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: 0972118
Sex: F
Age: 72
State: NY

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

Lab Data: Unknown

Allergies:

Symptoms: febrile, achey, "missed heart beats" on 1/22, went to ED on 1/23 to r/o anything acute and feels better now

Other Meds:

Current Illness:

ID: 0972119
Sex: F
Age: 21
State: PR

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

Lab Data:

Allergies: Oregano, mites

Symptoms: Consistent and uncontrolled urticaria, only manageable with Prednisone Uncomfort in throat

Other Meds:

Current Illness:

ID: 0972120
Sex: M
Age: 53
State: VA

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

Lab Data:

Allergies: None

Symptoms: Chills, Myalgia

Other Meds: Multivitamins, Fish oil, Vitamin-D

Current Illness: None

ID: 0972121
Sex: M
Age: 34
State: FL

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

Lab Data:

Allergies: Iodine Allergy, Shellfish Allergy

Symptoms: I have had a swollen injection site with a raised rash around the injection area (approximately 2in) since the injection. I thought it would go away but it has been almost 2 weeks.

Other Meds: N/A

Current Illness: None

ID: 0972122
Sex: M
Age: 5
State: AZ

Vax Date: 08/01/1945
Onset Date:
Rec V Date: 01/25/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: none

Other Meds: none

Current Illness: none

ID: 0972123
Sex: F
Age: 33
State: CA

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

Lab Data:

Allergies: None

Symptoms: Hives on chest for approximately 45min

Other Meds: None

Current Illness: None

ID: 0972124
Sex: F
Age: 38
State: VA

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

Lab Data:

Allergies: N/A

Symptoms: The patient had redness. chest flushing, and itching about 15 minutes after she received the vaccine. She was given 50mg of diphenhydramine. The itching subsided within 30 minutes after receiving the diphenhydramine. The patient experienced some nausea as well. After monitoring the patient for about an hour she was sent home from work due to the grogginess from the diphenhydramine.

Other Meds:

Current Illness:

ID: 0972125
Sex: F
Age: 67
State: RI

Vax Date: 01/16/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: 3 inch by 2 raised red welt , warm to touch and tender around injection site

Other Meds: Lisinopril

Current Illness: none

ID: 0972126
Sex: F
Age: 31
State:

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

Lab Data:

Allergies:

Symptoms: head ache

Other Meds:

Current Illness:

ID: 0972127
Sex: M
Age: 53
State: TN

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

Lab Data: Was diagnosed by PCP on Tuesday after getting the vaccine

Allergies: NKA

Symptoms: Bells Palsy diagnosed by PCP on 1/12/21

Other Meds: vitamin c vitamin d testosterone inj. IM biweekly omeprazole prn

Current Illness: none

ID: 0972128
Sex: F
Age: 76
State: MT

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

Lab Data:

Allergies:

Symptoms: Hives that have progressed into red hard lumps.

Other Meds:

Current Illness:

ID: 0972129
Sex: F
Age: 25
State: OH

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

Lab Data: My lung sounds were clear on assessment and stayed that way, and I never showed any swelling. My SpO2 also stayed above 94%. I was sent home two hours later.

Allergies: Penicillin, sulfa drugs

Symptoms: Moderna COVID-19 Vaccine EUA About 5 minutes after I received the vaccine, my throat started to get scratchy. About another 10 minutes or so later, I had tongue and slight lip tingling. Because they thought I may have a reaction, they sent me to the ED. But I never developed any facial or throat swelling and never had an anaphylactic reaction. After about 24 hours the tingling went away.

Other Meds: Apri

Current Illness: COVID diagnosis 30 days prior

ID: 0972130
Sex: F
Age: 41
State: MO

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

Lab Data: Unknown

Allergies: Unknown

Symptoms: The patient woke up Saturday (1/23/21) with a sore arm and also woke up a little late (for her) with a headache. The patient also felt like she wanted to throw up. The patient went to the bathroom, then started seeing light spots. Shortly after the patient went to the floor. Her husband said that she had a seizure. Said she went stiff, arms were pinned down, eyes open and fixed for 20-30 seconds. and then went limp and sweaty. When she came to, she was nauseated and weak. She took Zofran and slept most of the day. She woke up Sunday and felt fine.

Other Meds: Unknown

Current Illness: Unknown

ID: 0972131
Sex: F
Age: 37
State: TN

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: 1/17/2021- EKG, chest CT and CBC, BMP, and troponin drawn all with normal results 1/19/2021- EKG, CBC, BMP, troponin all with normal results 1/21/2021- seen by cardiologist and placed on heart monitor to wear for 30 days 1/25/2021- echocardiogram with pending results

Allergies: none

Symptoms: I had received the 1st dose of the vaccine on 12/22/2020. I tested positive for COVID 12/27/2020 and experienced mild symptoms such as mild fatigue and congestion. Thinking I had recovered from COVID I returned back to work as a RN on 1/9/2021. I was told I could still get the 2nd dose of the vaccine if I still wanted to and that I should expect side effects of possible fevers, chills, fatigue and that they can last up to 3 days. I went ahead and got my 2nd dose on 1/13/2021. By the next day I had chills and extreme fatigue. I was expecting it and thought it would go away by the next two days. By day 4 I was feeling just as bad and actually felt worse than I did when first testing positive for COVID. On 1/17/2021 I experienced shortness of breath and palpitations while getting dressed. I went to ED and was sent home. On 1/19/2021 I experienced similar symptoms while driving home from DR appointment. Went to ER again and was sent home and was told it was all post covid symptoms.

Other Meds: multi vitamin, fish oil, B complex vitamin

Current Illness: tested positive for COVID 12/27/2020 but had recovered and returned back to work after 10 days

ID: 0972132
Sex: F
Age: 23
State: LA

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

Lab Data:

Allergies:

Symptoms: Temp 100.3

Other Meds:

Current Illness:

ID: 0972133
Sex: F
Age: 79
State: CA

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

Lab Data:

Allergies: Morphine pumpkin seeds certain lotions

Symptoms: 1/21/21 6pm sore and aching arm, hurts when touched and when I raised my arm

Other Meds: Zoloft asmanex atorvastatin amplodipine vit d3 century silver levothyroxine diclofenac gel trazadone alendronate

Current Illness: None

ID: 0972134
Sex: F
Age: 50
State: IN

Vax Date: 01/14/2021
Onset Date: 01/18/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: penicillin, bactrim

Symptoms: red, swollen, warm to touch. hard bump at injection site

Other Meds: none

Current Illness: none

ID: 0972135
Sex: F
Age: 63
State: OH

Vax Date: 01/12/2021
Onset Date: 01/15/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: two covid tests taken, both negative. put on prednisone and claritin D

Allergies: neosporene,

Symptoms: right arm sore, 3 days later right arm and hand starting swelling and developed rash with itching, also left hand swelled, with rash and itching. Next day woke up with sore throat and headache, and fatigue. went to primary care doctor was put on prednisone, symptoms lasted for 10 days.

Other Meds: zoloft 50mg, multi vitamin,

Current Illness:

ID: 0972136
Sex: F
Age: 47
State: OR

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

Lab Data:

Allergies:

Symptoms: Pfizer COVID vaccine vials had a thawed BUD of 1/13/20 at 08:00. Pharmacy made up #38 vaccine doses at around 12:00. The error discovered in the middle of clinic around 13:30. Remaining doses sequestered. Reviewed clinic schedule to identify 18 patients that received the doses. Recommendation from Advisory Committee on Immunization Practices/CDC was to repeat the dose. Patient was contacted to repeat her second dose. Patient received her Pfizer COVID vaccine doses in the following sequence: first dose ? 12/23/2020, second dose (of expired vaccine) 1/13/2021, and repeated second dose on 1/13/2021.

Other Meds:

Current Illness:

ID: 0972137
Sex: M
Age: 53
State: SC

Vax Date: 12/17/2020
Onset Date: 12/17/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data: No

Allergies: sulfa drugs

Symptoms: Pain at the injection site, headache, fever.

Other Meds: Olomasartin (blood pressure), montelusk (steroid for asthma), azithromycin (1 tablet every other day), Dulera, Xyvenz, a nasal inhaler (cant remember the name).

Current Illness: No

ID: 0972138
Sex: F
Age: 83
State: CT

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

Lab Data:

Allergies:

Symptoms: Left side of neck had pain when moving neck for 1.5 days. Sat. eve 23 Jan. I had a temperature of 100. degrees and felt punky. Sunday morning temperature normal and neck felt better.

Other Meds:

Current Illness: None

ID: 0972139
Sex: F
Age: 28
State:

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

Lab Data:

Allergies:

Symptoms: sore arm

Other Meds:

Current Illness:

ID: 0972140
Sex: F
Age: 58
State: GA

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Right arm noted yesterday to be swollen, warm reddened and purple employee states seem to be getting worse. m Vaccinated on Friday

Other Meds:

Current Illness:

ID: 0972141
Sex: F
Age: 42
State: NV

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

Lab Data:

Allergies: Denies

Symptoms: Left side of face is numb, increases with nasal congestions, below cheek and above eye but vision is not affected at this time, no noticeable facial droop. So far cannot tell by looking at face. started out feeling like "tingly after seeing the dentist" then turned to numb and progressed to the eye. now eye is numb.

Other Meds: Vitamin B after feeling the symptoms, sinus medication,

Current Illness: Seasonal allergies

ID: 0972142
Sex: F
Age: 78
State: CA

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

Lab Data:

Allergies: Penicillin, Sulfa and Lorabid, rash and hives Tape, skin rash Peppercorn, throat swells

Symptoms: 1-24-2021, 7:30 am. injection site swollen, red, hot to touch , and itching rash. Applied Cortisone cream, no results. 12:30 pm took two Benadryl, a little relief 9:45 pm took two Benadryl, better relief 1-25-2021, 1:45 am, took two Benadryl 7:30 am itching is better, took two Benadryl 12:30 pm reaction subsiding, still red, itching continuing to lessen

Other Meds: Synthroid, Crestor, Lyrica, Celebrex, Bepreve eye drop, Singulair, Aciphex, Evista, Allegra, Omnaris nose spray, Caltrate, D3, Centrum Silver, Feosol, Asprin 81 mg

Current Illness:

ID: 0972143
Sex: F
Age: 52
State: NJ

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

Lab Data:

Allergies:

Symptoms: My arm swollen and painful the day after the shot. then the pain disappeared. After one week injection, my arm start to feel itch and swollen. The skin become red and rough in the part that swollen. this itch last for 4-5 days so far. I think feel itch, but swollen is better now.

Other Meds:

Current Illness:

ID: 0972144
Sex: M
Age: 39
State: WI

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

Lab Data: None

Allergies: None

Symptoms: Muscle spasms in same arm immediately after shot was given. Muscle spasms lasted a day and a half but have subsided. However now having muscle spasms in right leg.

Other Meds: Atenolol, Flecainide, Multivitamin, Lisine Supp, and Daily 81mg Aspirin

Current Illness: None

ID: 0972145
Sex: F
Age: 76
State: TN

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

Lab Data:

Allergies: N/A

Symptoms: Systemic: Seizure

Other Meds:

Current Illness:

ID: 0972146
Sex: M
Age: 52
State: WA

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

Lab Data:

Allergies: none

Symptoms: received shot in left arm, the next day my left arm, neck and upper back were sore, the next day I had aching pain radiating through my right shoulder and down my right arm. and getting worse. Seems my neck/upper back pain may have pinched nerve and is causing this.

Other Meds: none

Current Illness: none

ID: 0972147
Sex: F
Age: 23
State: MD

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

Lab Data:

Allergies: n/a

Symptoms: a day after receiving COVID vaccine, small unraised blotches appeared on and around injection site. Left arm was itchy for about 2-3 days.

Other Meds: n/a

Current Illness: n/a

Date Died: 01/13/2021

ID: 0972148
Sex: F
Age: 91
State: MI

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

Lab Data: X-RAY OF PELVIS/HIP CT SCAN OF BRAIN

Allergies: NKDA

Symptoms: VACCINATION WAS RECEVIED THE MORNING OF 1/5/2021- IN THE EVENING OF THAT DAY RESIDENT SUSTAINED A FALL AND WAS TRASNPORTED TO FACILITY FOR TREATMENT. IT IS NOT UNUSUAL THAT RESIDENT WAS SELF TRANSFERRING AND HAS A HISTORY OF FALLS.

Other Meds: ATIVAN 0.5MG EVERY 6 HOURS SYNTHROID 75MCG DAILY METOPROLOL TARTRATE 50MG TWICE DAILY MED PASS 2.0 THREE TIMES DAILY COLACE 200MG DAILY DICYCLOMINE 10MG TWICE DAILY NORCO 5-325MG FOUR TIMES DAILY NEURONTIN 100MG TWICE DAILY NEURONTIN 3

Current Illness: RESIDENT SUSTAINED A FALL ON 1/5/2021.

ID: 0972149
Sex: F
Age: 52
State: NY

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

Lab Data: None

Allergies: Amoxacillin, Sulfa

Symptoms: Patient complained of numbness of lower lip. Nurse and NP assessed patient, vital signs taken. NP suggested benadryl. Patient took 12.5mg po benadryl. Waiting for symptom to subside.

Other Meds: Wellbutrin

Current Illness: None

ID: 0972150
Sex: F
Age: 68
State: TX

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

Lab Data:

Allergies: None

Symptoms: Redness pain and swelling of injection site over 1 week after vaccine administration

Other Meds: Zyrtec

Current Illness:

ID: 0972151
Sex: F
Age: 63
State:

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

Lab Data:

Allergies:

Symptoms: Sore arm

Other Meds:

Current Illness:

ID: 0972152
Sex: F
Age: 24
State: MN

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

Lab Data: None

Allergies: Lactose intolerant, shell fish (causes tight throat)

Symptoms: Severe painful rash to both axillary areas. was seen on 1/22/2021 by a nurse practitioner at a clinic. You were put on antibiotic cream- unsure of the name. Still has rash and pain today, 1/25/2021.

Other Meds: Birth control (unsure of name), Cranberry supplement, womans mulitvitamin, pb8 probiotic

Current Illness: none

ID: 0972153
Sex: F
Age: 66
State: FL

Vax Date: 01/14/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: none

Allergies: Codeine, Ibuprofen, Iodine, Latex

Symptoms: 2' red patch at injection site using Hydrocortisone Cream Redness seems to be fading on 01/25/2021

Other Meds: Coreg 12.5 mg BID, Maxzide 25 mg BID, Linzess 145 mcg QD, Prolia Injection twice annually, Imitrex 50 mg PRN, Ambien 10 mg PRN, Calcium + D 500 mg BID, B-12 5000 mcg, Probiotic as directed, Hair Skin and Nails as directed, Osteo Bi Flex as

Current Illness: none

ID: 0972154
Sex: F
Age: 76
State: GA

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

Lab Data:

Allergies:

Symptoms: Came to HD and reports that today is day 11 after receiving her first dose of Moderna Covid 19 Vaccine and she states that the site of the injection which is the LD is red and hot to touch. Denies other symptoms.

Other Meds:

Current Illness:

ID: 0972156
Sex: M
Age: 60
State: IA

Vax Date: 01/17/2021
Onset Date: 01/19/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Pt received the 2nd dose of the COVID vaccine on Sunday 1/17/21 and developed a sore arm, but otherwise had no symptoms. By Tuesday 1/19/21, he was having shooting pains through his shoulder and down to his elbow. By late Wednesday, he had started to develop hives on his palm, between his fingers, and up to the elbow. Pt states he has a history of a pinched nerve in his neck and elbow, but this pain is nothing like his usual pain. On 1/22, pt presented to the ED for left uper arm pain and rash. He denied new detergents, foods, clothes, wooded area exposure. Denied decreased ROM in shoulder, but ROM makes his shoulder sore. BP 161/82, otherwise vitals normal. Rash did not apear infectious. No evidence for DVT. Pt received ketorolac 30 mg IM x 1 in ED and was prescribed hydrocodone-APAP 5-325 mg tabs PO Q6h PRN #8. Pt was instructed to follow up with PCP in 1-2 days. By 1/25/21, pt reports the hives have become dark purple, like bruises. He states he has trouble making a fist and is not using his left arm at all - when this writer spoke to him, he said it was "gimpy." Pt stated during the phone call that he was about to call his PCP for a follow up appointment.

Other Meds: Atorvastatin 20 mg tab PO QD Cyclobenzaprine 10 mg PO TID Gabapentin 600 mg PO TID Nabumetone 750 mg PO BID PRN Tramadol 50 mg BID PRN Trazodone 50 mg tab O QHS

Current Illness:

ID: 0972157
Sex: F
Age: 29
State:

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

Lab Data:

Allergies:

Symptoms: Sore arm

Other Meds:

Current Illness:

ID: 0972158
Sex: F
Age: 39
State: TX

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: COVID PCR - negative

Allergies: fluconazole (reaction is hives)

Symptoms: Approximately 7 days after vaccine individual developed skin eruptions that resembled drug-induce urticaria and/or wheals on the hands, arms, legs, and in the buccal area, which was associated with significant itching, and prompted medical attention (PCP) to be seen. Prior to development of skin reaction, individual reported headache, nausea and dizziness.

Other Meds: Fiber supplement

Current Illness: none

ID: 0972159
Sex: F
Age: 74
State: IL

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

Lab Data: None.

Allergies: Oregano.

Symptoms: In the arm that she got the vaccine it was real sore and then got fine. The problem is in the right shoulder, which she did not have a vaccine in. It was Friday morning at 8:00 AM. Previously had rotator cuff surgery 16 years ago in that arm, something has happened to the right shoulder. Not able to raise the arm at all. Cannot raise it up towards her face. Left arm is crippled due to a fall 5 years ago and broke it in 3 places, but not able to move that. Not having any other problems, not sure if this was associated with the vaccine or not since it was the opposite arm.

Other Meds: One a day multivitamin, Carvedilol, Hydrochlorathiazide.

Current Illness: None.

ID: 0972160
Sex: F
Age: 88
State: TN

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

Lab Data:

Allergies:

Symptoms: Systemic: Other- burning of genital area and stomach, high fever

Other Meds:

Current Illness:

ID: 0972161
Sex: M
Age: 70
State: NJ

Vax Date: 12/17/2020
Onset Date: 12/28/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data: No

Allergies: No

Symptoms: Developed shingles on right side

Other Meds: Amlodipine 5 mg , Crestor 5 mg 3 times weekly,

Current Illness: No

ID: 0972162
Sex: M
Age: 70
State: NY

Vax Date: 01/16/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: food - oral allergy syndrome

Symptoms: Rash and pain 4 cm diameter at injection site headache

Other Meds: omeprazole

Current Illness: none

ID: 0972163
Sex: F
Age: 49
State: MO

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: CXR on 1/22- Bronchitis COVID tests on 1/22 and 1/24- both negative

Allergies: Unknown

Symptoms: Individual started coughing wheezing and had a headache on 1/21, 2 days after second COVID vaccination. She went to urgent care on Friday 1/22 who tested her for Covid which was negative. Urgent care did and chest x-ray and stated that she had bronchitis and they gave her a Z pack and steroids shot. Reports headache. Symptoms continued 1/23 and 1/24 and COVID testing repeated on 1/24 and test negative. As of 1/25, reports cough only and other symptoms improving.

Other Meds: Unknown

Current Illness: Unknown

ID: 0972164
Sex: M
Age: 77
State: AZ

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

Lab Data: None

Allergies: Erithromyacin, Morphine, Latex. Atmospheric allergies to olive trees, dust mites, cats.

Symptoms: Very sore upper right arm at site of innoculation. By 01.25 pain had resolved. 01.25.2021, 12 Noon, Very sore jaw, right side.

Other Meds: Seratraline, Bupropion, Primidone, Famotidine, Finasteride, Tamsulosin, Clonazepam, Xanax (rarely), Fluticasone Propionate, Azelastine HCI. Biofreeze Multi-Vitamins age 55+, Vitamin D3, Zinc, Vitamin C, Calcium , Phillips Probiotic, Tyle

Current Illness: None

ID: 0972165
Sex: F
Age: 40
State:

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

Lab Data: none

Allergies: none

Symptoms: 1340 - As patient left shot table, she became faint and eased to floor by assist of staff at shot table. Patient panicked stating she needs air. Patient instructed to remove mask and deep breath. Assisted x 2 into w/c and taken to private observation area. EMT on site in attendance. 1349 - c/o inability to catch breath, opened back doors and sat partially outside. Mask off, on room air. BP 135/103; HR 85. Offered water, patient declined. 1356 - BP 129/95; HR 73 1405 - BP 135/111; Recheck of BP with another cuff and is 144/96; O2 sat 98% on r/a. HR 79 then 71. Denies SOB, or difficulty breathing. Talking and explaining medical history. States she feels a lot better. Patient denies injuries from being assisted to the floor. EMT does not indicate need for ambulance for further eval or for transport. Patient declines EMS for further eval. 1417 BP 118/89; HR 72 Patient states she feels fine. States she has had this vagal reaction before but not with an injection. Discussed with patient to attempt to obtain dose #2 in a private setting, however to notify wherever second dose is taken to notify staff so she can be placed in a w/c from beginning through observation. Pt. laughed, stating she will be fine. Re-stressed the need to avoid fainting and should either recline or be in a w/c for dose #2. Patient agreed. Patient stood and re-assessed. No dizziness noted. Patient ambulated to parking lot independently, accompanied by nurse. Gait steady. No SOB noted.

Other Meds: Belbuca, Quadadine patch, zomithamide

Current Illness: none

ID: 0972166
Sex: F
Age: 59
State:

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

Lab Data:

Allergies:

Symptoms: Sore arm

Other Meds:

Current Illness:

Date Died:

ID: 0972167
Sex: M
Age: 74
State: AL

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

Lab Data: None known

Allergies: None listed

Symptoms: Wife reported that 3 hours after receiving vaccine, pt had MI.

Other Meds: None listed

Current Illness: none listed

ID: 0972168
Sex: F
Age: 30
State: CA

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

Lab Data: Head CT-negative results

Allergies: Flagyl, sulfa, imitrex, requip, tramadol

Symptoms: 30 mins after injection-tingling upper back, severe headache, profusely sweating. Symptoms lasted about 6 hours

Other Meds: Gabapentin, wellbutrin, zyrtec, melatonin

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm