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: 0930026
Sex: F
Age: 31
State: OH

Vax Date: 12/16/2020
Onset Date: 12/22/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: none

Allergies: Sulphur

Symptoms: All the covid symptoms - sore throat fever, headache; shortness of breath; no taste; fatigue; tested positive on the 23rd for Covid. 2nd dose: 1/6/2021 (received in right arm) - in am; adverse events started in the pm of the 6th: (6 Pm) - fever, chill, sweats, headache - all night into the following day for the headache; took tylenol LATE IN EVENING for fever and so no fever when I woke up 7th - took last night (7th) - still had chills and headache. (day two still) - HAS BEEN TAKING TYLENOL FOR24 HOURS BECAUSE HEADACHE IS BAD IF IT COMES ON day two - symptoms are better now; military - so was coming off covid protocol - so it complicated going back to work.

Other Meds: none

Current Illness: none

ID: 0930027
Sex: F
Age: 49
State: IA

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

Lab Data: none

Allergies: amoxocillin - hives i had a very severe reaction to the rabies vaccination about 3-4 yrs ago

Symptoms: I woke up the following morning with pain and inflammation in RT armpit.. by midday the swelling in armpit lymph nodes was the size of a very large egg. I couldn't comfortably put my arm down at my side. Pain radiated down arm to elbow, and up neck into ears. I had fever of 100.1, but took ibuprofen to try and alleviate pain. The symptoms lasted about 5 days.

Other Meds: hydrochlorothyazide 25mg lycinopril 20mg atorvastatin calcium 10mg

Current Illness: none

ID: 0930028
Sex: F
Age: 48
State: IL

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

Lab Data: gave IV benadryl and something for nausea monitored heart rate and pulse oxygen levels consistently stable

Allergies: sulfa allergy neosporin allergy

Symptoms: immediately felt super warm, dizzy, lightheaded, nauseous jaw pain and lower neck pain clammy hands and weakness, EMT eventually checked my vitals while in the waiting room, extremely high blood pressure and rapid heart rate transferred me to the ED via ambulance

Other Meds: lexapro multivitamin align/probiotic

Current Illness: none

ID: 0930029
Sex: F
Age: 29
State: IN

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

Lab Data:

Allergies: None

Symptoms: Fever, chills, weakness, body aches

Other Meds: None

Current Illness: None

ID: 0930030
Sex: M
Age: 57
State: NC

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

Lab Data: None

Allergies: Sulfa, penicillin, bees, almonds

Symptoms: Pt stated with itchy hives all over face when leaving clinic on 1/7/2021. Pt has hx of allergies, so took Benedryl when arriving to home. Pt also has Epi-pen but did not need to use medication. Hives subsided to look like smaller splotchy patches on face only. Condition continues to improve but has not subsided completely as of 1/8/2020 3:52 pm. No other sx per pt.

Other Meds: Seraquil, Torbistatin, Metropalol, Restiril, another anxiety med that pt is unsure of name.

Current Illness: None

ID: 0930031
Sex: F
Age: 25
State: IN

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

Lab Data: COVID-19 : 01/08/2021 @ 3;10 PM

Allergies: Antibiotics, specifically Metrodinazole

Symptoms: Symptoms started 01/07/21 I woke up with a lump on the right side of my jaw that is closing off half of my windpipe. I also have a second lump on the back of my neck; both are tender to the touch. I had a fever of 101.3 yesterday and today it has gone between 102.6 and 103.6. I have full-body chills.

Other Meds: Ondansetron, gabapentin, lamotragine, mirtazapine, lithium, sertraline, Pantoprazole, Propranolol, dicyclomine, Vitamin C

Current Illness: None

ID: 0930032
Sex: F
Age: 46
State: MO

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

Lab Data: none

Allergies: morphine

Symptoms: Extreme arm pain for 2 days, Fever and flu like symptoms

Other Meds: Lamictal, Abilify, Metformin, Tegratol

Current Illness: Diabetes and asthma

ID: 0930033
Sex: M
Age: 46
State: FL

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

Lab Data: None

Allergies: None known

Symptoms: Following administration of COVID-19 vaccine, patient experienced "tingling in throat and lower legs" plus dizziness. After monitoring for 30 minutes, patient reported symptoms started to resolve. Upon follow-up, patient reported that tingling in lower legs had resolved after 3 days.

Other Meds: None known

Current Illness: None known

ID: 0930034
Sex: M
Age: 57
State: CA

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

Lab Data:

Allergies: Walnuts, Bees

Symptoms: Sore arm about 6-8 hours after injection lasted for 2 days. Stiff neck, experienced shortly after vaccine lasted about 16 hours

Other Meds: Fenofibrate 145 mg

Current Illness: None

ID: 0930035
Sex: F
Age: 55
State: KS

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

Lab Data:

Allergies: Unknown

Symptoms: Pt had tachycardia with a heart rate in the 160's after receiving the vaccine. She also had chest pain. EMS was called and took the patient to the emergency department for evaluation.

Other Meds: Unknown

Current Illness:

ID: 0930036
Sex: F
Age: 52
State: TX

Vax Date: 12/17/2020
Onset Date: 12/17/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: COIVD SWAB

Allergies:

Symptoms: After the vaccine, my arm went numb. I ended up having fatigue, fever, and metallic taste in my mouth. My bones hurt, and my neck hurt really bad. that lasted for three days. I developed chills and a fever, I felt really sick. I had a COVID test and was positive.

Other Meds: I take medication for my anxiety disorder. Claritin D

Current Illness:

ID: 0930038
Sex: F
Age: 36
State: CA

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

Lab Data:

Allergies:

Symptoms: Approx 10-15 min post-vaccine, pt began to c/o flushing and bilat feet numbness/tingling. NIBP 172/90, HR 90s. No SOB, hypoxia. Benadryl 50 IM given @ 1756. Pt discharged from vaccine clinic to ED. NIBP 157/111, HR 102 @ time of discharge.

Other Meds: Unknown

Current Illness: none

ID: 0930039
Sex: F
Age: 22
State: OH

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

Lab Data:

Allergies:

Symptoms: Extreme body aches for 24 hours. Lower back pain. Nausea. Headache. Chills. Low grade fever.

Other Meds:

Current Illness:

ID: 0930040
Sex: F
Age: 31
State: AR

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

Lab Data:

Allergies: No known drug allergies food: wheat environmental: trees, cockroach, grass, etc.

Symptoms: Approximately 18 minutes post injection, patient experienced itching and whelps on opposite limb as injection site. Diphenhydramine 25 mg chewable tablets given. Itching continued into legs and skin above lips. Prednisolone 40 mg liquid given. After 10 minutes, itching and whelps improved. Patient monitored for a total of 1 hr post injection.

Other Meds: Vitamin C 1000 mg daily (Spring Valley gummy) Zinc 44 mg daily (Spring Valley gummy) Vitamin D once weekly (Replesta 50,000 iu weekly wafer)

Current Illness: none

ID: 0930041
Sex: F
Age: 50
State: CO

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

Lab Data: None

Allergies: None

Symptoms: 7 days after shot - headache and arm became very sore with red rash and swelling and hardness.

Other Meds: None

Current Illness: None

ID: 0930043
Sex: F
Age: 42
State: NY

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

Lab Data:

Allergies: No known allergies

Symptoms: Fevers, chills, body aches, blotchy skin

Other Meds: Tylenol

Current Illness: None

ID: 0930044
Sex: F
Age: 41
State: SC

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

Lab Data:

Allergies: none

Symptoms: Patient presented with blotchy skin and tightness in the chest. Blood pressure was 190/110. Patient was given some oxygen and blood pressure had decreased. Patient blood pressure was still high and complaining of chest tightness.

Other Meds:

Current Illness:

ID: 0930045
Sex: F
Age: 30
State: CA

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

Lab Data: Epinephrine 0.3mg administered intramuscular at 2:45pm and same dose was repeated at 2:51pm. EMS transported to local for evaluation.

Allergies: Reported having a history of Toradol injectable that was treated with Benadryl

Symptoms: 25 minutes after receiving the COVID-19 (Moderna) reported having difficulty swallowing and tightness throughout the throat, able to speak clearly. No facial or lip swelling noted. Respiratory effort unlabored, denied any GI symptoms or rash.

Other Meds: unknown

Current Illness: unknown

ID: 0930046
Sex: F
Age: 40
State: NJ

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

Lab Data:

Allergies: denies

Symptoms: fatigue, headache, nausea, dizziness, body aches which started on 01/08/2021 at 0730 am, took advil at 230 pm and tylenol at 330 pm on 01/08/2021. Pt. states that she is feeling much better after tylenol.

Other Meds: denies

Current Illness: denies

ID: 0930047
Sex: M
Age: 67
State: WV

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

Lab Data:

Allergies: NKA

Symptoms: Redness and swelling to site

Other Meds: Biofreeze, Azopt , Debrox, Vitamin D 3, Flonase, Kionex, lantanoprost, Synthroid, Neurontin, Miralax, Renavite, Senna, Sodium Bicarb, Tylenol, UTI Stat, Vitamin C, Zofran and Zoloft

Current Illness:

ID: 0930048
Sex: F
Age: 49
State: VA

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

Lab Data: None

Allergies: Penicillin, Sulfa

Symptoms: Pain at site, shooting down the arm and unable to lift arm. Shoulder frozen.

Other Meds: Vitamin D, Zinc, Vitamin C, Multi Vitamin, Zyrtec

Current Illness: None

ID: 0930049
Sex: M
Age: 31
State: NY

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

Lab Data: N/A

Allergies: Penicillin

Symptoms: Symptoms : Rash on forehead and neck. Muscle weakness. Headaches. Dizziness. Treatment: Zyrtec, Tylenol, & Motrin

Other Meds: No

Current Illness: No

ID: 0930050
Sex: F
Age: 35
State: IL

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

Lab Data: none

Allergies: Latex

Symptoms: Severe nausea and vomiting, unable to tolerate PO intake for over 48 hrs and severe vomiting for 36 hrs

Other Meds: None

Current Illness: None

ID: 0930051
Sex: F
Age: 39
State: ME

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

Lab Data: none

Allergies: Oxycodone Calcitrene Corn Progesterone Flagyl Clindamycin Topirimate

Symptoms: Patient received her vaccination on Monday, 1/4/21. She waited her 15 minutes of observation and then left. She states on her way home she started feeling that her tongue and left side of her face was a little bit numb. It continues to be numb and on examination the left side of her face has diminished sensation. Her left eye is droopy and she has a symmetrical eyebrow raises as well as smile. Her diagnosis is consistent with possible Bell's palsy.

Other Meds: Multiple

Current Illness: None

ID: 0930052
Sex: F
Age: 45
State: CA

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

Lab Data: no

Allergies: Vicodin, fire ants

Symptoms: minutes after the injection the tip of my tongue and lips began tingling and my tongue went numb, the roof of my mouth began to tingle and go numb as. NO difficulty swallowing or breathing, No changes in the vitals and I was given benedryl by mouth and observed for 30 minutes with no further issues and all symptoms resolved. My right arm was tingling and weak also but to date all symptoms has resolved.

Other Meds: Claritin

Current Illness: no

ID: 0930053
Sex: F
Age: 35
State: IN

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

Lab Data:

Allergies: none

Symptoms: Had chest tightness and heart beat flutters the afternoon and evening after getting shot on 1/02/21. Chest tightness and heart beat flutters continued and I saw Nurse Practitioner on 1/04/21 and EKG showed frequent premature ventriculations (pvcs). Then referred to cardiologist for follow-up and possible treatment. Currently on a heart monitor as of 1/06/21 and waiting to get into see cardiologist for treatment for continuing pvcs and chest pressure and sometimes pain as of 1/08/21. outcome is yet to be determined as of 1/08/21.

Other Meds: levothyroxine 50mg multivitamin

Current Illness: none

ID: 0930054
Sex: F
Age: 61
State: IA

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

Lab Data: NA

Allergies: NKDA

Symptoms: redness, swelling Used a hot towel

Other Meds: Losartan 50mg tab daily

Current Illness: None

ID: 0930055
Sex: F
Age: 37
State: TX

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

Lab Data: On 1/8/2021 went in to see Dr. So that it could be assessed so no real medical test or laboratory test that were taken at that time.

Allergies: One time had an allergic reaction to a TB spot test, other than that no allergies

Symptoms: 4 days after had a small itchy area after soreness lessened, then at day 9 and 10 noticed a small area at injection site of red, itchy, swollen red patch in same area of injection site.

Other Meds: Advil

Current Illness: N/A

ID: 0930056
Sex: F
Age: 28
State: NY

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

Lab Data:

Allergies: NKDA

Symptoms: PATIENT STATUS POST MODERNA VACCINE RCVD 1425. SITTING IN NURSE STATION, PATIENT HAS SOB, DIAPHORESIS, CHILLS. 1508 PATIENT IS TRANSFERRED TO EXAM ROOM FOR EVAL. BP 100/60. SHE REPORTS A TIGHTENING IN THROAT. EPIPEN 0.3MG ADMIN IM AT 1515. VITAL SIGNS 118/78. HR 109. 02 SAT 97% ON 2L 02. 1522- PATIENT CONTINUES TO REPORT A SORE THROAT BUT NO DIFFICULTY BREATHING. 1535 PT IS TRANSFERRED BY EMS TO HOSPITAL

Other Meds: PANTOPROZOLE, BUPROPRION, MELOXICAM

Current Illness: N/A

ID: 0930057
Sex: F
Age: 33
State: WI

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

Lab Data: Cellulitis

Allergies:

Symptoms: Rash and itching ended up in hospital and was diagnosed with Cellulitis on injection site and is receiving antibiotics from PCP.

Other Meds:

Current Illness:

ID: 0930058
Sex: F
Age: 57
State:

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

Lab Data:

Allergies: n/a

Symptoms: Pt received the Moderna Covid-19 vaccine on 1/4/21. After receiving her first dose she then called the Health Department and asked to receive the vaccine, because she is a Nurse Practitioner. She then came to the health dept on 1/7/21 and did not disclose that she had already received the vaccine 3 days prior, and she received another dose of the Moderna Covid-19 vaccine. The pt received a total of 2 Moderna Covid-19 doses only 3 days apart. The pt was contacted but states she did not feel the first shot so she did not think she actually received anything. That prompted her to get a second shot. She has not had an adverse effects.

Other Meds: n/a

Current Illness: n/a

ID: 0930059
Sex: F
Age: 36
State: CA

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

Lab Data:

Allergies: NKA

Symptoms: Approx 10-15 min post vaccine, pt began to c/o bilat foot numbness & flushing. NIBP 172/30, HR 90s. Benadryl 50 given IM. Pt discharged to ED, NIBP 157/111 HR 102.

Other Meds: unknown

Current Illness: none

ID: 0930060
Sex: M
Age: 31
State: IA

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

Lab Data: None

Allergies: No known allergies

Symptoms: Started feeling very fatigued around 6/7 PM on 1/7/21. Ate dinner shortly after and took my normal sleeping pills as previously listed. Around 12:30 AM on 1/8/21 I woke up feeling very cold. I got up, used the restroom and grabbed some acetaminophen (1000mg). I took the medication and started feeling very dizzy and light headed. After that all I remember is sitting on the kitchen floor feeling like my body was buzzing/tingling. My ears were also ringing really badly. I attempted to get up but was unable to get orientated for what I believe was about 15-30 minutes. I called my BF at 1:10 AM after I was able to get up and moving. I elected not to go to the ER because I didn?t want to directly expose myself to COVID. I stayed up for about another hour, drank some water and ate some crackers. I took 25mg of diphenhydramine and went back to sleep. The rest of the day up to writing this I have been very fatigued and achy. Mild dizziness and confused feeling. I didn?t hit my head but I have about a four inch scrape down my back and a small cut on my foot from the broken glass.

Other Meds: Aimovig 140mg injection monthly, administered Jan 1st, 2021 Zolpidem 10mg nightly Gabapentin 600mg nightly Irwin naturals power to sleep PM two capsules as directed on bottle, nightly D-amphetamine ER 30mg

Current Illness: None

ID: 0930061
Sex: F
Age: 45
State: IL

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

Lab Data: N/A

Allergies: Metformin

Symptoms: chills in evening after vaccination, chills next day in AM then nausea and body aches, temp 102.

Other Meds: N/A

Current Illness: N/A

ID: 0930062
Sex: M
Age: 32
State: FL

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

Lab Data:

Allergies: NKA

Symptoms: Fatigue, mild fever (99.5) Onset of fatigue early in the morning, fever around midday.

Other Meds: None

Current Illness: None

ID: 0930063
Sex: M
Age: 62
State: CA

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

Lab Data: None

Allergies: Penicillin, Aspirin, Ibuprofen

Symptoms: Patient c/o Itchy rash over his abdomen, shortness of breath, itching inside his throat and feeling as if his throat was mildly closing. Patient received Benadryl 25mg IM, Solu-Medrol 125mg IV and Pepcid 20mg PO. Patient was sent out to ER for further evaluation. Patient returned from ER at 2349 with no new orders. ,No any acute distress reported.

Other Meds: Buspar30mg, Lisinopril20mg, Metformin 1000mg, Methadone 5mg,

Current Illness: Diabetes, High blood pressure, Acid reflux, Low back pain,

ID: 0930064
Sex: F
Age: 63
State: MI

Vax Date: 11/10/2020
Onset Date: 11/10/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Shooting pain, Shoulder joint pain, worse when still in AM and across the shoulders in the back pain.

Other Meds:

Current Illness:

ID: 0930065
Sex: F
Age: 36
State: SC

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

Lab Data:

Allergies:

Symptoms: Patient had her first dose of the COVID vaccine and was waiting in the lobby when she asked another patient to get help. When staff arrived she was grey, dizzy, having difficulty breathing with rapid respirations and overall not feeling well. Pulse Ox was 88 on room air so she was placed on oxygen and the EpiPen was used. EMS was called. She began improving with the oxygen and after the 0.3mg of Epi. EMS transported her to the ER and at her request her boyfriend was notified.

Other Meds:

Current Illness:

ID: 0930066
Sex: F
Age: 67
State: NV

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

Lab Data: NA

Allergies: none known

Symptoms: Mild symptoms the next day (12/31/2020): fatigue, low grade headache minor injection site soreness. I took Ibuprofen, rested, had lots of liquids, and was fine the day after (01/01/2021) No other symptoms until exactly one week later (01/06/2021). I noticed the injection site on my left arm was itching and a bit sore. A 5"x3" red rash appeared at injection site. I took one Acetaminophen PM that night. The red rash is still there. These appear to be minor reactions but the red rash is never one I have had before with any vaccinations. It seems strange it didn't appear until a week later. No difference in skin lotion I have used. I wanted to report effects for data collection purposes since it is a new/emergency vaccine.

Other Meds: Levothyroxine, (daily), Sumatriptan (as needed), Magnesium (daily), Red Yeast Rice (daily), vitaminD3 (daily), Glucosamine Chondroitin (daily), Ibuprofen (as needed), Acetaminophen PM (as needed)

Current Illness: none

ID: 0930067
Sex: F
Age: 76
State: TN

Vax Date: 12/23/2020
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: none

Allergies: nka

Symptoms: Patient called to notify that the patient's arm was red and hot to touch on 01/05/21. Patient took Benadryl at home and it gave it some relief.

Other Meds: none

Current Illness: none

ID: 0930068
Sex: F
Age: 78
State: NC

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

Lab Data:

Allergies:

Symptoms: redness and fever at injection site

Other Meds:

Current Illness:

ID: 0930069
Sex: M
Age: 36
State: AL

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

Lab Data: CBC - within nl limits BMP- within normal limits Pt was given diphenhydramine 25mg PO X 1 rash resolved, pt observed 3 hours and recovered

Allergies: first dose - PFIZER pt reported feeling feeling tired, confused, and tinglining in both arms that started 30 minutes after first injection Toradol - pt reports feeling confused, lightheaded, lethargic after receiving IM Toradol 3 years ago

Symptoms: Pt was vaccinated at 1125 At 1157 pt was observed - with rash around neck, chest and back, dry mouth and slurred speech, heavy arms, tingling in arms. Pt was very hard to communicate with - could not articulate - pt was taken to the ER via wheelchair and examined.

Other Meds: Adderall XR 25 BID - last taken this morning Lexapro 10mg PO Qday - last taken last night

Current Illness:

ID: 0930070
Sex: F
Age: 58
State: CA

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

Lab Data:

Allergies:

Symptoms: Severe Headache Rash starting on neck and chest Chills Fever Vomiting

Other Meds:

Current Illness:

ID: 0930071
Sex: F
Age: 80
State: LA

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

Lab Data: N/A

Allergies: IODINE

Symptoms: Patient states she had complete loss of hearing for 2-3 hours the evening after receiving the vaccination. She states that she took a Tylenol dose, and her hearing came back to normal a few hours later.

Other Meds: UNKNOWN

Current Illness: N/A

ID: 0930072
Sex: F
Age: 52
State: MD

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

Lab Data: None

Allergies: None

Symptoms: Chills for hours body would not get warm. Left arm pit is swollen with some pain

Other Meds: Vitamin D, Zinc

Current Illness: None

ID: 0930073
Sex: F
Age: 53
State: WI

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

Lab Data: VS all within normal limits. 1415: Temp 98.0,resp=16,Pulse 76, 100/76 BP on right arm. at 1430: [pulse 80, temp 98.1, 100/68 blood pressure right arm. states this is normal BP for her.

Allergies: none stated by associate

Symptoms: Associate stated anxious to needles at 1400 and had flu vaccine anxiety in past. at 1403, felt sweaty and asked to lie down. 1405 had cold compress, 15 ounces apple juice, sat 40 minutes post vaccine. At 1440 ambulated to bathroom with assistance and stated she felt better at that time. Associate left to her work environment ( Lab) at hospital as she stated she was fine.

Other Meds: none stated by associate

Current Illness: none stated

ID: 0930074
Sex: F
Age: 62
State: MO

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

Lab Data: None

Allergies: Demerol,Keflex,Versed, Latex,Cat dander,Spring pollens,ivy and sumac

Symptoms: Fine pin point rash and itching noted 45 minutes after shot given. Rash noted to neck,spine,hips,upper back,upper chest and bend of both arms.Benadryl 25 mg OTC 1/6/21 and 1/7/21.Itching. Itching decreasing 1/8/21. Having copious side effects also of injection site pain,tiredness,headache,joint and muscle pain,nausea,lymphadenopathy and feeling unwell.1/6/21,1/7/21 but feeing better when tylenol 500mg ing system to relieve aches and pains

Other Meds: Viactiv,Aspirin 81mg and B12 1000mcg

Current Illness: mouth and lip cold sores

ID: 0930075
Sex: F
Age: 35
State: WI

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: n/a

Allergies: NKDA

Symptoms: 12/24/2020 @ 0600: The site of the injection (right deltoid) was incredibly red, swollen, and extremely painful; the site was noticeably elevated from the base of skin. Never did I develop a temperature. This continued until 12/26/2020 when the symptoms dissipated. 1/5/2021 @ 0600: I woke up to my right arm feeling sore and area where I had received the vaccine was warm and a thin red circular outline could be seen. Also note that a few months ago I had injections in my legs due to vein insufficiency. Interestingly enough, during the same time frames, when my arm would become red and painful, so would my right knee.

Other Meds: Wellbutrin, Levothyroxine, Methylphenidate, Humalog & Lantus

Current Illness: none

ID: 0930076
Sex: F
Age: 44
State: CO

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

Lab Data:

Allergies: Neomycin Thiermosol Gold Nickel Augmentin Grass

Symptoms: I came home around 5:30pm after receiving the injection at 3PM and felt very drowsy. I was drowsy and my head felt really heavy on my shoulders. After another hour at 6:30 pm, I felt a strong headache coming on. Throughout the evening I was drowsy and went to bed early. In the middle of night, I woke twice due to headaches. This morning 1/8/2020, my headaches continued even after I took 1000mg of acetaminophen at 11:00am. That was my first dose of any type of pain medication. I thought the side effects would go away therefore I delayed taking any pain medication. I usually do not have headaches and healthy. My arm is very sore at the injection site as compared to when I received the flu shot in November. It is almost 2:30pm almost 24 hrs from the injection and my headache continues.

Other Meds: Synthroid 75mcg

Current Illness: None

ID: 0930077
Sex: M
Age: 27
State: AZ

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

Lab Data: Negative 4 times for Covid-19. 2 Rapid Tests. 2 Lab Tests.

Allergies:

Symptoms: Major Headaches, nausea, body aches

Other Meds: Advil, Tylenol, Ibuprofen, Nasacort, Pepto

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm