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: 0948325
Sex: F
Age: 22
State: WI

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

Lab Data: none

Allergies: none

Symptoms: became nauseated about 24 hours after vaccine. She threw up around 1pm 1/14 then was sent home from work. She continued to have bad nausea and vomiting through out the night and into the morning of 1/15. She was again sent home from work.

Other Meds: Norethindrone 0.35mg, Phentermine HCl 15 mg, Topiramate 25mg

Current Illness: none. Had covid 11/2020

ID: 0948326
Sex: F
Age: 78
State: FL

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: none

Allergies: demorol, raw peppers

Symptoms: One week after the injection my are swelled and bcame very warm to the touch the doctor prescribed warm soaks and an antibiotic. It seems to be improving

Other Meds: vitamin c quinine, biotin, magnisim,potassium, celebrex, atavan anastrozole, zapelon, lexapro, lisinopril

Current Illness: none

ID: 0948327
Sex: F
Age: 48
State: CA

Vax Date: 01/02/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: on day 12 I am experiencing injection site allergy. Red rash, swollen and raised. Hot to touch and spreading.

Other Meds: none

Current Illness: none

ID: 0948328
Sex: M
Age: 32
State: AL

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

Lab Data: none

Allergies: mild allergy to shellfish

Symptoms: Body ache, low back pain , fever, and fatigue

Other Meds: vivitrol

Current Illness: none

ID: 0948329
Sex: F
Age: 80
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: 0948330
Sex: F
Age: 63
State: SC

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

Lab Data:

Allergies:

Symptoms: Chills, fever, nausea, vomiting

Other Meds:

Current Illness:

ID: 0948331
Sex: F
Age: 57
State: CA

Vax Date: 12/31/2020
Onset Date: 01/02/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: going to test COVID Ab on 01/21/2021, 3 weeks after the 1st dose of vaccination.

Allergies: Ace Inhibitors, CAT, DUST (Mites), insect bites, etc

Symptoms: Skin rashes (Hives or Hived? ) Whole body, starting around 36 hours after vaccination. Took Benadryl, and saw my family doctor who has consulted with an immunologist for my case before saw me . Until now 1/15/2021, still have skin rashes if stop taking Benadryl. It becomes an on-going problem. Still plan to get the 2nd dose of vaccine, according my doctor's suggestion. She has prescribed Epinephrine and famotidine (and ask me to also take fexofenadine or certrizine, plus Benadryl at night) after my 2nd dose in the near future.

Other Meds: candesartan, levothyroxine, metoprolol succinate, Nutritional Supplements (ESTROVEN), Vt D, VtB, fish oil,

Current Illness:

ID: 0948332
Sex: F
Age: 35
State: PA

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

Lab Data:

Allergies: humira - tachycardia

Symptoms: Lips swelling, itching on neck, increased BP rapid response called received epi pen 0.3mg in vaccine clinic went to ED, received steroids, diphenhydramine, famotidine - monitored for 4 hours then released

Other Meds: Stelara, albuterol inhaler, symbicort

Current Illness: no

ID: 0948333
Sex: F
Age: 40
State: IN

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

Lab Data:

Allergies: None

Symptoms: Had vaccine in left arm on Wednesday January 6,2021. On Thursday January 14, 2021 I noticed my armpit is swollen like maybe a gland is swollen in the same arm as vaccination was given which would be the left arm

Other Meds: Vitamin D3, MSM, Turmeric Curcumin, hair skin &nails , ibuprofen

Current Illness: None

ID: 0948334
Sex: F
Age: 65
State: CA

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

Lab Data: NA

Allergies: NA

Symptoms: SOB, Pain in neck, nausea and palpatations

Other Meds: NA

Current Illness: NA

ID: 0948335
Sex: F
Age: 75
State: CA

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

Lab Data: none

Allergies: Shrimp

Symptoms: Had rash 2 days after the injection of COVID 19 vaccine. Continued to have rash on both legs and back. Came to clinic and was told to discontinue the Advil PM. Benadryl 25mg given OTC as needed for rash and itching along with Benadryl cream

Other Meds: Indomethacine 75mg twice Chlorthalidone 25 mg once a day Was taking Advil PM at night but discontinued today

Current Illness: none

ID: 0948336
Sex: F
Age: 54
State:

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: latex, codeine, vicodine, penicillin, ceclor, erythromycin, fruit-fresh

Symptoms: Pain in left arm. Joint pain, I immediately had nausea and a metallic taste in my mouth for 2 hours. Mysugar climbed to 250 by dinner time. By bed tme my sugar was 300. I did not eat dinner. I had no appectite. I increased my insulin and metformin dose. I had chills and fevery thru the night and the next day. High fever 101. I treated this with tylenol and showers. I was really sleepy all day. I had little to eat and still my sugar was 300 most of the day. on Jan 6. I woke up and had a hemmorrhage in my right eye. I called my retinol specialist and and received an injection of Eylea on Jan 7, 2021

Other Meds: metformin, levemir, lisinopril, pravastin, spironolactone, B12 complex, vitamin D3, slow release iron, protonix

Current Illness: N/A

ID: 0948337
Sex: F
Age: 25
State: CT

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

Lab Data:

Allergies: Sulfa Vancomycin

Symptoms: Vaccine Moderna 1/7 /21 That evening myalgias, arthralgias - following day same with temp 99.7 by the evening. AM 1/9 all of the above Sx's had resolved. PM of 1/9 noted intense itching of fingers and wrists - fingers appeared slightly swollen to her. Similar Sx's feet and ankles a few hours thereafter. Took Benadryl Hs and slept comfortably. 1/10 - awoke with urticaria back of legs - from knees to buttocks bilaterally. Hives resolved after 2 hours after Claritin. Another episode finger itching and swelling lasting 30 minutes. Resumption low grade temp last PM 99.7 - 100.4 max last night in evening transiently. Back down to 99.9 1-2 hours thereafter. + fatigue since immunization. Took Claritin this AM. No further hives.

Other Meds: Medications diphenhydramine HCl (BENADRYL ALLERGY ORAL) JUNEL FE 1.5/30, 28, 1.5 mg-30 mcg (21)/75 mg (7) tablet loratadine (CLARITIN) 10 mg tablet

Current Illness:

ID: 0948338
Sex: F
Age: 23
State: CO

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

Lab Data:

Allergies: N/A

Symptoms: Day after dose: Fever, dizziness, headache, chills, muscle aches, nausea

Other Meds: Vitamin B12

Current Illness: N/A

ID: 0948339
Sex: F
Age: 27
State:

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

Lab Data: none

Allergies:

Symptoms: Morning after injection experienced exceptional fatigue, relief from fatigue by Sunday morning. The following two days after injection experienced redness around injection site.

Other Meds: Labetalol, sertraline, dasetta 1/35 for several years

Current Illness:

ID: 0948340
Sex: F
Age: 81
State: FL

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

Lab Data: None.

Allergies: Sulfa drugs and Nyastatin

Symptoms: Temp of 100.3 for about 12 hours, sleeping all day , couldn't seem to stay awake. Temp of 97.7 on 01/15/2021 and feeling fine.

Other Meds: Nitrofurantoin Mac 50 mg cap, Lisinopril 20 mg, Jantoven 5 mg, and Loratadine 10 mg. Supplements: Caltrate 600 D (1), Vitamin D3 1000 iu, Zinc 50 mg, Glucosamine/Chondroitin, Centrum Silver, B-Complex with Vitamin C, Turmeric 1 cap, Vi

Current Illness: Covid -off quarantine Dec. 17.

ID: 0948341
Sex: F
Age: 73
State:

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

Lab Data:

Allergies:

Symptoms: Patient felt lightheaded upon standing when her observation period was over. She also may have stood up too quickly, per pt. She reports a low BP in general. A bottle of water was given to patient; after drinking, she felt better. Her BP was 112/90. Her HR was 68. Patient reassured and felt better. She was given another bottle of water and walked around a bit with no symptoms. Patient left stable.

Other Meds:

Current Illness:

ID: 0948342
Sex: F
Age: 46
State: MS

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

Lab Data: none

Allergies: Doxycycline

Symptoms: Extreme fatigue, headache, fever, nausea, muscle and joint pain

Other Meds: Adderall 25mg, MVI, Vitamin D, Vitamin B12

Current Illness: none

ID: 0948343
Sex: F
Age: 78
State: NE

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

Lab Data:

Allergies: sulfa

Symptoms: Diarrhea, sore arm, nausea, headache, and fatigue. Symptoms resolved within 24 hours except for arm soreness. Took Tylenol and rested.

Other Meds: atenolol, amlodipine, simvastatin, meloxicam

Current Illness:

ID: 0948344
Sex: F
Age: 43
State: TX

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

Lab Data:

Allergies:

Symptoms: Raised welts, redness and itchy around the injection site. Treatment: none. Outcome: does not interfere with ADLs continue to work.

Other Meds:

Current Illness:

ID: 0948345
Sex: F
Age: 57
State: MI

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

Lab Data:

Allergies:

Symptoms: 20 minutes after injection and after leaving the clinic, she developed a metallic taste in her mouth, feeling of thick tongue, tingling from the neck to the top of her head. Took 25 mg Benadryl while in her car. No swelling and no respiratory distress. After 30 minutes, she didn't feel worse so she drove home (50 minute drive). Her symptoms resolved around 9pm (about 1 hour, 20 minutes after taking Benadryl).

Other Meds: Lisinopril, steroid ointments

Current Illness:

ID: 0948346
Sex: F
Age: 48
State:

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

Lab Data:

Allergies:

Symptoms: Staff member presented for Covid vaccine and approximately 5 minutes after receiving dose, experienced diaphoresis, light headedness and palpitations, then stated that she felt her throat swelling. Epinephrine was drawn up but not administered. A Rapid Response was called and they evaluated her and suggested she go to ED for further eval. Staff member refused further treatment and left area ambulatory in stable condition . WB"

Other Meds:

Current Illness:

ID: 0948347
Sex: F
Age: 27
State: PA

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

Lab Data:

Allergies: none

Symptoms: Left arm unusually tight and swollen about 2 hours after injection. Woke up that night in severe pain. Unable to life arm to dress next morning. Increasing pain, felt like a circulation problem - cold, numb, limp used ice and tylenol and aleve, day two slightly better

Other Meds: oral contraceptives

Current Illness: none

ID: 0948348
Sex: F
Age: 43
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 approx. 1 hour after vaccination, burning at injection site and burning sensation up her arm and behind her L ear. Approx. 4 hours after vaccine, + fatigue, abd pain, abd cramping and chest tightness. Patient report cardiac hx. + nausea and feeling ?flu like?. Patient called off of work the night of 13th and 14th due to feeling unwell. Patient denies fever. At time of call, patient reports still feeling very fatigued, congested and abd pain/cramping. Patient denies COVID-19 exposure without proper PPE and travel. Last day of work and shift - ? 1/12 (night shift) Home remedies? - rest Any improvement? ? mild improvement Recommendation? Patient has been referred for testing. Patient reports previously tested in March (negative result). Patient encouraged to remain quarantine at home and to contact EH command center for assistance with testing. Patient verbalized back understanding and denied further questions at this time.

Other Meds:

Current Illness:

ID: 0948349
Sex: M
Age: 54
State: TX

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

Lab Data: Lab was Curative DC, appointment scheduled on 01-07021, appointment completed on 01-08-21, specimen received on 01-10-21 and results released on 01-12-21. POSITIVE

Allergies:

Symptoms: Pt informed us today, 1-15-21, that he tested positive for COVID-19. He was tested on 01-08-21 and failed to inform us during his vaccine checklist questions. He answered no to all questions and was afebrile. He is remaining at his residence now.

Other Meds:

Current Illness:

ID: 0948350
Sex: F
Age: 21
State: TX

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

Lab Data:

Allergies: n/a

Symptoms: The first two days after injection it was painful to lift arm above 30 degrees and hurt upon palpation and I had an overall tiredness. A week after the injection on 1/13/2021 I developed a raised, red rash surrounding the injection site (2in x 4 in). The skin that was inflamed was 101.2 degrees fahrenheit. The intense rash lasted around 24 hours and subsided after 3 treatments of Benadryl cream and one dose of oral Benadryl. The skin is still slightly raised and has a slight redness to it today (1/15/2021) but is much better than before.

Other Meds: n/a

Current Illness: n/a

ID: 0948351
Sex: F
Age: 38
State:

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

Lab Data:

Allergies:

Symptoms: reports a 3 inch in diameter raised, reddened and warm to touch area to injection site with complaint of itching Reports no pain or discomfort

Other Meds:

Current Illness:

ID: 0948352
Sex: F
Age: 73
State:

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

Lab Data:

Allergies:

Symptoms: Patient felt lightheaded upon standing when her observation period was over. She also may have stood up too quickly, per pt. She reports a low BP in general. A bottle of water was given to patient; after drinking, she felt better. Her BP was 112/90. Her HR was 68. Patient reassured and felt better. She was given another bottle of water and walked around a bit with no symptoms. Patient left stable.

Other Meds:

Current Illness:

ID: 0948353
Sex: F
Age: 65
State: TX

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

Lab Data:

Allergies: Penicillin, sulfur, latex, activated charcoal

Symptoms: Metallic taste in mouth. Received the antibody infusion yesterday PT was in a hurry wanted to end phone call. Did not get all the details.

Other Meds: Spironolactone, thyroid hormone, atorvastatin, estrogen, ziac, losartan, Omeprazole, multivitamin, D, prese vision eye.

Current Illness: no

ID: 0948354
Sex: F
Age: 22
State: AL

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

Lab Data:

Allergies: bactrin

Symptoms: nauseau; vs: 127/77 rr-30 hr-117 o2 sat 100% 15 min recheck hr-91 1425 no further problems

Other Meds: vistaril; paxil;sysnthroid rybelsus;

Current Illness:

ID: 0948355
Sex: F
Age: 43
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 approx. 1 hour after vaccination, burning at injection site and burning sensation up her arm and behind her L ear. Approx. 4 hours after vaccine, + fatigue, abd pain, abd cramping and chest tightness. Patient report cardiac hx. + nausea and feeling ?flu like?. Patient called off of work the night of 13th and 14th due to feeling unwell. Patient denies fever. At time of call, patient reports still feeling very fatigued, congested and abd pain/cramping. Patient denies COVID-19 exposure without proper PPE and travel. Last day of work and shift - ? 1/12 (night shift) Home remedies? - rest Any improvement? ? mild improvement Recommendation? Patient has been referred for testing. Patient reports previously tested in March (negative result). Patient encouraged to remain quarantine at home and to contact EH command center for assistance with testing. Patient verbalized back understanding and denied further questions at this time.

Other Meds:

Current Illness:

ID: 0948356
Sex: F
Age: 48
State: MD

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

Lab Data: none

Allergies: NKA

Symptoms: Patient was post receiving Moderna Covid19 vaccine and was in observation area AT 3:00 PM Felt lightheaded and reported to assistant in area. Patient was taken to cot. Blood pressure, pulse and pulse oxygen, results were within normal parameters. She reported not having had much water during day, only sips. Rested for 20-30 minutes and reported feeling better and she left and drove herself home.

Other Meds: Lisinopril

Current Illness: High Blood Pressure

ID: 0948357
Sex: F
Age: 50
State: IL

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

Lab Data:

Allergies: Cypro, Hisminal

Symptoms: Headache, chills, fever, muscle aches beginning 11 hours after vaccine received.

Other Meds: Lo Loestrin Fe, Probiotic, Vitamin D

Current Illness: None

ID: 0948358
Sex: F
Age: 24
State: MA

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

Lab Data:

Allergies: NKA

Symptoms: Symptom onset ~12 hours after vaccine administration: severe chills, rigors, body aches: lasted ~10-12 hours followed by moderate headache and mild nausea, malaise, muscle soreness all resolving by 36 hours after administration. Afebrile. Injection site tenderness from time of administration still persisting.

Other Meds: Combination birth control pill

Current Illness: None

ID: 0948359
Sex: M
Age: 74
State: AZ

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

Lab Data: none

Allergies: none

Symptoms: NOT POSSIBLE TO MAKE APPOINTMENT WHY NOT SIMPLY STATE WHEN NEXT IS AVAILABLE????

Other Meds: none

Current Illness: Cardiomyopathy

ID: 0948360
Sex: F
Age: 40
State:

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

Lab Data:

Allergies:

Symptoms: 15 minutes after receiving the second dose of vaccine, she felt light-headed and short of breath. She received Epinephrine 0.3 mg IM, solumedrol, and Benadryl. She remained hemodynamically stable.

Other Meds:

Current Illness:

ID: 0948361
Sex: F
Age: 26
State: AK

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

Lab Data:

Allergies: nkda

Symptoms: Per patient starting just over 24 hours ago patient developed redness, warmth, itching, and welt (now size of golf ball) around the injection site. Reaction just started about 1 week after dose administration and no reported reaction prior. has taken a couple doses of benadryl which patient stated helped reduce symptoms

Other Meds: steroid nasal spray

Current Illness: none listed

ID: 0948362
Sex: F
Age: 53
State: MA

Vax Date: 12/22/2020
Onset Date: 12/24/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data: no

Allergies: Adhesive Tape

Symptoms: Sore arm right away; developed a lump above my left clavicle that was initially the size of half an inch in diameter - round; felt like a cyst. Had our dr check it out. My dr wanted to see me .Found It was lymph node that was activated. No treatment. Very sore; whole region around the lymph node really sore and tender to the touch Had a hard time lifting arm up because it would slide under my clavicle and it really hurt. . Now it is down to the size of a pea. can still feel it but the pain has subsided. My doctor has seen 12 people so far who has had that reaction.

Other Meds: Vit D; Zinc; Co-Q 10 and Probiotic

Current Illness: no

ID: 0948363
Sex: F
Age: 48
State: PA

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

Lab Data: none

Allergies: none known

Symptoms: Received the vaccine on 1/7/21 and on 1/14/21 felt itching at arm. I felt a big, large, red bump and it is getting bigger and hotter as of 1:15pm, 1/15/21.

Other Meds: Lipitor 20 mg, Vitamin D 2000

Current Illness: none

ID: 0948364
Sex: F
Age: 73
State:

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

Lab Data:

Allergies:

Symptoms: Felt lightheaded. Bottle of water was given to patient; after drinking, she felt better. Left stable

Other Meds:

Current Illness:

ID: 0948365
Sex: F
Age: 61
State: PR

Vax Date: 01/03/2021
Onset Date: 01/10/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: NONE

Symptoms: LEFT ARM LUMP REDDISH SKIN ERUPTION VERY ITCHY AND STING SENSATION.TODAY IS JANUARY 15,2021, AND THE AREA LOOKS BETTER AFTER USING HYDROCHORTIZONE OINTMENT PLACING COLD PADS AND DRINKING ONLY ONE DOSE OF ALEVE. NO FEVER OR CHILLS PRESENT AT ANY MOMENT , NIETHER PAIN.

Other Meds: METFORMIN 500MGS / ATORVASTATIN 10MGS / TURMERIC 1000MGS /LEMON GINGER TEA

Current Illness: NONE

ID: 0948366
Sex: F
Age: 65
State: MI

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

Lab Data:

Allergies: Codeine and Shellfish, and multiple ointment and creams.

Symptoms: Patient presented with history of anaphylaxis to shellfish. Nurse advised patient of need for 30 minute wait post covid 19 vaccine. Patient complied. After initial 30 minute wait, patient complained her mouth was dry and asked for water. Water provided, patient denied other symptoms. Based on history patient advised to wait another 20 minutes, and notify staff prior to leaving. 5-10 minutes later husband alerted nurse that she was feeling worse. Upon assessment, patient complained of swollen tongue, and difficulty swallowing. Adverse reaction protocol initiated. Client laid on cot, vitals taken, EMS called. Tourniquet applied above vaccination site, distal pulse check every 5 minutes. Nasal cannula, 4L applied. Blood pressure high, patient became flushed, complained of worsening in swallowing. Epi pen given in right thigh, Benadryl given IM in right deltoid. EMS arrived and took over care. Patient transported to hospital.

Other Meds:

Current Illness: Non insulin dependent diabetic.

ID: 0948367
Sex: F
Age: 31
State: CA

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

Lab Data: none

Allergies: None

Symptoms: Diarrhea/severe cramps overnight the next day (6-7 loose stools), treated with one dose of Imodium with some improvement. Resolved after 12hours. Severe fatigue and chills lasting 24hrs and resolved without any treatment.

Other Meds: Benadryl 25mg po x1 1 hour prior to vaccination

Current Illness: None

ID: 0948368
Sex: F
Age: 53
State:

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

Lab Data:

Allergies:

Symptoms: COVID Vaccine Clinic. Upon staff member receiving vaccination, collapsed after getting up from chair. Rapid Response was called. Staff member was positioned supine with legs elevated. Blood pressure 147/88 HR 92.Po2 at 100% on room air. Complained of feeling faint and dizzy. Assessed by Rapid Response RM and MD. Escorted via cart to mid hallway for further evaluation. SM symptoms continued to be concerning, transported to ED with MD escort. Staff member was evaluated in ED. fluids given, Zofran for nausea and Benadryl. CTOH was completed and resulted as no abnormalities. Staff member was discharged to home in stable condition.

Other Meds:

Current Illness:

ID: 0948369
Sex: F
Age: 50
State: CA

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

Lab Data: unknown

Allergies: NKDA

Symptoms: 1155am Patient immediately felt dizzy after administration of the vaccine. Positioned patient comfortably in a chair. Provided water for hydration. Patient alert and oriented responding to verbal stimuli 1212 O2 sat checked satting @98% on RA HR= 104 1219 Continously checked O2 satting 99% on RA HR= 115 1221 c/o SOB and pain @ Right shoulder currently on 99%on RA. 911 activated by the lifeguard staff. 1223 HR= 118 and o2 sat 98% on RA 1225 Pt's injection site warm and flushed to touch, with pain scale of 10/10, emergency box opened for BP machine. T= 99.1, o2 sat 97% on RA, HR 111. Patient's husband reported that patient has occassional ""nerve flare. 1230 Paramedics arrived, report given by RN. Vitals checked BP= 203/161, HR= 160 1233 Placed on a gurney by the paramedics and patient sent to the hospital @ 1234 via the ambulance.

Other Meds: Unknown

Current Illness: Nerve flare as reported by husband.

ID: 0948370
Sex: F
Age: 30
State: AR

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

Lab Data:

Allergies: Penicillin and Cycline drugs

Symptoms: Chills, body aches, neck stiffness

Other Meds: Birth Control, Spironlactone

Current Illness: Test positive for Covid 12/11/2020

ID: 0948371
Sex: F
Age: 49
State: OH

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

Lab Data:

Allergies:

Symptoms: on 1/15/2021 this individual called in to report that on 1/14/2021 she noticed a reddened area on her left arm around the site of injection that is approximately 1"x3" in size. She reports this area is red, raised, itchy, and burning at times. She noted no other adverse symptoms until this developed.

Other Meds:

Current Illness:

ID: 0948372
Sex: F
Age: 59
State: GA

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

Lab Data: See above vital signs. No other tests were done.

Allergies: No Known Drug Allergies

Symptoms: Five minutes after receiving injection patient experienced shortness of breath, itching and burning in left arm and hand, right arm. She reported taking 2 puffs of her Proair inhaler. She worried she would pass out as she was walking. She reported her condition to NP who did an assessment. At 9:40AM the patients vitals were BP: 147/104, HR=109, O2=98%, She was advised to lie down and was placed under observation for 15 minutes. Vitals were taken again at 9:55AM - BP=142/92, HR=103, O2=95%. The patient moved to the Travel, Immunization, and Allergy Clinic for further observation. Dr. examined the patient. He Heart rate was 116. The patient drank some water and juice and took an antihistamine (Claritin). She didn't want Benadryl as she didn't like the way it made her sleepy. After resting for 40 minutes, she stated that she felt better. Dr. checked on her again and said that she could go back to work if she felt OK and to be monitered by RN for the next hour. She rested and was checked at 10:30, 11:00, 11:30 AND 12:15 and reported feeling better.

Other Meds: Proair Inhaler

Current Illness: Asthma

ID: 0948373
Sex: F
Age: 32
State: PA

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

Lab Data:

Allergies:

Symptoms: headache, diarrhea, fever and joint pain

Other Meds:

Current Illness:

ID: 0948374
Sex: F
Age: 34
State: AL

Vax Date: 01/05/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: large red square noted around the injection site on 1/14/21. Diagnosed with cellulitis on 1/15/21 and started on Keflex 500mg 3x/day x7days

Other Meds: Wellbutrin, daily vitamin,

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm