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: 0929975
Sex: F
Age: 72
State: TX

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

Lab Data: none

Allergies: caffeine

Symptoms: After Moderna vaccine I had chills started night of vaccine on 1/6/2021 and noon on 1/7/2021 extreme fatigue, nausea, chills and heart rate of 35 and oxygen in 90. On 1/8/2021 I am much better.

Other Meds: Amlodipine Besylate 5 mg, Clopidogrel (Plavix) 75mg, Valsartan 80mg (Diovan), Ezetimibe 10mg (Zetia), Rosuvastatin Calcium 40mg, Myrbetriq 25mg, Women 50+ Multivitamin, Vitamin D-3 2000IU, Sunbiotic 365

Current Illness: none

ID: 0929976
Sex: F
Age: 46
State: NJ

Vax Date: 01/04/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: MRI Bloodwork ER visit

Allergies: Penicillin Levaquin

Symptoms: Headache, Fatigue- on day 2 Bels Palsy- Day 4

Other Meds: Levoxyl 127 mcg Duloxetine 40mg Nexium

Current Illness: none

ID: 0929977
Sex: F
Age: 33
State: IN

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

Lab Data:

Allergies: Sulfa

Symptoms: Developed rash, itching on arm and on chest, tingly feet and dry cough, dry mouth

Other Meds: Synthroid, Mirena IUD, occasionally take ibuprofen and Pepcid AC

Current Illness: hypothyroid

ID: 0929978
Sex: F
Age: 39
State: ME

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

Lab Data: none known

Allergies: flax seed, levothyroxine (generic only)

Symptoms: Within a minute after receiving the vaccine, patient felt flush, face was very red, and was having serious trouble breathing. Adult epipen 0.3mg was administered in patient's right thigh. Diphenhydramine 50mg was also administered in patient's left deltoid. 10 minutes after administration, patient again was having severe trouble breathing. A second dose of adult epipen 0.3mg was administered in patient's right thigh. Patient was also given Lorazepam 2mg. Patient was then taken to the Emergency Room by ambulance. At the emergency room patient was given predisone and an additional Lorazepam 1mg. Patient was observed and then sent home.

Other Meds: Vitamin D, Omeprazole 20mg, Synthroid (Brand) 25mcg, Hydroxyzine Pamoate 50mg twice daily, Buspirone 10mg twice daily

Current Illness: none

ID: 0929979
Sex: M
Age: 46
State: HI

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

Lab Data:

Allergies: none

Symptoms: Pfizer-BioNTech COVID-19 Vaccine Approx 8 hours after receiving the vaccine, I suddenly became slightly dizzy and moderately nauseous. I also became very tired even though I was well rested. The nausea and dizziness lasted approx 2-3 hours. At that time I developed moderate injection site pain. I was very fatigued for the remainder of the night and through the next day (6 Jan). I was no longer fatigued as of 7 Jan but starting that morning I had a very difficult time focusing mentally. That condition lasted until late on the evening of 7 Jan. As of 8 Jan, all symptoms have resolved and I feel fine.

Other Meds: none

Current Illness: none

ID: 0929980
Sex: F
Age: 58
State: MI

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

Lab Data: See Urgent Care Doctor treated me for Gastritis and given 20mg of Famotidine twice a day.

Allergies: None

Symptoms: Start with the normal sore arm continues on day five, normal headache two days. On the second day, very stomach pain so bad could not sleep now for three days.

Other Meds: Baby aspirin, Fish oil, Bystolic 2.5mg, Vitamin D-3 and Women's One a Day

Current Illness: None

ID: 0929981
Sex: F
Age: 46
State: CA

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

Lab Data:

Allergies:

Symptoms: C/o nausea. no other symptoms

Other Meds:

Current Illness:

ID: 0929982
Sex: M
Age: 61
State: FL

Vax Date: 10/13/2020
Onset Date: 10/13/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: Patient has received MRI and xrays

Allergies:

Symptoms: Patient states pain and loss of range of motion in arm/shoulder

Other Meds:

Current Illness:

ID: 0929983
Sex: F
Age: 41
State: AZ

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

Lab Data: none performed

Allergies: no known food allergies

Symptoms: 1st dose Moderna injection given on Dec. 29 2020. Left arm at injection site became itchy (and left side of body random itchiness.) Spot itchy for 1.5 days and bump appeared (looked like ant bite, but did not hurt.) Resolved after 2 days with no medial intervention or drugs. Today is 01/08/2021 and bump appears to have resolved, no itchiness or redness. No headache no body ache. Possible joint achiness for the 1.5 days. All resolved

Other Meds: none

Current Illness: no illnesses

ID: 0929984
Sex: F
Age: 67
State: FL

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

Lab Data: None

Allergies: Aspirin (unknown reaction), Sufur (unknown reaction)

Symptoms: Following administration of the first dose of the COVID19 vaccine (Pfizer) patient reported right sided lip tingling (no swelling or drooping), and a "weird" feeling in chest (no additional details provided). Patient appeared anxious, but declined feeling anxiety. Patient declined medical treatment/follow-up and her symptoms resolved. Note: Patient received second dose of COVID19 vaccine (same lot# EH9899) on 1/8/2021 with close monitoring and no adverse reactions occurred.

Other Meds: None known

Current Illness: None known

ID: 0929985
Sex: F
Age: 56
State: NE

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

Lab Data:

Allergies:

Symptoms: ON 1/4/21, DEVELOPED FEVER, ARM SWELLING, CHILLS, AND BODY ACHES AROUND 8PM AND LASTED ABOUT 24 HOURS.

Other Meds:

Current Illness:

ID: 0929986
Sex: F
Age: 57
State: KS

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

Lab Data: n/a

Allergies:

Symptoms: Pt was given her first dose of the Moderna Covid-19 vaccine on 1/4/2021 at the health center. She then called us at the county health dept several times requesting the vaccine because she is a healthcare professional. She came to the health dept on 1/7/2021 and received another dose of the Moderna Covid-19 vaccine, without disclosing to us that she had received a dose 3 days earlier. . Making it a total of 2 doses only 3 days apart. Pt was contacted after it was realize and she stated that she did this because she did not think she actually received her first dose because she did not feel it. She has not reported any adverse effects .

Other Meds:

Current Illness:

ID: 0929987
Sex: F
Age: 47
State: WI

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

Lab Data: none

Allergies: none

Symptoms: Nausea, Vomiting, Migraine with temp of 99.8. Symptoms resolved on 01/07/2021

Other Meds: Inhalors (albuterol)

Current Illness: Postive for Covid on 11/10/20

ID: 0929988
Sex: M
Age: 54
State: OH

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

Lab Data: N/A

Allergies: Flagyl

Symptoms: Client complains of itching, burning, redness, swelling, warm to the touch at injection site. State he has used ibuprofen, benedryl, and ice pack to relieve symptoms. No improvement since started yesterday, but reports he is at work today and is not able to treat symptoms regularly. He will continue current treatment of symptoms and report any improvement/worsening over the next few days. He has been advised to seek emergency care if he should have worsening symptoms and/or has any difficulty breathing. He also reports he gets annual flu vaccines and was in the military and has not had reactions to vaccines like this in the past.

Other Meds: N/A

Current Illness: N/A

ID: 0929989
Sex: F
Age: 44
State: VA

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

Lab Data:

Allergies: none

Symptoms: Tightness in throat 30 minute after administration of the vaccine

Other Meds: none

Current Illness: none

ID: 0929990
Sex: F
Age: 34
State: TX

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

Lab Data: n/a

Allergies: n/a

Symptoms: Fever for 20 hours, acetaminophen Myalgias for 48 hours, acetaminophen headache for 24 hours, acetaminophen chills for 24 hours, acetaminophen tenderness at injection site for 48 hours, acetaminophen

Other Meds: Citalopram, fiber, vitamin D, vitamin C, daily vitamin

Current Illness: n/a

ID: 0929991
Sex: F
Age: 44
State: PA

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

Lab Data: na

Allergies: keflex, codeine, shellfish

Symptoms: redness, swelling, warmth, pain, firmness 7 days after vaccination

Other Meds: na

Current Illness: none

ID: 0929992
Sex: F
Age: 37
State: TX

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

Lab Data: N/a

Allergies: methergine, inderal

Symptoms: Approximately 1 week post-injection (1-7-21), began feeling soreness return to injection site. Upon waking the next morning (1-8-21), site red, swollen, warm to touch, and tender. First drew border around redness at approximately 0845; by 1300, redness increased in diameter and has spread the width of my arm. Tenderness and swelling have increased as well to approximately a 5-6" diameter. Have taken benadryl PO 25 mg. No other treatment/action at this point.

Other Meds:

Current Illness: n/a

ID: 0929994
Sex: M
Age: 37
State: OH

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

Lab Data: None

Allergies: NKDA

Symptoms: Body Aches, dizziness, and fever for over 24 hours

Other Meds: Albuterol PRN

Current Illness: None

ID: 0929995
Sex: F
Age: 20
State: NM

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

Lab Data:

Allergies: Penicillans

Symptoms: Patient vaccinated in left arm on 12/31/20 on 1/8/21 noted spot of redness, swelling and pain. Not sure if this is a cellultis

Other Meds: Cephalexin, ibuprofen and benadryl

Current Illness: no

ID: 0929996
Sex: F
Age: 48
State: CA

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

Lab Data: n/a

Allergies: almonds

Symptoms: Bilateral arm numbness starting approximately 36 hours post administration of the vaccine. Symptoms are only in the middle of the night. No numbness when upright and moving around.

Other Meds: MVI, vitamin d

Current Illness: n/a

Date Died: 01/07/2021

ID: 0929997
Sex: M
Age: 86
State: WI

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

Lab Data: He did not have testing at that point because he was on Hospice.

Allergies: Losartan, lisinopril, metoprolol

Symptoms: Patient received vaccine on 1/4/2021. He was in Hospice for CHF and renal failure, but was able to get up in his wheelchair and eat and take medications and talk. On 1/5/2021 am, he was noted to be very lethargic an could only mumble, could not swallow. No localizing neurologic findings. He was too lethargic to get up in chair.

Other Meds: Amlodipine 5 mg daily, Dexamethasone 4 mg daily (for itching related to renal failure), Isosorbide dinitrate 30 mg daily, Levothyroxine 0.075 mg daily, Bisoprolol 5 mg BID, Furosemide 80 mg BID, saline nasal spray, Tylenol 1000 mg PO TID

Current Illness: none acute

ID: 0929998
Sex: F
Age: 39
State: IN

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

Lab Data:

Allergies: none

Symptoms: 5 minutes after receiving shot I felt a strong headache come on. Tylenol did not alleviate the pain. Later in the day I began to feel flu like symptoms with fever reaching 100.3. Same symptoms Day 2. Now, day 3 I still feel flu like symptoms.

Other Meds: none

Current Illness: on menstrual cycle at time of vaccination

ID: 0929999
Sex: F
Age: 43
State: NE

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

Lab Data:

Allergies:

Symptoms: ON 12/30/20, DEVELOPED ITCHING, IRRITATION OF VAGINAL AREA. WENT TO SEE HER DR. AND SAID SHE HAD A YEAST INFECTION.

Other Meds:

Current Illness:

ID: 0930000
Sex: F
Age: 74
State: NJ

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

Lab Data: observation only

Allergies: none

Symptoms: Patient developed sudden onset of severe vertigo with nausea and vomiting. She became very week. Blood pressure was above usual level (149/88) and she had nystagmus with no other focal neurologic signs. She continues to be "dizzy" but no true vertigo now. She is weak and fatigued.

Other Meds: pravastatin, clopidogrel, black yeast, ocular vitamins

Current Illness: none

ID: 0930001
Sex: F
Age: 47
State: NC

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

Lab Data:

Allergies: None

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA. Sweating, lightheaded

Other Meds: None

Current Illness:

ID: 0930002
Sex: F
Age: 33
State: NY

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

Lab Data: Unknown as she was transferred by EMS from ambulatory site to Emergency room department.

Allergies: NKA

Symptoms: 9:30 AM - Recipient sent to observation area post administration- tolerated well. In observation area 5 min. later recipient began stating she feels dizzy, screaming she does not feel well, began shaking upper torso and extremities, eyes shut - placed on ground floor with elevated legs, applied 10L/min oxygen via mask, v/s taken (HR/PR/ Pupil reaction), EPIPEN 0.3mg administered @ 9:38 am, with good response as recipient seemed to calm down, no screaming, no shaking. At 9:52am EMS arrived and took over.

Other Meds: unknown

Current Illness: Unknown

ID: 0930003
Sex: F
Age: 37
State:

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

Lab Data:

Allergies:

Symptoms: Hx of anaphylaxis to bee stings. Rash and hives over upper chest began immediately following vaccine. Taken to ED and given IV Benadryl, Famotidine and Solu-medrol. Discharged home from ED. Recommended to not receive second dose of covid vaccine.

Other Meds:

Current Illness:

ID: 0930004
Sex: F
Age: 43
State: OR

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

Lab Data: unknown

Allergies: none

Symptoms: 8 days after vaccine was administered, the patient developed redness, swelling, warmth and hardness at the injection site. The redness is about the size of a fist. Person encouraged to seek treatment with their PCP or urgent care.

Other Meds: unknown

Current Illness: unknown

ID: 0930005
Sex: F
Age: 26
State: AZ

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/08/2021
Hospital: Y

Lab Data: head CT, cxr, spinal mri, spinal tap, cmp/vitals/UA

Allergies: cephalosporins, tramadol

Symptoms: initial; swelling of tongue, tingling and numbness in legs, syncope. later; HA

Other Meds: none

Current Illness: none

ID: 0930006
Sex: M
Age: 28
State: CA

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

Lab Data: 12:00 Patient fainted and hit his head

Allergies: unknown

Symptoms: 12:00 Patient fainted and hit his head on pavement

Other Meds: unknow

Current Illness: unknown

ID: 0930007
Sex: F
Age: 45
State: NM

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

Lab Data: Chest Xray, CT of chest and EKG, various labs

Allergies: None

Symptoms: Patient was at work and felt nauseous at around 0800 and took a Zofran. Then around 1030 she started to have lower chest (near the lower ribs) pain 9/10 pain and she was diaphoretic. We called 911 as we were concerned about an MI. She was transported via EMS to the hospital. They ran various tests and determined it wasn't cardiac or lung issues and was likely side effects from the COVID vaccine. On 1/8/21, Patient reports that she feels dizzy and is "itching all over." She took antihistamine and that helped the itching symptom.

Other Meds:

Current Illness:

ID: 0930008
Sex: F
Age: 46
State: NJ

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

Lab Data:

Allergies: None

Symptoms: About 3 hours after the injection I started to develop upper Left arm and shoulder pain. Later that night I couldn?t lift my arm without terrible pain. I was unable to sleep despite taking Advil 800mg and heat and ice. The next day 1/7 wasn?t any better. On 1/8 I woke up and noticed the left shoulder area was red and warm to the touch. A little over 2 inches in diameter. I went to my Dr office and they diagnosed cellulitis and prescribed Keflex 500mg 3 times a day. I just took the first dose on 1/8/2021 at 2:45pm.

Other Meds: Metoprolol, Ativan, amlodipine, albuterol , flovent

Current Illness: None

ID: 0930009
Sex: F
Age: 61
State: MN

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

Lab Data: None.

Allergies: Sodium metabisulfite, yellow number 5, penicillin, sulfa drugs.

Symptoms: Severe chills /tremors 14 hours following the second injection that lasted uncontrollably for one hour, headaches, fatigue, abdominal pain that cleared 1/7 in the afternoon. The nausea was so bad I could not eat. Vomited only one time. I missed one day of work, slept the whole day, and night, too.

Other Meds: Rosuvastatin 10mg/day.

Current Illness: None

ID: 0930010
Sex: M
Age: 87
State: MN

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

Lab Data: COVID-19 PCR test 1/5/21 negative COVID-19 PCR test 1/6/21 positive Influenza A, B; RSV negative 1/6/21

Allergies: Colestipol, Amitriptyline, Colestid, Niacin, Ondansetron

Symptoms: Resident displayed with confusion/shaking at 1400, condition worsens at time went. Resident unable to state where he is, knows his name. can tell you he does not feel right. Temp 97.3, p 88, O2 91%, Bp 214/116 Transferred to ED with fever, temp of 103, and shortness of breath, admitted to ICU Positive COVID-19 test at hospital. Diagnoses include acute COVID-19 pneumonia and hypoxia. PO had confusion, fatigue, weakness, hypoxia, increased BP

Other Meds: Citrucel, acetaminophen 8 hour, systane ultra, gabapentin, pantoprazole sodium, vitamin c, vitamin d3, aspirin, atorvastatin calcium, cymbalta, norco, lantus solostar, loperamide, melatonin, toprol xl, flomax, preservision areds, vitamin b-

Current Illness:

ID: 0930011
Sex: M
Age: 26
State: CA

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

Lab Data:

Allergies:

Symptoms: antiseptic taste in mouth

Other Meds:

Current Illness:

ID: 0930012
Sex: F
Age: 27
State: KS

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

Lab Data:

Allergies:

Symptoms: Pt had several seizures about 15 minutes after receiving the vaccine. EMS was called/evaluated the patient. The patient planned to contact her primary care provider.

Other Meds: Sertraline and Depakote

Current Illness:

ID: 0930013
Sex: M
Age: 29
State: FL

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

Lab Data: ER visits x2 with multiple tests

Allergies: NKA

Symptoms: fever, chills, body aches, decreased spO2 with ambulation, tachycardia

Other Meds: Metformin, Trulicity

Current Illness: Sinus Tachycardia

ID: 0930014
Sex: M
Age: 19
State: CT

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

Lab Data: Positive COVID Test: 1:46pm 1/8/2021

Allergies: Penicillins

Symptoms: Tested Positive for COVID 19 No prior symptoms or known exposures Flu Like Symptoms occurred Day after Running nose 2 days after Sore Throat

Other Meds: None

Current Illness: None

ID: 0930015
Sex: M
Age: 46
State: CA

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

Lab Data: None

Allergies: None

Symptoms: At injection site: Itchy pink rash, 3.5? long; swelling; and feverish to the touch. Muscle and joint pain in the immediate area.

Other Meds: None

Current Illness: None

ID: 0930016
Sex: F
Age: 59
State: TX

Vax Date: 12/30/2020
Onset Date: 01/02/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: no

Allergies: morphine

Symptoms: Fatigue, knot at inj site, Face scratching, rash all over face. Skin is peeling. It is spreading.

Other Meds: Diatelazam, flecainide, hctz, metformin, Eliquis

Current Illness: no

ID: 0930017
Sex: M
Age: 52
State: CA

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

Lab Data: N/A

Allergies: Unknown

Symptoms: Patient spoke to me this morning regarding some symptoms he had after his Pfizer COVID 19 vaccination yesterday. He said he had some pain at the injection site and mild headache in the afternoon; however, around 12 to 1 am in the morning, he was feeling heart palpitation and he felt his muscle twitching from his upper torso which went down to his thigh and no loss of consciousness. He said he checked his heart rate and it was 70 and he did not have any problems breathing. He said his heart palpitation felt better after taking some deep breaths. He said he no longer had heart palpitations or muscle twitching any more. He denied any other symptoms. Generally, he appeared well, no facial drooping, awake, alert, oriented, speech clear, and normal gait. (Today)

Other Meds: Unknown

Current Illness: Unknown

ID: 0930018
Sex: F
Age: 34
State: PA

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

Lab Data: None

Allergies: None

Symptoms: For the first 10 hours I had a sore arm. 10-12 hours I began having weakness, fevers, chills, bodyaches, low back pain, intermittent neck pain. Following day I had the same symptoms in addition to left sided axillary lymphadenopathy w/ numbness of L hand 4th & 5th fingers and mild cough. Currently I am about 52 hours post vaccine with left sided axillary lymphadenopathy and intermittent numbness of left 4th and 5th fingers. Other symptoms have improved.

Other Meds: None

Current Illness: None

ID: 0930019
Sex: M
Age: 31
State: NV

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Low grade fever (99.5F), shaking chills, body aches, joint pain, fatigue, right arm pain, nausea. Symptoms lasted 24 hours.

Other Meds: Vitamin D, melatonin, finasteride

Current Illness: Covid 19 (October 2020)

ID: 0930020
Sex: F
Age: 57
State: NE

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

Lab Data: none

Allergies: Sulfa and Morphine Sulfate

Symptoms: On 12/30/2020 at 1000 she developed body aches in her shoulders and lower back. Reports having stiffness in the left hip area. Denies any fevers. Noted pressure in her head and discomfort in her left ear. These were s/s similar to when she was diagnosed with Covid on Nov. 17. Reports that since Covid her taste and smell has not come back fully but wondered if it was a little worse. She ended up completing her work day after taking Tylenol x1. At end of work day she reports feeling like "she had Covid again". Due to s/s she was not able to work on 12/31/2020. On 01/04/2020 she presents to work with a softball size area of redness, feverish to touch, hard to touch in left deltoid area where injection was given. She reports being afebrile or any other s/s at this time. She reports that after the injection her arm was sore but did not notice until the 01/01/2021 a hardened area in the left deltoid area. She was instructed to contact her PCP due to her concerns for taking the 2nd Covid vaccination with understanding voiced.

Other Meds: Esterdiol, Multivitamin, Pravastatin, Fish Oil, Vitamin C, Zinc, Vitamin D, Calcium and Tumeric

Current Illness: She was diagnosed with Covid on 11/17/2020. She returned back to work on 11/30/2020 and reports extreme exhaustion through 12/07/2020. She reports noticing after having Covid episodes of having a racing heart. She did follow-up with her Cardiologist and was scheduled for a Cardiac Stress Test on 12/31/2020.

ID: 0930021
Sex: F
Age: 34
State: PA

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

Lab Data:

Allergies:

Symptoms: Sudden onset of nausea, abdominal pain and sweats. Chills and diarrhea. Most symptoms subsided after a 1-2 hours, but lower abdominal pain and feeling of having a bowel movement continued.

Other Meds:

Current Illness:

ID: 0930022
Sex: F
Age: 25
State: IL

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

Lab Data: NA

Allergies: NKA

Symptoms: Severe headache developed about 30min after administration. Relieved by sleep. Almost exactly 24hours later, around 2pm the day after administration, developed severe occipital h/a again with radiation down into neck. Mild chills, body aches, fatigue, and tachycardia about 28 hours after administration - duration about 5 hours. Again, around 2pm the second day after administration, developed the same occipital h/a and neck pain/stiffness as well as mild tachycardia.

Other Meds: Fluoxetine 40mg, Dexmethylphenidate 15mg, oral birth control, cranberry with vitamin C, vitamin D3, apple cider vinegar pills

Current Illness: NA

ID: 0930023
Sex: F
Age: 26
State: KS

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

Lab Data: P 78 R18 BP 140/82 SO2 99%

Allergies: Penicillin

Symptoms: ITCHING OF TONGUE AND THROAT; REDNESS OF SKIN ON NECK AND SHOULDERS

Other Meds: Unknown

Current Illness: None

ID: 0930024
Sex: F
Age: 61
State: FL

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

Lab Data: none

Allergies: penicillin as a child, hay fever allergies trigger asthma

Symptoms: Shortly after receiving the vaccine (1/5/21) while waiting the 15 mins I experienced phlegm in my throat and kept trying to clear it, that resolved within 7min, I felt strange ...kind of dizzy and felt weird out of body feeling. They gave me water and crackers and said try to eat something for second shot. After 30 mins I felt OK to leave. During the rest of the day I had a headache which worsen and next day (1/6/) the same and had that weird out of body sensation off and on. I also had mild achy feeling, fatigue and both hips and shoulders mild pain. I did take this day off from work. These symptoms resolved towards the end of that night. Doing much better today (1/8/21). I aslo had mild swelling and sore at the injection site which I expected like a flu shot. I have not had any reaction to any vaccination prior years.

Other Meds: zyrtec 10mg, zafirlukast 20mg,progesterone 100mg, estradiol 0.05mg patch, alprazolam 0.5mg. B12 500mcg, turmeric curcumin with bioperine2600mg, melatonin 12mg, omega 3 fish oil800mg EPA and 600mg DHA, vitamin D3 50mcg

Current Illness: none

ID: 0930025
Sex: F
Age: 59
State: IL

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

Lab Data: None

Allergies: Erythromycin, compazine

Symptoms: Upon awakening, exhausted feeling, severe weakness, total body aches, chills, temp 97.4 orally, slight nausea. Notified supervisor at work, took Tylenol 1000 mg and slept for 2.5 hours. Woke up with symptoms much reduced and went to work

Other Meds: Balsalazide 750 3 caps tid, venlafaxine ER 225 daily, Bariatric vitamins, B complex daily, B12 1000 mcg daily, iron 325 tid, Vitamin D3 5000 units SSTT and 10,000 units MWF, Restasis one drop each eye daily, Entyvio 300 mg IV every 8 weeks,

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm