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: 0938721
Sex: M
Age: 29
State: CO

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

Lab Data:

Allergies:

Symptoms: pt reported feeling flush, dizzy immediately after vaccine administration. It quickly resolved, VS WNL. Observed for 30 mins pt reported initial symptoms resolved and no new ones have developed.

Other Meds:

Current Illness:

ID: 0938722
Sex: M
Age: 31
State: AL

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

Lab Data: ?

Allergies: ?

Symptoms: PATIENT STATES FELT LIGHTHEADED BUT RESOLVED. WATCHED AN ADDITIONAL 5 MINS TOTAL 20 MINS

Other Meds: ?

Current Illness: ?

ID: 0938723
Sex: F
Age: 44
State: MS

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

Lab Data: BP monitoring

Allergies: NKA states she thinks she "may have some sort of food allergies" but has never had a severe reaction or needed an EpiPen or emergent care

Symptoms: approx 4.5 hours post vacc pt presents with moderate sized welps (4-5) on left forearm and c/0 itching. Pt assessed for and BP elevated to 160-180/100-120. No other adverse s/sx present, reported or visible. Pt assessed by Dr. Pt given 10 mg Zyrtec and observed 45 minutes. BP reduced to 140/100 and decrease in itching but welps remained unchanged. Dr. recc to see PCP next day for HTN eval. Pt reports she did go to PCP for HTN eval next day. No further adverse reaction reported.

Other Meds: Advair bid for seasonal RAD Albuterol prn seasonal RAD

Current Illness: NKA

ID: 0938724
Sex: F
Age: 39
State: CT

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

Lab Data: None at time of this report.

Allergies: Penicillin

Symptoms: Approximately 5 minutes following injection patient began to experience redness and itching to chest and back. Patient denied shortness of breath, no swelling to mouth or lips. Patient denies pain or shortness of breath. Patient brought to emergency department on campus of vaccine site location.

Other Meds: Epi - pen PRN

Current Illness: None

ID: 0938725
Sex: F
Age: 72
State: TX

Vax Date: 12/28/2020
Onset Date: 01/07/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: none

Allergies: topical brimonidine

Symptoms: Severe itching, swelling, and redness at the injection site extending in a 4-5 inch wide area over the upper arm; no fever, no chills, no nausea or vomiting, no headache; on day 6 the reaction is still present but greatly diminished

Other Meds: cetirizine, 10mg

Current Illness: none

ID: 0938726
Sex: F
Age: 67
State:

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

Lab Data: none

Allergies: Sulfa, prednisone, demerol

Symptoms: 3:28 patient feels dizziness, blurred vision, states she is having trouble focusing her vision. C/O feeling flushed and feeling disoriented. It oriented to person, place, and time upon further assessment. Denies itching or feeling hot. Is experiencing shakiness, does have hand trembling. EMT from vaccine site in attendance. BP 118/66; HR 76; O2 sat 98% on r/a. EMT recommended ambulance transport, patient refused. 3:36 HR 68. 3:45 BP 122/68; HR 67; O2 sat 97% on r/a. 3:50 Patient requested to go to restroom. Attended by nurse P. H. Patient states she feels like her skin is crawling. With assistance examined abdomen region. No redness, swelling or hives noted. 3:54 Patient left with assistance of facility w/c to awaiting personal car driven by husband.

Other Meds: bystolic, lisinopril, some type of beta blocker, thyroid meds, amlodipine, crestor

Current Illness: none

ID: 0938727
Sex: F
Age: 53
State: MI

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

Lab Data: none

Allergies:

Symptoms: Elevated temperature - 99-100 degrees, muscle aches especially at vaccination site, fatigue, slight nausea. Treated with OTC pain reliever and rest. Symptoms weakened after 24 hours, and mostly diminished after 48 hours except slight pain at injection site

Other Meds: Duloxetine, Atorvastatin, Cymbalta

Current Illness: COVID-19 12/7/2020

ID: 0938728
Sex: F
Age: 39
State: UT

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

Lab Data: none

Allergies: none

Symptoms: 30 minutes after receiving the vaccine, patient developed a fever, headache and nausea. Took a nap after and symptoms resolved.

Other Meds:

Current Illness:

ID: 0938729
Sex: F
Age: 38
State: NY

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

Lab Data: none

Allergies: No Known Drug or Food

Symptoms: tongue tingling

Other Meds: none

Current Illness: none

ID: 0938730
Sex: F
Age: 55
State: CA

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

Lab Data: I do not have this information at this time

Allergies: Bactrim- rash, facial swelling Macrobid- unsure Aspirin- vomiting

Symptoms: This is per pt report at follow up visit at primary care clinic. Within 3 min of injection began to experience itchy throat, sensation of throat closing, difficulty breathing. 911 called. Within 10 min she states she developed rash, palpitations, rigors and nausea, low BP. Was given epinephrine and benadryl and transferred to hospital. In ED received more medications and was monitored for 4 hours and send home on oral prednisone and given 2 epi pens. Today is day 5 after reactions and she reports rash/itch improved significantly, she was feeling weak and disorientated at times but this has resolved. Still has a sensation that her body is shaking form the inside but she is not shaking externally.

Other Meds: NONE

Current Illness: prediabetes

ID: 0938731
Sex: F
Age: 28
State: NC

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

Lab Data: N/a

Allergies: No known allergies

Symptoms: Developed a red rash to injection site that soon spread across upper back and neck. No shortness of breath. No difficulty breathing. No loss of consciousness. 10:25 pm - Epi pen 0.3 mg IM given x 1 . Benadryl 50 mg x 1 dose given. EMS called and arrived within 4 minutes. Patient transported to local ER for further evaluation and treatment.

Other Meds: none known

Current Illness: None known

ID: 0938732
Sex: F
Age: 32
State: VA

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

Lab Data: None

Allergies: NKDA

Symptoms: Received moderna vaccine 1/1/2021. On 1/11/2021 persistent tooth pain presented, upper and lower mouth. Pain has persisted for past 2 days (no improvement). 6-10 blister like painful and itchy bumps to head (only in areas covered by hair) presented on 1/11/2021, persistent.

Other Meds: Type 1 diabetic- taking Humalog (carb adjusted before meals) and NPR insulin (twice daily); prenatal vitamin

Current Illness: None

ID: 0938733
Sex: M
Age: 30
State: OR

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

Lab Data:

Allergies: Lactose Cucumber

Symptoms: Symptoms start in the morning, painful burning in right arm, right arm was the injection site, Redness down arm and random blistering along arm small blisters that started in the morning and are fading later in the day, pain extends from the base of the neck and the top of the shoulder down the the finger tips, tingling nerve pain like symptoms, more painful throught out the day long term bruising at injection site bruising still present on day of symptoms.

Other Meds: N/A

Current Illness: N/A

ID: 0938734
Sex: F
Age: 54
State: IL

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

Lab Data:

Allergies: Ace Inhibitors, Amlodipine, Imitrex

Symptoms: developed muscle aches post vaccine. 48 hours post vaccine had to leave shift early and was unable to work shift 72 hours post vaccine due to aches and fatigue

Other Meds:

Current Illness:

ID: 0938735
Sex: F
Age: 40
State: MN

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

Lab Data: MRI - had done yesterday (11th)

Allergies: none

Symptoms: Had a headache prior to vaccine. 20 minutes after vaccine started feel numbness on left side of face and it was affecting vision a little. Called them and they told me to come back. I felt light headed and they put me in the wheelchair and took me to ER. ER: assessed by Dr: heart monitor for 30 minutes. Sent me home to watch my symptoms. Numbness in my face lasted into next day but then went away after that. Still having dizziness on and off since I've received the shot. Headaches - having them, too, off and on. TeleMed appt with DR on 7th. She recommended a MRI of brain - normal.

Other Meds: OTC Multi-Vitamin - 1xday; 2000 unit of Vit D 1x/day

Current Illness: headaches

ID: 0938736
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: None

Allergies: None

Symptoms: Throat and tongue tingling, hot flash

Other Meds: none

Current Illness: none

ID: 0938737
Sex: M
Age: 73
State: LA

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

Lab Data: nasal swab

Allergies: penicillin

Symptoms: hi fever, chills, shaking , headache, fatigue, heavy night sweats-I.E. worse than the covid infection I had

Other Meds: Eliquis, amiodarone, well butrin, trazadone,

Current Illness: covid 19- 6 weeks sgo

ID: 0938738
Sex: F
Age: 43
State: LA

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

Lab Data: referred to allergist . is to have skin testing done

Allergies: No known drug allergies

Symptoms: urticaria angioedema

Other Meds: galcanezumab-gnlm 120 mg/ml monthly alprazalam0.25 mg prn zofran 8 mg tablets prn for migraines nausea magnesium oxide 400mg prn migraine promethazine 25 mg prn migraine zanaflex 2 mg prn migraine

Current Illness: migraines Covid in mid december

ID: 0938739
Sex: F
Age: 39
State: WA

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

Lab Data: Covid test 12/28/20 - not detected

Allergies: Avagard - hand sanitizer

Symptoms: Injection site soreness and headache started on the evening of the day shot was given. The injection site pain was worse the next morning but Tylenol took care of the pain. The headache continued on despite tylenol & ibuprofen, and accompanied by nausea for 4 days, went away for 3 days then came back again until present.

Other Meds: Atorvastatin, Vit D3 fiber supplements

Current Illness: none

ID: 0938740
Sex: F
Age: 42
State: SC

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

Lab Data:

Allergies: None

Symptoms: The day after the vaccine was given, 01/07/2021, I had a headache and nausea around 10:00am. I had to leave work early. I fainted when I got home on Thursday. Felt very tired. So I rested the remainder of the day and that night. On Friday 01/08/2021, I felt very tired and had a temperature of 100.6. I slept most of the day. Friday night I fainted again around 8:00pm. Slept all night. Felt much better on Saturday. Felt normal from Sunday on.

Other Meds: None

Current Illness: None

ID: 0938741
Sex: F
Age: 72
State: MN

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

Lab Data:

Allergies:

Symptoms: Fever 101.9, chills, nausea, body aches, for a day (Thursday), felt better on Friday and ok on Saturday.

Other Meds:

Current Illness:

ID: 0938742
Sex: M
Age: 68
State: NY

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

Lab Data:

Allergies: No Known allergies

Symptoms: Shortness of breath on 12-31-20 about 9 hours Numbness in legs and feet on 12-31-20 about 9 hours Weakness on 12-31-20 about 9 hours Tiredness from 12-31-20 for 6 days

Other Meds: Metformin Losartan Potassium Simvastatin

Current Illness: No

ID: 0938743
Sex: F
Age: 37
State: GA

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

Lab Data: None

Allergies: None

Symptoms: Fever uptake to 100 F, chills, nausea, headache, sharp stabbing back and leg pain, muscle soreness, fatigue

Other Meds: Zoloft 25mg daily

Current Illness: None

ID: 0938744
Sex: F
Age: 27
State: NE

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

Lab Data: None

Allergies: Sulfa, flagyl

Symptoms: Redness and swelling of cheeks. Face feeling hot to the touch. Redness of neck. Took benedryl, ibuprofen and omeprazole and symptoms went away in a few hours.

Other Meds: Fluvoxamine, protandim

Current Illness: Covid that begin on the 12/11/2020

ID: 0938745
Sex: F
Age: 52
State: MI

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

Lab Data: None

Allergies: None

Symptoms: I experienced numbness of my face, starting in my lips, working through my jaw, up my cheeks, up into my eyes, and to my forehead. The numbness / tingling lasted for 30 minutes and then dissipated with no other adverse effects.

Other Meds: None

Current Illness: None

ID: 0938746
Sex: F
Age: 39
State: IL

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

Lab Data: no

Allergies: no

Symptoms: Itchy arm. Location got hard and bigger, golf ball size. Warm to touch.

Other Meds: multivitamin, vitamin C Calcium, Tri-sprintec,

Current Illness: no

ID: 0938747
Sex: F
Age: 41
State: MD

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

Lab Data: N/a

Allergies: None

Symptoms: Increased fatigue day or 2 following vaccine noted to have significant swelling of bilateral eyes. Fluid pockets present eye swelling first noted on 1/11.

Other Meds: Zoloft, tramadol, ibuprofen, saxenda, vitamin d, magnesium

Current Illness: None

ID: 0938748
Sex: F
Age: 39
State: IL

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

Lab Data:

Allergies: NKDA

Symptoms: developed muscle aches, fever, chills, and nausea approximately 15hours post vaccine. unable to report to work the next day, symptoms resolved

Other Meds:

Current Illness:

ID: 0938749
Sex: F
Age: 51
State: IN

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

Lab Data:

Allergies: PCN/CT Dye

Symptoms: Warm feeling in chest Better after waiting and drinking water

Other Meds: None

Current Illness:

ID: 0938750
Sex: F
Age: 66
State: FL

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

Lab Data:

Allergies: Shellfish, Pennicillin

Symptoms: Felt very much like I was going to faint. Had nausea and without proper breathing and fighting through it, I would have passed out. And I was driving. The pain during the injection was one of the most severe I've ever had. It was injected in the top part of my shoulder where there is nothing but bone.

Other Meds: Vitamins - B, D, C, with Biotin and Collagen, Estradiol, Nexium

Current Illness: NO

ID: 0938751
Sex: F
Age: 48
State: WI

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

Lab Data:

Allergies: Penicillin

Symptoms: Patient states that she felt the vaccine go through her body. She says that after about 20 minutes she developed dizziness and throat tightness. She developed erythema across her chest. BP 180/108. O2 sats 98%. No SOB or difficulty breathing

Other Meds: Questran Estrace

Current Illness: None

ID: 0938752
Sex: F
Age: 51
State: IL

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

Lab Data:

Allergies: NKDA

Symptoms: Starting on 1/11/2021 patient states she noticed the injection site becoming red, swollen, itchy and warm to the touch. Pt states it is approximately 3" wide.

Other Meds: Levothyroxine

Current Illness: Denies

ID: 0938753
Sex: F
Age: 40
State: CT

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

Lab Data: None

Allergies: Allergy to nickel and chrome Food allergy -undefined

Symptoms: Started 18h after vaccination, lasted 24h: sore arm fatigue and chills no fever

Other Meds: Prenatal vitamins

Current Illness: None

ID: 0938754
Sex: F
Age: 46
State: TX

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

Lab Data:

Allergies: Levaquin, flexeril, metoprolol, watermelon, bananas, avocadoes

Symptoms: 1/6/2021, 5hrs and 20 min post vaccine: pounding headache, nausea, abd pain, tingly/itchy all over-took tylenol and benadryl 1/7/2021, 6:30 AM, pounding headache, very fatigue, itchy/tingling all over, slight upset stomach, felt feverish, left arm very sore, called into work 1/7/2021, 10:20 am, pounding headache, very fatigue, itchy/tingling all over, slight upset stomach, felt feverish, left arm very sore-took benadryl and tylenol 1/7/2021, 1:15 PM, very fatigue, fever, body aches, upset stomach, right ear throbbing, fever 100.6-employee health notified, was advised to self monitor for 48 hrs and if no improvement to be tested for COVID on 1/9/2021 1/7/2021, 7:27 PM, completely exhausted, on going headaches, chills off and on, body aches, decreased appetite-tylenol taken 1/8/2021, 10:02 AM, headache, body aches, arm swollen and very painful, the pain traveled to the armpit, felt about 60 % better this day, but still fatigue Symptoms remain the same for the day of 1/8/2021 1/9/2021, 9:38 AM, lingering headache, arm and armpit sore; otherwise, feel much better 1/10/2021, 7:27 PM, Felt much better this day, just little fatigue and arm soreness; otherwise not further symptoms.

Other Meds: Trazodone, xanax, lunesta, singulair, prilosec

Current Illness:

ID: 0938755
Sex: F
Age: 66
State: MA

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data: None

Allergies: Suprax

Symptoms: Sneezing and rhino Erbe a x 24 hours

Other Meds: Simvastatin levothyroxine vitamin D calcium

Current Illness: None

ID: 0938756
Sex: F
Age: 54
State: TX

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

Lab Data: None

Allergies: NKDA

Symptoms: Dizzy, nausea for 3 days Nausea is resolved but still very dizzy and my pcp prescribed Meclizine which helps for a awhile

Other Meds: Rybelsus, pravastatin, sergluomet, fenofibrate, baby aspirin, fish oil, lisinopril, calcium, turmeric, stool softener, collagen

Current Illness: None

ID: 0938757
Sex: F
Age: 37
State: IL

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

Lab Data:

Allergies: Amoxicillin

Symptoms: Hard warm lump at injection site and Intense pain down arm to fingers, and up into armpit. General body aches and fatigue

Other Meds: Zoloft

Current Illness: None

ID: 0938758
Sex: F
Age: 40
State: IL

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

Lab Data:

Allergies: Penicillin, Reglan

Symptoms: Pt developed itching and a rash on her arm approximately 2 hours post vaccine. colleague self medicated with Benadryl 7 hours post vaccine. symptoms resolved and colleague reported to work the following day without issue

Other Meds:

Current Illness:

ID: 0938759
Sex: F
Age: 48
State: VA

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

Lab Data: 2 video visits 1. 1/10 and 2. 1/12 prescriptions given on 1/10 for Keflex and on 1/12 for doxycycline

Allergies: sulfa

Symptoms: 039R20A

Other Meds: warfarin, inflectra, metformin,flecainide,

Current Illness: none

ID: 0938760
Sex: F
Age: 51
State: AR

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

Lab Data: None

Allergies: None

Symptoms: Itching, redness, warm and swelling at the injection site. Diameter of area is 2.5 inches

Other Meds: Adderall 20 mg daily Wellbutrin 300 mg daily

Current Illness: None

ID: 0938761
Sex: F
Age: 61
State: OH

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

Lab Data:

Allergies: tramadol, certain sunscreens

Symptoms: I developed right upper arm swelling diffusely, as well as itching, warmth, and induration at the injection site, all 1 week after the vaccine was administered.

Other Meds: lisinopril, metformin, ibuprofen, acetaminophen, daily multivitamin, magnesium supplement

Current Illness: none

ID: 0938762
Sex: F
Age: 57
State: ID

Vax Date: 12/27/2020
Onset Date: 12/28/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data: None

Allergies: Cefzil

Symptoms: Nausea (1 day) Vomiting (1 day) Chills (2 days) Body-aches (2 days) Fever (2 days) Injection site swelling (4 days)

Other Meds: Metoprolol Losartan Invokana Aspirin Pantoprozole Multi-vitamins

Current Illness: UTI

ID: 0938763
Sex: F
Age: 47
State: PR

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

Lab Data: none

Allergies: Aspirin

Symptoms: At 4:43pm while in observation refers to itching in throat and bad taste in the mouth, Dr. is notified who shows up immediately and evaluates, BP 150/50mmhg, Pulse 71/minute, Breaths 18/minute, afebrile, Communicate and alert in time, place and space, not complications, is placed oxygen by nasal cannula at 3lt/min, at 5:05pm by medical order be administered Benadryl 50mg IM in right deltoid under aseptic techniques and kept under observation, at 5:45pm goes out walking and in stable condition by medical order to her home in company co-workers, oriented at notifying any other event, verbalize understanding.

Other Meds: none

Current Illness: none

ID: 0938764
Sex: F
Age: 39
State: CA

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

Lab Data: Patient was taken to ED for further observation

Allergies: ERYTHROMYCIN, IODINE, IBUPROFEN, MOXIFLOXACIN

Symptoms: Patient checked in at observation area at 1247pm first dose Moderna post COVID-19 vaccine. RN in to check at patient at 1259pm sitting on chair on tripod position. I asked her how she is feeling. She said her throat feels itchy. Took patient to gurney to lay down and afterwards started saying that her throat feels like it is closing up. Called for RRT, Epi was given at 1300 and O2 provided. Patient started yelling "Oh my god I am not feeling well" MD at bedside doing assessment. RRT at arrived, hand off given. Patient was taken down to ED via wheelchair by RRT nurse at 1315. Vital signs as follows: 13:05- BP=145/84, HR=135, RR=26, O2 sats 100 at 15li/NC.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 0938765
Sex: F
Age: 64
State: CA

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

Lab Data: None

Allergies: Not known

Symptoms: Caregiver Health Manager, reporting a med error on behalf of the vaccine administrator, LVN, On 1/8/2021, employee received Moderna COVID vaccine dose #2 when her dose #1 was Pfizer. Date of first dose was 12/21/2020. From reviewing the process and witnesses in the vaccination area, this employee missed the check-in desk in lobby prior to going to the vaccination area. There was no validation of her 1st dose date and manufacture; this step is usually done at the front check-in desk . She did not bring her CDC vaccination card of dose #1 of COVID-19. She was not able to recall the name of her dose #1 COVID-19 vaccine which was later validated as Pfizer. LVN, administered the Moderna COVID vaccine for dose #2 in error as today. She should have received Pfizer for dose 2 instead. There is no harm at this time. As of today, 1/12/2021, no adverse effect is reported from this employee.

Other Meds: Not known

Current Illness: No

ID: 0938766
Sex: M
Age: 32
State: TX

Vax Date: 12/29/2020
Onset Date: 01/02/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: Neck X-ray.

Allergies:

Symptoms: Received the shot Tuesday night on left arm. Soreness and pain for a day or two. Pain went away for a couple of days. Saturday night started to get neck arm and shoulder sorness arm tingling and numbness and pain near elbow top of forearm. MD check injection site and no redness or tenderness at location of shot just arm and neck and back. Was given steroid pack and muscle relaxer. Steroid pack made me feel worst and sick. Pain in arm comes and goes and neck. MD diagnosed possible pinch nerve.

Other Meds: Zyrtec, vitamin c, elderberry, vitamin d, zinc, ginger all in one multivitamin, align probiotic

Current Illness: Psoriasis. Seasonal allergies and asthma

ID: 0938767
Sex: F
Age: 32
State: IL

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

Lab Data:

Allergies: NKA

Symptoms: Developed fever, chills, aches, fatigue approximately 12 hours post vaccine. unable to report to work the day after vaccine administered

Other Meds:

Current Illness:

ID: 0938768
Sex: M
Age: 72
State: NY

Vax Date: 12/29/2020
Onset Date: 01/10/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: None taken

Allergies: cipro

Symptoms: No initial symptom other than soreness in arm for about 2 days. Then, 12 days after the vaccination, a red rash started to be seen at the area where the injection was. That area felt warm. The nest two days, including today, the rash started to spread, covering a major part of the upper part of my arm. The arm is warm to the touch. I plan to go to a medical clinic tomorrow, as I am now, visiting my daughter and grandchildren, until January 24.

Other Meds: enalapril atorvastatin hydrochlorothiazide metoprol tamsulosin vitamin c

Current Illness: none

ID: 0938769
Sex: F
Age: 31
State: TX

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

Lab Data: none

Allergies: none

Symptoms: Severe Chills and Nausea

Other Meds: multivitamins Vitamin D Immune Support Supplement

Current Illness: none

ID: 0938770
Sex: F
Age: 38
State: MI

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

Lab Data:

Allergies:

Symptoms: Fever100.7 chills, headache, nausea, body aches

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm