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: 0972477
Sex: F
Age: 64
State: PA

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

Lab Data: NONE

Allergies: TDAP Vaccine- developed a fever/respiratory issues 5 hours after infusion and for several years after-

Symptoms: About 30 minutes post vaccination I felt the left side of my face become tingly and then my nose tingled and felt stuffy for about 3 hours. At approximately 7PM that evening I started to feel chills and severe abdominal cramping/nausea/diarrhea for about 24 hours.-constant and then from 10/21/21 and including 10/25/21- I feet fatigue and multiple muscle and joint pains. I am currently feeling these symptoms.

Other Meds: HCTZ 12.5 mg Multi-vitamin

Current Illness: high BP

ID: 0972478
Sex: F
Age: 26
State:

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

Lab Data:

Allergies:

Symptoms: fever, chills, body aches

Other Meds:

Current Illness:

ID: 0972479
Sex: F
Age: 43
State: AZ

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

Lab Data:

Allergies: None

Symptoms: Nausea, Headache, Fever, Chills

Other Meds: None

Current Illness: None

ID: 0972480
Sex: F
Age: 45
State: ND

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

Lab Data: No Lab results yet -had Labs done today 1/25/2021- was sent out to other Lab

Allergies: Latex allergy(gloves)

Symptoms: Had the Moderna vaccine on January 21,2021 @9:15am, the next day started having light tea colored urine in the morning and in the afternoon-amber colored urine. That night 11:00pm started urinating red colored urine which lasted until after 11:00pm of January 22,2021. On January 23,2021 in the morning-back to normal yellow urine. Reported this information to my nephrologist on January 23, 2021 @7:37am. Dr. responded via MyChart message: Ordered some lab work and recommend to report this information to CDC.

Other Meds: Losartan 100 mg, Spironolactone 12.5 mg, Sertraline 25 mg, Hydroxyzine 12.5 mg

Current Illness: None

ID: 0972481
Sex: F
Age: 42
State: MA

Vax Date: 01/12/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Penicillin, Ceclor

Symptoms: Large red welts on upper arm starting 8 days after injection. Warm and itchy, not raised...

Other Meds: Escitalopram, Omeperazole, Zyrtec, birth control, fish oil, multivitamin, Flonase

Current Illness: Persistent postural perceptive dizziness

ID: 0972482
Sex: F
Age: 75
State: FL

Vax Date: 01/04/2021
Onset Date: 01/14/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: No known

Symptoms: 10 days after the injection I had a small itchy rash at injection site. The next day it was the size of your hand palm, red hot and swollen. The next day it was from my elbow to my shoulder. No fever or any temperature. The outline is still on my arm 11 days later, but not hot or swollen.

Other Meds: None

Current Illness: None

ID: 0972483
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: fever, chills, body aches

Other Meds:

Current Illness:

ID: 0972484
Sex: F
Age: 64
State: IL

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

Lab Data:

Allergies: Mold

Symptoms: Have written to Health dept no answer-they must be busy. First shot resulted in very sore upper arm 1.5 days, no other effects. Clean injection into deltoid muscle bulk. Second shot, injection shot extremely high above main muscle bulk of the deltoid into area of supraspinatus tendon one finger below acromial shelf. First shot, two sensations: initial puncture then injection. Shot 2 one huge painful bump met with resistance in my tissue. Also Shot 2 not one response except mild fatigue still today, but no pain in upper arm unless I pressed specifically into injection site itself. WAS THIS VARIATION IN INJECTION SITE ACCEPTABLE? WAS IT OK TO DO INJECTION SO VERY HIGH UP? Secondly, had a wonderful, professional nurse, but I question the practice of retrieving a dose for me that comprised of doses left over at bottom(s) of other vial(s). We had a new vial in the office where I was, but she left and came back with a syringe already full, saying that it was important to use up every drop. At first I agreed, but now I question this practice and just want to make sure I don't need to come back for another second dose. Are there no substrates that would settle out of the solution as the vial gets depleted of everything except only a bit of fluid left in it? Is retrieving every last drop from each vial and putting them together to make a dose acceptable practice? if not, from the Pfizer standpoint, then I should get another dose? I am a pediatric physical therapists working within 1-2 feet a children's faces at all times and transmissibility is a real issue both ways in my job. I truly do not want o become a Covid victim. please let me know if both the injection site and the method b y which my dose was put together is acceptable in the eyes of Pfizer. Thank you.

Other Meds: Synthroid 137 mcg Simvastatin 20 mg Vitamin D 5,000 B Super Complex Omega 3 1200 Glucosamine/Chondroitin Lutein 20 mg CoQ 10 200 mg Aspirin 81 mg BID Cinnamon 2000 mg Turmeric 450 mg Ginger ??

Current Illness: none

ID: 0972485
Sex: F
Age: 62
State: AZ

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

Lab Data:

Allergies:

Symptoms: Limb heaviness within 5 minutes of second vaccination. Subsided in approximately 25 minutes. Patient also reported that she experienced a similar reaction immediately after first vaccination plus the inability to visualize words (i.e. she couldn't read what was on the paper she was holding).

Other Meds:

Current Illness:

ID: 0972486
Sex: M
Age: 81
State: WA

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

Lab Data: His blood pressure was taken and within normal range. It is unknown what other tests may have been administered.

Allergies: unknown

Symptoms: The patient began experiencing trouble breathing and weakness a few hours after administration of the vaccine. He was recovering from a kidney infection, so it is unknown what the cause of the symptoms originated from. It was determined to involve EMS, and they came and picked him up at the Long Term Care facility and took him to the hospital.

Other Meds: unknown

Current Illness: The patient was administered a COVID-19 vaccine while at a long-term care facility. He seemed fine upon administration, but a few hours later, he experienced trouble breathing and weakness. Per his caretaker, he had been recovering from a kidney infection.

ID: 0972487
Sex: F
Age: 24
State: AZ

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

Lab Data: 1/18 - Negative Covid-19 test

Allergies: None

Symptoms: In addition to arm pain for two days, I also had chest pains/tightness. I felt the chest tightness the morning after getting the vaccine. The chest tightness continued until 1/23. It was not a constant pain, but sometimes when I would move a certain way, my chest would hurt. The spot that hurt is right in the middle of my chest. It got worse when I would exercise and breathe heavily. The chest pain continued to stop and come back for several weeks. The night after I received the vaccine, I felt dizzy and felt as if I would pass out, but did not. This only happened one time and was better when I woke up the next morning. The weekend after I got the vaccine, I was worried I might have covid, so I got tested for covid, but the results came back negative.

Other Meds: Iron supplement, vitamin D supplement, cranberry supplement

Current Illness: Nausea a few weeks after vaccination - unsure if this was an illness

ID: 0972488
Sex: F
Age: 36
State: OR

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

Lab Data: none

Allergies: unknown

Symptoms: pt experienced seizure and brought responsive to medical tent. Pt has hx of seizures and autism. Also had an itchy rash to chest. Epi 0.3 and 50mg Benadryl given.

Other Meds: unknown

Current Illness: hx of seizures

ID: 0972489
Sex: F
Age: 74
State: TN

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

Lab Data: None

Allergies: Altace

Symptoms: Approximately 15 minutes after receiving vaccine, pt. c/o dizziness, headache and shakiness. Pt. was immediately assessed by Physician. Also assessed by local EMS. BP: 160/60, HR: 70, RR: 24-28, O2 sates: 98%. Pt. declines to be transported to the emergency room. Plans to make appt. with PCP.

Other Meds: Hydralazine, Glimepiride, Lisinopril, Levothyroxine, Spironolactone/HCTZ, Nifedipine, Metformin, Atorvastatin, Plavix, Melatonin, Fluticasone, ASA, Multivitamin, Olopatadine, Erythromycin, Acetaminophen, Pantoprazole

Current Illness: None

ID: 0972490
Sex: F
Age: 67
State: GA

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

Lab Data: none done.

Allergies: NKDA

Symptoms: The patient fainted about 15 minutes post-vaccination. Elevate Hr 115 BP 95/65 RR: 20 unlabored. Took 5-7 minute for symptoms to subside. Vital signs were taken again HR 90 BP 98/64 RR 18 and the stable patient stated that she felt fine and was going home. He spouse was driving her home.

Other Meds: No medication listed.

Current Illness: No history listed

ID: 0972491
Sex: F
Age: 54
State:

Vax Date: 01/18/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 5 days post vaccination, large soft tissue swelling in vaccination site, size of baseball, warm and red Advised to use warm compress/cold compress, seek PCP if it gets worse

Other Meds:

Current Illness:

ID: 0972492
Sex: M
Age: 31
State:

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

Lab Data:

Allergies:

Symptoms: Chills, fever, arm soreness, fatigue

Other Meds:

Current Illness:

ID: 0972493
Sex: M
Age: 56
State:

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

Lab Data:

Allergies:

Symptoms: Severe joint pain starting in the morning after the vaccination administered, and resolved after 1 day; right hand numb; cold sweats over night the first night after vaccination administered.

Other Meds:

Current Illness:

ID: 0972494
Sex: F
Age: 53
State: OR

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

Lab Data: none at HD, unknown for ED

Allergies: has had anaphylaxis with shingles vaccine

Symptoms: client notified vaccinator that has had previous anaphylactic reaction with shingles vaccine, client put on 30 minute observation, within approximately 15 minutes client reported throat becoming raspy and uncomfortable, as this nurse was approaching client she gave her own epi-pen into her thumb but stated she stopped it immediately, this nurse gave second epi pen in client's left thigh at 10:35, Dr. on site assessed client after receiving epi, and reported airway appears client, negative swelling, lungs clear, no current respiratory distress, no rash. BP was 122/72, pulse 107. Client taken by ambulance to Hospital ED. Dr. later reported client had wheezing and required albuterol and prednisone. She was tachycardic and breathing comfortably. She was observed in ED for 3 hours.

Other Meds: unknown

Current Illness: unknown

ID: 0972495
Sex: F
Age: 39
State: MO

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

Lab Data: NONE TO DATE

Allergies:

Symptoms: VACCINE RECEIVED ON 1/18/2021 NO S/S OF ADVERSE REACTION UNTIL 1/25/2021 WHEN LEFT DELTOID INJECTION SITE BECAME RED, RAISED AND INFLAMED. ITCHING NOTED TO SITE

Other Meds:

Current Illness:

ID: 0972496
Sex: F
Age: 65
State: TX

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

Lab Data: I had Covid-19 6 weeks ago. Mild symptoms

Allergies: Sulfa

Symptoms: 36 hours duration: Pounding headache, chills and fever, severe nausea, lethargy and sleepiness

Other Meds: Daily :Centrum Silver Vitamin, Omega 3, Tumeric, Vitamin D and C, Baby aspirin, Lopressor 12.5 mg BID

Current Illness: none

ID: 0972497
Sex: F
Age: 42
State: OH

Vax Date: 01/06/2021
Onset Date: 01/15/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: Water chestnuts Penicillin Azithromycin

Symptoms: Red, hot, swollen arm for about 3 days. I can submit pictures. It was really bad.

Other Meds: None

Current Illness: None

ID: 0972498
Sex: M
Age: 50
State:

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

Lab Data:

Allergies:

Symptoms: Fever, chills, fatigue, head ache

Other Meds:

Current Illness:

ID: 0972499
Sex: F
Age: 76
State: CO

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

Lab Data: None

Allergies: No

Symptoms: Appx 24 hours after injection I presented with a sharp lower left back pain. This lasted about 34 hours. Another strange anomaly was that my dog bit me twice 12 hours after injection. He is 7 years old and has never done that. Wonder if he smelled something strange

Other Meds: Atorvastatin, atenolol, omeprazole

Current Illness: None

ID: 0972500
Sex: F
Age: 30
State:

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

Lab Data:

Allergies: None

Symptoms: Upset Stomach - Resolved after 8 1/2 hours Body Aches - Resolved after 24 hours Chills - Resolved after 24 hours Fatigue - Resolved after 48 hours

Other Meds: Levothyroxine

Current Illness: COVID+ on 11/10/2020

ID: 0972501
Sex: F
Age: 61
State: CA

Vax Date: 09/30/2020
Onset Date: 10/01/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data: spoke to Dr.'s office but did not visit (telemedine)

Allergies: anti-biotics, sulfa drugs, Aleeve, (many frangrances)

Symptoms: called pharmacy to report but unable to get the above information - so self reporting . On 9/30 @ 3:00pm I got the Shingrix shingles vaccine, left arm: part 1. arm was sore, and there was redness at the point of injection, on that day I had no other reaction. On 10/1 at 2:30pm, the redness began to spread. My arm was sore and incrediably itchy. It would continue to spread to almost my entire upper arm - and the itch was horrible. Also on 10/1 starting at 2;30pm - incrediable fatigue, arm soreness and my muscles ached everywhere on my body - head to toe. same on 10/2. 10/3 my fatigue started to end as did the muscle / body aches. the rednes and itcheness - getting worse each day - until 10/6 when it started to disapate.

Other Meds: Atorvistatin, alendronate sodium, vitamin D & c, magnesium

Current Illness: none

ID: 0972502
Sex: F
Age: 55
State: MO

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: none

Allergies: keflex

Symptoms: Rash-to upper chest and neck, chin, check and above eyes. Itching, raised small bumps.

Other Meds: Vitamins, spirolacton, Atovorstatin, Warfarin

Current Illness: none

ID: 0972503
Sex: F
Age: 34
State: AZ

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

Lab Data: Vital signs: BP127/81 HR 71 SpO2 100 RR 16

Allergies: Ibuprofen, amoxicillin, bleach, latex, chlorine

Symptoms: Patient was vaccinated and within a few minutes, she felt like her throat became scratchy and her ears were itchy. She also thinks her arms are redder than usual.

Other Meds: something for stomach issues, she does not remember the name of it.

Current Illness: pancreatitis, gall bladder

ID: 0972504
Sex: M
Age: 36
State:

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

Lab Data:

Allergies:

Symptoms: Fever, chills, fatigue, body ache

Other Meds:

Current Illness:

ID: 0972505
Sex: F
Age: 74
State: NC

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

Lab Data: none

Allergies: none

Symptoms: On about 1/21/21 I developed a three-inch in diameter red circle on my left arm where I received the vaccine. It is swollen, warm and itchy.

Other Meds: Vitamin D, Biotin, Escitalopram, Clonazepam

Current Illness: none

ID: 0972506
Sex: F
Age: 49
State:

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

Lab Data:

Allergies:

Symptoms: AT 5:00PM ON DAY OF VACCINE ADMINISTRATION, HAD HEADACHE AND FELT WARM. AT 7:00PM, HEADACHE AND BODY TEMPERATURE INCREASED. 01:00AM NEXT DAY, VOMITING AND 'TEETH CHATTERING' CHILLS. ALSO HAD SORE ARM, NAUSEA, DIZZINESS, LOSS OF APPETITE.

Other Meds:

Current Illness: COVID-19 INFECTION

ID: 0972507
Sex: F
Age: 49
State: IL

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

Lab Data: None

Allergies: NKA

Symptoms: Received on shot on 1/15/21. On 1/23/21 at the injection site it started itching. When she looked it was a small, red area. Slightly warm and felt hard. Does not hurt without touching it. Did circle the redness to watch this area. Redness stayed pretty much within the circle, but expanded out on one side. Today on 1/25/21 it looks "fine." The coloring is fading. Less red, more light pink. Not warm. No itching today either.

Other Meds: metoprolol 100 mg 1 pill bid lipitor 10 mg 1 po qd Baby ASA 81 mg 1 po qd Pepcid 20 mg 1 po qd Celexa 20 mg 1 po qd Vit D3 5000 IU 1 po qd Multivitamin womens one a day 1 po qd

Current Illness: None

ID: 0972508
Sex: F
Age: 95
State: CA

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

Lab Data: none

Allergies: none

Symptoms: Patient experiencing legs numbness upto the knee. Symptom occurred about 5 mins after receiving vaccine

Other Meds: none

Current Illness: fingers numbness 2 weeks before vaccine

ID: 0972509
Sex: U
Age: 33
State:

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

Lab Data:

Allergies:

Symptoms: Brief loss of hearing, vomiting x 15 min VSS

Other Meds:

Current Illness:

ID: 0972510
Sex: F
Age: 67
State: OK

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

Lab Data:

Allergies:

Symptoms: Chills and fever

Other Meds:

Current Illness:

ID: 0972511
Sex: F
Age: 51
State: IL

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

Lab Data: 01/03/2021 neg covid test

Allergies: Sulfa

Symptoms: Began with sore arm ,extreme fatigue fever 100.1 . Next day on 12/29/2020 fever 101.2, chills, extreme fatigue , nausea vomiting and diarrhea. Diarrhea continued as many as 20 times a days through 01/03/2021 when she went to the ER where was treated for dehydration and diagnosed with Enterocolitis, was given antibiotic x 7 days

Other Meds: Adderall 30mg BID, Hydrocodone prn, Prilosec prn

Current Illness:

ID: 0972512
Sex: F
Age: 0
State:

Vax Date: 09/24/1965
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0972513
Sex: M
Age: 39
State:

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

Lab Data:

Allergies:

Symptoms: BURNING SENSATION DURING INJECTION; FATIGUE FOR SEVERAL DAYS; LOW GRADE FEVER

Other Meds:

Current Illness:

ID: 0972514
Sex: F
Age: 32
State: KY

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

Lab Data: None

Allergies: None

Symptoms: 12hours post injection severe fatigue and excessive sleeping lasting - current. 72 hours post vaccine severe headache lasting 4-6 hours and relieved with 1000mg Tylenol extra strength.

Other Meds: Gabapentin 800mg x4 QD,

Current Illness: None

ID: 0972515
Sex: F
Age: 27
State: UT

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

Lab Data:

Allergies: None

Symptoms: After the vaccine a day and a half later I noticed my arm was itching and there was redness down my arm. My arm near the injection site felt a little swollen too.

Other Meds: Lexapro, prilosac, ibuprofen and tylenol

Current Illness:

ID: 0972516
Sex: F
Age: 59
State: HI

Vax Date: 01/17/2021
Onset Date: 01/18/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Food allergies: lactose, shell fish

Symptoms: Patient had flu like symptoms for first few days then resolved. 1 week later developed warmth, redness and induration around the site. Tender,. No fever, cough or SOB just tenderness and induration

Other Meds: B vitamin and lutein vitamins, D3

Current Illness: NA

ID: 0972517
Sex: M
Age: 75
State: CO

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: none

Allergies: no

Symptoms: On the evening of 1/15 patient went to bed about 10 PM. woke up at midnight coughing and vomiting. That finally subsided and at 3 AM awoke with severe diarrhea. That subsided on saturday morning about 10 AM and has not returned

Other Meds: Eliquis,Multaq

Current Illness: none

ID: 0972518
Sex: F
Age: 59
State: MN

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

Lab Data:

Allergies: amoxicillin, Bactrim, Morphine, Sertraline

Symptoms: Started with arm pain one day after vaccination. Pain gradually got worse bilateral leg cramps four days later escalating into tingling, numbness and pressure. Office visit with primary on 1/11/2021. Pain escalated into not being able to walk Patient went to ER on 1/20/21. Patients condition is ongoing.

Other Meds: calciumCarb/VitaminD Ergocalciferol 1250, Levothyroxine, Losartan, Metoprolol, Asprin,Cynanocobalmin

Current Illness: None

ID: 0972519
Sex: F
Age: 84
State: CA

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

Lab Data: N/A ; Transferred to ED

Allergies: Cortisone Ephedrine Scopolamine PCN Perfume Oil

Symptoms: Pt received COVID 19 Vaccine today. Approx. 10 mins after administration, pt reported "I feel chills and tingling lips." Pt reports, "I ate a full breakfast at 1030 today" No h/o DM. NO shortness of breath NO CP (pain 0/10) NO dizziness NO Nausea/Vomiting No vision changes No itching or hives reported or observed. At 1245, pt states, "my tongue feels tingly and my lips feel numb. I feel like I have a lump in my throat." See VS flowsheet for vitals during monitoring period. PMH reported: COPD MEDS reported: Amlodipine, Gabapentin, Nortriptyline, Levothyroxine 1300: Maryam, ED Charge RN called for report and patient needing to be transferred for higher level of care post COVID 19 vaccine. 1310 approx.: HarmPt received COVID 19 Vaccine today. Approx. 10 mins after administration, pt reported "I feel chills and tingling lips." Pt reports, "I ate a full breakfast at 1030 today" No h/o DM. NO shortness of breath NO CP (pain 0/10) NO dizziness NO Nausea/Vomiting No vision changes No itching or hives reported or observed. At 1245, pt states, "my tongue feels tingly and my lips feel numb. I feel like I have a lump in my throat." See VS flowsheet for vitals during monitoring period. PMH reported: COPD MEDS reported: Amlodipine, Gabapentin, Nortriptyline, Levothyroxine 1300: Maryam, ED Charge RN called for report and patient needing to be transferred for higher level of care post COVID 19 vaccine. 1310 approx.: Harmony, RN from ED came to safely transport pt to ED. No family at bedside. Pt a good historian w/ stable VS when transported to ED. RN from ED came to safely transport pt to ED. No family at bedside. Pt a good historian w/ stable VS when transported to ED.

Other Meds: Amlodipine Gabapentin Nortriptyline Levothyroxine

Current Illness: COPD

ID: 0972520
Sex: F
Age: 24
State: TX

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

Lab Data:

Allergies:

Symptoms: Increased BP 138/101 flushed skin light headed P 115 feeling heart racing

Other Meds:

Current Illness:

ID: 0972521
Sex: M
Age: 39
State:

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

Lab Data:

Allergies:

Symptoms: BURNING SENSATION DURING VACCINE INJECTION; FATIGUE FOR SEVERAL DAYS; LOW GRADE FEVER

Other Meds:

Current Illness:

ID: 0972522
Sex: M
Age: 63
State:

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

Lab Data:

Allergies:

Symptoms: 10 min post vaccine pt got dizzy and started vomiting for 10 min

Other Meds:

Current Illness:

ID: 0972523
Sex: F
Age: 42
State: NJ

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

Lab Data: Antibody testing

Allergies: Percocet, polysporins

Symptoms: Rash on torso, back, and arms. Still persist to date. Taking over counter meds to stop itching

Other Meds: Fish oil , vitamin b/folate, probiotic, NAC supplement

Current Illness: Body rash(prickly heat)

ID: 0972524
Sex: M
Age: 61
State: OR

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

Lab Data:

Allergies: NO

Symptoms: RASH WAIST UP

Other Meds: NO

Current Illness: NO

ID: 0972525
Sex: M
Age: 60
State: CA

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

Lab Data: none

Allergies: narcotics, latex

Symptoms: Elevated blood sugar, unable to get it under control. Right side of skull and face extremely painful, including tongue lips, teeth eye, skin. Some soreness continued after 2 days.

Other Meds: insulin

Current Illness: unknown

ID: 0972526
Sex: M
Age: 47
State: WA

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

Lab Data: N/A

Allergies: Allergies to Sulfa and PCN medications.

Symptoms: Low grade fever, body aches, arm ache.

Other Meds: N/A

Current Illness: N/A

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm