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: 0964736
Sex: M
Age: 49
State: AZ

Vax Date: 01/13/2021
Onset Date: 01/18/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Moderna COVID-19 Vaccine EUA My underarm, shoulder and inner bicep became sore 5 days after vaccination, and remains sore 1 week later. I became swollen at the injection site 8 days after vaccination and the swollen area has turned red and is warm to touch.

Other Meds: Vescepa Atorvastatin Lisinopril

Current Illness: None.

ID: 0964737
Sex: M
Age: 16
State: TX

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

Lab Data:

Allergies:

Symptoms: This event is a vaccination administration error due to patient's age as opposed to what the suggested appropriate age range is.

Other Meds:

Current Illness:

ID: 0964738
Sex: F
Age: 58
State: CO

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

Lab Data:

Allergies: none

Symptoms: chest pain that resolved after 2 nights, SOB , fatigue

Other Meds: maxzide, zocor, Zyprexa, oxycocodone PRn , doxepin, Xanax prn , mvi

Current Illness: none

ID: 0964739
Sex: F
Age: 38
State: IN

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

Lab Data: 1-21-21 EKG wnl 1-21-21 CT head wnl

Allergies: Vistril

Symptoms: About 9 am on 1-21-2021 started to ?feel off?, between this time and 11am I would get light headed at random. At 11am I started to see ?black floaters? and developed a slight headache. Coworker (another ICU RN) took blood pressure: 234/148 and tachycardia. Was made to rest while arrangements could be arranged and given 4 chewable baby aspirin. Was then sent to urgent care.

Other Meds: N/A

Current Illness: N/A

ID: 0964740
Sex: F
Age: 36
State: MD

Vax Date: 01/15/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: Going to dr this afternoon.

Allergies: penecyllin and ceclor

Symptoms: 1st day got soreness and redness and headache, headache went away by next day redness increased but went down by day 3. On day 6 headache returned and had chills and lowgrade fever (ranged from 99-100). Day 7 redness on arm returned by headache and fever subsided. Going to dr this afternoon.

Other Meds: prenatal vitamins camila (birth control)

Current Illness: mastitis a couple months ago

ID: 0964741
Sex: F
Age: 55
State: NY

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

Lab Data: none

Allergies: Allergic to tramadol, perfume, soap and cleansers

Symptoms: Started with a headache about 6 hours after the vaccine which has lasted 9+ days, Right arm with swelling and redness that did not start until 8 days after vaccine administration, joint pain and fatigue

Other Meds: Xanax, celexa, Vitamin B 12, Trileptal, protonix, propranolol

Current Illness: none

ID: 0964742
Sex: F
Age: 34
State: OH

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

Lab Data:

Allergies: None

Symptoms: Began menses the morning of 12/23 prior to receiving vaccine. Had my vaccine and menses became unusually heavy, with more cramps than usual lasting a full 8 days when normally my cycle is 2-3 days total. This has never happened to me before. Also, had headaches daily (frontal, ache) for 4 days beginning on day two or three.

Other Meds: Prenatal 81 mg ASA

Current Illness: None

ID: 0964743
Sex: F
Age: 35
State:

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

Lab Data:

Allergies:

Symptoms: Patient broke out in rash down arm following vaccination. Arm was red, itching, and swollen at injection site.

Other Meds:

Current Illness:

ID: 0964744
Sex: F
Age: 37
State: NJ

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

Lab Data:

Allergies: NONE

Symptoms: STARTED FEELING CHILLS, BODY ACHES, HEADACHE, AND NAUSEA. LOSS OF APPETITE. TOOK TYLENOL EVERY 4 HRS AND PLENTY FLUIDS.

Other Meds: NONE; MULT VIT

Current Illness: NONE

ID: 0964745
Sex: F
Age: 40
State: KY

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

Lab Data: no

Allergies: seasonal allergies

Symptoms: pt stated that she woke up w/ chills, body aches, flu like symptoms, entire body has muscle soreness , swelling and hot to ouch on the injection site, and swollen lymph nodes.

Other Meds: Celexa (Citlopram) 40 mg , Pepcid 25 mg, Buspar 5mg- these are all taken 1 X per day in the morning.

Current Illness:

ID: 0964746
Sex: M
Age: 50
State: OR

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever up to 101.7 ? F briefly, muscle and body aches, slight nausea, headache. took DayQuil to combat symptoms and helped. Symptoms totally gone by 1/22/21.

Other Meds: None

Current Illness: None

ID: 0964747
Sex: F
Age: 40
State: PA

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: PCN, Morphine, Latex, monistat

Symptoms: on 1/8/21 approximately 14 hours after being vaccinated developed rash, itching,lump under arm, muscle weakness.

Other Meds: Amlodipine, Iron, potassium

Current Illness: none

ID: 0964748
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: 0964749
Sex: F
Age: 59
State: IN

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

Lab Data: n/a

Allergies: n/a

Symptoms: fever managed by ibuprofen; high of 99.9

Other Meds: Levothyroxine

Current Illness: n/a

ID: 0964750
Sex: F
Age: 76
State: CA

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

Lab Data:

Allergies: cipro, ultram, red-foods (migraine)

Symptoms: Pt well until approximately 2:55am when she passed out in bathroom according to her husband. Pt was diaphoretic. Denied dyspnea, chest pain, fever, redness, or difficulty breathing. Patient: Age: 76 Years Additional information for Item 18: Date/Time: 01/22/21 03:19 Time of my initial contact with patient: 0319 Mode of Arrival: Ambulance Private Medical Doctor: Triage Narrative: Pt. bib medics from home after near syncopal event in bathroom, lowered herself ot the ground, no LOC/trauma. BP on medic arrival was 86/50 HR in 50s, improved to 100/68 w/ lying down and 250ml bolus. Received 1st covid vax today, has felt weak w/ diarrhea since then. Denies pain, skin pale/w/d, AxOx3, resp e/u. Chief Complaint: Syncope/Near syncope History of Present Illness: This is a 76-year-old female with history of CAD status post remote PCI, previous CVA on Plavix, hysterectomy, migraines who presents ER today for a syncopal event. Patient was given her first dose of Covid vaccine earlier today, per patient's primary doctor found in prior to arrival she had been very hesitant because she was concerned for triggering migraines, this was clear with her neurologist that she was pretreated with Benadryl, she states that she initially felt fine after vaccine administration, she states however later in the evening she developed 4 episodes of loose watery bowel movements and crampy abdominal pain, she states she was feeling tired and so she laid down to go to bed, she states that she woke up feeling as if she had to have another diarrheal episode, she reports that when she stood up and went to the bathroom she was not feeling well, she reports feeling very lightheaded while on the toilet and trying to have a bowel movement, she attempted to stand up however felt acutely lightheaded, she states that she sat back down the toilet and slumped down and woke up on the ground. She denies any pain other than her abdominal pain and a sensation that she has had further bowel movements. Per EMS patient was noted to be hypotensive on arrival 86/50 with heart rate in the 50s, this improved with laying flat on the gurney and given a 250 cc bolus. Patient has been seen in the past for syncopal events with postural changing. She denies any new medication changes, she states that she had been drinking water throughout the day but has had a poor appetite no dysuria frequency urgency no headache head injury neck pain back pain new numbness tingling or weakness in arms or legs no difficulty with speech Problem List & Past Medical/Surgical History: CAD (coronary artery disease) Dysuria Hysterectomy Migraine Potential stroke Stent Family History: No related illness Social History: The patient does not smoke tobacco or abuse alcohol. Allergies: Imitrex morphine (Nausea) shellfish traMADol Medications: Available Med List Reviewed Review of Systems: All other systems reviewed and are negative except per HPI Physical Exam: Vital Signs BP: 151/93 mmHg Temp (Oral): 36.4 DegC ( 97.5 DegF) HR: 73 bpm Resp: 18 br/min SpO2: 97 % GENERAL: Patient appears well developed, well nourished. HEENT: Normocephalic and atraumatic. EOMI. No scleral icterus. Airway is patent NECK: Supple Trachea is midline. No midline tenderness full range of motion without pain or discomfort RESP: Lungs are clear to auscultation bilaterally. No wheezing, rhonchi, rales CARDIOVASCULAR: Regular rate and rhythm 2+ radial and DP pulses symmetric bilaterally GASTROINTESTINAL: Abdomen is soft, mild diffuse tenderness and nondistended. No rebound, no guarding. No pulsatile mass appreciated. BACK: No CVA or spinal midline tenderness to palpation MUSCULOSKELETAL: No clubbing, cyanosis, or edema. No calf tenderness to palpation. SKIN: Warm and dry. No external evidence of trauma NEURO: The patient is alert and oriented x3, not confused. Speech not slurred. Normal facial symmetry. No subjective facial numbness. No vision changes. EOMI. Upper and lower extremitites with 5/5 strength globally. Normal sensation noted over all extremities. No subjective dizziness. Finger-to-nose testing normal. Normal gait. PSYCHIATRIC: Alert and appropriate. Test Results: Labs Results 01/22/21 03:38 134 L 102 9 109 4.2 23 0.6 01/22/21 03:38 12.9 9.6 355 37.8 01/22/21 05:20 Cardiac Studies Troponin-HS <2.0 01/22/21 03:38 Hematology WBC 9.6 HGB 12.9 HCT 37.8 PLT 355 MCV 94 RBC 4.03 MCH 32 MCHC 34.2 RDW 13.1 MPV 6.1 L Neutrophils 55 Lymphocytes 34 Monocytes 8 Eosinophils 2 Basophils 1 Neut Absolute 5.2 Lymph Absolute 3.3 Mono Absolute 0.8 Eos Absolute 0.2 Baso Absolute 0.1 Cardiac Studies Troponin-HS <2.0 Chemistry Calcium Lvl 8.1 L Anion Gap 9 Sodium Lvl 134 L Potassium Lvl 4.2 Chloride 102 CO2 23 Glucose Lvl 109 BUN 9 Creatinine 0.6 Alk Phos 75 ALT 13 AST 15 Bili Total 0.4 Total Protein 5.8 L Albumin Lvl 3.5 LAB >60 LAB >60 01/22/21 03:17 Chemistry Gluc POC 106 Gluc POC 106 (01/22/21 03:17) Diagnostic Results Preliminary CT head reveals no acute intracranial abnormality Preliminary CT abdomen pelvis revealed no acute intracranial abnormality other than hiatal hernia Chest x-ray is negative for acute pulmonary pathology EKG Results EKG obtained at 0323 interpreted by me reveals normal sinus rhythm, patient has diffuse T wave flattening which appears similar to previous no STEMI, no ectopy no heart block no WPW Brugada prolonged QTC Emergency Department Course and Procedures: Medications, IV's and Blood Products Ordered Sodium Chloride 0.9% (Sodium Chloride 0.9% Bolus) 1,000 mL once IV Bolus, Reason for Infusion = Abnormal fluid losses Other Orders Nursing to Initiate Saline lock Insertion Careset (Stat) Oxygen Therapy (Titrate for SaO2 > 95%) Reexamination/Reevaluation: Critical Care Note The high probability of sudden, clinically significant deterioration in the patient's condition required the highest level of my preparedness to intervene urgently. Critical care was necessary to treat or prevent imminent or life-threatening deterioration of the following conditions: cardiac failure, circulatory failure, CNS failure or compromise, dehydration, hepatic failure, endocrine crisis, metabolic crisis, renal failure, sepsis, respiratory failure, shock, toxidrome and trauma. I provided critical care services requiring my management in the following manner: chart data review, documentation time, medication orders and management, re-evaluations, vital signs assessments and reviewing monitor data, and ordering and reviewing lab tests. Aggregate Critical care time was 30 minutes. My time did not include minutes spent treating any other patient simultaneously or on activities that did not directly contribute to the patient's treatment. It did not include time spent performing other reported procedures. Medical Decision Making: This is a 76-year-old female who presented ER today for evaluation of syncope. Patient was reportedly mildly hypotensive which improved with IV fluids. I suspect that patient had dehydration given 4 episodes of large watery stools. Patient had no recent antibiotic use and has no C. difficile risk factors, suspect this may be related to her Covid vaccine, she had no evidence to suggest anaphylactic shock, patient felt better after IV fluid bolus was able to ambulate around the emergency department without lightheadedness or n

Other Meds: plavix, Ca, Mg, D, botox q 90d for mig, coreg, repatha, fosama

Current Illness: Migraine Headaches

ID: 0964751
Sex: F
Age: 16
State: TX

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

Lab Data:

Allergies:

Symptoms: Redness, swelling to injection site, worse on second day, swelling and redness went down some by third day.

Other Meds:

Current Illness:

ID: 0964752
Sex: F
Age: 62
State: NY

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: After 2 day arm soreness about a week later got a rash with redness and itchy about an inch down from injection site. Dermatologist said an allergic reaction to put muciprine ? On it. It feels a little better after 2 applications

Other Meds: Metformin 1000mg,Jardiance 25 mg,amlodepine 5mg2x,nexium40mg 3xwk,calcium w/dx2,oxempic 1xwk,dupixent1xevery 2wks,topicals Halbatasol and triamcinolone and macrobid 100mg2x7days

Current Illness: Uti and drop foot

ID: 0964753
Sex: F
Age: 92
State:

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

Lab Data:

Allergies:

Symptoms: Resident present with new onset fever, cough, and muscle aches. Assessment performed with V/S: T- 100.5, BP- 152/80, 78, 20, 96% RA,. Primary care provider notified. Ordered to give PRN acetaminophen 500 mg. No complications noted. Medication effective. Will continue to monitor

Other Meds:

Current Illness:

ID: 0964754
Sex: F
Age: 42
State: TX

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

Lab Data: N/a

Allergies: Diluadid, feverfew, nexium, topamax and prilosec

Symptoms: 10 mins after receiving the vaccine, my right hand started to swell a bit and had pain in the wrist and I got the injection in my left arm. Them I went to urinate and it was painful that continued until this morning. My body became itchy all over my blood pressure was 184/107. I was having heart palpitations. I got queasy and didn't feel well. I was given benadryl and zolfran. My blood pressure went down to 151/92 after a bit then after an hour I was still itchy, blood pressure was 133/ 84 but then my throat left side tried to hurt and I Felt like something was stuck in my throat. I waited another 30 thirty mins and left. My left side of throat hurts a little and my left hand still hurts and a little itchy

Other Meds: Tynenol, migraese, multi vitamin and vitamin d

Current Illness: Lupus, shingles, herpes simplex 1 , HPV and fibromyalgia

ID: 0964755
Sex: F
Age: 33
State: TN

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

Lab Data: None

Allergies: None

Symptoms: Severe arm pain, worse than the first shot, tender to even the touch. Fevers the next day, severe drowsiness, headache, stomach cramps and intermittent nausea.

Other Meds: Allegra, Synthroid, vyybrid.

Current Illness: None

ID: 0964756
Sex: M
Age: 60
State: FL

Vax Date: 01/15/2021
Onset Date: 01/16/2021
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

Current Illness: NA

ID: 0964757
Sex: M
Age: 42
State: IN

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

Lab Data:

Allergies:

Symptoms: Severe chills, shaking, pain in right hip, ribs, headache, fever 101.3, body aches

Other Meds:

Current Illness:

ID: 0964758
Sex: F
Age: 49
State: NC

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data: Vitals sign taken and Benadryl given

Allergies: Sulfa

Symptoms: Rash pain swelling @ injection site, Hypertension, fever over 100 for several days

Other Meds: Ibuprofen

Current Illness: None

ID: 0964759
Sex: F
Age: 49
State: CA

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

Lab Data:

Allergies: NO KNOWN

Symptoms: CHILLS, FEVER, HEADACHE, BODY ACHES FROM 1AM ON 1/15/20 UNTIL 9PM 1/15/20 REST, TYLENOL AND MOTRIN

Other Meds: LEVOTHYROXINE 150MCG - ONCE A DAY VITAMIN D3 - 5000 IUM - ONE A DAY

Current Illness: NASAL CONGESTION AND SLIGHT COUGH FROM 12/13/20-12/20/20

ID: 0964760
Sex: M
Age: 72
State: MN

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

Lab Data: none

Allergies:

Symptoms: Shivering 12 hours after shot duration 4 hours No further problems.

Other Meds: Atenolol 50 mg Hydrochlorothiazide 25 mg Simvastatin 40mg daily

Current Illness: none

ID: 0964761
Sex: F
Age: 30
State: NY

Vax Date: 01/12/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: COVID test scheduled for 1/22/2021 at 2:45pm to rule out active infection.

Allergies: none

Symptoms: 1/19/2021 developed mild chills, sore throat & itchy arm at injection site, no fever; able to perform normal daily tasks & work. 1/20/2021 chills worsened & developed headache, arm not as itchy, no fever; able to perform normal daily tasks & work. 1/21/2021 rash developed at injection site spanning the arm about 3 inches wide and 2 inches long, red, itchy, & injection site a bit swollen, eyes puffy & watery, chills continued, congestion started, headache worsened, body aches; able to perform normal daily tasks & work most of the day; developed low grade fever around 3pm 100F, ibuprofen and benadryl then 101F at 7pm, another dose of 400mg ibuprofen temp stable at 100F through the night. 1/22/2021 fever seemed to have broken through the night 98.4F morning then 100.7F at 10:30am , congestion worsened, headache & body aches continued; unable to perform daily tasks or work.

Other Meds: none

Current Illness: none

ID: 0964762
Sex: F
Age: 56
State:

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

Lab Data:

Allergies:

Symptoms: Systemic: numb from the neck up

Other Meds:

Current Illness:

ID: 0964763
Sex: F
Age: 64
State: MA

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None - continued monitoring

Allergies: Penicillin, Levaquin

Symptoms: Initial arm soreness resolved after two days but a week later redness, itchiness and slight hardness noted at the injection site. Redness and itching increased the next day but not the hardness.

Other Meds: Fosemax, clonazepam, multivitamins, calcium

Current Illness: N/A

ID: 0964764
Sex: F
Age: 34
State:

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

Lab Data:

Allergies:

Symptoms: ? Chills (from 12 hours after the shot until present?33 hours so far) ? Slight fever (under 100) ? Headache ? Nausea & vomiting ? Dizziness ? Insomnia

Other Meds:

Current Illness:

ID: 0964765
Sex: F
Age: 35
State:

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

Lab Data:

Allergies:

Symptoms: Complained of redness, swelling, and itching at injection site. Arm was warm to touch.

Other Meds:

Current Illness:

ID: 0964766
Sex: F
Age: 32
State: FL

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

Lab Data:

Allergies: Zofran, Lobster, Macrolides

Symptoms: Pt entered observation @ 09:42 AM. At 09:52 AM, patient came up and stated that she felt "light-headed", and that her HR was 150. This nurse explained to patient that she needed to sit back down r/t the "light-headedness". Asked patient if she would like some water patient stated "no, she was ok". At 09:56 AM, the nurse noticed "red blotches" to neck of patient. This nurse walked patient to bed in observation room. Denies SOB nor troubled breathing. Benadryl 25mg was given PO @ 09:56 AM. V/S obtained @ 10:02 AM. BP-120/80, P-124, R-18, O2-99. Still voices no s/s of SOB nor troubled breathing. States to this nurse that she had an "anaphylactic reaction" to lobster years ago, in which she did not state this upon receiving the vaccinations. Also has allergies to Zofran and Macrolides. Pt remains in observation @ present time @ 10:06 AM. Redness remains to neck and upper BL arms. Remains in observation @ 10:30 AM. S/S somewhat alleviated, no lightheadness, but does voice nausea. Stated that she only at a "Granola Bar" this morning. HR remains between 97-114. V/S taken @ 10:39 AM BP-118/76, P-98, R-18, 02-99. Remains in observation @ present time. Time is 10:47 AM. S/S of feeling better @ 10:52 AM, remains in observation. Will call an Uber home, will remain in observation until Uber arrives. Denies SOB nor troubled breathing.

Other Meds:

Current Illness:

ID: 0964767
Sex: F
Age: 42
State: PA

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

Lab Data: Sent to ER for further evaluation

Allergies: morphine allergy injection

Symptoms: After vaccine injection today patient developed sluggish responses, unsteady gait, metaAllic taste, and "heavy head". Responses were delayed. Reports she was hospitalized in 2019 related to a flu vaccine reaction. Also reports she had an anaphylactic reaction to an allergy injection previously. Taken to exam room and assessed by CRNP. After 30 minutes patient complained of tingling in her lips and hives around her nose and mouth. Hives noted right side of nose and right side of mouth. Denies any increase sob. Initial vs 133/80, 88 O2sat100%. After 30 minutes vs 124/80 85 and O2sat 93%. Continued to deny increase sob. Reported her head was no longer "heavy". On advice of Provider, Patient was sent to ER for further evaluation.

Other Meds:

Current Illness:

ID: 0964768
Sex: F
Age: 30
State: MN

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

Lab Data: None required; ill call for work x 1 day.

Allergies: N/A

Symptoms: Received shot at 0610. Started feeling cruddy around 1600 w/ severe headache, neck pain, and shoulder pain, with overall malaise. Symptoms intensified at 2000 with severe rigors until ~0400 accompanied by body aches. Intermittent fevers experienced during that time as well. Next day, general malaise and severe body aches until ~1500; then subsided to mild headache and mild malaise. Post vaccine day #2 left with mild malaise, all other symptoms subsided.

Other Meds: Wellbutrin XL 150mg once a day

Current Illness: N/A

ID: 0964769
Sex: F
Age: 49
State: FL

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

Lab Data:

Allergies:

Symptoms: Extreme chills, muscle pain/body aches, joint pain, nausea, vomiting, dizziness, fatigue, weakness.

Other Meds: Mobic, glucosamine, vitamins D C zinc

Current Illness:

ID: 0964770
Sex: F
Age: 41
State: NJ

Vax Date: 01/11/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Chlorhexidine, rash

Symptoms: Rash developed in L upper arm on day 9, in a few hours turned into stable site with induration, erythema, warmth to touch and skin sensitivity. No systemic symptoms as of now, day 10.

Other Meds: Norethidrone 5 mg QD

Current Illness: none

ID: 0964771
Sex: F
Age: 66
State: IN

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

Lab Data: No test yet.

Allergies: Calcium Channel Blockers Latex

Symptoms: Hurt bad when injecting. Hurt afterwards. Still hurts 2 days later. Shoulder started hurting yesterday. Today I have a big knot under armpit.

Other Meds: Atenolol warfarin digoxin furosemide atorvastatin janumet premarin baby aspirin fish oil calcium centrum prenatal vitamins D3 iron biotin B12.

Current Illness:

ID: 0964773
Sex: M
Age: 75
State: AL

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: penicillin

Symptoms: injection site swelling the size of a golf ball and itching at and around the injection site

Other Meds: Finesteride, Trazadone, Multi-vitamin, Iron supplement

Current Illness: Chron's disease

ID: 0964774
Sex: F
Age: 24
State: IN

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

Lab Data: None

Allergies: None

Symptoms: Fatigue, fever, full body chills, muscle ache, headache, pain at injection site

Other Meds: None

Current Illness: None

ID: 0964775
Sex: M
Age: 59
State: CT

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

Lab Data: n/a

Allergies: seasonal allergies

Symptoms: 12/30 almost immediately increase HR to 100, Increase BP 165/95, CP, light headed. Monitored for an hour. symptoms resolved within 45 minutes.

Other Meds: atorvastatin, baby aspirin

Current Illness: n/a

ID: 0964776
Sex: F
Age: 19
State: AZ

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

Lab Data: Exam only.

Allergies: Penicillin - Rash

Symptoms: Solitary macular, ring-like facial lesion noted the night following immunization, painless, nonpruritic. No dyspnea, cough, other rash, N/V, or lip/throat/tongue swelling. No other new exposures (animals, facial products, facial procedures).

Other Meds: Blisovi FE 1/20 1-20 MG-MCG TABS

Current Illness: None

ID: 0964777
Sex: F
Age: 49
State: NJ

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: NONE

Symptoms: CHILLS, BODY ACHE. INJECTION SITE SORENESS.

Other Meds: NONE

Current Illness: NONE

ID: 0964778
Sex: F
Age: 34
State: WI

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

Lab Data: n/a

Allergies: Augmentin, tramadol, Tylenol

Symptoms: Patient presented for her 2nd covid shot. Writer was present for prior reaction to first shot. Injection given at 8:30am. 8:35 Pt reported coldness moving down the left arm 8:40 Feeling the same 8:45 right side of mouth and tongue is tingly. Reports some start of chest heaviness. Rates it a 3 8:50 chest heaviness increased to a 5. Patient agreeable to go to ED. In ED, patient given epinephrine, IV Benadryl, IV Pepcid.

Other Meds: Multivitamin, Crisselle birth control

Current Illness: None

ID: 0964779
Sex: F
Age: 31
State: NY

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Systemic: numbness in arms, legs, weakness -Severe

Other Meds:

Current Illness:

ID: 0964780
Sex: F
Age: 51
State: NJ

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

Lab Data: None

Allergies: Pen G 2010 flu vaccine

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA 25 minutes after my 2nd dose I feel warm , my lips slightly itch, pinpoint itch at my scalp and different parts of my body, fine rash in my bilateral forearm near my wrist, immediately I took Zyrtec, my rash started to fade but every now and then I fell fine itch in different parts of my body more than 2 hours now.

Other Meds: None

Current Illness: None

ID: 0964781
Sex: F
Age: 56
State: MN

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

Lab Data: None

Allergies: None

Symptoms: Chills, couldn?t get warm! Whole body couldn?t stop shaking, Pounding headache, Fever, & Vomiting.

Other Meds: None

Current Illness: None

ID: 0964783
Sex: F
Age: 34
State: PR

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Felt like a electric shock at the moment of vaccination. On the next day, extreme weakness, severe body pain, and dizziness. Felt like she was going to pass out in the bathroom so she called her husband to assist her. Stayed 1 day in bed. Didn't received treatment.

Other Meds: None

Current Illness: None

ID: 0964784
Sex: M
Age: 58
State:

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

Lab Data:

Allergies: nkda

Symptoms: COVID-19 Vaccine EUA

Other Meds:

Current Illness:

ID: 0964785
Sex: F
Age: 33
State: NC

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

Lab Data:

Allergies: NONE

Symptoms: VACCINE SITE REACTION DESCRIBED BY ERYTHEMA, SWELLING, HEAT AND ITCHING THAT DID NOT BEGIN TILL 8 DAYS AFTER ADMINISTRATION.

Other Meds: NONE

Current Illness: NONE

ID: 0964786
Sex: F
Age: 60
State: PA

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

Lab Data:

Allergies: No

Symptoms: Approximately 21 hours after receiving woke up and was unable to move left arm, shoulder, neck.

Other Meds: Synthroid, Lexapro, HCTZ

Current Illness: no

ID: 0964787
Sex: F
Age: 39
State: PA

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

Lab Data: Vit b 12 WNL Mra/mri brain on 1/8. Unremarkable? Pending results for heavy metal screen and syphilis. TSH WNL

Allergies: Sensitive to cipro, restasis

Symptoms: Legs extremely weak and felt like muscles were not functioning well. Knees were buckling while standing. Started about 4 hours after vaccination. Resolved by morning but fatigue continued. It was the exact same sensation felt last March and led to me not being able to get off couch for three weeks. Couldn't get covid testing until weeks after symptoms started and tested negative in March. Numbness in lips. Lower lip>upper. Started 2 days later. Resolved after gradually improving after 10 days. Fyi had lip injection/filler within the last 2 years. Moderate burning in Rt leg that started the Friday after the vaccine. No redness or edema. Resolved after 10 days. Severe brain fog and fatigue and buzzing sensation in head. Much worse than baseline. Buzzing sensation was new. Slept all weekend. Improved to baseline after 14 or so days. Had sharp stabbing pains in the back of my head 7 days after the vaccine. Resolved after 3 to 5 days. Never had these sensations before. No history of headaches. Went to PCP regarding leg pain, worsening brain fog and fatigue from baseline and unequal pupils that had previously resolved about 2 years prior. Pupils were unequal sizes when I woke up on 1/2. Pupils now back to frequently being different sizes. No diagnosis made with previous episodes that had resolved. Maybe it was reactivated? Also had visual distortions in left eye that were new on 1/3 that lasted two minutes. No pain associated with this. Resolved. Feel close to baseline now but hesitant to get second dose for these reasons.

Other Meds: Vitamin d daily, colace daily, Vitamin c, Adderall (1 to 2 times a week)

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm