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: 0932892
Sex: M
Age: 45
State: WA

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

Lab Data: BMP, cmp

Allergies: None

Symptoms: Increased bp, diaphoretic, skin turned red, pins and needle sensation, increased heart rate , swollen lower lip, nauseated, weird sensation of not feeling right almost like out of body

Other Meds: Sertraline 50 mg

Current Illness: No

ID: 0932893
Sex: F
Age: 53
State: ME

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

Lab Data: NA

Allergies: None

Symptoms: Pain at injection site, fever, sweating and worsening headache

Other Meds: None

Current Illness: None

ID: 0932894
Sex: F
Age: 82
State: AR

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

Lab Data: none

Allergies: none

Symptoms: strong headache, bad teeth chattering chills, nausea, aches, possible sinus drainage, cough - lasted from Friday night one week after shot until Sunday afternoon. Only reporting for your information.

Other Meds: clonozepam, latanaprost, metoprolol, vitamin D, calcium, glucosomine chrondrotin, multi-vitamin

Current Illness: none

ID: 0932895
Sex: F
Age: 60
State: MA

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

Lab Data:

Allergies: Reglan

Symptoms: Woke up with a red itchy face. I take zyrtec so I just decide to wait and see. It was red and pin point rash on my upper cheeks Saturday. On Sunday the rash and itch moved to my chin. Not really concerned, just documenting.

Other Meds: Bactrim (3 doses) have taken before , no reaction. Effexor 75mg, topomax 25mg, Synthroid 75mcg.

Current Illness: No

ID: 0932896
Sex: M
Age: 25
State:

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

Lab Data:

Allergies: Nkda

Symptoms: Rash underneath injection site 8 days afterwards

Other Meds: None

Current Illness: None

ID: 0932897
Sex: F
Age: 39
State: WA

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

Lab Data: 1/8/2021 SARS COV 2 PCR swab - resulted negative 1/10/2021

Allergies: Anaphylaxis to latex and tilapia fish

Symptoms: Fever, chills, sweats and severe debilitating deep joint pain starting around 13hrs after vaccination and lasting for 36hrs, although moderate to severe joint pain has persisted

Other Meds: Zyrtec, Fluoxetine, Adderall XR, ibuprofen

Current Illness: None

Date Died: 12/30/2020

ID: 0932898
Sex: M
Age: 61
State: PA

Vax Date: 12/17/2020
Onset Date: 12/23/2020
Rec V Date: 01/10/2021
Hospital:

Lab Data: Unknown.

Allergies: None known.

Symptoms: The patient had an apparent cardiac arrest on 12/23/20 and was admitted to the ICU. He was taken off of life support on 12/30/20. He had known cardiac disease.

Other Meds: Amlodipine, Atorvastatin, Xarelto, Aspirin (These were medications listed with our office in 2019. Unknown if this patient was still taking at time of vaccination).

Current Illness:

ID: 0932899
Sex: M
Age: 27
State: TX

Vax Date: 12/31/2020
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: Allergic to contrast dye and avocado

Symptoms: On day 9 post vaccine, he developed a warm, red rash on his L deltoid. It was swollen compared to the other deltoid. It was redness 2x2 inches on L deltoid and itching on L upper extremity with one localized bump on L forearm. On 1/10 at 1 AM, he took Benadryl and applied hydrocortisone to the area. Upon waking up on 1/10 at 1 pm, his itching and rash had spread to both arms, back of neck, ears, and various spots along his forearm. He is having some irregular breathing, but could be due to nerves.

Other Meds: Tylenol 1000 mg

Current Illness: None

ID: 0932900
Sex: F
Age: 61
State: IN

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

Lab Data: None

Allergies: Medications: Metformin, Crestor

Symptoms: I was injected in the right arm with Moderna COVID-19 Vaccine EUA 0n 1/8/2021, 9:57 am at Clinic. I waited 15 minutes before I left the facility and okay. Did move my right arm so not to be sore. Worked regular shift: 4 pm to 10 pm and started to feel cramping. at 11:25pm, began to chill and body aches, took 2 Tylenol tablets for pain. did glucose injections : humalog: 38 units and Toujeo 54 units ( glucose was 257). Regular medications: Lisinopril 40 mg, Atorvastatin 40 mg, metoprolol 25 mg, Spironolactone 25 mg and Meloxicam 7.5 mg. Went to bed at 11:45 pm, with 3 extra blankets and winter pajamas. Woke at 1:30 am with hot flash (thinking fever) Could not find Thermometer, still had aches and pains, nausea, headache and fatigue. Contacted staff on call and replacement for Saturday shift. Went to 24 hour pharmacy and purchased a digital thermometer. I did have elevated temperature. I usually rate normal temperature of 96 to 97.7 and temperature was at 99 when taken at 3 am in the morning. Temperature remained below 99 when taken on Saturday. Rested and ate properly, maintained good glucose readings. Returned to work on Sunday morning.

Other Meds: none. AM medications taken at 7:30 am.

Current Illness: Tested negative for Covid-19 on December 3, 2020 by blood work requested by Dr., Internal Medicine. Came in contact with a person served with Covid-19 on December 6, 2020 and was caretaker for dying mother. I tested a second time, this time swab from Dr.'s office and positive on 12/11/2020. Mother tested positive for Covid-19 on 12/13/ 2020. Tested 2nd time for Covid-19 was Positive. Mother passed away December 22, 2020 with Covid-19.

ID: 0932901
Sex: F
Age: 52
State:

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

Lab Data:

Allergies: Apples and similar tree fruits

Symptoms: Turned red in upper torso, swelling to tongue and heightened blood pressure.

Other Meds: Levothyroxine, Metopropolol Succ, Amldipine Beysylate, Pravastatin

Current Illness: None

ID: 0932902
Sex: F
Age: 50
State: AZ

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

Lab Data: None

Allergies: PCN, Latex, Mangos, sulfa drugs, Bee stings

Symptoms: Within 15 minutes of vaccine administration, I developed difficult swallowing, scratchy throat and severe flushing of face, neck and chest. This lasted about 1.5 hours. Symptoms resolved within 2 hours. Treated with oral Benadryl and Tylenol

Other Meds: Tylenol, meloxicam, methocarbinol, lyrica, cymbalta, levothyroxine, tramadol, tizanadine, vitamin d, fexofenadine, ventolin inhaler

Current Illness: Right eye stye Flu like symptoms 2 weeks ago- Covid -

ID: 0932903
Sex: F
Age: 53
State: WV

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

Lab Data: 1/8/21 - from time of adverse reaction until 11:20 (approximately 1 hour span of time) - Blood pressure monitoring, pulse oximeter monitoring, monitor heart and lung sounds. Given juice to drink. No monitoring after 11:20am on 1/8/21.

Allergies: conray 60 contrast dye penicillin/amoxicillin/augmentin trileptal trazadone tetanus allergic to bee venom

Symptoms: 1/8/21- within a few minutes of vaccine administration: Dizziness, lightheaded, confusion/disoriented, tingling in hands and feet, blood pressure issues, pale, cold limbs, warm trunk/head. 1/2/21- approximately 1:00pm- developed headache. 1/9-1/10/21- joint pain/muscle pain/headache.

Other Meds: mobic 15mg metanx 15mg neevo DHA Zovia 1/35E Plaquenil 400mg levothyroxine 150mg aspirin 81mg vitamin d3 2000 iu vitamin C 1000mg Ambien CR 6.25 Intermezzo 1.75 sublingual Zinc 50mg Black Elderberry 1000mg

Current Illness: none

ID: 0932904
Sex: F
Age: 35
State: WI

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: Blood draw showed elevated WBC on 1/09/2021, CT scan showed inflamed appendix on 1/09/2021

Allergies: Sulfa, PCN, Amoxicillin

Symptoms: Acute Appendicitis which occurred 84 hours after injection of the Moderna covid vaccine #1. Presented with right abdominal pain and required removal of appendix.

Other Meds: Vitamin D3, Tranexamic Acid

Current Illness: none

ID: 0932905
Sex: F
Age: 64
State: GA

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

Lab Data: None

Allergies: None

Symptoms: Fever, chills, muscle aches, headache, brain fog Started 10 hours after vaccine administration, lasted 24 hours

Other Meds: Estradiol patch, Detrol LA 4 mg, bupropion XL 300 mg

Current Illness: None

ID: 0932906
Sex: F
Age: 38
State: IN

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

Lab Data:

Allergies: Azithromycin, Bee's

Symptoms: Chills, joint pain, fatigue, local reaction. Benadryl, ibuprofen q6h

Other Meds: Breo, Singular, Zoloft, prenatal, dymista, Dexilant

Current Illness:

ID: 0932907
Sex: F
Age: 24
State: KS

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

Lab Data: Doctor is unsure why this is happening a week out.

Allergies:

Symptoms: first day of receiving it, I had a headache and was drowsy four days later I woke up to vomiting and diarrhea, I was shaking. I was freezing but sweating. This lasted 24 hours. a week and a day my injection site had become irritated as well was it felt as though some one was burning me with a hot iron. this never happened until 1/8/2021. a week and two days later I had severe diarrhea, headache and was nausea all day. This was on 1/9/2021

Other Meds: Levothyroxine, Sertaline, and birth control

Current Illness:

ID: 0932908
Sex: F
Age: 39
State: OK

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

Lab Data:

Allergies: Sulfa

Symptoms: Fever, chills, vomiting, abdominal pain, headache

Other Meds: Singulair, plaquenil, vitamin D, protonix

Current Illness:

ID: 0932909
Sex: M
Age: 48
State: OH

Vax Date: 12/23/2020
Onset Date: 12/25/2020
Rec V Date: 01/10/2021
Hospital:

Lab Data: See above

Allergies: None

Symptoms: Initially, I felt fatigued and my left deltoid was sore. On day three after vaccination, I had one episode of hematuria. On day 4, I developed a fever and chills. On day 5, I developed dysuria, urinary frequency, urgency and hesitancy. I have also had some low back pain and purulent urine. I have never had any urinary or prostate issues in the past and have regular annual physical exams. I am an emergency physician and had to work, so I started myself on Bactrim DS (I am avoiding floroquinolones due to numerous black box warnings). I have had several other episodes of hematuria during my treatment. I am on day 13 of Bactrim and my symptoms are improving. I am not sure if this is a coincidence, but I have never had any similar issues and thought this should be reported.

Other Meds: Synthroid 150mcg, sertraline 50mg

Current Illness: None

ID: 0932910
Sex: M
Age: 35
State: ME

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

Lab Data: none

Allergies: Shellfish, Sulfa antibiotics

Symptoms: I received the Moderna Vaccine first dose. Within a minute of receiving the vaccine, i became dizzy, tachycardic and experiencing hot flashes. Me thinking it was in my head did not say anything i waited the 15 minutes and left the vaccination area. The feeling i got seemed to go away and i thought everything was good and was my way home. About 30 minutes after injection i began experiencing itching in the face, nausea, dizziness, i was pale as a ghost. Having felt this before it was just like my allergic reaction i get when i ingest shellfish. I stupidly continued on my way home when i should have went to an ER but nonetheless i made it home and took some benedryl about 30 minutes later my symptoms subsided. I also took my blood pressure when i arrived home and was hypotensive. By the next day was fully recovered and no problems since day of injection.

Other Meds: None

Current Illness: None

ID: 0932911
Sex: F
Age: 57
State: LA

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Redness at injection site only. The area of redness was 4 inches by 5 inches at the largest point. The red area began to get smaller on 1/9/21. The patient did not report any other adverse reaction to the vaccine.

Other Meds:

Current Illness:

ID: 0932912
Sex: F
Age: 43
State: NY

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

Lab Data:

Allergies: Hazelnuts, macadamia nuts penicillin, erythromycin, clindamycin, amoxicillin

Symptoms: fever, chills, nausea, fatigue, joint pain

Other Meds: Synthroid, olopatadine eye drops, flonase

Current Illness: none

ID: 0932913
Sex: F
Age: 57
State: TX

Vax Date: 01/02/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: latex

Symptoms: Local Redness, Warmth induration, and itching at injection site started yesterday (10/07) 5 days after receiving first vaccine dose

Other Meds: N/A

Current Illness: N/A

ID: 0932914
Sex: M
Age: 49
State: FL

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

Lab Data: none

Allergies: cutaneous allergy to zinc

Symptoms: RECEIVED DOSE AT 1;17 pm 1/7/2021. At 9pm 1/7/2021, muscle aches, fatigue, fever (100.4F) and shaking chills began. waxed and waned throughout 01/08/2021 and finally ended approximately 05:00 Saturday 01/09/2021. I have felt totally fine since then. I received the first dose 12/17/2020 in my left arm at 1230pm. I had no side effects except for paining some swelling in the deltoid muscle that lasted a day or so. I get the full vaccine every year and never have any sort of reaction, even a mild one. I am a physician and understand the purpose of the vaccine and how it works.

Other Meds: anastrozole 1 mg every other day po

Current Illness: none

ID: 0932915
Sex: F
Age: 25
State: WA

Vax Date: 12/29/2020
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital: Y

Lab Data: CBC 1/8/21 - WBCs 8.65, RBCs 4.47, Hg 13.7, Hct 40, MCV 89, MCH 30.6, MCHC 34.3, Plts 1** (d) C, RDW 11.8%.

Allergies: None

Symptoms: Severe thrombocytopenia (plts 3k/uL), oral mucosal bleeding, bruising

Other Meds: Zoloft (sertraline), vitamin D, cetirizine (zyrtec)

Current Illness: None

ID: 0932916
Sex: M
Age: 30
State: WI

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

Lab Data: None

Allergies: None

Symptoms: 9 hours post-vaccine, developed rigors, fever to 102.7, myalgia, headache, and nausea. Everything but fever resolved within 18 hours. Fevers resolved by 48 hour mark.

Other Meds: None

Current Illness: None

ID: 0932917
Sex: F
Age: 51
State: CO

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

Lab Data: While in ER no tests were conducted

Allergies: latex, banans, kiwi, aspirin

Symptoms: 1/7/2021 at 1230 I began experiencing SOB, assumed it was asthma, 2 puffs of albuterol taken. At 1330 still SOB with chest pressure/tightness, no change, no cough, no feeling appropriate, 2 puffs albuterol. At 1415 reported to the vaccination clinic and told them of symptoms, SOB with movement, and general pressure in the chest. 2 Tylenol taken. I was required to check into the ER for Observation. oxygen saturation checked for 2 hours. no change in symptoms, no worsening. I then left work in the ER and went home. At approx. 1800 ate dinner, no real taste, but needed to eat. At 1830 showered, 2000 to bed, just feeling malaise. continued pressure in the chest and general soreness. 2 Tylenol Through the night I slept very poorly, tossed and turned, woke frequently. Body and joints with extreme pain everywhere it touched the mattress. I have a screw in my left foot, it felt like it was on fire at some point during the night. My left leg ached up into my hip. On the morning of January 8, woke approx 0800 with a temperature of 99.9, pain in all my joints, back and up into neck, headache, and nausea. Took 2 Tylenol, 3 ibuprofen, and 4 mg Zofran. 1200 symptoms began to lessen and felt like I had the flu, still sore, but less severe. 1300 - 2 Tylenol Slept better, just sore January 8 night. January 9 - 2 Tylenol in the morning, sore everywhere, right arm site sore, headache, eye pain, intermittent nausea. 2 more tylenol around 1800 January 10, 2 tylenol 0900, remain sore but lessening, headache and eye pain continues, intermittent nausea

Other Meds: armour thyroid escitalopram

Current Illness: reaction to vaccination #1 with fatigue

ID: 0932918
Sex: F
Age: 44
State: IL

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

Lab Data:

Allergies: None

Symptoms: Injection site soreness the following day. That is the only adverse reaction I have experienced thus far

Other Meds: None

Current Illness: None

ID: 0932919
Sex: M
Age: 53
State: NJ

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

Lab Data: None

Allergies: None

Symptoms: Fever to 101.7 with chills and muscle aches

Other Meds: None

Current Illness: None

ID: 0932920
Sex: M
Age: 66
State: UT

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

Lab Data: None

Allergies: None

Symptoms: Seizure occurring at 0700 in dining room, 1 episode, unresponsive for 2 minutes, after episode experienced general weakness then shortly was able to walk after, vitals stable after

Other Meds: Tylenol 650 mg PRN

Current Illness: Chronic Kidney Disease Stage 3, Alzheimers, Hospice patient

ID: 0932921
Sex: F
Age: 28
State: VA

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

Lab Data: None, I did not go to the hospital. Just dealt with the symptoms at home. I did call my Obgyn office dr. for a prescription for nausea medication since I could not keep any food down.

Allergies: Nkda

Symptoms: I am early pregnancy- I haven't even had an ultrasound yet to calculate an exact due date. I am approximately 6 weeks. About 12 hours after receiving the vaccine I became ill with body aches, chills, nausea, vomiting, general malaise and headache. I was sick until approximately 1530 on 1/10.

Other Meds: Pre-natal vitamins

Current Illness: Early pregnancy (approximately 6 weeks)

ID: 0932922
Sex: F
Age: 51
State: FL

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

Lab Data:

Allergies: Amoxicillin, codeine

Symptoms: On day 8, developed itchiness and then redness and swelling at injection site

Other Meds: Zyrtec

Current Illness: None

ID: 0932923
Sex: F
Age: 58
State:

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

Lab Data: None

Allergies:

Symptoms: Heart Palpitations--very frequently at times with felling of not being able to catch my breath

Other Meds:

Current Illness:

ID: 0932924
Sex: F
Age: 0
State: CA

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

Lab Data:

Allergies: NKDA

Symptoms: Swelling of leg and increased fussiness- swelling and fussiness resolved, but baby is not nearly as active as she was prior, not smiling and laughing like she was, more passive

Other Meds: none

Current Illness: none

ID: 0932925
Sex: M
Age: 52
State: MN

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

Lab Data:

Allergies:

Symptoms: received his first dose of the Covid vaccine 1/6. Since that time he has endorsed fatigue, body aches, headache, and nausea.

Other Meds:

Current Illness:

ID: 0932926
Sex: F
Age: 38
State: CA

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

Lab Data: none

Allergies: NKA

Symptoms: Three days after receiving first vaccine, I woke up with fasciculations in my left lower lip. The twitching was visible standing 2 ft from my mirror. It lasted approx 30min then spontaneously resolved. No other symptoms.

Other Meds: Wellbutrin XL 150mg qd Zyrtec 10mg qd Melatonin 3mg QHS PRN Ibuprofen PRN Vitamin C, D, zinc

Current Illness: none

ID: 0932927
Sex: F
Age: 47
State: CT

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

Lab Data: I wish that the ER would have done some bloodwork.

Allergies: Adhesive

Symptoms: 12/31/2020 later that night my whole left side went numb left arm, fingers, foot, lips, tongue. I took benadryl 50mg. The next day was still numb on and off took benadryl 50mg. The morning of 01/02/21 called the covid vaccine hotline and directed me to go to the ER. I went that day to Saint Rachael's and was given steroids and sent home. I picked up a prescriptions for steroids 60mg 3xtimes a day and had EPI pen as well. So, after taking the steroids prescription i was starting to feel some numbness on the left arm again. And it continues with pain on the site of injection and some numbing.

Other Meds: Multi vitamin, b12, probiotic, calcium

Current Illness: Nonenone

ID: 0932928
Sex: M
Age: 40
State: NC

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

Lab Data:

Allergies: NONE

Symptoms: PAIN, TENDERNESS AND SWELLING OF THE LYMPH NODE AT LEFT SIDE: ABOVE CLAVICLE BONE, LOWERSIDE OF LEFTSIDE NECK AREA.

Other Meds: none

Current Illness: NONE

ID: 0932929
Sex: F
Age: 33
State: MD

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

Lab Data: None

Allergies: Penicillin as a child

Symptoms: Erythema, swelling, and itching to area around injection site which spread over entire upper arm.

Other Meds: Nuca ring, vyvanse, multivitamin

Current Illness: None

ID: 0932930
Sex: M
Age: 49
State: FL

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

Lab Data: none

Allergies: cutaneous allergy to zinc

Symptoms: I received the vaccine at 1;17PM on 01/07/2021.. At 9pm I experienced muscle aches, fatigue, chills and a fever (100.4F). These symptoms waxed and waned over the next 32 hrs. At 5am, on 1/09/2021, my symptoms resolved. Since then, I am completely fine.

Other Meds: anastrozole 1 mg every other day po

Current Illness: none

ID: 0932931
Sex: F
Age: 38
State: NY

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

Lab Data:

Allergies: none

Symptoms: Same day of injection: general malaise and tiredness within 2 hours of shot Day 2: malaise and tiredness lessened, but incredible soreness to injection site (left deltoid) Day 3: moderate diarrhea

Other Meds: none

Current Illness: none

ID: 0932932
Sex: F
Age: 19
State: SC

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

Lab Data: Seen at base and hospital. Both did covid tests that was negative. No flu or step throat.

Allergies: No

Symptoms: Fever Chills Diarrhea Headache Sore body Stuffed nose No taste or smell Lasted all for 9 days

Other Meds: Advar and proair

Current Illness: No

ID: 0932933
Sex: F
Age: 58
State: NC

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

Lab Data: None

Allergies: NKA

Symptoms: Fever over 102 that did not respond to Tylenol or Motrin. Remained with elevated temperature until the next morning.

Other Meds: Levothyroxine

Current Illness: None

ID: 0932934
Sex: F
Age: 31
State: IN

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

Lab Data: None

Allergies: Penicillin

Symptoms: Fever 101.8, chills, nausea, malaise

Other Meds: Multivitamin, cetirizine, flonase

Current Illness: None

ID: 0932935
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: G2, P1. 21 weeks 2 days at time of vaccination, due 5/19/20. Est fetal weight approx. 15.7ounces as of 1/6/20. Mild arm soreness, onset approximately 5 hours after vaccine. Subsided within 36 hours.

Other Meds: Folic acid, prenatal vitamins

Current Illness: None

ID: 0932936
Sex: F
Age: 49
State: NJ

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

Lab Data: None dr stated to take Advil also took Benadryl

Allergies: Penicillin Oyster Scallop Iodine Morpheme Codeine Percocet

Symptoms: Immediately started feeling hot nose became numb , couldn't swallow , tingling of extremities . 2-3 hours after a fever of 100.5 . Weird sensation in face .

Other Meds: Plaquenil Metformin Singular Simvastatin Aspirin Dexilant Probiotic Bio cleanse Oregano Lysine D B C Immunopower

Current Illness: Covid 11/5/20 lasted 2 weeks then penuemonia

ID: 0932937
Sex: F
Age: 24
State: PA

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

Lab Data:

Allergies: None

Symptoms: Shot on 1/9/21 at 10:10 am. Body aches 1/9/21 from 12:30-2:30pm. Relieved with naproxen 500mg and sleep.

Other Meds: Fluoxetine 60 mg daily Adderall XR 10 mg daily

Current Illness: None

ID: 0932938
Sex: F
Age: 46
State: TN

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/10/2021
Hospital:

Lab Data: None.

Allergies: Shrimp, Iodine contrast dye, Fentanyl, H1N1'09.

Symptoms: Itching and hives.

Other Meds: Methimazole 15 mg daily, daily multivitamin for women. Immediately after the receiving vaccine too Ibuprofen 400 mg (2 x 200mg) that was offered.

Current Illness: None.

ID: 0932939
Sex: F
Age: 62
State: GA

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

Lab Data: self-reporting

Allergies: intolerance to wheat

Symptoms: nausea, chills ,temp of 101.3, exhaustion, upper breast lymph nodes painful , loss of taste & smell - occurred over 1 week time frame

Other Meds: fish oil D3 B-Complex

Current Illness: none

ID: 0932940
Sex: F
Age: 45
State: WA

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

Lab Data: COVID PCR test 1/8/21 resulted negative

Allergies: bee venom, Kiwi, penicillin's, Bactrim, doxycycline, propoxyphene, ceclor, Flagyl

Symptoms: on day of injection approx 13 mins after injection RN was called to her car. She reported throat tightness, and dizziness 911 was called and pt was monitored until symptoms improved. Was not transported to ED. 2 days later developed a hive like rash and was seen at walk in clinic was treated with prednisone.

Other Meds:

Current Illness:

ID: 0932941
Sex: F
Age: 53
State: UT

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

Lab Data: N/A Please note to below question, if I had a doctor I would have contacted this provider. However I do not have a doctor, and I have high deductible insurance. Only go to urgent care if emergencies

Allergies: No significant allergy history. No history of anaphylactic reaction to food, bees, etc. History of multiple chemical sensitivity. Medication sensitivity, dose dependent.

Symptoms: Day 1- Almost immediate response (<~5 minutes) Tingling R fingers ; tingling tongue; slight numbness R arm & slight facial numbness, metallic taste in mouth Later Day 1 afternoon and evening - heart palpitations; metallic taste in mouth. Usual & expected solicited SEs: fatigue, soreness, feeling "off," transient headache, chills sx Day 2- strong R arm pain, cannot lift R arm. Metallic taste in mouth and tingling tongue persists. Also same usual Sx as day 1 plus mild nausea. Felt really crummy. Day 3- Still moderately strong R arm pain, can only partially lift arm over head, cannot straighten over head. Strong fatigue continues, mild nausea. By this day I recall having some unusual Noc . calf cramping. Sx certainly improved after 72 hrs but some did continue up to 7 days. Cramping returned as did odd R ear/jaw/throat nerve pain. Scratchy throat. Fatigue persisted, gradually improved. I believe the non-standard SEs may represent an allergic reaction. I deem this mild to moderate, as I was unable to perform daily functions at times. I would like to be able to talk to a professional as to whether a second dose is recommended in my situation. I am concerned to know if previous allergic reactions suggest increase likelihood of future and possibly worsened reactions. Note: I have been unable to access my Vsafe reports today to confirm exact time frame. The above is to best of my recollection.

Other Meds: Propanalol 20mg PRN. Occasional use of milk thistle, standardized silymarin extract 300 mg

Current Illness: No known illnesses at time of vaccination.

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm