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: 0985697
Sex: F
Age: 76
State: NC

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None.

Allergies: Seasonal allergies to pollen, etc.

Symptoms: Redness at injection site, itching and swelling. The itching has gotten progressively worse over time?one week later and it is constant. I have put Benadryl cream on the arm and taken Benadryl tablets..

Other Meds: Multivitamin, calcium,magnesium,zinc, 81 mg. Aspirin.Losartin(1/2 25 mg) simvastatin(10 mg) allergy tablets , vitamin d3, Biotin (10,000)

Current Illness:

ID: 0985698
Sex: F
Age: 52
State: MI

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Head aches, body aches and sinus pressure make it difficult to breath

Other Meds:

Current Illness:

ID: 0985699
Sex: F
Age: 69
State: NV

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Significant diarrhea attack. 10 min.

Other Meds: Bupropion, Lisinipril, Fluoxetine, aspirin

Current Illness: 3 days headache and fatigue

ID: 0985700
Sex: F
Age: 77
State: FL

Vax Date: 01/14/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Cashews Betadine

Symptoms: ?COVID arm? Rash developed 15 days after first shot at site of shot. Large patch about 2? X 5?. Itching, swollen, warm to touch. No treatment given. Awaiting resolution.

Other Meds: None

Current Illness: None

ID: 0985701
Sex: F
Age: 77
State:

Vax Date: 01/13/2021
Onset Date: 01/17/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Large 2x3 in raised redden area on left arm at site of injection. Iced area took tylenol

Other Meds:

Current Illness:

ID: 0985702
Sex: F
Age: 56
State: MO

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: n/a

Allergies: penicillin

Symptoms: On 1/28/21, 2 days following the 2nd injection of the Shingrix vaccine series, Patient reported that she had diarrhea, nausea, body aches, and tired feelings. She stated that these symptoms started one hour following her injection on 1/26/21. Patient stated that symptoms are not severe. Pharmacist suggested that patient seek medical attention if symptoms worsen.

Other Meds: Unknown

Current Illness: unknown

ID: 0985703
Sex: F
Age: 59
State: NY

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Back Pain and Arm pain

Other Meds:

Current Illness:

ID: 0985704
Sex: M
Age: 42
State: IN

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: High temperature for 12 hours, extreme fatigue, sweats, chills, severe headache. All symptoms lasting 12

Other Meds: Albuterol, symbicort, protonix, multivitamin

Current Illness:

ID: 0985705
Sex: F
Age: 36
State: CT

Vax Date: 01/07/2021
Onset Date: 01/11/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Bee sting venom

Symptoms: Axillary lymph nodes swollen 4 days after vaccine. Then 2 days later red Raised firm slight itchy rash area of tennis ball, appeared around injection site. Lasted 2 days. Lymph nodes got smaller and just 1 slightly raised 2 wks later

Other Meds: Venlaflaxinevxr 150 mg daily

Current Illness:

ID: 0985706
Sex: M
Age: 66
State: NY

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: n/a

Allergies: Sulfa

Symptoms: The patient started to feel an incessant itching from her head to her knees, with a more intense sensation at the injection site and her back, although she has no rash or redness. She tried everything from moisturizers to Benadryl with no relief and decided to go see her PCP who put her on Prednisone daily until the itching stops.

Other Meds: Unknown

Current Illness: Unknown

ID: 0985707
Sex: F
Age: 63
State: NY

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: chloroform dust mites

Symptoms: low grade fever of 100 muscular fatigue headache All resolved within 36 hours

Other Meds: none

Current Illness: none

ID: 0985708
Sex: F
Age: 75
State: IN

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: N/a

Allergies: Shellfish. Advair Diskus, penicillin

Symptoms: Patient developed a headache the evening following getting the injection. This is eight out of 10 pain on a 0 to 10 pain scale that goes down into her neck. Today when she woke up she is experiencing weakness, dizziness, lightheaded and continued headache with eight out of 10 pain on 0 to 10 pain scale. Patient reports her right arm where injected is also eight out of 10 pain on 0 to 10 pain scale and tender to touch

Other Meds: Vitamin D3 Vitamin C Levothyroxine sodium Paroxetine HCI Lisinopril Amlodipine bestlate Janumet Montelukast sodium Topiramate Propranolol HCI Lantus Solostar subcutaneous solution pen injector

Current Illness:

ID: 0985709
Sex: F
Age: 77
State: OH

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: HR 78-80, O2 SAT 96%

Allergies: CODIENE AND TAPE

Symptoms: 1/26/21 @ 5PM C/O TINGLING ALL OVER BODY AND RIGHT EYE". DENIES ANY TROUBLE BREATHING OR SWALLOWING, NO EDEMA OF LIPS. A/0 X3, SKIN PINK W/D, RESP REG WITH EASE. 1/26/21 @ 5:15PM CLIENT STATES SYMPTOMS ARE THE SAME AND "WILL TAKE BENADRYL WHEN SHE GETS HOMEIF NEEDED". 1/27/21 @ 9:25AM CLIENT STATES ALL SYMPTOMS HAVE RESOLVED.

Other Meds:

Current Illness:

ID: 0985710
Sex: M
Age: 71
State: IN

Vax Date: 01/26/2021
Onset Date:
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Chills Fever Headache

Other Meds: Several

Current Illness: Diebetes chf koi

ID: 0985711
Sex: F
Age: 33
State:

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

Lab Data:

Allergies:

Symptoms: Throat felt funny for 30-45 minutes Benadryl 25mg and prednisone 20mg were given PO HR-117

Other Meds:

Current Illness:

ID: 0985712
Sex: F
Age: 42
State:

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

Lab Data:

Allergies: Septra-rash and throat swelling, Penicillin-rash, Clindamycin-rash

Symptoms: Approx. 25min after injection pt began c/o her entire left arm and down to her hand burning. Describes it as inside her am and not just the skin. Vitals WNL No other complaints initially. After observation for approx. 10 min pt's fingers on her left hand appeared discolored. Burning in her arm unchanged. Transported to urgent care by RN. During transport pt began c/o burning sensation in her left calf.

Other Meds: birth control pills

Current Illness: none

ID: 0985713
Sex: F
Age: 57
State: FL

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

Lab Data: None

Allergies: None

Symptoms: Headache and body ache started on 01/29/21 after the Second Covid-19 vaccine was administered on 01/28/21

Other Meds: Losartan, Simvastatin, Trulicity, Vitamin D3, Vitamin B12, and Omega-3

Current Illness: None

ID: 0985714
Sex: F
Age: 42
State: MN

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Egg, Ephedrine

Symptoms: c/o weird taste in mouth, warm, rash on chest and right deltoid around injection site only, pt given benadryl 25mg , water, and ice pack, waited 30 minutes, rash subsided and pt feeling ok

Other Meds:

Current Illness:

Date Died: 01/02/2021

ID: 0985715
Sex: M
Age: 80
State: FL

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

Lab Data:

Allergies: no known allergies

Symptoms: Patient received the vaccine on 12/29/20 and presented at the ER at the Hospital on 12/30/20 stating that he wasn't feeling well. It is stated that his health had declined over the past few weeks and currently on hospice. Visit was unremarkable. Patient stated that wanted to stop dialysis. Patient passed away on 01/02/2021.

Other Meds: metoprolol 25mg vitamin D3 1000IU furosemide 80mg Norvasc 5mg aspirin 81mg Renvela 800mg atorvastatin 20mg vitamin B12 1000mcg

Current Illness: high blood pressure dialysis GI bleed/ symptomatic anemia

ID: 0985716
Sex: F
Age: 56
State: AZ

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: I have called my doctor's office and let them know my reaction they informed me that I needed to report it to the CDC so that they can be aware. That's what I'm doing now.

Allergies: Amoxicillin Tree nuts and peanuts

Symptoms: That evening my heart was pounding very hard throughout my entire body that's all I could hear laying down I thought that I was going to either have a heart attack or a stroke. I got up and took one of my blood pressure medications. It's slowed down but I was unable to sleep due to feeling jittery and my heart pounding hard. The next day I felt exhausted my stomach hurt. I have had a sore throat the worst being on the Thursday following. Today Friday things seem to be subsiding. However my concern is not to get the second dose if I had such a bad reaction the first time I definitely will have a heart attack the second time.

Other Meds: Lisinopril Amlodipine besylate 5 mg Simvastatin 10 mg Cetirizine 10 mg Famotidine 20mg Jardiance 25 mg Montelukast 10 mg Metformin 1000 mg eldberry gummies immune support vitamin D3 5000 iu magnesium 300 mg Breo inhaler 25 mcg

Current Illness: Possible air allergies

ID: 0985717
Sex: F
Age: 66
State: NY

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Fever of 102 degrees F for about 20 hours accompanied by chills, diffuse muscle aches (especially neck and lower back), extreme fatigue. The fever broke after about 20 hours. Muscle aches and fatigue persisted an additional 24 hours or so.

Other Meds: aspirin, metoprolol XL, amlodipine, Vitamin D, atorvastatin

Current Illness: none

ID: 0985718
Sex: F
Age: 48
State: CA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: TSH, Electrolyte Panel, CBC

Allergies: NKA

Symptoms: Jan 21 , headaches, scratchy throat, bodyaches, weakness Jan 22- current - weakness, balance issue, tachycardia,dizziness, shortness of breath

Other Meds: Metformin HCL ER 500 mg, Jardiance 10 mg, Atorvastatin 20 mg, Vitamin C 500 mg

Current Illness: None

ID: 0985719
Sex: F
Age: 53
State: TX

Vax Date: 01/21/2021
Onset Date: 02/11/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: NO

Allergies: PINEAPPLE

Symptoms: ON MY RIGHT SIDE FROM MY HIP TO THE BOTTOM OF MY BUTT I FEEL LIKE THE SHOT WAS GIVEN THER. I HAVE NEVER HAD THIS PAIN AND I HAD MY SHOT ON THURSDAY AND SUNDAY MORNING I WOKE UP AND COULDNT GET UP THE PAIN WAS REALLY BAD. I SHOWERED AND LET THE HOT WATER RUN AND IT FELT GOOD. I DONT KNOW IF ITS RELATED TO THE SHOT BUT BECAUSE IVE NEVER HAD THIS PAIN WASNT SURE. AS THE DAY WENT BUT IT WAS OK BUT WHEN RESTING IT WOULD GET BAD AGAIN. IT FEELS LIKE WHEN I FIRST GOT THE VACCINES THAT SAME PAIN. ITS GOTTEN BETTER BUT ITS LINGERING.

Other Meds: ATENOLOL, HYDROCHLOROT,

Current Illness: NO

ID: 0985720
Sex: F
Age: 73
State: CA

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

Lab Data:

Allergies: **hypaque (resp arrest), lanroprost (chest pain), combigan (black outs, nosebleeeds), zioptan (cough, headache)

Symptoms: Pt. c/o flushing/burning in vaccinated arm, nausea and light headed.

Other Meds: vitamin c, lovastatin, aspirin 81mg

Current Illness: sinusitis

ID: 0985721
Sex: F
Age: 43
State: MN

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: No anaphylaxis history

Symptoms: 20 minutes after vaccine c/o dizziness, "fuzziness", started crying. Become diaphoretic, flushed, described hotness and weakness. Became nauseous as time advanced. 0915-188/92, 92 0917-20ml/50mg Benadryl liquid oral 0927-190/100, 90 0934-190/118, 92, feet raised 0935-Epi Adult Pen, R thigh (KN) 0939 20ml/50mg Benadryl liquid oral 0941-188/90, 88 0942-Epi Adult Pen, L thigh 0947-194/104, 104, R32 0952-178/105, 80, R28 0953-EMS Arrival, pt taken to ED

Other Meds: Unknown

Current Illness: Unknown

ID: 0985722
Sex: F
Age: 56
State: CO

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: Gluten

Symptoms: Woke at 11:30 pm on 1/21/2021 unable to breathe, gasping for breath, heaviness in the chest, severe body joint pain, headache, and nausea. Took Flonase and ibuprofen and drank cold water to reduce inflammation in the chest for 20 minutes. Symptom relief. Continued 400mg of ibuprofen q 6 hours for 48 hours. 1/23/2021 at 6:00 am fluid-filled ears, heaviness in the chest. Administered Flonase.Symptom relief after one hour.

Other Meds: Estradiol 1mg, Flonase mist, Tylenol 32d ER Flonase and Tylenol were taken as a precaution prior to vaccination

Current Illness: None

ID: 0985723
Sex: F
Age: 71
State: GA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: NONE

Symptoms: I DEVELOPED COVID ARM THE MORNING AFTER THE VACINATION. IT IS RED, SWOLLEN AND ITCHY. I AM ON DAY 4 AND IT HAS GOTTEN SOME BETTER, BUT IS STILL THERE.

Other Meds: SYNTHROID

Current Illness: NO

ID: 0985724
Sex: F
Age: 34
State: DC

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: None known

Symptoms: Body aches, stiffness in muscles, chill but no fever, soreness at injection site and up through neck on left side, extreme tiredness and exhaustion. Side effects were most severe the evening of and day after the vaccine was administered. Took a sick day from work to rest and treated with ibuprofen and fluids. 2 days after the vaccine side effects are less but still present and injection site is red, warm, and swollen.

Other Meds: Vyvanse, Spironolactone, Syeda (birth control), Advair, loratadine, Flonase

Current Illness: None

ID: 0985725
Sex: F
Age: 58
State: NC

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: latex, sulfa, plums

Symptoms: chills, myalgias, fever, fatigue

Other Meds: euthyrox, align, osteobiflex, Colace, benefiber,Viactiv, Zyrtec, krill oil, flonase, Premarin cream, Tylenol. aleve

Current Illness: none

ID: 0985726
Sex: F
Age: 51
State: CA

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: My arm has a large lump, red, swollen and hot. Arm is very painful to move.

Other Meds: none

Current Illness: none

ID: 0985727
Sex: F
Age: 31
State: IN

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

Lab Data:

Allergies: Lortab, codine, plastic-latex tape, dawn dish soap.

Symptoms: 4pm- tiredness 7pm-tiredness,nausea and chills 11pm- stomach cramping, tiredness, nausea, chills 1/29 @1am- nausea, vomiting, severe chills, shaking, body aches, tiredness. 1/29- bodyaches continue through day.

Other Meds: Propranolol, venlafaxine, methimazole.

Current Illness: HSV

ID: 0985728
Sex: F
Age: 46
State: AZ

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

Lab Data:

Allergies: amoxicillin, chocolate

Symptoms: within 5 minutes of getting vaccine, patient complained of generalized itching and feeling of fullness in throat; was given 50mg diphenhydramine IM and within 5 minutes symptoms had resolved

Other Meds: citalopram, cholecalciferol, aripiprazole, prazosin, lithium

Current Illness: none

ID: 0985729
Sex: F
Age: 51
State: MD

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: When I took the second shot on 1/21/2021 I was fine just slight headache and sore arm the next am. but then around 12 noon i got the chills/ aches. and then 6 pm I went straight to bed and slept on and off since I was very tired til next day at 9 am and felt fine (1/23/2021). Also had fever on 1/22/2021.

Other Meds:

Current Illness:

ID: 0985730
Sex: F
Age: 32
State: MN

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, body aches, fatigue, chills, and temp.

Other Meds:

Current Illness:

ID: 0985731
Sex: F
Age: 36
State:

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: After receiving vaccine in R arm, patient noticed slight alteration in taste while chewing gum, with a feeling of minimal swelling to tongue. Called this RN to c/o dizziness and a hazy feeling. Given apple juice, with no relief. Moved to wheeled chair, and transferred to private monitoring/holding room. Pt c/o slight vertigo on standing, when transferred to gurnee. At 0851: Heart rate 76bpm. Pulse ox: 99%. B/P 110/78 in the left arm. States she noticed altered taste with gum, but was able to taste apple juice fine. Pt also stated feeling a tingle/rushing sensation transfer from right, to left side of body, up shoulders and neck. At 0904: Heart rate was 64bpm, Pulse ox: 99%. B/P 104/72 in L arm. Verbalizes less dizziness, slight amount of vertigo when turning head sharply. 09:19. Heart rate 63 bpm, puse ox 99%, B/P 104/71. States BP normally around 100's/68. Pt sat up at the side of the bed, standing without difficulty or dizziness. Ambulated throughout room x1. Ambulated to end of hall and back without incident. Pt Verbalizes feeling able to leave to home. Left at 09:23.

Other Meds:

Current Illness:

ID: 0985732
Sex: M
Age: 83
State: AL

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: Patient denies any adverse side effects

Allergies: NKDA

Symptoms: Patient received first dose of Moderna on 01/12/2021 at Health Department. Appointment was made for patient to return on Feb. 9, 2021 for 2nd dose. Vaccination card was given to patient. Patient thought he could receive in 2-4 weeks and was anxious to receive his 2nd dose so he returned to clinic on 01/26/2021 for 2nd dose. In oversight date of his first dose was overlooked and 2nd dose was administered inadvertently.

Other Meds: unknown

Current Illness: unknown

ID: 0985733
Sex: F
Age: 55
State: VA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: sulfa

Symptoms: Fever up to 101.2 for 24 hrs, muscle aches, headache, rash and swelling at and around injection site, Sore arm and lymph node in same arm

Other Meds:

Current Illness: no

ID: 0985734
Sex: F
Age: 31
State: MN

Vax Date: 01/21/2020
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: Cough beginning 01-26-21. Cough/sore throat 01-27-21 Cough/sore throat/fever/sneezing/body aches/chills/headache/fatigue. 01-28-21. Temp of fever was 102.5. Took Aleve and Nyquil. Fever gone on morning of 01-29-21. Still feel tired, aches, congestion, headache.

Other Meds: Wellbutrin XL 450mg Effexor 75mg Amitryptiline 100mg

Current Illness: None

ID: 0985735
Sex: M
Age: 29
State: LA

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

Lab Data:

Allergies:

Symptoms: 1407: Patient c/o extreme dizziness and weakness stating "feels like all of the energy left my body", BP 150/80, P121, O2 99, denies hx of hypertension and post injection reactions, nurse offered juice and will increase monitor time. 1420: BP 160/84, P 118, dizziness persisted and c/o heaviness in tongue lasting about 4 seconds. 1430: BP 164/82, P 122, O2 98, nurse encouraged patient to go to ER for further evaluation, patient refused ambulance and stated "I have to call my supervisor". 1447: Supervisor arrived, patient still c/o dizziness and "feeling weird" 1503: Supervisor and nurse escorted patient to security vehicle for safety, patient will go to ER. Cormier, Markus, RN 1/29/2021 08:37:21 AM > Contacted patie

Other Meds:

Current Illness:

ID: 0985736
Sex: F
Age: 34
State: FL

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: Peppers

Symptoms: 1/26/21 nausea, dizzy, 1/29 back pain, nauseous continuing

Other Meds: Ibuprofen 400 mg

Current Illness: None

ID: 0985737
Sex: F
Age: 37
State: TX

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Patient was being elevated because she was warm. BP 115/93 at 11:44 am. Patient has Type 2 DM. She felt better denies SOB, or feeling fainting. Denies any tachycardia at 12:00 or any other complaints. Patient was released was advised to call 911 if she has SOB or chest tightness.

Other Meds: N/A

Current Illness: N/A

ID: 0985738
Sex: M
Age: 57
State: CA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: EKG 1/29/21

Allergies: Unknown

Symptoms: vaccination given at 0756am symptom onset 0759 episodic chest pain, light headedness, nausea, flushing, inclusive of chest pressure rated at 2/10 lasting minutes in duration- intermittent, intermittent light headedness 0812 136/69 hr 61 o2 sat 98 on room air. 0820 rapid response called 0822 132/79 hr 54 o2sat 98 on room air. 0827 127/76 hr 54 o2sat 98 on room air. 0832 pt wheeled to ED with RRT.

Other Meds: Unknown

Current Illness: Unspecified chest pain

ID: 0985739
Sex: F
Age: 70
State: WA

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: n/a

Allergies: Band-Aids

Symptoms: right side of jaw got nodule, moved to chin and was swollen

Other Meds: .75 Levothyroxine

Current Illness: n/a

ID: 0985740
Sex: F
Age: 20
State:

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

Lab Data:

Allergies:

Symptoms: Tachycardia and sensation in throat 15-30 minutes after vaccination. HR-140 BP-180/120 HR went back down to 115 and BP 136/67. Received Solu Medrol for reaction. Advised not to received 2nd dose per CDC guidelines.

Other Meds:

Current Illness:

ID: 0985741
Sex: M
Age: 23
State: AL

Vax Date: 01/23/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Rocephin, Cefzil, Sulfa

Symptoms: Red, dry circular spot next to injection site. It popped up a few days after the vaccine. I received the vaccine on Saturday and noticed the red spot Thursday. I'm not sure if it came earlier than that.

Other Meds: Fluoxetine, Hydroxyzine

Current Illness: N/A

ID: 0985742
Sex: F
Age: 41
State: TN

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: Ibuprofens, aspirin

Symptoms: headache, low grade fever; 12 hr duration, treated with Tylenol 650 mg BID

Other Meds: Metformin 1000mg BID, Symbicort 2 puffs every morning, Desvenlafaxine Suc ER 100 mg daily, Bupropion 150 mg daily, Quetiapine ER 150 1 tab 3 hrs before HS, Alprazolam 0.5mg up to TID as needed, Eliquis 5 mg BID, Ferrous sulfate 325mg BID,

Current Illness: none

ID: 0985743
Sex: F
Age: 50
State: AR

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: feeling weak, dizzy, light headed and intense headache

Other Meds:

Current Illness: surgery approximately 3 weeks prior

ID: 0985744
Sex: M
Age:
State: MI

Vax Date: 01/22/1921
Onset Date: 01/23/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: No allergies to food or medication Seasonal allergies since a child.

Symptoms: Began to experience severe body aches, mental fog and chills ~21 hrs after Covid 19 injection. Sore shoulder prior to on set of body aches and chills. Symptoms lasted ~24 hrs. Mental fog continued for ~72 hrs.

Other Meds: Lisinopril -HCTZ 10/12.5 mg 1x/day Methylphenidate: 18 mg ER OSM 1x/day

Current Illness: No

ID: 0985745
Sex: F
Age: 61
State: SC

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: n/a

Allergies: no

Symptoms: Chills, muscle and joint pain headache general malaise for about 24 hours

Other Meds: Hunira, gabapentin,

Current Illness: pyoderma gangrenosum

ID: 0985746
Sex: M
Age: 36
State: AZ

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: N/a

Allergies: None

Symptoms: Headache, nausea, tiredness

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm