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: 0957108
Sex: F
Age: 83
State: MA

Vax Date: 10/09/2020
Onset Date: 10/10/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Carafate, Lovastatin, Zoloft, Codeine

Symptoms: Patient received high dose flu vaccine 10/9/2020. No problem day of vaccination. The next two days (10/10 and 10/11/2020) "the pain was so awful I could not lift my arm." Continues to feel light throbbing pain at site of injection. At night she has to hang arm down on side of bed and it helps. Once in a while can feel throbbing down the right arm into fingers. Patient first reported above on 1-19-2021

Other Meds: Aspirin, Calcium, topical CBD oil, chlorthalidone, Klor-con, Losartan, Magnesium, Multivitamin, Pravastatin, Stool softener, Vitamin D

Current Illness: None known

ID: 0957109
Sex: M
Age: 73
State: AZ

Vax Date: 02/24/2021
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: NONE

Symptoms: CORVOD19 VACCINE FEB 24, 2021 5:48 AM

Other Meds: LISINOPHIL HCTZ, ATENOLOL, HYGROXYZINE HCL, SIMVASTAIN, LEVOCETIRIZINE, EZETLMIBE, BYDUREON PEN, AZELASTINE HCL NASAL, VITIAM D3, BAYER BABYBASPIN 81MG, GLUCOSAMINE CHONDROLTIN, OMEGGA 3, NIACIN, VIAMIN C, MUTI-VITAMIN, CO-Q10

Current Illness: NONE

ID: 0957110
Sex: F
Age: 18
State: CA

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

Lab Data:

Allergies: NKDA

Symptoms: 2 minutes loss of sight after having COVID-19 injection. Patient has no history of allergic reactions in the past no history of loss of vision in the past. Patient states that she is somewhat clammy and may have low blood sugar. No fever chills sweats no nausea vomiting diarrhea. Symptoms have completely resolved.

Other Meds:

Current Illness:

ID: 0957111
Sex: F
Age: 82
State: IN

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

Lab Data: none, I contacted my primary physician on the Portal who asked me to make this report. I had a conversation with his nurse about using Tylenol and/or Benadryl and icing the area. I did not have an office visit.

Allergies: Sporanox

Symptoms: Eight days after the first injection, I noticed for the first time a reddish blotch near the site of the injection. The day after it had spread downward, the next day the redness seems to have diminished some, but it still covers the same area. The redness was warm to the touch, and hard, but not painful. The area felt like the size of the palm of my hand. I did not run a fever. I realize that redness is one of the side effects, but my concern is that it didn't occur immediately; rather, one week later.

Other Meds: Escitalopram, B12, B6, Move Free Advanced plus MSM, Citracal, Centrum Silver, Theratears, Travatan, Rhopressa, Timolol, Pilocarpine

Current Illness: none

ID: 0957112
Sex: F
Age: 52
State: NV

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

Lab Data:

Allergies: none

Symptoms: pt had horrible headache, felt horrible for at least 3 days

Other Meds: ibu 800, alpraz 0.25, pregab 150, estradiol 0.5, buprop xl 300, levo 25, omep 20, combivent, pravastat 10

Current Illness:

ID: 0957113
Sex: F
Age: 38
State: VA

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

Lab Data: None

Allergies: None

Symptoms: On day 2 there was soreness. The soreness returned on day 7, approx 2-3 inches around the injection site is hard to the touch, warm, and there is some redness. The soreness was first noticed when I woke up and had continued and gotten worse through the day.

Other Meds: None

Current Illness: None

ID: 0957114
Sex: F
Age: 41
State: PA

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Decided to get second vaccine 1/11/21 even though she was still getting hives from 1st dose. Developed swelling on inner canthus L eye. Saw Dr. 1/14/21 and famotidine was ordered. This reduced hives. In 1/16/21 developed swelling of R inner canthus. Took Benadryl and famotidine hs on 1/17/21. Took famotidine 1/18/21 before work, but developed hives under arms and tongue began to swell that evening. Took another dose of famotidine. Tongue improved within 40 minutes but L side of face began to swell. Took Benadryl 50mg. Facial swelling improved but did not go away. Called Dr. this am and was ordered a Medrol dose pack. If this is not effective then she will be referred to Dr., allergist.

Other Meds:

Current Illness:

ID: 0957115
Sex: M
Age: 81
State: FL

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: tired and fatigue, soreness in arm on first day, diarrhea,sore knee, magnified any type of pain he initially had:shoulder pain as well

Other Meds: Fiber Blend, Barley Life Extra

Current Illness: n/a

Date Died: 01/18/2021

ID: 0957116
Sex: M
Age: 75
State: HI

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

Lab Data: none

Allergies: Cipro caused nausea, Coreg caused bradycardia, Hydrocodone, calcium acetate

Symptoms: Sudden death without warning symptoms 4 days after vaccine. Many medical problems which most likely explain the outcome but spouse feels it is related and it is a new vaccine. Monitor for pattern?

Other Meds: Atovastatin, Ferrous sulfate, Finasteride, Flomax, Humulin N, Pantoprazole, ProAir, Reglan, Spiriva, Turmeric

Current Illness: Diabetes, Chronic renal failure on hemodialysis, Atrial fibrillation, Quadriplegia, Thrombocytopenia, Gastroparesis, Vitamin D deficiency, BPH, Neurogenic bladder, distant history of small intestine carcinoid tumor, right cerebral artery aneurysm, Barrett's esophagus, MGUS, Hypertension, obstructive sleep apnea, Pulmonary hypertension, Junctional tachycardia.

ID: 0957117
Sex: F
Age: 32
State: CA

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

Lab Data:

Allergies: Shellfish

Symptoms: Low grade fever started 1/18 around 1400: 100.4 F, accompanied by body aches, chills, fatigue and headache. Fever spiked 1/19 around 1445: 103.2

Other Meds: Vitamin D Prenatal vitamin Nexplanon implant

Current Illness: None

ID: 0957118
Sex: F
Age: 46
State: FL

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

Lab Data: No

Allergies: No

Symptoms: Headache, Left hand(vaccine) in severe pain

Other Meds: Tylenol taken after vaccination

Current Illness: No

ID: 0957119
Sex: F
Age: 61
State: WI

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

Lab Data:

Allergies:

Symptoms: Patient reported fever, aches, headache, bilateral foot pain, jaw and facial pain

Other Meds:

Current Illness:

ID: 0957120
Sex: F
Age: 90
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient vomited after the first vaccine dose - fruit juice was given and nausea resolved.

Other Meds:

Current Illness:

ID: 0957121
Sex: F
Age: 55
State: GA

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

Lab Data: None

Allergies: Penicillin

Symptoms: Patient complained of dizziness, felt "flushed". O2 sat was 99% no DIB, asked patient to lie down, no hives noted, face and neck became flushed. Blood pressure was 180/92, c/o facial "tingling" 50mg IM Benadryl given. Vital signs returned to normal after 8 minutes, PCP and family notified. All redness and "tingling" gone-released to family and instructed to f/u with PCP.

Other Meds: No medications

Current Illness: None

ID: 0957122
Sex: F
Age: 63
State: AZ

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

Lab Data: None

Allergies: Penicillin

Symptoms: Arm hurt so bad several hours after shot, I could not use it. Went to bed early not feeling well. Woke up the next day. Awful headache, muscles hurt so bad I could hardly get out of bed, shivers, stomach up set , couldn't eat, extremely tired. Lasted all day , all night and half the next day until I felt right.

Other Meds: Iron, magnesium, B 12, calcium, baby aspirin, B complex, multi vitaman, levothyroxine, D3

Current Illness: None

ID: 0957123
Sex: F
Age: 55
State: PA

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

Lab Data: cbc, cmp, troponin, cxr

Allergies: Amoxicillin, Augmentin, Bactrim, barium sulfate, bromocriptine, clindamycin, egg, hydrochlorothiazide, Latex, Levaquin, lisinopril, milk, Norvasc, Sulfa (Sulfonamide Antibiotics)

Symptoms: chest pain. resolved after arrival to the ER.

Other Meds: BuSpar Spiriva with HandiHaler Symbicort Hydralazide atorvastatin albuterol sulfate omeprazole naproxen PROzac triamcinolone acetonide prednisone hydrOXYzine HCl Pepcid AC

Current Illness: eczema hypertension GERD COPD

ID: 0957124
Sex: F
Age: 39
State: CA

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

Lab Data: none

Allergies: none

Symptoms: Fever and body aches starting approximately 11 hours after injection, lasting about 48 hours.

Other Meds: Venlafaxine, generic for Effexor

Current Illness: I had COVID 19. First symptoms started December 7th, tested positive on December 12. Last fever was recorded December 22, but chest tightness and fatigue didn't end for another 2 weeks. I also had strange mouth soreness from Jan. 4-9, which I realize may have been COVID 19 related.

ID: 0957125
Sex: F
Age: 58
State: LA

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

Lab Data: CBC, metabolic panel, CT abd, RUQ ultrasound

Allergies: Sulfa

Symptoms: Fever 101.5, chills, headache, muscle aches and diarrhea-1/13/21. Fever 100.7 headache, muscle aches 1/14/21. Abd pain 1/16, 1/17 ER admission- abdominal pain 1/18. Discharge home. Rash and abd pain 1/19

Other Meds: Furosemide 20mg twice weekly

Current Illness: None

ID: 0957126
Sex: F
Age: 48
State: NY

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

Lab Data:

Allergies: Penicillin

Symptoms: Fatigue for 24 hours, soreness in left arm

Other Meds:

Current Illness:

ID: 0957127
Sex: F
Age: 28
State: WI

Vax Date: 01/05/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: ten days after receiving her Covid vaccine Pt noticed a bumpy rash on her hands and fingers and toes which are itchy and sore. She saw her Dr. She said if it didn't improve she should see a dermatologist.

Other Meds:

Current Illness:

ID: 0957128
Sex: F
Age: 57
State: CT

Vax Date: 12/26/2020
Onset Date: 01/03/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: no

Allergies: Augmentin, Reglan, Compazine

Symptoms: Little itching when sleeping. Woke up to 9 cm round area of redness, warm to the touch, firm and swollen. It lasted 2 1/2 days then she was fine.

Other Meds:

Current Illness: no

ID: 0957129
Sex: F
Age: 52
State: NY

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

Lab Data: no

Allergies: no

Symptoms: Arm is very red and swollen down to the elbow for four days. Very itchy and hot to the touch.

Other Meds: Tylenol

Current Illness: COVID 19 body aches, joint pain, left armpit swollen

ID: 0957130
Sex: M
Age: 41
State:

Vax Date: 01/11/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: NKDA

Symptoms: Right sided body rash consistent with varicella zoster

Other Meds: Meloxicam Cyclobenzaprine Ketoconozole

Current Illness: None

ID: 0957131
Sex: M
Age: 1
State: KS

Vax Date: 01/06/2021
Onset Date: 01/11/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: NKDA

Symptoms: Redness around injection site Start 1/11/2021 - current (1/19/2021)

Other Meds: no medications

Current Illness: none

ID: 0957132
Sex: F
Age: 47
State: CA

Vax Date: 12/30/2020
Onset Date: 01/05/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: RASH ON LEFT ARM WITH A SMALL HARD NODULE FEELING FOR 3 DAYS

Other Meds: doterra vitamins vitamin D 50,000

Current Illness: N/A

ID: 0957133
Sex: F
Age: 46
State: TX

Vax Date: 12/30/2020
Onset Date: 01/05/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: Had a biopsy done came out to be inflammatory cells

Allergies: Sulfa

Symptoms: Lymph node on my right collar bone

Other Meds: Tirosint Trulicity

Current Illness: None

ID: 0957134
Sex: F
Age: 42
State: OH

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

Lab Data: N/A

Allergies: Neosporin, latex, Betadine

Symptoms: 3.5-4 hours after injection I experienced increased heart rate. My normal resting is around 100bpm. My BP was rather normal but my heart rate was up to 125bpm. I am uncertain when my heart rate regulated but do know I slept regularly that night. I also have severe anxiety so I was hesitant to report this issue due to being unable to distinguish between the two. Day after injection was sore arm, mild fatigue and headache for most of the day

Other Meds: Norvasc 5mg, Lipitor 10mg, Wellbutrin 300mg, Zofran 8mg, OTC: Pepcid AC, Vitamin C 1500mg , Vitamin D3 125mcg, Vitamin K2 100mcg, Quercetin

Current Illness: none

ID: 0957135
Sex: F
Age: 39
State: NC

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

Lab Data: Tested for Covid and influenza both negative

Allergies: Latex, kiwi

Symptoms: Fevers as high as 103 Body aches chills Metallic taste in mouth Nausea vomiting Lasted 3 days

Other Meds: N/A

Current Illness: N/A

ID: 0957136
Sex: F
Age: 59
State: NJ

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: XRAY OF BACK, RIBS

Allergies: sulfa

Symptoms: LEFT ARM SORE FOR 3 DAYS THEN NUMBNESS, SENSITIVITY, PAIN ON RIGHT SIDE OF ABDOMEN STARTED 3 DAYS AFTER INJECTION-RASH STARTED 7 DAYS LATER 1/18/2021. ON 1/19/2021 ORTHOPEDIC DR RULED OUT BACK PROBLEM-COULD BE MUSCLE STRAIN BUT RULE OUT SHINGLES BECAUSE OF THE RASH. URGENT CARE DR DIAGNOSED SHINGLES AND PRESCRIBED VALACYCLOVIR 1 GRAM 3XDAY FOR 7 DAYS

Other Meds: Lthyroxine, lansoprazole, vit B12, glucosamine/chondrotin, miralax

Current Illness:

ID: 0957137
Sex: F
Age: 89
State: NJ

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

Lab Data:

Allergies:

Symptoms: Emesis, LBM, Grand Mal seizure activity

Other Meds:

Current Illness:

ID: 0957138
Sex: F
Age: 65
State: OR

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

Lab Data:

Allergies: Lisinopril, Penicillin, Codeine

Symptoms: Patient developed chills and nausea about 30 minutes after injection. She later had vomiting, muscle aches and joint pain. Denies site reactions. She slept for 38 hours and has some fatigue today on day 5. She also experienced a blister on her face.

Other Meds: Hydrochlorothiazide, Amlodipine Besylate

Current Illness:

ID: 0957139
Sex: F
Age: 73
State: CA

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

Lab Data:

Allergies: epinephrine allergy, don't like the heart palpitations after using at dentist office once.

Symptoms: I had my first Covid vaccination on Saturday, January 16th. After waiting the obligatory 15 minutes and feeling no side effects, we left to drive back. It was then (about 25 minutes after the shot was received) that I started to feel tingling in my upper gum/lip area. It felt as if I often fo after dentist visit where I'd had Novocain. It lasted about 4 hours and that was the sum of my reactions. The vaccination was Moderna Lot 041L20A which has been temporarily suspended.

Other Meds: calcium and D3 vitamins

Current Illness: Tetanus and second Shringrix vaccinations taken on December 18th, 1920 where I had a slight fever 97.7 about 30 hours after receiving vaccinations. Fever lasted several hours, that was all.

ID: 0957140
Sex: M
Age: 86
State: NJ

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

Lab Data:

Allergies:

Symptoms: Patient was found unresponsive. Code blue was called. Patient was taken to hospital for evaluation. Was evaluated at hospital. Labs and vital signs were normal and returned to facility prior to clinic ending.

Other Meds:

Current Illness:

ID: 0957141
Sex: F
Age: 45
State: MA

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

Lab Data: none

Allergies: Penicillin Oxycodone Seasonal Allergies

Symptoms: First COVID Vaccine administered on 12/23/20-No side effects. 2nd COVID Vaccine administered on 1/18/21-Injection was administered approximately 9:30am. No initial side effect.s By the evening of 1/18/21 started to develop arm soreness at injection site and body aches. By the morning of 1/18/21 body aches worsened and then developed under eye swelling. No redness, just swelling and soreness. 5-6 months ago I was treated with Juvederm Volbella Filler for tear troughs under the eyes. I have read that there have been reported cases of post vaccine swelling in people treated with fillers. My filler treatment for the past 5 months has been perfect. Now 12-16 hours post 2nd COVID vaccine, I developed under eye swelling. I took Benadryl, Claritin and now starting a Medrol Dose pack.

Other Meds: Levothyroxine Claritin Sertraline Flonase

Current Illness:

ID: 0957142
Sex: M
Age: 31
State: TX

Vax Date: 12/03/2020
Onset Date: 12/04/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data: n/a.

Allergies: PCN allergy

Symptoms: The day after the vaccine, patient felt tingling and numbness sensation on left index and pinky finger. This lasted for 2 weeks, then slower went away. Patient does have a prior injury with continuous numbness of pinky.

Other Meds: zinc, vitamin c

Current Illness: none, however complains of numbness of pinky from prior injury

ID: 0957143
Sex: F
Age: 19
State: NC

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

Lab Data: N/A

Allergies: None

Symptoms: For two days after injection, I simply had regular, dull, pain in my arm from the injection. This got better and I had no other symptoms. One week from the date of my vaccine, I woke up with a swollen and red arm below the injection site. It was itchy and painful. This has persisted for two days and I saw a physician for it. We are currently monitoring the site for possible cellulitis.

Other Meds: Sertraline

Current Illness: None

ID: 0957144
Sex: F
Age: 49
State:

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

Lab Data:

Allergies:

Symptoms: Patient administered vaccine from the freezer without appropriate thaw time. Patient has not reported any adverse reactions to the administration of the vaccine.

Other Meds:

Current Illness:

ID: 0957145
Sex: F
Age: 51
State: PA

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

Lab Data: none

Allergies: hydrocodone

Symptoms: Patient reports grapefruit sized red bump, sore and warm to the touch, at injection site. Patient contacted office by phone and doctor advised to take Benadryl and ibuprofen and use cool compress at the injection site. Patient reports bump went down slowly but did resolve. Patient currently only has an itch at injection site remaining. Patient states concern and hesitation about getting the second Shingrix vaccination.

Other Meds: levothyroxine, breo, albuterol, clonazepam

Current Illness: non

ID: 0957146
Sex: F
Age: 0
State: CA

Vax Date: 03/06/1944
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: Unknown

Symptoms: Pt ambulated w/ assistance into observation area, upon sitting down in observation, Pt appeared faint, almost losing consciousness, Pt never lost consciousness, Dr. called, Dr. and more staff arrived, Pt was assisted to the floor, O2 began @ 8L, then lowered to 4 L, vitals taken BP 145/80, HR 76, O2 98%, O2 sat flucuated btw 84%-98%, AXOX4, EMS arrived within minutes and took over, Pt observed by EMS for 30mins. stable and released to go home per Pt request.

Other Meds: Unknown

Current Illness: Unknown

ID: 0957147
Sex: M
Age: 56
State: NY

Vax Date: 12/29/2020
Onset Date: 01/02/2021
Rec V Date: 01/19/2021
Hospital: Y

Lab Data: 3 abdominal and chest CAT scans multiple blood tests and ultrasound

Allergies: none

Symptoms: Excruciating abdominal pain, left arm pain, chest pain. Gangrenous appendicitis requiring emergency surgery and followed by admission for complicated acute abdomen.

Other Meds: none

Current Illness: none

ID: 0957148
Sex: F
Age: 35
State: OR

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

Lab Data: NA

Allergies: Unknown

Symptoms: Pt noted tongue and throat swelling approximately 10 minutes after shot. VS assessed, hypertension, tachycardia notes. Symptoms of swelling improved, then urticaria noted. IM Benadryl given. VS noted above Pt. improved and was sent home and partner. Education provided on when to seek further medical attention.

Other Meds: Unknown

Current Illness: No

ID: 0957149
Sex: F
Age: 32
State: VT

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

Lab Data:

Allergies: N/a

Symptoms: Very sore right shoulder, immediately began to feel sore in my lymph node under the armpit. Later, soreness in full right arm, upper back and neck. Fever over night, chills, body soreness all next day, brain fog, nausea

Other Meds: Birth control

Current Illness: N/a

ID: 0957150
Sex: F
Age: 37
State: IL

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

Lab Data: n/a

Allergies:

Symptoms: 1 st dose- 5 hours after given experienced - cold to lower extremities , and hands. Followed by night sweats during the night. Following day some discomfort at injection site, and muscle pain to left side of body, mostly in gluteus . Fatigue lasts 2 day after injection. 2nd dose- at time of injection sensation of warmth in right arm with pain to site. 6-7 hours later joint pain in hands, injection arm elbow, and right knee, some dizziness. During night increased pain in injection site, continued joint pain, new symptoms muscle pain in gluteus and lower calf's all left side. Around 4 am woke up with extreme headache, nausea, and joint/body stiffness. Symptoms subsided through the day, by evening around 7 pm only some joint pain, and injection site discomfort. Fatigue remains.

Other Meds:

Current Illness:

ID: 0957151
Sex: F
Age: 36
State: NJ

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

Lab Data:

Allergies:

Symptoms: Patient was tachycardic with HR>120, dizzy, lightheaded, and numbness on right arm (vaccine administered in left arm) EpiPen was administered and symptoms resolved.

Other Meds:

Current Illness:

ID: 0957152
Sex: F
Age: 64
State: OR

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

Lab Data: ER received her and sent her back home with no side effects and no other adverse effects. Resident returned within the hour.

Allergies: Vicodin. Codeine

Symptoms: ER/URGENT CARE VISIT: Opening Alert charting for RETURN FROM ER (DX SEIZURE HISTORY OF). resident was sent out to the ER @ 11:54 AM after having trouble breathing following her COVID vaccination. RN administered EPIPEN, emergency services was called and resident was sent out VIA ambulance

Other Meds: CETAMINOPHEN PM 25-500MG TAB ADVAIR DISKUS 250-50MCG INHAL 250-50MCG AEPB INHALE 1 PUFF BY MOUTH 2 TIMES DAILY IN THE MORNING AND EVENING 12 HOURS APART **BRAND NAME PER INSURANCE* [Equiv To: SALMETEROL/FLUTICASONE] Schedule: DAILY AT

Current Illness: None

ID: 0957153
Sex: F
Age: 56
State: VA

Vax Date: 01/07/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: N/A

Allergies: Amitriptyline, Ciprofloxacin, Codeine, Erythromycin, Penicillin, Reglan, Sulfa Almonds

Symptoms: Starting the day after the injection and the day after, my right arm was sore. Very much like when I get a flu shot. Then I felt nothing until 9 days after the Moderna injection when I noticed my arm was itching where the injection was given. Then I noticed it was slightly swollen, a little sore, and there is a redness on my arm about 3 3/4 x 4 3/4 inches. Doesn't itch as much now but the redness and slight swelling have been there about 4 days now. I don't have a fever or pain. I feel fine except for the localized symptoms I listed. Is this normal? Can I still take the second part of the vaccine?

Other Meds: Nasacort Nasal spray Vitamins: B12, Biotin, C, D3, Folic Acid, Magnesium ,Niacin, and Citracal Culturelle Probiotic

Current Illness: N/A

ID: 0957154
Sex: F
Age: 64
State: ME

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: MRI, neuro follow up

Allergies: 0

Symptoms: dizziness to the point that she is not able to ambulate.

Other Meds: ASA

Current Illness: 0

ID: 0957155
Sex: M
Age: 35
State:

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

Lab Data:

Allergies:

Symptoms: Patient administered vaccine from the freezer without appropriate thaw time. Patient has not reported any adverse reactions to the administration of the vaccine.

Other Meds:

Current Illness:

ID: 0957156
Sex: F
Age: 54
State: HI

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

Lab Data: none

Allergies: none

Symptoms: temperature 100.0, no treatment needed.

Other Meds: metformin, levemir, metoprolol, losartan, eliquis

Current Illness: cellulitis right foot

ID: 0957157
Sex: F
Age: 29
State:

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

Lab Data:

Allergies:

Symptoms: Headache every evening, sleepiness Taking ibuprofen for headaches

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm