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: 0946446
Sex: F
Age: 41
State: NY

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: n/a

Symptoms: Injection given IM in patient's L deltoid. EUA distributed to patient per CDC regulations. Lot # 011J20A Manufactured by Moderna Patient filled out COVID 19 Immunization Screening and Consent Form. Pt presented to clinic 1/9/2021 for first dose of Moderna COVID-19 vaccine. 10-12 mins post vaccine pt began to feel warm/dizzy. Pt experienced a brief episode of syncope, shortly after pt regained consciousness , and then experienced 1 episode of emesis Pt was alert, reported hx of vasovagal type sx's, She was given juice, took Midodrine, and given IV Sodium Chloride 0.9% VSS Pt then reported feeling fast heart rate, EKG done w/ NSR Pt began to experience body tremors, HR 109, BP WNL EpiPen administered at 10:58 a.m. per provider's order Pt reports subjective tongue swelling , Second dose of Epi given 11:08a.m. Pt transported to Hospital via ambulance

Other Meds: n/a

Current Illness: n/a

ID: 0946447
Sex: F
Age: 58
State: TX

Vax Date: 01/02/2021
Onset Date: 01/09/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: NA

Allergies: None

Symptoms: Fatigue, low grade fever, chills, nausea, body aches, unusual sence of taste. Sx resolved on their own after 3 days.

Other Meds: Many

Current Illness: None

ID: 0946448
Sex: F
Age: 62
State: NJ

Vax Date: 01/04/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: Amoxicillin causes rash

Symptoms: Received the vaccine on Jan 4 2021. Sore left arm for two days and nothing more. Woke up on Jan 13 2021 with itching, redness and swelling at the site of the injection. The irritation continues. It is not worse but not better either. Have also had headache for two days for which Tylenol has helped. No fever.

Other Meds: levothyroxine 50 mg daily

Current Illness: none

ID: 0946449
Sex: F
Age: 38
State: TX

Vax Date: 12/23/2020
Onset Date: 12/25/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data: none

Allergies: keflex

Symptoms: Large red hive to left arm , itching , warm to touch . Some pain/discomfort to under arm which radiated to left breast

Other Meds: none

Current Illness: none

ID: 0946450
Sex: F
Age: 55
State: TX

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: NA

Allergies: PCN, Tylenol, walnuts, pecans, macadamia nuts, melons.

Symptoms: Red hot spot at injection site, rash across upper third of back.

Other Meds: Super B Complex, D3

Current Illness: NA

ID: 0946451
Sex: F
Age: 44
State: NC

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: none

Allergies: IV contrast dye

Symptoms: Sore arm that subsided after 2 days. But after 1 week, suddenly developed a red, swollen lump at the injection site.

Other Meds: vitamin D

Current Illness: none

ID: 0946452
Sex: F
Age: 28
State: PA

Vax Date: 01/05/2021
Onset Date: 01/11/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: Nuts, pitted fruits, soy milk, seasonal, amoxicillin

Symptoms: Large circular rash/welt appeared near injection site pain s/p 7 days after injection. Also, continued joint pain and fatigue (10 days out from vaccine today).

Other Meds: Lexpro, Wellbutrin, Zyrtec, Singulair, Birth control, Vit D, Vit B, Magnesium, Fish Oil, Vit C, multivitamin

Current Illness: none

ID: 0946453
Sex: F
Age: 43
State: NJ

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: EKG was normal (1/14/21)

Allergies:

Symptoms: Patient experienced chest tightness after her first COVID vaccine dose. Pt reported similar reactions to vaccines in the past.

Other Meds:

Current Illness:

ID: 0946454
Sex: F
Age: 46
State: WI

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: 1/7/2021 - Vital signs.

Allergies:

Symptoms: Received Covid 19 vaccination 01/06/20201, noticed rash on arms and upper thighs 01/07/2021. Felt fullness in chest(like something is stuck). While in clinic the following day, healthcare provider present, vitals were checked. Pulse consistently 120's.All other vitals were with in normal limits . APNP looked over skin to confirm rash was only on arms and upper legs. Patient submitted Adverse Event Report and took Zyrtec, rash cleared in two days. Business Health notified/contacted, Dr. advised patient to wait 30 minutes after 2nd vaccination for COVID-19.

Other Meds: unknown

Current Illness:

ID: 0946455
Sex: F
Age: 37
State: VT

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: Penicillin (tolerate augmentin) - anaphylaxis sulfa - rash

Symptoms: At 2000 on 1/13/21, I started to experience intense ache at the injection site, which by 2200 progressed to myalgias in my back, especially lower back, neck, and right arm. At 2300, I started to have fever/chills, up to 39 C orally. This only partially responded to Tylenol. I was not able to sleep. At 2:30 am I noticed an unusual headache, 8/10, as well as bilateral eye pain on Moving eyes side to side as well as sensitivity to light. Headache was mostly frontal, which came and went every few minutes until exactly 11:38 am on 1/14/2021, when the fever and myalgias very suddenly got significantly better. Almost exactly 24 hrs to the minute after injection. On 1/15/2021, I still have significant pain in my left arm, swelling, redness and, now, itching at the injection site. My lower back still hurts.

Other Meds: Zyrtec 10 mg PO qhs, Esomeprazole 20 mg PO QHs, Vitamin D3 (vita fusion) 4,000 iu daily, Vitamin C 1000 mg PO daily, Prenatal vitamins (vita fusion) 2 chews PO daily (not pregnant) Also, I drink echinacea and camomile tea.

Current Illness: None

ID: 0946456
Sex: F
Age: 39
State: MN

Vax Date: 11/20/2020
Onset Date: 11/21/2020
Rec V Date: 01/15/2021
Hospital: Y

Lab Data: unknown

Allergies: Morphine - rash tape - rash no food allergies

Symptoms: The day after her flu shot had: Warm, swelling and tenderness at injection site hives on trunk and bilat arms eye swelling lip swelling scratchy throat She was treated in the ED with Zantac, Benedryl and epinephrine IV drip Hospitalized for 26 hours

Other Meds: Cozaar Questran Hydrodiuril

Current Illness: unknown

ID: 0946457
Sex: F
Age: 56
State: NY

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: none

Allergies: not known

Symptoms: headache body aches arm soreness

Other Meds: vitamin D B-12 Fish oil

Current Illness: none

ID: 0946458
Sex: F
Age: 33
State: WI

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Light red, hard and warm to the touch medium size circle around injection site

Other Meds: Diphenhydramine, Chantix

Current Illness:

ID: 0946459
Sex: F
Age: 52
State: SD

Vax Date: 10/15/2020
Onset Date: 10/15/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data: Reported to Dr. on 10/20/20 via messaging through app.

Allergies: Medication: Ceftin

Symptoms: Sore arm with moderate pain Headaches - began at 5:00 PM the day of vaccination - Symptoms were bad for first 72 hours Tired - Symptoms were bad for first 72 hours Muscle pain - Symptoms were bad for first 72 hours Stomach pain - Symptoms were bad for first 72 hours Nausea - Symptoms were bad for first 72 hours Redness at injection area - appeared 3 days after vaccination and lasted 36 hours Swelling at injection area - appeared 3 days after vaccination and lasted 36 hours

Other Meds: Estradiol 150 Mg Tablet Levothyroxine 50 Mcg Tablet Progesterone 100 Mg Cap Budesonide .5 mg/2ml Vial Probiotic Flaxseed Fish Oil Vitamin D3

Current Illness:

ID: 0946460
Sex: F
Age: 62
State:

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 2nd dose next day had nausea in am since subsided. chills muscle aches and swelling soreness at arm site present @ this time.

Other Meds:

Current Illness:

ID: 0946461
Sex: F
Age: 60
State: NY

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: 1/14/21 - Went to Urgent Care, Diagnosis: cellulitis of unknown origin- Gave Sulfamethoxazole-TMP-DS po bid, liquid steroid and Benadryl. Told to return to there or primary if no better.

Allergies: N/A

Symptoms: Redness, swelling, itching, burning approximately 3 inches round at injection site

Other Meds: Rovastatin 5mg po qd & One a day vitamin

Current Illness: N/A

ID: 0946462
Sex: M
Age: 25
State: CO

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: No known allergies

Symptoms: Redness, swelling, and itching at injection site

Other Meds: Occasional ibuprofen and acetaminophen

Current Illness: None

ID: 0946463
Sex: M
Age: 61
State: PA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Same day of vaccine, recipient developed a headache and nausea which resolved within a few days

Other Meds:

Current Illness:

ID: 0946464
Sex: F
Age: 27
State: AZ

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: N/A

Allergies: seasonal allergies, Tide detergent

Symptoms: Moderna COVID-19 Vaccine EUA: allergic reaction at site of injection (upper left arm red and swollen)

Other Meds: Doxycycline 50mg, Cetirizine 10mg, Blood Builder (iron & multivitamin supplement), Turmeric/Vitamin C Supplement

Current Illness: N/A

ID: 0946465
Sex: M
Age: 60
State: IN

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: none

Allergies: Penicillin, Bystolic

Symptoms: Fever up to 101.1, 2 days after vaccine administration, chills, headaches, moderate to severe body aches and pains, especially to elbow and knee joints. I am now in day 3 and still having low grade fever with continued headache, body aches and pains.

Other Meds: Lisinopril, Ibuprophen

Current Illness: none

ID: 0946466
Sex: F
Age: 36
State: MS

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Pain and swelling of injection site ongoing now for 8 days. Red, indurated, painful lump on upper left arm, pain radiates to left breast. Family provider is treating it as cellulitis with oral antibiotics. Lump measures 4 cm x 4 cm on day #8

Other Meds: Women's one a day multi-vitamins, Phentermine 37.5mg QD

Current Illness: None

ID: 0946467
Sex: M
Age: 34
State: IN

Vax Date: 01/09/2021
Onset Date: 01/11/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: I received my shot at 3:30 PM on 01/09/21. I felt very tired on 01/12/21 before that went away that evening. I began feeling dizzy and nauseus around 8:00 PM Monday, 01/11/21, and again periodically on 01/12/21. The dizzy and nausea feeling continued consistently throughout 01/12/21 and 01/13/21. I went to my primary care provider on 01/12/21 who gave me medication to help with nausea and dizziness. She chalked it up to anxiety. I became more worried on the evening of 01/13/21 and went to the ER. The ER doctor stated it could be a reaction to the vaccine, inflammation in the ear/calcium buildup in the ear, or just my anxiety. I do want to note I was nervous about getting this shot and have a history of having trouble distinguishing between true issues I am having and issues caused by my anxiety. As of today, 01/15/21, I took Methazine which seems to have helped the dizziness, but not completely. I am not currently nauseus.

Other Meds: 5,000IU vit. D DAILY, VITC. C TABLET, MULTI VITAMIN, LEVOTHYROXINE, Buspirone, Pantaprazole

Current Illness: None

ID: 0946468
Sex: F
Age: 54
State: AZ

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: IODINE CONTRAST, PENICILLIN

Symptoms: WITHIN MONITORING TIME PERIOD, PT. COMPLAINED OF INJECTION SITE ITCHINESS AND OVERALL BODY HIVES. NO OTHER COMPLAINTS. EMS ON SITE.

Other Meds:

Current Illness:

ID: 0946469
Sex: F
Age: 72
State: CO

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: Morphine, Sulfa, Methocarbamol.

Symptoms: Abdominal cramping, belly ache, nausea, diarrhea, headache in the night. Queasy in the morning. Sluggish. Bland diet - rest. It seems to be resolving.

Other Meds: Benadryl, atorvastatin, Nexium, valarian root, turmeric, indomethacin.

Current Illness:

ID: 0946470
Sex: F
Age: 33
State: MO

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Approximately 10 hours after injection patient began to experience a burning sensation of their skin, numbness and tingling of tip of tongue and fatigue. The burning sensation and numbness and tingling of tongue subsided within 1-2 hours on own, fatigue resolved on own within 48 hours.

Other Meds:

Current Illness:

ID: 0946471
Sex: M
Age: 44
State: TX

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Symptoms - ? EE reports he woke up with chills and cold sweats, EE reports he didn?t feel like he had a fever, but no thermometer at his house. EE reports he bought a thermometer later in the day and temp was 98.7. Friday am, feelings of generalized achiness. Last day of work and shift - ? Monday Home remedies? - rest Any improvement? - mild Recommendation? EE encouraged to take ibuprofen as outlined in the Medical Directive. EE encouraged to continue to monitor his symptoms and to contact the Vaccine support line with additional questions and concerns. EE reports he is not feeling well and is scheduled to work today. EE educated to manage his RTW according to the Illness in the Workplace policy. EE verbalized back understanding and denied further questions at this time.

Other Meds:

Current Illness:

ID: 0946472
Sex: F
Age: 34
State: IA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: Cipro and seasonal allergies

Symptoms: Hives at injection site and hives on lips started one hour after injection. Patient took 25mg of PO Benadryl. , Headache and dizziness developed shortly after. Around 6pm muscle aches, bone pain and flushed checks started. Patient took 600mg ibuprofen for discomfort. Muscle aches and weakness continued through night into the next day.

Other Meds: Cetrizine, levothyroxine, rovustatin

Current Illness: no

ID: 0946473
Sex: F
Age: 74
State: TN

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: NA

Allergies: Eggs

Symptoms: Patient reports around 8:00pm on 1/8/2021 she began vomiting, having diarrhea, and being short of breath. Patient reports these symptoms continued through the night. Patient reports om 1/9/2021 feeling fatigued but no other symptoms. Pt reports totally better now and didn't go to the doctor or hospital.

Other Meds: unknown

Current Illness: unknown

ID: 0946474
Sex: F
Age: 48
State: NJ

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: blood work xrays

Allergies: no

Symptoms: day 1- no side effects Day 2- low grade temp, very sore arm, red, swollen, chills, felt lethargic, woke up in wet clothes from sweat, headache, runny nose Day 3- sore arem, red and swollen, warm to touch, felt lethargic day 3- arm just red and warm to touch. big red circle where shot was given day 4- sitting down and out of nowhere a sharp pain felt in back by neck and shoulders. could not move my neck. arm still a little red but not warm to touch. swelling went down. (went to ER on day 4. blood work and xrays were negative for anything. was given muscle relaxer.) day 5 sore muscles but on muscle relaxer to help day 6 until day 10 - just fatigue and sore muscles/joint pain but tolerable.

Other Meds: none

Current Illness: none

ID: 0946475
Sex: F
Age: 28
State: AZ

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Thursday night started with body aches, shot area started to hurt. The next morning woke up hot and sweaty with a headache and body aches

Other Meds:

Current Illness:

ID: 0946476
Sex: F
Age: 48
State: IL

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: Sulfa antibiotics

Symptoms: "the next day (1/8/21) i started with a low grade temp, it never got over 100.2, now i still have extreme fatigue. My arm was sore for a couple of days only. The first vaccine was on 12/17/20 and i had 11 days of nausea afterwards"

Other Meds:

Current Illness:

ID: 0946477
Sex: M
Age: 61
State: FL

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: headache, left sided weakness, nausea and fatigue

Other Meds: none

Current Illness: no

ID: 0946478
Sex: F
Age: 38
State:

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Developed a fever of 101 12 hours post vaccine administration along with other symptoms. Took Tylenol at 03:20 am with improvement in symptoms. Fever up 100.7 persisted after Tylenol wore off along with myalgias. No other symptoms beyond what was listed. Employee Health was contacted. chills, fatigue, fever, headache, injection site pain and new or worsened muscle pain

Other Meds:

Current Illness:

ID: 0946479
Sex: F
Age: 41
State: UT

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: hives on neck, injection site

Other Meds:

Current Illness:

ID: 0946480
Sex: F
Age: 54
State: NY

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data: N/A

Allergies: Latex

Symptoms: Soreness at the injection site x2 days Headache x1day Right eye upper lid (spasms/weakness, feels as if my upper lid gets stuck, lasting only a few seconds, not painful and doesn't affect my vision). It occurs intermittently throughout the day and began approx. 2 hours after receiving the injection.

Other Meds: Vitamin D

Current Illness: N/A

ID: 0946481
Sex: M
Age: 52
State: TX

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: He went to the emergency room at 11:00 am complaining of facial droop and numbness to left arm. He stated code stroke was issued for him and also states only an ECG was performed at the emergency department visit. He was given Benadryl and Ativan. Released from emergency department with no restrictions. No labs were taken or performed. No scans or further work-up completed. He then went to worker's compensation facility at 3:00pm for evaluation. He stated he was treated with an injection of steroid, given prescription for taper pack of steroids, and released to return to work at 6:00pm on 1/13/2021 by worker's comp doctor.

Allergies: Tuberculin purified protein derivative

Symptoms: After 15 minute wait period, left vaccination site. Reports felt "like I couldn't breathe and nauseated but I went home". Started feeling "burning on left side of head and neck". He called the prescribing doctor and was referred to emergency room by prescribing doctor.

Other Meds: Augmentin, ProAir FHA (albuterol inhaler), Advair inhaler, Ibuprofen, Naproxen, Tramadol, Sildenafil, Tizanidine, Vitamin C, Vitamin B, Prilosec otc

Current Illness: Diagnosed COVID 7/11/2020; prediabetes for 3 years; treatment for human bite (12/30/2020)

ID: 0946482
Sex: F
Age: 43
State: VA

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: n/a

Allergies: latex, ranitidine, cetirizine, lactose, pork, soy, tree nuts, peanuts, cabbage, oats

Symptoms: Raised, reddened, severe itching that has not resolved even with prescription strength 2.5% hydrocortisone applications at site of injection that was noticed on day 7 after injection. On days 1-2 or days 1-3 soreness and pain were noted, but these had resolved.

Other Meds: Nasacort nasal spray, Topamax 100mg (migraine prevention), Ubrelvy 100mg PRN (migraines), montelukast 10mg, Emgality pen 120mg/ml Q28 days, Zofran 4mg PRN (migraines), Proventil HFA 90 mcg inhaler, Kyleena IUD, ibuprofen 600mg PRN, Botox in

Current Illness: n/a

ID: 0946483
Sex: F
Age: 52
State:

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Sores on inside of lips, burning tingling lips

Other Meds:

Current Illness:

ID: 0946484
Sex: F
Age: 29
State: NY

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data: none

Allergies: almond and cherry result in swelling

Symptoms: received moderna vacc. fever, chill, body ache, rash, hive

Other Meds: none

Current Illness: no

ID: 0946485
Sex: F
Age: 34
State: AR

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Lymph node on right side of neck became swollen and sore after 2nd dose of covid vaccination. Was noticed 2 days after vaccination and is still current on day 4.

Other Meds:

Current Illness:

ID: 0946486
Sex: F
Age: 34
State:

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: approximately 3 hours after 2nd dose of vaccine developed body aches, chills, malaise. Next day these symptoms persisted and also developed nausea/stomach ache and mild tachycardia. Chills, injection site pain, malaise

Other Meds:

Current Illness:

ID: 0946487
Sex: F
Age: 32
State: FL

Vax Date: 01/07/2021
Onset Date: 01/10/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Strep test done at 01/14/2021 was negative

Allergies: Penicillin and shellfish

Symptoms: cervical swollen lymph nodes. Very hard time even with ROM and dysphagia.

Other Meds: Singulair 10mg 1 tab PO 1 qd Loratadine 10mg 1 tab PO 1 qd

Current Illness: No illnesses at the time and one prior to vaccination

ID: 0946488
Sex: F
Age: 42
State: IL

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: I started getting arm pain 5 hours after vaccine. I also developed cold chills, fever (101F) and slight headache.

Other Meds: None

Current Illness: None

ID: 0946489
Sex: M
Age: 41
State: NJ

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Vital signs (see description)

Allergies: No known allergies

Symptoms: Patient was nervous/diaphoretic upon arrival to vaccine appointment. Patient received vaccine, was brought to observation area and seated, and within one minute patient lost consciousness and fell to ground from seated position. Patient was log rolled and opened his eyes and responded to name calling immediately after fall. V/S were taken, loaded onto stretcher. MD took HR, was in 40s. Initial full set of vitals 09:10 BP 115/70, HR 66, o2sat 99%. Laid reverse trendelenburg in stretched. Physician on site and EMS was immediately called. Patient was diaphoretic and responsive/speaking. 09:13 121/55, HR 62, O2sat 98%. 09:17 120/57, HR 78, O2sat 98%, 09:25 118/68, HR 69, O2Sat 96%. At 9:31 patient left for ED with EMS. Of note, patient reported after the fact that he has history of nervousness/anxiety with needles.

Other Meds: Unknown

Current Illness:

ID: 0946490
Sex: M
Age: 25
State: NY

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 14 minutes post vaccination i began to have a rapid heart, trembling hands, feeling like I?m about to pass out. I informed The nurse and she had me lay down. I had Tachycardia, systolic BP in the 170 range, and 98% O2. I was Transferred to the ER and during transfer my chest began feeling mildly tight. An EKG was done and it came back clean. I was observed and monitored for several hours and eventually the symptoms subsided. This all occurred for roughly 2 hours.

Other Meds: Cartia xt 120 mg Synthroid 225 mcg Lexapro 5 mg Finasteride 1 mg doxycycline 100 mg Vitamin D 5000 UI

Current Illness:

ID: 0946491
Sex: F
Age: 41
State:

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Received second Pfizer vaccine on 1/13 at 7pm. Woke with headache and injection site pain on 1/14. As day progressed, fatigue, joint pain, mm aches increased. Fatigue, headache, injection site pain and swelling, new or worsened joint and muscle pain

Other Meds:

Current Illness:

ID: 0946492
Sex: F
Age: 37
State: OH

Vax Date: 01/05/2021
Onset Date: 01/09/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: Amoxicillin

Symptoms: Swelling, pain, redness, hot to touch at injection site 4 days after vaccine.

Other Meds: Women's Once A Day Multivitamin

Current Illness: No

ID: 0946493
Sex: M
Age: 44
State: NY

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Was perfectly normal until I laid down for bed. Got very dizzy and took blood pressure with a cuff and it reported 95/47. Hypotension, shakiness and mild nausea. I've never had this symptom in my life and have taken 3mg melatonin before bed for years. (3mg, not 4mg as reported on the previous page). I was back to normal after ~10 minutes and woke up perfectly normal. Also, minor shoulder pain.

Other Meds: 4mg melatonin gummies 1/2 hour before symptoms.

Current Illness: none

ID: 0946494
Sex: F
Age: 53
State: TN

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: none

Allergies: milk

Symptoms: 5 minutes after receiving the vaccine approximately 1305, patient has flushed face, tingling in face and throat, tongue feels tingly and numb at approximately 10 minutes after shot. These symptons last one hour. At 1400, pt. feels more flushed and faint. She sits down and calls nurse at the hospital for help. Nurse advises to take benadryl. Patient takes 50 mg of Benadryl and within 15 minutes, she feels better. Later on at 1900, the tingling and numbness starts again on face and in throat. Patient takes 2 benadryl tablets again and was better in 15 minutes. Patient states had no other problems.

Other Meds: ASA 80 mg

Current Illness:

ID: 0946495
Sex: F
Age: 24
State:

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Persistent Posterior headache at base of skull and neck pain, fatigue

Other Meds: Yaz, spironolactone

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm