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: 1049553
Sex: F
Age: 44
State: CO

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Patient had normal period January 20 for 5 days. Not due for next period until February 17. Started light spotting after the vaccine shot on the evening of 2/5 through 2/14. Menses stopped for 2 days and then started normal period.

Other Meds: None

Current Illness: None

ID: 1049554
Sex: F
Age: 30
State: PA

Vax Date: 02/04/2021
Onset Date: 02/11/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Breakout of rash on hands lasting about 2 weeks

Other Meds:

Current Illness:

ID: 1049555
Sex: F
Age: 71
State:

Vax Date: 02/14/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Itchy, red rash about 2-3 inches in diameter near vaccination area.

Other Meds:

Current Illness:

ID: 1049556
Sex: F
Age: 34
State: PA

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: I started having fatigue around 7 hours after the shot was administered. My temperature went up 1.5 degree. Then 14 hours later I had chills and aches. Then I woke up with night sweats that drenched my sheets and clothes. Then I had a stabbing pain in my chest on the left side.

Other Meds: Plaquenil Concerta Viibryd B12 Benlysta

Current Illness: None

ID: 1049557
Sex: F
Age: 48
State: TX

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Head ached started about 2 hours after dose, later in the day slight nausea, and joint pain that lasted for 3 days.

Other Meds:

Current Illness:

ID: 1049558
Sex: F
Age: 77
State: MI

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: n/a

Allergies: cipro, cephalosporins, sulf abx

Symptoms: fever

Other Meds: Atorvastatin Calcium Tablet 20 MG Give 1 tablet by mouth at bedtime related to HYPERLIPIDEMIA, UNSPECIFIED (E78.5) Pharmacy Active 6/9/2017 21:00 6/9/2017

Current Illness: no

ID: 1049559
Sex: F
Age: 50
State: MI

Vax Date: 01/06/2021
Onset Date: 01/10/2021
Rec V Date: 02/23/2021
Hospital: Y

Lab Data: MAST cell, PFT, Sniff test, High Resolution CT scan

Allergies: Sulfa

Symptoms: Acute Respiratory Failure with Hypoxia, Phrenic Nerve Dysfunction Right side

Other Meds: Loratadine 10mg QD Omeprazole 20mg QD Triampterine/ HCTZ 37.5/25mg QD

Current Illness: None

ID: 1049560
Sex: M
Age: 86
State: CT

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Pt reported feeling light headed shortly after his injection. Pt evaluated by EMS, BP 160/80. Pt reported he was feeling very hungry and can often get light headed when hungry. Pt signed refusal for EMS transport. Pt was given ED precautions. Pt reported feeling better when he left after eating a snack and drinking water.

Other Meds: Information unavailable

Current Illness: None

ID: 1049561
Sex: F
Age: 34
State: CA

Vax Date: 02/13/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: 9 days later red itchy patch at injection site as well as itchy bumps on back of hands, elbow, knees and feet.

Other Meds: Floradix iron + herbs

Current Illness: N/A

ID: 1049562
Sex: F
Age: 66
State: RI

Vax Date: 01/28/2021
Onset Date: 02/02/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: Aspirin, Benedryl, Cerumenex

Symptoms: Two days after vaccine: extreme fatigue and chills. Symptoms lasted just that one day. Four-five days after vaccine, full-body itching. Just thought it was my eczema flaring up (it's worse in the winter). After about 2 weeks, developed red areas on my body (torso, arms, legs and feet) - self-monitored - but got progressively worse. Dermatologist believes it is eczema aggravated by the vaccine. Provided a cortisone injection (right arm). Will monitor for two weeks to determine improvement or lack of improvement.

Other Meds: Famotidine, Fenofibrate, Rosuvastatin, Losartan, Fish Oil Gummies, Ibratropium Bromide, Fluticasone Propionate, Montelukast

Current Illness:

ID: 1049563
Sex: F
Age: 36
State: VA

Vax Date: 02/12/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, Tired, Fatigue, Leg and arm shooting pain

Other Meds:

Current Illness:

ID: 1049564
Sex: F
Age: 0
State:

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: mild headache 10 hrs after 2nd dose; malaise in the morning, the day after 2nd vaccine administration; took tylenol and felt normal within an hour

Other Meds: none

Current Illness: none

ID: 1049565
Sex: F
Age: 38
State: PR

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None.

Allergies: Cipro, Pennicilina.

Symptoms: On the next day the patient started to have fevers, headaches, couldn't stand up. In the second and third day after the vaccination the patient started to feel joint pain, tingling sensation.

Other Meds: None.

Current Illness: None.

ID: 1049566
Sex: F
Age: 35
State: AL

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: none known

Symptoms: large red tender spot on left arm from 12 hours after vaccine (still continuing), fatigue, chills, weakness, body aches, severe headache from 20 hours until 38 hours after vaccine

Other Meds: aspirin, vitamins, immune supplement, tylenol

Current Illness: shingles

ID: 1049567
Sex: M
Age: 51
State: MN

Vax Date: 02/18/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: seasonal

Symptoms: Itchy and tingly hands/arms in morning of 2/22/21. Rash broke out on body in the evening (face, legs, shoulders, waist, thighs/groin). Took a Benadryl and ibuprofen. Symptoms improved by morning, but still evidence of the rash. Took normal allegry meds in AM. Will monitor symptoms moving forward.

Other Meds: cetrizine hydrochloride 10 mg 1x day fluticazone propionate 50 mcg each nostril 1x day

Current Illness:

ID: 1049568
Sex: F
Age: 33
State: CA

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: Allergy to Tramadol-causes numbness in legs

Symptoms: Left hand and middle finger hurt to the touch, tingly down arm, numbness in arm/hand. Hand and arm symptoms lasted approximately 48 hours from on-set. Also experienced fatigue, headache and arm soreness

Other Meds: Nora-B birth control

Current Illness: None

ID: 1049569
Sex: F
Age: 66
State: MO

Vax Date: 02/09/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: For several days after receiving vaccine, my arm was tender and hot. Then I think everything was OK. On February 22, I noticed a red circular spot that was maybe 5 or 6 inches across and was hot. I assumed it was "covid arm" and did nothing.

Other Meds:

Current Illness:

ID: 1049570
Sex: F
Age: 53
State: CO

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: NO

Symptoms: Chills, vomiting, diarrhea, fever to 101, severe headache and muscle pain: Day 2: fever to 102, muscle aches, fatigue

Other Meds: Fish oil, biotin, collagen

Current Illness: None

ID: 1049571
Sex: F
Age: 37
State: CO

Vax Date: 12/18/2020
Onset Date: 01/08/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: COVID-19-neg

Allergies: no

Symptoms: 1/7 I started having breast pain. 1/8 I had a fever and chills, breast redness and diagnosed with Mastitis in my right breast. I had severe fatigue and was prescribed a 7 day antibiotics and within 3-4 days I begin to feel back to normal. On 1/8 I had a COVID test which was negative. My breast milk supply went down on the right breast until the mastitis was resolved.

Other Meds: flovent inhaler 110 mcg, doxclilimine, Singular, Nexplanon BC Implant

Current Illness: no

ID: 1049572
Sex: F
Age: 75
State: FL

Vax Date: 02/01/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: none

Allergies: sulphur & IVP dye

Symptoms: Bell's Palsy

Other Meds: none

Current Illness: none

ID: 1049573
Sex: M
Age: 37
State: IL

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Wrong Patient (documentation in EMR)

Other Meds:

Current Illness:

ID: 1049574
Sex: F
Age: 68
State: OK

Vax Date: 02/21/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: penicillin

Symptoms: Starting about 8 hours after the shot I began having chills; within 3 hours after the chills started, I felt feverish and fatigued; the chills and fever continued through the night and into the next morning (about 15 hours after chills began); for the next 3 hours, I was fatigued and slept. After then taking a generic acetaminophen, the symptoms lessened. Occasional chills continued through the next night. Once symptoms started, it was about 34 hours before they were gone. I did not seek medical attention.

Other Meds: Levothyroxine; OTC: One A Day multi-vitamin; calcium supplement; cranberry supplement

Current Illness: none

ID: 1049575
Sex: F
Age: 53
State: TX

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: headache, chills dizziness, lightheadedness began about 24 hrs after the vaccine.

Other Meds:

Current Illness:

ID: 1049576
Sex: F
Age: 35
State:

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vaccine was received on 02/19/21 on her left arm at 11:55am. She said her arm soreness began at 5:00pm that day. The next day 2/22/21 she began to feel fatigue, chills, body aches, headache, and had a fever of 101. On 2/23/21 she is still experiencing a headache and body aches. She treats her headaches and body aches with Tylenol and she said it makes her feel better for about 4 hours.

Other Meds:

Current Illness:

ID: 1049577
Sex: M
Age: 48
State: TX

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: Called my doctor's office and was told to alternate between tylenol and ibuprofen. If fever didn't come down with over counter to go to the ER. Brought fever down couple times last night and today woke up with chills and feeling clammy.

Allergies: only insects

Symptoms: at 11:30 am the day after vaccine i began to feel chills, shaking, and they after eating something i started feeling nausea, headache and fever. Drove home at 2:30 to 3:30 and checked my fever, it was 104. Injection site is swollen, tender, red, and was not like that the day of injection.

Other Meds: Tylenol

Current Illness:

ID: 1049578
Sex: F
Age: 69
State: LA

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: no

Allergies: sulfa

Symptoms: pt stated when she bled when she was given the covid vax and was told that it may have gotten in her veins. She woke up the next day with a rush of light headiness and dizziness that she still has to this day. She said her blood pressure is normal so she has contacted her PCP yet but will call them to let them know.

Other Meds: lallopurinol 100mg, loratadine 10 mg, potassium cler 10mg, donepezil 10mg, omeprazole dr 20mg, amlodipine 10mg, amitiza 8mcg cap, simvastatin 40mg, gabapentin 600mg, clonidine 0.2 mg, meloxicam 7.5 mg, bumetanide 2mg, olopatadine 0.25 ml,

Current Illness: no

ID: 1049579
Sex: F
Age: 60
State: VA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, Body ache, headache

Other Meds:

Current Illness:

ID: 1049580
Sex: F
Age: 47
State: LA

Vax Date: 01/12/2021
Onset Date: 01/23/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: At approximately 42 hours after vaccination developed a rash covering approx. 50 to 60% of body. resolved in less then 12 hours after taking oral Benadryl and Benadryl cream.

Other Meds:

Current Illness:

ID: 1049581
Sex: M
Age: 70
State: SD

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: n/a

Allergies: no known allergies

Symptoms: Veteran reported he was dizzy with flu-like symptoms for 2 days

Other Meds: Pimavanserin, Tamsulosin, Carbadopa/Levadopa, Pantroprazaol, Tramadol, Docusate/Sennosides, Amitriptiline, Certrizine, Aspirin, Zolpidem, Baclofen, Diclofenac, Allopurinol, Simethicone, Polyethylene Glycol, Fish Oil, Garlic, Senior Multi-v

Current Illness: none

ID: 1049582
Sex: F
Age: 42
State: CO

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Site: Pain at Injection Site-Medium, Systemic: Weakness, Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1049583
Sex: F
Age: 66
State: IL

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: 0658? Arrived - ER 0728? Sodium Chloride 1000 mL 0730? Ondansetron HCl 4 mg 0736? COMPREHENSIVE METABOLIC PANEL CBC W AUTO DIFF URINALYSIS WITH REFLEX TO CULTURE, IF INDICATED 0743? Meclizine HCl 25 mg 0839? Ondansetron HCl 4 mg 0947? Discharged

Allergies: Latex Iodine

Symptoms: Emergency room 1/25/21 HPI patient is a 66 y.o. female who presents with dizziness, nausea, and vomiting. Patient reports that she began having acute episodic dizziness and vertigo early this morning when she rolled over in bed. She states the dizziness became so bad it made her nauseous and she began vomiting. Patient reports she tried to take a Dramamine but was unable to keep it down, and thus it did not help. ? Patient denies any ringing in the ears, decreased hearing, or ear pain. Patient does report she has had episodes of dizziness and vertigo like this in the past. Patient denies any fevers or chills. Patient does report mild frontal headache. Patient denies any chest pain, palpitations, or shortness of breath. ?

Other Meds: Current Outpatient Medications: ? calcium-vitamin D (CALTRATE 600+D) 600-400 mg-Unit per tablet, Take 1 Tab by mouth daily., Disp: , Rfl: ? Cod Liver Oil 10 MINIM CAPS, Take 1 Cap by mouth daily., Disp: , Rfl: ? Coenzyme Q10 (CO Q 10)

Current Illness:

ID: 1049584
Sex: M
Age: 78
State: IN

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None.

Allergies: Sulfa, Bactrim.

Symptoms: The following day after the vaccine at 5:00 AM he had joint and muscle pain and weakness, not able to move his legs. He would sit down in a chair and needed help to get back up. Headache, dizziness. He had a low grade fever of 100.1. This got progressively worse and then by evening got better. His wife called the visiting nurse that they had coming who she believes notified the doctor, and told them it would go away. By the next morning it was basically gone. He took Tylenol for the symptoms.

Other Meds: Bupropion XL, Tamsulosin, Duloxetine, Lamotrigine, Lisinopril, Donepezil, Olanzapine, Oxybutynin, Memantine. Multivitamin, low dose aspirin, Vitamin B complex,

Current Illness: Went into the hospital on 12/3/21 and diagnosed with COVID-19, then discharged from there and went to the nursing home for rehab. He came home 12/22/2020.

ID: 1049585
Sex: M
Age: 49
State: NM

Vax Date: 01/20/2021
Onset Date: 01/30/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: Seasonal allergies - juniper, grasses, trees, food - peaches, mild pet allergies

Symptoms: L shoulder pain with pain abducting arm at shoulder

Other Meds: Xarelto, Levothyroxine, MVI, Loratidine, symbicort

Current Illness: none

ID: 1049586
Sex: F
Age: 33
State: TN

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Whole body aches, fatigue, headache, weakness

Other Meds:

Current Illness:

ID: 1049587
Sex: M
Age: 35
State: NY

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Pt experienced back ache about 8 hours after receiving the vaccine. He described the pain as being stabbed in the kidneys. At 4 am on the day after his vaccine he woke up to a temp of103. He used a cold bath to reduce his temp and pain. Pt experienced more back pain latter in the day. He woke up the next day with more back pain and a temp of 104. Pt utilized a cold bath again.

Other Meds: Claritin D, Bystolic,

Current Illness: None

ID: 1049588
Sex: F
Age: 54
State: NJ

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: n/a

Allergies: sulfa

Symptoms: 1/8 vaccination. My arm became tender, sore, hard at the injection site, red, hot, tender to touch. I went home. Fever over 101. I didn't feel well; fever chills, general malaise. Symptoms lasted for 2 weeks with sore arm. Probably 4-5 days with the flu-like symptoms. *took Tylenol

Other Meds: n/a

Current Illness: n/a

ID: 1049589
Sex: F
Age: 24
State: AK

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: Toradol Injection= Caused lip swelling

Symptoms: Visible lip smelling under lower lip margin 1.5 cm x .25 cm. Pt. also c/o tongue tingling. Pt. had no other symptoms. VS stable and lungs were clear. No other swelling. Responded well to benadryl orally with reduced lip swelling within 20 minutes. Sent home with instructions to RTC for any increase in sx. and to continue benadryl through the night. Allergy to COVID 19 vaccine Moderna added.

Other Meds:

Current Illness: No. Patient is BF.

ID: 1049590
Sex: F
Age: 30
State: OK

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: NONE

Symptoms: PATIENT BEGAN TO HAVE SHORTNESS OF BREATH AND PASSED OUT AFTER ADMINISTRATION

Other Meds: NONE

Current Illness: NONE

ID: 1049591
Sex: M
Age: 15
State: MA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Patient Too Young for Vaccine Administered

Other Meds:

Current Illness:

ID: 1049592
Sex: M
Age: 65
State: DC

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Woke at 1 am with chills, fever and severe headache. Chills subside after 45 minutes. Woke at 4 am with severe headache and 102 degree fever. Headache and fever resolved approximately 7 am.

Other Meds: None

Current Illness: None

ID: 1049593
Sex: M
Age: 69
State: CA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: none

Allergies: NKA

Symptoms: The pt began to have chills, fever, body aches, followed by acute urinary retention. His history of benign prostatic hyperplasia was well controlled prior to retention. He required catheterization for 800cc urine and needed Foley cath for 7 days. He has now recovered.

Other Meds: finasteride, Tamsulosin, lisinopril

Current Illness: BPH, controlled

ID: 1049595
Sex: F
Age: 39
State: MO

Vax Date: 02/09/2021
Onset Date: 02/17/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Left arm sore for a couple days after the shot. Then woke up on day 9 after receiving and had hot, red, swollen, itchy rash. Rash is getting bigger as the days go on.

Other Meds: N/A

Current Illness: N/A

ID: 1049596
Sex: F
Age: 66
State: PA

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: Fluoroquinolones Opioids Adhesives

Symptoms: Fever 102.6. Fever lasted 36 hours with a downward trend Achy lasted 2 days Headache lasted 2 days Nausea lasted 2 days Chills lasted 36 hours Site pain level 8 lasted one week with less pain each day Fatigue lasted 36 hours Tiredness lasted 36 hours Dizziness- lasted 5 days All adverse reactions have resolved

Other Meds: Lotrel 5/20 qd Magnesium Citrate qd Super -B Complex qd Vitamin D3 2500 IU qd Cranberry 4200 mg qd Calcium tab 600mg qd Centrum Women 50+ qd

Current Illness:

ID: 1049597
Sex: F
Age: 37
State: NY

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Low grade fever for 4 days, relieved by Tylenol.

Other Meds: Synthroid, lexapro, birth control pills

Current Illness: None

ID: 1049598
Sex: F
Age: 73
State: LA

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Left arm was red, itching after 7 days around injection site. ( lasted 4 days.) After 11 days top and bottom lips on inside of lips got fiver blisters. fiver blisters were still there after 3 weeks.

Other Meds: Triamterene 37.5 mg - Lisnopril tab 10 mg - Metformin850 mg - Meloxican 7.5 mg

Current Illness: none

ID: 1049599
Sex: F
Age: 34
State: SC

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: Topamax

Symptoms: I started experiencing high fever, (103) body aches, muscles, nauseated, diarrhea, and migraine.

Other Meds: None

Current Illness: None

ID: 1049600
Sex: F
Age: 77
State: ID

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Large local reaction to the injection site starting day of injection and worsening over 4 days time. Secondary cellulitis developed requiring antibiotic treatment.

Other Meds:

Current Illness:

ID: 1049601
Sex: F
Age: 66
State: IL

Vax Date: 01/12/2021
Onset Date: 01/28/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: triamcinolone acetonide (KENALOG-40) injection 40 mg ONCE ? 01/28/21 1129 ketorolac (TORADOL) tablet 10 mg ONCE ? 01/28/21 1024 Urinalysis with reflex to culture, if indicated ONE TIME ? 01/28/21 1024 Comprehensive metabolic panel ONE TIME ? 01/28/21 1024 CBC w Auto Diff ONE TIME ? 01/28/21 1024 XR Hip Left w-or-wo Pelvis 1 View RAD ONE TIME ? 01/28/21 1024 XR Femur Left 2 Views RAD ONE TIME ? 01/28/21 1024 XR Pelvis 1 or 2 Views RAD ONE TIME, Status: Canceled ? 01/28/21 1024 ketorolac (TORADOL) 10 MG tablet EVERY 6 HOURS PRN ? 01/28/21 1129

Allergies: nka

Symptoms: Emergency room 1/28/21 HPI Patient is a 66 y.o. female who presents with complaints of left hip pain reports is moderate severe sharp ongoing over the past few days and aggressive worse reports symptoms is moderate

Other Meds: CURRENT MEDICATIONS No current facility-administered medications for this encounter. ? Current Outpatient Medications: ? aspirin 81 MG chewable tablet, Take 81 mg by mouth daily, Disp: , Rfl: ? Cholecalciferol (VITAMIN D3) 1000 units ta

Current Illness:

ID: 1049602
Sex: F
Age: 36
State: VA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: "Sick for a while"

Other Meds:

Current Illness:

ID: 1049603
Sex: F
Age: 59
State: OH

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Wrong Patient (documentation in EMR)

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm