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: 0987859
Sex: F
Age: 38
State:

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

Lab Data:

Allergies:

Symptoms: Mild fever, moderate-severe chills.

Other Meds:

Current Illness:

ID: 0987860
Sex: M
Age: 59
State: MA

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

Lab Data: Urinalysis, blood work

Allergies: Raglan, tegretol

Symptoms: Fever of 102.0 lethargy

Other Meds: Ativan, Coumadin,Pepcid, Risperdal, Flomax, lasix, Prilosec, miralax. So is amuse, lamictal, depakote, Paxil

Current Illness: No acute illnesses

ID: 0987861
Sex: F
Age: 26
State: PA

Vax Date: 01/20/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: Saw a virtual doctor on the night of 1/29/21.

Allergies: None

Symptoms: I received Botox injections on 1/21/21 to both jaw muscles. On the evening of 1/29/21, the left side of my face became swollen and felt tingly, numb, and painful. My lips also became swollen when I woke up the morning of 1/30/21.

Other Meds: Prozac, Vyvanse

Current Illness: None

ID: 0987862
Sex: F
Age: 34
State: TX

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

Lab Data: None

Allergies: None

Symptoms: Fever reaching 102, general malaise, body aches, hip knee ankle pain on R side.

Other Meds: None

Current Illness: None

ID: 0987863
Sex: F
Age: 68
State: IN

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

Lab Data: n/a

Allergies: N/A

Symptoms: Red area 2-3 inch diameter itchy

Other Meds: Metoprolol Amlopdipine Triamterene 81 mg aspirin Atorvastatin B12 Multiple Vitamin Fish oil Vitamin C Vitamin D Calcium Magnesium Green Tea

Current Illness: N/A

ID: 0987864
Sex: F
Age: 35
State: NY

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies:

Symptoms: January 19- Sore arm ( hard to lift above head) , achy body, fatigue January 20- Sore arm ( hard to lift above head), achy body, fatigue January 21- slightly sore arm January 29- Round red "rash" around injection site. Circle is around 2.5 inches wide. Site slightly itchy January 30- Round red "rash" around injection site. Circle is around 2.5 inches wide. Site slightly itchy

Other Meds:

Current Illness:

ID: 0987865
Sex: F
Age: 70
State: CO

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: Cymbalta, Tramadol, IV Iodine, Latex,

Symptoms: Rash at injection site with 4 to 5 inch circumference. Noticed the morning after the injection. Warm to feel. Rash has not disappeared two weeks post injection. Have rubbed in Benadryl cream and Arnica gel. Take Xyzal antihistamine daily

Other Meds: Thyroxine, Gabapentin, Acetaminophen, Bystolic, Estradiol, Crestor, Progesterone, Probiotic

Current Illness: None

ID: 0987866
Sex: F
Age: 76
State: WI

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

Lab Data: none

Allergies: dust, penicillin, lactose

Symptoms: Began to have slight wheezing and coughing on Wed afternoon, the day after getting the shot. Thursday wheezing and coughing increased and woke me up during the night several times. Cough was productive with clear sputum. Friday felt very tired all day and coughing and wheezing increased substantially, producing shortness of breath upon any exertion, like going up and down the stairs. Very tired. Began to think I'd have to go to see the Dr. because wheezing was significant with every breath. Cough was racking, increasing through the day into the evening. At 10 p.m. I began to wonder if I'd make it through the night without calling the rescue squad. Couldn't take a deep breath or speak a whole sentence with out a coughing jag. Then, suddenly about 11:30, it just ceased. The tightness in my chest went away, the coughing with every inhalation stopped and I could take a deep breath. It was a bit stunning. Because I had pulmonary embollisms about ten years ago, my lungs have been a weak spot in my body with bronchitis occurring frequently. I hadn't seen reports of this side effect of the vaccine, so I thought I'd report it. This morning, Saturday four days after the shot, I am breathing much better, not coughing, and do not have any wheezing.

Other Meds: lisinopril 40mg1x day carvedilol 12.5 2x day simvastatin 40mg 1x day vit. D3 Vit. E CoQ10 low dose Bayer asprin Triamn/Hctz 37.5 1x day

Current Illness: none

ID: 0987867
Sex: F
Age: 53
State: WA

Vax Date: 01/21/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: Sulpha, lisinopril

Symptoms: Soreness and redness and hardness that emerged a week after the injection

Other Meds: Xzayal, Valtrex, Micardis, Metotroplol, Singular, Lessina,Azelastine, flonase, multiviatmin, co-Q10, Vitamin D, Calcium, magnesium.

Current Illness: none

ID: 0987868
Sex: F
Age: 77
State: OK

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

Lab Data: none

Allergies: Morphine

Symptoms: Within 2 hours of receiving vaccine I began feeling achy and cold; within the next two hours was experiencing hard chills, fever of 101.7; muscle aches and pain. This lasted 33 hours; chills stopped, aches lessened and fever began dropping. By 40 hours after shot temp was normal, no chills or body aches. At 44 hours after event, am back to normal.

Other Meds: Progesterone; Armodafinil; Pantoprazole; Furosemide; Losartan; Pramipexole; Diltiazem; D3; B12; C; Colace; Cetirizine; Mucinex; Aspirin

Current Illness: Puemonia and COVID 19 (hospitalized - released 12/22/2020)

ID: 0987869
Sex: F
Age: 76
State: CA

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

Lab Data: none

Allergies: miacalcin -- eye problems

Symptoms: swelling and redness at injection site, approximately one week after vaccination

Other Meds: Lovastatin levothyroxine -- niacin multivitamin vitamin E-- vitamin C -- aspirin--

Current Illness: none

ID: 0987870
Sex: F
Age: 22
State: MN

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

Lab Data: None.

Allergies: Tetracycline.

Symptoms: 28 hours post vaccine I noticed a rash on my chest and upper back. The rash was not raised and did not itch, but there was a mild tingling sensation to it. 40 hours post vaccine the rash included my neck, stomach, upper back, and chest. The rash was not raised and did not itch, but there was a mild tingling sensation to it. The rash seemed to be the most intense between 40 to 44 hours post vaccine. Following 44 hours post vaccine the rash began to gradually lighten and the tingling disappeared. At 52 hours post vaccine the rash was barely noticeable in color with no tingling.

Other Meds: None.

Current Illness: Tested positive for COVID-19 on 12/28/2020.

ID: 0987871
Sex: M
Age: 67
State: WA

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

Lab Data:

Allergies:

Symptoms: Moderna COVID-19VaccineEUA reacts small prickly rash

Other Meds:

Current Illness:

ID: 0987872
Sex: F
Age: 66
State: MS

Vax Date: 01/19/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Red circular rash around injection site about 2 inches in diameter . Noticed about 10 days after vaccine.

Other Meds: Multi vitamin Omega 3 Zinc Probiotic Zoloft Klonopin

Current Illness: Seasonal allergies

ID: 0987873
Sex: M
Age: 81
State: NJ

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

Lab Data: none to date

Allergies: seasonal hay fever, dust, pollens

Symptoms: swelling, hardness in shoulder around vaccine site, pain when site is pushed or arm raised, very little otherwise

Other Meds: Norvasc, synthroid, vitamin D, C, folic acid, occasional antihistamine, melatonin

Current Illness: none

ID: 0987874
Sex: M
Age: 49
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: fever, muscle aches

Other Meds: hyoscamine, torvostatin

Current Illness: none

ID: 0987875
Sex: F
Age: 45
State: GA

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

Lab Data:

Allergies: NKA

Symptoms: Patient was given at 10:05 vaccine, sat in car for 15 minutes left and came back at 10:55 stating, "I do not feel right. I feel itchy and like I have drank a lot of caffeine. 10:55 gave 50 mg of benadryl (refused epi pen). EMS was called at that time. 143/99, 99 Pulse. EMS arrived and evaluated patient and discharged at 11:10 AM>

Other Meds: No

Current Illness: No

ID: 0987876
Sex: F
Age: 72
State: FL

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

Lab Data: none

Allergies: none known

Symptoms: Body aches, low grade fever (99.4), chills. Lasted about 5 hours.

Other Meds: none

Current Illness: no

Date Died: 01/26/2021

ID: 0987877
Sex: M
Age: 86
State: MI

Vax Date: 01/14/2021
Onset Date: 01/26/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: NA

Allergies: PCN

Symptoms: REC'D CALL FROM PT'S SON, PT HAS BEEN ON HOSPICE CARE AND PASSED 1/26/21. DOES NOT BELIEVE THIS IS RELATED TO VACCINE ADMINISTRATION, BUT WANTED TO REPORT TO US.

Other Meds: UNKNOWN

Current Illness: PT WAS ON HOSPICE CARE AT TIME OF VACCINATION

ID: 0987878
Sex: F
Age: 30
State: ID

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

Lab Data: None

Allergies: None

Symptoms: Evening of injection, pain in joints of left side Day after injection, joint pain continues, skin sensitivity, migraine, nausea, low grade temp (99.6)

Other Meds: NuvaRing birth control Ubrelvy (taken morning after vaccine for migraine) Acetaminophen/ibuprofen (before bed evening of vaccine Women's multivitamin Fish oil +D3 Vitamin E Claritin/Flonase combo

Current Illness: Strep throat December 30th, 2020

ID: 0987879
Sex: F
Age: 71
State: IA

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

Lab Data:

Allergies: none

Symptoms: Significant pain at injection site, mild swelling, interfered with sleep, pain in shoulder joints. Started acetaminophen morning after injection at 10.30. Took every four hours and at bedtime. Slept well last night and pain diminished in morning. Continuing acetaminophen second day and pain is diminished. I feel much better.

Other Meds: atorvastatin calcium day and propranolol x3/day for essential tremor multivitamin, calcium plus Vit D, fish oil, AREDS2, aspirin

Current Illness: none

ID: 0987880
Sex: F
Age: 23
State: MO

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

Lab Data:

Allergies: None

Symptoms: Fever of 101, body aches, headache. Onset 10 hours after injection. Managed on ibuprofen.

Other Meds: Nortrel 1/35

Current Illness: None

ID: 0987881
Sex: M
Age: 82
State: VA

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

Lab Data: None

Allergies: None

Symptoms: Severe swelling of left hand

Other Meds: Lisinopril 5MG TAB 1 daily; Gabapentin 300MG CAP 3 daily at night; Docusate 100MG CAP 1 daily; Cyanocobalamin (VIT B-12) 1000MCG TAB 1 daily; Ferrous Sulfate 325MG TAB 1 daily; CO Q-10 200MG 1 daily; Fish Oil 1200MG/360MG Omega-3 1 daily; B

Current Illness: None

ID: 0987882
Sex: F
Age: 22
State: MD

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

Lab Data: N/A

Allergies: N/A

Symptoms: 1/27 6:00 PM - aches, runny nose, sore arm, headache, exhaustion 1/27 12:00 AM - extremely sore arm 1/28 all day - extremely sore arm, aches, exhaustion 1/29 all day - large red inflamed circle on bicep, hardened muscle underneath inflamed circular mark, sore arm, tiredness 1/30 all day - no side effects

Other Meds: Bupripriol 10 mg Apriprazole 5 mg Adderall XR 10 mg

Current Illness: COVID-19 prior to vaccination

ID: 0987884
Sex: F
Age: 67
State: AZ

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

Lab Data: None

Allergies: Neosporin (only one reaction years ago after eye surgery)

Symptoms: No problem with injection site. Developed what appears to be a rash (hives?) on my right side at my waistline. Noticed two spots and at first thought it was bug bites. Since Wednesday, several more spots have appeared in same area around waist from navel area around to back. Spots are not large or itchy but have an occasional mild sensation like a twinge (mostly from the new spots). Been self-treating with witch hazel, hydrocortisone cream, fexofenadine and acetaminophen. Note: I am assuming this is a side effect from Covid vaccine because I have never before had hives. I had a senior flu shot in October with no side effects.

Other Meds: Rx: Losartan; Rosuvastatin Supplements: Low-Dose Aspirin, Vit D3, CoQ10, Krill Oil, Vit B-complex, Calcium/Magnesium/Zinc, Emergen-C Immune

Current Illness: None

ID: 0987885
Sex: M
Age: 51
State: OH

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

Lab Data:

Allergies: All Ciitrus NAfoods

Symptoms: Fever 102-103 with fever reducing meds Severe Headache , chills, lethargy and pain in hips Skin/touch painful All symptoms started at 6pm 1/28 till now 11:39am Fever down to 101 as of 9:30am with fever reducing meds/ Ibuprofen 800mg taken at 5am

Other Meds: Mens one a day vitamin Ibuprofen 800mg

Current Illness:

ID: 0987886
Sex: F
Age: 65
State: NJ

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

Lab Data:

Allergies: sulfa

Symptoms: About 26 hours after receiving the Pfizer Covid Vaccine, I experienced about half an hour of extreme dizziness, starting about 6:00 pm. It lasted so long that I decided to just go to bed. I have never experienced such intense dizziness before. Also, I felt tired the next day, and just stayed home and rested. So far, I have not had any more dizzy spells.

Other Meds: Clonazepam 0.5 mg Escitalopram 10 mg Celebrex 200 mg Adult Multi-vitamin Vitamin D supplement 1000 IU Calcicum/D3 supplement Osteo Bi-Flex Acidophilus Fish oil

Current Illness: none

ID: 0987887
Sex: F
Age: 48
State: WI

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

Lab Data: none

Allergies: none

Symptoms: Injection site is quite red and swollen and painful. It is hard to elevate my arm.

Other Meds: Atenolol BID Sterols supplement fish oil supplement tyelonol

Current Illness: none

ID: 0987888
Sex: F
Age: 40
State: MD

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

Lab Data: N/A

Allergies: NSAIDS

Symptoms: Patient c/o slight numbenss at the injection site and to the back side of the arm along with feelings of queasiness. Ears were flush, no redness noted at the injection site or arm after fifteen minutes. Pt was able to lift her arm and hold it without any difficulty. Pt reported not eating anything this morning before recieving the vaccine. Pt allowed to lie down and monitored for 15 more minutes. Pt verbalized that she felt better after the additional 15 minutes, ears were with in normal color.

Other Meds: N/A

Current Illness: N/A

ID: 0987889
Sex: F
Age: 71
State: GA

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Lymphadenopathy, possibly. Tenderness under armpit and in underside of arm. Started on day 3 following the shot. Has continued until now (day 12). Tenderness has lessened in my lower arm, but continues in my upper arm and under armpit.

Other Meds: Amlodipine,Rosuvastatin, krill oil, baby aspirin, zinc, vitamin B, vitamin D, glucosamine chondroitin

Current Illness: None

ID: 0987890
Sex: F
Age: 42
State: CA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: Sulfa antibiotics

Symptoms: Burning sensation on inside of arm where injection was given. Some swelling and redness in upper arm. All symptoms lasted 3 days.

Other Meds: None

Current Illness: None

ID: 0987891
Sex: M
Age: 48
State: NY

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

Lab Data: none

Allergies: none

Symptoms: Fever, chills and body aches Large raised red rash on left arm below injection site aprox 5" around

Other Meds: Lipitor, multivitamin

Current Illness: none

ID: 0987892
Sex: F
Age: 25
State: SC

Vax Date: 01/08/2021
Onset Date: 01/23/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: Nonexistent

Allergies: None

Symptoms: I had no symptoms at the tome of the vaccine but about two weeks later, I began experiencing hives, urticaria, and redness at night for several days. I?ve never experienced hives before but they came every day for about a week. After my second dose, I haven?t experienced any symptoms or hives.

Other Meds: Spironolactone 100mg

Current Illness: None

ID: 0987893
Sex: F
Age: 44
State: VA

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

Lab Data:

Allergies: Shrimp, mold, mildew, pollen, grass pollen, dander, bleach, latex, lavender, metformin, trileptal, sulfa drugs, Fasenra, smoke of all kinds, chemicals, fragrances, wheat, yeast

Symptoms: At first I was feeling dizzy, then the back of my throat felt itchy. EMS came over, and took my temperature, which was 98 degrees. Then I started to feel compression and pain in my ribs on both sides, and the middle of my chest - like an elephant was sitting on it, or I had a corset wrapped too tightly around my diaphragm. Then I started having uncontrollable coughing fits, followed by wheezing. EMS got me some ice packs for my ribs and the middle of my chest, but I had to get up and use the bathroom. When I get anaphylaxis, I usually take two aspirin, a benadryl, a cetirizine, a CBD capsule, a famotidine, a 20 mg steroid pill, and a hydroxyzine pill - all at once. EMS agreed I should take it, and they gave me a shot of epinephrine in the arm. then they loaded me on to the ambulance, where I got a shot of steroid, and we went to the hospital in. EMS also started an IV for me. At the hospital, they gave me another shot of EpiPen, over 20 minutes after the first one, and a shot of Benadryl. by the end of 2 hours, my breathing was back to normal, and I was able to go home. Today I still feel a little bit dizzy, but mostly my arm is sore where I got the vaccination. I also still have a headache.

Other Meds: Triamterene, levothyroxine, cetirizine, humalog pen, nasal crom nose spray, aspirin, vitamin D2

Current Illness: Bronchitis / pneumonia Anaphylaxis

ID: 0987894
Sex: F
Age: 74
State: GA

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

Lab Data: N/a

Allergies: none

Symptoms: Injection site started itching 8 days after vaccination (1/29) and on day 9 (1/30) patient developed a raised red circle about the size of an orange at the vaccination site. She will go to a take-care clinic today if it doesn't resolve. She is not running a fever.

Other Meds: hctz, estradiol, oxybutynin, vitamin c, vitamin E, B complex, calcium

Current Illness: none

ID: 0987895
Sex: F
Age: 77
State: WA

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

Lab Data:

Allergies: Shellfish Calcium Sulpha Antibiotics Codine

Symptoms: Arm where shot given is red and hot and achy. Much worse than when I received the vaccine.

Other Meds: Bystolic 10 Mg Bystolic 5 mg Liothyronine 5mcg Echinacea 400 mcg Aloe Vera Capsules COQ10 Vitamin D3

Current Illness: none

ID: 0987896
Sex: F
Age: 36
State: GA

Vax Date: 01/19/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: Bactrum/Sulfa Cats, Birds Bananas

Symptoms: vaccine administered 1/19, red ring and pain and stiffness and heat on 1/28. redness is growing

Other Meds: Levothyroxine

Current Illness: none

ID: 0987897
Sex: F
Age: 37
State: NY

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

Lab Data:

Allergies: Ciprofloxacin, pineapple

Symptoms: Pt reported right neck swollen and right side of the tongue swollen. Pt then turned all red and stated "I'm gonna pass out, I'm gonna pass out" and then passed out sitting on the chair for less than 1 minute. NS 1L given bolus. Send to ER via stretcher

Other Meds: None

Current Illness: No active medical problems

ID: 0987898
Sex: F
Age: 56
State: CA

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

Lab Data: none

Allergies: none

Symptoms: fever up to 101.8, chills , body aches, and fatigue. symptoms started at about 8 am the Friday morning 1/29/2021 after the shot was given (Thursday 1/28/2021 at 430 pm) . symptoms lasted until fever broke at about 1am Saturday 1/30/2021 morning. today, at this time of reporting 8:52 at on Saturday 1/30/2021 , symptoms are gone and feeling nearly back to normal .

Other Meds: Aleve

Current Illness: none

ID: 0987899
Sex: F
Age: 0
State: CO

Vax Date: 12/01/1981
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: Mon

Allergies: Non

Symptoms: Swelling, redness, and itching a week after shot.

Other Meds: Escitalopram

Current Illness: Non

ID: 0987900
Sex: F
Age: 78
State: VA

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: Sulphur drugs

Symptoms: Not Serious. Just unusual as it started 7 days after, at shot site on rt arm, became red and itching. Now 10 days later still itchy and red. Not hot to touch, no fever. Just itchy and red on arm. No ther pain now or other symptoms.

Other Meds: Metformin, Fosamax, atorvadtatin, premarin.vitamins

Current Illness: None

ID: 0987901
Sex: F
Age: 44
State: MI

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

Lab Data: None

Allergies: none

Symptoms: 1 week after vaccine pt noticed red, swelling, and itching below the site of injection

Other Meds: 1 week after vaccine pt notice erythema, swelling, and itching located below where vaccine was given.

Current Illness: none acute.

ID: 0987902
Sex: F
Age: 90
State: NY

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

Lab Data: None

Allergies: Penicillin

Symptoms: Severe stomach pain, worn out/fatigue

Other Meds: Xarelto, Levothyroxine, Digoxin, Anastrozole, Vitamin D, Iron

Current Illness: None

ID: 0987903
Sex: F
Age: 45
State: NY

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

Lab Data: TEST WILL BE DONE 1/30/21 AT 530

Allergies: n/a

Symptoms: SWELLING IN THE ARE THE SHOT WAS GIVEN, HEADACHE AND FEVER

Other Meds: zoloft 50 mg

Current Illness: no

ID: 0987904
Sex: F
Age: 54
State: NH

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

Lab Data: none

Allergies: vicodin (itching); keflex (rash); nickel; seasonal (unspecified)

Symptoms: 20-30 minutes post vaccine, some prickling/tingling around nose and mouth, with some facial flushing. Did not progress, waxed and waned. Had more flushing later, took benedryl. Went to Urgent care, advised benedryl to continue, but did not feel there was any cause for concern. Day after injection, mild flushing at times, and diffuse mild itching including scalp, face, particularly borders, and general arms, legs, torso. No rash, hives, and itching not aggressive, just mild. Persisted for about a week. Feel anxiety may have played role. Continued with benedryl. Had telehealth visits with PCP and with allergist. Resumed taking zyrtec daily with additional dose in pm- symptoms resolved. Not felt to be "serious" reaction by either MD, feel it is ok to have 2nd dose.

Other Meds: doterra vitamin/mineral/essential oil supplements; zyrtec (may not have taken on day of vaccine) prescriptions used prn: hydroxyzine, lorazepam, flexeril (none taken before vaccine) OTC prn: tylenol, ibuprofen, benedryl

Current Illness: none

ID: 0987905
Sex: F
Age: 64
State: TX

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

Lab Data: None

Allergies: NKDA

Symptoms: One week after (1/28) 1st injection, developed a slight cutaneous inflammation and itch in area surrounding injection site. Increased symptoms over past two days. Treated with Triamcinolone cream (my RX for atopic dermatitis flares) w/some relief. My research indicates this has not been cited as an issue for 2nd vaccine and continuing to self evaluate.

Other Meds: Sumatriptan 1/23/2021 Vit B12 1000 mcg Vit D3 2000 IU Daily

Current Illness: None

ID: 0987906
Sex: F
Age: 76
State: CA

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

Lab Data: RN took BP, HR, O2 Sat

Allergies: sulfa - rash

Symptoms: pt felt dizzy & hot

Other Meds: senior multivitamin, vitamin C, tumeric, cherry, biotin/ estradiol, flecainaide, metoprolol, lisinopril

Current Illness: N/A

ID: 0987907
Sex: F
Age: 36
State: TX

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies:

Symptoms: hives development within 24 hours on bilateral arms

Other Meds:

Current Illness:

ID: 0987908
Sex: F
Age: 61
State: NJ

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

Lab Data: None

Allergies: Vicodin, dilaudid

Symptoms: A itchy red rash formed around the injection site. It looks almost like hives. After 18 hours, the itching is less.

Other Meds: Sinemet, Amantadine,clonazepam

Current Illness: None

ID: 0987909
Sex: M
Age: 44
State: GA

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

Lab Data:

Allergies:

Symptoms: On Friday my body was achy, sore all over and I slept a lot. I also had a slight headache. Today, Saturday I feel much better. I?m still a little sore but not achy and no fever.

Other Meds: Levothyroxine, finasteride, escitalopram

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm