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: 0964680
Sex: M
Age: 71
State: TX

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Strong reaction(not moderate). High fever, labored breathing, vomiting, headache. Could not stand. Lasted about 12 hours and then started to feel better.

Other Meds: none

Current Illness: none

ID: 0964682
Sex: F
Age: 41
State: AL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 1/5- I woke at 11:00 p.m. with a horrible headache, nauseous, and could not go back to sleep. 1/6- I had horrible migraine like headache, nauseous, felt sluggish, weak, hot. That night I was having sever night sweats, running fever, headache, nauseous. Could not sleep. 1/7- I could not go to work same symptoms continued. Migraine type headache, nauseous, weak, overall feeling horrible. 1/8- Still had headache but other symptoms were getting better. 1/9- Started feeling back to normal.

Other Meds: Vitamin D, zinc,Vitamin C, magnesium

Current Illness: Common cold 2 weeks prior

ID: 0964683
Sex: F
Age: 37
State: PR

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The Patient reports general malaise, fever and pain in the R+ deltoid arm.

Other Meds:

Current Illness:

ID: 0964684
Sex: F
Age: 39
State: MN

Vax Date: 01/14/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None yet.

Allergies: None

Symptoms: Experienced normal pain after first receiving the shot which was gone by day three. On day eight, a rash began to appear in the area right below the shot. It expanded and defined itself overnight. Mild itching and some pain returning. Treatment of Advil and ice packs will be used.

Other Meds: multi-vitamin, claritan, celexa

Current Illness: None

ID: 0964685
Sex: M
Age: 77
State: NY

Vax Date: 01/11/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: N/A

Allergies:

Symptoms: Patient reported redness that began to spread down arm towards elbow. Patient consulted w/ PCP and was prescribed oral antibiotics.

Other Meds:

Current Illness:

ID: 0964686
Sex: F
Age: 37
State: PR

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: Cervical Spine X-Ray Chest X Ray

Allergies: None

Symptoms: Dolor de Pecho (Chest Pain). Dolor e inflamacion area izquierda del cuello (Neck Pain/ Inflammation). A small bump is noticeable and palpable at neck (left side). Visit Emergency Room and received medications for pain ( Ketorolac ) and muscle relaxant (Orphenadrine).

Other Meds: Lisinopril 5mg daily

Current Illness: None

ID: 0964687
Sex: F
Age: 39
State: IA

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: N/A

Allergies: Latex allergy causes itchy redness irritation at site of exposure. Adhesive tapes allergy causes itchy skin and brake down of skin causing a wound. terconazole cream allergy causes decreased heart rate to 29-30 BPM, normal heart rate in 60's.

Symptoms: Swelling and pain to right deltoid (injection site). Swelling to right Axillary described as "size of baseball". Swelling and pain radiated to right side of neck. Pain radiated to mid sternum, right side of chest, down right arm. Intermittent numbness and tingling to right arm, may include entire arm or sections of right arm. Moving from sit to stand, pain in right side groin area. Pain overall rated at 5/10. Right axillary pain 7/10. 01/22/2021, pain has "significantly improved", numbness resolved on 01/20/2020, tingling continues at this time. Overall rated pain currently 3/10, continues in all sites listed above. Visited PCP on 01/20/2021, prescribed 800mg 3 times daily for pain. Recommended to follow up Public Health or CDC. PCP had no further guidance for future vaccinations, client would need to make that decision independently. PCP recommended follow up if symptoms continue or worsen.

Other Meds: 600-800mg Ibuprofen PRN for generalized pain and right knee pain prior to workout (1-2 times per week)

Current Illness: N/A

ID: 0964688
Sex: F
Age: 52
State: MI

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: NONE

Allergies: NONE,

Symptoms: 2 HOUR AFTER VACCINE EMPLOYEE DEVOLOPED RASH ON LEGS AND ARMS PERSISTED UNTIL ATLEAST 1/14/20201, MAY STILL BE ON GOING.

Other Meds: ABILIFY, CYMBALTA, GENTAMYCIN OINT. AMERGE, AMBIEN,ZONEGRAN

Current Illness: NONE

ID: 0964689
Sex: F
Age: 61
State: NM

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: n/a

Allergies: NKDA

Symptoms: STarted having nausea around 10am on 1/21/21, then at noon started having chest pain and a migraine. Went home early from work. As of 1/22/21 0830, still has chest pain but not as intense and it radiates to left shoulder and towards back (advised employee to have this evaluated)

Other Meds: Talamasartan 40mg PO qd Mulitvitamin once a day

Current Illness: n/a

ID: 0964690
Sex: F
Age: 25
State: TX

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: N/A

Allergies: No known allergies

Symptoms: 1855 BP 125/86 HR-86 O2 Sat 99% on room air. Patient reported numbness in left arm to wrist and on left side of mouth. Numbness remained localized throughout 30 minute extended monitoring. Lungs CTA, Cap refill <3 sec, AOx4, 0/10 pain, no tingling sensation. No loss of taste/smell. Pt reports similar numbness as a first sign of migraines. Patient has fainted during blood draw 1 year ago. 1920 No improvement in numbness, provided snacks and water during monitoring. No swelling, denies dizziness, no weakness in arm or generalized weakness reported. No redness, no inflammation at injection site on inspection. Airway clear, no difficulty breathing. Skin pink, arm to touch WNL. Patient responsive to pin prick sensation and deep pressure in left arm. Motor functions WNL on assessment. No edema. 1934 Patient stable, will end extended monitoring. Patient will visit urgent care if symptoms do not improve or worsen. All s/s will be reported in v-safe app.

Other Meds: Humera 80mg 2x/week

Current Illness: N/A

ID: 0964691
Sex: M
Age: 22
State: FL

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

Lab Data:

Allergies: NKDA

Symptoms: Four minutes after receiving Pfizer Covid 19 Vaccination (#1 of series), client lost consciousness. Client was diaphoretic, pale. Consciousness returned almost immediately. BP 100/70, Pulse 62, Oxygen Saturation 96%. Client reported feeling nausea as well. Client instructed to place head between legs and take deep breaths. No medication was provided. Ice applied to neck. 5-8 minutes later client was escorted to clinic exam room via wheelchair and placed in supine position. Client observed an additional 30 minutes while symptoms gradually improved. Client ambulated on own to his vehicle after observation period.

Other Meds:

Current Illness:

ID: 0964692
Sex: F
Age: 24
State: ME

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Fever, chills, migrane, tiredness

Other Meds: Propanolol, necon 1/35

Current Illness: No

ID: 0964693
Sex: F
Age: 29
State: MN

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: Swollen axillary lymph node in left arm size of a plum.

Other Meds: none

Current Illness: none

ID: 0964695
Sex: F
Age: 25
State: CA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Systemic: Tingling in same arm as injection site; vitals all stable-Mild

Other Meds:

Current Illness:

ID: 0964696
Sex: F
Age: 34
State: IL

Vax Date: 12/26/2020
Onset Date: 12/26/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: clindamycin, doxycycline, gluten, pantoprazole, adhesive tape

Symptoms: The day of my 1st vaccine, about 10 min after I was in the waiting room and I started feeling "weird" in my whole body and lightheaded. I got some juice. Then I started to get hot and was sweating, my whole face and neck were flushed; I also felt mild burning sensation on the R lower lung area. They took me in back and gave me more juice and water and put ice packs on me. It took 30+ minutes to feel better. They called a team to come do my vitals and my HR was in the 100s and they said my eyes were dilated. On my way home I had a weird throbbing pain in my L upper chest just above my boob. When I got home I had chills/felt freezing for a few hours and was fatigued. The next day (Sun) I had moderate joint pain, fatigue, and was very achy; my chest felt tight and I needed my inhaler and some tramadol. On Mon I felt better and went back to work, but then Tues I was achy again and my coworker said I looked pale; I took some tramadol and felt better, just tired. On wed I was having pains in my neck, shoulder, down my arm L arm, and down my scapula- the arm I had the injection. Throughout the day the pain was throbbing and ended up a 7/10 and edema in my neck/shoulder/axillary occurred; I couldnt carry anything heavy and was guarding that arm. Tramadol didn't help the pain and I eventually took 600mg ibuprofen and made a telemedicine visit w/ my MD for the next day. After 3 days the pain was subsiding but the edema took ~ 1 week- it subsided the weekend before my next vaccine. The day of my 2nd dose I did ok after the vaccine at 4pm. While they were injecting it I felt burning down my arm. I felt lightheaded and "weird" afterwards and warm, but no eye dilation or flushing. 3 hours after the vaccine at 7pm I felt tired and a little achy and slept from 7-9pm. At 9pm I woke up very achy, I had 1 itchy hive that popped up on my R inner forearm. The next day I had joint pain in every joint and very achy and fatigued. The joint pain subsided on day 2 after the vaccine but I was very achy and fatigued for a good 72 hrs. Vaccine was wed and saturday the pain in my neck returned and the edema came back and was a little worse than before, and the area where the edema was, was painful to touch. It started subsiding ~ a week after the vaccine, but a little bit is still currently here- but no pain to touch. My allergist has been following up w/ me this whole time.

Other Meds: allegra, levothyroxine, famotadine, claritin, lexapro, tumeric, omega 3, singulair, immune max elderberry supplement, digestive supplement

Current Illness: none

ID: 0964697
Sex: F
Age: 34
State: OH

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: No Food, Sulfa Drugs

Symptoms: Thursday/Friday of vaccination pt reports soreness in arm, Saturday/Sunday reported "flu-like symptoms" Patient reports redness at injection on 1/21/2021 and has doubled in size today 1/22/2021 (referred to PCP)

Other Meds: MVI, Estrogen Birth Control

Current Illness: NO

ID: 0964698
Sex: F
Age: 34
State: MA

Vax Date: 12/29/2020
Onset Date: 01/04/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: I woke up with a tender, sore and swollen right supraclavicular lymph node. Tenderness and soreness resolved after about 2 days but it has continued to be palpable/ swollen to present time.

Other Meds: Birth Control Pill

Current Illness: None

ID: 0964699
Sex: F
Age: 45
State: CA

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data: No

Allergies: I am allergic to mango, peanuts, green beans

Symptoms: I had a rash,like small little dots from mid thigh all the way up to my arm pits.

Other Meds: I take vitamins and minerals

Current Illness: No

ID: 0964700
Sex: F
Age: 34
State: KS

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Arm pain at injection site, chills and back pain. Patient took Tylenol and Ibuprofen and was better within 24 hours

Other Meds: Prenatal

Current Illness: None

ID: 0964701
Sex: F
Age: 50
State: CA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Moderna COVID-19 Vaccine EUA

Other Meds: Tylenol, Vitamin C, Levothyroxine 50mg. Vitamin B-12, Calcium.

Current Illness:

ID: 0964703
Sex: M
Age: 76
State: AZ

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None.

Allergies: Allergic to some grasses like timothy hay

Symptoms: Eight days after initial injection, I noticed an oval-shaped rash about 1.5 x 3 inches over the injection site. It itches moderately. No fever, headache or soreness to report. Rash continues today.

Other Meds: 7.5 mg/day bromocriptine, 1 mg/day Arimidex tab, 81 mg aspirin/day, one multivitamin

Current Illness: None

ID: 0964704
Sex: M
Age: 69
State: AZ

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

Lab Data:

Allergies:

Symptoms: Muscle ache, joint pain, and fatigue.

Other Meds: Omeprazole, Losartan-Hydrochlorothyiazide

Current Illness:

ID: 0964705
Sex: F
Age: 28
State: IL

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: chlorhexidine

Symptoms: One hour after vaccination patient experienced Left facial and tongue numbness that impacted her ability to speak clearly (similar to experience with numbing for a dental procedure). She was given 25mg diphenhydramine orally and taken to the ER. Dexamethasone 10mg given intramuscularly in ER.

Other Meds:

Current Illness:

ID: 0964706
Sex: F
Age: 41
State: KY

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: n/a

Allergies:

Symptoms: Moderna Covid-19 Vaccine EUA Chills, joint pain, headache, palpitations (ekg from Watch showed PVC's- I am Cardiology nurse) that lasted approx 12 hours

Other Meds: Luvox 50 qd MVI Hyzaar 50/12.5 qd

Current Illness:

ID: 0964707
Sex: F
Age: 54
State: GA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: NA

Allergies: CODIENE

Symptoms: SORENESS AT SIGHT, NO ENERGY/ SWOLLEN LYMPH NODES

Other Meds: vitaman D

Current Illness: NA

ID: 0964708
Sex: M
Age: 56
State: IN

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: I noticed within 3 or 4 days, that the location of the shot on my left shoulder developed a noticeable indent in my shoulder muscle. The indent is only about the size of a dime, however, there is a visible recession in the muscle where the injection occurred. I am unsure how quickly the indent occurred, but I noticed it maybe 4 days later. It is as if the muscle below the injection shot dissolved away and just left a hollow indent about a millimeter or two in depth. I did report this to the injection site nurses upon getting my second follow up vaccine. They verbalized easily being able to notice the indentation from 5 feet away.

Other Meds: Levothyroxine

Current Illness: None

ID: 0964709
Sex: F
Age: 62
State: PR

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The Patient reports general malaise, fever and pain in the R+ deltoid arm.

Other Meds:

Current Illness:

ID: 0964710
Sex: M
Age: 39
State: NM

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: woke up in the middle of the night with fever, chills, nausea, body aches, diarrhea

Other Meds: pravastatin, depo-testosterone, metoprolol er, levoxyl

Current Illness: none

ID: 0964711
Sex: F
Age: 40
State: NV

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: NONE

Symptoms: 1.6.2021 AT 945 PATIENT REPORTED "FEELING HOT" AND "TONGUE TINGLING" PATIENT REFUSED EPINEPHRINE AND BENADRYL. PATIENT ACCEPTED ICE PACKS AND WAS TAKEN TO MEDICAL CENTER BY EMS.

Other Meds: UNKNOWN

Current Illness: NONE

ID: 0964712
Sex: F
Age: 48
State: VA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: headache: over 24 hours, took Ibuprofen and Tylenol, low grade fever: off and on for about 5 hours, took ibuprofen and tylenol, chills and fatigue: about 16 hours, slept and rested as much as possible

Other Meds: amlodipine, aspirin, atorvastatin, bupropion xl, calcium, carvedilol, cyclobenzaprine, diclofenac, ferrous sulfate, gabapentin, ibuprofen, losartan, Nascobal, ursodiol

Current Illness: None

ID: 0964713
Sex: F
Age: 38
State: PR

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

Lab Data:

Allergies: Shrimp, dust, dust mites, roaches, pollen

Symptoms: Diarrea

Other Meds: Synthroid

Current Illness: N/A

ID: 0964714
Sex: F
Age: 27
State: CO

Vax Date: 12/26/2020
Onset Date: 01/02/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Amoxicillin

Symptoms: One week after administration, developed area locally at injection site of redness, induration, itching and mild swelling. Also felt itching over rest of body but never developed rash. Lasted about 48 hours then disappeared.

Other Meds: Mirena

Current Illness:

ID: 0964715
Sex: F
Age: 55
State:

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

Lab Data:

Allergies: NKDA

Symptoms: Acute onset of more severe vertigo at 0100 the night after receiving vaccine. Slowly resolving when she sent me a message to report at 0719. Pt has a hx of BPPV but previously had been management.

Other Meds: ImVexxy gabapentin fish oil famotidine

Current Illness: None

ID: 0964716
Sex: M
Age: 40
State: AR

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

Lab Data: NONE

Allergies: NO

Symptoms: CHILLS, BODY ACHES, FATIGUE, HA

Other Meds: METFORMIN

Current Illness: NO

ID: 0964717
Sex: M
Age: 26
State: NV

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

Lab Data: NONE

Allergies: NONE

Symptoms: RECEIVED SECOND DOSE OF MODERNA COVID VACCINE; ON 21JAN21 @ 1800 HRS, SYMPTOM ONSET INCLUDES FEVER, MUSCLE ACHES, MUSCLE SORENESS (BOTH BODILY AND AROUND THE SITE INJECTION), TENSION HEADACHE, AND CHILLS/SHIVERS SYMPTOMS RESOLVED OVERNIGHT. RESIDUAL SYMPTOMS INCLUDE SLIGHT FEVER, SLIGHT HEADACHE, AND SLIGHT CHILLS THE NEXT DAY

Other Meds: NONE

Current Illness: NONE

ID: 0964718
Sex: M
Age: 60
State: FL

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: NA

Allergies: NKDA

Symptoms: Clinic calls to report adverse reaction to Shingrix Vac he received on 15 JAN. States within 24 hours he broke out in all over body rash that resembled "chicken pox" that was very itchy for 3 days. Denies anaphylatic symptoms. He states today rash has resolved. Denies need to be seen. I did give him VAERS phone number and notified that I am obligated to make a report in their database. He stayed on phone with me while I filled out online form.

Other Meds: DICLOFENAC TAB,EC 75MG TAKE ONE TABLET BY MOUTH TWICE A DAY WITH MEALS FOR PAIN AND INFLAMMATION

Current Illness: NA

ID: 0964719
Sex: F
Age: 51
State: MO

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

Lab Data: none

Allergies: PCN, Bactrim, Ultram ER (and Toradol group of meds,) cow's milk allergies and lactose intolerant; peppermint (causes migraines)

Symptoms: 1/21/2021 - 9pm, slight aches in neck muscles 1/22/2021- 3am, fever 102.8 F (forehead) and 102.1 F (ear), chills, body aches, joints achy, headache, slight sore throat, couldn't sleep. Took 2 butalbital and drank Pedialyte; forehead temp was 100.1 F by 5 am, and 99.7 F by 6 am 7:30 am (1/22/2021) fever returned and was 102.2 F (forehead) and 101.4 in ear. All other symptoms remain the same. Took 2 butalbital and drank more Pedialyte Called doctor and left voicemail with nurse to put these notes in my chart It should be noted that I had Covid-19 from onset of symptoms on 11/13/2020 and had symptoms through 11/29/2020. I had two visits to urgent care for fluids and medication (11/20/2020 & 11/29/2020). Exposure came from my husband who presented with symptoms on 11/12/2020 and contact tracing revealed his exposure was on 11/09/2020

Other Meds: Fioricet, Zomig nasal spray, Zoloft, Amitriptyline, Benzonatate, Xyzal, Allergra, Flonase, Estradiol, Progesterone compound cream

Current Illness: Had eye surgery for Ptosis on 12/29/2020; No illnesses

ID: 0964721
Sex: F
Age: 38
State: MS

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt broke out in hives the night of receiving the vaccine then continue to have symptoms for over 12 days following the injection

Other Meds:

Current Illness:

ID: 0964722
Sex: F
Age: 55
State: PA

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: Vomiting , high fevers 101 degrees Fahrenheit

Other Meds: tylenol

Current Illness: none

ID: 0964723
Sex: F
Age: 48
State: IN

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: I went to get a rapid covid test which was negative. This was precaution for employer.

Allergies: none

Symptoms: I experienced a low grade fever for 24 hours, body aches

Other Meds: Multivitamin, allergy medication

Current Illness: none

Date Died: 01/15/2021

ID: 0964724
Sex: M
Age: 76
State: AK

Vax Date: 12/18/2020
Onset Date: 01/15/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: NKDA, NKFA

Symptoms: Death 1-15-21

Other Meds: prozac, olanzapine, alendronate, divalproex, mirabegron, metoprolol, proair,

Current Illness: Dementia, Bipolar, COPD, HTN, Schizoaffective

ID: 0964725
Sex: F
Age: 53
State: FL

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Swelling, pain and itching at injection site (3"x2") Started a few hrs after injection and still persists

Other Meds: None

Current Illness: None

ID: 0964726
Sex: F
Age: 42
State: VI

Vax Date: 12/30/2020
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: 1/22/2021 Physical exam of the client. There is no shortness of breath or facial edema. The client is in no acute distress. She has no complaints of fever, chills, cough. Her skin is warm and dry. Palpation of left axilla with positive lymph node swelling. Exam of the left submandibular lymph node with swelling. Examination of skin shows no signs of urticaria. No laboratory tests were ordered.

Allergies: None

Symptoms: 12/30/2020 Four hours after vaccination - left arm soreness, mild headache above right eye. Client improved that evening. 1/20/2021 Four hours after second vaccine dose - Body aches, intense headache over right eye, The evening of the same day - Heaviness to left arm, increased pain to left arm radiating to hands, tightness to the left arm with a feeling of "electricity" in the arm. The pain increased in intensity to the left arm during the night. Unable to sleep due to intense pain to the left arm and axilla. 1/21/2021 In the morning, client experienced abdominal pain and diarrhea once (loose stool). She noted swelling to the left axilla, intense pain, swelling below the left jawline. 1/22/2021 Early morning nausea without emesis, itching of the right forearm and nape of the neck, throbbing pain to left axilla with itching, throbbing to the left ear, which has not been sensitive to pain due to deafness.

Other Meds: Topiramate 50mg one tab PO daily Oxcarbazepine 300mg one tab PO twice a day Levetiracetam 500mg one tab PO twice a day Dexamethasone 4mg 2 tabs PO every 8 hours for three days then 1 and 1/2 t

Current Illness: Trigeminal neuralgia right side of face Meniere's disease with deafness to left ear Carpal tunnel syndrome left hand

ID: 0964727
Sex: F
Age: 54
State: MD

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: penicillin

Symptoms: Pt called the office stating she had received the first dose of Moderna's COVID vaccine around 0830. Pt called at 0941, c/o band-like headache with significant pain, a metallic taste in her mouth, and feeling like parts of her mouth were numb similar to when she has dental work done and is numbed with lidocaine.

Other Meds: topiramate, symbicort, spiriva, quetiapine, proair, lisinopril, famotidine, diazepam, dextroamphetamine-amphetamine, desipramine, amlodipine, acetaminophen

Current Illness: 1 week prior had diarrhea, vomiting, nausea

ID: 0964728
Sex: F
Age: 36
State:

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: cashew, gold, pistachio

Symptoms: After the first dose 12/30/2020, I experienced significant fatigue and increased joint pain the following 2 days. Hours after receiving the second dose, I experienced vomiting, nausea, fatigue, severe joint pain. I was unable to stay at work or work at all the following day. I slept almost the whole time. At 2 days later, I still have significant joint pain and moderate fatigue.

Other Meds: Lisinopril, seasonique

Current Illness: none

ID: 0964730
Sex: F
Age: 56
State: VA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Laxtex

Symptoms: swollen armpit very painful

Other Meds: Blood Pressure pill 1x daily amlodipine 10mg

Current Illness: none

ID: 0964731
Sex: F
Age: 30
State: NY

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

Lab Data: None yet

Allergies: None

Symptoms: Sharp shooting pain from neck to head which resulted in loss of consciousness. 10 hours after incident head and neck pain continues, is less in severity.

Other Meds: Virtussin Qvar Azelastine Fluticasone Famotidine Pantoprazole Montekulast Nortryptaline Clindamycin Magnesium Vitamin d B vitamin complex Probiotic Vitamin c Zinc

Current Illness: Chronic cough with unknown etiology Infected root canal

ID: 0964733
Sex: F
Age: 59
State: ID

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

Lab Data:

Allergies: Penicillin

Symptoms: Moderna COVID-19 Vaccine EUA - Developed a rash around the injection site on the left arm. Also noticing some slight swelling in the area around the rash. This rash developed 9 days after the vaccination.

Other Meds: Calcium and ibuprofen

Current Illness: None

ID: 0964734
Sex: F
Age: 51
State: CA

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

Lab Data:

Allergies:

Symptoms: CHills Fever Body Aches Headache

Other Meds:

Current Illness:

ID: 0964735
Sex: F
Age: 73
State: MO

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: Reports none

Symptoms: 11:48. Patient received vaccination at 11:45. In observation area, she reports to RN she has developed Blotchy red spots on her arms and her face feels hot. Patient moved to treatment area. She is exhibiting erythemic macular anular areas to the inner aspects of both forearms measuring approximately 2-4 inches in size. There is no elevation of the reddened area. No hives, rash or itching noted. Denies shortness of breath. Lung sounds are clear bilaterally. Heart rate is 78 BPM, Resp. Rate 16/min. B/P 178/100, Pulse ox 97% on room air. 12:53 Recheck vital signs: B/P 170/96, Pulse 76 BPM, RR 16/min, Pulse ox 94% RA. She denies SOB. Redness and blotchy appearing area's persist. Noted redness to palms of hands. Patient states they do not feel tight or swollen. Will continue to monitor. It does not appear that this reaction is anaphylactic in nature. Continues to have clear breath sounds through all lung fields. Denies any sensations of tightness or swelling to throat, tongue, lips or eye lids. 13:15: B/P 160/96. Pulse 77, RR 16 Pulse ox 97% on Room Air Patient states she is feeling better. Redness appears to be fading slightly. Will continue to monitor 13:55: B/P 154/86. Pulse 77, RR 16 Pulse ox 97% on Room Air. Blotches faded. Palms of hands returned to flesh tone. Denies any SOB, swelling to face, lips, tongue. 14:00: Patient states she feel fine. She does have a friend here who will driver her home. She will come back later for her car as a matter of precaution. Pt states she will take OTC Benadryl at home. Recommend no more than 25 mg by mouth every 4-6 hours for next 24 hours. If she starts have a return of symptoms or worsening symptoms, she is instructed to call 911 and go to the nearest emergency room. Patient verbalizes agreement. Leaves ambulatory, in satisfactory condition accompanied by friend.

Other Meds: Reports none

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm