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: 0952439
Sex: F
Age: 43
State: PA

Vax Date: 01/09/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Na

Symptoms: Large hard lump under skin Warm Tender

Other Meds: Celexa Linsinoptil

Current Illness: Na

ID: 0952440
Sex: F
Age: 62
State: MD

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: Telehealth appointment on 1/16/21.

Allergies: None known

Symptoms: Headache and nausea

Other Meds: Gabapentin 300 mg HS Levothyroxine 88 MCG

Current Illness: None

ID: 0952441
Sex: F
Age: 39
State: AL

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: High fever of 102.6 at highest, severe body and muscle aches, and fatigue that lasted 18 hours I understand a low grade fever and my other reactions are typical but I am reporting them because my fever was higher than expected and I was 10 days out from a positive test for Covid-19.

Other Meds: Vitamin C 1000mg, Vitamin D 5000IU's, and Zinc 50mg

Current Illness: Sars Co-V 2 Virus - diagnosed with positive test PCR test on 01/04/2021

ID: 0952442
Sex: F
Age: 46
State: AZ

Vax Date: 12/19/2020
Onset Date: 12/19/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: None except as above vitals.

Allergies: Penicillin Doxycycline Latex Annatto food dye Red no 40 food dye oxycodone

Symptoms: I developed acute wheezing, thorat tightening and tongue nubness. I got 50 mg Benadryl and 4 puffs ALbuterol and monitored by EMTS for 30 mins more. I had sl elevated BP 148/86 and pulse ox at 97% and HR 95. Symptoms improved 20 min after Benadryl so I was released hom as I had my own epi pen and was a doctor so could self monitor.

Other Meds: Fasemra 1 inj q 2 months Symbicort 160 2 puffs bid Prednisone 10 mg once 1 hr prior Benadryl 25 mg once 1 hr prior esomeprazole 40 mg qd amlodipine 5 mg valsartan 360 mg zyrtec 10 mg flonase sensimist 2 sprays each side nose daily Spiriva a

Current Illness: Asthma flare -no other steroids that month Viral URI NOT COVID 19

ID: 0952443
Sex: F
Age: 61
State: MA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: latex, Prozac, Percocet, lisinopril, environmental,

Symptoms: new onset rapid Afib converted with diltiazem, elevated BP-continues

Other Meds: levothyroxine 100 mg Irbesartan 150 mg Montelukast sod 10 mg allopurinol 300 mg fluticasone propionate/salmeterol powder 250/50 incruse9ellipta0 62.5 mg

Current Illness:

ID: 0952444
Sex: F
Age: 40
State: PA

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

Lab Data:

Allergies: Penicillin, vancomycin

Symptoms: Lymph node soreness left armpit, mild headache, fatigue. All symptoms started 4 days after shot

Other Meds: Pantoprazole, sertraline, levothyroxine

Current Illness:

ID: 0952445
Sex: F
Age: 60
State: LA

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

Lab Data: none

Allergies: Momostat

Symptoms: By 12noon on the day of the injection I noticed pain when lifting the injection arm. By 6pm I began to experience body aches. At this point I took 500 mg of Tylenol, but received little relief. By 9pm I began shivering and had CHILLS and the body aches became SEVERE, though my temperature was only 99.1 degrees. I had difficulty sleeping due to the body aches and chills. I felt a little better in the morning, but very fatigued. The fatigue lasted 3 days, though the body aches and chills were gone. I felt back to normal for 3 days, and then, 7 days after the shot, the body aches, chills, and fever returned. My temp was 99.2 degrees, and these symptoms lasted about 8 hours. This time the symptoms were accompanied with diarrhea for 3 days.

Other Meds: valACYclovir, Tylenol, Oreganol, Calcium

Current Illness: none

ID: 0952446
Sex: M
Age: 53
State: NY

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: covid pcr swab 1/18/21

Allergies: PCN, bactrim

Symptoms: Muscle/body aches/fatigue

Other Meds: valsartan, metoprolol, crestor,

Current Illness: none

ID: 0952447
Sex: F
Age: 64
State: CO

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies: all fish products, shellfish

Symptoms: Headache, total body muscle aches, chills, slight nausea, fatigue, arm soreness lasting for 3 days. tiredness and muscle soreness, intermittent nausea lasted for 5 days

Other Meds: Tylenol, Multivitamins, Calcium, Vitamin D

Current Illness: none

ID: 0952448
Sex: M
Age: 71
State: FL

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 1/14/2021 evening left arm started to itch, slightly annoying. Went to bed woke up 1/15/21 covered with itchy bumps and irritated skin. by noon it had spread to my legs and feet. 1/17/21 rash still present. feels like irritation from fiberglass, appearance blotches ,tiny bumps and welts around armpits and joints.

Other Meds: Losartan potassium, hydrochlorothiazide, ezetimibe, vitamin D2, Vitamin c, folic acid, vitamin E, Magnesium, zinc, selenium, fish oil and niacin (never had flushing or itch form niacin)

Current Illness: none

ID: 0952449
Sex: F
Age: 49
State: TX

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Pencillins, sulfa drugs, gluten, lactose

Symptoms: Patient received Pfizer 1st dose and asked the patient to wait for 30 minutes post vaccination to observe for any sort of adverse reactions. 30 minutes later patient complained of having sore throat and her voice sounded hoarse. Patient asked to wait to see if symptoms improved. 15 minutes later patient complained of short of breath and throat tightness. Given albuterol nebulizer and benadryl. Patient further monitored and vital signs were stable. 5 minutes later patient remained short of breath and rapid response was called and patient was taken to ER. Given Benadryl 25 mg IV and famotidine 20 mg IV. In ER, given 125mg methylprednisolone and 0.3mg of epinephrine. Patient discharged from ER.

Other Meds:

Current Illness:

ID: 0952450
Sex: F
Age: 32
State: PA

Vax Date: 01/09/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: No known allergies

Symptoms: 1 week later- very red shoulder with itching x 2 days

Other Meds: Lexapro Calcium citrate

Current Illness: None

ID: 0952451
Sex: F
Age: 33
State: VA

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies: no

Symptoms: pt received her vaccine last week and today reports arm swollen, red, and itching right at injection site. swelling is approx 3cm in diameter. decided to report since it was 1 week ago that she received the vaccine and had not issues before today with arm swelling/redness

Other Meds: Wellbutrin

Current Illness: none

ID: 0952452
Sex: F
Age: 58
State: NH

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Cephalosporins (rash); Latex (questionable)

Symptoms: Beginning 2 hours after receiving my second dose of Pfizer vaccine, I experienced mild frontal headache, body aches, and joint aches of mild intensity (elbows, wrists/hands, knees, ankles/feet). No fever. I took two tablets of extra-strength Tylenol every six hours. Early in the morning of 1/15/2021, I had a moderately-intense headache in the frontal region and felt like my temples were being squeezed.

Other Meds: Synthroid 150 PO mcg qAM; Crestor 5 mg PO qPM; (See below)

Current Illness: None

ID: 0952453
Sex: F
Age: 79
State: FL

Vax Date: 01/10/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Latex nickel, gold, balsem, formeldehyde,, adhesives, perservatives

Symptoms: Week after shot Site is red, warm to touch and slightly itchy. Nothing before!

Other Meds: Amlodipine,carvidilol, levothyroxine hormone cream Fish oil,cranberry, coq10, magnesium

Current Illness: Psoriasis,dermatitis, exzema

ID: 0952454
Sex: F
Age: 55
State: VA

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: cbc auto differential comprehensive metabolic panel ECG 12 leads CT head WO IV contrast

Allergies: bees wasps cats

Symptoms: injection site reaction high blood pressure

Other Meds:

Current Illness:

ID: 0952455
Sex: F
Age: 91
State: IN

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Amoxicillin (Anaphylaxis), Fish (Hives)

Symptoms: 15 minutes following administration of Moderna vaccine, patient felt funny feeling on left side of her head, had increased saliva in mouth and her tongue began to burn. Patient denied shortness of breath, chest pain or swelling. No swelling to lips or mouth was noted and patient was able to swallow secretions without difficulty. Benadryl 25mg was given and patient's symptoms resolved after about 30 minutes. Patient was able to be discharged home with her daughter

Other Meds: Unknown

Current Illness: None

ID: 0952456
Sex: F
Age: 37
State: ME

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none reported individual advised to call primary care or urgent care

Allergies: none reported

Symptoms: Left deltoid warm to touch, pink circular area at injection site, slightly tender and "itchy".

Other Meds: none reported

Current Illness: none reported

ID: 0952457
Sex: F
Age: 76
State: FL

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies: Caedizem

Symptoms: Moderna COVID-19 Vaccine EUA administered at 10:59 am on 1/16/21. Felt ok for the remainder of the day. Awoke at 1:25 am ith severe pain in left arm injection site, headache, nausea, fatigue, muscle and joint pain throughout body, chills and low grade fever. these symptoms persisted until mid-afternoon on 1/17/21 and gradually subsided i took ibruprofen and drank water. Finally ate a slice of toast at 5 pm and noticed the pain at injection site was improving. 12 hours later, feeling ok but still fatigued.

Other Meds: Bystolic 10 mg Meloxicam 7 .5 mg Zinc vitamin supplement

Current Illness: Still recovering from Covid 19 from March 2020 COPD Arthritis Shingles vaccine 12.06/2020

ID: 0952458
Sex: F
Age: 27
State: VA

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: At apprx. 7:00 PM on 01/15/2021, subtle itch occurred. Throughout the rest of the evening, redness and intense itching occured. Two red patches appeared, above and below the injection site, resembling a venn diagram. Rash was hot to the touch, however no fever was present throughout the weekend, or into Monday the 18th of Jan. Saturday morning, received word from MD that it eas okay to trial triamcinolone acetonide .1% BID on red, itchy area. Immediately applied at 8AM. Following that, there was a relief from the itching, but redness persisted. Reapplied in the evening, and Sunday morning as well. Sunday evening, applied a layer of TAC, a layer of eucerin cream and wrapped site in plastic wrap. Monday morning, redness had resolved very, very slightly, itching persists. Prescribed 12 day course of prednisone (40mg QD x3 days, 30mg QD x3 days, 20mg QD x3 days, 10mg QD x3 days) and given samples of ultravate lotion to use topically until rash resolves.

Other Meds: None

Current Illness: Sinus cold - resolved 3wk prior to vaccination

ID: 0952459
Sex: F
Age: 60
State: OH

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Codiene

Symptoms: Initial redness swelling to area of injection. Fever 101 for 32 hours then symptoms resolved. 7 days later are again began to swell and became hat and indurated. Treated at that time with Kefles and Depomedrol

Other Meds: Exmestane, Omeprazol, Benadryl, Lyrica, Percocet

Current Illness: None

ID: 0952460
Sex: F
Age: 43
State: PA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: In the Emergency room I was treated with Epinephrine , Solumedrol, Benadryl and IV fluids. Routine Labs were run and EKG was performed.

Allergies: Penicillin, Sula, Honey Bees

Symptoms: Three hours after I received Vaccine I became extremely dizzy , had shortness of breath, was tachycardic and hypertensive. I was taken to the Emergency room . 48 hours after exam I had extreme periods of confusion and extreme forgetfulness.

Other Meds: none

Current Illness: none

ID: 0952461
Sex: F
Age: 90
State: AZ

Vax Date: 01/17/2021
Onset Date: 01/18/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: n/a

Allergies: none

Symptoms: dizziness

Other Meds: synthroid levothyronine losartan vit D

Current Illness: none

ID: 0952462
Sex: F
Age: 56
State: NJ

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: CHILLS, FEVER, HEADACHE. TOOK TYLENOL

Other Meds: SYNTHROID

Current Illness: NONE

ID: 0952463
Sex: F
Age: 47
State: IL

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: CoVid like symptoms including fever to 102; chills, fatigue, muscle cramps, body pain and headache lasting 48 hours

Other Meds: unknown

Current Illness: none

ID: 0952464
Sex: M
Age: 11
State: VT

Vax Date: 08/04/2020
Onset Date: 08/05/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: Ultrasound

Allergies: None

Symptoms: Immunized for HPV 2nd dose left upper arm 8/4/2020, ongoing large 1.5-2cm subcutaneous, rubbery, mobile, tender nodule since (not improved or worsening). Appreciate U/S to evaluate nodule left upper arm (visible and easily palpable).

Other Meds: None

Current Illness: none

ID: 0952465
Sex: F
Age: 60
State: CA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: ketorlac

Symptoms: swelling in throat and sob after receiving C19 vaccine. Epi x 1 at vax site with relief, required Epi x 1 en route to ED, pt remain stable, no report of urticaria, angioedema or any other complications during transport

Other Meds: none

Current Illness: none

ID: 0952466
Sex: F
Age: 32
State: WI

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: On 1/15 developed Fatigue, headache, fever, chills and body aches. Employee health swabbed her by PCR and test was Positive for Covid. On 1/16 had no symptoms and was retested by PCR and was Negative.

Other Meds:

Current Illness: none

ID: 0952467
Sex: F
Age: 59
State: KS

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Developed a rash on her upper body on 01-14-21. Patient states the rash burns, making wearing clothing uncomfortable. She took antihistamines over the weekend per her medical providers' recommendation. Her rash has not improved.

Other Meds:

Current Illness:

ID: 0952468
Sex: F
Age: 59
State: DC

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Lot number might be 026L20A. My first Moderna shot was on 1-7-2021. My arm was a bit sore, red, and swollen for just a couple days and then it was fine. On 1-14-2021 I woke up with a sore upper left shoulder (the joint, not the surface injections site), left neck, throat, and jaw. It hurt a bit to eat. Later that day the injection site became hard, red, and itchy again. By 1-16-21 the injection site was no longer itchy but my shoulder, neck, throat and jaw have continued to be sore, on and off. I don't know what else could be causing this - it's not bad but it's odd. The soreness feels like lymph gland swelling. I have not consulted a doctor because it's not bad but may call clinic. I called the Moderna 800 number and filed a report that way but decided to also file this report.

Other Meds: Levothyroxine, lisinopril, crestor, vitamin D, fish oil, boron

Current Illness: None

ID: 0952469
Sex: F
Age: 57
State: MI

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: labs-cbc, cmp, tsh, epstein barr titer, B12, folate, sed rate ENT referral

Allergies: PCN-anaphylaxis sulfa-rash

Symptoms: Severe fatigue, Headache frontal and temporal, dizziness/vertigo, tinnitus,

Other Meds: Estradiol, Levsin, Omeprazole, Zoloft, Topical Retin-A, Ventolin PRN

Current Illness: COVID IN March 2020, resolved and had a second flare a week after symptoms improved.

ID: 0952470
Sex: M
Age: 49
State: IL

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Morphine Naproxen

Symptoms: "last 1/15 early 1/16 I started feeling rough, fever got to 102.3. slept all day Saturday, took tylenol, Sunday 99 temp, felt better but very fatigued. Slept most of day Sunday, I feel much better today 1/18/21. my arm on 1/17 was much sorer than it was the day before, i had to use ice packs"

Other Meds:

Current Illness:

ID: 0952471
Sex: F
Age: 37
State: NY

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies: NKDA

Symptoms: Recurrence of redness of skin surrounding the injection site, increased swelling, recurrence of itching, and slight tenderness. This all occurred after all soreness, pain and redness was all resolved. The injection site was slightly swollen but had gone down significantly since the first 24 hours of the injection.

Other Meds: Aimovig, B2, Cetirizine, aviane (birth control)

Current Illness: n/a

ID: 0952472
Sex: F
Age: 46
State: OR

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies: fish gluten, macrobid, milk, compazine

Symptoms: presents to clinic today for evaluation of adverse reaction to COVID-19 vaccination. She received the first dose of the Moderna vaccine two days ago on 1/15/21. She reports fatigue, chills, and body aches started later that day. Reports around 2 am that night she woke up feeling nauseous, at that time she went to the bathroom, was sitting on the toilet concerned she may have vomiting and/or diarrhea, she had what sounds like a vasovagal response, she became lightheaded and sweaty and fainted, she woke up sitting on the toilet but leaning over. She has been taking Ibuprofen for her body aches. Yesterday morning 1/16/21 she noticed a rash started around her umbilicus. Her body aches and other symptoms were starting to improve. She reports since then the rash has spread and is present all over her trunk, armpits, beginning to spread down legs. She denies itching, burning, or any discomfort associated with the rash. She also reports feeling shaky, weak, and mildly SOB with exertion today. She denies any throat swelling. She has a history of PFO and takes Plavix

Other Meds: armour thyroid 30 mg, estradiol 10 mcg vaginal insert

Current Illness: none

ID: 0952473
Sex: F
Age: 77
State: TX

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: ASA, Tylenol, Indocin, Darvon

Symptoms: Chills, shaking so badly could not stand up to drive home from office, headache, ache over entire body. In bed for 2 days.

Other Meds: 0

Current Illness: 0

ID: 0952474
Sex: F
Age: 38
State: CA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: No clinic/ doctor visit was needed. I was able to medicate using ibuprofen to counteract fever and chill symptoms. Pepto Bimal for diarrhea and nausea.

Allergies: I developed an adult onset food allergy a week after the first shot

Symptoms: about 10 hours after second vaccine shot - mild fever, chills, headache and inflammation of lymph nodes in armpit, along collarbone and in neck on shot side. Fever broke about the 20 hr. mark. nausea and diarrhea on second day. followed by additional fever and chills at 48 hours post shot. second fever subsided next morning with headache continuing for third day. lymph node inflammation is continuing at this time (day 5 post shot)

Other Meds:

Current Illness:

ID: 0952475
Sex: F
Age: 21
State: AZ

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: unknown

Allergies: NKA

Symptoms: anxious, c/o a tightness of throat, and itching. She took oral loratadine followed by oral Benadryl. She verbalized improvement in symptoms but requested assistance to go the Emergency department.

Other Meds: none

Current Illness: seasonal allergies; allergy to cats

ID: 0952476
Sex: U
Age: 37
State:

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1/7/21 Fever, sob, tachycardia, chills, HA, myalgia, photophobia, left shoulder pain, fatigue

Other Meds:

Current Illness:

ID: 0952477
Sex: F
Age: 62
State: MS

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: N/A

Allergies: Morpheein, Ultram, Lisinopril, Diovan, -statin drugs

Symptoms: Left arm sore 2 days, 3rd day left neck, shoulder, arm , shoulder blade pain. Symptoms have not resolved 1/18/2021, not as painful now advil and massage therapist therapist treatment

Other Meds: Prilosec, Zyrtec, WellbutrinXL 150mg

Current Illness: N/A

ID: 0952478
Sex: F
Age: 33
State: NH

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Bactrim [Sulfamethoxazole-trimethoprim]Anaphylaxis, Hives CiprofloxacinAnaphylaxis MorphineAnaphylaxis Reglan [Metoclopramide Hcl]Hives Sulfa (Sulfonamide Antibiotics)Hives Benadryl [Diphenhydramine Hcl]Rash DoxycyclineNausea And Vomiting Lactose Nasonex [Mometasone]Other (See Comments) Tape 1"x5yd [Adhesive Tape]Rash Toradol [Ketorolac Tromethamine]Hives

Symptoms: Pt is 33 yo female with h/o multiple drug allergies , including allergy to benadryl. She has received first dose of COVID vaccine made by Phfizer at 3:45. She reports about 10 minutes after the vaccination she started feeling tingling in her lips, throat and prickly sensation on her chest and feeling "off". Felt dizzy, developed small hives on her chest. She was attended to immediately at the vaccine site and our team was called to white code. Pt was sitting on the floor, alert , breathing comfortably. Her BP was 151/84, HR 90, O2 Sats 100%. Her lungs were clear the whole time, no wheezing, no difficulty swallowing or talking. Patient received 125 mg of IV solumedrol and 20 mg of pepcid in vaccination room, she felt the same, still breathing comfotably, speaking full sentences, hives faiding away. She was transported to Urgent Care clinic on wheelchair. Pt kept her EpiPen by her site the whole time but refused to used it, states she is afraid to use it and wants to hold off or get it in ER if necessary. About 16:30 patient reported her tingling, prickly sensation In her chest is getting worse, developed sensation of lump in her throat, able to swallow and breath without problems, lungs exam clear. Again recommended to give Epipen but patient again refused as she feels very anxious about getting new medicine. She was able to speak full sentences and breathing well, O2 Sats 100% the whole time, she repetitively refused EpiPen. EMS called and patient transported to ER, ER notified. Pt left in stable condition.

Other Meds: DIETARY SUPPLEMENT ORAL LACTOBACILLUS ACIDOPHILUS (PROBIOTIC ORAL) cetirizine (ZYRTEC) 10 mg tablet ranitidine (ZANTAC) 150 mg tablet epiNEPHrine (EPIPEN) 0.3 mg/0.3 mL injection

Current Illness: Dairy product intolerance Mast cell disorder Granuloma annulare Goiter

ID: 0952479
Sex: F
Age: 48
State: WI

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: Within 5 minutes of receiving the vaccination patient reported flush, hot, tingling through whole body, heart racing, light headed, "full" feeling. Dr. reported swelling face, no trouble with swallowing, breathing. Vital signs taken. HR/BP elevated. Benedryl 25 mg po given. continued to monitor bp/hr returned to normal. Monitored for 30 minutes and then walked back to department. Pt worked rest of day and when home reported chills, body aches, she took a nap and ibuprofen 800 mg and then after nap all symptoms resolved by 2000.

Other Meds: Premarin Vitamin B Fluoxitine

Current Illness: None

ID: 0952480
Sex: F
Age: 46
State: AZ

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: Doxycycline Penicillin Annatto food dye Red dye #40 food dye oxycodone Latex

Symptoms: This time I predosed per allergersit recommendation with 25 mg benadryl, 300 mg pepcid, zyrtec 10 mg and acetominopehn 500 mg 2 hours prior to vaccine. 15 min in I got wheezing, thorat tightness and tongue numbness. EMTs again called and again sats ok, BP ok and HR in 90s. Wheezing better with 4 inhalations of Albuterol HFA. They wouldn't give me any meds without sending me to ER, so I left and went home and took 50 mg Benadryl and another 2 sprays of albuterol at 4 hours post vaccine and did well.

Other Meds: Symbicort 160 2 puffs daily Zyrtec 10 mg daily OCP 0.1/0.3 1 po qd Lamotrigine 100 mg qd escitalopram 10 mg Melatonin 3 mg po qd amlodipine 5 mg po qd valsartan 360 mg po qd esomeprazole 40 mg po qd MVI chewable 1 po qd Trader Joes Elderb

Current Illness: Asthma Flare requiring only extra albuterol (after 1st COVID vaccine shot)

ID: 0952481
Sex: M
Age: 64
State: AZ

Vax Date: 01/13/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: I did my Injection Friday 1/15/2021 at 09:00 PM and woke up Saturday feeling unwell, chills and muscle pain all day. Sunday 1/17/2021 I awoke at 6:00 AM with my Right ear swollen at least three times normal size. The ear has visable sores and is extruding a clear liquid all day Sunday 1/17/2021 and today Monday 1/18/2021. I made an appointment for 4:30 PM today with NP

Other Meds: Avonex 30 MCG/0.6ML INJ. 1ML 1/week Atorvastatin 20 MG Tablet 1/Day Metoprolol ER Succinate 50 MG Tablet 1/Day Hydroclorothiazide 12.5 MG Capsule 1/Day Amlodipine Besylate 2.5 MG Tablet 1/Day Naproxen 500 MG Tablet 1/Day Cyclobenzaprine 10

Current Illness: MS

ID: 0952482
Sex: F
Age: 57
State: FL

Vax Date: 01/07/2021
Onset Date: 01/10/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies: NKA

Symptoms: sore mouth and tongue was stiff and extreme fatigue feels tired even a week later

Other Meds: vitamin d and calcium

Current Illness: none

ID: 0952483
Sex: F
Age: 59
State: SC

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital: Y

Lab Data: 01/14/2021 EKG (STEMI), CXR, admission to hospital (3 day total), emergency heart catheterization and stent placement,(complete blockage of right coronary artery),echocardiogram (01/14/2021..."Systolic function was at the lower limits of normal. EF 50% - 55%. Hypokinesis of the inferior myocardium. Grade 1 diastolic dysfunction")

Allergies: cipro

Symptoms: On 01/13/2021 at about 11pm I began having pain in both arms and across my chest. Also nausea and vomiting. At midnight I went to the Emergency room and was diagnosed with a heart attack, underwent emergency catheterization and stent placement. I had complete occlusion of the right coronary artery

Other Meds: Synthroid 100mcg/day lisinopril 10mg/day pravachol hydroxychloroquin 200mg twice a week Zinc 5mg/day Vit D 6000iu/day VitC

Current Illness: HTN Hypothyroid hyperlipidemia

ID: 0952484
Sex: F
Age: 56
State: TX

Vax Date: 01/08/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Sulfa Drugs

Symptoms: Red, swollen, itchy patch at injection site that happened about a week after injection. On Saturday 1/16/2021 it was about the size of a quarter and Monday 1/18/2021 it is about the size of a silver dollar. The swollen area is also hot to the touch.

Other Meds: Verapamil ER Triamterene - HCTZ Escitalopram Potassium

Current Illness: Seasonal allergies

ID: 0952485
Sex: F
Age: 68
State: FL

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: haven't had any. Just called my doctor.

Allergies: Yes. Bananas, tea, eggs, wheat. pollen from Oak trees, grass, dog fennell.

Symptoms: Seven days after the shot I began experiencing extreme itchiness at the site of the injection. Then a rash appeared on my arm which has traveled down almost to my elbow. The area is hot and red. The itching has lessened but the rash seems to be continuing to travel.

Other Meds: Metatorpol 25mg;. Rosuvastatin 5mg; Armouir thyroid 30 mg. Also vitamins D3, C+B, B12, Lysine, a probiotic, Co-Q10.

Current Illness:

ID: 0952486
Sex: F
Age: 22
State: NJ

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: Tamiflu

Symptoms: Right after I puked I started to feel better, I felt as if I was going to faint, I felt really weak , chills The next day I was nauseas, Blood Pressure was low again . Pain in my Arm

Other Meds: Birth Control - Tri-Legest-Fe

Current Illness: None

ID: 0952487
Sex: M
Age: 33
State: NY

Vax Date: 01/17/2021
Onset Date: 01/18/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: fever, body aches, fatigue, headaches

Other Meds: N/A

Current Illness: N/A

ID: 0952488
Sex: F
Age: 61
State: NJ

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: Vitamin C and Vitamin E

Symptoms: Received Vaccine on 1/2/2021 at 10AM , at 3PM employee felt itchy, took a nap, and at 8PM she had a circular redden skin rash on her arms, legs, and torso. Temperature: 99 degrees. Employee took Tylenol and Claritin for rash, complained of diarrhea, vomiting, and weakness of both knees within 24 hours all symptoms were gone.

Other Meds: Metroprolol, (Barete 100 mgBID) hyper tension Lisinopril 20 mlg OD hyper tension Multivitamin 1 tablet daily

Current Illness: Hypertension, seasonal allergies Employee has a history of skin rashes

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm