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: 1024295
Sex: F
Age: 39
State: TX

Vax Date: 01/04/2021
Onset Date: 01/07/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: I exp sore arm and rash around the injection site. Then 3 days later had chest pains and vomiting went to the hospital.I was diagnosed with partial right bundle branch block. I'm still exp chest pains intermediately.

Other Meds: Anxiety, Migraine medications

Current Illness: No

ID: 1024296
Sex: F
Age: 38
State: MA

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: N/A

Allergies: Aspirin, Doxycycline

Symptoms: On 01/15 patient reported an onset of erythema, tenderness, and warmth of her left deltoid. She stated this reaction started at the injection site and spread outward over her left upper arm. She reported some numbness in her arm at this time as well. These symptoms lasted until 01/20, and they resolved on their own by this date. Patient states she was seen by her primary care during this time, who stated she had a cellulitis. She was not given any treatment by her primary care. Patient reports that on 01/28 she had a recurrence of erythema, tenderness, and warmth at her injection site. This reaction was localized to her left deltoid and lasted for 3 days, after which is resolved on its own.

Other Meds: Methimazole

Current Illness: N/A

ID: 1024297
Sex: F
Age: 54
State: NY

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

Lab Data: none

Allergies: none

Symptoms: fever, runny nose, upset stomach

Other Meds: calcium, vit C, glucosamine, daily vitamin

Current Illness: none

ID: 1024298
Sex: F
Age: 27
State: WA

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

Lab Data:

Allergies:

Symptoms: Have noticed a lot of sneezing, itching skin all over body (face, neck, arms, legs, stomach, underarms). It feels as though I have bumps all over skin, but not visible. Slight cough which causes itching/burning sensation on inside of throat/ears.

Other Meds:

Current Illness:

ID: 1024299
Sex: F
Age: 75
State: TX

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

Lab Data:

Allergies: Aspirin

Symptoms: Extreme redness of arm @4" x 3", itichiness, soreness

Other Meds: Synthroid, Lisinipril HCTZ, Estradiol, Cytomel

Current Illness:

ID: 1024300
Sex: F
Age: 34
State: TX

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

Lab Data: None

Allergies: Mushrooms, Cephalexin, Morphine, Sulfa, Penicillin

Symptoms: Tachycardia, lightheadedness

Other Meds: Metoprolol

Current Illness: None

ID: 1024301
Sex: F
Age: 97
State:

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

Lab Data: Chest Xray and EKG

Allergies:

Symptoms: On way to car patient complained to daughter of dyspnea, had to sit down No chest tightness, wheezing, or cough No nausea, lightheadedness, diaphoresis Daughter notes patient had episode of left chest pain yesterday that resolved within 15-30min No h/o asthma, lung disease, MI No code blue called or epinephrine administered before contacting this MD for evaluation

Other Meds:

Current Illness:

ID: 1024302
Sex: F
Age: 73
State: AZ

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: I did not call anyone.

Allergies: N/A

Symptoms: At 3 am I woke up and had to go to the bathroom, I sat on the edge of the bed then stood up and opened my eyes. The room was spinning, I fell down, vomited and peed. I laid there for a while until I realized if I closed my eyes the room would stop spinning. I got up off the floor, back into bed and stayed there for about 5 hours. When I woke up, I was still dizzy, but not nearly as bad. The dizzyness and nausia still hits me several times a day.

Other Meds: Allergy Shot 02/04/2021 10 am Nothing else taken 24 hrs prior to the vaccine

Current Illness: N/A

ID: 1024303
Sex: F
Age: 38
State: NV

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

Lab Data:

Allergies:

Symptoms: Patient was in post vaccine waiting area and started to feel "throat become scratchy and a little thick with swallowing" able to drink H2O without difficulty, given Zyrtec 10 mg po, Famotidine 20 mg po, no swelling, rash, shortness of breath or other symptoms. Monitored for 1 hour, O2 sats at 98%, lung clear, respirations even, unlabored. states itchy throat resolved fully, thick felling is improved. advised to follow up in ER if symptoms return

Other Meds: Ovar, Albuterol, Homeopathic allergy meds.

Current Illness:

ID: 1024304
Sex: F
Age: 38
State: CA

Vax Date: 12/18/2020
Onset Date: 12/28/2020
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Unknown

Symptoms: COVID + post 1st vaccine dose

Other Meds: Unknown

Current Illness: Unknown

ID: 1024305
Sex: F
Age: 27
State: LA

Vax Date: 02/03/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: EKG 2/11/2021

Allergies:

Symptoms: PVC, irregular heart rate

Other Meds:

Current Illness: None

ID: 1024306
Sex: F
Age: 30
State: MD

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

Lab Data: N/A

Allergies: Bees

Symptoms: Modern a COVID-19 Vaccine EUA Chills, body aches, fever high of 101.1 Fahrenheit, fatigue, diarrhea, joint pain, headache, injection site soreness. Chills and body aches began around 10:48 on and symptoms progressively worsened throughout night.

Other Meds: Zoloft 150 mg daily, Topamax 100mg BID, Elavil 10mg at bedtime, Nexplanon implant, Allegra daily, probiotic daily, omeprazole daily

Current Illness: N/a

ID: 1024307
Sex: F
Age: 54
State: TX

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

Lab Data: none

Allergies: unknown

Symptoms: Female receiving vaccine failed to inform that she received a dose of pfizer vaccine on 01/26/2021 in between her 2 doses of moderna.

Other Meds: unknown

Current Illness: unknown

ID: 1024308
Sex: F
Age: 40
State: NY

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

Lab Data:

Allergies: many fruits-mild

Symptoms: lump in breast spreading to underarm

Other Meds: n/a

Current Illness: n/a

ID: 1024309
Sex: F
Age: 65
State: FL

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

Lab Data: NA

Allergies: peniccilin, thimerosal

Symptoms: Fatigue turned into fever (100 F - normal for me is 96.5), aches, pains, chills for about 36 hours. My arm showed a red growing circle and it continued to grow for the next 5 days. By day 7, today, it is minimal and much less uncomfortable. Fatigue continues hitting about mid-day. On Monday after the vaccine, I tried to exercise but broke out in a fever sweat. I took no pain relief as knew if was my immune system working and I was not sick. On Monday I started taking Benadryl for my arm.

Other Meds: omeprazole, losartan, lipitor, citolopram, levothorizine, aspirin, b12, b, d3, vic c, fish oil

Current Illness:

ID: 1024310
Sex: F
Age: 52
State: MA

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

Lab Data: none

Allergies: get bad stomach pains if i eat egg or bananas last over 4 hours

Symptoms: 5 hours after the shot i had horrible vomiting all night long with terrible stomach pains it was non stop vomiting for the whole night

Other Meds: none

Current Illness: none

ID: 1024311
Sex: F
Age: 57
State: CA

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

Lab Data:

Allergies: Non

Symptoms: Four hours after injection- headache that hasn?t gone away even with Tylenol Eight hours after injection-chills that lasted for Two hours. Eight hours after injection- body aches that haven?t gone away yet even with Tylenol Eight hours after injection- joint stiffness that lasted two hours Eight hours after injection- a little bit of fatigue Using 2 extra strength Tylenol every four hours

Other Meds: Hormones

Current Illness:

ID: 1024312
Sex: F
Age: 42
State: CA

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

Lab Data:

Allergies:

Symptoms: Later on that day of vaccination around 7:00pm my head started to hurt. The next day I had a headache, nausea, chills & muscle ache. The headache lasted about 5 days & the nausea & chills lasted for 1 day & the muscle aches lasted about a day or 2. I did a consult over the phone but I didn't had to go in.

Other Meds: Synthroid Prenatal vitamins

Current Illness:

ID: 1024313
Sex: F
Age: 35
State: IN

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: EKG after receiving epinephrine on 1/5/21

Allergies: Imitrex, codeine, hydrocodone, tree nuts

Symptoms: Itching around mouth within 10 minutes of receiving vaccine, received benadryl injection. Within 25 minutes of receiving vaccine started having heaviness in throat. Was taken to Emergency Dept. Within 1 hour of receiving vaccine, heaviness/tightness in throat worsened, started feeling short of breath. Received epinephrine. Monitored in the emergency dept with EKG for 4 hours and released.

Other Meds: Iron

Current Illness:

ID: 1024314
Sex: F
Age: 30
State: WA

Vax Date: 01/20/2021
Onset Date: 02/21/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Woke up with all the symptoms; chills, fever of 101.5, headache, bodyaches, fatigue. I took Tylenol extra strength to help with symptoms. Headache persisted. Symptoms lasted until late night the next day.

Other Meds:

Current Illness:

ID: 1024315
Sex: F
Age: 59
State: SC

Vax Date: 12/16/2020
Onset Date: 12/18/2020
Rec V Date: 02/11/2021
Hospital:

Lab Data: Blood panel; negative

Allergies: IV Pepcid, Sulfa

Symptoms: 12/16 vaccination 12/28 symptoms started to include; low blood sugar, shakiness, severe chills, heart palpitations, low potassium. 2-3 hours symptoms lasted. Went to the ER; Oral potassium, juice to bring blood sugar up.

Other Meds: toprol, alexa

Current Illness: n/a

ID: 1024316
Sex: F
Age: 67
State: OK

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

Lab Data: Patients vitals where monitored and patient was talked to while in a position of comfort. After a few minutes the patient said she had a "major headache" and feels better. Vitals remained stable, so patient was allowed to leave after some documentation was filled out.

Allergies:

Symptoms: Feeling of being "hot" and "not normal" wasn't really wanting a lot of attention.

Other Meds: Multiple - Did not provide a list

Current Illness: HTN,

ID: 1024317
Sex: F
Age: 39
State: FL

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

Lab Data: EYE EXAM ON 01/20/21 - .PENDING FOLLOW UP APPT ON 02/25/21.

Allergies: PERCOCET, BACTRIM DS, METRONIDAZOLE, CEPHALEXIN, ASPIRIN, CEPHALOSPORINS METFORMIN, SUFLA DRUGS, CIPROFLOXACIN, OXYCODONE.

Symptoms: A few hours after receiving the vaccine, I developed fevers lasting until 3 days as high as 104.7, self-care of Tylenol and Iced towels. I started seeing spots/ floaters in my left eye. I made an appt the following day and was advised I had 3 hemorrhages in my left eye, the spots/floaters are still there. Fatigue, full body pain, vomiting lasted one day, the day after the vaccine, dizziness and Tenderness in left arm where the vaccine was given, still slight pain 3 weeks later.

Other Meds: MULTIVITAMIN, SINGULAIR,SRONYX, BUPROPION XL 150 MG, OZEMPIC

Current Illness: NONE

ID: 1024318
Sex: F
Age: 72
State: IN

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

Lab Data: None

Allergies: None known

Symptoms: Fever of 99-100 degrees for 24 hours, consistently. Took aspirin every 5 hours.

Other Meds: Prescriptions were Synthroid and Symvastatin

Current Illness: None

ID: 1024319
Sex: F
Age: 39
State: NY

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

Lab Data: None

Allergies: None

Symptoms: Soreness and pain in the injection site Extreme headache Tremors Chills Slight Fever 100.3 Nausea Pins and needles sensation in both hands and feet Fatigue Severe body aches and pain Tightness in chest

Other Meds: Tylenol Extra Strength

Current Illness: Covid-19

ID: 1024320
Sex: F
Age: 50
State:

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

Lab Data:

Allergies:

Symptoms: Patient with hives and no anaphylaxis Benadryl 50 mg IM given with resolution of symptoms

Other Meds:

Current Illness:

ID: 1024321
Sex: F
Age: 33
State: NV

Vax Date: 01/08/2021
Onset Date: 01/14/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: none

Allergies: Aspirin, Dogs, Doxycycline

Symptoms: Patient developed hives to upper thighs, neck and shoulder and right arm, Benadryl and Hydrocortisone Cream applied to area affected and resolved within 4-5 days

Other Meds: vitamin C, adult vitamins

Current Illness: none

ID: 1024322
Sex: F
Age: 45
State: MD

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

Lab Data:

Allergies: penicillin

Symptoms: pain in arm that evening. Cold chills, numb fingers, tired, headache. Got shot Tuesday afternoon and Thursday morning woke up with a rash on my chest.

Other Meds:

Current Illness: may have had covid early January

ID: 1024323
Sex: F
Age: 50
State: OK

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 02/11/2021
Hospital:

Lab Data: I sought evaluation, on the Monday after the injection and was diagnosed with streptococcal pharyngitis. This explains some of the symptoms.

Allergies:

Symptoms: I experienced a hyper-reactive immune response after receving the first dose of COVID-19 vaccine on Friday 12/18/20. On Saturday, 12/19/20, I developed severe pharyngitis, swollen glands in my neck and jaw, blisters and ulcerations on my lips and area surrounding my mouth, intra-oral and buccal lesions, severe headache, photophobia and eye pain, myalgia, skin sensitivity, GI upset consisting of nausea and diarrhea, and lost my sense of taste and smell for 48 hours. I was not febrile. The symptoms were severe on 12/19 and 12/20, with improvement on Monday 12/21. I completed an event form with Pfizer documenting the hyper-reactivity.

Other Meds:

Current Illness:

ID: 1024324
Sex: F
Age: 51
State: MN

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

Lab Data:

Allergies: Percodan, Zantac, Bell Peppers

Symptoms: LT Arm Pain and swelling of arm and Lt hand , treated with hot and cold packs and pain relievers, still have pain and swelling 5 weeks after shot

Other Meds: None

Current Illness: None

Date Died: 02/05/2021

ID: 1024325
Sex: F
Age: 90
State: AR

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: none

Allergies: LATEX

Symptoms: Patient passed away on February 5, 2021. There was no reaction after the shot was given, the patient's son said the death was not related to the vaccine. The patient had a bad case of shingles about a month prior to receiving the vaccine which the son said had been hard on the patient, the patient was also 90 years old. Per the son, the patient's doctor had wanted the patient to get the vaccine. Due to the close proximity of the date the vaccine was given and the date Patient passed away we wanted to complete the VAERS form.

Other Meds: N/A

Current Illness: SHINGLES ABOUT A MONTH AGO

ID: 1024326
Sex: M
Age: 35
State: WA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: COVID-19 PCR test-1/7/21 (negative)

Allergies: none

Symptoms: chills-6 to 24 hours after vaccine fevers (Tm 101.6 F)-12-24 hours after vaccine myalgias-6 to 24 hours after vaccine

Other Meds: none

Current Illness: none

ID: 1024327
Sex: F
Age: 65
State: IN

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

Lab Data:

Allergies: Penicillin

Symptoms: Patient isn't exhibiting any pain. Just an aching sensation down the front of her arm.

Other Meds:

Current Illness: Breast Cancer

ID: 1024328
Sex: F
Age: 46
State: AZ

Vax Date: 02/04/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Percocet, MSG, latex

Symptoms: Beginning in the evening of 02/10/21 itching began around injection site. On the morning of 02/11/21 the site began to swell and redness is noted in about a 2 inch diameter circle around the injection site. The site is warm to the touch, slightly painful, and very itchy. There is about a 1 inch lump in the center. The site has continued to itch and swell throughout the course of the day.

Other Meds: Buspirone HCL 5mg

Current Illness: None

ID: 1024329
Sex: F
Age: 32
State: MO

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

Lab Data: COVID 19 test with a NEG result on 01/14/2021

Allergies: No

Symptoms: I had a sore arm, chills and fatigue about 48 hours after the vaccine.

Other Meds: I take prenatal vitamins, unisom and vitamin B6.

Current Illness: No

ID: 1024330
Sex: M
Age: 72
State: AZ

Vax Date: 12/16/2020
Onset Date: 12/17/2020
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: PENICILLIN

Symptoms: LEFT ARM SORE AND HARD TO RAISE ABOVE HEAD

Other Meds:

Current Illness: BPH, PREDIABETES

ID: 1024331
Sex: F
Age: 74
State: OH

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

Lab Data:

Allergies: None

Symptoms: Localized itching, redness at first that progressed each day. Approximately one week after administration, hives developed. Itching persisted on and off for one week after administration. Patient self treated with Benadryl Gel. Pharmacist also recommended hydrocortisone.

Other Meds: Atorvastatin 40mg Biotin Forte Krill Oil Vitamin C 500mg Vitamin D 5000unit

Current Illness: No

ID: 1024332
Sex: F
Age: 71
State:

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

Lab Data:

Allergies: Aspirin, statins

Symptoms: After getting vaccine and driving home I had tingling in right leg from calf to toes, lasted about 20 minutes. From 7:00 thru 9:00pm had tightness in middle of chest and upper back discomfort. Next morning no reactions other than sore injection site.

Other Meds:

Current Illness:

ID: 1024333
Sex: F
Age: 59
State:

Vax Date: 01/29/2021
Onset Date: 02/03/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: azithromycin, nitrofurantoin, penicillins, rocephin

Symptoms: diffuse hives

Other Meds: adalimumab, methotrexate, folic acid, famotidine, Mg, calcium, citalopram, iron, vitamin D3, multivitamin

Current Illness:

ID: 1024334
Sex: F
Age: 48
State: VA

Vax Date: 01/29/2021
Onset Date: 02/06/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Sulfa antibiotics, flu vaccine, dairy products, environmental allergies (dust mites, cedar, dander etc)

Symptoms: Injection site cleared of local reaction after about 4 days. Then about day 8-9 the redness returned with warmth and swelling. When reddened area doubled in size - Went to the doctor and diagnosed as bacterial infection. Size approximately 4 cm x 12 cm. Doctor prescribed 10 days of antibiotics. After several days on antibiotics area remains red and inflamed.

Other Meds: Geodon, Lithium, buspirone, duloxetine, folic acid, vitamin D , Levothyroxine, dulera, ProAir HFA Zyrtec Allegra , sensimist

Current Illness:

ID: 1024335
Sex: M
Age: 26
State:

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

Lab Data:

Allergies:

Symptoms: Fever. Chills. Brain Fog.

Other Meds:

Current Illness:

ID: 1024336
Sex: F
Age: 43
State: FL

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

Lab Data: N/A

Allergies: pineapple

Symptoms: I was feeing bad with left leg pain, and arm soar. Later around 11:00 PM I started having shaking chills, more soar arm, and fever, with low blood pressure . My PCP recommended me to take acetaminophen and keep hydrated. Symptoms keep until next day 8:00PM.

Other Meds: Multivitamins

Current Illness: N/A

ID: 1024337
Sex: M
Age: 50
State: MD

Vax Date: 02/03/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: redness at injection site. I feel fine but pretty significant redding. Not an infection most likely

Other Meds: None - I did have a steroid injection this monday 2/8/2021 in my lower back. 1st time i have ever had that. Doubt it is related but telling . I also take a fish oil and multi vitamins and probiotic daily

Current Illness: none

ID: 1024338
Sex: F
Age: 70
State: CA

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: none

Allergies: sulfa

Symptoms: "Covid arm," Raised red swelling around inject site with itching

Other Meds: Vitamin D, vitamin C

Current Illness: none

ID: 1024339
Sex: F
Age: 56
State: NJ

Vax Date: 01/31/2021
Onset Date: 01/31/1965
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: No allergies that I know of at this time.

Symptoms: While waiting the 15 minutes after vaccine, after 8 minutes, my body got very hot, clammy, sweating, and about to pass out. Nurse took my oxygen levels and heart rate, below 40. Blood pressure very low. Called 911. Put oxygen on me, gave me Epipen, and checked sugar levels. Next heart rate, a few minutes after first one, 40 heart beats and blood pressure coming back up. Gave me water and orange juice. Next check, heart rate up to 88 and blood pressure they said was getting back to normal but don't remember numbers. I was still trying to feel back to myself after a half hour to 45 minutes. My doctor says not to get 2nd dose in which I'm due on 2/21/2021. I started to feel back to myself around an hour later. I did not go to hospital due to me feeling better. After shot, regular symptoms, sore arm, fatigued, lymph nodes felt swollen, and sniffles and sneezing. No fever. I called my physician on 2-1-2021 to let her know what happened.

Other Meds: Multi vitamin, Vitamin C-1000, Vitamin D3 6000, 1/2 Excedrin caplet, Sudafed

Current Illness: Lupus, Hashimoto's, Fibromyalgia, Hyperthyroidism, IBS

ID: 1024340
Sex: F
Age: 39
State: WA

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

Lab Data:

Allergies:

Symptoms: My face feels tingly and some parts feel numb.

Other Meds:

Current Illness:

ID: 1024341
Sex: M
Age: 26
State: TN

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

Lab Data:

Allergies: seasonal allergies, allergy to grass (history of puffy eyes upon contact)

Symptoms: Patient presented with puffy eyes approximately 4 minutes after vaccination. Was alert and oriented to time, person, and place upon questioning and was able to engage in conversation. Parent (mother) of patient was present who gave patient's medical history and reported allergy to grass with similar reaction. Blood pressure was taken and found to be 150/80. Mother reported patient had not taken his blood pressure medicine yet that day but his normal is 115/70 with medication. While nurse was assessing patient's pulse (patient's pulse was WNL at 85) and other nursing staff was obtaining medication to administer if needed after assessment, patient became unresponsive to verbal commands and his upper body became limp. At 1054, a one time, single dose of 50 mg of diphenhydramine IM was given in the left deltoid. On site EMT arrived on the scene at 1055, completed assessment, and confirmed giving diphenhydramine was the best course of action. At this time, 1055, patient became responsive to verbal commands and was oriented to time, place, and person. At 1056 O2 sat was at 97%, pulse 70, and at 1100, BP was 110/70. Patient stayed for observation 30 more minutes and remained stable. Patient and parent were educated on side effects of diphenhydramine, to watch for any returning symptoms of allergic reaction throughout the day, and if/when to head to the ER. Recommended patient not receive 2nd dose of COVID vaccination.

Other Meds: high blood pressure medication

Current Illness: no acute illnesses at time of vaccinaiton

ID: 1024342
Sex: F
Age: 45
State: WI

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: None

Allergies: Sulfa, cafergot

Symptoms: Pain at injection site, muscle/body aches, chills, prickly skin, headache, nausea & fatigue.

Other Meds: None

Current Illness: None

Date Died: 02/09/2021

ID: 1024343
Sex: F
Age: 75
State: HI

Vax Date: 02/05/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital: Y

Lab Data:

Allergies: ERYTHROMYCIN

Symptoms: PATIENT ARRIVED TO ED ON 2/9 IN FULL CARDIAC ARREST

Other Meds: HYDROXYCHLOROQUINE MONTELUKAST METOPROLOL XL PANTOPRAZOLE

Current Illness:

ID: 1024344
Sex: F
Age: 69
State: WA

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

Lab Data: None

Allergies: None

Symptoms: Felt a bit ill the day of the shot. Tried to help do dinner later that day and turned white and sweaty and had to sit down for about 15 minutes. The next day injection site began to swell. By the 8th day post injection it was hard to the touch, about the size of a large marshmallow and hard to the touch. No skin discoloration, but felt warm to touch and very itchy. Used Lanacanevto stop the itch. Today the 11th, most of swelling is gone and just a little tender to touch. Did not contact anyone medical about this, but a friend said i should report it.

Other Meds: Lisinopril , gabapentin, metoprolol, furosemide, spironolactone, fish oil, tylenol, acyclovir, buproprion, escitalopram,

Current Illness: Psoriatic arthritis, osteoarthritis, fibromyalgia, CHF None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm