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: 0932842
Sex: F
Age: 48
State: WA

Vax Date: 12/20/2020
Onset Date: 12/20/2020
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: 1: 12/20/20: 4:30pm: headache, injection soreness, tiredness, feeling worn out: started around 8pm lasting through next day 2: 1/9/21: 9am: headache, injection soreness, tiredness, feeling worn out, chills, body aches, chest tightness: started around 8pm lasting to next day (today)

Other Meds: Baby Asperin, Lisinopril, Vitamin D, Multivitamin

Current Illness:

ID: 0932843
Sex: F
Age: 64
State: MI

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Fever (oral temp 100.5) Body Aches Chills Headache Fatigue Right arm pain

Other Meds: Ibuprofen Protonix

Current Illness: NONE

ID: 0932844
Sex: F
Age: 33
State: CA

Vax Date: 12/20/2020
Onset Date: 12/26/2020
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: Shrimp and Bactrim

Symptoms: I had a swollen armpit lymph node on the left arm where the injection site is for 3 days. The swelling was noticeable along with sore pain.

Other Meds: Elderberry gummies

Current Illness:

ID: 0932845
Sex: M
Age: 34
State: GA

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: After 15 minute observation states, feels hot, dizzy "off", B/p135/90, HR 74, 02Sat 98%, monitored for additional 15 minutes symptoms resolved, b/p 124/62, HR 69 and 02 Sat 98%.EE was able to return to work

Other Meds:

Current Illness:

ID: 0932846
Sex: F
Age: 26
State: ME

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

Lab Data:

Allergies:

Symptoms: 1/9/2021 experienced significant pain at injection site, by 1/10/2021 AM pain had mostly subsided to a level normally associated with vaccines. 1/10/2021 in the morning began experiencing mild intermittent numbness in left hand. 1/10/2021 afternoon began experiencing extreme low back pain when standing and walking. Cannot tie any of these symptoms to other causes. Back pain and hand numbness still present at 5 PM 1/10/2021.

Other Meds:

Current Illness: None

ID: 0932847
Sex: M
Age: 63
State: AZ

Vax Date: 12/28/2020
Onset Date: 12/31/2020
Rec V Date: 01/10/2021
Hospital:

Lab Data: I was given two EKG tests, two blood tests and a ct scan with isotopes. Everything came back normal and I was released and told to check with my doctor for followup.

Allergies:

Symptoms: Only slight soreness at injection site first day. I was physically working hard out of town with limited sleep for next three days. I began experiencing significant body aches and pains, sneezing and minor congestion. However, activity involved substantial dust as I was sanding a floor. Saturday, January 2, I began having more extensive cold symptoms, coughing and runny nose with continued body aches and pains. I scheduled a covid test on Monday, January 4, scheduled for Wed. January 6th. I received positive results on Friday. January 8. On Saturday, January 8, I began developing increased light headedness and self monitored my blood pressure. It was at 191/107 when I went to Hospital to have it checked. I was released that afternoon.

Other Meds: Dupixent, Aspirin, sildenafil , augmentin

Current Illness:

ID: 0932848
Sex: F
Age: 23
State: IN

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: The next day i experienced fever chills headache dizziness

Other Meds: None

Current Illness: None

ID: 0932849
Sex: F
Age: 47
State: VA

Vax Date: 01/02/2021
Onset Date: 01/10/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Significant redness and swelling at the site of injection, 7 days post-vaccination

Other Meds: protonix

Current Illness: none

ID: 0932850
Sex: F
Age: 41
State: IN

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Fever(low grade) , body aches, headaches, dirrhea, chills

Other Meds: N/a

Current Illness: N/A

ID: 0932851
Sex: F
Age: 57
State: KY

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Patient starting feeling flushed ~10 mins after vaccine. Her BP remained in the 160's/90's and HR 80-90. She felt better after drinking some water.

Other Meds:

Current Illness: none

ID: 0932852
Sex: F
Age: 54
State: VA

Vax Date: 12/31/2020
Onset Date: 01/04/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Extreme vertigo that has persisted since 1/4. Unsure if this is a vaccine side effect or unrelated.

Other Meds: Buproprion that morning. Pantoprazole and Zolpidem that evening.

Current Illness: None

ID: 0932853
Sex: F
Age: 26
State: CO

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

Lab Data: none

Allergies: None

Symptoms: tennis ball size lump, raised, red, hot to touch, painful

Other Meds: cymbalta 30mg prenatal iron 325 magnesium 500mg

Current Illness:

ID: 0932854
Sex: F
Age: 59
State:

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Moderna Covid-`19 Vaccine EUA Day 2 after receiving vaccine: headache, chills, generalized aches, injection site and arm soreness Resolved by Day 3

Other Meds:

Current Illness:

ID: 0932855
Sex: F
Age: 62
State: AR

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

Lab Data: No

Allergies: No

Symptoms: Fever, chills, nausea, vomiting, dizziness, generalized ache for 24 hours. Tylenol, Zoran, Pepcid

Other Meds: No

Current Illness: No

ID: 0932856
Sex: F
Age: 36
State: WV

Vax Date: 01/02/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: bacitracin

Symptoms: 7 days after she received the vaccine, her arm began to swell and get red (allergic looking arm) and she developed a fever and has chills. The arm is hot to the touch.

Other Meds:

Current Illness:

ID: 0932857
Sex: F
Age: 24
State: PA

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/10/2021
Hospital:

Lab Data: Unsure as to whether this was a side effect of the vaccine or from one of the COVID-19 positive patients I had contact with the week before, I got two PCR COVID-19 tests, both of which tested negative. The first test I took was on December 24th, 2020 at 13:20. The second test I took was on December 28th, 2020 at around 12:00.

Allergies: None

Symptoms: On the same day after receiving the COVID-19 vaccine, I noticed that I had lost my sense of taste. I was unable to taste food for about 48 hours. At around noon on December 25th, 2020 I regained the ability to taste once again.

Other Meds: Junel birth control

Current Illness: None

ID: 0932858
Sex: M
Age: 40
State: CA

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

Lab Data: none

Allergies: unknown

Symptoms: 1414- 18min after injection Patient stated he was feeling funny. He reported feeling hot and discomfort to Left side of his neck. Upon evaluation he was mildly tachycardic HR 110. Symptoms began to worsen with redness spreading through his hands and upper torso and pt became diaphoretic. by 1420 Pt BP increased to 171/104. Pt was given IM Benadryl and Decadron per Dr. orders. by 1440 redness had completely resolved and Diaphoresis was gone, HR down to 144/82. by 1500 all Pt's symptoms resolved. Pt was able to be discharged from clinic without s/sx of distress.

Other Meds: Unknown

Current Illness: none that was known

ID: 0932859
Sex: F
Age: 29
State: WA

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: Metabolic panel - normal ranges, CBC - normal ranges

Allergies: Sulfa-based medications

Symptoms: Fever starting 12 hours after injection and lasting 7 days, ranging from 99.1-101.1. Facial swelling (under and around both eyes), starting 12 hours after injection and lasting 7 days. Increasing in severity. General fatigue and weakness starting 6 hours after the vaccine and lasting 7 days.

Other Meds: Junel Fe 1.5/30, Tylenol

Current Illness: N/A

ID: 0932860
Sex: F
Age: 54
State: OK

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

Lab Data:

Allergies: Lone star tick disease (red meat allergy)

Symptoms: Patient received 2nd dose of covid vaccine 1/9/2020 around 1100. Report having mild reaction (flu-like sx) with first dose. She began experiencing feeling like she was outside of her body about 10 min after receiving her booster. BP was taken and was slightly elevated 140s/90s. Ice packs were provided for hot flashes. Warm blankets provided for chills. BP was trending up to SBP 160s then started to decline to normal. Patient was accompanied to restroom by clinic staff and was able to walk without incident. Patient was observed in covid clinic for total of 2 hours and reassured that she was not likely to have worsening of sx at this point. Patient was walked to mother's car by clinic staff and left feeling better. 1/10 - patient presented to ED with low grade fever (100.4), chest pain, severe joint and muscle pain, nausea and "fog brain." She reports BP being 187/101 in ED. Given 1L of normal saline, zofran, toradol, and dilaudid. Observed until BP drcreased to SBP 140s. Nausea improved enough to allow her to eat. Labs were WNL, CK normal. Discharged home with diagnosis of "adverse effect of COVID-19 vaccine"

Other Meds: dalaglutide, monelukast, azelastine, fluticasone nasal spray, loratadine, epi-pen, fluticasone furoate-vilanterol 200-25 disk, bupropion, levothyroxine

Current Illness: n/a

ID: 0932861
Sex: F
Age: 49
State: MS

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

Lab Data: CBC, CMP & Glucose were performed with normal results

Allergies: No known allergies

Symptoms: About 15 to 20 minutes after injection I began feeling weak, warm & ?tingly?. I then became dizzy & very weak & almost passed out. They laid me from the chair onto the floor & lifted my legs. They took me to the ER & I received IV fluids, IV benedryl & Pepcid. (I received the vaccine at 12:15 & received the IV & meds at 12:57. I have never had an allergic reaction to anything. I?ve also had 4 children, surgeries & blood drawn several times & never fainted or had an episode such as this.

Other Meds: Levothyroxine 50mcg daily Propranolol ER 60 mg daily

Current Illness: None

ID: 0932862
Sex: F
Age: 38
State:

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: Lidocaine patch

Symptoms: Patient c/o tongue swelling, throat tingle and chest pain. Warm tingling around mouth. VS.Benadryl 25 min 7:43, Epi Pen Eipi-Pen at 07:45, Rapid response called, Epi Pen working. Transferred to ED.

Other Meds:

Current Illness:

ID: 0932863
Sex: F
Age: 0
State:

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

Lab Data: None

Allergies: NKA

Symptoms: None

Other Meds: None. Infant should have received Hepatitis B vaccine instead of influenza vaccine

Current Illness: None, newborn

ID: 0932864
Sex: F
Age: 48
State: NM

Vax Date: 12/29/2020
Onset Date: 01/03/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: Had CNP evaluate arm on 1/5/2021 . Had rash around injection site and swollen lymph nodes under arm/armpit.

Allergies: E-mycin, NSAIDS, shellfish

Symptoms: Moderna COVID-19 Vaccine EUA

Other Meds: Norgest/Ethi 0.25, MVI, Vitamin C, Vitamin D, St. John's Wort

Current Illness: none

ID: 0932865
Sex: M
Age: 62
State: WV

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Sore arm, tender under arm, headache, nausea, joint pain, made Bell?s palsy start

Other Meds: Amlodipine, lisinopril, metoprolol, rosuvastatin, eliquis

Current Illness: Bell?s palsy , possible COPD.

ID: 0932866
Sex: F
Age: 48
State: IL

Vax Date: 01/04/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: I began to have pain under my left arm as well as a lot of pain in my left foot (without sustaining an injury). Additionally, I have had all over body aches and chills. All symptoms are still ongoing.

Other Meds: Labetalol, effexor, hydrachlorothiazide, trazadone

Current Illness: None

ID: 0932867
Sex: F
Age: 30
State:

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: KNDA

Symptoms: Patient felt HR elevating, then c/o headache, tachycardia. Monitored closly (see sheet for V.S. etc.) Benadryl 25 mg. by mouth. 7:42 Stable, discharged at 07:42 to self.

Other Meds:

Current Illness:

ID: 0932868
Sex: F
Age: 32
State: MI

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: Allergic to penicillin

Symptoms: On 1/7/20 at 8:00 pm had chills and then took Motrin for chills/shivering. 30 minutes later, checked temperature and it was 100.3 with blankets on. Removed blankets and temp was 99.3. Fatigue with headache the next day on 1/8/20. On 1/9/20 at 2:00 am, had chills and temp 100.8 with blankets on. Removed blankets and temp was 99.5. Resolved with Tylenol. No other symptoms after this time.

Other Meds: None

Current Illness: Tested for COVID-19 on 11/30/20 with a positive result on 12/5/20

ID: 0932869
Sex: F
Age: 51
State: TX

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

Lab Data:

Allergies: Penicillin

Symptoms: 4 Raised bumps around injection site, in the shape of a ring around the site. Mild itching at site. No redness Headache

Other Meds: Ibuprofen Tylenol Phenteramine

Current Illness: None

ID: 0932870
Sex: F
Age: 24
State:

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

Lab Data:

Allergies: Nothing

Symptoms: Swelling in arm , redness in upper arm towards injection site , tenderness , extremely hot to the touch, headache

Other Meds: Wellbutrin , lexapro , pantoprazole , fish oil , women?s probiotic

Current Illness:

ID: 0932871
Sex: F
Age: 49
State: AS

Vax Date: 01/03/2021
Onset Date: 01/04/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: None

Allergies: Seasonal Allergies

Symptoms: She states about 24 hours after she received the vaccination she broke out in hives. Hives are still present 01/10/21.

Other Meds: EFFEXOR XR 150MG; LEVOTHYROXINE 25MCG ; ZYRTEC;

Current Illness: None

ID: 0932872
Sex: F
Age: 52
State: OH

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

Lab Data:

Allergies: Penicillin, sulphas, wheat, bee stings

Symptoms: Muscle soreness Headache Chills Fatigue Nasal congestion Swelling

Other Meds: Multi vitamin

Current Illness:

ID: 0932873
Sex: F
Age: 67
State: NJ

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: none

Allergies: norvasc and vasotec rash

Symptoms: I received the moderna covid-19 vaccine eua on 12/30/2020 first dose. On jan 6 2021 i experienced itching and slight firmness 2cm below injection site. The next day jan 7 2021 I experienced redness 2 cm below inkjection site which was 9cm long by 5.5cm wide. Presently today jan 10, 2021 the redness is fading and I am not experiencing any itching anymore.

Other Meds: valsartan 80 mg 1 po daily, fenofibric acid delaayed-release capsules 135 mg 1 po daily, levothyroxine sodium 25 mcg 1 po daily, xanax 0.5mg 1 po tid, lexapro 5 mg po hs,,multivitimin 1 po daily, vitamin c 1000 mg 1 po daily, zinc 50 mg 1

Current Illness: none

ID: 0932874
Sex: F
Age: 42
State: NH

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

Lab Data: None

Allergies: PCN

Symptoms: Hard red half dollar sized area where vaccine was given. Warm to the touch. Tender. Arm feels sore to move when reaching above my head to put stuff away in the kitchen and bathroom

Other Meds: Ibuprofen and Tylenol for sprain right hand / wrist

Current Illness: None

ID: 0932875
Sex: F
Age: 37
State: MN

Vax Date: 12/01/2020
Onset Date: 12/30/2020
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Weakness in all muscles with activity, resolves with rest.

Other Meds: Mvi Vitamin d

Current Illness: Cold symptoms one week ago that lasted for 3 days

ID: 0932876
Sex: F
Age: 55
State: TX

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: Sulfa medications Minocycline Soy Gluten

Symptoms: Friday 1-8-21 Nausea began, intensified for a couple of hours - first vomiting began at 9:45 p.m. 2nd at 11:30 p.m. Saturday 1-9-21 Nausea continued. Could not keep food down. First vomiting at 9 a.m. - 6 times total finishing at 10:11 p.m. Saturday night. Chills started at 4:15 p.m. Continuing on and off to present 1/10/2021 at 4:34 p.m. Insomnia - 1-2 hours of fitful sleep each day. Left arm bicep soreness morning of 1-7-21. Aleve resolved. Less than shingles vaccine.

Other Meds: Propanolol HCL 160 mg Topiramate 50 mg Allegra D 24 HR Flonase 50 MCR

Current Illness:

ID: 0932877
Sex: F
Age: 36
State: MI

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: Went to urgent care but no tests were taken

Allergies: No known

Symptoms: Itchy raised rash all over hands and most of legs with rapid heart rate

Other Meds: Paroxetine 30mg

Current Illness: Na

ID: 0932878
Sex: M
Age: 49
State: WI

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: None, other than the Moderna COVID vaccine injection itself.

Allergies: Penicillin Melatonin supplement ingredients

Symptoms: Early in the morning of January 9th, 2021, the day after receiving my first injection, I woke up in bed with extreme soreness and moderate swelling at the injection site. On a scale from one to ten, the level of discomfort was seven or eight. I had expected at least some soreness as I normally have soreness after receiving flu shots and other injections. However, I was very surprised as to how sore my arm really was. Fortunately, when I woke up the next day, January 10th, the pain had mostly subsided, with just a little swelling evident at the injection site.

Other Meds: Venlafaxine (150 mg/day) Losartan (50 mg/day) Docusate (100 mg/night) Clonazepam (2 mg/night) Cholecalcif (10 mcc/day)

Current Illness: None

ID: 0932879
Sex: F
Age: 32
State: CA

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

Lab Data:

Allergies:

Symptoms: Headaches/migraines lasting 20 hours, feeling unwell, tiredness, nausea, vomiting, sore arm

Other Meds:

Current Illness:

ID: 0932880
Sex: M
Age: 49
State: MA

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/10/2021
Hospital:

Lab Data: Two Covid Test result Negative

Allergies: None known

Symptoms: 12/24/20 at 4am I had chills then I reported to work by 7am I had chills and body aches, had headaches & fevers my highest fever was at 8:30am of 102.3. I also experienced mild vertigo, swelling on the injection and a sore left arm also I felt fatigue. Recovered 24hours later on 12/25/2020

Other Meds: losartan potassium 50 mg once a day Cresor 10mg Metformin Hcl 500mg twice a day

Current Illness: No

ID: 0932881
Sex: F
Age:
State: AZ

Vax Date:
Onset Date:
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: Salt Water and Fresh Water Fish

Symptoms: None stated.

Other Meds: Amlodipine 5mg, Atenolol 50mg, Low Dosage Asprin, Meloxicam 15 mg, Gapapentin 300mg and Oxycodone 5mg

Current Illness:

ID: 0932882
Sex: F
Age: 36
State: CA

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

Lab Data: None; evaluated by medical staff on site with monitor, pulse ox: further evaluated by Emergency Department

Allergies: IV contrast: vomiting IV benadryl: tachycardia, muscle clonus

Symptoms: Two minutes after: facial and hand tingling, dizziness. Progressed to intense nausea, diaphoresis, tachycardia, hypertension.

Other Meds: Paxil 30mg ER once daily at bedtime Magnesium 200mg capsule at bedtime

Current Illness: None

ID: 0932883
Sex: F
Age: 42
State: TX

Vax Date: 12/29/2020
Onset Date: 01/01/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: PATIENT HAD SIGNIFICANT SWELLING AND PAIN IN THE LEFT SIDE OF HER BODY INCLUDING HER FACE. THIS LASTED FOR 5 DAYS BUT THE PATIENT TOOK A 7 DAY COURSE OF STEROIDS TO TREAT.

Other Meds:

Current Illness:

ID: 0932884
Sex: M
Age: 42
State: AZ

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: CoVID19 Positive Oxygen administered temp 100.9 Heart rate 88 bpm Resp 32 B/P 124/66 Sp o2 85% Chest x-ray elevated right hemidiaphragm Improving aeration of lungs Influenza negative RSV negative

Allergies: none known

Symptoms: Client reports covid19 symptoms: fever/ chills /headache/elevated Blood glucose/weakness/confusion/itching/shortness of breath

Other Meds: Apixaban 2.5 mg Tab 2x a day Azelastine 0.1% nasal spray Carboxymeth 0.5% OPTH Dulaglutide 0.7ml INJ,PEN Selenium Sulfide 2.5% Shampoo/lotion Ammonium Lactate 12% lotion Metoprolol Tartrate 50 mg 2x a day Vitamin B complex 1X a day Ipratr

Current Illness: CoVId19 Positive 12/14/2020

ID: 0932885
Sex: F
Age: 62
State: NY

Vax Date: 01/07/2020
Onset Date: 01/07/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: None

Allergies: Azithromycin

Symptoms: Chills , Cold Sweats

Other Meds: B-12 ,Probiotic , Levothyroxine

Current Illness: None

ID: 0932886
Sex: F
Age: 51
State: CO

Vax Date: 12/17/2020
Onset Date: 12/18/2020
Rec V Date: 01/10/2021
Hospital:

Lab Data: NONE - managed at home

Allergies: latex, bananas, kiwi, aspirin

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA I woke on the 18th with extreme fatigue and nausea, fell asleep twice during the day while sitting on the couch. Lessened and became just tired by Sunday Dec 19.

Other Meds: armour thyroid escitalopram

Current Illness: cold approx 2-3 weeks earlier

ID: 0932887
Sex: F
Age: 19
State: NC

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: None listed on consent form

Symptoms: Patient states "hurting all over." Temperature went from 98 degrees to 99 degrees. Her blood pressure was normal when checked twice. Three hours later she started having a rash around neck. Multiple times we asked her if her lips or throat was swelling. She said no. She went to urgent care-they sent her home with advice to take Benadryl or APAP.

Other Meds: n/a

Current Illness: n/a

ID: 0932888
Sex: F
Age: 53
State: CA

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

Lab Data: None

Allergies: None

Symptoms: I took the vaccine dose at 1030 a.m, I started feeling chills and fever by 9 pm same day, still having low grade fever and some cough and not too much chills. I am taking Advil two tablets OTC.

Other Meds: None

Current Illness: None

ID: 0932889
Sex: F
Age: 33
State: NY

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: tree nuts,and stone fruits

Symptoms: 10 minutes after Covid-19 vaccine. Pt started complaining of the sensation of a scratchy throat We then decided to observe patient for 30 minutes. Pt still having scratchy throat. Vitals sign stable. Pt transferred to ER via ambulance, for observation.

Other Meds:

Current Illness: n/a

ID: 0932890
Sex: F
Age: 35
State: CA

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: About 40 minutes after my vaccine, I felt sudden onset progressive weakness of my entire left arm with spasms/fasciculations of my forearm and hand (while driving from hospital where I work as a physician to where I live). I pulled over, felt a bit dazed and was unable to use my left hand purposefully to call 911 on my cell phone, but was able to call 911 on my Watch using my right (dominant) hand. While talking to the dispatcher, my symptoms resolved (total duration a few minutes) so I requested that they not send an ambulance but instead felt well enough to drive to my hospital ED. I discussed my case with the triage RN and ED attending who felt my symptoms were related to the vaccine, with no further work up needed, given then my symptoms resolved. My vitals were stable in triage. No chest pain or shortness of breath, with normal neurological function and sensation of my left arm. Note: I was not officially checked in or seen as a patient. Sudden onset weakness and spasms of left arm (side of vaccine administration) about 40 minutes after vaccine

Other Meds: Synthroid, vitamin D, mutivitamin

Current Illness: None

ID: 0932891
Sex: F
Age: 30
State: WA

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: N/a

Allergies: None

Symptoms: Full day on 01/09/21-extremely sore muscles to the point of it being painful to move and breath. Extremely painful joints. Felt like there was an ice pick trying to pry them apart. Full day 01/10/21-hives and extremely itchy. Sore, not as bad as first day.

Other Meds: Levothyroxine, metoprolol, Losartan, citalopram, tri-sprinter.

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm