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: 0983400
Sex: M
Age: 38
State: VT

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

Lab Data:

Allergies:

Symptoms: Unable to work 1/22, fatigue, HA, Chills, Fever, symptoms resolved on day 2

Other Meds:

Current Illness:

ID: 0983401
Sex: F
Age: 44
State: TN

Vax Date: 12/22/2020
Onset Date: 12/29/2020
Rec V Date: 01/28/2021
Hospital:

Lab Data: No

Allergies: I am allergic to doxycycline.

Symptoms: I had a knot under the skin that was spreading with spreading red and heat in it and looked like an orange on top. It was trying to develop cellulitus at the injection site.

Other Meds: No

Current Illness: No

ID: 0983402
Sex: F
Age: 71
State: AZ

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

Lab Data:

Allergies: MORPHINE

Symptoms: pt reported began feeling dizzy/ light headed during the recovery period. pt was noted by staff to be pale in color, pt was taken to triage area and attended by paramedics on site. decision was made by mid-lever provider to transport patient it the Emergency room for further evaluation because patient standing heart was increased to 200.

Other Meds:

Current Illness: NONE

ID: 0983403
Sex: F
Age: 69
State: CA

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

Lab Data: none

Allergies: ACE inhibitors

Symptoms: Approx 12 hours after vaccination had severe headache , few hours later, nausea, then vomiting X 3 and some loose bowel movements. Possible fever but did not take temperature. Symptoms subsided about 30 hours after vaccination.

Other Meds: Azore 5/40 mg, lipitor 20 mg, sertraline 50 mg, omeprazole 20mg. zertec 10 mg, hyaluronic acid 100mg, vit C 50 mg, Apple cider Vinegar 1200 mg

Current Illness: none

ID: 0983404
Sex: F
Age: 83
State: CA

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

Lab Data: None.

Allergies: Hydrocodone

Symptoms: One day after vaccine fever to 102, severe vomiting, diarrhea. All lasted three days.

Other Meds: None

Current Illness: Covid Disease 12/24/2020

ID: 0983405
Sex: F
Age: 37
State: WA

Vax Date: 01/14/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Penicillins Zoloft

Symptoms: 13 days after injection rash formed around injection sight.

Other Meds: Lantus insulin Verapamil Arovastatin Metformin Prilosec Prozac

Current Illness: None

ID: 0983406
Sex: F
Age:
State: WA

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

Lab Data: None

Allergies: Penicillin

Symptoms: Rash at injection site 8 days after vaccination

Other Meds: Armory thyroid

Current Illness: None

ID: 0983407
Sex: F
Age: 30
State: IL

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

Lab Data: None

Allergies: PCN

Symptoms: The following morning I started having symptoms like Vertigo. I was dizzy, felt unbalanced, nauseous. Later that night I had a really bad headache. The next day I had Vertigo off and on. Not as bad as the day before.

Other Meds: Viibryd, Estradiol

Current Illness: None

ID: 0983408
Sex: F
Age: 23
State: OR

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

Lab Data:

Allergies: na

Symptoms: A mild fever noted by sweating and fatigue (had no thermometer therefore no confirmation), muscle fatigue noted by tenseness and pain. Took 600mg ibuprofen and felt better.

Other Meds: Lexapro, Iron, Vitamin-D, Ibuprofen, Vitamin B-12

Current Illness: Food poisoning 2 weeks prior

ID: 0983409
Sex: M
Age: 21
State: NE

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Employee came to clinic on campus to get 2nd Pfizer vaccine. Employee didn't bring his vaccine card with documentation of 1st vaccine. Employee received his 1st Pfizer Covid vaccine on 12/21/2020. The recall window for his 2nd vaccine was between 1/7/2021- 1/15/2021. RN gave Employee his 2nd Pfizer Covid vaccine on 1/5/2021 at 1802 in his left arm. She didn't check the administration date of first vaccine.

Other Meds: None

Current Illness: None

ID: 0983410
Sex: F
Age: 44
State: TX

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

Lab Data:

Allergies: Sulfa based

Symptoms: I started to get swelling and firmness and warm at the injection site .... 8 days later still have it and it sometimes is itchy

Other Meds: Levothyroxine

Current Illness:

ID: 0983411
Sex: M
Age: 51
State: NY

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

Lab Data: None

Allergies:

Symptoms: Woke up uncontrollably shaking with a migraine (10 out of 10 on a pain scale). Took ibuprofen, then nurtec. By 8am I took a imitrex injection. At 12pm I took an imitrex tablet.

Other Meds:

Current Illness:

ID: 0983412
Sex: M
Age: 59
State: MO

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

Lab Data: Increasing narcotic pain meds within prescription limits (nominally 2-3/day, now maximizing at 4/day).

Allergies: NSAIDs, Sporins

Symptoms: Chronic acute systemic pain now at much higher pain levels. Tendinitis in right arm was at 3, now at 7. Back and neck was at 6, now at 9. Hips and knees were at 5 now at 7.5.

Other Meds: Medication Name Dosage Flonase (Fluticasone Propoionate) 50mcg 2-4 sprays / evening Linisopril 10mg 1 AM Maxalt MLT 10 mg <= 10 / month as needed D (5K IU) + K (500 mcg) + Centrum (Senior Men?s) 1 each / day Tylenol Arthritis 650mg 2 need M

Current Illness:

ID: 0983413
Sex: F
Age: 23
State: IN

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

Lab Data:

Allergies: None

Symptoms: Severe body aches, skin discomfort, fever, chills, headache, dizziness

Other Meds: Synthroid, oral birth control

Current Illness: None

ID: 0983414
Sex: M
Age: 33
State: TX

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

Lab Data:

Allergies: Amoxicillin, valproic acid, ziprasidone

Symptoms: Fever rectal 104.2, tachycardia, hypoxia started 1/27/21. SpO2 82% on room air. Supplemental O2 was required. COVID-19 and influenza negative. Resolved 1/28/2021.

Other Meds:

Current Illness:

ID: 0983415
Sex: F
Age: 59
State: CA

Vax Date: 01/06/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: On January 25, 2021, I woke up in the morning with a a rash. The rash was red, itchy with slight raised bumps. It was on the front and back of my torso including shoulders in big splotches and on my arms and legs. I used OTC Bendery gel and hydrocortisone lotion to ease the symptoms. I went to my doctor on January 27 and she prescribed a tapered steroid. The rash had eased by the time I saw my doctor. I have never had a rash like this before.

Other Meds: multi-vitamin, Benadryl, calcium supplement, tizanadine

Current Illness: None

ID: 0983416
Sex: F
Age: 42
State: AR

Vax Date: 01/07/2021
Onset Date: 01/22/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Cold sore on lower lip followed by cold sores on hands.

Other Meds: Tramadol, sumatriptan, lexapro

Current Illness: None

ID: 0983417
Sex: F
Age: 46
State: IN

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

Lab Data:

Allergies: None

Symptoms: Uncontrollable Shaking, Freezing cold, tired, aches all over body, high fever

Other Meds: None

Current Illness: None

ID: 0983418
Sex: F
Age: 52
State: FL

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

Lab Data:

Allergies: Compazine

Symptoms: From 10-pm to 4 am fever, chills, face and hand swelling, extreme body aches, insomnia, dizziness all joints sharply painful from neck to toes on flexion

Other Meds: None

Current Illness: None

ID: 0983419
Sex: F
Age: 38
State: TN

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

Lab Data:

Allergies: None

Symptoms: Immediately after receiving the vaccine, patient noticed that she had a metallic taste in her mouth. Approximately 4 minutes later she called the attention of a staff member to alert them that her tongue felt tingly. The RN was called to come observe patient, blood pressure taken at this time, reading was 118/82. Patient began complaining that mouth and tongue both felt numb and it was becoming hard to swallow. EMS was called at this time along with MD. MD directed nurses to continue to monitor patient, while on the phone with MD, patient stated that her chest felt heavy. MD ordered patient to receive 0.5 ml of Epinephrine. Patient received dose of epinephrine. BP taken again at 1:18, 3 minutes after Epi injection, reading was 124/86. Patient began complaining of a "heaviness feeling" in legs at approximately 1:19. Ambulance and EMS staff arrived at 1:21. Ambulance left with patient at 1:26. Spoke with patient at 4:45 pm, patient has made a full recovery and is at work.

Other Meds: Wellbutrin, Vitamin-D, Effexor

Current Illness: None

ID: 0983420
Sex: F
Age: 29
State: FL

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

Lab Data:

Allergies: Pineapple, Reglan

Symptoms: Sudden redness over chest, neck, and face. Heart rate at rest jumping from 73 to 165 bpm, sweating, dizziness, feeling on verge of passing our. Heart rate and symptoms subsided at 15 min. Dizziness continued for next hour with fluctuations in heart rate and Blood pressure taken at 110/88.

Other Meds: Claritin, Vitamin D

Current Illness: None

ID: 0983421
Sex: F
Age: 31
State: CA

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

Lab Data: N/A

Allergies: None known.

Symptoms: Received 2nd dose of Moderna vaccine on L deltoid 01/28/2021 @ 1030. Remained in health clinic for observation for 15 minutes as instructed, no adverse reactions noted. Left observation area without S/S. Arrived back at work location upstairs, at 1050 started experiencing numbness of L arm, L side of neck and face until 1200. Was observed by charge nurse and another RN for any respiratory distress or shortness of breath, did not experience either. Charge nurse notified lead immunization nurse at walk-in clinic, as well as SCN. Both assessed me and symptoms were resolved by 1230.

Other Meds: Levothyroxine, Spironolactone, Women's multivitamin, cherry extract supplement.

Current Illness: None known.

ID: 0983422
Sex: F
Age: 45
State: WA

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

Lab Data:

Allergies:

Symptoms: SORE ARM, HOT TO TOUCH AREA SURROUNDING INJECTION SITE, DIZZINESS, FATIGUE, BODY ACHES, HEADACHE, NAUSEA, JAW PAIN, METALLIC TASTE

Other Meds:

Current Illness:

ID: 0983423
Sex: F
Age: 25
State: MA

Vax Date: 01/07/2021
Onset Date: 01/10/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: Received CBC and BMP at urgent care- both normal

Allergies: Latex sensitivity, pineapple, mango, kiwi

Symptoms: Onset of severe dizziness on 1/10. Dizziness and spells of vertigo off and on until present (1/28)

Other Meds: 20 mg fluoxetine, daily multivitamin (One-a-Day Womens Gummies), Kyleena IUD

Current Illness:

ID: 0983424
Sex: F
Age: 76
State: NY

Vax Date: 01/18/2021
Onset Date: 01/21/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: Only took vitals an ? hour later BP 156/75 Pulse 82, Blood sugar 202, 10am took vitals again 136/74 pulse 80 BS 119.

Allergies: No

Symptoms: It woke me up at 5am and I was having a difficult time breathing there was air blowing everywhere but not going in my lungs I was dizzy numb and thought I was going to pass out lets felt heavy and felt like I had ankle weights on. Took vitals an ? hour later BP 156/75 Pulse 82, Blood sugar 202, 10am took vitals again 136/74 pulse 80 BS 119.

Other Meds: Eliquis, Valsartan, Glimepiride, furosemide, Ganuvia, Droxacin, Magnesium D3 Omega 3, Garlic oil capsules, Vitamin C Inhaler Spiriva and Annuity Ellitta

Current Illness: No

ID: 0983425
Sex: F
Age: 41
State: TX

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

Lab Data: CT head MRI cervical spine Lumbar puncture Labs - CBC, CMP, viral titers, etc.

Allergies:

Symptoms: 5 days after 2nd covid vaccine, I started experiencing severe pain, with pins/needles sensation. Started in plantar aspect of both feet and traveled upwards to my hands, in a matter of hours. Extreme pain in lower back and extremities caused me to go to the ER. Following lumbar puncture and a series of diagnostic tests, I have started on IVIG for Acute Inflammatory Demyelinating Polyneuropathy. This is a subtype of Guillain Barre syndrome, believed to be precipitated by autoimmune response generated from the 2nd covid vaccine. I am now on day 4 of my hospitalization.

Other Meds:

Current Illness: Acid reflux

ID: 0983426
Sex: F
Age: 30
State: KS

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

Lab Data:

Allergies:

Symptoms: Had redness and mild hives with first COVID vaccine on 12/30/2020. On 01/27/2021, she had dizziness, lightheadedness, redness to face, glassy eyes, elevated blood pressure. Was given Benadryl 50 mg IM. Cool towel to forehead. After 2 hours, had her husband pick her up. Monitored vital signs.

Other Meds:

Current Illness:

ID: 0983427
Sex: F
Age: 43
State: CA

Vax Date: 12/31/2020
Onset Date: 01/08/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: Delayed skin reaction: 6-7 cm round erythematous patch with raised borders developed surrounding injection site approx 8 days after injection. Pruritic but not painful. No blistering or purulence. Lasted 5-6 days then resolved spontaneously.

Other Meds: cetirizine 10 mg PO daily

Current Illness: none

Date Died: 01/18/2021

ID: 0983428
Sex: F
Age: 68
State: NE

Vax Date: 12/24/2020
Onset Date: 01/06/2021
Rec V Date: 01/28/2021
Hospital: Y

Lab Data: See above for further inform. 1/8/2021 WBC - 14.4, Hgb - 9.2, K+ - 2.9, BUN - 34, Creatitine -1.8, C-Reactive Protein - 12.8, Procalcitonin - 0.64, CXR - 01/07/2021 - Mild increased bibasilar atelectasis or infiltrate. No pleural effusion, no pneumothorax, stable mild cardiomegaly.

Allergies: NKA to medications

Symptoms: Pt. was admitted to hospital on 1/6/21 with fatigue, weakness. Pt. was Covid positive in November of 2020. Impression upon admission was fatigue may be due to her aortic stenosis and some hypertensive issues with blood pressure changes. She was anemic. WBC was elevated to 19.2, HBG 10.5, NA-131, K+ - 3.1, Rule out bacterial infection. Potential source could be her heart valve. Also noted to have acute renal failure with BUN of 47 and Creatinine of 2.2 noted. Pt. was transferred to Hospital on 1/8/2021 with dx of aortic stenosis, bacteremia, ARF, Dehydration and anemia. Discharged with dx. of sepsis. Pt. expired on 1/18/21 with dx. of severe sepsis, complete heart block, staphylococcus epidermidis bacteremia.

Other Meds: Bystolic - started on 12/21/20, Crestor started on 11/09/2020, Qzemoic subq weekly, Advair diskus, Fish oil, ASA, Vitamin E, Multivitamin

Current Illness: Denied any illness at time of the vaccination. November 2020 was diagnosed with Covid-19. Admitted to Hospital on 01/6/2021 with c/o weakness. Reported that her weakness was over her entire body. Reports having episodes of vomiting once or twice a week.

ID: 0983429
Sex: F
Age: 34
State: CA

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

Lab Data:

Allergies:

Symptoms: Sunday arm very sore, painful red pimple looking bumps on left arm and on neck. Mon sore throat and chills. Tue sore throat chills bone aches, Wed and today sore throat was seen on Tue by PCP and Got Covid Test.

Other Meds:

Current Illness:

ID: 0983430
Sex: F
Age: 73
State: MI

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

Lab Data: None

Allergies: Penicillin, prednisone

Symptoms: Seven days after the vaccination my arm started itching; the next morning I had a 3 inch diameter raised red warm painful weld on my arm. I went to urgent care and they prescribed cephalexin and methylpredinsolone. Within 2 days my arm was OK.

Other Meds: Lomotil, aspirin 325 mg, multivitamin, vitamin B complex, vitamin D, psyllium seed, calcium

Current Illness: None

ID: 0983431
Sex: F
Age: 39
State: OR

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Sulfa Beets

Symptoms: Low grade fever (99.9), body aches, joint aches, and chills for 3 days. I am breastfeeding my 3 month old. My baby had low grade fever (99.8) on day 3 after I received the vaccine.

Other Meds: Vitamin C Vitamin D Multivitamin Iron Colace

Current Illness: None

ID: 0983432
Sex: F
Age: 48
State: IL

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

Lab Data: unknown

Allergies: unknown

Symptoms: I received a phone call from the persons work place. They reported that she had a seizure at 2:00 PM this afternoon. Prior to the seizure they said that she was "feeling off", "jittery", and "misfiring". The RN that notified me said that they were checking on her every hour and the last check in was at 1:00 PM. She went to check on her at 2:00 PM when she found her in the hallway very pale/gray, bradycardic, and hypotensive. The nurse said she appeared to be postictal and hallucinating. They immediately called 911 -and she was transferred to the hospital and to my knowledge she is still there. RN will keep me updated.

Other Meds: unknown

Current Illness: unknown

ID: 0983433
Sex: F
Age: 65
State: GA

Vax Date: 10/20/2020
Onset Date: 10/21/2020
Rec V Date: 01/28/2021
Hospital:

Lab Data: The physician I saw the morning afterward on October 21,2020, did an EKG with normal results. The cardiologist I saw a couple of weeks later on November 12, 2020 did an EKG with normal results. My vitamin D level was measured as a normal range. NOTE: This vaccine was dose two of the Shingrix. I received dose one August 17, 2020, and on August 5, 2020, I received a tetanus vaccine.

Allergies: None to my knowledge

Symptoms: Rapid heart beat around 3 o?clock in the morning woke me with symptoms of the feeling that my heart was in my throat. My face felt flushed. I was able to monitor my heart rate and temperature but was not able to rest well for several hours. I had a doctor?s appointment at 8 o?clock the next morning and reported the symptoms to him. I saw a cardiologist several weeks later and inquired about the potential for a vaccine to cause the palpitations but receive no answers to the possibility of a vaccine response causing rapid heart rate. I occasionally will have a heart palpitation, as probably most of us do, but I have never had a sustained situation like this that lasted for several hours. Below are the notes I took and the data I collected during this time. 10/21/20 2nd shingles shot yesterday: restless night with headache; hot; up 3x to go to bathroom; sinuses raw from pressure in head and ?heart? in head; palpitations - [ ] 3:52am 137/80; 94 - [ ] 128/74; 86; irregular HB - [ ] 97 O2 - [ ] Temp-98.4 - [ ] 4:00am 128/70;87; irregular HB - [ ] 6:31 am 132/83;98

Other Meds: Medications Estradiol/Norethindrone Acetate .5mg/.1mg Supplements *Citrical Slo-Release 1200 1200 mg Calcium 25 mcg (1000 IU) Vitamin D 80 mg Magnesium 5 mg Sodium *Fish Oil Ultra Omega 3 (purified to remove mercury) 1000 mg Omega 3

Current Illness: None

ID: 0983434
Sex: F
Age: 43
State: VT

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

Lab Data:

Allergies:

Symptoms: Unable to work 1/22, fatigue, HA, Chills, Fever, symptoms resolved on day 2

Other Meds:

Current Illness:

ID: 0983435
Sex: F
Age: 56
State: OK

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

Lab Data:

Allergies: Sulfa, Dairy ?

Symptoms: About 20 hours after injection started with headache, muscle aches , some nausea, very tired, later got chills really bad shaking next day slight head ache, and muscle aches, tired

Other Meds: RX; dexilant vitamins, C,D,Hair skin and nail supplement , biotin,

Current Illness: none

ID: 0983436
Sex: F
Age: 30
State: WA

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

Lab Data:

Allergies: Bee Stings

Symptoms: Tingling tongue, monitored VS. 50 mg of Benadryl.

Other Meds:

Current Illness:

ID: 0983437
Sex: F
Age: 45
State: CA

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Modern COVID-19 Vaccine EUA Days 1-2, I had a hot hard red lump at the site of the injection. Approximately 2" by 3". It resolved completely. Then, on Day 8, I developed a hot red itchy lump at the injection site. This delayed reaction was approximately 4" by 8" and steadily worsened over the day on Day 8. It was completely resolved by Day 14.

Other Meds: vitamin D3, fish oil, and eye vitamins.

Current Illness: none

ID: 0983438
Sex: F
Age: 45
State: CA

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

Lab Data: EMG

Allergies:

Symptoms: CG states that about 11 hrs after she received her vaccine, she developed left arm pain on 12/30. On 1/1/21 she went to the UC. She was dx with Neuritis and was prescribed Gabapentin.

Other Meds:

Current Illness:

ID: 0983439
Sex: F
Age: 49
State: VA

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

Lab Data:

Allergies: penicillin

Symptoms: Severe itching headache lightheaded.

Other Meds: unknown

Current Illness: unknown

ID: 0983440
Sex: F
Age: 70
State: MI

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

Lab Data:

Allergies: Azithromycin, Clindamycin, Doxycycline, Meperidine, Penicillins, Sulfa Antibiotics, Latex

Symptoms: This am 1/28/21 resident started with diarrhea. It has been about 60 hours since injection.

Other Meds: None

Current Illness: Resident has issues with rashes and has been getting treated for past 2-3 weeks.

ID: 0983441
Sex: F
Age: 55
State: CA

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None. I went to Urgent Care facility to report ask about my symptoms on Friday, January 22, 2021. The receptionist at this urgent care asked the doctor about my symptoms and told me ?there is nothing we can do. But You can see a doctor if you like.? I did not see the doctor. I thought I would give it a little more time. I do regret not seeing a doctor to at least take my blood pressure and to document my symptoms to a doctor.

Allergies: Sulfa drugs

Symptoms: It started in the middle of the night waking me up while laying in bed. The bed felt like it was spinning. (No. I had not been drinking alcohol) Dizziness, unstable when walking-needed to stop and hold on to something to stable myself., Dizzy and wobbly feeling upon moving head side to side or walking, bending down and back up. Mostly dizzy upon movement which lasted for 5 days until Saturday, January 23 afternoon.

Other Meds: None

Current Illness: None

ID: 0983442
Sex: F
Age: 73
State: AR

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

Lab Data: 1/28/2021 Dr. for side effects

Allergies: Sulfur

Symptoms: 1/18 vaccinated; 1/27 pt started noticing hands are broken out in rash, hands started itching later that night, looked in mouth-sore on tongue/tonsils/face/upper body

Other Meds: Meloxicam 15 mg, Sudafed PE 10 mg, Flonase , Bismuthsubsalcylate 260 mg, Mirtazapine 15 mg, Multivitamins-Fish Oil, Calcium, Vitamin C

Current Illness: None

ID: 0983443
Sex: F
Age: 34
State: CT

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

Lab Data:

Allergies: Penicillin

Symptoms: Severe headache, fever 101.1, dizzy, severe body aches, chills, fatigue

Other Meds: Fluoxetine, Ativan, Lamictal, wellbutrin

Current Illness: No

ID: 0983444
Sex: F
Age: 85
State: NC

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

Lab Data: no test by pcp, just a look, sent to opthamalagist, did eye exam, saw no blisters on eye.

Allergies: none

Symptoms: Pin prick feeling in right scalp, 1/23. pink patches on forehead, painful feeling in right eye, swelling eyelid. much soreness on forehead and six inches into scalp during the next two days. small blisters developing, diagnosis - Shingles

Other Meds:

Current Illness: none

ID: 0983445
Sex: F
Age: 44
State: CA

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

Lab Data:

Allergies: Sulfa

Symptoms: L arm redness, swelling 1 week after getting injection

Other Meds:

Current Illness:

ID: 0983446
Sex: F
Age: 43
State: TX

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

Lab Data: 1/28 /21 @ 1530H :Bp 150/104, hr 103

Allergies: None

Symptoms: Dizzy, palpitations, tachycardia, high blood pressure

Other Meds: Zysal 10mg tab daily

Current Illness: None

ID: 0983447
Sex: F
Age: 37
State: CA

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

Lab Data:

Allergies: No known allergies

Symptoms: Patient received the second dose of the Pfizer-BioNTech COVID-19 Vaccine at 0710 on 1/13/21. At approximately 0740 at the end of the 30 minutes observation period, she reported right eye pressure. Benadryl 25 mg was given per clinic protocol by the clinic RN and administered. Patient stayed for another 15 minutes for observation to assess if symptoms would worsen. Of note: patient reported that on receiving the first dose of the Pfizer COVID vaccine, she experienced periorbital edema and mild tongue swelling about 20 minutes after the first dose. The symptoms were relieved following Benadryl 25 mg administration.

Other Meds: Not available in medical chart

Current Illness: Not available in medical chart

ID: 0983448
Sex: F
Age: 33
State: WA

Vax Date: 01/15/2021
Onset Date: 01/24/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: 1/24/21 Started swelling below the injection site. Started itching. 1/25/21 A little red circle appeared. It was hard, swollen and itchy. 1/26/21 red circle for bigger and was hard. It looked like a huge welt that you get from hives. And it spread to my inner arm and back of arm. Took Benadryl and iced for swelling to go down 1/27/21 swelling went down but half of upper arm still red. Still itchy. 1/28/21 little swelling/redness inner arm and back of arm. Other places weren?t swollen and redness went down as well. But still itchy.

Other Meds: Microgestin, feminine balance supplement, biotin

Current Illness: N/A

ID: 0983449
Sex: F
Age: 29
State:

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

Lab Data:

Allergies:

Symptoms: extreme arm pain that does not go away with ice pack, hot pack, etc. pain traveled up through neck by 1/28/2021

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm