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: 0918507
Sex: F
Age: 58
State: OH

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Moderna COVID- 19 Vaccine After the 15 minute monitoring period after vaccine administration, patient complained of abdominal itching, no throat itching, no swelling, no difficulty breathing. Patient was given diphenhydramine 25mg oral liquid and asked to stay for additional 15 minutes of monitoring. After additional 15 minutes, patient stated that itching has improved.

Other Meds:

Current Illness:

ID: 0918508
Sex: F
Age: 34
State: MD

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: EKG

Allergies: Bactrim, Lortab

Symptoms: on 12/30/20 at around 4:45 pm experienced tachycardia and palpitations heart rate went up to 160, on 1/4/20 at around 9:30 am rash started on face

Other Meds: Modafinil, loratidine, multivitamin

Current Illness:

ID: 0918509
Sex: F
Age: 46
State: TN

Vax Date: 12/24/2020
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: Patient states injection site (left deltoid) abruptly turned red, warm, swollen, and itchy on 1/3/21 around 2:00 pm. Patient took Benadryl before bed on 1/3/21 and woke up this morning with no relief.

Other Meds: No

Current Illness: No

ID: 0918510
Sex: M
Age: 61
State:

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

Lab Data:

Allergies:

Symptoms: The patient received his vaccine on Thursday, 12/31/20 between 2:00pm and 2:30pm. The patient did not complain of any ADRs or fever immediately following the injection. However, the next day the patient fell in his room and when vitals were collected, he had a temperature of 102 F. Since the patient was febrile, him and his roommate were given rapid COVID tests, both of which were negative. The patient's PCR test has not come back yet. Per nursing report, the patient did not experience fever again over the weekend, it was a 1x occurrence. His temperature returned to normal on Saturday 1/2/21 and remained normal through Monday, 1/4/21. Besides fever, the patient did not complain of any other ADRs.

Other Meds:

Current Illness:

ID: 0918511
Sex: M
Age: 48
State: CA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Onset of mild skin rash over 80% of the body within 24 hours of vaccination. Treated with Benadryl.

Other Meds: Prescription Meds: Lisinopril 5mg Daily Supplements: D3 (5000 IU Daily), A/D/K (5mg Daily), Zinc (50mg daily), Quercetin (1000mg Daily), CoQ10, B12 (1000mcg Daily), Men's Multivitamin Daily Over the Counter: Baby Aspirin (81mg Daily)

Current Illness: None

ID: 0918513
Sex: F
Age: 63
State: AZ

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 30 minutes after injection, bodily itching relieved after oral Zyrtec <24 hrs after injection, fever > 101, headache, severe body aches, nausea, fatigue . Symptoms lasted >24 hrs

Other Meds: none

Current Illness: none

ID: 0918514
Sex: M
Age: 52
State: OH

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

Lab Data:

Allergies:

Symptoms: ?Moderna COVID- 19 Vaccine EUA? Patient received vaccine on 12/23/2020, complained of swollen lymph notes on 1/1/2021. Patient also experienced chills, fever 12 hours following vaccine administration.

Other Meds:

Current Illness:

ID: 0918515
Sex: F
Age: 50
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Headache, pain 7/10, started 3 hours after received vaccine, decreased to 2/10 with tylenol. Lasted for 48 hours and then periodically for an additional 24 hours. Required ATC tylenol for around 48 hours. Arm pain at injection site lasted for 48 hours Fatigue lasted 24 hours Myalgias (other than at injection site), lasted 26 hours

Other Meds: Vitamin D, pepcid, claritin, symbicorte, singulair

Current Illness: None

ID: 0918516
Sex: F
Age: 30
State: NE

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: shellfish

Symptoms: I administered the vaccine and as the patient has a history of childhood anaphylaxis to shellfish, I instructed her to wait for 30 minutes in the observation area, instead of the standard 15 minutes, It was in the observation area, where she was being observed that she began to feel "hot and flushed". The health staff observing will also be submitting a VAERS report, as they provided interventions to the patient.

Other Meds:

Current Illness:

ID: 0918517
Sex: F
Age: 50
State: MO

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: na

Allergies: Paxil,Quinine,Soma

Symptoms: Low grade fever HA Induration at injection site with redness and warmth Antibiotics prescribed by PCP after a phone call with the patient for possible cellulitis

Other Meds:

Current Illness: none

Date Died: 12/31/2020

ID: 0918518
Sex: F
Age: 50
State: NE

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

Lab Data: Autopsy being performed

Allergies: To be determined

Symptoms: syncopal episode - arrested - CPR - death

Other Meds: To be determined

Current Illness: To be determined

ID: 0918519
Sex: M
Age: 58
State: TX

Vax Date: 12/15/2020
Onset Date: 12/17/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: X-Ray showed no issues. Took gout medication but did not help

Allergies: none

Symptoms: Inflammation to left ankle and both knees to the point that I was not able to walk. I have gout attacks but this was nothing like a gout attack. I took gout medication and did not help. only time and rest allowed the ankle to go down. I am schedule to see another doctor to check if the inflammation has anything to do with blood circulation, heart issue, both issue new to me

Other Meds: Lipitor, Lisinopril, Zyloprim, KETO pills, vitamin C & D

Current Illness: none

ID: 0918520
Sex: F
Age: 41
State: CO

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: C/O dizziness, transient SOB, pain in upper chest, nausea

Other Meds: None

Current Illness: None

ID: 0918521
Sex: F
Age: 55
State: NM

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

Lab Data: n/a

Allergies: n/a

Symptoms: 12/31/20 around 4pm started general malaise. 1/1/21 Severe debilitating migraine until 1/3/21

Other Meds: n/a

Current Illness: n/a

ID: 0918522
Sex: F
Age: 48
State: ME

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: Unknown

Symptoms: 12/22/20, 13:36: 6 minutes after receiving the 1st Pfizer vaccine injection, there was stiffness felt behind my ears and in the back of my neck. 10 minutes after the injection, there was a fullness noted along my throat and upper pallet. The symptoms only slightly lessened after 30 minutes. I have a hx of Rheumatoid Arthritis, completing prednisone doses 4 days ago and currently taking Celebrex and IBU daily. The Benadryl liquid dose (25mg) taken at 14:15 completely resolved my reaction symptoms by 15:15.

Other Meds: Unknown

Current Illness: Unknown

ID: 0918523
Sex: F
Age: 19
State: NY

Vax Date: 12/29/2020
Onset Date: 01/01/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: Negative covid tests on 1/2/2021

Allergies: Tree nuts

Symptoms: First few days nothing besides arm pain. 1/1/2021- to present 1/4/2021 headache, nausea, vommiting, feeling feverish and chills.

Other Meds: Lexapro

Current Illness: None

ID: 0918524
Sex: F
Age: 40
State: OH

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: ?Moderna COVID- 19 Vaccine EUA? After 15 minute monitoring time, patient complained of metallic taste in mouth. She described it as similar to "the taste you get after a saline flush".

Other Meds:

Current Illness:

ID: 0918525
Sex: F
Age: 88
State:

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: Hospital determined UTI. Antibiotic and Eliquis orders due to hx of strokes.

Allergies: Oxycodone, penicillan

Symptoms: Resident unresponsive. Responds to painful stimuli. Arms flacid.

Other Meds: Healthy Eyes Tablet, Glimepiride, Januvia, Lasix, Potassium, Folic Acid, Ultram, Ativan, Tylenol Arthritis, Humelog

Current Illness: N/A

ID: 0918526
Sex: F
Age: 47
State: CA

Vax Date: 12/26/2020
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: PCN, insect bites (no history of anaphylaxis)

Symptoms: 8 days after receiving vaccine, I had urticarial plaques at the injection site with mild pain and stiffness. Treatment has included icing, topical TAC, and oral Zyrtec.

Other Meds: Iron, Biotin, Vit D, Ayurvedic supplement, Zinc, flonase (Took one Pepcid the night before reaction; I've taken this before many times, took Tylenol a day after the injection)

Current Illness: Seasonal allergies

ID: 0918527
Sex: F
Age: 25
State: NJ

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

Lab Data: None

Allergies: None

Symptoms: Vaccine recipient reported feeling lightheaded and had a tickle in her throat. She reported to then have developed an odd taste in her throat *unable to describe?. The vaccine recipient also developed arm pain and swelling around the injection site. The vaccine recipient was sent to the ED for further observation with no medical intervention needed. They were discharged stable to home. On a follow-up call today 1/4/2021, vaccine recipient reported that symptoms went away and they have recovered. Moderna COVID- 19 Vaccine EUA.

Other Meds: Zoloft 50 mg, Pepcid 40 mg, birth control

Current Illness: None

ID: 0918528
Sex: F
Age: 46
State: AL

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: N/a

Allergies: none

Symptoms: Received dose #1 at 0830. Severe pain at and around injection site by 1000. Unable to abduct arm by 1030. Took Tylenol 650 mg po around 1130. Pain eased but never went away. On the night of the injection, chills, inability to warm up, sweating, and GI upset started and lasted into the next day. Injection site pain remained until day 3.

Other Meds: Synthroid Norvasc

Current Illness: nonw

ID: 0918529
Sex: F
Age: 49
State: OK

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 10 min after initial injection, I experienced a brief flush of heat that resolved after a few minutes. 6 hours later, I had a sudden onset of intense heat, diaphoresis, and a rash to my arms/legs, along with intense muscle tremors, nausea, vomiting and stomach cramps.

Other Meds: Methylphenidate

Current Illness: None

ID: 0918530
Sex: M
Age: 58
State:

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: Penicillin, sulfa antibiotics

Symptoms: 30 minutes after receiving the vaccine the patient developed hives, scratchy eyes, and a scratchy throat. He reported to the ED and was given Benadryl, methylprednisolone, and famotidine. His symptoms resolved and he was shortly thereafter discharged.

Other Meds: None

Current Illness: None

ID: 0918531
Sex: F
Age: 54
State: IL

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Arm Pain at injection site - pleased to report nothing else. Thank you

Other Meds:

Current Illness:

ID: 0918532
Sex: F
Age: 27
State: MI

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: I received my first dose of the COVID-19 vaccine on 12/22/2020 in the left arm. Immediately at the time of the administration, I noticed numbness in my left pinky & ring finger that extended to my elbow. I figured they may have ?hit a nerve? so I called my PCP afterward. My PCP advised me to take Ibuprofen 600mg and to call the next day with any new or worsening symptoms. When I woke up the next day, I noticed numbness in both of my feet (with continued numbness in my left forearm). I had a visit with my PCP where I had a normal neurological exam except for the paresthesias. I did not sleep well the night before, so I was sent home with a medication to assist in sleeping and to observe over the holidays to see if my condition improved. Otherwise, my PCP would order more testing. Monday after the holidays (12/28/2020), my symptoms didn?t improve. I noticed that I have constant numbness in bilateral hands and feet with periodic episodes where my entire left leg and then my entire right arm had tingling/numbness/crawling sensation. I had some fasting labs done on 12/29/2020: CBC, CMP, CRP, Sed Rate, TSH, Magnesium, eGFR were all within normal limits. My B12 was slightly low at 210 (normal levels are listed as 211-911). I received a B12 injection that same day and started OTC B12 supplements. I am currently waiting on the referral to go through for an EMG. Since receiving my B12 injection, I noticed a few more episodes over the New Year holiday break. From 12/31/20-01/02/21, I had this tingling/unpleasant sensation episode on my whole right side. My entire arm and leg were being affected; the episode was constant throughout most of the day with a few moments of relief with hot showers/heating blanket. No weakness noted. I currently have a message out to my PCP to update.

Allergies: No known allergies

Symptoms: I received my first dose of the COVID-19 vaccine on 12/22/2020 in the left arm. Immediately at the time of the administration, I noticed numbness in my left pinky & ring finger that extended to my elbow. I figured they may have ?hit a nerve? so I called my PCP afterward. My PCP advised me to take Ibuprofen 600mg and to call the next day with any new or worsening symptoms. When I woke up the next day, I noticed numbness in both of my feet (with continued numbness in my left forearm). I had a visit with my PCP where I had a normal neurological exam except for the paresthesias. I did not sleep well the night before, so I was sent home with a medication to assist in sleeping and to observe over the holidays to see if my condition improved. Otherwise, my PCP would order more testing. Monday after the holidays (12/28/2020), my symptoms didn?t improve. I noticed that I have constant numbness in bilateral hands and feet with periodic episodes where my entire left leg and then my entire right arm had tingling/numbness/crawling sensation. I had some fasting labs done on 12/29/2020: CBC, CMP, CRP, Sed Rate, TSH, Magnesium, eGFR were all within normal limits. My B12 was slightly low at 210 (normal levels are listed as 211-911). I received a B12 injection that same day and started OTC B12 supplements. I am currently waiting on the referral to go through an EMG. Since receiving my B12 injection, I noticed a few more episodes over the New Year holiday break. From 12/31/20-01/02/21, I had this tingling/unpleasant sensation episode on my whole right side. My entire arm and leg were being affected; the episode was constant throughout most of the day with a few moments of relief with hot showers/heating blanket. No weakness noted. I currently have a message out to my PCP to update.

Other Meds: Lutera

Current Illness: Anxiety

ID: 0918533
Sex: F
Age: 52
State:

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Temperature of 103 F, nausea, vomiting, diarrhea for 3 days

Other Meds: none

Current Illness:

ID: 0918534
Sex: F
Age: 36
State: OR

Vax Date: 12/27/2020
Onset Date: 12/28/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The day after injection I developed severe soreness, redness, swelling, and what felt like a knot at injection site. Pain and swelling have decreased, but redness and itching and the knot are still there and not improving. Reddened skin also is slightly warmer than unaffected surrounding tissue.

Other Meds:

Current Illness:

ID: 0918535
Sex: F
Age: 42
State: CT

Vax Date: 12/26/2020
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: Skin allergies to fabric softeners and stick deodorant

Symptoms: 1/3/21 noted a red lump/hive looking mark on the injection site. Mark was warm to touch.

Other Meds: Fish Oil, Vitamin C, B12 and Folic Acid

Current Illness: None

ID: 0918536
Sex: F
Age: 49
State: WI

Vax Date: 12/24/2020
Onset Date: 12/25/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Had vaccine on 12/24 and red, warm at injection site size of golf ball. Going to Occ Health for evaluation

Other Meds:

Current Illness:

ID: 0918537
Sex: M
Age: 50
State: TX

Vax Date: 12/31/2020
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Redness, swelling, and pain to injection site

Other Meds: xigduo, Levimer, Victoza, Lisinopril, HTCZ, Pravastain

Current Illness: None

ID: 0918538
Sex: F
Age: 19
State: TX

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: "Woke up at 1am with nausea, flushed in the face, hives and bumps on face and back. Lasting approximately 4-5 hours"

Other Meds:

Current Illness:

ID: 0918539
Sex: F
Age: 47
State: ND

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

Lab Data: N/A

Allergies: Codeine and Amitriptyline

Symptoms: Not feeling well the evening of the vaccine, began running a temp that evening with aches, chills headache. The following day continued to run a temp of 103.6 F, aches, fatigue, chills, headache, and tachycardia (120 bpm). The following day, developed itching w/o rash. Itching and fatigue lasted for approximately 8 days, the other symptoms subsided after approximately 3 days.

Other Meds: Gabapentin - Topamax - claritan

Current Illness:

ID: 0918540
Sex: F
Age: 72
State: TX

Vax Date: 12/26/2020
Onset Date: 01/04/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: none

Allergies: morphine

Symptoms: Redness and swelling at injection site

Other Meds: tylenol, calcium, fish oil, vit D, B12, CO-Q 10, Vit C, BP med x 2, gout med, pepcid

Current Illness: N/A

ID: 0918541
Sex: M
Age: 43
State: UT

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: Vitals

Allergies: Penicillin, commpazine

Symptoms: 10 min after injection, my mouth started getting hot, then it moved down my throat and it was difficult and painful to swallow. I got quite dizzy. They initiated rapid response, when they came they simply monitored symptoms and Vitals. Blood pressure and Heart rate were elevated. after about 10 min the symptoms eased, but swallowing was still difficult and slightly painful. then a second wave of dizziness hit me and I nearly passed out. my heart rate was elevated once again and had ringing in ears. these symptoms lasted another 5-10 min then eased. I then had a headache. The symptoms didn't return, just a headache and fatigue the rest of the day. i was then given option to go to ED, which i didn't feel at that time I needed, so I left. The next day, i had some standard symptoms of pain in left arm from injection, and fatigue, but then toward the evening i developed a fever of 101 deg F than continued for a couple of hours. I used ibuprofen and Tylenol rotating to keep the fever down. On day 3 only mild fatigue.

Other Meds: Omega-3 (fish oil pill), Atorvastatin, Metformin, Vitamin D

Current Illness: Had Covid, tested positive 11/6/2020, still have residual issues of not being able to smell or taste well. have also had chronic congestion and nasal drip since then.

ID: 0918542
Sex: M
Age: 39
State: AL

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

Lab Data: N/A

Allergies: Seafood

Symptoms: After receiving his vaccine today, immediately he turned red, he stated he felt like his stomach dropped(like being on a roller coaster), and had a brief moment for about 30-45 seconds of chest tightness, all symptoms that he has when he eats seafood (has seafood allergy).

Other Meds: N/A

Current Illness: N/A

ID: 0918543
Sex: F
Age: 58
State:

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 103 F temperature for 3 days after vaccine

Other Meds: None

Current Illness: None

ID: 0918544
Sex: F
Age: 54
State:

Vax Date: 12/18/2020
Onset Date: 12/28/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: 12/28/20: Positive COVID19 antigen test

Allergies:

Symptoms: This patient tested positive for COVID19 on 12/28/20. The purpose of this VAERS submission is in response to the request from the agency to input all patients who tested positive for COVID19 after receipt of the COVID19 vaccine.

Other Meds:

Current Illness:

ID: 0918545
Sex: M
Age: 61
State: NJ

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Right side of face tingly, slightly numb. Tingly feeling was gone the next day. Slightly numb feeling lasted at least three or four days. Right arm was sore for four days. Until 12/28, pain in upper right arm would start for no reason, usually in the evening.

Other Meds:

Current Illness:

ID: 0918546
Sex: M
Age: 32
State: MI

Vax Date: 12/17/2020
Onset Date: 12/20/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: Tested covid positive on 12-21-20

Allergies: None

Symptoms: Headache on 12-19-2020. Tested covid positive on 12-21-20

Other Meds: None

Current Illness: None

ID: 0918547
Sex: F
Age: 60
State: NY

Vax Date: 12/22/2020
Onset Date: 01/01/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: none known

Symptoms: ITCHING AND SWELLING IN BOTH HANDS AND ONE FOOT WITH PAPULES ON HANDS 1 1/2 WEEKS AFTER VACCINE. PROGRESSING OVER 3 DAYS. WORSE IN THE MORNING, SOME RELIEF WITH ANTIHISTAMINES.

Other Meds: vitamin C, vitamin D3, estradiol gel, turmeric

Current Illness:

ID: 0918548
Sex: F
Age: 36
State: VA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies: Fentanyl

Symptoms: Received vaccination on 12/30/20. Around 330a on 12/31/20 began to have chills and fever of 101. Arm soreness where injection occurred. Had nausea.

Other Meds: Unknown

Current Illness: Covid + end of October 2020

ID: 0918549
Sex: F
Age: 50
State: KS

Vax Date: 12/29/2020
Onset Date: 01/02/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: N/A

Allergies: bees and wasp venom, sulfa

Symptoms: soreness of arm, pain moved to armpit, tender to touch

Other Meds: Stelara monthly, Lexapro, Nature supplements

Current Illness: N/A

ID: 0918550
Sex: F
Age: 26
State: AZ

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: Sulfa Gluten Dairy Peanuts, Almonds (not an anapyllactic allergy) Soy Corn

Symptoms: By evening, arm around the injection site grew increasingly painful, to the point where it hurt to move or touch (not unbearable but more soreness than any other injection I've ever received). Over night contracted a fever, by the time I was able to get up to measure it (around 3:45 AM) it was 99.5 degrees, and broke by 5 AM. Had fever dreams prior to waking around 3 AM, and had chills for the remainder of the night. Felt achy and a little unsteady for the rest of the day but was fully recovered by 12/31

Other Meds: Mini pill (norethindrone) only birth control pill Calcium with Vitamin D supplement Kava Kava liquid herbal Stinging Nettles herbal Zyrtec Aleve (for the fever) Other supplements not taken that day (D, B12, Biotin, Intestamine, Phyto-ADR)

Current Illness: None

ID: 0918551
Sex: F
Age: 37
State: MN

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: Check for strep throat

Allergies: I'm allergic to penicillin

Symptoms: My lymph nodes in back of my throat swollen and I had joint pain. Also had a fever of 102.9.

Other Meds: None

Current Illness: None

ID: 0918552
Sex: F
Age: 39
State: IL

Vax Date: 12/30/2020
Onset Date: 01/01/2021
Rec V Date: 01/04/2021
Hospital: Y

Lab Data: Pt was tested for Influenza and COVID and lab work was normal

Allergies: NKA

Symptoms: Severe diarrhea, cold chills, 101 fever, and nausea

Other Meds: None

Current Illness: Lupus

ID: 0918553
Sex: F
Age: 19
State: TX

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Woke up at 1am with nausea, flushed in the face, hives and bumps on the face and back. Lasting approximately 4-5 hours.

Other Meds:

Current Illness:

ID: 0918554
Sex: F
Age: 42
State: MI

Vax Date: 12/26/2020
Onset Date: 12/26/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: Benadryl Claritin Levaquin Losartan Sulfa Drugs Ace Inhibitors

Symptoms: Tongue swelling after receiving COVID-19 vaccine. No difficulty breathing, no rash. Claims posterior aspect of tongue is swelling and causing her a gagging feeling. No chest pain.

Other Meds: Flexeril Xanax Cardizem Symbicort Cadura Synthroid Glucophage Pravachol Aldactone albuterol EpiPen

Current Illness:

ID: 0918555
Sex: F
Age: 31
State: IN

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

Lab Data: O2 Sat 98, pulse 65 . Blood Pressure 118/82 R 16, blood sugar 98.

Allergies: Bactrim

Symptoms: Patient is allergic to Bactrim, hence she was told to wait 30 minutes after she was vaccinated. About 15 minutes waiting time she started c/o numbness to her left leg.

Other Meds: Nexplanon

Current Illness: None

ID: 0918556
Sex: F
Age: 43
State: MI

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

Lab Data: none

Allergies: penicilin

Symptoms: Had severe chills when I went to bed. Woke up around 1:45am with severe pounding headache, fever, body aches, heart racing. 911 was called for fear of getting worse, however vital signs were stable so I stayed home and declined visit to ER. I had COVID in September

Other Meds: birth control zyrtec fiber capsules

Current Illness: none

ID: 0918557
Sex: F
Age: 35
State: MA

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

Lab Data: none

Allergies: none

Symptoms: Beginning 4 to 5 hours after vaccine shoulder pain and stiffness continues to worsen over 5 days before improving with Ibuprofen. Shoulder pain worsened again after increased use 1 week after injection became difficult to move due to pain and stiffness. Has improved again with consistent use of Ibuprofen.

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm