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: 0924594
Sex: F
Age: 43
State: KS

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

Lab Data:

Allergies: Latex and Benzoin, hx of mild local reaction to MMR vaccine

Symptoms: 1815: pt complained mild dizziness, O2:97 %, BP: 115/83, HR: 86, pt given 50 mg Benadryl orally, ate some almonds and chips, not redness or swelling at site 1830: pt stated she was feeling better, requested to go home

Other Meds: Protonix, Wellbutrin, Allegra, Synthroid, Thrintellix

Current Illness:

ID: 0924595
Sex: F
Age: 47
State: TX

Vax Date: 12/24/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: Seen by physician 1/6/21. Received Kenalog 40mg IM injection and a script for oral steriods.

Allergies: NKDA, allergic to some metals

Symptoms: One week after the injection I had redness , swelling and itching to injection site. The redness, swelling and itching continued to spread throughout my upper arm and was almost to my elbow. On 01/06/21 I was seen by physician and received a Kenalog 40mg IM injection and oral steriods for the reaction. Also have been taking benadryl.

Other Meds: Magnesium 800mg PO daily

Current Illness: none

ID: 0924596
Sex: M
Age: 59
State: KY

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

Lab Data: NONE

Allergies: NKA

Symptoms: Approximately 4 hours after injection, laid down to sleep, was woken up by moderate pain in/ around the right hip bone, It was progressed to thigh being very tender/sore, as well as whole right leg ached/hurt with feelings of neuropathy. About 8 hours after injection continues to get worse, with right calf "burning situation" and soreness to the touch on right thigh. Cold chills Arm appears to be fine. No pain.

Other Meds: Levothyroxine 112mcg Sertraline 100mg 1x a day Clonazepam 2mg ( 2 at night) Vitamin D12 1x weekly 325 mg Asprin daily cardvadel 25 mg 2x's a day B12 sub-lingual 1 am. Daily Vitamin

Current Illness: Sinus Infection about 2 weeks before vaccination

ID: 0924597
Sex: U
Age: 47
State: CA

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

Lab Data: EKG, CXR, Chem 8, troponin

Allergies: environmental allergies

Symptoms: I received the vaccine at 7:30 am on 1/4. At 11 pm, I had electric tingles in my lips and my throat felt ice cold and like mental. At 11:30pm I developed significant tachycardia. My base line resting heart rate is 68-87. I heart rate was 120-130. My rate was pounding out my chest. At 3 am on 1/5, I went to the ER because of the persistent tachycardia and developing chest pain. I has SVT and PVCS. Tool tylenol 1 g and benadryl 50 mg. By 7am by symptoms resolved. Exhausted the whole rest of the day.

Other Meds: Clartin 10 mg po qday; , Alvesco 160 mcq 2 puffs inhaled twice a day.

Current Illness: n/a

ID: 0924598
Sex: F
Age: 55
State: MN

Vax Date: 01/03/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: Sought ER treatment for increased resting heart rate at 6;30 AM 1-4-2021. BP 160/92 upon arrival at ER. EKG and blood work were normal. Received IV fluids for fever. Fever continued at 100-101 F thru 2AM 1-5-2021. Resting heart rate remains elevated at 80 beats per minute at rest 1-6-2021.

Allergies: Sulfa

Symptoms: Developed sore arm and fever 100-101F by 2AM 1-4-2021. Resting heart rate increased to 90-136 beats per minute (usual resting heart rate 60-65 beats per minute) by 6AM.

Other Meds: None.

Current Illness: Tested positive for COVID 19 12-21-2020.

ID: 0924599
Sex: F
Age: 58
State: WA

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

Lab Data:

Allergies:

Symptoms: Headache, nausea, dizziness, swelling in injection site arm and pain from site location to wrisg

Other Meds: Topomax, Imitrex, Aimovig, atorvastatin, Lisinopril, LaMotrigine, Lexapro, 80mg Aspirin, vitamin D, Norco 5/325, Fioricet

Current Illness:

ID: 0924600
Sex: F
Age: 37
State: OH

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

Lab Data:

Allergies: Iodine

Symptoms: Patient experienced left sided facial tingling and left sided head ache

Other Meds:

Current Illness:

ID: 0924601
Sex: F
Age: 28
State: NY

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

Lab Data:

Allergies: None

Symptoms: Redness with swelling and warmth at site of the vaccine ... 1 week after I got it. Is that normal?

Other Meds: Lialda 4g/day Skyla iud

Current Illness: No

ID: 0924602
Sex: F
Age: 46
State: IA

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

Lab Data: None

Allergies: None

Symptoms: Rash on upper body

Other Meds: Colestipol

Current Illness: None

ID: 0924603
Sex: M
Age: 28
State: IL

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

Lab Data:

Allergies: Penicillin allergy

Symptoms: Patient returned about 2 hours after receiving vaccine complaining of chest tightness, shortness of breath and arm and chest pain. Patient declined rapidly and could not breath. Called 911 and administered 1 dose of Epipen 0.3mg. Patient's breathing improved immediately. Patient went to ER for further workup.

Other Meds: Unknown

Current Illness: Unknown

ID: 0924604
Sex: F
Age: 34
State: OH

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

Lab Data: None

Allergies: None

Symptoms: 1/6/21: 1245 am. Chills. Fever, headache, body aches, fatigue 1/6/21: 1:30pm tmep 99.7, body aches. Fatigue. Chills

Other Meds: Keppra, keflex (for acne), vitamin c, vitamin d, folic acid, multi vitamin

Current Illness: None

ID: 0924605
Sex: F
Age: 59
State: MI

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

Lab Data: None

Allergies: Mold and pine.

Symptoms: Mild itching began at the injection site on approximately 1/1/21 and the itching has become more intense. Redness and slight swelling at the injection site began on 1/5/2021. Swelling is definite raised area similar to a hive and is just under 2 inches in diameter. All symptoms are contained at the injection site and have not required any treatment thus far.

Other Meds: Toprol XL 10 mg 1/2 tablet daily Multivitamin Probiotic Methyl-Sulfonyl-Methane 1000mg 2 capsules daily Cranberry Extract Loratidine 10mg. daily prn Xanax .25 mg prn for anxiety

Current Illness: None known

ID: 0924606
Sex: F
Age: 33
State: OH

Vax Date: 12/30/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: I will be getting a COVID test tomorrow

Allergies: None

Symptoms: For 3 days following the day I received the vaccine, my injection site was red, itchy, hard and a swollen lump the size of a quarter,maybe even nickel sized. After day 3, the lump had subsided and so had the itching, pain and redness. Now today, day 7 after receiving the vaccine, my injection site is itching so badly it almost burns, it is swollen and back to a red lump nearly the size of a half dollar. I have also developed a dry cough and have overall not felt well since 1/4/2021. Please advise

Other Meds: Lantus, Toujeo, Wellbutrin, paxil, Lisinopril, atorovarsatin, ferrous sulfate, vitamin B12, doxycycline

Current Illness:

ID: 0924607
Sex: F
Age: 28
State: WI

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

Lab Data: None. Only vitals at hospital on 1/6/2021.

Allergies: Sulfa medication

Symptoms: Monday night of vaccine got extreme chills, muscle aches, joint aches. Woke up with a fever of 100.8. Very fatigue. Pounding headache and fatigue all day Tuesday on 1/5/2021. Tuesday night I felt better and was able to get some energy back. Tuesday morning woke up with sore throat. Around 9am got extremely tired and laid down. Started wheezing, throat starting itching and I started coughing. Called on call nurse at health center and they advise me to go to hospital to get checked out. Went to hospital. They gave me Benadryl and prednisone for my symptoms. Kept me for 30 minutes and I fell asleep. Was discharged and prescribed prednisone for the next 5 days if symptoms persist. My diagnosis was adverse drug reaction.

Other Meds: Zoloft, Buspirone and Miralax

Current Illness: Covid 19 virus 12/17-12/28

ID: 0924608
Sex: F
Age: 30
State: TX

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

Lab Data: None

Allergies: None

Symptoms: Fever 100.4 (12/31/2020) Fever 101.2 (01/06/2021)

Other Meds: None

Current Illness: None

ID: 0924609
Sex: F
Age: 28
State: NJ

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

Lab Data: None - I plan to call my primary care doctor tomorrow regarding this as I got the vaccine at my work.

Allergies: None

Symptoms: Rash and inflammation about 4 inches long and 2 inches wide at the vaccination site. Began on morning of the 7th day after the vaccination

Other Meds: Junel FE 1/20; 40 mg of Doxycycline

Current Illness: None

ID: 0924610
Sex: M
Age: 64
State: NY

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

Lab Data: none

Allergies: sulfur aspirin

Symptoms: dizziness (not true vertigo) started when I woke up to go to work 5:30AM accompanied by nausea. Mild headache came on about noon Dizziness subsided about 3PM and headache about 8PM Nausea lasted until 1/6/2021 about noontime No treatment done for any of the above

Other Meds: Losartan-hctz 100-25 mg Rosuvastatin 20 mg Pepsid 20 mg

Current Illness: none

ID: 0924611
Sex: F
Age: 38
State: IL

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

Lab Data: Was admitted to an Emergency room for few hours and ran multiple blood tests and blood gas

Allergies: None

Symptoms: I couldn?t breath and my blood pressure was abnormally elevated for a prolonged time. It made my head spinned and pressured. My heart was racing rapidly and feeling fainted

Other Meds: Zyrtec , pantoprazole, Amiovig

Current Illness: None

ID: 0924612
Sex: M
Age: 44
State: NV

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

Lab Data: N/A

Allergies: None

Symptoms: Fever, chills, tiredness, muscle pain, joint pain

Other Meds: Multi vit, 2000 IU Vit. D, 3000mg Vit. C

Current Illness: None

ID: 0924613
Sex: F
Age: 72
State: OH

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

Lab Data:

Allergies: Keflex, Erythromycin, clindamycin, Tegretol, Flagyl, Vit d3, fragrances, chemicals yellow dye

Symptoms: Chest pain, itching . Pt transported to ER per EMS

Other Meds: Aztreonam, Metformin, Lipitor, Darvocet

Current Illness:

ID: 0924614
Sex: F
Age: 23
State: CA

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

Lab Data: none

Allergies: nkda

Symptoms: arm soreness , dizziness, nausea, headache, new onset cough , body ache, chills, low grade fever

Other Meds: none

Current Illness: none

ID: 0924615
Sex: F
Age: 57
State: MI

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

Lab Data: Ultrasound at ER Facility

Allergies: Erythromycin

Symptoms: Lymphadenopathy

Other Meds: Vitamin d, c, multivitamin

Current Illness: None

ID: 0924616
Sex: F
Age: 36
State: OR

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

Lab Data:

Allergies: none

Symptoms: local swelling, pain, itching, and erythema at injection site

Other Meds: Vitamin D supplementation Zoloft 75 mg daily

Current Illness: none

ID: 0924617
Sex: F
Age: 59
State: WA

Vax Date: 12/26/2020
Onset Date: 12/27/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Oral Prednisone

Symptoms: Extreme Dizziness, Blurry Vision, Near fainting and Nausea

Other Meds: Metformin

Current Illness:

ID: 0924618
Sex: F
Age: 62
State: CA

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: none

Allergies: Clindamycin, Erythromycin, Septra (rash)

Symptoms: after initial, expected, deltoid aching pain which lasted for a few days, very mild achiness has persisted. at approximately 1.5 weeks (17d), I noticed actual weakness when I attempted to lift weights (5#) above my shoulders. isolated to the left arm, which was the injection site. Exercising now, daily, with very slow response and increased aching. despite history of intermittent radiculopathy, there had been no weakness prior to the vaccine. Is this a reported vaccine AE?

Other Meds: Climara 0.035mg weekly patch Lorazepam 0.5mg 1/2-1 tab pro, avg 1/2 tab qHS Biotin most days. Magnesium 400mg most nights Vitamin D3 50mcg Vit C 500-1,000mg/d Ibuprofen 600mg OR Aleve 1-2 tabs (220-440mg), 4-5d/wk, once daily. Tylenol 6

Current Illness: none

ID: 0924619
Sex: F
Age: 36
State: WA

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

Lab Data: Neg Strep test completed on 1/6/21

Allergies:

Symptoms: Usual sore arm and headache right after the vaccine, followed by body aches, fevers, chills, joint pains, sore throat, cough, swollen lymph nodes, and now a facial rash.

Other Meds:

Current Illness:

ID: 0924620
Sex: F
Age: 50
State:

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: Penicllin, Sulfa drugs

Symptoms: Itching on R side of neck started 23 hours after injection. Applying OTC steroid cream to itching area 30 minutes after the onset made skin burn. Progressed to large hives and very painful/burning skin along R side of neck over 1.5 hours. 25 mg Benadryl stopped spread of hives but pain persisted. Benadryl taken over the next 24 hours. Hives and skin pain resolved after 24 hours, redness over neck resolved after 2 days, a single scab like lesion remained for one week.

Other Meds: Elderberry, Vitamin C, Cranberry supplement, Flonase nasal spray, Claritin gel tab - all taken once daily

Current Illness: None

ID: 0924621
Sex: F
Age: 32
State: NJ

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

Lab Data: N/a

Allergies: Penicillin

Symptoms: Raised induration rash at injection sire

Other Meds: Birth control

Current Illness: N/a

ID: 0924622
Sex: M
Age: 29
State: AK

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

Lab Data: None

Allergies: Erythrocin, Sulfamethoxazol, dytheria toxoid

Symptoms: Client called into Health Center and stated that he got the Moderna vaccine at the clinic this am, 11:00 am. He states that by 3:30 pm he noticed that his eyeball was very red (red Crayola color red but not itchy). He took 25 mg of Benadryl at 4 pm and stated that it was already improving with the Benadryl.

Other Meds: None

Current Illness: No

ID: 0924623
Sex: M
Age: 29
State: CA

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

Lab Data: none

Allergies: NKDA

Symptoms: 101. Fever, chills, body aches , fatigue, malaise, swollen tenderness lymph node lt armpit.

Other Meds: MULTI VITAMIN

Current Illness: NONE

ID: 0924624
Sex: F
Age: 53
State: MA

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

Lab Data: None

Allergies: Sulfas Kiwis

Symptoms: I had my vaccine at 910am 12/30/2020. I was sitting in the chair and one of the people walking around checking on people asked me how I was doing . I told her I was feeling a little foggy. She gave me a bottle of water and kept checking on me every few mins. At around 935 she took me into the back with the medics to get my vitals. They hooked me up to their defib machine for my vitals. My BP was 190/111. They did it manually and it was 180/110. I was starting a headache. By the time I left my BP was 165/99. I then went to work. At lunchtime my BP was 148/99. I still had a headache for the rest of the day

Other Meds: Metoprolol Succ 50mg.1xday am Trazadone 50mg 1xday pm Atorvastatin 40 mg 1xday pm Famotidine 40mg 1xday pm Humira 40 mg every 2 weeks multivitamin turmeric fish oil probiotic

Current Illness: none

ID: 0924625
Sex: F
Age: 28
State: NJ

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

Lab Data:

Allergies: None

Symptoms: 1.5 inch x 1.5 inch red, swollen, hard, and warm area located about 2 inches from injection site. Area was noticed at 3:00pm 7 days from vaccine date as it was itching - a new symptom.

Other Meds: None

Current Illness: None

ID: 0924626
Sex: M
Age: 43
State: UT

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

Lab Data:

Allergies: None

Symptoms: Excessive salivation

Other Meds: No otc or herbal ptoducts and no prescription or supplements

Current Illness: None

ID: 0924627
Sex: F
Age: 36
State: MO

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

Lab Data:

Allergies: None

Symptoms: localized swelling, redness, warm to touch, knot x7 days (still continues)

Other Meds: Allegra, Levothyroxine

Current Illness: None

ID: 0924628
Sex: F
Age: 34
State: OH

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

Lab Data: None

Allergies: None

Symptoms: 1/6/2021 1245 am: chills, fever. Body ache, left arm aching, headache, fatigue 1:30pm: chills, fever, body aches, headache fatigue

Other Meds: Keppra (epilepsy), keflex( acne), vitamin c, vitamin d, vitamin b12. Folic acid

Current Illness: None

ID: 0924629
Sex: F
Age: 32
State: CO

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

Lab Data: N/A

Allergies: Sulfa

Symptoms: 6 days after the shot swollen nodule appeared on injection side above the clavicle below the carotid artery. Nodule is about a nickel size, discomfort when palpated.

Other Meds: Daily vitamin gummies with omega 3

Current Illness: N/A

ID: 0924630
Sex: F
Age: 29
State: CA

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

Lab Data:

Allergies:

Symptoms: FEVER, CHILLS, AND MUSCLE PAIN

Other Meds:

Current Illness:

ID: 0924631
Sex: F
Age: 39
State:

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

Lab Data:

Allergies: Sulfa

Symptoms: 1 week post injection: redness and swelling at site and pain in left axillary lymph nodes

Other Meds: N/a

Current Illness: N/a

ID: 0924632
Sex: F
Age: 47
State: GA

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

Lab Data:

Allergies: seasonal allergies

Symptoms: Headache and fatigue

Other Meds: fluoxetine, fluticasone, Xyzal

Current Illness: none

ID: 0924633
Sex: F
Age: 46
State: NJ

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

Lab Data: Had to call health facility. They requested covid test which was negative

Allergies: Percocet

Symptoms: Received at 9am. Continued arm pain so at 10pm I took Tylenol. Then by 11pm I had shakes, fever 100.4 after Tylenol, weakness all over, massive headache, dizzy, and nausea. I tried to tolerate and wait it out by 11am 1:6/2021 I felt some what better. Fever gone. Headache continues.

Other Meds: None

Current Illness: None

ID: 0924634
Sex: F
Age: 44
State: TX

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

Lab Data:

Allergies:

Symptoms: Patient was vaccinated and in the waiting area. 5 minutes after the vaccine patient alerted staff she was having a rapid heart beat. EMS was onsite and responded. EMS personnel monitored patient for a short time. Patient stated she forgot to take her anxiety medication this morning. Patient returned to her vehicle and waited approx 5 more minutes and felt well enough to go home (husband was driving). Informed patient to call 911 or present to nearest emergency room if she starts feeling like she is having additional issues. Patient left site claiming to be feeling fine.

Other Meds:

Current Illness:

ID: 0924635
Sex: F
Age: 34
State: MA

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

Lab Data:

Allergies: Morphine Percocet

Symptoms: Patient's left arm became itchy 5 minutes after receiving vaccine. Given 50mg Benadryl PO, itching spread throughout body but did not progress to hives. Patient declined to be transported to ED for monitoring.

Other Meds: None

Current Illness: None

ID: 0924636
Sex: F
Age: 28
State: AR

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

Lab Data: None

Allergies: Ceclor

Symptoms: I received my vaccine at 1215 on 12/31/20. At 1800 on 12/31/20 I began to feel mild shortness of breath. I then became dizzy at 1805. At 1815 I developed blurred vision. The dizziness and blurred vision prevented me from standing. I was able to walk with assistance at 1915. The blurred vision lasted until 1915. The dizziness lasted until 2230. At 2000 I had muscle aches and joint pain and could not get comfortable. Muscle aches and joint pain lasted until 1-1-21 at 1930. I did not seek medical treatment. (I working in the ER and did not feel it was severe enough to check in because the shortness of breath was mild and went away shortly after the dizziness began at 1815). I took Benadryl 50 mg at 1930 and 1000mg of Tylenol.

Other Meds: None

Current Illness: None

ID: 0924637
Sex: F
Age: 33
State: NJ

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

Lab Data:

Allergies: Penicillin

Symptoms: Large (4 inches) hot, itchy welt at injection site

Other Meds: Ocrevus infusion, vitamin d3, multivitamin, zyrtec

Current Illness:

ID: 0924638
Sex: F
Age: 34
State: MI

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Gluten, casein, latex

Symptoms: I initially had chills, myalgias, headache, and nausea (starting later that evening), which I recognized as normal immune reactions. It lasted until about 24 hours after the vaccine. Over the last week, I?ve had horrible insomnia, waking up multiple times throughout the night with difficulty falling back asleep. I didn?t think much of it other than it?s very unlike me until a handful of other coworkers vaccinated around the same have also been experiencing this.

Other Meds: Multivitamin, vitamin c, elderberry, zinc, vitamin D, calcium, protonix, synthroid

Current Illness: None

ID: 0924639
Sex: F
Age: 62
State: MA

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

Lab Data: None

Allergies: None

Symptoms: Approximately 4-5 min after leaving the facility in my car after my 15 minute check, I began to feel throat tightness -upper pharynx/larynx region - like something was stuck or like I swallowed something - no difficulty breathing, just constant throat clearing like something was stuck on both sides of my upper pharynx/larynx region. I was monitored by EMS and given 50 mg IM Benadryl. After 30 - 40 min. symptoms cleared.

Other Meds: Pepcid 20-40 mg every evening Vit D 1,000 IU daily Multi Vit Daily Nasonex two sprays at night

Current Illness: None

ID: 0924640
Sex: F
Age: 36
State: MD

Vax Date: 12/18/2020
Onset Date: 12/23/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Penicillin Nickel

Symptoms: I suffered an ocular migraine 5 days post vaccine. Never had one before. Very scary. Zigzag spot in both fields of visions for 10 minutes followed by kaleidoscope vision in the left field for 5 mins. No headache after.

Other Meds: Oral contraceptives

Current Illness: None

ID: 0924641
Sex: U
Age: 17
State: MI

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

Lab Data:

Allergies: none

Symptoms: Patient was under the age of 18 when she received the vaccine.

Other Meds: unknown

Current Illness: None

ID: 0924642
Sex: M
Age: 57
State: UT

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

Lab Data: none

Allergies:

Symptoms: developed hives today 1/6 after receiving COVID shot on 1/3/2021. The hives are on arms and legs and are itchy. referred to PCP today . Treatment course is currently unknown..

Other Meds:

Current Illness:

ID: 0924643
Sex: F
Age: 27
State: VA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Unspecified general vertigo, general weakness, and occasional nausea starting from morning after vaccination that has been steadily improving day by day. Have tried meclizine OTC to no effect. Vertigo is mild and not impairing. Able to keep balance fine.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm