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: 0986922
Sex: F
Age: 34
State: CA

Vax Date: 01/19/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Unsure if vaccine related but am experiencing hives on arms, abdomen and legs

Other Meds: Multi-vitamin, allergy nasal spray-glucocorticoid

Current Illness: N/A

ID: 0986923
Sex: F
Age: 72
State: PA

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

Lab Data: None

Allergies: Tape Pet dander

Symptoms: Left arm was sore day several days after the administration 1/20/21 of the Covid Vaccine. There was no redness, heat or bumpyness of the upper arm tissue. 1/28 itching started and redness in the area of where the Vaccine was given and has continued . There are two small areas hot to touch, bumpy, a little itchy and red--one the size of a quarter and the other the size of a dime.

Other Meds: Omeprazole ASA Vit D3 Multivitamin Presser Vision AREDS 2 Glucosamine Chondroitin Hctz Letrozole

Current Illness: None

ID: 0986924
Sex: F
Age: 62
State: FL

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Topical Latex allergy Ragweed, dust mites, mold allergies Gluten intolerant

Symptoms: Arm was slightly sore 6-8 hrs after injection...for 3 days, then totally gone. Which seemed normal. BUT one week after that injection (Friday 1/22) I noticed my arm getting very sore, swollen and hot in the same injection site and several inches below?about the size of my palm. It continued to get more swollen and hotter for a couple of days, then a mild red rash appeared covering the whole affected skin surface by Sunday 1/24 & then it all had slowly, basically, disappeared by Wed 1/27 night.

Other Meds: Myristin, Olive Leaf extract, garlic, ubiquinol, NMN, CuraMed Curcumin, calcium citrate, Magnesium glycinate, vit D & Boron, vit B-12 drops, reacta c, probiotics And 2 different glaucoma eye drops

Current Illness: None

ID: 0986925
Sex: F
Age: 61
State: CA

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

Lab Data: none

Allergies: none

Symptoms: Whole body confluent macular rash with fever to 100

Other Meds: none

Current Illness: none

ID: 0986926
Sex: F
Age: 65
State: FL

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

Lab Data: None

Allergies: Crestor Iodine CEFTIN

Symptoms: Began with chills, pain at site and chills nausea and vomiting

Other Meds: Metformin 500 mg Po twice daily Bispropholol 10 mg Atorvastatin 10 mg Tylenol 600 mg PRN

Current Illness: None

ID: 0986927
Sex: F
Age: 32
State: MI

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

Lab Data: None completed.

Allergies: No known allergies

Symptoms: Patient complaining of feeling light headed with vertigo and feeling as though she will faint. Vital signs taken and as follows: 126/90, HR 94 pulse ox 100%. patient given some juice, water and a package of graham crackers because she had not eaten more than an apple all day. Patient began to feel an increase in light headedness so patient put in supine position and feel elevated on a chair. Started to feel better in this position immediately. repeat vital signs taken and 130/90 HR 92, pulse ox 100%. Patient did not feel well when back in a sitting position so supine position resumed and Move Team called to evaluate further. Patient continued to feel poorly when in sitting position for about 20 minutes while move team assessed but vitals signs remained stable. Patient refused to go to the ER and signed waiver. Patient began feeling better and decided to go home. Patient said that she would call an Uber instead of driving.

Other Meds:

Current Illness:

ID: 0986928
Sex: F
Age: 41
State: WA

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

Lab Data:

Allergies:

Symptoms: Chills, fatigue, cold sweat, fever

Other Meds: Lo loestrin Fe

Current Illness:

ID: 0986929
Sex: F
Age: 58
State: IN

Vax Date: 01/14/2021
Onset Date: 01/19/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: A covid test was done on 1/29/21 along with blood work to check my thyroid levels.

Allergies: N/A

Symptoms: Arm pain at injection sight 6 hours later along with swollen glands. Four days later a migraine hit around 2:00 pm and lasted at least 12 hours. Also swollen shoulders and shoulder and back pain. The following week I experienced sudden shortness of breath that last for approximately 10 minutes while I was at work with profuse sweating on my lower back. The shortness of breath occurred agin the next day while working around the home. and lasted about 5 minutes.

Other Meds: Zoloft, Claritin, Vitamin D and Elderberry chew ables.

Current Illness: None

ID: 0986930
Sex: F
Age: 30
State: NY

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

Lab Data:

Allergies: Johnson & Johnson baby oil

Symptoms: As soon as the injection was given IM, patient's arm felt numb. Now it is still tingling. Itchy and swollen eyes, ears getting hot, itchiness on scalp and spreading, palpitations/increased heart rate, chest pain, slight straining when breathing.

Other Meds: multi-vitamins

Current Illness:

ID: 0986931
Sex: F
Age: 35
State: CO

Vax Date: 01/19/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: Swollen arm with profound erythema. Thought to be cellulitis.

Other Meds:

Current Illness: None

ID: 0986932
Sex: F
Age: 60
State: CA

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: naproxen, Jojoba, Meclizine, mometasone

Symptoms: nasal congestion. chest congestion. chest discomfort. Has been persistent to today 1/29/21.

Other Meds: NO prescription meds. mutiple vitamins

Current Illness: Anxiety

ID: 0986933
Sex: F
Age: 44
State: MN

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

Lab Data:

Allergies: eggs

Symptoms: Had the common side effects: headaches, fevers up to 101.5, severe body aches, fatigue in the the morning after the shot, but also had concurrent severe vomiting and nausea. Vomited approximately 20 times day after the vaccine, starting about 18 hours after the vaccine. Other symptoms were present about 13-14 hours after the vaccine. Vomited continued for 14 hours. Severe nausea continued for 2-2.5 days. No diarrhea. No abdominal pain. Too weak to drive to the ER. Had Zofran at home and took 8 mg of Zofran ODT every 4-6 hours for 36 hours beginning with the onset of vomiting. Missed 3 days of work but was able to orally rehydrate.

Other Meds: Propranolol, Florinef, Proamatine, Xyzal, Albuterol, Prozac, Lamictal, Trazodone, OCPs, Lunesta, Vitamin D, MVI, fish oil

Current Illness: none

ID: 0986934
Sex: F
Age: 33
State: NY

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/29/2021
Hospital:

Lab Data: Unknown

Allergies:

Symptoms: Vaccine administration error. It is suspected that a ?? needle syringe was used instead of a 1? syringe IM

Other Meds:

Current Illness:

ID: 0986935
Sex: F
Age: 50
State: IL

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

Lab Data:

Allergies: bentyl

Symptoms: severe headache ,back and neck pain ,body aches ,fever 102.7 . had reaction after first vaccine with chest pain and shortness of breath and decreased oxygen saturation that she didn't have this time. 1/27/21 symptoms less with fatigue and mild baby aches continued

Other Meds: Prozac, Ativan, protoxin, Zrytec, Dicyclomine

Current Illness:

ID: 0986936
Sex: F
Age: 79
State: CA

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: sulfa

Symptoms: A blotchy red rash about 2 inches round - itches - near the injection site

Other Meds: Lisinopril 5 mg Simvastatin 10 mg Vit D

Current Illness: None

ID: 0986937
Sex: M
Age: 51
State: NM

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: sharp pain in shoulder blades that radiates, tingling in right hip

Other Meds: Lisinopril, Insulin

Current Illness: None

ID: 0986938
Sex: F
Age: 50
State: FL

Vax Date: 01/16/2021
Onset Date: 01/20/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Stabbing pain in left ear, facial and eye weakness, new onset Bell's Palsy

Other Meds: none

Current Illness: none

ID: 0986939
Sex: F
Age: 78
State: CA

Vax Date: 01/07/2021
Onset Date: 01/15/2021
Rec V Date: 01/29/2021
Hospital: Y

Lab Data: positive covid status diagnoses 01/18/2021

Allergies: Propantheline

Symptoms: Patient developed cold like s/s on the 11/12 of January 2021. By the 15th of January patient became weak with mild shortness of breath and was sent to the ER. ER sent patient home. Patient was sent back to ER on January 18th as she remained weak with shortness of breath and was unable to get out of bed. On the 19 of January the patient was sent to a SNF for rehab services in which she remains as of today. According to the patient's son the patient is doing better but still requires assist with mobility. Patient is not on oxygen.

Other Meds: None listed

Current Illness: DM type II Anemia Hyperlipidemia

ID: 0986940
Sex: F
Age: 66
State: AL

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

Lab Data: none

Allergies:

Symptoms: Patient was given the vaccine at 10:15 Patient tolerated injection well. She was sent to the observation area for 15 minutes. She began to experience tingling at the injection site. No redness or swelling noted at site. Patient then began to have facial itching. After 3-5 mins she began to have itching in her scalp. She then began having itching in her throat and eyes, denies any difficulty breathing. Vital signs Blood pressure was 130/80 Patient states she does have hypertension. Pulse 68. 911 called and informed of patients symptoms. On the way here . Patient called husband who is a retired Paramedic. He is bringing Benadryl. Paramedics arrive, vital signs stable. Patient denies being transported to Hospital Paramedics stay with Patient until husband arrives with Benadryl. Pt advised per paramedics to take 50mg Benadryl by mouth Patient tolerated well. Patient leaves with husband. 3:45 pm I called patient who states she is doing well. No further itching and is fine. .

Other Meds:

Current Illness:

ID: 0986941
Sex: F
Age: 65
State:

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

Lab Data:

Allergies:

Symptoms: Headache, chills, muscle aches and fever 100.8

Other Meds:

Current Illness:

ID: 0986942
Sex: M
Age: 55
State: NJ

Vax Date: 01/09/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: Patient received second dose too early. Second dose given 1/27 at 11:37 AM Moderna Lot # 032L20A. patient reports no adverse effect.

Other Meds: n/a

Current Illness: n/a

ID: 0986943
Sex: F
Age: 31
State: PA

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

Lab Data: EKG

Allergies: Penicillin, amoxicillin, clindamycin

Symptoms: Immediate dizziness, burning/tingling feeling in throat that descended into chest

Other Meds: Montelukast Zyrtec Zoloft Trazodone Buspar Pulmicort Pepcid Vitamin C Multi vitamin

Current Illness: N/a

ID: 0986944
Sex: M
Age: 37
State: NY

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/29/2021
Hospital:

Lab Data: Unknown

Allergies: Unknown

Symptoms: Vaccine administration error. It is suspected that a ?? needle syringe was used instead of a 1? syringe IM

Other Meds: Unknown

Current Illness: Unknown

ID: 0986945
Sex: F
Age: 40
State: PA

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

Lab Data: Nil

Allergies: Sulfa

Symptoms: Raised Papular red colored rash . Very mildly itchy . Starters near bilateral arm folds ( not involving armpits) ans then spread to abdomen ,thigh, back ans neck

Other Meds: Synthroid

Current Illness: No

ID: 0986946
Sex: F
Age: 35
State: FL

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

Lab Data: 1/29/21- telehealth visit and prescription for oral and topical steroids

Allergies: Liquid penicillin dye

Symptoms: Initially severe pain in left arm. Within 24 hours post vaccine hives on thigh and elbow of arm that received vaccine. By Friday hives had spread to stomach, chest, face and both arms

Other Meds: Multivitamin, omega 3, amino acid supplement, melatonin

Current Illness: Adverse effect to first round of vaccine

ID: 0986947
Sex: F
Age: 67
State: AK

Vax Date: 01/19/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: Keflex, ppd, erythromycin,

Symptoms: A hard knot appeared at the injection site the day of the injection and the arm was sore but not red for 1-3 days. On day 4-6 the injection site became itchy on day 8 the patient reported that the sight became very red and swollen and ached. The span of redness was 10-11 inches

Other Meds: wellbutrin

Current Illness: none

Date Died: 01/25/2021

ID: 0986948
Sex: F
Age: 80
State: GA

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

Lab Data:

Allergies: acetaminophen, atorvastatin, belsomra, benadryl, benzoin, cefazolin, cephalosporins, codeine, cymbalta, darvocet, dilaudid, duragesic, floxin, guaifenesin, hydrocodone, indocin, lovenox, morphine, nafcillin, oxycodone, paxil, sudafed, sulfa, vancomycin

Symptoms: Cardiac arrest on 1/24/21 in the early morning hours then passed away on 1/25/21 around 1:51am in the hospital

Other Meds: Diltiazem CD, Gabapentin, Hydroxychloroquine, Levothyroxine, Omeprazole, Oritavancin, Potassium Chloride, Propylene Glycol Eye Drops, Sertraline

Current Illness: alcoholic cirrhosis, thrombocytopenia, anemia, lymphedema

ID: 0986949
Sex: F
Age: 38
State: NY

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

Lab Data:

Allergies: Percocet

Symptoms: Day 8- large swollen area (size of a baseball) at injection site. Red, hot to touch, very itchy. Achy from elbow to shoulder.

Other Meds: Multi-vitamin with iron, calcium citrate, biotin, collagen peptides, colace

Current Illness: None

ID: 0986950
Sex: M
Age: 47
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient received 2nd dose of vaccine. He had dizziness upon sitting up, flushing all over, and hypotensive. Patient was observed 1801-1830 in vaccination observation area. He was placed in the given water and then placed recumbent position. There was no change. He did improve with juice PO. DR was notified and does not think this is an anaphylactic reaction, but should be transferred to the ED for further evaluation. Patient was transferred to the ED.

Other Meds:

Current Illness:

ID: 0986951
Sex: F
Age: 25
State: CT

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

Lab Data: ED visit and discharged

Allergies: PCN

Symptoms: Woke the next morning, felt like she was going to pass out, dizzy, wheezing, pulse ox 83. BP 100/60, pale and diaphoretic. TO ED Next day felt aches, chills, diaphoretic, tired.

Other Meds: welbutrin adderal and birth control

Current Illness: History panic attacks

ID: 0986952
Sex: F
Age: 35
State: CA

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

Lab Data:

Allergies:

Symptoms: numbness, tingling and muscle weakness in extremities and face. lasted for an hour or two.

Other Meds:

Current Illness:

ID: 0986953
Sex: M
Age: 78
State: FL

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: NONE

Allergies: None

Symptoms: REDNESS UNDERNEATH THE VACCINE SITE ON THE UPPER LEFT ARM MEASSURING . 4' X 2'

Other Meds: Bayer aspirin 81 mg -Carbidopa/levodopa 10/100mg - Desvenlafaxine, 50 mg - Gralise 1800 mg - Myrbetriq 25 mg - Pantoprazole 40 mg Finasteride 5 mg Revlimid 15 mg Vitamin D3 5000 U

Current Illness: None

ID: 0986954
Sex: F
Age: 71
State: CA

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

Lab Data:

Allergies:

Symptoms: Chest pain in patient with angina; took SL NTG and pain resolved

Other Meds:

Current Illness:

ID: 0986955
Sex: F
Age: 57
State: PA

Vax Date: 12/19/2020
Onset Date: 01/20/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: January 2nd, 2021 - Rapid COVID - negative

Allergies: Penicillin (all related)

Symptoms: Sore arm for about 36 hours; On the 31st of December at 1:00 in pm. 100- 101.1 - fever and aches and chills for about 24 hours. I felt like I had a pressure/sinus headache. Got tested on Jan 2 - COVID negative; January 3 Urgent care - Doxycycline for 10 days. Took about two days on antibiotic and then I was fine.

Other Meds: Trelogy inhaler; Panaprolozine; X Hans - Nasal Spray; Elastitaine; Wellbutrin; Multi-vitamin; Vit D3; Zyrtec

Current Illness: none

ID: 0986956
Sex: F
Age: 54
State: CA

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

Lab Data:

Allergies: none

Symptoms: 25th, severely sore arm, neck and head. chills in the evening. 26th, severe sore arm and neck, faint/dizzy most of the day 27th, very sore arm, faint/dizzy all day 28th, sore arm, faint dizzy most of the day 29th, slight sore arm and faint/dizzy all day

Other Meds: Repatha injection ambien night before vit d Ritual multi vitamin

Current Illness: none

ID: 0986957
Sex: M
Age: 46
State: NY

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/29/2021
Hospital:

Lab Data: Unknown

Allergies: Unknown

Symptoms: Vaccine administration error. It is suspected that a ?? needle syringe was used instead of a 1? syringe IM

Other Meds: Unknown

Current Illness: Unknown

ID: 0986958
Sex: F
Age: 52
State: CA

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

Lab Data:

Allergies:

Symptoms: pt states covid vaccine was given too high, pain came on hours later and was very severe, she says she saw a dr who said vaccine was given too high based on bandaid , dr says should resolve by monday per pt

Other Meds:

Current Illness:

ID: 0986959
Sex: F
Age: 2
State: MI

Vax Date: 12/17/2020
Onset Date: 12/17/2020
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: no known allergies

Symptoms: No adverse events occurred No signs or symptoms reported. Administration error- vaccine was expired within past 24 hours on 12/16/2020. IIV4 was given following month on Jan. 21,2021.

Other Meds: none listed

Current Illness: denied any illness during health screen

ID: 0986960
Sex: F
Age: 50
State: OH

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

Lab Data:

Allergies: Celebrex

Symptoms: Within 5 minutes of administration. Tunnel vision, lightheaded, feeling of doom, elevated HR & BP, tingling, then numbness, then feeling of swelling of lips, left tongue, left throat, left arm. Benadryl administered. Around the clock benadryl, initially 25mg Q6. ED visit on 1/15 with all the above symptoms plus inability to control swallow, feeling of swelling in R throat, resulting in ED visit. Started on prednisone burst (40mg day x5 days). Symptoms more controlled on steroids plus benadryl, but breakthrough exacerbations at times of meds wearing off. Feelings of skin burning, described as on fire, intermittent lace rash on R inner arm.

Other Meds: Claritin, Vitamin D

Current Illness:

ID: 0986961
Sex: F
Age: 37
State: CA

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

Lab Data:

Allergies:

Symptoms: Fever, chills, joint pain, headache, injection site pain, nausea, fatigue.

Other Meds:

Current Illness:

ID: 0986962
Sex: F
Age: 60
State: UT

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

Lab Data:

Allergies: Penicillin Wheat sensitivity

Symptoms: In addition to fevers, headaches, body aches, chills, and joint pain, I developed muscle spasms in my hamstrings and calf muscles. Three days later I still have tendonitis symptoms and some hip joint pain. I developed a large erythemic swelling at the site of inoculation and a rash which is about 6 inches in length by 4 inches in width.

Other Meds: I am on Tramadol 1/2 tab of 50 mg QD and 1/2 Norco 5/325 mg QD for chronic migraines.

Current Illness: not applicable

ID: 0986963
Sex: F
Age: 17
State: CO

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: No adverse reactions, administration error only (does not meet age criteria per EUA)

Other Meds:

Current Illness:

ID: 0986964
Sex: M
Age: 49
State: IN

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

Lab Data: No tests performed.

Allergies: None

Symptoms: About 12 hours after vaccination, I started to have severe chills, fever, intense headache, body aches, inability to sleep and sweating. This last 24 hours and then began to dissipate. The headache left first. These symptoms mirrored the symptoms I had with COVID minus the sinus drainage and sore throat I had with COVID. Yet, the symptoms were more intense. The reaction to the vaccine was the sickest I recall being in the last 20 years. It was a long 24 hours. I went to the ER and obtained a liter of fluids via IV and motrin type medicine. I was advised it should last about 24-36 hours and discharged.

Other Meds: Flonase nasal spray

Current Illness: COVID 19 - positive test 1/2/2021

ID: 0986965
Sex: F
Age: 40
State: CA

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

Lab Data:

Allergies:

Symptoms: Sensation of throat irritation and tightness. Benadryl 50 mg was administered with symptom resolution. Waiting for allergist to approve second vaccine dose.

Other Meds:

Current Illness:

ID: 0986966
Sex: F
Age: 90
State: TX

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

Lab Data: N/A

Allergies: Amoxicillin

Symptoms: Itchy, hot, red, hard, red circular area of shot site

Other Meds: Atorvastatin, Amlodipine Besylate, Omeprazole, Levothyroxine

Current Illness: N/A

ID: 0986967
Sex: F
Age: 31
State:

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

Lab Data:

Allergies:

Symptoms: Chills and aches within 2 hours. Nausea, fatigue and migraine 96 hours

Other Meds:

Current Illness:

ID: 0986968
Sex: F
Age: 54
State: GA

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

Lab Data: No

Allergies: sulfa

Symptoms: After receiving the second dose about 1PM I already had 100.2F temp and I had headache, fever, body aches like I was hit by a truck, exhausted and tired, I also had some diarrhea and my husband even had to help me a couple of times to get off of bed. I went home and took some Motrin and slept if and when I woke up I told my husband it felt like I was hit by a truck. I had Covid in June and since then no appetite, no sense of taste and smell and lost 130lbs. I also noticed 2 or 3 days after my shot that my diabetes would shot to 300s and then go down to like 58 without me doing anything different.

Other Meds: Zigduo for diabetes, Crestor, Lexapro

Current Illness: No

ID: 0986969
Sex: M
Age: 73
State: NY

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

Lab Data: None - not reported to Dr. Just on this form.

Allergies: Onions.

Symptoms: Large red patch surrounding injection site has appeared. Small this am on waking but as of 5:30 pm quite large. Hot to the touch. Itchy. No pain. No fever.

Other Meds: Possible small amount of Fluocinonide cream applied locally.

Current Illness: None.

ID: 0986970
Sex: F
Age: 48
State: NY

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/29/2021
Hospital:

Lab Data: Unknown

Allergies: Unknown

Symptoms: Vaccine administration error. It is suspected that a ?? needle syringe was used instead of a 1? syringe IM

Other Meds: Unknown

Current Illness: Unknown

ID: 0986971
Sex: F
Age: 43
State:

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

Lab Data:

Allergies:

Symptoms: "After staff member received their second dose stated complaining of dizziness and hot flashes, feeling warm in the abdomen area. Elevate staff members feet. Monitored blood pressure. Vital signs: 0755 127/85 HR 80 Ox 99. 0800 127/86 HR 72 Ox 99. 0805 133/87 HR 69 Ox 100. After 30 mins the staff member sates she is feeling better and well enough to head home. "

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm