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: 0930934
Sex: F
Age: 47
State: MN

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: I did not go into be seen.

Allergies: None

Symptoms: 1/6/2021 day of vaccine pink, swollen injection site at bedtime. 1/7/2021 0200-Both eyes, lips and face very swollen with moderately swollen hands. Sore arm. 0815-Temp 99.9 scan. Swelling continued, coworker noticed my eyelids and under eyes swollen (rest of face was masked) 0845 1 gm tylenol and 600 mg ibuprofen. Drank lots of fluids. 1100 98.0 scan 1300 99.0 perspiring, malaise. Eyes still swollen, hands still swollen. Lips and cheeks normal. 1600 chills, fatigue. Drank lots of fluids. 1gm tylenol. Swelling of face resolved. 2000 went to bed early, tired, malaise. Hands mildly swollen. 1/8/2021 0815am 98.3 scan. No swelling. Moderate headache, malaise. Took 1 gm tylenol and 400mg ibuprofen. Noon- felt better, but very tired. 1600-arm mildly sore, no other symptoms. 2000- no return of symptoms 2345- no return of symptoms

Other Meds: Levothyroxine Estradiol Propranolol Venlafaxine Chantix Prochlorperazine Atorvastatin Calcium/magnesium complex Glucosamine Chondroitin MSM

Current Illness: None

ID: 0930935
Sex: F
Age: 48
State: CT

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Chills in early AM (around 2AM) but gone by 8AM, severe soreness in right arm (even hurts to type) unrelenting headache (since 2AM) that is unresponsive to 400mg Advil taken every 4 hours, very thirsty even though adequately hydrated, dizziness upon rising to standing position or sitting up from laying in bed, feeling like I have a ?foggy brain?

Other Meds: Venlafaxine, Trintellix, Spironolactone, Advil, Advil PM

Current Illness: None

ID: 0930936
Sex: F
Age: 25
State: TX

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

Lab Data: No tests or labs were done.

Allergies: NKA

Symptoms: Symptoms began with arm soreness with minor swelling around the administration area around 6-7 pm. Chills began at 11 pm lasting for half an hour followed by a fever of 102f. The fever continued during the night of 1/5/21 and early morning of 1/6/21. Woke with a strong headache in the morning at 7 am. Headache caused dizziness and some loss of balance when walking. Had minor facial swelling with minor numbness around mouth and neck. The fever, headache, and swelling continued throughout the day of 1/6/21. The fever broke around 7 pm on 1/6/21. Nyquil and ibuprofen were taken for fever and headache. During the morning of 1/7/21, the fever and facial swelling had ended. The headache continued during the morning of 1/7/21 until midday. By the evening of 1/7/21, all symptoms had ceased.

Other Meds: None were taken.

Current Illness: None

ID: 0930937
Sex: F
Age: 41
State: MI

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

Lab Data:

Allergies: none

Symptoms: Itching palms ears head and eyes itching then escalated to itching all over and swelling

Other Meds: Lexapro, aleve, tylenol

Current Illness: none

ID: 0930938
Sex: F
Age: 32
State: CA

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: Eggs, gluten, soy

Symptoms: Fever, chills, headache, joint pain, injection site soreness, nausea, vomiting, muscle pain and weakness, abdominal pain. Difficulty getting out of bed and poor oral intake. Took 3000 mg acetaminophen and 500mg naproxen. Lasted 5am-7pm on 01/08/2021 currently severe side effects subsided to minimal side effects.

Other Meds:

Current Illness:

ID: 0930939
Sex: F
Age: 29
State: CO

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

Lab Data:

Allergies: None.

Symptoms: Nausea, fever, chills, muscle pain, fatigue

Other Meds: Ibuprofen

Current Illness: Covid19

ID: 0930940
Sex: F
Age: 31
State: CA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Redness, tenderness, pain

Other Meds: None

Current Illness: None

ID: 0930941
Sex: F
Age: 45
State: CT

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

Lab Data:

Allergies: Allergic to erythromycin, tree nuts and latex

Symptoms: Elevated temp 102.3, near syncope x4, chills, joint pain especially in back and neck, nausea 12 hours, pulse 100, night sweats, dizziness and slight headache after Tylenol

Other Meds: Nifedipene 90mg er, meloxican 15mg, multivitamin, turmeric supplement, apple cider vinegar supplement, zinc, vitamin d3, vitamin b12, probiotics, vitamin a, primrose

Current Illness:

ID: 0930942
Sex: M
Age: 46
State: SC

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: None

Allergies: PCN

Symptoms: Development of hives at about 35 to 36 hours. Hives on the trunk, arms, and extremities. No facial or head involvement. Awoken from sleep with diffuse hives around 1:30 am on 1/9/21 after experiencing mild hives about 4 hours earlier. Took 37.5 of Benadryl, 1000 mg of Tylenol, 40 mg Pepcid, 20 mg of Zyrtec, and 40 mg of Prednisone. Hives eased. Around 2:15 am.

Other Meds: Norvasc 5 mg , Tylenol and Motrin

Current Illness: None

ID: 0930943
Sex: F
Age: 43
State: NE

Vax Date: 12/24/2020
Onset Date: 12/31/2020
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: Ampicillin

Symptoms: Sore arm, warm to touch, redness and itching in a 4 in diameter of the injection site. Also a smaller 1/2in-1in circle developed just to the side of the 4 in red circle. No treatment, redness went away after 5-7 days. Doctor believes a local reaction to the vaccine at injection site.

Other Meds:

Current Illness: none

ID: 0930944
Sex: F
Age: 46
State: NV

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: Reported to PCP along with photos via secure email and advised to use antihistamine, cold pack, Motrin and to monitor for worsening.

Allergies: Tramadol. Topical Camphor.

Symptoms: Localized swelling, tenderness, welting and warm to the touch on left deltoid area. Large raised area over almost half of the upper arm in injection site. Noticed three days ago and it has waxed and waned slightly in this time.

Other Meds: Atorvastatin, Blisovi Fe, Singulair, Rabeprazole, iron, multivitamin, azelastine, fluticasone, claritin, vitamin D3, compounded oral immunotherapy drops.

Current Illness: None.

ID: 0930945
Sex: F
Age: 43
State: IL

Vax Date: 12/23/2020
Onset Date: 01/04/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: Ddimer 564 BNP 107 WBC 12 Drawn on 1/8/2021

Allergies: Seasonal

Symptoms: Generalized edema, shortness of breath, change in taste

Other Meds: Zoloft Effexor Nexium Zyrtec Vit D Occuvite

Current Illness:

ID: 0930946
Sex: F
Age: 36
State: KY

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: None yet. Still symptomatic

Allergies: NKA

Symptoms: Warmth, pain and induration at injection site on day 1. Day 2, day 1 symptoms plus fever, chills, body aches, headache, runny nose, congestion, neuropathic pain, fatigue and malaise. These are present symptoms.

Other Meds: Atenolol, Amlodipine, Sertraline, Atorvastatin, Losartan-HCTZ, immune supplement and Multivitamin.

Current Illness: Covid 19 infection 12/3/2020

ID: 0930947
Sex: F
Age: 41
State: NY

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/09/2021
Hospital:

Lab Data: None

Allergies: Sulfa abx

Symptoms: About 5-10 minutes after receiving the vaccine experienced spontaneously elevated heart rate and lightheartedness while sitting in a chair in the observation room. After a few minutes pulse returned to normal and lightheartedness abated. At no point did I experience shortness of breath, no facial or airway edema. Just a brief period of tachycardia and feeling of impending doom.

Other Meds: Multivitamin Vit C Vit D3

Current Illness: Mild cold preceding week

ID: 0930948
Sex: F
Age: 34
State: OH

Vax Date: 01/04/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Large welted painful rash to vaccination site/ upper arm

Other Meds: None

Current Illness: None

ID: 0930949
Sex: M
Age: 69
State: CA

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: 3:00am-CN noted resident awake sitting up in bed verbally responsive, encouraged to lie down and sleep, resident complied. 4:00am- resident noted sleeping in bed, unlabored breathing, same sleeping position as of 3am. 5:15am- Charge nurse went into resident's room to give him his routine breathing treatment. CN found resident in bed unresponsive, pupils fixed and dilated, facial swelling, drooping noted on left side of face. 911 called, resident transferred to hospital.

Other Meds: predniSone 7mg,amlodipine 5mg,elequis 5mg,ativan 0.5 Gabapentin 100mg tid, lexapro 10mg qd, s ymbicort 160-4.5mcg 2 puffs bid, albuterol HFA 108 mcg 2 puffs q4hrs Cardizem 120mg ER (240mg daily dose), Ibuprofen 600mg q6hrs prn, Ibup

Current Illness: htn, paroxysmal afib, anemia, neuropathy, muscle weakness

ID: 0930950
Sex: F
Age: 58
State: MT

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: penicillian

Symptoms: Bad headache, dizzy, blurred vision, nausea, very tired. vomiting.

Other Meds: Losartan HCTZ, vitamins

Current Illness: none

ID: 0930951
Sex: F
Age: 28
State: NH

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

Lab Data: N/A

Allergies: Wellbutrin- hives Latex- mild

Symptoms: Within the hour of the symptoms (noticed around 5:15pm) I started to have a rash on the left side of my neck, along with small red dots on my chest. My throat was tingling ajd I had what is best described as ?on and off? rushes throughout my body. I returned back to the site where I got my test from and reported my reaction somewhere around 5:30. I was given 50 mg of Benadryl and told to have friends come and pick me up and drive me home. Around 8pm I was having slight tingling in my throat however it was mentioned it could be the after effect of the sensitivity to the vaccine. I was advised to not have the second dose.

Other Meds: N/A Stopped taking my SSRIs due to increase anxiety.

Current Illness: Not at the time of vaccination. Two weeks prior didn?t feel the best and had sore throat so had to quarantine due to sore throat symptom. Tested negative for covid. Returned to work 01/08.

ID: 0930952
Sex: F
Age: 41
State: CA

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: injection site soreness; neck pain and left shoulder pain

Other Meds:

Current Illness:

ID: 0930953
Sex: F
Age: 0
State: IN

Vax Date: 12/29/2020
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: Zyban, Sulfa,

Symptoms: Ichy rash on trunk of body and derriere crack, also under arm pits, and neck, so far. Have had for 3 days now and still driving me nuts with the itching.

Other Meds: Viberzi, Creon, Citalpram, Gabapentin, Tramadol, Montelkcast, Duloxetine, Prevagen, Vitamin D3 , Centrum Silver, Mucinex, Cholestyramine.

Current Illness: N/A

ID: 0930954
Sex: F
Age: 33
State: NC

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: Peanuts, gluten, milk, rice, dust, pollen

Symptoms: Redness, swelling, pain 1 week after vaccine given.

Other Meds: Merhimazole 5mg

Current Illness: None

ID: 0930955
Sex: F
Age: 31
State: CA

Vax Date: 12/24/2020
Onset Date: 01/01/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: Urgent care and ER visit on 1/5, no tests, just an assessment

Allergies: Vicodin - rash

Symptoms: On 1/1/2021 I developed a large, red, itchy, hot area approximately 3 inches by 5 inches on my left deltoid area, over the injection site.

Other Meds: Lexapro, Wellbutrin, Gabapentin, Labetalol, Birth control pills

Current Illness: None

ID: 0930956
Sex: F
Age: 66
State: CA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, shivering, nausea, dizziness, clamminess, sweating, headache, pain at injection site, muscle pain, fainting, blood pressure drop, weakness

Other Meds:

Current Illness:

ID: 0930957
Sex: M
Age: 23
State: CT

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Small amount of hives, took an allergy relief and symptoms went away. Hives came back, took Benadryl and symptoms went away. Repeat process for 4-5 days. On 5th night, increase in amount of hives, all over back and face, took Benadryl and eventually went away. Went to walk-in, provider recommended Claritin and Pepcid daily. I've taken those for three days now with the occasional Benadryl and haven't noticed any hives. Hives varied in size and location. Ultimately in all different areas of my body at one point of another. I have pictures if needed.

Other Meds: none

Current Illness: none

ID: 0930958
Sex: F
Age: 34
State:

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: None as of today's date. Waiting on reply from PCM.

Allergies: Percocet - hives in mouth and throat

Symptoms: Chills, low grade fever up to 100.00, loss of smell, loss of taste, fatigue, body aches, insomnia, injection site pain and soreness, dehydration. Remedy with rest, electrolytes, fluids, ibuprofen. Most symptoms lasted 24 hours, however total loss of smell and taste was 48 hours and is now selective at 72 hours. Have full sensation of taste (can recognize bitter/sweet/etc) but can only taste sweet/bitter. iE can taste coffee with or without sweetener but cannot taste food such as pizza or french fries.

Other Meds: sertraline 75mg daily, cetirizine 10mg daily, montelukast, Flonase

Current Illness: None known

ID: 0930959
Sex: F
Age: 55
State: NJ

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/09/2021
Hospital:

Lab Data: Covid test in 1/1/2021 negative

Allergies: None

Symptoms: Headache started 12/30/2020. Nauseous and dizzy off and on. Arm pain at injection site for 3 days. Headache unresolved even after taking headache med, ibuprofen, oxycodone. Nausea and dizziness is intermittent.

Other Meds: Ranexa, Indur, potassium chloride, torsemide, Lipitor, Singular, Vit B12,vitamin D, claritin, Celebrex, lyrics, pro tonix, aspirin, bystolic,spironolactone, oxycodone

Current Illness: None

ID: 0930960
Sex: F
Age: 43
State: WI

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

Lab Data:

Allergies: No

Symptoms: Body aches, chills, slight headache

Other Meds: Examestane, Zyrtec, calcium/bit D, multivitamin, ibuprofen

Current Illness: No

ID: 0930961
Sex: F
Age: 33
State: TX

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

Lab Data: Covid test done on 1/8/21

Allergies: None

Symptoms: Day 1: Chills, severe pain in injection site arm including muscular and joint pain. Pain down entire arm radiating up neck. Day 2: fatigue, dizzy, lightheaded Day 3: vomiting Day 4: vomiting and severe headaches

Other Meds: Bupropion, buspirone, trintellix, stool softener, loratidine, fiber gummy?s

Current Illness: None

ID: 0930962
Sex: F
Age: 44
State: IL

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

Lab Data: Temp 101.1F temporal

Allergies: None

Symptoms: Woke at 4am with chills. Temperature 101.1F temporal. Otherwise feeling ok. Just drinking fluids.

Other Meds: None

Current Illness: None

ID: 0930963
Sex: F
Age: 45
State:

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Reactions: arm pain, arm swelling, fever low grade, fatigue, myalgias, arthralgias. lasted till 6 pm 1/05/21.

Other Meds:

Current Illness:

ID: 0930964
Sex: F
Age: 29
State: UT

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

Lab Data: 01/08/2021?INR test

Allergies: Penicillin, amoxicillin, clindamycin, bactrim, keflex

Symptoms: Critical level INR (5.6) without cause after stable anti coagulation therapy and no additional changes in diet, disease, etc.

Other Meds: Lexapro, busperone, coumadin

Current Illness: None at time of vaccination

ID: 0930965
Sex: M
Age: 33
State: SC

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

Lab Data:

Allergies: None

Symptoms: Rigors for ~45 min

Other Meds: Tylenol

Current Illness: None

ID: 0930966
Sex: M
Age: 65
State: CO

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

Lab Data: EKG Chest x-ray COVID Test Blood work - Hematology Blood work - Bacteriology

Allergies: None

Symptoms: After sleeping 2 hours at night I got up to use the restroom. After standing to wash my hands, I fainted and fell halfway into the bathtub and floor. My girlfriend came to help to find my eyes rolled to all white. After getting back to bed I was very hot, sweaty and tired. After a hour I was feeling better and slept until 10:00 AM. Being in this location for 6 months I really have no primary doctor and I went to the hospital. They?re tests listed below and all came back normal. Was given paperwork for Fainting (Syncope) and released. The Doctor stated that with all the causes of Fainting it seemed the only one that pertained to me was ?old age?.

Other Meds: Multivitamin Men 50+ Calcium Aspirin 81 mg

Current Illness: Ear infection Lower right abdomen pain

ID: 0930967
Sex: M
Age: 50
State: AZ

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Left sided facial numbness 36 hours Dizzy spells 36 hours Fatigue 58 hours and counting body aches 48 hours headache 36 hours stabbing pain 36 hours

Other Meds: Lisinopril HCTZ Albuterol inhaler Zyrtec Chlorpheneramine Vitamin B Complex

Current Illness: none

ID: 0930968
Sex: F
Age: 56
State: KS

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: None

Allergies: Lortab

Symptoms: That night had numbness to both arms only from elbows down was very cold , both hands cold but no fever. Next day more achy fatigue, in general felt worse. Throughout that day and next day had fevers up 102 chills, sweats and horrible headaches site from injection red swollen warm to touch. Headaches were very debilitating, took 600mg ibuprofen at least 6 hours apart . On a side note I was positive for Covid on 11/02/2020. And this was exactly how I felt then except I also had the covid pneumonia .

Other Meds: Wixela. Albuterol,

Current Illness: None

ID: 0930969
Sex: F
Age: 25
State: CA

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

Lab Data:

Allergies:

Symptoms: Myalgias, fever, headache

Other Meds: Fluoxetine

Current Illness:

ID: 0930970
Sex: F
Age: 42
State:

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache - severe/migraine type, lasted 3 hours, then headache for 1.5 days moderate

Other Meds: Immune suppressing medication

Current Illness: None

ID: 0930971
Sex: F
Age: 30
State: MD

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: Amoxicillin Ginger

Symptoms: Chills fatigue headache

Other Meds: Amlodipine Carvedilol Chlorthalidone Atomoxitine Cetirizine Multivitamin

Current Illness: None

ID: 0930972
Sex: F
Age: 34
State: VA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: Fever in the evening of 101.8, following morning fever 101.8. Jan 7th evening fever 100.8. Tylenol taken.

Other Meds: n/a

Current Illness: n/a

ID: 0930973
Sex: F
Age: 67
State: FL

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

Lab Data:

Allergies: Penicillin morphine

Symptoms: Headache fever 100.7 Chills Diarrhea Joint pain Pain on site of vaccine

Other Meds: Creator10 mg

Current Illness: None

ID: 0930974
Sex: F
Age: 51
State: MD

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

Lab Data:

Allergies: None

Symptoms: Hypotension 90/60 experienced; Dizziness; almost passed out; rapid heart beat and unable to breath

Other Meds: Zoloft Execedrin

Current Illness: None

ID: 0930975
Sex: F
Age: 37
State: CA

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

Lab Data: N/A

Allergies: PCN, Beans and food preservatives.

Symptoms: 5:00 pm my left arm became very sore to raise or move. It felt like some had punched my shoulder and it was dead weight, my left armpit was also very sore even to touch. I took Tylenol 500mg 2 tabs po at 9 pm due to the pain.

Other Meds: Sertraline HCL 50mg 1 tab a day

Current Illness: Low Hemoglobin

ID: 0930976
Sex: F
Age: 41
State: KS

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

Lab Data: None

Allergies: Reglan and lavender

Symptoms: Nausea, chills, fatigue for 12 hours. Treated with Advil at home, resolved.

Other Meds: Birth control

Current Illness: None

ID: 0930977
Sex: M
Age: 42
State: TX

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

Lab Data: None at the moment

Allergies: NKDA

Symptoms: No reaction to first dose 12/16. I turned positive and recovered on 12/28 with only mild symptoms and received my second dose on 1/08. About 12 hours after started having rapidly evolving myalgia, high fever ( 104f) HR: 105 ( my baseline is 50-60) and RR 22 with SPO2 of 98-100%.

Other Meds: N/A

Current Illness: Recovering from SARS CoVID 19 test positive on 12/28/2020

ID: 0930978
Sex: M
Age: 68
State: OH

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Nosebleed

Other Meds: Indapamide 2.5 mg Fosinopril 20 mg Fenofibrate 160 mg Atenolol 50 mg All 1/day OTC: Saw Palmetto, Biotin

Current Illness: None

ID: 0930979
Sex: F
Age: 54
State: VA

Vax Date: 12/28/2020
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: Routine Covid-19 company-required testing for LTC vaccinator: *Negative Rapid Luminex Ag test 12/30/20 *Negatine Rapid Abott BinaxNow Ag test 01/05/21

Allergies: NKDA

Symptoms: On 01/01/21 the whole shoulder showed erythema from the acromion area to the neckline down to the chest area. Itching and redness developed late on 01/07/21 around injection site continues to grow into hardening red patch of about 5 inches wide today.

Other Meds: Prescription : Levothyroxine 25mcg alternating with Levothyroxine 50mcg once daily Glucosamine/Chondroitin Triple Strength, Citracal, Mini Fish Oil, Vitamin D3 2000U, Folic Acid 400mcg and Nature Made Hair-Skin-Nail vitamin alternating wit

Current Illness: None

ID: 0930980
Sex: F
Age: 42
State: NY

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: Penicillin, Clyndomycin, iv morphine, darvocet

Symptoms: gave her Tylenol after the shot but low grade fever started about 12 hrs after the shot. then the fever spiked to 102.6 about 6 hrs. later. gave her Tylenol and fever stayed high. as she is non verbal, she could not tell us how she felt, but we observed her to be lethargic. she kept putting her hand on her forehead indicating headache. 24 hours after shot low grade fever remained.

Other Meds: levothyroxin, metformin, meloxicam, vitamin B 12, vitamin D , multivitamin

Current Illness: none

ID: 0930981
Sex: F
Age: 45
State: IN

Vax Date: 10/30/2020
Onset Date: 11/01/2020
Rec V Date: 01/09/2021
Hospital:

Lab Data: N/A

Allergies: Penicillins

Symptoms: Suspected SIRVA. (Shoulder Injury Related to Vaccine Administration) Right arm hurts to raise above my head or in front of my body. Hurts only for certain movements--not all of the time. Am currently seeking physical therapy treatments related to shoulder tendonitis, for which I've had no previous injury or condition.

Other Meds: None

Current Illness: None

ID: 0930982
Sex: M
Age: 61
State: FL

Vax Date: 12/31/2020
Onset Date: 01/04/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: The day after the vaccine, I felt a bit fatigued. Then for 2 days, I felt fine. Then starting on the 3rd day until present, I feel extremely light-headed and unsteady with a persistent severe headache. Almost feels like there is pressure in my head for lack of a better description. I feel feverish as well but do not have a fever. I have difficulty maintaining balance on my feet so it is difficult to walk. I did seek medical attention yet since I live alone and do not feel comfortable to drive. Although the symptoms are difficult, I also don't consider them an emergency to warrant calling an ambulance.

Other Meds: Pradaxa 150MG 2x day Losartan-HCTZ 100-25MG Duloxetine HCL DR ? 60MG Topiramate ? 100MG

Current Illness: None

ID: 0930983
Sex: F
Age: 32
State: NV

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

Lab Data: None

Allergies: None

Symptoms: Unknown if it?s is related or not. Terrible nausea which turned into vomiting and diarrhea for 8-12 hours.

Other Meds: Prenatal vitamin

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm