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: 0926583
Sex: F
Age: 34
State: MO

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

Lab Data: None

Allergies: None

Symptoms: Approx 8 hours after injection developed soreness in L arm, as well as L-sided cervical, axillary, breast, and inguinal lymphadenopathy. Woke up in the middle of the night that night with awful chills. Fever of 101.4 F that persisted throughout the next day along with severe fatigue and body aches. Symptoms began resolving after approx 36 hours.

Other Meds: Fluoxetine 20 mg daily Mirena IUD

Current Illness: None

ID: 0926584
Sex: F
Age: 47
State: NC

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

Lab Data: Unknown

Allergies: Prednisone, Adhesive

Symptoms: Pt received vaccine felt light headed lowered to floor 96HR 99% no respiratory distress, no allergic rx, no loc. EMS called pt declined transport vs wnl FSBG 93 EMS left and pt lightheaded again lowered to floor MD/EMS called and pt taken to the hospital

Other Meds: Unknown

Current Illness: Unknown

ID: 0926585
Sex: F
Age: 51
State: OR

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

Lab Data: It was recommended to get Covid antibody testing and will be doing so in next day or so as available.

Allergies:

Symptoms: Bad taste in mouth within 15 minutes of shot. Head to toe flushing and feeling hot and prickly within 1 hour of shot. shortness of breath and wheezing followed. Treated with PO Benadryl and zantac and albuterol inhaler.

Other Meds: Zyrtec, levothyroxine, spironolactone, metoprolol succinate, calcitriol, liothyronine, buproprion

Current Illness: none

ID: 0926586
Sex: M
Age: 64
State: FL

Vax Date: 12/17/2020
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: blistering on top of fingers just below nails

Other Meds: lisinopril 10mg

Current Illness: none

ID: 0926587
Sex: F
Age: 3
State: KY

Vax Date: 11/19/2020
Onset Date: 11/21/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Patient with low grade fever, left arm more red / spreading left upper arm from shoulder to just above elbow, warm to touch Presumed cellulitis - given cephalexin, border marked & given instructions on monitoring for increase in growth Also given Benadryl and ibuprofen for symptomatic relief Returned to ER next day at 1605 - per mom, arm more swollen, but borders were not changed, plan to follow up in 72 hrs in not better, continue meds No further appointments or visits

Other Meds: Multivitamins

Current Illness:

ID: 0926588
Sex: M
Age: 25
State: MD

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

Lab Data: Unknown

Allergies: Unknown

Symptoms: Patient received covid vaccine and went to observation room for 15 minutes. While sitting in observation room patient began c/o of dizziness. Staff RN in observation room elevated patient's feet on a second chair. Patient had normal pulse ox, HR and RR. After another 10-15 minutes, patient began c/o of chest pain and EMS was called. Ambulance took patient to ED.

Other Meds: Unknown

Current Illness: Unknown

ID: 0926589
Sex: F
Age: 30
State: UT

Vax Date: 12/30/2020
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Latex

Symptoms: For 48 hours following injection, mild to moderate injection site pain was experienced. 5 days after the injection, symptoms including headache, body aches, fatigue lasting 24 hours.

Other Meds: Amitriptyline 25 mg, Flonase, Vitamin D

Current Illness: None

ID: 0926590
Sex: M
Age: 30
State: GA

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

Lab Data: no test or labs preformed

Allergies: none reported

Symptoms: Client returned to Clinic reporting "Tightness in the back of his throat". Denied difficulty breathing or other symptoms. Patient was clearing his throat periodically. Patient states he has anxiety, so he also believes that is adding to his symptoms. After checking vitals administered epi and dial 911. Patient had started to clear his throat more often. Continued to monitor patients symptoms and did not have any worsening of symptoms and after approximately 5 minutes, he stated he felt better. EMS arrived and discussed with patient and he elected to refuse transport to the hospital. He has a buddy in the parking lot who drove him here.

Other Meds: none reported

Current Illness: none reported

ID: 0926591
Sex: F
Age: 48
State: NJ

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

Lab Data: none at time of writing

Allergies: cefazolin - reaction reported as anaphylaxis, hydromorphone, diazepam

Symptoms: Approximately 10 minutes after receiving the vaccine pt reported flushed area near chest. Denied itching or dyspnea. Speech clear. md notified and requested patient take benadryl 25mg oral now - given to patient. patient is under observation for 1 hour of time.

Other Meds: not known

Current Illness: not known

ID: 0926592
Sex: F
Age: 36
State: TX

Vax Date: 12/30/2020
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: none

Allergies: tramadol, flagyl, minocycline

Symptoms: redness, sore, warm, raised, tingling, hard. applied warm compress

Other Meds: vitamins

Current Illness: none

ID: 0926593
Sex: U
Age: 38
State: NH

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

Lab Data:

Allergies: None

Symptoms: left arm felt sore. She was nauseous, dizzy and had body aches, including back pain and pain extending down left leg into foot. Left arm became swollen to the hand as the day progressed and has had difficulty moving the shoulder

Other Meds:

Current Illness:

ID: 0926594
Sex: F
Age: 57
State: FL

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

Lab Data: None

Allergies: No

Symptoms: Achiness, fatigue, fever, nausea, headache, loss of appetite, arm soreness Tylenol, Zoltan, rest, stay home from work 3 days

Other Meds: Warfarin 6 mg /3 mg alt days Melatonin 10 mg day Trazadone 50 mg day Vit D Trintellix 10 mg

Current Illness: No

ID: 0926595
Sex: M
Age: 66
State: AK

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

Lab Data:

Allergies: molds, plant pollen, mercury

Symptoms: I developed a hive/rash below and above my waist line on my stomach area. I also felt bloated in my lower stomach. I noticed it when I was undressing for bed. It was a mild reaction that came and went quickly once I laid down to go to sleep. Some belching relieved the bloating in my stomach.

Other Meds: Creon DR 36,000, Vitamin D3 10,000 IU, Magnesium Glycinate 1000 mg, DGL1200mg, Psyllium Husk Powder, Gaviscon 500mg.

Current Illness: GERD, LPR, Diarrhea

ID: 0926596
Sex: F
Age: 42
State: MN

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

Lab Data: No

Allergies: No

Symptoms: Left arm and fingers became numb for over 24hours

Other Meds: No

Current Illness: No

ID: 0926597
Sex: F
Age: 37
State: ND

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

Lab Data:

Allergies: none

Symptoms: 1-6-21 Left arm numbness and tingling, 1-7-21 Headache, body aches and chills,

Other Meds: Topomax, Hydroxyzine,

Current Illness: none

ID: 0926598
Sex: F
Age: 64
State: CO

Vax Date: 12/14/2020
Onset Date: 12/15/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Post COVID vaccination (received on 12/14) Had MULTIPLE episodes of palpitations lasting several minutes. These palpitations started the evening of 12/14 and continued throughout 12/15/2020

Other Meds:

Current Illness:

ID: 0926599
Sex: F
Age: 33
State:

Vax Date: 12/25/2020
Onset Date: 01/03/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Delayed (9 days) injection site erythema (hives)/itching -2 inches.

Other Meds:

Current Illness:

Date Died: 01/06/2021

ID: 0926600
Sex: M
Age: 65
State: MO

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

Lab Data:

Allergies: Penicillin, ibuprofen

Symptoms: Patient did not report any signs or symptoms of adverse reaction to vaccine. Patient suffered from several comorbidities (diabetes and renal insufficiency). Patient reported not feeling well 01/06/2021 and passed away that day.

Other Meds: Unknown

Current Illness: Diabetes, renal insufficiency

ID: 0926601
Sex: F
Age: 42
State: CA

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: sulfa

Symptoms: swelling, hardness, itching at site. took Benadryl and warm compress

Other Meds:

Current Illness:

ID: 0926602
Sex: F
Age: 31
State: VA

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

Lab Data:

Allergies: NKA

Symptoms: Presumed right arm muscle injury. Several hours after the injection my arm was extremely sore and painful. The joint was painful as well. No redness or swelling. It was tender to touch. I was having difficulty reaching my arm up or moving it upward. Ex: it hurt to lift my hand to touch my face. I also couldn?t let it fall. If I got my arm above my head I would have to assist it down. I couldn?t sleep that night because of the pain. I was having trouble with pushing movements in that arm. And also letting it hang dependently (like letting my arm hang when I hinged forward). I started taking Motrin 24 hours after the injection. Motrin helped, so I took it Friday and Saturday. Sunday, my arm felt 99% back to normal. Monday and Tuesday I didn?t notice anything. Wednesday morning I woke up with the same pain again and difficulty moving my arm. Wednesday night, I couldn?t sleep again because of the pain/couldn?t get my arm in a comfortable position. I?m taking Motrin, with not as much relief as before. I?ve applied heat and I?ve tried to stretch it as well. The only way i really know how to describe it? is that it feels as if my deltoid was injured. And my other muscles are fine. It?s hindering my movement in that arm. It is again, tender to touch my deltoid area. The tightness has extended in to my shoulder and neck. It has now been 8 days since my vaccination.

Other Meds: Vitamin C Elderberry Vitamin D Prenatal Multivitamin Fiber Supplement

Current Illness: None

ID: 0926603
Sex: F
Age: 49
State: ME

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

Lab Data: none

Allergies: tree nuts, environmental

Symptoms: Flush, tingling, palpitations. Observed for 2 hours. 150/90, pulse 72, SPO2 99% -> 140/90, 68, SPO2 99%. Felt better, sent home.

Other Meds: none

Current Illness: none

ID: 0926604
Sex: F
Age: 44
State: NY

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None at this time

Allergies: Sulfa, Latex and wool

Symptoms: At day 8 noted itching, then reddness, swelling and sensitive to touch below injection site of right upper arm. It was also warm to touch. showed DO and I am giving several of these injections to staff and community and have noted more than eight occurrences of the same result and I have asked these individuals to report to us or online to document this adverse reaction. I am on day 10 at this time and it is still the same.

Other Meds: Vitamin C, E MVI Turmeric Omega

Current Illness: None

ID: 0926605
Sex: F
Age: 52
State: MD

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

Lab Data: No laboratory test completed

Allergies: Oral Cipro (6 years ago, Hives)

Symptoms: 12/31/20 developed headache, some blurry vision, nausea and splotchy rash. Took Benadryl around 2100 and went to sleep. Woke up with tongue swelling and difficulty speaking, decided to go to emergency room on 1/1/21. When she first presented she had significant swelling noted to her tongue. SoluMedrol IV, Pepcid IV, and Benadryl IV given in ED. Also administered 0.3 mg Epinephrine. Discharged with Pepcid and Prednisone for 3 days and Benadryl prn

Other Meds: Prevacid 15 mg once a day Losartan 50 mg once a day Advil 200mg 4 tabs

Current Illness: None

ID: 0926606
Sex: M
Age: 40
State: MD

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

Lab Data: None

Allergies: None

Symptoms: About 40 minutes after I received the injection in my right arm, my right arm began to tingle all the way to my fingertips. The sensation lasted for approximately 30-40 minutes, then subsided. No other reactions so far after that. No loss of mobility in my arm or hand.

Other Meds: None

Current Illness: None

ID: 0926607
Sex: F
Age: 65
State: MI

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

Lab Data:

Allergies:

Symptoms: Patient given a pediatric dose of Hepatitis B (0.5mL). Patient will need to be revaccinated with adult dose. Patient is aware, had no adverse reactions.

Other Meds:

Current Illness:

ID: 0926608
Sex: F
Age: 72
State: OH

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

Lab Data: taken to ER on same day. had CMP, EKG, Troponin

Allergies: Allergies: Aspartame Swelling, Itching Comment:Swelling on face, severe itching Aztreonam Itching Benadryl [Diphenhyd* Rash, Itching Cipro [Ciprofloxaci* Rash, Itching Clindamycin Rash, Itching Comment:Chest pain when given for labial abscess in 9/2019. MI was ruled out, felt to be S/E from clindamycin Covid-19 Vaccine, M* Shortness of Breath Darvocet-N 100 [Pro* Rash, Itching Erythromycin Rash, Itching Flagyl [Metronidazo* Rash, Itching Fragrances Swelling Keflex [Cephalexin] Keppra [Levetiracet* Shortness of Breath Comment:SOB, CP, itching Lipitor [Atorvastat* Myalgia Losartan Shortness of Breath Metformin Intolerance Comment:Fatigue, joint pains, elevated CK Penicillins Rash, Hives, Itching Sulfa (Sulfonamide * Rash, Hives, Itching Tegretol [Carbamaze* Rash, Itching Terbutaline Sulfate Other: See Comments Comment:Dizziness,fogg feeling, possible SOB, leg edema, high sugars Vitamin D [Cholecal* Itching Comment:Patient states allergy is to High Dose Vit D3, Physician has changed to lower dose Vit D3

Symptoms: itching, chest tightness, dizziness, shortness of breath no angioedema or anaphylaxis

Other Meds: ? cyclobenzaprine (FLEXERIL) 10 mg tablet Take 1 tablet by mouth every 8 hours as needed for Muscle Spasm or Pain for up to 5 days. ? insulin glargine (LANTUS SOLOSTAR U-100 INSULIN) 100 unit/mL (3 mL) Inject 65 Units subcutaneously daily a

Current Illness: none

ID: 0926609
Sex: F
Age: 42
State: GA

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

Lab Data: none

Allergies: latex sensitivity

Symptoms: Diarrhea, nausea, Temp 102, body achestx with Ibuprofen with some relief

Other Meds: Vitamins

Current Illness: none

ID: 0926610
Sex: F
Age: 49
State: OH

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

Lab Data:

Allergies: Anaprox

Symptoms: 6 hours post vaccine-- > arm soreness 12 hours post vaccine-- > fever, chills, headache, body aches, sharp hip and thigh pain bilaterally 24 hours post vaccine-- > symptoms continued; taking OTC Advil 30 hours post vaccine-- > fever 102.2 with continued symptoms;taking OTC Advil 36 hours post vaccine-- > symptoms start to resolve with temp of 99.1

Other Meds:

Current Illness: none

ID: 0926611
Sex: M
Age: 16
State: MO

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: 1/6 a rash developed at the injection site and by 1/7 it had spread to the belly and chest.

Other Meds:

Current Illness:

ID: 0926612
Sex: F
Age: 48
State:

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

Lab Data: none

Allergies: cefazolin- reaction is anaphylaxis

Symptoms: Approximately 10 minutes after receiving the vaccine pt reported flushed area near chest. Denied itching or dyspnea. Speech clear. Dr. notified and requested patient take benadryl 25mg oral now- administered to patient. patient monitored for 1 hour post vaccination.

Other Meds:

Current Illness:

ID: 0926613
Sex: F
Age: 46
State: KY

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

Lab Data: NA

Allergies: NA

Symptoms: Large circular area developed 9 days after injection. Arm is sore, area is tender to touch. Area is swollen, red, and warm to touch. Feels like hard knot.

Other Meds: Prempro 0.45 daily Omeprazole 40mg daily

Current Illness: NA

ID: 0926614
Sex: F
Age: 38
State: NH

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

Lab Data: I had a doctors visit which then went to a cat scan still waiting results. Doc vist put on medication to relieve pain and dilate urine tract,

Allergies: Tree nuts, tomatoes, redmeat, ketamine demerol iron infusion

Symptoms: Blood in urine, pain in abdominal area and side lower back kidney area

Other Meds: Dextroamphetamine ibuprofen

Current Illness: None, no symptoms other than normal every day allergies

ID: 0926615
Sex: F
Age: 64
State: SC

Vax Date: 12/17/2020
Onset Date: 12/18/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: Culture

Allergies: Insect

Symptoms: I exp headache and diarrhea The next day after I was urinating blood. I went to my PCP I got Culture and given antibiotics.

Other Meds: No

Current Illness: No

ID: 0926616
Sex: F
Age: 60
State: PA

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

Lab Data: Patient was observed for adverse events after administration

Allergies:

Symptoms: Moderna vaccine vial was opened on 12/30/2020, and the vial was placed back into the fridge later that afternoon, like 2-3 hours after puncture. The opened vial was reused for this patient the next morning for an injection when it should have been discarded. No adverse events occurred

Other Meds:

Current Illness:

ID: 0926617
Sex: F
Age: 26
State: TX

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

Lab Data: no

Allergies: no

Symptoms: Around 11pm started having chills. Around 3:00am. fever, started shaking, had temperature 104 around 5: AM vomited and is having headache, had trouble breathing like someone was pushing on her chest last night. Now she is talking normal. Headache is bad and the light hurts her eyes.

Other Meds: no

Current Illness: no

ID: 0926618
Sex: F
Age: 34
State: MO

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

Lab Data:

Allergies: PENICILLINS

Symptoms: Body Aches and chilling

Other Meds:

Current Illness:

ID: 0926619
Sex: F
Age: 47
State: TX

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

Lab Data: None

Allergies: cucumber, water melon, bell pepper, strawberries, etc.

Symptoms: Approximately 5 minutes after receiving vaccine, patient experienced itching on upper lip and itching on left upper arm. Appears to have a petechial rash with redness on left upper arm. Itching is stable and not getting worse. Left arm feels a little heavy with some unusual sensation. Initial BP 155/91 HR=80. O2=98%. Repeat BP 137/90 HR=77 O2=97%. Patient declined Benadryl because the symptoms are stable and patient did not want to get sleepy from the Benadryl and patient wanted to return to work. Patient clinically stable. Patient released at 10:15am.

Other Meds: Progesterone

Current Illness: None

ID: 0926620
Sex: M
Age: 66
State: KY

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

Lab Data:

Allergies: Quinolones

Symptoms: 18 hours after injection, patient described fever of 102.5 degrees, chills, shakes, and nausea. All symptoms resolved within 24 hours.

Other Meds:

Current Illness: No

ID: 0926621
Sex: F
Age: 73
State: GA

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

Lab Data: no

Allergies: no

Symptoms: Lot# is on card at work. Had COVID in April. Flu like symptoms. Tired, ached from head to toe. No appetite. Went home and slept for 5 hours. Next day felt a little better. Today she is back to normal.

Other Meds: Boniva, once/month, Oxybutynin 5mg 2x/day, Rosuvastatin 20mg 1x/day, Xarelto 20mg evening, Timorol Malcate 2x/day. Amlodipine 5mg 1x/day. Zinc, Vitamin C. VitaminD3, Cor-omega, Ultra probiotic, Chromium.

Current Illness: no

ID: 0926622
Sex: M
Age: 23
State: TX

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

Lab Data: None

Allergies: Shell fish

Symptoms: Approximately 10 minutes after receiving vaccine patient began to experience some mild discomfort on the left neck (mild "stiff neck"), heavy arm or discomfort, and mild tingling in the fingers. Initial BP 149/92 HR 91. Patient clinically stable at 30 minutes post-vaccination. Neck pain gone 30 minutes post-vaccination; patient only feels pain at injection site. BP 143/95 HR 86 O2=98%. Patient released from clinic at 2:22pm.

Other Meds: Metformin

Current Illness: None

ID: 0926623
Sex: F
Age: 53
State: VT

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

Lab Data: Serum Tryptase sent 1/7/2021

Allergies: Hydrocodone, environmental allergies

Symptoms: Started having tongue swelling about 1 hour after injection, treated myself at home with Benadryl. Around midnight increased tongue swelling, throat tightness and shortness of breathe. Went to emergency room and treated with epinephrine, steroids, Benadryl, Pepcid and required a nebulizer (duoneb). Discharged home from ER with prescription s for Prednisone, Pepcid and Benadryl

Other Meds: Zyrtec,singular,Flonase,advair,vitC, B12,lyrica,

Current Illness: NoneAl

ID: 0926624
Sex: F
Age: 49
State: CA

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Bumps Welts Hot to touch Red super painful for a day 5 inches in diameter

Other Meds:

Current Illness:

ID: 0926625
Sex: F
Age: 28
State: CA

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

Lab Data:

Allergies: None

Symptoms: I developed gingivitis, it started on the right bottom side the day after the vaccine and now the inflammation is on all of my gums

Other Meds: None

Current Illness: None

ID: 0926626
Sex: F
Age: 47
State: TX

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

Lab Data:

Allergies: Not Know

Symptoms: During 15 minute observation period post vaccine: Patient develop tightness in the throat and had trouble breathing. Reported head pounding, throat swelling and sweaty feet. BP of the patient was taken by Nurse faculty at the facility and recorded at 201/110. Heart Rate was recorded at 180. Benadryl was given to the patient.(50mg total) Patient was taken to hospital by staff at facility at 11:02am. Confirmed check-in at 11:25am.

Other Meds: Not Know

Current Illness: Not Know

ID: 0926627
Sex: F
Age: 56
State: TX

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

Lab Data: None

Allergies: Biaxin

Symptoms: Fever, chills, fatigue, itching

Other Meds: Levothyroxine 50 mcg-DLY Atenolol 50 mg DLY Chlorthalidone 25mg-DLY Lipitor 20mg-DLY Effexor 150mg-DLY Zyrtec-DLY Vitamin D 5000IU-DLY Celebrex 200mg-BID

Current Illness: None

ID: 0926628
Sex: F
Age: 36
State: PA

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Penicillin, nickel

Symptoms: Post injection day 8 - red, itchy, raised, hive like bump at the injection site. Improving on day 9, however red bump still present. Headache also day 9.

Other Meds: None

Current Illness: None

ID: 0926629
Sex: F
Age: 36
State: NY

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: That night of the vaccine I started to have difficulty lifting my arm, then around 12:30am I was taking a shower and started feeling body ached and chills. Around 8 hours later I woke up with night sweats, and fever or 99.0 Fever started getting higher through out the day. The day after my temp was at 101. On the third day temp went away and I just felt fatigue, but I got chest tightness and the urge to clear my throat and some mucus came up. The chest tightness was two day and the mucus three days.

Other Meds: Baby Aspirin (daily) Vitamins- daily Immune shroom

Current Illness: Sinus discomfort, dry nose, scratchy throat

ID: 0926630
Sex: F
Age: 32
State: TX

Vax Date: 12/30/2020
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: apricots

Symptoms: Left sided Migraine that lasted 3 days. I took BC powder, Excedrin, and my regular prescribed migraine meds. Nothing helped, it was relentless. I am still having some pain but not as severe. I did not seek treatment as I hate the shots they used to do before my Topamax was prescribed. I had been migraine free for a little over year before this shot.

Other Meds: Topamax, Lexapro, Paxil, Amitriptyline

Current Illness: none

ID: 0926631
Sex: F
Age: 50
State: PA

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

Lab Data:

Allergies: Penicillin - shivers/tachycardia (20 years ago)

Symptoms: warm, trouble breathing, nausea, chest pressure, arm burning, increased blood pressure Next day f/u - stick neck, shoulder pain + heat, left cheek swollen been taking tylenol and benadryl saw PCP - received rx for prednisone

Other Meds:

Current Illness: no

ID: 0926632
Sex: F
Age: 29
State: CO

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

Lab Data:

Allergies: lilies mustard clindaymyacin

Symptoms: I did have a headache and slight fever not to long after I got the shot. The next day my arm was super painful. Several days after the shot my arm where the injection site is was red. It then started going back to normal color. Two days ago it itched a little then the redness appeared back again and now it is hot to the touch.

Other Meds: sertraline trazodone glimeperide montulekast januvia gabapentin vitamin c magesium,calcium and zinc biotin equate allergy relief

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm