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: 0969097
Sex: F
Age: 100
State: MN

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: All dated 1/23 at ER visit Hgb 11.2, Hct 34.5, WBC 2.9, plt 276 Na 139, K 3.9, Cl 103, CO2 25, Cr 1.2, BUN 33, glucose 159, AP 81, AST 26, ALT 16, bili 0.3 CRP 2.0, Trop 0, lipase 44 EKG NSR

Allergies: No

Symptoms: Chills, nausea and vomiting on days 1 and 2 post vaccine. Days 2 and 3 post vaccine developed burning sensation in esophagus and dehydration. Given GI cocktail (Maalox and viscous lidocaine), IV protonix, and 500mL fluid bolus in ER on evening of 1/23 and discharged home feeling significantly better.

Other Meds: Cilastazol 100mg BID Furosemide 20mg QD Aspirin 325mg QD Atenolol 50mg QD Amlodipine 5mg QD Omeprazole 20mg QD Ventolin PRN Calcium-D 1 daily Ocuvite Preservision 1 BID Zinc caps 50mg QD Vitamin D3 1000IU QD Ascorbic acid 1000mg QD Acetamin

Current Illness: No

ID: 0969098
Sex: F
Age: 52
State: FL

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies: Aspirin Bee stings

Symptoms: Numbness on side of face

Other Meds: Vitamin

Current Illness: None

ID: 0969099
Sex: F
Age: 51
State: IN

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

Lab Data: None

Allergies: None

Symptoms: By 10pm on 1/23/21, I was experiencing chills, fatigue, and swollen lymph node in my right armpit as well as soreness at the injection site (which started hours earlier). On 1/24/20, chills and extreme fatigue continued along with dull headache, lack of appetite, and general feeling of unwellness. Temperature at 3:30pm was 101.2F.

Other Meds: Iron, calcium with Vitamin D, Omega 3

Current Illness: None

ID: 0969100
Sex: M
Age: 28
State:

Vax Date: 01/15/2021
Onset Date: 01/23/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Slightly raised, slightly blotchy, itchy rash around injection site 8 days post-injection. Itchiness lasted less than 24 hours. Rash still slightly visible about 24 hours after first noticed.

Other Meds: None

Current Illness: None

ID: 0969101
Sex: F
Age: 61
State: CA

Vax Date: 01/11/2021
Onset Date: 01/19/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Eight days following injection I developed a red rash around injection site. Rash is warm to the touch and itchy. Rash has continued to spread on arm.

Other Meds: Metoprolol Losartan Vitamin D Calcium

Current Illness: None

ID: 0969102
Sex: F
Age: 56
State: TN

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

Lab Data: None

Allergies: Allergic to Mold

Symptoms: Heart racing from 9 AM all day, ranging from 110 to 148. My normal is 65 at rest.

Other Meds: Zyrtec Vitamin D Tylenol

Current Illness: None

ID: 0969103
Sex: F
Age: 25
State: CO

Vax Date: 01/16/2021
Onset Date: 01/23/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: Phone call with Dr. did not express reason for concern and recommended cold compress and Benadryl

Allergies: None

Symptoms: A week after my first injection, there was swelling, firmness, hives (itchiness) and heat at the injection site. After initial injection, I experienced soreness, inflammation at the injection site as well as fatigue. Swelling went down 1/20 and reappeared worse than before along with other symptoms 1/23.

Other Meds: Birth control, iron, B12, l-theanine, vitamin D, biotin

Current Illness: None

ID: 0969104
Sex: F
Age: 56
State: MA

Vax Date: 12/30/2020
Onset Date: 01/01/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I got my vaccine on 12/30/2020 @ 14pm, on 12/31/ just had pain in my right arm. But on Fri 01/01 I woke up with severe HA ( I have migraine HA, so have tolerability for pain) and had pain in my neck and hands(like arthritic kind of pain). This HA was Migraine like but on both sides of my head and in both eyes. Regular migraine meds didn't help. HA lasted for 3 days. I was ready to go to ER but started feeling better and by the middle of the day HA was gone. I signed myself for 2nd vaccine on 1/27/21, but would like to check before I do it.

Other Meds: Vitamins B-complex, Vitamin D

Current Illness:

ID: 0969105
Sex: M
Age: 76
State: CA

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

Lab Data:

Allergies: Promethazine

Symptoms: Pain in left shoulder, Sleeping for hours, Out of control shakes and chills, Hot face. High blood pressure, Temp 98.2

Other Meds: Diclofenac Sodium 75mg, Lisinopril 40mg, Furosemide40mg, Omeprazole 20mg, Synthroid 150mcg, Turmeric 1500 mg.

Current Illness:

ID: 0969106
Sex: F
Age: 62
State: CT

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

Lab Data: none

Allergies: none

Symptoms: Fever 102 for 8 hours

Other Meds: Metoprolol Metformin XR Xanax

Current Illness: none

ID: 0969107
Sex: F
Age: 42
State: CA

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: One week after the injection, the injection site appeared slightly red, then got redder, hard tissue, very hot. The next day there was swelling at the area, hot, became very hard and became a darker red colour and arm started to feel sore. The third day, swelling became more diffuse less hard, still very red with a central purplish colour of the area, and started to itch. Fourth day the larger red area, minimal swelling, no hardened mass, not itchy, no pain

Other Meds: prilosec, iron

Current Illness: none

ID: 0969108
Sex: F
Age: 73
State: FL

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

Lab Data: I had a anaphylactic "cocktail".. predisnone, two 20-mg pepcid and 2 benedryls. I was breathing ok so I was observed for about 90 minutes - listening to my chest for any wheezing, checking my tongue /face for any swelling. Within 30 minutes I started feeling better. but stay for ER doctor's observation.

Allergies: sushi, some chinese food dishes

Symptoms: I stayed for 15 minutes for observation. Maybe 15 minutes later as we were driving home my lips were numb.. then five minutes later my tongue was numb, and then my throat felt like I had swollen glands. We went to ER closest to where we were

Other Meds: Synthroid 88mcg, one-a-day vitamins, calcium supplement, Vit 3 500 mg

Current Illness: none

ID: 0969109
Sex: F
Age: 72
State: TX

Vax Date: 01/10/2021
Onset Date: 01/22/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: None

Allergies: None known

Symptoms: Area around vaccination site on Left Upper arm was swollen and mildly painful from time of injection on 1/15/2021. On 1/22/2021, upon awakening my upper arm was very itchy, with a raised circular area at injection site that was hard, mildly painful, mildly reddened. (The area resembled an insect bite.) I didn't think much about it. On Saturday, the itching lessened but it was still swollen, tender and red. Today, 1/24/2021, my upper left arm has a reddened area is approximately 2 1/2 to 3". It is still swollen, quite red, but not particularly painful. I do not have a fever or any other symptoms. My sister who is a retired nurse told me that I should report this development.

Other Meds: Thyrovanz

Current Illness: None

ID: 0969110
Sex: F
Age: 35
State: NC

Vax Date: 12/28/2020
Onset Date: 01/11/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: audiological testing

Allergies: none

Symptoms: 12/28/20 - first dose of COVID Vacc; 1/11/21 - R sided tinnitus; 1/12/21 R sided hearing loss and loss of balance; visited ENT and diagnosed with Sudden Sensorineural Hearing Loss; 1/13/21 began 60mg Prednisone 7 days; 7 day taper off - no improvement in hearing by 1/24/21; ENT scheduled before second covid vaccine

Other Meds: Mirena IUD

Current Illness: none

ID: 0969111
Sex: F
Age: 33
State: KS

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

Lab Data:

Allergies:

Symptoms: Patient was dizzy, lightheadedness, flushed, warm, and nauseated. This occurred about 15 to 20 minutes after receiving the vaccination.

Other Meds:

Current Illness: Fighting a bacterial infection from a scratch

ID: 0969112
Sex: F
Age: 61
State: PA

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: none

Allergies: sulfa, amoxicillin, maybe foods

Symptoms: Rash starting a injection site. Red. Swollen. Itchy. Looks like cellulitis. As of this date, is 4" X 10" in size

Other Meds: Vitamin D, Omega 3

Current Illness: none

ID: 0969113
Sex: F
Age: 53
State: IN

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: NA

Allergies: Sulpha

Symptoms: Headache, 99.6 temp, chills

Other Meds: Celexa, Adderall, Lisinopril, Levothyroid, Ropinirole, Atenolol, Protonix

Current Illness: I had Covid . Symptoms started Jan. 6th.

ID: 0969114
Sex: F
Age: 51
State: OH

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 11:53 AM BP 110/58, HR 70, SO2 97% Reported pressure midline forehead and dizziness. Water provided 11:57 AM Reported starting feeling etter 12:06 Reported no dizziness but still pressure in forehead. Reported no symptoms when ambulating. Encourage to call PCP. Pt. reported she will go home to rest and call PCP

Other Meds: Unknown

Current Illness: Unknown

ID: 0969115
Sex: F
Age: 37
State:

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

Lab Data:

Allergies:

Symptoms: Headache, body aches, chills, low blood pressure

Other Meds:

Current Illness:

ID: 0969116
Sex: F
Age: 88
State: NY

Vax Date: 01/15/2021
Onset Date: 01/23/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 8 Days after initial shot, experienced red swollen lump which is hot and itchy near injection site

Other Meds: None

Current Illness: None

ID: 0969117
Sex: M
Age: 67
State: FL

Vax Date: 01/16/2021
Onset Date: 01/19/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Hives

Other Meds:

Current Illness:

ID: 0969118
Sex: M
Age: 40
State: PA

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

Lab Data:

Allergies: None

Symptoms: Provider HPI: "Presented to the emergency department by ambulance for an evaluation of allergic reaction. The patient had the COVID-19 vaccination at approximately 9:30 AM. Over the last few hours the patient started to notice allergic reaction including redness and itchiness across his chest. The patient denies having any chest pain or difficulty breathing. He has no swelling in his oropharynx. He complains of nausea. He denies having any chest pain. He denies having any lower extremity swelling." Provider physical examination: "The area of the injection noted over the right deltoid is clear. There is no erythema or swelling. There is erythema over the anterior neck. This has the appearance of a coalescing hives."

Other Meds: Cholecalciferol Clonazepam Fenofibrate Lamotrigine Lithium carbonate Omega-3 fatty acids Quetiapine Trazodone Vitamin E Zinc

Current Illness: "Cold" 3 weeks ago. Runny nose, sneezing. No fever.

ID: 0969119
Sex: F
Age: 24
State: MN

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever (100 deg F), sweating and chills, headache, body aches, joint pain. Symptoms lasted 24 hours. Unable to work secondary to symptoms. Tylenol as directed for treatment.

Other Meds: Effexor, Ritalin, women?s multivitamin, Allegra

Current Illness:

ID: 0969120
Sex: F
Age: 55
State: CA

Vax Date: 01/16/2021
Onset Date: 01/23/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: cellulitis, developed 6 days after vaccine

Other Meds: none

Current Illness: none

ID: 0969121
Sex: F
Age: 46
State: OH

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: None

Allergies: lisinopril, vicodin

Symptoms: Pt started having chills after receiving COVID vaccine 11:12 AM BP 120/85, HR 93, RR 18, SO2 99% 11:27 AM BP 122/86, HR 74, RR:16, SO2 98% 11:36 Feeling fine. Left facility

Other Meds: Unknown

Current Illness: None

ID: 0969122
Sex: F
Age: 75
State: LA

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: Chest x-ray, C-t scan, blood work (all done day of receiving vaccine)

Allergies: none

Symptoms: Vaccine administered at 4:30 pm on Jan 16, 2021: Ate dinner at 6:00 pm and began experiencing the following symptoms: nausea with vomiting, extreme tightness in chest area, front and back, elevated blood pressure and heart rate. Went to ER , was treated for nausea and pain. Discharged at 1:40 am Jan 17, 2021. ***Doctor would not confirm that symptoms were result of vaccination, but I wanted to report.

Other Meds: Levothyroxine 125 mcg, Losartin/Hcl 50/12.5, metropol 25mg (twice daily), Lovastatin 20 mg, iron 65mg, aspirin 81 mg, multivitamin

Current Illness: none

ID: 0969123
Sex: F
Age: 54
State: TX

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 01/24/2021
Hospital: Y

Lab Data: CT SCan with contrst dye IV Ultrasound clavicle, chest, neck

Allergies: benadryl, morphine,vancomycin,cephalosporins, clindamycin

Symptoms: severe lymphadenopathy left clavicular large nodule about an inch protruding. More large nodes picked up on CT scan and ulstrasound.scans and work up done at Hospital and CT report said suspicious for cancer. Ultrasound doctor decided against biopsy and diagnosed that it was a severe COVID19 vaccine reaction since the nodes were found three days after vaccination, same side of body as vaccine was given, the left side.

Other Meds: implanted baclofen pump, gabapentin, amlodipine, estradiol, simvastatin, Dymista,progesterone

Current Illness: herniated disk 12/16/2020 since 2000: upper motor neuron syndrome/spasticity, Flatback syndrome (2008) with scoliosis

ID: 0969124
Sex: F
Age: 29
State: CO

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, body ache, abdominal/stomach cramps, chills, fever, sensitive skin

Other Meds:

Current Illness:

ID: 0969125
Sex: F
Age: 32
State: MA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies: Allergy to amoxicillin - hives Adverse reactions to azythromycin, erythromycin, naproxen, and Bactrim

Symptoms: I experienced nausea, redness in face and neck, with itchiness and flushed feeling within 20-30 minutes of receiving vaccine (started around 3:55pm). Felt cold with pale hands. Seen by ambulance crew at clinic site and given IV fluid, steroids and benadryl. Had dry mouth and itchiness in throat. Taken to hospital and developed red blotches on hands and arms. I was given epinephrine around 5:30 when nausea, dry mouth, and itchy throat did not subside. Discharged at 9:30.

Other Meds: None; prescribed ProAir inhaler as needed for asthma

Current Illness: None

ID: 0969126
Sex: M
Age: 56
State: KS

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

Lab Data:

Allergies:

Symptoms: Approximately, 15 minutes after vaccination, patient reported his hands were itching, red, slightly swollen, and had some hives. Patient had no issues breathing or swelling at any other location. I provided the patient with diphenhydramine 25mg. He had no other issues during the day and continued to be closely monitored.

Other Meds:

Current Illness:

ID: 0969127
Sex: F
Age: 52
State: VT

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

Lab Data:

Allergies:

Symptoms: After receiving 2nd dose of Pfizer vaccine, within 5 minutes, c/o chest pressure, tachycardia (P=105) and left arm pain. team was called and was taken to the ER.

Other Meds:

Current Illness:

ID: 0969128
Sex: F
Age: 61
State: OH

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: None

Allergies: Unknown

Symptoms: 10:58 Reported increased HR HR 77-80, BP 138/90, Reported High HR and High BP. Water provided. 11:15 HR 77, BP 132/80, Reports feels better and this is a normal feeling for her. Encouraged to notify PCP

Other Meds: Unknown

Current Illness: None

ID: 0969129
Sex: F
Age: 60
State: IN

Vax Date: 01/14/2021
Onset Date: 01/23/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: IV fluids, phenergan, norflex

Allergies:

Symptoms: developed muscle tremors, ataxia, unable to walk, nausea

Other Meds: Calcium 1200mg, vit d 2000 units, estradiol patch 0.75 mg, celebrex 100 mg

Current Illness:

ID: 0969130
Sex: F
Age: 62
State: NJ

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

Lab Data:

Allergies: Sulfa drugs, fish, tigan, compazine, methyl prednisolone

Symptoms: Chills,fever,severe body ache,jaw pain,dizzyness,nausea,vomiting. Tylenol, meclizine for vomiting

Other Meds: Lisinopril, norvasc, lipitor, aspirin

Current Illness:

ID: 0969131
Sex: F
Age: 38
State: NY

Vax Date: 01/15/2021
Onset Date: 01/23/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: None

Allergies: Trimethoprim

Symptoms: Bruising for three days after the injection. On Day 9, my arm began to feel tingly (like pins and needles) On Day 10 (Sunday 1/24), I noticed my the injection aite was swollen, hot to the touch, and red and blotchy.

Other Meds:

Current Illness:

ID: 0969132
Sex: F
Age: 41
State: NY

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: Saw PCP 1/19/21 due to injection site latent rash development

Allergies: Bee stings Soy Wheat Fish oil All perfumes Some cosmetics including makeups, some shampoos, some lotions Prednisone (possible) Tb test skin allergy

Symptoms: Immediate full body heat rush and heart racing upon injection. Right arm went numb down to elbow, numbness then radiated up to neck & side of face into ear, up back of head, back toward shoulder blade and then down lateral torso. Numbness turned into intense pins and needles with intermittent jolts the day after the vaccine and slowly began to diminish. Most intense first 5 days, and lasted in a significant manner a little over 2 weeks. Now is barely noticeable shoulder blade and side of neck. Chest tightness nearly immediately after vaccine. Used albuterol inhaler 30 minutes after vaccine which helped. Chest tightness reappeared 6 hours later, took Benadryl and inhaler. Required inhaler in the evening for 2 more days following vaccine. Diarrhea began day after vaccine, lasted 2 days Neck muscles felt too weak to hold up head, began shortly after vaccine and recurred each afternoon for about 5 days. Day 11 developed a sudden rash/redness with heat and swelling over the injection site. Took Benadryl and called PCP when rash worsened the next day. Visit to PCP 13 days post vaccine due to rash. MD unsure if allergy or infection, recommended antibiotics, but by day 14 after taking Benadryl for 3 days, the rash dissipated without beginning any antibiotics.

Other Meds: Benadryl Albuterol inhaler PRN cabergoline Vitamins : multi, B12, C, D, turmeric, lysine

Current Illness: No acute illness within 1 month of vaccine

ID: 0969133
Sex: F
Age: 69
State: FL

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

Lab Data:

Allergies:

Symptoms: numbness in the left side of body (arm, face, neck)

Other Meds:

Current Illness:

ID: 0969134
Sex: M
Age: 46
State: VT

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

Lab Data:

Allergies:

Symptoms: Complained of chest pressure within 5 minutes of receiving vaccine. Pulse=90. Team was called and taken to ER.

Other Meds:

Current Illness:

ID: 0969135
Sex: M
Age: 84
State: CA

Vax Date: 01/14/2021
Onset Date: 01/20/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Oval shaped rash developed on or about 6 days after the injection. Lasted for several days. Slight itching experienced early on.

Other Meds: Simvastatin 40 mg Olmesartan 40 mg

Current Illness: None

ID: 0969136
Sex: F
Age: 40
State: OH

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

Lab Data:

Allergies: None

Symptoms: Friday, developed rash on body, Saturday developed muscle aches and Sunday developed a fever of 101.9

Other Meds: None

Current Illness: None

ID: 0969137
Sex: M
Age: 63
State: IN

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

Lab Data: None taken. Conditions and experiences were all very mild. I just figured they were related to the vaccine.

Allergies: none

Symptoms: Thursday Nite starting at 11 PM: A warm feeling at the top of my head like a heat lamp. Lasted 15 Minutes. Then Left Leg, Two Toes start pulsating/shaking uncontrollably. I rubbed with the right foot...it would stop...then start back up. Lasted 30 Minutes. Then my chest started feeling like I had a bad sunburn on my skin. Lasted 30 Minutes...all the while these strange things were going on, I noticed I had asthma. I ONLY get asthma if I have a cold or flu. I thought to get up and take an inhaler but decided against it worried about an adverse reaction to the vaccination. I fell back to sleep and awoke with no asthma and all strange symptoms gone. Then Friday afternoon I developed chills and a queasy stomach (belching and gas and loose stools.) I checked my temperature (on multiple occasions) and it was normal. These two conditions lasted until Saturday. Also on Saturday, I developed aches in my neck. Then very late Saturday Night, I awoke to a sweat drenched tee shirt but chills were gone. Sunday...today....I feel perfect.

Other Meds: None

Current Illness: none

ID: 0969138
Sex: F
Age: 34
State: TX

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: N/A

Allergies: Seasonal allergies

Symptoms: I got the 2nd dose on January 21, 2021; that evening around 5:30pm I got a headache which lasted for the rest of the night. I took some Tylenol but the headache was still there. The next morning at 8am I woke up and my whole body felt heavy and tried and hurting, I had trouble getting up from bed and getting dressed. I took some Tylenol and then went to work. I felt my body dragging bad for the rest of the day and that night that I couldnt really work.

Other Meds: Tylenol

Current Illness: N/A

ID: 0969139
Sex: M
Age: 65
State: MO

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

Lab Data:

Allergies:

Symptoms: Headache, body ache, general not feeling well, and very tired.

Other Meds:

Current Illness:

ID: 0969140
Sex: M
Age: 35
State: WA

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

Lab Data: None

Allergies: None

Symptoms: At 3:00 p.m. the following day after the injection my temperature started to rise. My chills were so severe that I was unable to sustain being upright. Just rolling over in bed caused severe shaking. My temperature of 102 lasted for 15 hours.

Other Meds: None

Current Illness: None

ID: 0969141
Sex: F
Age: 51
State: VT

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

Lab Data:

Allergies:

Symptoms: Received vaccine at 1pm, was observed for 15 minutes and returned to work. 345pm wheezing while working, took Albuterol, 2puffs, prior to returned to Clinic. 1610 arrived at Clinic with audible wheezing. Team was called and was taken to the ER.

Other Meds:

Current Illness:

ID: 0969142
Sex: F
Age: 84
State: TX

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: Went to clinic at Dr's office and had the Nurse practitioner look at it. Said to take acetimetiphin and report to you This was on Friday January 22 2021 at 10;30 AM

Allergies: None

Symptoms: Redness still in arm where injection was placed. About 2 1/2 inches around the injection and warm to the touch. This is the 16th day. Is this normal

Other Meds: Aspirin 82mg. Lisinopril-HCTZ 20-12.5 MG. Lisinopril 10MG. LEVOTHYROXINE 75MCG (0.075 mg). Desloratiadine 5 mg. Sim a statin. 10 mg. Meclizine Hct 25 mg. Gabapentin. 100 mg. Calcium gummies 100 mg

Current Illness: None

ID: 0969143
Sex: F
Age: 34
State: VA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: Sought evaluation by MD on 1/14 due to persistence of vertigo, headache and brain fog. CBC with diff, urinalysis, basic metabolic function, ANA, cRP, lipid profile, thyroid panel --- all unremarkable

Allergies: Corn, white potatoes, turkey, peanuts, meloxicam

Symptoms: Acute onset of headache and severe brain fog with intermittent vertigo within hour of administration that persisted x 10 days with gradual daily improvement. Other side-effects were more typical with mild fever and chills (day 1 only), fatigue (severe at first, better by day 3), myalgia and arthralgia (severe at first, great improvement by day 3) and localized pain and swelling that turned to pruritus around day 5-7.

Other Meds: Silver Fern probiotic, Pure Encapsulations ONE Multivitamin, Magtein, Vitamin D 5000iu 3x/weekly, zolpidem 5mg PRN for insomnia, cephalexin 1G BID

Current Illness: Cystitis

ID: 0969144
Sex: F
Age: 35
State: CA

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: none

Allergies: Cutaneous reaction to adhesive and metals

Symptoms: 7 days after receiving vaccine (1/22) patchy, well demarcated, slightly raised, red rash over vaccine site ~ 8 x 5.5 cm without pruritus or pain 1/22-1/23 increased in size of the rash to 10.5 x 6.5 cm, area does blanch. 1/24 similar size, but slightly less red. Ongoing at time of submission of this reaction.

Other Meds: Allegra, Vitamin B12, Omega, Vitamin D/Calicum/Magnesium

Current Illness: none

ID: 0969145
Sex: F
Age: 73
State: FL

Vax Date: 01/14/2021
Onset Date: 01/24/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: Will contact primary doctor 1/25/2021

Allergies: None

Symptoms: 10 days after injection red rash, swollen upper arm, hot, itchy 4inches by 2 inches appeared around injection site.

Other Meds: Metoprolol ER Succinate Levothyroxine ActivNutrients w/o iron GI Protect Probio Max DF K2-D3 Cortisolv T-150 Enterovite Trizomal Glutathione Turmero Resvero

Current Illness: none

ID: 0969146
Sex: F
Age: 39
State: CA

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

Lab Data:

Allergies: none; sensitive to citric acid, nuts, and avocado

Symptoms: Day 1- Nausea, Chills, Diarrhea, Fever, Headache Day 2- Nausea, Chills, Fever, Headache Day 3- Nausea and Headache

Other Meds: Metformin, glyburide, lantus, macrobid, omeprazole, and zyrtec

Current Illness: UTI and GERD

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm