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: 0985798
Sex: F
Age: 29
State: MI

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

Lab Data: None

Allergies: KNA

Symptoms: Adverse effects started at 3am the morning after being vaccinated. Fever : 100.4, chills, body aches, fatigue, lasting roughly 24 hours, managed symptoms with Tylenol and Ibuprofen.

Other Meds: Vyvanse, Ibuprofen, Tylenol

Current Illness: None

ID: 0985799
Sex: F
Age: 28
State: TN

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

Lab Data: Referred to PCP. OTC hydrocortisone and oral benadryl used.

Allergies: not to vaccines

Symptoms: immediately developed a raised itchy welt to injection site that continues to get larger and is now painful

Other Meds: zyrtec

Current Illness: No

ID: 0985800
Sex: M
Age: 50
State: MD

Vax Date: 01/13/2021
Onset Date: 01/25/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: Almond, Apricot, Nectarine, Peach, Plum

Symptoms: Patient developed an itchy, erythematous rash in the site of the injection on the left arm 12 days after vaccine

Other Meds: HCTZ, Losartan

Current Illness: None

ID: 0985801
Sex: F
Age: 77
State: NY

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

Lab Data:

Allergies:

Symptoms: Nausea, achy body pain and shoulder site

Other Meds:

Current Illness:

ID: 0985802
Sex: M
Age: 17
State:

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

Lab Data:

Allergies:

Symptoms: Moderna COVID-19 vaccine administered to a 17 year old.

Other Meds:

Current Illness:

ID: 0985803
Sex: F
Age: 87
State: NM

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

Lab Data: n/a

Allergies: none

Symptoms: Red spots (small & large) on calves & feet, red blotches on forearms

Other Meds: Tylenol Advil Tramadol PreserVision Areds2 Terbinafine

Current Illness: oral surgery 3 days prior to vaccination anti fungal prescription for toenails

ID: 0985804
Sex: F
Age: 49
State: OH

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

Lab Data: zero

Allergies: Percocet=itching

Symptoms: 4pm that same day- left side of face began to get numb, by 5:30pm severe whole body pain, by 6pm rigors. Took Tylenol and Motrin around the clock- nothing stopped the rigors and the pain increased. 5am on 1/23 fever taken 103. by 8:30am woke in a pool of sweat and aches decreased. But by 11am full rigors and intense pain body pain began. at noon took Benadryl 25 mg and one Pepcid chewable. Stayed in bed with rigors and pain until noon on Wednesday when everything started to ease. Headache in left eye socket all day Wednesday, face numbness disappeared- MISSED 2 days of work as a nurse!!!

Other Meds: Motrin 800mg taken at 6:30 am Wellbutrin taken at 6:30am Ativan 0.5 mg taken 6:30am Biotin 5000mcg 1 tab taken at 6:30am

Current Illness: zero

ID: 0985805
Sex: M
Age: 83
State: IL

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

Lab Data: None

Allergies: None

Symptoms: shoulder discomfort vaccination site, mild covid symptoms, fatigue, chills, lack of appetite, mild temp

Other Meds: Aspirin, Topical ointment for Rosacea

Current Illness: None

ID: 0985806
Sex: F
Age: 36
State: VA

Vax Date: 12/27/2020
Onset Date: 01/03/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: Covid - Positive test

Allergies: Latex; Demerol; Cipraflaxin

Symptoms: Site soreness redness for 2-3 days and then it completely went away. January 3, 2020 - COVID (Rapid) Positive Woke up with those symptoms - on January 3rd. fever; cough; Fatigue; lost taste and smell (lost it Jan 6-7); sinus congestion; post nasal drip; body aches. I had those symptoms for 12 or 13th of January. Went to PCP Dr. and I got a ZPack and over the counter - Vit D, C and a baby aspirin. I didn't go back to work until 18th of January. Still have fatigue somewhat but otherwise symptoms resolved.

Other Meds: Pantoprazole 40mg - once a day - for Acid reflex; birth control pill; nasal - nasacort spray - two sprays; Flexural - 10mg at bedtime ; Multi Vitamin; Flaxseed oil; turmeric

Current Illness: no

ID: 0985807
Sex: F
Age: 39
State:

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

Lab Data: none

Allergies: eye itchy to PCN in past

Symptoms: tingling tongue and throat, self administered oral benadryl 50mg

Other Meds:

Current Illness: none

ID: 0985808
Sex: F
Age: 57
State:

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: First COVID-19 only sore arm. Second COVID-19 first day just sore arm. The following day felt achy feeling which progressed to a severe headache. The headache continued to worsen so much that is felt like the worst headache of my life and I went to the ER and they ruled out a head bleed with a CT Scan and diagnosed it as a atypical headache related to the vaccination. However it has persisted now for over two weeks and I have been on round the clock medications and not been able to work and can barely do my activities of daily living. I have never experienced anything like this! I am very concerned if this becomes a permanent. Working diagnosis currently is Aseptic meningitis.

Other Meds:

Current Illness:

ID: 0985809
Sex: F
Age: 30
State: IN

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

Lab Data: No

Allergies: No

Symptoms: Body aches Fatigue Fever of 100 degrees Diarrhea

Other Meds: Lexapro Omeprazole Zyrtec Elavil Depo-Provera

Current Illness: No

ID: 0985810
Sex: F
Age: 74
State: IN

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

Lab Data: N/A

Allergies: Penicillin, sulfa, Meloxicam, bacitracin

Symptoms: Headache, slight chills & no energy. I didn?t notice what seemed to be an extreme swelling (lump) & redness (area about size of golf ball) of arm until last evening (Jan 28), I called dr in the morning: ice & Advil recommended with antibiotic on staandby.

Other Meds: Tylenol, One a Day vitamin & 2 days over the weekend I took Airborne because it felt as though I was coming down with a head cold.

Current Illness: None

ID: 0985811
Sex: F
Age: 31
State: CA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: irritation at injection site turned into all over body itchiness

Other Meds:

Current Illness:

ID: 0985812
Sex: M
Age: 36
State: VA

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

Lab Data:

Allergies: Cymbalta, guafenesin, penicillin

Symptoms: red itchy rash arms, face neck torso

Other Meds: melatonin, buproprion xl, loratadine, docusate, atorvastatin, fish oil, omeprazole, synthroid, motrin, metamucil

Current Illness: covid 19 infection 11/5/20

ID: 0985813
Sex: F
Age: 77
State: AZ

Vax Date: 01/20/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: NONE

Allergies: LATEX

Symptoms: MODERNA COVID-19 FIRST SHOT.

Other Meds: EUTHYROX 25MCG TAB PRO PRAVASTATIN 40MG TAB TEVA USA

Current Illness: NONE

Date Died: 01/26/2021

ID: 0985814
Sex: M
Age: 94
State: OH

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

Lab Data: 1/25/21 had CBC which showed WBC at 0.1, RBC 2.52, Hgb 8.8, Hct 27.2, Chem profile done showed high potassium, high glucose of 129, elevated BUN and Creatinine. Was negative for SARS-CoV 2 on 1/25/21. CXR showed right perihilar masslike opacity which may reflect infiltrate or neoplasm. Did CT of the chest which showed bilateral upper lobe chronic emphysematous lung changes, dense right upper lobe airspace disease, left lower lobe bronchial filling defects suggesting aspiration, scattered bilateral upper lobe nodular densities, scattered left lower lobe calcified granulomas, and left hilar calcified granuloma

Allergies: morphine, oxycodone, hydrocodone, hydromorphone, coumadin

Symptoms: started having generalized weakness on 1/21/21, fatigued., nausea/vomiting. went to doctor on 1/25/21 with complaint of sore throat, cough, and felt congested. Went to ER on 1/25/21 with complaints of increased shortness of breath, worsening nausea and vomiting. started on oxygen for sats of 87%. admitted on 1/25/21. On 1/26/21 needed intubated, CXR showed worsening consolidative change right lung at right hilar level. Echocardiogram showed ejection fraction 35-40%, left atrium is moderately dilated.

Other Meds: acetaminophen 500 mg amoxicillin 1 gm aspirin furosemids 40 mg glucosamine-chondroitin 1 tab cozaar 25 mg multivitamin potassium chloride 20 meq tamsulosin 0.4 mg furosemide 40 mg zofran 4 mg

Current Illness: started with a sore throat the day before vaccination

ID: 0985815
Sex: F
Age: 51
State:

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

Lab Data:

Allergies: HCTZ, Tequin

Symptoms: Tongue soreness (started on Jan 28, 2021 resolved same day), left arm urticaria (started Jan 28, 2021 and ongoing)

Other Meds: None

Current Illness:

ID: 0985816
Sex: F
Age: 26
State: NY

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

Lab Data: no medical tests at this time. per information provided at time of vaccination, symptoms may occur up to five days after injection. I drew boarder around rash to keep track of size before consulting w/ physician.

Allergies: none

Symptoms: "Moderna COVID-19 Vaccine EUA" - large rash around the injection site approximately 6-7 inches in diameter. Rash has grown to this size within three days after second injection. Rash is red, hot, itchy, and sore.

Other Meds: Ibuprofen, Benadryl, Tylenol

Current Illness: none

ID: 0985817
Sex: F
Age: 80
State: TX

Vax Date: 01/13/2021
Onset Date: 01/22/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Client called 1/22/2021 to report that she woke around 3AM with severe stomach cramps and the start of flu symptoms "feeling yucky". Reported she took a Benadryl and went back to sleep. Said when she woke up the cramps were gone but now her B/P was elevated. Denies any other c/o.

Other Meds:

Current Illness:

ID: 0985818
Sex: F
Age: 57
State: MN

Vax Date: 01/21/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Codeine

Symptoms: red dot went away over the weekend and woke up on Wednesday and was itching my arm . it is red and raised and hard and very itchy

Other Meds:

Current Illness:

ID: 0985819
Sex: F
Age: 50
State: VA

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

Lab Data: none

Allergies: penicillin, sulfa drugs, shellfish, metals

Symptoms: significant joint pain, aches, tiredness, brain fog

Other Meds: none

Current Illness: none

ID: 0985820
Sex: F
Age: 56
State:

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

Lab Data:

Allergies:

Symptoms: Fever, chills, body aches, and headache. Tylenol, and sleep. Lasted approximately 24 hours.

Other Meds:

Current Illness:

ID: 0985821
Sex: F
Age: 61
State: IN

Vax Date: 01/20/2021
Onset Date: 01/23/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: penicillin

Symptoms: Vaccine site sore then along with soreness, turned red/itchy. After over a week I have a red (almost looks sunburnt), warm area on my arm.

Other Meds: Paxil Omeprazole

Current Illness: none

ID: 0985822
Sex: M
Age: 49
State: TN

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

Lab Data: none

Allergies: none

Symptoms: site soreness, low grade fever, body aches, headache; 24hr duration; OTC Aleve TID and Nyquil one time dose

Other Meds: Lisinopril 40mg daily, Amlodipine 10gm daily

Current Illness: none

ID: 0985823
Sex: F
Age: 58
State: OH

Vax Date: 01/22/2020
Onset Date: 01/23/2020
Rec V Date: 01/29/2021
Hospital:

Lab Data: 1/27/2020: Covid-19 test positive

Allergies: codeine

Symptoms: I became ill the next day, with severe body aches, low grade fever, headaches. 2 days later, I had diarrhea and developed a cough. I was tested and was positive for Covid.

Other Meds: none

Current Illness: cold 1 week prior

ID: 0985824
Sex: M
Age: 77
State: NY

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

Lab Data:

Allergies:

Symptoms: Massive Confusion. Resident usually very alert and aware, and had a huge lapse in time and span. Resident has never exhibited this type of confusion..

Other Meds:

Current Illness:

ID: 0985825
Sex: F
Age: 50
State: TX

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

Lab Data: None

Allergies: None

Symptoms: Swelling red and hot raised area just below injection site. The affected area is hard to the touch.

Other Meds: Ibuprofen, acetaminophen, hydrochlorothiazide, Wellbutrin, losartan.

Current Illness: None

ID: 0985826
Sex: F
Age: 29
State: CA

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

Lab Data: n/a

Allergies: None

Symptoms: Painful, red rash developed to area where shot was administered 8 days after shot given. No pruritus, but burning pain.

Other Meds:

Current Illness: None

ID: 0985827
Sex: F
Age: 53
State: MI

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

Lab Data:

Allergies:

Symptoms: Rash on left arm. Fever of 102.7F and body aches.

Other Meds:

Current Illness:

ID: 0985828
Sex: F
Age: 71
State: MI

Vax Date: 01/08/2021
Onset Date: 01/20/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: none required

Allergies: prednisone, vancomycin, septra, penicillins, sulfa, latex

Symptoms: Vaccination occurred 1-8-2021 right arm began to itch and become reddened on evening of 1-20-2021. Redness remains present and a topical hydrocortisone applied to stop itching. This was helpful and no further issues have occurred

Other Meds: Eliquis , Famotidine ,,Flecainide Acetate ,Hydrocortisone , hydroxyzine , Klorcon m20 , lactulose solution , lantus solution, levothyroxine, magnesium oxide, melatonin, metoprolol succinate, rifaximin, spironolactone, torsemide,trazodone, T

Current Illness: n/a

ID: 0985829
Sex: F
Age: 20
State: AL

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

Lab Data: none

Allergies: None known

Symptoms: 10:15 Moderna Covid Vaccine given into Left arm IM Patient tolerated well. Patient was then sent to observation area where she was observed for 15 minutes. No distress noted, Pt left after 15 mins. 11:00 am Patient called Health Department and reported to us that her lips were " red and bumpy" may be a little larger. She reported that she is on the way to ER. 12:30 I called patient and she states she is fine now. She thinks she was just anxious. At the hospital she was given Benadryl and Pepcid 01/29/21 Patient was called by nurse and she stated she was fine. She was just anxious.

Other Meds:

Current Illness: None

ID: 0985830
Sex: F
Age: 38
State: OH

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: Yes with Dr. Went to doctor 1/26/21.

Allergies: no

Symptoms: Day after vax, soreness, fatigue, that night felt. Pins and needles throughout body with cold and hot sensations.

Other Meds: no

Current Illness: no

ID: 0985831
Sex: F
Age: 31
State: MA

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

Lab Data:

Allergies: NKDA

Symptoms: Soreness at injection site and fatigue onset about 8 hours post injection. Body aches, chills, and headache onset about 15 hours post injection.

Other Meds:

Current Illness:

ID: 0985832
Sex: F
Age: 44
State: CA

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

Lab Data:

Allergies: NKA

Symptoms: Pain, swelling, itching at injection site for 4 days and then resolved. On Day 7 (today), severe itching, redness and swelling returned in left arm where injection was given.

Other Meds: Advil. Lexapro

Current Illness: none

ID: 0985833
Sex: M
Age: 68
State: OR

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

Lab Data:

Allergies:

Symptoms: This is not an adverse event. CDC information line recommended that a VAERS report be submitted for this situation. Reporting a partial dose administration. Patient reported that after injection, there was clear fluid running down his arm. Nurse administering vaccine reported that amount was minimal, but patient reported that it was a large amount. Most likely cause was that the needle was not seated well on the hub of the syringe which could have cause a leak. However, this cannot be verified. Unable to quantify how much vaccine that patient received. Called Moderna's medical line after received that is report on 1/25/21, and reached medical information on 1/27/21 Moderna-EUA Medical Information Inquiry Response. Received guidance that if there is a deviation from the recommended dose or schedule that additional doses should not be given. If there is a partial dose administration, do not repeat that dose. Proceed with 2nd dose at 4 week interval. This guidance was shared with the patient.

Other Meds:

Current Illness:

ID: 0985834
Sex: F
Age: 33
State: MN

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

Lab Data:

Allergies:

Symptoms: Fever, fatigue, muscle aches, joint pain, headache, and swollen lymph nodes.

Other Meds:

Current Illness:

ID: 0985835
Sex: F
Age: 37
State: VA

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

Lab Data: No

Allergies: Latex; Demerol; Cipraflaxin

Symptoms: Headache and chills that night; Woke up 26th with a fever, severe body aches; severe headache; chills; weakness and tired. And that lasted for 36 hours. Worse then my COVID symptoms. Evening of 27th, I felt lot better. The 28th, the symptoms were pretty much resolved. Just took Tylenol and Ibuprofen for it. Now I feel fine.

Other Meds: Pantoprazole 40mg - once a day - for Acid reflex; birth control pill; nasal - nasacort spray - two sprays; Flexural - 10mg at bedtime ; Multi Vitamin; Flaxseed oil; turmeric; Zinc, Vit D; Vit C; baby aspirin

Current Illness: COVID-19

ID: 0985836
Sex: M
Age: 87
State: HI

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

Lab Data: Not yet, today will see doctor for blood work and urine test

Allergies: Cauliflower, Vicodin,

Symptoms: Noticed that my urine was cloudy the night after the vaccination, then turned red with blood in urine, and very dark, also achy in shoulder joint.

Other Meds: Loratadine, 81mg Aspirin, Blood thinner (Eloquis) Apixaban 2.5mg, multivitamins, Docusate sodium, Pantoprazole, Atorvastatin calcium 80mg, Acetamophin, D3, B12, Tamsulosin, Probiotics, Prevagin extra strength, PM inhaler Striverdi Estriat

Current Illness: No

ID: 0985837
Sex: F
Age: 25
State: IN

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

Lab Data: N/A

Allergies: N/A

Symptoms: Began experiencing chills and fever around 2am on Thurs, Jan 28th. Chills, headache, fever, body aches all lasted from 2am on Thurs, 28th until approx. 7pm on Thurs, Jan 28th. Impacted daily activities. Could not go to work.

Other Meds: N/A

Current Illness: N/A

ID: 0985838
Sex: F
Age: 33
State: GA

Vax Date: 01/21/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: sulpha, cipro, red dye #40

Symptoms: Injection site became swollen, red, and warm a week (1/28) after vaccination. Headaches have been occurring since 1/26.

Other Meds: Levothryoxine, metformin

Current Illness: none

ID: 0985841
Sex: M
Age: 22
State: WV

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

Lab Data: CBC, BMP, Lactate, Covid Screening, CK

Allergies: Beestings

Symptoms: Received 2nd dose of Vaccine and developed numbness in his feet with tingling and shaking of his knees. Admitted for observation (initial concern for Guillain-Barre). Patient slept all night and discarged the following day with no symptoms.

Other Meds: Lisinopril, Omeprazole, Dicyclomine

Current Illness:

ID: 0985854
Sex: F
Age: 70
State: FL

Vax Date: 01/04/2021
Onset Date: 01/18/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: MRI brain Carotid us Ct sinuses Stress test Heart monitor

Allergies: Beef

Symptoms: On Jan 18 ,2021 I experienced severe anxiety and heart palpitations that have continued on and off since that date. Heart rate varies from 35-120 and I can feel the palpitations .

Other Meds: Metoprolol Aspirin Hydrocodone Multivitamins Flonase

Current Illness: None

ID: 0985855
Sex: F
Age: 76
State: CA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: Blood work, chest X-ray, ekg All looked good at both facilities

Allergies: Penicellan, bacitracin,acrylates, methacrylates, para-phenylenedame, sulfates contact, epinephrine, lidocaine, dilaudid, Tylenol with codeine, thimerosal, neomycin contact, mepivucaine, doxicyclene, prilocaine, norco, flagel

Symptoms: Flushed after 20 minutes blood pressure spiked to 205/105. Waited additional half hour went home. Blood pressure at home 225/125 called doctor who sent me to ER Remained at the hospital 5 hours and was released with pressure 187/80 Went to the hospital Jan 24 with pressure 205/95 released 4 hours later Pressure still out of control Jan 29 Never had pressure so high normally on meds 110/60

Other Meds: Advair, dexilant, losartin, baby aspirin, digoxin, gabapentin, vit e, magnesium, fish oil, aleve, ipratropium bromide, aller flo

Current Illness: Scleraderma, lupus, sjogrens, asthma, high blood pressure,

ID: 0985856
Sex: F
Age: 69
State: NJ

Vax Date: 01/19/2021
Onset Date: 01/25/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Silicone; Latex; Adhesive

Symptoms: 1/19/2021 Injection given.1/25/2021 Redness and itching at injection site. Began using Benadryl cream on area 3 times a day. 1/29/2021 Shoulder cleared.

Other Meds: Lipitor; Prilosec; Singular; Xanax; Calcium, Vit. D; Vit. K

Current Illness:

ID: 0985857
Sex: F
Age: 38
State: AZ

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

Lab Data: None

Allergies: None known

Symptoms: Fever, body aches, chills, nausea for 1.5 days after vaccine. Fainting episode 1 day after receiving vaccine. Severe pain and redness on injection site and swelling x 3 days. Took Tylenol and Ibuprofen for fever and pain.

Other Meds: N/A

Current Illness: Bilateral Pneumonia

ID: 0985858
Sex: F
Age: 72
State: CO

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

Lab Data: none noted

Allergies: none noted

Symptoms: light headed, mild dizziness. Monitored vitals, extended observation period. Patient reported symptoms cleared.

Other Meds: ACE inhibitor.

Current Illness: none noted

ID: 0985859
Sex: F
Age: 41
State: WA

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: Two Covid 19 tests both negative. Strep test negative.

Allergies: None

Symptoms: It started with painful ears and pressure, nausea, sore throat, chills, sweats, general body aches and pain and a little trouble breathing. They started to subside four days after vaccine was administered.

Other Meds: Lisinopril, Hydrochlorothiazide, Bupropion, Voltaren, Lipitor, Lasix, Metformin, Ibuprofen and Tylenol.

Current Illness: None

ID: 0985863
Sex: F
Age: 28
State: CA

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

Lab Data:

Allergies: none

Symptoms: headache, severe fatigue, arm soreness, myalgias

Other Meds: none

Current Illness: none

ID: 0985864
Sex: F
Age: 77
State: MS

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

Lab Data: None

Allergies:

Symptoms: On day 10 arm started turning very red and painful. Redness continues spreading up and down arm until up above shoulder and almost to elbow. To ER on Sunday. Said use Tylenol and cold packs. By next Friday almost all redness gone but upper arm and shoulder are now very painful. No issues with arm until day 10

Other Meds:

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm