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: 0974215
Sex: F
Age: 57
State: WI

Vax Date: 01/18/2021
Onset Date: 01/21/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None other than the vaccine I received.

Allergies: Supposed allergy to macrobid but I don't think that was the cause of my hives, I believe it was something else at the time.

Symptoms: Woke up vomiting. Thought maybe it was something to do with the lobster I had for dinner the night before. Vomiting continued throughout the day Thursday. Started to think maybe it was flu bug. I also had constant headache which I thought was from vomiting but it wouldn't go away. I had no other flu symptoms though either. Vomiting stopped on Friday am but nausea continued with headache and is still present today, 01/26/2021. Nausea is gone now. No other symptoms or issues.

Other Meds: Propranolol, Nexium, Vitamin B12,Calcium, Vitamin D3, Magnesium, tylenol arthritis, advil and flonase.

Current Illness: None.

ID: 0974216
Sex: F
Age: 28
State:

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: Seasonal

Symptoms: Muscle aches, chills, fatigue, malaise, anorexia. All started about 14 hours after injection, lessened within 24 hours after injection, fully recovered 36 hours after injection.

Other Meds: Yaz, zyrtec

Current Illness: none

ID: 0974217
Sex: F
Age: 44
State:

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: No known drug allergies

Symptoms: ED provider notes as follows: Initial Vital Signs [01/20/21 0010] Blood Pressure 136/74 Heart Rate 82 Respiratory Rate 20 Temp 36.7 ?C (98.1 ?F) Temp src Oral SpO2 98 % 44 y.o. female who arrived to the emergency department for Episode of right mid anterior chest pain intermittently ongoing starting around 10 PM this evening. She has had similar episodes in the past thought to be related to her gallbladder. Tonight she took some Pepcid and Tylenol. She denies any shortness of breath, or persistent chest pain, states pain has resolved since arriving in the emergency room. She denies any recent fever however she was recently given the second vaccine dose for COVID, and is having myalgias and symptoms she believes are related to the vaccination. She is requesting a COVID test. Patient denies sore throat, cough or abdominal pain. At this time only symptoms or myalgias. She continues to have no symptoms, her workup is reassuring, low suspicion for severe significant pathology, however would have a low threshold to return to the ER if chest pain would return or any other symptoms were to arise. COVID test came back negative.

Other Meds:

Current Illness:

ID: 0974218
Sex: F
Age: 77
State: OH

Vax Date: 01/15/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: On 1/26/21 the patient called to report that on 1/23/21 she woke up and noticed a very large red area on her arm where she received the vaccination, it was warm to the touch and sore. She denies muscle pain and is able to move her arm without pain. She states over the next few days following 1/23/21 the redness increased and continued to be warm to the touch. Patient did call and discuss with her physician.

Other Meds: None

Current Illness: None

ID: 0974219
Sex: F
Age: 42
State: WA

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: latex, penicillins, sulfa antibiotics

Symptoms: intermittent feeling of racing heart after first dose of moderna vaccine, lasting about 2 weeks and slowly improving. also at injection site, mild itching, redness starting about 10 days after the injection

Other Meds: ventolin (PRN), atorvastatin 40 mg, chlorthalidone 25 mg, citalopram 40 mg, flonase, flovent, lantus, victoza, lisinopril 10 mg daily, metformin 2000 mg daily, singulair 10 mg

Current Illness:

ID: 0974220
Sex: M
Age: 77
State: MI

Vax Date: 01/17/2021
Onset Date: 01/18/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None noted.

Allergies: No known allergies.

Symptoms: Noted at 5:37pm on 1/18/2021 with a temperature of 100.0 degrees Fahrenheit. Acetaminophen 650mg once administered. Temperature at 7:03pm on 1/18/2021 was 98.6 degrees Fahrenheit. No other side effects noted.

Other Meds: Prostat AWC 30mL three times daily. Apixaban 5mg two times daily. Diltiazem CD ER 240mg one time daily. Finasteride 5mg one time daily. Magnesium Oxide 400mg one time daily. Metformin HCL 1000mg two times daily. Multivitamin Tablet one time

Current Illness: None noted.

ID: 0974221
Sex: F
Age: 36
State: TX

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Metallic taste

Other Meds:

Current Illness:

ID: 0974222
Sex: M
Age: 37
State: KS

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: I had muscle aches, chills, fatigue, headache. All symptoms were mild. They lasted for about 24 hours after starting, or about 36 hrs after receiving the vaccine.

Other Meds: none

Current Illness: none

ID: 0974223
Sex: F
Age: 65
State: MA

Vax Date: 01/16/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: non

Symptoms: Redness on left arm starting on 1/24/2021. Itchy. Warm.

Other Meds: Effexor daily

Current Illness: sinus infection w abx use. ended 2 days prior to vaccine.

ID: 0974225
Sex: F
Age: 26
State: NE

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/26/2021
Hospital:

Lab Data: None

Allergies: No Known Allergies

Symptoms: 12/29: severe joint pain which prevented me from working (used OTC ibuprofen for symptom management), moderate sore arm, mild headache, mild nausea 12/30: severe facial nerve pain in right cheek onset in evening when I laid down in bed followed by a pins and needles tingling feeling. Went to clinic in morning of 12/31 due to lingering facial paresthesia. Was tentatively diagnosed with a mild/incomplete Bell's Palsy or a trigeminal neuralgia. Important to note that I did NOT have facial weakness or drooping. Was advised to not get the 2nd dose of vaccine. Did not receive any prescription medications. Facial paresthesia resolved within two days.

Other Meds: Kyleena IUD and OTC ibuprofen as needed

Current Illness: COVID-19 onset Dec 13 but fully recovered at time of vaccine

ID: 0974226
Sex: M
Age: 31
State:

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt. reported that he had a horrible headache from his first shot in this series and he wanted to go to the ER before the headache became severe. Pt. was given ketorolac in the ER.

Other Meds:

Current Illness:

ID: 0974227
Sex: F
Age: 39
State: WI

Vax Date: 01/13/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: n/a

Allergies: amoxicillin, sulfas

Symptoms: transient lingual papillitis

Other Meds: Lorazepam 0.5 mg, buspirone 30 mg, norethindrone 0.35 mg, ibuprofen and acetaminophen

Current Illness: none

ID: 0974228
Sex: F
Age: 43
State: OH

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: I had a sore arm 12 hrs that lasted three day. Two days after I noticed a rash on my chest, neck and face that was itchy red and raised. The next day, spread down my stomach, back, thighs and both arms.

Other Meds: I take zyrtec and pepside.

Current Illness: No

ID: 0974229
Sex: F
Age: 69
State: NY

Vax Date: 01/16/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 10 days after the injection i noticed while taking a shower that my left arm had a red spot that looked like i had a sunburn. it feels swollen or hard. Not panful or itchy

Other Meds: Synthroid

Current Illness:

ID: 0974230
Sex: M
Age: 92
State: VT

Vax Date: 01/18/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
Hospital: Y

Lab Data: CT Head/Brain

Allergies: Brimonidine, Prednisone

Symptoms: Patient had a fall at extended care facility, patient had worsening cognitive function. CT reveals subdural hematoma

Other Meds: ASpirin 81mg, Symbicort, vitamin C, finasteride, synthroid, losartan, fish oil, multivitamin, tamsulosin, Spiriva, trazodone

Current Illness:

ID: 0974231
Sex: F
Age: 61
State: CA

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

Lab Data:

Allergies:

Symptoms: Headache, nausea

Other Meds:

Current Illness:

ID: 0974232
Sex: M
Age: 81
State: AZ

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None

Allergies: Cipro

Symptoms: Dizziness the morning after vaccination (lasted 1 hour), chills the morning after vaccination ( lasted 3 hours), sore shoulder around vaccination injection (lasted 2-3 days)

Other Meds: Atorvastatin, famotitine, fish oil, vitamin D

Current Illness:

ID: 0974233
Sex: F
Age: 24
State: CT

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: unknown

Allergies: unknown

Symptoms: Patient comment immediately after receiving vaccine that her arm hurt, within mins of sitting in observation area she commented that her arm was numb down to her fingertips, the pharmacist administered Benadryl, very shortly after the patient stated she was having difficulty breathing, the pharmacist administered an epi-pen, shortly after she was brought to a room in the facility for observation, Before leaving the clinic, the facility stated that they believe she had a panic attack due to her history, We have reached out for confirmation but the patient has not returned our call.

Other Meds: unknown

Current Illness: unknown

ID: 0974234
Sex: M
Age: 62
State: GA

Vax Date: 01/19/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: SARS_COV_2_RNA, QL,RT PCR

Allergies: none

Symptoms: Tested positive for COVID 19, I starting showing symptoms of the virus on 1/22/2021 and they only worsened by 1/23/2021 therefore i went to be tested and got a positive result for the virus on 1/25/2021.

Other Meds: none

Current Illness: none

ID: 0974235
Sex: M
Age: 31
State:

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt. reported photosensitivity, headache, nausea, chills. Pt. went to ER and was given ketorolac.

Other Meds:

Current Illness:

ID: 0974236
Sex: F
Age: 48
State: NY

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 01/26/2021
Hospital:

Lab Data: none

Allergies: keflex, adhesive tape

Symptoms: extreme fatigue. I slept for two days following both vaccines, decreased energy. Sore arm which after the second dose remains a dull ache now at two weeks and 3 days after the second dose. Still have severe fatigue. I want to sleep all day.

Other Meds: multi vitamins, motrin, zyrtec, lamictal,

Current Illness: none

ID: 0974237
Sex: F
Age: 69
State: FL

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: none,

Allergies: beef fat and some nuts

Symptoms: Extreme fatigue, ultra sensitivity to taste (salt), loss of sense of smell, Symptoms lasted approximately 36 hours. Severity believed to be that tested positive for Covid on December 24, 2020. also experience increased blood pressure and heart rate. Covid caused short term memory loss issues. The vaccination seems to cause short term memory issues and Brain fog (inability of cognitive thinking)

Other Meds: losarten 50mg, hydrochorthizide 25mg, CQ10, 800unit, Vitamen D3, Allegra

Current Illness: Covid

ID: 0974238
Sex: F
Age: 56
State:

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

Lab Data:

Allergies:

Symptoms: Flu like sx, fatigue pain at injection site 2nd dose

Other Meds:

Current Illness:

ID: 0974239
Sex: F
Age: 51
State: MA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: none

Allergies: No

Symptoms: Swelling at the site, red, hot to touch for 3 days. After swelling went down I still have the red mark (size bigger than a quarter) and until yesterday (12 days after shot) the area was still hot. For over a week I felt exhausted, dizzy and hard to focus, a lot due to I'm sure anxiety because I have had a very difficult time getting answers from anyone.

Other Meds: Multi Vitamin Vitamin D Fish oil vitamin Buproprian

Current Illness: None

ID: 0974241
Sex: F
Age: 64
State: WI

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: Demerol

Symptoms: Temp pain in arm severe chills aching insomnia

Other Meds: Thyroid. Abilify Tylenol cbd cream Zarelto vitd Prozac b 12 Atenolol Trazadone

Current Illness: 0

ID: 0974242
Sex: F
Age: 77
State: FL

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None.

Allergies: Amoxicillin

Symptoms: One week later she woke up with an itchy, sore & red arm. Took Benadryl and the itchiness went away by the next day. The red area is now fading.

Other Meds: Glimerpride Xiguo

Current Illness: None.

ID: 0974243
Sex: M
Age: 63
State: NC

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None

Allergies: Augmentin

Symptoms: Server headache (probable migraine), chills, muscle aches, orthostatic hypotension, blacked out

Other Meds: Multivitamin, Benadryl, Klonopin .25mg, Prilosec, Vitamin B-2 100mg, Magnesium 400mg

Current Illness:

ID: 0974244
Sex: F
Age: 40
State: CT

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/26/2021
Hospital: Y

Lab Data:

Allergies: Multiple IV Antibiotics

Symptoms: PT shared that she had a history of allergic reaction to multiple antibiotics. PT denied that she had had an anaphylactic response and stated she did not carry an epi-pen. PT confirmed reading the fact sheet and review of the pre-vaccination questionnaire prior to coming to the clinic. At 5-10 min, RN checked with Patient. She stated she was feeling okay. She was reassured by RN that EMT staff were on site if she had any concerns. Pt stated "Yes, I work at the police department. They are the reason I came here for the vaccine." Within 20 min. of admin. she reported hives and itchy. Pt was imm. moved to the paramedic team, emergency care was initiated. Transfered to Hosp. ED

Other Meds: Denied

Current Illness: Reported she was feeling well

ID: 0974245
Sex: F
Age: 36
State: WA

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: Darvocet, Dilaudid, Morphine Codeine

Symptoms: Fever of 101.0, body aches, headache

Other Meds: None

Current Illness: The week before I had a fever for 2 days, sore throat, headache and body aches

ID: 0974246
Sex: M
Age: 65
State: MI

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

Lab Data: will be tested today at 240 pm

Allergies: nonw

Symptoms: joint/muscle pain- headache no fever or chills

Other Meds: Humalog lantus Plavix losartan rosuvastatin co q10 zinc vitamin c vitamin d seinorvitmultiple

Current Illness: none

ID: 0974247
Sex: F
Age: 26
State: IN

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None

Allergies: Zithromax

Symptoms: Patient complained of throat itching and swelling, along with tongue swelling a few minutes after the vaccination. Took 2 doses of 0.3 Epi at clinic and with EMS. Patient transported to ER. Upon arrival, symptoms resolved and patient had no other co's or distress with V/S being stable. Patient given prednisone, diphenhydramine and famotidine orally as a precaution, and discharged from the ER.

Other Meds: Unknown

Current Illness: None

ID: 0974248
Sex: F
Age: 71
State: TX

Vax Date: 01/17/2021
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: My 70-year-old wife Received the 1st Moderna Covid 19 Vaccine on 1/17/21 from Lot 037K20A at the center. She has developed a rectangular red rash approximately 7cm by 2.5cm at her vaccination site on her right arm. The rash is slightly raised above the surrounding skin area and is warm to the touch. Should we be alarmed over this event? Do you want to review pictures of the rash? Our contact information can be found below.

Other Meds:

Current Illness: none

ID: 0974250
Sex: F
Age: 37
State: CO

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

Lab Data: None

Allergies: Lidocaine allergy

Symptoms: Fever of 99.8 (so far), severe heachache, moderate nausea (almost threw up, but didn?t). I woke up very sweaty as well, which isn?t normal for me. We keep our house cool at night and it was a very cold night last night.

Other Meds: Synthroid

Current Illness: None

ID: 0974251
Sex: F
Age: 82
State: CA

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Increase from baseline confusion with weakness, decreased appetite, incoherence

Other Meds: escitalopram, HCTZ, losartan, Namzaric, potassium

Current Illness: none

ID: 0974252
Sex: F
Age: 80
State: AZ

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 12 hours after receiving first dose of Moderna, Chills, temp of 103, intractable nausea and vomiting and severe headache lasting for 30 hours.

Other Meds: Levethyroxine Simvistatin

Current Illness: None Had Covid 3 months prior to vaccination

ID: 0974253
Sex: M
Age: 58
State: MN

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/26/2021
Hospital:

Lab Data: TB test 12/29/2020

Allergies: None

Symptoms: When I talked to my PCP... Tuberculosis test was abnormal after receiving the first dose

Other Meds: Opempreziol Hydrochlorothiazide Vitamin D

Current Illness: None

ID: 0974254
Sex: F
Age: 78
State: AZ

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: EKG, blood work, lung Xray, urinalysis, all OK . Done on 1/24/2021

Allergies: none

Symptoms: chills, headache, fever, nausea ,delirious ,arm swollen and sore

Other Meds: Metformin, Metropolol,,Eliquis, CoQ10, Calcium, Alendronate, Nortriplyine, Artarvastatin, Levothyroxine, Hydrochlorothiazide,Zyrtec

Current Illness: none

ID: 0974255
Sex: F
Age: 57
State: WV

Vax Date: 12/23/2020
Onset Date: 12/29/2020
Rec V Date: 01/26/2021
Hospital:

Lab Data: Ophthalmology Exam

Allergies: none

Symptoms: corneal ulcer to left eye

Other Meds: Lisinopril Celexa Crestor

Current Illness: none

ID: 0974256
Sex: F
Age: 21
State: MA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: Amoxicillin and Zithromax

Symptoms: Arm pain began about 1 hour after, Fatigue began about 6 hours after the vaccine Severe body aches began about 12 hours after the vaccine making it difficult to sleep The morning after fatigue and body aches (including arm pain so bad I could not move my arm) persisted along with a low grade fever (typically about 99.6) throughout the day after Body aches started to get better about 32 hours after getting the vaccine The next morning (1/22) I felt great and my arm pain was very minimal!

Other Meds: Apri

Current Illness:

ID: 0974257
Sex: F
Age: 57
State: VA

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

Lab Data: None

Allergies: PCN

Symptoms: Received vaccine 1/25/21 around 10a. at 3am on 1/26/21 began having fever, aches and headache.

Other Meds: High blood pressure medication

Current Illness: No

ID: 0974258
Sex: F
Age: 79
State:

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None

Allergies: None apart from skin allergy to ammonia and peroxide

Symptoms: Painful, swollen glands at back of neck, shivering, fever, pounding headache, general body aches for 48 hours

Other Meds: Hyco san eye drops, calcium pills, cod liver oil.

Current Illness: None

ID: 0974259
Sex: F
Age: 71
State: NC

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

Lab Data: Vitals and cardiac monitoring

Allergies:

Symptoms: Felt dizzy and "heart racing", elevated BP noted with Afix on monitor. Patient felt "symptoms" at 15 minutes with periods of Afix and normal sinus on the monitor. Vitals and on going monitoring completed. Patient verbalized history of chronic Afib. No other symptoms and no distress noted otherwise. Patient and family declined ER treatment or further medical evaluation.

Other Meds: Multiple prescription medications

Current Illness: History of Afib

ID: 0974260
Sex: F
Age: 43
State: NJ

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

Lab Data:

Allergies: N/A

Symptoms: TINGLING. BODY ACHES AT BEDTIME. FREEZING THEN COLD. WOKE UP AT 2:30AM WITH A HEART RATE OF 96 AND TEMP OF 99.6. NEXT MORNING TEMP WAS 99.9. TOOK TYLENOL.

Other Meds: N/A

Current Illness: N/A

ID: 0974261
Sex: F
Age: 23
State: TX

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: On 01/15/2021 I experienced spotting and started my period 2 weeks before planned. This lasted till 01/18/2021.

Other Meds: Blisovi Vyvanse 60mg Adderall 10mg

Current Illness: None

ID: 0974262
Sex: F
Age: 60
State: MI

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

Lab Data: None

Allergies: Seasonal allergies, sulfas, penicillin, Dilantin

Symptoms: Slight fever, 99.2, with chills and muscle aches. Event occurred about 2:00 am on 01/26/2021. I took a Tylenol went back to bed. No fever upon waking. Minor muscle aches and mild soreness at injection site.

Other Meds: (Norvasc) Amlodipine Besylate 2.5 mg - 1tablet daily; Women's 50+ multivitamin; Vitamin D3 125mcg

Current Illness: None

ID: 0974263
Sex: F
Age: 23
State: VA

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

Lab Data:

Allergies: Codeine

Symptoms: I have body aches, chills, and a fever of 102.3.

Other Meds: Zoloft

Current Illness:

ID: 0974264
Sex: F
Age: 34
State: WI

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

Lab Data:

Allergies:

Symptoms: Chills, Headache, body aches, and temp 102

Other Meds:

Current Illness:

ID: 0974265
Sex: M
Age: 82
State: GA

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Patient into clinic on 1/26/2021 reporting fever, redness, swelling, soreness to injection site. Patient states temperature on Sunday was 104.0. He self-administered Acetaminophen and no fever since. Left arm appears swollen around injection site with redness extending about 1 inch above the bend of the elbow.

Other Meds: Gabapentin, Jantoven, -statin medication (unsure of the name), Flecainide, 1L of oxygen at night

Current Illness: None

ID: 0974266
Sex: F
Age: 33
State: AZ

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: none

Allergies: Pumpkin, Honeydew, Cantalope

Symptoms: Body felt on fire Headache and severe Joint pain

Other Meds: None

Current Illness: Hashimoto's

ID: 0974267
Sex: M
Age: 28
State: VA

Vax Date: 01/22/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: Cinnamon

Symptoms: Pain in lungs

Other Meds: Omeprozol, 5-Htp, l-thanine, St. John?s root, valerian root, krill oil

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm