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: 0987960
Sex: F
Age: 37
State: AZ

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

Lab Data: None

Allergies: None

Symptoms: Injection site started to be painful around 3 PM same day of injection, around 6 PM that same evening of January 28 I began to feel really cool.... went to bed around 730 and throughout the evening I woke up about every 1 to 2 hours sweating but feeling cold. My body hurt to touch. Left work early January 29 because I did not feel good. Afternoon of January 29 around 4 PM I noticed some redness approximately an inch and a half below the injection site. Looked like a lump under my skin and it was painful to the touch. I took Benadryl the evening of January 29 and the morning of January 30.,Not sure if the Benadryl is helping. I am keeping an eye on the redness and the lump, if it does not go away I will contact my provider. I do not feel the chills or feverish anymore and I was able to sleep through the night on January 29

Other Meds: Move free joint health Chewable vitamin c

Current Illness: None

ID: 0987961
Sex: M
Age: 85
State: FL

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

Lab Data: na

Allergies: Aspirin and latex

Symptoms: Area was red, lump and itchy for a few days after injection and was fine. On 1/29/2021, the area became red the size of a dime and on the next day, became about a two diameter and became itchy and hot.

Other Meds: Yes

Current Illness: Takes oxycodine for back pain

ID: 0987962
Sex: F
Age: 18
State: PA

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

Lab Data: None

Allergies: Peppers, melons, environmental

Symptoms: First day fever, nausea, exhaustion, aches Second day vomiting multiple times extreme headache ,

Other Meds: Taytulla Cymbalta

Current Illness: Eosinophilic esophagitis

ID: 0987963
Sex: M
Age: 42
State: IN

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

Lab Data: None

Allergies: None

Symptoms: Woke up at 1:30am with stomach pain, then chills followed by uncontrollable shaking - No fever - Left arm pain and constant head ache for 36hrs after second vaccine - No reaction after the first round of vaccine

Other Meds: Xyosted and Omega 3 acid

Current Illness: None

ID: 0987964
Sex: F
Age: 71
State: FL

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

Lab Data: n.a.

Allergies: Bactrim, Cipro, Penicillin, Erythromycin, Ibuprofen, wasp strings

Symptoms: Day 8 - "Covid arm" started (left arm only); fading on day 11 - treated only with tylenol and cortizone cream Day 11 - hives on both arms - currently treating with oral Benadryl

Other Meds: Alphagan-P, Restasis, Dorzolamide HCL, lovastatin, carvedilol, Centrum, Caltrate, Vit C supplement, Omega-3 supplement

Current Illness: n.a.

ID: 0987965
Sex: F
Age: 35
State: TX

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

Lab Data:

Allergies: None

Symptoms: Red rash on arm at injection site. Appeared 7 days post injection. Itchy, warm to touch.

Other Meds: None

Current Illness: None

ID: 0987966
Sex: F
Age: 56
State: PA

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

Lab Data: N/A

Allergies: lisinipril

Symptoms: 1/27/21: Dizziness - very strong about 30 hours post vaccine and then again about 31 hours post vaccine. Very likely to fall if I wasn't able to sit/lay right down. 1/28/21: Dizziness - less severe than previous day but still had to lay down, occurred twice in the morning after getting out of bed at approximately 8 am 1/29/21: Dizziness - much less severe and it came and went, however if I moved my head too fast it would happen 1/30/21: Periodically vaguely dizzy

Other Meds: wild alaskan salmon oil 1000 mg super B-complex multivitamin vitamin D3 50 mcg plant based probiotic omeprazole dr 40 mg bupropion hcl xl 150 mg levothyroxine 25 mcg

Current Illness: N/A

ID: 0987967
Sex: F
Age: 52
State: NY

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

Lab Data:

Allergies:

Symptoms: Reported having a metallic taste in mouth. After waiting for 30-45 minutes reported tingling at the back of the mouth and throat. Called CODE 250 and was taken to the emergency room for medical management and observation.

Other Meds:

Current Illness:

ID: 0987968
Sex: F
Age: 61
State: TX

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

Lab Data:

Allergies: NKDA

Symptoms: PATIENT COMPLAIN OF FEELING ANXIOUS WITH CHEST DISCOMFORT. PATEINT DENIES SHORTNESS OF BREATH . RESPIRATIONS 22 HEART RATE 91 O2 SATURATION 98% DENIES CHEST PAIN

Other Meds: CHOLESTEROL MEDICINE ( PATIENT DOES NOT KNOW THE NAME OF IT)

Current Illness: NONE

ID: 0987969
Sex: F
Age: 20
State: NJ

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

Lab Data:

Allergies:

Symptoms: Symptoms- lightheaded Pt was diaphoretic and alert. reclined pt and he responded quickly. Water was given.

Other Meds:

Current Illness:

ID: 0987970
Sex: F
Age: 79
State: IN

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

Lab Data: None

Allergies: Sulfa drugs

Symptoms: Flu like symptoms for approximately 24 hours. Headache, muscle aches. Course of action Tylenol.

Other Meds: Levothyroxin A.endronate Atorvastatin Lisinopril Centrum Silver multi vitamin Vitamin D Glucosamine w/msn Fish Oil Aspirin

Current Illness: None

ID: 0987971
Sex: M
Age: 75
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: Flu like symptoms, body aches with no fever or chills.

Other Meds: atorvastatin, metoprolol, ibuprofen, tylenol.

Current Illness: none

ID: 0987972
Sex: M
Age: 48
State: GA

Vax Date: 01/16/2021
Onset Date: 01/27/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: n/a

Allergies: Penicillin and related

Symptoms: Itchy red rash approximately 3 inches in diameter all around the injection site.

Other Meds: Azelastine, Flonase, vitamin d3, zinc, multi vitamin

Current Illness: n/a

ID: 0987973
Sex: F
Age: 44
State: MD

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: reaction to coconuts

Symptoms: on day 7 (Friday) after shot my left arm formed a lump under the skin. It was red and hot to touch. Call the doctor and they recommended Benadryl . Saturday, Sunday and Monday the lump started to decrease but the attached redness around the lump began to grow each day. Went in to the doctor on Monday and she was not sure what it was a reaction or maybe a injection site infection. She wanted to be on the safe side in case it was an injection side infection and put me on Keflex. This is now 5 days later 1-30-21 and the lump is gone and slowly the redness is disappearing. (Still have a little redness now)

Other Meds: just a multi vitamin

Current Illness: none

ID: 0987974
Sex: F
Age: 18
State: TX

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

Lab Data: None

Allergies: None known

Symptoms: Chills, nauseous, fever, headache, body aches, joint pain & fainted

Other Meds: Birth control - Blisovi

Current Illness: None

ID: 0987975
Sex: M
Age: 69
State: WV

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

Lab Data: None

Allergies: None

Symptoms: Exactly 24 hrs after a shot broke out in raah, feeling of extreme sensitive skin tingling, followed by the feeling of burning up for 20 to 30 mins, followed by shivering and chills. Its been a about 3 hrs of feeling this way but it just now starting to slow down, like a more normal feeling is returning

Other Meds: Levythroxine, dezilant, eliquis, metropol, magnesium

Current Illness: None

ID: 0987976
Sex: M
Age: 60
State: WA

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

Lab Data:

Allergies: Atropine Sulfate as an adolescent (hallucinations).

Symptoms: Early this morning, woke with chills & cold. Put on socks, another shirt, added bedding, and slept fitfully yet warm. I arose with headache, muscle soreness, mild stomach upset & mild nausea. NO fever. This is the first hours after waking, self reporting vs. waiting for Monday when I might forget this even happened.

Other Meds: Caffeinated tea, sometimes coffee.

Current Illness: n/a

ID: 0987977
Sex: M
Age: 59
State: FL

Vax Date: 01/19/2021
Onset Date: 01/22/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: CAT Scan normal Blood Sugar x2 - both normal EKG x2 - both normal Blood work - all tests normal Urinalysis - all negative/normal

Allergies: Nexium

Symptoms: Approximately 60 seconds prior to emergency, patient felt a sense of panic (first time ever). Stated to me (wife) "I feel like I am having a panic attack" as we walked on to a parking garage elevator at 12:30 pm on 1.22.21. As I turned to push the button to go down, leaned against the wall of the elevator. His eyes fluttered and back, he was a little pale. When I turned around, again, he fainted and fell face down on the elevator floor. He never stopped breathing and had no convulsions. He was out for less than 30 seconds. When he came to, he got up by himself with minimal assist from me (911 was already on their way). He did not remember saying that he felt like he was having a panic attack; but he remember the fear/panic he felt just prior to. He was oriented x3. I had him smile, stick his tongue out and speak to make sure it was not a TIA or stroke and there were no symptoms of that. His bladder did release. He went by ambulance to the ER (we were on a mini vacation to celebrate his birthday). They did a CAT scan, checked his blood sugar twice, EKG twice, complete blood work panels and urinalysis All tests were either normal or negative. They found nothing. His BP was normal for the first 30 minutes at the hospital, then increased. But has been normal ever since (he checks it daily). Absolutely no other symptoms since that episode. He met with our PCP on 1.29.21 as a follow-up and she directed us to complete this form. She has ordered a consult with a Neurologist and that is scheduled for 3.10.21. His second shot for the vaccine is due on 2.9.21.

Other Meds: Atorvastatin 20 mg q day Rabeprazole 20 mg 2x day Hydrochlorothiazide 25 mg q day Losartan 50 mg q day

Current Illness: none

ID: 0987978
Sex: F
Age: 40
State: WI

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

Lab Data:

Allergies:

Symptoms: Client given Pfizer COVID vaccine 3 days after receiving first dose of Pfizer COVID vaccine. Client answered and signed on screening form that they had not received a vaccine in the past 14 days, and that this was their first dose of COVID vaccine. After vaccination was given it was discovered in WIR that client had received COVID vaccine 3 days prior.

Other Meds:

Current Illness:

ID: 0987979
Sex: F
Age: 80
State: WI

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: none

Allergies: iodine contrast media, tetracycline

Symptoms: Flat red rash approximately 3 inches in diameter surrounding injection site (looked like petechiae) with extreme itching for 2-3 days. Notified appropriate local site to report reaction. No more symptoms after 3 days. Unknown if caused by the Covid vaccine as it occurred 8 days after injection.

Other Meds: Tylenol #3, amlodipine, fenofibrate, vitamin D

Current Illness:

ID: 0987980
Sex: M
Age: 49
State: MA

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

Lab Data: NONE TO DATE I WILL NEED ASSTANCE FOR THIS ISSUE FROM SHOT.

Allergies:

Symptoms: MY ARM IS IN SERIOUS PAIN ALL DOWN MY ARM INTO MY FINGERS , FEELS LIKE POSSABLE NERVE DAMAGE NOT SURE PAIN WILL NOT GO AWAY AND SEAMS TO GET WORST EACH DAY , LOSS OF STRENTH WITHIN ARM FUCTION

Other Meds:

Current Illness:

ID: 0987981
Sex: F
Age: 62
State: CT

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

Lab Data:

Allergies: sulpha, thimerisol

Symptoms: Moderna COVID-19 Vaccine EUA I had the worst chills I ever had in my life for 2 days I had no energy for 2 days, was lightheaded--just like getting over the flu. Weak as a kitten. Not life-threatening, but thought you should know. and of course the injection site hurt like hell. But it does that for everyone--but I'm the only one I know of who's experienced such severe chills.

Other Meds: vitamins

Current Illness: no

ID: 0987982
Sex: F
Age: 63
State: IN

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

Lab Data:

Allergies: Penicillin, cardboard, dust, mold, hayfever

Symptoms: 10 hours after my vaccine I got a rush of heat to my feet...felt like they were swelling. Tingling & numbness followed & also went to my hands. 9 days later I still have some residual tingling, mostly in my feet.

Other Meds: Levothyoxine -0.125 mg

Current Illness: None

ID: 0987983
Sex: F
Age: 27
State: IN

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

Lab Data: No other tests

Allergies: Wellbutrin - tinnitus

Symptoms: Headache in PM of date of injection, low grade fever (99.5), sweats, chills, general body aches not limited to site of injection for full day after injection managed by tyleno 1/29l, continued headache 1/30 at time of filing report.

Other Meds: Viibryd, buspirone, hydroxizine, b12, vitamin d, fiber supplement, green tea supplement, biotin

Current Illness: Cold like symptoms (cough due to post nasal drip) after 1st dose of vaccine

ID: 0987984
Sex: F
Age: 74
State: OH

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

Lab Data: N/A

Allergies: Penicillum, sulfa, iodine, red dye, codeine, cephalosporins, garlic,

Symptoms: Swelling of the left arm, itchiness on arm and body. I took benadryl , ibuprofen, and ice pack on arm

Other Meds: amlodipine, atenolol, allegra, flonase, levotyroid, VitaminD, enchinacea tea , green tea

Current Illness: pnuemonia 11/26-12/05 collasped lung 11/26-12/05

ID: 0987985
Sex: F
Age: 33
State: OK

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

Lab Data: N/A

Allergies: PENICILLIN

Symptoms: PATIENT RECIEVED VACCINE AT 0815 ON 01/27/2021. SHE WAS OBSERVED FOR 15 MINUTES WITHOUT REACTION TO IMMUNIZATION. AROUND 2030 PATIENT REPORTS NOTICING SWELLING, HEAT, AND REDNESS TO INJECTION SITE. SHE THEN EXPERIENCED ONSET OF LOSS OF CONSCIOUNESS (APPROXIMATELY 1 MINUTE), WARM SWEATY FEELING, SHORTNESS OF BREATH, VOMITING, AND RINGING IN EARS. EMS CALLED BY FAMILY. PARAMEDIC EVAULATION. PATIENT VITAL SIGNS WITHIN NORMAL LIMITS WITH THE EXCEPTION OF HEART RATE, WHICH WAS TACHYCARDIC. PATIENT REFUSED CARE AND TRANSPORT. PATIENT REPORTED SYMPTOMS RESOLVED ON THEIR OWN AFTER APPROXIMATELY 20 MINUTES. PATIENT REPORTS EMS WAS ALSO CALLED ON 01/28/2021 FOR SAME SYMPTOMS. PATIENT AGAIN REFUSED CARE AND TRANSPORT.

Other Meds: N/A

Current Illness: N/A

ID: 0987986
Sex: F
Age: 79
State: FL

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

Lab Data: None

Allergies: Morphine, Percocet, Ultracet, Hycodan, Hydrocodone, Zithromax, muscle relaxers, adhesive tape, silk tape

Symptoms: Lump size 3" x 3" and itchy. Lasted since injection until now.

Other Meds: Levothyroxine 88 mcg, Symbicort 80, Vitamin E, Vitamin C, Vitamin D3, Fish oil, Cod liver oil gels, Calcium, Glucosamine, Chondroitin, fluticasone nasal spray, Alendronate,

Current Illness: None

ID: 0987987
Sex: M
Age: 72
State: NY

Vax Date: 01/19/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Delayed Cutaneous Hypersensitivity Left deltoid

Other Meds: Lipitor Finasteride Omeprazole Calcium + Vit D

Current Illness: none

ID: 0987988
Sex: M
Age: 55
State: CA

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

Lab Data:

Allergies: Penicillin

Symptoms: Weak, very tired , no energy , can?t move arm of injection site.

Other Meds: Blood pressure, cholesterol, pain meds antacid

Current Illness: None

ID: 0987989
Sex: F
Age: 45
State: OH

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swelling and soreness pain under left armpit front lower

Other Meds:

Current Illness:

ID: 0987990
Sex: F
Age: 66
State: VA

Vax Date: 01/20/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Rash about the size of a tennis ball. The area is raised. The raised site is hard underneath. The rash is red and itches.

Other Meds: Livalo 2mg HCTZ 23mg

Current Illness: None

ID: 0987991
Sex: F
Age: 24
State:

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

Lab Data:

Allergies:

Symptoms: Dizziness, swollen lymph nodes, nausea, headache, muscle soreness, swelling at injection site

Other Meds:

Current Illness:

ID: 0987992
Sex: M
Age: 63
State: TN

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

Lab Data:

Allergies:

Symptoms: Patient was a new admission since our 1st dose clinic. The facility failed to notify us that the patient was given the 1st dose on 1/7/2021 at another facility. We, therefore administered the second dose on day 21 instead of the 28 day interval for Moderna. The patient has not experienced any severe side effects as a result.

Other Meds:

Current Illness:

ID: 0987993
Sex: F
Age: 73
State: FL

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

Lab Data: None

Allergies: None

Symptoms: Headache; fever 100 degrees, chills, can't eat

Other Meds: Atorvastatin; Lisinopril; Collagen Peptides;Calcium ; Vitamin C ; Aspirin

Current Illness: None

ID: 0987994
Sex: M
Age: 65
State: FL

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

Lab Data:

Allergies: No known allergies.

Symptoms: Patient presented to the ED the morning after receiving his first COVID-19 vaccine with a chief complaint of tongue swelling and difficulty speaking. Patient received his vaccine at approximately 12:00pm and presented to the ED around 08:00am. Isolated tongue swelling and abnormal speech was appreciated on exam. Patient was given famotidine, methylprednisolone, epinephrine, and diphenhydramine in the ED. Patient was then admitted to the medical ICU for monitoring.

Other Meds: Amlodipine, atorvastatin, Vitamin D3, clopidogrel, cyanocobalamin, lisinopril, venlafaxine.

Current Illness:

ID: 0987995
Sex: F
Age: 66
State: MS

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

Lab Data:

Allergies: None

Symptoms: The night of the shot I got very little sleep due to my entire right arm which took the shot aching and hurting all night til I got up the next morning. Have had not other symptoms but it did scare me that night. My husband experienced soreness of the arm and fatigue.

Other Meds: Premarin Statin Finesteride Baby aspirin

Current Illness: None

ID: 0987996
Sex: M
Age: 28
State: WI

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

Lab Data:

Allergies: None

Symptoms: Immediately following the vaccine the pt felt lightheaded. He was also sweaty and pale. Vital signs were done and juice was given. The pt was monitored for 20 minutes in the vaccine bay and then remained for another 10-15 minutes. The symptoms resolved quickly within a minute. The pt denied any respiratory symptoms

Other Meds: None

Current Illness: None

ID: 0987997
Sex: F
Age: 73
State: CO

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

Lab Data:

Allergies: none

Symptoms: the day after receiving the vaccine my arm swelled at the site, turned red and burned. 8 days later, today, the swelling is more like a lump, bright red and itches.

Other Meds: metformin, venlafaxine

Current Illness: none

ID: 0987998
Sex: F
Age: 59
State: TX

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

Lab Data: NA

Allergies: None

Symptoms: Chills, fever, aches, slight nausea; acetaminophen and rest

Other Meds: None at the time of vaccination

Current Illness:

ID: 0987999
Sex: F
Age: 58
State: WA

Vax Date: 01/19/2021
Onset Date: 01/27/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: Sulpha drugs

Symptoms: Super itchy red rash at site

Other Meds: Sertraline Atenolol Oxycarbazepine Atorvastatin Carbidopa-Levodopa Busiprone Temazapam Fexofenadine Hydrochloride

Current Illness: MS

ID: 0988000
Sex: M
Age: 43
State: OR

Vax Date: 01/24/2021
Onset Date: 01/26/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Modern a COVID-19 Vaccine EUA Should and neck stiffness and pain. Throat swelling. Took ibuprophin and zyrtek

Other Meds: N/A

Current Illness: N/A

ID: 0988001
Sex: M
Age: 38
State: CA

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

Lab Data: On 01/27/2021 the day of the injection I was tested and on 01/29/021 I received a negative test result.

Allergies:

Symptoms: I was given the injection on 01/27/2021 in the left arm at approximately 08:30 am. At around 08:00 pm I started to get really cold and had the worst case of the chills I have ever had. I was shaking so hard my body hurt. At around 10:30 pm I went to bend and started to get a low fever of about 101.4* and could not get warm. I started to get a bad headache and my body hurt. It was so bad I had to call in sick the next day for work. On 01/28/2021 I stayed home and had sever body aches, bad headache, the chills and I felt nauseas. From my left hip to my left knee it felt like I had a bad charley horse. That night I got another low grade fever of about 100.1*. I woke up in the middle of the night sweating and still had a headache. I took some Aleve and went back to sleep. I called in sick again the next day and that day I was a little better only had a headache, a little nauseas and body was only a little sore. I went to bed and am fine today. A note I have never tested positive to COVID-19 and I test weekly.

Other Meds:

Current Illness:

ID: 0988002
Sex: F
Age: 49
State: MN

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

Lab Data: None

Allergies: NKA

Symptoms: About 5-6 hours after the shot I experienced left lip numbness and part of my left face, this lasted into the evening and resolved the next day. My left area was also very sore from Tuesday evening the day of the shot to Saturday when is resolved. Also some fatigue. I did not seek medical advise for this but told my medical director a few days later.

Other Meds: ProOmega 2000 , 1125 EPA, 875 DHA

Current Illness: None

ID: 0988003
Sex: F
Age: 67
State: GA

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

Lab Data: none

Allergies: Azithromycin

Symptoms: severe chills lasting approx 4 hours, 1 degree temperature, fatigue, substantial swelling, redness of injection site lasting 5 days. Redness of injection site lasting 8 days.

Other Meds: Pravachol, diclofenac

Current Illness: none

ID: 0988004
Sex: F
Age: 55
State: CA

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 30 hour after the vaccine had chills, fever (103 F), headache, stomach ache, nausea, body aches, severe pain in the left arm, fatigue fever continued for two days (101-103F) Nausea, body aches, unable to eat for 3 days Pain in the arm resolved completely for 5 days Taken OTC aspirin, acetaminophen, Ibuprofen

Other Meds: none

Current Illness: none

ID: 0988005
Sex: F
Age: 79
State: TX

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: Imitrex Valium

Symptoms: Cough, shortness of breath, fatigue, body aches, headache, runny nose, congestion Today 1-30-2021 headache is finally gone, lingering cough, congestion is better, some aches in my shoulders

Other Meds: Tramadol Pregabalin Atorvastatin Glipizide Primidone Oxybutynin Aspirin Vitamin C Melatonin Biotin

Current Illness: None

ID: 0988006
Sex: F
Age: 45
State: IL

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

Lab Data:

Allergies:

Symptoms: Patient reported tonsil swelling which progressed to tongue feeling thick and slight rash. Benadryl given 25mg IM per protocol, patient thought felt slightly better. Tongue swelling reduced per patient. Patient rested, appeared comfortable. Vital signs improved. Tongue swelling appeared to be large, epi given x2, Throat still uncomfortmatble. Tongue appeared swelling. EMS activated 1:23pm. EpI 1.23mg IM repeated, rash bilateral now, patient able to swallow. Benadry .5mg IM given for a total of 50mg.

Other Meds:

Current Illness:

ID: 0988007
Sex: F
Age: 33
State: CA

Vax Date: 01/16/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: n/a

Allergies: penicillin, thiomersal, latex, eggs, sesame, lima beans, macadam nuts.

Symptoms: Shingles; unilateral facial swelling, pain, tingling, numbness, rash.

Other Meds: Otezla, Wellbutrin, imitrex.

Current Illness:

ID: 0988008
Sex: F
Age: 56
State: VA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: Aspirin

Symptoms: Red swollen oblong shape on arm at injection site approx. 4-5" wide and 2" tall, hot to touch and painful. First noticed 12 hours after injection but may have started sooner. There was also headache, body ache, stiff joints, stiff neck, chills and general fatigue. The swelling and pain started to decrease 36 hours after the time of the injection. The red area on the arm was itchy and started to darkened in redness by the next day. Two weeks later there is still a red mark on the arm at injection site about an 1 1/2 wide.

Other Meds: Symbicort, Nasonex, Zyrtec, Singulair,

Current Illness: None

ID: 0988009
Sex: F
Age: 70
State: MO

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

Lab Data:

Allergies: Hazelnuts, Latex, Infliximab, Abatacept, Tocilizumab, Sulfasalazine, Sulfonamide, Methotrexate, Azathioprine

Symptoms: Lips started tingling, Lips tingled more and roof of the mouth got tingling, ears itchy, throat itchy, throat felt slightly closed up Took a Claritin and sat for an hour til the symptoms cleared up. Took Benydril when I got home because the tingling started coming back in my lips. Symptoms were gone in another couple of hours.

Other Meds: Metformin, Amlodipine, Losartan, Prednisone, Metoprolol Tartrates, Meloxicam, Leflunomide, Vitamin D-3Vitamin B-6, Ibuprofen, Benydril

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm