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: 0945141
Sex: F
Age: 2
State: WV

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

Lab Data:

Allergies: Amoxicillin

Symptoms: Pt developed a rash that afternoon after receiving the flu vaccine by, LPN. Was seen in clinic 01/14/2021. Dr. advised to use Zyrtec and Benadryl and refer to an allergist in the future.

Other Meds:

Current Illness:

ID: 0945142
Sex: F
Age: 18
State: CA

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

Lab Data: None

Allergies: Bananas, nuts

Symptoms: Itching, brief shortness of breath. No wheezing. No hives or rash. Shortness of breath immediately subsided. Itching subsided after 40 min.

Other Meds: Zyrtec, Benadryl, EPI Pen pen

Current Illness: None reported

ID: 0945143
Sex: M
Age: 48
State: MA

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

Lab Data: N/A

Allergies: NKDA or other allergies

Symptoms: Shaking chills for approximately 12 hours beginning at 21:00 on 1/13. Lethargy beginning approx. 10:30 on 1/14. Nausea beginning 14:00 on 1/14 continuing as of this report (17:00 on 1/14)

Other Meds: None

Current Illness: No other recent illness

ID: 0945144
Sex: M
Age: 26
State: MT

Vax Date: 12/31/2020
Onset Date: 01/03/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: no tests administered

Allergies: nkda

Symptoms: Patient woke up 3 days later with hives all over his body. Patient complains of severe itching on his legs and moderate itching over the rest of his body. Patient did no go to the Emergency room because he denies having any other symptoms or doing anything different such as changing soaps/detergents and has not eaten anything different.

Other Meds: None

Current Illness: none

ID: 0945145
Sex: F
Age: 41
State: IA

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

Lab Data:

Allergies:

Symptoms: Pt came to the COVID vaccination clinic today to receive her first dose of the Pfizer vaccine: EL3246. Pt states "I am very nervous about getting this". Pt brought a co-worker with her for support. Pt has "MS and Anxiety". Pt received her vaccine without any difficulty. While sitting for her observation time after the vaccine she began having some "tingling of her tongue and face feels hot". Pt denies any breathing difficulty. Pt states "I am not sure if this is from my anxiety or a reaction". Pt is drinking water with honey. Gave her some fresh water and monitored. Checked on her a couple minutes later. She was in the chair and then up to walk and was concerned "my legs are feeling tingly and a little cold". When asked if she ever takes BENADRYL for her previous medication reactions Pt states "yes". I asked her if she has someone who can drive her home and she made arrangements for her co-worker to take her. Gave Pt BENADRYL 25 mg po one for potential reaction symptoms at 15:05. Moved Pt to a quieter place to monitor and observe. Gave her a warm blanket and some juice. Vitals at 15:18: BP= 116/68, HR=80 Resp rate 16-18. Pt is alert, oriented and states "feeling a little better". Tingling sensation is "leaving". Pt denies any respiratory symptoms. Monitored by RN. Pt set up with telephone call with Employee Health Provider, PAC. Determined this is most likely symptoms caused by her anxiety. Pt left ambulatory with her co-worker and symptoms were resolved.

Other Meds:

Current Illness:

ID: 0945146
Sex: F
Age: 61
State: CA

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

Lab Data: None

Allergies: Taxotere Severe Anaphylaxis 12/08/2017 5-Alpha Reductase Inhibitors Moderate Anaphylaxis 12/13/2017 Chloroquine Phosphate Isoniazid Letrozole Valium

Symptoms: Short term memory loss, Severe fatigue, Chills, Mild HA, Depression - lasted 5 hours and was gone.

Other Meds: Fiber daily

Current Illness: None

ID: 0945147
Sex: M
Age: 42
State: GA

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

Lab Data:

Allergies:

Symptoms: States had a syncope event shortly after 2nd COVID vaccine. Vaccine administered approximately 10am then about 40-45 minutes later had a syncope episode and fell from a standing position.

Other Meds:

Current Illness:

ID: 0945148
Sex: F
Age: 25
State: AZ

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

Lab Data:

Allergies: None

Symptoms: Pain under armpit with big lump. Painful to touch and when uses of force or movement

Other Meds: Viena

Current Illness: None

ID: 0945149
Sex: F
Age: 66
State: OK

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

Lab Data: Refused

Allergies: None listed

Symptoms: Within 15 minutes of administration the person stated that she was having lite headedness. Person was refusing any assessment or care and wanted to go outside to take her face covering off. After going outside the person seemed to be feeling less lite headed, but do to language barrier the person was hard to understand. An assessment was attempted but person refused any care.

Other Meds: None listed

Current Illness: None listed

ID: 0945150
Sex: F
Age: 33
State: NY

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

Lab Data: I evaluated the patient today, 1/14/21 - diagnosed deltoid bursitis

Allergies: none

Symptoms: patient developed pain at the injection site (left upper deltoid) which worsened over the course of a week. 9 days later she is barely able to move her shoulder

Other Meds:

Current Illness:

ID: 0945151
Sex: M
Age: 74
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 his first COVID-19 vaccine. He was given 0.3 mls of the vaccine IM in the left deltoid.at 2:40 pm. He pulled around to the observation area and at 3:12 pm. He reported that he was experiencing tightness in his chest, dizziness and SOB. Sp02 was 97% on RA. HR was 57. Oxygen applied via non-rebreather mask at 6L . Sp02 went up to 100%. At 3:05 patient reports that his chest tightness was feeling better and reported that it was easier to breathe. He denies any numbness or dizziness. Sp02 was 98% at this time. BP was 138/84. At 3:12 patient reports that the tightness in his chest has subsided and that he was "feeling better". Sp02 was turned off. After observing patient for several minutes she was found to be in stable condition to leave the observation unit. He was agreeable to this plan. He will notify her PCP with any further symptoms.

Other Meds:

Current Illness:

ID: 0945152
Sex: F
Age: 54
State:

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

Lab Data:

Allergies:

Symptoms: Axilla lymph node swelling of the vaccinated arm. Swelling began the day after vaccination. Reported to Employee Health 2 days after vaccination and area measured 70mm at that time. No tenderness noted to palpation. Patient is taking ibuprofen. Encouraged to follow with PCP if swelling continues.

Other Meds:

Current Illness:

ID: 0945153
Sex: F
Age: 41
State: WA

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

Lab Data:

Allergies: Sulfa.

Symptoms: Severe aches, chills, headache, stomach cramps, nausea, vomiting, diarrhea, sweats, eye pain, fatigue, skin sensitivity. Treated with Tylenol and CBD lotion. Mostly resolved within 36 hours of onset.

Other Meds:

Current Illness:

ID: 0945154
Sex: F
Age: 49
State:

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

Lab Data:

Allergies:

Symptoms: Patient describes nausea, fatigue and headache. Also has arm soreness, but very mild

Other Meds:

Current Illness:

ID: 0945155
Sex: F
Age: 43
State: PA

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

Lab Data: None

Allergies: None.

Symptoms: Soreness and swelling at injection site. Chills at about 34 hours post-injection. Fever (100.5) at about 34 hours post-injection.

Other Meds: None.

Current Illness: None.

ID: 0945156
Sex: F
Age: 77
State: TN

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

Lab Data:

Allergies:

Symptoms: The patient did not have a reaction. The patient was given her first dose on 12-29-2020 and inadvertently given the 2nd dose 1-13-2021. The patient was monitored >20 min with no complications.

Other Meds:

Current Illness:

ID: 0945157
Sex: F
Age: 32
State: CO

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

Lab Data: Unknown

Allergies: Unknown

Symptoms: Employee called the nurse line reported adverse reaction to second covid vaccine. Caller received vaccine at 1330 and started to have vision changes bilaterally of halos around vision lasting for 10 minutes at a time and a slight headache

Other Meds: Unknown

Current Illness: Unknown

ID: 0945158
Sex: M
Age: 72
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: Tomato

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

Other Meds: Tylenol, Colace, Boost, Norvasc, Aspirin, Ferrous Sulfate, Zestril, Milk of Magnesia

Current Illness:

ID: 0945159
Sex: F
Age: 59
State: IN

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

Lab Data:

Allergies: Penicillin Codeine

Symptoms: On day 1 - 2 I had "normal" reaction of sore arm, and some redness. On day 3, reaction went away. On day 8, I woke up with a rash on my arm (surrounding the injection site). As the day went on, I experienced redness, warmth, and swelling in the same area. Today is Day 10 and I am still experiencing the redness, warmth, and swelling. I am taking Benadryl to try and alleviate symptoms. No fever is experienced.

Other Meds: Gabapentin Premarin Medroprogesterone Vitamin D3 Magnesium Preservision

Current Illness: none

ID: 0945160
Sex: F
Age: 68
State: MD

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

Lab Data:

Allergies:

Symptoms: 10 minutes after vaccine, developed chest tightness with SOB. (has asthma) ; sx persisted after additional 15 ' and transferred to ED. Given albuterol nebulizer, sx resolved. EKG wnl - observed for 2 hrs. d/c to home

Other Meds:

Current Illness:

ID: 0945161
Sex: F
Age: 54
State: PA

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

Lab Data:

Allergies:

Symptoms: Headache; Chills

Other Meds:

Current Illness:

ID: 0945162
Sex: F
Age: 61
State: ID

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

Lab Data:

Allergies: None

Symptoms: Chills, nausea, vomiting, body aches, headache, fatigue for 48 hours

Other Meds: Ibuprofen, Tylenol

Current Illness: None

ID: 0945163
Sex: F
Age: 36
State: CT

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

Lab Data:

Allergies: none

Symptoms: severe muscle aches all over, severe chills with no fever, headache, nausea, fatigue, Severe symptoms lasted until about 4 am 12/14/2021. All symptoms are still active just not severe

Other Meds: none

Current Illness: covid 19 positive test 12/14/2020

ID: 0945164
Sex: F
Age: 1
State: TX

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

Lab Data: CBC, ESR, and CMP with overall normal results.

Allergies: NKDA; allergy to animal dander

Symptoms: Fever started 1/2/2021 and continued for 5 days and then she developed a viral exanthem consistent with post-immunization rash from MMR or Varicella. She also had looser stools during part of the course.Symptoms resolved spontaneously

Other Meds: None

Current Illness: none

ID: 0945165
Sex: F
Age: 57
State: IL

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

Lab Data: None.

Allergies: Bactrim.

Symptoms: Diarrhea, fatigue, body aches, and fever.

Other Meds: Ondansetron, Amlodipine, Omeprazole, Alprazolam, Duloxetine, Losartan, Singulair, Imitrex, Singulair, Imitrex, Aspirin, Skelaxin, and Metoprolol.

Current Illness: None.

ID: 0945166
Sex: F
Age: 33
State:

Vax Date: 01/09/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: symptoms started on 01/13/21 : tinnitus in rt ear and light headache

Other Meds:

Current Illness:

ID: 0945167
Sex: F
Age: 80
State: FL

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: no

Allergies: Penicillin, codeine, Levaquin, orange juice.

Symptoms: Itchy arm, lumpy, hard at the inj site, rash, inflamed, pink color. All is gone but the pink color.

Other Meds: vitamins C, D3, Lutein, oregamax, multivitamin, magnesium, aspirin

Current Illness: no

ID: 0945168
Sex: F
Age: 51
State: PA

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

Lab Data:

Allergies:

Symptoms: Localized reaction - chemo-cellulitis

Other Meds:

Current Illness:

ID: 0945169
Sex: F
Age: 28
State: PA

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

Lab Data:

Allergies: No known

Symptoms: Rash at injection site, swelling, tenderness, fever,chills, migraine

Other Meds: Vitamin B, Multivitamin, Vitamin D, kyleena birth control device

Current Illness: Sinus infection 5 weeks prior

ID: 0945170
Sex: F
Age: 60
State: SD

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

Lab Data: CBC, CMP and chest x-ray on 1/9/21

Allergies: None

Symptoms: Patient experienced low O2 saturations (88-90%) and shortness of breath on 1/7/21 in the evening that improved with benadryl. Continued shortness of breath on 1/8 and 1/9/21 and reported to Urgent Care on 1/9/21. Was diagnosed with allergic reaction.

Other Meds:

Current Illness: COVID-19 diagnosed 11/22/2020

ID: 0945171
Sex: F
Age: 51
State: NY

Vax Date: 01/04/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Biaxin Morphine

Symptoms: Patient reported L arm swelling, redness and rash at injection site. Upon exam- Eruption - Unclear diagnosis, could be related to COVID-19 vaccine-advised pt to report this as a potential side effect. Could also be an allergic reaction to the avocado she had prior to the eruption. Will start prednisone 40 mg once daily x 5 days.

Other Meds: Ibuprofen Restasis

Current Illness: none

ID: 0945172
Sex: F
Age: 40
State: TX

Vax Date: 12/30/2020
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: pain on vaccination site, rash and itching a day after administration of COVID vaccine was given. A week after patient presents with headache and diarrhea.

Other Meds: N/A

Current Illness: N/A

ID: 0945173
Sex: F
Age: 39
State: OK

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

Lab Data:

Allergies: "Possible Sulfa Drug Allergy"

Symptoms: "heart racing" "dizziness" "blurred vision"

Other Meds: "valtrex and Thyroid - NP"

Current Illness: Unknown

ID: 0945174
Sex: F
Age: 31
State: OK

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

Lab Data: no

Allergies: none

Symptoms: 01/08/21 received the vaccination, am of 01/09/21 woke up with headache, body aches, chills, took Excedrin and ibuprofen, worked all day and by the end of the shift started feeling worse. Symptoms to include : shaky, felt like she was freezing to death but no fever at this point, skin felt like it was on fire, Around 8:00pm temp of 100PO at this time took 1000mg Tylenol and when she had got the shower skin was very sensitive to the water and felt like it was hot, but the water was not, by 10:00 pm temp of 103, felt shaky, achy all over, dizziness/nausea, muscle weakness, fatigue. Went to bed that night, had night sweats during the night. 01/10/21 got up around 4:30am to get ready for work, continued with severe muscle weakness, shaky, headache, got in shower and fell from being so weak and tired. Gradually through the day got better, had went back to bed that morning and slept almost all day and by 3:00pm -4:00pm was feeling much better.

Other Meds: none, Excedrin or ibuprofen at time,

Current Illness: none

ID: 0945175
Sex: F
Age: 36
State: WA

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

Lab Data: Tested COVID positive in late March 2020, had similar symptoms during infection to what vaccine produced.

Allergies: None

Symptoms: Moderna COVID-19 Vaccine EUA Chills, joint pain, muscle pain, fatigue, headache, nausea Pain so bad at night, I could not sleep until around 4 am after taking ibuprofen. Woke back up to pain (chills, joint and muscle pain, headache) at 6am. Uncomfortable throughout today (1/14/21). Not so bad as to go to hospital, but wanted to share side effects give them the limited data on this new vaccine.

Other Meds:

Current Illness: None

ID: 0945176
Sex: M
Age:
State: CA

Vax Date: 12/18/2020
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: got COVID vaccine doses on 12/18/20 and 1/8/21. My wife tested (+) for COVID on 1/4/21, so I stayed home for about a week to take care of her. I went back to work on 1/13/21, tested (+) for COVID at work (I work at a hospital). Was sent home for quarantine. I had no symptoms.

Other Meds: none

Current Illness: got first COVID vaccine on 12/18/20, got second COVID dose 1/8/21. Got tested as being COVID (+) on 1/14/21 after I returned to work. I was off for a week taking care of my wife who got COVID.

ID: 0945177
Sex: F
Age: 32
State: CA

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

Lab Data:

Allergies:

Symptoms: Sore arm fatigue numbness in face, under eye and check couldn't feel temperature on the left side of her mouth hip pain

Other Meds:

Current Illness:

ID: 0945178
Sex: F
Age: 32
State: AZ

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

Lab Data: None

Allergies: None

Symptoms: Facial flushing and heart palpitations after first dose of vaccination lasting approximately 2 weeks. Palpitations onset approx 5 minutes after receiving second dose of medication.

Other Meds: Propanolol 10mg TID, women?s multi vitamin, zinc 50mg, Zyrtec 10mg

Current Illness: None

ID: 0945179
Sex: F
Age: 48
State: AZ

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

Lab Data:

Allergies: Sulfa

Symptoms: headache, tiredness, extreme pain at injection site

Other Meds: protonix, ambien, biotin, ibuprofen, celexa

Current Illness:

ID: 0945180
Sex: F
Age: 66
State: OK

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

Lab Data:

Allergies: Nonr known

Symptoms: One week and 1 day after the vaccination my arm started to itch at the injection side. I thought I might have gotten a bug bite. When I awoke the next morning (Jan. 14) it was still itching and I had a large area which is reddened and bumpy. It does not hurt. I went to our local Health Department and had a nurse take a look and she and another nurse had not seen this reaction before but indicated I should report it to you. It is approximately 3 inches long and 2 inches wide. They also advised me to take Benadryl and Ibuprofen.

Other Meds: Pravastatin, CoQ10, Calcium, One a day multivitamin, Biotin, Green Tea Extract

Current Illness: Postnasal drip due to seasonal allergies

ID: 0945181
Sex: M
Age:
State: AZ

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

Lab Data:

Allergies: No Allergies

Symptoms: None stated.

Other Meds: Levothyroxin 25mcg b12 vitamin d

Current Illness: nothing at this time

ID: 0945182
Sex: F
Age: 30
State: OR

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

Lab Data:

Allergies:

Symptoms: Itching, facial tightness, flushing, throat changes. Was given Epi x 1, Bendaryl x 1 and Hospital Rapid Response called and she was brought to ED. At ED, evaluation done, pt stable, felt to be likely anxiety/panic attack as cause of symptoms, and low likelihood of anaphylaxis. Pt was given rx for Epi pen to keep on hand just in case.

Other Meds:

Current Illness:

ID: 0945183
Sex: F
Age: 80
State: CO

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

Lab Data: Peripheral IV, CBC, Basic Metabolic Panel, ECG 12 lead, Troponin 1, Urinalysis, TSH on 1/11/21

Allergies: Unknown

Symptoms: Patient presented to urgent care clinic approximately 24 hours after receiving the Moderna Covid-19 vaccine with complaints of fever and myalgia. She had mild confusion with the fever which resolved after acetaminophen. However, due to the confusion, she received an extensive work-up in clinic for other causes of altered mental status.

Other Meds: Unknown

Current Illness: Unknown

ID: 0945184
Sex: M
Age: 21
State: MN

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

Lab Data: N/A

Allergies: Chocolate Mint Walnuts

Symptoms: Fatigue - Presented 12 hours after and persistent for 2 days. Diarrhea- Presented 12 hours after and resolved after 24 hours. Severe muscle aches- Presented 4 hours after and persisted for 2 days. Numbness in face- Presented 12 hours after and resolved 32 hours after. Numbness in injection arm- Presented 2 hours after and resolved after 24 hours. Swollen lymph nodes- Presented day after and still unresolved. Headache -Presented 12 hours after and persisted for 24 hours. Chills- Presented 4 hours after and persisted for 24 hours. No medical treatment by provider. At home treatment with NSAID?s and rest.

Other Meds: Buspar Lexapro

Current Illness:

ID: 0945185
Sex: F
Age: 58
State: HI

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

Lab Data: none

Allergies: Sulfa Drug

Symptoms: Heart Palpatations started first lasted about 15 minutes, then sore throat, congestion, body aches and severe fatigue, injection site pain and chills.

Other Meds: Metoprolol, Ranexa, Imdur, Levothyroxine, Wellbutrin, ASA, Plavix, Crestor, Nifedipine

Current Illness: None

ID: 0945186
Sex: F
Age: 42
State: IL

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

Lab Data: none

Allergies: none

Symptoms: Pain to arm Unable to raise arm above her head

Other Meds: ProAir, Celexa, Ativan, phentermine, pseudoephrine

Current Illness: COVID 12/2021

ID: 0945187
Sex: F
Age: 28
State: OR

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

Lab Data: N/A - problem resolved without intervention

Allergies: Penicillin

Symptoms: Possible delayed injection-site reaction appeared 7 days after receiving first dose of Moderna COVID-19 vaccine (IM injection received 1/05/2021, reaction occurred 1/12/2021-1/14/2021). No unusual symptoms noted in the first 6 days following the first dose, aside from minor pain normally associated with vaccine injections. On day 7 (1/12), I noticed a red, slightly inflamed circle expanding out from the injection site to about 2 inches diameter. The site was was slightly painful and hot to the touch (almost like a moderate sunburn), and grew about a half-inch over day 8 (1/13) before starting to dissipate on 1/14/2021. No other associated symptoms.

Other Meds: Escitalopram 20mg/day, Trazodone 50mg/night, Hydroxyzine 25mg as needed for anxiety

Current Illness: N/A

ID: 0945188
Sex: M
Age: 23
State:

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

Lab Data:

Allergies:

Symptoms: Patient was found unconscious and smelling salts were used. He did return to consciousness. Reported feeling nauseous and dizzy. Vital signs were taken by EMS. Escorted to ambulance for observation, vital signs were retaken. Decision was made to transport to ED.

Other Meds:

Current Illness:

ID: 0945189
Sex: F
Age: 54
State: WI

Vax Date: 12/31/2020
Onset Date: 01/02/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: EKG, lab work, echocardiogram

Allergies:

Symptoms: At 4:00 pm on Saturday 1/2/2021, onset of L scapular pain, L chest discomfort and pain with inspiration. Presented to the Emergency Department for cardiac work up and discharged home. Follow up with personal provider on Monday 1/4/2021. Continued to have musculoskelatal and chest wall pain through Wednesday 1/6/2021.

Other Meds:

Current Illness:

ID: 0945190
Sex: M
Age: 51
State: MN

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

Lab Data:

Allergies: none

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA

Other Meds: omeperazole

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm