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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 0926225
Sex: F
Age: 59
State: IN

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

Lab Data: N/A

Allergies: None

Symptoms: When driving home my throat started to feel like it was closing. I drank cold water the entire way home. I kept debating on turning around but was able to drink water. This started 15 minutes into my drive home, 30 minutes after shot. Once home I ate dinner and drank more water. This feeling last a couple hours. Am concerned about booster.

Other Meds: Daily vitamin. Lexapro 10mg. Fish Oil

Current Illness: None

ID: 0926226
Sex: M
Age: 48
State: OH

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: stated penicillin- hives

Symptoms: Incident occurred at a COVID19 mass vaccination clinic. Within 5-10 minutes after vaccination, client complaint of dizziness, nausea, and right eye was twitching and drooping. Client stated that they had a history of penicillin allergy with a hives/rash reaction. Client checked his sugar and it was at 138. EMS that was on-site checked vitals @11:22 BP 160/100 pulse 72 resp 16 pupils NTL , alert and verbal, skin normal, respirations normal; @11:33 BP 160/105. Client initially refusing transport by EMS. After 45 minutes of blood pressure not dropping, client agreed. @11:50 EMS transport by EMS. Hospital has attempted to reach client for follow up of outcome but has not received return call.

Other Meds: stated he took an antihistamine, otherwise unknown

Current Illness: stated cleared from positive COVID19 isolation 3 weeks prior

ID: 0926227
Sex: F
Age: 45
State: VT

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

Lab Data:

Allergies:

Symptoms: Fever and body aches, feels poorly. Stayed home from work

Other Meds:

Current Illness:

ID: 0926228
Sex: F
Age: 41
State: MN

Vax Date: 12/24/2020
Onset Date: 12/24/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: fatigue - onset about 1230, I usually don't take naps but I took a 4 hour nap that day headache - onset about 1230, lasted the rest of the day and intermittently the next few days injection site pain x 3 days - moderate, pain would wake me in my sleep if I rolled onto affected side

Other Meds: Zoloft, Wellbutrin, Topamax, Zyrtec

Current Illness: none

ID: 0926229
Sex: M
Age: 48
State: AL

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: Saturation 97% on room air at rest and with exertion for 3 weeks post vaccine date.

Allergies: Sulfa-hypotension Percocet-itching

Symptoms: Fatigue that requires daily naps and 12-14 hours of sleep daily. Shortness of breath, despite normal saturation 97% on room air. Dyspnea with exertion with normal sinus rhythm rate in 80s. Cheat tightness.

Other Meds: Aspirin 325 mg daily Bystolic 5mg daily Nexium daily Centrum MVI D3 daily

Current Illness: Covid positive with one week hospitalization July 3, 2020. Required oxygen by Nasal cannula. Received Remdisivir which caused liver enzyme elevations. EF decreased to 40% from 50% from Covid. Received convalescent plasma, melatonin, Pepcid, decadron 6mg x 10 days. Had steroid withdrawal due to lack of tapering. Bystolic 5 mg started to keep HR below 100.

ID: 0926230
Sex: F
Age: 40
State: PA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
Hospital: Y

Lab Data: EKG CBC Chemistry ECHO

Allergies: Penicillin Clindamycin

Symptoms: Patient experienced an episode of SVT and then sinus tachycardia for approximately 6 hours after injection

Other Meds: Symbicort Levothyroxine Myrbetriq vitamin D vitamin C Calcium

Current Illness:

ID: 0926231
Sex: M
Age: 41
State: PA

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

Lab Data: flu test done result negative covid test done result pending

Allergies: no

Symptoms: injection site pain, triedness, headache, muscles pain, chills, fever, joints pain feeling unwell, weakness.

Other Meds: no

Current Illness: Flu two weeks before

ID: 0926232
Sex: F
Age: 42
State: AL

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

Lab Data:

Allergies: none

Symptoms: chills, cold sweats, diarrhea, muscle aches

Other Meds: multi vitamin, collagen, chondroitin, zyrtec, advil (3 hours & 7 hours after vaccine)

Current Illness: none

ID: 0926233
Sex: F
Age: 42
State: TX

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Latex, bell peppers, vitamin E (Atopic dermatitis)

Symptoms: Moderna COVID-19 Vaccine EUA: Persistent swelling, redness, inflammation and soreness at injection site 8+ days.

Other Meds: Multivitamin, Progesterone (100 mg/day)

Current Illness: none

ID: 0926234
Sex: F
Age: 82
State: MI

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

Lab Data:

Allergies:

Symptoms: Weakness, body aches

Other Meds:

Current Illness:

ID: 0926235
Sex: F
Age: 69
State: FL

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: Cortisone, Alcohol, Erythromycin

Symptoms: Migraine headache, Heart palpitations, Site redness and edematous with pruritus lasting longer than a week and size of a silver dollar

Other Meds: Vit B12, Zinc, Magnesium. Garlic, Amitriptyline, Motrin, Excedrin Migraine, Norvasc

Current Illness: None

ID: 0926236
Sex: F
Age: 64
State: NY

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received injection at 1130 and immediately was dizzy. She then waited her 15 minutes and felt fine and went back to work (in the same building). She ate lunch and then blurry vision started around 1400. She then came back down and was evaluated by a nurse. She was asked to sit and be monitored and at 1420 she reports distantly blurry vision. Vital signs were within normal limits and patient concurrs normal for her.

Other Meds: mexotrexate, prozac, propranolol, folic acid, atorvastatin, calcium with d, osteo biflex, vitamin b complex, fish oil,

Current Illness: none

ID: 0926237
Sex: F
Age: 56
State: IA

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: none.

Allergies:

Symptoms: arm soreness from 12/31/20 to 1/5/21. fatigue 12/31/20 to 1/4/21.

Other Meds:

Current Illness:

ID: 0926238
Sex: F
Age: 59
State: NM

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: None so far, however Dr., MD recommended a CAT scan of the brain if it doesn't resolve soon.

Allergies: Amoxicillin; Penicillin; Sulfa; Hydrocodone; Juniper (severe).

Symptoms: Moderna COVID -19 Vaccine EUA: Day 1, sore arm (expected) up to Day 5; Days 2 to today: extreme tiredness like mono, and vertigo upon turning head, lifting head from pillow or putting head down on pillow to go to sleep. I cannot turn suddenly, pick items up from the floor, or rotate without having vertigo. It is especially extreme when lying down to go to sleep or getting up in the morning. Days 3-5 Body aches as if I was getting the flu. I no longer have a sore arm or body aches, but the vertigo has not changed. I went to hospital 1/4/21 about the problem with vertigo and they told me to see my personal doctor if I still have the problem on 1/11/21. They gave me Meclizine 25 mg 2 capsules every 8 hours, however I am working and the label says not to use when driving.

Other Meds: Metformin, 1,000 mg 2X a day with food; Fenofibrate, 48 mg, 1X a day with food; Lisinopril, 20 mg, 1X a day; Simvastatin, 80 mg, 1X a day at bedtime; Pantoprazole Sodium, delayed-release 40 mg as needed. Supplements and vitamins: B12 5,000

Current Illness: None known.

ID: 0926239
Sex: F
Age: 37
State: GA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: N/A

Allergies: Acetaminophen Codeine Shellfish

Symptoms: Pfizer BioNTech COVID-19 Vaccine EUA; when patient was in 15 minute observation she reported feely dizzy and getting "tunnel vision." Patient sat down on the floor of her own accord without injury or difficulty. Had patient elevate her legs above heart level. Checked patients vitals, her blood pressure was low, but O2, respiration and pulse were within normal range. Patient was shaking and reported her tongue felt "tingly" and "heavy on my chest." Patient reported she had a smoothie prior to coming in for her appointment. She was given sprite. Patient felt better, but approximately 7 minutes later reported her stomach felt queezy. Blood pressure had improved and other vitals were still stable. Patient still reported her tongue felt "tingly," but no swelling, trouble breathing, or throat tightness. Patient was picked up by her father 45 minutes later and was able to ambulate to the car (with supervision) of her own accord without assistance.

Other Meds: NA

Current Illness: NA

ID: 0926240
Sex: F
Age: 35
State: MA

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

Lab Data:

Allergies: Percocet

Symptoms: All mild symptoms in list except stomach issues. Fever, joint and muscle pains, headache, exhaustion, chills

Other Meds: Lamectil Synthroid May have skipped doses

Current Illness: No

ID: 0926241
Sex: M
Age: 40
State: OH

Vax Date: 12/28/2020
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: PENICILLIN

Symptoms: WARM, REDDENED AREA ON ARM OF INJECTION. THE REDDENED AREA MEASURES ABOUT 4X5 INCHES AND IS LOCATED APPROXIMATELY 2 INCHES BELOW THE VACCINATION INJECTION SITE. THE AREA BECAME RED AND WARM 9 DAYS AFTER VACCINATION. PREVIOUS TO THIS REACTION, I ONLY EXPERIENCED PAIN IN THE ARM OF INJECTION ON DAYS 2-3 POST VACCINATION.

Other Meds: DAILY VITAMINS; AIRBORNE

Current Illness: NO

ID: 0926242
Sex: F
Age: 62
State: IL

Vax Date: 12/21/2020
Onset Date: 12/24/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: IV hydration, Zofran administration IV, CBC & Chemistry all done on 12/25/2020

Allergies: None

Symptoms: I had the 1st Pfiser Covid Vaccine on 12/21/20 and on 12/24/20 I had abdominal pains resulting in diarrhea turning into bright red bleeding by the late morning on 12/25/20. I continued to bleed for hours (only when cramping) and ended up going to an ED for severe abdominal pain, bleeding, nausea and general weakness. The ED doctor said it was from internal hemorrhoids and the diarrhea and was not sure it was related to the Covid Vaccine and possible being an intestinal flu but I felt like I needed to report. I also had nausea and vomiting the evening of 12/26/20 lasting about 12 hours. It took me a few days of Zofran and Imodium to get it in control and the bleeding did stop by 12/27/20.

Other Meds: Lipitor 20mg qd Losartan/Hydrochlorathiazide 50mg/12.5mg qd Asa 81 mg qd Zinc 25 mg qd D3 1000IU qd

Current Illness: None

ID: 0926243
Sex: F
Age: 38
State: KY

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Two days after receiving vaccine employee began to experience a discomfort in right chest wall upon inspiration. Upon physical assessment there was not redness, swelling or limited mobility of extremity, no noted lymph node inflammation detected. Thus far discomfort has caused no loss of sleep or other activity.

Other Meds: None

Current Illness: None

ID: 0926244
Sex: F
Age: 30
State:

Vax Date: 12/31/2020
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Mushrooms

Symptoms: Day 6 - developed rash/hives and swollen area over injection site. Then developed hives on face. Hives on face disappeared after 4 hours. Rash/hives/swollen arm is still present 24 hours later.

Other Meds: Kelnor 1/35 - birth control

Current Illness: Sinus infection

ID: 0926245
Sex: M
Age: 58
State: IL

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

Lab Data: N/A

Allergies:

Symptoms: 01/06/2021 2nd dose: Sore arm, metallic taste in mouth mild nausea tired feeling 12/17/2020 1st dose Pfizer vaccine :Sore arm, metallic taste in mouth mild nausea tired feeling and headache .

Other Meds: Rosuvastatin, Crestor, Zetia, Plavix , baby aspirin vitamin D, Latanoprost eye drop, aleve

Current Illness: N/A

ID: 0926246
Sex: F
Age: 89
State: MI

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

Lab Data:

Allergies:

Symptoms: Redness at injection site (R) Deltoid

Other Meds:

Current Illness:

ID: 0926247
Sex: F
Age: 64
State: KY

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

Lab Data: 1/6/2021 Partial thromboplastin time, CBC w/diff, CMP, NT-ProBNP, Protime-INR, TSH, Tropinin, Urinalysis, Antibody/Antigen combo, CT of head

Allergies: sulfur medications, wheat products, shell fish

Symptoms: I was feeling fatigue night after injection. Next morning I passed out, woke up sweaty. Then started vomiting and having severe leg cramps. Called employee health and they said to go to emergency department.

Other Meds: Norvasc 5mg, lisinopril 40mg, pravastatin 20mg, Synthroid 112mcg, potassium 99mg, biotin 10,000mg, glucosamine 1500mg, chondroitin 1200mg, fish oil 1200mg, flaxseed oil 1300mg, probiotic

Current Illness: none

ID: 0926248
Sex: F
Age: 43
State: MD

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Known allergic reactions-requesting vaccine. Had personal EpiPen with her. Itchy throat, watering eyes.

Other Meds:

Current Illness:

ID: 0926249
Sex: M
Age: 68
State: TX

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

Lab Data:

Allergies: None

Symptoms: Chills lasting 20 minutes starting 3 hours after vaccination

Other Meds: Benicar Lovistatin Metformin

Current Illness: None

ID: 0926250
Sex: F
Age: 73
State: MI

Vax Date: 11/18/2020
Onset Date: 11/18/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: no

Allergies: Ace Inhibitors, bee sting, nickel

Symptoms: Got home about 9:45pm, starting shaking,. Went to bed and her whole body was jumping. Closed her eyes for a while and when she opened her eyes, it was 2 hours later, the jumping stopped. Have no memory between those hours. Since the incident, she's having some memory issues. Has had shingles twice before, about 20 years ago and three years ago.

Other Meds: Levothyroxine, Nifedipine, Trazodone, Bupropion

Current Illness: no

ID: 0926251
Sex: F
Age: 47
State: FL

Vax Date: 12/28/2020
Onset Date: 01/03/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: n/a

Allergies: NKA

Symptoms: 12/28-12/29: arm/injection site soreness, then subside; 1/3-1/4-itchiness, increased pain/tenderness at injection site; 1/5-injection site tender/red/sore/swelling with increased area (used IB profen/topical cortisone); 1/6-same as 1/5 but milder and less redness; 1/7-mild tenderness with most other symptoms resolved

Other Meds: women's daily multivitamin

Current Illness: None

ID: 0926252
Sex: F
Age: 34
State: VA

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

Lab Data: EKG with normal sinus rhythm elevated BP 150/100

Allergies: mushrooms

Symptoms: numbness of throat and back half of tongue, ear pressure, chest pain, nausea

Other Meds: multivitamin

Current Illness: none

ID: 0926253
Sex: F
Age: 62
State: NY

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

Lab Data: none needed

Allergies: Sulfa, Penicillin, mango, latex, pineapple, scents of roses, scents of pine cones, scents of lilies

Symptoms: Very sore arm, unable to lift or move, stiff neck

Other Meds: Hyzaar, Fexofenedine, Black Cohosh, Multivitamin, Calcium

Current Illness: none

ID: 0926254
Sex: M
Age: 62
State:

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

Lab Data:

Allergies:

Symptoms: Shortness of breath and chills after vaccine administration

Other Meds:

Current Illness:

ID: 0926255
Sex: F
Age: 41
State:

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Received the Moderna vaccination on 12/28/20 (1st dose). Developed induration, redness & itching at injection site after vaccine. Still present on day 7.

Other Meds:

Current Illness:

ID: 0926256
Sex: F
Age: 60
State: MN

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: redness below injection site. Ice pack applied to 10 minutes. Then a large blister appeared, and a cluster of small blisters.

Other Meds:

Current Illness: none

ID: 0926257
Sex: F
Age: 54
State: TX

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: RED, SWOLLEN, PAIN, ITCHING AT INJECTION SITE, STILL HAVING SAME SYMPTOMS AS OF THIS WRITING

Other Meds: VITAMIN D ALLER-TEC

Current Illness: NONE

ID: 0926258
Sex: F
Age: 41
State: WI

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: PARATHESIA OF LOWER LIP

Other Meds:

Current Illness:

ID: 0926259
Sex: F
Age: 49
State: VT

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

Lab Data:

Allergies:

Symptoms: Fever and body aches. Stayed Home

Other Meds:

Current Illness:

ID: 0926260
Sex: F
Age: 33
State: TX

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Codeine Flu shot Meningitis shot Doxycycline Beef Seasonal allergies

Symptoms: Moderna Covid-19 Vaccine EUA Redness and swelling in left arm, itching at injection site. Kept track by outlining and it went from 5 cm on day 2 to 9 cm on day 3. Diagnosed with cellulitis at injection site as well. Treatment of steroid shot, antibiotics, ice and Benadryl.

Other Meds: Gabapentin Nortryptoline Zinc D3 B complex Ibuprofen Tylenol

Current Illness: Lupus Covid (diagnosed on 11/08/2020)

ID: 0926261
Sex: F
Age: 31
State: NJ

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: On 1/4 2021, 7 days post injection she devloped a 4x6 mildly pruritic erythematous rash at the vaccination site. It is slowly fading

Other Meds: NONE

Current Illness: NONE

ID: 0926262
Sex: F
Age: 49
State: ND

Vax Date: 10/03/2020
Onset Date: 10/01/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: 11/03/2020: C-Reactive and CBC performed 12/222/2020: MRI 12/30/2020: MRI

Allergies: Augmentin Bactrim Venom - Honey Bee

Symptoms: 11/03/2020: Patient to urgent care, patient states pain started later that day of injection, pain continues. C-Reactive, CBC, and melovicam given. 12/21/2020: Presents to urgent care with muscle weakness, arthalgia/joint pain. Suggested physical therapy and a referral to orthopedics done.

Other Meds: Clindamycin Epi-pen multivitamin pantoprazole zolmitriptan

Current Illness: Exposure to COVID-19 (10/06/2020) Acute Respiratory Infection (10/06/2020)

ID: 0926263
Sex: F
Age: 40
State: TX

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

Lab Data:

Allergies:

Symptoms: EE reports facial swelling with pressure and HA at 3:00 pm went to the ER at 6:00 pm

Other Meds:

Current Illness:

ID: 0926264
Sex: F
Age: 32
State: ND

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

Lab Data: BMP: abnormal results-sodium 136; glucose 122; alk phos 37; total protein 6.1; Lactate: 2.8 CBC: RBC: 3.82

Allergies: Reglan

Symptoms: Developed abdominal pain, nausea, vomiting, fever and cough within 12 hours of receiving COVID 19 vaccine. Had COVID 19 in November of 2020. Severe enough symptoms to go to the ED. Received IV fluid, and zofran. Admitted to observation status and received IV pain medication for headache, enema, due to obstipation.

Other Meds: Neurontin 300 mg; ceterizine 10 mg; citalopram 20 mg; mirvaso 0.33% topical; ibuprofen 600 mg; tylenol 1000 mg;

Current Illness:

ID: 0926265
Sex: F
Age: 22
State: MD

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: COVID-19, Rapid Streptococcus test

Allergies: N/A

Symptoms: My tonsils have swollen. Negative strept and covid test. Never had swollen tonsils before. No swollen glands associated

Other Meds: Enskyce

Current Illness: N/A

ID: 0926266
Sex: F
Age: 42
State: MT

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

Lab Data: None

Allergies: NKDA

Symptoms: loss of sense of smell (was almost fully recovered after having COVID in November)

Other Meds: ASA 81 mg

Current Illness: COVID Positive test November 12, 2020

ID: 0926267
Sex: F
Age: 55
State: CO

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: no ne

Allergies: Erythromycin

Symptoms: Large knot on my arm where injection was given. Also spot is also red. It has gotten larger and redder since it started 2 days ago.

Other Meds: None.

Current Illness: none

ID: 0926268
Sex: F
Age: 27
State: OH

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Severe endometriosis flare up on right ovary. Lasted several hours pain radiated down right thigh.

Other Meds: Orilissa, Mirena

Current Illness: None

Date Died: 01/05/2021

ID: 0926269
Sex: M
Age: 74
State: MD

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: No Known Allergies

Symptoms: Pt last seen at 1200 by nurse for ID band check. No visible signs of distress noted. Pt states "I just want to be left alone". 1230 nurse was called to pt room. Pt was noted unresponsive, no pulse and respiration noted. CPR started immediately, at 1239 first shock given. 1245 EMT took over, at 1319 EMT called time of death

Other Meds: Acetaminophen Tablet 325 MG, Enulose Solution 10 GM/15ML (Lactulose Encephalopathy), HYDROcodone-Acetaminophen Tablet 5-325 MG, Milk of Magnesia Suspension 400 MG/5ML (Magnesium Hydroxide, Potassium Chloride ER Tablet Extended Release 20 ME

Current Illness: Fracture of right superior and inferior pubic rami, fracture of the right sacral alla, and fracture of the L3 vertebral body. UNSPECIFIED PROTEIN-CALORIE MALNUTRITION

ID: 0926270
Sex: F
Age: 45
State: ME

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

Lab Data:

Allergies:

Symptoms: Immediately after receiving the dose employee didn't feel well. She was monitored (in her vaccination seat) with a pulse oximeter and heart rate which read 70% and 30 BPM. The vaccination clinic employees administered 1dose of epi and called a rapid response. The rapid response team arrived within 2 minutes and she was brought to the ED

Other Meds:

Current Illness:

ID: 0926271
Sex: F
Age: 28
State: CA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: sluggish headache threw up sore arm fatigue

Other Meds:

Current Illness:

ID: 0926272
Sex: F
Age: 45
State: OH

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: N/a

Allergies: Yes

Symptoms: Headache within hour of receiving vaccine, patient took Tylenol

Other Meds: N/a

Current Illness: N/a

ID: 0926273
Sex: F
Age: 40
State: OK

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

Lab Data: no

Allergies: penicillin, iv contrast dye

Symptoms: After 10 mins of shot had hot flash, nagging headache, nausea in waves. Driving home more hot flashes and nausea, pain in left hip. Got really sleepy. Had problems with left hip, problem getting out of car very stiff. Couldn't stand on the left leg. Had stinging with every step. Burning sensation in the hip. Right arm started having nagging pain with tingling, took Tylenol. Tried to get out of bed, left hip felt like something was poking with fire. Saw bumps on hip, left back. Upper arm was still having tinge. Took Benadryl. Next morning woke up with lesions on left hip, some ruptured that felt like acid and then form a scab. The right arm started with the lesions. Went to urgent care. Dr. diagnosed patient with shingles. Patient questions the Shingles at her age. Pt was given Valtrex for the shingles.

Other Meds: Lisinopril, Norvasc, Neurontin, Tylenol

Current Illness: flu in December. Took Tamiflu.

ID: 0926274
Sex: F
Age: 29
State: FL

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

Lab Data:

Allergies: Sulfa

Symptoms: Fever, chills, sweats, poor appetite Just a note: I was previously diagnosed with Covid in June 2020 wondering if that is a factor in having side effects

Other Meds: Birth control

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm