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: 0980117
Sex: F
Age: 50
State: IL

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

Lab Data:

Allergies: Ibuprofen

Symptoms: Chills and headache, fatigue

Other Meds: Multivitamins, krill oil

Current Illness: None

ID: 0980118
Sex: F
Age: 35
State: GA

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

Lab Data:

Allergies: None

Symptoms: Cheek/eye swelling

Other Meds: Adderall 10 mg XR, lo lo estrin, Prilosec 40 mg, Allegra, lexapro, trazadone

Current Illness: Positive Covid PCR test on 1/4/21

ID: 0980119
Sex: F
Age: 73
State: WA

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

Lab Data:

Allergies: Codeine

Symptoms: Headache, chills ,feeling unwell, tiredness

Other Meds: Alopurinol Daily vitamin

Current Illness: Radiation for breast cancer

ID: 0980120
Sex: F
Age: 66
State: GA

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

Lab Data:

Allergies: Penicillin, Erythromycin and Clindamycin

Symptoms: Patient developed red, itchy rash at vaccination site a week after vaccine was given. Patient said it was also warm to the touch.

Other Meds:

Current Illness:

ID: 0980121
Sex: M
Age: 43
State: AR

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

Lab Data:

Allergies: None

Symptoms: Patient reported approximately 3 hours post vaccination that they experienced itching on top of their head. Approximately 6 hours post vaccination they reported the appearance of red bumps/hives on chest, upper arms, back, and ankle along with itching in these areas. Patient reported taking a Benadryl and noticed symptoms improved within 30 -45 minutes. The following morning patient reports itching occurred again but subsided after dose of Benadryl. Patient has spoken to two separate physicians about decision to receive second doses.

Other Meds: Lisinopril/Hydrochlorothiazide, Metoprolol, Fish Oil

Current Illness: None

ID: 0980122
Sex: F
Age: 53
State: WI

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

Lab Data:

Allergies: Penicilin Bactrim Sulfa

Symptoms: Fever 100.6 Body aches Headache Welt at injection site

Other Meds: Allegra Omeprazole Lisinopril

Current Illness:

ID: 0980123
Sex: F
Age: 41
State: FL

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None Took Benadryl and advil

Allergies: None known

Symptoms: Facial and mouth tingle initially. Day later dizzy-room spinning with light exercise. More facial and tongue swelling. Followed by 1 week of swollen glands and tender jaw.

Other Meds: Synthroid, levothyronine, collagen powder, fish oil, magnesium

Current Illness: None

ID: 0980124
Sex: F
Age: 30
State: NJ

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

Lab Data: test: SARS-COV-2 PCR// Date: 1/23/2021// Result: Negative

Allergies: -none-

Symptoms: Patient is 30 y female who was 11 weeks pregnant with a singleton gestation EDC 8/10/2021. She received the first dose of Moderna vaccine on 1/14/2021. Over the ensuing 4 days, she experienced fevers to 99.3 F, a bumpy red rash accompanied by itching at the shot site, nausea, headache, and fatigue. Tylenol 500 mg/dose was used for temperature control. She then had two days of minimal symptoms, but on 1/21 experienced sudden swelling of her left arm at the shot site with rapid expansion of the rash. The rash was itchy and the arm was painful. She had a significant headache, fatigue, and temperature to 99.3 F. These symptoms worsened over the next two days, with temperatures reaching 100 degrees F, continued headache, fatigue, and increased arm swelling. On 1/23/2021 the arm began to improve, but fevers to 99.3, fatigue and headaches continued. The rash had expanded to almost 12 cm x 6 cm. Tylenol 500 mg dosing was used for symptom control with some improvement. By 1/26/2021 the rash had mostly disappeared, the headache was gone, fevers were gone, and the fatigue remained. In all, symptoms lasted 12 days post-vaccination.

Other Meds: Advair HFA 230/21, Prenatal vitamins

Current Illness: none

ID: 0980125
Sex: F
Age: 46
State: CA

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

Lab Data:

Allergies: none except moderate allergic reaction to bee stings

Symptoms: Sudden severe itching at around injection site, redness, some swelling/hardness one week after injection. At time of injection I had no abnormal reactions-- just pain around the injection site for a couple days and I was a bit tired. Used a Cortisone cream and tec-nu itch and pain relieving gel (Diphenhydramine HCL 2%, Zinc acetate 0.215%) which decreased the itching substantially with no effect on redness or swelling. Almost 24 hours later, persistent mild itchiness, red patch is same size (approx 2"x3" oval-ish shape), and still feels like there is some swelling/hardness. I haven't spoken with a medical professional about this yet.

Other Meds: lamotragine, bupropion, vit B, L-lysine, 5-HTP, adult multivitamin

Current Illness: none

ID: 0980126
Sex: F
Age: 41
State: CA

Vax Date: 01/17/2021
Onset Date: 01/18/2021
Rec V Date: 01/27/2021
Hospital: Y

Lab Data: Complete blood count 1/18/21 Continuous prenatal non-stress test for 48 hours 1/18/21-1/19/21 Twice daily non stress test 1/19-ongoing

Allergies: None

Symptoms: Date of 2nd dose received 1/17/21. HCW (Physician) pregnant at 32wks 5 days (due date 3/10/21) with preterm premature membrane rupture on 1/18/21. Was working entire weekend and overnight in hospital on call before event happened (?stress). Currently hospitalized in Labor&Delivery, received latency antibiotics, steroids and currently under expectant management.

Other Meds: Prenatal multivitamins, levothyroxine, cholecalciferol

Current Illness:

ID: 0980127
Sex: F
Age: 76
State: FL

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

Lab Data: None

Allergies: None

Symptoms: Jan 26, 2021: 3:00 pm, mild fatigue 9:00 pm sound asleep (unusually early for me) Jan 27, 2021 1:30 am woke up feeling hot and perspiring (really unusual for me, but I did not think much about it at the time) 3:00 pm - mild headache ( unusual for me, but I did not take anything for it) 5:00 pm felt mildly unwell and felt mildly chilled 5:30 pm, took temperature - 99.5 - and did not want anything to eat - no nausea, just not hungry. 8:30 pm, took temperature - 100.2, ate some mild cheese and fruit (pear) and coca-cola to settle my stomach a little

Other Meds: Chlorthalidone 12.5 Mg daily Carvedilol. 25 Mg b.i.d. Synthroid .88 mmg

Current Illness: None

ID: 0980128
Sex: F
Age: 51
State: CA

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

Lab Data: None

Allergies: Cantaloupe

Symptoms: 51 year old received Moderna vaccine at 4:49. Pt complains of itching and tingling sensation of the lips and throat at 4:59 PM. At 5:02PM, pt received Benadryl 25mg po .x1. Refused Epinephrine. At 5:16 PM pt informed me that the itching is resolving. 5:50PM V/S B/P 117/77, Pulse=74, RR=18, O2 sat = 98%, Temp = 95.4. Pt resolving 5:52 PM. pt discharged. Advised to continue with Benadryl otc for itching. If symptoms continues pt will report to nearest E.R.

Other Meds: Vitamin D, Vitamin C

Current Illness: None

ID: 0980129
Sex: F
Age: 28
State: MD

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

Lab Data:

Allergies: sulfa, eggs

Symptoms: injection site welt and rash to surrounding area. Started 1 week after injection

Other Meds: N/A

Current Illness:

ID: 0980130
Sex: F
Age: 25
State: TX

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

Lab Data:

Allergies: Sulfa, metals, dairy, grass, trees, mold

Symptoms: Chills, fever, stomachache, headache, large red swollen raised patch on arm inches below injection site - all have lasted 60 hours after injection

Other Meds: Lo loestrin

Current Illness: None

ID: 0980131
Sex: F
Age: 63
State: WA

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

Lab Data: CALLED 911 AND FIRE DEPARTMENT

Allergies: unknown medication allergy

Symptoms: AFTER GIVING SHOT IN 10MIN , PATIENT STARTS FEELING UNWELL, HER JAW LOCK, STARTING UNCOUNCIOUS, SHE WETS HER PAINT, HER TOUNGE OUT, UNRESPONSE, HER EYES WIDE OPEN , BLOOD PRESSURE DROP LOW

Other Meds: unknown

Current Illness: No

ID: 0980132
Sex: F
Age: 44
State: ID

Vax Date: 01/17/2021
Onset Date: 01/24/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: Went back to Health Clinic after work on 1/25/21 and she said it is ?cellulitis.? She prescribed Cephalexin 500 mg four times a day for 10 days. Also added more antihistamines to take for itching.

Allergies: At a young age, was allergy tested and had many environmental allergies. Was also told that I had a very small reaction to chocolate and shellfish.

Symptoms: Pain came back a week after the shot during the night. Felt like the day I got it and day after (sore ). 1/25/21 Woke in morning and arm was very sore and itchy at the injection site. Rash, warm, hardened, and swollen. Took 1/2 a benedryll at 6:30am.. About 9:55am got very itchy again. 11:35am no change in itchy and seems to be more sore and warm. Arm is actual achy and sore from shoulder to finger tips. Rash has gotten worse and more red through the day. Took 2 ibuprofen and 1/2 benedryll at about 12pm.

Other Meds: Citalopram Loratadine

Current Illness:

ID: 0980133
Sex: M
Age: 33
State: AZ

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

Lab Data: None

Allergies: Augmentin

Symptoms: Fever to 101.5, chills, headache for about 6 hours

Other Meds: Ibuprofen

Current Illness: None

ID: 0980134
Sex: F
Age: 39
State: NC

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

Lab Data: ED visit 1/26/21: neuro exam, CBC, bmp, troponins, ekg, chest X-ray

Allergies: None

Symptoms: 1/23/21 10:00 am, Developed lower lip and tip of tongue tingling post vaccination. Lower lip tingling resolved 5 minutes later and tip of tongue tingling continued. Tip of tongue tingling resolved on 1/24/21. 1/25/21: 20:30 pm; developed sudden left leg numbness and left great toe tingling. 2100 pm left leg numbness decreased. Left great toe continued to have tingling sensation. Also had faint tingling right great toe. 1/26/21: 0800 am; left leg numbness improved. Left great toe continued to tingle. Right great toe tingling intermittent. New development of right index finger intermittent tingling. 1/26/21: 1000; Left leg numbness resolved. 1/27/21: Still remain with intermittent left and right great toe tingling and right index finger tingling.

Other Meds: Microgestin, women?s one a day multivitamin, vitamin b12 1000mcg

Current Illness: None

ID: 0980135
Sex: F
Age: 34
State: FL

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

Lab Data: None

Allergies: Penicillin and sulfa drugs

Symptoms: Redness, swelling, itching, and hives spreading from injection site out about 3 inches all around, beginning one week after vaccine administered.

Other Meds: Topiramate, bupropion, symbicort, Allegra

Current Illness: None

ID: 0980136
Sex: F
Age: 71
State: NV

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

Lab Data: None

Allergies: None

Symptoms: Seven days after injection deveoped swelling and red itchy rash at injection site.

Other Meds: Metoprolol ER Succinate, Esomrprazole Magnesium, Potassium Cl, multi vitamin, super B-Complex, Areds, and Biotin

Current Illness: None

ID: 0980137
Sex: M
Age: 66
State:

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

Lab Data: N/A

Allergies: None

Symptoms: Waking up middle of night( around 0200, 16 hours after vaccine was given) with severe shivering and chills. Fell back sleep, woke up 0600 with fatigue and muscle aches. Took Ibuprofen 800mg at 0700. Improvement of muscle ache over several hours. Feeling fine this morning.

Other Meds: Losartan 50mg bid

Current Illness: None

ID: 0980138
Sex: F
Age: 38
State: PA

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

Lab Data: None

Allergies: Iodine, Macrodantin, Mirvaso, Neomycin, Epoxy Resin, Nickel, ethylene Diamine, Chromium

Symptoms: Sore arm, extreme gas, some nausea

Other Meds: Spironalactone, Amitryptalene, Zoloft

Current Illness: None

ID: 0980139
Sex: F
Age: 61
State: MN

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

Lab Data: None

Allergies: Scopalomine Feldene

Symptoms: Headache 1st day Day 2/3 severe body aches, muscle and joint pain, fatigue, brain fog, insomnia

Other Meds: Armour natural pork thyroid Low dose naltrexone HR T

Current Illness: Chronic lyme

ID: 0980140
Sex: F
Age: 28
State: MS

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

Lab Data:

Allergies:

Symptoms: Unexplained Pregnancy loss

Other Meds:

Current Illness:

ID: 0980141
Sex: F
Age: 52
State: NY

Vax Date: 01/16/2021
Onset Date: 01/20/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Amoxicillin

Symptoms: Vaccinated on 1/16/21-Underarm pain and swelling beginning day 4 (1/20/21) after vaccine followed by swollen, hot, itchy pain around injection site on day 7 (1/24/21)after vaccine

Other Meds: Losartan- HCTZ 50-12.5 MG

Current Illness: No

ID: 0980142
Sex: F
Age: 61
State: OR

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

Lab Data: Component Latest Ref Rng & Units 1/21/2021 1/21/2021 6:55 AM 6:55 AM WBC 4.0 - 10.0 k/mcL 8.6 RBC 3.70 - 5.30 M/mcL 4.52 HEMOGLOBIN 11.7 - 16.0 g/dL 14.2 HEMATOCRIT 35.0 - 47.0 % 43.8 MCV 82.0 - 99.0 fl 96.9 MCH 26.5 - 34.0 pg 31.4 MCHC 32.0 - 36.0 g/dL 32.4 RDW 11.5 - 15.0 % 12.3 PLATELETS 140 - 450 k/mcL 274 MPV 9.4 - 12.4 fl 10.7 NEUTRO ABS 43.0 - 75.0 % 4.7 54.5 LYMPHO PCT 19.0 - 47.0 % 34.5 MONOS PCT 2.0 - 12.0 % 8.4 EOSINO PCT 0.0 - 5.0 % 2.1 BASOS PCT 0.2 - 1.2 % 0.4 IMMATURE GRANULOCYTES % 0.0 - 0.7 % 0.1 NRBC 0.0 - 0.2 % 0.0 LYMPHO ABS 1.2 - 3.7 k/mcL 3.0 MONOCYTES 0.2 - 0.8 k/mcL 0.7

Allergies: ipratropium

Symptoms: Pt is a pleasant 61 year old female who received Moderna COVID19 prime vaccine dose on 1/15/2021 as part of employee immunization event. Pt reported upper respiratory viral illness the week prior but determined with medical advice that she was well enough to be immunized on the 15th. Immediate post-vaccination period was unremarkable. Later that evening pt experienced onset of HA and fatigue which progressed to severe HA, low grade fever (~99 F per patient), malaise, and sore shoulder the following day. Symptoms gradually improved over the next 2-3 days with HA being the most troublesome and lingering symptom. Pt used OTC analgesics to manage HA pain. On 1/19/2021, four days after prime dose administration, pt noted a visible lump mid-clavicle, determined to be a severely swollen lymph node. Warm and tender to touch. Pt sought medical attention for this the following day, 1/20/2021. Physician's assessment: "Pt received the COVID moderna vaccine Friday, left arm. She is a triage RN at Medical Clinic. She states yesterday a lump appeared on her LT clavicle area. Pt reports the lump is tender, "warm" but not red, and no surrounding erythema. Yesterday had HA and a "weird sensation" radiating to LT ear from the lump. The lump is now the size of a golf ball, did draw a line under it to see it. She is able to swallow okay and has no other concerning Sx. No changes in breathing. Has had headaches, which have been reported possible side effect from COVD19 vaccination. This vaccination was given quite high in her arm she thinks as well. Fever Sunday night, 2 days after vaccination. Has been taking Tylenol and IBU (not what she does usually) taking with food and has some GI upset. Did try a cool compress on the lump yesterday which did not seem to help." // "Can clearly see her soft tissue mass above her left clavicle, with a line that she drove underneath it yesterday when it started to form. There is no redness but is certainly tender to touch. Can still see a little bit of bruise in her arm where her vaccine was given in her left arm which does seem quite high, not two finger widths from the acromion process. Discussed prednisone but she is terrified of this as she was given a Symbicort inhaler not that long ago and felt that the steroid really made her wired. Recommend warm compresses, alternate between Tylenol ibuprofen with food and even topical Voltaren gel which she has at home and Arnica gel to area. Can certainly get CBC CMP for further evaluation. Discussed soft tissue ultrasound if this does not improve, will order this today in case it is needed she can just get that scheduled. She is going to report her vaccine reaction to the link she was given on the paper which I think is appropriate. Hopefully symptoms will improve in the next few days and then can proceed with her second vaccination a month from the first." I spoke with patient today, 1/27/2021, to submit VAERS report. She reports swollen lymph node is still visible though size and sensitivity continue to slowly diminish.

Other Meds: lisinopril/hydrochlorothiazide 12/12.5 mg tizanidine 4 mg fluticasone propionate HFA 44 mcg/actuation inhaler prescribed for BID but pt reported infrequent use PRN only albuterol sulfate HFA 90 mcg/actuation inhaler PRN SOB ibuprofen OTC PR

Current Illness: Seen for viral URI on 1/6/2021, negative COVID19 viral test. Presenting symptoms: cough, HA, shortness of breath, sore throat; Pertinent negatives: fever, rhinorrhea, congestion, N/V/D, or loss of taste or smell.

ID: 0980143
Sex: F
Age: 50
State: WA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: sulfa (rash), amlodipine (edema) cephalexin (rash) latex lisinopril (myalgia) penicillin (shortness of breath, anaphylaxis)

Symptoms: Pt developed headache, diarrhea and redness, induration and warmth at vaccine site 1 day following administration. It resolved 8 days later- no swelling but the came back on day 9 post vaccine with redness, swelling and warmth in left arm. She also complains of arm pain, tingling in arm, mild swelling in face and arthralgias. Her vaccine was administered sub q instead of IM in the deltoid. Hers was placed more posterior by pharmacist who vaccinated her

Other Meds: cardiatone

Current Illness:

ID: 0980144
Sex: M
Age: 76
State: VA

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

Lab Data: None

Allergies: Tetracycline

Symptoms: At day 7, itching, mild swelling at injection site, large red 3inch circular patch, fever at site

Other Meds: Amlodipine 5mg Vitamins D3 and C

Current Illness: None

ID: 0980145
Sex: M
Age: 37
State: OR

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

Lab Data: None

Allergies: None

Symptoms: Moderna COVID-19 Vaccine EUA

Other Meds: Hyoscyamine, claritin, bulk fiber pill, nexium

Current Illness: None

ID: 0980146
Sex: F
Age: 44
State: NY

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

Lab Data:

Allergies: Nkda

Symptoms: Diarrhea, nauseated, headache, fever, arm pain, body aches, chills, joint pain, skin burning, facial redness, left chest wall swelling and tenderness. Seen Dr today

Other Meds: Atenolol, zoloft, metformin, crestor, trulicity

Current Illness:

ID: 0980147
Sex: F
Age: 32
State: CA

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

Lab Data: None

Allergies: Amoxicillin, naproxen, shellfish

Symptoms: By 8 hrs, developed left upper arm soreness. By 10 hrs, had chills. By 12 hrs, had chills, low grade fever, muscle/body aches, fatigue. Palpitations also started. Noticed circulation was looking slightly poor, with fingers/toes looking pale and bluish, but oximeter showed 98% oxygenation. Entire night with chills, body/joint aches, palpitations, muscle cramping. Unable to sleep. At 24 hrs, no more palpitations or fever. Still chills, fatigue, headache. At 36 hrs, felt better with no more chills. Still have headache. Been having headache every morning until now. At 72hrs, injection site itchy and red. Redness growing still.

Other Meds: Claritin, Sudafed, omeprazole

Current Illness: Migraines, GERD

ID: 0980148
Sex: F
Age: 41
State: CA

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

Lab Data: None

Allergies: Nickel, seasonal /enviromental

Symptoms: Pressure headache, chills, joint pain , muscle cramps , rash at the injection site

Other Meds: Benadryl, vit C,Calcium+ vit D , Vit E

Current Illness: None

ID: 0980149
Sex: F
Age: 59
State: AZ

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

Lab Data: No tests

Allergies: Midrin and Flagyll

Symptoms: Vaccine was received at 7:12 a.m. on 1/26, I did not feel any adverse effects except for a sore arm until approximately 8:30 p.m. when I noticed the area of my upper neck and under my chin started feeling tingly and slightly numb. It is now 1/27, 7:00 p.m. and I still have a similar feeling. I have not noticed shortness of breath or major difficulty swallowing.

Other Meds: Tylenol

Current Illness: Possible cold or allergies

ID: 0980150
Sex: F
Age: 72
State: CA

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

Lab Data:

Allergies:

Symptoms: PATIENT NOTED DIZZINESS AND TINGLING AND FAINTNESS MINUTES UPON RECEIVING VACCINE.

Other Meds:

Current Illness:

ID: 0980151
Sex: F
Age: 38
State: ME

Vax Date: 01/21/2021
Onset Date: 01/24/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Salicylate Foods containing salicylate

Symptoms: Headache that did not dissipate with normal migraine meds or 1000 mg Tylenol. Fatigue. Brain fog, poor ability to concentrate and word find, almost slurring words. Dry, wheezing cough. Shortness of breath. All acute symtpoms began 4 days after injection, lasting 24 hra. Wheezing, dry cough, and shortness of breath are now lingering

Other Meds: Fexofenadine 180mg Vit D3 drops 5000IU K2 drops 1000 mcg Magnesium 400 mg Budesonide 32 mcg nasal spray Methylcobalmin 1 mg Evening primrose oil 2 gels

Current Illness: Migraines Stuffy nose

ID: 0980152
Sex: F
Age: 31
State: IL

Vax Date: 01/18/2021
Onset Date: 01/24/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: physical examination by PCP

Allergies: No known allergies

Symptoms: Reactive Lymphadenopathy in the left armpit (same side as vaccine side), as diagnosed by PCP. Tenderness and pain in the armpit starting on 6th day after 1st dose of vaccination. Symptoms still persists. PCP suggested a wait and watch for now and warm compress at the site.

Other Meds: Amitriptyline

Current Illness: none

ID: 0980153
Sex: F
Age: 85
State: OH

Vax Date: 09/25/2020
Onset Date: 09/25/2020
Rec V Date: 01/27/2021
Hospital:

Lab Data: unknown

Allergies: opiods/ morphine

Symptoms: Almost immediately after the vaccine patient went the bathroom with explosive diarrhea that lasted about 30 minutes. Then she left for home and had a 2nd episode on the way. She stated that the diarrhea continued at home for an undetermined amount of time and that the stool contained bright red blood. She contacted her physician and the physician is investigating a high bleeding hemorrhoid.

Other Meds: Levothyroxine/ Latanoprost

Current Illness: Unknown

ID: 0980154
Sex: M
Age: 59
State: MO

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: none

Allergies: The antibiotic ceclor

Symptoms: The next morning after the vaccine the tip of my tongue on the right side was numb. After a day or two a small part of my upper lip also went numb.

Other Meds: Zeljans, Testosterone gel, Arthrotec, Trazadone, Xanax, erythromycin, Cozaar, Prozac, Nexium, Zyrtec, Vitamin D3, peppermint oil, Nasacort

Current Illness: none

ID: 0980155
Sex: F
Age: 57
State: NE

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

Lab Data:

Allergies: Gluten and dairy intolerance

Symptoms: Arm pain started around 4:30pm - hurt to pick up water bottle. Throat pain started 5:30pm - feels like strep throat

Other Meds: AM: Suphedrine Pregnenelone CRT 30mg (2) Levothyroxine .075mg Liothyroanine 12.5 mcg EPA/DHA (Fish Oil) 720 (2) 5 in 1 Multi-Vitamin (1) Vitamin C (1000mg) Restore Gut Supplement (1 Tbsp) Trilofam - Folic Acid (1 EOD) He

Current Illness: Sinus drainage, hoarseness, sinus headache (my normal winter symptoms)

ID: 0980156
Sex: F
Age: 44
State: NY

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

Lab Data:

Allergies: Not known allergies

Symptoms: Patient experience chest tightness, dizziness, and attempted to lie on floor after 15 mins in observation (19:10). Vital signs was taken, initial blood pressure was 145/90, and HR of 101, Respiratory rate of 22. Patient stated presenting the adverse reaction right after vaccination, but patient did not notify healthcare providers (RNs) until patient complain of chest pressure, patient notified 15 mins after injection. Patient requested EMS to be activate. Vitals signs was continuously monitored, until EMS arrived at 1930. Last set of vital signs was HR 123, RR 17, BP 132/82, O2sat 99%. EMS arrived At 1930 for evaluation and transport patient to hospital.

Other Meds: Multi vitamins

Current Illness: History of anxiety

ID: 0980157
Sex: F
Age: 49
State: TX

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

Lab Data: None

Allergies: Medications: keflex, penicillin, clindamycin Food: latex-based, tree nuts, melons, egg intolerance Other products: latex

Symptoms: Fatigue, 8 hours after shot, no treatment Fever, chills, headache, body aches, arm pain;12 hours after shot and lasting about 16 hours ; Advil Edema and redness at injection site covering half of upper arm, ongoing, Benadryl per doctor

Other Meds: Celexa

Current Illness: None

ID: 0980158
Sex: F
Age: 69
State: NY

Vax Date: 01/17/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: red itchy swollen rash at the site of the vaccination has lasted 3 days. I took benadryl for itching and slight pain

Other Meds: atorvastatin

Current Illness: none

ID: 0980159
Sex: F
Age: 46
State: WA

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

Lab Data:

Allergies: Shellfish, iodine, warfarin, Lovenox, heparin

Symptoms: Went to bed at approximately 12:00 am, extremely cold. Work up every 2 hours with dry mouth (needing to drink 60 oz of water, and sore muscles throughout my entire body. At 7 am work with a severe headache and felt is I was running a fever, which I was not. At 11 am all was fine.

Other Meds: Metoprolo Tartrate 50 mg 2x daily Amitriptyline 75 mg 1x daily

Current Illness: None

ID: 0980160
Sex: F
Age: 75
State: WA

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

Lab Data: None

Allergies:

Symptoms: 1. Within 30 minutes of shot, I developed a pre-migraine aura around my vision. The aura disappeared in 15 minutes and no migraine HA occurred. I got auras before migraines years ago but they are rare now. 2. Three hrs after the shot, I suddenly developed severe imbalance/dizziness which made me nauseous and I broke out in a cold sweat but no fever occurred. I laid down to relieve the nausea and keep from falling. In approx an hour, I was back to normal. This has happened twice previously approximately 2 years ago (cause unknown) so I am not sure this event was due to the shot. I did not seek medical attention and nothing has occurred since then.

Other Meds: Warfarin, LoDose Aspirin, Digoxin, Metoprolol ER Suc, (cont'd)

Current Illness: None

ID: 0980161
Sex: F
Age: 25
State: IN

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: Extreme fatigue (2.5 weeks, would sleep 9-16 hours per day) Insomnia (2 weeks, difficulty sleeping when lying down to sleep at night until 2-3:30 AM) Painful injection site (5 days) Bruising at injection site (3 weeks)

Other Meds: Lo-Loestrin One-A-Day Women's Complete Multivitamin Spring Valley Cranberry Extract, 500 mg

Current Illness: None

ID: 0980162
Sex: F
Age: 50
State: IL

Vax Date: 01/20/2021
Onset Date: 01/23/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: rapid Covid test on 1/24 (negative) PCR Covid test on 1/24 (negative)

Allergies: codeine allergy

Symptoms: sudden onset of nausea/dizziness, headache, severe chills and shaking, extreme body aches that lasted approximately 10 hours, followed by extreme fatigue that lasted about 10 hours.

Other Meds: none

Current Illness: none

ID: 0980163
Sex: F
Age: 24
State: MI

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

Lab Data:

Allergies: Dairy/gluten sensitive

Symptoms: Fever appx 102.5, severe migraine, muscle tension in L arm and through chest/back, rapid heart rate, light headed, nausea

Other Meds: Levothyroxine, birth control,

Current Illness: N/a

ID: 0980164
Sex: F
Age: 51
State: ID

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

Lab Data: Cmp showed elevated alk phos

Allergies: Penicillin, chlorhexidine gluconate, Morphine, Codeine, hydrocodone, sulfa, Furadantin, neosporin, trazodone

Symptoms: Fever, debilitating fatigue, muscle aches, headache, chills with rigors, nausea and loss of appetite , severe left ans right upper abdominal pain

Other Meds: Tramadol, syntroid, furosemide, Potassium supplement, mirapex, vitamin D, B12 injection, carafate, cimetidine

Current Illness: None

ID: 0980165
Sex: F
Age: 29
State: OH

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

Lab Data:

Allergies: Adhesive Nickel

Symptoms: Red, hard, painful lump at vaccine site. Started 2 hours after vaccine and still tender and sore a week later. Also noticing left axillary lymph nodes swollen And tender (vaccine administered on left bicep) Left arm is also sore to lift and feels generally a little weaker. Symptoms still persist one week later.

Other Meds: Lexapro Sprinted Busperion

Current Illness:

ID: 0980166
Sex: F
Age: 36
State: TX

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

Lab Data:

Allergies: None

Symptoms: Fever, body aches, headache, red/itchy/sore knot at injection site

Other Meds: Effexor rx, amitriptyline, melatonin, propranolol, aciphex, vit c, vit d, quercitin, fish oil, birth control, adderall

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm