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: 0955265
Sex: M
Age: 73
State: AZ

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: None stated.

Other Meds: Thyroid, Crestor, Zanex occasionally, Claritan occasionally

Current Illness: none

ID: 0955266
Sex: F
Age: 83
State: NC

Vax Date: 01/06/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Patient received COVID-19 Vaccine on January 6, 2021 in her Left Deltoid. On January 14th she states she woke up to her deltoid red, swollen and itching. She has been applying cortisone cream for the itching to the site. Today she has noticed a darker red linear line that is also in the reddened oval on her arm She came in today (01/19/2021) and I observed a large reddened area (approximately 5cm) to her Right Deltoid. I also marked the area to see if the redness goes outside of the circle. Encouraged client to start applying cool compresses to the affected area.

Other Meds: Amlodipine, Propranolol, Premarin Centrum Silver, Calcium & Hair Growth Supplement, Extra Strength Tylenol (for Arthritis pain)

Current Illness:

ID: 0955267
Sex: F
Age: 87
State: AZ

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

Lab Data:

Allergies: none

Symptoms: None stated.

Other Meds: Simvastatin, levothyroxine

Current Illness:

ID: 0955268
Sex: F
Age: 51
State: NV

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: A chest X-Ray was done and I was given a Benadryl Injection.

Allergies: Allergies to pollens, and allergic reaction to Iodine injection for medical procedure.

Symptoms: About a minute after receiving the shot I felt a warmness through my body, began to feel dizzy (was about to faint), voices sounded far away, my tongue was tingling, my heart rate spiked from a resting rate of 62 to 122, and my blood pressure increased to 150 over ??. Again, on the second day 02/12/2021 the same symptoms occurred while driving along with trouble swallowing, and shaking. I called 911 and was transported to the hospital where I received an Injection of Benadryl. I also took Benadryl pills on both days when the symptoms began. Additionally, my neck area by my throat was tender to the touch 4 days later.

Other Meds: Claritin D 24 hour

Current Illness: None

ID: 0955269
Sex: M
Age: 38
State: TX

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Not that I know off

Symptoms: After I received the vaccine, I was asked to wait for 15 minutes, which I did, later I went to do chores, though it was rainy and cold a bit. When I came back around 4pm I was feeling okay, no sore on the injection site, unlike my regularly flu vaccines that I mostly feel sore at injection site which lasts about few hours immediately after the flu shot, so it was sort of surprising to see that but later that night, my body starts feeling weak, aches and a tangling on my feet, as the night progresses up to the early morning, I was unusually fatigued and lightheaded with the regression of the muscle aches and subsequently other symptoms started disappearing, notably, I started feeling soreness on the injection site, which lingered to the next day.

Other Meds: Honey Ginger Tea

Current Illness: Acute Stomach Bloating

ID: 0955270
Sex: F
Age: 58
State: IL

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt recieved vaccine.Immediate BP after vaccine 200/90. PT refused ER, co of being tired. monitored BP 208/104.Pt coontinued refused EMS, pt became more upset BP 214/112. pt called husband and he picked her up. Attempts to call EMS refused by patient multiple times. Husband advised to take her to ED. Went to ER.

Other Meds:

Current Illness:

ID: 0955271
Sex: F
Age: 59
State: NJ

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: lab work, ekg, cxr, ct, mri - all negative received zofran for nausea and Tylenol. Gait improved during day. Headache improved but felt like band still squeezing around head. Discharged home all results negative - Next day 1/19 - no headache, head feels not right, gait improved but not right yet - get mild nausea if I move around to much.

Allergies: nkda nkfa

Symptoms: Headache started Friday night, Saturday am fever and body aches started temp has high as 102.6. Head congestion, symptoms resolved by Saturday afternoon - just wiped out. Sunday just tired. Went to bed Sunday night headache started became severe - kept me awake till 12:30 pm. Awoke twice during night drenched in sweat. Did not believe I had a fever. Got up at 4:30 am and felt like I was on boat, gait disturbance, had to hold things to walk to bath room. No other neuro symptoms. Went to ED later in morning.

Other Meds: Atorvastatin, Famotodine, Singulair, Restasis, Proair PRN, Trelegy, Vit E, MVT

Current Illness: dx covid 10/10/2020 no new illness at time of vaccination had been clear to return to work the next Monday.

ID: 0955272
Sex: F
Age: 34
State: CA

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: sulfa allergies

Symptoms: rash all over torso, from nipple to belly button area. Red, itchy. Does not respond to benedryl, allergra or zyrtec

Other Meds: vitamin b complex, d, c, iron

Current Illness: breast augmentation 12/14/20

ID: 0955273
Sex: M
Age:
State: AZ

Vax Date:
Onset Date:
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: None stated.

Other Meds: Aspirin 81mg

Current Illness: none

ID: 0955275
Sex: M
Age: 87
State: IN

Vax Date: 01/17/2021
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: NONE

Symptoms: I awakened this morning after a good nights sleep but feel very tired and exhausted. All else seems normal.

Other Meds: NONE

Current Illness: NONE

ID: 0955276
Sex: M
Age: 71
State: AZ

Vax Date: 01/19/2021
Onset Date:
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0955277
Sex: F
Age: 27
State: NY

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: Vitals, hydration

Allergies: aspirin, ibuprofen, acetaminophen

Symptoms: Within 5 minutes of vaccine patient felt tachycardic, HR was 143 BPM and she also felt dizzy. She was hydrated and observed for extra time and her HR was 97 BPM. She claimed this was common when she's anxious.

Other Meds:

Current Illness:

ID: 0955278
Sex: F
Age: 44
State: CA

Vax Date: 01/09/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: n/a

Symptoms: day 8, post injection - red, swollen, rash-like around injection site. burning/itching/painful day 9, post injection - worsening, more red, getting larger in size. Went to dr, was given antibiotics day 10, post injection - less redness but growing in size. still painful/swollen

Other Meds: Vit - D, B6, B12, pre natal, c, coq10

Current Illness: n/a

ID: 0955280
Sex: F
Age: 32
State:

Vax Date: 12/23/2020
Onset Date: 12/29/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 12/24 headache, low grade fever, chills took advil 12/29 2:30am severe reactionof itching agressively from scalp to toes, broke out in Red Bumpy Hives, Heart RateFaster, Itchy throat, swollen, ears and lips

Other Meds:

Current Illness:

ID: 0955281
Sex: F
Age: 35
State: MA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: Headache, chills, generalized body aches, sweats/chills x 24 hours- full resolution of sx

Other Meds: Sertraline

Current Illness: None

ID: 0955282
Sex: F
Age: 35
State: TX

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient experienced chills, body aches, low grade fever, and equilibrium imbalance the day after her vaccination. The side effects lasted approximately 12 hours and then resolved spontaneously.

Other Meds:

Current Illness:

ID: 0955283
Sex: F
Age: 36
State: CO

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

Lab Data:

Allergies: none

Symptoms: Chills for 1.5 hours without fever

Other Meds: Ibupofen

Current Illness: None

ID: 0955284
Sex: F
Age: 31
State: FL

Vax Date: 12/23/2020
Onset Date: 12/26/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data: No

Allergies: I am allergic to vancomycin

Symptoms: I woke in the middle of the night with extreme, extreme,extreme vertigo with vomitting over the next three days. No other symptoms. It has been off and on since the vaccine. On the 27th of December, I did a virtual visit with the UTC.

Other Meds: No

Current Illness: No

ID: 0955285
Sex: F
Age: 35
State: CA

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: penicillins

Symptoms: One week after injection I started to experience muscle soreness and pain. As the day went on there was heat, redness and rash around the injection site that developed and hasnt gone away.

Other Meds: trazadone, motrin

Current Illness:

ID: 0955287
Sex: F
Age: 38
State: UT

Vax Date: 01/08/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: She went to an urgent care clinic on 01/18/2021 for evaluation- no exact reason for reaction was given.

Allergies:

Symptoms: She reports that on 01/18/2021 (10 days after the vaccine) she noticed her arm at the injection site was sore, swollen, red, warm to the touch and itchy. She also felt generally unwell with a perceived fever. She slept for most of the day and today 01/19/2021 feels better, arm is less swollen and redness has improved.

Other Meds:

Current Illness:

ID: 0955288
Sex: F
Age: 46
State: TX

Vax Date: 01/11/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: N/A

Allergies: NKDA ,NKFA

Symptoms: Patient has swelling, redness, itching, rash and hot to touch at site started on the 7th day after vaccine No treatment done

Other Meds: Vit. B 1 po daily Vit. D 1 po daily famotidine 40 mg 1 po twice daily nortrel 1/35 1 po daily tolterodine 4mg 1 po daily

Current Illness: N/A

ID: 0955289
Sex: F
Age: 53
State: VA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: Pinky and ring finer the discomfort started about a min after the shot and lasted about 31 min

Allergies: Possibly to Motrin

Symptoms: Tingling and numbness in

Other Meds: None

Current Illness:

ID: 0955290
Sex: F
Age: 38
State: CA

Vax Date: 01/12/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Diarrhea body aches stomach ache

Other Meds:

Current Illness:

ID: 0955291
Sex: F
Age: 26
State:

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Put had facial and chest flushing. give po 25mg Benadryl

Other Meds:

Current Illness:

ID: 0955292
Sex: M
Age: 62
State: NJ

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

Lab Data:

Allergies: cardizem as needed

Symptoms: 1/18/21 6 PM left arm soreness, took tylenol. Patient states that he started having chills, muscle aches, Patient states that he started having fever of 101 degrees Fahrenheit, dizziness, and tachycardia 1/19/21 at 8 am. Pt. states he took tylenol at 8 am and heart rate and tachycardia improved and dizziness improved as well. Pt. states that he feels good now, but feels like his covid symptoms are light with a cough. Pt. states that arm is still sore.

Other Meds: denies

Current Illness:

ID: 0955293
Sex: F
Age: 60
State: OH

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

Lab Data:

Allergies: Penicillin, sulfa, aleve

Symptoms: After the shot my left arm became sore and tender. Later my arm had pain from my elbow radiating up into my neck and head causing a massive headache on the left side of my head. I had chills with NO fever. I felt nauseated. I went to work the following day with all of the previous symptoms. I experienced sweats along with the chilling and light headed ness. I started to experience tachycardia. My supervisor on my floor took my blood pressure and it was 164/122 and my pulse rate was 190. A PA was available and examined me and asked if I had caffeine which I didn?t. After sitting and being re-examined my blood pressure was 142/100, and my pulse was 90. I was sent home. At home I still experienced the headache and was fatigued, and my arm was still sore and tender. This happened within 24-25 hours after receiving the vaccine. Today my arm is slightly sore and I still have a headache but it is not as severe as previous.

Other Meds: Lisinipril 10 mg

Current Illness: N/a

ID: 0955294
Sex: F
Age: 51
State: NY

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: Vital signs, hydration and enhanced observation

Allergies: Sulfa

Symptoms: After 30 min observation patient complained she felt warm all over. She was hydrated and vitals were taken. She received enhanced observation and after additional 15 minutes she stated this resolved

Other Meds:

Current Illness:

ID: 0955295
Sex: F
Age: 50
State: RI

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: Jardiance medication

Symptoms: headache, fever, chills, sweats, fatigue, soreness at injection site

Other Meds: The usual meds: lisinopril, metformin, Vitamin B12, Vitamin D, pantoprazole

Current Illness: none

ID: 0955296
Sex: F
Age: 29
State: IN

Vax Date: 01/17/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 12 hours after second dose of vaccine around 1:30am I woke up with chills and body aches and a temp of 99.4. Took 650mg of tylenol. When I next checked it around 9am it was 100.4. Still with severe chills and body aches, felt very flu like and had to call into work. A shower made me feel worse. Around 10am temp was 100.7. Around 10:30 I took another 650mg of Tylenol. At 11:30 temp was 101.2. Still with chills and body aches. Went down to 100.2 at 4:30pm and took 650mg of Tylenol. Was still between 100.2 and 100.4 all night. This morning 1/19/21 around 06:30am it was 100.0 and I was very fatigued and had a headache. Had some chills and body aches overnight as well. Took Tylenol 650mg. Last I checked my temp at 10am it was 97.7. Still with headache and fatigue.

Other Meds: Camerese lo Prenatal vitamin

Current Illness: None

ID: 0955297
Sex: F
Age: 77
State: TN

Vax Date: 01/14/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: 3 days after vaccination swollen right side of tongue, patient took allergy meds and it went away.

Other Meds: Enalapril 20mg once daily, Fluoxetine 20mg every other day, Luzothyroxine 50mg (50mg one day, next day 75 mg), Nexium 20mg once daily

Current Illness: None

ID: 0955298
Sex: F
Age: 43
State: CA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: none known

Symptoms: Starting morning after vaccinations, terrible migraine-like headaches and extreme nausea. This persisted the entire day following vaccine and was so severe I could not get out of bed on that first day after. Bad headache and mild nausea has persisted daily since going on 5 days now.

Other Meds: Vitamin D supplement

Current Illness: none

ID: 0955299
Sex: F
Age: 56
State: NM

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: NO issue with injection site except for soreness at site. Then 8 days after vaccination, red rash at injection site, itching, hot and pain to the touch, following 9th day chills, diarrhea.

Other Meds: Metformin 1000mg BID, Losartan 50MG ONCE DAILY. D3. HCTZ 25mg

Current Illness: None

ID: 0955300
Sex: F
Age: 30
State: OH

Vax Date: 01/07/2021
Onset Date: 01/13/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: 6 days after I got the 1st round of the Moderna vaccine I noticed visibly enlarged and sore supraclavicular lymph nodes on my left side. The lymph nodes in my left arm pit are also sore. It has now been 13 days since I received the vaccine (6 days since I noticed the enlarged lymph nodes) and the lymph nodes are still enlarged. I don't think they have gotten any bigger or smaller, but they are not quite as tender.

Other Meds: 100 mg sertraline

Current Illness: none

ID: 0955301
Sex: F
Age: 72
State: AZ

Vax Date: 01/01/2021
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: None stated.

Other Meds: Sironolact, Linzess,calcium, probiotic

Current Illness: None

ID: 0955302
Sex: F
Age: 63
State: NY

Vax Date: 01/09/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Z pak

Symptoms: Developed a big lump that is hot and red at injection site. This was 1 week and 1 day after injection

Other Meds: Had a Tetanus same day Topamax Spironolactone Hydroxychloroquine Lisinopril Aldactone Viibryd Wellbutrin Turmeric Vitamin C Vitamin D3 Cipro

Current Illness: Dog bite day of vaccine requiring tetanus and antibiotics

ID: 0955303
Sex: F
Age: 37
State: NY

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: On day 8, my arm had a red, swollen and itchy circle about the size of a mini football. It started to fade a few days later, but traveled a bit down the arm. It is now day 12, and it is still there a bit but faded

Other Meds: Levothyroxine, Larin FE 24

Current Illness: none

ID: 0955304
Sex: F
Age: 58
State: MN

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: I started feeling tired the day after my injections (day 2) and didn't think much of it until i got home around 6:00 pm and i was exhausted. I couldn't even open my eyes without putting effort into it. By the next morning (day 3) i was extremely tired and it hurt in my leg muscles, butt muscles, arms and stomach. I woke up at 2:30 PM and threw up. The next day (day 4) i had diarrhea and was still exhausted and just felt lousy. Today is day 7 and i finally came back to work. I still have a slight headache and nausea and stomach cramping on/off.

Other Meds: N/A

Current Illness: N/A

ID: 0955305
Sex: F
Age: 28
State: CA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: swollen right eye swollen tongue rash itchy swollen lip white spots on leg bruising in random spots had a hard time swallowing

Other Meds:

Current Illness:

ID: 0955306
Sex: M
Age: 40
State: SD

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/19/2021
Hospital: Y

Lab Data: Covid19 -Abbott test positive on 1/6/2021

Allergies: Multiple allergies

Symptoms: Received vaccination on 12/30/2020, had positive Covid test result on 1/6/2021, was hospitalized with respiratory issues on 1/11/2021, and discharged home from the hospital on 1/18/2021

Other Meds:

Current Illness:

ID: 0955307
Sex: F
Age: 36
State: NY

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Large red swollen itchy patch on upper arm at the site of injection that started 7 days after injection and lasted for 3 days

Other Meds: Gabapentin

Current Illness: None

ID: 0955308
Sex: M
Age: 91
State: AZ

Vax Date: 01/19/2021
Onset Date:
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0955309
Sex: F
Age: 20
State: NJ

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Felt chest warmness/pressure from minutes within vaccine. Brought immediately to medical area. Felt cold, looks comfortable. on phone. no immediate sign of distress. given orange juice and observed with father present. Patient released at 1:40 pm to her father, feeling and looking well.

Other Meds:

Current Illness:

ID: 0955310
Sex: F
Age: 28
State: CA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: 1/14/21 severe chills , fever of 101.9, treated with ibuprofen throughout entire day, sweats, headache, fatigue, body aches, nausea, soreness at injection site 1/15/21 headache, fatigue, body aches, nausea, dizziness, soreness at injection site, numbness and soreness of right 5th metacarpal; took ibuprofen for headache 1/16/21 headache, dizziness, fatigue, nausea, body aches, numbness and soreness of right 5th metacarpal 1/17/21 headache, dizziness, nausea, body aches, tiredness, numbness of right 5th metacarpal; took Tylenol for headache 1/18/21 headache, dizziness, nausea, body aches, tiredness, numbness of right 5th metacarpal 1/19/21 tiredness, nausea, numbness of right 5th metacarpal

Other Meds: Yasmin

Current Illness: N/A

ID: 0955311
Sex: M
Age: 35
State: IL

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Approximately 5 minutes after the injection, patient experienced lip tingling, nausea, and fullness in his head and right ear. He expressed feeling tightness in his chest. VSS were taken and patient with BP 142/82, Pulse 80. Sats 99-100%. He sat for approximately 30 minutes and most symptoms resolved. Vital sign stable. Still had residual fullness in his right ear and top of head. He was assisted via wheel chair to the ED for further evaluation.

Other Meds:

Current Illness:

ID: 0955312
Sex: F
Age: 16
State: VA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: This individual is an EMS first responder who volunteers within our EMS system. She arrived at our clinic during a event to receive a vaccination. Unfortunately, she was advised that she could receive a vaccine with her mothers consent by our County Emergency Manager. A consent was obtained and she was lead to the clinic injection area. Once there, her consent form was reviewed and all of her screening questions were checked no. At this point in time, on the first day, we did not include a yes/no question confirming everyone was over 18 because its was only select recipients. The mistake was noticed immediatly and reported to the recipients mother who was also on site. It was explained the vaccine administered does not have an EUA for 16-18 year-olds. The county OMD was also notified at this time. The recipient did not have any reactions post inoculation. A followup call was placed later in the day to confirm she still did not experience any signs or symptoms, which she had not. We where able to identify the root cause of this event and have implemented a number of new safety measures to ensure we do not have a repeat event.

Other Meds: None

Current Illness: None

ID: 0955313
Sex: F
Age: 36
State: MD

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None.

Allergies: Ibuprofen

Symptoms: Day of vaccine, headache, feeling of fainting, weakness, feeling of being nauseous. Felt better after eating. Next day, felt very weak, had headache in forehead and eye area, bit of dizziness. Throughout day arm got feeling bad and extremely painful with long sleeve on. Could not move arm due to pain. Got a bruise in the puncture area, 2 finger underneath got very hard and slightly red, not rash but raised and hard. Throughout the next day, was going away, and through the night able to raise arm normally, but still had bump and redness until Sunday. Still slightly red, but has lessened and almost gone, but still has bruise which is not unusual for her. Also had itching and was painful to scratch, could only lightly touch. All has resolved.

Other Meds: Prilosec, baby aspirin, prenatal vitamins, Cellsept, prednisone, plaquenil, prograph, Metoprolol, Amlodipine, Folic acid, Lipitor, Benlystat, Nitrostat.

Current Illness: None.

ID: 0955314
Sex: F
Age: 52
State: AZ

Vax Date: 01/11/2021
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Woke up am, large warm area just below injection site, red, hot swollen, hard. Called my Drs. office, went in for appt. she stated it was a reaction gave me prescription for prednisone. Stated it was normal, no other symptoms.

Other Meds: None

Current Illness: None

ID: 0955315
Sex: F
Age: 49
State: WA

Vax Date: 01/16/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: Clindamycin

Symptoms: Woke up January 18 with small rash and itching at injection site. By 1pm, I noticed a rash on my neck and chest. By 6 pm it was very itchy and spread over my back. It is reddened and extremely itchy. This morning, January 19, it continues to be extremely itchy and has spread down to my thighs. I took Benadryl 50 mg at midnight and it didn?t seem to help.

Other Meds: Cetirizine HCL 10mg, Magnesium, DHA, Calcium Citrate, Vitamin B

Current Illness: Had kidney stone?s December 29

ID: 0955316
Sex: F
Age: 57
State: GA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: Dairy: specifically: egg yolks, butter, cheese

Symptoms: At about 12 minutes after she said her head was hurting a she felt a little dizzy. She had no complaints of SOB, Chest pain or any other signs of anaphylaxis. Initial vitals were 147/79, HR 51, O2 sat 98%. She felt as if her heart was racing so we listened to her heart it was regular and slightly bradycardic at 52 (Pt says the bradycardia is not new for her). We have been monitoring her close to an hour and she feels slightly better after she took Tylenol she had brought. We gave her a donut and some water. She is feeling better and headache is going away, but still slight dizziness. We recommended patient's son come pick her up and keep an eye on her the rest of the day. She was advised if she has any SOB, Chest Pain, throat swelling, rash..etc to take Benadryl and seek medical attention immediately. Vitals at time of departure were BP: 145/84, HR 54, O2 sat 98%. Pt felt much better at departure just stated she feels like "she needs to sleep it off"

Other Meds: Multivitamin

Current Illness: Denies

ID: 0955318
Sex: F
Age: 45
State: CA

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Approx 33 hours post vaccine I had excruciating pain at my injection site that radiated through my shoulder and into my shoulder blade. 10/10 for pain. Approx two hours after I had a severe fever 101-103, chills, vomiting, and all over muscle pain. I?ve had consistent body tingling since then. This lasted about 7 hours while taking Tylenol and Advil.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm