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: 0940993
Sex: F
Age: 56
State: CA

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

Lab Data:

Allergies:

Symptoms: Body aches, fever, chills, headache, nausea, sore throat, left ear pain, COVID exposure w/in 14 days

Other Meds:

Current Illness:

ID: 0940994
Sex: F
Age: 40
State: IN

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

Lab Data: Nothing aside from receiving the Pfizer vaccine

Allergies: No

Symptoms: Chills, fever, muscle aches, headache

Other Meds: Ginger root, Flaxseed oil, Turmeric, Complete Women's vitamin, Fish Oil

Current Illness: n/a

ID: 0940995
Sex: F
Age: 31
State: NY

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

Lab Data: n/a

Allergies: N/A

Symptoms: 7 days after i got the vaccine my left upper arm where i received the vaccine became very itchy and different shaped bumps began to form. the next day, day 8 there was an oval shaped raised, slightly hard, red rash around the area where i had the vaccine. this remains today 9 days after i received the vaccine but it looks a little bit less raise and red/hard.

Other Meds: Birth control

Current Illness: N/A

ID: 0940996
Sex: F
Age: 45
State: CA

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

Lab Data: none

Allergies: walnuts

Symptoms: Pt received vaccine on left deltoid at 8:56am. Checked on pt at 9:05 pt stated she had itchiness on her back, heart palpitations and right handed numbness, and felt flushed. Provider made aware at 09:05. Vitals taken at 9:15 temp 98.8, heart rate 83, blood pressure 150/91, and oxygen saturation 96% on room air, at 9:26 BP 151/88, heart rate 73, and oxygen saturation 99% on room air, blood pressure rechecked at 9:32 and was 151/88. Vitals rechecked at 09:56 BP 164/89, heart rate 72, oxygen saturation 100% on room air, temperature 97.7, vitals checked again at 10:00 BP 158/95, heart rate 75, oxygen saturation 100% on room air, and temp 97.7. Heart palpitations resolved. Provider prescribed Diphenhydramine 25mg x2capsules to be taken at home. Provider referred patient to urgent care and follow up with PCP.

Other Meds: n/a

Current Illness: none

ID: 0940997
Sex: F
Age: 40
State: MA

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

Lab Data:

Allergies:

Symptoms: Systemic: Sweating

Other Meds:

Current Illness:

ID: 0940998
Sex: F
Age: 26
State: PA

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

Lab Data: None

Allergies: None

Symptoms: Abdominal bloating

Other Meds: Zoloft Omezoprole Balziva

Current Illness: None

ID: 0940999
Sex: F
Age: 26
State: WI

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

Lab Data:

Allergies: None noted

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Symptoms experienced: Lightheaded, shortness of breath with hyperventilation. She was laying on the floor and appeared shaky with red blotching on face and neck. Actions taken: Medical Response called. Anaphylaxis Medication given epinephrine (adult) IM outer thigh. Patient was placed on stretcher and taken to ER. Patient also received diphenhydramine and famotidine in ER.

Other Meds:

Current Illness:

ID: 0941000
Sex: F
Age: 50
State:

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

Lab Data: COVID-19 rapid PCR test - Negative

Allergies: Allergies to penicillin, cephalosporins, sulfa

Symptoms: Fever up to 104F, associated with chills and muscle aches

Other Meds: None

Current Illness: No

ID: 0941002
Sex: M
Age: 35
State: MA

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

Lab Data: na

Allergies: Brandy, blackberry

Symptoms: After receiving the Moderna vaccine the patient was observed in the monitoring area (he was designated 30 minute in pre screening). He complained of fainting symptoms and described past similar episodes related to vasovagal type stimulus (IV insertion) as well as panic attacks. The patient was placed supine, vitals signs were monitored and IV normal saline bolus administered by on site paramedics. The patient rapidly improved and refused transport and further care against medical advice. He was advised to seek immediate medical evaluation at a hospital and advise his physician and he was picked up by another party and di not drive.

Other Meds: Lanciprozal

Current Illness: unknown

ID: 0941003
Sex: F
Age: 39
State:

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

Lab Data: None

Allergies: None

Symptoms: Moderna COVID-19 Vaccine EUA. Erythematous, raised, warm and tender 5 cm macule at the site of injection estimated to be a delayed T cell reaction to the vaccine.

Other Meds: None

Current Illness: None

ID: 0941004
Sex: F
Age: 28
State:

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

Lab Data:

Allergies:

Symptoms: Itchiness all over the body - comes and goes. Redness on upper body.

Other Meds:

Current Illness:

ID: 0941005
Sex: F
Age: 32
State:

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

Lab Data:

Allergies:

Symptoms: Patient reported numbness and tingling in all fingers shortly after injection, symptoms resolved within 30 min observation.

Other Meds:

Current Illness:

ID: 0941006
Sex: M
Age: 33
State: PR

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

Lab Data: NONE

Allergies: NONE

Symptoms: PAIN SITE,TIRED,MUSCULAR PAIN,CHILLS,FEVER JOINT PAIN SWELLING ON INJECTION SITE .

Other Meds: TYLENOL

Current Illness: NONE

ID: 0941007
Sex: F
Age: 53
State:

Vax Date: 12/28/2020
Onset Date: 01/06/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: 1/9/21 tested positive for Covid

Allergies:

Symptoms: 1/6/21 Cough, runny nose, chills, difficulty breathing, HA, fatigue

Other Meds:

Current Illness:

ID: 0941008
Sex: F
Age: 42
State: IN

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

Lab Data: none

Allergies: TDap vaccine

Symptoms: red at injection sight with large red area above and some below sight, warm to touch, sore at sight

Other Meds: protonix, atorvastatin, zoloft

Current Illness: none

ID: 0941009
Sex: F
Age: 34
State: NM

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

Lab Data: They did not run any tests at the ER. I've schedule a follow up appointment w/my PCP and will be seeking an epi pen Rx and a referral to an allergist.

Allergies: Penicillin, cats, horses

Symptoms: on Wed 1/6/21 I had an allergic reaction and am unsure what set it off. My eyes became itchy, watery and my corneas swelled. I was sneezing and coughing. I had a runny nose. on Sun 1/10/21 I had an allergic reaction; I think it was set off by a type of sunblock I've never used before. But I've never had a reaction to any type of sunblock before. I went into anaphylactic shock: eyes swollen shut, flushed face, tight throat, rapid heart beat, shortness of breath, severe abdominal cramping. I had to go to the ER.

Other Meds: Trinessa (birth control) and Escitalopram (Lexipro-anti depressant)

Current Illness: none

ID: 0941010
Sex: F
Age: 58
State: IN

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

Lab Data:

Allergies:

Symptoms: Pt received moderna vaccine and within 10 mins became flush. Reported feeling like she was on fire on the inside. Patient was monitored, and was feeling well enough to go home. Her husband drove her home.

Other Meds:

Current Illness:

ID: 0941011
Sex: F
Age: 34
State: PR

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

Lab Data: No

Allergies: Sulfa, penicillin

Symptoms: Presented itchy in the neck area, torso and arms

Other Meds: No

Current Illness: No

ID: 0941012
Sex: M
Age: 35
State: IN

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

Lab Data: None

Allergies: No

Symptoms: Cold, fever, pain, fatigue and headaches.

Other Meds: Amlodipine.

Current Illness: None

ID: 0941013
Sex: F
Age: 17
State: PA

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

Lab Data: none

Allergies: No Known Allergies

Symptoms: Less than 18 years of age received the vaccine. No adverse effects noted. Moderna COVID- 19 Vaccine EUA

Other Meds: unknown

Current Illness: unknown

ID: 0941014
Sex: F
Age: 23
State: MA

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

Lab Data:

Allergies:

Symptoms: Joint pain for 1 day, all over muscle ache and fatigue for one day, and headache for one day; not resolved

Other Meds: Duloxetine, Lamictal, Colace, norethindrone-ethinyl estradiol

Current Illness:

ID: 0941015
Sex: F
Age: 49
State: CA

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

Lab Data:

Allergies: none

Symptoms: tongue numbness dizzy

Other Meds: Vit D biotin multivitamin

Current Illness: none

ID: 0941016
Sex: M
Age: 49
State: MD

Vax Date: 12/24/2020
Onset Date: 01/07/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Starting Jan 7, he has been experiencing fatigue and light-headedness, which gets worse if he stands up too fast.

Other Meds:

Current Illness:

ID: 0941017
Sex: F
Age: 18
State:

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

Lab Data:

Allergies:

Symptoms: vomiting, diarrhea. called in sick to work.

Other Meds:

Current Illness:

ID: 0941018
Sex: F
Age: 53
State: MD

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

Lab Data:

Allergies: LATEX

Symptoms: Systemic: Fainting-Severe

Other Meds:

Current Illness:

ID: 0941019
Sex: F
Age: 32
State: CT

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

Lab Data: N/a

Allergies: PCN, egg protein, wheat

Symptoms: Extreme fatigue, impaired cognition, headache, dizziness, light sensitivity, fever, chills, body/aches/pains. Slight confusion.

Other Meds: None.

Current Illness: None.

ID: 0941020
Sex: F
Age: 57
State: ID

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

Lab Data:

Allergies: aspirin

Symptoms: Patient describes a very sore arm. She cannot lift her arm above her shoulder. She is experiencing full body aches as well as heat and cold intolerance. Patient also experienced a migraine. She spoke with her primary care provider via telephone and was told that she can take tylenol for the aches and pains.

Other Meds: Celecoxib, Sertraline, Methotrexate, folic acid, cyclobenzaprine, rizatriptan, fluocinonide, acetaminophen

Current Illness: none

ID: 0941021
Sex: F
Age: 26
State: WI

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

Lab Data:

Allergies: None noted

Symptoms: Pfizer-BioNTech COVID-19 Vaccine Symptoms experienced: Lightheaded, shortness of breath with hyperventilation. She was laying on the floor and appeared shaky with red blotching on face and neck. Actions taken: Medical Response called. Anaphylaxis Medication given epinephrine (adult) IM outer thigh. Patient was placed on stretcher and taken to ER. Diphenhydramine and famotidine given in ER

Other Meds:

Current Illness:

ID: 0941022
Sex: F
Age: 69
State: FL

Vax Date: 01/02/2021
Onset Date: 01/05/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: talked with PCP and they said to tell CDC

Allergies:

Symptoms: I believe it triggered PHN pain which I haven't had a reoccurrence of since being on Gabapentin 600 mgs. I increased it by 100 mg and took Acyclovir 400 mg bid and the pain subsided after several days.

Other Meds:

Current Illness:

ID: 0941023
Sex: F
Age: 35
State: OR

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

Lab Data:

Allergies: codeine (childhood reaction - rash)

Symptoms: Moderna COVID-19 Vaccine EUA I got the vaccine at 0930 and by 1830 same day I had severe soreness. This went away after the first 24 hours. I had tenderness to the touch at the injection site for 48 hours after receiving the vaccine (all seemed like normal reactions). No further symptoms developed. The morning of day 8 (post vaccine) I woke up with a rather significant lump at the injection site, soreness in the arm, and redness at the injection site. Redness continued to spread down my arm. Measured morning of day 9 post vaccine - 12.5 cm (longest point vertically) x 8 cm (widest point).

Other Meds: multi-vitamin, vitamin C 500 mg, 4000 iu vit D3, fish oil, B complex

Current Illness: none

ID: 0941024
Sex: F
Age: 89
State: MI

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

Lab Data:

Allergies: Shell fish

Symptoms: dizziness, nausea on 1/13

Other Meds:

Current Illness:

ID: 0941025
Sex: F
Age: 64
State: WI

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

Lab Data: none

Allergies: theophylline

Symptoms: Rash at injection site

Other Meds: Albuterol and flonase

Current Illness: none

ID: 0941026
Sex: F
Age: 22
State: AL

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

Lab Data:

Allergies: None

Symptoms: Fever 100.5 Chills Nausea Headache

Other Meds: Levothyroxine 25mg

Current Illness: None

ID: 0941027
Sex: F
Age: 37
State: IL

Vax Date: 01/05/2021
Onset Date: 01/08/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Sxs began 1/8/2021 (immunized 1/5/2020). light headed and nausea. 1/9/21. migraine, chills nausea B/P 180/100. 1/10/20 headache 170/106. 1/11/2020 161/100 153/80. Saw neurologist 1/10 and started on 20 mg propranalol for migraine h/a 1/12 /10, 159/89 L arm became warm, tender and pruritic. 1/13/21 161/101 L arm warm, tender, redness extending. Pruritic when touched.Has MD appt today 1/13/21 at 5:45 pm to evaluate arm and discuss 2nd covid dose advisability.

Other Meds:

Current Illness:

ID: 0941028
Sex: F
Age: 25
State: PA

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

Lab Data:

Allergies:

Symptoms: Woke up around 5am the morning after my second dose of the Pfizer with severe chills and headache. I was sweaty when I woke up but also feeling cold at the same time. Around 7am the same morning, I began having body aches specifically in the back of my neck and low back. I slept most of the day and still felt run down when throughout the entire day. The chills and headache we?re the worst in the middle of the day around 1pm.

Other Meds:

Current Illness:

ID: 0941029
Sex: F
Age: 66
State: MI

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

Lab Data: No labs ordered in ED on 1/12/21.

Allergies: Sulfa antibiotics

Symptoms: Patient presents to ED on 1/12/21 with Allergic Reaction (pt received Moderna Covid-19 vaccine at hospital, and pt states about 10 minutes later she started to feel dizzy, sob, heart racing, and developed rash on hands and chest.) Pt seen by Dr. Pt was ordered NS 500 mL IV x1, diphenhydramine 25 mg IV x1, famotidine 20 mg IV x1, methylprednisolone 125 mg IV x1, and ondansetron 4 mg IV x1. Symptoms resolved prior to discharge from ED. She was given scripts for diphenhydramine and prednisone with instructions to follow up with PCP.

Other Meds: Alprazolam, Apirin-Acetaminophen-Caffeine, Cholecalciferol, Citalopram, Co-enzyme, diphenhydramine, estradiol, melatonin, multivitamin, omega-3-fatty acids (fish oil), prednisone, probiotic, rosuvastatin

Current Illness: none

ID: 0941030
Sex: F
Age: 25
State: WA

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

Lab Data:

Allergies:

Symptoms: Right arm tingling, right hand itching, left hand itching. Frontal headache. Tongue, facial itching, "something catching in throat"

Other Meds:

Current Illness:

ID: 0941031
Sex: M
Age: 26
State: PA

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

Lab Data:

Allergies:

Symptoms: Headache, chills, sinus congestion, body aches

Other Meds:

Current Illness:

ID: 0941032
Sex: F
Age: 25
State:

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

Lab Data:

Allergies:

Symptoms: body aches, chills, fever. called in sick to work.

Other Meds:

Current Illness:

ID: 0941033
Sex: F
Age: 50
State: VA

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

Lab Data: None

Allergies: None

Symptoms: About three hours after getting a vaccine, I had numbness in the anterior portion of my tongue on the left side. Facial muscles were numb on the left side for about six hours. 24 hours post vaccination, symptoms have resolved.

Other Meds: Vitamin D3, multivitamin with iron, magnesium, Atorvastatin, Ibuprofen

Current Illness: None

ID: 0941034
Sex: M
Age: 49
State: PA

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

Lab Data: none

Allergies: Erythromycin Base and Azithromycin

Symptoms: On Tuesday, January 12, 2021 the day after I received my first dose of the Moderna vaccine I woke with severa muscle and joint pain, headache, pain at injection site unable to lift arm above head. As day progress I was extremely fatigued and began to get chills to the point I could not get warm. I left work and went home and had to put on three layers of clothes and a blanket to try and stay warm. The pain was extreme, still had a headache and a low grade fever. I took two ibuprofen and by 9p that evening the headache had subsided as did the fever and chills. Pain was more aches than pain at this point. This morning, January 13, 2021 the aches remain with some fatigue but also a red rash up the inside of both arms, wrapping around the outside of the upper arms down my entire back, buttocks and the back of my legs below my calves on the lower legs.

Other Meds: None

Current Illness: COVID-19; developed symptoms on December 11, 2020, tested on December 13, 2020 and confirmed positive on December 15, 2020. Was out of work for three weeks and returned to work on January 4, 2021. When I asked how long I would need to wait before receiving the first dose of the vaccine I was told by my employer and primary care physician I did not need to wait and so long as I had no symptoms I should get it as soon as possible.

ID: 0941035
Sex: M
Age: 37
State: MI

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Starting the next day and still happening, I have bloody boogers everytime I blow my nose, a couple times a day. I haven't had that happen to me before.

Other Meds: Vitamin c gummy, women's daily vitamin gummy, hair skin and nails gummy

Current Illness: None

ID: 0941036
Sex: M
Age: 49
State: MD

Vax Date: 12/24/2020
Onset Date: 01/07/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: "Starting late last week, around the 7th, I?ve been feeling easily fatigued, sometimes absolutely spent by the end of the work day. Also kind of light headed, almost dizzy and slow. Easily recognizable if I stand too fast; I get a pressure drop and light headedness but not quite vertigo. "

Other Meds:

Current Illness:

ID: 0941037
Sex: F
Age: 25
State: PA

Vax Date: 12/30/2020
Onset Date: 01/05/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: Was swabbed for COVID-19 in the ED, test came back negative. Labs and Chest x-ray were normal. D-Dimer was 0.56. IV Benadryl and Decadron improved symptoms and was released from ED.

Allergies: vancomycin, omnicef, gluten

Symptoms: Received the Moderna COVID-19 vaccine on Wednesday 12/30/2020. Sunday 1/3/2021 started with some dizziness. On Tuesday 1/5/2021 developed hives on feet and ankles. Dizziness worsened and hives had spread to hands and wrists the following day. Upon arriving to work on Thursday 1/7/2021, hives had progressively gotten worse and I was tachycardic. Called employee health where I was instructedto go to the ED. Was tachycardic 100-130 bpm and hypertensive 156/112mmHg upon arrival to the ED. Received IV Benadryl and Decadron for the reaction/hives. Viotals were normal upon discharge. Continued with Prednisone and benadryl. Taking Meclizine to help with dizziness.

Other Meds: none

Current Illness: none

ID: 0941038
Sex: F
Age: 66
State: NJ

Vax Date: 12/28/2020
Onset Date: 01/07/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: 1/19 - scheduled dermatologist appointment

Allergies: NKDA

Symptoms: 1/7 - noted bilateral lower extremity, nodule like rash 12/3 - Received Shringrix Rash still present Pictures are available

Other Meds: Losartan Crestor Synthroid Vit D

Current Illness: Shringrix vaccine given on 12/3/2020

ID: 0941039
Sex: M
Age: 47
State: IN

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

Lab Data: No

Allergies: No

Symptoms: Fever,102, chills, body ache and headache

Other Meds: Vitamin C

Current Illness: No

ID: 0941040
Sex: F
Age: 64
State: NY

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

Lab Data:

Allergies:

Symptoms: Systemic: Exhaustion-Mild, Systemic: Fever-Mild, Systemic: Generalized Body Aches -Mild, Systemic: Headache-Mild, Systemic: patient experienced pain when taking deep breaths but was positive for covid in march2020 and out of work until june 2020. last covid swab was 12/22(negative)and 12/29. temperature was 99.6 and pulse

Other Meds:

Current Illness:

ID: 0941041
Sex: F
Age: 60
State: WI

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

Lab Data: None

Allergies: Clarithromycin, sulfa, azithromycin, cefdinir, amoxicillin/clavulanate, codeine

Symptoms: Initially, sore throat, body aches and headache, then on 1/11/21 she developed red raised rash on her neck and chest. Denies difficulty breathing however she reports her throat is very painful, scratchy, dry and irritated. For treatment patient took a zyrtec 24 hour 10 mg tablet on 1/11/21 which reduced some inflammation of rash, however still present 1/12/21. Has increased fluids, is taking tylenol and tea with honey. These were self care done by patient. MD suggested to Zyrtec every 6-8 hours as needed for symptom control. Ibuprofen / tylenol as needed for headache if no provider has told you not to use these in the past. If any progressive Sx than you should be seen at URI clinic.

Other Meds: Levothyroxine, montelukast, pantoprazole, pravastatin, venlafaxine, fexofenadine.

Current Illness: none

ID: 0941042
Sex: F
Age: 43
State: IN

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

Lab Data: None

Allergies: NKA

Symptoms: Dizziness, full body aches, temp, headache. No treatment

Other Meds: HCTZ, baby aspirin, creator, metphormin, portonix,

Current Illness: None

ID: 0941043
Sex: F
Age: 64
State: KY

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

Lab Data: COVID-19-neg/pos

Allergies: Bactrium?

Symptoms: After the vaccination I developed a non productive cough, had creepy crawly feeling skin and felt as if my eyes were burning but no fever develop. I got tested for COVID via rapid/PCR test on12/25 which was neg but got retested on 12/28 via the rapid COVID test and was positive then.

Other Meds: Hyzdaar, Lipitor, Meloxican, Vit. D., Glucosamine Chondroitin, Tumeric, Multivitamin

Current Illness: no

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm