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: 0958148
Sex: F
Age: 42
State: MO

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: substernal chest pain and pain in axillary region of rib cage on both sides

Other Meds:

Current Illness:

ID: 0958149
Sex: F
Age: 61
State: NY

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: After 24 hours after injection woke with a severe ear ache, swollen glands and sore throat on the Right side only. Took ibuprofen for pain/inflammation for two days, called Primary care for appt. to see if I had an ear infection or red throat. Was seen by Dr. four days after vaccine, was told that ears were clear and throat looked good. Lymph nodes in neck seemed swollen.

Other Meds: Setraline-12.5mg, multi-vitamin, Vitamin C, Calcium with vitamin D, Vitamin C

Current Illness: None

ID: 0958151
Sex: F
Age: 57
State: FL

Vax Date: 12/28/2020
Onset Date: 01/06/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: N/A

Allergies: NKA

Symptoms: I was diagnosed with cellulitis on my Left Arm and placed on antibiotics which resulted in a yeast infection and a return visit to urgent care and placed on an antifungal medication. Due to my low grade fever and symptoms of fatigue underwent a covid 19 screen test which was negative

Other Meds: No

Current Illness: No

ID: 0958152
Sex: F
Age: 37
State: KS

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Patient reports Body Aches, Chills that started at 5:30 am on 01/20/2021

Other Meds: None

Current Illness: None

ID: 0958153
Sex: M
Age: 53
State: TX

Vax Date: 12/22/2020
Onset Date: 12/27/2020
Rec V Date: 01/20/2021
Hospital:

Lab Data: rapid nasal swab

Allergies: NKA

Symptoms: Developed fever 12/28/20, tested positive for SARS 12/29/2020. Quarantine for 10 days from onset of symptoms, returned to work 1/6/2021

Other Meds: Losartan 100mg, simvastatin 40mg, tramadol 50, Vescepa 2gm, ibuprofen 400mg, ferrous sulfate 325mg, tamsulosin 0.4mg, Vitamin D3 5000 IU, Calcium/Vitamin D, MVI.

Current Illness:

ID: 0958155
Sex: F
Age: 31
State: CT

Vax Date: 01/08/2021
Onset Date: 01/17/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Cold induced urticaria, onset 10/2020, taking Allegra 2x/day

Symptoms: I received the vaccine on January 8th, with no adverse events beside arm pain which subsided after 2 days. On January 16th, I noticed that my arm began to ache again. Then on January 17th, I developed redness, warmth, and swelling, which has continued to expand down my arm. I reported this to employee health, who recommended I report to this site, was not allowing me to self report.

Other Meds: Allegra 180mg 2x/day, Vitamin D 1000iu, Colace PRN, Ibuprofen PRN

Current Illness: None

ID: 0958156
Sex: F
Age: 39
State: MA

Vax Date: 01/12/2021
Onset Date: 01/17/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: itching/burning on back/head, weakness, tired, dizziness

Other Meds: None at the time of vaccination.

Current Illness: None

ID: 0958157
Sex: F
Age: 81
State: MS

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Approx. 1/10/21 --R arm, red little knot itching few days after then resolved. 1/19/21 R arm, large red very itchy area, deeper red area in injection site, very warm touch.

Other Meds: Losartan with potassium, Furosemide, Carvedilol, Spironolactone, nitrofurantoin , diclofenac; centrum silver, vitamin d3, omega 3, vitamin C, glucosamine, cranberry extract

Current Illness: N/A

ID: 0958158
Sex: F
Age: 21
State: PA

Vax Date: 01/09/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Skin has raised in a thick, red, itchy ring, about 5 inches in diameter

Other Meds:

Current Illness:

ID: 0958159
Sex: F
Age: 47
State: SC

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: symptomatic and supportive care no tests given

Allergies: penicillins cephalosporins

Symptoms: pain at injection site joint pain in bilateral hips, knees and wrists fatigue onset within 2 hours of vaccine, treated with otc naproxen 220 mg q12 hours prn pain continued next day, continued otc naproxen 220 mg 2 12 hours

Other Meds: venlafaxine er 225 mg bupropion sr 200 mg cetirizine 5 mg budesonide nasal spray naproxen 220 mg

Current Illness:

ID: 0958160
Sex: F
Age: 42
State: VA

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: ED dept 230-6pm observation Televisit with PCP px medication and rewst.

Allergies: pineapple, kiwi, Keflex ,codeine

Symptoms: within 10 minutes of vaccine. I became nauseous, vertigo. BP 86/87 HR 90 I became very itchy all over & I asked for Benadryl. I was taken to the ED dept. I was given zofran 4mg and Meclizine for vertigo and IV after 4 hrs. I Was told to go home and sleep it off. I've home with joint pain, muscle aches, nausea, abdominal pain, foggy mind, tiredness, weakness. Saw my PCP today. Rest, zofran and meclizine PRN hydration and rest.

Other Meds: n/a

Current Illness: n/a

ID: 0958161
Sex: F
Age: 31
State: WY

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Latex, Penicillin

Symptoms: Swelling, redness, Hives, burning and itchy. took Benadryl and within 20 min hives were gone.

Other Meds: Lexapro 20mg, daily vitamin

Current Illness: None

ID: 0958162
Sex: F
Age: 73
State: SC

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: sodium pentathol, penicillin

Symptoms: Extreme diarehha and vomiting,, including dry heaves from 2:30 am to 7:30 am. Pain in lower abdomen. I am a very active, healthy female. I work out at a gym 3-4 times a week with aerobics, weight training and pilates.

Other Meds: Amlodipine 10 mg, Pravastatin 40 mg, Losartan/HCT 12.5 mg, Vitamin for Women over 50, Fish Oil

Current Illness: None--excellent health

ID: 0958164
Sex: F
Age: 38
State: WY

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Hx of anaphylaxis after iron infusion, allergic to beans, broccoli, advil

Symptoms: Patient c/o "flushing" at 1725. Patient offered water. 1730 patient complained "I am not going to lie, I am not feeling well." Reported that "the water didn't want to go down" and c/o "throat shutting down." Reports feeling nauseous and started to itch both lower arms. 1737 0.5ml epinephrine administered IM to right deltoid, 911 called. BP 132/82, pulse 92, O2 96% on RA. EMS arrived at 1745 and transported to ER at 1758. Called client morning of 1/15 and reported Benadryl given IV while transported to ER, discharged to home at 2130 on 1/14.

Other Meds:

Current Illness:

ID: 0958165
Sex: M
Age: 23
State: VA

Vax Date: 01/14/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: SM developed influenza-like illness with Fever, chills, myalgias, and HA 5 days s/p dose 1 of Moderna Vaccine. Pt previously infected with COVID 19 and diagnosed 12 days prior to vaccine administration

Other Meds: None

Current Illness: COVID 19 12 days prior to illness

ID: 0958166
Sex: F
Age: 41
State: WV

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: Initial vitals in the ED 1/15/21 @ 0130: BP 130/94; Pulse 91; Resp 16; SpO2 99%. Vitals at discharge from the ED 1/15/21 @ 0230: BP 121/76; Pulse 82; Resp 12; SpO2 99%; Temp 36.7 degrees C. Troponin I < 0.01. HCG urine qualitative--not detected; CMP WNL except sodium 134, chloride 100, glucose 125. Urinalysis WNL. CBC with Diff WNL except WBC 12.9, neutrophil 8.98. EKG narrative: normal sinus rhythm, normal EKG.

Allergies: Codeine (agitation), carmustine (mouth numbness and face flushed) (information taken from hospital EPIC system)

Symptoms: The patient self-reported this adverse reaction through the hospital electronic reporting system. In the patient's own words, "After receiving the COVID vaccine, I became very dizzy and weak. I felt like I was going to pass out more than once. Arms, legs, hands, and feet tingled, then went numb. Heart started racing, and I felt warm all over. My coworker told me I was very pale. I looked up reactions on the site and decided go to the ER and get checked. On the way over, I become slightly SOB. Once there my BP and HR was elevated, but after about an hour or so returned to normal. I still felt very weak and had some hand and leg tingling".

Other Meds: Acyclovir 400mg po BID; elderberry fruit po daily; Citalopram 20mg po QPM; Estradiol 2mg po QPM; multivitamin once daily; naratriptan 2.5mg po PRN headache (medication list taken from hospital EPIC system)

Current Illness: Unknown

ID: 0958167
Sex: F
Age: 29
State: MA

Vax Date: 12/24/2020
Onset Date: 12/25/2020
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I received Moderna COVID vaccine at 1200pm on 12/24/2020 At about 0300 on 12/25/20, I awoke from sleeping with palpitations and a heart rate of about 140. Increased heart rate of 120-150 continued for a couple of hours with minimal dizziness. About 5am, I had a bought of sudden explosive, watery stool. This continued 3 more times in the am, at times having incontinence. (This has never occurred before.) By 10 am, those symptoms had stopped. Only residual side effects were a headache and sore arm. On 12/31, it was noticed that I had hives on my abdomen and back. They were not itchy and I am unsure how long they had been there for; referred to allergy

Other Meds:

Current Illness:

ID: 0958168
Sex: F
Age: 67
State: OH

Vax Date: 11/18/2020
Onset Date: 11/19/2020
Rec V Date: 01/20/2021
Hospital:

Lab Data: unknown

Allergies: unknown

Symptoms: At the injection on day 2, the area was raised, red and warm to touch. At day 3 it was no longer raised. At day 4, it was better.

Other Meds: unknown

Current Illness: unknown

ID: 0958169
Sex: F
Age: 34
State: CT

Vax Date: 01/12/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: N/A

Allergies: Penicillin

Symptoms: Developed painful, erythematous lump at vaccination site 7 days after administration. Possible delayed-type hypersensitivity reaction.

Other Meds: Vitamin D

Current Illness: None

ID: 0958170
Sex: M
Age: 54
State: NJ

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: No not yet will try to get see primary care today. I spoke to doctor before second dose because of the first dose I had the same symptoms and was told the second dose may be worse than the first but I could go through with it. the first event it started to ease up 3 days later. Will be going to the doctors office today as a walk in.

Allergies: No

Symptoms: sore arm, stomach cramping and diarreah started at 5pm and got worse.

Other Meds: None

Current Illness: None

ID: 0958171
Sex: M
Age: 28
State: TX

Vax Date: 01/11/2021
Onset Date: 01/17/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: Augmentin (rash) Clyndamycin (swollen foot)

Symptoms: Rash on left upper arm that formed 6 days following injection. Rash is itchy and did not go away with Benadryl. It has lasted 4 days already.

Other Meds: Lisinopril Methimazole Cymbalta Warfarin

Current Illness: None

ID: 0958172
Sex: M
Age: 43
State: IN

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: i developed fever, chills, body aches and nausea. it has been present for greater than 24 hours now

Other Meds: none

Current Illness: none

ID: 0958173
Sex: F
Age: 31
State: AR

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Woke up at 044 with temp of 100, nausea, vomiting and diarrhea and fatigue. GI symptoms have improved.

Other Meds:

Current Illness:

ID: 0958174
Sex: M
Age: 85
State: IL

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Low grade fever of 99.3 -100.0, chills and emesis.

Other Meds:

Current Illness:

ID: 0958175
Sex: F
Age: 71
State: NY

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital: Y

Lab Data: EKG

Allergies: Aspirin Motrin, Beef , pork and lamb

Symptoms: Approximately after 20 minutes after vaccine administration, my throat felt numb and i could not swallow my saliva, no acute breathing difficulty , I could not swallow water , I was very anxious and went back to facility I got vaccine , The attending doctor administered Benadryl I 50 mg IM , and then EPI 0.3 mg . EMT was called , and ED at Hospital i was attended , and Solumedrol 1.25 mg was administered IV and Pepsid for GERD , i also had, I was observed for a few HRs and skript for Prednisone and Benadryl was issued. I was then feeling better,

Other Meds: Plavix, Lipitor, Fish oil ,multivitamins

Current Illness: No illnesses

ID: 0958176
Sex: F
Age: 89
State: NE

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: NA

Allergies: Armodifinil, Clonazepam, Pramipexole, Trazodone, Sulfa antibiotics, General Environmental

Symptoms: Was not communicated on her admission that patient had a prior vaccine and so was given the 2nd dose of the Vaccine 14 days after 1st dose. No adverse outcomes at this time.

Other Meds: Potassium Chloride ER Tablet Extended Release 10 MEQ 1/12/2021 08:00 1/11/2021 Cholecalciferol Tablet 25 MCG (1000 UT) Give 1 tablet by mouth one time a day related to OTHER OSTEOPOROSIS WITHOUT CURRENT PATHOLOGICAL FRACTURE (M81.8) Pharm

Current Illness: UNSPECIFIED FRACTURE OF SECOND THORACIC VERTEBRA, SUBSEQUENT ENCOUNTER FOR FRACTURE WITH ROUTINE HEALING

ID: 0958177
Sex: F
Age: 29
State: PA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Erythromycin and Cephalosporins

Symptoms: The day of my first vaccination, I got a painful red lump at the injection site and it was warm to touch. Today is 1/20/21 and I'm still experiencing the same reaction- it hasn't gone away, the red lump is less swollen and warm to touch. I also experienced moderate fatigue and weakness, constant headache, and loss of smell and I'm still experiencing these symptoms.

Other Meds: None

Current Illness: None

ID: 0958178
Sex: M
Age: 38
State: FL

Vax Date: 10/23/2019
Onset Date: 10/23/2019
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: possible anaphylaxis Hymenoptera as a child

Symptoms: Vaccine lot and arm site not recorded. Patient reports he experienced throat pruritis, cough, expiratory wheeze and more nonspecifically 'didn't feel right.' He does not recall oral/facial/tongue or throat swelling, flushing, urticaria, other site pruritis, watery eyes, burning ears, chest pain or n/v/d. Onset was about 30 minutes. He did not seek medical care. He did not received any medically supervised or self administered treatment (e,g, benadryl). The symptoms resolved without further intervention or repeat event.

Other Meds: synthroid 0.15 mcgs

Current Illness: none

ID: 0958179
Sex: F
Age: 44
State: PA

Vax Date: 01/13/2021
Onset Date: 01/17/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: Bactrim

Symptoms: Painful cervical lymphadenopathy

Other Meds: Nifedipine 30mg Generess Fe OCP Allegra

Current Illness: None

ID: 0958180
Sex: F
Age: 34
State: MA

Vax Date: 12/31/2020
Onset Date: 01/02/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: NONE

Allergies: seasonal allergies

Symptoms: Herpes Simplex outbreak on lips multiple sores - was treated with Valacyclovr 1gram

Other Meds: None

Current Illness: None

ID: 0958182
Sex: F
Age: 28
State: IN

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Swollen lymph nodes in the right underarm region

Other Meds: Omeprozole 20mg Prenatal Sertraline 50mg

Current Illness:

ID: 0958184
Sex: F
Age: 61
State: CA

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Painful lymph node in the arm where she had the vaccination and radiates to her breast

Other Meds:

Current Illness: No

ID: 0958185
Sex: F
Age: 47
State: AR

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Started having body aches at 1800 the day of administration. Continues to have mild headache and body aches.

Other Meds:

Current Illness:

ID: 0958186
Sex: M
Age: 60
State: NJ

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: DEMEROL

Symptoms: MUSCLE AND JOINT PAIN. TOOK TYLENOL

Other Meds: TYLENOL; LOSARTAN 100MG; HYDROCHLOROTHIAZIDE 25MG

Current Illness: NONE

ID: 0958187
Sex: F
Age: 47
State: CA

Vax Date: 01/11/2021
Onset Date: 01/17/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None, notified primary care physician

Allergies: None

Symptoms: Arm swollen raised up and hard, very red and very very hot to touch and arm very painful along with shoulder pain and and scapula very painful

Other Meds: Collagen, vit C, biotin, zinc

Current Illness: None

ID: 0958188
Sex: F
Age: 66
State:

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: None noted

Symptoms: Patient felt "tired" getting up from chair. Patient was seated and evaluated. Patient has past medical history of DM and did not take metformin today, and did not eat anything today. Was anxious about getting vaccine. Felt better after sitting and able to get up without problems. Felt well enough to return home.

Other Meds:

Current Illness:

ID: 0958189
Sex: F
Age: 57
State: CA

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills, body aches, fatigue, headache, chest pain. Went to ER on 1/19 for chest pain. Cardiac workup neg. Was advised that chest pain may be muscular pain from vaccine. Chest pain resolved. Continues to have fatigue, headache.

Other Meds:

Current Illness:

ID: 0958190
Sex: M
Age: 66
State: GA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Numbness and tingling facial area

Other Meds: Therologix Bladder 2.2 Vit D3 Hydrochlorothiazide Rosuvastatin Levothyroxide Dutasteride Olmesartan Tadalafil Low dose aspirin Vitamon C

Current Illness: None

ID: 0958191
Sex: F
Age: 43
State: MT

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Sulpha Versed

Symptoms: Intense itching, developed into hives.

Other Meds: Lisinopril Toprol XL Nexium Pristiq Levothyroxine Metformin Metronidazole Lorazepam Ondansetron

Current Illness:

ID: 0958192
Sex: F
Age: 50
State: CA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills fever muscle cramps weakness headache

Other Meds:

Current Illness:

ID: 0958193
Sex: F
Age: 35
State: MN

Vax Date: 01/08/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Amoxicillin, OK to use Cephalosporins

Symptoms: 10 days after on 1/18/21, woke up with hives on bilateral shins. Over the last couple of days treated for urticaria for unexplained hives. proceeded to extend everywhere but her chest, neck and face. Using daily dose of Claritin, Benadryl for hives, prescribed Pepcid and then using topical cortisone cream and spray calamine lotion, which was told today. Told to report back in 5-7 days.

Other Meds: prenatal vitamins

Current Illness: Had just had a baby on 12/22/2020, first dose on 1/8/21.

ID: 0958194
Sex: F
Age: 76
State: OK

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: Covid Tested negative

Allergies: nasal allergies

Symptoms: chills, diarrhea, fatigue and not feeling well

Other Meds: Cosopt, Pantoprazole 40 mg, Metformin 500mg, Propranolol 40 mg., Olopatadine, Montelukast, Probiotic100, Citalopram, Prolia injection every 6 mo, Cetirizine Hydrochloride 10mg, Neilmed sinus rinse, fish oil 1200 x 2 daily, Centrum Silver mu

Current Illness: none

ID: 0958195
Sex: F
Age: 69
State:

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: c/o dizziness

Other Meds:

Current Illness:

ID: 0958196
Sex: F
Age: 69
State: MI

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: Atorvastatin Myalgia - Crestor [Rosuvastatin] Myalgia - Prochlorperazine Anaphylaxis Twisted tongue - swelling - hard to talk - Ambien [Zolpidem] Other - Azulfidine [Salicylates] Symptoms of a heart attack - Compazine Twisted tongue - swelling - hard to talk - Cymbalta [Duloxetine Hcl] Other Light headedness. Stuttering. Was hitting her face as she could not stand the feeling. - Gabapentin Dizziness - Lyrica [Pregabalin] Headache - Nsaids Other Colitis. - Pravastatin Myalgia - Propofol Left sided shakes - Statins - Sulfasalazine - Tolmetin Nausea Only Colitis. - Duloxetine Anxiety Stuttering; pt slapping her own face

Symptoms: At 1332, she called into the office to let us know that she was not feeling well after her vaccine. 1331 2 RN's got to her vehicle to assess her. She stated she was feeling "not right", complained of her left arm hurting, a headache, and right ear pressure. Vital signs at 1339 showed a BP of 138/76 done by manual cuff, a pulse was taken radially and was 78 bpm, with a regular rate and rhythm by palpation, respirations were 26 breaths per minute, and her O2 saturation was 99%. 1342 she had episodes of emesis out the side of her vehicle multiple times. 1344 EMS was called. 1347 50mg of IM Benadryl was administered into her right deltoid. EMS arrived at 1349 and care was transferred over at that time. Her husband took her car keys and was driving separate to Emergency Department.

Other Meds: Unknown

Current Illness: None

ID: 0958198
Sex: F
Age: 38
State: GA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: Iron, Cephalosporins, ibuprofen, NSAIDs, Tape/adhesive, apples, nut (almond), Monistat,

Symptoms: Felt hot, flushed, tingling. Then mouth and throat started to burn. Throat felt like closing. Difficult to swallow water. Able to take Benadryl liquid within 5 minutes of reaction starting and drink water (4 bottles of 16 ounces). 15 minutes later felt returning to normal status. No epinephrine used.

Other Meds:

Current Illness:

ID: 0958199
Sex: F
Age: 64
State: SC

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: Stadol, versed

Symptoms: Fever 101.5, migraine, eyepain, severe arthralgias, nausea and vomiting, weakness, inability tji think clearly. Residual symptoms at the time of this report

Other Meds: Diovan hct, benzepril, crestor, zetia, zyrtec, magnesium, co q 10, vitD3, magnesium, glucosamine

Current Illness: Respiratory failure, presumed Covid 19 but no antigen or antibodies identified, May. 2020. Multi organ involvement

ID: 0958200
Sex: F
Age: 65
State:

Vax Date: 12/17/2020
Onset Date: 01/05/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: This is a new (12/17/2020 ) problem. Episode onset: swelling under left arm pit and left shoulder after injection of shingles vaccine. The problem occurs constantly. The problem has been gradually improving (after Keflex and steriod taper- given at clinic). Associated symptoms include fatigue. Pertinent negatives include no chest pain, chills, coughing, fever, headaches, nausea, sore throat, visual change, vomiting or weakness. Associated symptoms comments: Shooting pain down arm. Weak grip with numbness and tingling.. Treatments tried: Keflex and steriods.

Other Meds:

Current Illness:

ID: 0958201
Sex: F
Age: 70
State: NC

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Patient has a raised pink area in the circumference of three inches around the injection site. This has continued to be red even after a week.

Other Meds: Synthroid - 0.1 mg Lisinopril - 20 mg Multivitamin - Calcium -

Current Illness: None

ID: 0958202
Sex: F
Age: 66
State:

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient felt "tired' getting up from chair. Patient was seated and evaluated. Past medical history of DM on metformin - did not take metformin today, and did not eat anything. Anxious about getting vaccine. Patient felt better after sitting, and able to get up without problems. Felt well enough to return hoe.

Other Meds:

Current Illness:

ID: 0958204
Sex: M
Age: 44
State: FL

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None yet. ENT visit today

Allergies: None

Symptoms: At 2 am on 1/1/21, sudden onset severe left calf muscular cramping which resolved in about a minute. Soreness persisted for 4 days. No preceding activity peformed to have caused this. Same evening, insomnia, uncomfortable abdominal bloating, vivid dreams, and ?light? night sweats primarily affecting lower extremities. This also lasted for about 4-5 days. On 1/6/21, 7 days post injection, woke up in morning completely drenched from a night sweat. Things improved in days to come although a certain subtle feeling of hyperalertness has persisted. On Tuesday 1/12, began with a mild to moderate bifrontal headache. Fortunately, I do not typically get headaches. Tylenol and sleep relieved but headache returned on Wednesday evening and persisted through late afternoon Friday 1/15 possibly lateralizing slightly to the right. Saturday morning 1/16, no headache, but sudden onset of focal right lower neck tenderness situated around the thyroid/sternocleidomastoid region. No throat pain, sneezing, coughing. This progressively got worse throughout the day and particularly at night(8-9/10 pain scale) with discomfort on swallowing and with radiation to right subdmandibular region and right ear. Some temperature imbalance overnight and last few nights with slight night sweats. Not feeling feverish. Neck pain has persisted since then to today 1/20/21 and steadily improved. 2 separate Ibuprofen doses have appeared to help. ENT to be seen today.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm