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: 0937567
Sex: F
Age: 60
State: NY

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

Lab Data:

Allergies: Strawberries

Symptoms: Patient experienced a reaction approximately 10min after vaccination, and reported a tingling sensation of the lips and tongue. Began monitoring vitals. Approximately 17min from time of vaccination, gave 50mg Benadryl PO. 39min after medication, patient reports symptoms resolved completely.

Other Meds: None reported

Current Illness: None reported

ID: 0937568
Sex: F
Age: 52
State: GA

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

Lab Data: None

Allergies: augmentin and seasonal only.

Symptoms: Numb cheeks, lips & tongue. Minor swelling of lips. Approx. 40 minutes post injection while driving home. Took 1 benadryl when I got home and all symptoms subsided approx 30 minutes later.

Other Meds: lisinopril, synthroid, spironolactone, doxycycline, albuterol, vitamin D, probiotic, tizanadine, escalitopram, xanax, aimovig.

Current Illness: None

Date Died: 01/07/2021

ID: 0937569
Sex: M
Age: 62
State: RI

Vax Date: 01/02/2021
Onset Date: 01/07/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: patient reported expired 1/7/2021

Other Meds: unknown

Current Illness: unknown

ID: 0937570
Sex: F
Age: 41
State:

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

Lab Data:

Allergies:

Symptoms: COVID positive

Other Meds:

Current Illness:

ID: 0937571
Sex: F
Age: 50
State: MO

Vax Date: 12/28/2020
Onset Date: 01/11/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient developed Bells Palsy.

Other Meds:

Current Illness:

ID: 0937573
Sex: F
Age: 25
State: FL

Vax Date: 12/24/2020
Onset Date: 12/26/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data: 12/28/2020:Test for COVID-19 12/29/2020:Strep throat 12/29/2020:Flu test

Allergies: None

Symptoms: It started on the 1st day with really bad pain in left arm. Then large muscle spams. I begin to have chills and sore throat. Few dizzy spell vomiting and diarrhea. My arm hurt really bad. It lasted for a week.

Other Meds: Valtrex 500MG Citalopram 10MG Buspirone 10MG Topiramate 50MG Women multi vitamin Probiotic Capsule

Current Illness: None

ID: 0937574
Sex: F
Age: 33
State: CO

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

Lab Data: They did an EKG during the two hours of observation that they kept me for- result was normal sinus rythm.

Allergies: pennicillin class sulfa drugs nsaids

Symptoms: about 10 min after injection, I started to feel very light headed and had chest discomfort/pressure

Other Meds: Lexapro, phendimetrazine

Current Illness: n/a

ID: 0937575
Sex: F
Age: 44
State: UT

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

Lab Data: no

Allergies: Codeine, Lortab, Cipro Floxen

Symptoms: Rash on left arm and back. Wasn't itchy or hot. Next day diarrhea. and continues to have diarrhea. Rash ring is on the left shoulder. It is warmer than rest of skin. It is red.

Other Meds: Rosuvastatin, aspirin, Metformin, Escitalopram, Baclophen,

Current Illness: yes 2 wks before

ID: 0937576
Sex: F
Age: 44
State: MI

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

Lab Data:

Allergies: reaction to hair dye

Symptoms: Thursday - immediately after receiving the vaccine, I felt a warm sensation down my right arm followed by numbness and tingling (pins and needles), a few minutes later I experienced a dull headache. The arm sensation slowly subsided by the time my fifteen minutes was up. The dull headache lasted through the night Around 9 pm, I experienced chills, that lasted for 2 days with body aches and sore right and left arm. During the night, I had a hard time sleeping experiencing nightmares. Woke up at 2 am took a walk felt a little better. Chills continued throughout the night. Friday- chills continued with body aches and a general feeling of malaise. Temp was 98.7 at highest, bp 122/79, hr 80, and blood sugar 149, I have no hx of diabetes. Saturday- "hungover feeling" - headache that came in waves with a general feeling of malaise. Sunday- Pounding headache, extreme fatigue-slept until 1500 woke up and then went back to bed, body aches-worst I have felt in years. Monday shaky feeling somewhat better still malaise. Tuesday vomited all my breakfast, feeling of phlegm or something stuck in my throat. BP 120/77 hr 64 temp 98.4. Continued body aches.

Other Meds: multivitamin calcium 1000mg with D3

Current Illness: none

ID: 0937578
Sex: F
Age: 50
State: IL

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

Lab Data: none

Allergies: none

Symptoms: On 1/11/21 developed itching, redness, hives to ears, neck, chest, trunk and arms.

Other Meds:

Current Illness:

ID: 0937579
Sex: M
Age: 64
State: MN

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

Lab Data: 12/31/2020: WBC 4.8 K/uL ; RBC 4.23 M/Ul; Hgb 12.9 g/dL; Hct 38.6%; Platelets 63 k/uL; Blood culture: No growth; Urine culture: Moderate mixed flora; Lipase 55 U/L; Procalcitonin 2.38 ng/mL; BNP 90; Lactic acid 7.2 mmo/L; CRP 110.5 mg/L; Potassium 3.4 mmol/L; INR 2.4 ; CT Angio Chest: Pulmonary embolism left and right; Moderate pachy peripheral ground glass right infiltrates Heavy triple vessel coronary calcification with heavy left main coronary calcification. Mild inflammatory stranding around the normal appearing pancreatic head suggesting pancreatitis. Moderate thickening of the wall of distal esophagus associate with small hiatal hernia: EKG on 12/31/2020: Sinus tachycardia; EKG on 1/2/2021: Atrial fibrillation with rapid RVR; On 1/3/2021: CT abdomen with contrast liver cirrhosis with portal venous hypertension, multiple splenic granulomata, recanalization of the umbilical vein. Third spacing with body wall edema and mild pericholecystic ascites. The mild stranding in the upper abdominal fat could represent mild pericholecystic ascites. Mostly liquid stool throughout colon without findings of intestinal obstruction.

Allergies: Ciclopirox- erythema and pruritus Naltrexone- reaction dizziness Topiramate- mood changes

Symptoms: On 12/31/2020, at approximately 00:15, pt developed a fever of 102.9 F and tachycardia with rate of 120. He was treated with acetaminophen. Later in the morning, he complained of nausea, generalized muscle aches, intermittent increase in confusion. At approximately 14:00, he had a fall out of bed and at that time noted to be short of breath, tachypneic. He was taken via ambulance to Emergency Department. From there he was transferred to Hospital for admission with acute respiratory distress, suspected sepsis with lactic acid 7.4 and Bilateral Pulmonary Emboli. He was started on heparin and broad spectrum antibiotics and transitioned to ELIQUIS on 1/3/2021. Infectious etiology of sepsis was unclear. He continued broad spectrum antibiotics with clinical improvement. Abdominal CT scan was obtained due to intermittent nausea, vomiting, abdominal pain, loose stools. His heart rhythm flipped to Atrial Fibrillation with RVR on 1/2 and his rate improved with titration of metoprolol. He was also treated with prednisone for suspected underlying undiagnosed COPD. It is noted in his hospital summary that PEs presumed provoked in the setting of his recent COVID 19 infection. He was discharged from the hospital on 1/8/2021 and readmitted to the Veterans Home. He has been stable.

Other Meds: Zyprexa 15 mg tablet once daily Levothyroxine 100 mcg tablet once daily Metformin ER 500 mg tablet 2 tablets by mouth twice daily Divalproex DR 240 mg Give 3 tablets by mouth once daily Metoprolol tartrate 50 mg tablet by mouth twice daily

Current Illness: COVID 19 (tested positive on 11/27/2020). Appeared to have recovered, but had some weight loss as well as persistent weakness, activity intolerance.

ID: 0937580
Sex: F
Age: 27
State: MT

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

Lab Data:

Allergies:

Symptoms: Body aches, Fever 102

Other Meds:

Current Illness:

ID: 0937581
Sex: F
Age: 44
State: CO

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

Lab Data: I was physically too weak and unable to take myself for treatment first couple days. On 1/11/21 had to get covid test per occupational health after reporting of symptoms. Afterward, went to urgent care.

Allergies: penicillin, gluten, nickel

Symptoms: Initially pain with injection and taste in mouth. Arm pain worsened but improved w/ibuprofen. Mild fever 99.8. EXTREME weakness and fatigue, profuse diarrhea, poor appetite, feeling morose, intermittent runny nose, itchy eyes, mild congestion and mild rare coughing spells. Please note- shot in first series was not painful- couldn't even feel shot. Only symptom after shot in 1st series was mild arm pain and mild fatigue for 2 days.

Other Meds: bupropion 300mg daily

Current Illness: n/a

ID: 0937582
Sex: F
Age: 38
State: VA

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

Lab Data: Evaluation performed by hospital-unsure of all testing completed but stated that she was negativeX3 for COVID, neg flu, and neg pneumonia.

Allergies: coconut

Symptoms: Received Moderna vaccine on 1/5. Had a single episode of vomiting approximately 1 hour after vaccine. Hx of Asthma, started to develop SOB approximately 2 days later. She reached out to PCP and used inhaler with little relief. SOB worsened and she was admitted to the hospital on 1/8/21. Eval was negative for COVID (3 tests completed), flu and pneumonia. She has elevated WBCs and was given steroids and supplemental oxygen. She is improving but remains inpatient.

Other Meds: unknown

Current Illness: none

ID: 0937583
Sex: F
Age: 31
State: GA

Vax Date: 12/31/2019
Onset Date: 12/01/2019
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Administration Error. Nursing giving injection inserted need too high on my arm, just below my acromnion process. No immediate symptoms. Night of injection began to experience decreased range of motion and difficulty lifting arm and pain with movement of arm.

Other Meds: None

Current Illness: None

ID: 0937584
Sex: F
Age: 25
State: KY

Vax Date: 12/16/2020
Onset Date: 12/19/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data: 12/19/20 Negative Covid swab

Allergies:

Symptoms: Fever, sore throat, HA, myalgias, congestions, N/V. Went to Urgent Care, treated for viral pharyngitis, sore throat. Negative Covid swab.

Other Meds:

Current Illness:

ID: 0937585
Sex: F
Age: 31
State: CA

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

Lab Data:

Allergies: No

Symptoms: Fatigue starting 12 hours after receiving vaccine. 24 hours after vaccine experienced mental fog, joint pain, muscle pain, headache and nausea.

Other Meds: Wellbutrin

Current Illness: No

ID: 0937586
Sex: F
Age: 87
State: TX

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

Lab Data:

Allergies: cephalexin, epinephrine, valsartan, naproxen, Tetanus toxoid, clindamycin

Symptoms: Patient being monitored after vaccine developed swollen uvula and heavy lip 20 minutes after administration. Patient given benadryl with relief and evaluated by nurse practioner.

Other Meds: Digoxin, latanoprost

Current Illness:

ID: 0937588
Sex: M
Age: 36
State:

Vax Date: 12/18/2020
Onset Date: 12/22/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: COVID infection

Other Meds:

Current Illness:

ID: 0937589
Sex: F
Age: 41
State: AZ

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

Lab Data: none - just heartrate and blood pressure and temperature (which temp was fine)

Allergies: Zantac - gives me a rash; allergy to dust and gas - runny nose and can progress to wheezing

Symptoms: Five min after shot. Tingling in whole arm - mostly above the elbow (left arm). Felt palpitations; heart was racing. Felt warm - no sweating but getting hot. At the site - the nurse called the EMT's - they Gave me 50 mg of benydryl syrup - in 20 min. checked heartrate first in 90's and then they rechecked and it was in 80's. Blood Pressure - 130/90. Half an hour later I was home - bad headache of two days. Left arm was very sore for those two days, not swollen, though. By third day those resolved.

Other Meds: Nexium 20 mg daily; Calcium and Vit D - once or twice a week; allegra - 180 mg - about once a week for runny nose and as needed

Current Illness: none

ID: 0937590
Sex: F
Age: 53
State: NY

Vax Date: 01/06/2021
Onset Date: 01/10/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: Possibly pine nuts but otherwise none known

Symptoms: Intense metal taste in mouth affecting sense of taste and resulting in loss of appetite. Mild nausea. Fatigue. As of 1/12 sore/burning sensation in back of mouth/throat. Note sense of smell not affected. No treatment sought.

Other Meds: Multi-vitamin; Vitamin D supplement

Current Illness: None

ID: 0937591
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0937592
Sex: F
Age: 39
State: VA

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

Lab Data:

Allergies:

Symptoms: Patient developed throat tightening. Lightheaded, not feeling well. Administered diphenhydramine 50 mg po once.

Other Meds:

Current Illness:

ID: 0937593
Sex: F
Age: 50
State: IL

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

Lab Data:

Allergies: none

Symptoms: 1/11/21 developed itching and hives to ears, neck, chest, trunk and arms.

Other Meds:

Current Illness:

ID: 0937594
Sex: F
Age: 30
State: VT

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

Lab Data:

Allergies:

Symptoms: Body aches, HA, dizzy, back/neck/ aches

Other Meds:

Current Illness:

ID: 0937595
Sex: F
Age: 76
State: KY

Vax Date: 09/08/2020
Onset Date: 09/08/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Redness, swelling, and rash starting at injection site and travelling down arm approximately 4 inches.

Other Meds:

Current Illness:

ID: 0937597
Sex: M
Age: 37
State: AZ

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

Lab Data: None

Allergies: Phenobarbital

Symptoms: Fever, headache, nausea and mild cough

Other Meds: Metformin, Allegra, Losartan

Current Illness: None

ID: 0937598
Sex: F
Age: 27
State:

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

Lab Data:

Allergies:

Symptoms: egg size knot at injection site; fatigue and congestion

Other Meds:

Current Illness:

ID: 0937599
Sex: M
Age: 54
State: CA

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

Lab Data: NA

Allergies: NA

Symptoms: elevated heart rate: (100-105) on 01/11/2021 11:00 PM to 11/12/2021 05:00 AM fever: (100 -104) on 01/11/2021 07:00 PM to ongoing

Other Meds: amlodipine pitavastatin

Current Illness: NA

ID: 0937600
Sex: F
Age: 75
State: NC

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

Lab Data: None order- Zantac, Solumedrol, Pepcid administered. Pt refused transport to hospital via EMS.

Allergies: Azithromycin, Breo Ellipta, Doxycycline, Erythromycin, Iodine and Iodine Containing Products, Sulfa, Doxyclycline, Methamphetine, Pulmicort

Symptoms: Pt returned from parking lot c/o chest tightness

Other Meds: Albuterol, Xanax, Vit C, Ecotrin, Lipitor, Astelin, D3, Flonase, Lisinopril, HCTZ, Metformin, Singulair, MVI, Fish Oil, Zofran

Current Illness: None

ID: 0937601
Sex: F
Age: 53
State: CA

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient report soreness at the injection site and there is soreness and a lump under her arm (armpit area).

Other Meds:

Current Illness:

ID: 0937603
Sex: F
Age: 62
State: MT

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

Lab Data:

Allergies:

Symptoms: Chills, Headache, Nausea, Body Aches

Other Meds:

Current Illness:

ID: 0937605
Sex: F
Age: 64
State: VT

Vax Date: 01/05/2021
Onset Date: 01/07/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: low grade temp, body aches, headache 48 hours after vaccine which lasted 24 hours 1 week after the vaccine, hard, red swollen lump at the injection site

Other Meds: Losartin, Atorvastatin

Current Illness: none

ID: 0937606
Sex: F
Age: 54
State: IN

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: none, I stayed home, did not need medical care

Allergies: nka

Symptoms: 24 hours of chills, severe body aches, nausea, flare up of RA, fatigue

Other Meds: Leflunomide 10mg

Current Illness: none

ID: 0937607
Sex: F
Age: 31
State: PA

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

Lab Data:

Allergies:

Symptoms: Shortly after receiving 2nd dose she reported feeling strange sensation in her right arm. States her arm felt heavy and experienced some numbness and tingling up the right side of her face. On 1/12/21 she woke up and felt tingling on the right side of her face and swelling. She was evaluated in the Emergency Department and treated with Dexamethasone 10mg IM x1 dose and prescribed Prednisone 20mg daily x 5 days.

Other Meds:

Current Illness:

ID: 0937608
Sex: F
Age: 40
State: TX

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

Lab Data: 10:45 am BP 110/54 P79 10:47am BP 120/81 P 97

Allergies: Sulfa, Levoquin, Azithromycin

Symptoms: Pt c/o tingling in face and nausea

Other Meds: Metformin, Levothyroid, Synthroid, Prednisone, Plavix 2mg

Current Illness: None

ID: 0937609
Sex: F
Age: 32
State: NY

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

Lab Data: na

Allergies: nka

Symptoms: Left arm tinging sensation. monitored for 30 mins vitals taken. reports improvement in symptom

Other Meds: na

Current Illness: na

ID: 0937610
Sex: F
Age: 32
State: VT

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

Lab Data:

Allergies:

Symptoms: HA, body aches, fatigue

Other Meds:

Current Illness:

ID: 0937612
Sex: F
Age: 39
State:

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: had hives at site on 1/4/21 in the pm none when in the office on 1/5/21

Other Meds:

Current Illness:

ID: 0937613
Sex: F
Age: 59
State: TX

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Pt states she awoke at 0600 01/05/2021 with right side facial paralysis Was seen by PA diagnosis with Bells Palsy was started on Prednisone 01/05/2021

Other Meds: citalopram, restoril, norco

Current Illness: nausea, vomiting, diarrhea 12/15/2020

ID: 0937614
Sex: F
Age: 52
State: NY

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

Lab Data:

Allergies: allergies to shellfish

Symptoms: Approximately 10 mins post vaccine administration, patient began to feel that her throat was tight, similar to when she has had reactions to shrimp in the past. Patient's lungs were clear, sat >97%, speaking in clear sentences. Given 50mg IM benadryl and 60mg PO prednisone with some relief of symptoms. Several minutes later, patient felt that symptoms were returning. At this point patient was given .3mL IM epi with some relief of symptoms. Patient maintained airway throughout entire encounter and sat remained above 97. EMS was called, report was given to EMs along with her visit documentation.

Other Meds:

Current Illness:

ID: 0937615
Sex: F
Age: 55
State: MT

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

Lab Data:

Allergies:

Symptoms: Headache, nausea, chills, Body aches

Other Meds:

Current Illness:

ID: 0937616
Sex: F
Age: 23
State: DE

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

Lab Data:

Allergies: NKA

Symptoms: had chills, fever and nausea with vomiting in middle of the night so badly it woke me up from my sleep.

Other Meds: none

Current Illness: None

ID: 0937617
Sex: F
Age: 63
State: ME

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: carrots, coffee, corn, yeast, codeine

Symptoms: The patient was seen on 1/5 for swelling and soreness at injection site with blotchy red raised patches. The patient was advised to apply ice to the area and use topical Benadryl for itching. The patient was then seen on 1/6 and reported pain, burning, swelling and itching to the injection site as well as numbness and tingling that extended up to her neck. The patient was advised to continue with applying ice and an OTC topical steroid to the area. The patient was also given an Rx for an antibiotic for cellulitis of the left upper extremity. Patient was advised to follow-up in 2 days. The patient was seen on 1/7, at this time the patient reported improvement of redness, itching, burning and swelling to the area. The patient continued to report soreness to the area that extended up to her neck. The patient was advised to continue current medications and follow-up as needed.

Other Meds:

Current Illness:

ID: 0937618
Sex: M
Age:
State: AZ

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

Lab Data:

Allergies: Cats and Chicken products in shots.

Symptoms: None stated.

Other Meds: Suboxone, Ventolin Fluticasone Propionate and Salmeterol Inalation powder 232mcg/14mcg Montelukask Sodium 10 MG Azelastime HCI

Current Illness: I have sever Asthma and COPD.

ID: 0937619
Sex: F
Age: 26
State: MI

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Heat and redness around injection site - occurred one day after injection and continues to be present

Other Meds: Novalog Insulin

Current Illness: Diabetes - Type 1

ID: 0937621
Sex: F
Age: 55
State: OH

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

Lab Data:

Allergies:

Symptoms: dizziness, cheeks numb

Other Meds:

Current Illness: no

ID: 0937622
Sex: F
Age: 54
State: CA

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: none

Allergies: codeine,

Symptoms: severe headache 36 hours, vomiting 8 hours,

Other Meds: none

Current Illness: none

ID: 0937623
Sex: F
Age: 42
State: FL

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

Lab Data:

Allergies:

Symptoms: Injection site red, swollen, warm to touch and itchy after injection. Resolved in 4 days then returned on the 13th day. Headache has also been experienced since vaccination. Injection was administered lower than normal. Will contact pcp if symptoms do not resolve in a few days.

Other Meds:

Current Illness:

ID: 0937624
Sex: F
Age: 40
State: NY

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

Lab Data: EKG

Allergies: Sulfa medication

Symptoms: I received the vaccine. I was sitting with another group of nurses maybe about five minutes after the vaccine talking. One of the nurses noticed I had a red area on my left forearm. After, I started to feel strange, body tingling, light headed, my heart started racing, I broke out in Hives on the left arm, neck, back, ear, side of face. It felt like I could not swallow on left side. Was brought to ER was put on oxygen, given 125 solu-medrol IV, Benadryl 50mg IV, and Pepcid IV and 1liter of fluid. Was in observation for two and half hours, improved. Was send home on five days worth of steroids and Pepcid

Other Meds: Advair, Toprol XL, Losartan, Synthroid, Yasmin

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm