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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 0947111
Sex: F
Age: 57
State: NY

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

Lab Data: None

Allergies: Doxycycline - rash IM Progesterone hives latex - irritation

Symptoms: 1. Soreness almost immediately at injection site day #1 1/13/21 2. Dizziness, nausea and vomiting day #3 1/15/21 for 2.5 hours on/off beginning at 7:45 am. My stomach was empty as it was first thing in the morning. I vomited bile. After 3 hours, I was able to drink a cup of tea and a few crackers.

Other Meds: Fosamax 75 mg taken QWeek every Wednesday (same day of vaccine)

Current Illness: None

ID: 0947112
Sex: F
Age: 57
State: TX

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

Lab Data:

Allergies: NKA

Symptoms: Dizziness, Body ache Teary eyes pain to right arm Headache

Other Meds: No

Current Illness: No

ID: 0947113
Sex: F
Age: 49
State: PA

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

Lab Data:

Allergies: naproxen, ibuprofen

Symptoms: Burning upon injection Chills-10 hours post injection Muscle aches and headache 10-12 hours post injection *Hives* on face, neck, chest, and torso-starting approximately 24 hours post injection

Other Meds: daily multivitamin, vitamin D, and vitamin C

Current Illness: COVID-19, positive test on December 14, 2020

ID: 0947114
Sex: F
Age: 34
State: CO

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

Lab Data:

Allergies:

Symptoms: Patient received second Pfizer COVID-19 vaccination on 1/7/2021. On 1/8/21 developed nausea, flu-like symptoms, dizziness. While walking down stairs became dizzy and fell, injured R shoulder. Presented to urgent care 1/9/21 for shoulder workup, all symptoms of vaccine reaction had resolved. No OTC medications taken for vaccine reaction.

Other Meds:

Current Illness:

ID: 0947115
Sex: M
Age: 74
State: NY

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

Lab Data:

Allergies:

Symptoms: Fever of 100.1, body aches, nausea. loss of appetite. Fever has gone down, to 99.1

Other Meds:

Current Illness:

ID: 0947116
Sex: F
Age: 55
State: OR

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

Lab Data: NONE

Allergies: NONE

Symptoms: Injection appx 12noon 1/13. Mild flu-like sympotoms started 8pm 1/13. Severe flu symptoms began 7am 1/14, lasted until appx 12noon. On 1/15, appx 8am I awoke with nausea. Began to vomit and all my extremities began to tingle. At that point, my hands and feet became rigid. This spread throughout entire body, including my head. I was unable to move my hands or feet. My fingers were frozen so hard that my husband could not even close my hand for me. My tongue felt thick and I was having difficulty speaking. Husband picked me up off the floor and carried me to our bed. We were getting ready to call 911 when my feet began to wake up and the rigidity subsided for all areas. Epidsode lasted appx 15 mins.

Other Meds: Fish Oil, Multivitamin, Glucosamine/Chondroitin, Turmeric, Calcium

Current Illness: NONE

ID: 0947117
Sex: F
Age: 59
State: IA

Vax Date: 12/30/2020
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: CBC - normal except % lymphocytes low 15.2% (20-420 CMP - normal except glucose 185 (74-106), CO2 31 (22-30), total protein 9.6 (6.3-8.2), A/G protein 0.8 (1-2.7) CRP - elevated at 1.2 (0-1) Blood cultures x2 drawn and are pending.

Allergies: NKDA, allergic to almonds

Symptoms: raised erythematous warm area of skin at the injection site, began to developed approximately 1/13/2021, pt also had the following symptoms: body aches, headache, flushed/hot face, chills, nasal discharge, joint pain, fatigue, weakness, tightness in back and arms, cough, diarrhea

Other Meds: Clobetasol 0.05% topical cream, Lexapro 10 mg daily, KCl 10 meq daily, Triamcinolone Acetonide 0.1% topical ointment BID, Triamterene/Hctz 37.5/25 one PO daily

Current Illness: denies

ID: 0947118
Sex: M
Age: 66
State: TX

Vax Date: 01/04/2021
Onset Date: 01/08/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: Codeine

Symptoms: Around January 8, My right arm was itching at Injection Site. A couple of days later I noticed a faint red ring about the size of a silver dollar. Today on January 15, the site is swollen, and red with fever. Itching is still occurring.

Other Meds: Januvia, Metformin, Farxiga, Co-Q-10, L-Proline, Vitamon C, VtiaminD3, Vitamin B12, L-Proline, Cinnamon Capsule, Fiber Cabsule, Esomeprazole Magnesium

Current Illness: None

ID: 0947119
Sex: F
Age: 33
State: IL

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

Lab Data: called into work one day

Allergies:

Symptoms: fever and chills the following day, then progressive sore throat, cough and hoarseness that has lasted since

Other Meds:

Current Illness:

ID: 0947120
Sex: F
Age: 55
State: NY

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

Lab Data:

Allergies: None

Symptoms: Fever, myalgia

Other Meds: Losartan

Current Illness: None

ID: 0947121
Sex: F
Age: 56
State: ME

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

Lab Data:

Allergies:

Symptoms: Thirty minutes after receiving the vaccine, I noticed tingling on the left side of my lips with some numbness & left side tongue numbness shortly after that. Perhaps an hour after that, I had some numbness on the left side of my throat, a few heart palpitations, a slight headache, and crackling in both ears. Approximately 5 hours post vaccine, I felt slightly feverish. My temperature at that time was 99.1 (I usually run a low body temperature , in general)

Other Meds:

Current Illness: None

ID: 0947122
Sex: M
Age: 77
State: AZ

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds: Losartan, Amlodipine, allopurinol, aspirin, fenofibrate, metformin, omeprazole, simvastatin, trospium chloride

Current Illness:

ID: 0947123
Sex: F
Age: 51
State: OH

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

Lab Data:

Allergies: Levaquin

Symptoms: 01/15/21 Staff Nurse was called to the Observation room by Nurse at 1050. Nurse stated that at 1045, two minutes before the timer would expire, patient complained of felling heaviness in her neck and chest. Using a number scale for evaluation, she rated her heaviness a 4/10. She Placed her on the dyanmat and recorded vital signs of BP: 136/96, HR: 82, RR:20 and Sao2 of 97% on room air. RN stated she medicated patient with 60 mg Fexofenadine by mouth. When another RN arrived, patient was resting in a chair, alert and oriented x3. No distress noted. Patient complained of heaviness in her neck. She denied chest pain, shortness of breath, dizziness or headache. Heart rate 72 and regular. Respirations even and nonlabored. Patient was given juice and crackers and asked to stay in chair for 30 minute stay/observation. Nurse observed her from this time on. Nurse stated the heaviness was much less at 1058, rated 2/10 on a number scale. Vital signs: 108/76, 76, 18, 97%. At 11:13, Patient rated her heaviness at 1/10. Vital signs: 130/81, 71, 18, 97%. At 11:35, patient states the heavy feeling is gone rated 0/10. Vital signs: 128/59, 74, 16, 98% on room air. Patient stood without dizziness. Gait was steady upon discharge from observation room.:RN

Other Meds: Lisinopril, Lipitor, Prilosec, Zoloft

Current Illness:

ID: 0947124
Sex: F
Age: 58
State: NY

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

Lab Data: None

Allergies: PCN

Symptoms: Full body aches, fever to 101, shivers, runny nose Tylenol and Advil

Other Meds: Celexa 20 mg qd, pepcid 40 mg qd, acyclovir 400 mg qd, mvi, fish oil, ferrous gluconate 648mg, calcium w/ D, zyrtec10 mg qd, vit D 4000IU, folic acid 800 mcg, Mag 64, potassium gluconate 595mg, montelukast10 mg qd

Current Illness: None

ID: 0947125
Sex: F
Age: 52
State: IA

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

Lab Data:

Allergies: nka

Symptoms: "slight tightening in throat for several days. Not a sore throat but almost like my throat was closing a little. Not enough to be alarmed"

Other Meds:

Current Illness:

ID: 0947126
Sex: F
Age: 42
State: HI

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

Lab Data:

Allergies: No known allergies

Symptoms: I experienced injection site pain in the left upper arm which seemed intense. I woke up at 0100 with severe body aches, cold sweats and shivering. It was hard to walk the body aches were horrible. I checked my temp and it was 100.3 F

Other Meds: Vyvanse 30 mg

Current Illness: None that I know of. About 4 hours after the 2nd vaccine I was stung by a Portuguese man of war....not sure if this affected things

ID: 0947127
Sex: M
Age: 40
State: CA

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

Lab Data:

Allergies:

Symptoms: Body aches, low grade temp.

Other Meds:

Current Illness:

ID: 0947128
Sex: F
Age: 58
State: MD

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

Lab Data:

Allergies: sulfa, lisinopril

Symptoms: Patient c/o tingling in hands a few minutes after vaccine. Was found to be hyperventilating. No airway compromise, SOB, CP, or dizziness. Transported to ED from vaccine clinic.

Other Meds: MVI

Current Illness:

Date Died: 01/01/2021

ID: 0947129
Sex: F
Age: 101
State: GA

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

Lab Data:

Allergies: None known

Symptoms: Resident received Moderna vaccine on 12/23/2020 around 5 pm. At approximately 3:35 am on 12/25/2020, resident had a CVA and died on 1/1/2021 at 3:00 am.

Other Meds: Aspirin, Digoxin, Diltiazem CR, Namenda CR, Toprol XL, Acetaminophen, Vitamin D, Zyrtec

Current Illness: Anemia, cardiac murmur, atrial fibrillation, osteoporosis, dysphagia, hyperlipidemia, muscle weakness, aortic valve stenosis

ID: 0947130
Sex: F
Age: 39
State: TX

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

Lab Data: unknown specifics- "bloodwork all unremarkable in ED". EKG +tachycardia in ambulance in route to ED.

Allergies: No known allergies

Symptoms: Pt received vaccine at 9:30am on 1/5/2021 At 7pm she reports generalized body aches At 5:30am on 1/6/21 she reported "slight headache", sudden dizziness, "seeing black spots", then fainting for unknown period of time. Upon regaining consciousness, she c/o head and back pain, globus sensation in throat, runny nose, "vomiting phlegm", cough, trouble breathing and wheezing. Family called 911, she was transferred to ED via ambulance (told +tachycardia on EKG in ambulance). Once in ED tx w/ IV fluids, promethazine and Toradol and discharged w/ dx of syncope, dehydration. Pt reports intermittent HA and dizziness since event, worse during the first 48hr hrs (1/6 - 1/8) and progressively improving. *Pt was positive for Covid-19 in July 2020 and had headache, loss of taste, smell, sinus congestion and post-nasal drip x 2 weeks.

Other Meds: Melatonin 10mg Vitamin C 1000mg

Current Illness: None

ID: 0947131
Sex: M
Age: 31
State: PA

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

Lab Data: no

Allergies: no

Symptoms: About 10 minutes after shot I got little dizzy. throughout the next 24 hours I had severe muscle and joint pain. 1/11-1/14 I had headaches and minor joint and muscle pain. 1/15 I checked my temp and I have a fever 100.6 and I have a sever headache.

Other Meds: no

Current Illness: no

ID: 0947132
Sex: F
Age: 52
State: WA

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

Lab Data:

Allergies:

Symptoms: Erythema, warmth, itching at site of injection developing 1 week after injection.

Other Meds:

Current Illness:

ID: 0947133
Sex: M
Age: 24
State: VA

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

Lab Data: None

Allergies: None Known

Symptoms: COVID19 vaccine #1 given 1/13/21 on 1/15/21 woke with c/o significant nausea, dizziness and nystagmus. Tele appointment with healthcare provider. Symptoms began to resolve a few hours later (10:00am).

Other Meds:

Current Illness:

ID: 0947134
Sex: F
Age: 78
State: TX

Vax Date: 01/04/2021
Onset Date: 01/08/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: 1/4/21: Chest xray that showed lower left pnemonia 1/8/21: Chest xray- clear, but patient continued to have pain.

Allergies: Clarithromycin, ibuprofen, naproxen, Pravastatin, Shellfish

Symptoms: Patient complains of left rib pain that started 3 hours after getting her first COVID 19 vaccine on 1/4/2021. Patient did have a chest xray that showed lower left penumonia and was started on antibiotics. Patient returned to PCP on 1/8/21 with continued complaint of left rib pain that had not gotten better. Chest Xray clear on 1/8/21.

Other Meds: Amlodipine, Aspirin, Atorvastatin, Cyclobenzaprine, Nexium, Estradiol, Zetia, Synthroid, Cytomel, Namenda, Robaxin, multivitamin, Fish Oil, Zoloft, Tumeric

Current Illness: None

ID: 0947135
Sex: F
Age: 46
State: IN

Vax Date: 01/07/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Physical examination

Allergies: n/a

Symptoms: 1/13/21 developed 3 swollen lymph nodes. 2 left neck, 1 left armpit. Tender to touch and visible. Moderate discomfort 1/15/21 developed red skin reaction and deltoid muscle inflammation on left arm near vaccination site

Other Meds: Multivitamin, Zinc, Probiotic, Magnesium

Current Illness: n/a

ID: 0947136
Sex: F
Age: 55
State: CO

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

Lab Data: COVID-19/Influenza A&B/RSV - tested on 1/9/2021, all negative

Allergies:

Symptoms: Pt received second dose Pfizer COVID vaccine 1/7/21. On 1/8/21 t 8 PM developed fever and chills, T-max 100.4, as well as a dry cough and headache. No shortness of breath or chest pain or wheezing. No sore throat. Virtual Urgent Care visit 1/9/21. COVID test negative. No treatment performed, no escalation of care.

Other Meds:

Current Illness:

ID: 0947137
Sex: F
Age: 37
State: TX

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

Lab Data: FSBG 110 EKG-NS w/Arrythmia

Allergies: No known allergies

Symptoms: complaint so dizziness, palpitations and chest pressure approximately 15-20 mins after vaccine administration.

Other Meds: Metformin, Levemir, Motrin, Tylenol,

Current Illness: None

ID: 0947138
Sex: F
Age: 55
State:

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

Lab Data:

Allergies:

Symptoms: No adverse event report. Only reporting administration of vaccine in possible temperature excursion

Other Meds:

Current Illness:

ID: 0947139
Sex: F
Age: 41
State:

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Day of vaccine, patient started feeling fatigue, malaise, site pain & swelling, joint pain all over, profuse sweating w/no fever, chills, all over inflammation & swelling, hives upper extremity, petechial rash, and the next day after the vaccine, the patient started experiencing swelling in R-axilla (lemon size). 3 days after vaccine all symptoms have resolved except swelling in right axilla.

Other Meds:

Current Illness:

ID: 0947140
Sex: M
Age: 23
State: TN

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

Lab Data: CBC on 1/15/2021 normal Advised to follow up with PCP for further testing if not resolved by 1/18/21

Allergies:

Symptoms: swollen lymph node left supraclavicular approx. 30 hours post injection, mildly tender, on same side as vaccination

Other Meds:

Current Illness:

ID: 0947141
Sex: F
Age: 39
State:

Vax Date: 12/29/2020
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: Bactrim, augmentin, singulair, prednisone

Symptoms: 1 small hive-like welt about 1.5-2inches below the injection site, red, raised, itchy, Non-blanchable

Other Meds: Prenatal vitamin, vitamin c, Allegra,

Current Illness: None

ID: 0947142
Sex: F
Age: 36
State: CA

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

Lab Data:

Allergies: N/A

Symptoms: fever,chills, headaches, nausea,body aches, arm sorenes, redness and swollenes were shot was given,

Other Meds: none

Current Illness: N/A

ID: 0947143
Sex: F
Age: 52
State: IA

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

Lab Data:

Allergies: nka

Symptoms: "Slight tightening in my throat for several days. Not a sore throat but almost like my throat was closing a little. Not enough to be alarmed"

Other Meds:

Current Illness:

ID: 0947144
Sex: M
Age: 19
State: IN

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

Lab Data:

Allergies: N/A

Symptoms: Fever, chills, body aches and fatigued during night. Following day is just fatigue.

Other Meds: N/A

Current Illness: N/A

ID: 0947145
Sex: F
Age: 41
State: NY

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: R arm redness at site of injection, started 2 days post vaccine, was evaluated here at urgent care 9 days post vaccine with worsening redness/induration (measuring 9cm x 4 cm)

Other Meds:

Current Illness:

ID: 0947146
Sex: F
Age: 47
State: WA

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

Lab Data: None

Allergies: Codeine, Sulfa, Patanol, Numerous Airborne Allergies that have been treated with Immunotherapy

Symptoms: Five hours after injection, sudden onset of itchy rash, tiny, slightly pink raised bumps on upper/inner right thigh. Spreading within a 15 minute period to upper/inner left thigh, arms and neck. Issue resolved in 30 minutes with 10 mg dose of Cetirizine Hydrochloride (Zyrtec). No ongoing rash symptoms. Soreness at injection site is only side effect remaining 17 hours after injection.

Other Meds: None

Current Illness: None

ID: 0947147
Sex: F
Age: 55
State:

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

Lab Data:

Allergies:

Symptoms: No adverse event report. Only reporting administration of vaccine in possible temperature excursion

Other Meds:

Current Illness:

ID: 0947148
Sex: F
Age: 66
State: RI

Vax Date: 01/05/2021
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: Pennicyllin

Symptoms: I believe the ringing in my ears which I am prone to has been exasperated since the vaccine. The site where Moderna injection was given has an outline in red and is swollen (was itchy)

Other Meds: Synthroid

Current Illness: N/A

ID: 0947149
Sex: F
Age: 51
State: OH

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

Lab Data:

Allergies: Levaquin

Symptoms: 01/15/21 Staff Nurse was called to the Observation room by Nurse at 1050. Nurse stated that at 1045, two minutes before the timer would expire, patient complained of felling heaviness in her neck and chest. Using a number scale for evaluation, she rated her heaviness a 4/10. She Placed her on the mat and recorded vital signs of BP: 136/96, HR: 82, RR:20 and Sao2 of 97% on room air. RN stated she medicated patient with 60 mg Fexofenadine by mouth. When RN arrived, patient was resting in a chair, alert and oriented x3. No distress noted. Patient complained of heaviness in her neck. She denied chest pain, shortness of breath, dizziness or headache. Heart rate 72 and regular. Respirations even and nonlabored. Patient was given juice and crackers and asked to stay in chair for 30 minute stay/observation. Nurse observed her from this time on. Nurse stated the heaviness was much less at 1058, rated 2/10 on a number scale. Vital signs: 108/76, 76, 18, 97%. At 11:13, patient rated her heaviness at 1/10. Vital signs: 130/81, 71, 18, 97%. At 11:35, patient states the heavy feeling is gone rated 0/10. Vital signs: 128/59, 74, 16, 98% on room air. Patient stood without dizziness. Gait was steady upon discharge from observation room.: RN

Other Meds: Lisinopril, Lipitor, Prilosec, Zoloft

Current Illness:

ID: 0947150
Sex: F
Age: 58
State:

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

Lab Data:

Allergies:

Symptoms: No adverse event report. Only reporting administration of vaccine in possible temperature excursion

Other Meds:

Current Illness:

ID: 0947151
Sex: F
Age: 46
State: OR

Vax Date: 01/05/2021
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: Sulfa, carbidopa levodopa, Wellbutrin

Symptoms: I was diagnosed today, 1/15/21, as having shingles.

Other Meds: Citalapram, ropenerole, vitamin d, fish oil, ginkgo, zinc, vitamin c, mega stress, probiotic, saccharomyces boulardii, Hawaiian spirulina, betaine hcl and pepsin, similase sensitive stomach, interphase plus, liothyronine

Current Illness: None

ID: 0947152
Sex: F
Age: 21
State: MN

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

Lab Data:

Allergies: Flagyl Ibuprofen Sulfa

Symptoms: Rash, Palpitations, Clammy skin

Other Meds: Paxil

Current Illness: Nephrolithialsis UTI Acute Abdominal pain

ID: 0947153
Sex: F
Age: 25
State: OH

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

Lab Data:

Allergies: Penicillin, Cefalaxin

Symptoms: I am currently 8 weeks and 1 day pregnant. Wednesday evening after 24 hours after the vaccine i developed redness and swelling at th injection site. I developed a low fever of 101.1F and had chills. By the next morning your symptoms were relieved. I did get diagnosed last Tuesday with Covid which was one week after the Moderna vaccine. A few days after I got diagnosed with Covid, the swelling returned at the injection site. As of today I have no redness or swelling anymore at the injection site.

Other Meds: Citirizin (allergy medication), Probiotic, pre-natal vitamins

Current Illness: None reported

ID: 0947154
Sex: F
Age: 42
State: TX

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

Lab Data:

Allergies: none

Symptoms: 5 min after vaccine administration, developed 3 pre-syncopal episodes and low blood pressure. Continued with paresthesias in lips, mouth, tongue, finger, legs, and toes. 2-3 hours after administration developed lip, face and tongue swelling. Administered Zyrtec and tylenol. Symptoms improved but continued into next day. 18 hours after administering vaccine developed rigors, fever (Tmax 103), severe myalgias, fatigue, nausea, vomiting, diarrhea, abdominal cramping. These symptoms persisted for another 12 hours. Tylenol was given to assist fever and pain.

Other Meds: ibuprofen 200 mg

Current Illness: none

ID: 0947155
Sex: F
Age: 85
State: ND

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

Lab Data: UA/UC was done

Allergies: unknown

Symptoms: Blurred vision and rapid breathing, very thirsty

Other Meds: unknown

Current Illness: unknown

ID: 0947156
Sex: F
Age: 37
State: CO

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

Lab Data:

Allergies:

Symptoms: Patient reported "tingling" sensation, bilateral upper extremities after second dose of Pfizer COVID-19 vaccination. Sensation radiated to neck area. Also, reports "tingling" in toes. No there other symptoms. She did have this reaction with the first dose, subsided in within 2 hours. Patient was discharged to home in stable condition.

Other Meds:

Current Illness:

ID: 0947157
Sex: F
Age: 35
State: CT

Vax Date: 01/08/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: COVID-19

Allergies: TEA TREE OIL MILK

Symptoms: FEVER (101.1), RUNNY NOSE, COUGH, ACHY, AND TIRED

Other Meds: WOMEN'S MULTIVITAMIN FROM GNC

Current Illness: NONE

ID: 0947158
Sex: F
Age: 66
State: FL

Vax Date: 01/06/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Na

Allergies: Na

Symptoms: Week after shot, swelling and pain and redness

Other Meds: I had a dental visit on 1/13/21 and received novocaine. New events around injection site started after.

Current Illness: Na

ID: 0947159
Sex: F
Age: 32
State: PA

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

Lab Data: Ekg, blood sugar, cbc, cmp, troponin, tsh and d-dimer were done and were all found to normal

Allergies:

Symptoms: Approx 6 hrs after getting 2nd dose, developed near syncopal episode. Become diaphoretic, heart palpitations, light headed, short of breath. Was placed in a room, had tachycardia with heart rate in the 140's, eventually subsided to normal range over the next 4 hrs. Tuesday had flu like symptoms, headache, body aches, chills, fatigue. Then at night had severe headache ontop of head, to even touch which lasted a few moments and subsided leaving generalized headache. Flu like symptoms persisted through Wed.

Other Meds: cymbalta elavil topomax metformin flexeril prn vicoden prn gabapentin prn

Current Illness:

ID: 0947160
Sex: F
Age: 40
State: TN

Vax Date: 01/02/2021
Onset Date: 01/10/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: Sulfa, tree nut, seasonal

Symptoms: Welt at injection site. Hot to touch and itchy. Spread to lower arm Appeared one week after injection.

Other Meds: Effexor XR

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm