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: 0971806
Sex: F
Age: 31
State: OR

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: mango and latex

Symptoms: About 15 minutes after receiving vaccine symptoms started. Nauseous, dizziness, chest pain, shortness of breath, body aches (extreme), joint pain especially in hips and knees, extreme fatigue, headaches, ears constantly rang. Rash on my arm where I received it went down to my elbow and up to my shoulder and on to my upper back, about 3 hours for it show up. It red, raised and bumpy and it felt hot. This lasted for 4 days. I was very pale and my eyes were sunken in. I literally felt like I was ran over by a vehicle. I was sleeping for about 15 hours a day. I kept getting chills then I profusely sweats then it switch to freezing cold and back and forth between the two. I took Tylenol and Benadryl to control symptoms but still felt miserable. The symptoms all stayed with me to the end. I still do not feel 100%, I am still having ringing of the ears, moderate body aches and headaches. Someone else said they still see the rash but I cannot really tell. I was also having trouble focusing for a few days after receiving the vaccine, I felt highly medicated not the fun high the bad high.

Other Meds: Aldostone 50 mg daily, duloxetine 90 mg daily, off brand allergy medication daily

Current Illness:

ID: 0971807
Sex: F
Age: 62
State: AZ

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Lower back pain and kidney pain that started in the evening after receiving 1st Moderna COVID19 dose on 1/22/21, and has continued (1/25). Patient was advised to call public health COVID-19 hotline to call and visit a local clinic for followup.

Other Meds:

Current Illness:

ID: 0971808
Sex: M
Age: 52
State: CA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: NONE REPORTED.

Allergies: NKDA/NKA

Symptoms: CHEST PRESSURE/CONGESTION, HEAD CONGESTION. SYMTOMS SUBSIDED WITHIN 36 HOURS.

Other Meds: BACLOFEN, GABAPENTIN, VALACYCLOVIR, SILDENAFIL, FIORINAL, UNKNOWN HYPERLIPIDEMIA MEDICATION

Current Illness: NONE REPORTED.

ID: 0971809
Sex: F
Age: 55
State: CA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Caregiver was vaccinated at 0955. During the 15 minute observation period she was reading and approximately 1006 verbalized dizziness and nausea. Stated" started getting black" Observation nurse transferred to bed. Head of bed elevated. First cycle of vitals obtained 1007 BP- 160/80 HR-72 SpO2 100%. @1010 called RRT. Vitals taken, elevated. BP-164/86 HR-72 SpO2 100%. @1013 RRT arrived , reassessed. Caregiver stated " i feel better." She declined transfer at this time, continued observation in vaccine clinic. @1023 v/s decreased BP 143/86 HR 71 SpO2 100%. @1027 she verbalized she was feeling worse. Called RRT, they arrived @1033. Caregiver was transferred to ED at 1034 last vitals results BP 143/76 HR 98 SpO2 100%.

Other Meds:

Current Illness: Denies illness or any other vaccines up to a month prior

ID: 0971810
Sex: F
Age: 32
State: MD

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 10:00am Patient returned from walking to car post-vaccination, stating that her mouth began to feel numb and she felt a bit lightheaded. Patient brought to back area to semi-reclining chair, BP 128/77, 72HRT. States she ate breakfast, felt a bit anxious. Allergic to amoxicillin which causes rash and vomiting. Takes only prenatal vits; denies any medical condition. Numb lips, mouth, tongue, breathing fine according to patient. 10:17am Numbness spread to hands, nose, upper face, dull headache; states her breathing is fine, feels lump in back of throat however. Given 25mg liquid Benadryl oral, tolerated well. BP 116/69, HRT 67, 10:35am symptoms improving, denies feeling lightheaded, stood for 1 minute, stated she felt fine, patient discharged to self, ambulatory, husband aware and at home.

Other Meds:

Current Illness:

ID: 0971811
Sex: F
Age: 66
State: PA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Vicodin

Symptoms: Exactly 10 hours after my shot both legs from my thigh to my toes I had severe cramps and cannot move I couldn?t sit I couldn?t bend my legs to mute go up the steps at lasted for an hour broke out in sweats heart was racing finally subsided after an hour then all night I got little cramps on my toes or my calves

Other Meds: Synthroid vitamin D calcium 600

Current Illness:

ID: 0971812
Sex: F
Age: 40
State: NH

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: not available

Allergies: venlafaxine

Symptoms: onset of chest pressure, tachycardia within 10 minute. hives, swelling of lips and upper extremities, shortness of breath, systemic itching, sore throat and change in voice occurred 20 minutes post vaccination. epi-pen administered at onset of hives, etc. taken to ED and given more epinephrine, IV solu-medrol and diphenhydramine. monitored for a few hours and then discharged. 5 day course of prednisone prescribed.

Other Meds:

Current Illness: none

Date Died: 01/21/2021

ID: 0971813
Sex: F
Age: 85
State: AL

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Iodine

Symptoms: patient received vaccine on 1/20/2121, later that night husband found her slumped in chair, called EMS and patient was taken to Hospital where she died on 1/21/2021

Other Meds: not known

Current Illness: A fib, type 2 diabetes, HTN, seizure disorder, CHF

ID: 0971814
Sex: M
Age: 17
State: MN

Vax Date: 01/15/2021
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: No adverse event, was instructed by HCP on 1/25/21 to fill out VAERS for an individual who is under 18 who was inadvertently administered a Moderna vaccine.

Other Meds:

Current Illness:

ID: 0971815
Sex: U
Age: 36
State: OK

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: morphine

Symptoms: red soild lump with heat at site of injection site in right arm

Other Meds: none

Current Illness:

ID: 0971816
Sex: F
Age: 36
State: KS

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: Omnicef, hydrocodone, Levaquin, kiwi

Symptoms: Throat/esophageal swelling and difficulty swallowing noted approx. 3 hours after 2nd dose was administered. Symptoms were the same as they were after my first dose, so I'm managing them at home with Benadryl, warm packs, soft food and liquids and continuing to monitor at home. No respiratory issues to note. I met with my PCP after my reaction to the first dose. He suspects lymphedema in response to the vaccine. I waited until all symptoms were clear to receive my second dose per my PCPs instructions.

Other Meds: Metformin and prenatal vitamin

Current Illness: Had similar reaction to the first dose of the COVID vaccine approx. 4 1/2 weeks earlier.

ID: 0971817
Sex: F
Age: 41
State:

Vax Date: 01/20/2021
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: redness, swelling, and warmth as well as itching in R arm near injection site 3inches by 1.5 inches in size

Other Meds:

Current Illness:

ID: 0971818
Sex: M
Age: 57
State: MA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Penicillin codeine

Symptoms: patient shared he experienced a metallic taste in his mouth

Other Meds:

Current Illness:

ID: 0971819
Sex: U
Age: 75
State: MS

Vax Date: 01/13/2021
Onset Date: 01/19/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: penicillin, sulfa

Symptoms: rash and swelling at site-warm to touch-slight itch-size of rash was 4inches by 6 inches. Rash occurred 10 days after vaccination date

Other Meds: centrum silver,vit d3,vit c, fish oil, osteo bioflex,, bitoin,

Current Illness: none

ID: 0971820
Sex: F
Age: 40
State: MD

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: I had a headache the evening after receiving my injection. It?s very rare that I get headaches so I feel it?s associated with the vaccine. The next morning I felt a bit strange, almost like a dizzy sensation in my head that dissipated by the evening. I was still able to move about and do everything I needed to do without difficulty.

Other Meds: Aurevela Fe 1/20, phenternime

Current Illness: None

ID: 0971821
Sex: F
Age: 34
State: AR

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: SWELLING OF LIP, ITCHING ALL OVER

Other Meds: ZOLOFT

Current Illness: NKA

ID: 0971822
Sex: F
Age: 60
State: GA

Vax Date: 12/29/2020
Onset Date: 01/07/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: COVID-19 PCR Nasal Swab 01/08/2021 Positive

Allergies: PCN causes hives and rash Erythromycin causes nausea/vomiting

Symptoms: Developed COVID-19 positive 01/08/2021 with symptoms beginning 01/07/2021

Other Meds: Levothyroxine 50 mcg daily

Current Illness: Hypothyroid

ID: 0971823
Sex: F
Age: 50
State: AK

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: unknown to this reporter

Allergies: unknown

Symptoms: 5 min post administration, numb/tingling hands, feet followed by shivering, increased HR lasted about 40 minutes. Myoclonic jerking began as other symptoms waned. Myoclonus lasted 2 hours after other sxs resolved. After 2+ hours of monitoring, and with myoclonic jerking continuing without improvement, patient advised to seek medical attention. Was taken to Emergency Department

Other Meds: unknown

Current Illness: unknown

ID: 0971824
Sex: F
Age: 40
State: NH

Vax Date: 01/23/2021
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Latex

Symptoms: Extreme fatigue body aches chills sore and swollen arm

Other Meds:

Current Illness:

ID: 0971825
Sex: F
Age: 77
State: FL

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: none

Allergies: Bactrim, Macrodantin, Levaquin

Symptoms: About 20 minutes after the injection I started to feel like I was going to vomit, got nauseated and dizzy.. I had left the site after the 15 minute wait, and since I read that Nausea was one of the side effects, I thought it would go away. I waited another 30 minutes in my car at a parking lot outside the hospital in case I really couldn't drive home. I did drive home , but have been feeling the same nausea every day and some dizziness and diarrhea for the past 11 days. I called my doctor and she said to take it easy, drink fluids, eat light and that I could get the second shot. I am not sure if this is just a reaction or a severe allergic reaction and I need advice and feedback on that issue.

Other Meds: metoprolol, atorvastatin, omeprozole, alprazole, mirtazapine, hydrocodone

Current Illness:

ID: 0971826
Sex: F
Age: 45
State: CA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Redness and swelling on site and armpit

Other Meds: Fevers and on site of injection redness swollen and also on armpit swollen

Current Illness: Covid in 6/2020 since than no smell or taste

ID: 0971827
Sex: F
Age: 39
State: SC

Vax Date: 01/04/2021
Onset Date: 01/10/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: Covid swab-1/11 and 1/14 by healthcare provider. Both negative. Covid swab by urgent care on 1/15. Also urgent care drew bloodwork, did CXR, and flu swab.

Allergies: Bactrim, Tramadol, pollen

Symptoms: Cough, SOB starting on 1/9. Loss of taste and smell starting 1/10 and still hasn?t returned. Dizziness and fatigue on 1/10 as well

Other Meds: Propanolol, Vit D, Cymbalta

Current Illness: None

ID: 0971828
Sex: F
Age: 79
State: IN

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: Priloc

Symptoms: Bad headache, sore arm , tired.

Other Meds: Novalog, tresiba, Jardine, sertralinebystolic, Tylenol, alprazolam.

Current Illness: Type 2 diabetes

ID: 0971829
Sex: F
Age: 56
State: NY

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: codeine-itchy, sulfur, gadolinium, iodine; previous adverse reaction to polysorbate 80 in Flucelvax

Symptoms: she started to cough approximately 7 mins after receiving the vaccine. The cough was continuous and harsh but her airway was patent. She was offered Benadryl by administering RN, but she didn't want intramuscular Benadryl because she was going back to work. She stayed for approx 45 mins, and refused to go to ED. Upon leaving vaccination site, she went to the gift shop and purchased PO Benadryl and took that. She reports that she experienced wheezing and bronchospasms (related to reactive asthma), however, they cleared after 30 mins post Benadryl. had follow-up w/ healthcare specialist who does not recommend 2nd COVID vaccine due to previous adverse reaction to polysorbate 80 in Flucelvax may cross react with PEG in the COVID vaccination.

Other Meds: Latanoprost ophthalmic

Current Illness: denies

ID: 0971830
Sex: M
Age: 75
State: IN

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: none

Allergies: tetnis, penicillin

Symptoms: covid 19 symptoms for about 12 hours. Felt just like when i had it for two weeks.

Other Meds: pravastatin sodium 40 mg

Current Illness: covid 19 dec.31

ID: 0971831
Sex: F
Age: 67
State: FL

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Moderna COVID-19 Vaccine EUA Redness and hardness at injection site. Also itchy. Still experiencing after almost two weeks.

Other Meds: Amlodapine. HCTZ, Atorvastatin, multi vitamin, osteobiflex, preservision

Current Illness:

ID: 0971832
Sex: F
Age: 35
State: CA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1517: After receiving COVID vaccine, pt c/o itching ears & throat; hx reaction to immunosuppressive meds in past; no rash, SOB or nausea. BP 142/96 HR 74 RR 16 SpO2 99% 1519: Benadryl 25 mg po given 1532: BP 140/96 HR 92 RR 14 Spo2 100%. Pt drove self home.

Other Meds:

Current Illness:

ID: 0971833
Sex: F
Age: 26
State: PA

Vax Date: 01/13/2021
Onset Date: 01/18/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: On Jan 18th, patient experienced re-swelling at injection site with redness and cellulitis; enlarged lymph nodes in armpit; stomach pain. she had a follow-up appointment with her primary physician who prescribed an antibiotic. She reports that that the issue has not resolved at the time of this report

Other Meds:

Current Illness:

ID: 0971834
Sex: F
Age: 62
State: ND

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reports warmth, redness, swelling, and itching at injection site. Symptoms did not start until 8 days after injection. Patient denies rash or any air compromises

Other Meds:

Current Illness:

ID: 0971835
Sex: F
Age: 72
State: NV

Vax Date: 01/17/2021
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: I had vaccination 8 days ago. When I woke this morning, I had a little soreness in upper arm (where injection given), plus skin was very warm to touch. About 3 hours later, a rash started to appear (splotchy red spots) and is still warm to touch. Minor soreness.

Other Meds: None

Current Illness: None

ID: 0971836
Sex: F
Age: 61
State: AZ

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None. Drank fluids and rested when possible.

Allergies: Corn, Pine Nuts, Alfalfa, Mold No known allergies to medications

Symptoms: 1/21 after vaccine, NO problems until a headache began about 10am. Worked a night shift and experienced a steady moderate headache and increasing general fatigue, muscle aches. 1/22 ~9am started with chills (lasted the off and on the next 1012hours then less frequently the following 12 hours), joint aches (especially all finger joints (on fire) but subsided after 2-3 hours, muscle and intermittent mild-moderate head aches the rest of the day. 1/22 Worked night shift and by 11pm the symptoms were all becoming less severe. 1/23 By 8am felt fairly normal. Slept normally and have recovered just fine.

Other Meds: Losartan, propranolol, levothyroxine, estrogen patch, atorvastatin, OTC: Aciphex, fish oil, multiVatimin, CoQ10, Resvesterol, Fiber Tylenol/Ibuprophen

Current Illness: None

ID: 0971837
Sex: F
Age: 59
State: MO

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: oxaliplatin

Symptoms: Approximately 10 minutes post injection, subject began to feel throat tighten. After taking a drink of water, the subject felt the throat tightness becoming worse. The patient could talk but her voice wounded horse. Heart rate increased. After consulting with physician at vaccine administration site, patient was transferred to the emergency room for treatment. Blood pressure was 200/100 in the emergency room. Patient was treated with benadryl, steroids and pepcid. Patient recovered

Other Meds: None

Current Illness: none

ID: 0971838
Sex: F
Age: 42
State: CA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1620: After receiving COVID vaccine, pt c/o tingling on lips and face; hx same s/s w/food allergies inc rash/hives 1624: Benadryl 25 mg po given 1628: BP 168/98 HR 88 RR 24 SpO2 100% 1634: States tingling improved but left cheek feels "numb" 1635: DS 109 1638: States numbness feel improved 1647: BP 162/90 HR 88 1652: Discussed elevated BP; suggested f/u w/PCP. Pt driven home by husband.

Other Meds:

Current Illness:

ID: 0971839
Sex: F
Age: 61
State: PA

Vax Date: 12/22/2020
Onset Date: 01/11/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: I saw an ortho physician the next day- Bilateral knee x rays were done- all my hardware was in place & no fluids around the knee. CBC & Sed rate normal. C-Reactive protein was elevated to 6.4

Allergies: Compazine Percocet

Symptoms: On day 20 after the vaccination my knees starting getting sore- by 3 am I could barely stand on them- as the day progressed I had to use a walker & by late afternoon a wheelchair. The pain in my knees was a 10 out of 10.

Other Meds: Metformin 100mg BID, Jardiance 25mg daily, Losartan 25mg, Prilosec 20mg, Calcium + D 600/400, Baby ASA 81mg, Lipitor 20mg

Current Illness:

ID: 0971840
Sex: F
Age: 31
State: OR

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Mango and Latex

Symptoms: About 15 minutes after receiving vaccine symptoms started. Nauseous, dizziness, chest pain, shortness of breath, body aches (extreme), joint pain especially in hips and knees, extreme fatigue, headaches, ears constantly rang. Rash on my arm where I received it went down to my elbow and up to my shoulder and on to my upper back, about 3 hours for it show up. It red, raised and bumpy and it felt hot. This lasted for 4 days. I was very pale and my eyes were sunken in. I literally felt like I was ran over by a vehicle. I was sleeping for about 15 hours a day. I kept getting chills then I profusely sweats then it switch to freezing cold and back and forth between the two. I took Tylenol and Benadryl to control symptoms but still felt miserable. The symptoms all stayed with me to the end. I still do not feel 100%, I am still having ringing of the ears, moderate body aches and headaches. Someone else said they still see the rash but I cannot really tell. I was also having trouble focusing for a few days after receiving the vaccine, I felt highly medicated not the fun high the bad high

Other Meds: Aldostone 50 mg daily, duloxetine 90 mg daily, off brand allergy medication daily

Current Illness:

ID: 0971841
Sex: F
Age: 32
State: IN

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Pfizer BioNTech COVID-19 Vaccine EUA 1/11/21: received dose #2 at 1:30PM 1/11/21: 8pm very fatigued 1/12/21: 1:00AM chills, body aches, fever 101f, headache, left arm soreness 1/12/21: 8pm symptoms resolved Took tylenol at 8am on 1/12/21 which helped some with the headache

Other Meds: 1. Women's Multivitamin Gummy 2. Vitamin D gel capsule, 1000 mcg

Current Illness: N/A

ID: 0971842
Sex: M
Age: 55
State: PR

Vax Date: 01/05/2021
Onset Date: 01/07/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: NO

Allergies: None

Symptoms: Reddened macules on the torso and upper extremities without itching

Other Meds: Fish oil, glucosamine, CQ-10

Current Illness: None

ID: 0971843
Sex: F
Age: 29
State: IN

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Onset: 12 hours after vaccine Symptoms: Nausea, chills, fever, headache Treated with naproxen Duration: 36 hours

Other Meds: Aspart insulin, Yaz

Current Illness:

ID: 0971844
Sex: F
Age: 43
State: CA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1557: 15 mins after receiving COVID vaccine, pt c/o scratchy throat 1559: Benadryl 25 mg po given. BP 138/98 HR 80 RR 16 SpO2 99% 1615: No increase in scratchy throat. BP 140/90 HR 80 Sp)2 99%. Pt released home.

Other Meds:

Current Illness:

ID: 0971845
Sex: F
Age: 71
State: LA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: none known

Symptoms: Extremely unusual pain at injection site, (compared to any other past injections) generally achey, headache, occasional waves of nausea, fever 100.4, fatigue (stayed in bed most of the day). There was one occasion where my left hand had a strange involuntary "twitch". I only mention that because on Saturday (1/23/21) i had a few episodes of speech difficulty (words "not coming out right")

Other Meds: Rosuvastatin, Fluoxetine, Multivitamin, Vitamin B-12, Calcium, Vitamin D-3, Turmeric Curcumin, Fish Oil

Current Illness: none

ID: 0971846
Sex: F
Age: 80
State: GA

Vax Date: 01/07/2021
Onset Date: 01/10/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: na

Allergies: NKDA

Symptoms: itching and rash to torso area. Started 3 days after Moderna Vaccine and 6 days after Shingrix vaccine. Patient did not disclose at clinic that she had a Shingrix vaccine in the time frame before Modernal.

Other Meds: none * Advised today that she had recently had a Shingrix vaccine on 1/4/2021 dose #2. She advised that she did not tell anyone this at the drive thru site.

Current Illness: none

ID: 0971847
Sex: F
Age: 34
State: MD

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: About 30 minutes after the vaccine she developed a headache, that evening she had body aches, a sore throat and a fever of 100.3 which lasted into the next day.

Other Meds:

Current Illness:

ID: 0971848
Sex: F
Age: 65
State: NY

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Contrast Dye in CT scan, nuts, fish, penicillin, aspirin

Symptoms: At 53 hours after injection experienced piercing headache throughout different parts of head, face and neck accompanied by nausea though no vomiting or fever. Tylenol did not touch it. Slept on and off. Lasted 24 hours and then disappeared.

Other Meds: Atenenol, Benedryl

Current Illness:

ID: 0971849
Sex: F
Age: 68
State: NC

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: Sulfa Latex Diflucan Singular Motrin/Advil

Symptoms: I had a "whooshing" sound in my ears when I awoke the following morning on Friday, 1/22/2021and shortly afterwards I got extremely cold, having chills which started around 10:00 following a sm glass of oranje juice. My huband checked my temperature and it was almost 101; so he gave me some tylenol. It did not help. Between 1 and 2 pm I became nauseous and started vomiting. My husband called the Dr's office but could not reach anyone nor was he able leave a message to report that I was sick and my temp was now 102. I suffered through the night with tylenol and sips of water, gingerale and tea. On Saturday morning still having rather mild chills and low grade temp of 99.7 and feeling really tired but by evening I could eat soup and crackers which stayed down and drinking sprite, ale and tea. Sunday, still feeling tired but moving more and keeping fluids down. I noticed that I was hungry but food had no taste. Fever broke early Monday morning, still feeling sluggish but much improvement.

Other Meds: DILT-XR 180MG IBESARTAN 300MG CERTIRIZINE Calcium Citrate+D3 petites Centrum Silver /women over 50 BREO ELLIPTA 100/25 mcg Biotin 5,000 mcg Colace Docusate Sodium Magnesium 250mg/ bone & Muscle Health Elderberry dietary Supplemt 50mg

Current Illness: NONE

ID: 0971850
Sex: F
Age: 47
State:

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Severe fatigue, Headache, and intermittent "warmth" for the past 6 days.

Other Meds:

Current Illness:

ID: 0971851
Sex: F
Age: 47
State: GA

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient complained of nausea. Symptoms improved with a mint.

Other Meds:

Current Illness:

ID: 0971852
Sex: M
Age: 76
State: TX

Vax Date: 01/16/2021
Onset Date: 01/18/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Codeine, tramadol, hydrocodone, ciprofloxacin

Symptoms: The patient reports that approximately 11 hours after receiving the vaccine he experienced chills and felt weak. Then 2 days after receiving the vaccine, he developed a red, itchy rash to his left side approximately 4 inches dixtal to his axilla. The rash is almost completely gone, and chills and weak feeling resolved when the patient woke the next day.

Other Meds: atorvastatin, novolog, detemir, metformin

Current Illness: No acute illnesses

ID: 0971854
Sex: F
Age: 63
State: TX

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: none

Other Meds:

Current Illness:

ID: 0971855
Sex: F
Age: 35
State: VA

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: increased hives after prednisone taper

Symptoms: Moderna COVID-19 Vaccine EUA Had a muscle "knot" at injection site starting on day 2. Arm was sore but not extremely painful. Knot lasted until day 9 (1/21/21). On day 9, the knot had resolved but upper warm was very red, warm to the touch and itchy. Took 1 diphenhydramine 25mg tablet at night. Redness had improved in the morning and had not spread. Still have some redness in the same pattern on 1/25/21. Was told to report the adverse event through workplace who facilitated the vaccine.

Other Meds: Prenatal vitamin

Current Illness: none

ID: 0971856
Sex: F
Age: 38
State: MI

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: None reported

Symptoms: 1307 2nd dose Pfizer COVID-19 vaccine administered. 1327 responded to patient who had been sitting in her car post vaccine. Patient reported that she had noticed anterior chest pain (4/10) as well as a weighted pressure. I assessed the patient while she remained in her car. She has a history of high blood pressure, taking medication and has been under control. She also reported diagnosis of asthma. Lisinopril 5mg daily, she had taken this morning. Albuterol metered dose inhaler (not used today). She denies heartburn nor taking any medication for it. She had eaten a hamburger 30 minutes prior to vaccination. 1335 patient reported that her chest pain turned more into a warmth that spread across the chest and a tingling sensation down only the right arm. 1344 she rates the discomfort in chest as a 2/10 the tingling in right arm is gone. She denies the following symptoms: difficulty breathing, changes to vision/hearing, dizziness/lightheadedness, facial and throat swelling, & nausea. Patient remained very calm during this observation time and spoke in complete sentences. She was comfortable with her mask on. Patient denied these symptoms occurred with her first dose of COVID-19 vaccine nor any other vaccination. Obtained automatic blood pressure device measured 142/91 (63 beats/min) at 1351. Patient was able to teach back when she will seek Emergency care: difficulty breathing, face/throat swelling, persistent and or worsening chest pain/pressure. Patient and I both agreed she was safe to leave the vaccine clinic.

Other Meds: Albuterol metered dose inhaler by inhalation Lisinopril 5mg PO Daily

Current Illness: None reported

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm