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: 0930498
Sex: F
Age: 67
State: TX

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

Lab Data:

Allergies: none

Symptoms: Excessive bleeding, Patient's spouse called 2 hours post vaccination and said the site was still bleeding. RPh instructed patient's spouse to get several layers of gauze pad apply direct and firm pressure and raise arm above heart level and go to ER if it did not subside shortly. RPh called 40-45 minutes after the initial call to check on the patient. He said it was still bleeding. The patient's spouse called 30 minutes later and said it had

Other Meds: Plavix Atorvastatin Tramadol

Current Illness: unknown

ID: 0930499
Sex: F
Age: 37
State: NY

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

Lab Data:

Allergies:

Symptoms: Injection site immediately became raised and grew larger with skin around site slight change in color continued to grow in size for about five minutes Benadryl 50 mg given to patient told to report continued symptoms

Other Meds: Multivitamin Vitamin C 500mg

Current Illness: No

ID: 0930500
Sex: M
Age: 77
State: TN

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

Lab Data: None

Allergies: None known

Symptoms: Moderna COVID-19 Vaccine EUA. Fever of 102.8 after 24 hours. Fever reduced by Tylenol and ice packs. No fever after 12 hours.

Other Meds: Venlafaxine Er 75 mg, Memantine 10 mg, Donepezil 10 mg, Atorvastatin 20 mg, lisinopril 5mg, Aspirin 81 mg, Omega 3 Fish Oil, Multivitamin, Move Free tablet

Current Illness: None

ID: 0930501
Sex: F
Age: 33
State: VA

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

Lab Data:

Allergies: N/A

Symptoms: Deltoid ache which has since resolved. Ache in Shoulder/axillary joint, has continued through today (3 weeks since the Vaccine dose). Hurts when I left my arm above shoulder height

Other Meds: N/A

Current Illness: N/A

ID: 0930502
Sex: F
Age: 63
State: TX

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

Lab Data: None. Called dr office who said it should be gone in 24 hours.

Allergies: None

Symptoms: Severe cough, 102 fever, chills, diarrhea, flu like soreness, sick to stomach, couldn?t sit up, felt generally horrible like I felt with covid back in October. Hoping tomorrow will be better.

Other Meds: Multivitamin, A, C, D, Zinc, synthroid, low dose aspirin, Pepcid AC, topamax

Current Illness: None

ID: 0930503
Sex: M
Age: 21
State:

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

Lab Data:

Allergies: Seasonal allergies to pollen and grasses.

Symptoms: Moderna COVID-19 Vaccine EUA adverse event started as localized myalgia around injection site started around 4:30pm same day as the injection then progressed into a headache and fever of 101 by 11pm that night. Myalgia spread to the entire body and interrupted sleep at 2am. Heart rate was 110 while lying in bed. Took Nyquil for fever and at 1pm on 01/08/2021 fever is down to 99.1.

Other Meds: None

Current Illness: None

ID: 0930504
Sex: F
Age: 51
State: CT

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

Lab Data: None

Allergies: NKDA

Symptoms: Myalgias and chills

Other Meds: Levothyroxane

Current Illness: None

ID: 0930505
Sex: M
Age: 70
State: SD

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

Lab Data: NONE

Allergies: pseudoephidrine

Symptoms: **Pt c/o 'chest pressure' 15 minutes after covid vaccine. Also c/o lightheadedness. Denies nausea. Pt placed in room and employee from Surgery came over to attach vital signs monitor. Dr. from ER happened to be in this area and checked on pt. Dr. from Surgery Dept. also here. 1700 Pt states he is much better, denies SOB, any chest pressure or pain and denies dizziness or lightheadedness. Pt dischrged at 1705 per ambulation to home. 1644: BP 155/73 P 75 SPO2 96 RA 1654: BP P 72 SPO2 97 T 98.5 1700: BP 146/77 P 67 SPO2 96

Other Meds:

Current Illness: none per pt

ID: 0930506
Sex: F
Age: 31
State: MD

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

Lab Data: EKG - clear

Allergies: no

Symptoms: Started exp. central chest tightness and on site of sternum; interment; started about 5-10 min. after vaccination; last 30-60 seconds - tightness - however didn't feel short of breath or light-headed. It would come about a min. or two apart. Lasted for 30-45 min. Resolved on it's own. They transported me to ER. They listened to lungs; did not hear wheezing. My blood pressure was elevated a little initially - 130/90 which is elevated for me. And then it went back down within that 45 time frame. I was monitored there in ER. They wanted to monitor me in the ER so logistical reasons. Did not have rash or light headness. Released after an hour of observation and symptoms had resolved. Then went back to work. The place of vaccination and ER were the same hospital.

Other Meds: GiANDI - Oral Birth Control; OTC multi-vitamin - Dolavant; tr treated with Botox for dystonia

Current Illness: no

ID: 0930507
Sex: F
Age: 62
State: AL

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

Lab Data: none

Allergies: Idoine

Symptoms: 1/8/21 4am woke up with hard chills and freeing no fever. Aching ALL over. felt like the flu. tylenol 1000, every 4-5 hours. began having sharp pains just above my left temple about 3 hours ago. Intermittent.

Other Meds: xarelto, cymbalta, lowartan,rhythmol, mirapex, mobic, toprol xl.

Current Illness: none

ID: 0930508
Sex: F
Age: 40
State: CA

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

Lab Data:

Allergies: Acetaminophen-codeine Cymbalta [Duloxetine Hcl]

Symptoms: Initial itching at injection site, observed and returned to work. Came back ~30-40 minutes later with itchiness in throat and hives to arm. Given Benadryl PO and observed for extended period of time. Symptoms not resolving. Patient transferred to Emergency Department for further care. At that point observed to have full body rash, SOB. Given Epi while in ED. Developed tachycardia, hypotension. Treatment continued.

Other Meds: Phentermine (ADIPEX-P) 37.5 mg Oral Cap Hydrocortisone 2.5 % Top Crea cloNIDine HCL (CATAPRES) 0.2 mg Oral Tab tiZANidine (ZANAFLEX) 4 mg Oral Tab traZODone (DESYREL) 50 mg Oral Tab Multivitamin (MULTIPLE VITAMIN) Oral Cap

Current Illness: unknown

ID: 0930509
Sex: F
Age: 39
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: On 01/08/2021 patient came to facility to report swelling in left arm that started on the 01/06/2021 after the vaccination of Moderna. On 01/07/2021, patient reports severe swelling and pain in left arm, and not able to lift, move or turn her arm. Patient reports the pain went up to her neck and she is unable to move nor turn her head. Patient reported a fever on 01/07/2021 of 39C and took 2 pills of 200mg tylenol on 01/07/2021 at night. The next day on 01/08/2021 she reports feeling a lump on her left neck, and came to the facility to be examined.

Other Meds: None

Current Illness: None

ID: 0930510
Sex: F
Age: 41
State: NY

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

Lab Data: COVID PCR- negative on 01/08/2021

Allergies: Doxycycline, Tetracycline

Symptoms: Employee reports stomach pains and diarrhea since am (1/8/2021). On sight Provider ordered COVID PCR and employee sent home to rest and keep hydrated.

Other Meds: Cymbalta 30 mg po daily, Pro-Air Inhaler PRN, Orthro Tri-Ciclen

Current Illness: None

ID: 0930511
Sex: F
Age: 38
State: WV

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

Lab Data:

Allergies:

Symptoms: Low grade fever, achy arm, headache

Other Meds:

Current Illness:

ID: 0930512
Sex: F
Age: 34
State: CA

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

Lab Data:

Allergies: Clindamycin;Keflex

Symptoms: Pt received Pfizer COVID 19 Vaccine on December 17, 2020. No issues or complaints from DOSE 1. Pt reported to vaccination center on January 7, 2021, to receive second dose and patient received Moderna COVID 19 Vaccine in lieu of Pfizer. At the time of 2nd vaccination dose, no issues or concerns. On January 8, 2021, patient reported to work and was sent from nursing floor by her manager to be seen in ER as she had slight nausea today. PER ED NOTE: No rash/swelling or sob. vaccine was given yesterday. No cp or abd pain. Feels a little tired but otherwise fine per patient.

Other Meds:

Current Illness:

ID: 0930513
Sex: F
Age: 62
State: PA

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

Lab Data:

Allergies: Codeine, Latex

Symptoms: Severe chills, muscle aches/pain throughout entire body, nausea & vomiting, inability to stand upright-legs kept giving out with me going down to floor. I had to crawl. I received the vaccine at approximately noon on 01/07/2021, with severe symptoms starting at 11:30 PM. These symptoms lasted until approximately 10:00 AM on 01/07/2021. It is now 6:30, and I still feel sick from the vaccine. I have minor chills, a mild headache, and have had no appetite all day. My entire body is extremely achey.

Other Meds: Atorvastatin, Attenolol, baby Aspirin, Pantoprazol, Famotidine

Current Illness: None

ID: 0930514
Sex: F
Age: 35
State: SD

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

Lab Data:

Allergies: None

Symptoms: Seven days post vaccine, a two inch diameter around the injection site became inflamed, red, swollen, hot to the touch, and itchy.

Other Meds: Simvastatin, birth control, levothyroxine, losartan, spironolactone, effexor, buspar

Current Illness: None

ID: 0930515
Sex: F
Age: 36
State: MO

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

Lab Data:

Allergies:

Symptoms: Severe body aches, headache started about 2am, about 10 hours after administration. Fatigue. Fever started about 24 hours after administration, highest reading 101.3. All resolved about 48 hours after administration.

Other Meds:

Current Illness: None

ID: 0930516
Sex: F
Age: 54
State: CT

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

Lab Data:

Allergies:

Symptoms: localized cellulitis

Other Meds:

Current Illness:

ID: 0930517
Sex: F
Age: 63
State: TX

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: denies

Allergies: denies

Symptoms: Patient reported local reaction to the injection site such as bump, redness in circle, pain, burning. she got reaction on 2nd day post vaccination. patient reported that redness is still present on the injection site as of 1/8/21. patient is concerned for getting the second shot.

Other Meds: denies

Current Illness: denies

ID: 0930518
Sex: M
Age: 33
State: MD

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

Lab Data: Low potassium, cardio gram was normal, ekg was normal just very rapid beat, I was told most of my lands were great, had signs of mild dehydration.

Allergies: None

Symptoms: After about 15 min: hr went to over 170bpm , flushed sensation, brain fog, was driving at the time and my brain wouldn?t figure out how to call 911 , eventually I figured it out but it took extreme mental effort. Paramedics came and my pulse was From 100 - 170 changing rapidly, bp 150-175/x changing rapidly, symptoms would come and go about 8 times on way to hospital. In ER same thing then about 2 hrs go by and then all started again. Pulse remained at 90- 100bpm at least until 2am. (My resting hr is between 40 and 50, my normal bp is usually sub 120/80) I later realized my hands were swollen, mostly on my left side. Lingering symptoms include brain fog, tiredness, and headache. Maybe an exasperating issue was I had low potassium levels likely making symptoms worse - I worked out heavily early in the morning, probably had low intake of potassium that day and day before, and maybe slightly dehydrated from my workout - I do Functional lifting, run, and other types of exercise regularly.

Other Meds: None

Current Illness: None

ID: 0930519
Sex: F
Age: 55
State: WI

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

Lab Data:

Allergies: N/A

Symptoms: 1/7/2021: 1200 PM H/A 1700 - 1100 PM Chills with continued shaking 1100 PM Febrile 102.5 1100 PM Swollen/Painful lymph nodes -left axilla

Other Meds: Metformin Terbinafine Venlafaxine Celecoxib Vit. D3

Current Illness: N/A

ID: 0930520
Sex: F
Age: 39
State: CO

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

Lab Data: Unknown

Allergies: Unknown

Symptoms: Employee received COVID vaccine on 1/6/2020 and developed bilateral hip pain that night and then developed numbness and tingling in her buttocks and both legs on 1/7/2020. Employee was sent into Emergency Room.

Other Meds: Unknown

Current Illness: Unknown

ID: 0930521
Sex: F
Age: 38
State: CO

Vax Date: 12/26/2020
Onset Date: 01/02/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: n/a

Symptoms: cellulitis - prescribed antibiotic, which I am picking up this evening. Not sure of outcomes.

Other Meds: Birth control, fish oil, folic acid

Current Illness: n/a

ID: 0930522
Sex: F
Age: 40
State: UT

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

Lab Data:

Allergies: None

Symptoms: Severe body aches, chills, headache, fever, joint pain, back pain, fatigue, brain fog, diarrhea, loss of appetite

Other Meds: Alprazolam

Current Illness: None

ID: 0930523
Sex: F
Age: 33
State: FL

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

Lab Data: None

Allergies: None

Symptoms: Warm red itchy rash at injection site- occurred 9-10 days after injection.

Other Meds: None

Current Illness: None

ID: 0930524
Sex: F
Age: 74
State: NM

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

Lab Data: Normal CBC

Allergies: Penicillin Sulfa drugs

Symptoms: Hives, recurrent after 1 dose dexamethasone and benadryl

Other Meds: Famotidine Calcium acetate Acetaminophen Losartan Carvedilol

Current Illness: ESRD, on HD Recovering from presumed non-COVID community acquired pneumonia

ID: 0930525
Sex: F
Age: 51
State: TX

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

Lab Data:

Allergies: B-12 injections.

Symptoms: Patient received vaccine at 13:30. She started feeling anxious after receiving vaccine but went back to work. Patient received 50 mg of diphenhydramine at 14:30, she then started experiencing hives and shortness of breath. She was administer 0.3 mg of epinephrine into the thigh and EMS was called.

Other Meds: Unknown.

Current Illness: Unknown.

ID: 0930526
Sex: F
Age: 50
State: MI

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

Lab Data:

Allergies: N/A

Symptoms: An incident occurred where a resident received the Covid vaccine twice. The facility incorrectly split the residents in two units. The resident that was listed in Unit 2 was actually from unit 1. The facility is a single floor building. The first dose was administered by team 2 at 12:01 PM and the second dose was given by team 1 at 12:48 PM. Prior to vaccinating the residents. A store intern, informed the nurse, that a consent form was missing and nurse insisted she had one and to vaccinate her. The consent form was actually with the Unit/team 2. The patient is alert and oriented and is not experiencing any symptoms or side effects. She has been checked on every 30 minutes and is doing fine. The facility?s administrator documented the incident apologized for the mistake.

Other Meds: N/A

Current Illness: N/A

ID: 0930527
Sex: F
Age: 28
State: PR

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

Lab Data:

Allergies:

Symptoms: rash and itching on both eyes. Administered Benadryl IM 50mg as ordered by doctor. Was kept under observation for 15 min. Patient left in stable condition.

Other Meds:

Current Illness:

ID: 0930528
Sex: F
Age: 37
State: NY

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

Lab Data: None

Allergies: None

Symptoms: 1 minute after injection: light headed, dizziness 3 minutes: headache 15 minutes: chills, headache, dizziness , arm pain at injection site 40 minutes: malaise, headache, chills, dizziness, arm soreness at injection site All symptoms continued for over 24 hours before subsiding.

Other Meds: None

Current Illness: None

ID: 0930529
Sex: F
Age: 83
State: FL

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

Lab Data: NONE

Allergies: NONE

Symptoms: PATIENT REPORTED MYALGIAS AND CHILLS (NO FEVER) 48 HOURS POST VACCINE AND WAS CONCERNED BECAUSE SHE HAD RECEIVED THIS DOSE EARLIER THAN CDC/MANUFACTURER RECOMMENDATION

Other Meds:

Current Illness:

ID: 0930530
Sex: F
Age: 52
State: CA

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

Lab Data: n/a.

Allergies: General anesthesia not sure which one but this one is not used in the US (it is in Mexico). Patient forgets the name.

Symptoms: Feeling hot and fatigued around 2:00pm. Itchy water eyes in the afternoon/evening. Took Claritin and that helped a little but symptoms lasted until next morning (12/29/20).

Other Meds: Levothyroxine 75mcg Atorvastatin 20mg Isoflavonas: calcium, magnesium, vitamin D3 and K2 120mg Lysteda: Acid Tranexamico 650mg Complex B with diclofenac 3 injections

Current Illness: Diagnosed with Covid-19 illness 11/23/2020.

ID: 0930531
Sex: F
Age: 37
State: UT

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

Lab Data: None

Allergies: None

Symptoms: At 6p.m I started developing a fever of 100 F , chills and became really tired. This continued throughout the night and the next day. I also experienced rigors from about 10:30 to 11:00 p.m. on 12/30/2020. I was completely exhausted as well. I occasionally felt nauseous but did not experience any vomiting or other GI symptoms. All symptoms resolved around 08:00 on 1/1/2021

Other Meds: None

Current Illness: None

ID: 0930532
Sex: F
Age: 30
State: CA

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

Lab Data: n/a

Allergies: regaln

Symptoms: throat felt different to swallow

Other Meds: N/A

Current Illness: n/a

ID: 0930533
Sex: F
Age: 36
State: MT

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

Lab Data:

Allergies: No

Symptoms: Heart palpitations, headache, body aches for 48 hours after receiving shot

Other Meds: vitamin D

Current Illness: None

ID: 0930534
Sex: F
Age: 32
State: FL

Vax Date: 12/17/2020
Onset Date: 12/20/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: Environmental pollen allergies Azithromycin

Symptoms: Left Underarm soreness and tenderness lasting for 16 days.

Other Meds: Vitamin D3 Allegra 24 hour Zanaflex Omeprazole

Current Illness:

ID: 0930535
Sex: M
Age: 61
State: TX

Vax Date: 09/05/2020
Onset Date: 09/09/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: No tests completed as of yet. We at the pharmacy recommended patient be seen by a physician so he can be assessed.

Allergies: no known allergies

Symptoms: Patient noticed left arm was sore a few days after vaccination, neck was sore, this soreness/tenderness still persists to today (1-8-21), patient states he never experienced any loss of motion (able to move arm normally). This was his first flu vaccine ever, only got the flu shot because of the TV saying he should due to covid-19. No fever/headaches, etc. Just uncomfortable pain in his left shoulder where the vaccine was administered.

Other Meds: Per patient, was not taking anything at time of vaccination

Current Illness: no known illness at time of vaccination and up to one month prior per patient (on phone 1-8-21)

ID: 0930536
Sex: F
Age: 59
State: TN

Vax Date: 12/25/2020
Onset Date: 12/26/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: Drew a CBC, BMP, and chest x-ray all normal. Rapid flu, and COVID antigen and it was negative.

Allergies:

Symptoms: 3 weeks ago tomorrow, The day after my shot I was really tired. I went to bed and when I got up and had a fever, horrible joint and leg pain, horrible leg pain, terrible bouts of nausea until I couldn't puke anymore. I went into the ER and got fluids and they ran tests and everything was normal. ER said it could be a moderate reaction to the vaccine.

Other Meds: Synthroid, Prilosec. multivitamin

Current Illness:

ID: 0930537
Sex: F
Age: 32
State: NC

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

Lab Data: N/a

Allergies: Codeine

Symptoms: Today 10 days post vaccination around 12pm Two spots in left arm formed, are one is slowly growing in size. One spot is red and warm to the touch (this is the one growing) it is slightly itchy. The other spot is a bruise with a red circular spot surrounding it.

Other Meds: Ambien CR, Celexa, Seroquel, Lamictal, klonopin

Current Illness: None

ID: 0930538
Sex: M
Age: 30
State: CA

Vax Date: 12/23/2020
Onset Date: 12/26/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Uncertain if truly caused by the vaccine. I had an ACL reconstruction done back in May of 2020. My knee has transient swelling that comes and goes, but is not particularly frequent. 3 days after receiving the vaccine, my knee swelled up and remained swollen for about 7 days. It has since gone back down. I did not have any acute injuries or remarkable events happen during this time other than the vaccine administration. Overall, uncertain if it was caused by vaccine, but it was odd enough to report.

Other Meds: None

Current Illness: None

ID: 0930539
Sex: F
Age: 47
State: CA

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

Lab Data:

Allergies: bee stings, hair dyes

Symptoms: Within 15 minutes, I began feeling dry throat, then itching, then it felt like I had a lump inside my throat. Then I began to have difficulty swallowing my saliva. And then the lump inside my throat started to feel larger and larger. By this time Dr had already injected me with Epipen and the pharmacist injected me with Solumedrol and I still felt as if I was having difficulty breathing and then I was taken to ER and I really can't remember too much after that. I was very groggy and then I was discharged from ED about 9:30 pm.

Other Meds: multivitamins

Current Illness: None

ID: 0930540
Sex: F
Age: 35
State: OR

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

Lab Data:

Allergies: None

Symptoms: itching, hot, high blood pressure Blood pressure has gone down but is still high.

Other Meds: None

Current Illness: None

ID: 0930541
Sex: M
Age: 17
State: TX

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

Lab Data:

Allergies: unknown

Symptoms: no side effects or symptoms at time of dose or observation time. reporting because of patient age

Other Meds: unknown

Current Illness: unknown

ID: 0930542
Sex: M
Age: 22
State: IN

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

Lab Data: None, I am just resting at home

Allergies: None

Symptoms: I?ve been experiencing mild fevers (99.4-100.3), migraines, soreness and fatigue approximately ~48 hours after receiving my booster

Other Meds: None

Current Illness: None

ID: 0930543
Sex: F
Age: 59
State: TN

Vax Date: 12/25/2020
Onset Date: 12/26/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: Blood work in the ER and flu rapid test.

Allergies:

Symptoms: 3 weeks ago tomorrow, The day after my shot I was really tired. I went to bed and when I got up and had a fever, horrible joint and leg pain, horrible leg pain, terrible bouts of nausea until I couldn't puke anymore. I went into the ER and got fluids and they ran tests and everything was normal. ER said it could be a moderate reaction to the vaccine.

Other Meds: Synthroid, Prilosec. multivitamin

Current Illness:

ID: 0930544
Sex: F
Age: 26
State: CA

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

Lab Data: taken to ED for further evaluation

Allergies: n/a

Symptoms: nausea

Other Meds: n/a

Current Illness: n/a

ID: 0930545
Sex: F
Age: 42
State:

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

Lab Data:

Allergies: sulfa- rash lisinopril- angioedema

Symptoms: Arm and facial swelling, metallic taste in mouth, dizzy and lightheaded within a few minutes after vaccine. Benadryl 50mg IM given then taken to the ED for further evaluation and treatment

Other Meds:

Current Illness:

ID: 0930546
Sex: F
Age: 62
State: CA

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

Lab Data:

Allergies: none

Symptoms: Fever 100.6 F , chill, headache, pain

Other Meds: none

Current Illness: none

ID: 0930547
Sex: F
Age: 29
State: IN

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

Lab Data: Ultrasound 1/8/2021

Allergies: None

Symptoms: 2 hours after receiving vaccine started having severe pain in shoulder. Progressively got worse as the night went on. Jolting sharp pain with certain movements.

Other Meds: Phentermine, prenatal, vitamin c

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm