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: 0947759
Sex: F
Age: 43
State: MD

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: n/a

Allergies: NKDA

Symptoms: rash developed 1 day after vaccination and continues to erupt on torso (papular eruption, few pimple-like bumps, non-pruritic)

Other Meds: Escitalopram, Lamotrigine, Oral contraceptive, multivitamins

Current Illness: n/a

ID: 0947760
Sex: F
Age: 61
State:

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Silver dollar sized red mark at injection site, warm to touch, itchy and red. Medrol dose pack was ordered by PCP along with hydrocortisone cream and benedryl

Other Meds:

Current Illness:

ID: 0947761
Sex: F
Age: 50
State: WI

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

Lab Data:

Allergies:

Symptoms: 10:40 Employee complains of difficulties swallowing, sensation in throat. Denies troubles breathing. Is experiencing watering eyes and occasional coughing 10:49- received dose of 25mg diphenhydramine with slight improvement in symptoms, not resolved. 10:52- notes sensation of tingling tongue- Emergency Response Team called 11:02- 2nd dose of 25mg PO diphenhydramine administered Emergency Response Team Staff transports Employee to Emergency Room

Other Meds:

Current Illness:

ID: 0947762
Sex: F
Age: 39
State: CA

Vax Date: 12/31/2020
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Developed Right sided supraclavicular lymphadenopathy ~ 1 cm hard, tender mobile and R sided axillary lymphadenopathy tender mobile ~ 1 cm and warmth above injection site (no induration or erythema) 6 days post injection and they are still present day 15 post vaccine

Other Meds: Multivitamin Metformin 1000 mg QHS Vitamin D 1000 IU daily Cinnamon 1000 mg daily Vitamin E 400 IU daily

Current Illness: None

ID: 0947763
Sex: F
Age: 61
State: OH

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

Lab Data: none

Allergies: Augmentin

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA. //Symptoms began 12 hours after with increase soreness at injection site radiating up and down arm and up into neck ; Body aches especially lower back developed within 24 hours with a severe throbbing type headache and ringing in the ears. Elevation of temperature by 1-2 degrees normal for me runs 97 degrees F and was up to 99 degrees F. Headache intensified with movement(ex. .bending over ,etc) Treated arm soreness and lower back with heat compresses... elevated temp and headache with rest and a lot of water. It is now over 48 hours since vaccination and all symptoms are subsiding but still present with temperature normal for me and no arm soreness. Scheduled day off from work day after vaccination but also a second day due to the severe headache mostly.

Other Meds: Fosamax(last dose 1/10/21): OTC: MVI, Vitamin D, Fish oil, Calcium, Probiotic(last doses(1-12-21)

Current Illness: Upper respiratory congestion with cough that has been persistent for months seen by ENT

ID: 0947764
Sex: F
Age: 58
State: TX

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

Lab Data: Blood work - normal COVID -neg FLU-neg

Allergies: no

Symptoms: When my wife woke up in the morning. She started shaking all over. Her eyes were wide open. I tried to get her into bed and she did the same thing. I got her dressed and went to PCP. The MDF ran blood work and did covid and flu shot test. MD stated if she continues we would run a CAT scan. She is now achy, has a bad headache and extremely exhausted.

Other Meds: blood pressure medication, cholesterol medication

Current Illness: no

ID: 0947765
Sex: F
Age: 51
State: PR

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

Lab Data: cbc, bmp, cardiac profile, ekg: wnl

Allergies: ASA PNC seafood Sulfa Acetaminophen

Symptoms: body itching, eye itching and irritation, body warmth, chest tightness, bradycardia

Other Meds: Metoprolol Pepcid Zyrtec Medrol

Current Illness: none

ID: 0947766
Sex: F
Age: 49
State: OH

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

Lab Data: None

Allergies: Serzone, Sulfa, Morphine, Diclofenac

Symptoms: Fever >101, nausea, urticaria. Treated for urticaria with steroids, H2 and H1 blockers

Other Meds: Flonase, ipratropium bromide nasal solution

Current Illness: None

ID: 0947767
Sex: F
Age: 43
State: NH

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

Lab Data:

Allergies: Sulfa Allergies

Symptoms: Patient was nauseous, threw up slightly and had a headache. This lasted for about 30 minutes, which occurred about 15 minutes after the vaccine administration. She also had a headache that persisted through till the next day,

Other Meds: On Depakote 250mg and 500mg ER, Tramadol 50mg, Gabapentin 300mg, Prazosin 1mg,

Current Illness: intestinal cystitis

ID: 0947768
Sex: F
Age: 49
State: MI

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

Lab Data: n/a

Allergies: n/a

Symptoms: 1/8/2021 vaccine 1/9/2021 fever spiked to 101.4. Took tylenol @ 10pm. Body aches, lump armpit. *first vaccination; slight fever of 100 on days 3,4.

Other Meds: Tylenol (before due to HA day of vaccine)

Current Illness: n/a

ID: 0947769
Sex: F
Age: 59
State:

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

Lab Data:

Allergies: codeine

Symptoms: Patient began to feel flushed in her legs and feeling spread to her chest and arms after approximately 5 minutes. Patient was assessed and found to be slightly hypertensive but no other abnormal vital signs. Patient felt comfortable contacting her doctor and leaving the facility on her own.

Other Meds: Atenolol, Metformin, Levothyroxine

Current Illness:

ID: 0947770
Sex: F
Age: 24
State: NC

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

Lab Data: n/a

Allergies: Amoxicillin; Bendaryl; PCN; Shellfish; Sulfa Drugs

Symptoms: 2003-EE received 1st dose of COVID vaccine; 2015 EE began feeling lightheaded and dizzy; EE had not eaten since 0200 that morning. EE had not taken her adderall. 2020 HR 72 BP 153/92 O2 89-96%RA. 2030 EE to ED triage for further evaluation

Other Meds: Albuterol; Adderall

Current Illness: N/A

ID: 0947771
Sex: F
Age: 56
State: NY

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data: I had a COVID test ( NOT the rapid one, the long one) on January 5th and had a NEGATIVE result.

Allergies: None

Symptoms: I am considering as side effects not adverse reactions. The day after vaccination I experienced: weakness, joint pain, dizziness, nausea, vomiting, chills, headache, fever of 101.7. The symptoms were intense. On the second day after vaccination I felt better with temperature of 100.5 and headache. On the third day I was back to normal. Should I take the SECOND dose on 27th of January? Thank you.

Other Meds: Multivitamins (centrum)

Current Illness: None

ID: 0947772
Sex: F
Age: 55
State: CA

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

Lab Data:

Allergies: UKND

Symptoms: Patient received the covid vaccine dose #2 on 01/14/2021. Two hours after vaccination, c/o new onset of nausea. No vomiting. Nausea is mild and persistence until today, 1/15/2021. She went to work but feel very "cold", bil leg weakness, and fatigue. She had to end her work day today. No fever, HA, dizziness, or any respiratory sxs

Other Meds: None

Current Illness:

ID: 0947773
Sex: F
Age: 34
State: MD

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

Lab Data: none

Allergies: Penicillin

Symptoms: Client reported "tingling sensation around eyes and going down to neck". BP @ 12:40 120/77 p 77. Client felt better after 15 minutes of resting. Encouraged to rest at home and call PCP in case of adverse reaction.

Other Meds: Ibuprofen

Current Illness: None

ID: 0947774
Sex: M
Age: 41
State:

Vax Date: 01/09/2021
Onset Date: 01/12/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: penicillin pediazole pediazole

Symptoms: Shingles

Other Meds: N/A

Current Illness: N/A

ID: 0947775
Sex: M
Age: 58
State: NC

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

Lab Data:

Allergies:

Symptoms: Projectile vomiting

Other Meds:

Current Illness:

ID: 0947776
Sex: F
Age: 47
State: FL

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

Lab Data: NA

Allergies: Sulfa

Symptoms: On 1/14/21, I noticed a raised rash, slight swelling, and itching at and around the injection site. This was 7 days after the vaccine was administered. Approximately 3 days before the rash (4 days after vaccination), there was soreness in the armpit of the left arm, almost feeling like swollen lypmh nodes. The soreness went away after taking naproxen.

Other Meds: NA

Current Illness: NA

ID: 0947777
Sex: F
Age: 33
State: FL

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

Lab Data:

Allergies: Gluten, wheat, dairy, shellfish

Symptoms: fever of 100.9; generalized body aches

Other Meds: Estradiol; hormone replacement compound

Current Illness:

ID: 0947778
Sex: F
Age: 42
State: CA

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

Lab Data:

Allergies:

Symptoms: Received 1st pfizer vaccine by IM at 10:00am on her left arm and felt throat soreness at 10:15am and needs to tilt head up. Advised patient to sit under observation. At 11am continues to have throat soreness and light shortness of breath. Continues to need to tilt head up. Light tingling around throat. Has never felt this before. No dermatologic symptoms. Moved her for observation at ED at 11:30am

Other Meds:

Current Illness:

ID: 0947779
Sex: M
Age: 33
State: MI

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

Lab Data: NA

Allergies: NSAIDS

Symptoms: Left eyelid swollen, no redness of eyeball

Other Meds:

Current Illness:

ID: 0947780
Sex: F
Age: 59
State: UT

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

Lab Data: None

Allergies: Sulpha

Symptoms: Internal tremors in my left abdomen

Other Meds: Progesterone, estradiol

Current Illness: None

ID: 0947781
Sex: F
Age: 33
State: AZ

Vax Date: 12/26/2020
Onset Date: 12/27/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: biactin, buspar, zaliflex, walnuts

Symptoms: On Sun 12/27 around 12pm I had left arm tenderness and I was fatigued and then at 5pm I had a fever starting at 99.5 and by 11pm 103.5 I had body aches chills, rigers, fever did not break with tylenol or advil . I had the fever until Monday afternoon and it broke for a few hours and came back and did not budge from 101. I called occupational health and asked questions about my fever, monday night at 8pm I had a bad dry cough and SOB and chest tightness and sinus congestion, no sneezing or runny nose, still with a fever. I called occupational health again and they said to come in to get covid tested and results were positive Tuesday 29th AM. On Thursday I started taking medicine: 5 day course of singulair, slow vent albuterol prn teflex antibiotic and calcium, Zinc and Vitamin D. The fever started to break around Monday the1st to the 4th around 99 to 100 . The 4th I lost sense of taste and smell and Monday the 28, 2020 I had neuromuscular pain in stiffness in legs and I had trouble walking and when fever got lower I realized I was having pain in my feet and hips. I think the infection triggered the unknown neuromuscular condition. I was supposed to go to work the 11th but since I was still having leg issues and my leave was extended one more week. I do not believe these reactions were due to the vaccine I think it was just a coincidence I contracted COVID prior to getting the vaccine

Other Meds: synthroid, propranolol, zoloft, siranolactone, hydroxozine, multivitamin

Current Illness: flu that lasted 3-4 days

ID: 0947782
Sex: F
Age: 57
State: IN

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

Lab Data:

Allergies: Latex

Symptoms: Patient c/o difficulty swallowing and weird taste in her mouth. Patient stated is was not resolving and would like us to call an ambulance. 911 called at 4:40pm. Patient had oral Benadryl in her purse and took 1 tablet. Patient assessed by paramedics and refused to go to hospital via ambulance at 4:45pm. Patient stated her husband was on his way to drive her home. Patient stated she was starting to feel better. Patient left with husband at 4:56 pm and was advised to follow up with her primary care doctor about receiving the second vaccine and to go to the ER if symptoms do not completely resolve.

Other Meds: None

Current Illness: None

ID: 0947783
Sex: F
Age: 38
State: NY

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: Amoxicillin

Symptoms: Exactly one week from the vaccination date, my arm swelled very large at the injection site (very hard), red and warm to the touch. I took Motrin and applied heat and it slowly went down within 2-3 days.

Other Meds: None

Current Illness: None

ID: 0947784
Sex: M
Age: 52
State: IL

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

Lab Data: N/a

Allergies: N/A

Symptoms: N\a

Other Meds: N\a

Current Illness: N/A

ID: 0947785
Sex: F
Age: 65
State: NY

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

Lab Data:

Allergies: None

Symptoms: Flushed red face, swollen face, hives on neck and upper part of the chest , feeling very hot, but no fever. Swollen ankles. IMPORTANT ? HAD DERMAL FACIAL FILLERS IN THE PAST

Other Meds: Valsartan, Synthroid, Metformin, Amlodipine, zinc, Vitamin C

Current Illness:

ID: 0947786
Sex: F
Age: 53
State: IN

Vax Date: 10/29/2020
Onset Date: 10/30/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data: See above

Allergies: none

Symptoms: Joint Pain/Swelling, Rash still continues despite treatment with 2 dexamethasone dosepaks, 1 prednisone dosepak and continuing daily prednisone dosing at this date. 11/25/20 Dr. performed labs including sed rate, CRP (which was elevated) and other blood work. Rhematoid Factor negative. Referred to Dermatology. Appointment 1/14/21 where biopsy of rash was performed. Outcome unknown at this time. Also saw PCP for swelling of right supraclavicular and neck lymph nodes in December (29th). Labs performed included Covid testing, mono, strep, and autoimmune markers. These were normal.

Other Meds: Prilosec, Claritin, Estradiol, Medroxyprogesterone, Citalopram, Zonisamide, Propranolol, Synthroid

Current Illness: Gastritis 1 week prior

ID: 0947787
Sex: F
Age: 94
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 reported. Only reporting administration of vaccine in possible temperature excursion

Other Meds:

Current Illness:

ID: 0947788
Sex: M
Age: 30
State: IL

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

Lab Data: None

Allergies: Penicillin

Symptoms: Felt light headed and fell to my knees and laid on the ground for a couple of minutes and then was brought to a cot to lay on. Nurse checked vitals and within normal limits. Nurse monitored for 45 minutes. He was able to take fluids and eat.

Other Meds: None

Current Illness: None

ID: 0947789
Sex: F
Age: 51
State: PA

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

Lab Data: None

Allergies: Previous dizziness reaction to Famivir

Symptoms: Approximately 11 hours after receiving the vaccination, I started to experience symptoms as described in the Vaccine Information Statement. This included fatigue, muscle pain, headache, chills/shivering and nausea. This continued for approximately 36 hours.

Other Meds: None

Current Illness: None

ID: 0947790
Sex: F
Age: 39
State: WI

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

Lab Data:

Allergies:

Symptoms: Employee reports sensation of significant warmth/heat that comes in waves. Vital signs checked: 10:35- 144/95 1045- 137/89 1049- 123/90 Episodes of warmth would come in waves. Symptoms would resolve and then return. Improved after 35 minutes of observation

Other Meds:

Current Illness:

ID: 0947791
Sex: F
Age: 40
State: WV

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

Lab Data:

Allergies: N/a

Symptoms: I received the vaccine on January 15, 2021 at 4:37 in the evening. Everything was good until about an hour after I got home, and I developed a headache and was very tired. Went to bed at my normal time which is 9o?clock, and slept all night. When I woke up the next morning which is January 15, 2021 my left arm was very sore and my headache was gone. Went to work at normal time, 7:00 am and began feeling very fatigued with muscle soreness and joint pain. Left work and came home and slept for two hours. Still experiencing aches and pains and fatigue. I do feel it necessary to report I have had a positive covid-19 result in April of 2020.

Other Meds: Lexapro 5 mg Magnesium 250 mg Fish oil 1200 mg Fiber

Current Illness:

ID: 0947792
Sex: M
Age: 57
State: ID

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

Lab Data: None

Allergies: No

Symptoms: Body aches in R shoulder, hips, headache, insomnia

Other Meds: Amlodipine, testosterone, allopurinol, losartan, ergocalciferol

Current Illness: No

ID: 0947793
Sex: F
Age: 32
State: OH

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

Lab Data: N/A

Allergies: N/A

Symptoms: Day 8 evening, I noticed my arm felt stiff. When I checked, I saw a large (3 in x 2 in) irregularly shaped erythema on my left arm, about 2 inches below the injection site. It was warm to touch and slightly raised. But no pain. Rash persisted on Day 9.

Other Meds: methimazole

Current Illness: N/A

ID: 0947794
Sex: F
Age: 26
State: CT

Vax Date: 01/05/2021
Onset Date: 01/10/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: 5 DAYS AFTER VACCINE NOTED SWELLING AND REDNESS WITH PAIN IN ARM AT INJECTION SITE.

Other Meds: TRINTILLEX LEVOSTROSINE

Current Illness: NONE

ID: 0947795
Sex: F
Age: 48
State: TX

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

Lab Data: no

Allergies: Bactrim

Symptoms: Very bad chills, and all over body aches. Injection site was very swollen and red and hot to the touch. PS. Just so you know i was poked twice, according to the person administering the shot the fluid was not fully injected, so i was poked twice.

Other Meds: Metformin Lisinopril Apple Cider Vinegar Vitamin D Zinc Vitamin C Tumeric

Current Illness: was positive for Covid -19 on 12/19/2020

ID: 0947796
Sex: M
Age: 30
State: CA

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

Lab Data: None

Allergies: None

Symptoms: At 0803 employee complained of his throat tightening and he was placed on an AED and EMS was called and a non-rebreather and Anaphylaxis kit were brought 0805 HR 118 RR 22 employee breathing was not labored AED "no shock advised" employee now reporting centralized tight feeling chest pain 0807 HR 122 RR 20 employee breathing was not labored. AED "no shock advised" 0809 HR 118 RR 22 AED "no shock advised" 0811 HR 102 RR 18 employee breathing was not labored. AED "no shock advised" Employee reported Chest pain "less tight" still with dry mouth ,difficulty swallowing and now burning sensation in throat 0811 HR 104 RR 18 AED "no shock advised" employee breathing was not labored 0813 EMS arrived and care of employee handed over. 02 and pharmacy monitoring applied. They assessed and took patient to ED Received Solu-Medrol, Pepcid, and Benadryl in ED

Other Meds: None

Current Illness: None

ID: 0947797
Sex: F
Age: 51
State: IL

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

Lab Data:

Allergies:

Symptoms: I was feeling great until day 9 after the injection. I could not sleep, was very warm and arm was sore. I woke next morning to find my left arm at the injection site very swollen, hard, red, rashy, and extremely hot to the touch. I advised with the nurses at work that morning, and I was told it was a common side affect, but I was still uneasy since I had no reaction until day 9. I was prompted to call my doctor, which was out of the office, was advised to go to prompt care. I was treated with a prescription of steriods and antibiotics. Slept better that night, less hot, hard, rashy, and red next morning. Still used ice packs during the work day.

Other Meds:

Current Illness:

ID: 0947798
Sex: F
Age: 58
State: CA

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

Lab Data:

Allergies: None

Symptoms: Fever, chills, nausea, vomiting, and lethargy

Other Meds: Celexa

Current Illness: None

ID: 0947799
Sex: F
Age: 95
State: RI

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

Lab Data:

Allergies:

Symptoms: Patient had received monoclonal antibodies on 12/24/2020 and should not have received the vaccine today as 90 days have not passed since the treatment

Other Meds:

Current Illness:

ID: 0947800
Sex: F
Age: 37
State: ND

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

Lab Data: non

Allergies: water, cats, bar soaps, azithromycin

Symptoms: muscle pain, lightheadedness (comes and goes), nauseau (off and on), headache, right sinus/ ear pain, insomnia, faint chest pain, numbness right arm and leg, diarrhea, wheezing (off and on), fatigue.

Other Meds: none

Current Illness: none

ID: 0947801
Sex: F
Age: 28
State: CA

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

Lab Data:

Allergies: UNKNOWN

Symptoms: EMPLOYEE REPORTED BEGAN ROUGHLY 12 HOURS FOLLOWING VACCINATION: BODY ACHES, CHILLS, TEMP 101.5, HEADACHE. RESOLVED WITHIN 48 HOURS.

Other Meds: UNKNOWN

Current Illness: NONE

ID: 0947802
Sex: M
Age: 67
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 reported. Only reporting administration of vaccine in possible temperature excursion

Other Meds:

Current Illness:

ID: 0947803
Sex: F
Age: 24
State:

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

Lab Data: Positive SARS-COV 2 antigen test and negative PCR test and day 4.

Allergies:

Symptoms: Sore throat on days 1 and 2, runny nose and congestion days 2-5.

Other Meds:

Current Illness:

ID: 0947804
Sex: F
Age: 22
State: MA

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

Lab Data: I have had no medical tests related to this adverse event.

Allergies: Azithromycin

Symptoms: I recieved the first dose of Moderna vaccine on 1/5/21 and did not experience any adverse reactions in the days following. Then, on 1/13/21 (8 days post vaccine) I noticed hives covering most of my body. My face was tingling and my lips were swollen. I took an antihistamine that evening hoping it would go away. The day after 1/14/21 I woke up with the hives all over my body, especially on my face. They were very severe and itchy. I went to my dermatologist and they recommended a steroid cream and oral antihistamine to help reduce the itching. It is now 1/15/20, and the hives are still covering most of my body with severe hives on my face.

Other Meds: Liletta IUD

Current Illness:

ID: 0947805
Sex: F
Age: 50
State: KS

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

Lab Data:

Allergies: none

Symptoms: rash bilat axillae, chest, abdomen

Other Meds: multivitamin

Current Illness: none

ID: 0947806
Sex: F
Age: 33
State: IN

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

Lab Data: N/A

Allergies: Ceclor

Symptoms: After receiving the moderna vaccine at 2:30PM yesterday, I immediately had soreness in my arm of the injection site and had difficulty raising my arm without pain as the day went on. I woke up this morning with chills, 101.4 fever and aches.

Other Meds: Ibuprofen/ acetaminophen

Current Illness: None

ID: 0947807
Sex: F
Age: 30
State: KS

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

Lab Data:

Allergies:

Symptoms: 30 y.o. female who was seen at SVH COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination. She denied any history of previous adverse reactions to vaccines. She was given the Moderna vaccination in the left deltoid muscle. During her 15 minute waiting period after the injection, the patient began to experience Right arm pain, numbness/tingling and soreness, note that injection was given in left arm. She denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, lightheadedness, dizziness, facial swelling, lip swelling and tongue swelling. This provider was notified of patient reaction and she was then assessed in the emergency bay area. Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , chest pain, collapse, drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress, skin changes, tongue swelling and vomiting. ALLERGY REVIEW OF SYSTEMS: Patient complains of muscle aches (Right arm) Previous Reactions: No previous reactions to vaccines. Objective Vitals Vitals: 01/15/21 1239 01/15/21 1248 BP: 137/89 134/89 Pulse: 99 100 SpO2: 100% 100% Blood Sugar 66 collected at 1236 * Patient given snack (granola bar) just before blood glucose checked. Physical Exam Constitutional: General: She is not in acute distress. Appearance: Normal appearance. She is not ill-appearing. Cardiovascular: Rate and Rhythm: Normal rate. Pulmonary: Effort: Pulmonary effort is normal. No respiratory distress. Musculoskeletal: Right shoulder: She exhibits pain. She exhibits normal range of motion and no tenderness. Right elbow: She exhibits normal range of motion and no swelling. No tenderness found. Right wrist: She exhibits normal range of motion and no tenderness. Skin: General: Skin is warm and dry. Neurological: Mental Status: She is alert and oriented to person, place, and time. Assessment/Plan Treatment included: Ibuprofen/analgesics. Follow up response to treatment: no change. Patient discharge: Stable to go home and follow up with PCP. Reports that she had work up for Guillain Barre 2.5 years ago but this was ruled out. States that she has had intermittent pain of all extremities since that time and has a handicap parking placard due to this. She denies any pain in right arm prior to the vaccine but states it started just a few minutes after administration. She has full ROM without difficulty and full sensation but reports some numbness and tingling as well as soreness but not necessarily tender to touch. Ibuprofen was administered but shortly after patient requesting to leave and feels this pain is the same as what she's had over the past 2.5 years but wanted to keep us aware. She will be discharging home and states she does not live alone.

Other Meds:

Current Illness:

ID: 0947808
Sex: F
Age: 66
State: IL

Vax Date: 09/14/2020
Onset Date: 09/15/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Significant arm pain that has persisted since immunization, weakness and pain. Patient has tried oral corticosteroids, considering cortisone injection.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm