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: 0946903
Sex: F
Age: 70
State: LA

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

Lab Data: N/A

Allergies: No known allergies

Symptoms: swelling, itching, redness, welps, irritation

Other Meds: Lipitor, Celebrex, Losartan/HCTZ, Celexa, ASA

Current Illness: NONE

ID: 0946904
Sex: F
Age: 50
State: CO

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

Lab Data: None

Allergies: Seafood, bees

Symptoms: Shivering and body aches

Other Meds: Multi vitamin, iron supplements

Current Illness: None

ID: 0946905
Sex: M
Age: 39
State: MO

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

Lab Data: None

Allergies: None

Symptoms: Vomiting, Rash, Dizziness, Light Headed, Tingling from the waist up

Other Meds: Welbutrin Solo Testosterone Pellets Adderall Extended Release Singulair Colace Flonase Z-quil Tylenol Rosuvstatin Letrozole Omeprazole Alive Vitamin Supplement Bariatric Multi Vitamins

Current Illness: None

ID: 0946906
Sex: F
Age: 46
State: PA

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data: Patient was taken immediately to ER and was given Epinephrine & Benadryl

Allergies: None

Symptoms: A few minutes after receiving the vaccine patient developed tingling in her extremities and stated that her lips felt funny.

Other Meds: None

Current Illness: None

ID: 0946907
Sex: F
Age: 61
State: NC

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

Lab Data:

Allergies: Bee stings

Symptoms: Patient instructed to wait 30 min post vaccine administration. After 30 min patient reported feeling flush and cheeks were slightly red. O2 sats 98%, HR 62 bpm, denies shortness of breath. Notified Dr. who gave a telephone order for Benadryl 25mg PO now. Instructed patient to stay 30 additional for observation post Benadryl administration.

Other Meds:

Current Illness:

ID: 0946908
Sex: F
Age: 55
State: MA

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

Lab Data: 12/24 - had a COVID test given persistent high fevers and need to work on 12/25. Test was negative.

Allergies: None

Symptoms: Starting 7pm night of vaccine, extreme fatigue, shakes, chills and rigors. Developed temperature to 102 with aches throughout. Then developed diffuse rash over entire trunk, front and back, blochy, not hive like. Rash changed colors and lasted until 12/25. Also had dry cough, sounded like whooping cough. By 7am on 12/25, felt completely better, no fever or other symptoms.

Other Meds:

Current Illness: None. Had COVID in April 2020

ID: 0946909
Sex: F
Age: 56
State: IL

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

Lab Data:

Allergies: No allergies

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 0946910
Sex: F
Age: 51
State: MA

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

Lab Data: none

Allergies: PCN, madademian nuts

Symptoms: 5-10 minutes after vaccine pt stated her throat was itchy, similar to her experience with nuts. Pt observed for 15 more minutes with continued itchy throat and growing axiety. 25 mg of Benadryl were administered and pt began to feel improvement within 10 minutes. Pt observed for 1 hr with resolution of symptoms and BP stable. Transported home by family member.

Other Meds: None

Current Illness: none

ID: 0946911
Sex: F
Age: 24
State: MN

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

Lab Data: n/a

Allergies: tree nuts

Symptoms: bad headache that continued to get worse, body aches, low grade fever and nauseous, today woke up with blurriness and fatigue, feels like pupils dilated and letting in too much light and can't see well. Taking Tylenol

Other Meds: Concerta, Lexapro (generic), Glycopyrrolate , nuvaring (generic)

Current Illness: n/a

ID: 0946912
Sex: F
Age: 30
State: LA

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data: Na

Allergies: Sulfa levofloxacin

Symptoms: Cold Symptoms , headaches , fever, chills

Other Meds: None

Current Illness: None

ID: 0946914
Sex: F
Age: 36
State: MS

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

Lab Data: None

Allergies: None

Symptoms: I noticed the day after the injection that the site was covered by a large red circle, the area was very hard, like a large knot and sore. The soreness wore off by the second day but the area is still covered in a large red circle, hard and hot to the touch. I have not received any treatment.

Other Meds: Pristiq 100mg Vitamin C supplement Vitamin D supplement Zinc supplement

Current Illness: None

ID: 0946915
Sex: F
Age: 17
State: NY

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

Lab Data:

Allergies:

Symptoms: There was no adverse event from the vaccination itself but we were advised to file a report in VAERS by the vaccine manufacturer because we were notified that a 17 year old received a first dose of the Moderna vaccine before it was realized that she was under age. She and her family reported no adverse reactions from the vaccine.

Other Meds:

Current Illness: no adverse events reported post vaccination but was notified that a 17 year old was inadvertently administered a Moderna COVID dose #1

ID: 0946916
Sex: F
Age: 65
State: MA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: I did not list these because they were so long ago and they asked about anaphylaxis episodes and I never had that. In 2008 I had an allergic reaction to Etodolac, Gemfibrozil, Iodinated Contrast Media In 2015 I had an allergic reaction to Levonorgestrel-Ethinyl Estrad These allergic reactions were not fatal. Allergic to eggplant, never had an anaphylaxis episode with any of these.

Symptoms: On Wednesday, January 13, 2021, felt very cold starting around 11:00 am as the day went on felt very tired, went home was very tired, chills, low-grade fever 100, achy with a headache. Took ibuprofen, went to bed at 7:30 pm slept through the night woke up feeling very good.

Other Meds: hydrochlorothiazide 12.5mg, omeprazole 20mg capsule, atorvastatin 20mg tablet, Vitamin D 2,000 units daily, Vitamin K 100.

Current Illness: Positive with COVID on November 11, 2020 released on November 30, 2020

ID: 0946917
Sex: F
Age: 42
State: MI

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

Lab Data: no tests or labs were done at the hospital

Allergies: pneumococcal vaccination

Symptoms: on 1/13/20 (a week and a day after receiving my first moderna COVID19 vaccination), I developed a swollen, red, hard mass on my left arm around the site of injection on my left arm. It was itchy and warm. I proceeded to take 2 tablets of benadryl and applied ice. I went to the emergency room for an evaluation. They recommended anti-itch topical ointment and to monitor symptoms. We discussed having the second vaccination and the risks/benefits.

Other Meds: fluoxetine, albuterol

Current Illness: no

ID: 0946918
Sex: F
Age: 40
State: PA

Vax Date: 01/14/2020
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Experienced tingling in lower extremities with extreme coldness exactly like u would if ur feet fell asleep and were just coming out of it. Was scared while driving. Slight similarities in upper extremities just not as strong of tingling sensations. Approximately 30 min after vaccination, lasting about 6 minutes.

Other Meds: None

Current Illness: None

ID: 0946919
Sex: M
Age: 26
State: CO

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: COVID-19 1/8 - negative influenza A/B 1/8 - negative

Allergies:

Symptoms: One day after second COVID-19 vaccination, patient reported a sore throat, rhinorrhea, and diarrhea. Patient was tested for COVID-19 and influenza, both tests were negative. There was no further escalation of care.

Other Meds:

Current Illness:

ID: 0946920
Sex: F
Age: 88
State: MO

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

Lab Data: N/A

Allergies: N/A

Symptoms: Redness at injection site, pain at injection site

Other Meds: Acidophilus, busiprone, divalproex, donepezil, Eliquis, furosemide, mapap, meloicam, olanzapine, pantoprazole, pot chloride, vitamin d-3, trazadone, oxycodone

Current Illness: N/A

ID: 0946921
Sex: F
Age: 36
State: DC

Vax Date: 01/02/2021
Onset Date: 01/11/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None.

Allergies: Doxycycline, Bactrim, Amoxicillin

Symptoms: About a week after receiving my first dose of the Moderna COVID-19 vaccine, I developed cellulitis at the injection site (my right shoulder). It began as a hot, tender, raised splotchy circular rash about 2.5 inches in diameter, then the middle of the circle filled in over the next 24 hours. I went to the Urgent Care on 1/13/2021 where it was diagnosed as probable cellulitis. I was prescribed a 7-day course of clindamycin to be taken 3x/day. The cellulitis has since lightened in color and further spreading has been minimal. It has also become itchy (NO itching at the outset or prior to now), which I am told tends to be a sign that cellulitis is healing.

Other Meds: Stelara one syringe every 8wks Zoloft 200mg/day Paraguard IUD

Current Illness: None - dormant Crohn's disease

ID: 0946923
Sex: F
Age: 58
State: PA

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

Lab Data: none

Allergies: High doses of ibuprofen

Symptoms: Neck ache fatigue metallic taste in mouth

Other Meds: Synthroid

Current Illness: none

ID: 0946924
Sex: F
Age: 40
State: AL

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: none

Allergies: environmental allergies insect sting allergies

Symptoms: Approximately 60 hours after receiving the first dose of the Moderna vaccine, I developed hives and pruritis in approximately 6 different locations in the area around the injection site (injection site was the left deltoid), on the left side of my neck, and across the left side of my anterior chest wall. The hives/pruritis presented near the injection site at approximately 1900 hours on 1/14/21 and spread to the other affected areas within approximately 30 minutes. At the peak of it's presence, I would rank the intensity of the pruritis 7 on a 1-10 scale. I took 50mg of Benadryl and 20mg of Pepcid prior to going to bed and when I woke up the following morning, the pruritis had almost completely resolved. As I type this report, I would rank it a 1 on a 1-10 scale. The hives resolved over night with the exception of the two original hives that I noticed first last night when symptoms first presented.

Other Meds: Levothyroxine, Cytomel, Provigil, Ritalin, Temazepam, Percocet, Oxycodone

Current Illness: none

ID: 0946925
Sex: F
Age: 43
State: CA

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

Lab Data:

Allergies: None

Symptoms: 3 days of erythematous, pruritic, dry papules on abdomen, axilla, back, neck.

Other Meds: Paxil, Valtrex

Current Illness:

ID: 0946926
Sex: U
Age: 37
State:

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1/13- Redness around the injection site, approximately 2 inches in diameter, itchy, hot to touch; 1/14- Redness has increased slightly in diameter but is no longer itchy

Other Meds:

Current Illness:

ID: 0946927
Sex: F
Age: 26
State: WI

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

Lab Data: None

Allergies: Reports an allergy to an antibiotic but is unaware of which antibiotic

Symptoms: Patient called to report a rash on her hands, arms, and chest that is red and stings. Patient noticed the rash approximately 90 minutes after receiving her vaccination. Denies any shortness of breath or swelling in the face or neck. Writer instructed patient to take Benadryl after verifying no known drug allergies and to call a health care provider, especially if rash does not improve. Spoke to patient 1/15 AM, and she states that the rash is improving but still there after taking Benadryl.

Other Meds: None

Current Illness: None

ID: 0946928
Sex: F
Age: 47
State: CO

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

Lab Data: I haven't sought medical care yet. I'm still monitoring for signs of improvement

Allergies: Sulfa

Symptoms: about 4 hrs after injection I couldn't move my arm or fingers. Now 9 days later I still have limited active range of motion. Cannot lift my arm above my head, behind my back, etc. The site where the injection was given was directly below the acromion process and I think it is possible that the nurse inadvertently injected the vaccine into the bursa and missed the deltoid muscle.

Other Meds: Cymbalta 30mg qd, Omeprazole 20mg qd, ASA 81mg, OTC fish oil, vit D, folic acid.

Current Illness: none

ID: 0946929
Sex: F
Age: 28
State: TX

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

Lab Data:

Allergies:

Symptoms: Symptoms - ? Patient reports around 10:00 PM on 1/13 began with chills, HA, body aches, and fever (Tmax 100.8), re-checked her temp approx. 2 hrs later, 102.3 and took Tylenol at that time. Thursday: 09:00 fever (Tmax 101) which resolved with tylenol. Patient reporting concerns resolution of fever with Tylenol but once meds wear off, febrile again. Intermittent HA. Friday: woke up around 0700 with + fever (Tmax 101.2) and intermittent HA. Last day of work and shift ? next scheduled shift tonight? Home remedies? - Tylenol/motrin and rest Any improvement? ? mild improvement Recommendation? Patient encouraged to take ibuprofen and acetaminophen as outlined in the Medical Directive. Patient encouraged to continue to monitor her symptoms and to contact the Vaccine support line with additional questions and concerns. Patient reports she is scheduled to return to work tonight. Patient educated policy of needing to be fever free for 24 without use of antipyretics prior to returning to work. Patient educated to notify manager and to manage her RTW according to the Hospital Illness in the Workplace policy. Patient verbalized back understanding and denied further questions at this time.

Other Meds:

Current Illness:

ID: 0946930
Sex: F
Age: 37
State: IN

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

Lab Data:

Allergies: none

Symptoms: Systemic: Fainting-Mild

Other Meds:

Current Illness:

ID: 0946931
Sex: F
Age: 47
State: VT

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

Lab Data: none

Allergies: none

Symptoms: 24 hours post injections, tongue numb, r.side of face, lips tingling, up to r.ear and r.cheek. No SOB, no swelling. 4 days later lips tingling. 7-9 days later random numbness and tingling of tongue, r. cheek, lips....comes and goes. No rescue medication used. No follow up pursued by patient.

Other Meds: estrogen/progesterone, sertraline

Current Illness: none

ID: 0946933
Sex: M
Age: 32
State: NY

Vax Date: 03/24/2016
Onset Date: 03/24/2016
Rec V Date: 01/15/2021
Hospital:

Lab Data: I went back to the clinic two days later and they said not to worry about the low grade fever (100 degrees). They told me they would not remove me unless I was incapable of doing my job. I was barely functional to complete my job after three days, but I didn't have a choice in the matter.

Allergies: None

Symptoms: Immediately after receiving the vaccines I began to feel exhausted. I could barely function and had three days off, so I went to sleep and didn't wake until the next afternoon; 30 hours later. I recall looking at the date on my phone, being confused, and my boss asked if I was okay, since I hadn't moved for over a day. I used the restroom, drank a bottle of water and went back to sleep for another 24 hours. I had itching, bruising, soreness, and pain at the injection site. The soreness spread all over my body and lead to aching which really increased in the left arm (the injection arm), which caused limited mobility. The most significant reaction was severe fatigue and exhaustion. Within an hour, I began to get a headache and had extreme fatigue. -Itching: continued for a few days -Bruising at injection site for over a week -Pain at injection site continued through the week -Muscle soreness causing limited mobility of left arm (the injection arm) -Soreness and aching pain throughout entire body which continued over a week. -Severe fatigue and exhaustion for over one week. 4 days later, when I flew next, I was was extremely fatigued and just wanted to sleep. I slept every minute I could for the next week. -Headache (Throughout entire head, it was painful and detracted from my ability to concentrate). After a week, it was still a dull headache. -Bumps on the back side of both arms which have continued over four years.

Other Meds: None

Current Illness: None

ID: 0946934
Sex: F
Age: 38
State: ND

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

Lab Data:

Allergies: NO

Symptoms: chills, muscle pain, Nausea swelling and redness on injection site

Other Meds: Unknown

Current Illness: No

ID: 0946935
Sex: F
Age: 33
State: SC

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Fatigue, chills, body aches, sore throat, cough, congestion

Other Meds: Zoloft, Singulair, Protonix, Atarax, Trazodone, vitamin D

Current Illness: N/A

ID: 0946936
Sex: F
Age: 46
State: PA

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data: Patient was taken immediately to the ER and was given Epinephrine and Benadryl. Discharged with no further complications

Allergies: None

Symptoms: A few minutes after receiving the vaccine patient developed tingling in all four extremities and stated that her lips felt weird

Other Meds: None

Current Illness: None

ID: 0946937
Sex: F
Age: 30
State: TX

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

Lab Data: NO labs or testing performed. Did not seek medical treatment.

Allergies: allergy to cat and dog hair

Symptoms: Three hours after vaccination, states began to feel cold inside, had leg muscle pain, joint and knee pain, and back was hurting. Also reported that she felt "like I was swallowing something". Drank orange juice and water without difficulty. Felt weak after sitting to rest for 40 minutes. Worked her entire night shift even after being advised to go to emergency room for reported "difficulty swallowing". She took Benadryl at 6am on 1/13/2021 and again at 9pm 1/13/2021. No problems with eating and drinking. States felt feverish for 15 minutes and it resolved without medication. On 1/15/2021 at 11:00am is feeling better other than injection site has mild tenderness.

Other Meds: Denies any medication

Current Illness: No illnesses reported

ID: 0946938
Sex: F
Age: 27
State: WA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: sulfa medications, latex, tomatoes, dairy, tree nuts

Symptoms: laryngitis

Other Meds: escitalopram, Drospirenone / Ethinyl Estradiol, entyvio, mesalamine, xyzal, tylenol, albuterol, benadryl, multivitamin, probiotic, azathioprine, omeprazole, gas x

Current Illness: None

ID: 0946939
Sex: F
Age: 37
State: IL

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

Lab Data:

Allergies: none

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Enlarged and slightly painful axillary lymph node in the same arm (L) as the injection.

Other Meds: amlodipine, ferrous gluconate, OCP,

Current Illness: none

ID: 0946941
Sex: F
Age: 32
State:

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

Lab Data:

Allergies: penicillins (rash), sulfasalazine (rash)

Symptoms: Following vaccine administration, patient c/o "tonsils feeling swollen". VS were checked. BP was elevated. ERT was called. Patient was assessed. Plan determined to monitor patient in clinic for additional 30 minutes. If no change, patient able to leave. Recheck of vitals shows lower BP, patient stated she is feeling better and less of a feeling in her throat. She decided to leave. She was provided instructions to return to the ED if symptoms got worse.

Other Meds:

Current Illness:

ID: 0946942
Sex: F
Age: 86
State: MN

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

Lab Data: non

Allergies: tylenol, levaquin

Symptoms: vomiting, fever

Other Meds: none

Current Illness: COVID positive in December

ID: 0946943
Sex: F
Age: 42
State: KY

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

Lab Data: WBC-16.5 Squamoous epithelial- 29 Bacteria urine- trace CRP 33.4 Occult blood-urine small RBC-30 WBC Clumps-urine 1+

Allergies: penacillin, amoxicillian, keflex

Symptoms: Hospitalization 4 days: High temperatures above 103.5, body aches, sweating, chills, shivering, dizzy, nauseous, apathetic, diarrhea, early onset septic, elevated white blood count, celluloses, high blood pressure, and tenderness in arms.

Other Meds: nexium, celexa, dymista, zyrtec, vivance, symbicort, multi vitamine

Current Illness: none

ID: 0946944
Sex: M
Age: 48
State: VA

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Moderna COVID-19 Vaccine EUA

Other Meds: N/A

Current Illness: N/A

ID: 0946945
Sex: F
Age: 47
State: NJ

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

Lab Data: None

Allergies: Minocycline

Symptoms: I developed injection site pain and a metallic taste in my mouth after receiving my first dose of Moderna vaccine.

Other Meds: None

Current Illness: None

ID: 0946946
Sex: M
Age: 55
State: RI

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: X-Ray, blood work: 1/12/2021

Allergies:

Symptoms: Pt Reports following the vaccine, numbness in arm, followed by pain. Early in the morning following the vaccine, arm pain became unbearable. Pt consulted his physician who advised pt to go to hospital. X-rays and lab work were completed without finding. Only notable issue, per PT, was elevated uric acid levels. Pt. was given Colchicine ? (Pt believes it was colchicine). Pain has since subsided mostly.

Other Meds:

Current Illness:

ID: 0946947
Sex: F
Age: 42
State: FL

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

Lab Data:

Allergies: none

Symptoms: fatigue and very swollen tender lymph node under left arm -same arm as shot received

Other Meds: none

Current Illness: none

ID: 0946948
Sex: F
Age: 95
State: MO

Vax Date: 01/11/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: N/A

Allergies: Iodine

Symptoms: Itching and redness at injection site noted 1/14/2021. Ordered benadryl

Other Meds: Azelastine, diltiazem, docusate, famotidine, fluticasone spray, furosemide, hydroco/apap, isosorb, losartan, pot chloride, pramipexole, pulmicort,

Current Illness:

ID: 0946949
Sex: F
Age: 68
State: CO

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

Lab Data:

Allergies: marijuana (anaphylaxis), penicillin (anaphylaxis), adhesive tape (blistering), doxycycline (itching), nickel (rash), prednisone (visual disturbance)

Symptoms: Patient presented post Covid vaccine. Patient was experiencing itching on back of neck, L forearm, inner thighs and tingling of lips. Patient advise to go to ED if symptoms worsened. Patient has personal 25 mg tab of Benadryl or 10 mg zrytec. Patient took zyrtec. Patient ok with POC. Patient has no further questions or concerns at this time.

Other Meds:

Current Illness:

ID: 0946950
Sex: F
Age: 61
State: WI

Vax Date: 01/04/2021
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: NA

Allergies: Inhaled Anesthesia Adhesives

Symptoms: 1/7/21 @ 10:00pm Emesis 1/8/21 Nausea through out the day 1/8/21 @ mid-morning, Diarrhea, Nausea 1/8/21 @ early evening, Diarrhea, Nausea 1/9/21 Nausea 1/11/21 @ 10:10 pm, Nausea and dizziness

Other Meds: Omeprazole Duloxetine Propranolol Benadryl

Current Illness:

ID: 0946951
Sex: F
Age: 66
State: NJ

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

Lab Data:

Allergies:

Symptoms: Systemic: Anaphylaxis-Severe

Other Meds:

Current Illness:

ID: 0946952
Sex: F
Age: 50
State: CA

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

Lab Data: NONE

Allergies: NONE

Symptoms: HAD WITHIN A MINUTE TINGLING AND NUMBNESS OF THE LEFT SIDE OF THE FACE AND LEFT ARM. MORE PRONOUNCED LEFT SIDE OF THE FACE, NUMBNESS LIKE I WAS GIVEN LOCAL TO THE LEFT SIDE OF MY FACE. COULD BARELY FEEL MY FACE ONLY LEFT SIDE. FELT I WAS DROOPING. TEETH WAS TINGLING. MY LEFT ARM GOT BETTER IN 2 HOURS. THERE WAS NO WEAKNESS. HOWEVER MY LEFT SIDE OF THE FACE WAS NUMB AND TINGLING LASTED APPROXIMATELY 2 DAYS. INTENSITY OF THE NUMBNESS GOT BETTER BY THE EVENING OF THE SHOT. I TOOK 325 MG OF ASPIRIN WITHIN 15 MIN OF THE EPISODE . MY PULSE, BP AND OTHER VITALS NORMAL. MAIN WAS MY LEFT SIDE OF THE FACE .

Other Meds: Mesalamine tablets

Current Illness: NONE

ID: 0946953
Sex: F
Age: 29
State: AZ

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

Lab Data:

Allergies: NKDA

Symptoms: Patient presented to Pharmacy 8 days post COVID injection (1st dose) On Day 8 patients arm became red at injection site approximately 3 inches in diameter. Red and warm. Patient is medical student who had the NP onsite look at it and stated potential cellulitis. Patient referred to Urgent care for Medical Care.

Other Meds:

Current Illness:

ID: 0946954
Sex: F
Age: 87
State: IN

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

Lab Data:

Allergies: None reported

Symptoms: Patient received the first dose of the 2-dose Pfizer Covid-19 series and immediately complained of feeling hot. She was taken to a private area and observed by a nurse. Blood pressure initially was 124/77, but the third blood pressure 20 minutes later had dropped to 95/62. Patient and her husband (in attendance) were advised to go to the ED in the same hospital which they agreed to do.

Other Meds: Not known

Current Illness: Not known

ID: 0946955
Sex: F
Age: 72
State: NY

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

Lab Data: None

Allergies: Penicillin Sulfur Clindamycin Codeine Hydrocodone Scallops

Symptoms: 2:15PM headache 10:30PM. Rash and itch on face trunk and under arms Dry scratchy eyes , hazy vision Took Benadryl 25 mg at 10:45PM 1/15/2021. 9AM Rash subsided itch persists and eyes remain dry, scratchy and hazy vision gone 10 AM went to Dr

Other Meds: Metoprolol 50 mg BID Allopurinol 100 mg OD Pepcid 40 mg OD MultiVits w Calcium Zinc D OD

Current Illness: Seasonal allergies

ID: 0946956
Sex: F
Age: 38
State: CA

Vax Date: 12/19/2020
Onset Date: 12/19/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Sore arm and pain at injection site

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm