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: 0945040
Sex: F
Age: 24
State: CT

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

Lab Data:

Allergies: none

Symptoms: 1/13/2021 night of vaccine I started getting mild body aches and mild soreness of my right arm at the injection site. 1/14/2021 morning: chills, body aches, low grade fever. Afternoon/evening of 1/14/2021: more severe body aches, allodynia all over, shakes, low grade fever on and off (100.9), headache, some mild nausea at times.

Other Meds: Birth Control Pill

Current Illness: none

ID: 0945041
Sex: M
Age: 21
State:

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

Lab Data:

Allergies:

Symptoms: fever, muscle pain. called in sick to work.

Other Meds:

Current Illness:

ID: 0945042
Sex: F
Age: 21
State: WA

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

Lab Data:

Allergies: NKDA or food allergies

Symptoms: Approx. 1.5 hours after vaccination she returned to the COVID site and reported HA, L arm numbness. The RN noted "A/O, VSS, site w/o redness, L arm swollen, can move arm. pulse strong, cap refill WNL, skin W&D. Reports nausea, released with dad to home." Pt was recommended to go to the ED or urgent care with any worsening symptoms, home with family.

Other Meds: taking "muscle relaxer" due to recent back injury

Current Illness: Recent fall to back in the last week

ID: 0945043
Sex: M
Age: 68
State: MA

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

Lab Data: none

Allergies: NKA

Symptoms: large irritation to skin to upper right arm. An area that is approximately 10 cm x 10 cm is red and inflammed

Other Meds: Nicotine patch

Current Illness: none reported

ID: 0945044
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:

Symptoms: Low grade fever off and on ever since the night she had the vaccine and is still having fever, chills, body aches, bone pain as well as leg pain.

Other Meds:

Current Illness:

ID: 0945045
Sex: M
Age: 87
State: LA

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

Lab Data: UNKNOWN

Allergies: LYRICA

Symptoms: EXTREME LETHERGY, NAUSEA, REFUSING TO EAT OR DRINK, ELEVATED HEARTRATE, FATIGUE, ELEVATED TEMP

Other Meds: ALBUTEROL, ASPIRIN, BREO ELLIPTA, COLACE, ELIZQUIS, FERROUS GLUCONATE, FLOMAX, LIPITOR, METOPROLOL, PROSCAR, PROTONIX, TRAMADOL, CIPROFLOXACIN HCL

Current Illness: I67.89, S80.12XD, Z97.8, L97.929, S91.302D, G47.29, S60.511A, S60.512A, M62.59, U07.1, K92.1, I48.20, G93.40, I95.9, J18.9, A41.50, E87.5, R33.9, F41.9, G47.00, R06.2, Z79.811, J30.9, R25.2, D49.9, D72.829, E43, C18.7, Z86.73, D63.8, G93.41, E87.2, N31.9, R74.8, R53.81, R78.81, H61.22, I63.10, Z29.9, J44.0, R05, A46, L03.9, I48.91, S61.412A, J44.1, F33.0, R29.898, N147.9, Z79.52, A41.9, Z98.890, R53.1, L97.129, E78.5, S70.12XA, Z98.818, L29.9, N32.81, E56.9, R19.7, K21.9, L03.116, E27.40, S81.802D, I87.2, R52, D64.9,H91.90, H40.89, Z41.8, G47.23, J44.9, H16.229, E87.6, E63.9, N40.0, M62.838, L21.96,I73.9, R60.9, I10, I67.89, M62.89, L08.96, L97.922

ID: 0945046
Sex: F
Age: 55
State: CA

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

Lab Data: None

Allergies: Sulfa antibiotics (reaction type reported as anaphylaxis), levofloxacin (reaction type reported as tendonitis)

Symptoms: Patient received Moderna COVID-19 Vaccine EUA (1st dose) at 0825 and at 0828 had numbness and tingling at tip of her tongue and lower lip. She was given Benadryl 25 mg by an RN at 0830 and slight nausea started. Numbness started to go away at 0903. RN at the clinic had the patient remain for 15 min beyond the 30 min wait for additional watching.

Other Meds: Not available

Current Illness: Not available

ID: 0945047
Sex: F
Age: 32
State: TX

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

Lab Data:

Allergies:

Symptoms: Nausea & lightheaded, client seen & cleared by EMS; low blood glucose

Other Meds:

Current Illness:

ID: 0945048
Sex: F
Age: 60
State: TX

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

Lab Data:

Allergies:

Symptoms: 1/13/2021 left arm injection site is raised, red and warm to touch about the size of a quarter coin. Still raised today, 1/14/2021.

Other Meds:

Current Illness:

ID: 0945049
Sex: F
Age: 46
State: CA

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

Lab Data:

Allergies:

Symptoms: Individual received the vaccine in the buttocks

Other Meds:

Current Illness:

ID: 0945050
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:

Symptoms: Patient did not have an adverse event. Patient was administered the wrong dose (received 1ml instead of 0.5ml).

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

Current Illness:

ID: 0945051
Sex: F
Age: 36
State:

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

Lab Data:

Allergies:

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

Other Meds:

Current Illness:

ID: 0945052
Sex: F
Age: 47
State: IA

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

Lab Data: N/A

Allergies: amoxicillin

Symptoms: Fever, chills, dizziness, headache. Fever on and off from 1/9/21 through 1/14/21. Fever, chills, muscle ache 1/9/21 through 1/14/21. Severe headache/migraine from 1/11/21 to present (still have).

Other Meds: Topamax, Spirinolactone

Current Illness: no

ID: 0945053
Sex: M
Age: 28
State: PA

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

Lab Data: N/a

Allergies: Sulfa Drugs

Symptoms: On the 8th day, I unconsciously started rubbing and scratching my arm over two layers of clothing. I quickly realized what I was doing and the location of the reaction. I took of my clothes and noticed redness, swelling, and localized Hives around the injection site. The reaction was about 2 inches by 2 inches in a circle directly at the injection site. This reaction lasted about an hour before swelling and hives dissipated. Redness is still active 2 hours prior as I am writing this.

Other Meds: None

Current Illness: None

ID: 0945054
Sex: F
Age: 36
State: MS

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

Lab Data: na

Allergies: na

Symptoms: Chills, Dizziness, Scratchy sore throat, difficult to swallow, numb tongue, malaise

Other Meds: Ozempic, Metformin, Prilosec, Gabapentin, Co Q10, Iron, Niacin, Vit D3

Current Illness: na

ID: 0945055
Sex: F
Age: 29
State:

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

Lab Data:

Allergies:

Symptoms: "reaction". called in sick to work.

Other Meds:

Current Illness:

ID: 0945056
Sex: F
Age: 59
State: PA

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

Lab Data:

Allergies: No

Symptoms: Moderna COVID-19 Vaccine EUA Chills Nausea Headache Fever - 101.6 Tiredness Took Tylenol, stayed out of work 1 day and rested

Other Meds: BuSpar Metoprolol Losartan HCTZ Flonase Nasal Spray Vita fusion MultiVites - Gummy

Current Illness: None

ID: 0945057
Sex: F
Age: 71
State:

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

Lab Data:

Allergies:

Symptoms: Patient presented to the COVID clinic today January 14, 2020 for her first COVID-19 vaccine. She was given 0.3 mls of the vaccine IM in the left deltoid.at 2:40 pm. She pulled around to the observation area and at 2:45 she reported that she was experiencing her lips tingling along with chest pressure and SOB. Spo2 was 96% on RA. Oxygen applied via face mask at 4 L.. Sp02 then went up to 99%. At 2:50 BP was 122/80. At this time she reports that the chest pressure has subsided but that she was still experiencing some fuzziness in her eyes. She denies any itching. At 2:53 she reports that her lips are not as numb but that she still has some fizziness. At 2:58 she reports that she feels "real tired" and that she is not as "fuzzy headed". Patient continued to improve. At 3:09 oxygen was removed. Sp02 stayed at 98%. After observing patient for several minutes she was found to be in stable condition to leave the observation unit. She was agreeable to this plan. She will notify her PCP with any further symptoms.

Other Meds:

Current Illness:

ID: 0945058
Sex: M
Age: 42
State: NY

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

Lab Data: HR, BP

Allergies: unknown

Symptoms: Pt complained of "warm rush feeling" similar to after first dose. No reports of pain or shortness of breath, dizziness, rash, or itchiness. VS monitored, BP initially 196/106, resolved to 137/94 upon recheck. HR 90s- 120 sinus rhythm. PO fluids and supine position for one hour until resolution of symptoms. Discharged and advised to follow up with primary care and allergist as needed. Safety maintained.

Other Meds: unknown

Current Illness: unknown

ID: 0945059
Sex: M
Age: 65
State: FL

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: blood work on 1/7/21 and again on 1/12/21.

Allergies: None

Symptoms: rash provider has blood work broke out over arms on Tues 1/5 and spread to entire body within 24 hrs thereafter. exremely itchy and fatigued since symptoms arose.

Other Meds: telesmartin; rosuvastatin; montelukast; xyxal, vitamin D; multipurpose vitamin; flonase

Current Illness: None

ID: 0945060
Sex: F
Age: 37
State: MN

Vax Date: 01/05/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Went to urgent care, recommended ibuprofen every 6 hrs for inflammation.

Allergies: None

Symptoms: On 1/9 had cold sore outbreak on right lower lip (not new). On 1/11 at 0730 started having changes in hearing mostly in right ear (never happened before) Also started having headache and red/swollen area below right eye. Uncertain of all related to cold sore or possible vaccine side effect?? Never had other symptoms with cold sore outbreak

Other Meds: Omega 3, multivitamin, elderberry, echinacea

Current Illness: None

ID: 0945061
Sex: F
Age: 40
State: MD

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

Lab Data:

Allergies:

Symptoms: developed severe headache and tongue tingling 10' after injection: transferred to ED. sx resolved upon arrival to ED. no further intervention. - observed for 4 hrs, d/c to home

Other Meds:

Current Illness:

ID: 0945062
Sex: F
Age: 51
State: MT

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Latex, penicillin, hydrocodone, oxycodone

Symptoms: Hot flash, dizziness, nausea, cold chills, headache. Right side of body numbness and tingling, no sensation of hot/cold.

Other Meds: Hair/skin/nails, MVI, seroquel, crestor, vitamin D, calcium, prilosec

Current Illness:

ID: 0945063
Sex: M
Age: 76
State: TX

Vax Date: 01/02/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: None know

Symptoms: On tenth day, woke up with large red, itchy rash around vaccination site. Applied an ointment with cortisone in it. Not a major problem. Later in the evening, started seriously itching about the neck and face; got worse with time; no sleep that night; continued all next day; doctor prescribed a six day series of steroidal pills; it SEEMS, after 16-18 hours that the itching is easing..

Other Meds: sertraline, rapaflo, Celebrex, finasteride, enlapril

Current Illness: none

ID: 0945064
Sex: F
Age: 54
State: CA

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

Lab Data:

Allergies:

Symptoms: Sudden diphoresis, flush feeling in face, elevated BP, throat tightening and swelling. Taken to ED for evaluation

Other Meds:

Current Illness:

ID: 0945065
Sex: F
Age: 55
State: OH

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

Lab Data:

Allergies:

Symptoms: Patient got her shot around 11:15am and around 11:45am started feeling itchy down the arm of injection (left) and itchy in the mouth and numb in the tongue. Came to report to me (lead RPh for clinic) at 11:50am. I spoke with another staff member to get patient 50mg of benadryl. While I waited for the medicine, I inspected the patients arm, face and inside the mouth. No redness, swelling, hives or other signs/symptoms of allergic reaction. Arm looked normal, no discoloration. Same with face and inside mouth. Patient took 50mg Benadryl at 12pm. Patient also stated having sinus issues currently (before vaccination) and has had off/on reactions with flu shot and other vaccines, mainly itching in the arm that was injected and swelling at the injection site (grapefruit size). Patient reported feeling itchiness gone at 12:10pm but still having some numb tongue. By 12:23pm, patient reported feeling completely better and no more numbness in the tongue.

Other Meds:

Current Illness:

ID: 0945066
Sex: F
Age: 30
State: IL

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

Lab Data:

Allergies: Latex and penicillin.

Symptoms: Quickly after receiving vaccine patient began feeling lightheaded/dizzy then progressed to nauseated and feeling the need to vomit. Patients temperature increased slightly to 99.4. Placed a cool washrag on neck and gave Diphenhydramine 25mg at 12:15pm (patient stated had Benadryl at 6am at home before coming to work). Patients blood pressure was taken by parent who is a nurse at Woodridge 122/86. At 12:57pm patients temperature returned to 97.4 and patient was improving. Patients parent gave Zofran for the nausea/vomiting feeling at 1pm. Patient was feeling better but still dizzy and patients parent took the patient home at 1:18pm.

Other Meds: Diphenhydramine 25mg at 12:15pm.

Current Illness: Tachycardia.

ID: 0945067
Sex: F
Age: 65
State: NJ

Vax Date: 09/25/2020
Onset Date: 09/25/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: pt received vaccine in September and has been having arm pain from injection site to the elbow since then. She came to pharmacy 1-14-21 to let us know. She reports that her arm hurts to move up and down and to lay on it.

Other Meds:

Current Illness:

ID: 0945068
Sex: F
Age: 87
State: ID

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

Lab Data: NA

Allergies: Iron, Lisinopril, Metformin, Morphine, Avandia, FloventHFA, Levemir, Naprosyn, Pneumovax, Darvocet, Vicodin

Symptoms: Less than 10 minutes after administration patient complained of itching on shoulder/neck of injection arm (left.) 50mg Benadryl administered @12:09pm and by 12:15pm patient stated she was feeling better.

Other Meds: None listed

Current Illness: Unknown, none reported

ID: 0945069
Sex: F
Age: 47
State: VA

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

Lab Data: NONE

Allergies: NONE

Symptoms: HEADACHE FEVER BODY ACHES NOT ABLE TO USE ARM, RAPID HEARTBEAT, DIARRHEA

Other Meds: NONE

Current Illness: NONE

ID: 0945070
Sex: F
Age: 41
State: CA

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

Lab Data: gave Pfizer second dose vaccine and sent to ED

Allergies: No known allergies

Symptoms: within 10 minutes of vaccination, patient c/o feeling warm and nausea. symptoms progressed over forty minutes to include hypertension, nape of neck "fullness", weakness, and tingling hands. HR in '70's initially then progressed to tachycardia in 130's. EMS called for ED transport.

Other Meds: Ventolin In haler, Levothyroxine, Fluticasene, Advair, Cydobenzapine, Benzonatate, Ibuprofen, Sennosides, Levocetirizine, Ferrous Sulfate, Famotidine, Norethindrone Acetate

Current Illness: unknown

ID: 0945071
Sex: F
Age: 34
State: CA

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

Lab Data: NA

Allergies: None

Symptoms: Sore arm around 1300. Fatigue around 1600. Chills at 2300, relieved by 2 tabs tyelenol. Woke up at 300 next morning in hot sweat. Next day 1/12, body tension from chills precious night- relieved by advil. fatigue from poor nights sleep.

Other Meds: None

Current Illness: None

ID: 0945072
Sex: F
Age: 39
State: WI

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: Non

Symptoms: No concerns following the vaccine, however 7-8 days after administration started itching and noticed a large raised reddened area, warm to the touch.

Other Meds: None

Current Illness: None

ID: 0945073
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 known Allergies

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

Other Meds: Tylenol, Abilify, Bufferin, Vitamin B12, Depakote, Pepcid, Ferosul, Folic Acid, Toprol-XL, Miralax, Flomax

Current Illness:

ID: 0945074
Sex: F
Age: 23
State: WA

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

Lab Data: None.

Allergies: None known.

Symptoms: Increased swelling, pain, and redness at vaccine site. Raised and hot, irritated by clothing.

Other Meds: Allergy medication: Aller-flex.

Current Illness: Uti, took bactrum from 1/6-1/10.

ID: 0945075
Sex: F
Age: 47
State: MA

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

Lab Data: None

Allergies: NKA or to food or other products

Symptoms: 3 AM this morning woke up with pain and swelling at injection site. States, "It's a little bit red. I have been putting ice. I could not sleep on it." 8AM: Nausea started. No vomitting able to hold down fluids and solid foods 1PM: Dizziness-- states, "When you don't sleep for two days in a row, you just want to close your eyes."

Other Meds: Wellbutrin XL 300 mg PO daily Celexa 10 mg PO daily

Current Illness: Denies previous illness

ID: 0945076
Sex: M
Age: 20
State: TX

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

Lab Data:

Allergies:

Symptoms: Vomiting, cough, diarrhea No treatment. Improving from earlier in the day.

Other Meds:

Current Illness:

ID: 0945077
Sex: F
Age: 37
State: NV

Vax Date: 12/16/2020
Onset Date: 12/21/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: I had a pregnancy test, NEG, I went for a PT evaluation.

Allergies: No

Symptoms: I had vertigo, unsteady gate, nausea, vomitting, difficulty with visual tracking.

Other Meds: No

Current Illness: No

ID: 0945078
Sex: F
Age: 79
State: LA

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

Lab Data: NONE

Allergies: ZITHROMYCIN, DILAUDID

Symptoms: EXTREME LETHERGY, ELEVATED HEARTRATE, ELEVATED FEVER, NAUSEA, FATIGUE

Other Meds: COLACE, LASIX, LISINOPRIL, XARELTO, XYZAL, NITROSTAT, PROTONIX, MIRALAX, CRESTOR, METOPROLOL, FLONASE, ERGOCALCIFEROL, CALCIUM CARBONATE, INCRUSE ELLIPTA, POTASSIUM, FERROUS SULFATE, ZOLOFT,

Current Illness: K21.9, I48.91, L29.9, H66.91, R52, R07.9, J18.9, J44.9, G47.23, R05, R11.0, M15.9, I11.0, K59.00, E63.9, R06.2, J30.9, E78.5, I10, Z40.8, D64.9, J06.9, M19.90, E83.51, F33.42, U07.1, Z85.3, N39.0

ID: 0945079
Sex: F
Age: 62
State: AR

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

Lab Data: None

Allergies: Penicillins Dilantin Clindamycin Sucrose sensitivity Sesame sensitivity Potato/Grain Combe sensitivity

Symptoms: Got first dose around 3pm Jan 12. Foot cramp around 10:30pm. Took magnesium. On Jan 13, Brief dizzy spell 7am (a few seconds); minute long dizzy spell around 3pm, another around 3:15, then a 2-hour long dizzy spell beginning around 3:30pm. Queasy till 9 pm, but no vomiting. Foot cramp again, so I got up and drank more water and took magnesium. Felt steadier.

Other Meds: Bumetanide Low-Dose Naltrexone Potassium Magnesium Vitamin B complex Vitamin D3 K2 Omega 3 Bone support formula- Calcium and B1 Cranberry capsules D-mannose

Current Illness: None

ID: 0945080
Sex: U
Age: 48
State: FL

Vax Date: 01/05/2021
Onset Date: 01/10/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Mushroom,Bees,Latex.

Symptoms: My right arm is red, swollen, warm to the touch, and itches.

Other Meds: Glucosamine, biotin

Current Illness:

ID: 0945081
Sex: F
Age: 49
State: NV

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

Lab Data: None

Allergies: Keflex and medication with Sulfa

Symptoms: Last Saturday I started scratching my right arm. The itching and irritation continued and when I checked there was a red circular area at the injection site that increasing got larger, inflamed, warm feeling. I took Zytrec and placed an ice pack. The next morning the site continued to feel worse and there was a second red circular area near the first site that felt itchy, swollen, and painful. Today the area is still redden and warm over 85% of my upper right arm surface area however the swelling appears to be going down since taking Benadryl daily and MD prescribed Augmentin.

Other Meds: Benezpril, Zyrtec, Flonase, Contrav

Current Illness:

ID: 0945082
Sex: F
Age: 63
State: NJ

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

Lab Data: none

Allergies: none

Symptoms: received Maderna shot on 12/30/20 then one week later on 1/6/21 developed an allergic reaction on and near the injection site. rash faded in a few days but did not resolve fully. went to Occupational Medicine dept for exam and prescription to treat rash

Other Meds: metoprolol, symvastatin, letrozole, low dose aspirin, calcium, D3

Current Illness: none

ID: 0945083
Sex: F
Age: 37
State: NY

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

Lab Data: None.

Allergies: NKA to food or medications; mild to moderate seasonal allergies to pollens, cat dander and dust.

Symptoms: Received vaccine approx 4:25pm. At approx 4:50pm, while driving home, I started to feel "off", like something was wrong. Part of my tongue started to feel a bit tingly and itchy. I arrived home approx 5 minutes later, and took Diphenhydramine 50mg po. Parts of my tongue still felt tingly and itchy, and the right side towards the back was starting to feel a little swollen. I decided to have EMS bring me to the hospital in case I was having an allergic reaction. EMS arrived to my house at approx 5:15pm. My BP was significantly elevated (160's/90's - I am usually 110's/60's), and I was tachycardic at approx 100-105bpm (I am usually 70-80bpm). I had started to feel like the back of my throat was tightening a little bit. I did not have wheezing or severe difficulty breathing, or generalized itching, hives, or flushing. Once on the ambulance my throat was feeling tighter, so they administered Epinephrine 0.3mg IM, inserted an IV, and administered Dexamethasone 10mg IV. After a few minutes the tightness in my throat was gone and I was feeling more back to normal. BP and HR began to slowly trend down (BP 130's/80'sjust prior to arrival to hospital). I was seen by Nursing and a Provider shortly after arrival to the ED. My BP was still elevated (140's/90's) and HR was approx 90bpm. Provider stated that my posterior pharynx was not swollen. I was observed in the ED for approx 2.5 hours, and was discharged to home with instructions to take Diphenhydramine as needed and follow-up with my PCP within two days. BP and HR had normalized prior to discharge. They did not do any labs or tests (12-lead EKG was done by EMS en-route). The following day (today) I am tired and have a slight headache and occasional slight nausea but otherwise feel ok.

Other Meds: Fexofenadine 180mg daily; Fluoxetine 30mg daily; Levothyroxine 50mcg daily; Buproprion XL 300mg daily; Vitamin D3 supplement daily; Naproxen 220mg prn (taken the day before, I believe) Ibuprofen 400mg, Acetaminophen 650mg, and Famotidine 20

Current Illness: None.

ID: 0945084
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:

Symptoms: Hives within 30 minutes of injection. Resolved.

Other Meds:

Current Illness:

ID: 0945085
Sex: F
Age: 35
State: NE

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

Lab Data:

Allergies: Wheat, egg yolks, dairy, soy, bee venom.

Symptoms: GI upset, diarrhea, migraine, body aches, injection site red and swollen for two days.

Other Meds: Metoprolol ER 25mg, Sprintec, Probiotic, Hair, skin and nails.

Current Illness: None.

ID: 0945086
Sex: F
Age: 18
State: MN

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

Lab Data:

Allergies: PCN

Symptoms: Patient was screened and identified allergy to PCN. Covid Vaccine administered without incident. Nurse did insist client stay in area for 30 minutes due to history of PCN allergy. After about 10 minutes, client returned with complaint of itching, flushing in face and hyperventilating. LPH assisted and laid patient down and elevated her legs. Pulse was 200 and breathing difficulties increased. EPI 0.5 given IM in thigh by nurse. Patient felt significantly better after one dose of EPI and breathing was almost back to normal. Patient transported by EMS.

Other Meds: Unknown

Current Illness: Unknown

ID: 0945087
Sex: F
Age: 44
State: CA

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

Lab Data: none

Allergies: amoxicillin eggplant shrimp sulfa

Symptoms: Patient is a 44 Y female who presents reporting facial flushing and tongue soreness and dryness immediately after getting her first dose of the Pfizer COVID-19 vaccine at 1030 this morning. 26 minutes later the symptoms are followed by cold sweats. She feels much better now, does not now, did not have shortness of breath, nausea, vomiting, wheezing, change in voice, difficulty swallowing. Patient reports the symptoms are similar to but much milder than the symptoms she gets during rituximab infusion for her myasthenia gravis. Patient notes that she took Zyrtec and acetaminophen at 9:00 as premedication. Prior to this patient had been well, no fevers, nausea, vomiting, diarrhea, chest pain, shortness of breath, cough, sore throat, urinary problems, or other problems. Patient did not receive any additional therapy in the ED. She was observed for 2 hours in the ED and was subsequently discharged home.

Other Meds: Acetaminophen and Zyrtec taken at 0900.

Current Illness: myasthenia gravis hypothyroidism inflammatory polyarthritis

ID: 0945088
Sex: F
Age: 32
State: NY

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

Lab Data: Unknown

Allergies: NKA

Symptoms: Pt was given dose 1 at 14:35. Upon checking with pt at 14:45, pt head in hands, rocking, and shaking. Pt was helped to back room, at that point, unstable, held by staff, taken by wheel chair to exam room. Pt was given benadryl, zofran, solu medrol, and epi. 911 was called, and pt was taken to local hospital.

Other Meds: topamax 50mg po bid

Current Illness: None

ID: 0945089
Sex: F
Age: 26
State: MD

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

Lab Data:

Allergies:

Symptoms: 10 ' after vaccine, developed roof mouth tingling , dizziness , tachycardia and Left arm tingling .

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm