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: 1005438
Sex: M
Age: 68
State: FL

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

Lab Data: None. I continued to take my temp, O2 sats and pulse on day two. Nothing out of ordinary.

Allergies: none

Symptoms: Moderna COVID-19 Vaccine . Injection simple no issue, 11 pm developed slight sinus pressure. Slight upper chest and shoulder muscle and joint ache. Slight muscle/joint ache spread overall thereafter with mild fever. Awoke when fever broke at 3:40 am. Slept to 7 am and got up to go shower. Unsteady and lightheaded, residual aches almost gone. Could not stand in shower so sat down, then fell asleep for a few minutes, awoke still lightheaded so got back to bed and slept until 10 am. Awoke feeling much better. Aches gone, sinus fine, low energy. Rested for the day. Slept normally that night. Following morning all symptoms gone. Normal.

Other Meds: Nebivilol, Lisinopril, Atorvastatin, Tumeric, Aspirin

Current Illness: none

ID: 1005439
Sex: M
Age: 49
State: MI

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: Patient was sent to the ER for evaluation. Chest x-ray shows no acute process, no evidence of acute anaphylactic reaction. Returned to facility 2-5-2021 still c/o SOB and dry cough. Low grade temp at 99.2, started on Doxycycline x 10 days and Dexamethasone x 10 days.

Allergies: denies

Symptoms: Woke in the morning on 2-4-2021 with diaphoresis, SOB and pain and swelling at the injection site with 8- 10 cm area of induration. He used his inhaler without improvement. Diminished breath sounds and tachypnea O2sat 96%

Other Meds: Albuterol, Calcium Carb, Carbamazepine, Famotinine, Fluoxetine, Olanzapine, Thera-M Oral Tablet, Trihexyphenidyl HCL, Vitamin D

Current Illness: COVID 19 (+) 12-2-2020

ID: 1005440
Sex: F
Age: 39
State: MI

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: Na

Allergies: Dogs, dust, mold

Symptoms: 17 hours after dose was administered I had chills, profuse sweating, body aches, and a rash broke out over most of my body.

Other Meds: Zyrtec, Flonase, Multivitamin, Vitamin D

Current Illness: NA

ID: 1005441
Sex: M
Age: 33
State: CA

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

Lab Data:

Allergies:

Symptoms: Diariah, body aches, runny nose

Other Meds:

Current Illness:

ID: 1005442
Sex: F
Age: 46
State: IL

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

Lab Data: None. It?s a fever and pain

Allergies: Yes don?t have the names 3 antibiotics

Symptoms: I got shot at 7 am Thursday morning. I had sore arm around 130 pm. And was all day. At 130 am Friday morning. I woke with chills. I took my temp. It was 100.8. And he lot as high as 101.2. Between 130-430. I woke up again at 630 and it was 100.3. I have been warm all day now. I do not feel I need attention o am sweating it out.

Other Meds: Loratadine, zinc, birth control, levothyroxine, escitalopr,hydrochlorothiazide,

Current Illness: Covid 1/4

ID: 1005443
Sex: M
Age: 73
State: IN

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

Lab Data: none

Allergies: none

Symptoms: On the next day after the shot, I felt tired, had a dull headache, and was cold. These symptoms continued the second day after the shot.

Other Meds: low dose aspirin, 25 mg amitriptyline, multivitamin, vitamin C, B, E and fish oil

Current Illness: none

ID: 1005444
Sex: F
Age: 61
State: CO

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

Lab Data:

Allergies: lisinopril

Symptoms: Around 7 pm I began feeling unwell (about 8 hours after the vaccine was administered). I awoke around 3am with Severe chills, nausea, headache, and body aches, fever of 100.1. This lasted about 18 hours. It was ifficult to get any food or liquids down during that time due to painful nausea. The following 24 hours most of the above symptoms had subsided, maybe a bit of a temp coming and going throughout the day, I did feel extreme fatigue the second day. I spent a total of two days completely bedridden, unable to work or even care for myself. Today, which is day 3, all symptoms are gone except fatigue, but I am able to do some work from home today.

Other Meds: Omega 3, Vit. D3

Current Illness: none

ID: 1005445
Sex: F
Age: 42
State: IN

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Fever chills body aches headache

Other Meds: Emgality migraine injection last dose 1/8/21

Current Illness: None

ID: 1005446
Sex: F
Age: 61
State: TX

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Symptoms - ?Patient reports at approximately 02:00 she woke up with body aches, chills and fever (Tmax 102.1), Tylenol taken at 05:00, at time of call temp 101. Patient denies COVID-19 exposure without proper PPE and denies travel. Patient next scheduled to work tmw morning. Last day of work and shift - ?Tuesday (2/2) Home remedies? - Tylenol at 05:00 Any improvement? - mild Recommendation? Patient educated to continue to monitor symptoms at home and to take ibuprofen and Tylenol as directed in the paperwork and to increase fluid intake. Patient educated to manage her symptoms and to adhere to the Illness in the Workplace Policy. Patient verbalized back understanding and denied further questions at this time.

Other Meds:

Current Illness:

ID: 1005447
Sex: F
Age: 59
State: SC

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

Lab Data:

Allergies: None reported

Symptoms: Patient reported swelling started in knuckles of both hands 2 days after receiving the vaccine, continued to worsen until date she received the second dose. Described as throbbing, feels like arthritis.

Other Meds: None

Current Illness: None reported

ID: 1005448
Sex: F
Age: 55
State: MD

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

Lab Data: N/A

Allergies:

Symptoms: WITHIN 2 MINUTES OF 2ND MODERNA VACCINE, PT BEGAN TO EXPERIENCE NEW SENSATON IN THROAT ; PT REPORTED FELT LIKE SHE NEEDED TO CLEAR SOMETHING FROM THROAT REQUIRED 25 MG LIQUID PO BENADRYL 45 MINUTES LATER AND IMMEDIATELY PT FELT RELIEF

Other Meds:

Current Illness:

ID: 1005449
Sex: F
Age: 69
State: CO

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

Lab Data:

Allergies:

Symptoms: 2/2/21 pm-chills, 2/3/21 chills, fever 101.0 F, shortness of breath, body aches, nausea and painful injection site. 2/4/21 body aches, other symptoms resolved. Did not seek medical attention. Took Tylenol & liquids.

Other Meds: lisinopril Atenolol warfarin

Current Illness:

ID: 1005450
Sex: F
Age: 68
State: IN

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: All Miacines

Symptoms: 3 hours after the injunction I received a severe low back pain. The pain lasted 2 and a half hours. I didn?t take any thing for it. I just went away.

Other Meds: Prednisone 1MG ,Pravastatin 40 MG , Levothyroxine 88 MCG

Current Illness:

ID: 1005451
Sex: F
Age: 65
State: IN

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

Lab Data: None

Allergies: Rocephen

Symptoms: For 24 hours after first injection had flushing of the face and a warm sensation, more so on the vaccine injection side of body. No other problems.

Other Meds: Vitamin C, Calcium, Docusate Sodium, Claritin, Eye Promise, Simvastatin, Duloxetine, Topiramate, Sumatriptan, Probiotic, Carvedilol

Current Illness:

ID: 1005452
Sex: M
Age: 33
State: IL

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

Lab Data:

Allergies: none

Symptoms: chills, fatigue, mild body aches, injection site pain

Other Meds: none

Current Illness: none

ID: 1005453
Sex: F
Age: 54
State: AL

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: Fever 101.6F, chills, body ache, pain at injection site, brain fog, rash

Other Meds: Amlodipine, Lisinopril, Fluticasone, daily vitamin

Current Illness: none

ID: 1005454
Sex: F
Age: 32
State: MO

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None at this time.

Allergies: Minor allergic reaction hives to Keflex in high school.

Symptoms: An hour after vaccination- tingling lips, itchy ears, frequent urge to swallow, scratchy throat, chest tightening. Immediately began Benadryl. These symptoms persisted, so I continued Benadryl every 4 hours for 2 days. On Saturday 01/30/2021, when symptoms continued. She advised switching from Benadryl to a once daily dose of Claritin and Pepcid AC. Switched to Claritin and Pepcid, symptoms persisted but started to diminish in severity. Planned appointment with Primary Care Physician is scheduled for 02/19/2021.

Other Meds: Norethindrone 0,35mg

Current Illness: None.

Date Died: 01/30/2021

ID: 1005455
Sex: M
Age: 78
State: IL

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: n/a

Symptoms: We don't know what happened. 25 hours after the shot, he started gagging and stopped breathing. He was pronounced at OSF at 8:07pm after we took him off life support.

Other Meds:

Current Illness: Gallbladder not working, one kidney functioning at 25%

ID: 1005456
Sex: F
Age: 63
State: VA

Vax Date: 01/12/2021
Onset Date: 01/30/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: Surgical pathology, CT Scan - see above. COVID test 1/19/21 - Negative; CBC - 1/19/21 - WNL; Leukemia/Lymphoma Flow, Comprehensive 1/20/21 - Normal; CRP 2/3/21 - <2.0; ESR - 12; LDH

Allergies: Latex(blisters); Flu Vaccine (Hives); Environmental

Symptoms: Individual received the 1st dose of the Pfizer COVID vaccine on 12/ 22/20.On the first week of January 2021 she developed left neck and supraclavicular lymphadenopathy. CT scan on 1/13/21revealed multiple lymphadenopathy over the left supraclavicular area. Excisional biopsy of deep neck supraclavicular lymph nodes on 1/20/21. Surgical pathology revealed overall finding most consistent with a reactive lymphoid hyperplasia, etiology unknown. She received her 2nd Pfizer COVID vaccine on 1/12/21. She had slight redness/swelling of her left arm two to three days after vaccine. She developed red, raised itching rash on her trunk on 1/30/21. Rash continues as of today 2/5/21.

Other Meds: None

Current Illness: No

ID: 1005457
Sex: F
Age: 29
State: CA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Gradually sore arm pain and headache

Other Meds: vit D 25 mcg

Current Illness:

ID: 1005458
Sex: F
Age: 91
State: MN

Vax Date: 02/02/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: NA

Allergies: Pineapple

Symptoms: Patient has Cellulitis in the arm she received the vaccine in

Other Meds: NA

Current Illness: None

ID: 1005459
Sex: M
Age: 37
State: IL

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: none

Allergies: benadryl, depakene, amoxicillin, carbamazepine, lamictal

Symptoms: fever 101.1 lethargy

Other Meds: Banzel, Onfi, daily vit, miralax, seroquel, zoloft, vit e, senna plus, topamax, Vimpat, Trazadone

Current Illness: none

ID: 1005460
Sex: F
Age: 29
State: CA

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

Lab Data:

Allergies:

Symptoms: Body aches, chills, head ache, arm swollen and sore, nausea.

Other Meds:

Current Illness:

ID: 1005461
Sex: F
Age: 34
State: MN

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Mild symptoms evening of 2/3 (arm pain). Severe headache, body aches, and moderate nausea started overnight and increased in severity until early afternoon of 2/4/21.

Other Meds: Nortriptyline, Zyrtec, Melatonin, Symbicort

Current Illness: None

ID: 1005462
Sex: F
Age: 35
State: TX

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

Lab Data: none

Allergies: penicillin

Symptoms: Within a couple of hours of getting the vaccine, I had arm soreness, and redness developed on both upper arm areas. Redness went away by that evening, but I woke up the next day with a large swollen knot over the injection site area (about the size of a golf ball). I had a lot of arm soreness and pain throughout the day after getting the vaccine. All pain was gone By the following day (2/5/21- 2 days after vaccine shot)

Other Meds: Metformin, Rosuvastatin (cholesterol pill) , allergy pill, berberine supplement, vitamin D supplement, fish oil supplement

Current Illness: none

ID: 1005463
Sex: F
Age: 27
State: KS

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Diarrhea, sore throat, body aches

Other Meds: Levora birth control

Current Illness:

ID: 1005464
Sex: M
Age: 27
State: MA

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: EKG and sensory test

Allergies: No

Symptoms: Bell's Palsy, went to Emergency department in Feb 4th 20201, was monitored and given corticosteroids and I had a negative COVID test. I was also experiencing loss of taste, fever, muscle pain, join pain, chest pain, chills, drowsiness.

Other Meds: No

Current Illness: No

ID: 1005465
Sex: F
Age: 42
State: NJ

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: erythromycin, PCN, Morphine

Symptoms: Around 10:30pm the day of the vaccination, she experienced back pain, arm pain and achiness. The next morning around 9am she experienced "burning up" & "radiating heat". She checked her temp at 1pm and it was 101.7F. She had chills, lower back pain, hip pain, body aches, arm extremely sore. Fever broke that night by 7pm. Severe fatigue lasted about 1 week.

Other Meds: multivitamin, biotin, tumeric, Vit D3, Vit B12

Current Illness:

ID: 1005466
Sex: F
Age: 80
State: WA

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Erythromycin

Symptoms: INFLAMATION AROUND THE INJECTION SITE BEGAN ABOUT 5 DAYS AFTER THE SHOT. IT'S GROWN TO ABOUT 4-5 INCHES. AT FIRST I THOUGHT IT COULD BE A REACTION TO THE ADHESIVE BAND AS MY SKIN IS VERY SENSITIVE DO TO BULLOUS PEMPHIGOID. NOW I'M NOT SO SURE. ASIDE FROM ITCHING IT JUST FEELS A TEENY BIT SORE.

Other Meds:

Current Illness: None

ID: 1005467
Sex: F
Age: 33
State: IN

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

Lab Data: N/A

Allergies: N/A

Symptoms: 11 hours after injection (10pm) starts full body, intense aches and pains (injection site hurts very much), violent chills tensing all my muscles (teeth literally chattering). I took 800mg (4 200mg tablets) ibuprofen, which helped immensely. 2 hours later at midnight I went to bed and was very hot and sweating all night. Symptoms continued, alternating between chills and sweats about every 2-4 hours during the day on Feb 4. Went to bed about 11pm, was comfortable all night and slept almost 12 hours. Currently minor aches in my back are my only symptom.

Other Meds: N/A

Current Illness: N/A

ID: 1005468
Sex: M
Age: 49
State: AZ

Vax Date: 12/30/2020
Onset Date: 01/01/2021
Rec V Date: 02/05/2021
Hospital: Y

Lab Data: no

Allergies: no

Symptoms: Hospitalized with resp distress Jan1 , 2021 COVID-19 positive Severe illness, mechanical ventilation Remains hospitalized Feb 5, 2021

Other Meds: no

Current Illness: Diabetes mellitus obesity

ID: 1005469
Sex: F
Age: 65
State: CA

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

Lab Data:

Allergies:

Symptoms: Fatigue, severe headache which would not go away.

Other Meds:

Current Illness:

ID: 1005470
Sex: F
Age: 43
State: FL

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: none

Allergies: PCN and bee stings as a child, unknown reaction.

Symptoms: fever- 101.7, chills, headache, nausea, body aches- (more so joints- hands, ankles, knees and entire back), injection site with redness, swelling and extremely sore with difficulty moving upwards and outwards from body. nasal congestion and ear pain on left side ( same side as injection). s/s started about 140 am on 2-4-2020 (day after injection). s/s lasted all day on 2-4-2020, woke up on 2-5-2020 with arm soreness, redness and edema, but improved. all other s./s besides lower back pain resolved. temp-99.4

Other Meds: none

Current Illness: none, I was covid positive in dec 2020.

ID: 1005471
Sex: M
Age: 79
State: AZ

Vax Date: 01/22/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Erythromycin, Cephradine, Ceclor

Symptoms: 1/22/21 vaccinated, 2/4/21 pt woke up with rash on top of arm/shoulder

Other Meds: Hydrochlorot 25 mg, Avastin 40 mg, Losartan 50 mg, Tamsulosin 0.4 mg, Prilosec 20 mg

Current Illness:

ID: 1005472
Sex: F
Age: 56
State: NY

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Allergic to seasonal pollen, hay fever, dust and animal dander

Symptoms: Woke up 12 hrs after shot shaking with chills and nauseous. This lasted almost an hour. Spent all of next day in bed with severe muscle aches, nausea and light headed ness. Very warm and tired. Now , 2 days later, most symptoms relieved but most of torso is light red( as if I was out in sun) . It is not itchy. Injection site still hurts.

Other Meds: Women?s daily vitamin, Vit E, Vit B12, VitB6, Turmeric Curcumin, Folic acid, Fish oil, Vit D3, Natural Calm (magnesium) Estradiol

Current Illness: None

ID: 1005473
Sex: F
Age: 13
State: MD

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: The patient woke up 12 hours after vaccine with severe headache, chills/ rigors (no fevermother took temp) and nausea/ abdominal cramping (no emesis or diarrhea). Symptoms resolved in less than 12 hours with Tylenol. No urgent medical care sought.

Other Meds:

Current Illness:

ID: 1005474
Sex: F
Age: 38
State: NJ

Vax Date: 12/18/2020
Onset Date: 12/20/2020
Rec V Date: 02/05/2021
Hospital:

Lab Data: Eye exam

Allergies: Lactose intolerant, bee sting (anaphylactic reaction)

Symptoms: 12-20-20, started with tingling around my left lower lip at night time and the next morning I had tingling going up to the left eye and cheek. No rash noted and concerned I was getting shingles. I saw a doctor and he did an eye exam to see if I had any shingles in my eye. My symptoms went away in few days.

Other Meds: Singular (taken at bedtime), Tylenol, multi-vitamins, Calcium 600mg with Vitamin D, Magnesium 500mg, Biotin 5000mcg, Claritin 10mg, Advair and Incurse (every morning)

Current Illness:

ID: 1005475
Sex: F
Age: 70
State: LA

Vax Date: 01/06/2021
Onset Date: 01/12/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: none

Allergies: none known

Symptoms: Red, itchy lump at vaccination site. Went away after 3 days. Date of vaccination was actually 01/07/2021.

Other Meds: levothyroxin simvastatin

Current Illness: none

ID: 1005476
Sex: F
Age: 60
State: MS

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 02/05/2021
Hospital: Y

Lab Data: 1/13 blood work negative 1/17 blood panel, ECO, and MRI of brain.

Allergies: minocycline, erythromycin

Symptoms: 1/12 vaccine 1/13 woke up at 5-6am, shaking, chills, fever, dizziness and vertigo. ER later that day; blood work. Declined IV fluid. Monitored vitals. Body aches continued that weekend, went back to work the 14-15th but 'pushed it' to go back. 1/17 ER - blood panel; negative. Admitted to Inpatient to monitor heart and MRI of brain. still experiencing dizziness, 'disorientated'

Other Meds: nortriptyline,trazadone, Vit D, Azelastine nasal spray

Current Illness: n/a

ID: 1005477
Sex: F
Age: 60
State: OR

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Itching of the injection area. Still ongoing

Other Meds: Oxycodone 5mg Immediate Rel Tabs, Morphine Sul 15mg ER Tabs, Levothyroxine Sod 0.2mg, Bisoprolol Fumarate 5mg T, Hydroxychloroquine 200mg, Duloxetine DR 60mg, Flecainide 100mg, Tizanidine 4mg, Embrel m Daily vitamins, Vit D, Vit D

Current Illness:

ID: 1005478
Sex: M
Age: 49
State: MA

Vax Date: 12/23/2020
Onset Date: 12/28/2020
Rec V Date: 02/05/2021
Hospital:

Lab Data: Since there were no other symptoms, no other lymph nodes, the supraclavicular node was painless, at the two week point I saw my doctor and work up was started, had normal CBC, LFT, PSA. CT scan of chest, abdomen and pelvis were negative. Biopsy performed five weeks after first vaccine, and 1 week after second vaccine was negative for lymphoma or metastasis. Of note the node never really changed after the first or second shot it persisted after the first shot, was never painful, maybe a little bigger in AM and smaller in PM. I and submitting this in case there is a trend, of course at my age I think it was prudent to work it up since there was no change after 2 weeks and this type of lymph node is often an warning sign for abdominal or pelvic cancer. But in case this is a node that may swell up with the vaccine.

Allergies: NKDA

Symptoms: Painless Left supraclavicular lymph note about 1.5-2 cm, painless. No other symptoms, due to my age and no other lymph nodes and that it persisted saw my MD and work up for possibly cancer.

Other Meds: DEXADRINE 10MG BID, VITAMIN D 2000 UNITS

Current Illness: NONE

ID: 1005479
Sex: F
Age: 48
State: TN

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Elevated heart rate off and on 12-18 hours after injection. My normal resting heart rate is around 50 and it was between 88-103 at times. It subsided without medical care.

Other Meds: Asmanex, Yaz

Current Illness: None

ID: 1005480
Sex: F
Age: 88
State: MN

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

Lab Data: None.

Allergies: Codeine, Epinephrine, Fentanyl

Symptoms: Temp. of 99.3, red, elongated area approximately 2x4inches which caused discomfort.

Other Meds: Aspirin, Atenolol, Lipitor, Diazepam, Refresh Tears, Pepto Bismol, Adviil, Levothyroxine, Magnesium Oxide, Melatonin, Lopresser, Protonix, Miralax, Imitrex, Xarelto.

Current Illness: None

ID: 1005481
Sex: F
Age: 91
State: AR

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

Lab Data:

Allergies: Codeine, Flexeril, Sulfa antibiotics

Symptoms: Resident reported soreness to left arm and began having diarrhea and chills at approx. 0900 the day after receiving the vaccine. No treatment at this time.

Other Meds: Hydrocodone-Acetaminophen, Senna-S, Lasix, Linzess, Ativan, Pravastatin

Current Illness:

ID: 1005482
Sex: F
Age: 42
State: KS

Vax Date: 01/22/2021
Onset Date: 01/28/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: Lab work in the ER. Also saw her neurologist who prescribed Gabapentin. Found out she was anemic, but did blood work as well.

Allergies: None.

Symptoms: On Saturday, her arm was sore, having chills, fatigued as well. The symptoms kind of went away. On Thursday night, 1/28/21 had burning sensation on her feet, like fire on her feet. Went to bed, the feeling went over her entire body. The sensation continued on her hands and her feet. She went to the ER on Saturday morning, early in the AM on 1/30/21, informed her hemoglobin was a little low. Said that it could be neuro, saw her doctor and informed that she had received the vaccination and he prescribed Gabapentin for the neuropathy. He did blood work and going to check what would trigger the neuropathy pain.

Other Meds: None.

Current Illness: Diagnosed with COVID in November, was sick for 3 weeks.

ID: 1005483
Sex: F
Age: 52
State: FL

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Fever 103.4 severe body aches, Lethargy

Other Meds: Simvastatin Lorsartan Potassium, Glimipiride, Jardiance, Tresiba, Ozempic.

Current Illness:

ID: 1005484
Sex: F
Age: 75
State: OR

Vax Date: 01/25/2021
Onset Date: 01/29/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Omeprazole, Penicillin

Symptoms: On 01/29/2021 was feeling Nausea, Chills and Diarrhea, fever 101.9, Patient states that she was not able to keep anything down and took medication for the fever. On Monday 02/01/2021 patient was feeling weak and tired and felt like she has fast racing heart rate. Patient is feeling a lot better now. Patient was advised if new symptoms or symptoms return to go into UC or ER or give our office a call back.

Other Meds:

Current Illness:

ID: 1005485
Sex: M
Age: 28
State: TX

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: Covid tests 2 per wk negative throughout period and afterwards

Allergies: None

Symptoms: Hives from neck down to elbow on left side. Wet cough, chest pain over sternum and on left side llq on coughing. Fatigue, arm pain, localized swelling/inflammation.

Other Meds: None

Current Illness: None

ID: 1005486
Sex: F
Age: 20
State: NY

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: Patient was sent to Emergency Room for evaluation

Allergies: Penicillin, Amoxicillin

Symptoms: 05 Feb 2021: Patient reports headache, fever, muscle aches and chills starting yesterday evening. Patient states that last night around 2200 became very confused, felt shaky for a brief period, had muscle soreness, sleepiness and confusion for around 30 minutes afterwards. Notes that she had drooled a lot and been incontinent of urine. This morning she continues to have flu like symptoms, appears alert and oriented over the phone. Patient is going to be escorted to Emergency room for eval.

Other Meds: Ethinyl Estradiol 0.03mg + Desogestrel 0.15mg, (Ortho-Cept), Tablet, Oral TAKE 1 TABLET BY MOUTH DAILY.

Current Illness: None

ID: 1005487
Sex: F
Age: 61
State: TX

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Symptoms - ? Patient reports at approximately 02:00 she woke up with body aches, chills and fever (Tmax 102.1), Tylenol taken at 05:00, at time of call temp 101. Patient denies COVID-19 exposure without proper PPE and denies travel. Patient next scheduled to work tmw morning. Last day of work and shift - ?Tuesday (2/2) Home remedies? - Tylenol at 05:00 Any improvement? - mild Recommendation? Patient educated to continue to monitor symptoms at home and to take ibuprofen and Tylenol as directed in Medical Directive and to increase fluid intake. Patient educated to manage her symptoms and to adhere to the Workplace Policy. Patient verbalized back understanding and denied further questions at this time.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm