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: 0961453
Sex: F
Age: 38
State: ID

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: 12/28/2020 Vaccination 12/30/2020 'wiped out', extreme fatigue, malaise, extreme HA, sore throat, nausea. I left work due to feeling unwell. Symptoms lasted for approximately for 3-4 days.

Other Meds: zoloft daily

Current Illness: antibiotics (?) HA, sinus congestion (couple months before?) COVID x2; Negative

ID: 0961454
Sex: F
Age: 42
State: TX

Vax Date: 01/14/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Sulfa, Mycins, Morphine

Symptoms: 1/20/21 underarm/armpit pain, swelling - lymph nodes Day 7 post vaccine 1/21/21 same pain, continuing - Day 8 post vaccine

Other Meds: Zyrtec, Lisinnpril, Birth Control

Current Illness: none

ID: 0961455
Sex: F
Age: 41
State:

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: 10 hours past 2nd vaccination developed aches in joints and chills. Aches lasted 12 hrs and chills lasted 2 hours. No fever.

Other Meds: none

Current Illness: none

ID: 0961456
Sex: F
Age: 81
State: MA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Ciprofloxacin, Lactose, Meperidine HCL, Sulfa

Symptoms: Resident became hypotensive, chest pain, low O2 SAT, diaphoretic, body aches, fatigue and chills on 1/14/21. Second episode on 1/15/21 of nausea, body aches and lethargy.

Other Meds: Eliquis, Lasix, Gabapentin, Isosorbide, Mg Gluconate, Mesalamine, MVI, Omeprazole, Potassium Chloride, Tamsulosin, Trazodone, Tylenol

Current Illness:

ID: 0961457
Sex: F
Age: 54
State: CA

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Welt raised, red and hot it was 3 1/2 x 2 inches. this started a week after the injection

Other Meds:

Current Illness:

ID: 0961458
Sex: F
Age: 36
State: PA

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: Cephalosphorin, onions, grapes, berries

Symptoms: Red, swollen injection sight, with itching

Other Meds: No

Current Illness: No

ID: 0961459
Sex: F
Age: 24
State: MA

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Patient had a delayed reaction on her arm that started 7 days after receiving vaccine. Patient reports subtle sensitivity. Reports that it is not itchy but raised. No pain. Reports the rash has become less red and feels as though it is improving. She is also covid positive as of 1/7/2021.

Other Meds: buPROPion (WELLBUTRIN XL) 300 MG 24 hr tablet prazosin (MINIPRESS) 1 MG capsule

Current Illness: PTSD

ID: 0961460
Sex: F
Age: 31
State:

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills with moderate sweats, that increase after 6 hrs and lasted for 24+ hrs. Moderate abdominal pain, starting after 24 hrs and lasting for 14+ hrs, with cramping, diarrhea, nausea. Full body soreness, with weakness, dizziness, and fatigue.

Other Meds: Lisinopril 10 mg

Current Illness:

ID: 0961461
Sex: F
Age: 82
State: IN

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Codeine Erythromycin

Symptoms: Developed redness at injection site on second day. Reports the redness is now approximately 3 inches across and she can feel a hard lump under the skin. Also reports the area is itchy.

Other Meds: Levothyroxine Lovastatin Metoprolol Losartin

Current Illness: none

ID: 0961462
Sex: F
Age: 49
State: NC

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Heart Rate was 132 bpm on 01/15 @ 0950 in vaccine observation Heart Rate was 106 bpm on 01/15 @0958 upon arrival to ED

Allergies: Codeine, metronidazole, penicillins, eggs

Symptoms: Patient has had a history of an egg allergy as a kid, so she takes prednisone prior to flu immunizations to reduce any signs of allergic reaction. To prepare for this vaccine, she premedicated with prednisone from Monday-Friday. While sitting in observation, she notice that her heart was racing- at that time her heart rate was 132 bpm, and she was advised to go to the ED for further evaluation. Upon arrival at ED, her HR had reduced to 106 bpm at 0958. She was monitored and discharged at 1013 at which point to returned to work as a nurse without problem.

Other Meds: Lo Loestrin Fe, Armour Thyroid, Xyzal, Multivitamin, Prednisone

Current Illness: n/a

ID: 0961463
Sex: F
Age: 43
State: FL

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: N/A

Allergies: NKDA

Symptoms: Patient received vaccine on 1/12/2021 in the left deltoid. Patient self-reported the expected injection site pain for 2 days post vaccination. On 1/19/2021 patient self-reported feeling heat and increased tenderness. On 1/20/21 patient self-reported slight urticaria and redness. On 1/21/2021 patient reported back to the vaccination clinic to discuss symptoms. Left upper arm noted to be red with a slight raised appearance. Irregular border approximately 5 cm x 3 cm. Medical Director made aware and instructed patient to take Benadryl 25 mg q 8hr x 24 hrs and apply topical cortisone 1% QID.

Other Meds:

Current Illness:

ID: 0961464
Sex: M
Age: 53
State: PA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fatigue, muscle pain, joint pain, chills, fever 102 Tylenol taken for fever. symptoms lasted 24hrs

Other Meds: None

Current Illness: None

ID: 0961465
Sex: F
Age: 69
State:

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: codeine, penicillin

Symptoms: Moderna COVID-19 Vaccine EUA Dizziness, rapid heat beat, shortness of breath 20 min. after injection

Other Meds: armor thyroid

Current Illness: nine

ID: 0961466
Sex: F
Age: 59
State: KY

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 2 Hours post vaccine pt started feeling dizzy, lightheaded and "weird inside"/jittery

Other Meds:

Current Illness:

ID: 0961467
Sex: F
Age: 26
State: FL

Vax Date: 01/01/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: nka

Symptoms: Upper chest rash, and itchy

Other Meds: no

Current Illness: no

ID: 0961468
Sex: M
Age: 29
State: DE

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, chills and injection site soreness

Other Meds:

Current Illness:

ID: 0961469
Sex: F
Age: 26
State: ME

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Sulfa Medications

Symptoms: Vomiting lasting 48 hours, Diarrhea lasting 7 days, muscle aches, fever lasting 7 days, lethargic 4 days

Other Meds:

Current Illness:

ID: 0961471
Sex: F
Age: 25
State: PA

Vax Date: 01/15/2020
Onset Date: 01/15/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Patient's oxygen levels were monitored upon return to consciousness for 10-15 min until oxygen levels were considered normal. No other medical tests were performed.

Allergies: None.

Symptoms: 10 minutes following injection, patient felt brief 10 second sensation of feeling very hot and nauseas. This was followed by patient passing out and shaking/convulsing for a few minutes. Upon awakening patient experienced tingling in left arm and numbness in both legs for 5 min. Patient vomited following return of consciousness, and experienced vomiting during the course of the day of the injection.

Other Meds: None.

Current Illness: None.

ID: 0961472
Sex: U
Age:
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vaccinated with vial that might have had a temperature excursion; Vaccinated with vial that might have had a temperature excursion; Vaccinated with vial that might have had a temperature excursion; A spontaneous report was received from a nurse concerning a patient who received Moderna's COVID-19 vaccine (mRNA-1273) and was vaccinated with vial that might have had a temperature excursion. The patient's medical history was not provided. No relevant concomitant medications were reported. On 22 Dec 2020, the nurse reported a shipment was received. The vial arrived frozen and was placed in a freezer at recommended temperature. On 02 Jan 2021, the freezer had failed, and the temperature alarm system did not alert anyone. It was noted that the freezer temperature at 5:50 AM was -5 degrees Celsius (C), at 7:50 AM the freezer was a 1.5 C. It remained between from 9.7 C at 12:51 PM then went to 8.3 C at 1:51 PM then down to -8.7 C at 2:51 PM. On 03 Jan 2021 8:45 PM, the freezer returned to its normal temperature of -20.9 C, -1 C then went to 5.5 C at 11:56 PM. On 04 Jan 2021, the temperature climbed to 19.4 C. On the same day, the patient received their first of two planned doses of mRNA-1273 (Lot number: 025J20-2A, 025L20A, or 027L20A) intramuscularly for prophylaxis of COVID-19 infection and experienced vaccination with vial that might have had a temperature excursion No treatment information was provided. Action taken with mRNA-1273 in response to the event was not reported. The outcome of the event, vaccinated with vial that might have had a temperature excursion, was considered resolved on 04 Jan 2021.; Reporter's Comments: This report refers to a case of out of specification product use, product temperature excursion issue, and product storage error for mRNA-1273. There were no reported AEs associated with this case.

Other Meds:

Current Illness:

ID: 0961473
Sex: F
Age: 38
State: TX

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: NA

Allergies: Keflex

Symptoms: Lt arm pain radiates to hand , bodyaches , headache, cough, chills ,low grade fever, back pain Took ibuprofen, tylenol continue with with symptoms

Other Meds: NA

Current Illness: No

ID: 0961474
Sex: F
Age: 62
State: NY

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: sulfa

Symptoms: Moderna COVID-19 vaccine EUA. Approximately 10 hours after the vaccine, severe chills, fever, headache and inability to sleep. The symptoms subsided approximately 18 hours after onset.

Other Meds: vitamin D, multi vitamin, calcium

Current Illness: none

ID: 0961475
Sex: M
Age: 41
State: WA

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: Labs, CTA of head, lumbar puncture declined by patient as symptoms resolved.

Allergies: none

Symptoms: After 1st Pfizer shot I experienced the worst headache of my life 4-6 hours after the shot with localized pulsation in my right temporal region prior to the headache. The headache persisted through the night and I could not sleep and did not decrease with over the counter medication, my pain was rated 9/10 to 10/10 in the same area the pulsation happened. This headache continued for 4-6 hours at a severe level than for another 6-8 hours at a moderate to severe level. I ended up checking in at the Emergency department that I worked at after my shift and got labs and CT scan, this was after my symptoms resolved. I thought that I might have had a head bleed and wish I would have gotten my CT earlier when experiencing the symptoms. I was not provided a vaccine disclosure sheet or any information on what to do if experience severe symptoms or what symptoms to expect. I am upset that I was not provided guidance about what to expect and how to manage post vaccine symptoms, I would have gone into ED sooner with this information and feel I may have missed possible diagnosis due to lack of disclosure and guidance.

Other Meds: none

Current Illness: none

ID: 0961476
Sex: U
Age:
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vaccinated with vial that might have had a temperature excursion; Vaccinated with vial that might have had a temperature excursion; Vaccinated with vial that might have had a temperature excursion; A spontaneous report was received from a nurse concerning a patient who received Moderna's COVID-19 vaccine (mRNA-1273) and was vaccinated with vial that might have had a temperature excursion. The patient's medical history was not provided. No relevant concomitant medications were reported. On 22 Dec 2020, the nurse reported a shipment was received. The vial arrived frozen and was placed in a freezer at recommended temperature. On 02 Jan 2021, the freezer had failed, and the temperature alarm system did not alert anyone. It was noted that the freezer temperature at 5:50 AM was -5 degrees Celsius (C), at 7:50 AM the freezer was a 1.5 C. It remained between from 9.7 C at 12:51 PM then went to 8.3 C at 1:51 PM then down to -8.7 C at 2:51 PM. On 03 Jan 2021 8:45 PM, the freezer returned to its normal temperature of -20.9 C, -1 C then went to 5.5 C at 11:56 PM. On 04 Jan 2021, the temperature climbed to 19.4 C. On the same day, the patient received their first of two planned doses of mRNA-1273 (Lot number: 025J20-2A, 025L20A, or 027L20A) intramuscularly for prophylaxis of COVID-19 infection and experienced vaccination with vial that might have had a temperature excursion No treatment information was provided. Action taken with mRNA-1273 in response to the event was not reported. The outcome of the event, vaccinated with vial that might have had a temperature excursion, was considered resolved on 04 Jan 2021.; Reporter's Comments: This report refers to a case of out of specification product use, product temperature excursion issue, and product storage error for mRNA-1273. There were no reported AEs associated with this case.

Other Meds:

Current Illness:

ID: 0961477
Sex: F
Age: 31
State: VA

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: none known

Symptoms: Arm red and swollen hot to the touch started 01/082021 still 01/19/2021

Other Meds: not known

Current Illness: none

ID: 0961478
Sex: U
Age:
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vaccinated with vial that might have had a temperature excursion; Vaccinated with vial that might have had a temperature excursion; Vaccinated with vial that might have had a temperature excursion; A spontaneous report was received from a nurse concerning a patient who received Moderna's COVID-19 vaccine (mRNA-1273) and was vaccinated with vial that might have had a temperature excursion. The patient's medical history was not provided. No relevant concomitant medications were reported. On 22 Dec 2020, the nurse reported a shipment was received. The vial arrived frozen and was placed in a freezer at recommended temperature. On 02 Jan 2021, the freezer had failed, and the temperature alarm system did not alert anyone. It was noted that the freezer temperature at 5:50 AM was -5 degrees Celsius (C), at 7:50 AM the freezer was a 1.5 C. It remained between from 9.7 C at 12:51 PM then went to 8.3 C at 1:51 PM then down to -8.7 C at 2:51 PM. On 03 Jan 2021 8:45 PM, the freezer returned to its normal temperature of -20.9 C, -1 C then went to 5.5 C at 11:56 PM. On 04 Jan 2021, the temperature climbed to 19.4 C. On the same day, the patient received their first of two planned doses of mRNA-1273 (Lot number: 025J20-2A, 025L20A, or 027L20A) intramuscularly for prophylaxis of COVID-19 infection and experienced vaccination with vial that might have had a temperature excursion No treatment information was provided. Action taken with mRNA-1273 in response to the event was not reported. The outcome of the event, vaccinated with vial that might have had a temperature excursion, was considered resolved on 04 Jan 2021.; Reporter's Comments: This report refers to a case of out of specification product use, product temperature excursion issue, and product storage error for mRNA-1273. There were no reported AEs associated with this case.

Other Meds:

Current Illness:

ID: 0961479
Sex: F
Age:
State: FL

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Test Date: 20210108; Test Name: fever; Result Unstructured Data: Test Result:102.8; Test Date: 20210108; Test Name: Heart rate; Test Result: 130 s; Comments: elevated

Allergies:

Symptoms: several fainting spells because of everything going on; elevated HR in the 130's; Uncontrollable chills; fever of 102.8; pain all over my body; intractable vomiting; This is a spontaneous report from a contactable nurse (patient). A 55-year-old female patient (not pregnant) received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), lot EL0140, via an unspecified route of administration in left arm on 07Jan2021 10:45 at single dose for covid-19 immunisation. Medical history included covid-19 on an unknown date prior vaccination. There were not known allergies. Covid was not tested post vaccination. Concomitant medication included vitamin D; vitamin E. On 08Jan2021 at 02:00 the patient experienced several fainting spells because of everything going on, uncontrollable chills, fever of 102.8, pain all over the body, elevated heart rate in the 130's, and intractable vomiting. The patient was not treated for the events. The outcome of the events was resolved in Jan2021.; Sender's Comments: Based on the time association, all events are reasonably related to suspect BNT162B2 administration. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Other Meds: VITAMIN D;VITAMIN E

Current Illness:

ID: 0961480
Sex: F
Age: 39
State: NC

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: "Cillin" drugs, Sulfa drugs, Lasix

Symptoms: About 2 hours after vaccine, vaccine site itching. About 6 hours late, entire right arm itching. About 8 hours later, hives over entire body.

Other Meds:

Current Illness: Bronchitis about 2 weeks prior to vaccine.

ID: 0961481
Sex: F
Age: 69
State: FL

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: EKG NORMAL ON 01/19/21 PER PATIENT.

Allergies: AUGMENTIN

Symptoms: PATIENT IS A 69 AND 6 MONTHS OLD FEMALE WHO GOT HER FIRST COVID-19 VACCINE ON 01/19/21 AND EXPERIENCED OF WHAT SHE THINKS AN UNUSUAL EVENT/ FEELING AFTER VACCINATION. PATIENT REPORTED THAT 3 MINUTES AFTER VACCINATION, SHE FELT A STRANGE SENSATION AT THE BACK OF HER TONGUE, SHE THEN FELT FLUSHING SURGE FROM FEET TO NECK AREA, FOLLOWED BY STRANGE TASTE AND TINGLING SENSATION AT THE BACK OF HER TONGUE. SHE THEN REPORTED THAT OTHER SYMPTOMS LASTED FOR ABOUT A MINUTE BUT THETINGLING AND STRANGE TASTE DIDN'T WENT AWAY UNTIL AFTER THE BENADRYL WAS ADMINISTERED. SHE ALSO REPORTED THAT HER HANDS WERE SWEATING AND IT FELT COLD AND CLAMMY. SHE FELT HER HEART RATE WAS INCREASING. SHE SAID THAT AS SHE WAS WALKINGFROM HER CAR TOWARDS THE EMS VEHICLE, SHE FELT WEAKER AND WEAKER AND THIS WEAKNESS LASTED FOR ABOUT 2 HOURS. SHE ALSO FELT HER LEGS WERE HEAVY. EMS PERSONNEL TOOK V/S: BP WAS 161/97 MMHG; HR 89 BPM. SHE ALSO REPORTED THAT THE EKG THAT WAS TAKEN BY EMS PERSONNEL WERE NORMAL. SHE DENIED ANY DIFFICULTY BREATHING, NO SWELLING OF TONGUE OR FACE, NO ITCHING, NO HIVES. SHE REPORTED THAT EMS ADMINISTERED IV BENADRYL 25 MG AND SHE WAS GIVEN FAMOTIDINE(PEPCID) 10MG ORAL DOSE. AT THIS POINT, PATIENT DENIED ANY DIFFICULTY SWALLOWING. SHE THEN TRANSPORTED TO ER AND WAS OBSERVED FOR 2HRS AND WAS SENT HOME. PATIENT REPORTED THAT NO LABS DONE AT ER, THEY ONLY DID V/S MONITORING. UPON DISCHARGE, PATIENT REPORTED THAT HER BP WAS 142/76; HR-84 AND O2 SATURATION OF 96-100. PATIENT VERBALIZED THAT ALL SYMPTOMS WERE GONE BY THE TIME SHE WAS DISCHARGED. PATIENT REPORTED THAT ER DOCTOR MENTIONED THAT BASED ON HER S/S, IT SOUND LIKE ITS A MILD SIDE EFFECT OF VACCINATION. PATIENT REPORTED THAT SHE CALLED HER PCP AND REPORTED THIS INCIDENT TO HIM, HER PCP THEN RECOMMENDED TO NOT GET THE SECOND DOSE OF MODERNA VACCINE AND WAIT FOR THE JOHNSON'S AND JOHNSON'S COVID-19 VACCINE INSTEAD. PATIENT SAID THAT HER PCP REFERRED HER TO AN ALLERGY DOCTOR AND WAS SCHEDULED TO SEE HIM ON 01/26/21. WILL CONTINUE TO FOLLOW-UP ON PATIENTS REPORT.

Other Meds: LISINOPRIL 10MG; LEVOTHYROXINE 0.5MCG; ZETIA 10MG; FISH OIL 1000 MG; VITAMIN.E 400 IU; IBUPROFEN 2 TABS.

Current Illness: PATIENT DENIES ANY OTHER ILLNESSESS AT THE TIME OF VACCINATION AND UP TO ONE MONTH PRIOR.

ID: 0961482
Sex: F
Age: 65
State: GA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Injection site: very pain full to move arm, swollen, hot to touch. Fever reach 102.1, chills, extreme headache, nausea with vomiting, extreme joint pain, scale of pain 6.5, muscle pain, lethargic. Have been taking acetaminophen 2 - 500mg tabs every 6 hours. Has help to keep fever below 100 and reduce pain to a 2.5 to 3.

Other Meds: Synthroid 150mcg Liothyronine Sod 5mcg

Current Illness: none

ID: 0961483
Sex: F
Age: 39
State: AR

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Body aches, high fever, headache and sore arm. Ibuprofen helped a little. Tylenol did nothing for any symptoms . At the 24 hours mark, the fever is gone but still have body aches.

Other Meds: Livalo, Lexapro

Current Illness: None

ID: 0961484
Sex: F
Age: 52
State: CA

Vax Date: 01/18/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none yet

Allergies: none

Symptoms: red, swollen warmth at site. Redness into armpit and rt breast. Tylenol and cold compress. No further treatment yet. Awaiting response from occ med

Other Meds: centrum silver for women daily vitamin

Current Illness: none

ID: 0961485
Sex: F
Age: 58
State: NC

Vax Date: 09/10/2020
Onset Date: 09/17/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: N/a

Symptoms: No injury within 1 week after receiving vaccine. 1 week afterwards started to get pain to the likeness of a torn rotator cuff feeling she had experienced in her opposite shoulder. She did not take any OTC medications such as Tylenol or Ibuprofen due to her renal disease and started Tylenol didn?t work. Her shoulder pain has become progressively worse in the last 3-4 weeks and recently it has been difficult to sleep at night on that side. She has not been seen by a physician for this. Recently it has been difficult for her to lift anything more than 8 pounds more than 45 degrees of angle in the arm without pain. She is in constant pain and states it has become progressively worse.

Other Meds: N/a

Current Illness: N/a

ID: 0961486
Sex: F
Age: 29
State: CO

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: Unknown

Symptoms: Pt. called PCP office, stated she hand a sore arm and a small area of erythema after receiving the Moderna vaccine. Now it has increased to 3-4 inches and is warm to touch at the injection site. Pt. was informed to take Benadryl, ibuprofen and apply cool compresses

Other Meds: Unknown

Current Illness: unknown

ID: 0961487
Sex: M
Age: 61
State: WA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache

Other Meds: Metformin, Lipitor, calcium, vit D, baby aspirin, xtandi, lupron, xgeva

Current Illness:

ID: 0961488
Sex: F
Age: 74
State: FL

Vax Date: 01/09/2021
Onset Date: 01/17/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: on day 4 inches of itchy redness on arm, swollen Applied cortisone cream and it helped Much better now

Other Meds: Trilogy Ventolin PRN Singulair Tamoxifen Synthroid Zolair shots

Current Illness: None

ID: 0961489
Sex: F
Age: 37
State: MI

Vax Date: 01/11/2021
Onset Date: 01/14/2021
Rec V Date: 01/21/2021
Hospital: Y

Lab Data: SARS-CoV2 - negative Sed Rate - 0 WBC - 6.4 Chest xray - no acute disease

Allergies: No known allergies

Symptoms: Lupus flare, intractable pain, chest pain; patient received prolonged infusion of ketamine

Other Meds: Firorinal 325mg-50mg-40mg Norflex 100 mg Nurtex ODT 75 mg Saxenda 18mg/3mL sq Slynd 4mg Soma 250 mg Topamax 25 mg Trokendi XR 100 mg Vraylar 3mg cetirizine 10 mg chlorprmazine 25 mg dihydroergotamine 1mg/mL gabapentin 300 mg lamotridine 100

Current Illness:

ID: 0961490
Sex: F
Age: 43
State: AZ

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: no

Allergies: none

Symptoms: About an hour after vaccine pain in arm, up to shoulder and up to back. Pain worse this morning. No treatment.

Other Meds: Abilify 15 mg; Trazadone 100mg; Prozac 10 mg

Current Illness: none

ID: 0961491
Sex: F
Age: 55
State: WA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Dilantin

Symptoms: About 10 minutes after my shot, I felt my blood pressure tanking. They wheeled me into the back on a bed chair and had me lie down for about 10 minutes. I sat up, felt okay, and went out to my car. I sat in my car for a few minutes, breathing in fresh air outside, and ate an orange. I went home, and felt completely drained of energy for the rest of the day and all of the following day. I worked for four hours on the day after that, and still wasn?t feeling 100%, but was better. On the Monday after the shot that had been on Friday, I was pretty close to normal, maybe 85%.

Other Meds:

Current Illness:

ID: 0961492
Sex: F
Age: 38
State: NC

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: COVID 19 testing 1/15/21 (neg)

Allergies: sulfa

Symptoms: The following day after the 2nd Pfizer covid vaccine, I have SEVERE arthralgias, myalgias, malaise & chills (no fever).

Other Meds: metoprolol, Irbesartan, progesterone, xyzal, ibuprofen, amitryptyline

Current Illness: N/A

ID: 0961493
Sex: F
Age: 30
State:

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: I developed a rash around the injection site, it is red, blotchy and itchy. The rash expanded a large portion of my left arm around the site of injection and it has gone down significantly, however, it is still slightly itchy, red and blotchy. after 8 days.

Other Meds: Cryselle

Current Illness: N/A

ID: 0961494
Sex: F
Age: 75
State: PA

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: Oxycodone, Mesalamine, trees, pollen

Symptoms: Cellulitis left upper arm, erythema, itching, warm to touch

Other Meds: Proair, Vit D-3, Zoloft, Zocor, Vit E, Metamucil, Levothyroxine, Biotin, Omega 3

Current Illness: none

ID: 0961495
Sex: F
Age: 44
State: PA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: adhesive, gluten, IBS sensitive diet (FODMAp) followed

Symptoms: Swelling and pain at site, but also into armpit and up to collar bone

Other Meds: I take pantoprazole, cetirizine, fluticasone, DoTerra Essential Oil multi vitamins

Current Illness: none

ID: 0961496
Sex: F
Age: 90
State: NE

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: MORNING AFTER VACCINATION, DEVELOPED VOMITING, DIARRHEA, HEADACHE, LOWER BACK PAIN, LEG PAIN, AND RASPY VOICE. WENT TO ER ON 1/21/21

Other Meds:

Current Illness:

ID: 0961497
Sex: F
Age: 38
State: IL

Vax Date: 12/31/2020
Onset Date: 01/06/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none, but I need to use the continuation page for my medications and health conditions and the program isn't letting me click into it. So, I'm filling up this space to see ..........

Allergies: sulfa antibiotics, seasonal/environmental

Symptoms: Because of itchiness, on 1/6/2021 I noticed a red, raised area at the injection site. It was approximately the size of a quarter. On 1/8/2021, the area had doubled in size, which prompted me to call my primary care doctor. I spoke to my doctor's nurse on the phone and she spoke to my doctor. I was prescribed prednisone, 40 mg once a day for 5 days. When the prednisone was finished, an outline to the rash was visible but not red, just discolored. Since, the outline also disappeared and the rash is completely gone.

Other Meds: see continuation page

Current Illness: none

ID: 0961498
Sex: F
Age: 26
State: AZ

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: latex, xyzal

Symptoms: Pfizer Covid Vaccine; 26 y.o. female who presents after feeling weak and dizzy after COVID vaccination. Patient received the vaccination at 1230 and is still symptomatic. There is no sign of anaphylaxis. Obtained orthostatics at bedside and she is not orthostatic. Patient appears very anxious. Will give patient juice and crackers as well as obtain a glucose. Gave the option to obtain labs however she declines at this time. Patient was given 216 oz bottles of water and a 12 oz bottle of grape juice and a muffin and also saltines. Patient is now stable for discharge

Other Meds: albuterol

Current Illness:

ID: 0961499
Sex: M
Age: 36
State: OH

Vax Date: 01/05/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital: Y

Lab Data: CBC 1/21/2021 Severe thrombocytopenia platelet count of 1.

Allergies: No

Symptoms: Severe thrombocytopenia platelet count of 1.

Other Meds: Lamotrigine Levetiracetam Ibuprofen PRN last dose 1 week ago

Current Illness: None

ID: 0961500
Sex: F
Age: 40
State: OR

Vax Date: 01/11/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: No known allergies

Symptoms: I received the vaccine 10 days ago and the only side effect I had was injection site soreness for a couple of days. Then, yesterday, I noticed a large, circular, reddish, raised, slightly hardened & warm to the touch area on my left arm near the injection site. Today, it has become slightly bigger and redder and there are 2 smaller circles that seem to trail off of it as well.

Other Meds: Nature's Way "Alive!" Once Daily Women's 50+ multivitamin, Medicove Health Immune Support Supplement (contains Quercetin 250 Mg, Vitamin C (as Ascorbic Acid) 500 mg, Zinc (Picolinte) 50 MG, Vitamin D3 (as Cholecalciferol) 750 IU)

Current Illness: None

ID: 0961501
Sex: M
Age: 43
State: MN

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Amoxicillin

Symptoms: After the required wait period of 15 minutes I started to drive back home which is 77 miles from the hospital that administered the vaccination. Around 15 minutes down the road I started feeling like something was caught in my throat and was coughing a little. At that time I decided to turn around and go back to the hospital. I took an oral Benadryl 25mg and decided to wait in my car and see if it was something else. After 30-45 minutes I took a drink of water and realized I was having trouble swallowing. I then preceded into the ER and was admitted immediately. In the ER, they started an IV, administered Benadryl, methylprednisolone and a bag of saline. The physician discussed with me and we agreed to hold the Epinephrine to see how I reacted to the previous medications. I was then monitored for a couple hours then released with a prescription of Prednisone 60mg for 5 days and an EpiPen. One day out, no new symptoms besides injection site pain.

Other Meds: Lisinopril, Omeprazole, Ibuprofen

Current Illness:

ID: 0961502
Sex: F
Age: 31
State:

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills with moderate sweats, starting at 6 hrs and lasting 24+ hrs. Moderate abdominal pain, with cramping, diarrhea, nausea, starting at 20 hrs and lasting 12+ hrs. Full body weakness, with dizziness and fatigue, starting at 20 hrs and lasting for 24+ hrs.

Other Meds:

Current Illness:

ID: 0961503
Sex: F
Age: 34
State: MD

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 01/21/2021
Hospital: Y

Lab Data: CT abdomen/pelvis with contrast 1/17/21 - acute appendicitis with appendix measuring 1.8 cm in diameter with signs of perforation, free fluid, fat stranding, and lymphadenopathy CBC on 1/17/21 - WBC 11.91

Allergies: None

Symptoms: I am a resident physician/ employee at the Hospital. I developed acute perforated appendicitis 56 hours after receiving the 2nd dose of Pfizer COVID vaccine. I received the vaccine on 1/12/21 and developed symptoms of epigastric pain and vomiting on 1/14/21. On 1/15/21, I developed fever and right lower quadrant pain that was sustained. I presented to the Hospital Emergency Department on 1/17/21 and was diagnosed with acute perforated appendicitis by CT with contrast. I underwent emergency appendectomy at The Hospital on 1/17/21 and was hospitalized from 1/17/21-1/19/21.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm