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: 0987709
Sex: F
Age: 26
State: MA

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None yet

Allergies: None

Symptoms: Swollen lymph node above L clavicle for over 1 week after first dose. Small, moveable.

Other Meds: Entyvio every 8 weeks infusion

Current Illness: No infections or other illnesses recently

ID: 0987710
Sex: M
Age: 56
State: IN

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

Lab Data: None

Allergies: Pcn

Symptoms: Fever, chills, muscle aches, headache

Other Meds: Fish oil, daily sapirin 81mg, Carvedilil 25mg, Levothyroxine 75mg, Crestor 20mg

Current Illness: None

ID: 0987711
Sex: M
Age: 60
State: NJ

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Severe pain in shoulder around injection site, no loss in function, 4 days, no residual effect.

Other Meds:

Current Illness:

ID: 0987712
Sex: F
Age: 20
State: IN

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

Lab Data:

Allergies: Sulfa drugs

Symptoms: Shaking, vomiting, fever, chills, sensitivity across body, lethargy, nausea

Other Meds: Multivitamin Latuda Prozac

Current Illness: N/A

ID: 0987713
Sex: F
Age: 47
State: IN

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

Lab Data:

Allergies: Diluadid deramorf

Symptoms: Weakness ,all bones hurt , cold

Other Meds: Prosaic qd

Current Illness: None

ID: 0987714
Sex: F
Age: 33
State: NJ

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies:

Symptoms: patient stated she felt warm and flushed after receiving the vaccine. Doctor instructed patient to lay down in medical station for at least 15 minutes. Vital signs were taken and everything within normal ranges. No signs of discomfort/distress. After laying down, Patient verbalized she is feeling fine and would rather go home. Patient was called 2 hours laters and states she is doing very well and feels fine.

Other Meds:

Current Illness:

ID: 0987715
Sex: F
Age: 45
State: NC

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: PPD serum (aplisol)

Symptoms: Pretreatment with prednisone 50 mg q6 x 3 doses starting 13 hours prior plus Benadryl 50mg po 1 hour prior. 20-25 minutes after injection began itching, rash on upper body, redness to body, lightheaded when stood up. Sought treatment from nurse & paramedic on site. Vital signs about 30 minutes after injection 187/107, hr 135, sats 98%. Given Benadryl 25 mg IM . Over next 30 minutes symptoms improved & bp came down to 145/80 and hr around 100. That evening whole body was red & rash on upper body- took Benadryl 50 mg. A week out remain with mild rash on chest, arms, neck & itching that comes & goes. Have been treating with Claritin during the day & Benadryl at night for 6 nights. Days 2& 3 after injection feet felt very cold, but face felt very hot when wearing a mask.

Other Meds: Pepcid Claritin Glucophage Benadryl Prednisone

Current Illness: Allergic reaction to 1st dose of Pfizer covid 19 vaccine

ID: 0987716
Sex: F
Age: 57
State: FL

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: 01/25/2021 CBC, COVID19, BP-12, Magnesium, Troponin I, NT-proBNP, and Prothrombin Time. Chest Xray Urine Analysis

Allergies: Alka-seltzer

Symptoms: Immediately after administration of the vaccine dizziness was felt accompanied by rapid heartbeat. Fire rescue monitored the situation. Tachycardia did not stop and IV was put. The decision was made to go to emergency room. The tachycardia was present for approximately the next four hours. Blood work shows low white blood cells count. Doctors recommended admissions which I refused and signed AMA.

Other Meds: Losartan 50mg 1x day

Current Illness: None

ID: 0987717
Sex: F
Age: 66
State: IN

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Numbness,tingling sensation-I left-side-of-face.??Started-35-hours-after-injection. Lasted3-4hours.-no-other-neurological-symptoms- Took-aspirin-as-symptoms-subsided.

Other Meds: VitaminD Statin

Current Illness: None

ID: 0987718
Sex: F
Age: 41
State: AR

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: NKDA or food allergies

Symptoms: Numbness of lips on 1/28/2021 and then developed numbness of tongue and eye would not close. Saw physician who treated her with steroids, anti-virals and OTC eye drops for lubrication of eye.

Other Meds: None

Current Illness: None

ID: 0987719
Sex: F
Age: 42
State: MN

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: ED EVALUATION N PROGRESS AT TIME OF REPORT

Allergies:

Symptoms: APPROXIMATELY 5 MINUTES POST INJECTION PATINET STARTED WITH A NAGGING COUGH. SHE STATED SHE HAS REACTED IN THE PAST TO FOAM HAND SANITIZER WHICH WAS BEING USED IN THE CLINIC AND SHE DIDN'T REALIZE THAT UNTIL THE COUGH STARTED. UNABLE TO DETERMINE IF IT WAS THE HAND SANITIZER OR VACCINE SINCE COUGH WAS ABOUT 5 MINUTES AFTER DOSE WAS GIVEN. WAS GIVEN 25MG PO BENADRYL, REFUSED EPI SUBQ AND REFUSED AMBULANCE. DID CONVINCE PATINET TO ALLOW US TO BRING TO ED WHICH WAS IN SAME BUILDING. WHEELCHAIR RIDE GIVEN TO ED WITH EPI ON STANDBY IF NEEDED

Other Meds:

Current Illness:

ID: 0987720
Sex: M
Age: 32
State: CA

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

Lab Data:

Allergies: Penicillin, bactrim, clam chowder

Symptoms: A few hours after the injection, my left arm started to hurt more than expected and decreased my arm mobility for the day. When I try to use it, it caused mild pain. After waking up, my left arm deltoid muscle was visibly swollen and has a medium amount of pain and significantly decreased range of motion. Because this event has not yet resolved, I may seek advice from my primary care doctor later today

Other Meds: None

Current Illness: None

ID: 0987721
Sex: F
Age: 39
State: NJ

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient complained oof transient light headedness. Vital signs were taken, everything within normal limits. patient laid down in medical station for 15 minutes. patient felt fine and went home.

Other Meds:

Current Illness:

ID: 0987722
Sex: F
Age: 51
State: MI

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Intense continuous RUQ abdominal pain

Other Meds: Prozac 40mg daily Advice Flexeril

Current Illness: None

ID: 0987723
Sex: F
Age: 91
State: NY

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

Lab Data:

Allergies:

Symptoms: Patient with severe dementia developed nausea, dizziness and diaphoresis; acute distress. No chest pain or dyspnea noted. 3:49 P 56, 144/78, PO2 99% 3:54 P 34 164/58, O2 99% Exam CVS- irregular rhythm, systolic ejection murmur Care taken over by EMS and transported to Hospital

Other Meds:

Current Illness: Alzheimer's

ID: 0987724
Sex: F
Age: 55
State: VA

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: Sulfa Penicillin Levoflaxacine CT Contrast and shellfish Tree nuts and peanuts Aviane Clonidine Motrin(?)

Symptoms: I experienced itching followed by swelling and hives at the injection site at about 5:00 pm yesterday. I took Zyrtec, and the itching subsided. The arm feels hard / lumpy to the touch, and there was pain last night. This morning, there is some swelling and some itching.

Other Meds: Synthroid Diltiazem Magnesium

Current Illness: Headache (history of migraines)

ID: 0987725
Sex: F
Age: 58
State: IN

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: Augmentin

Symptoms: Aching all over Low grade fever Chills Headache Pain at site

Other Meds: Effexor 25mg Tylenol 509 mg

Current Illness: None

ID: 0987726
Sex: F
Age: 53
State: IN

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

Lab Data: n/a

Allergies: diluadid

Symptoms: Chills, Fever, Muscle aches, nausea/vomiting, fatigue

Other Meds: Metformin Lantus Humalog Lipitor Pravastatin chlorthialdone amaryl Ibuprophen potassium estradial zantac levothyroxine

Current Illness: none

ID: 0987727
Sex: F
Age: 54
State: FL

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

Lab Data: none

Allergies: None

Symptoms: It started with chills around 4:00 PM. I became progressively more ill within the next few hours. By 6:00 PM I had severe chills, a fever of 102, muscle aches, loss of appetite due to nausea. At 4:00 AM I was awakened by a raging headache. The fever had subsided. My left arm (injection site) is quite sore. 24 hours after injection it remains sore, limiting mobility.

Other Meds: None

Current Illness: None

ID: 0987728
Sex: F
Age: 40
State: ME

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

Lab Data: None. Self treated with Benadryl and duonebs

Allergies: Cattle protein, hazelnuts, Zithromax, Vicodin, Advair, Almonds

Symptoms: Vomiting, shortness of breath, itching, joint pain, hot, swollen, red, itchy arm from shoulder to elbow started 45 minutes after vaccine.

Other Meds: Benadryl, singulair, proair, zyrtec

Current Illness: Adverse reaction to first dose Moderna

ID: 0987729
Sex: F
Age: 75
State: PA

Vax Date: 01/21/2021
Onset Date: 01/27/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Redness and itchy arm

Other Meds: Vitamin d, magnesium, vitamin c, fish oil Doxepin

Current Illness: No

ID: 0987730
Sex: F
Age: 40
State: IL

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

Lab Data:

Allergies: None

Symptoms: Moderate chest pain lasting 12 hours and hot/cold flashes, generalized achyness starting at 4 pm day of vaccine. Following lasted started day after vaccine and lasted 24 hours: fever, fatigue, achyness, hot/cold flashes, headache, sore arm, burning nose. Took Tylenol, left work early, went home slept on 1/29/21 additional 5 hours from 3 pm until 8 pm. Back to bed 12 am to 8 am following day

Other Meds: None

Current Illness: None

ID: 0987731
Sex: F
Age: 71
State: TX

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: Sulfa drugs, macrobid, macrodantin

Symptoms: Injection on Jan 22, no problems at first but 6 days later, shivery on Jan 28, then itchy rash on left arm near injection site noticed about 7p.m. on Jan 29 and spread a little more on Jan 30. I feel a little shaky but may just be panicky. No treatment thus far.

Other Meds: Losartan, Indapamide, Doxazosin, K-Chlor (Potassium), Calcium + D3, Vitamin C, Pepcid,

Current Illness:

ID: 0987732
Sex: F
Age: 28
State: WA

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

Lab Data:

Allergies: Oxycodone

Symptoms: Extreme pain when moving, unable to sleep due to pain. Lymph node so swollen it feels like a golf ball, and it?s very hard to use my left arm. Fever and sweats and shaking as well. I haven?t cried from pain in years but it is that bad currently.

Other Meds: Lamotrigine and Buspirone

Current Illness: N/A

ID: 0987733
Sex: F
Age: 66
State: TX

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

Lab Data: Na

Allergies: Codeine

Symptoms: Fever, aches, malaise, nausea

Other Meds: Farxiga Omeprazole Simvistatin Levothyroxin

Current Illness: Na

ID: 0987734
Sex: F
Age: 71
State: IN

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

Lab Data: none

Allergies: none

Symptoms: fever, chills, muscle and joint aches

Other Meds: none

Current Illness: none

ID: 0987735
Sex: F
Age: 38
State: IN

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: n/a

Symptoms: 8 days after, I have a swollen, warm, red patch where I received the vaccine. It is raised and itchy. It is about 2x3 inches.

Other Meds: n/a

Current Illness: n/a

ID: 0987736
Sex: M
Age: 79
State:

Vax Date: 01/01/2021
Onset Date: 01/20/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Headaches/sore arm/tired

Other Meds: High blood pressure/cholesterol/celebrex

Current Illness: None

ID: 0987737
Sex: M
Age: 65
State: MI

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/30/2021
Hospital: Y

Lab Data: CT, MRI, EEG, labs. All negative except for low B-12 level.

Allergies:

Symptoms: On 1-23-21, less than 24 hours after the vaccine was administered, the person developed facial numbness, slurred speech, memory difficulty. BP: 200/100. This occurred again on day 3. Hospitalized a total of 6 days. Discharged home on 1-29-21. Diagnosis: TIA, possible seizures. No history of either. Positive history for controlled hypertension.

Other Meds:

Current Illness:

ID: 0987738
Sex: F
Age: 43
State: TX

Vax Date: 01/21/2021
Onset Date: 01/27/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: Phenergan

Symptoms: Lump - above left collar bone at base of neck; approximately half an inch in diameter; mild tenderness; no change in size or tenderness in last 48 hours; no treatment; no impact on ability to work or function

Other Meds: 1. VENLAFAXINE HCL ER 150MG CAP ER 24H x1 2. ADDERALL XR 30MG CAP ER 24H x2 3. HYDROCHLOROTHIAZIDE 12.5MG CAPSULE x1 4. CETIRIZINE HYDROCHLORIDE, 10 mg TABLET 24H x1 5. ATENOLOL 25MG TABLET x1 6. LEVONORGESTREL-ETH ESTRADIOL 90-20MCG TABLET

Current Illness: None

ID: 0987739
Sex: F
Age: 28
State: RI

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Light headed/ hypertensive

Other Meds:

Current Illness:

ID: 0987740
Sex: M
Age: 49
State: PA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: 102.7 fever began 1/27/21 approx 4pm, along with bad headache. Headache and Low grade fever continued until 6:30 am ,1/29.

Other Meds: Citalopram Atorvastatin

Current Illness: N/A

ID: 0987741
Sex: F
Age: 24
State: CT

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: N/A

Allergies: Macadamia Nuts

Symptoms: Arm Soreness Extreme fatigue Hot flashes

Other Meds: NorG-E birth control Women?s multivitamin Vitamin C supplement

Current Illness: N/A

ID: 0987742
Sex: F
Age: 76
State: MD

Vax Date: 01/22/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: Iodine

Symptoms: Delayed injection site reaction: redness, hot to touch, itching, slight swelling. This is the second day of the delayed reaction so it persists although itching has stopped.

Other Meds: Synthroid, pravastatin, multivitamin, vitamin D, Caltrate

Current Illness:

ID: 0987743
Sex: F
Age: 26
State: IN

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

Lab Data:

Allergies: None

Symptoms: Fever, Headache, Fatigue Took Tylenol PM Symptoms resolved after about 24 hours

Other Meds: None

Current Illness: None

ID: 0987744
Sex: F
Age: 32
State: FL

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

Lab Data: None

Allergies: Wasp and Hornets Indoor & outdoor allergies

Symptoms: Severe Allergic Reaction- swollen tongue, swollen throat, hoarseness. Symptoms started approximately 45 mins after vaccine and worsened over 3 hours post vaccine. In ER received IV Decadron, IV Benadryl, and IVF NS. Observed for 2.5 hours symptoms improved discharged home with Medrol , pepcid, and to take oral Benadryl every 6 hours for 48 hours.

Other Meds: Women's Multivitamin Ozempic Claritin Tylenol

Current Illness: None

ID: 0987745
Sex: F
Age: 63
State: NJ

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient complained oof transient light headedness. Vital signs were taken, everything within normal limits. patient laid down in medical station for 15 minutes. patient felt fine and went home.

Other Meds:

Current Illness:

ID: 0987746
Sex: F
Age: 29
State: TX

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

Lab Data:

Allergies: Sensitive skin. Seasonal allergies and allergies to some animals.

Symptoms: Body rash in left arm - small hives and severe itchiness. Then same rash and hives in right arm shortly thereafter. Rash appeared on the back the evening of the injection around 9:30pm and has continued for 12 hours with severe itchiness.

Other Meds:

Current Illness:

ID: 0987747
Sex: F
Age: 46
State: NY

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: MORPHINE, SEASONAL: POLLEN, MOLD, GRASS, DUST

Symptoms: MODERNA COVID-19 VACCINE EUA DIME TO QUARTER SIZED ITCHY SPOTS (HIVES) ON BOTH WRISTS, LEFT HIP, UNDER RIGHT BUTT CHEEK, INSIDE RIGHT ELBOW, BACK OF LEFT UPPER ARM. WERE ALWAYS THERE BUT DIDN'T ITCHY ALL AT ONCE OR ALL THE TIME. WOULD GET RED, INFLAMED, WELT UP, ITCH HORRIBLY INTERMITTANTLY. PIN POINT SIZED ITCHY SPOTS WOULD ERRUPT ON DIFFERENT PARTS OF THE BODY, RANDOMLY FOR A DAY, THEN DISAPPEAR. BENEDRYL CREAM STOPPED THE ITCHING, BUT THE WELTS ARE STILL THERE

Other Meds: AMOXICILLIN & CLAVULANATE POTASSIUM 875MG/125MG, VITAMIN D3

Current Illness: STAFF INFECTION (STARTED 01/03, ANTIBIOTICS STARTED 01/06)

ID: 0987748
Sex: F
Age: 69
State: FL

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: no yet done

Allergies: gluten

Symptoms: a few days after my covid shot my right should be to hurt. I am left handed and have had a torn rotor cuff in my left arm and now my right arm where the shot was given is having the same painful symptoms as a torn rotor cuff. Before the shot i had absolutely no problems with my right arm

Other Meds: levothyroxine 100 mcg burpropion 150 mg calcium w/d multi vitamin

Current Illness: no

ID: 0987749
Sex: F
Age: 53
State: NJ

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 3 cm swelling at injection site. no tenderness, no erythema. Monitored for 30 minutes. No change or increase in size. No associated symptoms.

Other Meds:

Current Illness:

ID: 0987750
Sex: F
Age: 23
State: VA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: n/a Contacted employee health about side effects on the 28th and was told to complete this form.

Allergies: Septra and Cephalosporins

Symptoms: Fever of 101 noted at 01:00 on the 27th of January. Headache, dizziness, nausea, and loss of appetite also noted. Dizziness still noted on the 28th, all other side effects cleared.

Other Meds: Aviane, previous Rituxan treatment on Oct 8th

Current Illness:

ID: 0987751
Sex: F
Age: 74
State: AZ

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

Lab Data: See above

Allergies: None

Symptoms: My mom received her vaccine at her assisted loving facility. I talked to her that evening and she felt good. No pain. No complaints of anything. Overnight she had respiratory distress. Per EMS her O2 seats were in the 60s . She stoped breathing en route. Currently on a vent, pressers. COVID test at the hospital is negative.

Other Meds: Tylenol ES

Current Illness: No acute illness

ID: 0987752
Sex: M
Age: 66
State: TX

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

Lab Data: none

Allergies: None known

Symptoms: rash over 50% of body. Never have experienced anything like this before except maybe when I had the measles as a child. First noticed morning of 1/28/2021. rash is red with small bumps, slightly itchy in one or 2 places at time of reporting. Right now, very mild symptoms

Other Meds: Lisinopril 40mg Diltiazem 120mg Vitamin D3 50 mcg Aspirin 81mg Vitamin K2 100mcg

Current Illness: None

ID: 0987753
Sex: F
Age:
State: AZ

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

Lab Data:

Allergies: FUREXONA

Symptoms: FEVER SEVERE PAIN MUSCLES

Other Meds: N/a

Current Illness: No

ID: 0987754
Sex: F
Age: 59
State: MA

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

Lab Data:

Allergies: None known

Symptoms: Within 5 minutes tongue swelled and throat scratchy. Given Epipen and transported by ambulance to Hospital. At hospital given IV prednisone and Pepcid

Other Meds: Lisinopril 5 mg Simvastatin 5 mg Famitadine 20 mg Fish oil Vitamin d Vitamin C

Current Illness: None

ID: 0987755
Sex: M
Age: 72
State: KS

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: n/a

Allergies:

Symptoms: chills, headache, nausea, tiredness, allergic reactions( primarily on left side of head, swollen ear, jaw, neck, rash on scalp, some weakness and dizziness)

Other Meds:

Current Illness:

ID: 0987756
Sex: F
Age: 51
State: IL

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: N/a

Allergies: No

Symptoms: Aches sweats fatigue headache muscle pain joint pain chills Nausea

Other Meds: N/a

Current Illness: No

ID: 0987757
Sex: F
Age: 67
State: FL

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

Lab Data:

Allergies: Codeine, chocolate, strawberries

Symptoms: Began with sweating than pain in upper back between shoulder blades, radiated from back to chest. Tightening of jaw (as when eating something really tart). Pain felt similar to muscle spasms and would be bad enough to cause nausea & vomiting. When pain subsided would experience chills and shivering. This would come and go over the next 5-6 hours. Checked for fever, but temperature was within normal range.

Other Meds: Levothyroxine, Omeprezole, Zyrtec,, vitamin D, Calcium

Current Illness: None

ID: 0987758
Sex: F
Age: 69
State: NC

Vax Date: 01/22/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: doctor doing physical exam

Allergies: Naprosyn and any thing in that family including ASA, sulpher base medications, Benzoin solutions

Symptoms: Bells Palsy lt side of face , Week after injection

Other Meds: Lasix 80mg qam, Spironalactone 100mg qam, Fenofibrate 48mg qam, Levothyroxine 175 mcq qam, Vit D 50,00 unit q weekly, Potasium 99mg qam, Simvastin 40 mg q evening, Melatonin 5mg q night, Biotin 5000 mcq qam, Vit B12 1000mcq qam, Lanreoti

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm