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: 1002149
Sex: F
Age: 45
State: PA

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: n/a

Allergies: gluten sensitivity dairy sensitivity

Symptoms: Nurse did hit a capillary and I bled immediately after injection- enough where it ran down my arm and went onto floor. I felt pretty okay except for the feeling of my arm hot and fuzzy and fuzzy fingers on my left hand until my "leave time' of 10:03 am. I stayed a little longer, and was home by 10:30 when I became extremely nauseous, dry heaving, left side of face numb. Headache started at 10:40. Tried calling medical facility but was on hold for soo long- no one answered so since I don't have insurance I decided to just rest and drink fluids. By 11:40 my face was back to normal, no longer nauseous but extremely lethargic and was the rest of the day. The following day I felt ok -slight swelling on my arm at injection site and a bruise that I still have.

Other Meds: none that morning

Current Illness: none

ID: 1002150
Sex: M
Age: 76
State: NY

Vax Date: 01/30/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: tingling and numbing in the left hand and fingers

Other Meds:

Current Illness:

ID: 1002151
Sex: M
Age: 72
State: CO

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: none known

Symptoms: pain in area of shot, headache, fatigue

Other Meds: in my file!

Current Illness: NA

ID: 1002152
Sex: M
Age: 64
State: CA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: shellfish

Symptoms: Sore arm at site of injection, chills, nausea, headache, vomiting

Other Meds: Creator, Zitia, Multivitamin, 81 mg aspirin

Current Illness: none

ID: 1002153
Sex: M
Age: 76
State: OK

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Moderna COVID-19 vaccine EUA General side effects : fatigue, headache, muscle aches and pain, and chills.

Other Meds: Hydrochlorot, finesteride, meloxicam, plus several supplements and vitamins.

Current Illness: None

ID: 1002154
Sex: F
Age: 56
State: MO

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: no

Allergies: none

Symptoms: at midnight(feb 3rd/4th) I woke up and my stomach was in knots I had a fever(101) and my head and arm were was throbbing. I drank water. put a heating pad on my stomach. Felt terrible at 6:30am Feb 4th. Still feel feverish, fever is currently 99.1 (11:30 am Feb 4th). Head is still throbbing.

Other Meds: Thyroid pill Fiber Vitamin C

Current Illness: no

ID: 1002155
Sex: F
Age: 27
State: WA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: Thought this range of reaction was to be expected, I did not report to my medical provider. Kept notes on reactions as they progressed.

Allergies: Amoxicillin

Symptoms: During 15 minute Observation immediately following injection: Tingling lips and mouth. (lasted two hours) Starting around 3 hours after the injection: Dizzyness, Fatigue, Muscles soreness, Fever 100.7, Swelling of injection site, bruise at injection site, muscle weakness, nausea. (all symptoms lasted two days, increasing in severity over that time. As of 1/25/21: Injection site still bruised and hard. It felt like I have a lump in my arm the size of a baseball. As of 2/4/21 (today): Injection site still red, lump is gone.

Other Meds: Nuvaring

Current Illness: none

ID: 1002156
Sex: M
Age: 59
State:

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever Chills Headache Bodyache duration less than 12 hours

Other Meds:

Current Illness:

ID: 1002157
Sex: F
Age: 70
State: NY

Vax Date: 01/22/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Prozac, penicillin, peanuts

Symptoms: Redness, swelling, itchy, pain 4 inches wide by 3 inches height at vaccine site. 10 days after vaccination. Taking cortisone cream OTC, and Muciprocin 2%. For 2 days

Other Meds: Zyrtec, Singulair, lexapro, vit D, baby aspirin, vit K2, Betaxol

Current Illness: None

ID: 1002158
Sex: F
Age: 58
State: TX

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: none

Allergies: PCN

Symptoms: 26th Tuesday- January 2021-Low back pain, spinning head 27th January 2021-Wednesday-Back continued to hurt 28th January 2021-Thurday-still having back pain 29th January 2021-back pain-can't get up-Through the 3 rd February 2021- Motrin does help-reminded to go to the ER if her symptoms get worse-she said she has a diabetic doctor's appointment on the 27th February-Need to call her PCM? She called me today 4th February@1000 to give me the lot# -she feels better she says

Other Meds: Diabetic high CHOL

Current Illness: none

ID: 1002159
Sex: F
Age: 66
State: MN

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital: Y

Lab Data: done at Hospital.

Allergies: none

Symptoms: At 12:30pm 2/3/2021 Resident experienced Respiratory distress, tachypnea, tachycardia HR 155, RR 38, O2 sats 48%. BP 164/149; frothy sputum from nose and mouth, lungs with coarse crackles, Temp 99. Resident required EMS transport to hospital, and was admitted.

Other Meds: senna, tylenol. aspirin, atorvastatin, Aubagio, Baclofen, Calcium, B12 tabs, ferrous gluconate, fosomax, levetiractam, sy nthroid, Ritalin, metoproplol, multivitamin, Spiriva,

Current Illness: no acute illnesses

ID: 1002160
Sex: F
Age: 75
State: CO

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: that day, after the shot, I experienced identical symptoms to the two worst days of Covid I had prior.

Other Meds: Cymbalta, Estrace, Atoravastatin, Vesicare

Current Illness: Covid one month prior 12.19 through 1.10

ID: 1002161
Sex: F
Age: 22
State: SC

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Severe injection site pain (aching) approximately 3 hours after injection on 2/2. Took 400 mg ibuprofen at 2200 to take the edge off of the pain in order to fall asleep. Beginning at 0600 on 2/3: Temp of 100 F, chills, body aches, headache. Took 400 mg ibuprofen at 1000 which lowered temp and reduced other symptoms for approximately two hours. Symptoms returned at 1200 with temp reaching 100.2 F along with chills, headache, and body aches that were more intense in the shoulder/neck area. Used a heating pad along my back, shoulders, and neck which helped with the body aches. Slept from 1500 to 1800 and woke up with an intense frontal headache with pain shooting through my eyes as well. Temp was 100.7 F. Took 400 mg ibuprofen which made the symptoms more bearable. Tried to stay hydrated by drinking water throughout the day. Also had two servings of soup. Symptoms seemed to lessen by 2200. The only symptoms lingering today, 2/4, are a slight headache, fatigue, and mental fog. Otherwise, condition has improved tremendously.

Other Meds: None

Current Illness: None

ID: 1002162
Sex: F
Age: 54
State: CA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fever headache pain down neck, shoulders and down to elbow couldn't lift arm

Other Meds:

Current Illness:

ID: 1002163
Sex: F
Age: 54
State: MO

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Approximately 30 minutes after receiving the vaccine, she started feeling itchy, began developing a rash on her face, arms and trunk. Her lips started swelling and were tingly.

Other Meds: Vitamin D

Current Illness: None

ID: 1002164
Sex: F
Age: 72
State: AR

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: IV Contrast Dye, aspirin

Symptoms: Patient received vaccine at approximately 9:30am. Around 9:40am patient stood up and complained of feeling nauseous and very hot. Patient asked to step outside to get some fresh, cool area. Patient stayed outside for approximately 5 minutes, returned inside and said she was feeling better. Out of precaution, during the remaining minutes on her 15 minute timer, we administered 25mg po liquid diphenhydramine. Patient remained seated for about 5 minutes and then complained of feeling even more nauseated and faint than before. We laid the patient down into the recovery position. No improvement in symptoms. Then administered 10mg IM of dexamethasone. Patient showed no signs of improvement nor worsening of symptoms. Administed 1 epipen into left outer thigh. Patient within 3 minutes began to feel better but chose to remain laying on the ground. EMS was called at 9:50am and were on scene to further evaluate patient at 9:58am. Patient was alert, responding, and reported feeling better. Moved to sitting position. Vitals were taken, Pulse of 77bmp, O2 Saturation of 100%, BP of 113/72. Vital signs were within normal limits. Patient had regained color in her face and her response to stimuli was back to normal when EMS were on scene.

Other Meds: Unknown

Current Illness: None

ID: 1002165
Sex: F
Age: 79
State: GA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: none

Allergies: PCN-rash

Symptoms: Pifizer BioNTech COVID-19 vaccine administered at 9:19am. At 0930 patient reports feeling lightheaded. Vital signs taken x3 -WNL. Patient given water. After 20 minutes client reports feeling dizzy, but wants to leave. AMA paper signed, left at 0956. Vital signs: 0938 BP 168/68, HR 62 RES 20 02 SAT 97% 0943 BP 158/73, HR 68, RES 20, 02 SAT 96% 0948 BP 152/73, HR 69, RES 20 02 SAT 97%

Other Meds: lisinopril

Current Illness: none

ID: 1002166
Sex: F
Age: 49
State: IN

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: Pcn, dilaudid

Symptoms: Chills and bodyache started first early the next morning. Fever of 101.5 started that evening lasting about 12 hours. Headache the whole time. Took Tylenol

Other Meds: Prilosec 40mg once a day

Current Illness: None

ID: 1002167
Sex: M
Age: 65
State: CA

Vax Date: 01/30/2021
Onset Date: 02/01/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Pain in back, left arm, 8/10 pain, 10 being worst. Nausea, Dizziness, Fast heartbeat.

Other Meds: Atorastatin, Ibuprofen

Current Illness: None

ID: 1002168
Sex: F
Age: 31
State: CT

Vax Date: 01/10/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital: Y

Lab Data: 2/2/2021- in office transabdominal umtrasound, revealed no fetal heart beat . Scheduled d&c/s 2/5/2021

Allergies: None

Symptoms: 2nd pregnancy, at date of first dose (1/10/2021), 12 weeks 3 days gestation. on 2/2/2021 patient developed light vaginal bleeding. Ultrasound exam revealed no fetal heartbeat. Measurements showed gestational size 14 weeks 1 day (1/22/2021).

Other Meds: Magnesium, vit d, prenatal vitamin, vit c

Current Illness: None

ID: 1002169
Sex: F
Age: 49
State: OK

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Reports waking around 2am 1/31/21 with extreme chills, fever 102. About 5 am chills continue with severe headache, body aches and joint pain. Same severity of symptoms persisted on 2/1/21, symptoms lessened on 2/2/21. Injection site with erythema, induration and warmth.

Other Meds:

Current Illness:

ID: 1002170
Sex: F
Age: 52
State: MD

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: none

Allergies: mild allergy to soy, corn allergy to tylenol - tongue and facial swelling (but not in throat, so no issues with breathing)

Symptoms: 2/2 10:30pm - extremely cold. hands and feet were like ice. 7 blankets to get warm. 3mg of melatonin. 2/3 2:30am - became hot and achy. hard to sleep. took another 3mg of melatonin. fell back to sleep a little after 4am 2/3 9:15am - woke. achy all day. continued to be hot and cold. extreme fatigue. slept much of the day. 2/3 8pm - headache began. took 40mg of Relpax and 6mg of melatonin. no other medication was taken 2/4 - felt much better.

Other Meds: possibly 3mg of melatonin the night before

Current Illness: none

ID: 1002171
Sex: F
Age: 41
State: MN

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: Unknown

Allergies: Iodine

Symptoms: Client presented for 1st dose of Pfizer Covid Vaccine. Patient's history was reviewed indicating history of anaphylaxis to iodine. 30 minutes after vaccination, client reported she had numbness of her tongue (anterior 1/3), some numbness of her lower cheeks/jaw. No difficulty breathing. BP120/85; HR 80. After a few minutes was reassessed and vitals were unchanged. Client felt anxious. No rashes, no breathing issues but continued anxiety and symptoms of numbness continued. 911 called. EMS assessed and vitals unchanged. Numbness lessened to just tip of tongue. Normal speech. EMS did not transport and father arrived to pick her up at 12:15 pm.

Other Meds: Unknown

Current Illness: Unknown

ID: 1002172
Sex: F
Age: 47
State: ME

Vax Date: 01/23/2021
Onset Date: 01/31/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: Hydrocodone Taxol Emend

Symptoms: On Day 2 the injection site was sore and itchy. On day 8 I woke with itching at the injection site, redness and a large lump. As the day progressed the itching got worse and the lump got bigger. By the end of the day the lump was the size of my palm and warm to the touch. I was concerned about it being cellulitis. The next morning the lump had mostly resolved with minimal itching. The arm is achy from time to time now.

Other Meds: Ibuprofen

Current Illness: None

ID: 1002173
Sex: F
Age: 55
State: CT

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: None known

Symptoms: I got my first Covid19 shot (Pfizer) at noontime on Wednesday January 27, 2021 12 hours later, about 12pm I start having side effect: Left Arm sore, hurt to lift (arm that was injected) Farting up a storm in my sleep Wednesday night, waking me up constantly, horrible weird smell, my poor husband, I moved to the couch and stunk up the first floor. Then diarrhea few hours later, about 4am, slight intestinal cramps, not bad. I was able to get ready and go to work for 6am. On Thursday January 28 Farting was over, thank goodness. As the morning went on I felt like I did when I originally had the Covid19 in May. I had to leave work at 10:30am due to: aches every where in body Especially neck hurt My left arm hard to lift or use (injection was in left arm), hard to think and concentrate (brain fog), chills Able to eat some soup Slept several hours at home, felt slightly better, than slept nine hours that night On Friday January 29th felt much better and arm hurt less to lift it. On Saturday January 30th Under my arm, glands are swollen and hurt to touch. All other symptoms have subsided Sunday January 31, glands under arm are better, much less sore Monday February 1st glands under arm, back to normal

Other Meds: Losartan 100mg , euthyox 88mg, hydrochlorothiazide 12.5mg

Current Illness: None

ID: 1002174
Sex: M
Age: 55
State: PA

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: Physical Exam, vital signs, and Benadryl.

Allergies: PCN

Symptoms: Urticaria and pruritus of both hands and wrists. Denies dyspnea, chest pain, rhinorrhea, nausea, and dizziness.

Other Meds: Albuterol, Mometasone Furoate, Omeprazole, Triamcinolone

Current Illness: None

ID: 1002175
Sex: F
Age: 60
State: WA

Vax Date: 01/23/2021
Onset Date: 01/31/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: penicillin

Symptoms: rash - itching and redness on the arm where the vaccine was given, 1 week later treated with small amounts of benedryl, ice it comes and goes

Other Meds: atenelol, daily vitamin, vitamin D3, cranberry, vitamin C, probiotic

Current Illness: none

ID: 1002176
Sex: M
Age: 40
State: WI

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Tenderness at the site of injection, fever, chills, and headache. All signs and symptoms started about 6 hours after receiving vaccine and lasted about 18 hours. Felt back to baseline after 36 hours. Took ibuprophen 400 mg (morning of the 2/3 and evening of 2/3) for headache with relief and took Nyquil (night of 2/2) for chills and to help sleep with minimal relief. Symptoms were sever enough that I donot feel like I would have been able to go to work that day.

Other Meds: Chantix, Ibuprophen

Current Illness: None

ID: 1002177
Sex: F
Age: 36
State:

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Received 1st dose of Moderna vaccine on 01/22/21. On 01/29/21, noticed area of redness immediately inferior to injection site (Left upper arm). On 01/31/21, developed pruritic maculopapular rash primarily at bilateral upper arms, at area immediately inferior to injection site, inguinal areas, popliteal fossas, and milder across abdomen. Denies any other known potential causes.

Other Meds: none

Current Illness: none

ID: 1002178
Sex: F
Age: 66
State: WA

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Penicillin, Codeine

Symptoms: 7:00 PM onset of chills and fairly severe body aches - concentrated in lower back and hips. Went to bed early - slept to 8:00 PM. Woke up so got up to take evening meds and brush teeth. Had vertigo and moderate nausea. While brushing teeth, I fainted. Came around quickly - was on bathroom floor. Took only one of my medications - the one to prevent migraines and went back to bed. Continued with body aches and chills on and off through the night. In the morning I had worsened vertigo and nausea, but this is typical of my vestibular migraines and I think that was what was going on. I called in sick to work, took one of my pills for treating migraines and basically slept all day. I do not get migraines often - usually

Other Meds: Daily RX: Lisinopril, Levothyroxin, Topiramate, Mirtapine,

Current Illness:

ID: 1002179
Sex: F
Age: 59
State: CA

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I was given the shot too early. My first shot was on 01/15/2021 and I received my second shot on 02/02/2021. I have since learned they need to be given 28 day apart with a four day window either way. When I was alerted by email that I could sign up for my second shot, I took the soonest slot I could get in fear of the county running out of vaccinations. There should have been some kind of default set up so that I was not able to sign up for the vaccine too early. Accounting for the four day window, I got the shot 6 days too soon. Will my vaccines work due to the fact that I received the second too early?

Other Meds:

Current Illness:

ID: 1002180
Sex: F
Age: 51
State:

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 100.6 temp Body aches Joint pain Headache No sleep

Other Meds:

Current Illness:

ID: 1002181
Sex: F
Age: 21
State: IN

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: penicillins

Symptoms: sore arm subsequent to vaccine; about 12 hours later chills began with no fever, fever developed around 14 hours after ad did vomiting and hypertension (160/100); tylenol relieved symptoms. Headache upon waking about 24 hours after but no fever. Nausea/heartburn continued for next 12 hours but relieved by antacid.

Other Meds: tylenol, doxycycline

Current Illness: none

ID: 1002182
Sex: F
Age: 30
State: PA

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: Latex Amoxicillin

Symptoms: Rash at injection site, redness swelling and itch. Swelling decreased but redness remains 14 days after injection.

Other Meds: Metformin Levothyroxine Escitalopram

Current Illness: None

ID: 1002183
Sex: F
Age: 24
State: IN

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Shrimp and dust mites

Symptoms: sore at the injection site, body ache(11am-01am) and fever (100.4 F, 6pm-9pm)

Other Meds: Naproxen 500mg as needed cetrizine 10mg/day

Current Illness: Hives

ID: 1002184
Sex: U
Age: 74
State: DC

Vax Date: 01/16/2021
Onset Date: 01/23/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: One week after injection itchy rash developed about 2" below injection spot. Over the next 24 hours rash grew to about 4" lone and 2" wide.

Other Meds: synthroid, olemesartin, calcium. vitamin D atorvastatin

Current Illness: none

ID: 1002185
Sex: F
Age: 56
State: TX

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Codeine

Symptoms: fever, body aches

Other Meds: Spironolactone, Vitamin C, Vitamin E, Zertec

Current Illness: Covid 1/19/21

ID: 1002186
Sex: U
Age: 29
State: MA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: Vital Signs on 2/4/2021 noted above

Allergies: Regalin, Darvocet

Symptoms: 1116 - c/o throat tightness, given Benadryl 25mg PO, VS 139/85, 104, 95, 18 1120 - VS 125/78, 98, 96, throat tightness improving at this time 1131 - talking, laughing VS 131/76, 97, 96, 16 1139 - VS 125/76, 94, 96, 16, No SOB observed 1148 - VS 120/80, 89, 97, 16, No acute distress noted 1151 - D/C to home. NAD observed.

Other Meds: IUD, Cymbalta, Trazodone

Current Illness: none

Date Died: 02/03/2021

ID: 1002187
Sex: M
Age: 77
State: TN

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: PATIENT WAS IN CLINIC FOR 1ST CLINIC. WAS DISCHARGED BEFORE OUR 2ND CLINIC. HE CAME BACK TO OBTAIN HIS 2ND SHOT. WE WENT OUT TO THE CAR GAVE SHOT. THE NEXT DAY TO MY KNOWLEDGE, HE STARTED CODING AT HOME. AMBULANCE WAS CALLED AND HE CONTINUED TO CODE. THE AMBULANCE CREW TRIED CPR FOR 30 MINS WITH NO LUCK. PATIENT PASSED 2-3-21.

Other Meds:

Current Illness:

ID: 1002188
Sex: F
Age: 39
State: TX

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: none

Allergies: Sulfa drugs

Symptoms: Fever starting the night I received the vaccine with stong chills and body aches. Fever the next day that spiked to 101.5 degrees accompanied by chills and body aches. Treated with Tylenol. No further fever starting on 1/30/2021. Swelling, redness, and soreness on left arm around injection site. This subsided 2/2/2021.

Other Meds:

Current Illness:

ID: 1002189
Sex: F
Age: 69
State: WV

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: I had a red rash on my arm that appeared about 8 days after I had the first vaccine. It was itchy and warm to the touch. It was about 2 inches high and wide. It lasted about 48 hours. No other adverse affects. I read in a magazine that the "COVID arm" rash was "annoying but harmless" so I didn't worry about it. I told the woman who vaccinated me about it, and she suggested that I report it.

Other Meds: Lisinopril 2.5 mg,, multivitamin gummy, magnesium citrate gummy, Vitamin D3, fish oil

Current Illness: None

ID: 1002191
Sex: F
Age: 62
State: IN

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: Cefzil, flu shot, corn

Symptoms: Sore Arm, cold chills, night sweats, extreme tiredness, joint pain, sore throat I took Tylenol and went to bed

Other Meds: levothyroxine, losartan, fluticasone, multivitamin, Vitamin B2

Current Illness: None

ID: 1002192
Sex: F
Age: 56
State: IN

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: Latex; wheat Do not eat bananas; avocados; or mangoes Due to latex allergy

Symptoms: Site of injection became sore upon injection Increased and painful soreness within 4 hours with other muscular involvement at shoulder and elbow joint? nerve and pain of forearm and hand by 2am 4/3/21?severe

Other Meds: Vitamin D

Current Illness: None

ID: 1002193
Sex: F
Age: 59
State: CT

Vax Date: 01/20/2021
Onset Date: 01/26/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: Amoxicillin, Mollusks, Bee venom

Symptoms: Immediately after gettint the injection on 1/20/21, I had typical response: muscle was sore x 2 days then nothing unusual. I awoke six days after the injection (1/26/21 feeling anxious, agitated, distracted. Poor appetite throughout the day. Later iin evening, I felt something a lot like a hot flash, I felt my face flusing, followed by hives on my chest and abdoman. The left deltoid muscle started to itch incessantly, and the deltoid muscle began to swell. A hard nodule at the injection site formed, initially the size of an m&m. It grew to the size of a golf ball, then to the size of a tennis ball over the next two days. It resolved on it's own over the next week.

Other Meds: Vitmains B, C, Ca+, Cranberry, D, E, Fish Oil, Glucosamine, Lysine, Mg+, Probiotic, Zn+

Current Illness: None

ID: 1002194
Sex: F
Age: 23
State: IA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: allergy to sulfa latex and bee stings has used epi pen for bee sting 2013

Symptoms: shortness of breath. tingling in hands and lips hyperventilation. states similar to prior vaso vagal episodes that are triggered by stress

Other Meds: vitamins

Current Illness:

ID: 1002195
Sex: F
Age: 73
State: FL

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Wasp stings, erythromycin

Symptoms: Chills-overnight, pain and redness (3 inches) presently continues, headache-2 days, dizziness-2 days.

Other Meds: Ipratroprium bromide, Gabapentin, Esomeprazole, Multi, Magnesium Glycinate, COQ10, Fish Oil, Fiber, Trazodone

Current Illness:

ID: 1002196
Sex: F
Age: 29
State: IN

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Chills, headache, whole body aches, nausea

Other Meds: Lexapro, prenatal vitamin, vitamin D3, probiotic

Current Illness:

ID: 1002197
Sex: F
Age: 72
State: AL

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: NONE

Allergies: PABA, bermuda grass/pollen, Insects, mold, erythromycin

Symptoms: -Swelling and rash to injection site and face -Facial flushing -Bumps around injection sites -Injection site soreness

Other Meds:

Current Illness: None

ID: 1002198
Sex: F
Age: 86
State: VA

Vax Date: 01/20/2021
Onset Date: 01/31/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Approximately 10 days post vaccination-Pink Large itchy area on left arm at vaccine injection site, clients reports slight swollen, raised 5 inches in length. No other symptom presents. advised to follow up with PCP and report any worsening symptoms.

Other Meds: unknown

Current Illness: unknown

ID: 1002199
Sex: F
Age: 38
State: NY

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1/6/21 Chills, body aches, fever101, headache and nausea that last about 48hours

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm