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: 0941350
Sex: F
Age: 43
State:

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient recieved Pfizer vaccine 01/10/21. On 01/11/21 patient started to experience a migraine. On 01/12/21 patient started to expereince a worsened mirgraine accompanied with vomiting and severe back pain.

Other Meds:

Current Illness:

ID: 0941351
Sex: F
Age: 79
State: AL

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

Lab Data: Covid 19 test,Flu A and B test on 1-13-21. All test were negative.

Allergies: codeine

Symptoms: Fevr,vomiting, hurt all over, short of breath

Other Meds: Carafate, Fosamax, Klor-Con,Lexapro,Protonix,Ranexa,Synthroid,Plavix,Etodolac,Gabapentin,hydroxychloroquine,metoprolol tartrate, clopidogrel, enalapril maleate

Current Illness: 12-12-20 Treated for allergies with Decadron 8mg

ID: 0941352
Sex: F
Age: 37
State: PA

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

Lab Data: none

Allergies: none

Symptoms: Roughly 12 to 16 hours after receiving the vaccine I stated with some fatigue and body aches. I took tylenol and motrin twice during the 12 hour shift at the scheduled times. I was working night shift when this happen and came home and went to bed 24 hours after receiving the vaccine. The time I went to bed had fatigue, headache, body aches with neck and back pain. Took tylenol and motrin before going to sleep. When I woke up at 4pm, 31 hours after receiving the vaccine I had, sore throat, head congestion, severe body aches and headache. I attempted to get up since I was scheduled to work at 7pm and then got dizzy. I took tylenol and motrin, put a heating pad on my back, drank some hot tea and went back to bed for the night. Woke up at 7:30am almost 2 days after receiving the vaccine still with headache, body aches and fatigue. The sore throat and head congestion seem to have subsided. Took more tylenol and motrin and went back to bed. Still at this time feel just tired and body aches, mostly in the neck and back.

Other Meds: Wixela 500/50 disc inhaler QD singulair 10 mg QD zyrtec 10mg QD lithium 600mg BID protonix 20mg QD

Current Illness: asthma exacerbation on 12/29/2020

ID: 0941353
Sex: F
Age: 25
State: OK

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

Lab Data: no

Allergies: no

Symptoms: The next morning i noticed i had a Sore arm and red raised area after vaccination. My heart rate has been higher than usual and I have chills.

Other Meds: no

Current Illness: PCOS

ID: 0941354
Sex: F
Age: 47
State: OH

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

Lab Data: none

Allergies: anxiety when taking compazine

Symptoms: I went to sleep on 1/11/21 and noticed some itching. After my shower on 1/12 in the am, I noticed a erythematous, maculopapular rash at the site of the injection. it covers the entire deltoid area. It looked like hives at first and now it is just red and flat.

Other Meds: none

Current Illness: none

ID: 0941355
Sex: F
Age: 42
State: OH

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

Lab Data:

Allergies: none

Symptoms: After injection, patient standing in room, states feels light headed, layed supine on bed, 1302: BP 80/40, scant diaphorsis, A/Ox4 pt states has a hx of passing out, rechecked BP 1305 100/62, states feels much better, sat up on bed for about 2 min., ambulated without difficulty, states feels fine, no symptoms, site without s/s of infection.

Other Meds:

Current Illness:

ID: 0941356
Sex: F
Age: 45
State: NJ

Vax Date: 01/07/2020
Onset Date: 01/09/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: I will be following up with an ENT this coming Friday.

Allergies: None

Symptoms: The day after the second vaccine I had significant arm soreness and some fatigue and malaise. On Saturday two days after the second dose I had significant dizziness which might be considered vertigo. I am now six days past the second vaccine and continue to have dizziness.

Other Meds: Junel

Current Illness: None

ID: 0941357
Sex: F
Age: 42
State: KY

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: Medical exam only. No labs and no radiology performed.

Allergies: Levofloxacin, Azithromycin, Penicillin, Strawberries, Latex

Symptoms: Patient was seen in office c/o paresthesias and numbness with facial twitching on R side of face on cheek. Within two hours this had progressed to numbness to light touch and pinprick on exam from R temple to R mandible. No other neurological abnormalities were noted on exam. Vital signs were stable. No local site reaction noted of R arm. No fever. Patient was monitored for any progressive neuro changes and no progression was noted. By Jan 09,2021 the numbness had completely resolved. No further problems noted.

Other Meds: Tresiba, Levothyroxine daily. Tylenol taken the day after vaccine administered.

Current Illness: None

ID: 0941358
Sex: F
Age: 34
State: PA

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

Lab Data: None

Allergies: Nka

Symptoms: Post shot: 1/11/21 10pm I had a headache and mild chills 1/12/21 12am-2am chills and rigors without fever 2am-6am fever, chills with rigors at time, nausea, headache, joint pain, fatigue, dizziness, double vision, drenching night sweats 6am-11pm continuing mild fevers and chills without rigors , joint pain, nausea, headache. Last fever was approx 6pm that day but the chills continued 1/13/21 12am-6am chills and fatigue. No fevers. Drenching night sweats 6am- present fatigue and slight headache Motrin was able to help the fevers and I stay well hydrated

Other Meds: Lexapro, levothyroxine, melatonin

Current Illness: None

ID: 0941359
Sex: F
Age: 58
State: MI

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

Lab Data: None

Allergies: NO

Symptoms: Headache, 2 hours post vaccine Soreness at injection site, fatigue, headache, and chills 24hours post vaccine. Continue to experience fatigue and headaches for 4 days. On-going headache continues.

Other Meds: Symbicort Inhaler

Current Illness: None

ID: 0941360
Sex: F
Age: 72
State: IL

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

Lab Data: no

Allergies: no

Symptoms: Started to itch 1/12/21. Today, 1/13/21, it is red with a little lump under the skin. Doesn't hurt.

Other Meds: Atorvastatin, vitamin E, b12, d3, coq10,baby aspirin, magnesium, fish oil,

Current Illness: no

ID: 0941361
Sex: F
Age: 59
State: MA

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 01/13/2021
Hospital: Y

Lab Data: 12/21/2020 CBC, metabolic panel, CT scan

Allergies:

Symptoms: Went to bed not feeling well. My husband came to check on me approx. 12:30 am. He was unable to arouse me. When he tried to get me up out of bed I collapsed and then had syncopal episode. He call 911. Paramedics could not get blood pressure and I was diaphoretic and body temp was cold. They rushed me to the hospital. My blood pressure was dangerously low along with my body temperature. I was given epinephrine and LEVOPHED to get a blood pressure. I was warmed up. Then I had GI issues of vomiting, diarrhea, nausea. I spend 4 days in hospital.

Other Meds: Labetalol,Buspirone,Rosuvastatin,Levothyroxine,Lisinopril,Bupropion, Gabapentin, Rabeprazole, Probiotic, Vitamin D, Cevimeline, Scopolamine

Current Illness:

ID: 0941362
Sex: F
Age: 61
State: MI

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

Lab Data: None

Allergies: Morphine, dilaudid, blue molds, rabbits

Symptoms: Initially mild nausea, moderate abdominal cramping for 30 minutes then severe watery diarrhea and moderate to severe abdominal cramping with moderate chills lasting 6 hours. Any fluids taken ran right through me. 4 lb weight loss and muscle cramping from dehydration. 12 hours after symptoms started I was able to take fluids and eat crackers. 24 hours after start felt shaky with mild abdominal soreness but improvement progressed and by 28 hours after start if symptoms felt normal other than I felt like I did 100 sit ups!

Other Meds: Losarten, zoloft, vit d3, trazadone, Lipitor , melatonin

Current Illness: None

ID: 0941363
Sex: F
Age: 56
State: AK

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

Lab Data: none

Allergies: NKDA

Symptoms: Large localized rash, warm, itchy, increased in size since first noticed.

Other Meds: none

Current Illness: None

ID: 0941364
Sex: F
Age: 22
State: IL

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

Lab Data:

Allergies: None

Symptoms: Redness, swelling, warmth to touch, and itching at injection site. Swelling and redness are 7.5 cm x 6 cm on the left upper arm. This has been present since 01/05/2021 and has mildly increased in size since onset.

Other Meds: Escitalopram 20 mg and Vitamin D3 4,000 units

Current Illness: None

ID: 0941365
Sex: F
Age: 45
State: WA

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

Lab Data:

Allergies: No known allergies

Symptoms: Systemic: swelling on her throat, numbing lips; symptoms lasted 0 days

Other Meds:

Current Illness:

ID: 0941366
Sex: F
Age: 22
State: PA

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: dizzy, headache, nausea, vomiting, severe pain injection site

Other Meds: Lexapro 20mg Iron 65 mg

Current Illness: none

ID: 0941367
Sex: F
Age: 55
State: CA

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

Lab Data:

Allergies: Amoxicillin, Keflex

Symptoms: rash all over, 2 hours after vaccine, and still a week later

Other Meds: Elliquis

Current Illness:

ID: 0941368
Sex: F
Age: 64
State: MN

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

Lab Data: none

Allergies: nothing

Symptoms: aches and pains everywhere, almost crippling, taking Tylenol. Outcome: feeling like I can work the rest of my 12 hour shift

Other Meds: nothing

Current Illness: occasional flare up of excema

ID: 0941369
Sex: F
Age: 53
State: FL

Vax Date: 12/08/2020
Onset Date: 12/11/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: Lung xray - results normal, Blood labs - normal

Allergies: N/A

Symptoms: Arm pain as usual at injection site 1-3 days and hard to touch. Headache in the AM's, and would awake with intense headache. Tension headache caused vomit ( salvia) in AM x3., blood pressure would rise and fall intermittently for various day. Left entire arm became very hard to touch, full pressure, inflammation and raised blood vessels and raised blood vessels in right arm also. 01/01/21 Cardiac pain and pt went to ER Hosp; Discharged with referral to Cardiologist, ER stated occurred events could have been of muscular cause at discharge. Appt with Cardiologist 1/20/21

Other Meds: Vitamin B12

Current Illness: N/A

ID: 0941370
Sex: M
Age: 39
State: FL

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

Lab Data: none

Allergies: NKA

Symptoms: Pt received doe #2 to left deltoid at 1300. Immediately he began profusely sweating. he was observed for ~ 1 hour and continued to be diaphoretic. No CP, SOB, lightheadedness or syncope. Vital signs normal. Brought to employee health clinic. Remained slightly diaphoretic but normal exam/ vital signs stable

Other Meds: lexapro, ASA, vitamin B, pegasus, inrebic, lisinopril, gabapentin

Current Illness:

ID: 0941371
Sex: F
Age: 43
State:

Vax Date: 12/30/2020
Onset Date: 01/04/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: extreme fatigue, headache -negative covid test

Other Meds:

Current Illness:

ID: 0941372
Sex: F
Age: 66
State: DE

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

Lab Data:

Allergies: Sulfa, smallpox vac, tetanus vac, melon, latex, multiple tree and grass pollens, wool

Symptoms: Severe nausea, vomiting, diarrhea day 7 lasting approximately 12 hrs. Forced rehydration fluid.

Other Meds: Lithium carb, vit D3, hi potency B complex, APAP, aspirin

Current Illness: None

ID: 0941373
Sex: F
Age: 30
State: AL

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

Lab Data:

Allergies:

Symptoms: c/o numbness left hand, states happened after 1st shot but was several hours later, declines Benadryl, states makes her drowsy, states she will just monitor herself and return if it gets worse.

Other Meds:

Current Illness:

ID: 0941374
Sex: F
Age: 98
State: GA

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Ultram--dizziness and Diaphoresis

Symptoms: developed pain, redness and heat in her left wrist on 1/11/21. I saw her on 1/12 and evaluated it. It could be gout or pseudogout and just a coincidence but we need to fill out a VAERS report on it, just in case.

Other Meds: Centrum Silver 50 + women, vitamin D 2000, SUPER B COMPLEX, Citracal Petites/VitaminD 200-250

Current Illness: none

ID: 0941375
Sex: F
Age: 51
State: AZ

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

Lab Data:

Allergies:

Symptoms: On vaccine day (day 1) 1/4/21, started having right shoulder and upper arm pain, area of vaccine warm and very stiff, no redness or swelling. Very limited ROM. Day 2-1/5/21 continued with right shoulder and arm pain, stiffness, tenderness, very difficult and limited ROM even with donning clothing. Day 3-1/6/21 still very sore and still ROM getting slowly better, soreness at vaccine site, and pressure causes pain could not sleep on arm first 3 days. Day 4-1/7/21 right shoulder and upper arm are sore, but greatly improved and no further limited ROM can move arm and shoulder fluently.

Other Meds:

Current Illness:

ID: 0941376
Sex: F
Age: 38
State: CO

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

Lab Data:

Allergies: none

Symptoms: Developed a raised rash at and around injection site. 2in x 4 in in size. Itchy. Localized only, not over entire body.

Other Meds: levothyroxine, prenatal vitamins

Current Illness: none

ID: 0941377
Sex: M
Age: 64
State: AZ

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0941378
Sex: F
Age: 32
State: OH

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

Lab Data:

Allergies: None

Symptoms: Shoulder pain and excruciating pain when moving arm.

Other Meds: Zyrtec, Hydrochlorothiazide 25 mg, microgestin- 1/20 , and a multivitamin

Current Illness: None

ID: 0941379
Sex: F
Age: 59
State: NJ

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

Lab Data: -

Allergies: Codeine. Macrodantin. Levaquin. CT scan dye. Sensitivity to latex.

Symptoms: After waiting 15 minutes, I walked to my car feeling dizzy. I sat in my car for a few minutes, very dizzy. After about 2 minutes I began to drive away. I then became to dizzy, I had to pull into the lot of a vacant store. I was incapacitated with dizziness! I notified my two daughters in case something worse happened. The dizziness was so extreme. Vertigo. I laid my car seat back and opened my car windows and did some deep breathing. Still too dizzy to drive back to the vaccination site. I then ate a granola bar, hoping it might help. It did. After about 15 minutes the dizziness subsided and I was able to drive away. It was quite severe and scary at the time.

Other Meds: Metformin. Atorvastatin. Lisinopril. Metoprolol Tartrate. Trileptal.

Current Illness: -

ID: 0941380
Sex: M
Age: 55
State: NC

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

Lab Data:

Allergies:

Symptoms: ?Pfizer-BioNTech COVID-19 Vaccine EUA?. We are reporting a vaccine administration error, NOT an adverse drug reaction. There was no harm to the patient (KW) as a result of the error. The error occurred on 1/11/2021 during the hospital?s vaccination of co-workers for COVID-19. The co-worker in this report was vaccinated with a syringe containing air only and no actual vaccine. How the error occurred - a first-time volunteer from critical care transport was assisting at the hospital?s vaccine clinic with vaccine preparation and was observed correctly drawing up doses from the first vial. Error occurred when the volunteer drew up doses from the second vial (and was not being observed). The volunteer drew up air only and no vaccine. How the error was discovered - administrator thought the syringe felt ?strange? and did not contain any vaccine. The error was discovered at that point. Investigation found that the volunteer had drawn up a total of 6 doses that contained air instead of vaccine and were dispensed for administration. Four vaccine syringes containing only air (and no vaccine) were recovered unused. Two vaccine syringes containing air (and no vaccine) had reached patients. This patient (KW) received one of the affected syringes, was still at vaccine clinic when the error was discovered and was immediately re-vaccinated with a correctly prepared syringe. Action ? the vaccine clinic is taking greater care and additional time to confirm the skillset of the individuals who are first time volunteers at the vaccine clinic.

Other Meds:

Current Illness:

ID: 0941381
Sex: F
Age: 60
State: KS

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

Lab Data: None

Allergies: None

Symptoms: 1/12/2021 this employee came into office showing that she had a reddened area to her right Deltoid. It was approximately 2 inches wide and 1.5 inches long. It was hard when palpated and it was itching. It did not show up until this day which was 8 days post vaccination. Instructed to take Benedryl at bedtime and then come back to assess. 1/13/2021 this employee came back and the area of redness had increased but was less red and was not itching. Measurements of 2 inches x 2 inches were present for redness. The tissue was now soft instead of the harness felt yesterday.

Other Meds:

Current Illness: None

ID: 0941382
Sex: F
Age: 34
State: FL

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

Lab Data: n/a

Allergies: N/A

Symptoms: Pain in right eye - turned out to be iritis. - treated with steroid

Other Meds: Vitamins D & C, Biotin, Allegra

Current Illness: N/A

ID: 0941383
Sex: F
Age: 45
State: WA

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

Lab Data:

Allergies: No known allergies

Symptoms: Systemic: swelling on her throat, numbing lips; symptoms lasted 0 days

Other Meds:

Current Illness:

ID: 0941384
Sex: F
Age: 25
State: FL

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

Lab Data: Went to get covid test, had a bloody nose. Rapid result was negative. Other test pending. No other treatments at this time.

Allergies: Flexural, tramadol, cillins , peanuts

Symptoms: About an hour after injection, started feeling heart race and felt jittery. Arm was sore right away. Next day atm was even more sore and still anxious feeling. Two days later, started having a head ache. Feeling rundown, tired, and bad cough with a sore throat.

Other Meds: Wellbutrin. Vitamin B

Current Illness:

ID: 0941385
Sex: F
Age: 25
State: WI

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

Lab Data:

Allergies: None noted

Symptoms: Pfizer-BioNTech COVID-19 Vaccine Patient received her COVID vaccine .. During the observation period, the patient reported feeling a lump in her throat, clammy hands, lightheadedness, and tingling of her lips and face. Patient was taken back to an exam room. Orange juice provided, patient laid down. Each time patient would sit up, she would feel jittery and lightheaded. After having the patient stay in the patient exam room for 45 minutes with clinical staff monitoring her status, the patient did not report any improvement in symptoms, therefore, she was transported to the ED

Other Meds:

Current Illness:

ID: 0941386
Sex: F
Age: 33
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient reports baseball size mass/lump to left axillary/breast area 1 day after vaccine administration. Patient states lump was sore and tender and pain aggravated by movement of left upper extremity. Lump is progressively getting smaller.

Other Meds:

Current Illness:

ID: 0941387
Sex: F
Age: 41
State:

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: COVID positive

Other Meds:

Current Illness:

ID: 0941388
Sex: F
Age: 32
State: WY

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

Lab Data:

Allergies: Unknown

Symptoms: Woke the following morning with 102 fever, severe headache, and fatigue. On Sunday onset lymph nodes under right arm swollen and painful. On Tuesday, 1/12/21 reports improvement of swollen lymph nodes but has continued fatigue.

Other Meds: Unknown

Current Illness: Unknown

ID: 0941389
Sex: F
Age: 58
State: TX

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

Lab Data:

Allergies: Not listed, but learned from other staff after that she had serious allergic reaction to an unknown substance before

Symptoms: Systemic: Anaphylaxis-Severe

Other Meds:

Current Illness:

ID: 0941390
Sex: F
Age: 44
State: NE

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

Lab Data: None

Allergies: Penicillin, Tree nuts, Sour soup, grapes, avocado

Symptoms: Brought to her attention the sucrose in the vaccine information. She stated she would be fine. Gave vaccination and instructed employee to stay in hospital for at least 15- 30 minutes. Employee walked back into vaccine clinic at 1109 and states she isn't feeling well, slight rash noted at injection site and slight rash on chest. Employee is anxious do to previous issue mentioned above. Took employee to EHS. BP 215/107 P 122, shaking feels like right side of her throat is slightly swollen no SOB, Pulse ox 98% P 133. BRRT called at 1112. Employee states she took Benadryl 25 mg before coming to get vaccine. States she was walking in hall and started not feeling well so took Benadryl 25mg. 1116 BP 198/106 P135. BRRT staff here and assessing employee. T98.2 at 1119. 1121 BP 186/ 91 P 107. Employee reports she is feeling better now bumps in her mouth or swelling in her throat, less shaking redness in chest and right arm decreased. Employee refused to go to ED signed refusal form. 1126 BP 189/96 P92 BRRT team still here. Employee will continue to be monitored in EHS. BP 177/87 P87 feeling much better ready to leave EHS.

Other Meds: Multivitamin

Current Illness: None

ID: 0941391
Sex: F
Age: 47
State: AR

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

Lab Data:

Allergies:

Symptoms: Patient's report: "Started to notice swelling in my right arm pit on 1/12/2021 and tenderness in my neck also on 1/12/2021 I had the second shot on 1/11/2021 at 12pm"

Other Meds:

Current Illness:

ID: 0941392
Sex: F
Age: 48
State: SC

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

Lab Data: POSITIVE COVID PCR ON 12/31/20

Allergies: NONE

Symptoms: TESTED POSITIVE FOR COVID ON 12/30/20 AFTER GETTING VACCINE ON 12/28/20

Other Meds: ASA 81MG PO DAILY SYNTHROID 100MCG PO DAILY LIPITOR 20MG PO DAILY

Current Illness: NONE

ID: 0941393
Sex: F
Age: 28
State: CT

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

Lab Data:

Allergies: pork peanuts ibuprofen

Symptoms: Systemic: dizziness,lump in throat, difficulty swallowing, numbness of lip area; symptoms lasted 0 days

Other Meds:

Current Illness:

ID: 0941394
Sex: F
Age: 56
State:

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

Lab Data:

Allergies:

Symptoms: throat closing and shortness of breathe. given epinephrine 0.3IM

Other Meds:

Current Illness:

ID: 0941395
Sex: F
Age: 43
State: MD

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

Lab Data:

Allergies:

Symptoms: Itching, swelling, now have cellulitis

Other Meds:

Current Illness:

ID: 0941396
Sex: F
Age: 32
State: MI

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Red/swollen/warm/painful injection site

Other Meds:

Current Illness:

ID: 0941397
Sex: F
Age: 27
State: MI

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

Lab Data: N/A

Allergies: N/A

Symptoms: 1/11 10:30pm-severe headache and jaw ache/stiff jaw 1/12 AM-headache and jaw ache continues, nausea 1/12 afternoon-headache and jaw ache continues, nausea, low grade fever (99.9) and chills 1/12 night-headache and jaw ache 1/13 AM and afternoon-headache and jaw ache

Other Meds: Lexapro 10mg daily Snythroid 112mcg daily Cytomel 5 mg BID Buspar daily Hair skin and nails vitamins

Current Illness: N/A

ID: 0941398
Sex: F
Age: 62
State:

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

Lab Data:

Allergies:

Symptoms: Day after receiving vaccine: fatigue, fever, headache, body aches, shortness of breath, Two days after receiving vaccine: extreme fatigue, racing pulse, high blood pressure

Other Meds:

Current Illness:

ID: 0941399
Sex: F
Age: 51
State: SD

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

Lab Data:

Allergies: monosodium glutamate pistachio nut

Symptoms: generalized pruritis developed about 5-10 minutes after vaccine was given. Solu-medrol 40mg IM was given at that time. Pruritis persisted and patient then complained of mild shortness of breath. Epipen 0.3mg and diphenhydramine 50mg were given IM. EMS was called and the patient was transported to the ED.

Other Meds: levothyroxine 50mcg daily, trazodone 50mg nightly, zolpidem 5mg nightly as needed

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm