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: 0982490
Sex: M
Age: 49
State: NJ

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

Lab Data:

Allergies: Bee sting

Symptoms: Pt stated Feeling funny. Extendened obersrvation to 30 min. A + O x 3

Other Meds: N/K

Current Illness:

ID: 0982491
Sex: F
Age: 46
State: PA

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

Lab Data:

Allergies:

Symptoms: Very sore at injection site - painful to move arm and raise above head Achy joints

Other Meds:

Current Illness:

ID: 0982492
Sex: F
Age: 38
State: MI

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

Lab Data:

Allergies: None

Symptoms: Headache, body ache, fatigue

Other Meds: None

Current Illness: None

ID: 0982493
Sex: F
Age: 63
State: MD

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 2 days after the injection she developed an itchy rash around the injection site. Symptoms are improving.

Other Meds:

Current Illness:

ID: 0982494
Sex: F
Age: 43
State:

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

Lab Data:

Allergies:

Symptoms: dyspnea, anaphalaxis

Other Meds:

Current Illness:

Date Died: 01/27/2021

ID: 0982495
Sex: M
Age: 65
State: OK

Vax Date: 01/15/2021
Onset Date: 01/19/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: none

Allergies: NKDA

Symptoms: Client's sister called crying and said the family just found out yesterday that Client had died some time last week. The last time any family talked to him was on the 19th of January, missed calls show on the phone on the 21st. His last internet search was sternum pain. . She will also call the Agency and report this. The vaccine isn't in Registery at this time, do I don't know the lot number but she said he was due back in one month. She said he was very healthy and ran triathalons.

Other Meds: diclofenac

Current Illness: none

ID: 0982496
Sex: F
Age: 43
State: WI

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

Lab Data: Dr looked at my arm and armpit

Allergies: bee's

Symptoms: fever, body aches, dizzy, arm swelling with redness, pain into my armpit and breast. Very tired with headaches. Throbbing pain in arm/arm pit/ breast

Other Meds: none

Current Illness: none

ID: 0982497
Sex: F
Age: 41
State: ME

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

Lab Data: none

Allergies: Sulfa drugs

Symptoms: Chills, exhaustion, hot flashes, body aches, headache, nausea, muscle pain at site of injection.

Other Meds: claritin

Current Illness: None at time, previously had covid in last month

ID: 0982498
Sex: F
Age: 76
State: CA

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

Lab Data: none

Allergies: food

Symptoms: Patient described fast heart rate and irregular. Stated she gets it with all allergies and frequently Given requested benadryl 25 mg po with resolution of symptoms

Other Meds: benadryl

Current Illness:

ID: 0982499
Sex: M
Age: 63
State: TX

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

Lab Data: High White Blood Cell Count, 1/27/2021

Allergies: Penicillin; Trimpex; Tequin

Symptoms: Was fine after receiving shot. Woke up at 4: 00 a.m. next morning with 101.5 fever. Took Tylenol but would not go down. Called primary doctor. Told me to take ADVIL. Still would not go down. After hours and very weak, called 911 and ambulance too me to the hospital. Arrived and they too vitals. Still high fever. Blood work showed high white blond count. stayed at hospital until late at night. Fever went down. Told me some people have thee type of issues with Moderna. Checked brochure Moderna provided says fever but not High fever. Doctor dismissed me from ER and told me to rest the next two days. I had Covid in October 2020. They wnet ahead and did another test. Waiting on results

Other Meds: Diovan, 40 mg; Bentyl, 20mg; Lopressor 25 mg; Allopurinol 100 mg, Centrum silver; 81 mg aspirin; Claritin 10mg, Sudafed 12 hour, Nasol Cort

Current Illness: None

ID: 0982500
Sex: M
Age: 61
State: MN

Vax Date: 01/05/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: EKG x2, troponin x2, CBC, CMP, CXR 1/26/2021

Allergies: NKDA

Symptoms: Chest pain, elevated blood sugar

Other Meds: Motrin, Tylenol

Current Illness: None reported

ID: 0982501
Sex: F
Age: 59
State: OR

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

Lab Data: Patient was given Solu-Medrol, Pepcid IV, Toradol and 1 L of fluid repeat exam indicated no further tenderness. Laboratory without elevated white count or evidence of appendicitis or other active process. Urine without infection.

Allergies: Asthma, Anaphylaxis to allergy skin testing,

Symptoms: Patient initially with fever and chills rigors on evening of and day after the vaccine. On date of emergency room visit 01/28/2021 patient had awoken with right lower quadrant pain, rash on her back and palmar aspects of her forearms, swelling around her eyes. Abdominal pain was crampy she had no diarrhea constipation.

Other Meds: None

Current Illness: None

ID: 0982502
Sex: F
Age: 36
State: MD

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

Lab Data: valtrex treatment

Allergies: sulfa

Symptoms: Developed herpes zoster

Other Meds: multivitamin daily vitamin D 2000 IU daily

Current Illness: none

ID: 0982503
Sex: F
Age: 21
State: MA

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

Lab Data:

Allergies: Pollen extracts, dogs, cats

Symptoms: Started to feel sx on 1/24 with nausea, fatigue, feeling of warmth, dry mouth, and her face and eyes were swollen. The injection site was red, hot, throbbing and the size of a tennis ball. On 1/25 she was congested, had a headache and the injection site was red, hot, sore to the touch and sensitive. Most likely is an allergic reaction with facial swelling and local reaction, treated with Benadryl Motrin and add Pepcid or Zyrtec. On 1/27 she was better with no fever x > 24 hours and less fatigue. No body aches and no trouble breathing.

Other Meds:

Current Illness:

ID: 0982504
Sex: F
Age: 52
State: VA

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

Lab Data: Western Blot and CBC-with diff were ordered. No results yet

Allergies: Levaquin

Symptoms: 1 week after receiving vaccine, about half inch below injection site, itching, redness, hot, swollen, painful. Following day (today), all symptoms are increased. Redness is about 2 inches in diameter, below injection site.

Other Meds: Celexa 20mg/day

Current Illness: N/A

ID: 0982505
Sex: F
Age: 45
State: AZ

Vax Date: 01/25/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: N/A

Allergies: Allergy to morphine

Symptoms: Fatigue, Hot and cold body temperature, chills, dizziness, flighty-light headed, night sweats, stomach and back pain

Other Meds: Ventolin inhaler for asthma, Multivitamin, Fish oil, Joint supplement (collagen)

Current Illness: N?A

ID: 0982506
Sex: F
Age: 53
State: OR

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

Lab Data: None

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 metallic taste in my mouth (not as strong as with the first dose). 3 minutes later I started feeling hot, sweaty and shaky, fuzzy in the head I also had a headache. The body aches, headache and the chills ( I woke up with a fever 101.3F and about an hour ago it was 100.8F) are more severe than with the first dose. I also have joint pains that I did not have with the first dose (my lower back and hips and my right elbow are the worse). My injection site is also swollen and it was not with the first dose.

Other Meds: No

Current Illness: No

ID: 0982507
Sex: F
Age: 73
State: OK

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

Lab Data:

Allergies: Augmentin

Symptoms: Runny Nose 48 Hours after receiving vaccination

Other Meds: Aspirin, Mylanta, Lasix, Trazodone, Vitamin C, Propranolol hydrochloride, Celexa, Oxybutynin Chloride, Folic Acid, Buspirone Hydrochloride, Neurontin, Rivastigmine Tartrate, Zyprexa, Norco

Current Illness:

ID: 0982508
Sex: M
Age: 78
State: OH

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

Lab Data: EKG 1/26 - Tachycardia with pvc's

Allergies: NKA

Symptoms: Resident displayed tachycardia, diaphoresis, severe weakness - transfer to hospital from skilled facility

Other Meds: Medihoney wound treatment, dulcolax, MOM, Protonix, zofran prn, Stress tab

Current Illness: Neuromuscular dysfunction of bladder w/ chronic foley catheter.

ID: 0982509
Sex: F
Age: 74
State: MN

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

Lab Data:

Allergies: Niacin, Polyoxyl 40 stearate

Symptoms: Moderna COVID-19 Vaccine EUA, approximately 13 hrs after administration of vaccination pt had fever and chills. Temp of 101 degrees. RN advised pt take 1000 mg tylenol, MD notified and spoke with patient. 6 hrs after taking tylenol and speaking with doctor, pt was feeling a little better.

Other Meds:

Current Illness:

ID: 0982510
Sex: M
Age: 57
State: CT

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

Lab Data: Had blood pressure taken twice.

Allergies: None.

Symptoms: Had 2nd Pfizer COVID vaccine on 1/26/2021 at 12 pm. On 1/27/21 at 8 am had slight mild chills but went away after half hour. At 12 am on 1/27/21, I felt extremely dizzy, very low blood pressure (80/50), sweating, disoriented and lightheaded which lasted approximately an hour. Also developed a large swelling/lump on the lower part underneath my right armpit. (soft to the touch but noticeable.)

Other Meds: None.

Current Illness: None.

ID: 0982511
Sex: F
Age: 64
State: TX

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

Lab Data:

Allergies: Levaquin

Symptoms: Dizzy,nausea,headache,general malaise,occ aches,occ head congestion, occ chills but no fever. started afternoon of immunization and continues to present( 3rd day today)

Other Meds: Losartan,Norvasc, Macrobid,Pepcid,Zyrtec,singular,Mucinex,adderral,multivitamin, Vit C, VitD

Current Illness: None

ID: 0982512
Sex: M
Age: 61
State: MI

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

Lab Data:

Allergies:

Symptoms: At first I was fine, later that night my arm was hurting, then the next thing I know everything was hurting in my body. I had to take off work Tuesday and Wednesday. I think I also had a little fever. Today I am feeling better, the arm is just a little sore.

Other Meds: Genvoya once a day

Current Illness: I had COVID December 6th

ID: 0982513
Sex: F
Age: 55
State: NC

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

Lab Data:

Allergies: Norvasc all statin drug for cholesterol

Symptoms: Chest pain bp elevated 212/95 on Tues night continued to have elevated bland chest pain went to ER to be evaluated bp on arrival was 218/98. ER Dr. Prescribed 4 baby aspirin, blood work, 2 Tylenol follow up with primary Dr. If not feeling better. Thursday still not feeling well feel weak as though I'm carrying another body on my back. Pressure in my chest is still there. Bp is 140/68 .

Other Meds: None

Current Illness:

ID: 0982514
Sex: F
Age: 63
State: OR

Vax Date: 01/25/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: N/A

Allergies: Vicodin, paper tape

Symptoms: 2 days after 2nd dose, when bandaid removed, skin was broken on approx quarter-sized blister at injection site. Large amt (sleeve wet & serous fluid dripped down arm) serous fluid drained. Add'l pea-sized, intact, fluid filled blister present beneath 1st blister. Non-intact blister continues to weep am. amt. Serous fluid 12 hrs later. Injection site mildly reddened and swollen. Arm sore, but no excessive pain.

Other Meds: Zyrtec, multivitamin, biotin, Chondroitin. MSM & Glucosamine, krill oil

Current Illness: N/A

ID: 0982515
Sex: F
Age: 36
State: MD

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

Lab Data:

Allergies: NKDA

Symptoms: 3 hrs after the injection - ache in the whole arm Low grade fever - 99-100F and chills over night Extreme fatigue and headache in the morning

Other Meds: Fe 65mg daily

Current Illness: NA

ID: 0982516
Sex: U
Age:
State: IN

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

Lab Data: None

Allergies: No

Symptoms: Achiness sore muscles and headache

Other Meds: Metoprolol Sertraline. Pravastatin. Terazosin. Pantoprazole. Percocet

Current Illness: No

Date Died: 01/25/2021

ID: 0982517
Sex: M
Age: 66
State:

Vax Date: 01/11/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: patient received COVID vaccine on 1/11/2021 and passed away on 1/25/2021

Other Meds:

Current Illness:

ID: 0982518
Sex: F
Age: 33
State: OR

Vax Date: 01/16/2021
Onset Date: 01/23/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Excessive arm pain, allergic dermatitis rash extending 6 inch diameter around injection site. Onset of reaction began approximately one week after initial injection. Evaluated in PCP office on 1/28/2021; erythematous rash still present despite use of oral benadryl and topical corticosteroid.

Other Meds: DIM Earth Pearls by Classical Pearls Evening Primrose Oil 1000 MG Oral Capsule Licorice root tea Omega-3 Fatty Acids (Fish Oil) 500 MG Oral Capsule saccharomyces boulardii Vitex

Current Illness: None known

ID: 0982519
Sex: F
Age: 49
State: PA

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

Lab Data: None

Allergies: Make up Seasonal allergies

Symptoms: Fever since about 10 am Aches headache chils

Other Meds: Florent Allegra

Current Illness: Very itchy rash 2.5 weeks after 1st dose

ID: 0982520
Sex: F
Age: 55
State: MI

Vax Date: 01/20/2021
Onset Date: 01/24/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: I don't know if this qualifies but, I had serum sickness about 9 years ago after being stung repeatedly by a swarm of bees.

Symptoms: The day after the shot and for the next 3 days, I experienced pain and swelling at the injection site. On day 3 after the vaccine and through to this day, I began running a low grade temperature usually around 99.3. I also experienced extreme fatigue and aching joints. On day 7 the injection site became extremely itchy and swollen. It is hot to the touch and hard in the spot surrounding the injection site.

Other Meds: synthroid, venlafaxine, buspirone, vyvanse, dexilant, olmesartan, memantine, linzess, atorvastatin, Vitamin D3 and Vitamin B12

Current Illness: None

ID: 0982521
Sex: F
Age: 65
State: CA

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

Lab Data:

Allergies: shrimp

Symptoms: after 25 minutes of injection patient experienced numb throat but not airway constriction. Patient sat for addition 20 minutes before I gave diphenhydramine 25mg. I told her she can't not drive when she takes diphenhydramine. 15 minutes after she took diphenhydramine her friend came to pick her up.

Other Meds: none

Current Illness: none

ID: 0982522
Sex: F
Age: 28
State: VA

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

Lab Data:

Allergies: penicillin, ceclor, latex, kiwi

Symptoms: Extreme headache, body aches, fevers (highest 103), fatigue, cough. I took tylenol every 4 hours starting around 5:30 when my headache became unmanageable. Developed low grade fever around 9 (100.5) but despite tylenol it continued to increase until 3 am the next morning. For my cough I sucked on cough drops (which added some aid). Slept til 9 and when I awoke my symptoms were dampened and continued to improve. Today (1/28/21) the only lasting symptom is headache. * I was infected with Covid in October 2020, I do not think the vaccine is bad, but I hope reporting will cause research into finding ways to dampen symptoms. My cough, fevers, and headache were debilitating and made it difficult for me to rest. I had a similar reaction to the first dose with the same symptoms but the second dose was by far worse and my symptoms appeared earlier.

Other Meds:

Current Illness:

ID: 0982523
Sex: F
Age: 56
State: MN

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

Lab Data:

Allergies:

Symptoms: High fever, up to 104.0, shaking chills, pounding headache lethargy

Other Meds: Hydroxychloroquin

Current Illness: Had covid 19 several months ago.

ID: 0982524
Sex: F
Age: 47
State: NY

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

Lab Data:

Allergies: None

Symptoms: Fever, chills, body aches, skin sensitivity, stomach ache

Other Meds: Synthroid Multi Vitamin Vitamin D Echinacea Turmeric Apple Cider Vinegar Vitamin B12 Biotin Estroven

Current Illness: None

ID: 0982525
Sex: F
Age: 44
State: MD

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

Lab Data:

Allergies:

Symptoms: The day after the injection she had a low grade fever, nausea, headache, fatigue and lightheadedness

Other Meds:

Current Illness:

ID: 0982526
Sex: F
Age: 65
State: FL

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

Lab Data: NONE

Allergies: None in general, but lately I had some issues taking prednisone

Symptoms: my lower extremities went cold for an instant when they gave the vaccine but it quickly passed. Wait half an hour of post vaccination observation and it went well. On the return car the feeling of cold returned to me in my arms and legs. When I got home I felt good and I prepared something for lunch, when I started eating, around 3.30 pm (about an hour and a half after getting the vaccine) I started to feel bad, my heart was beating very strong and fast, I was gasping for air, dizzy. I used the oximeter and I saw that my heart rate was at 110 and kept going up and the oxygen was going down. I called 911 when the blood pressure monitor and oximeter reached the limit and started flashing, oxygen at 92 and pulses at 141. I thought I was dying. The 911 operator told me to lie down and wait for the paramedics and she stayed with me on the line. I also put ice on my chest. When they arrived my signs began to normalize. I can't quite remember what happened next that day.

Other Meds: metoprolol Succinate 50 mg hydroclotiazide 12.5 IBGard (natural suplement for IBS)

Current Illness: none

ID: 0982527
Sex: F
Age: 93
State: HI

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

Lab Data: none

Allergies: penicillin

Symptoms: pt stated within 10 minutes after receiving vax she became flushed, had chills, cold sweats and palpitations. Pt stated her vitals were taken and her BP was 215/104. After about and hour it came down to 160/?. Pt stated that 2 weeks after the vax she developed a 6" red, warm, swollen, itchy area around injection site. Pt stated her symptoms have subsided but she has contacted her PCP about getting second dose and was advised not to take it.

Other Meds: Simvastatin 20 mg once daily, losartan 50 mg once daily, aspirin 81 mg once daily, Calcium 500mg once daily, B Complex one tablet once daily, Vitamin D 1000 grams once daily, Probiotic Align 1 tablet once daily, Prolia injection 2 X annuall

Current Illness: none

ID: 0982528
Sex: F
Age: 42
State:

Vax Date: 01/18/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: covid +

Other Meds:

Current Illness:

ID: 0982529
Sex: F
Age: 52
State: MO

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

Lab Data: Caregivers called 911 and patient was transported to Hospital for evaluation

Allergies: NKDA

Symptoms: Petite mal seizure blank stare with poor respond to staff. Has not experienced this effect under current med regimen in 3 years according to caregiver.

Other Meds: Bisacodyl 5mg daily Carbamezepine susp 15 ml TID Clonazepam 0.5mg BID Colace 100 BID Levetiracetam 10ml q 12hours Lisinopril 10mg daily Neudexta 20mg q12hours Oxybutynin 5mg BID Calcium 500mg BID Phenytoin 200mg HS Simvastatin 20mg HS Vitam

Current Illness: None

ID: 0982530
Sex: F
Age: 70
State: IN

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

Lab Data:

Allergies: Atorvastatin

Symptoms: Pt states she received the Covid vaccine on Monday 1/25/21. She says Mon pm, she started itching all over. She says her face was also red and blotchy. She took a Benadryl and that helped. She says her itchiness has continued since then and she has had to keep taking Benadryl to control it. She denies any breathing problems, no swelling in mouth, tongue or throat. She says there was no rx at the injection site, just typical soreness.

Other Meds:

Current Illness: sinus infection

ID: 0982531
Sex: M
Age: 29
State: WI

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

Lab Data: None

Allergies: No

Symptoms: 8:00am-5:00pm. Headache, nausea, sore arm, lack of appetite.

Other Meds: Zoloft

Current Illness: None

ID: 0982532
Sex: F
Age: 49
State: NH

Vax Date: 01/20/2021
Onset Date: 01/23/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Soy, MSG, stone fruits, sodium preservatives/additives, pollen, trees, grass, bark mulch, chemical in decaf coffee

Symptoms: Redness and itching, started 72 hrs after shot and 8 days later is extremely itchy, warm to touch and red approximately 3inches around vaccine site

Other Meds: Zyrtec, papaya enzymes

Current Illness:

ID: 0982533
Sex: F
Age: 47
State: IL

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

Lab Data: COVID test - 1/24/2021

Allergies: Demerol; Azithromycin; apples; bee stings; cayenne pepper

Symptoms: New symptoms since report on Jan 2. On Jan 4th I had hives on both sides of my abdomen and developed a rash on my midline/upper abdomen. The hives resolved after one day. The rash is still there. It has been itchy only one day. If I don't touch it I don't know it's there. I had a COVID test done on January 24th. The result was positive.

Other Meds: Multi-Vitamin; Zinc; Vit D3; Valacyclovir

Current Illness: none

ID: 0982534
Sex: F
Age: 90
State: NY

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

Lab Data:

Allergies: Penicillin, augmenton, seasonal

Symptoms: Thursday - day of shot after dinner she began to not feel good. Her stomach was upset & vomiting, increased mucus, and a slight headache we gave her Compazine suppository and she went to bed. Said she rested well that night. Friday all day her stomach was upset but was able keep down tea/toast and have some broth. Friday Night/Saturday Early AM she became mentally unstable, confused and knew she was confused, felt like she was going to die, had a hard time breathing, her chest was tight and had shortness of breath. Later that morning she was weak, shaking, vomiting. After a good bowel movement and a 4-hour nap she started to feel better. 1/28/21 PCP Televisit - reaction do not take 2nd sho

Other Meds: Not on hand

Current Illness: None

ID: 0982535
Sex: F
Age: 30
State: MA

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

Lab Data: None

Allergies: None

Symptoms: Muscle aches, chills, fever and night sweats within approximately 10 hours or second dose. Lasted for ~ 48 hours. Some relief with Tylenol.

Other Meds: None

Current Illness: No illness although presently breastfeeding

ID: 0982536
Sex: F
Age: 39
State: IN

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

Lab Data:

Allergies: Bandage adhesive

Symptoms: Rash, swelling and itch

Other Meds: N/A

Current Illness: N/A

ID: 0982537
Sex: F
Age: 63
State: NY

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: sensitivity to sulfa drugs

Symptoms: injection site sore/painful, itchy, swollen, hot, pink area 2 inches by 3 inches

Other Meds: Bystolic, Lipitor, Ambien, Vit D, Lutein, Biotin

Current Illness: none

ID: 0982538
Sex: F
Age: 85
State: OK

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

Lab Data:

Allergies: Morphine, PCN, Tramadol, Demerol, Nubain

Symptoms: Sore arm lasting 48 hours after vaccination

Other Meds: Tylenol, Potassium Chloride, Wellbutrin, Visine, Trazodone, Colace, Aspirin, Lasix, Synthroid, Vitamin C, Oxycodone Hydrochloride, Zanaflex, Neurontin

Current Illness:

ID: 0982539
Sex: F
Age: 47
State: FL

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

Lab Data:

Allergies: Reglan

Symptoms: The day after getting my second dose I had extreme body pain from head to toe. My glands under my arms and in my groin area swelled up, I had a severe headache in the front and back of head my facial sinus area was in pain, It hurt to breathe, complete body weakness and fatigue , I had chills at first with a low grade fever 100.03 then I broke in to a sweat many hours later. I spent a good 30 plus hours being bed ridden with intense pain. These symptoms lasted for aproximatly 36 hours total.

Other Meds: Trazadone, Quiatiapine, Estrogen, Cymbalta, Celexa, Lisinopril, HCTZ, Multi Vitamin OTC

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm