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: 0939627
Sex: F
Age: 43
State: WI

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: Went to ER. They did an ultrasound and identified a hematoma. I feel more. Ive had flu shots every year and never has this happened to me before. Hospital ran ultrasound and sent me home.

Allergies: Dogs Morphine Estradiol

Symptoms: Injection site at 830pm started itching intensely. Injection site expanded to darkened bruise nickel to quarter to half dollar size. Became darker within 4 hours of injection to almost deep blue black with 2 small lumps that turned to the feeling of a very hard solid flat feeling like that of a flat quarter underneath the skin. Outside the bruise hives started in the size of mosquito bites but reduced with benadryl. Next day outside the bruised are a larger secondary rash started. Pain and itch is intermitment and goes up and down with benadryl and tylenol and ibprofen. Also the 7th. awoke extremly stomach sick and horrible headache. Same issues thru to 1/11 then felt overly lethargic tired sleepy all day on and off with runny nose and headache. 1/12 add diarrhea to the list of issues.

Other Meds: Tylenol Iron Supplement Duloxetine Metatoprolol Omeprazole Ropinerole Xarelto Valtrex Losartan Topamax Verapamil Excedrin &Rizatriptan as needed only

Current Illness: HBP Aortic ascending aneurysm Hormonal imbalance- early hysterectomy Fibromyalsia Asthma

ID: 0939628
Sex: F
Age: 25
State: OH

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Intolerant to milk and wheat/gluten.

Symptoms: Got vaccination at 11am. At 7pm felt general feeling of malaise. Went to bed at 9:30 but had trouble getting to sleep. Woke up at 5am with body aches and headache. Sat on the toilet but felt dizzy, had ringing in my ears, and felt woosy. Laid back on bed and raised feet above my head. Took my temperature, it was 99.3F, which is a little high for me. Ringing stopped after I laid down.

Other Meds: Sertraline 50 cetirizine Women's multivitamin Oregeno sambucus elderberry spray

Current Illness: Seasonal allergies

ID: 0939629
Sex: F
Age: 79
State: LA

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/13/2021
Hospital: Y

Lab Data: Hgb 9.1, HCT 29.8, Gluc 113, K+ 5.4, Cr. 2.0, urine culture taken

Allergies: Bactrim, Codeine, Methotrexate, PCN, Sulfamethox

Symptoms: The patient presented to hospital on 1/6/2021 with a primary complaint of Fatigue (pt had covid vaccine yesterday. Now displaying increased weakness, blood in urine, increased confusion and urinated on herself today. Fever of 101.9 ) 79-year-old female presents to the emergency room with fatigue. The patient states yesterday she had the Moderna COVID-19 The patient states today she had a temperature 101.8? prior to arrival. Her son noted that she was having episodes of urinary frequency and also that she was profoundly weak and fatigued. They denied falling or hitting her head. The patient also states she been having nausea vomiting with diarrhea.

Other Meds: Amlodipine 10mg/day, Eliquis 2.5mg/day, Cyanocobalamine 1000mg Gabapentin 300/day, Lisinopril, 40mg/day, Metformin 500mg XR/day, Lopressor 25mg/day, Zofran 4mg/day, Protonix 40mg/day

Current Illness: Anticoagulant use, arthritis, asthma, AFib, bacteremia, CHG, lLumbar fractures, COPD, DM, DVT, Abcess, lung CA, Lupus, MRSA, Osteoporosis, PVD, Psoriasis, Sjorgrens, stroke, venous insufficiency of leg

ID: 0939631
Sex: F
Age: 43
State: VA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Codeine, sulfa, cipro

Symptoms: Headache, extreme fatigue, burning in muscles, burning in lungs

Other Meds: MTV, Zyrtec

Current Illness: None

ID: 0939632
Sex: F
Age: 39
State: FL

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: bananas, latex.. PPD reaction, Has to get x-rays always negative

Symptoms: at 7:30 pm Itching on arms and burning sensation on all over back with some swelling and tingling on left top lip.. Took benadryl didnt subside then took 60 mg prednisone and it subsided.

Other Meds: Alka Seltzer Sinus and Allergy, 800 mg Ibuprofen, 600 mg gabapentin, Nexuim

Current Illness: Lupus, Fibromyalgia, Rheumatoid Arthritis

ID: 0939633
Sex: M
Age: 56
State: FL

Vax Date: 01/07/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Lymph node is swollen in the arm that injection was giving. Large lymph node

Other Meds: Klonopin .5 mg Metformin Lisinopril Multi vitamin

Current Illness: None

ID: 0939635
Sex: F
Age: 47
State: IN

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: Demerol

Symptoms: Large hive left arm. Measuring 19x24 cm

Other Meds: Propranolol, levothyroxine, zyrtec, flonase, blisovi fe, vit d

Current Illness: None

ID: 0939636
Sex: F
Age: 67
State: FL

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: Sulfa Penicillin

Symptoms: The lady lost consciousness, not responsive, pale, dizzy, was evaluated on site by fire rescue. Transferred to hospital by ambulance at 9:11 am and the lady and husband refused to go to the hospital. Released home at 9:27 am.

Other Meds: None

Current Illness: None

ID: 0939638
Sex: F
Age: 57
State:

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received shot at 10:18 AM, started experiencing nausea at 11:09 AM, was administered epi-pen at 11:30 AM followed by 50mg of benadryl. Noted that patient had headache, nausea, high blood pressure, trouble breathing and went by ambulance to ER

Other Meds:

Current Illness:

ID: 0939639
Sex: F
Age: 69
State: FL

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: She reported some hives but refused to be evaluated by fire rescue. At 10:16 am verbalized to feel better and went home.

Other Meds: None

Current Illness: None

ID: 0939640
Sex: F
Age: 42
State:

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Was unable to swallow, breathing was not affected. Throat muscles felt weaken. Was given a Benadryl, symptoms resolved soon after.

Other Meds: Losartan Vitamin D Probiotic

Current Illness: None

ID: 0939641
Sex: F
Age: 31
State: PA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Cephalosporin

Symptoms: My left hand where I had the shot went numb an hour or so later until the next day, arm was very sore for 3 days, sweats,chills, fast heart beat, light headed, dizzy

Other Meds: Well butrin. Pre-natal

Current Illness:

ID: 0939642
Sex: M
Age: 41
State: NY

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: 1/12/2021, Ultrasound of right upper arm to rule out abscess

Allergies: none that are known

Symptoms: 1/11/2021 | 7 days after -Itchy at injection site but not red or swollen 1/12/2021 | 8 days after -Itchy at injection site -Red at injection site -Hot at injection site -Swollen at injection site -Right Arm Weakness -Feeling of random electrical impulses ER Visit on 1/12/2021 -Ultrasound completed, no abscess seen -advised to take benadryl to relieve itchiness -advised to take acetaminophen & Ibuprofen for pain -Alternate use of hot & cold pack for swolleness 1/13/2021, 9 Days after -Right Arm Pain -Redness Traveling 1/4 of an inch outside of circle from 1/12/2021 -Swollen by injection site -Red at Injection Site -Hot At Injection site -Feeling of fatigue -Headache

Other Meds: *Metoprolol Succinate ER 50 mg oral tablet, extended release, 1 pill twice a day *Pantoprazole 40 mg oral delayed release tablet, 1 pill twice a day *One A Day, Men's Gummy Multivitamin, 2 gummies daily *Emergen-C, 1000mg Vitamin C, 1 p

Current Illness: none that are known

ID: 0939643
Sex: F
Age: 30
State: NM

Vax Date: 01/05/2021
Onset Date: 01/07/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Azithromycin

Symptoms: The initial shot wasn't bad. Sore arm within 5 hours. That's all I had, until Thursday evening at 6. Overwhelmed with exhaustion and fatigue. Massive headache coinciding. My arm felt like I had tennis elbow and overall joint pain. Nausea and vomiting through the night. Went to bed about 9:30. Woke up with a fever of 99. Off and on fever and chills through Friday, 72 hours after initial injection. Finally resolved late Friday night.

Other Meds: Wellbutrin and trazodone

Current Illness: None

ID: 0939644
Sex: F
Age: 52
State: ME

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: n/a

Symptoms: Patient reports, within normal vaccine reaction until day 5 on 1/3/2021. the injection site got bigger, itchy and more painful to touch. On 1/6, saw PCP where it grew in size to 9 cm 7 cm. PCP told patient they were going to report reaction. Today, 1/12 things are better, site with quarter size redness but still a 4 or 5 pain level but only when touching site.

Other Meds: Vit B comples, Vit D, lisinopril, lamotrigine

Current Illness: n/a

ID: 0939645
Sex: F
Age: 39
State: ME

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: N/A

Symptoms: Felt fine on 1/4, day of vaccine except for sore arm and neck pain in the night. 1/6, perorbital edema bilat and jaw swelling, red rash over face except for forehead and itchy. Benadry 25 mg taken on 1/6 and 1/7. Sx resolved by morning on 1/9

Other Meds: Wellbutrin, vit C Emergency

Current Illness: N/A

ID: 0939646
Sex: F
Age: 66
State: CT

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Chills, fever, fatigue, migraine, nausea, arm soreness

Other Meds: none

Current Illness: none

ID: 0939647
Sex: F
Age: 39
State: PA

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: n/a

Allergies: nka

Symptoms: Arm tenderness for 3 days after, which I know is common but then 1 week later raised on the surface below injection site with redness, and itchiness.

Other Meds: Junel Fe, calcium, turmeric taken daily

Current Illness: n/a

ID: 0939648
Sex: F
Age: 42
State: IN

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Cinnamon

Symptoms: Day 1: headache immediately following vaccine, lasting about 24 hrs Day 2: diffuse muscle aches, lasting about 24 hrs Day 3: pruitis affecting palms of hands and feet as well as the scalp, ongoing

Other Meds: Setraline, omeprazole, gabapentin, pravastatin, insulin glargine, Trulicity, vitamin d, vitamin e

Current Illness:

ID: 0939649
Sex: F
Age: 55
State:

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Injection site pain which started around 4hrs after receiving vaccine and persisted until the following day.

Other Meds: None

Current Illness: None

ID: 0939650
Sex: M
Age: 58
State: PR

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Diahrrea

Other Meds:

Current Illness:

ID: 0939651
Sex: M
Age: 25
State: PR

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Pt experienced F/C, aches, severe H/A, diziness

Other Meds: Allergy medicine , generic

Current Illness: Had COVID one month prior

ID: 0939652
Sex: F
Age: 33
State: NC

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: Given bendadryl and decadron and zofran.

Allergies: nkda

Symptoms: Developed dizziness, chest pain, tingling of hands/feet, headache, trouble swallowing, weakness, stiff joints. Went to ED.

Other Meds: Duolera, proair, lasix, spirolactone, pantroprazole, ibuprofen, cetrizine

Current Illness:

ID: 0939653
Sex: F
Age: 65
State: WI

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Slight sore arm at injection site, headaches, body aches, fatigue

Other Meds:

Current Illness:

ID: 0939654
Sex: M
Age: 53
State: VA

Vax Date: 12/23/2020
Onset Date: 01/07/2021
Rec V Date: 01/13/2021
Hospital: Y

Lab Data:

Allergies: seasonal allegeries

Symptoms: Vaccine was given on 12/23/20 on 01/07.21 went to get a routine physical and received an emergency call that my pallet blood count was around 10K instead of 150k. Was instructed to go to the ER asap. However didn't received the message until the next morning at 6:30am. Was checked into the E.R. , given sterioids, pallets, hemogolibin. Stayed overnight in the hospital was able to leaved the next day around 1pm with pallets at 47k.

Other Meds: Allpurinol 100mg/day, amLopidine-olmesartan 4-40mg, atorvastatin 40mg

Current Illness:

ID: 0939655
Sex: M
Age: 35
State: MA

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: Pet Dander/ Saliva

Symptoms: Has developed one large hive at site of injection. Reports onset was this morning. The affected area is approximately 2 inches in diameter and is much warmer than the surrounding skin to the touch. Reports of "itchiness" being the foremost complaint. Given PO Benadryl 25mg. Given instructions to follow up if there are any changes.

Other Meds: None

Current Illness: None

ID: 0939656
Sex: F
Age: 49
State: GA

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Red and swollen ball in the injected site, hardened and sore for almost a week and redness don't go away. Taken tylenol and benadryl.

Other Meds:

Current Illness:

ID: 0939657
Sex: F
Age: 42
State: DC

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: in hospital chest x-ray showed hypoventilation. crp and sed rate mildly elevated. hgb and hct showed hemoconcentration (they were high. Rheumatology consult showed MCP and PIP tenderness and swelling in third and fourth joints bilaterally, and 1-2 plus peripheral edema improving. Rheumatology deemed in a seroreaction to the vaccine from underlying autoimmune issues. Ordered an immunology consult if a booster were to ever be given

Allergies: humira, dextromathorphan, erythromycin, sulfasalazine, lyrica, gabapentin, portobello mushrooms

Symptoms: wednesday-dyspnea on exertion(took tylenol worked shift as nurse) thursday morning-joint swelling and pain thursday night-more dyspnea, joint pain, general swelling, joint pain (took tylenol worked shift as nurse) friday-fatigue, joint swelling, general swelling, dyspnea blanching (took tylenol and ibuprofen worked shift as nurse) saturday-extreme fatigue, joint pain and swelling, general swelling, dyspnea sunday, facial swelling, petichiae on legs and back, joint, pain and swelling, fatigue requiring visit to hospital

Other Meds: tylenol, advil, benadryl,zyrtec, topamax, synthroid, nexium, rosuvastatin, trazadone, tizadidine

Current Illness: mild seasonal sinusitis during the month prior

ID: 0939658
Sex: F
Age: 28
State:

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: lymphadenopathy Nasal congestion Allergy Fatigue

Other Meds: eliquis BID

Current Illness: none

ID: 0939659
Sex: F
Age: 65
State: FL

Vax Date: 01/01/2021
Onset Date: 01/10/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Day 1 - Day Seven - only sore arm. January 10th arm itched at injection site. On January 12th noticed continued itching but redness and some swelling.

Other Meds: Losartin, Atorvastatin, Eliquis, Vit C, CoQ10, Aller-Tec Certirizine Hydrocholride, Calcium Citrate Magnesium Zinc, VitD3

Current Illness: None

ID: 0939660
Sex: F
Age: 32
State: IL

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None.

Allergies: Gadolinium

Symptoms: Numbness and tingling down left arm into fingers (worst is pinkie and ring fingers), dizziness with blurred vision, hearing sounded like underwater, felt like I had trouble talking. Notified nurse that gave me vaccine, several other nurses came over and helped me into recliner and laid me back and took vitals. Vitals are stable. I quickly began to feel better (within 5 minutes of being reclined). Still had the numbness and tingling. I laid in recliner for 30 minutes, then sat up for 10 minutes before leaving. I drank water and ate 2 rice krispies while in recliner. Numbness and tingling improved, but lingered throughout the day and was gone next morning.

Other Meds: Junel Fe 1/20 qd, ursodiol 300mg bid, balsalazide 750mg 4 caps bid, citracal with vitamin d 600mg/500iu, vitamin d 2,000mg qd, women's one a day prenatal vitamin

Current Illness: None.

ID: 0939663
Sex: M
Age: 70
State: CA

Vax Date: 10/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: developed worsening of her breathing; nitial information regarding this unsolicited valid non-serious case from Agency (Reference number- 00420735) was received from a other health professionaland transmitted to Sanofi on 07-Jan-2021. This case involved a 70 year old male patient who developed worsening of her breathing (dyspnoea), while he received INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE [FLUZONE HIGH-DOSE QUADRIVALENT]. The patient's medical history included Pulmonary fibrosis. The patient's medical treatment(s), vaccination(s) and family history were not provided. Concomitant medication included OXYGEN; Symbacort and CORTISONE. On 30-Oct-2020, the patient received a dose of suspect INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE lot number- UJ511AB and unknown expiration date via intramuscular route at the left deltoid for prophylactic vaccination. On 07-Jan-2021, the patient developed a non-serious developed worsening of her breathing (dyspnoea) 2 months 8 days following the administration of INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE. No relevant laboratory data was reported. It was not reported if the patient received a corrective treatment. The event outcome was reported as unknown.

Other Meds: OXYGEN; CORTISONE

Current Illness:

ID: 0939664
Sex: F
Age: 56
State:

Vax Date: 12/22/2020
Onset Date: 12/31/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: 12/31/2020 Positive Covid swab

Allergies:

Symptoms: Congestion, loss of taste/smell, diarrhea, ear pain, eye irritation

Other Meds:

Current Illness:

ID: 0939665
Sex: F
Age: 43
State:

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: nausea, diarrhea, feels sluggish

Other Meds:

Current Illness:

ID: 0939666
Sex: M
Age: 40
State: DC

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Pertussis Vaccine, when child

Symptoms: After patient received the vaccine while waiting 15 minutes, the patients blood pressure dropped. The patient fainted and hit his head. He was conscious during the event. The EMS was called and they check the patient. The patient was offered and opportunity to go to the hospital but he declined.

Other Meds:

Current Illness:

ID: 0939667
Sex: F
Age: 50
State: NJ

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: serum tryptase pending, this lab to check for mast cell degranulation, the most specific marker for anaphylaxis is not automatically checked if anaphylaxis is suspected and most emergency departments, this lab is not assessed in-house, but is routinely sent out. Anaphylaxis?a 2020 practice parameter update, systematic review, and Grading of Recommendations, Assessment, Development and Evaluation (GRADE) analysis J ALLERGY CLIN IMMUNOL VOLUME 145, NUMBER 4

Allergies: aspirin - hives avocado garlic milk mushroom Penicillins -hives Pneumovax-23 -rash succinylcholine

Symptoms: Approx 2-3 hours after receiving the COVID vaccine, developed facial flushing, red rash on chest wall. denied respiratory, cardiovascular or gastro-intestinal disorders. Took 50 mg benadryl and Instructed to go to ED, spoke with the PA who confirmed only cutaneous symptoms. Checked CBC with diff and serum tryptase. Prescribed prednisone 40 mg. Temporary modest improvement of skin symptoms, but upon returning home increased flushing on face, chest wall, as well as posterior rhinorrhea. Instructed to continue prednisone 20 mg BID, famotidine 20 mg BID

Other Meds: Losartan, Elbrevy, Atrovent She pre-medicated 1 hr before with zyrtec 10 mg, pepcid 20 mg

Current Illness:

ID: 0939668
Sex: F
Age: 59
State: PA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA High fever Chills Weakness Very Tired

Other Meds: Lamictal, Synthiroid, Vitamin D, Vicodin, Klonopin, Multi-Vitamin, Flexiril, Tylenol, Trazodone

Current Illness: None

ID: 0939669
Sex: F
Age: 34
State:

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: tachycardia and feeling flushed that started approximately within 5 minutes of the vaccine

Other Meds:

Current Illness:

ID: 0939670
Sex: M
Age: 61
State: FL

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: PT received COVID #2 vaccine at 0830 to the left deltoid. Several hours after the vaccine he had arm soreness at injection site, body aches, fatigue, malaise, dizziness and lightheadedness. The symptoms persist the following day at which time pt was evaluated in th employee health clinic. Vitals normal. Neurological exam normal.

Other Meds: None

Current Illness: None

ID: 0939671
Sex: F
Age: 36
State: CA

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: Did rapid COVID test and referred for PCR COVID test 1/2/24/21. Both came negative.

Allergies: unknown

Symptoms: Within 24 hour developed headache, body ache, chills, then hot but no recorded fever.

Other Meds: unknown

Current Illness: unknown

ID: 0939672
Sex: F
Age: 38
State:

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: cough, sore throat low grad fever, headache, fatigue

Other Meds:

Current Illness:

ID: 0939673
Sex: F
Age: 31
State: NY

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Bactrim Imitrex

Symptoms: Approx 10-15 minutes after receiving Covid-19 vaccine dose # 1 ; The patient started developing a red rash on her chin; chest and neck. Resolved with Benadryl 50mg IM. No additional complaints reported. No further rash noted and started to fade after 15 minutes. follow-up phone call at 3:30pm- rash resolving and no additional symptoms reported

Other Meds: unknown

Current Illness: none known

ID: 0939674
Sex: F
Age: 29
State: GA

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Day 8: redness, swelling, itching, hot to touch

Other Meds: Celexa 10mg daily, Ambien 5-10mg PRN OTC: daily vitamin, daily biotin supplement, daily calcium supplement, vitamin d supplement, vitamin c supplement, elderberry gummies

Current Illness: None

ID: 0939675
Sex: F
Age: 26
State:

Vax Date: 12/23/2020
Onset Date: 12/26/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: congestion, loss of taste smell and low grade temp, COVID positive

Other Meds:

Current Illness:

ID: 0939676
Sex: M
Age: 50
State: SC

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Rash on forehead; temple to temple Rash on face; cheek to cheek and across the nose Rash around the lips Headache

Other Meds: humira

Current Illness: none

ID: 0939677
Sex: F
Age: 56
State:

Vax Date: 12/28/2020
Onset Date: 12/31/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: cough (exposed to covid 19 had vaccine Monday) and fever (100.8)

Other Meds:

Current Illness:

ID: 0939678
Sex: F
Age: 23
State:

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: COVID positive, sc onset 12/29

Other Meds:

Current Illness:

ID: 0939679
Sex: M
Age: 31
State: KS

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever, chills, shivering, headache, stomach ache, and muscle pain (systemic and at the injection site)

Other Meds: Lisinopril, Staten, multivitamin, pecid AC, and generic zertic, Omega 3 pill

Current Illness: None

ID: 0939680
Sex: F
Age: 69
State: NJ

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: none

Allergies: Penicillin Motrin Shell Fish

Symptoms: Chills starting about 24 hr after receiving vaccine then a fever of 102 which decreased to 100 by bed time and then was back to normal the next day. Very tiered after fever was back to normal which lasted for aprox. 24 hours. 3 days after vaccine I was feeling fine again

Other Meds: none

Current Illness: none

ID: 0939681
Sex: M
Age: 85
State: GA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: 3 Days he was immobilized, could not move his legs at all. He had a huge lump on his arm.

Other Meds: Duloxetine 30 mg. ezetimibe 10 mg, losartan 100 mg, tamsulosin 0.4 mg, clopidogrel 75mg

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm