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: 0962831
Sex: M
Age: 41
State: NY

Vax Date: 01/07/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: EKG- Normal CAT Scan- Normal MRI- Normal Blood Work- Normal

Allergies: NO

Symptoms: Bell Palsy Type Symptoms on the right side of my face. Sun the 17th I began to feel my tongue tingle. Thought I had burn my tongue on hot food. Didn't think anything of it, Monday my right eye began to water like crazy. Didn't think anything of it. Tuesday morning I had a hard time eating breakfast because I couldn't open my mouth wide enough and was hitting my bottom lip with my teeth. i thought it was strange but didn't think anything of it. Took a shower about 11;30 and when I looked in the mirror I notice the ride side of my face was not responding like the left side, I called my doctors office and they got me right in. After a brief consultation they called ER and told me I would be on my way. I checked into ER at about 1;30pm.

Other Meds: Lisinopril-Blood Pressure Escitalopram- Anxiety omeprazole- Heartburn simvastatin- Cholesterol Saxenda-

Current Illness: No

ID: 0962832
Sex: F
Age: 60
State: NY

Vax Date: 01/09/2021
Onset Date: 01/16/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: PCN

Symptoms: Patient developed rash on left arm 7 days after receiving the vaccine. Rash described as erythematous with multiple papules, with itching and discomfort. The rash subsided 4 days later.

Other Meds: Magnesium, multivitamin

Current Illness: Raynauds

ID: 0962833
Sex: F
Age: 52
State: TX

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

Lab Data: Not aware of any at this time.

Allergies: none reported

Symptoms: Patient started getting very hoarse about 1.5 hours after vaccination. When clinic pharmacist questioned patient about condition, patient only reported hoarseness and did not report any difficulty breathing or swelling in the throat or face at that time. Pharmacist discussed what to monitor and when patient should seek immediate medical attention. Patient asked if she could take any OTC products. Pharmacist discussed OTC options with patient and re-iterated what to monitor and when patient should seek immediate medical attention.

Other Meds: unknown

Current Illness: none reported

ID: 0962834
Sex: M
Age: 70
State: KS

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

Lab Data:

Allergies:

Symptoms: Resident tested positive for COVID on 01/06/2021. Resident received monoclonal antibody treatment on 01/09/2021.

Other Meds:

Current Illness:

ID: 0962835
Sex: F
Age: 55
State: IN

Vax Date: 12/26/2020
Onset Date: 12/28/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: Stitches to finger and x-ray to left knee

Allergies:

Symptoms: I was walking to cross a street and both legs went numb and I fell.

Other Meds: lisinopril, celexa, Adderall, crestor

Current Illness: none

ID: 0962836
Sex: F
Age: 40
State: WI

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

Lab Data:

Allergies:

Symptoms: vial did not have enough volume for 10th dose

Other Meds:

Current Illness:

ID: 0962837
Sex: F
Age: 49
State: MI

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

Lab Data: n/a

Allergies: n/a

Symptoms: 1 week after receiving vaccine, my arm has slightly swelled, and turned red, though not hot to the touch, and is very itchy.

Other Meds: Zyrtec, Flonase, escitalopram oxalate, montelukast sodium

Current Illness: n/a

ID: 0962838
Sex: F
Age: 27
State: ME

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

Lab Data: None

Allergies: Extensive nut allergy w h/o anaphylaxis

Symptoms: Almost 30 minutes after second vaccine noted throat fullness, tongue swelling, lightheadedness and dizziness. No fever or rash; no SOB, dyspnea, stridor. On exam throat, uvula, posterior pharynx and tongue pink, not erythematous and no swelling. Observed and administered Benadryl 25 mg po with marked improvement over next 60-90 minutes.

Other Meds: Zoloft, Vistaril

Current Illness: None

ID: 0962839
Sex: F
Age: 47
State: PA

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

Lab Data:

Allergies: None

Symptoms: Swollen sore lymph nodes undwr left arm that then spread over through neck and shoulders and under right arm. Headache from swollen lymph nodes in back of neck. Started on Friday to Saturday on left. By next Wednesday was equal under both arms with bunches of lymph nodes palpable and sore. Headache and soreness continues today, thursday the 21st of january. Site of injection initially sore, worsened day 2, then ended with pain of swollen lymph nodes. On Wed the 20th, site grew a hard 2 inch diameter lump and began to itch when previously there had been no issue.

Other Meds: Zinc, multivite, vitamin b, vitamin d, magnesium, vitamin c, ashwagandha

Current Illness: None

ID: 0962840
Sex: F
Age: 46
State: TX

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

Lab Data: None

Allergies: Nuts and egg

Symptoms: Felt like face and eyes were swollen, dizziness and weakness

Other Meds: Linzess, Vit D3, Ilaprazole, Folic Acid and Vit B12

Current Illness: Iron Deficiency anemia, IBS, Gastric Bypass

ID: 0962841
Sex: F
Age: 92
State:

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

Lab Data:

Allergies:

Symptoms: Patient stated she felt her lips and tongue were possibly swelling about 40 minutes after vaccine administration. Swelling was not visible to nurse.

Other Meds:

Current Illness:

ID: 0962842
Sex: F
Age: 37
State: TN

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

Lab Data:

Allergies: Penicillins

Symptoms: Watery eyes Shortness of Breath Blephanospasm

Other Meds: Albuterol 2.5mg/3ml Albuterol inhaler 90mcg BreoEllipta 200-25mcg/dose Nexium Flonase 50mcg Singular 10mg Xolair Subq

Current Illness:

ID: 0962843
Sex: M
Age: 46
State: TX

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

Lab Data:

Allergies: None

Symptoms: Itching to left forearm and 2 small pustules present.

Other Meds: Simvastatin, xigduo, location, amlodiopine, Januvia

Current Illness: None

ID: 0962844
Sex: F
Age: 63
State: TX

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

Lab Data:

Allergies: Vancomycin

Symptoms: Felt sluggish during the day following injection, and during the night ran fever.

Other Meds: Synjardy XR, Synthroid, Vascepa, Metoprolol, Rosuvastatin, Lisinopril, Vitamin D, Coconut oil, Calcium, Centrum Silver, Biotin

Current Illness: Recovering from a broken leg and crushed ankle - accident happened on 5-11-20

ID: 0962845
Sex: F
Age: 69
State: OH

Vax Date: 10/02/2020
Onset Date: 10/02/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: None contacted primary care because I was afraid to have the second shot and he said I didn?t need to have the second shot but that I do need to take the Covid vaccine I asked for an EpiPen just in case of side effects with the COVID, but he said no.

Allergies: Sulfamethoxazole

Symptoms: Started with Severe headache swelling tongue, throat, throbbing behind eyeballs, Swelling from ear to ear Chills, trouble breathing Blood clot behind knee (1st ever) Heart racing 2 days feeling like I couldn?t get out of bed 4th day still had swelling & headache but able to take a shower & eat

Other Meds: Levothyroxine Lipitor Xanax Trazodone Prilosec Zofran Asprin

Current Illness: Anxiety Insomnia GERD

ID: 0962846
Sex: F
Age: 49
State: MT

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

Lab Data:

Allergies:

Symptoms: Injection site pain, Fever, Body aches

Other Meds:

Current Illness:

ID: 0962847
Sex: F
Age: 57
State: CT

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

Lab Data: Dr prescribed predinose , Epi-pen , Allegra and a referral to Allergist Dr

Allergies: percocet,codiene,oxycotin,demerol,remacaid ,erythromycin,gentamycin,cipro,keflex,levbid,adhesive tape dairy products and Ginger

Symptoms: Had moderna vaccine on Jan 12th arm became red and very swollen as well as headache and fatigue . My arm felt better by Jan 15 . unfortunaletly I started having dis comfort in my arm and was very shocked to see it swollen red and itchy on Jan 20th which prompted me to seek care from my personal physician Dr.

Other Meds: none

Current Illness: none

ID: 0962848
Sex: F
Age: 53
State: IL

Vax Date: 01/15/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Flouroquinolones

Symptoms: Fatigue, Headache, Congestion, Mild Cough - 4 days after 1st vaccination dose

Other Meds: Daily vitamin

Current Illness:

ID: 0962849
Sex: F
Age: 35
State: AZ

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

Lab Data: None

Allergies: Keflex

Symptoms: Same day: fatigue, nausea Next morning: swollen, tender, red, warm at injection site 2.5x3 inches

Other Meds: None

Current Illness: None

ID: 0962850
Sex: F
Age: 86
State: TX

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: N/A

Allergies: Demerol

Symptoms: Significant local reaction-Patient has 10cm red, swollen, painful, itching to the site and surrounding area

Other Meds: acetaminophen-codeine (TYLENOL #3) 300-30 MG tablet calcium citrate-vitamin D (CALCIUM CITRATE + D) 315-200 MG-UNIT tablet carBAMazepine (TEGretol XR) 100 MG 12 hr sustained-release tablet citalopram (CeleXA) 10 MG tablet dicyclomine (

Current Illness: N/A

ID: 0962851
Sex: F
Age: 91
State:

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

Lab Data:

Allergies:

Symptoms: presented to the ED 1/5/21 with syncope 1 hour after receiving COVID vaccine found to have acute hypoxic resp failure at rest. Per family patient's pulse ox low with exertion at baseline for the past couple of months, but she always recovers to above 90%. She was discharged home with home health with oxygen 1/19/21

Other Meds:

Current Illness:

ID: 0962852
Sex: F
Age: 76
State: WA

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

Lab Data:

Allergies:

Symptoms: A very itchy red hot rash on my right side of my back. Very hot red and lasted about 1 hour. I put Fluocinolone Acetonide topical solution USP 0.01% on my right side from the neck down to bottom of back (only right side).

Other Meds:

Current Illness:

ID: 0962853
Sex: F
Age: 31
State: IN

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

Lab Data:

Allergies: None

Symptoms: Pain around injection site, fatigue, joint pain, body aches, chills. All lasted about 24 hours, but fatigue lasted 48 hours.

Other Meds: None

Current Illness: None

ID: 0962854
Sex: F
Age: 45
State: CA

Vax Date: 01/11/2021
Onset Date: 01/17/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: N/A

Allergies: cipro, valium, seaweed

Symptoms: Left arm. Initillially only had tingling sensations, tirednesss, redness, soreness, and swelling. After a full week, the swelling and redness grew 3x in size plus new symptom of itchiness. It is much better today on day 10, almost gone. I am a helathcare provider (Psychologist) and monitoring it mindfully best I can. My MD and I plan to have me take my 2nd dose at hospital setting just in case, she wants me to take Benadryl and/or Claritin on the day of the 2nd dose, have that person clean my arm thoroughly, and wait 30min before I go home. We are unsure if this is delayed allergic reaction or bacterial infection.

Other Meds: Multivitamins, iron supplement, spironolactone for adult acne

Current Illness: on/off back pain

ID: 0962855
Sex: M
Age: 41
State: MA

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

Lab Data: None

Allergies: None

Symptoms: Temp of 100.4 and a headache

Other Meds: NyQuil

Current Illness: None

ID: 0962856
Sex: F
Age: 32
State: TX

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

Lab Data: EKG--sinus tachycardia 122

Allergies: None

Symptoms: tachycardia with HR 120s-150s. Low grade fever.

Other Meds: levothyroxine, sprintec

Current Illness: none

ID: 0962857
Sex: F
Age: 52
State: NY

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

Lab Data:

Allergies: N/a

Symptoms: Rash, heat and swelling of upper arm above the injection site.

Other Meds: Wellbutrin, Melatonin, Probiotics, Vitamin D

Current Illness: N/a

ID: 0962858
Sex: F
Age: 45
State: OH

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

Lab Data: None

Allergies: No allergies, intolerant to gluten/dairy/preservatives

Symptoms: Since day of injection (11 days ago) I still continue to see fist size redness around the injection site. Skin is warm to the touch and itchy. Benadryl cream is applied and is somewhat effective. Have had similar reactions to flu shot although not this large in diameter... red mark is about the size of a nickel and can last up to 12 months.

Other Meds: Premerin, Aimovig, Vitamin D, Xiidra

Current Illness: None

ID: 0962859
Sex: F
Age: 58
State: WI

Vax Date: 01/06/2021
Onset Date: 01/16/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: morphine, oxycontin, cats, dogs

Symptoms: 10 days post vaccine red, warm, itchy area approx. 7.5 cm x 7.5 cm at the injection site. No s/s of cellulitis.

Other Meds: Coreg, HCTZ, Levothyroxine, metformin, Glucophage, potassium, furosemide, ASA 81, vitamin d, vitamin E, CoQ10, paxil

Current Illness: none

ID: 0962860
Sex: F
Age: 56
State: AZ

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: I went to a chiropractor and he said it was muscular he did an adjustment but it did not help

Allergies: None

Symptoms: On the day of vaccination (1/6/2021), I had arm pain and chills which continued into the next day. I felt fine on 1/8/2021. On 1/13/2021 I began to have arm pain and shoulder weakness. The arm pain has resolved but I have transient numbness and the shoulder weakness is getting more and more painful.

Other Meds: strattera buspar Zinc Vitamin c

Current Illness: None

ID: 0962861
Sex: F
Age: 74
State: OH

Vax Date: 01/09/2021
Onset Date: 01/14/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Blood work at ER 1-15-2021- AGMC Green

Allergies: IVP dye, PCN

Symptoms: Bells Palsy diagnosed by ER 1-15-2021. treated with Prednisone and Acyclovir.

Other Meds: Asa, Atenolol, Atorvastatin, Aricept, Escitalopram, Humalog, Levothyroxin, Lisinopril, Loratadine, Multi Vitamin, Myrbetriq, Preservision, Toujeo, Vit C, Vit D.

Current Illness: URI

ID: 0962862
Sex: M
Age: 45
State: NV

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

Lab Data:

Allergies: None

Symptoms: Twelve hours after vaccination (1/20/21), left side of tongue felt swollen/dry/tingly. Was able to sleep. In morning (1/21/21), developed same sensation, plus lips and off/on left side of face felt tingly. I am not ruling out anxiety.

Other Meds: Loratadine 10mg, Rosuvastatin 10mg, D3 100mcg

Current Illness: None

ID: 0962863
Sex: M
Age: 40
State: TX

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

Lab Data: none

Allergies: none

Symptoms: general ache/pains, headache woke me up ~3:30am. movement hurt, pain progressed, headaches got worse, never went away. nausea, fever throughout the day, general tiredness and increased join point all day. swollen glands in arm pits. headache pain completely impaired daily activity. Tylenol in the afternoon for fever, dramamine for nausea Effects lasted 24 hours... headaches persisted 5+days

Other Meds: Gabapentin - 300mg 2x/day

Current Illness: none

ID: 0962864
Sex: F
Age: 51
State: MT

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

Lab Data:

Allergies:

Symptoms: Body aches, Headache, Fever, Dizzy, Sore arm

Other Meds:

Current Illness:

ID: 0962865
Sex: F
Age: 35
State: CA

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

Lab Data:

Allergies: Flagil

Symptoms: Severe nausea, stiff neck, headache, slight dizziness

Other Meds: None

Current Illness: Flu like symptoms without fever two weeks prior but only lasted 2 days

ID: 0962866
Sex: M
Age: 71
State: FL

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: none known

Symptoms: Vacine was 01/11/21 one week later 01/18/21 at approximately 6 PM, I started to itch around primarily on my left side and all around my chest. After checking with my shirt off there was light pink (rash or hive) no blister or bumps. I took two Benadryl tablets at around 8 pm. By late morning and one other pill the itch and pink (rash or hive) was gone.

Other Meds: Ambien CR, B12 complex, D3

Current Illness: none

ID: 0962867
Sex: F
Age: 41
State: TX

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

Lab Data: N/a

Allergies: NKDA

Symptoms: Patient received 2nd Moderna COVID Vaccine today via the right deltoid. Immediately upon receiving the injection she complained of warmth running down her arm and into her hand. She then complained of numbness to the same extremity. Within the next 2 minutes she stated that numbness started in her right leg, as well. The CRNA onsite came to assess her. It was then noted that she developed some swelling to her right foot. Patient was then taken to the emergency room for observation.

Other Meds:

Current Illness: none

ID: 0962868
Sex: F
Age: 47
State: MN

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

Lab Data:

Allergies: Nitroglycerides

Symptoms: For my first dose I had no significant side effects, LOT: EJ1686. ) After receiving my second dose injection, I felt lethargic, had cold, chills with soreness to left arm. I had significant abdominal pain, my abdomen was distended and swollen. Two weeks prior to the 1st dose injection I had had abdominal surgery. I experienced peristalsis with pain with possible obstruction. I have an ileostomy., and with the vaccine I experienced (high pitched noise coming out of my stomach which caused me to vomit and fee weakness to my abdomen. i took Octeotide injection for my abdominal pain. I also took Ibuprofen for pain. My doctors said that my abdominal pain was most likely related to the injection. I went into surgery 12-14-2020 for removal of an abdominal mesh due to the ileostomy and infection. I currently can not lift no more than 10 pounds. At this time, I feel better and will be returning to work.

Other Meds: Vitamin D, Multivitamins, Synthyroid medication ( Sangostatin injection once every 4 weeks last given 1-6-2021 , Daytrona transdermal patch

Current Illness: None reported

ID: 0962869
Sex: F
Age: 47
State: VA

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

Lab Data:

Allergies:

Symptoms: Massive migraine traveling from my right temple to around my right eye, down my right nose and back to my temple

Other Meds:

Current Illness:

ID: 0962870
Sex: F
Age: 69
State: TX

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

Lab Data: no

Allergies: no

Symptoms: Had diarrhea briefly, soreness body aches could not walk muscle pain and lack of use. Husband tried to put her in the car and she fell. Felt like the flu x 100. Today, she is able to walk.

Other Meds: Breo

Current Illness: sinusitis

ID: 0962871
Sex: F
Age: 23
State: AL

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

Lab Data: None

Allergies: None known

Symptoms: Patient fainted for less than 1 minute after becoming dizzy and nauseous within 5 minutes of receiving the vaccine.

Other Meds: Not known

Current Illness: None known

ID: 0962872
Sex: F
Age: 52
State: ND

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

Lab Data: None

Allergies: aspirin/butalbital/caffeine-anxiety prochlorperazine-anxiety amitriptyline-weight gain gabapentin-drowsy contrast media-facial swelling pregabalin-speech impairment

Symptoms: 2 cm itchy erythematous spot on left deltoid first noticed 8 days after the vaccine was administered, mildly tender.

Other Meds: Albuterol prn, atorvastatin 20mg qhs, budesonide80/formoterol4.5mcg, 2 puffs by mouth q12h, clonazepam 1mg po 4x daily prn anxiety, cyclobenzaprine 10mg 3x daily prn muscle relaxation, diclofenac na 1% top gel 4x daily prn pain/inflammation

Current Illness: none known

ID: 0962873
Sex: F
Age: 50
State: CA

Vax Date: 12/24/2020
Onset Date: 12/25/1920
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: None known

Symptoms: #1 Pfizer 12/24/20 w/ chest tightness, DOE starting 4 hrs post vaccine. DOE resolved after 24hrs. Employee contacted company, who in consult with CDC recommended #2 Pfizer 1/14/21 administered at an allergist's office. Instructed to take Claritin 10mg 1hr prior to appt. At 2hrs post vaccine, patient developed similar sxs of chest tightness, DOE, palpitations, O2 sat 87%. Given Albuterol via nebulizer, additional dose of Claritin10mg. Patient felt better 5-10min after neb. D/c'd home after total 3hr observation. Had mild DOE 1/15 that resolved w/in 24hrs. Also severe HA, BA, fatigue, injx site pain. Felt much better on1/16. Denies hx asthma or atopic dermatitis.

Other Meds: estradiol/norethindrone acetate (ACTIVELLA) 1-0.5 MG Tab Take one Tab by mouth daily 28 Tab 12 05/18/2020 spironolactone (ALDACTONE) 100mg Tab Take 100 mg by mouth daily 0 04/12/2020 atorvastatin (LIPITOR) 10mg Tab TK 1 T PO D

Current Illness: None known

ID: 0962874
Sex: M
Age: 37
State: CA

Vax Date: 01/07/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Covid test (negative) Chest x ray (clear)

Allergies: No Known Allergy

Symptoms: Patient on 7th, got vaccination and covid test (negative). first few days after vaccination, had asthma like symptoms. o2 sat was greater than 97% all the time. felt little tight. 10 days after vaccination, started rashes on both hands. took 50mg of Benadryl at night time. next day, rashes went up to right elbow. not so many but following nerve lines. both hands mostly out side. 1 each on my left inner 3rd / 4th finger. 3 rashes on 4th inner right finger. took 25mg of Benadryl at night time. 3rd day, rashes developed on my left elbow as well. Went to ER per advice. got Decadron IM shot, Benadryl, and Pepcid. Took chest x ray; clear. prescribed of prednisone 40mg po daily for 4 days. 4th day, no new rashes. still have rashes.

Other Meds:

Current Illness: No

ID: 0962875
Sex: M
Age: 15
State: CA

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

Lab Data:

Allergies: N/A

Symptoms: Error: Too Young for Vaccine

Other Meds:

Current Illness:

ID: 0962876
Sex: F
Age: 71
State: KY

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Allegra Augmentin Cephalexin Gout

Symptoms: Redness swelling at injection site

Other Meds: Allopuriniol Aspirin Celebrex Hydralazine Hydrochlorothiazide Hydrocodone-acetaminophen Metropolol Succinate Famotidine Lorazepam

Current Illness: None

ID: 0962877
Sex: F
Age: 44
State: NJ

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

Lab Data: none at this time

Allergies: codiene- causes GI upset

Symptoms: Patient called and emailed HD regarding a concern about a possible reaction to Moderna Covid19 vaccine. Patient received vaccine on January 12, 2021. On January 20, 2021, she emailed the HD and reported the following: "... this morning I notice a 1.5 inch diameter raised circle around injection site. It itches and is hot to the touch".

Other Meds: Magnesium, Zinc, and Vitamin D- OTC vitamins Zyrtec- OTC allergy medicine

Current Illness: patient denies

ID: 0962878
Sex: F
Age: 39
State: TX

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

Lab Data: NONE

Allergies: LORTAB, ASPIRIN, PORK

Symptoms: 1600 patient complains of itching to neck and opposite arm (right arm) of vaccination. Patient observed scratching neck and redness noted to neck. Also stated feeling of a sense of numbness to left arm in which vaccine was administered. Initial VS B/P: 144/84. During VS check patient complained of itching spreading to her head. Patient observed scratching her head. Denied any difficulty breathing. 1608 patient given a 50mg/ml Diphenhydramine dose IM, to right arm by EMT 1620 Patient stated itching has subsided. VS recheck BP 110/80, 75, SpO2 95%. 1630 VS recheck BP 140/92, 79, SpO2 98%. Patient denied difficulty breathing, stated itching had continued to subside. 1658 Patient complains of itching coming back, scratching noted to neck. EMT observed faint swelling to right lower lip. Complained of feeling nauseous. EMS contacted at this time, patient assessed by EMS and was advised of need to go to ER for further evaluation. Patient agreed, walked to ambulance and rode in ambulance to ER where she was given Dexamethasone and Pepcid. States was told to continue Benadryl for 5 additional days and follow up as necessary.

Other Meds: NONE

Current Illness: NONE

ID: 0962879
Sex: F
Age: 46
State: CA

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: Unknown

Symptoms: Employee experienced shortness of breath, chest tightness, nausea and headache after vaccination and needed prolonged monitoring post vaccination. Improved with rest.

Other Meds: Unknown

Current Illness: unknown

ID: 0962880
Sex: F
Age: 45
State: MD

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

Lab Data: none

Allergies: allergy to medication: Reglan and Codeine

Symptoms: red circle around injection site, hot to touch, itchy, tough nodule under injection site

Other Meds: Wellbutrin, Effexor, Atorvastatin, amlodipine, vitamin d, lisinoprilmetoprolol

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm