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: 0975214
Sex: M
Age: 86
State: NC

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

Lab Data:

Allergies: Na

Symptoms: He had a stroke later that night after receiving vaccine.

Other Meds:

Current Illness: Na

ID: 0975215
Sex: F
Age: 26
State: KY

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

Lab Data: N/A

Allergies: N/A

Symptoms: Approximately 12 hours after the administration of the second COVID19 Pfizer vaccine, I experienced chills and myalgia through the night. I did not improve when I woke up on 01/25. The chills and myalgia worsened and were complicated by vomiting without blood. I called off sick from work and took 3 Aleve tablets. I went back to sleep with improvement in symptoms approximately 6 hours later, with only mild myalgias and a very sore L. arm. Symptoms completely resolved by the morning of 01/26.

Other Meds: 1. Vit. D supplement 2. Calcium supplement 3. escitalopram 4. propranolol PRN

Current Illness: N/A

ID: 0975216
Sex: F
Age: 62
State: MI

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

Lab Data: NA

Allergies: PCN

Symptoms: RECEIVED CALL FROM PT. SHE HAD HER 2ND MODERNA VACCINE 1/25 IN THE OFFICE. STATES WOKE UP AROUND 2AM WITH TERRIBLE HEADACHE, AND THEN AS MORNING PROGRESSED, SHE NOTICED SWELLING OF THE RIGHT SIDE OF HER FACE. EXTENDS FROM JAW UP ALONG NOSE AND BACK TO MID CHEEK. STATE SHE FEELS FINE OTHERWISE. STATES SHE WHEN SHE SMILES BOTH SIDE OF MOUTH TURN UP, NO LOSS OF SENSATION. PT STATES SHE DOES NOT HAVE SMART PHONE AND CANNOT FILL OUT VSAFE INFO, NO COMPUTER AT HOME EITHER. ASKED PT IF THIS RN CAN FILL OUT VAERS ON HER BEHALF. PT AGREEABLE.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 0975217
Sex: F
Age: 54
State: WI

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

Lab Data: none

Allergies: Bee stings

Symptoms: Within 3 minutes of receiving the vaccine, felt that tongue was "getting fat"

Other Meds: Alleve at 12:30

Current Illness: none

ID: 0975218
Sex: M
Age: 42
State: OK

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

Lab Data: unknown

Allergies: Unknown

Symptoms: Client reported dizziness and requested an ambulance. BP taken and client continued to report dizziness. Client moved to lay down on the floor and elevated feet. Client then started to report numbness in his tongue and the room "spinning." EMSA called. O2 via non-rebreather given. BP continued to be monitored (130/82 at 1023, 142/78 at 1027, 130/81 at 1037). Client reported symptoms improved- tongue no longer numb. EMSA arrived at 1040 and client transported to ambulance and taken to hospital for further evaluation.

Other Meds: Unknown

Current Illness: Unknown

ID: 0975219
Sex: F
Age: 25
State: KS

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

Lab Data: None

Allergies: None that I know of

Symptoms: Dizzy, light headed, nauseous, and some chest pain

Other Meds: Birth control, apple cider vinegar vitamin, B12, and occasional allergy medication

Current Illness: N/A

ID: 0975220
Sex: M
Age: 51
State: NY

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

Lab Data: none

Allergies: nkda

Symptoms: Given Moderna as 2nd dose, received 1st dose of Pfizer

Other Meds: atorvastatin, sertraline,

Current Illness: none

ID: 0975221
Sex: F
Age: 30
State: MA

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

Lab Data:

Allergies:

Symptoms: Flu like systems for over a week. Still ongoing. 100+ fever daily.

Other Meds:

Current Illness:

ID: 0975222
Sex: F
Age: 44
State: CA

Vax Date: 01/15/2021
Onset Date: 01/18/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: N/A

Allergies: Avocado, walnut.

Symptoms: Tenderness and 3.5 to 4 cm round moderate erythema with pain present. Looks indicative a localized hypersensitivity reaction that has last for 11 days. Shortness of breath and Headache is also reported and still persist 11 days after vaccine administration.

Other Meds: Epipen, Benadryl, Albuterol, meloxicam,

Current Illness: N/A

Date Died:

ID: 0975223
Sex: F
Age: 105
State: TX

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: Azithromycin and Sulfa antibiotics

Symptoms: Systemic: Headache-Severe, Systemic: Other- Death 8 days after receiving the vaccine-Severe

Other Meds:

Current Illness:

ID: 0975224
Sex: F
Age: 59
State: AR

Vax Date: 05/01/2020
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: Sulfa, iodine, yellow dye, shell fish

Symptoms: my whole arm hurt from injection, tired and didn't eat a lot, a slept . and ended up still get shingles on 01/22/2021

Other Meds: Cholesterol and blood pressure medication

Current Illness:

ID: 0975225
Sex: F
Age: 51
State: CT

Vax Date: 01/14/2021
Onset Date: 01/17/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: Went to ER on Day 11 (1/25/21) - follow-up with PCP on 1/27/21

Allergies: Gluten, dairy, Isoniazid

Symptoms: Triggered a migraine within a day. Within 3 days, muscle weakness and fatigue. On day 11, muscles in jaw tight - unable to open or close my jaw. Difficult to eat.

Other Meds: escitalopram, trazodone, omega 3 fish oil, vitamin d3, vitamin b12, Emgality, Singulair, Salt tablet, electrolyte tablet

Current Illness: No acute illnesses

ID: 0975226
Sex: M
Age: 46
State: MO

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

Lab Data:

Allergies:

Symptoms: Employee felt ok until 1pm, experienced chills, fever, and headache.

Other Meds:

Current Illness:

ID: 0975227
Sex: M
Age: 70
State: MN

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

Lab Data: None

Allergies: None known

Symptoms: Fever, chills from 10:30 pm till 7:00 am the following day.

Other Meds: Metrformin, Lantus, Januvia, Glimepride

Current Illness: None

ID: 0975228
Sex: M
Age: 45
State: VA

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

Lab Data: N/A

Allergies: NKDA

Symptoms: The patient did not have any adverse reactions during the 15 minute observation, nor any reported the day of the vaccine. Between his COVID diagnosis and the second vaccine, he had serval documented complaints of nausea, dizziness, body aches. The patient had a virtual visit on 1/21/2021 for dizziness, nausea and fever. At this time, these symptoms had been persistent for one month according to his medical records. Patient later presented to the Urgent Care for with a fever of 103.1, rigors, nausea and cough. Patient admitted to hospital for sepsis.

Other Meds: Zofran, Vistaril,

Current Illness: Patient diagnosed with COVID on 12/30/2020. Since diagnosis, up until second vaccine on 1/20/2021, patient had c/o dizziness, body aches, fever, and ringing in the ears. Patient seen in Urgent Care on 12/30/ 2020 for vomiting, dehydration, dx with bacterial coinfection. First COVID Vaccine administered on 12/ 23/2020. No reaction to initial vaccine.

ID: 0975229
Sex: F
Age: 62
State: FL

Vax Date: 12/26/2020
Onset Date: 12/27/2020
Rec V Date: 01/26/2021
Hospital:

Lab Data: No

Allergies: I am allergic to Codeine.

Symptoms: I had a fever of 102.6 that lasted for 4 days, myalgia, nausea and a headache.

Other Meds: I take Levothyroxine, Lisinopril, HCTZ, Lipitor, Effexor, Tramidol FLexoril and Voltaren.

Current Illness: No

ID: 0975230
Sex: F
Age: 68
State: OH

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

Lab Data: None. Patient self-managed at home.

Allergies: No known allergies

Symptoms: Patient self-reported through the hospital. In her own words, "After 2nd dose of Pfizer COVID-19 Vaccine 1/15/21 @ 0630, at 2030 developed generalized aching, chills, weakness and sleepiness. Woke up at 0300, went to bathroom and passed out returning to bed. Awakened soaked in perspiration. Had dry heaves and 1 loose stool. Felt weak and sleepy until 0700, then felt mostly normal. Symptoms relieved by 1000. No other symptoms after that".

Other Meds: Medication list taken from the hospital: famotidine 40mg po QPM; multivitamin po daily; Metamucil 1 packet po daily.

Current Illness: Unknown

ID: 0975231
Sex: F
Age: 66
State: OR

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

Lab Data: none

Allergies: allergic to too many foods to list them Major one is limes

Symptoms: Had onset of headache which lasted at least 6 hr, also had fever of 99.9

Other Meds: Levothyroxin 50 mcg Bupropion 150 mg Nexium 40 mg Proventol inhaler

Current Illness: none

ID: 0975232
Sex: F
Age: 61
State: IN

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

Lab Data:

Allergies:

Symptoms: Itchiness all over body

Other Meds:

Current Illness:

ID: 0975233
Sex: F
Age: 51
State:

Vax Date: 01/20/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fatigue, flu Sx

Other Meds:

Current Illness:

ID: 0975234
Sex: F
Age: 40
State: RI

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

Lab Data:

Allergies: none

Symptoms: 1:42 injection 1:58 reported tingly lip and feels funny, Benadryl 50mg given, no injection site reaction, lip and tongue unremarkable POX 99, P 78, bp 128/66 2:05 feels "funny, " dropping papers, appears nervous 2:20 DNS reported improved tingle 2:30 Dr. evaluated cleared resident to go home before Benadryl kicks in, tired. She stated "I feel fine"

Other Meds: unknown

Current Illness: none

ID: 0975235
Sex: F
Age: 63
State: CA

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

Lab Data:

Allergies:

Symptoms: c/o chest heaviness 45 mins after vaccine. assessed by provider for 30 minutes and dc'd back to work to follow up with pcp

Other Meds:

Current Illness:

ID: 0975236
Sex: M
Age: 67
State: FL

Vax Date: 01/21/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Received the Moderna COVID-19 Vaccine EUA on 01/21/2021 @ 10:30am in my left arm. On 01/25/2021 in the evening I noticed a soreness in my left collarbone and felt what I think is a swollen gland. I have not pursued any additional medical assistance from my primary care physician or my healthcare specialist.

Other Meds: Hydrochlorothiazide Tabs 12.5 mg ? once daily Benazepril HCL Tabs 10 mg? once daily Esomeprazole Mag (Nexium) Caps 40 mg - once daily Levocetirizine Dihydro Tabs 5 mg? once daily Fluticasone Propionate nasal spray 1 per day as needed Mon

Current Illness: None

ID: 0975237
Sex: F
Age: 39
State: SD

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

Lab Data: None

Allergies: Z-pak GI issues

Symptoms: Left lower lip and Left tip of tongue tingling. Symptoms remain after 3 weeks

Other Meds:

Current Illness: no

ID: 0975238
Sex: F
Age: 28
State: FL

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: N/A

Allergies: NKA

Symptoms: Swollen at site of injection, warm to touch, itching, large red rash around injection site. Lasted for approximately ~1.5-2 days, redness around injection site persisted for total of ~4 days.

Other Meds: multi-vitamin, IUD Kyleena

Current Illness: N/A

ID: 0975239
Sex: M
Age: 84
State: CT

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

Lab Data:

Allergies: Beta blockers

Symptoms: General malaise, dehydration, overall weakness, lasting about 24 hours

Other Meds: adderall, Ranexa, Eliquis, Finesteride, Crestor, Diltiazem, aspirin

Current Illness:

ID: 0975240
Sex: F
Age: 31
State: MO

Vax Date: 12/24/2020
Onset Date: 12/24/2020
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient experienced dizziness, sickness feeling on the back of her tongue, and sharp pain. Patient is also taking Benadryl for headache treatment as prescribed by HCP.

Other Meds:

Current Illness:

ID: 0975241
Sex: F
Age: 27
State: MA

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

Lab Data:

Allergies: unknown

Symptoms: Systemic: Generalized Body Aches -Mild, Systemic: Other- injection given in left arm and patient complained of muscle soreness of right thigh. Patient had also reported side effects to previous vaccines but did not note it on the consent form.

Other Meds:

Current Illness:

ID: 0975242
Sex: F
Age: 39
State: MA

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

Lab Data:

Allergies: no

Symptoms: I had left wrist pain distributed up my arm that was severe for 4 days, I've had issues with that before and that seemed to flare it. I took Tylenol and rested it and it got better after about 4 days, I saw the Dr 5 days later and he gave me a splint

Other Meds: Levothyroxine, zyrtec

Current Illness: no

ID: 0975243
Sex: F
Age: 49
State: OK

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

Lab Data:

Allergies: none

Symptoms: Chills and rigors continuing at almost 3 weeks. Temp measured at time of chills and rigors has been no less than 100.9. Last measured temp 101.3. Highest measured temp 101.8.

Other Meds: Aimovig 140 mg monthly

Current Illness: none

ID: 0975244
Sex: M
Age: 29
State: NJ

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

Lab Data:

Allergies: NONE

Symptoms: CHILLS, EXTREME TIREDNESS, HIGHER BP, HEADACHE, FOGGY.

Other Meds: LOSARTAN; HCTZ

Current Illness: NONE

ID: 0975245
Sex: F
Age: 65
State: TX

Vax Date: 01/20/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None.

Allergies: allergy to Juniper-Cedar tree pollen

Symptoms: Day 2, a little pain at injection site. Day 4, I found an itchy hard lump was underneath the bandaide at the injection site. The lump was hot, bright red, and it was the same size as a mosquito bite. The lump went after 2 days. I did not do any treatment. I have been very tired since the injection, and I have to sleep 3-4 hours during the daytime. I do not normally have to take a nap during the day. I am still very tired and am sleeping a lot since the injection. Normally I am very active during the day.

Other Meds: Calcium, minerals, allergy herbals

Current Illness: none

ID: 0975246
Sex: M
Age: 84
State: FL

Vax Date: 01/07/2021
Onset Date: 01/19/2021
Rec V Date: 01/26/2021
Hospital: Y

Lab Data:

Allergies: NKMA

Symptoms: ~2 weeks after 1st dose, patient suffered cerebral hemorrhage. Was also on Eliquis. Received KCentra.

Other Meds: Gabapentin, tamulosin, atorvastatin, isosorbide, KCl, shingrix (4/23/20), twinrx (4/23/20), synthroid, omeprazole, eliquis

Current Illness:

ID: 0975247
Sex: F
Age: 62
State: MA

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

Lab Data:

Allergies:

Symptoms: Given 0.5 ml Pfizer vaccine instead of 0.3 ml

Other Meds:

Current Illness:

ID: 0975248
Sex: F
Age: 30
State: IN

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

Lab Data:

Allergies: Penicillin

Symptoms: I have been breaking out in hives every day since receiving my vaccine

Other Meds: None

Current Illness: None

ID: 0975249
Sex: F
Age: 52
State: KY

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

Lab Data: none

Allergies: Peanuts Milk

Symptoms: Started with a knot at the shot It became bigger and red and red and big as a golf ball. Had fatigue anxiety weak chills fever palpations shortness of breath not able walk up stairs good muscle pain hip pains arm pain going down to my finger tips was not able to hold up straight up still today hurt to pull back or raise it all the way up.

Other Meds:

Current Illness:

ID: 0975250
Sex: F
Age: 64
State: FL

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

Lab Data: 1/26 negative covid 1/26 PCR sent

Allergies: penicillin

Symptoms: By 5 in afternoon I had a fever. Headache and chills. Took tylenol to bring fever down and rest. Next day increased blood pressure, foggy, confused, aches, increased temp and fatigue. Fever continued until 1/24. Increased blood pressure until 1/26. 12/25 went to DR office. given z pack. Head ache, fatigue, and some foggy/confusion continues. Continue to drink fluids and rest. 1/26 went to DR walk in clinic to get covid testing per DR order. Fast test came back negative so they took another sample to send out to lab.

Other Meds: valsartan 80mg, women's multivitamin, inflam free(vitalogic), cholesterol formula(vitalogic), 2000 garlic, align women health pre/pro biotic.

Current Illness: water in left ear 2 weeks prior

ID: 0975251
Sex: F
Age: 23
State:

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Flu like Sx

Other Meds:

Current Illness:

ID: 0975252
Sex: F
Age: 29
State:

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

Lab Data:

Allergies:

Symptoms: Started with a headache then progressed to itchiness all over arms.

Other Meds:

Current Illness:

ID: 0975253
Sex: F
Age: 49
State: MO

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reports everything fine when receiving vaccine, on 1/5/2021 patient reporting injection site is swollen, red, hard, and hot to the touch.

Other Meds:

Current Illness:

ID: 0975254
Sex: F
Age: 35
State: VA

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: swollen axiallary lympnode on left side (side of vaccine)

Other Meds:

Current Illness:

ID: 0975255
Sex: F
Age: 26
State: NY

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

Lab Data:

Allergies: peanuts

Symptoms: **Patient has fully transitioned to male has had everything removed** Woke up around 3AM fever, chills, blisters going back and lower arm. I have one on my hand and I have line going up to my elbow then on blisters on my back as well. It looks like chicken pox. They are itching and hurt. Has called his doctor, sent over photos of the "blisters" still waiting for a call back

Other Meds: Testosterone injections

Current Illness:

ID: 0975256
Sex: M
Age: 78
State: NV

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

Lab Data:

Allergies:

Symptoms: 76 hours after vaccine fever of 99.6 aches stomach uncomfortable

Other Meds: Valsartan Oscal Low dose aspirin Vitamin D

Current Illness:

ID: 0975257
Sex: F
Age: 36
State: CA

Vax Date: 01/14/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: Cutaneous reaction to metronidazole

Symptoms: 3x5 erythema and pruritus at injection site

Other Meds: Prenatal vitamins, birth control pill

Current Illness: None

ID: 0975258
Sex: F
Age: 17
State: NM

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

Lab Data:

Allergies:

Symptoms: Error: Too Young for Vaccine

Other Meds:

Current Illness:

ID: 0975259
Sex: F
Age: 71
State:

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

Lab Data:

Allergies:

Symptoms: 1:45 warmth of entire left arm and felt anxious, felt elevated heart rate and shakey b\p 190/90 heart rate 90 2pm 176/72 heart rate 90 sat up 160/90 gave OJ to drink released 2:30 178/88 heart rate 80 Instructed to seek medical attention if further problems. Was walked to car

Other Meds:

Current Illness:

ID: 0975260
Sex: F
Age: 52
State:

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

Lab Data: none

Allergies: Penicillin

Symptoms: 1238 - patient feels blurred vision, itching, tingling sensation in her tongue and on the left side of tongue. Did not take her BP medications today. EMT on site in attendance 1241 - BP 194/110; HR 62; O2 99% on room air. 1246 - BP 200/160 manual auscultated left arm. Patient states she has an appointment to see physician tomorrow. EMT advised on EMS for further eval and/or transport to hospital. Patient does not want to go to the hospital. She states she will have her husband drive her and will take her BP meds when she gets home. 1253 - patient states that the itching on her tongue is subsiding. States she was anxious today because her sister had a reaction the the COVID vaccine and that she also had a sister recently pass from COVID disease. States she was feeling anxious and scared when coming in for the shot today. 1258 - BP 220/140, HR 72; O2 99% 1301 BP 206/121 1305 - Denies blurred vision or numbness in her tongue. Itching is subsiding. Recommended EMS transport to local hospital. Pt. declined. Nurse stressed to patient that BP is critical and that she should seek immediate care to risk stroke or MI. Patient decided to have her husband drive her to the hospital from vaccination site.

Other Meds: Metformin, lisinopril, levothyroxine

Current Illness: nONE

ID: 0975261
Sex: F
Age: 57
State:

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

Lab Data:

Allergies:

Symptoms: HA, Injection site pain with redness

Other Meds:

Current Illness:

ID: 0975262
Sex: M
Age: 20
State: OR

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

Lab Data:

Allergies: Cats, Codeine, Pollen

Symptoms: Rash/Hives with Dermatographia. No Anaphylaxis or SOB. Noted the next morning on legs after he went snowboarding. Has been persistent despite benadryl. Not worsening

Other Meds: Truvada 200-300mg 1 tab po daily

Current Illness: None

ID: 0975263
Sex: F
Age: 46
State: CA

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

Lab Data: n/a

Allergies: Aspirin

Symptoms: Felt warm and flushed with elevated Blood Pressure

Other Meds: Amlodipine, vitamin d, and fish oil.

Current Illness: unknown

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm