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: 0982389
Sex: F
Age: 53
State: KY

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

Lab Data: Covid test negative on 1/28/21

Allergies: Sulfa, tramadol, latex

Symptoms: 10h later vomiting for hours, chills, headache , severe burning in my back L4/5 area with burning tingling sensation in my legs. Nausea . Had to go to ER. 2 days later still not well

Other Meds: Levothyroxine , liothyronine , crestor

Current Illness:

ID: 0982390
Sex: F
Age: 51
State: FL

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

Lab Data: None

Allergies: No known allergies

Symptoms: Patient received Covid19 (Moderna) at 11:00am on January 25, 2021. Patient reports that she experienced fatigue, headache, chills, body aches and pain at he injection site 7 hours after receiving the vaccine. 24 hours after receiving the vaccination, Patient reports experiencing redness at the injection site along with itchiness and welts.

Other Meds: Metformin, Pantoprazole, Hydrochlorothiazide, Zyrtec,

Current Illness: None

ID: 0982391
Sex: F
Age: 61
State: AL

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

Lab Data: NONE

Allergies: NKA

Symptoms: FEVER, CHILLS, FATIGUE, NAUSEA; 12HR; TREATED WITH TYLENOL 650MG BID; EFFECTIVE

Other Meds: ESTRADIOL, VIT D, ZINC, CALCIUM

Current Illness: NONE

ID: 0982392
Sex: F
Age: 56
State: CA

Vax Date: 01/11/2021
Onset Date: 01/24/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: Unknown

Symptoms: On the evening of 1/24/2021, I noticed a small rash on my right arm at the site where I received the vaccine injection. On 1/25, the rash spread, was bigger, redder in color, raised/bumpy, and itchy. I applied Hydrocortisone throughout the day. On 1/26, the rash had the same appearance in color and spread further down my arm. I did not apply anything. On 1/27, the rash was lighter in color, less itchy, and the size was the same. I saw my doctor thru a TeleHealth visit. My doctor consulted with her colleague and advised me that it was a delayed (2-week) allergic reaction of the vaccine, I am able to get the second dose of the vaccine and to be observed longer, at least 30 minutes after the second dosage. Today, 1/28, the rash is significantly lighter in color, flatter, and has not spread.

Other Meds: daily multivitamins; calcium; vitamin C; iron; tumeric supplement

Current Illness: None

ID: 0982393
Sex: F
Age: 62
State: MN

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: CT scan of the abd/pelvis, CBC, CMP, UA

Allergies: NKDA

Symptoms: Abdominal pain, bloating and UTI.

Other Meds: Prilosec, Probiotic, Prednisone, Remeron, Flonase, Tylenol, Diltiazem, duoneb, brovana, albuterol, Pulmicort, Spriva, xanax

Current Illness: No acute illness reported

ID: 0982395
Sex: U
Age: 42
State: NY

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

Lab Data:

Allergies:

Symptoms: Tired, achy, swollen glands at base of head and under right ear, metallic taste in mouth

Other Meds:

Current Illness:

ID: 0982396
Sex: F
Age: 44
State: TX

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

Lab Data: None

Allergies: NKA

Symptoms: Headache, nausea, body aches, chills and fever (highest 101.1) began around 1am 1/26/21 and continued throughout the day, fever finally breaking around 7pm that night. I woke the following morning 1/27/21 at 7:20a feeling better, only slightly tired. I was awake about 30mins when my husband reported I stated I felt very dizzy while standing in our kitchen, he states I started walking over to our living room when I fainted and fell face first into the side of our sofa. He stated I came too about 20-30 seconds later. After awaking my hearing was muffled and my arms were very tingly for about 3 mins. I felt completely exhausted and slept for a few hours, remaining very fatigued the rest of the day. Today, 1/28/21, I woke up feeling tired but tightness to base of my head and neck, no other symptoms.

Other Meds: Propanolol 80mg- daily night time Gabapentin 300mg- daily night time

Current Illness: None

ID: 0982397
Sex: F
Age: 38
State:

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

Lab Data:

Allergies:

Symptoms: Patient complained of difficulty swallowing which subsided spontaneously in < 1 minute. Patient observed x 40 minutes. No SOB or further complaints. BP 119/73 HR 84 Sat 100%

Other Meds:

Current Illness:

ID: 0982398
Sex: F
Age: 48
State: MA

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

Lab Data:

Allergies: none

Symptoms: Patient had fillers put in her cheeks by dermatologist last Summer and her pain and swelling is exactly at the site of the fillers.

Other Meds: amlodipine 2.5 mg/d

Current Illness: none

ID: 0982399
Sex: F
Age: 44
State: CO

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

Lab Data:

Allergies: Codeine, Aspirin

Symptoms: One week after vaccination a slightly raised, red welt, approximately 3-4 cm in diameter appeared at the site of the injection with localized tenderness returning at the site (sore arm from the injection had completely resolved 24hrs after injection, this was new "pain" that returned at the surface of the skin, not in the muscle, feels like a slight bruise). Today (the next day) the red blotch is much bigger and slightly more tender. It is now red, asymmetric blotch that is 8cm x 4.5cm.

Other Meds: Gabapentin 300mg TID Soma 350mg TID Flexerill 10mg q HS Multivitamin q Day B complex q Day Vit D3 10,000IU q Day Probiotic q Day Biotin Forte q Day Zyrtec 10mg q Day

Current Illness:

ID: 0982400
Sex: F
Age: 27
State: NJ

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

Lab Data:

Allergies:

Symptoms: nauseous after vaccination. HX of feeling faint after BW. Resolved after rest and cold pack. VS- 110/80

Other Meds:

Current Illness:

ID: 0982401
Sex: F
Age: 48
State: IN

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

Lab Data: none

Allergies: zyrtec+singulair

Symptoms: headache, body aches, fatigue, loss of appetite, skin sensitivity

Other Meds: adderall, sertraline, Flovent, allegra

Current Illness: none

ID: 0982402
Sex: F
Age: 76
State: VA

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

Lab Data: None

Allergies: NKA

Symptoms: After administering the vaccine, a small amount of bleeding noted at injection site. Cleaned with gauze, no further bleeding noted. Immediately noticed a small dimed sized firm nodule formed under skin. Patient denied pain and no other symptoms. Observed in the monitoring area for 30 minutes and the nodule started to decrease in size.

Other Meds: unknown

Current Illness: unknown

ID: 0982403
Sex: F
Age: 55
State: IL

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/28/2021
Hospital:

Lab Data: NA

Allergies: Sunflower seeds

Symptoms: injection site red and hot to touch, fever 99.9, headache, body ache, sore throat, lethargic. This lasted 4 days. I had the virus in June 2019 and I had a lot of the same symptoms I did at that time.

Other Meds: Folic acid 1 mg, Carvedilol 12.5 mg, prednisone 5 mg for 7 days, Probiotics 50 plus,B12 1,000 mcg, amlodipine 5mg, trazodone 10mg, Biotine 1 mg, Pantoprazole DR 40 mg, Allegra180 mg, Prenatal vitamins, Rosuvastatin 5mg, Nitrglycerin 0.4mg a

Current Illness: Only my RA and fibromyalgia symptoms

ID: 0982404
Sex: F
Age: 47
State: NY

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

Lab Data:

Allergies:

Symptoms: S/Sx: fever tmax 102 F., uncontrollable shaking, chills, heart racing ? symptoms resolved; subsequent symptoms feels ?wiped out? and achy joints, timing: 01/26 fever, shaking, chills, heart racing; 01/27 wiped out feeling, achy joints, temp 99.8 F. Meds: ibuprofen

Other Meds:

Current Illness:

ID: 0982405
Sex: F
Age: 32
State: MA

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

Lab Data:

Allergies: None

Symptoms: Approximately 12 hours after injection, I experienced agonizing pain all throughout my body (9/10), as well as headache, nausea, fever-like symptoms, chills, fatigue which lasted for about 7 hours

Other Meds: Vitamin D

Current Illness: Ongoing Allergies, sore throat on Monday 1/25, tested negative for COVID & symptoms cleared up

ID: 0982406
Sex: F
Age: 55
State: CA

Vax Date: 01/18/2021
Onset Date: 01/23/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: none

Allergies: bad tolerance to Erythromycin, but not really any allergies

Symptoms: Severe itching started 6 days after vaccine with hives/welts that were small to the side of the injection site, by day 8 I had a huge 2'' by 2'', red, hot terribly itch patch at the injection site and going down, in the shape of a diamond , 1/28/2021 it is still very itchy but did not get bigger, welts are still there. using benadryl gel to cope. Strange because I had no bad reaction after the shot - very little soreness, almost no bruise, I felt fine until many days later this happened!

Other Meds: Valtrex, Welbutrin, Claritin, Flonase, Loestrin, Tumeric, Naproxen, Tylenol

Current Illness: None

ID: 0982407
Sex: F
Age: 72
State: WA

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

Lab Data: None. Thought it might one day be significant and no place to report it on MODERNA form. I do believe, as a retired, that I had a significant Covid 19 infection a year ago, (severe chills, high fever, sick as a dog but able to hydrate and ambulate). I occasionally still get fatigue. Thank God I stayed home and did not spread in in a then unsuspecting hospital.

Allergies: Amoxicillin Maltodextrin Wheat Annatto

Symptoms: 8 days after receiving vaccine my left arm heat, redness and itching returned, this time with a very minor and very transient chills Xs 2.

Other Meds: Just started steroid eye drops for minor eye surgery Metformin 500 mg one daily Lisinopril 5 mg

Current Illness: None

ID: 0982408
Sex: F
Age: 29
State: NH

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

Lab Data:

Allergies:

Symptoms: At 07:30 patient approached this writer and stated he was feeling lightheaded and sweaty and felt as though she may faint. This writer instructed her to sit down. This writer then requested assistance from RN. As RN approached where patient was sitting, patient stated "yeah I'm going to faint" she then fell forward from her chair onto the floor, with the top of her head hitting the floor first. RN instructed staff to call the Rapid Response Team who was unavailable. This writer gathered the anaphylaxis/reaction supplies that were on hand. Patient's body postured and at that time RN rolled her onto her side. Patient quickly regained consciousness. Vitals were taken and stable. Patient was given the opportunity to be seen in the ED multiple times but she declined. She stated that her lips felt "tingly" and was given 50mg/20mL Diphenhydramine oral solution. She remained in the COVID vaccination clinic at Medical Center for observation for 40 minutes, at which time her husband retrieved her and escorted her home.

Other Meds:

Current Illness:

ID: 0982409
Sex: F
Age: 54
State: CT

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

Lab Data: N/A

Allergies: latex, PCN, Monistat,lotriman, artificial sweetners,

Symptoms: Lip and facial swelling on the left side of my face. Took 50 of benadryl which took several hours to work. Was placed on 3 days of prednisone to decrease the swelling. Prednisone did decrease the swelling. Spoke with my primary doctor on the phone as it was after hours by the time I called him who prescribed the prednisone.

Other Meds: Breo, xyzal, singular, omeprazole, yuvafem

Current Illness: N/A

ID: 0982410
Sex: M
Age: 59
State: PR

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

Lab Data: None

Allergies: None

Symptoms: Vomit, fever, joint pain an lower back. Muscle cramps, loss of appetite and tiredness.

Other Meds: None

Current Illness: None

ID: 0982411
Sex: M
Age: 57
State: AZ

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

Lab Data: N/A

Allergies: NKA

Symptoms: Lymph nodes in right armpit swollen and tender.

Other Meds: Citalopram (20 mg), Omeprazole (20 mg), Tylenol (Goodies) for headaches.

Current Illness: None

ID: 0982412
Sex: F
Age: 66
State: FL

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

Lab Data:

Allergies:

Symptoms: Severe nausea, diarhea, stomach pains, beginning 48 hrs from vaccination lasting 4 days

Other Meds: Simvastatin, Olmesartan Medomoxil, Levothyroxine, Metoprolol, Vitamin E, Zinc, Vitamin D, Turmeric, Multivitamin, CoQ-10

Current Illness:

ID: 0982413
Sex: F
Age: 30
State: VT

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

Lab Data: none

Allergies: None

Symptoms: Fever- onset- 5 hours after vaccine (continued for 36 hours) Body Aches- Started 12 hours after vaccine and continued for a total of 24 hours Headache- Started 12 hours after vaccine and continued for a total of 24 hours Fatigue- started 12 hours after vaccine and continued for a total of 24 hours Nausea- Started 12 hours after vaccine and only lasted 3-4 hours

Other Meds: Omeprazole 10mg daily

Current Illness: None

ID: 0982414
Sex: F
Age: 33
State: CA

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

Lab Data:

Allergies:

Symptoms: Approximately 10 mins post Pfizer vaccine patient notified EMT she was going to have a seizure. She was placed in a safe position, seizure lasted about 30 seconds. Mild body movement, patient urinated, no physical injury. Mother was present, primary historian. Described course of seizure as regular and last seizure 6months ago. As EMT began taking vitals, she expressed feeling nauseous, and vomited. Afterwards patient stated feeling very tired and wanted to leave. Refused paramedics to be called. Patient wanted to rest, left at 3:00PM. Alert and oriented, no complaints besides feeling tired, able to walk with steady gate. Counseled patient to follow up with provider as soon as possible.

Other Meds: Daily seizure medication.

Current Illness: None

ID: 0982415
Sex: F
Age: 39
State: AR

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

Lab Data: n/a

Allergies: Bactrim, sulfa, mustard

Symptoms: chills fluctuating in temp, body aches and joints, 101.2 fever, loss of appetite, chest pains

Other Meds: ibuprofen 200mg

Current Illness: n/a

ID: 0982416
Sex: F
Age: 23
State: MI

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

Lab Data: n/a

Allergies: n/a

Symptoms: 1/25- received vaccine at 11:45 am. Started round-the-clock extra strength Tylenol at 12:00pm. At 10:30pm began to feel chills and body aches. 11:00pm got very hot and sweaty, hands began to tingle, vision became fuzzy around the edges, felt like I was going to pass out. Experienced tachycardia, tachypnea, and headache. 12:20am- vomited. Restless sleep through the night, chills, fever (100.6-99.6 on Tylenol), body aches, joint pain, stomach ache, woke at 5:00am. 1/26- spent all day vomiting. At least once every hour. Continued tachycardia, tachypnea, stomach ache, fever, headache, body aches, and joint pain. At 7:00pm took Zofran and I stopped vomiting. Still nauseous. Could not eat all day. 1/27- woke up with headache and slight body aches but otherwise felt okay during the day. Was hungry and able to eat. Starting at 10:00pm my stomach began to hurt again. Experienced bloating, sharp stabbing pain and nausea. Felt like I needed to vomit or pass a bowel movement but could not do either. Took Zofran at 11:00pm, did not help in relieving my GI symptoms. Still on round-the-clock extra strength Tylenol. Could not eat all night. 1/28- woke up still with headache, and mild-moderate stomach pain. Able to eat a couple bites of food.

Other Meds: Extra Strength Tylenol Allegra Prilosec B12 complex vitamin Woman's Multivitamin (gummy) Yaz birth control Nasacort nasal spray Azelastine nasal spray

Current Illness: n/a

Date Died: 01/14/2021

ID: 0982417
Sex: F
Age: 89
State: KS

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Resident tested positive for COVID on 1/7/2021.

Other Meds:

Current Illness: This person had been on HOSPICE for Failure to Thrive since November 2019. She was treated for weight loss with nutritional supplements and served meals of her choice. She had noted increase in sleep in weeks prior to death, but would have times she wanted out of bed for meals and to attend some activity.

ID: 0982418
Sex: F
Age: 58
State: PA

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

Lab Data:

Allergies: PCN, Celiacs

Symptoms: Moderna Covid-19 Vaccine EUA symptoms (other than discomfort at injection site) began about 8- 10 hours after injection. headache, overall body ache, joint pain, feeling of cold (not chills) restlessness. *most significant is body parts with previous injuries were the most painful. also I have had a previous injury to my foot with loss of sensation. this area has been recovering for a year however nearly all sensation recovered was lost at the time the symptoms began. it is now about 24 hours post injection. sensation seems to be returning.

Other Meds: multivitamins

Current Illness: no

ID: 0982419
Sex: F
Age: 36
State: ME

Vax Date: 01/12/2021
Onset Date: 01/19/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: On 1/19/21 noticed a cluster of red bumps on arm around 7 pm, applied benadryl and went to bed. Woke up the next morning to a circle of red in the area. Treated with more benadryl and ice. The following day it was not as red but the spot was 3 inches wide X 4 inches long, went to the Doctors office who measured it. The following day the color was less red, more skin color - was warm to the touch and had little bumps on the skin outside of the original circle. The following day the discoloration was gone and the bumps were smaller.

Other Meds:

Current Illness:

ID: 0982420
Sex: F
Age: 19
State: AZ

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

Lab Data: none

Allergies: lactose intolerant

Symptoms: pt stated she woke up next morning after vax and could not breath, vomiting, could not feel spine, ribs or entire left arm. pt states she has recovered from all of these symptoms with the exception of breathing properly. Pt says she still has shortness of breath. Pt went to her PCP but was not given any medication since they were not sure how to treat her condition in which they told her to contact VAERS.

Other Meds: Pirmella

Current Illness: none

ID: 0982421
Sex: F
Age: 31
State: MN

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

Lab Data: None

Allergies: None

Symptoms: I received vaccine at 11:23 A.M and by 7 PM that evening I started with severe body aches, chills. By 9 PM I was running a 100.8 temp, head ache, still had body aches and chills. I felt very dizzy and nauseous. My arm where injection was inserted was swelled but not red, I could not move my arm at all. All symptoms lasted until 4:58 pm, Jan. 27, 2021. I did have Covid on Oct. 28th, very severely (if this information helps at all.)

Other Meds: Sertraline HCL 100mg, was taken at 7am that morning.

Current Illness: None

ID: 0982422
Sex: F
Age: 35
State: NY

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

Lab Data:

Allergies:

Symptoms: Patient reports she has been experiencing headaches since her first dose of the Pfizer COVID19 vaccine, it started with daily headaches x1 week after the first vaccine and then on and off headaches which dissipated about 1 week prior to the 2nd round of vaccine and have now begun again. Has been taking tylenol for these.

Other Meds:

Current Illness:

ID: 0982423
Sex: M
Age: 32
State: IL

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

Lab Data:

Allergies: Mango

Symptoms: Fever, vomiting, myalgia, headache for 48 hr

Other Meds: Descovy

Current Illness: none

ID: 0982424
Sex: F
Age: 95
State: VA

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

Lab Data: N/A

Allergies: Amoxicillin, Codeine, fluoxetine, phenobarbital, gabapentin, propranolol, Rofecoxib

Symptoms: administered vaccine left arm at 12:08pm about 5 minutes later, 12:13pm patient reported feeling mild dizziness, denied any other symptoms including breathing difficulties. patient was observed for 20 minutes from time the vaccine was administered. blood pressure was normal at 140/70, pulse was normal at 65 and pulse rate was regular. patient's color remained normal during observation. symptoms never worsened and patient wanted to go home. she then left the clinic accompanied by her son.

Other Meds: 81mg Aspirin, Atorvastatin, Plavix, Metoprolol, Mrybetriq, synthyroid, trazodone, Tylenol as needed, biotin supplement.

Current Illness: N/A

ID: 0982425
Sex: F
Age: 28
State: AZ

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

Lab Data:

Allergies: penuts

Symptoms: headache, body ache, fatigue, dizziness, out of it very thursty

Other Meds: venlafaxine

Current Illness: n/a

ID: 0982426
Sex: F
Age: 62
State: VA

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

Lab Data:

Allergies:

Symptoms: 1220- headache, feeling bad, drained energy and feels like jelly, came on all of a sudden. Checked blood pressure- 138/80 & 142/82, HR 74 and 85. Given water, encouraged to eat lunch, eating now. Walked back to classroom. Has someone in room with her. Checked on 10 minutes later, headache getting worse and feeling of being drained getting worse. Did take a dose of Tylenol.

Other Meds:

Current Illness:

ID: 0982427
Sex: F
Age: 93
State: MN

Vax Date: 12/29/2020
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital: Y

Lab Data: EKG, CBC, CMP, Troponin, UA

Allergies: NKDA

Symptoms: Weakness, dehydration, renal failure, UTI

Other Meds: hydralazine, Asa, Lisinopril, Colace

Current Illness: No acute illness

ID: 0982428
Sex: F
Age: 53
State: OH

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

Lab Data: No

Allergies: Hypersensitive to sudafedrin, Cymbalta, fluoxetine, any type of pain meds I can only take a 1/4 to a 1/2 because it makes me extremely drowsy with even a small amount.

Symptoms: Few seconds after the vaccine I felt a big metallic taste in my mouth. During observation I started feeling super super hot, sweaty and shaky, like I was closing in, a feeling like I was going to pass out. I also had a headache. My coworkers noticed I was bright red on my face. Cool rags and icy waters. The shaky, the sweats went away after about 30 min but I was left with a headache for about a week. Later that evening the body aches and the chills (not really a fever, it bounced between 99. 9 and 100.4F) were off and on I do not remember for how many days.

Other Meds: No

Current Illness: No

ID: 0982429
Sex: F
Age: 1
State: GA

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

Lab Data:

Allergies: Naproxen; Ibuprofen; Advil; Aleve; Motrin; Penicillin

Symptoms: Approximately 15-20 minutes after receiving injection patient complained of "weakness", numbness of right side of face; patient denied shortness of breath; denied chest pain; vital signs were stable BP 126/69; Pulse 75, Respirations 20 ; Pulse Ox 99%. Patient denied itching; denied difficulty swallowing; neuro exam within normal limits. Patient was evaluated by Doctor; patient given Benadryl 12.5mg; symptoms resolved. Patient left office at approximately 2:00 pm. Phoned patient the following day (1/27/2021) and spoke with caregiver; caregiver (daughter) reported no symptoms

Other Meds: Tylenol 650mg; Potassium 10 MEQ; Hydrochlorthiazide 12.5mg; Ultram 50mg; Ensure; Duo Neb; Carafate 1GM; Vitamin D3 1000 unit; Multivitamin; Cyanacobalamin; Enteric Coated Aspirin 81mg; Losartan 100mg; Nitrostat 0.4mg; Isosorbide Mononitrat

Current Illness:

ID: 0982430
Sex: M
Age: 64
State: NC

Vax Date: 12/20/2020
Onset Date: 12/20/2020
Rec V Date: 01/28/2021
Hospital:

Lab Data: Covid rapid (negative results)

Allergies:

Symptoms: I exp fatigue and low grade temp (ranging 99-100.5) this lasted for 15 days.

Other Meds: Vit D (3000 units a day), Zinc (400mg),Hyzaar,Synthroid, Crestor

Current Illness:

ID: 0982431
Sex: F
Age: 28
State:

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

Lab Data:

Allergies:

Symptoms: all over itching tightness at immunization site and across shoulders headache

Other Meds:

Current Illness:

ID: 0982432
Sex: M
Age: 75
State: CA

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

Lab Data: None

Allergies: NKA

Symptoms: Myalgias, Fatigue, Weakness, Tremulousness of 4-6 hours duration

Other Meds: Meloxicam, Simvastatin, Lisinopril, Finasteride

Current Illness: None

ID: 0982433
Sex: F
Age: 62
State: MI

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: no

Allergies: Gabapentin, Naprosyn, Penicillins

Symptoms: Fever and chills less than 24 hours, temp not higher than 100.2, reduced with tylenol

Other Meds: yes

Current Illness: wound, uti, ileus

ID: 0982434
Sex: F
Age: 37
State: WA

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

Lab Data: none yet

Allergies: none

Symptoms: arm is sore, but it also has a large red welt about an inch below where I got my shot. I am also super tired. I didn't start getting a sore arm til around 8 hours after shot, but the worse has happened around 18-24 hours so far.

Other Meds: Trazadone, synthoid, digestive enzymes (Olly brand), and probiotics

Current Illness: none

ID: 0982435
Sex: F
Age: 65
State: FL

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

Lab Data: CXR (1/25/21): No focal airspace disease CBC&CMP (1/25/21): Unremarkable EKG (1/25/21): NSR, rate 67, No ST-T wave changes

Allergies: Cortisone, Sulfa drugs, Pravachol, Plastic Tape, Bactrim, Flu shots

Symptoms: Immediately following vaccination, the patient became dizzy, weak, and suffered a syncopal episode. Blood pressure was noted as hypotensive at 70/60. IV fluids were administered by EMS and patient was transported to the Hospital emergency department for evaluation. After lying flat and receiving IV fluids, Patient's BP improved to 136/79 per triage note. Patient was discharged from the ED with vasovagal syncope and instructed to submit VAERS report.

Other Meds: Alprazolam, Aspirin, Atorvastatin

Current Illness:

ID: 0982436
Sex: F
Age: 47
State: MI

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: N/A

Allergies: only allergic to dust mites

Symptoms: for 10 days after vaccine all joints were achy, a lot of fatigue and headaches off and on with diarrhea.

Other Meds:

Current Illness: none

ID: 0982437
Sex: M
Age: 31
State: NJ

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

Lab Data:

Allergies: Ibuprofen

Symptoms: Symptoms- pale, disphoretic Pt given water and was assissted by two staff members to medical tent. Pt placed in supine psotion with legs elevated. vital signs obtained x2. Pt released by med provider. 30 min observation in good condition

Other Meds: Alprazolam

Current Illness:

ID: 0982438
Sex: M
Age: 4
State: LA

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

Lab Data:

Allergies: nka

Symptoms: Patient developed erythematous, edematous reaction on L thigh. Area was warm to the touch. Reaction was first noticed 24 hours after injection, and worsened by 48 hours after injection. Parent pre-treated patient with Tylenol before injections and ibuprofen following injection on the same day. Patient seen in clinic 48 hours after injection. Site was marked and parent instructed to use cool compresses and ibuprofen for relief. Follow up instructions included seek care if site becomes indurated, erythema/edema spreads beyond marked borders, or if patient develops systemic symptoms.

Other Meds: Miralax, Tylenol, Motrin

Current Illness: constipation

ID: 0982439
Sex: F
Age: 29
State: CA

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

Lab Data:

Allergies: NKDA

Symptoms: I was 11weeks and 2 days pregnant at time of injection. EDD 08/15/2021. The day after my vaccine, I had fever, chills, bodyaches, headache and fatigue. The following day, I woke up with a rash just on my face. It is not itchy or painful.

Other Meds: Levothyroxine, Pre-natal, ASA and Vitamin D

Current Illness: NA

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm