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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 0921672
Sex: F
Age: 42
State: CO

Vax Date: 12/26/2020
Onset Date: 12/27/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: MODERNA COVID-19 Vaccine EUA - Received vaccine on 12/26 and I still have a red mark on my arm where I received the vaccination.

Other Meds: Wellbutrin, OC vitamins

Current Illness: None

ID: 0921673
Sex: M
Age: 57
State: PA

Vax Date: 12/21/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: I have developed vertigo. It began on the morning of December 30 and was transient. It now is more persistent (but worse in the morning) and associated with nausea. It is positional as changing positions quickly make it worse.

Other Meds: None

Current Illness: None

ID: 0921674
Sex: F
Age: 52
State: MA

Vax Date: 12/27/2020
Onset Date: 12/27/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: allergic reaction; experienced flushed skin, lightheadedness, tingling, SOB. Observed in ED and released when symptoms resolved

Other Meds:

Current Illness:

ID: 0921675
Sex: F
Age: 34
State: PA

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Itchy, raised rash/welts at injection site. The reaction occurred 8 days post injection. The raised area was circular with clear borders.

Other Meds:

Current Illness:

ID: 0921676
Sex: M
Age: 56
State:

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

Lab Data:

Allergies:

Symptoms: Patient is a 56 y.o. male who was seen at COVID Vaccine Clinic today for his first dose of the COVID 19 vaccination. ? He denied any history of previous adverse reactions to vaccines. ? He was given the Moderna vaccination in the left deltoid muscle. ? During his 15 minute waiting period after the injection, the patient began to experience nausea and feeling hot. He denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, lightheadedness, dizziness, facial swelling, lip swelling and tongue swelling. ? This provider was notified of patient reaction and he was then assessed in the emergency bay area. ? Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , chest pain, collapse, drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress with stridor, wheezing, dyspnea, increased work of breathing, persistent cough and cyanosis, skin changes, tongue swelling and vomiting. ? Pt drank water and got to feeling better within a few minutes.

Other Meds: n/a

Current Illness:

ID: 0921677
Sex: F
Age: 42
State: CA

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

Lab Data: none

Allergies: "scratchy symptoms" with Kiwi. No allergy to medications or vaccines.

Symptoms: About 20-30 after injection it became a bit difficult to swallow. Throat felt thicker; heart felt like it was racing. Shivering and Blood pressure was up a little. 14:19 Benadryl 25 mg administered. 14:30 BP 164/92, P-76 R-16 O2 100% Discharged back to work at 16:15.

Other Meds:

Current Illness:

ID: 0921678
Sex: M
Age: 28
State: TX

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

Lab Data: Denies

Allergies: Sulfa Drugs

Symptoms: Myalgia, HA, nausea, joint pain, and pain and redness at injection site

Other Meds: Denies

Current Illness: COVID diagnosis on 12/21/2020

ID: 0921679
Sex: F
Age: 80
State:

Vax Date: 10/28/2020
Onset Date: 11/14/2020
Rec V Date: 01/05/2021
Hospital: Y

Lab Data: MRIs (number & date unknown)

Allergies:

Symptoms: Patient reported that approximately 2.5-3 weeks after receving flu shot, she began experiencing numbness that began in her fingers/toes/feet, and progressed up to her knees. She also reported double vision. She called 911 and was taken to the ED, where a neurologist ordered an MRI and confirmed Guillain-Barre syndrome. Patient spent 11 days in ICU, and was then transitioned to progressive care. After being admitted, she experienced progressive numbness, including in head and face, and inability to walk. She reported that she received 7 doses of IVIG while in ICU. She reported that since being discharged, she has been able to walk with a walker and is taking some steps on her own. She is still having numbness as of 12/20/20, for which she is taking gabapentin and methocarbamol. She also completed a taper of prednisolone eye drops for her ohpthalmic symptoms. She was also given home health care exercises to complete daily.

Other Meds:

Current Illness:

ID: 0921680
Sex: F
Age: 59
State: NC

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

Lab Data:

Allergies:

Symptoms: Chills and fatigue were noticed in the morning after receiving the vaccine (first dose) the day before. Time would be approximately 20 hours after receiving the shot.

Other Meds:

Current Illness:

ID: 0921681
Sex: F
Age: 46
State: TN

Vax Date: 12/31/2020
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: NA

Allergies: none known

Symptoms: Began with headache in late evening on the 4th. Woke up with extreme nausea, headache, fatigue. Has continued through the day of 5th.

Other Meds: Synthroid 100 mcg Ozempic .5mg 2xmonth

Current Illness: none known

ID: 0921682
Sex: F
Age: 58
State: NJ

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

Lab Data:

Allergies:

Symptoms: Dizzyness (I felt like I was drunk or drugged) starting about 1 minute after vaccine. I left my car there and got a ride home. Now, 2 hours later, my head still feels cloudy.

Other Meds: mercaptopurine, mesalamine, Elmiron, rosuvastatin, hydroxyzine, bupropion HCL ER, valacyclovir, vitamin D

Current Illness:

ID: 0921683
Sex: F
Age: 37
State: WI

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: None

Allergies: seasonal allergies, tiaconozole

Symptoms: Within a day of receiving the vaccine, she had a hard and reddened area at site of injection. This resolved in a few days. When she woke up 8 days after the vaccine, the injection site was again hard, itchy, erythematous and warm to the touch. Feels over the course of the day this is worsening.

Other Meds: amytriptiline, sprinolactone, rizatriptam, aleve PRN, Zyrtec daily, melatonin, IUD, completed accutane 3 weeks prior

Current Illness: none

ID: 0921684
Sex: F
Age: 60
State: CA

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: Sulfa drugs

Symptoms: Rashes in torso area and minor dry cough. Improved after taking Benadryl.

Other Meds:

Current Illness:

ID: 0921685
Sex: F
Age: 46
State: WI

Vax Date: 12/30/2020
Onset Date: 01/01/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Muscle aches followed by severe abdominal cramping

Other Meds: cetirizine, cholecalciferol, fluticasone, hydrichlorothiaxide, iburprofen, pantoprazole

Current Illness: None

ID: 0921686
Sex: F
Age: 52
State: CO

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: environmental only

Symptoms: Day 6 post injection continue to have slight pain and swelling at injection site since administration, today noticed it to be superficially itchy. Last night at 2300 I had taken a benadryl, and the current time is 1400 and the itchiness I suspect is due to the benadryl wearing off.

Other Meds: Wellbutrin SR, zyrtec daily

Current Illness: none

ID: 0921687
Sex: M
Age: 28
State: TX

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

Lab Data: Denies

Allergies: Sulfa drugs

Symptoms: Myalgia, HA, Nausea, Joint Pain, and pain and swelling at the injection site

Other Meds: Denies

Current Illness: COVID diagnosis on 12/21/20

ID: 0921688
Sex: F
Age: 51
State: IA

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

Lab Data: None

Allergies: Penicillin

Symptoms: Fever (101), chills, severe headache, body aches, fatigue

Other Meds: Celexa 40 mg Birth control pill

Current Illness: None

ID: 0921689
Sex: F
Age: 54
State: GA

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: no known

Symptoms: PM of 12/31/2020-shoulder blade, down left arm and 4th and 5th finger on left hand hurting. About bedtime on 12/31/2020, left arm pain. sit note, no redness, chills , headache, myalgias and joint pain. 1/1/2021 AM temperature got over 103 degrees and weakness. ok during the day of 1/1/2021. About 7 PM on 1/1/2021 temperature went up to 102 degrees. She did sweat during the night of 1/1/2021. 1/2/2021- temperature stayed about 99-100 and she felt "shivery". Up until 1/4/2021, she had extreme tenderness and warmth to left arm. No redness. Better today, 1/5/2021.

Other Meds:

Current Illness:

ID: 0921690
Sex: F
Age: 37
State: CT

Vax Date: 12/24/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: sulfa allergy: unknown reaction

Symptoms: had the expected local reaction of soreness, redness, and swelling the day following vaccination, which completely resolved within a day or two. then developed another similar local reaction at the injection site exactly 1 week later (swelling, redness), which resolved within 48hr or so

Other Meds: prenatal vitamins

Current Illness: none

ID: 0921691
Sex: M
Age: 46
State: MI

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

Lab Data: None. Although the symptoms were absolutely miserable overnight, I didn't feel labs were indicated. Plus, I work at the hospital and am too stubborn to go in unless I'm holding my liver in my hands. And one night of poor sleep is better than having covid. Just want to let y'all know.

Allergies: None

Symptoms: No immediate reaction within 15 minutes of injection. Increasing injection site pain throughout the day with mild chills and nausea starting around 7:00 pm (Approx 11 hrs after injection). Chills steadily intensified, with fever beginning, became severe over the next 2-3 hours, and persisted throughout the night. Along with the fever/chills & nausea, there was also moderate muscle/joint pain (mainly neck and back), moderate to severe fatigue and weakness, weird freaky dreams, restlessness, and moderate headache. Symptoms started to relent around 6:00 am the morning after injection, however fatigue/weakness, nausea, and mild fever/chills have persisted throughout the day with minimal improvement.

Other Meds: None

Current Illness: None

ID: 0921692
Sex: F
Age: 37
State: CA

Vax Date: 12/30/2020
Onset Date: 01/02/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Sore left armpit swollen arm pit swollen lymph node

Other Meds:

Current Illness:

ID: 0921693
Sex: F
Age: 25
State:

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Body aches and fatigue.

Other Meds:

Current Illness:

ID: 0921694
Sex: F
Age: 43
State: CT

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: about 2 minutes after receiving the shot I felt like I was having an allergic reaction in my chest area. My lower esophagus got extremely tight and then it worked its way up to the back of my throat. It felt like there was a lump in the back of my throat, along with burning in my throat. This same reaction also occurs when I eat certain foods I'm intolerant to. I felt very dizzy right after as well. After exactly one hour my throat symptoms went away but suffered from residual effects for the next few days. The next day I couldn't lift my left arm(which went away 2 days later), I was out of breath with everything I did, dizzy, muscle cramps, chills, body aches(as though I had the flu) and had extreme fatigue. All of theses symptoms lasted for the next week almost two.

Other Meds:

Current Illness:

ID: 0921695
Sex: F
Age: 40
State: TX

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

Lab Data: None

Allergies: Codeine Latex Primadol

Symptoms: Severe headache, bilateral ear pressure, intense vomiting, chills, dizziness, fatigue, nausea

Other Meds: Nexium -OTC Propranolol - 120mg Trokendi - 100mg

Current Illness: None

ID: 0921696
Sex: F
Age: 37
State: WI

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: None

Allergies: seasonal, tioconazole

Symptoms: Day following vaccination patient experienced redness and hard area at site of injection. This resolved in a few days. Upon waking on day 8 after injection, injection site was erythematous, warm to the touch, hard and itchy. Feels it has progressively gotten worse over the course of the day.

Other Meds: Zyrtec, IUD, spironolactone, amytriptiline, rizatriptan, finished Accutane 3 weeks prior.

Current Illness: none

ID: 0921697
Sex: F
Age: 70
State: FL

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: None

Allergies: levaquin

Symptoms: injection site soreness, fatigue, body aches on day #1, lower abdominal pressure and fullness on 1/5/2021

Other Meds: lisinopril. metformin, crestor, and activell

Current Illness: none

ID: 0921698
Sex: F
Age: 65
State: CA

Vax Date: 12/28/2020
Onset Date: 01/01/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: advanced stiff neck that is not going away pain from bottom of ear down neck to injection site

Other Meds:

Current Illness:

ID: 0921699
Sex: F
Age: 57
State: GA

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: None

Allergies: Phenergan, Flexeril

Symptoms: Patient stated she has fever, excessive sweating, and vomiting since the day of vaccine 01/02/21; she was taking ibuprofen

Other Meds: N/A

Current Illness: No

ID: 0921700
Sex: M
Age: 45
State: IL

Vax Date: 01/03/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: After my shot Inhad a lot of energy and felt fine during the day. At night I was shaking uncontrollably. drank water and took tylenol. Fell asleep and woke up soaking wet. Next day I still had a fever. Had chills and my body got warm. This went off and on throughout the day. I was exhausted. At night I had a bloody nose. Went to bed and woke up wet again but not as bad as the first night. Morning time I felt fine. Went to the gym and the sauna. Started to exercise and felt lighted headed and cloudy. Went home laid down. I still feel weird on and off. Went to the bathroom and had black stool. My right arm is still sore.

Other Meds: Flonase

Current Illness: Covid-19

ID: 0921701
Sex: F
Age: 66
State: OH

Vax Date: 12/29/2020
Onset Date: 01/01/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: NONE

Allergies: NKA

Symptoms: Nausea, slight cough, fatigue, headache

Other Meds: Vitamin b,c,d, COq10, magnesium, milk thistle, dhea,bioten, elderberry, Zyrtec Losartin, Wellbutrin, ropinerole, primadone, keflex, prevastatin,metformen, requip

Current Illness: NONE

ID: 0921702
Sex: F
Age: 36
State:

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

Lab Data:

Allergies: IVP dye- Iodine containing, emgality pen

Symptoms: Patient was on a 30 min observation due to previous anaphylaxis to emgality. As she was leaving, she c/o swelling and tingling of lips and appeared anxious. We asked to stay so we can monitor her a little longer. She appeared to stabilize, then she began coughing and trying to clear her throat. She stated it seems have worsened. Epi given and she was transferred to ED.

Other Meds:

Current Illness:

ID: 0921703
Sex: F
Age: 56
State: WI

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

Lab Data: None

Allergies: Niacin

Symptoms: Fever of 101'F oral, body aches, headache, nasal congestion

Other Meds: 1 TABLET BY MOUTH DAILY atorvastatin (LIPITOR) 40 MG tablet 2 SPRAYS INTO EACH NOSTRIL 2 (TWO) TIMES DAILY FOR 30 DAYS USE IN EACH NOSTRIL AS DIRECTED. biotin 1 mg tablet Use as directed to test blood sugar 1 times per day. Whatever is

Current Illness: None

ID: 0921704
Sex: F
Age: 42
State: MO

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Flu like symptoms that began the day after vaccination, lasting for 1 day. Reported severe residual joint aches in shoulder, scapula, hips, wrists, ankles. Right sided pain persisted, left side lessened. Relieved by NSAIDS

Other Meds:

Current Illness:

ID: 0921705
Sex: F
Age: 35
State: ID

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

Lab Data:

Allergies: Vicodin, hydrocodone

Symptoms: Pain in arm since noon that got worse. Headache at 8:00 pm. Diarrhea at 4 AM, vomiting at 4:30 AM, muscle aches all day on 1/5/2021 (day after shot).

Other Meds: Abilify, lamictal, levothyroxine, vitamin D, vitamin C

Current Illness: None

ID: 0921706
Sex: F
Age: 48
State: SC

Vax Date: 12/21/2020
Onset Date: 12/27/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: None

Allergies: Sulfa drugs, Percocet

Symptoms: I was diagnosed with shingles on my left side on 12/31/2020, with symptoms (burning/skin sensitivity on my back (probably on 12/27, definitely by 12/28 progressing to waves of pain in my back to abdomen). On 12/30, a rash appeared on my abdomen starting below my navel and going around my left side to about an inch before my spine. I submitted a picture and it was diagnosed as shingles via a virtual visit. It is responding to antiviral therapy, although I still have a rash and pain (but improving). I did not go through the COVID vaccine side effect virtual visit route because I did not really think it was a side effect and knew I had a history of chicken pox and have been experiencing ongoing stress. The provider for the virtual visit told me to still report it for it to be investigated, but she too, thought it was likely unrelated, but still should be investigated.

Other Meds: Altavera,, Norvac, Zyrtec

Current Illness: None

ID: 0921707
Sex: F
Age: 37
State: CA

Vax Date: 12/31/2020
Onset Date: 01/03/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: N/A

Allergies: Versed

Symptoms: Chills and aches

Other Meds: Zoloft, Wellbutrin and abilify

Current Illness: None

ID: 0921708
Sex: F
Age: 48
State: VA

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: She says to plastics, nylon and latex

Symptoms: numbness on left side of face, left arm and pain in different places on left side started for shortly after vaccine. She has had all these symptoms prior but numbness never this bad. As of today, her symptoms are somewhat less. She has been able to work

Other Meds: Lisinopril, Metformin, Lexapro

Current Illness: none

ID: 0921709
Sex: F
Age: 38
State: TN

Vax Date: 12/23/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: none yet

Allergies: none known

Symptoms: The say after receiving the vaccine, 12/24, I experienced normal side effects including pain in my arm, fatigue, and mild fever. These SEs improved daily and by Monday, 12/28, I was free from SEs. However on the morning of 12/31 I began experiencing mild pain in my upper left arm again. By mid day I had developed a raised, red, warm area around the injection site a bit smaller than a baseball. I applied an ice pack. The area enlarged by 1/1 and I continued to apply ice and took a dose of diphenhydramine. It appeared to be less red on 1/2 but started to worsen again on 1/3, becoming larger and redder again. It began to itch on 1/4. Today it is larger than the size of my entire hand (including fingers), extending to about 3 inches above the bend of my arm. It continues to be itchy, warm, raised, and red, primarily around the perimeter and the lower portion of the site. While this is not a severe reaction it concerns me that it was delayed and continues to worsen and is not improved by diphenhydramine.

Other Meds: metoprolol tartrate 50mg BID Desvenlafaxine ER 50mg QD

Current Illness: none

ID: 0921710
Sex: F
Age: 33
State: MT

Vax Date: 12/28/2020
Onset Date: 01/03/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Injection site read, inflamed and extremely itchy and slightly swelled. Have contacted PCP waiting to hear back.

Other Meds: none

Current Illness: none

ID: 0921711
Sex: F
Age: 29
State: GA

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

Lab Data:

Allergies: N/a

Symptoms: S/sx started at approximately 2130 with fever, chills, body aches. Fever was 102.9. Administered Tylenol 1gm to decrease fever. Rechecked after one hour and temp was still 102.7. S/sx cont throughout night with nausea, body aches, chills, headache, fever. Fever has still yet to break and it?s 1630 on 1/5/2021.

Other Meds: N/a

Current Illness: Sinus infection about 2 weeks prior to administration of vaccine

ID: 0921712
Sex: F
Age: 35
State:

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

Lab Data:

Allergies:

Symptoms: Patient is a 35 y.o. female who was seen at COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination. ? She denied any history of previous adverse reactions to vaccines. ? She was given the Moderna vaccination in the right deltoid muscle. ? During her 15 minute waiting period after the injection, the patient began to experience throat tightness and scratchy throat. She denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, lightheadedness, dizziness, facial swelling, lip swelling and tongue swelling. ? This provider was notified of patient reaction and she was then assessed in the emergency bay area. ? Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , chest pain, collapse, drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress with stridor, wheezing, dyspnea, increased work of breathing, persistent cough and cyanosis, skin changes, tongue swelling and vomiting. ? Hx of allergy to flu shot 2013. Had extremity weakness within 12 hours of shot. Resolved within a few days. No medications given. Seen by ER. Hx of 2010 allergy shots to food allergy, corn, wheat and citrus.

Other Meds:

Current Illness:

ID: 0921713
Sex: F
Age: 48
State: MD

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

Lab Data:

Allergies: Amoxicillin/Penicillin, Sulfa antibiotics, tetracycline, shellfish, red dye

Symptoms: Within 10-15 minutes of vaccine administration patient broke out in hives and itching on her left upper and lower arm. She then developed hives and itching on her right arm, right axilla, and a few erythematous areas on her nose and around her eyes.

Other Meds: Sertraline HCL 100mg once daily, Ventolin HFA PRN, EpiPen 0.3mg/0.3mL PRN, multivitamin, vitamin D

Current Illness: No recent illness

ID: 0921714
Sex: F
Age: 70
State: NJ

Vax Date: 12/22/2020
Onset Date: 12/29/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: N/A

Allergies: almonds, cashew, cheese

Symptoms: Pfizer-BioNTec COVID-19 vaccine Patient received vaccine on 12/22/2020 and on 12/29/20, she emailed us saying that she was feeling sleepy, tired, was having night sweats, and had headaches. Her head felt like someone had put a heavy stone on it. She can still function.

Other Meds: Atorvastatin 10 mg, dexlansoprazole 60 mg, docusate 100 mg, levothyroxine 75 mcg, pregabalin 50 mg

Current Illness:

ID: 0921715
Sex: F
Age: 50
State:

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: hydrocodone

Symptoms: Admit to ER post-vaccine administration for numbness at end of tongue, increased oral secretions and dizziness. She was given benadryl and pepcid, monitored for 3hrs before discharge from ED. Patient still experiencing same symptoms 1 week later per follow-up (12/29)

Other Meds: Meclizine 25mg qidPRN, Zofran 6mg q6hprn, famotidine 20mg bid

Current Illness:

ID: 0921716
Sex: F
Age: 35
State:

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

Lab Data:

Allergies:

Symptoms: Patient is a 35 y.o. female who was seen at COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination. ? She denied any history of previous adverse reactions to vaccines. ? She was given the Moderna vaccination in the right deltoid muscle. ? During her 15 minute waiting period after the injection, the patient began to experience throat tightness and scratchy throat. She denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, lightheadedness, dizziness, facial swelling, lip swelling and tongue swelling. ? This provider was notified of patient reaction and she was then assessed in the emergency bay area. ? Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , chest pain, collapse, drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress with stridor, wheezing, dyspnea, increased work of breathing, persistent cough and cyanosis, skin changes, tongue swelling and vomiting. ? Hx of allergy to flu shot 2013. Had extremity weakness within 12 hours of shot. Resolved within a few days. No medications given. Seen by ER. Hx of 2010 allergy shots to food allergy, corn, wheat and citrus.

Other Meds:

Current Illness:

ID: 0921717
Sex: F
Age: 47
State: MA

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

Lab Data:

Allergies: codeine zolipidem

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Injection site pain and swelling fever headache joint pain specifically in hands wrists and neck chills muscle pain nausea feeling unwell

Other Meds: none

Current Illness: none

ID: 0921718
Sex: F
Age: 47
State: CA

Vax Date: 12/24/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: On 12/31/20 (day 7) of first injection, the injection site area became red, itchy, and inflamed (firm to touch). It was localized to upper arm area surrounding the injection site and the symptoms subsided in about 2 days. As of this reporting the inflammation has gone away, just small circle of slight redness remains with occasional itching.

Other Meds: No

Current Illness: No

ID: 0921719
Sex: F
Age: 68
State: PR

Vax Date: 12/27/2020
Onset Date: 01/02/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: Iodine

Symptoms: Red, very painful, swollen injection site started small six days after vaccination and grew doubling in size. The pain takes up from the neck on down to the whole arm. Patient has only taken Naproxene 500.

Other Meds: Calcium with Vitamin D3

Current Illness: Diabetes

ID: 0921720
Sex: F
Age: 33
State: CA

Vax Date: 12/22/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: called in sick 12/30/20, having fever, chills, body aches, cough, sore throat, and headache, tested for COVID 1/4/2021 it was Negative

Other Meds:

Current Illness:

ID: 0921721
Sex: F
Age: 31
State: GA

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: Received solumedrol, Benadryl and Pepcid and observed for 2.5 hours then released to home.

Allergies:

Symptoms: Received Pfizer COVID 19 vaccine on 1/3/21. While waiting 15 minutes in observation patient report tightness to her throat. Was taken to ER

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm