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: 0994460
Sex: F
Age: 41
State: TX

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

Lab Data:

Allergies: Bactrim (sulfa)

Symptoms: About 8 days after the injection administration, I started getting a rash on the injection site. It was about 3 inches in diameter, itchy, and warm to the touch. I still have it today, but it is fading and not as itchy or as warm. Prior to this, the only other symptoms were slight tenderness/pain at the injection site.

Other Meds: Baclofen, Gabapentin, Lisiniprol, melatonin, multi-vitamin

Current Illness: High Blood pressure; nerve disorder; sinus infection

ID: 0994461
Sex: F
Age: 63
State: NJ

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

Lab Data: None

Allergies: None

Symptoms: Elevated heart rate, elevated blood pressure, headache, nausea, increased joint pain in right shoulder rotator cuff and joint pain in both Achilles tendon?s, Temperature of 101.5

Other Meds: Amlodipine 10 Mirtazapine 7.5 Escitalopram 10 mg Pantoprazole 40 mg Vitamin D 2000iu Biotin 5000 mcg Potassium 99 mg Bee pollen 500mg Cranberry 500 mg Age 50+ iron free multivitamin Cal/ mag/ zinc D3

Current Illness: None

ID: 0994462
Sex: F
Age: 53
State: FL

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

Lab Data:

Allergies:

Symptoms: Systemic: Chills, Systemic: Joint Pain, Systemic: Other- Pain and numbness on the left jaw/face-Severe.

Other Meds:

Current Illness:

ID: 0994463
Sex: F
Age: 23
State: MO

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

Lab Data: Unknown, client was transferred to hospital

Allergies: Bactrim-anaphylaxis

Symptoms: Client was sitting for 30 min after receiving COVID-19 vaccine #1--due to her history of anaphylaxis with Bactrim. After about 20 minutes client states that her face and tongue was becoming tingly. EMS was on-site and began monitoring her. For about 5 minutes, client states that she did not feel worse just "numb/tingly feeling face", client then began to cough and state that she was having difficulty breathing. EMS administered 1 EpiPen injection into her thigh and then transported her to a local hospital.

Other Meds: Unknown

Current Illness: unknown

ID: 0994464
Sex: F
Age: 60
State:

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

Lab Data:

Allergies:

Symptoms: Arm is inflamed, red, itchy. Moderate fatigue. Lightheadedness resulting in nearly fainting. Fever of 100-100.4.

Other Meds:

Current Illness:

ID: 0994465
Sex: F
Age: 41
State: IL

Vax Date: 01/15/2021
Onset Date: 01/30/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: none

Allergies: tetracyclines, clindamycin,

Symptoms: pt states on 1/30 she started getting nauseated and checked her temp which was 98.5 (which was elevated for her) and is still has a temperature . She says she is sweating, clammy and nauseated. She says the nausea has subsided but temp is still elevated. She says she will contact her PCP if needed,

Other Meds: none

Current Illness: no

ID: 0994466
Sex: F
Age: 76
State: FL

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

Lab Data:

Allergies: sulfur, amoxicillin, penecillian

Symptoms: dizzines lasting for 24 hr. 3 days after injectiion--then again 3 days later. tiredness ,chills.

Other Meds: levothyroxin 100 mg, vit.c ,curcumin, vit. d, cytomel ,5mg, milk thistle, ubiquinol, calcium

Current Illness:

ID: 0994467
Sex: M
Age: 28
State: TX

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

Lab Data: EKG, Strep, Influenza B, CV 19

Allergies: None

Symptoms: 1/26 Headache; 1/27 headache, body ache and fatigue; 1/28 fever blister on lip, eye and eyebrow; 2/1 chills, body ache, elevated temperature 102.7 went to the ED

Other Meds: Symbicort

Current Illness: None

ID: 0994468
Sex: F
Age: 24
State: CO

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

Lab Data:

Allergies:

Symptoms: I received my vaccine at 9 am 02/01/21 and felt exhausted that evening. My arm of injection, was extremely sore and it was hard to sleep. I had chills and night sweats and woke up with my heart racing at 150 bpm. My resting heart rate is usually 90-100. When I finally got up to go to work, I felt dizzy and completely off balance, bumping into walls. I feel extremely nauseous, weak and have a migraine.

Other Meds:

Current Illness:

ID: 0994469
Sex: F
Age: 79
State: OH

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

Lab Data: No

Allergies: No

Symptoms: I didn't receive, I just went to my apartment and probably went to bed early. I was not having any adverse things happen but 2 days later I went through 'hell' in my dreams. People were worried because I made wild phone calls and complaints. I had even written notes and passed them out, I live in a huge apartment complex.

Other Meds: Lisinopril 20 mg daily

Current Illness: No

ID: 0994470
Sex: F
Age: 35
State: MA

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

Lab Data:

Allergies: None

Symptoms: Pain in left arm: unable to lift arm past shoulder : started next day 1/21 in the am and subsided 1/22 am Body Aches: started next day 1/21 in the am and subsided 1/22 am

Other Meds: Zinc, vitamin D, Women?s One a day multi vitamin, Tylenol 500mg

Current Illness: None

ID: 0994471
Sex: F
Age: 71
State: FL

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

Lab Data: NA

Allergies: any aspirin, penicillin, Doxycycline, Bactrian, dairy products

Symptoms: My left upper arm was swollen, red rash and hot to the touch. the next few days it was larger and as of today 2.2.21 it is still red in color and about 2.5 inches in diameter. It is NOT hot and not swollen

Other Meds: Vitamin D 3 1000 mg, AREDS 2, Probiotic

Current Illness: NA

ID: 0994472
Sex: F
Age: 66
State: NY

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

Lab Data: none

Allergies: Naproxen Sensitivity to Codeine (nausea)

Symptoms: Early Sunday morning I developed significant chills (literally my teeth were chattering) that went on for hours. I did not take my temp at this time. I took some Advil, put addition coverings on and was able to fall asleep. In the morning, I was very achy, had a bad headache and had a temp of 101. (The highest it got was 102 over the next 36-40 hours). My temperature didn't break until Monday afternoon. But then it returned early in the evening to 101.2. I was very weak, tired, no appetite, headache, and feverish until this morning which is Tuesday at 10:00. I feel better this morning, not achy, just wiped out. I had the virus last March and this few days was worse than when I had it.

Other Meds: Trazadone 75 mg; Escitalopram 20 mg; D3 50 mg; Magnesium 500 mg

Current Illness: None

ID: 0994473
Sex: F
Age: 81
State: IN

Vax Date: 01/24/2021
Onset Date: 01/26/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: developed herpes voster-pain behind the right ear and neck with rash and up into the head started on 1/26/21 and still present on 2/1-rash appears to be crusted over on 2/1/21

Other Meds: alendronate,bisoprolol,eliquis,furosemide,lisinopril,pravastatin,spirolactone

Current Illness: n/a

ID: 0994474
Sex: M
Age: 40
State: TX

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

Lab Data:

Allergies: none

Symptoms: Systemic: Other- Patient said he suffered from confusion, fatigue, and had a hypertensive emergency in which he had to increase his amount of blood pressure medication. Highest reading was 198/116.-Severe; symptoms lasted 2 days

Other Meds:

Current Illness:

ID: 0994475
Sex: M
Age: 45
State:

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

Lab Data:

Allergies:

Symptoms: Patient came for booster shot. Pfizer administered but noted on documentation of prior vaccine that a Pfizer vaccine was documented but with a Moderna lot number. Patient after vaccination obtained card that noted Moderna had been given for first vaccine.

Other Meds:

Current Illness:

ID: 0994476
Sex: F
Age: 81
State: IN

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

Lab Data:

Allergies:

Symptoms: Res vomiting , res states she is weak and shaky.

Other Meds:

Current Illness:

ID: 0994477
Sex: F
Age: 49
State: WI

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

Lab Data: N/A

Allergies: N/A

Symptoms: Approximately 20 minutes after second vaccine, became orthostatic, flushed, and pre-syncopal. Given intravenous diphenhydramine, and sent home ~60 minutes later. Patient did take off work the next day, experiencing aches, malaise, and diarrhea.

Other Meds: Glargine insulin 35 units daily, ferrous sulfate 325 mg daily, pantoprazole 40 mg daily, metformin XR 1,000 mg daily, levothyroxine 125 mcg daily, lisdexamfetamine 20 mg daily, empagliflozin 10 mg daily

Current Illness: N/A

ID: 0994478
Sex: F
Age: 75
State: TN

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

Lab Data: No medical tests

Allergies: MSG and soy

Symptoms: Began with nausea, followed by the worst and longest-lasting migraine headache that I have ever experienced on the evening of the second injection. Both the nausea and severe migraine lasted for 54 hours after onset. The first evening I also experienced teeth-chattering chills. Finally saw an improvement around 2:00 a.m. on Monday morning, February 1, when I woke up in a total sweat. By daylight on February 1, the nausea and migraine were gone, but I experienced mild dizziness and blurry vision. By Tuesday morning, February 2, I am more or less back to normal, although my vision is still a bit blurry and the dizziness still present if I move my head too quickly.

Other Meds: Nadolol, fluvastatainER, Centrum Silver, CoQ10, CosamineDS, Bayer aspirin8 1 mg, Allegra, vitamin D3, calcium+D3, Flonase

Current Illness: None

ID: 0994479
Sex: M
Age: 45
State: AZ

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

Lab Data: No e

Allergies: Keflex

Symptoms: Fever, body aches, headache, joint pain, fatigue, runny nose, and back pain.

Other Meds: Vitamin D, Vitamin C,, Multi Vitamin, Losartin, Colozal, Folic acid, Paxil, and Metformin.

Current Illness: None

ID: 0994480
Sex: F
Age: 24
State:

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

Lab Data: xray, blood work, ct scan

Allergies: macrodantin and peppers

Symptoms: At around 7PM 01/29/2021, I was at the store to get groceries when walking around the store became difficult due to being out of breathe. When I got home the body aches got worse and I started getting severe chills and could not stop shaking. That night was difficult to sleep because of the pain I was in. When I woke up the next day, 01/30/2021, I was dizzy, severe fatigue, had severe migraines, I could not breathe when standing up and moving around, my heart was racing, and it felt like I had a sun burn all over my body. I called the nursing coordinator for that day and asked what to do and she said to go to the ER. When I arrived at the ER, they said I had 100 degree temp., I was tacky. They gave me medicine for the pain and the doctor said I was having a adverse reaction to the vaccine but by the next day I would feel better. I went home and slept after the ER all day and night and by Sunday 01/31/2021, I was feeling better after excedrine and advil

Other Meds: advil

Current Illness: veritigo and migraines

ID: 0994481
Sex: F
Age: 88
State: NC

Vax Date: 01/14/2021
Onset Date: 01/20/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: None

Allergies: Bactrim

Symptoms: Rash below injection day 4, intense itching arm and legs continues now after 12 days.

Other Meds: Lisinopril, amlodipine, coreg, gabapentin, daily vitamin coq10

Current Illness: None

ID: 0994482
Sex: F
Age: 17
State: AZ

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

Lab Data:

Allergies: none

Symptoms: Error: Too Young for Vaccine

Other Meds:

Current Illness:

ID: 0994483
Sex: F
Age: 67
State: PA

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: None

Allergies: Environmental

Symptoms: Red rash for six days, then black and blue at site of injection, then red rash again.. NUsea for ten days, and intestinal issues

Other Meds: QVar Naproxen Vitamin C and D3

Current Illness: None

ID: 0994484
Sex: F
Age: 62
State:

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

Lab Data:

Allergies:

Symptoms: Second vaccine given on 1/28/21. Got sick later that evening with pain & soreness at the injection site. Along with a severe headache, nausea, and chills. The symptoms lingered over the next couple of days. Contacted Employee Heath and manger the following day. Stayed out of work on 1/29/21.

Other Meds:

Current Illness:

ID: 0994485
Sex: F
Age: 57
State: IN

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

Lab Data:

Allergies:

Symptoms: resident with non productive cough, and fever 99.3

Other Meds:

Current Illness:

ID: 0994486
Sex: F
Age: 17
State: MN

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

Lab Data:

Allergies: penicillin

Symptoms: Underage - no other issues

Other Meds:

Current Illness:

ID: 0994487
Sex: F
Age: 70
State: MI

Vax Date: 01/19/2021
Onset Date: 01/25/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: Blood work and hospital stay from 1-28-21 to1-31-21

Allergies: Sulfa, Bactrim, morphine, dilatin, iodine, amiloride, strawberries, crab

Symptoms: Low platelet number 11000

Other Meds: Many

Current Illness:

ID: 0994488
Sex: F
Age: 64
State: VA

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

Lab Data:

Allergies: None known

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA: Was perfectly fine for the first 10 hrs following injection. Then 11pm Sar night sudden intense pain at inj site spreading rapidly around back of neck and down other arm and up to head. Wracking chills for about 8 hours. Shaking uncontrollably, aches and pains, very weak, exhausted, nauseous. About 8 hours later, 7am Sunday, fever developed, eye pain with severe headache. In bed 30 hours. Monday morning felt much better but still fever @100 and weirdly dizzy. Ate and drank water. Today, almost 72 hours later fever gone, still very dizzy. Drinking water to see if that will help.

Other Meds: In am had taken Zyrtec, MSM, Vit D, two Tylenol, l-lysine, methyl B

Current Illness: None

ID: 0994489
Sex: F
Age: 35
State: OR

Vax Date: 01/26/2021
Onset Date: 02/05/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: No e

Allergies: No one

Symptoms: Fever 101.5 for four days so far, malaise , restlessness, headache, back pains, abdominal pains, shivering , ibuprofen lowers but not completely

Other Meds: None

Current Illness: None

ID: 0994490
Sex: F
Age: 22
State:

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

Lab Data:

Allergies:

Symptoms: I experienced a skin rash with red, itchy bumps on the right arm of my body 72 hours after the second dose of the Moderna vaccine. The rash is under my arm, on my chest (near my armpit) and on my back. All of the rash is localized to the right side of my body.

Other Meds:

Current Illness:

ID: 0994491
Sex: F
Age: 57
State: KY

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

Lab Data:

Allergies: Dairy Egg

Symptoms: Brain fog followed by muscle and joint aches then severe vomiting diarrhea and chills. Blood in stool

Other Meds: Lisinopril 20mg QD 4000 iu vitamin d3

Current Illness: None

ID: 0994492
Sex: F
Age: 37
State: MA

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

Lab Data:

Allergies:

Symptoms: Patient did not receive COVID vaccine at SHG, unsure where patient received vaccine. Also, unsure which COVID vaccine patient received. Shortly after receiving COVID vaccine on 1/29/21, patient developed sensation of throat closing, tongue swelling and itching. Patient was given Epi and Benadryl by EMS and saw improvement. Patient was admitted to the ER where she received steroid and epi and was discharged home with steroids. The next day, 1/30/21, patient returns to the ER after taking EpiPen, benadryl and prednisone at home because she felt throat was closing and some itchiness. She later improved in ER stating she can now take a deep breath without issue.

Other Meds:

Current Illness:

ID: 0994493
Sex: F
Age: 56
State: WY

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

Lab Data:

Allergies: None known

Symptoms: Fever above 102 degrees, chills

Other Meds: Estrogel, Progesterone, Crestor

Current Illness: none

ID: 0994494
Sex: F
Age: 40
State: MI

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

Lab Data: I went to an urgent care facility to be evaluated, per instructions from the Clinic. An urgent care Physician's Assistant evaluated me. They looked inside my throat to see if it was closing up (it wasn't). They used a swab to test my sensory ability on my face by pressing with either the fuzzy-side, or the blunt (wooden) side. When I asked the PA how I did, she indicated that I failed the test, confirming that I was experiencing numbness/loss of sensory function in my face. She had me puff out my cheeks with air and frown (I don't know what this test was confirming). An urgent care clinic staff member gave me some Benadryl in liquid form (grape flavor). The prognosis was I have having an allergic reaction to the vaccine. I assume it was the Benadryl, but I felt sleep and tired within an hour of getting the Benadryl. My symptoms lessened by about 90% (i.e. my face felt mostly normal) after about 3 hours. I went to bed early (at 945 pm, EST). I woke up and did a "frown test" in front of the mirror. My left side of my face isn't working the same way as my right side. I think I might have a mild case of Bell's Palsy. I feel like my eyebrow muscles are weak on my left side, and my frown is lopsided (with the left side not responding / performing similarly to the right side).

Allergies: None

Symptoms: My the skin of my jaw and chin started to feel numb. The sensation progressed rapidly to include numbness of my cheeks, eyebrows, and ears. The symptoms appeared rapidly after leaving the clinic (as I was driving away on my from work to home). Less than 30 minutes after receiving the vaccine. Both sides of my face were impacted equally.

Other Meds: Ibuprofen

Current Illness: I was menstruating (heavy flow) during the date/time of my vaccination.

ID: 0994495
Sex: F
Age: 57
State: MI

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

Lab Data: None

Allergies: Mineral oil

Symptoms: Red itchy rash under injection site. It happened on day 11 after shot

Other Meds: Multi vitamin's Minoxcidil Tumeric Vitamin D,C,E Calcium

Current Illness: No

ID: 0994496
Sex: F
Age: 75
State: PA

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

Lab Data: No testing done

Allergies: PCN

Symptoms: Area surrounding injection very swollen, skin above area red and inflamed in appearance. Arm mildly painful and tender in swollen area. Initially improved over about three days. Arm seemed normal. Same reaction about one week later lasting about one week. Currently much improved. No treatment given

Other Meds: Valacyclovir, Bupropion, Esomeprazole, Atorvastatin, Colace, Senna, Hydroxychloroquine, Glucosamine, Vitamin D, Calcium, Magnesium, multivitamins

Current Illness: none

ID: 0994497
Sex: F
Age: 32
State: NE

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

Lab Data:

Allergies:

Symptoms: Local skin reaction/rash at site of injection. No treatment indicated. Resolved in 3-5 days.

Other Meds:

Current Illness:

ID: 0994498
Sex: F
Age: 76
State: PA

Vax Date: 01/28/2021
Onset Date: 01/31/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies: Steven Johnson Syndrome to 1st generation erythromycin, inherited maker. . .father to sulfa and twin daughters from pedisol. Sensitivity to poultry meat. Can eat chicken eggs.

Symptoms: Besides common post injection complaints of flu like symptoms. . .I am experiencing a scalded looking red rash 7in down my arm below injection site and 4 in wide. Hot and painful. Discomfort radiates to lymph nodes in right arm pit.

Other Meds: Soma and Ditropan @ HS. Vits & suppliments; calcium & Vit D, Vit E, COQ-10, folic acid, zinc, eldeberry, l-lysine,Vit A and Vit C and fish oil

Current Illness:

ID: 0994499
Sex: F
Age: 22
State: PA

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

Lab Data:

Allergies: none

Symptoms: After the second dose of the vaccine, I broke out in a rash/hives on the checks of my face. The rash was not overly itchy but I did find myself itching more often than I normally do.

Other Meds: Allegra Birth control Cranberry pills Vitamin C

Current Illness: none

ID: 0994500
Sex: M
Age: 40
State: MN

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

Lab Data:

Allergies: NKA

Symptoms: Shortly after receiving shot (within the 20 minute observation period) patient began to feel very dizzy to the point of not feeling steady enough to stand. He said he felt like his head was being compressed. His lower lip began to feel numb and tingly, eventually this feeling spread into his mouth and throat. He was coherent the entire time. He received oral Benadryl while waiting for his wife to arrive to drive him to the emergency room.

Other Meds: UNKOWN, PATIENT DOES NOT USE OUR PHARMACY

Current Illness: UNKOWN

ID: 0994501
Sex: F
Age: 41
State: MN

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: blood work to rule out infection

Allergies: eggs

Symptoms: body aches, muscle aches and swollen axillary lymph node under right arm (golf ball to tennis ball size)

Other Meds: lisinopril celexa Wellbutrin synthroid

Current Illness: no

ID: 0994502
Sex: M
Age: 78
State: FL

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

Lab Data: CT, Ultrasound ,chest xray, blood/urine labs, Neuro and cardiac consults. Negative results for all tests

Allergies: none

Symptoms: Change in gait followed by seizure like bilateral movements. Transported to hospital and admitted. 2 days of testing and consults. Symptoms gradually decreased and released 2 days later.

Other Meds: levothyroxin, pravastatin, warfarin, carvedilol, valsartan, lumigan, glimepiride, renexa, hydrochlorothiazide

Current Illness: none

ID: 0994503
Sex: F
Age: 1
State: MO

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

Lab Data: None

Allergies: None

Symptoms: None

Other Meds: None

Current Illness: None

ID: 0994504
Sex: F
Age: 77
State:

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

Lab Data:

Allergies:

Symptoms: Chest pain; Fever; Hypokalemia; Pyelonephritis

Other Meds:

Current Illness:

ID: 0994505
Sex: M
Age: 74
State: AZ

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

Lab Data:

Allergies: I did not receive the 2nd vaccination. I was told sufficient time had not passed since the 1st vaccination on 1/18/2021.

Symptoms: None stated.

Other Meds:

Current Illness: I did not receive the 2nd vaccination. I was told sufficient time had not passed since the 1st vaccination on 1/18/2021.

ID: 0994506
Sex: F
Age: 30
State: CA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: COVID, Influenza A&B - all Negative

Allergies:

Symptoms: 8 hours after receiving vaccine, experienced a sore arm, then headache , chills, muscle/joint aches followed. PCP ordered a COVID and Flu test on 1/15/21 and results same day- negative. On 1./16 attempted to work, but unable to. Off work due to headaches from 1/17 through 1/23/21. Recovered & returned to work on 1/24/21.

Other Meds:

Current Illness:

ID: 0994507
Sex: F
Age: 41
State: IL

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

Lab Data:

Allergies: None

Symptoms: Severe headache during the day after vaccine given. Then around midnight , woke up with extreme chills, body aches, weakness, nausea.. Got up to go to bathroom to throw up, at this time my husband was with me and when I got to bathroom, I passed out. He was holding me, stated my eyes were open and pupils very dilated. He had to wake me out if it (maybe just under 1 min) When I woke up, I vomited a little. Then until about 4 am I continued to have extreme chills, body aches and threw up a few more times. Still currently (9:30 am) feeling very weak and have a bad headache .

Other Meds: Ibuprofen 600mg taken before vaccine.

Current Illness: None

ID: 0994508
Sex: F
Age: 87
State: CT

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

Lab Data:

Allergies: Contrast dye

Symptoms: Pt had quarter-sized hive on collar bone.

Other Meds:

Current Illness:

ID: 0994509
Sex: F
Age: 62
State: LA

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

Lab Data: Referred to PCP,

Allergies:

Symptoms: Caller states she received her 2nd dose of covid vaccine on Friday afternoon. Saturday morning she started with Left arm redness, swelling and soreness. Today the redness and swelling measures about 4x6. She also reports noticing a swollen lymph node to her left arm today. She denies fever. She has been taking tylenol and motrin, but has not tried compresses to injection site. She will call her PCP to schedule an appointment for tomorrow.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm