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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 0955488
Sex: F
Age: 49
State: SC

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

Lab Data: None

Allergies: None. Seasonal allergies only.

Symptoms: Deep tissue soreness that travels down left arm and to other muscles in body starting 18-20 hours after injection. Soreness started to dissipate in grade around Day 4. Left arm deltoid still sore to touch today, Day 6. Fatigue also present Days 1-4.

Other Meds: Diclofenac, Estroven, probiotic

Current Illness: None

ID: 0955489
Sex: F
Age: 43
State: AL

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

Lab Data: noe

Allergies: none

Symptoms: These symptoms began the morning after I received the second vaccine (4:30 pm). Symptoms started at 0630 the next morning: Fatigue, chills, headache, foggy brain, heavy feeling. This is how I feel right before a fever with the flu.

Other Meds: none

Current Illness: none

ID: 0955490
Sex: M
Age: 74
State: FL

Vax Date: 01/08/2021
Onset Date: 01/12/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: Doctor observation 01/18/2021

Allergies: None

Symptoms: Moderna COVID-19 Vaccine EUA. Shingles out break on left leg . 4 days after vaccine. Anti-viral and muscle relaxant treatment started 01/18/2021.

Other Meds: Rosovastatin 10mg Moloxacam 7.5mg

Current Illness: None

ID: 0955491
Sex: F
Age: 48
State: NC

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

Lab Data:

Allergies: unknown

Symptoms: Systemic: Anaphylaxis-Severe, Systemic: Seizure-Severe

Other Meds:

Current Illness:

ID: 0955492
Sex: F
Age: 34
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient describes high fever of almost 102, extreme chills and shivers, intense body aches especially in the neck and back, headache and bilateral muscle pain in the arm.

Other Meds:

Current Illness:

ID: 0955493
Sex: F
Age: 41
State: VA

Vax Date: 12/27/2020
Onset Date: 01/03/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Delayed local reaction with induration and pain 1 week after administration of vaccine. Treated as cellulitis with bactrim.

Other Meds: Keflex for UTI

Current Illness: UTI

ID: 0955494
Sex: M
Age: 59
State: IA

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

Lab Data: none

Allergies: none

Symptoms: Deep muscle ache and severe pain. Swelling in location of vaccine administration - LVG.

Other Meds:

Current Illness:

ID: 0955495
Sex: F
Age: 60
State: CA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: n/a

Allergies: codeine adenosine

Symptoms: ?Moderna COVID-19 Vaccine EUA - approximately 45 minutes after taking vaccine had a metallic taste in my mouth and a headache located at lower back of head/upper neck area. Also, blood pressure was taken with reading of 161/121 and within a couple of minutes BP was down to 104/74. Taste and headache lasted about 20 minutes or so. Felt fine after BP returned to normal and felt a little fatigue the next day. Thursday felt great.

Other Meds: OTCs - vitamin D3, zinc, fish oil, prn's Tylenol and ibuprofen Prescriptions - atorvastatin 10mg

Current Illness: n/a

ID: 0955496
Sex: F
Age: 35
State: NY

Vax Date: 01/07/2021
Onset Date: 01/11/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: N/A

Allergies: Sulfa based medications and seasonal allergies

Symptoms: There has been itching at the injection sight, at least once a day. Does not cause interference in my day, but did not have localized itching on the identified arm in the injection location, prior to being inoculated.

Other Meds: Duloxetine and Fluticasone

Current Illness: No

ID: 0955497
Sex: M
Age: 23
State: IL

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

Lab Data:

Allergies: None

Symptoms: Low grade fever, Headache, Severe Injection site muscle pain, Chills, Low back pain

Other Meds: None

Current Illness: None

ID: 0955498
Sex: F
Age: 69
State: IL

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

Lab Data:

Allergies: anaphylaxis to IV contrast

Symptoms: Patient received covid Moderna vaccine 1st does at Health Department on 1/12/21 (lot number unknown). Due to hx of anaphylaxis observed for 30min. After 15-20 minutes, patient experienced mouth and tongue swelling. Also c/o dry mouth. 911 was called and patient was given epinephrine 0.3mg IM and 25mg diphenhydramine per EMS without improvement in symptoms. The sensation included the upper portion of her throat. Pt has known allergies to Shellfish and iodine. Patient was referred for allergy follow up. Per review with allergy - second dose is not recommended. In ED - patient received additional diphenhydramine 50mg IV, famotidine 20mg IV, methylprednisolone 125mg IV. Was already given epinephrine by EMS Discharged home in good condition after approximately 3+ hour observation in ED. Seen by allergy on 1/15/21 who recommended not to administer 2nd vaccine.

Other Meds: Diazepam 5mg qhs prn for TMJ muscle spasm Amlodipine 10mg daily Losartan 1000mg daily Levothyroxine 112 mcg daily Gemfibrozil 600mg BID Bupropion SR 150mg BID Metoprolol XL 50mg daily Sertraline 50mg BID Ibuprofen as needed Omeprazole 40mg

Current Illness:

ID: 0955499
Sex: F
Age: 68
State: CA

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

Lab Data: N/A

Allergies: Dairy

Symptoms: Swelling at injections site, no redness, left arm, shoulder, armpit very sore for about a day.

Other Meds: Tylenol

Current Illness: None

ID: 0955500
Sex: F
Age: 26
State: FL

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: I did see my Nurse practitioner but no tests were run.

Allergies: no known allergies

Symptoms: On the date previously entered I experienced full body fatigue suddenly and decided to lay down. About 20mins later I went to stand and when I lifted my legs they began to shake and felt weak. This weakness slowly got better over the next 4-5 hours. 2 days later I was working and I had the muscle weakness again. Today 01/19/2021 I had another episode of weakness, it is primarily in my legs and they shake if I attempt to lift them.

Other Meds: Women's multivitamin, ibuprofen 200mg

Current Illness: no known illnesses

ID: 0955501
Sex: F
Age: 1
State: ID

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Pt has developed a fever, red spots, vomiting, and an abscess on the left thigh. Pt was diagnosed with cellulitis of left lower limb.

Other Meds: none

Current Illness: none

ID: 0955502
Sex: F
Age: 39
State: AZ

Vax Date: 01/10/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: Urine test =negative

Allergies: Na

Symptoms: I am having some swelling and itching at the injection site and having pain in my kidney area. I thought it may be a uti but was medically cleared of any type of infection.

Other Meds: Beachbody shakeology, beachbody energize

Current Illness: Na

ID: 0955503
Sex: F
Age: 47
State: NY

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

Lab Data: blood work at ER 36 hours after administration

Allergies: none

Symptoms: Symptoms began 36 hours after administration Heart palpitations Anxiety Tachycardia Difficulty breathing Runny nose Pins and needles in arms and legs Heaviness in legs Difficulty opening mouth / heavy tongue for 5 minutes 2/3 times Body tremors Weakness Nausea / vomiting 60 hours after administration

Other Meds: none

Current Illness: none

ID: 0955504
Sex: F
Age: 16
State: NY

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

Lab Data:

Allergies:

Symptoms: Administration error. Patient was 16 when vaccine was administered. It's authorized for 18 and older. No known adverse events.

Other Meds:

Current Illness:

ID: 0955505
Sex: F
Age: 51
State: CT

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: went today at 11:40am for COVID test -

Allergies: corn, gluten, eggs. mold, dust

Symptoms: Day 1 - injection site pain; Day 2 - injection site pain, overall muscle soreness & headache; Day 3 - fatigue, fever, chills, overall muscle soreness & headache, hives on hand, right foot and left foot and leg; Day 4 (Saturday) - fatigue, fever, chills & headache and sinus pain on inhales; Day 5 - same as Day 4; Day 6 - same as day 4 & 5, plus sweating AND loss of taste and smell. Today Day 7 - fatigue, fever, chills & headache and sinus pain on inhales, sweating, loss of taste and smell; ear aches, rash on chest

Other Meds: no rx; zinc, vitamin d & c, magnesium, dhea, progesterone (topical), fish oil, probiotic, turmeric

Current Illness: none

ID: 0955506
Sex: F
Age: 15
State: OH

Vax Date: 12/28/2020
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Wrong Patient (documentation in EMR)

Other Meds:

Current Illness:

ID: 0955508
Sex: M
Age: 17
State: MN

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

Lab Data:

Allergies: no known allergies

Symptoms: Error: Wrong Patient (documentation in EMR)

Other Meds:

Current Illness:

ID: 0955509
Sex: F
Age: 34
State: VA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Sulfa, amoxicillin, levofloxacin, prednisone and meloxicam

Symptoms: Developed and itchy rash on thighs, stomach and upper arms on 1/12/21. Took 24 hour non-drowsy allergy medicine for 5 days and rash is gone.

Other Meds: None

Current Illness:

ID: 0955510
Sex: F
Age: 61
State: AZ

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

Lab Data: none

Allergies: Penicillin Sulfonamides Z-pac

Symptoms: Eight days after injection, L arm became red, hot, and swollen. I had a low grade temp. Redness in L arm spread down upper arm measuring approximately 12x14 cm. Stiff neck also. Went to PCP and was told I had an allergic reaction and was told not to get the second dose. I was told to take Benadryl and report my reaction.

Other Meds: Levothyroxine

Current Illness: none

ID: 0955511
Sex: F
Age: 27
State: PA

Vax Date: 01/13/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Temperature 101-102, chills, fever, headache, loss of taste and smell.

Other Meds:

Current Illness:

ID: 0955512
Sex: F
Age: 79
State: NY

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 12 hours after injection had chills Temp of 100, severe body and joint pain, headache, fatigue for 12 hours Headache lasted for 48 hours I did have the virus in April. Took 7 months to fully recover

Other Meds: Rosuvastatin Tab 5mg Omeprazole 40mg Mirabegron 25mg Centrum Silver Triple Magnesium Complex 400mg Cranberry Powder 500 mg Vitamin D3 Probiotic 3.2 CFU B 12 every other day

Current Illness: none

ID: 0955513
Sex: M
Age: 90
State: IN

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

Lab Data:

Allergies:

Symptoms: Slightly lightheaded. Checked B/P and observed. B/p on discharge 146/80 and lightheadedness subsided

Other Meds:

Current Illness:

ID: 0955514
Sex: F
Age: 44
State: NC

Vax Date: 01/04/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Pain & swelling with redness & severe nausea

Other Meds: Januvia; pilocarpine; docusate sodium; Vitamin A, Vitamin D, multiple vitamins, vitamin E, magnessium, Vitamin D3, Fioricet, Zofran, Zoloft, HyoMax, Pataday, Klor-Con, Voltaren sodium, Farxiga, diclofenac sodium, scopolamine, Vascepa, Diflu

Current Illness:

ID: 0955515
Sex: F
Age: 79
State: CO

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

Lab Data:

Allergies:

Symptoms: Itching, then rash which is 6 inches long, red and moving down my left arm. It is half way to my elbow. And it is hot.

Other Meds: minivelle patch, FDGard, Centrum Silver, Melatonin, Sertraline

Current Illness:

ID: 0955516
Sex: F
Age: 64
State: WI

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/19/2021
Hospital: Y

Lab Data:

Allergies: amoxicillin-pot clavulanate, ciprofloxacin HCl, doxycycline hyclate, Levaquin, levofloxacin

Symptoms: Temp of 104.5, hospitalization

Other Meds: "allopurinol tablet; 200 mg; oral Once A Day; AM" "calcium carbonate tablet,chewable; 1000 mg; oral Once An Evening; PM" "ferrous fumarate tablet; 325 mg (106 mg iron); oral S

Current Illness: Cellulitis

ID: 0955517
Sex: M
Age: 54
State: CA

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

Lab Data:

Allergies: None

Symptoms: On Thursday Jan 14, 2021 I got the Singles vaccine as part of my physical - this was around 9am. Thursday evening I was fine. Friday morning I had to make some effort to get up. Whole day I was feeling sluggish. By evening I started getting a severe headache and chills. There was no fever. A bit if body ache, especially on the lower back. I took Tylenol and slept early. Had some chills. Saturday morning was similar with headache and some chills. By mid afternoon I started feeling bit normal but weak. I was constipated whole day and did not have a bowel movement. I kept with Tylenol. By Sunday morning, I felt fine except for my sore arm which still hurts. Bowel movement was OK but felt constipated. Monday I was back to normal except for sore arm. As of Tuesday morning, while writing this report, only symptom left is sore arm at site of injection but much reduced than 2 days ago.

Other Meds: Vitamin D

Current Illness: None

ID: 0955518
Sex: F
Age: 43
State: IN

Vax Date: 01/07/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Lump at vaccine site, warm to touch, red circle with red ring around it, itching

Other Meds: Daily vitamin, lamotrigine, bupropion, lisinopril, klonopin, trintellix

Current Illness: None

ID: 0955519
Sex: F
Age: 47
State: SD

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

Lab Data: None.

Allergies: Bee stings, rocephen

Symptoms: Approximately 12 hours after vaccination, I experienced severe muscle contractions/spasms that lasted about 2 hours. I was unable to control the movement of my body. It felt like my whole body was connected to an stimulator that was on high. When it stopped, I felt weak and fatigue, but, I was unable to sleep for several hours.

Other Meds: Spironolactone, clindamycin, salicylic acid shampoo 6%, pimecrolimus, dapsone 7.5%, clobaetasol .05%, flonase, and Zyrtec

Current Illness: None.

ID: 0955520
Sex: F
Age: 35
State: NJ

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

Lab Data:

Allergies: NKA

Symptoms: Moderna COVID 19 Vaccine EUA headache, chills, fatigue, back ache, muscle aches

Other Meds: Pristiq phentermine blisovi- birth control

Current Illness:

ID: 0955521
Sex: F
Age: 57
State: PA

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

Lab Data:

Allergies:

Symptoms: Site: Bruising at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Nausea-Mild

Other Meds:

Current Illness:

ID: 0955522
Sex: F
Age: 41
State: MO

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

Lab Data:

Allergies: No Allergies Reported

Symptoms: Systemic: Exhaustion-Medium, Systemic: Fever-Mild, Systemic: Trembling all over from right side of arm to the legs.-Severe; symptoms lasted 1 day

Other Meds:

Current Illness:

ID: 0955523
Sex: F
Age: 38
State: NH

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

Lab Data: Unknown

Allergies: Food Allergies, Medication Allergies and Intolerances

Symptoms: Received dose at 1205 noon on January 15, 2021. I completed the 30 minutes after vaccination due to history of food allergies/medication allergies/intolerances and is prescribed epinephrine. After 30 minutes no reaction was seen in return to work, as a healthcare, CMA. At 1500 hrs. became incredibly dizzy, flushed, hot sweats. Sat down with cool window open, facecloth. Legs became tingling and numb, blood pressure was taken at over 130/90, nausea increasing, could not keep eyes open due to dizziness and light, with headache developing. After 30 to 45 minutes of observation from healthcare staff/coworkers became incredibly weak in arms and legs, head became incredibly faint, nausea increased, headache, dizziness, extreme fatigue in regards to wanting to sleep. At which time clinical lead nurse/supervisor brought myself to emergency room department for further evaluation. Was brought into emergency room for further evaluation developed at this time a lump in throat feeling, and was given an IV of Benadryl 25mg and Pepcid 20mg with an hours of observation. Within an hour of observation extreme fatigue tingling numbness and dizziness head decreased. And was discharged from emergency room for vaccine reaction around 20:00. Home with Benadryl 25 mg and Pepcid 20 mg, 3 times daily to treat reaction. After reaction been dealing with headaches and nausea.

Other Meds:

Current Illness: No known illnesses at time of vaccination

ID: 0955524
Sex: F
Age: 17
State: NY

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

Lab Data:

Allergies:

Symptoms: Administration error. Patient was 17 when vaccine was administered. Vaccine is authorized for 18 and older. No known adverse events.

Other Meds:

Current Illness:

ID: 0955525
Sex: M
Age:
State: AZ

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

Lab Data:

Allergies: Penicillin . Codeine. Tetracycline Darvon

Symptoms: None stated.

Other Meds: Vesicare, acetazolamide , atorvastatin, Gabapentin ,vesicare, aspirin, vagifem, estrace extract cream, venlafaxine B complex,, calcium, Cinsulin, vitamin D3, Migrelief, milk thistle, krill oil, omega 7, pre & probiotic, selenium, turmeri

Current Illness: None

ID: 0955526
Sex: F
Age: 61
State: NY

Vax Date: 12/15/2020
Onset Date: 12/22/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: KNA

Symptoms: 12.22.20 A week after the vacine I started to get the herpes simple 1 on my lips. They became extreme dry, chapped with tingling sensation. I still suffer from ulcers on my bottom lip I also suffered from fatigue, nausea, headache and diarrhea. I thought I had COVID-19 but tested negative. To date Jan 18, 2021 I suffer from tingly lips with extreme dryness and ulcerated bottom lip.

Other Meds: Levothyroxine 175mg Vit D 5ku

Current Illness: 0

ID: 0955527
Sex: F
Age: 64
State: WV

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

Lab Data: none

Allergies: horses

Symptoms: at first she had left arm ached and tingling such as when you hit funny bone and went down to finger tips und lasted through the night and prevented her from sleeping. then had low grade fever for a couple days. nothing extreme. diarrhea 3 days after shot. hives and rash still present. still sore. now itches.

Other Meds: synthroid 125mcg, atorvastatin 20mg, omeprazole 40mg,

Current Illness: none

ID: 0955528
Sex: F
Age: 23
State: NH

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data: N/A

Allergies: Seasonal, Reglan

Symptoms: 12/28 vaccination 12/29 rash on arm. red, hot to the touch, swollen and 'very painful'. Lasted about a week. The pain went away after 3 days. The rash stayed for a week. Went away for 2 days but then came back bigger; red, swollen and itchy. Employee health 12/29 referred PCP. 12/30 saw PCP; if pain got more to be a problem, could put hydrocortisone cream. Drew marker around site, and grew double in size each time. Has since gone away.

Other Meds: Wellbutrin, Metformin, Vitamin D3, Loratadine

Current Illness: N/A

ID: 0955529
Sex: U
Age: 43
State:

Vax Date: 12/21/2020
Onset Date: 12/27/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data: COVID swab. positive.

Allergies:

Symptoms: Congestion and loss of smell. Tested positive on the 27th with COVID.

Other Meds:

Current Illness:

ID: 0955530
Sex: F
Age: 34
State: OH

Vax Date: 01/08/2021
Onset Date: 01/13/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rash on arms and hands, delayed redness and warmth on injection site. Rash on arms, hands and red/warm injection site developed 5-6 days after vaccine and continues to be present 9 days after vaccine

Other Meds:

Current Illness:

ID: 0955531
Sex: F
Age: 40
State: PA

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

Lab Data:

Allergies: nKA

Symptoms: patient began to experience chest pain (6 on 10 scale) 10 minutes after administration. no other associated symptoms. Vital signs normal. Evaluated in Emergency Dept. Discharged. Note that patient was very anxious prior to and after vaccination.

Other Meds: none

Current Illness:

Date Died: 01/13/2021

ID: 0955532
Sex: F
Age: 51
State: NJ

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

Lab Data: N/A

Allergies: NKA

Symptoms: COVID 19 Vaccination administered by pharmacy staff. No adverse effect at the present time. Staff will continue to observe adverse reaction. Will continue to monitor. Patient at start of shift awake in the bed. Pt at 3am was on the commode leaned to the side. Patient body still warm to touch no pulse. Called for assistance Asap. Cpr started promptly. Cpr given patient on floor 911 arrived at the scene at 3:10am Cpr rotated Between Nursing and EMT on Scene. Cpr was given to patient for over 45 minutes. Patient was pronounced at the scene at 3:50am. Call placed to Pt family by supervisor on shift. MD to be notified. AT 3:00am, I was notified by the nurse that resident is unresponsive. Upon entering room, resident was sitting on the commode unresponsive with absent respiration and pulse. Resident lowered down on the floor with 4 person assist. CPR initiated, AED pads placed on chest with no shock indicated. 911 called and EMT and paramedics arrived around 3:10am. ACLS performed until code stopped and pronounced death at 3:48am. I called and notified family member of his demise and awaiting for family to call us back for funeral arrangements.

Other Meds: Lantus SoloStar; Atorvastatin Calcium; Gabapentin; Potassium Chloride ER; Levothyroxine Sodium; Alogliptin Benzoate; Acetaminophen; Milk of Magnesia; Enema Rectal; Bisacodyl Rectal Suppository; Tramadol HCl; Ceftriaxone Sodium; Santyl Exter

Current Illness: Cellulitis of RLE, S/P wound debridement

ID: 0955533
Sex: F
Age: 71
State: GA

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: PCN, Environmental

Symptoms: nausea, vomiting diarrhea X5 days

Other Meds:

Current Illness: asthma, history of cancer, diabetes,

ID: 0955534
Sex: F
Age: 52
State: TX

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

Lab Data:

Allergies:

Symptoms: Bump on left arm at injection site, redness, warmth, and soreness. Improves with icing.

Other Meds:

Current Illness:

ID: 0955535
Sex: F
Age: 61
State: NJ

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: 1/15/21 (day 11 post vaccine) rhinitis and sneezing worse. Itchy eyes. Took zyrtec in PM with improvement in symptoms 1/16/21-1/17/21-(day 12,13)-feeling of low energy, light headed

Allergies: PCN-hives, cephalosporins.Aged hard cheese-angioneurotic edema

Symptoms: 1/4/21(day of vaccine)-approximately 1 hour later, irregular heart beats, "skipped beats" approximately every 10 seconds, decreasing in frequency over the next few hours, but persisting 2 weeks later. Appointment scheduled tomorrow ((1/20/21) with cardiologist. 1/11/21 (day 7 post vaccine)-vaccine site began to itch and induration began 1/12/21 (day 8 post vaccine)-marked induration, well demarcated redness, warmth and mild tenderness around vaccine site, measuring 8.5 cm x 5.5 cm. Rx with advil 400 mg and icepacks which help, but local reaction persisted approximately 5 days 1/14/21(day 10 post vaccine)-site still red and swollen, but starting to fade. Sneezing and rhinitis begins in PM 1/15/21 (day 11-continued..

Other Meds: multivit, Cosopt (dorzolamide-Timolol); latanoprostene bunod

Current Illness:

ID: 0955536
Sex: F
Age: 50
State: TX

Vax Date: 12/22/2020
Onset Date: 12/24/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data: I work with physicians, they advised to watch, if it lasted longer, to seek more detailed medical help, alerted health department at hospital, they first said, maybe not get 2nd shot, then said, maybe take some benedryl, to help with any more reactions,

Allergies: apricots, fresh pineapple

Symptoms: quarter size to half dollar size light red, slightly raised bump at injection site, lasted for about 10-12 days, slightly warm and tender to the touch,

Other Meds: Levothyroxine 75mcg, multi vitamin, vitamin D 60 mcg

Current Illness: none

ID: 0955537
Sex: M
Age: 37
State: AZ

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

Lab Data:

Allergies: Seasonal, Methadone

Symptoms: Pt states that 30 minutes post Moderna injection 'I started feeling like some one was sitting on my chest, and my heart was beating really fast" Pt VS stable, after several deep breaths pts heart rate slowed and patients breathing slowed to 14, and his anxiety abated somewhat. HEENT; peerla, trach midline, denies difficulty swallowing, Lungs CAEB, ABD SNT, Extremities wnl. no rash noted, no c/o itching.

Other Meds: Albuterol HFA, Verapamil, Montelukast, Fluticasone, Loratadine

Current Illness: Asthma, Sinus Tachycardia, Obstructive Sleep Apnea

ID: 0955538
Sex: F
Age: 43
State: MO

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

Lab Data: Depo medrol injection & toradol injection

Allergies: Sulfa

Symptoms: Bilateral facial/eye swelling; hives from scalp to tip of toes, hives on Fupa & lips, hives/welts worse on chest, bilateral arms, neck & back, left sided headache from behind eye to base of neck

Other Meds: Emgality Qmonth; 60mg Cymbalta; 10mg Claritin

Current Illness: Recovering from Shingles & hives from last Covid immunization on 12/28

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm