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

Date Died: 02/02/2021

ID: 1017971
Sex: F
Age: 100
State: MO

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

Lab Data:

Allergies:

Symptoms: Pt was deceased when we came for second dose. COD unknown to pharmacy

Other Meds:

Current Illness:

ID: 1017972
Sex: M
Age: 68
State: MO

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Vaccine temperature excursion , no tx and no s/s.

Other Meds:

Current Illness:

ID: 1017973
Sex: F
Age: 85
State: IN

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: Procaine, Novocain, Keflex

Symptoms: I had all the symptoms I had when I was coming down with the disease. Cough, fatigue, headache, neck & shoulder aches, no appetite, blah feeling lasting 3 days

Other Meds: Levothyroxin 88mcg daily, Oxybutinin ER 10mg daily, Amlodipine Besylate 2.5 daily, Omeprazole 40mg daily, Xarelto 20mg. daily, Metoprolol ER 50 daily, Probiotics daily, Calcium 1200daily + Vitamin D 1000 IU daily, Vitamin D 10090Iu daily

Current Illness: Had COVID-19 the end of November lasting till mid December

Date Died: 02/01/2021

ID: 1017974
Sex: F
Age: 87
State: MO

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

Lab Data:

Allergies:

Symptoms: Pt was deceased when we came for second dose. COD unknown to pharmacy

Other Meds:

Current Illness:

ID: 1017975
Sex: M
Age: 78
State: AZ

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Late Friday evening, my upper front gums became extremely sensitive, to the point I could not brush my teeth that night. Saturday morning, the sensitivity spread to the back side of my upper teeth and it felt like I had small blisters on the roof of my mouth from drinking too hot a beverage. That evening I developed a deep cough, and I started taking Halls cough drops. Sunday I started taking a cough syrup and chest expecturant. Monday I call my dentist but his office was closed. My temperature was in 100.1 range. On Tuesday I saw my dentist and he was somewhat taken back. My temperature was in the 99.5 range. He mentioned COVID Tongue issues but had no data, and he put me on a fungal mouthwash.

Other Meds: Furosemeide, Nexium, Flecainde, Spironolactone, Warfin,

Current Illness: None to my awareness

ID: 1017976
Sex: M
Age: 24
State: MN

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: No Known Allergies

Symptoms: Patient is here today for personal appointment. It was noted by EMS that he was complaining of chest pain / pressure and experiencing shortness of breath / difficulty breathing per patient report. At 1625, call placed to outside EMS. History of: depression, obesity, history of stress-induced cardiomyopathy Nursing Assessment: Airway: Open Breathing: Spontaneous Circulation: Pulse present Mentation: Alert Skin: Normal Patient monitored. and Oxygen saturation level obtained. Patient complained of feeling disorientated after first dose of vaccine. After second dose patient complained of feeling tightness in his chest, some shortness of breath, and an itch in his throat. Patient on EMS monitor with a HR of 90 and oxygen saturation of 100%. EMS offered patient IV Benadryl which patient refused. EMS activated outside EMS service and was taken to ER. Patient agreed to plan of care He was transported to the emergency department via ambulance at 1635.

Other Meds: None

Current Illness: None

ID: 1017977
Sex: F
Age: 38
State: CA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: EKG 1/22/21 self administered to RO Afib

Allergies: Anaphylaxis wasp venom

Symptoms: Palpitations very frequent resulting in highly irregular rhythm. Periods of in and out of V-tach with runs of PVCs >36, and trigeminy. Associated SOB and chest tightness. Persistent for >48hrs<72hrs. Palpitations continued 1-2per min for the wk following vaccination then became less frequent . 26wks pregnant at time of vaccination. Due date 4/26/21

Other Meds:

Current Illness:

Date Died: 02/01/2021

ID: 1017978
Sex: F
Age: 79
State: MO

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

Lab Data:

Allergies:

Symptoms: Pt was deceased when we came for second dose. COD unknown to pharmacy

Other Meds:

Current Illness:

ID: 1017979
Sex: F
Age: 11
State: CA

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: none

Allergies: Amoxicillin

Symptoms: Red rash to hands, arms, legs, stomach and back; itchy

Other Meds: None

Current Illness: None

ID: 1017980
Sex: F
Age: 65
State: AZ

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

Lab Data:

Allergies: demerol

Symptoms: very sore arm

Other Meds: none

Current Illness: none

ID: 1017981
Sex: F
Age: 69
State: FL

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

Lab Data:

Allergies: IVP Dye Sulfa Bacitracin Mango

Symptoms: Chills/Shaking, 102 fever, swollen lymph nodes under chin, nausea, tiredness

Other Meds: Prempro Atenalol Biotin Vitamin D3 AREDS-2 eye vitamins

Current Illness: None

ID: 1017982
Sex: F
Age: 70
State: CO

Vax Date: 01/30/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: none

Allergies: Sulfa

Symptoms: "Covid arm" began Saturday afternoon on 2/6/21 with itching, tenderness, warm to the touch, red, swollen raised area that was solid/hard and 2 inches in diameter. I also had a metallic taste in my mouth that lasted for 3 days. I took an antihistamine for 3 days. On the 2nd day, the red area lightened and swelling, itching decreased. On the 3rd day he diameter of the affected area was now 3.5 inches with the center of outbreak clearing but still red "rash" around the perimeter (measuring about 0.5 inch. By the end of the 3rd day, the rash was almost gone and completely gone on the 4th day. I had this same metallic taste in my mouth almost immediately after the first vaccination on 1/30/21. This lasted about 14+ hours. It was gone the next morning.

Other Meds: Linzess 145 mg at 7:30 a.m.

Current Illness: none

ID: 1017983
Sex: F
Age: 43
State: CA

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

Lab Data: I didn?t go to the doctors, it was the weekend and I called my primary doctor who said that most likely it was side effects of the vaccine and they would go away. But if I got worse go to the ER. Which was the last place I wanted to go here where I live.

Allergies: None

Symptoms: By 10:00pm on 2/6/21 I started running a fever of 101 degrees and up to 102.5 degrees the next day on 2/7/21. The site of the injection on my left arm hurt so bad I couldn?t touch or move it. I had the chills and was sweating badly. By Monday 2/8/21 my fever was gone but I was now nauseous and had the chills plus sweating anytime I got up to move around. By the evening on 2/8/21 I was vomiting. I was basically incapacitated for three days.

Other Meds: Flow max, flownase, albuterol spray, gabapenton, Zyrtec, flexeril, multivitamin, vitamin D3, topiramate, Tylenol and sleep aid.

Current Illness: Kidney stone

ID: 1017984
Sex: F
Age: 70
State: TX

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, Fatigue, Tingling & Numbness, Tightness in upper chest 11:20am-4pm

Other Meds: Losartan 50mg, Famotidine 20mg, Carvedilol 3.12mg, Ranexa 500mg, atorvastatin

Current Illness:

ID: 1017985
Sex: F
Age: 42
State: LA

Vax Date: 01/30/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: After 7 days of first shot of Moderna, my arm around the shot location got very swollen and very ichy. A red rush around the area. Treating it with Benadryl and ice

Other Meds: N/A

Current Illness: N/A

ID: 1017986
Sex: M
Age: 79
State: SC

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

Lab Data: None

Allergies: None

Symptoms: Lightheadedness and rapid more shallow breathing 10 minutes after injection. Lasted about 10 minutes, began to subside and were gone in about 30 more minutes.

Other Meds: Atorvastatin Ropinerole Clopidigrel

Current Illness: None

ID: 1017987
Sex: M
Age: 67
State: AZ

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: none known

Symptoms: muscle aches, fatigue, headache, light headed, nausea at first, flushed face, sore arm, felt like bugs crawling inside of me (Sat and Sunday), Monday fatigue, light headed, flushing of face, small bumps on arms and legs (begining of rash), no itching. Tuesday rash on legs and arms, big red welts with blisters with clear fluid in heads, moderate to heavy itching during night while asleep, scratched heads off of many of the blisers, bleeding occurred at blister site, used Benadryl tabs (2) at approximately 0830hrs and itching became less but did not go away, blisters are still red with heads (where unpopped by scratching), open blisters have small scabs on head but swelling has not gone down, light headed all day, weakness, tenderness at shot site and moderate muscle aches.

Other Meds: Gemfibrozil 600mg 2X, metoprolol tartrate 25mg 2X: Brilinta 90mg 2X, Lisinopril 20mg AM: Rosuvastatin 40mg PM: Sertraline HCL 50mg AM: ASA 81 mg PM: vitamin D3 5000 IU caps PM, multi-vitamin PM; folic acid 10mg PM.

Current Illness: none

ID: 1017988
Sex: F
Age: 23
State: FL

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

Lab Data: No medical tests or laboratory results required

Allergies: N/A

Symptoms: Fever of 102, fatigue, muscle aches, overall weakness, slight cough.

Other Meds: Lexapro 10 mg daily, Claritin D, Xanax 5 mg as needed, calcium

Current Illness: N/A

ID: 1017989
Sex: F
Age: 40
State: VA

Vax Date: 01/31/2021
Onset Date: 02/03/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: Ivory soap

Symptoms: ?COVID arm?; geographic erythema and swelling around the injection site with mild tenderness to palpation and minimal itching. This resolved within 48 hours.

Other Meds: None

Current Illness: None

ID: 1017990
Sex: F
Age: 67
State: LA

Vax Date: 01/26/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Citrus

Symptoms: About 8 or 9 days after Covid vaccine, I developed an itchy red area on upper left arm around 9pm. I started taking Benadryl, but the area is still red and itchy.

Other Meds: Lexapro, Protonix, water pill, vitamin d, B-12, potassium

Current Illness: Sinus infection

ID: 1017991
Sex: F
Age: 30
State: SD

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

Lab Data: none

Allergies: Amoxicillin, PCN, Pseudoephedrine, sulfamethoxazole

Symptoms: rash, chest heaviness and shortness of breath

Other Meds:

Current Illness:

ID: 1017992
Sex: M
Age: 73
State: CO

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: Acetylcholine receptor blocking antibody significantly elevated at 67 (normal 26%)

Allergies:

Symptoms: Patient received his first maternal vaccination on January 15. By January 21 he began to complain of double vision. His wife also noted some slight slurred speech. He went to the emergency room and was told that he had a 6th nerve palsy on the left. A scan of his head was unremarkable. He was referred to neurology. I saw him on February 2 and by that time he had evidence of full-blown myasthenia gravis with left ptosis, slurred speech, intermittent disconjugate gaze, some subjective difficulty swallowing.. 1 wk laterSevere dysphagia unable to swallow without pur?eing food marked slurred speech and ptosis .SENT FOR EMERGENCY IVIG

Other Meds: Lipitor, chlordiazepoxide 10 mg, imipramine 100 mg, trazodone

Current Illness: No acute illnesses, prostate cancer, cad, None insulin diabete

ID: 1017993
Sex: F
Age: 64
State: IL

Vax Date: 01/30/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Darvon, Advil, Sulpha drugs, some antibiotics, nickel, formaldehyde; fragrance;

Symptoms: Initial slight rash after receiving vaccine that seemed to diminish after 48 hours. Six days later, significant large rash appeared, red and itch and is just now diminishing.

Other Meds: Armour Thyroid; multivitamin, vit d, fish oil

Current Illness:

ID: 1017994
Sex: F
Age: 38
State: NM

Vax Date: 01/13/2021
Onset Date: 02/04/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: cinnamon bark cassia

Symptoms: Facial paralysis 22 days following 2nd covid vaccination - Bells Palsy diagnosed

Other Meds: not known

Current Illness: none known

ID: 1017995
Sex: F
Age: 79
State: CA

Vax Date: 01/27/2021
Onset Date: 02/01/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: none

Allergies: Amoxicillin, Clindamycin, Co trimoxazole, Sulfa

Symptoms: Several days after the injection a red circular area about 2 inches in diameter appeared near the injection site on the same arm. It wasn't warm to touch and did not spread. Initially it itched a bit but stopped in about 1-2 days. It wasn't hard nor painful. It is beginning to fade.

Other Meds: Vitamin E, Centrum Silver, levothyroxine, simvastatin, metoprolol, probiotic.

Current Illness: none

ID: 1017996
Sex: F
Age: 40
State: CA

Vax Date: 01/27/2021
Onset Date: 02/03/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: approximately 1 week after receiving the vaccine the patient developed a rash on her arm, it started as a small annular rash close to her left bicep. It has since spread to cover her deltoid. The rash is not warm or swollen or tender to palpation, she denies any other ill symptoms or fevers. There is no lymphadenopathy in that arm.

Other Meds: none

Current Illness: none

ID: 1017997
Sex: F
Age: 68
State: RI

Vax Date: 01/30/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Red, hot, swollen, itchy left upper, lateral arm Duration 8 days, ongoing

Other Meds: Losartan, MV, vitamin D

Current Illness: None

ID: 1017998
Sex: F
Age: 20
State: PA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: PER PATIENT: "I BROKE OUT IN RASH ROUGHLY 6 HOURS AFTER VACCINATION ON MY NECK, HANDS, ARMS, CHEST, STOMACH. TREATED WITH AN OTC ANTIHISTAMINE AND LOTION. RASH LASTED ~48 HOURS AND ITCHINESS ALL OVER BODY LASTED X 1 WEEK."

Other Meds:

Current Illness:

ID: 1017999
Sex: F
Age: 36
State: TX

Vax Date: 01/26/2021
Onset Date: 02/03/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: None known

Symptoms: Red raised bump at injection site appeared approximately 8 days after initial vaccine was received. Was hot to the touch & severely itchy. After a few days it went away. Then came back and had spread to 2 separate red bumps that were hot to the touch and severely itchy. The next day they began to spread wider across my left arm. Went to see the doctor and was advised to take benadryl and ibuprofen to help with the reaction and the swelling.

Other Meds: Methylphenidate ER

Current Illness: None

ID: 1018000
Sex: F
Age: 43
State: NJ

Vax Date: 01/13/2021
Onset Date: 01/19/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 5 days after the injection I had swelling and redness at the injection site. Red ring 3 inches around site and edema. I also had lymphedema on the left side. From my neck to my ear on the side of the injection. The lymph at my clavicle was the size of a golf ball for several days. I was exhausted and took Motrin for the pain in arm, ear and neck.

Other Meds: Vitamins:multi, vit d, zinc, coq10, b complex

Current Illness: None

ID: 1018001
Sex: F
Age: 42
State: NM

Vax Date: 02/01/2021
Onset Date: 02/04/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: Within 15 minutes I felt really lightheaded, which went away after about 1/2 hr. That night about 9pm my R arm was aching SO bad, like I've never felt. Also I got a horrible headache and lower backache, could not sleep. Felt horrible till about noon the next day started to feel better slowly.

Other Meds: I took Imitrex 23 hours after booster

Current Illness: no

ID: 1018002
Sex: F
Age: 44
State: MI

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: The associate received diphenhydramine (50 mg per ml IM once ) on 2/9/21

Allergies: No

Symptoms: On 2/9/21, The associate had a tingling sensation in her throat and forehand and it felt like her throat was closing up. The associate stated to the nurse that she had the same issue with the first dose and she did not notify anyone of the that reaction. She just went home and took benadryl and it resolved. The associate received diphenhydramine (50 mg per ml IM once ) on 2/9/21 .

Other Meds: No

Current Illness: No

ID: 1018003
Sex: F
Age: 44
State: MN

Vax Date: 01/31/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fatigue on Monday 2/8 evening, Tuesday 2/9- swollen, warm, oval red skin about the size of a tennis ball on upper right arm just under site of injection. Same area was very tender for 24 hours after injection.

Other Meds: None

Current Illness: None

ID: 1018004
Sex: F
Age: 25
State: OH

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: COVID test (PCR test) - January 7, 2021 - negative

Allergies: Aviane; hormone - Levonorgestrel; seasonal allergies

Symptoms: Fever; chills; night sweats; hot flashes; increased heart rate; chest pain; nausea; swelling at the injection site; pain at the injection site; rash at the injection site; rash elsewhere on my body; fatigue; headache; decrease appetite. Had symptoms at least 7-9 days. I took advil. I tried cool compresses and cool baths. Employee health quarantined me and I got COVID tested.

Other Meds: Birth control - Junel FE 120; Multi-vitamin (I had been on Prednisone on a tiered dosage - 60 mg for 4 days; 40 mg for four days; 10 mg for four days) - about two weeks prior to getting vaccine.)

Current Illness: Nodules in my leg - that was what the prednisone was for; arrhythmia nodusum - they had been prior but I had them within a month of vaccine Injury: was hit in the pelvis with a baseball and lost all sensation in bladder - incomplete bladder emptying; decrease bladder sensation - July 2020 (injury date) but I'm still having it

ID: 1018005
Sex: M
Age: 78
State: MD

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

Lab Data: None

Allergies: None

Symptoms: immediate sensation in left chest and down left side at the moment on injection. Sore shoulder developed during the next hour. Difficult to sleep that night. Painful to lift my left arm all day today.

Other Meds: Daily: Finasteride (Propecia) ? 5 mg; Biotin ? 5 mg; Ecotrin (coated aspirin) ? 162 mg; Vitamin B3 (Niacinamide) ? 500 mg; Vitamin C ? 1,000 mg; Vitamin D3 ? 5,000 IUs; Spectravite Senior (Multivitamin); Fish Oil ? 1,200 mg (of whic

Current Illness: None

ID: 1018006
Sex: F
Age: 62
State: MO

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Keflex, iron infusions ceclore, lidocaine septra ds amoxicillin sulfas Morpheeins tetanus

Symptoms: 48 hour of headache, diarrhea, body pain, sight swelling red and blistered for 4 days now red gone just swollen today

Other Meds:

Current Illness: just reaction to first vaccine reported first vaccine was 1/7/21

ID: 1018007
Sex: M
Age: 56
State: CA

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Patient received vaccine then passed out a few minutes later. Patient was sitting so did not fall and was observed by multiple people. Patient came too shortly after in a matter of 5-10 seconds. Patient sat for another 15 minutes and was being constantly observed and was fine. BP was monitored and was 115/76 pulse was 52. I followed up with at 2:43 pm and he reports to be fine. Patient thinks he suffered from a panic attack. Note at the beginning of the incident we called 911, but subsequently cancelled it.

Other Meds: Unknown

Current Illness:

ID: 1018008
Sex: F
Age: 64
State: AZ

Vax Date: 12/23/2020
Onset Date: 01/13/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Immediate paresthesia's of the lips that last around 48 hours. Headache with onset at 24 hours following injection and lasting 3 days.

Other Meds: Zoloft, Xanax, Losartan, Multivitamin, Biotin, Estrace

Current Illness: None

ID: 1018009
Sex: F
Age: 68
State: TX

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: My arm was sore pretty much from the beginning and is still sore today, February 9th. It's not terribly painful but uncomfortable, and I have lost strength in this arm.

Other Meds: B12, B6, biotin, vitamin E, vitamin D3, zinc, iron, magnesium

Current Illness: None

ID: 1018010
Sex: F
Age: 49
State: IL

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: dry mouth, difficulties swallowing

Other Meds: calcium/Mag/Zinc, fish oil, vitamin D

Current Illness: None

ID: 1018011
Sex: F
Age: 69
State:

Vax Date: 05/02/2021
Onset Date:
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: 2 days following the vaccination I started scratching all over my body Then my, eyes were itching so much I removed my make up That number gut felt hot and itchy Next day still itching so informed GP I noticed now that my skin is blotchy and pink/ red on my arms and chest Eyes sore and worn / tired looking Feel hot but no one emperature Temperature was 37.1 now 36.9 BP 125/75 p 67 Thank you

Other Meds: Warfarin Letrazol Lansoprazole Paracetamol Co Dydromol Duloxidene

Current Illness: Sjogrens with neuropathy with arthritis Long History of clots Gastric reflux

ID: 1018012
Sex: F
Age: 48
State: MD

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: Saw ENT Some Physical Therapy for balance

Allergies: None

Symptoms: Dizziness and chills body aches for first 2 days and dizziness hasn?t gone away-Vertigo with ear fullness and aches.

Other Meds: None

Current Illness: None

ID: 1018013
Sex: F
Age: 26
State: CA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: Left Shoulder xray - WNL

Allergies: None

Symptoms: Soreness at injection site as well as anterior shoulder pain. Soreness at injection site resolved., but continues to have anterior shoulder pain.

Other Meds: Multivitamins

Current Illness: /none

ID: 1018014
Sex: F
Age: 47
State: CA

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

Lab Data:

Allergies:

Symptoms: high blood pressure, dizziness, numbness of leg

Other Meds:

Current Illness:

ID: 1018015
Sex: F
Age: 31
State: KY

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

Lab Data: CXR normal 2/6/21 CT Chest angio PE normal 2/6/21

Allergies: Sulfa antibiotics

Symptoms: Received second vaccine on 2/3/21 and started having chest pain on 2/5/21. Went to ER on 2/6/21.

Other Meds:

Current Illness:

ID: 1018016
Sex: F
Age: 80
State: IL

Vax Date: 02/05/2021
Onset Date: 02/07/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: N/A

Allergies: environmental - dust, trees

Symptoms: General aches and pains began 36 hours after injection and lasted approximately 24 hours. It felt as though every arthritic joint was inflamed. I used heating pad to relieve pain and felt normal the next day.

Other Meds: Plavix, Bisoprolil, Tramolizine, Zyrtec, Crestor, Nasacort, Vitamin D, Calcium, Zinc, Glucosamine, Probiotic, Areds 2,

Current Illness: none

ID: 1018017
Sex: F
Age: 40
State: IN

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Fever, rigors, myalgia, arthralgia onset 12h post vaccination, resolved 36 h post vaccination, severity grade 3/unable to carry out usual activities

Other Meds: Escitalopram, Adderall, omeprazole

Current Illness: None

ID: 1018018
Sex: F
Age: 40
State: KY

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: numbness and tingling that began about 7 hours ago. She describes it as a "pins and needles" feeling in her hands with numbness in her face and intermittent left sided lip twitching. She denies any numbness or tingling in BLE. She reports having a significant headache since receiving the first dose of the COVID-19 vaccine 9 days ago and some muscle aches. She also reports some dizziness which she describes as lightheadedness, but denies any LOC

Other Meds:

Current Illness:

ID: 1018019
Sex: M
Age: 76
State: CT

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: Got home about 11:30 in the morning, eyes were foggy, everything was tilted to the left, seeing double. Around 5:00 pm it got a little better. Left eye feels like a shadow in his eye.

Other Meds: Low Dose aspirin, Toprol, Metformin, Atorvastatin Calcium, Losartan HCTZ,

Current Illness: no

ID: 1018020
Sex: F
Age: 23
State: MO

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Headaches, diarrhea, itchy around injection it?s, large painful lump under left armpit

Other Meds: Wellbutrin XR 150mg once daily, Remeron 30mg once daily

Current Illness: No

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm