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: 0919698
Sex: F
Age: 50
State: MO

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies: Ibuprofen

Symptoms: Constant and severe Pain from injection site traveling all the way up my arm and into my neck.

Other Meds: Excedrin

Current Illness: None

ID: 0919699
Sex: F
Age:
State: CT

Vax Date: 12/24/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies: Latex, sulfa ,biaoxin,

Symptoms: On 12/31/2020 (day 7) arm started to itchy, no redness. 1/1/2021 (day 8) woke up with rash, inflammation, itching. Took Benadryl and applied Cortisone Cream several times that day. Rash continued to spread. On 1/2/2021, has now spread to 3/4 of upper arm. Now taking Zyrtec and Cortisone cream. Still red rash, inflammation, itching. Less itching on 1/3/2021, red rash still spreading 1/4/2021 rash stopped spreading, less area covered with rash, decrease in itching. Continuing with Zyrtec and appling Cortisone cream

Other Meds: Alive Women's Vitamins, Turmeric gummies, Bio-D mulsion forte (vit D), Floase, saline nasal spray.

Current Illness: None

ID: 0919700
Sex: F
Age: 36
State: OK

Vax Date: 12/27/2020
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Sudden rash and slight swelling when I woke up the morning of January 3rd, I applied benedryl cream once in the afternoon and right before bed. When I woke up the next morning, January 4th, the injection site was swollen to the size of a softball, hot to the touch, red and very hard and painful. No treatment successful as of yet. I have not seen a Healthcare professional because I haven't found one that knows what to do for it yet. Just spoken to nurses over the phone.

Other Meds: Wellbutrin, lovora

Current Illness: Sinus congestion 3 weeks before vaccination

ID: 0919701
Sex: F
Age: 58
State: NJ

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Chest discomfort, aches pains, chills fever, Swelling of arm and armpit and faitgue

Other Meds: Escitalopram10 mgs, and 5 mgs, Omeprazole Cap 40mg, Bystolic Tab 5mg, proair HFA Oarl Inh., zinc, iron, vitiamn C 1000

Current Illness: None

ID: 0919702
Sex: F
Age: 36
State: NH

Vax Date: 12/23/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Initial reaction included sore arm developing into hard and swollen bump at the injection site. Progressively improved and then on day 8, started noticing large red rash area surrounding the injection site. Warm to touch, not itchy, but significantly larger than the original site.

Other Meds: Birth control, daily vitamins, vitamin D, vitamin C, elderberry, Methimizole

Current Illness: None

ID: 0919703
Sex: F
Age: 29
State:

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

Lab Data:

Allergies: Erythromycin base

Symptoms: slight tingling on nose and mouth

Other Meds: Albuterol, Ativan, Alvesco, Fluoxetine,. Mometasone

Current Illness:

ID: 0919704
Sex: M
Age: 29
State: IN

Vax Date: 01/03/2021
Onset Date: 01/04/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: AT 4:15am 1/4/2021 I was either dreaming or actually massaging my left trapezius muscle which I was doing because it hurt and the pain was severe 9/10. Thinking it was because I was lying on my side, I sought to move onto my back. My wife was awake during the whole event. Upon moving over to my back I very quickly felt my legs jerking uncontrollably and could not open my mouth. This sensation last for about 10 seconds at which point my legs stopped jerking , and I was able to open my mouth. I felt a sudden rush of warmth, proceeded to throw off the covers, and was then followed not too soon after by intense chills and feeling cold. Immediately after coming to, I noticed I felt nauseated which after a few minutes began to subside. My wife mentioned she tried to gently rouse me but I was unresponsive by touching and calling my name. After 5 seconds of jerking of the legs, she mentioned it sounded like I was trying to gasp for air but could not seem to get air in. This continued for another 5 seconds with the leg jerking. The episode ended as mentioned above.

Other Meds: none

Current Illness: COVID and Strep throat

ID: 0919705
Sex: F
Age: 31
State: WI

Vax Date: 12/26/2020
Onset Date: 01/01/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: NSAIDS, environmental, very sensitive to narcotic pain medication

Symptoms: Moderna: Initially had a burning sensation at injection site for a few hours. That turned into a sore arm with some localized swelling for two days. On 1/1/2021, I woke up with a very swollen lymph node on the left side of my neck. I was very tired and had no energy for three days. The lymph node is still swollen and I am 9 days out from the vaccine.

Other Meds: Allegra, Benadryl, Junel birth control, Breo ellipta inhaler, zafirlukast, also doing allergy immunotherapy x3 months and started Dupixent on 12/22/2020 for first injection

Current Illness: No acute illnesses

ID: 0919706
Sex: F
Age: 35
State: NH

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Intense headache for 72 hours immediately after vaccine, hot/sweaty immediately after vaccine then again when NSAIDs wore off that night and into next day, extremely painful arm for 72 hours, muscle very hard at injection site for 72 hours, bruise still present at injection site 6 days post (never bruised for vaccine before)

Other Meds: Multivitamin, nasocort, fexofenadine

Current Illness:

ID: 0919707
Sex: F
Age: 29
State: CA

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

Lab Data:

Allergies: No known allergies

Symptoms: Nausea and dizziness 5 minutes after injection. Vomiting 20 minutes after injection. Throat felt scratchy and c/o chest felt "heavy" 25 minutes after injection. Gave Epinephrine 0.3mg IM x1 and placed on oxygen 2L/min via mask. EMS contacted. She declined EMS transport to hospital. EMS gave Zofran ODT (dose unknown). Nausea improved. Breathing improved, but still c/o feeling like she has to take shorter, more frequent breaths. Dizziness also improved. Oxygen removed and observed about 2 hours after incident. Patient requested to go home with family. Gave ER precautions and advised emergent evaluation/management.

Other Meds: None

Current Illness: None

ID: 0919708
Sex: F
Age: 41
State: MI

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Left hip pain

Other Meds: None

Current Illness: None

ID: 0919709
Sex: F
Age: 34
State: TX

Vax Date: 12/30/2020
Onset Date: 01/01/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: Banana, latex, norco

Symptoms: Within 24 hours headache that lasted > 48hrs. On Friday: nausea, diarrhea (severe), muscle aches, chills, fatigue, runny nose. On Saturday I woke with myself and my sheets soaked in sweat and dizziness.

Other Meds: Pristiq

Current Illness:

ID: 0919710
Sex: F
Age: 29
State: CA

Vax Date: 01/01/2021
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Headache, chills, nausea, diarrhea, neck pain, fatigue, sweating for past 48 hours

Other Meds: None

Current Illness: None

ID: 0919711
Sex: M
Age: 44
State: CA

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

Lab Data: None

Allergies: None

Symptoms: 5-6 post vaccination, blocked eustacian tubes and ringing in ear. Lasts for 3 days.

Other Meds: Atorvastatin

Current Illness: None

ID: 0919712
Sex: F
Age: 59
State: VT

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: None.

Allergies: None

Symptoms: Half an hour after receiving vaccine in left arm, my left face started with a tingling, numb feeling like when you get anesthesia from a dental procedure and it is thawing out. It was just the left side of my face, same side I got the vaccine. Could feel a dividing line in the middle of my face. It lasted with the same intensity for 3 days. It then started to subside slowly for the next 3 days and then was totally gone.

Other Meds: Losartan, amlodipine, multivitamin

Current Illness: None

ID: 0919713
Sex: F
Age: 28
State: MA

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: 01/04/2021: Anterior nares specimen (patient self collection) is pending; Test ordered = SARS-COV-2 by NAAT. Patient is essential employee at Hospital; Self-reported symptoms to Occupational Health and Direct Supervisor; Patient instructed by email to contact Occ Health but dept is unable to manage all current demands / could not reach by phone after 1 hour on hold; Patient instructed by Supervisor to continue to work as current staff levels are critical / must have staff for in-patient transfusions.

Allergies: None.

Symptoms: 12/31/2020 to 01/03/2021 = Fever of 39?C for 3 days (12/31/20 to 01/02/20); Chills; Joint Pain; Severe Fatigue; Headache; Muscle Pain; Note: NO RESPIRATORY SYMPTOMS. 01/04/2021 = No fever; Continued Severe Fatigue; Continued Headache; Continued Joint Pain; Note: all other symptoms resolved (see above / listed previously).

Other Meds: Medication (has remained stable for the last 12 months): Birth Control Pills, ADHD medication.

Current Illness: No illness for 12 months prior to vaccine.

ID: 0919714
Sex: F
Age: 50
State: MA

Vax Date: 12/27/2020
Onset Date: 01/04/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: NA

Allergies: none

Symptoms: MODERNA COVID-19 vaccine EUA raised itchy raised rash at injection site delayed reaction first noted 1/4/2021

Other Meds: VIT D daily

Current Illness: none

ID: 0919715
Sex: F
Age: 66
State: NJ

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: Had a repeat Covid-19 Nasopharyngeal swab done today, no results yet. Had a prior one done 3 days before vaccine, which was negative(was required to return to work after travel).

Allergies: Ancef, Ilosone

Symptoms: Nausea, vertigo, slightly blurred vision, imbalance walking, fatigue, heartburn, malaise. Initial vertigo and dizziness lasted 3 hrs. GI symptoms and malaise are still present, 48 hrs later

Other Meds: Pravastatin, 40 mg, OsteoBiFlex, Vit B Complex, Calcium Citrate, (as Theracal),

Current Illness: Chronic headaches, related to neck pain

ID: 0919716
Sex: F
Age: 28
State: AK

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: Amoxicillin and Penicillin

Symptoms: headache, body aches, chills. Took Tylenol and headache improved but came back the next day. Continued to take Tylenol PRN with relief.

Other Meds: None

Current Illness: None

ID: 0919717
Sex: F
Age: 51
State: MA

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

Lab Data: N/A

Allergies: Sulfa, Latex, Dairy, Gluten

Symptoms: Extreme soreness at injection site within 4 - 5 hours, stiffness in arm. By next morning the soreness had spread to armpit, breast, and ribcage on left side of body. High level of pain/soreness remained for 3 days before subsided.

Other Meds: Adderall

Current Illness: N/A

ID: 0919718
Sex: F
Age: 57
State: CA

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: none

Allergies: sulfa, levaquin,pcn,blackberries,

Symptoms: Pain and swelling at injection area which is continuous. less painful today and swelling decreasing. Can not lie on left side at all. General Aches and joint pain all over body which is continuing over 4 days. fatigue. Mild diarrhea, nausea. loss of appetite have taken ibuprofen each day. took tylenol on saturday. No fever

Other Meds: Vit D3, Krill oil 500mg, probiotic

Current Illness: none

ID: 0919719
Sex: F
Age: 49
State: TX

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies: Iodine

Symptoms: Itching, rash and redness through out body.

Other Meds: Hydrochlorothiazide, Diovan

Current Illness: None

ID: 0919720
Sex: F
Age: 38
State: TX

Vax Date: 01/01/2021
Onset Date: 01/02/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: 01/04/2021 positive COVID-19 test

Allergies: None

Symptoms: High fever about 6 hours after administration. 24 hours after administration loss of taste and smell. 48 hours after administration i tested positive for COVID-19.

Other Meds: Vitamin c 250mg, multivitamins with zinc, vitamin d 2000

Current Illness: None

ID: 0919721
Sex: F
Age: 46
State: IA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: 12/31/20: Follow up with PCP who sent me to Medical Center for possible stroke.

Allergies: Chocolate, INH

Symptoms: Tingling in lips 10 minutes after shot administered. Progressive numbness and mild drooping to right side of face (cheek, jaw, chin, neck, tongue, throat). Numbness in right arm down to 3rd, 4th and 5th fingers. Full function was still intact.

Other Meds: None

Current Illness: None

ID: 0919722
Sex: F
Age: 37
State: IL

Vax Date: 12/28/2020
Onset Date: 01/02/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Left sided axillary lymphadenopathy

Other Meds: Ibuprofen after symptoms started,

Current Illness: None

ID: 0919723
Sex: F
Age: 36
State: FL

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

Lab Data: Covid positive with rapid test 1-4-20

Allergies: None

Symptoms: Temp 100.4,dry cough, headache, body aches, fatigue, runny nose started 1-2-20 started dexamethasone, zpack Pepcid vit c vit d zinc aspirin

Other Meds: Strettera 60 mg daily and ambien 10 bedtime

Current Illness: None

ID: 0919724
Sex: F
Age: 31
State: MS

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: Pollen, noproxen, tomatoes

Symptoms: After I received my initial vaccine, i couldn?t quench my thirst. The next day the pain from my endometriosis was horrific. Slight movement was excruciating

Other Meds: Adderall, birth control, lexapro

Current Illness: Endometriosis

ID: 0919725
Sex: M
Age: 53
State: TX

Vax Date: 12/01/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Soreness at injection site for 4 days. Also itches

Other Meds: Multi vitamin, vitamin D3, Vitamin C

Current Illness: Sore throat one month prior

ID: 0919726
Sex: F
Age: 36
State: MO

Vax Date: 12/27/2020
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: none

Allergies: bactrim amoxicillin levemir

Symptoms: Swollen, hot, reddened arm below the injection site- started 1 week post injection. Ice/cold packs, NSAID, and antihistamines administered. Continue to monitor at this time as still symptomatic

Other Meds: none

Current Illness: none

ID: 0919727
Sex: F
Age: 68
State: PR

Vax Date: 12/26/2020
Onset Date: 01/02/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: NO.

Allergies: NO.

Symptoms: RED, SWOLLEN AND HOT AREA (ARM).

Other Meds: NO.

Current Illness: NONE.

ID: 0919728
Sex: F
Age: 44
State: MS

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

Lab Data: None

Allergies: No know allergies

Symptoms: Redness,swelling and itching of 5cm radius to injection site 7 days after taking the 1st dose of vaccine at approximately 8:30 AM.Given keflex 500mg twice daily for 10days.Instructed to apply ice to reddened area as needed.

Other Meds: Levbid 0.375mg,crestor 5mg,Zoloft 25mg

Current Illness: None

ID: 0919729
Sex: M
Age: 37
State:

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

Lab Data:

Allergies: none

Symptoms: No adverse advent to report. Patient was unaware that he was not to receive another vaccine 14 days post receiving Moderna Covid vaccine.

Other Meds: ambien, mobic, motrin

Current Illness: none

ID: 0919730
Sex: F
Age: 60
State: NV

Vax Date: 11/11/2020
Onset Date: 11/11/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient states that her arm has been numb since she received vaccine. She has not sought medical attention regarding this issue. When I spoke to her on 01/04/21 I instructed her to reach out to a medical doctor in order to have her symptoms looked at.

Other Meds:

Current Illness:

ID: 0919731
Sex: F
Age: 29
State: TN

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

Lab Data: N/A

Allergies: Medication allergies: sulfa & penicillin

Symptoms: Moderna COVID-19 Vaccine Large area of redness at the injection site. Area is raised from the skin and warm to the touch (looks like a large hive). Noticed itching of the skin earlier in the day, prior to discovery of the red area.

Other Meds: Women?s Multivitamin Probiotic Hair, Skin, & Nails Vitamin

Current Illness: N/A

ID: 0919732
Sex: M
Age: 29
State: TX

Vax Date: 12/24/2020
Onset Date: 12/25/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 12/25/2020 quarter size knot, redness and warmth at injection site 12/27/2020 resolved with warm compresses 12/31/2020- injection site very tender, red, warm to touch, itching, burning, hardened size of 5cm circle 1/1/2020- symptoms persisted 1/2/2020- symptoms persisted 1/3/2020- symptoms resolved with application of hydrocortisone cream

Other Meds: NP thyroid

Current Illness: Strep throat 12/16

ID: 0919733
Sex: M
Age: 36
State: KS

Vax Date: 12/30/2020
Onset Date: 01/02/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: N/A

Allergies: Wheat allergy

Symptoms: I am a board certified infectious diseases pharmacist and I have given lectures over hypersenstivites reactions. I noticed itching at the injection site a little more than 72 hours s/p injection with some minor itching. This progressed over the next 20 - 40 minutes to severe itching with large erythematous rash to the the left axillary region, then shoulder, and chest. Then hives developed pretty aggressively to majority of body including neck, back, inner thighs, and bilateral legs. The next morning I woke up to severe myalgias feeling like I was hit by a truck with soreness this resolved after roughly 24 hrs. Pain worse in buttocks, quadriceps, and sharp left lower mandible pain. On 01/02 around 7:30 pm took Hydrocorticone 100 mg PO x 1 and 50 mg of diphenhydramine q4h and the allergic reaction resolved over the next several hours. Still having upper torso itching going on 3 days after allergic reaction and 6 days after injection. Continued diphenhydramine 25 mg twice daily keeps the itching tolerable.

Other Meds: None

Current Illness: None

ID: 0919734
Sex: M
Age: 31
State: VA

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

Lab Data: N/A

Allergies: None

Symptoms: Headache, relieved by nsaid and caffeine

Other Meds: None

Current Illness: None

ID: 0919735
Sex: F
Age: 38
State: MI

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Hives noted on chest. Took 25mg po benedryl and hives were resolved within 3 hours.

Other Meds: Subutex, adderall, ibuprofen, symbicort, albuterol

Current Illness: None

ID: 0919736
Sex: F
Age: 70
State: WA

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: Boniva (Ibandronate)

Symptoms: Chill, Fever 99.5*F, Muscle aching

Other Meds: Metformin 1000mg, Atorvastatin 14mg, Januvia 100mg, Alendronate Sodium 17mg, Caltrate 600mg, Vitamin D3 2000mg, Biotin 5000 mcg, Gabapentin 300mg, Tumeric 1000mg

Current Illness: Acute left leg pain

ID: 0919737
Sex: F
Age: 56
State: CO

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

Lab Data: none

Allergies: Ropivicaine, Percocet, ACD-A, seasonal allergies

Symptoms: I had an itch on the left shoulder, not specifically at the vaccination site, after I scratched the shoulder I immediately had a welt the size of a quarter at the vaccination site. It was slightly raised, red, warm to the touch, and itchy. After an hour of no change I took OTC allergy pill. Symptoms resolved by later in the day though the vaccination sight continues to feel tender.

Other Meds: Tylenol 500mg x2 taken morning of vaccination

Current Illness: none

ID: 0919738
Sex: M
Age: 0
State: CA

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

Lab Data: none

Allergies: none

Symptoms: All over body rash, blanchable, maculopapular

Other Meds: none

Current Illness: none

ID: 0919739
Sex: F
Age: 37
State: MS

Vax Date: 01/01/2021
Onset Date: 01/02/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: N/a

Allergies: N/a

Symptoms: Rash All over stomach, buttocks and legs

Other Meds: Rexulti. Lamictal. Valium. Ozempic. Vitamin D. Vitamin B12. Pepcid. Valsartan-HCTZ

Current Illness: N/a

ID: 0919740
Sex: F
Age: 24
State: NC

Vax Date: 12/29/2020
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: I, as the patient, as of 8:00 PM 01/03/21 began to have left shoulder pain around the clavicle area. Around lunch today (01/04/21) I was moving my neck around and when I move it to the left it rolls over something. I began to feel around the area and noticed that where the sore area is I have a rather large knot. It is a hard knot that is very tender and sore. No other signs and symptoms present. I have not been to a doctor or clinic regarding the issue. I was unsure if this issue was directly related with the vaccine or not.

Other Meds: None

Current Illness: None

ID: 0919741
Sex: F
Age: 67
State: NJ

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: CXR, EKG, and labwork - 12/30/20

Allergies: Allergic to mycin drugs (ototoxicity) and Tamiflu (rash)

Symptoms: On my way home from receiving the vaccine, I felt slight numbness in my lips (no further swelling, etc.). Noticed some circumoral cyanosis around my lips after arriving home. Had a fine afternoon (sleeping following vaccine and 16 hr. shift). Had dinner and usual evening. Upon going to bed about 11pm, I experienced chills for several hours, and shortness of breath. Very weak. Called 911 about 3 am - went to hospital ER - O2 sat. 90% enroute. Vital signs stable in hospital ER. Had neg. CXR, EKG, and labs. Also had slight cough and slight bronchial congestion. Received some IV fluids in ER. Left ER at 7am. Went home and slept all day, slight nausea in am. Awoke at 7pm - had good breakfast for dinner. Fine evening and night. Off the next day from work - usual day. It was like having Covid all over again (positive X2 in April - out of work for 5 weeks). Although the symptoms began about 12 hrs. following the injection and subsided about 24 hrs. later). My colleagues (work as a nurse in long term care - rehab) who had Covid in the past have experienced similar symptoms following the vaccine, even though we had Covid back in the spring. Dreading vaccine number 2 on Jan. 19th - hopefully I will be ok.

Other Meds: Metoprolol succinate 12.5 mg. several times weekly Levothyroxine 25 mcg. every other day alternating with 37.5 mcg. every other day Baby Aspirin 81 mg. daily Stresstabs with zinc daily Ibuprofen 200 mg. daily

Current Illness: None

ID: 0919742
Sex: F
Age: 41
State: KS

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: None-stayed home and controlled with OTC medications and hydration

Allergies: Sulfa-rash and facial/lip swelling

Symptoms: 1. R arm pain (severe)-couldn't lift arm or pull up clothes 2. Fever x 36 hours max: 101.0F 3. Chills 4. Rash generalized-did take zyrtec and benadryl for itching 5. Headache 6. Nausea 7. Fatigue 8. Body aches 9. Slept off and on for 2 days

Other Meds: Dyazide and Losartan-HTN Zolpidem-Insomnia Tylenol-as needed Flexeril-at bedtime muscle spasm

Current Illness: Covid 19-COVID + 12/7/2020

ID: 0919743
Sex: F
Age: 50
State: CA

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Cough began approx 5 min post vaccine, then pt experienced flushing of neck, chest tightness and SOB. Placed on O2 mask at 8L/min, given 1 dose of Epi and transferred to ED

Other Meds:

Current Illness:

ID: 0919744
Sex: F
Age: 40
State: TX

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: CT Scan performed, CMP, CBC, UA, Troponin, - all tests and labs within normal limits. EKG performed as well, within normal limits. Blood pressure was only abnormal value.

Allergies: NKDA

Symptoms: Approx. 3 hours after being vaccinated. Developed confusion, dizziness, and blurred vision. Went to ER. BP noted to be 163/100. After one hour and a half, BP in the 120's systolic and 90's diastolic. Continued to have blurred vision. Blood pressure became labile and continued to be in the range of 160's over 100's to 130/90's. After 48 hours, vision no longer blurred, Blood pressure returned to normal baseline and maintained. Took BP for over one week after, morning, noon, and night on the Left arm and Right arm. My BP stayed in the 117/70-120/80 range. Wanted to make sure I had no underlying hypertension. No other adverse issues.

Other Meds: Protonix 40 mg PO daily Pepcid AC PRN Viorele Birth Control

Current Illness: Gastritis/ Acid Reflux

ID: 0919745
Sex: M
Age: 39
State:

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: developed hives on chest and arms with light headedness. Epi given x1 then transferred to ED

Other Meds:

Current Illness:

ID: 0919746
Sex: M
Age: 59
State: TX

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies: NSAIDs

Symptoms: One day after vaccination the patient reported swelling to his tongue and was given Benadryl 25mg IM at 0930 and later that day he reported body aches and received Tylenol 650mg PO at 1450. The patients symptoms resolved on follow-up 1 hour after administration.

Other Meds: TYLENOL 650mg Q6H PRN MYLANTA 30mL Q6H PRN AMANTADINE 100mg TID COLACE 100mg TID PROSCAR 5mg Qdaily MOM 30mL Q8H PRN MELATONIN 10mg QHSdaily ZYPREXA 7.5mg QHSdaily PRILOSEC 40mg Qdaily HYPOTEARS 1dryp Q6H PRN FLOMAX 0.4mg BID

Current Illness: Arrhythmia with pacemaker, traumatic brain injury r/t fall, seizure r/t alcohol withdrawal, hepatitis, heartburn, prostatitis

ID: 0919747
Sex: F
Age: 58
State: CA

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: Emergency Dept visit. - treated with Benadryl and dexamethasone, EKG, lab panel, chest x-ray

Allergies: Diovan, hydrochlorothiazide, aspirin, erythromycin, bee stings, adhesives

Symptoms: 15- 20 min following injection - heaviness in chest, 2-3 hours later - became flush, elevated blood pressure 169/92, pulse 100. Increased difficulty breathing.

Other Meds: Atorvastatin 20 mg 1 q day, Estradiol (polyglycol) (cmpd) 2.5 mg troche, amlodipine-benazepril 10-40 mg 1 q day; Allegra 180 mg 1 q day; Omeprazole DR 40 mg 1 q day; Vit D (2) 5000 I.E.U.; Krill Oil; COQ10

Current Illness: High blood pressure, high cholesterol

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm