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: 0951632
Sex: F
Age: 41
State: MN

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: EKG - QTc interval 469

Allergies: droperidol, metoclopramide, sertraline

Symptoms: AM after vaccine patient reported achiness, chills and palpitations starting 3-4 hours after vaccine injection

Other Meds: rivaroxaban, venlafaxine, prednisone, leflunomide, hydroxychloroquine, methylphenidate, semaglutide

Current Illness:

ID: 0951633
Sex: F
Age: 26
State: AL

Vax Date: 01/06/2021
Onset Date: 01/12/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: CBC, Chemistry, UA

Allergies: IV ondansetron

Symptoms: First 48 hours: sore arm, muscle aching, headache: treated with ibuprofen for 48 hours. 7 days out blood sugar elevation with occasional severe hypoglycemic events

Other Meds: Humulog Mylan

Current Illness: PCOS Type 1 diabetes

ID: 0951634
Sex: F
Age: 49
State: CA

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Fever, chills, aches

Other Meds: none

Current Illness: none

ID: 0951635
Sex: F
Age: 61
State: MA

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/17/2021
Hospital:

Lab Data: None

Allergies: clindamycin, penicillin, verapamil, anti-thyroid medications, wool

Symptoms: immediate itching at site, itching generalized, hives, face very red, no respiratory distress, Solumedrol 125mg IVP, Benadryl 50mg IVP at 09:01am Pepcid 20mg IVPB over 15 minutes at 09:20 am on 12/29/2020. Prescriptions included prednisone 20mg times 5 days, Benadryl 50mg every 6 hours for 24 hours and epi pen as needed. Epi pen not used.

Other Meds: None

Current Illness: None

ID: 0951636
Sex: F
Age: 50
State: TX

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: PCN Ceclor

Symptoms: Approximately four hours after vaccine, developed severe fatigue. Couldn?t keep eyes open. Slept till 10 am next day. Ate small meal then fell back asleep till 3pm.

Other Meds: Budesonide Spiriva Xhance Montelukast Azithromycin Ethambutol Rifampin Ryvent Albuterol Vitamin C, Calcium, multivitamin

Current Illness:

ID: 0951637
Sex: F
Age: 54
State: NV

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Sudden onset of extreme vertigo with associated near syncope (felt like vagal). No vomiting and no real nausea. Vertigo still present but now minimal. That same night I had a mild fever, but I am not concerned by this. Had some mild vertigo after the first vaccination (lot EH9899) but it only lasted 48 hrs.

Other Meds: Atenolol, Bree Ellipta, combivent, multivitamin.

Current Illness: None

ID: 0951638
Sex: F
Age: 72
State: FL

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Shortness of breath - difficulties getting a full breath Feeling of tightness in chest Extreme fatigue Heart palpitations Occasional shakiness Slight discomfort in abdominal organs

Other Meds: None

Current Illness: None

ID: 0951639
Sex: F
Age: 68
State: NY

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: None

Allergies: walnuts, shellfish

Symptoms: Sore arm, headache, muscle achiness, fatigue, runny nose

Other Meds: Evista, centrum silver, vit C, vit B12, vit E, vit D3, Magnesium

Current Illness: None

ID: 0951640
Sex: F
Age: 59
State: OR

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: Azithromycin, morphine, codeine, seasonal allergies

Symptoms: Vaccine administered approx. 1320, she was waiting in the observation area and about 20-25 minutes she started to feel a "pins and needles" sensation on her arms and head. Right after that, pt describes diffuse puritis on scalp, across upper and lower back. Itching continues down extremities while being observed. Red rash, 4-5 hives on upper and mid-back. She is visibly scratching her neck, head and back and appears restless because of the intense itching. Assessed by Dr (IM) and Dr(ID); 50mg po Benadryl ordered and given to pt. She endorses mild relief from symptoms.

Other Meds: Melatonin

Current Illness: None

ID: 0951641
Sex: F
Age: 71
State:

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: Septra

Symptoms: Rash on neck and right arm. Duration about 36 hours.

Other Meds:

Current Illness: None

ID: 0951642
Sex: F
Age: 35
State: OH

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: About a week after the vaccination in my left arm, I observed mild erythema and pruritis around site of injection (extending approximately 3-4 cm around the area). Then a few days later, had notable 2 cm diameter axillary lymphadenopathy - palpable, soft and mobile and tender to palpation.

Other Meds: lisinopril, spironolactone, metoprolol, digoxin

Current Illness: none

ID: 0951643
Sex: M
Age: 35
State: FL

Vax Date: 01/08/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: None

Allergies: Penicillins

Symptoms: Swelling, heat and redness at injection site two weeks after receiving first dose

Other Meds: Prilosec 20mg Lexapro 10mg

Current Illness: None

ID: 0951644
Sex: M
Age: 49
State: PA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: None

Allergies: sodium brevitol (anesthetic)

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA on 1/15/21 at 8:00 p.m. On 1/16/21 I had body aches in the morning. I had increasing chills and shivering in the afternoon. My temperature was 102.5 degrees by 6 p.m. with severe body aches. On 1/17/21 my temperature was 99.5 in the morning and 98.3 in the afternoon with continued body aches. I had an uncommonly large bowel movement in the morning and needed to make about 5 more trips to the bathroom due to a small amount of loose stool. I felt lightheaded and spacy in the afternoon and evening.

Other Meds: gabapentin bupropion escitalopram levothyroxine Aimovig Autoinjector psyllium husk (Metamucil) magnesium citrate lactobacillus acidoph (probiotic) multivitamin ibuprofen

Current Illness: None

ID: 0951645
Sex: F
Age: 56
State: CA

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt began complaining of being lightheaded 25 mins after vaccine administration. Pt also had some redness to chest while sitting outside in the heat. After sitting for longer and sitting in cooler area the redness subsided but pt still complained of being lightheaded. Pt was hypertensive as well. Pt refused medical care.

Other Meds:

Current Illness: None

ID: 0951646
Sex: F
Age: 46
State: WI

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: Heart and lung auscultation were unremarkable. No cardiac murmurs. No rubs. Lung are clear without rales. She is focally tender to the left of the sternum. Pain is exacerbated by downward motion of the left arm against resistance. No pain with chest wall compression from the lateral sides. Has exacerbation of pain with compression of the sternum. O2 sats were 97% on room air. Blood pressure was normal. We obtained a 12 lead ECG which I have reviewed. No ST changes. Normal sinus rhythm.

Allergies: bacitracin, sulfadiazine

Symptoms: Sudden, intense pain in the mid sternum just to the left side. She recalls some dull vague pain over the past night, but the sudden pain developed about 3 minutes before I came into her office. Pain was a 10/10 in severity and made it difficult to breathe and talk. She was able to tolerate snow blowing this morning without notable difficulty. Pain is not clearly exertional in nature.

Other Meds: OCP, gabapentin, topiramate, metoprolol, amitriptyline, biotin

Current Illness:

ID: 0951647
Sex: M
Age: 27
State: DE

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: EKG, Heart Ultrasound, Bloodwork

Allergies: None

Symptoms: Approximately 6 hours after injection, fainted 4-5 times. Struggled with consciousness for about 10 minutes. Had low blood pressure and required emergency medical attention.

Other Meds: Methotrexate (once weekly on Monday) Enbrel (once weekly injection on Friday)

Current Illness: None

ID: 0951648
Sex: F
Age: 62
State: WA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: None

Allergies: Most antibiotics Flu vaccine Peanuts, almonds, peanut butter, Prednisone

Symptoms: Shortness of breath, unusual high blood pressure, dizziness, headaches, chills

Other Meds: Montelukast SOD 10MG Beep Ellipta 200mcg Symbicort 160/4.5 Vita fusion women?s supercharged multi Hair skin Nails gummies Vita fusion B-12 Vita fusion Pre Natal

Current Illness: No

ID: 0951649
Sex: F
Age: 77
State: FL

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: NONE

Other Meds: METFORMIN, methodextrate, lisinopril, folic acid, allopurinol, colcrys, escitalopram, soliqua, levothyroxine, areds2, baby aspirin

Current Illness:

ID: 0951650
Sex: F
Age: 44
State: VA

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: None

Allergies: No e

Symptoms: Extreme lethargy, nausea, ?foggy brain?

Other Meds: Lepta, airborne, multivitamin

Current Illness: None

ID: 0951651
Sex: M
Age: 45
State: CA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: Shrimp

Symptoms: High Fever got at 2nd and 3rd Day, Body Pain for 4 days, Chills for 3 days, Tiredness still , Headache is continuously in mild way.

Other Meds: No Medication

Current Illness: No

ID: 0951652
Sex: F
Age: 57
State: OH

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: Wednesday, 1/13 @ 2:30 AM: Queasy - took 2 Tums; 2hrs / Body Aches - took 400mg ibuprofen Thursday 1/14 AM: fatigue, chills, body aches, fever (100.5 degrees), loss of appetite - 800mg ibuprofen initially, 400mg ibuprofen every 6 hours throughout the day, 2.5 hr nap

Other Meds: Simvastatin, atenalol, levothyroxine, venlafaxine ER, anastrozole, D3 viatmin

Current Illness:

ID: 0951653
Sex: F
Age: 22
State: KY

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Redness and hard bump at the site of injection (started as approximately 1 inch in diameter and is now approximately 3 inches in diameter)

Other Meds: Sertraline HCl, Buproprion XL, Blisovi Fe 1.5/30, Spironolactone, Vitamin C+Zinc supplement

Current Illness: Diagnosed with COVID-19 December 19, 2020

ID: 0951654
Sex: F
Age: 67
State: NY

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: minocycline

Symptoms: chills, body aches, loss of appetite, headache, fatigue. Acetaminophen to relieve symptoms. When I awakened Sunday morning, I felt much better. All of the symptoms were gone.

Other Meds: synthroid simvastatin

Current Illness:

ID: 0951655
Sex: F
Age: 77
State: TX

Vax Date: 01/06/2021
Onset Date: 01/10/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Approximately 4 days after vaccine a large red area appeared around the injection site. It was about the size of large lemon. It was warm but not hot to the touch. The initial reaction to the vaccine was redness about the size of a silver dollar, warm and tender for about 24 hours and then resolved. The second occurrence was 4 days after the vaccine. We used ice packs and advil but the next day it was larger and redder and by 48 hours later it was quadrupled in size - roughly 8" x5". On Friday afternoon 01/15/2021, we held a telemed conference with her internist. She prescribed methylprednisolone 4mg dosepack for a total of 6 days beginning 01/16/2021, she also prescribed 7 days of 3x/day Cephalexin 500 mg, and Triamcinolone .1% cream. She also recommended hot then cold alternating packs on the affected area and using Tylenol or Ibuprofen several times a day. On todays date 01/17/2021 the redness has faded probably 30 - 50% and it's size has shrunk 20% as well. I observed my wife getting her vaccine from a nurse (I have no name) and although I could be wrong it was my impression she cotton swabbed with alcohol on an upper a smallish area on the left arm (size of a quarter), but proceeded to give the injection just above the swabbed area ?..

Other Meds: amlodipine tab 5mg, pravastatin 20 mg, Klor-Con 20mEqk, letrozole 2.5mg, linzess 145mg, Centrum Silver multivitamin,

Current Illness: non-metastatic breast cancer on right side only with mastectomy of right side only on 8-6-2021; letrozole is only cancer medication.

ID: 0951656
Sex: F
Age: 49
State: WI

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Sig stomach and gut cramps to the point of near syncope. Missed half day work. Nausea, lack of appetite. Lasted over 4 hs severe, 12 hs moderate

Other Meds: Nome

Current Illness: Psoriasis

ID: 0951657
Sex: F
Age: 45
State: NH

Vax Date: 12/30/2020
Onset Date: 01/08/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: Skin allergy to bromine

Symptoms: Extremely itchy nummular rash on hands and feet; few other spots on left elbow and right thigh. Treatment with OTC anti-histamines and prescription steroid cream started 1/15/21; extreme itching started to dissipate 1/16/21; rash still evident 1/17/21

Other Meds: General multivitamin, 2000 IU Vitamin D3, 1000 mg Vitamin C

Current Illness: none

ID: 0951658
Sex: F
Age: 31
State: NY

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: Penicillin, cats, dogs, dust, etc

Symptoms: Dizziness after receiving the vaccine and continuing afterward. I felt lightheaded dizzy (not dizzy like vertigo). The dizziness started right after receiving the vaccine and got better after sitting for 30 minutes, but still feel a little dizzy 2.5 hours later.

Other Meds: Mirtazapine 7.5mg (1x/day) Advair 100/50 (2x/day) Singular 10mg (1x/day) Zyrtec (1x/day) Fish oil 1400mg, 1000 Omega 3s (2x/day) One a Day Vitamins 1,000mg B12 CoQ10 (200mg)

Current Illness:

ID: 0951659
Sex: M
Age: 30
State: IN

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/17/2021
Hospital: Y

Lab Data: CT abdomen and pelvis

Allergies: None

Symptoms: Acute Appendicitis

Other Meds: None

Current Illness: None

ID: 0951660
Sex: F
Age: 59
State: OH

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: none

Allergies: Adhesive tape, Cortisone, Benadryl, Latex

Symptoms: she had intense itching at vaccine site that progressed to general body within 1 min of vaccine. 3 hrs later she developed chills, body aches, severe fatigue, nausea, and explosive diarrhea along with redness, swelling, increase warmth, and tenderness at injection site.

Other Meds: Zyrtec 10mg- she took 2 prior to injection Vaseretic 5/12.5mg Levothyroxine 50mcg Indural LA 80mg

Current Illness: No illness at time of vaccine. Within 1 min of vaccine she developed intense generalized itching, and progressed to chills, aches, nausea, fatigue, diarrhea. Injection was red, warm to touch, swollen, and tender.

ID: 0951661
Sex: F
Age: 21
State: KS

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: The following day I experienced headache, nausea, fever/chills, and muscle aches. It lasted about 24 hours. I also experienced injection sight reaction. It got red and swollen, hard and painful to the touch.

Other Meds: Guanfacine, 5 mg

Current Illness: Tested postive for Covid on December, 14th 2020.

ID: 0951662
Sex: M
Age: 62
State: GA

Vax Date: 12/24/2020
Onset Date: 12/25/2020
Rec V Date: 01/17/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: minor chills for about 24 hours

Other Meds: None

Current Illness: None

ID: 0951663
Sex: F
Age: 42
State: MI

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: No known allergies

Symptoms: One week later where I received the injection, my arm became very red, hot, itchy and swollen. There was even a hard bump right at the injection site.

Other Meds: I take daily: -multi vitamin -vitamin d -vitamin c -zinc

Current Illness: No

ID: 0951664
Sex: F
Age: 52
State: TX

Vax Date: 01/08/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: none

Allergies: injectable Iodine

Symptoms: Significant edema and redness occurred in a 5 inch area around vaccine site 8 days following vaccine.

Other Meds: 50 mg sertraline (daily), 2000 IU Vitamin D (daily),

Current Illness: none

ID: 0951665
Sex: F
Age: 26
State: NY

Vax Date: 01/09/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: Penicillin, Amoxicillin.

Symptoms: One week after injection, site had healed well. All of a sudden, the injection site became warm to the touch, swollen, itchy, painful, and hard again. This reaction was worse than the original reaction after injection.

Other Meds: Prozac.

Current Illness:

ID: 0951666
Sex: M
Age: 31
State: OR

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: Tryptase, cardiac monitoring.

Allergies: nkda

Symptoms: Patient developed dry heaves followed by angio edema of the tongue, slurred speech. Patient admitted to the ED and treated with 2 doses of SQ epi, IV pepcid and IV benadryl. Patient recovered and was discharged home with an epi pen.

Other Meds: prednisone, benadryl, pepcid

Current Illness: mild reaction to first covid vacine which include vomiting, flushed feeling and rash

ID: 0951667
Sex: F
Age: 53
State: AK

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA: dizziness, headache, muscle aches, nausea, chills, fever, tiredness, feeling sick

Other Meds:

Current Illness:

ID: 0951668
Sex: M
Age: 73
State: FL

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Soreness in the injection site, nothing else. Pfizer-BioNTech COVID-19 Vaccine EUA.

Other Meds: Vitamins only

Current Illness: None

ID: 0951669
Sex: F
Age: 32
State: WA

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: None, I went home.

Allergies: NKDA

Symptoms: Felt like throat was swelling after 5 minutes, difficulty breathing after 15 minutes continuing on for several hours

Other Meds: Tacrolimus topical cream Tretinion

Current Illness: None

ID: 0951670
Sex: F
Age: 46
State: PA

Vax Date: 12/28/2020
Onset Date: 01/15/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: none

Allergies: Local allergic reaction to pneumonia vaccine 2009

Symptoms: Generalized rash to be treated with oral steroids and Claritin, outcome not yet known

Other Meds: Tamoxifen, Singulair, Flonase, MVI

Current Illness: none

ID: 0951671
Sex: F
Age: 19
State:

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: Treated for allergic reaction at this time with IV Benadryl, Pepcid, Decadron, and IVF. Obtain BMP, hepatic panel, C4 complement levels. Labs unremarkable. Complement C4 level pending. Discharged home from ED within three hours with planned follow up with PCM in 2-3 days. Rx for 2nd dose Decadron in 48 hours time. Benadryl, EpiPens for home. Patient shown how to use EpiPen using trainer. Discussed indications for use.

Allergies: NONE

Symptoms: Well appearing adult female with isloated upper lip swelling consistent in appearance with angioedema. No airway involvement at this time. No prior lifetime episodes. No family history of similar events. The only thing that was a new potential exposure in the past day was her first dose of the Moderna COVID-19 vaccine yesterday morning. 19yo F presents for eval of upper lip diffuse swelling. Onset was noted about 3am today when patient awoke. She took 2x tabs oral Benadryl. Presents for eval due to persistent swelling. Patient previously healthy. No surgical history. Takes no meds on routine basis. NKDA. Patient had received Moderna COVID-19 vaccine, first dose, yesterday morning between 9-9:30am. No new food exposures. No new facial products nor soaps. No new clothing, laundry detergents, etc. Patient states she has no known food, seasonal, occupational, or contact allergies. She has never had similar episodes of facial swelling. No recent dental work. Denies fever, chills, N/V/D, URI symptoms. Denies any adverse reactions to any other lifetime vaccinations. No significant past family history. "Some high blood pressure in relatives." No known history of any family members with angioedema.

Other Meds: NONE

Current Illness: NONE

ID: 0951672
Sex: M
Age: 59
State: WA

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: Hearing test

Allergies: Latex, Benadryl, Avocado

Symptoms: On 1/10/21, approximately 48 hours after the 2nd dose in the COVID vaccine series, I experienced ringing in right ear for about one hour, followed by sudden, complete, single-sided hearing loss in the right ear. The next day, some hearing was restored in the right ear but it was muffled. Examined by primary physician, and both both ears appeared normal. Referred to an otolaryngologist for an examination and hearing test which showed high-frequency hearing loss in the right ear. Prednisone 50 mg daily prescribed, with follow-up exam and hearing test schedule for 1/20/2021. No change in hearing, as of 1/17/2021, still muffled hearing with "full feeling" in right ear.

Other Meds: HHCTZ, Levothroxine, Boniva, Doxycycline, Ca, MVI, vitamin

Current Illness: none

ID: 0951673
Sex: F
Age: 83
State: WA

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: Bees-anaphylactic

Symptoms: Tinnitus Tremors Diaphoresis Sob Epipen given, paramedics called, sx resolved 20 minutes after sx onset

Other Meds: Acetaminophen 325 Albuterol HFA Amiodarone 200 Aripiprazole 5 Asa EC 81 Atorvastatin 10 Bisacodyl 10 Warfarin 3.5 Isosorbide dinitrate 10 Levothyroxine 50 Lidocaine patches Losartan 50 Maalox Plus MagOx 400 Melatonin 3 Metoprolol Er 25 Mi

Current Illness: Depression Femur fracture Urinary retention

ID: 0951674
Sex: F
Age: 23
State: OR

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: Allergic to sulfa drugs

Symptoms: Allergic reaction 20 mins after receiving vaccine. Feeling hot, rash on face and neck, swollen and itchy throat, numb lips, and light headed. Most symptoms subsided after 10 minutes. Swollen and itchy throat did not subside until 30 minutes after taking 50mg of Benadryl.

Other Meds: AllerClear (loratadine) , Omeprazole, and birth control (Junel Fe 1/20)

Current Illness: No

ID: 0951675
Sex: F
Age: 65
State: TX

Vax Date: 01/05/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: After 10 days of receive vaccination appeared redness in the injection site about 2 inches in diameter

Other Meds:

Current Illness:

ID: 0951676
Sex: F
Age: 40
State: VA

Vax Date: 01/11/2021
Onset Date: 01/14/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: lab work completed with a complete physical done the week before vaccination. Lab work unremarkable aside from Vitamin D deficiency.

Allergies: Gadolinium Contrast Media: severe anaphylactic allergic reaction Compazine: Hallucinations Calcium Channel Blockers: Hives Metoprolol: wheezing

Symptoms: Day 3 post vaccination: noticeable enlarged left anterior cervical lymph node, painful to palpation. Noticed at 0630 am on day 3. Roughly 3 hours later excessive fatigue started, along with increased lymph node swelling in the same area and now more painful. Tylenol 1000mg taken every 8 hours along with holding a warm compress to left side of the neck where swelling and pain occured with no relief achieved. A headache also developed on this day and did not respond to tylenol. Day 4 post vaccination: Continued lymph node swelling and pain on left side of neck along with new lymph nodal swelling noticed supraclavicular on the left side. Painful, red, and warm to touch. Day 5: Excessive Fatigue, increasing neck pain on left side with noticeable swollen lymph nodes still present and noticeable without the need to palpate. Day 6: Worsening fatigue, slept all day and some slight chills. Lymph nodes still enlarged but does not appear to be increasing in size any further on this day but has not decreased in size either. Slight cough has developed this day.

Other Meds: Atenolol 50 mg once daily Vitamin D3 2000 IU daily Elderberry gummy vitamins daily Hair, skin, nails vitamins otc daily

Current Illness: none

ID: 0951677
Sex: F
Age: 57
State: MI

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: None

Allergies: Penicillin. Codeine

Symptoms: Day after receiving vaccine I woke up with headache, had nausea, and was dizzy. This lasted 3 days. My arm was red and sore day after vaccine . Sunday night, 1/16/21 the injection site became itchy, continued to be red . Monday, 1/17/21 injection site was swollen, hard, red and warm. I work at a SNF as a Licensed Physical Therapist Assistant, I had an RN look at site and trace it. It continued to stay swollen after taking Motrin and A 24 hr Claritin. Went to Urgent Care to have Dr look at it and was put on Bactrim for possible infection to injection site. I do not take many antibiotics or any other medications, so I do not always react well with medicine.

Other Meds: PRN Extra Strength Tylenol and/or Motrin

Current Illness: None

Date Died: 01/17/2021

ID: 0951678
Sex: M
Age: 75
State: CA

Vax Date: 01/13/2021
Onset Date: 01/17/1921
Rec V Date: 01/17/2021
Hospital:

Lab Data: Heart attack death medical test

Allergies: None

Symptoms: Heart attack death medical test

Other Meds: Crestor 20 mg, Claritin-D 24 hour, Zaria 10 mg, baby aspirin, replatha,valsart hits 160-12.5mg Fish oil, wheat germ oil, D3 1000 mg, testosterone 8% gel, CO Q 10, weirder prime , eye drops

Current Illness: None

ID: 0951679
Sex: F
Age: 29
State: MD

Vax Date: 01/09/2021
Onset Date: 01/11/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Got vaccine 1/9 1/12 - Second day at 3amI had extreme nasuea, almost threw up. medium stomach pain during the day, I was constipated that whole day. Finally constipation ended at 7pm. 1/13 - 1/15 arm was sore, felt like pulled muscle, very slight, vaccine injection spot was slightly raised 1/16 - injection spot was very itchy, very inflammed, very red and hard, hot to the touch 1/17 had stomach issues and fatigue, arm less inflammed but still red and hard and warm.

Other Meds: Spironlacton 5mg for acne cryselle - birth control

Current Illness: none

ID: 0951680
Sex: M
Age: 78
State: GA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: penecillan

Symptoms: Dementia type effects. Lose of memory, confusion, lose of driving abilities, etc.

Other Meds: Isosord monoer , fish oil, Ranolaziner, Ecotrin, metoprolol,atorbastain, nitrostat, Furosemide, diclofenac.

Current Illness:

ID: 0951681
Sex: F
Age: 33
State: ID

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: none

Allergies: shellfish, caffiene

Symptoms: feeling light-headed, dizzy, and an exacerbation of regularly occurring symptoms. Pt brought to pt care are. Vitals taken, pt lying on stretcher

Other Meds: gabapentin, ibuprofen 800mg

Current Illness: had covid 6 months ago. has been experiencing "post-covid syndrome" which includes constant joint pain, muscle pains, nerve pain

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm