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: 0938771
Sex: F
Age: 58
State: TX

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

Lab Data: None

Allergies: Codeine

Symptoms: Rash and pain to injection site, size of a quarter.

Other Meds: Benicar 10 mg 1 po qd

Current Illness: None

ID: 0938772
Sex: F
Age: 61
State: CO

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

Lab Data: None

Allergies: Sulfa, Cefepime

Symptoms: Fever/chills 104.8, N/V, severe fatigue/weakness, severe headache, body aches

Other Meds: Diovan/Htz, Ecitilopram, ASA, AREDS 2

Current Illness: None

ID: 0938773
Sex: F
Age: 61
State: WI

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

Lab Data:

Allergies: Bee Venom

Symptoms: Patient reported rash on left wrist approximately 10 minutes after receiving vaccine. Also reported pruritus at site of redness. Patient was monitored by provider and throughout duration of monitoring developed rash on wrist, neck, and left forearm with pruritus at all sites. Patient given 50mg of Benadryl PO approximately 25 mins after reaction. Within 30 mins of administering medication redness and pruritus had resolved and patient left clinic in stable condition.

Other Meds: Amlodipine 5mg Losartan 100mg Levothyroxine 25mg

Current Illness: None

ID: 0938774
Sex: F
Age: 46
State:

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

Lab Data:

Allergies:

Symptoms: Patient is a 46 y.o. female who was seen at SVH COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination. ? She denied any history of previous adverse reactions to vaccines. ? She was given the Moderna vaccination in the right deltoid muscle. ? During her 30 minute waiting period after the injection, the patient began to experience migraine. She denied rash, hives, difficulty breathing, difficulty swallowing, wheezing, itching, lightheadedness, facial swelling, lip swelling and tongue swelling. ? This provider was notified of patient reaction and she was then assessed in the emergency bay area. ? Monitored patient for severe reaction symptoms, including but not limited to blood pressure abnormality .

Other Meds:

Current Illness:

ID: 0938775
Sex: M
Age: 56
State: IL

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

Lab Data:

Allergies: NKDA

Symptoms: developed a fever day of vaccine

Other Meds:

Current Illness:

ID: 0938776
Sex: M
Age: 73
State: NY

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

Lab Data: n/a

Allergies: none

Symptoms: Patient said he developed a rash on parts of his body. Pharmacist on duty on 1/11/21 recommended benadryl topical to the patient

Other Meds: n/a

Current Illness: n/a

ID: 0938777
Sex: F
Age: 38
State: CA

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data: None

Allergies: amitrix- causes limp limbs

Symptoms: caller stated that vaccine caused chills, heart rate increase, nausea, vomiting, body aches and migraines lasting 72 hours.

Other Meds: multivit, turmeric, zinc, baby aspirin, vit D3, super B, omega 3, apple cider vinegar supplement and NAC

Current Illness: Corvid tested positive 11/23/20

ID: 0938778
Sex: F
Age: 29
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient describes after a couple weeks, the patient is experiencing soreness to touch, redness, pain and is "wrapping down" her arm towards her armpit. Also itchiness

Other Meds:

Current Illness:

ID: 0938779
Sex: F
Age: 38
State: TX

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

Lab Data: None

Allergies: None

Symptoms: severe fatigue, stiff joints, muscle weakness, low grade fever, severe headaches, pain to injection site, swollen lymph nodes

Other Meds: Hydroxyzine, hydrochloroquine, magnesium, vitamin b complex, DHA, tylenol, loratidine, NP thyroid

Current Illness:

ID: 0938780
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: Ultrasound of LUE shows indurated tissue without abscess or defined fluid collection.

Allergies: None

Symptoms: Redness, warmth, increasing pain near injection site, swelling with induration, firm to touch.Today's plan of care: treat with heat packs and oral analgesics and continue to monitor site for changes.

Other Meds: Current medications (see note on page 2)levothyroxine, lisinopril, ipratropium-albuterol inhalation solution, xanax, provera, spironolactone, albuterol sulfate inhaler.

Current Illness: Acute bronchitis 12/28/20 (see note on page 2) Seen by FNP on 12/28/20 for acute bronchitis and treated with Decadron 8 mg IM, prescribed prednisone 20 mg, cefdinir 300 mg (which should have both been completed by 1/4/21), and ipratropium-albuterol inhalation solution.

ID: 0938781
Sex: F
Age: 44
State: KS

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

Lab Data: Had labs 1/8/2021 with normal WBC, normal CMP, blood cultures negative thus far. CRP 2.5 (0.0-0.5) and ESR 34 (0-15) .

Allergies: Sulfa-rash Augmentin-rash

Symptoms: Pt with vaccination. Week later had hard knot that was painful and expanded. Had erythema and induration that was size of entire upper arm 8x8 inches. Treated by her employee health for possible cellulitis. Seen in PCP office today and expanding erythema stable from yesterday and decreased erythema/pain today.

Other Meds: allegra D, Lo loestrin FE

Current Illness: none

ID: 0938782
Sex: F
Age: 63
State: KY

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

Lab Data:

Allergies: Sulfur

Symptoms: After receiving second covid vaccine, injection site is red with a circle larger than 2 inches (4 by 6 inches). Symptoms include runny nose, headache, fever and are ongoing since vaccine. Have not visited healthcare professional yet.

Other Meds: CBD oil

Current Illness:

ID: 0938783
Sex: F
Age: 31
State: MD

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

Lab Data: N/A

Allergies: Penicillin and sulfa

Symptoms: I had a metallic taste in my mouth and slight tingling of the tongue blade with onset 10 mins following vaccination. This lasted about 3 hours.

Other Meds: Buspirone 10 mg BID

Current Illness: N/A

ID: 0938784
Sex: F
Age: 58
State: OR

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

Lab Data: None

Allergies: NKA

Symptoms: Chattering teeth, chills, fever 100.4, lightheaded, dizzy, black out fall to floor, body aches, mild headache, cotton headed, fatigue, left arm pain, neck/shoulder aches

Other Meds: Baby aspirin, multivitamin, vit c, elderberry, vit E, fish oil, ashwanganda, vit D, Tylenol

Current Illness: None

ID: 0938785
Sex: F
Age: 41
State: IL

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

Lab Data:

Allergies: Sulfonamides

Symptoms: Developed fever, chills, aches and fatigue within 24hour of vaccine administration

Other Meds:

Current Illness:

ID: 0938786
Sex: M
Age: 32
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: I was fine immediately after the shot on Friday 1/8/21. I experienced slight muscle soreness in the left arm near the administration site. At about 8:30PM, I started to get chills and started to have muscle soreness all throughout my body (shoulders, arms, back, legs, abdomen, etc.). I went to bed at about 11:30PM with the soreness and chills. I woke up at about 7AM and the chills had resolved. The muscles soreness and now a headache remained up until about 5:30PM on Saturday 1/9/21. After that, I felt right back to normal.

Other Meds: N/A

Current Illness: N/A

ID: 0938787
Sex: M
Age: 42
State: TX

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

Lab Data: 1/11/21 ultrasound

Allergies: No

Symptoms: Armpit swollen lymph nodes swollen

Other Meds:

Current Illness: No

ID: 0938788
Sex: F
Age: 49
State: MS

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

Lab Data:

Allergies: Erythromycin

Symptoms: Redness,swelling with knot, heat to site. 3-4 inch knot in diameter. Chills & fatigue.

Other Meds:

Current Illness:

ID: 0938789
Sex: F
Age: 34
State: NC

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

Lab Data:

Allergies: Sulfa drugs

Symptoms: During the overnight hours after recurrent my vaccine i developed fever, cold, and headache. All day I have had a low grade fever up to 100.9 as well as headache and weakness/ fatigue.

Other Meds: Oral contraceptive, hctz, flonase, loratadine

Current Illness:

ID: 0938790
Sex: M
Age: 23
State: IL

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

Lab Data:

Allergies:

Symptoms: Chills, fever, nausea, and diarrhea

Other Meds:

Current Illness:

ID: 0938791
Sex: F
Age: 43
State:

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

Lab Data:

Allergies:

Symptoms: Bells Palsy

Other Meds:

Current Illness:

ID: 0938792
Sex: F
Age: 66
State: TX

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

Lab Data:

Allergies:

Symptoms: Vaccine administered at 08:17am. At 9:10, patient felt flushed and dizzy and experience tingling in mouth; patient was administered Benedryl orally at 9:20am. At 9:25, 911 was called and an Epi was administered that was available provided by on-site pharmacist. Patient was subsequently transported by local EMS to a healthcare facility.

Other Meds:

Current Illness:

ID: 0938793
Sex: M
Age: 72
State: AZ

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

Lab Data: BASIC METABOLIC PNL EGFR 48.6 mL/min 60 - 300 L Final ages 18 - 70 Years. reported according to NKDEP recommendations (2006) and have been validated for GFR values are in serum Creatinine, Age, Sex and Race. dy equation based GFR is estimated using the MDRD stu FR is reported in ML/Min/1.73 Sq. Meters Estimated G 5 <15 15 - 29 4 3 30 - 59 60 - 89 2 1 90 Or Greater _______ ______________________________________________ CKD STAGE GFR EGFR 40.1 mL/min 60 - 300 L Final BUN 21 MG/DL 7 - 23 Final CALCIUM 8.9 MG/DL 8.5 - 10.5 Final CHLORIDE 112 MMOL/L 95 - 112 Final CO2 19 MMOL/L 23 - 31 L Final CREATININE 1.78 MG/DL 0.4 - 1.6 H Final GLUCOSE 61 MG/DL 65 - 110 L Final POTASSIUM 4.0 MMOL/L 3.3 - 5.1 Final SODIUM 139 MMOL/L 133 - 148 Final

Allergies: none

Symptoms: Patient admitted to skilled nursing, current diagnosis and symptoms before during and after vaccine is diarrhea, chills, shaking and fatigue. Unknown if side effect of vaccine or due to medical condition.

Other Meds: Calcium Acetate (Phos Binder) Capsule 667 MG Fenofibrate Micronized Capsule 134 MG Atorvastatin Calcium Tablet 40 MG Ipratropium-Albuterol Solution 0.5-2.5 (3) MG/3ML levETIRAcetam Tablet 500 MG Claritin Tablet 10 MG (Lora

Current Illness: N17.9 ACUTE KIDNEY FAILURE, UNSPECIFIED E11.9 TYPE 2 DIABETES MELLITUS WITHOUT COMPLICATIONS N18.30 CHRONIC KIDNEY DISEASE, STAGE 3 UNSPECIFIED I25.10 ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITHOUT ANGINA PECTORIS E78.5 HYPERLIPIDEMIA, UNSPECIFIED J44.9 CHRONIC OBSTRUCTIVE PULMONARY DISEASE, UNSPECIFIED G40.89 OTHER SEIZURES I45.10 UNSPECIFIED RIGHT BUNDLE-BRANCH BLOCK R73.9 HYPERGLYCEMIA, UNSPECIFIED I10 ESSENTIAL (PRIMARY) HYPERTENSION M62.81 MUSCLE WEAKNESS (GENERALIZED) R13.12 DYSPHAGIA, OROPHARYNGEAL PHASE R26.2 DIFFICULTY IN WALKING, NOT ELSEWHERE CLASSIFIED R26.81 UNSTEADINESS ON FEET R41.841 COGNITIVE COMMUNICATION DEFICIT Z74.1 NEED FOR ASSISTANCE WITH PERSONAL CARE

ID: 0938794
Sex: F
Age: 42
State: UT

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rash on left arm and right wrist 48 hours after first dose of Pfizer-BioNTech COVID-19 vaccine 0.3 mL IM in left deltoid. Patient tool cetirizine PO and used triamcinolone cream topically. Appears to have resolved, but no further details in the patient's chart.

Other Meds:

Current Illness:

ID: 0938795
Sex: F
Age: 58
State: RI

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

Lab Data: N/A

Allergies:

Symptoms: Received Moderna 1st dose within 15 minute observation time, c/o "tingling to top of throat" and " circumoral numbness and tingling. Declined intervention/Benadryl. Dr. in clinic and evaluated. Monitored x30 minutes. Symptoms subsiding.

Other Meds:

Current Illness:

ID: 0938796
Sex: F
Age: 30
State: TX

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

Lab Data: None

Allergies: no known allergies

Symptoms: itchiness, redness and swelling at injection site 7 days after vaccination.

Other Meds: metformin, spironolactone for PCOS

Current Illness: No

ID: 0938797
Sex: F
Age: 57
State: KS

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

Lab Data: Unknow

Allergies: Metronidazole - anaphylaxis

Symptoms: Within 30 minutes her right arm burned to finger tips, arm became reddish purple, fingers began to tingle. Day 2: headache, nausea, extreme anxiety while watching TV, woke in middle of the night with feeling on something crawling over legs, and chills like was in ice water. Day 3: extreme feeling of anxiety throughout the day, pins and needle tingling in hands and feet up to middle of calves, nausea, weakness in thighs, woke up three times during the night with feeling of something crawling over legs, headache. Day 4: pins and needles feeling in hands and feet up to middle of calves, anxiety, feeling of racing heart, headache. Day 5: headache, nausea, tingling in hands, up to elbow left arm and feet up to middle of calves, tremor in left hand, weakness in thighs hard to climb stairs, woke with left eye swollen to slit, blurred vision left eye, eyes, burned all day even with eye drops, chest pain 4 separate times. Day 6: woke with swollen left eye, headache, tingling in hands and feet up to middle of calves, weak thighs, hard time pushing obese patient to car in wheelchair, numbness in left side of face, smile intact, blurred vision left eye. Day 7 - Day 13: still experiencing headache, left eye blurred vision, left hand and foot tingling, but progressively better.

Other Meds: Levothyroxine, omeprazole.

Current Illness: Bladder infection about 4 weeks before that was treated with nitrofurantoin.

ID: 0938798
Sex: F
Age: 48
State: MI

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

Lab Data: NA

Allergies: None

Symptoms: Severe chills followed a few hours later by fatigue and headache

Other Meds: Sertraline 25 mg, psyllium fiber, Calcium and Vitamin D

Current Illness: None

ID: 0938799
Sex: F
Age: 22
State: NJ

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

Lab Data:

Allergies:

Symptoms: erythematous hard lump in left upper arm around 3 inches in length and width starting Day 2 after administration right under site of administration. Started getting itchy Day 3/4 and redness subsided, raised bump still evident and sore.

Other Meds:

Current Illness:

ID: 0938800
Sex: M
Age: 37
State: KY

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

Lab Data: None

Allergies: NKA

Symptoms: I've had a few episodes of dizziness. Since a few days after the vaccine I've a pain in the left side of my neck that radiates to my left eye. It seems that this pain is traveling. I've also had several headaches. I do not get headaches. I have not been treated for these events. Still having soreness/pain in left side of neck and eye to this date. 01/12/2021.

Other Meds: Zero

Current Illness: Zero

ID: 0938801
Sex: F
Age: 24
State:

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

Lab Data:

Allergies:

Symptoms: Patient is a 24 y.o. female who was seen at COVID Vaccine Clinic today for her second dose of the COVID 19 vaccination. ? She denied any history of previous adverse reactions to vaccines. Denies any adverse effects after receiving her first COVID vaccine. ? She was given the Pfizer vaccination in the right deltoid muscle. ? During her 15 minute waiting period after the injection, the patient began to experience throat scratchiness and cough. She denied difficulty breathing, difficulty swallowing, throat tightness, dizziness and facial swelling. ? This provider was notified of patient reaction and she was then assessed in the emergency bay area. ? Monitored patient for severe reaction symptoms, including but not limited to rapid progression of symptoms.

Other Meds:

Current Illness:

ID: 0938802
Sex: F
Age: 52
State: IL

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

Lab Data: none

Allergies:

Symptoms: Approximately 15 min post injection - "Feeling hot all over like I had dye for a CT scan. " No other c/o/ symptoms. Elevated HR of 93 and elevated BP of 164/93. Stayed an additional 15 minutes. Able to take water. After additional 15 minutes VS taken again and stable, but BP 155/97.No further complaints. Denies need to stay longer. Instructions given to call physician or 911 if symptoms change or worsen.

Other Meds: Covid-19 vaccine Moderna (1st vaccine( Lot number 011L20A. given 1/12/2021

Current Illness:

ID: 0938803
Sex: M
Age: 78
State: AZ

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

Lab Data: NONE

Allergies: NO Allergies

Symptoms: NONE

Other Meds: Medicines: Xarelto..20 mg, Olmesartan Medoxomil & Hydrochlorothiazide tablet 40mg/12.5mg, Mekixucam 15mg, Metoprolol Succinate ER 25mg tablet, Atorvastatin 20mg tablet....Vitamin B12, D3, E, Fish Oil, Lecithin, Turmeric

Current Illness: NONE

ID: 0938804
Sex: F
Age: 64
State: TX

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

Lab Data: None

Allergies: Sulfa, penicillin, Mobic, etodolac

Symptoms: Nausea and weakness for 2 weeks. Unable to eat, dry mouth. Treated with zofran, remeron, promethazine.

Other Meds: Montelukast sodium, metoprolol, lexapro, HCTZ, cetirizine, vitamin D3, Vitamin C, naproxen, simvistatin

Current Illness:

ID: 0938805
Sex: M
Age: 46
State: TN

Vax Date: 12/30/2020
Onset Date: 01/03/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: Sun 10pm change in taste. Taste continued all day Tuesday. Had COVID test done. It was negative. That evening his eye started blinking.... Bells Palsey. Difficulty with face movement. Today still persisting. Now taking a steroid. He is a MD.

Other Meds: no

Current Illness: no

ID: 0938806
Sex: F
Age: 35
State: TX

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

Lab Data:

Allergies: Darvocet, Paxil, Reglan, Vancomycin

Symptoms: After vaccination I felt diaphoretic and dizzy. After waiting in the monitoring area for 45 minutes I drank some water and felt like my bilateral upper thighs were difficult to lift when I tried to walk to my car. I went home and was tachycardic 120-130bpm that continued throughout the night to the point I couldn't sleep my heart was pounding so hard and fast. I was extremely thirsty and dehydrated all night. I continued to have tachycardia for several days despite hydrating. My thighs also continued to feel week for several weeks. I developed a 100.7 F temperature and had flu like symptoms the following days.

Other Meds: Prenatal vitamin

Current Illness: NONE

ID: 0938807
Sex: F
Age: 55
State: MS

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

Lab Data:

Allergies:

Symptoms: Hives - on both arms and legs and trunk front and back x 3days Also, c/o top lip having tingling sensation off and on.

Other Meds:

Current Illness:

ID: 0938808
Sex: F
Age: 52
State:

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

Lab Data:

Allergies: quinolones, contrast media, linezolid, vancomycin, sulfa, shellfish, daptomycin, tocilizumab

Symptoms: coughing, flushing, cyanosis, diaphoresis

Other Meds: codeine, Combivent

Current Illness:

ID: 0938809
Sex: F
Age: 56
State: CA

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

Lab Data: None

Allergies: shrimp

Symptoms: Patient was given first dose of Pfizer COVID vaccine and had no immediate pain on injection. She stated she developed increased pain in her right shoulder joint and was unable to sleep the night of the injection on 12/22/20. She stated the pain continued to increase and was unable to sleep on that shoulder. She was seen by her primary care provider on 1/8/21 for continued pain and decreased range of motion in her R shoulder, she is unable to raise it above shoulder height. She continues to have pain and decreased range of motion despite rest and ibuprofen.

Other Meds: Estrogen, prometrium, ibuprofen

Current Illness: none noted

ID: 0938810
Sex: F
Age: 53
State: AZ

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

Lab Data: NONE

Allergies: none

Symptoms: NONE

Other Meds: janel fe 28 zoloft multi vitamin sudafed

Current Illness: none

ID: 0938811
Sex: F
Age: 71
State: SC

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

Lab Data: They took blood but do not know what for

Allergies: Codeine and Morghine.. Bell peppers, (ALL) Melons and family ; Pineapple, Mayonnaise, Milk products; some spices

Symptoms: after the shotI saat 15 miuntes. let started haveing trouble with mt throat . it started to close ! I went back to where I got the shot, they hit me with an Epic pen and they called 911. I felted as if I was going to pass out . was taken to The ER , they treated me wit three different meds and keep me tere for a few hours ang sent me home with meds to take . theysaid if I should hve any more problems come back. and That I was There first csae like this from the shot.. I was plenty scared.

Other Meds: cardio Regan ( over counter) Losartan 50mg, Diphenox?atrop, Montelkast 10 mg, Pantopazolena., Albuterol, Pepcip20mg.

Current Illness: none

ID: 0938812
Sex: M
Age: 16
State: WY

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

Lab Data:

Allergies: Unknown

Symptoms: Vaccine was given to 16 year old employee. Mother was in attendance at the time. No side effects have been reported to date.

Other Meds: Unknown

Current Illness: Unknown

ID: 0938813
Sex: F
Age: 34
State:

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

Lab Data:

Allergies:

Symptoms: Patient is a 34 y.o. female who was seen at COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination. ? She denied any history of previous adverse reactions to vaccines. ? She was given the Moderna vaccination in the right deltoid muscle. ? During her 15 minute waiting period after the injection, the patient began to experience dizziness and diaphoresis. She denied difficulty breathing, throat tightness and facial swelling. ? This provider was notified of patient reaction and she was then assessed in the emergency bay area. ? Monitored patient for severe reaction symptoms, including but not limited to blood pressure abnormality , rapid progression of symptoms and syncope. Patient states she last ate an apple with PB around 1pm today, but has not had much else today. Denies drinking much water today. She was working in surgery a majority of the day.

Other Meds:

Current Illness:

ID: 0938814
Sex: F
Age: 30
State: CA

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

Lab Data:

Allergies:

Symptoms: Headache, body ache, fever, fatigue. Improving.

Other Meds:

Current Illness:

ID: 0938815
Sex: F
Age: 41
State: TX

Vax Date: 12/21/2020
Onset Date: 12/27/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data: I went to the ER I had a CBC, EMP, EKG.

Allergies: Abolox, immatrex, wheat, lettuce, potato, and egg whites.

Symptoms: 5-6 days after my shot I had a allergic reaction. Anaphylaxis.

Other Meds: Protonix, valtrex, vit E and D, B complex.

Current Illness:

ID: 0938816
Sex: F
Age: 53
State: PA

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

Lab Data:

Allergies:

Symptoms: Patient developed Tinnitus for 20 minutes immediately after COVID vaccine. Severe joint pain (history Rheumatoid Arthritis) began 4 hours later, and she could barely move hands. She had a severe asthma attack (history asthma) 1 hour later. Breathing has been poor since then with many asthma attacks and oxygen level as low as 79%. Still cannot sleep lying down without oxygen level dropping. Seen at Lung Center 12/31/2020 began tapering prednisone dose beginning at 60mg. Didn't tolerate 40mg so was at 60mg through 1/9/2021. Now decreased to 40 mg and is having increased shortness of breath and more breakthrough nebulizers. 1/4/2021 feeling no better. Given dexamethasone and kept on steroids. Returned to working just at home on 1/11/2021. No history of asthma reaction this severe in past other than post- ablation, but duration then was shorter.

Other Meds:

Current Illness:

ID: 0938817
Sex: F
Age: 31
State:

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

Lab Data:

Allergies:

Symptoms: External and internal ear pain -- shooting pain.

Other Meds:

Current Illness:

ID: 0938818
Sex: F
Age: 32
State: CA

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

Lab Data:

Allergies:

Symptoms: Fatigue, muscle ache, body ache

Other Meds:

Current Illness:

ID: 0938819
Sex: F
Age: 50
State: CA

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

Lab Data: None

Allergies: No Known Allergies

Symptoms: Post vaccination, HCW reports she sustained Right arm swelling, pain, warmness to touch. Red spots were noted at injection site and was warm to touch. HCW reported staggering Motrin 800mg and Tylenol 1000mg around the clock for a period of 3 days. Also used cold compress to to right arm. On 01/12/2021, 5 days post vaccination, HCW reports some relief in pain , decrease in arm swelling and improvement in redness at the injection site. The HCW sought evaluation at the facility's Occupational Health Center and was instructed to continue Motrin and cold compress and report back if symptoms worsens.

Other Meds: Multi-Vitamins every morning , Levothyroxine 75 mcg by mouth every morning. Zyrtec 10 mg by mouth every morning

Current Illness: No known illnesses

ID: 0938820
Sex: M
Age: 30
State: AZ

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

Lab Data: None

Allergies: Ibuprofen

Symptoms: Within 3 minutes of receiving vaccine felt flush and throat swelling, responded to Epi Pen and Benadryl p.o. EMS took him to ED where he remained several hours receiving 1 liter NS 125 mg solumedrol IV, discharge with 4 days of prednisone 40 mg daily and a prescription for an Epi Pen. As of 1.12 he is totally okay with no after effects.

Other Meds: None

Current Illness: None known

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm