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: 0995815
Sex: F
Age: 27
State:

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

Lab Data:

Allergies:

Symptoms: Moderate rash for 24 hours, headache for 24 hours and fever for 48 hours along with nausea, additional notes not sure if rash is due to shrimp allergy

Other Meds:

Current Illness:

ID: 0995816
Sex: F
Age: 62
State: OK

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

Lab Data: None

Allergies: Bactrim, Augmentin

Symptoms: Red raised bumpy rash with itching and burning and dry skin on neck, shoulders, chest, arms, back, hips abdomen and thighs

Other Meds: Lisinopril 10 mg. daily Vitamin D 1000 mg daily

Current Illness: none

ID: 0995817
Sex: F
Age: 59
State: MA

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

Lab Data: PVD

Allergies: NKA

Symptoms: (1) On-going facial sensation on left side, not quite tingling but some kind of nerve and.or muscle sensation. (2) ED visit to Mass. Eye and Ear Infirmary for sudden onset PVD - posterior visceous detachment.

Other Meds: Effexor, 75 mg. daily, and multi-vitamin

Current Illness: N/A

ID: 0995818
Sex: M
Age: 84
State: MO

Vax Date: 01/19/2021
Onset Date: 01/28/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: X-ray of shoulder joint and heart evaluation. X-ray of shoulder was okay.

Allergies: none

Symptoms: Joint pains and muscle aches in upper left shoulder and rear of left knee joint. Shoulder pains on 1/28/2021 and knee joint pains on 1/30/2021. Aches and pains appeared suddenly with no occurrence of stress or injury. Had shoulder x-ray at urgent care center on 1/29/2021. No tests on knee joint which occurred next day. Urgent care referred me to emergency room for heart evaluation at which all tests were okay.

Other Meds: metoprolol 150 mg 1x, pantaprazole 40 mg 1x, eliquis 5 mg 2x, pravastatin 20 mg 1x, myrbetriq 25 mg 1x, vitamin D 25 mcg 1x, vitamin B12 100 mg 1x, Magnesium 250 mg 1x, metamucil 1tsp 1x.

Current Illness: Atrial Fibrilation

ID: 0995819
Sex: F
Age: 34
State: WA

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

Lab Data:

Allergies:

Symptoms: Tingling sensation to entire body, hands and feet. BP 187/96 HR 136. hreart palpitationsw, tinling in legs;

Other Meds:

Current Illness:

ID: 0995820
Sex: F
Age: 47
State: UT

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

Lab Data: none

Allergies: Morphine

Symptoms: Headache, nausea, muscle aches, carpal pedal spasms

Other Meds: Ibuprofen, duloxetine, buspar, trazadone, geodon

Current Illness: none

ID: 0995821
Sex: F
Age: 44
State: TX

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

Lab Data:

Allergies: penicillin, sulfa, metoclopramide

Symptoms: Patient began running fever about 4am on Friday. At about 3 pm on Friday she developed a rash that looked like "the three day measles" from head to the soles of the feet. She was currently on a course of Prednisone 20 mg treating poison ivy. She also noted bruising at the injection site. She saw her physician on Monday, Feb 1 and was prescribed hydroxyzine in addition to continuing her prednisone taper.

Other Meds: Prednisone

Current Illness: poison ivy

ID: 0995822
Sex: F
Age: 0
State: NC

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

Lab Data: none

Allergies: KNDA

Symptoms: IN 5 minutes the patient began to have "a wave of tingling, starting in my feet and going to my head. my tongue feels funny and tingling too" was given 2 25 mg of benadrly po with water watched pt for 10 more minutes and she states it " starting to do it " Was placed in a wheel chair and transported to the Emergency room. There she was placed on a monitor, IV started and was given Pepcid 20mg IV and Decadron 10mg . She was monitored for 2 hours and given a liter of IV fluid Then was released to go home with Discharge instructions from the ER staff

Other Meds: ambien 5mg Ropinerole 4mg Prozac 40mg Pravastatin 10mg Estrogen patch Vit D 5000

Current Illness: MS

ID: 0995823
Sex: F
Age: 39
State: IL

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

Lab Data:

Allergies: Penicillin, Norvasc

Symptoms: red welt, ithcy and warm to touch

Other Meds: Viberzi, lomotil, metoprolol, lisinopril, effexor, abilify, st. tropica vitamins

Current Illness:

ID: 0995824
Sex: F
Age: 26
State: MA

Vax Date: 10/06/2020
Onset Date: 10/01/2020
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient developed varicella and has since recovered. Thought to be due to being on Humira (adalimumab) at home.

Other Meds: Humira (adalimumab)

Current Illness: Rheumatoid arthritis

Date Died: 01/13/2021

ID: 0995825
Sex: F
Age: 92
State: NC

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: N/A. Client had a DNR order and therefore resuscitation was not attempted.

Allergies: Statins, ace inhibitors, hydrocodone, metformin, codeine, metoprolol XL

Symptoms: Client unexpectedly collapsed and passed away on 1/13/21 from suspected sudden cardiac death. Prior to her death, she was in skilled care for rehabilitation following hospitalization from 12/21-12/31/20 for an acute lower GI bleed. Her hospitalization and skilled care stay were complicated by delirium and she was being treated for delirium with olanzapine (Zyprexa) at time of death.

Other Meds: Calcium carbonate Cholecalciferol Ezetimibe Insulin (Lantus) Levothyroxine Olanzapine melatonin pantoprazole Senokot-S Sitagliptin Preservision AREDS

Current Illness: Acute lower GI bleed (diverticular bleed) occurred in 12/21/2020 and hospitalization from 12/21-12/31/20 complicated by delirium

ID: 0995826
Sex: F
Age: 76
State: VA

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

Lab Data:

Allergies: PCN allergy shots

Symptoms: developed "funny" feeling in the tongue at about 12:15. by 7pm had itching as well. started Benadry that evening (Friday) & through weekend. resolved by Monday 2/1/21 Had this tongue reaction to allergy shots in the past.

Other Meds: probiotic, vit D, lisinopril, hctz, omperazole, zyrtec prn

Current Illness:

ID: 0995827
Sex: M
Age: 74
State: CA

Vax Date: 01/27/2021
Onset Date: 01/31/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: Non4

Allergies: Amoxicillin (skin rash), Vicryl sutures

Symptoms: Chills, fever, muscle ache,

Other Meds: Aspirin, Atorvastatin, Coreg, Apixaban, Entresto, Lasix, Invokana, Metformin, Tamsulosin

Current Illness: Diabetes, Heart Disease

ID: 0995828
Sex: F
Age: 36
State:

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

Lab Data:

Allergies:

Symptoms: Itching after 2nd COVID injection, ongoing since injection, no change with 75 mg PO Benadryl, patient works at assisted living facility- vaccination occurred at her place of employment

Other Meds:

Current Illness:

ID: 0995829
Sex: F
Age: 19
State: IL

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

Lab Data:

Allergies: None

Symptoms: About 5 minutes after receiving vaccine, patient reported flushing, severe shortness of breath, and chills. Onset and worsening of symptoms was very quick and decision to administer 0.3mg epinephrine and call 911 was made. Patient airway was monitored until EMT arrived and patient taken to hospital for monitoring. Patient underwent further monitoring but was released after a few hours arriving at hospital.

Other Meds: Methimazole 10mg, propranolol 20mg

Current Illness: None

ID: 0995830
Sex: F
Age: 53
State: IN

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

Lab Data:

Allergies: Codine

Symptoms: Fever, fatigue starting 9AM. Tylenol taken at 4PM. Fever broke at 7PM. No further fever

Other Meds: None

Current Illness: None

ID: 0995831
Sex: M
Age: 91
State: IL

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

Lab Data:

Allergies: Antibiotics - Sulfa

Symptoms: Chills, Fatigue

Other Meds: tamsulosin 0.4 mg capsule, aspirin 81 mg tablet,delayed release, cetirizine 10 mg tablet, losartan 100 mg tablet, multivitamin tablet, acetaminophen 325 mg tablet, Geri-Tussin DM 10 mg-100 mg/5 mL oral syrup, phenazopyridine 200 mg tablet,

Current Illness:

ID: 0995832
Sex: M
Age: 47
State:

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

Lab Data:

Allergies: none

Symptoms: anxious, vs taken, observation, water given; patient stated he felt better.

Other Meds:

Current Illness:

ID: 0995833
Sex: F
Age: 27
State: MA

Vax Date: 01/09/2021
Onset Date: 01/16/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: woke up with red area near vaccine site, Small area on Saturday 16th. On the 17th I woke up with an additional inflammed site On the night of the 17th, it had grown even more

Other Meds:

Current Illness:

ID: 0995834
Sex: F
Age: 34
State: WA

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

Lab Data: None

Allergies: none

Symptoms: Full body rash, hive like, more on arms, neck and stomach, a little on back and progressed some to legs the following day. Would sometimes increase in redness and welting looking appearance.

Other Meds: Tylenol taken after vaccination

Current Illness: none

ID: 0995835
Sex: F
Age: 82
State: CA

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

Lab Data: none

Allergies: Penecillin, Sulfa, ANSAIDS

Symptoms: Severe headache, nausea and vomiting lasting two days. Rx. Small sips of Gator Aid, Recovered after two days.

Other Meds: Synthroid 100mcg

Current Illness: hypothyroidism, hypertension, osteoarthritis both knees, Spinal stenosis cervical and lumber, Covid 19

ID: 0995836
Sex: F
Age: 37
State: NE

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

Lab Data: Covid swab x2 and they both came back negative and Influenza swab all on 1/18/2021

Allergies: Sulfa, Doxycycline, Codeine, Shellfish

Symptoms: 15mins after getting vaccine got a tickle in my throat. By 6pm I had a headache, tickle in my throat, intense fatigue, dizziness, chest pressure/sob, intense joint aches especially where I had fracture a bone in the past, deep muscle aches, nausea, right arm pain where injection went, also wasn't able to move my arm about 15degrees, By 9pm that evening my side effects increased 10fold. At that time it had taken some Benadryl and Tylenol to help with. That evening I don't remember going to be or how I got to bed. Then the next morning I woke with a terrible headache I, wasn't able to open my eyes, dizziness, nausea, SOB/chest pressure, intense joint pain, intense deep muscle aches, nausea, right arm couldn't move >15degrees, memory fogginess. Lasted all day and took tylenol, benadryl, and rescue inhaler for the SOB. Sunday AM I woke up feeling pretty good at 0800 Got started doing somethings around the house and it hit me again by 1200. SOB/Chest discomfort, headache, nausea, body aches, joint aches and lasted the remainder of the day. Then on that Monday I went and was tested x2 for covid and x1 for influenza/

Other Meds: Levothyroxine 75mcg daily in AM , Fluticasone , phentermine, vitamin d3 50,0000, vitamin c 500mg three times weekly

Current Illness: none

ID: 0995837
Sex: F
Age: 70
State: IL

Vax Date: 01/24/2021
Onset Date: 01/31/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies: Shellfish, penicillin, clindamycin, norco

Symptoms: 7 days after vaccine patient started to get itchiness, redness and bumps around vaccination site around 2 inches in diameter. She reported these adverse events 9 days after vaccination because still present. She was advised to use over the counter Benadryl and steroid cream to the rash area and report to her physician if not improving or getting worse over the next 24-48 hours.

Other Meds:

Current Illness:

ID: 0995838
Sex: F
Age: 53
State: AR

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

Lab Data:

Allergies: NKDA

Symptoms: Facial swelling, itching, tightness, eyelid dropping

Other Meds: Vivelle transdermal 0.05mg

Current Illness: None

ID: 0995839
Sex: M
Age: 35
State: OH

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

Lab Data: no

Allergies: No

Symptoms: lymph nodes swelled, swelling went away 1/26. Pain behind ears and facial numbness continues.

Other Meds: No

Current Illness: No

ID: 0995840
Sex: M
Age: 17
State: PA

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

Lab Data: N/A

Allergies:

Symptoms: Moderna COVID-19 Vaccine EUA Vaccine administered to 17-year-old, which is less than recommended. No adverse events were reported.

Other Meds:

Current Illness:

ID: 0995841
Sex: F
Age: 17
State: PA

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

Lab Data: n/a

Allergies: nka

Symptoms: Moderna covid-19 vaccine EUA age 17, less than recommended age of 18

Other Meds: n/a

Current Illness: none reported

ID: 0995842
Sex: F
Age: 50
State: CA

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: several days after covid vaccine, was seen in ED with c/o chills, nausea/vomiting, and congestion. Diagnosed with viral syndrome and discharged same day from ED.

Other Meds:

Current Illness:

ID: 0995843
Sex: F
Age: 25
State: OK

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

Lab Data:

Allergies: Penicillin, Shellfish, environmental allergens

Symptoms: Tingling in lips 40 minutes after the vaccination. Tingling went away after 5-10 minutes.

Other Meds: Montelukast, Citalopram, Lessina

Current Illness:

ID: 0995844
Sex: F
Age: 17
State: IL

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

Lab Data:

Allergies:

Symptoms: 17 yr old given Moderna vaccine. Administration error

Other Meds:

Current Illness:

ID: 0995845
Sex: M
Age: 75
State: VA

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

Lab Data:

Allergies: Cipro and levaquin.

Symptoms: Aggravation of existing peripheral neuropathy

Other Meds: Clonazepam, pregabalin, bupropion and sertraline. Vitamin D, B vitamins, CoQ10, alpha lipoic acid, turmeric, and acetyl-L-carnitine.

Current Illness:

ID: 0995846
Sex: F
Age: 84
State: NE

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

Lab Data:

Allergies: None

Symptoms: Patient was admitted to the ER on 1/31/2021 with erythema all over her body. Patient reported that it itched intensely. Provider reported that patient took diphenhydramine at home, and then administered Methylprednisolone 80 mg/ 2 mL at the ER visit.

Other Meds: Amlodipine 5 mg Aspirin 325 mg Atorvasttin 20 mg Calcium - Vitamin D 1200 mg - 800 iu Ibuprofen 200 mg Omeprazole 20 mg Trazodone 25 mg Vitamin D Zinc Acetate Clindamycin

Current Illness: None

ID: 0995847
Sex: F
Age: 38
State: NY

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

Lab Data: none

Allergies:

Symptoms: pt presented at 1300 for 2nd covid vaccine. at 1310 pt stated her throat was dry. pt was given water, and then stated it felt better. pt was advised to continue sitting in car for an additional 15 mins. pt was agreeable. at 1345 pt stated her eyes were itchy and slight headache. writer was accompanied. prescribed pt 25 mg of Benadryl. pt was agreeable. pt advised to wait 15 mins. at 1415 pt V/S were stable ( temp 97.4, 02 100%, H/R 61, B/P 108/63). at 1418 pt reported still itchy eyes and now her head was itching. pt was given a 2nd dose of 25 mg Benadryl. Pt spouse came to drive pt home. pt was advised to wait another 15 minutes to be re-assessed. pt agreeable. at 1430 pt was assessed and stated she felt fine. pt educated to concerning s/s. pt understanding and agreeable.

Other Meds:

Current Illness:

ID: 0995848
Sex: F
Age: 37
State: WA

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

Lab Data:

Allergies: Persimmon Walnuts Penicillin class

Symptoms: Itching all over. Benadryl did not improve the symptoms. Went to urgent care

Other Meds:

Current Illness:

ID: 0995849
Sex: F
Age: 40
State: NY

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

Lab Data:

Allergies: none

Symptoms: myself the patient i had the first covid Pfizer vaccine on 01/04/21, symptoms started on monday nite 1-04-21 feeling very fatigue and tired, on 01-05-21 felt just a little tired and fatigued had no rash mark, on 01-06-21. i threw up and just a bit tired. After a few days i fully recovered from the first dose of the covid 19 Pfizer, When i received the Second dose of the Pfizer on 01-29-21 that nite i started with a massive headache n chills, on 01-30-31 the entire day had diahrea severe chills massive headache and sweats.On 01-30-21 thru today 02-02-21 i have a round circle rash with heat and bump underneath it each day the rash is bigger were the right arm had the covid Pfizer vaccine injected on 01-29-21.

Other Meds: none

Current Illness: sinus infection

ID: 0995850
Sex: M
Age: 93
State: IL

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

Lab Data:

Allergies: No Known Allergies

Symptoms: Low grade temp.

Other Meds: Ensure Clear 0.035 gram-1 kcal/mL oral liquid, acetaminophen 500 mg tablet, amLODIPine 2.5 mg tablet, multivitamin tablet, latanoprost 0.005 % eye drops, loperamide 2 mg capsule, PriLOSEC 20 mg capsule,delayed release, Vitamin D3 50 mcg (2,

Current Illness:

ID: 0995851
Sex: F
Age: 66
State: OR

Vax Date: 12/29/2020
Onset Date: 01/26/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Day 1: 10:30 a.m. injection received. Same evening as receiving the 2nd dose of Moderna, approx 8 p.m. very tired, arm very sore and went to sleep. Woke up 2 a.m. hot, chills, sweating; upper arm felt doubled in size; could not leave the bed (no strength). Day 2: 6 a.m. could not lift my head or leave the bed - 1st temp taken approx. 7:30 a.m. temp was 101. Used cold compresses for high temp, heating pad for chills. 101 temp lasted until 6 p.m. - down to 100. By 9 p.m. was able to go to sleep; temp was slightly elevated to 98.9 (normal is 96.7). Husband said my eyes and cheewere swollen during the time between 6 a.m. and 4 p.m. Day 3: By morning 8:00 a.m., felt better; dizzy; and hadn't eaten for 3 days.

Other Meds: Levothyroxin (75 mcg)

Current Illness: 0

ID: 0995852
Sex: F
Age: 88
State: OH

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

Lab Data:

Allergies: codine, ultram, talacen, rythmal, bactrum, percocet, tambocor, erythromycin, hydrocodone, clindomysin, spironolactone

Symptoms: Swelling and burning of the tongue.

Other Meds: Calcium +D, Clobetasol, latanoprost, Imodium, losartan, magnesium oxide, metformin, metoprolol succinate, potassium chloride, presservision Areds, klonopin, simvastatin, torsemide.

Current Illness: None

ID: 0995853
Sex: F
Age: 76
State: MI

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: none

Allergies: Codeine

Symptoms: Patient had vaccine given at her senior living apartment by staff. She reported to her PCP today that she has upper back and neck pain, left arm pain, and headache. This started one week after the vaccination. She has had to use biofreeze, ice packs, and Tylenol to treat the discomfort. She did state that it is slowly letting up.

Other Meds: albuterol (VENTOLIN HFA) 90 mcg/actuation inhaler amLODIPine (NORVASC) 10 MG tablet aspirin 81 MG EC tablet atorvaSTATin (LIPITOR) 20 MG tablet budesonide (PULMICORT FLEXHALER) 90 mcg/actuation inhaler cetirizine (ZYRTEC) 10 MG tablet fluti

Current Illness: unknown

ID: 0995854
Sex: F
Age: 49
State: OH

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

Lab Data: None

Allergies: None

Symptoms: 1/27/21 approx. 1700, chills, headache, fever 101.1, body aches. 1/28/21 0230-chills, severe body aches, muscle pain, fever 102.6, 0400-chills, body aches, muscle pain, fever 103.1, 1130am-muscle aches, fever 101.0. Muscle aches all day, approx. 1900-temp 99.8. 1/29/21 0400-hives throughout the entire body, red rash, severe itching, temp 101.6, no more body aches, chills or headache. Started steriods 0700 on 1/30/21, hives resolved, rash remains over entire body.

Other Meds: Multivitamin, Vitamin D

Current Illness: None

ID: 0995855
Sex: F
Age: 44
State: TX

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

Lab Data: none

Allergies: none

Symptoms: right after the vaccine my whole arm got hot and traveled to the top half of body. I felt hot right away , during the day I felt my left eye a bit droppy and pain to the injection site by the end of that day I had chills, next day chills , nauseated, tired, slight cough and still felt my left eye droppy , next day slight sorethroat and by the next day I was good.

Other Meds: none

Current Illness: none

ID: 0995856
Sex: F
Age: 78
State: CA

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

Lab Data: n/a

Allergies: NKDA

Symptoms: Patient received Shingles Vaccine on 01/6/2021 and COVID-19 Vaccine on 01/26/2021. Pt began with rash on 01/27/2021, rash is located on the center of her back. She began with pain on 01/26/2021 in the morning, reports her pain is located beneath her armpit radiating both toward the front and back

Other Meds: Taking Centrum Silver 50+Women - Tablet 1 tablet Orally once a day, Taking B Complex - Capsule 1 capsule Orally once daily, Taking Vitamin D-3 1000 UNIT Capsule 1 capsule Orally Once a day, Taking Vitamin C 1000 MG Tablet 1 tablet Orally On

Current Illness: None

ID: 0995857
Sex: F
Age: 50
State:

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

Lab Data:

Allergies:

Symptoms: Immediate flushing of face. Itchy hands and arms. Ears and face red/hot. C/O hives on back. Hypertensive

Other Meds:

Current Illness:

ID: 0995858
Sex: M
Age: 59
State:

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

Lab Data:

Allergies:

Symptoms: Severe nausea and vomiting. Vertigo X1 hour

Other Meds:

Current Illness:

ID: 0995859
Sex: F
Age: 55
State: AR

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

Lab Data: Ct head. MRI has, labs, ekg on1/ 28 MRI neck labs, on 30

Allergies: Penicillin, sulfa, zoloft,

Symptoms: Shaking , burning in arm, leg chest face, rapid heart rate

Other Meds: Travoprost

Current Illness: None

ID: 0995860
Sex: F
Age: 60
State: MI

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

Lab Data:

Allergies: PNC. seasonal allergies

Symptoms: 1/19-5pm headache and knees ache. 8 pm 102 fever, headache. Cough. Body aches. Chills. Tremors.fatigue Thru 1-20. 1-21 tremors stopped. 1-22 Everything but fatigue knee aches. Headache stopped. 1-25 only fatigue and knee ache. 2-2 knees still ache

Other Meds: Keppra xr

Current Illness:

ID: 0995861
Sex: F
Age: 44
State: MA

Vax Date: 12/24/2020
Onset Date: 01/03/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: developed swollen, red, hot arm, tight neck, 1/3/21 itchy arm, no resp/thrt-referred to allergy

Other Meds:

Current Illness:

ID: 0995862
Sex: F
Age: 39
State: CA

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

Lab Data:

Allergies: N/A

Symptoms: Started with a rash to my neck and chest. A day or a rash started to develop on my forehead, eye lids and under one eye. Lymph node in my neck was also swollen. A week later my lips are slightly swollen, rash is better on my neck but is worse on my face.

Other Meds: N/A

Current Illness: N/A

ID: 0995863
Sex: F
Age: 59
State: CA

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

Lab Data:

Allergies:

Symptoms: My left shoulder and upper arm where the second shot was given has been and continues to be, quite painful. I am experiencing radiating nerve pain in my shoulder and down to my elbow. I cannot sleep on my left side and sleep in general has been sporadic. If I end up on my left side during sleep I'm awakened by radiating pain that changes to piercing pain when I move. My left shoulder and elbow constantly ache and massage or rubbing makes it worse. 500mg Naproxen has not helped. I now have a limited range of motion in this shoulder due to the pain.

Other Meds: Fluoxetine, 40mg; Olmesartan Medoxomil, 20mg; Naproxen, 500mg

Current Illness:

ID: 0995864
Sex: F
Age: 59
State: OH

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

Lab Data: 1-20-21 Emergeny room visit@ Medical Center

Allergies: Dilaudid, Bactrim

Symptoms: Developed Shingles

Other Meds: Vitamin C, B-12, Multivitami n,Calcium, Vitamin D supplements. Amlodipine, Norvasc,metoprolol, Cellcept,Prednisone, plaquenil,Atacand. Calcium

Current Illness: Lupus SLE, High Blood Pressure,Fibromylagia, Osteoporasis, Srogen Syndrome

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm