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: 0943675
Sex: F
Age: 67
State: OH

Vax Date: 01/06/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: NKDA, no known food allergies, allergy to Mane and Tail shampoo

Symptoms: Moderna COVID-19 Vaccine: My left arm was very sore starting in the evening of 1/6/2021. This soreness got worse over the next 2 days and then tapered off over the weekend. On 1/11/2021, I started having pain in my left axillary region. This pain increased into 1/12/2021. Also, on 1/12, my left upper arm started hurting. On 1/13, I still had pain in my left axillary region, and thespian in my left upper arm worsened. Also, on 1/13 my left upper arm started itching. Around 5pm on 1/13, I had a chance to look at my left upper arm and there was a large reddened area to my left upper arm which included the vaccine injection site. This area was warm to touch. About 5:30pm, I took 25mg of Benadryl. I took another 25mg Benadryl at 11pm. This morning (1/14), the redness is fading to the area on my left upper arm though itching remains. There is slight pain to the area. The pain to the left axillary region is much better-barely noticeable. I reported this event to County Health Department and to my primary physician.

Other Meds: No prescription meds I take Calcium 500mg tabs twice a day, Vitamin D3-5000 units daily, Glucosamine, Chondroiton-MSM , Vitamin C 1000 mg daily, Krill oil, probiotic cap

Current Illness: NOne

ID: 0943676
Sex: F
Age: 47
State: IL

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt reports sinus pressure like headache along with fatigue, and upset stomach within 40 mins of vaccine administration. Also pt reported dry cough that started at night, which she stated could be allergies.

Other Meds:

Current Illness:

ID: 0943677
Sex: F
Age: 33
State: NY

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: zpack, Penicillin

Symptoms: About 30 minutes after the shot I developed bumps on the back of my tongue. It felt like something was stuck in the back of my throat like a popcorn kernel. When I arrived home I took Benadryl. I also felt some leg pains and took some tylenol before bed. When I woke up the bumps on my tongue were gone, however I now felt dizzy and "off". I ended up going into work where I was given a negitve Covid test. Around 9:00am I started getting head to toe body aches and a headache. I felt exhausted and I didnt feel right. I ended up going home at 11:45. From 11:45-5:30pm, the muscle aches, headache, back/side/stomach cramps, and fatigue got worse. My temp ranged from 99.3-100.1 with Aleve and Ibuprofen in me. I ended up going to sleep around 10pm where I had night sweats, and weird dreams. I woke up in the morning today 1/14 feeling like I had a slight headache, but for the most part I felt back to normal. I currently do not have any symptoms at 11:36am.

Other Meds: Citalopram, zyrtec

Current Illness: ringworm

ID: 0943678
Sex: F
Age: 51
State: IN

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: none

Allergies: egg yolk, barley, bananas, dust mites , goat hair, elmers glue, summer cypress tree,

Symptoms: lymph node swelling in left axilla, left clavicle, left throat, painful some general swelling to left face, possible inner ear swelling, it just feels tight in the ear, watery eye left

Other Meds: Humira 40mg qow, Cymbalta 60mg dly, Omeprazole 40mg daily, womens 50+ multivitamen dly, calcium with Vit D dly , ceterizine 10mg dly, prednisone 5mg qod, probiotic

Current Illness: none acute

ID: 0943679
Sex: F
Age: 53
State: MN

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: dizzy, nauseous, tired that lasted 24 hours- missed a day of work

Other Meds: Zoloft, Doxycycline

Current Illness: NONE

ID: 0943680
Sex: F
Age: 53
State: MN

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: First shot of the Covid-19 vaccine

Allergies: Minocin, sulfa, Synvisc One

Symptoms: 15 hours after the vaccine was received I started to experience a migraine-like headache, nausea and muscle aches.

Other Meds: Atenolol, progesterone micronized capsule, estradiol, levothyroxine, Zyrtec, Vitamin C, Vitamin D, Fish Oil

Current Illness: None

ID: 0943681
Sex: F
Age: 80
State: UT

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: rapid heart rate starting when she got the shot, nausea and fever 99.8 around 5 pm. Symptoms gone by about 10 pm. She took her heart medication as ordered and felt better by bedtime.

Other Meds:

Current Illness:

ID: 0943682
Sex: M
Age: 60
State: TX

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: per patient report: broke out with generalized rash with itching 4 hours following initial vaccine, took diphenhydramine and issue was resolved, rash lasted x3 days

Other Meds:

Current Illness:

ID: 0943683
Sex: F
Age: 63
State: IN

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: N/A

Allergies: Sulfa, latex Lactose intolerant

Symptoms: Initially muscle soreness at injection site. At 12 hours headache began. During the night body aches and restless sleep, bad dreams. Next day headache, significant fatigue and body aches. Emotional feelings like I wanted to fry ( I am not a crier). 2 Nd night restless sleep, bad dreams, headache. Next day brain fog and significant dizziness and vertigo.

Other Meds: Valsartin 300 mg Escitalipram 10 mg Hydrochlirothyazide 12.5 mg Multivitamin Vit D supplement Calcium,Magnesium, Zinc supplement

Current Illness: N/A

ID: 0943684
Sex: F
Age: 55
State: NM

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Benadryl 25mg administered

Allergies: Hepatitis B Vaccine

Symptoms: Patient experienced scratch throat and minnimal shortness of breath.

Other Meds:

Current Illness:

ID: 0943685
Sex: F
Age: 71
State: OH

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: N/A

Allergies: PENICILLINS, MSG, AND CEFTIN

Symptoms: PT. REPORTED A BRIEF EPISODE OF "LIGHTHEADINESS, AND TACHYCARDIA" EMS ON SCENE EVALUATED PT. PT. REPORTS ALL SYMPTOMS RESOLVED WITHIN MINUTES, PT. ABC'S INTACT, WITH NORMAL WOB, LUNGS CLEAR, PT. SYMPTOM FREE,AND DENIES CHEST PAIN OR SOB. PT. NOT TRANSPORTED, PT. REMAINED IN OBSERVATION FOR FULL 30 MINUTES D/T HX. OF ALLERGIES, PT. DENIES HX. OF ANAPHYLAXIS.

Other Meds: U/A

Current Illness: UNKNOWN

ID: 0943686
Sex: F
Age: 43
State: LA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient started feeling shaky and felt weak, said chest felt heavy and felt like her heart was beating fast. She also said that arms and feet felt "tingly". Patient felt this immediately after injection upon standing. Patient was escorted to chair for assessment. She was given water and pulse was normal. Patient said that she was feeling a bit better after a couple of minutes but then started experiencing chest heaviness and shakiness again. Patient alert, oriented, pulse normal, respirations normal. ER called and nurse came to clinic for assessment. Pulse was still normal upon his assessment but offered to take patient to ER via wheelchair for further assessment and patient agreed. Patient left clinic at approximately 8:55am to go to ER.

Other Meds:

Current Illness:

ID: 0943687
Sex: F
Age: 66
State: MI

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: Demerol, Darvon, Bactrim

Symptoms: Day following: severe body aches, chills and fever and slight nausea. The second day following injection felt a bit better but that evening night sweats and third day following quite nauseated.

Other Meds: Alprazolam, Rabrazole, Metoprolol XL, 81mg aspirin, Levothyroxine, Centrum Silver for Women and Caltrate w/D.

Current Illness: None

ID: 0943688
Sex: F
Age: 45
State: PR

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: CARDIAC MONITORING

Allergies: none

Symptoms: 45 y/o FEMALE WHO REFERED NAUSEAS AFTER COVID VACCINATION 30 MINUTES BEFORE. B/P 144/87, SAT 100%, RESP FRE. 16 PER MINUTE. PATIENT WAS DICHARGE HOME AT 2:40 PM SAME DAY. FOLLOW UP WITH PRIMARY CARE MD PATIENT STATED SHE WAS FEELING WELL N O NAUSEAS AT TIME OF DISCHARGE.

Other Meds: none

Current Illness: none

ID: 0943689
Sex: F
Age: 47
State: IL

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt reports sinus pressure like headache along with fatigue, and upset stomach within 40 mins of vaccine administration. Also pt reported dry cough that started at night, which she stated could be allergies.

Other Meds:

Current Illness:

ID: 0943690
Sex: F
Age: 69
State: FL

Vax Date: 12/31/2020
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: penacillian

Symptoms: There is a large red circle on my upper left arm where the injection was given. It has been there for several days. No pain or other secondary issues with the arm - just the red circle.

Other Meds: none

Current Illness:

ID: 0943691
Sex: F
Age: 59
State: IA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: statins

Symptoms: Systemic: Tongue fissures and stomatitis

Other Meds:

Current Illness:

ID: 0943692
Sex: M
Age: 46
State: NY

Vax Date: 01/06/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I was diagnosed with shingles 4 days after the vaccine

Other Meds: Lisanopril, metformin

Current Illness:

ID: 0943693
Sex: F
Age: 47
State: NH

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: sulfa and sutures

Symptoms: right sided headache, brain fog, muscle pain, chills, fever, nausea, arm swelling & pain, arm swelling & pain, cramping in the pelvis & toes, weakness, and discomfort all over my body for about 36 hours then subsided to achy all over, headache, fatigue for about 12 more hours. After 48 hours feel better. Little headache and arm swelling & tenderness

Other Meds: multi vitamin vitamin d trialzom

Current Illness: none

ID: 0943694
Sex: F
Age: 50
State: TN

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 102.6 fever; headache; body ache treated with tylenol fever went down to 100.9 with Tylenol and broke at 3:30 pm (approx 12 hours after onset)

Other Meds: omeprazole; vitamin D

Current Illness: none

ID: 0943695
Sex: F
Age: 25
State: NY

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: N/A

Allergies: Amoxicillin, penicillin (not sure, possible), pineapple

Symptoms: Rash and redness on arm at injection site l arm, welt 5 in ring around injection site has developed and warm to touch, pain in arm pit ? this has resolved

Other Meds: Birth control

Current Illness: N/A

ID: 0943696
Sex: F
Age: 50
State: TX

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: NKDA, no food allergies

Symptoms: Severe rigors, body aches, chest pain, shortness of breath, sore throat, palpitations/tachycardia, hypotension, extreme fatigue, fever up to 101.6 AFTER two acetaminophen 500mg and one aspirin 81mg dosing. Symptom onset about 22 hours after first dose and continue to linger. Fever duration 12 hours with rigors. Mild diarrhea today. Previously had the live coronavirus on 10/31/20 and recovered with very mild symptoms of headache and fatigue. Vaccine symptoms were severe in comparison.

Other Meds: Estradiol 2mg QAM Saxenda 3mg QAM Gabapentin 100mg QHS

Current Illness: None

ID: 0943697
Sex: M
Age: 50
State: MA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: n/a

Allergies: No known allergies

Symptoms: "Pt found lying on the ground next to vehicle. Pt received the vaccine just 5 minutes ago, then suddenly began experiencing hot flashes. Pt claims hot flashes are familiar to him where he will need to lay down; hence why he is now. Pt to stretcher without incident."

Other Meds: Metoprolol

Current Illness: none known

ID: 0943698
Sex: F
Age: 85
State: TN

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: She awakened in the middle of the night feeling much pain in arm where injection was. Felt like she would throw up but couldn't move from the bed. Felt like her face was drawn and tight. This morning, she has been very shaky, sounds like some congestion in her chest (cough), very tired, very dry mouth. She is never sick, so this is alarming to her and to me.

Other Meds: Donepezil, Bayer, Lisinopril, Vitamin D3/K2

Current Illness: None

ID: 0943700
Sex: F
Age: 25
State: MD

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: n/a

Allergies: sulfa

Symptoms: pain and swelling at injection site, headache, diarrhea, muscle and joint achy, chills. Took Ibuprofen for pain

Other Meds: n/a

Current Illness: n/a

ID: 0943701
Sex: F
Age: 38
State: AZ

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Sever sore arm at injection site and to move arm, body aches, and fatigue.

Other Meds: Methimazole, Propranolol, and Omeprazole DR

Current Illness: None

ID: 0943702
Sex: F
Age: 57
State: NJ

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: LATER THAT DAY PT STATES SHE STARTED EXPERIENCING INCREASED SOB, FATIGUE , HEADACHE, AND MENTAL FOG. THE SOB DID RESOLVE AND SHE WAS NOT SEEN IN ED

Other Meds: HCTZ, TRULICITY, LISINOPRIL, ADVAIR

Current Illness: COVID SEQUALAE INCLUDING ASTHMA

ID: 0943703
Sex: M
Age: 50
State: CA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Moderate severe headache, chills, muscle aches and muscle spasms/cramps. Severe enough to keep me in bed the following day.

Other Meds: none

Current Illness: none

ID: 0943704
Sex: F
Age: 64
State: PA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Environmental allergies; shell fish

Symptoms: Injection site pain; headache; fever 102; chills; muschle & joint pain; face pain; sinus congestion; chest tightness by day 3- increased swelling of arm with redness; hot to touch; increased pain radiating to under arm.

Other Meds: Vit D

Current Illness: none

ID: 0943705
Sex: F
Age: 26
State: CA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, chills, body aches, nausea, headache

Other Meds:

Current Illness:

ID: 0943706
Sex: M
Age: 77
State: CO

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Around 8pm the injection site started to get sore. I was moderately sore for approximately 48 hours. About one week after receiving the vaccine, around January 6, the injection site started to get itchy. Not continuously itchy but now and then. There were no marks on my arm at all at the injection site at any time.

Other Meds: Numerous, due to diabetes and chemo for prostate cancer.

Current Illness:

ID: 0943707
Sex: F
Age: 47
State: IL

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt reports sinus pressure like headache along with fatigue, and upset stomach within 40 mins of vaccine administration. Also pt reported dry cough that started at night, which she stated could be allergies.

Other Meds:

Current Illness:

ID: 0943708
Sex: M
Age: 15
State: OH

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: none. not actually an adverse reaction. patient is not actually old enough for vaccine.

Symptoms: Error: Wrong Patient (documentation in EMR)

Other Meds:

Current Illness:

ID: 0943709
Sex: F
Age: 66
State: NC

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: none suggested

Allergies: Tagamet: anaphylaxis Bee stings: anaphylaxis

Symptoms: 6:30 am 1/13/21: swelling in right axilla, headache, body aches, soreness at injection site 4:pm 1/13/21: temp 99.8, chills, selling and redness in right axilla extending to right breast, body aches, severe headache 6:30 am 1/14/21: afebrile, moderate body aches and headache, increased swelling and redness in right axilla extending to right breast Called PCP office. Told to continue Tylenol and use ice packs

Other Meds: Tylenol 1000 mg q4-6 h prn Naprosyn 500 mg bid Levothyroid 75 mcg daily Escitalopram 5 mg daily Metformin ER 500 mg daily Folic Acid 400 mcg daily Omega 3 Fish Oil 1000 mg Multiple vitamin daily Singular 10 mg qhs Melatonin 10 mg qhs Bened

Current Illness: sinus infection

ID: 0943710
Sex: F
Age: 35
State: NY

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Vital signs and observation

Allergies: peanuts

Symptoms: Patient felt dizzy 30 minutes post vaccination. Rested for an additional 15 minutes and felt better

Other Meds:

Current Illness:

ID: 0943711
Sex: M
Age: 79
State: OR

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Systemic: SOB, difficulty breathing, chest pain, symptoms lasted 0 days.

Other Meds:

Current Illness:

ID: 0943712
Sex: F
Age: 67
State: AZ

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Temperature , chills, body aches, headache Took 1 Tylenol,Symptoms improved . Only a light headache is left .

Other Meds: Lisinopril 5 mg tablet Allergy pill zertec

Current Illness:

ID: 0943713
Sex: F
Age: 34
State: CA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: erythromycin; tetracycline; zosyn; shellfish

Symptoms: I started experiencing soreness to left arm about 1-2 hours after injection but nothing else. I went to bed around 11pm. Then I was woken up in the night around 3am violently shaking, teeth shattering and unable to even stand straight from shaking so bad. I felt like I was freezing but skin was hot to touch. I didn't have a thermometer to take temperature at that time because it was in another family member's room. I felt nauseated as well. I took 600mg ibuprofen and tried to lay back down. At 3:59am my aunt woke and brought the thermometer downstairs. I could tell the ibuprofen was working some and fever was less as the shaking had calmed. I was able to check my temperature and it was 100.8F (an hour after the ibuprofen). I still took 100mg tylenol at that time. As of this morning (after 7am) I am sore all over, tired and have a headache, temp 99.2F.

Other Meds: Breo inhaler taken daily; benadryl on occasion at night to help with sleep; magnesium on occasion to help for headache; ventolin inhaler as needed

Current Illness: no illness prior

ID: 0943714
Sex: F
Age: 48
State: PA

Vax Date: 01/04/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: none at this time

Allergies: latex allergy

Symptoms: Injection given 1/4/2021. reaction started on 1/12/2021 around 4:30 p.m.- noticed itching in area where injection was given. Later that evening noticed a large swollen red area where injection had been given that was itchy. Called site where vaccination was given- was told to see general physician if symptoms continue or spread. Spoke w/ a dermatologist who recommended taking antihistamine and apply hydrocortisone to area. Also noticed on 1/13/2021 that hands felt slightly swollen and lips felt swollen and hurt. After starting antihistamine lips and hands felt better. 1/14/2021 called family physician- told to continue with antihistamine and hydrocortisone and to call if does not clear up or spreads.

Other Meds: multivitamin

Current Illness: n/a

ID: 0943715
Sex: F
Age: 34
State: MI

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: EKG done in ED --1/4/2021 2245

Allergies: none documented

Symptoms: about 5 minutes after vaccine administered, patient reported right hand feeling numb and pain at injection site. 30 minutes after injection she felt dizzy. Symptoms decreased and she was returned to work after 45 minutes of monitoring. Later felt "palpitations" and lightheaded--she went to ED approximately 10 pm for evaluation

Other Meds: none docmented

Current Illness: one documented

ID: 0943716
Sex: M
Age: 50
State:

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 5 hours after receiving vaccine, patient developed throat swelling. Treated with PO Tylenol and Benadryl. Swelling resolved by 1/11/2021.

Other Meds:

Current Illness:

ID: 0943717
Sex: F
Age: 35
State: WA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: none

Allergies: CELERY (Severe, ANAPHYLAXIS 10/09/20) TREE NUT (Severe, ANAPHYLAXIS 10/09/20) DEXTROMETHORPHAN (From NYQUIL) (Intermediate, RASH AND ITCHY THROAT 10/09/20) DOXYLAMINE (From NYQUIL) (Intermediate, RASH AND ITCHY THROAT 10/09/20) LEGUMES (Intermediate, GI UPSET 10/09/20) MILK CONTAINING PRODUCTS (Intermediate, GI UPSET/RASH/ASTHMA SYMPTOMS 10/09/20) PSEUDOEPHEDRINE (From DAYQUIL SINUS PRESSURE/PAIN) (Intermediate, RASH/ITCHY THROAT 10/09/20) SULFA (SULFONAMIDE ANTIBIOTICS) (Intermediate, RASH 10/09/20) SULFITE (Intermediate, RASH 10/09/20) IV CONTRAST (CONTRAST IV) (Intermediate, GI UPSET 10/09/20) Uncoded Allergies: KIDNEY BEANS (Mild, RASH, GI UPSET 03/25/19)

Symptoms: Emergency department course: Patient lists an allergy to doxylamine and so she was not given Benadryl. She was medicated with Pepcid and Solu-Medrol. She did develop itching while in the emergency department however no rash. She is observed. On reexam after treatment is feeling better is ready for discharge home. She will follow-up with her primary care provider. She is given prescription for prednisone. She will take Pepcid for the next week. Return the ER for any persistent worsening symptoms or any other concerns. She is agreeable with the plan. Questions were answered.

Other Meds: Calcium Carbonate/Vitamin D3 (Calcium + D 600 Mg Tablet) 1 EACH PO QPM Pantoprazole Sodium 40 MG PO QAM Ascorbic Acid (Vitamin C) 500 MG PO QPM Propranolol Hcl 10 MG PO ESCITALOPRAM OXALATE 10 MG PO Nortriptyline Hcl 10 MG PO

Current Illness: none

ID: 0943718
Sex: M
Age: 16
State: NM

Vax Date: 01/11/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient is 16 years of age. The vaccine is only authorized for patients 18 y/o and above.

Other Meds:

Current Illness:

ID: 0943719
Sex: F
Age: 26
State: FL

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None yet

Allergies: None. Not allergic to a single thing. Never had a any sort of reaction to any vaccine I?ve ever taken.

Symptoms: Two days following administration of vaccine, there was a small, oval shaped redness at injection site about the size of index finger. However, the following day that redness resolved/barely noticeable. Yesterday (1/13/21), I noticed while showering in the morning a huge hard lump on my upper Left arm with circular redness the a little smaller than palm of my hands. The red area grew hotter throughout the day and started to swell. I applied Benadryl gel and took 2 Benadryl 25 mg each in the evening. I tried icing the area as a well. This morning, the hardness and redness are both there. No improvement but it has not worsened either. I tried going to UrgentCare to have it checked out, but was turned away because they didn?t want to be responsible for treating this. I contacted my hospital that gave me this vaccine and they directed me to another clinic, which I may or may not be able to go to because it is a little far from my location. I will continue icing, applying the gel cream, and take a Benadryl Of note, I had no prior COVID exposure. Following any vaccine, I usually get minor fever/chill (like with Flu shot) which happened with Moderna vaccine as well. But that subsided by the next evening. No fever/chills since then. I also had the commonly reported arm soreness for few days. I have pictures of how the swelling and redness looked like throughout all this as well.

Other Meds: Vitafusion Women multivitamin No other supplements or medications

Current Illness: None

ID: 0943720
Sex: F
Age: 38
State: TX

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Employee went to ER and was sent home from there. She received Benadryl

Allergies: unknown

Symptoms: Facial numbness, face turned red elevated BP

Other Meds: unknown

Current Illness: unknown

ID: 0943721
Sex: M
Age: 74
State: MD

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: kna

Symptoms: Error: Wrong Patient (documentation in EMR)

Other Meds:

Current Illness:

ID: 0943722
Sex: M
Age: 28
State: CA

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Alemtuzumab (anaphylaxis). No allergy to polyethylene glycol.

Symptoms: Systemic: Anaphylaxis-Severe, Systemic: Rash (other than injection site)-Medium, Systemic: Minor Rash/Itching/Shakiness on left side, followed by trouble breathing; symptoms lasted 1 day

Other Meds:

Current Illness:

ID: 0943723
Sex: M
Age: 39
State: CA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 2nd dose for COVID vaccine. Woke up around 2:30am with fever (101), severe chills, insomnia, and moderate headache. Was not able to sleep until 9am. Fever and chills subsided by 1pm on 1/12/21. Missed work due to symptoms. Mild fatigue the rest of the day. Mild headache has been present for the last couple of days including today (1/14/21).

Other Meds: None

Current Illness: None

ID: 0943724
Sex: F
Age: 41
State: OH

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: At my PCPs office I have lab work, and EKG and an echo was completed this past Tuesday.

Allergies: Adhesive

Symptoms: A day after the shot I was in the shower and started experiencing exhaustion and shortness of breath. I also had tachycardia. I proceeded not to feel well they?re very next day. Then on Friday I was dizzy and a coworker said that I was flushed and I wasn?t feeling well. I proceeded to go see patients and while examining a patient I became very dizzy and lightheaded while bent over and almost passed out when I came up.. at that time I decided to leave work and go to my PCP. Orthostatic?s were positive and EKG showed normal sinus rhythm and an echo is ordered. Echo was normal. Throughout the week I continued to have tachycardia and shortness of breath with any type of exertion. I left work this morning and was tested for Covid because of my symptoms.

Other Meds: Sertraline 150mg daily Estradiol patch 0.1 mg

Current Illness: None

ID: 0943725
Sex: M
Age: 45
State: MI

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Covid positive 10/04/2020

Allergies: Quinolone Family

Symptoms: Fever 95.7-99.5 Chills with repeated shaking Hot flashes Fatigue Diahrea Muscle and body aches Abdominal pain All symptoms lasting 6 days

Other Meds: Lipitor Levothyroxine

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm