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: 0983552
Sex: M
Age: 60
State: TX

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

Lab Data:

Allergies: No

Symptoms: Terrible/Chronic Diarrhea, nauseous, vomiting, massive stomach pains.

Other Meds: Vyvanse Citalipram Doxycyclene Trazadone

Current Illness: None

ID: 0983553
Sex: F
Age: 31
State: MN

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

Lab Data:

Allergies: Ketamine (N/V) and cat dander (itching)

Symptoms: After vaccination, patient complaining of chest pain / pressure, and sense of impending doom.Medication administered per EMS EPI given x2 at 0956 and 1015 ASA 325 chewable given at 1004 for c/o crushing chest pain. Emergency response provider arrived present. Pt started with c/o epigastric and then crushing CP. Pt appeared to be unresponsive at 1020 but the several minutes later she is arousable and anxious, breathing labored and she is stating she is "going to die". Transported to ED where delirium was noted and due to elevated ammonia level current presumptive diagnosis is hepatic encephalopathy.

Other Meds: ferrous sulfate 325 mg (65 mg iron) tablet levothyroxine (SYNTHROID, LEVOTHROID) 200 mcg tablet levothyroxine (SYNTHROID, LEVOTHROID) 75 mcg tablet metFORMIN XR (GLUCOPHAGE-XR) 500 mg 24 hr tablet omeprazole (PriLOSEC) 20 mg DR capsule onda

Current Illness: Liver failure on transplant list.

ID: 0983554
Sex: F
Age: 56
State: UT

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

Lab Data: None that I am aware of

Allergies: NKA

Symptoms: Warm feeling in back of throat that started about 10 minutes after the shot, then immediate dizziness and I went out for help from a physician in hallway. Next thing I remember I was on an exam table and I had not strength in my limbs and core. I had a rash on neck and chest. They monitored my vitals and decided I needed to go to urgent care or ER. Since the urgent care was on the way to the ER they took me there. They moved me from wheel chair to ecam table. Gave me epi and Benadryl injections, prednisone by mouth and started an IV. They monitored my vitals and said if I worsened are didn't respond then they would send me to ER. They gave me some Pepcid and eventually over the 3 hours I was able to stand on my own and they decided to discharge me around 14:00, making sure that I had someone who could stay with me at home.

Other Meds: Mira lax, Albuterol, Singular, Fish oil, Vitamin C, probiotic, Hormones, Multi Vitamin

Current Illness: None

ID: 0983555
Sex: F
Age: 35
State: CA

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

Lab Data: Oral temp 100.5 Axillary temp 100.4 Heart rate 110

Allergies: NKDA

Symptoms: Fever 100.5, chills, body aches, joint pain, severe headaches, nausea, tachycardia (110s)

Other Meds: Losartan 100 mg PO daily

Current Illness: None

ID: 0983556
Sex: F
Age: 33
State: IN

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

Lab Data: None

Allergies:

Symptoms: Pain in shoulder (injection site) started the evening of the shot. Overall fatigue began. Next morning and thought the day: fatigue, muscle ache, very bad headache, joint pain, chills, some loss of appetite, and fever of 100.9 after having taken 2 tylenol that same morning.

Other Meds: Adderall Folic acid Prenatal vitamin Trazodone

Current Illness:

ID: 0983557
Sex: F
Age: 53
State: NY

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

Lab Data:

Allergies: Vancomycin Reglan Eggplant

Symptoms: about 10 hours after I received the first dose of COVID19 Moderna, I started having severe (10 out of 10) pain in my hips. I took 800mg ibuprofen but it still didn't help. I used lidocaine patches and Voltaren gel as well and it took a whole day for me to start feeling better again. I took my second dose yesterday and today the same thing happened again.

Other Meds: Humira 40 mg SC every two weeks

Current Illness: NONE

ID: 0983558
Sex: F
Age: 56
State: MI

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

Lab Data: None

Allergies: compazine, phenergan

Symptoms: Experienced warm feeling, nausea and itching of lips within 10 minutes of administration. After approximately 40 minutes noted itching in throat. Returned to vaccination area approximately 60 minutes after injection for guidance and instructed to ED. Noticed lip swelling and facial swelling later in ED, had mask on entire duration, did not note when first occurred. Lip itching, throat itching relieved with Benadryl, prednisone and pepcid all given po, released to home after 4 hours observation. Throat itching persists on day 2, some relief with benadryl Q 4 hours.

Other Meds: None

Current Illness: none

ID: 0983559
Sex: F
Age: 53
State: MI

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

Lab Data:

Allergies: Bactrim

Symptoms: Dime size, itchy bump at injection site.

Other Meds: Over the counter vitamin and lisinopril

Current Illness: None

ID: 0983560
Sex: F
Age: 63
State: TX

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

Lab Data: n/a

Allergies: n/a

Symptoms: shot might not have been given correctly

Other Meds: synthroid, liothyonine, multi viytamin, vitamin d,c, pristiq

Current Illness: n/a

ID: 0983561
Sex: F
Age: 67
State: NJ

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

Lab Data:

Allergies: Sulpha , vesicare

Symptoms: Swelling hardness redness itchy

Other Meds: Diovan,omeprazole,amlodipin besylate, glipizide, Atorvastaten, 81 mg aspirin, magnesium citrate, B complex, multivitamin, calcium w/vitamin D Melatonin, Tylenol

Current Illness:

ID: 0983562
Sex: F
Age: 45
State: MN

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

Lab Data: Urine test -01/28/2021 Normal: CBC with platelets Differential - 01/28/2021 normal: Comprehensive Metabolic panel - 01/28/2021, Normal: Lactic acid whole blood details - 01/28-2021, normal: CRP inflammation 01/28/2021 normal: Erythrocyte sedimentaition rate auto, 01/28/2021 Normal: HCG Qualitative -01/28/2021, Normal

Allergies: penicillin, Ibuprofen, Advil,

Symptoms: After getting the 2nd shot, I started to feel nausea while I was doing the post shot 15 minute wait. Later that day, I began to have pain all over my body, a headache, a low grade fever around 101.5, and chills. I am still experiencing all of these reactions , except for the fever even today , 01/28/2021.

Other Meds: Lantus insulin, Jardiance, Atorvastatin Calcium,

Current Illness: none

ID: 0983563
Sex: F
Age: 47
State: UT

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

Lab Data:

Allergies: None

Symptoms: Extreme soreness in injection site starting at 8:30 P.m the night of injection. Muscle aches and pains, low grade fever, chills, fatigue starting around 8:30 A.M on 1/28/2021. Has not resolved as of yet (4:05 P.M) 1/28/2021

Other Meds: Progesterone, Lexapro, SA Rebuilder, Super C Vitamin and SA Vitamin. Herbal drops.

Current Illness: COVID-19 tested positive 01//2/2021

ID: 0983564
Sex: M
Age: 24
State: CA

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

Lab Data: N/A

Allergies: severe peanut and tree nut allergy

Symptoms: Chills starting at about 11:00 the night of receiving the vaccine, followed by intense fever and nausea. These lasted throughout the night until about 7:00 the next morning. Had an on and off fever throughout the course of the next day and extreme fatigue. By the second day after the vaccination, only fatigue and headaches persisted until about 6:00 in the evening. Then all symptoms ceased.

Other Meds: One A Day for Men multivitamins

Current Illness: N/A

ID: 0983565
Sex: F
Age: 66
State: MD

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

Lab Data:

Allergies:

Symptoms: After drawing up the vaccine, I pushed the plunger down when I was administering and when I did the vaccine came out of the top of the syringe below the needle. This was as if the needle was not on the syringe tightly. This actually happened twice with two different needle and syringes. Then when I changed the type of needle and syringe for the 3rd time the patient received the correct dose. I told the patient the dose did not get into her muscle and if it did it was a very very small amount. So I made sure to give the full 0.5 ml dose the third attempt.

Other Meds:

Current Illness:

ID: 0983566
Sex: F
Age: 64
State: NY

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

Lab Data: none

Allergies: NKDA, no food allergies

Symptoms: erythema to injection site 2 days post vaccine. warm compresses. rx for Keflex for cellulitis

Other Meds: Tylenol/Advil for the fever

Current Illness: denies

ID: 0983567
Sex: F
Age: 64
State: OH

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

Lab Data:

Allergies: none

Symptoms: Pain at injection site and entire upper arm, moderate back pain, throbbing finger joint pain and fatigue. Mild headache. Ibuprofen 600 mg, heating pad on back, ice pack on arm. Moderate discomfort and pain throughout the day until sleep. Awoke at 3 am and the pain was milder. Slight arm pain in the AM. All discomfort and pain gone by noon on 1/22/21, the second day post vaccination.

Other Meds: duloxitine, prempro

Current Illness: none

ID: 0983568
Sex: F
Age: 70
State: VA

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

Lab Data: None

Allergies: Codeine

Symptoms: Slight swelling of left side of face ... disappeared within 48 hours

Other Meds: Doxycycline 40 mg for rosacea Fish Oil 600 EC, Turmeric 400 mg, Multi Vitamin, Folic Acid 400 mcg, Calcium 1200 mg, D3 1000iu, Biotin 10,000 mcg.

Current Illness: None

ID: 0983569
Sex: F
Age: 58
State: MI

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

Lab Data:

Allergies: denies

Symptoms: After getting vaccine, pt. had tingling in her lips and a metallic taste in her mouth. This resolved after Benadryl.

Other Meds:

Current Illness:

ID: 0983570
Sex: F
Age: 51
State:

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

Lab Data:

Allergies: NKA

Symptoms: Received 2nd dose Moderna at 1615 Headache onset 5 out of 10 at 1622, bp 143/85, hr 73 took Tylenol Headache down to 2/10, bp 152/97, hr 70, medical director updated Reported no other symptoms and reported desire and able to leave for home at 1640

Other Meds: Prilosec

Current Illness: none

ID: 0983571
Sex: F
Age: 31
State:

Vax Date: 01/22/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: ibupofen, shrimp, nickel, silver, gold, cobalt, dust mites, mold, pollen

Symptoms: 5 weeks pregnant swollen lymph node, golf-ball sized on collar bone, same side as injection. Warm to the touch and moveable, agitated by pressure and palpation.

Other Meds: prenatal vitamin, zyrtec, calicium w/ vit d

Current Illness:

ID: 0983572
Sex: F
Age: 43
State: NC

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

Lab Data:

Allergies: none

Symptoms: About 16 hours later I had exhaustion, temp of 101, myalgias, headache and right arm pain. Lasted about 24 hours and now is back to normal

Other Meds: Lexapro, OTC multivitamin, vyvanse

Current Illness: none

ID: 0983573
Sex: F
Age: 45
State: WA

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

Lab Data:

Allergies: None

Symptoms: Felt suddenly hot, sweaty, dizzy. H20 given, resolved on own stayed 30 min

Other Meds:

Current Illness:

ID: 0983574
Sex: F
Age: 64
State: MI

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

Lab Data: None. Patient monitored

Allergies: Latex, natural rubber, bee pollen, morphine

Symptoms: Patient received Covid 19 vaccine at 4:00 PM. She has a history anaphylactic reaction from a bee sting. She was advised to wait in observation area for 30 minutes after receiving vaccine. After 20 minutes she complained of being light headed and dizzy. She was given apple juice to drink. Declined crackers. States she ate lunch about 2 hours ago. 4:39 PM VS taken by personnel. BP 126/73, HR 58, pulse ox 100%, Blood sugar 101. 16:45 PM BP seated 110/65, HR 62, 16:46 BP standing 113/60 HR 58. 16:50 PM. Patient states she is feeling better and is fine to drive a short distance home. Advised to return if she has any dizziness while leaving the building. Lead RN, was consulted regarding this patient.

Other Meds: Eliquis, Synthroid, lisinopril, metoprolol, Prilosec, potassium, Tambocor, Biotin, VitD3, EpiPen, MagOxide, Fish oil.

Current Illness:

ID: 0983575
Sex: F
Age: 42
State: IN

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

Lab Data: I was seen by a Doctor at Urgent Care on 01/28/21 around 3:40 pm

Allergies: None

Symptoms: About 3-4 hours after receiving the vaccine my arm was red, hard , swollen , hot and painful at injection site. The area was about the size of a quarter. I took some ibuprofen to ease the pain and swelling as well as applied ice to the area. The next morning 01/28/21 I woke up with the area being more swollen, larger in size as well as all the symptoms stated above but more pain. I have chills , body aches as well as a headache. I iced the area and have been doing Tylenol and ibuprofen to help ease symptoms. I circled the area in case of any changes. By around 2pm I call my doctors office as the pain was more and the area had swelled up to baseball size. Again I have all the same symptoms continuing but more intensified. I was advised to go to urgent care. I went to urgent care and the doctor stated she felt it was cellulitis. She started me on antibiotics and gave me instructions on what to do if it got any worse. By the time I got home from Urgent care and getting my meds my arm had swelled up more. I have started the antibiotics at 7:50pm (01/28/21)

Other Meds: Lexapril, propranolol, hydrochlorithizide ,

Current Illness: None

ID: 0983576
Sex: M
Age: 77
State: MD

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

Lab Data:

Allergies: NKDA

Symptoms: Began having trouble breathing after receiving the vaccination.

Other Meds: Metoprolol Placid Aspirin Itrovastin Advair Albuterol Lipitor Vitamin D Isosorbide

Current Illness:

ID: 0983577
Sex: F
Age: 56
State: MN

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

Lab Data: 11:00 am 1/14/20: rash on chest, arms and face red and warm has remained. Temperature between 99 - 100.4 since morning 1/12. Was trying to type - arms weak, shaky, was not able to type. Felt wobbly again and unsteady on my feet. Felt tight around my chest. Temp was back up over 100. Went to urgent care. xrays of lungs taken - clear. Wondered about blood clot. Diagnosed with fluid in ears, probable sinus infection, vaccine reaction and cellulitus left upper arm. She marked the area with marker and said if it got worse I needed to come back in. I did not want to take an antibiotic to add to the rash and everything else. Ordered to stay on couch for 2-3 days. Slowly getting better.

Allergies: Shell fish, all pollen, cats, dogs, ceftin, augmentin, the sun

Symptoms: During night after receiving vaccine woke up due to pain in left arm. Left upper arm red, very warm very painful about a level "7-8" Wobbly - felt difficult to walk, 100.4 fever just felt very out of it shaky and wobbly. Noted red rash on chest and arms, face red and warm. 3:30 am 1/12/20

Other Meds: Levothyroid, Estridiol, Zyrtec, fish oil, Vitamin D3, Steroid inhaler daily, probiotic, magnesium

Current Illness: Covid -19

ID: 0983578
Sex: F
Age: 73
State: TX

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

Lab Data: -

Allergies: Cats, mold, mederma, oxycodone

Symptoms: Strong pain in left arm. Flare-up of all the issues on left side of body, which had been at bay until vaccine: bursitis, pain left hip, sciatica, plantar fasciitis, leg pain

Other Meds: Prolia, Levothyroxin, Rosuvastatin, Dexa steroid shot, Calcium, Vitamin D3, probiotics, fish oli

Current Illness: -

ID: 0983579
Sex: M
Age: 56
State: NM

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

Lab Data: None

Allergies: Azetazolamide sodium, shellfish

Symptoms: Patient received Covid19 vaccine at 3:20pm to the left upper arm, and seated in front of myself (CNP) for monitoring. At 3:40Ppm, he stated that his throat felt tight, and he placed his hands to his neck. He had his epinephrine pen in his pocket. I injected 3mg IM to left upper thigh, and 50mg diphenhydramine IM to right upper arm. 911 was already activated by another staff member. Vital signs were monitored during entire event, and were stable. EMS arrived at 3:45pm, and transported patient to ER. Patient reported that he felt much better when he was taken by EMS.

Other Meds: cetirizine 10mg qd PO, epinephrine 0.3mg IM PRN, brimonidine 0.2% opth tid, dorzolamide 2% opth tid, losartan 25mg PO qd, ventolin HFA 90mcg/actuation inhalation q4-6 hours PRN

Current Illness: None

ID: 0983580
Sex: M
Age: 35
State: IN

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

Lab Data:

Allergies:

Symptoms: At night all of a sudden I got chills, shaking from the chills, 103 temp, body aches, and a headache the next day.

Other Meds:

Current Illness:

ID: 0983581
Sex: F
Age: 67
State: MI

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

Lab Data:

Allergies:

Symptoms: After injection she felt tingly and burning in her lips. Requested benedryl no rash swelling or other complaints.

Other Meds:

Current Illness:

ID: 0983582
Sex: F
Age: 82
State: VA

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

Lab Data: Sent 911

Allergies: none

Symptoms: Patient observed for 15 minutes, then went to her car with her daughter, then started having slurred speech, right eye twitching and right hand clenching.

Other Meds: apresoline, catapres, inuslin, Lopressor, cozaar, pradaxa

Current Illness: Stroke, HTN, A Fib, COPD, DM2, COPD

ID: 0983583
Sex: F
Age: 52
State: MT

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

Lab Data: X-ray on 1/27/21. Normal. BP elevated at 153/98 (?) Pulse over 100 (it was in the 120's the day before).

Allergies: None

Symptoms: Fever started at 12 hrs after injection and peaked to 104 24 hrs after injection. Used ice packs and ibuprofen to get it down. As of today I am still feverish with temp around 100. Chills, fatigue', headache, nausea. Drank a lot of fluid and rest. Tachycardia. Pulse was in the 120s all day.

Other Meds: Too many to list

Current Illness: None

ID: 0983584
Sex: F
Age: 57
State: NE

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

Lab Data: no

Allergies: Codeine, Sulfur, Penicillin, Latex

Symptoms: Chills, headaches, body aches, lethargic, and weakness

Other Meds: Tylenol

Current Illness: no

ID: 0983585
Sex: M
Age: 77
State: CA

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

Lab Data: EKG; troponin levels see above in 18 for description of results

Allergies: Bactrim, cephalexin, erythromycin, promethazine

Symptoms: He was sent to the ER later that day when he complained of headache and palpitations and his blood pressures and heart rate were unusually high. He had at no time any chest pain. At the ER, he had two serial troponins at 0.06, representing a mild enzyme leak. He had no EKG changes concerning for ischemia or arryhtmia but his BP was noted to be in 170/100's which is higher than his baseline in the 140's. It came down on its own eventually. It was determined that if anything, he may have ha some demand ischemia from his hypertension, and that in the future he should at least get a TTE, or if he can tolerate, a cardiac stress test. He returned without any medication changes.

Other Meds: Vitamin C daily, Cranberry tablet daily, Vitamin B12 100 mcg d Additional information for Item 9: Vitamin D 50,000 units q month, levothyroxine 37.5 mcg daily, lidocaine ointment 5% topical 2 times daily, methadone 30mg two times daily, mor

Current Illness:

ID: 0983586
Sex: F
Age: 39
State: TX

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

Lab Data: Covid test - at work

Allergies: No

Symptoms: My charge nurse told me he was tested positive that evening. Started feeling my throat hurting in the morning. Because of being exposed to my charge nurse I had to go get tested. By 9AM body aches, headache, cough, chills. Fever went down on Thursday 100.8F, hot and cold sweats. I never felt like that before. I also had some GI issues (diarrhea) and a little bit of shortness of breath, just by walking to the restroom I would be very fatigued and when I checked my oxygen it would drop to 88% just by walking from my bed to the bathroom (Wednesday and Thursday was the worst). I still have fatigue and my throat hurts a little bit, I have congestion again and I started feverish again this Tuesday and lots of cough. Low grade fever (99.9F). My employee health told me to not return due to my symptoms until they subside or go get checked. Coughing and sneezing restarted yesterday. I had returned to work on Monday but then by Tuesday symptoms started reappearing.

Other Meds: Vitamin C, D, E woman's multivitamin and Biotin

Current Illness: No

ID: 0983587
Sex: F
Age: 55
State: NJ

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: complain of metallic taste and sensation in left arm. Symptoms resolve after five minutes.

Other Meds:

Current Illness:

ID: 0983588
Sex: F
Age: 40
State: MD

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

Lab Data: ALS exam, unremarkable with no findings

Allergies:

Symptoms: Complaint of tingling tongue that was unfounded on exam.

Other Meds:

Current Illness:

ID: 0983589
Sex: F
Age: 55
State: WA

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

Lab Data:

Allergies: None

Symptoms: 18 hours after vaccine: body aches, joint pain, headache, fever. Lasted approx 12 hours.

Other Meds: Metformin glimeperide atorvastatin simvastatin aspirin singular

Current Illness: None

ID: 0983590
Sex: F
Age: 61
State: NY

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

Lab Data: N/A

Allergies: MORPHINE - SHORTNESS OF BREATH PENICILLIN- ITCHINESS, RASH SEASONAL ALLERGIES- RHINITIS FOOD: OKRA- SWOLLEN THROAT, SHORTNESS OF BREATH, KIWI- EAR ITCHINESS, SWOLLEN THROAT, SHORTNESS OF BREATH LATEX- RASH, BLISTERS, HIVES PINE DUST

Symptoms: ABOUT 15 MINUTES AFTER VACCINATION, FELT THROAT TIGHTNESS CONTINOUS

Other Meds: LOSARTAN, LEVOTHYROXINE, PANTOPRAZOLE, CREON

Current Illness: CHRONIC PANREATITIS HYPOTHYROIDISM- HASHIMOTOS DISEASE

ID: 0983591
Sex: F
Age: 68
State: GA

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

Lab Data:

Allergies:

Symptoms: Intermittent lip swelling. muscle inflammation at site, rash and itching

Other Meds: Atorvastatin 20mg

Current Illness:

ID: 0983592
Sex: F
Age: 37
State: VA

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: no viral studies done in ER or by HCP.

Allergies: denied

Symptoms: 37yo female received first COVID vaccine lt arm on 1/15/21. She denies any immediate adverse reactions. Day 6 (1/22) she c/o right ear pain. 1/23 continued ear pain with nasal congestion 1/24 symptoms continue with difficulty chewing about 1100am. 1700 c/o tongue -upper lip swelling and rt facial droop, forehead-eyebrow paralysis - to ER where diagnosed with Bells Palsy. ER provider dx viral like illness and bells palsy attributed to viral prodrome. Given tapering dose prednisone, Sudafed for congestion/ear fullness and ophthalmic eye drops. Seen by HCP 1/27 and again 1/28 with improvement of symptoms but facial droop continues. Pt states is better. Prescribed Valtrax Additional information for Item 18: Medical center notified of case and monitoring.

Other Meds: Isibloom (Birth control)

Current Illness: denied

ID: 0983593
Sex: F
Age: 77
State: NY

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

Lab Data:

Allergies: IVP dye

Symptoms: Diarrhea

Other Meds: Propranolol Maxzide Wellbutrin

Current Illness:

ID: 0983594
Sex: F
Age: 54
State: AZ

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

Lab Data:

Allergies:

Symptoms: VAC. SHOT: 1531, 1540: C/O HEADACHE (2:10 PAIN LEVEL) AND LIGHTHEADEDNESS (FEELING "OFF"). VS: LEFT ARM : 174/102; RIGHT ARM: 160/100; P: 88; O2 SAT R.A.: 95%; T: 98.2. MONITORED FOR 30 MINUTES BY STAFF AND ESCORTED BY RN TO E.R. TO BE FURTHER ASSESSED.

Other Meds:

Current Illness:

ID: 0983595
Sex: F
Age: 50
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Numbness, tingling sensation, weakness of left arm and leg like the Guillain - Barre syndrome (per my primary provider)

Other Meds: Clonidine Hydrochloride - 0.1 mg Simvastatin - 20 mg Losartan Potassium - 25 mg Aspirin 0 81 mg Iron - 130 mg Vitamin C - 1500 mg

Current Illness: Hypertension High cholesterol

ID: 0983596
Sex: F
Age: 32
State: OH

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

Lab Data: COVID - test Positive on Dec 31, 2021

Allergies: supha; z pac and augmentin

Symptoms: (I am breastfeeding.) That day, I started with a sore arm. by 8:00 pm sore to move or touch. (It took about three days to resolve the sore arm.) I had a headache. A couple hours after vaccine I was told I was exposed to COVID. Got tested on 31st - I tested positive for COVID. Got shortness of breath, the bad muscle ache, the loss of smell and taste; coughing, sore throat, headache; fever. I still have headaches and I still have some congestion sometimes. It is getting better but my sense of smell and taste aren't back. Fever, shortness of breath, cough etc lasted 10 days. I was out of work for two weeks. Called the doctor (January 4th, 2021)- for Oxygen levels - were dropping - they were in the high 80's - the doctor let me stay home and monitor on my own as I have a nebulizer and inhaler at home.

Other Meds: Singular; prenatal vitamin

Current Illness: Had gallbladder out beginning of December

ID: 0983597
Sex: F
Age: 76
State: OH

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

Lab Data: None

Allergies: Metmorfin

Symptoms: 02:42PM 110/50, HR 80, RR 20 appears anxious Reports doesn't routinely take FSB "I goes how I feel" Needs transportation to return home. Denies eating today. No family. 03:07PM Left ambulated to car independently

Other Meds: Aspirin, colace, 25mg HCTZ

Current Illness:

ID: 0983598
Sex: M
Age: 25
State: TX

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

Lab Data:

Allergies: none

Symptoms: pt had immediate chills and rigors after the shot Started with hives the day after. These have been progressive Face started to swell , went to ER twice Started on benedryl, pepcid and prednisone

Other Meds: unknown

Current Illness: none

ID: 0983599
Sex: F
Age: 73
State: NY

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

Lab Data: Observed in ER. Benadryl and Pepcid given

Allergies: Sulfa

Symptoms: Feeling of tongue swelling

Other Meds: Vitamin D, Metformin, Metoprolol, Amlodipine, Atorvastatin, ASA

Current Illness: no acute illness

ID: 0983600
Sex: F
Age: 80
State: KS

Vax Date: 01/13/2021
Onset Date: 01/23/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: Morphine, some kinds of adhesive tape

Symptoms: Rash, red area with faint warmth and itchy. Appeared 10 days after shot with noticeable itchiness. No other symptoms at all now and none at all after the injection, not even a sore arm. Shot was on afternoon of the 13th and itch and red area noticed morning of 23rd. Itch not really noticeable now and large reddened area still present. About 4 inches by 6 inches, roughly. Not a problem at all. Have had no fever, aches, soreness after shot or now.

Other Meds: Day of vac: Cymbalta, vitamins C, D, fish oil, magnesium, potassium, calcium in morning. Taken in evening: atorvastin, Metaprolol, baby aspirin.

Current Illness: None

ID: 0983601
Sex: F
Age: 31
State: TX

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

Lab Data: N/A

Allergies: NKA

Symptoms: SHORTNESS OF BREATH AND FEVER UP TO 101.6 BEGINNING ABOUT 6 HOURS AFTER INJECTION. SHORTNESS OF BREATH PERSISTED THROUGHOUT THE NEXT DAY. USED INHALER AND IT IMPROVED AND EVENTUALLY SUBSIDED.

Other Meds: Zoloft, Ibuprofen

Current Illness: No illness

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm