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: 0935140
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Sore arm at injection site along with facial and swelling on the right side. Patient also reports headache and joint aches and pain.

Other Meds:

Current Illness:

ID: 0935141
Sex: F
Age: 37
State: CA

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

Lab Data:

Allergies: Allergic to penicillin - anaphylaxis Brazil nut - anaphylaxis Gluten/celiac disease- diarrhea, nausea

Symptoms: COVID Vaccine #1 given to me in my left arm at 12:20pm -( I pre treated at 1140 am with 25 mg of Benadryl) At 2:25pm I began to feel a burning sensation in my chest (almost like heartburn) however I had not eaten anything. At 2:30pm I became very congested (nasal congestion and bilateral ear congestion) At 2:35pm I began coughing and could hear a wheezing sound when breathing in. -I took another 25 mg tablet of Benadryl At 2:45pm I took 20mg of Pepcid At 315 pm I went to sleep I woke up at 6:30 pm and my eyes were puffy , and my lip were enlarged and swollen. No pain or discomfort All other symptoms (chest burning sensation, coughing, congestion, wheezing) resolved. At 645pm I took 25mg of Benadryl Slept all night Woke up at 630am on 1/9/2021 and all symptoms including facial swelling, enlarged lips, chest burning sensation, coughing, congestion and wheezing had resolved.

Other Meds: I took 25mg Benadryl 40 mins prior to vaccination

Current Illness: I was COVID positive on 12/20/20- recovered

ID: 0935142
Sex: F
Age: 21
State: NJ

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

Lab Data: None

Allergies: none

Symptoms: Moderna COVID-19 Vaccine EUA -- left arm very painful with fingers tingling similar to when your hand falls asleep. No swelling or redness at injection site; fingers not swollen and no loss of color.

Other Meds: Centrum multivitamin and oral contraceptive

Current Illness: none

ID: 0935143
Sex: F
Age: 61
State: AR

Vax Date: 12/18/2020
Onset Date: 12/25/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data: COVID-19 Rapid Positive 12/28/2020

Allergies: Demerol(nausea/not true allergy)

Symptoms: Diagnosed with COVID-19, Fatigue, Bodyaches(severe), Myalgia, Fever, Diarrhea, GI Discomfort

Other Meds: Levothyroxine, Zolpidem, Symbicort, Famotidine, Pantoprazole, Cyclobenzaprine

Current Illness: None

ID: 0935144
Sex: F
Age: 42
State:

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: muscle aches, low fever. called in sick to work.

Other Meds:

Current Illness:

ID: 0935145
Sex: F
Age: 35
State: CA

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

Lab Data:

Allergies: NKA

Symptoms: Adminstration Error : COVID-19 vaccine (IM) given ~ 1/2 inch from the top of the right shoulder in medial area.

Other Meds:

Current Illness:

ID: 0935146
Sex: F
Age: 44
State: CA

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

Lab Data: none

Allergies: Keflex

Symptoms: Skin rash about 2x3 inches, no itching no pain. Rash is about 1 inch away from injection site.

Other Meds: none

Current Illness: none

ID: 0935147
Sex: F
Age: 31
State: IN

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

Lab Data:

Allergies: None

Symptoms: I had tachycardia about 18 hours following my second dose. It lasted a few hours before subsiding. I had this along with aches, headache and fatigue which I expected but the tachycardia was pretty significant. Up and walking to the bathroom HR was in 130s, laying down it was in the 110s.

Other Meds: None

Current Illness: None

ID: 0935148
Sex: F
Age: 43
State: KS

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

Lab Data: Lab tests normal in ER on 1-8-2021. Unknown what was assessed. 1-11-2021, interviewed with patient. She is at work after the weekend. She says she is still suffering from anxiety.

Allergies: possible seasonal allergy to pollen

Symptoms: First reports nausea within minutes of Covid vaccination. Then reported "warm, tingling" sensation and repeatedly stated "I don't feel good". Her left arm at site of vaccine also became red and swollen. Swelling of left face noted. Also reported feeling of panic. Epi Pen was administered at the health department. EMS transport to ER where she received IV with Benadryl, Haldol and Zofran. She was discharged from the hospital after several hours.

Other Meds:

Current Illness:

ID: 0935149
Sex: F
Age: 77
State: WA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data: no

Allergies: Inhalant for the lungs

Symptoms: Shot did not hurt. Started feeling sore at night. Went to bed at 12, was sore, and warm, slightly red, size of silver dollar. At 2:30am wore up very hot temp was 102. Arm was quite red in a much larger area. By 5:30am temp was 97.4. Started itching the next morning , 8-9am. Redness stayed for a week, itching. Soreness went away after the forth day. Redness faded about 8 days later.

Other Meds: Didn't want to give me her medications

Current Illness: no

ID: 0935150
Sex: M
Age: 25
State: PA

Vax Date: 12/28/2020
Onset Date: 01/02/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rash to neck, lower back and genitalia

Other Meds:

Current Illness:

ID: 0935151
Sex: F
Age: 57
State: CA

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

Lab Data:

Allergies:

Symptoms: muscle aches chills fever right knee where quad is, is numb

Other Meds:

Current Illness:

ID: 0935152
Sex: F
Age: 38
State: KS

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

Lab Data: none

Allergies: nkda

Symptoms: Pt with itching and burning of both ears. Mild rash over ears and nape of neck at hair line. Also with posterior lymphadenopathy as well as axillary lymphadenopathy. Triamcinolone helped rash and itching.

Other Meds: Lo ovral Vitamin C

Current Illness: none

ID: 0935153
Sex: F
Age: 83
State: TX

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

Lab Data: WENT TO ER BY AMBULANCE

Allergies: nkda

Symptoms: FAINTING EPISODE CONFUSION

Other Meds: N/A

Current Illness: n/a

ID: 0935154
Sex: F
Age: 48
State:

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

Lab Data:

Allergies:

Symptoms: sore throat, headache, earache. called in sick to work.

Other Meds:

Current Illness:

ID: 0935155
Sex: F
Age: 61
State: MD

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

Lab Data:

Allergies: Nkda

Symptoms: Lymph node swelling under left arm and aching down left arm and side of chest. Lymph node painful to touch.

Other Meds: Zoloft, MVI, VIT D, VIT E, CALCIUM, FISH OIL

Current Illness: None

ID: 0935156
Sex: F
Age: 36
State: MN

Vax Date: 01/04/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Submental (midline) lymph node, 2 cm, tender. Lasted for 48 hours, starting on day 4 after vaccine.

Other Meds: None

Current Illness: None

ID: 0935157
Sex: F
Age: 75
State: TN

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

Lab Data:

Allergies: Zucchini Scallops

Symptoms: Mild arm soreness at site the following day Significant fatigue on the following five days and now Heart palpitations and elevated BP on day four Mild nausea on day five

Other Meds: Ozempic Rapatha

Current Illness: None

ID: 0935159
Sex: F
Age: 36
State: NJ

Vax Date: 01/03/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Lump found above left collarbone. Painful, tender to touch. Have an appt with my PCP 1/13 to be assessed.

Other Meds: None

Current Illness: None

ID: 0935160
Sex: F
Age: 54
State: VT

Vax Date: 12/17/2020
Onset Date: 12/18/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data: NA

Allergies: Ciprofloxacin-Dexamethasone

Symptoms: The patient woke up early morning with itching and swollen hands. She took some Allergy medication liquid at 0630 AM without improvement. At work sym- ptoms worsened with skin blotches on the back of her neck and itching around her waist. No shortness of breath. Prednisone 40mg daily x 5 days.

Other Meds: Requip, Desyrel, Synthroid, Prevacid, Cymbalta

Current Illness:

ID: 0935161
Sex: F
Age: 38
State: AR

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

Lab Data: none patient does not have insurance and could not afford to go to doctor

Allergies: NONE

Symptoms: Beginning the evening after receiving vaccine 1/5/21 patient complains of nausea, headache. The next day the patient symptoms were chills, headache, restless legs, and a slight tremor. By Saturday 1/9/21, the patient was experiencing worsening restless legs, and tremors to the point she could the sleep or work. Patient reported symptoms to the pharmacy on monday 1/11/21, chills, nausea, and headache had subsided and tremors and restless legs were improving.

Other Meds: NONE

Current Illness: NONE

ID: 0935162
Sex: F
Age: 40
State: OH

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

Lab Data: None

Allergies: Sulfa Spirinolactone

Symptoms: Night of vaccine, experienced involuntary muscle twitching of extremities. Continued for approximately 1.5 weeks when laying down at night to sleep. 1 week after vaccine woke up with rash at vaccination site and sore armpit (felt like swollen glands in armpit). Red and itchy rash grew to size of softball next couple of days, armpit became more sore. Rash and armpit soreness improved over next week, and now 95% better.

Other Meds: Citrical with D3 Vitamin D Lexapro

Current Illness: No

ID: 0935163
Sex: F
Age: 57
State:

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

Lab Data:

Allergies:

Symptoms: headache swollen glands in throat injection site soreness

Other Meds:

Current Illness:

ID: 0935164
Sex: M
Age: 40
State: CA

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

Lab Data: None

Allergies: NKA

Symptoms: After about 15 minutes, I began to feel lightheaded and experience a tingling in my arms/hands. I'd guess it was related to the nerves in the arms, because it specifically affected my pinky and ring fingers on both hands. I was also unsteady on my feet, but did not lose consciousness. The lightheadedness and tingling continued off and on for most of the day. The tingling appeared to go away the next day, but I still experienced periodic (though rare) feelings of lightheadedness. Perhaps 2-3 time the next day (Saturday) and experienced maybe 1-2 times the following day (Sunday). I did not take Adderall on the weekend. On Monday, I did take Adderall and returned to work, where I experience some tingling again and longer bouts of lightheadedness. Again, I have not lost consciousness.

Other Meds: Adderall XR

Current Illness: None

ID: 0935165
Sex: M
Age: 34
State:

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

Lab Data:

Allergies:

Symptoms: Significant elevation in heart rate approximately 30 minutes after the vaccine was administered.

Other Meds:

Current Illness:

ID: 0935166
Sex: F
Age: 35
State:

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

Lab Data:

Allergies:

Symptoms: fever, body aches, chills, headache. called in sick to work.

Other Meds:

Current Illness:

ID: 0935167
Sex: M
Age: 55
State: OH

Vax Date: 12/26/2020
Onset Date: 01/05/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Received vaccine on 12/26/2020. On 1/5/2021, developed chills, and significant joint and body pain that decreased his movement. Saw his physician on 1/9/2021, had numerous lab tests done, Covid negative. Doctor believes the vaccine caused a previously diagnosed autoimmune disease to flare up. Still has significant pain today, 1/11/2021.

Other Meds:

Current Illness:

ID: 0935168
Sex: F
Age: 54
State: ID

Vax Date: 12/31/2020
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: none

Allergies: CAT ALLERGY ONLY. NO MEDICATION ALERGIES

Symptoms: For 2 days after injection, arm hurt, then stopped hurting. Six days later, injection site started to itch, rash developed (red and swollen). 1/11/21. rash is gone but injection site continues to be red, swollen, itchy and painful. Patient is using Benadryl cream topically for itchy area. Arm continues to be swollen, red and painful to touch.

Other Meds: NONE

Current Illness: NONE

ID: 0935169
Sex: F
Age: 28
State: OH

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: Body aches, Chills, fatigue.

Other Meds: Cranberry pills, melatonin, multivitamin, zyrtec, Depo-provera.

Current Illness: N/A

ID: 0935170
Sex: F
Age: 49
State: NE

Vax Date: 12/24/2020
Onset Date: 12/25/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data: 01/08/2020 in ER she had CBC = within normal limits, CMP - alkaline phosphates were 134, Procalcitonin - <0.05, CXR showed no infiltrates or pneumonia. CXR was unremarkable. felt that this event should be reported since pt. had developed s/s of Covid after receiving the vaccination even though our facility is aware that a person could still become infected after receiving the vaccine. The Health department has witnessed some increase in s/s in individuals that have had Covid with the receiving of the vaccine.

Allergies: Adverse effect to Codeine = N/V and GI upset

Symptoms: Reports on 12/24/2020 noting a knot at the injection site and reports "my arm hurting" through 12/27/2020. 12/25/2020 - 12/26/2020 she c/o of headache, dizziness, "everything hurt under the sun". 12/29/2020 develops runny nose, sinus congestion. She was tested for Covid on 12/29/2020 and was found to be positive. From 12/31/2020 to 1/5/2021 she had fevers from 99-101. on 1/6/2021 she began having diarrhea and increased fatigue. On 1/6 she developed SOB, was in contact with PCP clinic where she was instructed to push fluids and use Incentive Spirometry. On 1/8/2021 she is seen in the local ER with c/o increased SOB with activity and fells like she cannot cleat congestion from her chest with coughing.

Other Meds: Alprazolam, Aleve

Current Illness: Denies being ill on day of vaccine and denies any illness up to one month prior to vaccine

ID: 0935171
Sex: F
Age: 36
State: TX

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: I would say the day after mild injection site pain, then at 10 days after mild fatigue and at 14 days after a migraine.

Other Meds: No

Current Illness: No

ID: 0935172
Sex: F
Age: 32
State: GA

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

Lab Data:

Allergies: NO KNOWN ALLERGIES LISTED ON IMMUNIZATION CONSENT FORM

Symptoms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

Other Meds:

Current Illness:

ID: 0935173
Sex: F
Age: 23
State: IL

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

Lab Data: 1/11/21 - completed right after vaccine - blood tests - ekg - IV fluid

Allergies: N/A

Symptoms: "Moderna COVID-19 Vaccine EUA" Started to feel light headed. Sat down and started to heat up while my hearing started to fade. Never lost complete consciousness and was able to report and respond correctly throughout but got formal check up.

Other Meds: Spirolactone (Acne Medication), Orthotriclyclin (Birth Control)

Current Illness: N/A

ID: 0935174
Sex: F
Age: 58
State: NY

Vax Date: 01/04/2021
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Soreness, slight erythema, Induration size is 3 1/2 x 3 1/4, warm to touch No fever Follow up PCP/ urgent care Recommended anti-inflammatory medication, cool compresses

Other Meds: Vit D, Calcium, Biotin

Current Illness: None

ID: 0935175
Sex: F
Age: 56
State: KY

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

Lab Data:

Allergies:

Symptoms: Received vaccine on 12/30; tested positive for Covid19 on 1/6.

Other Meds:

Current Illness:

ID: 0935176
Sex: F
Age: 57
State: OR

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

Lab Data: COVID-sars 2 NAAT

Allergies: Iodine Lactose

Symptoms: onset of trigeminal neuralgia in V1, V2 and V2 within 24 hours of 2nd dose. Notably pt has hx of intermittent trigeminal neuralgia (3-4 previous flares in her lifetime) believed to be secondary to HVS infection. Sx have been present for 2 days and associated with headache, fatigue and mild sore throat. Pt will treat per usual with acyclovir 400 mg TID x 3-5 days.

Other Meds:

Current Illness: none known

ID: 0935177
Sex: F
Age: 59
State: KY

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: Latex, Percocet, Morphine

Symptoms: I have a 2.5 inch raised area on my LT deltoid. It is hot to touch. It is erythematous from shoulder joint down to my elbow and spreads around my upper arm. There is some puritis.

Other Meds: Spironolactone, Zyrtec, Mobic, Calcium, Vitamin D, Multi-Vitamin, Progesterone, Estrogen and Testosterone Bio-identical hormones SQ

Current Illness: None

ID: 0935178
Sex: F
Age: 54
State: CA

Vax Date: 12/24/2020
Onset Date: 01/01/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient describes soreness and redness in the arm, now it is still itching since January 1st

Other Meds:

Current Illness:

ID: 0935179
Sex: F
Age: 23
State: MI

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

Lab Data:

Allergies:

Symptoms: immediately after vaccination - tachycardia, shortness of breath 12-13 hours after vaccination - rash and swelling of the eyes that worsened with time

Other Meds:

Current Illness:

ID: 0935180
Sex: F
Age: 28
State: ND

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

Lab Data: Epinephrine 0.5mg IM given

Allergies: Penicillin and Green Peppers

Symptoms: Scratchy throat, dizziness and eventually feeling like her throat is closing in

Other Meds: Unknown

Current Illness: Unknown

ID: 0935181
Sex: F
Age: 54
State: NY

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

Lab Data: Vital signs, O2 sat were taken and she was sent for evaluation

Allergies: amoxicillin

Symptoms: Patient complained of dizziness and feeling of something in her throat. She felt the need to clear her throat.

Other Meds:

Current Illness:

ID: 0935182
Sex: F
Age: 29
State: NY

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

Lab Data:

Allergies:

Symptoms: Body aches, chills, sweats, fatigue, tachycardia, GI (gas, diarrhea), elevated temperature (Normal 97.1 -> 99.4) lasted for about 12 hours

Other Meds: Breo

Current Illness: Menstruation

ID: 0935183
Sex: F
Age: 27
State: OH

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Red, raised, itching area measuring 3x3in at injection site. Full body itching. Lasted for 12 hours. Used hydrocortisone cream and Zyrtec.

Other Meds: Paxil, multivitamin, probiotic, melatonin, miralax, airborne

Current Illness: None

ID: 0935184
Sex: F
Age: 43
State: TX

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

Lab Data: N/A

Allergies: none

Symptoms: mild rash appeared within 24 hrs on shoulder, neck, back near injection site No treatment recommendation, expected to resolve on its own

Other Meds: none

Current Illness: none

ID: 0935185
Sex: F
Age: 35
State: PA

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

Lab Data: none at this time, awaiting call

Allergies: none

Symptoms: I received my second vaccine on Friday 1/8. I felt fine until that evening and then experienced the typical side effects that I had read about. Chills, Severe Headache, All over body, joint, and skin pain. Then developed Fever around 102. Saturday headache was mild, very fatigued, skin felt sunburnt/pain, no fever, was still achy. Temp highest was 99.4 that evening. Noticed palpable clavicular lymph nodes that were very tender. Then noted an axillary one that was about marble sized and tender as well. Sunday about the same- was able to get up and do housework but felt fatigued easily. No temp. Sunday evening developed tenderness in neck area and possible lymph node swelling and decreased ROM. Axillary lymph node is larger than a marble currently. Also at times if I change positions I have a very brief moderate headache. I did wake up in the middle of the night drench with sweat which is very abnormal for me. Neck is the biggest complaint as of now. I called my PCP with the above complaints who referred me to employee health.

Other Meds: Strattera, Concerta

Current Illness: none

ID: 0935186
Sex: F
Age: 35
State: CA

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

Lab Data:

Allergies: None

Symptoms: Vaso vagal. Had patient lie down, took vital signs, kept them for over 30 minutes. Patient felt well and left.

Other Meds: None

Current Illness: None

ID: 0935187
Sex: F
Age: 39
State: CA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: swelling in tongue swelling lasted the next day sensation in tongue (felt like a burnt tongue)

Other Meds:

Current Illness:

ID: 0935188
Sex: F
Age: 28
State: KY

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

Lab Data: No medical tests or labs done, yet. Plan to take COVID-19 test.

Allergies: Penicillin, Bactrim, indoor/outdoor allergies

Symptoms: 12/29/2020-12/31/2020: Two days after injection of vaccine, left arm was very sore/achy. 1/6/2021: Noticed left arm near injection site was red and inflamed (not raised). - treated with oral benedryl and applied hydrocortisone cream and ice pack 1/10/2021: Itchier, hot to touch, red and welt-like - treated with oral benedryl and applied hydrocortisone cream and ice pack 1/11/2021: Still hot to touch, red and welt-like - plan on treating with oral benedryl and applying hydrocortisone cream and ice pack

Other Meds: Wellbutrin 150XL, Sprintec Oral Contraceptive

Current Illness:

ID: 0935189
Sex: F
Age: 60
State: PA

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

Lab Data:

Allergies:

Symptoms: Redness and itch at injection site for 48 hours

Other Meds: hydralazine, Advair, loratidine, Hydrochlorothiazide

Current Illness:

ID: 0935190
Sex: M
Age: 37
State: AK

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

Lab Data: EKG 12/29/2020

Allergies: no

Symptoms: Tingling and numbness in vaccine arm, Chest tightness and elevated BP. transport via wheel chair to the ER. states he was monitored in the ER for approximately one hour. states no medications were administered. states the ER dr cleared the patient to go home and to continue to monitor for worsening s. sx. states his s.sx improved in 24hr post event.

Other Meds: vitamin. D and baby aspirin

Current Illness: states he was POS for covid-19 December 3rd 2020.

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm