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: 0918221
Sex: F
Age: 31
State: VA

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: none. new vaccine dose administered

Allergies:

Symptoms: Upon injection, vaccine leaked out of syringe at hub site. Stopped injection after noticing after ~0.1mL expelled. Syringe removed, needle noticeably noted to have a curve and retracted into the syringe partially engaged safety.

Other Meds:

Current Illness:

ID: 0918222
Sex: F
Age: 39
State: OH

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies: Adhesive-contact dermatitis PCN-terrible yeast infection that required 3 rounds of treatment and a wound care consult

Symptoms: I received the COVID vaccine on Monday Dec. 21, 2020 at 14:30. By 17:00 I was not feeling well. I was tired, had a headache, muscle aches, nausea and a fever of 101 F. The headache, low grade fever and significant malaise continued through Tues Dec 22 and Wed Dec 23. On Thursday morning Dec 24 at 2:30 AM, I woke from sleep with the urge to use the bathroom. I suddenly felt light-headed and dizzy and had a diaphoresis that soaked my hair and PJs. Fortunately my husband who is a nurse anesthetist helped me through the episode safely and was able to get me back to bed. I am not sure if that event was related to the vaccine or if I happened to be a little dehydrated and had a vaso-vagal event. I did not take any medications because I was allowing my body to have a natural response to the vaccine.

Other Meds: Amitriptyline 25 mg q HS, Gabapentin 300 mg q HS and Cetirizine 10 mg q HS. Vit D 5000 U, Vit C and Magnesium supplements q AM

Current Illness: None

ID: 0918223
Sex: M
Age: 52
State: VA

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: None. Just rest and watched for symptom changes

Allergies: None

Symptoms: Woke up with a case a vertigo that lasted 30-45 minutes, Headache that lasted around 6 hours that same day

Other Meds: None

Current Illness: None

ID: 0918224
Sex: F
Age: 45
State: OH

Vax Date: 12/30/2020
Onset Date: 01/01/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: None-I used Tea Tree oil and took Claritin to decrease itching/burning. I notified my Dr on the first day office was open-01/04/21

Allergies: Sulfa Penicillin

Symptoms: 2 Red Area-, itching, burning-the size of a golf ball, the other the size of a quarter- Located at the front of my neck I had vaccine on 12/30/20 at 1:30 pm, and woke up on 01/01/21 at 7am with the red areas.

Other Meds: Vita fusion Fiber Well Gummies-5g daily Women?s One a Day Multivitamin-daily

Current Illness: None

ID: 0918226
Sex: F
Age: 57
State: NY

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: BP checks x2 12/21/20 by co-workers at the hospital at which I work.

Allergies: none

Symptoms: I felt like I was having palpitations, and my blood pressure shot up to 169/119.

Other Meds: ASA 81mg, HCTZ, pantoprazole, metformin, trulicity, atorvastatin, vitamin D

Current Illness: none

ID: 0918227
Sex: F
Age: 67
State: MI

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: All Seafood Avocados

Symptoms: About 6 hours after receiving dose, experienced aching in both arms that extended down into both hands - hands was resolved by next morning. Achiness in both arms remained x 48 hours

Other Meds: IWI Algae pills - Omega three Super Beets

Current Illness: None

ID: 0918228
Sex: F
Age: 32
State: NY

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: COVID; NEGATIVE BP / VITALS; TEMP 99.3, BP WAS GOOD

Allergies: N/A

Symptoms: * TESTED POSTIVE FOR COVID ANTIBODIES 06/2020 - 'STILL HAVE RESIDUAL COUGH' 12/21/2020 - VACCINATION 12/22/2020 9:30 WERE AT WORK; FELT SUPER FLUSHED, SOB, COULDN'T FOCUS, FELT FEVERISH, FELT NAUSEOUS. OCCUPATIONAL HEALTH REFERRED TO URGENT CARE; DR STATED 'NOT TYPICAL RESPONSE'; COVID TEST; NEGATIVE

Other Meds: N/A

Current Illness: N/A

ID: 0918229
Sex: F
Age: 39
State: MA

Vax Date: 12/23/2020
Onset Date: 12/26/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: (+)Covid-19 test taken 12/30/20, confirmed positive 12/31/20

Allergies:

Symptoms: 12/26/20 started to experience covid -19 symptoms.

Other Meds:

Current Illness:

ID: 0918230
Sex: M
Age: 46
State: ID

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: patient developed fatigue approximately 24 hours after immunization that lasted for about 24 hours. Patient also had soreness at injection site 24 hours after that lasted 24 hours.

Other Meds:

Current Illness:

ID: 0918231
Sex: F
Age: 44
State: OH

Vax Date: 12/30/2020
Onset Date: 01/02/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: first 24 hours: nausea, left arm pain and heaviness 1/2/2021 until present: body aches, very strong headache, sore throat, very tired, coughing with pain, flushed, feel as if my eyes are on fire.

Other Meds: coumadin gabapentin Zyrtec

Current Illness:

ID: 0918232
Sex: F
Age: 35
State: KY

Vax Date: 12/28/2020
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: 6 days after injection, left supraclavicular lymph node swelling and tenderness and axillary tenderness and swelling

Other Meds: Zoloft Multivitamin Colace Flonase

Current Illness: None

ID: 0918233
Sex: F
Age: 52
State: XB

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: Head CT 12/31/2020 - neg CXR 12/31/2020 - neg

Allergies: NKDA

Symptoms: 52 year old female received the Pfizer vaccine on 30 Dec 2020. Noticed a slight left sided facial droop as left lower lip numbess on 31 Dec 2020, which has become more pronounced over the past 2 days. She states she spoke to the nurse hotline right before speaking to me who told her to go to the ED (she was on her way). Denies any extremity weakness, numbness, HA or dizziness. No pain to face or ear. Speech clear on the phone. No recent illness or history of Bell's palsy. NKDA or any prior adverse reactions to immunizations.

Other Meds: Ropinirole 1 po BID prn, Botox for hyperhidrosis (see below)

Current Illness: no

ID: 0918234
Sex: M
Age: 49
State: GA

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: None.

Allergies: NKDA

Symptoms: Client called clinic on 12/30/2020 in the am requesting us to call in prescription pain medication due to having severe arm pain at the injection site. He stated he had not slept any for the last two nights. Encouraged client to see his PMD if he was in the kind of pain that required a Rx pain medication. Encouraged client to ice down his arm for pain.

Other Meds: Not known

Current Illness: None

ID: 0918235
Sex: F
Age: 37
State: NH

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: 12/29/2020- 37-year-old female presents the ER for evaluation after allergic reaction to the Covid vaccine. She did not have any anaphylactic type reaction. There is no hives no urticaria. Mainly her symptoms are pruritus and some erythroderma. She did not develop any oral or ocular lesions. She did not have any progression of the symptoms improved after Benadryl Pepcid and steroids orally. She was observed for 3 hours without any progression of symptoms. I will discharge her on 5 days of prednisone, she is use Benadryl Pepcid as needed for symptoms. She is sent home with an EpiPen. She should return if she has any progressive symptoms and follow-up with routine care providers. She should talk to occupational health before she decides whether or not to get the second Covid vaccine. This discussed with her at length, all the questions answered.

Allergies: The patient denies any allergies or reaction to medications.

Symptoms: Patinet is a 37 y.o. female ER nurse who received her Covid vaccine just prior to arrival. While being observed at the vaccine site, she developed itching and a rash. She was brought down to the ER for evaluation. Mainly she is itchy all over. She notes a rash across her chest. But she has no cough shortness of breath wheezing. There is no problem swallowing there is no facial swelling. She does not have a history of anaphylaxis, or medication allergies. Review of Systems Constitutional: Negative for chills, diaphoresis and fever. HENT: Negative for congestion, trouble swallowing and voice change. Eyes: Negative for redness and itching. Respiratory: Negative for cough, shortness of breath, wheezing and stridor. Musculoskeletal: Negative for myalgias. Skin: Positive for rash. Pruritus Allergic/Immunologic: Negative for environmental allergies, food allergies and immunocompromised state. Neurological: Negative for headaches. 01/04/2021- Speaking with the patient she states noticed "hives" accross chest, right lower extremity, and left upper extremity.

Other Meds:

Current Illness: No.

ID: 0918236
Sex: F
Age: 29
State: OH

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

Lab Data: none

Allergies: none

Symptoms: I am breastfeeding-Milk supply significantly decreased (<50% of typical) day of vaccine. Milk supply still decreased 5 days later,

Other Meds: 88mcg levothyroxine prenatal lactobacillus Calcium+D

Current Illness: none

ID: 0918237
Sex: F
Age: 45
State: ID

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: Patient developed fatigue approximately 24 hours after immunization that lasted a couple days.

Other Meds:

Current Illness:

ID: 0918238
Sex: F
Age: 43
State: OH

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: Treated in ER with IV solumedrol, Pepcid and Benadryl

Allergies: Codiene- vomiting

Symptoms: Approx 25 min after injection I became dizzy and my HR went to the 130?s, at around 30 min post injection my tongue started to swell

Other Meds: Multivitamin

Current Illness: None

ID: 0918239
Sex: F
Age: 89
State: MT

Vax Date: 12/30/2020
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: PCN, Sulfa, ASA. Codeine, Meperidine

Symptoms: Left arm warm, red, sore, swelling noted

Other Meds:

Current Illness:

ID: 0918240
Sex: F
Age: 50
State: NC

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

Lab Data:

Allergies: NSAIDS: angioedema, hives KEflex: hives

Symptoms: dizziness, itching/small hives on forearm (not at injection site) , 30 minutes after vaccine given. Vitals monitored, were normal, sent home and advised to take Benadryl. More hives on upper lip/chin appeared 36 hours after vaccine given. Patient was at home, self-treated with benadryl, zyrtec, famotidine and ice pack applied to area.

Other Meds: zyrtec, famotidine, albuterol , flovent, flonase, ipratropium nasal spray, levothyroxine, verapamil

Current Illness:

ID: 0918241
Sex: F
Age: 31
State: KS

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: n/a

Allergies: Contrast IV dye - hives

Symptoms: Significant neck and upper back pain as soon as 1 hour post vaccine lasting until at least 24 hours - tylenol and heat/ice (no change) chills without fever overnight the night of - no treatment soreness in arm 1 hr post to up to its worst at 24 hours later when I could not abduct >90 degrees for 24 more hours

Other Meds: Adderall XR Acyclovir Women's Multivitamin Melatonin PRN

Current Illness: none

ID: 0918242
Sex: F
Age: 37
State: NY

Vax Date: 12/26/2020
Onset Date: 01/02/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: penicillin (rash in childhood), latex sensitive

Symptoms: I got moderna COVID19 vaccine on 12/26/2020. Day 1-3 local pain and swelling, no redness. All resolved after day 3-4. Very tired all week post vaccine,. Day 5-6 noticed ipsilateral axillary lymph node swelling. On day 7 post vaccine I got a localized area of itching swelling and redness as if I had been bitten by a few mosquitoes at injection site that was new. Milder on day 8, less itchy and swollen, but still red and a little raised. Mild shortness of breath.

Other Meds: lexapro 10mg daily, magnesium 400mg daily, fish oil, vit D 1000iu, biotin

Current Illness: none

ID: 0918243
Sex: M
Age: 80
State: TX

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: none yet contacting medical facility this morning Monday Jan 4

Allergies: none

Symptoms: Really bad headache first 3 days Horrible Chills still ongoing Disoriented and almost like hallucinations Most interesting randomly talking to himself. I mean like a full conversation with someone that isn?t there. He also sometimes feels like when holding something he doesn?t see it or feel it and drops it or vice versa ?.. thinks holding something and isn?t Balance is off Shortness of breath No fever thank goodness and taste and smell are normal

Other Meds: Symbicort inhaler provental inhaler blood pressure medication zyrtec D mylanta as needed for bone joint pain gabapentin or tramadol

Current Illness: None

ID: 0918244
Sex: F
Age: 53
State: TX

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: After got vaccinated, I walked out of the clinic to monitoring area approximately 15 walking steps, I felt a little off balance but I was able to make to the chair and sat down. Few seconds later, my heart beat increased faster and faster, my neck turned red. I called for help, they gave me some apple juice to drink and talked to me. About 5 minutes later, my heart beat went back to normal rate and my redness turned back to normal skin color. I only had a little vertigo symptom but I was able to manage myself. About 2 hours later, symptoms disappeared and I was back to my normal health

Other Meds: Levothyroxine 125 mcg

Current Illness: Hypothyroidism

ID: 0918245
Sex: F
Age: 54
State: IA

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

Lab Data: Covid-19 swab 1/3/21 was negative

Allergies:

Symptoms: 12/31/20 - cough, sneezing, weakness. Felt ill all weekend. 1/3/21 - called Employee Health with low-grade fever, chills, nausea, weakness and elevated blood pressure 165/104, which had come down by the afternoon to 155/95

Other Meds:

Current Illness:

ID: 0918246
Sex: F
Age: 36
State: FL

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

Lab Data: Sent to ER for evaluation

Allergies: Adipex

Symptoms: Developed Tachycardia approximately 40 minutes post vaccine

Other Meds: Unknown

Current Illness: None

ID: 0918248
Sex: M
Age: 23
State: ID

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: patient developed fatigue day after vaccination that lasted about 1 day.

Other Meds:

Current Illness:

ID: 0918255
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: violent, delayed reaction; This case was reported by a consumer via other manufacturer and described the occurrence of delayed type hypersensitivity in a female patient who received Herpes zoster (Shingles vaccine) for prophylaxis. The patient's past medical history included allergy, bee sting hypersensitivity and allergy. Previously administered products included Epipen. On an unknown date, the patient received Shingles vaccine. On an unknown date, 12 hrs after receiving Shingles vaccine, the patient experienced delayed type hypersensitivity (serious criteria hospitalization). On an unknown date, the outcome of the delayed type hypersensitivity was unknown. It was unknown if the reporter considered the delayed type hypersensitivity to be related to Shingles vaccine. Additional details were provided as follows: The age at vaccination was not reported. The patient had allergies to preservatives,any drug that ends in "caine" (lidocaine, prilocaine etc),bee stings, and tar. Patient carried Epipen and had a hesitation to receiving the Covid 19 vaccine It was reported that patient received the 1st dose of Shingrix and 12 hrs after the vaccination patient had a violent, delayed reaction and patient was sent to the hospital.

Other Meds:

Current Illness:

ID: 0918257
Sex: F
Age: 85
State: NE

Vax Date: 11/14/2020
Onset Date: 11/01/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: legs and feet hurt; multiple falls; decreased appetite; also nausea; body ache; gait problem; extreme fatigue; shaky feet; dizziness; joint pain; This case was reported by a consumer via call center representative and described the occurrence of fatigue in a elderly female patient who received Herpes zoster (Shingrix) for prophylaxis. Previously administered products included shingrix (received 1st dose of shingrix on an unknown date). On 14th November 2020, the patient received the 2nd dose of Shingrix. In November 2020, 1 week after receiving Shingrix, the patient experienced fatigue, tremor limb, dizziness, joint pain, general body pain, gait disorder and nausea. On an unknown date, the patient experienced leg pain, fall and decreased appetite. On an unknown date, the outcome of the fatigue, tremor limb, dizziness, joint pain, leg pain, general body pain, gait disorder, fall, nausea and decreased appetite were unknown. It was unknown if the reporter considered the fatigue, tremor limb, dizziness, joint pain, leg pain, general body pain, gait disorder, fall, nausea and decreased appetite to be related to Shingrix. Additional details were provided as follows: The case was reported by the daughter for her mother. About a week after receiving dose of Shingrix, patient experienced extreme fatigue, shaky feet, dizziness, joint pain, body aches, leg pain, multiple falls, nausea and gait disorder and decreased appetite. The patient consented to follow up.

Other Meds:

Current Illness:

ID: 0918258
Sex: F
Age:
State: CO

Vax Date: 12/16/2020
Onset Date: 12/18/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Shingles rash; Shingles rash; This case was reported by a pharmacist via call center representative and described the occurrence of shingles in a female patient who received Herpes zoster (Shingrix) for prophylaxis. On 16th December 2020, the patient received Shingrix. On 18th December 2020, 2 days after receiving Shingrix, the patient experienced shingles and rash. On an unknown date, the outcome of the shingles and rash were unknown. It was unknown if the reporter considered the shingles and rash to be related to Shingrix. Additional details were reported as follows: The age at vaccination was not reported. The patient was pharmacist, received shingrix on wednesday and got shingles rash on friday before date of reporting. The patient stated that it was not listed as a side effect but she had shingles. The reporter did not consent to follow up.

Other Meds:

Current Illness:

ID: 0918259
Sex: M
Age: 14
State: OR

Vax Date: 04/13/2018
Onset Date: 04/13/2018
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Received his first MENACTRA vaccine at 11-12 years old. The second one was given two months prior to his 15th birthday with no AE; Initial information regarding an unsolicited valid non-serious case was received from other health professional. This case involves a 14 years old male patient who received his first dose at 11-12 years old and the second 0.5 mL dose of suspect MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE [MENACTRA] (lot U5866BC and expiration date was not reported) via intramuscular route in the left arm for prophylactic vaccination was given two months prior to his 15th birthday (extra dose administered) on 13-Apr-2018. The patient's medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included HPV VACCINE VLP RL1 9V (YEAST) (GARDASIL 9). It was a case of actual medication error due to extra dose administered (latency on same day). At the time of report, no adverse event was reported. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holders compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.

Other Meds: GARDASIL 9

Current Illness:

ID: 0918262
Sex: F
Age: 50
State: GA

Vax Date: 12/29/2020
Onset Date: 01/01/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: No

Allergies: Food: Most food grown on trees , Product: Dish Detergent

Symptoms: After receiving the vaccine, my arm was in a lot of pain. Then that night and the next day, it was extreme pain, I couldnt lay on it. Then about 3-4 days later, the color is blue and black. Then I started having cold symptoms. Like a head cold. On my left side, my arm and my leg is sore. In addition, my face broke out too. I did not go to the ER. I let Employee health examine my arm . No ER visit

Other Meds: Vitamin C, Omega 9,6 and 3, Nail hair and skin vitamin, Biotine, Vitamin D3, Vitamin B, DHEA. Progesterone, and Estrogen.

Current Illness: No

ID: 0918263
Sex: F
Age: 90
State: MT

Vax Date: 12/30/2020
Onset Date: 01/02/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: Biaxin, Beta, Methadone, Triamcinolone

Symptoms: Warm to touch, redness, hard area, sore to touch

Other Meds:

Current Illness:

ID: 0918264
Sex: M
Age: 51
State: ID

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: patient developed headache and arm pain day after vaccination. Patient stayed and worked from home on this day as a result.

Other Meds:

Current Illness:

ID: 0918265
Sex: F
Age: 44
State: TX

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: None disclosed

Symptoms: 1/2/21 @ 1030: EE called to report she received the vaccine on 12/31/20 between 1030 and 1100. And then around 2330 on 12/31/20 she experienced facial swelling, arm swelling, headache, chills, and dizziness. EE stated she felt it was an allergic reaction to the vaccine and took Benadryl for the next 24 hours to help with the symptoms. EE reported she hasn't had anything since the initial 24 hours, but is concerned about taking the next vaccine. Encouraged EE to contact PCP regarding concern for taking next vaccine. After speaking with Administration, EE encouraged to report vaccine side effects to CDC via V-Safe (https://www.cdc.gov/coronavirus/2019-ncov/vaccines/safety/vsafe.html).

Other Meds: Unknown

Current Illness: Chronic illness, details not disclosed

ID: 0918266
Sex: F
Age: 23
State: NY

Vax Date: 12/26/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: about two inches around the site was red and outlined. Felt slightly raised and was itching. Is still red today 1/4/21

Other Meds: Birth control Levothyroxine Vitamin B Vitamin C

Current Illness: None

ID: 0918267
Sex: F
Age: 59
State: MA

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: Sulfa, PCN, Darvon

Symptoms: C/O of "smokey vision", outside in parking lot. Sat in car for about 10 minutes before coming into the building. A&O, ambulatory, denies dizziness, HA or lightheadedness. States feels SOB with exertion, "heaviness in trachea" increasing with inspiration. Hand off to EMTs. EKG performed, Sinus Tach 108 initially then NSR 80s-90s with occ MF PVCs, couplets. BP 162/94, O2SAT 100% RA, BS POC 208. Patient brought to ER by EMTs

Other Meds: Proair at 11:30AM

Current Illness:

ID: 0918268
Sex: F
Age: 56
State: NJ

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

Lab Data: They gave epi pen in my thigh and gave me Benadryl and steroid and watched me for 2 hours

Allergies: Penicillin

Symptoms: Within 10 mins. Tongue was tingling lips were swelling and tingling left arm fingers were tingling , headache

Other Meds: Edarbi, metformin farxiga Lipitor vitamin d c red rice yeast pro tonic

Current Illness:

ID: 0918269
Sex: F
Age: 58
State: NC

Vax Date: 12/23/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: Penicillin, prednisone

Symptoms: Itching, redness and swelling on the injection site. Dr. Prescribed antiniotic Bactrim DS 800-160 Tab

Other Meds: Synthroid, Zertek, Sudafed, Lexapro, acid reducer, Lipitor, probiotics, multivitamins, colon cleanse, Omega fish oil.

Current Illness:

ID: 0918270
Sex: F
Age: 39
State: KY

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: none

Allergies: Sulfa--rash

Symptoms: Chills and shaking consistent with flu-like symptoms began about 12 hours following vaccination. The next morning, I had a headache and vomited about 5 times. Over the next several hours, I began to feel better and by that evening, was feeling pretty much normal, except for some lingering fatigue.

Other Meds: Escitalopram 5 mg, multivitamin, calcium + D, vitamin C

Current Illness: none

ID: 0918271
Sex: F
Age: 55
State: AZ

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

Lab Data:

Allergies: Latex (hives), penicillins (unspecified)

Symptoms: This patient is a 56 y.o. female presenting to the emergency department with a chief complaint of a possible reaction to the COVID vaccine onset 2 days ago. The patient states that she has had a fever, chills, adenopathy, and body aches since her vaccination. Her highest recorded temperature was 101F, and she has been taking Tylenol. She states that her biggest concern is the adenopathy under her right armpit which is painful to touch. She denies any masses. She saw her PCP on 12/24 and had blood work done, which showed an elevated white count of 17.

Other Meds: nexium, glimeperide, norco, ,etformin, valsartan-HCTZ

Current Illness: Unknown, leukocytosis at PCP office 12/24, hypokalemia

ID: 0918272
Sex: F
Age: 43
State: ID

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: patient developed arm pain day after vaccination that lasted about 1 day.

Other Meds:

Current Illness:

ID: 0918273
Sex: F
Age: 35
State: MI

Vax Date: 01/03/2021
Onset Date: 01/04/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Left arm soreness, Headache 30 mins after, Fever 100.9 T 5am and 9am, monitoring until now

Other Meds: Acetaminophen

Current Illness: None

ID: 0918274
Sex: F
Age: 53
State: MD

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: Penicillin- hives

Symptoms: After initially receiving vaccine 12/28/2020 my arm was sore and slightly red for approx 2 days and resolved on 12/30/20. When I awoke this morning my right shoulder ached and I thought massage might make it feel better - at that time I noted it was swollen and warm tender to touch at site and again appeared red. I did report this to the clinic who administered vaccine

Other Meds: none

Current Illness: none

ID: 0918275
Sex: M
Age: 41
State: ID

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: Patient developed arm soreness at injection site day after vaccination

Other Meds:

Current Illness:

ID: 0918276
Sex: F
Age: 54
State: MI

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies: Peanuts, dust, soy protein, mold, grass, pet hair

Symptoms: Migraine for 2 days controlled with medication, Severe swollen eyes with discharge from eyes, itchy, red watery eyes began the evening of the vaccine and ongoing. using BENEDRYL and ALLEGRA to decrease symptoms.

Other Meds: Daily vitamin, Omeprazol

Current Illness: none

ID: 0918277
Sex: M
Age: 73
State: FL

Vax Date: 01/03/2021
Onset Date: 01/04/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies: Demerol

Symptoms: Weakness, almost paralysis both lower extremities worse than baseline paresis from ms.

Other Meds: Ocrevus, ramipril, creator, ampyra

Current Illness:

ID: 0918278
Sex: F
Age: 57
State: VT

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: Arm itchy at injection site, warm feeling at injection site

Other Meds:

Current Illness:

ID: 0918279
Sex: F
Age: 44
State: MA

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient c/o feeling tachycardia, flush and dizziness, flushness upper torso neck region and bilateral upper arms. Rash/hives not present. Placed on stretcher , monitored immediately with BP 156/100, HR 88, O2 99%, alert and oriented x3, verbalizing clearly. Placed on EKG monitor, noted in NSR 80. POC 102. Shortly after at 1001, redness subside ,briefly noted with tingling of bilateral feet and hands for only seconds. Patient was monitored for 40 minutes, returned to baseline 142/81 HR 58 O2 100%. Nutrition given . Discharged to home, ambulatory feeling well.

Other Meds:

Current Illness:

ID: 0918280
Sex: F
Age: 32
State: FL

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

Lab Data: None

Allergies: None

Symptoms: Asthma-like fatigue, cough due to fatigue, mild.

Other Meds: B-12 vitamin and D3 vitamin

Current Illness: None

ID: 0918281
Sex: F
Age: 57
State: NY

Vax Date: 12/26/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: none

Allergies: latex, cherries, peaches

Symptoms: Noticed itching and slight rash on distal portion of extremities the evening of Dec. 30, rash became worse over next few days and became more inflamed/raised even with Benadryl taken as directed on box. I went to urgent care on Jan 1, 2021 and was started on Steroid taper of 60-40-20 each dose for 3 days. Improvement noted after 2nd steroid dose. No respiratory involvement with vaccine or rash episode

Other Meds: Symbicort inhaler, albuterol inhaler prn, Lipitor, vitamin D, cranberry tablets, Allegra, Metformin,

Current Illness: No illnesses

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm