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: 0929368
Sex: F
Age: 34
State: WA

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fatigue 12/24 for 24 hours, self resolved. 1/8- dizziness and nausea, have not sought treatment yet.

Other Meds: Vitamins

Current Illness: None

ID: 0929369
Sex: F
Age: 73
State: CO

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

Lab Data:

Allergies: Bactrim, Codeine/opioids, Statins, Sulfa

Symptoms: Patient started to have tongue numbness and periorbital tingling immediately after vaccination. Patient was subsequently transported to the ED. No medications were administered in the emergency department. Patient was released to home.

Other Meds:

Current Illness:

ID: 0929370
Sex: F
Age: 33
State: ND

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

Lab Data:

Allergies: Shellfish

Symptoms: Chills, nausea, vomiting, headache, low grade fever

Other Meds: Alprazolam 0.5 mg PRN Sertraline HCL 50mg 1x daily

Current Illness: None

ID: 0929371
Sex: F
Age: 51
State: AK

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

Lab Data: None

Allergies: None

Symptoms: Received vaccination in Left Deltoid. Small bruise and site tenderness at first. Then on Jan 8th site stared to itch. Then larger area became red, warm and slightly swollen. No other symptoms noted. Tenderness is gone.

Other Meds: Synthroid, Valtrex, Simvastatin, Lexapro, Colace, Neurontin, Vitamin D, Vitamin E

Current Illness: None

ID: 0929372
Sex: F
Age: 41
State: TN

Vax Date: 12/21/2020
Onset Date: 12/30/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: I initially developed 3 small red raised bumped on my R arm around Day 9 after the injection . One on forearm, one near antecubital, and one at inner upper arm. The bumps did not itch or have any drainage. The area increased in size, remained red, and had a central clearing, as if the skin came off the surface. The skin is now dry and cracked. I applied hydrocortisone 1% OTC on Day 7 and it caused a burning sensation to the area. The lesions are still, red, dry, no scabbing noted.

Other Meds: None

Current Illness: None

ID: 0929373
Sex: F
Age: 39
State: KY

Vax Date: 12/23/2020
Onset Date: 01/03/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: nkda

Symptoms: Patient had initial redness and swelling at the injection site which disappeared by 12/26. On 1/3, the patient had rash develop which started to swell in the area and has become warm to touch.

Other Meds:

Current Illness: none

ID: 0929374
Sex: F
Age:
State: NE

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

Lab Data: none

Allergies: none

Symptoms: swelling in my left arm injection

Other Meds: none

Current Illness: none

ID: 0929375
Sex: F
Age: 50
State:

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

Lab Data:

Allergies:

Symptoms: L arm injection site red, swelling, erythema, pain

Other Meds:

Current Illness:

ID: 0929376
Sex: F
Age: 39
State: CA

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

Lab Data:

Allergies:

Symptoms: Blotchy rash all over body throwing up fever muscle aches

Other Meds:

Current Illness:

ID: 0929377
Sex: F
Age: 51
State: MO

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

Lab Data:

Allergies: PCN, ALEVE, CELEBREX

Symptoms: started itching on Wed January 6, 2021. Noticed itching, redness, welting, hot to touch and pain on Thursday morning 1/7/21. Took a Zyrtec and that helped with the itching. Noticed redness spreading down my arm on Friday morning.

Other Meds:

Current Illness:

ID: 0929378
Sex: M
Age: 59
State: TX

Vax Date: 12/26/2020
Onset Date: 12/27/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: SOB, respiratory distress, non-cyanotic. BP 136/73, Pulse 120, Pulse ox 95%Multiple reddened, swollen hived typed areas with petachie looking areas and welts and broken capillaries with distension of vessels as if they were blocked especially in feet with small knots on bottom of feet that were extremely painful. Look like chillblains pictures. The areas were severely painful, itchy. Patient took large doses Benadryl q 12 hrs and Tylenol x 5 days and cortisone otc topical which burned and he discontinued after first use. Patient refused to go to urgent care or ER or to have ambulance come due to financial constraints and no insurance. Given referral to free clinics and refused to go. Symptoms resolved by 1/5/2021

Other Meds: None

Current Illness: None

ID: 0929380
Sex: F
Age: 41
State: AK

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

Lab Data:

Allergies: none

Symptoms: Patient felt chilled and light headed. She was brought to a room and laid in a bed. She complained of nausea and dizziness with standing. Vital signs were monitored. Oxygen saturation remained at 100%. BP 120s-130s/80s. She did not complain of any shortness of breath or wheezing. She did not complain of any itching. No skin or mucocutaneous findings. She was monitored for 4 hours and given 1L of IV fluids, zofran and ativan. She returned to baseline over the monitoring period.

Other Meds: none

Current Illness: none

ID: 0929381
Sex: F
Age: 57
State: MO

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

Lab Data:

Allergies: Aspirin; NSAIDS

Symptoms: Received injection on 12/29/2020 with no adverse event until 10 days post injection on 1/7/2021. Woke up with strong dull headache; raised, red injection site with heat to the touch and severe itching of site. Experienced severe fatigue for 24-48 hours. Following day, 1/8/2021, site is less red, warm still, less itchy, and fatigue is better.

Other Meds: Metformin; Gabapentin; Atorvastatin; multivitamin; D3

Current Illness: NASH; Diabetes; Neuropathy

ID: 0929382
Sex: F
Age: 48
State: CA

Vax Date: 11/11/2020
Onset Date: 11/11/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: N/A

Allergies: No.

Symptoms: Chills, generalized weakness, fatigue

Other Meds: Flovent, flonase, ventolin.

Current Illness: None.

ID: 0929383
Sex: F
Age: 62
State: CA

Vax Date: 12/31/2020
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: none

Allergies: no allergy

Symptoms: My body had started itching and I didn't know why. I had not eaten anything new or changed any shampoo or soap. Finally on Thursday night I realized maybe it is the shot that is giving me all the itching. My whole body was flushed I kept scratching my arms and legs, especially around my ankle, knee, under arm and goin area. I took an allergy pill and called Kaiser and spoke with an advice nurse. she mentioned that taking an allergy pill will relief some of the itching. I fell asleep around after midnight normally I go to bed around 9:30. I also called pfizer and explained and the person took all my information and symptoms.

Other Meds: blood pressure meds and thyroid med

Current Illness: no illness

ID: 0929384
Sex: M
Age: 32
State: PR

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

Lab Data: 01/08/2021: blood glucose: 127

Allergies:

Symptoms: Fifteen minutes after vaccine administration, patient was sitting outside and had an episode of vasovagal syncope. He became diaphoretic, thousand yard stare, limbs stiff, and then slumped for less than 5 seconds while sitting. He was lowered to the ground and legs elevated, supplemental oxygen provided. He came to within 15 seconds of initial symptoms. He stated he felt hot and ?woozy.? Vital signs: BP 107/69, HR 88, SpO2: 99, Resp: 16, temp 98.8. Blood glucose 127. Patient states he was out in the sun the day prior and did not hydrate as he should have. Cool water was provided and he received 500mL of saline IV. Patient was monitored for 2 hours post episode and was released back to work feeling good without any further issues. Patient stated he had a previous sync opal episode upon receiving some anxiety producing news in the past and states that this episode felt similar.

Other Meds:

Current Illness: Denies any.

ID: 0929385
Sex: M
Age: 26
State: OH

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

Lab Data:

Allergies: No

Symptoms: Developed intense chills that caused shaking around midnight after receiving vaccine. Took temperature and it was 100.1 F. Also felt nauseous and had a headache. Worst of the symptoms lasted for about 7 hours.

Other Meds: Famotidine 20 mg daily

Current Illness: None

ID: 0929386
Sex: F
Age: 50
State:

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

Lab Data:

Allergies:

Symptoms: L arm injection site red, swelling, pain, erythema

Other Meds:

Current Illness:

ID: 0929387
Sex: F
Age: 46
State: CO

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

Lab Data:

Allergies: Sulfa (anaphylaxis), Erythromycin, Latex (rash), Aspirin (gastritis)

Symptoms: After first dose of Moderna COVID-19 vaccine, patient started to experience dizziness and lightheadedness. Patient stated that she had Botox injections in the previous 2 weeks. Patient was given water/juice and was subsequently discharged to home.

Other Meds:

Current Illness:

ID: 0929388
Sex: F
Age: 48
State: OH

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

Lab Data:

Allergies: no

Symptoms: Started feeling dizzy the morning after injection. Her Blood pressure was up161/96. Dizziness remained all morning, BP did come down to 138/79. She left a message with her PCP and had to call of work for today.

Other Meds:

Current Illness: no

ID: 0929389
Sex: F
Age: 55
State: NY

Vax Date: 12/24/2020
Onset Date: 12/25/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: none

Allergies: Sulfa

Symptoms: Developed increased swelling at the injection site, with warmth; tender to touch. Noted that mildly itchy and ?indurated about 1 day later. Swelling and firmness persisted several days. At 2 weeks out, visually can see circular red rim, larger than silver dollar size but swelling inside the circle is decreased and less hard to touch. Feels overall warm to touch compared to non-injected side. No fevers or other symptoms noted during this time.

Other Meds: metoprolol, enalapril, clonidine, baby aspirin

Current Illness: none

ID: 0929390
Sex: F
Age: 61
State: WV

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

Lab Data: Unknown

Allergies: Bee sting allergy

Symptoms: Patient received her 1st dose of the COVID-19 Moderna vaccine at her employer's on-site vaccination clinic today, 1/8/21. Patient was observed for 30 minutes following vaccine administration per recommendations, and did not report feeling any reaction. Patient has a known bee sting allergy. Approximately 1 hour following administration, patient began to experience "numbness and tingling in the tongue, and difficulty swallowing" but did not experience tongue swelling. She contacted school nurse who immediately recommended patient go to the emergency department at Hospital for evaluation. Hospital evaluated patient, and prescribed Benadryl 50 mg every 6 hours for the reaction. The emergency department at Hospital may be reached for additional information as needed.

Other Meds: Unknown

Current Illness: Unknown

ID: 0929391
Sex: F
Age: 37
State: NY

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

Lab Data:

Allergies: Dilantin Ibuprofen Latex Morphine Penicillins Tegretol Valium

Symptoms: 1/6/21 Pt received vaccine and complained of difficulty swallowing and rapid heart rate. Pt received methylprednisolone 125mg IVP, diphenhydramine 25mg IVP, & famotidine 20mg IVP. Pt reported improvement and was discharged. Sent home on diphenhydramine and oral prednisone. 1/7/21 Pt unable to swallow her own secretions and experienced eyelid swelling. Pt vomitted. Pt received epinephrine and Benadryl X 1 dose each. Pt then transported to hospital via ambulance. Reason for admission - acute respiratory failure secondary to anaphylactic reaction. Decision was made to emergently intubate the patient for airway protection despite aggressive intervention. Pt successfully extubated 1/8/21. Plan to discharge home and start Medrol Dose Pack 1/9/21.

Other Meds: Escitalopram 10mg 1 po Qday Gabapentin 300mg po three times a day

Current Illness:

ID: 0929392
Sex: F
Age: 41
State: PA

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

Lab Data: none

Allergies: Sulfa

Symptoms: local site reaction with discomfort and worsening erythema, induration, and warmth later developing itching and I still have this topical steroid applied with resolution of most of the induration and warmth, some of the erythema and itching; in the last 48hours I have developed a second and much larger ring of erythema surrounding the central 3-4cm patch of erythema; the outer ring measures about 6-7cm in diameter; no other symptoms

Other Meds: none

Current Illness: none

ID: 0929393
Sex: F
Age: 46
State: WI

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

Lab Data:

Allergies:

Symptoms: redness, warmth and soreness at injection site. Redness doubled in size 48 hrs after . Prickly sensation reported without itching. Hard lump under reddened area.

Other Meds:

Current Illness:

ID: 0929394
Sex: M
Age: 79
State: TX

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

Lab Data: 01/07/2021 Complete ENT evaluation confirms neurosensory deafness. Remainer of ENT exam normal

Allergies: NONE

Symptoms: Sudden onset of tinnitus followed by complete hearing loss in Right ear upon awaking from sleep (7 hours)

Other Meds: Lisinopril/Clonidine/Hydodiuril/Eliquis/Nexium/Lipitor/Fenofib ASA low dose/ Centrum Silver Vitamins/Vitamin D/ Vitamin C

Current Illness: None

ID: 0929395
Sex: M
Age: 30
State: TX

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

Lab Data: n/a

Allergies:

Symptoms: rash back of neck and both arms with itching.

Other Meds: Flonase, Multivitamin, clindamycin

Current Illness: cellulitis infection

ID: 0929396
Sex: M
Age: 20
State: MT

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

Lab Data:

Allergies:

Symptoms: fever, chills, headache, muscle pain

Other Meds:

Current Illness:

ID: 0929397
Sex: F
Age: 48
State: MO

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

Lab Data:

Allergies:

Symptoms: Temp max 103.7 averaged 101 with Tylenol. Lasted approximately 36 hrs. Severe body aches/chills/shaking. Severe headache for 4 days. Severe fatigue.

Other Meds:

Current Illness:

ID: 0929398
Sex: F
Age: 65
State: CT

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

Lab Data: I did take a COVID-19 test.

Allergies: Neomycin

Symptoms: Three days after I became very tired and had chills. Also I felt very achy and did not have a fever. The next morning I felt a little better. I had sinus infectious .

Other Meds: Metoprolol; Amydilopile, Levothyroxine, Oxcarbezine, Alexapro, Travadone, Singulair, Meloxicam, Symbicort inhaler

Current Illness: None

ID: 0929399
Sex: F
Age: 34
State: GA

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

Lab Data: 1/8/21 ER REPORT DIAGNOSIS IS VIRAL LARYNGITIS AND ECZEMA ABOVE RIGHT EYE (WAS RUBBING IT AND IT APPEARED RED AND SWOLLEN) NO RESPIRATORY COMPROMISE WAS REPORTED, NO STRIDOR. VITAL SIGNS STABLE. SHE WAS DISCHARGED TO HOME WITH INSTRUCTIONS TO TAKE BENEDRYL AND IBUPROFEN FOR HER SYMPTOMS.

Allergies: DIMETAPP

Symptoms: AWOKE DAY 2 FOLLOWING VACCINE WITH POSSIBLE ALLERGIC REACTION: THROAT SORENESS/TIGHTNESS AND HOARSE VOICE, EYES SWOLLEN, ITCHY AND RED. C/O DIFFICULTY BREATHING. DENIED FEVER, CHILLS OR BODY ACHES. MEDICATED WITH BENEDRYL 50 MG AND NO RELIEF. SENT TO ER WITH DIFFICULTY BREATHING.

Other Meds: NONE

Current Illness: ECZEMA ABOVE RIGHT EYE

ID: 0929400
Sex: F
Age: 34
State: CA

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

Lab Data: none

Allergies: sulfa drugs

Symptoms: G3P1010, currently pregnant at 9 weeks. Vaccine was administered at 9 1/7 weeks. Due date is 8/9/2021. Had normal arm soreness starting about 4 hours after received the vaccine, limited to deltoid region of left arm, plus some mild fatigue. Soreness was significantly better by about 30 hours post-vaccine, and gone by 48 hours. On 1/6/2021, one week after receiving the vaccine, I started to develop itching in my left arm around the vaccine site. By 1/7/2021, there was erythema, mild edema, ongoing pruritus and felt warm to the touch. Today, 1/8/2021, all symptoms are gone.

Other Meds: Flonase nasal spray, prenatal vitamins, zyrtec 10 mg

Current Illness: none

ID: 0929401
Sex: F
Age: 52
State: PA

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

Lab Data:

Allergies:

Symptoms: Pain, redness and swelling in right arm after Covid vaccine administered in incorrect injection site.

Other Meds:

Current Illness:

ID: 0929402
Sex: F
Age: 66
State:

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: the morning after receiving the vaccine, developed chills, low grade fever and vomiting: progressed to include diarrhea

Other Meds:

Current Illness:

ID: 0929403
Sex: F
Age: 66
State: WI

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

Lab Data:

Allergies: ? Cefdinir CEFDINIR rash-- ? Penicillin PENICILLIN broke out in rash, hives-- ? Doxycycline DOXYCYCLINE severe eyelid swelling-- ? Pseudoephedrine Hcl Other reaction(s): Tachycardia

Symptoms: Patient states that her symptoms started about 6 pm. She said she had a headache, shortness of breath, racing heart, arm ache, shivers, and head shakes.

Other Meds: Medication Sig Dispense Refill ? allopurinoL (ZYLOPRIM) 300 mg tablet Take 1 Tablet by mouth once daily 30 Tablet 0 ? fluticasone propionate (FLONASE ALLERGY RELIEF) 50 mcg/actuation nasal spray Place 1 Spray in both nostrils once daily 16

Current Illness:

ID: 0929404
Sex: F
Age: 54
State: FL

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

Lab Data:

Allergies: Morphine, Tramadol

Symptoms: Fatigue, headache, nausea, and body aches

Other Meds: Bystolic

Current Illness: None

ID: 0929405
Sex: F
Age: 68
State: OR

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

Lab Data: N/A

Allergies:

Symptoms: Pain @ injection site. pain to move arm. Pain did not relieve w/ OTC IBU OR ICe.

Other Meds: N/A

Current Illness: None

ID: 0929406
Sex: F
Age: 42
State: KY

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

Lab Data:

Allergies: nkda

Symptoms: Patient had initial redness at injection site which disappeared then on 1/1/21, the area became red, swollen, and hot all over. The area continues to be red and patient describes significant itching at the injection sight.

Other Meds:

Current Illness: none

ID: 0929407
Sex: F
Age: 57
State: PR

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

Lab Data:

Allergies: Acetaminophen

Symptoms: After 4 minutes of vaccine administration (at 10:00am) patient developed respiratory difficulty and swallowing problems. A Rapid Response code was activated for an Anaphylactic Shock. One dose of Epinephrine 0.3mg IM and two doses of Benadryl 50mg IV were administrated. Vital Signs at 10:02a.m: BP 197/107mmhg, HR 103bpm and O2 Saturation:99%. Vitals Signs at 10:07a.m: BP 211/110mmhg, HR 110bpm and O2 Saturation:98%. At 10:07a.m patient was transfer to the ER by the Rapid Response team.

Other Meds:

Current Illness:

ID: 0929408
Sex: F
Age: 65
State: MA

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

Lab Data:

Allergies: Ibuprofen Lisinopril

Symptoms: Right upper arm in vaccination injection area sore for 3 days then tender to touch, 2.5 cm hard red palpable swollen area and itchy started 3 days after injection and then redness and soreness for 4 days, today redness starting to diffuse and becoming less red and tender but still a bit swollen. No other side effects noted.

Other Meds: Multi-vitamin, Vitamin C, Vitamin D

Current Illness:

ID: 0929409
Sex: F
Age: 88
State: NE

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

Lab Data:

Allergies:

Symptoms: ON 1/5/21 AT 12:30PM, DEVELOPED HOT FLASHES THAT LASTED 20 MINUTES BEFORE RESOLVING.

Other Meds:

Current Illness:

ID: 0929410
Sex: M
Age: 35
State: NM

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

Lab Data: NA

Allergies: Amoxicillin

Symptoms: Woke up this morning with a throbbing headache and tightness/soreness from my shoulder to up my neck. It feels like I slept funny and have a bad kink in my neck. I am also feeling a little light headed and slightly nauseous. I ate some oatmeal for breakfast and took 1000mg of Acetaminophen and it has not helped. Its been almost 2 hours since I took the tylenol with no result.

Other Meds: NA

Current Illness: NA

ID: 0929411
Sex: F
Age: 49
State: KS

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

Lab Data: Strep throat

Allergies: None

Symptoms: Throat hurting , really hot Neck Swollen , back of Neck hurt really bad Joint Pains Headache

Other Meds: amlodipine 5mg Netoprolol Gabapentin Dulozetine

Current Illness: None

ID: 0929412
Sex: F
Age: 46
State: MD

Vax Date: 12/31/2020
Onset Date: 01/04/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: NONE so far. Contacted a cardiologist for evaluation.

Allergies: none known.

Symptoms: Increased heart rate, tight chest, dizzy more noticeable for 24 hours and then mainly night time tachycardia for 3-4 nights so far, ongoing.

Other Meds: pepcid prn, vitamins- iron/B12.

Current Illness: none.

ID: 0929413
Sex: F
Age: 63
State: FL

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

Lab Data:

Allergies:

Symptoms: pain in shoulder, decreased range of motion

Other Meds:

Current Illness:

ID: 0929414
Sex: F
Age: 77
State: MA

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

Lab Data:

Allergies: rosiglitazone, Ace inhibitors, chlorothiazide, ciprofloxacin, cyclosporine, diuril, gentamycin, metoprolol

Symptoms: No adverse reaction noted. Facility notified on 1/7/21 by agent that she did not give permission for patient to receive COVID-19 vaccine.

Other Meds: see attached

Current Illness: see attached

ID: 0929415
Sex: F
Age: 43
State: CA

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

Lab Data:

Allergies: 0

Symptoms: (L) shoulder site became red, hot, swollen, hard w/definable edges the night of the injection; improved after a few days, but never resolved completely. On 1/6/2021, became increasingly itchy, w/increased swelling, redness, heat.

Other Meds: 0

Current Illness: 0

ID: 0929416
Sex: F
Age: 44
State: CA

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

Lab Data:

Allergies: NKA

Symptoms: soreness itchiness redness x 9 days swollen headaches axillary pain/ swelling

Other Meds: multivitamins

Current Illness: allergy (seasonal)

ID: 0929417
Sex: F
Age: 38
State: CA

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

Lab Data:

Allergies: Neosporin & adhesive tapes

Symptoms: Severe body ache, especially calf muscles, chills, head ache, exhaustion injection site pain including shoulder and shoulder blades.

Other Meds: Lialda 1.38g daily

Current Illness: None

ID: 0929418
Sex: F
Age: 58
State: CO

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

Lab Data: 1/7/2021 no tests/physical exam S/SX

Allergies: almonds

Symptoms: Swelling of lips & tongue, tightening of throat. Quivering of arms & legs. Tightening of chest. Dizzyness lightheaded.

Other Meds: levothyroxine - estrogen - Ambien progesterone - baby aspirin

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm