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: 0944409
Sex: F
Age: 45
State: MN

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

Lab Data:

Allergies:

Symptoms: Systemic: Chills-Mild, Systemic: tingling in fingers-Mild; symptoms lasted 0 days

Other Meds:

Current Illness:

ID: 0944412
Sex: F
Age: 42
State: CA

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

Lab Data:

Allergies:

Symptoms: Lightheaded, body aches. Resolved

Other Meds:

Current Illness:

ID: 0944414
Sex: F
Age: 77
State: TX

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: had a sever/sever head/chest cold on Monday following the shot given on Friday was on Z-pack and Mucinex--seems to be working

Other Meds: prempro/omeprazole/rosuvastatin/areds2

Current Illness: none

ID: 0944415
Sex: F
Age: 26
State: CO

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Latex and shellfish and pollen seasoned allergies

Symptoms: Diarrhea, bad rash/welts that is spreading, tired, lathargic, loss of appetite, excessive sweating and chills.

Other Meds:

Current Illness: N/A

ID: 0944416
Sex: F
Age: 57
State:

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: THE PATIENT RECEIVED THEIR 2ND DOSE AND WAS OBSERVED FOR THE REQUIRED 15 MINS WITHOUT INCIDENT. IT WASN'T UNTIL THE PATIENT WAS HOME, ABOUT 11 HOURS POST VACCINATION, THAT THEY REPORTED SWELLING & ITCHINESS AT THE INJECTION SITE, SWOLLEN, TINGLY LIPS AND SWELLING UNDER THE EYES. THE PATIENT REPORTED TAKING BENADRYL, WHICH EFFECTIVELY RESOLVED THE REPORTED SIGNS & SYMPTOMS.

Other Meds:

Current Illness:

ID: 0944418
Sex: F
Age: 63
State: MO

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

Lab Data:

Allergies: Prior skin reactions to flu & shingrix vaccines

Symptoms: Generalized itching, redness of arm.

Other Meds:

Current Illness:

ID: 0944419
Sex: F
Age: 53
State: IA

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

Lab Data:

Allergies:

Symptoms: Systemic: Nausea, Systemic: Vomiting, Systemic: shortness of breath

Other Meds:

Current Illness:

ID: 0944420
Sex: F
Age: 35
State: CA

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

Lab Data:

Allergies:

Symptoms: Injection site pain, body aches, joint pain, Improving.

Other Meds:

Current Illness:

ID: 0944422
Sex: F
Age: 41
State: IL

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

Lab Data:

Allergies:

Symptoms: Immediately after being vaccinated became short of breath, arm red and warm neck red

Other Meds:

Current Illness:

ID: 0944423
Sex: F
Age: 29
State: KY

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

Lab Data: A COVID-19 by PCR test was ordered.

Allergies: Unspecified "steroid ointment" reports patient but exact agent/formulation unknown

Symptoms: Patient received first dose of Pfizer COVID-19 vaccination last evening. This morning, she awoke and went to the bathroom at approx 0700 and noticed the red, raised rash throughout her lower extremities. She further noticed the same pattern distributed throughout her entire body including scalp. She endorses only very mild to no pruritis and denies associated pain. She does endorse mild chills and malaise noticed last PM following the shot. In addition, at her office visit this morning, she had a low grade fever of 100.2 measured. She given ibuprofen in clinic, as well as recommended ibuprofen, acetaminophen and prescribed famotidine, loratadine, and diphenhydramine for her symptoms and instructed to follow back up at the clinic tomorrow. Photos were taken of the rash and sent by patient to appropriate contact.

Other Meds: Paraguard 380T copper IUD

Current Illness: None

ID: 0944425
Sex: F
Age: 66
State: IL

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

Lab Data: no

Allergies: no

Symptoms: Arm sore 1/6-1/7. It went away. 1/13 when I woke up my arm was very sore with a lump and very warm to touch. Felt like it was burning. 1/14 Still have some pain but it has gotten better I took 3 Advil for pain. Arm is still warm to touch. Feels slightly itchy as well.

Other Meds: vite, high blood pressure med.

Current Illness: no

ID: 0944426
Sex: M
Age: 72
State: CA

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Meloxicam -> angioedema, phenobarbital -> agitation. A

Symptoms: Left knee pain lasting less than one day

Other Meds: Atorvastatin, vit D, calcium, melatonin, omega-3 fish oil, multivitamins

Current Illness: Migraines, joint/bone pains

ID: 0944428
Sex: M
Age: 33
State: FL

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

Lab Data: n/a

Allergies: no

Symptoms: Low grade temp, body aches, and fatigued.

Other Meds: no

Current Illness: no

ID: 0944429
Sex: F
Age: 39
State: MI

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

Lab Data: no

Allergies: Augmentin, Klotine, Morphine, latex

Symptoms: H/A head is pounding, Chills shivering, took hours to warm up, nausea, 102.4temp, took Tylenol. This AM still have H/A, sore arm, 98.8 temp. Pain in right upper arm.

Other Meds: no

Current Illness: no

ID: 0944431
Sex: F
Age: 50
State: IL

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

Lab Data:

Allergies:

Symptoms: Adminsitration of vaccine at 8:40am; At 8:53; experienced dizziness and diaphoresis. Placed in supine position and provided a wet cloth for her forehead. Vital signs and blood pressure remained stable. She was provided a snack and discharged home.

Other Meds:

Current Illness:

ID: 0944432
Sex: F
Age: 28
State: IL

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

Lab Data:

Allergies: penicillin

Symptoms: facial filler swelling with pain 1 week after vaccination

Other Meds: Probiotic, multivitamin, turmeric, vitamin D

Current Illness: none

ID: 0944433
Sex: F
Age: 48
State:

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

Lab Data:

Allergies: N/A

Symptoms: Vision change in left eye; a little blurry in left eye

Other Meds: N/A

Current Illness: N/A

ID: 0944435
Sex: F
Age: 64
State: TX

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

Lab Data: none

Allergies: Sulfa, Tetracycline, Flagyl, Diflucan, Levaquin, Lactose intolerant

Symptoms: Dizziness

Other Meds: Simvastatin 20 mg, Protonix 40mg 2X day, Furosimide 40 mg 1Xday; Estadiol 1mg 1Xday, Klor-Con M10ER 10 meq 2 daily, acyclovir 800 mg 1Xdaily, Plaquenil tabs 200 mg 2Xdaily; Savella 100 mg 2xdaily; Robaxin 500 mg 3Xdaily, Xeljanz XR 11mg

Current Illness: Rheumatoid Arthritis, Fibromyalgia, Migraines, GERD, Sleep Apnea, Hormone Replacemnt, High Cholesterol, Chronic Adema, MTFHR , Degenerative Disk Disease, Wear an implanted spinal cord stimulator and partial knee replacement

ID: 0944437
Sex: F
Age: 47
State: TX

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

Lab Data:

Allergies: None

Symptoms: Rash on left arm, close to injection site. However, this happened one week after receiving the Modern vaccine.

Other Meds: Levothyroxine, Spironolactone, Vitamin D, Biotin, Vitamin C, Zinc

Current Illness: None

ID: 0944438
Sex: F
Age: 74
State: SC

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

Lab Data: UNKNOWN

Allergies: UNKNOWN

Symptoms: PATIENT REPORTED SEVERE ARM PAIN AND PAIN IN RIGHT EYE

Other Meds: UNKNOWN

Current Illness: UNKNOWN

Date Died: 01/03/2021

ID: 0944439
Sex: F
Age: 62
State: KY

Vax Date: 12/26/2020
Onset Date: 01/03/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Resident expired on 1/2/21.

Other Meds: Keppra, Levothyroxine, Miralax, Olanzapine, Trazadone, Risperidone, and Lorazepam

Current Illness: Receiving hospice services

ID: 0944441
Sex: F
Age: 30
State: IN

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

Lab Data:

Allergies: Nickel, latex

Symptoms: Sore arm days 1-3, chills day 2, headache days 3-7, rash and swelling at injection site day 7.

Other Meds: Duobrii, Tacrolimus, Trifemynor, Flonase

Current Illness: Sore arm days 1-3 of vaccination, constant headache days 3-7 after vaccination. Rash and swelling at vaccination site day 7. Chills day 2 of vaccination. No illnesses prior.

ID: 0944442
Sex: F
Age: 63
State: MA

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

Lab Data:

Allergies:

Symptoms: 30 seconds of near syncope

Other Meds:

Current Illness:

ID: 0944443
Sex: F
Age: 50
State: IL

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

Lab Data:

Allergies:

Symptoms: Adminsitration of vaccine at 8:40am; At 8:53; experienced dizziness and diaphoresis. Placed in supine position and provided a wet cloth for her forehead. Vital signs and blood pressure remained stable. She was provided a snack and discharged home.

Other Meds:

Current Illness:

ID: 0944444
Sex: F
Age: 58
State: AR

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: vomiting

Other Meds:

Current Illness:

ID: 0944445
Sex: F
Age: 38
State: CA

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

Lab Data:

Allergies:

Symptoms: Low grade fever, chills, body aches, headache

Other Meds:

Current Illness:

ID: 0944447
Sex: F
Age: 41
State: CA

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

Lab Data: Ultrasound and mammogram done

Allergies: no

Symptoms: My lymph nodes were very swollen after receiving the vaccine. I also developed headaches and body aches, and fatigue. The result of my mammogram and ultrasound confirm the swollen lymph nodes. If they are still the same in 3 months we will schedule a biopsy.

Other Meds: Multi vitamin. calcium, fish oil and vitamin c

Current Illness: no

ID: 0944448
Sex: F
Age: 48
State: VA

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

Lab Data: none

Allergies: mold, iodine, levoquin; receive weekly allergy shots

Symptoms: One week after receiving the first COVID vaccine, I went and got my weekly allergy shot at my allergy clinic. I did not have an adverse reaction (no swelling, redness) at the allergy injection site in my right arm; however, the place where I received my COVID vaccine (in my left arm) became swollen, warm, and itched.

Other Meds: none

Current Illness: none

ID: 0944449
Sex: F
Age: 54
State: VT

Vax Date: 12/29/2020
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: On 1/8 patient complained of arm pain at injection site, flank pain, nausea, and fatigue

Other Meds:

Current Illness:

ID: 0944450
Sex: F
Age: 26
State: MA

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

Lab Data: Per pt report Epi Pen administered on 1/13/21 in ED. EKG done in ED 1/13/21 & 1/14/21; IV medication administered.

Allergies:

Symptoms: Per pt, sx onset began at 1520 with pruritus/hives of the scalp. She was in the post vaccine observation area at this time. At 1530, EE returned to vaccination room to alert staff of her reaction. Upon hearing her new onset cough, an assessment was performed immediately. Reported tingling and swelling of her lips, cough, minor difficulty breathing with mask on, facial flushing and feeling hot, and severe pruritus, especially on the scalp. 50 mg IM Benadryl administered and was taken to ED via wheelchair which is 7 minutes away. Epi Pen administered in ED and admitted overnight for observation d/t irregular HR and ST depression on monitor.

Other Meds: Cymbalta

Current Illness: Fioricet - Hives Mushrooms & pineapple - swollen lips, cough, hives Flu vaccine - had lip swelling and hives at injection site x 1 on 10/8/20 after receiving flu vaccine this year at Hospital. Has had flu vaccine annually prior to 2020 through the hospital without issues.

ID: 0944451
Sex: M
Age: 49
State: IN

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

Lab Data: At the ER, they did a MRi, CT and ultrasound of my neck and said it wasn't a stroke or heart issues. But to follow up with a neurologist, I have and she has determined it is Bells Palsy.

Allergies: Shellfish

Symptoms: Was working on a shower door and i got dizzy, called my wife (She's a RN) because i didn't feel good. She came in and said it looked like i had a stroke. She called 911 and i was taken to ER

Other Meds: Vitamin C Vitamin D Vitamin B Zinc

Current Illness: Vertigo from Covid-19, Sinus infection

ID: 0944452
Sex: F
Age: 38
State: WY

Vax Date: 01/05/2021
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Azithromycin

Symptoms: Severe diarrhea started about 10 hours after vaccine. Sore arm, fatigue, muscle aches started about 6 hours after vaccine. 4-5 days after the vaccine I developed axillary lymphadenopathy that is still present after 5 days.

Other Meds:

Current Illness: None

ID: 0944453
Sex: F
Age: 52
State: UT

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

Lab Data: None

Allergies: Tetanus, propylene glycol

Symptoms: I received the Pfizer #EL3246 Vaccine, exp 4/30/2021 on Jan 12, 2021 through the Health Department and developed severe facial swelling, primarily around the right eye. The left eye has slight swelling. Please note: I had a previous reaction to Tetanus many years ago that included swelling. In addition, I have had headaches and gastrointestinal symptoms.

Other Meds: Tramadol, ropinirole

Current Illness: None

ID: 0944454
Sex: F
Age: 83
State: AZ

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

Lab Data:

Allergies: Penicillin, Codeine, Tetracycline

Symptoms: Systemic: Facial Flushing (Resolved after 20 mins); symptoms lasted 0 days

Other Meds:

Current Illness:

ID: 0944455
Sex: F
Age: 54
State: NY

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: N/A

Allergies: NKA

Symptoms: One week following my 1st vaccination, on Monday January 11, I developed small red bumps at the injection site, which turned into one big, itchy welt by the end of that same day. I visited my PCP the next afternoon, on Tuesday, January 12th. He said it was not a systemic reaction but a localized reaction to the vaccine and prescribed a 5-day Medrol pack and Hydroxyzine. I was also experiencing episodes of anxiety beginning 2 days following my injection, on Wednesday, January 6 th. The redness is subsiding at this time - approximately 50% improvement; some itchiness persists if I don't take the hydroxyzine regularly (I don't because I have to work and it makes me very sleepy). Anxiety is improved, as well.

Other Meds: Synthroid, Atorvastatin, VitaFusion Gummie Vitamins for Women, Vitamin D3 5,000 IU, Frunutta Zinc + Vitamin C

Current Illness: None

ID: 0944456
Sex: F
Age: 27
State: WA

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

Lab Data: none

Allergies: seafood allergy

Symptoms: Pt. received vaccine at 1520. At 1530 pt. started with itching, burning pain and patchy erythema without urticaria. No dyspnea, angioemdema or wheezing. Pt. also experienced mild anxiety with O2 sat at 99, pulse 90 and BP 120/84. At 1535 50 mg diphenhydramine given IM in R deltoid and ice pack applied to L shoulder. At 1550 pulse 90, O2 sat 99%, BP 130/90, respirations unlabored and pt. reported mild dizziness, but not feeling like fainting. At 1615 itching reduced, pt.'s primary care provider, contacted and situation was reported to triage nurse and on-call provider. Provider advised pt. okay to go home if responding to the diphenhydramine.

Other Meds: NA

Current Illness: NA

ID: 0944457
Sex: F
Age: 52
State: NC

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

Lab Data: none

Allergies: Amoxicillin

Symptoms: received vaccine on 1/5/2021, on 1/12/2021 noted swelling and tenderness in left axilla. On 1/13/2021 noted entire jaw was itchy. on 1/14/2021 noted entire face was Hot, red and swollen. I am the provider that gave the injection, I saw Pt on 1/14/2021 and noted her entire face, ears, neck, and chest had erythema and edema.

Other Meds: lisinopril, Januvia, Metformin, Norvasc, Ambien, Lipitor, flonase, Multi vitamin, Vitamin D,

Current Illness: none

ID: 0944458
Sex: F
Age: 39
State: MN

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

Lab Data:

Allergies: erythromycin (hives), rye (hives)

Symptoms: Metallic taste in mouth x 5-10 minutes after receiving vaccine, treated with oral benadryl, tingling in lips and tongue, Solumedrol IM given and transported via ambulance to ED. Lung sounds and vital signs within normal throughout, no rashes.

Other Meds:

Current Illness: suspected viral gastroenteritis (confirmed covid/flu negative) x 1 month prior.

ID: 0944459
Sex: F
Age: 29
State: CA

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

Lab Data: none

Allergies: NKA

Symptoms: -swollen tongue , unable to swallow , able to breath Tx - antihistamines and steroids.

Other Meds: VitC, B12, D3, Nuturia (herbal supplements) Apri (BCP)

Current Illness: none

ID: 0944460
Sex: F
Age: 33
State: TX

Vax Date: 01/03/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: some itch and pain at site initally, then 10 days later large (3cm) raised erythematous plaque

Other Meds: montelukast, temazepam, pristiq, breo

Current Illness:

ID: 0944461
Sex: F
Age: 30
State: MD

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: within 15': flushed, nauseated, throat swelling. dizzy., tachycardia Transferred to ED: treated with Benadryl. solumedrol. sx resolved. Observed for 4 hrs. d/cd to home

Other Meds:

Current Illness:

ID: 0944462
Sex: F
Age: 53
State: GA

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

Lab Data:

Allergies: none known

Symptoms: 1/4/21 within 4 hours after receiving vaccine sole of right foot in the arch area began to itch. Morning of 1/5/21 sole of left foot in arch area began to itch. Upon a visual check a red rash is present approximately 1.5"-2" in diameter on the soles of both feet in the arch area. 1/6/21 blisters formed in rash area of the right foot. On 1/8/21 upon patient visiting her dermatologist, the rash was ruled out as not being caused by a bacterial infection or fungal infection. Dermatologist prescribed an antihistamine oral medication and a steroid cream. 1/9/21 patients reports burning and itching increased and she used a frozen foot roller to treat the burning and itching. 1/10/21 Patient states that itching and burning subsided and discontinued use of steroid cream. Patient continues to take oral antihistamine (Hydroxyzine HCL 25mg) prescribed by dermatologist . Patient reports there have been no changes in soaps or detergents being used and no changes in behavior prior to vaccination and therefore, patient and doctor can, but without certainty, conclude that the rash is a result of the COVID-19 vaccination. 1/11/21 patient took pictures of rash and are available for viewing. As of 1/14/21 rash still present but itching has stopped. This event is a non-severe adverse event. Patient is scheduled to receive second dose of vaccination on 1/25/21. Patient has been advised to take antihistamine prior to receiving second dose of vaccination and again 12 hours following the 2nd dose of vaccination.

Other Meds: Zyrtec - daily (taken same day as vaccination) Collagen supplement - taken same day as vaccination Prilosec - prn (taken 2 days prior to vaccination) Alka Selzter Plus Cold medicine - prn (taken approximately 1-2 weeks prior to vaccination)

Current Illness: sinusitis approximately 2-3 weeks prior to vaccination (no symptoms of COVID-19)

ID: 0944463
Sex: M
Age:
State:

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

Lab Data:

Allergies: Pennicilin Dark Chocalate

Symptoms: none

Other Meds: Omeprazole Cephalexin

Current Illness: None

ID: 0944464
Sex: F
Age: 40
State: NY

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

Lab Data:

Allergies: NKDA

Symptoms: low grade fever, myalgias, chills

Other Meds: none

Current Illness:

ID: 0944465
Sex: F
Age: 46
State: IA

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

Lab Data:

Allergies:

Symptoms: Systemic: Nausea, Systemic: Vomiting, Systemic: shortness of breath

Other Meds:

Current Illness:

ID: 0944467
Sex: F
Age: 86
State: CA

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

Lab Data:

Allergies: no

Symptoms: Systemic: High blood pressure and dizziness, did not recover, BP reading of 240/97 by ambulance, awaiting more information. Event may be independent of vaccine, patient has history of highb blood pressure -Severe; symptoms lasted 0 days

Other Meds:

Current Illness:

ID: 0944468
Sex: F
Age: 34
State: TX

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

Lab Data:

Allergies:

Symptoms: Aches and pains, Nauseous

Other Meds:

Current Illness:

ID: 0944469
Sex: F
Age: 43
State: PR

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

Lab Data: CBC, BMP, PT,PTT, INR-wnl chest Xray-wnl EKG- wnl ABG's - wnl

Allergies: ASA

Symptoms: Chest tightness, bradycardia, sandy eye sensation and dry mouth

Other Meds: Metoprolol Caltrate

Current Illness:

ID: 0944470
Sex: F
Age: 22
State: IL

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

Lab Data:

Allergies:

Symptoms: chest pain, red face ,fever, shortness of breath

Other Meds:

Current Illness:

ID: 0944472
Sex: F
Age: 39
State: NJ

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: 12/30/20- Labs/CXR

Allergies: PCN; pecans

Symptoms: Fever; chills; SOB; pain while taking a deep breath; swelling/itchiness left arm; swollen lymph nodes on left side under arm; generalized weakness

Other Meds: Wellbutrin XL 150 mg po daily; Vit D 5000 IU po daily

Current Illness: Anemia

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm