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: 0940218
Sex: M
Age: 75
State: NC

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

Lab Data: None

Allergies: None

Symptoms: Loss of energy, chills, fever

Other Meds: None

Current Illness: None

ID: 0940220
Sex: F
Age:
State: AZ

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

Lab Data:

Allergies: Aspirin and Ibuprofen

Symptoms: None stated.

Other Meds: Levothyroxin 100 MCG X1 Lovastatin 20 MG X1 Dicyclomine 10 MG as needed Albuterol SulfateI Inhlation Solution 0.083% 2.5mg/3mL X1 a day Diphenhydramine HCI 25 mg X2 acetaminophen arthritis pain 2 650mg X1 a day Calcium 600 mg with vita

Current Illness: pneumonia 7/16/2020 for 1 week

ID: 0940221
Sex: F
Age: 25
State: IA

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

Lab Data: No tests were completed. Medical treatment in the Emergency Department for symptom control.

Allergies: Amoxicillin, PCN, Simbacort, Adhesive Tape, Gluten

Symptoms: Nausea, tremors, lightheaded/dizzy, wheezes, shortness of breath, fullness in throat/neck area, warmth to the site of injection within minutes of the vaccine. Developed vomiting and diarrhea around 16 to 17 hours post injection.

Other Meds: Butazone (sp?) - for Barrett's Syndrom Naproxen Biotin PreNatal Vitamins

Current Illness: Barretts Syndrome, Lupus Syndrome Umbilical Hernia repaired on 12/24/20

ID: 0940223
Sex: F
Age: 41
State: AZ

Vax Date: 12/17/2020
Onset Date: 12/21/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: after vaccination, patient felt better than she had in months since struggling with post-viral syndrome and began running again. some time after in the coming week/days, her heart rate began to fall out of control again and she had to be restarted on colchicine. unknown just how related to the vaccine.

Other Meds: has had post-viral syndrome since May with known cardiology and neurology issues, taking various medications for management of these conditions

Current Illness:

ID: 0940224
Sex: U
Age: 7
State: IL

Vax Date: 12/17/2020
Onset Date: 12/17/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: No additional AE information provided; Caller reported temperature excursion/Temperature -13.3C; This spontaneous report was received from a registered nurse concerning to a 7-year-old patient of unknown gender. The patient's medical history, historical drugs, allergies, concurrent conditions and concomitant therapies were not provided. On 17-DEC-2020, the patient was vaccinated with an improperly stored dose of varicella virus vaccine live (Oka/Merck) (VARIVAX), 0.5 milliliter (ml) for prophylaxis, lot number reported as T017688 and expiration date as 21-MAY-2022 (vaccination scheme, route of administration and anatomical site of vaccination were not provided). The administered vaccine had a temperature excursion of -13.3 degrees Celsius (?C) for a time frame of 4 hours and 15 minutes (product storage error) on an unspecified date, and the data was recorded by a digital data logger. It was also reported there was not a previous temperature excursion. No additional adverse events were reported. This is one of several reports received from the same reporter.; Sender's Comments: US-009507513-2012USA013584: US-009507513-2012USA013603: US-009507513-2012USA013596: US-009507513-2012USA013501: US-009507513-2012USA013603: US-009507513-2012USA013093: US-009507513-2012USA013539: US-009507513-2012USA013601: US-009507513-2012USA013532: US-009507513-2012USA013533: US-009507513-2012USA013524: US-009507513-2101USA000122: US-009507513-2012USA013592: US-009507513-2101USA000144:

Other Meds:

Current Illness:

ID: 0940225
Sex: M
Age: 87
State: CA

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

Lab Data:

Allergies:

Symptoms: Error: Booster Given Too Early; symptoms lasted 0 days

Other Meds:

Current Illness:

ID: 0940226
Sex: M
Age: 74
State: PA

Vax Date: 09/23/2020
Onset Date: 09/24/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pain in his left arm/Pain; weak on the legs while walking; Felt sick; Stay in bed the day after the injection; Dizziness / vague sensation of dizziness; This case was reported by a consumer via call center representative and described the occurrence of pain in arm in a 74-year-old male patient who received Herpes zoster (Shingrix) for prophylaxis. On 23rd September 2020, the patient received the 1st dose of Shingrix (intramuscular). On 24th September 2020, 1 days after receiving Shingrix, the patient experienced sickness, bedridden and dizziness. On an unknown date, the patient experienced pain in arm and weakness of limbs. On an unknown date, the outcome of the pain in arm was recovered/resolved and the outcome of the sickness and bedridden were unknown and the outcome of the dizziness and weakness of limbs were not recovered/not resolved. It was unknown if the reporter considered the pain in arm, sickness, bedridden, dizziness and weakness of limbs to be related to Shingrix. Additional details were reported as follows: Consumer had first vaccination of Shingrix. He had Pain in his left arm for more than one week. He stated that he just felt sick and stayed in bed the day after the injection. He also reported Dizziness which started the day after receiving the vaccine ( 24 hours later patient started to feel a vague sensation of dizziness). weak on the legs while walking but symptoms were not present while driving. Symptom was on going till the time of reporting according to patient and reporter. The Dizziness is of constant intensity and remains present till the time of reporting. Consented to follow up.

Other Meds:

Current Illness:

ID: 0940227
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: anaphylaxis; A spontaneous report was received from a hospital CMO concerning a patient who was a frontline worker and received Moderna's COVID-19 vaccine (mRNA-1273) and experienced anaphylaxis. The patient's medical history was not provided. No relevant concomitant medications were reported. On an unknown date in Dec 2020, the patient received their first of two planned doses of mRNA-1273 intramuscularly for prophylaxis of COVID-19 infection. On 29 Dec 2020, it was reported that the frontline healthcare worker experienced anaphylaxis. No treatment information was provided. Action taken with mRNA-1273 in response to the event was not provided. The outcome of the event, anaphylaxis, was not reported.; Reporter's Comments: This case concerns a patient who received their first of two planned doses of mRNA-1273 (Lot unknown), reporting anaphylaxis. The event is possibly related to the vaccine, and additional information including temporal relationship between dosing and event and whether patient has history of anaphylaxis could provide details needed for medical assessment.

Other Meds:

Current Illness:

ID: 0940228
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Anaphylaxis; A spontaneous report was received from a hospital CMO concerning a patient who was a frontline worker and received Moderna's COVID-19 vaccine (mRNA-1273) and experienced anaphylaxis. The patient's medical history was not provided. No relevant concomitant medications were reported. On an unknown date in Dec 2020, the patient received their first of two planned doses of mRNA-1273 intramuscularly for prophylaxis of COVID-19 infection. On 29 Dec 2020, it was reported that the frontline healthcare worker experienced anaphylaxis. No treatment information was provided. Action taken with mRNA-1273 in response to the event was not provided. The outcome of the event, anaphylaxis, was not reported.; Reporter's Comments: This case concerns a patient of unreported age and sex. The patient's medical history is not provided. The patient experienced anaphylaxis after receiving their first of two planned doses of mRNA-1273 (Lot unknown) on an unknown date. The event is possibly related to the vaccine, and additional information including temporal relationship between dosing and event and whether patient has previous history of anaphylaxis could provide details needed for medical assessment.

Other Meds:

Current Illness:

ID: 0940229
Sex: F
Age: 50
State: NY

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

Lab Data: n/a

Allergies: Unknown

Symptoms: Patient felt intense dizziness with nausea for three hours before symptoms resolved.

Other Meds: Unknown

Current Illness: Unknown

ID: 0940232
Sex: M
Age: 33
State: CA

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

Lab Data:

Allergies:

Symptoms: Fatigue, injection site pain, chills, headache, dizziness. Improving.

Other Meds:

Current Illness:

ID: 0940233
Sex: F
Age: 45
State: TX

Vax Date: 01/08/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Intermittent Headache. There is no treatment.

Other Meds:

Current Illness:

ID: 0940234
Sex: F
Age: 76
State: OK

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

Lab Data: none

Allergies: none

Symptoms: Vaccine 1/7/21 at 12 noon. Extreme vomiting 1/10/21 at 5 pm with cold sweats, abdominal pain. Abdominal pain lessened but is still present 1/13/21

Other Meds: Thyroxin

Current Illness: Covid-19 on Dec 15, 2020

ID: 0940235
Sex: F
Age: 48
State:

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

Lab Data:

Allergies:

Symptoms: L shoulder pain following vaccine. EE seen for medical treatment on 1/8. was dx with subacromial bursitis secondary to vaccine placement. ice, rest, medication

Other Meds:

Current Illness:

ID: 0940236
Sex: F
Age: 43
State: MA

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

Lab Data: n/a

Allergies: latex allergy, allergy to cashews

Symptoms: moderate aching/burning sensation in knees and hips started about 7pm- resolved when awoke in morning at 6am.

Other Meds: Tylenol; Zyrtec; Daily vitamin

Current Illness: none

ID: 0940237
Sex: M
Age: 25
State: CA

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

Lab Data:

Allergies:

Symptoms: Low grade temp, body aches, chills. Improving

Other Meds:

Current Illness:

ID: 0940238
Sex: F
Age: 37
State: GA

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

Lab Data:

Allergies: Latex - breathing difficulties, rash Sulfa antibiotics - severe nausea

Symptoms: Itchy throat making it more difficult to swallow. Nausea. Given Benadryl 50mg orally by NP. Vitals checked and monitored for an additional hour.

Other Meds: Allegra for seasonal allergies taken this morning, Valacyclovir for herpetic whitlow prophylaxis taken last night, omeprazole for GERD taken this morning, topical steroid cream for eczema last uses on Saturday. Vitamin D3 supplementation ta

Current Illness: Sinusitis treated with Augmentin completed Sunday.

ID: 0940239
Sex: F
Age: 33
State: KY

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

Lab Data: None

Allergies: None

Symptoms: On the 7th day after the reaction, I woke up with a slightly sore arm. When I looked in the mirror I also noticed my arm was red around the injection site - approximate size of 3x2 inches (tape measure all I had). It does itch somewhat as well as is a bit swollen in the area. Not warm to touch. No fever. This is a new, delayed-onset reaction as I experienced only a sore arm the day after the vaccination and no rash. No medications are needed at this time as I am able to go about my ADLs.

Other Meds: None

Current Illness: None

ID: 0940240
Sex: F
Age: 39
State: ID

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

Lab Data: None

Allergies: Shell Fish Cephalosporin

Symptoms: Patient developed numbness in her lips, had some tachycardia, and dizziness around 5:30 pm. Patient then notified one of the physician who advised her to monitor symptoms and notify on call provider if symptoms worsened. Patient then went home and slept and the next morning was feeling better.

Other Meds: None

Current Illness: None

ID: 0940241
Sex: F
Age: 29
State: NY

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

Lab Data: Vitals and fluids

Allergies:

Symptoms: Patient felt dizzy, and had a headache and required prolonged rest post second COVID vaccine

Other Meds:

Current Illness:

ID: 0940242
Sex: F
Age: 54
State: OK

Vax Date: 12/30/2020
Onset Date: 01/10/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Tylenol cold, NyQuil

Symptoms: A large red area developed at the injection site 10 days post injection, with severe itching and burning for a few hours. A small welt developed at the injection site. Reaction was gone by the following day.

Other Meds: Doxipan, hydrochloriquine; probiotic, collagen, vitamin D3

Current Illness: None

ID: 0940243
Sex: F
Age: 70
State: OH

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

Lab Data: n/a

Allergies: n/a

Symptoms: injection site was itchy, arm is bright red, slightly swollen Benadryl and Hydrocortisone cream applied

Other Meds: n/a

Current Illness: n/a

ID: 0940244
Sex: M
Age: 38
State: AZ

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: patient developed arthralgia persisting through day 7 post-vaccination

Other Meds: none

Current Illness: none

ID: 0940245
Sex: F
Age: 32
State:

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

Lab Data: None

Allergies: Codeine - hives, itching Vicodin - hives, itching

Symptoms: Pt received Dose 1 of COVID vaccine. Nurse checked on patient five minutes post injection and patient reported that she was having some itching at the site. Patient advised would continue to monitor. Slight reddness no raised rash. Checked on patient at 1100, patient asked about soreness of her throat. Patient states that it had just started approx five minutes prior. Patient reports lump sensation in her throat "like something in throat when have cold." PA-C and RN came in for observation and eval. Decided patient to come to urgent care for futher medical eval and observations. Vitals monitored before leaving and WNL (see chart). Patient ambulated per self to urgent care with provider and nurse. At convenient care, pt reports scratchy throat and feels like "something" is in her throat. Denies SOB or cough. Uvula appears slightly swollen, but no previous exams for comparison. Pt given diphenhyramine 25 mg IM x 1 and 15 minutes later she reported mild improvement in swelling, but no change on exam. 45 min after Benadryl she reported feeling tired but improvement in symptoms. Uvula appeared to be smaller on re-examination. Instructed to take 50 mg Benadryl Q 6 hours for the next day. Discharged to home with perscription for albuterol 90 mcg/inh 2 puffs Q6hrs PRN

Other Meds: Albuterol 90 mcg/inh 2 puffs Q6h PRN

Current Illness:

ID: 0940246
Sex: F
Age: 33
State: TX

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

Lab Data: None

Allergies: None

Symptoms: Rash on vaccine site, warm to the touch of vaccine cite, itchiness on vaccine site

Other Meds: lo tri-sprintec

Current Illness: None

ID: 0940247
Sex: F
Age: 50
State: OH

Vax Date: 12/27/2020
Onset Date: 12/27/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: None listed but after the vaccine and the reaction started, patient stated she had an allergic reaction to aspirin a few weeks ago

Symptoms: Systemic: Rash (other than injection site)-Medium

Other Meds:

Current Illness:

ID: 0940248
Sex: M
Age: 87
State: IN

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

Lab Data: None

Allergies:

Symptoms: Weakness and some dizziness started about 1 1/2 hrs after shot was given. It lasted the rest of the day the shot was given and continued on the next day, 01/12. The feeling was far from normal for me. Better this AM, 13th. Called Moderna on 1/12 and they said this was not unusual.

Other Meds:

Current Illness:

ID: 0940249
Sex: M
Age: 54
State: IN

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

Lab Data: The swelling dissipated about five days after the injection.

Allergies: NA

Symptoms: Noticeable swelling and minor pain to the left armpit.

Other Meds: Vitamins A, D3, C, K2, Glutathione, B12, and Magnesium.

Current Illness: NA

ID: 0940250
Sex: F
Age: 60
State: CA

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

Lab Data: Just vital sign monitoring and paramedics called

Allergies: Biaxin, Ciprofloxacin, Iodine

Symptoms: Lightheadedness following by persistent tachycardia with heart rate up to 137 and hypertensive BP readings up to 165/90, 152/105 with positive orthostatic pulse change from 116 sitting to 137 standing . Ox sat 98%. Slightly increased work of breathing. Paramedics called.

Other Meds: amlodipine, vitamin D, estradiol, loratidine, lorazepam, lysine, magnesium, mometasone, omega-3, miralax, propranolol, actonel, imitrex

Current Illness: lymphadema, primary, right leg

ID: 0940251
Sex: F
Age: 41
State: PA

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

Lab Data: As of the time of this report no further tests

Allergies: Aimovig injection

Symptoms: Severe headache followed by neck pain and pain turning head side to side , dizziness , itching a lot followed by rash on back of neck which spread into scalp and down back and towards face . Burning sensation of skin where Itching started and hives appeared with small blister type spots on neck . Took 50mg of Benadryl , reported reaction to work who administered the vaccine and seeing family doctor today for further instructions as symptoms are still present .

Other Meds: Lexapro

Current Illness: None

ID: 0940252
Sex: F
Age: 56
State: MA

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

Lab Data: None

Allergies: Sulfa drugs

Symptoms: Evening after second dose of Pfizer sars-cov2 vaccine she developed a painful vesicular rash on her face consistent with shingles. She does have a fair amount of stress in her life and it could have been unrelated but figured I should report anyway.

Other Meds: sertraline; levothyroxine

Current Illness: none known

ID: 0940253
Sex: F
Age: 63
State: TX

Vax Date: 01/06/2021
Onset Date: 01/10/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: swelling of tongue, ulcer on right tip of tongue

Other Meds: 2 Pentasa 1000, trazadone 50mg hs, buspar 0.5mg bid

Current Illness: None

ID: 0940255
Sex: M
Age: 52
State: PA

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

Lab Data:

Allergies: Unknown

Symptoms: C/o of hand and arm tingling in opposite arm around 15 mins post vaccine At 30 mins complained of tongue numbness. Escorted to er by RN

Other Meds: Unknown

Current Illness: Unknown

ID: 0940256
Sex: F
Age: 4
State: MI

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

Lab Data:

Allergies:

Symptoms: Fever 102.1 F, pain in thigh where injected. Treated with acetaminophen and ibuprofen.

Other Meds:

Current Illness:

ID: 0940257
Sex: F
Age: 27
State: MA

Vax Date: 12/29/2020
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: patient go her first dose of vaccine on 12/29. on 1/11 her arm started itching and now have a wheal at the vaccine site. Rash lasted 2 and half days and now resolved

Other Meds: Flonase

Current Illness:

ID: 0940258
Sex: M
Age: 54
State: MD

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

Lab Data: Quantitative Antibody testing through study done 1/12/21

Allergies: None

Symptoms: Malaise, Fatigue, Fever to 103.4; all lasting 18 hours; significantly sore L arm for 3 days Of note, patient had COVID-19 infection April 2, 2020 lasting 12 days.

Other Meds: None

Current Illness: None

ID: 0940259
Sex: M
Age: 17
State: WI

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

Lab Data:

Allergies:

Symptoms: Error: Wrong Patient (documentation in EMR)symptoms lasted 0 days

Other Meds:

Current Illness:

ID: 0940260
Sex: F
Age: 41
State: NY

Vax Date: 01/04/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Complained of bad headache immediately after receiving the vaccine and felt hot. she was observed for a longer period and released from the vaccine clinic. Rt arm was sore for 4-5 days and went away. on 1/12/2021 she was unable to sleep on her right side because of pain. complains of redness, pain and increased warmth, stiffness of right arm. On exam afebrile, pain 6/10 on an analog scale. 3x 3 annular macular rash, erythematous, with tenderness on palpation with increased warmth. ROM full. Prescribed Augmentin 875/125 x 7 days.

Other Meds: None

Current Illness: None

ID: 0940261
Sex: F
Age: 42
State: VA

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

Lab Data: ED ordered tryptase level

Allergies: shrimp allergy

Symptoms: Complain of itching (no hives) lip numbness, and throat tighning. Given 25mg benedryl po and 25mg Benedryl IM. Transferred to ED for eval at 0938. Discharged at 1053

Other Meds:

Current Illness:

ID: 0940262
Sex: M
Age: 72
State:

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

Lab Data:

Allergies: possibly iodine-had a reaction to an MRI contrast in the 1980's

Symptoms: Adverse symptoms were mild. Within a few minutes of getting the shot I felt a mild cold sweat which lasted maybe 15 minutes. Around 30 minutes after getting the shot left side of face began to feel a little prickly numbness which eased off so at 120 minutes after getting the shot left side of face felt mildly like it feels after dental visit numbness wears off. That's about it. This is recorded at around 120 minutes after getting the shot. I am home and feel fine wasn't sure to report this or not but since experimental it may be of use.

Other Meds: Atenolol, Eliquis, Atorvastatin, aspirin

Current Illness: none

ID: 0940263
Sex: F
Age: 27
State:

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

Lab Data:

Allergies:

Symptoms: Modern a COVID-19 Vaccine EUA On 9th day, I just got rash around the area where I got shot

Other Meds: Naproxen

Current Illness: Rash around the area I got shot

ID: 0940264
Sex: F
Age: 30
State: NY

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

Lab Data: None

Allergies: Nickel

Symptoms: I developed mild injection site pain about 5 minutes after the second dose which didn?t happen the first time so quickly. It shortly progressed to a cold/numb sensation from my deltoid down to my finger tips. This persisted but seemed to transition from more numbness to moderate pain from my left scapula, neck and down to my fingers about 7 hours after the vaccine. I also developed intermittent fasiculations of my forearm muscles on the left arm. This morning I woke up with worsening pain, mild numbness but new weakness in the hand and arm. I have a weak grip and can?t fully grab objects. My wrist flexi?n and extension are also weak as well as shoulder abduction (I am a neurologist by the way so can?t localize it to any nerve distribution). I?m not weak anywhere else and I only have mild arthralgia and diarrhea systemically.

Other Meds: Lysine

Current Illness: None

ID: 0940265
Sex: F
Age: 58
State: IA

Vax Date: 12/23/2020
Onset Date: 01/24/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: none

Allergies: morphine sulfa

Symptoms: The day after injection I had a hard knot at the injection site and then the next day the knot became fiery red, warm and painful to touch. Later that same day, I started to have body aches especially in my neck and a nauseous feeling and those symptoms lasted for 2 more days; the hard knot did not recede for another week.

Other Meds: Prozac 40 mg qd; trazodone 50 mg HS; meloxicam 15 mg qd; levot

Current Illness: none

ID: 0940266
Sex: M
Age: 39
State: OR

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

Lab Data:

Allergies: PCN Sturgeon

Symptoms: 103.6 F fever, headache, chills, body aches

Other Meds: Multivitamin

Current Illness: None

ID: 0940268
Sex: F
Age: 32
State: PA

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

Lab Data:

Allergies: Percocet

Symptoms: First ever bloody nose for about 10 minutes

Other Meds: Citalopram 40mg Centrum women multivitamin

Current Illness: None

ID: 0940269
Sex: F
Age: 76
State: VT

Vax Date: 12/27/2020
Onset Date: 12/27/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: buckwheat,flaxseed,strawberries

Symptoms: Systemic: Scratchy Throat 10 minutes Post Injection-Mild

Other Meds:

Current Illness:

ID: 0940270
Sex: F
Age: 49
State: WV

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

Lab Data: covid rapid test Janu.12

Allergies: none

Symptoms: chills and fever first night. Jan.5. headache jan6 and 7. runny nose Jan 8,9 10, January 11 loss taste and smell. test positive for covid Jan. 12. All symptoms were mild.

Other Meds: levethyroxin

Current Illness: none

ID: 0940271
Sex: F
Age: 45
State: UT

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Tylox, Ultram

Symptoms: Swelling, redness, itching and burning radiating out from injection site starting two days after, increasing in severity over time, got to the size of an orange, went to urgent care, treated with steroids and antihistamines. All localized, no other symptoms. Medication started 1/13/2021 but the initial antihistamine helped with discomfort.

Other Meds: Amlodipine, Concerta, Synthroid, Prednisone, Symbicort, Carvedilol, Lisinopril, Protonix, Contrave, Pepcid

Current Illness: Strep through exactly one month prior

ID: 0940272
Sex: F
Age: 25
State: MN

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

Lab Data:

Allergies: N/A

Symptoms: Fever (100.7), chills, lethargy, headache, sore body

Other Meds: N/A

Current Illness: N/A

ID: 0940276
Sex: F
Age: 37
State: MI

Vax Date: 12/19/2020
Onset Date: 12/22/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: US OF PANCREAS, ELEVATED LFT,LIPASE AND AMYLASE, NO OTHER EITOLGY FOUND.

Allergies: NONE

Symptoms: PANCREOTITIS DEVELOPEMENT , HOSPITALIZATION AND TREATMENT

Other Meds: NONE

Current Illness: NONE

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm