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: 0975517
Sex: F
Age: 42
State:

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

Lab Data:

Allergies:

Symptoms: Nausea and dropped to the floor. Nurse Alert called. Upon UC RN arrival, patient awake and alert. Advised she was pregnant and having morning sickness. Tolerated juice and crackers and discharged.

Other Meds:

Current Illness:

ID: 0975518
Sex: F
Age: 75
State: TX

Vax Date: 01/13/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None, so far

Allergies: Codeine, clorhexidine, multiple food allergies, allergic nasal rhinitis, dermatitis, preservatives, dyes

Symptoms: 12 days after getting the vaccine, my upper left arm (injection site) is slightly sore, red, and inflamed. The affected area is about 4 inches from the top to the bottom and about 2 inches side-to-side. It feels feverish. I seem to be okay otherwise.

Other Meds: Sertraline HCL, Lisinoril, Trazodine, Montelukast, aspirin, Famotidine, Loratidine, fexofenadine hydrocloride, albuterol sulfate, multivitimine, calcium, magnesium, N-Aceytl Cysteine, Co-Q10

Current Illness: none

ID: 0975519
Sex: F
Age: 53
State:

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

Lab Data:

Allergies:

Symptoms: Arm pain, red raised lump dx as cellulitis. HA fatigue.. completing PO ABX

Other Meds:

Current Illness:

ID: 0975520
Sex: M
Age: 45
State: LA

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

Lab Data:

Allergies: PCN, SULFA DRUGS

Symptoms: PT C/O FLUTTERING HEART, HEART BEATING FAST, DRY MOUTH, TINGLING IN CHEEKS. 1140: V/S TAKEN BP:158/100 P: 110 RESP 16 SPO2 99%, ELEVATED BP AND PULSE. 1145: ADMIN OTC BENADRYL x 2 CAP PO. PT TOLERATE WELL. 1148: V/S TAKEN BP:150/96 P: 92 RESP 12 SPO2 99%. 1150: PT STATES THAT HE IS FEELING BETTER. A&Ox4. 1153: V/S TAKEN BP:150/96P: 92RESP 12 SPO2 99%. 1200: V/S TAKEN BP:146/92P: 91RESP 12 SPO2 98%. PT INSTRUCTED NOT TO DRIVE, AND F/U WITH PCM IN REGARDS TO H/O OF TIA WITH TODAYS V/S ELEVATED BP AND PULSE. PT WAS FEELING BETTER AND STABLE.

Other Meds: CRESTOR, LOSIPRO, BABY ASPIRIN, OTC TYLENOL

Current Illness: NONE

ID: 0975521
Sex: F
Age: 26
State:

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

Lab Data:

Allergies: PCN, Sulfa based meds

Symptoms: Arm soreness, swelling below injection site,

Other Meds: Prilosec, Adderall

Current Illness: n/a

ID: 0975522
Sex: M
Age: 86
State: FL

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

Lab Data: none

Allergies: none

Symptoms: stomach cramps and soft stool still active

Other Meds: metformin aspirin metropolo lisinipril

Current Illness: none

ID: 0975523
Sex: F
Age: 94
State: OK

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

Lab Data:

Allergies: cephalosporins, sulfa (sulfonamide antibiotics)

Symptoms: Sore Arm started day of vaccination and has lasted 3 days.

Other Meds: Med Pass

Current Illness:

ID: 0975524
Sex: M
Age: 61
State: OH

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

Lab Data:

Allergies: jardiance, shellfish derived

Symptoms: L arm with injection site redness and swelling beginning 1/26/2021. Area mildly tender.

Other Meds: metformin, atorvastatin, glimepiride, ozempic, lantus, voltaren gel, magnesium oxide, aspirin, multivitamin,vitamin D3

Current Illness:

ID: 0975525
Sex: F
Age: 34
State: AL

Vax Date: 01/14/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: Ceclor, avocado, animals, environmental

Symptoms: 8 hours after receiving the injection on 1/14/21 I had (as expected) extreme soreness of the injection site and could not move my arm much or touch directly over the site. This was mostly resolved within 48 hours. 72 hours after the injection I had a silver dollar sized area of redness, erythema and itching. This resolved over the course of the next two days. I had daily headaches for around 7 days. 11 days after receiving the injection I developed a large area of redness, erythema, itchiness and hives over the injection site (around 3 inches in diameter). I have not noticed any other systemic symptoms besides that.

Other Meds: Bree Elliott inhaler, Albuterol HFA, Allegra, Protonix, Adderall, Birth Control, multivitamin, Vitamin D

Current Illness: None

ID: 0975526
Sex: F
Age: 37
State:

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

Lab Data: none

Allergies: none

Symptoms: red, itchy, swollen upper right arm, large lump

Other Meds: multivitamin, vitamin b complex, adderall, sprintec, tumeric, spirulina

Current Illness: none

ID: 0975527
Sex: F
Age: 51
State: MT

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

Lab Data: None.

Allergies: Aspirin and Ibuprofen

Symptoms: Came home from having the vaccine arm pain, around midnight started getting fever which was 103.5 at that time, now it is 104.1 after taking Tylenol 500 mg every 4 hours, last dose at 2:00 PM.

Other Meds: None.

Current Illness: None.

ID: 0975528
Sex: F
Age: 39
State: NC

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

Lab Data:

Allergies: KIWI; AVELOX

Symptoms: FACIAL AND LEFT ARM ITCHING; LUMP IN THROAT; TREATED WITH BENADRYL AND SOLUMEDROL INJECTION

Other Meds:

Current Illness:

ID: 0975529
Sex: F
Age: 65
State: DC

Vax Date: 08/31/2020
Onset Date: 09/01/2020
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: Robitussin I don't do well with Codeine

Symptoms: Temperature, headache, and sleepiness for two days following vaccination. Severe pain on the left arm where Shingrix vaccine was administered which lasted for many months resulting in a visit to our family doctor who prescribed a 7-day course of cortisone. This alleviated some of the pain but has not completely eliminated it. Pain and ache on the site and up and down the arm remain.

Other Meds: Atorvastatin 20 mg; Aspirin 81 mg; Citracal Calcium slow release 1200 mg B Complex 50; Biotin 5000 mcg; B12 1000 mcg Vitamin C 1000 mg; D3 1000 iu; Omega 3 Fish Oil 1560 mg / tsp (2 tsp / day) Spirulina chlorella

Current Illness: None

ID: 0975530
Sex: F
Age: 77
State: NC

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

Lab Data: none

Allergies:

Symptoms: weakness, feeling nauseaued, feeling faint, just feelinh really really sick all over, very very tired,difficulty with breathingnone

Other Meds: levothroxine

Current Illness: copdcopd

ID: 0975531
Sex: F
Age: 57
State: CA

Vax Date: 01/15/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: jan 18 , 3 days after vaccination, 6 days before rash, absolute eosinophils 580

Allergies: dermabond, penicillin, levaquin

Symptoms: 8 days after vaccination she developed a sizable area of red, itchy skin near the injection site

Other Meds: singulair (Montelukast)

Current Illness: abdominal post surgical adhesive contact dermatitis

ID: 0975532
Sex: F
Age: 47
State: SC

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

Lab Data:

Allergies: Anthrax Vaccine adverse reaction; Latex Allergy; Prednisone adverse reaction; hydromorphone adverse reaction.

Symptoms: 47 y/o female c/o abdominal discomfort as well as facial flushing approximately 10 minutes post 2nd dose of COVID 19 vaccine. Patient denied experiencing any SOB, difficulties breathing and difficulties swallowing. She described abdominal pain as sharp with sudden onset following vaccine. Pt does have a history of abdominal pain and is currently followed by GI. At that time, RN contacted provider for consult. Patient was evaluated by provider and 25 Mg PO Diphenhydramine ordered and given at 1533 Log: 502213 EXP: 3/31/21. Pt V/S at that time were: BP 144/90, HR 98, 02 99, Temp 98.1. Patient was observed by RN for an additional 15 minutes. V/S at 1545 - BP 129/79, HR 83, O2 99, temp 98.1. Patient facial flushing had visibly improved and her husband was contacted to pick up. Per provider, patient was released to self care with ER instructions if symptoms return/worsen provided.

Other Meds: Omeprazole 40mg capsule; Famotidine 20mg tablet.

Current Illness:

ID: 0975533
Sex: F
Age: 49
State: OH

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None

Allergies: Bactrim

Symptoms: Rigors, Fever, nausea, body aches, headache, dizziness @ onset of symptoms. Rigors resolved without intervention in 90 minutes. Fever resolved with ibuprofen several hours later. approximately 8 hours later, only dizziness, fatigue and body aches remained. All side effects resolved within full 24 hours of administration. Was unable to work the next day after vaccine due to aforementioned side effects as they did not resolve until the next afternoon.

Other Meds: Maxalt Multivitamin

Current Illness: None

ID: 0975534
Sex: F
Age: 57
State:

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Flu Sx, HA

Other Meds:

Current Illness:

ID: 0975535
Sex: F
Age: 60
State: CA

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: labs pending; scheduled for completion of STAT labs 1/26/2021

Allergies: NKDA

Symptoms: Pt presented to my clinic 1/25/2021 in 9/10 RUQ abd pain, which began within 24 H of vaccine administration; labs pending

Other Meds: Synthroid 0.125 mg Q day Bariatric multivit capsule BID Bariatric mineral capsule BID B12 15 mcg BID Esomeprazole 20mg BID Vit C 1000 mg BID Omega 3 3500 mg BID Flexiril 10 mg PRN Alprazolam 0.25 mg PRN

Current Illness: hx bariatric surgery 2018

ID: 0975536
Sex: F
Age: 49
State: PA

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

Lab Data: None

Allergies: Sucralose

Symptoms: Facial numbness that started at the upper palate then progressed across the middle of the face

Other Meds: Coq 10 100 mg, biotin 10000 iu, zinc, vitamin c, elderberry, vitamin a, vitamin d, Zyrtec 10 mg.

Current Illness: None

ID: 0975537
Sex: F
Age: 79
State: IL

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

Lab Data: N/A

Allergies: NKDA

Symptoms: Patient felt faint around 10 minutes after vaccination, checked blood pressure went up 147/92. Patient 25 minutes post vaccination is feeling fine and good to go home.

Other Meds: Unknown

Current Illness: No known illnesses

ID: 0975538
Sex: F
Age: 70
State: AK

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

Lab Data:

Allergies: penicillins, clariton, eggs, potatoes, wheat, raw apples, raw pears, birch pollen allergy, cats, dogs, birds,

Symptoms: 12 days after the vaccine the injection site is starting to get red, swollen and sore to the touch

Other Meds: dupixent, prescription calcium, losartan, vit d, deltiazem, pravastatin, hydroxyzine, citalopram, hydrochlorothiazide

Current Illness:

ID: 0975539
Sex: F
Age: 29
State: OK

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

Lab Data:

Allergies: None

Symptoms: Wrong vaccine given. Pfizer was my first series vaccine. The second dose of Pfizer should have been administered. Covid-19 Vaccination Record Card is incorrect. I recieved an email immediately after the vaccination stating I was due for the second dose in 28 days. I immediately asked the nurse who administered the vaccine why I recieved this email and she stated that they had accidentally administered the wrong vaccine. symptoms to date: include pain at injection site; body aches; headache; nausea; fatigue.

Other Meds:

Current Illness: Rhabdomyolysis

ID: 0975540
Sex: F
Age: 82
State: MT

Vax Date: 01/18/2021
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: Penecillian

Symptoms: I had no reaction til almost a week later when my left arm started to itch and gets worse each day. It is red and warm in the vaccination area. Do I need to do anything at this point?

Other Meds: Metformin-Prediabetic, Thyroid, Acid Reflux, Evista

Current Illness: None

ID: 0975541
Sex: F
Age: 25
State: NC

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

Lab Data: none

Allergies: None

Symptoms: 30 minutes after injection started having itching. Dr. assessed and ordered patient to take own Zyrtec. 30 minutes after taking zyrtec, itching gone.

Other Meds:

Current Illness:

ID: 0975542
Sex: M
Age: 27
State: PA

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

Lab Data:

Allergies:

Symptoms: (Moderna COVID-19 Vaccine EUA) Several minutes after receiving the vaccine patient had a loss of consciousness for <45 seconds. Patient was pal, diaphoretic, BP 158/80. Patient reports a history of syncopal events after other vaccines. Patient declined further admission to hospital and returned to home.

Other Meds:

Current Illness:

ID: 0975543
Sex: F
Age: 54
State: ID

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

Lab Data: None

Allergies: Walnuts

Symptoms: Vertigo when I woke up 4 days after vaccination; rest and avoiding sudden movements, Benadryl

Other Meds: Citalopram 10mg, Vitamin D, Estrogen patch, progesterone.

Current Illness: None

ID: 0975544
Sex: F
Age: 23
State: MA

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

Lab Data: None

Allergies: NKA

Symptoms: She reported feeling lightheaded and foggy. Patient reports being a cancer survior and having a similar reaction to a past flu vaccination. She was able to ambulate to the recliner and denies other symptoms such as shortness of breath, rash, or diaphoresis. BP 96/70 mmHg, HR 64 bpm, SPO2 99% After 30 minutes in the recliner she states she is feeling much better and denies any current symptoms. BP 100/70mmHg, HR 71bpm, SPO2 99%.

Other Meds: Unknown

Current Illness: No current illness

ID: 0975545
Sex: F
Age: 91
State: NJ

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

Lab Data: none

Allergies: none

Symptoms: vial thawed on 1/11/21 and due to expire on 1/16/21 - patient was immunized with this expired vaccine on 1/22/21

Other Meds: unknown

Current Illness:

ID: 0975547
Sex: F
Age: 49
State: CA

Vax Date: 01/04/2021
Onset Date: 01/07/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swollen nymph nodes under arms for 3 weeks now. Still continues to be swollen today.

Other Meds:

Current Illness:

ID: 0975548
Sex: F
Age: 47
State: SC

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

Lab Data:

Allergies: Anthrax Vaccine adverse reaction; Latex Allergy; Prednisone adverse reaction; hydromorphone adverse reaction

Symptoms: 47 y/o female c/o abdominal discomfort as well as facial flushing approximately 10 minutes post 2nd dose of COVID 19 vaccine. Patient denied experiencing any SOB, difficulties breathing and difficulties swallowing. She described abdominal pain as sharp with sudden onset following vaccine. Patient does have a history of abdominal pain and is currently followed by GI. At that time, RN contacted provider for consult. Patient was evaluated by provider and 25 Mg PO Diphenhydramine ordered and given at 1533 Log: 502213 EXP: 3/31/21. Patient V/S at that time were: BP 144/90, HR 98, 02 99, Temp 98.1. Patient was observed by RN for an additional 15 minutes. V/S at 1545 - BP 129/79, HR 83, O2 99, temp 98.1. Pt facial flushing had visibly improved and her husband was contacted to pick up. Per provider, patient was released to self care with ER precautions provided.

Other Meds: Omeprazole 40mg Capsule; Famotidine 20mg Tablet

Current Illness:

ID: 0975549
Sex: F
Age: 35
State: SD

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

Lab Data:

Allergies: none

Symptoms: 1st dose- migraine for 4 days, stomach issues (diarrhea, no appetite, upset), for 4 days, did not feel like myself all weekend. 2nd dose- migraine for 1 day, same stomach issues for 2 days.

Other Meds: No medications were taken at the time of vaccine. Morning meds were taken before vaccine was administered.

Current Illness:

ID: 0975550
Sex: F
Age: 43
State:

Vax Date: 01/19/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: amoxicillin

Symptoms: The injection site is itchy, red, and hot to touch. I have a small bump that feels like a mosquito bite and a rash that is about 3 inches in diameter around the site. I must have been scratching at this spot without realizing what I was doing. I plan to take some Benedryl tonight and I will monitor the size of the spot and the amount of itchiness I am feeling.

Other Meds: no

Current Illness: no

ID: 0975551
Sex: F
Age: 71
State: GA

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

Lab Data:

Allergies: Sulfa, PCN- Rash

Symptoms: Nausea, low grade fever, oxygen fluctuating- dropping in 60s. She normally takes oxygen only at night at 1L/hour. She went home from work today and placed her oxygen on at 1 L/hour, increased her prednisone to 20 mg daily from 10 mg daily and performed ipatroprium nebs three times daily.

Other Meds: Prednisone 10 mg daily Singular 10 mg daily Ipatroprium nebs prn

Current Illness:

ID: 0975552
Sex: M
Age: 61
State: NY

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

Lab Data: I took Tylenol and I drank lot of water

Allergies: None

Symptoms: In the middle of the night I felt sick, with headache, chills ,body aches, felt like fever.

Other Meds:

Current Illness:

ID: 0975553
Sex: F
Age: 53
State: TX

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

Lab Data:

Allergies: Lyrica

Symptoms: After second dose of MODERNA Covid-19 vaccine administration, patient reported persistent chest pain including palpitations and nausea. 911 activated at 11:36am and arrived at facility at 11:48am. EKG completed by paramedics. Patient was then transported to emergency room via ambulance.

Other Meds:

Current Illness:

ID: 0975554
Sex: F
Age: 58
State: TX

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

Lab Data: None

Allergies: none

Symptoms: Nasal congestion, light-headed and limb weakness. Symptoms improved after approximately 15 minutes of rest.

Other Meds: Xyzal

Current Illness: none

ID: 0975555
Sex: F
Age: 66
State: MI

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

Lab Data:

Allergies:

Symptoms: Patient approached Observation RN (3rd Floor stadium location) that her "heart was racing". Patient informed RN at 12:55pm, the injection was administered at 12:08pm in the left deltoid. Paramedic notified and vitals were taken: BP 117/75, HR 88, SpO2 98% on RA, RR 16. Patient denied lip or tongue swelling, difficulty swallowing, SOB, or chest pain. Patient stated she has history of anxiety, CAD, and LBB. Patient signed ambulance waiver declining transport to the emergency room. Patient left observation area at 13:18 on her own without the need for assistance.

Other Meds:

Current Illness:

ID: 0975556
Sex: F
Age: 41
State: IL

Vax Date: 01/12/2021
Onset Date: 01/16/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: Daypro, sulfa antibiotics

Symptoms: Red, swollen, and hot and injection site. Not going away. Sore neck, had a hard knot but that went away. Extreme itching at injection site

Other Meds: Tramadol, trazodone. Imatrex, baclofen

Current Illness: None

ID: 0975557
Sex: F
Age: 51
State:

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

Lab Data:

Allergies:

Symptoms: Localized rash on upper arm that vaccine was administered

Other Meds:

Current Illness:

ID: 0975558
Sex: F
Age: 33
State: WA

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

Lab Data: Blood work and head CT

Allergies: Latex

Symptoms: Left facial numbness that progressed to Right facial numbness. Possible belly's palsy

Other Meds: Levothyroxine, Claritin and sertraline.

Current Illness: None

ID: 0975559
Sex: F
Age: 81
State: OH

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

Lab Data: no

Allergies: none

Symptoms: patient complained that about 6 hours after dose of tingling starting in arms that then included legs and feet. tingling became painful but subsided by morning. as of 1/26 patient still says faint feeling of tingling

Other Meds: none

Current Illness: none

ID: 0975560
Sex: F
Age: 49
State: IN

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

Lab Data: N/a

Allergies: Sulfa, shrimp, pomegranate, Phenergan.

Symptoms: Fever, headache, very bad body aches, chest pressure, dizziness and missed two days of work

Other Meds: Dyazide, albuterol, Adderall, omeprazole, Lexapro.

Current Illness: N/A

ID: 0975561
Sex: F
Age: 23
State: IN

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

Lab Data:

Allergies: Penicillin.

Symptoms: At 8:30 PM, symptoms began with strong chills, fatigue, and slight headache. Fever was noted at 11:00 PM, temperature was 99.4 F. At 1:00 AM, chills were gone and fever felt like it was going away. Woke up at 9:00 AM with moderate headache. Headache went away by 10:00 AM. Fatigue was noted throughout the rest of the day (1/21/21).

Other Meds: Daily women's multi-vitamins, Aller-Tec (Cetirizine Hydrochloride tablets, 10mg), DIM diindolylmethane supplement, 300 mg.

Current Illness:

ID: 0975562
Sex: F
Age: 60
State: FL

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

Lab Data: None

Allergies: None

Symptoms: Fever 103.5, shaking chills, headache, pain in chest on inspiration

Other Meds: Crestor, vitamin D, vitamin B12, calcium.

Current Illness: None

ID: 0975563
Sex: F
Age: 36
State: CA

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

Lab Data:

Allergies:

Symptoms: pt began to feel tightness in her throat. md was called, epi and solumedrol given. 911 called.

Other Meds:

Current Illness:

ID: 0975564
Sex: F
Age: 43
State: OR

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

Lab Data:

Allergies: Penicillin

Symptoms: 22 minutes after vaccine had severe racing palpitations, a heart rate of over 150 and visual changes. Lasted one hour. Visual changes and some feelings of chest pressure lasted the rest of the day.

Other Meds: Fish oil, Vitamin D, vitamain C

Current Illness: NA

ID: 0975565
Sex: F
Age: 90
State: NJ

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

Lab Data:

Allergies: none

Symptoms: Vial was thawed on 1/11/21 and due to expire on 1/16/21 - patient was immunized with this expired vaccine on 1/22/21.

Other Meds:

Current Illness:

ID: 0975566
Sex: F
Age: 38
State: CA

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

Lab Data: Covid swab 12/30/2020 negative

Allergies: None

Symptoms: Lymphadenopathy, fever, fatigue, body aches, sore throat for 4 days. Symptoms started 2 days after first vaccine.

Other Meds: None

Current Illness: None

ID: 0975567
Sex: F
Age: 57
State: NY

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

Lab Data:

Allergies:

Symptoms: Episode of Nausea,Elevated BP 207/100 1 Hour following Vaccine administration

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm