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: 0937625
Sex: F
Age: 70
State: FL

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

Lab Data: LAB, EKG AND CXR

Allergies: SULFA, DEPOKOTE, TEGRETOL, TOPAMAX, INDERAL, DYAZIDE, LEVAQUIN, AMLODINE BESYLATE, PRAVATININ, CT CONTRAST, MYREBETRIC

Symptoms: PT COMPLAINED OF NUMBNESS IN HER ARM AND COMPARED TO THE SENSATION TO BEING SIMILAR TO FEELING SHE HAD EXPERIENCED WHEN HAVING A SEIZURE. TAKEN TO ER, NO SEIZURE. ELEVATED B/P 210/90

Other Meds:

Current Illness:

ID: 0937626
Sex: F
Age: 32
State:

Vax Date: 12/16/2020
Onset Date: 12/28/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: sore throat; covid negative

Other Meds:

Current Illness:

ID: 0937627
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: 10:45am BP 110/54 P 79 10:47am BP 120/81 P 97

Allergies: Sulfa, Levoquin, Azithromycin

Symptoms: Pt c/o tingling in the face and nausea

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

Current Illness: None

ID: 0937628
Sex: F
Age: 37
State: TX

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

Lab Data: none

Allergies: nkda

Symptoms: left sided facial numbness, hyperesthesia, and left eye twitching

Other Meds:

Current Illness:

ID: 0937629
Sex: F
Age: 37
State: MO

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

Lab Data: n/a

Allergies: n/a

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA 8hrs-40hrs after injection: fever (ranging from 102-104) chills, body aches, fatigue/weakness, loss of appetite, headache, vision changes, swollen right axillary lymph node (hard, painful) 40hrs-60hrs after injection: fever steady around 101, headache, fatigue, swollen right axillary lymph node (no longer hard, more disperse, still painful) 60+ hrs after injection: swollen right axillary lymph node (disperse, painful, bruising/discoloration) emailed ob/gyn about concern for swollen lymph node turning into mastitis, but referred to PCP

Other Meds: Prenatal vitamin (post partum and breastfeeding)

Current Illness: n/a

ID: 0937630
Sex: F
Age: 38
State: GA

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

Lab Data:

Allergies: None

Symptoms: Left arm started hurting me the day after the vaccine and everyday the pain got worse it travel in to my neck and back side of my upper back. On 01/12/2021 couldn't go to work due to the pain been higher and I couldn't turn my neck to the left side

Other Meds: Ibuprofen, tylenol,hot pads

Current Illness:

ID: 0937632
Sex: F
Age: 86
State: NJ

Vax Date: 01/03/2021
Onset Date: 01/05/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: None

Allergies: NKDA, No food allergies

Symptoms: Post injection; the site was reddened, warm to touch and indurated on 01/05/2021. The noted redness was not in the deltoid region but in the subcutaneous tissue distal of the deltoid. Our Medical Director, Dr. gave orders for all of our residents to receive Benadryl and Tylenol prior to injection. On 01/07/2021 the area became more diffuse, remained warm and indurated we had to obtain additional Benadryl po orders as well as Hydrocortisone topically from the Medical Director. The Resident remained with her function of her arm at her baseline. Dr. has seen resident the last two Tuesdays during his rounds, it is slowly resolving.

Other Meds: Atorvastatin, Benadryl, Metroprolol Succinate , Prednisone, Tylenol

Current Illness: None

ID: 0937633
Sex: F
Age: 57
State: IA

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

Lab Data:

Allergies:

Symptoms: She reported achy muscles (especially legs), chest tightness and a productive cough. This began on 1/11/2021. I told her she could take Tylenol for the aches. She is going to monitor the other symptoms and if they progress or get worse she will call her primary care doctor. She thinks it is just the start of a cold.

Other Meds:

Current Illness:

ID: 0937634
Sex: F
Age: 63
State: NY

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

Lab Data: I started her on Bactrim for cellulitis. She had no issues for the first 10days after getting her vaccine at Hospital Flu clinic on 1/2/2021. She started itching last night 1/11/2021 and was actually coming in for a physical. I have pictures if you would like to see. The patient is aware that I am reporting this is a potential adverse event.

Allergies: psyllium: swelling

Symptoms: I asked patient to send me information when she finds it.

Other Meds: Evista, Tramadol prn, tixanidine prn, gabapentin, omeprazole, feverfew extract, St. John's Wort, Calcium with vit D, magnesium, one a day MVI, melatoinin, benadryl prn for sleep

Current Illness: No recent illness. Stable chronic migraines. Stable chronic low back pain. No new medications.

ID: 0937635
Sex: F
Age: 36
State: AR

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

Lab Data: n/a

Allergies: n/a

Symptoms: sharp excruciating pain in left arm starting at injection site to elbow site. Took Ibuprofen for pain

Other Meds: Zyrtec, Prilosec, Wellbutrin, Cefdinir for sinus infection, Paxil, Ativan, Oxybutynin, Melatonin nightly, Flonase

Current Illness: n/a

ID: 0937636
Sex: F
Age: 35
State: FL

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: sensitivity to macrolides: nausea, insomnia, headache

Symptoms: slight SOB, cough later the same day of vaccine, then high fever, body aches for 1 day and injection site red, hot, and swollen which improved over 4 days.

Other Meds: Trelegy 200mg, dupixent q2weeks subq injection

Current Illness: none

ID: 0937637
Sex: F
Age: 38
State: CA

Vax Date: 01/02/2021
Onset Date: 01/10/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: None

Allergies: none known

Symptoms: Received dose #1 of COVID-19 vaccine Moderna on 1/02/21. I was estimated to be 4 weeks pregnant at that time. Estimated due date 9/08/21. I experienced tenderness of injection site for approximately 48-72 hours after injection that resolved. Since 1/10/21 I began experiencing mild tenderness, redness, itching, and warm at the injection site again.

Other Meds: daily multimvitamin

Current Illness: mild cough

ID: 0937638
Sex: M
Age: 35
State: CA

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

Lab Data:

Allergies: none

Symptoms: Pfizer-BioNTech COVID-19 Vaccine

Other Meds: Ibuprofen

Current Illness: back pain

ID: 0937639
Sex: F
Age: 63
State: UT

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

Lab Data:

Allergies: history of anaphylaxis, to Delsym (shared ingredient propylene glycol).

Symptoms: Tachycardia, shortness of breath, and nausea with second dose of Pfizer-BioNTech COVID-19 vaccine 0.3 mL IM in left deltoid. vitals stable. Monitored in clinic for 1 hour and then sent to ED for further evaluation. ECG normal. Patient able to discharge in stable condition.

Other Meds:

Current Illness:

ID: 0937640
Sex: M
Age: 0
State: WI

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

Lab Data: Pulse Ox taken: 95-97% (1/12/2021)

Allergies: Possible milk protein intolerance

Symptoms: Minutes after his vaccinations he became lethargic, pale in color and bluish hue to lips. Needing RN to enter room to evaluate. No wheezing, retractions, grunting, lip swelling, tongue swelling or rashes. Remained pale, bluish lips and falling asleep for 2-3 minutes. Stimulation/chest rubbing to stay awake. After this he recovered to his normal self and left the clinic without further intervention.

Other Meds: None

Current Illness: None

ID: 0937641
Sex: U
Age: 42
State:

Vax Date: 12/16/2020
Onset Date: 01/05/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Covid positive

Other Meds:

Current Illness:

ID: 0937642
Sex: U
Age: 31
State: MI

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data: None at the UC just took my vitals and told me to take some Ibuprofen and rest and FU with them in case symptoms persisted.

Allergies: No

Symptoms: The next morning I could not feel my entire right arm, it was all numb, I lost strength for a few hours, could not hold anything, had injection site pain for several days. The numbness/loss of feeling lasted for about 8-10 hours. After 3 to 4 hours I called my PCP for advice and they advised me to go to the ER or UC. I also had diarrhea and fatigue

Other Meds: No

Current Illness: No

ID: 0937643
Sex: F
Age: 69
State: NE

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

Lab Data:

Allergies: propoxyphene, amoxicillin, amox/clavulanate

Symptoms: Moderna COVID-19 Vaccine EUA About 30 minutes after receiving the vaccine she felt dizzy and lightheaded and felt like she was going to pass out. She is a type II diabetic but they did not have any ability to check her blood sugar at employee health. Therefore, rapid response team was called and patient was brought here to the emergency department. Patient notes that she has had a couple of syncopal episodes in the past in her life and has had several near syncopal episodes. Upon arrival to the ED her blood sugar was noted to be 99. She is feeling little bit better but still just a little bit dizzy. She was completely and entirely asymptomatic prior to getting the vaccine shot. She has not been ill lately. BP 116/68 | Pulse 62 | Temp 36.7 ?C (98.1 ?F) (Oral) | Resp 15 | Ht 1.524 m (5') | Wt 229 lb 8 oz (104 kg) | SpO2 100% | BMI 44.82 kg/m? 69-year-old female presented to the emergency department following a near syncopal episode after getting her COVID-19 vaccine. She is normotensive, not tachycardic, tachypneic or hypoxic. She has a normal physical exam and normal cardiopulmonary exam. Lab work-up shows a mild chronic anemia with a hemoglobin of 9.9. BMP, chest pain panel normal. EKG was normal. Patient was kept on cardiac monitoring and given oral fluids. We then got her up and she was ambulatory without symptoms and without difficulty. Therefore, this appears to be a vasovagal near syncopal episode that has resolved. Work-up here is negative. No further work-up is indicated. Will discharge home, rest, fluids, cautioned her that she might feel poorly for a day or 2. Follow-up with primary care as needed. Return for worsening symptoms.

Other Meds: allopurinol, vit c, atorvastatin, bydureon, clobetasol, famotidine, lansoprazole, metformin, nystatin topical, pioglitazone

Current Illness:

ID: 0937644
Sex: F
Age: 61
State: OH

Vax Date: 01/07/2021
Onset Date: 01/10/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: n/a

Allergies: Codeine

Symptoms: Sunday morning woke up with a sick headache, vomiting, body aches and temperature 100.9 By early afternoon vomiting had stopped, headache was letting up and temp was normal. Was able to eat Sunday night and have been fine ever since.

Other Meds: Ventolin; Tenormin; Vitamin D; Cyanocobalamin; Voltaren; Ibuprofen; Robaxin; Prilosec; Percocet; Mirapex; Demadex; Effexor-XR; Lipo-Flavonoid; Biotin

Current Illness: None

ID: 0937645
Sex: F
Age: 49
State: CT

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

Lab Data: None

Allergies: Opioids

Symptoms: Injection site reported to become swollen, tender with red patch on January 1, 2021.

Other Meds: Multivitamins, Vit. D3, Biotin and Oral Contraceptive Pill

Current Illness: None identified

ID: 0937647
Sex: F
Age: 45
State: IL

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

Lab Data: EKG, chest xray

Allergies: Niacin. Sulfites. Doxycycline. Metoprolol. Bees

Symptoms: About 15 min ?icy hot? numb feeling hands feet, lips mouth, dizzy, difficulty thinking, heart pounding, tongue felt big, nausea, tightness back throat that progressed down neck, paramedics reported near syncope decreased pupil& verbal response, tachycardia, red neck chest, spots on face. On site ambulance IV meds Epi? Benadryl 50mg and o2, transferred to ER- IV meds Pepcid and solumedrol, and home 5 days oral prednisone, Benadryl, Pepcid, albuterol

Other Meds: Singular. Midodrine. Fluronef. Potassium. Flonase. Advair

Current Illness: None

ID: 0937648
Sex: M
Age: 30
State: NY

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

Lab Data: None

Allergies: none

Symptoms: Fever (38.4C), Chills, Fatigue, Myalgia, Headache

Other Meds: none

Current Illness: none

ID: 0937649
Sex: F
Age: 32
State: NE

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

Lab Data:

Allergies: None

Symptoms: Moderna COVID-19 Vaccine Returns to clinic at 0739. Had first dose of Moderna vaccine at 0715 today. She states that immediately after her lips felt tingly. She states that she was driving home and she began to feel tingling and numbness into her face around her mouth. Patient denies having any allergies. Was walking her to the ED and she was talking to nurse, all of a sudden she leaned forward and was coughing and grabbing her throat. Rapid response team called, patient transferred to ED. She gets influenza thoughts without difficulty. She denies any current URI symptoms no history of heart or lung problems high blood pressure or diabetes. She denies numbness or tingling in her hands currently. Currently very nauseated. Patient was given some BENADRYL and some Zofran was watched she still complained of some perioral numbness some labs were obtained potassium is minimally low at 3.5 calcium is also low at 8.1. This time I suspect this is more of an adverse reaction to immunization shot however if the tingling or numbness persists then a recheck of her electrolytes may be warranted follow-up primary care physician.

Other Meds: Daysee, omeprazole, trazodone

Current Illness: None

ID: 0937650
Sex: F
Age: 36
State: CA

Vax Date: 12/22/2020
Onset Date: 12/25/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: Terazol 7

Symptoms: Dizziness, vomiting, headache, and nausea

Other Meds: Earin Effexor Topamax Imatrix

Current Illness: migraines

ID: 0937651
Sex: F
Age: 33
State: OH

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data: not tested

Allergies: none

Symptoms: started as an erythematous area over the vaccine site, with itching, and over the next 2 days it expanded a couple of centimeters making it 3x4 cm, until day 7 I had become a 7x7 erythematous area, with induration, warmth, and tender to touch, evaluated by a physician and recommended starting antibiotics, started doxycycline 100 mg twice a day, and by 24 hours of starting medication swelling was improved, with a complete resolution on day 7 of antibiotics, a very small area of discoloration remains, but it is likely to my skin color.

Other Meds: only contraceptives

Current Illness: none

ID: 0937652
Sex: F
Age: 62
State: TN

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

Lab Data: n/a

Allergies: n/a

Symptoms: Immediate numbness/tingling in left arm and left hand and both feet. Left arm/hand symptoms lasted ~15 minutes. Symptoms in both feet lasted 5-6 hours and continue intermittently.

Other Meds: Synthroid; Estrogen; Progesterone

Current Illness: n/a

ID: 0937653
Sex: M
Age: 60
State: KY

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

Lab Data:

Allergies: IVP Dye Teflaro Cymbalta Lyrica

Symptoms: After monitoring patient for 15 mins he then returned to his office. Called around 30 mins or so later and stated he was experiencing itching all over body and extreme nausea. Employee health went to office to check on patient. Face did appear flushed, but no rash seen. Stayed with patient until he stated he felt better and no further issues.

Other Meds:

Current Illness:

ID: 0937654
Sex: F
Age: 76
State: FL

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

Lab Data:

Allergies: Seasonal allergies

Symptoms: Lightheaded, woozy, tired, strange

Other Meds: Gabapentin, Requip, Ambien, Calcium, fish oil, multivitamin, probiotics, vitamin D three, melatonin, Crestor, low-dose aspirin.

Current Illness: None

ID: 0937655
Sex: F
Age: 64
State: NE

Vax Date: 01/04/2021
Onset Date: 01/07/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: codeine, stevioside

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA 64-year-old female presents as a rapid response team patient status post immunization her second shot was done on Tuesday 2 days ago. She had some diarrhea last night and had some body aches in her arms following the rules today she woke up did not eat breakfast which is not abnormal for her did have some coffee came to work describes some myalgias and felt sweaty felt chilled so she went downstairs had a glass of orange juice to see if that would help had a small helping of hashbrowns did not help she was so she went to employee health in the then was sent here for further evaluation. Patient denies any heart or lung problems high blood pressure diabetes has URI symptoms. No history of PEs or DVTs denies hypertension she fell your blood sugar is low but has no documented history of hypoglycemia is not on any hypoglycemic medications. No history of PEs or DVTs no travel or surgeries. No nausea or vomiting with the diarrhea. Also complains of body aches.BP 120/69 | Pulse 76 | Temp 37 ?C (98.6 ?F) (Oral) | Resp 21 | Ht 1.676 m (5' 6") | Wt 198 lb (89.8 kg) | SpO2 95% | BMI 31.96 kg/m? Labs reviewed on the chart are normal symptomatically she feels better offered Toradol for myalgias she refused she I suspect is having a reaction/side effect not an allergic reaction to her vaccination she received. Patient discharged.

Other Meds: hydrocodone/APAP, tretinoin topical

Current Illness:

ID: 0937657
Sex: F
Age: 39
State: NC

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

Lab Data:

Allergies:

Symptoms: Received the vaccine and the following day started experiencing aches, chills, nausea and headache. An ERT (emergency response was called at work) ; however, there was no further treatment.

Other Meds:

Current Illness:

ID: 0937658
Sex: F
Age: 29
State: MN

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

Lab Data:

Allergies: Amoxicillin, Augmentin, Erythromycin and Macrobid

Symptoms: Patient had COVID moderna vaccine on 1/4 with minimal side effects beyond some pain. Patient given Tetanus vaccine on 1/11 in opposite arm and the following day an large ovid erythematous patch at injection site for covid vaccine

Other Meds: Claritin and NuvaRing Patient was given Moderna COVID vaccine on 1/4/2021. Had erythema patch and pain at site of injection from covid vaccine after given the tetanus vaccine on 1/11/21.

Current Illness: None

ID: 0937659
Sex: F
Age: 37
State: MA

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

Lab Data: N/A

Allergies: N/A

Symptoms: Within first half hour I experienced increase in heart rate (110 BPM) , dizziness and headache. This subsided within 10-15 minutes. I experienced slight fatigue and soreness at injection site approximately 4 hours after receiving vaccination. This morning upon waking, approximately 20 hours after, I experienced a slight headache and continued soreness at injection site. Headache and soreness at site continue 25 hours after vaccination. No treatment needed other than resting, maintaining hydration and taking naproxen.

Other Meds: Ashwagandha, Naproxen

Current Illness: N/A

ID: 0937660
Sex: F
Age: 61
State: TX

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

Lab Data:

Allergies: Sulfa

Symptoms: After day 9 post vaccine injection red rash that itches presented. Took benadryl, area has progressively gotten redder, hot and itching. Now cover entire bicep area of left upper arm. Photo taken today for documentation Moderna 037 k or (IC) 2 or Z o or 0 A Lot number is hand written so hard to tell exact lot number Given 12/3/2020 at Medical Center

Other Meds: Synthroid 0.88 mg po daily Estrogen 2 mg daily

Current Illness: None

ID: 0937661
Sex: F
Age: 37
State: AL

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

Lab Data: none

Allergies: NKDA

Symptoms: Vaccine given about 09:20, patient ambulated 30 feet without difficulty, began texting on phone and shared her right arm & finger was numb & tingling. Patient became anxious acting, claimed "I feel dizzy & heart racing." Patient monitored, 09:25 heart rate less than 100, states dizziness has resolved, patients respirations even & unlabored skin pink and dry. 09:30 Patient talking in a relaxed manner with co-workers, does continue to complain of "my fingers feel asleep". Pt monitored for over one hour. Patient ambulating without issues out of observation area, skin pink warm, dry, no acute distress reports numbness & tingling resolved, has full range of motion to right arm.

Other Meds: UNKNOWN

Current Illness: NONE

ID: 0937662
Sex: F
Age: 69
State: NE

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

Lab Data:

Allergies: propoxyphene, amoxicillin, amox/clavulanate

Symptoms: Moderna COVID-19 Vaccine EUA About 30 minutes after receiving the vaccine she felt dizzy and lightheaded and felt like she was going to pass out. She is a type II diabetic but they did not have any ability to check her blood sugar at employee health. Therefore, rapid response team was called and patient was brought here to the emergency department. Patient notes that she has had a couple of syncopal episodes in the past in her life and has had several near syncopal episodes. Upon arrival to the ED her blood sugar was noted to be 99. She is feeling little bit better but still just a little bit dizzy. She was completely and entirely asymptomatic prior to getting the vaccine shot. She has not been ill lately. BP 116/68 | Pulse 62 | Temp 36.7 ?C (98.1 ?F) (Oral) | Resp 15 | Ht 1.524 m (5') | Wt 229 lb 8 oz (104 kg) | SpO2 100% | BMI 44.82 kg/m? 69-year-old female presented to the emergency department following a near syncopal episode after getting her COVID-19 vaccine. She is normotensive, not tachycardic, tachypneic or hypoxic. She has a normal physical exam and normal cardiopulmonary exam. Lab work-up shows a mild chronic anemia with a hemoglobin of 9.9. BMP, chest pain panel normal. EKG was normal. Patient was kept on cardiac monitoring and given oral fluids. We then got her up and she was ambulatory without symptoms and without difficulty. Therefore, this appears to be a vasovagal near syncopal episode that has resolved. Work-up here is negative. No further work-up is indicated. Will discharge home, rest, fluids, cautioned her that she might feel poorly for a day or 2. Follow-up with primary care as needed. Return for worsening symptoms.

Other Meds: allopurinol, vit c, atorvastatin, bydureon, clobetasol, famotidine, lansoprazole, metformin, nystatin topical, pioglitazone,

Current Illness:

ID: 0937663
Sex: F
Age: 70
State: KY

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

Lab Data:

Allergies: Zofran

Symptoms: Day 14 after vaccine have red skin a vaccine site, extending to 3 inches round vaccine site. Previously only had arm soreness with no redness until day 14.

Other Meds:

Current Illness:

ID: 0937664
Sex: M
Age: 38
State: VT

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

Lab Data: none at this time

Allergies: unknown

Symptoms: c.o fever severe headache and fatigue

Other Meds: unknown

Current Illness: unknown

ID: 0937665
Sex: F
Age: 28
State:

Vax Date: 12/18/2020
Onset Date: 12/26/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Viral URI; sore throat

Other Meds:

Current Illness:

ID: 0937666
Sex: F
Age: 29
State: MA

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

Lab Data:

Allergies: None

Symptoms: Patient received the first dose of the covid vaccine on 12/30, and today 1/10/21 my arm has been itchy and I now have a round ring like rash on my arm near the injection site

Other Meds:

Current Illness:

ID: 0937667
Sex: F
Age: 29
State: OR

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

Lab Data:

Allergies:

Symptoms: Nausea, hives, vomiting, fever 101, fatigue lasting 2 days.

Other Meds:

Current Illness:

ID: 0937668
Sex: F
Age: 46
State: FL

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

Lab Data:

Allergies: n/a

Symptoms: vomiting, chills lasted 5 hours

Other Meds: birth control pills

Current Illness: congestion from allergies

ID: 0937670
Sex: F
Age: 58
State: IL

Vax Date: 12/18/2020
Onset Date: 12/25/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: seasonal allergies, sulfa allergies

Symptoms: swelling and painful at injection site within first 24hrs in left arm. Red, itchy raised rash after 7 days post injection that increased in area. Burning sensation experienced. Skin still discolored more than 20 days after 1st shot. 2nd dose in right arm: same reaction within 48hrs. redness, burning , itchiness sensation spreading to upper arm.

Other Meds:

Current Illness:

ID: 0937672
Sex: M
Age: 66
State: KS

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

Lab Data: None

Allergies: Codeine

Symptoms: Six days after the shot, my are started to itch and a red area developed 4 inches by 3 inches. I am not experiencing any pain. The red area itches on one side of the red area.

Other Meds: Atorvastatin , Lisinopril, multivitamin and a low dose aspirin

Current Illness: No

ID: 0937673
Sex: M
Age: 52
State: FL

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

Lab Data: My neurologist was not available so I did not see a physician following the incident. I stayed home from work the next day (Jan 12, 2021) and rested. I have a small throbbing headache as of this writing.

Allergies: Penicillin

Symptoms: While driving home from Pharmacy after getting my Flu shot I started seeing squiggly lights which is indicative of an upcoming Migraine headache. I haven't had a migraine headache in over 10 years. The squiggly lights got larger and obstructed my field of view. As soon as I got home I found my prescription from my neurologist. I took one tablet of: BUTALB-APAP-CAF50-325.

Other Meds: None

Current Illness: None

ID: 0937674
Sex: F
Age: 50
State: NC

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

Lab Data:

Allergies:

Symptoms: Received 1st dose vaccine and became nauseated, dizzy, lightheaded and almost passed out.

Other Meds:

Current Illness:

ID: 0937675
Sex: F
Age: 64
State:

Vax Date: 12/22/2020
Onset Date: 01/02/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: COVID positive

Other Meds:

Current Illness:

ID: 0937676
Sex: M
Age: 60
State:

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

Lab Data:

Allergies:

Symptoms: Covid Exposure

Other Meds:

Current Illness:

ID: 0937677
Sex: M
Age: 54
State: CA

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

Lab Data:

Allergies:

Symptoms: Fatigue

Other Meds:

Current Illness:

ID: 0937678
Sex: F
Age: 52
State: KY

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

Lab Data:

Allergies: LATEX

Symptoms: TONGUE SWELLING, ARM PAIN, ARM TINGLING, MILD CHEST PAIN, NAUSEA, MILD SOA

Other Meds:

Current Illness:

ID: 0937679
Sex: F
Age: 42
State: IL

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

Lab Data: Covid test at 1330 on 01/11/21, negative result on 01/12/21.

Allergies: none

Symptoms: High fever 26 hours post injection. Severely painful headache, extreme fatigue. Very large red, feverish patch at injection site, approximately 5"/2". Fever lasted approximately 12 hours, took ibuprofen and excedrin migraine for headache throughout the course of the day...approximately 1200mg of ibuprofen over an 18 hour period, 800mg excedrin migraine for the same period. Fever broke, symptoms started to subside. Lower fever second day post vaccination, milder headache, injection site still inflamed and very sore. Even lower fever third day, no headache, injection site still swollen, but not as painful.

Other Meds: 37.5mg amitriptyline/day, 25mg hydrochlorothiazide/day, unisom 2 tablets/day

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm