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: 1021022
Sex: F
Age: 74
State: IN

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

Lab Data:

Allergies: codeine

Symptoms: extreme chills, pain in arm and head, stuffiness. lasted about 30 hours

Other Meds: none

Current Illness: none

ID: 1021023
Sex: M
Age: 28
State: OK

Vax Date: 02/01/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: N/a

Allergies: Ceclor

Symptoms: Severe headaches, severe abdominal pain, severe swelling and pain in glands under chin, nausea/vomiting, fever chills, hallucinations, confusion, decrease in mental acuity,abortion pain in joints and muscles.

Other Meds: Hydroxychloroquin, prednisone, melatonin, aspirin.

Current Illness: Covid 19 starting on 1/6/2021 declared recovered on 1/21/2021

ID: 1021024
Sex: F
Age: 31
State: IL

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

Lab Data: None

Allergies: None

Symptoms: Patient developed mental confusion for 1 hour, 2 hours after receiving the vaccine.

Other Meds: Levothyroxine

Current Illness: None

ID: 1021025
Sex: F
Age: 49
State: CO

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

Lab Data: none

Allergies: anaphylaxsis to bacitracin Percocet [Oxycodone-acetaminophen] Skin Rash and/or Hives Not Specified 12/3/2010 Lip swelling adhesive tape rash

Symptoms: Fever, chills, body aches, severe headache, vertigo, nausea, vomiting, rash at site and extending down arm

Other Meds: Cyclobenzaprine (FLEXERIL) 10 mg Oral Tab Cyanocobalamin (VITAMIN B-12) 1,000 mcg Oral Tab Cetirizine (ZYRTEC) 10 mg Oral Tab Fluticasone (FLONASE) 50 mcg/actuation Nasl SpSn Albuterol (VENTOLIN HFA) 90 mcg/actuation Inhl HFAA

Current Illness: had adverse reaction to initial injection of covid with local rash

ID: 1021026
Sex: F
Age: 17
State: IN

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

Lab Data: none

Allergies: none known

Symptoms: Patient presented at clinic for her second dose in the Moderna Covid series at which time I determined she was a minor at 17 years old. I contacted my supervisor and was informed that per CVS policy I should administer the second dose to complete the series and file a VAERS Report.

Other Meds: none known

Current Illness: none

ID: 1021027
Sex: F
Age: 84
State: CA

Vax Date: 01/25/2021
Onset Date: 01/29/2021
Rec V Date: 02/10/2021
Hospital: Y

Lab Data: 1/30/21 troponin 1 1.750 ng/mL, BMP 1005.6 pg/ml

Allergies: Penicillin (hives all over body), Codeine (jittery), Gentamicin (Rash & itching), Erythromycin (Itchiness, rheumatoid arthritis symptoms), Sulfa drug (Itch), Vancomycin (Rash)

Symptoms: Patient was brought in by ambulance on 01/28/2021 with complaints of fever, chills, myalgias, shakiness, and severe hypotension. Patient was treated for severe sepsis and acute kidney injury. Patient was given fluid resuscitation, but unresponsive to treatment; NE+ vasopressin, hydrocortisone IV, along with empiric antibiotic regimen were initiated. Patient later on developed pulmonary edema, Non-ST elevation MI with no chest pain and new onset of cardiomyopathy with EF 40-45% and clean coronary arteries shown on cardiac catheterization. Physician suspected cytokine release syndrome related to the COVID vaccine and congestive heart failure. Naranjo scale score of 2 indicates possible ADR. MD indicated vaccine reaction unlikely.

Other Meds: atorvastatin 10 mg po qday baclofen 10 mg po tid estradiol 0.1 mg/g vaginal cream qhs ferrous sulfate 45 mg po MWF folic acid 1 mg oral po qd furosemide 20 mg po qd gabapentin 300 mg po tid levothyroxine 75 mcg po qd losartan 25

Current Illness: UTI

ID: 1021028
Sex: F
Age: 49
State:

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

Lab Data:

Allergies:

Symptoms: Felt lightheaded and sweaty, LOC ~ 10 sec , loss of bladder control . all other VS WNL

Other Meds:

Current Illness:

ID: 1021029
Sex: F
Age: 39
State:

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

Lab Data:

Allergies: Mild citrus and tomato allergies

Symptoms: Approximately 15 hours after receiving the shot I presented with a fever and chills. I took OTC Tylenol at the recommended 6 tablets in 24 hours. My symptoms subsided in about a day During my first round, I had a swollen lymph node by my collar bone that came up roughly a week after the shot. It is still slightly swollen

Other Meds: Collagen, Spirulina, Medical Marijuana, Vitamins K, D, C, A, magnesium, Zinc, and Elderberry

Current Illness: None

ID: 1021030
Sex: F
Age: 66
State: AL

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: Penicillin, Sulfur, Ibprofen, Hydrocodone and slight reactions to Grits, Ragweed

Symptoms: Swelling and itching around site day after shot. Yesterday, February 9, 2021--Site of shot started itching again...not severe just concerning since I usually have no reaction to vaccinations.

Other Meds: LICINOPRIL, 81% Aspirin, Vitamins B, C, D; Folic Acid Tylenol Arthritis, Ibuprofen,

Current Illness: Acute Sciatica

ID: 1021031
Sex: F
Age: 27
State: NH

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

Lab Data: n/a

Allergies: none

Symptoms: Pt developed lightheadedness, tingling of tongue and mild nausea 1-2 minutes after injection. She suspects that she may have passed out momentarily. BP was 105 systolic. HR: 98, SP02: 100%. She was given snacks and a drink and improved without intervention. She left appx 45 minutes after injection and noted that she felt back to normal.

Other Meds: none

Current Illness: none

ID: 1021032
Sex: F
Age: 32
State: AL

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

Lab Data: none

Allergies: NONE

Symptoms: /Pt reports, a numb tingling sensation, became diaphoretic, described blurry vision. BP 80/40, pt laid down with feet propped up, EMS activated. Pt allowed to rest, regained color and states she feels better. 16:25, patient refused transport to ER via EMS, 16:45 Patient ambulated out of the clinic with out assistance with husband.

Other Meds: YASMINE, TRINTELLIX

Current Illness: NONE

ID: 1021033
Sex: M
Age: 74
State: PA

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

Lab Data:

Allergies: none

Symptoms: Pt called 1 day after vaccine and said to RPh that arm hurt. Was told by Rph to use OTC pain meds and that it is a common side effect of the immunization. He called again 3 days later and asked RPh again. RPh told pt that it should last about 72 hours but has heard of reports of pain lasting around a week. On 2/10, pt called and said arm still hurts. RPh told pt to contact his MD and keep us updated with what the MD says.

Other Meds: rosuvastatin 20mg, losartan/hctz 50-12.5mg

Current Illness: none

ID: 1021034
Sex: F
Age: 41
State:

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Patient experienced severe shoulder, neck and jaw pain that prevented her from eating. Onset was 12-24 hours. The symptoms resolved without intervention after 3 weeks.

Other Meds: N/A

Current Illness: N/A

ID: 1021035
Sex: F
Age: 67
State: CA

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

Lab Data: non

Allergies: unknown

Symptoms: Patient reported metallic taste in mouth and nausea 15 minutes after receiving vaccine. Tingling in lips and tongue Moved to EMT area- BP-162/82, pulese-62, Second set 142/76, pulse 68, O2 sats- 97%

Other Meds: unknown

Current Illness: none

ID: 1021036
Sex: F
Age: 62
State: IN

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

Lab Data:

Allergies: Seasonal allergies

Symptoms: Chills, fever101 for greater than 36 hours, then low grade for 24. Eyes burned, unable to have open, headache for 36-48 hours. Localized reaction. Arm with hard knot at site, baseball size, diffuse redness from upper arm to elbow and around to underarm and axilla area. Started on oral antibiotics on day 7 for cellulitis to arm

Other Meds: Metformin, glipizide, januvia, hctz, olmesartan, montelukast, baby aspirin, atorvastatin, humalog, levemir

Current Illness: None

ID: 1021037
Sex: F
Age: 52
State: NY

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

Lab Data: none

Allergies: none

Symptoms: Felt hot and flushed. BP 130/82, P74, no respiratory sx. no wheeze. no orbital swelling.received 25 mg benadryl po. felt better in 15 minutes

Other Meds: none

Current Illness: Von Willebrand's Disease

Date Died: 02/01/2021

ID: 1021038
Sex: F
Age: 95
State: MO

Vax Date: 01/13/2021
Onset Date: 01/01/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient had passed since the first dose was given.

Other Meds:

Current Illness:

ID: 1021039
Sex: M
Age: 87
State: MN

Vax Date: 01/06/2021
Onset Date: 01/20/2021
Rec V Date: 02/10/2021
Hospital: Y

Lab Data: CXR, CBC, CMP, UA, blood cultures, lactic acid ddimer, PCR Covid neg

Allergies: None reported

Symptoms: . Patient with increased lethargy, generallized edema, UTI and pneumonia,

Other Meds: Lactulose, , Tylenol, allopurinol, aspirin, melatonin, Colace, bisacodyl, MiraLAX, oxycodone, tamsulosin, gabapentin, Seroquel, Lyrica, and Xtampza ER

Current Illness: chronic medical conditions, no acute problems identified

Date Died: 01/17/2021

ID: 1021040
Sex: M
Age: 47
State: NE

Vax Date: 01/06/2021
Onset Date: 01/17/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Unknown

Allergies: Unknown - LTCF will also be reporting

Symptoms: Pfizer-BioNTech COVID-19 Vaccine Hospital Emergency Room Provider reported cause of death as COVID vaccine administered 11 days prior to death. Additional information being reported from LTCF.

Other Meds: Unknown - LTCF will also be reporting

Current Illness: Unknown - LTCF will also be reporting

ID: 1021041
Sex: F
Age: 18
State: OH

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

Lab Data:

Allergies:

Symptoms: Headache, metallic taste in mouth, fatigue

Other Meds:

Current Illness: Ear infection

ID: 1021042
Sex: M
Age: 37
State: MO

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

Lab Data: none

Allergies: NKDA

Symptoms: tinnitus starting mid january. constant. unresolved

Other Meds: sertraline, bupropion

Current Illness: none

ID: 1021043
Sex: F
Age: 77
State: KY

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

Lab Data: None

Allergies: Chlorthalidone 25 mg, Crestor 10mg, Predisone2.5 mg, Folic Acid 1mg, Protonix 40mg, Synthroid 75mg, one-a-day vitamin, omega red 1 daily, D3 5000mg, calcium, vitamin C. Allergies Levaquin.

Symptoms: Elevated Blood Pressure 168/84 ,Low Grade fever 99.3, Chills, and headache

Other Meds:

Current Illness: None

ID: 1021044
Sex: F
Age: 56
State: CA

Vax Date: 01/12/2021
Onset Date: 01/29/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: XR 2/1/21

Allergies: Tetracycline Hcl

Symptoms: Developed acute left anterior shoulder burning pain radiating down to mid upper arm since last week Friday. Has some neck pain. The only thing that was new was receiving the first dose of COVID19 vaccine #1 on 1/12/2021. She only had mild muscle pain that resolved shortly after the first vaccine dose. XR 2/1/21 Ortho 2/8/21 = Parsonage Turner Syndrome

Other Meds: atorvastatin (LIPITOR) 40mg Tab TAKE 1 TABLET BY MOUTH DAILY Disp: 90 Tab Rfl: 1 gabapentin (NEURONTIN) 300mg Cap Take 1 Cap by mouth daily at bedtime Disp: 30 Cap Rfl: 0 diclofenac sodium (VOLTAREN) 1 % Gel 2 g to affected area(s) four t

Current Illness:

Date Died: 02/01/2021

ID: 1021045
Sex: F
Age: 94
State: MO

Vax Date: 01/13/2021
Onset Date: 02/01/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient had passed since the first dose was given.

Other Meds:

Current Illness:

ID: 1021046
Sex: F
Age: 51
State: MI

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

Lab Data:

Allergies: Cat/feline, Dairy, Dog dander, dust mite tree and shrub pollen, camila, PCN, Simvastitin, Soybean extract

Symptoms: itching all over - eyes, arms, legs

Other Meds: Unknow

Current Illness: None

ID: 1021047
Sex: F
Age: 57
State:

Vax Date: 01/05/2021
Onset Date: 01/07/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: L shoulder Adhesive Capsulitis developing within days of receiving COVID-19 pfizer vaccine in L shoulder. Significant L shoulder functional limitation due to pain and stiffness, passive and active ROM severely limited to less than 90 degrees abduction and forward flexion.

Other Meds:

Current Illness:

ID: 1021048
Sex: F
Age: 61
State: FL

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

Lab Data: None

Allergies: None

Symptoms: Became very ill for 48 hours after injection. Chills, fever, severe myalgia, unable to stay up for more than 10 min at a time ,severe unrelenting headache.stuffy nose. Gradually subsided after 2nd day . Headache lasted a few days longer as well as stuffy nose.

Other Meds: Synthroid, Zoloft, Allegra, multi vitamin

Current Illness: Had symptoms of Covid but tested negative 14 days prior to injection

ID: 1021049
Sex: M
Age: 35
State: CA

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

Lab Data:

Allergies:

Symptoms: dizziness and increased heart rate Resolved after monitoring for 30 minutes

Other Meds:

Current Illness:

ID: 1021050
Sex: F
Age: 43
State:

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

Lab Data:

Allergies:

Symptoms: Patient reported rash developing on face within 24 hours of vaccination. No lip/tongue edema or other sign of anaphylaxis. Patient given oral antihistamine, symptoms resolved. Patient was monitored for anaphylaxis and released once no signs and symptoms of anaphylaxis were noted.

Other Meds:

Current Illness:

ID: 1021051
Sex: F
Age: 27
State: NE

Vax Date: 12/30/2020
Onset Date: 01/16/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Two negative pregnancy tests.

Allergies: None

Symptoms: I was expected to start my period on or around January 16. Today is February 10th and I still have not started. I have taken two pregnancy tests both after my missed period date and both were negative.

Other Meds: None

Current Illness: None

Date Died: 02/10/2021

ID: 1021052
Sex: M
Age: 93
State: MO

Vax Date: 01/13/2021
Onset Date: 02/01/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient had passed since the first dose was given.

Other Meds:

Current Illness:

ID: 1021053
Sex: M
Age: 51
State: CA

Vax Date: 01/13/2021
Onset Date: 01/27/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: Demerol

Symptoms: facial droop left( Bell's palsy)

Other Meds: Biktarvy, Xanax, Cymbalta, Imuran, lisinopril, Androgel , vitamin d

Current Illness: none

ID: 1021054
Sex: F
Age: 30
State: NY

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

Lab Data:

Allergies: NKA

Symptoms: Employee developed difficulty breathing, hives. Employee immediately sent to the Emergency Department for evaluation and treatment.

Other Meds: none

Current Illness:

ID: 1021055
Sex: F
Age: 38
State: OH

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

Lab Data: no

Allergies: Sulfur Drugs, Neomycin, Lanolin, Nickel

Symptoms: About 4 hours later, started getting an intense pain in stomach. At night had cold sweats, vomited once, severe diarrhea, low temp, blacked out, but did not go to the ER. Arm soreness and swollen. Stopped around 1:00 the next day. Monday felt a little froggy. Feeling better now.

Other Meds: Claritin D

Current Illness: no

ID: 1021056
Sex: F
Age: 40
State: IL

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: started with feeling achy about 20 hours after vaccine, then headache and very nauseous with a sore arm, the nausea was off and on for about 28 hours, the achy and yucky feeling lasted about 48 hours, and the headache lasted about 72 hours

Other Meds: Symbicort, birth control pill, venlafaxine, blood pressure med, vitamin C and D, multivitamin

Current Illness: none

ID: 1021057
Sex: F
Age: 28
State: TX

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

Lab Data: EKG and blood work came back normal

Allergies: Bactrim, gluten, lavender, eggs

Symptoms: Dizziness, followed by chest pain, then difficulties breathing. Couldn't take deep breaths without pain or coughing.

Other Meds: Mirena IUD

Current Illness: Staph infection

Date Died: 02/10/2021

ID: 1021058
Sex: F
Age: 72
State: MO

Vax Date: 01/13/2021
Onset Date: 02/01/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient had passed since the first dose was given.

Other Meds:

Current Illness:

ID: 1021059
Sex: F
Age: 47
State: NY

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

Lab Data: None

Allergies: None

Symptoms: Nine hours following injection, I developed a fever of > 100F and severe all-over-body ache, which lasted 36 hours.

Other Meds: thyroxine 100 mg norethincrone .35 mg Wellbutrin ex 150 mg

Current Illness: None

ID: 1021060
Sex: F
Age: 69
State: CA

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

Lab Data: none

Allergies: none known

Symptoms: Immediate tenderness unlike any vaccination I've received since polio vaccine when I was 6 and the doctor administering the shot bent the needle in my arm. Sensitivity mostly resolved after a day or so. Within 24 hours, sensitivity on my right side at or just below the waistline. Day 8, itchy upper arm, swallow, red, warm, firm around injection site.

Other Meds: levothyroxin 50mmg

Current Illness: none

ID: 1021061
Sex: F
Age: 57
State: AZ

Vax Date: 01/26/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt received the first dose and tested positive for COVID 19 13 days later.

Other Meds:

Current Illness:

ID: 1021062
Sex: M
Age: 80
State:

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

Lab Data:

Allergies:

Symptoms: Fever, body aches, and rash during the night after vaccination.

Other Meds:

Current Illness:

ID: 1021063
Sex: F
Age: 77
State: MA

Vax Date: 01/29/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Red, itchy rash to left arm started today. size approx 6-7 inches oval in shape to left arm (site of injection). No other associated sxs.

Other Meds:

Current Illness:

ID: 1021064
Sex: F
Age: 22
State: CT

Vax Date: 01/13/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Positive covid test

Allergies: None

Symptoms: Tested positive for covid 4 weeks after 2nd dose of Pfizer vaccine

Other Meds: Prozac 20mg daily

Current Illness: None

ID: 1021065
Sex: F
Age: 48
State: TX

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: Arm tenderness same day. On following day, it was swollen and raised and red and hot. Later that afternoon, one of the Hospital facility Dr's took a look and he determined it was a local reaction. He prescribed (an equivalent to Benadryl) Hydroxyvine -25 mg. It helped with the itching. The symptoms totally resolved by the end of the week (Friday).

Other Meds: no

Current Illness: no

ID: 1021066
Sex: F
Age: 73
State: MT

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: Patient called to report raised, red, itchy skin the size of a quarter at the injection site that started 3 days after the injection. Reported to patient that this has occurred with many patients and it should resolve in 1-7 days. Reporting to VAERS as this is not included in the information about usual vaccine reactions.

Other Meds:

Current Illness:

ID: 1021067
Sex: F
Age: 69
State: CA

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

Lab Data: none

Allergies: unknown

Symptoms: Slight numbness on tongue and right side of mouth. Resolved with monitoring for 30 minutes

Other Meds: unknown

Current Illness:

ID: 1021068
Sex: F
Age: 25
State: CA

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

Lab Data: N/A

Allergies: NKA

Symptoms: throat tightness, VP 112/63, O2 sat 99%, HR 87

Other Meds: oral contraceptives

Current Illness: N/A

ID: 1021069
Sex: M
Age: 62
State: FL

Vax Date: 01/26/2021
Onset Date: 01/31/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: Peanuts

Symptoms: Bruising and minor swelling. Bruising down entire upper arm. 2nd shot given on 1-26-2021 and bruising did not appear until 1-31-2021

Other Meds: Multivitamin, Fish oil

Current Illness: n/a

ID: 1021070
Sex: M
Age: 42
State: AL

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

Lab Data: none

Allergies: none

Symptoms: Pt sitting up in chair became pale, pasty, diaphoretic, states he isn't thinkin straight. Pt laid in floor, legs elevated. EMS activated, evaluated by paramedics, orthostatics negative, patient allowed to rest for until 1635. Patient color returned, states he felt better, ambulated out of clinic independently. Wife at side.

Other Meds: alprazolam 0.5mg tid

Current Illness:

ID: 1021071
Sex: F
Age: 55
State: GA

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Rocephin injection, Toradol injection, depo medrol injection. ketoalac and chepalaxin 250 mg

Allergies: Morphine and Flu shot 2016

Symptoms: Huge swollen under right arm lump node. Tired leg syndrome and joint pain. Severe pain in injection site, upper back and neck. weakness. Stiff muscles, dizziness and light headed, flu like symptoms. Extreme pain in right arm x 10, swollen red bumbs and rash around injection site.

Other Meds: Losartan 100mg, hydrochlorathazied 10 mg, Vitamin C 500mg, Vitamin D3 4,000

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm