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: 1066377
Sex: F
Age: 75
State: CA

Vax Date: 02/19/2021
Onset Date: 02/24/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: Dilanten

Symptoms: Sever pain in arm at injection site. Also nausea & weakness.

Other Meds: Tegrotol

Current Illness: none

ID: 1066378
Sex: F
Age: 37
State: PA

Vax Date: 02/28/2021
Onset Date: 02/28/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: About 30 minutes after the shot in my left arm the left lower corner of my lip felt numb. The numbness moved into my left cheek. I could still move my face and smile symmetrically.

Other Meds: Blisovi 1/20

Current Illness: None

ID: 1066379
Sex: F
Age: 77
State:

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 3 inch diameter red rash around injection site, that was warm and itchy. It lasted about 5 days, but came back after I was out in the sun 10 days after the vaccination. That was gone after a day and after applying allergy cream.

Other Meds: Lisinopril

Current Illness:

ID: 1066380
Sex: F
Age: 72
State: CA

Vax Date: 02/24/2021
Onset Date: 02/26/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: Bactrim, penicillin

Symptoms: In morning on Feb 26th, blood pressure 105, at 1pm standing up dizzy ,almost passing out. following two days slight headache and slight nausea .noticed slight swelling of eyelids

Other Meds: Ellura dietary supplement ,vitamin C 1,000MG, multi-vitamin

Current Illness: uti

ID: 1066381
Sex: F
Age: 55
State: VA

Vax Date: 03/01/2021
Onset Date: 03/02/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: Right upper lip swelling, mild; oral antihistamines and oral corticosteroid

Other Meds: sertraline

Current Illness: non-hodgkins; no active treatment

ID: 1066382
Sex: F
Age: 53
State: TX

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

Lab Data:

Allergies:

Symptoms: Client reported anxiousness, shortness of breath, and a little shaky.

Other Meds:

Current Illness:

ID: 1066383
Sex: F
Age: 78
State: CA

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: NA

Allergies: keflex codeine sulfa

Symptoms: Erythema, rash, itching, pain, swelling.

Other Meds: aspirin 81 mg enteric coated tablet 1 tab(s) orally qd. Calcium 600+D 600 mg-800 intl units tablet 1 tab(s) orally once a day. Fish Oil Ultra 1400 1 cap orally once a day. lovastatin 40MG Tablet 1 tab(s) orally once

Current Illness: N/A

ID: 1066384
Sex: F
Age: 59
State: WA

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

Lab Data:

Allergies: Codeine

Symptoms: Onset of CP and diff breathing approx 6 minugtes after vaccination.

Other Meds: Metformin, Spiriva, Cymbicort, Trazadone, Prednisone, Albuterol,

Current Illness: None

ID: 1066385
Sex: F
Age: 77
State: CA

Vax Date: 02/06/2021
Onset Date: 02/23/2021
Rec V Date: 03/02/2021
Hospital: Y

Lab Data: CT-scan, echocardiogram, blood tests, movement assessments, panoramic x-ray of teeth and jaw bones

Allergies: none significant

Symptoms: swollen glands in left neck, ER room visit, IV vincomyacin and anti-inflammatories, 3 days in hospital, transferred to oral antibiotics (Clindamycin and Cipromyacin),

Other Meds: lisinopril, metoprolol, low dose aspirin, ezetimibe, evening primrose oil, calcium, vitamins D3, B12, C, Calcium, estradiol suppository,

Current Illness: none

ID: 1066386
Sex: F
Age: 68
State: AZ

Vax Date: 02/17/2021
Onset Date: 02/21/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 4 days after vaccination, she had heart pain, Cardiologist found hives, developed shingles, fever and in bed for 10 days. Was prescribed antiviral medication for the shingles from the ER.

Other Meds:

Current Illness:

ID: 1066387
Sex: F
Age: 56
State:

Vax Date: 12/30/2020
Onset Date: 01/08/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: Environmental allergies

Symptoms: Around 1 week after my vaccine I experienced the Covid arm. It was on my left arm on the injection site on the top. It was sore, then it started turning hot. It looked like a large hive. It was hot to the touch & itchy. It lasted about a week. I seen my doctor they prescribed me a antibiotic. But then after when I seen it wasn't getting better I went to the ER.

Other Meds:

Current Illness:

ID: 1066388
Sex: F
Age: 48
State: MI

Vax Date: 02/12/2021
Onset Date: 02/22/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: morphin

Symptoms: On 2/22 I woke up with and went to the ER, it was determined that I have Bells Palsy.

Other Meds: Venlafaxine 150 mg ER, Omeprazole 40mg, Atorvastatin 10mg, Estradiol, Multi-vitamin, vitamin D, probiotic, calcium

Current Illness: na

ID: 1066389
Sex: F
Age: 36
State: FL

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: Latex, Sodium Thiosulfate topical, Adhesive bandages, Mold, Thiazolidinediones, Gold Sodium thiomalate, Gold Sodium thiosulfate

Symptoms: Within 15-minutes of vaccination, the patient reported a pruritic, erythematous rash to their bilateral hands and legs. EMS evaluated patient on-site. EMS administered 25mg IV Benadryl and transported the patient to the Emergency Department. In the ED, the patient reported that their throat felt tight, but that the pruritus has improved. No labs were ordered. The patient was discharged with an allergic reaction and prescribed Benadryl 25mg PO and Prednisone 20mg PO dose pack.

Other Meds:

Current Illness: None reported

ID: 1066390
Sex: F
Age: 61
State: TX

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: N/A

Allergies: Cephlex Drugs, Clinoril, insect bites

Symptoms: Severe neck soreness and tenderness 2/27 & 28, took Tylenol Rash& Itching at injection area. 2/27 4:00pm. Itching stopped 2/28 however the rash is still present on 3/2. Took Benadryl.

Other Meds: Synthroid, Escitalopram, Pantoprazole, Lisinopril, Flecanide, Rosuvastatin, Metoprolol, Lutein, Zeaxanthin, Calcium Citrate, Biotin, CoQ-10, D-3, Cranberry, Curcumin, Iron, Magnesium, Probiotic, Elderberry, Generic Zyrtec.

Current Illness: N/A

ID: 1066391
Sex: M
Age: 78
State: OH

Vax Date: 02/24/2021
Onset Date: 02/27/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: RASH DEVELOPED ABOUT 2 DAYS AFTER INJECTION, AND STARTED GROWING IN SIZE. THERE WAS NO PAIN OR ITCH, BUT SKIN WAS WARM TO THE TOUCH. WENT TO HOSPITAL AND WAS GIVEN CEPHALEXIN. AFTER 2 DOSES IT SEEMS THE RASH IS LESSENING AND FADING IN COLOR.

Other Meds: NONE

Current Illness: NONE

ID: 1066392
Sex: F
Age: 78
State: TX

Vax Date: 02/26/2021
Onset Date: 03/01/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Right arm became red and painful at injection site. The inflamed area is warm to the touch. The erythema is 2? wide x 4?long Patient is taking ibuprofen 600mg PRN up to 4x/d Cetirazine 10mg, 2 tabs once daily Famotidine 20mg, 2 tabs once daily Ice pack

Other Meds:

Current Illness:

ID: 1066393
Sex: F
Age: 38
State: PA

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

Lab Data: none

Allergies: mushrooms

Symptoms: Symptoms started around 11 hours after vaccination - chills, tremors, myalgias, restless legs, fatigue, dizziness, headache, arm pain at injection site no issues with my pregnancy - EDD 10/16/21

Other Meds: Prenatal vitamins, Vitamin D3 2000 units

Current Illness:

ID: 1066394
Sex: M
Age: 61
State: CA

Vax Date: 02/24/2021
Onset Date: 02/27/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: none

Allergies: NA

Symptoms: abdominal pain diarrhea with constipation painful bowel movement chills muscle aches and headaches fatigue

Other Meds: NA

Current Illness: none

ID: 1066395
Sex: F
Age: 44
State: VA

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: Aspirin, clindamycin, flagyl,, Glucophage, metformin, hydrocortisone, bee stings, spider bites, wasp stings, corn, peas, roaches, sertraline, prednisone

Symptoms: Patient reported to work at another physician office (housekeeping) after waiting 30 minutes at vaccinating site and presented with itching all over 1 hour after injection ("really bad per patient report"). Patient seen by onsite provider and given Solu-Medrol 125 mg IM and Benadryl 50 mg IM. Patient followed up with PCP on 2/26/21 and prescribed hydroxyzine for urticaria.

Other Meds:

Current Illness: Cough for 3 months prior - COVID (negative)

ID: 1066396
Sex: F
Age: 40
State: MN

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: swelling under the armpit (left) swelling has under armpit has decreased no redness pain continues last night with right ear ache

Other Meds: ASPIRIN

Current Illness:

ID: 1066397
Sex: F
Age: 59
State: CA

Vax Date: 12/24/2020
Onset Date: 12/27/2020
Rec V Date: 03/02/2021
Hospital:

Lab Data: None

Allergies: Quarternium Polyquarternium Meperidine Versed Egg White Egg Yolk Yogurt

Symptoms: Day 1-Day 5 Injection site soreness Day 1-Day 5 Deep Joint Pain Day 3-Hematuria Day 5-Headache

Other Meds: Zetia 10mg daily Azelastine nasal spray daily Fish oil 1000mg, 4 daily Vitamin B Complex 1 daily Vitamin C 1000mg 1 daily Vitamin D2, 2000 IU, 2 daily Magnesium 400mg 1 daily Aspirin 81mg 1 daily Estrogen/Progesterone cream 2 pumps topicall

Current Illness: none

ID: 1066398
Sex: M
Age: 49
State: GA

Vax Date: 01/28/2021
Onset Date: 02/18/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: Antigen Positive and PCR Positive on 2/26/21

Allergies: NO

Symptoms: Nasal Congestion Diarrhea Chills Fatigue COVID positive

Other Meds: Cambia as needed for migraines Ambien 10 mg as needed sleep

Current Illness: NO

ID: 1066399
Sex: F
Age: 86
State:

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

Lab Data:

Allergies: Seafood, berries;

Symptoms: Momentary dizziness

Other Meds: "only losartan" per pt

Current Illness:

ID: 1066400
Sex: F
Age: 66
State: AL

Vax Date: 02/24/2021
Onset Date: 02/28/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Dizziness

Other Meds: B12 and D

Current Illness: None

ID: 1066401
Sex: F
Age: 74
State: MA

Vax Date: 02/21/2021
Onset Date: 03/01/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: Arm where the vaccine was given became red, swollen, itchy, hot, and sore. I noticed it on March 1, 2021, 8 days after the vaccination. The size of the red spot is 2.5 inches by 1.5 inches today (March 2, 2021).

Other Meds:

Current Illness:

ID: 1066402
Sex: F
Age: 65
State: WA

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

Lab Data: N/A

Allergies: N/A

Symptoms: Administered Pfizer as second dose to patient who received Moderna for first dose.

Other Meds: N/A

Current Illness: N/A

ID: 1066403
Sex: F
Age: 59
State: AL

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Shot administered 2/24/21 Sore throat 2/25/21 Fatigue 2/26-2/28/21 Dry cough with laringitis 3/1-3/2

Other Meds: none

Current Illness: none

ID: 1066404
Sex: F
Age: 55
State: CA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pain began after work at 3:30 PM. Pain on Friday (day off) Saturday pain, Sunday pain (1/9, 1/10/21) Unable to work due to pain. Not able to dress self without help until Monday 1/11/21. Back to work on Tues. 1/12/21.

Other Meds:

Current Illness:

ID: 1066405
Sex: F
Age: 56
State:

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: On 1/29/2021 around 4am I woke up vomiting. I felt nauseas, weakness, chills & sever migraines. I was not able to eat all this symptoms lasted for 24hrs.

Other Meds:

Current Illness:

ID: 1066406
Sex: F
Age: 55
State: TN

Vax Date: 01/24/2021
Onset Date: 01/27/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: none

Allergies: sulfa, eugenol

Symptoms: Day 3-6 Extremely painful blisters in mouth, on hard palate, small yellowish bumps/blisters. Resolved with warm salt water gargles. total time period 3-4 days

Other Meds: estradiol, synthroid, gabapentin, Vit D, Vit B complex, fish oil, zyrtec

Current Illness: Covid 1/6/21

ID: 1066407
Sex: F
Age: 56
State: OR

Vax Date: 02/28/2021
Onset Date: 03/01/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swelling, pain and redness around injection site.

Other Meds:

Current Illness:

ID: 1066408
Sex: M
Age: 82
State: TX

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Severe muscle ache and trismus radiating from the Deltoid (site of injection) throughout the entire shoulder, including the Trapezius and Sterno-Cleido-Mastoid muscles. These conditions lasted for one week, until my Orthopedist (whom I saw for follow-up knee replacement) prescribed a Medrol Doz-pak, which finally gave me relief.

Other Meds: Celebrex, ASA (83 mg) , Tylenol (650 mgm), Odesfsy

Current Illness: None

ID: 1066409
Sex: F
Age: 60
State: OH

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

Lab Data: None

Allergies: Amoxicillin; Ampicillin; Lisinopril; Penicillin; Prochlorperazine

Symptoms: No adverse event reported yet. Notified patient to expect similar side effects to second dose. Also informed MD of 3rd dose.

Other Meds: Duloxetine 60mg; Naproxen 500mg; Esomeprazole 20mg; Olopatadine 0.2% ophthalmic; Latanoprost 0.005% ophthalmic; Levetiracetam 750mg; Trazodone 150mg; Cyclobenzaprine 10mg; Meloxicam 15mg

Current Illness: None

ID: 1066410
Sex: F
Age: 59
State: NY

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: none

Allergies: penicillin, sulfa drugs and macrobid

Symptoms: approximately two hours after receiving my vaccination my left ear swelled, a hive came out on my left cheek and my upper lip swelled. The swelling stayed itchy for about 3 hours

Other Meds: nexium

Current Illness: none

ID: 1066411
Sex: F
Age: 71
State:

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

Lab Data:

Allergies:

Symptoms: Patient was feeling slightly dizzy after receiving her vaccine. Patient said that her vision was hazy and she was feeling slightly nauseous. Patient said that she had a history of stomach problems and indigestion. Her blood pressure was 160/101 but she did not know what it normally ran. Patient felt better after sitting for while and her vision returned to normal.

Other Meds:

Current Illness:

ID: 1066412
Sex: F
Age: 46
State: MO

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: IV contrast

Symptoms: at 1500 BP 154/107, Pulse 128 O2 sat 98%. Reports Rt side of face feels hot. Appears nervous, tearful at times. upper cheeks blotchy red bilaterally. At 1508 BP 159/105, Pulse is at 130, at 1513 BP 137/98 Pulse 104, O2 sat 98% Respirations 16. Reports hx of racing heart whenever she gets certain IV drugs such as pain meds, Benadryl, etc. Reports also feeling tired. at 1608 reports feeling tired and that her face and ears still hot. Face and ears are blotchy red. had not mentioned that her ears felt hot earlier in the event. BP is 126/93, Pulse 85, Respirations 16, Patient states that her husband will be coming to pick her up. Instructed patient that when she has her 2nd dose she should probably bring someone with her and that if symptoms worsen she should call her PCP or go to emergency room depending on severity.

Other Meds: Humira, Gabapentin, Trelogy

Current Illness: Exac. of Bronchiaectasis

ID: 1066413
Sex: F
Age: 73
State: TX

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Hives all over body

Other Meds: None

Current Illness:

ID: 1066414
Sex: F
Age: 75
State: NY

Vax Date: 02/13/2021
Onset Date: 02/15/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: Skin biopsy performed 2/18/21 of site: 12cm to right of upper spine Results: ulceration with neutrophilic inflammatory hemorrhagic crust and a lymphocytic infiltrate. Pattern of epidermal ulceration is suggestive of excoriation. An underlying hypersensitivity reaction is considered in the histologic differential diagnosis. *Unclear at this time (less than 100% certainty) if this is directly related to COVID-19 Vaccination*

Allergies:

Symptoms: Patient presented with an itchy, red, and bumpy rash on her arms and back beginning 2 days after receiving the 2nd dose of the COVID-19 vaccination. The vaccination occurred on Saturday (2/13/21) and the rash began on Monday. She reports this being the only contact change in the previous week. She saw us for a visit on 2/18/21. Treatment: Triamcinolone twice daily, thick moisturizing cream, avoid long, hot showers, take an antihistamine, cool compresses, and a biopsy was taken.

Other Meds:

Current Illness:

ID: 1066415
Sex: F
Age: 28
State: IA

Vax Date: 02/05/2021
Onset Date: 02/16/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: Blood tests and urine sample at the emergency room.

Allergies: none that I know of

Symptoms: About a week later I broke out in hives starting on my elbows. By that evening I was covered in welts and hives from head to toe. I went to the emergency room twice to get a prednisone shot and medication. I went to my family Dr and a Dermatologist. Since I have not changed any of my medication or household items it is believed to be from the Moderna vaccine. I am still experiencing hives to this day. I am taking antihistamines for releif.

Other Meds: venlafaxine 150 mg - been on this medication for 3 years zyrtec - takes daily

Current Illness: none

ID: 1066416
Sex: F
Age: 53
State: MI

Vax Date: 02/25/2021
Onset Date: 02/27/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: Soft tissue scan of throat, bloodwork, physical exam.

Allergies: none

Symptoms: Throat closure, trouble swallowing. Severe nasal/sinus congestion. Still not completely gone despite taking benadryl, then Mucinex

Other Meds: none

Current Illness: none

ID: 1066417
Sex: F
Age: 34
State: FL

Vax Date: 02/02/2021
Onset Date: 02/07/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: Shellfish

Symptoms: Entire arm achy; reduced grip strength.

Other Meds: Nultivitamin

Current Illness: None

ID: 1066418
Sex: F
Age: 65
State: CO

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: n/a

Allergies: NKA

Symptoms: Approximately 5 minutes after receiving her vaccine patient reported to healthcare staff her lips were tingling and tongue was starting to swell. She was directly monitored by nursing staff and treated with 50mg of oral benadryl. She did not present with any other serious or worsening symptoms and returned to her baseline about 15 minutes after treatment of benadryl. The event lasted approximately a half hour and she resumed her normal activities within 45 minutes of the vaccine.

Other Meds: Patient was seen for her Covid-19 vaccine at a temporary site. She is established elsewhere for primary care

Current Illness: None

ID: 1066419
Sex: F
Age: 89
State: OR

Vax Date: 02/17/2021
Onset Date: 02/26/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: Allergies - codeine, sulphur Sensitive - eggs and soy

Symptoms: Redness, swelling, itchy, peeling skin, hot to the touch beginning 2/26 and site was really itchy and hot on 2/28. No other side effects. Feels a little better today 3/2/21.

Other Meds: Synthroid, Latanaprost, Vitamin D, D Mannose with Cranberry Extract, Culterelle, as needed Prilosec and Tylenol

Current Illness: None

ID: 1066420
Sex: F
Age: 75
State: VA

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

Lab Data: Unknown

Allergies: Penicillin

Symptoms: Patient was given the incorrect COVID given . 2/2/2021 received 1st COVID 19 vaccine with Moderna Lot # 011J20A exp. 5/11/21 3/2/2021 received 2nd COVID 19 vaccine with PFIZER Lot # EL9261 exp. 5/31/21.

Other Meds: Unknown

Current Illness: Unknown

ID: 1066421
Sex: F
Age: 73
State: OH

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: None known

Allergies: None known

Symptoms: Patient came in for her second vaccine and complained of her arm still hurting from the first vaccine. She also complained of chills and fever.

Other Meds: Not known

Current Illness: None Known

ID: 1066422
Sex: M
Age: 82
State: MN

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: Cehalexin

Symptoms: Injection site arm pain; generalized "not feeling well". Offered Tylenol but refused

Other Meds: Sinemet, Colace, Zyprexa, Inderal, Xarelto, Senna, Zoloft, Flomax, Travoprost

Current Illness:

ID: 1066424
Sex: M
Age: 86
State: NH

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

Lab Data:

Allergies:

Symptoms: Patient reported as being at POD for first dose and was given a dose of Pfizer vaccine. When went to document, found patient had previous dose of Moderna.

Other Meds:

Current Illness:

ID: 1066425
Sex: M
Age: 69
State: KY

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: The area around my injection site became sore. The muscles in this area of my injection are still sore today (03/02/21). It is worse at night and I sometimes have trouble sleeping because of the pain. I keep thinking it will get better, but so far it has not. I do not have any trouble using the arm, but there is always a dull pain in it.

Other Meds: Metformin 500 mg Atorvastatin 20 mg Aspirin 81 mg Vitamin D 5000 iu Zinc 50 mg Magnesium 250 mg

Current Illness: None

ID: 1066426
Sex: F
Age: 79
State: IN

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

Lab Data: None

Allergies: None

Symptoms: She states that no reaction with first dose but 3 hours after second dose she had a red itchy rash extend from injection site around to under arm, down her arm about 4 inches. Wider than 1 inch. Red, hot and itchy.

Other Meds: None

Current Illness: None

ID: 1066427
Sex: F
Age: 68
State: OK

Vax Date: 02/09/2021
Onset Date: 02/20/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: Was told on 3/1 who said to get Covid tested as I could have it. Tested this morning; came back negative.

Allergies: none

Symptoms: Shakiness, nausea, extreme fatigue starting 4/20. chills, fever 101+ sweats added 2/25.

Other Meds: generic Zestril 10 mg tablet Once a day generic Crestor 10 mg tablet Once a day genericWellbutrin SR 150 mg tablet, 12 hr sustained-release once a day

Current Illness: dermatitis started Minocycline 100 mg 2x day on 2/11/21

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm