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: 0979966
Sex: F
Age: 29
State: PA

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

Lab Data: None

Allergies: None

Symptoms: Patient experienced slight tingling in the fingers approximately 1 minute after the injection. The tingling lessened over time but has not completely gone away after 24+ hours.

Other Meds: Unknown

Current Illness: None

ID: 0979967
Sex: F
Age: 62
State: ND

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Morphine, fentanyl, codeine, duricef, norco, buprenorphine

Symptoms: Fever, fatigue, muscle aches, nausea, headache, treatment was rest, outcome symptoms lasted approximately 36 hours

Other Meds: Multivitamin, Vitamin D, stool softener/laxative, gabapentin, baclofen, celecoxib, famotidine, certirizine, duloxetine, Premarin, losartan potassium

Current Illness:

ID: 0979968
Sex: F
Age: 29
State: OH

Vax Date: 12/27/2020
Onset Date: 01/07/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: N/a

Allergies: Sulfa- Steven Johnson?s syndrome

Symptoms: Delayed injection site reaction 8 days after dose. Area became red, warm to touch, inflamed and itchy. Resolved on its own in 3 days or so.

Other Meds: None

Current Illness: None

ID: 0979969
Sex: F
Age: 81
State: CA

Vax Date: 01/19/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: NA

Allergies: Food allergies because if IBS

Symptoms: The first few days after the vaccination, the injection site was sore and had a hard lump. On day 8 after the injection, the injection site displayed pink dots and itching. By evening of Day 8 my scalp, and neck began to itch. I took a Benadryl before going to bed. On Day 9 (today) the injection site was solid pink and itching.

Other Meds: Levothyroxine, Aline, Fiber-Con, Folic Acid (1mg), Eliquis (2.5mg), Famotidine, Vitamins C and D3

Current Illness: NA

ID: 0979970
Sex: F
Age: 44
State: NV

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

Lab Data: None as of yet. I do not know of this will resolve completely. I was very afraid of it being GBS (the pain I had before getting transverse myelitis was localized to my neck) but it seemed to improve and it didnt cause any respiratory dysfunction, I can still use my hands for the most part and transfer. I am hoping it just continued to improve.

Allergies: Lemon, black pepper - anaphylaxis Sulfa- hives

Symptoms: At 2am I woke up with chills and body aches. My muscles felt very tight so I took some baclofen and Tylenol and tried to sleep. I woke again several more times, but at 7am I experienced severe pain all over my body. It felt especially bad in my hands/forearms and feet/calves. I felt as if my nerves were being peeled back. I had severe spasticity and some weakness. I normally walk with crutches outside and no crutches inside. I could no longer walk and had my family get my old wheelchair out for me. I had problems dorsiflexing. I had noticeable weakness in my core, quads, and glutes. My hands were weak and clumsy and while I could move my fingers had trouble grasping things. I was unable to raise my arms overhead completely, even on the side I didn?t get the shot. I did take tizanidine for spasticity and Tylenol though the day. My mother is a Pt and she came by to mobilize my shoulder. Because it started to improve over several hours I did not go to the ER. Strength in my ankles is retuning. I can walk better, although I still have quite a weak and spastic gait and am continuing to use my wheelchair so I don?t injure myself. The pain improved significantly. I am still having some weakness in my core, which I notice if I try to sit on a couch or roll over in bed.

Other Meds: Tizanidine, lyrica, cymbalta, baclofen (breakthrough only), cetirizine, pepcid

Current Illness: None

ID: 0979971
Sex: F
Age: 44
State: TX

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

Lab Data:

Allergies:

Symptoms: Severe head pain in temporal region, posterior neck pain, light side more than right; left sided facial flushing; chronic migraine with nausea on/off for seven days straight. Unable to do normal daily activities.

Other Meds: Norethindrone 35mg, Buproprion 300mg, Desvenlaxfaxine 50mg

Current Illness: None

ID: 0979973
Sex: M
Age: 46
State: CT

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None. i am a physician and i spoke with 2 rheumatologists about the symptoms

Allergies: NKDA

Symptoms: polyarticular inflammation (erythema, tenderness) in 2 finger joints and probably L wrist as well, consistent with a type 3 hypersensitivity reaction (immune complex deposition) DESPITE the fact that i was already taking prednisone daily because i anticipated severe side effects because i had a covid and has significant side effects from the first vaccine. i have continued to take prednisone and the symptoms are improving. i believe that people who have already had covid should not receive 2 doses of the vaccine as the first dose is in essence a booster. allot of people who have had covid are reporting significant side effects with the vaccine, especially the second dose. this needs to be addressed.

Other Meds: pre-medicated with prednisone 40mg in anticipation of severe side effects, 30 min prior to vaccine

Current Illness: None

ID: 0979974
Sex: F
Age: 44
State: ND

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

Lab Data: EKG-heart monitor.

Allergies: Amoxicillin Augmentin Wasp venom Latex Chloroprep

Symptoms: Became dizzy within 30 minutes, then body shakes (not chills), palpitations and a skyrocketing bp and pulse. My throat was also sore (but not constricted). I work in a medical facility and was brought to the Emergency Department. I was monitored with an EKG and given steroids and benedryl intravenously. I was discharged from the ED after a few hours and told to return to an emergency room if symptoms got worse again. My blood pressure continues to be somewhat elevated and heart rate feels rapid at times. Also intermittent dizziness., along with other common post vaccination side effects.

Other Meds: Zyrtec Adderall Wellbutrin Lexapro

Current Illness: None

ID: 0979975
Sex: F
Age: 70
State: NY

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

Lab Data: none

Allergies: Tetracycline HCl

Symptoms: tingling sensation of the tongue about 10 mins after the administration of the vaccine.

Other Meds: Triamterene-HCTZ Anastrozole

Current Illness: None

ID: 0979976
Sex: F
Age: 71
State: NJ

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

Lab Data:

Allergies: Penicillin ,sulfur

Symptoms: Severe pain ,swelling ,redness ,rash and itching at the injection site. This occurred 8 days after the initial injection. When to physician and they administered an antibiotic Clarithromyc 500 mg. Every 12 hours. Also apply cold compress and take 25mg. Of Benadryl for the itching. Diagnosed as Cellulitis. Follow up appointment Thursday February 4th.

Other Meds: Plaquenil 200mg.

Current Illness:

ID: 0979977
Sex: F
Age: 40
State:

Vax Date: 01/14/2021
Onset Date: 01/21/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Hives - cephalexin

Symptoms: A rash the size ~4 inches x 5 inches around administration site appeared 1/21/21 (one week after administration) late in the day. Experienced sx itching and pain to the touch. Rash went away by 1/24/21. Pain to touch gradually decreased but I am still having tenderness when touched.

Other Meds: Flonase, Zyrtec, Cholestoff, Krill Oil, melatonin, magnesium Lexapro, Wellbutrin XL, Vivelle-dot, Norethindrone acetate

Current Illness: None

ID: 0979978
Sex: F
Age: 32
State: PA

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

Lab Data:

Allergies: None

Symptoms: Delayed local immune reaction. Two red patches, itchy, red, and swollen. One at site of innoculation and the other a few inches below both on left arm. Resolved within 72 hours

Other Meds: Lo loestrin fe birth control

Current Illness: None

ID: 0979979
Sex: F
Age: 33
State: NY

Vax Date: 01/08/2021
Onset Date: 01/22/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: NA

Allergies: Sulfa Codeine Once had allergic reaction to flu shot while pregnant

Symptoms: Large swollen red area at site of injection that appeared 14 days post injection. Has almost completely diminished since appearing on 1/22/21

Other Meds: Omeprazole, Zyrtec, levothyroxine

Current Illness: None

ID: 0979980
Sex: F
Age: 38
State: WA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: Took my temp through the day, did not go above 99.3, but was also on ibuprofen most of the time that I was having chills.

Allergies: n/a

Symptoms: Took my shot at 1:00pm. Around 8:00pm, I started to have stomach cramps. At 1:00am the next morning I started having chills and shaking which continued until 4am when I started having back cramps and arm cramps where I had my shot. I also felt feverish and had a very bad headache, so I took 600mg of ibuprofen. I went in to work that morning and had chills and my skin hurt when my clothes touched my skin. I continued to have a headache also. I was sent home by my boss at 12pm on 1/5/21 because I looked and felt so bad and slept through the afternoon and for 10 hours that night. The next day, I continued to take 6oomg of ibuprofen every 6 hours and still had a lot of fatigue. The day after I was tired but them remained symptom free.

Other Meds: Prenatal vitamin, birth control, allegra, flonase

Current Illness: Vertigo (benign)

ID: 0979981
Sex: F
Age: 64
State: CA

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

Lab Data:

Allergies:

Symptoms: tingling in tongue, behind ears started immediately. then headache in forehead. Shaking in legs. never progressed to anything further. no respiratory symptoms. needed her inhaler the next day, but usually uses it twice a week so that isn't unusual. Had really bad chills that night without fever. Has had a headache everyday for 1 week after the vaccine.

Other Meds:

Current Illness:

ID: 0979982
Sex: F
Age: 44
State: UT

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

Lab Data:

Allergies: Sulfa

Symptoms: Rash/ hives around the injection site

Other Meds: Topiramate, folic acid, b12 nexium, amitriptyline Escitalopram

Current Illness:

ID: 0979983
Sex: F
Age: 33
State: GA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Avocado Peanuts

Symptoms: Nausea and headache at 0200 on 1/21. Myalgias, rigors, and fever to 1pp developed at 1000. Resolved by 1500.

Other Meds: Prenatal vitamin

Current Illness: None

ID: 0979984
Sex: F
Age: 75
State: GA

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

Lab Data: None

Allergies: Sulfa, Codeine, Keflex, Amoxicillin

Symptoms: delayed cutaneous hypersensitivity - redness, warmth, and mild swelling at injection site on day 9 after injection

Other Meds: Centrum Silver, Calcium, Bioten

Current Illness: Chronic Lymphocytic Leukemia (CLL)

ID: 0979985
Sex: F
Age: 37
State: NJ

Vax Date: 01/07/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: Moderna Covid vaccine 1/7/21

Allergies: Penicillin

Symptoms: 19 days after initial vaccination, arm pain and weakness returned at the point of vaccination. The previous two weeks after the initial 2-3 days post injection pain wore off had been pain and symptom free. The pain returned with no obvious reasons for the increased soreness and tenderness.

Other Meds: Ibuprofen, Benadryl, metoprolol succinate, fluoxetine

Current Illness: No e

ID: 0979986
Sex: F
Age: 62
State:

Vax Date: 01/18/2021
Onset Date: 01/22/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Patient had chills and fever of 103 in less than 24 hours; however, that was an expected side effect. What followed is being entered here as an adverse reaction. she has significant decreased vision by 1/22. (5 days after the injection). Was seen in ophthalmology on 1/27 and diagnosed with RIGHT NONARTERITIC ANTERIOR ISCHEMIC OPTIC NEUROPATHY

Other Meds: None reported by patient

Current Illness: None

ID: 0979987
Sex: F
Age: 71
State: FL

Vax Date: 01/15/2021
Onset Date: 01/23/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: CBC, chest xray

Allergies: None

Symptoms: 01/23/2021 severe mid back and chest pain, 100.3 fever at ER. Negative covid test but double pneumonia diagnosed as probable covid. Prescribed azithromycin, ondansetron, albuterol sulfate, zicam, extra vitamin D &C

Other Meds: Mult vitamin, vitamin D, vitamin C, fish oil

Current Illness: None

ID: 0979988
Sex: F
Age: 76
State: CA

Vax Date: 01/16/2021
Onset Date: 01/23/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: Azulfidine, bee stings

Symptoms: On 1-23-21, left arm became sore area of injection site; hurt to lie on left side to sleep. On 1-24-21, in am, upper arm very sore and red area, 3? X 1 1/2? at site. By evening it was more red and sore. Morning of 1-25-21, red area was more diffuse. Same evening, redness started to fade in center, creating a ?figure 8? appearance, with faded area in centers of figure 8 circles. Morning of 1-26-21, redness nearly gone, much less soreness. Today, 1-27-21, no redness but arm slightly sore to touch. Note, arm was sore for only three days after vaccination given.

Other Meds: Prolia 60 mg, Oxybutynin CL ER 5 mg, Calcium 600 mg with Vit D 800 IU, multivitamin, Imodium, Metamucil 1 cap, Biotin, Claritin 10 mg

Current Illness: Osteoporosis, Osteoarthritis,

ID: 0979989
Sex: F
Age: 36
State: MN

Vax Date: 01/20/2021
Onset Date: 01/24/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: Dust mites

Symptoms: My fingers have been intermittently going numb

Other Meds: None

Current Illness: None

Date Died: 01/09/2021

ID: 0979990
Sex: M
Age: 63
State: OH

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: sudden cardiac arrest

Other Meds:

Current Illness: none

ID: 0979991
Sex: F
Age: 58
State:

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

Lab Data:

Allergies: Sulfa drugs

Symptoms: Chills, Body aches Fever Headache Symptoms began at 9pm on 01/23/21 - symptoms gone by 6:pm on 01/24/21

Other Meds: Omeprazole Acid Reducer, Advil Ciprofloxacin HCL 500 MG

Current Illness: Urinary Track Infection

ID: 0979992
Sex: F
Age: 45
State: CT

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

Lab Data: None, self treated

Allergies: Seasonal allergies, latex

Symptoms: Hot, raised, swollen, with white ring around it with continued growth. After day 4 the ring was gone and the swelling was down. At 1 week mark migraine for 2 days and the area had raised itchy bumps on it.

Other Meds: Dexilant, claritin, magic, multi vitamin, kerydin, Shakeology

Current Illness: None

ID: 0979993
Sex: F
Age: 58
State: CA

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

Lab Data: None

Allergies: None

Symptoms: 15 minutes after her second dose of the injection, patient reported ringing in both ears. Very loud. She also reports her parkinson symptoms are increasing. Shaking of arms and legs were observed. Patient also reported nausea.

Other Meds: Carba-levodopa Prestique Advair

Current Illness: None

ID: 0979994
Sex: M
Age: 3
State: NJ

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

Lab Data:

Allergies: None

Symptoms: Immediately after the injection site swelled, bright red, hot to touch. Next day another reaction happens else where in his body. The doctor said this is more than a site reaction as the large hives were traveling across the body. Benedryl was taken and steroid cream was placed on reactions. 3 days later both spots started to reduce in size and the Itching subsided

Other Meds: None

Current Illness: None

ID: 0979995
Sex: F
Age: 64
State: GA

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

Lab Data: N/A

Allergies: Seafood

Symptoms: At 9:53am patient reported "pressure" in her chest. Patient described pressure as if what she may experience with asthma. Patient denied chest pain. Vitals taken every 5 minutes. Patient declined supplemental oxygen. Patient declined IM Benadryl. Patient administered 50mg of oral diphenhydramine at 9:55am . Patient refused to go to ER. Patient was alert and oriented x4.

Other Meds:

Current Illness:

ID: 0979996
Sex: F
Age: 29
State: NY

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

Lab Data: None

Allergies: Sea food and mushrooms

Symptoms: I am experiencing fever, chills, headache, body aches and extreme pain of 8/10 on my right arm. My neck feel heavy. My headache is pounding sharp type . My temperature was 102.3 orally and 103.1 rectally this morning

Other Meds: None

Current Illness: None

ID: 0979997
Sex: F
Age: 40
State: CA

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

Lab Data:

Allergies:

Symptoms: immediate metallic taste in back of mouth ( reminded her of iron supplements she takes). The next day felt pressure in chest like indigestion, but she says that happens frequently.

Other Meds:

Current Illness:

ID: 0979998
Sex: F
Age: 70
State: CA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: Egg allergy. Skin allergy to some laundry detergents

Symptoms: The day after the shot I hurt all over. I hurt three times worse than the worst flu I've ever had. In addition, I would have pain in my joints on and off through the day. In the afternoon I had a temp of 100.2 My concern is that on the news reports they say that the reaction to the second shot can be worse. I don't know if I can handle any more pain than I experienced after the first shot. The following day there was no more pain, but I was very tired. I'm ok now.

Other Meds: Blood pressure medication. Multivitamin, Calcium, Vitamin D3

Current Illness: None

ID: 0979999
Sex: F
Age: 51
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Fever 101.3, chills, aches all over, arms, legs, back and neck. Motrin taken .

Other Meds: Albuterol , anora, fish oil, vitamin d, multi vitamin.

Current Illness: Emphysema , aortic aneurysm, rheumatoid arthritis

ID: 0980000
Sex: F
Age: 38
State: NJ

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

Lab Data: None

Allergies: Z pack

Symptoms: Arm was sore and red for two day following vaccine. Got better and now today is day 8 and arm is sore again and red, warm to touch. I also I have a headache.

Other Meds: None

Current Illness: None

ID: 0980001
Sex: F
Age: 36
State: OR

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

Lab Data:

Allergies: Percocet

Symptoms: Hives Dizziness Nausea

Other Meds: Tramadol Ultram by mouth once a day at bedtime

Current Illness: None

ID: 0980002
Sex: M
Age: 57
State: MO

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

Lab Data: bp, temperature,pulse

Allergies: non

Symptoms: had to administer epi-epen after patient reported difficulty breathing and elevated blood pressure

Other Meds: none

Current Illness: non

ID: 0980003
Sex: F
Age: 56
State: OH

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

Lab Data:

Allergies: None

Symptoms: Redness, sore, swelling

Other Meds: None

Current Illness: None

ID: 0980004
Sex: F
Age: 36
State: AL

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

Lab Data: No e

Allergies: Nine

Symptoms: Woke up around 3am the night after I received the vaccine with a fever of 102.4, chills, body aches and a headache. My symptoms only lasted about 24 hours and then I was fine.

Other Meds: Birth control

Current Illness: None

ID: 0980005
Sex: F
Age:
State: AZ

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

Lab Data:

Allergies: Penicillin

Symptoms: None stated.

Other Meds: Hydrochlorothiazide 50 mg Amlodipine Besylate 5 mg

Current Illness: None

ID: 0980006
Sex: F
Age: 40
State: NY

Vax Date: 12/30/2020
Onset Date: 01/14/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Parabans mix, quaterium 15, formaldehyde, ethylene urea, doxycycline

Symptoms: Rash started as a small circle on left arm in am on 1/14 by 430 pm the rash was on both arms, stomach, chest, left foot and right leg 2 weeks after shot, went to urgent care prescribed prednisone and antihistamine. Took medication for 9 days. Rash went away on arms, stomach, and chest in 2 days of starting medication but it took almost 9 days before rash on foot and leg cleared up.

Other Meds: None

Current Illness: None

ID: 0980007
Sex: F
Age: 33
State: CA

Vax Date: 01/16/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Penicillin , Zofran

Symptoms: Redness , itching and swelling started 2 days ago. It has continued to increased. Today dizziness and nausea. Feel very weak like fainting is possible

Other Meds: None

Current Illness: NA

ID: 0980008
Sex: F
Age: 52
State: TX

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

Lab Data:

Allergies: No

Symptoms: has pain in arm, left arm, rash to left arm

Other Meds: None

Current Illness: Denies

ID: 0980009
Sex: U
Age: 0
State: VA

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

Lab Data:

Allergies: None

Symptoms: Swollen throat, not able to swollow or breath Chili?s dizziness , shaking, coughing , feeling like being choked Epipen, benedryl howpitalization

Other Meds: None

Current Illness: None

ID: 0980010
Sex: F
Age: 29
State: NY

Vax Date: 01/17/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: None know

Symptoms: Large hive/rash at vaccine site. About 3 inches long and itchy.

Other Meds: None

Current Illness: None

ID: 0980011
Sex: F
Age: 74
State: CA

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

Lab Data:

Allergies:

Symptoms: RN injected syringe into patient's left deltoid. Prior to administering the dose, the part where the syringe connects to the needle popped off and sprayed the solution out backwards away from patient. Patient did not receive any of the dose. Vaccine was readministered with a new syringe, needle, and dose. No adverse events occurred with patient afterwards during observation. Possible equipment (syringe/needle) malfunction.

Other Meds:

Current Illness:

ID: 0980012
Sex: F
Age: 50
State:

Vax Date: 01/16/2021
Onset Date: 01/22/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Swelling and spreading rash at injection site. Axillary pain on side of injection site. Both started on Day 6 after vaccine and resolved on Day 10 after vaccine

Other Meds: Multivitamins, Zyrtec, Vitamin D

Current Illness: None

ID: 0980013
Sex: F
Age: 46
State: MI

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

Lab Data:

Allergies: Penicillins Macrobid

Symptoms: Reaction in left arm starting on 1/22/2021 with itching. Developed into large red, warm reaction. Area was warm to the touch, swollen and raised. Area encompassing left deltoid. Using Zyrtec, ice,ibuprofen. Unresolved

Other Meds: Metoprolol Maxzide

Current Illness:

ID: 0980014
Sex: F
Age: 36
State: PA

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

Lab Data: None

Allergies: None

Symptoms: Fever, chills, aches and pains all over body. Headache

Other Meds: Prozac, lamictal and Ativan

Current Illness: None

ID: 0980015
Sex: F
Age: 36
State: MA

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

Lab Data: None

Allergies: None

Symptoms: Day 1- slight headache and fatigue, arm soar Day 2- arm soar, body ache, chills No more symptoms until Day 8 Day 8- Injection site itchy and red 1/2 dollar size raised area. Arm weakness, tingling in fingers like poor circulation.

Other Meds: Daily vitamin

Current Illness: None

ID: 0980016
Sex: M
Age: 40
State: AZ

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

Lab Data:

Allergies:

Symptoms: adverse event: dizzy, lightheaded treatment: observation outcome: released by ems after 30 min

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm