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: 1026850
Sex: M
Age: 76
State: MA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/12/2021
Hospital: Y

Lab Data: Multiple in the hospital which were all negative.

Allergies: None.

Symptoms: On Saturday 2/6/21 in the morning on the left side under armpit felt like he had a pulled muscle or something. It eventually radiated over up into the left quadrant of his chest where he could not push down on it. It was extremely painful by Monday. He has a history of esophageal spasms and exacerbated them to where he thought he was having a heart attack. He called his Cardiologist and told him to go to the ER. He went to the hospital Monday evening, he had two EKG's, had blood drawn 3 times, did sonograms looking for blood clots. He did inform them that he had the vaccine on Friday and they told him it was due to that. He went to nuclear medicine to get his lung checked for blood clots as well. All tests were negative. He saw his PCP today who told him that the lymph nodes were affected due to the vaccine. He has improved greatly, still has some slight discomfort which his PCP said would go away in time.

Other Meds: Allopurinol, baby aspirin, Atorvastatin, vitamin D3, Plavix, Folic acid, Atrovent inhaler, Toprol, Fabb, Renavite, Pantoprazole, Primidone, Ramipril, Zoloft, Renvela.

Current Illness: None.

ID: 1026851
Sex: F
Age: 68
State: TN

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: CT Scan of chest

Allergies: None

Symptoms: Fever chills, body aches cough .I felt really bad and could not move out of bed . All symptoms lasted 4 days My fever was 101.5

Other Meds: Losartan Pepcid Amlodipine Vitamin D

Current Illness: Covid

ID: 1026852
Sex: F
Age: 45
State: FL

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: Derm diagnosed on 2/12/21 at 12:45 p.m.

Allergies: Penicillin

Symptoms: Fatigue, body aches, lower back pain for 5 days before onset of shingles. Diagnosed by derm and rx of Valtrax prescribed.

Other Meds: Rosuvustatin, Remicade, 6mp, citalopram, clonazepam, cholestyramine, vitamin D

Current Illness: None

ID: 1026853
Sex: M
Age: 33
State: IL

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received the Moderna Covid-19 vaccine. He reports symptoms of feeling faint; patient appeared very pale and diaphoretic. Vital signs 5 minutes post-vaccination: HR 39, BP 103/43, SpO2 96% on room air. Patient given water and candy in case of hypoglycemic episode. Patient remained pale and diaphoretic -- 911 called for further assistance at 1440. Patient denied shortness of breath, difficulty breathing, itching, rash, nausea/vomiting, or other signs and symptoms of anaphylactic reaction. EMS arrived at 1445 and assessed patient -- care taken over at that time. Vital signs improved after water and candy, patient refused hospital transfer. Wife beside patient at this time.

Other Meds:

Current Illness:

ID: 1026854
Sex: M
Age: 88
State: FL

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

Lab Data: n/a

Allergies: n/a

Symptoms: delirium, shaking, sweat, weakness

Other Meds: furosenide 20mg, xarelto 20mg, atorvastatin 40mg, enalaeril 10mg, amlodipine 5mg, hydrochlorod 25mg, vitamin b12, vitamin d3, vitamin c

Current Illness: n/a

ID: 1026855
Sex: F
Age: 42
State: MI

Vax Date: 02/04/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: Gluten, dairy

Symptoms: Itching, soreness, rash, lesion developed at injection site on 2/12/21

Other Meds: Topamax, magnesium, gaba

Current Illness:

ID: 1026856
Sex: F
Age: 60
State: PA

Vax Date: 02/08/2021
Onset Date: 02/01/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: dyclone

Symptoms: 1)16 hours post vaccine, severe chills, headache, exhaustion, fever up to 104.4, body aches....took 2 tylenol every 6 hours after 12-15 hours, fever broke, still tired, headache for another 24 hours 2)60 hours post vaccine, enlarged painful lymph nodes in right clavicle and axial, still fatigued 3) 84 hours post vaccine: large red, swollen, warm, hard area on entire upper right arm, visited Internal Med where doc evaluated and said to monitor and call them if it worsens, advised to take Benadryl and Tylenol as needed

Other Meds: Synthroid, pravastatin, multivitamin, vit d3, vit B, Elderberry/zinc, ecotrin, probiotic, magnesium

Current Illness: none

ID: 1026857
Sex: M
Age: 58
State: OK

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Gave Moderna instead of Pfizer.

Other Meds:

Current Illness:

ID: 1026858
Sex: M
Age: 73
State: PR

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

Lab Data: No e

Allergies: Quinolonas

Symptoms: Severe abdominal pain . Pepcid and gabapentin. No positive effect.

Other Meds: Pepcid, vitamin c, intestinex probiotics, vitamin d

Current Illness: Gastritis

ID: 1026859
Sex: F
Age: 72
State: NY

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: RN notes allergic reaction in patient after administration of Moderna vaccine. RN contacted me NP immediately. When entering the room the patient was red, coughing and gasping for air. Patient was wearing jeans and light weight long sleeve shirt. Left deltoid provided best access for IM administration of Epinephrine Epinephrine Injection, 1mg/mL given IM to left deltoid O2 then administered Asked RN and MA to call 911 Assessed HR and airway Patient was still exhibiting signs of difficulty breathing (inability to talk clearly and gasping for air) Second Epinephrine Injection given 5-10 minutes after 1st dosage via IM EMS came and assess patient vitals and educated patient on need to go to ER. Patient didn't want to go ER visit Patient educated by EMS on allergic reaction and risk. EMS took patient to ambulance for monitoring while husband was on the way to pick her up. Followed up with son of patient 30 min. later and patient is doing well Patient bought Benadryl from store in case signs or symptoms of any reaction continue F.A.

Allergies: No known allergies

Symptoms: Patient begin to display symptoms of allergic reaction (coughing, difficulty breathing, feeling hot). RN assessed and brought in NP as RN assessment was an allergic reaction. Epinephrine injection, USP 1mg/mL given by NP, Oxygen applied at 100. 911 was called Epinephrine Injection, USP 1mg/mL given by NP after 5-10 minutes after 1st dosage. EMS came and assess patient vitals and educated patient on need to go to ER. Patient refused ER visit despite warning about allergic reactions and education on them. EMS took patient to ambulance for monitoring while husband was on the way to pick her up.

Other Meds: n/a

Current Illness: n/a

ID: 1026860
Sex: F
Age: 27
State:

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

Lab Data:

Allergies: None

Symptoms: 12 hours after my vaccine, I woke up with chills and night sweats. I had a fever of 101? and felt nauseous. My whole body aches and I have had a headache since waking up with the fever. My fever broke after taking acetaminophen and drinking water. Arm continues to feel very sore and my muscles and joints ache in my legs and back.

Other Meds: None

Current Illness: None

ID: 1026861
Sex: F
Age: 81
State: AL

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

Lab Data: Seen by urgent care and given amoxicillin-clavulanate.

Allergies: None but does report adverse reactions with Biaxin in the past related to medication side effects

Symptoms: Patient reported some numbness and tingling on her face and nose face. Subsequently had soft tissue infection over the skin.

Other Meds: Nexium 20 mg daily Miralax Milk of Magnesium Linzess Oscal Vitamin D3 2000 u daily Crestor 5mg Multi-vitamin

Current Illness: None

ID: 1026862
Sex: F
Age: 49
State: PA

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

Lab Data: Mammogram scheduled for 2/16/21

Allergies: Sulfa, penicillin

Symptoms: Developed lump under left arm/armpit area/lymph node area. Scheduled mammogram for 2/16/21. Called pcp advised me this could be a side effect of vaccine.

Other Meds: N/A

Current Illness: N/A

ID: 1026863
Sex: F
Age: 16
State: ID

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: No adverse event experienced. Submitting this incident because patient was 16 years old at time of immunization. Manufacturer guidelines are for 18 years of age and older only.

Other Meds:

Current Illness:

ID: 1026864
Sex: F
Age: 73
State: GA

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient experienced a rash breakout in various areas on body-mainly concentrated on chest and arms- it was itching and very red per patient. The itch was intense. Patient did not take any medication initially. Eight days later patient experienced another breakout all over body but it was not itching just red with bumps all over. Patient said even her eyes were red. Patient took OTC Benadryl to alleviate symptoms. She visited a doctor on 2/10/21 and was advised by MD to not get the 2nd dose that she had scheduled because the symptoms may be worse.

Other Meds:

Current Illness:

ID: 1026865
Sex: F
Age: 69
State: FL

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient felt dizzy and nauseous and so weak and she said she feels like she is passing out , her throat was not closed but kind of inflamed

Other Meds: We gave her Benadryl 50mg tablets at 03:45 pm

Current Illness:

ID: 1026866
Sex: F
Age: 28
State: OH

Vax Date: 01/01/2021
Onset Date: 01/21/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Miscarriage- received 1st dose of vaccine when approximately 4 weeks pregnant on 1/6/21. 1st ultrasound at 7 weeks on 1/26/21. Intrauterine pregnancy with yolk sack but no fetal pole seen. 2nd dose of vaccine at approximately 9 weeks pregnant on 2/3/21. Diagnosis of miscarriage on ultrasound on 2/8/21. Due date should have been 9/13/21

Other Meds: Pre natal Vitamins

Current Illness: None

ID: 1026867
Sex: F
Age: 56
State: MI

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: SEE ABOVE

Allergies: PENICIALLIN

Symptoms: PATIENT EXPERIENCE TINGLIN IN LEFT HAND 5 MINUTES AFTER VACCINATION AND TINGLINE IN RIGHT HAND 10 MINUTES AFTER VACCINATION. ONSITE EMS WAS REQUESTED. VITALS TAKEN 117/71 HR 86 AND O2 97% ON ROOM AIR. BLOOD GLUCOSE WAS 115. PATIENT BEGAN FEELING LIGHT HEADED. SHE HAD AN APPOINTMENT WITH PRIMARY CARE PHYSICIAN YESTERDAY AND WAS GIVEN THE OK TO RECEIVE THE VACCINE. SHE ALSO START SHE HAS NOT HAD ANY VACCINE IN A LONG TIME. EMS TRANSPORTED HER TO E.R

Other Meds: quetiapine for sleep

Current Illness:

ID: 1026868
Sex: F
Age: 51
State: NY

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: mild soreness of left arm (where received shot) that passed within 24 hours

Other Meds:

Current Illness:

ID: 1026869
Sex: M
Age: 29
State: MI

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Had extreme fatigue and was drowsy the following day. I ended up developing inflammation in my armpit area that is very tender to the touch.

Other Meds: None

Current Illness: Had covid

ID: 1026870
Sex: F
Age: 73
State: FL

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: Penicillin, Darvon, Skelaxin

Symptoms: dizzy, nauseous, headache, neck/shoulder pain, body aches, fever

Other Meds: Paxil, Turmeric, Vitamin D3, Eltoprazine , Multivitamins

Current Illness:

ID: 1026871
Sex: F
Age: 49
State: AZ

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: N/A

Allergies: NKDA, No food allergies

Symptoms: 5 minutes after vaccine administration, client c/o moderate burning pain and edema to LUE, noted edema and induration approx. 2 inches below vaccination site, extended down arm approx. 4 inches, no bruising, no redness, client to low fowlers position, arm elevated, pressure applied to area, coban wrapped around arm, ice pack applied, no resp. distress, Vital signs stable, A & O x 3, client taken to nearest Hospital by family member, instructed to report Incident to MD

Other Meds: Elequis, clopidogrel, Zontivity and aspirin, hx brain aneurysm in 2019

Current Illness: none known

ID: 1026872
Sex: F
Age: 63
State: WI

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies: Morphine, Percocet, Vicodin Dust, Mold

Symptoms: Adverse Event: Injection site pain. Fever 101 oral, Body Ache and headache on 2/11/21. Treatment: Tylenol, Tramadol and rest. Outcome: Fever resolved on 2/12/21

Other Meds: triazolam 0.25 MG tablet HS amLODIPine 5 MG tablet Daily montelukast 10 MG tablet HS atorvastatin 10 MG tablet Daily clopidogrel 75 MG tablet Daily tiZANidine 4 MG tablet prn esomeprazole 40 MG capsule BID Estradiol 10 MCG Tabs Twice per w

Current Illness: Fibromyalgia, Asthma, HTN, GERD, Migraines, NSTEMI (Dec 13, 2020)

ID: 1026873
Sex: F
Age: 66
State:

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/12/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Pt admitted 1 day after 2nd dose Moderna COVID-19 Vaccine, for fever, muscle aches and diagnosed PNA. Pt stable on discharge with abx for PNA tx.

Other Meds:

Current Illness:

ID: 1026874
Sex: M
Age: 90
State: NJ

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: none known/reported

Symptoms: aprox. 2 hours after receiving dose patient began to experience hives all over body, with more concentrated on his legs. patient self medicated with Benadryl 25mg every 6 hours with no relief of symptoms. two days later patient presented to pcp and was prescribed Benadryl 50mg every hours hours for 7 days and prednisone taper. at time of reporting patient is still experiencing symptoms of itching.

Other Meds:

Current Illness:

ID: 1026875
Sex: F
Age: 42
State: OR

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

Lab Data:

Allergies: Penicillin

Symptoms: Facial numbness and tingling that lasted for several hours. Also right hand numbness. I would like to know if this is an allergic reaction and precludes the second dose?

Other Meds: Carbamazepine, quetiapine

Current Illness:

ID: 1026876
Sex: F
Age: 47
State: VA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: No known allergies

Symptoms: Cellulitis from elbow to shoulder area of left arm Itchy rash covering stomach, sides, hips, neck and chest

Other Meds: Armour Thyroid 30 mg Ambien 10 mg

Current Illness: None

ID: 1026877
Sex: F
Age: 67
State: WI

Vax Date: 02/01/2021
Onset Date: 02/03/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Pfizer COVID19 vaccine, part 1. Nausea for more than 10 days, sharp pain in ankle and knee joints for 3 days.

Other Meds: Calcium, B-Complex, Glucosamine Chondroitin

Current Illness: None

ID: 1026878
Sex: F
Age: 75
State: PA

Vax Date: 01/19/2021
Onset Date: 02/02/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies: Codine, sufa, penicillin, latex, beta blockers, crab

Symptoms: 10 days after vaccination: redness, wamth, induration, itching at vaccination site for about 36 hours

Other Meds: Janumet XR, Synthroid, Bencar, Lipitor,

Current Illness: None

ID: 1026879
Sex: F
Age: 38
State: OH

Vax Date: 12/24/2020
Onset Date: 12/29/2020
Rec V Date: 02/12/2021
Hospital:

Lab Data: EMG testing which was normal January 28, 2021.

Allergies: N/a

Symptoms: 5 days after being vaccinated I started feeling numbness and tingling in my fingers, down my arm, foot, toes, pain under my arm that radiates to my latissimus, behind my calf, breast sometimes. My hand and foot would go from warm to cold. Also a pulling sensation down my arm. These symptoms I have experienced is only on the right side of my body. They tend to come and go. I've had 3 deep tissue massages, chiropractor adjustment, acupuncture and I stretch daily. Which helped mostly but I am still experiencing these symptoms 7 weeks later

Other Meds: Calcium, magnesium and zinc tablets (3 in one), hair nail skin vitamin, multi women's vitamin, vitamin C, probiotic, Valtrex, Mirena IUD

Current Illness: N/a

ID: 1026880
Sex: F
Age: 70
State: WA

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

Lab Data:

Allergies:

Symptoms: Prior to dilution, stored at unacceptable temperatures prior to administration. Was held at room temp longer than the recommended by manufacturer. Does was repeated.

Other Meds:

Current Illness:

ID: 1026881
Sex: M
Age: 81
State: MN

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

Lab Data:

Allergies: Some antibiotics

Symptoms: 8 ounces of red/brown urine almost 24 hours after injection of Moderna covid -19 Vaccine EUA

Other Meds: Gabapentin, Warfarin, vitamin, aspirin, Omeprazole, Rosuvastatin, Terazosin, Tylenol, Colace

Current Illness: None

ID: 1026882
Sex: F
Age: 62
State:

Vax Date: 01/13/2021
Onset Date: 01/25/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient had a rash like reaction with swelling with fatigue. Started on 1/25/2021 thru 2/5/2021.

Other Meds:

Current Illness:

ID: 1026883
Sex: F
Age: 19
State: MN

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

Lab Data:

Allergies:

Symptoms: Fever, Diarrhea

Other Meds:

Current Illness:

ID: 1026884
Sex: M
Age: 59
State: IN

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Sore shoulder muscle, nausea, headache.

Other Meds: Losartan

Current Illness: none

ID: 1026885
Sex: F
Age: 37
State: VT

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies: 1. Environmental: hay-fever seasonal 1. Influenza Vaccines: Rash and swelling

Symptoms: Noted 45 minutes post injection that her face was red and this was rapidly followed by a rash under chin, anterior chest, face and upper bilateral arms.

Other Meds: None

Current Illness: None

ID: 1026886
Sex: F
Age: 16
State: ID

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: No adverse event experience. Submitting incident report because patient was 16 years old at time of immunization and manufacturer guidelines are for 18 years of age and older only.

Other Meds:

Current Illness:

ID: 1026887
Sex: F
Age: 72
State: ID

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

Lab Data:

Allergies:

Symptoms: 10 days after getting vaccine pt developed arm redness that itches and is warm to touch.

Other Meds:

Current Illness:

ID: 1026888
Sex: F
Age: 39
State: IL

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

Lab Data:

Allergies: None

Symptoms: Injection site redness, itching and hot

Other Meds: Levothyroxine; albuterol; Advair; multivitamin

Current Illness:

ID: 1026889
Sex: F
Age: 44
State: CA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: Observation and provided Benadryl

Allergies: Asprin

Symptoms: Vaccination between 1:00 PM Five minutes after was itchy, numb, swelling up tongue 50 Mg Benadryl, itchy to left hand, back head, and neck forty to fifty minutes. Take a dose of Benadryl around 8:00 pm . Itching lasted a week. Scratched the right lower leg and this created a raised bruise to that was sensitive to touch and lasted a week.

Other Meds: No

Current Illness: No

ID: 1026890
Sex: M
Age: 30
State:

Vax Date: 01/29/2021
Onset Date: 02/08/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: N/A

Allergies: Amoxycillin, penicillin

Symptoms: Within the first few hours of receiving the first vaccine does, feeling of tiredness occurred within a few hours of injection, but went away the next day. Also felt arm pain as excepted and abated after ~2.5 days. Symptoms of tiredness and lack of energy started again and were significantly noticeable on 2/10 (12 days post-injection). Seasonal weather dreary weather may be influencing this; however, I wanted to report it here since no other lifestyle or medical changes have occurred since the vaccine was administered. Otherwise, no adverse reactions have been recognized.

Other Meds: clonazepam, sertraline, bupropion, nexium, atorvastatin,

Current Illness:

ID: 1026891
Sex: F
Age: 61
State: MI

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: pt stated about 10 minutes after rcvg vax she started feeling funny, warm and her heart was racing. She was checked out by the attending nurse at the vaccine facility. Her pulse was 120 and BP was 189/89. Pt drank a bottle of water while her pulse came down. About 5 minutes later her heart was racing again and BP back up. She was monitored for additional 15 minutes. During this time she had another episode with the same symptoms so she was rushed to the ER. Her heart rate was 110 and blood pressure still 189/? She was monitored for about an hour and 20 minutes. Pt was released from ER about and 1 1/2 ago and has not had another episode so far. She was told to FU w/ PCP in 2-3 days.

Other Meds: prednisone 5mg, Azathioprine 50mg

Current Illness: no

ID: 1026892
Sex: M
Age: 91
State: KY

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

Lab Data: HAD NEGATIVE COVID PCR ON 02/11/21 WBC 15.13 ON 02/11/21 UA POSITIVE FOR PROTEIN, OCCULT BLOOD, LEUKOCYTES, AND 2+ BACTERIA ON 2/11/21.

Allergies: ACE INHIBITORS

Symptoms: RECEIVED COVID VACCINES ON 01/20/21 AND 02/10/21. 2/11/21 EMS CALLED BY FAMILY FOR ALTERED MENTAL STATUS AND ACCUCHECK OF 40 AND TAKEN TO ER HAD NEGATIVE COVID PCR ON 02/11/21 DIAGNOSED IN ER ADMITTED TO HOSPITAL INPATIENT WITH HYPOGLYCEMIA DUE TO DMII, AMS, UTI, AND PLEURAL EFFUSION

Other Meds:

Current Illness:

ID: 1026893
Sex: M
Age: 85
State: IN

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Severe diarrhea starting at 0700 on Feb 11, 14 hours after receiving shot. Lethargic, weakness, no energy. Moderate soreness at vaccination site.

Other Meds: 2 mg aripiprazole 4 mg Toviaz 300 mg gabapentin 20 mg Simvastatin 0.4 mg tamsulosin 300 mg venlafaxine

Current Illness: none

ID: 1026894
Sex: M
Age: 80
State: MA

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: When injecting vaccine into patient's arm, vaccinator inadvertently brushed against needle with finger of non-injecting hand. No needlestick of vaccinator. Patient informed of incident immediately and follow up call made on the next day.

Other Meds:

Current Illness:

ID: 1026895
Sex: F
Age: 32
State: CO

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

Lab Data:

Allergies: None

Symptoms: 5 in x 4 in raised area of redness over right deltoid. Subcutaneous tissue is hard to touch, tender to palpation.

Other Meds: None

Current Illness: None

ID: 1026896
Sex: M
Age: 79
State: AZ

Vax Date: 02/04/2021
Onset Date: 02/09/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: n/a

Symptoms: 5 days after vaccine given , patients started having chills for very short time twice, some chest pain, extreme fatigue , loss of equilibrium

Other Meds: metformin, metoprolol, cinammon tabs, aspirin, atorvastatin, coQ10

Current Illness: n/a

ID: 1026897
Sex: F
Age: 25
State: CA

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

Lab Data:

Allergies: Olive trees

Symptoms: Skin reaction (red induration of 4 by 6 cm, itchiness, tightness) at the injection site

Other Meds: Sprinted birth control, Vitamin B12, Vitamin D3

Current Illness: None

ID: 1026898
Sex: F
Age: 49
State: DE

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 02/12/2021
Hospital:

Lab Data: COVID 19 test 12/31/2020 with a NEG result. COVID 19 test 01/05/2021 with a POS result.

Allergies: No

Symptoms: I started feeling bad about 6 hours after the vaccine. I had a fever of 102 on 01/1/2021, headache, muscle aches and joint pain. I consulted a doctor at UC where I work on 01/05/2021.

Other Meds: I take vitamins.

Current Illness: No

ID: 1026899
Sex: F
Age: 66
State: MO

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

Lab Data: None

Allergies: Flu Vaccine

Symptoms: Chills 48 hours Severe pain in all joints 48 hours Mild pain in all joints 48 hours after severe pain

Other Meds: Trazadone Lisinopril Cymbalta Daily Vitamin

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm