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: 0943829
Sex: F
Age: 39
State: TX

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

Lab Data:

Allergies:

Symptoms: vacc 12/30, pt states she broke out into generalized truncal rash which has now resolved, pt states it was severe, called PCP, was prescribed steroids, went to PCP, states burning and itching was awful, is hesitant to get booster

Other Meds:

Current Illness:

ID: 0943830
Sex: F
Age: 40
State: WA

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

Lab Data: N/A

Allergies: Lactose intolerant, environmental (mold, dust, trees, etc)

Symptoms: This is more of a side effect but that occurred after the v-safe check in dates of 5 days and is in regards to a new vaccine, so wanted to report it, as I am the second person at my work reporting this. Warm, red, itchy, tender area near injection site that popped up on 1/13, over a week after the vaccine given. There was some injection site tenderness and arm pain for 1-2 days after vaccine that cleared up and then this new new spot popped up about 9 days post vaccine. It is still present today 1/14 but smaller area seems to be red. Provider at my work reports a similar issue for her at one week post vaccine. If it gets worse, I will be seen for it.

Other Meds: Citalopram, low estrogen birth control, gummy vitamins, flonase, probiotic

Current Illness: None.

ID: 0943831
Sex: F
Age: 44
State: AL

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Covid test on 1-11-21 negative Hx of positive Covid test on 9-27-20

Allergies: None

Symptoms: Severe soreness, redness, bruising, swelling to injection site that started the day after vaccine was administered. Diagnosed with cellulitis and treated with antibiotics. Also fever up to 104.2 that stared about 26 hours after vaccine was administered with eyes burning, chills, extreme fatigue, clear runny nose and some cough. Body aches. Fever up and down for 9 days with fatigue and body aches.

Other Meds: Losartin, pramiprxole, metoprolol, pravastatin, buspar,

Current Illness:

ID: 0943832
Sex: F
Age: 31
State: TX

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

Lab Data:

Allergies:

Symptoms: Fever (99.7) body aches, HA, mild diarrhea, fatigue started midnight, symptoms improved with Tylenol.

Other Meds:

Current Illness:

ID: 0943833
Sex: F
Age: 26
State: NY

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: localized swelling, warmth,redness and tenderness at site. Soreness within armpit. Treating with Ice and routine NSAIDS

Other Meds:

Current Illness:

ID: 0943834
Sex: F
Age: 22
State: PA

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

Lab Data: NONE

Allergies: None

Symptoms: While driving home, I felt very tachycardic. I assessed pulse as being 165 and returned to the vaccination clinic. By the time I returned, felt dizzy and nauseated. Medical command was contacted who advised for paramedics on site to administer 50 mg of Benadryl IV as well as 4 mg of Zofran and an IV fluid bolus. Those treatments were executed, the tachycardia resolved and the I felt better. I was transported to the Hospital for further evaluation and treatment as a precaution.

Other Meds: None

Current Illness: None

ID: 0943835
Sex: M
Age: 74
State: TX

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: none

Allergies: darvocet rash

Symptoms: 20 hours after injection patient reported myalgia and fever to 100.5 with dizziness and fatigue lasting until started to clear by 2000 that evening and totally resolved by next morning. Symptoms did not recure and he is "normal" feeling now (1/14/21). Complete ROS is negative including gi, respiratory, derm,

Other Meds: Armour Thyroid 30 mg Tab and Armour Thyroid 15mg tab 1 tablet orally of each daily 310/2020 Atorvastatin Calcium 20 mg Tab 404/2020 Carvedilol 25 mg Tab 510/2020 Chlorthalidone 25 mg Tab 604/2020 hydrALAZINE 50 mg Tab 704/2020 Losartan

Current Illness: none

ID: 0943836
Sex: F
Age: 31
State: MO

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Approximately 30 minutes after receiving injection, patient began to c/o itching to (B)UE, chest, and neck. Visible hives to (L) forearm. Denies further symptoms. Benadryl 25mg po. Patient declined further treatment.

Other Meds:

Current Illness: none

ID: 0943837
Sex: F
Age: 32
State: MA

Vax Date: 01/07/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: 1/13/2021: Intravaginal ultrasound showing no gestational sac or embryo which would have been expected for gestation 1/13/2021: Hcg, Total, Quantitative 971 mIU/mL

Allergies: Amoxicillin

Symptoms: Approximately 5 days after administration at 6 weeks pregnant, I began bleeding. The following day (6 days after administration) miscarriage was confirmed via ultrasound

Other Meds: Levetiracetam 500mg , Folic acid 4mg, prenatal vitamin, vitamin C 500mg, Zinc 50mg, Omega 3 fatty acids

Current Illness:

ID: 0943838
Sex: F
Age: 34
State: WI

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

Lab Data: PT IS CURRENTLY SEEING HER PHYSICIAN, CURRENT TIME IS 1120 ON 1/14/2021.

Allergies: NO KNOWN ALLERGIES

Symptoms: PT REPORTED TODAY THAT AREA OF INJECTION SITE IS RED WITH A LUMP APPROXIMATELY 1" X 1" UNDER THE SKIN, AREA IS SLIGHTLY PAINFUL AND IS ITCHY JUST AT THE SITE. DENIES ANY RESPIRATORY SYMPTOMS. ALSO C/O SORENESS IN RIGHT ARMPIT NEAR AREA OF LYMPH NODES. NO OTHER SYMPTOMS. ADVISED HER TO CONTACT HER PRIMARY DOCTOR FOR INSTRUCTIONS, THEY ADVISED SHE GET EVALUATED TODAY AND IS CURRENTLY BEING SEEN.

Other Meds: ADDERALL, BIRTH CONTROL PILL AND MULTIVITAMIN

Current Illness: NONE

ID: 0943839
Sex: F
Age: 36
State: RI

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

Lab Data:

Allergies: NKDA

Symptoms: Patient began developing hives from breast down to knees, radiating to her rear. Rash was extremely itchy, especially around pelvis. Around 7pm, Pt vomited once.

Other Meds: Ranitidine, Ibuprofen, Tylenol

Current Illness: Gall Bladder was removed last week (emergency surgery)

ID: 0943840
Sex: F
Age: 39
State: CA

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: n/a

Allergies: sulfur, epinephrine

Symptoms: After taking the vaccine, the next day, I cut my finger while making a salad and I bleed for a long time. It was like 3 1/2 hrs my finger bleed. It seemed unusual but nothing I couldn't handle or out of control. I just wish they had informed me so I would have taken extra care when handling the knife. I'm not sure if this was related to the vaccine but I had never bleed that long before so I wanted to report it as a potential side effect. I still think benefits of vaccine outweigh risk involved with vaccine so I am glad to have had the shot.

Other Meds: Vegan vitamins and levothyroxine

Current Illness: none

ID: 0943841
Sex: F
Age: 65
State: TN

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Blue Cheese, Mold, Glove Powder, Tape Glue, Hydrocodone

Symptoms: Burning, itching, painful rash over back, stomach and groin. Rash and swelling in hands and ankles

Other Meds:

Current Illness:

ID: 0943843
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 Venom: anaphylaxis

Symptoms: Note: Took Tylenol 1000 mg before injection and every 4-6 hrs since injection 1/11/21 9:00 pm, soreness at injection site 1/12/21 6:30 am, soreness at injection site, slight swelling in right axilla 1/13/21:6:30 am, soreness at injection site, moderate swelling in right axilla, headache, body aches 1/13/21 4:00 pm, temp 99.8, soreness at injection site, increased swelling and redness in right axilla extending to right breast, severe headache. body aches, fatigue 1/14/21 6:30 am, afebrile, increased swelling and redness right axilla extending to right breast, headache, body aches. 1/14/21 10:00 am, Called PCP office. Told to take Tylenol and use ice at axilla, and report to CDC

Other Meds: Tylenol 1000 mg prn Levothyroxine 75 mcg daily Naprosyn 500 mg bid Escitalopram 5 mg daily Folic Acid 400 mcg daily Omega 3 Fish Oil 1000 mg daily Multiple Vitamin daily Singular 10 mg daily Tizanidine 4 mg qhs hydroxyzine hcl 25 mg tid prn

Current Illness: sinus headache and/or infection

ID: 0943845
Sex: F
Age: 35
State:

Vax Date: 12/31/2020
Onset Date: 01/10/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Pt received vaccine dose in left deltoid on 12/31/2021 Developed warm extremity demarcated rash which continued to spread across left upper extremity on 1/10/2021

Other Meds: Biotin

Current Illness: No

ID: 0943846
Sex: F
Age: 32
State: FL

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

Lab Data:

Allergies: iodine, Zithromax, amoxicillin, PCN, cefdinir

Symptoms: complained of tongue swelling and numbness

Other Meds:

Current Illness:

ID: 0943847
Sex: F
Age: 32
State: PR

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

Lab Data: NONE

Allergies: NONE

Symptoms: PAIN ON INJECTION SITE,HEADACHE ,TIRED MUSCULAR PAIN,CHILLES,SWELLING AREA OF INYECCTION,FEELING BAD, AND INCHING IN INJECITION AREA.

Other Meds: TYLENOL 2 TAB EVERY 4 HRS

Current Illness: NONE

ID: 0943848
Sex: F
Age: 51
State: TX

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

Lab Data: blood work, catscan, ekg, xray, Blood pressure

Allergies: keflex, percodin,melon, tree nuts

Symptoms: Muscle pain in neck (only on left side) started about an hour after vaccine. After a few hours I started having pain on inspirational breathing on left side which progressively got worse over night. breathing became painful, (only on left side) and on the advice of the on call doctor I went to the emergency room where x-rays, Cat scan and blood work, EKG, BP was done. They determined it was muscle pain as all test came back normal.

Other Meds: zoloft, dulera, mirapex, famotidine, clonazepam,nortriptyline, albuterol, saxenda, qudexy, zembrace,cambia, emgality, vitamin D3, Womens multi vitamin

Current Illness: bronchitis, asthma

ID: 0943849
Sex: F
Age: 54
State: AZ

Vax Date: 12/20/2020
Onset Date: 12/21/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: Knee x-rays showing effusion but no fracture

Allergies: Aspirin

Symptoms: Developed sweating and chills with headache around 3:00 am. Got up at my usual time 5:30 am to use the bathroom and get dressed but felt nauseous with headache. Went to wash my hands and then walked back to bedroom but had syncopal episode along the way lacerating my lower lip and injuring my knees. Still unable to extend knee due to injury with pain and swelling

Other Meds: None

Current Illness: None

ID: 0943850
Sex: F
Age: 33
State: MA

Vax Date: 12/04/2020
Onset Date: 12/04/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: Venipuncture r/t BBPE 12/4/20 at Occupational Health (3 attempts) & lab

Allergies:

Symptoms: Etiology: Vaccine-related Left arm pain, BBPExposure, incident reported, with Hep B vaccine indicated with Position: Dental Assistant oral surgery Allergies: NKDA Medications: none for this injury PMH: Patient reports numbness and tingling in index and middle finger, has cock-up wrist splint for Rt CTS for past year (sxs in Rt>Left) Dominant hand - Right S. Right upper arm pain from Left deltoid to axilla to medial elbow, that had onset as injection site mild pain after HepB immunization injection on Dec 4th, then she soon developed associated left arm-pit/axilla pain and soreness with a "ropy" soreness that then followed from the medial elbow up thru the upper arm to the axilla. This developed over 1.5 weeks after her Hepislav B vaccine on 12/4/20. Initial report was delayed and she recalled the first week without pain in her axilla/elbow. She was seen by her PCP and advised to follow-up with HC as potentially related to vaccine on 12/4/2020. Also during 12/4/2020 visit, venipuncture was attempted 3 times between 2 arms (uncertain as to how many attempts on left). As venipuncture was unsuccessful, she was referred to lab for a blood draw later that same day. ROS: overall improving and she denies erythema, ecchymosis, numbness, tingling in Left upper arm or forearm. CTS symptoms, Right index and middle fingers > mild in Left, no weakness in pinch or grip. O: Exam with neck that is supple, no spasms, Spurling is negative to Rt and equivocal to left with vague pain provoked to left upper arm to forearm, and those symptoms are relieved by gentle axial traction to c-spine. CTS sxs provoked by Tinel and Phalens to right wrist and mild positive to Left wrist, Ulnar test is negative by Tinel at Left medial elbow and left Guyon's canal at left wrist, Ulnar neg on Rt. Pinch index to thumb is 5/5 on Rt and Left (median n.) and 5/5 bilat, thumb to 5th fingertip pinch (ulnar motor). Sensation to touch intact, bilat, w 2-pt discrimination intact in all fingers. Good grip in both hands. Left ARM with tenderness and small indurated lymph node in left axilla, no "ropy" residual extending distally, left medial elbow is tender with mild dedema, no palpable medial elbow node, no antecubital nodes palpable. No signs of skin infection in left upper arm at venipuncture site or deltoid vaccine injection site. Deltoid with no pain and no tenderness on palpation. Right ARM with no tenderness in antecubital aspect of elbow at venipuncture site. Full ROM in both elbows & shoulders. A: (1) Potential adverse reaction due to vaccine administration and/or venipuncture to left arm. (2) BBPExposure incident reported, and that triggered the Hep B vaccine, with no record of HepSAb immunity. (3) Bilateral Carpal Tunnel Syndrome, Right more symptomatic than left, not related to above. This adverse event is most consistent with lymphatic system reaction to the injection site and/or the venipuncture site. Lymphangitis and reactive lymph nodes are the likely adverse reactions. The vaccine content could have been contaminated, which is unlikely, as there is no recall for that Lot # of FDA approved HEPLISAV-B. Skin prep with alcohol wipe was followed per RN/NP report for both the vaccine injection site in the left deltoid and for the left elbow antecubital fossa skin for the venipuncture site.

Other Meds:

Current Illness: Carpal tunnel syndrome bil

ID: 0943851
Sex: F
Age: 47
State: CA

Vax Date: 12/23/2020
Onset Date: 12/30/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: n/a

Allergies: raw honey

Symptoms: Low back pain on Day 2, got progressively worse through Day 14, then began receding. Day 7, injection site became red, inflamed to about a 6" radius with pain to the touch. Day 8 and Day 9, radius expanded and redness and swelling wrapped around the arm. Pain and stiffness radiated up through shoulder and neck and lower back pain was intense days 7, 8 & 9.

Other Meds: Bupropion

Current Illness: none

ID: 0943852
Sex: F
Age: 49
State: PA

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

Lab Data:

Allergies: no known allergies

Symptoms: 1/12 had complaints of congestion, headache, stomach ache, chills and her right arm at the injection was very painful. She medicated herself with Tylenol on 1/13/21

Other Meds: none

Current Illness: Staff member had covid at the end of April

ID: 0943853
Sex: M
Age: 76
State: CA

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Covid antigen test on 1/13/21 Result probably Negative

Allergies: NKDA

Symptoms: Shortness of Breath

Other Meds: Spironolactone 25 MG QD, Lasix 20 MG QD, Simvastatin 20 MG QD, Atenolol 25 MG QD, Amlodipine 10MG QD

Current Illness: hypokalemia

ID: 0943854
Sex: F
Age: 37
State: TX

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

Lab Data:

Allergies:

Symptoms: Fever, body aches, HA mild diarrhea , fatigue . Tylenol with improvement.

Other Meds:

Current Illness:

ID: 0943855
Sex: F
Age: 40
State: TX

Vax Date: 12/31/2020
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: ER and primary diagnosed

Allergies: Kiwi, bananas, strawberries, grapefruit, melons, raw vegetables, grass, pollen, trees

Symptoms: 8 days after vaccine developed cellulitis out of the blue with no abrasions or bites. Not sure if it is related but I have never experienced this before.

Other Meds: Zyrtec

Current Illness: N/A

ID: 0943856
Sex: M
Age: 44
State: AZ

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

Lab Data:

Allergies: Avocados

Symptoms: Starting having headaches 2 hrs after 1st vaccination. Took Tylenol and it helped but headaches continued till 7-8pm.

Other Meds: NA

Current Illness: NA

ID: 0943857
Sex: F
Age: 44
State: MT

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

Lab Data:

Allergies:

Symptoms: chills, body aches, fatigue

Other Meds:

Current Illness:

ID: 0943858
Sex: F
Age: 19
State: NC

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

Lab Data:

Allergies: none listed

Symptoms: Systemic: Rash (other than injection site)-Medium, Systemic: Exhaustion-Mild, Systemic: Fever-Medium, Systemic: Generalized Body Aches -Severe, Systemic: Headache-Severe; symptoms lasted 1 day

Other Meds:

Current Illness:

ID: 0943859
Sex: F
Age: 54
State: FL

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

Lab Data:

Allergies: next page

Symptoms: next page

Other Meds: next page

Current Illness: none

ID: 0943860
Sex: F
Age: 36
State: CO

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

Lab Data:

Allergies: n/a

Symptoms: Swollen injection site with higher temperature and swollen surrounding lymph nodes in arm and underarm

Other Meds: MultiVitamins - Daily, Ibuprofen 600,

Current Illness: n/a

ID: 0943861
Sex: M
Age: 68
State: PA

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

Lab Data:

Allergies:

Symptoms: Weakness, Muscle aches, headache and nausea

Other Meds:

Current Illness:

ID: 0943862
Sex: F
Age: 53
State: NE

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

Lab Data:

Allergies: NKA

Symptoms: Fever 103, chills, intense body aches, headache.

Other Meds:

Current Illness: Positive for covid in December 2020

ID: 0943863
Sex: F
Age: 34
State: IN

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

Lab Data: None.

Allergies: None.

Symptoms: Chills, low grade fever, injection site soreness, fatigue and muscle aches

Other Meds: None.

Current Illness: None.

ID: 0943864
Sex: F
Age: 43
State: IN

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

Lab Data: none

Allergies: no

Symptoms: headache, chills, fever, sore arm, fatigue

Other Meds: none being taken at time of vaccination

Current Illness:

ID: 0943865
Sex: F
Age: 56
State: ME

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

Lab Data:

Allergies:

Symptoms: 10:00 - Patient said the Shot felt like she was given a drink of metal and got an instant headache. 11:30 Felt nauseous and very tired. Got home around 2:30. Had pain in left hip, left hand fingers cramped up, feet especially toes cramped up, felt sweaty and had cold sweats. This started around 1:00 pm and continued all evening. Woke up with diarrhea and headache - said still had headache when reporting the reaction. Still had small amount of tin taste and left arm hurting especially in back of the shoulder.

Other Meds:

Current Illness:

ID: 0943866
Sex: M
Age: 77
State: CO

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

Lab Data: vitals by EMS

Allergies: Hx of hospitalized with "angioedema" for unknown reason, assumed allergy

Symptoms: Within 30 sec post injection, patient moved his head back and closed his eyes as the NP was putting syringe into sharps. Another RN also witnessed this as well as his wife who said "he does this". NP rubbed his arm and called out his name twice while the RN got the EMS from another room. As EMS arrived (2:36?), pt opened his eyes, was oriented to PPT, had vitals at 159/102, and was offered to be taken to hospital to be further evaluated but declined. Pt was talking and walking with cane into the observation wait area within 10 min. He waited for at least 45' where EMS monitored him and retook vitals before being sent home with wife and driver. Wife and Pt stated he had a visit with a new PCP Monday 1/11/21 thus was instructed to follow-up about this event of possible Petite Mal seizure at that visit.

Other Meds: daily diabetes, seizure meds (not listed)

Current Illness: none known

ID: 0943867
Sex: F
Age: 49
State: IL

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

Lab Data: Covid test . 1-12-21- negative PCR.

Allergies: Aspiri.

Symptoms: -Right hand & forearm numbness/within 10 minutes of vaccine -Fever, Bodyacheeks, headackes, -Pain on the right side - Jaw, neck & right -Lyphnote under the right arm is swollen. -Neck & under armpit pain because of this -The night after getting the 2nd vaccine Covid I started getting chills, fever of 102+ Extreme body ackes -Right arm armpit lymph nodes swollen the size of my fist -Right side of my neck also swollen -The Right lower back hurts as well -From 1 to 10 is an 8 acute pain

Other Meds: Humira, Vitiamins, Fluticasone, Bupropion XL 300mg Trazodone

Current Illness: None

ID: 0943868
Sex: M
Age: 66
State: GA

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/14/2021
Hospital: Y

Lab Data: CT Scan and xray

Allergies: N/A

Symptoms: Developed pulmonary embolism in right lung one week after vaccination. Sharp pain on right side when breathing. Treated with IV Apixaban while inpatient for 2 days, oral Apixaban 5 mg, 2 tabs twice daily 1/5/21-1/11/21, then one 5 mg tab twice a day. Pain has subsided as of 1/14/21.

Other Meds: zyrTEC 10 mg 1 tab daily; BuPROPion Hal XL 300 mg 1 tab daily; Furosemide 40 mg 1 tab daily; Mirapex 1 mg 3 tabs at bedtime; Lipitor 40 mg 1 tab at bed time; Seroquel 100 mg tab 2 tabs at bedtime; Pyridoxine Hal 50 mg 2 tabs twice daily; G

Current Illness: None

ID: 0943869
Sex: F
Age: 36
State: AZ

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

Lab Data:

Allergies: avocado, mango

Symptoms: redness at injection site, swollen eyelid, congestion, chest tightness all started 8 days after vaccine. prior to this, there was no redness at the injection site or facial welling or other nasal/chest symptoms. reported on v-safe program daily for one week, then v-safe stopped allowing reporting. other than this, only other symptoms were arm soreness for 12 hours and a bump at injection site for 48 hours. Again, redness and facial swelling started 8 days post vaccination. 5 weeks pregnant at time of vaccine.

Other Meds: levothyroxine, singulair, zyrtec, prenatal vitamin

Current Illness: n/a

ID: 0943870
Sex: F
Age: 67
State: GA

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

Lab Data: Minimal examine

Allergies: NKDA

Symptoms: Redness and hotness to face. Given 25mg Benadryl PO at site, given additional 25mg Benadryl PO to take if issues persisted.

Other Meds: N/A

Current Illness: None has had botox recently

ID: 0943871
Sex: F
Age: 38
State: MA

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Enviromental allergies

Symptoms: My left arm hurts when being used or when doing range of motion.

Other Meds: Bupropion 150 mg Hydroxyzine 10 mg Isotretinoin 40mg metoprlol succinate 25 mg polyethylene glycol 17 mg docusate 100 mg trazodone 50mg tretinoin vitamin capsule

Current Illness: No

ID: 0943872
Sex: F
Age: 62
State: NY

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

Lab Data: NONE

Allergies: none

Symptoms: INCREASED REDNESS HARD ITCHY HOT TO TOUGH AT INJECTION SITE

Other Meds: rosuvastatin, vitamin d vitamin c ,zinc, vitamin b. probiotic

Current Illness: none

ID: 0943873
Sex: F
Age: 42
State: NM

Vax Date: 12/15/2020
Onset Date: 12/17/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: autoimmune hidradentitis suppurative flare on multiple sights including left axilla, right lower abdomen, right labia and right medial thigh.

Other Meds: humira 40mg weekly injection lisinopril/hctz 20-25 mg daily Vyvanse oral 50 mg daily

Current Illness: hypertension hidradentitis suppurative adult add

ID: 0943874
Sex: F
Age: 21
State: MI

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

Lab Data:

Allergies: Lobster

Symptoms: Headache began first. Then started to feel warm and nauseous around 8:45am. Came to clinic at 9am (nearly 2.5 hours after vaccination). Given gingerale and laid down. Began to feel better. Following walk trial, returned to work.

Other Meds: Lexapro

Current Illness:

ID: 0943875
Sex: F
Age: 36
State: SD

Vax Date: 12/17/2020
Onset Date: 12/17/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: TB vaccine-hives

Symptoms: Tingling to top lip, urticaria which was systemic

Other Meds:

Current Illness: Strep

ID: 0943876
Sex: F
Age: 56
State: WV

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

Lab Data: Vital signs were obtained at 11:38: Pulse 115, SaO2 100% on room air, Respiratory Rate 24, Blood Pressure 197/96, Temperature 96.8F. 12/31/20 @ 1149 EKG was read as normal sinus rhythm and normal EKG. 12/31/20 @ 1204 Troponin-I was < 0.01 ng/mL. Vitals 12/31/20 @ 1245 Blood pressure 150/89, Pulse 76, Respiration Rate 18, SpO2 99% on room air.

Allergies: Codeine (from hospital EPIC computer system)

Symptoms: The patient received the vaccine at 11:36am. One to two minutes after injection, she began feeling like her heart was racing and short of breath. She was diaphoretic, had a notable tremor and reported anxiety as well. Patient was transported to the Emergency Department where the patient was monitored. Ultimately, patient felt better, with a normal EKG. Patients states this reaction felt similar to anxiety attacks she has had in the past. ED Physician felt this was likely an anxiety attack. Patient remained stable throughout ED course and was discharged from the ED in stable condition.

Other Meds: levothyroxine 50mcg po daily; losartan 25mg po daily; meloxicam 15mg po daily (list taken from hospital EPIC computer system as current medication lost from PCP).

Current Illness: None known beyond the list of chronic or long-standing health conditions

ID: 0943877
Sex: F
Age: 38
State: MT

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

Lab Data:

Allergies:

Symptoms: Headache, body aches, fatigue

Other Meds:

Current Illness:

ID: 0943878
Sex: F
Age: 43
State:

Vax Date: 12/17/2020
Onset Date: 12/17/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Right sided chest pain and shortness of breath 2 hours after vaccine administration. Patient was examined in ER. CT of chest showed "questionable minimal small airway inflammation in upper lobes". Patient was discharged from ER home with Methocarbamol 750mg PO Q12 hours as needed.

Other Meds:

Current Illness:

ID: 0943879
Sex: F
Age: 40
State: TX

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: azithromycin & bactrim

Symptoms: The patient received the first dose of Moderna Covid vaccine at their place of work on 12/22. They had no complaints after initial vaccination. On the morning of 12/23 the patient experienced light headedness, diaphoresis, tunnel vision, low blood pressure of unspecified and what could be described as a near-syncopal event. Patient states they did not lose consciousness or fall during this event. Patient then called EMS and was taken to ED by which time symptoms had mostly resolved. Still had complaints of general fatigue and arm pain. Patient received no medications and was supervised for 2-4 hours before being discharged. Of note patient previously had COVID in June and was hospitalized for 6 days, the patients pulmonary function remained stable during that admission.

Other Meds:

Current Illness:

ID: 0943880
Sex: F
Age: 22
State: NY

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

Lab Data: None

Allergies: Penecillin

Symptoms: Headache Body aches Fever

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm