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: 0956939
Sex: F
Age: 55
State: OH

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data: no

Allergies: eggs, corn

Symptoms: Arm soreness, chills, H/A 4 days, fatigue slept 1 whole day. Nausea , congestion.

Other Meds: Pregabalin, Singulair, Metoprolol, Flonase, Advair, Zolair, Vitamin C, Collagen, B chewable.

Current Illness: no

ID: 0956940
Sex: F
Age: 66
State: IL

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

Lab Data:

Allergies: Morphine

Symptoms: Patient had slight swelling in her hand and tingling at the injection arm. Patient took two Benadryl 25 mg capsules and the swelling subsided. 15 minutes later, patient had swelling in both legs. An ambulance was called and patient was taken to urgent care to get treated. Patient was released from urgent care the same day and has recovered.

Other Meds:

Current Illness:

ID: 0956941
Sex: F
Age:
State: GA

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

Lab Data:

Allergies: Ceclor, sulfa, shellfish, banana

Symptoms: Fever 101.4 Chills Muscle aches Diarrhea Stomach cramps General malaise Headache

Other Meds:

Current Illness: None

ID: 0956942
Sex: F
Age: 84
State: CA

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

Lab Data: Told patient to call their doctor

Allergies:

Symptoms: The patient reported that she woke up during the night following the vaccine with pain, burning/ hot sensation in her arm and face.

Other Meds:

Current Illness:

ID: 0956943
Sex: F
Age: 54
State: NC

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

Lab Data:

Allergies:

Symptoms: dose given 1/13/21, patient hospitalized with high blood sugar, hyperkalemia, hypernatremia on 1/15/21 after being lethargic with shallow breathing. Patient still hospitalized as of 1/19/21 and diagnosed with Diabetes

Other Meds:

Current Illness:

ID: 0956944
Sex: F
Age: 42
State: CA

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

Lab Data: Vitals, pulse oximeter

Allergies: None

Symptoms: Dizzy, blurred vision, sleepy

Other Meds: None

Current Illness: None

ID: 0956946
Sex: F
Age: 25
State: CA

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

Lab Data: none

Allergies: shellfish

Symptoms: Patient had soreness of arm and felt like she cannot lift arm, even 3 weeks after injection

Other Meds: none

Current Illness: none

ID: 0956947
Sex: F
Age: 26
State: MN

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

Lab Data:

Allergies: Sulfa abx, erythromycin, penicillin, dilaudid, vicodin

Symptoms: Nausea/vomiting, tmax 100.5, body aches, chills. Vomiting was severe, projectile

Other Meds: Lithium, lamictal, yaz, spironolactone, naltrexone, melatonin, fish oil

Current Illness:

ID: 0956948
Sex: M
Age: 51
State: CA

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

Lab Data: n/a

Allergies: NKDA

Symptoms: Pruritic Urticaria within 12 hours of first COVID-19 immunization-self treated at home with calamine lotion and OTC antihistamine. Reports improvement of symptoms but still present on 1/19/21

Other Meds: Motrin, venlafaxine

Current Illness: Denies

ID: 0956949
Sex: F
Age: 51
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Moderna COVID-19 Vaccine EUA. Day 1 Mild discomfort pain at injection site Day 2-3 Soreness (pain), redness, swelling, minor itching Day 4 Mild discomfort pain at injection site Day 8 Mild itch and redness at injection site Day 9-11 Very itchy, upper arm swollen from injection site spreading outward, redness, injection site hard and inflamed (took acetaminophen, use ice pack) Day 12 is today- less swelling (still some) and mild itchiness

Other Meds: Amlodipine Besylate, Kirkland mature adult multivitamin, Caltrate

Current Illness: None

ID: 0956950
Sex: M
Age: 66
State: GA

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

Lab Data: None

Allergies: None known

Symptoms: Fatigue, aching muscles and joints, chills

Other Meds: Eliquis, prendisone, metaprolol, celebrex, synthroid, valtrex, pravastatin

Current Illness: None

ID: 0956951
Sex: F
Age: 55
State: VA

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

Lab Data: n/a

Allergies: Adhesive

Symptoms: adverse effect heart palpitations, chills, shaking, talking out of head on Sunday, continuous coughing, couldn't stand, no fever or runny nose, severe migraine, no appetite

Other Meds: Zarlto 20mg 1 a day

Current Illness: n/a

ID: 0956952
Sex: F
Age: 38
State: NJ

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

Lab Data: None

Allergies: None

Symptoms: I felt ok the afternoon of the vaccine but woke up past 4:30am with fever, chills, body aches in my hips, an arm that was not only sore but extremely tender to the touch, and pain shooting down my nerves seemingly randomly. Neither Tylenol nor aspirin helped relieve the pain. I couldn?t sleep because of the pain but I stayed in bed because standing up gave me a headache and fatigue. This lasted about 36 hours and then subsided quickly over the next ten hours. I slept a lot when I finally felt relief. Day three I?m basically well with a slightly sore arm and slight fatigue left.

Other Meds: None

Current Illness: None

ID: 0956953
Sex: F
Age: 86
State: CA

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

Lab Data: none

Allergies: Sulfa, demerol, shell fish, lactose intolerant

Symptoms: initially warm to touch and slightly swollen later that day, then a week later area very red, hard to touch, hot and bumps in the area almost like hives, very itchy.

Other Meds: Amlodopine, Statin, viotin, , sinemet as needed

Current Illness: none

ID: 0956954
Sex: F
Age: 61
State: WA

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

Lab Data: none

Allergies: latex, surgical adhesive, dilaudid, amitriptyline, carafate, prozac, paxil, zoloft, clinoril, indocin, INH, rifampin, sutures, steri strips, tropical fruits,

Symptoms: tri-phasic anaphylaxis

Other Meds: effexor, pantoprazole, metoprolol, cyclobenzaprine, epi pen and bendaryl as needed..Vitamin D, B12 and B-complex, advil as needed

Current Illness: no

ID: 0956955
Sex: F
Age: 32
State: NY

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

Lab Data:

Allergies: None

Symptoms: Fever from 100.2-101.0 for 48hours

Other Meds: Trazadone 50mg Escitalopram 20mg

Current Illness: None

ID: 0956956
Sex: F
Age: 44
State: CA

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

Lab Data: Tox screen negative except for low-level (<0.08BAC) alcohol. CAT scan showed nothing to indicate pressure or physical stress to the brain.

Allergies: Cephalosporin, coedine

Symptoms: Severe dissociative event (psychotic break) beginning <72hr after administration of vaccine, and continuing another 48 hours before resolution. Patient has no prior adverse psychiatric history. Transported to local ER on Monday 11th upon worsening of condition. Administered Haldol in the ER as a sedative after becoming combative during dissociative state. Patient woke up Tuesday the 12th with recurrent, but significantly diminished, dissociation, which had largely resolved by late Tuesday. Patient transported to Mental Health on a 5150. Released Friday the 15th around noon. No recurrent symptoms since.

Other Meds: Women's multivitamin Women's probiotic Cod Liver Oil Vitamin D3 gummies OsteoBiflex B complex THC gummies, 2.5mg one dose Milk kefir L-theanine

Current Illness: N/A

ID: 0956957
Sex: F
Age: 88
State: TN

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

Lab Data:

Allergies:

Symptoms: Resident reported she didn't feel well. She started running a fever of 103. Resident complained her stomach and genitals were burning and pain in her legs. Resident has been vomiting today and diarrhea. EMS was called and resident transported to Hospital today 1/19/21

Other Meds:

Current Illness:

ID: 0956958
Sex: M
Age: 16
State: IN

Vax Date: 09/18/2020
Onset Date: 09/18/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: nka

Symptoms: Flublok vaccine administered to 16 year old male on 9/18/20. No reactions noted.

Other Meds: none

Current Illness: none

ID: 0956959
Sex: F
Age: 26
State: CA

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

Lab Data:

Allergies: None

Symptoms: Saturday- felt fine for a Couple of hours after vaccine. Felt fatigued around 4 PM, laid down, lost ability to move arm, extreme pain in neck. Sunday- more of the same throughout the day. At night when I took a shower the pain moved over the course of a few minutes in the shower from my arm to my lower back. Arm was fine, Lower back pain bad enough that I was limping. Monday- woke up & pain was evenly dispersed between lower back and head. Slight soreness in arm and neck. Took extra strength ibuprofen because I had to work. Totally fine for the rest of the day time. At night my arm and neck started to become very sore again. After I ate dinner I developed a very intense fever, chills/ shakes, my arm felt like it had a heartbeat and my heart was racing. Laid in bed all night. Felt scared and disturbed that this was happening days after the vaccine. Considered going to the hospital but I couldn?t move. Slept for 10 hours. Tuesday (today)- feeling almost all better aside from slight pain in neck.

Other Meds: Magnesium, multi-vitamin, birth control

Current Illness: None

ID: 0956960
Sex: F
Age: 63
State: IL

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

Lab Data: none

Allergies: not aware of any

Symptoms: Sore neck started on 1/18/21. Did exercise that day Discovered a tender palpable lump just above clavicle bone on left side - same side as the injection on 1/19/21

Other Meds: Supplements: Vit d tumeric Vit c Calcium + magnesium Probiotics

Current Illness: none

ID: 0956961
Sex: F
Age: 45
State: TX

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

Lab Data: None

Allergies: NSAIDS (anaphylaxis), Bactrim (anaphylaxis)

Symptoms: Patient felt flushed, hot, faint occurring approximately 30 minutes after receiving vaccine. "Feels wierd." Feeling anxious. At 3:10pm, BP 165/74 HR=78 O2 sat=99%. At:3:30pm, BP=155/72. Symptoms improving. Patient released from clinic at 3:32pm.

Other Meds: Claritin

Current Illness:

Date Died: 01/19/2021

ID: 0956962
Sex: M
Age: 74
State: NY

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

Lab Data: none

Allergies: NKDA

Symptoms: COVID 19 vaccine, unknown which company Chronically ill in a skilled nursing facility found diaphoretic, hypotensive, hypoxia to 85% arrived to Emergency dept in cardiac arrest Died within 65 minutes of nursing finding patient in distress Wife felt it may have been related to vaccine date of vaccination 1/6/20 hx covid 19 PNA in April 2020

Other Meds: Unavail

Current Illness: CVA seizure disorder all chronic HTN CAD had COVID 19 in April 2020

ID: 0956963
Sex: F
Age: 53
State: CA

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

Lab Data: blood, urine, and CT were all normal in ED.

Allergies:

Symptoms: Right eye blood shot at 7:30 pm - went to ER with severe stomach cramps radiating the back. CT done. received dilaudid and Zofran for pain and nausea. Next day, had pain in bones, feet, knees, back and neck. Also sore throat, red throat, headache, nausea, and diarrhea. Doctor prescribe antibiotics and Norco. Stomach pain returned 12/31.

Other Meds:

Current Illness:

ID: 0956964
Sex: F
Age: 78
State: AZ

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

Lab Data: none

Allergies: None

Symptoms: Nausea lasting for about 2 hours on the day after the shot was given.

Other Meds: Atorvastatin; Multi-vitamin, Vit D3, Gloucosamine/Chondroitin, Calcium

Current Illness: None

ID: 0956965
Sex: F
Age: 32
State: VA

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

Lab Data:

Allergies:

Symptoms: Around 9 pm, my arm became more sore and started radiating into my shoulder and I had chills. I had a low-grade fever and I had slight SOB. Not sure if it was due to vaccine or the fact that I'm big and pregnant. The next more I was extremely sore all over. I also experienced major fatigue and a headache. I just rested and felt better afterwards and it went away.

Other Meds: Prenatal vitamins

Current Illness: Had COVID in December.

ID: 0956967
Sex: F
Age: 28
State: CA

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

Lab Data: Physical exam revealed no obvious swelling of tongue or uvula, no other dermatologic changes, lungs clear, no stridor, no change in voice, no difficulty swallowing water, sensation of lower limbs intact, no motor weakness. VS: at 11:47 AM BP 107/69, Pulse 70 regular, O2 sat 97% on room air, then 105/76, p 73 O2 sat 97% at 12:50 AM, then returned to her baseline, 108/71 67., 100% O2 sat after 45 minutes. Pt. received 25 mg Benedryl, felt better, had resolve of complaints

Allergies: Allergic to PCN allergic to shellfish,

Symptoms: Pt. described feeling as if her cheeks and front of tongue were slightly swollen. She also noted tingling of lower legs. She denied any throat tightening, no trouble swallowing or difficulty breathing, no chest tightness as she has experienced in exercise induced asthma. (Note: forgot to add under chronic conditions with only rare use of rescue inhaler).

Other Meds: Vitamin C and zinc supplement

Current Illness: denies

ID: 0956968
Sex: F
Age: 61
State: CA

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

Lab Data: none

Allergies: No

Symptoms: itchy rash on bilateral elbows, headache

Other Meds: No

Current Illness: No

ID: 0956969
Sex: F
Age: 1
State: KY

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

Lab Data:

Allergies: NKDA

Symptoms: Five days after receiving the vaccines, patient developed urticaria over her trunk and thighs. No other issues at the time. They were itchy and patient was uncomfortable.

Other Meds:

Current Illness: Diarrhea at the time of the visit, no fever in office. No other s/s.

ID: 0956970
Sex: F
Age: 29
State: CA

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

Lab Data:

Allergies: Allergic to Sulfa

Symptoms: Hives on chest hands and feet, cough, excruciating body aches, body chills, excruciating headache. Tested positive for covid days after receiving vaccine.

Other Meds:

Current Illness:

ID: 0956971
Sex: F
Age: 41
State: KY

Vax Date: 01/13/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: ECG - normal CT scan of head - normal

Allergies: Lisinopril Latex Penicillin

Symptoms: On the afternoon of 01/19/2021 this patient called Health Department to report that she started experiencing "drawing and tightening of the lips" about 9:30pm on 01/18/2021. Pt stated fear of having a stroke and presented to Emergency Department soon after. Patient stated was informed by the ED physician that patient possibly had Bell's Palsy related to the COVID-19 vaccine received (01/13/2021). Pt described that symptoms had "mostly" resolved by time she left the ED after midnight and that was completely resolved when awakened from normal sleep at 7:00am today. This RN obtained patient's visit note from the 01/18/2021 event. Summary as follows: Pt presented to Emergency Department with complaint of perioral paresthesia and earlier in the evening that sides of mouth "drew up." Pt feared stroke and presented to ED. Mild paresthesia persisted. Neurological exam was negative. No unilateral deficits. Speech intact. NIH Stroke scale was 0. MD's note states patient was advised that the symptoms could be associated with hyperventilation syndrome or could be early manifestation of Bell's palsy with the recent vaccine administration (five days earlier). Pt was discharged from the ED without finding anything to indicate need for further work up or admission or the presence of an unstable medical condition. Pt was reminded to take BP med as prescribed due to patient stating had not yet taken evening med dose.

Other Meds: Blood pressure medication

Current Illness:

ID: 0956972
Sex: F
Age: 46
State: LA

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

Lab Data:

Allergies: Sulfur, diflucan,gentamicin,amoxicillin

Symptoms: Tingling different parts of body...very mild

Other Meds: Vitamin c,d...the night before

Current Illness:

ID: 0956973
Sex: F
Age: 45
State: IN

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

Lab Data: I went to my PCP. It is big enough to see and she palpated it. She said it is an inflamed lymph node from the vaccine.

Allergies: penicillin

Symptoms: Left arm was sore all day Sunday and Monday. Monday night I noticed a lump in my armpit. It is painful and still there.

Other Meds: Lexapro Zyrtec Metformin Buspar Lisinopril

Current Illness: none

ID: 0956974
Sex: F
Age: 40
State:

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

Lab Data:

Allergies:

Symptoms: At 1150, patient c/o lightheadedness and heart racing.

Other Meds:

Current Illness:

ID: 0956975
Sex: F
Age: 67
State: TX

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

Lab Data: None

Allergies: Morphine, Prevnar 23. Significant rash/hives with morphine. Rash on upper body with Prevnar 23

Symptoms: Modern a COVID-19 Vaccine EUA: Approximately 3 hours after vaccine administered my right arm started to become sore minimally. As evening came arm very sore and hurt to move. Evening of first day of shot some fatigue. NO FEVER. Day 2: afternoon noticed rash on parts of torso and neck. No itching. Approximately 4:00 took one Benadryl for rash. Day 3 Monday January 18 rash mostly gone with small area on neck and a small patch on left side of face. Took one Benadryl at bedtime. Day 4: Tuesday January 19 rash completely gone. 24 hours after shot administered arm only slight soreness but mostly gone. Noticed some heart palpitations off and on which are part of my medical makeup

Other Meds: Daily vitamin, iron, calcium, D3, omeprozole 40mg

Current Illness: No illness

ID: 0956976
Sex: F
Age: 38
State: MI

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

Lab Data:

Allergies: Penicillin, erythromycin

Symptoms: Arm pain at site of shot, nausea, diarrhea

Other Meds: Topamax, vitamin D, Vitamin C, multi vitamin, Apri birth control

Current Illness:

ID: 0956977
Sex: F
Age: 50
State: MT

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

Lab Data:

Allergies:

Symptoms: 1:38pm-Began feeling flushed; hot-forehead; feeling weak and wanted to lay down. (patient put on gurney) 1:41pm-BP 166/91-P-86-SpO2-98%; starting to get little nauseated; flutter in chest 1:45pm-BP-159/85-P-91-SpO2-98%; jittery, left neck feels warm and into ear 1:48pm-Left chest discomfort 1:50pm- dizziness; lips feel puffy, cheeks flushed and sharp stabbing chest pain 1:52 pm-arrived in ER; Epi pen given and a total of 50 mg of Benadryl; monitored in the ER and discharged home with instructions.

Other Meds:

Current Illness:

ID: 0956979
Sex: F
Age: 15
State: AZ

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

Lab Data: No Medical tests or laboratory results were reported related to the adverse event.

Allergies: No allergies were reported

Symptoms: On January 12, at an unknown time, a family went to receive COVID-19 vaccines. They were told that everyone in the car could get vaccinated. The Pfizer BioNTech Covid-19 vaccine is not authorized for use in those who are less than 16 years of age.

Other Meds: unknown

Current Illness: Hashimoto's thyroiditis

ID: 0956980
Sex: M
Age: 36
State: GA

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

Lab Data: N/A

Allergies: Naproxen.

Symptoms: Fatigue, chills, myalgia, headache x24 hours.

Other Meds: N/A

Current Illness: N/A

ID: 0956981
Sex: F
Age: 59
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Moderna COVID-19 Vaccine: Headache, chills, mild fever 99.9 F, and extreme sore arm and shoulder. Unable to grip items with hand. Arm was not usable for about 36 hours. Could not lift arm on my own and any movement of arm, even slight sent radiating pain throughout arm and shoulder. Arm felt dead like a nerve problem but was very painful.

Other Meds: Thyroid medication-Levothyroxine

Current Illness: Fever, headache and chills 7 days prior (01/09 and 01/10/2021), with negative COVID-19 test (nasal sample 01/11/2021).

ID: 0956982
Sex: F
Age: 48
State: TX

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

Lab Data: BP 114/82 P 68 T98.6 R 18 O2 99% Gave snack and water MD notified and check in on, patient symptoms resolved

Allergies: Penicillin, Naproxen

Symptoms: Dizziness and tired feeling; patient reported being nervous

Other Meds: Dexilant, ibuprofen, albuterol, Vit D12

Current Illness: Pancreas Cyst, Gerd Reflux,

ID: 0956983
Sex: F
Age: 51
State: IL

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

Lab Data: none

Allergies:

Symptoms: Patient expressed burning sensation in throat / tingling on tip of tongue shortly after vaccine. Was evaluated by MD, taken for observation. Dispo was to home.

Other Meds:

Current Illness:

ID: 0956984
Sex: M
Age: 54
State: CA

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

Lab Data:

Allergies:

Symptoms: PER EMPLOYEE STATED FEELING HEADACHE AND DIZZINESS ABOUT 2HOURS AFTER RECEIVING VACCINE. SOME JOINT PAIN THROUGHOUT THE DAY.

Other Meds:

Current Illness:

ID: 0956985
Sex: F
Age: 61
State: IL

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

Lab Data:

Allergies:

Symptoms: Patient's right side of neck starting swelling after 10-15 minutes of vaccination. Patient received Benadryl and the swelling slowly went down. Patient stayed for another 20 minutes for watch and left.

Other Meds:

Current Illness:

ID: 0956986
Sex: F
Age: 28
State: MD

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

Lab Data:

Allergies: No history of allergies

Symptoms: Individual was vaccinated on 1/18 at 3pm, at time of vaccination she had no adverse events. Upon waking in the morning she noticed lower lip swelling, denies itching, denies trouble breathing or other symptoms. No history of allergy, anaphylaxis. Pt spoke with her PMD who recommended benadryl and she noticed slight improvement.

Other Meds:

Current Illness:

ID: 0956987
Sex: F
Age: 68
State: GA

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

Lab Data:

Allergies: none reported

Symptoms: Patient was waiting for about ten minutes after receiving vaccine when daughter alerted pharmacist that patient was unresponsive. Patient was emitting a choking, sputtering noise. Her hands were clenched so hard that pharmacist had difficulty separating them. Her head was extended backward and clenched. Patient's eyes were unfocused and rolled back. Pharmacist observed patient for about 15-30 seconds before administering epinephrine 0.3mg IM. Patient became responsive and was allowed to drink enough water to wet her mouth. Patient then vomited. EMS showed up within 5 minutes of incident and declared patient appeared normal other than an elevated heart rate. Patient declined further care from EMS. Pharmacist called patient after an hour to verify she was still fine, which she was.

Other Meds: none

Current Illness: unknown

ID: 0956988
Sex: M
Age: 32
State: CA

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

Lab Data:

Allergies: Nickel

Symptoms: 7 days after injection, patient developed painful red lesions, erythema multiforme on both hands, palm and back and interproxinal. No lesions on feet or mouth.

Other Meds: None

Current Illness: None

ID: 0956989
Sex: F
Age: 30
State: OH

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

Lab Data:

Allergies: NKDA, hx of raw egg reaction (rash at 2 years old), environmental allergies

Symptoms: Within 5 mins of injection tingling between shoulder blades and face, came in waves. Within 20 mins of the injection throat tightness, dysphagia. 50mg Benadryl PO, 20mg Pepcid PO, 2 puffs of Albuterol. Throat tightness resolved within the following 30 mins. The next day body aches, itching of arms, and swelling in the left axilla (same side as injection). 48 hours after injection rash and itching on the upper back, chest, and both arms resolved with 50mg Benadryl.

Other Meds: Zoloft, Ali

Current Illness: N/A

ID: 0956990
Sex: M
Age: 61
State: WI

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

Lab Data: none

Allergies: none

Symptoms: Bad Charlie horses in both legs from the thighs to the hamstrings to the calf muscles to the tops of both feet . Started about 9:15 pm and lasted 35 minutes to get them walked out . Came on without any warning. I do get muscle cramps in my calf muscles but never from my thighs to my feet and the pain was a good 0 no pain and 10 the worst pain mine was a 15 I had all I could do to stay standing up and walking them off. Called a friend and she gave me some muscle relaxing pills. Not looking for 2nd dose in Feb 12th 2021

Other Meds: Lisinopril, Metoprolo 2 81 mg low dose asprin

Current Illness: none

ID: 0956992
Sex: M
Age: 47
State: MS

Vax Date: 01/04/2021
Onset Date: 01/07/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none performed, started on valtrex and gabapentin medication

Allergies: almonds, onions, wheat

Symptoms: Soreness in shoulder and then progressed to cervical region. Started having "hypersensitivity" in shoulder, cervical, head, and into left arm. The hypersensitivity progessed and got worse, on 1/13 blisters started developing on left upper shoulder region and progressed to cervical region to occiput region and into left shoulder. Went to clinic and have shingles. 1/19 the hypersensitivity in left arm has decreased but injection site has started to be "sore" again. Still having shingle type symptoms in left shoulder/cervical region.

Other Meds: Vitamin D3, Zinc, Vitamin C,

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm