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: 0983300
Sex: M
Age: 93
State: OH

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

Lab Data:

Allergies: vicodine (partial numbness and not able to use L side of face

Symptoms: He became extremely lethargic and difficult to wake 6 hrs after receiving vaccine. Vitals were stable reported by daughter.~ 1/22/21 BP 120/72, pulse 76, O2 level 98, 1/23/21 BP124/88 P-77 O2 92 T 97.6, 1/24/21 BP 105/65 P 77, O2 88 and O2 provided per daughter. The extreme lethargy lasted for 72 hrs and had 2 hospice nurses asses for possible s/s of stroke and was told did not feel was a stroke. during this time also had "dreams" as noted by talking in his sleep a lot. Is now "slowly" coming out of sleepiness and starting to eat very little.

Other Meds: potassium chl 10meq, aspirin 81mg, midodrine HCL 5mg TID, feur Additional information for Item 9: other meds: Feursmide 80 mg BID, Synthroid 75mg QD, Docusate Sodium 100mg BID, Allopurinol 300mg qd

Current Illness: CHF and pleural effusion

ID: 0983301
Sex: F
Age: 43
State: CA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None yet.

Allergies: Food sensitivities, milk , cinnamon

Symptoms: Moderate- severe Occipital headache since receiving the headache, it will be 2 weeks tomorrow, no relief. It is accompanied w nausea when it is severe.

Other Meds: Vit D.

Current Illness: None

ID: 0983302
Sex: F
Age: 29
State: OK

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

Lab Data: None.

Allergies: Penicillins (rash)

Symptoms: 12/27/2020: Received first dose of Moderna COVID-19 vaccine. No significant reactions reported. 01/14/2021: Received second dose of COVID-19 vaccine, but received Pfizer product instead. No significant reactions reported.

Other Meds: See Additional information. Additional information for Item 9: Armour Thyroid 30mg daily hydroxyzine 25mg ondansetron ODT 8 mg Ozempic 1 mg weekly Zoloft 100 mg daily

Current Illness: None.

ID: 0983303
Sex: M
Age: 74
State: IN

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

Lab Data: unknown admitted at another facility

Allergies: denied

Symptoms: Hospital contacted this facility this morning to report that patient was admitted for complaints of Altered Mental Status. Pt's family reports receiving COVID 19 vaccination at facility on 1/26; Per MHP pt.'s family also states that pt received monoclonal antibody infusion within the past 90 days. Pt currently remains inpatient at Hospital. Upon review of pt intake form pt checked NO on if he had received monoclonal antibody infusion. Staff also verbally screen for this question as well.

Other Meds: unknown

Current Illness: denied

ID: 0983304
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:

Allergies:

Symptoms: Back felt hot, had small red macules. Received 2 doses of Benadryl 25 mg and macules turned to pink color. Left for home.

Other Meds:

Current Illness:

ID: 0983305
Sex: M
Age: 52
State: OK

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

Lab Data: None

Allergies: Cephalosporins (not specified)

Symptoms: 12/28/2020: Received first dose Moderna COVID-19 vaccine. No significant reactions to report. 01/27/2021: Received second dose of COVID-19 vaccine. However, patient received Pfizer BioNTech vaccine. No significant reactions reported.

Other Meds: See additional information section. Additional information for Item 9: Acetaminophen 650 mg every 8 hours as need for pain. Azelastine 0.1% 2 sprays in each nostril twice daily. Clobetasol Propionate, 0.05% topical two times daily. Ergocal

Current Illness: None.

ID: 0983306
Sex: M
Age: 40
State: PA

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

Lab Data:

Allergies: Penicillin

Symptoms: Fever, chills, body aches, bpm over 100 entire night even while laying in bed

Other Meds: Fluticasone propionate

Current Illness: None

ID: 0983307
Sex: F
Age: 32
State: OH

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Red, itchy, raised area at injection site 1 weeks after vaccination. Lasting approx 5 days

Other Meds: Levothyroxine Atorvastatin

Current Illness: None

ID: 0983308
Sex: M
Age: 46
State: MN

Vax Date: 01/06/2021
Onset Date: 01/23/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: 1/26 Strep test negative, CMP normal except gluc 176 (after eating) and Na 133. WBC 11.15, ANC 9.5, mono 0.170 (1.5%),hgb 17.8, hct 51.4

Allergies: seasonal allergies ("hayfever")

Symptoms: subject developed hives/itchy bullae over trunk and extremities. over the next few days, despite using diphenhydramine, also had swelling of lips and sensation that his throat was closing. Voice was slightly hoarse. Was seen in clinic and ER. was given steroids.

Other Meds: none--did change deodorant

Current Illness: none

ID: 0983309
Sex: F
Age: 27
State: TX

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

Lab Data:

Allergies: Oyster

Symptoms: Chills, severe muscle aches, joint pains. Bone pain, specifically right tibia, left radius, right clavicle, right wrist

Other Meds: Ferrous sulfate Seasonique

Current Illness: NOne

ID: 0983310
Sex: M
Age: 31
State: WA

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

Lab Data:

Allergies:

Symptoms: Patient reported that the day he received his first Moderna COVID 19 vaccine, he did his glatiramer injection in the evening, and he experienced hives and flushing. Two glatiramer injections later (about 4 days later), he experienced hives and flushing with significant chest tightness and dizziness that caused him to go to the ER.

Other Meds: glatiramer 40mg

Current Illness:

ID: 0983311
Sex: F
Age: 52
State: CA

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

Lab Data: NONE

Allergies: NKA

Symptoms: FOLLOWING MORNING AFTER INJECTION, INJECTION SITE WAS RED, ITCHY, SWOLLEN. SWELLING PERSISTED THORUGH 1/25/21

Other Meds: lisinopril fluocinonide valacyclovir fluticasone

Current Illness: hypertension

ID: 0983312
Sex: F
Age: 43
State: PA

Vax Date: 01/17/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: Penicillin, sulfa

Symptoms: itchy red rash, emerged 8 days later on forearms, face, neck. Was not traceable to contact dermatitis or other known exposures, allergens, or illness. Well tolerated, did not miss work. Oral Benadryl 25-50 mg and topical anti-itch cream (camphor-based, not antihistamine) resolved symptoms enough to not affect much of daily life. No additional allergy symptoms. Duration around 3 days.

Other Meds: Lexapro, Buspar, Lyrica, Multivitamin, Levoceterizine

Current Illness: none

ID: 0983313
Sex: M
Age: 37
State: OK

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

Lab Data:

Allergies:

Symptoms: fatigue

Other Meds:

Current Illness:

ID: 0983314
Sex: F
Age: 45
State:

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

Lab Data: none

Allergies: Contrast (Iodinated) - anaphylaxis, amoxicillin - hives, clindamycin - hives, doxycycline-hives, sulfa antibiotics-hives

Symptoms: Received the second vaccine yesterday 1/27/2021 around 11am. About an hour later started to get hives and took a Claritin. Was at home later in the evening around 5pm and started to have lip/jaw swelling and throat tightening. Called an ambulance and they gave her EPI pen and took over treatment. Ended up getting discharged around 11-12pm last night and told to take prednisone and Benadryl. Around 5am today 1/28 had swelling in tongue and bottom lip swelling. Went back to emergency room and they did similar treatment. Is planning to follow up with her doctor and will be on her prescribed medications for a few days.

Other Meds: Omeprazole, rosuvastatin, multivitamin

Current Illness: none

ID: 0983315
Sex: F
Age: 61
State: IL

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

Lab Data:

Allergies: Clarithromycin, compazine, persussis vaccines, tetanus vaccines and toxoids

Symptoms: Day after receiving vaccine patient felt some vertigo off and on.

Other Meds:

Current Illness:

ID: 0983316
Sex: F
Age: 43
State: AR

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

Lab Data:

Allergies:

Symptoms: Fever of 101.7 F resolving 01/28/2021 around 3pm. Muscle aches, malaise. Better on 01/28/21 Nausea and vomiting started on 01/2721, required IV fluids on 01/28/2021 at approximately 4:30am. Feeling better this afternoon 01/28/2021.

Other Meds:

Current Illness:

ID: 0983317
Sex: F
Age: 25
State: KY

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

Lab Data:

Allergies: Bitch tree Venlafaxine Zoloft Lexapro

Symptoms: no appetite since 1st dose

Other Meds: Propranolol 40 mg 2/day Buspar 20 mg 2/day Fludricortisone .01 mg 1/day Cetirizine 10 mg 1/day Pantoprazole 40 mg 1/day Vitamin D3 with vitamin K2 10,000 units 1/day

Current Illness: Covid positive November 10, 2020

ID: 0983318
Sex: F
Age: 48
State: AZ

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

Lab Data:

Allergies:

Symptoms: Day 2-1/26/21-Left shoulder sore, stiff, very limited ROM especially with dressing, pain down to elbow, fever 102-103, severe left upper arm pain, using ice packs and Motrin q 4-6 hours. Day 3-1/27/21-Fever 103, all symptoms same as those of Day 2 using ice and heat alternating, and Tylenol and Motrin alternating. Day 4-1/28/21-improved ROM and improved symptoms.

Other Meds:

Current Illness:

ID: 0983319
Sex: F
Age: 26
State: PA

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

Lab Data: N/A

Allergies: PENICILLIN, CLINDAMYCIN,SULFA GROUPS

Symptoms: RASH , TOPICAL SWELLING , HOT AREA , ITCHY

Other Meds: BISOLVI FE, FOCUS FACTOR , WOMENS MULTIVITAMINS

Current Illness:

ID: 0983320
Sex: F
Age: 33
State: KS

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

Lab Data:

Allergies: MMR vaccine

Symptoms: Pressure in right ear, numbness and tingling to right arm, headache, fever, chills, body aches

Other Meds:

Current Illness:

ID: 0983321
Sex: F
Age: 31
State: CA

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

Lab Data:

Allergies:

Symptoms: First one muscle aches. Second one chills, extreme body aches, muscle aches, nausea, head ache, low fever.

Other Meds:

Current Illness:

ID: 0983322
Sex: M
Age: 27
State: IL

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

Lab Data: none

Allergies: No known allergies

Symptoms: Patient complained of itchiness around the injection site. Observation nurse pulled aside patient and conducted vitals and performed is back, assessment of patients skin. Assessment found some redness around the patients upper arm and on his back. Patient recieved 25mg IM of benedryl will good effects. Patient was monitored for 45 minutes, rash did not spread and benedryl relieved itchiing.

Other Meds: no known medication at the time.

Current Illness: no known illnesses

ID: 0983323
Sex: F
Age: 70
State: TX

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

Lab Data: None

Allergies: None

Symptoms: Soreness and swelling on day 1 and 2 Redness/rash nine days later

Other Meds: Amlodipine, Metroporal, Nexium, Celexa, Montelucast, Astorvastatin, low dose aspirin, Emgality, b-12 injection

Current Illness: None

ID: 0983324
Sex: F
Age: 75
State: NJ

Vax Date: 01/15/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Prolia, rosuvastatin, acetic acid, advil, avelox, biaxin, ciprofloxacin, clonazepam, iodine-based contrast media, Darvon, diovan,effexor, erythromycin, fruit, lorazepam, mustard, natural vegetable, prednisone, yeast, Zithromax, zoloft

Symptoms: red, itchy area to injection site 12 days after receiving vaccine

Other Meds: Ascorbic Acid 500mg, Aspirin 81mg, Atorvastatin 10mg, Azelastine 205.5mcg nasal spray, calcium citrate 250mg, cholecalciferol 1,000 units, cyanocobalamin 1,000mcg, Lisinopril 20mg, Multivitamin, Omeprazole 20mg

Current Illness: None

ID: 0983325
Sex: F
Age: 42
State: CA

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

Lab Data: N/A

Allergies: N/A

Symptoms: Headache 4 days, Fatigue 4 days, Rash X3 weeks, and Dizziness 4 days

Other Meds: N/A

Current Illness: N/A

ID: 0983326
Sex: F
Age: 72
State: MN

Vax Date: 01/21/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: none.

Allergies: diltiazem, lisinopril, pioglitazone

Symptoms: redness at injection site x 5-6 days later.

Other Meds:

Current Illness: none.

ID: 0983327
Sex: F
Age: 34
State: MN

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

Lab Data: I passed a neurological screen at urgent care last night. I did have an elevated heart rate and high blood pressure but I was also extremely anxious about what was happening to me. No further testing or lab results were completed.

Allergies: Sulfa

Symptoms: The evening that I received the vaccine, I started having some numbness in my hands. The following morning, I continued to have numbness in my hands but also in my face. By the evening , the day after I had received the vaccine, I felt like my swallowing was slightly impaired and I went to urgent care. I was able to complete all neurological tests and given a prescription for hydroxyzine, thinking that I may have had a slight histamine response. I slept approximately 10 hours that night and then fell asleep again from 8:30-11:30 this morning due to high levels of fatigue. Today (~54 hours later), the numbness in my hands and face seems to be getting slightly worse. I also feel some generalized weakness. I'm still able to do normal day to day activities but it feels abnormal.

Other Meds: No medications taken at the time of the vaccination.

Current Illness: No other illnesses

ID: 0983328
Sex: F
Age: 51
State: TX

Vax Date: 01/13/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Injection site erythematous and warm to touch

Other Meds:

Current Illness:

ID: 0983329
Sex: F
Age: 38
State: TX

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

Lab Data: Epi pen Atrovent/albuterol Pepcid Solumedrol Benedryl BMP, CBC w/ diff, Troponin, Tryptase, urine preg, Chest X-ray Prednisone

Allergies: Unknown Fiberglass material, specific brands of cigarette smoke

Symptoms: Anayphylaxis

Other Meds: Pristiq 50mg, 25mg alternating dose each day Probiotic Vitimins

Current Illness: COVID exposure but negative testing post. Post exposure had shortness of breath requiring inhaler that resolved within 4-5 days. Was at normal state of health at time of vaccine.

ID: 0983330
Sex: F
Age: 79
State: MI

Vax Date: 12/29/2020
Onset Date: 01/02/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: CBC w/diff drawn 1/4/21: CBC W/DIFFERENTIAL WBC 3.1 10 4.00-11.00 L Final RBC 3.02 10 3.80-5.50 L Final HEMOGLOBIN 10.6 g/dL 12.0-16.0 L Final HEMATOCRIT 30.8 % 36.0-46.0 L Final MCV 102 fL 80.0-97.0 H Final MCH 35.2 pg/cell 26.0-32.0 H Final MCHC 34.5 g/dL 32.0-37.0 Final RDW 13.5 % 11.5-14.5 Final MPV 7.7 fl 7.5-11.2 Final PLATELET COUNT 209 10 130-400 Final NEUTROPHIL% 54.6 % 40.0-74.0 Final LYMPHOCYTE% 22.9 % 19.0-48.0 Final MONOCYTES% 17.0 % 2.0-11.0 H Final EOSONOPHIL% 4.3 % 0.0-7.0 Final BASOPHIL% 1.2 % 0.0-1.5 Final NEUTROPHIL# 1.7 10 1.7-7.7 Final LYMPHOCYTE# 0.7 10 1.0-4.8 L Final MONOCYTE# 0.5 10 0.0-1.0 Final EOSINOPHIL# 0.1 10 0.04-0.45 Final BASOPHIL# 0.0 10 0.00-0.20 Final

Allergies: Penicillin, Lomotil, Zyrtec, Sulfa Antibiotics

Symptoms: 1/2/21: redness, warmth, induration observed to right arm injection site. c/o pain to arm. CBC w/diff ordered to be drawn 1/4/21 1/3/21: Redness/induration improving. remains warm to touch and mild c/o pain Resolved

Other Meds: Anastrozole Tablet 1 MG Give 1 tablet by mouth at bedtime related to PERSONAL HISTORY OF MALIGNANT NEOPLASM OF BREAST (Z85.3) Aspirin EC Tablet Delayed Release 81 MG (Aspirin) Give 1 tablet by mouth one time a day for Anti-platelet Cyanoc

Current Illness: Recovered from COVID-19 11/23/20

ID: 0983331
Sex: F
Age: 22
State:

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

Lab Data:

Allergies:

Symptoms: Body aches, insomnia, nausea, abdominal pain

Other Meds:

Current Illness:

ID: 0983332
Sex: F
Age: 49
State: FL

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

Lab Data: n/a

Allergies: per patient no until after she received the vaccine and started having a reaction pt stated that last year after she received the flu vaccine, she had a minor reaction and she thought it was due to the eggs.

Symptoms: Pt was up and caregiver noticed she didn't look right. she stated to caregiver she felt like she was having a reaction. pt was assisted to the floor. RN assessed pt and noticed her tonge swelling and patient getting red and neck swelling. RN ran to get emergency kit EPI PEN. EPI Pen administered Right thigh. EMS arrived. took patient to the ED for further treatment.

Other Meds: unknown

Current Illness: n/a

ID: 0983333
Sex: F
Age: 51
State: CA

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

Lab Data:

Allergies:

Symptoms: Felt throat tightness, warm, and had sweaty forehead. Given two bottles of water and improved enough to leave for home.

Other Meds:

Current Illness:

ID: 0983334
Sex: M
Age: 87
State: NC

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

Lab Data:

Allergies:

Symptoms: Left hand red and swollen, unable to bend fingers. Gradually worsened since onset.

Other Meds:

Current Illness:

ID: 0983335
Sex: M
Age: 27
State: OH

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

Lab Data:

Allergies: No

Symptoms: Starting to feel a lot more sick. Flu like symptoms. Lower back pain. Chills. Sweats when taking tynenol. No energy. Just feeling general weakness and no energy. Only to get up to take medicine. Been trying to get sleep but waking up after about an hour every time. Headaches.

Other Meds: No

Current Illness: No

ID: 0983336
Sex: F
Age: 44
State: NY

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

Lab Data:

Allergies: Shrimp,latex ,nitrile gloves

Symptoms: Pruritis followed by hives on neck upper back

Other Meds:

Current Illness:

ID: 0983337
Sex: F
Age: 43
State: CT

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

Lab Data: None

Allergies: None

Symptoms: Extreme stabbing lower right quadrant pain. Extreme pain in arm, neck, shoulder and back, also lower back. Severe vomiting. High fever, chills, body pain, extreme lethargy, shortness of breath.

Other Meds: Buspirone, escitalopram, levothyroxine

Current Illness: None

ID: 0983338
Sex: F
Age: 21
State: WA

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

Lab Data: none

Allergies: none

Symptoms: headache, body aches, nausea and fever. These were all symptoms noted on day after vaccine dose given. Within 48 hours had red spots on body

Other Meds: unknown

Current Illness: unknown

ID: 0983339
Sex: M
Age: 19
State: AZ

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

Lab Data:

Allergies: -

Symptoms: Brain fog for the past 6 days: - unable to focus - unable to perform day to day cognitive tasks (e.g. read an article) Symptoms have no improved much.

Other Meds: -

Current Illness: -

ID: 0983340
Sex: M
Age: 89
State: LA

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

Lab Data: None

Allergies: Amoxicillin

Symptoms: brief ache in arm went away overnight, left side from thigh to knee muscles/ joint pain, hard to get up

Other Meds: Lisinopril, Gabapentin, Mirapex, Lasix, 81 mg Aspirin, Questor 3 times a week

Current Illness: None

ID: 0983341
Sex: M
Age: 18
State: OK

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

Lab Data: PATIENT TRANSPORTED TO HOSPITAL VIA POV

Allergies: NKDA

Symptoms: SWOLLEN RIGHT SIDE OF FACE, RIGHT SIDED WEAKNESS,

Other Meds: Unknown

Current Illness: none

ID: 0983342
Sex: F
Age: 26
State: VA

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

Lab Data: N/A

Allergies: N/A

Symptoms: Injection site reaction including pain, redness, swelling, and pruritus; headache; fatigue

Other Meds: N/A

Current Illness: N/A

ID: 0983343
Sex: M
Age: 64
State: CT

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

Lab Data: Unknown

Allergies: unknown

Symptoms: Following vaccination, patient experienced lightheadedness, dizziness, headache and nausea. BP elevated. Blood sugar 315. Little improvement following rest in reclining position. Transferred to the hospital via ambulance. Next day, family reported patient was released from the hospital that evening and has resumed activity . No rash or wheezing noted during the episode. Telephone call to patient x2 for more information to complete VAERS but did not return my calls.

Other Meds: metformin, insulin and other medication

Current Illness: unknown

ID: 0983344
Sex: F
Age: 39
State: OK

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

Lab Data:

Allergies: Raisins Keyflex

Symptoms: HR was 135-155 within 1hr.- resting HR still over 100 3hrs later took 75mg of benadryl for 2days- Outcome- HR went down but is still elevated

Other Meds: Buproprion XL 300mg

Current Illness:

ID: 0983345
Sex: M
Age: 44
State: IN

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: none

Allergies: denies

Symptoms: Pt reports that from day 7-10 (post vaccine) he had a 'cytokine like response" with redness, swelling and pain extending from left shoulder to under arm and chest area. Did not see PCP. Took OTC analgesic, resoled on day 10 post vaccine the response dissipated.

Other Meds: unknown

Current Illness: none disclosed

ID: 0983346
Sex: F
Age: 31
State: NY

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

Lab Data:

Allergies: None

Symptoms: Itchy rash at injection site

Other Meds: Lexapro , prenatal vitamin and folic acid, biotin, vitamin b12, zinc

Current Illness: No

ID: 0983347
Sex: M
Age: 55
State: MA

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

Lab Data:

Allergies: N/A

Symptoms: Chills, aches, Sweats, tired, nausea

Other Meds: Daily low dose asprin

Current Illness: N/A

ID: 0983348
Sex: F
Age: 72
State: FL

Vax Date: 01/08/2021
Onset Date: 01/24/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: BLOOD PRESSURE, OXYGEN LEVEL, PILSE, CAT SCAN, TESTED THE REFLEXES OF HANDS, LEGS, ETC

Allergies: NONE

Symptoms: DROOPING ON RIGHT SIDE OF FACE, EYE LID, RIGHT CHECK, RIGHT SIDE OF MOUTH, HEADACHE N SOME RIGHT EAR DISCOMFORT, EYE IRRITATION. CAT SCAN DONE AND ALL SHOWED OK AND THE FINAL OUTCOME ITS BELLS PALSY

Other Meds: XULTOPHY (INSULIN), METFORMIN, ALLOPURINOL, OLE/AMLO/HCTZ, CARVEDILOL, EZETIMIGE, PRAVASTATIN, ESCITALOPRAM, OMEPRAZOLE DR, LOW DOSE ASPIRIN,B12, OMEGA 3, CENTRUM SILVER

Current Illness: NONE

ID: 0983349
Sex: M
Age: 72
State: TX

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

Lab Data: n/a

Allergies: penicillin, flu shots, bees

Symptoms: chills, fever, started on january 23rd on 25th felt shaky

Other Meds: n/a

Current Illness: n/a

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm