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

Date Died: 01/11/2021

ID: 0935343
Sex: F
Age: 89
State: KS

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

Lab Data:

Allergies:

Symptoms: There were no adverse reactions. Resident Died, she had a history of issues with her health prior to the vaccine.

Other Meds:

Current Illness:

ID: 0935344
Sex: F
Age: 46
State: WI

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

Lab Data:

Allergies: Anaphalactic reaction to Flu Vaccines

Symptoms: Patient was waiting the 30 minutes after the vaccine was given, she started getting tightening of throat, and tachycardia. She was taken to the Emergency room at the Hospital where she was given 50 mg of Benedryl.

Other Meds:

Current Illness:

ID: 0935345
Sex: F
Age: 27
State: LA

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

Lab Data:

Allergies:

Symptoms: Employee reports rash to torso running up to neck / chin, severe genralized body aches, fever, chills, headach. Was unable to function due to reaction for 24hours. Said all resolved. Did not seek treatment. Adivsed by Emp Health to not receive 2nd vaccine unless consults with MD for clearance.

Other Meds:

Current Illness:

ID: 0935346
Sex: F
Age: 29
State: IA

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

Lab Data:

Allergies: None

Symptoms: Fever, Tmax 101.2, lasting 48 hours. Chills; severe fatigue, still present (it has been over 48 hours). Abdominal pain, still present *for over 48 hours now). Nausea - starting after 24 hours of taking the vaccine and lasted 12 hours.

Other Meds: None

Current Illness: None

ID: 0935347
Sex: F
Age: 22
State: OR

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

Lab Data:

Allergies:

Symptoms: fevers, referred for COVID testing.

Other Meds:

Current Illness:

ID: 0935348
Sex: F
Age: 50
State: PA

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

Lab Data:

Allergies: n/a

Symptoms: started with a fever (over 100), body aches, chills, sweats, severe arm pain on Friday night. Continued all day Saturday and all day Sunday. Fever broke on Sunday night, pain in arm is still there today. Not as severe, but still painful to touch and move

Other Meds: Janumet 50/1000, Jardiance 10mg, Lexapro 20mg, aspirin 325mg

Current Illness: COVID 19 (tested positive on 12/22

ID: 0935349
Sex: F
Age: 33
State:

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

Lab Data:

Allergies:

Symptoms: She reports she had second vaccine on Jan.8th and developed a temp. 102, body aches, felt horrible. She called PCP and had COVID swab 1/10 at urgent care with neg. result.

Other Meds:

Current Illness:

Date Died: 01/06/2021

ID: 0935350
Sex: M
Age: 81
State: TX

Vax Date: 12/31/2020
Onset Date: 01/02/2021
Rec V Date: 01/11/2021
Hospital: Y

Lab Data:

Allergies: No known allergies

Symptoms: Patient was found unresponsive at home with SpO2 20% 1/2/2021

Other Meds: Symbicort 160/4.5 mcg/act inhaler Dilitiazem ER 360mg PO daily Eliquis 5mg PO twice a day Furosemide 20mg PO daily Losartan 100mg PO daily KCL 10mEq ER PO daily Ranitidine 150mg PO Ventolin HFA 0.09mg/1ACT 2 puffs every 4 hours as needed Me

Current Illness: Dyspnea, Shortness of breath

ID: 0935351
Sex: M
Age: 32
State: MI

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

Lab Data:

Allergies: None

Symptoms: Itchy/burning sensation on tongue, associated with an altered taste with food and metallic taste in mouth. Symptoms began 12:00 pm 01/11, with metallic taste onset at 15:15 01/11.

Other Meds: None

Current Illness: None

ID: 0935353
Sex: F
Age: 43
State: NY

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

Lab Data: Covid rapid test (negative) on 1/11/2021 Covid PCR (pending) on 1/11/2021

Allergies: Augmentin

Symptoms: Extreme headache, fever for 3 days from 100.0 as high as 101.8, body aches, chills, extreme fatigue(4 days)

Other Meds: None

Current Illness: None

ID: 0935354
Sex: F
Age: 58
State: CA

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

Lab Data:

Allergies:

Symptoms: Soreness at injection site, stiffness and pain in the neck

Other Meds:

Current Illness:

ID: 0935355
Sex: F
Age: 45
State: MT

Vax Date: 12/18/2020
Onset Date: 12/31/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data: CT, CBC

Allergies: none

Symptoms: Appendicitis

Other Meds:

Current Illness: none

ID: 0935356
Sex: F
Age: 30
State: AK

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

Lab Data:

Allergies: sulfa abx

Symptoms: light headed, flush, wobbly on feet when attempting to stand, BP elevated, diastolic over 100, HR elevated , dilated pupils, became SOB. states she was observed for 30mins post vaccination. was still experiencing weakness when leaving the hospital and got a ride home. states s.sx improved within 10 hrs.

Other Meds: prenatal vitamins, Zyrtec

Current Illness: nope

ID: 0935357
Sex: F
Age: 27
State:

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

Lab Data:

Allergies:

Symptoms: she left a message that she had a second vaccine on Jan. 7 and on 1/8 was very sick with chills, headache, shaky, and vomiting. She reports 1/9 that it is now gone (lasted about 24 hours).

Other Meds:

Current Illness:

ID: 0935358
Sex: F
Age: 37
State: CA

Vax Date: 01/02/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Left arm redness and puffiness about 2 inches by 4 inches at injection site. No pain, no other symptoms. Did not note reaction when vaccine was administered. There was pain for 2 days after injection and it resolved. Unsure if redness and puffiness is new or if it's been there this whole time.

Other Meds: None

Current Illness: None

ID: 0935359
Sex: M
Age: 76
State: CA

Vax Date: 12/28/2020
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: Latex

Symptoms: Patient received first dose 12/28/20 and second dose 1/8/21, 11 days later instead of 21 days. He did not experience any adverse effects from either vaccine when I contacted him on 1/11/21.

Other Meds:

Current Illness:

ID: 0935360
Sex: U
Age:
State: AZ

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0935361
Sex: F
Age: 54
State: PA

Vax Date: 12/30/2020
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: CBC CMP troponin cxr ekg

Allergies: None

Symptoms: 10days after receiving vaccine developed an anaphylactic allergy after eating shellfish which I was never allergic to. I developed a red itchy rash over the entire body with throat tightening. Went to ER where I was treated with H1 H2 blockers steroids. After being treated and observed for a few hours I re developed the rash and symptoms again requiring further treatment and observation.

Other Meds: Nexium Flonase Premphase Multi vits

Current Illness: None

ID: 0935362
Sex: F
Age: 37
State: NY

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

Lab Data:

Allergies: None

Symptoms: Patient developed numbness/tingling in her left ulnar distribution (middle/ring finger, pinky, and outer hand) after getting her vaccine yesterday. The sensation is most intense at the tip of the fingers and lessens proximally. She was vaccinated yesterday at 12:30 pm and it started today around 10 AM. No weakness or fevers. She is currently working and it is not causing any problems. Has RA and has had neuropathies in the past.

Other Meds: Venlafaxine, Clonazepam, Trazodone, Hydroxyzine, Ocella, ctd Home Meds Ctd: Spironolactone Sufasalazine Prednisone

Current Illness:

ID: 0935363
Sex: M
Age: 62
State: CA

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

Lab Data: none

Allergies: no

Symptoms: After the vaccine, pt experienced facial flush. Pt was given Benadryl 50 mg at 1:05 pm on 1/6/21

Other Meds: unknown

Current Illness: no

ID: 0935364
Sex: F
Age: 57
State:

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

Lab Data:

Allergies:

Symptoms: The patient is a 57 y.o. female who was seen at Clinic today for her second dose of the COVID 19 vaccination. ? She felt swelling at the back of her sinus after having her last COVID vaccination and with prior allergy testing. ? She was given the Pfizer vaccination in the right deltoid muscle. ? During her 15 minute waiting period after the injection, the patient began to experience feeling of swelling in the back of her sinuses again. She denied difficulty breathing, difficulty swallowing, throat tightness and facial swelling. ? This provider was notified of patient reaction and she was then assessed in the emergency bay area. ? Monitored patient for severe reaction symptoms, including but not limited to increased swelling and rapid progression of symptoms.

Other Meds:

Current Illness:

ID: 0935365
Sex: F
Age: 39
State: NY

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

Lab Data:

Allergies: None

Symptoms: Developed a tingling sensation on the left side of her body and face after getting the first vaccine. She had no weakness and was able to go about her normal day to day activities. The sensation went away with Tylenol and resolved the following day.

Other Meds:

Current Illness:

ID: 0935366
Sex: F
Age: 55
State: NY

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

Lab Data: None

Allergies: Penicillin, cephalosporins

Symptoms: Had swelling and pain for a few days after, as well as body aches and fatigue, then redness developed on about day 5, along with pruritus. The area of redness is getting bigger, and she has noticed warmth in the area. She has tried taking Tylenol and applying topical hydrocortisone. No other associated symptoms, no fever/body aches/chills, no N/V, no rash anywhere else or swelling of lips/tongue. She denies any previous reaction to vaccines. Left deltoid: 5 cm x 3 cm area of light erythema, well-circumscribed, warm to touch, no TTP. Full ROM of shoulder without pain. No evidence of ascending lymphangitis. PMS intact distally. Benign exam, vitals WNL. Findings most consistent with localized reaction to her vaccine, appears to be self-limited. Counseled patient she can try ice packs and over-the-counter antihistamine for the itching.

Other Meds: Premarin, snythroid, xanax, lipitor

Current Illness: None

ID: 0935367
Sex: F
Age: 28
State: CA

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

Lab Data: None

Allergies: Cats

Symptoms: 12/29/20 Dose #1 COVID (Moderna) administered at approximately 1:00pm. At approximately 8:00pm, patient experienced red blotches an swollen feet which resolved on 12/30/20. On 01/06/21, patient experienced swelling, redness and itching at injection site.

Other Meds: None

Current Illness: None

ID: 0935368
Sex: F
Age: 38
State: TX

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

Lab Data: None

Allergies: Rocefin, Ancef

Symptoms: About 24 hours after receiving vaccine, I experienced extreme breast tenderness in both breasts. They felt sore to the touch all over, had the sensation of being full and heavy, and had to be supported in a bra in order to be tolerable. I liken it to postpartum pain associated with breast feeding and milk engorgement. I would list the symptoms the first night as moderate to severe. It limited my ability to do certain tasks because of the pain and discomfort. The breast tenderness has decreased in severity since then but it is now 1/11/2021 and both breasts are still tender. The severity is now mild. It's uncomfortable but does not limit my daily activity. Of note, I have had a tubal ligation and ablation and am not pregnant but I cannot track the timing of my cycle to know if the vaccine affected my cycle or caused hormonal changes that could explain the breast sensitivity. I had arm soreness at the injection site for the first 48 hours but that has gone away. No other symptoms to report.

Other Meds: Daily MVI, montelukast 10mg, cetirizine 10mg, ferrous gluconate 324mg, calcium + vitamin D3, Vitamin D2 1.25mg weekly, Airborne

Current Illness: None

ID: 0935369
Sex: F
Age: 33
State:

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

Lab Data:

Allergies:

Symptoms: reports she had the second pfizer vaccine on Jan. 8. She did not have any reactions from the first dose. Within 2 hours of having the booster she had a sore throat and HA. Saturday she had the same symptoms. Sunday = worse HA, fatigue like " i was hit by a truck" nausea and vomiting. Today, 1/11 she woke up with fever 101.3, took Tylenol and ibuprofen and it went down; dizzy and vomiting early this morning around 5am. Feeling slightly better now at 1130. However pending COVID results due to multitude of sx?s = may not be reaction to Booster, but rather actually COVID.

Other Meds:

Current Illness:

ID: 0935370
Sex: F
Age: 52
State: KS

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

Lab Data:

Allergies: Demerol, Aspirin, Benadryl

Symptoms: Patient received her injection of Moderna #1 dose at 9:06 AM. While being monitored by 9:18 she began to complain of her arm itching and burning at the injection site. There was a rash at the injection site of the deltoid that was lacey, red, slightly raised that covered the whole deltoid. At around 9:25 AM she began to c/o feeling very hot and "not feeling well". At that time, she was laid on the floor and BP 118/68 Pulse 64 and had to remove mask to feel that able to breathe better. Color was from slight pale to pinker. About at 9:29 AM she began to c/o being cold. Cold pack that had been applied to back of neck removed and covered with her jacket. By 9:31 she began to shake and was shivering to the point her teeth were chattering and she was pale/gray in color and began to c/o "my bones are hurting, and I am so cold". Skin dry but cold to touch and face pale gray in color. 9:33 am she was becoming extremely anxious and c/o being cold and bones hurting and unable to get pulse or BP by now and she was grabbing chest and unable to lie still, EMS called. Epi pen administered at 9:33 am and monitored. EMS arrived and resumed care at 9:35 am. She was continuing to c/o being cold and bones hurting, color pale. Seemed less anxious. At 9:43 am she left with EMS. After dismissal from the ER and before going home, came to clinic. Had notable swelling of the whole deltoid area, but is not read at this time and reports still feeling cool and having pain in legs. Patient reports today 1/11/21 that all weekend had a headache that would come and go. It started as a warm pressure from neck up to top of head. She reports feeling "irritated, on edge, sensitivity to noises, loss recognition of all days before Saturday after 11". Also has had c/o muscle aches, sore arm and at times being unable to lift arm due to discomfort.

Other Meds: unknown

Current Illness: Unknown

ID: 0935371
Sex: F
Age: 56
State: CA

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

Lab Data:

Allergies:

Symptoms: Severe headache, Fever 100.9F, Dizzy, Nausea, Heart Palpitations, Head congestion, severe fatigue. All lasting approximately 12 hours.

Other Meds:

Current Illness:

ID: 0935372
Sex: F
Age: 83
State:

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

Lab Data:

Allergies:

Symptoms: Resident vomited several times throughout the night, started running a fever as high as 102.3, developed a cough, c/o dizziness and increased confusion. Went out EMS, BP was low, will be kept for obs at hospital.

Other Meds:

Current Illness:

ID: 0935373
Sex: M
Age: 51
State: NJ

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data: COVID 19-POS FLU-NEG

Allergies:

Symptoms: After the vaccine, I was tired and slept with chills. On Saturday I developed a cough. I went to my PCP on Dec 28, 2020 where they performed a FLU /COVID swab. The flu was NEG and the COVID 19 was POS. I had an elevated BP & heart rate.

Other Meds: I take crestor.

Current Illness: No

ID: 0935374
Sex: F
Age: 45
State: TN

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

Lab Data: Have not reported to my pcp yet I was thinking it would go away, but since it is not I decided I should report the symptom prior to 2nd dose

Allergies: Ceclor

Symptoms: About 3 hours after vaccine severe arm pain in left arm which I expected was normal shortly after and still today intermittent vision(focus) issues and twitching of right eye with some slight right eye pain

Other Meds: Duexisx1daily, Gabapentin 300mgx1 daily, clonazepam .5x2 daily, Sertralinex1daily,Alpha Lapoic Acidx1 daily, B12x1 daily, pantoprozolex1 daily, spironolactone daily, progesterone x 1 daily, estrogen and testosterone pellets inserted every 3

Current Illness: No illness, left tear duct stent placed. Had one 7 years ago and it had to be dome again because left eye was tearing fixed immediately after.

ID: 0935375
Sex: F
Age: 20
State: KY

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

Lab Data:

Allergies: none

Symptoms: Shot was given at 11:45 am. Patient started to feel numb both arms. Tingling of left arm and left hand, tingling chest and both legs within 10 min of shot. She saw black/white spots at 12:45pm. Called EMT and they took her to the hospital.

Other Meds: buspirone, birth control, melatonin

Current Illness:

ID: 0935376
Sex: F
Age: 40
State: OK

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: no known allergies

Symptoms: Reported had a small red area at injection with soreness the day after injection. A few days later developed a rash. Now 13 days after injection still has a rash and itching at injection site 70mm round with erythema around edges.

Other Meds: None reported

Current Illness: None reported

ID: 0935377
Sex: F
Age: 72
State: LA

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: Tomato food intolerance. Triggers severe migraines. I read food product labels to avoid tomatoes and foods containing.tomato products.

Symptoms: Had shot Thurs.,1/7, 10:15 AM. Sat., 1/9, 11:00 mild diarrhea developed. Sun.,1/10, 1:30 AM, woke up with chills, no fever, and very painful, lower abdomen cramping that lasted about 2 hours with no bowel discharge. Functioned well throughout the rest of Sunday. Mon., 1/11 awoke with migraine-is headache that lasted until mid-afternoon. Never any fever.

Other Meds: Flovent 100, simvastin, fenofibrate, Iron, Vit D-3, Glucosamine/Condroitin/Msm, Calcium, Vit. D, Ompremazol

Current Illness: None

ID: 0935378
Sex: F
Age: 32
State: UT

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

Lab Data: covid testing on 01/11/2020

Allergies: amoxicillin

Symptoms: hives around the injection site, hives then moved to her back. Fatigue, body aches, headache (also has sore throat, congestion and runny nose)

Other Meds: levothyroxine

Current Illness: ?- being tested for covid and has other other symptoms such as a sore throat, runny nose and congestion that all started in the day or two after receiving the vaccine

ID: 0935379
Sex: F
Age: 47
State: AZ

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

Lab Data: I have not sought medical help yet.

Allergies: None known.

Symptoms: I experienced numbness, tingling sensations and weakness in my arm starting on the day of my vaccination (01/04/2021). It is especially troublesome on my left hand/fingers. It is worse in the morning when I wake up, but it gets better with movement of my arm/hand to complete my normal day activities.

Other Meds: None

Current Illness: Gerd

ID: 0935380
Sex: F
Age: 33
State: CA

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

Lab Data:

Allergies: shell-fish

Symptoms: redness, swollen on injection site appeared on 1/10/2021, two days after injection.

Other Meds: none

Current Illness: none

ID: 0935381
Sex: M
Age: 20
State: MO

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

Lab Data:

Allergies:

Symptoms: Patient presented sweating, flushed, and shaking an hour after administration. Appeared to be in a panic attack

Other Meds:

Current Illness:

ID: 0935382
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: Aspirin

Symptoms: On 12/31/20 around 2:00 AM, I woke up to a swollen tongue. The swelling subsided the next day, but my tongue had the sensation of feeling burnt, which lasted a couple of days.

Other Meds: Multi-Vitamins

Current Illness: UTI

ID: 0935383
Sex: F
Age: 45
State: TX

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

Lab Data: None

Allergies: NKDA

Symptoms: Chills, headache and low grade temp for the 2 - 4 days. Yesterday started with soreness, neck pain, and red raised rash, warm to touch at site of injection.

Other Meds: Atenolol

Current Illness: None

ID: 0935384
Sex: F
Age: 35
State: KS

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

Lab Data:

Allergies: None

Symptoms: Feeling of fatigue, full body muscle ache, low energy

Other Meds: None

Current Illness: Seasonal runny nose minor cough in the morning in the month prior

ID: 0935385
Sex: F
Age: 67
State: CA

Vax Date: 12/22/2020
Onset Date: 12/25/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: 12/25/2020 I woke up and had severe myalgia and severe body stiffness everything hurt that lasted 4 days and progressively got better, I called my Dr because of my possible arthritis and she asked to monitor myself for the next week and suggested this was vaccine related causing my inflammatory reaction much worse

Other Meds: I take a lot of vitamins: fish oil vitamin D etc, hormone replacement

Current Illness: no

ID: 0935386
Sex: M
Age: 59
State: NJ

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

Lab Data: None

Allergies: None

Symptoms: Vaccine recipient developed headache, dizziness, fogginess, feeling flushed, cold sweats and a weird tingling sensation hours after receiving the vaccine. He also noted developing mental confusion. He did not have to go to the ED and went home for the rest of the day. For 1.5 days, he was home resting. On a follow-up call on 1/11/2021, vaccine recipient reported feeling better. Pfizer-BioNTech COVID- 19 Vaccine EUA.

Other Meds: multivitamin

Current Illness: None

ID: 0935387
Sex: F
Age: 68
State: TX

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

Lab Data: none

Allergies: no known allergies.

Symptoms: FEVER OF 100.6, fatigue, headache, muscle pain, joint pain. chills NO nausea and NO vomiting

Other Meds: Xigduo XR Hydrochlorothiazide losartan pravastatin Tresiba Vitamin C Vitamin D3 Calcium Iron

Current Illness: no

ID: 0935388
Sex: F
Age: 53
State: PA

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

Lab Data: labs ordered today, 1/11/2021. pending collection and results.

Allergies: NKDA

Symptoms: 90 minutes after the second vaccination in the COVID series, pfizer version, she developed right arm weakness. she could not lift her arm above her head. she then developed severe dull, aching pain. the pain became sharp with movement. she could not sleep because of the pain. no redness or edema at the injection site. she is slowly regaining strength and range of motion in the arm, however the pain still remains and full strength has not returned.

Other Meds: Ajovy Calcium Decadron (PRN) Premarin cream (twice a week) Prozac Vitamin D Zomig (PRN)

Current Illness: None reported

ID: 0935389
Sex: M
Age: 63
State: AZ

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

Lab Data: none

Allergies: none

Symptoms: none

Other Meds: Ibphropen

Current Illness: None

ID: 0935390
Sex: F
Age: 41
State: NY

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

Lab Data: Urgent Care 1/7/21 re-tested for COVID 19 -negative and flu- negative

Allergies: morpheein, Demerol

Symptoms: Nausea, vomiting, 102 fever, bodyaches, headaches -- tylenol some relief,. Fever lasted for 7 day continuously, alt tylenol and ibuprofen. Urgent Care 1/7/21 re-tested for COVID 19 -negative and flu- negative

Other Meds: latuda, valium, hydroxyzine pamoate, prazosin, buspiron, benadryl

Current Illness: N/A

ID: 0935391
Sex: F
Age: 60
State: AZ

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

Lab Data:

Allergies: none

Symptoms: None stated.

Other Meds: none

Current Illness: none

ID: 0935392
Sex: F
Age: 34
State: NJ

Vax Date: 12/21/2020
Onset Date: 12/30/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data: Lyme, Aumtoimmune panel, ESR, CRP negative. Presence of IGG and IGM covid antibodies

Allergies: None

Symptoms: Left idiopathic brachial Neuritis with progressive numbness and associated weakness. Distribution in multiple upper extremity peripheral nerves. Pt was started on High dose steroids with partial and ongoing improvement.

Other Meds: Balziva

Current Illness: None

ID: 0935393
Sex: F
Age: 66
State: CA

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

Lab Data:

Allergies: Unknown

Symptoms: Patient received Pfizer 2nd dose instead of Moderna. Patient appears to be fine and says they feel fine.

Other Meds: Unknown

Current Illness: Unknown

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm