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: 0963032
Sex: F
Age: 61
State: NC

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

Lab Data: Called my physician?s office with symptoms and it was their recommendation to be seen at Urgent Care .

Allergies: Penicillin

Symptoms: Sudden onset of intense itching and swelling with whelps at injection site on day 7 after injection.

Other Meds: Multivitamin, fish oil, Lipitor, Singulair, Allopurinol, Nexium, Losartan, Budesonide-Formoterol 160-4.5

Current Illness:

ID: 0963033
Sex: F
Age: 27
State: NJ

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

Lab Data: as above

Allergies: none

Symptoms: Reports on 1/14/2021 had Pfizer vaccine left arm and at night notice burning sensation right side face and dull tingling following three days and tinnitus bilateral worse on right ear and day four pain in both ears and TMJ and front of ear pain and sinus congestion day 6. She went to Telehealth twice personal nurse practitioner and gave Amoxil for ear pain and ENT evaluated ears,nose and throat and hearing test and covid test which exam and test normal. She stilll suffers today intermittently dull tingling right side sided of face and tinnitus both ear and headache.

Other Meds: loestrin, xanax

Current Illness:

ID: 0963034
Sex: F
Age: 61
State: IL

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

Lab Data: None

Allergies: None

Symptoms: 1/19/21 - 5:00 p.m. started getting chills ... could not get warm, by 8:30 had 3 blankets on trying to get warm ... uncontrollable shivering and shaking ... body aches and pains, bad headache - slept 14 hours ... Wednesday, 1/20/21 - extreme fatigue (may have been from no sleep the night before ), headache, muscle aches and pain), so much so I had to miss work - which I don't HARDLY every do. Thursday, 1/21/21 - just sore arm still and headache, but much better

Other Meds: Calcium plus Vitamin D-3 Vitamin C

Current Illness: None

ID: 0963035
Sex: M
Age: 41
State: TX

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

Lab Data: NONE

Allergies: NONE KNOWN

Symptoms: APROX 20-30 MINUTES AFTER INJECTION BEGAN TO FEEL SHAKEY & FLUSHED AND EXTREMITIES FELT WEAK

Other Meds: ZOLOFT

Current Illness: NONE KNOWN

ID: 0963036
Sex: M
Age: 43
State: MA

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

Lab Data: no

Allergies: None

Symptoms: On 01/20, 8 days after the shot I woke up with a rash at the injection site. The rash was red and raised, like hives. It did itch. It was about four inches long and two inches wide. It is 01/21 the rash is no longer raised, it is only a red spot. No other symptoms

Other Meds: None

Current Illness: None

ID: 0963037
Sex: F
Age: 48
State: OR

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

Lab Data: none

Allergies: None

Symptoms: Facial numbness Lax forehead Drooping eyes Severe site pain Tingling face

Other Meds: Ibuprofen

Current Illness: None

ID: 0963038
Sex: F
Age: 47
State: MI

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

Lab Data: n/a

Allergies: none

Symptoms: today i noticed a large red blotchy circle at the injection site. no pain. no itching. warm to the touch. otherwise feel fine.

Other Meds: oral contraceptives fish oil vitamin d

Current Illness: none

ID: 0963039
Sex: F
Age: 82
State:

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/21/2021
Hospital: Y

Lab Data:

Allergies: Tramadol (Generalized pruritus); Atorvastatin (Joint pain/muscle aches); Crestor [rosuvastatin] (Myalgia); Flexeril [cyclobenzaprine] (Itching and Rash); Zocor

Symptoms: Pt brought to ER 1/11/21 & noted to be hypoxic. Patient has been increasingly fatigued for the past several days but with no fever. COVID+ 1/11/21. Treated with remdisivir and discharged home 1/15/21

Other Meds:

Current Illness:

ID: 0963040
Sex: F
Age: 95
State: KS

Vax Date: 12/30/2020
Onset Date: 01/11/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Resident tested positive for COVID on 01/11/2021. Resident received out patient monoclonal antibody treatment on 01/12/2021.

Other Meds:

Current Illness:

ID: 0963041
Sex: F
Age: 71
State: LA

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

Lab Data: None at this date

Allergies: None known

Symptoms: 1 Day after injection (January 13) - bruising (no pain). Bruising has not gone away 8 Days after injection (January 20) - circle of redness, swelling and some itching below bruise. No or little pain. No lack of mobility in arm.

Other Meds: FOSAMAX

Current Illness: None

ID: 0963042
Sex: M
Age: 50
State: NE

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

Lab Data: none

Allergies: none

Symptoms: I expeirienced Body aches and cramoing. It was not sharp pains like cramping but a dull pain and was very stift/sore till next day, approx 18 hours. Mild headache

Other Meds: Fetzima

Current Illness: none

ID: 0963043
Sex: F
Age: 54
State: CT

Vax Date: 01/07/2021
Onset Date: 01/16/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: No labs, no tests

Allergies: Keflex amoxycillin, Bactrim, bacatracin, apples

Symptoms: Swelling, redness/purple, itching, spreading in upper right arm. Was diagnosed with cellulitis at urgent care on 1/17/21. Started taking doxycycline. On 1/21/21 went to physical appt and was sent by APRN who saw improvement in my arm and thinks this was an adverse reaction to the covid 19 vaccine and said You can now stop taking the antibiotic. She stated she doesn't believe this is cellulitis. She said a few other patients came into the office with the similar issue, a kind of delayed reaction to the shot. Please call her and she will tell you her thoughts.

Other Meds: Licorice root, Famotidine, tylenol

Current Illness: None

ID: 0963044
Sex: M
Age: 89
State: IN

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

Lab Data: none

Allergies: no

Symptoms: pt became dizzy and weak and had some pain at the injection site.

Other Meds: zantac 150mg, losartan 50mg, pantoprazole 40 mg, probiotic, zinc, calcium, aspirin 80 mg, vitamin D 1000 units, presser vision areds 2, Tylenol arthritis

Current Illness: none

ID: 0963045
Sex: F
Age: 32
State: KS

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

Lab Data: None

Allergies: None

Symptoms: Body Aches, Fever, Chills, Weakness

Other Meds: Daily Vitamins,

Current Illness: None

ID: 0963046
Sex: M
Age: 86
State: SD

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

Lab Data: None

Allergies: No Known Allergies

Symptoms: Resident received 1st dose Moderna Covid-19 vaccine at 11:06am. At 12:00pm, resident complained of feeling shaky "all over" and was visibly jittery. Denied shortness of breath, chest pain or throat tightness. Face had a pallor appearance. States he's had panic attacks in the past but this "doesn't feel like that". Blood sugar 189 (had just finished lunch). BP = 140/70, P = 106, 02 = 98%. At 12:07 resident states that tongue and lips feel numb and throat feels tight. 12:08pm Epi-pen administered into left outer thigh. 12:16pm resident states he's feeling better. Shakiness resolving. Numbness letting up. At 12:30pm resident reports feeling back to normal. T = 98.3, P = 80, BP = 114/72, 02 = 98% on room air. Event reported to the resident's medical provider.

Other Meds: Amlodopine, paroxetine, potassium chloride, simvastatin, terazosin Naproxen sodium prn, nexium prn, nitroglycerin prn

Current Illness: None

ID: 0963047
Sex: F
Age: 63
State: TX

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

Lab Data: none

Allergies: none

Symptoms: Patient experienced "flushing" after receiving her Dose 2. Symptoms resolved within 15 minutes.

Other Meds: na

Current Illness: Kidney infection

ID: 0963048
Sex: F
Age: 53
State: TX

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

Lab Data:

Allergies: Nyquil, Vicks and Penicillin

Symptoms: Rash in the abdomen area which felt burning hot and palpitations

Other Meds: None

Current Illness: Auto Immune Disease

ID: 0963049
Sex: F
Age: 35
State: MT

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

Lab Data:

Allergies:

Symptoms: Fever, Body Aches, Nausea

Other Meds:

Current Illness:

ID: 0963050
Sex: F
Age: 37
State: ND

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

Lab Data:

Allergies:

Symptoms: C/o lightheadedness, throat tightness, brought to ED immediately. Tx: Benadryl IV, Solu-Medrol IV, Ativan IV. Improved and discharged in stable condition.

Other Meds:

Current Illness:

ID: 0963051
Sex: F
Age: 56
State: NV

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

Lab Data: Will be getting Covid test 01/22/2021 as a precaution due to high fevers.

Allergies: allergic to penicillin, codeine, caine drugs

Symptoms: Very sore arm just a few hours after injection. Injection site became very red approx. 4" all around site. Had a terrible time trying to sleep - felt agitation and sleeplessness. Got headache around midnight that only got worse as the night progressed. Got up at 3 a.m. with horrible headache and lethargy. Within a couple of hours (around 5 a.m.) started getting terrible chills to the point of visible shivering. Took temperature which was around 100 degrees. Within two more hours, severe nausea occurred and body temperature spiked to 102 degrees. Myalgia in muscles from left arm stretched across upper back clear into right arm and shoulder. My eyes burned and hurt, breathing was rapid and dizziness occurred. Tried to lay down to sleep but, again, could not sleep. Very restless feeling. Took 600 MG Ibuprofen at 7:00 p.m. and fever was just over 101 degrees. By 1:00 a.m. fever was gone. Next day still have lingering headache, same fairly large red ring around injection site and lethargy but definite improvement from previous day.

Other Meds: Omeprazole 20 MG daily Acebutolol 200 MG 3 x daily B Complex vitamins, C, D and zinc

Current Illness: None

ID: 0963052
Sex: F
Age: 50
State: FL

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

Lab Data:

Allergies: aspirin

Symptoms: None stated.

Other Meds:

Current Illness: chronic fatigue syndrome

ID: 0963053
Sex: F
Age: 67
State: IL

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

Lab Data:

Allergies: Almonds

Symptoms: Pt stated she felt foggy and had difficulty thinking straight. Pt was assisted to the floor and took Benadryl 25 mg orally from her own supply that she came with. Pt provided water and was monitored. Pts husband also present. Pt was asked to rest and after feeling bit better she sat up, then was moved to a chair and monitored for an additional timeframe. Before leaving pt stated she was feeling well.

Other Meds:

Current Illness:

ID: 0963054
Sex: F
Age: 88
State: KS

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

Lab Data:

Allergies:

Symptoms: Patient tested positive for COVID on 01/06/2021. Patient received out patient monoclonal antibody treatment on 01/10/2021.

Other Meds:

Current Illness:

ID: 0963055
Sex: F
Age: 66
State: NM

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

Lab Data: Pt reported given epinephrine, benedryl, solumedrol at ED. Not admitted to hospital. Pt reported advised not to receive 2nd dose of covid-19 vaccine series. Pt to follow up with

Allergies: Medications: ASA, NSAIDS, PCN, Food: Strawberries, shellfish

Symptoms: 1530-Pt in observation area in vehicle, started to honk horn for signal of distress. Pt reported tongue swelling and itching 1551-EPI pen device deployed, EMS activated 1554-2 puffs Albuterol inhaler, 4L O2 via nasal canula applied. 1603-EMS arrive. Vital signs: HR: 102, BP: 140/70, O2 SAT now at 96% on Room Air 1608-Transport to local hospital ED by EMS

Other Meds: Advair, Monolucast, Trazadone, Gabapentin, Zenofloxicin.

Current Illness:

ID: 0963056
Sex: F
Age: 25
State: MT

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

Lab Data:

Allergies: None

Symptoms: Symptoms did not begin until approx. 10 hours post-injection. Symptoms include redness and swelling at injection site, fever, severe chills, headache, stiffness of neck muscles, and shooting aches/pains through hips.

Other Meds: Zoloft - antidepressant

Current Illness: Head cold two weeks earlier

Date Died: 01/17/2021

ID: 0963057
Sex: F
Age: 96
State:

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

Lab Data:

Allergies:

Symptoms: presented to ED 1/9/21 with abdominal pain, progressive worsening weakness and fatigue and new onset A fib with RVR likely due to hypertensive urgency . Patient progressed clinically with severe hypoxia and transferred to ICU and started on BiPAP; progressive decline with decreased urinary output with uremia likely secondary to sepsis. Concern with patient worsening clinical decline, palliative care had been consulted on end of life care. Patient expired 1/17/21

Other Meds:

Current Illness:

ID: 0963058
Sex: M
Age: 24
State:

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

Lab Data:

Allergies:

Symptoms: Right arm redness below injection site. Woke up with headache no fever.

Other Meds:

Current Illness:

ID: 0963059
Sex: F
Age: 25
State: MA

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: No

Allergies: kiwi

Symptoms: Fever, chills, bodyache

Other Meds:

Current Illness:

ID: 0963060
Sex: M
Age: 37
State: CA

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

Lab Data:

Allergies: None

Symptoms: After receiving his first Moderna vaccine dose the patient became light-headed, anxious and clammy. Patient was monitored and felt better after approximately five minutes. No treatment required.

Other Meds: None

Current Illness:

ID: 0963061
Sex: M
Age: 65
State: MA

Vax Date: 01/07/2021
Onset Date: 01/11/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: CBC, LFTS,CRP, SPEP, Cholesterol(Total, LDL, HDL) triglycerides were all within normal limits. ESR was borderline at 35.An ANA ,however was positive at 1/320,so more tests looking for rheumatological disease were drawn today. I have no history of rheumatologic disease, no new rashes or arthralgias.

Allergies: Penicillin(?) Crayfish Lobster

Symptoms: Small scotoma inferior vision of left eye very slight/subtle. Retinal examination by Dr in the morning of 1/12/21 showed a left eye cottonwool spot, which corresponded the location of the scotoma. No other retinal infarcts or hemorrhages were present. I have no known risk factors for a retinal vaso occlusive event.

Other Meds: Tamsulosin Escitalopram

Current Illness:

ID: 0963062
Sex: F
Age: 33
State:

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

Lab Data:

Allergies: apixaban, loratadine, hydrocortisone rectal cream, loperamide, Flonase, vienva, aripiprazole, hydroxyzine, prazosin,

Symptoms: Patient received vaccine at outside facility so uncertain of vaccine information other than Moderna. 33 y.o. female who arrived to the emergency department for Chest pain. Patient states 2 hours PTA she was getting her first Moderna Covid vaccine when she felt the onset of centralized burning chest pain and temporary shortness of breath while sitting in the car. She states shortness of breath has improved however she feels centralized chest burning that is constant. She denies any palpitations, nausea, vomiting, throat swelling, drooling, or lip swelling. She has no history of similar symptoms in the past. No history of GERD. She has not had no recent illnesses. She has not taken any new medications Symptoms clinically most suggestive of chest wall pain versus gastritis. Patient given GI cocktail and Toradol. Baseline EKG was normal sinus rhythm without any ST elevation or depression. Heart score 0 Pt with improvement with GI cocktail and Toradol, clinically confirmatory for chest wall pain vs reflux. Recommend home tylenol and/or pepcid if sx persist. Follow up PCP if recurrent sx or ED if severe

Other Meds:

Current Illness:

ID: 0963063
Sex: M
Age: 58
State: AR

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

Lab Data:

Allergies:

Symptoms: Employee received COVID vaccine #2 at 0830. By 2200, employee had temp of 102.6 and bodyaches. Continues to have temp 24 hours later.

Other Meds:

Current Illness:

ID: 0963064
Sex: M
Age: 56
State: FL

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

Lab Data: None

Allergies: None

Symptoms: Headache, body aches, fever, and chills

Other Meds: Losartan 50 mg

Current Illness: None

ID: 0963065
Sex: F
Age: 24
State: IL

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

Lab Data:

Allergies: Macrobid

Symptoms: Chills, myalgia, nauseous. A red, swollen, and raised mark developed on 01.20.2021 and it tripled in size by 01.21.2021 to 3 inches in length and 2 inches in width.

Other Meds: Tri Sprintec Nutrafol Adderall Amoxicillin

Current Illness:

ID: 0963066
Sex: F
Age: 54
State: NV

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

Lab Data: None

Allergies: Macrobid Erythromycin Flexeril Zanaflex Sulfa drugs

Symptoms: Noticed racing heart rate about 1:45 to about 9:30pm. Felt like heart pounding out of chest. Could not relax. Also have headache that is still hurts today.

Other Meds: Multi vit Vit D

Current Illness: None

ID: 0963067
Sex: F
Age: 39
State: WV

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: No known allergies

Symptoms: Patient reports development of overall body aches and pains followed by a mild fever the day after receiving vaccination. She also reports a patchy rash that was itchy but not painful. This rash developed at the ends of both arms, on the backs of the knees, and down the calf muscles. The rash appeared 2 days after receiving the vaccine and lasted for 2 days. Patient took Ibuprofen to treat the fever but did not take anything to treat the rash.

Other Meds: Tri-sprintec once daily

Current Illness: Patient states that in December she had body aches, fever, congestion but was tested and found to be COVID negative.

ID: 0963068
Sex: F
Age: 45
State: NY

Vax Date: 01/10/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: sulfa, coedine

Symptoms: On the 9th day, woke up with edema/redness/burning/heat at the injection site. It tripled in size in one day. Took Benadryl the first night, after going to the ER. Perscribed Keflex in case there was cellulitus. Second day, applied hydrocortizan cream, took 1000 mg of Keflex, took 10 mg claritin, 10mg zyrtec and 20mg of Pepcid AC. 3rd day the redness had gotten better, still some edema, no heat, still some burning but much better. Saw dermatologist, they ruled out cellulitus and recommended continuing with anti-histamine regimen and hydrocortizone. Will continue till three weeks after 2nd dose.

Other Meds: multivitamin

Current Illness: none

ID: 0963069
Sex: F
Age: 52
State: ME

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

Lab Data: Blood Pressure 15 minutes post vaccine 128./78 heart rate 80

Allergies: Had a history of allergy to Rituxan infusion several weeks prior

Symptoms: 15 minutes after administration patient described her lips as feeling "sunburned" and that the tip of her tongue felt "tingly". She denied any rash, feeling of swelling in her throat or tongue and had no trouble breathing. Patient declined to have EMTs called because she did not feel it was anaphylaxis. A dose of 50mg of Benadryl was via orally and she was closely monitored. Her blood preassure was 128/84 and heart rate was 80. She had offers to drive her to either the ER or urgent care but declined saying it was isolated to her lips and the tip of her tongue. Patient is a nurse and was aware of what to watch for. Pharmacy staff continued to observe her for an additional 45 minutes. At that time she said the issues were resolving and she would like to go home. She was counseled on what to look for with worsening reaction but said she felt more frustrated that anything. Pharmacist encouraged her to reach out to her PCP and also explained we would be unable to give her the next shot at a clinic. She was advised to speak more with her doctor regarding if she should get a second dose. Patient was followed up with 2 hours after vaccination by phone and reported symptoms resolved and she was just tired from the Benadryl. Patient was also called the day after and said she had a bad headache but otherwise no other signs of adverse reaction.

Other Meds: Rituxan infusion a few weeks prior Plaquenil Estradiol

Current Illness: None

ID: 0963070
Sex: F
Age: 65
State: MT

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

Lab Data:

Allergies:

Symptoms: Injection Site Pain, Chills, Fever Sore Throat

Other Meds:

Current Illness:

ID: 0963071
Sex: F
Age: 30
State: KS

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

Lab Data:

Allergies: N/A

Symptoms: About a week after the vaccine the patient reported feeling extra fatigued, blurred vision, vivid dreams, and a depressed mood. Patient is following up with per primary care physician and eye doctor

Other Meds: N/A

Current Illness: N/A

ID: 0963072
Sex: F
Age: 42
State: GA

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

Lab Data: N/A

Allergies: Barbiturates (erythema multiform reaction)

Symptoms: Arm pain within 8 hours of receipt. Started at noon next day, 1/20 (~23 hrs after receipt) severe headache followed by fatigue, muscle aches, and chills that began around 5pm on 1/20 along with a fever that lasted 16 hours. All symptoms disappeared at 11am on 1/21, approximately 46 hours after vaccination (fever, chills, and body ache lasted ~16 hours as mentioned above). This came on fast but left just as fast. Was bedridden the whole time and could not function. Woke up at 11am in drenched sweat and everything was gone. Crazy!

Other Meds: Lisinopril 5 mg (for migraines), Zetia 10 mg (dx with FH) , Rosuvastatin 40 mg (dx with FH) , amerge prn migraines, botox (200 U q 3 months for migraines)

Current Illness: None

ID: 0963073
Sex: F
Age: 18
State: MD

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

Lab Data:

Allergies: None known

Symptoms: Hives for a duration of 3 days that go away with Benadryl

Other Meds: Lo lo estrin fe Spironolactone-100mg

Current Illness:

ID: 0963074
Sex: F
Age: 61
State: CA

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

Lab Data: none

Allergies: Morphine During C-section

Symptoms: No problems after vaccine given - 12 hours post vaccine awoke with BP high , symptoms of high BP and achy back/neck - Took extra Metoprolol stayed up 1 hour - fell asleep and slept until noon next day - Felt better and was fine until (one week later) 1/20/21 Same symptoms as before (like coming down with the flu) and spiked BP - took extra BP med, but BP still high. Noticed my Arm aching where the vaccine was given and now (was not there after injection) red patch over where vaccine was given. (hot to the touch)

Other Meds: Diovan, Metoprolol S ER, Lipitor, B2, K2, Astaxanthin, EPA, General vitamin

Current Illness: none, sometimes BP will spike after eating too much salt etc.

ID: 0963076
Sex: F
Age: 78
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 out patient monoclonal antibody treatment on 01/10/2021

Other Meds:

Current Illness:

ID: 0963077
Sex: F
Age: 29
State: CA

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

Lab Data: N/A

Allergies: Nickel allergy

Symptoms: The left side of my face went numb, and stayed numb for over 24 hours before the numb sensation went away on its own. It felt like someone was holding an ice pack up against the left side of my face.

Other Meds: Sertraline 25 mg, Iron supplement, Calcium+D Supplement

Current Illness: N/A

ID: 0963078
Sex: F
Age: 66
State: IL

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

Lab Data: Admitted to the Emergency Room

Allergies: Sulfa, environmental allergies

Symptoms: Within 4 minutes of receiving the vaccination I felt excruciating pulsating pain in the flank area. I felt as if something was gripping, or seizing my internal organs. Radiating from the area of the kidneys or adrenals. Pain was so intense I was not able to catch my breath.

Other Meds: Advair Discus 100-50 mcg 2x daily; Flonase 2x/daily; Montelukast 10 mg 1x/daily; Esomeprazole 40 mg 1/daily ;Sotalol 80 mg 1/2 tablet 2x/day; Prasugrel 10 mg 1/2 tablet daily; Pitavastatin Calcium 4 mg 1x/daily; Aspirin 81 mg 1x/daily; E

Current Illness: None

ID: 0963079
Sex: F
Age: 40
State: MA

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

Lab Data: E.R.

Allergies: latex

Symptoms: anaphylaxis throat closing ,hives, feeling faint Benadryl 50mg I.M. no effect then epi 1mg I.M. little effect Emergency services called patient was sent to E.R. via ambulance

Other Meds: no

Current Illness: no not at time of vaccine

ID: 0963080
Sex: F
Age: 54
State: MO

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

Lab Data:

Allergies: Apirin NSAID

Symptoms: Swelling in axilla

Other Meds:

Current Illness:

ID: 0963081
Sex: M
Age: 47
State: MS

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

Lab Data:

Allergies: Doxycycline

Symptoms: Cellulitis Treated with Steroid and Keflex

Other Meds: Lipitor 10mg Ambien 10mg

Current Illness:

ID: 0963082
Sex: F
Age: 48
State: OR

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

Lab Data: None

Allergies: None

Symptoms: Facial Numbness Smooth forehead Drooping eyes Extreme Site pain Facial tingling

Other Meds: Ibuprofen

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm