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: 1022942
Sex: F
Age: 79
State: IN

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Biaxin

Symptoms: Extremely tender, sore and swollen arm, very sore throat, 101+ temperature and sleepiness & fatigue

Other Meds: Prescription: Metformin, Glimepiride, Lantus Solostar, Gabapentin, Lisinopril, Simvastatin OTC: Fish Oil, Mature Multi Vitamins & Minerals, Calcium Citrate, Vitamin D3, 81 mg aspirin

Current Illness: None

ID: 1022943
Sex: M
Age: 39
State: IL

Vax Date: 02/02/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: None

Allergies: Avacdo Erithromyacin Penicillin

Symptoms: Tenderness, rash, itching, inflammation and redness of skin at injection site beginning 8 days after injection

Other Meds: Atorvistatin 80mg Tylenol Claritin D

Current Illness: None

ID: 1022944
Sex: F
Age: 33
State: IA

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: none

Allergies: diphenydramine

Symptoms: None stated.

Other Meds: none

Current Illness: none

ID: 1022945
Sex: M
Age: 85
State: IN

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: none, but I talked to his health care provider and she is aware of this problem.

Allergies: none

Symptoms: On Tuesday after receiving the vaccine Lowell fell out of bed and was unable to get up. I called 911 and the EMTs helped him up into his wheelchair. Since he has Parkinson's and has balance problems he is unable to stand on his own for very long. All day Tuesday he was incoherent and fell twice in the bathroom where on the floor he was incontinent of his bowels. Later in the day he was incontinent of urine while sitting in his chair and was unaware of it. Two days later he says he doesn't recall any of that but his cognition seems to be better now. I think this should be a warning for Parkinson's patients.

Other Meds: Sinemet (Levadopa/Carbadopa) 100/25 mg 4 times a day Levadopa/Carbadopa Extended Release 4 times a day Metformin 1000mg daily Multivitamin daily Vitamin B12 daily Tylenol 2 at bedtime

Current Illness: none

ID: 1022946
Sex: F
Age: 40
State: CA

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Muscle and joint pain, headache nausea, chills

Other Meds: None

Current Illness: Asthma

ID: 1022947
Sex: F
Age: 36
State: CA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: CT Scan and Blood Tests done

Allergies:

Symptoms: Dr took her off work because of swollen lymph nodes and neurological things. Really sick all weekend long. Swollen lymph nodes in clavicle ,neck, cheek. Dr. prescribed muscle relaxants

Other Meds:

Current Illness:

ID: 1022948
Sex: F
Age: 31
State: NY

Vax Date: 01/26/2021
Onset Date: 01/30/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: several doctor appts with dermatologists and PCP

Allergies: none

Symptoms: Shingles in left arm and left side of the chest. Had burning in arm by 1/28, 2 days post vaccine, and then developed severe pain and rash by 1/31, diagnosed with shingles 2/2. Still suffering and on medication.

Other Meds: prozac 15mg, prenatal vitamin, vitamin d, advil

Current Illness: none

ID: 1022949
Sex: F
Age: 37
State: CA

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: n/a

Allergies: nkda

Symptoms: Patient received first dose of Pfizer in 1/10/21 and for some reason received her second dose by Moderna on 2/10/21. She has been having chills, body aches, fever. Resolved with over the counter tylenol.

Other Meds: tylenol

Current Illness: n/a

ID: 1022950
Sex: M
Age: 24
State: MD

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: lactose intolerance, weeds, pollen, cockroaches

Symptoms: fatique, H/A, MUSCLE PAIN, JOINT PAIN, CHILLS, SLIGHT FEVER-99.3, PAIN/TENDERNESS AT INJECTION SLIGHT resting at home , have not gone to a Dr. or spoke to one yet.

Other Meds: Digestive Advantage- Lactose Defense Formula for lactose intolerance Taken at 9am with breakfast.

Current Illness: none

ID: 1022951
Sex: F
Age: 67
State: CA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Loss of taste and smell. Not total loss, but chicken now tastes like it came from a toilet. Laundry soap smell now smells terrible. BBQ. Tastes like toilet.

Other Meds: Amlodipine, levothyroxine, gabapentin,

Current Illness: None

ID: 1022952
Sex: F
Age: 90
State: CA

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

Lab Data:

Allergies:

Symptoms: Systemic: Other- per Nurse Practioner , patient seemed like a "zombie" with blank stares and not responsive

Other Meds:

Current Illness:

ID: 1022953
Sex: F
Age: 66
State: FL

Vax Date: 02/05/2021
Onset Date: 02/08/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: EKG (2/5/21): NSR, rate 70 bpm, no ST elevation.

Allergies: NKDA

Symptoms: Within 15-minutes of vaccination, the patient reported feeling lightheaded. Stated they had a history of anxiety. EMS evaluated patient on-site. Patient was hypertensive (154/84). EMS monitored patient until normotensive, at which point, the patient refused transport to the hospital.

Other Meds: None reported

Current Illness: None reported

ID: 1022954
Sex: F
Age: 17
State: CA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The individual was vaccinated despite being 17 years old, 10 months younger than the vaccine is approved for. No reactions to the vaccine were reported.

Other Meds:

Current Illness:

ID: 1022955
Sex: U
Age: 65
State: IN

Vax Date: 01/14/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: My body aches all over and Tylenol isn?t helping

Other Meds: None

Current Illness: None

ID: 1022956
Sex: M
Age: 86
State: IN

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: got vax 13th woke up short of breath with 101 fever, headache, then had to use the bathroom every 20 minutes (urinate only). symptoms lasted about 48 hours. Only has 1 kidney due to renal carcinoma and doesn't want 2nd shot he is afraid to damage his only kidney and if side effects are worse the second time he doesn't want that.

Other Meds:

Current Illness:

ID: 1022957
Sex: F
Age: 56
State: NJ

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: Head CT, Head MRI, Blood tests, Carotid Ultrasound, Covid-19 test, Urine test-All normal, all on 2/10/21. Memory recovery started slowly at about 3pm on 2/10/21 and has progressed to about 80% recovery as of the time of this submission, but is not yet at 100% recovery

Allergies: none

Symptoms: Transient Global Amnesia along withHeadache, Nausea, Vomiting, Fever, chills, Arm soreness

Other Meds: synthroid

Current Illness: none

ID: 1022958
Sex: F
Age: 70
State: FL

Vax Date: 02/02/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Ciprofloxacin; Cephalexin - Clindamicin

Symptoms: A rash and some swollen and itching has appeared on my right arm after 8 days of receiving the vaccine.

Other Meds: Vitamin D3; Glimepiride 4mgs; Aspirin 81mg; Tamoxifen 20mg; Losartan 50mg

Current Illness: Diabetic; Breast Cancer

ID: 1022959
Sex: F
Age: 34
State: IA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: N/A

Allergies: Cefaclor; Topical Sodium Bicarbonate

Symptoms: Symptoms: Chills, body aches, nausea, light headed. Treatment: fluids PO & rest

Other Meds: Nabumetone; Tylenol; Prenatal vitamin; Duloxetine; Multivitamin

Current Illness:

ID: 1022960
Sex: M
Age: 72
State: FL

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: generalized fatigue, weakness, mild "flulike symptoms" Date and time of vaccination: (list both if they received both shots): 1st 1/12/2021, 2nd 2/3/2021 at 0730 Brand and lot of vaccine: pfizer 1st #eh9899, 2nd #el8982

Other Meds: levidopa tramadol escitalopram rosuvastatin pramipexole losartan meloxicam

Current Illness:

ID: 1022961
Sex: F
Age: 69
State: MN

Vax Date: 01/27/2021
Onset Date: 02/07/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: No

Allergies: tetracycline

Symptoms: I noticed my arm was itching I went to the bathroom and the injection site was red and warm to the touch. There's a little bit of a lump.

Other Meds: vitamin d3 500 mg valacyovir 500 mg methodone 110 mg

Current Illness: No

ID: 1022962
Sex: F
Age: 69
State: IN

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Penecillian

Symptoms: Nausea, extreme fatigue and chills that lasted almost 24 hrs.

Other Meds: Amlopine,atorvastatin,glucosamine,fish oil,calcium,D3,B12,magnesium

Current Illness:

ID: 1022963
Sex: F
Age: 83
State: PR

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: January 29, 2021, labs were performed, at the hospital an EKG was performed on January 26, 2021, it went well and I keep an agenda with daily pressures.

Allergies: shellfish (shrimp, lobster, land crab), onion, penicillin

Symptoms: The next day after getting the vaccine, it went up to 189/85/74, I took her to the hospital emergency room and it went up to 207, I had already gave her losartan 100mg at 10:00 pm and Lopressor at 11:00 pm, all these days she has been with pressures of 164/76/66, 179/80/72, mostly a range of 150 to 164 systolic, before administering the vaccine she had been 8 months more or less with stable pressure of 126/58/76 .

Other Meds: Losartan 100 mg, Levothroxine 25mcg, Folic Acid 1mg, Donepezil 5mg, Aspirin 81 mg, Metoprolol Tartrate 100 mg (2 veces al dia), Spironolactone 25 mg, Simvastatin 20mg, Ferrous Sulfate 325mg, Cantharis 30

Current Illness: none

ID: 1022964
Sex: M
Age: 29
State: TX

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: Rapid flu (2/11) negative

Allergies: Penicillins

Symptoms: Dose 1: 24 hours of fever, chills, rigors, nausea, and fatigue starting day of vaccination. Treatment was supportive care. Resolved in 48 hours. Dose 2: >48 hours of fever, chills, rigors, nausea, dizziness and fatigue starting day of vaccination. Treatment includes supportive care and cefdinir for possible vaccine site cellulitis. Symptoms have not yet resolved.

Other Meds: Escitalopram, buproprion, Tylenol, Ibuprofen, xyzal

Current Illness: None at the time, had a COVID infection and quarantined from Dec 28 2020 to Jan 8 2021. First moderna vaccine received Jan 12 2021, had 24 hrs fever, chills, rigors after that one.

ID: 1022965
Sex: F
Age: 60
State: CO

Vax Date: 12/24/2020
Onset Date: 01/01/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: Saw PA in primary care doctor office on January 5th. She said it was an inflammatory response to the COVID-Maderna injection.

Allergies: IBU, shellfish, cats

Symptoms: on 1/1/2021, right arm sore, hard, swollen,warm and red just above the elbow. ~4" x 5". Thought it was a bug bite. Took Benadryl each day (for 2 days) to relieve itching. Swelling, redness, etc went totally away after about a week.

Other Meds: Omeproazole, HCTZ/Lisinopril, Benadryl.

Current Illness: None

ID: 1022966
Sex: F
Age: 28
State: NC

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: unknown

Allergies: NKA

Symptoms: 28yr old patient presented to office on 1/15 for annual exam. Provider ordered for patient to receive Tdap vaccine greater than or equal to 7yo IM (BOOSTRIX/ADACEL). CMA prepared and administered Tdap vaccine to patient's LD (LOT # 33AT7) at 1140. On 1/22, patient reached out via message complaining of arm pain after vaccine. After several attempts, patient seen by provider on 2/5. Patient endorsed "achiness in the arm and with moving arm over head; not bothering at night, had some soreness almost immediately after the vaccine". Patient denied fever, chills, or rash and did not take any interventions prior to follow up visit. Patient felt vaccine had been administered "too high on the arm" however unable to v

Other Meds: unknown

Current Illness: unknown

ID: 1022967
Sex: F
Age: 70
State: VA

Vax Date: 01/27/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Moderna COVID?19 Vaccine EUA

Other Meds: Azelastine HCL 0.1%, Montelukast 10 mg, Aleve, Tylenol, Centrum complete, Famotidine, Tums, Centrum silver Vitamin D 2000 IU, Krill oil 500 mg, Lutein and zeaxanthin, A-Reds. Magnesium aspartate 100mg Calcium citrate 12.5 mg

Current Illness: eczema

ID: 1022968
Sex: F
Age: 45
State: VA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: None.

Allergies: Sulfa

Symptoms: Headache, bodyaches which lasted 24 hours.

Other Meds: Lexapro, Buspirone, Trazodone, Vitamin D 50,000 IU, calcium.

Current Illness: None.

ID: 1022969
Sex: M
Age: 77
State: AZ

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/11/2021
Hospital: Y

Lab Data: CT Scan

Allergies: NOne

Symptoms: This patient received his 2nd dose of Pfizer vaccine yesterday. Today, he had focal weakness and difficulty walking and was transferred for suspected stroke.

Other Meds: NO Chronic Med

Current Illness:

ID: 1022970
Sex: F
Age: 58
State: TX

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: n/a

Allergies: sulfa, flagyl

Symptoms: 1/20/21 2nd vaccination 1045. Later that evening, my arm at injection site was warm, sore. I started with fever, body aches, chills, HA, nausea. The fever lasted for 36 hours. Rotate between Tylenol, Ibuprofren; Temp 99.2-101. Had to call into work; fever. *COVID + between 1&2 vaccine. 1/5/2021 diagnosed. Symptoms started on 1/2/2021.

Other Meds: estrodiol, omeprazole, vit D, magnesium, probiotic

Current Illness: COVID +; 1/5/2021

ID: 1022971
Sex: M
Age: 51
State: TX

Vax Date: 01/22/2021
Onset Date: 01/25/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: none as of now

Allergies: none

Symptoms: After the 3rd day from receiving the vaccine, both my ankles became very tender. The tenderness extends from the top of the ankles to the toe on the top part of the foot. If I touch the area mentioned or if I push my foot down it hurts. The pain has not gone away as of today. The pain is more on my left foot which is more paralyzed than my right foot.

Other Meds: Pre workout and post workout supplements / tea

Current Illness: hemorrhoids

ID: 1022972
Sex: F
Age: 28
State: MD

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: my toes began tingling, getting numb, and then turning white and purple several times a day since I received the first dose of the vaccine. I have worn socks and slippers, I maintain an active lifestyle, and I am not sedentary during the work day. There were no changes in my lifestyle after receiving the vaccine. I have never gotten Covid-19, as far as I know. I contacted my doctor over the phone about my toe numbness and color changes, due to concerns about circulation, and she informed me that my most recent comprehensive bloodwork taken in January of this year showed me in excellent health. No concerns noted for anything such as lupus, hypo or hyperglycermia, or poor circulation. I am concerned about this ongoing.

Other Meds: Phentermine, famotidine, probiotic, vitamin d

Current Illness: none

ID: 1022973
Sex: F
Age: 55
State: TX

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: PENICILLIN

Symptoms: DAY AFTER INJECTION, DID HAVE REDNESS, FEVER IN THE AREA OF THE INJECTION. ALSO FELT "OFF", BUT THAT STOPPED WITHING 2 DAYS. TODAY 2/11/2021 - STILL HAVE A BIG KNOT THAT IS RED AND FEVER. I DID TAKE A PICTURE TO MAKE KEEP TRACK OF REDNESS/ POSSIBLY SPREADING.

Other Meds: VIT C, VIT B12, VIT D, ELDERBERRY, MULTI VITAMIN

Current Illness: NA

ID: 1022974
Sex: F
Age: 36
State: CA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: Blood work and it was normal. Did have a CT scan also that showed multiple lymph nodes in the clavicle and neck area.

Allergies: Compazine, hydrocodone.

Symptoms: She received the vaccine, her arm was sore arm throughout the day. She then had severe body aches. From the first vaccine had a sore arm, but one noticeable small lymph node in clavicle,. no pain. She then had this area react again, had swollen lymph nodes in clavicle and the entire area lit up in the neck and cheek area. She then went and did a CT scan and showed multiple lymph nodes. There was pulling of the face and neck. The swelling has caused the muscles to contract due to the pain. She does not have any droopiness, but it's hard for her to smile. They have taken her off of work, put her on muscle relaxants and to have more blood work done on Friday, tomorrow and return to the doctor on Tuesday.

Other Meds: Multivitamin

Current Illness: Side effects from first vaccine, see separate VAERS report.

ID: 1022975
Sex: F
Age: 22
State: CA

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

Lab Data:

Allergies: Sulfa

Symptoms: Warm, erythematous rash at injection site and less-so over right deltoid as well

Other Meds:

Current Illness:

ID: 1022976
Sex: F
Age: 61
State: TX

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Anethesia medications (patient went into cardiac arrest last time she had anesthesia drugs)

Symptoms: patient became dizzy

Other Meds: Multiple

Current Illness:

ID: 1022977
Sex: F
Age: 57
State: MS

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: n/a

Allergies: Codine

Symptoms: I awoke at 2 am and got up to go to the bathroom. I was extremely, severely weak, rapid heart beat, could hardly stand- had to support myself by leaning over sink and hanging onto walls to get back to bed. I felt some dizziness and had slight nauseau but did not vomit. I could not stand. I had to get back to lay down. Felt like my pulse and blood pressure was all over the place. I normally have low blood pressure. I thought I was going to pass out. I was very shaky and felt terrible. Felt completely debilitated. When I laid back down and rest, things calmed back down. I did take more ibuprofen. Arm is sore but expected that. When I got up this morning i was still very weak feeling but somewhat better. I have just been taking it easy. Have little dizziness, but not debilitating like it was in the middle of the night. did take some tylenol this morning for arm soreness.

Other Meds: Ibuprofen Topmax 25 mg 1 a day, at bed Estratest .625 ( half strength)

Current Illness: n/a

ID: 1022978
Sex: F
Age: 5
State: ID

Vax Date: 12/15/2020
Onset Date: 01/17/2021
Rec V Date: 02/11/2021
Hospital: Y

Lab Data: Too numerous to post, pt was hospitalized in the PICU. Notably she had a very high CRP approx 299 and elevated WBC. Inflammatory markers and WBC dropped rapidly with IV steroids and normalized prior to discharge. As mentioned above, extensive investigation into possible infectious etiologies yielded no cause.

Allergies: Amoxicillin-rash DTaP vaccine-lethargy, decreased responsiveness

Symptoms: Pt developed pinching chest pain when laying flat in the days and weeks that followed vaccination. She presented to the ED on 1/17/21 with acute pericarditis. She was admitted to the PICU at our local hospital and did very well. Extensive investigation into possible viral etiologies was negative. Final diagnosis of acute idiopathic urticaria; presumed viral.

Other Meds: Tums PRN for abdominal pain, desonide, triamcinolone and clotrimazole for rash, had recently completed 8 day course of bactrim for cellulitis around left eye. Herbal remedies and supplement use unknown.

Current Illness: Seen for abdominal pain on 12/15/20 Seen for cellulitis of left orbit/eye on 12/29/20 Seen by telehealth for continued rash/cellulitis of left eye on 1/7/21 Seen on 1/11/21 for rash to left eye and left hand

ID: 1022979
Sex: F
Age: 55
State: FL

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

Lab Data:

Allergies:

Symptoms: Within 15-minutes of vaccination, the patient reported feeling dizzy and near-syncopal. EMS monitored the patient's condition on-site.

Other Meds:

Current Illness:

ID: 1022980
Sex: M
Age: 69
State: OH

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Gabapentin

Symptoms: modern vaccine received 2/10/21; pt woke up with hives on chest 2/11/21

Other Meds: Eliquis 5 mg; Dopalide 500 mcg; Vitamin D-3 1000 iu's; Gugaset 250 mg, Omeprazole 20 mg, Esterize 5 mg, Trazodone 50 mg, Duloxetine 60 mg, Magnesium 420 mg, Bicolpate 10 mg, Trampaxel Hydrochloride

Current Illness:

ID: 1022981
Sex: F
Age: 54
State: IA

Vax Date: 09/01/2009
Onset Date:
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Morphine, codeine, sedation

Symptoms: Redness, swelling, hot to touch-flu shot

Other Meds: Zoloft 100 mg -prilosec-estradiol-multi vit.-vit e, c, b,zinc, turmeric, cranberry pill, allergy d, elderberry

Current Illness:

ID: 1022982
Sex: F
Age: 37
State:

Vax Date: 02/02/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: COVID arm. Injection site got itchy and swollen and warm to the touch 7 days later. Felt like a mosquito bite welted. Lasted 3 days until it went completely away.

Other Meds: None

Current Illness: None

ID: 1022983
Sex: M
Age: 75
State: FL

Vax Date: 01/14/2021
Onset Date: 01/28/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: mild milk allergy causing mouth swelling. No stomach distess.

Symptoms: facial shingles on V2 Treatment ongoing

Other Meds: 81mg aspirin 50mcg Vit D3

Current Illness: none

ID: 1022984
Sex: F
Age: 19
State:

Vax Date: 02/06/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Gluten

Symptoms: Peeling skin like sunburn. Dry and peeling in large area around injection site.

Other Meds: None

Current Illness:

ID: 1022985
Sex: F
Age: 36
State: CA

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Ketek

Symptoms: Hot flashes

Other Meds: Protonix. Ortho tri chicken lo, vitamin B with C complex, multivitamin, unisom, melatonin, vit D, Flonase

Current Illness: GERD

ID: 1022986
Sex: F
Age: 54
State: MI

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: redness, pruritis of right arm, along w/ axillary pain, and erythema of bilateral cheeks, headache, onset next day

Other Meds: Symbicort, albuterol, multivitamin

Current Illness: none

ID: 1022987
Sex: F
Age: 41
State: CO

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: My arm was sore. Exactly 7 days later I got a hot red welt on my arm about 2inch in diameter . I had my Dr. look at it and she wasn't concerned. I used Hydrocortisone cream and went away in about 24 hours.

Other Meds: Multi vitamin

Current Illness:

ID: 1022988
Sex: F
Age: 81
State: SD

Vax Date: 01/19/2021
Onset Date: 02/01/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient experienced neck and jaw swelling and hives on abdomen that improved with benadryl

Other Meds:

Current Illness:

ID: 1022989
Sex: F
Age: 63
State: NM

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: TO PENCILLIN

Symptoms: my lips were tingling followed by naushia , high blood pressure and heart rate. the ambulance was called i was then transported to hospital. where i had two sezuires. i was given adavan and sent home. with the instructions i was not allowed to have a follow up shot

Other Meds: SYNTHROID BLOOD PRESSURE MEDICATION

Current Illness:

ID: 1022990
Sex: M
Age: 73
State: MI

Vax Date: 02/01/2021
Onset Date: 02/03/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: nabumetone, tramadol

Symptoms: Sudden sensorineural hearing loss in the right ear. Initially hearing loss was profound and has recovered partially to a moderate hearing loss. Hearing has not recovered to baseline as of 2/10/21. Pt also had tinnitus in the right ear which has improved but still bothersome. Patient was started on prednisone on 2/10 at date of initial consultation. Will return for follow-up audiogram in 2 weeks.

Other Meds: Gabapentin, Rosuvastatin, losartan, sertraline, meloxicam

Current Illness: covid illness three weeks prior to vaccination

ID: 1022991
Sex: M
Age: 76
State: OH

Vax Date: 02/02/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: none

Allergies: cephalosporin, hydrocodone, metformin

Symptoms: Patient stated itching and redness did not start until 1 week after vaccine. Large area approximately 4in by 4in

Other Meds: Patient takes Zyrtec OTC once a day as a maintenance.

Current Illness: unknown

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm