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: 0959413
Sex: F
Age: 74
State: WA

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

Lab Data:

Allergies: None

Symptoms: recurring chills, coming and going about 1 or 2 per minute fatigue muscular discomfort throughout body, especially in upper arms, both sides

Other Meds: Propranolol, Chlorthalidone, CoQ10, VitaminE, Potassium, Fish Oil

Current Illness: None

ID: 0959414
Sex: F
Age: 53
State: NY

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

Lab Data: None

Allergies: Sulfa drugs, PNC, mild seasonal allergies

Symptoms: Left work early Friday (4pm) and went to bed. In bed for the following 5 days, including now. Muscle and bone aches through my spine and hips, nausea with some vomiting, chills, severe weakness, no recordable fever but felt feverish, skin hurt. Woke up Tuesday drenched in sweat but the bone pain had subsided. Still very weak, nauseous, continued in bed. Woke up today feeling on fire, eyes burning hot, skin no longer hurt but felt hot. Injection site hurt through Sunday-no redness, no rash or swelling. I took Tylenol and Advil throughout. My previous trunk rash completely disappeared. I began taking the prednisone last night. 50mg BID. I have a 5 day supply. Took a Covid test on Monday-results pending. Tried to see my doctor today giving them the above information-there were no appts til Friday and I was referred to the ED. I will not go to the ED where I could actually catch Covid. I was unable to get past phone triage with the doctors office.

Other Meds: OTC Benadryl 50mg qhs, famotadine 1 pill qam, 20 mg loratidine qam All for a rash I?ve had on and off for 3 months. I was seen the day before (Wed) and given steroids but hadn?t taken any yet and was told it was ok to get the vaccine.

Current Illness: Severe truckle rash that appeared similar to Christmas tree rash. It began prior to Thanksgiving. No other illnesses or fever

ID: 0959415
Sex: F
Age: 33
State: MN

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

Lab Data: None

Allergies: None

Symptoms: Chills, Malaise, Headache, Fever (101.7), myalgias

Other Meds: None

Current Illness: None

ID: 0959416
Sex: F
Age: 29
State: IL

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

Lab Data:

Allergies:

Symptoms: Area where injection was given was red and swollen. Resolved by 1/16/2021. Reoccurred 1/19/2021. Larger site reaction 1x1 inch. Red, tender, nodule "golf ball" size. Minor itching. No streaking. w/o fever, no tingling

Other Meds: Depo Provera

Current Illness:

ID: 0959417
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Anaphylaxis Allergic reaction COVID-19 vaccine: dizziness, vomiting and shortness of breath. Received vaccine and about 5/10 minutes later developed symptoms of chest tightness shortness of breath wheezing. Arrived to ED at 1156 and discharged at 1507. Given epi IM Solu-Medrol, Pepcid, Benadryl, albuterol.

Other Meds:

Current Illness:

ID: 0959418
Sex: F
Age: 42
State: CA

Vax Date: 01/14/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: reportedly became ill after she received her COVID-19 vaccine 4 days ago. She developed myalgia and other flu-like symptoms and was followed by SOB in the last 24 hours. She also developed some headache and palpitations with heart rate in the 130s so she went to our ER yesterday and was sent home after she was stabilized. Patient however continued feeling poorly and claims pleurisy and pleurisy further worsened associated with dry cough hence the decision to come back to our ER where she presented febrile, tachypneic and tachycardic. Workups done showed mild hypokalemia, hypoalbuminemia and hypocalcemia. respiratory symptoms found to be related to lung nodule. Pt. also noted to have redness, erythema and itching on Right arm, site of vaccination.

Other Meds:

Current Illness:

ID: 0959419
Sex: M
Age: 59
State: AZ

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

Lab Data: None

Allergies: None

Symptoms: Feel good very little soreness

Other Meds: Lisinopril atenolol chlorthalidone centrum silver D3 fish oil calcium magnesium zinc and glucosamine chondroitin/msm complex

Current Illness: No

ID: 0959420
Sex: F
Age: 38
State: VA

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

Lab Data:

Allergies: Penicillin - Hives

Symptoms: Severe symptoms ? red skin/hives from neck to elbows, swollen tongue and throat, dizzy and rapid hearbeat I got the vaccine at 4:09PM on 1/14 at School. At about 4:15PM I began to feel very shaky, heart was racing/rapid heart beat and very dizzy. From here the details are somewhat blurry till after the ambulance arrived and I received the EPI ? PEN. I walked over to a volunteer, I held her arm, I felt like I was too dizzy to stand so I asked to sit down. She walked me back to my car where I sat down and a wheelchair came. Some one arrived and took my blood pressure. My throat and tongue became swollen and it was very difficult to swallow. The volunteer kept asking me questions and then the ambulance arrived. Once in the ambulance, they gave me an EPI-PEN, steroids, Benadryl and IV. They took me to the ER where I was monitored for several hours.

Other Meds: Linzess, murilax, collagin, biotin, amiono acids

Current Illness: None

ID: 0959421
Sex: F
Age: 24
State: SD

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swelling of supraclavicular lymph nodes, cervical lymph nodes, axillary lymph nodes, and inguinal lymph nodes. Larve and very painful.

Other Meds:

Current Illness:

ID: 0959422
Sex: F
Age: 57
State: MD

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: sever bruising, swelling starting1/15, followed by bilateral transient severe head ache 1/16,17, and 18, followed by crushing headache and BLURRED VISION and DOUBLE VISION 1/19/21 upon waking. Went to ER - ruled out stroke and tumor. Given Dilauded, prenizone and Benydryl. Today, 1/20 headache and double vision was crushing upon waking for several hours. After taking a Dilauded and 2 prednizone pills, pain subsided. As of 5:09 pm, hadache nearly gone, blurred vision resolved, but double vision still present. Brusing and sweeling still visible.

Other Meds: lexapro 7.5 mg

Current Illness: none

ID: 0959423
Sex: F
Age: 33
State: CA

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

Lab Data:

Allergies:

Symptoms: The patient experienced light headed feeling, shortness of breath, and headache. Epi-Pen given and symptoms resolved.

Other Meds:

Current Illness:

ID: 0959424
Sex: F
Age: 20
State: MT

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

Lab Data:

Allergies:

Symptoms: Sore Arm, Chills, Body Aches, Headaches

Other Meds:

Current Illness:

ID: 0959425
Sex: F
Age: 25
State: IN

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

Lab Data:

Allergies: Penicillin

Symptoms: Fever (100.6), chills, body aches began at 1:00am on 1/19/21. Body aches, headache and fatigue continued until 3:00am on 1/20/21. Swelling and redness at the injection site noted shortly after vaccination and has continued to grow.

Other Meds: Nuvaring

Current Illness: N/A

ID: 0959426
Sex: F
Age: 29
State: CA

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

Lab Data:

Allergies:

Symptoms: headache body aches joint pain

Other Meds:

Current Illness:

ID: 0959427
Sex: F
Age: 81
State: OK

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

Lab Data:

Allergies: unknown

Symptoms: Rash to face, daughter called with information, stated she was going to give her benedryl

Other Meds: unknown

Current Illness: unknown

ID: 0959428
Sex: F
Age: 49
State: NH

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

Lab Data:

Allergies:

Symptoms: pt received Moderna Vaccine at 1017 on 20 JAN2021. Pt has history of asthma, tachycordia, and eosmophillia. pt experienced light headedness as well as dizziness at 1021. BP 140/84 SPO2 99% HR 100 pt had been on pregnazone and came off the medication as recommended by her physician Clinical provider advised pt that she may have possible vasovagal due to vaccine reaction, however pt declined EMS transport services. pt took two doses from her inhaler and emergency department was notified and pt agreed to be transported to emergency department, and left clinic at 1038.

Other Meds: symbicort, albuterol zertek loratadine

Current Illness: pt came off of pregnazone several weeks prior to vaccine

ID: 0959429
Sex: F
Age: 35
State:

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

Lab Data:

Allergies: Compazine

Symptoms: I received the injection and felt fine without any noticeable reactions until approximately 50 minutes later when I developed a strange headache. It felt as though I had eaten ice cream too quickly and had "brain freeze". This lasted for about an hour, was fairly mild and I didn't take any medication for it nor did I contact any medical professional.

Other Meds: Prenatal vitamins

Current Illness:

ID: 0959430
Sex: F
Age: 57
State: MA

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

Lab Data:

Allergies:

Symptoms: Recipient reported waking up with chills and drenched in sweat.

Other Meds:

Current Illness:

ID: 0959431
Sex: M
Age: 28
State: CA

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

Lab Data:

Allergies:

Symptoms: Fever, chills, body ache

Other Meds:

Current Illness:

ID: 0959432
Sex: F
Age: 38
State: SC

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: Rashes - Levaquin

Symptoms: Nausea.Headache, fatigue, muscle aches,body soreness; and soreness at vaccination site - about 6 hrs later; Two days after vaccine tender to touch left elbow started hurting - later that day I could feel a hard rod-like structure in the elbow on that side > Two days after vaccine - whole arm was hurting. Developed Lymphadenopathy. Fourth day after vaccine: Auxiliary tail of Left breast was hard as well. Called my PCP - warm compresses and Ibuprofen. My arm - I still feel a hard vein in my left arm. The other symptoms went away after 6 or 7 days. (Although nausea stopped after two days.)

Other Meds: Multi-Vitamins

Current Illness: none

ID: 0959433
Sex: F
Age: 27
State: IN

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

Lab Data: N/a

Allergies: Sulfonamides and cephalexin

Symptoms: Right eye/eyebrow spasms (twitching) intermittently for 24 hours. Previous ASE from 1st vaccination on 12/28/20 was right eye/eyebrow spasms (twitching) intermittently for 1 hour

Other Meds: Omeprazole 40 mg QD

Current Illness: None

ID: 0959434
Sex: F
Age: 22
State: CA

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

Lab Data:

Allergies: None

Symptoms: For two days after my vaccine, I experienced only the normal discomfort at the site of injection. There was no redness and minimal swelling, and all symptoms had vanished completely after two days. However, one week after the injection date, I experienced a renewal of discomfort at the site of injection, accompanied by swelling, redness, and itchiness. So far, these are my only symptoms. It has about 18 hours since these new symptoms appeared, and they seem to be improving slightly.

Other Meds: None

Current Illness: None

ID: 0959435
Sex: F
Age: 80
State: OH

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

Lab Data:

Allergies: Compazine, Cortisone

Symptoms: Patient was still within the 15 minute observation period. Patient starting saying she was hot. Bottle of water given to patient. Patient then passed out, attempted to talk to patient and performed sternal rub. Patient was lowered to floor with assistance to flat surface, rolled to side. Patient become alert. Rapid Response was called and patient was then taken to the Emergency Department.

Other Meds: Coumadin

Current Illness:

ID: 0959436
Sex: F
Age: 70
State: TX

Vax Date: 01/05/2021
Onset Date: 01/09/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: A week after I took the shout I started experiencing Rash, itchy and a slate warmth on the arm

Other Meds: Synthroid, Lisinopril, Metformin, Omeprazole ,Rosuvastatin, Montelukast, Dymista, Gabapentin, Vitamin D3, Cinnamon. Bayer Aspirin, Folic Acid, B-Complex-B12, Probiotics, Vitamin E, AllerClear 24HR, Melatonin

Current Illness:

ID: 0959437
Sex: M
Age: 85
State: MN

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

Lab Data: NONE

Allergies: LISINOPRIL

Symptoms: BODY ACHES, LETHARGY

Other Meds: Medications Schedule Med days Assigned Aspirin 81MG by mouth 08:00 AM Started: 5/10/19 1:00 PM Daily 1 x a day MC LCM Celexa 10MG by mouth 08:00 AM Started: 5/16/19 8:00 AM Daily 1 x a day MC LCM Donepezil 10MG by mouth 08:00 PM Started: 10

Current Illness: COVID-19

ID: 0959438
Sex: F
Age: 31
State:

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

Lab Data: CBC, CMP and Sed Rate were all within normal limits.

Allergies: None known

Symptoms: I started noticing a blister type rash/bumps on my hands, wrists, elbows, and bottom of my feet 9 days after receiving the Moderna Covid-19 vaccine. On the 10th day, I noticed it was getting worse and some of the spots were an itchy/burning feeling (it woke me up at night). On the 11th day, I went to the doctor and was prescribed oral prednisone (60 mg x 3 days, 40 mg x 3 days. 20 mg x 3 days, 10 mg x 4 days), hydroxyzine PRN for itching, and triamcinolone ointment. The rash started improving after 2 days on prednisone and I only used the ointment and hydroxyzine for 2 days.

Other Meds: Prenatal vitamin, Vitamin D, Vitamin C, Iron, Vitamin B Complex

Current Illness: None

ID: 0959439
Sex: F
Age: 88
State: MS

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

Lab Data: Patient had just had lab test before the vaccination and I did not suspect cellulitis. I did refer to our local Allergy-Immunologist

Allergies: Clindamycin (rash) Pacerone (unknown reaction/allergy)

Symptoms: Patient developed edema and redness to about 70% of her upper left arm the next day, 01/18/2021, in the morning is when she noticed and it worsened for several days. By the seventh day, the swelling and redness started to improve. She did experience intense itching especially around the injection site. She did take Benadryl around day seven or eight for the itching. She did have muscle soreness for about 1 - 2 days that resolved. She did not have any further pain despite the redness and swelling. She had no fever, chills, body aches. She did not have any wheezing or SOB. Overall, she reports that besides the itching she felt good.

Other Meds: Aspirin 81 mg daily Levothyroxine 100 mcg daily Lisinopril 2.5 mg BID Omeprazole DR caps 40 mg daily Benadryl 25 mg caps 2-3 times a day for itching Propafenone 150 mg every 8 hours

Current Illness: None reported

ID: 0959440
Sex: M
Age: 2
State: TX

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

Lab Data: NONE

Allergies: NONE

Symptoms: HIVES TO FACE, ARMS, ABDOMEN.

Other Meds: NONE

Current Illness: NONE

ID: 0959441
Sex: F
Age: 25
State: VT

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

Lab Data:

Allergies:

Symptoms: dizziness, nausea, chills, head ache

Other Meds:

Current Illness:

ID: 0959442
Sex: F
Age: 58
State: NM

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: no known allergies

Symptoms: Reported nausea, but it went away. Feels tired. After conversation, possibly just anxiety. COVID call center advised return to work.

Other Meds: unknown

Current Illness: unknown

ID: 0959443
Sex: F
Age: 20
State: MT

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

Lab Data:

Allergies:

Symptoms: Sore Arm, Chills, Body Aches, Headache

Other Meds:

Current Illness:

ID: 0959444
Sex: M
Age: 52
State: TX

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

Lab Data: EKG completed at hospital. NSR with tachycardia.

Allergies: Morphine, Tetanus

Symptoms: Staff member notified DON of Hypertensive state at 0830 on 1/20/2021. Staff member has no PMH of HTN and does not take any Rx medications for any disease processes. Staff member checked BP with multiple cuffs which were consistently read in the range of 160-180 SBP, 98-104 DBP with an elevated pulse >100 as well. Staff member reported an accompanying mild headache and lightheadedness. Sent to ED for evaluation of new onset HTN per Medical Director advice. Staff member was released from ED with orders to f/u with PCP for further evaluation of HTN persists

Other Meds: Vitamin C, Vitamin D supplements

Current Illness: None

ID: 0959445
Sex: F
Age: 99
State: SC

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

Lab Data: n/a

Allergies: LEVOFLOXACIN, PENICILLIN, CIPRO, KEFLEX, SULFA ANTIBIOTIC

Symptoms: Redness distal to injection site

Other Meds: Voltaren Gel 1 % (Diclofenac Sodium) Apply to left hip topically two times a day for pain PreserVision AREDS 2 Capsule (Multiple Vitamins-Minerals) Give 1 capsule by mouth two times a day for vision Hydrocortisone Cream 1 % Apply to Feet to

Current Illness: N/A

ID: 0959446
Sex: F
Age: 52
State: NM

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

Lab Data: None

Allergies: NOne

Symptoms: Immediately following injection, no soreness or redness. 24 hours later, soreness in the area of the injection which lasted 48 hours. All symptoms went away until seven days after the injection, when hives developed around injection site, then a large welt. Pain and itching on and around the welt.

Other Meds: Thyroid (armory), Curcumin, green tea, collagen, biotin, D3, viviscal.

Current Illness: None

ID: 0959447
Sex: F
Age: 29
State: TX

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

Lab Data:

Allergies:

Symptoms: client reported tingling sensation down the left arm 15 minutes after vaccination; seen & cleared by EMS. B/P- 125/75, P- 87

Other Meds:

Current Illness:

ID: 0959448
Sex: F
Age: 42
State: TX

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

Lab Data: N/A

Allergies: N/A

Symptoms: Fever of 101.

Other Meds: N/A

Current Illness: Flu the week of 12/26/20-01/01/21

ID: 0959449
Sex: F
Age: 41
State: KY

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None, self reporting but patient is a vestibular trainer and home health physical therapist

Allergies: NKA

Symptoms: Moderna COVID-19 vaccine EUA 1-14-21 migraine lasting 4 hours (patient has no Hx of migraines) 1-14-21 and daily through and including date of reporting 1-20-21 Intermittent Dizziness mild to severe/near fainting, unable to recreate with canal repositioning techniques. Tested for OHTN with no significant statistical alteration in BP readings. Dizziness presents similar to stepping off of a boat. Comes and goes in waves. Has happened daily usually beginning around 1-2pm and lasting through bedtime.

Other Meds: Peak performance vitamin pack womens health from Melaleuca

Current Illness: None

ID: 0959450
Sex: F
Age: 52
State: AL

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

Lab Data: Dr. has ordered patch test for polyethylene glycol to be administered prior to dose 2. Patient tolerates AIMOVIG which also contains polysorbate 80.

Allergies: no

Symptoms: 11 days post vaccination, patient developed local skin reaction - rash, warmth, redness - at site of injection. Patient had experienced itching off and on since vaccination but noticed rash had developed in the AM on 1/20/21. Patient had appointment for allergy injections with allergist so discussed with Dr.

Other Meds: Aimovig 140 mg SQ q month, naratriptan 2.5 mg PO PRN

Current Illness: none

ID: 0959451
Sex: F
Age: 66
State: AK

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

Lab Data: EKG, results pending

Allergies: red onion-migraine

Symptoms: jaw pain x 3 min 5 minutes after vaccine administration, then had two episodes of chest pain after 15 minutes measuring a 2/10 last 2-3 seconds each.

Other Meds: Vit D 5 K qd, vit b12, ubiquinol, vit e, estradiol 0.1 mg/gm cream 1 gram pv 2 x a week, flomax 0.4 mg qd

Current Illness: urinary retention under periodic straight cathe, recovered from nephrlithiasis, has a shingles vaccine 12/31/2020

ID: 0959452
Sex: F
Age: 76
State: MN

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: N/A

Allergies: Morphine

Symptoms: On 1/17/21 staff reported that client had episodes of diarrhea x2. Client had extreme fatigue and was afebrile

Other Meds: Calcium 500/Vit D 400 take 1 tab po BID

Current Illness:

ID: 0959453
Sex: M
Age: 29
State: AZ

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

Lab Data:

Allergies: none stated

Symptoms: Patient was given Pfizer as a first vaccination, then given Moderna inadvertently for the second vaccination. Patient had no symptoms immediately after vaccination.

Other Meds: none

Current Illness: none

ID: 0959454
Sex: F
Age: 48
State: VA

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0959455
Sex: M
Age: 17
State: TX

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

Lab Data: none

Allergies: none

Symptoms: Client is 17 years old

Other Meds: none

Current Illness: Asthma

ID: 0959456
Sex: F
Age: 54
State: MT

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

Lab Data:

Allergies:

Symptoms: Chills, Headache, & Sore Arm

Other Meds:

Current Illness:

ID: 0959457
Sex: F
Age: 59
State:

Vax Date: 01/11/2021
Onset Date: 01/14/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: erythromycin penicillin garlic

Symptoms: Awakened by sudden nausea and vomiting. Vomited only once -- no stomach contents except mucus & minimal stomach acid. Nausea continued for a couple of hours, and then I slept the rest of the day (suddenly very tired). No lingering symptoms. Occurred 3 days after vaccination, so may have been unrelated. -- ???

Other Meds: Synthroid

Current Illness: none

ID: 0959458
Sex: F
Age: 41
State: AZ

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

Lab Data:

Allergies:

Symptoms: None

Other Meds:

Current Illness:

ID: 0959459
Sex: F
Age: 37
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient describes chills, shivering, fever, headache, stomach issues, sweating and hot flashes. Sums headaches up to have last 3 days. Also includes body aches.

Other Meds:

Current Illness:

ID: 0959460
Sex: F
Age: 53
State: NE

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

Lab Data: none

Allergies: Penicillin Sulfa Neosporin

Symptoms: Headache, pain at injection site, chills, nausea, vomiting, body aches

Other Meds: Lisinooril-HCTZ 10/12.5MG tabs-take daily Sertraline 50MG tabs - daily 4 - Valacyclovir 500 MG tabs - 24 hours before vaccine for Cold sore

Current Illness:

ID: 0959461
Sex: F
Age: 50
State: GA

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

Lab Data: none

Allergies: None

Symptoms: Chills, headache, stomach/groin cramping, low grade fever. Took ibuprofen 800 mg

Other Meds: fluoxetine 30 mg, Ibuprofen

Current Illness: none

ID: 0959462
Sex: F
Age: 31
State: CA

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

Lab Data:

Allergies: None

Symptoms: 2nd day after the vaccination, my left arm had a swollen bump below the injection site along with pain. I felt fatgued, slight fever, and body aches. I took an antihistamine for 5 days and the symptoms resolved itself.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm