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: 0948019
Sex: F
Age: 55
State: TX

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

Lab Data: None

Allergies: Penicillin, sulfa, ragweed pollen

Symptoms: Beginning at about 24 hours: Injection site slightly swollen and very sore. Hurt, but did not interfere with regular activities. Low fever up to 99.8 Took one Tylenol tablet at bed time. Low fever (99.3) the next day until afternoon. Fever gone by 48 hours. Arm pain and swelling also mostly gone by 48 hours.

Other Meds: Citalopram, atorvastatin, amlodipine, metoprolol, nexium, daily vitamin, calcium, CoQ10, vitamin C, vitamin D3, biotin, collagen

Current Illness: Possible sinus infection

ID: 0948020
Sex: F
Age: 33
State: CA

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

Lab Data: None

Allergies: Sulfa drugs

Symptoms: I received my first dose of the moderna vaccine. About 10 minutes after the 15 minute observation period, I began to feel tingling and pins and needle like sensation throughout my bilateral arms to hands. Also an itchy throat for 5-10 mins that resolved. Throughout the day the pins and needles seemed to be more generalized from my head, torso to legs and feet. I continued to feel this through the night. I again continue to feel the generalized pins and needles the next day after my injection. I didn?t think much of it until researching that this may be considered a ?serious adverse effect?. I would like further direction if it is safe to go ahead with my second dose next month.

Other Meds: Tylenol 1000mg, prenatal vitamin, vitamin B complex and vitamin C. Night before took Pepcid, Chinese herbal med for abdominal pain

Current Illness: None

ID: 0948021
Sex: F
Age: 48
State: NY

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

Lab Data: None

Allergies: Nka

Symptoms: Appx one week after vaccine, injection site became red, swollen, tender to touch and arm started to ache. The pain started to get progressively worse.

Other Meds: Gabapentin 600 mg hs Topiramate 100mg hs Maxalt 10mg Tizanidine Calcium 600mg Vit D Magnesium 500mg Women?s multi vitamin Melatonin 10mg

Current Illness: None

ID: 0948022
Sex: F
Age: 40
State:

Vax Date: 12/21/2020
Onset Date: 12/29/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, Myalgia, Fever, HYPERtension, employee stated after receiving vaccine had body aches, joint aches, photophobia, headaches, fever, hypertension Narrative: Employee stated H/A, body aches, joint aches, photopobia, fever, hypertension BP 170/100, employee sent to to ER due to elevated b/p. denies any other symptoms.

Other Meds:

Current Illness:

ID: 0948023
Sex: M
Age: 69
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: 0948024
Sex: M
Age: 59
State:

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

Lab Data:

Allergies:

Symptoms: Headache, Diarrhea, Malaise, lightheaded

Other Meds:

Current Illness:

ID: 0948025
Sex: F
Age: 31
State: CA

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

Lab Data:

Allergies: Patient claims to have possible allergies to band aids

Symptoms: Patient reports having redness at injections site and it has now become hard, almost like a mosquito bite

Other Meds:

Current Illness:

ID: 0948026
Sex: M
Age: 47
State: KS

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

Lab Data:

Allergies:

Symptoms: Day of the vaccination, patient went home and developed a bilateral nosebleed and had a seizure. Patient continues to feel poorly as of 1/15/2021 but has returned part time to work.

Other Meds:

Current Illness:

ID: 0948027
Sex: F
Age: 37
State: ME

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

Lab Data:

Allergies: ragweed

Symptoms: 12/28/20- shot administered I had symptoms consistent with the side effects anticipated 12/31/20 itching and swelling at site, hives on stomach and arms; called practice for consult- told no protocol for this. I took a Benadryl which helped; took Benadryl next night too - I have taken my regular allergy medication consistently 1/5/21- arm swollen, very hot to the touch; increased swelling and redness throughout day- arm begins to feel like gum in some parts, redness spreads; ER visit- Cellulitious- began antibiotics and advil 1/2/21- swelling decreasing, redness persists 1/7/21 significant improvement 1/15/21 continued improvement- I have a bruise at site

Other Meds: citalopram allegra levoTHYROxine

Current Illness: none

ID: 0948028
Sex: F
Age: 57
State:

Vax Date: 01/06/2021
Onset Date: 01/11/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Negative Covid test when evaluated in ER 1/11/21.

Allergies:

Symptoms: Difficulty breathing 5 days after injection.

Other Meds:

Current Illness:

ID: 0948029
Sex: F
Age: 49
State: NY

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

Lab Data:

Allergies: Erythromycin Keflex

Symptoms: Almost 24 hours later developed fever, chills, body ache, headache which lasted a full day then 48 hours later developed a rash on abdomen, both arms, neck, back, and upper thighs

Other Meds: Womans Multivitamin Vitamin D Allegra Probiotic Wellbutrin 150mg

Current Illness: None

ID: 0948030
Sex: F
Age: 38
State:

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

Lab Data:

Allergies:

Symptoms: Headache lump in throat, difficulty swallowing Narrative: Patient reported with a lump in the throat and difficulty swallowing. EPI administered

Other Meds:

Current Illness:

ID: 0948031
Sex: F
Age: 27
State: NY

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

Lab Data:

Allergies: Amoxicillin

Symptoms: Although I am on birth control and have a very regular menstrual cycle because of it, I have started my period today. I received my vaccine yesterday. I still have two days of hormones before the placebo pills and normally wouldn?t get my period for another week

Other Meds: Birth control (apri)

Current Illness: None

ID: 0948032
Sex: F
Age: 56
State: FL

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

Lab Data: None

Allergies: Azithromycin (hives, SOB), topical lidocaine (hives), morphine (hives), penicillin (hives, SOB), prednisone (anaphylaxis), rhubarb (hives, SOB), methylprednisolone (anaphylaxis), sulfa (hives, SOB), ondansetron (anaphylaxis)

Symptoms: Following second dose of COVID-19 vaccine, patient developed paresthesia/tingling of tongue and left side of face. On exam, she had left facial droop consistent with Bell's palsy. She was monitored for about an hour with no further progress, and some visible improvement. She had tremor of right hand. By next day, patient reported complete resolution of symptoms. Of note, patient has multiple sclerosis and will have similar symptoms when she has a flare. Jen Silvey spoke with patient on 1/6/2021 @ 2051: "Her face - no droop to left side of her face and lips- back to normal. But her tongue is still tingling."

Other Meds: Ascorbic acid 500 mg PO daily, conjugated estrogens vaginal cream (Premarin) 0.5 g vaginally twice weekly, omeprazole 40 mg daily, RA probiotic 1 gummy nightly, trazodone 50-100 mg nightly, docusate-senna 8.6-50 mg PO nightly

Current Illness: None noted

ID: 0948033
Sex: F
Age: 44
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient likely received mixed vaccines for her COVID-19 vaccination series, Pfizer for 1st dose and Moderna for 2nd dose. Pt received Pfizer for 1st dose on 12/19/2020. For 2nd dose on 1/11/21, she confirmed receiving green piece of paper (which indicates Moderna dose in our workflow), and her CDC immunization card also states Moderna 2nd dose. Error likely caused by workflow/operational issues and not screening patient carefully for 1st vs. 2nd dose, as vaccinators were administering both vaccines in the same clinic space (Pfizer for 2nd dose only, Moderna for all 1st dose). During f/u today, pt did not report any s/sx or ADRs other than sore arm. No tx required.

Other Meds:

Current Illness:

ID: 0948034
Sex: M
Age: 69
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: 0948035
Sex: M
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Dizziness, Tachypnea, NauseaVomiting, HYPERtension, no other events occured Narrative: Employee c/o dizziness and nausea after 15 minutes of sitting, and then using the restroom. Sits back down and vs obtained. b/p 212/128 manual and machine. pulse and o2 normal. Patient continues to feel poorly, wants to lie down. Patient tachypneic, with some SOB. Has high b/p baseline, but says he took his b/p meds this AM. Hasn't had reaction to vaccines previously. Epi administered and 911 called, as patient agrees to this. A&O,pleasant and anxious. Transport to hospital for eval with paramedics.

Other Meds:

Current Illness:

ID: 0948036
Sex: M
Age: 27
State: AK

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

Lab Data:

Allergies: None

Symptoms: Left half of face went numb and weak about 2 hours after vaccine. Fever the next morning.

Other Meds: Bronkaid

Current Illness: None

ID: 0948037
Sex: F
Age: 33
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 she woke up on 1/14 with body aches, chills and fatigue. + fever (Tmax 100.1) and advil taken. EE reports she called off of work yesterday due to feeling ill. EE reports today improvement in symptoms but still with mild HA and fatigue. Temp 99.4 today, advil taken at 13:15.? Last day of work and shift ? today Home remedies? - rest and Advil Any improvement? - yes Recommendation? EE encouraged to continue to monitor her symptoms and to contact the Vaccine support line with additional questions and concerns. EE reports she called off work yesterday and heading to work at time of call. EE educated on TCH Illness in the Workplace Policy and to notify her manager if she needs to leave work and go home. EE verbalized back understanding and denied further questions at this time.

Other Meds:

Current Illness:

ID: 0948038
Sex: F
Age: 66
State: FL

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

Lab Data:

Allergies:

Symptoms: Sore arm, headache

Other Meds:

Current Illness:

ID: 0948040
Sex: F
Age: 62
State: TX

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

Lab Data:

Allergies:

Symptoms: I have facial fillers under my eyes. The filler on the left eye was swollen and red.

Other Meds: hydroxyzine, gabapentin, centrum multi vitamin, alpha lipoic acid, astragalus, rehmannia, vitamin D3, vitamin c, coq10

Current Illness: Stage 3A CKD, osteoarthritis

ID: 0948041
Sex: F
Age: 38
State: FL

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

Lab Data: none

Allergies: penicillin - rash

Symptoms: Took 2nd dose shot at approx 9am on 1/13/21. By approximately 5pm began to experience flu like symptom with no fever. Body aches, chills, jittery/insomnia. I took 4 doses of ibuprofen between 6pm on 1/13 and 6pm on 1/14. Effectiveness of ibuprofen was none to minimal. and symptoms fully returned within 3-4 hours. Symptoms lasted from 6pm on 1/13 until going to sleep at 10pm on 1/14. Woke up on 1/15 at 6am and all symptoms were resolved. I has no symptoms from 1st dose other than pain at the injection site for 24 hours.

Other Meds: none

Current Illness: none

ID: 0948042
Sex: F
Age: 24
State: CA

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

Lab Data: NONE

Allergies: banana

Symptoms: FEVER , CHILLS , HEADACHES , MUSCLE ACHE , JOINT PAIN , SWEATING , EAR ACHE ( LIKE EARS ARE POPPED , AND EXCESSIVE RINGING ) , HIVES ALL OVER BODY DIFFERENT TIME PERIODS , BUT SUBSIDES, FEVER DID NOT BREAK TILL DAY 2 . LOSS OF APPETITE. FATIGUE. COUGHING.

Other Meds: none

Current Illness: none

ID: 0948043
Sex: F
Age: 61
State: AZ

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

Lab Data: None

Allergies: Phenergan

Symptoms: Felt a little light headed and my throat was scratched

Other Meds: Lisinopril 10 mg , Arvostatin 20mg

Current Illness: None

ID: 0948044
Sex: F
Age: 93
State: MN

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

Lab Data:

Allergies:

Symptoms: patient had chills, aches the day after receiving the day after getting shingles and pneumonia vaccine

Other Meds:

Current Illness:

ID: 0948045
Sex: F
Age: 55
State: ME

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

Lab Data: N/A

Allergies: KNA

Symptoms: Started to have horrible body aches and chills about 10 hours after shot. Felt very febrile with frozen finger tips. Could not warm them up. Continued fatigue and febrile and malaise.

Other Meds: amlodipine, magnesium, fish oil, complex B vitamin, D3

Current Illness: none known

ID: 0948046
Sex: F
Age: 69
State: NM

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

Lab Data: None

Allergies: Penicillin

Symptoms: Nauseated and lightheaded, near syncope. Lasted about 20 minutes, took vitals, rested, and recovered.

Other Meds:

Current Illness:

ID: 0948047
Sex: F
Age: 40
State: IN

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

Lab Data:

Allergies: Codeine

Symptoms: Red, itchy area at injection site 1 week after. The day after I had redness and swollen ness at the injection site.

Other Meds: Zoloft

Current Illness: NA

ID: 0948048
Sex: F
Age: 30
State: AR

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

Lab Data:

Allergies: NO

Symptoms: FEVER, HEADACHE

Other Meds: OCP, ATORVASTATIN, PRILOSEC, SERATALINE

Current Illness: SINUS INFECTION, FINISHED ABX THE WEEK BEFORE

ID: 0948049
Sex: F
Age: 44
State: MI

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

Lab Data: Doctor appointment on 1-15-21

Allergies: None

Symptoms: My arm developed a large red circle that was hot to the touch at the point of the injection. I was seen today by a virtual doctor and started on Keflex for the infection.

Other Meds: None

Current Illness: None

ID: 0948050
Sex: F
Age: 79
State: VA

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: Codine & Statins.

Symptoms: An itchy rash develop at the injection site on left arm. In initially, the rash was red & intensely itchy. It appeared as a bright red and has gradually faded. During the duration of the rash of 10 days, it gradually faded and became less itchy. I did not have any other physical symptoms. After the 11th day of the rash, it has finally disappeared (today).

Other Meds: Nexium, Methenamine Hipp, Zetia, Methimazole, Galantamine ER, Eliquis, Repatha, Lasix, Metoprolol Succ Er, Potassium Chlor Sr, Plavix, Culturell, Docusate Sodium, Benefiber, Trospium Chloride, Breo Ellipta Inhaler, Estrace Vaginal Cream, C

Current Illness:

ID: 0948051
Sex: F
Age: 42
State: TX

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

Lab Data:

Allergies:

Symptoms: Right axillary swelling, pain and warmth, redness at the injection site. Treatment: Tylenol, heat. Outcome: Able to move extremity with difficulty. Able to complete ADLs with out difficulty . No improvement with treatment. Will continue to monitor.

Other Meds:

Current Illness:

ID: 0948052
Sex: F
Age: 62
State:

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

Lab Data:

Allergies:

Symptoms: Reported left arm injection site pain, dull headache, chills and a rapid hear rate. Went to ED due to heart rate.

Other Meds:

Current Illness:

ID: 0948054
Sex: M
Age: 27
State: NY

Vax Date: 12/22/2020
Onset Date: 01/10/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: none identified

Symptoms: Moderna Covid-19 Vaccine EUA. Patient developed rashes on both arms and left side of his body. Seen at Urgent Care and diagnosed with Pityriasis Rosacea.

Other Meds: Unknown

Current Illness: None

ID: 0948055
Sex: F
Age: 68
State: OK

Vax Date: 01/04/2021
Onset Date: 01/12/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: Leviquin, Robaxin, Bactrim, Aspirin, Levothyroxine

Symptoms: I got the shot on 1/4/2021 and on 1/12/2021 I woke up with my right arm hurting . The area all around the injection site wastender, swollen, somewhat red and hot. vAs of this date 1/15/2021, it remains the same.

Other Meds: Celexa, Adderal, Januvia, Calcium, Multivitamin.

Current Illness: none

ID: 0948056
Sex: F
Age: 84
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: 0948057
Sex: F
Age: 60
State: GA

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

Lab Data:

Allergies: Iodine, Shrimp, Biaxin

Symptoms: Right after shot body felt on fire, within 5 minutes tongue start swelling, face, neck and injection site red, BP went to 170/120, very fatigued and throat closing.

Other Meds: Fiber vitamins, Hair/Skin/Nails vitamins (gummies)

Current Illness: None

ID: 0948058
Sex: F
Age: 48
State: CA

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

Lab Data:

Allergies: unknown

Symptoms: mouth, tongue, and throat itching and swelling. patient was treated in the ED and sent to urgent care for evaluation. Care given is unknown.

Other Meds: unknown

Current Illness: unknown

ID: 0948060
Sex: F
Age: 41
State: WI

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

Lab Data: None

Allergies: penicillin sulfa

Symptoms: Within ten minutes, I had a massive headache and the roof of my mouth went numb. Within one hour, I had severe bruising, dark purple, the size of a half dollar, that JUST went away and I am due on 1/17/2021 for my next vaccine. I had no pain, only dark purple bruising and swelling. The headache and mouth issue went away after three days.

Other Meds: Synthroid 150mcg Mary Ruth liquid multivitamin Adderall XR 10mg

Current Illness: none

ID: 0948061
Sex: F
Age: 47
State: TX

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: My face started swelling on Saturday night at about 3 am.

Other Meds: N/A

Current Illness: N/A

ID: 0948062
Sex: F
Age: 31
State: NY

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

Lab Data:

Allergies:

Symptoms: Low fever for two days, strong muscle aches, chills. Took ibuprofen OTC and helped.

Other Meds:

Current Illness:

ID: 0948064
Sex: F
Age: 78
State: MI

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

Lab Data: Patient went to her primary care doctor on 1/11/21 and received a steroid injection and Benadryl.

Allergies: No known drug allergies. Allergic to bee stings

Symptoms: A couple hours after receiving the vaccine the patient's arm was swelling, red, hard, and hot. 7 days after receiving the vaccine her arm was still itchy, blotchy, and red.

Other Meds:

Current Illness: Generally in good health

ID: 0948065
Sex: M
Age: 28
State: NY

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

Lab Data:

Allergies:

Symptoms: I developed a rash on my left and right forearms and neck around 1700 and I had extreme pain at the injection site. The pain has improved but rash is still present. I was advised to go to the ER and be evaluated. I went down around 2245 received Pepcid and Benadryl and was told to follow up with my primary care provider and an allergist prior to second dose. The next day the rash spread to my stomach and chest"

Other Meds:

Current Illness:

ID: 0948066
Sex: F
Age: 33
State: MI

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

Lab Data:

Allergies: none known

Symptoms: The day of injection and the following day (1/7-1/8) my arm was sore. Day 6 (1/13) I started getting pain in my left axilla/clavicle. Ibuprofen/tylenol didn't really help. Day 7 (1/14), still sore, but the injection site was red, swollen, warm to touch, and itchy. Took benadryl. Day 8 (1/15) less itchy, but more red. Still a little swollen and warm to touch.

Other Meds: Wellbutrin XR 300mg, Mirena IUD

Current Illness:

ID: 0948068
Sex: F
Age: 35
State: CA

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

Lab Data:

Allergies:

Symptoms: Injection site warm to touch, swollen, hard, and tender Tender lymph nodes

Other Meds:

Current Illness:

ID: 0948069
Sex: F
Age: 60
State: WI

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

Lab Data:

Allergies: She doesn't have allergies listed but mentioned antibiotic allergies and sensitivity to sulfa antibiotics.

Symptoms: reported "weird" sensation in her body and "like a pulsing in my chest". 1337 - Patient reports weakness,

Other Meds:

Current Illness:

ID: 0948070
Sex: F
Age: 26
State: AK

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: day after vaccine developed large raised red skin lesion at the injection site spontaneously went away after 2-3 days recurred again with similar appearance about 4-5 days after vaccine administration skin lesion is itchy and red, but no other symptoms

Other Meds: vitamin D (cholecalciferol) only

Current Illness: none

ID: 0948071
Sex: F
Age: 66
State: FL

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

Lab Data:

Allergies:

Symptoms: Sore arm, headache

Other Meds:

Current Illness:

ID: 0948072
Sex: F
Age: 34
State: PA

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

Lab Data: N/A

Allergies: Morphine- Hives Bee stings- Anaphylaxis

Symptoms: Tingling on the roof of mouth and hives on chest, neck, and right arm. Reactions occurred 2 minutes after injection. Hives still present as of 1/15/2021, one day post injection. Tingling sensation resolved about 2 hours after injection.

Other Meds: Aleve PRN (did not use 3 weeks prior to vaccination)

Current Illness: N/A

ID: 0948073
Sex: F
Age: 65
State: NJ

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

Lab Data: Not applicable.

Allergies: Keflex, Levaquin, Paxil, PCN, all NSAIDS, Bactrim

Symptoms: Immediate sensation of slight mental status change which resolved but within 2 minutes started to feel slightly woozy and pre-syncopal, as if anaphylaxis starting. Informed staff. Put on stretcher. Vital signs obtained. O2Sat upper 90s. BP elevated with diastolic in low 100s with sensation of pre-syncope and very slight confusion. Resolved slowly over 30 minutes to about 90% of prior mental status. Continued to feel somewhat dizzy for several hours. Went to bed early. Had very intense disturbing dreams. Very sore vaccine site. Resolved by morning. Arm soreness about 50% of day prior.

Other Meds: Not that morning

Current Illness: Herpes Zoster

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm