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: 0933698
Sex: F
Age: 47
State: NC

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: none.

Allergies: none

Symptoms: I was Covid positive back in August, so the day after getting vaccine i started having chills, fever, body aches, and broke out with small red flat bumps on my arms and left side.

Other Meds: none

Current Illness: none

ID: 0933699
Sex: M
Age: 37
State: TX

Vax Date: 12/26/2020
Onset Date: 12/27/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data: CT scan on 12/31 no impression in lungs, Lab work 4 days after vaccine

Allergies: No

Symptoms: On 12/17 tested positive for Covid results positive. After the vaccine exp tightness of chest, running fever. On 12/31 I went to ER was prescribed Prednisone/Inhaler. I went to PCP on 12/31 and 1/5 about my symptoms. I usually run 5 miles a day as of today can't run my daily routine. For some reason still exp shaking in my hands and tightness of chest not certain if this is from inhaler or steriods. I have a another appt scheduled with my PCP.

Other Meds: No

Current Illness: Positive diagnosis to Covid

ID: 0933700
Sex: F
Age: 54
State: MD

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: 9 days after the vaccination. Continue with localized injection pain, induration and redness.

Other Meds: Vitamin D, Singular, Nexium

Current Illness: None

ID: 0933701
Sex: F
Age: 39
State: IL

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: NA

Allergies: NKA

Symptoms: Headache, joint pain, muscle aches and tiredness.

Other Meds: Multi vitamin Vitamin D3 supplement

Current Illness: NA

ID: 0933702
Sex: F
Age: 48
State: TN

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: COVID screening by phone on 1/8/21 which indicated the need for a COVID swab. COVID swab test performed on 1/10/21 at drive through station at my workplace and resulted NEGATIVE this morning.

Allergies: Latex- causing contact dermatitis

Symptoms: Weakness, fatigue, fever to 101, chills, muscle aches, shivers, joint pain, severe headache, nausea, loss of appetite lasting approximately 72 hours

Other Meds: Premarin 0.9mg PO QD, occasional Excedrine Migrane for headaches, occasional sinus & allergy medications PRN & Kirkland's Acetaminophen rapid release during this reaction

Current Illness: none

ID: 0933703
Sex: F
Age: 60
State: IN

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: I feel issue is more related to injection error, Injection site was above the deltoid. I have had steroid injections in other shoulder and this is the sensation I felt during injection. The rn also told me " You have tough skin" after the intense pressure started. I worked the night before injection. I went home to sleep. woke around 2pm with intense pain in my left arm, I could not shift position or move my arm. with out excruciating pain. I used heat, aleve, tylenol & biofreeze. By saturday, i could easily move left arm from elbow down, but extremely limited from shoulder. today i have most of my range of motion, but still have dull ache and pain restrictions. This pain is in my shoulder, not my arm or deltoid. . On thursday, pain was constant, roaring throb 7/10 shoulder to shoulder blade, almost to spine in back and down to elbow , then 9/10 with any movement. Today is ache 2/10 just in my shoulder, with 5/10 with some movement. I had to call into work 1/7. I am scheduled tonight. I am an ICU RN.

Other Meds:

Current Illness:

ID: 0933704
Sex: F
Age: 45
State: GA

Vax Date: 12/31/2020
Onset Date: 01/05/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: N/A

Allergies: Penicillin, Ceftin

Symptoms: Rapid heart rate, dizzy lightheaded, headache, large rash at injection site f/u at Urgent Care steroid prescription

Other Meds: Multivitamin

Current Illness: N/A

ID: 0933705
Sex: F
Age: 31
State:

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: body ache, chills, headache the next day after having vaccination

Other Meds:

Current Illness:

ID: 0933706
Sex: F
Age: 38
State: PA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: n/a

Allergies: Shellfish - anaphylaxis Acetaminophen Amoxapine Aspirin Caffeine Iodine Penicillins

Symptoms: -Pt received vaccine at 7:25AM 1/8/2021 at Clinic. -No reaction immediately after the vaccine. -She was moved to the observation room. -After ~5 minutes, patent developed hives starting in the arm where vaccine was injected. -Rash continued to develop on both arms, chest, ears, cheeks. -Pt was very itchy on these areas, as well as her feet and inside of her ears. -Denied cough, difficulty breathing, itchy throat, watery eyes. -Patient was not in any respiratory distress. -Vitals were taken multiple times and were normal (see vitals section). -Patient was being closely observed by myself, PA-C. -Dr. was consulted and also evaluated patient. -We decided to treat with 25mg Benadryl IM (opposite arm of vaccination). -After Benadryl, pt was observed for another 15 minutes. -Rash & itching diminished significantly. -Vitals were taken again and were normal. -Pt was observed for total 1 hour 15 minutes. -Rash & itchiness diminished significantly after medication given. -Advised patient to take Benadryl PO in the afternoon or another antihistamine. -Will follow up with patient in a few hours via phone call & reevaluate in person if necessary. -ER precautions given: chest tightness, difficulty breathing, difficulty swallowing, itchy throat, feeling as if throat is closing, increased swelling, dizziness, loss of consciousness. -Pt will also return in 28 days for second dose of vaccine and will be closely monitored at this time. -Pt followed up with after a few hours and was feeling much better. Just sleepy.

Other Meds: -Valtrex 500mg -tramadol 50 mg -reglan 10 mg diclofenac 1% -baclofen 20mg

Current Illness: n/a

ID: 0933707
Sex: F
Age: 56
State: RI

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: Bee Stings, NSAIDs

Symptoms: Pt entered observation @ 0840. This nurse asked pt if she felt okay @ 0850. Pt stated that her throat felt scratchy". Water was offered. Asked pt how did she feel @ 0900, stated that s/s were still the same. This nurse administered Benadryl 25mg @ 0904. @ 0912 pt stated to this nurse that s/s were somewhat better. Pt remains in observation @ present time, time 0923. Still remains to voice s/s of distress @ 0933. States Benadryl 25mg did not alleviate the s/s. States s/s were worsening. Epi 0.3mg given @0934. Administered in L thigh. Pt sent to ER after administration of Epi 0.3mg. Pt alive and breathing @ 0947, when going into Registration @ ER, still continues to voice s/s of distress to throat.

Other Meds: Omeprazole 20mg QD , Lipitor 10mg QD, Aimovig 70ml, Venlaflexine 75mg QD

Current Illness:

ID: 0933708
Sex: F
Age: 63
State: MA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Fever, pain to site

Other Meds: Metformin, Tylenol

Current Illness: Fever, pain to Vaccine site

ID: 0933709
Sex: F
Age: 34
State: VT

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data: none

Allergies: NKDA

Symptoms: I developed a headache about 1 hour after the vaccine was administered. Two hours later I developed a 100.4 temperature and malaise and body aches. The injection site was swollen, tender to touch and warm. The injection site area remained tender to touch and I was unable to lie on my left side to sleep for over 48 hours. I continued to feel foggy and fatigued for 48 hours. All symptoms have since resolved.

Other Meds: Aviane- Oral Contraceptive 1 tab once daily Zyrtec 10mg 1 tab once daily Flonase Nasal Spray- 2 squirts in each nostril once daily Flovent Inhaler 1 puff once daily

Current Illness: None

ID: 0933710
Sex: F
Age: 36
State: ID

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: N/A,

Allergies: none

Symptoms: numbness and tingling on tip of tongue, numbness and tingling of arms, after 10 - 15 minutes complaint of numbness and tingling of legs, after 30 minutes pain upper left chest near arm pit. Benadryl 25 mg po given, patient opted to go to ER for observation.

Other Meds: none

Current Illness: unknown

ID: 0933711
Sex: F
Age: 56
State: TX

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills beginning Friday night into early Saturday morning. Low grade temperature on Saturday of 99 at 10 am. Took Advil with relief. Sunday afternoon low grade temperature of 99 at 3 pm. Reports arm soreness bilateral.

Other Meds:

Current Illness:

ID: 0933712
Sex: F
Age: 38
State: KS

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: When I withdrew the needle from the patient's arm, 2 drops of the vaccine came out of the administration site and rolled down the patient's arm.

Other Meds:

Current Illness:

ID: 0933713
Sex: F
Age: 66
State: FL

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

Lab Data:

Allergies: PCN

Symptoms: Headache occurred at 18 hr after dose Ibuprofen 400mg po every 8 hours Duration is 48 hr

Other Meds: Levothyroxine Liothyronine Acyclovir

Current Illness:

ID: 0933714
Sex: F
Age: 31
State:

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Received second Pfizer covid vaccine. Felt extremely fatigue, joint pain, and pain in the injection site Friday night at work. Saturday night felt extremely fatigue.

Other Meds:

Current Illness:

ID: 0933716
Sex: F
Age: 50
State: LA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: About 12 minutes after injection, patient started to feel a hot feeling to her left upper arm (that is where she her injection was given); She denied having any other symptoms. Hx of shellfish allergy once years ago- face swelling. Has eaten it since and has not had any problem; She had slight pink discoloration to left arm inferior to injection spot; Area was warm to touch and felt "hot to patient). Patient was treated with Zyrtec and her rash and hot feeling to arm resolved.

Other Meds: Crestor 20 mg one po daily levothyroxine 88 mcg one po daily Ibupofen 800 mg one tablet three times a day prn

Current Illness: n/A

ID: 0933717
Sex: F
Age: 53
State: CA

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

Lab Data:

Allergies:

Symptoms: Body aches

Other Meds:

Current Illness:

ID: 0933718
Sex: F
Age: 38
State: NY

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: Exam

Allergies: None

Symptoms: Patient reports an area of redness and swelling on her right deltoid, which started the day after she received the first dose of her Maderna vaccine, on 12/31/2020. She also had pain in this area, but it resolved within 2 to 3 days. Her primary symptom is itchiness in the area. Denies any other symptoms, no body aches/fever/chills, no headache, no SOB, hives, or swelling of lips/tongue. She has not been reporting her symptoms to V-safe. No past medical history of vaccine reaction. No known allergies. Exam: R deltoid, 3 cm circular area of erythema, well-circumscribed, slightly raised, not particularly indurated. Warm to touch. Not tender to palpation. No evidence of ascending lymphangitis. No lymphadenopathy. Assessment: Localized reaction, no treatment provided, encouraged Pt to try cold compress & oral antihistamine for symptomatic relief

Other Meds: Synthroid

Current Illness: Thyroidectomy for thyroid CA

ID: 0933719
Sex: F
Age: 48
State: IN

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: N/A

Allergies: NKA

Symptoms: Fever 100.8 and sever aches.

Other Meds: Prilosec, HCTZ, and Synthroid

Current Illness: None

ID: 0933720
Sex: F
Age: 61
State: AL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: 1/09/21 Urine, blood (unsure of specifics)

Allergies: Reglan Benzoin

Symptoms: Euphoria began ~2hours after vaccine lasting ~2.5 hours. Unable to process information, irritability, anxiousness, generalized not feeling well around 5pm day of; went to bed. Woke up at 10:30pm with headache, took Tylenol. Wednesday didn't feel well in general, left work at noon, went home to bed. Thursday felt better but not baseline self. Friday generalized not feeling well. Saturday went to ER due to feeling much worse generally, SOB. Tests Urine, blood. Everything within normal limits.

Other Meds: Tylenol prior to vaccine

Current Illness: None

ID: 0933721
Sex: M
Age: 37
State:

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient completed COVID vaccine observation period with no issues. Then left observation area but returned a short time later complaints of rash on left shoulder/side. Pt took diphenhydramine 50mg by mouth prior to returning to observation area. Observed for an additional 30 minutes, pt declined ED evaluation and departed.

Other Meds:

Current Illness:

ID: 0933722
Sex: F
Age: 43
State: KS

Vax Date: 12/29/2020
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: NONE

Allergies: BLUEBERRIES

Symptoms: NONE

Other Meds: LAMICTAL 150MG BID, PAXIL 20MG QD, LEVOTHYROXINE 0.25MG QD, METFORMIN 1000MG BID, INVOKANNA 300MG QD, VICTOZA 0.3MG SQ QD

Current Illness:

ID: 0933723
Sex: F
Age: 51
State: FL

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: Pollen, dust, clams,

Symptoms: I received the Moderna COVID-19 vaccine EUA and a few hours later started having chills, headache, weakness, fever and nauseas and stomach discomfort after Tylenol, My nose was congested but just the first night: Headache, and weakness Monday afternoon to Thursday afternoon, fever chills Monday afternoon to Wednesday afternoon, Nauseas an stomach problems disappear after my doctor prescribed Zofran and Pepto Bismol, Ibuprofen low the fever.

Other Meds: Cetirizine 10 mg, Montelukast SOD 10 mg

Current Illness: None

ID: 0933724
Sex: M
Age: 57
State: MD

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: Latex, parabens

Symptoms: Significant flu like symptoms that lasted for 36 hours from onset. Included a fever of over 101, sweats, chills and uncontrollable shivering. Had some numbness in fingers and toes. These symptoms were actually more severe that when I had Covid 19. Taking Tylenol would help ease the symptoms, I did rotate in a dose of Ibuprofen on a 2 hour interval one time during the worst of the symptoms. After the 36 hour mark the symptoms faded and I returned to a normal state, although very drained and fatigued. The severity of the symptoms seem like they would be dangerous for someone who is not in good health.

Other Meds: Topical steroidals for exzema.

Current Illness: Had Covid 19 starting on 12/20/2020, 18 days prior to the vaccine.

ID: 0933725
Sex: M
Age: 77
State: AZ

Vax Date: 01/01/2021
Onset Date: 01/11/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: None stated.

Other Meds: rasagiline,prmipexole,carbidope.donpezil.clonazepam,simavastatin,asprin,melaton,fludrocortisone carbidopa/levodopa sodium tablets

Current Illness: none

ID: 0933726
Sex: F
Age: 41
State: NY

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Jan 8, 2021 around 8pm, I felt cold and unwell but no fever. My left arm was sore. The following morning, I had fever of 101.4F. I also had bad headache and muscle aches. I tool 500 mg of Tylenol, had lots of fluids and rest for 2 days. Sunday when I woke up I felt better and I feel well now.

Other Meds: Vitamin C Multivitamins

Current Illness: None

ID: 0933727
Sex: F
Age: 56
State:

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient's reaction(s) noted during COVID vaccine observation period: lips tingling ?Actions Taken: Vital signs taken and within normal for pt. Pt felt okay enough to leave ?Disposition: Patient declined ED visit

Other Meds:

Current Illness:

ID: 0933728
Sex: F
Age: 53
State: NJ

Vax Date: 01/05/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: Red wine

Symptoms: On friday i woke up with strong body odor this is not usual for me I thought it was strange but went along with my day. Around 4 pm i started to feel a strange sensation on top of my right foot I had walked 2 dogs and i thought maybe i injured myself. By 7:30 I started to feel full like I wasn't breathing comfortably so i propped 2 pillows to help . After that i laid to watch a movie when on top of my right food i started to feel like something was traveling on top it just didnt feel right i ignored it but then my left foot and right foot started to have like a muscle spasm very painful my i started to shake felt confused and shaky speech took Ibuphrophen 400 mg everything started to subside fell asleep . Next day back to normal i didnt have pain in my legs no soreness.

Other Meds: vitamin c flaxseed maca

Current Illness:

ID: 0933729
Sex: F
Age: 57
State: IN

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: Celexa, Percocet, adhesives

Symptoms: Fever up to 100.4 for three days. Chills for one day. Very sore arm for one day. Fatigue for one day.

Other Meds: Duloxetine, Gabapentin, Advair, AirDuo RespiClick, Vitamin E, Florajen3, Apple Cider vinegar pill, multivitamin, calcium supplement.

Current Illness: COVID-19 symptoms started on 11/30/2020.

ID: 0933730
Sex: F
Age: 56
State: AL

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

Lab Data: Haven't had any yet

Allergies: N/A

Symptoms: Itching and red streak at injection site. Two days after shot. Feeling disoriented and can't concentrate - one day after shot and still present.

Other Meds: Simvastatin, Synthroid, Centrum women's multi- vitamin.

Current Illness: Sinuses- season alleegies

ID: 0933731
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0933732
Sex: F
Age: 54
State: PA

Vax Date: 12/31/2020
Onset Date: 01/11/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: On Day 11, I woke up with my arm again inflamed at injection site. Elevated, hot to touch. For 3 days after my Moderna shot my arm at injection site was hot, inflammed and sore.

Other Meds: Multivitamin, Vitamin C, Lexapro, Xanax

Current Illness: None

ID: 0933733
Sex: M
Age: 40
State: NC

Vax Date: 12/30/2020
Onset Date: 01/01/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: was contacted by primary care physician who requested I come in for blood platelet testing on 01/27/21 before receiving second dose.

Allergies: none known

Symptoms: small itchy rashes on hands and feet and lasted about 5 days. reported event to the health department who instructed patient to see primary care physician. primary care physician recommended benadryl cream for itch and come back if not better within two days.

Other Meds: Losartan, sertraline, benadryl cream for itching rash

Current Illness: bronchitis

ID: 0933734
Sex: F
Age: 54
State: IN

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received her first COVID vaccine (Pfizer) on 1/4/21 at 1419. She called the clinic on Thursday 1/7 and reported "Since her vaccine she has had body aches, fever, diarrhea." Clinic staff referred her to her PCP.

Other Meds:

Current Illness:

ID: 0933735
Sex: F
Age: 49
State: IN

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

Lab Data: None

Allergies: None

Symptoms: Fever, body aches, chills, headache, left lower quadrant pain front and back. Lasted 36 hours.

Other Meds: None

Current Illness: None

ID: 0933736
Sex: M
Age: 42
State: TX

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

Lab Data:

Allergies:

Symptoms: chills, fever, cough, chest congestion, nasal congestion, HA, nausea, fatigue, body aches. Feel like I have the flu. Ibuprofen with mild improvement.

Other Meds:

Current Illness:

ID: 0933737
Sex: F
Age: 54
State: NY

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None--did not seek medical treatment.

Allergies: Have had several instances of cellulitis due to Insect Bites but have never been tested through an allergist.

Symptoms: Cellulitis at Injection site. Have had similar reactions to insect bites. Hot to touch, swollen. radiated about 3 inches from center around. I ended up drawing a circle around area on Saturday (1/11); on Sunday I started the Moist Heat routine. This is what I have had to do done in the past for my adverse reactions to spider bites. Appears to be working...redness has faded, only now it looks like a ringed target--similar to what the pictures are for tick bites. Still warm to touch, but appears to be improving.

Other Meds: Allegra (for allergies) ; Advil as needed

Current Illness:

ID: 0933738
Sex: F
Age: 39
State: MD

Vax Date: 01/02/2021
Onset Date: 01/11/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: n/a

Allergies: none

Symptoms: 9 days after injection, large well demarcated 6cm diameter reddened circle around injection site. warm to touch.

Other Meds: none

Current Illness: none

Date Died: 01/10/2021

ID: 0933739
Sex: F
Age: 54
State: OH

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital: Y

Lab Data: COVID-19 test administered - 1/9/2021 - Negative 2 EEGs were performed on 1/9/2021 and both indicated she had not brain activity

Allergies: Penicillin

Symptoms: Staff member checked on her at 3am and patient stated that she felt like she couldn't breathe. 911 was called and taken to the hospital. While in the ambulance, patient coded. Patient was given CPR and "brought back". Once at the hospital, patient was placed on a ventilator and efforts were made to contact the guardian for end of life decisions. Two EEGs were given to determine that patient had no brain activity. Guardian, made the decision to end all life saving measures. Patient was taken off the ventilator on 1/9/2021 and passed away at 1:30am on 1/10/2021. The initial indication from the ICU doctor was the patient had a mucus plug that she couldn't clear.

Other Meds: Aspirin, Diazepam, Doxepin HCL, Duloxetine, Juven POW, Lamotri Levothyroxin, Loratadine, Melatonin, Mucus Relief, Olanzapine, Prazosin HCL, Pregabalin,

Current Illness: Recent g-tube placement, Several hospitalizations over the pas few months due to low Oxygen Levels.

ID: 0933740
Sex: F
Age: 33
State: TN

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

Lab Data: none

Allergies: lamictal and latex

Symptoms: fever of 105.6 15 hours from injection. Headache at a 10 of 10, chills, fatigue, shaking from fever, loss of bladder control due to uncontrollable shaking from fever, body aches. Fever up and down. Currently 48 hours out from vaccine and still overall not feeling well and currently febrile at 100.9

Other Meds: synthroid, lisinopril, zinc, vitamin c, vitamin d3, slynd, setraline, propranalol

Current Illness:

ID: 0933748
Sex: F
Age: 43
State:

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Itching and rash at injection site. Given IV Benadryl, solumedrol, Pepcid. Rash resolved after treatment.

Other Meds:

Current Illness:

ID: 0933749
Sex: F
Age: 45
State: AZ

Vax Date: 01/20/2021
Onset Date: 01/11/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: N/A

Allergies: Nothing

Symptoms: N/A

Other Meds: Nothing

Current Illness: Nothing

ID: 0933750
Sex: F
Age: 35
State: FL

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: observation

Allergies: nka

Symptoms: Facial numbing, sore throat, dry throat

Other Meds: unknown

Current Illness: unknown

ID: 0933751
Sex: M
Age: 58
State: PA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/11/2021
Hospital: Y

Lab Data:

Allergies: Shell Fish, Cologne, Perfume, Hand sanitizer, penicillin, Zpac, coconut, peanuts

Symptoms: Aprox 5 minutes after vaccine was given, patient stated he was not feeling well, asked for water and stated he was having trouble breathing. Was then assisted to clinic treatment room, vitals were taken: 08:45 B/P 171/110, HR 84, R 28 O2 97. EMS was activated. At 0900 158/94 HR 84 R 24 O2 97. Patient then voice he was having tightness in his throat. Epi Pen 0.3mg administered at 0900. At 0904 EMS arrived and patient taken to the nearest hospital.

Other Meds: Advair 500/50, Spriva 2.5mcg, Asmanex 220mcg, Metformin 100mcg, Nexium 20mg, Montelekast, Baby asprin 81 mg, Lovastatin, Nosonex, Pro Air, Duo Neb, Epi Pen 0.3 mg Busporine 150 Mg, Theophylin 400mg.

Current Illness:

ID: 0933752
Sex: M
Age: 89
State: FL

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Severe neck and shoulder pain. Limited movement of arms, not able to put above the head.

Other Meds: Azor 5/20mg Hydrochlorothiazide 12.5 mg Atrovastin 10 mg Finasteride 5 mg Lomigan 0.01% Ocuvite Magnesium 25 mg Flaxseed oil 1200 mg Multi vitamin 1000 oil

Current Illness: None

ID: 0933754
Sex: F
Age: 47
State: NC

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: Darvocet

Symptoms: Within 30 minutes of receiving vaccine on 12/31/20, I felt as if I had been given a "sedative." Within 2 hours of receiving, I developed severe hip pain. On 1/1/21, I felt "drugged" the entire day, with a severe headache. On 1/2/21, I had fatigue, and developed sever lower extremity pain during night. Severe fatigue continued through 1/4/21--I tested positive for Covid on 9/21/20--and I have struggled with lingering symptoms--fatigue, brain fog, and body aches.

Other Meds: Zyrtec, Excedrin Migraine

Current Illness: Positive for Covid on 9-21-20, and have continued lingering side effects

ID: 0933755
Sex: F
Age: 26
State: MD

Vax Date: 01/03/2021
Onset Date: 01/04/2021
Rec V Date: 01/11/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Numbness and tingling bil upper extremities, seizure, temporary paralysis R arm. Started day after vaccine given, was observed overnight in hospital.

Other Meds:

Current Illness:

ID: 0933756
Sex: F
Age: 57
State: NY

Vax Date: 12/22/2020
Onset Date: 01/01/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: CBC, CMP, U/A, CT scan

Allergies: latex (anaphylaxis), doxycycline, bacitration, chocolate (ezcema), ascorbic acid (ezcema), tomatoes (ezcema), white faced hornets (anaphylaxis), environmental allergies (cats, mold, dust mites)

Symptoms: developed progressively severe right flank pain and back pain on 1/1. Went to emergency department on 1/6/21 d/t severe pain (no fever, diarrhea, nausea or vomiting). ED md stated it was potentially shingles. Have had similar outbreak of shingles (no rash but severe right flank and abdominal pain approximately 12 years ago and was seen in same ED and the dx of shingles was made by the PA in Dr office). Pain improving as of today 1/11/21. Have been unable to tolerate the increased dose of the naproxen prescribed by the ED md d/t increased gastric irritation.

Other Meds: zyrtec 10 mg qd, rosuvastatin 10 mg qd , naproxen 200 mg bid, tylenol 500 mg qid prn, pepcid 20 mg bid, multivite qd, vit D3 1000 IU daily, valerian root at hs, turmeric 500 mg, tizandine 10 mg prn

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm