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: 0931788
Sex: F
Age: 64
State: MS

Vax Date: 12/22/2020
Onset Date: 12/30/2020
Rec V Date: 01/09/2021
Hospital:

Lab Data: Had Covid test on 1/1/2021

Allergies: Ceclor, cipro , flagyl , crestor, ibuprofen

Symptoms: Nausea, diarrhea, low grade fever. Lasted 4 days, treated with Zofran

Other Meds: Synthroid, losartan, maxzide, pravastatin, aspirin, zinc, vit C, vit D3, multivitamin, pepcid, Zyrtec, omega 3

Current Illness: None

ID: 0931790
Sex: M
Age: 39
State: IN

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

Lab Data: none

Allergies: penicillin, bananas

Symptoms: fatigue

Other Meds: none

Current Illness: none

ID: 0931791
Sex: F
Age: 49
State: TN

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

Lab Data:

Allergies: nka

Symptoms: rash all over body

Other Meds: cymbalta metoprolol gabapentin trazadone telmisartan

Current Illness: none

ID: 0931792
Sex: F
Age: 39
State: GA

Vax Date: 12/31/2020
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: None.

Allergies: NKA

Symptoms: One week after the injection my arm began itching. It is red, elevated and warm. Estimated date of delivery: August 22, 2021

Other Meds:

Current Illness:

ID: 0931793
Sex: F
Age: 26
State: NM

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: None

Allergies: Aspirin-Throat closes Ciproflaxacin-Fatigue Epinephrine-Asthma attack

Symptoms: Pain and swelling in left arm and axilla that radiates to her back for 9 hours.

Other Meds: Montelukast 10mg tablet Ogestrel 0.5mg-50mcg tablet Proair HFA 108 MCG/ACT inhaler Topiramate 25mg tablet

Current Illness: None

ID: 0931794
Sex: M
Age: 67
State: NY

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

Lab Data:

Allergies: none

Symptoms: fatigue, nausea and terriblevomiting with chills and shake

Other Meds: none

Current Illness: none

ID: 0931795
Sex: F
Age: 34
State: AK

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: None yet. If the infection gets worse I will seek appropriate medical care.

Allergies: None

Symptoms: I have an infection at the injection site. I believe this could happen with any vaccine but wanted to report just in case. I am experiencing a large circle (a little smaller than a baseball) of swollen red skin that is painful around the injection site. Last night, the lymph nodes in my armpit, neck and collar bone on the right side swelled up and were painful. I feel fatigued.

Other Meds: Zoloft, multivitamin, ibuprofen

Current Illness: Depression

ID: 0931796
Sex: M
Age: 56
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Fever, body aches, fatigue

Other Meds: None

Current Illness: None

ID: 0931797
Sex: F
Age: 38
State: KY

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Woke up at 2:30 am feeling nauseous, broke out in cold sweat, got out of bed, went to restroom, everything went black and felt like I was going to pass out. Husband got to me and laid on the floor. Never passed out completely, but it was a very weird and odd feeling. Felt better after about 20 mins. Have felt great since. So did not go to primary care physician but felt the need to report.

Other Meds: Citalopram 10mg

Current Illness: None

ID: 0931798
Sex: F
Age: 57
State: CT

Vax Date: 01/04/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: I went to Urgent care and was diagnosed as having an adverse effect. No tests were done.

Allergies: Avalox, erythromycin, macrobid,

Symptoms: Four days after vaccine, I began to feel sick, weak, headache, bodyaches, fever of 100.4, and thick nasal/sinus mucus.

Other Meds: Synthroid, Combipatch, wellbutrin, vitamin D

Current Illness: None

ID: 0931799
Sex: F
Age: 45
State: PA

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Severe headache, Chills Gastro intestinal side effects.

Other Meds: None

Current Illness: None

ID: 0931800
Sex: M
Age: 67
State: AZ

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Pt came in for a total of four vaccines: Boostrix, Prevnar 13, Flu HD, and Shingrix. I started with Boostrix and Prevnar 13 in the left arm. Boostrix was first, in upper portion of deltoid. Prevnar 2nd, 2 inches below Boostrix. After the pt received the Prevnar 13 vaccine, the wife noticed the pt had a blank stare. When she asked how he was feeling, he could only mumble. At that point I told her to call 911 and I grabbed for the EpiPen. In the meantime the wife went to lay him down and he fell over. Before I administered the EpiPen the pt came too and was confused and unaware of what occurred moments before. The wife noticed he had peed himself. Paramedics showed up to the scene and took over. The pt was come to become more aware and said he was just feeling lightheaded. The pt did say that he had begun to fell lightheaded after the fist vaccine, boostrix. The paramedics took him to the hospital for further care

Other Meds:

Current Illness:

ID: 0931801
Sex: F
Age: 49
State:

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/09/2021
Hospital:

Lab Data: 01/06/2021 Tested for Covid 19

Allergies: Lamictal, maxalt, sulfa

Symptoms: Day one I had a headache. Wouldn?t go away with any medication. Day 6 still had headache turned into migraine and severe exhaustion. Chills, diarrhea and nausea. Day 10 woke up in the middle of the night with fever 99.6. At this point I went and got tested for Covid and it was negative. Finally on 09/09/2021 woke up without a headache but it came back later on.

Other Meds: Seroquel, tegretol, proprananol

Current Illness: None

ID: 0931802
Sex: F
Age: 33
State: IN

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: None.

Allergies: None

Symptoms: Arm pain and swelling at injection site- pain required ibuprofen to dull. Couldn?t lift or lay on injection site without significant pain. With 36 hours, developed chills, muscle aches, and fatigue in addition to the injection pain. Within 48 hours, chills subsided but fatigue, muscle aches, and pain continued. Developed shoulder and neck pain along with significant dizziness.

Other Meds: Pristiq 100mg

Current Illness: None

ID: 0931803
Sex: F
Age: 41
State: MT

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Tiredness, headache, nausea, vomiting, welt at injection site

Other Meds: Spironolactone

Current Illness: None

ID: 0931804
Sex: F
Age: 60
State: WV

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Body aches and chills began 1/5/21 at around 2:30 pm. Left arm below injection site became red, swollen and hot around 7:00pm of that day. All symptoms continued through following day with extreme stiffness and soreness in arm. Area of redness on left arm enlarged over the day and evening. PCP started me on antibiotics and by evening of following day most symptoms were improved. Arm was still red, slightly swollen and itchy. Arm is still red and itchy but has improved today .

Other Meds: Levothyroxine Bystolic Escitalopram Alendronate Multivitamin

Current Illness: I had Covid 19 in November.

ID: 0931805
Sex: M
Age: 28
State: IL

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

Lab Data:

Allergies: Tree nuts

Symptoms: Headache, Fever, Fatigue, Photophobia, Chills

Other Meds: Escitalopram

Current Illness: None

ID: 0931806
Sex: M
Age: 34
State: MD

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: Penicillan, Ceclor

Symptoms: Spastic convulsions that occurred in every muscle in my body lasting for more than 4 hours. Hands now tingle and spasm from time to time.

Other Meds: Omeprazole 40 mg

Current Illness: N/a

ID: 0931807
Sex: F
Age: 50
State: FL

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 01/09/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Arm pain and injection site that worsened over 24 hours. I developed swelling of entire upper left arm and severe headache 12/19/20

Other Meds: Tramadol, nuvigil, albuterol, cosyntex which held for 1 month prior to vaccine, tizanidine

Current Illness: None

ID: 0931808
Sex: F
Age: 63
State: WA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/09/2021
Hospital:

Lab Data: Incidental nasal swab taken on day of vaccination and was POSITIVE for SARS2. No SARS2 symptoms at time of vaccination. SARS IgG NEG 6/9/2020. Over following days some dyspnea developed with elevated temperature of 101.4 F. Arthralgias and joint pain. SOB with non-productive mild cough. O2 sats 88-90% however patient has a known partial diaphragmatic paralysis with previous below normal O2 sat. and is awaiting possible diaphragmatic plication procedure. This is secondary to phrenic nerve paralysis following thoracic outlet syndrome surgery in 2018.

Allergies: Iodine, PCN, Povidone-iodine, shellfish, sulfa, wasp venom

Symptoms: Grade 3 local reaction - > 10 cm induration at injection site within 12 hours then gradual resolution over several days. Delayed Reaction: 7 days later > 10 cm erythema developed surrounding injection site with minimal induration. Did not appear infected. Photos taken of both events.

Other Meds: Insulin, cyclosporine drops (eyes), escitalopram 20mg, warfarin, hydroxychloroquine 200mg (autoimmune), verapamil 120mg SR, midodrine 2.5mg, topiramate 100mg

Current Illness: sinusitis

ID: 0931809
Sex: F
Age: 36
State:

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: augmentin

Symptoms: c/o of flushing and warmth

Other Meds:

Current Illness:

ID: 0931810
Sex: F
Age: 26
State: OK

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

Lab Data: none

Allergies: NKDA

Symptoms: diffuse rash, swelling and wheezing

Other Meds: OCP

Current Illness: none

ID: 0931811
Sex: F
Age: 20
State: PA

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Developed migraine and loss of taste 12/30/20 (currently being tested for COVID-19). Developed right (side of injection) axillary pain 1/2/21 which lasted several days. Hives developed on 1/7/21 - ordered Benadryl without relief. Went to ER 1/9/2021 for worsening hives - Pepcid and prednisone ordered.

Other Meds:

Current Illness:

ID: 0931812
Sex: F
Age: 50
State: KY

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/09/2021
Hospital:

Lab Data: none

Allergies: Sulfa, Latex, Gluten

Symptoms: Severe muscle aches, body aches, chills, fever (100.8 F), extreme fatigue lasting 2.5 days. Treatment: ibuprofen and acetaminophen.

Other Meds:

Current Illness: None

ID: 0931813
Sex: F
Age: 52
State: MA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Body aches, headache, shaking chills and fever (102.6). Treated with Tylenol, rest and fluids. Symptoms lasted 60 hours.

Other Meds: Multivitamin and Vitamin D3

Current Illness: None

ID: 0931814
Sex: F
Age: 70
State: OH

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

Lab Data:

Allergies: None

Symptoms: Fever - 100 degree, lasted all day, headache, upset stomach, fatigue, ache in muscles and joints

Other Meds: Metformin, 81mg asprin, prevstatin, lisinapril

Current Illness: Covid-19 - diagnosed December 7th 2020

ID: 0931815
Sex: F
Age: 59
State: CA

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: at 2:40 pm - 10 minutes after receiving vaccine, pt reports nausea and dizzy. 2:47 pm pt drinking water, reports feeling better, declines BP check or evaluation by EMS 2:55 pm BP 17/107 P 74 pt reports feeling better, she reports has history of uncontrolled HTN 3:00 pm BP 163/ 93, P 64 3:10 pm BP 142/87 P 64 pt reports feels fine and would like to go home

Other Meds: Atenolol

Current Illness:

ID: 0931816
Sex: F
Age: 30
State:

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: Vancomycin

Symptoms: Extreme arm pain and paresthesia of 3rd and 4th fingers on injection arm. Inability to move left arm due to such extreme pain. I went to my doctors office a was prescribed a medrol dose pack. That helped but as soon as I finished the pack the symptoms returned.

Other Meds: Xolair, Prozac, adderall

Current Illness: None

ID: 0931817
Sex: M
Age: 60
State: CA

Vax Date: 12/23/2020
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: None at this time.

Allergies: Dust, Ambien , Lunesta.

Symptoms: Mild to moderate dizziness and nausea for three days starting 01/06/2021. Reported it to a advice nurse and a physician on 01/08/2021 . Meclizine and Ondansetron was used immediately. Scopolamine was prescribed by the physician on 01/08/2021, picked and used on 01/09/2021; felt better . Residual dizziness remains after use. P.S. I do have a medical history of BPPV for the last 2-3 years and have been treated for it. Generally speaking my BPPV symptoms resolve themselves quickly after treatment. This current episode has lasted forthree days.

Other Meds: Amlodipine, Omeprazole, Glipizide, Lisinopril, Atorvastatin, Cinnamon capsules, Metformin, Meloxicam, Aspirin Low Dose, Sildenafil, Meclizine, Ondansetron, Scopolamine.

Current Illness: None

ID: 0931818
Sex: M
Age: 0
State:

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: Patient received 2nd dose of Pfizer covid vaccine. Began to complain of dizziness and tingling in extremities. 1234- 166/95 hr 72 98% 1239- 146/106; 1242- 180/103 1247- 160/98 1317- 168/96 1325- 142/97 ? 1255- Called Dr. Patient given 25mg benadryl PO per MD orders. ? Patient transported to ED by wheelchair

Other Meds: Outpatient Medications Pantoprazole (PROTONIX) 40 mg Oral TBEC DR Tab Atorvastatin (LIPITOR) 20 mg Oral Tab blood-glucose meter (OneTouch Verio Flex Start) Misc Kit blood-glucose control, normal (OneTouch Verio Mid Control) Misc Soln

Current Illness: Problem List Collapse by Default Collapse by Default Non-Hospital HYPERTRIGLYCERIDEMIA HTN (HYPERTENSION) GERD (GASTROESOPHAGEAL REFLUX DISEASE) MAJOR DEPRESSIVE DISORDER, RECURRENT EPISODE DM 2 W HYPERLIPIDEMIA DIABETIC FOOT EXAM BASAL GANGLIA CALCIFICATION ? ALLERGIC RHINITIS ? OVERWEIGHT ? JAW PAIN ? SLEEP APNEA ? VITAMIN D DEFICIENCY ? GANGLION CYST OF LEFT WRIST ? ERECTILE DYSFUNCTION ? INSOMNIA ? CHRONIC SINUSITIS ? PPD POSITIVE ? ANXIETY DISORDER

ID: 0931819
Sex: F
Age: 25
State: IL

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received the Covid-19 vaccine. She reports symptoms of severe sudden onset of headache, small emesis in waiting area, dizziness -- all starting approximately 10 minutes after receiving second dose of Pfizer Covid vaccine. Vital signs stable at the time: BP 107/92, HR 91, SpO2 99%. patient taken to ED with this RN and ICU RN via cart -- taken to ED room 17. ? Upon receiving the first dose, patient stated that she started with a headache approximately 5-6 hours after, when already at home. Patient also stated that she has a history of migraines.

Other Meds:

Current Illness:

ID: 0931820
Sex: F
Age: 32
State: MS

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: Nkda

Symptoms: 1/5/21 -1700: mild pain at injection site 1/6/21 -0800: low-grade fever; extreme pain in left arm; left arm swelling, redness, and tender to touch; nausea; severe headache, body aches, and fatigue. 1/7/21 -0800: still low-grade fever; slight swelling in left arm; mild body aches and fatigue; redness below injection site. 1/8/21 -0800: redness below injection site.

Other Meds: L-lysine Zyrtec

Current Illness: COVID-19 Dec. 13th

ID: 0931821
Sex: M
Age: 45
State: MT

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: none required

Allergies: NKA

Symptoms: Pt received Covid-19 vaccine at 1300. After no reportable symptoms for approximately 2 hours, reported back to immunizations for additional vaccine. After administration of last vaccine, pt leaned head back (pt was seated), eyes rolled in back of head, and appeared pale and diaphoretic. After a few seconds, pt regained consciousness. Pt continued to rest with legs propped up and cold compress on neck. VS were taken following event: BP 115/80. SPO2 93%, T 96.8, R 16. Pt reports hx of "passing out" with blood draws and previous vaccinations. Provider visited with pt and was okay to leave facility.

Other Meds: Lipitor HCTZ Atorvastatin ASA 81mg Turmeric COQ10 Pantoprazole

Current Illness: Common Cold

ID: 0931822
Sex: F
Age: 35
State: TX

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: Chest x-ray, breathing treatment and oxygen for over an hour straight January 9th, 2021. Diagnosed with bronchospasm. Chest is still tight.

Allergies: Benadryl, iv contrast, flu shot, morphine, respirator, immitrex, vicodin, amovig, plus 2 more before getting covid shot, covid vaccine

Symptoms: 30+ minutes after getting covid vaccine, severe chest tightness, hard time breathing in, was driving home and it kept getting worse. Chest pressure. Stopped in local er and got checked out.

Other Meds: Clindamycin antibiotic, botox injections for migraines, prescribed 40 different medications, ajovy injection for migraines

Current Illness: Infection in my finger, ongoing unresponsive migraine, low immune response, tetanus shot reaction

ID: 0931823
Sex: F
Age: 66
State: TX

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: N/A

Allergies: No Known Drug Allergies

Symptoms: Fever, nausea, body aches, myalgia, shaking x 12 hours

Other Meds: Unknown

Current Illness: Unknown

ID: 0931824
Sex: F
Age: 43
State: NC

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: Penicillin, Wellbutrin, Morphine

Symptoms: rash on face , loss of taste , and voice , tightness in throat started at 245 .

Other Meds: ibuprofen before

Current Illness:

ID: 0931825
Sex: F
Age: 42
State: NC

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Palpitations, presyncope, tachycardia, elevated blood pressure, sweating, chest pain

Other Meds: Tylenol

Current Illness:

ID: 0931826
Sex: F
Age: 46
State: TX

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient began itching after about 10 minutes of having her COVID vaccine. She was being observed and c/o itching. She was observed about another 15-20 minutes. more. She had some redness around injection site and head itching. The itching subsided and she was d/c to go home with instructions for warning signs. She denied any difficulty swallowing, SOB, or other sx at that time. She was given previously the Fact Sheet and V-Safe sheet. She denied any new sx and stated she felt fine. She was given warning signs by self and stated she understood. She stated she had benadryl at home if sx returned she would seek medical attention. Patient returned to work at the hospital.

Other Meds:

Current Illness:

ID: 0931827
Sex: M
Age: 33
State: MA

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

Lab Data:

Allergies: NKDA

Symptoms: Arm pain 103.1 fever and chills

Other Meds: Tylenol ibuprofen

Current Illness: Gout

ID: 0931828
Sex: F
Age: 58
State: CO

Vax Date: 12/20/2020
Onset Date: 12/31/2020
Rec V Date: 01/09/2021
Hospital:

Lab Data: none

Allergies: Penicillin

Symptoms: By midnight after getting the shot, my arm was extremely painful. I iced it through the night, but it didn't help that much. Then the next morning, was very nauseous and started having diarrhea. Remained nauseous and continued having diarrhea for 2 1/2 days. Arm was sore for 3 days. Then, the diarrhea slowed down, recurs about once a day, but have continued having regular bouts of nausea, especially after eating or when doing something more physically active (skiing, snowshoeing, walking the dogs, swimming). And last night, 10 days after receiving the vaccine, a slightly sore, itchy hive the size of a 1/2 dollar appeared at the injection site and slight soreness returned. No temperature during any of it so far.

Other Meds: none

Current Illness: none

ID: 0931829
Sex: F
Age: 59
State:

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

Lab Data: None

Allergies: Sulphur, Keflix

Symptoms: Fatique, strong body aches, migraine, chills then sweats and repeat cycle

Other Meds: Macca, vit B6 and Vitamin D3

Current Illness: None

ID: 0931830
Sex: F
Age: 48
State: AL

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: N/A

Allergies: BENAZEPRIL, LEVAQUIN, LODINE, NUBAIN, PENICILLINS

Symptoms: RIGHT BICEP RED/ITCHY STARTED ON 1/5/21. INJECTION GIVEN ON 1/4/21. PT STATED FELT LIKE FIRE ANTS WERE BITING HER ARM

Other Meds: AZELASTIN 137MCG, VITAMIN D2, LOSARTAN-HCTZ, METFORMIN, PREVACID AND XYZAL

Current Illness: NONE

ID: 0931831
Sex: F
Age: 36
State: MD

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: Rapid Flu AB negative, Covid rapid test negative, UA negative, WBC 3.6, CBC otherwise unremarkable, COVID PCR pending.

Allergies: None

Symptoms: Mild fatigue and body aches x 1 day, fever started up to 103 and then full body rash. More severe symptoms started 1/7-1/8, worsened 1/9. Had close contact with two children and husband, but none have any symptoms.

Other Meds: None, but started taking Bactrim the day after vaccination

Current Illness: Abscess

ID: 0931832
Sex: F
Age: 63
State: FL

Vax Date: 12/19/2020
Onset Date: 12/19/2020
Rec V Date: 01/09/2021
Hospital:

Lab Data: Still awaiting physician appointment

Allergies: None

Symptoms: Injection was given very high on my L arm. Vaccinator said she had difficulty injecting vaccine-taking about 15 seconds to complete injection. Injection was painful. Within 1 hour I could not raise my arm more than 30 degrees without severe pain. Diminished ROM and pain at night is ongoing. Within 4 hours, I had a low grade fever with chills, headache and myalgia that persisted for 12 hours then respoved. I am awaiting an appointment with my primary care physician and will know then if more treatment will be recommended. Incident Report filed at the hospital.

Other Meds: Multivitamin

Current Illness: None

ID: 0931833
Sex: F
Age: 43
State: GA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: shellfish, anaphylactic, epipen necessary

Symptoms: Patient received Moderna vaccine 1/6/21 at 12:00 pm. At approximately 5:00 pm, patient stated her left arm was hurting, tender and hot to the touch. at 11:00 pm, patient began chilling with body aches. Pt felt dehydrated and very thirsty. No fever. On 1/7/21, patient still had body aches and slept most of the day. Pt took Tylenol throughout day. On 1/8/21, chills and body aches improving, but patient had no appetite and arm still very sore and uncomfortable. On 1/9/21, patient feeling much better. Body aches and chills gone, only symptom now is arm still tender at injection site.

Other Meds:

Current Illness: Positive Covid diagnosis 11/16/21 (tested positive x 3 weeks)

ID: 0931834
Sex: F
Age: 45
State: IN

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: Seasonal

Symptoms: Sore arm. Headache. Fatigue.

Other Meds: None

Current Illness: None

ID: 0931835
Sex: F
Age: 36
State: CO

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: Cephalosporins

Symptoms: Developed acute onset eyelid swelling, lip swelling, dyspnea with wheezing and hive like swelling at vaccine site. I self administered 8 puffs of albuterol (my prescription) and took 50 mg of oral Benadryl with improvement in wheezing and swelling at injection site. I continue with some mild unilateral right upper eyelid swelling but much improved.

Other Meds:

Current Illness:

ID: 0931836
Sex: F
Age: 32
State: CT

Vax Date: 12/31/2020
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: Workplace did not contact me despite repeated attempts to contact them. Went to urgent care and was prescribed Bactrim DS, took two doses and see no improvement yet. Considering going to emergency room to address symptoms.

Allergies: Shellfish

Symptoms: Arm is swollen, red, itchy. Lymph nodes under arm are swollen. Symptoms did not show until a week after injection. Also mildly nauseous with headache.

Other Meds: Pristiq 50mg

Current Illness: N/A

ID: 0931837
Sex: M
Age: 56
State: TX

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Flu-like symptoms (muscle ache, multi-joint pain) but no fever or congestion; excessive fatigue and sleepiness from about 16-48 hrs after receiving 2nd dose. Resolved after 48 hrs

Other Meds: Fluticasone, azelastine, montelukast, cetirizine

Current Illness:

ID: 0931838
Sex: F
Age: 42
State: OR

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: headache, fatigue, episodes of vertigo beginning on day 3 following vaccination

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm