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: 0953611
Sex: F
Age: 42
State: WA

Vax Date: 01/06/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 1/6/2021 local reaction at time of vaccine of itching, soreness; resolved 2-3 days. 1/14/2021 local reaction returns, red, hot, indurated, and itching >10 cm (size of hand) with area of increased redness at center.

Other Meds: None

Current Illness: None

ID: 0953612
Sex: F
Age: 53
State: MO

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

Lab Data: none

Allergies: N/A

Symptoms: started day of vaccine 5 hours after injection had diarrhea which progressed to fever 102.8 ,chills and sever muscle and joint pain by 2400. The fevers, chills and body aches lasted for 5 days

Other Meds: singulair, desvenlafaxine, prilosec, triamterene, trazadone

Current Illness: n/a

ID: 0953613
Sex: F
Age: 36
State: PA

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

Lab Data: N/A

Allergies: Amoxicillin Penicillin Avelox

Symptoms: The day after injection, 1/13/21, woke up with severe body aches and headache. The injection site was hard, red and hot to the touch. Started rotating Tylenol and Motrin to treat aches and pains. Developed fever of 103 that Tylenol and Motrin did not lower. Heart rate was in the 150s while at rest. On 1/14/21 heart rate was back to normal of 70-80 at rest. Still experienced severe body aches and headache. Temperature remained at 99.8 while continuing Tylenol and Motrin rotation. On 1/16/21 fever and body aches/headache finally subsided. Today (1/18/21) injection site is still slightly red and sore.

Other Meds: Depo birth control Allegra 24hr allergy Cabergoline

Current Illness:

ID: 0953614
Sex: F
Age: 32
State: CA

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

Lab Data: Positive for Covid 1/17/2021

Allergies: Pcn, lo loestrin

Symptoms: Developed a welt, red, itchy, hot to touch rash after receiving the Covid vaccine that night 1/8/21. Was the size of a quarter and as of now 1/18/2021 is the size of a dollar. Have been taking otc Benadryl and icing the area. Next day after vaccine was not feeling well ever since. Positive for Covid 1/17/21 fever 101, headache, chills, body aches, bones hurt all over, congestion, runny nose, cough, sore throat, breathing problems, pain left side chest, vomiting, lost of smell

Other Meds: 5cc iron shot, vitamin D, migraine headache pills

Current Illness: Anemia, under active thyroid

ID: 0953615
Sex: F
Age: 79
State: GA

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

Lab Data: None

Allergies: Ace Inhibitors-Ingredient in Blood Pressure Meds

Symptoms: muscle pains-runs down left leg/thigh, chills, arm pain soreness after vaccination along with itching, frequent urination

Other Meds: Pantoprazole 40mg, Varbestan 300mg, Amlodipine 10 mg, Asprin 325 mg, Combigan 0.5 mg, Latanopriot 0.005 mg, Probiotic (quit taking 4 days before vaccine), Eldersberry, Alpha Acid 200mg, Flonase, Alegra

Current Illness: Back pain (a year or so) runs down to hip/leg

ID: 0953616
Sex: M
Age: 45
State: OR

Vax Date: 01/03/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Painful arm at injection site, next day fatigue, 4 days after injection no longer having arm pain. but over this past weekend 1/16/21 I noticed I had reddening of the skin on the right arm near the injection site, rash like, hot to the touch, and spread out on the skin about 7 or 8 inches, and is now slightly itchy.

Other Meds: Simvistatin, muti vitamin, zinc 100mg, vitamins (Healthy nail and skin) D3, C, coq10

Current Illness: None

ID: 0953617
Sex: F
Age: 42
State: NY

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

Lab Data:

Allergies: NONE STATED

Symptoms: AFTER INJECTION PATIENT FELT WARM SENSATION IN HER TORSO. PATIENT ALSO STATED SHE HAD A HEADACHE, NAUSEA AND BOIDY PAIN. PATIENT WAS PALE WHEN PLACED IN AMBULANCE AND GIVEN OXYGEN AND HAD HER FEET ELEVATED. PATIENT WAS IN AMBULANCE FOR ABOUT 25 MINUTES AND COLOR DID NOT COME BACK TO NORMAL EVEN AFTER THE OXYGEN ADMINISTRATION. THE PATIENT WAS ADVISED AND CONVINCED TO ALLOW THE AMBULANCE TO TRANSPORT HER TO HOSPITAL TO BE ASSESSED WHICH SHE AGREED TO. I CALLED THE PERSON ON 1/17/2021 @ 8:54 PM AND SHE STATED THAT SHE STILL FEELS A LITTLKE UNDER THE WEATHER BUT IT HAS GOTTEN BETTER

Other Meds: LEXA-PRO ANXIETY KIDNEY STONES

Current Illness: N/A

ID: 0953618
Sex: F
Age: 41
State: KY

Vax Date: 12/29/2020
Onset Date: 01/02/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Started itching after taking vaccine, but thought it was due to dry skin. Noticed a rash all over body on 1/2/21. Self-reported taking benadryl.

Other Meds:

Current Illness:

ID: 0953619
Sex: F
Age: 21
State: ME

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

Lab Data: none

Allergies: none

Symptoms: nausea, vomiting, lightheadedness, diaphoresis about 10 minutes after vaccination. Improved after about 5 minutes with sitting and water. No rash, cough, shortness or breath, palpitations.

Other Meds: lexapro

Current Illness: none

ID: 0953620
Sex: F
Age: 26
State: KS

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

Lab Data: MRI on 1/14/21 resulted negative for abnormality. Ophthalmologist visit on 1/15/21 diagnosed me with MEWDS (multiple evanescent white dot syndrome) which usually presents following a virus. I have had no s/s of a virus, unsure if it is linked to the vaccine or not.

Allergies: N/A

Symptoms: I received the first dose of the Moderna COVID vaccine on 1/4/21. On 1/12/21 I developed blurred vision in my right eye that is still present. The vision is in my periphery, lower right quadrant. It comes and goes but is mostly present throughout the day.

Other Meds: Microgestin

Current Illness: None

ID: 0953621
Sex: F
Age: 77
State: FL

Vax Date: 01/07/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: A lot of pain and redness in arm day of vaccine. It subsided 2 days later. 6 days after vaccine redness and itchiness returned.

Other Meds: Ambien 12.5mg Levothyroxine 100mcg

Current Illness: None

ID: 0953622
Sex: F
Age: 42
State: IN

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

Lab Data:

Allergies: Tomatoes, latex, multiple antibiotic allergies.

Symptoms: Pt was given Pfizer vaccine dose #1 and patient's face became flushed within 1 minute of administration. Pt has hx of multiple allergies. Pt was asked to take mask off and redness subsided within 5 mins. Pt then reported having numbness/tingling in tongue and lips. Pt was monitored for a total of 36 minutes per RN. Pt reported no further symptoms and noted improvement of symptoms. She was discharged to home with husband, who was also present for the event.

Other Meds:

Current Illness:

ID: 0953623
Sex: F
Age: 66
State: ID

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

Lab Data:

Allergies: Penicillin, Avalox, Soma, Melixicam, Valium, Ativan, Xanax, Dicaflican, Betadine Solution, Metronidiazole.

Symptoms: On 1/16/2021 , 4 hours after I had my Covid-19 injection my left arm started to hurt and was started to get real hard in the muscle. I took 2 naproxen and 2 tizandine. I could not use my left arm from 4:00 pm-10:00 pm. On 1/17/2021, I woke up and my left arm was real hard and I could not use my arm all day and night. I took 2 naproxen, 2 tizandine and 1/2 tramadol. On 1/18/2021, I woke up and my left arm is back to normal.

Other Meds: Armour Thyroid, Celebrex, Famotidine, Calicum, Allegra, Vitamin C, Iron, Astelin

Current Illness: None

ID: 0953624
Sex: F
Age: 57
State: PA

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

Lab Data:

Allergies:

Symptoms: Patient complained of shortness of breath, chest tightness and inability to breath. Patient was given benadryl IV, IV fluids and placed on monitors and then transferred to a higher level of care. This all happened starting about 7-8 minutes after vaccination. Patient was tachycardic, hypertensive

Other Meds:

Current Illness:

ID: 0953625
Sex: F
Age: 22
State: KY

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

Lab Data: CBC blood draw, urinalysis, and EKG

Allergies: Morphine Latex

Symptoms: About 10 minutes after the injection I started feeling lightheaded. It did not feel like low blood sugar, but I ate a glucose tablet and drank orange juice. I sat for almost an hour and it was getting worse. A nurse took my orthostatic vitals and when I stood up I started to fall. I ended up going to the ER so I could continue being monitored. My labs came back normal and the ED attending determined it wasn't an anaphylactic reaction.

Other Meds: Sertraline Concerta

Current Illness: n/a

ID: 0953626
Sex: M
Age: 54
State: OK

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

Lab Data: 1/13/21 - urine, blood 1/15/21 - urine, blood 1/17/21 - urine, blood

Allergies: None

Symptoms: Fatigue, headache, acute low back pain, joint pain, chills, acute nausea, acute diarrhea, vomiting, fever, bloodshot eyes, loss of appetite, and blood in urine.

Other Meds: Tamsulosin HCl 0.4 mg, Lisinopril 20-12.5, Omeprazole 20 mg, Promethazine HCl 50 mg

Current Illness: None

ID: 0953627
Sex: F
Age: 41
State: TX

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: macrobid

Symptoms: Location left upper arm/ deltoid at the site of the Moderma COVID vaccine. Also on the right wrist - small red patch. Left arm itching and warmth

Other Meds: levoceterzine, NP Thyroid Bioidentical HRT, ventolin

Current Illness: seasonal allergies

ID: 0953628
Sex: F
Age: 73
State: CA

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

Lab Data: None

Allergies: None

Symptoms: 24 hours after vaccine: tiredness weakness, chills, fever, nausea, vomiting, fainted, unconscious few seconds. No medical treatment, resting at home,

Other Meds: Amlodipine 5 mg AtorvAstatin 10 mg

Current Illness: None

ID: 0953629
Sex: F
Age: 63
State: NJ

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

Lab Data:

Allergies: NKA

Symptoms: 1/6 THROUGH 1/10: SEVERE HEADACHE, NAUSEA, CHILLS (OVERWHELMING), JOINT PAIN, FEVER (100), MUSCLE ACHES. TOOK TYLENOL.

Other Meds: CELEBREX, CRESTOR

Current Illness: NONE

ID: 0953630
Sex: U
Age: 49
State: CA

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

Lab Data: I have them, to large to add here.

Allergies: I'M ALLERGIC TO DG6 OR MOST LIKELY IODINE, AND TO CHLOROQUINE WHICH HAS Polyethylene_glycol, A COMPONENT OF MODERNA COVID VACCIONE. I DID NOT KNOW ABOUT THIS COMPONENT. I WAS ASKED IF I HAD ADVERSE REACTIONS TO COMPONENTS IN THE MODERNA VACCIONE BUT I WAS ASKED IF I HAD ADVERSE REACTIONS TO CHOLOROQUINE.

Symptoms: 1) Skin rash over 80% of my body including, face and lips; started to change my voice sound and started to compromise my airways. 2) Uncontrollable shakes, but not sure if this was related to Covid-19 itself. Was given steroids via injection into my blood stream, within minutes the shakes stopped and within 2 hours the rash was gone.

Other Meds: VITAMIN D, C, AND ZINC

Current Illness: I had Covid 19 at the time the vaccine was administered, I tested positive that same night.

ID: 0953631
Sex: F
Age: 21
State: ME

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

Lab Data: None

Allergies: None

Symptoms: Nausea, vomiting, diaphoresis and lightheadedness about 10 minutes after the vaccine that resolved with sitting and water in about 5 minutes. No rash, shortness of breath, itching, flushing.

Other Meds: Lexapro

Current Illness: None

ID: 0953632
Sex: M
Age: 74
State: OH

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

Lab Data: PCP consultation 01/18/2021

Allergies: phynegran - hallucinations; percocet - rash/itching; Timolol Maleate Ophthalmic Solution - dizziness; some type of nuts - headaches; some typs of surgical tape - rash/itching

Symptoms: Allergic reaction at the injection site. First appearance on 1/14/2021. red spot about the size of a quarter on first day with mild swelling. Consultation with PCP on 1/18/2021. Red spot about tennis ball size, mild swelling, mild muscle aches at site of injection. Doctor prescribed Triamcinolone Acetonide - 0.1% gram lotion applied twice daily skin lesion for up to 14 days.

Other Meds: Levothyroxin - 125 mcg. 1xdaily; lisinopril /HCTZ - 20-12.5 mg. 1xdaily; lisinopril -20 mg 1xdaily; Sumatriptan Succinate - 25 mg PRN; Klor-Con - 20 meq ER - 1x daily; Amlodipine Besylate - 10 mg 1xdaily; latanoprost Ophthalmic Solution - 1

Current Illness:

ID: 0953633
Sex: F
Age: 53
State: NY

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

Lab Data:

Allergies: NONE STATED

Symptoms: AFTER VACCINE WAS ADMINISTERED PATIENT WAS SITTING IN THE WAITING AREA FOR THE RECCOMENDED AMOUNT OF TIME. WHEN SHE STARTED TO LEAVE THE PATIENT FELT LIKE SHE WAS GETTING A LUMP IN THE BACK OF HER THROAT. THE PATIENT WAS SCARED TO LEAVE AND DRIVE HOME JUST IN CASE SOMETHING ELSE WAS TO OCCUR. THE PATIENT WAS BROUGHT BACK INTO THE WAITING AREA AND BECAUSE OF HER CONCERN AND THE POSSIABILITY OF AN ALLERGIC REACTION SHE WAS ADVISED TO ALLOW THE AMBULANCE TO TRANSPORT HET TO THE HOSPITAL. SHE AGREED AND AHE WAS TRANSPORTED TO HOSPITAL. I CALLED THE PATIENT TODAY AT 9:30 PM AND SHE STATED SHE WAS OK VIA TEXT.

Other Meds: VALSATT SULFEDAZ MOBXICAN HYOLROXYCHLOREQUNE

Current Illness: N?A

ID: 0953634
Sex: F
Age: 63
State: WA

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

Lab Data: None

Allergies: None

Symptoms: Blisters across lips, fatigue

Other Meds:

Current Illness: Diabetes

ID: 0953635
Sex: F
Age: 49
State: AZ

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

Lab Data:

Allergies: amlodipine, seasonal allergy

Symptoms: headache, chills ( all day of Jan.17) feels icy cold around my ears and face temp. 97, warm/hot temp 98.9, nausea, blurry vision, pass out once 2-3 mins, feverish at night 99.9

Other Meds: chlorthalidone 15mg, magnesium 500mg

Current Illness: none

ID: 0953636
Sex: M
Age: 79
State: FL

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

Lab Data:

Allergies: sulfa

Symptoms: Soreness at injection site for first 4 days, then the soreness returns on 7th day with intense itching and pink hard slightly raised area expands in circumference over next few days from 1 1/4 inch to 2 1/4 inch and continues. No fever.

Other Meds: benazepril, terazosin, low dose aspirin, Proscar, metoprolol, atorvastatin, silodosin

Current Illness:

ID: 0953637
Sex: F
Age: 56
State: NY

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

Lab Data:

Allergies: Caffeine, bee stings, Penicillin, IV Contrast.

Symptoms: AFTER VACCINE PATIENT WAS COMPLAINING OF HER TONGUE AND THROAT FEELING A LITTLE TINGLY AND SWOLLEN. PATIENT DID NOT APPEAR TO BE IN ANY DISTRESS AT THE TIME BUT BASED ON HER COMPLAINT SHE WAS ADVISED TO HAVE THE AMBULANCE TRANSPORT HER TO THE HOSPITAL. IT TOOK ABOUT 20 MINUTES BUT AFTER TALKING TO HER FOR AWHILE AND FOUND OUT HER SON WAS AN RN I TOLD HER WE WOULD TRANSPORT HER THERE. SHE AGREED AND WAS TRANSPORT TO THE REQUESTED HOSPITAL. I SPOKE TO HER TONIGHT AT 9:40 PM AND SHE STATED SHE FELT FINE

Other Meds: Symbicort Albuterol Omeprazole 2 X A Day Famotidine.

Current Illness:

ID: 0953638
Sex: F
Age: 52
State: UT

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

Lab Data:

Allergies: penicillin cefdinir codeine

Symptoms: Blistering on mucosal skin consistent with autoimmune phenomena seen before in patient when immune system is hyperactive.

Other Meds: hydroxychloroquine, 300 mg daily prednisone 5 mg daily Lisinopril pravastatin viorele sertraline amitriptyline loratadine Vitamin D

Current Illness: cold and viral bronchitis

ID: 0953639
Sex: F
Age: 55
State: AL

Vax Date: 12/15/2020
Onset Date: 12/16/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: MSG- HA/stomach pain

Symptoms: L upper arm and shoulder pain. No weakness, muscle atrophy, numbness. Pt currently on meloxicam 7.5 mg, increased to 15 mg and given home exercises.

Other Meds: 1) Relpax(40 mg), 1 PO PRN HA, may repeat in 2 hours if needed, max 2 tabs in 24 hours 2) Flonase(0.05 mg/inh), 1 spray each nostril daily 3) Xyzal(10 mg), 1 po daily 4) Mobic(7.5 mg), 1 PO daily x 1 week, then one daily PRN pain

Current Illness: Dysuria Migraine HA

ID: 0953640
Sex: F
Age: 29
State: IN

Vax Date: 12/31/2020
Onset Date: 01/03/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: Labs

Allergies: No known allergies

Symptoms: I was asleep I woke up coughing. Feeling like I swallowed my necklace( it felt like there was a string in my throat) and labored breathing. Rash developed all over body that is similar to the rash Kawasaki syndrome kids get. Was taken to emergency room where I was given iv steroids and epi. 10-15 mins after my breathing was back to baseline and throat felt better. I have never had any trouble breathing or any allergic reactions to anything in the past.

Other Meds:

Current Illness: I lost my taste but not my smell two weeks earlier I tested negative for covid. My taste returned after a couple of days

ID: 0953641
Sex: F
Age: 52
State: KY

Vax Date: 12/31/2020
Onset Date: 01/04/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Redness and swelling below the injection site beginning 1/4/21.

Other Meds:

Current Illness:

ID: 0953642
Sex: F
Age: 44
State: NC

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

Lab Data:

Allergies: Adverse reaction to Percocet

Symptoms: Moderna COVID-19 Vaccine EUA I have had a bad taste in my mouth since the vaccine was injected.

Other Meds: Multivitamin, Vitamin D3, Vitamin E, Potassium and Magnesium

Current Illness: N/A

ID: 0953643
Sex: F
Age: 42
State: NY

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

Lab Data:

Allergies: NONE

Symptoms: PATIENT AFTER RECEIVING VACCINE AND WAS AT THE WAITING AREA FELT SOME TINGLING AND NUMBNESS IN HER FACE ON THE LEFT SIDE. THE PATIENT WAS ASKED IF SHE WAS HAVING ANY TROUBLE BREATHING AND SHE SAID NO. PATIENTS VITAL SIGNS WERE TAKEN OVER A PERIOD OF AN ADDITIONAL 30 MINUTES OF WAIT TIME. AFETR THE 30 MINUTES THE VITAL SIGNS WERE TAKEN AGAIN AND FOUND TO BE NORMAL AND THE PATIENTS TINGLING AND NUMBNESS SUBSUSIDED. SHE DID NOT WANT TRANSPORT TO HOSPITAL AND SIGNED AN RMA. PATIENT WAS ASKED TO CALL WHEN SHE GOT HOEM AND A CALL WAS RECEIVED AT 12:03 AM FROM THE PATIENT WHO ALSO STATED SHE TOOK BENADRYL.

Other Meds: NONE

Current Illness: N/A

ID: 0953644
Sex: F
Age: 39
State: WI

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

Lab Data:

Allergies:

Symptoms: Side effects of very sore left arm body aches, chills, pain in neck and shoulders follow by tingling/numbness left face and lips

Other Meds:

Current Illness:

ID: 0953645
Sex: M
Age: 58
State: PR

Vax Date: 12/22/2020
Onset Date: 12/30/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: IgG positive. Reactive +

Allergies: none

Symptoms: Fatigue, Generalized Musculoskeletal pain, Difficulty talking, Respiratory difficulty while talking, Shortness of breath.

Other Meds: Exforge 5/320 qd

Current Illness: HBP

ID: 0953646
Sex: F
Age: 67
State: PA

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

Lab Data:

Allergies: amoxcillin =wheezing, INH anaphylaxis, ceftin hives, bactrim anaphylaxis , motrin hives short of breath, cipro hives dilaudid hives

Symptoms: Eczematous dermatitis of forearm papular erythematous pruritic rash warm to touch rough in touch rough in texture occurred within 24 hours of first dose rash persistent at one month SIMILAR REACTION FTER 2 ND DOSE given in opposite arm

Other Meds: Gastrocrom 100mg/5cc . 10cc BID

Current Illness: Mastocytosis

ID: 0953647
Sex: F
Age: 62
State: FL

Vax Date: 01/07/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: NA

Allergies: Penicillin, morphine

Symptoms: Red, hot, raised area on left arm encompassing injection site. First noticed evening of 1/15/21. Topical hydrocortisone applied BID, Benedryl 50 mg PO taken on January 15, 16 and 17. Today, 1/18, site is noticeably less red, no longer raised or hot. While the area is not completely resolved, it is much better. I indicated that I have not recovered as it is not totally resolved.

Other Meds: Altace, Ativan PRN, multivitamin, B12, glucosamine chondroitin, Culturelle, Vit C, Vit D3

Current Illness: N/A

ID: 0953648
Sex: M
Age: 75
State: NY

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

Lab Data:

Allergies: DENIES

Symptoms: AFTER VACCINE BEING ADMINISTERED AND WHILE PATIENT SITTING IN WAITING AREA HE BEGAN TO FEEL TINGLING IN BOTH HANDS. PATIENT WAS ALONE AND NO ONE ELSE WAS WITH HIM AT THIS TIME. THE PATIENTS VITAL SIGNS WERE NORMAL AND HE HAD NO OTHER COMPLAINTS AT THE TIME THE VITAL SIGNS WERE TAKEN. AFTER A HALF HOUR THE PATIENT STATED IT GOT A LITTLE BETTER AND HE FELT HE COULD DRIVE HOME. BEFORE I WOULD ALLOW HIM TO LEAVE I ASKED HIM TO DRIVE AROUND THE PARKING LOT TO MAKE SURE HE COULD DRIVE OK. HE DROVE VERY WELL AND WANTED TO GO HOME. THE PATIENT SIGNED AN RMA AND WHEN HE GOT HOME WE RECEIVED A PHONE CALL FROM HIS WIFE AT 11:40 PM STATED HE WAS HOME SAFE AND FEELING OK.

Other Meds: N/A

Current Illness: N/A

ID: 0953649
Sex: F
Age: 58
State: MN

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: Was started on PO Prednisone for 4 days.

Allergies:

Symptoms: Rec'd 1st dose on 1/9/2021 in the morning. By Sunday afternoon, face started burning and itching. on 1/11/2021 was seen in the ED for bilateral eye swelling, right side greater than left.

Other Meds:

Current Illness:

ID: 0953650
Sex: F
Age: 85
State: NY

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

Lab Data:

Allergies: EGG SHEELS EPI

Symptoms: AFTER TAKING VACCINE AND WHILE SITTING IN WAITING AREA PATIENT BEGAN TO FEEL QUEEZY AND HEAD HEAVY FEELING. THE PATIENT WAS ACCOMPANIED BY OTHER FAMILY MEMBERS. VILAT SIGNS WERE TAKEN AT TWO DIFFERENT TIME OVER A PERIOD OF 30 MINUTES AND WERE NORMAL. PATIENT DID STATE THAT SHE TOOK BENADRYL BEFORE TAKING THE VACCINE. BECAUSE THE PATIENT WAS FEELING BETTER SHE DID NOT WANT TO BE TRANSPORTED TO THE HOSPITAL AND SIGNED AN RMA. WE ASKED FOR A PHONE CALL WHEN THEY ARRIVE HIME AND AT 12:04 AM WE RECEIVED A PHONE CALL THAT EVERYONE WAS HOME SAFELY AND SHE WAS FEEKING OK.

Other Meds: GABGERATIN BENICOR ELLEXOE VIT D3 MAGSULFATE CENTRIUM B12

Current Illness:

ID: 0953651
Sex: F
Age: 60
State: PA

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

Lab Data: n/a

Allergies: n/a

Symptoms: Evening arm was throbbing and warm from top of arm to elbow. Also had a headache.fever of 102.2 and had chills. Joint pain everywhere. Felt like she had the flu. Could not stay awake on 1/17/21 Is feeling better as of today.

Other Meds: Atenelol 10mg once a day in AM

Current Illness: n/a

ID: 0953652
Sex: F
Age: 52
State: NJ

Vax Date: 12/29/2020
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: n/a

Allergies: NKA

Symptoms: Just over two weeks after getting the first dose vaccine, I noticed a reddened and warm to the touch oval (approx 8cm x 7 cm) on my upper left arm around the site of injection. Just below, there was a stripe (approx. 9cm x 2.5-3cm) of urticaria (textured, raised, reddened). There was no physical discomfort - no itching, pain, tenderness. Oval patch resolved within 48 hours. Stripe within 72 hours.

Other Meds: Adderall Lamictal Pritiq vitamin D3 Iron

Current Illness: n/a

ID: 0953653
Sex: F
Age: 44
State: GA

Vax Date: 12/29/2020
Onset Date: 01/10/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: COVID tests administered 1/12/21 and 1/16/21, with both being negative.

Allergies: Avalox

Symptoms: Symptoms began January 10, 2021, and included severe vertigo / dizziness with vomiting. Symptoms have persisted, despite treatment with antivert, zofran, and phenergan. I am unable to walk without assistance. I am unable to drive and unable to work at this time.

Other Meds: Glucophage 1000 mg PO BID Glipizide ER 10 mg PO BID Celexa 40 mg PO QD Ambien ER 12.5 mg PO QHS Synthroid 0.1 mg PO QD Novolog 70/30 40 units SC BID

Current Illness: Influenza A December 18, 2020

ID: 0953654
Sex: F
Age: 38
State: NE

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

Lab Data:

Allergies: None

Symptoms: Slight hives on the arm of the injection site. Roughly the size of a softball

Other Meds: Serteraline, Nuva Ring

Current Illness: None

ID: 0953655
Sex: F
Age: 42
State: OR

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

Lab Data:

Allergies:

Symptoms: experienced chills, body aches, nausea, headache and low grade fever aprx 5 hours subsequent to receiving vaccine. Following morning felt fine with some fatigue. Less disruptive symptoms included soreness at site of injection, and very sore axillary of arm adjacent to injection.

Other Meds:

Current Illness:

ID: 0953656
Sex: F
Age: 40
State: CA

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

Lab Data: None

Allergies: Allergic to bug bites (skeeter syndrome)

Symptoms: Small, itchy bumps have begun to appear around the injection site. They are flat-topped, but look like they might develop into blisters. The injection site is also warm to the touch.

Other Meds: Multivitamin, fish oil

Current Illness: None

ID: 0953657
Sex: F
Age: 28
State: TX

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

Lab Data:

Allergies: None

Symptoms: started from 12/28/20 soreness, then swelling and more intense redness and itching, 1/4/21 more intense itching, swelling and warmth of RUE

Other Meds: traZODone 50 mg tablet, Lexapro 10 mg tablet, Levothyroxine 25 Mcg, ZyrTEC, Flonase

Current Illness: None

ID: 0953658
Sex: F
Age: 55
State:

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

Lab Data:

Allergies: peanut, potato, almond, ginger, dairy (pt reported)

Symptoms: Pharmacist alerted minutes after vaccination that pt was coughing and having shortness of breath. Pharmacist observed pt and pt requested her personal EpiPen be used because she knew this was an allergic reaction,. EpiPen was administered in right leg. Allergic reaction drastically reduced. Staff contacted primary care dr who advise an ER visit if pharmacist saw fit. Due to vaccination protocol pt agreed to be transported to ER. Ambulance called by facility staff, 5-10min later emergency personnel arrived, pharmacist relayed events to emergency staff and pt went to ER for followup

Other Meds:

Current Illness:

ID: 0953659
Sex: F
Age: 58
State: WA

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

Lab Data: none

Allergies: Penicillin; Codeine, Sulfa, Nitrofurantoin, Ibuprofen, Reglan, Tesselon Pearles, Domperidone ; Benzonatate; Band-Aid adhesive; red wine;

Symptoms: Within 1 hour MILD light headiness, passing headache, chills, sweating, Within 3 hours LEFT EAR HEARING LOSS about 25% to 50% have not yet resolved & ENT office recommends PCP prescribe prednisone rapid taper pack ASAP

Other Meds: Synthroid, Dexilant; famotidine ; multivitamin; Vite D IU; Magnesium; Lipoflavinoid; Sonata ; Melatonin

Current Illness: None

ID: 0953660
Sex: F
Age: 29
State: CT

Vax Date: 01/11/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: Appointment with PCP who examined rashes on both hips, smaller rashes on right arm and the swollen, red area on my left arm where I received the injection. No tests were done.

Allergies: Honey bees

Symptoms: On 1/11/2021 (day of first vaccine dose) at approximately 5pm I began experiencing the following symptoms: fatigue, chills, muscle aches, 99.7 temperature. These symptoms lasted throughout the night and did not continue the next day. I also experienced pain at the injection site which lasted for approximately 3 days. On 1/16/2021 at approx. 3am I woke up feeling itching and stinging on both of my hips. I got up and looked in the mirror and noticed what appeared to be hives or rashes on my left and right hip. The rashes were red, slightly raised and approximately 3 inches long. I took Benadryl which helped to alleviate the itching and stinging. The following day (1/17), the rashes were still present but were no longer raised. On 1/17, I noticed a smaller hive like rash on both the outside and inside of my right arm. Today (1/18) the rashes on my hips and arm are still present but no longer raised. When I woke up on 1/18/2021 I had pain and itching on my upper left arm where I had received the vaccine injection. The area is red and warm to the touch. I saw my PCP who described the area as "indurated". The redness, pain and itchiness have persisted throughout the day. I cannot think of anything else that would have caused this reaction. I have not eaten anything new/different, I have not changed any detergents or body washes/lotions. I have not taken any new medications.

Other Meds: Sertraline- 50mg Syeda

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm