VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 11/12/2021
** VAERS DATABASE Last updated: November 12, 2021**
PLEASE CHECK BACK SOON
Download the files above while you wait.







Manufacturers

Total Manufacturer
46,870MODERNA
532GLAXOSMITHKLINE BIOLOGICALS
353PFIZER\BIONTECH
231MERCK & CO. INC.
221UNKNOWN MANUFACTURER
62SEQIRUS, INC.
25DYNAVAX TECHNOLOGIES CORPORATION
13EMERGENT BIOSOLUTIONS
12SANOFI PASTEUR
9NOVARTIS VACCINES AND DIAGNOSTICS
5PFIZER\WYETH
5PAXVAX
2TEVA PHARMACEUTICALS
2PROTEIN SCIENCES CORPORATION
1BERNA BIOTECH, LTD.
1INTERCELL AG
1CSL LIMITED

COVID19 Lot Number

VAX LOT Total
2S9CL1,906
1,575
289
IMM209286
252
236
229
s029456178
171
UT7065MA166
155
149
145
S034636133
107
U62828AA103
100
98
P10025327596
U6737AA85
UJ446AA79
78
78
59
57
4BH3254
4F47253
52
27656352
50
PP9L548
49TM346
42
40
38
MENVEO38
4F47237
R1B252M36
34
C5763AA30
93362229
25
300057A24
UNK24
22
CW311621
18
17
15
UH894AB15
3Y7NL12
R1B743M12
EJ168611
el128410
10
10
10
9
ARBA141A9
UNK9
8
UNK8
8
1F4EB8
Unknown7
7
No batch number6
5
5
UJ090AA5
5
5
4
4
4
UNK4
JEV18K95E4
UNK3
A115A3
Z127A3
3
3333324181073
2
2
2
TAR352
1
1
1
1
1
A739081
1
1
1
1
1
037K20A68,542
EL128447,700
133

Incidents per State

State Total
15,185
CA14,096
NY7,507
TX7,196
FL6,939
IN5,527
PA4,560
IL4,179
OH4,054
AZ3,856
MI3,771
NJ3,411
MA3,278
VA3,208
NC3,114
WA3,034
GA2,864
MD2,652
MN2,534
CO2,532
WI2,457
MO2,029
OR1,943
TN1,715
CT1,693
KY1,603
OK1,226
AL1,201
KS1,162
IA1,157
SC1,106
NM1,065
UT973
AR951
LA945
NE829
NV797
ME795
MT789
NH756
ID674
AK661
WV661
PR650
MS585
HI536
RI510
VT441
SD361
ND356
DE350
DC239
WY209
GU32
AS16
VI13
MP9
MH3
FM2
QM1
XB1

ID: 0950217
Sex: F
Age: 72
State: CA

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

Lab Data: None

Allergies: Penicillin

Symptoms: Increased Heart Beat for about 2 hours on 1/13 and again on 1/16. Contacted dr. Office and they said to file this report.

Other Meds: Lipitor Blood Pressure Arava (Arthritis) Hormone Avirstatin

Current Illness: None

ID: 0950218
Sex: F
Age: 29
State: NC

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

Lab Data:

Allergies: N/a

Symptoms: Fever, headache, chills, and body aches

Other Meds: Prenatal, probiotic, fish oil

Current Illness: None

ID: 0950219
Sex: F
Age: 47
State: NH

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: None

Allergies: Levaquin

Symptoms: On day 7 post vaccine noticed redness, swelling and itching at vaccine site. On day 8 woke up with swelling and redness had spread, are became hard, warm to touch, I was seen at an urgent care facility and prescribed Keflex, prednisone and advised to take Benadryl and use hydrocortisone cream. Day 9 swelling as firmness began to decrease however the redness ?rash? did not. Day 10 (today) swelling and firmness almost completely resolved however the redness ?rash? continues to slowly spread.

Other Meds: Lisinopril HCTZ

Current Illness: None

ID: 0950220
Sex: F
Age: 31
State: IL

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

Lab Data: CRP <1.0 Sodium 139 mEq/L 133 - 146 mEq/L Potassium 4.2 mEq/L 3.5 - 5.1 mEq/L Chloride 105 mEq/L 98 - 109 mEq/L CO2 27 mEq/L 21 - 31 mEq/L Calcium 9.7 mg/dL 8.3 - 10.5 mg/dL Anion Gap 7 5 - 16 Albumin 4.8 g/dL 3.5 - 5.7 g/dL Urea Nitrogen 12 mg/dL 2 - 25 mg/dL Creatinine 0.68 mg/dL 0.60 - 1.30 mg/dL Glucose 122 mg/dL 65 - 100 mg/dL Total Protein 7.4 g/dL 6.4 - 8.9 g/dL ALT (SGPT) 32 Unit/L 0 - 52 Unit/L Alkaline Phos 43 Unit/L 34 - 104 Unit/L AST (SGOT) 40 Unit/L 0 - 39 Unit/L Total Bilirubin 0.4 mg/dL 0.0 - 1.0 mg/dL GFR(African American) >60 mL/min/1.73m2 >=60 mL/min/1.73m2 GFR(Others) >60 mL/min/1.73m2 >=60 mL/m WBC 13.3 K/UL 3.5 - 10.5 K/UL RBC 4.38 M/UL 3.80 - 5.20 M/UL HGB 14.2 g/dL 11.6 - 15.4 g/dL HCT 42.2 % 34.0 - 45.0 % MCV 96 FL 80 - 99 FL MCH 32.4 pg 27.0 - 34.0 pg MCHC 33.6 % 32.0 - 35.5 % RDW 11.1 % 11.0 - 15.0 % PLT 356 K/UL 140 - 390 K/UL MPV 9.5 fL 8.8 - 12.1 fL Differential Type Auto Reflex Morphology No Neutrophils 83 % % Lymphocytes 13 % % Monocytes 3 % % Eosinophils 0 % % Basophils 0 % % Immature Granulocytes 1 % %

Allergies: PPD skin test Sulfa Pneumococcal vaccine

Symptoms: 10 minutes after vaccination had a large localized site reaction. Was kept at the hospital to be watched for approximately 45 minutes. 12 hours later night sweats, headache, site reaction cleared up. 8 days later (1/14/21) site became red, hot, and very inflamed. I had a similar reaction to the pneumococcal vaccine in September so I immediately contacted my allergist. I immediately took prednisone as instructed by my doctor and went in for an appointment. About 4 hours after the new site reaction, joint pain and malaise began. I'm continuing on a steroid regimen for treatment. Today 1/16/21 I am still having joint pain and swelling. Site on my arm is mostly cleared up.

Other Meds: Advair Spiriva Zyrtec Montelukast Fish Oil Vit D supp Multi vitamin Liletta IUD

Current Illness: N/A

ID: 0950221
Sex: F
Age: 21
State: TX

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

Lab Data: None.

Allergies: Penicillin

Symptoms: Patient woke up the morning after receiving the immunization and had facial and lip swelling.

Other Meds: None

Current Illness: None

ID: 0950222
Sex: F
Age: 64
State: TX

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

Lab Data:

Allergies:

Symptoms: raised reddened bumps on the left lower forearm, approximately 2 fingerbreadth below antecubital and redness on the left neck. Client seen and cleared by EMS

Other Meds: hydroxyzine

Current Illness:

ID: 0950223
Sex: F
Age: 34
State: IN

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

Lab Data:

Allergies: Nkda

Symptoms: Fever (100.4 F), chills, felt very run down/tired. Took Advil. Symptoms resolved after 2 days.

Other Meds: Multivitamin, calcium and D3

Current Illness: None

ID: 0950224
Sex: F
Age: 36
State: CA

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

Lab Data:

Allergies:

Symptoms: Itchy hive reaction at injection site, 13 days later

Other Meds: Zyrtec, Cosyentex, heather birth control, Prozac, metformin

Current Illness:

ID: 0950225
Sex: F
Age: 23
State: PA

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

Lab Data: none

Allergies: NKA

Symptoms: Chills the day and night after shot Flu like symptoms for next 2 days: headache, dizziness, lethargy and fatigue after sleeping 16 hours, loss of appetite

Other Meds: Lexapro, Oral Contraceptive

Current Illness: none

ID: 0950226
Sex: F
Age: 58
State: GA

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

Lab Data:

Allergies: No

Symptoms: Fever chills aching and nausea and diarrhea and fever blister

Other Meds: Synthroid and protonix

Current Illness: No

ID: 0950227
Sex: F
Age: 42
State: UT

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

Lab Data:

Allergies: milk

Symptoms: fever, chills, & rigor for 24 hrs un resolved with ibuprofen muscle soreness and stiffness at injection site for 4+ days itching at injection site for 7 days

Other Meds: none

Current Illness: none

ID: 0950228
Sex: M
Age: 78
State: PA

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

Lab Data: None

Allergies: No Known Allergies

Symptoms: Two hours after receiving the vaccine I started getting a bad headache. I took two Bayer aspirin, but got no relief. I had some soreness at the injection site, but tolerable. I took two more aspirin when I went to bed, but again got no relief. During the night my headache progressed to very severe. I got up early on the morning of the 16th with a severe headache, aching all over and dizziness. I ate breakfast and just relaxed during the morning and gradually the symptoms decreased. It's now midafternoon on the !6th, and other than a slight headache, I'm feeling much better. I just wanted to let you know what I experienced. I did not seek any medical interventions for this condition

Other Meds: Metformin, Amlodipine Besylate, Simvastatin, Glimepiride, Propranolol, L-Thyroxine, Darifenacin, Losartan, Zyrtec, Restasis Eye Drops, Dorzolomide Eye Drops, Baby Aspirin, Vitamin D3, Vitamin B-Complex, Magnesium Citrate

Current Illness: None

ID: 0950229
Sex: F
Age: 68
State: AK

Vax Date: 01/07/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: None needed

Allergies: None

Symptoms: Moderna Covid 19 Vaccine EUA On 8th day after injection observed bruise at injection site, redness and slight swelling on upper arm. A bit warm to the touch and some itching.

Other Meds: Multivitamin, Calcium, Vitamin D, Vitamin C, Melatonin, Fish Oil,Glucosamine, Rest as is eye drops

Current Illness: None

ID: 0950230
Sex: F
Age: 39
State: KY

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

Lab Data:

Allergies: Penicillin Keflex

Symptoms: Redness at injection shot, warm 3 inchesx2 inches 9 days post vaccine

Other Meds: Multi vitamin Vitamin D

Current Illness: None

ID: 0950231
Sex: M
Age: 44
State: PA

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

Lab Data:

Allergies: Wasp stings

Symptoms: About an hour after the injection, I had muscle twitch around left eye. I asked the coworker if they could see it and they could. The twitch in that muscle stopped that evening. Both of my eyelids occasionally twitch for the past few days

Other Meds: Finasteride 1mg, multivitamin supplement, amino acid supplement, Minoxidil 5% topical solution

Current Illness: Wasn?t feeling well the day of vaccination. One semi-loose BM

ID: 0950232
Sex: F
Age: 22
State: MO

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

Lab Data: None

Allergies: Peanuts Tree nuts

Symptoms: Chills, extreme fatigue, migraines, skin painful to touch, febrile for 2 days with TMAX 102 Took Tylenol for fevers

Other Meds: Spironolactone

Current Illness: None

ID: 0950233
Sex: M
Age: 65
State: MN

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

Lab Data: None

Allergies: all PCN

Symptoms: tiredness,headache,nausea diarrhea

Other Meds: Protonix, Tylenol

Current Illness: NONE

ID: 0950234
Sex: M
Age: 83
State: AZ

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: penicillin

Symptoms: tired, then day after throat swelling, next day sores in the mouth area-

Other Meds: Warfarin 5mg, Pantoprazole 40mg, oxybutynin 5mg, Ropinrole .5mg,

Current Illness: parkinson (maybe, still doing tests) -

ID: 0950235
Sex: M
Age: 51
State: FL

Vax Date: 12/23/2020
Onset Date: 01/04/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: None. Prescribed Valcyclovir.

Allergies: Nka

Symptoms: Developed case of shingles on left side of back and down left arm.

Other Meds: Prilosec

Current Illness: None

ID: 0950236
Sex: M
Age: 38
State: AK

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

Lab Data:

Allergies:

Symptoms: slight rash at injection site noticed 24 hours after injection. Slight rash covering most of my torso noticed 30 hours after injection. No itchiness or discomfort.

Other Meds:

Current Illness:

ID: 0950237
Sex: M
Age: 52
State: WA

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

Lab Data: None

Allergies: Iodinated contrast

Symptoms: Extensive periorbital and midface Facial swelling associated with the site of prior dermal fillers (Restylane) placed about 6 months prior

Other Meds: esomeprazole, Claritin, famotidine, acetaminophen

Current Illness: GERD

ID: 0950238
Sex: F
Age: 43
State: IA

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

Lab Data: Checked. BP which was elevated and then released when returned to normal levels in about 10 minuted reported pulse OX normal. EMS summarized a post event panic attack does have history of occasional panic attacks

Allergies: Penicillin

Symptoms: Right arm cold feeling progressed to neck and legs. Tried to return to facility after 25 minute interval after the vaccination. Then felt faint and called 911 who responded reported passed out while on 911 dispatch.

Other Meds: Tylenol Reg Strength twice a week 1-2 prn headaches

Current Illness: None

ID: 0950239
Sex: M
Age: 77
State: FL

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

Lab Data: none

Allergies: none

Symptoms: chest cold symptoms, tired. temp. normal, waves of nausea

Other Meds: covid 19 first shot Pfizer

Current Illness: none

ID: 0950240
Sex: F
Age: 31
State: FL

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: Procaine

Symptoms: flu like symptoms, shortness of breath, chest pain with deep inspiration, fatigue, malaise, body aches

Other Meds: Pepcid and Botox injections every 3 months

Current Illness: none

ID: 0950242
Sex: F
Age: 58
State: NV

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

Lab Data:

Allergies: N/A

Symptoms: On 01/14/2021 Day after vaccine the side effect have hit very hard. Body aches, chills, horrible headache, extreme fatigue. As of today I still have various symptoms. I had Covid in November. I have not went to the hospital. WHY DO THEY NOT HAVE WARNING ABOUT PEOPLE WHO HAVE ALREADY HAD COVID AND THE SIDE EFFECTS THAT COULD HAPPEN?

Other Meds: Lamictal

Current Illness: N/A

ID: 0950243
Sex: F
Age: 59
State: CT

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

Lab Data:

Allergies: None

Symptoms: Injection site pain & tenderness General side effects of: fatigue, headache, muscle pain, chills

Other Meds: None

Current Illness: None

ID: 0950244
Sex: U
Age: 71
State: MI

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

Lab Data:

Allergies: Talwin

Symptoms: 15 mins post vaccine: dizzy, swelling in mouth and throat, Epi pen administered; rapid response team responded and transferred to ED

Other Meds: Lisinopril, Wellbutrin, Furosemide

Current Illness: unknown

ID: 0950245
Sex: F
Age: 36
State:

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

Lab Data:

Allergies:

Symptoms: Patient arrived for COVID-19 vaccine (Moderna vaccine). Patient was underdosed and given 0.05mL, waited for 15 min and then left and no acute reactions were noted. Leadership was notified. Patient was brought back 3 days later for accurate dosing. No adverse event noted

Other Meds:

Current Illness:

ID: 0950246
Sex: F
Age: 43
State: CA

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

Lab Data:

Allergies: Sulfa erythromycin Magnesium Sulfate

Symptoms: Tight chest, shortness of breath, welts, red rash, swollen tongue, swollen bottom lip, itchy body, itchy mouth and throat, fatigue, tingling on legs, arms and hands

Other Meds: None

Current Illness: None

ID: 0950247
Sex: F
Age: 41
State: PA

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: none

Allergies: Augmentin, penicillin's

Symptoms: On Wed, Jan13, 2021 I noticed pain in my right arm pit when using deodorant. I got progressively more uncomfortable and swelling throughout the day. On Thursday, Jan 14, 2021, I woke up to itchy, burning sensation in my right arm. It got hot, hard and very itchy as the morning went on. Sharp burning pain started in my right arm muscles. I saw PA at my PCP's office. She also had a doctor take a look as well. I was prescribed prednisone taper for 12 days, and I was recommended to take OTC benedryl. Today, Saturday, January 16, 2021 it is still continuing to get larger, covering most of my upper right arm. Benedryl has been helping with the itchiness. It is not as hot and hard, yet continues to spread. The burning sensation has dulled but still uncomfortable.

Other Meds: Celexa, Synthroid, Tramadol, baby aspirin

Current Illness:

ID: 0950248
Sex: F
Age: 46
State: ID

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

Lab Data: None

Allergies: None

Symptoms: Injection site pain, headache, body aches, joint pain

Other Meds: Metformin, metoprolol, vitamin d, b12, Zoloft

Current Illness: None

ID: 0950249
Sex: F
Age: 34
State:

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

Lab Data:

Allergies:

Symptoms: Patient arrived for COVID-19 vaccine (Moderna vaccine). Patient was under dosed given 0.05mL, waited for 15 min and then left and no acute reactions were noted. Leadership was notified. Patient was brought back 3 days later for accurate dosing. No adverse event noted

Other Meds:

Current Illness:

ID: 0950250
Sex: F
Age: 44
State: AZ

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

Lab Data:

Allergies: none

Symptoms: tired and headache started at 2:30pm. I slept all afternoon/evening. I had a fever of 102.3. I had body aches. I'm still tired and achy.

Other Meds: none

Current Illness: none

ID: 0950251
Sex: F
Age: 82
State: IN

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

Lab Data: None as yet

Allergies: IVP Dye

Symptoms: Patient awoke at approximately 1:50 AM experiencing sever chilling with rigors. Vomited once . Took temperature, wrapped in blanket and took two Tylonol tabs with water. Episode lasted approximately 40 minutes. Has experienced no further episodes and temperature has remained normal.

Other Meds: Lisinopril Omeprazole Potassium Chloride Fluoxetine Duloxetine Pravastatin Xarelto

Current Illness:

ID: 0950252
Sex: F
Age: 40
State: AZ

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

Lab Data: Item 21 - this just happened. There should be something to select that it is still early to know. I'll be going to an allergist as soon as I can make an appointment. I'm selecting "none of the above, but that is as of 1/16/2021.

Allergies: nuvigil, fluoroquinolone

Symptoms: Received the COVID-19 Pfizer-BioNTech vaccination at 8:40pm at a stadium location. Around 8:57, I had a metallic taste in my mouth and the left side of my tongue went numb. A little later the left side of my face felt weird and the inside of my ear felt numb. It wasn't tingling, but it felt like I had a Novacaine shot (like when you get a filling at the dentist). My neck got stiff and I was really tired. The symptoms lasted about 4 hours. When I woke up this morning the left side of my face and jaw still do not feel 100%. My left eye is watery. I'm very tired.

Other Meds: Tirosint, multivitamin

Current Illness: none

ID: 0950253
Sex: F
Age: 57
State: NY

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: Bactrim

Symptoms: Headache, fatigue, congestion; red and swollen at injection site , and rash on face 1/8-1/11/21 Increased redness, swelling and itchiness radiating out from injection site (about the size of a hockey puck) 1/12-present

Other Meds: Daily multi vitamin Cbd oil

Current Illness: None

ID: 0950254
Sex: F
Age: 83
State: TX

Vax Date: 11/20/2020
Onset Date: 11/01/2020
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: PENICILLIN

Symptoms: patient called 1/16/2021 said she is still having pain at injection site( from date 11/20/20) and when she sleeps on her left arm the pain intensifies or unable to move arm without pain . She also feels a small nodule further down away from site . She is taking Tylenol and applying icey hot for relief. She will contact her doctor on Monday . No other side effects, no skin discoloration.

Other Meds: TYLENOL

Current Illness:

ID: 0950255
Sex: F
Age: 32
State: CO

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0950256
Sex: M
Age: 90
State: AK

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

Lab Data: 1/15/2021 chest xray breathing treatment

Allergies: Penicillin

Symptoms: developed low grade fever later same evening then going to 102.5 by 4pm next day.

Other Meds: 10mg amlopdipine 50mg myrbetriq 10mg rampiril 81mg baby aspirin 10mg donepezil 25mg metoprolol 2x500 Tylenol

Current Illness:

ID: 0950257
Sex: F
Age: 57
State: FL

Vax Date: 10/09/2020
Onset Date: 10/16/2020
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Febrile, Fatigue, Cerebral Palsy.

Other Meds: ParoxetiNe, ValsartaN

Current Illness:

ID: 0950308
Sex: F
Age: 48
State: NM

Vax Date: 01/07/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Redness, swelling, itching, burning and warmth at the site of injection.

Other Meds: Multi-vitamin

Current Illness: None

ID: 0950309
Sex: F
Age: 54
State: AZ

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

Lab Data:

Allergies:

Symptoms: Body aches Chills Fever Exhaustion

Other Meds:

Current Illness: Asthma

ID: 0950310
Sex: F
Age: 45
State: AZ

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

Lab Data: None.

Allergies: shellfish, sulfa, Septra, Celebrex, Vicodin

Symptoms: Approximately 25 mins post Moderna COVID-19 vaccination, pt had bilateral hand swelling and her throat started to fell scratchy. 50mg IM Benadryl administered in R arm within 1 minute. Pt has no difficulty breathing, no urticaria, hives, redness or visible swelling on chest, face, or neck. Post Benadryl administration, pt has no difficulty breathing, difficulty swallowing, and hand swelling is decreasing. Pt states she feels slightly dizzy and was briefly nauseous after Benadryl admin. Pt wants to refuse. EMS called a medical center for high-risk refusal and a doctor gave permission to refuse. Pt's husband is driving pt home and will monitor pt for next 24 hours. EMS also called Poison Control, who said there's nothing they can or will do. Our Medical Director was consulted and advised EMS to patch for HRR and to have pt follow up with an immunologist/allergist before receiving dose 2 of Moderna V+COVID-19 vaccination. Our EMS Chief will be following up with the patient later today.

Other Meds: Metataxalone prn, vitamins, Advil prn

Current Illness: Nothing

ID: 0950312
Sex: F
Age: 53
State: CA

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

Lab Data:

Allergies: Sulfa

Symptoms: 25 mins after vaccination, patient began expressing throat tightness (10:23). Epinephrine 0.4 mg IM given at 10:25AM. EMS called at 10:25. 10:26AM O2 98% BP 160/90 (with BP cuff that was too tight). 10:28AM 15mg Zyrtec given PO. Repeat NP at 10:35 with correct size BP cuff was 125/61. 97% O2 10:35 EMS arrived. Patients symptoms resolved shortly after administration of epi. No other symptoms developed other than throat tightness.

Other Meds:

Current Illness: No

ID: 0950314
Sex: F
Age: 74
State: FL

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

Lab Data: Zero

Allergies: Bacitracin, disperse blue 106, mixed caines, P-Phenylene diamine, clindamycin

Symptoms: Sore arm that day (1/14) which is normal. Brain fog the following morning for 4 to 6 hours.

Other Meds: zero

Current Illness: Zero

ID: 0950316
Sex: F
Age: 65
State: AK

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

Lab Data: I have a virtual appointment with a doctor this afternoon. No other tx yet.

Allergies: None

Symptoms: Soreness, several hours after the shot and lasting about 3-4 days, felt like a major bruise, but went away. Then, 7 days after the vax, started itching in the area of the injection site, which subsided with a Bendadryl overnight and next day. In the evening of the 8th day after injection, began itching again and noticed large red patch, slightly swollen and a little warm. Itching is mild, goes away with cortisone cream.

Other Meds: dietary supplements: glucosomine/choindriotin, turmeric, Skin & Nails Multivitamin, Vitamin D, Saw Palmetto, serrapeptase

Current Illness: None

ID: 0950318
Sex: F
Age: 28
State: VA

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

Lab Data:

Allergies: Amoxicillin and Suprax

Symptoms: Redness, pain, and swelling around the injection site.

Other Meds:

Current Illness:

ID: 0950320
Sex: F
Age: 81
State: CA

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

Lab Data:

Allergies: No known allergies

Symptoms: Patient started gasping and wheezing about 10 minutes post vaccine injection. She turned red and gasped for breath. She started crying and hyperventilating. I used an EpiPen on her immediately within 2 minutes of her turning red and she seemed to calm down for a few minutes. She was able to talk and ask questions. We gave her water to drink but then she started crying again and seemed to have more anxiety. Paramedics came within 15 minutes and took over.

Other Meds: Unknown

Current Illness: Unknown

ID: 0950322
Sex: F
Age: 45
State: NJ

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

Lab Data:

Allergies: Nsigs

Symptoms: On 1/11/2020 I got my second dose and the same night I started feeling sick it felt tired, I felt feverish but no fever, achy, headache, weak it felt like I had the flu it lasted 3 days. Telehealth appointment with my doctor 1/12/2020

Other Meds: Prozac

Current Illness: Corona Virus dec 27. symptoms tested positive on 12/30/2020 Migraines

ID: 0950324
Sex: M
Age: 12
State: UT

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

Lab Data:

Allergies: None

Symptoms: Localized reaction surrounding injection site. Fatigue Nausea Abdominal pain Numbness/tingling in fingers and arms. Feeling that things are moving faster than usual or things appear larger than normal. Decreased appetite Headache. More emotional than usual. Feels like his body feels heavy.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm