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: 0963340
Sex: M
Age: 74
State: WA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: About 2:30 a.m. he could not move had to roll out of bed. He tried to stand up and fell down. tried to get on all fours and arms gave out. Got up in chair and went to sleep . Woke up the next morning in bed. Did not feel good, loss of appetite.

Other Meds: no

Current Illness: COVID 19

ID: 0963341
Sex: F
Age: 91
State: CA

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

Lab Data: none

Allergies: Staff at Assisted Living said had many allergies

Symptoms: Received vaccine 1:45pm. Because of her known allergies, she was set for a 30 minute Observation. Symptoms began 1:55pm. Pt began wheezing, complaining of shortness of breath. At 1:56 she was given 3 puffs from an Albuterol inhaler. At 1:58 she was given 0.3mg Epinephrine. Symptoms started to improve. An ambulance was called. By 2:20 her symptoms were gone, ambulance took her to ED.

Other Meds: Unknown

Current Illness: None

ID: 0963342
Sex: F
Age: 38
State:

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

Lab Data:

Allergies: soy

Symptoms: throat fullness

Other Meds: fexofenadine, duloxetine

Current Illness: na

ID: 0963343
Sex: F
Age: 65
State: TX

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

Lab Data: Patient saw doctor who gave her an injection of Rocephin and prescribed Bactrim DS twice a day for 7 days

Allergies: None

Symptoms: Headache, flushing, swelling and increasing redness around the injection site and area hot to the touch

Other Meds: Losartan Hydrochlorothiazide Myrbetriq Omeprazole

Current Illness: None

ID: 0963344
Sex: M
Age: 72
State: NJ

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

Lab Data: None

Allergies: Diclofinac

Symptoms: Extreme pain in lower right back and upper right neck. Within 2 day pain progressed to lower left back and upper right neck. Upon waking from sleep at any time during the day or evening cannot move without extreme pain. Yesterday, 1/20/2021, I called my doctor's office and did a call. Doctor prescribed Baclofen 10mg for lower back pain. It has provided little relief. I question what else can be done to alleviate the pain and, also, whether I should go for a second shot on Feb 12. I told the Doctor it feels like a kidney infection I had in my teens but she dismissed that.

Other Meds: 1 Losartin Potassium 50mg (BPmed)1 Esomeprazole Magnesium 20mg

Current Illness: None

ID: 0963345
Sex: F
Age: 45
State: TX

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

Lab Data:

Allergies: Factive

Symptoms: hot swollen area on the left arm vertical measures 2 1/2 inches and horizontal measures 4 inches No treatment at this time

Other Meds:

Current Illness:

ID: 0963346
Sex: F
Age: 51
State: CA

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

Lab Data:

Allergies: Amoxicillin, Septra, Sulfa

Symptoms: 2:21 PM :Patient states she her chest feels itchy and says it feels hard to breathe. Monitored patient's oxygen saturation and heart rate. 2:25 PM: Continue to monitor HR 2:29 PM Patient states her breath feels shallow and has to try to breathe really hard to take a deep breath. She also stated it might be related to her anxiety. 2:34 PM Patient was calm and able to communicate, denies shortness of breath. Patient was sent home. Nurse recommended for her to follow up with her PCP for any further concerns and to seek medical attention if she has a hard time breathing.

Other Meds: "Thyroid med", Estrogen, Progesterone, Claritin, Antacid-Nexium, lexopro

Current Illness: None

ID: 0963347
Sex: F
Age: 28
State: IL

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

Lab Data: no

Allergies: Penicillin and Amoxicillin

Symptoms: Arm pain for two days. Fatigue; muscle ache; headache , nausea that day - which lasted three to four days. The day after vaccine - I had a regular scheduled appt with neurologist - she prescribed a new med - Nurtec - I have taken twice since getting the vaccine. I'm still having ongoing fatigue; headache and nausea as well. Got period and it is more heavier than usual - almost went to ER. I have had a lot of pain and cramping associated with it. Have a lot of fluid and tissue coming out now that it's stopped.

Other Meds: Diamox - 250 mg in the am and 500 mg in the pm; Vit D3 and B12 and Vit C; Trazodone at pm to help sleep

Current Illness: Migraines

ID: 0963349
Sex: F
Age: 23
State: MN

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

Lab Data:

Allergies: Sulfa, cefdinir

Symptoms: About 7 hours after receiving the vaccine, I became very ill with a fever, chills, body aches, and severe arm pain.

Other Meds: Junel Birth Control Pill

Current Illness: None

ID: 0963350
Sex: F
Age: 37
State: KY

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: 01/08/21 TSH 0.01 01/08/21 Free T4 4.4 01/08/21 CRP 75.8 01/08/21 T3 292 01/08/21 ESR 36

Allergies: None

Symptoms: Patient had sore throat starting on 01/03/21 (prior to receiving COVID vaccine) Received vaccine on 01/06/21 Diagnosed with thyroiditis on 1/8/21 with low TSH, elevated free T4 and total T3 - given Propranolol and Prednisone at UTC which improved symptoms Evaluated in PCP's office on 01/15/21 due to recurrent symptoms (including severe headache) once Prednisone had been discontinued - given additional course of Prednisone, which improved symptoms I am unsure if this event is directly related to the COVID vaccine (since she did have a sore throat prior to the vaccination, which obviously could have been the respiratory infection that led to the thyroiditis) but thought I it prudent to report anyways.

Other Meds: Sumatriptan as needed

Current Illness: Sore throat on 01/03/2021

ID: 0963351
Sex: F
Age: 23
State: MO

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: nkda

Symptoms: patient states fever, cold sweats, join/muscle pain, headache, and rash at injection site. Resolved in 1 day

Other Meds: medroxyprogesterone 150mg/ml injection d-amphetamine salt combo 5 mg

Current Illness:

ID: 0963352
Sex: F
Age: 29
State: TX

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/21/2021
Hospital: Y

Lab Data: EKG- Abnormal TWAVE- Elevated

Allergies: Penicillin Cynomycin

Symptoms: Heart Palpitations , Nausea , headache, arm hurting No appetite Chest Pain A lot of mild reactions Pulse was over 100

Other Meds: Milti Vitamin Daily

Current Illness: na

ID: 0963353
Sex: F
Age: 71
State: LA

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

Lab Data:

Allergies:

Symptoms: COMPLAINT OF A LOCALIZED RASH TO LEFT LEG STARTED 1/21/2021

Other Meds:

Current Illness:

ID: 0963354
Sex: M
Age: 37
State: NY

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

Lab Data:

Allergies: Crustaceans, shellfish allergy

Symptoms: Soreness in left arm . Got a 100.5 C fever the next day.

Other Meds: Taking D3 supplements.

Current Illness: No

ID: 0963355
Sex: F
Age: 41
State: MS

Vax Date: 12/23/2020
Onset Date: 02/01/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Blurry Vision - started around a week after vaccine - I have not been to eye doctor but vision has changed

Other Meds: None

Current Illness: None

ID: 0963356
Sex: F
Age: 80
State: IN

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

Lab Data: None

Allergies: Most are side effects: Dyazide, Dilantin, Amlodipie, Chromic Suture, Diovan, Fluoxetine, Fluticasone Nasal Spray, Lisinopril, Metoclopramide, Parocetine, Ilisone, Propanolol, Welbutrin

Symptoms: Headache

Other Meds: Allegra,Astelpro Nasal Spray,Benefiber,Calcium Citrate, Biotin,Diltiazem, Doxazosin,Duloxetine,Famoditine,Gabapentin, Macuhealth, Magnesium,Mirtazapine, Montelukast, Multi-vitamin for Women over 50, Omega 3, Omeprazole, Primidone, Prolia, U

Current Illness:

ID: 0963357
Sex: F
Age: 44
State: KS

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

Lab Data: None

Allergies: Sulfa

Symptoms: Moderate injection site pain lasting 2 days, body aches, chills, nausea, headache, fevers off and on over 3 days (highest was 103.4 degrees checked orally)

Other Meds: Desvenlafaxine, Prilosec, Prenatal vitamin, collagen protein powder, Omega 3 caps

Current Illness: None

ID: 0963358
Sex: F
Age: 54
State: OK

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

Lab Data:

Allergies:

Symptoms: Patient reports itching with no rash at injection site 8 days post vaccine.

Other Meds:

Current Illness:

ID: 0963359
Sex: F
Age: 36
State: GA

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

Lab Data: would have more information but was summarized as CBC normal, Chemistry normal. CRP normal ESR 32.

Allergies: Latex allergy

Symptoms: 1/11@2200 soreness at injection site. 1/12@2045 aching in both feet, left ankle, joints of right fingers, mod back and thigh pain - all resolved with acetaminophen. 1/17@0100 severe lower back pain. 1/17@1300 pins and needles in bilateral feet that were progressively uncomfortable. 1/18-1/19 severe bilateral foot pain, burning, pins and needles. painful ambulation. Not relieved with any over the counter medications. nausea and retching noted that day. Mild dizziness. Pins and needles progressed up to thighs. 1/20 seen in Emergency Department, neurology consulted. Question of vs vaccine reaction. However discharged home. Symptoms started to decline on 1/21 with less pain and pins and needles. 1/21 minimal pins and needles but muscle cramps in right lower leg and foot more than left leg.

Other Meds: Amlodipine, Allegra

Current Illness: None

ID: 0963360
Sex: F
Age: 25
State: CO

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

Lab Data:

Allergies:

Symptoms: Headache, chills, rapid heartbeat, fever, shaking hands, fatigue

Other Meds:

Current Illness:

ID: 0963361
Sex: F
Age: 71
State: LA

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

Lab Data:

Allergies:

Symptoms: LOCALIZED RASH NOTED ON LEFT LEG ON 1/21/2021 RECEIVED VACCINE ON 1/14/2021

Other Meds:

Current Illness:

ID: 0963362
Sex: F
Age: 54
State: NY

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

Lab Data:

Allergies: None

Symptoms: Rash, warm to touch, hardness to the skin surrounding injection site

Other Meds: Metoprolol, escitalopram

Current Illness: No

ID: 0963363
Sex: F
Age: 31
State: AZ

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

Lab Data: None

Allergies: None

Symptoms: Fatigue, mentally "fuzzy", muscle tightness/aches in shoulders and upper back

Other Meds: ibuprofen 800 mg x1 15 minutes following vaccination.

Current Illness: None

ID: 0963364
Sex: F
Age: 83
State: CO

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

Lab Data: NA

Allergies: Iodine, Celexa, Clonazepam, Lisinopril, Tessalon Perles, Topamx, Valium, Vicodin, Zofran, Viibryd

Symptoms: Numbness both upper extremities, Nausea, Dizziness, Headaches, Face numbness right side

Other Meds: Multiple prescription and over the counter medications

Current Illness: Numerous illnesses listed

ID: 0963367
Sex: F
Age: 82
State: PA

Vax Date: 01/12/2021
Onset Date: 01/17/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: buprenorphine, codeine sulphate,opiods, penicillin, sulfa

Symptoms: Redness, extreme itching, swelling, hardness from shoulder to elbow and under armpit. Used hydro-cortisone and benadryl in beginning. Then used anti-itch spray.

Other Meds: 81mg aspirin, calcium+d3,, multivitamin,folic acid,glucosamine,iron,lisinopril, metoprolol,amiodipine,fish oil,paxil, vitamin b-12,vitamin e, niacin,vitamin c

Current Illness: None

ID: 0963368
Sex: M
Age: 44
State: CA

Vax Date: 01/16/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: The skin appears burnt covered by some black pigment

Other Meds: none

Current Illness: none

ID: 0963369
Sex: M
Age: 60
State: MN

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

Lab Data: none.

Allergies: omeprazole (hives), crestor (headache), erythromycin (diarrhea)

Symptoms: sx: felt hot, tingling at corners of mouth, dry mouth s: lungs cta b/l, upper airway cta b/l, no uvular swelling, no rash tx: benadryl 50 mg PO x 1, monitoring outcome: 911 called, pt monitored, ambulance cancelled, monitored in clinic, condition improved/resolved, discharged home with epi pen and instructions to call 911 if airway irritation develops.

Other Meds: l-argine, theraflavone, lisinopril, fluticasone nasal spray.

Current Illness: pharyngitis: lab confirmed negative strep, flu and covid.

ID: 0963370
Sex: F
Age: 24
State: OR

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

Lab Data: None

Allergies: sulfa drugs

Symptoms: 24yo F with hx of sulfa allergy received the Moderna Covid vaccine on 1/4. Day 1 felt chills, feverish. Reports edema in limbs, face, hands and whole body ("swollen to twice it's size). Tingly lips, extreme headache, nausea and body aches. Reddish urine for 4 days following. Swelling subsided after a few days.

Other Meds: mirena IUD implant, atarax 25 mg TID PRN, zoloft 50 mg QD

Current Illness: None

ID: 0963371
Sex: M
Age: 53
State: ME

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

Lab Data: Vital signs and exam only

Allergies: Morphine - anaphylaxis

Symptoms: Patient described bilateral "tingling" in the hands and wrists. Lasted for 15 minutes and resolved. DID NOT manifest any symptoms consistent with anaphylaxis, including NO angioedema, no difficulty breathing, no wheezing/stridor, no urticaria, no GI symptoms of pain/N/V/D

Other Meds: None

Current Illness: Fat embolism after long bone fracture s/p Greenfeild filter

ID: 0963372
Sex: F
Age: 38
State: NM

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

Lab Data: EKG (normal)

Allergies: ACE inhibtors, gabapentin, lisinopril, Lyrica, milk products, nuts,

Symptoms: Patient received her second dose of the Pfizer COVID vaccine in the right arm 45 minutes ago. She was being monitored for the mandatory 15-30 minute period when she started feeling some increasing shortness of breath, scratchy throat, some swelling in her bilateral periorbital area. She was then taken to the ED for further evaluation. Patient denies any allergic reaction to the initial covid vaccine 3 weeks ago. She denies any abdominal pain, diarrhea, nausea, vomiting, chest pain, shortness of breath. She does have a mild headache. She received IM epinephrine, diphenhydramine, famotidine, and dexamethasone at 1300 and was monitored and discharged at 1530.

Other Meds: amlodipine 2.5mg, apremilast, bupropion 150mgbid, calcipotriene topical, carvedilol 12.5mg bid, vitamin d 1000 units, duloxetine 20mg bid, dicyclomine 20mg qid, losartan 50mg qday,

Current Illness: none

ID: 0963373
Sex: F
Age: 70
State: FL

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

Lab Data: I did not have any lab tests done yet. I have an appointment with an allergist next week. I do not know what has to be done. My appointment is for 1/25/21.

Allergies: CODEINE

Symptoms: About two minutes after we left the park (which was 15 min. after the vaccination) I felt needles poking the tip of my tongue. My daughter turned around and tried to get back to the park but there was a very long line, so I decided to wait and see what happened. The pain subsided after a few minutes, and then the tip of my tongue just felt numb. I do not know exactly for how long it was numb because I fell asleep when I got home after an hour drive from the site. When I woke up it felt better, but the next day and up to today it feels as if the tip of my tongue was burnt with a hot liquid.

Other Meds: Olmezartan, CoQ10, Vitamin D3, Berberine

Current Illness: None

ID: 0963374
Sex: M
Age: 33
State: CA

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

Lab Data:

Allergies: None

Symptoms: Approximately 6 hours post injection: Swelling of injection area Soreness of injection area for 48 hours Light fever Chills Whole body aches

Other Meds: None

Current Illness: None

ID: 0963376
Sex: F
Age: 30
State: CA

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

Lab Data:

Allergies: Denies

Symptoms: Patient described scratchiness to throat and observed a flat red rash on bilateral upper arms and chest shortly after vaccination. VS BP 122/99, P 72, R 20 . Administered 50 mg Benadryl PO . Rash subsided and patient stated she felt better and had no difficulty breathing 50 minutes post vaccination. VS at release from clinic BP 118/84, P 72.

Other Meds: Claritin Ibuprofen

Current Illness: Denies

ID: 0963377
Sex: F
Age: 28
State: LA

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

Lab Data:

Allergies:

Symptoms: COMPLAINT OF FEELING LIGHT HEADED AND DIZZY THAT EVENING AFTER THE VACCINE. AGAIN TODAY WHILE AT WORK FEELING LIGHTHEADED AND DIZZY

Other Meds:

Current Illness:

ID: 0963378
Sex: F
Age: 56
State: IA

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

Lab Data:

Allergies:

Symptoms: PATIENT HAD REDNESS AND SWELLING IN ARM AND TINGLING INTO FINGERS. LYMPH INVOLVEMENT PER PT. AREA WARM TO THE TOUCH. PT REPORTS THAT IT STARTED THE SAME DAY AS THE SHOT AND WORSENED. PT SAW THE DR AND SHE REPORTED THE DR TREATED HER FOR CELLULITIS.

Other Meds:

Current Illness:

ID: 0963379
Sex: M
Age: 75
State: CA

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

Lab Data: No medical tests

Allergies: NSAIDs

Symptoms: Fatigue for a few days

Other Meds: Zetia, Crestor, Trazadone, Pantoprazole, Flucinonide, Baclofen, 81 mg aspirin, melatonin, centrum silver supplements, acetaminophen

Current Illness: skin cancer

ID: 0963380
Sex: M
Age: 68
State: GA

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

Lab Data: NONE

Allergies: NONE

Symptoms: LETHARGIC, NON-RESPONSIVE TO QUESTIONS ASKED. PATIENT STATED THAT HE COULD HEAR US TALKING BUT COULD NOT ANSWER QUESTIONS. PATIENT BEGAN TO REGAIN NORMAL STATUS IN ABOUT 10 MINUTES AFTER TALKING TO HIM. WE HAD EMTS COME AND CHECK HIM OUT. PATIENT REFUSED TO GO TO THE HOSPITAL. WE CALLED SEVERAL TIMES DURING THE DAY TO CHECK ON THE PATIENT, AND HE SAID THAT HE WAS DOING FINE.

Other Meds: NONE

Current Illness: NONE

ID: 0963381
Sex: F
Age: 31
State: OR

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

Lab Data: None

Allergies: None

Symptoms: I woke up Saturday morning with pain on my arm where I had gotten my vaccine. There was a big red circle, the size of a baseball around my arm. It was firm, hot, and itchy. I was also feeling feverish and weak. Sunday and Monday, I was feeling better. The red circle on my arm was still hot and itchy but it was not that firm anymore. Today is Thursday and the red circle is going down.

Other Meds: None

Current Illness: I tested positive for Covid in November

ID: 0963382
Sex: F
Age: 25
State: OH

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

Lab Data: None

Allergies: Penicillin allergy as a child. Break out in a rash.

Symptoms: Developed right axillary pain, fullness, and warmth starting Monday, January the 18th, 7 days after receiving the vaccine. The morning of January 19 experienced noticeable right arm swelling, decreased range of motion, and a 4x6cm area of erythema around the injection site. Significant general fatigue starting Monday the 18th. 2x2cm abdominal rash developed on Wednesday the 20th. Resolved right arm erythema and abdominal rash on January 21st. General Fatigue and right arm discomfort are improved but still remain. Was prescribed Methylprednisolone 4 mg dose pack and cephalexin 500 mg TID on Tuesday the 19th. Did not start medical treatment due to quick improvement of symptoms.

Other Meds: lo lo estrin (birth control), Prozac 40 mg, Buspirone 10 mg, Methylphenidate CD 10 mg, iron supplement.

Current Illness: None

ID: 0963383
Sex: F
Age: 30
State: UT

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

Lab Data: none yet

Allergies: sulfa

Symptoms: Fever of 100.3 x 3 days, systemic hives daily and continues as of today 1/21/21. Used an Epipen over the weekend due to face and mouth swelling. Been to Dr several times since 12/24/20. Prednisone and antihistamines given with minimal relief. Patient has missed several days of work due to systemic swelling and hives covering her entire body.

Other Meds: unknown

Current Illness: None

ID: 0963384
Sex: F
Age: 49
State: PA

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

Lab Data:

Allergies:

Symptoms: Felt hot within 5 minutes of injection, but was better within 20 minutes. Patient developed hives 30 minutes later and went to ER. Given IV solumedrol then went home. At 6pm on 12/28/20 she developed a bad headache and SOB. PCP called her at this time due to earlier ER visit then advised her to return to ER if no better in 2 hrs. Went to ER at 8pm and was ordered meds for headache and albuterol inhaler. Was feeling better a couple days later and has had no further issues. Was advised by ER to not get 2nd COVID vaccine.

Other Meds:

Current Illness:

ID: 0963385
Sex: U
Age: 44
State: CT

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

Lab Data: N/A

Allergies: NONE

Symptoms: PATIENT WAS GIVEN THE VACCINE AT 04:05PM. WITHIN 7 MINUTES THE PATIENT HAD COMPLAINED OF DIZZINESS AND PAIN WHICH WAS CAUSED BY THE VACCINATION. PATIENT FELT HOT TO TOUCH WHEN TAKING A TEMPERATURE READING PATIENT TEMPERATURE WAS 97.8 DEGREES F. EMERGENCY SERVICES WERE ALERTED THROUGH PHAMACY PROTOCOLS AND EPIPEN WAS PLACED NEARBY IF NEEDED. PATIENT VOMITTED STOMACH ACID AND SMALL AMOUNT OF LIQUID INTO TRASH RECEPTACLE. EMERGENCY SERVICES ARRIVED AND TOOK CARE OF THE SITUATION AT THE TIME BRINGING HER TO WATERBURY HOSPITAL FOR FURTHER EVALUATION WHERE AT 5:15PM SHE WAS MORE ALERT AND TREATED FOR HER CONDITION

Other Meds: NONE

Current Illness: NONE

ID: 0963386
Sex: F
Age: 45
State: MA

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

Lab Data: Was evaluated by crew member. Found to have erythema and ?sandpaper? textured confluence rash to face and ant chest which became more intense in color but did not spread or become hives. No increased WOB,BBS clear, no edema noted to face or mouth. Initial BP was 160/p HR100 spo2 100%ra rr 24 Final bp 113/77,hr 98, rr 14, spo2 98% ra. After evaluation, treatment plan include monitor, IV access and Benadryl. Pt decided not to be treated or transport due to transportation issues despite being advised by both crew and pt?s PCP. Release signed and patient states is going to drive home and take Benadryl there. Will have neighbors watch her and will call 911 if it gets worse.

Allergies: Keflex

Symptoms: Approx 5 mins after leaving vax site, pt states noted rash to face and spreading to chest. Denies all other sx. Decided to return to site for evaluation.

Other Meds: Zyrtec,melatonin, albuterol, Motrin, apap

Current Illness: None

ID: 0963387
Sex: F
Age: 47
State: MD

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

Lab Data: None

Allergies: Allergic to Diflucan, contrast dye, some strong chemical scents, pollen, "oral allergy syndrome" that includes reactions to raw apples, pears, cherries, walnuts, and pecans.

Symptoms: Severe diarrhea 3-5 days after receiving vaccine. Normal soreness in arm for about two days after receiving vaccine, then on 1/20/2021 (8 days after receiving vaccine), I noticed a hard lump at the injection site, that started to itch after touching it. Arm had been itchy for a few days after the injection, but itchiness returned along with arm feeling hot to the touch with a slight red appearance. Area with the lump painful to touch, with mild soreness experienced when moving arm (which had initially disappeared 3 or so days after injection).

Other Meds: Q-var inhaler 2x daily, Albuterol inhaler as needed, Singulair 1x daily, Paxil 1x daily, Ativan as needed. 250 mg vitamin C daily (chewable gummy) Acetaminophen as needed for headache and arthritis

Current Illness: No other illnesses.

Date Died: 01/10/2021

ID: 0963388
Sex: F
Age: 88
State: ND

Vax Date: 01/05/2021
Onset Date: 01/10/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: Ceftriaxone sodium, Augmentin

Symptoms: Patient died unexpectedly 5 days after receiving vaccine (1/10/2021).

Other Meds: Albuterol, Aspirin, Ativan, Ayr Saline Nasal, Biotene Dry mouth moisturizing spray, docusate sodium, Florajen 3, gabapentin, hydralazine HCL, Hydrocortisone acetate/LI, Isosource VHN 1.5 cal, ketoconazole, Lasix, lopressor, multivitamin, pl

Current Illness: No known illnesses at time of vaccination.

ID: 0963389
Sex: F
Age: 38
State: NM

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

Lab Data: EKG - normal

Allergies: ACE inhibtors, gabapentin, lisinopril, Lyrica, milk products, nuts,

Symptoms: Patient received her second dose of the Pfizer COVID vaccine in the right arm 45 minutes ago. She was being monitored for the mandatory 15-30 minute period when she started feeling some increasing shortness of breath, scratchy throat, some swelling in her bilateral periorbital area. She was then taken to the ED for further evaluation. Patient denies any allergic reaction to the initial covid vaccine 3 weeks ago. She denies any abdominal pain, diarrhea, nausea, vomiting, chest pain, shortness of breath. She does have a mild headache. In ED, patient received diphenhydramine 25mg IV, epinephrine 0.3mg IM, famotidine 20mg IV and dexamethasone 10mg IV, and LR 1,000mL bolus @ 1228, ketorolac 15mg @1312, ondansetron 4mg @1312. Patient monitored and discharged at 1530.

Other Meds: amlodipine 2.5mg, apremilast, bupropion 150mgbid, calcipotriene topical, carvedilol 12.5mg bid, vitamin d 1000 units, duloxetine 20mg bid, dicyclomine 20mg qid, losartan 50mg qday,

Current Illness: none

ID: 0963390
Sex: F
Age: 56
State: WI

Vax Date: 11/19/2020
Onset Date: 11/20/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: Vancomycin Cefzin Naproxin Liquid Codine

Symptoms: I became extremely exhausted and had to go directly to bed. I had a fever, headache and upset stomach. I slept most of the day and was unable to eat until late that evening and only managed broth. The following day, I tired very easily and had to rest repeatedly.

Other Meds: omeprazole 40 MG delayed release capsule, 1 pill twice daily OZEMPIC (0.25 OR 0.5 MG/DOSE) 2 MG/1.5ML pen-injector, .50 once per week gabapentin 800 MG Tabs, 1 tab daily gabapentin 300 MG capsule, 3 pills every morning and 4 pills every eve

Current Illness: None

ID: 0963391
Sex: M
Age: 41
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: Within 30 min observation period post vaccine, Ten minutes after vaccine injection patient began feeling dizzy and hot. Monitor VS all within normal range. Gave water and allowed to lay and rest for full 30 min. Dizziness and hot feeling resolved discharged home @ 1234 with EC precautions.

Other Meds: Plavix, Lisinopril, Lipitor, ASA,

Current Illness: None

ID: 0963392
Sex: F
Age: 50
State: MA

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

Lab Data: NA

Allergies: NA

Symptoms: round, Red, swollen, hot to the touch on my arm where I received the injection. When I got home it was about the size of a quarter. When I got up the next day (1/21/21) it was much larger. My arm is throbbing and hurts when it rubs against my clothing. Was seen by my PCP and he said to monitor it for a few days. A circle was drawn on my arm to see if the red site grows over the next few days. PCP could not tell me if I should get the 2nd shot.

Other Meds: Glycopyrrolate 1MG 2xday Trospium Chloride 20MG 2x day

Current Illness: NA

ID: 0963393
Sex: F
Age: 50
State: AL

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

Lab Data: N/A

Allergies: Dilantin, Morphine, hydrocodone

Symptoms: Patient received vaccine and left clinic. She returned to clinic complaining of itching to her head and hands. Exam revealed no rash or hives, no shortness of breath, no edema. Vital signs within normal limits.

Other Meds: Clonidine 0.1 mg Norvasc 10mg Ibuprofen 800mg

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm