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: 0919343
Sex: M
Age: 31
State: WI

Vax Date: 12/26/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effect noted.

Other Meds:

Current Illness:

ID: 0919344
Sex: F
Age: 28
State: PA

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

Lab Data:

Allergies:

Symptoms: within 10 minutes patient became pale and lightheaded, heart rate elevated, continued to have flushed feeling. Rapid response called observed, provided water and ice. Felt dizzy when tried to walk. Observed for 45-60 mins.

Other Meds:

Current Illness:

ID: 0919345
Sex: F
Age: 22
State: TX

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: redness, warmth, induration at injection site

Other Meds: unknown

Current Illness: unknown

ID: 0919346
Sex: F
Age: 28
State: MN

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

Lab Data: Unknown

Allergies: Unknown

Symptoms: She received the vaccine on 12/30/2020 at approximately 4:35 PM. At 7 PM she experienced immediate exhaustion, very hot, and body aches. Her temp when she got home was 102.7. She experienced an all over rash and her temp fluctuated for 65 hours. She went to Urgent Care both on Saturday and Sunday due to the ?burning? of the rash. She received Steroid treatment both days. She is back to work today, however, continues to have burning rash. She was advised by the Urgent Care provider not to receive the second injection, and not to ever receive vaccines with the mRNA component.

Other Meds: Unknown

Current Illness: Unknown

ID: 0919347
Sex: M
Age: 32
State: AZ

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: During his 15min waiting period after receiving the Moderna COVID19 vaccine, patient got somewhat anxious... tachycardic, htn, wobbly knees, felt unwell. Didn't want any intervention, but agreed to lay down. While resting, BP down to 135/65, HR to 89, looked better and calm but then after 10-15min complained that his throat felt itchy. Then said he was allergic to peanuts, but only when eaten in lg quantities. No signs of anaphylaxis, but was sent to ER for evaluation and obs. Left ER w/o getting seen.

Other Meds: None that are obtained from our facility

Current Illness:

ID: 0919348
Sex: M
Age: 41
State: GA

Vax Date: 12/23/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Itching, redness at injection site approximately 1 week post-vaccination. Triangular, red, raised area, approximately 4x4cm.

Other Meds: multivitamin atorvastatin levetiracetam

Current Illness: none

ID: 0919349
Sex: F
Age: 37
State: AL

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

Lab Data:

Allergies:

Symptoms: Flushed cheeks, tingling to lips

Other Meds:

Current Illness:

ID: 0919350
Sex: F
Age: 41
State: NY

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: None-stayed home and in bed.

Allergies: Allergy to shell fish-clams and oysters

Symptoms: First Headache at approx 10:00pm then later that night at approx 02:00 am left armpit pain, left upper chest pain, left humerus pain, left elbow pain, left wrist pain, left radius and ulna pain, fatigue, lethargy, insomnia, fever 99.9 was highest taken with 2 extra strength Tylenol taken, chills, excessive sweating, decreased appetite until evening of the next day. arm pain decreased but arm pit remains swollen and painful for 2 days so far. Headache gone after 36 hours.

Other Meds: Fish oil, vit c pill

Current Illness: None

ID: 0919351
Sex: M
Age: 47
State: TX

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

Lab Data: NONE

Allergies: KEFLEX

Symptoms: NUMBNESS TO BOTH ARMS AND LEGS

Other Meds: NONE

Current Illness: NONE

ID: 0919352
Sex: M
Age: 24
State: OK

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

Lab Data: NA

Allergies: Iodine

Symptoms: Hives mainly on torso, spread down to legs. Zytec 10 mg was taken. Symptoms have yet to resolve

Other Meds: Lisinopril 10 mg daily Bupropion HCL 150 mg XL

Current Illness: NA

ID: 0919353
Sex: F
Age: 28
State: ND

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: Unknown

Allergies: Penicillins, Vancomycin, Azithromycin, Sulfamethoxazole with Trimethoprim, Nitrofurantoin, Penicillin G

Symptoms: Patient reported to me that she developed a rash to her extremities the evening of vaccination. She proceeded to take benadryl. Patient reported taking benadryl repeatedly Tuesday, Wednesday, Thursday, Friday and by Saturday morning she had to go to the ER to get some steroids. Patient stated that it was a hive reaction.

Other Meds: Benedryl, Predisone, Fomotidine

Current Illness: None

ID: 0919354
Sex: M
Age: 39
State: KS

Vax Date: 12/19/2020
Onset Date: 12/20/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: No

Allergies: No

Symptoms: Left upper trapezia silver dollar sized area with raised bumps. Slightly painful, itchy. Went undiagnosed but mimicked shingles. Has slowly gotten better. Still very visible, 90% cleared. Emailed PCP, was not seen in office.

Other Meds: No

Current Illness: Rash

ID: 0919355
Sex: F
Age: 22
State: UT

Vax Date: 12/22/2020
Onset Date: 12/25/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: Avacados

Symptoms: A few days after shot my whole body, including the site where the shot was given, became very itchy. I got a rash that started on 12/25/2020 all over my body and is still present as of today 01/04/2021.

Other Meds: Birth Control

Current Illness:

ID: 0919356
Sex: F
Age: 58
State: NV

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: At 11:19 am the recipient stated she felt a warm sensation on her mouth and tingling of the lips. VS: BP=141/90, HR= 94, O2 Sat=96% RA, Temp= 37 Celsius. VS at 11:28 am: BP=141/90, HR= 94, O2 Sat=95% RA, Temp= 37 Celsius. at 11:30 participant stated the tingling of the lips had gone away, but the warm sensation on her mouth continued. At 12:20 the participant stated she still had the warm sensation on her mouth but the tingling was absent. 12:30 pm the participant felt comfortable leaving and left the facility.

Other Meds: Unknown

Current Illness: Unknown

ID: 0919357
Sex: M
Age: 31
State: WI

Vax Date: 12/26/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effect noted.

Other Meds:

Current Illness:

ID: 0919358
Sex: F
Age: 25
State:

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

Lab Data:

Allergies:

Symptoms: Indurated and itchy urticaria around site of injection

Other Meds:

Current Illness:

ID: 0919359
Sex: F
Age: 57
State: MA

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

Lab Data:

Allergies:

Symptoms: Itchy throat 6 minutes after vaccine administration - evaluated by EMS - drank water - symptoms resolved by 5:25pm.

Other Meds:

Current Illness:

ID: 0919360
Sex: F
Age: 40
State: VA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: Planning to visit her provider today for Covid testing.

Allergies: PCN, Lexapro, seasonal allergies

Symptoms: Received vaccine on 12/30/20 approx. 5pm. On morning of 12/31/20 experiencing fatigue, chills, aches, fever, loss of appetite and diarrhea. As of 1/4/21 continues to have diarrhea and loss of appetite. Going to see provider today as she found out that a church member tested positive for covid. planning to be tested today.

Other Meds: Paxil, Claritin, Multivitamin

Current Illness: No

ID: 0919361
Sex: F
Age: 62
State: TN

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies: Pt reports foods, medications and latex that cause anaphylaxis, none contraindicated with Moderna vaccine.

Symptoms: Patient complained of left lower lobe of lung pain, which she stated has been causing her symptoms prior to Moderna vaccine administration. Asked patient if she needed treatment and she stated no and she just wanted to let us know.

Other Meds: Unknown

Current Illness: Patient reported vasomotor and left lower lobe respiratory as well as asthma as chronic conditions

ID: 0919362
Sex: F
Age: 31
State: NE

Vax Date: 12/29/2020
Onset Date: 01/04/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: Augmentin, Ceclor

Symptoms: Swollen, painful lymph nodes in right armpit

Other Meds: Ibuprofen

Current Illness: None

ID: 0919363
Sex: M
Age: 1
State: CA

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: After vaccine administration the toddler responded appropriately by crying for a few minutes. Mother took toddler to get labs done 2 floors below us. After about 10 minutes they returned & mom said that infant passed out & that isn't normal for him. The provider in our office was able to wake toddler with painful stimuli, the toddler immediately went back to sleep after for approximately 7 minutes. 911 was called & infant woke with normal personality during wait for EMT.

Other Meds:

Current Illness:

ID: 0919364
Sex: F
Age: 70
State: OK

Vax Date: 09/11/2020
Onset Date: 09/11/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reports that her arm is still extremely sore to the touch at the site of injection. She is able to move the arm and states that it is not in her shoulder but that her arm is still very sensitive. Patient states that she has had steroid injections at the site of the vaccine to help with the arm soreness but once that injection wore off, patient was able to feel the discomfort again. However, when asked if she has talked with her primary doctor regarding her reaction, she states that she has not.

Other Meds:

Current Illness:

ID: 0919365
Sex: F
Age: 65
State: NE

Vax Date: 12/23/2020
Onset Date: 12/26/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: Lab was obtained on 12/30/2020

Allergies: NKA to foods, medications or other products.

Symptoms: Pt. calls into work on 12/28/2020 crying and reports that she is not able to move or turn in bed without having sever discomfort in her neck; therefore unable to work her scheduled shift. Pt. reports with movement of her arms esp. her left arm that she gets "shooting pain" with radiation to the nap of her neck. Pt. denies any fevers at this time. Pt. reports that she had medicated with Tylenol Arthritis without relief. Pt. reports noticing muscle aches and discomfort on 12/26 but on 12/28/2020 is severe in nature. Pt. made an appointment with her PCP on 12/28/2020 at 1400. Pt. was instructed to take Ibuprofen 200 mg tid for a total of 600 mg as needed, cont. to use ice at home and was given Diazepam as a muscle relaxant. On 12/29/20 pt. was able to return to work and reported feeling better. Pt. returned to the clinic on 12/30/2020 again with severe discomfort in the shoulders, neck and upper body. Pt. was seen by PA-C and was administered a shot of Toradil IM, placed on Prednisone 40 mg for 5 days, lab was obtained and was instructed to cont. with the ice and Ibuprofen.

Other Meds: Prenatal vitamin 1 tab daily, Tylenol Arthritis 650 mg 1 tab bid, Letrozole 2.5 mg daily, Amitriptyline HCL 25 mg q hs, Lisinopril-HCTZ 20-12.5 mg daily, Miralax 17 gm as needed daily, Ventolin HFA 108 (90 base) MCG/ACT 1-2 puffs q 4-6 ho

Current Illness: Denies

ID: 0919366
Sex: F
Age: 54
State: OH

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

Lab Data: ED. Oxygen good. BP was elevated but I was scared and concerned. PCR done. Results Negative. Lungs clear to oscillation.

Allergies: Danocrin - hormone inj for endrometriosis.

Symptoms: Started a few hours later with Diarrhea. Then next morning just a slight sore arm (typical of flu vaccines) but then the unbelievable fatigue and muscle soreness took over and restless night sleep. When to ED and had PCR done to make sure I didn't have Covid - it was negative. Cough came and went, mostly at night. I'm 3 days in and just now getting back to normal but the muscle pain and fatigue are still there. No fever. No headache.

Other Meds: None

Current Illness: None

ID: 0919367
Sex: F
Age: 36
State: FL

Vax Date: 12/23/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies: Naproxen

Symptoms: Developed delayed skin reaction week after injection slightly distal to site of injection redness, swelling, warmth > 10 cm worsened for a few days before improving

Other Meds: None

Current Illness: None

ID: 0919368
Sex: F
Age: 32
State: MD

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

Lab Data: EKG, Blood Work, Vitals, Monitoring for a few hours while on monitors for vital stats. Discharged with Low Potassium and Tachycardia.

Allergies: none

Symptoms: I got the vaccine at my workplace at 1115am. I had a normal day, no signs other than a sore arm a few hours later. I went to bed at 9pm feeling fine, and woke up at 10pm very Sick, Throwing up & a fever of 100.8 , Body aches and a Bad headache. i tossed and turned for several hours feeling worse and worse. Eventually at like 9am the next day my heart rate started racing in the 140s. I went to the ER and was told they think the shot just "Woke up" My post covid tachycardia. I had COVID in july and a month later i started getting random bouts of tachycardia. They had subsided mostly, since late october. They did draw my blood and my Potassium was a little low,3.5. so he sent me home with a 7 day supplement of it.

Other Meds: lisinopril 10mg lexopro 10mg ortho-micronor OTC multivitamin

Current Illness: none

ID: 0919369
Sex: F
Age: 24
State: WI

Vax Date: 12/26/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effects noted.

Other Meds:

Current Illness:

ID: 0919370
Sex: F
Age: 28
State: TX

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Saturday midnight stared with a headache, Sunday morning woke up around 9:30 to get milk for my 2 year old boy, wanted to take a Tylenol for the headache when I stared to feel really nauseous and fainted. I remember waking up laying down on the floor, I screamed at my husband I couldn?t get up. And my husband got me up from the floor when I fainted again in his Arms. He states I was unconscious for 10-15 seconds. After I wake up my headache and nauseous went always. I was fine the whole day.

Other Meds:

Current Illness:

ID: 0919371
Sex: F
Age: 43
State: NJ

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

Lab Data: None

Allergies: Penicillin

Symptoms: Burning to left arm, tingling to neck arms and legs. Elevated blood pressure.

Other Meds: Vitamin D Multi vitamin Vitamin C

Current Illness: None

ID: 0919372
Sex: F
Age: 28
State: PA

Vax Date: 12/22/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: CAT scan and blood work both on 01/02/2021

Allergies: shellfish All nuts except almonds sulfa drugs lexapro penicillin amoxicillin

Symptoms: Bell's Palsy on the right side of my face. ear ache, head ache all on the right side. droopiness of the right eye and right side of lips. inability to fully shut my eye., difficulty eating and drinking. Attempted to go to an urgent care on 1/02/2021, but they sent me to the ER. ER evaluated me and sent me home with antivirals and steroids. I was sent home with Prednisone and Acyclovir

Other Meds: adderall xr meloxicam baclofen pristiq

Current Illness: n/a

ID: 0919373
Sex: F
Age: 39
State: MN

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

Lab Data:

Allergies: no

Symptoms: noticed twitching in L arm shortly after receiving vaccine, numbness , weakness and pain in arm and shoulder girdle, diagnosed with parsonage turner syndrome by neurologist, currently taking neurontin for pain as steroids not tolerated

Other Meds:

Current Illness:

ID: 0919374
Sex: F
Age: 59
State: TX

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: After several hours in pm. pt started vomiting uncontrollably, per pt states she threw up about 40 times. On sat morning pt, started having severe leg pain and couldn't stand to touch them. Informed pt to go to the ER to be seen.

Other Meds: N/A

Current Illness: N/A

ID: 0919375
Sex: M
Age: 57
State: CA

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Sore arm five minutes after injection Swollen aches GI No Appetite Not feeling well

Other Meds:

Current Illness:

ID: 0919376
Sex: F
Age: 19
State: MT

Vax Date: 12/30/2020
Onset Date: 01/02/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: 1/4/2021 confirmed with ultrasound of lower extremity.

Allergies: Penicillin

Symptoms: Patient received Moderna vaccine, Wednesday 12/30. On Saturday 1/3/2021 patient felt pressure/tightness in lower extremity. When patient touched area, a noticeable ball was felt under the skin, tender to the touch and warm. Patient went into urgent care on Monday 1/4/2021 with a confirmed dx of a superficial blood clot. Unknown etiology of whether this is from current birth control or the COVID19 Moderna vaccine.

Other Meds: Dasetta 1/35, Bile salts OTC, Proair Inhaler PRN

Current Illness: N/a

ID: 0919377
Sex: M
Age: 49
State: VA

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: IV Contrast

Symptoms: I had 5 minutes of blurred vision

Other Meds: finasteride 1 MG tablet rosuvastatin 20 MG tablet lisinopril 10 MG tablet

Current Illness:

ID: 0919378
Sex: F
Age: 30
State: WI

Vax Date: 12/26/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: gabapentin, seasonal

Symptoms: Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effects noted.

Other Meds:

Current Illness:

ID: 0919379
Sex: M
Age: 67
State: IL

Vax Date: 11/02/2020
Onset Date: 11/02/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: No

Allergies: Patient denies food or medication allergies

Symptoms: On November 2, patient states his arms became sore. The soreness became worse in the left arm before getting better over the last month, but still interferes with his sleep. The right arm is worse with decrease range of motion; it continues to be a 3-4/10 on the pain scale during the day and worsens at night to a 7-8/10 on the pain scale, as it disturbs his sleep during the night.

Other Meds: Patient takes Synthroid, but denies taking OTC, dietary supplements, or herbal remedies.

Current Illness: Patient denies illnesses before or up to the time of vaccination

ID: 0919380
Sex: F
Age: 27
State: GA

Vax Date: 12/21/2020
Onset Date: 12/25/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: I experienced hives to my abdomen and back.

Other Meds: None

Current Illness: None

ID: 0919381
Sex: F
Age: 23
State: TX

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Redness, induration, swelling

Other Meds:

Current Illness:

ID: 0919382
Sex: F
Age: 34
State: MA

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

Lab Data:

Allergies:

Symptoms: Severe sharp throbbing pain at injection site upon administration and continuing throughout observation period - site benign - still in pain at time of leaving facility.

Other Meds:

Current Illness:

ID: 0919383
Sex: F
Age: 49
State: OR

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

Lab Data:

Allergies:

Symptoms: Patient started to experience numbness in immediate area of injection site. She reports that approx 5 minutes after injection, numbness began to spread out from injection site, but was contained mostly to upper arm. She denies weakness, pain, numbness of mouth, difficulty breathing. BP 152/100. Pt reports she is very anxious. pt given ice pack and asked to stay in obs area for an extra 30 minutes. No sequelae after initial numbness

Other Meds:

Current Illness:

ID: 0919384
Sex: F
Age: 60
State: CT

Vax Date: 12/23/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: none

Allergies: sulfa

Symptoms: 8 days post vaccination, patient reports itching with redness, heat and induration at the site of vaccination. Felt like a "bee sting." Resolved without treatment by 1/2/21.

Other Meds: fish oil, vitamin D ,magnesium

Current Illness: none

ID: 0919385
Sex: F
Age: 51
State: MD

Vax Date: 12/17/2020
Onset Date: 12/24/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: Complete work up in the emergency Labs EKG Chest x-ray CTA chest/abd pain medication

Allergies: Codeine- itching (sensitivity not allergy)

Symptoms: On Dec. 24th I started to develop pain with breathing. No other symptoms. I was unable to take deep breaths and felt SOB because of that. I was evaluated in the emergency room on Mon 28th. Full workup completed, cardiac and PE. Work up negative and Covid test negative. I was diagnosed with pleurisy.

Other Meds: Amlodipine, Protonix, Prilosec, Zoloft, Wellbutrin, multivitamin, Amberen, magnesium, zinc, CoQ10, grape seed extract, Turmeric

Current Illness: None

ID: 0919386
Sex: F
Age: 40
State: TX

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Severe swelling of arm, redness, induration, warmth at injection site.

Other Meds:

Current Illness:

ID: 0919387
Sex: F
Age: 24
State: TX

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: Slight redness to lower forearm, sore throat, feverish, fatigue, ear pain

Other Meds: Trintellix, Rexulti, Trazodone, Hydroxyzine, Yasmin

Current Illness: None

ID: 0919388
Sex: M
Age: 54
State: WI

Vax Date: 12/26/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effects noted.

Other Meds:

Current Illness:

ID: 0919389
Sex: F
Age: 39
State: IL

Vax Date: 12/29/2020
Onset Date: 01/02/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: medical tests or laboratory tests were conducted at the time

Allergies: NKA

Symptoms: Left side of throat, left soft palette, left side of mouth, left side of tongue, left side of jaw, left side of nose all felt numb, lymph node by left ear was swollen, left eye pressure, drooling Treated in Emergency Room, no monitor, no IV fluids, discharged with information on paresthesia, stomatitis

Other Meds: phenerteren

Current Illness: None

ID: 0919390
Sex: F
Age: 58
State: CA

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: N/A

Allergies: Niacin

Symptoms: Face rash, itchy for 2 days, (face and neck) Face warm to touch, Seen by NP no treatment

Other Meds: Amlodipine 5mg; Losartan 50mg

Current Illness: None

ID: 0919391
Sex: F
Age: 51
State: NV

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

Lab Data: None

Allergies: Unknown anti-depression pill

Symptoms: At 8:40 am participant complained of dizziness. VS at 08:50 am; BP= 166/113, O2 Sats= 97% RA, HR= 78, RR= 18. Patient stated she did not have breakfast and perhaps she was hypoglycemic, thus she consumed a bottle of orange juice. VS at 08:56 am; BP= 195/106, O2 Sats= 98% RA, HR= 76. At 09:14 am, participates stated she is feeling better. VS at 09:20; BP=176/99, O2 Sats= 100% RA, HR= 79. At 09:42 am participant stated she continues to feel better; BP= 186/94, HR= 82. At 0945 am participant left the site.

Other Meds: Essential oils

Current Illness: None

ID: 0919392
Sex: M
Age: 54
State: WI

Vax Date: 12/26/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effects noted.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm