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: 0929315
Sex: F
Age: 43
State: IL

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

Lab Data:

Allergies:

Symptoms: Patient received vaccine at 1323. At 1343 said she did not feel good and then did not respond to verbal or normal pressure tactile stimuli. Patient did respond to sternal rub. Patient has a history of epilepsy and several allergies. Patient did not have audible wheezing, has trach to vent, and mark above lip that was potentially a hive. APN was at bedside and instructed to administer epinephrine. EMS was called. Approximately 3 minutes after administration of epinephrine patient became verbally responsive. When EMS arrived, patient was oriented to person, place, and time. Patient was transported by EMS to the hospital.

Other Meds:

Current Illness:

ID: 0929316
Sex: F
Age: 50
State: GA

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

Lab Data: none

Allergies: sulfa

Symptoms: Reddened area on right deltoid 4.1/4" in length - not itchy, a little warm.

Other Meds: Zyrtec, mvi. Azithromycin finished on Monday 1/28/20.

Current Illness: sinus infection.

ID: 0929317
Sex: M
Age:
State: MA

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

Lab Data:

Allergies: NKA

Symptoms: hives blotch @ injection site pain then 10 days later hives + itching tx: prednisone PO, Atarax PO, valisone cream

Other Meds: N/A

Current Illness: N/A

ID: 0929318
Sex: F
Age: 56
State: WA

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

Lab Data: None

Allergies: none

Symptoms: Circular red blotch just beneath injection site. No irritation at all.

Other Meds: Reclast, Vit D, Zinc, Calcium

Current Illness: none

ID: 0929319
Sex: F
Age: 54
State: CA

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

Lab Data: 1/8/21 - Covid test done (nasal swab) - pending result

Allergies: Sulf Azithromycin Cefdinir

Symptoms: Symptoms started 1/5/2021 around 6:00pm lasted about 36 hours. headache mild fever fatigue Lt calf pain tremors on Lt thumb - until today still with mild tremors episodes of dry cough

Other Meds: Albuterol inhaler Symbicort inhaler Losartan/Hctz Aspirin Rosuvastatin

Current Illness: muscle pain chills/fever pneumonia

ID: 0929320
Sex: F
Age: 60
State: OH

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

Lab Data:

Allergies:

Symptoms: 1/4- Injection - Lt deltoid 1/5- Fever 100.9, Severe Body Aches, Fatigue 8AM 8AM 1/6- Mild bodyaches, large swelling lymph nodes LT Axilla 9AM 1/7- Lt axilla Lymph nodes swelling + pain (size of baseball) slight red 8AM Saw Dr Mild swelling of Lt Axilla Lymph node No redness

Other Meds: HCTZ Levothyroxine Glucophage Effexor

Current Illness: None

ID: 0929321
Sex: F
Age: 27
State: MO

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

Lab Data:

Allergies:

Symptoms: Employee here with COVID vaccine reaction was given shot in right upper arm in deltoid area on 12/30/20. Redness came on after the vaccination but went away then on 01/07/21 it came back. The site is red, swollen, warm to the touch, with clearly defined borders. Site is 3.5 X 2.5cm and outlined in ink for monitoring. Explained conservative measures including cool compresses, if allowed by PCP taking OTC IBU and OTC antihistamines. If area worsens skin becomes taught or streaking develops to seek further care form PCP or walk in clinic. Employee verbalizes understanding and agrees with plan.

Other Meds:

Current Illness:

ID: 0929322
Sex: F
Age: 36
State:

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

Lab Data:

Allergies:

Symptoms: headache chills and body aches, mainly on the back area.

Other Meds:

Current Illness:

ID: 0929323
Sex: F
Age: 50
State: CO

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

Lab Data:

Allergies:

Symptoms: After 1st dose of Moderna vaccine, patient started to experience dizziness and lightheadedness. At 0926 BP was 121/69 mmHg and HR was 75 bpm. At 0930 BP was stable and HR decreased to 64 bpm. Over the course of observation, the patients HR decreased to 40 bpm and she continued to state that she felt lightheaded. Patient was given apple juice and granola bar. After 20 minutes of observation, the patient was taken to the ED for further observation.

Other Meds:

Current Illness:

ID: 0929324
Sex: M
Age: 80
State: TX

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

Lab Data:

Allergies:

Symptoms: Vaccine administration error. 2ml administered. No adverse events noted. Patient follow-up with provider.

Other Meds:

Current Illness:

ID: 0929325
Sex: F
Age: 62
State: KY

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

Lab Data: none

Allergies: sulfa, adverse reaction to narcotics, wasp

Symptoms: 3 hours after vaccine developed generalized arm swelling, redness, tenderness, 25 hours temp 100.2 and headache sore throat, diarrhea, muscle aches which lasted 3 days and was taking tylenol. this subsided after 3 days. large knot at injection size and felt like skin was pulling. reports gumball area as of today. Reports skin feels hypesensitivity. no respiratory issues reported.

Other Meds: otc generic zyrtec

Current Illness: none

ID: 0929326
Sex: F
Age: 42
State: IN

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

Lab Data:

Allergies: Septra DS, Augmentin, sensitive to Latex, IV Benadryl, and Lortab

Symptoms: I had the Modern vaccine on 12/30/2020. The next morning I felt fatigue, muscle aches, and pain at the injection site. I began having redness at the injection site on 1/1/21. It measured 1.5 inches around. It began fading on 1/4/21. On 1/6/21, the redness started to come back along with pain and itching at the site. It measured 2 inches. The redness began getting darker in color and welting. I called my doctor's office. They recommended for me to call the COVID-19 number they had. The COVID-19 Nurse said it sounds like a typical vaccine reaction. He said to use Benadryl cream and a heating pad. Today (1/8/2020) the redness is over 4 inches around, painful, and itchy. It has a small blister on top of the welting. It almost looks like rings of different redness levels. I think I am going to go to urgent care to have it evaluated. I still have some muscle weakness, fatigue, and a headache(3 days.)

Other Meds: None

Current Illness: No

ID: 0929327
Sex: F
Age: 57
State: FL

Vax Date: 10/30/2020
Onset Date: 10/31/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: started on Oct. Symptoms 31, 2020. Headache, stomachache, fever, chills, muscle aches. Confined to bed and couch. Couldn't do anything. Lasted 2 days. Then the tingling started close to my wrist on the inside of right , then left arms. The irritation had me rubbing and looking for something on my arms. On November 3 or 4 a rash broke out on both arms close to my wrists. It was in a line almost in a circle around both arms. I had no redness, pain or swelling at my injection site. The rash itched, burned and was painful. It reminded me of poison ivy. Raised fluid filled bumps with red skin. I called my doctors office. They did not want me to come in. They did not want to see the rash. I must have been exposed to or come in contact with something. Take some XYZAL allergy pills for 3 days. I used calamine lotion. Worked well. Rash, itch and burn lasted till the middle of December. Used Benadryl the last 2 weeks to help with itch. January 3, my left eye was red. By January 5 my pupal was small and i was so sensitive to light only complete darkness helped with the pain. Optimist said I had iritis. This can be caused by shingles, i read. Prednisolone AC 1% and Atropine 1% were prescribed.

Other Meds: Fish Oil

Current Illness: None

ID: 0929328
Sex: F
Age: 71
State: KY

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

Lab Data: non

Allergies: NKDA

Symptoms: patient states she wok up with n/v diarrhea, back pain. temp 98.8.phoned PCP who rx ondansetron 4 mg. Dr stated to take medication, did not want to see her. she started to feel some better, then was able to sleep. 1-8-21 pt phoned and stated n/v diarrhea has subsided she just has headache now.

Other Meds: atorvastatin, cartia. estradiol, famotidine, thyroid, potassium, metoprolol, olanzapine, pantoprazole, spironolactone, preservsion areds, vitamin d3, bupropion hcl, alprazolam, tizanidine, oxycodone, ferrous sulfate, tamsulosin

Current Illness: depression hx

ID: 0929329
Sex: F
Age: 33
State: IN

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

Lab Data: Chest Xray done on 1/7/2021

Allergies: Penicillins (class), bioxin, ampicillin

Symptoms: Shortness of breath, headache, chest tightness, lung pain, weakness, hotness. Went to the ER, chest xray done. Lungs clear. Took only ibuprofen.

Other Meds: Ibuprofen

Current Illness: None

ID: 0929330
Sex: F
Age: 61
State: RI

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

Lab Data:

Allergies: NKA

Symptoms: Palpitations - Heartrate 118

Other Meds: Imitrex

Current Illness: Migrane

ID: 0929331
Sex: F
Age: 56
State: NY

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

Lab Data: none at the time

Allergies: ASPIRIN, NAPROXEN AND MOTRIN

Symptoms: 1/06/2020 1) 15 min s/p injection :Nausea, tx: rest at the clinic, resolved 20-30 minutes. 2) 45 min s/p injection: dizziness, tx: sleep, resolved in the 1/07/08 AM 3) 5 hours s/p injection INJECTION SITE pain, tx: rest, tylenol (1000mg) otc "antibiotic ointment", improved by 1/08/2020 2pm (not resolved) 1/07/2020 4) 12:30am muscle aches, fluid intake, rest, tylenol (1000mg), improved by 1/08/2020 (not resolved) 5) 5:45pm chills ("felt cold"), tylenol (1000mg), warm shower, warm fluids, resolved by 1/08 8 am. 6) 5:45 Rhinorrhea, warm liquids, not resolved as of 1/08/2020 @ 2pm

Other Meds: no herbal supplements.

Current Illness: none

ID: 0929332
Sex: M
Age: 58
State: MT

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

Lab Data:

Allergies:

Symptoms: fever, chills,

Other Meds:

Current Illness:

ID: 0929333
Sex: F
Age: 30
State: MA

Vax Date: 12/21/2020
Onset Date: 12/23/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: moderate armpit discomfort

Other Meds:

Current Illness:

ID: 0929334
Sex: F
Age: 91
State: NE

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

Lab Data:

Allergies:

Symptoms: ON 1/5/21 AT 10:00AM, DEVELOPED DIZZINESS THAT LASTED ONE HOUR.

Other Meds:

Current Illness:

ID: 0929335
Sex: F
Age: 30
State: CO

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

Lab Data:

Allergies: no

Symptoms: 1/2 I woke up and I threw up and I had body aches and lethargy and I slept all day for like 12 hours which is not normal. My arm was sore but nothing out of the ordinary. Daily asprin after I got covid Dec 8th and I took Tylenol on the 2nd to be a little more comfortable I have been having a normal low risk pregnancy but my Dr made me high risk since I had COVID, Due Date: May 30th

Other Meds: prenatal, synthroid, Tylenol

Current Illness: Covid Positive Dec 8, 2020

ID: 0929336
Sex: F
Age: 30
State: UT

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

Lab Data:

Allergies:

Symptoms: as inadvertently given 2 shots by vaccinator. The vaccinator thought that the vaccine had not been administered when the 1st shot was given because the syringe would not retract on the vanish point syringe and she removed the shot from patient's arm she thought the vaccine was still in the syringe and had not been given to the patient so she administered a 2nd shot. Patient was notified that she most likely received 2 full doses of the vaccine or possibly 1 full dose and 1 partial dose. Discussed expected/common possible side effects of vaccine. She waited in monitoring area for 15 min after vaccine and I gave her my office number to call if any unexpected reactions or concerns.

Other Meds:

Current Illness:

ID: 0929337
Sex: M
Age: 80
State: WA

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

Lab Data:

Allergies:

Symptoms: Development of Bells Palsy approximately 48 hours after initial (dose 1) vaccination with Pfizer vaccine.

Other Meds:

Current Illness:

ID: 0929338
Sex: F
Age: 33
State: WI

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

Lab Data: Pharmaceutical intervention only

Allergies: Cyclobenazprine, lactase, latex

Symptoms: Anaphylaxis - started with metallic taste in mouth followed by tongue swelling and chest heaviness

Other Meds: dextroamphetamine-amphetamine (ADDERALL XR) 20 MG 24 hr cap

Current Illness: None

ID: 0929339
Sex: F
Age: 49
State:

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

Lab Data:

Allergies:

Symptoms: vaccinated around 6pm, around 9-10pm there were soreness around injection site, states next day soreness occurred all day. 1 week later the injection site started to swell with irritation such as itchiness and redness.

Other Meds:

Current Illness:

ID: 0929340
Sex: F
Age: 25
State: MD

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

Lab Data: None

Allergies: None

Symptoms: Starting at 9pm, I experienced chills, shaking, headache, wide spread muscle soreness, fast heart rate, and nausea. My temperature was 99.5 consistently throughout the night but did not exceed this number. I took Advil twice throughout the night which relieved some of the headache. My symptoms stopped about 12/13 hours later. Symptoms felt very similar to the flu.

Other Meds: ZYRTEC

Current Illness: None

ID: 0929341
Sex: F
Age: 35
State: MO

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

Lab Data:

Allergies:

Symptoms: Within 20 to 30 minutes of vaccination the vaccine site started itching and then my whole left arm was itchy.There was also a diffuse erythematous rash on my upper left deltoid and tricep. No hives, difficulty breathing, edema, or throat tightness were present. The diffuse rash subsided after a day or two but there is still a small circle of erythema directly around the injection site and the area is slightly indurated and my upper arm is still itchy. I am not overly concerned about the side effects but thought it weird that it is still itchy and indurated but thought I would report it so these side effects can be included in any data collection. Thank you.

Other Meds:

Current Illness:

ID: 0929342
Sex: F
Age: 42
State: FL

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

Lab Data:

Allergies:

Symptoms: arm/shoulder pain, tenderness, swelling at injection site. Arm feels heavy, numbness and tingling into hand.

Other Meds:

Current Illness:

ID: 0929343
Sex: F
Age: 38
State: NM

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

Lab Data: No additional testing done today

Allergies: Naproxen, Lyrica

Symptoms: Patient received Moderna COVID-19 vaccine from her workplace. She informed her employer that she had tested positive for COVID-19 at the end of November. Employer insisted on patient getting vaccine even though patient had residual effects from the COVID-19 infection.

Other Meds: Narcan 4 mg/actuation nasal spray spray 0.1 milliliter by intranasal route in 1 nostril may repeat dose every 2-3 minutes as needed alternating nostrils with each dose 06/10/2020 06/10/2020 N cetirizine 10 mg tablet take 1 tablet by oral r

Current Illness: Tested positive for COVID-19 on 11/27/2020. Still had residual effects from COVID infection such as DOE, fatigue, and headache

ID: 0929345
Sex: M
Age: 37
State: AL

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

Lab Data:

Allergies: NKDA

Symptoms: Pt reports having history of vagal response following any needle injections. After patient received vaccine he started yawning, became diaphoretic, pale we lowered him to ground and elevated feet. He said he heard humming in his ears and blacked out. His wife was present. She reported his hx of doing this previously. She said he is an avid runner and his resting heart rate is typically in the 40s. His heart rate was 37-40 when palpated radially. His Bp stayed about 90/50 which she said was also his baseline. I called the patient around 11AM 2 hours after the event and he reported he felt much better and had recovered.

Other Meds:

Current Illness:

ID: 0929346
Sex: F
Age: 64
State: FL

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

Lab Data:

Allergies: Sulfa

Symptoms: 8 days after injection site of the injection became swollen and itchy. Had been fine until then. 9th day still some swelling and itching but not as bad.

Other Meds: L-LYSINCE - 1000MG TUMS - 1000 Loratadine tablets = 10 mg Raloxifene - 60 mg Ibuprofen as needed Miralax

Current Illness: None

ID: 0929347
Sex: F
Age: 65
State:

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

Lab Data:

Allergies:

Symptoms: Body aches, bone pain and extreme fatigue, loss of appetite

Other Meds:

Current Illness:

ID: 0929348
Sex: F
Age: 45
State: MN

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

Lab Data:

Allergies: Meclizine Penicillin

Symptoms: tongue tingling and numb

Other Meds: Provera 5 mg daily scopolamine 1 mg over 3 days patch

Current Illness: None

ID: 0929349
Sex: F
Age: 37
State: IN

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

Lab Data: none

Allergies: none

Symptoms: The day after I recieved the vaccine, my arm was red and swollen and hurt to the touch. Around noon, I felt achy and had a headache. At around 3 PM, I felt feverish and had a fever of 100.4. I felt general malaise and achy all evening. This morning, I still have a bit of a headache, but feel much better than yesterday.

Other Meds: Multivitamin, Vitamin D

Current Illness: none

ID: 0929350
Sex: F
Age: 54
State: TX

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

Lab Data:

Allergies:

Symptoms: Symptoms - ? EE reports she received her vaccine during work yesterday and then worked until approximately 8:00 PM. EE reports arm soreness and pain at injection site. EE reports she woke up around 04:00 with flu like symptoms, body aches (reporting so bad she is barely able to get out of bed), fever (Tmax 101.4). + runny nose, congestion and headache. EE reports + exposure to pt with only wearing surgical mask approx. 3 weeks, and was contacted by EH and was considered low-risk and not scheduled for testing. Last day of work and shift - ? yesterday left work at approx. 8:00 PM Home remedies? - Tylenol at 0700, 600 mg ibuprofen at 11:30 Any improvement? - none Recommendation? After completely algorithm, EE meets criteria to be COVID tested and removed from work at this time. EE provided with EH command center and instructions to notify them need for COVID-19 testing. EE educated to notify his manager. EE verbalized back understanding and denied further questions at this time.

Other Meds:

Current Illness:

ID: 0929352
Sex: M
Age: 34
State: MO

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Employee here for COVID vaccine reaction. Vaccine given on 12/28/20 in the posterior left arm below deltoid area and in SUBQ tissue. Employee states area was red around site for 2-3 days area worsened 01/06/21. Area is red, itching, swollen, warm to the touch. Area measures 12 X 8.5cm extending down the arm towards elbow. Has used cortisone cream for the itching. Explained conservative measures with employee including continuing cortisone cream, cool compress, if allowed by PCP using OTC IBU and OTC antihistamines. Explained to continue monitoring site if reaction worsens skin becomes taught or streaking develops to seek further care with PCP or walk in clinic. Employee verbalizes understanding and agrees with plan.

Other Meds:

Current Illness:

ID: 0929353
Sex: F
Age: 58
State: TX

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

Lab Data: None

Allergies: Latex

Symptoms: Itching of skin generalized and controlled with Benadryl

Other Meds:

Current Illness: None

ID: 0929354
Sex: F
Age: 44
State: MO

Vax Date: 12/26/2020
Onset Date: 01/01/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: 1/8/21

Allergies: None

Symptoms: Severe painful shingle like rash , chills,

Other Meds: Depo, Estradiol

Current Illness: None

ID: 0929356
Sex: F
Age: 54
State: NH

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

Lab Data:

Allergies: PNC, macrodantin

Symptoms: Severe body aches, fever, uncontrollable shivering, headache

Other Meds: Plaquenil, prescription potassium, losartan/hct, singular, fluoxetine

Current Illness: None

ID: 0929357
Sex: F
Age: 42
State: NY

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

Lab Data: None

Allergies: None

Symptoms: Headache, nausea and vomiting

Other Meds: None

Current Illness: None

ID: 0929358
Sex: F
Age: 52
State: AZ

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

Lab Data: N/A

Allergies: NONE

Symptoms: PATIENT C/O FEELING VERY ILL THE NEXT MORNING. C/O SEVERE HEADACHE, NAUSEA, CHILLS AND BODY ACHES. SEEN BY HER PCP AND WAS PRESCRIBED ZOFRAN FOR NAUSEA AND GIVEN A TORADOL SHOT FOR PAIN.

Other Meds: ALBUTEROL INH, FLOVENT INH, L-THYROXINE, AMITRIPYTLINE

Current Illness: COVID 19 ILLNESS 12/15/2021

Date Died: 01/08/2021

ID: 0929359
Sex: M
Age: 76
State: FL

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

Lab Data: none

Allergies: none

Symptoms: 3:07 pm lung sounds diminished oxygen sats 68%, oxygen applied Oxygen sats remained low for next 36 hours ( patient on Hospice care ) expired 6:22 am 1-8-21

Other Meds: none

Current Illness: Cerebral Atherosclerosis, malnutrition, thrombocytopenia, cva, hypothyroidism

ID: 0929360
Sex: F
Age: 58
State: ME

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

Lab Data: went to work place health to be examined

Allergies:

Symptoms: Last night at bedtime she noticed her arm was itching, thought nothing of it, went to sleep. This morning still itching so she looked in the mirror and arm was red-size was approximately 2 inches across at 6am. Itching worse now.

Other Meds:

Current Illness:

ID: 0929361
Sex: F
Age: 59
State: WI

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

Lab Data:

Allergies:

Symptoms: On 01/08/2021 developed red rash around the injection on the left arm. Arm has redness the size of softball and warm to touch.

Other Meds:

Current Illness:

ID: 0929362
Sex: F
Age: 62
State: KY

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

Lab Data: none

Allergies: sulfa, adverse reaction to narcotics, wasp

Symptoms: 3 hours after vaccine developed generalized arm swelling, redness, tenderness, 25 hours temp 100.2 and headache sore throat, diarrhea, muscle aches which lasted 3 days and was taking tylenol. this subsided after 3 days. large knot at injection size and felt like skin was pulling. reports gumball area as of today. Reports skin feels hypesensitivity. no respiratory issues reported.

Other Meds: otc generic zyrtec

Current Illness: none

ID: 0929363
Sex: F
Age: 29
State: WA

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

Lab Data: NA

Allergies: none

Symptoms: Hives: starting this AM

Other Meds: none

Current Illness: NA

ID: 0929364
Sex: F
Age: 49
State: MO

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

Lab Data:

Allergies:

Symptoms: Pruritus, pain, erythema, and induration that has spread to entire back of upper arm (above the elbow)

Other Meds:

Current Illness:

ID: 0929365
Sex: F
Age: 40
State:

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

Lab Data:

Allergies:

Symptoms: fever 103, chills, achy body. Fever broke 2nd of January. Headache beginning on the 5th ended on the 7th that may or may not be related.

Other Meds:

Current Illness:

ID: 0929366
Sex: M
Age: 43
State: IL

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

Lab Data: none

Allergies: NKA

Symptoms: 100.6 Fever, body aches, mental fogginess

Other Meds: No

Current Illness: None

ID: 0929367
Sex: F
Age: 35
State: IA

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

Lab Data: None

Allergies: Gentamycin and erythromycin

Symptoms: One week after vaccination area of injection because swollen, firm, red, hot, and itchy. Two days later a red itchy rash followed on arms and legs. Mild amount of rash on trunk. Rash itches.

Other Meds: Pravastatin, Multivitamin, Emergen-C, and vitamin D

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm