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: 1014536
Sex: F
Age: 64
State: NC

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: no

Allergies: penicillin, tylenol

Symptoms: Arm started hurting about 6 hours later. That night she was restless. Temp was 100.7, Took Advil, temp came down. The next day, she experienced chills, joint pain, body ache. The next day, still had symptoms but not as bad. She is getting back to normal but is still having some mild symptoms.

Other Meds: cholesterol, high blood pressure, acid reflux

Current Illness: no

ID: 1014537
Sex: F
Age: 66
State: CA

Vax Date: 02/05/2020
Onset Date:
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: Cipro

Symptoms: pt reported dizzyness 30-40 minutes after vaccine. Then recalled she hadn't drank anything in at least 4 hours. Lung sounds CBTA BP @2:30pm was 132/82. HR:88 Pulse Ox: 98% Pt drank a full bottle of water (16oz) @2:35pm and felt "back to normal" by 2:45 left site @3:08pm

Other Meds: none

Current Illness: None

ID: 1014538
Sex: F
Age: 47
State: TX

Vax Date: 01/27/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: Shingles IGM test: Pending

Allergies: None

Symptoms: Rash on chest. Treatment : Triamcinolone Acetonide Shingles on back of neck/. Treatment Valacyclovir and Methylprednisolone mg

Other Meds: Synthroid 100 mcg, Pravastatin, Vitamin D, Metformin, Levanor

Current Illness: Hypothyroidism

ID: 1014539
Sex: F
Age: 66
State: CA

Vax Date: 02/05/2020
Onset Date:
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: Cipro

Symptoms: pt reported dizzyness 30-40 minutes after vaccine. Then recalled she hadn't drank anything in at least 4 hours. Lung sounds CBTA BP @2:30pm was 132/82. HR:88 Pulse Ox: 98% Pt drank a full bottle of water (16oz) @2:35pm and felt "back to normal" by 2:45 left site @3:08pm

Other Meds: none

Current Illness: None

ID: 1014540
Sex: F
Age: 43
State: IL

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: environmental allergies, e.g. dust, pollen, etc

Symptoms: Pain and swelling at site of injection. Fever, chills, headache, joint aches and muscle aches, started 12 hours after injection. Fever seems mostly at nights, accompanied by sweating. General fatigue. As of now for more than 48 hours.

Other Meds: guanfacine 0.5 mg fluticasone propionate

Current Illness:

ID: 1014541
Sex: F
Age: 24
State: KY

Vax Date: 02/02/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: COVID PCR swab 2/8/21 -negative

Allergies: NKA

Symptoms: Starting having fever 100.0, cough, chills, fatigue, muscle aches, congestion, and Nausea/vomiting on 2/8/21. Second vaccine on 2/2/21. Went to Urgent care and diagnosed with Viral Gastroenteritis.

Other Meds:

Current Illness:

ID: 1014542
Sex: F
Age: 47
State: NY

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None. Reported symptoms to Doctor.

Allergies: Acyclovir,Avelox,Dilaudid,,Rosuvastatin,Zetia,Zithromax Gluten, wheat, barely, lactose

Symptoms: Body aches and general malaise started about 7 hours after vaccine was given. Next day rash across chest, both sides of neck, and injection site red, swollen firm/painful to touch. Rash worsened over night into day Two. Rash fully covered front of neck,chest, and below breasts.

Other Meds: Celecoxib ,Duloxetine,Fosomax,Omeplrazole,Venlafaxine,Zyrtec,Red rice yeast, Calcium, Vitamin D, Coq10, Elderberry, Flonase nasal spray, Alprazolam.

Current Illness: None

ID: 1014543
Sex: F
Age: 59
State: WA

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: NA

Symptoms: Uncontrollable shaking, fever of 103, headache, and nausea x 36 hours. Also very sore arm with pain, swelling, and heat to touch.

Other Meds: Atorvastatin

Current Illness: NA

ID: 1014544
Sex: F
Age: 25
State: OH

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: NKDA

Symptoms: 10:03AM Light headed, flushed, chest tightness. BP 138/84, HR 92, SPO2 98%. Pt placed in supine position. VS monitored. Fluids given. PT AOPPT. 10:10AM BP 103/70, HR 83, SPO2 97%. 10:223AM BP 150/95, HR 97, SPO2 100%. 10:40AM BP 138/91, HR 98, SPO2 100%

Other Meds: Lexapro QD

Current Illness: PCOS

ID: 1014545
Sex: F
Age: 66
State: TX

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: Bactrim, clindamycin, bupenephrine

Symptoms: I feel like I have the flu. No fever, but I have body aches. Everything hurts, especially my right arm where the vaccine was injected. I also developed welts around the injection site and in addition I am getting a red rash developing down my arm.

Other Meds: Tramadol, lisinopril, pravastatin, calcium, multivitamin, vitamin D, vitamin C, probiotic, vitamin B

Current Illness: None except my first Moderna vaccine.

ID: 1014546
Sex: M
Age: 57
State: CA

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

Lab Data: PCR covid 19 + IgG M negative and IgG positove I

Allergies: none

Symptoms: I was finethrough out the epidemic with no chnage of my PPE precautions, till I got the vaccination and was diagnosed with COVID 19 with PCR test., happened to mtywife too and lot of my MD friends I just hve maet so many of my fiends whio have been diagnossd with covid infection either in betweek 2 injections of after the second doise,. this has to be reported and looked into

Other Meds: none

Current Illness: none

ID: 1014547
Sex: M
Age: 35
State:

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: CBC, BMP, Lactate, Lipase

Allergies:

Symptoms: Myalgias, fever to 101degrees, intense lower abdominal cramping with non-bloody diarrhea for 2 days.

Other Meds:

Current Illness:

ID: 1014548
Sex: M
Age: 46
State: CA

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: PHISISION STATED TO TAKE OVER THE COUNTER ALLERGY MEDS.

Allergies:

Symptoms: AFTER INJECTION GOT FEVER, NORMAL, NEXT DAY I STARTED TO GET RINGING IN MY EARS, SAW PRIMARY PHISIISON AND HE SAID IT WAS FROM THE VACCINE, RINGING IN EARS FOR 11 DAYS NOW, CAN'T SLEEP, THINK, WORK, SCHOOL, ALL EFFECTED.

Other Meds:

Current Illness:

ID: 1014549
Sex: F
Age: 32
State:

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: none

Allergies: allergy to non-tree nuts, (walnuts, cashews) and exotic fruit manifesting as hives

Symptoms: pt experienced severe itching around her face and on the vaccinated arm, the itching became worse over ten minutes and progressed to the inside of her mouth around her lips, she was given 25mg of benedryl and the itching resolved within 45 minutes.

Other Meds: unknown

Current Illness: none

ID: 1014550
Sex: F
Age: 44
State: NY

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: IV established and benadryl administered, pt transported to Hospital via EMS.

Allergies: denies

Symptoms: Approximately 30 minutes after receiving vaccine dose #1 patient described tight feeling in throat and appeard to have slight red area to chest. No difficulty breathing- EMS at location and performed a full assessment.

Other Meds: unknown

Current Illness: unknown

ID: 1014551
Sex: M
Age: 33
State: FL

Vax Date: 10/19/2020
Onset Date:
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: NONE

Symptoms: No adverse reaction. Patient received the flu vaccine twice 10/19/2020 and 11/24/2020

Other Meds: NAPROXEN

Current Illness: NONE

ID: 1014552
Sex: F
Age: 47
State: MO

Vax Date: 01/25/2021
Onset Date: 01/29/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: fruit allergy

Symptoms: Right Trigeminal nerve V2 neuritis with sensory loss and pain in V2 distribution

Other Meds: none

Current Illness: none

ID: 1014553
Sex: M
Age: 60
State: TX

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: Patient's CDC card did not have second COVID-19 vaccine information filled out. Patient was believed to be receiving the second dose. However, it was determined that patient previously completed the series and ended up receiving a third dose.

Other Meds: n/a

Current Illness: n/a

ID: 1014554
Sex: F
Age: 89
State: MA

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

Lab Data:

Allergies:

Symptoms: The nurse administering the Pfizer injection misunderstood reconstitution instructions and re-diluted her vial with normal saline prior to administering the dose to this patient. Therefore, patient received diluted version of vaccine.

Other Meds:

Current Illness:

ID: 1014555
Sex: F
Age: 38
State: FL

Vax Date: 01/11/2021
Onset Date: 01/16/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Hives brought on by exercise began 4 days after vaccine. Various incidences of the same reaction have occurs over the last month. Today, 27 days since vaccination, hives began during exercise all over the body, including swelling of lips and eyes. The reaction has improved, but eye swelling and upper lip swelling are still present one hour later.

Other Meds: None

Current Illness: None

ID: 1014556
Sex: M
Age: 31
State: AZ

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: nothing yet

Allergies: none

Symptoms: It is been three weeks since my first dose of the Covid Pfizer vaccine (first dose: Jan 14th; second dose: Feb 6th) that I have a painful underarm. I think my symptoms are similar to the one discussed in the following paper. When I stretch my hand, I feel pain in my underarm (left armpit). How can I make sure it is not cancer? Can I do the biopsy test?

Other Meds: ibuprofen

Current Illness: none

ID: 1014557
Sex: F
Age: 67
State: MN

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

Lab Data: None

Allergies: Fentanyl Morphine

Symptoms: About 15 minutes after shot, I had numbness and tingling in my lips and a pressure headache behind my eyes and lower forehead. The tingling in my lips lasted for 36 hours, then my lips were itchy for 2 days after that. Should I be concerned?

Other Meds: Lisinopril Metoprolol Succ ER Cetirizine Hydrochloride Flonase

Current Illness: Slight residual numbness to face from Bells Palsy that I had in October 2020.

ID: 1014558
Sex: F
Age: 67
State: MI

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Eczematous type papule appeared at area of left bicep, and that area had ached for a month.-and still does sometimes. The needle entered very high on the left arm. It felt like the administrator of the vaccine hit a tendon or my bone! She jabbed the deltoid very high (too high) and very hard. The second vaccine I had received three weeks later was given in the right arm, lower, and there has been no problem.

Other Meds:

Current Illness: None

Date Died: 02/04/2021

ID: 1014559
Sex: F
Age: 87
State: AR

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

Lab Data:

Allergies: Codeine Hydrocodone Hydroxyzine

Symptoms: Unsure if related to vaccine, but wanted to report event of death due to brain bleed on evening of administration of the vaccination.

Other Meds: Atenolol Plavix HCTZ MYAMBUTOL Omeprazole RAnexa Sertraline Simvastatin Rifampin ASA Nitroglycerin Latanoprost Imodium Fish oil MVI Combigan Vitamin D Butalbital

Current Illness:

ID: 1014560
Sex: F
Age: 31
State:

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

Lab Data: n/a

Allergies: Penicillin, amoxicillin, sulfa, cefuroxime

Symptoms: Chest pain, chills, myalgias, fever 102.0F, fatigue, headache, general malaise, localized pain in injection muscle (left deltoid)

Other Meds: Vitamin D, magnesium

Current Illness: Cold several weeks before vaccination

ID: 1014561
Sex: F
Age: 64
State: KY

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: Lisinopril, propofol

Symptoms: 1st Vaccine 1/6/2021; 2nd Vaccine 2/3/2021 in the am; developed SOA, fever, and cough 2/3/2021 night; seen at ED 2/4/2021 for reported symptoms and d/c' home same day.

Other Meds:

Current Illness:

ID: 1014562
Sex: F
Age: 26
State: AR

Vax Date: 02/05/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: Pet dander

Symptoms: Late Saturday (02/06/2021) night /early Sunday (02/07/2021) morning I noticed a lump on my chest near my left collar bone (received both doses in my left arm). It is noticeably sore and tender to touch

Other Meds: Albuterol Sulfate inhaler (90mcg) Norethindrone tablets (0.35mg)

Current Illness: None

ID: 1014563
Sex: M
Age: 78
State: CO

Vax Date: 02/02/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: SEVERE headache, chills throughout night of inoculation and into 1/2 next day, with moderate temperature and muscle aches.

Other Meds: Alfuzosin nightly; gabapentine nightly (100 mg)

Current Illness: none; healthy

ID: 1014564
Sex: F
Age: 52
State: CA

Vax Date: 12/18/2020
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: sign and symptom of flu like illness one month after my last covid 19 shot, didn not get tested as my husband who also got vaccinated along wiht me was diagnmosed positive with covid. i am sure I have the infection but did not go and get check but onlty self isolated.

Other Meds: none

Current Illness: none

ID: 1014565
Sex: F
Age: 26
State:

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: allergy to nuts and peanuts

Symptoms: pt experienced lip swelling and mouth itching, she was given 25mg of Benadryl PO and the symptoms resolved within 60 minutes

Other Meds: unknown

Current Illness: none

ID: 1014566
Sex: F
Age: 49
State: CA

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: Telephonic appt. with MD 02/08/21. Taken off work by MD for 5 days.. To "rest," apply ice and elevate. States if not improved in 3 days; will see MD in person.

Allergies: none known

Symptoms: Caregiver states onset pain to arm, neck, shoulder one day after vaccine. States flu-like symptoms one day after but resolved.

Other Meds: none known

Current Illness: none known

ID: 1014567
Sex: M
Age: 64
State: IN

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: I had Guillain-Barre syndrome in March of 2019. Resolved after hospitalization and treatment with IVIG for 1 week enough to go home. 1 session of physical therapy, and follow up exercises at home.

Allergies: none

Symptoms: Mild numbness noted in the outside of aspects of both feet and finger tips. Noted that Saturday evening two days following the vaccine. It has almost completely resolved over the next week. I am fully functional at this time.

Other Meds: Vitamin D daily 1000 iu daily

Current Illness: none

ID: 1014568
Sex: M
Age: 93
State: WA

Vax Date: 09/25/2020
Onset Date: 09/26/2020
Rec V Date: 02/08/2021
Hospital:

Lab Data: Nothing ordered.

Allergies: Benzalkonium Chloride, Bacitracin Zinc+Neomycin Sulfate+Polymyxin B Sulfate

Symptoms: Patients daughter reported the following: Palpitations. Member was seen in clinic on 9/28/2020. Member reports palpitations had improved since 9/26 and no longer having symptoms.

Other Meds: Tegretol 200Mg,

Current Illness: Unknown

ID: 1014569
Sex: M
Age: 67
State:

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: n/a

Allergies: Only allergic reaction was to paprika 34 years ago

Symptoms: 2/7 - broke out in hives/rash all over entire body and tongue swelled 2/8 - swelling under chin

Other Meds: lipitor - generic 20 mg a day baby aspirin osteo-biflex prevagen vitam D-3 Heliocare

Current Illness: none

ID: 1014570
Sex: F
Age: 39
State: MA

Vax Date: 01/30/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: Sulfa

Symptoms: Onset congestion on 2/6/21 in pm. Itchy, red blotchy hot spot on 2/7/, accompanied by a slightly sore arm. Sore at site of injection intensifying on 2/8/21. The spot became deeper, and a ring appeared around the injection site by 2/8/21 pm.

Other Meds: None

Current Illness: None

ID: 1014571
Sex: F
Age: 68
State: IN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: none / Tylenol and sleep

Allergies: none

Symptoms: Chills, body aches, severe headache, extreme fatigue for 24 hours starting approximately 12 hours after injection. Exact same reaction as the first vaccine. Onset was sudden and acute as was the resolution.

Other Meds: synthroid, atenolol, generic singular, generic claritin, vitamin D, multi, fish oil, zinc, co q 10, olive leaf extract, magnesium

Current Illness: none

ID: 1014572
Sex: F
Age: 45
State: IN

Vax Date: 01/27/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: Keflex

Symptoms: After shower, noticed raised, red, hot, itchy tennis ball diameter size bump around area of vaccine Area on 2/8 measured 10cm wide x 9cm long per doctor office visit. Starting to make shoulder and elbow joints ache. Area still very warm to touch, raised, red, and itchy. Area of redness and swelling moved up the arm towed shoulder more

Other Meds: Mirapex, Wellbutrin XL, Pantoprazole DR, Vit C, Vit D

Current Illness: None

ID: 1014573
Sex: M
Age: 79
State: CA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: ace inhibitors

Symptoms: slight pain in chest, red face, bp very high

Other Meds: amlodipine triamterene

Current Illness:

ID: 1014574
Sex: F
Age: 77
State: NJ

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Approx 39 hrs. after vaccination woke to swelling on bottom left lip. Thought is was the beginning of a cold sore. Approx 2 hrs. later woke again to right side of face swollen. Felt like when you get novacine at dentist office. About 2 hrs after that got up and felt top lip swollen, bottom right side had gone down. At about 3PM face then begain to swell on left. All swelling stayed except where it began on bottom right lip rest of day. Throughout the day on Sunday, swelling started to go down. Still swollen on Monday going down as the day went on. at this time 6:47PM is it about 90% gone. Just on bottom of cheeks and the right one is noticeably less swollen than the left.

Other Meds: Aspirin 81, Latanoprost, timolol, Synthroid, Crestor, uloric, Norvasc, Zentril, vitamin D

Current Illness: None

ID: 1014575
Sex: M
Age: 61
State: AZ

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: bad rash on arm at site of shot at first, one inch by two inches now three inches by five inches

Other Meds: crestor singulair claritin

Current Illness: none

ID: 1014576
Sex: F
Age: 39
State: UT

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

Lab Data: None

Allergies: NKA

Symptoms: System and local reaction. About 5 hours after injection site, very sore arm, red around injection site both lasting 36 hours. 12 hours after injection patient got severe chills, severe body aches, fever of 101.2 for 2 hours, headache, extreme fatigue. All symptoms lasted about 36 hours. My shot was done on Wednesday morning and I had to call in sick to work Thursday and was not scheduled Friday.

Other Meds: multivitamin

Current Illness: None

ID: 1014577
Sex: F
Age: 56
State: IA

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: Codeine, penicillin

Symptoms: Woke up Saturday morning with soreness and swelling in right armpit. Bothersome. Ended up taking ibuprofen and Tylenol in the afternoon. Seemed to relieve soreness. Today just a little sore. Swelling seems to have gone away.

Other Meds: Benazepril, amlodipine, toprol XL, synthroid

Current Illness:

ID: 1014578
Sex: F
Age: 33
State: CA

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Chills, headache, joint pain, body aches.

Other Meds: Isibloom birth control

Current Illness: None

ID: 1014579
Sex: M
Age: 20
State: AK

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

Lab Data:

Allergies: Cats, dogs, dust, fish, mold

Symptoms: Patient sitting in observation area following 1213pm vaccine administration. At 1215, 2 minutes after vaccine, patient complained of chest pain and shortness of breath. No hives or swelling of lips or throat noted. + periorbital edema. No cough or wheezing or stridor. No local reaction noted on L deltoid. Rapid Response called and pt transported to Emergency Department (ED). Cardiac workup, CXR negative. Pt given IV Benadryl and IV fluids. Symptoms resolved. Pt discharged from ED at 2:50pm same day.

Other Meds:

Current Illness:

ID: 1014580
Sex: M
Age: 65
State: AZ

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Slight pain and tenderness the first 24 hours then a mild itching sensation began the following day and through this submission on 2/8/2021. There is no redness or apparent rash, but the injection site is still tender.

Other Meds: Flecanide, Apriso, Pregabalin, Cetirizine, Centrum Silvers Men's 50 Plus

Current Illness: None

ID: 1014581
Sex: F
Age: 36
State: IN

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: Ibuprofen

Symptoms: States she feels burning in lips. Ears felt flushed @ 10AM. At 10:18AM States lips improved, no longer tingling only ears feeling hot. nurse supervisor spoke with Dr. who request to call PCP. Pt called PCP . 10:08AM BP 162/104, HR 84. 10:18AM BP 153/110, 10:36AM BP 158/100

Other Meds: Norvasc, Lexapro, fish oil, birth control

Current Illness: None

ID: 1014582
Sex: F
Age: 50
State: CA

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

Lab Data:

Allergies: Pineapple, Doxycycline, Injectable Dye for Nuclear Scans All of these give me Hives all over, including my head, hands, face, neck, back and chest

Symptoms: Hives, rash, headache, itchy swollen eyes

Other Meds:

Current Illness:

ID: 1014583
Sex: F
Age: 42
State: KY

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

Lab Data: PCR COVID swab -negative 2/3/21

Allergies: Aspirin

Symptoms: Started having nausea, vomiting, diarrhea, palpitations, myalgias, dizziness, fever of 100, arm heavy on 2/3/21. Had second COVID vaccine on 2/2/21. Went to Urgent care on 2/3/21 and diagnosed with Non-intractable vomiting and acute diarrhea.

Other Meds:

Current Illness:

ID: 1014584
Sex: F
Age: 69
State: FL

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient c/o tingling to scalp and right arm , reports same type of reaction to certain plants or environmental allergies. Patient requested Benadryl, denies any itching, sob, swelling or hives. VS- 154/83, 62, 97%, 18. Patient given PO Benadryl 25 mg and monitored x 30 minutes, reports symptoms improved and without any new symptoms, spouse driving her home

Other Meds:

Current Illness:

ID: 1014585
Sex: F
Age: 83
State: AZ

Vax Date: 01/27/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Left upper arm rash, extensive Took Allegra and Cephalexin as well as topical steroid

Other Meds: Lorazepam, escitalopram, multi-vitamin

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm