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: 0991134
Sex: F
Age: 59
State: SD

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: none

Allergies: Shellfish

Symptoms: Headache, fever (100.2), chills

Other Meds: Aspirin, Multi-Vitamin, Metoprolot tartrate, Rosuvastatin, Ticagrelor, plus 2 more

Current Illness:

ID: 0991135
Sex: F
Age: 67
State: IL

Vax Date: 01/21/2021
Onset Date: 01/26/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: herpes zoster left scapular area

Other Meds: multivitamin, calcium with D, Fosamax

Current Illness: none

ID: 0991136
Sex: M
Age: 59
State: OH

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: none

Allergies: none that I know of

Symptoms: fever, chills , vomiting's, dry eves, headache, diarrhea, slight dizziness symptoms lasted about 24 hrs. but was week the next 2 days after

Other Meds: heart burn medicine Opera 20mg something prescribe by my doctor Sugar medicine Metforim 500 mg prescribe by my doctor Multi-vitamin for men over 50

Current Illness: None

ID: 0991137
Sex: F
Age: 48
State: NY

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reports a six day hx of constant rash over torso 30 minutes after covid vaccine. denies sob/cp/wheezing/palpitations/swelling of tongue/throat. +pruritic

Other Meds:

Current Illness:

ID: 0991138
Sex: F
Age: 34
State: OH

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: none

Allergies: No known

Symptoms: Arm progressively more sore throughout the day. Chills started around 9:45 pm. Body aches throughout the night, difficulty sleeping. The following day (1/28) headache and fatigue. No symptoms on 1/29

Other Meds: None

Current Illness: None

ID: 0991139
Sex: F
Age: 60
State: OK

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: N/A

Allergies:

Symptoms: Patient received their first dose of Pfizer vaccine on 1.27.2021. Patient reports little red spots that are itchy on their legs, thighs, and chest that started the day after receiving the vaccine. The patient states that they are NOT experiencing any facial swelling, scratchy/itchy throat/ShOB. Patient states the rash has improved with over the counter medications. Encouraged the patient to reach out to provider with any more worrisome or bothersome conditions, including worsening of rash. Reviewed when the patient should seek emergency care.

Other Meds:

Current Illness:

ID: 0991140
Sex: F
Age: 51
State:

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: NONE

Allergies: ADHESIVE TAPE, OPOID PAIN MEDICATIONS, STATINS, LISINOPRIL

Symptoms: 01/28/21 WOKE UP WITH HIVES ALL OVER BODY WITH FLU LIKE SYMPTONS, SLEPT ON AND OFF MOST OF THE DAY. BY 6:00 PM ON 01/28/21 THE HIVES HAD SPREAD AND IT LOOK LIKE A SEVERE SUNBURN ALL OVER, HIVES WERE ITCHING AND BURNING SEVERLY, HAD A TEMP. OF 101. WENT TO URGENT CARE AT 6:45PM ON 01/28/21 AND WAS SEEN BY A DOCTOR. WAS GIVEN A SHOTOF DEXAMETHASONE IN MY RIGHT HIP, A PRESCRIPTION FOR HYDROXYZINE HCL 50MG -QTY. 20 TABLETS AS NEEDED FOR ITCHINGAND PREDINSONE 10MG TABLET TO TAKE FOR 8 DAYS

Other Meds: EFFEXOR ER, BUSPAR,ROPINIROL,ATENOLOL,CHOLESTOFF, CALCIUM, ALANI NU-BALANCE SUPPLEMENT

Current Illness: NONE

ID: 0991141
Sex: F
Age: 30
State: MI

Vax Date: 01/12/2021
Onset Date: 01/23/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pulsatile tinnitus

Other Meds:

Current Illness:

ID: 0991142
Sex: F
Age: 46
State: IN

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 1/30/30 - 2nd dose - bruising , sore arm (like a tetanus shot) and redness at injection site. Injection was done at 9:34 AM. Around 10:30 PM started with headache. 1/31/20 - Woke up at 7:00 AM with fever (100.3), aches, major headache, overly tired and chills. Slept most of the day. I alternated Tylenol and Ibuprofen. Around 6:30 PM the fever was gone and the chills had dissipated. 2/1/20 - Woke up at 6:00 AM a little sluggish but 90% better. Arm is still sore. Headache, chills, fever and feeling tired are gone. Still a little achy.

Other Meds: Eszopiclone Topiramate Sertraline Betamethasone Dipropionate

Current Illness:

ID: 0991143
Sex: F
Age: 60
State: KS

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: Sulfa, Penicillin, Bee sting, fabric softener

Symptoms: After my second dose my right arm got so big as a baseball, it was hard, swollen, felt hot upon palpation. I also had difficulty lifting my right arm up due to the pain. I also ran an elevated fever.

Other Meds: Gabapentin, Metformin, Protonix, Prostiq, Hydrochlorofized, Spirolaractnoid, Losartan, Vitamin D3

Current Illness: Caner, pneumonia

ID: 0991144
Sex: F
Age: 55
State: SC

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received Moderna vaccine 10 days ago, pt started having redness and slight swelling at the site 2 days ago.

Other Meds:

Current Illness:

ID: 0991145
Sex: F
Age: 18
State: AR

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: none

Allergies: unknown

Symptoms: headache, chills, nausea

Other Meds: unknown

Current Illness: unknown

ID: 0991146
Sex: F
Age: 51
State: AR

Vax Date: 01/05/2021
Onset Date: 01/09/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: none

Allergies: PCN , augmentin

Symptoms: Covid-19 vaccine mild cough, runny nose and mild HA. Used my inhaler due to some wheezing.

Other Meds: none

Current Illness: none

ID: 0991147
Sex: M
Age: 53
State: CA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Recovered from Covid 3 weeks ago. Body aches, headache, fever, chills, tired and dizzy

Other Meds:

Current Illness:

ID: 0991148
Sex: M
Age: 68
State: FL

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: bee stings/fire ants

Symptoms: HCP was called to a patient with "tongue swelling". HCP asked MD for an Epi Pen and the paramedics are O2. O2 was applied at 2L per NC. . HCP approached vehicle where a 68yo white male was sitting in his vehicle on the driver side. Quick assessment revealed erythema of the face and angioedema. Pt was able to speak clearly, was CTA and had RRR. 911 was called. BP 160/90. EpiPen dose 1 was injected into right vastus lateralis and pt reported improvement at 1057. HCP asked for injectable diphenhydramine. HCP continued to monitor pt with RRR and CTA but erythema and angioedema began again along with swollen tongue so EpiPen dose 2 was injected into right vastus lateralis. 50mg IM diphenhydramine was injected into the right deltoid while fire rescue began to arrive on scene. Pt did not report difficulty breathing. Pt did report previous anaphylaxis to fire ant bites/stings and did report being allergic to bee stings. Fire rescue transported patient without difficulty. HCP called pt later that night at 2030 who reported doing better but still having tongue swelling.

Other Meds:

Current Illness:

ID: 0991149
Sex: F
Age: 36
State: AR

Vax Date: 01/20/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: None known

Symptoms: Warm red rash on upper left arm where injection was received. 9 days after injection. Arm slightly sore. Rash mostly gone within 48 hours.

Other Meds: Wellbutrin, Synthroid, Sprintec, Prenatal Vitamins, Red Rice Yeast, Zyrtec, Fish Oil

Current Illness: None

ID: 0991150
Sex: F
Age: 34
State: OH

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: n/a

Allergies: none

Symptoms: urticaria and lip/eye swelling; urticaria persisting 4+ days

Other Meds: ortho-tri-cyclen

Current Illness: none

ID: 0991151
Sex: M
Age: 57
State: VA

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 02/01/2021
Hospital: Y

Lab Data: hospitals have all record.

Allergies: None

Symptoms: Morerna 2 vaccine was admitted on Jan. 24 at 3:45 pm from the Hospital. Mild Cheer, muscle, fever and diarrhea on 25th. On 26th, Moderate symptoms abdominal pain. On 27, Mod localized Abdominal pain developed and 28the 4:30 am entered to ER. Blood work and CT done. Dx: Appendicitis . Transferred to higher level of care OR at 3pm and Surgery was done at 5:00pm with Appendicitis with burst. Discharged from hospital on 30 th at 2pm

Other Meds: None

Current Illness: None

ID: 0991152
Sex: M
Age: 17
State: AZ

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: no Too young

Other Meds: no

Current Illness: no

ID: 0991153
Sex: M
Age: 2
State: ND

Vax Date: 12/30/2020
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: CT Scan, Covid Test

Allergies: None known of

Symptoms: Febrile Seizure

Other Meds: Budesonide

Current Illness: Asthma

ID: 0991154
Sex: M
Age: 78
State: AZ

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever (101.8), chills, night sweat, all over achy feeling for two days. Did not go to a clinic.

Other Meds: Simvastatin (40mg); Metoprolol (12.5 mg); Glucosamine (1500 mg), CoQ10 (100); Aspirin (81 mg); Tumeric (1500 mg)

Current Illness: None

ID: 0991155
Sex: F
Age: 39
State: MN

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None. The confusion/delirium subsided when the next morning when fever broke.

Allergies: ASA

Symptoms: Fever, delirium, total body aches, chills, nausea. The onset of delirium came with the temp as we were on a road trip in the car headed to a hockey tournament. It was noticed by my spouse who is a physician and several other hockey parents. I looked up delirium as a side effect but could not find anything related with the exception of elderly or with COVID itself. So I thought I should report it to see if it had been reported by anyone else. It lasted until I went to bed and fever came down that night.

Other Meds: Wellbutrin Topirimate Vit b complex Magnesium Zinc Vit C Vit D

Current Illness: None

ID: 0991156
Sex: F
Age: 26
State: MI

Vax Date: 01/22/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: Sulfa drugs

Symptoms: After the vaccine, I had the normal sore arm that went away after a day or so, but no real side effects. On day 8 after receiving the vaccine, my arm around the injection site swelled up around 3in wide and 4-5in long. It has been extremely itchy for a couple of days with the swollen area being very red.

Other Meds: Zoloft Welbutrin

Current Illness:

ID: 0991157
Sex: F
Age: 19
State: AR

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: none

Allergies: unknown

Symptoms: nausea, body aches

Other Meds: unknown

Current Illness: unknown

ID: 0991158
Sex: F
Age: 25
State: IN

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: Bee venom

Symptoms: Left sided pain in armpit/scapula area and little bit of swelling in L armpit area

Other Meds: Prilosec, birth control, anxiety/depression medication

Current Illness:

ID: 0991159
Sex: F
Age: 51
State: TX

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 51yo F rec'd Pfizer Covid-19 vaccine 2nd dose on 1/19/21. Two days later, patient reported numbness/tingling at injection site, left thumb and left facial cheek area without muscle weakness, facial drooping, drooling, slur speech, headaches, nausea, fever, or rash.

Other Meds: CeleBREX, Tylenol, Patanase, Flonase, Gabapentin, ZyrTEC

Current Illness: None

ID: 0991160
Sex: F
Age: 70
State: VA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: none

Allergies: tree nuts pollen bad reaction to abilify

Symptoms: see above

Other Meds: lamictal singular plaquenil symbicort salagen albuteral restasis famotidine neomyacin w polymyxin B sulfate dexamethasone opthalmic suspension

Current Illness: overnight observation high anxiety, rule out cardiac symptoms normalstress test --was given IV morphine, nitroglicerin patch

ID: 0991161
Sex: F
Age: 56
State: NJ

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: none

Allergies: NO

Symptoms: the surgical site of my breast has statues to ache, burn and pain increases the I raise my arm

Other Meds: tacrolimus, mycophenolate, prednisone, zoloft, lamictal, tamazapan , vitamin D, Magnesium, amolodipine,

Current Illness: None

ID: 0991162
Sex: M
Age: 45
State: NY

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Low grade fever, chills, Red, hot, swollen rash at injection site that is spreading to half of upper arm

Other Meds:

Current Illness:

ID: 0991163
Sex: F
Age: 40
State: TN

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 02/01/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: I experienced red, irritated eyes following the vaccine. Also experienced a blister likely chemosis which lasted approx 1 day.

Other Meds: Montelukast, topiramate, advair, multivitamin

Current Illness: none

ID: 0991164
Sex: F
Age: 53
State: NY

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 12/28 sore arm fatigue for a couple of days. 01/05 nausea, headache, chills, last temp 99.5, persistent dry raspy cough

Other Meds:

Current Illness:

ID: 0991166
Sex: F
Age: 60
State: OH

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: Considered as grade 3 level headache that prevented daily activity per employee. Arm sourness at injection site. T102.0 1/19/21 at 1300 on 1/19/2021. fatigue, chills, myalgia. Took tylenol with no relief.

Other Meds: lisinopril, Vitamen C

Current Illness: Head cold

ID: 0991167
Sex: F
Age: 50
State: IN

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: POCT SARS-CoV-2 PCR and Influenza A/B PCR-Covid test positive, Influenza negatvie

Allergies: Tramodol, Sulfa

Symptoms: Patient tested positive three days after getting second dose of Covid Vaccine

Other Meds:

Current Illness:

ID: 0991168
Sex: F
Age: 54
State: MA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Patient got full injection but once needle was removed 2 drops of liquid ran down arm and patient called on 1/31/21 worried she did not get enough of the Moderna Vaccine. Question should she be re vaccinated.

Other Meds:

Current Illness:

ID: 0991169
Sex: F
Age: 35
State: AR

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: none

Allergies: unknown

Symptoms: chills, body aches

Other Meds: unknown

Current Illness: unknown

ID: 0991170
Sex: F
Age: 33
State: VA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: Coconut, wellbutrin

Symptoms: fatigue, nausea, body aches, chills, headache

Other Meds: MVI, Vit C, Claritan, Seasonelle, probiotic and Amitriptyline prn for sleep

Current Illness: none

ID: 0991171
Sex: F
Age: 45
State: LA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: Multiple in clinic, urgent care and ED - all normal.

Allergies: Penicillin

Symptoms: DAY 1 (Thurs. 1/14/21 - received 2nd dose of the vaccine at 8:49 am central time): 15 MINS POST SHOT: acute tingling around mouth and tongue; BP spiked and face became very flushed. Waited with nurse until 1 hour post shot. BP stayed above normal all day, as did fatigue. 12 HOURS POST SHOT: sever headaches warranting migraine medicine but I only took Tylenol and Ibuprofen since Maxalt (10 mg) can raise BP. Alternated Tylenol and Ibuprofen every 3 hours but would only get about 2 hours of relief each time. This continued through the night. DAY 2 (Fri. 1/15/21): 23 HOURS POST SHOT: Headache remained. but was lessened after taking Mucinex D. Extremely fatigued, which remained throughout the day. 24 HOURS POST SHOT (9:00 am): Saw NP at clinic, BP was normal. Was prescribed Fioricet, ESGIC 50-325-40 and advised to take it if headache returned. If ineffective after 2 hours, advised to take Maxalt 10 mg. 10:10 am: took Fioricet with no impact to headache, took Maxalt at 12:10. 28 HOURS POST SHOT: Severe, painful heartburn in my chest and upper back - Mylanta provided no relief. Headache returned and started having severe abdominal pain and shortness of breath. 29 HOURS POST SHOT (~2PM) Went to urgent care; vitals were all normal. Received fluids and "GI cocktail" containing lidocaine. Heartburn pain subsided but headaches and abdominal pain. Was advised to go to Emergency Department and did. ED ran multiple labs and ECG to rule out gallbladder, pancreas, etc. Headaches and abdominal pain at this point were excruciating and debilitating. Shortness of breath was significant. ED staff said they have seen the different reactions I was having to the vaccine, just not all together in one patient at the same time. Pain subsided after fluids with Benadryl, Toradol and Reglan. Was discharged approximately 4 hours after arrival. MD prescribed Reglan for continued headaches through the weekend. DAY 3 (Sat. 1/16/21): 48 HOURS POST SHOT: Severe headache when I awoke. Reglan did not provide relief. After two hours, took Maxalt 10 mg . Headaches and significant fatigue continued with such severity I took Maxalt as frequently as allowed per dosing instructions. I stayed in a dark room until Monday (1/18/21, Day 5), ensuring I was staying well hydrated and nourished. The fatigue was so significant that movement was very labored. It should be noted that I am a very active person and I had zero energy and missed two days of work (Fri and Mon). DAY 4: headaches were less frequent DAY5 (Mon. 1/18/21): At 3:30 PM (~126 hours post shot) - it was like someone flipped a light switch and the fatigue and headaches were gone and I felt like I was back to normal. DAYS 6-7, (Tues. and Wed 1/19-20/21) - worked a normal day at work. DAY 8 (Thu. 1/21/21): extremely fatigued again, like over the weekend, but it only lasted today. Of note, the lips and tongue tingling would come and go following the initial weekend of severe reactions. While noticeable, it was not as significant as within the first 15 mins of receiving the dose. On Monday 1/25/21 at approximately 3:00 PM, the tingling was very noticeable and my BP spiked again. Since that time until now, I have had no reactions.

Other Meds: Benazepryl/HCTZ Tabs 20/25Mg Claritin 24 hr

Current Illness: none

ID: 0991172
Sex: F
Age: 47
State: IL

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Nurse depressed the vaccine plunger, and when this happened some fluid trickled down the patient's arm. The needle was in the arm the entire time of administration. The nurse feels that about half of the immunization was administered. There was some leakage out of the needle hub down the patient arm.

Other Meds:

Current Illness:

ID: 0991173
Sex: F
Age: 30
State: NC

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: I work at hospital, my vs were taking by a nurse on unit.

Allergies: Vancomycin, penicillin ,some Nuts and fruits

Symptoms: I have been experiencing tachycardia since 0700 am 1/27/21 heart rate reaching 130 just standing and walking from one door to the next it was 153 , Also I have been experiencing muscle spasms all over as if 1/28/21 and as if today 2/1/21 I?m still experiencing the same two reactions .

Other Meds: No

Current Illness: No

ID: 0991174
Sex: F
Age: 86
State: MI

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: none

Allergies: Beta Blockers, Hydrochlorothiazide, lisinopril, loratadine, triamterene

Symptoms: Patient received vaccine on Jan 22nd at 1:42 pm. Patient stated she woke up at 2:00 am with severe shortness of breath and felt as if she had a cement brick on her chest. She struggled to breath all night, and paced the house. Patient states she felt as if she was going to die. Patient did not wake anyone up or tell anyone, so vitals or other information could not be obtained during the reaction. Patient felt better Saturday morning, but still very fatigued and very fearful.

Other Meds: Aspirin 81 mg, Atorvastatin 40mg, Celebrex 200mg, Furosemide 40 mg, Hydrocodone-Acetaminophen 10-325, Omeprazole 20 mg, Potassium chloride ER, 10 MEQ.

Current Illness: none

ID: 0991175
Sex: M
Age: 52
State: CT

Vax Date: 01/11/2021
Onset Date: 01/25/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: emycin, oral statins

Symptoms: On 1/30/21 PCP diagnosed shingles which may or may not be related to the vaccine administered on 1/11/21. Symptoms began 1/25/21, prescribed Valacyclovir 3 times daily for 7 days beginning 1/30/21. Still significant pain and unopened blisters at this time.

Other Meds: amlodipine, repatha, ranolazine, diamox, plavix, nexium, torsemide, zetia, metoprolol, potassium, aspirin, multivitamin, vitamin C, fish oil, probiotic, vitamin D3, vitamin B-12,

Current Illness:

ID: 0991176
Sex: F
Age: 37
State: AR

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: 1/6/21 Rapid Covid test- negative, PCR test negative.

Allergies: none

Symptoms: Pfizer-BioNTech Coiv-19 vaccine EUA- HA and dizziness that morning, mid morning nauseated and diarrhea by noon vomiting. Wednesday evening fever 103.7 with body aches, chills, \weakness fever did not get below 100.4 until Friday afternoon,

Other Meds: methotrexate, meloxicam, Cymbalta, citracal, labetalol

Current Illness: none

ID: 0991177
Sex: F
Age: 47
State: OH

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: Unknown

Symptoms: Pt began to clear her throat & felt funny. She continued to clear her throat more continuously. She was given EPI @ 7:34PM, coughing/throat cleaning decreased. Transported to Hospital, report given to (EMT) 7:37PM SpO2 100%, HR 91, BP 159/102

Other Meds: Unknown

Current Illness: Unknown

ID: 0991178
Sex: F
Age: 55
State: AL

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: edema lymph node left axilla , nausea,

Other Meds:

Current Illness:

ID: 0991179
Sex: F
Age: 84
State: VA

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: none

Allergies: none known

Symptoms: Itchy,swollen, red rash. Still persisting 2/1/21

Other Meds: none

Current Illness: none

ID: 0991180
Sex: M
Age: 71
State: IN

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Increase in severity of peripheral neuropathy.

Other Meds: Plavix 75 mg. (morning) 1/day Aspirin 81 mg. (morning) 1/day Flomax 4 mg. (morning) 1/day Centrum Silver (morning) 1/day Prilosec 20 mg. (morning) 1/day Toprol XL 12.5 mg. (morning) 1/day Colace 100 mg.

Current Illness: none

ID: 0991181
Sex: F
Age: 32
State: OH

Vax Date: 01/06/2021
Onset Date: 01/15/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: 1/15/2021 0600 Upon awakening noticed hot, red, blotchy, swollen area at and around injection site. 1/18/2021 This area has extended to 10cm x 8 cm Serious adverse reaction CRITERIA: LOCALIZED GRSDE 3 ERYTHEMA TO INJECTION SITE Occasionally will have vertigo after flu vaccine

Other Meds: Meclazine

Current Illness: Sinus issues

ID: 0991182
Sex: M
Age: 37
State: TX

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 29th Friday January 2021-Body aches, HA, aches-real bad in his bones, runny nose, muscle aches, congestion-no sleep Saturday 310th January-Lymph Noes-rt armpit-enlarged-rt neck nodes swollen also, he felt warm all over Sunday 31st January 2021-Very fatigued, BA, muscle cramps, a little congestion Today 1 February 2021-Body aches, taking motrin for his discomforts Reminded if his symptoms get worst-go to the ER, Go to his PCM also if he gets worse-talk to his supervisor if he needs to take off from work

Other Meds: Motrin

Current Illness: none

ID: 0991183
Sex: F
Age: 62
State: OH

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: extreme fatigue, mild nausea, head ache, sore joints

Other Meds: Plavix 6:00 AM

Current Illness: none

ID: 0991184
Sex: F
Age: 51
State: IN

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: Erythromycin

Symptoms: Body aches, extreme fatigue

Other Meds: Lexapro

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm