2 - Resolved without intervention >Gas/Diarrhea - Days 1 to 7 - Resolved without intervention >Engorged breasts - Days 3 to 5 - Resolved without intervention >Sore/uncomfortable (lump) under arm - Days 3 to 7 - Mostly resolved (no current intervention) >Red raised rash (nickle-sized and about 5 inches below injection site) - Days 8 to 9 - Mostly resolved (no current intervention)

Other Meds: Synthroid 75mcg Lessina Women's One-A-Day Multivitamin Vitamin D 2,000iu

Current Illness:

ID: 0928724
Sex: F
Age: 46
State:

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Progress Notes COVID VACCINE CLINIC Subjective Patient is a 46 y.o. female who was seen at COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination. ? She denied any history of previous adverse reactions to vaccines. ? She was given the Moderna vaccination in the right deltoid muscle. ? During her 15 minute waiting period after the injection, the patient began to experience increased breathing rate following right shoulder/clavicle pain. She denied rash, hives, welts, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, lightheadedness, dizziness, facial swelling, lip swelling and tongue swelling. ? This provider was notified of patient reaction and she was then assessed in the emergency bay area. ? Monitored patient for severe reaction symptoms, including but not limited to blood pressure abnormality and respiratory distress with increased work of breathing. ? ? ? ? ALLERGY REVIEW OF SYSTEMS: Patient complains of shortness of breath ( most likely from mild anxiety) and muscle aches ? ? Previous Reactions: none ? Objective ? Vitals Vitals: ? 01/07/21 1136 01/07/21 1146 BP: (!) 140/92 129/70 BP Location: Right arm Right arm Patient Position: Sitting Sitting Cuff Size: Regular Adult Regular Adult Pulse: 88 76 Resp: 14 12 SpO2: 100% 100% ? Physical Exam Vitals signs reviewed. Constitutional: General: She is not in acute distress. Appearance: Normal appearance. She is well-developed. She is not diaphoretic. HENT: Head: Normocephalic and atraumatic. Right Ear: Hearing and external ear normal. Left Ear: Hearing and external ear normal. Nose: Nose normal. Eyes: General: No scleral icterus. Right eye: No discharge. Left eye: No discharge. Conjunctiva/sclera: Conjunctivae normal. Neck: Musculoskeletal: Normal range of motion and neck supple. No neck rigidity or muscular tenderness. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Heart sounds: Normal heart sounds. No murmur. No friction rub. No gallop. Pulmonary: Effort: Pulmonary effort is normal. No respiratory distress. Breath sounds: Normal breath sounds. No wheezing or rales. Chest: Chest wall: Tenderness ( right mid clavicle) present. Musculoskeletal: Normal range of motion. Skin: General: Skin is warm and dry. Neurological: Mental Status: She is alert and oriented to person, place, and time. Sensory: No sensory deficit. Gait: Gait normal. Psychiatric: Behavior: Behavior normal. Thought Content: Thought content normal. Judgment: Judgment normal. ? ? ? Assessment/Plan Treatment included: avoidance measures and talking with the patient.. Follow up response to treatment: excellent. Patient discharge: Stable to go home and follow up with PCP. ? Patient was thought to have a mild muscle spasm from the injection that may have cause a mild anxiety attack. Patient was fully cooperative the whole time and appreciative for team of medical staff. Patient's symptoms quickly resolved and she was able to leave without assistance. Patient declined assistance to her car. ? ? ? ?

Other Meds:

Current Illness:

ID: 0928725
Sex: F
Age: 37
State: NC

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: 06 Jan 2021 @1336: Presented to ED about 15 minutes after vaccine with complaints of nausea, vomiting, chills, and chest tightness. During this visit, she received IV fluids, Benadryl and Zofran by mouth.

Other Meds: Rizatriptan, Klonopin, Trazodone, Wellbutrin, D3

Current Illness:

ID: 0928726
Sex: F
Age: 32
State: AL

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Adverse event: nausea, chills, injection site pain, tiredness, headache, muscle pain, feeling unwell Treatment: APAP 1000mg Q6Hrs Time course: injection site pain started ~3hrs after receiving vaccine; chills, headache started ~11-12hrs after vaccine; muscle pain, feeling unwell, nausea, tiredness started ~17-18hrs after receiving vaccine; majority of symptoms improved 48hrs after vaccine administration; some tiredness and feeling unwell remain

Other Meds: Wellbutrin XR 300mg daily One-a-day Prenatal vitamin Levothyroxine 25mcg QAM

Current Illness: None

ID: 0928727
Sex: F
Age: 28
State: OH

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: Allergy to sulfa medication

Symptoms: Sudden extreme fatigue and mild nausea for about 2 hours. Then felt tachycardia and palpitations. Heart rate was checked by medical professional in household and was found to be 120 and irregular. This lasted approximately 2 minutes. At this time also felt shortness of breath which lasted 30 minutes. Once the tachycardia and shortness of breath ended, I was getting chills and continued to have nausea and extreme fatigue. Since the vaccination my arm has continued to be very sore. When I woke up on 1/8/2021 I am still very fatigued and still have a sore arm.

Other Meds: Tylenol, Ibuprofen

Current Illness: None

ID: 0928728
Sex: M
Age: 36
State: FL

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Moderns COVID-19 Vaccine EUA Chills, Aching, Fatigue, Fever, Headache, Dizziness, Blurred vision

Other Meds:

Current Illness:

ID: 0928729
Sex: F
Age: 47
State: CT

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

Lab Data:

Allergies: NKA

Symptoms: Client c/o tightness in throat 8 minutes after receiving Dose 1 of Moderna vaccine. Pulse 90,O2 sat.96,BP 150/110.Bendryl 50 mg po given,after10 minutes client c/o worse tightening of the throat,paleness and red raised rash noted on both arms and chest. Epi pen administrated O2 sat 98, pulse 80, BP 120/90. EMS called . Client transported to Hospital via ambulance.

Other Meds: Amnilyloadiadapine

Current Illness: ? cold/sinus infection

ID: 0928730
Sex: F
Age: 28
State:

Vax Date: 12/28/2020
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: Peanuts (anaphylaxis) Augmentin (Hives)

Symptoms: 1/5/21: Developed redness and warmth around vaccine site 1/7/21: Began treatment with clindamycin 300 mg TID x 7 days

Other Meds: Amlodipine Losartan Fluocinolone cream

Current Illness: None known

ID: 0928731
Sex: M
Age: 38
State: CA

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Sxs rash. Rash has persisted.

Other Meds:

Current Illness:

ID: 0928732
Sex: F
Age: 57
State: MI

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Mouth and lips tingling

Other Meds:

Current Illness:

ID: 0928733
Sex: F
Age: 28
State: NC

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: none

Allergies: Anaphylactic allergy- Peanuts Other Allergies/adverse reactions- Crab Ketoconazole - TSS liver shock Amitriptyline - suicidal, night terrors, severe short term memory loss Buspirone - mania, suicidal

Symptoms: Moderna COVID-19 Vaccine EUA Dose 1 One hour after receiving injection- light headed, dizzy, trembling, hot flashes, extreme nausea, confusion, hard time speaking, skin numbness and tingling at injection site and on face/neck/arms. Took Benadryl (diphenhydramine). Acute symptoms dissipated after a couple hours. Continued to feel dizzy when standing/walking. Confusion/short term memory loss of entire afternoon evening (told by others- can?t remember actions, repeating myself and not remembering, can?t remember conversations). About two hours after injection, extreme muscle pain in left arm. Couldn?t lift or move arm and hurt even when not moving, took 440mg naproxen. Brought pain down to a more normal feeling of post shot soreness.

Other Meds: Progesterone 50mg Methylphenidate CD 20mg

Current Illness: none

ID: 0928734
Sex: F
Age: 22
State: SD

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Body aches Sore back Fever - temp was 102 Fatigue Took 3 doses of Tylenol which seems to have helped. 24 hours later still feeling pretty sore and tired.

Other Meds: Yaz

Current Illness: None

ID: 0928735
Sex: F
Age: 46
State:

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Progress Notes PA-C (Physician Assistant) ? ? Physician Assistant Cosigned by: MD at 1/8/2021 ?9:47 AM Expand All Collapse All COVID VACCINE CLINIC ? Date: 1/7/2021 MRN: 5234562 ? Subjective Patient is a 46 y.o. female who was seen at COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination. ? She denied any history of previous adverse reactions to vaccines. ? She was given the Moderna vaccination in the right deltoid muscle. ? During her 15 minute waiting period after the injection, the patient began to experience increased breathing rate following right shoulder/clavicle pain. She denied rash, hives, welts, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, lightheadedness, dizziness, facial swelling, lip swelling and tongue swelling. ? This provider was notified of patient reaction and she was then assessed in the emergency bay area. ? Monitored patient for severe reaction symptoms, including but not limited to blood pressure abnormality and respiratory distress with increased work of breathing. ? ? ? ? ALLERGY REVIEW OF SYSTEMS: Patient complains of shortness of breath ( most likely from mild anxiety) and muscle aches ? ? Previous Reactions: none ? Objective ? Vitals Vitals: ? 01/07/21 1136 01/07/21 1146 BP: (!) 140/92 129/70 BP Location: Right arm Right arm Patient Position: Sitting Sitting Cuff Size: Regular Adult Regular Adult Pulse: 88 76 Resp: 14 12 SpO2: 100% 100% ? Physical Exam Vitals signs reviewed. Constitutional: General: She is not in acute distress. Appearance: Normal appearance. She is well-developed. She is not diaphoretic. HENT: Head: Normocephalic and atraumatic. Right Ear: Hearing and external ear normal. Left Ear: Hearing and external ear normal. Nose: Nose normal. Eyes: General: No scleral icterus. Right eye: No discharge. Left eye: No discharge. Conjunctiva/sclera: Conjunctivae normal. Neck: Musculoskeletal: Normal range of motion and neck supple. No neck rigidity or muscular tenderness. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Heart sounds: Normal heart sounds. No murmur. No friction rub. No gallop. Pulmonary: Effort: Pulmonary effort is normal. No respiratory distress. Breath sounds: Normal breath sounds. No wheezing or rales. Chest: Chest wall: Tenderness ( right mid clavicle) present. Musculoskeletal: Normal range of motion. Skin: General: Skin is warm and dry. Neurological: Mental Status: She is alert and oriented to person, place, and time. Sensory: No sensory deficit. Gait: Gait normal. Psychiatric: Behavior: Behavior normal. Thought Content: Thought content normal. Judgment: Judgment normal. ? ? ? Assessment/Plan Treatment included: avoidance measures and talking with the patient.. Follow up response to treatment: excellent. Patient discharge: Stable to go home and follow up with PCP. ? Patient was thought to have a mild muscle spasm from the injection that may have cause a mild anxiety attack. Patient was fully cooperative the whole time and appreciative for SV team of medical staff. Patient's symptoms quickly resolved and she was able to leave without assistance. Patient declined assistance to her car. ? ? ? PA-C Electronically Signed 1/7/2021 2:05 PM

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm