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: 0930130
Sex: F
Age: 38
State: TX

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

Lab Data:

Allergies:

Symptoms: Symptoms - ? evening of 1/7 began with abd pain and diarrhea, morning of 1/8 reported to work and left half way through shift after feelings of chills, nausea. Patient reports she went home, took her temperature 99.7, took a nap and then re-took temperature at 1:40 pm (Tmax 100.8), no meds taken. Last day of work and shift - ? today Home remedies? - nap Any improvement? ? mild improvement Recommendation? Patient educated to continue to monitor her symptoms and to rotate Tylenol and motrin for fever and pain management, patient verbalized back understanding. Patient educated to continue to manage her symptoms and to follow the guidelines outlined in the Illness in the Workplace Policy. Patient denied COVID-19 exposure without proper PPE and denied travel. Patient verbalized back understanding and denied further questions at this time.

Other Meds:

Current Illness:

ID: 0930131
Sex: F
Age: 41
State: IL

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

Lab Data: EKG with sinus rhythm without acute ST elevation or depression.

Allergies: Hydrocodone

Symptoms: Patient reports seconds after receiving the vaccine she felt a strange sensation in her chest which she has a difficulty characterizing but describes as "a strange sensation". Vitals at that time demonstrated tachycardia and hypertension which she was referred to the ED for further evaluation. She does admit that she has anxiety and felt this may be contributing to the symptoms. She reports she is already starting to feel improved. She is noted to have some redness over her left ear and feels it is a little warm but no other rash. She denies any associated shortness of breath, dizziness or lightheadedness, arm or jaw pain, associated nausea, vomiting, back pain, lip or tongue swelling. No fevers, chills, or cough. Patient was given one dose of diphenhydramine 50 mg PO Once and monitored in the emergency room. Symptoms completely resolved and was hemodynamically stable. Patient discharged home from the emergency room.

Other Meds: Medication list from November 2019- compliance/adherence not assessed during encounter. Aspirin, atorvastatin, fexofenadine, fluticasone nasal spray, hydroxychloroquine, hydroxyzine, losartan, montelukast, mycophenolate, prednisone, sertra

Current Illness:

ID: 0930132
Sex: F
Age: 88
State: NJ

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

Lab Data: NA

Allergies: Sulfa Drugs and crab

Symptoms: Chest and back pain 5/10, VSS, sent out to ER at 1400. No other symptoms but lethargy.

Other Meds: Amlodipine 5mg daily, Docusate Sodium 100mg twice daily, Enulose 10gm daily, Levothyroxine Sodium 125mcg daily, Metoprolol Succ ER 100mg daily, Montelukast Sodium 10mg daily, Olopatadine HCL 0.1% drops twice daily, Pantoprazole sodium 40 mg

Current Illness: HTN, dementia, hypothyroidism, COPD, GERD, constipation

ID: 0930133
Sex: F
Age: 33
State: NE

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

Lab Data: none ordered

Allergies: Sulfa

Symptoms: She reports not having any symptoms other than a tender deltoid area after her vaccination. She reports feeling fine the morning of 12/24/2020 when she went to work. Pt. reports approx. 4 hours after being at work that she became dizzy, clammy, noted head pressure and spots in front of her eyes as if she were going to pass out. She reports that she did have breakfast prior to coming to work. Noted her blood pressures to be elevated 141/102. She was monitored for 45 mins. taking BP every 15 mins. ranging from 155/112 with the lowest obtained being 150/90. With the drinking of fluids at the end of the 45 mins. she did feel like she was getting back to her normal self. She was instructed due to elevated BP to seek care at her clinic with her PCP. She did return to work on 12/25/2020 reports that she felt much better.

Other Meds: Diclofenac Sodium, Omeprazole, Multivitamin, Abilify, Celexa, Flonase Allergy Relief, and Xanax

Current Illness: Denies any illness at time of vaccination or up to one month prior of vaccine.

ID: 0930134
Sex: F
Age: 25
State: MI

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

Lab Data: none

Allergies: none

Symptoms: I had a skin reaction (welts) over my shoulders, stomach, and back. I took OTC anti-itch cream. The reaction only lasted two days

Other Meds: none

Current Illness: none

ID: 0930135
Sex: F
Age: 48
State: MA

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

Lab Data: EKG - normal

Allergies: N/A

Symptoms: 15 min after vaccination dizzy, nausea, 30 min later sob and tight chest, vomit (x1) . F/U with ER visit pt left ER after having EKG exam, pt was not discharged and left at own will. Symptoms continue for patient dizziness, nausea, chest tightness.

Other Meds: Synthroid, metformin

Current Illness: N/A

ID: 0930136
Sex: F
Age: 50
State: MT

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

Lab Data:

Allergies:

Symptoms: muscle pain, chills, joint pain, nausea

Other Meds:

Current Illness:

ID: 0930137
Sex: F
Age: 68
State: TX

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

Lab Data:

Allergies:

Symptoms: Patient was vaccinated on 12/29/20, started having itching, redness, and swelling at injection site on 1/05/21. Went to ED on 01/08/21 with worsening itching, redness, and swelling at injection site. Treated in ED with steroids and sent home on oral steroids same day.

Other Meds:

Current Illness:

ID: 0930138
Sex: F
Age: 25
State: NY

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

Lab Data:

Allergies:

Symptoms: Light sensitivity, headache, fever of 101F. Symptoms resolved,

Other Meds:

Current Illness:

ID: 0930139
Sex: F
Age: 46
State: KY

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

Lab Data:

Allergies:

Symptoms: Employee states she woke up this morning and injection site was swollen (about size of an egg) and super tender. Also states itching. Also noted that she started having ear pressure and slight congestion and had covid test on 1/6/21 that was positive.

Other Meds:

Current Illness:

ID: 0930140
Sex: F
Age: 26
State: NY

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

Lab Data:

Allergies: None

Symptoms: Fever, chills, body ache, headache

Other Meds: Lexapro, Wellbutrin, melatonin

Current Illness: None

ID: 0930141
Sex: M
Age: 60
State: MI

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

Lab Data:

Allergies:

Symptoms: Onset of swelling in neck. Reported via phone that he has 2 lumps that began yesterday. He also said he started experiencing an allergic rash on his back. Advised to seek medical care.

Other Meds:

Current Illness: Had Covid 2-3 months prior

ID: 0930142
Sex: F
Age: 68
State: FL

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

Lab Data:

Allergies: No Known Allergies

Symptoms: Patient experiencing Chest pain and elevated troponin. Patient taken to the cath lab and treated for suspected stress induced cardiomyopathy.

Other Meds: Nortriptline Multivitamin

Current Illness:

ID: 0930143
Sex: F
Age: 55
State: MD

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

Lab Data: n/a

Allergies: Augmentin

Symptoms: Tingly lips, felt like throat was swelling. I was able to breath fine. Given Prednisone and Prevacid and symptoms went away.

Other Meds: Benazapril/HCTZ 20/12.5 md Rosuvastatin 40mg Bupropion Multi vitamin Omega 3 Apple Cider gummies

Current Illness: Double ear infections 2 weeks prior

ID: 0930144
Sex: F
Age: 40
State: NM

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

Lab Data:

Allergies: no

Symptoms: I had arm soreness that I needed to take Tylenol and I was exhausted no energy I had a hard time walking around the hospital I almost fell asleep on my desk. I fell asleep that night and felt fine the next day! Advanced maternal age because I'm 40 so I'm high risk, Low on Vitamin D3 early in my pregnancy, beginning of Dec I was lightly anemic, due date Feb 9th

Other Meds: prenatal, iron, Vitamin D3

Current Illness: no

ID: 0930145
Sex: M
Age: 40
State: MO

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

Lab Data:

Allergies: Sulfa

Symptoms: Strong chills, shaking, fever up to 101 and head ache

Other Meds: Pantoprazole 40 MG

Current Illness: COVID recovered on 1/2/2021

ID: 0930146
Sex: F
Age: 56
State: ID

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

Lab Data:

Allergies: None

Symptoms: Shivering, Intense Headache, Tiredness, Overheated

Other Meds: Levothyroxine, Estradiol Vaginal Inserts, Iron, B12, Low dose Aspirin, Vitamin C, Calcium, D3, Multivitamin, Fish Oil.

Current Illness: None

ID: 0930147
Sex: M
Age: 52
State: VA

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

Lab Data: NONE

Allergies: nka

Symptoms: SKIN RASH ON LOWER LEG BELOW THE CALF TO THE TOP OF THE FEET BOTH RIGHT AND LEFT. STARTING PEDNESONE ORALLY QID X 3 DAYS THEN TAPER

Other Meds: none

Current Illness: none

ID: 0930148
Sex: M
Age: 53
State: IL

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

Lab Data: None

Allergies: Penicillin, Ace Inhibitors, Meperidine, Nifedipine.

Symptoms: Server pain at the injection site to the point it is hard to move the arm, and it woke me up when I rolled onto it. Migraine headache with visual pain and nausea. I have taken Tylenol and ibuprofen for the pain and discomfort and I have also been icing the injection site. I missed work today because of the migraine

Other Meds: Amlodipine, Digestive enzymes, Escitalopram, Vitamin B-12, Omeprazole, Truvada, Vitamin D-3, Tylenol, Ibuprofen, Vitamin C, Gabapentin.

Current Illness: None

ID: 0930149
Sex: F
Age: 30
State: TX

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

Lab Data:

Allergies: none

Symptoms: Rash on left arm started appearing on 1/7 and has gotten larger on 1/8. Pain in arm started mid day on 1/8, not just at injection site, but throughout all of the top half of my arm and into the left shoulder/shoulder blade. There is a raised bump on the left arm as well that just appeared on 1/8. Arm aches and itches too.

Other Meds:

Current Illness:

ID: 0930150
Sex: F
Age: 26
State: TX

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

Lab Data: CBC CMP CT Scan without Contrast COVID test

Allergies: none

Symptoms: DPH (after the Lot number); I started with a very severe pounding tension headache - 6:00 am; very severe fatigue; very severe arm pain at injection site. And then unable to complete daily functions: do to headache; suffered from headache - took one gram tylenol to address a low grade fever that day and the headache, too. fever subsided with tylenol. Headache was relentless; I tried 600 mg of ibuprofen as well to treat headache with no success; Started to suffer severe pain; couldn't open eyes from pressure of headache. Went to ER due to never having such a severe headache before. Tests did not show pathology that would cause headache. Was given one liter of IV fluids. Was given 25 mg of Benadryl ; 10 mg of Compazine. Along with toradol. And 20 meq of potassium. Also tested for covid and was negative. And discharged home. FOllowing day: mild headache and with resolution of left arm pain. By the 27th it felt like headache was resolved.

Other Meds: none

Current Illness: headaches

ID: 0930151
Sex: F
Age: 51
State: RI

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

Lab Data:

Allergies: Allergies : zoloft, Pcn

Symptoms: Received vaccine at 9:15am. At 11:50am felt heart pounding and pressure on the left side of my chest (heart location) my normal heart rate is 70's. heart rate at time of event 118-122. Blood pressure 157/97. (normally 110's over 70's) episode lasted about 4-5 minutes. Blood pressure continued elevated til about 330pm. (154/101). Called my primary MD said to call my cardiologist. Spoke with nurse who told me to go to ER. I declined and said I would watch it tonight and if it persisted I would then go to emergency room. The next day everything seemed to be back to normal.

Other Meds: none

Current Illness: occasional heart palpitations

ID: 0930152
Sex: M
Age: 45
State: MT

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

Lab Data:

Allergies:

Symptoms: chills, no appetite, symptom free today

Other Meds:

Current Illness:

ID: 0930153
Sex: M
Age: 41
State: MI

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

Lab Data: Plt 2

Allergies: PCN

Symptoms: ITP Plt 2

Other Meds: Atorvastain 10mg Levothyroxine 112mcg Prilosec 20mg Insulin

Current Illness: NA

Date Died: 01/08/2021

ID: 0930154
Sex: M
Age: 60
State: OH

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

Lab Data:

Allergies: Sulfa

Symptoms: Notified today that he passed away. No other details known at this time.

Other Meds: unknown

Current Illness: unkown

ID: 0930155
Sex: F
Age: 39
State: UT

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

Lab Data: CT brain negative for clots CT chest shows signs of COVID COVID PCR negative

Allergies: None

Symptoms: Employee reports 1/4 he had a sore arm, later that night HA, fever, chills. 1/5 1600 headaches progressed to migraine with extreme fatigue. 1/6 evening he went to ED due to symptoms and history of blood clots in the brain. CT was done in the ED. It showed signs of COVID in the CT chest. COVID test negative. 1/7 AM SOB and cough started. HA continues but manageable, dizziness and a crawling feeling under skin. 1/8 AM tightness in chest, crawling under skin increased, HA, dizziness and slight bodyaches.

Other Meds: Warfarin Lipitor Tylenol

Current Illness: None

ID: 0930156
Sex: F
Age: 88
State: NY

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

Lab Data:

Allergies: NKA

Symptoms: Received 2 doses of this vaccine today, no adverse outcome as of this time

Other Meds: Acetaminophen Amlodipine Docusate Sodium Remeron Ensure Enlive

Current Illness: Dysphagia Hypertension Hyperlipidemia Dementia

ID: 0930157
Sex: F
Age: 39
State: WI

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

Lab Data:

Allergies:

Symptoms: red, swollen, and warm and itchy

Other Meds:

Current Illness:

ID: 0930158
Sex: F
Age: 39
State: CA

Vax Date: 12/17/2020
Onset Date: 12/18/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: mild allergy to crabs

Symptoms: headache, myalgia, nausea, vomiting, and facial swelling x3 days

Other Meds: Krill oil, biotin, apple cider vinegar

Current Illness: none

ID: 0930159
Sex: F
Age:
State: MI

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

Lab Data: None

Allergies: None

Symptoms: Strong stomach cramps leading to diarrhea, about 5 instances, followed by strong stomach cramping with blood clotting discharge with 9 instances, lasting about 16 hours, with the clotting reducing each time

Other Meds: None

Current Illness: None

ID: 0930160
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: N/A

Symptoms: Pt states she started feeling flushed, started getting hives around neck, and tightness of the right leg

Other Meds: N/A

Current Illness: N/A

ID: 0930161
Sex: F
Age: 40
State: OH

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

Lab Data: none

Allergies: none

Symptoms: 5 x 6 cm erythematous macular weal over left deltoid

Other Meds: none

Current Illness: none

ID: 0930162
Sex: F
Age: 51
State:

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

Lab Data:

Allergies: TDAP reaction 21 years ago. Developed a knot and unable to move arm for 2 weeks.

Symptoms: Patient received second Pfizer vaccine on 1.5.21. On 1.7.21 at 2:40pm the patient experienced aches and weakness that evening, took tylenol with relief. 1/8/21 patient woke up in the middle of the night with fever, blister on the inside of her lip, and her right cheek twitching. 1/8/21 patient went to PCP to be checked out. Discovered redness and bruising at the injection site. Patient has had relief with tylenol and zyrtec.

Other Meds:

Current Illness:

ID: 0930163
Sex: F
Age: 34
State: KS

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

Lab Data:

Allergies: sulfa, hydrocodone, tree nuts

Symptoms: Was seen at ER

Other Meds:

Current Illness:

ID: 0930164
Sex: M
Age: 60
State: NM

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

Lab Data: NA

Allergies: Anacin

Symptoms: Approximately 2 hours after receiving the vaccine I felt a heat flash, people setting in the area asked if I was OK as my face was red. It cleared in approximately a minute. The 2nd heat flash came on about 5 to 10 minutes later and cleared about a minute later. The 3rd heat flash came on about another 5 to 10 minutes, again clearing at about 1 minute. Next I felt like my head was in a fog, found it very hard to focus, and was forgetting what I was doing. I walked over to the office, my supervisor asked if I was ok as she said it looked like my eyes were glazed over, my head was still in a fog. This cleared by 2:30 p.m.

Other Meds: Rosuvastatin calcium, Acyclovir, Vit C, Vit A, Vit D, D-mannose, Magnesium, B-complex, Turmeric, Cosamin, Zinc, CoQ10

Current Illness:

ID: 0930165
Sex: F
Age: 21
State: UT

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

Lab Data: vital signs

Allergies:

Symptoms: within 5 minutes of recieving the vaccine, felt light headed, nauseated and had a dry mouth. Pt was placed supine with legs up and monitored. Symptoms resolved within 15 minutes.

Other Meds:

Current Illness:

ID: 0930166
Sex: F
Age: 34
State: MT

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

Lab Data:

Allergies:

Symptoms: welt on injection site

Other Meds:

Current Illness:

ID: 0930167
Sex: F
Age: 65
State: TX

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

Lab Data:

Allergies:

Symptoms: Treated in ED the same day as vaccination for left facial tingling and numbness. Diagnosis from ED of Left 5th nerve Transient Palsy. Resolved in 72 hours.

Other Meds:

Current Illness:

ID: 0930168
Sex: F
Age: 28
State: VA

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

Lab Data:

Allergies: Cats and dogs allergy

Symptoms: Small red hives, itching, bilateral arms and chest. Noted 30 min after injection.

Other Meds:

Current Illness: none, per pt

ID: 0930169
Sex: F
Age: 29
State: SC

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

Lab Data:

Allergies: None

Symptoms: Tachycardia-160 for about 10-20 minutes about 10-15 after injection, HR 120-130 for about 1 hour, clamminess, shaky, dizziness

Other Meds: None

Current Illness: None

ID: 0930170
Sex: F
Age: 39
State: WI

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

Lab Data:

Allergies:

Symptoms: one week after injection the injection site was itchy, red, swollen, and warm

Other Meds:

Current Illness:

ID: 0930171
Sex: M
Age: 20
State: IL

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

Lab Data:

Allergies:

Symptoms: Fever 102.9 at 1:45pm Ibuprofen 400mg given at 1:50pm

Other Meds:

Current Illness:

ID: 0930172
Sex: F
Age: 39
State: ID

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

Lab Data: Unknown

Allergies: no

Symptoms: Left arm lymph soreness. Left leg (sometimes in both) warm sensation with numbness and tingling below knee in calf and foot, not constant. Standing and walking helps relieve symptoms at times but seems to be more constant then on 1/6 and 1/7. Encouraged client to seek emergency medical treatment as to determine cause of the numbness and tingling.

Other Meds: no

Current Illness: no

ID: 0930173
Sex: F
Age: 34
State: MT

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

Lab Data:

Allergies:

Symptoms: welt on injection site

Other Meds:

Current Illness:

ID: 0930174
Sex: F
Age: 44
State: FL

Vax Date: 12/16/2020
Onset Date: 12/16/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies: None known

Symptoms: Following administration of COVID19 vaccine (Pfizer), patient experienced a "scratchy feeling" in her throat and feeling that her throat might be closing up. She denied any other symptom. Patient had no history of anaphylaxis. Patient was monitored until symptoms resolved. No treatment was required. Note: Patient received second dose of vaccine (from same lot# EH9899) on 1/6/21 and no adverse reactions were observed after 30 minutes monitoring. Patient reports that she felt much less anxious when receiving the second dose of vaccine.

Other Meds: None known

Current Illness: None known

ID: 0930175
Sex: F
Age: 18
State: KS

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

Lab Data:

Allergies:

Symptoms: Notes COVID VACCINE CLINIC Subjective Patient is a 18 y.o. female who was seen at COVID Vaccine Clinic today for her second dose of the COVID 19 vaccination. She denied any history of previous adverse reactions to vaccines and denies reaction to her first dose. She was given the Pfizer vaccination in the left deltoid muscle. During her 15 minute waiting period after the injection, the patient began to experience throat tightness. She denied difficulty breathing, difficulty swallowing, wheezing, 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 rapid progression of symptoms and tongue swelling. ? ALLERGY REVIEW OF SYSTEMS: Patient denies facial swelling, chest tightness, shortness of breath, rash and dizziness + throat tightness: ? ? Previous Reactions: Denies previous reactions to vaccinations. ? Objective ? Vitals Vitals: ? 01/08/21 1143 01/08/21 1204 01/08/21 1227 BP: (!) 144/89 131/81 104/76 Pulse: (!) 125 (!) 109 99 Temp: 98 ?F (36.7 ?C) ? ? SpO2: 99% 99% 98% ? Physical Exam Vitals signs and nursing note reviewed. HENT: Head: Normocephalic and atraumatic. Mouth/Throat: Mouth: Mucous membranes are moist. Pharynx: Oropharynx is clear. No posterior oropharyngeal erythema. Comments: No swelling of lips or tongue. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Pulmonary: Effort: Pulmonary effort is normal. No respiratory distress. Breath sounds: Normal breath sounds. No wheezing or rales. Skin: General: Skin is warm and dry. Neurological: General: No focal deficit present. Mental Status: She is alert and oriented to person, place, and time. Psychiatric: Mood and Affect: Mood normal. Behavior: Behavior normal. ? Assessment/Plan Treatment included: benadryl 25mg po and solumedrol 125mg IM. Follow up response to treatment: good. Patient had improvement in throat tightness. Does mention being lightheaded after. Patient discharge: Stable to go home and follow up with PCP. Patient called a friend for a safe drive home. She was instructed to go home and rest for the remainder of the day. Denies having any symptoms on discharge. Discharged at 1229. ? If she experiences any adverse symptoms in the future, advised to F/U in ER.

Other Meds:

Current Illness:

ID: 0930176
Sex: F
Age: 45
State: OK

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

Lab Data: none

Allergies: none

Symptoms: Chills, fever, body aches, joint pain, painful lymph nodes in armpit, headache, nausea

Other Meds: Famotadine - 300 mg daily Vitamin D - 5000 IU

Current Illness: none

ID: 0930177
Sex: F
Age: 47
State: CA

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

Lab Data:

Allergies: none

Symptoms: 4 cm diameter circular erythema at the injection site, axillary lymphadenopathy on the vaccine side, scapular and neck pain on the same side as vaccine injection.

Other Meds: none

Current Illness: none

ID: 0930178
Sex: F
Age: 44
State: WI

Vax Date: 01/02/2021
Onset Date: 01/04/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: shoulder pain in the joint space causing paresthesia in the hand and arm with intermittent pain in the forearm. loss of full range of mobility in the shoulder. this has been ongoing x 1 week.

Other Meds: omega 3 multivitamin MSM

Current Illness:

ID: 0930179
Sex: F
Age: 35
State: MN

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

Lab Data:

Allergies:

Symptoms: L axilla swelling x 5 days, not improving. VEARS completed. Advised her to see MD as this is most likely from the injection, but could also be from another cause - including Covid infection.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm