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: 0998699
Sex: F
Age: 36
State: VA

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

Lab Data: MRI brain w/out contrast - normal study MRI cervical spine w and w/out contrast - ruled out transverse myelitis Upcoming MRI Thoracic and lumbar spine 2/9/2021 CBC, Chem 7 - within normal limits

Allergies: benzoyl peroxide, shellfish

Symptoms: immediate right sided weakness which progressed to right sided leg ataxia and weakened right arm (unable to grip and hold utensils) video visit with internal medicine 1/28/2021, ordered stat brain MRI w/out contrast which was done 1/28/2021 ER on 1/29/2021 where they consulted Neurology and prescribed physical therapy, MRI cervical spine w and w/o contrast 2/1/2021 video visit with primary care and neurology visit same day with. physical therapy started 2/2/2021

Other Meds: n/a

Current Illness: n/a

ID: 0998700
Sex: F
Age: 44
State: OK

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

Lab Data: None

Allergies: None

Symptoms: Localised-soreness, swelling now moved and collected to lt hip and thighs, pain unresolved

Other Meds: Multivitamins, Jardiance, Zocor, baby aspirin

Current Illness: Covid + 12/9/2020

ID: 0998701
Sex: F
Age: 73
State: IN

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

Lab Data: None

Allergies: Epinephrine

Symptoms: Extreme fatigue, very dizzy, headache, confusion

Other Meds:

Current Illness: None

ID: 0998702
Sex: F
Age: 51
State: NC

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

Lab Data: None

Allergies: None

Symptoms: 10 min after injection, I became flushed, racing heartbeat, shaking all over, tingling from feet up body, tingling lips and tongue. Given 50 MG of benadryl by mouth. I continued to have waves of the same several times every few minutes, getting stronger. Taken to ER, monitored and Given IV pepcid and decadron. Over next 3 hours the symptoms calmed down. I was sent home 4 hours after injection

Other Meds: Vit.D, multi vitamin, Ambien, Prozac, ropinerol, progesterone, estrogen patch, pravastatin, tinazidine, Ozempic

Current Illness: None

ID: 0998703
Sex: F
Age: 38
State: MO

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

Lab Data:

Allergies:

Symptoms: The patient received her first dose the vaccine, waited 15 minutes before leaving facility. After the 15 minutes she felt fine so she left with her clients. After leaving she felt tingling in her right arm and down her leg. She arrived back at the pharmacy to go over her side effects with the pharmacist. Going over her side effects with her and how she was feeling she began getting the tingling in her left arm and down her leg also. Because of her side effects we called 911 to have EMS come and check her out. They arrived and took all her vitals. Her vitals were all good, they told her she was ok to go back home and to take Benadryl. She stayed at the pharmacy for 30-45 minutes after EMS leaving before returning home.

Other Meds:

Current Illness:

ID: 0998704
Sex: F
Age: 78
State: CA

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

Lab Data: none

Allergies: barbiturates

Symptoms: On 8th day after injection pain, redness, swelling, hardness developed at the injection site.

Other Meds: simvastatin 5 mg Aspirin 81 mg Calcium Citrate 400mg Preservision Multi-vitamin

Current Illness:

ID: 0998705
Sex: F
Age: 67
State: NC

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

Lab Data: N/A

Allergies: Contrast Dye, cipro, erythromycin, milignant hypothermia warning

Symptoms: Unusual chemical smell, extreme fatique, sweating, wide spread rash, SOB, Headache, Diarrhea, Severe swelling and redness at injection site, Joint pain

Other Meds: Magnesium, Vit C, Nexium, Clonazapam, Miripex, Estrace, Antihistamine (nasal, eye, PO), albuterol and sumbicort, metrol lotion, synthroid, lamictal, zybeta, zetia, lidoderm, K Chl. Maxide, lexapro, xyzal, atacano

Current Illness:

ID: 0998706
Sex: F
Age: 74
State: GA

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

Lab Data: none

Allergies: none

Symptoms: Nausea, vomiting, Temp over 100, extremely weak, head ache

Other Meds: none

Current Illness: none

ID: 0998707
Sex: M
Age: 66
State: WA

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

Lab Data: none

Allergies: none

Symptoms: Approximately 36 hours after injection (at 3am on 2/2/2021) I woke with fever of 100 degrees F, shivering and chills, headache, and the injection site was extremely sore. Prior to this time all of my symptoms had been very minor. I am submitting this because of the long timespan between injection and onset of discomfort.

Other Meds: Kirkland Sleep Aid. Nightly, for improved sleep

Current Illness: none

ID: 0998708
Sex: F
Age: 75
State: PA

Vax Date: 01/20/2021
Onset Date: 01/28/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: Swelling, redness, heat at site of inoculation

Other Meds: Valsartan 160mg/25mg Simvastatin 40mg Restasis Vitamin D3 2000mg

Current Illness: none

ID: 0998709
Sex: F
Age: 58
State: UT

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

Lab Data: BP & VS, physical exam.

Allergies: Biaxin, Reglan, Ultram

Symptoms: Dizziness, vertigo, nausea, weakness, hypotension, generalized body aches, dehydration, severe effects lasted 6 days, lesser effects 2 additional days. Right arm (injection arm but not site specific) entire arm extremely painful. No redness or swelling noted. Noted extreme amount by volume of urination for 2 days. The first 12 hours voided large amount every 1-2 hours.

Other Meds: Marbetriq XR 50 mg, Synthyroid 175 mcg., Vit D 50,000 units

Current Illness: None

ID: 0998710
Sex: F
Age: 43
State: TX

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

Lab Data: none

Allergies: unknown

Symptoms: Patient began itching all over after receiving vaccine. Benadryl 50mg administered IVP. Patient felt better. Refused transport to ER.

Other Meds: unknown

Current Illness: none

ID: 0998711
Sex: F
Age: 23
State: CA

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

Lab Data:

Allergies:

Symptoms: About 15 minutes after vaccination I started feeling nauseous and around 7:00pm I started getting a headache. During the night I had an upset stomach. Next morning I couldn?t get out bed I have body aches, headache, dizziness, nausea with no appetite.

Other Meds:

Current Illness:

ID: 0998712
Sex: M
Age: 31
State: CA

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

Lab Data:

Allergies:

Symptoms: 31 year old male with of c/o generalized itching 20 minutes post 2nd dose of Moderna Covid vaccine. He was given 50 mg of benadryl injection and his symptoms progress to scratchy throat . Patient premedicated with zyrtec prior to his vaccine. He was given prednisone 60 mg and monitored in clinic for an hour. Patient symptoms resolved and was discharge home. Patient was initially hypertensive and mildly tachycardia and his VS was stable. Patient has a hx of anaphylaxis.

Other Meds:

Current Illness:

ID: 0998713
Sex: M
Age: 36
State: OH

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Body aches, muscle weakness (can barely walk), vomit x2, fever

Other Meds:

Current Illness:

ID: 0998714
Sex: F
Age: 41
State: MN

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

Lab Data: None

Allergies: Amoxicillin

Symptoms: Woke up on 2/2/2021 with vaccination site red, warm and itchy. Started out approximately baseball size. Today is size of a softball. Not raised and no bump under the skin. Was seen by physician and started on on Keflex QID for 7 days today.

Other Meds: Allegra D Lexapro

Current Illness: None

ID: 0998716
Sex: F
Age: 16
State: CO

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

Lab Data:

Allergies:

Symptoms: No adverse event or reaction occurred. Administration error only (age).

Other Meds:

Current Illness:

ID: 0998717
Sex: M
Age: 68
State: NC

Vax Date: 01/23/2021
Onset Date: 01/25/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: Blood test on Monday Feb 1. Results normal.

Allergies: None

Symptoms: My feet had been tired and sore from standing and working a lot anyway but seemed to be calming down. About 24-36 hours after the first injection noticed pain in the ball of my left foot. Shortly after that swelling began in both feet. Swelling became worse, doctors conclusion was metatarsalgia. Rest, ice, ibuprofen. Swelling got worse on Friday Jan 29, went to emergency at hospital. Diagnosis was nueroma, given a prescription for prednisone. Began Prednisone Saturday Jan 30. Swelling began to subside on Sunday evening. Has been improvement slightly throughout the week but still has not gone down. Small pockets of dried blood are pooling the bottom of my feet where the swelling was the worst.

Other Meds: Multivitamin, Glucosamine, Vitamin D

Current Illness: None

ID: 0998718
Sex: F
Age: 45
State: OH

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

Lab Data:

Allergies: Cashews

Symptoms: Fever, chills, headache starting at 11pm on 2/2. Same On 2/3 with addition of severe body aches and inability to lift arm of injection due to pain.

Other Meds: Nexium, Women?s one a day vitamins, vitamin c 1000mg, bentyl

Current Illness: None

ID: 0998719
Sex: F
Age: 66
State: GA

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

Lab Data:

Allergies:

Symptoms: PATIENT COMPLAINED OF APPREHENSION WITH VACCINATION. 3:04 BP 160/80, HR 96, RR 16 3:14 BP 140/70, HR 68, RR 20 3:33 BP 130/70, HR 80, RR 20 4PM LEFT SITE IN STABLE CONDITION

Other Meds: PROZAC

Current Illness:

ID: 0998720
Sex: F
Age: 26
State: NY

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

Lab Data:

Allergies:

Symptoms: 15mins after the injection " reported feeling faint and stated her vision began tunneling" BP 86/55 temp 98.2 O2 sat 97% HR 63 Lay down with water and snack 10 min after 105/72 5min 112/78 , denied feeling lightheaded, dizzy or any other symptoms when she left .stated almost fainting in the past from injections"

Other Meds:

Current Illness:

ID: 0998721
Sex: F
Age: 66
State: TX

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

Lab Data: Urgent Care 2/1/2021 PT woke up and left side of face was drooping. PT was diagnosed with Bell Palsy

Allergies: None

Symptoms: day 1-3 sore/red/tender/raised at vaccination site

Other Meds: Multivitamins, Vitamin C, Vitamin D

Current Illness: None

ID: 0998722
Sex: F
Age: 40
State: VA

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

Lab Data:

Allergies: Novocain Tessalon Pearls

Symptoms: Currently 25 2/7 weeks; started having night terrors 1/28/21; also accompanied with ?brain zingers? small electrical shocks in my brain that last 1-2 seconds but are definitely not something I can ignore. I get approximately 4-5 zingers an evening.

Other Meds: Viibryd 20 mg QD Prenatal vitamins Magnesium 800 mg QHS Ferritin 60 mg QD

Current Illness: None

ID: 0998723
Sex: F
Age: 26
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: Chills and body aches approx. 7 hours after shot, severe body aches, fever (100.9), fatigue, chills after 17hr. Fever broke approx. 1am on 2/3/21. Mild body aches and fatigue through 1/3/21. Took tylenol and ibuprofen throughout 2/1/21 - 2/2/21 Would have contacted doctor but had a routine, unrelated appt. scheduled for 2/2/21 at 8am. Doctor recommended advil.

Other Meds: B12, D3, iron supplements

Current Illness: Uti

ID: 0998724
Sex: F
Age: 57
State: IN

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

Lab Data: None

Allergies: Penicillin, Sulfs, Codiene, Cipro, Toradol

Symptoms: Fever up to 100 degrees, severe body aches, dizziness, nausea, chills, chest pain, acid reflux, bladder pain and frequent urination, general malaise and restricted to bed

Other Meds: Saphris, Effexor, Ativan, Metforman, Crestor, Diuretic, Calcium, baby Aspirin

Current Illness: None

ID: 0998725
Sex: F
Age: 95
State: NY

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

Lab Data:

Allergies:

Symptoms: Patient daughter reported that patient was admitted to Neurology with a stroke. She has cognitive and speech impairment as well as motor impairment. She was admitted either 2-2-21 or 2-3-21. She is still in the hospital.

Other Meds:

Current Illness:

ID: 0998726
Sex: F
Age: 44
State: OH

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: AspirinHives, Other (See Comments) Chocolate [Theobromine] CodeineOther (See Comments) LatexHives Other PenicillinsItching, Rash Tylenol [Acetaminophen]Rash

Symptoms: Swelling, blue discoloration and pain in dorsal aspect of left hand.

Other Meds: albuterol (VENTOLIN/PROAIR/PROVENTIL HFA) 90 mcg/actuation HFA Aerosol Inhaler clotrimazole (LOTRIMIN) 1 % cream fluticasone propionate (FLONASE) 50 mcg/actuation nasal spray Gummy Dinos 200 mcg Tablet, Chewable ibuprofen (MOTRIN) 8

Current Illness: None

ID: 0998727
Sex: M
Age: 79
State: MN

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

Lab Data: None

Allergies: none

Symptoms: Profuse rhinorrhea beginning between 11 AM and noon. It was clear and colorless. It began to subside about 8 PM. It had stopped by 10 PM.

Other Meds: carvedilol 25 mg b.i.d. hydrochlorothiazide 25 mg q.d. amlodipine 5 mg q.d. losartan 25 mg q.d. zolpidem 10 mg q.h.s. p.r.n. vitamin D3 2000 units q.d. fish oil Daily vitamin

Current Illness: hypertension

ID: 0998728
Sex: F
Age: 71
State: CA

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

Lab Data: N/A

Allergies: Penicillin, Levaquin

Symptoms: 12:37 pm Patient complaint of numbness, tingling and edema in left upper extremity. Denies pain. BP 132/80 P 67 R 18 O2 97%. Denies shortness of breath. Reports history of COPD and allergies. Did not take Zyrtec today. Capillary refill under 3 seconds. Left arm elevated x 30 minutes. Reassessment patient reports decreased symptoms. Refuses to seek medical treatment. States she will take Zyrtec once home. 1309 pm BP 124/78 P 67 R 18 O2 97%. Departed from clinic.

Other Meds: Aleve, vitamin D3, vitamin K, Zyrtec

Current Illness: None.

ID: 0998729
Sex: M
Age: 71
State: MN

Vax Date: 01/26/2021
Onset Date: 01/29/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: Lab work done to rule out a stroke, all negative.

Allergies: Environmental and Jalapeno's

Symptoms: Patient developed headache, sore, jaw and facial drooping on Friday 1/29 in the evening. On Monday 2/1 saw a local provider and was diagnosed with Bells Palsy.

Other Meds: Prednisone 10 mg TID x 5 days for the Bells Palsy Omeprazole 20 mg Daily 20 mg Crestor Daily Apple Cider 960mg daily Zyrtec 10mg Daily

Current Illness: None

ID: 0998730
Sex: F
Age: 87
State: CA

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: n/a

Allergies: statins

Symptoms: Just over 24 hours after vaccine patient states she developed systemic itching, racing heart, sob and fatigue which resolved in less than 24 hours. She did not seek care and was fine when she reported these symptoms.

Other Meds: aspirin, levothyroxine, lisinopril, metoprolol, multivitamin and calcium

Current Illness: n/a

ID: 0998731
Sex: F
Age: 37
State: CA

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

Lab Data:

Allergies:

Symptoms: Increased BP (152/80). Stabilized, discharged to home.

Other Meds:

Current Illness:

ID: 0998732
Sex: F
Age: 50
State: MA

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

Lab Data: none

Allergies: none

Symptoms: slight headache last evening (2-2-21) headache this am with low grade fever (99.5F) and mild body aches and joint pain-took Ibuprofen/tolerable

Other Meds: none

Current Illness: none

ID: 0998733
Sex: F
Age: 54
State: CO

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: cats

Symptoms: Client came to immunizations clinic for second dose of Moderna COVID-19 vaccine on 2/3/21. She received her first dose on 1/6/21. 3 days later, on 1/9/21, she reported a small rash, 1-2 inches in diameter, with pruritis. It resolved spontaneously after 3 days. She did not seek medical attention at the time or receive a diagnosis from a healthcare provider. Based on current information about known reactogenicity, the client was cleared to receive a second dose of Moderna COVID-19 vaccine today (2/3/21). She was advised of signs/symptoms that would be outside expected limits and to seek medical attention if those are experienced.

Other Meds:

Current Illness:

ID: 0998734
Sex: M
Age: 63
State: AR

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

Lab Data: none

Allergies: none

Symptoms: pt states he started feeling pain in the left arm about one hour after the vax. He had a little back pain that night but could not get out of bed the next morning. He said it feels like the pain is all over his lower back and in the kidneys. Pt will contact his PCP.

Other Meds: Tazalafil 5mg, Bupropion xl 150mg, ibuprofen,

Current Illness: none

ID: 0998735
Sex: F
Age: 54
State: NY

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

Lab Data: none

Allergies: no

Symptoms: Employee received Pfizer Covid19 vaccine on 2/3/2021 at 8:30 am and at 12:30 pm she began having intermittent palpitations and "flushed" feeling in her chest.

Other Meds: no

Current Illness: none

ID: 0998736
Sex: F
Age:
State: GA

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

Lab Data:

Allergies: cipro

Symptoms: None stated.

Other Meds: atoravastatin, ramipril, oxicodine

Current Illness: none

ID: 0998737
Sex: F
Age: 41
State: FL

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

Lab Data:

Allergies: Sulfa

Symptoms: Significant swelling, redness, burning for 5 days. Today, 21 days later, there is still redness, heat, and bruising. Fatigue has been present since day one as well.

Other Meds:

Current Illness:

ID: 0998738
Sex: F
Age: 40
State: IN

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

Lab Data: Patient referred to ER for increasing shortness of breath

Allergies: clindamycin, lisinopril

Symptoms: Covid 19 vaccination provided by patients work (unknown manufacturer) via phone visit pt reports starting Saturday positive swelling in face, hands and feet, reports improvement in swelling at this time. Positive full body aches, fever, significant fatigue and shortness of breath

Other Meds: Amlodipine, Hydrochlorothiazide, glipizide, b6, metformin, duloxetine, estradiol,

Current Illness:

ID: 0998739
Sex: M
Age: 44
State: NC

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

Lab Data:

Allergies:

Symptoms: C/O lightheaded, headache, arm soreness, did not eat before taking vaccine

Other Meds:

Current Illness:

ID: 0998740
Sex: F
Age: 27
State:

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

Lab Data:

Allergies:

Symptoms: Itchy throat, bendaryl given

Other Meds:

Current Illness:

ID: 0998741
Sex: F
Age: 47
State: NY

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

Lab Data: Just monitoring, hydration, self support measures

Allergies: Latex

Symptoms: Temp 103.6 throughout Friday night with violent rigor, extreme chills, extreme body aches, bed ridden fatigue. Temp again Saturday 102.7 with less violent rigor, chills, body ache,, nausea, abdominal cramps still bed ridden. Temp low grade Sunday excessive diaphoresis not able to participate in daily activities. Monday fatigue but able to perform daily activities. No temp, mild diaphoresis.

Other Meds: Mvi,

Current Illness: Aware of none

ID: 0998742
Sex: F
Age: 39
State: NY

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

Lab Data:

Allergies: no

Symptoms: painful swelling left clavicle lymph node, and nauseous

Other Meds: no

Current Illness: no

ID: 0998743
Sex: F
Age: 31
State: MA

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

Lab Data: n/a

Allergies: none

Symptoms: i have developed a very itch rash that is ongoing and has not resolved 12 days after as of today. I went to the emeregncy room on the 27th of January. and made a follow up appointment with my doctor who is referring me to an allergy specialist.

Other Meds: lamictal 300mg zyprexa 5mg larrissa (birth control) vitamin d3

Current Illness: none

ID: 0998744
Sex: F
Age: 41
State: OH

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

Lab Data:

Allergies: Sulfa Drugs

Symptoms: Around 7:00pm, approx. 7hrs after receiving my second vaccine my left arm (the arm I received my injection in) was extremely sore. As the evening progressed so did my discomfort & pain. By the time I went to bed I wasn't able to raise my left arm above my waist. When I woke up @ 5am my joints were achy & I had a headache. Both of my feet were freezing. Throughout the day on Tuesday, 2/2/21 my arm around the injection site continued to hurt & was fevered. I kept a headache all day. Today, Wed. 2/3/21 my left arm remains extremely painful in my upper arm. My left arm is swollen, red & fevered. There is a large 4.5in x 4.5in red, swollen, fevered area around the injection site. This is extremely painful & uncomfortable. I am worried the injection may have been administered subcutaneously instead of intramuscularly & may not be as effective as it should be. I spoke with the coordinator of ocupation health (who performs the vaccinations at my workplace). She advised me to submit this form.

Other Meds:

Current Illness:

ID: 0998745
Sex: M
Age: 80
State: VA

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

Lab Data:

Allergies: Aspirin, Preservatives, Latex

Symptoms: fatigue, headache, chilis, muscle pain,fever

Other Meds: Xarelto, Metoprolol, Finasteride, Tamsulosin, Vitamin D3, Zyrtec

Current Illness:

ID: 0998746
Sex: F
Age: 23
State: MI

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

Lab Data:

Allergies: Amoxicillin

Symptoms: Approx. 5 minutes after vaccine admin patient started to experience dizziness, flushing, vomiting, elevated BP (150/110). She was immediately treated with 50 mg Benadryl which provided little to no relief of symptoms. EMS was called due to patients severe level of feeling "not right" and continue elevated BP.

Other Meds:

Current Illness:

ID: 0998747
Sex: M
Age: 66
State: GA

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

Lab Data:

Allergies:

Symptoms: PATIENT COMPLAINED OF TIGHTNESS BUT THINKS IT MAY BE FROM COLD WEATHER 4:10 BP 122/68, HR 83, RR 18, O2 SAT 98% 4:15 DIPHENHYDRAMINE 25MG PO GIVEN 4:22 BP 118/68, HR 75, RR 18 4:40 BP 120/70, HR 72, RR 18 4:50 BP 122/64, HR 78, RR 18; PATIENT LEFT SITE IN STABLE CONDITION

Other Meds:

Current Illness:

ID: 0998748
Sex: F
Age: 42
State: AR

Vax Date: 01/26/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: none

Allergies: unknown

Symptoms: on day 7 after receiving the vaccine the patient developed a 9.5 x 12 cm raised patch with erythema; no pain, no itching, no systemic effects; today the area of erythema has widened but less heat and feels softer; continues to feel well

Other Meds: unknown

Current Illness: no

ID: 0998749
Sex: F
Age: 49
State: VA

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

Lab Data: Steroid shot.

Allergies: none

Symptoms: Nausea, pooping, swollen eyes, etching hand / feet, aches, fatigue.

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm