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: 0938872
Sex: F
Age: 19
State: UT

Vax Date: 01/05/2021
Onset Date: 01/10/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: injection site has been itchy since i got the shot. i noticed about four days ago that my lymph nodes in my left armpit were super tender. about six days after injection left neck lymph nodes became extremely swollen and tender. on day seven i noticed a rash all over my upper left arm from top of shoulder to about half way down my upper arm. extremely red and super itchy.

Other Meds: nikki birth control

Current Illness: none

ID: 0938873
Sex: M
Age: 42
State: FL

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

Lab Data: Treated in Emergency Department with IV fluid and Phenergan for nausea on 1/11/21.

Allergies: NKA

Symptoms: Approximately 30 minutes after receiving his 2nd dose of the Pfizer COVID vaccine he had sudden onset of dizziness, nausea, and feeling flushed. He went to Emergency Department for treatment. He was discharged from the Emergency Department to home. On 1/12/21 he states nausea and dizziness gone. Slight headache. Feels better.

Other Meds: None

Current Illness: None

ID: 0938874
Sex: F
Age: 31
State: MD

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

Lab Data:

Allergies: Sulfa, keflex

Symptoms: Red, firm, itchy, swelling at injection site and swollen neck lymph nodes 1 week after injection

Other Meds: Hydroxychloroquine, estradiol, l-methylfolate

Current Illness:

ID: 0938875
Sex: F
Age: 59
State: NY

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

Lab Data: Blood glucose: 165 EKG

Allergies: lobster

Symptoms: Palpitations and anxiety. Resolved by the time she sought treatment in the ED. No rash, swelling.

Other Meds:

Current Illness:

ID: 0938876
Sex: F
Age: 45
State: IL

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

Lab Data:

Allergies: Bactrim

Symptoms: developed muscle aches in the neck and shoulder area within 12 hours of vaccine administration. Took 96 hours for symptoms to resolve completely

Other Meds:

Current Illness:

ID: 0938877
Sex: F
Age: 59
State: NJ

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

Lab Data: 1/6/2021 Covid test PCR-results: negative

Allergies: None

Symptoms: 1/5/2021 at 3am I woke up feeling very lightheaded and dizzy. Went back to sleep and At 7am woke feeling same. I took routine vitamins and 2 extra strength Tylenol. Symptoms lasted all day with difficulty walking due to the dizziness. Also had difficulty focusing, blurry vision. 1/6/2021 still a little lightheaded just a little dizzy. Headache ( I have routine headaches). lightheaded and dizziness decreased with each day.

Other Meds: Probiotic, biotin, multi Vit, Vit D, digestive enzymes, advil

Current Illness: None

ID: 0938878
Sex: F
Age: 53
State: CA

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

Lab Data:

Allergies:

Symptoms: Hot to touch at injection site itchy huge red welt welt is 5-6 inches around

Other Meds:

Current Illness:

ID: 0938879
Sex: F
Age: 45
State: PA

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

Lab Data: None

Allergies: Bee Stings and Walnuts

Symptoms: Face,neck and arms had blotches all over them and lips were swollen. Injection was at 1:15pm after I had waited my 15 minutes I left and it happened in the car and notified the person that gave me the injection and was told to go to Emergency Room. Was told by Emergency Room that I should not have had the injection being allergic to bee stings. Was given IV with Steroid. Discharge papers said Allergic reaction to drug.

Other Meds: None

Current Illness: None

ID: 0938880
Sex: M
Age: 57
State: VA

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

Lab Data: 1/11/2021: CXR = There is scattered nodular ground glass and confluent opacification of the lungs bilaterally, primarily within the posterior regions and lower lobes. No evidence of 1/11/2021: CXR = There is scattered nodular ground glass and confluent opacification of the lungs bilaterally, primarily within the posterior regions and lower lobes. No evidence of pleural effusion or pneumothorax. Findings: no PE, trace pericardial effusion with mild generalized cardiomegaly; atypical infectious vs inflammatory etiology, such as covid 19 pneumonia. Cta pulmonary arteries w/wo contrast: no PE, same as cxr for effusion, pneumonia suggestion. 1/11/2021 Labs: COVID 19 positive, D-Dimer 0.77 (0.27-0.50), CRP 156.2 (<9.9), RVP panel was all negative; BNP 47, WBC 7.5 with 90 neutrophils, h/h 11.1/34.6, troponin I <0.012, and has lots of other labs ? CMP, HFT, renal panels, UA, etc

Allergies: Meloxicam

Symptoms: this 57yo Male ret. He received his first Pfizer covid vaccine on Jan 7th to left arm at hospital (not where he works). He went home and reported was fine, but tired. Stated his fatigue and onset of shortness of breath began day 1 post vaccine kept him from working. As his symptoms worsened, on day 4 (1/11/2021) he obtained a pulse ox and O2 sats were in the "80's" with normal heart rate. He went to ER on 1/11 1507 with body aches, fatigue, chest discomfort and SOB where he was ultimately admitted with diagnosis of COVID-19 pneumonia. Is on O2 support via NC.

Other Meds: Prednisone 2mg every other day (Cut from 3mg on 12/16/20) Te Prednisone 2mg every other day (Cut from 3mg on 12/16/20) Telmisartan 80mg daily Norvasc 10mg daily Coreg 25mg BID Bumex 1mg po daily PRN ? not needed recently Aspar

Current Illness: denies

ID: 0938881
Sex: M
Age: 57
State: CO

Vax Date: 12/17/2020
Onset Date: 12/22/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Chills, Body aches, Head aches, fatigue began evening of 12/22 and lasted 24 hrs

Other Meds: fluoxetine, meloxicam, atorvastatin

Current Illness: None

ID: 0938882
Sex: F
Age: 64
State: AK

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

Lab Data:

Allergies:

Symptoms: Customer rec'd COVID-19 vaccine at 0907 in facility and transferred to post vaccine observation. At 0917 customer called out to provider. Customer reports "a funny feeling" and states that she has commonly felt this feeling prior to allergic reactions. She appears anxious. Customer moved to ante room, closer to emergency supplies. Customer denies feeling SOB, difficulty breathing or tongue/throat swelling. Reports "heart racing." BP 205/100, HR 121, 02 98%. Lungs CTA. Customer accepts Benadryl 50mg PO @ 0920. Customer monitored at site. Over the course of the next 5 minutes she reports feeling better and more relaxed. HR decreases to 78, BP 190/78 @ 0930. Customer reports full resolution of symptoms. Reports having this type of reaction before to oral medications and has previously been monitored in the ED. She denies ever having to receive EPI, and is unsure what treatments were given in ED to resolve symptoms. She has never been admitted for one of these types of reactions, and reports this reaction as a mild compared to others. Customer's husband called to bedside. Customer and escort counseled to watch for progressive s/sx of reaction including increase in throat symptoms, swelling, itching/rash, SOB, chest pain or any other symptoms that are outside her baseline. Instructed to contact EMS for transport to ED. Customer and escort in agreement with plan. Customer instructed to contact PCP Team prior to next vaccine appointment to discuss post vaccine course and discuss risks/benefits and/or pre-treatments prior to next vaccine. Customer denies questions/concerns. Escort verbalizes understanding of instruction and agrees to remain with customer for the next 24 hours. Customer released from site at 1005, ambulating independently with steady gait, no obvious s/sx of distress.

Other Meds: amlodipine (Anxiety) irbesartan (Anxiety, Heart palpitations) lisinopril (Chronic Bronchitis) losartan (Anxiety, Heart palpitations) telmisartan (Heart palpitations, Anxiety)

Current Illness:

ID: 0938883
Sex: F
Age: 38
State: IN

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

Lab Data: N/A

Allergies: Hydrocodone

Symptoms: Vomiting and fatigue/drowsiness on 01/10/2021, fatigue continued through present (1/12/21)

Other Meds: Concerta 36mg; Gabapentin 300mg; Trintellix 20mg; Spironolactone 50mg; Trazodone 50mg; Norethindrone tablets USP, 0.35mg (birth control pill); Tylenol 400mg.

Current Illness: N/A

ID: 0938884
Sex: F
Age: 34
State:

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

Lab Data:

Allergies: mild latex allergy

Symptoms: Patient received vaccine at 5 pm and began noticing reaction symptoms at 5:05 pm. Patient reported feeling tightness in her throat that went to the back of her tongue and her lips felt tingly. Patient reported that all symptoms quickly went away. Patient stayed for 30 minute observation and once complete, patient denied any further or new reaction symptoms. Patient left observation on her own. No medication were given.

Other Meds:

Current Illness:

ID: 0938885
Sex: F
Age: 58
State: WA

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

Lab Data: None

Allergies: severe reaction- medication or bees, not components of vaccine.

Symptoms: Dose provided 9am, then 9:25am pt developed bilateral eye swelling and slight shortness of breath. She has a history of severe allergy to medication/bees so she was already being closely monitored for the full 30 minutes. Her shortness of breath became better after 25mg Benadryl administered orally with water. Patient was monitored another 20 minutes, no other issues. Second dose for home provided. Pt was escorted to the car by RN where sister drover her home to continue to monitor. Nurse called pt to follow up at 2pm same day, no answer, voicemail left.

Other Meds: unknown

Current Illness: unknown

ID: 0938886
Sex: F
Age: 53
State: NC

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

Lab Data: Covid Test

Allergies: Sulfa penicillin Erythromycin

Symptoms: 4/5 hours bad headache, flu symptoms , nausea, Later that night I had chills, fever and was flushed which all lasted two days

Other Meds: None

Current Illness: None

ID: 0938887
Sex: M
Age: 0
State: NJ

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

Lab Data:

Allergies: Medication: Tridol

Symptoms: None

Other Meds: Lisinipril, Symvastatin, Alprazolam, Prozac, Metformin

Current Illness: None

ID: 0938890
Sex: F
Age: 41
State: TN

Vax Date: 12/24/2020
Onset Date: 01/03/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: CBC and other lab work completed on 1-11-21 with PCP. Results have not been received at this point.

Allergies: Hx of environmental allergies. Took allergy shots until 10-20.

Symptoms: 10 days following vaccination, rash, burning, and itching developed on opposite extremity of injection with fever of 99.5. 2 days later rash moved to opposite extremity. Treatment during this time with Claritin and Benadryl. Some improvement noted then worsening again. Saw PCP with tx continued. Rash progressed to neck and chest. Saw allergist approximately day 5 of illness and was advised most likely from covid vaccination. Has return appointment on 2-18. Urged to continue Benadryl, Claritin, and Zyrtec. Pepcid also added. As of 1-12-21 rash improved but remains on neck and chest. PCP has ordered bloodwork but results not received as of yet.

Other Meds: Claritin PRN

Current Illness: sinus infection 12-4. treatment with zpak

ID: 0938891
Sex: F
Age: 49
State: CA

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

Lab Data: none

Allergies: SULFA, AMOXICILLIN, PENICILLIN, ERYTHROMYCIN, strawberries

Symptoms: itching> 25 mg Benadryl

Other Meds: Cymbalta 30 mg , Multi vitamins

Current Illness: none

ID: 0938892
Sex: M
Age: 44
State: CA

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

Lab Data:

Allergies: N/A

Symptoms: ~ 2 HRS AFTER RECEIVING THE SHOT ON 01/05/2021 I EXPERIENCE HEADACHE AND SORENESS AND NUMBNESS ON THE INJECTED SIDE. WHEN I GOT HOME I WASNT FEELING WELL AND STARTED TO EXPERIENCE CHILLS, WEAKNESS AND MY HEADACHE WORSEN. TO THIS DATE IM EXPERIENCING THE FOLLOWING SYMPTOMS: HEADACHE, BODY PAIN, LOST OF TASTE AND SMELL, LOW GRADE FEVER AND SHOOTING PAIN ON MY R LOWER RIB CAGE.

Other Meds: N/A

Current Illness: N/A

ID: 0938893
Sex: F
Age: 62
State: ND

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

Lab Data:

Allergies:

Symptoms: Patient had severe chills and fever when she went to bed. She also noted a very strong bruise feeling and saying it is extremely painful at injection site. In a 3" circle around the injection site, there is a dark red mark and bruising. Patient was advised to take Benadryl and Tylenol and to go to the emergency room if she has any trouble breathing or if symptoms become emergent.

Other Meds:

Current Illness:

ID: 0938894
Sex: F
Age: 48
State: IL

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

Lab Data:

Allergies: Penicillins

Symptoms: developed fever day after vaccination. fever reduced with medication, but then later developed aches, fatigue and chills

Other Meds:

Current Illness:

ID: 0938895
Sex: F
Age: 64
State: SC

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

Lab Data: received ivfluids, solumedrol, famotidine and discharged to home by ED provider

Allergies: aspirin, penicillin, motrin yellow dye and contrast dye

Symptoms: patient stated prior to vaccination that she has many allergies and has had anaphylactic reactions in past to aspirin, penicillin, motrin, yellow dye #5 and Iv contrast dye. writer called Dr to discuss benefit vs. concern for reaction. he advised for patient to receive 50 mg benadryl at 1250 and then be vaccinated. vaccinated her at 1258 and by 1305 complaints of itching and visible hives. walked patient to er room 1 met by nurse.

Other Meds: benadryl prn

Current Illness: no

ID: 0938896
Sex: F
Age: 36
State: TX

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

Lab Data:

Allergies: Allergy to Penicillin and Morphine, dilaudid, cucumber, squash

Symptoms: Patient reports diffuse itching and mouth tingling post vaccination

Other Meds: Ozempic, Proair, Symbicort, prozac, lyrica, lunesta, klonopin,

Current Illness:

ID: 0938897
Sex: M
Age: 31
State: MN

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

Lab Data:

Allergies: Remicade - similar reaction to COVID-19 vaccine (allergy listed in chart as "swelling")

Symptoms: Watched for approximately 15 minutes after vaccination and then as he did not develop any symptoms he left. He notes he was not until approximately 1.75 hours after vaccination that he began to develop a runny nose and aching primarily in his arm. He felt this might be normal but then soon after developed a hot itchy tight feeling in his throat with ongoing rhinorrhea, mild tightness in breathing and soreness in his left arm. He has had similar reactions with Remicade in the past and they became severe and that is why he is no longer using Remicade.

Other Meds: Tylenol Diprolene cream Duloxetine Simponi Hydrocortisone cream Ibuprofen Melatonin Prednisone Triamcinolone cream

Current Illness: Psoriatic arthritis, Psoriasis generalized anxiety disorder, major depressive disorder

ID: 0938898
Sex: F
Age: 53
State: AK

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

Lab Data:

Allergies:

Symptoms: Day after receiving dose, experience a red bump on knee. Day after that additional 10-12 red bumps on both legs, forearms and 1 on forehead. Very itchy and painful. Used calmine lotion. As of today 1/12/21 symptoms improving.

Other Meds:

Current Illness:

ID: 0938899
Sex: F
Age: 27
State: MA

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

Lab Data:

Allergies: Amoxicillin , penicillin, polycmyxin

Symptoms: Dizzy, feeling faint, nauseous, agitated and can?t sleep

Other Meds:

Current Illness:

ID: 0938900
Sex: F
Age: 47
State: CO

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

Lab Data: none

Allergies: none

Symptoms: Woke up 1/9/21 with pain in my L axilla and swelling. Improved with ice and ibuprofen. Continued to get better of the course of 3 days. No fever but felt ache all over and chills starting 1/8/21 about 8PM, pain in L arm 1/8/21 starting about 2 hours after injection. resolved 1/10/21

Other Meds: birth control pills Blisovi FE 24

Current Illness: none

ID: 0938901
Sex: M
Age: 35
State: CA

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

Lab Data: None

Allergies: NKA

Symptoms: Pt observed for 10 minutes in observation room following administration of Moderna Vaccine. Pt stepped outside after 10 minutes of observation and alerted traffic staff that pt was feeling faint and notified Observation RNs. Pt was assisted to the ground, legs propped up on a chair and applied 2 L O2 via non-rebreather mask. Pt was oriented to time, place and date. After 5 minutes, pt was assisted to a sitting position by RN and tolerated well. After a total of 10 minutes RNs removed oxygen and assisted patient back inside to Observation Room where he was observed for an additional 15 minutes. Pt A&Ox4 and left the clinic without further incident.

Other Meds: None

Current Illness: None

ID: 0938902
Sex: F
Age: 21
State: NY

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

Lab Data: 1/12/2021 covid rapid molecular test neg and urine pregnancy test neg

Allergies: none

Symptoms: pt states that she had vaccine on 1/9 later that night she had splochy rash on chest that resolved on own over night sunday 1/10 she felt feverish, bodyaches and chills with nausea and vomiting continued all day and over night was taking tylenol with mild relief of fever and body aches syptoms have somewhat resolved

Other Meds: none

Current Illness: none did rec hepatitis B vaccine 15 days prior to covid vaccine

ID: 0938903
Sex: F
Age: 49
State: TX

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

Lab Data: None

Allergies: Cephalosporins, codeine

Symptoms: Lymphadenopathy in the axillary are of my left arm. I have not seen a physician regarding the lymphadenopathy as I have no other signs or symptoms. I?ve read this was considered an adverse reaction and wanted to report it

Other Meds: None

Current Illness: None

ID: 0938904
Sex: F
Age: 29
State: CA

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

Lab Data: 1/7/2021 positive for COVID

Allergies: n/a

Symptoms: Moderate Left Arm pain started 12/29/20 (the day of receiving the vaccine). Especially painful when not moving the extremity of the injection site (for example, while sleeping). This lasted about 3 days. On 1/6/2021, I started experiencing cold symptoms (cough, runny nose, sore throat, and headache). On 1/7/2021, I tested POSITIVE for COVID even after receiving the first does of the vaccine. On 1/11/2021 I lost my sense of smell.

Other Meds: n/a

Current Illness: n/a

ID: 0938905
Sex: F
Age: 30
State: IL

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

Lab Data:

Allergies: Sulfonamides

Symptoms: Developed fever and nausea after vaccine. unable to work the day after vaccine

Other Meds:

Current Illness:

ID: 0938906
Sex: F
Age: 56
State: PR

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

Lab Data:

Allergies: Cefazolin

Symptoms: Cellulite at injection site

Other Meds: Losartan 50mg

Current Illness: No

ID: 0938907
Sex: F
Age: 58
State: PA

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: Sore Red arm in injection spot day 7 then day 9&10 muscle aches & chills.. The condition was mild and went away in 48 yours. No Doctor was contacted. Over the counter advil was taken.

Other Meds: Hydrochloriazide 12.5 mg Potassium CL ER 8MEQ Ezetimibe 10MG Atorvastatin 20MG Metoprolol SUCC ER 50MG Bayer Asprin 81 MG Multi Vitamin Vitamin D Biotin5000 mg

Current Illness:

ID: 0938908
Sex: F
Age: 22
State: CA

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

Lab Data:

Allergies:

Symptoms: Fever: 99.9 lasting 1 day chills fatigue

Other Meds:

Current Illness:

ID: 0938909
Sex: F
Age: 53
State: CA

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

Lab Data: Recommended employee go to PCP or Urgent Care.

Allergies: ? Cefuroxime Axetil Rash, Anaphylaxis, Hives and Nausea And Vomiting ? Macrolide Antibiotics Anaphylaxis and Rash ? Prochlorperazine Anaphylaxis anaphylaxis phenothiazine ? Sulfa (Sulfonamide Antibiotics) Anaphylaxis and Rash rash ? Sumatriptan Palpitations and Anaphylaxis Chest pain

Symptoms: Employee received 2nd vaccine yesterday and states vaccine was injected onto her shoulder joint. C/o excruciating pain in her shoulder joint and going up to her neck.

Other Meds: ? cholecalciferol (VITAMIN D3) 1,000 unit (25 mcg) tablet Take 2,000 Units by mouth daily. ? ibuprofen (ADVIL,MOTRIN) 600 MG tablet Take 600 mg by mouth every 6 (six) hours as needed. ? melatonin 5 mg Tab tablet Take 1 tablet (5 mg total)

Current Illness: fatigue

ID: 0938910
Sex: M
Age: 73
State:

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

Lab Data:

Allergies: n[ne

Symptoms: None stated.

Other Meds: amiodarone, Eliquis.wellbuttrin, trazadone

Current Illness:

ID: 0938911
Sex: F
Age: 30
State: ME

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

Lab Data: N/A

Allergies: None known - never had another reaction to a vaccine

Symptoms: 3-5 mins after receiving, developed tachycardia, shortness of breath, dizziness, and nausea. Improved within 2-3 mins, cleared within 5-10 mins. No further reaction.

Other Meds: None

Current Illness: None

ID: 0938912
Sex: F
Age: 38
State: CA

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

Lab Data:

Allergies: sulfa

Symptoms: Covid19 (Pfizer-BioNTech) vaccine: On day 5 following the vaccine, I began to experience "chest pain/tightness," similar to what I felt following a severe cold with cough and loss of smell in March (before covid testing was widespread). I was diagnosed with pleurisy by my MD ~6 weeks after the original illness, and it slowly resolved over time. This current chest pain is similar. It is not limiting my activity, but is a little annoying.

Other Meds:

Current Illness: none

ID: 0938913
Sex: F
Age: 49
State: CO

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

Lab Data: None

Allergies: Tylenol, oxycodone and watermelon

Symptoms: Nursing Home CNA received the COVID vaccine at 1810, began itching and noted hives upper extremity and trunk around 1930 and sx. progressed to lips and tongue swelling and mild difficulty breathing. Employee presented to attached hospital ED at 2030. Employee was treated with Benadryl 25 mg. IV, Epinephrine 0.5 mg IM, Pepcid 20 mg IV and solumedrol 125 mg. IV. Employee was discharged from the ED at 2145 in stable condition. Employee reported no further issues the next day.

Other Meds: None

Current Illness: none

ID: 0938914
Sex: F
Age: 38
State: CA

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

Lab Data: none

Allergies: Cefuroxime Clarithromycin

Symptoms: Experienced tingling of tongue and lips 20 minutes after injection of vaccine. Zyrtec 10mg PO given, with symptoms resolved after 35 minutes.

Other Meds: albuterol inhaler Flonase nasal

Current Illness: none

ID: 0938915
Sex: F
Age: 41
State: NY

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

Lab Data: n/a

Allergies: None

Symptoms: Patient reported to observation area for monitoring post-Injection. ? No prior history of adverse reactions or allergic reactions to any medications, vaccines or injections. ? She reported to myself (Dr.) at 4:05 pm with feeling of lightheadedness, flushing and racing heart beat. ? Initial Exam: Vitals: 143/87, HR 114, O2 sat 100% CV: Tachycardia, regular. No m/r/g Respiratory: CTAB. No w/r/r Skin: Facial flushing but otherwise no rash or hives. Oral: no tongue or lip swelling ? Patient placed in supine position on stretcher, received water hard candy. ? Repeat vitals @ 4:30: 151/84, HR 107, Sp O2 100% Exam: Unchanged. ? After an additional 15 minutes of rest patient was able to ambulate without assistance and ultimately return to home via uber. Boyfriend was alerted.

Other Meds: Birth Control Pill (Low-Ogestrel)

Current Illness: None

ID: 0938916
Sex: F
Age: 61
State: NC

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

Lab Data: none

Allergies: demerol, morphine, codeine, garlic, metoprolol

Symptoms: At 7:00pm felt like I would faint & nauseated. Blood pressure 96/57. Laid down & drank a ton of fluids. Bp came up after 45 min. Felt extremely nauseated, dizzy, sick, nose ran constantly, weak, lethargic, shaking chills for 4 hours. During that time, continued to feel faint, chills, weak & very nauseated. Extremely restless. Temp with ear thermometer was 98.4. Never vomited. Around 11 pm I began feeling better.

Other Meds: Align in the morning, Magnesium at bedtime

Current Illness: none

ID: 0938917
Sex: F
Age: 27
State: MD

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

Lab Data: none

Allergies: none

Symptoms: Day 8 after being vaccinated with the Moderna COVID-19 Vaccine EUA my arm became red, hot and swollen. My arm was also sore. the area affected was right under the injection site.

Other Meds: none

Current Illness: none

ID: 0938918
Sex: M
Age: 51
State:

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

Lab Data:

Allergies:

Symptoms: Patient found unresponsive in chair and incontinent of urine. Returned to consciousness and oriented to surroundings. Patient still lethargic EMS took patient vital signs. Patient vomited. Wife was notified. Patient transported to emergency room via ambulance.

Other Meds:

Current Illness:

ID: 0938919
Sex: M
Age: 39
State: NV

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

Lab Data: n/a

Allergies: Allergic to penicillin

Symptoms: asthma attack resolved within an hour

Other Meds: Daily use of prescription drug allopurinol. OTC daily supplements ? multivitamin, cinnamon, & omega3

Current Illness: N/A

ID: 0938920
Sex: F
Age: 36
State: MO

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

Lab Data: n/a

Allergies: none disclosed

Symptoms: Patient endorsed an 'odd' and 'scratchy-like' feeling in her throat @ 1520. Famotodine 40mg , Diphenhydramine HCl 50mg, and Cetirizine HCl 10mg given PO after No contraindications determined @ 1530. VSS : SpO2 99-100% on RA, HR 64, NIBP 90s/50s (62-67) - 'baseline' per Patient w no c/o orthostasis. Feeling better by 1550. Was released to home w f/u phone call @ 1726 to find her at home and feeling 'much better'. She will report this to her PCP.

Other Meds: none disclosed

Current Illness: none disclosed

ID: 0938921
Sex: F
Age: 47
State: TX

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

Lab Data: no

Allergies: Levaquin, penicillin

Symptoms: Knot at the site. Red rash with itching, Sore throat. 97.9 temp.

Other Meds: Omegazol, multivitamin, Cetirizine

Current Illness: allergy problems

ID: 0938922
Sex: F
Age: 29
State: GA

Vax Date: 12/22/2020
Onset Date: 12/24/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data: COVIDx2; Negative

Allergies: Cecelor

Symptoms: 12/22 vaccination 12/24 48 hour after started to have nasal drip, sore throat. 12/26/2020 low grade fever 12/28/2020 chest congestion; COVID 2nd test; negative sore throat, nasal drip x2 weeks

Other Meds: vit D/Daily

Current Illness: n/a

ID: 0938923
Sex: F
Age: 37
State: ID

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

Lab Data:

Allergies: Pcn pineapple

Symptoms: Facial numbness and headache Have had of history of Bell?s palsy he

Other Meds: Lexapro allergy meds allergy shots

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm