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: 0942310
Sex: M
Age: 34
State: VT

Vax Date: 12/30/2020
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: CBC

Allergies: Flexeril, chloraprep, diclofenac, celebrex

Symptoms: Small pinpoint bright red dots on abdomen

Other Meds: Men?s one a day multivitamin, Vitamin D

Current Illness: None

ID: 0942311
Sex: M
Age: 74
State: NM

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

Lab Data: None

Allergies: None

Symptoms: Generalized hives and itching, headaches 2-3 days post injection

Other Meds: Xarelto,zetia,Crestor

Current Illness: None

ID: 0942312
Sex: F
Age: 27
State: NC

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

Lab Data:

Allergies: None

Symptoms: Rash on top of right thigh day after. Rash on left ankle and injection site 2 days after

Other Meds: Birth control and tazorac

Current Illness: None

ID: 0942313
Sex: F
Age: 57
State: MI

Vax Date: 12/23/2020
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: N/R

Symptoms: Bell's palsy HISTORY OF PRESENT ILLNESS Patient is a 57 y.o. female with a history of glaucoma, pre-diabetes, and osteoporosis s/p recent fibular fracture who presents for facial weakness. Patient is a research MD in the neurology department. Patient reports that she woke up this morning with weakness of the right face and inability to close the right eye. She reports mild discomfort in the area of her right jaw, but no ear pain. Denies any change in hearing or taste. She denies any difficulty chewing or swallowing, but has noticed that water will come out the side of her mouth when she tries to drink. She reports mild dry eye on the right. No history of similar symptoms. Today is day 18 after her first COVID vaccination. No recent URI symptoms. No unilateral numbness or weakness. No autoimmune history.

Other Meds: calcium, fish oil , multivitamin

Current Illness: Pre-diabetes AIC=6.0

ID: 0942314
Sex: F
Age: 22
State: SD

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

Lab Data:

Allergies: None

Symptoms: At 2 am the patient felt like vomiting, so got out of bed to go to the bathroom. On the way, the patient began to black out to the point where she had to lay down on the floor and could not regain strength for a few minutes and would have fallen over if sitting down and then laying down did not occur. A few minutes were spent laying down and then the episode went away and she was able to get up. She then walked back to her bed and did began to feel light headed, dizzy, and began blacking out again. The patient layed down in bed and waited for the episode to pass again.

Other Meds: Birth control, fluoxetine

Current Illness: None

ID: 0942315
Sex: F
Age: 50
State: IN

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

Lab Data: None

Allergies: None

Symptoms: 14 hours after dose symptoms as follows. Nauseous, fever and body aches lasting 24 hours.

Other Meds: None

Current Illness: None

ID: 0942316
Sex: F
Age: 34
State: IN

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

Lab Data:

Allergies: None

Symptoms: 1 week post injection redness, itching, swelling, began. Felt like a day-old wasp sting. Day 8 post injection and itching less but larger red are. Arm sore and achey from shoulder to wrist. Will wait to see if gets worse before going for doctor visit.

Other Meds: None

Current Illness: None

ID: 0942317
Sex: F
Age: 44
State: WA

Vax Date: 12/30/2020
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Sulfa and Percocet

Symptoms: Cellulitis in my left arm 11 days after injection. Was started on Keflex

Other Meds: None

Current Illness: None

ID: 0942318
Sex: M
Age: 77
State: ID

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

Lab Data:

Allergies:

Symptoms: Sweating 20 minutes-took temperatures and they were normal. Continued preparing dinner. Some discomfort at injection site for first 24 hours.

Other Meds:

Current Illness: Afib

ID: 0942319
Sex: F
Age: 42
State: TX

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

Lab Data: None

Allergies:

Symptoms: Patient initially experienced tingling in left hand right after injection. This resolved but then she began to have tingling in her lips. Then she had tingling at the tip of her tongue and then her neck began to feel stiff. Her blood pressure also rose to 145/72. Her baseline BP is usually 96/69. She was administered 02.ml epinephrine subcutaneously, Then when her lip tingling did not resolve, Benadryl 50mg IM injection was given. After 2 hours of observation, her symptoms resolved and she was released to go home. No ER visit was necessary.

Other Meds: Unknown

Current Illness: No

ID: 0942320
Sex: M
Age:
State: AZ

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

Lab Data:

Allergies: None

Symptoms: None stated.

Other Meds: Simvastatin .4mg Hydroclorothizid .25 mg Tamsulosin HCL .4mg

Current Illness:

ID: 0942321
Sex: F
Age: 0
State: OH

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

Lab Data:

Allergies: cantalope

Symptoms: This is day 4 since vaccine. I do not have a lot of energy, eyes still hurt and EXTREME THIRST.

Other Meds: Losartin, Zorcor, Levoxthrine alogpin vit D

Current Illness: Diabetes 2

ID: 0942322
Sex: F
Age: 36
State: NJ

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

Lab Data:

Allergies:

Symptoms: Starting day 7 noticed a hard bump along with pain, itching and redness surrounding the injection site.

Other Meds:

Current Illness:

ID: 0942323
Sex: F
Age: 65
State: SD

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

Lab Data:

Allergies:

Symptoms: 24 HRS POST VACCINATION DEVELOPED, FATIGUE, MUSCLE ACHES, AND FEVER RANGING FROM 99.7 TO 102.2 FOR 8 HRS. TREATED WITH ONE DOSE OF TYLENOL APPROXIMATELY 4 HRS POST SYMPTOM ONSET. SORE ARM AT INJECTION SITE 2 DAYS. NO FURTHER COMPLICATIONS OR TREATMENT

Other Meds:

Current Illness:

ID: 0942324
Sex: F
Age: 25
State:

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

Lab Data:

Allergies: NKDA

Symptoms: Cellulitis at site (x 1 week) treated with Antibiotic

Other Meds: adderall

Current Illness: NONE noted

ID: 0942325
Sex: F
Age: 41
State: NY

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

Lab Data:

Allergies: Pet dander, seasonal allergies

Symptoms: Started 1 week after injection, itchy arm, redness with hives in redness all local to site of injection, hard edema with redness still present, hives decreases as long as stop scratching. Has been from 10 am continuing now not itching as much since taking benadryl but still hard red edema

Other Meds: Vitamin C. VITAMIN d3

Current Illness: None

ID: 0942326
Sex: F
Age: 26
State: IN

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

Lab Data:

Allergies: none

Symptoms: Rash on cheek/neck area that occurred 2 days after vaccine. Area was itchy when first popped up and now is just red with bumps

Other Meds: OTC allergy pill daily birth control

Current Illness: none

ID: 0942327
Sex: F
Age: 53
State: TX

Vax Date: 12/29/2020
Onset Date: 01/02/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: amoxicillin

Symptoms: Red, pruritus skin to upper right arm at injection site (deltoid) and midway down upper arm. Area often welts and mild swelling is noted to upper arm intermittently.

Other Meds: Vit D Probiotic

Current Illness: none

ID: 0942328
Sex: F
Age: 34
State: CA

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

Lab Data:

Allergies: None

Symptoms: Immediately after inoculation , back of throat was burning , heart rate went 140 bpm , and the blood pressure to 156/ 86

Other Meds: Loestrin fe

Current Illness: None

ID: 0942329
Sex: F
Age: 36
State: PA

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

Lab Data: no

Allergies: ct contrast, penicillin, sulfa, flu shot, first covid shot(hives)

Symptoms: hives, ears red and swollen, itchy all over

Other Meds: multivitamin, CLA, prednisone(allergic to 1st dose) Benadryl (allergic to first dose)

Current Illness: no

ID: 0942330
Sex: F
Age: 30
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: Initial numbness/tingling in right arm, then numbness/tingling in right cheek and foot ~4-5 hours later. 24 hours later still have a little numbness in cheek and right arm and hand

Other Meds: Junel (birth control)

Current Illness: None

ID: 0942331
Sex: F
Age: 58
State: CA

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

Lab Data:

Allergies:

Symptoms: After about 10 min from administration, pt c/o dizziness, and headache with sharp pain to L side of head. GIven apple juice. Transferred to wheel chair. B/P: 162/105. Pulse ox 98, heart rate 93. . Transferred to bed in holding room. Remained dizzy with headache, B/P 155/93. Pulse ox 100%, heart rate 90. Complained of difficult to breathe laying flat. Elevated HOB to 30. Patient states feeling lik eshe could breathe better. Complains of nausea, but taking sips of water.. Pt has history of hypertension with self-reported baseline of 135/90's. Given water, allowed to rest. At 1421, BP 141/93 but remains dizzy, despite dark environment. At 1427. patient verbalizes still dizzy. Verbalizing stomach upset, nausea. AT 1437, Pt Vomit. B/P 158/105. Report given to ER nurse. Pt transferred to ER at 1450.

Other Meds:

Current Illness:

ID: 0942332
Sex: F
Age: 34
State: FL

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

Lab Data:

Allergies: None

Symptoms: Swelling 8 days post injections in left cheek . Filler placed 8 months prior

Other Meds:

Current Illness: None

ID: 0942333
Sex: F
Age: 30
State: DE

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

Lab Data:

Allergies: None known

Symptoms: Recipient reports having an idiopathic autoimmune disorder where she can have random events where exposures can cause an increase in her histamine production resulting in rash and itching. She denied history of any previous anaphylaxis. She was advised prior to the start of the clinic to follow up with her allergist to discuss risk v. benefit of the vaccine with her condition. On the date of the clinic she reports that she consulted her allergist who encouraged her to accept the vaccine but be monitored for 30 minutes. Approximately 10 minutes after receiving the vaccine the injection site reddened, felt hot to the recipient, and was itchy. She reported the itching spread to her scalp. She verbalized this is a typical reaction that she has and that it can self resolve or improves with benadryl. It was at his time that she reported she had taken benadyl 25 mg approximately 1 hour prior to vaccination. The reaction did no spread beyond her injection site and scalp itching resolved quickly. She verbalized symptom relief with a cold pack and was under observation for 45 minutes at which time the redness decreased. She verbalized that she felt safe to leave the clinic, vital signs were stable and no signs of reaction progression or anaphylaxis. She was instructed to notify her allergist and to call 911 if symptoms worsened, as well as to notify the Primary vaccine coordinator when able to for any further issues and updates. By 1330 she called and reported she was fully back to baseline and that she was instructed by her allergist to take prednisone and that she had also taken another benadryl once she got home. She reports the allergist called it a mild reaction and "was not concerned".

Other Meds: Benadryl 25 mg po was taken approximately 1 hour prior to her vaccination.

Current Illness: None known

ID: 0942334
Sex: F
Age: 25
State:

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

Lab Data:

Allergies: bananas

Symptoms: -15 minutes after: legs felt heavy -30 minutes after: bilateral lower extremity numbness and tingling. At this point, went to urgent care. Was told that symptoms should go away in 1-2 days and was sent home without treatment. -1 day after: numbness and tingling disappeared, developed BLE weakness. Still able to walk, but difficulty going up/down stairs and sitting/standing. Unable to walk at normal pace. Walking more than an hour a day causes moderate pain. Seen by PCP, labs drawn (CMP, CBC, ESR/CRP, vit B12, thyroid, HIV, syphilis), labs normal. Pending neurology consult. Almost 3 weeks post-vaccine (1/13/2021), symptoms have not improved. Still experiencing difficulty walking for prolonged periods of time and still unable to walk at a normal pace without pain.

Other Meds: ocella, multivitamins

Current Illness:

ID: 0942335
Sex: F
Age: 53
State: PA

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

Lab Data: none

Allergies: sulfa

Symptoms: Fatigue, chills, nausea, throwing up, body aches - persisted 2 days after 2nd dose shot

Other Meds: multi-vitamin

Current Illness:

ID: 0942336
Sex: F
Age: 39
State: CA

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

Lab Data: Wednesday, January 13: Biopsy and Bloodwork. Awaiting Results.

Allergies: 1. Keflex: Hives 2. Motrin: Hives

Symptoms: [MODERNA] COVID-19 Vaccine EUA Friday, January 8 (~9:10 am): received vaccine Saturday, January 9, ~8pm (after shower): Husband noticed netlike pattern on back of both of my legs. Appeared to be reddish/blueish in color and swollen blood vessels. Did not notice them b/c usually do not look at the back of my legs. Sunday, January 10: Symptoms did not go away. Monday, January 11: Primary Care Virtual Visit. Sent photos. Referral to Dermatology. Tuesday, January 12: Dermatology Virtual Visit. Recommend to come into clinic for biopsy. Wednesday, January 13: Dermatology Clinic Visit. Biopsy and bloodwork taken. Awaiting Results. Possible Livedo Reticularis. Possible COVID-19 vaccine related due to timing of symptoms and no other/obvious triggers.

Other Meds: Prenatal Vitamins

Current Illness: No.

ID: 0942337
Sex: M
Age: 26
State: IL

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

Lab Data:

Allergies: Bactrim, Zithromax, Ceclor, Levofloxaquin

Symptoms: Adverse Events: Dizzyness, fever, GI upset, shortness of breath and weakness. Treatment: Tylanol and rest Outcome: Not much improvement.

Other Meds: N/a

Current Illness: N/a

ID: 0942338
Sex: F
Age: 33
State: CA

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

Lab Data: n/a

Allergies: Bees - has Epi pen but left in the car

Symptoms: 1640 after pt received the COVID-19 vaccine Moderna, pt became nauseated and started dry heaving. Stated she feels slightly dizzy. Pt held for 30 minutes w/ assistance until comfortable.

Other Meds: Keppra BID & Topramax BID

Current Illness: Epilepsy

ID: 0942339
Sex: F
Age: 56
State: CA

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

Lab Data: None

Allergies: Lisinopril

Symptoms: Experienced pain and swelling at the injection site. Developed mild fever, headache, body aches and sinus congestion.

Other Meds: Hydrochlorothiazide 12.5 mg daily Citracal 1 tab BID MVI 1 tab daily Niacin 500 mg BID Vit D3 5000 IU daily Zinc 50 mg daily Vit C 1000 mg daily Omega 3 1000 mg daily Cholest Off 2 tabs daily

Current Illness: Hypertension, High Cholesterol

ID: 0942340
Sex: F
Age: 48
State: OR

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

Lab Data: none

Allergies: codeine; doxycycline; ibuprofen;lactose; metronidazole; naproxen; ondansetron, Bactrim; omeprazole; tomatoes

Symptoms: swelling of her lips and hoarseness of voice as she had mild throat swelling. She treated self with albuterol inhaler as had some chest tightness. She was seen 80 minutes after injection and given diphenhydramine 50 mg and monitored for 2.5 hours. VS remained stable although mild elevated blood pressure. !70

Other Meds: loratadine 10 mg. cetirizine 5 mg; montelukast, albuterol MDI; Wixela ; Mg Oxide, fluticasone nasal spray; multivitamins.

Current Illness: Dec 10 had symptoms of viral illness- negative covid test repeat covid test Dec 14 still negative but symptoms of covid so presumed positive and sent home for quarantine

ID: 0942341
Sex: F
Age: 37
State: IL

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

Lab Data: None

Allergies: No

Symptoms: Confused, foggy about 15 minutes after receiving vaccine. Lasted about 7 hours. I was unable to focus. Initially got a little better a few hours after the vaccination. Then got really foggy again. I had to leave work.

Other Meds: Vitamin C, Multivitamin, Singulair, Albuterol, Flovent, Amethyst, Benadryl.

Current Illness: None

ID: 0942342
Sex: F
Age: 46
State: PA

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

Lab Data: Physical exam

Allergies: NKA

Symptoms: Left elbow cellulitis within 48 hours of vaccine Seen PCP, diagnosed with cellulitis as an adverse reaction to the vaccine and put on antibiotics (Keflex 4Xday for 10 days)

Other Meds: Ibrance, Arimidex, Zoloft, Benicar, Calcium, Vit D, Prevacid, Claritin

Current Illness: I have metastatic breast cancer

ID: 0942343
Sex: M
Age: 46
State: AR

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

Lab Data: none

Allergies: Sulfa based medications

Symptoms: body aches, cold, fever, headache, nausea, vomiting.

Other Meds: Omeprazole, claritin, prevostatin

Current Illness: COVID-19 Positive on November 28, 2020

ID: 0942344
Sex: M
Age: 65
State: NY

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

Lab Data: none

Allergies: none

Symptoms: The next day I started to get the chills,fatigue,headache,muscle pain, nausea, fever. I came home and took 2 acetaminophen and went to bed. After I woke up the fever broke and I felt better.

Other Meds: atorvastatin,baby asprin,folic acid,hydrochlorot,jardiance,

Current Illness: none

ID: 0942345
Sex: U
Age:
State: VA

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

Lab Data: none

Allergies: none

Symptoms: No adverse outcome. Vaccines were stored in freezer. Defrosted in fridge. Opened and doses drawn out while maintaining temperature/minimizing temperature loss. Immediately returned to refrigeration. Temp of refrigerator is 2 degrees C. Additional doses drawn out within 12 hours and not the 6 hours recommended. No noted adverse patient outcomes.

Other Meds: none

Current Illness: none

ID: 0942346
Sex: M
Age: 65
State: NY

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

Lab Data: none

Allergies: none

Symptoms: The next day I started to get the chills,fatigue,headache,muscle pain, nausea, fever. I came home and took 2 acetaminophen and went to bed. After I woke up the fever broke and I felt better.

Other Meds: atorvastatin,baby asprin,folic acid,hydrochlorot,jardiance,

Current Illness: none

ID: 0942347
Sex: F
Age: 31
State:

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

Lab Data:

Allergies:

Symptoms: Fever (100.5) Chills Headache Loss of Appetite Fatigue Muscle aches

Other Meds:

Current Illness:

ID: 0942348
Sex: F
Age: 30
State: VA

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

Lab Data: None

Allergies: None

Symptoms: Large, raised, warm red welt at injection site that started that night and worsened over 24-36 hours and then lasted for 2-3 more full days (4 days total)

Other Meds: Atenolol Prozac Vitamins

Current Illness: Mild cold 4 weeks prior

ID: 0942349
Sex: F
Age: 40
State: WA

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

Lab Data: ECG and lab work.

Allergies:

Symptoms: This is a 40 y/o woman with a past history of re-entry supraventricular tachycardia who is s/p ablation in October, 2020 who presented to our Emergency Room on 1/12/21 due to the abrupt onset of left sided chest discomfort and diaphoresis. The patient awoke from sleep with this sensation. Chest pain was sharp, unchanged since onset, without ameliorating/exacerbating factor or activity. Participated in physical fitness training on day prior to presentation without unusual exertion or activity. Mild nausea on day of presentation. Obtained COVID-19 vaccine the day prior. No history of adverse reaction to vaccines in past. Normal labs/troponin and patient was sent home. Normal ECG. Following ablation in October, Following ablation in Oct, 2020, the patient reports no return of symptoms.

Other Meds:

Current Illness:

ID: 0942350
Sex: F
Age: 37
State: OH

Vax Date: 01/04/2021
Onset Date: 01/10/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: NA

Allergies: NKDA

Symptoms: Lymphadenopathy within the left axillae. Redness, mild pain and tenderness, and pruritus at the site of injection.

Other Meds: Albuterol inhaler PRN; Flovent inhaler PRN

Current Illness: NA

ID: 0942351
Sex: F
Age: 32
State: AR

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

Lab Data: Dr visit twice for antihistamine

Allergies: Latex, z pack, and codeine

Symptoms: Rash on back of neck around neck arms and back told by 2 drs it was linked to the covid vaccine 7 days ago.

Other Meds: Lisinopril, atenenol, and fluoxetine

Current Illness: None

ID: 0942352
Sex: U
Age:
State:

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

Lab Data: N/A

Allergies:

Symptoms: Fever and chills, body aches, mild headache, pain at injection site for 20 hours, treated with rest and Tylenol every 4-6 hours

Other Meds:

Current Illness:

ID: 0942353
Sex: F
Age: 50
State: KY

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

Lab Data:

Allergies: Sulfa allergy

Symptoms: Chills, joint pain, fatigue the night of injection. The next day, my left underarm was swollen and sore if I let my arm hang down at my side.

Other Meds: Amitriptilyne Meloxicam Levothyroxin

Current Illness: None

ID: 0942354
Sex: F
Age: 33
State: CT

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

Lab Data:

Allergies: nka

Symptoms: Within minutes of receiving the vaccine Pt said she developed a "fruity" taste in her mouth. She said she got dizzy, extremely hot and felt like she was "swaying" She said she also got what she described as "menstrual like cramps" that radiated all around her abdomen and back. She was under observation as advised per Pfizer protocol. An associate of the Pt noticed she passed out for a second she then turned beet red from her head to her neck as we could see. The associate yelled for us to grab a BENADRYL. They hooked her up to a BP machine and she did present with a spike in BP. After a few minutes, the redness and symptoms subsided. She was observed by the medical staff at the facility.

Other Meds:

Current Illness:

ID: 0942355
Sex: F
Age: 62
State: MA

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

Lab Data: none

Allergies: NKDA

Symptoms: On January 12 I noticed some pain on L arm at injection site. It became itchy. I noticed redness and swelling. approx 3 inches in length and 2 inches in width .I took some Ibuprofen before bed and it relieved the discomfort. Today the redness , swelling and itchiness is unchanged.

Other Meds: Vit D3 2000 units Levothyroxone 25 mcg Calcium 400 with zinc and magnesium melatonin 10 mg

Current Illness: none

ID: 0942356
Sex: F
Age: 27
State: CA

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

Lab Data:

Allergies:

Symptoms: PATIENT WAS WORKING HER SHIFT AT HOSPITAL ON 1/13/21 BUT WAS TOLD TO STOP WORKING AND VISIT THE COVID CLINIC WHEN HER REACTIONS STARTED. SHE APPEARED FLUSHED, AND WAS DEVELOPING A RASH ON BOTH HER ARMS, ITCHING. HER INJECTION SITE WAS RED AS WELL AS THE SURROUNDING AREA, ABOUT 1INCH IN DIAMETER. SHE REPORTS NO DIFFICULTIES BREATHING, BUT SOUNDED LIKE SHE WAS BREATHING A LITTLE ON THE HEAVIER SIDE. SHE SAID THAT IT FEELS LIKE THE LOWER HALF OF HER THROAT IS A BIT BIG AND STARTING TO SWELL. SHE WAS WALKED TO ED BY ANOTHER NURSE. ED MD FELT THE INJECTION SITE WAS INFECTED. PATIENT RECEIVED ANTIBIOTICS AND BENADRYL FOR THE ITCHING.

Other Meds:

Current Illness:

ID: 0942357
Sex: F
Age: 48
State: OH

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

Lab Data:

Allergies: None

Symptoms: Within 4 hours of receiving the injection I was unable to move my right shoulder. There was excrutiating pain. Upon removing my bandaid it was apparent that the vaccine was injected just below my acromion. I have a picture of the injection site. My shoulder continued to ache (there was no aching in the muscles of my arm). I took Advil 600-80 mg tid and Tramadol 50 mg at night. The pain woke me from sleep. It was difficult to get dressed and undressed. After 9 days of pain I finally took Prednisone 30 mg po. This improved y pain by 30%. It became clear that this is likely bursitis.

Other Meds: Lo loestrin, Zyrtec, Ibuprofen

Current Illness: None

ID: 0942358
Sex: F
Age: 55
State: NH

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

Lab Data: None to date

Allergies: Allergy to Codeine, E-Mycin, ? Morphine. Sensitivity to Blue Cheese. Seasonal allergies, moldy areas

Symptoms: Approximately 10 minutes after receiving vaccine, I felt something in my neck(left side/vaccine in left arm) within a few minutes, my chin, and jaw started feeling weird/tingly-I brought it to the receptionist's attention, and she got a nurse, next few minutes, my face on the left side; especially lips and right below felt tingly/numb(like local dental anesthetic). My speech was Ok, my BP was monitored and was a little elevated, nurse thought I was a little anxious because of my symptoms, BP was checked again about 10 minutes later and it was normal, they listened to my lungs to-all seemed to be well, except for these changing sensations going up my face, and lip. I stayed for about 20 minutes more, and returned to my office. Throughout the day changing sensations/lip area-that evening, my family said my lower lip was drooping slightly downward-it seemed a bit swollen as well. I checked in with the Covid Vaccine Clinic Wed. 01/13/20 in the AM as asked, and let them know i was still having symptoms in my lips, and felt slightly swollen on the one side. It is 1/13/2020 @ 8:45PM and my bottom lip still feels strange(fluttery/tinglingly-not quite numb in sensation/ my cheeks/chin have intermittent differences in sensation

Other Meds: Zyrtec

Current Illness: None

ID: 0942359
Sex: F
Age: 30
State: TX

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

Lab Data:

Allergies: I'm allergic to sulfa, penicillin, clindamycin, latex, and adhesives. In the past, I've had an allergic reaction to the flu vaccine, and the doctor suggested that I no longer get it. I developed moderate to severe hives all over my body.

Symptoms: Moderna COVID-19 Vaccine I spoke with the nurses regarding previous vaccine reactions, and we all agreed that I would take Benadryl first, and then get the vaccine. However, about 5-10 minutes after I got the vaccine, I began feeling very itchy, which is usually a precursor to when I develop hives. The nurses kept a close eye on me and got my vitals. They said my pulse was a little high, but that I was ok to go, since I had stayed my 30 minutes afterward and my vitals were ok. Throughout the day, I became even more itchy, and that night, I had hives everywhere, a low grade fever, and a migraine like headache. Because I did not have an itchy throat, and I have developed these symptoms before with the flu vaccine (and other allergies), I did not go to the doctor. The side effects took about a day to a day and a half to go away.

Other Meds: Estradiol Patch 0.075 MG (2x week) Progesterone 100 MG (1x day) Vitamin D3 5000 IU (1x day) Biotin 5000 mcg (1x day) Fish Oil 1200 mg (1x day) Super B Complex with Vitamin C (1x day) Testosterone Pellet (1x every few months)

Current Illness: N/A

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm