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: 0983501
Sex: M
Age: 71
State: CA

Vax Date: 01/19/2021
Onset Date: 01/24/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Urticaria/hives per Dr visit on 1/26/21 Itching/rash Allergy meds and femotidine (pepcid) I'm Still on medication Treatment started on 1/26/21

Other Meds: None

Current Illness: None

ID: 0983502
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 10pm-4am fever, chills, severe body aches, joint pain from neck to toes, dizziness, face and hand swelling, insomnia

Other Meds: none

Current Illness: none

ID: 0983503
Sex: F
Age: 3
State: CA

Vax Date: 03/13/2020
Onset Date: 03/13/2020
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: mild wheezing, hives, rash and redness on face, limbs and trunk, fever 101.3, irritable. Monitored respirations and had epipen on hand, was not needed. Albuterol used to open airways. rash and redness persisted until 3/15/2020.

Other Meds:

Current Illness:

ID: 0983504
Sex: F
Age: 51
State: IL

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

Lab Data:

Allergies:

Symptoms: Vaccine administration error

Other Meds:

Current Illness:

ID: 0983505
Sex: F
Age: 27
State: MI

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 7-8 days after first dose of vaccine, my left arm, around the injection site was swollen, red, warm, and itchy.

Other Meds:

Current Illness:

ID: 0983506
Sex: F
Age: 32
State: OR

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

Lab Data: None

Allergies: Pollen

Symptoms: Headache, stiff neck 1/26/21 about 6hours after injection Mild fever 99.6 1/27/21 about 24h after injection

Other Meds: Daily multi-vitamin

Current Illness: None

ID: 0983507
Sex: F
Age: 75
State: OK

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

Lab Data: none

Allergies: aluminum

Symptoms: I have a 6 inch rash on my upper left arm at the site of injection. It is 3 inches wide and covers most of my upper arm. It is beginning to be sore like it was the first 2 days after injection. I totally forgot that 10 years ago I had a bad itching reaction to every deodorant I tried. I decided it was the aluminum. I have been using deodorant with no aluminum and have had no reaction for the last 10 years. It never occurred to me to note it on the paper work I filled out. Also when the nurse asked me if I had allergies I said no.

Other Meds: Hydrochlorot 25 mg, multi vitamin

Current Illness: none

ID: 0983508
Sex: F
Age: 49
State: IA

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

Lab Data: Was sent to ED for emergency treatment and given Albuterol aerosol treatment, Zofran for nausea, Solumedrol 125mg IV Prednisone 20mg oral, DuoNeb aerosol treatment.

Allergies: IV contrast Sani Wipes

Symptoms: Employee became dyspneic and complained of chest pain about 10 minutes after vaccination. Stated she needed aerosol treatment and was having difficulty with taking deep breath. Wheezing noted in ED.

Other Meds: Albuterol Inhalers and aerosol nebulizer treatments, Dupixent injections, Flonase, Breo Elipta, Duo Neb,Sigulair,

Current Illness: not currently ill

ID: 0983509
Sex: M
Age: 74
State: GA

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: Monitored on Dexcom G6, linked to Diabetes clinic at the Hospital , which has access to data link.

Allergies: None

Symptoms: Site of shot swelled and was painful for first 24 hours, then went away, shot was on Friday morning, on the following Sunday blood sugar, as keasured by Dexcom G6 monitor rose up in the morning, by 11:00 am went off the monitor scale which stopped at 400. I had taken my normal Lantus 55 units at 10:00am, normally would take 14 units Novalog at then same time, I took 36 units, then waited to 3pm to see if numbers went down, they leveled at 200-225, then took 10 units Novalog, waited until 6 pm, leveled to 180, took additional 10 units, ate a light meal, at 7:30 pm, BG at 140, held off more insulin, Until 10:30, BG at 125 which is my norm usually. By Monday morning all BG back to my normal, with no further complications. Started Ozempic med, 2.5 mg at 11:00 first time, no complications or discomfort. No further suer high BGs after that. 2nd Medena shor scheduled for February 12, 2021

Other Meds: Carvedilol, Amlodipine Besylate,, Lantus,mNovalog, Aspirin, Atoqvastatin

Current Illness: None

ID: 0983510
Sex: F
Age: 77
State:

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

Lab Data:

Allergies: NKA

Symptoms: c/0 anxious and light headedness

Other Meds:

Current Illness:

ID: 0983511
Sex: F
Age: 31
State: OR

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

Lab Data: NA

Allergies: Red Snapper/Rockfish-allergy

Symptoms: 01/26/21-11:00pm : Sore arm at injection site 01/27/21-5:30am : Full body muscle aches most prominent in the legs, joint pain, mild nausea, chills Symptoms occurred for one full day (01/27/21) following the injection and disappeared the next morning (01/28/21) No pain medication or other treatment was taken during this time.

Other Meds: NA

Current Illness: NA

ID: 0983512
Sex: M
Age: 46
State: WA

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

Lab Data:

Allergies:

Symptoms: NAUSEA

Other Meds:

Current Illness:

ID: 0983513
Sex: M
Age: 37
State: OR

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

Lab Data: None

Allergies: Adverse (non-allergic) reaction to Minocycline

Symptoms: Fever (peak 103, duration 18 hours), chills, sweats, joint soreness, muscle soreness, headache, fatigue, soreness at injection site, chest pain near left armpit (swollen lymph node?).

Other Meds: None

Current Illness: None

ID: 0983514
Sex: M
Age: 48
State: AR

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

Lab Data:

Allergies: None

Symptoms: Metallic taste in my mouth for about an hour.

Other Meds: Zyrtec, magnesium, B12, multi vitamin, vitamin D

Current Illness: None

ID: 0983515
Sex: M
Age: 33
State: IA

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: none; intolerance to soy

Symptoms: Migraine for 10 days. Never had a migraine before.

Other Meds: tylenol

Current Illness: none

ID: 0983516
Sex: F
Age: 47
State: TX

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

Lab Data:

Allergies: Propofol

Symptoms: Fever. Chills. Headache. Joint and body ache for 1 and 1/2 days

Other Meds: Levothyroxine 0.88 mg

Current Illness: NA

ID: 0983517
Sex: F
Age: 29
State: UT

Vax Date: 01/11/2021
Onset Date: 01/15/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: Went to the ER on 1/15 in the early morning, no tests were conducted

Allergies: penicillin

Symptoms: 3.5 days after vaccine I woke up in the middle of the night with shooting electric pains all down my left arm and a completely numb left arm, extreme pins and needles throughout body and electric feeling, skin crawling and involuntary movements throughout body, symptoms subsided after about an hour, after 24 hours got deep pain in shoulder and down entire arm, then the arm gave out and I put it in a sling, arm has regained full functionality but the top part of my arm around the injection site is still weak, twitchy, and feels strange and uncomfortable

Other Meds: ibuprofen, dextroamphetamine 15mg er

Current Illness: none

ID: 0983518
Sex: F
Age: 72
State: FL

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

Lab Data: None

Allergies: Sulfa

Symptoms: On day 5 got slight swelling and pain in the left axilla now it?s day 9 and pretty much gone.

Other Meds: Synthroid and vitamin D3;

Current Illness: None

ID: 0983519
Sex: F
Age: 83
State: CA

Vax Date: 01/15/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: codeine years ago

Symptoms: On Jan 25th, 2021 experienced delayed reaction- 10 days after immunization. Dark red rash greater than 4" on upper right arm, white hard raised bump at injection site, itching and painful to the touch. Applied topical anti-itch medication; called physician but did not present in office. No fever or other symptoms. Was exposed to someone who tested positive during this time frame. As of todays date, 1/28/21 the rash remains the same size yet the redness is dissipating and remains itchy.

Other Meds: Thyroid ,high blood pressure and glaucoma drops

Current Illness: none

ID: 0983520
Sex: F
Age: 34
State: OH

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

Lab Data: Er visit 1/27/2021

Allergies: Iodine, codeine, latex, Shellfish

Symptoms: Pt became itchy within 1 hr of vaccine started taking Benadryl, Tylenol, develops fever chills body aches that night. Continued home medications. Woke up day 2 with severe rash on trunk swelling in left side of neck clavicle area swollen glands in arm pit and neck. Still taking Benadryl and Tylenol increased heart rate rash mining to neck. Went to er. Hr 140's bp 158/96 spo2 96. Medicated with more Benadryl IV steroids and Pepcid. Monitored sent home with all medications listed plus Epi pen. Benadryl increased to q4 50 mg after soft tissue next swelling and top lip tingling. Pt continues to be on medications listed with minimal relief of symptoms.

Other Meds: N/a

Current Illness: N/a

ID: 0983521
Sex: M
Age: 62
State: TX

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

Lab Data:

Allergies:

Symptoms: shortness of breath rash on both legs from ankles to hip

Other Meds:

Current Illness:

ID: 0983522
Sex: F
Age: 47
State: OH

Vax Date: 01/25/2020
Onset Date: 01/26/2020
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: nka

Symptoms: Extreme fatigue, chills/shivers, and feeling of being hot (almost like hot flashes) that lasted a day and half. Side effects from the first dose given on December 28, 2020 were definitely worse, massive headache that felt like migrane that lasted 5 days, fever, chills, fatigue and loss of appetite.

Other Meds: Metoprolol 50mg po daily

Current Illness: none

ID: 0983523
Sex: F
Age: 71
State: IN

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

Lab Data: None

Allergies: None

Symptoms: 1/22/2021 Pale red rash inner aspect both arms. No itchy. Disappeared sat 1/23/2021 am. L arm very sore . Treated w/ Tylenol & Ibuprofen every 12 hrs. Lasted thru Sun 1/24/2021. Had diarrhea1/24/2021 sun lasted all day. Was gone by mom 1/25/2021. Took otc antidiarrheal. No other symptoms after 1/25/2021.

Other Meds: None

Current Illness: None

ID: 0983524
Sex: F
Age: 45
State: KY

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

Lab Data: At ER: EKG - normal Blood tests - okay

Allergies: no

Symptoms: I was sitting for observation and I felt chest ache/pressure. Nurse asked if I was okay and I didn't know. She took my Blood Pressure - 165/115 (not normal for me). She took it again ten minutes later - 150 something over 110. Put me in a wheelchair and took me to wheel chair to ER. I was in ER for 3 or 4 hours. EKG normal. My blood tests were normal. Blood pressure stayed a little bit elevated but it eventually came down - 145/92 (still high for me) but they discharged me when it was still at that. It didn't feel like a panic attack or that I felt nervous before the vaccine at all but they asked me if that was what I thought I was happening. Started running a low grade fever before I left the hospital - 99. something - I took two Tylenol and missed my shift that night. I broke out in chills. I laid down and was tired. I tried to sleep it off for a day. The next day, I still felt a little tired but other symptoms were resolved although I do still have slightly high blood pressure since the shot and it wasn't high before the shot (that I was aware of). (My blood pressures were all normal - with my medication before that even for my surgery in September 2020.)

Other Meds: Feirlactone; Pantopozole; Welbutrin; Vit D; Clonidine

Current Illness: no

ID: 0983525
Sex: F
Age: 43
State: IL

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

Lab Data: N/A

Allergies: Latex

Symptoms: Approximately one hour after first dose I began to feel chills, very tired, and a severe headache. I laid down to rest after taking two 500mg Tylenol pills. I slept on and off for over 24 hours and felt very unwell. The recurring headaches, all over muscle pain, fatigue and weakness was constant over this time.

Other Meds: Allegra

Current Illness: Positive covid result on 1/15/2021

ID: 0983526
Sex: F
Age: 27
State: WA

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

Lab Data:

Allergies:

Symptoms: HEADACHE, INJECTION SITE PAIN, EXTREME FATIGUE, BODY/MUSCLE ACHES, SWEATING/FEVERISH, CHILLS, GENERAL MALAISE

Other Meds:

Current Illness:

ID: 0983527
Sex: F
Age: 36
State: MO

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: Latex

Symptoms: Marked swelling at site of injection with bright red rash extending about 7 inches in diameter from injection site. Area was very itchy and tender. Induration was present at site.

Other Meds: Wellbutrin, Vienva, Flonase

Current Illness: None

ID: 0983528
Sex: F
Age: 27
State: CA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: No, only took Benadryl

Allergies: no

Symptoms: Day after headache, arm sore, and felt bad for about 5 hours. One week later the same arm was red, hot and swollen the whole upper arm and it was hard. Underneath lymph node swelling and tenderness.

Other Meds: Oral birth control, OTC Tylenol

Current Illness: no

ID: 0983529
Sex: F
Age: 32
State: PA

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: Went to pcp. They did a neurological exam. I was able to use all my functions. Dr referred me to neurologist. I did a virtual visit and the dr did some test virtually. I did pass strength test. Did not seem to warrant a mri or spinal image. Advised to ride it out.. if symptoms become worse then I should follow up

Allergies: None

Symptoms: I had a sore arm and woke up Sweaty. On Sunday around 4 pm my right calve had a cold sensation, this then progressed to both calves and up to thighs and lower back. It feels as if I put icy hot on them. It has not improved since Sunday.

Other Meds: Prenatal vitamins

Current Illness: None

ID: 0983530
Sex: F
Age: 56
State: NY

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

Lab Data: None

Allergies: NKA

Symptoms: Fever, body aches, headache

Other Meds: Prilosec

Current Illness: N/A

ID: 0983531
Sex: F
Age: 37
State: ID

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

Lab Data:

Allergies: Codeine, morphine, mushrooms, cinnamon

Symptoms: High fever, highest was 102.5, lowest is 101.5. Body aches and bad headache, chills, nausea, pain every where.

Other Meds: None

Current Illness: None

ID: 0983532
Sex: F
Age: 71
State: IL

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

Lab Data: 1/28/2021 ED

Allergies: Aspirin, Morphine, Epidural

Symptoms: arm heaviness, migraine-severe head pain, confusion, dizzy, blood pressure high, site loss Tylenol as needed, migraine medication, pt had to go to ER 1/28/2021

Other Meds: Hucldr-Generic for Cymbalta 60 mg, Multivitamins

Current Illness: None

ID: 0983533
Sex: F
Age: 32
State: WI

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

Lab Data:

Allergies: None. Seasonal allergies only.

Symptoms: When I woke up on 1/26/21 my arm was very sore and the injection site was red, painful to touch, hot to the touch, and there was a firm lump about an inch and a half in diameter beneath the site. I also did not feel well- with a headache, fatigue, and was very overheated/sweaty. When I woke up on 1/27/21 I felt much better, but the symptoms around the injection site remained the same. Today, 1/28/21, the redness has increased in size, the lump has increased in size, however it is not as firm to the touch. I was prescribed antibiotics by my PCP.

Other Meds: Cetirizine

Current Illness: None.

ID: 0983534
Sex: F
Age: 31
State: CO

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

Lab Data: COVid antibody test 1/26/21

Allergies: Cipro

Symptoms: After getting home from reviving vaccine, I noticed my face was red and flushed. It went away within an hour.

Other Meds: Vitamin C, Vitamin D, Prenatal Vitamins.

Current Illness:

ID: 0983536
Sex: F
Age: 60
State: AK

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

Lab Data:

Allergies:

Symptoms: Received the vaccine on 01/16/2021. on 01/23/2021 hives and bumps on arm where the short was given on 01/24/2021. The hives and bumps went away on the 01/25/2021. After that the site was red, swollen and hot. As of 28th everything has resolved.

Other Meds:

Current Illness:

ID: 0983537
Sex: F
Age: 69
State: AL

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

Lab Data:

Allergies:

Symptoms: 0448 CHEST PAIN AND SHORTNESS OF BREATH; 0450 02SAT 100% WITH NO WORSENING IN CONDITION OBSERVED AN ADDITIONAL 15 MIN. 0512 PT BETTER WANTS TO BE RELEASED. INSTRUCTED IF CHEST PAIN RETURNS TO GO TO er. 170/79; 63 HR; 100% 02SAT

Other Meds:

Current Illness:

ID: 0983538
Sex: M
Age: 31
State: TN

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

Lab Data: COVID TEST XRAY CT SCAN

Allergies: Sulfa Antibiotics

Symptoms: Congestion and sinus drainage .. lost taste and smell on 12/30/2020 Tested positive for COVID on 01/03/2021 I started having difficult breathing after testing positive for COVID which triggered asthma attacks

Other Meds: testosterone Weekly

Current Illness: None

ID: 0983539
Sex: F
Age: 30
State: MN

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

Lab Data: None

Allergies: None known

Symptoms: Hives on face, slightly short of breath, anxious. Had taken 50 mg Benadryl OTC before going to Urgent Care, reported feeling better once there. Denied wheezing or any other symptoms. Prescribed 20 mg Prednisone, two per day for 3 days to take if needed but no indication of needed

Other Meds: Albuterol inhaler prn OTC Benadryl

Current Illness:

ID: 0983540
Sex: M
Age: 67
State: GA

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

Lab Data: None

Allergies:

Symptoms: Fever of 100 lasting for 24 hrs. Severe pain at injection site with sore arm for 3 days. Persistent headache.

Other Meds:

Current Illness:

ID: 0983541
Sex: F
Age: 48
State: NH

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

Lab Data:

Allergies: shellfish, latex

Symptoms: Pt developed redness and swelling to neck, along with lightheadedness several minutes after injection. BP, pulse, oxygen saturation and breath sounds were all within normal limits. She denied any dyspnea or difficulty swallowing. EMS was called promptly and pt was given Benadryl 50mg x1 while EMS was en route. Her symptoms remained stable and she was taken to the hospital by Rescue.

Other Meds: Tramadol, metoprolol, methocarbamol, diflusinol, esomeprazole, ropinirole, tizanidine, Spiriva, Symbicort, Xopenex.

Current Illness: none

ID: 0983542
Sex: M
Age: 34
State: WA

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

Lab Data:

Allergies:

Symptoms: CHILLS, FATIGUE

Other Meds:

Current Illness:

ID: 0983543
Sex: F
Age: 0
State: KY

Vax Date: 05/21/1985
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: No

Allergies: None

Symptoms: Day after I received the shot. Late last night, my arm hurt but I was expecting that. This morning I was in pain, and my eyes hurt and I had a headache. I had my regular medication plus Tylenol and breakfast (toast and orange juice) this morning. By 10 am, I was extremely dizzy, and did not feel safe to walk. I?m too weak to fill out this form myself

Other Meds: Wellbutrin 150 mg and vyvanse 30 mg. Daily in the morning. I?ve taken Tylenol and Advil from midnight 1/28/21.

Current Illness: None

ID: 0983544
Sex: M
Age: 68
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Severe are soreness that interferes with sleep 2 consecutive night. Intermittent chills, throughout night and periodically the next day. A headache in the morning that lasted until late afternoon. Some intestinal distress that felt like diarrhea but did not result in diarrhea. Loss of appetite. The second day, in mid-afternoon, nausea. Overall a general sense of Malais? that interfered with normal activities.

Other Meds: None

Current Illness: None

ID: 0983545
Sex: F
Age: 72
State: CA

Vax Date: 01/16/2021
Onset Date: 01/24/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: No

Allergies: Sulfa,penicillin, Cipro, codeine

Symptoms: Rash from both shoulders down to elbow and into underarm . Very red, bumpy with blisters filled with fluid, itching unbearably. Angry and hot to touch

Other Meds: Levothyroxin, ecitalopram, niacin, vit c, airborne, vit d, calcium magnesium, homeopathic to help stomach acid, Pepcid AC

Current Illness: Chest and nasal allergies

ID: 0983546
Sex: F
Age: 68
State: TX

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

Lab Data: UNKNOWN AT THIS TIME, WENT TO ER

Allergies: PCN AND SULFA

Symptoms: PT. BEGAN FEELING LIGHT HEADED 15 MIN AFTER RECEIVING THE VACCINE HAD PT LAY DOWN WITH FEET ELEVATED BP 190/89, PT DENIES HTN, RETURNED TO LAY ON LT SIDE ALTERNATING AS PT. REQUESTED TO BACK AND THEN AGAIN TO LT. SIDE. CALLED AMBULANCE AT 4:15 AFTER BP 200/198. AMBULANCE ARRIVED 4:20 AND BP THEN 200/100. PT TRANSFERRED FROM BED TO EMS GURNEY WITH ASSISTANCE AFTER STANDING, PT. C/O FEELING WEAK AND TREMBLING. PT'S HUSBAND REPORTS THAT HTN MEDS HAVEN'T BEEN TAKEN IN ABOUT 8 MONTHS AFTER PT. CHECKING BP AT HOME HAS BEEN GOOD. HUSBAND REPORTS PT HAD POSSIBLY GOTTEN UPSET AFTER BEING CONVINCED TO TAKE THE COVID VACCINE. HUSBAND THINKS SHE

Other Meds: OTC VITAMINS PER PT.

Current Illness: NONE PER PT.

ID: 0983547
Sex: F
Age: 33
State: OR

Vax Date: 12/26/2020
Onset Date: 01/02/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Kiwi penicillin

Symptoms: So about 6-7 days after my whole arm got swollen but injection site was raised a good inch from my skin and there was a rash around it. This lasted for about 4-5 days before it went away/ It was hot to touch, itchy and painful. I called my Doctor and she had no idea what to do and told me to call the vaccine person who did the vaccine. And he informed me the injection may have been given wrong. I called Moderna and they basically gave me stats on the vaccine and I fell in the 1% and I was ok to get the second dose.

Other Meds: Melatonin Wellbutrin

Current Illness:

ID: 0983548
Sex: F
Age: 35
State: CA

Vax Date: 01/07/2021
Onset Date: 01/17/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rash appeared at Covid-19 injection site left upper arm, 10 days after vaccine was given. Rash has expanded since first noticed.

Other Meds:

Current Illness:

ID: 0983549
Sex: F
Age: 39
State: CA

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

Lab Data:

Allergies: (hay fever, cats)

Symptoms: started with a delayed hypersensitivity reaction - rash on the left arm, warm and itchy, also mid back pain and aches

Other Meds: zyrtec, aleve

Current Illness: n/a

ID: 0983550
Sex: F
Age: 32
State: PA

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None at this date

Allergies: none

Symptoms: Pt had injection site tenderness for ~24 hours and night sweats the first night. ~48 hours after injection, she developed a "cold" feeling in her calves that over several days had spread to anterior thighs, plus subjective weakness. When I saw her in clinic on 1/27 (day 3 of symptoms), she had no other symptoms. On exam, she had full 5/5 strength and 2+ DTRs (Babinski could not be elicited). She was referred to Neurology who saw her via telemed on 1/28 and agreed on observation unless and until she develops objective weakness.

Other Meds: prenatal multivitamin

Current Illness: none

ID: 0983551
Sex: F
Age: 43
State: CO

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

Lab Data: None

Allergies: None

Symptoms: Muscle and joint aches

Other Meds: Cymbalta, acyclovir, niacin, biotin, melatonin, cinnamon, apple cider vinegar

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm