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: 0934267
Sex: F
Age: 23
State:

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: Peanuts, propylene glycol, and seasonal allergies

Symptoms: The night of the vaccine I became very fatigued, had moderate muscle aches, and a mild headache. In the middle of the night I woke up with severe chills, severe muscle aches, and mild headache. The next morning I had a temperature of 99.3 which climbed throughout the day to a temperature peaking at 100.9 in the evening. I had moderate chills, severe muscle aches, severe body aches, mild headache, and moderate injection site soreness. I also felt generally ill. I took Tylenol and ibuprofen alternating starting the evening of the vaccine. Day 2 after the vaccine my temperature is 98.6, I have mild body aches and mild headache. No other symptoms remain.

Other Meds: None

Current Illness: None

ID: 0934268
Sex: F
Age: 78
State: IL

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: no

Allergies: sulfa, iodine, latex, penicillin

Symptoms: 8-9 hours after receiving the shot I got a light headache and I started feeling fatigued seeing spots for about 1 hour. After the spots went away my headache started getting better but it was still there. I felt a little bit of pressure at the forehead and around the head. The nausea came and went about 20 minutes

Other Meds: famoditione 40mg

Current Illness: no

ID: 0934269
Sex: F
Age: 48
State: GA

Vax Date: 12/31/2020
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: Saw physician on 1/8/20 and was given an antibiotic cephalexin 500 mg 4xs day. Also instructed to take Ibuprofen and Benadryl as needed.

Allergies: seasonal allergies. break out after eating strawberries age 9.

Symptoms: Moderna Vaccine; 7 days after vaccination my arm became itchy, red, and swollen. It is round and redness is around the size of a softball. Also developed rash/like hives on upper legs.

Other Meds: Allegra and Benadryl

Current Illness: eczema

ID: 0934270
Sex: M
Age: 36
State:

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: seasonal allergies - cedar

Symptoms: Fever 103.1F (39.5C), chills, body aches, fatigue, nausea, loss of appetite, headache

Other Meds: allegra and Claritin

Current Illness: none

ID: 0934271
Sex: F
Age: 34
State: OH

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: PCN, coconut and adhesives

Symptoms: At 10:45 while sitting in Observation Room, Caregiver developed itching in extremities. At 11:00 am she developed redness in face and chest and swelling in her throat. Caregiver had her own Epi Pen and injected it into her thigh. RN was at her side the entire side. This RN arrived just after injection. Caregiver sitting upright, alert and oriented x3. No respiratory distress noted. She complained of tingling in the lips and swelling in the throat. At 11:06 she states the lip tingling was less. Vital signs were BP: 120/66, HR:71, RR: 14, Sao2: 100% Room Air. At 11:08 the throat swelling was less restrictive per caregiver and no tingling felt in lips but having itching of feet and hands.. At 11:11, water given. At 11:12, caregiver states tightness is less rating it 4/10 on a scale for tightness. AT 11:25 BP: 130/76, HR: 69, RR:16, Sao2: 100% room Air. At 11:36, caregiver states the tingling was much less rated 2/10 but itching still felt in hands, feet and chest. Caregiver to be evaluated by ER doctors since she injected her Epi pen and is still having symptoms. 11:52 Caregiver with unchanged symptoms but also c/o headache. Taken via wheelchair by RN to Emergency Room.

Other Meds: None

Current Illness: none

ID: 0934272
Sex: M
Age: 69
State: OK

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: I did not go to the doctor.

Allergies: none

Symptoms: chills, headache, nausea, joint pain, breathing problems, lethargic,

Other Meds: lipitor, flomax ,dexilant, cymbalta, singular (supplements-coq 10,calcium citrate, fish oil

Current Illness: none

ID: 0934273
Sex: F
Age: 57
State: IN

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Moderate nausea shortly after vaccination with a 2 hour duration. Severe joint pain and burning beginning 28 hours after vaccination with a duration of 12 hours.

Other Meds: Welbutrin Simvastatin Nuvigil Raloxifine ASA 81mg Vitamin B12

Current Illness: Positive COVID 19 result 12/10/2020.

ID: 0934274
Sex: M
Age: 27
State: MS

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: Bactrim Biaxin

Symptoms: rash on torso spread to neck. Swelling in throat.

Other Meds: Truvada and Tivicay

Current Illness: none

ID: 0934275
Sex: F
Age: 38
State: AL

Vax Date: 12/29/2020
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: latex penicillin and ibuprofen

Symptoms: redness and rash at injections site as well as inner right thigh

Other Meds: Vitamin c d and zinc

Current Illness:

ID: 0934276
Sex: F
Age: 64
State: SD

Vax Date: 12/26/2020
Onset Date: 01/03/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: 7 days after receiving the 1st moderna shot I woke up with an itchy upper right arm in the area I received the shot, It felt warm to the touch and was angry red in color. I drew an ink line around the border, and by the end of the day, it was about an inch out of the original border. Started out about 3 0r 4 inches wide and about the same long. I treated it with cortisone cream, baking soda poultice, calamine lotion. I took ibuprophen and took two Benadryl at night before going to bed. The next morning the redness was less noticeable, still itchy, but by the next day it was about gone. So about 48 hours. A co worker also had this happen to her 7 days later

Other Meds: lisinopril, latanoprost, vitamin 3, multi vitamin, biotin

Current Illness: no

ID: 0934277
Sex: F
Age: 30
State: CA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: BP was initially 95 systolic and slowly returned to 120's/ 60's.

Allergies: None stated

Symptoms: Syncopal event: At 15 minutes post dose patient reported feeling faint in her chair in our waiting area. She was very pale and sweaty, c/o palpitations. Moved to a chair legs that elevate, given some water, refused food, (says she ate lunch prior to coming for vaccine) , We monitored her for about 1/2 hour and then she felt fine.

Other Meds: Unknown

Current Illness: None stated

ID: 0934278
Sex: F
Age: 42
State:

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Arm swelling, Red spot at site of vaccine. Diarrhea, Pain Scalp pain.

Other Meds:

Current Illness:

ID: 0934279
Sex: F
Age: 62
State: NJ

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: EKG,CBC,BMP Jan.7,2021

Allergies: Penicillin,Sulfa,alcoholic drinks

Symptoms: Received Moderna covied vaccine @ 8:05 am then 20 minutes after the injection i developed Palpitations HR=130,redness on neck, chest & forehead area, Petechiae rashes on both arms.BP 200/109.was sent to ER for further evaluation.EKG was done,NS 500c given IV ,blood drawn & sent to laboratory for CBC & BMP. released from ER @ 12.30 when my BP & HR was normal.redness on my neck & chest was less but Petechiae rashes subsided in the evening of same day.Early morning Friday Jan.8,2021 temp was 100.2.felt bodyaches & headache. when i checked my temp i noticed a lymph node in my left armpit.

Other Meds: Janumet ,Amaryl,Prandin,Losartan,Clonidine,Crestor VitaminC,Vitamin D,Zinc,Magnesium

Current Illness:

ID: 0934280
Sex: F
Age: 38
State: IL

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: none

Allergies: Adhesives, Barium Iodide, Cephalexin, Latex, Morphine, Sulfa Antibiotics, Tree nuts (pine nuts)

Symptoms: Tuesday 1/5/21 AM tender arm and small raised bump at injection site. Tuesday 1/5/21 PM felt flushed but no fever and still raised bump with a welt at injection site and tender. Took Benadryl. Wednesday 1/6/21 AM felt flushed but no fever and still raised bump got larger with a welt at injection site still tender. Wednesday 1/6/21 PM felt flushed but no fever and still raised bump got larger with a welt at injection site and my legs felt like they had ants on them. Took Benadryl Thursday 1/7/21 Welt went down and started to feel better however still redness and tender. Friday 1/8/21 Just bruised at site of injection and arms welt is down a lot more. Sat 1/9/21 PM Felt fatigued by evening time Sunday 1/10/21 Headache, joint pain and extreme fatigue. Had rash on both arms appear and still felt flush with no fever. Slepts 15 hours Monday 1/11/21 Headache, joint pain and extreme fatigue. Had rash on both arms/face/neck appear and still felt flush with no fever.

Other Meds: no

Current Illness:

ID: 0934281
Sex: M
Age: 59
State: MI

Vax Date: 11/16/2020
Onset Date: 11/17/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data: NA

Allergies:

Symptoms: Patient has arm pain at the injection site lasting 2+ months after the vaccine was administered. He described the pain as a sore arm, and pain increases when he lifts his arm over his head.

Other Meds: Aspirin 81mg

Current Illness:

ID: 0934282
Sex: M
Age: 78
State: CA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: Penicillin & Bell peppers

Symptoms: I got lightheaded on the drive home. Since I got home I had cramps, gas and diarrhea. I've recovered some but not 100%. Ate no dinner last night. Its been 5 days with these symptoms.

Other Meds: Furosamide 40 mg. Entresto 24 mg. Eliquis 5mg. Polvix 75 mg. Linagliptin 5mg. Jardiance 25 mg. Tramadol 50mg as needed. Metopolol 25mg. Omega3 3000mg. Vitamin E 100IU, Vitamin B complex, Vitamin D 1000 units, Multivitamin, Levemir inject

Current Illness: no

ID: 0934283
Sex: F
Age: 94
State: CT

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: Cymbalta

Symptoms: 1/8/21 Area of blue/purple discoloration measuring 5cmx4.5cm, to where injection of the Pfizer Covid-19 vaccine was given on 1/7/21. Resident moves arm when area touched. Scant amount of dried blood noted to area where resident appears to have been scratching. Resident afebrile without rash to area. Minor swelling noted at site.

Other Meds: Amlodipine, Aspirin, Atorvastatin, Vit.D3, Metoprolol Tartrate, Multivitamin, Prednisone, Prilosec, Risperidone, Trazodone, Tramadol, Therapeutic Mineral Ice Topical to back, Artificial Tears

Current Illness: +Covid-19

ID: 0934284
Sex: F
Age: 36
State: MN

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

Lab Data: None.

Allergies: Diphtheria, Pertussis, Tetanus Vaccine (seizure)

Symptoms: Patient reported, "I received my Covid 19 vaccination on Monday evening. I experienced a reaction immediately following. Within 10 minutes I had tachycardia (130s), high BP (160s), lightheadedness, nausea, headache, and feeling like I was going to faint. I was attended to by Ambulance paramedics. At the time of her report to her primary care provider on 1/7/2021, she was still having pretty significant side effects (headache, dizziness, and light sensitivity), enough so that I was staying home from work. These symptoms have now resolved.

Other Meds: hydroCHLOROthiazide (HYDRODIURIL) 25 mg tablet 5/12/2020 Sig: TAKE 1 TABLET BY MOUTH DAILY ibuprofen (ADVIL,MOTRIN) 200 mg tablet 12/22/2016 Sig: Take 3 tablets by mouth every 6 (six) hours as needed. Pain. ?Alternate with acetaminophe

Current Illness:

ID: 0934285
Sex: F
Age: 53
State: AZ

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: POST VACCINATION SHOT- APPROX. 17 MINUTES- C/O FRONTAL AND TEMPORAL HEADACHE (4:10 PAIN SCALE LEVEL). DOES NOT USUALLY GET A HEADACHE. DENIES ANY OTHER COMPLAINTS AT THIS TIME. EMS AND RN ON SCENE, ASSESSMENT MADE . 0957: VS: BP: 111/76; P: 79; 02 SAT: 97 % ON ROOM AIR; 1003: VS: BP: 110/78; P: 77; 02 SAT: 96% ON ROOM AIR.

Other Meds:

Current Illness:

ID: 0934286
Sex: M
Age: 29
State: MI

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 0700- Vaccine 0800 -2200- Clear urine, 1-2 times per hour, 300-500ml each time 2200-2300 sleep 2300 - woke up, felt jittery, provided car for emergent surgical case 0100 - felt like headed, drank 50oz water, felt better after 20 minutes 0400 - 0700 - sleep. Woke up 3 -5 times and urinated 300-500 each time clear urine 0800- 0900 - drove home 0900-1000- Urinated 3 times while attempting to fall asleep, each time 500ml if clear urine. Massive 10/10 right sided headache 1000-1300 sleep 1300- present- woke up. Felt ok, able to eat and drink, felt ?normal? by the following morning

Other Meds: None

Current Illness: None

ID: 0934287
Sex: F
Age: 26
State: UT

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: Tylenol, Erythromycin, amoxicillin

Symptoms: Swelling, pain, redness, itching at the site and fever

Other Meds:

Current Illness: Covid-19

ID: 0934288
Sex: F
Age: 44
State: NC

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 24 hour post vaccine: soreness. Day 8 post vaccine: hives, welts at injection site. Day 13: cellulitis, swelling, tightness, heat, numbness at the center, and itchiness. The edges are raised creating a wall where the redness ends. Covers most of my upper arm, from shoulder to elbow and starting to work into the inner arm, armpit, and left breast. Just received a dose of Kenalog this morning.

Other Meds:

Current Illness:

ID: 0934289
Sex: F
Age: 63
State: WV

Vax Date: 12/23/2020
Onset Date: 01/02/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: CBC - NORMAL, LYME TITER - PENDING

Allergies: DEMEROL, PERCOCET, WELLBUTRIN, CELEBREX, GABAPENTIN, NSAIDS

Symptoms: JAN2-HEADACHE, JAN 3 RIGHT SIDE OF TONGUE BECAME NUMB, AND JAN 4 RIGHT SIDE OF MOUTH BECAME NUMB, RIGHT EYE PAIN WITH TEARING, NOTICABLE DROOPING RIGHT SIDE OF FACE, MINIMAL ACTIVE MOVEMENT, FLUIDS DRIBBLED OUT OF RIGHT SIDE OF MOUTH WHEN DRINKING LIQUIDS, EVALUATED BY PA ON 1/5, DIAGNOSED WITH BELL'S PALSY, STARTED ON VALACYCLOCIR 1 GM THREE TIMES A DAY AND PREDNISONE TAPER BEGINNING WITH 60 MG X 5 DAYS AND TAPERING DOWNWARD

Other Meds: HCTZ, AMITRIPTYLINE, ELIQUIS, CYMBALTA, ESTRAGEN PATCH, PROAIR AS NEEDED, CINNAMON, NIAGEN, FIBER, MAGNESIUM, PROBIOTICS, QUNOL, SUNFLOWER LECITHIN, VITAMIN D3, ZINC

Current Illness: NONE

ID: 0934290
Sex: F
Age: 28
State: WA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 10:33p started with flushed feeling, dizziness and nausea ,no sob,150/90,83,96 given H2O 10:45p symptoms improving still flushed and hot, more H2O 158/108, 79, 98%, 10:50p feeling better,not flushed or hot feeling,149/96 78,98% stayed 40m, called 01/08 vm patient called back feeling better just sore arm and minor swelling at injection site. told to call PCP or 911 if symptoms return and are worse.

Other Meds: metformin, zoloft, anti-inflammatory

Current Illness: none

ID: 0934291
Sex: F
Age: 33
State: KS

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: reports large painful axillary lymphadenopathy in L arm, has been applying heat to site with no relief, advised to f/u with PCP regarding symptoms

Other Meds:

Current Illness:

ID: 0934292
Sex: M
Age: 52
State: CO

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: NO other medical treatment received related to the symptom.

Allergies: None known

Symptoms: Very mild but noticeable numbness in tongue towards back of tongue (not front) on either side. Seemed to dissipate after six hours. Was not immediately noticeable and seemed to be more pronounced about 1/2 hour after injection. I had the other expected soreness at injection site and general malaise approximately 24 hours after - 96 hours after vaccine and I am only reporting this as I was not expecting the numbness in the tongue and was not sure if it was an adverse effect or just stress related.

Other Meds: Advair, ibuprofen

Current Illness: None

ID: 0934293
Sex: F
Age: 36
State: CO

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data: PCP appt on 1/4/2021

Allergies: none

Symptoms: developed shingles, saw PCP on day 5 to diagnose, start antivirals. Symptoms (rash, pain) started on day 1.

Other Meds: fluoxetine, cetirizine, multi-vitamins

Current Illness: none

ID: 0934294
Sex: F
Age: 36
State: IN

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: NKDA reported sensitivity to chapstick

Symptoms: Reported tachycardia + sweating and asked for help initial presentation was not severe and gave her 25mg of bendaryl after around 20 minutes, patient started to shiver, feel cold/unwell, said throat was getting tight, she was nauseous. Epinephrine 0.3mg IM was given STAT and EMS called. Patient was taken to the emergency room onsite and is being seen now. Upon arrival to the ED, reported SOB, swelling of the face/tongue and was still shaking

Other Meds: none

Current Illness: none

ID: 0934295
Sex: F
Age: 50
State: FL

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Facial redness, itching and dryness Eye area swollen

Other Meds: Amlodipine besylate Vitamin D3 Vitamin C Zinc Vitamin B12 ProActive

Current Illness: None

ID: 0934296
Sex: F
Age: 25
State: CO

Vax Date: 12/30/2020
Onset Date: 01/05/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Swelling, heat, knot, bruising

Other Meds: None

Current Illness: Sore throat a few weeks before-- negative covid test

ID: 0934297
Sex: F
Age: 52
State: NY

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: none

Allergies: Penicillin

Symptoms: NOT TECHNICALLY CLASSIFIED AS ADVERSE EVENT , and may be considered " common side effects" but had a severe reaction to the vaccine with fever, chills, muscle and joint aches, headache, nausea, fatigue, soreness in arm at site of injection starting approx 14 hours after injection and lasting 48 hours, with lesser effects lasting another 24 hours, and am still not feeling fully recovered as of 1/11/21 12:11pm. Temperature highs ranged from 100.8-101.4, and I felt as badly as when I had COVID-19 in March 2020. I was unable to go to work as scheduled on Friday 1/8 and Saturday 1/9. I am concerned about getting the 2ND DOSE as it has been stated that 2nd dose may create more severe symptoms than the first. PLEASE ADVISE. Also, is there a correlation between having had COVID-19 and having strong "side effects" to the vaccine? Please advise. Thank you!

Other Meds: Vit D3 3,000units/day - not every day Emergen-C (pharmacy generic version)

Current Illness: None

ID: 0934298
Sex: F
Age: 49
State: NY

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: Shellfish-derived products, Iodine

Symptoms: Approximately 15 minutes after the vaccine administration, the patient reported numbness in mouth / jaw and difficulty swallowing. These symptoms are similar to the symptoms she had in the past after exposure to shellfish. The patient received 1 dose of epinephrine and 1 dose of diphenhydramine with improvement in symptoms. The patient subsequently went home, had recurrent symptoms, and went to a local emergency department for additional treatment. In the emergency department, she received steroids and anithistamines and symptoms resolved.

Other Meds: Ibuprofen, Cetirizine

Current Illness: None

ID: 0934299
Sex: F
Age: 24
State: GA

Vax Date: 12/30/2020
Onset Date: 01/04/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: none so far

Allergies: none

Symptoms: redness, swelling of the left axilla area.

Other Meds: none

Current Illness: none

ID: 0934300
Sex: F
Age: 52
State: NY

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Muscle ache and tinnitus. Denies hearing loss

Other Meds:

Current Illness:

ID: 0934301
Sex: F
Age: 51
State: FL

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: N/A

Allergies: Penicillin

Symptoms: Nausea, dizziness, soreness of the entire arm that the vaccine was administered in, swelling under the arm that was vaccinated, and weak.

Other Meds: Atorvastatin, Lantus U100, Losartan, Trulicity, Vitamin D3, cyclobenzaprine(PRN)

Current Illness: N/A

ID: 0934302
Sex: F
Age: 41
State: CA

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 41 Y female who presents to the Emergency Department for evaluation of her rash. The onset of rash was gradual beginning 2 days ago with progression since that time. The rash began on the abdomen 2 days ago and 1 day after her second immunization with Pfizer COVID-19 vaccine. The rash over the next 24 to 48 hours spread to the back, the chest, the arms, and inguinal folds, and popliteal areas. This morning she woke up with itching and hives on her scalp. She has used Benadryl with some relief. Patient denies shortness of breath, chest pain, nausea, or vomiting. ? There is no lip swelling or itching, tongue swelling or itching, sense of throat closing, or shortness of breath. There is been no nausea vomiting, no palpitations. ? She has no hx of similar previous allergic reactions. She denies exposure to new medications, shampoos, detergents, soaps, lotions, sprays or allergens.

Other Meds: None

Current Illness: None

ID: 0934303
Sex: M
Age: 65
State: CA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: NA

Allergies: NONE

Symptoms: The day of the vaccine at 10PM. I developed severe chills temperature of 101 headache and body aches lasted 2 days

Other Meds: N/A

Current Illness: NONE

ID: 0934304
Sex: F
Age:
State: AZ

Vax Date:
Onset Date:
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0934305
Sex: F
Age: 40
State: OH

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Tiredness Gastrointestinal effects

Other Meds:

Current Illness:

ID: 0934306
Sex: F
Age: 45
State: MI

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: Penicillin Wellbutrin

Symptoms: Vasovagel syncope episode - passed out a total of 3 times Drop in pulse ox and heart rate

Other Meds: Tizanidine 4mg at night Albuterol 90 mcg inhaler 2 puffs as needed Symbicort 160-4.5 mcg 1 puff twice a day Buspirone 15 mg twice a day Montelukast 10 mg once a day Lamotrigine 150mg once a day Trazadone 200mg at night Hydroxyzine Pamoate 2

Current Illness:

ID: 0934307
Sex: F
Age: 55
State: MD

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: did not go to the doctor, stayed home.

Allergies: gluten intolerant (since 2012) Allergic to latex (contact dermatitis)

Symptoms: began w/ change in level of mental status by 5:30 pm the day of vax, and then progressed to high fever of 104, heaviness in legs,unable to walk/stand, cognition foggy, unbalanced. Left sided arm/leg mobilitylimited. Jaw, head, ear and neck pain radiating up to left arm into head. Next day after vaxx (Thurs 1/7/2021) woke up thinking it would have resolved and was worse, shaking chills, fever still elevated, face swollen and hot, difficult to stand up straight, heavy limbs and unable to walk normally. This lasted all day, very fatigued almost a change is mental alertness as well. Tried to stay hydrated, took tylenol and motrin alternatively all day, loss of taste and smell, could not focus to read anything all day and into evening of 1/7/2021. At about 830 pm on 1/7/2021, began to feel slight improvement in balance and cognition. Went to bed early and woke up about 2 or 3 am on 1/8/2021 drenched from fever breaking I suspect. Rash on face after fever broke. Continued with tylenol and motrin and hydration, gradual improvement into early morning of 1/8/2021 and by the afternoon, I was very much improved. However, lingering parastethesias in left jaw, neck, ear and into left arm and fingers, even today 1/11/2020.

Other Meds: Prozac, 10 mg Synthroid, 150 mcg Vit C 2000 mg/day Vit D B12 supplement

Current Illness: The month prior I was out with COVID like symptoms, and had close contact with a positive (boyfriend) with symptoms. My symptoms started 12/12 and lasted until 12/24, resolved for a couple of days, then began again on 12/27, resolving rather quickly by 12/30/2020.

ID: 0934308
Sex: F
Age: 60
State: TX

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: First dose, had no reaction. Second dose, severe pain in arm, headache, back ache (lower, in proximity of kidneys), extreme tiredness, temperature over 99 degrees. This began approximately 18 hours after second dose. When the symptoms were at their worse, I went to bed and slept for over 4 hours. I felt better after I woke, however, the symptoms did not completely subside for an additional 6 hours.

Other Meds: Lamictal Synthroid Claritin Magnesium

Current Illness: None

ID: 0934309
Sex: F
Age: 38
State: IN

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: Hospital ER has those results

Allergies: Penicillin and sulfa drugs

Symptoms: Left arm very swollen, hot to the touch, pain in whole arm, injection site hard as a rock, injection site very red, red circle around injection site. Went to ER, blood work and ultrasound done. Prescribed steroids and Claritin

Other Meds: Emgality, multivitamin and vitamin C

Current Illness: N/A

ID: 0934310
Sex: M
Age: 50
State: OK

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: Gluten. Dairy suspected but not confirmed. No Allergies to any medications that I know of.

Symptoms: Developed a rash the next day on most of my body.

Other Meds: Dexilant DR 60MG, Benicar HCT 20-12.5 MG,Loratadine 10 mg, D3 500mcg

Current Illness: Seasonal Allergies.

ID: 0934311
Sex: F
Age: 78
State: NY

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: none

Allergies: Iodine contrast

Symptoms: On 1/8/2021 patient called stating her right knee was swollen and painful, an 8/10 on pain scale, she iced it and took Tylenol now 5/10 pain scale. Patient received 1st dose of Moderna on 1/7/2021.Patient stated that she thought she remembered joint pain was a side effect of vaccine. Provider spoke with patient and stated more than likely knee pain due to far driving distance and walking more than usual. Continue topical and OTC treatment.

Other Meds: OS-Cal, levothyroxine, atorvastin

Current Illness: N/A

ID: 0934312
Sex: F
Age: 52
State: PR

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: WHEN ADMINISTRATING THE SECOND DOSE OF THE COVID VACCINE, IT APPEARED THAT THE NEEDLE WAS LOOSE AND SOME OF THE DOSE WAS LOST. THE PATIENT SAW THE LIQUID OUT IN HER ARM. THE PATIENT THIT NOT RECIEVED THE 0.3 ML DOSE. WE CONTACTED THE PFIZER TEAM FOR INSTRUCTIONS AND RECIVED LITERATURE. PATIENT DECIDE THE RE DOSE 0.3 ML ON 01/07/2021

Other Meds: NONE

Current Illness: NONE

ID: 0934313
Sex: F
Age: 28
State: FL

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

Lab Data:

Allergies: N/a

Symptoms: Itching, redness, swelling, pain at injection site

Other Meds: Buspar, synthroid

Current Illness: N/a

ID: 0934314
Sex: F
Age: 36
State: NH

Vax Date: 12/31/2020
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Cellulitis treated with oral antibiotics

Other Meds: Mirena IUD

Current Illness: N/A

ID: 0934315
Sex: F
Age: 23
State:

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: Covid test and PCR - negative 1/6/2021 EKG - normal - 1/6/2021

Allergies:

Symptoms: Headache, nausea, body aches, tightness of chest, shallow breaths/shortness of breath, light headed, fatigue.

Other Meds: Duplixent

Current Illness:

ID: 0934316
Sex: M
Age: 19
State: WV

Vax Date: 01/04/2021
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: I had pain at the injection site and headaches for three days then since then from the seventh I had had red dots appear around my neck and left shoulder

Other Meds: Guanfacine, Methylphenidate, and Escitalopram

Current Illness: Had the flu around thanksgiving

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm