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: 0930078
Sex: F
Age: 54
State: GA

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

Lab Data:

Allergies: Iodine, sulfa, eggs

Symptoms: Patient complaints of tingling in left hand and tingling of lips 15 minutes after injection. BP 151-99, pulse 97, pulse ox 97%. Benadryl 25 mg 2 tabs by mouth administered. Vitals monitored for an additional hour and the patient denied tingling of lips and hands when leaving the clinic.

Other Meds: None

Current Illness:

ID: 0930079
Sex: F
Age: 20
State: TX

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

Lab Data:

Allergies:

Symptoms: Swelling of throat and tongue, anaphylaxis, hives, redness, swelling

Other Meds:

Current Illness:

ID: 0930080
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 Sulfae

Symptoms: On 12/29/2020 at approx. 1000 she reports having body aches in her shoulders and lower back. She denied any s/s prior to this other than a tender arm at injection site. She reports also noticing stiffness in her left hip area but with walking tended to help some. She medicated herself with Tylenol at that time. By 1300 she reports that she felt like she had Covid again. She reports having headache, pressure in her head and left ear area, fatigue and reports being afebrile. The above s/s were symptoms that she had experienced when diagnosed with Covid. She also reports that she had not fully recovered with her taste and smell and thinks that it may be some worse on 12/29/2020 then prior. She was not able to work on 12/30/2020 with Covid like s/s. On 12/31/2020 she returns to work feeling some better. On 01/04/2021 she presents to work with a softball size redness, hard to touch and feverish to touch area on her left deltoid area where she received her injection. She does report that on 01/01/2021 noticing a hardened area in the left deltoid but denies any other s/s. She was instructed to contact her PCP due to her questions regarding the taking of her 2nd Covid vaccine.

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

Current Illness: She was diagnosed with Covid 11/17/2020. She returned back to work on 11/30/2020 experiencing severe exhaustion through 12/07/2020. She also reports that she had episodes of a racing heart rate since the diagnosis of Covid and had seen her cardiologist on 12/17/2020. She is too have a Cardiac evaluation with a stress test on 12/31/2020.

ID: 0930081
Sex: F
Age: 42
State: NE

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

Lab Data: Doctor vist with on January 8, 1:45pm, physical therapy appt scheduled for January 11, 2021 at 08:00 am

Allergies: macrobid, sulfa, minocycline, cephalexin,codeine

Symptoms: shoulder joint pain, injection was given in joint.... I am now on prednisone, physical therapy, if this doesnt help will need a MRI .

Other Meds: birth control pill,

Current Illness: none

ID: 0930082
Sex: M
Age: 70
State: KS

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

Lab Data: Benadryl and hydrocortisone cream used.

Allergies: NKA

Symptoms: Rash on the chest, back and upper arms. Rash was rash, Scattered and raised. Ichy. Started 24 hours after vaccine

Other Meds:

Current Illness:

ID: 0930083
Sex: F
Age: 24
State:

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

Lab Data:

Allergies: Allopurinol Flomax Bactrim

Symptoms: Quarter sized mark at injection size that is erythematous, warm, and painful to touch.

Other Meds: Melatonin Valerian Root Lexapro Macrobid

Current Illness: UTI

ID: 0930084
Sex: F
Age: 37
State: IL

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

Lab Data: None

Allergies: None known

Symptoms: Headache Itching Hives Swelling Pain Redness Treatment Benadryl and prednisone

Other Meds: Sumatriptan Citalopram Famotadine Pantoprazole Fluticasone Allegra Birth control Sudafed Mucinex Aspirin

Current Illness: None

ID: 0930085
Sex: F
Age: 44
State: MA

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

Lab Data: N/A

Allergies: None

Symptoms: Inadvertent administration of dose into triceps subcutaneous area, rather than IM deltoid.

Other Meds: None

Current Illness: None

ID: 0930086
Sex: M
Age: 77
State: TX

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

Lab Data: EGD- 01/07/2021 CT Brain WO Contrast- 01/07/2021 CTA Neck W/WO contrast- 01/07/2021 MRI Brain WO Contrast- 01/08/2021 CBC, Chem Profile, Diabetes, Lipid profile- 01/07/2021 and 01/08/2021

Allergies: Latex Sulfa Drugs

Symptoms: Patient's spouse states that approximately 1.5 hours after receiving vaccine patient was at home and found to be confused and non- verbal. Unable to verbally express what was wrong. Spouse called into the clinic was triaged via phone and advised to go to the ER for further evaluation.

Other Meds: Metoprolol Succinate 25 mg oral tablets

Current Illness:

ID: 0930087
Sex: F
Age: 41
State: IL

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

Lab Data:

Allergies: pcn allergy

Symptoms: sore arm the first day, then fine. on evening of day 8, my arm was sore again, and itchy. the next morning it was red and swollen. it continues to be swollen and red, and it is spreading to a larger area of my arm.

Other Meds: na

Current Illness: na

ID: 0930088
Sex: F
Age: 34
State: FL

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

Lab Data: ekg: sinus tachycardia

Allergies: shellfish

Symptoms: about 5-10 minutes after administration, my lips began to move and shake uncontrollably and became tingling and a bit numb. Soon right after my heart rate was very fast, highest 160's. My throat felt weird but I never had any difficulty swallowing or breathing and my mouth, lips, or tongue never became swollen.

Other Meds: No

Current Illness: no

ID: 0930089
Sex: F
Age: 34
State: IL

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

Lab Data: N/A

Allergies: shell fish

Symptoms: received the covid vaccine 12/30/2020 that night I had a very bad sore arm lasted 3 days that night at around 6pm I experience tiredness, cold chills and body aches and a low grade fever a temperature was 99.8 I took a nap I typically never nap. My symptoms since the vaccine I have been feeling very tired id say more sleeping and eyes feeling heavy throughout the day and on and off headache I have had a cough which I have had lingering for the past month. These are my symptoms currently fatigue, tired and on and off headaches.

Other Meds: multivitamin

Current Illness: cough

ID: 0930090
Sex: F
Age: 26
State: OR

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

Lab Data: None

Allergies: Cephalexin

Symptoms: Swelling, pain, hot to the touch, tenderness around vaccine site. Hives spreading all over body and face.

Other Meds: Venlafaxine, Alprazolam, Birth Control pill

Current Illness: none

ID: 0930091
Sex: F
Age: 43
State:

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

Lab Data:

Allergies: No allergies

Symptoms: Pt presented to Emergency department with left arm pain after receiving the Moderna COVID-19 vaccine roughly 3 days ago. Patient states she was injected, left shoulder Tuesday evening, 60 hours prior to evaluation. She had pain in the left shoulder since then, relieved with ibuprofen but recurrent and intense when the medicine wears off. She states that during injection she felt pain that went down to her middle digit. She has normal neurologic function, normal motor function, no obvious infectious symptoms, and exam is benign.

Other Meds: None

Current Illness: No past medical history

ID: 0930092
Sex: F
Age: 92
State: WV

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

Lab Data:

Allergies: codiene, buspar, cymbalta and tamiflu

Symptoms: Raised red area to deltoid, itching at site

Other Meds: Allopurinol, Fentanyl, Calcium Vitamin d3, Centrum Silver, Vitamin D, Flonase, Iron, Biofreeze, lexapro, modular protein, Neurontin, oxygen, senna plus, synthroid, toprol xl, uti state, vitmain c and zinc.

Current Illness:

ID: 0930093
Sex: M
Age: 42
State: MI

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

Lab Data: None

Allergies: Bactrim

Symptoms: Hives all over body and top lip swollen

Other Meds: Xyosted, multi vitamin

Current Illness: No

ID: 0930094
Sex: F
Age: 42
State: WI

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

Lab Data:

Allergies: PCN, Sulfa, Bactrum, Latex, Meloxicam

Symptoms: got a rash all over my cheeks and chin and chest with a severe headache. 2nd day rash went to bottom half of my body and still on cheeks and chin with itching with red mark and swollen lymph nodes.

Other Meds: Ibuprofen and tylenol

Current Illness: None

ID: 0930095
Sex: F
Age: 56
State: WA

Vax Date: 12/20/2020
Onset Date: 12/26/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: Scapular X-rays 1/7/2021

Allergies: None

Symptoms: Left shoulder pain and tenderness

Other Meds: None

Current Illness: None

ID: 0930096
Sex: F
Age: 45
State: KS

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

Lab Data:

Allergies:

Symptoms: Notes APRN (Nurse Practitioner) ? ? Nurse Practitioner Cosign Needed Expand All Collapse All COVID VACCINE CLINIC 1/7/2021 ? Date: 1/7/2021 ? Subjective Patient is a 45 y.o. female who was seen at COVID Vaccine Clinic today for her second dose of the COVID 19 vaccination. ? She denied any history of previous adverse reactions to vaccines. ? She was given the Pfizer vaccination in the left deltoid muscle. ? During her 15 minute waiting period after the injection, the patient began to experience throat tightness and sinus drainage. She denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, hoarseness, stridor, itching, lightheadedness, dizziness, facial swelling, lip swelling and tongue swelling. ? This provider was notified of patient reaction and she was then assessed in the emergency bay area. ? Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , chest pain, collapse, drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress with stridor, wheezing, dyspnea, increased work of breathing, persistent cough and cyanosis, skin changes, tongue swelling and vomiting. Pt took allegra this am for allergies. ? ALLERGY REVIEW OF SYSTEMS: All other systems negative ? ? Previous Reactions: She states with first shot a few hours after her shot she had a rash on her mid back. and and lower extremities. Pt also had a head ache. Symptoms lasted 5 days. ? ? Objective ? Vitals Vitals: ? 01/07/21 1248 01/07/21 1303 01/07/21 1321 01/07/21 1334 BP: (!) 150/87 130/71 137/87 123/73 Pulse: 94 86 75 76 SpO2: 97% 99% 98% 99% ? ? ? ? Physical Exam Vitals signs and nursing note reviewed. Constitutional: Appearance: Normal appearance. She is well-developed. HENT: Head: Normocephalic. Jaw: There is normal jaw occlusion. Right Ear: External ear normal. Left Ear: External ear normal. Nose: Nose normal. Mouth/Throat: Mouth: Mucous membranes are moist. Eyes: Pupils: Pupils are equal, round, and reactive to light. Neck: Musculoskeletal: Normal range of motion. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Pulses: Normal pulses. Heart sounds: Normal heart sounds. Pulmonary: Effort: Pulmonary effort is normal. Breath sounds: Normal breath sounds. Abdominal: General: Abdomen is flat. Musculoskeletal: Normal range of motion. Skin: General: Skin is warm and dry. Capillary Refill: Capillary refill takes less than 2 seconds. Findings: Rash (on chest) present. Rash is macular. Comments: Flushing over the cheeks and bridge of the nose. Neurological: General: No focal deficit present. Mental Status: She is alert and oriented to person, place, and time. Psychiatric: Mood and Affect: Mood normal. Behavior: Behavior normal. Behavior is cooperative. Thought Content: Thought content normal. Judgment: Judgment normal. ? ? ? Assessment/Plan Treatment included: antihistamines. Follow up response to treatment: good. Patient discharge: Stable to go home and follow up with PCP.Pt told if symptoms worsen or changed she is to be seen in the ER. ? Diphenhydramine 25 mg oral given at 12:55pm. ? Pt okay to go home with dad driving at 14:22 pm. ? ? Electronically Signed 1/7/2021 2:03 PM ? ? ?

Other Meds:

Current Illness:

ID: 0930097
Sex: F
Age: 41
State: PA

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

Lab Data: none

Allergies: Imitrex, lactose intolerance

Symptoms: Facial swelling, numbness of the lower left jaw, sore throat, coughing, congestion, sneezing, headache, tenderness and soreness at injection site.

Other Meds: levothyroxine 75 mcg QD

Current Illness: none

ID: 0930098
Sex: F
Age: 39
State: IN

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

Lab Data:

Allergies: Amoxicillin. Sulfa

Symptoms: The area is swollen, red, hot. I had chills, muscle aches

Other Meds: None

Current Illness: Hypothyroidism

ID: 0930099
Sex: F
Age: 30
State: TN

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

Lab Data: none

Allergies: none

Symptoms: Severe flu like symptoms, fever over 101, chills, body aches, headache, nausea/loss of appetite, fatigue, soreness in the arm from injection

Other Meds: birth control, multi-vitamin, vitamin D, claritin, flonase, finasteride

Current Illness: none

ID: 0930100
Sex: M
Age: 59
State: TX

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

Lab Data: None

Allergies: NKA

Symptoms: Got the vaccine in left arm on 12/31, sat for 15 minutes for observation. After leaving and driving home, started feeling worse pain in left arm and numbness around the left ear and left cheek. Went back, they examined and observed for another hour, then released. It went away and returned; has been intermittent since. Left V2/3 distribution

Other Meds: Flomax 0.4mg daily

Current Illness: none

ID: 0930101
Sex: F
Age: 38
State: PA

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

Lab Data:

Allergies:

Symptoms: While waiting ini observation area pt reported "not feeling well" was given water and asked to stay for aditonal amoutn of time. SOrtly after she reported "feeling like i am goinog to pass out" . Lightheaded dizzy, no other physical complaints. Pt is cool, lips pale.

Other Meds:

Current Illness:

ID: 0930102
Sex: F
Age: 59
State: FL

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

Lab Data: 12/22/20: 1152 am: HR 87, O2 sat 100%; 1215 pm: HR 89, O2 100%.

Allergies: None known

Symptoms: Following 15 minutes of monitoring after receiving the COVID19 vaccine, the patient experience dizziness upon standing and reported tingling in lower limbs. Patient was monitored for an additional 20 minutes and symptoms resolved. Patient had no other complaints.

Other Meds: Adderall, estradiol cream

Current Illness: None known

ID: 0930103
Sex: F
Age: 44
State: OR

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

Lab Data: Trptase Level: 6.7 (nl<=10.9)

Allergies: Betadine [Povidone-Iodine] Rash Erythromycin Unknown ? ? Causes "stomach pain" Fentanyl Hives and Rash ? ? With moderate sedation on 7/19/19 Minocycline Pruritus and Dyspnea ? ? Scratchy throat Penicillins Hives and Rash Versed [Midazolam Hcl] Hives and Rash

Symptoms: Patient was given covid vaccine 1 at 1:10 PM and had face and neck urticaria within 5 min. Denied throat tightness, or breathing difficulties. Was taken to ED for observation. PMHX includes anxiety, HTN; Meds: Amlodipine, acyclovir; Allergies to Betadine, Erythromycin, Fentanyl, Minocycline, PCN, Versed, and reactions include dyspnea and Hives

Other Meds: Amlodipine, acyclovir

Current Illness: N/A

ID: 0930104
Sex: F
Age: 27
State: WI

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

Lab Data:

Allergies:

Symptoms: 1 week after injection, injection spot was very itchy, redness, and raised.

Other Meds:

Current Illness:

ID: 0930105
Sex: F
Age: 33
State: CO

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

Lab Data: None

Allergies: None

Symptoms: Redness, swelling, warmth at injection site, area ~2 in by 4 in on 1/8/21 and was about half the width and length on 1/7/21.

Other Meds: Oral contraceptive

Current Illness: None

ID: 0930106
Sex: F
Age: 45
State: VA

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

Lab Data: None

Allergies: Sunflower seeds, shellfish, pollen, molds, animal dander

Symptoms: Fatigue, fever 100.7, moderate headache, chills, muscle ache, joint pain, restlessness, fatigue, wooziness, mild nausea, mild abdominal pain. No asthma symptoms.

Other Meds: Asthma- albuterol, symbicort, Flonase, sertraline

Current Illness: Asthma Anxiety

ID: 0930107
Sex: F
Age: 39
State: OR

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

Lab Data: none

Allergies: penicillin quinapril

Symptoms: within 5 minutes of the vaccine she developed diffuse itching and flushing. described similar reaction which presented to hives with both penicillan and quinapril. never had respiratory, cardiovascular, or gastrointestinal symptoms. BP and HR normal. no hives developed. itching resolved within 10 minutes. she did take diphenhydramine upon onset of itching and then required several other doses throughout the night for itching. never developed hives or other systemic symptoms.

Other Meds: Nucala

Current Illness: none

ID: 0930108
Sex: M
Age: 46
State:

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

Lab Data: EKG- wnl CBC- WNL BP noted to be elevated 159/94

Allergies: Septra Phenylpropanolamine

Symptoms: pt resturned several hours after injection and stated that he was feeling chest tightness, and slightly SOB Pt was taken to ER for evaluation

Other Meds: methotrexate

Current Illness:

ID: 0930109
Sex: F
Age: 93
State: FL

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

Lab Data: no

Allergies: nokidney failure

Symptoms: She began with an earache and dizziness. Pain got so severe that she could no longer take it. Went to the doctor which she was put on pain medications. Went to ER on 1/6 and on 1/7 went to her PCP. Still in severe pain.

Other Meds: Insulin, Jardiance, Januvia, Levemir, Novalog, Lipitor

Current Illness: kidney failure

ID: 0930110
Sex: F
Age: 50
State: KS

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: Celebrex & Keflex

Symptoms: After injection, was feeling flushed, dizzy, and off balance. When I got home, I was ok until about 4am on Sunday January 3rd, 2020, I woke up with chills, fever of 102.00, nausea, sore throat, body was achy and left arm was severely bruised and sore. I was like this for Sunday & Monday, finally Monday night around 7pm, my fever broke. I was finally able to return to work on Tuesday, I was still quite tired and worn out from the weekend.

Other Meds: Wellbutrin, Citalopram, Estradiol, Omeprazole, & Xarelto

Current Illness:

ID: 0930111
Sex: F
Age: 26
State: AK

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

Lab Data:

Allergies: Corn derivatives, such as corn starch

Symptoms: Lightheadedness, pounding headache, overall body soreness, feeling hot and/cold, sweating when hot, chills when cold, extreme fatigue and weariness. As of the writing of this form, I am still experiencing some lightheadedness, and this morning, I felt very warm, but I overall feel much better.

Other Meds: Fluoxetine, liquid form

Current Illness:

ID: 0930112
Sex: F
Age: 58
State: AZ

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

Lab Data: Covid testing sought 1/8/2021 due to fever. No known exposure

Allergies: None

Symptoms: Fever, to 101.8, chills, body aches, fatigue

Other Meds: Armour thyroid, vitamin D, calcium, vitamin B12

Current Illness: None

ID: 0930113
Sex: F
Age: 52
State: IN

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

Lab Data: None

Allergies: Shellfish, Latex

Symptoms: Fever, chills, nausea, lymph node enlargement with pain

Other Meds: Losartan, HCTZ, Metoprolol, Norvasc, ASA, Loratidine, Tylenol, Ibuprofen, Pepcid

Current Illness: None

ID: 0930114
Sex: F
Age: 38
State: NM

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

Lab Data: None

Allergies: Latex, penicillin, gluten, wheat

Symptoms: Patient complained of dry, tight, scratchy throat after receiving vaccine. Patient monitored and instructed to monitor at home.

Other Meds: None documented

Current Illness: Unknown

ID: 0930115
Sex: F
Age: 35
State: FL

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

Lab Data:

Allergies: None

Symptoms: No adverse events until day 8 post vaccination. Woke up in the morning with a rash over my right deltoid where the vaccination was administered. It was itchy and painful, and developed into a 2-inch circumferential welt. This was present for approximately 36 hours and disappeared without treatment.

Other Meds: None

Current Illness: None

ID: 0930117
Sex: F
Age: 59
State: PA

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

Lab Data:

Allergies:

Symptoms: Oral Herpes outbreak, severe

Other Meds:

Current Illness:

ID: 0930118
Sex: F
Age: 29
State: KS

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

Lab Data:

Allergies: None

Symptoms: Arm soreness, chills, achiness, lymphadenopathy

Other Meds: Prenatal vitamins

Current Illness: None

ID: 0930119
Sex: M
Age: 48
State: CT

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

Lab Data: None

Allergies: None

Symptoms: Chills, fever, night sweats, nausea, bad headaches

Other Meds: Sumatriptan, propecia

Current Illness: None

ID: 0930120
Sex: F
Age:
State: PR

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

Lab Data:

Allergies: Shellfish

Symptoms: Local pain

Other Meds:

Current Illness:

ID: 0930121
Sex: F
Age: 25
State: IL

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

Lab Data: None completed. Contacted PCP, told to monitor for further symptoms in case of infection.

Allergies: Coppertone Sport Sunscreen (developed hives)

Symptoms: Light red rash about 2in high, 3in wide at widest part at site of injection. Noticed at around 8am 1/8/21, size has not changed as of time of report. Slightly warm to the touch, no pain, no white streaks, no raised areas, and no soreness.

Other Meds: Lamictal, Concera, Xanax, Ambien (been prescribed for multiple years)

Current Illness: None

ID: 0930122
Sex: F
Age: 47
State: CT

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

Lab Data: Not yet

Allergies: grass, bees, lobster, dust, pet dander, mold

Symptoms: Vaccine given on 12/30/21 Pain only at injection site for 3 days (Advil relieved it), then back to normal 01/08/21, woke up with moderate pain, swelling, redness, and very minor itch (no rash) at injection site

Other Meds: Estradiol, Buspirone, Lamotrigine, Montelukast, Dextroamphetamine, Breo, Women's One a Day multi-vitamin, Vitafusion D3

Current Illness: N/A

ID: 0930123
Sex: F
Age: 50
State: MT

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

Lab Data:

Allergies:

Symptoms: muscle pain, chills, joint pain, nausea

Other Meds:

Current Illness:

ID: 0930124
Sex: F
Age: 45
State: AR

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

Lab Data:

Allergies: nkda

Symptoms: Redness on face, neck, and arms, Tachycardia, HTN

Other Meds: lisinopril 10mg qd

Current Illness: none

ID: 0930125
Sex: F
Age: 51
State: WA

Vax Date: 12/28/2020
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Sore arm x 3 days. 1 week post vaccination, Noted R armpit painful. No swelling palpable. On day 10post vaccine, noted lymphnodes on R side of neck painful and swollen

Other Meds: Atorvastatin, lisinopril/hctz. estradiol transdermal patch

Current Illness: none

ID: 0930126
Sex: F
Age: 57
State: TX

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

Lab Data: N/A

Allergies: Sulfa based medications. Triple antibiotic ointment

Symptoms: Raised red rash the size of a silver dollar at the site of the injection. The rash feels hard underneath the skin.

Other Meds: Atorvastatin, Levothyroxine, Lisinopril, Gabapentin, Omeprazole, L-Methyfolate, Trintellex, Methotrexate, Tylenol

Current Illness: rheumatoid arthritis

ID: 0930127
Sex: F
Age: 56
State: FL

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

Lab Data: None

Allergies: PCN Sulfa Wasp (bee sting)

Symptoms: Tingling of your tongue and face was flushed. All symptoms resolved within one hour without taking any Benadryl.

Other Meds: Multiple Vitation Melatonin Daily Triamertine Daily Atenolol at night

Current Illness: Cold Symptoms (not COVID)

ID: 0930128
Sex: F
Age: 58
State: FL

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

Lab Data:

Allergies: Sulfa - anaphylaxis

Symptoms: I received my second dose of Pfizer COVID19 in my left arm . It was administered just under the acromion process. I am currently experiencing posterior shoulder pain with pain radiating down my arm to my fingers. I have been seen by my primary provider and have been prescribed gabapentin and Tylenol 3. I will follow up with my provider on 01-10-21.

Other Meds: Desvenlafaxine ER 50 mg, Fluticasone 50 mcg, Rosuvastatin Calcium 10mg Fenofibrate 145 mg Omeprazole 40 mg Bupropion SR 150mg Losartan Potassium 50 mg Carvedilol 3.125

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm