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: 1019466
Sex: M
Age: 77
State: FL

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: cold, chills, headache, tired

Other Meds: Daily Medications Taken: AM PM Purpose 1 Amlodipine Besylate (Norvasc) 5 mg tablet X Blood P

Current Illness: none

ID: 1019467
Sex: F
Age: 34
State: TX

Vax Date: 02/02/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Day 8 after shot, swelling came back with redness and swollen around the area of injection site.

Other Meds: None

Current Illness: None

ID: 1019468
Sex: F
Age: 50
State: ND

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: two weeks following at the injection site became red, swollen and very itchy

Other Meds:

Current Illness:

ID: 1019469
Sex: F
Age: 41
State: GA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: I developed a painful, red, swollen bump on my top knuckle, The swelling went down after the first day, but I continue to have a red bruise-like thing on that spot. It's painful to the touch, much like a bruise, but has not improved or started to heal in any way that I can tell.

Other Meds: None

Current Illness: None

ID: 1019470
Sex: F
Age: 56
State: NY

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

Lab Data:

Allergies: morphine, zinc, zolpidem, flexeril, Iodine Contrast

Symptoms: Pt. was requested to be vaccinated in the "high risk clinic" due to PMHX and concerns after the 1st vaccine. Apparently after 1st vaccine had persistent cough for days. Pt. presented for 2nd vaccine and vaccine was administered at 12:31p. Shortly after vaccine, she developed chest tightness, felt like her throat was closing and SOB at 12:42 p. Vitals B/P 145/88, Pulse 104, Resp 28, O2 sat 96%. She was asked to take 2 puffs of her albuterol inhaler and I administered epi 0.3 mg IM to R. thigh at 12:44 pm and Benadryl 50 mg IM to right deltoid. Medical First response was activated and responded within 2 min. She was immediately transferred next door to the ED under the care of Dr. In ED Decadron 10 mg IV and additional diphenhydramine 25 mg IV, and Famotidine 20 mg was administered. She was discharged home later that afternoon with course of po decadron and epipen. 2/5/21- Pt. is not returned to work d/t continued SOB and continues to f/u with PCP.

Other Meds: MVI, Protonix, Vit D, CA, Tumeric, Singulair, Asthmanax, Additional Meds on date of vaccine: Iron, Dulera, Claritin, Levothyroxine, Benadryl.

Current Illness: mastodynia

ID: 1019471
Sex: M
Age: 61
State: TX

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: None.

Symptoms: Severe tendon pain and mild swelling that went down his left arm. Felt like tennis elbow.

Other Meds: Fish Oil Daily

Current Illness: No.

ID: 1019472
Sex: F
Age: 52
State: IA

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: History of similar reactions with each flu vac. and therefore she stopped taking flu vacs. 5 years ago. Developed nausea, lightheadedness, headache, and shortness of breath 14 min after vaccine. Vital signs stable on admission to observation area and heartrate regular with apical auscultation. Forty-five min after vaccine, began having some chest pressure and tingling in her arms. Her heart rate irregular at 68 bpm. Employee called her cardiologist who advised her go to the emergency room. No history of angioedema.

Other Meds:

Current Illness:

ID: 1019473
Sex: F
Age: 81
State: MO

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

Lab Data:

Allergies: Any kind of narcotic

Symptoms: chills, fever, diarrhea, extreme body ache pain in neck and back. Very uncomfortable . I am on 2nd day and still have those feelings but lesser.

Other Meds: Celebrex med 200 mg Atorvastatin 10 mg supplements of vitamins

Current Illness: no

ID: 1019474
Sex: F
Age: 51
State: FL

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: recommended she get seen at an ER for possible CT scan of the head or US for stenosis of major areas causing poor perfusion leading to confusion, numbness/tingling, nausea, and HA (common stroke like symptoms). informed her typical stroke like symptoms have a time sensitive window that she out of as of now, but due to the severity of those it is concerning and to be seen immediately to R/O previous stroke or other life threatening conditions.

Allergies:

Symptoms: event started: 1-21-2021 at approx 6-7pm; left arm tingling and intermittent numbness, then at 1-22-2021 at 2-3am muscles cramps and unable to move toes bilateral feet and a HA and nausea. 1-23-2021 started with confusion, wondered off at a grocery store and was able to think straight while paying at a register. other than that no other episode.

Other Meds:

Current Illness:

ID: 1019475
Sex: F
Age: 31
State: OR

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Systemic: Rash (other than injection site)-Mild, Systemic: Other- SWELLING OF UPPER LIP-Mild; lasted 1 day

Other Meds:

Current Illness:

ID: 1019476
Sex: F
Age: 48
State: IN

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

Lab Data:

Allergies: Milk thistle

Symptoms: All over body / muscle aches - unable to sleep well due to extreme discomfort. Pain started around 8pm and intensified through the night. Started to abate early afternoon next day. Did take extra strength Tylenol 4 times between 8pm 2/8/21 and 2pm 2/9/21. As of today, 2/10/21, still have joint pain in right hand knuckles and mid back / right shoulder blade and at injection site.

Other Meds: NP Thyroid, Prozac, sunosi, baclofen, Ritalin, multi-vitamin, vitamin D3, betaine HCL, lutein with zeaxanthin, theracurmun, fish oil, probiotic

Current Illness: NA

ID: 1019477
Sex: M
Age: 18
State: KY

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Unsure patient left in ambulance to be evaluated by Hospital Emergency Department

Allergies: NKDA

Symptoms: SM was initially treated on scene by medical specialist and physician assistant. Protocol was followed to prevent shock. SM was initially turned onto side to prevent aspiration if said patient were to vomit. Patient had syncopal episode which resulted in him landing in the prone position on a cement floor. Initial assessment discovered frontal head laceration approx. 2" along the medial sagittal line. Hemostasis was achieved and a non-adhesive bandage was secured to laceration. There was also left nare epistaxis noted. Direct pressure was applied until bleed was stopped. Pulse and B/p were low upon initial assessment but returned to normal after approx. 20 minutes. SM was provided with hydration as well a recumbent chair while vital signs were monitored every 5 minutes by medical personnel.

Other Meds: no medications

Current Illness: NAD, no underlying conditions

ID: 1019478
Sex: F
Age: 24
State: VA

Vax Date: 01/20/2021
Onset Date: 01/26/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Menstrual cycle started 11 days early, flow was light compared to normal cycle but lasted longer than usual

Other Meds: Wellbutrin 300 mg Vitamin D supplement

Current Illness:

ID: 1019479
Sex: F
Age: 49
State: IN

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Aspirin

Symptoms: Mild Headache and a rash that started on my lip and spread to my cheek, my eye and forehead. The rash it blistery kind of looking, little bit blister and they would open and bleed and then close back up. It was also burning. It start continually spread more. I went yesterday 02/09/2021to a Dermatologist he treated me for a contact kind of dermatitis as if he was unsure if it was linked to vaccine or not. He gave me two steroid injections in the office and prescribed a cream Elidel 1% . The medications seem to be clearing up my face today.

Other Meds: Synthroid 150 MG daily, Alprazolam .5 MG daily at bedtime, Inhaler daily, Hair, skin and nails supplement 5000 MCGs, Milk thistle, Vitamin D3 125 MG, Zinc 50 MG, Vitamin B-12 2500 MCG, Iron 65 MG all taken daily Zyrtec 10 MG daily

Current Illness:

ID: 1019480
Sex: F
Age: 33
State: GA

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

Lab Data:

Allergies:

Symptoms: The patient stated that she had joint pain that began the day after she received the first dose of the COVID-19 Moderna vaccine and that she particularly had weak knees. She also stated that she had insomnia and was up all night. She also stated that she had a low-grade fever 02/02/21-02/03/2021. By 02/04/2021 she stated that she was feeling better and that her symptoms were more mild. Today (02/10/2021) she states that she feels better but that she has had some increased pain and insomnia; she estimates, though, that these symtoms that she mentioned today are due to recent medication changes.

Other Meds:

Current Illness:

ID: 1019481
Sex: F
Age: 24
State:

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: chills, fatigue, headache. called in sick to work.

Other Meds:

Current Illness:

ID: 1019482
Sex: F
Age: 43
State: NC

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Bee sting (anaphylaxis)

Symptoms: 1 day after COVID vaccine, patient developed a pruritic, painful maculopapular rash that started on her ankles and hips then spread to the rest of her body.

Other Meds: - Ambien 10mg -Take 1-2 tablets by mouth before bedtime - Meloxicam 15mg PO q day PRN - Synthroid 88mcg -Take 1 tablet by mouth daily - Flonase 50mcg - Instill 1 spray in each nostril daily - Ethynodiol /EE 1mg-35mcg- Take one tablet by m

Current Illness:

ID: 1019483
Sex: F
Age: 49
State: ME

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: nkda

Symptoms: Red, itchy, swollen arm x 10 days at the injection site -about the size of a softball ( Arm very sensitive to touch and clothes on it). After 10 days, arm was no longer swollen but still itchy and red (decreased to the size of a baseball).

Other Meds: Very sore arm after vaccination and was unable to sleep on it. The next morning, my arm was swollen, hurt, and red (about the size of a softball) at the injection site. Swelling went down after 10 days. Arm is still red, itches, and the

Current Illness: none

ID: 1019484
Sex: F
Age: 36
State: NJ

Vax Date: 12/19/2020
Onset Date: 12/20/2020
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: NKDA

Symptoms: Initially had left arm pain post vaccine. I thought that this was normal vaccine site pain. The pain has subsided but I now have left arm weakness and an inability to lift arm to previous height.

Other Meds: none

Current Illness: none

ID: 1019485
Sex: F
Age: 37
State: PA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: Allergic reaction (itchiness) to the TB test.

Symptoms: After about 30 minutes, I noticed an itchy patch of skin on my right cheek and mild itchiness under my chin and on my other cheek. It lasted a bit over 24 hours.

Other Meds: Zyrtec, Flonase - both taken the night before

Current Illness: None

ID: 1019486
Sex: F
Age: 35
State:

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fever, chills, headache. called in sick to work.

Other Meds:

Current Illness:

ID: 1019487
Sex: F
Age: 71
State: FL

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: recommended she continue with tylenol as directed on the label. informed her if fever occured to try a cool bath, avoid heavy clothing/blankets. Recommened she stay well hydrated with water. informed her if her stymptoms did not resolve by tomorrow to contact her pcp as recommended by coivd hotline 72 hr guidelines. verbalized understanding.

Allergies: sulfur -rash

Symptoms: Adverse events experienced and are they still occurring now: yes. reports at around midnight the day of the vaccine she began feeling body aches, HA, decreased appetite, chills, sweating w/no fever but felt warm, fatigue. states she took tylenol that helped.

Other Meds: clonazepam 0.5mg PRN nerve pain

Current Illness:

ID: 1019488
Sex: M
Age: 86
State: IL

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Urinalysis Discharged from emergency room 0317 on 2/10/2021

Allergies:

Symptoms: 8 hours post first covid vaccine patient wife called emergency room stating patient began complaining of itching, several minutes later noticed red and pimply bumps all over skin. Extremely itchy and uncomfortable. Denied fever or difficulty breathing or swallowing. Recommended by triage nurse to be seen in ED.

Other Meds:

Current Illness:

ID: 1019489
Sex: M
Age: 84
State: DE

Vax Date: 02/03/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: CT head, CXR, labs (CBC, BMP, d-dimer, trop I, UA), EKG - all done in ER on 2/9/21 and unremarkable except mildly low sodium at 133 and Hgb 11.7 which is stable for this patient.

Allergies: none

Symptoms: Syncopal episode at home lasting a couple minutes - taken to ER. Received IVF. No medications received. Fully recovered within minutes of the episode.

Other Meds: amlodipine, atorvastatin, donepezil, isosorbide MN, lisinopril, memantine, metoprolol ER, silodosin, aspirin, melatonin, preservision, naproxen, coQ-10

Current Illness: none

ID: 1019490
Sex: F
Age: 65
State: GA

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: red painful rash about 4" in diameter at shot area

Other Meds: prevacid

Current Illness: none

ID: 1019491
Sex: M
Age: 69
State: IN

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: Paper tape

Symptoms: Flu like symptoms: chills, muscle and joint aches 28 hours after vaccination. No temperature

Other Meds: Lisinopril, Trazadone, Citalopram, Metformin, HCTZ, Pravastatin

Current Illness: None

ID: 1019492
Sex: F
Age: 46
State: MI

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: N/A

Allergies: Latex

Symptoms: Nausea, headache, body aches, left arm numbness & arm twitching, fatigue, elevated pulse.

Other Meds: Hyzzar/HCTZ

Current Illness: n/a

ID: 1019493
Sex: F
Age: 50
State: NY

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Vital signs, and oral diphenhydramine.

Allergies: apple, Penicillin, latex

Symptoms: Patient received first dose of Pfizer COVID vaccine and after 20 minutes complained of tongue as well as roof of mouth itching. Nurse administered oral diphenhydramine 50 mg x 1 dose

Other Meds: tramadol

Current Illness:

ID: 1019494
Sex: M
Age: 41
State: FL

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

Lab Data: None

Allergies: None

Symptoms: low grade fever, chills, muscle aches in shoulders/neck, headache, light headed. Symptoms started becoming persistent during commute to work beginning at approximately 0630. Symptoms were significant enough to hinder productive work by 1100, went home early. Napped from 1200-1500. Symptoms subsided by 1800.

Other Meds: None

Current Illness: None

ID: 1019495
Sex: F
Age: 32
State: NY

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache as soon as waking up - after a few hours, chills and fatigue that had to go home from work and sleep all day.

Other Meds:

Current Illness:

ID: 1019496
Sex: F
Age: 85
State: IN

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: On 2/9/21 I started running a fever of 100+. My normal temp is 97.3. Too early to tell yet if I will run a fever today. I suspect this is a fairly normal reaction.

Other Meds: Various, but no change.

Current Illness: None

ID: 1019497
Sex: F
Age: 39
State: NY

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: left sided transient facial numbness x 2 occasions

Other Meds:

Current Illness:

ID: 1019498
Sex: F
Age: 56
State: UT

Vax Date: 01/12/2021
Onset Date: 01/20/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Sulfa meds, adhesive

Symptoms: None stated.

Other Meds: Benadryl , valacyclovir

Current Illness: December 17, 2019 I had a neck fusion I?ve been working from home since then no element changes or food. I?m just scared can I get second shot my face arms and legs swole up and hives over entire body

ID: 1019499
Sex: M
Age: 56
State: IN

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

Lab Data:

Allergies: None

Symptoms: Chills Low grade fever General body ache Fatigue Sore injection site

Other Meds: None

Current Illness: None

ID: 1019500
Sex: F
Age: 58
State: MA

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: At first, just a very sore arm but in about 12 hours i had a terrible headache, nausea, fatigue and body ache, chills and low-grade fever. Symptoms lasted exactly 48 hours.

Other Meds: Levothyroxine Calcium

Current Illness: none

ID: 1019501
Sex: F
Age: 58
State: RI

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: suffered with fatigue. headache all day long. I feel like im getting the flu. Im hot and cold, i have chills. at the injection site its all red ad hard and hot. sleep all day

Other Meds: Synthroid

Current Illness:

ID: 1019502
Sex: F
Age: 93
State: VA

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Health RN administered vaccine. At the time PHN withdrew the needle from the arm, the needle was left in recipient's right arm and a unknown amount of vaccine ran down recipients arm. Followed up with recipient the following day 1/31/21. Recipient verbalized arm soreness from the vaccine.

Other Meds:

Current Illness:

ID: 1019503
Sex: F
Age: 70
State: CA

Vax Date: 01/31/2021
Onset Date: 02/01/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Redness, red bumps, itching. Hydrocortisone cream. No change in symptoms.

Other Meds:

Current Illness:

ID: 1019504
Sex: F
Age: 35
State: OR

Vax Date: 02/01/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: Itching and slightly rough skin 3 inch diameter around injection site starting 2/9/2021 (8 days post vaccination). Continued itching and slightly rough skin on 2/10/2021 with addition of redness.

Other Meds: Omeprazole 20 mg 1/day Nifedapine ER 30 mg 1/day Mono-Linyah 0.25 mg/0.035 mg 28 tablet booster card Source Naturals Vitamin D-3 10 drops/day (50 mcg) Carlson Super Daily D3 + K2 1 drop/day (50 mcg/45 mcg) Whole World Botanicals royal maca

Current Illness: Limited Scleroderma (CREST)

ID: 1019505
Sex: F
Age: 72
State: IN

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: pollen, strawberries,

Symptoms: itching at injection site, headache, dizzy spells

Other Meds: metformin, ocaliva, rampiral, hydrochloro high blood pressure, synthroid, meloxican, vitamin d, b12,

Current Illness: type2 diabetes, high blood pressure, primary bilary cholangitis,

ID: 1019506
Sex: F
Age: 62
State: ID

Vax Date: 01/31/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Sulfa drugs

Symptoms: About 9 days after vaccination developed 3" diameter red, warm, sore spot at injection site

Other Meds: Loratadine, amlodipine, Eliquis, metoprolol, Trazadone multivitamin, D3, fish oil, vitamin C, magnesium

Current Illness: None

ID: 1019507
Sex: F
Age: 44
State: IA

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: PT received her COVID-19 vaccine at 1541. She returned to the vaccine clinic at 1620 with complaints of dizziness, lightheadedness, and nausea. She denied any SOB or pruritus. 1620: PT's symptoms are not improving and she is complaining of chest pain. Doctor at bedside and advises that she be transferred to the ER. PT taken by WC to ER by RN.

Other Meds:

Current Illness:

ID: 1019508
Sex: F
Age: 36
State: NY

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: After she received the vaccine she started to feel itchy and had redness at injection site. She remained itchy for several days, but it would come and go. About two weeks after the shot; she started to break out into hives on her arms, then spread to her legs, back and head. Her palms got red. She took claritin and it gave her short-lived relief. She got prescribed a medrol dose pack, she completed two packs and still no relief. It helped while she was on it then symptoms came back once she stopped. She has an itchy throat, swollen face. She also has diarrhea. Symptoms have no been for over a month and seem to be getting worse. Following up with an allergist and her PCP today. Dr. then prescribed Solu Medrol, IV which she had last week. While, she was receiving the treatment, she felt better. As soon as the IV was done. She started to break out again. Today she came into work, and her eyes were blood shot. She also has pressure in her chest and has a hard time swallowing. She had hives on the inside of the mouth, and alongside her tongue. She will be seeing an allergist and an infectious disease in the upcoming days.

Other Meds:

Current Illness:

ID: 1019509
Sex: F
Age: 20
State:

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fever. called in sick to work.

Other Meds:

Current Illness:

ID: 1019511
Sex: F
Age: 68
State: NH

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

Lab Data:

Allergies: PCN (reaction as a child)

Symptoms: PT received vaccine at 1020, and remained on site for almost 30 minutes before leaving. While driving home PT started to feel a tightness in her throat and that her face felt warm and swollen. PT returned to vaccination site. PT showed no sign of difficulty breathing and was able to speak in complete sentences. BP: 110/70 Pul: 58 O2: 95 Temp: 97.6 PT was administered 5ml of antihistamine liquid medicine and was observed. After observation for 5 minutes, PT stated that she was feeling lots better and that the medication was working. Gave advice to follow up with PCP or get to hospital if condition worsens. Advised to inform medical team at her next scheduled vaccination of her reaction.

Other Meds:

Current Illness:

ID: 1019512
Sex: F
Age: 51
State: CT

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: Sulfa based Mango

Symptoms: 5+cm red, hot, itchy black and blue area redness increasing in size

Other Meds: multi vit. vit. D

Current Illness: none

ID: 1019513
Sex: F
Age: 59
State: NY

Vax Date: 01/28/2021
Onset Date: 02/03/2021
Rec V Date: 02/10/2021
Hospital: Y

Lab Data:

Allergies: Nuts

Symptoms: Experienced crescendo and decrescendo abdominal pain with pain scale of 8/10 . CT findings consistent with small bowel closed loop obstruction requiring exploratory laparotomy. Discharged from hospital 5 days after surgery.

Other Meds: None

Current Illness: None

ID: 1019514
Sex: M
Age: 24
State: TX

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Left arm and hand swelling within 15 minutes after first vaccine. Later that evening his left left was swollen also on the same side that he received his vaccine. 2-3 days his injection site was sore.

Other Meds:

Current Illness:

ID: 1019515
Sex: M
Age: 41
State: IN

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Chills, Subjective fever, Sneezing, Runny Nose. Chills became severe towards evening. Fever broke during night while asleep. Resolved the following morning.

Other Meds: None

Current Illness: None

ID: 1019516
Sex: M
Age: 26
State: NY

Vax Date: 02/06/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Headaches with exertion. Patient reports extreme L sided head pain when doing any exertion after receiving the vaccine. Denies vision changes, nausea, vomiting, fevers, chills, malaise or any other symptom. Denies hx of migraines or headaches.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm