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: 0962628
Sex: F
Age: 43
State: MI

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

Lab Data: None

Allergies: None

Symptoms: Chills body aches fevers shortness of breath fatigue dizziness elevated blood pressure

Other Meds: None

Current Illness: Covid

ID: 0962629
Sex: F
Age: 24
State: CA

Vax Date: 01/12/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Spirnolactone

Symptoms: Red Ring 2-3 inches right next to injection site

Other Meds: Wellbutrin and BC

Current Illness: n/a

ID: 0962630
Sex: F
Age: 48
State: NY

Vax Date: 01/12/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: Demerol Vomiting Sulfa (Sulfonamide Antibiotics) Rash

Symptoms: Pruritic rash-covering many areas of the body including back, abdomen, hands, arms, pubic area *Benadryl ? clobetasol 0.05 % topical cream ? Pepcid 20 mg tablet ? allergist referral

Other Meds: duloxetine 60 mg capsule lorazepam 1 mg metoprolol succinate ER 25 mg omeprazole 20 mg capsule

Current Illness: None

ID: 0962631
Sex: F
Age: 32
State: MI

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

Lab Data: None

Allergies: None

Symptoms: Foggy headed, stuffy nose, chills, fever, cold sweats, body aches, severe headache, extreme fatigue all lasting two days so far

Other Meds: Lexapro, multivitamin, ibuprofen, vitamin c

Current Illness: None

ID: 0962632
Sex: F
Age: 51
State: MD

Vax Date: 01/13/2021
Onset Date: 01/16/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Examined by PCP

Allergies: None

Symptoms: Herpes zoster on right eye and bridge of nose. Also has rash on back of head on left side radiating up

Other Meds: Ibuprofen Multivitamin

Current Illness: Back pain

ID: 0962633
Sex: M
Age: 32
State: MI

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Seen at Sparrow urgent care 1/20/2021

Allergies: Bactrim

Symptoms: 10 days after receiving the first Moderna COVID-19 vaccination shot, the site of injection became red, swollen, painful, and hot to the touch. This was similar to when I fitter got the shot, but then it went away. After 10 days, it returned. It seems to be a localized reaction.

Other Meds: Cefadroxil

Current Illness:

ID: 0962634
Sex: F
Age: 38
State: FL

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: The day after I had the shot, i started to itch on my left arm , around the area I had the shot,,and then it developed into a rash like situation on both arms...the itching was so intense and then i noticed tiny bumps and black and blue spots along my right and left arm. It then spread to my thighs and upper chest area. I also had tightness in my throat and i took some Benadryll over the weekend hoping it would go away but it didn't. It got worse. On Monday, it was swollen on both arms and looked more like hives, red itchy with tiny bumps. On Tuesday, I went to my PCP who indicated it may have been an allergic reaction from the vaccine. She gave me Medrol and that is what I have been taking. Today the itching is a little less intense ..

Other Meds: Amitrypityline, Topomax, Omeprazole.

Current Illness: none,

ID: 0962635
Sex: F
Age: 31
State: NY

Vax Date: 12/26/2020
Onset Date: 12/26/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 100.4-100.5 , muscle pain and join pain.

Other Meds:

Current Illness:

ID: 0962636
Sex: F
Age: 40
State: CA

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

Lab Data: None.

Allergies: None

Symptoms: stated she sometimes faints, and then proceeded to faint. Contacted EMTs from observation who lowered her to the ground safely where she regained consciousness. Observed in room for 15 minutes. Was able to get up and move without assistance. Went with EMT to observation area without any assistance. Pt HR 72. Lying on floor up to 1 minute. No falls. Lying on floor up to 1 minute. Vasovagal response consistent with previous reactions post-vaccination. Currently seen sitting upright in chair A/Ox4, denies any discomfort, denied offer for fluids or food. Smiling. Treated by paramedic and RN.

Other Meds: None reported

Current Illness: None reported

ID: 0962637
Sex: F
Age: 33
State: CO

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

Lab Data: None, happened to have negative COVID test the day after vaccine for unrelated reasons (neg 1/20/21)

Allergies: Pineapple

Symptoms: Muscle aches, temp 100.2, fatigue, joint aches, headache, nausea- started around hour 8, slight improvement around hour 24, then worsened again, resolved mostly by hour 36, very residual symptoms after that, though arm itching started around hour 50

Other Meds: None

Current Illness: None

ID: 0962638
Sex: F
Age: 61
State: MS

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

Lab Data: N/A

Allergies: Simvacort, shellfish

Symptoms: Pressure on the chest, labored breathing, hives on neck, upper arms, back

Other Meds: Losartan, Metformin, Welchol,, Lamictal, Quetiapine, Vesicare, ASA, Urocit-K

Current Illness:

ID: 0962639
Sex: F
Age: 76
State: GA

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: PT WAS ADMINISTERED FIRST DOSE OF SHINGRIX ON 1/4/2021. FOLLOWING MORNING REPORTS REACTION (REDNESS AND SWELLING) BETWEEN INJECTION SITE AND ELBOW. ONE WEEK FOLLING INJECTION, PT REPORTS SEVERE SENSITIVITY AND PAIN ON FOREARM OF ARM THAT INJECTION WAS ADMINISTERED. PT WAS TOLD BY ANOTHER HEALTHCARE PROFESSIONAL THAT SHE HAD DEVELOPED A MINOR CASE OF SHINGLES. SYMPTOMS RESOLVED WITHOUT TREATMENT AFTER 2 DAYS.

Other Meds:

Current Illness:

ID: 0962640
Sex: F
Age: 48
State:

Vax Date: 01/08/2021
Onset Date: 01/17/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Itchy, red, large bump at the site of the injection 9 days after receiving vaccination

Other Meds:

Current Illness:

ID: 0962641
Sex: F
Age: 70
State: GA

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

Lab Data: None

Allergies: lodine,codeine paxil

Symptoms: Headache with burning lips burning and stinging in right side of face with slight swelling. Pulsating area below lip on right side of face. Pulsation visable when looking at face. On the first day, Jan 19, 21. Nausea,dizzyness and off balance,headache. Second day 1/22/21 just general unwell feeling all day with headache.

Other Meds: thyroid ,celebrax, eye drops for glaucoma

Current Illness: None

ID: 0962643
Sex: F
Age: 38
State: KY

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

Lab Data: Covid-19 PCR test 1/21/21 - negative

Allergies: Amoxicillin, Aspirin, Azithromycin, Bromocriptine, Cephalexin, Ciprofloxacin, Doxycycline, Fluconazole, Lorazepam, Meperidine, Morphine, Simvastatin, Vancomycin, Voriconazole

Symptoms: 13 days post vaccination, I have an raised, red rash over the injection site and symptoms of fever (approx 100.2), asthma increase, red and itchy eyes, and fatigue.

Other Meds: venlafaxine 150 MG 24 hr capsule, traZODone 100 MG tablet, montelukast 10 mg tablet, levalbuterol 45 mcg/actuation inhaler, estrogens (conjugated) 0.3 MG tablet, omeprazole 40 MG capsule, daily probiotic, daily multivitamin

Current Illness: n/a

ID: 0962644
Sex: F
Age: 70
State: FL

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

Lab Data: none

Allergies: Phenergan, Morphine, Latex, Wood smoke

Symptoms: Started becoming very warm while resting in bed getting ready for sleep. Fell asleep and woke up a little while later sweating from head to toe and trembling. Thinking was hard, but not actually confused. I thought maybe I needed to eat something because occasionally I have low blood sugars (not diagnosed) and get sweaty and nauseated. I wasn't nauseated but thought I'd try to eat something anyway but couldn't. The mental fog was very disconcerting. I don't know how long the sweat lasted but probably not more than 5 minutes. When it started abating, I laid down again and fell asleep. I didn't have any after effects when I woke up again. This may have nothing to do with the vaccination of course.

Other Meds: Fluvoxamine, Atorvastatin, Pramipexole, Lamotrigine, Preservision, Vitamin D, Nexium, Levothyroxine

Current Illness: none

ID: 0962645
Sex: F
Age: 55
State: GA

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

Lab Data: none

Allergies: whey, wheat, cucumbers, pickles, mint, green peppers, white milk, oats

Symptoms: My head been pounding for almost 3 days all day

Other Meds: Celexa 20 mg , Clozapine .5 mg

Current Illness: none

ID: 0962646
Sex: F
Age: 41
State: MO

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

Lab Data:

Allergies: NKDA

Symptoms: Severe body aches muscle and joint. Severe HA, Fever, Chills, hair loss

Other Meds: none

Current Illness: NONE

ID: 0962647
Sex: F
Age: 72
State: CO

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: worked up in ED at Medical Center (location where vaccine was administered) for fatigue, dizziness, tachycardia. Received IVF. Elevated WBC, possibly sepsis & UTI rather than vaccine reaction. Patient transferred to another Hospital for admission.

Other Meds: Acetaminophen, Maalox, amitriptyline, aspirin, atorvastatin, Pepto-Bismol, CoQ-10, cranberry extract, estradiol cream, fexofenadine, fluticasone nasal spray, milk thistle supplement, modafinil, mutli-vitamin/mineral; Golo Diet capsules, fis

Current Illness:

ID: 0962648
Sex: F
Age: 34
State: NY

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

Lab Data: Took Benadryl

Allergies: No

Symptoms: Patient developed Hives shortly after dose. Reporting on same day of event.

Other Meds:

Current Illness: No

ID: 0962649
Sex: F
Age: 43
State: MD

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

Lab Data:

Allergies:

Symptoms: Starting the day after the vaccination she started feeling cold and having a headache. She then developed a temperature of 101.1.

Other Meds:

Current Illness:

ID: 0962650
Sex: F
Age: 60
State: CA

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

Lab Data:

Allergies: Cats, pollen

Symptoms: Fatigue through the late morning afternoon. Around 9pm - the injection site started to swell. There was pain and some itching, redness. Pain was soreness. I took diphenhydramine 25 mg prior to going to bed and iced the site of the injection for about 10 minutes around 11pm. This morning the injection site remains sore, red, and swollen, a little itching, but it is improved.

Other Meds: NONE

Current Illness: none

ID: 0962651
Sex: F
Age: 57
State: PA

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 8 days after injection, patient presented at location with redness and warmth around injection site.

Other Meds:

Current Illness:

ID: 0962652
Sex: M
Age: 59
State: MN

Vax Date: 01/08/2021
Onset Date: 01/17/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: iodine

Symptoms: onset of left sided mouth numbness & weakness associated with change in taste but no change in sense of smell over the past 2 days- woke up 2 days ago with subtle changes to the left mouth - no associated other symptoms of headache, sore throat ear pain or drainage & no skin lesions to the nose, ear or left cheek; no stiff neck , sore throat, fever, chills, rigors * no recenbt URI symptoms or trauma to the left ear ie using Qtips; denies prior similar symptoms & no associated visual changes , double vision or partial visual field changes ie amuarosis fugax, teichopsia or pallisading;

Other Meds:

Current Illness:

ID: 0962654
Sex: F
Age: 49
State: TX

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

Lab Data: None

Allergies: Codeine Bactrim Lisinopril Seasonal allergies Stinging insects

Symptoms: Slight elevation in heart rate, resolved after 30 minutes

Other Meds: Humalog Lantus Levothyroxine Rosuvastatin Losartan Multivitamin Citrucel Cetirizine HCL

Current Illness: None

ID: 0962655
Sex: M
Age: 43
State: NY

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

Lab Data: Covid pcr test : January 15, 2021: negative

Allergies: Lactose intolerant, gluten sensitivities, caffeine sensitivity

Symptoms: The first day I was fatigued and achey for a few hours and wanted to go to sleep very early. The following two days my arm was sore at the injection site but that went away in a couple days. 3 days post vaccination, my right axilla and median and ulnar nerves were extremely sensitive for 3 days but that subsided. 6 days post vaccine I started to get extreme fatigued, low energy and feel like my nerves were hot. I got a covid test which was negative because I was not feeling well. Then 9 days post vaccine I started to feel very fatigued, achey, and I couldn?t sleep well and like my nerves were burning up all over my body. I had to call out of work due to brain fog, fatigue, nerve heat, difficulty concentrating. I took my temperature during all this and it was 97.7. My hands felt very hot and I could wash them under warm water because the water felt way too hot.

Other Meds: Cymbalta

Current Illness: None

ID: 0962656
Sex: F
Age: 37
State: CA

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

Lab Data: none

Allergies: No known drug/food/product allergies

Symptoms: tender to site of injection, redness, swelling (3 red rings, one being larger than the other two-larger one on lower deltoid) and warm to touch

Other Meds: Multi Vitamin, Zinc, Vitamin D

Current Illness: none

ID: 0962657
Sex: F
Age: 50
State: CA

Vax Date: 01/15/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Morphin

Symptoms: Heavy menstruation bleeding few days after the vaccine. I had my period a week prior to vaccine. Never had such a bad bleeding

Other Meds: Levoxyl was taking in the morning

Current Illness:

ID: 0962658
Sex: M
Age: 38
State: NC

Vax Date: 01/08/2021
Onset Date: 01/12/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Eye exam

Allergies: None

Symptoms: L red eye Diagnosed as scleritis by optometrits Personal history of iritis/scleritis 3-4 times in the past

Other Meds: None

Current Illness: None

ID: 0962659
Sex: F
Age: 30
State: PR

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

Lab Data: n/a

Allergies: none

Symptoms: After a couple of minutes presented palpitations and hotness. Lasted some minutes.

Other Meds: n/a

Current Illness: no

ID: 0962660
Sex: F
Age: 33
State: WV

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

Lab Data: None

Allergies: none

Symptoms: Patient experience chills; shivering and injection site swelling. This lasted 3 hours.

Other Meds: Sprintec MultiVitamin

Current Illness: none

ID: 0962661
Sex: F
Age: 50
State: OH

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

Lab Data:

Allergies:

Symptoms: symptoms include severe back pain, fever and headache after vaccine 01/19/2021. Patient had COVID-less than three months ago. Advised to see Family doctor

Other Meds:

Current Illness:

ID: 0962662
Sex: F
Age: 78
State: NY

Vax Date: 01/14/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: allegtic to motrin 800 (causes shortness of breath) and toprol (causes dpression)

Symptoms: Vaccine received Thursday. Early Monday morning I started itching, in all my joints. This then spread over my whole body, which turned blotchy and red. I applied hydrocortisone cream and took took benadryl on Monday afternoon. The problem resolved itself by the following morning.

Other Meds: Trelegy/Ellipta, losartan potassium, fluoxetine,amlodipine, aspisrins, oysteer shell w/;vitamin D, atorvastatin, montelukast, ezetimibe, albuterol

Current Illness:

ID: 0962663
Sex: M
Age: 75
State: TX

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

Lab Data: None

Allergies: None.

Symptoms: Next morning, minor pain and swelling after daily exercise, approximately 10:30 AM. Swelling subsided slightly 3 hours later, but minor swelling and minor pain remain. No treatment.

Other Meds: Atorvastation, 20 mg, Daily. Losartin, 100 mg, Daily. Omeprazole, 25 mg, Daily, Ergocalciferol, 50,000 units, Monthly. EVOA AREDS-2 vitamins, Daily. Low-dose aspirin, 81 mg, Daily.

Current Illness: None.

ID: 0962664
Sex: F
Age: 51
State: PA

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

Lab Data:

Allergies:

Symptoms: Body aches, chills, fever, headache, sweats, dizzy, arm soreness, tender at injection site

Other Meds:

Current Illness:

ID: 0962665
Sex: F
Age: 51
State: NY

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

Lab Data: none

Allergies: PCN: rash

Symptoms: 12 hours later: 2 am -fever, chills, lethargy, bone pain persistent for 48 hours, Took one Tylenol For one week after the shot: rhinorrhea, sore throat, no fever.

Other Meds: Losartan 50mg once a day HCTZ 25 mg once a day Xarelto 10mg once a day Vit D3 ASA 81 mg once a day

Current Illness: none at the time of vaccination

ID: 0962666
Sex: F
Age: 45
State: IN

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

Lab Data:

Allergies: Wasp

Symptoms: Body aches, tingling in lip/tongue, tongue swelling, fever, tingling in left arm above the elbow, diarrhea, rash, sore throat, headache

Other Meds: Wellbutrin Ortho-micronor Dyazide

Current Illness:

ID: 0962667
Sex: F
Age: 72
State: CO

Vax Date: 01/12/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: sulfa

Symptoms: Redness and itchy rash at injection site 2-3" wide

Other Meds: mepolizumab, gabapentin, dulera inhaler, atorvastatin, pantoprazole, ibuprofen, multi-vitamin, calcium, zinc

Current Illness:

ID: 0962668
Sex: F
Age: 64
State: CA

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

Lab Data: No medical test and/ laboratory results related to the adverse eveent.

Allergies: No known allergies.

Symptoms: Pt. received Covid 19- Moderna vaccine on Left Deltoid at 10:13 AM. Pt was out in the recovery area for fifteen minutes. At 10:30 AM patient c/o dizziness. Pt was brought inside for further monitoring. Vital signs were taken at 10:40 HR 88, O2 98 % , BP 130/70. Pt stated that she is feeling much better. Vital signs were retaken at 11:00 Am HR 89, O2 % 97 %, BP 135/ 70. Pt was sent home. Husband will be driving patient home. Pt. to seek medical attention if she has any difficulty breathing.

Other Meds: 100 mg Losartan, Multivitamin, glucosamine chondroitin, fish oil, calcium, baby aspirin

Current Illness: No other illnesses at the time of vaccination and up to one month prior.

ID: 0962669
Sex: F
Age: 90
State: KS

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: CBC and CMP completed on 01/13/2021.

Allergies:

Symptoms: Resident tested positive for COVID 01/06/2021. Resident received outpatient IV fluid bolus of D5NS 1 liter on 01/13/2021.

Other Meds:

Current Illness:

ID: 0962670
Sex: F
Age: 51
State: MS

Vax Date: 01/05/2021
Onset Date: 01/17/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: codeine, morphine, lisinopril

Symptoms: bruising at injection site, redness and swelling below injection site

Other Meds: tylenol, adderall, bystolic, hctz, buspar, synthroid, wellbutrin, ambien, lipitor,

Current Illness: none

ID: 0962671
Sex: F
Age: 58
State: GA

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

Lab Data: None

Allergies: Botox, Levaquin, Penicillin

Symptoms: Around 2pm the day of the vaccine, my tongue started to feel like it was burned, rough , and someone spilled novacaine on the surface of it. My throat also started to hurt, which lasted until about 6pm. The day after the vaccine, (today) my tongue still feels the same, and i have a metallic taste in my mouth when I eat.

Other Meds: Glucosamine/Chondroitin, Vitamin d

Current Illness: None

ID: 0962672
Sex: F
Age: 49
State: VA

Vax Date: 01/14/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Pcn, sulfa, cipro

Symptoms: Supraclavicular/axillary lymphadenopathy, injection site rash

Other Meds:

Current Illness:

ID: 0962673
Sex: F
Age: 49
State: PA

Vax Date: 01/13/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: n/a at time of reporting

Allergies: suspected egg yolk - not confirmed

Symptoms: Started Sunday 1/17 or Monday 1/18 itchy arm at and around injection site Monday 1/18 started getting soreness in armpit Monday 1/18 onwards - this soreness spread to shoulder and upper part of back, upper chest/collarbone area, neck (all on left side; neck up to the voice box area) Wednesday 1/20 I noticed my left deltoid muscle got stiff and tight feeling, and it was quite swollen. It was NOT red; still somewhat itchy, but not horribly so. Swelling seemed to extend to my shoulder. Has had no negative impact on breathing; sore and tight feeling. Taking ibuprofen since 1/20. Helps a little, but still sore/swollen. I called my doctor, but no doctor visit at time of submission (tt nurse, waiting for Dr to call.

Other Meds: Oxybutynin 5mg; Zyrtec 10mg; Probiotic (forget brand)

Current Illness: n/a

ID: 0962674
Sex: M
Age: 61
State: TX

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

Lab Data: BP 114/57 P 57

Allergies: None

Symptoms: diaphoretic

Other Meds: Metformin, Lisinopril

Current Illness:

ID: 0962675
Sex: F
Age: 39
State: CA

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

Lab Data:

Allergies:

Symptoms: Roughly between 1400 and 1410 the patient received the Moderna vaccine in the right deltoid. Patient stated 5 minutes after injection the she felt "a warm feeling from my head to my chest area. Like a burning feeling". Since this symptom was not cardiac or respiratory in nature and the patient did not appear in distress, Benadryl 25 mg PO was administered roughly at 1415. Patient was closely observed afterward. Patient alerted staff 3 minutes after the Benadryl administration that she felt tightening in the throat and itchiness. Epinephrine was administer to left thigh. Patient stated immediate relief. Emergency medical services were offered, but the patient declined. The first set of vitals retrieved were 136/78 BP, 81 pulse, patient lung sounds clear, no wheezing present. Patient is awake and alert. Onsite physician assessed the patient. Patient monitored for additional 30 minutes after epinephrine injection. Last set of vitals 120/81 BP, pulse 88, lunch sounds clear no wheezing. Patient is calm, awake, and alert. ODR clinical representative and patient educated on anaphylaxis signs and symptoms and advised to seek medical attention if symptoms occur. Patient released from observation at 1455.

Other Meds:

Current Illness:

ID: 0962676
Sex: F
Age: 54
State: FL

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

Lab Data:

Allergies: Dilaudid

Symptoms: After first shot had palpitations and nausea for 24 hours. ( I did report prior to taking second dose) After second shot developed shortness of breath and nausea. Particularly bad with having to don mask. Did not go to ER or doctor. Has resolved somewhat' but still not able to tolerate mask.

Other Meds: Vitamin C

Current Illness: N/A

ID: 0962677
Sex: F
Age: 55
State: CA

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: None at this time, will make follow-up appointment with MD

Allergies: Clindimycin

Symptoms: After injection immediately had odd taste on my tongue. Had elevated heart rate few minutes after vaccination and intermittently x 5 days after the vaccine. Following day had tingling to the right side of my upper lip and right side of face felt somewhat numb. Had pain to right side of face up to right ear.

Other Meds: None

Current Illness: None

ID: 0962678
Sex: F
Age: 33
State: TX

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

Lab Data: Normal LFTs, pancreatic enzymes. Gallbladder US revealed sludge and gallstones in gallbladder but no evidence of obstruction. Went to OR for cholecystectomy on 1/13/2020 and was found to have gangrenous cholecystitis and hydrops of gallbladder. Cultures obtained (I was pre-treated with antibiotics) and were ultimately negative. Discharged home on POD 2

Allergies: None

Symptoms: Developed hydrops of gallbaldder and acute cholecystitis 12 hours after vaccination with no history of gallbladder disease prior to this. I was 26 weeks 5 days pregnant with EDD 04/15/2021

Other Meds: Prenatal vitamins

Current Illness: None

ID: 0962679
Sex: F
Age: 72
State: FL

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

Lab Data:

Allergies:

Symptoms: Soreness at injection site for 3 days, itchy at the injection site for 1 day

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm