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: 0997799
Sex: F
Age: 28
State:

Vax Date: 01/23/2021
Onset Date: 01/31/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Developed injection site reaction to COVID 19 vaccine on 8th day after vaccination - vaccine on 1/23/21, redness/swelling/etc. developed on 1/31/21. Site appeared properly cleaned with alcohol prior to the injection and there was no noticeable reaction prior to 1/31/2021.

Other Meds:

Current Illness:

ID: 0997801
Sex: F
Age: 55
State: VA

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Systemic: Anaphylaxis-Severe

Other Meds:

Current Illness:

ID: 0997802
Sex: F
Age: 40
State: MA

Vax Date: 01/07/2021
Onset Date: 01/12/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The employee received both Pfizer covid vaccines (12/17/20 - R deltoid and 1/7/21 -L deltoid per report). The employee reports taking only OTC Claritin the day of vaccination for both covid vaccines per employee report. The employee offers no other recent illness, no new medication regimen, nor change in overall health. The employee reports two small "hive" spots noticed on her R buttock on 1/12/21, 5 days after the second covid vaccine. Since 1/12/21, the employee has a described flat, red, non-itching rash extending from her R buttock to her R groin and flank, extending to the R breast. The redness has extended across her abdomen and now includes involvement on the left, from the L axillae to the L groin. Newest spots per employee include now her left wrist and two spots on her left upper arm.

Other Meds:

Current Illness:

ID: 0997803
Sex: F
Age: 81
State: NJ

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None yet. Waiting for a gastro appointment. Offices closed during Nor'easter storm

Allergies: Avelox

Symptoms: Dull abdominal pain, all-over achiness, fatigue on day after 2nd vaccination. Around 2 a.m. (36 hours after vaccination), severe stabbing pains radiating from colon up through ribs on left side. Only shallow breathing possible; any more than that brought unbearable pain. Took 10 mg. of Bentyl and another 10 mg about an hour later. Pain subsided in less than an hour after 2nd dose. Discomfort & occasional sudden pain in abdomen, along with achiness, through the next day. Continued to take Benadryl. Dr. reachable by phone only said this probably not a repeat of the diverticulitis I have had several times over the past 15 years but simply spastic colon. By 3rd day, only mild abdominal distress & mild fatigue. I do not know whether this experience is related to the vaccine at all. I had no difficulties after the 1st Covid vaccine.

Other Meds:

Current Illness: None

ID: 0997804
Sex: F
Age: 78
State: GA

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: penicillin

Symptoms: awoke this morning and began with throwing up, not violent, but it would come back again and again. Since she got the covid shot yesterday, we assumed that wae the cause of it.

Other Meds:

Current Illness: none

ID: 0997805
Sex: F
Age: 47
State: PA

Vax Date: 10/01/2020
Onset Date: 10/29/2020
Rec V Date: 02/03/2021
Hospital:

Lab Data: Was told to stop metronidazole few days later

Allergies: None after the shot broke out in little bumps and rash in many areas of my body from head to toe 10/30/2020 the break out became itchy and bumps more visible

Symptoms: Rash and hives in many areas all over entire body, itching

Other Meds: Hydrochlorithiazide, on 10/30 started metronidazole slowfe iron realease 45mg

Current Illness: on the 28th doctor told me I had an bacterial infection

ID: 0997806
Sex: F
Age: 50
State: PR

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

Lab Data:

Allergies: Aspirina, penicilina

Symptoms: Hinchaz?n en el borde de la axila izquierda, dolor de cabeza, dolor en los huesos, fiebre, escalofr?os, sudoracion excesiva, dolor en parte baja de ambos pulmones.

Other Meds: Acetaminophen

Current Illness:

ID: 0997807
Sex: M
Age: 50
State: VA

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: n/a

Allergies: Cephalosporins, levaquin, bactrim, diflucan, oxycodone

Symptoms: shivers 9:30pm-4am severe headache 2:30am

Other Meds: Xyzal, bi-mix injection

Current Illness: none

ID: 0997808
Sex: F
Age: 72
State: FL

Vax Date: 01/18/2021
Onset Date: 01/25/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: Cipro Erythromycine, Bactrim Penicillin Codeine Chocolatte Shellfish Wine Cheese Strawberries

Symptoms: Runny nose & headache

Other Meds: Gammagard Dicyclomine Calcium Multivitamin Probiotic Propranolol Vitamin B-12 Primidone Ursodiol Rosuvastatin Collagen 2 Venlafaxine Temazepan Probiotic with Prebiotics & Cranberry

Current Illness: CVID

ID: 0997809
Sex: F
Age: 80
State: OH

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: This is my second report. Had headaches 2/12 days. Feeling out of my skin and irritable. Hope to feel better soon. Don?t know whether to take second shot on Feb. 18 2021.

Other Meds:

Current Illness:

ID: 0997810
Sex: M
Age: 73
State: NC

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: blood Mg, K and troponin-1 all normal

Allergies: IVP dye

Symptoms: angina that lasted over 12 hrs. I took magnesium per os.

Other Meds: none

Current Illness: cardiac syncope

ID: 0997811
Sex: F
Age: 35
State:

Vax Date: 01/08/2021
Onset Date: 01/13/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: marked redness, pruritus and swelling in the injected arm that looks very much like cellulitis/erysipelas. Axillary lymph nodes swell / quite painful.

Other Meds: none

Current Illness: none

ID: 0997813
Sex: F
Age: 23
State: MT

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills and Fever

Other Meds:

Current Illness:

ID: 0997814
Sex: F
Age: 32
State: VA

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: covid; negative

Allergies: sulfa

Symptoms: 12/32 vaccination 1/1 Swollen, painful lymphnodes L side of body. 1/8 woke up with large welt at site of injection; lasted 24 hours

Other Meds: Acyclovir 1000 MG/daily; Prednislone eye drops L eye x2 daily

Current Illness: Shingles

ID: 0997815
Sex: F
Age: 65
State: NC

Vax Date: 01/25/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: REDNESS AND WARMTH AT THE INJECTION SITE STARTED ONE WEEK AFTER THE INJECTION, MONDAY2/1. ON TUESDAY, 2/2 THE SITE HAD INCREASED IN SIZE AND APPEARED MORE INFLAMED. I MARKED WITH A MARKER TO MONITOR THE SIZE OF INFLAMATION. DURING THE DAY THE INFLAMMATION INCREASED OUT OF THE BORDER OF THE MARKER MORE SO ON THE RIGHT SIDE. THIS MORNING,2/3, NO CHANGES NOTED. I AM AFEBRILE, NO SPECIFIC PAIN IN THE AREA, JUST RED AND WARM.

Other Meds: CITALOPRAM 40MG QD ALENDRONATE 70 MG QWEEK ON SUNDAY LANSOPRAZOLE 30MG QD ASA 81 MG QD CALCIUM 500 MG QD D3 5000IU QD

Current Illness: NONE

ID: 0997816
Sex: F
Age: 66
State: WY

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: none

Allergies: Over 65 medication intolerances - only two antibiotics I can take that I don't have an anaphylactic reaction to; I carry an epi pen with me all the time.

Symptoms: Heart started racing about 7:00 pm the night of the vaccine until today (I haven't noticed it today for the first time since the vaccine). The next morning after - so nauseous; and aching all over; so tired I could hardly move as I had joint pain, too. Couldn't throw up but nausea was there constantly - even when I went back to work on Monday I as still nauseated and still in pain. When I came home from work on Monday the body aches were gone and my leg felt numb. So it lasted a good four days for me. No treatment except drank lots of liquids and stayed still as I could so nausea wouldn't worsen. I still ache but that might be because of my ruptured disc.

Other Meds: Synthroid; Coumadin; Hydrocodone

Current Illness: Ruptured disc in my back and that's why I'm taking pain pills - they're waiting to inject me

ID: 0997817
Sex: F
Age: 58
State: CO

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

Lab Data: none

Allergies: None

Symptoms: recipient was a covid survivor. Adverse side effects included fever, chills, joint pain, extreme headache, nausea and fatigue

Other Meds: Levothyroxine 100mg

Current Illness: None

ID: 0997818
Sex: F
Age: 80
State: TX

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

Lab Data:

Allergies:

Symptoms: Site: Bruising at Injection Site-Severe, Systemic: Other- Brusing down patients hand and wrist-Medium

Other Meds:

Current Illness:

ID: 0997819
Sex: M
Age: 51
State: PA

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Severe generalized pruritus and maculopapular rash

Other Meds: Valsartan

Current Illness:

ID: 0997820
Sex: F
Age: 61
State: NJ

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: none

Allergies: Penicillin; latex

Symptoms: On Day 8, large read rash developed on left arm (site of injection). Hot to the touch, slightly itchy, slightly sensitive to touch. On Day 10, I contacted my primary care physician, but reaction was already starting to disappear. Dr's office said to contact them if it got any worse. By Day 11, it was gone.

Other Meds: Tylenol PM, Advil

Current Illness: none

ID: 0997821
Sex: F
Age: 78
State: IN

Vax Date: 01/25/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: metropolol, some foods, animal hair, hay

Symptoms: rash on arm at vaccine sight

Other Meds: Losartan, Nifedipine, cholesterol med, vitamins, probiotic

Current Illness: none

ID: 0997822
Sex: F
Age: 51
State: MI

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: going to dr. tomorrow. They tested me for COVID which came back negative

Allergies: vinyl and oxycodone

Symptoms: headache (day 2 - now), body aches (day 2 - now) , fever on and off (day 2 - now), runny nose, rash from head to toe (day 2) and now is dormant

Other Meds: Gabapentin 600 MG 2 x a day, Hydrochlorathiazide 25 mg, Citalapram 40 mg

Current Illness: none

ID: 0997823
Sex: M
Age: 33
State: OR

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Headache, fever, body aches. Symptoms lasted approximately 24 hours.

Other Meds: None

Current Illness: None

ID: 0997824
Sex: M
Age: 64
State: TX

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reports feeling slight lightheadedness and dizzy, flushed, (but no sweating) for a few seconds post vaccination. Patient was seen and cleared by EMS (BP 118/81, HR: 72). Instructed patient to call PCP, 911, or go to the nearest emergency room for any further issues.

Other Meds:

Current Illness:

ID: 0997826
Sex: F
Age: 42
State: NY

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Tongue, roof of mouth and throat felt prickly and sore (same as when you burn your mouth with hot coffee) that started 40 minutes after shot and lasted for 4 days. Exhaustion, chills, and body aches that began around 8pm on night of vaccine and lasted 2 days. Sore arm that began several hours after shot and lasted 2 days.

Other Meds: Budesonide nasal spray 2 sprays daily

Current Illness: None

ID: 0997827
Sex: M
Age: 57
State: MT

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Nausea, Headache, and Fever

Other Meds:

Current Illness:

ID: 0997828
Sex: F
Age: 53
State: MN

Vax Date: 01/20/2021
Onset Date: 01/29/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: RASH AND REDNESS , ITCHINESS AT INJECTION SITE. 2 WEEKS POST INJECTION THE RASH IS SPREADING. HOT TO THE TOUCH.

Other Meds: metropolol & spironolactin

Current Illness: none

ID: 0997829
Sex: F
Age: 54
State: AZ

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

Lab Data: none

Allergies: None

Symptoms: Headache, Temp of 101.7, Pulse rating 145, Neck and Shoulder Pain, Injection site sore, chills and muscle aches

Other Meds: Metformin, HCTZ , MVI, ASA 81mg , Zyrtec

Current Illness: None

ID: 0997830
Sex: M
Age: 79
State:

Vax Date: 01/31/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Chest pain; Chest pain; Chest pain, unspecified type; Pleural effusion on left

Other Meds:

Current Illness:

ID: 0997832
Sex: F
Age: 55
State: OH

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

Lab Data: 1/4/21 I had my 1st vaccination----- chills and a low grade fever 1/13/21 onset of covid-like symptoms 1/17/21 tested + for covid 19 2/1/21 2nd vaccination ( I was told it didn't matter that I just had covid)

Allergies: Bactrim, penicillin, silvadene

Symptoms: Started to get a little chilled about 4 hrs after shot. Up next morning chilled, shivering, teeth chattering, headache, generalized body aches. Took 600mg Motrin with relief and went to work. Motrin wore off 5hrs in. Same symptoms. Took 600mg of Motrin with relief and continued working. Motrin wore off around 4:30pm. From 4:30 pm until 8:30pm, I didn't take anything. My temp went to 102.6. I couldn't get warm, headache, body aches, and fatigue. I took more Motrin at 8:30 pm and felt some relief, but not completely. About 2/3/21 at 1215 am my fever broke and I woke up in a sweat. Got up for work at 4:30 2/3/21 without a fever. I did have a headache. Around 8:30 am I developed a low grade fever and chills and my headache was worse. I took Motrin 600mg, which relieved my symptoms.

Other Meds: magnesium, calcium, B complex with b12, vitamin D3, multivitamin, Zyrtec

Current Illness: Had Covid 19 with onset of symptoms 1/13/2021

ID: 0997833
Sex: M
Age: 68
State: TX

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Systemic: Fainting-Severe

Other Meds:

Current Illness:

ID: 0997834
Sex: F
Age: 75
State: WA

Vax Date: 01/20/2021
Onset Date: 01/29/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: At the site of shot I have had redness but on Friday last it became larger and itchy(off and on) the next day spot bigger and same on Sunday and Monday. On Tuesday(yesterday) two more red spots lower down the arm and itchy. This morning those two red spots are now one.

Other Meds: vit C,D Calcium Zinc Lutinen Cinnamon B12

Current Illness:

ID: 0997835
Sex: F
Age: 83
State: IN

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

Lab Data: none

Allergies: none

Symptoms: fever, muscle aches, headache, shortness of breath, loss of appetite, fatigue sleep, Tylenol, cpap with oxygen, aspirin (Bufferin) 2.5 days I am up and dressed on 2/3 (third day), but very tired and sleepy.

Other Meds: Tylenol, Carvidol, Diltiazam, Eliquis, Gabapentin, Glipizide, Levothyroxine, Magnesium oxide, Metformin, Potassium chloride, Ropinerole, Vitamins B and. D, Prolia

Current Illness: none

ID: 0997836
Sex: F
Age: 57
State: NJ

Vax Date: 01/21/2021
Onset Date: 01/28/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: Went to a local Medemerge to get it checked out. They felt it was a delayed reaction to the injection. Did run a blood test to make sure there was no infection. All was good. Was advised to use cool compresses and take an antihistamine. It seemed to subside within 5 days. After coming home, from Medemerge, I found some articles online describing other people with the same thing happening. They were calling it Covid-arm.

Allergies:

Symptoms: After day 7, I developed a red , swollen and warm area at the site of injection and on my upper arm.

Other Meds:

Current Illness:

ID: 0997837
Sex: F
Age: 38
State: MN

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

Lab Data: none

Allergies: none

Symptoms: Lt deltoid swelled, got itchy, red, and hot for a couple hours. Better today but still has a lump by site of injection.

Other Meds: Fluoxetine 10mg,

Current Illness: no

ID: 0997838
Sex: F
Age: 46
State: IL

Vax Date: 01/19/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: I had my past menstrual period starting 1/18/2021 and received the vaccine the next day 1/19/2021. Now, as today 2/3/2021 I started to have my menstrual period again (just 2 weeks after the previous menstrual period) I always have my menstrua periods regularly every 26 to 28 days. There was only one time in 2012 when I had Dengue virus that my menstrual period came very early as well, at that point I had a CBC done showing thrombocytopenia with Platelets at 110. I am planning to have a CBC test done. I suspect that my platelets are low again. I want to make sure the vaccine is not causing me thrombocytopenia and to report this event for future data collection.

Other Meds: None

Current Illness: None

ID: 0997840
Sex: F
Age: 71
State: AR

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: red at injection site and fever, 2 more red spots have come up under vaccine site like lines

Other Meds: baby asprin, estradiol 0.5mg, vitamin d3, xanax 0.5mg

Current Illness: n/a

ID: 0997841
Sex: F
Age: 69
State: FL

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: Wheat, barley, rye, oats - Celiac Disease

Symptoms: My arm was a little sore during the day. When I went to bed at 9:00 pm, I started having non-stop uncontrollable rapid shaking in both arms, enough so that I could not stop the shaking for 3 hours unless I anchored my arms under my legs, and even that just decreased the amount of shaking.

Other Meds: Levothyroxin

Current Illness: None

ID: 0997842
Sex: F
Age: 37
State: NE

Vax Date: 01/05/2021
Onset Date: 01/07/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Reported redness around injection site with warmth and hardness next day. Encouraged to apply heat and take Tylenol and if it got worse to contact her provider. Did not show up for 2nd dose of vaccine on 2/2. Upon contacting pt. supervisor, supervisor reports pt. had arm swelling, redness and N/V for 2 weeks after first shot and was instructed by her provider not to get vaccine dose #2. Supervisor states pt. had to get "steroid" shots to help with side effects. No communication received from patient or provider related to this visit to provider, no further info available.

Other Meds:

Current Illness:

ID: 0997843
Sex: F
Age: 47
State: MT

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, Chills, & Joint pain

Other Meds:

Current Illness:

ID: 0997844
Sex: F
Age: 72
State: MI

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: none

Allergies: Sulfur allergies

Symptoms: 1st shot no issue 2nd shot - initial arm soreness, increasing in intensity in evening Morning after nausea, body aches, headache, fever peak at 101.5 -treated with anti-nausea Ondansetron ODT 8mg, Tylenol 500mg -

Other Meds: Levothyroxine - 100mg once daily Enalapril - 20mg once daily Rosuvastatin - 40 mg once daily Eliquis - 5mg twice daily Coreg - 12.5 mg twice daily Vitamin D3 - 50 mcg once daily

Current Illness:

ID: 0997845
Sex: F
Age: 75
State: CA

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: none

Allergies: pennicillin

Symptoms: headache at 2 minutes face felt warm and was flushed at 5 minutes lymph nodes on both sides under jaw were swelling at 5 minutes both ears felt stuffed up and under pressure at approx. 6 minutes tried to swallow and it felt a little bit difficult

Other Meds: Alendronate Sodium 70 Mg, once a week Estradiol Vaginal Cream, every other day Calcium supplement tablets, 3 daily Metamucil, once a day

Current Illness: none

ID: 0997847
Sex: F
Age: 35
State: KY

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: ultrasound right breast 1/20/21

Allergies:

Symptoms: clogged duct/mastitis right breast along with fever, chills, body aches, joint pain x 48hrs

Other Meds: fenugreek, prenatal vitamins, sunflower lechitin

Current Illness:

ID: 0997848
Sex: F
Age: 58
State: AZ

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: I have had some lung discomfort from 1/23 till now. It has not gone away

Other Meds: azithromycin lyvelthroxin

Current Illness: Lung nodules

ID: 0997849
Sex: M
Age: 40
State: VA

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: per hospitalization

Allergies: Tegretol, Haldol

Symptoms: Seizure activity, tx with ativan IM and sent to local ED. Febrile to 102.9, status epilepticus, given Fentanyl, Versed, and Keppra. RSI and intubation performed. Intubated and transferred for neurology care. History of similar events; had similar event when infected with COVID-19. Was extubated uneventfully and is recovering well. Currently on azithromycin and augmentin for aspiration PNA>

Other Meds: ABILIFY Tablet 5 mg Oral ALBUTEROL 0.083% NEBULIZER Solution 1 AMPULE Inhale ALVESCO 160MCG INHALER 1 PUFFS ATORVASTATIN Tablet 20 mg Oral BENZTROPINE MES Tablet 1 mg Oral Three Times a Day hydrOXYZine PAM Capsule 50 CAP Oral LEVETIRAC

Current Illness: Coronavirus infection, covid-19 rapid antigen test positive 12/26/2020

ID: 0997850
Sex: F
Age: 32
State: VA

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: Covid; positive

Allergies: sulfa

Symptoms: 1/27 vaccination 1/28 woke up with fever 102.4, nausea, vomiting, body aches and chills. Covid; positive Fever lasted thru the 1st of Feb with body aches and chills. Presently still having body aches, HA. No fever

Other Meds: Acyclovir 1000 MG/daily; Prednislone eye drops L eye x2 daily

Current Illness: Shingles

ID: 0997851
Sex: F
Age: 71
State: VA

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: Sulfa and Ampicillin, latex and some adhesives

Symptoms: After 7-8 days I noticed redness at the site. Then the redness grew larger with some swelling and slight itching

Other Meds: Levothyroxine, Vitamin B12, Anastrazole(Arimidex), Fexofenadine, D-3

Current Illness: None

ID: 0997852
Sex: F
Age: 32
State: MI

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: EKG: NSR

Allergies: Peanuts Benadryl Megace Vancomycin Lysteda Levaquin

Symptoms: about 8 hours after getting the injection she developed a headache, her vision gets blurry then feels dizzy. At times per her fitness watch her heart rate goes up to 120 and normal is the 60's for her. She has fatigue and reports feeling like jello inside. She reports a feeling like she had a fever the night she got the vaccine

Other Meds: Tylenol Zoloft

Current Illness:

ID: 0997853
Sex: F
Age: 63
State: TX

Vax Date: 12/29/2020
Onset Date: 01/08/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: blood work with normal results

Allergies: latex

Symptoms: pt states that on 1/30 her arm was sore but on 1/8/2021 she developed a red rash from injection site to elbow that covered the exterior surface of her arm so Pt went to ER at work and they prescribed Keflex. On 1/11/21 she went to her PCP which gave her a shot of Rocephin and doxycycline. She said the rash got better and dissipated by the 1/15/21. She completed her meds on 1/22/2021.

Other Meds: Pristique, Amlodipine, HTCD, Crestor, aspirin

Current Illness: none

ID: 0997855
Sex: F
Age: 33
State: MT

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm