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: 0977932
Sex: F
Age: 59
State: OH

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: 01/23/21 URGENT CARE: No labs. Had EKG d/t increased heart rate. Started on prednisone.

Allergies: Keflex, doxycyline

Symptoms: 1/19/21 headache, sore throat, muscle and bone pain, neck pain, nausea. Everything resolved on 1/20 and 1/21. 01/22/21 awakened at 4am with "head itching", dizzy, headache, numbness in arms, nausea. In the evening hives started on hands/back/legs. 01/23/21 Went to Urgent Care because hands "felt like I had them on a hot plate, burning".

Other Meds: Eye drops- azopt, latanoprost, exemestane, armour thyroid, amlodipine, multi vitamin, calcium, B12, crit oil, tylenol arthritis, zometa

Current Illness: glaucoma, hypothyroid, HTN. OP

ID: 0977933
Sex: F
Age: 56
State: ID

Vax Date: 01/16/2021
Onset Date: 01/18/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: Lab work performed in the emergency room on January 22 clued of an elevated D-dimer and positive CT pulmonary angiogram.

Allergies: none

Symptoms: EventsPatient experienced segmental and subsegmental pulmonary emboli without other preceding no evidence for DVT, no history of inherited thrombophilia or previous pulmonary embolism, no underlying cancer, surgery, or stasis. The only other complicating factor would be that she has been taking estrogen therapy prescribed by gynecology which she discontinued the day prior to her vaccine.

Other Meds: Just discontinues beyaz(ocps) prescribed by gynecology

Current Illness: none

ID: 0977934
Sex: F
Age: 60
State: NC

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/27/2021
Hospital:

Lab Data: No tests were preformed. Advised only to take Tylenol and the symptoms would subside.

Allergies: Iodine, eggs, and shellfish, Skelaxin, nitrofurantoin, and all statins .

Symptoms: Mild headache and fatigue one hour after administration. Sore at injection site at 0500hrs the next day, no redness or swelling but pain radiated down arm into fingers and upward into shoulder, neck and base of skull. By 1900hrs headache worsened to almost migraine level and began joint and muscle aching. By 2200 began chilling, unable to get warm, a large thick quilt folded 4 times and a thick wool blanket), no fever, started mild nausea. Day 3 (Christmas) Painful to walk and move, all joints and spine ached to the point of tears-Tylenol did not help, headache at migraine level, extremely fatigued. Day four (Saturday) the same reported symptoms to doctor. Sunday woke around 0800 with slight headache and slight muscle aches by noon all symptoms were gone, This was my first shot of the Moderna Vaccine.

Other Meds: Actos, hydrochlorothiazide, and Losartan.

Current Illness: None

ID: 0977935
Sex: F
Age: 42
State: OH

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: None known

Symptoms: ?Moderna COVID-19 Vaccine EUA? 1/15: received dose 1 left arm 1/15 pm - 1/17 pm: soreness/tenderness upper left arm 1/17 pm - 1/22 am : no issues 1/22 pm: some soreness returned to upper left arm , itching begins along with some redness to upper left arm 1/23 - 1/27: increased and spreading redness contained to upper arm, continued itching, no soreness

Other Meds: Zoloft 100mg/day Atenolol 50mg/day

Current Illness: None

ID: 0977936
Sex: F
Age: 57
State: CT

Vax Date: 01/01/2021
Onset Date: 01/15/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: CT scan scheduled

Allergies: PCN, ASA

Symptoms: Headache since second injection also had mild headache with first Injection but eventually went away not so much this time around

Other Meds: Metoprolol ER, Atorvastatin, Amlod-Valsa, Clopidogrel

Current Illness: HTN

ID: 0977938
Sex: F
Age: 34
State: WA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: muscle ache, nauseous, muscle weakness, headache, much less in strengths

Other Meds: G-gard, Lexapro

Current Illness:

ID: 0977939
Sex: F
Age: 27
State: UT

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

Lab Data:

Allergies: none

Symptoms: Headache, body ache, chills, grade low fever

Other Meds: none

Current Illness: sore throat 5 days before i got the vaccination

ID: 0977940
Sex: F
Age: 26
State: CO

Vax Date: 01/14/2021
Onset Date: 01/24/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: N/a

Allergies: NOne

Symptoms: Itchy scabs on left hand, both elbows erythematous, warm, itchy, indurated nodules. Also developed scabs/itching on backs of legs and toes.

Other Meds: Birth control pills

Current Illness: None

ID: 0977941
Sex: F
Age: 50
State: FL

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Sulfa, penicillin

Symptoms: Shaking chills, fever of 103, body aches for over 18 hours

Other Meds: Escitalopram

Current Illness:

ID: 0977942
Sex: F
Age: 36
State: CA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: No known drug allergies

Symptoms: Patient received the Moderna COVID-19 Vaccine EUA at 18:58. She developed minimal swelling around her upper lip post-vaccine at 19:08 . No other symptoms. After 25 min observation, symptoms were still present. Patient was given diphenhydramine 25mg PO by clinic RN. Symptoms resolved and patient left clinic.

Other Meds: Not available

Current Illness: Not available

ID: 0977943
Sex: F
Age: 89
State: NJ

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Vaccine was thawed on 1/11/21, use by date 1/16/21, but was used to immunize patient on 1/22/21.

Other Meds:

Current Illness:

ID: 0977944
Sex: F
Age: 47
State: NC

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

Lab Data: none

Allergies: Sulfa, IVP dye

Symptoms: chills and fever of 101.4, body aches, sore arm at injection site

Other Meds: Zyrtec, EmergenC

Current Illness: na

ID: 0977945
Sex: F
Age: 67
State: FL

Vax Date: 01/18/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: Possible sulfur, cats, horses and wasps

Symptoms: Day after shot had sore arm and was tired but those symptoms lasted about 24 hours. Then 8 days after vaccine I developed a rash about 2 1/2 inches high by 3 inches wide about an inch or so below the injection site on left arm. The rash is itchy and a little warm to touch. Contacted allergy Dr. and was told to take an allergy pill. Am also using cortisone cream. Rash is a little better after about 24 hours but still there. Today is 10 days after receiving the vaccine.

Other Meds: 25mg losartan Vitamin C, D3 and B-12

Current Illness: None

ID: 0977946
Sex: F
Age: 36
State: IN

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Cold sweats, chills, headache, fever (100.4) onset at 3:30a... Took ibuprofen at 8a. Symptoms lasted until 1:30p-2p, felt 100% after.

Other Meds: Women's multivitamin, Calcium/Vitamin D supplement

Current Illness: None

ID: 0977947
Sex: F
Age: 63
State: OR

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: Covid test was ordered, results were NEGATIVE .

Allergies: codine, penicillin, seasonal polin, mold, dust, animal hair dander

Symptoms: One hour post inject loose bowels, six hours post inject arm site pain, ten hours post inject pain radiating to entire body from head to toes causing fingers and toes to be numb, twelve hours post inject migraine headache with dry heaving and some vimitting, ( no sleep) twenty hours post inject flu like symptoms of body aches and stomach sickness for 24 hours. 48 hours later another migraine headache. PCP aware of all these symptoms.

Other Meds: Losartan 100mg qd HCTZ 25 qd

Current Illness: seasonal allergies

ID: 0977949
Sex: M
Age: 69
State: CA

Vax Date: 01/15/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Red and itching at vaccine site

Other Meds: Allopurinol Metformin , triamterene, glipizide.er, enalapril/mate ate, atorvastatin, farxiga, 81 mg asperin

Current Illness: None

ID: 0977950
Sex: F
Age: 52
State: MD

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: PCN

Symptoms: Reported due to vacination error. Patient recieved first vacination of COVID-19 series at sister hospital. Patient was given pfizer vaccine Lot # EK5730 at other hospital. Patient was sick and did not make follow up vacination appointment and returned to regional campus to have second injection. Unfortunately the second in the series was administered as moderna. No ADR has occured at this point.

Other Meds: Advair HCTZ Crestor Thyroid

Current Illness: Asthma Hypothyroidism

ID: 0977951
Sex: M
Age: 72
State: CA

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

Lab Data: none

Allergies: Cipro

Symptoms: Outsized soreness at injection site 12 hours post injection, followed by in 1 hour by fever, chills, malaise, headache, sore muscles and joints, tender skin all over, stiffness lasting from its onset 12 hours post injection to 28 hours post injection. Forced to miss work the following day.

Other Meds: aspirin Co-Q10 Vit D3 Vit C 1000 mg

Current Illness: None

ID: 0977952
Sex: F
Age: 50
State: KY

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

Lab Data:

Allergies:

Symptoms: Patient returned to the vaccine clinic a couple of hours after receiving vaccine with complaints of itching of hands, face, and neck. Patient refused diphenhydramine and stated it was the end of her shift and she was going home.

Other Meds:

Current Illness:

ID: 0977953
Sex: M
Age: 54
State: MT

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: none

Allergies: Hydrocodone is only listed allergy - reports that it causes nausea and dizziness.

Symptoms: As previously recorded, employee reported chest pains, intermittent and recurrent throughout the night of 1/21.

Other Meds: employee, reported recurrent and intermittent chest pains throughout the night of 1/21. Did not seek medical attention. States, "They were so bad, I kept my Nitro bottle on the night stand but I never had to use it". Reports that symptoms r

Current Illness: None reported

ID: 0977954
Sex: F
Age: 28
State: NJ

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

Lab Data:

Allergies: None

Symptoms: Moderna COVID-19 Vaccine Slight headache, pain at injection site and in arm of injection, fatigue.

Other Meds: Lexapro Levothyroxine

Current Illness: None

ID: 0977955
Sex: M
Age: 54
State: KY

Vax Date: 01/06/2021
Onset Date: 01/19/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: Troponin negative x2 ProBNP 42.4 WBC 11.96 PTT 36.7 PT/INR 11/1 ECG - no significant changes CT Chest - no PE CRP 1.522

Allergies: Lisinopril Sulfa antibiotics

Symptoms: Pt seen in ED on 1/20 with increasing chest pain - pain in the mid chest, worse with breathing and limited ability to bend over and lay flat.. Troponin negative x2, ProBNP 42.4. Slightly elevated WBC at 11.96 and PTT at 36.7. PT/INR ok at 11 and 1. CT of the chest demonstrates no PE or pericardial effusion. ECG with no significant changes. Pt given ASA 324 mg and Norco 7.25/325 x1 in ED. D/C with Ibuprofen 800 mg TID for pericarditis. Covid test on 1/21 was negative. Pain improved as of 1/26. Per cardiologist review on 1/22 patient with elevated CRP (1.522) suggestive of pericarditis as cause.

Other Meds: Famotidine 20 mg BID Potassium Chloride 20 mEq 2 tab daily Calcium 250 mg caps CoQ10 1 tap daily Levothyroxine 50 mcg daily Olmesartan 40 mg daily Amiloride 5 mg daily Amlodipine 10 mg dail Cholecalciferol 5000 unit weekly Cyanovobalmin 500

Current Illness: Broken wrist 12/25

ID: 0977956
Sex: F
Age: 48
State: NY

Vax Date: 01/18/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: Penicillin, Sulfa, Augmentin, Hard Shell Seafood - Clams, Mussles, Scallops

Symptoms: My arm was sore for the first few days - couldn't lift it up over my head. On day 6 or 7, I experienced a few heart flutters/palpitations throughout the day but no dizziness or feeling faint. On day 7, my arm was very itchy around the injection site and red and swollen and warm. On day 8, same situation with the arm. Took a Claritin on day 9 and itching stopped but still red and swollen. Ttoday is day 10 - I just took another claritin although it's feeling much better today and redness and heat are almost gone.

Other Meds: LoLoEstrin Birth Control, B12, D3, Calm Magnesium Supplement, MultiVitamin, Probiotic

Current Illness: No.

ID: 0977957
Sex: F
Age: 41
State: NE

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

Lab Data:

Allergies:

Symptoms: Injection site pain starting last night, body aches, headaches, stomach aches, headache, nausea, fatigue

Other Meds: Midol ibuprofen

Current Illness:

ID: 0977959
Sex: F
Age: 74
State: CA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: none

Allergies: nonee

Symptoms: Severe itching on vaccination site. Redness, swelling, and bumps. Benadryl relieves the itching, but then more itching on other parts of my body. I am on my way to buy Benadryl tablets to see if itching will stop. Since applying Benadryl topically it seems to relieve the severity of the itchiness elsewhere.

Other Meds: no medications are taken. 600mg calcium daily

Current Illness: none

ID: 0977960
Sex: F
Age: 26
State: RI

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: Vitals obtained, stable

Allergies:

Symptoms: Nausea, dizziness

Other Meds: Antidepressants, asthma inhaler

Current Illness:

ID: 0977961
Sex: M
Age: 66
State: TN

Vax Date: 12/30/2020
Onset Date: 01/19/2021
Rec V Date: 01/27/2021
Hospital: Y

Lab Data: all tests at higher level of care facility normal. no definitive diagnosis by neurologist. appears to be consistent with bell's palsy.

Allergies: augmentin

Symptoms: january 19th during lunch, experienced a slurring of speech, left eye and left side of mouth droop. unable to hold in fluids. went to ED, stated all the tests were normal. air flighted to higher level of care facility for neurology. MRI/ CT negative. work up for stroke unfounded. 1/26 ENT visit- no definitive diagnosis. treatment with levaquin and steroids.

Other Meds: metformin

Current Illness: none reported

ID: 0977962
Sex: F
Age: 89
State: NJ

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Vaccine was thawed on 1/11/21, use by date 1/16/21, but was used to immunize patient on 1/22/21.

Other Meds:

Current Illness: hypertension, dementia, atrial fibrillation

Date Died: 01/26/2021

ID: 0977963
Sex: M
Age: 81
State: AL

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

Lab Data: Unknown

Allergies: Unknown

Symptoms: (Report per patients wife ) Patient took his usual nap around 12pm. She found him lying in the bed unresponsvie at 2pm. EMS was not called. Patient's wife called the Funeral home.

Other Meds: Unknown

Current Illness: Unknown

ID: 0977964
Sex: F
Age: 67
State: TX

Vax Date: 01/12/2021
Onset Date: 01/19/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: I was advised to keep the area clean and dry. I did not take any medication other than aspirin and Tylenol in vet small doses.

Allergies: None

Symptoms: Seven days after my first dose of vaccine, the injection site became hard, red and itchy. The area grew to cover and and area of 5 inches by 4 in. Then blisters covered the area. Fifteen days after the injection, the area is covered with scabs and peeling.

Other Meds: Baby aspirin

Current Illness: None

ID: 0977965
Sex: F
Age: 47
State: IL

Vax Date: 01/25/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: N/A

Allergies: History of anaphylaxis of no known cause, allergic to bees

Symptoms: Several episodes of epistaxis, ranging from 30 mins in length to over an hour. Profuse bleeding, from no known other cause. Woke patient up from sleep, happened in the shower, etc. No trauma to the area prior to episode.

Other Meds: Synthroid, Prilosec, Vitamin D

Current Illness: N/A

ID: 0977966
Sex: F
Age: 37
State: PA

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Avocado, latex, penicillins

Symptoms: Severe chills and body aches, high fever, sweats and now on day 5 still have dizziness and sever migraine. Brain fog

Other Meds: Atenolol-chlorthalidone 100-25mg Reclipsen 0.15-30mg-mcg Esomprezole

Current Illness: N/a

ID: 0977967
Sex: F
Age: 57
State: WI

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: none

Allergies: NKDA

Symptoms: Mild fever (<101), chills, headache, muscle aches, extreme fatigue, inability to follow through on thoughts (brain fog), nasal congestion

Other Meds: none

Current Illness: none

ID: 0977969
Sex: F
Age: 34
State: TX

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Patient states she felt swelling in her throat

Other Meds: Wellbutrin XL, Deplin, Montelukast

Current Illness: Depression and Asthma

ID: 0977971
Sex: M
Age: 28
State: OR

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: General fatigue and malaise for 2 days after vaccine

Other Meds:

Current Illness:

ID: 0977973
Sex: M
Age: 31
State: IL

Vax Date: 01/14/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Muscle spasms which are appearing about every 5-10 minutes in my upper arm and below my shoulder blade towards my back. And the spasms last for a few min, and are in bursts of 6-8 at a time back to back.

Other Meds: Adderall 20mg, Keppra, men's-multivitamin

Current Illness: None

ID: 0977974
Sex: F
Age: 28
State: MT

Vax Date: 01/19/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: none at this time

Allergies: none

Symptoms: Pt called this date, 1/26/21 with concerns that one week later after her covid vaccination was placed that she is still experiencing warmth, tenderness and swelling to the injection site of the L deltoid. Pt also indicated that she has been having intermittent itching throughout her body and feels generalized fatigue. Pt was directed that should her symptoms worse, or should she feel her current symptoms warrant a visit to her PMD, ER or Urgent care, that she should present to one for further evaluation. Pt denies the need for that intervention at this time and wants to apply warm compresses and give it a few more days. Pt will keep this clinic updated regarding any further reactions or worsening events.

Other Meds: none

Current Illness: none

ID: 0977975
Sex: F
Age: 45
State: NY

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Approximately 2 hours after 2nd Moderna injection at 11:00 am patient (employee) stated she felt lightheaded, diaphoretic, and shaky. Blood Sugar taken was 61, B/P 126/88, pulse 117, Spo2 100%. Given OJ and crackers , resting with head elevated. By 11:17, patient B/P 120/80, pulse 85, BS-131 and Spo2 100%. Patient states feels better and returned to work as phlebotomist.

Other Meds: None

Current Illness: None

ID: 0977976
Sex: F
Age: 78
State: CA

Vax Date: 01/23/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None yet

Allergies: Sulfa, Hay fever

Symptoms: Slight fever, fatigue, chills, nausea, loose bowels

Other Meds: Losartan, Hydrochlorothiaz, Cannabis infused gummies Plus for sleep, Zyrtec, Vitamin D-3, Omega-3 , Centrum Silver , antacid tablets

Current Illness: None

ID: 0977978
Sex: F
Age: 36
State: TX

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Injection site pain x 3 days, itchiness at injection site beginning 1/17/21 x 5 days, swelling at injection site x 3 days, redness at injection site diameter four inches ongoing, ring around the outer edge of redness with raised skin, feels similar to scar tissue ongoing since 1/25/21

Other Meds: Nexplanon

Current Illness: None

ID: 0977979
Sex: F
Age: 48
State: NE

Vax Date: 01/22/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: pending, call out to MD on 1-27-21

Allergies: no

Symptoms: edema (ankles, fingers, face), headache, muscle aches

Other Meds: Levonor-ETH Estraid .15-.03

Current Illness: no

ID: 0977980
Sex: F
Age: 63
State: KS

Vax Date: 01/14/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: sulfa

Symptoms: Noticed a Large irregular shaped red rash on Right arm where injections was given...13 days after I received the covid vaccine. No pain involved, but rash feels warm and slightly raised at the edges.

Other Meds: none

Current Illness: none

ID: 0977981
Sex: F
Age: 35
State: ME

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 15 Minutes after second dose, patient starting feeling arm tingling and her body felt "heavy". She was transported via wheelchair to exam table. Was placed in a supine position. Sensation dissipated in 15 minutes. Was given Orange Juice and crackers. Remained laying down for 30 minutes until all symptoms gone. Was able to walk out of clinic with no ill effects. Vasovagal reaction was determined to be the cause.

Other Meds:

Current Illness:

ID: 0977982
Sex: F
Age: 61
State: TX

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Sulfa Morphine egg yolk soy

Symptoms: killer sore throat( felt like strep and never moved from the same site)and severe itching in nose, throat and ear severe itching spread to the mouth, tongue, inside of lip, then to big welps around mouth and on chin, then welps and severe itching on buttocks and a huge welp and itching 1 1/2" by 3" at injection site. Very tired and did not feel well. Low grade fever was sporadic. Could not go to work. Called Dr. about symptoms and prescribe antiobiotic of Ceftin for the sore throat.. Sore throat went away after 24 to 48 hours of being on medicine. By day 10 all the skin reactions had calmed down and by day 12 was feeling good. Dr. wanted me to report to you guys. He was unsure if I should take the 2nd dose of vaccine. He seemed confident throughout that this was an immune response to the vaccine.

Other Meds: Singulair Clarinex Nasacort multi vitamin, vitamin C, Vitamin D

Current Illness: n/a

ID: 0977983
Sex: F
Age: 43
State: IN

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fatigue, chills, high fever(101.4), body aches, diarrhea, headache-lasted 24 hours and still going

Other Meds: Lexapro

Current Illness:

ID: 0977984
Sex: F
Age: 50
State:

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swollen lymph nodes in the left axilla

Other Meds:

Current Illness:

ID: 0977985
Sex: F
Age: 37
State: TX

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

Lab Data: None

Allergies: many food allergies: shellfish, mushrooms

Symptoms: Started feeling throat tighten and lips go numb. She was given Benadryl 25 mg orally at 2:36. This did not start releaving the symptoms and epi 0.3mg was given IM at 2:45pm. This began to work and her upper lip numbness begin releaving at 2:53PM. She told us that she used epi and benadryl after her 1st dose but did not tell anyone.

Other Meds: unknown

Current Illness: none known

ID: 0977987
Sex: F
Age: 85
State: IN

Vax Date: 01/21/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: stiff neck on right side extending down to shoulder started on 1/25/21 upon waking in morning and still stiff today 1/27/21

Other Meds: calcium, 85 mg aspirin, Resperidone, Namenda, Donezil, Prontonix, Lexapro, X strength Tylenol, Preservision

Current Illness: None

ID: 0977988
Sex: F
Age: 75
State: NC

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

Lab Data: Hospital did chest x-ray, blood test and EKG. All normal. BP was 140/90 on discharge after 4-5 hrs.

Allergies: epinephrine, wheat products, latex

Symptoms: Hot flush starting from feet. Tingling and numbness in feet. Little tingling in fingers. Blood pressure rose to 170-190 over 110 and would not go down. Doctor advised I go to the E.R. for assessment, which I did. Blood pressure remained elevated for days . Noted the systolic was higher , mostly in the 80's. I do not have hypertension BP this morning in the 120's over 70. Needed Alprazolam to calm my anxiety since. Not every day. Very concerned about having the second dose. Doctor has advised me to only drink water the day of shot, take a tranquilizer an hour before and has given me BP med to take if my BP goes over 150.

Other Meds: Levothyroxine 12.5mcg, , Preservision, Metformin 50mg x3, Novolog insulin as needed, Levemire insulin 54 units at night, Zolpidem tartrate 2.5mg. Alprazolam 0.25mg as needed

Current Illness: None

ID: 0977989
Sex: F
Age: 92
State: NJ

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: penicillin

Symptoms: Vaccine was thawed on 1/11/21, use by date 1/16/21, but was used to immunize patient on 1/22/21.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm