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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 0922754
Sex: M
Age: 33
State: AZ

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: Patient was sent to employee health for antibody testing.

Allergies:

Symptoms: Patient received Moderna vaccine instead of Pfizer vaccine for dose #2 in vaccine series of COVID-19 vaccine series.

Other Meds:

Current Illness:

ID: 0922755
Sex: M
Age: 48
State: CA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Staring about 12 hours after the injection and persisting at least 12 hours (current time) I have mild disequilibrium such as I just stepped off a merry-go-round. It is not frank vertigo and does not impair my ability to walk or drive but is noticible.

Other Meds: Adderral

Current Illness: None

ID: 0922756
Sex: F
Age: 30
State: PA

Vax Date: 12/28/2020
Onset Date: 01/03/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Local injection site reaction Red Warm Raised Hard Itchy

Other Meds:

Current Illness:

ID: 0922757
Sex: M
Age: 22
State:

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Redness and pain at injection site.

Other Meds:

Current Illness:

ID: 0922758
Sex: F
Age: 25
State: AR

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: COVID19 PCR this morning on 1/6. No results yet.

Allergies: None

Symptoms: Woke up at 1230 am with chills, headache and mild dry cough and we too tired to get up to take my temperature and take Tylenol. I woke up again at 3:50am with chills and aches and this time got up to take my temperature- oral temp 100.9. Took Tylenol shortly after and the fever came down to 98.9. Still achy and fatigued.

Other Meds: Nature?s bounty women?s multivitamin gummies

Current Illness: None

ID: 0922760
Sex: F
Age: 41
State: NC

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: Hives and itching 1 hour after receiving vaccine

Other Meds: 20 mg Zyrtec qd, 25 mg Benadryl at bed time, Sythroid 75mcg every other day 50 mcg every other day opposite of 75mcg, doxycycline qd

Current Illness: sulfa drugs

ID: 0922761
Sex: M
Age: 90
State: MA

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: CXR - positive for pneumonia (done 2 days prior to vaccination) Urine - negative Lactic acid - negative Blood cultures - negative COVID-19 - still positive from his positive test in November

Allergies: Lisinopril, Metoclopramide, Penicillin

Symptoms: Lethargy, chills, shaking, pale, slightly tachycardic. Afebrile initially then fever presented after about an hour to 103.3

Other Meds: Flomax, Multivitamin with minerals, tylenol, Carbidopa-Lecodopa, Senokot, Pramioexole Dihydrochloride, Fesoterodine Fumarate ER, Mesalamine ER, Omeprazole, Miralax powder, Melatonin, Bengay cream, Aspririn, Clonazepam, Levothyroxine, Cardiz

Current Illness: Recently positive for COVID-19

ID: 0922762
Sex: F
Age: 41
State: MD

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Employee received two different kinds of vaccine for the 2 series. Pfizer for the initial dose and Moderna for the second dose

Other Meds:

Current Illness:

ID: 0922763
Sex: M
Age: 55
State: TX

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: N/A

Allergies: I have seasonal allergies to pollen and weed.

Symptoms: The injection site swollen with significant pain, and developed skin rash on the backside of both upper arms (no itch or any other feeling of those rashes).

Other Meds: N/A

Current Illness: N/A

ID: 0922764
Sex: F
Age: 41
State: NY

Vax Date: 12/26/2020
Onset Date: 01/03/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: cc: L upper arm pain 8 days post Moderna vaccine received. with swelling, redness. Cold compress applied yesterday. Took advil 200 mg po last night and Claritin 10 mg po last night.

Other Meds: atorvastatin 10mg QD; OCP

Current Illness: none

ID: 0922765
Sex: F
Age: 25
State: NJ

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Rash/hives to face, neck, arms. Minimal face swelling

Other Meds: Larissa birth control

Current Illness: None

ID: 0922766
Sex: F
Age: 33
State: MA

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: Patient reported that she began with arm pain on 1/5/2021 and she also noticed a small red area at the injection site. Today when she woke up she noticed the reddened area was much larger in which she circled the area, she is also reporting pain and swelling. Her temp is 97.4. She is an employee at this clinic who was given the Moderna vaccine. This event was reported to the Medical Director. Employee advised to contact her PCP for further evaluation.

Other Meds: Zyrtec & Wellbutrin

Current Illness: no

ID: 0922767
Sex: F
Age: 87
State: TN

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/06/2021
Hospital: Y

Lab Data: Patient was transported to Medical Center on 1/3/2021 and is currently still in the hospital as of today. Patients so reports they have ruled out heart attack or stroke. Her son reports they will be doing a stress test today.

Allergies: unknown

Symptoms: Patient woke on 1/3/2021 weak having uncontroled bowels and off and on confusion.

Other Meds: unknown

Current Illness: unknown

ID: 0922768
Sex: M
Age: 51
State: TX

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: NA

Allergies: Aspirin

Symptoms: 24 hours of fever, chills, aches, shooting pains in the ears, headache, fatigue. Fever not relieved by Tylenol or ibuprofen. Temp to 101F. Given a course of prednisone by urgent care provider which stopped the symptoms after the first dose.

Other Meds: NA

Current Illness: Covid-19 documented infection on 12/12/20 and also on 12/31/20 from PCR test. Symptoms had resolved by the time of vaccination

ID: 0922769
Sex: F
Age: 44
State: TN

Vax Date: 12/28/2020
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: unknown

Allergies: no know drug allergies

Symptoms: hematoma, redness, warmth, and pain at injection site

Other Meds: unknown

Current Illness: no

ID: 0922770
Sex: F
Age: 46
State:

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Seven days after injection 2.5 x 3.5 inch red swollen area appeared on left arm at injection site with intermittent intense itching

Other Meds: Lexpro

Current Illness: N/A

ID: 0922771
Sex: F
Age: 48
State: FL

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: NA

Symptoms: ?Moderna COVID-19 Vaccine EUA? side effects experienced are fever, vomiting, body aches, soreness and swelling of injection site, swollen glands in neck, enhanced pain in areas currently being treated for injury.

Other Meds: lisinopril, metoprolol,

Current Illness: Covid 19 from approx 11/15/20 to 12/01/20.

ID: 0922782
Sex: U
Age:
State: MA

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

Lab Data:

Allergies:

Symptoms: shingles; This initial spontaneous report was received from a lawyer regarding a case in litigation and refers to a patient of unknown age and gender. No information was provided regarding concomitant medications, concurrent conditions or medical history. On an unknown date in or around 2018, the patient was inoculated with zoster vaccine live (ZOSTAVAX) for routine adult health maintenance and for its intended purpose: the prevention of shingles (dose, dose number, route, anatomical site of vaccination, lot # and expiration date were not provided). On an unknown date (reported as shortly after receiving the vaccine), the patient suffered shingles (herpes zoster). As a direct and proximate result of zoster vaccine live (ZOSTAVAX), the patient's symptoms had resulted in physical limitations not present prior to using the vaccine. The patient also experienced mental and emotional distress due to resulting physical limitations and seriousness of the patient condition. In addition, the patient sustained severe and permanent personal injuries. Further, the patient had suffered serious, progressive, permanent, and incurable injuries, as well as significant conscious pain and suffering, mental anguish, emotional distress, loss of enjoyment of life, physical impairment and injury. Finally, as direct and proximate result of zoster vaccine live (ZOSTAVAX), the patient had suffered and incurred damages, including medical expenses; the loss of accumulations; and other economic and non-economic damages. The outcome of herpes zoster was not recovered. The causal relationship between the event and zoster vaccine live (ZOSTAVAX) was assessed as related. Herpes zoster was considered a disabling event by the reporter.

Other Meds:

Current Illness: Routine health maintenance

ID: 0922783
Sex: U
Age:
State: FL

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

Lab Data:

Allergies:

Symptoms: I had a severe reaction to the pneumonia vaccine. I was told never to get one again; This spontaneous information has been received from a 66-years-old patient of unknown gender. The patient's pertinent medical history, concurrent conditions, previously drug reactions, allergies and concomitant medications were not provided. On an unknown date, the patient was vaccinated with pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) as prophylaxis (strength, dose, frequency, route of administration, anatomical location, lot number and expiration date were not reported). On an unknown date, the patient had a severe reaction to the pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) vaccine and it was told to never got one again (vaccination adverse reaction). The outcome of the vaccination adverse reaction was unknown. The vaccination adverse reaction was related to the pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) vaccine.

Other Meds:

Current Illness:

ID: 0922784
Sex: F
Age:
State:

Vax Date: 10/20/2017
Onset Date: 11/20/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: woke up feeling like I had a temperature (which I did)/ fever; Headache; This case was reported by a consumer and described the occurrence of fever in a female patient who received Herpes zoster (Shingrix) for prophylaxis. Previously administered products included Shingrix (1st dose received on an unknown date). On 20th October 2017, the patient received the 2nd dose of Shingrix. On 20th November 2020, 1127 days after receiving Shingrix, the patient experienced headache. On 20th November 2020 03:30, the patient experienced fever. On 20th November 2020 18:00, the outcome of the fever was recovered/resolved. On an unknown date, the outcome of the headache was recovered/resolved. The reporter considered the fever and headache to be related to Shingrix. Additional details were provided as follows: The patient reported case for herself. The patient received second shingles shot and the next morning about 3:30 a.m., woke up feeling like patient had a temperature (which she did). The fever lasted until about 6 p.m., and then patient was fine. The patient commented if the two shot vaccine keeps her from suffering from shingles, it would be worth it. This case has been linked with US2020AMR233691, reported by same reporter.; Sender's Comments: US-GLAXOSMITHKLINE-US2020AMR233691:same reporter

Other Meds:

Current Illness:

ID: 0922789
Sex: F
Age: 47
State: MA

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

Lab Data:

Allergies:

Symptoms: The patient developed a very short episode of flushing a few minutes after administration of the vaccine. About 30 mins after the vaccine she developed significant nausea without vomiting. She was administered Zofran with no relief. She was monitored for an additional 90 mins with no resolution of symptoms and could not function and was sent to emergency room and given Phenergan with eventual resolution of symptoms.

Other Meds:

Current Illness:

ID: 0922790
Sex: M
Age: 57
State: PA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Extreme sweating through the night. Woke up just about every hour on the hour sweating. No noticeable fever just sweating. Soreness at injection site but no more than to be expected.

Other Meds: Janumet 1000mg, Simvastatin 20mg. Jardiance 25mg

Current Illness: None

ID: 0922791
Sex: F
Age: 45
State: AR

Vax Date: 12/29/2020
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Year round indoor and outdoor allergies

Symptoms: Swelling and pain at injection site for several hours after receiving allergy shot

Other Meds: Adderall, bupropion, singular, zyrtec

Current Illness:

ID: 0922792
Sex: F
Age: 50
State: MO

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: HEADACHE ONSET 12-31-2020 AND IS STILL ONGOING

Other Meds:

Current Illness:

ID: 0922793
Sex: F
Age: 26
State: NY

Vax Date: 01/03/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Tree nut allergy

Symptoms: Woke up at 0400hrs with a temperature of 99.7, body wide pain, exhaustion, and a headache. Fever reached 100.00 by 0530hrs. Fever subsided by 1200hrs. Slept majority of the day. Symptoms went away around 1730hrs.

Other Meds: Birth Control (oral)

Current Illness: Covid positive diagnosis on 12/13/2020. No symptoms after 12/22/2020.

ID: 0922794
Sex: F
Age: 69
State: OH

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: none

Allergies: no

Symptoms: Soreness in the arm started later on the same day (late evening on 12-30-20). Woke up at 5:00 am the next morning (12-31-20)with severe chills, headache and dizziness. Felt as if I had covid all over again (was diagnosed with covid on October 12, 2020). My whole body ached and I was extremely fatigued. All I wanted to do was sleep and I also started a slight cough. Later on in the afternoon I started to sweat profusely. I had chills/sweats all through the afternoon and into the evening. I did not even get out out bed until the next afternoon (1-1-21). For 2 days afterwards I had chills/sweats and on 1-2-21 I had terrible stomach cramps and diarrhea.

Other Meds: synthroidemetformin,atenolol,furosemide, losartan, glipizide

Current Illness: no

ID: 0922795
Sex: F
Age: 68
State: PA

Vax Date: 12/30/2020
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: N/A

Allergies: Levaquin

Symptoms: Left arm pain, muscle ache (severe) for two days after injection One week after injection, swelling of lymph nodes under left arm (injection arm), painful to touch, extremely uncomfortable. So far, three days, ongoing. Physician office visit not necessary at this time.

Other Meds: Vitamin D, B-12

Current Illness: N/A

ID: 0922796
Sex: F
Age: 35
State: TX

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Coughing,chest pain, congestion, trouble breathing

Other Meds: None

Current Illness: None

ID: 0922797
Sex: F
Age: 32
State: NE

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: benadryl

Symptoms: left side tingling and numbness, decrease BP and pulse, nausea, dizziness/lightheaded, difficulty answering questions, itchy-allergic to benadryl so sent to ER for further evaluation

Other Meds:

Current Illness:

ID: 0922798
Sex: F
Age: 65
State: TX

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: n/a

Allergies: sulfa, skelaxin

Symptoms: dizziness, tachycardia, feeling of impending doom, lightheaded feeling

Other Meds: Nexium, Carafate, Myerbetrig, Metoprolol, Doxepin, Vit D, Methotrexate, Folic acid

Current Illness: rheumatoid arthritis, fibromyalgia, osteoporosis, GERD, irregular tachycardia, possible atrial fibrillation

ID: 0922799
Sex: F
Age: 57
State: MI

Vax Date: 12/24/2020
Onset Date: 01/03/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: n/a

Allergies: sulfa

Symptoms: nausea, diarrhea, vomit x 1, low grade fever 10 days after vaccine given

Other Meds: atorvastatin 20mg daily

Current Illness: n/a

ID: 0922800
Sex: F
Age: 32
State: MA

Vax Date: 12/30/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The reaction I have now is its swollen face and neck area, rashes all over my body all very itchy skin. Those are very manageable reactions. and happened exactly a week from the first dose of the vaccine. It has been going on for 2 days now and I will be seeing my doctor later today.

Other Meds: Vitamin c - Biotin - Vitamin d 2000

Current Illness: controlled LUPUS

ID: 0922801
Sex: M
Age: 27
State: MT

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: The symptoms arose the day following the injection. Vaccine received 04Jan21. All of the following occured around the same time (7:30pm) except for the headache: Headache (around 11:30am is when this settled in), fatigue, body aches and chills, slight loss of taste.

Other Meds: N/A

Current Illness: N/A

ID: 0922802
Sex: F
Age: 49
State: OK

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: none

Allergies: PCN, Keflex, Compazine

Symptoms: Night sweats followed by chills and rigors, followed by severe headache and nausea/vomiting from 2AM on 1/5/2021 to 0730 1/6/2021. Massive headache still lingering.

Other Meds: None

Current Illness: none

ID: 0922803
Sex: F
Age: 57
State: ND

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: none

Allergies: bactrum, keflex

Symptoms: Chills, dizzy, head ache, body aches, hot flashes, nausea.

Other Meds: Hydroclorot. zoloft, metformin ER.

Current Illness: Covid positive test 12-4-2020. Lumpectomy 11-11-20

ID: 0922804
Sex: F
Age: 55
State:

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Latex, hydrogen peroxide, sulfa

Symptoms: Patient was very nervous prior to vaccination, and immediately after the injection, she developed vasovagal reaction. It took her at least 30 minutes to recover, but was stable and went home with spouse.

Other Meds: Famotidine 20 mg QD PRN, aspirin/acetaminophen/caffeine QD PRN, Sodium-potassium-magnesium sulfates 17.5-3.13-1.6 gm UD

Current Illness:

ID: 0922805
Sex: F
Age: 32
State: OR

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

Lab Data:

Allergies:

Symptoms: Dizziness - lasted 2-3 hours. Body aches with feeling of fever but normal body temperature - lasted 12 hours. Pain at injection site - lasted 3 days.

Other Meds: Oracea

Current Illness:

ID: 0922806
Sex: M
Age: 64
State: NJ

Vax Date: 12/16/2020
Onset Date: 12/21/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: bactrim, ciprofloxacin, and amoxicillin

Symptoms: Vaccine recipient received 1st vaccine dose on 12/16/2020. The vaccine recipient returned for the 2nd dose of Pfizer-BioNTech vaccine on n 1/5/2021. They reported at the clinic that 5 days after receiving the vaccine on 12/16/2020 developed bilateral tinnitus that was hissing in nature. The hissing abated after a week. Vaccine recipient reported that they will follow up with an ENT provider. The vaccine recipient was not sure if it could be related to the vaccine. Patient has a history of tinnitus but noted it was nothing like prior. Vaccine recipient is a physician. Pfizer-BioNTech COVID- 19 Vaccine EUA.

Other Meds: metoprolol

Current Illness: None

ID: 0922807
Sex: F
Age: 31
State: AZ

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: CEPHEID QUAD test negative

Allergies: none

Symptoms: fevers, chills, myalgias

Other Meds: none

Current Illness: none

ID: 0922808
Sex: F
Age: 55
State:

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Latex, hydrogen peroxide, sulfa

Symptoms: Patient was very nervous prior to vaccination, and immediately after the injection, she had a vasovagal reaction. It took her at least 30 minutes to recover, but was able to go home with spouse.

Other Meds: famotidine 20 mg QD PRN, aspirin/acetaminophen/caffeine QD PRN, Sodium, potassium, magnesium sulfates 17.5-3.13-1.6gm take as directed

Current Illness:

ID: 0922809
Sex: M
Age: 30
State: MI

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: 1/4 7pm Vaccication 1/4 8pm started feeling itchy mouth and face 1/4 8:30pm took benadryl 50mg 1/4 11:30 symptoms mostly resolved 1/5 830am sysmtoms returned 1/5 845am benadryl 50mg & went to ER 1/5 ER recommended I take Zyrtek & Pepcid instead of bendryl as of 1/6 at 11:30am still have a very mild itchy face and tonge

Other Meds: LOSARTAN 25 MG BUPROPION 100 MG SR GABAPENTIN 900 MG

Current Illness: N/A

ID: 0922810
Sex: F
Age: 50
State: TN

Vax Date: 12/20/2020
Onset Date: 12/21/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: Covid 19 results positive

Allergies: Mil (Gi upset), Penicillin

Symptoms: The evening of the vaccine around the injection site exp redness, swelling lasted 3 days went away. After 10 days the injection site it appeared 3 inches was deep, red and exp itching. I took Benadryl the redness, swelling went away.

Other Meds: Topamax, Promethozol, Benlofaxon ,Multi Vit, Vit D,

Current Illness: No

ID: 0922811
Sex: F
Age: 27
State: TX

Vax Date: 12/24/2020
Onset Date: 12/25/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Ibuprofen, Keflex Toradol, Avocado, Latex

Symptoms: Fever around 4PM on 12/25 with chills and feelings of being feverish. Was as high as 103.1. Body aches starting 12/25 and lasting until 12/30 that were severe for 24 hours. Nausea and headache starting 12/26 and lasting until at least 12/31.

Other Meds: Symbicort, Celexa, Nexplanon

Current Illness: Treated for Strep throat on 12/22/2020

ID: 0922812
Sex: F
Age: 43
State: CA

Vax Date: 12/29/2020
Onset Date: 01/01/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Isosulfan Blue

Symptoms: A Ring of small scabs about 1/4" from injection site, then itching. On 1/4 in evening, a small rash which was examined by physician on 1/6. Rash now approximately 2"x3" in diameter and radiating down arm and toward armpit. MD will be treat as cellulitis.

Other Meds: Montelukast, Fexofenadine, Dulera inhaler, Budesonide nasal spray, Duloxetine, Junel Fe

Current Illness: None

ID: 0922813
Sex: M
Age: 37
State: OH

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever, chills, night sweats, fatigue, loss of appetite

Other Meds: None

Current Illness: Covid 19 infection one month prior

ID: 0922814
Sex: F
Age: 30
State: ME

Vax Date: 12/26/2020
Onset Date: 01/03/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: a week late woke up with large red circle around site.

Other Meds: multi-vitamin

Current Illness: none

ID: 0922815
Sex: F
Age: 43
State: ND

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: na

Allergies: nkda

Symptoms: 7pm.. chills, mild body aches, 8pm.. worsening chills, headache and moderate body aches 9pm-2am.... chills, headaches, moderate body aches 7am.. mild bodyaches, headache 11:15.... sx gone MILD body aches the next morning.... of note hx of COVID dx 9/2020

Other Meds: multivitamin, vitamin D, zinc

Current Illness: n/a

ID: 0922816
Sex: F
Age: 41
State: NJ

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: N/A

Allergies: Theophylline, Adhesive sensitivity

Symptoms: Immediately upon injection, tingling all over lasted for about less than 1 minute. Within 20 minutes, tingling & facial muscle tightness around mouth. Twitching & facial mouth muscle tightness for about 4 days, diminishing each day. Vaccine was given Wed evening...finally Sun was little to none symptoms.

Other Meds: Atorvastatin, Metoprolol Succinate, Premarin, Women's One-day day MVI, Vitamin D

Current Illness:

ID: 0922817
Sex: F
Age: 31
State: CT

Vax Date: 12/24/2020
Onset Date: 12/27/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: NA

Allergies: Contact dermatitis to mangoes and bounce dryer sheets

Symptoms: 1 episode of vomitus 3 days after shot

Other Meds: Not at the time of vaccination, but daily: Nortrel & MVI/min

Current Illness: NA, Good Health

ID: 0922818
Sex: M
Age: 48
State: FL

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Wellbutrin

Symptoms: Arm soreness, headache for a day

Other Meds: Metoprolol ER, Amlodipine-olemesartan, Lexapro

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm