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: 0953128
Sex: F
Age: 56
State: OH

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

Lab Data: none

Allergies: allergies: Codeine, Thimerisol, fragrances and perfumes, sensitivity to 'mycins', sensitivity to antibiotics

Symptoms: Swollen at injection site, hot to touch, painful, itch both at site and systemically. slowly resolved over the course of 3 days with Benedryl. some swelling remains along with bruising after 4 days

Other Meds: Adderall

Current Illness: none

Date Died: 01/18/2021

ID: 0953129
Sex: F
Age: 74
State: KY

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

Lab Data: none

Allergies: none

Symptoms: Patient presented to our Emergency Department via EMS in full code status; asystole. Patient expired. Per nursing, husband stated patient awoke this AM and reported pain in back between shoulders and in bilateral shoulders. Patient then went unresponsive and husband called EMS.

Other Meds: unknown

Current Illness: none known

ID: 0953130
Sex: F
Age: 54
State:

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

Lab Data:

Allergies:

Symptoms: 54-year-old female presents for evaluation and treatment of right arm pain. Received the 1st dose of her covid-19 vaccine on 01/07. She initially had some soreness but that resolved over the following days. Her pain returned couple of days ago and has been significantly worse. She has not noticed any systemic signs of illness. No darkening of her urine. She has tried heat and ice. She took 1 dose ibuprofen. Pain is radiating up to her shoulder. It is worse with any kind of movement. Recommend ibuprofen 400 mg 3 times a day and given the muscle soreness will treat with a muscle relaxer.

Other Meds:

Current Illness:

ID: 0953131
Sex: F
Age: 70
State: AZ

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

Lab Data: I didn't report it to my doctor at the time....Just later as an ASIDE.....Wondering if the shingrex shot might lead to contraindications iwth COVID vaccine....

Allergies: None known

Symptoms: about 5 hours post shot, I started to feel ill.....Nausea and ACUTE diarrhea, dizziness....This persisted for 24 hours and then, I just felt a bit dizzy and ICKY!....Then, returned to normal. This was a rare event that would not have been associated with ingestion of bacterial pathogens/food or other extraneous events....I couldn't figure it out and was laying and bed and noted my sore arm...and thought "OH...the dang Shingrex shot!"

Other Meds: Yes, the usual ones I've taken for years

Current Illness: . Gastrointestinal -Infrequent issues with regularity

ID: 0953132
Sex: F
Age: 46
State: MT

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

Lab Data:

Allergies: Sulfa, Cipro

Symptoms: "I had the 'usual' reaction to the vaccine a week ago on Friday (1/8)--sore, red lump on arm, headache/body aches/fatigue. Everything except the arm was gone by Sunday (1/10). I took some Benadryl on Sunday and the arm appeared to be getting better. The hard lump never went away though and by Friday (1/15) it was huge, red, hot and swollen. Long story short, I ended up with a whopping case of cellulitis and am on some antibiotics. The Dr. was not sure who I should report it to...there's certainly the possibility that it's random (I could have ended up with cellulitis even if I was getting a tetanus vaccine or something and I realize that) or if it could be connected to the vaccine not dispersing in my arm?

Other Meds: Multivitamin

Current Illness: None

ID: 0953133
Sex: F
Age: 52
State: PA

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

Lab Data: facility doctor checked heart/breathing, continued to monitor with a pulse-ox oxygen levels were good @98

Allergies: wellbutrin, gluten, meloxicam, pencillins, plaquenil, sertraline

Symptoms: little bit of difficulty catching breath, heart beat became rapid for a short period, experienced cold tingling feeling in chest

Other Meds: none

Current Illness: none

ID: 0953134
Sex: F
Age: 29
State: TX

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: PENICILLIN, AMOXICILLIN

Symptoms: my initial symptoms were redness at the site, moderate swelling at the injection site and muscle soreness. This lasted through Friday/Saturday and my symptoms resolved. Starting 1/5 in the evening, the injection site began to swell, become red again and itch. I now have an almost 2" diameter swelling that continues to increase. I'm assuming its related to the vaccine although I don't understand the delay in the symptoms.

Other Meds:

Current Illness:

ID: 0953135
Sex: F
Age: 56
State: CO

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

Lab Data:

Allergies: sulfa chlyndamyacine

Symptoms: redness, hardness of skin, hot to touch, soreness

Other Meds: Vit D Melatonin Pramipexole

Current Illness:

ID: 0953136
Sex: F
Age: 41
State:

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

Lab Data:

Allergies: NKDA

Symptoms: Evening after receiving vaccine, felt "fuzzy, full feeling in tongue and throat". No breathing issue. Fever (101 degree) and rash (all over body, red, flat petechiae) developed 24 hours after vaccine with diaphoresis and general skin flushing, body aches and, severe local arm reaction. All symptoms resolved after 48 hrs.

Other Meds: Lexapro

Current Illness:

ID: 0953137
Sex: F
Age: 80
State: NC

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

Lab Data: n/a

Allergies: aspririn, Brazil nuts

Symptoms: Patient c/o severe nausea. RN offered pt a seat near the bathroom. Pt sat down and waited until nausea decreased. RN gave pt a bottle of water and she drank about 60ml. After about 10 minutes, pt stated she was still nauseous but felt slightly better. RN ensured pt that she could stay as long as she needed to and until her symptoms subsided. Pt and family member agreed that they were comfortable enough to head home. RN instructed pt to notify healthcare worker of her episode of nausea before she received the second dose of the covid-19 vaccine.

Other Meds:

Current Illness:

ID: 0953138
Sex: F
Age: 39
State: NM

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

Lab Data:

Allergies:

Symptoms: Patient called to report symptoms:at 3:30pm face redness, hot ears, "lump" in her throat (feels like closing), breathing is normal. Took 25mg benadryl at 3:30pm and 25mg benadryl at 3:37pm. Called patient every 10 minutes to make sure she was feeling ok and to call 911 if symptoms got worse. She reports being fine at 4:00pm.

Other Meds:

Current Illness:

ID: 0953139
Sex: F
Age: 61
State: TX

Vax Date: 01/05/2021
Onset Date: 01/07/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: COVID test/ 1/10/2021 negative

Allergies: almonds, sulfa rocefin,

Symptoms: Nausea for 3 days, vomiting, body aches for 2 days, diarrhea

Other Meds: zolipin, crestor, cymbalta, Vit D, C B12, calcium probiotic, magnesium and zinc

Current Illness: none

ID: 0953140
Sex: F
Age: 42
State: MI

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

Lab Data: none

Allergies: unknown

Symptoms: body aches headache nausea for 2 days

Other Meds: unknown

Current Illness: none

ID: 0953141
Sex: F
Age: 47
State: ME

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: Contrast dye, Augmentin, Flagyl, Dilantin, Depakote

Symptoms: 8 days post vaccination developing a large area of erythema local to the site of vaccination, posterior right upper arm. Systemic symptoms: body aches, swollen lymph nodes, axillary pain, pain at site of erythema, mild itching and tenderness at site of erythema. Afebrile on exam. Area of erythema 10cmX14 cm, tender to palpation and warm. Previous marked outline showed increase of size 3cm in 3 hours. Submandibular and cervical lymphadenopathy. Given this delayed reaction, there were concerns for cellulitis vs injection site reaction and side effect of vaccine. It was a Friday and given the presentation paired with limited follow-up availability due to the clinic being closed on weekend, and systemic systems, elected to treat for cellulitis. Follow-up on 1/12/2021 showed resolution of systemic systems along with lymphadenopathy and erythema. Now with more data available it would appear this was delayed vaccine reaction and not cellulitis.

Other Meds: Unknown

Current Illness: None

ID: 0953142
Sex: F
Age: 27
State: VA

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

Lab Data:

Allergies: NKDA/NKFA

Symptoms: Lightheadedness Fever, despite Tylenol (101.3) Muscle pain - primarily in lower back and quads Joint pain - ankles, knees, hips

Other Meds: Sprintec

Current Illness: Laryngitis

ID: 0953143
Sex: F
Age: 40
State: WV

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

Lab Data:

Allergies: gluten

Symptoms: Patient stated she had chest heaviness and SOB the evening after receiving the vaccine. She saw her PCP and got a steroid shot and took Benadryl on 1/15. On 1/17 she came to the ER with complaints of cough and chest heaviness thought to be caused by the vaccine. She was treated for underlying pneumonia with azithromycin 500mg PO, cefdinir 300mg PO, and a one time dose of methylprednisolone 125mg IM.

Other Meds:

Current Illness:

ID: 0953144
Sex: F
Age: 23
State: IL

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: n/a

Symptoms: 12/21 night Headache, pain at injection site, body chills, runny nose. Symptoms gone by next morning. Tested positive for Covid-19 on 12/23.

Other Meds: Vitamin d, venlafaxine,

Current Illness: n/a

ID: 0953145
Sex: F
Age: 52
State: IA

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: On January 7th, (day 8 of vaccine), I noticed that my arm starting itching where I received the vaccine. On the 8th, I noticed a red rash about the size of a tennis ball. The rash continued to get bigger each day through the 12th of January. The outside of the rash was red, and the inside looked normal. On the worse day, the rash was almost to my elbow. The biggest that it got was about the size of a cantelope.

Other Meds: Vitamin D 2000 units, Vitamin C 500mg, Omega 3 1000 mg, Lysine 500mg

Current Illness: No

ID: 0953146
Sex: M
Age: 87
State: MA

Vax Date: 01/04/2021
Onset Date: 01/12/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: N/A

Allergies: NKDA

Symptoms: Rash noticed by PCP during annual assessment. Patient had a pink red pimply rash with numerous scabs on his front torso and back. The patient was very itchy during the physical exam on 1/12 and was unaware he had an extensive rash. As of 1/18/21, patient has been scheduled for follow-up with dermatology to determine whether rash was due to allergic reaction. Patient is in stable condition at his ALF, and is still recovering from the rash.

Other Meds: Benadryl 25 mg oral capsule, SIG: take 1 capsule (25 mg) by oral route bid for 1 day for itching rash, then reassess, may repeat x2 doses (e-box), hydrocortisone 1 % topical cream SIG: apply a thin layer to the affected area(s) by topical r

Current Illness: No acute illnesses

ID: 0953147
Sex: F
Age: 57
State: MO

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

Lab Data:

Allergies:

Symptoms: I received my COVID vaccine 1/8/21 & experience mild expected side effects of soreness of R deltoid, HA & fatigue/malaise.

Other Meds:

Current Illness:

ID: 0953148
Sex: F
Age: 38
State: MI

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

Lab Data: Benadryl 50 mg

Allergies: Unknown

Symptoms: Throat tickling.

Other Meds: unknown

Current Illness: Unknown

ID: 0953149
Sex: F
Age: 60
State: FL

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

Lab Data: EKG, blood work (12/20/20)

Allergies: Penicillin, Cephalosporins, Sulfa drugs, Clonidine, Sudafed, Bluberries

Symptoms: Rapid heart rate and increase in blood pressure, excessive thirst

Other Meds: Calan SR, Benicar, Potassium Chloride, Zetia & Livalo

Current Illness: Nothing

ID: 0953150
Sex: F
Age: 40
State: NJ

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

Lab Data:

Allergies: Cats; Seasonal allergies

Symptoms: 1/7/2021 - NAUSEA, LEG PAIN, CHILLS, FEVER (100); 1/8/2021 - CHEST TIGHTNESS; VA HOSPITAL ED @3PM. GOT AN EKG, XRAY, BLOOD TEST. FEVER UNTIL 8PM (101 F); BODY ACHES.

Other Meds: Claritin; Alive Vitamins

Current Illness: NONE

ID: 0953151
Sex: F
Age: 38
State: OK

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

Lab Data:

Allergies: Sulfamethoxazole-trimethoprim (nausea) Codeine (migraine) Penicillins (rash)

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA: Patient presented for her second Pfizer vaccine January 11, 2021. She waited 15 minutes and started to pull away when she noticed that she was beginning to get warm. She looked in her car mirror and noticed a rash on her neck and chest. She then notified staff of reaction. Vital signs checked. BP was 122/68. HR was 97. Sp02 was 99% on RA. She denied any SOB. She was given diphenhydramine po that she swallowed without any difficulties. She reported that she began to feel better. Rash started to look better. Patient waited another 15 minutes. Patient was alert and oriented x4 and was talking without difficulty.

Other Meds: Biotin Cetirizine

Current Illness:

ID: 0953152
Sex: M
Age: 25
State: CA

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

Lab Data: BP: 158/114, 143/109, Pulse: 80, 78, O2 sat 99% on room air lungs clear, no stridor, no edema, no change in voice at 4:30pm

Allergies: Seasonal urticaria, worse as a child in the Philippines, at dried fish in 2017 required Benadryl. No hx of anaphylaxis.

Symptoms: Patient C/O left arm pain at site of injection as well as body aches and then felt dizzy. He was assessed and gradually felt better, was able to return to work but then returned again, 20 minutes after leaving to show that he had urticarial lesions on his left forearm. Vs remained stable, rash did not progress and he was sent home with instructions to return to the ER in the event of progression of symptoms.

Other Meds: Denied

Current Illness: Denied

ID: 0953153
Sex: F
Age: 21
State: MD

Vax Date: 01/09/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: After one week of getting the vaccine my left arm, right around where I got the injection, formed a rash and became very red, swollen, and hot. After taking Benadryl and putting on hydrocortisone there has been no changes. It itches only if something rubs against it or if i touch it. It is about 3inches in length and about 3inches in width.

Other Meds: Birth control: Aurovela 24 Fe

Current Illness: yeast infection

ID: 0953154
Sex: F
Age: 63
State: CA

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

Lab Data:

Allergies: sulfa, codeine, vicoden, bee stings.

Symptoms: Strange red patch in axilla on the same side of vaccine. Circular. noticed about a week after. Seems to be resolving.

Other Meds: N/A

Current Illness: N/A

ID: 0953155
Sex: M
Age: 72
State: CO

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

Lab Data:

Allergies: none

Symptoms: Actually not bad. Doing this form thinking it helps your data. I had a sore arm at injection site, shoulder soreness and maybe a slight headache. It lasted from Friday late PM until early Sunday, declining in soreness during that time. Otherwise did not notice much else. Hope this helps.

Other Meds: lisinopril, pantoprazole, statin

Current Illness: none

ID: 0953156
Sex: F
Age: 70
State: NY

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

Lab Data: n/a

Allergies: pcn, boniva, chemo

Symptoms: Patient complained of local itching around injection site approximately 15 minutes after vaccination. Patient had history of allergies to other meds and pharmacist administered diphenhydramine by mouth to patient. Patient said itching went away within a few minutes of taking diphenhydramine. Pharmacist continued to monitor for an additional 45 minutes. Patient had no further complaints

Other Meds: n/a

Current Illness: n/a

ID: 0953157
Sex: F
Age: 58
State: TX

Vax Date: 12/25/2020
Onset Date: 12/25/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: She had 101.5 fever after her vaccine, but it went away within 24 hours

Other Meds:

Current Illness:

ID: 0953158
Sex: F
Age: 48
State:

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

Lab Data:

Allergies:

Symptoms: A 48-year-old female presents for evaluation treatment of myalgias. She relates it to getting her covid-19 vaccine on 1 7. It is worse at night. Currently is bothering her arms and overnight it was her legs. She has been taking NSAIDs and acetaminophen with no benefit. No fever. No darkening of her urine. Myalgias likely an adverse effect of her vaccine. Normal CBC and BMP. No evidence of infection, rhabdo. Will prescribe her cyclobenzaprine and she can follow-up as needed.

Other Meds:

Current Illness:

ID: 0953159
Sex: F
Age: 32
State: TX

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

Lab Data:

Allergies: sulfa drugs

Symptoms: Starting with headaches, injection site soreness, swollen lymph nodes in arm of injection, treated by ibuprofen, about 12 hours after the vaccine About 16 hours after the vaccine fever, chills, muscle aches, nausea, vomiting, headaches, lymph node soreness lasting 12+ hours 2nd day after vaccine intense fatigue and headaches, arm and lymph node soreness 3rd day after the vaccine , headaches and arm/lymph node soreness 4th day after the vaccine, arm and lymph node soreness

Other Meds: ibuprofen, mirena IUD

Current Illness: COVID positive Dec. 18, 2020

ID: 0953160
Sex: F
Age: 66
State: FL

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

Lab Data:

Allergies: none

Symptoms: Received vaccine on 1/13/2021, arm tender on Friday 1/15. On Saturday, 1/16, felt slightly nauseous and tired. Continue to feel the same and went to get tested on 1/18/2021. Tested positive for Covid.

Other Meds: Atorvastatin Ezetimbe Vitamin D

Current Illness: none

ID: 0953161
Sex: M
Age: 35
State: WI

Vax Date: 01/14/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: HIVES throughout body

Other Meds: none

Current Illness: none

ID: 0953162
Sex: M
Age: 31
State: NJ

Vax Date: 01/04/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Dorsum of both hands reddened and itchy on 1/15/2021. OTC Cortisone and Benadryl Cream

Other Meds: Cortisone Cream 1%, Benadryl ointment

Current Illness: None

ID: 0953163
Sex: M
Age: 54
State: NY

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

Lab Data:

Allergies: Seafood

Symptoms: Dizziness, malaise, and headache.

Other Meds: Vitamin D, B12, Daily Vitamin, Vitamin C, Turmeric

Current Illness: None

ID: 0953164
Sex: F
Age: 42
State: CO

Vax Date: 01/06/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: n/a

Allergies: NKDA

Symptoms: Left sided Bells Palsy.

Other Meds: n/a

Current Illness: COVID-19 in November 2020, COVID19 Pfizer Vaccine (Lot EL0142).

ID: 0953165
Sex: F
Age: 52
State: NJ

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

Lab Data:

Allergies: peanuts, strawberry, raspberry, coconut oil

Symptoms: Patient received the 2nd dose covid 19 vaccine at 12:07 and at approximately 12:10 began to feel nauseated. Patient immediately began vomiting copious amounts and had a decreased level of consciousness. Pt was responding to painful stimuli and then after a minute to verbal commands but remained with an altered mental status. HR tachycardia at 118 bpm, pulse oximetry initially 96 on room air. The rapid response team arrived, an IV was established, cardiac monitor placed, Oxygen at 15 lpm via non rebreather mask. Zofran IM given prior to IV being established. Zofran IV given next. Solumedrol given IV. Bolus of Normal Saline given. Patient transported to the emergency department via stretcher.

Other Meds:

Current Illness:

ID: 0953166
Sex: F
Age: 78
State: NC

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

Lab Data: N/A

Allergies: Cholesterol medication i.e. Lipitor

Symptoms: 6:00PM R arm very sore, soreness progressed to R side of body, began to feel very weak, unable to lift leg to bed, malaise 24-36 hrs, exhaustion, wanting to sleep all the time, extremely weak next day

Other Meds: Aspirin, Tramadol, Vitamin E, Vitamin B12, Potassium Chloride 10neq , Omeprazole, Loperamide, Pravastatin, Calcium D3, Diltiazem, Gabapentin,

Current Illness: N/A

ID: 0953167
Sex: F
Age: 34
State: CA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 1-3 am - 100.3; and chills and in that morning at 8:00 am next day joint pain and severe headaches ( not migraine) and severe fatigue and it lasted three or four days - progressively got better each day. Severe pain 1000 mg of tylenol and 600 mg of Advil for pain. Fatigue went away after the second day.

Other Meds: Vitamin D; calcium

Current Illness: Migraine

ID: 0953168
Sex: F
Age: 41
State: FL

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: Ultrasound on 1/13/2021 Unknown if had lab work

Allergies: None reported

Symptoms: Fever of 102-103 F. Nausea, Vomiting, weakness, cough and post nasal drip. Inflammation of lymph nodes left upper extremity , head and neck. Began to feel difficulty swelling due to inflamed lymph nodes Treatment: Intravenous fluids, anti-inflammatory medication, sought treatment at an urgent care center. Ultrasound of left arm, axillary and neck and chest area for enlarged lymph nodes. Outcome- all symptoms resolved by 1/14 except some fatigue

Other Meds: Unknown, none reported

Current Illness: None reported

ID: 0953169
Sex: F
Age: 34
State: CA

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

Lab Data:

Allergies: Shellfish

Symptoms: Headache Chills

Other Meds: Provera 10 mg Ferrous Sulfate 325 mg Vitamin C 500 mg

Current Illness: Morbid Obesity Endometriosis Iron deficiency anemia Hypothyroidism Hashimoto's throiditis

ID: 0953170
Sex: F
Age: 65
State: FL

Vax Date: 01/05/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: NONE

Allergies: Iodine, Bee Stings

Symptoms: On January 5 I received the first dose. No immediate reactions. Next day sore arm. On Jan. 14 noticed arm area was a bit sore and a bit itchy. The next day read area where itchy. It is not on injection site but over towards inside area. The area became redder, felt warm to the touch. Went to see doctor see thought possible bug bite but did not see. Confirmed red area, warmth. No other symptoms. She took a picture and consulted with another doctor. He indicated this was a normal reaction to Moderna . Take Tylenol and ice area. Notify Health Dept. and observe area and other symptoms. Call or come back if worse. Also said to show picture when I returned for 2nd dose.

Other Meds: None just vitamins. C,D,B, Fish Oil, Muti Vitamins,

Current Illness: NONE

ID: 0953171
Sex: M
Age: 66
State: WI

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies: Contrast dye and penicillin

Symptoms: Staff member reported that he was home sick with body aches, fever, headache

Other Meds: Unknown

Current Illness: none

ID: 0953172
Sex: F
Age: 62
State: NJ

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

Lab Data:

Allergies: NKA

Symptoms: ON 1/7; CHILLS, LOW GRADE FEVER (100F), BODY ACHES, HEADACHE, AND FATIGUE X 14 HRS. TOOK ADVIL - 2 TABS AND REST.

Other Meds: Losartan; Hydrochlorothiazide; BREO Ellipta Inhaler

Current Illness: None

ID: 0953173
Sex: F
Age: 30
State: GA

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

Lab Data: Jan 11 Covid test by PCR done and resulted negative Jan 12 rapid Covid and Flu test done and both resulted negative

Allergies: None

Symptoms: Starting the night after the vaccination Jan. 7 the patient woke up with a fever of 100.2 and also arm soreness, body aches and headache. Patient temperature spiked to 101.2 at 9pm that evening. Jan 9 patient temperature was 100.5 at 3pm and patient noticed some stuffiness in the nose. Jan 10 temperature 99.5. Jan 11 3am temperature of 101.3, stuffy nose, cough, body aches, headache, nausea. Jan 12 temperature of 102.8 with Rigors. Jan 13 still having headaches, on and off nausea, cough, low grade fever 99.2. Jan 14 Temperature 100.9. Jan 15 Temperature 101.8. Patient continues to have fever every evening.

Other Meds: Pepcid

Current Illness: None

ID: 0953174
Sex: F
Age: 39
State: NM

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

Lab Data:

Allergies:

Symptoms: Patient was administered Covid-19 vaccination. Patient call back approximately 2 hours after receiving the vaccine reporting the following symptoms: face redness, hot ears, "lump" in her throat (throat feels like closing), breathing is normal (no shortness of breath). She took a Benadryl 25mg at 3:30pm and was advised to take another Benadryl 25mg so she took another at 3:37pm. I advised patient to call 911 if she had shortness of breath and/or symptoms continued to worsen. I also called the patient every 10 minutes for 20 minutes to assess her condition until her husband arrived home.

Other Meds:

Current Illness:

ID: 0953175
Sex: F
Age: 68
State: GA

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

Lab Data:

Allergies: None

Symptoms: I have a red, itchy rash all over my body.

Other Meds: Vitamin C, folic acid, e folic acid

Current Illness: Shin infection

ID: 0953176
Sex: F
Age: 55
State: LA

Vax Date: 12/22/2020
Onset Date: 12/27/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: Flu A/B neg, COVID test neg, UA neg, CBC normal, CT abdomen moderate hypertrophy with mucosal enhancement of stomach. Chest xray neg

Allergies: ASA, Lortab

Symptoms: 12/27/20 - Presented to urgent care with Nausea, swelling on face and hands, SOB. Was given dose of SoluMedrol 125mg and sent to the emergency room. 12/27/20 Presents feeling sick, body aches, chills, nausea, rash and vomiting. SOB better. Given Zofran and IV fluids in ER. D/C home with prednisone and Zofran. D/C dx: Acute allergic reaction, Nausea and vomiting

Other Meds:

Current Illness:

ID: 0953177
Sex: F
Age: 43
State: AZ

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: COld sores on bridge of nose near right eye

Other Meds: Iron supplement, Montelukst 10 mg, Citalopram 40mg

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm