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: 0944989
Sex: F
Age: 27
State: NH

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

Lab Data:

Allergies: n/a

Symptoms: Fever, chills, nausea, light sensitivity, sound sensitivity, headache, dizziness, cold sweats, dry mouth all lasting over 36 hours.

Other Meds: sertraline and melatonin

Current Illness: Anxiety

ID: 0944990
Sex: F
Age: 34
State: MN

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

Lab Data: None

Allergies: Rocephin

Symptoms: Headache, fever, chills, nausea, drenching sweat, extreme body aches, fatigue. Swollen clavicle and axillary lymph nodes bilateral.

Other Meds: Vit c, vit d. Zinc, biotin, magnesium

Current Illness: None

ID: 0944991
Sex: F
Age: 31
State:

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

Lab Data:

Allergies:

Symptoms: headache, fever, home early from work.

Other Meds:

Current Illness:

ID: 0944992
Sex: M
Age: 38
State:

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

Lab Data:

Allergies:

Symptoms: Received vaccine on 1/4/2021 at 15:15 hours. A few minutes after the shot, I felt a warm wave come over me , kind of felt like passing out but didn't, heart started racing and hands became clammy/shaky. I sat down and after a few minutes it passed so I went back to work. On 1/5/2021 I started to become slightly dizzy with a mild headache lasting all day. On 1/6/2021 dizziness and slight headache persisted with slightly blurred vision. On 1/7/2021 I felt slightly better in the morning but as the day went on the dizziness returned with slight headache and blurry vision. At approximately 16:00 hours I was speaking with my NP, and went over my symptoms. She suggested getting my blood pressure taken. It registered at 154/115. I called my PCP and I was able to be seen the same day. I was given clonidine and it came down but on morning of 1/8/2021 it was back up getting as high as 160/120. Called my PCP back and he prescribed Olmesartan. It seems to have stabilized my BP but he is unsure why the vaccine has caused this and why it is persisting.

Other Meds:

Current Illness:

ID: 0944993
Sex: F
Age: 67
State: NC

Vax Date: 12/28/2020
Onset Date: 01/07/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: none

Allergies: cashews

Symptoms: Pt called on 01/13/2021 to report a reaction from the Moderna COVID-19 vaccine. Pt states she received the vaccine on 12/28/20, but that the reaction did not happen until 01/07/2021. Pt reports redness around injections site, with slight swelling, itching and a rash. Pt was evaluated by PCP, and was prescribed oral, and topical benadryl. Pt states PCP has advised her not to get 2nd dose of Moderna due to rash spreading 1inch below injection site and reaction did not appear until 10 days post injection. Pt report that the TDAP vaccine caused the same reaction in the past,but s/s started the next day with the TDAP vaccine.

Other Meds: Amlodipine, Levothyroxine, Triamterine, Omeprazole. TDAP

Current Illness: none

ID: 0944994
Sex: F
Age: 57
State: NH

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

Lab Data: as above

Allergies:

Symptoms: Timeline of Events 1017 Vaccine Administered, Left Deltoid (30 observation period) 1042 Symptoms Onset (Scratchy throat, swollen lip) 1042 HR taken - 92bpm 1043 BP taken - 130/90 1045 Received 20mL of Benadryl 1046 Pt reports continued strange taste, scratchy throat, tingling in upper lip; Temp taken - 98.1 *F 1057 Ambulance was called; BP retaken - 128/84; HR retaken - 112bpm 1100 HR retaken - 92bpm 1102 Ambulance arrived 1115 Pt assessed by PLY-EMT and was cleared/released to return home with improvement of symptoms Additional information for Item 18: Administered 50mg Benadryl, EMS activated, Monitored by EMS for additional 30 minutes, declined EMS transport.

Other Meds: Metoprolol (25mg/day), Omeprazelle (40mg/day)

Current Illness:

ID: 0944995
Sex: M
Age: 23
State:

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

Lab Data:

Allergies:

Symptoms: fever, nausea, aches, pains. called in sick to work.

Other Meds:

Current Illness:

ID: 0944996
Sex: F
Age: 57
State: ND

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: CMP, CNP

Allergies: NKA

Symptoms: Chills starting at 2am, sweats, fever, weakness, extreme nausea, headache, backache, tingling fingers Came to Clinic for outpatient IV's around 1030am... of fluid (LR), Doxycycline, Zofran, Tylenol, Toradol, Fentanyl....went home around 4pm feeling better. The headache finally went away Friday sometime (1/8/21)... weakness is getting better

Other Meds: Vit C, D, Zinc, Calcium

Current Illness: Positive COVID test on December 18, 2020. Recovery date was December 29, 2020. Had a post covid cough with possible Right Lower Lobe pneumonia per chest xray on January 5, 2021.

ID: 0944997
Sex: F
Age: 36
State: CA

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

Lab Data: none

Allergies: none

Symptoms: Headache; body aches; didn't feel good; joint pain and muscle aches and fatigue; Lasted about 24 hours exactly. Then felt fine after that. Pregnant: June 21, 2021; noneventful

Other Meds: Prenatal vitamins; Vit B6; aspirin; Flonase - nasal spray 50mcg 2 sprays ; Zyrtec 10 mg - once a day for each nostril

Current Illness: no

Date Died: 01/12/2021

ID: 0944998
Sex: F
Age: 88
State: KY

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

Lab Data:

Allergies: Phenazopyridine, Demerol, Pyridium, Penicillins

Symptoms: On 1/11/21 noted with headache, nausea/vomiting, severe melaise. On 1/12/21 resident expired.

Other Meds: Resident in skilled nursing facility. Please contact facility if needing all medications.

Current Illness:

ID: 0944999
Sex: F
Age: 53
State: CA

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

Lab Data: Vital signs taken. per pt, feels ok to work today.

Allergies: Cipro- Shortness of breath Sulfa- Blisters Morphine- Red tree along her arm, can't swallow, can't breathe Reglan- Hives @ Injection site, restlessness and anxiety Egg allergy

Symptoms: Patient received covid-19 vaccine @ 1217 per site. Came to EH approx. at 1230pm. States she was lightheaded 1st, then headache, feels like someone is pressing down on head and neck- temples and note- feels like a band around head. Pain is 2/10, progessed to 6/10. States muscles are starting to get sore around trapezius region. Stated she had feeling of euphoria initially, BP 128/76, HR 66, 98% RA. Nausea, but no emesis. Metallic taste to mouth- pins and needles when drinking water.

Other Meds: Bioidentical hormones- Estrogen and progesterone

Current Illness:

ID: 0945000
Sex: F
Age: 45
State: KY

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

Lab Data: None

Allergies: Dust mite

Symptoms: On 1/13/21 extreme fatigue- sleeping 4 to 5 hours at a time, swollen gland on right side 1/14/21 nausea, headache, dizziness, fever-100.7, muscle ache, swollen gland still

Other Meds: Ferrous gluconate, cetirizine 10mg, multivitamin, hair,skin and nails vitamin

Current Illness: Tested positive to Covid19 12/18/2020 asymptotic

ID: 0945001
Sex: M
Age: 40
State: CA

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None (pt did not seek medical care for the event)

Allergies: unknown

Symptoms: Per reporter: "I received the COVID vaccine on 12/29/2020 (first dose). The first couple days I had a really sore left arm, but didn?t feel any ?side effects? until about Wednesday, 1/6 (about a week later). I remember waking up to a sore left side of my upper body. The left side of my neck, chest, arm, and lymph node (under my left arm) felt weird. It was until about Saturday night, 1/9, that I felt my left under arm lymph node noticeably swollen. I had a bad headache and loss of energy, and overall feeling unwell. No fever or night sweats to report. I was absent from work on 1/11 and 1/12, as a result. 1/13 was my first day back and feel better. The swollen left lymph node is no longer present, but still slightly tired. I did not seek Medical Care for my symptoms.

Other Meds: unknown

Current Illness: unknown

ID: 0945002
Sex: F
Age: 29
State: MD

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

Lab Data: EKG wnl, chemistry wnl.

Allergies:

Symptoms: after injection, had syncopal episode with very low BP 60/30's - regained consciousness immediately and given 1 liter IV fluids: transferred to ED for further E&M. Labs, EKG. no further intervention. Observed for 3 hrs and d/c to home

Other Meds:

Current Illness:

ID: 0945003
Sex: F
Age: 61
State: KS

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: The day after receiving my arm was extremely sore on day 4-1/6/21 I noted swollen mandibular lymph nodes tender to the touch These were resolves 1/12/21 On 1/11/21 I noted a red patch with a few small bumps approx. 3"x1" at inj. site. I had my husband take a picture on 1/12/21. This continues to be red and I continue to have arm pain and it is hard to use arm. I am doing ROM several times a day. Have used ice and ibuprofen for pain.

Other Meds: Byetta, Metformin, Lexapro, Losartan, Fish Oil, Prilosec, ASA, Ibuprofen

Current Illness: None

ID: 0945004
Sex: F
Age: 32
State: CA

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

Lab Data: None

Allergies: None

Symptoms: On 1/12 I started feeling weak, tired, sore on the injection site. On 1/13 I started feeling dizzy and I?m having headache and nausea and I still feel those symptoms now.

Other Meds: Nuvaring

Current Illness: Runny nose, diarrhea, muscle ache

ID: 0945005
Sex: F
Age: 36
State: WI

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

Lab Data: None

Allergies: None

Symptoms: Nausea and dizziness. Gave me meclizine for vertigo

Other Meds: None

Current Illness: None

ID: 0945006
Sex: F
Age: 36
State: VA

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Cipro, Sulfa, VAncomycin

Symptoms: fever, aches, lymphadenopathy, severe headache

Other Meds: Nuvaring

Current Illness: None

ID: 0945007
Sex: F
Age: 67
State: HI

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Nono

Allergies: Metphormine, IV contrast

Symptoms: Low grade fever, severe headache, chills, malaise

Other Meds: Non

Current Illness: None

ID: 0945008
Sex: F
Age: 36
State: VA

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

Lab Data: None

Allergies: None

Symptoms: The night after receiving the vaccine (approximately 17 hours post-dose), I got up to use the restroom. While washing my hands I became extremely dizzy, hot and nauseous. While bending over to open the toilet (so that I could vomit) I ended up passing out. I woke up on the floor of my bathroom (with my head against the wall), somewhat disoriented, shortly thereafter (exact timeframe that I was "down" is unknown). I tried to get up and get back to bed but became extremely dizzy and hot again - this time bringing myself back down to the floor. I laid there for an unknown amount of time before feeling like I could try to move again. Once I felt a little better I crawled back to bed and laid down. I believe I was out of bed for a total of 15-20 minutes. I had no further dizzy/hot/nauseous episodes after that, however for the remainder of that day I felt exhausted, had a mild headache and felt like I couldn't get warm. I did not take my temperature. At about the 48-hr mark post-vaccination I was feeling back to normal other than a slight headache.

Other Meds: Lisinopril 5 mg daily; Vitamin D3 2000 units daily; Hair, Skin & Nails vitamin daily; Women's One-a-day multivitamin daily; Goli apple cider vinegar gummies (2 gummies) daily; Melatonin 5 mg qHS

Current Illness: None

ID: 0945009
Sex: M
Age: 26
State: DC

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

Lab Data: NA

Allergies: NKA/ NKDA False positive readings for tuberculosis test, the test causes swelling to injection site.

Symptoms: Shot given at 1330, rash was noticed at 1340, 50mg of Benadryl was given in the right arm IM. Rash began to fade around 1415. Lung sounds were evaluated after Benadryl was given and were clear, itching began behind the ear, rash covered neck back and chest, face was red, blood pressure and pulse were elevated with highest reported at 146/95 lowest at 126/84 at time of release, and tingling of the tongue. Sent to urgent care clinic and received 60mg Prednisone PO, the prescribed 20mg tablets of Prednisone and 25mg tablets Atarax PO PRN. No anaphylactic response reported.

Other Meds: None

Current Illness: None

ID: 0945010
Sex: F
Age: 49
State: PA

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

Lab Data:

Allergies:

Symptoms: About 5mins after she received the vaccine she had a flushed sensation over whole body followed by dizziness and then trouble swallowing. Approximately 2hrs after vaccine the reaction subsided but then developed a rash over whole body. The rash lasted until late evening and then started to subside. She took Zyrtec and Motrin by that point. She has an immunologist involved in the care of her asthma. He recommended she carry an EPI PEN. We do not recommend she proceed with the second vaccine.

Other Meds:

Current Illness:

ID: 0945011
Sex: F
Age: 63
State: NJ

Vax Date: 12/30/2020
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Ultrasound confirmed 1/13/21

Allergies: Non

Symptoms: Developed DVT in left leg around January 9. Developed pain, redness and swelling in left calf

Other Meds: Crestor Vitamin D

Current Illness: None

ID: 0945012
Sex: F
Age: 28
State: CO

Vax Date: 12/31/2020
Onset Date: 01/07/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: one week after the vaccine I developed an approximately 6 cm x 6 cm red, warm, itchy local skin reaction at the injection site

Other Meds: flonase, multivitamin, vitamin D3, folic acid

Current Illness: none

ID: 0945013
Sex: M
Age: 34
State:

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

Lab Data:

Allergies:

Symptoms: fever, headache, diarrhea, nausea, chills. called in sick to work.

Other Meds:

Current Illness:

ID: 0945014
Sex: F
Age: 25
State: AZ

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

Lab Data:

Allergies: none

Symptoms: Hives within 30 minutes of injection.Resolved

Other Meds:

Current Illness: none

ID: 0945015
Sex: F
Age: 58
State: RI

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

Lab Data:

Allergies: Sulfa, Macrobid, Tomatos, Grapefruit

Symptoms: Pt voiced metallic taste in mouth and lips tingling. Voiced initial compliant @ 1350. Left observation @ 1415, denies any s/s of distress not trouble w/ SOB or breathing.

Other Meds:

Current Illness:

ID: 0945016
Sex: M
Age: 36
State:

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

Lab Data:

Allergies: Amoxicillin

Symptoms: Dizziness, Throat discomfort. Itchy and "closing up"

Other Meds:

Current Illness:

ID: 0945017
Sex: M
Age: 75
State: UT

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

Lab Data:

Allergies: None

Symptoms: Deviated Septum requiring Surgery on January 13.

Other Meds: Olmesartan 20mg Glimepiride 2 mg twice/day Simvastatin 40 mg Januvia 100 mg Aspirin 81 mg Lipoflavanoid Multivitamin Bio 35

Current Illness: Nose surgery 13 January

ID: 0945018
Sex: F
Age: 25
State: WI

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

Lab Data: Covid rapid test was done on Thursday January 14th, 2021 at about 145pm to rule out If I had covid or not. That test was negative.

Allergies: n/a

Symptoms: started out as a lump on the injection site. it was hot and lumpy and itched very much. Then the next day it disappeared and a bigger lump and rash started lower than the injection site. extremely tired, feeling exhausted, very light headed and feel weak. All 7-9 days afer initial vaccine.

Other Meds: aspirin and Tylenol for occasional headache or feet pain

Current Illness: n/a

ID: 0945019
Sex: F
Age:
State: MN

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Most concerning was dizziness to the point of almost fainting. This happened 2 times. Once on the first day after injection and once on the second day after injection. Other S.C. were fatigue, muscle aches, chills, indigestion and sore arm. No fever noted.

Other Meds: Asmanex

Current Illness: None

ID: 0945020
Sex: F
Age: 44
State: ID

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

Lab Data: None

Allergies: Lidocaine, cobalt, nickel, titanium

Symptoms: Swelling and tightness of the neck and under the tongue that began acutely 25 hours after injection was given on the same side as injection site.

Other Meds: Lisinopril, omeprazole

Current Illness: None

ID: 0945021
Sex: F
Age: 39
State: TX

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

Lab Data:

Allergies: none

Symptoms: Day 1-3: erythema at injection site, approximately quarter-sized area; discomfort with movement or if touched; managed pain with OTC Tylenol as needed Day 7: supraclavicular lymph node swelling on left side; discomfort with lymph node affected; managed pain with OTC Tylenol as needed Day 8: continued swelling and discomfort with lymph nodes on left neck/clavicle area, stable and similar to Day 7; new development of whelp at injection site, approximately quarter-sized - localized itching at the area of erythema

Other Meds: acetaminophen 500mg tablet (1-2 tablets) as needed for pain

Current Illness: none

ID: 0945022
Sex: F
Age: 28
State: CA

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

Lab Data: EKG: normal Chest X-ray: Vitals: normal CBC: normal Pregnancy test: negative MI blood work up: WNL

Allergies: None

Symptoms: About 27 hours after my vaccine (at about 9 pm on 01/12) I began having 8-10/10 chest pain. Mostly burning sharp pain, but some restricting tight pain as well, radiating to my back mostly. It would be relieved for maybe 10 minutes at a time but then flare back up for about 5 hours. I went to the emergency room, where they did a cardiac work up including blood work and EKG, vitals and a chest X-ray, all which were unremarkable. At about 0200 am on 01/13, the pain subsided. Previous to the chest pain, during the morning and afternoon of 01/12, I had a low grade fever (99.9 F), an intense headache, and fatigue. 01/14/21 sore swollen lymph node under L arm.

Other Meds: None

Current Illness: None

ID: 0945023
Sex: F
Age: 54
State: NY

Vax Date: 12/17/2020
Onset Date: 12/19/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: Covid Flu RSV

Allergies: Sulfa

Symptoms: The first day I had a weird headache . Three days later I felt like I could go into chills and had low grade fever of 99.6/99.7, feeling like I didn't feel right. I had terrible cramping in my abdomen and had diarrhea twice . My employer sent me to the ER to test for Covid, Flu, RSV. By the 22nd I was feeling fine about 5-6 days later.

Other Meds: Tumeric Glucloyemin Calcium Zinc Magnesium

Current Illness:

ID: 0945024
Sex: F
Age: 62
State: MA

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

Lab Data:

Allergies:

Symptoms: Patient reports a rash at injection site that was first noticed today. Reports tender to touch and mild pruritus. Reports rash is localized to right upper arm and extends about 1 inch from injection site. Reports she felt a little "agitated" a couple of days post vaccination but cut down on coffee and issue resolved. Patient stated 2 days ago on Tuesday started feeling tired with cough and wheezing (denies asthma history). RN informed patient that respiratory symptoms are not a side effect of the vaccine and she should call her primary care doctor for an evaluation and testing for COVID-19 infection.

Other Meds:

Current Illness:

ID: 0945025
Sex: F
Age: 26
State: MN

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

Lab Data:

Allergies: NKDA

Symptoms: About 16 hours after second dose of the Pfizer COVID-19 vaccination: - Fever of 101-102F - Chills - Body aches - Joint aches - Headache About 40 hours after time of vaccine: - Fainting spells x2 (shakiness, blurry vision, ringing in ears, loss of balance)

Other Meds: Combination estrogen/progesterone oral contraceptive Levothyroxine 5 mg oral tablet L-methylfolate 15 mg capsule

Current Illness: None

ID: 0945026
Sex: M
Age: 22
State: VA

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

Lab Data: none

Allergies: none

Symptoms: pt received vaccine at 1137 in left deltoid IM, started having acute right gluteal pain approximately 3-4 hours later after getting undressed. pain to put pressure on the buttocks, hurts to bear weight/transition from sit to stand. did not have this pain prior to the vaccine, did not do activity today to aggravate the gluteus, does not have a hx of this type of pain.

Other Meds: none

Current Illness: none

ID: 0945027
Sex: F
Age: 21
State: IN

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

Lab Data: N/A

Allergies: Amoxicillin Imitrex

Symptoms: Headache Sore arm Sore armpit Chills Body aches Nausea Vomiting Duration 5 hours. Zofran and Advil/tylenol were taken.

Other Meds: Viibryd 20mg

Current Illness: None

ID: 0945028
Sex: M
Age: 65
State: FL

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

Lab Data: Monitored by nursing staff.

Allergies: No Know allergies

Symptoms: Patient did not have any adverse events. Patient was administered wrong dose of medication (received 1ml instead of 0.5ml)

Other Meds: Lithium, Trilafon, Ensure, Tylenol, Lasix, Multivitamin with minerals, Zyprexa

Current Illness:

ID: 0945029
Sex: M
Age: 16
State: NJ

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

Lab Data: NA

Allergies: None

Symptoms: The patient is 16 years old and received the Moderna vaccine. The patient's mother was contacted immediately after this event was noted approximately 30 minutes after the patient received the vaccination. The mother verbalizes knowing that they were aware of the age requirement but felt due to his physical built of 200lbs and that he should be able to receive the vaccine. The patient not experiencing any adverse reactions as of the last phone call inquiry by this nurse at 4:20 pm. Mother was instructed to seek medical attention for any adverse reactions, she verbalized understanding. Follow up call will be placed to the mother tomorrow,

Other Meds: None

Current Illness: None

ID: 0945030
Sex: M
Age: 15
State: RI

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

Lab Data:

Allergies:

Symptoms: Patient was given Moderna vaccine at 15 years old accidentally, which is less than the minimum age in the EUA. Patient was supposed to receive Pfizer vaccine, although he still would have been too young for that as well. Patient is a volunteer at hospital where this occurred. There were no adverse effects other them arm soreness

Other Meds:

Current Illness:

ID: 0945031
Sex: M
Age: 27
State: AR

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

Lab Data:

Allergies: NKDA or Food Allergies

Symptoms: None stated.

Other Meds: None

Current Illness: None

ID: 0945033
Sex: M
Age: 70
State: AR

Vax Date: 10/28/2020
Onset Date: 10/28/2020
Rec V Date: 01/14/2021
Hospital: Y

Lab Data: no

Allergies: penicillin

Symptoms: His arm felt numb, rash below the injection site, redness and couldn't move his arm at all, had to use the other arm to move the arm with the injection. Received Doxycycline and Prednisone.

Other Meds: Glimepiride, Metformin, Farxiga, Simvastatin, Losartan

Current Illness: no

ID: 0945034
Sex: F
Age: 46
State: TX

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

Lab Data: none

Allergies: Sulfa Cedar

Symptoms: low-grade fever, chills, body aches, fatigue and pain at the injection site - first s/s began almost 12 hours after the injection and completely relieved about 48 hours later

Other Meds: NP thyroid NuvaRing Mesalamine Glycopyrolate MultiVit

Current Illness: Cedar allergies

ID: 0945035
Sex: F
Age: 22
State:

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

Lab Data:

Allergies:

Symptoms: fever, headache. called in sick to work.

Other Meds:

Current Illness:

ID: 0945036
Sex: F
Age: 29
State: MD

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

Lab Data: EKG and blood chemistry wnl except low Calcium @ 8.3

Allergies:

Symptoms: immediately after receiving injection , became unresponsive with severe drop in BP. - quickly regained consciousness given IV fluids and transferred to ED. EKG and chemistry normal. - No further intervention in ED. Observed for 3 hrs and d/c home

Other Meds:

Current Illness:

ID: 0945037
Sex: F
Age: 57
State: SD

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

Lab Data: none

Allergies: Gluten Kenalog (prior history of anaphylaxis) Allergy Shots

Symptoms: About 25 minutes after vaccination patient reported itchy nose and throat. Tightening of airway also reported with difficulty swallowing. 50mg diphenhydramine administered and symptom resolution reported by patient 10 minutes after medications.

Other Meds: Effexor XR

Current Illness: none

ID: 0945038
Sex: F
Age: 42
State: WI

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

Lab Data: Vitals

Allergies: Bee and cat- swelling only to bees, no anaphylaxis,

Symptoms: Vaccination given 1314 and sent to waiting room for monitoring. Began to have itching at 1325. PO benadryl administered. Then with throat swelling. Epinephrine administered by EMS/Fire at 1:32pm: 0.5mg IM right arm. 1342 improving 1350 itching/throat swelling returning while EMS/Fire on phone with medical director. 1352 second dose of epinephrine administered by De Pere EMS/Fire: 0.5mg IM left arm Medical Director on site for evaluation. Client given option to transport to hospital or stay for monitoring with EMS/Dr. Condition improving, chose to stay for monitoring. Client improved and up walking halls 1513 Client cleared to be released home via private transport

Other Meds: birth control

Current Illness: no

ID: 0945039
Sex: F
Age: 43
State: OK

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

Lab Data:

Allergies: UKN

Symptoms: AT 28 MINUTES PATIENT BECAME ITCHY, BENADRYL 25MG GIVEN, T-98, 125/81, 85, MONITORED ADDITIONAL 15 MINUTES. 0851- CONTINUES C/O ITCHING, ESPECIALLY FACE, NO OTHER SYMPTOMS REPORTED. T- 98.3, 130/88, 80. 0900 25MG BENADRYL 0909 CONTNIUED C/O ITCHING. 0926 REDDENED SKIN AREAS ON HANDS AND FOREARMS, OCCASIONAL SOB WHEN TAKING A DEEP BREATH.

Other Meds: UKN

Current Illness: UKN

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm