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: 0992860
Sex: F
Age: 72
State: CO

Vax Date: 01/14/2021
Onset Date: 01/26/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient presented in this office for regular Chiropractic care. Patient stated she experienced ?excessive fatigue? on Tuesday 1/26/21 and it ?really hit? Thursday 1/28/21. Reported she slept 15 hrs from 6:30pm to 9:30 am on the 29th. Excessive fatigue continued on the 29th and the 30th averaging 12-14 hours of sleep per night. Patient reported she felt pressure in the head with brain fog to the point that she didn?t trust herself to safely prepare meals. No appetite due to fatigue and mild nausea. Report O2 was ?a little low? but didn?t quantify. Woke Sunday am 1/31/21 and felt ?more normal?. During Chiropractic treatment patient stated it felt like her brain had went through a trauma.

Other Meds: Lisinopril Hydrochlorothiazide Simvastatin

Current Illness:

ID: 0992861
Sex: F
Age: 30
State: NV

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Sore arm and mild body aches on 1/6/21 Moderate body aches on 1/7/21 Rash on back of arms, lower back, thighs 1/8/21 Felt 100% back to normal 1/9/21

Other Meds: IB profen Tylenol

Current Illness: N/A

ID: 0992862
Sex: M
Age: 74
State: NV

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

Lab Data: None

Allergies: None

Symptoms: Weakness and chest pain with shortness of breath. Right shoulder was very painful for 3 days. Tire easily and just want to sleep. Feel cold at times. Sore throat.

Other Meds: Methotrexate, Lisinopril, Vitamin C, Zinc, Folic Acid, Leutian, B, Iron

Current Illness: Ear ache and sore throat although primary could not find any inications

ID: 0992863
Sex: F
Age: 39
State: GA

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

Lab Data: None

Allergies: Vistiril, stewed Tomatoes.

Symptoms: Within 5-10 minutes after receiving vaccination I began to have a tingling sensation that started with my face and progressed down my entire body to my ankles. Maybe 1-2 minutes later I started to have a burning /itching sensation all over(face, chest, legs, arms). I used the camera on my phone to look at my face and I had red blotchy marks on my face and chest area. The red marks began to appear on my arms and legs. At the 15min wait mark I notified the pharmacy staff that I believe I was having an reaction. Pharmacy tech got pharmacist who noticed the red marks on my chest, I pulled mask down so she could see them on my face. She administered 2 Benadryl tablets( dose I can't remember, she said they were in her "kit") and called 911. EMS arrived maybe 30 minutes later, and checked my bp which was 156/84 I believe. The burning/itching sensation was still present just not as severe. Red marks still present on chest but were going away. Declined EMS transport.

Other Meds: Micardis 40mg daily, Amlodipine 10mg daily, Cyclobenzaprine 10mg prn

Current Illness: None

ID: 0992864
Sex: F
Age: 87
State: MA

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

Lab Data:

Allergies: NKDA

Symptoms: Patient was having shortness of breath, Heart rate was 111, respirations were 44, suctioned multiple times MD notified and sent to Emergency room for evaluation

Other Meds: Albuterol Sulfate Nebulization Solution (2.5 MG/3ML) 0.083% 1 dose via trach every 4 hours as needed for SOB/Wheezing Resp (Breaths/min) O2 Sats (%) LS (1-Clear 2-Rhonchi 3-Crackles 4-Dim 5-Wheezes) Post (Outcome: I-Improved NC-No change W

Current Illness: Z43.0 T ENCOUNTER FOR ATTENTION TO TRACHEOSTOMY Medical Management 5/2/2019 Primary Primary Admitting Diagnosis 5/3/2019 update R06.02 SHORTNESS OF BREATH N/A, not an acceptable Primary Diagnosis 1/21/2020 A During Stay 2/7/2020 slopes update M62.81 MUSCLE WEAKNESS (GENERALIZED) N/A, not an acceptable Primary Diagnosis 5/2/2019 B During Stay 5/3/2019 update D64.9 ANEMIA, UNSPECIFIED Medical Management 9/25/2019 C During Stay 9/26/2019 update Z43.1 ENCOUNTER FOR ATTENTION TO GASTROSTOMY Medical Management 5/2/2019 D Admission (Also Present on Admission) 5/3/2019 update R13.10 T DYSPHAGIA, UNSPECIFIED N/A, not an acceptable Primary Diagnosis 5/2/2019 E Admission (Also Present on Admission) 5/7/2019 update I50.9 HEART FAILURE, UNSPECIFIED Cardiovascular and Coagulations 5/2/2019 F Admission (Also Present on Admission) 5/3/2019 update F33.1 MAJOR DEPRESSIVE DISORDER, RECURRENT, MODERATE Medical Management 5/2/2019 I Admission (Also Present on Admission) 5/3/2019 update R49.8 T OTHER VOICE AND RESONANCE DISORDERS N/A, not an acceptable Primary Diagnosis 9/13/2019 J During Stay 9/18/2019 update B96.4 PROTEUS (MIRABILIS) (MORGANII) AS THE CAUSE OF DISEASES CLASSIFIED ELSEWHERE Acute Infections 11/24/2020 K 12/1/2020 update J69.0 PNEUMONITIS DUE TO INHALATION OF FOOD AND VOMIT Pulmonary 4/29/2020 Non-Ranked Diagnosis History 4/29/2020 update J18.9 T PNEUMONIA, UNSPECIFIED ORGANISM Pulmonary 4/28/2020 Non-Ranked Diagnosis History 6/2/2020 slopes update Z20.828 CONTACT WITH AND

ID: 0992865
Sex: F
Age: 32
State: OR

Vax Date: 01/14/2021
Onset Date: 01/25/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rash in the vaccination area and feels warm on left arm.

Other Meds:

Current Illness:

ID: 0992866
Sex: F
Age: 43
State: MI

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: Penicillin Adhesive Nickel

Symptoms: Palpitations Fast heart rate Fatigue Moderate body aches Moderate chills Headache Nausea Sob- may be anxiety related

Other Meds: Multivitamin Fish oil B12 Vitamin d3 Viibryd Saxenda Hctz Omeprazole

Current Illness: None

ID: 0992867
Sex: F
Age: 27
State: CA

Vax Date: 01/18/2021
Onset Date: 01/26/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: N/A

Allergies: Allergy to bee, pain killers, craw fish, sulfa drugs

Symptoms: Rash covering most of my right arm and significant swelling. Minor common reactions after injection. The swelling and rash occurred 8 days later and lasted 6 days. Arm continues to itch at night currently. No rash or swelling.

Other Meds: Concerta 54mg

Current Illness: N/A

ID: 0992868
Sex: F
Age: 62
State: NJ

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

Lab Data: None

Allergies: None

Symptoms: On the day following the vaccination, I had fever 100.3 and when I took a nap in the afternoon I had nightmares and had difficulty waking up. It felt as though I had been drugged.

Other Meds: None

Current Illness: None

ID: 0992869
Sex: F
Age: 83
State:

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

Lab Data:

Allergies:

Symptoms: Vaccine administered to pt at 1805. Pt observed for 30 minutes due to history of allergies. AT 1835 pt reported feeling "cold, nauseous" and reported feeling "every side effect on the handout." Staff provided juice and graham cracker and assessed vitals. Vitals within patient's baseline. Pt then reported "back pain" and described ita s "squeezing" Staff performed 12 lead EKG. EKG results within patient's baseline. Pt kept for another 10 mins and observed. Staff advised pt to contact doctor and go to ER if symptoms persist. Pt reported feeling better and comfortable with going home. Pt went home after a total of 45 minutes of observation with daughter.

Other Meds:

Current Illness:

ID: 0992870
Sex: F
Age: 63
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: Arm swelling Headache Fever Joint aches Left hand numbness Could not stay awake Generalized body aches

Other Meds: Lisinopril Arimidex Effexor Zyrtec Calcium/vitamin D Tylenol Advil

Current Illness: None

ID: 0992871
Sex: M
Age: 59
State: AZ

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

Lab Data: On Saturday, at the ER Dept, pt had and MRI and CT that were both unremarkable other than having an old hx of an orbital fracture but without any entrapment. Pt's BP was 173/82 at the visit though. Pt has been off his BP meds for about 11mos.

Allergies: None

Symptoms: Pt started developing a droopy right upper eyelid on Friday night (01/29/21) and by the time he woke up on Saturday, his right upper eyelid was completely shut and he couldn't open at all unless he physically used his finger to open the lid. Pt also experienced double vision when opening the eye. Pt went to the Emergency Dept and was given an MRI and CT to r/o stroke and everything came out normal. He was diagnosed with a partial 3rd nerve palsy and was referred to Optometry where we saw him on Monday (today). Pt does indeed have a partial right 3rd nerve palsy which can happen after vaccinations.

Other Meds: None

Current Illness: None

ID: 0992872
Sex: F
Age: 40
State: WA

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

Lab Data: None

Allergies: Peanuts and walnuts

Symptoms: Shaking throughout entire body started 20 minutes after injection. Blood pressure dropped low, weakness and dizziness. Shaking changed from. Small shakes to larger jerking. Toes and fingers continued twitching for 2-3 days.

Other Meds: Tylenol

Current Illness: None

ID: 0992873
Sex: F
Age: 82
State: MI

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

Lab Data: None

Allergies: Pennicillin

Symptoms: Chills,Fatigue,arms and muscles unresponsive unable to move

Other Meds: Flecainide,Atorvastatin,Carvedilol,Losavtan,Pantoprazok,Xavelto,Ferrousuitate

Current Illness: None

ID: 0992874
Sex: F
Age: 41
State: IN

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

Lab Data: CXR Labs EKG aspirin IVFs

Allergies: No

Symptoms: Chest pain...irregular heart rate...headache and body aches prior to the ER visit

Other Meds: Birth control immune boosters vitamin D

Current Illness: None

ID: 0992875
Sex: F
Age: 28
State: PA

Vax Date: 01/13/2021
Onset Date: 01/24/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: I had to have an ultrasound due to my history of blood clots. Nothing was found.

Allergies: NSaids, possible shellfish

Symptoms: 10 days after I had the injection, my upper left arm began to hurt spontaneously. Two days later, I noticed my arm was swollen, red, and felt warm at the injection site. I talked to my doctor who ultimately thought it might be cellulitus and gave me prednisone and another antibiotic. My arm stopped hurting around day 15 post vaccine, and the redness and most of the swelling went away. My arm still has what looks like a shadow on the area that had been swollen.

Other Meds: Xigduo XR, Spriolactone, Vitamin D

Current Illness: None

ID: 0992876
Sex: F
Age: 49
State: MN

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: No known allergies

Symptoms: Covid vaccine given on 1/21, the same day I developed a local reaction at the injection site. The red, raised, painful area around injection site remained for 2 days then resolved. Approx 8 days later, the red area around the injection site returned. The area is approx 3" x 2", red, raised and itchy, only mildly painful/tender to touch. The skin over the area feels bumpy and appears "hive-like". No fever, chills, aches etc. Went to PCP today. MD feels it is likely an on-going hyper immune response.

Other Meds: Synthroid, Zoloft, Pravastatin, Clonidine, Premarin Probiotic, multivitamin, Vitamin D, Ubiquinol, fish oil

Current Illness:

ID: 0992877
Sex: M
Age: 43
State: TX

Vax Date: 01/21/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: 1/30/2021

Allergies:

Symptoms: face numbness unable to make complete sentences called 911 they thought he was having a stroke discharge from the hospital with all bloodwork normal

Other Meds: Meloxicam Lisinopril Citalopram Omeprazole Turmeric Curcumin

Current Illness:

ID: 0992878
Sex: F
Age: 34
State: MN

Vax Date: 01/18/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital: Y

Lab Data: Troponin-elevated 1/27 CT 1/27

Allergies: Ceftriaxone Seasonal Allergies Bactrim Adhesives

Symptoms: LOC, not breathing, admitted to hospital x3 days

Other Meds: Diltiazem Unifiber Miralax Acetaminophen Vitamin B6 Nephrovite Sodium Chloride Cranberry Juice Carvedilol Flax Seed Oil Gabapentin Ladin Ceterizine Folic Acid Zinc Fluticanose Sevelamer Aspirin Famotodine Melatonin Clonidine PRN Zofran PRN

Current Illness:

ID: 0992879
Sex: F
Age: 30
State: CA

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

Lab Data:

Allergies: n/a

Symptoms: fever, nausea, chills, muscle aches

Other Meds: women's multivitamin, magnesium, zinc, inositol

Current Illness: n/a

ID: 0992880
Sex: F
Age: 66
State: NC

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

Lab Data:

Allergies: Statins, estrogen, sweet peppers

Symptoms: Pain at injection site, muscular aches, fatigue, headache, fogginess, rosacea outbreak,

Other Meds: Ezetimibe 10 mg; Omeprazole 20 mg; propafenone 150 mg; woman?s multi vitamin

Current Illness: None

ID: 0992881
Sex: F
Age: 31
State:

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Chills, muscle aches, fatigue, headache

Other Meds:

Current Illness: None

ID: 0992882
Sex: M
Age: 51
State: OH

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

Lab Data: EKG first time was irregular on right side, a second ekg was taken a bit later and was better. Lab work was taken did not have the results prior to leaving for an adult hospital.

Allergies: None

Symptoms: Became immediately hot, within 2 hours I was having issues breathing, blood pressure of 202/170. Put on oxygen as my O2 dropped to 90%, Irregular EKG, blood work taken.

Other Meds: Diltiazem, ibuprofen

Current Illness: None

ID: 0992883
Sex: F
Age: 26
State: AZ

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

Lab Data:

Allergies: None

Symptoms: headache, body aches, chills, left arm pain, fatigue

Other Meds: Mirena IUD

Current Illness: None

Date Died: 01/17/2021

ID: 0992884
Sex: F
Age: 57
State: KS

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: unknown

Allergies: Sulfa Allergy

Symptoms: The next morning after vaccine, patient ran a fever, vomited, and was very tired. Mom laid her down to sleep and when she checked later, patient had passed away.

Other Meds: Unknown

Current Illness: Unknown

ID: 0992885
Sex: M
Age: 40
State: WI

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

Lab Data: None

Allergies: None

Symptoms: 01/30/2021 12:01 AM Headache, Body Ache and temperature 101 01/30/2021, Came to work, symptoms progressed and went home which included HA, body aches, pain at the injection site, chills, sweats, temp 103.9, started noticing, lymph nodes swollen slightly in left axilla where injection was placed 01/31/2021 decrease in body aches, temp 100, lymph nodes swollen in left axilla area 02/01/2021, lymph nodes almost back to normal, no other symptoms

Other Meds: Torvastatin

Current Illness: None

ID: 0992886
Sex: F
Age: 80
State: MA

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

Lab Data:

Allergies: NKA

Symptoms: Patient began shaking, had shortness of Breath, Increased heart rate 148, low o2 sat 90 increased temp 99.5 respirations were 38 B/P 144/70 blood sugar 198

Other Meds: ARTHRTS PAIN TAB 650MG Give 2 tablet orally at bedtime for PAIN TD=1300 mg, NTE 3gm/24 hr Pharmacy Active 4/9/2019 21:00 4/13/2019 MIRTAZAPINE TAB 45MG Give 0.5 tablet orally in the evening related to MAJOR DEPRESSIVE DISORDER, RECURRENT

Current Illness: J44.9CHRONIC OBSTRUCTIVE PULMONARY DISEASE, UNSPECIFIED Converted from ICD-9-CM 491.20 OBSTRUCTIVE CHRONIC BRONCHITIS WITHOUT EXACERBAT NTA (2 pts) Pulmonary 12/15/2011 Primary Admission (Also Present on Admission) 6/2/2014 update J18.9 PNEUMONIA, UNSPECIFIED ORGANISM Pulmonary 10/27/2020 A During Stay 10/28/2020 update E11.8 TYPE 2 DIABETES MELLITUS WITH UNSPECIFIED COMPLICATIONS NTA (2 pts) Medical Management 3/5/2017 B Admission (Also Present on Admission) 3/6/2017 update F20.0 PARANOID SCHIZOPHRENIA Medical Management 5/21/2018 C During Stay 6/1/2018 update I50.22 CHRONIC SYSTOLIC (CONGESTIVE) HEART FAILURE Cardiovascular and Coagulations 1/22/2019 D During Stay 4/19/2019 update M62.81 T MUSCLE WEAKNESS (GENERALIZED) N/A, not an acceptable Primary Diagnosis 4/12/2020 E Admission (Also Present on Admission) 4/14/2020 update R26.89 T OTHER ABNORMALITIES OF GAIT AND MOBILITY N/A, not an acceptable Primary Diagnosis 4/12/2020 F Admission (Also Present on Admission) 4/14/2020 update D64.9 ANEMIA, UNSPECIFIED Converted from ICD-9-CM 285.9 UNSPECIFIED ANEMIA Medical Management 12/15/2011 G Admission (Also Present on Admission) 6/2/2014 update I10 ESSENTIAL (PRIMARY) HYPERTENSION Converted from ICD-9-CM 401.9 UNSPECIFIED ESSENTIAL HYPERTENSION N/A, not an acceptable Primary Diagnosis 12/15/2011 H Admission (Also Present on Admission) 6/2/2014 update R13.10 DYSPHAGIA, UNSPECIFIED N/A, not an acceptable Primary Diagnosis 4/12/2020 I Admission (Also Present on Admission) 4/13/2020 update E

ID: 0992887
Sex: F
Age: 27
State: WA

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

Lab Data: covid test 30 hours after shot- negative (it was the kind with the swab up your nose

Allergies: amoxicilian, azythromicin

Symptoms: About 8 hours after the shot, I started to get a fever. At first it was about 101, I took tylenol (6 hours pill) but after 4 hours I spiked a 101 fever again. I took tylenol at the scheduled time and my fever went down, but then spiked up again after 4 hours, this time to 103 degrees. I called my doctor's office emergency line, and was told to take advil, and be scheduled for a covid test. This was about 24 hours after the shot. Upon beginning advil and tylenol at the same time (2 hours apart) my fever reduced. I continued taking this regimine for another 24 hours with no breakthrough fever. By 48 hours after the shot, I felt totally fine fever wise. I had a covid test about 36 hours after my shot and was negative. I had redness and itchiness with some swelling for 72 hours on my arm after the shot. My whole body was really sore and achy for about 4 days after the shot.

Other Meds: Lamictal, focalin, lyrica, vitamin B complex, vitamin D, melatonin, flovent inhaler, ketotifin, budesonide

Current Illness:

ID: 0992888
Sex: F
Age: 74
State: PR

Vax Date: 01/23/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None.

Allergies: Penicillin; Aspirin; Ibuproben

Symptoms: Rash, itching, redness, hot in the area where the vaccine was administered. These symptoms started one week after the inoculation.

Other Meds: Cardidopa; Losartan; Celexa

Current Illness:

ID: 0992889
Sex: F
Age:
State: NY

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

Lab Data: COVID, Flu

Allergies: Seasonal, Levaquin or Macrobid

Symptoms: After taking the vaccine, go home felt itchy inside. Went to sleep. Woke up the next morning, had fever, freezing cold, muscle aches, sweating, headache, joint pain, could barely walk. Went to the doctor the next day. Was tested for Covid, strept throat, and flu, came back negative. Went and was tested again, results were negative. Went home with no medicine. Drink a lot of water and keep taking Tylenol. The next morning, she felt fine.

Other Meds: Tylenol

Current Illness: no

ID: 0992890
Sex: F
Age: 42
State: CA

Vax Date: 01/19/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Severe upper arm pain beginning hours after injection and lasting 2 days. Upper left arm soreness persisting 2 weeks after injection and still ongoing. Red, itchy rash at injection site appearing 8 days after injection and lasting 3 days. Skin sensitivity across back and arms following resolution of arm rash; ongoing.

Other Meds: None

Current Illness: None

ID: 0992891
Sex: F
Age: 38
State: CA

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

Lab Data: COVID test 1/29/2021 and result was negative

Allergies: PCN, Robitussin, Guaifenesin

Symptoms: Rash on her face with swelling, fever, diarrhea, fatigue, slight cough

Other Meds: Dosage hydrocortisone (HYTONE) 2.5% Cream one application to affected area(s) twice daily levocetirizine (XYZAL) 5 MG Tab TAKE 1 TABLET BY MOUTH DAILY buPROPion 24Hr-XL (WELLBUTRIN XL) 150mg Tab TAKE 1 TABLET BY MOUTH EVERY MORNING FOR MAJO

Current Illness: bilateral ear infection 1/21/21

ID: 0992892
Sex: F
Age: 71
State: AZ

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

Lab Data: Haven't gone to the dr

Allergies: None

Symptoms: Fever, headache, upset stomach

Other Meds: Eliquis, zolpidem, Topiramate, Vitamin D, Calcium, Magnesium, Glucosamine with MSN, Super B, Fish Oil, Mature Multivitamines

Current Illness: None

ID: 0992893
Sex: F
Age: 79
State: CA

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

Lab Data:

Allergies: toprol, cortisone

Symptoms: Delayed local reaction 9 days after injection: Wheel shaped redness approx 3inch, moderate itching at injection site, both increasingly worse each day. Began cetirizine with measurable improvement next day. I continue to take cetirizine daily with improvement. Initially, on day of injection, site became achy, mild redness and itching appeared 2nd or 3rd day, redness subsided, but itching continued, but decreased each day until 8-9 days later then reappeared.

Other Meds: Valsartin, xerelto, chlorazapam, synthroid, ultram, multivit,

Current Illness: none

ID: 0992894
Sex: F
Age: 61
State: MN

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Chills Body Aches Very Tired lasted 20 hours Left Arm Pain lasted 3 days 10 days after the vaccine I and other that were with me the same day developed a bronchial cough.

Other Meds: Trazodone 25 mg Benadryl 25 mg

Current Illness: Covid 19 Dec 22 to Jan 4 2021

ID: 0992895
Sex: M
Age: 71
State: OH

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

Lab Data:

Allergies: Latex, Bee sting

Symptoms: A few minutes after receiving the vaccine, the patient let me know that he had a warm sensation from the injection site up to the left side of his neck and tightness of the left side of his neck. I asked if he felt like his throat was closing and he said no. At this time, I gave the patient a diphenhydramine tablet 25 mg tablet and a bottle of water and observed him. I took the patient's blood pressure about 10 minutes later and it was 170/75. I asked if this was a normal level for him and he said when he took it last week it was 180 over something. I continued observing the patient and took his blood pressure again in 10 minutes. It was in the same range. The patient left approximately 45 minutes after receiving the vaccine. He said that he was feeling better. I called the patient to follow up at 3 pm. I asked if he was feeling better. He said, "I think I'm ok." I asked if he was still experiencing the symptoms from earlier and he said, "No, I left those symptoms in Massillon."

Other Meds:

Current Illness:

ID: 0992896
Sex: M
Age: 74
State: NY

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

Lab Data:

Allergies: None

Symptoms: Runny nose and sneezing every day since Thursday Jan 28

Other Meds: Losartan 50 mg daily 1x

Current Illness: None

ID: 0992897
Sex: F
Age: 29
State: IN

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

Lab Data:

Allergies: N/A

Symptoms: Rash observed distal of injection partially encompassing upper arm on anterior plane, hot to touch. Tingling and neuropathy distal of injection site extending completely through extremity.

Other Meds: N/A

Current Illness: N/A

ID: 0992898
Sex: F
Age: 39
State: NC

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

Lab Data:

Allergies: None

Symptoms: I had complete numbness on my right side of my tongue and right cheek. The tongue lasted one hour and my cheek four hours

Other Meds: Retin a

Current Illness: None

ID: 0992899
Sex: F
Age: 74
State: CA

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

Lab Data: Patient had a blood pressure of 130/95, Blood sugar of 208, pulse of 75 and O2 sat of 93% on room air

Allergies: Morphine, Codeine

Symptoms: Other: patient felt like she has her throat tightening and felt itching to the rear of her throat. Patient felt the itching start behind her ears and move to the back of her throat with some throat tightening. EMS called at 1448, patient signed ama

Other Meds:

Current Illness:

ID: 0992900
Sex: F
Age: 52
State: SD

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 02/01/2021
Hospital: Y

Lab Data:

Allergies: Voltaren

Symptoms: Anaphylaxis, tongue swelling, difficulty breathing, & hives, Ambulance transported pt to the nearest ER, required Epinephrine injections 1mg IM X3, IV Methylprednisolone 50mg and IV Benadryl 50mg, pt had to be transferred to higher level of care due to ongoing symptoms and was kept until 1/24/21. Pt said staff at the ER told her they knew they should report the reaction to someone but didn't know how to report it.

Other Meds: Glipizide, ASA, Crestor, & B12

Current Illness: None

ID: 0992901
Sex: F
Age: 69
State: CA

Vax Date: 01/23/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: Penicillin (rash); lidocaine injection for veinous ablation (rash)

Symptoms: Rash on day 8 at injection site

Other Meds: Synthroid; simvastatin; atenolol; omeprazole; b complex; Vitamin c; Vitamin d; Magnesium with malic acid, zinc; Vitamin b6; probiotic

Current Illness: None

ID: 0992902
Sex: F
Age: 58
State: CA

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

Lab Data: Blood Draw, EKG, monitor, Chest xray

Allergies: latex, clindamycin, penicillin, Macrobid.

Symptoms: chest tightness, shortness of breath, then went to throat sore throat, hoarseness patient received EPIPEN 0.3 mg 3 doses 5 min apart. then went to ER had two breathing treatments, albuterol, epinephrine, solumedrol one injection, 50 mg Benadryl reports rash at IV site from (Benadryl?) No rash anywhere else. Prednisone tapering dose and Benadryl 50 mg at night and 25 during day time. To follow up with PMD. Headache.

Other Meds: lisinopril, Prilosec, gabapentin, Norco amlodipine

Current Illness: mild itchiness after first dose one

ID: 0992903
Sex: F
Age: 70
State: WA

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

Lab Data: None

Allergies: None

Symptoms: Home rest taking Tylenol and Ibuprofen

Other Meds: Bio-identical hormones Naltrexone 4.5 mg Melatonin Vit D3 and K

Current Illness:

ID: 0992904
Sex: F
Age: 88
State: MO

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

Lab Data: none

Allergies: may codine

Symptoms: Sore arm, red arm, swollen arm, fever to the arm, chills, fatigued, slept a lot, starting to itch

Other Meds: moeprazine 20mg, spironolacton-e 25mg, furosemide 40mg, isosorbide MONONITER 30mg, kapspargo sprinkle 25mg, plavics slopidogrel 75mg, Eliquis 5mg 2 a day, oxybutynin chloride 5mg, I caps , Vitamins C, D 12, Calcium

Current Illness: none

ID: 0992905
Sex: F
Age: 78
State: CA

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: One week after the vaccination a red rash developed at the site, about 3 inches in diameter. It is still there, about as red, same size. Rarely itches.

Other Meds: Estradial, Prometrium, Zolpidem, multi vitamin

Current Illness: None

ID: 0992906
Sex: F
Age: 77
State: CA

Vax Date: 01/18/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Upper right arm became swollen, red and painfull 10 days after the shot was given. Went to urgent care doctor and was told there was an infection from the shot or a reaction from the shot. Doctor gave my an injection of Rocephin 1g IM. I was prescribed 500MG of Keflex PO 3 times per day. Symtoms got worce and went back to primary care doctor. Doctor stated that I should continue with the same treatment and return for further tests if the condition did not get better.

Other Meds:

Current Illness:

ID: 0992907
Sex: F
Age: 69
State: TX

Vax Date: 01/27/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: Sulfa

Symptoms: Jan 30 evening experienced Dizziness, Room spinning went to bed Jan 31. Woke up dizziness waited awhile and got up seemed to go away Feb 01, woke up and felt dizzy moving about, completed morning routine still dizzy went to kitchen and stumbled and ran into refrigerator. Sat down but every time I got up felt room spinning. Called primary physician and reported symptoms to office personnel. Physician returned call and described above symptoms. Advised to report side effects to the agency, would send meds for vertigo and drink plenty of water.

Other Meds: Losartan, Levothyroxine, Rosuvastatin, Furosemide, Diclofenac-Misoprost, Zinc, Fish oil, Vitamin E, Vitamin D, Vitamin C, Alpha Lipoic Acid

Current Illness:

ID: 0992908
Sex: F
Age: 74
State: CA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Sore arm with soreness and itching, next day headache and nausea

Other Meds:

Current Illness:

ID: 0992909
Sex: F
Age: 86
State: MA

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

Lab Data:

Allergies:

Symptoms: Cough and chest congestion today 2/1/21 (REPORT PROVIDED BY DAUGHTER)

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm