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: 0919445
Sex: F
Age: 44
State: SC

Vax Date: 12/18/2020
Onset Date: 12/23/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: Covid test - negative

Allergies: bactrin

Symptoms: I started getting a headache on 12/22 with nasal congestion worsening over night the next day I continued having congestion and headache, I called employee health and received a covid test which was negative. I continued to have headache and congestion for two more days and the 25th I was really tired and took a nap. By the 26th I felt completely normal

Other Meds: no

Current Illness: no

ID: 0919446
Sex: F
Age: 48
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: 0919447
Sex: F
Age: 57
State: GA

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

Lab Data: none

Allergies: no known allergies

Symptoms: patient reports arm pain and unable to move arm

Other Meds: protonix 40 mg

Current Illness: no known illnesses

ID: 0919448
Sex: F
Age: 66
State: ND

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

Lab Data: None

Allergies: Sulfa drugs

Symptoms: Injection given too high, the bursa sack was infiltrated and vaccine went into the joint. The patient placed heat, exercised her arm and took oral ibuprofen for 48 hours. The patient could not lift her arm more than a few inches to the front or to the side. No swelling, but bruise at injection site. The injection site bled enough to put a four X four gauze over the site. The pain subsided at about 48 hours and the patient was able to lift her arm.

Other Meds: Unkown

Current Illness: None

ID: 0919449
Sex: F
Age: 78
State: TN

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

Lab Data:

Allergies:

Symptoms: PATIENT REPORTS APPROXIMATELY 5-10 MINUTES AFTER RECEIVING VACCINE TO LEFT ARM THAT "MY HEAD FELT WEIRD AND I GOT A PAIN TO MY LEFT EAR FOR A SPLIT SECOND." SHE REPORTS IT CAME AND LEFT VERY QUICKLY. UNABLE TO DESCRIBE WHAT THE HEAD FELT LIKE OTHER THAN WEIRD. REPORTED FEELING COMPLETELY NORMAL AFTER OCCURANCE

Other Meds:

Current Illness:

ID: 0919450
Sex: F
Age: 57
State: OH

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: N/A

Allergies: codiene

Symptoms: Hives at site of injection and down Left arm continue past five days post injection Headache

Other Meds: Lemimeir, fluxatine, clonidine, jardiance

Current Illness: N/A

ID: 0919451
Sex: M
Age: 39
State: OK

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: I had a persistent headache on day 1 after the vaccination. Also, had severe fatigue and later that day I had chills with severe myalgia that lasted 48 hours requiring to take Ibuprofen for 2 days. The sourness in my left arm was more pronounced that with any other vaccine.

Other Meds:

Current Illness: Had a Covid + infection 3 weeks prior to the vaccine administration

ID: 0919452
Sex: F
Age: 50
State: WI

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

Lab Data: None

Allergies: None

Symptoms: Its been 30 min now and she is doing much better. Felt tingling in her arm and leg on side that vaccine was given. Felt nauseous. Also had headache. Pt has had a severe ischemic stroke in past and has an intellectual disability. Pt seems to be doing fine otherwise and is slowly improving.

Other Meds:

Current Illness: No

ID: 0919453
Sex: F
Age: 49
State: CA

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

Lab Data: None

Allergies: NKDA/EA/FA

Symptoms: Right wrist rash, 4cm x 2.5cm, with vesicles that drained clear fluid after severe itching relieved by scratching. Left hand rash, of the webbing between the thumb and forefinger, raised. Not as severe as the wrist. Numbness or tingling of the lips, intermittent, first occurred an hour after the vaccine and has been infrequent since then. Gradually reducing in frequency; described as an awkward sensation of tingling. Has contacted her PCP for an appointment. Local Pharmacy would not sell or recommend medications due to the patient's history of Pfizer vaccine without her having been diagnosed first.

Other Meds: Synthroid, Advil, Tylenol

Current Illness: None

ID: 0919454
Sex: F
Age: 42
State: MA

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

Lab Data: Spoke to Allergy specialist, on 12/30 via Telehealth appointment re: management of the 2nd vaccine dose. He advised pre-treating with prednisone, Xysol, and having EpiPen and albuterol on hand. He advised ideally having the vaccine administered in the Observation unit. Spoke to PA on 12/31. I had emailed her at CVSE address, and she called back to advise me to a) file this SRS, and b) plan to be out of work on Medical Hold for 1/11 and 1/12/21. Anticipate that vaccine will be administered 1/11 with premedication. This is why I noted below that I expect to miss 2 days of work due to this reaction.

Allergies: Codeine

Symptoms: Developed wheezing/chest tightness. No stridor or rash or injection site symptoms. Took Benadryl 50mg q4 x 3 doses, took albuterol every 2 hrs for 8 hrs. Had EpiPen nearby (a family member's, not mine), but did not use. Felt fine the next morning, 24 hrs afterwards. Just mild headache for a few days (not unusual for me)

Other Meds: Loratadine 10mg daily

Current Illness:

ID: 0919455
Sex: M
Age: 16
State: NY

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

Lab Data: NA

Allergies:

Symptoms: Vaccine administered to 16 year old patient in error; FDA authorized emergency use of administered vaccine for patient's 18 years and older. Patient was monitored for 15 minutes following vaccine administration; no adverse reaction noted.

Other Meds:

Current Illness:

ID: 0919456
Sex: F
Age: 32
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: 0919457
Sex: M
Age: 54
State: NV

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

Lab Data: Blood drawn 04 Jan 2021.

Allergies: PCN and Compezine

Symptoms: Reaction began to appear on 02 Jan 2021 (Day+2). Sore neck muscles 03 Jan 2021: Neck muscles stiffen and preclude rotation of the head. Pain radiating from shoulders up through neck to top and side of head. Neck and muscles sore to the touch. Fatigue. Loss of appetite. Joint pain in all major joints. Inability to sleep from pain.

Other Meds: Metformin, glipizide, potassium citrate, lisinopril, omeprazole, wellbutrin, and febuxostat

Current Illness: None

ID: 0919458
Sex: F
Age: 56
State: AL

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: Took covid test today and it will be 36 hrs for result at the hospital.

Allergies: Unknown

Symptoms: Around 2AM I was sitting at work and I looked at my co-worker and told her my head was killing me. I took Advil, it was like the worst "flu shot" I ever got. Then the muscle pain started. I went home and took some Advil, tried to walk my dogs and couldn't. I usually walk 3 miles with them and did not walk even 1/2 mile. Went home and took a hot shower with Epson salt and laid down. My arm started aching. I can't even wash my hair, the injection site itches and is painful and my scalp was itching too. Overall headache, joint/ muscle pain like flu like symptoms. Wednesday morning before I left work my back started hurting really bad, severe back pain. When I arrived home and used the bathroom I was having abd pain, and diarrhea. It was all fluid. I ate some chili the day before and when I wiped my bottom it was red like bloody. My PCP was closed. It happened about 4 times. It is like I have a kidney pain (the back pain)

Other Meds: Vitamin D3, Vitamin C and Selexa, Zyrtec

Current Illness: Low grade fever, I had an UTI and kidney infection in October.

ID: 0919459
Sex: M
Age: 34
State: CO

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

Lab Data:

Allergies: None per patient report

Symptoms: MODERNA COVID-19 VACCINE EUA Approximately 12 minutes in to the patient's 15 minute post vaccination observation period he reported new onset headache. No reported symptoms of anaphylaxis at this time; the patient was alert and oriented x4. The patient was asked to wait for an additional 15 minutes of observation. After 15 more minutes of observation, the patient continued to endorse a headache and fatigue; no additional symptoms present and the patient was alert and oriented x4. We reviewed common side effects which include headache and fatigue as well as signs of anaphylaxis. We made a plan for patient to contact PCP for any changes or concerns or to contact emergency medical services for evidence of anaphylaxis. Client was discharged from the clinic following a second 15 minute observation period with no acute change in status.

Other Meds:

Current Illness: None reported by patient at time of vaccination

ID: 0919460
Sex: F
Age: 54
State: MD

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

Lab Data: none

Allergies: no

Symptoms: Moderna COVID-19 Vaccine EUA. Muscle aches and headache resolved within 24 hours starting on second day post vaccine. Tylenol and Advil taken as recommended for 24 hours.

Other Meds: Synthroid, ASA, Lexapro, Probiotic, Vit D, Cranberry pill, Tylenol

Current Illness: none

ID: 0919461
Sex: M
Age: 21
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 because of storage conditions. No adverse effect noted.

Other Meds:

Current Illness:

ID: 0919462
Sex: F
Age: 52
State: MI

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

Lab Data:

Allergies: nka

Symptoms: Patient returned after receiving vaccine with unit nurse complaining of flushing in upper body. Temperature was immediately taken and was 97.2 forehead. She was asked to be seated and monitored for her heart rate. Breathing appeared normal. Patient then complained of having swelling in her throat and difficulty swallowing. She was then offered a diphenhydramine 25mg tablet PO. Patient took with water. No help. I offered to call 911. She accepted. Paramedics arrived. Conducted diagnostics. BP was 150/80 with HR 80. AMR administered diphenhydramine 50mg via IV and patient was placed in stretcher and taken to Hospital. Facility with follow up with care.

Other Meds: unknown

Current Illness:

ID: 0919463
Sex: F
Age: 43
State: IA

Vax Date: 12/23/2020
Onset Date: 12/28/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: none

Allergies: Clarithromycin

Symptoms: Induration pain and warm to touch. Induration site larger than silver dollar.

Other Meds: Fluoxetine Protonix

Current Illness: none

ID: 0919464
Sex: F
Age: 53
State: IN

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

Lab Data: None

Allergies: Celebrex

Symptoms: I developed a raised rash on my left arm at injection site , had chills and nausea and lots of tenderness at injection site at 3 am (1/1/21) following injection. The nausea had resolved when I woke up, the rash subsided throughout the day as did the chills. The most distressing event began on 1/1/2021 , that being sneezing, runny nose and watery eyes which continued and got much worse over the next two days, despite taking sudafed as often as possible. No other cold or flu symptoms were present and it felt like allergies although I have never had any sort of seasonal allergies. I finally took Zyrtec for it the evening of 1/3/21 and the symptoms stopped. Congestion, light sensitivity remain. I am reluctant to take another dose due to drowsiness side effect. Hoping symptoms will all be gone by tomorrow.

Other Meds: Vitamin C, Vitamin D, Zinc, Multivitamin, Black Elderberry Extract, Curcumin

Current Illness: None

ID: 0919465
Sex: F
Age: 19
State: WI

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

Lab Data:

Allergies: None

Symptoms: Patient felt like she was going to pass out but did not. She complained on feeling nauseous and throwing up multiple times. She did not have shortness of breath or palpitations. After sitting for a while, she was given an ice pack and a fan. Around 3:15 she felt good enough to leave and she was picked up by someone else.

Other Meds: Unknown

Current Illness: None known

ID: 0919466
Sex: M
Age: 61
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: 0919467
Sex: F
Age: 33
State: OK

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

Lab Data: N/A

Allergies: Latex ASA

Symptoms: Patient got the shot on Saturday, Jan 2nd at around 11am. Woke up Jan 4th at 2:13am feeling the place of injection swollen, itchy and with a single hive like a bug bite, felt another on torso on the right side. Felt rapid pulse, got up to check the mirror, eyes swollen and itchy, tongue beginning to swell. Within minutes, started feeling itchy all over my body, specially mucosae, and scalp. Took 360mg of fexofenadine and 20mg famotidine, reaction started to subside. Was up monitoring until 3:45am. Still feeling itchy but significantly less at the before medication. Plan to continue with 180mg fexofenadine a day until all itchiness goes away.

Other Meds: unknown

Current Illness: COVID positive PCR on 12/04/2020

ID: 0919468
Sex: M
Age: 38
State: RI

Vax Date: 12/27/2020
Onset Date: 01/02/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: Rapid COVID test positive

Allergies: None

Symptoms: Positive COVID test with COVID symptoms

Other Meds: None

Current Illness: None

ID: 0919469
Sex: F
Age: 64
State: TX

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

Lab Data: None

Allergies: NONE

Symptoms: By evening of the same day I read the vaccine my right side got numb my cheek and eye hurt to the touch, my eye socket was very sore, like if I was getting Bells Palsy. I took Vitamin B12 sublingual and went to bed and the next day it was still sore but I took the vitamins again and later on it subsided. By the first of the month those symptoms were a lot less and now I am fine.

Other Meds: Calcium 600mg Biotin 5000 mg Fish oil 1200mg Vitamin D3 5000IU Nitrofurantoin

Current Illness: UTI

ID: 0919470
Sex: F
Age: 26
State: GA

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

Lab Data: N/a

Allergies: Z pack

Symptoms: Immediately after injection a nodule formed to side of injection site. Bump eventually subsided but area remained swollen and red to touch for 3 days. Now area is still red a week later and slightly itchy

Other Meds: Trazodone, birth control

Current Illness: Congestion

ID: 0919471
Sex: F
Age: 73
State: PA

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

Lab Data: none

Allergies: Doxycycline, Iodine, Tetanus toxoid, Nortriptyline, Gabapentin, NSAIDS, Latex, Adhesive tape

Symptoms: Site reaction: redness, warm to touch, painful, Hives chest area, Red rash to face- no swelling, warm to touch, burning sensation. Patient called Pharmacy 1/3/21. She was instructed to apply cool compress to left arm. Redness to arm decreased. She woke up today with hives, rash on face. She was seen in Express Care on 1/4/21. Instructed to take Benadryl 25-50 mg every 6 hours as needed, apply cool compresses to face, arm and chest, Avoid hot shower/bath. Prescription for Prednisone 40 mg daily for 5 days ordered. Unknown outcome

Other Meds: Vitamin D, Claritin, Singular, Lyrica, Plaquenil, Duoneb, Astelin

Current Illness:

ID: 0919472
Sex: F
Age: 42
State: CA

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Lip and facial area swelling tow days after receiving vaccine.

Other Meds: Notice lip and facial area swelling two days after receiving vaccine

Current Illness:

ID: 0919473
Sex: M
Age: 47
State: WA

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

Lab Data: did not present to urgent care. self medicated with tylenol, bedrest and isolation.

Allergies: none

Symptoms: sudden onset of chills, headache, generalized body aches with malaise on wednesday afternoon starting around 1400. progressed to alternating fever+chills when i got home at 1900. took advil at 2100. with mild relief from symptoms. symptoms continued throughout thursday and into friday, with the addition of sore throat and fatigue. switched to tylenol x2/day. large red erythematous area right below injection site of left deltoid noticed on friday and thursday. warm and tender to touch. all symptoms subsided by saturday.

Other Meds: none

Current Illness: none

ID: 0919474
Sex: F
Age: 51
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. Patient also reported a persistent headache for several days post vaccination

Other Meds:

Current Illness:

ID: 0919475
Sex: U
Age: 41
State: TN

Vax Date: 12/18/2020
Onset Date: 12/23/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: Covid test, Flu test

Allergies:

Symptoms: Around 11am the 23rd I starting having chills, low grade fever, severe body aches. Went to walk in clinic (Urgent Care) around 6pm that evening and had Covid and Flu test, both came back negative. Body aches lasted thru the night had to take medicine, body ache and head ache last two days.

Other Meds:

Current Illness:

ID: 0919476
Sex: F
Age: 51
State:

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

Lab Data:

Allergies:

Symptoms: Patient has a presumed fever (shaking chills) and increasing shortness of breath that started this morning (1/4/2021)

Other Meds:

Current Illness:

ID: 0919477
Sex: F
Age: 54
State: MT

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

Lab Data:

Allergies: none

Symptoms: slight fever, strong body ache for 1.5 days and strong headache for 2.5 days

Other Meds: Collagen with peptides

Current Illness: none

ID: 0919478
Sex: F
Age: 75
State: TN

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

Lab Data: Benadryl 50mg IM given and EMS evaluated and was transported by spouse to ER for evaluation

Allergies: unsure

Symptoms: Pt. co of feeling flushed and feeling funny. Patient was flushed and b/p 142/80 r arm. Pt observed 10 mins and she sated that she was feeling worse and scared . No noted shortness of breath. B/p rechecked 110/80.

Other Meds: unsure

Current Illness: unsure

ID: 0919479
Sex: F
Age: 56
State: IN

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

Lab Data: a lot but I don't remember all of them

Allergies: no

Symptoms: They have my injection listed as Moderna which is a mistake. The Manufacturer is Pfizer. On the 23rd. I went into anaphalactic shock admitted to the ER, given an epinephrine drip, I was given iv bolises, chest xray, vitals were taken and blood was drawn. ABGs and chest xray and lactic acid tests were administered. I have to carry a epi pen and need to see a pulmonologist, I have triggers now where I need an emergency inhalor and was put on a course of steroids and my heartbeat is 20 beats higher than usual. I was really tired and having abdominal pain .

Other Meds: vitamin D and priobiotic

Current Illness: no

ID: 0919480
Sex: F
Age: 37
State: OR

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

Lab Data:

Allergies: Severe peanut (all nuts) allergy- anaphylaxis. Percocet-vomiting. Compazine-muscle tetany I also have Crohn?s disease which makes my system overly sensitive.

Symptoms: I waited a full 30 min after my injection due to my peanut allergy. Left hospital feeling ok- on drive home began to feel flushed in my face, tingling in my lips and began to wheeze. It felt like my peanut allergy but on a smaller scale. I took my Albuterol inhaler and some Benadryl once I got home and felt better. The next day I still have some itchiness and fullness in my throat but nothing like yesterday.

Other Meds: Albuterol for asthma and Zyrtec for allergies (seasonal)

Current Illness: Herpes Zoster infection in left eye area one month prior

ID: 0919481
Sex: M
Age: 78
State: AZ

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

Lab Data: no

Allergies: Yes but can't think of the name. It goes under the tongue.

Symptoms: Very dizzy and very weak, tired. Walks with walker, difficult moving around.

Other Meds: Bisoprolol, Clopidogrel, Gabapentin, Lantus-u-100 insulin/ per day, Lipitor, Lisinopril, Methenamine.

Current Illness: no

ID: 0919482
Sex: F
Age: 64
State: MT

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

Lab Data: No

Allergies: Latex ( rash)

Symptoms: Left arm rash redness at site developed on the eighth day 4 inch x 4 inch, increased back pain with Lt leg sciatica unknown if related

Other Meds: ASA 1000mg, Spironolactone 25mg Bid, valsartan 160 mg , Methocarbamol 750 mg, Fineseride 1mg hs,Curamin

Current Illness: Severe inflammation in spine with Lt leg sciatica

ID: 0919483
Sex: F
Age: 43
State: WI

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

Lab Data:

Allergies: Yeast

Symptoms: Patient felt tingling and vibrating in all extremities right after the vaccine. She was hyperventilating. Had o2 sats between 98-100. HR ranged from 100-117. She was clammy with no chills. Rapid COVID test performed and it was negative. Because the patient complained of trouble breathing and was about to use her AuviQ, paramedics were called. The patient did go with the paramedics.

Other Meds: Has epipen she carries with her. She took a Benadryl after the vaccine

Current Illness: Unknown

ID: 0919485
Sex: F
Age: 49
State: TX

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

Lab Data: none

Allergies: Hydro, Codine, Sincular

Symptoms: My Arm is swollen, angry, red and fever. I am having double, vision, when I walk I feel weird.

Other Meds: 20 mg furosemid , pantoprazole 40mg , phintermine 37.5 , asprin 81 mg , VD3, Vit C. Zinc.

Current Illness: Polycythemia Vera

ID: 0919487
Sex: M
Age: 48
State: CA

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

Lab Data:

Allergies: unknown

Symptoms: Within two or three minutes after receiving vaccine, individual began to complain of feeling light headed and vertigo. Blood pressure was normal before vaccine and elevated during time of complaint. Reaction lasted about 30 minutes.

Other Meds: unknown

Current Illness: unknown

ID: 0919488
Sex: F
Age: 24
State: FL

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

Lab Data:

Allergies:

Symptoms: Fatigue, chills, body aches, a body temp of 101.5 F, beginning around 10pm on January 2nd, tested with Tylenol around 5am on January 3rd, fever resided for a few hours before coming back once more around noon on January 3rd, took more Tylenol and all symptoms have since not come back

Other Meds: Levothyroxine 50mcg Norethindrone acetate and ethinyl estradiol 1mg/0.02mg

Current Illness:

ID: 0919489
Sex: F
Age: 39
State: CA

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

Lab Data: anticipated cortisone injection 1/6/2020

Allergies: sulfa, NSAIDS, gluten

Symptoms: injection was administered into left joint and not intramuscular. symptoms included nerve intrapment for 3 days with severe pain in the left arm, extending into the wrist. muscles weakness, numbness into the thumb , index and middle finger. Inability to raise arm. pain persists today

Other Meds: metoprolol, levoxyl, cymbalta, tylenol

Current Illness: none

ID: 0919490
Sex: M
Age: 50
State: GA

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

Lab Data: none

Allergies: none

Symptoms: Fever 102.9, fatigue, headache, ache, cough, nasal drip, sneezing

Other Meds: lyrica, zertec, tylenol, metoprolol, trulicity, metformin, lantus, celebrex, jardiance

Current Illness: none

ID: 0919491
Sex: M
Age: 47
State: MO

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: client reports of about 7:00 am Friday morning, waking up, he had pain in all this joints, head feeling "foggy, had a mild headache in the back of his head, feeling fatigue and not his usual self. This lasted about 24 hours.

Other Meds: none

Current Illness: none

ID: 0919492
Sex: F
Age: 25
State: CA

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

Lab Data: Vital signs monitored

Allergies: None

Symptoms: Increase from baseline heartrate of 60 to 110, feeling of mild chest tightness with no abnormal lung sounds, all other vital signs remained within normal limits. Stated throat felt slightly itchy, resolved without treatment after 2 hours. Patient kept under observation.

Other Meds: None

Current Illness: None

ID: 0919493
Sex: F
Age: 28
State: CA

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

Lab Data:

Allergies: Hx of food allergies (details unknown)

Symptoms: 1616: Vaccination 1630: C/o throat swelling and scratchy throat. Denies pruritis on body. Hx of food allergies with same symptoms. Usually takes Benadryl with relief. 1632: Benadryl 25mg PO 1653: Benadryl 25mg PO 1730: Pt reports symptoms have improved but usually takes a little time to resolved. Awake, alert, oriented, smiling, laughing. No distress noted. Informed Dr. who stated that okay to send home. Informed pt to seek medical attention as needed and then report to COVID hotline. No addition adverse reaction recorded in EMR

Other Meds: none

Current Illness:

ID: 0919494
Sex: F
Age: 62
State: GA

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

Lab Data:

Allergies:

Symptoms: Employee received Covid vqaccine, approx. 10 minutes later employee c/o dizziness b/p 178/90 Hr 64 02 sat 97%. Employuee states he is currently being treated by PCP for HTN. offered to call RRT and or transport to ED for evaluation. Employee refused. Recently started new b/p medication prior to leaving observation area employee reports dizziness resolved. b/p 161/93 HR 68 02 sat 97%. Employee to follow up with primary care physician

Other Meds:

Current Illness:

ID: 0919495
Sex: M
Age: 47
State: KS

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

Lab Data: NA

Allergies: Sulfa No food allergies

Symptoms: Dizzines, severe fatigue, injection site pain, mild nausea, headache, body aches/joint pain.

Other Meds: Omeprozole Cirtirizine Multi vitamin Celecoxib

Current Illness: none

ID: 0919496
Sex: F
Age: 31
State: CO

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

Lab Data: NONE

Allergies: NONE

Symptoms: I got the Moderna COVID vaccine on 12/23/20 since the spot since has been growing red, dry skin, darker, hot to touch very very itchy, and there is a red line all around it that measures 9cm by 6cm . i have no fever or any other symptoms.

Other Meds: LEVOTHYRIXINE, METFORMIN, PHENTRAMINE, BUSPAR, ESCITALOPRAM

Current Illness: NONE

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm