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: 0927976
Sex: M
Age: 47
State: PR

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies: No history of allergies

Symptoms: a. Injection site tenderness which has improved in less than 24 hrs. b. chills, unquantified fever onset approximately 12 hrs after vaccine administration which improved with acetaminophen 1000mg once. Following morning, chills reappeared and improved with acetaminophen 1000mg once.

Other Meds: Micardis/Hydrochlorothiazide, Simvastatin

Current Illness:

ID: 0927978
Sex: F
Age: 50
State: TX

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: none

Allergies: sulfa

Symptoms: mouth tingling

Other Meds: lisinopril

Current Illness: none

ID: 0927979
Sex: F
Age: 50
State: AL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: sudden skin flushing from head to toe with feeling of extreme heat, feeling of doom and uneasiness that occurred within 3 minutes of injection, no tachycardia, hypertension noted, no wheezing, lungs clear, no SOB, treated with Benadryl and Pepcid with close observation for 30 minutes

Other Meds: Losartan, ASA, Synthyroid, Trazadone

Current Illness: none

ID: 0927980
Sex: F
Age: 53
State: ME

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: SHELLFISH

Symptoms: DAY 8 AFTER INJECTION- ITCHY, RED, SMALL WELT AT INJECTION SITE DAY 9-INCREASED SIZE OF REDNESS, WARM TO TOUCH, TENDER DAY 10- INCREASED AREA OF REDNESS, HOT TO TOUCH, MORE TENDER

Other Meds: LEVOTHYROXINE VITAMIN D APPLE CIDER VINEGAR GUMMI

Current Illness: NONE

ID: 0927981
Sex: F
Age: 56
State: GA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital: Y

Lab Data: transported to ER 01/05/2021 CT scan 01/05/2021 MRI 01/06/2021

Allergies: MSG - ANGIODEMA, Celexa, Cipro - rash and trouble breathing, Imitrex - stops her from breathing, Amitriptyline HCl - drowsiness, Concerta, Ritalin, Tamiflu, Topamax - memory loss, Depakote - Bell's palsy, Gabapentin, Inderal LA - Lack of therapeutic, Cymbalta, sertraline - headaches

Symptoms: Pt experiencing and c/o left nasal burning, left upper lip tingling progressing to numbness with slight swelling noted, scattered patchy hives to upper front chest, sharp HA above right eye, denies SOB, no acute respiratory distress noted or reported, slurring of words shortly after onset of other symptoms. Pt repeating "something ain't right". Pt received Moderna COVID vaccine at 4:35pm with no reactions or side effect noted within the post 15 and 30 minutes. EMS notified at 5:49pm. MD notifed and ordered Benadryl 50mg IM (given at 5:53pm), EpiPen and DepoMedrol 40mg IM if needed. No respiratory distess noted, pt denies SOB. EMS arrived and transported pt to ER.

Other Meds: Taking Fioricet 50-325-40 MG Tablet, Sig: 1 tablet- 2 tablets as needed for tension headache Orally Once a day Taking Escitalopram Oxalate 10 MG Tablet, Sig: 1 tablet Orally Once a day Start Date: 04/02/2020 Taking Depo-Estradiol 5 MG/M

Current Illness:

ID: 0927982
Sex: F
Age: 55
State: ME

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Moderna vaccine. Localized swelling, erythema, pruritus at injection site with pain and tenderness.

Other Meds: aleve, vitamin D3, tums

Current Illness: none

ID: 0927983
Sex: F
Age: 68
State: VA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/08/2021
Hospital: Y

Lab Data: COVID + ARTERIAL BLOOD GAS: (COLL: 01/07/2021 13:15) ( MsgRcvd 01/07/2021 13:58) Final results Test Result Flag **(Reference)** O2 METHOD NASAL CANN FiO2% 28 PUNCTURE SITE RIGHT BRACHIA pH 7.429 (7.350 - 7.450) pCO2 34 L mm/HG (35 - 45) pO2 88.7 mm/HG (75.0 - 100) HCO3 22.8 mm/HG (22.0 - 26.0) BASE EXCESS -1.1 mmol/L O2 SAT 97.1 % (91.0 - 99.0) ALLEN TEST N/A Patchy bilateral infiltrates compatible with pneumonia. Differential diagnosis includes COVID pneumonia shown on CTA of chest.

Allergies: codeine

Symptoms: Developed SOB and fatigue 1 day after vaccine, went to urgent care and tested positive for COVID at urgent care. Returned to our ED after going to urgent care again on 1/7/21, had o2 sat of 84% on room air, impoved to 98 on 3 liters. Was transferred to another facility for admission.

Other Meds: celexa

Current Illness: none

ID: 0927984
Sex: F
Age: 55
State: MI

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

Lab Data: None

Allergies: None

Symptoms: VERY sore joint (couldn?t walk using my knees). Very exhausted, migraine headache and slight nausea.

Other Meds: Estradiol

Current Illness: None

ID: 0927985
Sex: F
Age: 55
State: NY

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: Covid test on 1/5/21 negative

Allergies: Imetrex , Quinolones, clams

Symptoms: At 330 am I got the chills and could not go back to sleep, after an hour went back to sleep around 530 am started running a fever of 100.3 and had a severe headache and body aches. Fever went down with tylenol, but had headache all day. Fever did come back later in the day resolved with Tylenol. Next day fine but did have cold sores inside mouth . Head ache on 1/8 no fever or anything.

Other Meds: Buspar, estrodial, vitamin D

Current Illness: no

ID: 0927986
Sex: M
Age: 32
State: SC

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: Covid test 1/8/2021 Blood work 1/8/2021

Allergies: none

Symptoms: Patient received his first Covid vaccine on 1/7/2021 at 12:00p. At 0000 on 1/8/2021 he started having vomiting, diarrhea, and chills. Pt had ambulance take him to ED. Pt given fluids and nausea medications and discharged home at 8:30a the same day. Pt discharged with nausea meds as well as pain meds. Covid test was collected at time of discharge.

Other Meds: bp meds, cholesterol meds, anxiety meds

Current Illness: chronic itching being treated by doctor, chronic constipation, rectal bleeding treated by doctor

ID: 0927987
Sex: F
Age: 39
State: MD

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: Erythromycin, pet dander, grass

Symptoms: Redness and swelling at the site of injection. The swelling was gradual and reached the size of a golf ball. It was also warm and painful to touch. The pain has receded, but there is redness and it appears the swelling has just spread out over the arm, instead of out like a golf ball.

Other Meds: vitamins, pro-biotics, Claritin, 400 mg Vitex, 1000 mg Borage oil

Current Illness: none

ID: 0927988
Sex: F
Age: 25
State: FL

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 5-6 hours after vaccination, started having cramps at injection site. Vaccine given around 7:45am. Overnight, so 16-24 hours later spiking fevers to 103, severe body aches, headaches, nausea, and vomiting. Currently 26 hours out from vaccine and still having all symptoms.

Other Meds: Womens one a day multivitamin, Allegra, Singulair

Current Illness: none

ID: 0927989
Sex: F
Age: 22
State: WV

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: None at time of reporting incident

Allergies: None reported

Symptoms: The evening of receiving the vaccine she experienced itching eyes. The next morning her rt eye was swollen and she had red spots on face and forehead. Her arm was swollen and she experienced a knot at the injection site.

Other Meds:

Current Illness:

ID: 0927990
Sex: F
Age: 31
State: NV

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: Was seen by an urgent care doctor. No tests were performed.

Allergies: Sulfa meds, grapefruit

Symptoms: 1 week after vaccine I developed a small circular red rash at my injection site. In 24 hours it grew to a red circular rash approximately 5x6 inches. The rash is warm to the touch and itchy. I also developed a severe headache and chills with the rash. I was seen at the urgent care clinic for it and they suspect it might be cellulitis and prescribed me keflex. After being on keflex for one day, the rash is still growing in size. 3 other people at my workplace who received the vaccine have reported similar rashes 1 week after receiving the vaccine.

Other Meds: Vegetarian women?s multi vitamin with iron (brand- 365 everyday value) Pantoprazole 40mg daily Ativan .5mg daily

Current Illness: None

ID: 0927991
Sex: F
Age: 42
State: ME

Vax Date: 12/31/2020
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: oxycodone, seasonal allergies, mold

Symptoms: After injection, area was sore to touch and did have some swelling. All of that was gone by 1/5/2021. Started to itch morning on 1/7/21 and swell again, with the central area of the swelling being hot to the touch. Still an ongoing issue at time of this report.

Other Meds: lisinopril 20 mg, amlodopine 5mg, pantoprazole 20mg, cetrizine 5mg

Current Illness: none

ID: 0927992
Sex: F
Age: 24
State: MA

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Day 0: Fatigue began in approximately 3 hours, felt sleepy went to sleep early Day 1: Next day, felt a bit tired til about 5pm when fatigue began to set in again. Somewhere between 5-8pm the, began to feel feverish and got a headache, mild body soreness. Required ibuprofen 200mg x1. Overnight had a fever and two episodes of sweating, chills, shaking. Felt hyperalgesia when I would wake up (normal for me with viral illness). Day 2: resolved completely by morning. Arm soreness: Day 0: not too bad Day 1: peaked around 5pm, limited ROM due to pain, swollen at site. Decreased as other symptoms increased. Day 2: still mildly sore but no need for meds or limit in ROM. Day 3: mild pain persists, no other sx

Other Meds: Bupropion 300mg daily

Current Illness: None

ID: 0927993
Sex: F
Age: 41
State: KS

Vax Date: 12/31/2020
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: one week after receiving injection, right arm at injection site developed redness, rash, hot to touch, painful, itchy.

Other Meds: lexapro

Current Illness: none

ID: 0927995
Sex: M
Age: 49
State: NE

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: pennicillin

Symptoms: Rash (hives) on my torso.

Other Meds:

Current Illness: none

ID: 0927996
Sex: F
Age: 37
State: MA

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Soreness in the arm where injection was hard to lift arm Fatigue Chills Body aches Headache

Other Meds: mirena

Current Illness: COVID positve

ID: 0927997
Sex: F
Age: 57
State: MT

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Dry heave, headaches, muscle aches, sore injection site

Other Meds:

Current Illness:

ID: 0927998
Sex: M
Age: 57
State: NY

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: chills, vomiting, fever, headache, body ache, fatigue

Other Meds:

Current Illness:

ID: 0927999
Sex: F
Age: 33
State: NJ

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Low Grade Fever

Other Meds: Prenatal vitamin, Aspirin 81mg, Vitamin B-12 2500 mcg

Current Illness: None

ID: 0928000
Sex: F
Age: 28
State: CT

Vax Date: 12/28/2020
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Day 2: arm pain Day 8: new onset skin reaction at site of injection and below (left deltoid); swollen, red, itchy/painful, 3 quarter-sized hives

Other Meds: Wellbutrin, Lamictal, OCP, Prozac, Prazosin, Zyrtec, Flonase

Current Illness: none

ID: 0928001
Sex: M
Age: 58
State: GA

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

Lab Data:

Allergies:

Symptoms: Moderna COVID-19 Vaccine EUA Pt was diaphoretic and shaking post vaccination with the Moderna vaccine. Also became nauseous. Gave employee something to drink, monitored vitals, and had him stay in the monitoring area. Also gave employee 4mg ODT zofran for nausea. Employee's BP normalized and stated he was ok to go to work. Also stated he had never had this reaction from another vaccine and no known drug allergies.

Other Meds:

Current Illness:

ID: 0928003
Sex: F
Age: 42
State: TX

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: none

Allergies: unknown

Symptoms: tachycardia, palpitations, and shaky hands

Other Meds: synthroid, claritin, tylenol

Current Illness: none

ID: 0928004
Sex: F
Age: 62
State:

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient 00037022 DOB 03-21-1958 received 2nd dose Pfizer lot EL1284 on 1-6-2021 in left arm. She has not had history of reaction before. Starting from midnight that night she has fever between 100.6-101.2, body aches and stiff neck. She also has swollen left arm pit, head ache, Pruritus breathing. She has a history of afib and last night she had two runs of it and took metoprolol.

Other Meds:

Current Illness:

ID: 0928005
Sex: F
Age: 38
State: NH

Vax Date: 01/05/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: urine culture pending CT showed no stone, stranding around R kidney

Allergies: amoxicillin, iron dextran, ketamine, demerol

Symptoms: awoke with acute severe R flank and RLQ pain, gross hematuria, dx pyelonephritis

Other Meds: Adderall, multivitamin

Current Illness: none

ID: 0928006
Sex: F
Age: 33
State: KY

Vax Date: 12/30/2020
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: None. She plans to see her PCP for evaluation.

Allergies: NKA

Symptoms: On 01/05/2021 patient noted itching at the injection site and a bumpy patch. Then on Wednesday morning she noted redness and a knot at the injection site. She has been taking ibuprofen to try to help symptoms. She did have discomfort at the site but can use her arm normally per her report.

Other Meds: Losartin/HCTZ, Amlodopine, Citalopram, Vitamin D, Multivitamin, Omprazole, Loratidine, & Ibuprofen.

Current Illness: None.

ID: 0928007
Sex: F
Age: 29
State: KS

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 6 hours post vaccine patient developed a bad headache; 12 hours post vaccine patient developed a temperature of 102 degrees tympanic; 36 hours post vaccine patient developed hives on both feet. 48 hours post vaccine patient's headache and fever were gone and mild hives remained on the feet.

Other Meds:

Current Illness:

ID: 0928008
Sex: F
Age: 40
State: FL

Vax Date: 01/03/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: BP 110/75

Allergies: CELEBREX-RASH

Symptoms: Fatigue, confusion including disorientation and perceptual disturbances that fluctuated throughout the day. Two episodes of orthostasis and severe tinnitus lasting about 5 minutes each.

Other Meds: ZOLOFT 100MG DAILY; MELATONIN 0.5MG AT BEDTIME

Current Illness: ONE MONTH PRIOR HAD STEROID INJECTION BILATERALLY FOR CARPAL TUNNEL

ID: 0928010
Sex: F
Age: 27
State: IN

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: n/a

Allergies: No known allergies

Symptoms: Hives, itching, burning, fatigue, chills, nausea, low grade fever

Other Meds: Camerese Lo, Escitalopram

Current Illness: N/A

ID: 0928011
Sex: M
Age: 34
State: FL

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Moderna COVID-19 Vaccine Woke up with a headache and chills around 2:30am. Tried to sleep it off. Woke up at 5:00am with 103.1 fever, nausea, headache, body aches, chills. Drank fluids and took ibuprofen, fever under control, aches subsiding. Headache lingering. Chills gone.

Other Meds:

Current Illness:

ID: 0928012
Sex: F
Age: 50
State: LA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Patient had local reaction. Hives at site, redness on neck and face. Benadryl 25mg given po. Patient monitored about30 minutes.

Other Meds: none

Current Illness: None

ID: 0928013
Sex: F
Age: 44
State: NV

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: I had fever and arm was sore. I felt fatigue and very tired.

Other Meds: Sentoid, Liothyronine

Current Illness: None

ID: 0928014
Sex: M
Age: 28
State:

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Muscle aches, followed by swollen lymph nodes noted in armpit of arm injected with the vaccine. Noted 2 swollen lymph nodes. Low grade fever prior to going to bed. By the morning symptoms had resolved other than swollen lymph node which remained swollen over next few days.

Other Meds:

Current Illness:

ID: 0928016
Sex: M
Age: 27
State: WA

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: I started to feel achy all over my body. I was having chills as well. I was still able to work throughout the day 1/7/21. I've had a pain in my right arm pit that hasn't gone away. I feel a lump that is moveable and about 1 cm in diameter that is painful constantly and when I message it in my right arm pit. I feel fine otherwise 1/8/21 morning and am still going to work.

Other Meds: Multivitamin Calcium Magnesium Iron

Current Illness: None

ID: 0928017
Sex: F
Age: 42
State: VT

Vax Date: 12/29/2020
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: none

Allergies: Latex, bananas, walnuts

Symptoms: 9 days following vaccination, developed a red, warm, tender rash a little larger than the size of a sliver dollar

Other Meds: Metoprolol Succinate 50mg daily Losartan Potassium 50mg daily Tremfya 100mg injection every 8 weeks (last injection 12/17/20) Fluoxetine 20mg daily

Current Illness: None

ID: 0928018
Sex: F
Age: 59
State: TX

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: none

Allergies: sulfa

Symptoms: arm tingling

Other Meds: none

Current Illness: none

ID: 0928019
Sex: F
Age: 30
State: LA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: rhino laryngoscopy performed which did not show any evidence of edema.

Allergies:

Symptoms: Patient complained of itching of tongue, mouth, and lips. Given Benadryl 50mg po, Pepcid 40mg, and Xyzal 5mg. Shortly after complained of hoarseness. No respiratory, GI or cardiovascular symptoms. ENT consulted. patient observed for 3 hours.

Other Meds:

Current Illness:

ID: 0928020
Sex: F
Age: 40
State: MI

Vax Date: 12/31/2020
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: n/a

Allergies: amoxicillin, ceclor

Symptoms: Itching was noted at the injection site five days post injection. On day seven, a raised rash/welt was noted at the site.

Other Meds: none

Current Illness: none

ID: 0928022
Sex: M
Age: 58
State: MT

Vax Date: 12/18/2020
Onset Date: 12/21/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Injection site pain, lethargic, headache, chills, muscle/joint pain, sore throat; increased severity of chronic tinnitus

Other Meds:

Current Illness:

ID: 0928023
Sex: M
Age: 56
State: OK

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: None reported.

Symptoms: Difficulty swallowing, macular rash on trunk and neck, pain and tightness in L shoulder, neck and ear.

Other Meds: Isosorbide, Synthroid, clonazepam, furosemide, albuterol MDI, tramadol, Fiorinal, Ambien, Cozaar, clonidine, aspirin, Lipitor, Plavix, nitrogylcerin tablets, tizanidine, Ranexa.

Current Illness: Coronary Artery Disease, Hypertension, Hyperlipidemia, Intervertebral Disk Degeneration, Peripheral Vascular Disease

ID: 0928024
Sex: F
Age: 40
State: TX

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient report tingling of the tongue and pain with swallowing. Right side tongue swelling and right side facial tingling with difficulty to swallow occurred 45 minutes after receiving the vaccine. Patient took 50 mg of Benadryl after 10 minutes there was improvement and after 30 minutes it completely resolved. She woke up the next morning with HA and diarrhea she took Tylenol and will monitor.

Other Meds:

Current Illness:

ID: 0928026
Sex: F
Age: 26
State: IN

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: Sulfa drugs

Symptoms: Started with headache around 3pm the day after the vaccine administration. Took Advil around 4pm, with no relief. Nausea started shorty after eating dinner at 6pm. Around 7pm, went to bed and started getting chills and felt feverish (did not have thermometer to record temp). Napped for 3 hours and felt better after. Next morning, feeling milder headache.

Other Meds: Hydroxychloroquine 200mg BID Duloxetine 60mg qD Gabapentin 60mg qD Contrave 2 pills BID

Current Illness:

ID: 0928028
Sex: F
Age: 59
State: IA

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Noticed itching of the injection site area on 1/7, the next morning it looked like a local reaction with redness, warm and sore to touch.

Other Meds: Dexilant, Levothyroxine, Tylenol, Spirntec

Current Illness: None

ID: 0928029
Sex: F
Age: 66
State: PA

Vax Date: 12/20/2020
Onset Date: 01/03/2021
Rec V Date: 01/08/2021
Hospital: Y

Lab Data: Endoscope x3 showed swelling in epiglottis consistent with epiglottitis CT of neck same result , CBC WBC of 13/8 , COVID - x 3, Strep test negative x 3

Allergies: none

Symptoms: Started with sore throat on 1/3/2021 in afternoon by evening throat was swollen could not handle my secretions with pain 10/10. Went to the ED in the morning and was admitted with epiglottitis. No fever only low wbc count of 13.9 concerned it is a delayed reaction to vaccine

Other Meds: Effexor, Clonopin, Amilodpin, Protonix

Current Illness: none

ID: 0928030
Sex: M
Age: 0
State: FL

Vax Date: 06/29/1950
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies: Iodine

Symptoms: Client verbalize tingling of the tongue and tip of fingers. Client evaluated by onsite paramedic. Client symptoms was not resolved and client was advised to seek additional evaluation but refused. Client was released at 2:10 pm accompanied by spouse.

Other Meds: None

Current Illness: None

ID: 0928031
Sex: F
Age: 55
State: NY

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: None. I was evaluated by a telemedicine visit on January 7, 2021 at 8:15 am. I started the prescription at 1:00 pm same day.

Allergies: Iodine and shellfish

Symptoms: Shingles outbreak in mouth involving right side of hard palate and fever peaking at 101. 4 orally on 01/07/21. Began with minor itching and irritation in mouth on 01/06/2021 midmorning. Began treatment with Valacyclovir 1 gm twice a day to take for 7 days at 1:00 pm. I am using Orajel topically on the lesions and Boost nutritional supplement drink for food source currently.

Other Meds: Precose 50 mg three times a day , Daily Multi-vitamin

Current Illness: Covid-19 positive on December 19, 2020. Asymptomatic and released from isolation on December 30, 2020. Passed screening questionnaire prior to Covid-19 immunization received on January 4, 2021.

ID: 0928032
Sex: F
Age: 29
State: IL

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: Amoxicillin, penicillin, azithromycin, bees

Symptoms: 12 minutes after receiving vaccine. Metallic taste in mouth, tingling in back of throat, numbness in mouth and hands. Zyrtec given. Symptoms cleared within 45 minutes of receiving Zyrtec. 4 hours post vaccine arm pain at injection site, muscle aches in other arm and joint pain in hips. Fatigue and neck rigidity. All symptoms resolved after 48 hours post vaccine.

Other Meds: Prenatal vitamins

Current Illness: N/a

ID: 0928033
Sex: F
Age: 39
State:

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Received Pfizer lot EL1284 on 1-4-2021 in left arm. On 1-5-2021 started to swollen lymph node in left arm pit.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm