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: 0920757
Sex: F
Age: 42
State:

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: infection in L nostril and pain radiating to L eye, impacting vision

Other Meds:

Current Illness:

ID: 0920758
Sex: U
Age: 45
State: CA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Delayed response between 12 - 24 hours after vaccination. Headache, muscle aches, extreme fatigue, shivering alternating with feeling feverish. Already had COVID (estimated to be between 2 to 3 months ago).

Other Meds: unknown

Current Illness: unknonwn

ID: 0920759
Sex: F
Age: 49
State: MO

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: My arm is swollen, red and is very hot to the touch. It is also very hard and the size of a softball

Other Meds: Lantus ,Ozempic, Metformin, Lisinoprl, Humalog,

Current Illness: N/A

ID: 0920760
Sex: F
Age: 40
State: TN

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Low grade fever of 99.9 being the highest; Fatigue; Muscle Soreness at injection site

Other Meds: Lisinopril 20mg daily Prozac 20mg daily One a day gummy vitamins 2 daily

Current Illness:

ID: 0920761
Sex: F
Age: 57
State: IL

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: none

Allergies: Lots of allergies: Latex, all sea food, cats, dogs, feathers, dust mites, seasonal and other stuff, corn starch, Kathon CG-methylchoroisothiazolinone, methylisothiazolinone, preservatives in skin care products, shampoos, I was to beware of hand cleanser at hospital, Formaldehyde. avoid any morgue exposure and biopsy specimen bottles.

Symptoms: I had most of the side effects listed, but the one that is still bothering me til this day is that my heart feels like its racing, beating fast and sometimes feels likes its pounding, very uncomfortable.

Other Meds: Allegra 180mg, daily, daily vitamins, nasonex, symbicort inhaler, ventolin inhaler, as needed, also netipot as needed. I take these medications daily,but I didn't take just yet at date of vaccination because I came out from work and had va

Current Illness: none

ID: 0920762
Sex: M
Age: 51
State: AZ

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: non

Allergies: Hydrocodone

Symptoms: Area of redness around injection site since onset

Other Meds: Vitamin C, Zinc, Magnesium,CoQ10, aspirin

Current Illness: none

ID: 0920763
Sex: F
Age:
State: ND

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

Lab Data:

Allergies: Sulfa

Symptoms: None stated.

Other Meds: vitamin D3, Clonidine, Losartan, Tamoxifen, Propranolol, Meloxicam, Calcium\Vitamin D, Simvastatin, folic acid, Aspirin

Current Illness:

ID: 0920764
Sex: F
Age: 38
State: VI

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: None

Allergies: Keflex

Symptoms: Itchy scalp, forearms, upper back; went to ER and received Benadryl and Solumedrol, then got "ball in throat" and neck redness - received Epinephrine; all cleared in 2 hours

Other Meds: xyngular dietary supplement

Current Illness: None

ID: 0920765
Sex: F
Age: 35
State: NC

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: n/a

Allergies: MSG, Omnicef, adhesive

Symptoms: Abnormal taste in the back of my mouth. Has been going on since vaccination sometimes more pronounced then others. Almost like a constant bitterness taste .

Other Meds: Zinc, Vit C, Vit D,

Current Illness: none

ID: 0920766
Sex: F
Age: 35
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: Patient monitored for 30+ minutes and blood pressure taken. Patient states she is okay to leave.

Allergies: NKDA

Symptoms: Light headed and reports a feeling of motion sickness describes it as a wave that starts from abdomen up to chest area. Later in the day patient reports a feeling of being lost/confused, tiredness and still has motion disturbance.

Other Meds: unknown

Current Illness: unknown

ID: 0920767
Sex: M
Age: 27
State: NY

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: I would like to start out by saying that I am well aware that this vaccine is known to cause side effects and that the benefits of the vaccine far outweigh any side effects induced by it. The reason I am writing this is to provide information that you all can keep in mind as you provide guidance on your recommendations for the timing of when the vaccine should be administered to those who have already tested positive for COVID. I tested positive for COVID-19 11 days prior to getting vaccinated. My symptoms from the virus began on 12/21/20, lasted until 12/26/20 and included: mild headache, fever of 100.3, moderate muscle fatigue, lymphadenopathy, and sinus congestion. I received the Pfizer vaccine on 1/3/21 at 11am and by 2am on 1/4/21 I was experiencing a temperature of 102.5, severe headache, severe muscle fatigue, and painful right axillary lymphadenopathy. Although they had almost completely resolved by 11am on 1/4/20, I would describe these side effects to the vaccine as significantly worse than the symptoms of the virus itself. As someone who has a stronger medical background than the general public (I am a 4th year dental student in a patient-facing role and was encouraged by my school to receive the vaccine despite already testing positive), I understood the likelihood of developing side effects to the vaccine and I am still planning on receiving my second dose in three weeks despite already showing clear signs of a strong immune response to the proteins created by the vaccine. The reason why I am writing this is because there was no guidance on recommending that I wait longer than 10 days between testing positive and receiving the vaccine and I am worried that if the general public is allowed to receive the vaccine at this same time interval, there will be a significant number of people who will have similar side effects (worse than those induced by the virus itself) and they will not only refuse a second dose, but could also vocally discourage many people from trusting the vaccine?s safety and benefit. I obviously don?t know what minimum timeframe should be recommended, but from my individual experience, 11 days was not sufficient. I will be happy to follow up if you would like to know how the symptoms fare after my second dose.

Other Meds: None

Current Illness: Positive COVID PCR rapid test

ID: 0920768
Sex: M
Age: 70
State: TX

Vax Date: 01/03/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Day one - Mild headache, sore arm at injection site, chills Day two (today) - Sore arm remains, new mild joint pain in both knees, headache gone and chills gone.

Other Meds: Metatoprolol, plavix, topamax, baby asprin, linsinopril

Current Illness: N/A

ID: 0920769
Sex: M
Age: 72
State: NY

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

Lab Data: CBC dif, Chem Profile normal except glucose 159 . MRI no stroke. COVID-19 PCR negative . EKG Normal

Allergies: none

Symptoms: ( I am a physician )First 24-36 hours noted minimal site discomfort. On 1/1/21 @ 6 PM with dinner noted some difficulty chewing food and minor sensation on right lower lip. As evening progressed it was noticeable a small right facial droop and distorted smile. By 1/2/21 5 AM, facial droop was more noticeable as well as distorted smile. So I decided to to ED to be checked out.ED MD was contemplating between unusual presentation of Bell's Palsy, small stroke or COVID 19 presentation. Vitals except for slightly elevated BP (145/85) were NLas well as lab ( see below). PEx: tender area posterior to R Jaw. So left with Right madibular trigeminal inflammation ( limited Bell's Palsy) and consideration for steroids. I opted NO steroids since I wanted to COVID vaccine response. Since it was a holiday weekend, I finally got to talk to my PCP on 1/4/21 ( Dr, from Internal Medicine at Hospital) who agree with me n no steroids. Also no vaccine until we see course and newer recommendations over next few weeks from CDC. I am being monitored with CDC text messaging but have not received a call from them yet. since 1/1/2021 there has been improvement in that there tenderness behind the right jaw is gone. There are no new symptoms but he weakness of right lower lip and eating issues persists. When a move water around in my mouth with closed lips , it tends to leak on right side. I am hoping for full recovery but time will tell. Summary of ED physician assessment from 1/2/21 Medical Decision Making Patient seen by me on: 1/2/2021 Assessment: 72 year old male presenting with right sided facial weakness. No paralysis on exam but mildly notably weaker on R side. Otherwise, neurologically intact on exam. Differential diagnosis: Bell's Palsy, Incomplete Bell's Palsy, CNS lesion, vaccine adverse effect, lymphadenopathy Considered CVA, not a TPA candidate based on timing and minor deficits. May need to obtain MRI to evaluate. Plan: EKG, basic labs Discussed with patient, who is a physician, given risk factors and not classic Bell's Palsy, will proceed with MRI brain. ED Course and Disposition: MRI unremarkable. I feel this adequately rules out stroke and CNS lesion as a cause of facial weakness. CBC, CMP unremarkable. Patient's exam remains stable. We discussed risks/benefits of steroids. Concerns being his diabetes as well as blunting immune response to vaccine. He has mild facial asymmetry but not complete and will hold off on steroids unless worsening symptoms. COVID testing sent as discussed with patient. He will return to ED or see PCP if symptoms worsen. Dx- Bell's Palsy 01/02/21 1231

Other Meds: atorvastatin 40 MG tablet/d;lisinopril 20 MG tablet/d; other medications at the time :metFORMIN 850 MG tablet BID, levothyroxine 50 MCG tablet /d; liraglutide 18 MG/3ML injection pen 1.8 mgs nightly; co-enzyme Q-10 100 MG capsule/d; aspirin

Current Illness: no acute illness

ID: 0920770
Sex: F
Age: 55
State: FL

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

Lab Data: NONE

Allergies: bee stings

Symptoms: 2O MINUTES FOLLOWING INJECTION PATIENT SWELLING OF TONGUE AND THROAT, TASTE CHANGE, DIZZINESS AND RAPID HEART RATE. IMMEDIATELY TOOK BENADRYL TOOK 2 HOURS TO DECREASE SYMPTOMS.

Other Meds: none

Current Illness: none

ID: 0920771
Sex: F
Age: 94
State: IL

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital: Y

Lab Data:

Allergies: NKA

Symptoms: Tachycardia, resident was sent out to the hospital for evaluation on 12/30/2020 and came back to the facility on 12/31/2020.

Other Meds:

Current Illness:

ID: 0920772
Sex: F
Age: 26
State: NJ

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: COVID-19 PCR will be completed on 1/5/2021 at 2pm at Medical Center.

Allergies: Hazelnut (hives), Azithromycin (anaphylaxis), Propylene glycol (angioedema)

Symptoms: I received my first dose of the COVID-19 Moderna vaccine on 12/29 at 12:40p at Medical Center in my left deltoid. I am a registered nurse at the facility. Starting on 12/30 when I woke up, I had a mild headache. The headache is lingering and intermittent. Starting 1/3, I have a swollen and sore lymph node in my left armpit (the same side I received the vaccine). My employer is sending me for a COVID-19 PCR today to rule out any active infection. Tylenol has been taken as needed for the headache.

Other Meds: Zyrtec daily as needed

Current Illness: None

ID: 0920773
Sex: M
Age: 51
State: OH

Vax Date: 12/30/2020
Onset Date: 01/03/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 1-3-2021 10:30 PM Itchy legs rash on legs and arms took hot shower went to bed went away by morning. 1-4-2021 12:00 PM started to have itchty hands itchy back itchy legs itchy elbows rash around eyes got home at 5:00 PM had rash on legs, back, arms, eyes, took Benadryl 25 mg took shower the itchy slightly eased and rash lightened up but didn't go away. went to bed. 1-5-2021 6:00 am woke up rash almost gone on back but had itchy ankles and wrists and the back of my arms. took Benadryl 25 mg before work got to work and had extremely itchy hands and slight rash in all the same spots. and itching has became less after 6 hours. 1-5-2021 12:23 pm filled out this form

Other Meds: Atenelol Atorvastatin Diazide Lisinopril 81 mg Aspirin Elederberry

Current Illness: none

ID: 0920774
Sex: F
Age: 56
State: MD

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: Latex

Symptoms: Patient was vaccinated on 12/28/20. On 12/29/20 she developed some reddish area around 2cm in diameter at the injection site with slight itching and discomfort. Besides this there were no other complains

Other Meds:

Current Illness:

ID: 0920775
Sex: F
Age: 36
State: MO

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: none

Allergies: NKA

Symptoms: Pt reports tingling and sweating to R side of the body (face, arm, and leg). Reports HA R side of body. As evening progressed, patient reports worsening HA and vomiting. Pt reports pain in R arm and swelling in armpit area. Reports s/s resolved the next day. Recommended f/u with PCP.

Other Meds: unknown

Current Illness: unknown

ID: 0920776
Sex: M
Age: 28
State: PA

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

Lab Data: none

Allergies: nkda

Symptoms: Pt. states that he received covid Pzifzer vaccine at 11:17 am on 01/05/2021 to left deltoid IM. Around six to seven minutes at 11:23 am post vaccination patient started having burning sensation at site, felt flushed, diaphoretic, light-headed, nauseated, and now he is experiencing tingling to bilateral feet. Pt. states that earlier post vaccination he was feeling anxious, but he is no longer feeling anxious. Pt. denies feeling this way post vaccination with other vaccines. Pt. states that he is still having bilateral feet tingling up to both calves right greater than left.

Other Meds: denies

Current Illness: denies

ID: 0920777
Sex: M
Age: 43
State: MT

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Chronic headache and stuff neck, sore shoulder

Other Meds: None

Current Illness: None

ID: 0920778
Sex: M
Age: 65
State: SD

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: Latex

Symptoms: Moderna COVID-19 Vaccine EUA Woke up at 1:30 AM to get drink of water, feeling somewhat lightheaded. Vomited and a few minutes later experienced diarrhea. Went back to sleep, woke up at 7:00 AM. Diarrhea again. Experienced slight headache and some lethargy. Can eat and drink but decided to fast for the day and just drink water. Went to work as usual. I believe I am recovered now.

Other Meds: Fish oil, turmeric, Magnesium Citrate, I-Caps (Lutein & Zeaxanthin), D3 5000 with K2, Glucosamine & Chondroitin, manganese 2 mg

Current Illness: None

ID: 0920779
Sex: F
Age: 26
State: CT

Vax Date: 12/27/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient has some tachycardia and dizziness on the day of vaccination. Developed rash at injection site 4 days later, which is itchy, tender, and inflamed.

Other Meds:

Current Illness:

ID: 0920780
Sex: F
Age: 39
State: NM

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

Lab Data:

Allergies: n/a

Symptoms: PT was verbalizing prior hesitancy to vaccine once received @ 10:58 - 3 minuets post injection PT C/O neck/ throat feeling tight, sis increased to C/O feeling like heart was racing, feeling diaphoretic and shaky. EMS called to car for assessment BP- 156/106 pulse - 110 follow pulse - 76 BP- 132/87. PT up and standing to help case symptoms PT had also C/O L side pain after dose administered, 11:30 patient states she starts to feel ok, then she no longer feels "normal" C/O heaviness in head/ neck.

Other Meds: n/a

Current Illness: n/a

ID: 0920781
Sex: F
Age: 42
State: OK

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: tramadol, biactin

Symptoms: I had fatigue and body aches for 4 days I woke up Sunday morning and I had a huge swollen lymph node the size of a golf ball at the base of the right side of my neck that lasted for 2 days, I was put on ogmentin for 5 days and it went away after that

Other Meds: sudafed otc, flonase, bupronsar 100mg, estrace 1mg, 30mg diltiusane, velcyclovere 500mg, rabplaze 20mg, triamtereme 37.5 mg hctz 25 mg I only take half of that in a day for high blood pressure and edema in my legs, proair inhalor, steroid

Current Illness: sinus congestion

ID: 0920782
Sex: F
Age: 44
State: OH

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

Lab Data: n/a

Allergies: phenergan

Symptoms: Within minutes of administration patient felt warm, hot, all throughout the body; the warmth spread to the face and face felt numb and tingling. Symptoms resolved after observation and administration of water and orange juice

Other Meds: lexapro

Current Illness: none

ID: 0920783
Sex: M
Age: 84
State: KS

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Nausea/Vomiting Weakness Low Grade Fever

Other Meds:

Current Illness:

ID: 0920784
Sex: F
Age: 44
State: IN

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/05/2021
Hospital: Y

Lab Data: 12/23/20 EKG, X-ray of lungs, Lab Blood work 1/1/2021 Basic Metabolic Panel, blood count with auto diff, ECG 12- Lead, MRI Brain WO contrast

Allergies: None

Symptoms: Anaphylactic Reaction, facial swelling, facial Redness, Face felt like it was burning, face flushing, throat swelling, heart palpitations, trouble swallowing , feet swelling, light headed, anxiety. Hospitalized from the 12/23/20 to 12/26/2020 . Medications now on Epinephrine, diphenhydramine, cetirizine, famotidine, prednisone, lorazepam, cephalexin. on 1/1/2021 was taken to E.R. by ambulance around 11:00 am left hand was tingle started to go numb traveled up my arm into left side of my face ,ear, tongue, and then down to the left side of my leg and into left foot, could not move left side of body for a good 7 to 8 mins then went away transferred to ambulance enroute to ER blood pressure was high and and started having right ear pain and right side frontal severe headache, arrived to ER and was given diphenhydramine ,ketorolac, metoclopramide HCI, lorazepam. MRI was ordered and Neurologist found two small lesions on right side of frontal brain, following up now with neurologist. added more meds naproxen

Other Meds: None

Current Illness: None

ID: 0920785
Sex: F
Age: 68
State: NY

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

Lab Data:

Allergies: None

Symptoms: Patient received COVID19 vaccine (Moderna) and felt flushed afterwards requiring an ED visit. In the ED she received diphenhydramine 50mg PO and prednisone 60mg PO x1 dose each. Patient symptoms improved and patient was discharged.

Other Meds:

Current Illness: None

ID: 0920786
Sex: M
Age: 60
State: AR

Vax Date: 12/31/2020
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: CBC, CMP 1/4/21

Allergies:

Symptoms: Shoulder/arm pain; change in LOC; Labs pending

Other Meds: Eliquis Tablet 5 MG (Apixaban) Give 1 tablet by mouth two times a day related to CEREBROVASCULAR DISEASE, UNSPECIFIED (I67.9) Phone Active 09/02/2020 09/02/2020 Multi-Vitamin/Minerals Tablet (Multiple VitaminsMinerals) Give 1 tablet by mout

Current Illness: N/A

ID: 0920787
Sex: F
Age: 51
State: OR

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: none

Allergies: PCN Biaxin Trans scoplamine patch Soy

Symptoms: 2 minutes after vaccine was administered, noticed swelling back of tongue, progressed to posterior 2/3 of tongue, tachycardia, elevated BP. Progressive angioedema involving larynx, cough, shortness of breath. No wheezing. Physical exam did do show any obvious swelling. O2 sat decreased to 80, 1st epinephrine IM administered, 50mg benadryl IV and Famotidine administered. some improvement in symptoms. In 30mins, reoccurrence of angioedema and second epinephrine vaccine administered. Monitored for 2 hours without reoccurrence of symptoms and discharged from ER.

Other Meds: Bupropion 300mg Vit D3 2000IU B complex Claritin Flonase nasal spray Levonobunolol eye drops

Current Illness: none

ID: 0920788
Sex: F
Age: 27
State: CA

Vax Date: 12/02/2020
Onset Date: 12/03/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: COVID-19 test-negative

Allergies: no

Symptoms: I remainder of the day I rested. The next day I rested all day as well and was fatigued, had a mild headache, muscle aches and felt the cold shivering feeling but had no fever.

Other Meds: Lamictal

Current Illness: no

ID: 0920789
Sex: F
Age: 42
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: No

Allergies: None

Symptoms: About 16 hours after receiving my second dose of the covid vaccine I began to have chills, muscle aches, headache and fever of 100.8.

Other Meds: Levthyroxine Turmeric

Current Illness: None

ID: 0920790
Sex: M
Age: 57
State: LA

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

Lab Data: Pt was given medications in ED for treatment of his itchiness on same day.

Allergies: no known allergies

Symptoms: Patient reports he had redness to bilateral cheeks, redness to bilateral arms, generalized itchiness and flush feeling about 10 minutes post vaccination. By the time he got to the ED around 11AM, he still has redness to bilateral cheeks and generalized itchiness, but no obvious urticaria and does not have the flush feeling any more. He denies pain, difficulty breathing, has no swelling of lips, tongue or soft palate.

Other Meds: unknown statin medication, vitamin D weekly

Current Illness: no recent illness

ID: 0920791
Sex: F
Age: 74
State: AL

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: none

Allergies: NKDA

Symptoms: Severe headache, pain behind eye, profuse sweating, nausea, lethargy, pain and redness at injection site, lasted 1/1/21-1/2/21

Other Meds: Tylenol #3, albuterol 0.083%. loratadine 10mg, omeprazole 20mg, Valtrex 500mg, zocor 40mg, Metoprolol tartrate 25mg, Montelukast 10mg, mybetriq 25mg, Breo 100-25, Folic Acid 1mg, Pazeo 0.7% eye drops, Methotrexate 2.5mg, Tizanidine 4mg, Pro

Current Illness: None

ID: 0920792
Sex: F
Age: 41
State: CO

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Localized rash (red, raised bumbs, slightly itchy) developed at injection site 1 week after vaccination. As a precaution, took 1 Benadryl (generic) tablet and applied topical hydrocortisone cream to the rash when noticed symptoms. Rash still apparent next day.

Other Meds: Spironolactone, 5mg Vit D, sublingual (Zinc, Vit C, Echinechea as needed)

Current Illness: N/A

ID: 0920793
Sex: F
Age: 28
State: OH

Vax Date: 12/23/2020
Onset Date: 01/02/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: Bactrim, estradiol, prednisone, imitrex

Symptoms: Redness, itching, swelling, red ring around injection site, 10 days after vaccination

Other Meds: Plaquenil, Zoloft, topamax, levothyroxine, mirena, aspirin

Current Illness:

ID: 0920794
Sex: M
Age: 36
State: WA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: EKG done and was normal

Allergies: None noted

Symptoms: Became very anxious. He felt his heart was racing. Prone to anxiety attacks

Other Meds: Famotidine

Current Illness: None reported

ID: 0920795
Sex: M
Age: 28
State: CO

Vax Date: 09/08/2020
Onset Date: 09/09/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: NA

Allergies: Cyclobenzaprine, Fentanyl, Gabapentin, Sulfa, Tramadol

Symptoms: Vaccine was possibly given too high on the shoulder, causing the vaccine to go into the shoulder joint. Patient experienced are stiffness and soreness following injection. Patient was referred to orthopedic specialists to determine if the vaccine was given in a location that could lead to a frozen shoulder. Patient is dealing with more serious medical issues at the moment, so has not followed up with orthopedics, but has not been concerned with ongoing shoulder issues to my knowledge.

Other Meds: Amphetamine-dextroamphetemine XR

Current Illness: Chronic lower back pain, fatty liver, ADD

ID: 0920796
Sex: M
Age: 46
State: CA

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient describes being very fatigued and a low grade headache, patient also said he was advised that his body temperature is lower than normal

Other Meds:

Current Illness:

ID: 0920797
Sex: M
Age: 48
State:

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: Bactrim

Symptoms: Body aches, low fever, headache.

Other Meds: Atenolol Wellbutrin

Current Illness: COVID-19

ID: 0920798
Sex: F
Age: 65
State: MN

Vax Date: 09/25/2020
Onset Date: 09/27/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: nkda

Symptoms: patient got a hard painful lump the size of a small marble about an inch or 2 below the injection site that lasted a couple weeks then slowly went away. no fever. no warmth. not spreading after it appeared.

Other Meds: none known

Current Illness: none known

ID: 0920799
Sex: F
Age: 52
State: NY

Vax Date: 11/28/2020
Onset Date: 01/03/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: penicillin/ampicillin

Symptoms: My first symptoms were expected-- sore arm and slightly tired feeling -- a few days later my shoulder itched where I got the shot. Then a week later, two things-- and one is PMS. Obviously not the shot but I mention this as it is possible that these side effects are related to the PMS. On Sunday 1/3/2021 I was experiencing breast tenderness PMS and that extended under my arms and by the end of that day my glands were swollen and hard in my right armpit. The next morning, they were still hard and swollen and the glands are still today. While I often have breast tenderness, I have never had swollen glands or painful underarms as part of this. Also yesterday 1/4 my right shoulder near where I received the vaccine was i was itchy and it continues to be and red and also hard there... I don't want to overplay any of these symptoms and they might well relate to PMS but I think in this instance particularly with the very painful swollen glands on the right underarm it's important to report them

Other Meds: multi vitamin, vitamin c, lysine, vitamin d, zinc

Current Illness: none

ID: 0920800
Sex: F
Age: 39
State: NC

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Day of vaccine itching and redness where bandaid was applied. One week after vaccine swelling and sadness and itching around site. Approximately 4" x 4" circular swelling noted. Tenderness and warmth around swelling. Benadryl and ibuprofen taken before bed and some swelling decreased, however the swelling and warmth slightly descended down arm. and area not as large but some redness still noted. Ice applied and not much help provided.

Other Meds: none

Current Illness: None

ID: 0920801
Sex: F
Age: 29
State: WA

Vax Date: 12/26/2020
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: N/a

Allergies: None

Symptoms: The morning of 1/4/20, redness and swelling at the injection was noted. A circular flat ?lump? at the site is present with mild intermittent itching. No treatment at this time.

Other Meds: None

Current Illness: None

ID: 0920802
Sex: M
Age: 42
State: CO

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: N/A

Allergies: NKDA, none to food

Symptoms: 3-5 hrs s/p vaccine- soreness at injection site. About 12h s/p vaccine administered (around 9p) began to experience chills, headache, fatigue. This persists/worsens accompanied by chills. Temp taken at 10p (99.1, my normal is 97.6) By 0150, temp up to 100.4 along with continuing alternating sweats/chills and persisting headache. 1000mg Tylenol used at 0150. At 0240, symptoms settle a bit and got a little sleep. 0445, woke up- headache persists. Mild chills/sweats. Afebrile at 98.6. Still fatigued. At 0800 on 1/5/21, another 1000mg Tylenol used as aforementioned symptoms worsening. Now at 1035 (time of this report), chills/sweats have settled - left with fatigue, headache, and nasal congestion. Of note, I tested positive for COVID and was sick for about 2-3 weeks in Sep 2020.

Other Meds: Crestor

Current Illness: None

ID: 0920803
Sex: F
Age: 44
State: NH

Vax Date: 12/23/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Onset of redness/pain/swelling into (R) UE one week after shot. Symptoms progressed into the next day. Seen at PCP office and diagnosed with cellulitis. Given script for 1 week of Cephalaxin. Also taking Ibuprofen. Redness has decreased but swelling and itchiness have continued with joint pain (R) shoulder and (R) elbow.

Other Meds:

Current Illness:

ID: 0920804
Sex: U
Age: 39
State: OR

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: patient reports numbness, pain, and tingling in arm; as well as Nausea and headache. Nausea and headache lasted 2 days, pain in arm persists.

Other Meds:

Current Illness:

ID: 0920805
Sex: M
Age: 45
State: OH

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/05/2021
Hospital: Y

Lab Data: AP 144, AST 51, ALT 178 Creatinine 1.41

Allergies: NKDA

Symptoms: palpitations, chest tightness/heaviness, scratchy throat/frequent throat clearing, head heaviness, blurred vision, elevated blood pressure. Evaluated in ED received solumedrol, benadryl. Discharged home and returned to hospital as direct admit due to continued symptoms. Pertinent labs reveled AKI, elevated LFTs. AKI and LFTs improved with IVFs.

Other Meds:

Current Illness:

ID: 0920806
Sex: M
Age: 29
State: PA

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

Lab Data:

Allergies:

Symptoms: Burning down arm right after injection. Sweats and dizzy

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm