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: 0933757
Sex: M
Age: 51
State: NY

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

Lab Data:

Allergies:

Symptoms: feel like somebody hit me with a baseball bat, body ache low grade fever for 5 days

Other Meds:

Current Illness:

ID: 0933758
Sex: F
Age: 26
State: VA

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: Shellfish, amoxicillin, penicillin

Symptoms: Body aches at 9:00am Chills at 9:00 am Headaches at 9:35 am Stuffy nose 11:00 am Fever of 100.5 at 1:00pm Last from 12/22/2020 - 12/24/2020

Other Meds: Birth control, adderoll 5 mg

Current Illness: None

ID: 0933759
Sex: M
Age: 39
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: Myalgias and chills for 20 hours

Other Meds: None

Current Illness: None

ID: 0933761
Sex: F
Age: 45
State: WI

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

Lab Data: None

Allergies: Sulfa Drugs Hydromorphone Hcl Acetaminophen-Codeine Hydromorphone Chloroxylenol

Symptoms: Woke up at 7am at 8:15am both of my eyes swelled almost shut instantly. Both were swollen above my eyebrow. Whites of eyes were still white. They didn't itch or hurt. Went to Urgent care and they recommended cold compresses, Loratadine, Vaseline. About 6 hours later the swelling went down, but not completely. Woke up Sunday morning and my eyelids were dry and scaly.

Other Meds:

Current Illness: None

ID: 0933762
Sex: F
Age: 26
State: PA

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Redness, streaking and swelling of left arm. Diagnosed with cellulitis but not improving with Keflex. Prescribed prednisone, Benadryl and Pepcid with little improvement and seeing dermatologist today for further investigation.

Other Meds:

Current Illness: Asthma

ID: 0933763
Sex: M
Age: 1
State: IL

Vax Date: 06/10/2020
Onset Date: 06/20/2020
Rec V Date: 01/11/2021
Hospital: Y

Lab Data: was hospitalized at first hospital for dx DM transferred to Peds ICU at another hospital

Allergies:

Symptoms: Patient developed Type 1 Diabetes Mellitus within 10 days of vaccines

Other Meds:

Current Illness: no

ID: 0933764
Sex: F
Age: 46
State: NJ

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

Lab Data:

Allergies: Naprosyn

Symptoms: Fever, chills, nausea, headache

Other Meds: Multivitamin, 81 mg ASA, Calcium, Vitamin D, Turmeric

Current Illness: none

ID: 0933765
Sex: F
Age: 39
State: CA

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

Lab Data:

Allergies: No

Symptoms: I began experiencing all my covid symptoms. Chills, Fever, Cough, Nausea, Loss of Taste/Smell and Fatigue. This lasted for approximately two days.

Other Meds: Levothyroxine, omeprazole, vitamin D

Current Illness: Covid-no positive test

ID: 0933766
Sex: F
Age: 41
State: MT

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

Lab Data:

Allergies:

Symptoms: Patient given Moderna vaccine 1455. Patient reported feeling numb tongue, dizzy and nauseous. Patient took 25 mg diphenhydramine oral. Observed at vaccine clinic. began feeling more nausea. Tongue numbness not improving, took another 25 mg diphenhydramine. Patient sent to ED - taken by PALS/RN. Arrived in ED at 1600 complaining complaining of chest tightness with tingling in her throat. Out of concern that she may have progression to anaphylaxis so 0.3 mg of epinephrine was ordered intramuscularly. Patient also given 25 mg of Benadryl IV as well as Pepcid and Solu-Medrol. Patient was observed here in the emergency department for several hours. She did have some complain of some itchiness of her skin so additional 25 mg of Benadryl was given. She also was having some persistent chest tightness and appeared quite anxious and due to concern for anxiety is possibly a contributing factor, IV Valium was given for anxiolysis. On reevaluation, symptoms have improved significantly. She was counseled in regards to use of an EpiPen and a prescription was given for this. Prescription was also given per few days of prednisone and Pepcid. Provider recommended avoiding further covid19 vaccination.

Other Meds:

Current Illness: none

ID: 0933767
Sex: F
Age: 55
State: SC

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

Lab Data: N/A

Allergies: NKDA

Symptoms: significant rigors, severe headache, felt feverish, but no fever for about 12 hours

Other Meds: Neium 40mg, OD; Xyzol 5mg, OD; D3, 2000IUs

Current Illness: None

ID: 0933768
Sex: M
Age: 34
State: MI

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: After the 2nd vaccine exp fever of 102 by the evening it went away.

Other Meds: No

Current Illness: No

ID: 0933770
Sex: F
Age: 39
State: GA

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

Lab Data: n/a

Allergies: None reported

Symptoms: Client reports with in minuets of being in the observation room her tongue started to tingle. Approached staff in hall and client and nurse went in to an exam room. Nurse started taking vitals and called Nurse Director and was instructed to administer 25ml IM of Diphenhydramine to right arm. Nurse cont. with taking vitals signs until client reported to feeling better.

Other Meds: none reported

Current Illness: Client reports history of Hyperthyroid

ID: 0933771
Sex: F
Age: 39
State: NJ

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

Lab Data: 1/8 CT HEAD

Allergies: NKDA

Symptoms: 1/7- RECEIVED VACCINE AND REPORTED HAVING TINGLING TO LIPS (A FEW HOURS LATER), TOOK BENADRYL AND REPORTED THAT TINGLING WENT AWAY. 1/8- REPORTED TINGLING TO LEFT OUTERLIP AND AND WENT TO ER AND DIAGNOSED WITH BELL PALSY / FACIAL PARALYSIS AFTER EVALUATION

Other Meds: Unknown

Current Illness: None

ID: 0933772
Sex: F
Age: 42
State: IN

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

Lab Data: n/a

Allergies: n/a

Symptoms: - muscle ache in upper arm and should within first half hour of shot - extreme body aches began that evening; continued throughout the day 1/10; still present morning of 1/11, not as intense - temperature spiked to almost 100 that evening; fluctuated throughout the next day

Other Meds: Verapamil, Zoloft, Singular, Zinc, Vitamin D, Fish Oil, Methergine, One a day women

Current Illness: Tested positive for COVID 12/17/20, symptoms began 12/14/20. Tested negative 12/31/20. Residual symptoms continue to date.

ID: 0933773
Sex: F
Age: 61
State: CA

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Low grade fever body aches chills headache arm soreness

Other Meds:

Current Illness:

ID: 0933774
Sex: M
Age: 88
State: MO

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: Possible Egg and Whole milk sensitivity.

Symptoms: Sore shoulder, severe diarrhea. Went 19 times in 1 night.

Other Meds: Linsinopril, atrovastein, toprolxi and clonedine patch.

Current Illness: no

ID: 0933775
Sex: F
Age: 57
State: VA

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: Blood Work and Urine done on 1/9/21, additional blood work done on 1/10/21

Allergies: Vancomycin, Lisinopril, Dilaudid

Symptoms: Pain in Left Arm, Headache, Body Aches, Joint Pain, Nausea all began the day after the injection which was a Tuesday; Friday night began chills and fever to 102.2 and nausea and vomiting increased leading to dehydration; Saturday night developed Cellulitis in Left Lower Leg

Other Meds: Labetolol, Amlodipine, Spironolactone, Memantine, Ibruprofen, Aspirin, CBD

Current Illness: None

ID: 0933776
Sex: F
Age: 43
State: OH

Vax Date: 12/28/2020
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: Mammogram and ultrasound

Allergies:

Symptoms: axillary lymphadenopathy in the same arm that I was vaccinated in

Other Meds:

Current Illness: none

ID: 0933777
Sex: M
Age: 32
State: IN

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

Lab Data:

Allergies: None

Symptoms: Fatigue, Headache, Bodyaches

Other Meds: Vitamin D3 Fish Oil Multivitamin

Current Illness: None

ID: 0933778
Sex: F
Age: 26
State: MO

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

Lab Data: None

Allergies: None

Symptoms: Tiny pinpoint pimple looking raised bumps above elbows, shoulder, chest, and back of neck. Once discovered Benadryl 25mg was taken at 8:30 PM, and then a 2nd dose taken at 10:30 pm. Client then went to bed and did not wake up with bumps. Woke up feeling flu like symptoms Friday morning, nausea, muscle aches, headache, increased heart rate. Client does have history of migraines and anxiety which cause her heart to race. Sunday morning started with fever, cough, diarrhea, and runny nose.

Other Meds: Tramadol 50 mg taken @ 7 AM

Current Illness: N/A

ID: 0933779
Sex: M
Age: 35
State: OH

Vax Date: 01/05/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: About 96-100 hours after administration, I had chills, palpitations, and soreness of my legs. The following day, I had mild fatigue, malaise, and temp of high 99's-100.6 F.

Other Meds: None

Current Illness: None

ID: 0933780
Sex: F
Age: 26
State: NY

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

Lab Data: Not indicated

Allergies: No known allergies

Symptoms: 1st dose was not fully administered, solution leaked from patients deltoid, nurse confirmed syringe/needle was secured, 1st dose of the series was re-administered per guidelines

Other Meds: Not indicated

Current Illness: Patient declines any immunocompromising condition, no other illnesses indicated

ID: 0933781
Sex: F
Age: 61
State: CA

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

Lab Data:

Allergies:

Symptoms: low grade fever chills headache body ache sore arm

Other Meds:

Current Illness:

ID: 0933782
Sex: F
Age: 61
State: OH

Vax Date: 12/29/2020
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None just sent note to primary care provider & called my employee health department. I am also filling out this form.

Allergies: PCN; Tetracycline; Sulfa

Symptoms: 2 weeks after injection the area 2.5 x 1.5" just below the injection site is red, puffy, itchy & raised. Up until now the only symptom was a sore arm the day after injection.

Other Meds: Loratadine 10mg daily; Dicyclomine 20mg QID as needed for IBS symptoms

Current Illness: Irritable bowel symptoms on & off for about 1.5 yrs

ID: 0933783
Sex: F
Age: 37
State: IN

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

Lab Data: N/A

Allergies: N/A

Symptoms: Lymphadenopathy

Other Meds: N/A

Current Illness: URI

ID: 0933784
Sex: F
Age: 37
State: TX

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

Lab Data:

Allergies:

Symptoms: Chills and low grade temp of 99.9 Friday evening. Reports extreme dry mouth, headache, and body aches. Motrin taken on Saturday and Sunday with improvement.

Other Meds:

Current Illness:

ID: 0933785
Sex: F
Age: 69
State: NC

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

Lab Data: none

Allergies: none

Symptoms: a red rash approximately 2 inches by 2 inches developed over injection site. rash slightly raised and warm to touch with no pain. seems to be spreading after about 2 weeks

Other Meds: lisinopril, l arginine, flax oil

Current Illness: none

ID: 0933786
Sex: F
Age: 77
State: FL

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

Lab Data: No

Allergies: zyfaxin, red ants

Symptoms: Same day after getting vaccine. I got really dizzy and my heart raced. Called the Paramedics over and suggested I go to hospital and I declined after speaking with cardiologist. Cardiologist advised I take a xanax. I went home after. Later that day I noticed a little swelling in my wrist. The swelling has Gradually increased to the left side in my wrists and both the backs of my legs. I called my cardiologist Dr and I am waiting for a cb. I spoke to Dr and he said it sounds like I am retaining water and advised me to up my diuretics'.

Other Meds: armour thyroid 120mg, aloprazalam 1mg, abilify 15mg, sertraline HCL 200 mg, norvasc 10mg, hydralazine 50mg, phernolactone 50, lipitor 40mg. metoprolol 100mg. butalbital Acetaminophen, ambien 10mg

Current Illness: no

ID: 0933787
Sex: F
Age: 67
State: WI

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

Lab Data: 1/7/2021 Covid test negative

Allergies: NKA

Symptoms: Chills, T99.8, headache, nausea, stomach pain About 11:45 1/6/21 above s/s awoke me and continued throughout night. T97.4 about 9am, no chills, other symptoms remained but milder. No treatment other than increased hydration.

Other Meds: Victoza, Norvasc, Lipitor, bupropion, pantoprazole, asa, vitamin c, calcium, multivitamin, coq10

Current Illness: None

ID: 0933788
Sex: F
Age: 34
State: IL

Vax Date: 01/04/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swollen and painful lymph nodes

Other Meds: amlodipine besylate

Current Illness:

ID: 0933789
Sex: F
Age: 50
State: IA

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

Lab Data: None

Allergies: None

Symptoms: Spasmodic torticollis

Other Meds: None

Current Illness: None

ID: 0933791
Sex: F
Age: 46
State: IN

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

Lab Data: none

Allergies: NKA

Symptoms: exhaustion, lethargy

Other Meds: Accupril, spirnolactone, metformin, lipitor, allegra, singulair, synthroid, vyvanse, dextroamphetamine, meloxicam ASA, MVI, Ca, MagOx

Current Illness: none

ID: 0933792
Sex: F
Age: 33
State: ME

Vax Date: 12/23/2020
Onset Date: 01/01/2021
Rec V Date: 01/11/2021
Hospital: Y

Lab Data:

Allergies: None

Symptoms: Manager was notified that the employee had suffered a stoke-like "serious medical event" hours after the end of her shift, while at home.

Other Meds:

Current Illness:

ID: 0933793
Sex: M
Age: 51
State: OH

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: Covid tested and negative.

Allergies: No

Symptoms: Numbness in right side of head and right arm (where he received injection). Starting getting confused. Legs started to give out. Continued working. Symptoms got worse. On and off paralysis of legs. Eyes flickered and darted. When he sat down at 1am, he took two nitroglycerin for chest pain. He asked a nurse to take his blood pressure. It was low. He felt he was losing control. He was struggling for breath. Eyes were tearing up real bad and tremors started. He stated he fought to stay conscious. Was started on oxygen. Was assisted in a wheelchair and taken to ER. Waited there for 4 hours. Was delusional. I left without being seen by a doctor after blood work and EKG. Went to sleep and woke up in river of sweat. Went to urgent care at that time. Was given a COVID test and it was negative. Was prescribed zinc and vitamins. He had the same symptoms like he did when he originally got COVID. Today at 9:36am, have fever off and on. Continues to feel pretty bad. Still dizzy.

Other Meds: Metformin for diabetitis and blood pressure medications

Current Illness: No

ID: 0933794
Sex: F
Age: 54
State: VA

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

Lab Data:

Allergies: Compazine

Symptoms: Shortness of breath, Fatigue, muscle aches, chest pain, dizzy and light headed, headache

Other Meds: Fish Oil, Vit D, Vyvanse

Current Illness: none

ID: 0933795
Sex: F
Age: 43
State: DC

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Itchy, red, warm, slightly raised injection site on day 8 after vaccine. Symptoms resolved completely within 48 hours,

Other Meds: Vitamin D, Vitamin C, zinc, quercitin, melatonin, ashwaganda, b complex

Current Illness: None

ID: 0933796
Sex: M
Age: 62
State: IL

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Chills, fever

Other Meds: Lasortan HCTZ, Vit. D, Fish Oil Pill, Men's One A Day Vitamin,

Current Illness: none

ID: 0933797
Sex: M
Age: 46
State: IL

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

Lab Data:

Allergies: None

Symptoms: The next day 1/10 headache, tiredness and injection site pain

Other Meds: None

Current Illness: None

ID: 0933798
Sex: F
Age: 66
State: MO

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: PCN & Naprosyn

Symptoms: Red circular rash 8 days after injection. Description of rash: Perfectly round red rash aproximate size of a golf ball below the injection site. Rash is now encompassing the entire front of my upper left arm.

Other Meds: Calcium, D3, Areds2, Vitamin C w/Rosehips, B12 & Multivitamin

Current Illness: None

ID: 0933799
Sex: M
Age: 56
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: Arm soreness, severe muscle and joint pain, low grade fever, fatigue Treatment: Tylenol/ Motrin Outcome: symptoms better after 48 hours

Other Meds: Tylenol/ Motrin

Current Illness: None

ID: 0933800
Sex: F
Age: 53
State: OK

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

Lab Data: no

Allergies: no

Symptoms: metallic taste in mouth for a few hours

Other Meds: Hydrochlorothiazide, Amlodipine

Current Illness: no

ID: 0933801
Sex: F
Age: 63
State: UT

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

Lab Data:

Allergies: macrobid

Symptoms: large dark spot under lash line of lower eye, then 48 hours after small white bumps in dark spot.

Other Meds: metformin, singulair, labetalol

Current Illness:

ID: 0933802
Sex: F
Age: 31
State: NY

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

Lab Data: Normal lab work was obtained 01/11/2021

Allergies: none

Symptoms: The patient developed numbness in her left leg then shortly later numbness in her right arm affecting her balance and ability to walk accompanied by generalized weakness.

Other Meds: B12, multi-vitamins

Current Illness: none

ID: 0933803
Sex: F
Age: 23
State: WI

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

Lab Data: Unknown at this time

Allergies:

Symptoms: Pt received dose at 0828 and after about 15 minutes reported symptoms of: Face numbness, lip tingling, heart racing. A rash was also noted on her chest and perhaps to her right eye. Heart rate was 99 BPM and Pulse ox was 99%. Pt was transported to the ED for evaluation. Upon call back to ED they also stated pt reported her tongue was also affected (not swollen, but either numb or tingly).

Other Meds:

Current Illness:

ID: 0933804
Sex: F
Age: 29
State: TX

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

Lab Data: None

Allergies: ceclor

Symptoms: fever, chills, body aches, fatigue, muscle soreness, headache, enlarged/swollen lymph nodes on left side of neck

Other Meds: Vyvance, zertec

Current Illness: none

ID: 0933805
Sex: F
Age: 66
State: AL

Vax Date: 12/16/2020
Onset Date: 12/21/2020
Rec V Date: 01/11/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Patient had vaccine in Left arm. That same night patient had temp of 100.1 and the right neck at base of head to shoulder began to hurt patient was unable to swallow without pain in the next few days. Patient went to ER and was hospitalized for 2 days treated with IV steroids and 2 antibiotics (clindamycin and acyclovir). Patients symptoms resolved and patient was discharged without additional issues. The admitting physician was unable to identify the cause of these symptoms, but the vaccine could not be ruled out.

Other Meds:

Current Illness:

ID: 0933806
Sex: F
Age: 29
State: NH

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

Lab Data:

Allergies: Ceclor

Symptoms: Patient was in the passenger seat with a male driver. Patient stated "no" when asked if any medical issues. Stated "no" when asked if had any adverse reactions in the past to vaccinations. Vaccine administered, pt within seconds lost consciousness. Few seconds later pt had a seizure. 911 called. Help called for pt to be moved to cot. Pt started coming to and feeling better. Male driver later stated something to the effect of "this happens to her every time". BP 110/60. HR 78. SPO2 96%

Other Meds:

Current Illness:

ID: 0933807
Sex: M
Age: 8
State: MA

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

Lab Data: N/A

Allergies: None

Symptoms: Skin reaction starting night of 12/29. 12/30 swelling down to elbow & red on upper arm lasting until 12/31. 1/1/2020 redness & swelling improving.

Other Meds: None

Current Illness: None

ID: 0933808
Sex: F
Age: 33
State: VA

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

Lab Data: (1/8/21) Pregnancy test negative, CBC/BMP/urine screen WNL except for an elevated WBC (17.2 K/uL), %neutrophil (86%) and absolute neutrophil counts (14.7 K/uL). ECG QT interval 373 ms, QTc 434 ms O2 100% Temp WNL HR WNL

Allergies: None

Symptoms: Summary: syncopal event, hypotension, leukocytosis About 22-24 hours after receiving the first dose of the vaccine (1/8/21), the patient became nauseous and lightheaded, sat down in a chair for at least 30 minutes, felt worse and let a coworker know, then had a syncopal episode lasting 5-10 minutes, coworkers witnessed patient had stable vital signs but unresponsive, diaphoretic, pale, and shaking, a hospital rapid response was called (patient works at the hospital). Patient was taken to the ED for observation, remained hypotensive (90's/50's) for about an hour, then slowly returned to normal BP (110's/80's) over another hour. Patient likely did not require going to the ED, however was taken there as a precaution due initially to the length of time passed out and hypotension. Prior to this episode, the patient only experienced soreness at the injection site. Following this episode, the patient felt some weakness and had a mild headache for another 24 hours before returning to baseline.

Other Meds: Levothyroxine 88 mcg PO daily Paroxetine 10 mg PO daily Norethindrone PO daily Post-natal vitamin with iron PO daily

Current Illness: None (Of note, tested positive for covid-19 on 10/18/20, had mild symptoms)

ID: 0933809
Sex: F
Age: 39
State: GA

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

Lab Data: none

Allergies: none reported

Symptoms: Client approached a Nurse in the hall, reports within min. of being in the observation room client reports a "tingling tongue". Client was lead to an exam room and vitals were taken at 12:44pm. Lead Nurse called Nursing Director and was instructed to administer IM 25ml of Diphenhydramine to right arm. Vitals were continued every 5 min. Client reported "feeling better" and after aprox. 30min left to go home.

Other Meds: None reported

Current Illness: HX of Hypothyroid

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm