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: 0953336
Sex: F
Age: 38
State: PA

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

Lab Data: none

Allergies: cows milk

Symptoms: patient first had a metalic taste in mouth then started with a dry constant cough/ dry cough was persistant/ started to run a fever of 99.2 and started with a runny nose and chills too patient had zyrtec at home and took 10mg 1 hour later symptoms resolved called patient twice on 1-17-21 and followed up 1-18-21 / patient was back to normal

Other Meds: none

Current Illness: none

ID: 0953337
Sex: M
Age: 65
State: MO

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

Lab Data: None

Allergies: Sporonox

Symptoms: At 1:00am on 01/18/2021, I awakened to and had sustained chills, rigors, fever to 101.7, pulse ox 92, and low-grade cough and headache for 5 hours; after ibuprofen and a return to sleep , I awakened with a drenching sweat but former symptoms above were largely gone.

Other Meds: Metformin, Atorvastatin,Vascepa,Telmisartan, Chlorthalidone,Amlodipine,Bystolic, Beet Crystals, Essential Amino Acid Supplement.

Current Illness: None

ID: 0953338
Sex: F
Age: 37
State:

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

Lab Data:

Allergies: Latex, influenza vaccines, NSAIDs, Lisinopril, Nitroglycerin, Banana, Beef, Pork

Symptoms: Patient's reaction(s) noted during COVID vaccine observation period: 15 minutes after Covid Vaccine received, patient states that she has tingling on her lips and arms, lightheadedness, and nausea. Vitals taken; 0945: 148/86, HR 104, 100% RA, temp: 97.7 1015: 147/84, HR81, 100% RA, Temp: 98 Pt sitting comfortably in chair, drinking ice water. No further evaluation, spouse drove patient home. Disposition: Home

Other Meds:

Current Illness:

ID: 0953339
Sex: M
Age: 42
State: NY

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

Lab Data:

Allergies: None

Symptoms: Swelling of the lymph nodes in the left armpit.

Other Meds: None

Current Illness: None

ID: 0953341
Sex: F
Age: 61
State: ID

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

Lab Data: Troponin - not detected 1/8, 1/9. 1/11 Chest X-ray - normal 1/9

Allergies: Hydrocodone, Scopolamine patch

Symptoms: Patient seen on 1/8, 1/9 and 1/11 in ER at Hospital for Chest pain. Work up negative for acute coronary syndrome. This started hours after 2nd dose of COVID 19 vaccine. Pleuritic type pain. She was sent with aspirin and monitored. On her 3rd ER visit was given medication for anxiety and to aid in sleep (ativan). Symptoms continued and she was off work the week of 1/11 because of this. Seen in Clinic on 1/18 and symptoms had stopped on 1/17.

Other Meds: Flonase, Multivitamin

Current Illness: none

ID: 0953342
Sex: F
Age: 78
State: DC

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

Lab Data:

Allergies: GERD

Symptoms: Three Swollen left fingers Swollen left knee

Other Meds: Vitamins, Aspirin

Current Illness: GERD

ID: 0953343
Sex: F
Age: 39
State: NJ

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

Lab Data:

Allergies: PCN SULFA

Symptoms: ARM SORENESS FIRST 12 HRS. NEXT 24 HRS SEVERE HEADACHES, MYALGIAS, CHILLS ALTERNATING WITH SWEATS. NAUSEA AND VOMITING X1. TOOK TYLENOL AND ZOFRAN.

Other Meds: SUPPLEMENTS MVW AND IRON DAILY. ZYRTEC AS NEEDED FOR ALLERGIES

Current Illness: NONE

ID: 0953344
Sex: F
Age: 74
State: NV

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

Lab Data:

Allergies: TRAZODONE-NIGHTMARES

Symptoms: ?Moderna COVID-19 Vaccine EUA

Other Meds: XANAX, SYNTHROID, ESTRACE, VITAMIN D3, RETIN-A, AMBIEN

Current Illness:

ID: 0953345
Sex: F
Age: 58
State: OR

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

Lab Data: None

Allergies: Garlic, Vicodin

Symptoms: Moderna COVID-19 EUA 4 hours after receiving the vaccine, I experienced bilat ear popping. Approx 12 hours after receiving the vaccine, I experienced a headace, joint pain, severe dizziness and fatigue, and R ear pain. After about 8 hours, symptoms resolved.

Other Meds: Zinc, Hair Skin and Nails, Vitamin D3, Biotin, Probiotics, Magnesium, Ginseng, Claritin, IB.

Current Illness: None

ID: 0953346
Sex: F
Age: 57
State: CA

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

Lab Data: nothing

Allergies: no

Symptoms: flu symptoms ; tiredness ,headache , muscle and join paint ,slight fever , cough , running nose , feeling unwell these symptoms start second day of the vaccination on 1/15 2021 , and I'm still sick today is my 4 th days after vaccination .

Other Meds: no . just my regular medication

Current Illness: 10 days before had a little cold symptoms but on the day of vaccination i was clear and healthy . on monday /11 i took covid test and came out negative for make sure i'm good before vaccination .

ID: 0953347
Sex: F
Age: 37
State: WI

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

Lab Data:

Allergies: No known allergies

Symptoms: Tachycardic, Elevated BP, Tingling feeling in body/arms/hands, Flushing, Nausea

Other Meds:

Current Illness:

Date Died: 01/14/2021

ID: 0953348
Sex: M
Age: 81
State: AR

Vax Date: 12/22/2020
Onset Date: 12/24/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Patient was living in a nursing home with positive cases when administered. His age and chronic condition was such that he did not have time after the vaccination to avoid exposure or develop immunity.

Other Meds: Atorvastatin, Ibuprofen, Oxybutinin, Morphine Sulfate

Current Illness:

ID: 0953349
Sex: U
Age: 10
State:

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

Lab Data:

Allergies: N/A

Symptoms: Patient received vaccines and then fainted, turned very pale , vomited in one occasion, felt very hot to the touch.

Other Meds: N/a

Current Illness: N/A

ID: 0953350
Sex: F
Age: 73
State: MO

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

Lab Data: No test taken

Allergies: None

Symptoms: Experienced shingles outbreak on left side. Rash about 2 inches square on back by waist. Pain going from left lower shoulder blade down toward waist, then radiating to under left breast. began 1 day after vaccination. Continues on day 11.

Other Meds: Rosuvastatin 10 mg Women's 50plus Multivitamin Calcium Citrate 630 mg plus D3 13 mcg Biotin 10000 mg Chondroitin Glucosamine 100 mg/100 mg Also in RSV virus vaccine.

Current Illness: None

ID: 0953351
Sex: F
Age: 25
State: WI

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

Lab Data:

Allergies:

Symptoms: Rash left shoulder into left neck around posterior neck along the hairline.

Other Meds:

Current Illness:

ID: 0953352
Sex: F
Age: 32
State: WA

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

Lab Data: none known

Allergies: Meperidine

Symptoms: After the patient received the vaccination they were instructed to sit in the waiting room for 15 minutes. The vaccinating pharmacist checked the patient and she said her lips were tingling/numb. The vaccinating pharmacist came and got me in the pharmacy. I talked to patient, she said her breathing was fine but felt like she was floating. She began to become incoherent and at that point we got her on the floor and called 911. I did not talk to the EMTs. They transported the patient out of the waiting room. We reached out to patient after she returned home she is feeling better and may of just had a panic attack. She is making an appointment with her primary care provider.

Other Meds: none known

Current Illness: none known

ID: 0953353
Sex: F
Age: 84
State: IN

Vax Date: 01/04/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: Erythromycin, Penicillin (PCN), Sulfonamides (Sulfa)

Symptoms: Moderna COVID-19 Vaccine EUA Resident has a 8cm X 6cm reddened area to left upper arm, same area that the Covid Vaccine was given 2 weeks ago. Area is red, warm to touch and hard. This first appeared Saturday 1/16/21. Resident's daughter did wish to make an appt with her primary care physician. Appt is Tuesday 1/19/21.

Other Meds: Vitamin C, Aspirin, Bystolic, Centrum Silver Women's Multivitamin, Colace, CoQ10, Fish Oil, Nifedipine, Vitamin D3.

Current Illness: None

ID: 0953354
Sex: F
Age: 66
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Next day after taking Modena vaccine, experienced redness, swelling, and hardness around injection site. Also chills and a headache throughout the day .... 01-17-2021. My lot number was reported in media as experiencing side effects and I felt I needed to report my side effects.

Other Meds: Atenolol 25mg Losartan 25 mg Atorvastatin 10mg

Current Illness: None

ID: 0953355
Sex: F
Age: 86
State: TN

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

Lab Data:

Allergies:

Symptoms: red, swollen area at injection site

Other Meds:

Current Illness:

ID: 0953356
Sex: M
Age: 55
State: NC

Vax Date: 08/10/2020
Onset Date: 08/12/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: sulfa antibotics oxycodone

Symptoms: vertigo, to the extent walking was difficult. ENT doctor diagnosed vestibular neuritis. Resolved in 10 days

Other Meds: lisinopril fenofibrate vitamin D3

Current Illness:

ID: 0953357
Sex: F
Age: 86
State: IA

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

Lab Data: Head CT, MRI,

Allergies: NONE

Symptoms: Resident had seizure like activity that was about 30 minutes in duration where her upper/lower extremities were shaking uncontrollably. Resident had to be admitted into hospital for observation.

Other Meds: Calcium-Vitamin D Tablet 500-200 MG-UNIT (Calcium Carb-Cholecalciferol) Give 1 tablet by mouth two times a day for supplement Clopidogrel Bisulfate Tablet 75 MG Give 1 tablet by mouth in the morning related to OTHER CEREBROVASCULAR DISEASE

Current Illness: NONE

ID: 0953358
Sex: F
Age: 51
State: KS

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

Lab Data: no

Allergies: peppermint

Symptoms: Next day Fever, body aches. Took BC Powder. Went to sleep got up with had chills, headache, stiff neck, jaw was tight, took a shower, tender and red at the injection site. Went back to sleep, got up later couldn't move arm. Lymph nodes swollen, nausea, diarrhea, fatigue up until an hour ago. Everything else has subsided.

Other Meds: Aspirin Low Dose, BC Powder

Current Illness: no

ID: 0953360
Sex: M
Age: 43
State: VA

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

Lab Data:

Allergies: None

Symptoms: Fever of 104.3. Chills. Severe body aches and headache. Nausea. Vomiting. Dizziness. Lasting more than 36 hours

Other Meds: Pantoprazole

Current Illness:

ID: 0953361
Sex: F
Age: 20
State: WI

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

Lab Data:

Allergies: Penicillin, sulfa, peanuts, dogs, cats, tree pollen

Symptoms: I felt feverish and had joint and body aches the day following my vaccine. I was also nauseous, had a headache, and felt fatigued. Today, 01/18/2021 I had a migraine so bad I vomited twice. I had to go home from work because I was so sick.

Other Meds: Lexapro, Wellbutrin XL, Adderall XR, Omeprazole, Doxycycline, Metformin, Ibuprofen, Prenatal Vitamin, Advair, Albuterol Inhaler

Current Illness:

ID: 0953362
Sex: F
Age: 60
State:

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

Lab Data: transported to ED

Allergies: Allergic to benadryl

Symptoms: itching all over, restlessness, patient allergic to benadryl.

Other Meds:

Current Illness:

ID: 0953364
Sex: F
Age: 32
State: MS

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

Lab Data:

Allergies: Stadol

Symptoms: Purpura on abdomen

Other Meds: Oxybutin

Current Illness: None

ID: 0953365
Sex: F
Age: 68
State: CA

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

Lab Data: None

Allergies: Lobster

Symptoms: Migraine headache on waking days 1, 2 and 3. Joint pain, nausea, lack of appetite, dizziness on day 2. Same symptoms to a lesser extent Day 3. Day 4 no symptoms.

Other Meds: Atorvastatin Lisinopril Carvedilol Clopidogrel Sertraline Gabapentin

Current Illness: CHF COPD

ID: 0953366
Sex: F
Age: 38
State: CA

Vax Date: 01/09/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Morphine, PVK penicillin, norco, coconut, pecans, corn, oats, watermelon, grass, trees

Symptoms: I'm having itchiness all over my body and swollen red circle around the vaccination area. My lips swelled up a little hours after on the day of injection.

Other Meds: Vitamin D3

Current Illness:

ID: 0953367
Sex: F
Age: 22
State: CA

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

Lab Data: N/A

Allergies: NKDA

Symptoms: Feeling hot, diaphoretic and lightheadedness.

Other Meds:

Current Illness:

ID: 0953368
Sex: F
Age:
State: CO

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

Lab Data: -

Allergies: -

Symptoms: First dose Jan. 5. Site was sore. Jan 14 arm became extremely itchy. First notice injection site and entire front of arm extremely red, hot, blotchy and swollen. Symptoms worsened Jan 15 ; I went to my doctor's urgent care. Dr. is the Covid doctor at this facility. He said he had not seen anything like this. He told me to watch it, document with photos (which I have done daily) and check my temperature 3 times daily. He said if symptoms still exist in a week to make a return visit. I have not had a fever.. Today Jan. 18 my arm seems a little less red. I am applying hydrocordisone 2.5% to ease the itching.

Other Meds: levothyroxine, vitamins C, B12, D, Zinc, Flaxseed, Calcium,

Current Illness: -

ID: 0953369
Sex: F
Age: 60
State:

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

Lab Data:

Allergies: benadryl

Symptoms: itching all over

Other Meds:

Current Illness:

ID: 0953370
Sex: F
Age: 27
State: IA

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

Lab Data: See blood pressures, pulse and pulse ox data above.

Allergies: No Known Allergies

Symptoms: The patient received her vaccine at 2:03pm. The patient complained of light headedness at2:10pm. Her blood pressure at this time was 112/72, pulse ox was 99% and pulse was 86. At 2:20pm, the patient complained of a headache, heavy eyes, and facial pressure. Her pulse was 80 , pulse ox 97%, Blood pressure 106/66. She was given acetaminophen 650mg by mouth at this time. At 2:40pm she also complained of light sensitivity alongside of the headache and heavy eyes. She rated her headache at 5 out of 10. Her blood pressure was 102/64, pulse 80, and pulse ox 99% At 3:08pm, she reported her headache was 5 out of 10, still light sensitive, and eyes felt heavy. Her BP was 102/68, pulse 83, and pulse ox 94%. At 3:20pm, the patient stated she felt better with headache improving to 3/10, pulse ox at 99%, pulse 82, BP 110/80. Patient's light headedness had resolved and she stated she was ready to leave to go home. She did cancel the rest of her workday.

Other Meds:

Current Illness:

ID: 0953371
Sex: F
Age: 40
State: TX

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

Lab Data:

Allergies: None

Symptoms: My back, right axilla, and arm began hurting 8 days after I received my vaccination. My arm also developed redness the following morning accompanied by body aches. I started running a fever of 102 by that evening, with increased aces and chills. The redness spread down my right arm to the elbow and was hot and swollen. Lymph nodes to the right axilla and arm were swollen and painful. I missed the 16-17 from work and spiked intermittent fevers. I am a nurse, and a doctor at work said it looked like a reaction, so I took Zantac, certrizine and ibuprofen. I also started taking amoxicillin 500 mg due to the potential for cellulitis. Today, I am spiking a fever again of 101.5, and they lymph nodes are still swollen. Today is 12 days post vaccine.

Other Meds: Levothyroxine Liothyronine Trintellix Buspar Vitamin D

Current Illness: None

ID: 0953372
Sex: F
Age: 29
State: SC

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: Negative COVID-19 result

Allergies:

Symptoms: 10 hours since second vaccination I had muscle aches, chills, myalgia, nausea, headache, and fatigue. This went on for.36-48 hrs. After flu like symptoms subsided,I started to get pins and needles in both feet, legs, and hands. Then twitching and muscle spasms in my legs.

Other Meds: Birth control, magnesium, B12, Advil

Current Illness:

ID: 0953373
Sex: F
Age: 85
State: TN

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

Lab Data:

Allergies:

Symptoms: red, swollen area at injection site

Other Meds:

Current Illness:

ID: 0953374
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: denies

Symptoms: pt had already waited 15 minutes after receiving her vaccine and reported to RN before exiting building that she felt as though her bottom lip was swollen. She also c/o the tip of her tongue being slightly itchy. As she was describing symptoms to RN, pt stated that her throat was getting scratchy. pt denies difficulty breathing/respiratory distress, headache, nausea. Pt states she "feels ok and does not want to stay". RN asked to see pt's lip and tongue. Tongue was pink, moist. Bottom lip without swelling.

Other Meds: baby aspirin

Current Illness:

ID: 0953375
Sex: F
Age: 0
State: CA

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

Lab Data: 19 POCT Urinalysis Dipstick Collection Time: 01/13/21 5:20 PM Result Value Ref Range Glucose, UA Bilirubin, UA Ketones, UA Spec Grav, UA Blood, UA pH, UA Protein, UA Urobilinogen, UA Nitrite, UA Leukocytes, UA POC Dipstick Lot# POC Dipstick Exp Date POCT UA RESULTS INTERFACED? See separate report. POCT Urinalysis Dipstick Auto Collection Time: 01/13/21 5:23 PM Result Value Ref Range Glucose, UA Negative Negative Bilirubin, UA Negative Negative Ketones, UA Negative Negative Spec Grav, UA 1.010 1.005 - 1.030 Blood, UA Negative Negative pH, UA 7.5 5.0 - 8.0 Protein, UA Negative Negative, Trace Urobilinogen, UA 0.2 1.0, 0.2 Nitrite, UA Negative Negative Leukocytes, UA Negative Negative CBC and Differential Collection Time: 01/13/21 6:08 PM Result Value Ref Range WBC 17.1 (H) 6.0 - 14.0 TH/uL RBC 3.70 (L) 3.80 - 5.40 MIL/ul Hemoglobin 11.9 10.5 - 14.0 g/dL Hematocrit 34.1 32.0 - 42.0 % MCV 92.2 (H) 72.0 - 88.0 fL MCH 32.2 (H) 24.0 - 30.0 pg MCHC 34.9 32.0 - 36.0 % RDW 13.3 11.6 - 16.0 RDW Unit Platelets 333 140 - 440 TH/uL MPV 7.7 6.0 - 9.5 fL Neutrophils Relative 51.5 15.0 - 55.0 % Lymphocytes Relative 39.1 35.0 - 75.0 % Monocytes Relative 5.9 5.0 - 15.0 % Eosinophils Relative 2.3 <6.0 % Basophils Relative 1.2 <2.0 % Neutrophils Absolute (ANC) 8.82 (H) 1.10 - 5.50 TH/uL Lymphocytes Absolute 6.7 2.0 - 8.9 TH/uL Monocytes Absolute 1.0 0.4 - 1.5 TH/uL Eosinophils Absolute 0.4 <0.7 TH/uL Differential Type Auto PROCALCITONIN (PCT) Collection Time: 01/13/21 7:00 PM Result Value Ref Range PROCALCITONIN 0.06 ng/mL blood and urine culture negative

Allergies: NKDA

Symptoms: Patient who is a 2 m.o. comes to the office today for follow-up from an emergency room visit 1/13/21 She is well appearing today in the office. She was seen in the emergency room after experiencing tongue swelling. At triage she also had a temperature of 100.5. The tongue swelling, drooling and inability to suck/feed was noticed when she woke up from her nap approximately 5 hours after her vaccines. She did not have a rash, vomiting or other symptoms. She may have been a bit irritable at that time. The tongue swelling resolved by around 5 PM (7 hours after the vaccine).She had blood and urine drawn. recovered fully in ED and normal exam the next day.

Other Meds: o ergocalciferol (DRISDOL) 200 mcg/mL (8,000 unit/mL) drops,

Current Illness: hydronephrosis left kidney

ID: 0953376
Sex: F
Age: 29
State: OR

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

Lab Data:

Allergies:

Symptoms: Started to have mild fatigue in the morning 01/12/21, then started having chills, headache, joint pain, malaise, muscle pain, nausea and pain at the injection site as the day progressed. Went home at around 3:50 PM

Other Meds:

Current Illness:

ID: 0953377
Sex: F
Age: 41
State: PA

Vax Date: 12/18/2020
Onset Date: 12/24/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: COVID positive 11/27/20. Oxygen saturation dropped to 90% with exertion and 94% resting. Also had chest pain and sinus tachycardia. Received first COVID vaccine 12/18/20.Developed continuous vomiting 1.5 hours later then muscle aches and cramps as the day went on. Symptoms were gone later the next day except site soreness. Developed SOB and wheezing on 12/24/20. Went to ER - no treatment. Called her pulmonologist and increased diltiazem for the weekend. Called cardiologist 12/28/20 and was put on Corlanor. Took care of acute issues, but still had some SOB and palpitations.

Other Meds:

Current Illness:

ID: 0953378
Sex: F
Age: 62
State: NE

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: EVENING OF 12/28/20, DEVELOPED HEADACHE, FEVER, CHILLS, BODY ACHES, FATIGUE, AND INJECTION SITE PAIN. RESOLVED BY 12/30/20.

Other Meds:

Current Illness:

ID: 0953379
Sex: M
Age: 45
State: NJ

Vax Date: 01/04/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: N/A

Allergies: No known allergies.

Symptoms: Nearly two weeks after injection, I now have a 4 inch diameter circle of redness with slight swelling and itchy. I noticed it after showering two days ago. It almost looks like a localized allergic reaction but it did not appear until 2 weeks after the shot. It is slightly warmer to touch than the rest of the area but it is not painful at all. I had similar markings plus moderate pain around the injection site1-2 days after the shot but they quickly dissipated. I am not sure if this should be reportable or not but I was a little concerned considering the amount of time that has passed since the shot and considering I am due for my second shot in a couple of weeks.

Other Meds: metoprolol succinate 100mg q.d., valsartan 160mg q.d., atrovostatin 10mg q.d., esomeprazole 40mg q.d.

Current Illness: No illness at time of or within the month leading up to vaccination.

ID: 0953380
Sex: F
Age: 82
State: MO

Vax Date: 01/12/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: N/A

Allergies: PCN, tramadol

Symptoms: extremely large area of redness to the sight, originally treated as cellulitis and then Dr. said a reaction to injection.

Other Meds: aspirin [OTC] tablet,chewable; 81 mg; amt: 1 tablet; oral At bedtime 08:00 PM 08/05/2020 Open Ended Medications Signed Electronically Prescription atenolol tablet; 25 mg; amt: 1 tablet; oral Special Instructions: HOLD FOR SBP<110,PUL

Current Illness:

ID: 0953381
Sex: M
Age: 63
State: NJ

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

Lab Data:

Allergies:

Symptoms: MUSCULAR MILD ACHES GRADUALLY DEVELOPED TO STRONG ACHES TO PAIN AND MUSCLE TIGHTNESS BY 3 HRS OF SYMPTOMS ONSET.(ARMS AND THIGHS). TENDERNESS AT LYMPH NODE AREAS OF AXILLA AND GROIN. LIGHT SWEATING W/O FEVER BY 8 HRS OF SYMP ONSET. GENERALIZED MALAISE AND TIREDNESS FOR 15 HRS FROM SYMPS ONSET. TOOK TYLENOL 650 MG PO., Q 4HRS WITH IBUPROFEN 800 MG

Other Meds:

Current Illness:

ID: 0953382
Sex: F
Age: 53
State: WI

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

Lab Data:

Allergies: PCN, Sulfa, Lisinopril, Erythramiacin, Dairy, Hornet/Bee/Yellow Jacket Venom

Symptoms: Tachycardic, Tingling of lips, Shivers but felt hot, nausea, flushing

Other Meds:

Current Illness:

ID: 0953383
Sex: F
Age: 41
State: CA

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

Lab Data: N/A

Allergies: Tetracycline

Symptoms: Sore arm for more than 5 days and swollen hard skin around the injection area.

Other Meds: N/A

Current Illness: N/A

ID: 0953384
Sex: F
Age: 28
State: CT

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

Lab Data: None.

Allergies: None, that I know of.

Symptoms: Moderna COVID-19 Vaccine EUA Fever (100.5), body aches, sore/uncomfortable injection site.

Other Meds: Vienva

Current Illness: None.

ID: 0953385
Sex: F
Age: 31
State: NY

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

Lab Data:

Allergies: Latex sensitivity, amoxicillin allergy (rash)

Symptoms: 6-7 hours after inoculation, I developed fatigue and mild body aches. 15 hours after inoculation, I developed shaking chills then sweats (felt too unwell to go get thermometer to see if febrile). 24 hours after inoculation, still having body aches, chills (no more rigors/shaking chills), mild nausea, mild headache, mild back and neck pain, and fatigue.

Other Meds: levothyroxine 56 mcg daily, vitamin D 2000 units daily, Magnesium 250 mg daily, sertraline 50 mg daily, loratadine 10 mg daily

Current Illness:

ID: 0953386
Sex: F
Age: 45
State: NY

Vax Date: 01/09/2021
Onset Date: 01/12/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: Pcn

Symptoms: Fatigue, excess sleepiness,, clenching stomach pains, diarrhea

Other Meds: Lexapro Trazadone

Current Illness: None

ID: 0953387
Sex: F
Age: 72
State:

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

Lab Data:

Allergies:

Symptoms: red, swollen area at injection site

Other Meds:

Current Illness:

ID: 0953388
Sex: F
Age: 62
State: NY

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

Lab Data:

Allergies: None

Symptoms: Feel like , I have a cold or allergies, Lower back pain, Abdominal Pain One Knee was shaking right after vaccine Full body pain daily mostly in the lower back

Other Meds: Metoprolol succ er 50 Mg ec 81 MG Topiramate 25 MG

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm