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: 0937810
Sex: M
Age: 32
State:

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

Lab Data:

Allergies:

Symptoms: Chills, body aches and fever.

Other Meds:

Current Illness:

ID: 0937811
Sex: U
Age: 39
State:

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

Lab Data:

Allergies:

Symptoms: covid positive

Other Meds:

Current Illness:

ID: 0937812
Sex: F
Age: 64
State: GA

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

Lab Data:

Allergies: Erythromycin

Symptoms: Rt arm from shoulder - elbow, red, swollen, hot to touch. C/o pain and itching to whole area. Started small area day after vaccination and gradually grown in size.

Other Meds: hydroxychloroquine, losartan, folic acid, methotrexate, vitamin D3, Tramadol

Current Illness:

ID: 0937813
Sex: F
Age: 45
State: VT

Vax Date: 12/17/2020
Onset Date:
Rec V Date: 01/12/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: body aches nausea, very sore arm 1 day after i2nd injection

Other Meds:

Current Illness:

ID: 0937814
Sex: F
Age: 63
State: PA

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

Lab Data:

Allergies: none

Symptoms: I received my second vaccine uneventfully and approx. 2 1/2 days later I developed a painfully and swollen lower lip , and then it had severe erythema , pain and ulceration . I have never had a cold sore in my life, or shingles . I did receive the chicken pox vaccine in my 30's

Other Meds: Certrazine 10 mg Vit D 50,000 u weekly Ibandronate Q monthly

Current Illness: none

ID: 0937815
Sex: F
Age: 37
State: TX

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

Lab Data:

Allergies:

Symptoms: The patient informed me right after she got the vaccine that she felt cold and tingly like after anesthesia. She also reported a metallic taste in her mouth. She was given water and observed for 30 minutes. I called and left a message for her on 1-12 to see how she was doing.

Other Meds:

Current Illness:

ID: 0937816
Sex: F
Age: 61
State: PA

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

Lab Data:

Allergies: Casein ,sulfa drugs , latex

Symptoms: Arm area red and hot near injection site a week after injection. It was gone 4 days after .

Other Meds: gabapentin,nortriptyline,mgo2,aspirin ,multi-vitamin

Current Illness:

ID: 0937817
Sex: F
Age: 43
State: VA

Vax Date: 01/04/2021
Onset Date: 01/10/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: not known

Symptoms: Diffuse maculo-papular rash at the site of injection, enlarged lymph nodes in the neck, left axillary pain about 5-6 days after the vaccination.

Other Meds: vitamins

Current Illness: none

Date Died: 01/09/2021

ID: 0937818
Sex: M
Age: 63
State: OH

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

Lab Data:

Allergies:

Symptoms: This is being reported because of the incident occurring 2 days after the Moderna Covid-19 vaccination. It was reported that the patient expired on 1/9/21, 2 days after receiving the Moderna vaccine. Upon screening of patient prior to administration on 1/7/21, the patient completed paperwork answering NO to the following "Do you currently have any active infections or acute respiratory illness or fever."

Other Meds:

Current Illness:

ID: 0937819
Sex: F
Age: 38
State: KY

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

Lab Data: none

Allergies: Nitrofurantoin Mono/Mac

Symptoms: I awoke the next morning after my 2nd dose with the following side effects: Extremely light headed to the point it was hard for me to walk without feeling like I would pass out, body aches, severe headache, nauseous but never vomited, extremely tired as if I were given a sleep aid, and weak. I called my primary care physician to see if there was anything I could take to help, they advised me to take Ibuprofen and Tylenol. I started to feel better a few hours after taking Ibuprofen. The next day I just had a headache and am feeling tired. I would say the most extreme symptoms lasted about 10 hours and started to slowly feel better after that.

Other Meds: Diltiazem 120mg daily Womens Multivitamin daily

Current Illness: none

ID: 0937820
Sex: F
Age: 32
State: NV

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

Lab Data:

Allergies:

Symptoms: I felt flushed shortly after leaving the clinic and i became light headed as well. By evening time I was tired and I was too exhausted to get up from the couch. The following day I woke up to a headache and body aches. When I went outside my eyes were very sensitive to light.

Other Meds:

Current Illness:

ID: 0937821
Sex: F
Age: 41
State: NY

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

Lab Data:

Allergies: Sulfa drugs

Symptoms: Chest pain and SOB with onset about 40 min after vaccine and slowly getting worse (never severe, but definitely uncomfortable) over next few hours. Finally tried 2 puffs of my son?s albuterol about 5 hrs post vaccine and felt relief within 20?30 minutes. The next day I had more expected side effects: headache, myalgias, chills and fatigue. No recurrence of the chest symptoms.

Other Meds: Multivitamins

Current Illness: Nonw

ID: 0937822
Sex: F
Age: 36
State: FL

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

Lab Data:

Allergies: N/A

Symptoms: Redness in circular form in left arm where injection was administered on day 7 "Moderna COVID-19 Vaccine

Other Meds: Junel24 FE

Current Illness: N/A

ID: 0937823
Sex: F
Age: 29
State: UT

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

Lab Data:

Allergies: Pt. has no significant past medical history, not currently taking any meds, and has allergies to albuterol which give her hives.

Symptoms: Hypertensive, tachycardic into the 130's and RRT ECG revealed PVCs approximately 40 minutes following first dose of Pfizer-BioNTech COVID-19 vaccine 0.3 mL IM in right deltoid. On duty paramedic examined patient. Pt. has no significant past medical history, not currently taking any meds, and has allergies to albuterol which give her hives. Paramedic performed ECG. Called RRT and transported to ED. Placed on 2 L oxygen via nasal cannula while being monitored. Oxygen saturation up to 99% on room air after monitoring. Symptoms resolved and patient discharged in care of spouse.

Other Meds:

Current Illness:

ID: 0937824
Sex: M
Age: 37
State: MI

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

Lab Data: None at this time.

Allergies: ALLERGIC TO CATS, NO MEDICATION ALLERGIES

Symptoms: One hour after vaccination his left shoulder started to hurt. The pain is mild if he does not move his left arm. The pain is 7/10 or 8/10 on a 0-10 pain scale if he moves his left arm. He was seen at the facility on 1/12/2021 by RN and second RN. Facility nursing staff advised him to take Ibuprofen and to ice the painful injection area with an icepack for 10-15 min an hour for several hours. He was advised to call his PCP today and to follow up with his PCP regarding his injection site pain.

Other Meds: PRILOSEC

Current Illness: NONE

ID: 0937825
Sex: F
Age: 50
State: MI

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

Lab Data: none

Allergies: Benadryl TB shot

Symptoms: 30 minutes after injection patient experienced flushing of face, sweaty palms and shakiness, jaw tightness and nose tingling, heart felt like it was racing. Blood pressure was 150/80 , Pulse 108, respirations 22

Other Meds: Omeprazole Lipitor Prozac

Current Illness: Depression GERD IBS

ID: 0937826
Sex: F
Age: 29
State: MI

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

Lab Data:

Allergies: Nka

Symptoms: Fever 100.9, body aches, chills, sweats, headache, vomiting, left arm numbness

Other Meds: Vitamin b, zinc, vitamin c, propanalol

Current Illness: None

ID: 0937827
Sex: F
Age: 55
State: OH

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

Lab Data: na

Allergies: na

Symptoms: Very fatigued. (4 days) Low Grade Fever (2 days) Bone aches (1 day)

Other Meds: amlodipine besylate elderberry over the counter.

Current Illness: na

ID: 0937828
Sex: M
Age: 24
State: PA

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

Lab Data:

Allergies: denies

Symptoms: Pt. states that he started having body/muscle aches, chills, fever of 100 degrees Fahrenheit, headache, nausea at 2100 pm on 1/11/21. Pt. states that symptoms are resolving, body aches on and off, and headache is worse. Denies taking ibuprofen or tylenol.

Other Meds: 100 mg zoloft, multivitamin, fish oil

Current Illness: denies

ID: 0937829
Sex: M
Age: 51
State: TX

Vax Date: 12/31/2020
Onset Date: 02/05/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: Seasonal hayfever

Symptoms: 9 days after injection approx. 4in triangle of rash. Slight pain with almost constant itch. 4days after symptoms rash still present.

Other Meds: Dietary supplements: multi vitamin, 2300mg fish oil

Current Illness: None

ID: 0937830
Sex: F
Age: 34
State: IN

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

Lab Data: None

Allergies: none

Symptoms: Feeling of flushing/warmth from head to toe, mild itching throughout body, and dizziness/lightheaded. Blood pressure was elevated >180/90, HR 110-120. Gradually decreased and at approximately 30minutes post injection, blood pressure was <145/90 and HR 84. Took 25mg of benadryl approximately 1 1/2 hour after injection time. Symptoms persisted mildly for another 30-45 minutes after benadryl and seem to be gone 5 hours later. Blood pressure 5 hours after was 134/85 which is still a slight elevation from my norm.

Other Meds: levothyroxine, singulair, aspirin, escitalopram, Nexium

Current Illness: Mild nasal congestion

ID: 0937831
Sex: F
Age: 43
State:

Vax Date: 12/22/2020
Onset Date: 12/27/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: COVID positive

Other Meds:

Current Illness:

ID: 0937832
Sex: F
Age: 44
State: IN

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

Lab Data:

Allergies: None

Symptoms: About one hour after receiving the vaccine, my tongue went numb for about 12 hours. I had taste and smell, but tongue was numb.

Other Meds: None

Current Illness: None

ID: 0937833
Sex: F
Age: 68
State: CA

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

Lab Data:

Allergies:

Symptoms: Low Grad fever flu like symptoms headache achy tired sore arm

Other Meds:

Current Illness:

ID: 0937834
Sex: M
Age: 78
State: GA

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

Lab Data: None.

Allergies: None

Symptoms: Patient got the vaccine around 9:15am and around 1pm he was experiencing chills, sweats, fatigue and started vomiting and vomit was yellow in color. 911 was called and he was taken to the hospital. Nursing home staff notified us that patient did not eat anything that day and nothing 1am the day prior.

Other Meds: Unknown.

Current Illness: Unknown

ID: 0937835
Sex: F
Age: 37
State: FL

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

Lab Data: Negative strep test Negative covid test

Allergies: none

Symptoms: Throat became very sore and staff member left work abruptly and went to an urgent care clinic. She had a negative strep test and a negative covid test. She also complained her right eye was twitching. Symptoms subsided in approx. 48 hours.

Other Meds: Birth control, multivitamin, topical essential oils

Current Illness: none

ID: 0937836
Sex: F
Age: 34
State: GA

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

Lab Data: no

Allergies: no

Symptoms: Fluttering of her heart . Rate 160's

Other Meds: no

Current Illness: no

ID: 0937837
Sex: F
Age: 51
State: LA

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

Lab Data:

Allergies:

Symptoms: Swollen under the axial lymph node with pain

Other Meds:

Current Illness:

ID: 0937838
Sex: F
Age: 55
State: CA

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

Lab Data:

Allergies: PENICILLIN, Sulfa, Percocet, DILAUDID, CODEINE,

Symptoms: Headache, fever, body aches, chills, great fatigue. I'm on day 4 of these symptoms

Other Meds: Lisinopril, Combivent, Singulair, Symbicort, Nexium, Zyrtec, Naprosyn, Vitamin D, , Robaxin, Tramsdol

Current Illness:

ID: 0937839
Sex: F
Age: 58
State: NY

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

Lab Data: None.

Allergies: None.

Symptoms: We are reporting a vaccine administration error. The needle was not fully screwed into the syringe at the time of administration. When the vaccinator began injecting the vaccine, there was leakage at the site. It appears approximately half the dose leaked out of the syringe. We have contacted Moderna to determine next best steps.

Other Meds: Not applicable.

Current Illness: Not applicable.

ID: 0937840
Sex: F
Age: 37
State: IL

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

Lab Data:

Allergies: Latex, shellfish

Symptoms: Red, sore itchy arm 1 week after vaccination

Other Meds: Sudafed, ibuprofen

Current Illness:

ID: 0937841
Sex: F
Age: 37
State: IA

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

Lab Data:

Allergies: Morphine, Ibuprofen

Symptoms: Bilateral lymph node swelling in the armpit

Other Meds: Metoprolol Atorvastatin Lisinopril Escitalopram Bupropion Claritin Vitamin D Vitamin B Complex CBD Fiber Gummies Omeprazole

Current Illness: None

ID: 0937842
Sex: F
Age: 56
State: ID

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

Lab Data: None

Allergies: None

Symptoms: Sweating. Dripping sweat. Nausea. Passed out last night.

Other Meds: Blood pressure. Cholor.

Current Illness: None

ID: 0937843
Sex: F
Age: 32
State: CT

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

Lab Data: none

Allergies: none

Symptoms: Headache and dizziness that occurred about 10 minutes after vaccination as well as strange feeling in chest that came and went throughout evening of vaccination but felt like it was gone by the next morning. The next morning symptoms of headache continued and dizziness occurred on and off. Then fever, chills, body aches and joint pain occurred until midday the next day. The morning after vaccination arm pain was present and redness, warmth and pain at the site got bigger throughout the day and lasted for 4 days.

Other Meds: Junel, Xyzal, Montelukast

Current Illness: none

ID: 0937844
Sex: M
Age: 31
State:

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

Lab Data:

Allergies:

Symptoms: COVID esposure

Other Meds:

Current Illness:

ID: 0937845
Sex: F
Age: 62
State:

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

Lab Data:

Allergies: chocolate flavor (anaphylaxis), sulfa (unknown)

Symptoms: During administration of vaccine pt became dizzy and faint. Pt was able to go to the observation area, waited approximately 15 mins and then reported chest tightness, dizziness, rash and itching on her arms, fast heart rate, watery eyes, runny nose, and throat irritant. Vitals were obtained and pt was requested to wait another 15 mins for monitoring. During monitoring period, patient became to complain of increased throat irritation and new tongue swelling. Response team was contacted. During reassessment patient's symptoms decreased. Team decided patient was stable and did not require transport to the ED. Patient was monitored for another 15-20 minutes with symptoms resolving. Patient was advised to discuss reaction with her PCP prior to getting second dose of the vaccine.

Other Meds:

Current Illness:

ID: 0937846
Sex: M
Age: 30
State: NY

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

Lab Data:

Allergies: No

Symptoms: 2 inch diameter red circle around the injection right lasting 3 days, area was warm to touch and very sensitive. Joint pain, joints ached with movement for 48 hours after injection. Mild muscle pain for 24 hours after injection. Fatigue lasting whole day, the day after injection. Neck pain at base of skull started 48 hours after injection, lasted for 48 hours.

Other Meds: Ibuprofen

Current Illness: None

ID: 0937847
Sex: F
Age: 34
State: PA

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

Lab Data:

Allergies:

Symptoms: 3 minutes after receiving 1st dose Covid vaccine experienced paresthesias of lips and oropharynx that self-resolved within 5-10 minutes. Also developed paresthesias of bilateral hands and feet with stomach discomfort.

Other Meds:

Current Illness:

ID: 0937848
Sex: F
Age: 36
State:

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

Lab Data:

Allergies: none

Symptoms: fever, chills, myalgia, malaise

Other Meds: none

Current Illness: none

ID: 0937849
Sex: F
Age:
State: AZ

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

Lab Data:

Allergies: Tetracycline - (delirium)

Symptoms: None stated.

Other Meds: Metoprolol 25 mg. 2 X day Sertraline 100 mg. daily Omega 3, 3000 mg. daily Losartan 25 mg. daily Albuterol INH as needed SOB HCTZ 25 mg. daily B 12, 1000 mcg daily Atorvasta

Current Illness:

ID: 0937850
Sex: M
Age: 62
State: MO

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

Lab Data: none

Allergies: Bactrim DS

Symptoms: First day, heart skipping every 5-6 beats. Nausea.. Not able to stand up. Excessive tiredness.

Other Meds: Theragran M multi vitamin. Nicotinamide 500mg daily

Current Illness: Bullous Pemphigoid

ID: 0937851
Sex: F
Age: 58
State: ME

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

Lab Data:

Allergies:

Symptoms: On day #9 post injection (12/31/20) of Moderna Vaccine I developed a red itchy rash (no raised bumps), about the size of goose egg around injection site. I have been taking 50 mg Benedryl PO at bedtime. Today is day #12 post injection and the rash has spread slightly, but the redness and itching are significantly reduced.

Other Meds:

Current Illness:

ID: 0937852
Sex: F
Age: 27
State: MA

Vax Date: 01/02/2021
Onset Date: 01/09/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: None

Allergies: Have intolerance to oysters (no documented allergy) and have swelling/reddness after bee sting.

Symptoms: Moderna COVID-19 Vaccine Exactly seven days after receiving the first dose of the vaccine I developed a rash that reserved a large hive near the site of injection. The skin was red with a wheal-like appearance and felt warm to the touch as well as swollen. I had no other symptoms and it was mildly itchy but not very bothersome. This rash improved by the next day, however the area was still red (less swelling and less redness overall) and now it is only very faintly noticeable.

Other Meds: Spirnolactone 50 mg daily, vyvanse 40 mg daily, lisinopril 2.5 mg daily

Current Illness: No

ID: 0937853
Sex: M
Age: 55
State:

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

Lab Data:

Allergies:

Symptoms: Mild headache, sore arm, slight fever, lethargy

Other Meds:

Current Illness:

ID: 0937854
Sex: F
Age: 28
State: IA

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

Lab Data: As of the last conversation I had with patient, she was waiting to her back from her PCP. No testing had been completed at that time.

Allergies: Allergic to Sulfa

Symptoms: Patien called today (1/12/2021) and stated that at approximately 3:00pm yesterday, after receiving her COVID vaccine at 12:30pm. She states that she developed a rash that was itchy. She states it was on her sides and abdomen and patchy. She states this morning she woke up and her lips were slightly swollen and she feels like she has pins and needles throughout her body, and that sensation is intermittent. She states her throat is also itchy. She denies any difficulty breathing, throat tightening or shortness of breath. She is taking Benadryl and has called her PCP and is waiting for a call back from Dr. r

Other Meds: 1. respirdone 2 mg 2. respirdone 1 mg 3. prihexyphenidyl 2mg 4. serteraline 100mg 5. lomotrin 100mg 6. lorazempam 1mg 7. mirtazapiane 30mg

Current Illness: none

ID: 0937855
Sex: F
Age: 59
State: TX

Vax Date: 12/27/2020
Onset Date: 12/29/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: Lotral

Symptoms: swollen axillary lymph nodes on the same side vaccine was given. Prescribed Ibuprofen 600 mg tablet by primary physician

Other Meds: Amlodipine and Valsartan 5mg/160mg Osphena 60 mg Calcium 600 mg & Vitamin D3 Nture's Bounty Hair Skin and Nails with Biotin

Current Illness: none

ID: 0937856
Sex: F
Age: 25
State: OH

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

Lab Data: N/A

Allergies: None

Symptoms: Constant headache and fatigue since evening of injection

Other Meds: Desvenlafaxine Kariva (birth control)

Current Illness: None

ID: 0937857
Sex: F
Age: 47
State: CA

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

Lab Data: None

Allergies: Penicillin

Symptoms: Patient develops a big feverish lump/bump around the vaccine site with itchy, redness skin 7 days

Other Meds: Fish oil, Glucosamine

Current Illness: None

ID: 0937858
Sex: F
Age: 47
State: PA

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

Lab Data: None

Allergies: None known

Symptoms: Arm pain and weakness for 10 (ten) days. 600 and 800 mg doses of ibuprofen

Other Meds: Lisinopril HCTZ

Current Illness: None known

ID: 0937859
Sex: F
Age: 62
State:

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

Lab Data:

Allergies: chocolate flavor (anaphylaxis), sulfa (unknown)

Symptoms: During administration of vaccine pt became dizzy and faint. Pt was able to go to the observation area, waited approximately 15 mins and then reported chest tightness, dizziness, rash and itching on her arms, fast heart rate, watery eyes, runny nose, and throat irritant. Vitals were obtained and pt was requested to wait another 15 mins for monitoring. During monitoring period, patient became to complain of increased throat irritation and new tongue swelling. Response team was contacted. During reassessment patient's symptoms decreased. Team decided patient was stable and did not require transport to the ED. Patient was monitored for another 15-20 minutes with symptoms resolving. Patient was advised to discuss reaction with her PCP prior to getting second dose of the vaccine.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm