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: 0972427
Sex: M
Age: 73
State: GA

Vax Date: 01/11/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None.

Allergies: None

Symptoms: No initial reaction. After about 10 days, injection site turned red, with slight swelling. Over the next few days, the area expanded. after four days, the area is about the size of my hand, and feels warm to the touch. There is no pain, nor itching. Thee are no other symptoms - fever, etc. Patient has not contact the clinic where the vaccine was administered, or his physician.

Other Meds: Lisinopril 40mg,Amlodipine Besylate 5mg,Atorvastatin 40mg,PrilosecOTC 20mg,CVS Mens 50+Advanced Multivitamin,Lutein 20mg,

Current Illness: None

ID: 0972428
Sex: F
Age: 69
State: IL

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

Lab Data: None

Allergies: Influenza vaccine, Morphine, Sulfa, Codeine, Cortisone, Prednisone, NSAIDS, Vicodin, Toradol, Lidocaine

Symptoms: Patient complained of lips and throat swelling, she also started coughing (dry cough), blood pressure high at 189/112. She was given 100mg of Benadryl and an Epi Pen was used. She recovered well with reactions subsiding and blood pressure down to 159/96.

Other Meds: None

Current Illness: None

ID: 0972429
Sex: F
Age: 68
State: CA

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

Lab Data:

Allergies: cipro

Symptoms: Delayed reaction. Circular mark at the site of the shot (hadn't shown up till now). Arm red, hot, swollen, itchy, uncomfortable.

Other Meds:

Current Illness:

ID: 0972430
Sex: F
Age: 57
State: CO

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

Lab Data:

Allergies: Penicillin, Metformin, Victoza

Symptoms: Swelling at injection site with redness. Welt with fluid/heat still present 72 hours post injection. the swelling is getting better slowly.

Other Meds: Jardiance 25 MG, GlipiZide ER 5 MG, Benazepril-Hydroc .5, Synthroid 150 MCG

Current Illness: None

ID: 0972431
Sex: F
Age: 57
State: CT

Vax Date: 01/13/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Steroids

Symptoms: Rash at injection site on 11 day after vaccine

Other Meds: Effexor XR 300mg Omeproxale

Current Illness:

ID: 0972432
Sex: M
Age: 47
State: TX

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

Lab Data:

Allergies:

Symptoms: Pfizer-BioNTech COVID- 19 Vaccine EUA Moderna COVID- 19 Vaccine EUA Patient received COVID-19 Vaccine dose #1 as Moderna on December 30, 2020 and dose #2 as Pfizer on January 23, 2021.

Other Meds:

Current Illness:

ID: 0972433
Sex: M
Age: 34
State: TX

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

Lab Data: None

Allergies: None disclosed.

Symptoms: Medication error; second dose given too soon. Patient failed to disclose that he had received the first dose of Moderna COVID vaccine on 1/3/21. Marked no on the screening tool and answered no to verbal questioning about previous COVID vaccinations.

Other Meds: Unknown

Current Illness: None disclosed.

ID: 0972434
Sex: F
Age: 69
State: MI

Vax Date: 01/12/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: At 6:00 AM, suddenly had severe pain in left side of neck, headache, extreme vertigo, chills and nausea. Multiple sessions of vomiting. Saw rings of colored lights and squigly lines. Took Tylenol and Benadryl per PCP by phone. Dizziness and chills went away in about 12 hours. Still saw squigly lines at night. Much better the next day but queasy for another 24 hours.

Other Meds: Centrum silver vitamins, Renuvites eye vitamins

Current Illness: None

ID: 0972435
Sex: F
Age: 38
State: CA

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

Lab Data: Covid PCR negative 1/21/21 20:24pm

Allergies: NKA

Symptoms: Fever of 100.8-101.4 despite tylenol and motrin x 24 hrs, low grade temp 99-100.6 until 50 hrs post vaccine (also with tylenol and motrin), severe body aches and skin sensitivity, pounding persistent headache, racing heart. Localized redness and itchy rash with mild swelling around vaccination site. Continue with skin sensitivity, fogginess, fatigue, and intermittent mild HA at day 5 post vaccine.

Other Meds: Tylenol 1000mg, motrin 400mg

Current Illness: None

ID: 0972436
Sex: F
Age: 35
State: CA

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

Lab Data:

Allergies:

Symptoms: 15 weeks pregnant female with localized rash on left lower back. Itchy, occasionally painful

Other Meds:

Current Illness:

ID: 0972437
Sex: M
Age: 68
State: TX

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

Lab Data:

Allergies: Codeine, heparin

Symptoms: None stated.

Other Meds: B1,B12,C,Folic Acid, coq10,metopolol,lisiniprel, oxybutin,Flomax

Current Illness:

ID: 0972438
Sex: F
Age: 64
State: TX

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

Lab Data:

Allergies:

Symptoms: Pfizer-BioNTech COVID- 19 Vaccine EUA Patient recived dose #1 on January 16, 2021 and dose #2 on January 23, 2021 (7 days apart).

Other Meds:

Current Illness:

ID: 0972439
Sex: F
Age: 34
State: MD

Vax Date: 01/20/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: Doxycycline

Symptoms: Right sided facial weakness paralysis. Headache radiating from right base of skull to right ear to top of head.

Other Meds: None

Current Illness: Rectal bleeding

ID: 0972440
Sex: F
Age: 42
State: GA

Vax Date: 12/23/2020
Onset Date: 12/26/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data: Labs ordered by PCP

Allergies: No

Symptoms: I had soreness on the injection site and then about a week later I woke up with swollen glands/lymph nodes on my left side, on my neck, on my chin and hey were tender and mobile. I consulted with my PCP who ordered some labs but all came normal.

Other Meds: Valtrex 500mg, Vitamin B, Iron, Ibuprofen 800mg (not on the day vaccination but take it on a regular basis)

Current Illness: no

ID: 0972441
Sex: F
Age: 63
State: TX

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

Lab Data:

Allergies:

Symptoms: **No Adverse Effect Reported** We called Moderna and they said that the dose should not be repeated. Problem- Part of the medication spilled out during administration

Other Meds:

Current Illness:

ID: 0972442
Sex: M
Age: 45
State: NY

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

Lab Data: COVID negative PCR test 1/19/20 and 1/21/20

Allergies: None

Symptoms: The night after the vaccination had flushing during sensation on skin chills headache and a fever of 99-101 for two days and felt tired. Theses symptoms were very similar to what I initially felt when I had COVID in April of 2020. I tested negative for COVID by PCR.

Other Meds: vasostatins and telmisartan

Current Illness: None

ID: 0972443
Sex: M
Age: 65
State: FL

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

Lab Data:

Allergies: penicillin

Symptoms: sore shoulder for a few hours

Other Meds:

Current Illness:

ID: 0972444
Sex: F
Age: 38
State: CA

Vax Date: 01/11/2021
Onset Date: 01/14/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: n/a

Allergies: Iodine

Symptoms: First couple of days, the injection site was sore (which is a "normal reaction"). By day 3, injection site became itchy, warm, red, and swollen. I also had pressured pain in the armpit. I contacted my primary care physician whom has placed me on antibiotics; Sulfamethoxazol and Caphalexin

Other Meds: gabapentin, magnesium, B12, Vitamin C, One a day vitamin, Fish Oil, Zinc, and Excedrin Migraine

Current Illness: n/a

ID: 0972445
Sex: M
Age: 25
State: IN

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

Lab Data:

Allergies:

Symptoms: Body aches and fatigue about 20 hours post injection. Symptoms resolved themselves within 24 hours.

Other Meds:

Current Illness:

ID: 0972446
Sex: F
Age: 66
State: TX

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

Lab Data:

Allergies: Shellfish Contrast dye

Symptoms: Feeling of warm wave, then very shaky. EMT?s reported BP 190 and heart rate 156. By evening the site was very painful with a swollen red welt. Redness has lasted over a week. Pain gone after 6 days. Stared itching 2 days after injection.

Other Meds: Claritin Bentyl Amitriptyline Famotidine Progesterone Folate Vitamin D3 Zinc

Current Illness:

ID: 0972447
Sex: F
Age: 83
State: ND

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

Lab Data:

Allergies:

Symptoms: She was admitted to the hospital on 1/24/21 with acute symptoms of fatigue, malaise and some increased confusion. Patient also developed a junctional heart rhythm on night of admission.

Other Meds:

Current Illness:

ID: 0972448
Sex: M
Age: 33
State: NY

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

Lab Data:

Allergies: None

Symptoms: Starting the 9th day (well, noticed on the 9th day), rash began to form on the underside/palm of right hand in small red dots. Next day to today (3 days), small red dots have grown on right hand and more small dots have developed on underside of left hand, right elbow, left elbow, and bottom of left foot.

Other Meds: None

Current Illness: None

ID: 0972449
Sex: F
Age: 22
State: OH

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

Lab Data:

Allergies: Peanuts

Symptoms: Patient reported a rash at the site of injection, the rash started 2 days after moderna covid vaccine. Rash was pink, itchy, raised, and the size of a half dollar. Patient did not take anything to treat symptoms.

Other Meds:

Current Illness:

ID: 0972450
Sex: F
Age: 73
State: VA

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

Lab Data: None done.

Allergies: Enbrel, Zithromx, Ceftin, Sulfa, garlic, preservative in some brands of Marcaine - probably EDTA

Symptoms: Extreme fatigue, all over joint pain, severe headache and fever to 101.6 F starting a day after vaccination . The next morning, still achy and fatigued but temp normal. Fatigue and headache lasted 3-4 days. sore arm with lump for a week. After the first dose, which was done on 12/20/2020, I had achiness the next day and mild headache but no fever as far as I know.

Other Meds: Trulicity 1.5mg SQ weekly, 1PM on Sundays Metformin ER 500mg 2 tabs BID Repaglinide .5 mg, 1-2 prn before eating Crestor 10mg QPM Symbicort 160/4.5, 2 puffs BID Albuterol 2 puffs prn Montelukast 10mg QHS Zolpidem 5-10mg prn sleep Gabapent

Current Illness: Asthma, diabetes, osteoarthritis, s/p 3d spinal fusion on Dec 2

ID: 0972451
Sex: F
Age: 48
State: TX

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

Lab Data:

Allergies:

Symptoms: APPROX. 24 HOURS AFTER VACCINATION PATIENT HAD A MASSIVE HEADACHE; FACE FELT LIKE IT WAS ON FIRE; NO APPETITE; FEVER 100.1; HR AS HIGH AS 120

Other Meds:

Current Illness:

ID: 0972452
Sex: F
Age: 59
State: IN

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

Lab Data:

Allergies: Penicillin, Keflex

Symptoms: Body Aches, Fatigue, Headache symptoms lasted approximately 48 hours within 24 hours of receiving 2nd vaccine

Other Meds: Lisinopril, Trazadone, vitamins

Current Illness: None

ID: 0972453
Sex: F
Age: 75
State: FL

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None.

Allergies:

Symptoms: Arm was sore, hot, red, swollen 12 hours after vaccination.. Redness resolved after 3 days. On 7th day, arm started to itch badly. Then arm became very red, swollen, hot. Arm swelling and redness continued to grow. After 2 more days, redness was 3" in diameter. Saw doctor, who diagnosed as cellulitis. Started me on Keflex 500 mg 4 x day and Benedryl. After 1 more day, redness was 4" in diameter, hot, swollen. Saw doctor again after 4 days (11 days since vaccination) and redness starting to dissipate. Doctor not sure if allergic reaction to vaccine or bacterial infection due to puncture wound from injection. After 14 days from vaccination, redness is almost gone.

Other Meds: Levothyroxine Famatodine Tums

Current Illness: None

ID: 0972454
Sex: M
Age: 56
State: CO

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

Lab Data: No

Allergies: No

Symptoms: My autoimmune disorder went into overdrive and stayed there. I had joint pain and swelling, severe neuropathy, muscle pain, extreme fatigue and nausea that seems to never end. I still feel nauseated three hours after eating.

Other Meds: I was taking fish oil, and vitamin D

Current Illness: No

ID: 0972455
Sex: F
Age: 49
State: DE

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

Lab Data: None

Allergies: Metoclopramide Toradol

Symptoms: Patient is 49 yo F presenting with right sided facial nerve paralysis (right eye and eyelid drooping, etc.) consistent with Bell's Palsy. She does have a history of Bell's Palsy in the past (with Botox injections for Migraine HA). Symptoms started 1 day after vaccination (22 JAN 21) and are still present today (4 days post-vaccination). Symptoms are improving and patient will be following up in 1-2 weeks. No treatment indicated.

Other Meds: Aimovig 140mg monthly injections Topamax 250mg daily Zomig 5mg prn zofran 4mg PRN Xyzal 5mg daily singulair 10mg daily Neurontin 1500mg daily Protonix 40mg daily Atenolol 25mg daily OTC vitamin D 2000mg daily OTC magnesium 250mg daily

Current Illness: None

ID: 0972456
Sex: F
Age: 39
State: GA

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

Lab Data: Vitals Monitored. See above.

Allergies:

Symptoms: Patient received the Pfizer-BioNtech Covid-19 vaccine EUA on 1/25/21 at 2:10 pm. Approximately 30 minutes following the vaccine , the patient began to experience tachycardia. Patient's vitals assessed. At 2:40 pm, B/P 130/80, HR 124, O2 % 99 at room air. Patient seemed to be anxious during this time. Patient provided a bottle of water and remained seated for 10 minutes. Vitals re-checked at 2:50 pm, B/P 130/86, HR 116, O2 % 99 room air. Vitals re-checked at 3:05 pm, B/P 112/80, HR 112, O2 % 98 at room air. Patient stated that she is currently on cardiac medication and has an appointment with her cardiologist on wednesday. Patient stated that she was feeling fine and wanted to leave.

Other Meds:

Current Illness:

ID: 0972457
Sex: F
Age: 53
State: NM

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

Lab Data:

Allergies: Shellfish, Penicillin, Biaxin, Ampicillin, Streptomycin, Erythromycin, some shampoos, some lotions, some laundry detergents, all laundry softeners, some perfumes, some vaginal products.

Symptoms: Severe pain with Migraine, dizziness, nausea, lights too bright, noise too loud, it even messes with my eyes, making them blurry. I tried taking an Amovig shot on 1/21/21, it did not work. I tried taking motrin, tylenol, and etc... nothing is working... The pain is horrible. I'm having problems concentrating. This has been 5 days and is still extremely painful... the doctors will not do anything more about it. I called Moderna and they could suggest nothing either. I don't know how long this will last, but I'm miserable!

Other Meds: Euthyrox, Montelukast, Cyclobenzaprine

Current Illness: Thyroid problems, gall bladder removed, hysterectomy, oovectomy, chronic pain due to fibromyalgia, sjogrens syndrom, migraines, chronic costochondritis, herniated disks at L3,L4, L5, S1, radiating pain down legs and arms. Asthma

ID: 0972458
Sex: F
Age: 60
State: SC

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

Lab Data:

Allergies:

Symptoms: Patient had tingling in the mouth and a scratchy feeling in her throat. Evaluated by EMS.

Other Meds:

Current Illness:

ID: 0972459
Sex: F
Age: 42
State: GA

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

Lab Data: None

Allergies: No

Symptoms: On the day of the vaccine I had chills, very prominent chills and they lasted for about 24 hours. I self medicated with Tylenol and Ibuprofen at home. Had some muscle aches as well.

Other Meds: Valtrex 500mg, Vitamin B, Iron, Ibuprofen 800mg (not on the day vaccination but take it on a regular basis)

Current Illness: No

ID: 0972460
Sex: F
Age: 68
State: CA

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

Lab Data: Monitor vitals- no testing completed

Allergies: Iodine

Symptoms: Pt was vaccinated to the right deltoid with the Pfizer vaccine at 1150. At approx. 1208 she began feeling a little dizzy. She had no other complaints. No SOB, No rash, No nausea, No blurred or double vision. Her skins were warm and dry with good color. She has no medical hx. No medications. She is allergic to Iodine. Her initial vitals at 1211 were 132/84, 77 and 99%. At 1218 they were 140/88, 76, 99%. She drank some water and started feeling a bit better. She only drank a cup of coffee with a muffin this morning. At 1228 her BP was 134/82, 74, and 99%. She drank more water and said she felt even better. She refused 911 to be called for any further evaluation. She was advised to call 911 if any further symptoms developed after leaving the facility. Her husband was driving her home and she was advised to eat lunch. She signed our paperwork after being advised of the situation and what had been documented.

Other Meds: NONE

Current Illness: NO

ID: 0972461
Sex: M
Age: 20
State: NE

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

Lab Data: none, vital signs all within normal limits

Allergies: foods, environmental, carries epi pen

Symptoms: Complained of mild tingling in tongue, hands and chest 20 minutes following administration

Other Meds: unknown epi pen as needed

Current Illness: none

ID: 0972462
Sex: F
Age: 66
State: CA

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

Lab Data: None

Allergies: Sulfa

Symptoms: At 1132, Pfizer was administered. RRT called at 1138 in the post-vaccine Recovery area for a 66 y/o female that complains of upper chest tightness and temporal tightness, pain 3/10, non-radiating. 4 RNs responded to the scene. Head-to-toe assessment completed. She reports allergies to sulfa. She took multiple morning medications today, all regularly taken. Hx of stents, HTN, HLD, DM, WPW, irregular HR. Initial vitals: HR: 125, BP: 126/80, RR: 19, O2 98% on RA. Denies nausea and SOB. At 1148, she reported that her pain was subsiding. Given medical hx, RRT activated 911 response, called by Site Manager. At this point, client calm, AA0x4, skin WNL, resp WNL. 1201 EMS arrived and report was given to them. Client taken into ambulance for EKG. ALS response provided. Nitro and ASA given. EKG revealed A-fib, HR 120, O2 96%. Client to be taken to Hospital via ambulance, truck number 490. EMS assumed care at 1214. Husband that was with client was told of plan.

Other Meds: None. Client took Metformin 1000 mg, Lasix 40 mg, Potassium Cl 20 mg, Plavix 75 mg, Crestor 10 mg, Cymbalta 60 mg, Synthroid 100 mg, Metoprolol 100 mg, Neurontin 600 mg, Multivitamin, Magnesium 2 cap, Retass 0.05% one drop each eye.

Current Illness: None

ID: 0972463
Sex: M
Age: 19
State: NY

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

Lab Data: Approximately 1pm on 1/25 and 5pm on 1/25, full set of vitals were taken and on the first set of vitals, I had a bp of 156/80 and a HR of 112, my second set of vitals was 134/70 and a HR of 102, my usual vitals are 106/70 and a HR of 70.

Allergies: Ibuprofen

Symptoms: Immediately after the vaccine was administered I experienced the usual side effects of mild headache, fatigue and localized redness and swelling Around 11pm the night the vaccine was administered I developed a migraine that resulted in blurred vision. and when I checked my temperature it was approximately 104.9 degrees Fahrenheit.By the next morning, approximately 7am, I was weak to the point I could not get out of bed myself, I was nauseous that resulted in a single Emesis episode approximately 8am, I had mild swelling of my face since 7am, between 7:30am and 12pm, I had multiple times where I would temporarily lose my vision. Throughout 1/25 I continued to have a fever ranging from 102 degrees Fahrenheit to 103 degrees Fahrenheit. At approximately 8am and 1pm I took two acetaminophen pills each time which alleviated the migraine and to an extent helped with the visual deficit episodes. Throughout 1/24 and 1/25 I suffered with extreme chills resulting in shivering that lasted for several minutes despite a room temperature of approximately 90 degrees Fahrenheit and covered in two blankets. PCP was consulted via telephone and she advised to go to the hospital via EMS given the high grade fever, abnormal vitals and severity of symptoms

Other Meds: Alive, Iron supplement, multivitamin

Current Illness: Migraines

ID: 0972464
Sex: F
Age: 56
State: IN

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

Lab Data: None

Allergies: None

Symptoms: Chills fever body aches migraine vomiting

Other Meds: Metropol 25 Synthroid150 Lipator80

Current Illness: None

ID: 0972465
Sex: M
Age: 55
State: PR

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

Lab Data: none

Allergies: Penicillin

Symptoms: On January 21,2021 developed headache and on January 22,2021, left arm pain, warm to touch, redness and contralateral hand swelling (right )

Other Meds: none

Current Illness: none

ID: 0972466
Sex: F
Age: 36
State: CO

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

Lab Data: None

Allergies: None

Symptoms: Low grade fever 99.1 f , body aches, chills, headache

Other Meds: None

Current Illness: None

ID: 0972467
Sex: F
Age: 49
State: IN

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

Lab Data:

Allergies:

Symptoms: Red swollen injection site Hot, Cellulitis. Getting larger everyday

Other Meds: Levothyroxine Venlafaxine Atorstatin Prilosec

Current Illness:

ID: 0972468
Sex: F
Age: 70
State: IN

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

Lab Data: None

Allergies: Aspirin Allergy (r/t colon bleeding), Zocor (Muscle Cramps)

Symptoms: Patient left the facility after waiting 15 minutes. Returns shortly afterward with flushing and redness on cheeks, the sense of swelling in the eyes. Vitals 166/90 O2 sat 98. Benadryl 25 mg PO given. Monitoring for 30 minutes - patient improved

Other Meds: Letrozole, Zetia, Omeprazole, Hyzaar

Current Illness: None

ID: 0972469
Sex: F
Age: 61
State:

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

Lab Data:

Allergies:

Symptoms: FEVER, CHILLS, LUNGS HURT, MUSCLE ACHES, SNIFFLES, COUGHING. TOOK ACETAMINOPHEN FOR PAIN AND FEVER. FEELING BETTER DAY 2 AFTER VACCINE (1/21/21)

Other Meds:

Current Illness:

ID: 0972470
Sex: M
Age: 24
State: NY

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data: Covid test

Allergies:

Symptoms: I had the normal sore arm. I ended up the next day with stuffy nose, sore throat, tired, weak. The next day I had the post nasal drip and really fatigue and my sugars were running high, cough and swollen glands. The third day I went to the Doctor to get Covid test, it was negative. The Dr. said I had a chest infections, post nasal drip. It took about two weeks to go away, they didn't want to give me any medication because they didn't know about the shot. I had two Covid test and they were negative.

Other Meds: Humalog Insulin Lantus

Current Illness:

ID: 0972471
Sex: F
Age: 32
State: VA

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

Lab Data: None

Allergies: None

Symptoms: Minor swelling and hives at injection site. Has not spread more than 3 in from injection site

Other Meds: Birth control- seasonique

Current Illness: None

ID: 0972472
Sex: F
Age: 32
State:

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

Lab Data:

Allergies:

Symptoms: head ache, fever, fatigue, body aches

Other Meds:

Current Illness:

ID: 0972473
Sex: F
Age: 33
State: TX

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

Lab Data:

Allergies: LATEX AND METOCLOPRAMIDE

Symptoms: including nausea, fever, redness and swelling at the injection site, and grossly swollen lymph notes on the side where she received the injection

Other Meds:

Current Illness:

ID: 0972474
Sex: F
Age: 64
State: AZ

Vax Date: 11/15/2020
Onset Date: 11/15/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: pain in the upper left arm pain and difficulty to lift the arm Takes advil 4000mg two to three times daily for months. trial of steroid with blood sugar precautions for diabetes and MRI warranted

Other Meds: atorvastatin glimepiride lisinopril metformin aspirin

Current Illness:

ID: 0972475
Sex: M
Age: 28
State: WA

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

Lab Data:

Allergies: Ceclor, motrin Ib, banannas.

Symptoms: patient complained of tingling lips onset 10 minutes after vaccine given. Provider consulted and recomended 25mg benadryl oral medication given. 30 minutes later was still a bit tingly per patient but no further symptoms.

Other Meds: NO

Current Illness: no

ID: 0972476
Sex: F
Age: 40
State: MS

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

Lab Data: none

Allergies: none

Symptoms: Right deltoid with erythema, edema and tenderness; Right axillary lymphnode enlargement and tenderness; Fever Tmax 102.7, generalized body aches, chills and rigors all within 24 hours of 2nd dose of vaccine. Slightly relieved with Tylenol 650 mg & Ibuprofen 200 mg po & warm compresses to right axilla. 48 hours after vaccine, fever Tmax 101.3, lower extremity body aches, chills, right deltoid and right axillary with edema and tenderness. Slightly relieved with Tylenol 650mg po, 72 hours after vaccine, upper back aching, slight dizziness with brain fog, and extreme fatigue. Pushing fluids and stretching.

Other Meds: Prozac 20 mg po daily Multivitamin po daily Adderall XR 20 mg po qam

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm