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: 0988211
Sex: F
Age: 39
State: CA

Vax Date: 12/31/2020
Onset Date: 01/07/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: NA

Allergies: PCN, propylene glycol

Symptoms: Large hard red itchy area appeared 7 days after injection, same arm. Lasted 2-3 days

Other Meds: Multi Vit, D3, Fish oil, magnesium

Current Illness: NA

ID: 0988212
Sex: F
Age: 31
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Fever, Nausea, body aches, headache, vomiting

Other Meds: None

Current Illness: None

ID: 0988213
Sex: F
Age: 77
State: TN

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

Lab Data: None

Allergies: Penicillin

Symptoms: One week after injection, the injection site began to itch and turned red with some puffiness about the size of a quarter.

Other Meds: Telmisartin , Pantoprazole, ibuprofen

Current Illness: None

ID: 0988214
Sex: F
Age: 35
State: NM

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

Lab Data:

Allergies: Penicillin

Symptoms: Red, hot, swollen itchy at injection site, only occured 8 days after, was fine before hand

Other Meds: Multi vitamin 5htp Holy basil Sunflower lecithin Folic acid

Current Illness: None

ID: 0988215
Sex: F
Age: 47
State: MD

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

Lab Data: NA

Allergies: NA

Symptoms: VOMITED

Other Meds: NA

Current Illness: NA

ID: 0988216
Sex: F
Age: 55
State:

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

Lab Data:

Allergies:

Symptoms: Leg cramps, temp of 101.2, extreme exhaustion, "skin hurt", and unable to work for 2 days.

Other Meds:

Current Illness:

ID: 0988217
Sex: F
Age: 60
State: CA

Vax Date: 01/13/2021
Onset Date: 01/22/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: I had a virtual exam with doctor on Jan 28th - she has recommended I see an Allergist Blood test taken today Jan 30th: CBC with Differential Comprehensive metabolic panel Immunoglobulin IgE

Allergies: Scallops

Symptoms: On Thursday, Jan 21st, I woke up with the worst heart burn and I thought I'd have to throw up. Nothing I have ever experienced before. Then I ended up with a rash/hives on my rear which spread to my lower back and my thighs - later getting one on my face near my left eye. It only started itching a few days after. I started taking Benadryl for a couple nights. I found out my coworkers all had similar side effects and we all had the vaccine on the same day. No one had any side effects right after having the shot - except for feeling tired.

Other Meds: Vitamin D3, Omega 3, Magnesium

Current Illness: none

ID: 0988218
Sex: F
Age: 50
State: KS

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

Lab Data: na

Allergies: sulfa

Symptoms: Within 12 hours: nausea, headache, sore arm for 2 days, foggy brain, achy body 1 week later: rash - hive like - at sight of injection, it was itchy, bumpy, covering most of the side of the shoulder.

Other Meds: Daily vitamin biotin

Current Illness: none

ID: 0988219
Sex: M
Age: 41
State: NY

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

Lab Data: N/A

Allergies: N/A

Symptoms: I was administered my first dose of the Moderna Covid Vaccine on 1/29/2021 at 12:20 P.M. I woke up today, 1/30/2021, at 5:30 A.M. and had chills, significant fatigue, headache, and a fever that was 100.8 degrees when I measured with an oral thermometer. I believe my fever may have been higher, but I did not measure when I felt worse. I'm reporting this at 3:15 P.M. and believe I may be starting to feel better. I was surprised to get these side effects after the first dose.

Other Meds: Gralise Vitamin D Daily Multi Vitamin Melatonin

Current Illness: I had a cold for a few days in early January. Sore throat and stuffy nose were included symptoms.

ID: 0988220
Sex: F
Age: 68
State: TX

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

Lab Data: None.

Allergies: None

Symptoms: I had at least 101 fever, chills, my left arm ached with pain and I could barely move it. At one point, it felt like all of the roots of my teeth were in pain at once. I had to miss two days of work and I slept most of the time. I took Advil to reduce the fever

Other Meds: vitamins only (calcium, D3, magnesium)

Current Illness: None

ID: 0988221
Sex: F
Age: 42
State: AZ

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

Lab Data:

Allergies: Seasonal allergies

Symptoms: Fever, chills, sensitive skin, spasms, headache, congestion, body aches, fatigue, the sore arm that went into the breast area and all the way down to fingertips, and shortness of breath.

Other Meds: VIIbyrd, zinc, emergent-c, b6, D3, K2, Magnesium, Enzymes, Albuterol inhaler

Current Illness: Still recovering from side effects of Covid

ID: 0988222
Sex: F
Age: 38
State: CA

Vax Date: 01/23/2021
Onset Date: 01/26/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: n/a

Allergies: Codeine

Symptoms: Moderna COVID?19 Vaccine EUA

Other Meds: n/a

Current Illness: n/a

ID: 0988223
Sex: M
Age: 49
State: NY

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

Lab Data:

Allergies: None

Symptoms: Pt was sitting in the 15 min waiting area after getting his vaccination. Pt stated that he began to feel dizzy. Pt presented pale and diaphoretic. Pt's states that this happens when he donates blood. Pt was wheeled to the cot. Pt was seated on the cot. Pt states that he feels better when laying supine. Pt's vitals are normal. Pt states he is no longer dizzy and only feels fatigued. Pt's skin is now warm pink and dry. Pt is now able to stand. PT refused transport to hospital.

Other Meds: None

Current Illness: None

ID: 0988224
Sex: F
Age: 54
State: IN

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

Lab Data: None

Allergies: Pcn . Cardizem

Symptoms: Received 2nd Covid-19 vaccination as a RN at a drive through site. About 4 hours post shot had fever of 101 degrees Fahrenheit. Nausea. Headache. Body/muscle aches. Information posted in my daily cdc email registration text i received. Illness lasted 24 hours and I did miss work due to fever. Medcated with over counter tylenol and benadryl.

Other Meds: Propranolol. Multivitamin. Bsby aspirin

Current Illness: None

ID: 0988225
Sex: F
Age: 39
State: PA

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

Lab Data:

Allergies: None

Symptoms: Delayed cutaneous hypersensitivity in left arm at injection site

Other Meds: Mircette

Current Illness: None

ID: 0988226
Sex: F
Age: 60
State:

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

Lab Data:

Allergies:

Symptoms: body aches, chills, fever, diarrhea. Treatment- Tylenol, Ibuprofen Outcome- resolved

Other Meds:

Current Illness:

ID: 0988227
Sex: F
Age: 38
State: KY

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Moderna COVID- 19 Vaccine EUA COVID-19 Vaccine, 100 Mcg/0.5mL Dosage, For Intramuscular Use (Z23) (IM injection) Manufacturer Moderna US, INC Lot 012L20A Expiring 07/06/2021 ; Immunization Admin Covid-19 100mcg/0.5ml Dosage 1st Dose Moderna (Z23) Administered L deltoid on 1-6-21 ~8:51 am Had onset of itching at injection site on day 7 post-vaccine (1-13-21), photo possible urticarial appearance, but clinical exam within hours of onset, mild erythema of left upper arm in area of previous injection sight; slight warmth to touch, no pain, no urticarial. No other clinical symptoms or abnormalities on exam. Seen by doctor. Follow-up exam 1-14-21. Afebrile. left lateral proximal arm with approx. 8 x 9.5 cm warm area of confluent erythema, appears slightly swollen, nonindurated, nonfluctuant, without red streaks, no drainage or vesicles. No left axillary adenopathy. Diagnosis: serum sickness like reaction/Arthus type local reaction given symptoms/timing. Given antihistamines/H2 blocker.

Other Meds: not obtained

Current Illness:

ID: 0988228
Sex: F
Age: 40
State: UT

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

Lab Data: Moderna COVID-19 Vaccine EUA

Allergies: None

Symptoms: Lethargic, body ache, mild headache, loss of appetite, acidic stomach, cold hands. Took 2 Tylenol's last night, still have body discomfort.

Other Meds: None

Current Illness: None

ID: 0988229
Sex: M
Age: 79
State: VA

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

Lab Data: None

Allergies: None

Symptoms: Itchy and redness at site. No treatment.

Other Meds: Propananol, gabapentin

Current Illness: None

ID: 0988230
Sex: M
Age: 26
State: WV

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

Lab Data:

Allergies: None

Symptoms: Supraclavicular lymphadenopathy (likely)

Other Meds: None

Current Illness: None

ID: 0988231
Sex: F
Age: 38
State: IN

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

Lab Data:

Allergies: No

Symptoms: Bodyaches, headache, fever

Other Meds:

Current Illness: No

ID: 0988232
Sex: F
Age: 64
State: IN

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

Lab Data: None

Allergies: Sulfa drugs

Symptoms: Chills, fatigue, heart flutters

Other Meds: Lisinopril, zertec, multivitamin, fish oil

Current Illness: None

ID: 0988233
Sex: F
Age: 56
State: FL

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

Lab Data: None.

Allergies: Morphine Sulfate, Cipro, NSAIDS

Symptoms: Fever, chills, neck pain, diffuse joint pain and myalgia, fatigue, and left axillary lymph node swelling and pain,. Symptoms lasted approximately 1.5 days. Treated with Tylenol, rest, fluids.

Other Meds: Humira, Allopurinol, Mirapex, Synthroid, Latanoprost, Multi-vitamins, Biotin, Vit D, Calcium

Current Illness: Minor cold symptoms, arthritis flare

ID: 0988234
Sex: F
Age: 53
State: NY

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

Lab Data:

Allergies: None

Symptoms: Pt was seated in the 30 min waiting area. Pt states she felt her heart flutter and would like to be checked out. Pt was assisted in walking to the cot. Pt laid supine on the cot. Pt was placed on 4 lead EKG. Pt's EKG showed regularly irregular PVC's. Pt's vital are normal. Pt states she does not feel as if her heart is fluttering anymore. Pt's second 4-lead EKG is normal. Pt refused transport to hospital.

Other Meds: None

Current Illness: None

ID: 0988235
Sex: F
Age: 36
State:

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

Lab Data:

Allergies:

Symptoms: Shaky. No other symptoms. Symptoms resolved without treatment. Lasted <60 minutes.

Other Meds:

Current Illness:

ID: 0988236
Sex: F
Age: 45
State: OR

Vax Date: 01/15/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: none

Allergies: PCN, Sulfa, Veramyst, wheat, rye, barley, rice, lettuce, cucumber, lobster

Symptoms: Swollen itchy area under left eye. Itchy left and right jaw. Rash and itching down right side of neck. Tingling in left side of face and lips.

Other Meds: Lexapro ; Zyrtec ; Vit D, Vit B2, Krill Oil

Current Illness: none

ID: 0988237
Sex: F
Age: 78
State: TX

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: Codeine

Symptoms: Debilitating pain and swelling at vaccination site with a ring around the shot. Pain then transferred to other arm with body aches and low grade fever. Pain at shot site duration was 10 days with no relieving factors.

Other Meds: 1. Amlodipine 2. Omeprazole 3. Toviaz 4. Pravastatin 5. Baby aspirin 6. Vitamin C 7. Zinc 8. Vitamin D3

Current Illness:

ID: 0988238
Sex: M
Age: 54
State: NJ

Vax Date: 01/18/2021
Onset Date: 01/22/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: No Medical tests done.

Allergies: Allergic to : Acetaminophen (Tylenol) and Benzocaine

Symptoms: After the vaccination on 1/18/2021 , I had just pain at the site of injection in my left arm for the next 2 to 3 days and headache. Took Advil and it went away. After 3 or 4 days i started feeling very mild pain inside my arm muscles between the injection site and my elbow which continued till 1/25/2021. Later this very mild internal pain shifted to my elbow and feel a mild numbing sensation in my pinky finger. It also feels little heavy when I move my arm. This continues till today as I am reporting on 1/30/2021 3:30pm. Since it has not bothered much , I did not seek medical care, hoping this will go away in few weeks.

Other Meds: Vitamin supplements - E 180mg, D3 125mcg (500 IU) , vitafusion(TM) Multivites - Gummy Vitamins Prescriptions : None Over-the-counter : None Herbal : None

Current Illness: None

ID: 0988239
Sex: F
Age: 36
State: KY

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: No known drug allergies

Symptoms: Moderna COVID- 19 Vaccine EUA Received Moderma dose left deltoid on 1/6/21, lot # 012L20A, exp. July 6, 2021 Day after injection, there was some itching and redness. She iced it and it mostly resolved by 1-9-21 or 1-10-21. Ibuprofen tried. On 1-13-21 recurrence of itching and increased size of redness - seen at Employee Health this day. No other symptoms, no fever, no joint or muscle aches. In the past, will sometimes get small 'knot' with flu vaccine, that itches, and resolves in a few days. No chronic medical problems. Evaluated at Employee Health. Diagnosis: allergic reaction, persistent vs. Arthus type local reaction. Plan: antihistamine/H2 blocker/recheck 1 week.

Other Meds:

Current Illness: Presented to ED 1/5/2021 for palpitations, anxious, SOB. Reports being under stress and hx of panic attacks. Provided Rx for hydroxyzine and discharged home same day.

ID: 0988240
Sex: M
Age: 17
State: TX

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

Lab Data:

Allergies:

Symptoms: Pt was given moderna vaccine under the age of eighteen.

Other Meds:

Current Illness:

ID: 0988241
Sex: F
Age: 64
State: CO

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pharmacy was called by outpatient provider, Dr regarding a reaction in a patient who received their 2nd dose of the Pfizer Covid-19 vaccine (lot EL3247) on 1/21 at LMC. On 1/22, the patient reported with tachycardia, hypotension and arm numbness. Dr was concerned that the injection was given too high on the patient's arm and potentially into the shoulder joint. Patient was directed to the LMC ED for treatment. The patient was given fluids and was discharged home. The ED provider did not believe the vaccine was given into the joint.

Other Meds:

Current Illness:

ID: 0988242
Sex: F
Age: 70
State: OR

Vax Date: 01/21/2021
Onset Date: 01/24/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: induration, pruritis and erythema patch 9 by 5 cm left deltoid area, fever of 100.1 these symptoms started 3 days after the vaccine

Other Meds: levothyroxine (SYNTHROID, LEVOTHROID) 75 MCG tablet Take 1 tablet by mouth daily venlafaxine (EFFEXOR-XR) 150 MG 24 hr capsule Take 1 capsule by mouth daily

Current Illness: NONE

ID: 0988247
Sex: F
Age: 69
State: WA

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: No tests. Contact with doctor via MyChart.

Allergies: Ceftin, Penicillin, Quinolones, Scopolamine, and Sulfa.

Symptoms: Vaccine arm swollen, woke up with hand tingling, and red palm. Red palm and tingling went away within 30 minutes. But 2-3 hours later three fingers had peeling. Also wrinkly fingers. Increased water and added electrolytes. Notified doctor, who instructed to elevate and ice arm, and to start benadryl. Also take benadryl before next vaccine. Left arm may still be slightly swollen, but most swelling gone by 12 hours. Sore arm for a couple days, intermittent headache which took tylenol for. Fatigue, still.

Other Meds: Levothyroxine, liothyronine, generic Singulair, Flovent HFA . OTC: Acidophilus, docusate sodium, polycarbophil, vitamin c, vitamin D, digestive enzyme, apple cider vinegar gummies.

Current Illness: Did have needle biopsy, 1/13/2021, with benign results. Some sinus drainage.

ID: 0988248
Sex: F
Age: 44
State: IN

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

Lab Data: Called covid hotline. Advised to get covid test to rule out covid. Had rapid test and it was negative. No further advice given from this covid testing site. Per paper it said to go ahead and get other test asap. Went and had the other test. Now my work tells me I can't go back to work until 2 negative covid tests.

Allergies: Penicillin

Symptoms: At around 530 pm Friday I had extreme tiredness, felt feverish, was freezing. Took advil and laid on couch. Fell asleep, per family hallucinated. About 1 to 2 hours later I could not smell.

Other Meds: Plaquenil 200 mg 2 times per day Celexa 20 mg daily

Current Illness: Na

ID: 0988249
Sex: F
Age: 34
State: MO

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

Lab Data: Vital sign monitoring-BP, SPO2, Heart monitor

Allergies: Amoxicillin-hives

Symptoms: About 5 minutes after the vaccine, my tongue began tingling. I drank water but didn't tell anyone at the vaccine clinic. I did wait 17 minutes before leaving. I went to the car to look in the mirror and assess my oral airway. My tongue and pharynx were not swollen. I kept drinking water and proceeded to go home. About 10 minutes into my drive my throat became tight, so I went back and checked into the ER. My vitals were stable, and you couldn't see any swelling. My throat felt tight and my tongue tingly. I had already taken pepcid and zyrtec that morning, so they gave me Solumedrol and Benadryl IV. The tingling and tightness improved and went away by about 0930. It did return around 2300 that night (not as bad, just tongue tingly and slight tightening of my throat), and I took another pepcid and benadryl. I also had myalgias, felt febrile and fatigued for about 48 hours. ++See previous VAERS report I did about vaccine #1

Other Meds: Multi vitamin, pepcid, protonix, carafate, magnesium, vitamin D

Current Illness: Strained back; LUQ abdominal pain-constipation

ID: 0988250
Sex: F
Age: 47
State: PA

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

Lab Data: none

Allergies: seafood/Bees

Symptoms: 20 min after vaccine skin itching and irritation, no resp involvement , improved with PO Benadryl and IV solumedrol

Other Meds: none

Current Illness: none

ID: 0988251
Sex: F
Age: 21
State: CA

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

Lab Data: None

Allergies: Ampicillin

Symptoms: Both of my arms are swollen starting from my wrist after 15 days of receiving vaccine.

Other Meds: None

Current Illness: None

ID: 0988252
Sex: F
Age: 29
State: PA

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

Lab Data: refer to box above (item 18)

Allergies: None

Symptoms: "Pfizer-BioNTech COVID-19 Vaccine EUA" I received my 2nd dose of the Pfizer COVID-19 vaccine on Jan. 20th, 2021. On Jan. 21st, 2021, I woke up feeling feverish. I went to use the bathroom, and after washing my hands I walked towards the bathroom door and felt light-headed and dizzy. Suddenly, I passed out and hit my head and upper neck on the tile floor. My parents heard the sound of my fall and luckily rushed to the bathroom. They found me lying unconscious on the floor with my eyes rolled up for what felt like more than a minute. I regained consciousness on my own, and I drank water with a bit of sugar and salt mixed in. I felt too weak to get up and walk, and the back of my head and upper neck were in pain. I told my parents to call 911 as I wanted to make sure that there was no serious damage to my brain or neck area. I went to the local hospital in an ambulance. I was taken to the emergency room: Vitals were done and my temperature ranged from then was 99.5-101F and my heart rate was high- it stayed around 112 bpm for some time I was given 2 L of IV Saline Fluids EKG result: no clinical abnormalities CT head/neck/spine: negative 2 different types of COVID-19 tests: results were both negative Bloodwork: CBC/BMP/D-dimer: no clinical abnormalities Chest Xray: negative 2D- doppler ultrasound: negative Holter monitor: negative for irregular heart rhythm I was discharged the same day around 4:30pm

Other Meds: Centrum Multivitamin

Current Illness: None

ID: 0988253
Sex: M
Age: 37
State: AZ

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

Lab Data: n/a

Allergies: Mild allergy to milk

Symptoms: On day 8 after vaccine the injection site started being itchy. It swelled, became red, and was noticeably warm to the touch. Over about 5 hours the redness and swelling had reduced (though not completely). Waking up on day 9 it is still itchy, warm to the touch, and slightly swollen. I have not taken any over the counter medications to counteract the symptoms.

Other Meds: Daily Vitamin D supplement, 5000 IU

Current Illness: n/a

ID: 0988254
Sex: F
Age: 54
State: AZ

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

Lab Data: None

Allergies: Ceftriaxone Demerol Bee Stings

Symptoms: I felt shaky initially. The next morning around 230 am I woke up with a headache, pain at the injection site. As the day progressed, I had the chills and itching, pretty bad. Headache got worse. I felt very tired.

Other Meds: Metformin Lisinopril Humalog Lantus

Current Illness: None

ID: 0988255
Sex: M
Age: 80
State:

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

Lab Data:

Allergies:

Symptoms: Recurrence of symptomatic paroxysmal AFib Narrative:

Other Meds:

Current Illness:

ID: 0988256
Sex: F
Age: 68
State: TX

Vax Date: 01/16/2021
Onset Date: 01/10/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Approximately 7-10 days after my 1/15/2021 vaccination, I looked at my right arm in the mirror and found there was a red rash in a large area on my upper arm. The area of the rash is smaller today on 1/30/2021. When I completed the daily survey with V app, I did not report this because I did not know about it at that time. You should add instruction to look at injection site in the mirrir before completing the survey.

Other Meds:

Current Illness:

ID: 0988257
Sex: F
Age: 32
State: WA

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

Lab Data:

Allergies: Strawberries, Chocolate, Zinc Oxide (Skin) , Titanium Oxide (Skin)

Symptoms: Severe muscle and joint pain, severe headache triggering migraine and vertigo symptoms. Dosed with Excedrine Migraine at 10 PM- self administered. Severe pain and headache continued unaffected by painkiller until afternoon next day (1:00 PM) with 2nd self-administered dose of Excedrine Migraine. 3rd day symptoms are only severe headache with sharp pain, triggering vertigo symptoms.

Other Meds: Norethindrone Birth Control Pill (Progesterone Only Pill), Nordic Natural Vitamin D gummy supplement.

Current Illness:

ID: 0988258
Sex: F
Age: 87
State: TX

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

Lab Data: TBD

Allergies:

Symptoms: patient became very lethargic immediately after receiving the 2nd dose of the vaccine. Blood pressure rose to 190. Patient fainted and hit her head. She had just recovered from having covid-19. She was diagnosed with covid-19 just after receiving her first immuniation.

Other Meds: DORZOLAMIDE TIMODOL EYE DROPS BRIMONIDINE 0.2% EYE DROP DROPS TRAVOPROST 0.004% EYE DROP DROPS DONEPEZIL HCL 5 MG TABLET DESVENLAFAXINE SUCCNT ER 100MG

Current Illness: COVID-19

ID: 0988259
Sex: F
Age: 68
State: TX

Vax Date: 01/16/2021
Onset Date: 01/10/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Approximately 7-10 days after my 1/15/2021 vaccination, I looked at my right arm in the mirror and found there was a red rash in a large area on my upper arm. The area of the rash is smaller today on 1/30/2021. When I completed the daily survey with yje V app, I did not report this because I did not know about it at that time. You should add instruction to look at injection site in the mirrir before completing the survey.

Other Meds:

Current Illness:

ID: 0988260
Sex: F
Age: 59
State: KY

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

Lab Data:

Allergies: No allergies

Symptoms: Pfizer COVID- 19 Vaccine EUA Pt received 0.3ml Pfizer-BioNTech(Lot EL3249 exp 5/2021) at 15:25 today in left deltoid. Pt expressed "scratchy throat" and strange feeling radiating from shoulder to upper rhomboid muscles after 5 minutes. Gave patient drink of ice water with Diphenhydramine 25mg po (Lot 502605 exp 10/31/2021). After 10 minutes reassessed and still experiencing little improvement. Gave second dose Diphenhydramine 25mg po, and observed for next 30 minutes. Patient expressed feeling better and not so scratchy in her throat. Escorted to vehicle after stating that she felt well enough to drive home. Recommended she f/u with her physician and may need to pre-medicate with diphenhydramine 25mg prior to booster.

Other Meds:

Current Illness:

ID: 0988261
Sex: F
Age: 50
State: CA

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

Lab Data:

Allergies: Shellfish

Symptoms: Patient received COVID vaccine at 10:45 while in patient observation they began to have hives so a Benadryl was given at 10:50 and was held for further observation. While waiting the patient began to have difficulty breathing, swallowing and was short of breath at 11:07 and 911 was called immediately and an epipen was given. The firemen came to the location to assess the patient and paramedics shortly came after to take the patient to Kaiser Fontana.

Other Meds:

Current Illness:

ID: 0988262
Sex: M
Age: 59
State:

Vax Date: 01/12/2021
Onset Date: 01/16/2021
Rec V Date: 01/30/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Dizziness diplopia Narrative:

Other Meds:

Current Illness:

ID: 0988263
Sex: F
Age: 73
State: FL

Vax Date: 01/06/2021
Onset Date: 01/14/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Increase in BP

Other Meds: Headaches Elevated blood pressure, persisting after second shot 01/25/2021, 10:15 AM Already on BP med. Some control w additional antihypertensive med

Current Illness: none

ID: 0988264
Sex: F
Age: 45
State: CT

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

Lab Data:

Allergies:

Symptoms: Itching all over my body

Other Meds: Benadryl, I took my first dose of Prednisone

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm