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: 0981917
Sex: F
Age: 59
State: WV

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: Crab meat ( no other shell fish)

Symptoms: Headache within first 15 minutes, treated with OTC medication, lasted 3 days 1st day- headache, dizziness, nausea 2nd day- stomachache, headache, joint and muscle soreness, sinus congestion 3rd day- severe headache, mild soreness in muscles, sinus drainage cough 4th day- very mild headache 5th day- increased sinus congestion and drainage scratchy throat 6th day- same, plus mild headache 7th- 10th day- symptoms mostly resolved some lingering drainage and fatigue

Other Meds: Fish oil, lisinopril, atervastin, Vit D, multi vitamin

Current Illness: None

ID: 0981919
Sex: F
Age: 67
State: NC

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Cefuroxime Itching High Glucosamine Swelling High Iodine Swelling High Shellfish Containing Products Swelling High Metoclopramide Other (Shakes, confusion) Medium Penicillins Rash, Medium Apixaban Rash Codeine Nausea

Symptoms: On 01/26/21, 67 yo F with anemia, asthma, Afib (on rivaroxaban), fibromyalgia, DM2, HLD, and osteoarthritis was administered COVID-19 Moderna vaccine 0.5 mL in left deltoid (Lot #011J20A, Exp: 05/11/21). Pt has numerous documented allergies including iodine (hives, facial swelling), Shellfish Containing Products (Hives, facial swelling) and penicillin (edema). Pt initially tolerated injection without incident and was sent for post-injection observation. Within 10 minutes, pt developed acute SOB, increased WOB, wheezing, and cough. Pt also reported itching skin and scratchy throat. Provider notified and exam found pt in respiratory distress with increased work of breathing, bronchospasm and wheezing. Pt had no rash, lip swelling or vomiting. Vitals assessed as O2 sats >96%, BP 140-150s/60s, HR 70-80s. Pt was administered albuterol 2.5 mg via nebulization x 2, diphenhydramine 50 mg IM and epinephrine 0.3 mg IM. Pt was subsequently transported to ED. By time of arrival, pt's symptoms had significantly improved. Pt administered famotidine 20 mg IV and prednisone 60 mg PO and placed on continuous cardiac and pulse oximetry monitoring. After complete symptom resolution, pt was discharged in stable condition. Pt's allergy profile was updated to include Moderna Covid-19 Vaccine (eua) (rxn: Anaphylaxis; severity: High).

Other Meds: Unknown

Current Illness: anemia, asthma, Afib (on rivaroxaban), fibromyalgia, DM2, HLD, and osteoarthritis

ID: 0981920
Sex: F
Age: 36
State: MI

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: COVID INJECTION

Allergies: WHEAT AND GLUTEN LATEX, SULFASALIZINE, TORADOL, REGLAN , OMEPRAZOLE, ALOTRIPTINE (MIGRAINE MEDS INDOMETHACINE).

Symptoms: LEFT ARM NUMBNESS AND TINGLING THROAT FELT THICK BENADRYL 50MG IM GIVEN

Other Meds: EMBRIEL, PLAQUENIL, PREDNISONE 3MG, BABY ASA, ZRYTEC, SINGULAR, FOLIC ACID, PRENATAL VIT, PROGESTERONE, VIT D, MAGNESIUM.

Current Illness: NO, COVID IN DECEMBER

ID: 0981921
Sex: M
Age: 29
State: NY

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: none

Allergies: NKDA

Symptoms: Prior to vaccination, Client was clinical evaluated and clinically cleared by medical consultant, to receive vaccine. Vaccine administered and 2 minutes later client states "I don't feel well". Paramedic assessed, monitored and client eventually cleared to go home.

Other Meds: Client states he took Tylenol one hour prior to vaccination = 1330

Current Illness: Nasal Congestion

ID: 0981922
Sex: F
Age: 1
State: TX

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Patient broke out in hives on face, stomach, back and chest. Very swollen and red on face area and around the eyes. Decardron 4ml was administered to the patient. The redness got somewhat better that evening and the swelling finally went away 2 days after steroid was given.

Other Meds: N/A

Current Illness: N/A

ID: 0981923
Sex: F
Age: 54
State: IA

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Exhaustion; Shortness of breath; fatigue . Seen a physician due to history of COPD

Other Meds:

Current Illness:

ID: 0981924
Sex: F
Age: 70
State: PA

Vax Date: 01/19/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Developed a rash around the injection site that spread around my deltoid area. It itches slightly, but is not painful.

Other Meds: Diltiazem, Chlorthalidone, spironolactone, calcium, vitamin D

Current Illness:

ID: 0981925
Sex: F
Age: 29
State:

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

Lab Data: none

Allergies: none

Symptoms: 1 hour after vaccine received, patient experienced itching, initially she felt it could have been related to something else, however after going home and showering, itching persisted and involved the entire body. Injection site developed bumps that looked like hives per report and spread the entire arm. The patient took a dose of diphenhdyramine however itching and hives continued into the night and could not sleep, another diphenhdyramine dose was taken and she was able to sleep for a few hours. She went to see her PCP who deemed this an allergic reaction to the vaccine, gave her oral steroid along w topical cream. The bumps and hives subsides within 24 hours of steroid use, and the itching resolved after 2 days of initiating steroid (3 days post vaccine) . Steroids were started 1 day post vaccine. PCP recommended patient sees an allergist for further investigation and refrain from second dose of vaccine

Other Meds:

Current Illness: asthma

ID: 0981926
Sex: F
Age: 27
State: NY

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever 101.8 Headache Bodyache Chills

Other Meds:

Current Illness:

ID: 0981927
Sex: M
Age: 55
State: OK

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Fatigue lasting 24 hours

Other Meds: Lisinopril

Current Illness:

ID: 0981928
Sex: F
Age: 51
State: PR

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/28/2021
Hospital: Y

Lab Data: White Blood Count | 21.42 | H | 3.98-10.04 10^3/uL | | RECHECKED | | Red Blood Count | 3.29 | L | 3.93-5.22 10^6/uL | Hemoglobin | 11.00 | L | 11.2-15.7 g/dL | Hematocrit | 34.10 | | 34.1-44.9 % | Mean Corpuscular Volume | 103.6 | H | 79.0-94.8 fL | Mean Corpuscular Hemoglobin | 33.4 | H | 25.6-32.2 pg | Mean Corpuscular HGB Conc | 32.3 | | 32.2-36.5 g/dL | RDW Standard Deviation | 57.3 | H | 35.1-46.3 fL | RDW Coefficient of Variation | 14.9 | H | 11.6-14.4 % | Platelet Count | 52 | L | 163-369 10^3/uL | | RECHECKED | RESULTS CALLED TO RN AT 0326 BY MT | | PLATELETS ESTIMATED BY SMEAR | 2-10 PLTS/FIELD Mean Platelet Volume | 12.1 | | 9.4-12.4 fL | Neutrophils Percent Auto | 93.2 | H | 34.0-71.1 | Lymphocytes Percent Auto | 4.1 | L | 19.3-53.1 | Monocytes Percent Auto | 1.5 | L | 4.7-12.5 % | Eosinophils Percent Auto | 0.0 | L | 0.7-7.0 % | Basophils Percent Auto | 0.5 | | 0.1-1.2 % | Immature Granulocyte | 0.7 | H | 0.0-0.4 % | Neutrophils Absolute Auto | 19.96 | H | 1.56-6.13 10^3/uL | Lymphocytes Absolute Auto | 0.88 | L | 1.18-3.74 10^3/uL | Monocytes Absolute Auto | 0.32 | | 0.24-0.82 10^3/uL | Eosinophils Absolute Auto | 0.01 | L | 0.04-0.54 10^3/uL | Basophils Absolute Auto | 0.11 | H | 0.01-0.08 10^3/uL | Immature Granulocyte Absolute | 0.14 | H | 0.00-0.03 10^3/uL | Neutrophils Percent Manual | 68 | | 44-76 % | Band Neutrophils Percent | 16 | H | 2-6 % | Lymphocytes Percent Manual | 8

Allergies:

Symptoms: Sepsis, Acute Pancreatitis, Respiratory Failure on Mechanical Ventilation, Disseminated Intravascular Coagulation, Pneumonia, Acute Kidney Injury. Refractory Hypoglycemia

Other Meds: Benadryl 50mg PO HS, Duloxetine 30mg POD, Folic Acid 1mg POD, Gabapentin 300mg POD, Gemfibrozil 600mg POD, methotrexate 2.5mg PO weekly, Prednisone 5mg POD, Propranolol 80mg POD, Sulfasalazine 1gm POD

Current Illness:

ID: 0981929
Sex: F
Age: 32
State: CO

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: beginning 1/20, muscle soreness in injection arm, lasting approx 24 hours beginning 1/20, moderate joint pain in right hip joint, lasting approx 36 hours beginning 1/25, sore lymph node in right armpit, lasting approx 36 hours beginning 1/27, large red, itchy spot around injection site. Itchiness subsided after about 24 hours, the red spot is still present.

Other Meds: n/a

Current Illness: n/a

ID: 0981930
Sex: F
Age: 48
State: PA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: Barbituates

Symptoms: Burning in anterior portion of tongue. Observed for 30 minutes and symptoms resolved. no other symptoms. Able to be released.

Other Meds: unknown

Current Illness: unknown

ID: 0981931
Sex: M
Age: 5
State: AL

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: RANCH DRESSING

Symptoms: MOTHER OF PATIENT STATES CHILD WOKE UP THE DAY AFTER RECEIVING VACCINE WITH SWELLING AT VACCINE SITE AND REDNESS THAT EXTENDED TO JUST BELOW THE ELBOW OF HIS LEFT ARM. MOTHER TOOK CHILD TO LOCAL ER WHERE HE WAS GIVEN MEDICATIONS TO TREAT. POSSIBLY A STEROID AND BENADRYL. REDNESS BEGAN TO RESOLVE, AND NOW DECREASED TO LOCAL AREA OF VACCINE ADMINISTRATION SITE.

Other Meds:

Current Illness: NONE

ID: 0981932
Sex: M
Age: 74
State: CO

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Systemic: Other- Patient became dizzy causing him to fall. Pt had no injuries from the fall but paramedics/ fire dept came and took him to the hospital for further evaluation. No definitive explanation for fall.

Other Meds:

Current Illness:

ID: 0981933
Sex: F
Age: 40
State: MI

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: Codeine, Penicillin Gluten Sensitivity

Symptoms: Moderna Covid 19 Vaccine EUA

Other Meds: Trintellix, Flonase, Flovent

Current Illness: None

ID: 0981934
Sex: F
Age: 47
State: NE

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

Lab Data:

Allergies:

Symptoms: Roughly 10-13 minutes after injection patient reports numbness and tingling in arm of administration. Also complains of sharp chest pain. VS-152/92, 92, 24, 99% on RA. Advised to go to ER for further evaluation. Spouse came and picked patient up and took to the ER she did not want to go via ambulance.

Other Meds:

Current Illness:

ID: 0981935
Sex: F
Age: 35
State: OH

Vax Date: 01/19/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: morphine lamictal ultracet

Symptoms: I received my vaccine on 1/19/21 and had no immediate reaction, but did notice yesterday 1/27/21 that i have an area of inflammation right under my injection site. i am not able to tell if there is any redness or discoloration because i have a tattoo in the are with conflicting color. the are is roughly between the size of a quarter and a fifty cent piece. I font have any itching or pain and there doesn't seem to be any change between yesterday and today.I called my doctor's office and was told to monitor it for any changes.

Other Meds: multi vitamin calcium b-12 iron vitamin c vitamin d zyrtec prilosec cranberry supplement b complex

Current Illness: uti 2/3 weeks prior

ID: 0981936
Sex: F
Age: 37
State: CA

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/28/2021
Hospital:

Lab Data: Lab work performed

Allergies: Grass

Symptoms: After receiving the vaccine, the next day I started to have chills overnight. On 12-30-20, I start to have some pain in my abdomen and it was very sharp pain that I have felt before because of my history of diverticulosis. I then presented to the ER, had some imaging done and diagnosed with diverticulitis. I was given a 10 day supply of antibiotic to take. I am doing fine right now and received my second dose (01-18-2021) and I am feeling some discomfort in the same area of my abdomen as my first dose.

Other Meds: None reported

Current Illness: None reported

ID: 0981937
Sex: F
Age: 59
State: FL

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Syncope, nausea, headache

Other Meds: none

Current Illness: none

ID: 0981939
Sex: M
Age: 45
State: KY

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Headache, joint pain, muscle pain, swollen injection site, rash at the injection site, fatigue. Feels like the flu

Other Meds: None

Current Illness: None

ID: 0981940
Sex: F
Age: 14
State: PA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: none

Allergies: NKA

Symptoms: Patient received vaccine that she should not have. she was questioned again at the check in station that she goes on calls and interacts with people on the call. She answered yes to both and said she was sent by her Chief. The borough supervisor was called that same day and told no one but first responders dealing with the public were to be sent to the clinic, he called back and said he had e-mailed the police and fire departments and they had given a revised count that eliminated all of those not eligible. When her shot was entered in the PA-siis data system. The correct birthday was changed on the online form and she was denied for any further vaccinations. She then clarified that she was 14 and thought she had to get it because her Chief sent out an email indicating that active fire fighters were to get vaccinated if they wanted and she thought she should. I then instructed her to bring her parents or guardians into the clinic. Her grandfather; her guardian spoke to us and said he thought she was supposed to get it. I had her sit for 30 minutes with no problems. I followed up the next morning and she indicated feeling fine, I then reviewed all the symptoms that could occur and asked them to call me on my cell or if severe seek medical attention. I have followed up daily she has reported sore arm and a headache at work that lasted 30 minutes on1/26/2021, A mild itch at the injection sight 1/27/2021 but gone in the morning. We will continue to follow up daily with the vaccine

Other Meds: none

Current Illness: none

ID: 0981941
Sex: M
Age: 47
State: NM

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Nausea and chills

Other Meds: None

Current Illness: None

ID: 0981942
Sex: M
Age: 71
State:

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient experienced sweating and a fever accompanied by nausea. Patient's wife called 911 and paramedics remained with patient until he felt better. transport to hospital was not required.

Other Meds:

Current Illness:

ID: 0981943
Sex: F
Age: 95
State: NY

Vax Date: 01/19/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: First dose of vaccine given in left arm now eight/nine days later there is an itchy rash on this arm below where the vaccine was given. My concern is does she still get the second dose, do we tell who is giving it that there was a reaction to the first dose and if so does she get it in the same arm?

Other Meds: methamazole, eloquis, seurosimide, metapropel

Current Illness: None

ID: 0981944
Sex: F
Age: 30
State: OH

Vax Date: 01/01/2021
Onset Date: 01/24/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: N/A

Allergies: NKDA

Symptoms: Experienced a self limited delayed hypersensitivity reaction, likely ?arthrus? reaction, at injection site on 1/24 (13 days following my first vaccine dose). Itchy, red, hives localized to injection site on my Right arm. Resolved within two days.

Other Meds: None

Current Illness: None

ID: 0981946
Sex: F
Age: 25
State: VA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: NA

Allergies: none

Symptoms: Arm extremely sore and numb after receiving injection

Other Meds: none

Current Illness: none

ID: 0981947
Sex: F
Age: 20
State: IN

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: I was dry heaving at about 4:00 am and threw up once muscle aches chills headache blurry vision

Other Meds: Magnesium Glycinate 400mg Sertraline 75mg AuroBindo (birth control) multivitamin

Current Illness: none

ID: 0981948
Sex: M
Age: 49
State: NC

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Celexa; PCN; Vicodin

Symptoms: EE presented at COVID vaccine clinic for Pfizer #2. Lot: EL3247 Administered at: 1001 He noted that he was itching and went to the observation room. I reponded. Pt reports that after 15 minutes or so, pt began to itch Notes that he did not itch with the first vaccine he is itching all over. His not scratching and does not appear to be in distress 10:20 124/69 HR 73 O2 99 AAO, pink, talkative 10:26 HR: 78 O2: 98 not scratching or itching by appearance no anaphylaxis in the to vaccines or food in the past previous reaction to Belpuca-- cannot swallow and tongue feels fat Discharged home. He will go home and take benadryl. WIll notify us if anything more happens

Other Meds: Alprazolam; Duloxetine; Gabapentin; Omeprazole; Testosterone; Trazodone; Buprenorphine; Methylprednisolone; Cosentyx

Current Illness: N/A

ID: 0981949
Sex: F
Age: 43
State: AZ

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Rash Red little bumps all over face and neck and shoulders

Other Meds: Levothyroxine Rosuvastatin Metformin Vitamin D3

Current Illness: from 12/08/2020 to 1/08/2021 I had E.coli and kidney infection and took antibiotics

ID: 0981950
Sex: F
Age:
State: DC

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Additional vaccine given the same day of Covid-19 vaccine

Other Meds: Triamcinolone Acetonide 0.1% Sig: apply to affected area BID, Xalatan 0.005% Sig: 1 gtts qd,

Current Illness: Member received the covid- 19 vaccine same day

ID: 0981951
Sex: F
Age: 56
State: TX

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Approximately 20 minutes after receiving the shot (approx. 5:00 p.m.), I felt the glands at the bottom of my neck started swelling. The swelling continued up my neck and into my jaw line. I felt a very small swelling in my throat area from the glands, but had no trouble breathing. Once I arrived home (approx. 5:15 p.m.) I took 3 Advil. The swelling went away before 6:00 p.m. and I've felt fine ever since. No other adverse reactions noted.

Other Meds: None

Current Illness: None

ID: 0981952
Sex: F
Age: 44
State: OK

Vax Date: 01/05/2021
Onset Date: 01/11/2021
Rec V Date: 01/28/2021
Hospital: Y

Lab Data: ct, MRI with contrast

Allergies: NKDA

Symptoms: on the evening of 1/11/21 pt started to talk to her children and she "could not access the words." Then she tried to text and couldn't figure out the vocabulary. She went to the ER where she was transported to hospital, under stroke protocol. She also c/o right hand numbness at the er. She was admitted and test run. No evidence of a stroke.

Other Meds: none

Current Illness: none

ID: 0981953
Sex: F
Age: 35
State: NJ

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever, fatigue, chills, arm soreness, body aches, joint pains, backache, headache. 24hr span treated with ibuprofen 400mg.

Other Meds: None

Current Illness: None

ID: 0981954
Sex: F
Age: 66
State: CA

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 1.5 in wide x 2 in length oval erythematous rash over injection site that appeared 7 d after vaccine

Other Meds: none

Current Illness: none

ID: 0981955
Sex: F
Age: 46
State: TX

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 25th Jan-body aches, fatigue, HA, nausea 26th Jan 2021-Body aches, fatigue, HA, N/V, Chills, severe low back pain, bilateral arm tingling 27th Jan 2021-Body aches, HA, fatigue 28th Jan 2021-Fatigue

Other Meds: none

Current Illness: none

ID: 0981956
Sex: F
Age: 77
State: FL

Vax Date: 01/14/2021
Onset Date: 01/21/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: none

Allergies: none known

Symptoms: Large 2" x 4" red, itchy area appeared on left arm exactly one week after vaccine was administered. Primary care doctor checked it on 1-23-2021 and thought it was inflammatory response to injection .No treatment advised except to re-check in a few days.. It is slowly going away but not completely gone as of 1/28/21 and was rechecked by doctor today.

Other Meds: Premarin .03 mg

Current Illness: none

ID: 0981957
Sex: F
Age: 43
State: CA

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Severe nausea/vomiting, SOB, throat swelling, dizziness, headache, chills. HRT recommended ED visit. She had IVF and Zofran. Symptoms improved.

Other Meds:

Current Illness:

ID: 0981959
Sex: F
Age: 84
State: PA

Vax Date: 01/18/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: nka

Symptoms: Site: Bruising at Injection Site-Mild, Systemic: Other- Bells Palsy-Medium

Other Meds:

Current Illness:

ID: 0981960
Sex: F
Age: 48
State: IA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever; chills; body aches

Other Meds:

Current Illness:

ID: 0981961
Sex: F
Age: 82
State: FL

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Red rash, a bit swollen around injection site.

Other Meds:

Current Illness:

ID: 0981962
Sex: F
Age: 44
State: TX

Vax Date: 01/19/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: just Tylenol 500 ml

Allergies: none

Symptoms: chills,pain,swelling,itching and redness

Other Meds: none

Current Illness: none

ID: 0981963
Sex: M
Age: 35
State: CA

Vax Date: 12/26/2020
Onset Date: 01/02/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: COVID test

Allergies: no

Symptoms: Jan 2 when I experienced muscle aches; afternoon: fevers, chills, whole body aches - highest temp got to 101.9. Appt with doctor on Jan 3rd . Treated with OTC Tylenol - 500 mg Q4-6; OTC ibuprofen - 400 mg Q4-6; rotating between those two and drinking fluids. Symptoms lasted ended Monday January 4th. Tested COVID January 5 - and on 6th - positive result.

Other Meds: Biktarvy - medication - daily

Current Illness: no

ID: 0981964
Sex: F
Age: 33
State: CA

Vax Date: 01/16/2021
Onset Date: 01/24/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Rash on the arm. No fever, headache, fatigue, burning or any other symptom but the rash. It is about 3 inches wide an one inch in height. There is no pain in the arm either.

Other Meds: None

Current Illness: None

ID: 0981965
Sex: M
Age: 34
State: TX

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fatigue, soreness, minor aches, restlessness, minor temp

Other Meds:

Current Illness:

ID: 0981967
Sex: F
Age: 65
State: TN

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Xyzal

Symptoms: Flushing of the face

Other Meds: Synthroid Pro tonic Amlodipine Irbesatan Atorvastatin Gabapentin Januvia Flonase Multivitamin Vitamin D

Current Illness: Cancer Hypertension Diabetes Imunocomprimised

ID: 0981968
Sex: F
Age: 75
State: TX

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: Daypro Crestor

Symptoms: Redness, swelling, hot to touch

Other Meds: Metoprolol Losartan Pravastatin Zitia

Current Illness: None

ID: 0981969
Sex: F
Age: 61
State: MA

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 12/31/20:left a message saying she got the vaccine 5 days ago and is experiencing severe neck pain that shoots down her neck and back : saw PCP - f/u 1/8/21 :I still have a little neck pain left and my glands are still slightly swollen. Getting my 2nd dose today. I have paperwork from Pfizer that I need to fill out for their data keeping. Pain was excruciating for nearly 2wks and started to settle down a few days ago, where I don?t have to sit with a heating pad or take motrin and flexaril. f/u 1/28/21-"My neck still hurts, worse on certain days, but is bearable. I haven?t had any imaging done and just heard of another person with same symptoms. My 2nd dose was fine. No pain at all, not even at injection site. I will keep you posted if anything changes. I?m hoping it will just go away on it?s own. I?ve heard it takes months". Referred employee back to PCP.

Other Meds:

Current Illness:

ID: 0981970
Sex: F
Age: 65
State: PR

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: PARAMEDICS COME. SHE HAVE 113 OF BLOOD SUGAR. THEY SAID HER BLOOD PRESSURE WAS LOWBUT PATIENT SAID WAS NORMAL ON HER.

Allergies:

Symptoms: PATIENT WAS SWEATING. SHE LOOKS PALE AND WAS COLD. SHE INDICATED HER SIGHT BLURRED. AFTER 45 MINUTES SHE WAS FINE.

Other Meds:

Current Illness:

ID: 0981972
Sex: M
Age: 38
State: OH

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Pt was vaccinated at 10 am on 1/25/21 He stated that at 3:00 am on 1/26/21 he began having severe chills trouble moving and extreme thirst. He started to experience tachycardia and was diaphoretic. He stated that at 8 am 1/26 he had tingling in his lips and they began to swell. He stated taking 50 mg of diphenhydramine orally at this time. He had swelling and tingling of his face, eyes and tongue shortly after the oral diphenhydramine. He called an ambulance and was taken to the ER. At the ER he was given IV diphenhydramine and kept 2 hours for observation. He was also given oral steroids. He was sent home 1/26 with prescription oral steroids. He stated he has continues to experience tachycardia with average HR at 110. He also continues to experience night sweats but stated this symptom is improving.

Other Meds: Concerta, Celexa and over the counter multi vitamin

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm