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: 0930280
Sex: F
Age: 50
State: PA

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

Lab Data:

Allergies:

Symptoms: Nausea, child, feeling unwell. NO fever

Other Meds: Duloxitine 60 mg

Current Illness:

ID: 0930281
Sex: F
Age: 34
State: OH

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

Lab Data:

Allergies: None

Symptoms: 12 hours post vaccine - pain and redness and injection site. Continued for 2 days then fully resolved. 7 days post vaccine- large red, hard welt that itches significantly. Cortisone cream minimally effective.

Other Meds:

Current Illness: None

ID: 0930282
Sex: F
Age: 64
State: WV

Vax Date: 12/23/2020
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: None noted

Symptoms: Rash noted several days after vaccination. Rash noted to occur to hands and upper chest. Benadryl taken to help control the rash with some effectiveness. Rash on chest has resolved now. Rash on hands noted to persist. Once Benadryl wears off the rash comes back. This has occured for 3 days in a row.

Other Meds: methylphenidate HCL Ocrevus solifenacin trimcinolone acetonide

Current Illness: None

ID: 0930283
Sex: F
Age: 52
State: FL

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

Lab Data: no

Allergies: To the environment, Shrimp, lamb, sweet potato, tree nuts, tea.

Symptoms: Severe pain in arm with bump from shot. Clamy, cold chills, Then started getting hot with fever. Skin is sore from the fever. Headache, temp 100.3. Weak and loopy, slept all day. Hurts under the arm. SOB.

Other Meds: Valsartan, Albuterol, Zyrtec

Current Illness: no

ID: 0930284
Sex: F
Age: 42
State: CT

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

Lab Data: Covid tested

Allergies: TreeNut

Symptoms: Headache lasted for a week..

Other Meds: Zoloft Daily

Current Illness: None

ID: 0930285
Sex: F
Age: 52
State: AZ

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

Lab Data: Unknown

Allergies: No

Symptoms: HA,chills,muscle,joint pain,nausea

Other Meds: Lisinopril 20mg Zyrtec Omprazole 20mg Multi vitamin

Current Illness: On December 20 I tested positive for the COVID virus but today?s symptoms are much much worse

ID: 0930286
Sex: F
Age: 42
State: NM

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

Lab Data:

Allergies: None

Symptoms: 1/06/2021: 0200-severe body ache, chills 0700 to 1100- 103.2 temp climbing with use of Tylenol and aspirin. 1100 to 01/07/2021, 0200 severe lethargy lasting till around this time. Heart rate excess of 130, dizziness, severe weakness, muscle pain, fever 103 to 104 F. 650mg oral Tylenol and aspirin 325mg every 6 hours does not control temp. Intermittent periods of extreme perspiration. 0200 1/07/2021 to 1200, slow decline in body pain with ongoing Tylenol and aspirin every 6 hours. No more elevated temps. Injection site/arm remains painful.

Other Meds: Levothyroxine, multivitamin, allegra

Current Illness: None

ID: 0930287
Sex: F
Age: 35
State: UT

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

Lab Data: UNKNOWN

Allergies: UNKNOWN

Symptoms: Called immunization line and left message. Called client back. Complaining of generally not feeling well; extremely dizzy; HA; nausea; vomiting; diarrhea on 1-8-2021

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 0930288
Sex: F
Age: 58
State: MT

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

Lab Data: none

Allergies: Penicillian

Symptoms: Bad headache, dizzy, very tired, nausea, blurred vision.

Other Meds: Losatan 100mg, Losartan HCTZ 12.5 mg, Amlodipine 10mg, Vitamin Code raw one vitamin for women

Current Illness: none

ID: 0930289
Sex: M
Age: 23
State: TX

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

Lab Data: Covid test: negative on 12/11/20

Allergies: Sulfa drugs

Symptoms: At 2:00am 12/19/20 I woke up to an episode of diarrhea and was left feeling nauseous. I woke up again at 4:30am with another episode of diarrhea and severe nausea which led me to throw up. I feel better after throwing up and proceeded to get rest before going to work at 6:00am. By 8:00am I had developed a severe headache, severe nausea, muscle fatigue and overall felt bad. When I got home I had become extremely nauseous and developed severe muscle fatigue and severe arthralgia and my headache had increased and became sweaty and dizzy. I slept from 9:00am to 2:00pm where the symptoms had gotten no better and the headache had gotten worse. I slept from 3:00pm to around 6:00pm with the same symptoms but managed to eat some soup and kept it down. I slept from 10pm to 12pm the next day 12/10/20. My fatigue and joint pain had somewhat dissipated but I was still experiencing severe nausea and a severe headache. By the end of 12/10/20 around 8pm my joint pain and muscle fatigue had gotten better but the nausea and headache were still there. 12/11/20 I was well enough to drive and receive a covid test. My nausea and headache did not go away until the end of day 12/11/20

Other Meds: None

Current Illness: None

ID: 0930290
Sex: F
Age: 51
State: PR

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

Lab Data: None

Allergies: ASA

Symptoms: On January 5,2021, developed chills, muscle ache, headache, joint pain ,fever and left arm pain. Taken Acetaminophen

Other Meds: Albuterol inhaler pump as necessary Acetaminophen 650 mg 2 tabs every 8 hours

Current Illness: NO

ID: 0930291
Sex: F
Age: 61
State: IL

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

Lab Data: none

Allergies: Cipro

Symptoms: 3 INCH induration and moderate erythema, tender to the touch, causing local muscle ache and joint pain, and fatigue Used Voltaren (diclofenac) topical gel two times per day for 5 days, Tylenol PM before bed

Other Meds: Vitamin D, Vitamin B12, Fish oil

Current Illness: none

ID: 0930293
Sex: F
Age: 49
State: WY

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

Lab Data: none

Allergies: none

Symptoms: my hands are tingling

Other Meds: none

Current Illness: none

ID: 0930294
Sex: M
Age: 46
State: CO

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

Lab Data: treated in ED

Allergies: unknown

Symptoms: dizziness, not feeling well, felt better laying down, had headache which worsened upon sitting. Generalized rigors, has had in the past after and epidural. 96/64, HR 72, SPo2 99%. Taken to ED at 9:15 am. Given Ativan and observed for 4 hours.

Other Meds: Undergoing Chemotherapy

Current Illness:

ID: 0930295
Sex: F
Age: 51
State: NY

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

Lab Data: Left breast ultrasound and mammography ordered.- to be completed 1/12/21 Covid test done 1/8/21

Allergies: Penicllin

Symptoms: Left axillary lymph node enlargement - began day 2 after vaccination (1/1/21) and continues as of today 1/8/21. Left neck lymph node enlargement and sore throat began 1/6/21, pustule in left throat 1/7/21.

Other Meds: Vitamin D supplements

Current Illness: none

ID: 0930296
Sex: M
Age: 94
State: CO

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

Lab Data: NA

Allergies: Horse antitoxin (tetanus) - delayed vaccine reaction

Symptoms: Days 1-3 - fatigue, lightheadedness, shoulder pain. Day 7: redness, mild swelling, mild tenderness at injection site (no infection)

Other Meds: Amlodipine, allopurinol, casodex, monopril vitamin D

Current Illness: prostate cancer

ID: 0930297
Sex: F
Age: 29
State: RI

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

Lab Data: CT scan, lactate, CPK normal

Allergies: Adhesive tape (NOT allergic to latex)

Symptoms: 29-year-old previously healthy female presenting today with difficulty sleeping, sore throat, and nausea after receiving the second Pfizer COVID-19 vaccine around 10 AM. Patient says that after her first dose of the vaccine she had mild sore throat and hoarse voice that resolved spontaneously. She had her vaccine around 10, several hours later before coming to the emergency department between 2--230 she had the sudden onset of difficulty speaking with associated sore throat and nausea. She has had dry heaving but no large amounts of vomiting. She has not had stridor, wheezing, shortness of breath, syncope, or the development of a rash or hives. She has not had a reaction to her prior vaccines she does not have any other allergies in general. She has otherwise been well recently without infectious symptoms including fevers, chills, cough, and has not been exposed to Covid to her knowledge. Medications administered in ED included diphenhydramine 50 mg IV once, dexamethasone 10 mg IV once, famotidine 40 mg IV once, ondansetron 4 mg IV once. Had brief episode of shaking and R arm rigidity in the ED. Patient denies LOC during the episode, did not have a post ictal state, no tongue biting or episodes of incontinence. Given single event without LOC, less concern about episode being a seizure. Patient has had no further episodes of shaking since admission. CT brain was wnl, no FNDs noted on exam.

Other Meds: Adderall

Current Illness:

ID: 0930298
Sex: F
Age: 62
State: SD

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

Lab Data:

Allergies: Latex, bananas

Symptoms: 2 days of fever and muscle aches with fatigue. 11 days of bicep pain radiating down to elbow and into armpit of left arm. Unable to use arm except for limited activity.

Other Meds: Levothyroxin Escataloprin

Current Illness: Cold with sinus issues

ID: 0930299
Sex: F
Age: 62
State: CA

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

Lab Data:

Allergies:

Symptoms: Tachycardia (HR in the 110s), felt warm, forearms visibly flushed, nausea 20 min post vax Observation and fluids Sxs resolved after 15 mins of close monitoring NKA

Other Meds:

Current Illness:

ID: 0930300
Sex: F
Age: 52
State: NY

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

Lab Data: None

Allergies: None

Symptoms: Pain, heaviness, swelling, redness, itching, extreme induration and tenderness at injection site; severe headache.

Other Meds: None

Current Illness: None

ID: 0930301
Sex: F
Age: 27
State: MD

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

Lab Data: See chart labs unremarkable Note re question below patient mostly better but left with 4/10 HA- form does not allow this description

Allergies: Penicillin

Symptoms: Dizziness elevated heart rate HA . Dizziness and elevated HR resolved later per the patient nad did not feel like her MS

Other Meds: Copaxone Mirena B12

Current Illness:

ID: 0930302
Sex: U
Age:
State: MO

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

Lab Data: None

Allergies:

Symptoms: Cough shortness of breath r/t asthma

Other Meds:

Current Illness:

ID: 0930303
Sex: F
Age: 28
State: NY

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

Lab Data: N/A

Allergies: NKA/NKDA

Symptoms: First experienced arm pain at site of injection, chills and body aches within 13 hours of the 2nd COVID-19 Pfizer vaccine. 27 hours following administration of the vaccine in addition to body aches and chills, I then experienced headaches, fever of 101.8, and fatigue.

Other Meds: Vyvanse 40 mg PO daily, Beyaz Birth Control 1 tablet PO daily

Current Illness: None

ID: 0930304
Sex: F
Age: 50
State: IL

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

Lab Data: Unknown

Allergies: Aspirin

Symptoms: Patient experienced swelling of the throat and numbness in the neck within 10-15 minutes of vaccine administration while still under observation. Two oral Benadryl tablets were given (50mg total) and epipen was administered in the left thigh. 911 was immediately called and patient was taken away in ambulance

Other Meds: Unknown

Current Illness: No

ID: 0930305
Sex: F
Age: 9
State: CT

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

Lab Data: EKG WNL

Allergies: None. (mosquito bites only)

Symptoms: 2 episodes of syncope on the evening of the day after receipt of vaccine. Child otherwise had been well. Seen in ED, + Orthostatic changes on vitals. EKG WNL Given PO fluids and discharged home

Other Meds: Miralax, Claritin PRN (not taking either at time of the visit)

Current Illness: none

ID: 0930306
Sex: F
Age: 84
State: NJ

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

Lab Data:

Allergies: Crestor, Demerol, Lisinopril

Symptoms: Resident c/o dyspnea, lethargy, and "not feeling well". Sent out to ER. No other symptoms noted.

Other Meds: Acetaminophen 325 mg twice daily, Bumetanide 1mg twice daily, Hydralazine HCL 25mg three times daily, Melatonin 3mg nightly, Metoprolol Tartrate 50mg twice daily Olanzapine 5mg nightly, Potassium Chloride 20 MEQ daily, Xarelto 15mg nightly.

Current Illness: NA

ID: 0930307
Sex: F
Age: 41
State: MD

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

Lab Data: Blood work, ekg. All normal

Allergies: N/a

Symptoms: Got vaccine at 1:15. At 1:27. Became very hot, red rash all over, tachycardia . I alerted the nurse and at that time my watch was beeping afib.

Other Meds: Ibasarin 300mg, zyertec 40mg, benadryl 50mg, pepcid Ac,

Current Illness:

ID: 0930308
Sex: F
Age: 24
State: TX

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies: Bananas and avacodos

Symptoms: Redness, swelling and itching at injesction site of right deltoid

Other Meds: None

Current Illness: None

ID: 0930310
Sex: F
Age: 37
State: TX

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

Lab Data:

Allergies: Triptans

Symptoms: Swelling, give, redness, pain, and hot to the touch

Other Meds: Metformin, montelukast

Current Illness:

ID: 0930311
Sex: F
Age: 61
State: CA

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

Lab Data:

Allergies:

Symptoms: Tachycardia (HR in the 110s), substernal chest pressure, dizziness 15 min post vax Observation and fluids Sxs resolved after 30 mins of close monitoring NKA

Other Meds:

Current Illness:

ID: 0930312
Sex: F
Age: 38
State: IN

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

Lab Data:

Allergies: Skelaxin, Nifedipine

Symptoms: Chills, nausea, muscle aches, joint aches, fatigue, feve 102.0 Taking Tylenol, ibuprofen, promethazine.

Other Meds: Trazodone, elevil, requip, Prozac, wellbutrin, promethazine, Maxalt, aimovig

Current Illness: Clinically diagnosed covid19 December 12th, 2021

ID: 0930314
Sex: F
Age: 45
State: NM

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

Lab Data: None

Allergies: Unknown

Symptoms: Patient complained of left arm pain radiating to jaw and temples radiating to neck pain after injection. Rapid Response called @1721, patient monitored.

Other Meds: Unknown

Current Illness: Unknown

ID: 0930315
Sex: F
Age: 33
State: CA

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

Lab Data: 1/8- wbc 15.1, RBC 4.52 hgb 14.1, hct 40.8 Platelets 427 Segs man 92 band man 2 , sodium 136, potassium 4.5, chloride 102, calcium 9.9, bun 13, bun/creat 16, gfr 82,

Allergies: Pcn-hives

Symptoms: With in 10 mins of receiving 1st dose, I started to feel hot and light headed, my body became very hot, I started to sweat and then my throat started to dry up and close. I notified the provider on watch that was monitoring me during my 15 mins after injection and as the walked me to the room I became more and more dizzy, my throat continued to swell and close, my mask was removed where my face was covered with a rash and hives . The dr. Gave me 50 mg benedryl, and a shot of epinephrine. After wards 911 was called, my heart rate was eventually brought down with the epinephrine as my symptoms began to be controlled. An inhaler was administered because I was short of breath. 3 hours later I was stabilized. I then was recommended to go to urgent care rather the emergency room since the wait was 13 hours to be monitored at the local hospital MLK. I went to urgent care near my home at Hoag hospital and they monitored me and gave me a steroid injection IM. I was discharged with an epi pen just in case abs to take benedryl every 6 hours . The following morning 1/8/21, at 8 am the swelling of my throat retuned I became light headed abs my tongue became numb. I was taken to fountain valley hospital where an IV was started, 500 mg of iv benedryl, another epinephrine injection was given abs I remained under surveillance for another 6 hours. They stated that a lot of people are coming with reoccurring episodes of anaphylaxis after the phizer injection.

Other Meds: Multivitamin , biotin,

Current Illness: None

ID: 0930316
Sex: F
Age: 86
State: MD

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

Lab Data:

Allergies:

Symptoms: Patient is an 86 year old dementia non-verbal patient at the Stadium Place Nursing and Rehabilitation center. She is generally not alert and has a lot of grunting and arm tremors. On January 8, 2021, she received the Pfizer Covid-19 vaccination on her right arm. About an hour later, the patient?s aid reports patient having a minor nosebleed. The nursing home facility staff noted that patient does not normally exhibit such symptoms. Of note, Pt is on 4 liters of oxygen around the clock and has a nasal cannula inserted in her nostrils. Nursing staff believes this nosebleed is possibly related to the covid 19 vaccine. In addition, nursing staff also attempted to take patient blood pressure but due to constant movements and tremors the reading could not be done. She was monitored for next few hours and no other symptoms has presented.

Other Meds:

Current Illness:

ID: 0930317
Sex: F
Age: 38
State: AR

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

Lab Data:

Allergies: none

Symptoms: Patient reports developing around the injection site, radiating to hand. Says arm was warm to the touch with mild swelling. Also reports nausea.

Other Meds:

Current Illness: None

ID: 0930318
Sex: M
Age: 49
State: AZ

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

Lab Data: N/A

Allergies: None

Symptoms: Gave patient vaccine administration, after 20 minutes of monitoring patient stood up to leave and felt dizzy and light headed. He turned pale as well. I quickly had him sit down and called the provider in. We listened to heart and lungs, obtained vitals which were: P: 57 BP: 130/65 Temp: 97.5 SP02: 100% Continued to monitor, provider got a more advanced medical history from patient and provider felt like patient was stable enough to monitor for 20 more minutes with no interventions and leave. Patient is discharged

Other Meds:

Current Illness: Type 2 diabetes, end stage renal disease on dialysis, hyptertension

ID: 0930319
Sex: F
Age: 38
State: TX

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

Lab Data:

Allergies: None

Symptoms: Sore arm for 3-4 days

Other Meds: Fish oil, prenatal vitamins

Current Illness: Headache

ID: 0930320
Sex: F
Age: 35
State: UT

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

Lab Data: UNKNOWN

Allergies: UNKNOWN

Symptoms: Called into immunization line. Left message. Followed up with phone call. Client stated not feeling well in general. Complaining of extreme dizziness and then later HA, nausea, vomiting,diarrhea, muscle aches.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 0930321
Sex: F
Age: 33
State: KY

Vax Date: 12/23/2020
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: On 1/7/21 I noticed a slightly enlarged left supraclavicular lymph node. There was a small amount of edema in the area surrounding it. I applied heat to it and this seemed to relieve some of the swelling. Around noon on 1/8/21 the lymph node and the tissue sounding it had approximately doubled in size from the night before. I went to my local urgent care center. The doctor seemed to think that there is a very high probability that it is my body reacting to the vaccine, especially since I still currently have a visible bruise on my arm from the injection. The injection was on the same side as the swelling. She couldn't confirm that it is a reaction with 100% certainty, I was prescribed Keflex 500mg tabs TID for a week just in case there is an infection present. I am supposed to monitor the size of the swelling and follow up with a PCP.

Other Meds: None

Current Illness: None

ID: 0930322
Sex: F
Age: 59
State: WA

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

Lab Data: No labs Virtual visit with Dr Pictures of left arm skin changes

Allergies: Shellfish, Bee Stings , carrots

Symptoms: Received dose #1 of Moderna on 12/31/2020 Day #1 - nothing Day #2-3 - mild tenderness at injection site Day # 8 - Left arm induration 6cm X 7cm i Around injection site: red, hot, tender with itching. Small central pustule at injection site surrounded by induration- pustule then resolved . Accompanied by headache & sore throat. Benadryl did not resolve left arm symptoms Tylenol helped headache Did not need to use Epi pen

Other Meds: Benadryl Tylenol

Current Illness: None

ID: 0930323
Sex: F
Age: 50
State: CA

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

Lab Data:

Allergies:

Symptoms: Tachycardia (HR in the 110s), shortness of breath, chest pain 15 min post vax Observation and fluids Sxs resolved after 15 mins of close monitoring NKA

Other Meds:

Current Illness:

ID: 0930324
Sex: F
Age: 58
State: CT

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

Lab Data:

Allergies: Severe reaction to a 10 minute iron infusion just over 4 years ago. Unsure of name.

Symptoms: Pt had just been sent to observation area from vax station and reported that she was feeling "very warm" and that she was experiencing some "heart palpitations". I was called over to assess her. She was flushed in the face, BP was 134/80 with pulse of 80, regular. She denied shortness of breath or chest discomfort. She was wearing a warm sweater and hat, so we removed the hat and transferred her by wheelchair to a cooler area. She was still feeling weak, so we initiated a 911 call for EMS evaluation. EMS arrived on site within 4 minutes and performed evaluation. Pt was less flushed and stated she felt much better. She was not transported. Left clinic with her husband. I called her today to follow up. Other than some site tenderness and feeling "a little light headed" this morning, she feels fine. She stated that she took ibuprofen for the injection site tenderness. Her entire episode at the clinic last about 12-14 minutes from onset to time she left with her husband.

Other Meds: Levothyroxine, Fish Oil, Multivitamin, A-Red 2, minocycline, ASA 81 mg

Current Illness: None

ID: 0930326
Sex: F
Age: 46
State: LA

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

Lab Data:

Allergies: none

Symptoms: Low grade fever, severe exhaustion x 8 days, muscle aches, joint pain. Low grade temp only lasted a few days, but aches, pain and exhaustion continues on day 9. I did have my antibodies checked in November and i still had positive antibodies from having Covid in July.

Other Meds: none

Current Illness: none

ID: 0930327
Sex: F
Age: 1
State: AZ

Vax Date: 10/01/2020
Onset Date: 12/01/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: started with rash around 12/1/20 - ongoing rash - referred to dermatologist. Per dermatology rash was likely a reaction to vaccine given in October

Other Meds: None

Current Illness: None

ID: 0930328
Sex: F
Age: 41
State: TX

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

Lab Data:

Allergies:

Symptoms: anaphylaxis with immediate whole body swelling. Epinephrine 0.3mg IM administered

Other Meds:

Current Illness:

ID: 0930329
Sex: F
Age: 52
State: MN

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

Lab Data:

Allergies: Hctz, Lisinopril, sulfa

Symptoms: Chills, fever...lasting approximately 18 hours. Rash on neck and chest.

Other Meds: Losartan 100mg Amlodipine besylate 10 mg

Current Illness:

ID: 0930330
Sex: F
Age: 71
State: TX

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

Lab Data: no

Allergies: Most narcotics

Symptoms: Had covid in October. Felt like she did when she had covid. Painful joints, gross fatigue, no appetite, sore arm, low grade temp. No energy.

Other Meds: Folic acid, Naproxen, levothyroxine, Prilosec, methotrexate, REMICADE infusion. Wellbutrin, Lomax.

Current Illness: no

ID: 0930331
Sex: F
Age: 59
State: CA

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

Lab Data:

Allergies:

Symptoms: Tingling around mouth 6-7 min post vax Observation and fluids Sxs resolved after 5 mins of close monitoring Allergies: Codeine, Latex, Iodine Contrast, Hydrochlorothiazide. No known food allergies, but consumed two foods new to her (yogurt parfait and Gatorade Zero) just prior to injection

Other Meds:

Current Illness:

ID: 0930332
Sex: F
Age: 31
State: TX

Vax Date: 12/31/2000
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Rash to the upper arm a week after vaccination. A wheal of about 8in x 4in around the site of injection.

Other Meds: None

Current Illness: None

ID: 0930333
Sex: F
Age: 36
State: CA

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

Lab Data:

Allergies: None

Symptoms: Felt I warm sensation through my whole body, got light headed and could feel my heart beating strong.

Other Meds: Elderberry, emergenc gummed, melatonin.

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm