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: 0964959
Sex: F
Age: 51
State:

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

Lab Data:

Allergies:

Symptoms: Staff had her 2nd vaccine yesterday at 2:25 pm. Middle of the night started chill, bodyache, no fever. Now still having chill. Took day off today.

Other Meds:

Current Illness:

ID: 0964960
Sex: F
Age: 32
State: NY

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

Lab Data: Covid-19 test on 1/22/21

Allergies: Eggs Dust Tomatoes

Symptoms: Approximately 12-14 hours after vaccination got chills, temperature up to 99.5-100 and severe headache the next morning.

Other Meds: Prenatal vitamin Vitamin D

Current Illness: None

ID: 0964961
Sex: F
Age: 43
State: NC

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

Lab Data:

Allergies:

Symptoms: Headache 1 hour post, injection site pain 6 hours post, fever chills sweating that night

Other Meds: Cymbalta, gabapebtin, thyroxine, Crestor, Breo Ellipta, acetaminophen, ibuprofen

Current Illness:

ID: 0964962
Sex: F
Age: 70
State: IN

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

Lab Data: none

Allergies: IVP dye, environmental allergies

Symptoms: Headache and achy feeling that night. Next day headache progressively got worse, queasy went to full nausea, trouble eating anything because of the nausea, aches in every joint, temperature reached 100.2 before going to bed (I almost never hit 97.2), chills. Thursday, still have milder headache, still achy all over, arms just feel heavy, temp still at 98.9. Friday, still have headache and loss of appetite, but much better

Other Meds: Synthroid, Estradiol, Lisinopril-HCTZ, MetFormin HCL XR, Fexofenadine HCL, Allopurinol, Celebrex, Omeprazole, Citracal Calcium, B12

Current Illness: none

ID: 0964963
Sex: F
Age: 40
State:

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

Lab Data:

Allergies:

Symptoms: 2nd vaccine yesterday 01/20/21. This morning at 1 am started to have headache and this morning 6:30 started mild bodyache. They are mild but not go away by taking medicine (alleve)

Other Meds:

Current Illness:

ID: 0964964
Sex: F
Age: 34
State: WI

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

Lab Data:

Allergies:

Symptoms: About 10 minutes after injection the patient was feeling faint, racing heartbeat and was instructed to sit down. Never lost consciousness and was able to able to breath through the event and drink water after a couple of minutes. Patient also felt rapidly hot and dizzy. We had her sit down, take deep breaths, kept her talking, offered water, and got epinephrine ready. She recovered completely after a total of 30 minutes but did feel slightly dizzy throughout the day. Was able to continue with regular workday as we determined it was best she stayed with other people for the remainder of the day.

Other Meds:

Current Illness:

ID: 0964965
Sex: F
Age: 18
State: WI

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

Lab Data: none

Allergies: states she has no allergies

Symptoms: Developed a fever of 102.4, reported chills, pounding headache and muscle aches. Also stated she would randomly gag.

Other Meds: unknown

Current Illness: no

ID: 0964966
Sex: F
Age: 53
State: PA

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

Lab Data:

Allergies: sulfa, naproxen, Antibiotics

Symptoms: Approximately 11 hours after receiving vaccine developed chills,fever,headache,bodyaches,arm pain

Other Meds: advair, albuterol

Current Illness: no

ID: 0964967
Sex: F
Age: 68
State: CA

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

Lab Data:

Allergies: nka

Symptoms: Error: Booster Given Too Early

Other Meds:

Current Illness:

ID: 0964968
Sex: F
Age: 26
State: MI

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

Lab Data: ED encounter with imaging

Allergies: Ativan, Amoxicillin

Symptoms: First, flu-like symptoms (body aches, chills, fever, fatigue), then progressive tingling associated with numbness and weakness of the Left Arm, Left Leg, Left side of the face.

Other Meds: Corlanor 7.5 mg BID, Effexor 187 mg, Trazodone 100 mg, Mestinon 5 mg TID, Midodrine 5 mg TID, desmopressin 0.5 mg QHS

Current Illness: N/A

ID: 0964969
Sex: F
Age: 57
State: VA

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

Lab Data:

Allergies: Codine - gives me a headache

Symptoms: 25 -30 min after injection my cheeks turned red and I felt flushed/hot. Around 3pm I was very nauseated and feverish feeling but temp was 98.8

Other Meds: Verapamil, levothyroxine,

Current Illness:

ID: 0964970
Sex: F
Age: 37
State: IA

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

Lab Data: I went to the ER as the numbness and heaviness started so soon after injection and were getting worse. Went to the doctor 6 days post as the symptoms were getting worse. Did lab and that all came back good.

Allergies: PCN, Sulfa

Symptoms: numbness heaviness that started in my legs and spread up into my buttocks. The following days it spread into may arms and abdominal area including my head. Numbness feeling. I could still walk and had good strength, but was falling and light headed.

Other Meds: Vyvanse

Current Illness: No

ID: 0964971
Sex: F
Age: 47
State: AL

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

Lab Data: n/A

Allergies: sulfa drugs causes hives

Symptoms: patient received the vaccine at 3:20 pm and was sitting in the observation waiting area for 7-8 minutes per pt when she started feeling like her tongue was swelling and her throat was tight, patient states she was jittery and felt like something was crawling up her legs. after assessment of the patient epinephrine and Benadryl were given both IM to pt and EMS was called and pt was transported, pt was stable at transport. EMS arrived at 3:42pm.

Other Meds: n/a

Current Illness: none

ID: 0964972
Sex: F
Age: 64
State: NY

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

Lab Data: EKG - 1/20/21 - normal Chest XRAY - 1/20/21 - normal Covid-19 rapid response test - negative

Allergies: Foods but unpredictable and intermmitent

Symptoms: Shortness of breath - 7days and counting. Doctor and Urgent Care refused to treat due to ignorance about vaccine reactions. Exacerbated inflammation left shoulder joint

Other Meds: Gabapentin

Current Illness: Hives

ID: 0964973
Sex: M
Age: 54
State: FL

Vax Date: 12/28/2020
Onset Date: 01/08/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: Petechial hemorrhages noticed both lower extremities 1-8-2021 CBD Platelets 297,000 on 1-11-2021, 1-15-2021 platelets 31,000 and 32,000 Platelets 1-18-21 60,000 and the on 1-20-21 66,000

Allergies: Seasonal pollen

Symptoms: Petechial hemorrhages, ITP, Platelets extremely low, Borderline dizziness on sudden movements

Other Meds: Metformin 500mg daily levothyroxine 50mcg daily Desonide cream PRN

Current Illness: None

ID: 0964974
Sex: M
Age: 42
State: TX

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

Lab Data: N/A

Allergies: None

Symptoms: Patient express felt a sudden dizzy spell and lightheaded, post 8mins. of administration of the shot, and began to feel anxious/concern. Patient verbalized is Diabetic at this time -non-fasting, at home self -accu-check with a reading of 107, am medication dose taken. Also notified, had trouble sleeping and was nervous because was debating to take the COVID shot. Patient was escorted to an examination room for close monitoring. Denies any other chronic or acute medical condition. Patient ambulating with normal gait. Good general appearance -V/S: BP 128/82, P 92, R 14 non-labored with O2Sats 98%, administered O2 @ 2L x 15 minutes. 9:40am -Patient express that the mentioned symptoms -have subsided. Patient was given instructions and recommendations before discharge. Reassurance given, patient verbalized understanding. Dizzyness Lightheaded Headache

Other Meds: Patient express felt a sudden dizzy spell and lightheaded, post 8mins. of administration of the Moderna Shot, and began to feel anxious/concern. Patient verbalized is Diabetic at this time -non-fasting, at home self -accu-check with a readi

Current Illness: None

ID: 0964975
Sex: F
Age: 59
State: WA

Vax Date: 01/17/2021
Onset Date: 01/18/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: flu-vaccine walnuts

Symptoms: Flu-like symptoms, worse than the first dose but not severe-myalgia, malaisia, fatigue, joint pain. No fever. lasted 48hr

Other Meds: none

Current Illness: none

ID: 0964976
Sex: M
Age: 49
State: FL

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

Lab Data: none

Allergies: none

Symptoms: high grade fever started 12 hours after dose and managed by Tylenol 500mg; this lasted for 24 hours after 1st onset. headache started 6 hours after dose administration and managed by Tylenol. joint and muscle ache started 6 hours later to dose and still dizziness. injection site sore; still hurting.

Other Meds: none

Current Illness: none

ID: 0964977
Sex: F
Age: 23
State: NJ

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

Lab Data:

Allergies: SULFANIMIDES

Symptoms: FOR THE 1ST DOSE 12/19/2020 5PM - HEADACHE, FATIGUE, SLIGHT ARM PAIN, TIREDNESS ON 12/19 - 12/20. FOR 2ND DOSE ARM PAIN 1/8 ; 1/9 FATIGUE, SEVERE PAIN

Other Meds: KARIVA

Current Illness: NONE

ID: 0964978
Sex: F
Age: 35
State: WA

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

Lab Data:

Allergies: None

Symptoms: 35 Y O female presents with soreness and redness to left arm after receiving covid 19 vaccine on 1/6/2020. Does not hurt much but itches a little bit. It feels hard and very itchy. Applied ice with mild relief of symptoms. She has a hx of arthritis and psoriasis.

Other Meds: Taltz Prefilled Syringe

Current Illness:

ID: 0964979
Sex: F
Age: 48
State: TX

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Vicodin Prescriptions with sulfameth in them...inhalers..etc.

Symptoms: I had typical reactions after vaccine for 3 days (chills, foggy/on and off again headache, extreme lethargy, aches from arm to shoulders to other arm, sleeplessness (insomnia) for 2 days, soreness in injection site). No fever. My concern is today is TEN days after vaccine injection and my injection site has a round redness and hardness at the injection site. About 1 inch in diameter. It's itchy off and on but no pain. It's hard, red, round, and the skin of it is raised similar to like a hive. I don't know if this is normal. Especially because it's 10 days out from initial injection. I'm due back for 2nd injection on Feb 9th.

Other Meds: Allergy medication Levoceterizine 5 MG Daily multivitamin for women. EQUATE brand.

Current Illness: None

ID: 0964980
Sex: F
Age: 60
State: CO

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

Lab Data: Tested on Tuesdays and Fridays for COVID

Allergies: Ibuprofen-Bad on Stomach, Allergic to fragrances

Symptoms: right deltoid pain, fatigue, headache, neck pain, low back pain, right axillary lymph node swollen/discomfort

Other Meds: Compound Estrogen Cream 6 days a week

Current Illness: None

ID: 0964981
Sex: M
Age: 68
State: PA

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

Lab Data: none to date

Allergies: No known allergies

Symptoms: Woke up at 4:00 am with chills for approximately 2 hours on 22Jan2021 Headache and fever ranging from 100.3 to 100.7 Tylenol 650mg taken this morning

Other Meds: Daily Meds taken - Lisinopril for High Blood Pressure Rosuvastatin for Cholesterol Baby Aspirin

Current Illness: No illnesses one month prior Tested positive for Covid-19 20Oct2020

ID: 0964982
Sex: F
Age: 27
State: IL

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

Lab Data: none

Allergies: none

Symptoms: redness and swollen arm in the area of the shot 6 days post vaccination. No treatment.

Other Meds: lexapro, omeprazole, implant birth control

Current Illness: none

ID: 0964983
Sex: F
Age: 43
State: ME

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

Lab Data:

Allergies: hay fever

Symptoms: PCP call

Other Meds: fluoxatine, lorazapan prn, MVI, zyrtec

Current Illness: NA

ID: 0964984
Sex: M
Age: 57
State: MN

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

Lab Data:

Allergies: None

Symptoms: High fever (101.3), chills, generalized muscle pains, pain in large joints (hips, shoulders), headache, tight neck muscles, nausea, inability to sleep

Other Meds: None

Current Illness: None

ID: 0964985
Sex: F
Age: 52
State: PR

Vax Date: 01/18/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: GENERALIZED RASH WITH PRURITUS. SHORTNESS OF BREATH. EDEMA IN EXTREMITIES, FACE, NECK . FEVER. PATIENT TOOK BENADRYL. SYMPTOMS RESOLVED NEXT MORNING

Other Meds: Vitamin C 1000mg , Lecithin, probiotics

Current Illness: NO

ID: 0964986
Sex: F
Age: 40
State: AZ

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

Lab Data:

Allergies: No

Symptoms: Swollen lymph node in armpit

Other Meds: Bystolic, triamterine, effexor, atorvastatin, tops max, vitamins d, vitamin c, NAC, fish oil, b12

Current Illness: No

ID: 0964987
Sex: F
Age: 49
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: Headaches started at 6am 1/20/2021 patient took Ibuprofen 800mg at 7am and 1pm. patient reports slight headache on 1/21/2021 at 7am. she took Ibuprofen 800mg. still had a slight headache on 1/22/21 at 7am and took more Ibuprofen 800mg.

Other Meds: None

Current Illness: None

ID: 0964988
Sex: F
Age: 39
State: CA

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

Lab Data:

Allergies: NKA

Symptoms: 8 days later on 1/21/21 rash started developing on left arm at injection site. Arm is sore, red, bumpy, indurated, and itchy. Rash is getting bigger the next morning.

Other Meds: Naproxen 500mg, CBD tinture

Current Illness: None

ID: 0964989
Sex: F
Age: 46
State: PA

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

Lab Data: None

Allergies: Cipro

Symptoms: Swelling of my whole right bicep, pain radiating from my shoulder to my wrist on the same side limiting movement. Severe fatigue lasting nearly 2 days. Mild joint pain in my left arm, hips and knees. Dull headache. No fever but I did have chills. All symptoms were resolved in about 2 days.

Other Meds: Paxil Vitamin D

Current Illness: None

ID: 0964990
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Symptoms began with arm tenderness approx 6 hours after vaccine administration. Went to bed and was awakened from sleep with shortness of breath significantly worse than usual. Could not stabilize and EMS was called. I was transported to the hospital and admitted for Dose at 9:30am; arm pain at 6pm; to bed

Other Meds:

Current Illness:

ID: 0964991
Sex: F
Age: 26
State: NY

Vax Date: 01/08/2021
Onset Date: 01/17/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Big rash few inches below the injection site that?s itchy. Throbbing Headache for a few days

Other Meds: None

Current Illness: None

ID: 0964992
Sex: F
Age: 26
State: NH

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

Lab Data:

Allergies: Bactrim

Symptoms: At 0200 approx 10 hours after my vaccine I spiked a fever of 101. I had been taking Tylenol every 6-8 hours in hopes to avoid this. Later that morning I was light headed, fatigued, sore throat, nausea. The fever continued to increase. By 2200 that day my fever was 104.7 and that was with Tylenol on board. I also iced my groins and axillary areas to help cool my body. Today is the second day out from the vaccine and I have recovered from the fevers. My fever early this morning was still 102.5 but has since passed and I am normothermic. I am very fatigued with some chest pains.

Other Meds: Multivitamin Probiotic Vitamin C Ashwaganda Tylenol

Current Illness:

ID: 0964993
Sex: F
Age: 72
State: GA

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

Lab Data:

Allergies:

Symptoms: In the evening following administration, patient reported experiencing tingling sensation in left side of face

Other Meds:

Current Illness:

ID: 0964994
Sex: M
Age: 71
State: FL

Vax Date: 01/03/2021
Onset Date: 01/04/2021
Rec V Date: 01/22/2021
Hospital: Y

Lab Data: Please contact hospital

Allergies: alleve

Symptoms: 1-03-2021dose at 9:30 arm pain 6:00 pm went to bed 11:00 woke up around 5:00 with significant breathing problems. Did not improve with albuterol. called 911 and was taken to the hospital ER. Loss of memory for 4-5 hours. don't know what happened

Other Meds: tamsulosin, omeprazole, prednisone, quercitin, red yeast rice, antioxidant,

Current Illness: Covid 10-21-2020

ID: 0964995
Sex: M
Age: 41
State: PA

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

Lab Data:

Allergies: None

Symptoms: Sore arm at injection site. Chills, headache, and fever of 100-101F. .. on third day of fever

Other Meds:

Current Illness:

ID: 0964996
Sex: F
Age: 29
State: ME

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

Lab Data:

Allergies: Iron

Symptoms: First Dose- I had a headache after the shot and tremors started that even and throughout the night. No fevor. Arm very sore, going into neck. Second Dose- Felt find the night. Woke up that morning at 1am and with tremors and in a night sweat. Checked temp and it was only 96, but felt hot and was sweating. Woke up the next morning and my entire body, muscles and joints ached. My knuckles, ached, kept getting sharp pains in my knuckles. My jaw ached, difficulty eating. My entire body, my muscle ached, difficulty moving. I didn't get a headache till that evening. I also had severe heart burn that night, not sure if it was related, but I have never had heart burn that bad. The next morning when I woke up (5am) (now two days after my shot), again my joints hurts, I couldn't even stand. Its like my knees couldn't even support me and I had a massive headache. I went back to bed and woke around 9am, no longer had a headache, muscles still hurt. Around 11am, all of a sudden, muscles and joints felt fine. The only thing (day three) is my arm pit on my left side where i got the shot is bothering my extremely bad. I was able to put an ultrasound probe on my axilla area, and I have swollen lymph nodes in my axilla in the area that is very painful. I also have a dull pain in my elbow.

Other Meds: none

Current Illness:

ID: 0964997
Sex: M
Age: 88
State: WY

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

Lab Data:

Allergies: HCTZ, AMIODARONE

Symptoms: SUBCONJUNTIVAL HEMORRHAGE OF LEFT EYE

Other Meds: TESTOSTERONE, POTASSIUM, AVODART, FUROSEMIDE, PRILOSEC, ASPIRIN

Current Illness: NONE

ID: 0964998
Sex: F
Age: 47
State: AL

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

Lab Data: n/a

Allergies: sulfa drugs causes hives

Symptoms: patient received the vaccine @ 3:20 pm while she was waiting in the observation waiting area after 7-8 minutes she started feeling like her tongue was swelling and her throat was tight, patient states she felt jittery and like something was crawling up her legs. after assessment of the patient epinephrine and Benadryl were given IM per protocol and EMS was notified. Anniston EMS arrived @ 342 and pt was transported to local ER, pt stable at time of transport.

Other Meds: n/a

Current Illness: none

ID: 0964999
Sex: F
Age: 24
State:

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

Lab Data:

Allergies:

Symptoms: Approximately 9 minutes after patient's vaccination she had a vasovagal episode and passed out for approximately 10-15 seconds. Patient hit her head when she fell to the floor. Patient placed on gurney and vitals were taken. Denied any respiratory issues. Complaining of nausea. Patient had worked her first night shift and came after her shift to receive her injection. Patient had stated she was very tired and was closing her eyes while she was waiting after her injection. Patient had no recollection of passing out. Complaining of head and neck pain. BP 98/55, HR 55, 100% O2 sat on room air. Patient transported to Emergency Department talking to staff.

Other Meds:

Current Illness:

ID: 0965000
Sex: F
Age: 46
State: CT

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

Lab Data: none

Allergies: sulfa

Symptoms: 9 days after injection 2inx2in red circular area showed up that is warm to the touch but not painful

Other Meds: women multi vit hair/skin/nail supplement

Current Illness: no

ID: 0965001
Sex: F
Age: 32
State: IA

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

Lab Data:

Allergies:

Symptoms: Four days after she received the 1st dose, she developed a swollen eye lid that resolved on its own. She really didn?t think anything of it and did not report it to anyone or take any medication for it. On 1/12/2021 she received the 2nd dose. On day 7 of her vaccine she developed hives on her lower extremities. She took Benadryl that day and they improved, but did not got away. On day 8 the hives reapproved and she took a dose of Claritin and that got her through working. On day 9 (yesterday) the hives have migrated from just her lower extremities to her arms and shoulders. She took both Zyrtec and Benadryl yesterday, but she is not getting any relief.

Other Meds:

Current Illness:

ID: 0965002
Sex: F
Age: 60
State: NJ

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

Lab Data:

Allergies: NONE

Symptoms: LETHARGY AND LOW GRADE FEVER

Other Meds: NONE

Current Illness: NONE

ID: 0965003
Sex: F
Age: 44
State: CA

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

Lab Data:

Allergies:

Symptoms: Error: Booster Given Too Early

Other Meds:

Current Illness:

ID: 0965004
Sex: F
Age: 56
State: KY

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

Lab Data: None

Allergies: No

Symptoms: First day, 11 Jan, a large raised red bump on arm, approximately 2X2 inches. Very itchy and hot to the touch. Eventually the large bump went down and redness went to pink. The bump and redness went away by 15 Jan. Yesterday, 21 Jan, the bump returned, red, very itchy and hot to the touch, approximately 2X2 inches. Today, 22 Jan, the bump is much larger, a deeper red, heat penetrating though shirt sleeve and itchy. My arm is not sore and I feel well. I do not have a fever. No discharge from the injection site.

Other Meds: Effexor, Premarin, Lipitor, Methotrexate, and Prantoprazole

Current Illness: No

ID: 0965005
Sex: F
Age: 84
State: OH

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

Lab Data: None

Allergies:

Symptoms: Vial of vaccine was diluted with only 0.8 ml.

Other Meds:

Current Illness:

ID: 0965006
Sex: F
Age: 86
State: IN

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

Lab Data:

Allergies: Amoxicillin Warfarin

Symptoms: headache, right and left upper arm muscle ache, no appetite or energy lasted 24 hours

Other Meds: Hydrochlorot - 25 mg - 1 daily Paxil - 20 mg - 1 daily Iron- 65 mg - 1 daily

Current Illness:

ID: 0965007
Sex: M
Age: 76
State: WV

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

Lab Data: Fingerstick glucose checked and found to be 81. He was given peanut butter crackers and water.

Allergies: Shellfish

Symptoms: Patient Began experiencing shakiness, tremor, feeling of ?rush? approximately 15 minutes after the vaccination. He was immediately assessed by EMS crew. Blood pressure 156/72 initially. Pulse is 64, respirations 20. He said he had a tight feeling in the neck and felt flushed. Oxygen saturation was 99%. Patient was given 25 mg oral Benadryl after five minutes of symptoms. He continued to be monitored. His symptoms improved mildly, But he continued to complain of a rush like sensation. It was recommended that the patient be transported to the hospital for at least six hours of monitoring. The patient declined and signed an AMA form. Patient monitored for a total of 45 minutes before allowed to be escorted out of the building with his wife, with instructions to present to the ER mediately if any symptoms worsen or did not improve within the next five hours.

Other Meds: Aspirin

Current Illness: None

ID: 0965008
Sex: F
Age: 50
State: LA

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

Lab Data: Patient was monitored via PulseOx at 1:36 1:36 BP 190/105 HR 86 1:40 BP 150/100 HR 84 2:10 BP 140/100 HR 79

Allergies: none listed

Symptoms: Prior to vaccine, patient was very anxious about receiving vaccine. Vaccine administered 1:30. Patient displayed signs of anxiety until 1:35 Patient was monitored via PulseOx at 1:36 BP:190/105. Decision was made by pharmacist to administer Epipen and Benadryl 50mg at 1:36. The patient was advised to use deep and controlled breathing exercises. Vitals returned to more normal values (150/100) at 1:40 Patient remained seated for another 30 minutes as vitals continued to normalize (BP 140/100 HR 79) Patient felt better and remined on property for another hour and was advised by the staff to go home for the day. We followed up with the patient 2 hours after the incedent and she reported that her blood pressure returned to normal and she felt better. Patient was advised to follow up with health care provider and report the incedent

Other Meds: none listed

Current Illness: none listed

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm