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: 0975163
Sex: F
Age: 30
State: IA

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

Lab Data:

Allergies: pennicillin

Symptoms: Low grade fever.(highest 100.1) Headache. Nausea. Cold sweats. Body aches.

Other Meds: none

Current Illness: none

ID: 0975164
Sex: F
Age: 51
State: MO

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

Lab Data:

Allergies:

Symptoms: Employee experienced fever over 100.0, nausea, body aches, headache, joint aches - quite a lot of them.

Other Meds:

Current Illness:

ID: 0975165
Sex: M
Age: 79
State: HI

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

Lab Data: None

Allergies: None

Symptoms: Generall body aches, headache, fever (never got over 99.5), fatigue. Started late Friday, 1/22/2021, stayed in bed all day on Saturday and slept (1/23/2021), and felt much better by Sunday noon (1/24/2021). No problems since.

Other Meds: Levothyroxine, Baby Asprin, Amlodipine, Olmesartan, Nutrilite XX Multivitamin

Current Illness: None

ID: 0975166
Sex: F
Age: 79
State: TN

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

Lab Data: No

Allergies: Sulfa drugs and another one for nausea (don't remember the name)

Symptoms: Irregular heart rate pretty severe for a couple of hours then I had chills and enough to make my teeth clatter and also dry heave for some hours until I took the medicine under the tongue and it got better. I still have shaking in my hands and feet as well.

Other Meds: Herbasartin (HBP), calcium, magnesium and zinc, daily fiber (psyllium), women over 50 multivitamin, antacid (omeprazole)

Current Illness: No

ID: 0975167
Sex: F
Age: 50
State: CA

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

Lab Data: None

Allergies: weed; cats, dogs, dust mite, trees

Symptoms: muscle aches- back, shoulders, arms chills- Body temp dropped as low as 74 degrees. excessive sweating

Other Meds: Synthroid; cytomel; Vitamin D; Vetrolil inhaler; alvesco inhaler; Microgestin; Zertec

Current Illness: None

ID: 0975168
Sex: F
Age: 55
State: TX

Vax Date: 01/04/2021
Onset Date: 01/10/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: 01/10/2021 Positive COVID-19 Lab result

Allergies: Unkown

Symptoms: 01/10/21 Positive Covid test. Reported Nasal Congestion

Other Meds: Unknown

Current Illness: Unkown

ID: 0975169
Sex: M
Age: 79
State: AL

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

Lab Data:

Allergies: Ace inhibitors

Symptoms: rash on abdomen, back, arms, back of legs and in his head. Says it has not gotten worse that it is about the same and itches and is painful

Other Meds: Bp medication, cancer injection every 3 months

Current Illness: no

ID: 0975170
Sex: M
Age: 60
State: MO

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient has experienced ringing in ears since getting the vaccine; not a huge deal, just annoying. Message left on 12/30/20.

Other Meds:

Current Illness:

ID: 0975171
Sex: F
Age: 39
State: RI

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

Lab Data:

Allergies: Mushrooms - anaphylaxis 18 years ago

Symptoms: 1:08 Injection; 30 min wait time , 1:40 Tingly lower lip and dizzy 1:45 Benadryl 50mg; bp 122/72 HR 83, pox 99 2pm still dizzy ", somewhat ; somewhat less tingly lip" couldn't give a scale 2:20 per DNS Deb, improved slightly. 2:30 very tired - may be contributed to 50mg Benadryl. 2:30 medical director examined. She feels okay, sent home with another staff member. Suggest contact her dr tomorrow and before next vaccine. Suggest do it at a medical facility.

Other Meds: NONE

Current Illness: none Stated AFTER VACCINATION that she had a weird reaction to flu vax, dizzy, fever, chills the next day, but was fine immediately after

ID: 0975172
Sex: M
Age: 39
State: NJ

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

Lab Data:

Allergies:

Symptoms: Error: Incorrect Reconstitution

Other Meds:

Current Illness:

ID: 0975173
Sex: F
Age: 38
State: NY

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

Lab Data:

Allergies: Augmentin Honey Avocado

Symptoms: Body aches Fatigue Headache Lightheaded Nausea

Other Meds: Effexor Valtrex Thrive vitamin system

Current Illness: None

ID: 0975174
Sex: F
Age: 55
State: IN

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

Lab Data: N/A

Allergies: No

Symptoms: I couldn?t lift my arm above shoulder height or laterally without extreme pain for the first few days. The pain lessened for a day or two and then came back, but not as severe. It is uncomfortable to lift it even after applying heat and taking Extra strength Tylenol and Ibuprofen. It is keeping me awake at night and limiting movement in the upper right shoulder/bicep area.

Other Meds: Claritin, multivitamin, Calcium with Vit. D, cinnamon

Current Illness: No

ID: 0975175
Sex: F
Age: 42
State: CA

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

Lab Data:

Allergies: Penicillin, aspirin, tetracycline.

Symptoms: pain, swelling and redness of injection site, swelling of underarm lymph nodes.

Other Meds: Losartan 50mg, vitamin E

Current Illness: none

ID: 0975176
Sex: F
Age: 41
State: NC

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: NA

Allergies: Lidocaine causes swelling

Symptoms: Pt developed swollen lymph nodes in neck and bilateral axilla, fever, body aches, and fever with Tmax 100.4. Also states she had visual hallucinations, "wild" dreams, and seemed "incoherent" when talking with her husband. All symptoms have resolved but still has swollen lymph nodes in neck that wax and wane. Also c/o right side ear pain and right side sore throat x 2 days. Right side ear pain started on 1/24/21, 5 days after vaccine.

Other Meds: Buspar 10 mg, Flexeril 10 mg prn

Current Illness: NA

ID: 0975178
Sex: M
Age: 66
State: FL

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

Lab Data: MRI: 01/07/2021

Allergies: No known allergies

Symptoms: Patient received the vaccine on 12/21/2020 and shortly after began having headaches associated with decreased coordination and ataxia. Patient had an MRI performed at another facility which showed bilateral subdural hematomas and midline shift. Patient was operated on at another facility for evacuation of subdural hematomas. Post-op hospital course for unremarkable. Patient underwent physical therapy and rehabilitation at Doctors Memorial and discharged on 01/25/2021.

Other Meds: Gabapentin 600mg three times a day Glycopyrrolate 1mg three times a day as needed Tamsulosin 0.4mg at bedtime Primidone 50mg Propranolol 160mg extended release

Current Illness: No known illnesses

ID: 0975179
Sex: F
Age: 52
State: CA

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

Lab Data:

Allergies:

Symptoms: reported some itchiness, took some claritin

Other Meds:

Current Illness:

ID: 0975180
Sex: U
Age:
State: CA

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

Lab Data:

Allergies:

Symptoms: Tenderness in shoulder bone 2 inches above Injection site

Other Meds:

Current Illness:

ID: 0975181
Sex: M
Age: 0
State: FL

Vax Date: 04/13/2017
Onset Date: 04/13/2017
Rec V Date: 01/26/2021
Hospital: Y

Lab Data: Not applicable

Allergies: None

Symptoms: Patient was born and was responsive , healthy, and doing great for the first 20 hours of his life. Within one hour of the vaccine, it started to look like he was having a stroke. He was no longer responsive, one eye began free floating around, paralysis on side of face. Quickly developed a fever and began to convulse. Doctor claims it was all a febrile seizure. Patient is now nearly 4, and has a severe speech delay / impediment. I believe this delay and cognitive impairment is a result of that incident with the vaccine.

Other Meds: None

Current Illness: None

ID: 0975182
Sex: F
Age: 51
State:

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

Lab Data:

Allergies:

Symptoms: 2nd moderna, Flu like sx, fever and chills, HA

Other Meds:

Current Illness:

ID: 0975183
Sex: F
Age: 48
State: ID

Vax Date: 01/12/2021
Onset Date: 01/21/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: Asprin

Symptoms: rash at injection site, red, hot and swollen

Other Meds:

Current Illness:

Date Died: 01/19/2021

ID: 0975184
Sex: F
Age: 89
State: AR

Vax Date: 01/14/2021
Onset Date: 01/19/2021
Rec V Date: 01/26/2021
Hospital: Y

Lab Data: unknown

Allergies: none

Symptoms: The patient had a heart attack and died at a local hospital morning of 1/19/2021.

Other Meds: Unknown

Current Illness: none

ID: 0975185
Sex: F
Age: 54
State: MO

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

Lab Data:

Allergies:

Symptoms: Employee experienced dizziness, weakness, almost fainted very soon after receiving the vaccine. Employee felt fine the next day.

Other Meds:

Current Illness:

ID: 0975186
Sex: F
Age: 54
State: IN

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

Lab Data: N/A

Allergies: NKA

Symptoms: I felt good all day till about 130am then I started feeling very uncomfortable. I had positive Covid-19 and I was having some of those symptoms- very painful headache, terrible lower back pain , very tired, upset stomach and sore at injection site. I couldn't get comfortable . I started taking 3 Tylenol ES, Ibuprofen 800mg, and Pepto Bismol at same time every 4 hours. After about 18 hours I started feeling normal. The testing site told me some people are having reactions.

Other Meds: Nexium, Aspirin 81mg,Reglan 5mg,Phentermine 37.5mg, Trintellix 20mg, Voltaren 75mg,Trokendi XR 100mg, Trulicity 1.5 injectable q/week

Current Illness: None

ID: 0975187
Sex: F
Age: 62
State: WV

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

Lab Data: None. Self-managed at home.

Allergies: No known allergies (taken from hospital EPIC computer system)

Symptoms: Patient self-reported to the hospital's electronic ADR reporting system. In her own word, "After 2nd dose of Pfizer COVID-19 Vaccine 1/15/21, the injection site became swollen , itchy, and painful. The following day, under my armpit was swollen and painful. This lasted for 5 days".

Other Meds: Medication list Calcium carbonate 500mg po bid; cetirizine 10mg po daily; vitamin D 1000 units po daily; famotidine 20mg po bid; lisinopril 10mg po daily; multivitamin po daily.

Current Illness: Unknown

ID: 0975188
Sex: F
Age: 24
State: MA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: Physician has not ordered any tests or examined her

Allergies: none

Symptoms: Twenty four hours after vaccine administration patient had extreme fatigue, moderate to severe midline back of the neck pain (wouldn't move neck on own but I was able to passively flex it). Forty eight hours after vaccine pain spread down both arms. Seventy two hours after vaccine administration positive L'Hermitte's sign when pulling up pants. Since that event has had "feeling like she bumped her funny bones" bilateral upper extremities left>right. No weakness. Pain waxes and wanes but still present fourteen days after injection. Exhaustion continues.

Other Meds: birth control pill, clonidine .2mg at bedtime

Current Illness: none

ID: 0975189
Sex: F
Age: 37
State: AR

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

Lab Data: BP was 121/60, 20 mins later 102/58 Heartrate stayed around 58/60 Chest xray came back clear.

Allergies: Red dye contrast and percocet

Symptoms: About five minutes after the vaccine, my throat started to itch and a cough began. At 15 minutes I started to get hot, cough persisted, and a feeling of fatigue (I didn?t want to talk...very unusual). At 30 minutes the scratch in the throat turned to a lump, the cough was worse, and itching began on neck & face. The doctor on site gave an oral Benadryl tablet but in two minutes symptoms were worsening and vomiting started. My chest was tight and sweat began. The doctor administered 50 mg benadryl shot & a steroid. The lump was growing bigger, so they administered an epinephrine. Then I was sent to the ER. Upon arrival I received 25 mg of benadryl due to the whole body itching, but throat had relaxed. Also received IV fluids.

Other Meds: None

Current Illness: None

ID: 0975190
Sex: M
Age: 25
State: TX

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

Lab Data: None, have stayed home since.

Allergies: None

Symptoms: Since the morning after the vaccine have had a recurring low grade fever and steady fatigue. Headaches began on the second day after vaccine along with slight body aches. Was made known that I was in close contact with someone for several days prior who had tested positive for covid the same day as I received the vaccine.

Other Meds: None

Current Illness: None

ID: 0975191
Sex: M
Age: 56
State: IN

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

Lab Data:

Allergies: None

Symptoms: Woke up with a headache and muscle aches. Felt nauseous. Have been tired and achy for the last 12 hours and headache comes and goes.

Other Meds: None

Current Illness: None

ID: 0975192
Sex: M
Age: 59
State: NJ

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

Lab Data:

Allergies: NKA

Symptoms: EVENINING OF 1ST DOSE - LEFT ARM AND SHOULDER WAS EXTREMELY SORE. MIDNIGHT - NECK STARTED HURTING AND FELT A FLASH HEADACHE. SOON AFTER, BACK STARTING HURTING, (LOWER RIGHT & LEFT FLANKS OF BACK), NECK AND LEGS FELT WEAK. 9AM NEXT DAY, HEADACHE RETURNED.

Other Meds: NONE

Current Illness: CARPAL TUNNEL (CORTISON SHOT GIVEN 1/11/21)

ID: 0975193
Sex: F
Age: 57
State: AZ

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

Lab Data:

Allergies:

Symptoms: -Anaphylaxis Reaction -Hives -Tachycardia -Itchy -Flushed

Other Meds:

Current Illness:

ID: 0975194
Sex: F
Age: 62
State: MA

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

Lab Data: None

Allergies: Penicillin

Symptoms: Fever, chills, muscle aches, joint pain, nausea, headache, injection site pain, swelling, redness, itchiness

Other Meds: Anastrozole

Current Illness: None

ID: 0975195
Sex: F
Age: 33
State: IA

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

Lab Data: none

Allergies: thyroid suppressent bananas and avocadoes

Symptoms: 1st 4days of shot- had pain, soreness, chills. Pain went away but always little pink/red and little sore. 1/24/21- Started with joint pain, redness that comes and goes, heat on area and raised rash that comes and goes from where got shot down arm a few inches. States has 3 lines that come down. Feels like nerve pain. Has tried cremes like lidocaine and tiger balm. Is now taking ibuprofen. Encouraged patient to go to doctor office

Other Meds: Levothyroxine, Calcitrol, , Calcium and multivitamin

Current Illness: none

ID: 0975196
Sex: F
Age: 72
State: MI

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

Lab Data:

Allergies:

Symptoms: Rash and itching at injection site 7 days after vaccine administered

Other Meds: Meloxicam 7mg. VitaminD3

Current Illness:

ID: 0975197
Sex: F
Age: 52
State: WI

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

Lab Data: None

Allergies: No known allergies

Symptoms: At 11:55 pm, Covid-19 vaccine administered to client. 11:57 am, client escorted to vaccination observation room. 12:01 pm Client asked observer "Is it normal to feel light headed?"; Observer had client lie on the floor and elevate her legs; Observer radios for assistance 12:02 pm Assistance of RN arrived in the room. 12:03 pm Observer monitored B/P 146/98, pulse 66 Skin color good. Client verbalizing coherently. 12:05 pm Pulse oximeter applied 97%, pulse 77 12:10 pm B/P 122/66, pulse 84 Oximeter 97% 12:15 pm B/P 124/66 pulse 78, oximeter 97% Client assisted to sitting position. 12:27 pm B/P 124/66, pulse 78, oximeter 97% 12:30 pm Client release from clinic. Escorted to first floor and client then left the building.

Other Meds: Unkown

Current Illness: Not ill today. Unknown if ill in previous month

ID: 0975198
Sex: M
Age: 39
State: NJ

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

Lab Data:

Allergies:

Symptoms: Error: Incorrect Reconstitution

Other Meds:

Current Illness:

ID: 0975199
Sex: F
Age: 41
State: MA

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

Lab Data:

Allergies:

Symptoms: C/O feeling flushed at 15 min post injection mark. Skin pink warm and slightly diaphoretic vital signs 150/80; Denies SOB, itching, numbness/tingling to throat and mouth. Patient observationextended for additional 30 min. Vital signs after 25 min observation; 138/99-55-16-100%. Vital signs after additional 30 min = 138/83-50-16-99%. Patient drank apple juice and symptoms completely resolved. Advised to proceed to nearest ER if s/s return.

Other Meds:

Current Illness:

ID: 0975200
Sex: F
Age: 34
State: MO

Vax Date: 12/22/2020
Onset Date: 12/30/2020
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: On 12/30/2020 patient developed itchy rash at injection site, treating with hydrocortisone cream.

Other Meds:

Current Illness:

ID: 0975201
Sex: F
Age: 79
State: TN

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

Lab Data: No

Allergies: Sulfa drugs and Demerol for nausea)

Symptoms: At night headaches started and lasted all night and they were all over my head, just like I was wearing a helmet. I also had 2 days of beinf lethargic and sleepy. Still feel tired. I recovered from everything except the trembling and the fatigue.

Other Meds: Herbasartin (HBP), calcium, magnesium and zinc, daily fiber (psyllium), women over 50 multivitamin, antacid (omeprazole)

Current Illness: No

ID: 0975202
Sex: M
Age: 45
State: SD

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

Lab Data:

Allergies: None

Symptoms: He has a fever of 102.2 and having chills and body aches complaint about lack of energy .

Other Meds: Metformin Lisinopril Atovastin Victoza

Current Illness: Diabetic type 2

ID: 0975203
Sex: F
Age: 36
State: CT

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

Lab Data: n/a

Allergies: nkda

Symptoms: Moderna COVID-19 Vaccine EUA; fever, chills, body aches, nausea, loss of appetite, lethargy, upper body rash

Other Meds: daily birth control

Current Illness: none

ID: 0975204
Sex: F
Age: 61
State: TX

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

Lab Data: none

Allergies: None

Symptoms: Fever, body aches, headache, chills. Took Tylenol for aches and fever. Symptoms continue at this time.

Other Meds: Vitamin D, Vitamin C, Vitamin B complex, Lysine, Beef Liver, Thyroid complex

Current Illness: None

ID: 0975205
Sex: F
Age: 25
State: MA

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

Lab Data:

Allergies:

Symptoms: Complained of pressure in chest, was anxious prior to vaccination. VS 154/100, HR 138. Asked to remove mask and took slow deep breaths, no improvement. 141/100 HR 103, complained of tongue feeling thick, speech impacted. Transfer to ED via stretcher

Other Meds:

Current Illness:

Date Died: 01/22/2021

ID: 0975206
Sex: F
Age: 87
State: OH

Vax Date: 12/22/2020
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: CBC & BMP on 1/8/21 Routine labs Chest X-ray on 1/18/21- no acute pathology Urine culture 1/18/21 final results on 1/21/21 E. Coli infection

Allergies: No known allergies

Symptoms: 1 fall after first dose on 1/8/2021 at 1930; no injuries; 4 falls after second dose on 1/14/21 at 1545, 1/15/21 at 1700, 1/21/21/at 1220 and 1/21/21 at 1330 all falls with no injuries. Started Ceftriaxone 1 GM IM daily for 5 dyas on 1/21/21 for UTI: E. Coli

Other Meds: Aricept 10 mg at bedtime; Cerovite Sr, Tablet 1 tablet daily; Coreg 6.25 mg two times a day; Ferrous Sulfate 325 mg two times a day; Folidc Acid 1 mg daily; Lexapro 5 mg daily; Lisinopril Hydrochlorothizide 20-12.5 mg daily; Methimazole 5 m

Current Illness: 11/30/2020 positive for Covid-19

ID: 0975207
Sex: F
Age: 40
State: CA

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

Lab Data:

Allergies:

Symptoms: 0905 experienced hypotension 97/54 BP rechecked by RN 104/78 Patient had no further symptoms and was ok to go home

Other Meds:

Current Illness:

ID: 0975208
Sex: F
Age: 62
State: CA

Vax Date: 01/16/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Itching and redness at injection site spreading out about 2 inches began 7 days post injection

Other Meds: 500mg Vitamin C Calcium Citrate

Current Illness:

ID: 0975209
Sex: F
Age: 49
State: MA

Vax Date: 01/20/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rash formed around eyes. HCP recommended we report as it may be related to vaccine. Steroid cream being applied.

Other Meds:

Current Illness:

ID: 0975210
Sex: F
Age: 65
State: TX

Vax Date: 01/08/2021
Onset Date: 01/21/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: Dr. examined and questioned me. He prescribed Medrol pack, and OTC Claritin (one daily for a week). Gave instructions to go to Urgent Care if symptoms worsen.

Allergies: codeine, lactose, omeprazole

Symptoms: notice a redness at injection site and measured size (5cm x 6cm) on morning of 1-21-21. slight warmness to touch. measured again on morning of 1-22-21 (6cm x 10cm). Called pharmacist who suggested I take benedryl and call doctor. I did both. Saw doctor at 2:30 on 1-22-21.

Other Meds: Losartan, Crestor, Toprol, aspirin, fish oil, multivitamin

Current Illness: none

ID: 0975211
Sex: F
Age: 51
State:

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

Lab Data:

Allergies:

Symptoms: Flou Sx , fever, chills, body aches, HA

Other Meds:

Current Illness:

ID: 0975212
Sex: F
Age: 42
State: CA

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

Lab Data: n/a

Allergies: None

Symptoms: Felt hot

Other Meds: None

Current Illness: unknown

ID: 0975213
Sex: F
Age: 22
State: MO

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

Lab Data:

Allergies: Latex, adhesive

Symptoms: Migraine that lasted 12 hours, and high heart rate with resting and minor activities. Running anywhere from 95-130 resting and 130-150 with light walking to and from. Normal resting heart rate is 70's, and moderate activity is usually in the 90's.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm