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: 0924341
Sex: F
Age: 54
State: PA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: none

Allergies: unknown

Symptoms: After vaccine patient reported ankle, leg and hip pain. Taking Motrin

Other Meds: unknown

Current Illness: unknown

ID: 0924342
Sex: F
Age: 28
State: TX

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Moderna COVID-19 Vaccine EUA 01/05/21 started itching on injection site, 01/06/21 @07:20am noticed redness and hot to touch on injection site, @08:30 started with pain and right arm feeling heavy with swelling. @ 11:05 am noticed injection site swollen (like a large welt and hot to touch). Currently at 4:48 pm injection site still swollen (RED) and hot to touch. Right arm has pain and heaviness.

Other Meds: motrin 600mg x 1 albuterol 1mg (rescue inhaler)

Current Illness: none

ID: 0924343
Sex: F
Age: 29
State: CA

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: none

Allergies: NKA

Symptoms: 30 minutes after injection of vaccine, I developed tightness in my throat (not severe). This persisted for approximately 1 hour. Later in the evening around 1830, I developed chills and body aches. When I woke up the next day, all symptoms were gone.

Other Meds: Zarah (birth control)

Current Illness: no illnesses

ID: 0924344
Sex: F
Age: 37
State: TX

Vax Date: 12/29/2020
Onset Date: 01/03/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: none

Allergies: no

Symptoms: itchy, redness and hot to touch at site. Lymph node pain and enlargement under armpit or right arm where the vaccine was administered.

Other Meds: none

Current Illness: none

ID: 0924345
Sex: F
Age: 36
State: WA

Vax Date: 12/23/2020
Onset Date: 12/27/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Swollen lymph nodes in arm pit and breast with pain

Other Meds: N/A

Current Illness: N/A

ID: 0924346
Sex: F
Age: 43
State: VA

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

Lab Data:

Allergies: None

Symptoms: 12 hours after shot I developed a headache that quickly progressed into a migraine. Usually going to bed helps but the pain was so bad on the right side of my head I could not sleep. 5 hours after onset of migraine I began vomiting frequently for about 6 hours. Headache and nausea lasted . Was able to sleep on and of. Still feel nausea and weak with slight headache, 24 hours after onset

Other Meds: Biotin, Vit D, celexa. And Tysabri

Current Illness: None

ID: 0924347
Sex: F
Age: 22
State: KS

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: Clindamycin, Amoxicillin, and Augmentin

Symptoms: Patient received Moderna vaccine on 12/29/2020. Complained of slight soreness the next day and then resolved. Patient reports she noticed sore, red raised area last evening, almost 1 week post injection. Area measures 4cm x 3cm induration. Area is not warm to the touch. Patient denies any other symptoms.

Other Meds: Apri, Lexapro, Protonix

Current Illness: None

ID: 0924348
Sex: M
Age: 53
State: AK

Vax Date: 01/05/2012
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: none

Allergies: NKDA

Symptoms: This is a late entry note regarding adverse reaction status post Pfizer COVID-19 vaccine which was given to the patient yesterday at 9:45. Secondary to the patient's past medical history he was advised that he would wait and observance for approximately 1/2-hour instead of 15 minutes. At approximately 10:15, 30 minutes after receiving his vaccine, the patient did report tingling and numbness in his lips and mouth, this progressed to tightness in his throat at 10:45, the patient denied any shortness of breath or wheezing and was constantly monitored by emergency medical services as a vaccine clinic to take place at our local fire hall. Secondary to throat tightness, and chills, and ongoing tingling numbness in his lips and mouth. #18 IV was started in the right AC, normal saline 1000 cc was up open, the patient received 25 mg of IV Benadryl per protocol, as well as 125 mg of IV Solu-Medrol at 1055. Vital signs at that time 168/95, pulse was 73, and O2 saturation was 100%. Physical exam did not reveal any indication of blockage within the throat, there was no shortness of breath or wheezing. Lung sounds are clear but diminished to auscultation bilaterally, heart rate regular. Temp 98.2. Approximately 10 minutes after receiving medication blood pressure 161/100, pulse-73, sat remained 100. Assessment of patient's symptoms patient does report that the throat feels slightly thicker, he denied any shortness of breath or wheezing, there was no oral or facial edema throughout the entire episode. The patient received 1000 mg of IV Tylenol at 1125. Continued observation for the next hour, the patient did report improvement in his symptoms, lip tingling and numbness dissipated, along with throat tightness. Vital signs at 1236 122/74, pulse 79 oxygen saturation 100%. The patient was placed on a cardiac monitor the entire time of this incident. Follow-up phone call to patient on 01/06/2021 at 8:00 patient reportedam that he did have 1 further episode of tingling in the tip of his tongue and around his lips yesterday afternoon at 16:00 he did take Benadryl as instructed and this dissipated, he reports throughout the night he has had no further episodes of tongue or lip tingling, throat tightening shortness of breath or wheezing difficulty swallowing. He was instructed prior to leaving the vaccine administration site to continue with Benadryl 25 mg every 6 hours, along with Tylenol alternating with ibuprofen per box instructions to aid with chills and rigors for the next 24 hours. He reports that he is had an improvement in his symptoms, We will follow-up again in 1 day.

Other Meds: albuterol 90mg 2 puffs every 4-6 hours as needed for sob/ wheezing Multivitamin 1 tablet by mouth once daily Omega -3 1200 mg 1 capsule by mouth twice daily Aspirin 81 mg 1 tablet by mouth once daily Levothyroxine 150 mcg 1 tablet by mouth

Current Illness: The patient has had no other viral illnesses 1 month prior to this immunization his past medical history does include cardiomyopathy and asthma.

ID: 0924349
Sex: F
Age: 46
State: CO

Vax Date: 12/19/2020
Onset Date: 12/19/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received COVID-19 Vaccine 12/19/2020 at 7:30 am. Did well during the 15 minute observation period. Upon returning home started to experience dizziness. Patient has history of (Persistent Postural Perceptual Dizziness (PPPD and Vestibular migraine.

Other Meds:

Current Illness:

ID: 0924350
Sex: M
Age: 81
State: CO

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Paralzed from the waist down upon entering bed at 10 pm Couldn't get in or out of bed at 10:30 Also had trouble during the night to go to the bathroom

Other Meds:

Current Illness: Pneumonia

ID: 0924351
Sex: F
Age: 50
State: VA

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Codeine, Nsaids

Symptoms: My arm was sore for about 3 days. On day 8, the area of the injection became red, raised and itchy much like a mosquito bite. There felt like a 2.5 inch hard knot under the skin and it felt warm. Day 9, still slightly itch, smaller red area, not raised, no 'knot'. Sore when area pressed. No longer warm.

Other Meds: Mobic, Flonase, Zyrtec, Wellbutrin, Pristiq Vit. D, Zinc, Melatonin, magnesium, Quercetin, B12 complex, Iron

Current Illness: none

ID: 0924352
Sex: M
Age: 43
State:

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Employee rec'd COVID vaccine. Monitor for adverse reaction. Employee c/o tingling in lips/no swelling noted upon assessment. No other complaints offered, VS taken at 1757 BP 128/74 HR POX 98 Rapid response/ER offered-refused, Continue to monitor Last VS taken 1828 BP 133.77 HR 82 POX 100 Employee reports tingling in lips to be minimal/no swelling no other complaints offered Refusing rapid response/ER eval DC'd from monitor area

Other Meds:

Current Illness:

ID: 0924353
Sex: F
Age: 44
State: OK

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Sulpher

Symptoms: Arm has red swollen ring around the injection site with a fever a week after getting the vaccine. I also had this reaction the day of the vaccine but it went away and now a week later it is back. Not sure if I should be concerned or if this is normal.

Other Meds: Adepex, Vitamin D and Spironoloctone

Current Illness: none

ID: 0924354
Sex: F
Age: 50
State: MN

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

Lab Data: None yet, plan to go in.

Allergies: Sulfa, EES

Symptoms: Dizzy, Nausea, Chills

Other Meds: Synthroid, Fish Oil, Vit C, B, Magnesium, Calcium, Progesterone

Current Illness: None

ID: 0924355
Sex: F
Age: 41
State: MI

Vax Date: 12/19/2020
Onset Date: 12/19/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: ED VISIT NOT TREATMENT OTHER THAN OBSERVE.

Allergies: SULFA

Symptoms: LEFT ARM PAIN AND NUMBESS IMEDIATELY POST VACCINATION.

Other Meds: FLONASE, MOTRIN, ZANAFLEX

Current Illness: NO

ID: 0924357
Sex: F
Age: 33
State: OR

Vax Date: 12/23/2020
Onset Date: 12/29/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: 1/2- immediate care visit- CT scan negative 1/6- PCP visit

Allergies: None

Symptoms: I started getting a mild left sided headache that progressively worsened and it became unbearable. No medication helped and it became so severe that it would wake me up at night. I was seen in the urgent care and PCP office and was diagnosed with cluster headaches. I am still experiencing these symptoms. I never had any type of headaches.

Other Meds:

Current Illness:

ID: 0924358
Sex: F
Age: 39
State: HI

Vax Date: 12/19/2020
Onset Date: 12/20/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: NONE

Allergies: REMOTE HX OF ALLERGIES TO PEANUTS BUT TOLERATING IT NOW

Symptoms: PERIORBITAL AND SCALP ITCHING

Other Meds: NONE

Current Illness: NONE

ID: 0924359
Sex: F
Age: 46
State: WA

Vax Date: 12/23/2020
Onset Date: 12/26/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: EKG and labs done on 1-5-21.

Allergies: Fluoroquinolones - tendinopathy

Symptoms: Ongoing heart palpitations, breathlessness, tremulous hands, jittery feeling, sweating, PMS symptoms earlier and worse than usual. EKG showed PVCs.

Other Meds: Tretinoin cream 0.025%. Vitamin D. Vitamin B12. Fish Oil. Turmeric. Multiple other herbal tinctures, teas, and supplements.

Current Illness: No, but noteworthy is that my pms symptoms started about 2 weeks earlier than usual. They started within a couple days after the vaccination. And they were markedly increased from usual. I'm 46 years old and this has never happened.

ID: 0924360
Sex: F
Age: 38
State: PA

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Redness at injection site, slightly raised area approximately the size of a quarter, and warm to the touch. Afebrile. Saw Provider via Telemedicine.

Other Meds:

Current Illness:

ID: 0924361
Sex: F
Age: 29
State: CA

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

Lab Data:

Allergies: None

Symptoms: 1/5/21 @8AM: Immediate soreness at site of injection. Unable to sleep through night after injection ~1/6/21 @3:30AM: woke up with chills and sweats

Other Meds: Probiotic Zoloft 50mg Prenatal vitamin Generic Zyrtec Benadryl 25mg

Current Illness: None

ID: 0924362
Sex: F
Age: 55
State: OR

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: states none

Symptoms: reported sx started 1/5/21 at 7 am noticed injection site was red, itchy, warm, and hard. took photos. took benedryl at night before med. no change over course of day, size circle 1/5 inches. 1/6/21 states itch has decreased, still red and hard and now a circle around it making total size 3 inches and 'most of upper arm'. Suggested applying ice, calling PCP and sending photos from both days. If PCP cannot see to go to urgent care or ED for evaluation and evaluation about getting vaccine injection #2

Other Meds: states none

Current Illness: states none

ID: 0924363
Sex: M
Age: 66
State: WI

Vax Date: 10/01/2020
Onset Date: 12/01/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: lisinopril

Symptoms: Patient reports severe neck and back stiffness 1 week following first dose.

Other Meds: rosuvastatin, breo, amlodipine, carvedilol, lansoprazole, sertraline

Current Illness:

ID: 0924364
Sex: F
Age: 52
State: UT

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

Lab Data:

Allergies: UNKNOWN

Symptoms: PARKING LOT ATTENDANT CAME RUNNING INTO CLINIC STATING CLIENT WAS COMPLAINING OF DIZZINESS, HEART PALPATIONS, AND APPEARED PALE. CLIENT STATED HISTORY OF LOW BLOOD PRESSURE. BLOOD PRESSURE TAKEN ABOUT 1420. 120/90. EMT NOTIFIED THAT THEY MAYBE NEEDED. EPINEPHRINE BROUGHT TO CAR. ENCOURAGED CLIENT TO TAKE SLOW, DEEP BREATHS. AFTER 10 MINUTES, STATED FELT MUCH BETTER. PARKING ATTENDANT STATED CLIENT'S COLOR HAD RETURNED. ENCOURAGED TO WAIT FOR ANOTHER 10 MINUTES BEFORE DRIVING AWAY.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 0924365
Sex: F
Age: 56
State: MT

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reported redness and swelling at injection site the day after vaccination associated with pain and feeling of inability to move her arm. Today, 1/6/21, patient reports improvement of symptoms. She still has redness, swelling, and pain at the site though.

Other Meds:

Current Illness:

ID: 0924366
Sex: F
Age: 34
State: AZ

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: N/A

Allergies: gluten, PCN

Symptoms: Nose bleed that stopped within a few minutes

Other Meds: Metformin, wellbutrin, levothyroxine, liothyrine,

Current Illness: Hypothyroidism PCOS Depression Anxiety

ID: 0924367
Sex: F
Age: 39
State: CA

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

Lab Data:

Allergies: No

Symptoms: Pain in my left arm, continuous ache, worse when I move it. So far it has not stopped hurting.

Other Meds: Multivitamin, vitamin D, Zoloft

Current Illness: No

ID: 0924368
Sex: F
Age: 48
State:

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: C/o lightheadness, nausea, chest tightness, sinus pressure, chest tightness, numbness and tingling in nose, lips and mouth and eye lid swelling 12 hours after vaccine was given. Took Benadryl at 2230 and again at 12/29 0430. Called us to report s/s at 10:30 on 12/29. States symptoms are subsiding but still has eyelid swelling. Told to follow up with PCP.

Other Meds:

Current Illness:

ID: 0924369
Sex: F
Age: 42
State: KS

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

Lab Data:

Allergies:

Symptoms: had swelling of mouth, flushed face, treated with 50mg of diphenhydramine. symptoms resolved within one hour

Other Meds:

Current Illness:

ID: 0924370
Sex: F
Age:
State: CA

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Post vaccination I waited required 15 minutes. Upon exiting building, presented with sever dizziness, near syncopal episode, blurred vision, chest tightness, tachycardia, weakness, shortness of breath. . Returned to vaccination room, in obvious distress. Ushered by staff to chair. Unable to obtain BP via electronic machine, obtained manual , after about 10 or so minutes NIPB 106/69. Remained in room for 45 more minutes, symptoms slowly resolved. Remained with mild to moderate dizziness x 4 days. Headache, chills, chest tightness, weakness, lethargy, x 7 days..

Other Meds: None

Current Illness: None

ID: 0924371
Sex: M
Age: 23
State: TX

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

Lab Data: None

Allergies: None

Symptoms: Approximately 2 minutes after receiving vaccine, patient exhibited a numbness in the tongue and deeper areas of the mouth. BP 134/80 HR 78. Slight numbness has remained fairly constant at 11:55am. Patient reported symptoms subsiding (or less worrisome). Patient clinically stable. Patient released at 12:10pm.

Other Meds: Vyvanse, T3/T4, VitD

Current Illness: None

ID: 0924372
Sex: M
Age: 65
State: SC

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Lisinopril

Symptoms: The patient had already had a flu vaccine this season on 9/8/2020 and the nurse who gave it did not see that he had already had one and gave him a second vaccine.

Other Meds: HCTZ, Meloxicam, Tamsulosin

Current Illness: None

ID: 0924373
Sex: F
Age: 45
State: TX

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

Lab Data: None

Allergies: None

Symptoms: Approximately 11 minutes after receiving vaccine, patient began experiencing partial numbness to the tip of the tongue. BP 212/126 HR 97 O2=98% @12:00pm. Patient reports that the numbness is subsiding. BP 171/112 HR 86 O2=99% @12:18pm. Patient clinically stable. Patient released from clinic at 12:25pm.

Other Meds: Vitamins

Current Illness: None

ID: 0924374
Sex: F
Age: 40
State: MI

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: Steroid injection in Right hip on 1/5/2021

Allergies: NKDA

Symptoms: Top of Right shoulder has been very soar and painful. This is week 3 of symptoms. My range of motion is limited and I have swelling on the top of my shoulder as well. Can hear popping and clicking in my shoulder when I try to do range of motion as well.

Other Meds: Ramipril 5mg daily Vitamin C 500mg daily Zinc 50mg daily Vitamin D3 daily Multivitamin daily

Current Illness: None

ID: 0924375
Sex: F
Age: 50
State: SD

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: COVID-19 Vaccine EUA. Red, raised, warm, and itchy bump. Treatment of Tylenol 1000 mg. Applied Benadryl ointment to affected area.

Other Meds: levothyroxine

Current Illness: none

ID: 0924376
Sex: F
Age: 34
State: TX

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: half dollar size swelling at the injection site with mild erythema and tenderness. No treatment needed. Swelling and tenderness is going down over time.

Other Meds: multivitamin, probiotic, elderberry gummies

Current Illness: none

ID: 0924377
Sex: F
Age: 41
State: OR

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: unknown

Allergies: no known allergies

Symptoms: Pt described a film in throat, tightness in throat, mucus in throat, and reported nausea. HR was 87, BP 142/90 RR 16, O2 sats on RA 99%. Pt was reluctant to seek care but after nausea continued and pt became slightly SOB she agreed and went to the ER for treatment. Pt was treated in ER and discharged home.

Other Meds: unknown

Current Illness: none

ID: 0924378
Sex: F
Age: 30
State: VA

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

Lab Data:

Allergies: None

Symptoms: Swollen at the injection site, hard lump the size of half a golf ball, warmness, fever, headache, chills, and backache

Other Meds: None

Current Illness: None

ID: 0924379
Sex: F
Age: 54
State: TX

Vax Date: 12/21/2020
Onset Date: 01/22/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: I am allergic to ibuprofen, morphine and codeine.

Symptoms: I had off and on body aches and a pretty severe headache for three days but no fever but nausea.

Other Meds: I take adderall.

Current Illness: No

ID: 0924380
Sex: F
Age: 33
State: WI

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

Lab Data:

Allergies: Yes; banana, almond, pineapple, dilaudid, flouroquinolones

Symptoms: Anaphylaxis requiring epinephrine and ER visit, no hospitalization required

Other Meds: Xolair, Breo ellipta, monteleukast, Zyrtec

Current Illness: None

ID: 0924381
Sex: F
Age: 44
State: KY

Vax Date: 12/23/2020
Onset Date: 01/02/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: Morphine - rash Antibiotics - yeast infection Lisinopril - cough Amlodipine - legs swell Walnuts - tongue swells

Symptoms: January 2nd at 7 pm - patient noticed a burning sensation and a red raised area about the size of a quarter, over the past 4 days, the site became the size of a baseball, and a second hive appeared on January 4th. The second hive is now the size of a baseball and a third hive has appeared today January the 6th and it is the size of a quarter. All 3 sites are red and raised with some itching and are warm to touch with worsening "heat" in the evenings.

Other Meds: Prilosec 40 mg QD Zyrtec 10 mg QD Ibuprofen 800 mg Q HS Multi vitamin Gummies QD Vitamin C gummies QD

Current Illness: None

ID: 0924382
Sex: F
Age: 60
State: KY

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Sulfa and some antibiotics. Peanuts, tree nuts and shell fish

Symptoms: When given shot I immediately had a hot lightning pain shoot all the way to my elbow. It went away quickly. About an hour after my lips and face felt like it was tingling. The following day I felt severe body ache, low grade fever, and headache. At times my face still feels funny and I have had a headache every day for the past 6 days.

Other Meds: Benazapril, aspirin, calcium, magnesium,zinc , vitamin D, probiotics

Current Illness: I received a pneumonia vaccine on 12/11/20. I was covid positive on 12/14/20 in isolation quarantine until 12/24/20

ID: 0924383
Sex: F
Age: 49
State: MA

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: Covid test - negative

Allergies: skin fruits, wheat

Symptoms: I had the vaccine on the 23rd December I was monitored for 15 mins. My throat felt scratchy and itchy, I left at 3pm by 3:15 my head started hurting, mild. at 7pm I had a pounding headache, chills, body aches on the 24th AM I could not warm up my body was shivering I went to work at 8 am I thought I had a fever and I checked it was 100.2 when I got home my temp was 101 and 102.9 and my body aches were horrible I couldn't move nausea no appetite, shortness of breath, I did a telemed and talked to my primary and she said this was all related to the vaccine, she prescribed something for the nausea was asked to get a covid test and it came back negative, I started getting better Dec 27th .

Other Meds: Vizal , tylenol

Current Illness: history of asthma

ID: 0924384
Sex: F
Age: 25
State:

Vax Date: 12/20/2020
Onset Date: 12/20/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Shortly after receiving the Covid vaccine EE states she has a dry throat, water given, the stated, "It feels like it did when I had my allergic reaction to Gain detergent. Seriously feels like I have cotton balls in my throat and it seems to be getting worse. Rapid response team notified, observed, monitored and reassured EE BP 156/74 HR 89 O2 sat 99%, BP 141/70 HR 81, O2 sat 99% EE was allowed to go home after close obs for greater than 30 min EE states she felt anxious and just wanted to go home, her mom was picking her up and bringing Benadryl with her

Other Meds:

Current Illness:

ID: 0924385
Sex: F
Age: 30
State: OH

Vax Date: 12/26/2020
Onset Date: 12/26/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: Ancef (antibiotic)

Symptoms: 3 hours after vaccine had chills, fatigue, flush face, and body aches- only lasted about 4 hours. But the next day had chest pain and heart palpitations

Other Meds: Unknown

Current Illness: Unknown

ID: 0924386
Sex: F
Age: 40
State: CO

Vax Date: 12/16/2020
Onset Date: 12/18/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I received the vaccine at 1050hrs on 12/16/20. At around 0900hrs on 12/18/20, I began to experience severe fatigue. At ~1330 on the same day, I had a mildly elevated temperature - normal baseline for me is 97.6, with that reading at 99.4. Due to the fatigue, I slept from 1400 hrs until 0500 on the following day, 12/19/20. No other symptoms to report besides a tender injection site for the first 48 hours.

Other Meds:

Current Illness:

ID: 0924387
Sex: M
Age: 45
State: OH

Vax Date: 12/29/2020
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: Specimen collected on 01/05/2021 Results arrived today 01/06/2021 PCR test to rule out covid19: negative Antigen test to rule out covid19: negative

Allergies: Penicillin

Symptoms: Onset of symptoms: 01/04/2021@12:00PM Temperature: 102F Fatigue, muscle ache, diarrhea, nausea, "heaviness in the chest" Individual was tested yesterday to rule out COIVD19 with PCR (molecular test) and the antigen test. Both test came back today: negative.

Other Meds: NA

Current Illness: NA

ID: 0924388
Sex: F
Age: 39
State: LA

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

Lab Data:

Allergies: Topamax

Symptoms: Pain, tenderness, swelling, and knot at the Injection site. Also a headache for more then 29 hours, fever, nausea, vomiting, dizziness, muscle and joint pain, fatigue, difficulty catching my breath.

Other Meds: None

Current Illness: Difficulty breathing, asthma, sinsus

ID: 0924389
Sex: F
Age: 52
State: TN

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

Lab Data: None.

Allergies: Restasis-anaphylaxis-active ingredient,cyclosporin Iodine Contrast: throat swelling Decadron: extreme pain Cleocin: rash,vomiting Amoxicillin: rash,vomiting Meds containing specific ingredients: gluten,sulfates,corn,mold,soy,MSG,squash,shrimp

Symptoms: Redness,hardness,and inflammation became present at right deltoid immediately after injecting vaccine. After pt sat in vehicle with medical staff present redness disappeared and knot still present. Pt not in distress or discomfort. Pt left in passenger seat with husband driving approximately 10:50AM.

Other Meds: Epipen Bre Ellipta 200-25mcg INH Ventolin Inhaler (2 puffs/day as needed) Montelukast Sod (10mg/1xday) Vitamin D2 (1.25mg/1x week) Levothyroxine (50mcg 1x/day AM) Xildra 5% (1 drop per eye 2x day) Nature's Truth Iron o/c (65mg/1x day) Alle

Current Illness: None

ID: 0924390
Sex: F
Age: 40
State: CA

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

Lab Data: None

Allergies: Sulfa antibiotics

Symptoms: I started seeing a squiggly bright circle. It started as a spot then grew to a bright outlined circle. I also started to get a headache. I took 3- 200mg ibprofen. About 10 minutes later, the vision problem went away.

Other Meds: None

Current Illness: None

ID: 0924391
Sex: F
Age: 44
State: MO

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

Lab Data:

Allergies:

Symptoms: Pounding headache, neck pain

Other Meds:

Current Illness: Diabetes, cancer

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm