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: 0972066
Sex: F
Age: 64
State: TX

Vax Date: 01/11/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Red rash on vaccine site

Other Meds: * Euthyrox - 100mcg, 1day * Citalopram-20mg, 1day * Clonazepam-1mg, 1day * Folbee Plus CZ-1day * Montelukast-10mg, 1day * Fluticanose-50mcg, 2 sprays, 1day * Levalbuterol tartrate HFA 45mcg, 1 puff x 4 hrs (as needed) * Claritin (generic)

Current Illness: None

ID: 0972067
Sex: M
Age: 1
State: OR

Vax Date: 09/25/2018
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: Viral Culture VZV

Allergies:

Symptoms: This patient comes to us with history of Varicella vaccine on 9/28/2018. He presents with rash that has been verified as Chicken Pox on 1/21/2021

Other Meds:

Current Illness:

ID: 0972068
Sex: M
Age: 58
State: TX

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

Lab Data: None

Allergies: Allergies to bananas, melons (watermelon, cantaloupe, etc)

Symptoms: Fever (101 degrees), headache, pain and swelling at injection site, nausea,

Other Meds: Kombizyze, Lisinpril, Invokana, glipizide, Rostatin

Current Illness: none

ID: 0972069
Sex: M
Age: 26
State: CT

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

Lab Data:

Allergies:

Symptoms: Headache, Chills, Fever, Spaceyness

Other Meds:

Current Illness:

ID: 0972070
Sex: F
Age: 64
State: TN

Vax Date: 01/14/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: She experienced headache, dizziness and SOB. Later she developed diarrhea, then swelling in her both feet and right knee. She was admitted to the hospital for tests last Friday night and was discharged with gout. They drew fluid from her knee and left ankle. She is in a wheelchair at home.

Other Meds:

Current Illness:

ID: 0972071
Sex: M
Age: 71
State: GA

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

Lab Data: n/a

Allergies: n/a

Symptoms: Patient felt flushing and itching

Other Meds: n/a

Current Illness: n/a

ID: 0972072
Sex: F
Age: 49
State: MD

Vax Date: 01/16/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: A week and a day later from vaccine given I woke up with my deltoid area swollen, red and warm. Quarter size at first and then continued to increase in size to about 3 inches round.

Other Meds: Prozac

Current Illness: None

ID: 0972073
Sex: F
Age: 47
State: CA

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

Lab Data:

Allergies: Penicillian

Symptoms: Itchy eyes, swollen eyelids, itchy skin and wheezing (asthma)

Other Meds: Advair Ventolin Flonase Levothyroxine

Current Illness:

ID: 0972074
Sex: F
Age: 28
State: FL

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

Lab Data:

Allergies: N/A

Symptoms: Approx 4 hours after vaccine the patient reported sweats, dizziness, and inability to focus. VS were stable. Patient was taken to ED and worked up. She received Benedryl, Solumedrol and IV fluids.

Other Meds: N/A

Current Illness: NONE

ID: 0972075
Sex: F
Age: 73
State: GA

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

Lab Data: None

Allergies: None

Symptoms: Headache, light headed, nauseous, fever, tired.

Other Meds: Synthroid

Current Illness: None

ID: 0972076
Sex: F
Age: 44
State: KY

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

Lab Data:

Allergies: Sulfa

Symptoms: Fever, chills, severe body aches, fatigue. Random sharp pains. Pain at site of injection. Onset 6-8 hours after dose. Mostly resolved after 30 hours. Soreness remained several days after.

Other Meds: Vitamin c 500-1000mg Flintstone vitamin

Current Illness:

ID: 0972077
Sex: F
Age: 34
State: GA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: After I received the vaccine I felt fine. Later that night I had a slight headache and the injection site was sore. I took my medicine and went to bed. I woke in the middle of the night in serve pain at the injection site and still had a headache. I went back to sleep. I woke at 8am feeling nauseous and I started trying to walk to the bathroom and tried to throw up. I passed out my husband caught me. He sat me up and put water on face. He called the 911. EMS came out and checked my blood pressure was really low 80/60 range. The night before I checked my blood pressure before taking my blood pressure pill and it was 121/80. Refused to go to the hospital and I stayed at home and just rested for a couple of hours. I went to work later that night. Every since then I have been feeling weak, dizzy, and moving slow. I feel like it I turn to fast I will fall. I have not been feeling myself. Just got new insurance and has been trying to find a new doctor and she has been unsuccessful. She is going to urgent care tomorrow.

Other Meds: (for Blood pressure) Nisedipine 60 MG once a day, Prenatal vitamin daily, (birth control) Norethindrone once daily, Vitamin D 50000 units

Current Illness:

ID: 0972078
Sex: F
Age: 43
State: CA

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

Lab Data: None

Allergies: Sensitivity to cashew nuts (hx of eyelid swelling)

Symptoms: Sensation of fullness in back of throat, progressing to tingling sensation of mouth/face and upper body, and then tachycardia. Became very nervous with the strange sensation and took pulse which was initially in normal range. This however progressed to a rapid heart rate. Overall symptoms lasted 3-4 minutes. Pulled over and exited a busy highway. Called 911 (2:22 pm) during symptoms and they said they could only call an ambulance. Had some confusion when speaking to operator, as I couldn't tell them which exit I was at although I know the exit. Ultimately, drove myself to the hospital parking lot (about 4-5 min away) as heart rate had started to return to normal. Heart rate was in normal range when I rechecked in hospital parking lot. Sat in car for about 5 minutes before deciding to drive back to vaccine clinic to report my symptoms. Clinic about 3-4 minutes away. Pulse ox was normal x 2. BP was actually elevated x 2. Waited 30 minutes before being released home.

Other Meds: Fish Oil 1280 mg, Coenzyme Q10 100 mg, Vitamin B6 25 mg, Multivitamin

Current Illness: None

ID: 0972079
Sex: F
Age: 83
State: FL

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

Lab Data:

Allergies:

Symptoms: Patient reported a metallic taste after vaccination.

Other Meds:

Current Illness:

ID: 0972080
Sex: F
Age: 30
State: IA

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

Lab Data:

Allergies:

Symptoms: 30 minutes after vaccine heart rate increased to 130 BPM, tingling in extremities, lightheadedness, rapid breathing, and nasal congestion began. Patient was driving home from vaccine site when symptoms presented. Patient drove to nearest emergency room for assessment and treatment. Patient was placed on heart and blood pressure monitors. IV fluids were administered. EKG was administered. Heart rate decreased after about an hour. Patient stayed at the emergency room for roughly 2 hours before feeling well and being released.

Other Meds: Claritin

Current Illness: Paroxsymal tachycardia

ID: 0972081
Sex: F
Age: 23
State: OH

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

Lab Data:

Allergies: None

Symptoms: Tachycardia in the 160s and migraine

Other Meds: Metformin Spironolactone

Current Illness:

ID: 0972082
Sex: F
Age: 41
State:

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

Lab Data:

Allergies:

Symptoms: chills, aches, general malaise

Other Meds:

Current Illness:

ID: 0972083
Sex: M
Age: 44
State:

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

Lab Data:

Allergies:

Symptoms: numbness developed in bilateral cheeks of face and cheeks became red

Other Meds:

Current Illness:

ID: 0972084
Sex: F
Age: 66
State: AK

Vax Date: 01/15/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Red slightly raised rash developed 1 week after immunization approximately 1 in below injection site. Rash itches, and has been increasing in size. Started out slightly swollen (1/23), swelling resolved (1/25)

Other Meds: Metropolol Atorvastatin Arimidex

Current Illness: none

ID: 0972085
Sex: M
Age: 28
State: FL

Vax Date: 09/14/2020
Onset Date: 09/14/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data: We performed titers to POLIO VIRUS ANTIBODY TYPE 1 & 3 which resulted at > 1:320 , Tetanus antibody which resulted at >7.0 and diphtheria antibody which resulted at >3.0.

Allergies: none

Symptoms: Further vaccine site details not recorded. 28 yo healthy male experienced severe local erythema, edema and ecchymosis at injection site left upper arm after receipt of Tdap #2, anthrax #5 and IPV #9. Initially no immediate reaction. By evening he developed increasing pain followed be edema, warmth, erythema and ecchymosis but diminishment of pain. Local inflammation symptoms peaked day two and are improved today on day3. He has some pain with lateral motion but is otherwise performing usual activities other than weight No systemic symptoms otherwise feels well. Symptoms limited to affected area on upper arm.. He reports a similar reaction 24 February 2020 which vaccine receipt included IPV #8 (lot #P1f541M) and anthrax #4 (#300031A) JEV #2 (JEV18C74E) and IIV #10 (P100139893, SKB). This event was characterized by more erythema and edema but no ecchymosis.

Other Meds: none

Current Illness: none

ID: 0972086
Sex: F
Age: 55
State: NY

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

Lab Data:

Allergies: sulfur, nickel, IV contrast, tramadol, Toradol, morphine, penicillins, erythromycin, clindamycin, Eliquis, Alendronate

Symptoms: Patient started to experience itching 5-10 minutes post vaccination.

Other Meds:

Current Illness:

ID: 0972087
Sex: F
Age: 38
State: TX

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Doxycycline

Symptoms: Fever 102.9 Chills Body aches Headache Symptoms lasted 48 hours. Not helped by Tylenol. Relief achieved by Advil.

Other Meds: Fluoxetine 60 Levoxyl .50 Vyvanse 40 Biotin Multi-vit

Current Illness: None

ID: 0972088
Sex: M
Age: 74
State: GA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Nausea, diarrhea, headache, fever for about 24 hours. Went away next day.

Other Meds: Amlodipene, metaprolol, generic crestor

Current Illness: COVID March, 2020

ID: 0972089
Sex: F
Age: 58
State: CA

Vax Date: 01/16/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: just visual inspection and measurement of swelling

Allergies: penicillin and sulfa drugs

Symptoms: No side effects initially other than mild injection site swelling, One week later, the injection site has become swollen severely to a 8cm x 6 cm large red, warm to touch area that is itching , with mild hive like bumps in the reddened area . Mildly painful

Other Meds: Bariatric fusion multivitamins, B1, B12, Tumeric, Fish Oil, Biotin,

Current Illness: none

ID: 0972090
Sex: M
Age: 64
State: KY

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

Lab Data:

Allergies:

Symptoms: Foggy headed, lost train of thought, unable to form complete sentences

Other Meds:

Current Illness:

Date Died: 01/19/2021

ID: 0972092
Sex: F
Age: 88
State: CA

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

Lab Data:

Allergies: None reported

Symptoms: Reportedly, this employee's mother died the night of the vaccine. The details are not known at this time.

Other Meds: Diabetes Prescription

Current Illness: Diabetes Mellitus

ID: 0972093
Sex: F
Age: 88
State: MT

Vax Date: 01/13/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Per email sent by patient.. "I received my first COVID vaccine, Wednesday, January 13th, at vaccine clinic. Other than a minor soreness in the arm, I had no adverse effects. On Friday, January 22nd, however, the area around the injection site became red and warm. At this time, two days later, the inflammation continues and the reddish "patch" is beginning to itch. Just thought that you would want a report of this delayed reaction." Per conversation with patient, on this date 1/25/21, pt reports that she is still experiencing small amount of itching as well as redness and slight sensitivity to the injection site. Pt denies need for further medical care, and that she is fine but thought we should know.

Other Meds: Niacin 500mg BID, VitC, MVI, Lovastatin, glucosamine, VitD3 1000

Current Illness: None

ID: 0972094
Sex: F
Age: 68
State: GA

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

Lab Data: Vital signs

Allergies: No Known allergies

Symptoms: The patients husband walked her up to the front clerical area saying ?I think my wife is having a reaction.? The patient was immediately sent to an exam room to be checked by a nurse. Initial b/p was 210/125 pulse 108, 2nd b/p 208/110 pulse 112, 3rd b/p 161/105 pulse 108. Husband and patient both said they thought she was having a panic disorder and said that ?this happened a lot.? Patient said ?I left my medication I normal take for panic disorder at home and I live an hour away from here.? Pt asked if we keep medication for panic disorder. Pt was told that the facility did not keep medications like that in the building. Patient and husband agreed to let the facility staff call 911 due to elevated b/p. Pt requested that the nurses to not tell her what her blood pressure was, stating ?it makes me too nervous and feel worse.? When EMS arrived b/p was lower 160/90. Repeat b/p within 4 minutes 160/87, pulse 75. Patient asked EMT?s if they kept medication for panic disorder on the truck. Patient was told that if she was to get any medication from them, she would have to be taken to the hospital. Patient declined the transport to the hospital, stating ?I feel much better and I think I will just go home to get my medication.? Husband requested to take his wife home to get her medication instead of going to the hospital. Patient was released home with husband.

Other Meds: Trazadone and Alprazolam as needed for panic attacks (pt left medication at home, changed purses today)

Current Illness: none

ID: 0972095
Sex: F
Age: 49
State: MI

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

Lab Data: treated with epinephrine IM, benadryl, moved to Emergency Department

Allergies: oxycodone-acetaminophen (rash), propoxyphene N-acetaminophen (hives), shellfish (hives), tramadol (hives), iodinated contrast (hives), norco (hives), chlorhexidine (hives), hymenopthera venom (anaphylaxis)

Symptoms: anaphylaxis

Other Meds: acetaminophen, albuterol, calcium-vitamin D, cholecalciferol, cyanocobalamin, ergocalciferol, pyridoxine, tamoxifen, triamcinolone

Current Illness: none

ID: 0972096
Sex: F
Age: 25
State: KS

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data: Tested positive for SARS CoV-2 @6:00pm 12/31/2020

Allergies: Sudafed

Symptoms: 12/31/2020 Did not report to work; fever, muscle and joint aches, runny nose, cough, increased resting heart rate; 12:00 am woke up w/rate of 146; using OTC Ibuprofen 400mg every 4-6 hours and cool compresses; Called PCP 2:30pm and was told to go to ER; 6:00pm Dx w/COVID-19; Given IV fluids w/mild pain medication; zpack, and pred after discharge. Given cough medicine by PCP few days following ER visit.

Other Meds: OTC Ibuprofen

Current Illness: None

ID: 0972097
Sex: F
Age: 33
State: PA

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

Lab Data: n/a

Allergies: unknown

Symptoms: patient c/o left arm numbness, tingling and "felt cold" from vaccine site down through her left hand

Other Meds: unknown

Current Illness: unknown

ID: 0972098
Sex: F
Age: 37
State: WI

Vax Date: 01/21/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: EKG done due to feeling intense heartburn sensation and was ok. Sensation improved with famotidine. 50mg PO prednisone given. Swelling and itching began to subside about five hours later.

Allergies: Sulfa

Symptoms: Received vaccine dose #2 1/21/2021 around 3:30pm. Woke up Friday with headache, nausea and progressive chills and fever throughout the day. By the end of the day was feeling back to baseline. Felt normal all day Saturday and Sunday morning. Sunday afternoon around 1pm left upper lip tingling started and progressed to lip swelling and development of 3 hives to right forearm. Took diphenhydramine, famotidine, ibuprofen and cetirizine at home. Hives did not progress and lip swelling seemed to subside a little. Woke in the night around 3:30am with itching. Eyelids were swollen, hands very swollen with painful palms, new hives to groin, axilla, buttocks. Sought care at ED. No other identifiable cause for reaction, no new food, soap, detergent, exposure etc.

Other Meds: Famotidine, Cetirizine

Current Illness: None

ID: 0972099
Sex: F
Age: 42
State: TX

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Heart feels like it?s racing and then I get short of breath. Pain in my upper left chest and shoulder blade happen around the same times. It has been happening off and on since 8:30am this morning when I woke up.

Other Meds: None

Current Illness: None

ID: 0972100
Sex: F
Age: 53
State: TX

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Medium sized hive like lump that has changed from Ted and warm to a lump to now being a darker inner circle surrounded by red rash like outer circle (this morning 1/25/21). Although we don?t think it?s related I will mention I experienced tightened upper back muscles to the point that I couldn?t sit up from my bed the Wednesday morning after receiving the vaccine. Similar tightness (could barely turn my head as well the following day as well). Some stiffness is still present today.

Other Meds: Spironolactone 25mg 2x?s day Glucosamine HCI with MSM (1500 mg each) One a Day vitamins for women 50+ Dapsone gel 5% face gel Tazorac cream .05% Fluocinolone Oil .01% scalp oil Allegra allergy

Current Illness: None

ID: 0972101
Sex: F
Age: 64
State: CO

Vax Date: 01/12/2021
Onset Date: 01/19/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: Ultrasound on right arm Jan 20th, 2021

Allergies: Sulfa Minocycline

Symptoms: On Jan. 19th, 2021, right arm suddenly became sore again at injection site. This was 1 week after vaccine injection. Next day, upper right arm was red, rashy, tender to touch and hot to touch. Red area on arm spread during the day. No fever. Called my Doctor and went in for check. Suspected blood clot, but ultrasound was negative. Suspected Cellulitis. RX given for Keflex 5 day regimen. Symptoms ceased on Jan. 23rd, 2021.

Other Meds: Coreg Vasotec CoQ10 Milk Thistle

Current Illness: None

ID: 0972102
Sex: F
Age: 41
State:

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

Lab Data:

Allergies:

Symptoms: sore arm

Other Meds:

Current Illness:

ID: 0972103
Sex: F
Age: 42
State: LA

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

Lab Data:

Allergies:

Symptoms: Temp 100.1 on day 2

Other Meds:

Current Illness:

ID: 0972104
Sex: M
Age: 68
State: OK

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Iodine dye contrast, acetominophine

Symptoms: angina attack, difficulty breathing and uncontrolled muscle spasms treated and controlled with nitroclycerin, left side of body went numb, difficulty walking, disorientation/dizziness, blurred vision, severe headache, severe muscle and joint pain, weakness.

Other Meds: Brilinta 60mg, Lisinopril 30 mg, Isosorb mono er 30 mg, amlodipine 10mg, rosuvastatin 20 mg

Current Illness: None

ID: 0972105
Sex: F
Age: 25
State: MD

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: About 2 days after receiving the vaccine she began noticing an itchy, burning rash primarily on the dorsum of her hands. It has not responded to moisturizers or hydrocortisone cream.

Other Meds:

Current Illness:

ID: 0972107
Sex: F
Age: 31
State:

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Progressively increased fatigue over the first 12 hours. 18 hours after vaccination developed headache, joint pain, muscle aches, chills and a low grade fever. Complete recovery after 28 hours.

Other Meds: Zyrtec

Current Illness:

ID: 0972108
Sex: M
Age: 28
State: TX

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: Facial fillers on 10/2018 and 02/2020.

Allergies: no

Symptoms: Fevers, Chills, and facial swelling with previous facial fillers. Treatment: tylenol, benadryl & steroids.

Other Meds: None

Current Illness: No

ID: 0972109
Sex: F
Age: 28
State: CO

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: sulfa

Symptoms: that night I kept waking up because of intense muscle/joint pain in my legs. I also felt hot and cold, almost feverish. I did not take my temperature. That next morning I woke up and took a hot bath, which helped with the pain. I continued to have pain throughout the day, as well as fatigue. The second day after the shot the pain was gone, but I noticed I had a rash around the injection site, about 2 inches wide by 3 inches long.

Other Meds: krill oil

Current Illness: none

ID: 0972110
Sex: F
Age: 40
State: OR

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

Lab Data: None

Allergies: NKDA

Symptoms: Tiredness sedation reported by patient as soon as vaccine administered through 6 days post vaccine

Other Meds: None

Current Illness: None

ID: 0972111
Sex: F
Age: 46
State: MA

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Headache, body aches, fatigue, weakness.

Other Meds: None

Current Illness: None

ID: 0972112
Sex: F
Age: 37
State: RI

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

Lab Data:

Allergies: Raw Apples, metoprolol, hydroxychloroquine, cyclobenzaprine.

Symptoms: Moderate lethargy. Injection site reaction, redness, swelling, pain/tenderness, and itching. Site size on injection date 1x1cm. On 1/25/21, site 4x4cm. Treated with ice/heat, Benadryl, Ibuprofen, and rest.

Other Meds:

Current Illness:

Date Died: 01/14/2021

ID: 0972113
Sex: F
Age: 91
State: TN

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: No test performed. Resident's family did not wish for any tx to be provided. Comfort measures only

Allergies: NKA

Symptoms: Resident became lethargic and reports of blood coming from resident's nose and mouth on the morning of 1/13/21. Resident went out to ER for eval, and came back to facility with dx of pneumonia and recommendations for resident to be placed on hospice. Resident deceased on 1/14/21. Unknown if vaccine related, but with timeline of events I was advised to report this per medical director of facility, as well as Pharmacy who administered the vaccine.

Other Meds: Pantoprzole, Miralax, Potassium, buspirone, Aspirin 81mg, Atenolol, Depakote, Glucosamine-chondroitin, mirabegron ER, Zyprexa, Atorvastatin, Ocuviteeye&MVM

Current Illness: Resident was Dx with pneumonia the day after vaccine.

ID: 0972114
Sex: F
Age: 22
State: ME

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Within 12 hours of the injection experienced pain, hard painful lump at injection site. It was also warm to the touch. Ten days after the injection there was a red circle at the injection site.

Other Meds: None

Current Illness: None

ID: 0972115
Sex: F
Age: 31
State:

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: sore arm, rash

Other Meds:

Current Illness:

ID: 0972116
Sex: F
Age: 30
State: MI

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

Lab Data: none

Allergies: nkda

Symptoms: Left Deltoid red, swollen, warm to touch,

Other Meds: none

Current Illness: none

ID: 0972117
Sex: M
Age: 44
State: TX

Vax Date: 12/28/2020
Onset Date: 12/31/2020
Rec V Date: 01/25/2021
Hospital: Y

Lab Data: EGD - 01/01/2021 - negative for upper GI bleed, colonoscopy - 01/02/2021 - bleed no longer active, evidence of diverticular formations

Allergies: No know allergies

Symptoms: Syncope, hospitalization for GI bleed for 4 days. probable diagnosis diverticulosis bleed

Other Meds: Multivitamin, Vitamin C, losartan, HCTZ, citalopram, rosuvastatin, Co Q10, Vitamin D, omega-3 fish oil

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm