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: 0982741
Sex: M
Age: 55
State: PA

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received his second Pfizer vaccination on 1/14 and had no immediate adverse reaction. He states he developed cardiac symptoms and was seen in the ER on 1/16. He was diagnosed with new onset atrial fibrillation. No previous history of atrial fibrillation.

Other Meds:

Current Illness:

ID: 0982742
Sex: F
Age: 61
State: MN

Vax Date: 01/18/2021
Onset Date: 01/20/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Nickle, Dramamine, amoxicillin

Symptoms: Cough, body aches, shortness of breath for 10 days

Other Meds: albuterol hfa, sertraline, Synthroid, metoprolol, hydroxyzine, potassium, multivit, b complex B 12

Current Illness: allergy to dust

ID: 0982743
Sex: F
Age: 23
State: VT

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

Lab Data: None

Allergies: Bactria, amoxicillin

Symptoms: Body aches, chills, fatigue, headache treated with acetaminophen and ibuprofen over the course of 19 hours (so far) - acetaminophen helped somewhat, but I had to add on ibuprofen a few hours later with much more relief

Other Meds: Wellbutrin, adderall, vitamin D, calcium, rhodiola, b complex, probiotic

Current Illness: None

ID: 0982744
Sex: M
Age: 50
State: PA

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

Lab Data: None

Allergies: None

Symptoms: Employee was given the Pfizer-BioNTech COVID-19 Vaccine EUA at Hospital on 1/8/21. Our facility recorded this as his first dose as the employee reported that he had missed his first dose appointment with us. When the registration staff entered the 1/8/21 dose in the system the next day, it was noted that patient had received the MODERNA vaccine on 1/2/21 at another Hospital. Patient did not make our facility unaware that he had received a Moderna COVID vaccine on 1/2/21 - he mistakenly thought that he was just receiving his second dose at our facility. He received the following: 1/2/21 ? Moderna 1st Dose @ Hospital 1/8/21 ? Pfizer 1st Dose @ Hospital Patient denies any adverse reactions to either vaccine. He denies any localized or systemic symptoms and reports that he felt well after each vaccine. There was no adverse reaction reported. He was scheduled for his second Pfizer COVID dose at an appropriate interval and he was advised not to proceed with the second Moderna dose. Hospital was notified as well.

Other Meds: None

Current Illness: None

ID: 0982745
Sex: M
Age: 65
State: CA

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

Lab Data: none

Allergies: none

Symptoms: Headache start early in the morning 3 to 4 AM daily, taking Tylenol seems to clear after about 2 hours. and then comes back in the afternoons around 1PM take more Tylenol, feels like a cluster headache. Last for 9 days

Other Meds: HIV medication Triumeq, Hydrochlorothiazide 12.5mg, Amlodipine 5 mg Hydrochlorothiazide

Current Illness: none

ID: 0982746
Sex: F
Age: 37
State: MI

Vax Date: 01/13/2021
Onset Date: 01/22/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Red rash on arm, itchy, warm to the touch, swollen

Other Meds: Novalog

Current Illness: None

ID: 0982747
Sex: M
Age: 58
State: VA

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

Lab Data:

Allergies:

Symptoms: Swollen lymph nodes in right axilla, starting day after injection.

Other Meds:

Current Illness:

ID: 0982748
Sex: F
Age: 67
State: CA

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

Lab Data:

Allergies: Allergies listed in patient's chart: Adhesive TapeBlisters CortisoneUnknown-Explain in Comments Dyazide [Triamterene-hydrochlorothiazid]Unknown-Explain in Comments FluoxetineOther-Reaction in Comments Glucophage [Metformin Hcl]Itching Kava Kava [Kava (Piper Methysticum)]Unknown-Explain in Comments LamotrigineItching Prozac [Fluoxetine Hcl]Unknown-Explain in Comments TopiramateUnknown-Explain in Comments Tricor [Fenofibrate Micronized]Other-Reaction in Comments Tylenol [Acetaminophen]Unknown-Explain in Comments

Symptoms: Pt called the Covid Triage Line wanting to report adverse reactions to the Phizer Covid vaccine she received. Pt states she was Covid positive on 12/8/21 and received the Covid vaccine on 1/20/21. Later that day she reported feeling "woozy" and started to feel like she was "drunk" (pt states she has not had a drink since 2005). On 1/21/21 she felt "sick as a dog" and started "violently vomiting". She had a compazine suppository at home that she used which stopped the vomiting. She reports she remained extremely nauseated and fatigued for the next 24 hours. The nausea was only relieved when she would sleep or lie down flat. Pt states she slept the rest of the day on 1/21/21 to "about noon" on 1/22/21 and started to feel better during the late afternoon. She was able to eat dinner 1/22/21. Pt reports she still feels tired but that she is better on 1/23/21. Notified pt's PCP of events who followed up with pt with no further orders. Last note from PCP on 1/27/21. Spoke with pt 1/28/21 and pt states she remains without any further symptoms.

Other Meds: Unknown what she was taking at the time of the vaccination. Here is patient's medication list from the chart: Albuterol (PROAIR HFA, PROVENTIL HFA, VENTOLIN HFA) 90 mcg/actuation inhaler BuPROPion (WELLBUTRIN SR, ZYBAN) 150 mg SR 12hr Tab

Current Illness: Covid positive on 12/8/21 and patient still tested positive on 1/8/21

ID: 0982749
Sex: F
Age: 82
State: AZ

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

Lab Data:

Allergies: None

Symptoms: Redness, itching and swelling in left upper arm

Other Meds:

Current Illness:

ID: 0982750
Sex: F
Age: 41
State: CO

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: none

Allergies: NKDA, NKFA, NKEA

Symptoms: Shortness of breath, swollen tongue, smooth spots on tongue. These symptoms lasted 24 hours. 7 days after vaccination I had a 5" rash at injection site.

Other Meds: Levothyroxine Cytomel Lamotrigine Clonazepam litthium Vit D Ashwaganda Root Vit e Biotin Collegen

Current Illness: none

ID: 0982751
Sex: F
Age: 35
State: GA

Vax Date: 01/05/2021
Onset Date: 01/14/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: Covid test on 1/15 negative

Allergies: None

Symptoms: Left arm pain, sweating, low grade fever, chest tightness, joint pain, itching/burning skin, and hives.

Other Meds: Vitamin D, vitamin b complex, multivitamin

Current Illness: None

ID: 0982752
Sex: F
Age: 65
State: TX

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Depakote - blistered on scalp Penicillin - rash; itching; upset stomach Sulfa Drugs - break out in a rash Tramadol, Hydrocodone, Xanax & Buspar - anxiety & irritabilty Iodine - Rash Latex - itching & break out in welts Trees, grasses - itching, sneezing

Symptoms: Chills; Fever; itchy skin; nervousness

Other Meds: PRESCRIPTIONS: Acarbose (Precose) Cetirizine (Xyzal) Estradiol vaginal cream (Estrace) Estradiol Vaginal Tablets (Vagifem) Pantoprazole (Protonix) Ozempic (Semaglutide Generic)) Quetiapine (Seroquel) Simvastatin (Zocor) Triamcinolone (Kenal

Current Illness: N/A

ID: 0982753
Sex: F
Age: 47
State: IA

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

Lab Data: None

Allergies: None

Symptoms: About 30 to 45 minutes after the shot I got a metallic taste in my mouth. It is intermittent and seems to be happening less almost 24 hours after the shot. About 16 hours after the shot, I noticed my right cheek tingling and seeming somewhat numb. It is a continuous feeling; however very minor in nature. I have no difficulty using my facial muscles in any normal everyday activities like chewing or smiling. The feeling is very similar to what I have had felt after putting on a topical anesthetic gel on my internal mouth tissues or a few hours after I had been numbed for a dental procedure. I have moments of dizziness as well, but this is something I have dealt with before the Moderna shot. My left arm is sore and I am taking ibuprofen for this.

Other Meds: Ibuprofen or Tylenol

Current Illness: None

ID: 0982754
Sex: F
Age: 37
State: IN

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

Lab Data: None

Allergies: Chlorhexidine topical, high-concentration benzoyl peroxide topical

Symptoms: Moderate generalized myalgia, moderate fatigue, chills

Other Meds: Venlafaxine XR, topiramate, buspirone, Zyrtec, Ritual women's multivitamin, Counter Attack (zinc/vitamin C) multivitamin, women's probiotic. Took additional Claritin and naproxen prior to vaccination

Current Illness: Had COVID-19, diagnosed 1/4/21

ID: 0982755
Sex: F
Age: 57
State: MO

Vax Date: 01/08/2021
Onset Date: 01/12/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: none

Allergies: axid, and inapsineno

Symptoms: left arm pain, 24hours, post fatigue and fever. what concerned me, is 5 days after, red knot in arm not at injection site, red streaks, and hives lasted 10 -12 days.

Other Meds: Cymbalta and prolisec

Current Illness: no

ID: 0982756
Sex: F
Age: 38
State: IN

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

Lab Data: None.

Allergies: None

Symptoms: Low-grade fever, chills, shivering, joint pain, skin sensitivity beginning 12 hours after vaccination and lasting the following 18 hours.

Other Meds: None

Current Illness: Sore throat, nasal congestion

ID: 0982757
Sex: F
Age: 27
State: CT

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

Lab Data: no

Allergies: PCN, all nuts, soy, dairy, pears, apples, cherries

Symptoms: Within minutes of vaccination, patient complained of itching to face, arms, chest and tops of thighs. Complained of headache. Initial BP - 138/108. Administered Benadryl 100mg po per standing orders. Within 30 min no further complaints of itching, and no rash noted on back and arms. BP recheck, 120/88. Patient instructed to follow-up with MD. Reported no MD and no insurance. Given name of 2 clinics in area as a resource. Telephone call to patient on 1/28/21. Reports continued headache, fatigue and all over body aches. States BP elevated in am, unknown value, but watch reporting BP at 102/58. Instruct to have partner recheck this evening and to schedule appointment with MD for check-up

Other Meds: vitamin D, multi vitamin and biotin

Current Illness: no

ID: 0982758
Sex: F
Age: 59
State: MA

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

Lab Data: None.

Allergies: Penicillins, Sulfa, erythromycin, shellfish, apples

Symptoms: Vaccine was administered on 1/14/21. Approximately 15 minutes later patient complained of being dizzy and lightheaded and having a metallic taste, injection area was sore. She waited with EMS for 30 minutes, felt better and left. The next 24 hours she had fatigue, joint pain in her knees and fingers, discomfort under left arm and left breast. For the next 10-14 days her left deltoid area was warm and red. She had a virtual appointment with her nurse practitioner, no treatment was necessary, just to continue to monitor. The next day all symptoms were resolved.

Other Meds: Vitamin D, Vitamin B, Crestor 10 mg, 81mg ASA, Atenolol 100mg daily

Current Illness: none

ID: 0982759
Sex: F
Age: 75
State: CA

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

Lab Data: NONE

Allergies: None Known

Symptoms: CONTINUOUS SWELLING AND PAIN IN THE RIGHT UPPER ARM WHERE THE VACCINATION WAS ADMINISTERED ON JANUARY 24, 2021

Other Meds: Levothyroxine Pradaxa Bisropolol Losartan Levobunolol Rosuvastatin Vitamin B Complex Probiotics Calcium with Vitamin D Omega 3 Fish Oil

Current Illness: None

ID: 0982760
Sex: F
Age: 69
State: IN

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: azithromycin, doxycycline hyclate, doxycycline hyclate (bulk), doxycycline monohydrate, doxycycline monohydrate (bulk), Sulfa (Sulfonamide Antibiotics)

Symptoms: Nausea/Vomitting and Fever.

Other Meds:

Current Illness: Sleep Apnea, MR , Seizures and CVA

ID: 0982761
Sex: F
Age: 24
State: TX

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

Lab Data: None

Allergies: Peanuts

Symptoms: Body aches, tiredness, nausea, diarrhea , headache, stiff neck

Other Meds: Tylenol, birth control, metformin

Current Illness: Covid from 9/21-10/10 release from quarantine, hospitalized from 9/26/20-10/3/20 was given plasma, remdesivir , blood thinner, anti inflammatory , oxygen

ID: 0982762
Sex: F
Age: 36
State: FL

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

Lab Data: blood work- which came back positive w/ high ANA.

Allergies: none

Symptoms: pt stated she had an ongoing rash from first covid vax and noticed the rash was spreading after receiving the second dose. Pt also had fatigue. Pt saw her PCP after 2nd dose and ordered lab work. She has a FU appt on 1/29/2021 for regular physical.

Other Meds: none

Current Illness: none

ID: 0982763
Sex: F
Age: 56
State: IL

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

Lab Data: None

Allergies: Sulfa, adhesive tape

Symptoms: Hives

Other Meds: Carvediol, Effexor, spironolactone, iron with vitamin C, B complex, and Vitamin D

Current Illness: None

ID: 0982764
Sex: F
Age: 30
State: FL

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

Lab Data: Blood sugar 146. Blood pressure 110/66 and then 124/72. My usual is about 110/74.

Allergies: None

Symptoms: Approximately 15 minutes after receiving the vaccination, I felt very warm and had a heart rate of around 124. A watch ECG was done and showed PVCs. EMS was brought in, and they took me to the emergency room. I experienced tremors throughout this time. Once I arrived at the hospital, I felt better but still had a heart rate in the 90s. My typical range is 50s-low 60s. Blood sugar was 146, which is high for me. I have no history of diabetes or other blood sugar issues. Blood pressure was taken several times and initially showed 110/66. At the hospital it was 124/72. I was released from the hospital around 1:00 and instructed to come back if symptoms worsened. I had some chest pressure and metallic taste throughout this time.

Other Meds: None

Current Illness: None

ID: 0982765
Sex: F
Age: 49
State: NJ

Vax Date: 01/20/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Penicillin; sulfa drugs

Symptoms: Day 5 swelling, rash, itchy, and burning at site location and surrounding. Very swollen shoulder. Each day after it?s been getting worse. Reaction area approximately 6-7 inches. Have pictures Currently day 9 it is still localized but getting worse and neck is itchy too. Taking anti histamines routinely.

Other Meds: Xyzal 5 mg; multivitamin: vitamin d

Current Illness: None

ID: 0982766
Sex: F
Age: 43
State: MO

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Client called and stated that she had to go see her PCP for an adverse reaction to the first dose Moderna and that she would not be taking the second dose. Aside from the expected side effects (redness at site, sore arm, and headache), she did have an adverse reaction. She stated that her entire upper arm was swollen along with the left arm lymph nodes. Her PCP gave her a steroid dose pack and instructed that she take OTC benadryl and excerdrin.

Other Meds: Cozzar 50mg Lisionpril/HCTZ 20/12.5mg Isosorbide 30mg Estradiol 0.5mg Gabapentin 600mg

Current Illness: NONE

ID: 0982767
Sex: F
Age: 57
State: PA

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

Lab Data:

Allergies:

Symptoms: Patient was getting hair colored about 6 hours after vaccine. Her face suddenly became very flushed and she experienced tachycardia for several minutes. Pulse was not checked. She then became extremely pale, light headed, and sick for 10-15 minutes. Chest was heavy in the evening from 8-9 pm so she took an antacid and went to bed. She woke up at 11pm, but body was still sleeping and she couldn't move. She has never experienced this before. Arm was very sore, but has improved. Has also been taking ibuprofen and Tylenol for body aches.

Other Meds:

Current Illness:

ID: 0982768
Sex: F
Age: 32
State: IN

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

Lab Data:

Allergies: None

Symptoms: Chills from about 8pm 1/26/2021 until 3am 1/27/2021 and then intermittent chills until 8pm 1/27/2021. Tachycardia - Heart rate in the 130s and 140s after doing simple tasks like brushing teeth; Heart rate in the 120s at rest on 1/27/2021. Intermittent profuse sweating 1/27/2021. Fatigue 1/26/2021 to 1/28/2021. Mild dizziness 1/26/2021. Nausea 1/27/2021. Headache 1/27/2021. Muscle aches 1/27/2021 to 1/28/2021. Joint pain 1/27/2021. Dehydration 1/27/2021 Lymphadenopathy on left side of body ongoing from 1st dose but got significantly larger after 2nd dose on 1/26/2021. Still ongoing. Severe pain in the left deltoid 1/27/2021 that made it difficult to perform simple tasks and ADLs; Moderate left arm pain is ongoing. Highest temperature was 98.5 degrees, which is about 1 degree higher than normal for me. However, I was taking Tylenol and Ibuprofen around the clock, so true temperature may have been masked. These symptoms rendered me unable to function at my job in the hospital and I had to go home from work on 1/26/2021 and 1/27/2021. I took Tylenol 1,000mg q8h and Ibuprofen 600-800mg q8h on 1/26/2021 and 1/27/2021

Other Meds: one a day womens multivitamin vitamin D 2,000 IU

Current Illness: None; still had swollen supraclavicular lymph nodes from 1st Moderna dose

ID: 0982769
Sex: F
Age: 35
State: MN

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

Lab Data: EKG, blood work, currently wearing a heart monitor for two weeks

Allergies: NKA

Symptoms: I started having presyncope each time I stood up that night. Then again the next morning at about 7:40am

Other Meds: Vitamin D, magnesium, daily vitamin, fibercon Propranolol 10mg 1-5times a month prn

Current Illness: NA

ID: 0982770
Sex: F
Age: 62
State: IN

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

Lab Data: None Noted. Resolved after another 20 minutes

Allergies: Lidocaine Some preservatives Hazelnuts

Symptoms: Itching at injection site Flushing Tachycardia Syncope Unable to control BUE?s. Felt very heavy

Other Meds: Zoloft Norvasc Atenolol Synthroid

Current Illness: None noted

ID: 0982771
Sex: F
Age: 48
State: VA

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

Lab Data:

Allergies:

Symptoms: Rash at injection site. Severe Muscle aches. dizziness. shortness of breath Chest pain. Weakness. Rapid heart rate. Swollen lymph nodes under left arm.

Other Meds:

Current Illness:

ID: 0982772
Sex: F
Age: 68
State: MA

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

Lab Data: None

Allergies: Erythromycin Some soaps

Symptoms: Temperature 99.5 - usually run in 96 to 97 range. Body aches. Eyelids swelled and were red.

Other Meds: Warfarin Lipitor Zyrtec Prilosec Zoloft Ativan Fioricet Centrum Vitamins Calcium with Vitamin D Vitamin K Glucosamine with Chondroitin

Current Illness: None

ID: 0982773
Sex: F
Age: 64
State: MA

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

Lab Data: n/a

Allergies: sulfa

Symptoms: slightly nauseous, no appetite

Other Meds: 10 mg cepeda

Current Illness: n/a

ID: 0982774
Sex: M
Age: 77
State: GA

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

Lab Data: Vitals by health department, EMS performed additional vitals, EKG, and blood sugar. Positive orthostatic hypotension was identified by EMTs. Blood sugar in the 90's. Pulse remained in the 40's.

Allergies: none

Symptoms: Pt complained of dizziness within 15 minutes of receiving Moderna COVID vaccine. Vitals were taken, pulse was in the 40's, pt alert and oriented, soda given to see if blood sugar dropped. Continued to monitor, pulse remained low and pt continued to complain of feeling dizzy. 911 was notified and EMS arrived by 12:35pm. EKG strip performed, along with vials from the EMT in the health department. Positive orthostatic hypotension found by paramedic. EMS notified ER doctor on call for recommendations. ER doctor said vitals were consistent with dehydration and could be admitted for IV fluids or return home and encouraged to increase fluids. Wife and pt declined ambulance ride and request to return home.

Other Meds: Trazadone and seriquil

Current Illness: none

ID: 0982775
Sex: U
Age: 28
State: AR

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

Lab Data:

Allergies: no

Symptoms: received 2nd dose of covid vaccine 2/27 around 0715 and started having a fever last night around 2200 with lightheaded, body aches, HA.

Other Meds: no

Current Illness: no

ID: 0982776
Sex: F
Age: 30
State: MA

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

Lab Data:

Allergies: amoxicillin, environmentals

Symptoms: Extreme fatigue, lightheaded, nausea, sweats

Other Meds:

Current Illness:

ID: 0982777
Sex: F
Age: 63
State:

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

Lab Data: none

Allergies:

Symptoms: Very sore arm, fever, headache, chills and nausea. On Wed 27th at 3pm, I started alternating taking Tylenol 500mgs (2 Tabs) and Motrin 400 mgs Today Jan 28: Fever and nausea has been relieved. Still have slight headache and chills

Other Meds:

Current Illness:

ID: 0982779
Sex: F
Age: 69
State: IN

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: azithromycin, doxycycline hyclate, doxycycline hyclate (bulk), doxycycline monohydrate, doxycycline monohydrate (bulk), Sulfa (Sulfonamide Antibiotics)

Symptoms: Nausea , Vomitting and Fever

Other Meds:

Current Illness: Sleep Apnea, MR, CVA and Seizures

ID: 0982780
Sex: F
Age: 58
State: NY

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

Lab Data: CBC ESR normal CRP slightly elevated at 1.8 (1.0 is normal)

Allergies:

Symptoms: Fever starting 15 hours after vaccination and continuing for three weeks and still having fever to 102

Other Meds: Metformin Dulera inhaler Arimidex Doxycycline

Current Illness:

ID: 0982781
Sex: F
Age: 71
State:

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

Lab Data:

Allergies: Vibrant in, Septra, darvocet, flagyl, penicillin, amoxicillin

Symptoms: Very weak flu like week for two days

Other Meds: Baby aspirin, levyhyroxin, montelukast, metoprolol, atorvastatin, Phillips probiotic, multi vitamin, vitamin b.

Current Illness:

ID: 0982782
Sex: F
Age: 41
State: PA

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

Lab Data: None

Allergies: None

Symptoms: Chills, fatigue, fever of 101, sweats

Other Meds: Lexapro Vitamin D

Current Illness: None

ID: 0982783
Sex: F
Age: 21
State: IN

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

Lab Data:

Allergies:

Symptoms: Chills, body aches, nausea

Other Meds:

Current Illness:

ID: 0982784
Sex: F
Age: 51
State: NV

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

Lab Data:

Allergies: penicillin

Symptoms: after received the pfizer vaccine. Within a day, I have a swollen Lymph Nodes on the side of the arms that Vaccine was injected. It hurts when close left arm to my body.

Other Meds: n/a

Current Illness: n/a

ID: 0982785
Sex: F
Age: 42
State: NJ

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

Lab Data:

Allergies: N/a

Symptoms: 12 hours post vaccine an approximate 1-inch by 2-inch raised redness area appeared adjacent to the vaccination location. Treated with ice pack and ibuprofen. At 36 hours post vaccination, area of raised redness grew to 4-inches round. Area is hot to the touch and produces pain when touched. clinic examined and prescribed antibiotic (cephalexin 500mg)

Other Meds: Multivitamin, Trintellix 10mg

Current Illness: None

ID: 0982786
Sex: F
Age: 44
State: MO

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

Lab Data: none

Allergies: none

Symptoms: Severe body aches migraine low grade fever nausea diarrhea joint pain skin pain general maliase

Other Meds: Nexium Botox for migraines albuterol--prn

Current Illness: none

ID: 0982787
Sex: F
Age: 73
State: MI

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

Lab Data: n/a

Allergies: Amoxicillin, Erythromycin, Terazosin, Levaquin, Penicillins, Sulfa Antibiotics

Symptoms: 09:00 fever 101.1, facial flushing, generalized aching, history of covid-19, site erythema at 48h, nausea and fever resolved<24h

Other Meds: Completed Doxycycline on 1/18/21 for UTI

Current Illness: UTI

ID: 0982788
Sex: F
Age: 35
State: MD

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

Lab Data:

Allergies:

Symptoms: 24 hours after injection she noticed an itchy rash on both arms that also stings. On Jan 22 she took Benedryl which helped with the itching but noticed that the rash got worse and now has appeared on her legs.

Other Meds:

Current Illness:

ID: 0982789
Sex: F
Age: 30
State: FL

Vax Date: 12/24/2020
Onset Date: 12/26/2020
Rec V Date: 01/28/2021
Hospital:

Lab Data: Covid19 test Negative

Allergies: Dairy,

Symptoms: Symptoms Fever 100.4 chills, cough, Fatigue swelling at injection site severe fatigue and severe Malaise

Other Meds: NA

Current Illness: N/A

ID: 0982790
Sex: F
Age: 32
State: CA

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

Lab Data:

Allergies: ibuprofen, penicillin

Symptoms: Woke up with redness, inflammation, and itching at the injection site. This was quite severe for 2 days and resolved to a low level of irritation. Shortly after this occurred, developed hives on both ankles.

Other Meds: Vitamin D, Vitamin C, Vitamin B12, zinc

Current Illness: None

ID: 0982791
Sex: F
Age: 32
State: GA

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

Lab Data: None- waiting to resolve just wanted to report

Allergies: None

Symptoms: Painful left axillary lymphadenopathy roughly 6 hours after shot. Headache, fever, soreness, increased skin sensitivity and pain overnight. Shaking chills for several hours the next morning. Persistent low back pain 10/10 radiating to anterior thighs bilaterally from 6PM the day of and has not resolved as of the following afternoon.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm