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: 0928736
Sex: F
Age: 41
State:

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

Lab Data:

Allergies:

Symptoms: Patient reported feeling "woozy", got the chills and HR became elevated. She appeared shaky. HR and BP elevated. She was given water and juice. Provider walked in and spoke with her regarding an adrenaline release causing some of her symptoms. Over the 5 minutes, patient became less shaky, BP and HR dropping. She stated she felt much better. She discharged with instructions to follow up with her PCP if needed. Provider felt she could discharge home. Several days later, patient reported continued "woozy" feeling, chills, and elevated HR. She was seen in the ED at that time, with no remarkable findings.

Other Meds:

Current Illness:

ID: 0928737
Sex: F
Age: 58
State: MA

Vax Date: 12/09/2020
Onset Date: 12/09/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: Brought to the Emergency Department. Peripheral Intravenous Access placed and given Benadryl 50 mg Intravenously. Symptoms resolved. Was instructed to take Benadryl every 6 hours for 24 hours. Felt very nauseous with headache the following day.

Allergies: Latex and Shellfish

Symptoms: 5 minutes after injection, face red, sudden onset of flushing sensation in chest followed by dizziness and a feeling of rapid heart beat. Throat tightness and difficulty swallowing. Flushing sensation and feeling of rapid heart beat resolved within a few minutes, but left with nausea, flushing and difficulty swallowing/throat tightness.

Other Meds: anastrazole sertraline baby aspirin turmeric glucosamine calcium

Current Illness: None

ID: 0928738
Sex: F
Age: 30
State: UT

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

Lab Data: Also had allergy skin prick testing done the same day at her allergist's office.

Allergies: Citric Acid, Cranberry Extract, Blueberry

Symptoms: Tongue swelling

Other Meds: Multivitamin

Current Illness:

ID: 0928740
Sex: F
Age: 46
State: AZ

Vax Date: 01/03/2021
Onset Date: 01/04/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: I spoke to an ER doctor and he thinks they may have injured / poked my ulnar nerve (but when I was looking it up online, that nerve isn't at the deltoid muscle, it seems to be located behind the inside part of the arm)

Allergies: Sensitivities to Erythromycin (GI upset) and Clindamycin ("black hairy tongue")

Symptoms: The next day after receiving the Covid vaccine injection in my left arm, I had the typical muscle pain. That subsided within a day or two. But I am experiencing numbness and tingling throughout the entire length of my arm. It is not severe and I am still able to conduct my work and daily chores, but it is very concerning to me. It is now 5 days later, and the numbness is not any better. My left pinky finger is the worst out of all of my digits. I'm not sure if they somehow hit a nerve during the injection or if this is a side effect of the shot.

Other Meds: None

Current Illness: None

ID: 0928741
Sex: F
Age: 49
State: CA

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

Lab Data: none

Allergies: none

Symptoms: palpitation which is now resolved

Other Meds: none

Current Illness: none

ID: 0928742
Sex: F
Age: 39
State: WI

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

Lab Data:

Allergies: Scopolamine

Symptoms: 1000- Employee receives vaccination 1015- Pt reports dizziness to staff 1015- Pt assisted to private area for evaluation/assessment (Vitals signs, ABCs) - Denies troubles breathing or swallowing, Denies throat swelling or closure. drinking PO liquids and eats cracker 10:21- reports sensation in throat, continues to deny troubles breathing or swallowing 10:28- 25mg liquid PO diphenhydramine administered PO as 25mg/10mL PO diphenhydramine 10:31- No improvement/worsening in symptoms- emergency response team called to evaluate employee Pt is transported to Urgent Care via wheelchair per Pt request

Other Meds:

Current Illness:

ID: 0928743
Sex: F
Age: 30
State: OR

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

Lab Data: none

Allergies: none

Symptoms: Generalized body aches, malaise, tachycardia, nausea, headache, sweats. Intermittently for 48 hours, worse at night.

Other Meds: none

Current Illness: none

ID: 0928744
Sex: F
Age: 32
State: MA

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

Lab Data:

Allergies: N/A

Symptoms: Sore arm, headache, fever, chills, body aches, fatigue

Other Meds: Flovent, omeprazole, Junel Fe, sertraline

Current Illness: N/A

ID: 0928745
Sex: F
Age: 55
State: FL

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

Lab Data: NA

Allergies: none

Symptoms: at 10:10pm, started with chills and shivers for over an hour. Muscle aching as a result of the shivers that last over an hour. Fever of 101.5 at 1am in the morning. Head ache that was first in the temples and then went behind the eyes. Water had a metal taste to it. Did not take a tylenol or anything to relieve the fever or ache. I prefer to allow my body to fight it naturally. Used an ice pack at the nap of my neck to help with fever and also headache. Also took 2 showers to help with body ache. 1/8/21 12:20pm fever is still 100.4. Body is still achy with slight headache.

Other Meds: armourthyroid 20mg

Current Illness: none

ID: 0928746
Sex: F
Age: 42
State: NH

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

Lab Data:

Allergies: oysters

Symptoms: About 1 week after administration of Moderna vaccine, developed reddened, warm area just below injection site. Erythema was about the size of a half-dollar; not particularly painful but slightly tender.

Other Meds: none

Current Illness: none

ID: 0928747
Sex: F
Age: 27
State: TX

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

Lab Data: None

Allergies: None

Symptoms: Vaccine received 12/31. Arm pain persisted x3 days. On 01/07 large itchy welts broke out on injection site. over time welts went away and whole area became red, swollen, and hot to touch. Arm also became sore again. Cortisone applied twice with minimal relief.

Other Meds: Kyleena IUD

Current Illness: None

ID: 0928748
Sex: F
Age: 51
State: FL

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

Lab Data:

Allergies: Shellfish, Avelox, Biaxin, Seasonal allergies, Bee/Wasp Stings

Symptoms: 12/30, 5PM: FEVER/TACHYCARDIA, 12/31 RED SWOLLEN HOT ITCHY INDURATION AT RIGHT ARM @ VACCINE SITE, ENLARGED 1/1/21 TO SAND-DOLLAR SIZE, SWELLING RESOLVED 1/3/21. RECURRENCE OF REACTION BEGAN 1/7/21 3PM (SWOLLEN HOT RED ITCHY INDURATION)

Other Meds: Vitamin C, Vitamin D, Zinc, B-Complex Vitamin, Calcium, Magnesium, Multivitamin, Progesterone, Llevothyroxine

Current Illness: Febrile upper respiratory illness 3 weeks prior to COVID-19 vaccine. Tested negative for COVID-19 with PCR test at that time

ID: 0928749
Sex: F
Age: 35
State: OH

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

Lab Data:

Allergies: Naproxen

Symptoms: After receiving the shot, I experienced a sharp pain in my shoulder and neck on the left side (same side as the shot was received). This only lasted a couple of minutes and then I felt normal. That evening the area where I received the shot was sore and hard to lift. This is when I started to notice stiffness in my left elbow joint and muscle aches throughout my body. Upon waking the following morning, the stiffness in my elbow joint had increase and it made it difficult to bend my elbow. At this point, I had assumed that maybe I had pulled something or slept on it wrong. I figured it would work itself out in a day or two. This has not been the case. It is now day 8, my elbow joint is stiff with soreness and pain in the surrounding area. I am not able to lift items as I normally would or squeeze/hold items in my left hand without experiencing pain in that elbow or the surround muscles. It had been uncomfortable and painful to move and bend that arm and even the simple act of straightening the elbow is difficult to accomplish. All pain and discomfort is limited to the elbow joint and surrounding area.

Other Meds: Vitamin B12, B6, Vitamin D, Magenesium, Ocuvite Supplement with Lutein Suboxone, Clonidine, Gabapentin, Bupropion,

Current Illness:

ID: 0928750
Sex: F
Age: 37
State: IN

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

Lab Data: None

Allergies: Penicillin, z pack

Symptoms: At 8:10 am Thursday started with a fever and swelling of my lymph nodes under my arm on the injection side, left, and just not felling well. By 2:30 pm on Thursday had high fever, muscle, bone and joint pain, weakness, chills and sweats. Pain in my swollen lymph nodes under arm. Fever broke Friday at 9 am still experiencing pain in lymph nodes, some sweating, generalized tiredness and over all just not feeling well.

Other Meds: Tylenol, ibuprofen, Benadryl

Current Illness: None

ID: 0928751
Sex: M
Age: 44
State: MT

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

Lab Data:

Allergies:

Symptoms: fever 100.3, fatigue

Other Meds:

Current Illness:

ID: 0928752
Sex: F
Age: 42
State: CO

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

Lab Data: none

Allergies: None

Symptoms: Swelling of deltoid, firmness and heat as well as redness starting on day 7 post injection. I have been taking 25mg diphenydramine q 4-6h since swelling and redness started

Other Meds: none

Current Illness: None

ID: 0928753
Sex: M
Age: 49
State: HI

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

Lab Data: 10:49 BS 117 10:20 am VSS HR 60 BP 118/80 02 96% 98 degree F 10:25 am BS 20 10:30 am - pt ate banana & 1 can of soda

Allergies: none

Symptoms: Pt received Moderna vaccine on 12/30/20 at 10:08 am. At 10:17 am monitor flagged down nurse to check on pt. Pt was upright sitting in drivers seat of his truck with his eyes open and head/neck tilted back. Pt. was not responsive to shaking, sternal rub and/or calling his name to see if he could hear nurse for approximately 20-30 seconds. At that point pt. became alert and responsive. Pt was disorientated for a couple of seconds then realized what had happened. Pt stated that he felt light headed and was diaphoretic. Pt did not eat breakfast so was given a granola bar and water.

Other Meds: none

Current Illness:

ID: 0928754
Sex: F
Age: 56
State: CA

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

Lab Data:

Allergies:

Symptoms: Sxs started 3-5 minutes post vax. Dizziness, hypotension, throat fullness, CODE called, given IM Epi at vax site. Taken to ED from vax site. Started on epi drip. Admitted to SHC.

Other Meds:

Current Illness:

ID: 0928755
Sex: F
Age: 32
State: OH

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

Lab Data:

Allergies: AMOX, CECLOR

Symptoms: 100.8 fever, chills, muscle/joint pain

Other Meds: ADDERALL 15 MG XR

Current Illness: N/A

ID: 0928756
Sex: F
Age: 48
State: NM

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

Lab Data:

Allergies: NKDA

Symptoms: Patient reported to health center on 1/7/2021 with complaints of redness and rash to LUE. Received Moderna Covid vaccine on 12/30, reports symptoms started on Wednesday January 6 in the evening. Rash is red and raised, measures 7 cm x 15 cm, warm to the touch and tender. No other systemic reactions were noted or reported by the patient. Patient was prescribed Cephalexin 500 mg TID for 7 days. Encouraged to treat symptoms with Tylenol or Advil as needed and to follow-up via phone with provider on 1/8/2021.

Other Meds: daily multivitamin

Current Illness:

ID: 0928757
Sex: M
Age: 34
State: IL

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

Lab Data:

Allergies: Na

Symptoms: Nausea/ dizzy, Syncope 12 hours later.

Other Meds: Na

Current Illness: Na

ID: 0928758
Sex: F
Age: 46
State: OR

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

Lab Data: No labs performed. TReated with Decadron, Benadryl and Motrin.

Allergies: Acetaminophine: Rash Amoxicillin: Bleeding Simvastatin: Myalgia

Symptoms: Shortly after receiving vaccination, patient experienced chest pressure, shortness of breath, feeling jittery and shaky. Oxygen saturation remained normal. Vital signs normal.

Other Meds: Fesoterodine, Cetirizine, Levothyroxine,

Current Illness: None

ID: 0928759
Sex: F
Age: 34
State:

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

Lab Data:

Allergies: Bactrim, shellfish

Symptoms: Transferred to ED. ED documentation below. Initial Vital Signs [01/06/21 1754] Blood Pressure 146/97 Heart Rate 78 Respiratory Rate 16 Temp 36.9 ?C (98.4 ?F) Temp src Oral SpO2 97 % 34 y.o. female who arrived by From on-campus presented to the emergency department for an allergic reaction to the Pfizer COVID-19 vaccine. Pt received the first round of injections at 1707 tonight and experienced adverse reactions. Pt endorses dizziness which is accompanied by central abdominal pain and itching of her left thigh. Pt states that her throat is dry, but adds that it could be from not drinking much fluids today. Pt has a hx of anaphylaxis from shellfish and angioedema. She says these current symptoms are not similar to the ones she experienced from anaphylaxis or angioedema. Pt has not started or changed any medications, but had an IUD inserted about a week and a half ago. Pt denies any fevers, chills, coughs, cold symptoms, chest pain, palpitations, shortness of breath, headaches, nausea, vomiting, bowel or bladder problems, or urinary complaints. Clinical exam shows central abdominal pain just above the umbilicus with itching of the posterior aspect of the left lateral thigh. Will administer PO Prednisone and PO Diphenhydramine in the ED and observe the pt. No epinephrine injection was deemed necessary at this time. DDx: allergic reaction 1910 hours: Discussed further treatment and vaccine advice with the pt. Will discharge pt to home. Provided follow up instructions to her PCP, for reevaluation. Discussed return precautions. Vital signs are stable at time of discharge.

Other Meds:

Current Illness:

ID: 0928760
Sex: F
Age: 28
State: CA

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

Lab Data:

Allergies:

Symptoms: Sxs started 2 hours post vax with flushing, palpitations, chest pressure. Presented to ED. Sxs resolved after 2 hours of observation.

Other Meds:

Current Illness:

ID: 0928761
Sex: F
Age: 34
State: GA

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

Lab Data: NONE

Allergies: NONE

Symptoms: CHILLS,HEADACHE,NAUSEA,TIREDNESS. I WAS FEELING A LITTLE WEIRD ON THE DAY I GOT IT AND MY ARM WAS HURTING A LOT AND THEN TODAY I STARTED FEELING BAD WITH ALL THE SYPTOMS I PROVIDED.

Other Meds: NONE

Current Illness: NONE

ID: 0928762
Sex: F
Age: 41
State: TX

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

Lab Data: 2 covid tests - negative both

Allergies: ibuprofen, Advil, morphine, codeine, dpac, opioids

Symptoms: On the 23rd few minutes after the vax I had a severe headache and a burning sensation in my throat. I had a headache the whole day. The next day muscle aches, joint hurts, and injection site was painful. 12/25 I felt like I had the flu body aches, muscle aches and fever, I went to the doctor on 12/26 and I was tested for covid - negative. I had 100 - 100.5 F fever for 5 days along with body aches, joint pain headaches after the vaccine. Around the 28 I was able to return to work after 2 negative covid tests and I was able to function enough.

Other Meds: Centroid, Omeprazole, hydroxyzine, multivitamin

Current Illness:

ID: 0928763
Sex: F
Age: 37
State: GA

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

Lab Data: None

Allergies: Phenergan

Symptoms: 1/6/2021- vaccine to right arm. slight dizziness 30 minutes after with increased HR but symptoms subsided within 20 minutes. 1/7/2021- fever (Tmax 102.3, headache, injection site pain, muscle pain, abd pain and diarrhea 1/8/2021- right sided swelling to adnexa area/ lymph nodes

Other Meds: Spirolactone- acne Vitamin D3, zinc Adderall 20mg

Current Illness: Covid-19 dx Nov. 25

ID: 0928764
Sex: F
Age: 52
State: PR

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: 12/28/2020 - Eye Swelling 01/05/2021 - Injection site: Redness, Sore arm. Hive in injection site., itching (Brazo caliente)

Other Meds: Vitamin C Vitamin B Vitamin D Lecithin

Current Illness: November, 2020 - Asthma exhacerbation

ID: 0928765
Sex: F
Age: 61
State: WA

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

Lab Data: None

Allergies: None

Symptoms: Woke up three hours later with swelling on site injection size of a clementine and severe pain in whole arm. Consulted Doctor by phone following morning. Low-grade fever of 37.7 C began within 24 hours and lasted until 48 hours after injection. Pain of swelling abated greatly with the onset of fever. The swelling resolved into red, flat, irregular around injection site, resembling the irritation of a bee sting.

Other Meds: restasis eyedrops

Current Illness: None

ID: 0928766
Sex: F
Age: 35
State: MO

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

Lab Data: NA

Allergies: Sulfa, Codeine, Biaxin, Thimerosal

Symptoms: ABOUT 1 HOUR AFTER THE INJECTION WAS GIVEN I BEGAN TO EXPERIENCE NUMBNESS AND TINGLING ON THE 3RD FINGER OF MY RIGHT ARM, THE ARM THE INJECTION WAS GIVEN IN. LATER THAT AFTERNOON IT HAD SPREAD TO MY RIGHT WRIST AND BY THE TIME I WOKE UP THE NEXT DAY, MY WHOLE ARM WAS NUMB/TINGLY/PAINFUL AND THERE WAS A SWOLLEN LYMPH NODE IN MY UNDERARM ON THE ARM THE VACCINE WAS GIVEN IN. THE NUMBNESS/TINGLING/PAIN FINALLY WENT AWAY 2-3 DAYS LATER.

Other Meds: Cymbalta, Spironolactone, Flonase, Daily Vitamin.

Current Illness: NA

ID: 0928767
Sex: F
Age: 42
State: IL

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: At injection site the skin is red in a circle form and warm to the touch.

Other Meds: None

Current Illness: None

ID: 0928768
Sex: F
Age: 36
State: CA

Vax Date: 12/24/2020
Onset Date: 12/24/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Tingling/Hot burning throat/tachycardia and chest tightness. Presented to ED. Given diphenhydramine. Observed and discharged.

Other Meds:

Current Illness:

ID: 0928769
Sex: M
Age: 29
State: CA

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

Lab Data: no

Allergies: no

Symptoms: Normal after the inj. 8 hours later, arm pain, fatigue. Next day at noon, felt anxious, heart rate 140's, extreme back pain, tachycardia. Lasted 12 hours 140 at rest. Movement 160 rate. Had chest pain. High fever 102-103.

Other Meds: multivitamins

Current Illness: Yes had covid. Tested positive 12/14/20

ID: 0928770
Sex: F
Age: 67
State: CA

Vax Date: 12/29/2020
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Nine days after injection developed rash and redness with heat on left bicep where shot was given. It itches, is warm and red. Treating with hydrocortisone cream (to stop itch) and icing for the heat. This is now day 2 (1/8/21).

Other Meds: Fosamax and Prilosec, calcium and glucosamine

Current Illness: None

ID: 0928771
Sex: F
Age: 43
State: KY

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

Lab Data:

Allergies: Gluten

Symptoms: Patient received vaccine at 951 then presented back at clinic at 1100am. Presented with flushing, followed by clammy feeling and slight rash, tachycardia about 1 hour post vaccination. Patient was given Benadryl 50mg, Solu- Medrol 125mg and Pepcid 20mg on 12/30/20 @ 1120

Other Meds: Effexor XR 75mg daily Vitamin D daily Synthroid 125mcg daily Thyroid 60mg daily Topamax 25mg daily

Current Illness: none

ID: 0928772
Sex: F
Age: 52
State: NY

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

Lab Data: EKG 12/30 & 12/31 MRI of head & cervical spine 12/30/2020 Chest x-ray 12/30 CT Angio of head & neck with contrast 12/30 12/30/2020 Urinalysis & urine culture A1C Troponin lipid profile Serum Pro-BNP PT/INR, PTT Magnesium lipase COVID-19 PCR COVID-19 Antibody CMP & BMP CBC with diff 12/31 Discharge screening

Allergies: latex shellfish

Symptoms: Patient felt warm with palpitations 5 minutes after vaccine administered. was monitored for 30 mins & then returned to work. on 12/30/2020 patient was at work in Presurgical testing dept & experienced near syncope, dizziness & elevated BP. reported to ED & was admitted to telemetry unit.

Other Meds:

Current Illness:

ID: 0928773
Sex: M
Age: 58
State: NC

Vax Date: 12/18/2020
Onset Date: 12/21/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: Skin adhesives, latex (topical reactions)

Symptoms: Intermittently productive cough, dyspnea, body aches, HA, neck pain 3 days after dose. CXR in ED found LLL pneumonia and enlarged heart; given ABX and isolation.

Other Meds: Augmentin, metformin, pravastatin, tizanidine, testosterone, glimepiride, MgOx, escitalopram, diclofenac, fluticasone INH, Montelukast, fenofibrate, ASA, omeprazole, losartan, fish oil

Current Illness:

ID: 0928774
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 injection site arm - Days 1 to 2 - Resolved without intervention Gas/diarrhea - Days 1 to 7 - Resolved without intervention Engorged breasts - Days 3 to 6 - Resolved without intervention Sore/uncomfortable (lump) under injection site arm - Days 3 to 8 - Mostly resolved (no current intervention) Red raised rash (nickle sized and 5 inches below injection site - Days 8 to 9 - Mostly resolved (no current intervention)

Other Meds: Synthroid 75mcg Lessina (Birth Control) One-A-Day Women's Multivitamin Vitamin D3 2,000IU

Current Illness:

ID: 0928775
Sex: F
Age: 35
State: PR

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

Lab Data: NO

Allergies: N/A

Symptoms: fever, diarrhea, chest pain

Other Meds: N/A

Current Illness: N/A

ID: 0928776
Sex: F
Age: 31
State: CA

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

Lab Data:

Allergies:

Symptoms: Vax given 12/30/2020 at 2030. Sxs developed later with nausea, vomiting, dizzyness, myalgias, headache. Presented to ED. IVF, Zofran/diphenhydramine inj, tylenol. Neg COVID-19 test.

Other Meds:

Current Illness:

ID: 0928777
Sex: F
Age: 49
State: KY

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

Lab Data:

Allergies:

Symptoms: Dr. called this morning and reported that an employee that works in billing had her vaccine on Wednesday and developed and anaphylactic reaction to Moderna. This was 24 hours later with rash, SVT heart rate above 140, low grade fever, redness at site. Admitted and treated with steroids and Benadryl.

Other Meds:

Current Illness:

ID: 0928778
Sex: F
Age: 38
State: PA

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

Lab Data:

Allergies: RISPERDOL, DEPAKOTE,SEROQUIL

Symptoms: FLUSH IN FACE, HEAT ON FACE, HEADACHE, DIZZINESS

Other Meds: NO

Current Illness: NO

ID: 0928779
Sex: F
Age: 23
State: AK

Vax Date: 12/19/2020
Onset Date: 12/22/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: None.

Allergies: Drug Allergy to Penicillin, Ibuprofen, Codeine Food Allergy to pineapple

Symptoms: After receiving my vaccine, 2-3 days following I began to feel all over body aches and pains, muscle and joint stiffness and soreness. I was congested beyond belief with an migraine-like headache. I would feel nausea and vomit from the pain.

Other Meds: Nothing being taken routinely, just seudafed when my allergies get unbearable

Current Illness: no illnessess

ID: 0928780
Sex: F
Age: 42
State: CA

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

Lab Data:

Allergies:

Symptoms: Palpitations. Tingling of lips. Presented to ED. Observed x 4 hours. Patient improved. Discharged to PCP if sxs worsen. ED notes incomplete.

Other Meds:

Current Illness:

ID: 0928781
Sex: F
Age: 55
State: GA

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

Lab Data: N/a

Allergies: Codeine causes severe headache

Symptoms: Pfizer BioNTech: Complains of left foot numbness and tingling that progressed to left leg and then to left hand and left arm. Benedryl PO 25mg given at 12:05pm. No changes after Benadryl given.

Other Meds: None

Current Illness: None

ID: 0928782
Sex: F
Age: 56
State: SD

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

Lab Data:

Allergies: Sulfamethoxazole/TMP DS, Voltaren, Wellbutrin, Morphine, Codeine,

Symptoms: Pt noticed this morning that above her injection site on her left deltoid area she had redness and warmth. Pt has a scar on left deltoid area and redness went along horizontally on her arm. There also was some warmth to that area.

Other Meds: Vitamin D, Duloxetine, Omeprazole, Thyroid 30-32.5 mg, Loratidine, Meloxicam, Mirtazapine, Zolpidem

Current Illness:

ID: 0928783
Sex: F
Age: 39
State: WI

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

Lab Data:

Allergies: Scopolamine

Symptoms: 1000- Pt received vaccine (2nd dose) 1015- Pt reported dizziness, denies troubles breathing or swallowing Pt assisted to private area- Vital signs checked and assessed for airway, breathing, circulation concerns- denies 1021- Pt reports unusual sensation in throat, continues to deny difficulties breathing or swallowing 10:28- 25mg diphenhydramine administered PO as 25mg/10mL PO Liquid diphenhydramine (Pt declines additional 25mg dosing) Denies changes in symptoms- emergency response team is called and arrives to assess Pt Pt is transported to Urgent Care per Pt request

Other Meds:

Current Illness:

ID: 0928784
Sex: F
Age: 44
State: MD

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

Lab Data:

Allergies: Levaquin

Symptoms: Fever, Chills and generalized body aches .

Other Meds:

Current Illness:

ID: 0928785
Sex: F
Age: 58
State: PA

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

Lab Data:

Allergies:

Symptoms: Vaccine injected too low, causing redness, warmth, swelling and pain at injection site.

Other Meds:

Current Illness:

ID: 0928786
Sex: M
Age: 21
State: LA

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

Lab Data:

Allergies:

Symptoms: Patient reported fatigue, body aches, fever, HA, congestion

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm