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: 0975619
Sex: F
Age: 33
State: WI

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

Lab Data:

Allergies: Sulfa

Symptoms: Fever, Chills, Fatigue, swelling at injection site with pain, Hives

Other Meds: Levothyroxine 25 mcg, Zinc

Current Illness:

ID: 0975620
Sex: F
Age: 50
State: MO

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

Lab Data: No tests done. Called my doctor's office and left a message, but haven't heard back.

Allergies: Tdap in 2008. Arm swelled large within 24 hours of vaccine. Bactrim in 2019 . Prescribed Bactrim with prednisone for a brown recluse bite. After the 7 day prednisone was done I began developing a rash on day 8. Took Benadryl and next day developed hives all over and went to a clinic. Just prescribed me Benadryl and pepcid.

Symptoms: 5-10 minutes after shot had a metallic taste in mouth, no adverse reactions. Next 2 days the injection site became red, swollen (knot under skin) and grew in size to a silver dollar. My left arm was sore. Redness and swelling dissipated on 4th day and looked like a bruise. About 6pm on 4th day, I was itchy on my stomach. I didn't think twice as had a neoprene/spandex brace around stomach/back from exercise. When I finally took a shower at 8pm, I noticed my torso was completely red. I immediately took 2 Benadryl. Throughout the evening the rash/hives spread to my shoulders. Took 2 more Benadryl at 1am. By morning rash around torso was almost gone, but some spread slightly to wrists, shoulders, breasts and knees. Took 2 more Benadryl at 8 am. Applied Benadryl cream to few spots on body throughout today. Itching mostly gone but splotches on legs, neck and few on back. Will take more Benadryl about 6pm.

Other Meds: Prescriptions: Estradiol patch .05, premarin cream. Supplements: Alive multi-vitamin, probiotics, B-multi, Vitamin D3 5000, CoQ10, beet power, fish oil, hawthorn berry, garlic.

Current Illness: None

ID: 0975621
Sex: F
Age: 25
State: VA

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

Lab Data:

Allergies:

Symptoms: Chills, body aches, joint pain, headache, nausea, fever starting 1 1/2 hours after vaccination and lasting 2-3 days. Headache has continued off and on to date.

Other Meds:

Current Illness:

ID: 0975622
Sex: F
Age: 30
State: WI

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

Lab Data:

Allergies:

Symptoms: Approximately 12:05 patient was waiting in observation area and started reported to RN that she was feeling shaky. She was taken to private room where she could lay down and be monitored. Given 8oz of water that she consumed over the next 10 minutes. 1210 employee reported feeling shaky and nauseated. BP122/72 HR 92 O2 100 R 18. 1215 employee reports feeling lightheaded and is reclined back on bed. 1220 BP110/80 HR 119 R 18 O2 100. Employee stated shakiness had resolved but had difficulty articulating progression of current symptoms. 1225 employee states lightheadedness and nausea have improved and she would like to sit in a chair instead of bed. Given another 8oz of water which she consumed. RN assisted employee to chair and she sat until 1235 and then was escorted to car by another RN and drove home. Advised that if symptoms returned or new symptoms occurred to seek medical attention by either her PCP or the ER depending on severity. Employee states she had eaten breakfast and denied snacks offered. Employee reports history of allergies and that she carries rescue meds. No meds given during this incident.

Other Meds:

Current Illness:

ID: 0975623
Sex: F
Age: 36
State: CA

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

Lab Data: none

Allergies: none

Symptoms: pt states that she has a 3" hive around the injection site with itching, and redness. She has soreness from left arm to chest. She will contact PCP

Other Meds: bumetanide 4mg, sildenafil 20mg, enalapril 5 mg, ktab -potassium x 2 tablet, spironolactone 25 mg

Current Illness: no

ID: 0975624
Sex: M
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: unknown

Current Illness:

ID: 0975625
Sex: M
Age: 19
State: MN

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

Lab Data:

Allergies: Allergic to Bactrum (antibiotic): hives, swelling, nausea, vomiting. No history of anaphylaxis.

Symptoms: I called my insurance provider's RN hotline at the onset of dizziness, which was then followed by a bout of ear ringing and nausea. I was advised to seek immediate medical attention, so I had an RA at my university dorm walk with me across the street to M Health Fairview hospital. I was seen by an RN in their emergency room, but was ultimately never seen by a Doctor as I did not present a clear risk of anaphylaxis at the time. After waiting in the ER for four hours for medical care, I ultimately left because most of my symptoms subsided. My most lasting symptoms cleared up late yesterday (1/25) and they were extreme soreness/tenderness at injection site and fatigue.

Other Meds: none

Current Illness: none

ID: 0975626
Sex: F
Age: 66
State: TN

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

Lab Data:

Allergies:

Symptoms: PATIENT CAME BY CLINIC TODAY. STATES VACCINE WAS GIVEN 1/12/2021 LEFT DELTOID. STATES NOTICED REDNESS 1/23/2021. SAW PCP 1/26/2021 AND HE DID BLOOD WORK AND STARTED ANTIBIOTICS 1/26/2021. TO RETURN TO MD 1/29/2021. STATES ARM STILL RED. MD DREW CIRCLE AROUND SITE TO EVALUATE.

Other Meds:

Current Illness:

ID: 0975627
Sex: M
Age: 42
State: CA

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

Lab Data:

Allergies: Clindamycin and shellfish

Symptoms: Fever, headache, sinus congestion, throat soreness, body aches, chills, sweating and fatigue.

Other Meds: Bupropion 200mg: 1 tablet twice daily Modafinil 200mg: 1 tablet twice daily Methylphenidate 10mg: 1 tablet twice daily Cetirizine 10mg: 1 tablet daily

Current Illness: None

ID: 0975628
Sex: F
Age: 63
State: WA

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

Lab Data:

Allergies: Obinutuzumab- (cancer treatment - first 4 rounds).

Symptoms: Sore arm, dizziness, nausea , lightheaded

Other Meds: spironolactone

Current Illness: CLL - pure red blood cell aplasia - pre diabetes

ID: 0975629
Sex: F
Age: 35
State: CA

Vax Date: 01/14/2021
Onset Date: 01/21/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 7 days after I got the shot, the skin at the vaccine administration site started itching. When I scratched it, some blisters burst and a big area on my arm swelled up. It was hot to the touch, visible as a red, raised circle about 5cm in diameter. The swollen area felt hard and itched intensely and hurt for several days. By 01/25/21, it had faded and by 01/26/21 the itching stopped.

Other Meds: metoprolol, lisinopril, sertraline, vitamin D, magnesium, Wellbutrin, riboflavin

Current Illness: none

ID: 0975630
Sex: F
Age: 60
State: NY

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

Lab Data:

Allergies:

Symptoms: Syncope,dizziness, head spinning,weakness of arms slurred speech BP 195/105 PULSE 91 Repeat BP 167/92

Other Meds:

Current Illness:

ID: 0975631
Sex: F
Age: 39
State: MN

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

Lab Data:

Allergies:

Symptoms: During observation, after her first dose, developed chills, scratchy throat. High blood pressure present. Had history of hypertension, and stated she had taken her med earlier in the day. No problems breathing at that time. Benadryl (50mg) administered by facility. Called 911. Patient escorted by wheelchair to front door of building, where emt were to arrive. About that time there, patient developed problems breathing, and was adminterested epipen, by immunizing RN and facility staff member. Given epipen about 1 to 2minutes before emt's arrival. Checked out by fire department emt's and they were waiting for another unit to arrive. She appeared to be doing much better then, after the epipen.

Other Meds: On hypertension medication.

Current Illness:

ID: 0975632
Sex: F
Age: 58
State: VA

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

Lab Data:

Allergies: N/A

Symptoms: Moderna COVID-19 Vaccine EUA Symptoms include: red rash on injection site, warm to touch, itchy, & sore 8 days after injection

Other Meds: Lisinopril 20mg Atorvastatin 20 mg

Current Illness:

ID: 0975633
Sex: F
Age: 32
State: MT

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

Lab Data:

Allergies:

Symptoms: When vaccine administered it appeared to leak down the arm. Unclear how much if any was administered. Per physician, patient to receive another one to ensure proper dose.

Other Meds:

Current Illness:

ID: 0975634
Sex: F
Age: 58
State: MO

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: covid test (negative)

Allergies: metal, staples,

Symptoms: fever chills sore throat hoarse fever blisters cough body aches stiff neck

Other Meds: fish oil, celebrex, lexapro, vid D, Zinc, Lipitor Vit C and centrum Silver for woman over 50

Current Illness: sinus

ID: 0975635
Sex: F
Age: 41
State: WA

Vax Date: 01/25/2020
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, chills, headache and body ache.

Other Meds:

Current Illness:

ID: 0975636
Sex: F
Age: 25
State: MA

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

Lab Data: none

Allergies: NKA

Symptoms: 25-year-old female with history of asthma who presents with vaccine reaction that occurred just prior to arrival. Patient states she received 2nd dose of COVID-19 vaccine at hospital earlier today, reports approximately 5 minutes later she felt very weak and lightheaded, and had episode of shortness of breath. She did use her inhaler (albuterol) which improved her symptoms. Upon my initial assessment, she denies any complaints and states she feels back to baseline. Denies any shortness of breath. Patient never developed any rash. No history of allergic reactions in the past.

Other Meds:

Current Illness:

ID: 0975638
Sex: F
Age: 62
State: PA

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

Lab Data:

Allergies:

Symptoms: 24 hrs after receiving vaccine (this is my first vaccine), I became nauseous, had diarrhea and headache, and 48hrs after receiving vaccine, I had moderate lower back pain which lasted for 2days. 10days after receiving my vaccine, my injection site (lt arm), became very itchy, red and swollen. And I experienced another bout of diarrhea and headache which last approx. 24hrs.

Other Meds:

Current Illness:

ID: 0975639
Sex: F
Age: 40
State: CA

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

Lab Data:

Allergies: Tetracycline

Symptoms: None stated.

Other Meds: Synthroid, metformin

Current Illness:

ID: 0975640
Sex: F
Age: 36
State: OH

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

Lab Data: drug screens all negative did test positive for a UTI at emergency room

Allergies: none

Symptoms: extreme itching, over heated with fever, extreme chills and sickness. had to call an ambulance and go to emergency room

Other Meds: well butrin zoloft Mavyret Multi vitamin Vitamin D Vitamin C Trazadone Magnesium Vivitrol

Current Illness: UTI

ID: 0975641
Sex: F
Age: 85
State: AZ

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

Lab Data: none

Allergies: cefnider, lisinopril, sulfa drugs.

Symptoms: Woke up on Monday night with muscle pain in left shoulder, neck. Continues through Tuesday off and on.

Other Meds: aspirin, doxycycline furosemide, spironolactone, amitriptyline calcitriol, gabapentin, Lantus, metoprolol, Simvastatin.

Current Illness: pneumonia, diverticula's

ID: 0975642
Sex: F
Age: 42
State: NY

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

Lab Data:

Allergies: nonee

Symptoms: "Felt throat closing, difficulty swallowing" 20mins after administration

Other Meds: none

Current Illness: none

ID: 0975643
Sex: F
Age: 53
State: UT

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

Lab Data:

Allergies:

Symptoms: patient swelled up really large. had to remove rings and clothing. also felt very badly with headache for the next few days.

Other Meds:

Current Illness:

ID: 0975644
Sex: M
Age: 49
State: NY

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

Lab Data:

Allergies: Nuts Almonds, and shell fish

Symptoms: Received the vaccine on 01/20/21.Patient reports on 01/21/21 started having myalgia throughout his body and fatigue. He had difficulty sleeping due to discomfort. Reports vomited x1 on 01/20/21. He reports that he noticed DOE on 01/21/21 and SOB with in one block of walking. Asthma wise: takes ventolin/combivent with no relief of symptoms. Reports he is specifically having pain in his lungs/pleuritic in nature worse with coughing/sneezing, went to the ER on 01/22/21.Chest xray,EKG and blood work were done. Xray and,EkG were normal with blood work showing anemia. Treated with IV pain medication with relief and D/C home with advise to take Nebulizer at home.

Other Meds: Aspirin and Plavix

Current Illness: Enlarged prostate

ID: 0975645
Sex: F
Age: 46
State: OR

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

Lab Data: None

Allergies: Amoxicillin Sulfa

Symptoms: Fever Cough Fatigue Malaise Headache Dizzy Weak Tight chest/short of breath Generalized discomfort Joint discomfort

Other Meds: Magnesium NAC P5P Biotin Ribose

Current Illness: None

ID: 0975646
Sex: F
Age: 26
State: MI

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

Lab Data: N/A

Allergies: Ceclor (rash/hive reaction)

Symptoms: Vomiting about 11 hours after injection; diarrhea for remaining of day after vomiting

Other Meds: Zyrtec and Tylenol

Current Illness: N/A

ID: 0975647
Sex: F
Age: 35
State: NY

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

Lab Data: ED vistsx3 and Cardiology Echo CT

Allergies:

Symptoms: pt felt flushed and had increase heart rate the evening following the shot, felt jittery and shaky, 1/14 morning was SOB and tachycardia noted went to the ED subsequently needed cardiology evaluation and has had several ED visits.

Other Meds:

Current Illness: NKDA

ID: 0975648
Sex: M
Age: 77
State: AZ

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

Lab Data: None. I have reported on V-Safe when asked. All went well except for the administration error.

Allergies:

Symptoms: The backside of my COVID-19 Vaccination Record Card was left void when I left the facility. It states in the literature that the date of the next Dose (No 2) was to be filled out by the Shot administrator. It remains blank and there is no resources to complete my vaccination of Dose #2.

Other Meds: There was a computer error regarding the 2nd dose that was actually my 1st dose shown on my Appointment Date. I applied for and received an Appointment and then received my 1st dose on Jan 20, 2021. After reading the procedure to be foll

Current Illness:

ID: 0975649
Sex: F
Age: 36
State: RI

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

Lab Data:

Allergies:

Symptoms: Itchiness to left arm and back as well as under right arm, no hives or stridor noted by medical staff PT was Also evaluated by doctor. PT stated no trouble breathing. PT remained for 15 extra minutes to be monitored further.

Other Meds:

Current Illness:

ID: 0975650
Sex: F
Age: 95
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient fainted on the toilet. Epipen brought her back to consciousness.

Other Meds:

Current Illness: Hospice patient

ID: 0975651
Sex: F
Age: 41
State: NE

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

Lab Data:

Allergies:

Symptoms: Itching rash lt neck

Other Meds: Midol ibuprofen

Current Illness:

ID: 0975652
Sex: F
Age: 63
State: NH

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None.

Allergies: Latex Morphine Unknown additives to some scented lotions Mulch

Symptoms: I noted onset of chronic, mild nausea 15Jan21 to present. Eating or drinking usually quells it. Bilateral ramped up to the point & noted that I am talk louder than usual and am asking 'What did you say?' frequently with hearing aids. Having to discriminate against tinnitus causes mental fatigue. Marked increase and violence of head tremor (as noted with influenza vaccine) making sleep difficult where head will not stop shaking.

Other Meds: Propranolol 10 mg po tid Escitalopram 10 mg po qd Zolpidem 5 mg po at hs Vitamin C 500 mg po qd Vitamin D3 1,000 mg po qd

Current Illness: No acute illnesses

ID: 0975653
Sex: F
Age: 65
State: VT

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

Lab Data:

Allergies:

Symptoms: HA, chills, fever, body aches, swelling at injection site. Symptoms resolved after 48 hrs

Other Meds:

Current Illness:

ID: 0975654
Sex: F
Age: 58
State: AZ

Vax Date: 12/29/2020
Onset Date: 01/03/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vaccinated on Tuesday. Experienced severe symptoms the following Sunday (5 days later). Symptoms included a sense of impending doom and diarrhea. Paramedics called. Upon examination, HR was 50 and SBP less than 100. Pt taken to ER. Cardiac tests and labs within normal limits. Patient does NOT have a history of similar episodes or anxiety attacks.

Other Meds:

Current Illness:

ID: 0975655
Sex: F
Age: 72
State: ME

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

Lab Data: none

Allergies: Sulfa, ivp dye,

Symptoms: mild anxiety, dizziness 5 mins after injection

Other Meds: miralax

Current Illness: none

ID: 0975656
Sex: F
Age: 29
State: WA

Vax Date: 01/23/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None

Allergies: NKDA

Symptoms: right upper arm with approx 10 x 10 cm area of erythema. warmth, mild itching and tenderness-worsening after second Moderna vaccine on 1/23/21

Other Meds: allopurinol, lipitor,, levothyroxine, metformin, antihistamine, provera

Current Illness: None

ID: 0975657
Sex: F
Age: 53
State: WI

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

Lab Data: N/A

Allergies: N/A

Symptoms: Redness and swelling at injection site after 8 days. Started at 8am the size of a quarter and has doubled by 3:30 pm.

Other Meds: N/A

Current Illness: N/A

ID: 0975658
Sex: F
Age: 50
State: NJ

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

Lab Data: none my doctor told me to report this went to urgent care but they said to report this

Allergies: seasonal allergies

Symptoms: fatigue not resolved, muscle and joint pain severe all over body that has lessened but not resolved, intermittent nausea headache, feel feverish but no fever, weakness

Other Meds: none

Current Illness: none

ID: 0975659
Sex: F
Age: 28
State: SD

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, chills, body aches, shoulder pain, swollen and red vaccination site.

Other Meds:

Current Illness:

ID: 0975660
Sex: F
Age: 74
State: CO

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: Sulfa, penicillin, cephalexin

Symptoms: Erythema without induration developed at the injection site 7 days after vaccination

Other Meds:

Current Illness:

ID: 0975661
Sex: F
Age: 50
State: VA

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

Lab Data:

Allergies:

Symptoms: Rash on arm just below injection

Other Meds:

Current Illness:

ID: 0975662
Sex: F
Age: 65
State: VT

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

Lab Data:

Allergies:

Symptoms: HA, chills, fever, body aches, swelling at injection site. Symptoms resolved after 48 hrs

Other Meds:

Current Illness:

ID: 0975663
Sex: M
Age: 31
State: MI

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

Lab Data: None

Allergies: None

Symptoms: Pain in arm, body aches, moderate headache, chills lasting 5 hours, fatigue with shortness of breath from light activity, mild dizziness, and generally feeling ill. Lasted approx. 24hrs. Body aches and mild fatigue the following day.

Other Meds: None

Current Illness: None

ID: 0975664
Sex: F
Age: 71
State:

Vax Date: 01/19/2021
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: Strep test and mono test - negative

Allergies: lisinopril, penicillin, codeine, oxycodone, hydrochlorothiazide, aspirin 81, statins, clindamiacin

Symptoms: Throat closing ER Visit 1: 25 mg Benadryl pill ER Visit 2: Epi Pen injection; IV PEPCID and MEDRA, Benadryl; Prescription for Famotidine, Methylprednisolone, continue Benadryl ER Visit 3: IV MEDRAL and Benadryl; Prescription for Epi Pens Throat is slightly better. Prednisone elevates my glucose levels, but am working real hard to keep them low.

Other Meds: CD-LD 24/100, Ropinirole, Metformin, Amlodipine, Atenolol, B-12, D-2, Biotin, Fish Oil

Current Illness: ,

ID: 0975665
Sex: F
Age: 42
State: MO

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

Lab Data:

Allergies: None

Symptoms: Extreme fatigue, weakness, slept 36 hrs, stomach cramping, nausea, diarrhea, chills, muscle aches, headaches, chest pain, tachycardia up to 201, bp up to 210/101 with no cardiac history

Other Meds: Celexa

Current Illness: None

ID: 0975666
Sex: F
Age: 75
State: CA

Vax Date: 10/09/2020
Onset Date: 10/10/2020
Rec V Date: 01/26/2021
Hospital:

Lab Data: None

Allergies: Sulfa Antibiotics, Bacitracin (various combinations), Nitrofurantoin, Metronidazole

Symptoms: The first vaccination was fine, no reaction whatsoever. - The second vaccination was OK for remainder of that day and night and LIKE DYING all the next day and nigh (spent day and evening in bed). - The third day I woke up with large, fairly severe shingles type rashes in both of my arm pits (the upper arm half of my arm pits). - Since then to now (1/13/2021) this rash has continued on and off ever since and is still with me. It varies in severity from barely there to about 20% of the original attack with a VERY slow decline toward nothing.

Other Meds: Some vitamins

Current Illness: NONE

ID: 0975667
Sex: M
Age: 26
State: CA

Vax Date: 12/06/2017
Onset Date: 01/02/2018
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: Penicillin, some raw fruits/vegetables, cats/dogs, mold, pollen, dust

Symptoms: Severe flu symptoms, prescribed benzonatate and methylprednisolone, recovered after several days.

Other Meds: None

Current Illness: None

ID: 0975668
Sex: M
Age: 0
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: Received 1st dose of Pfizer-BioNTech at approx. 10:00. While waiting in observation area for 15 minutes after vaccine, client started to feel dizzy and notified nurse. Client requested EMSA at this time. Client moved to the floor to lay down and legs were elevated. Client then reported numbness of the tongue. No swelling visualized. 02 via nonrebreather mask initiated at 10:21 and EMSA called at 10:25. BP monitored (130/82 at 10:23, 142/78 at 10:27, 130/81 at 10:37). Client reported the numbness in his tongue went away. EMSA arrived at 10:41 and transported by ambulance to hospital for further evaluation.

Other Meds: Unknown

Current Illness: Unknown

ID: 0975669
Sex: F
Age: 34
State: CO

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: Patient went to urgent care and was given 2 prescriptions: cephalexin and prednisone

Allergies: none

Symptoms: Patient reported redness, swelling, hot to touch and itchiness in arm at injection site along with a bruise about the size of the diameter of a soda can. Swelling subsided but the itchiness worsened so patient went to urgent care where she was seen and given two prescriptions: cephalexin and prednisone. Symptoms have subsided as of today.

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm