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: 0950102
Sex: F
Age: 69
State: GA

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Upon injection, immediately swelled up to size of golf ball, no erythema or other signs/symptoms of anaphylaxis, reports no other symptoms. 30 minutes later swelling has gone down some and seems to be healing.

Other Meds:

Current Illness:

ID: 0950103
Sex: F
Age: 33
State: VT

Vax Date: 01/07/2021
Onset Date: 01/16/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: Pertussis, Sulfa

Symptoms: Rash at the injection site

Other Meds: Adderall, Plaquenil, Orlissa

Current Illness: Mixed connective tissue disease, Sj?gren?s syndrome, ovarian cysts

ID: 0950104
Sex: F
Age: 39
State: AR

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: Keflex

Symptoms: Chills, headache, nausea at 2:00am, temp 101.3 at 4:30am with headache, body ache, nausea, fatigue. Temp 101.4 at 10:30am with headache, body ache, nausea, fatigue. Temp 101.7 at 4:30pm with headache, nausea, body ache, fatigue.

Other Meds: Multivitamins, probiotic

Current Illness: None

ID: 0950105
Sex: M
Age: 41
State: NY

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: The morning after my shot 1/15, I felt similar symptoms to when I had Covid in March 2020. I woke up feeling fatigued, achy and had a low-grade fever. Then that night, I woke up at 3:30 am 1/16 with severe chills, full-body aches, and high fever (although I was unable to walk to get the thermometer). During the day 1/16, as I write this, I continue to feel similar symptoms to when I was Covid positive in March 2020. Tylenol and Motrin help the symptoms to subside.

Other Meds: None

Current Illness: None

ID: 0950106
Sex: F
Age: 67
State: IL

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Hair loss in the middle of my right eye brow.

Other Meds: Synthroid 50mcg, Combigan 0.2%/0.5% (one drop in each eye, 2x per day), and Latanoprost OP 0.005% SOL GREE (one drop in left eye, as needed)

Current Illness: N/A

ID: 0950107
Sex: M
Age: 27
State: NJ

Vax Date: 12/05/2020
Onset Date: 12/05/2020
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I got a headache a few hours after injection and then had a headache since

Other Meds:

Current Illness:

Date Died: 01/15/2021

ID: 0950108
Sex: F
Age: 53
State: KY

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/16/2021
Hospital: Y

Lab Data: Unknown

Allergies: Unknown

Symptoms: "Moderna COVID-19 Vaccine EUA" It has been reported to me that pt. had gone into hospital for a heart catheterization on 1/12/2021. It was found during this procedure that pt. had suffered a MI. She was release to home the following day and passed away at her residence on 1/15/2021.

Other Meds: Unknown

Current Illness: Pt. stated she was not ill at the time of vaccination.

ID: 0950109
Sex: F
Age: 46
State: MA

Vax Date: 12/30/2020
Onset Date: 01/02/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: Blood work on 1-12-21. Results ok, sugars slightly elevated.

Allergies: Diphenhydramine Clindamycin Vicodine Food dyes

Symptoms: Previously reported when first started: report # 219108 on 1-3-21 Additional symptoms that occurred since then: extremely itchy blotchy rash that attacked underarms, under bra area, stomach, lower back, legs. Skin was hot to the touch, felt like a mild sunburn, sensitive to the touch, difficulty wearing clothes. Pain in muscles/joints in hands, and knees .

Other Meds: Levothyroxine, tylenol, ibuprofen. Acycolvir

Current Illness: N/A

ID: 0950110
Sex: F
Age: 47
State: KY

Vax Date: 01/12/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: penicillin

Symptoms: 3 days after the injection on 1/15/21, I developed hives on hands, feet, and backside. I wasn't sure if it was the vaccine or something I ate or some other irritant. On the morning of 1/16/21, I noticed redness all around the injection site (sort of like a donut with no redness in the middle where injection took place) and a couple hives forming on right arm and now ears. I took Zyrtec (don't have Benadryl on hand). Symptoms are just itchy and mildly irritating at this time.

Other Meds: bupropion sr 150mg

Current Illness: none

ID: 0950111
Sex: F
Age: 59
State: HI

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: emergency room admission and response 1/15/2021

Allergies: yes, rosefin

Symptoms: anaphalactic shock reaction, epi injection by hospital emergency staff at vaccine site, emergency room admission . We were very lucky vaccine site was Hospital was concerned that this might happen as patient had a previous anaphalactic shock by antibiotic injection few years ago

Other Meds: none

Current Illness: none

ID: 0950112
Sex: F
Age: 31
State: OH

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: None. Went to see my PCP but she did not take me seriously or believe that my symptoms could be caused by a common ingredient and no testing or measures were taken because my symptoms had already resolved by the time I could get in for appointment.

Allergies: Sulfa

Symptoms: Painful arm until Sunday, then throat felt tight, thought it was acid reflux so I took some tums. The heart palpitations started shortly after. Worse when lying down and almost felt short of breath. The heart palpitations continued until Monday night and Tuesday I woke up and palpitations resolved. I have only ever had this reaction one other time when had the Mirena. Symptoms resolved after having it removed but wasn?t sure what ingredients caused it. Now I believe there may be a common ingredient.

Other Meds: Allegra, Slynd, magnesium, vitamin d, vitamin c

Current Illness: None

ID: 0950113
Sex: F
Age: 38
State: OH

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: Clinical examination only, no other tests or lab work performed.

Allergies: Ceclor, PCN, Erythromycin

Symptoms: Injection site became red and itchy at 10:30 am the following day, then proceeded to become a raised welt, 2mm high and roughly 2.5 inches in diameter after 24 hours and remained this way for 72 hours. It was warm to the touch, painful, and itchy. After 72 hours, welt went down and a small brown bruise remained. On Thursday, January 14, my heart was racing on and off all day - I was off work and sitting in a calm and relaxed position with no reason for an increased heart rate - my resting heart rate was approx. 112 bpm and remained this way for 4 hours beginning around 1pm. When changing for bed, I noticed that the welt at the injection site had returned but was doubled in size. I applied ice to the area and hydrocortisone cream and went to bed. The welt was still there the following morning (Friday, January 15) and was slowly decreasing in redness and size. At 7:30pm on Friday, January 15 I went to express care at the advice of my PCP and was evaluated. I was told to take Zyrtec and continue to ice the area, apply hydrocortisone cream if I found it helpful, and to report symptoms here.

Other Meds: Prenatal Vitamin, Folate 400mg, Vitamin D3 4000 iU, Potassium Citrate 1080mg, hydroxycholorquine 200mg, escitalopram oxalate 20mg, celecoxib 100mg, olopatadine .1%, azelastine .1%, levocetirizine 5mg, flonase, gabapentin 300mg

Current Illness: Had flare of Lupus/Fibro symptoms October - December

ID: 0950114
Sex: F
Age: 61
State: NE

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: Sore arm Intermittent nausea

Other Meds: Effexor Fish Oil CBD oil

Current Illness: Covid-19

ID: 0950115
Sex: F
Age: 18
State: NY

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fever, vomiting, chills, dizziness, headache, sweating,

Other Meds: Gianvi Spirolactatone Duloxetine Ariprazole Famotidine Albuterol

Current Illness: COVID: 12/29/2020 Tested Positive

ID: 0950116
Sex: F
Age: 71
State: IL

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: none

Allergies: none known

Symptoms: 1/15/2021, 8:15 AM Approx. 10 minutes after arising, experienced dizziness, nausea, unwell feeling, cold sweat. Lasted approx. 20 minutes. Resolved after lying down..

Other Meds: Vitamin C Calcium + Vitamin D Allegra

Current Illness: none

ID: 0950117
Sex: F
Age: 45
State: NJ

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: None

Allergies: N/A

Symptoms: 6 days post injection small hives began at injection sight. 7 days post injection the area became inflamed and hot to the touch. I spoke with my pcp and it was decided we would continue to monitor the site.

Other Meds: N/A

Current Illness: N/A

ID: 0950118
Sex: M
Age: 38
State: TN

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Right thumb joint pain. I can't hold unto things in my right hand that requires me using pressure from my thumb. Pain is a 9/10 when holding, grabbing, or using the thumb in any way. When not using the thumb there is no pain at all. I work out everyday and I am no longer to lift weights using my right hand because of the excruciating pain when I try to.

Other Meds:

Current Illness:

ID: 0950119
Sex: F
Age: 43
State: FL

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/16/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: Had COVID twice, August 2020 and September2020. After inj, 7 minutes, cold, sweaty, dizzy, h/a. At night around 7pm feeling very cold at a restaurant. Got a fever. All night clothes were wet from sweating. Pain in muscles and joints for 3 days. Took Tylenol for 3 days. Then started to feel better.

Other Meds: no

Current Illness: no

ID: 0950120
Sex: F
Age: 47
State: TX

Vax Date: 01/04/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: Keflex

Symptoms: Started out with a rash behind my knees in early morning. Quickly moved to groin area, behind and on ears, back of head/neck, hip area, under/around breast & underarm area. Intense itching. Saw clinic nurse practitioner at an Urgent Care facility around 6:30pm that night. She gave a steroid injection and Prednisone for me to take for next 5 days.

Other Meds: Tamoxifen, Mucinex, Zyrtec, Vitamin D (5,000 IU), Montelukast, Escitalopram, Triamterine

Current Illness: None

ID: 0950121
Sex: M
Age: 57
State: PA

Vax Date: 12/14/2020
Onset Date: 12/14/2020
Rec V Date: 01/16/2021
Hospital:

Lab Data: EGK, Stress test and echo, Covid test (negative), Halter monitor

Allergies: Penicillin

Symptoms: It was my 2nd Shingrix Shingles vaccine. Dec 14th - Migraine headache 12/15-12/19 - Chills, fever, stomach ache, muscle ache, migraine headache 12/21 - 12/24 - Vertigo, heart racing, chest pressure 12/28 - present - skipping beats, fatigue, chest pressure

Other Meds: Multi Vitamin Vitamin C Aspirin 81 mg Flaxseed oil Folic Acid Vitamin B12 Rosuvastatin 10 mg CoCu10

Current Illness: None

ID: 0950122
Sex: F
Age: 47
State: NY

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/16/2021
Hospital:

Lab Data: CXR, EKG, labs, CT sinuses

Allergies: NKDA

Symptoms: Day 1, Paresthesias in my feet, weakness in legs. Day 4, nasal congestion, feverish, malaise, anorexia, intermittent paresthesias, SOB, Chest Discomfort for 14 days straight, slightly better today.

Other Meds: Zinc 50mg daily, Vitamin C 1000mg daily Vitamin D 5000IU daily

Current Illness: URI symptoms

ID: 0950123
Sex: F
Age: 47
State: NC

Vax Date: 10/03/2020
Onset Date: 10/03/2020
Rec V Date: 01/16/2021
Hospital:

Lab Data: N/A

Allergies: penicillin and minocycline

Symptoms: Hives on face and legs

Other Meds: vit D, vit B12 and iron

Current Illness:

ID: 0950124
Sex: F
Age: 43
State: TX

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: I WEEK AFTER RECEIVING VACCINATION - INJECTION SITE BECAME RED, WARM AND ITCHY

Other Meds: TYLENOL, NYQUIL

Current Illness: NONE

ID: 0950125
Sex: M
Age: 40
State: NV

Vax Date: 12/18/2020
Onset Date: 01/03/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: None, diagnosis based on presentation

Allergies: NKDA. No food allergies

Symptoms: Shingles affecting Left Trigeminal Nerve, 3rd division

Other Meds: None

Current Illness: None

ID: 0950126
Sex: F
Age: 55
State: IN

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: NONE

Allergies: no

Symptoms: fatigue, headache, body aches. sx severe in am (day after vaccine) , improved by the evening. none by the next day.

Other Meds: cetirizine, escitalopram, vitamin D

Current Illness: no

ID: 0950127
Sex: F
Age: 49
State: CA

Vax Date: 12/30/2020
Onset Date: 01/09/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: Chest X-ray ordered by MD but not completed since feeling better. Steroid inhaler prescribed. Telemedicine visit with MD.

Allergies: Latex, cats, erythromycin, compazine.

Symptoms: SOB, dizziness, headache, fatigue.

Other Meds:

Current Illness:

ID: 0950128
Sex: F
Age:
State: AZ

Vax Date:
Onset Date:
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0950129
Sex: F
Age: 38
State: NH

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: Amox/peniciilin

Symptoms: Small red bumpy rash size of a quarter starting on Thursday around 12:45. Doubled in size in one day. Now the size of a softball.

Other Meds: Sumatriptain

Current Illness:

ID: 0950130
Sex: F
Age: 57
State: IN

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/16/2021
Hospital:

Lab Data: Covid Test- Positive

Allergies: Sulfa

Symptoms: On 12/22/2020 the day of vaccination in the evening around 6:30pm when I was driving I started having visual disturbances. The next morning 12/23/2020 I woke up with a bloody eye it was my right eye it lasted one day. On the following Monday on 12/28/2020 I was not feeling good I started getting headaches, feeling aching, at night I started getting fevers, congestion, & fatigue. It went away on 1/1/2020. Seen doctor on 12/29/2020

Other Meds: Fish Oil 1 daily Vitamin D3 Metformin 500mg 1 a day Lisinopril 5mg 1 a day Lipitor 10mg daily Baby aspirin 81mg daily Turmeric with black pepper Vitamin E Genetic Claritin

Current Illness: No

ID: 0950131
Sex: F
Age: 61
State: AZ

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Diuresis Went to urinate 7 times at night 13 hours after the second dose

Other Meds: none

Current Illness: none

ID: 0950132
Sex: M
Age: 58
State: NY

Vax Date: 12/22/2020
Onset Date: 01/07/2021
Rec V Date: 01/16/2021
Hospital: Y

Lab Data:

Allergies: None

Symptoms: Patient had COVID-19 infection April 2020, ataxia and myoclonus developed, treated with IVIG and steroids at that time. June 2020 had full recovery after PT. Pt received Pfizer COVID-19 dose 1 on 12/22/20 and developed similar symptoms to above on 1/7/2021. Ataxia and tremor on examination, no myoclonus at this time.

Other Meds: Jardiance, Metformin, Simvastatin, Ramapril, Amlodipine Vitamin D, Vitamin E, Fish Oil, Tumeric

Current Illness: None

ID: 0950133
Sex: F
Age: 51
State: NJ

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: Fresh pineapple Surgical glue

Symptoms: Fever, chills, throwing up, sore arm

Other Meds: Mort?s spine 15 mg

Current Illness:

ID: 0950134
Sex: F
Age: 71
State: GA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: sulfur

Symptoms: Nausea on the first day, but on the second day much stronger and now on the third day still feel nauseated. Wondering how long this nausea will go on

Other Meds: Levoxyl. B-12. Vitamin D

Current Illness:

ID: 0950135
Sex: M
Age: 79
State: AZ

Vax Date: 02/01/2021
Onset Date:
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: atenolol norvase

Symptoms: None stated.

Other Meds:

Current Illness: none

ID: 0950136
Sex: F
Age: 75
State: PA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: warm, itchy, redness at injection site- will monitor for cellulitis

Other Meds:

Current Illness:

ID: 0950137
Sex: F
Age: 69
State: TX

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/16/2021
Hospital:

Lab Data: None

Allergies: Sulfa

Symptoms: Localized reaction at the injection site on right deltoid; redness; slight rash; moderate itching; swelling

Other Meds: Albuterol Inhaler; Furosemide; Fluticasone Nasal Spray; Omeprazole; Duloxetine; Butalbital/APAP/Caffeine; Clonazepam; Carisoprodol; Aripiprazole; Bromfed DM; Methocarbamol; Diltiazem CD; Benzonatate;

Current Illness: Bronchitis; Yeast infection; Dental infection/pain;

ID: 0950138
Sex: M
Age: 72
State: PA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: None

Allergies: Penicillin, enalapril

Symptoms: Weird tingling or numbness of tongue and possibly lips 20 min post vaccine. No softness of breath, fast heart rate, etc. Black and blue spot noticed on underside of tongue later. Did not report to pharmacist. Drove home, took fexofenadine 180 mg, symptoms subsided, ate dinner, and went to sleep as usual.

Other Meds: Chlorthalidone, allopurinol, potassium chloride, escitalopram, simvastatin, silodosin, acetaminophen

Current Illness:

ID: 0950139
Sex: F
Age: 41
State: TX

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: Codeine, Latex

Symptoms: I started itching while being monitored post vaccine administration within the 5 minutes of the vaccine being administered. The itching was everywhere including my tongue and throat, since this is my workplace and I was working I had to go home and was given Benadryl to take upon arrival, the Benadryl did not help so I did a virtual visit with a physician who recommended that I increase the dose of benadryl at the same time I called my PCP to inform them of the issue they ordered, Atarax 25 mg every 6 hours plus taking an over the counter antihistamine.

Other Meds: Multivitamin Calcium

Current Illness: none

ID: 0950140
Sex: F
Age: 60
State: TX

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: NONE

Allergies: NO

Symptoms: 1 WEEK AFTER RECEIVING INJECTION - INJECTION SITE BECAME RED, SWOLLEN, WARM AND ITCHY

Other Meds: FISH OIL, MOTRIN, VITAMINS, ESTROGEN , PROGESTERON

Current Illness: NONE

ID: 0950141
Sex: F
Age: 56
State: MN

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: None

Allergies: Not germane

Symptoms: Nurse administrating vaccine used the syringe system provided with the vaccine. Upon removal of the needle, the nurse laid the syringe on the table and simultaneously the patient felt a wet spray on her arm. The patient (an infectious diseases specialist very familiar with vaccine administration) observed that the needle was aimed at her and not retracted at all. The proper use of the brand of safety syringe would result in the needle retracting into the syringe before the administrator moves the syringe hub off the injection site of the arm. Given the needle was not retracted and the patient was sprayed with fluid, I conclude the patient received at best a partial dose. I will invalidate this dose in Epic (deleting it with the reasons quantity not sufficient) and order a follow-up visit where the patient can receive a valid second dose. We will not wait any minimum interval between this invalid dose and the valid dose.

Other Meds: Not germane

Current Illness: Not germane

ID: 0950142
Sex: F
Age: 57
State: TX

Vax Date: 01/13/2020
Onset Date: 01/14/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: None

Allergies: Levaquin

Symptoms: Fever, chills, headache, sore arm with pink blotches and hard spots

Other Meds: Flonase Pepcid Vesicare Symbicort Algae oil (omega 3) Vitamin d, b12, biotin Occuvite

Current Illness: None

ID: 0950143
Sex: F
Age: 24
State: OH

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Symptoms include skin painful to the touch, body aches, chills, overall feeling unwell

Other Meds: Birth control

Current Illness: COVID-19 positive test but mild symptoms

ID: 0950144
Sex: F
Age: 37
State: TX

Vax Date: 01/05/2021
Onset Date: 01/14/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 9 days after then vaccine, I developed a hard red area on my arm that was warm to the touch. It tripled in size overnight and became even more red and warm.

Other Meds: Birth control

Current Illness: None

ID: 0950145
Sex: F
Age: 68
State:

Vax Date: 07/28/2020
Onset Date: 07/29/2020
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: Sulfa, scallops

Symptoms: 100-degree fever for 24 hours. Full-body aches 48 hours. Tiredness 48 hours.

Other Meds: Sertraline, baby aspirin, Miralax

Current Illness: None

ID: 0950146
Sex: F
Age: 44
State: IL

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: Gluten

Symptoms: Sore left arm, winded when climbing stairs, sore joints.

Other Meds: Multivitamins

Current Illness: None

ID: 0950147
Sex: F
Age: 19
State: WI

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: Azithromycin

Symptoms: Experiencing redness and rash, bilaterally on facial cheeks (bucca). No SOB at time of reporting.

Other Meds: Montelukast 10mg Sertraline 100mg Omeprazole 20mg Dulera

Current Illness:

ID: 0950148
Sex: M
Age: 43
State: LA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Pain, tenderness, swelling in arm of the injection within 24 hours following vaccine.

Other Meds: None

Current Illness: None

ID: 0950149
Sex: F
Age: 25
State: NC

Vax Date: 01/06/2021
Onset Date: 01/14/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: Fluconazole (angioedema, rash, trouble breathing) Bactrim (diffuse rash/delayed drug reaction)

Symptoms: Post vaccine - Day 7: itching Day 8: hive like rash began at area injection; itching Day 9: erythema about 4-6 inches in diameter around vaccine injection site (right arm); itching Day 10: same as day 9 Day 11: erythema about 6 inches now with large central clearing I have taken Zyrtec during this and used topical cortisone to help with the itching. Has made no difference in rash size.

Other Meds: Lo estrin Fe (birth control) Zyrtec OTC

Current Illness: None

ID: 0950150
Sex: F
Age: 74
State: LA

Vax Date: 01/07/2021
Onset Date: 01/16/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: SULFA

Symptoms: On the same day as injection, there was some redness at injection site, but no itching. 9 days after injection, injection site is redder, painful, and itching enough to where it interfered with sleep.

Other Meds:

Current Illness:

ID: 0950151
Sex: F
Age: 23
State: MA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Face swelled up, difficulty breathing, fever. Went to ER got Benadryl. Symptoms got worse as time went on about 2hrs after the shot. Congested

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm