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: 0935496
Sex: F
Age: 66
State: TX

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

Lab Data: None required, feeling better but still soreness and some nausea

Allergies: Penicillin, cephalexin, strepotmycin

Symptoms: Chills, rash on arm, soreness of arm, tiredness, nausea , lack of appetite

Other Meds: Metformin, lisinopril, hydrochlorothyzide, glipizide, Lantus, amlodipine bysilate, alphalapoic acid, potassium

Current Illness: None

ID: 0935497
Sex: F
Age: 27
State: CA

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

Lab Data:

Allergies:

Symptoms: numbness in toes itchy arm hurts face swelling all over swelling of the body

Other Meds:

Current Illness:

ID: 0935498
Sex: F
Age: 54
State: CA

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

Lab Data: Hgb & Hct Basic Chem panel Both performed 1/11/21

Allergies: Codeine, Levaquin

Symptoms: 30 min after vaccine she became hot, flush, dizzy, heart pounding, hands face and feet were numb and tingly, she passed out at her desk and was taking to the ER for evaluation. Benadryl & Solumedrol Admin with hydration with NS. Pt discharged from ER. Pt in ~10am discharged from ER ~2hrs later.

Other Meds: Levothyroxin, seroquel, Valtrex

Current Illness:

ID: 0935499
Sex: M
Age: 34
State: IN

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

Lab Data:

Allergies:

Symptoms: Fever, Chills, Soreness all over my body, headache. I drank a lot of water, took acetaminophen and got plenty of rest. I'm still experiencing the soreness but the rest of the symptoms lasted no longer than 6 hours.

Other Meds:

Current Illness:

ID: 0935500
Sex: F
Age: 50
State: AZ

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

Lab Data: Chest x-ray, EKG

Allergies: Nafcillin

Symptoms: Right upper chest pain, constant, pain increased with deep breathing, HA

Other Meds: LoLo Estren, Vit,C,D, Zinc, Tylenol

Current Illness: N/A

ID: 0935501
Sex: F
Age: 68
State: CA

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

Lab Data:

Allergies:

Symptoms: Began experiencing itchy ankles on Thursday, 1/7/21, afternoon. Itching got worse overnight and awoke to find numerous raised red spots over my legs, thighs, and lower back. Spots became more numerous and pronounced through Friday, 1/8/21, and itching became nearly unbearable causing me to make deep scratches on the bac of my legs. Spots continued to spread and become more pronounced throughout the weekend. There have been no other notable symptoms. The itchiness is horrible and only occasionally becomes bearable for a short time - usually after taking Benadryl at bedtime.

Other Meds: Hydrocortisone, Fludrocortisone, Levothyroxine, Amlodipine, Atorvastatin, D3, B12, Multivitamin, Benadryl, Calcium Citrate, Magnesium, Zinc with D3, D3, Biotin, Lidocaine/Procaine cream,

Current Illness:

ID: 0935502
Sex: F
Age: 49
State: NY

Vax Date: 12/23/2020
Onset Date: 12/26/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data: none

Allergies: adhesive

Symptoms: Maculo-papular rash starting on proximal extremities and spreading to distal extremities that was not treated with anything and resolved after initial 3 day progression.

Other Meds: Synthroid, Symbicort, OCP, ASA, vitamin D, MVI

Current Illness: none

ID: 0935504
Sex: F
Age: 35
State: MS

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

Lab Data: none

Allergies: none known

Symptoms: 6 cm diameter red area at administration site. Warm-hot to touch. Slightly firm to touch. Tenderness reported.

Other Meds: Tylenol as needed

Current Illness: none

ID: 0935505
Sex: M
Age: 61
State: NV

Vax Date: 12/18/2020
Onset Date: 12/24/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: on 12/24/2020 I started feeling a little tired on 12/25/2020 I was feeling exhausted i had a cough and breathing problems, also had headaches & fatigue. I'm taking antibiotics for pneumonia Visited urgent care twice

Other Meds: none

Current Illness:

ID: 0935506
Sex: F
Age: 39
State: TX

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

Lab Data: Prior negative Covid tests on 12/31 and 1/3/21

Allergies: BuTrans patch, IV morphine, IV dilaudid

Symptoms: Fever of 102, chills, rigors, myalgias, severe headache behind my eyes, occiput and jaw, intermittent cough and gi cramping, along with feeling like my skin was on fire, especially on my face

Other Meds: Gabapentin, nortrel

Current Illness: None

ID: 0935507
Sex: M
Age: 34
State: VT

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

Lab Data:

Allergies:

Symptoms: Body aches, fatigue

Other Meds:

Current Illness:

ID: 0935508
Sex: F
Age: 33
State: NY

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

Lab Data:

Allergies:

Symptoms: pt became tachycardic reported to be 150bpm and diaphoretic. when pt called the clinic her syopmtoms had already resolved. see note in chart

Other Meds:

Current Illness:

ID: 0935509
Sex: F
Age: 59
State: OK

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

Lab Data: None

Allergies: None

Symptoms: Vaccination given at 11:11 a.m. on 01/04/21. The first dose of Moderna was given. Within 2 hours my arm was stiff, hurting and very sore to the touch at the injection site. This lasted approximately 4 days, each day having less soreness. On 1-10-21 while in the shower I found that in the bottom of my arm pit area was very sore and tender to the touch. I have taken no other medicine for the pain or discomfort.

Other Meds: Over the Counter: Vitamin D-3, Biotin and Zyrtec

Current Illness: None

ID: 0935510
Sex: F
Age: 65
State: MI

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

Lab Data:

Allergies:

Symptoms: edema, redness, hardness, heat and pain

Other Meds:

Current Illness:

Date Died: 01/09/2021

ID: 0935511
Sex: F
Age: 56
State: SD

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

Lab Data: unknown

Allergies: latex (skin reaction)

Symptoms: Patient received the 1st dose of Moderna and was found deceased in her home the next day.

Other Meds: unknown

Current Illness: none known of

ID: 0935512
Sex: F
Age: 51
State: CT

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

Lab Data: Covid neg PCR on 1/9 (while febrile)

Allergies: Betadine, latex, nsaids

Symptoms: Tmax of 102.3 at hour 18, fever x 24 hours.

Other Meds: Spironalactone, magnesium, multivitamin, concerta

Current Illness: New tinnitus

ID: 0935513
Sex: F
Age: 50
State:

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

Lab Data:

Allergies:

Symptoms: Associate c/o cough, sweating, chills, fatigue, headache, body ache, severe itching

Other Meds:

Current Illness:

ID: 0935514
Sex: M
Age: 71
State: ID

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

Lab Data: None

Allergies: Blue cheese

Symptoms: Headache malaise 1 day

Other Meds: Prozac, Zithromax

Current Illness: None

ID: 0935515
Sex: F
Age: 67
State: CA

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

Lab Data:

Allergies:

Symptoms: Chills Body aches Fatigue Site soreness Joint pain Intermittent headache Nightmares 3-4 times per night that are very realistic Brain fog

Other Meds:

Current Illness:

ID: 0935516
Sex: F
Age: 53
State: PA

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

Lab Data:

Allergies:

Symptoms: FEVER, CHILLS, RIGORS

Other Meds:

Current Illness:

ID: 0935517
Sex: F
Age: 41
State: CA

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

Lab Data:

Allergies: Allergy to cats (watery eyes, sneezing)

Symptoms: Right at the 15 minute mark I developed a full body sense of warmth followed by tremors and my HR rose from 70 to 138 very rapidly. My mom was on the phone with me and stated I didn?t quite know what I was saying to her and she became worried. The RN came by asking how I felt and I told her I was jittery and decided to wait at the site a few more minutes. The sensation passed after about 3-4 minutes and then I felt ok. I drove home and showered. The rest of the night I would get random bouts of tachycardia and felt overall not well. Also a small amount of chest tightness. I also noticed things such as climbing by stairs cause me to become winded very fast and my HR would elevate rapidly. Today I woke up and am feeling almost normal. HR has not been elevated but when I ate I did notice a small amount of lightheadedness.

Other Meds: 1 multi vitamin 30mg zinc 2 capsules fish oil 1 capsule turmeric 2000 iU vitamin D

Current Illness: None

ID: 0935518
Sex: F
Age: 50
State: WI

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

Lab Data: none

Allergies: Celebrex = hives Lactose intolerance Bee/wasp or hornet

Symptoms: 1/7/2021 at 3:10 pm received vaccine in right arm. 3:15 felt hot flash, began feeling light headed & dizzy, followed by feeling sweaty and nausea (burning type.) The next day, 1/8/2021, at approx. 5:00 pm, symptoms lessened and was able to function okay but lethargic and still got light headed and nauseated off and on all weekend, not as bad as the 1st 24 hours were. 1/11/21 feeling lethargic yet.

Other Meds: Adderrall daily Topamax daily Wellbutrin daily Lorazapam prn Trazadone daily Allergy med prn Excedrin prn

Current Illness: none

ID: 0935519
Sex: F
Age: 34
State:

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

Lab Data:

Allergies:

Symptoms: Patient is a 34 y.o. female who was seen at COVID Vaccine Clinic today for her dose of the COVID 19 vaccination. She denied any history of previous adverse reactions to vaccines. She was given the Moderna vaccination in the left deltoid muscle. During her waiting period after the injection, the patient began to experience dizziness / lighheaded. She denied syncope, N/V, visual changes, headaches. 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 shortness of breath, swelling of the throat, Difficulty breathing, chest pains. Patient did not experience any of these symptoms She is 18 weeks pregnant. No complications with pregnancy.

Other Meds:

Current Illness:

ID: 0935520
Sex: F
Age: 34
State: CA

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

Lab Data:

Allergies:

Symptoms: fever chills lasted for 12 hours headache nausea

Other Meds:

Current Illness:

ID: 0935521
Sex: F
Age: 37
State: ME

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

Lab Data:

Allergies: Latex

Symptoms: Patient is an employee at Health Center. She was given the vaccine approx 3:30 pm on 1/28/2021 in the left deltoid. Patient was monitored for 15 minutes after receiving the vaccine without incident. The following is a written statement from patient describing events: "About 30 minutes after vaccine, I felt like I had hit my elbow on something. Discomfort radiated from left elbow to wrist- I did have pain around injection site. About 8:30pm on 1/8/21, area around injection site became more painful. Gradually pain increased radiating down to finger tips and up to left side of neck, stopped right below ear. Neck and shoulder muscles felt really tight- uncomfortable ache. Also got extremely tired- left side of face felt numb- left eye slightly blurry- I fell asleep about 10pm. Woke up a few hours later drenched in sweat. Face numbness gone, eyesight normal.? Patient reports the following day 1/9/2021 @ 2pm: ?All of a sudden I started to sweat all over. I didn?t feel hot, only last about 30 minutes.? Patient reports on Sunday 1/10/2021: ?Woke up feeling okay. Left arm and neck still ached but not as bad. Got fatigued around 10am. I got a headache that became really bad. Dizzy, nauseous- no relief from OTC meds. Headache went away after a few hours.? Patient reports today 1/11/2021: ?Today I am still very tired. My left arm, fingertips, shoulders and neck still ache. Face is flushed.? Patient does state previous reactions to prior vaccines: ?TdaP about 7 years ago made me have joint pain for months. Last flu shot received was about 9 years ago, had flu like symptoms x12 hours.? Patient did not seek any medical care for the reaction described above. Patient?s PCP has been also been made aware of her reaction.

Other Meds: Adderall, Lamictal

Current Illness:

ID: 0935522
Sex: F
Age: 56
State: FL

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

Lab Data: None

Allergies: None reported

Symptoms: I had sore throat starting on 12-24-2020 with chills, muscle aches, flu like symptoms. Next day I had temperature of 99.7 and my whole body was aching. The following day I started taking Tylenol and rested and took another rapid test 12-24-2020 and rested so more. I went for another test on 12-27-2020 for a rapid test and on 12-30-2020 I was let know i was positive for Covid. I still has some cough today that comes and goes.

Other Meds: Vitamins

Current Illness: None reported

ID: 0935524
Sex: F
Age: 27
State: TX

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

Lab Data:

Allergies: Bactrium, Minocycline, Penicilli, Suprax

Symptoms: her muscles have been spasming in her legs and arms since Saturday, she had her second COVID vaccine that day and then that night is when she started having the muscle spasms, she got the Pfizer vaccine, both doses were in the left arm, it is mostly in her legs but a little in her arms, she is not having a single spasm that lasts a long time, she describes it as a "muscle twitch" that happens once in any given location and then goes away, no muscle cramps/pain, no fever, no chills, no previous similar symptoms, she has been under more stress for the last few weeks, the only other recent change she can think of is that her OCP changed to a different generic 8 days ago

Other Meds: Sprintec,Omeprazole

Current Illness: None

ID: 0935525
Sex: F
Age: 41
State: NV

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

Lab Data: None

Allergies: None

Symptoms: Injection site redness

Other Meds: Vitamins, Vitamin C, Vitamin D, Fish oil

Current Illness: None

ID: 0935526
Sex: F
Age: 55
State: NE

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: Hydrocodone, Percocet

Symptoms: itching and hives on face and arms starting the next day after vaccine and lasted for 3 days. She did seek out urgent care and received a steroid injection. This helped with the hives and itching

Other Meds: aspirin, celebrex, nucynta, xarelto, singulair

Current Illness: recent total knee replacement 11 days prior

ID: 0935527
Sex: F
Age: 54
State: OH

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

Lab Data: Nothing in addition to those noted above.

Allergies: No Known Allergies

Symptoms: Adverse events included: tingling in numbness in right arm and hand. Rush of heat throughout upper body. Significant headache. Blood pressure increased to approximately 160/80 (normal for me is ~138/80). Face went beet red, per clinical observations. Treatment: Benadryl and continued observation for total of 1.5 hours. Following above, I returned home and slept for approximate 6 hours and rested remainder of day. Felt fine/back to normal within 24 hours.

Other Meds: Flonase, IC Omeprazole Dr 20 MG capsule, IC Bupropion HCL XL 150 MG tablet, IC Duloxetine HCL DR 20 MG

Current Illness: Urinary tract infection

ID: 0935528
Sex: F
Age: 59
State: FL

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

Lab Data: None

Allergies: Shellfish Levofloxacin Chocolate Flavor Omeprazole

Symptoms: Patient received vaccine at 11:27 AM and was observed for reaction until 11:44 AM. Patient returned to the Vaccine Clinic at 13:03 PM and reported that she was itching all over her body and her lower extremities were "blotchy". Patient was assessed by the Observation RN, who took her to a private space to examine her skin, stating that the patient had blotchy area's on her lower extremities, but were not raised not raised like hives and no rash was present. Patient refused Benadryl. Employee Health Nurse was notified for patient follow-up.

Other Meds: Ozempic Zocor Trulance

Current Illness: None verbalized

ID: 0935529
Sex: F
Age: 42
State: CO

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

Lab Data:

Allergies: IV CT dye, Blue Cheese, Amoxicillin Cefazolin

Symptoms: Left axilla pain, left outer arm red, hot, firm.

Other Meds: None

Current Illness: None

ID: 0935530
Sex: F
Age: 41
State: CA

Vax Date: 01/02/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: none

Allergies: Bee Venom

Symptoms: day 6 to 7 developed swelling, warmth, pain, redness to the left upper arm, diameter about 6 inches which was expanding and tenderness in the axilla. Was treated as cellulitis as the symptoms developed nearly a week after the vaccination. Was prescribed Keflex twice daily for 10 days

Other Meds: None

Current Illness: Shingles to the left chest wall one month prior

ID: 0935531
Sex: F
Age: 67
State: AL

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

Lab Data:

Allergies: None

Symptoms: Patient began feeling lightheaded and had some mild tingling in right hand. Vital signs were monitored for 45 minutes. Patient's initial BP was 71/40, pulse 54, O2 sat 100% on room air. Ending vital signs 118/64, pulse 67, O2 sat 99% on room air. No treatments were necessary. Patient states she felt better prior to leaving facility.

Other Meds: n/a

Current Illness: n/a

ID: 0935532
Sex: M
Age: 56
State: FL

Vax Date: 01/07/2021
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: GI Intolerant to Tetra and Erythro. Not true allergy

Symptoms: Running Nose for ~ 12 hours

Other Meds: Atenolol, Verapramil, lasix, Tresiba, Syjarda XR, Ozempic, Praline, Allopurinol, Mobic, Protonix, Magnesium, Potassium CL ER, Vitamin D, Align, Dulcolax, Flonase, Claritin,

Current Illness:

ID: 0935533
Sex: M
Age: 40
State: MT

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

Lab Data:

Allergies:

Symptoms: Fatigue Sore throat, Arm pain-resolved 24hr

Other Meds:

Current Illness:

ID: 0935534
Sex: F
Age: 53
State: PA

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

Lab Data:

Allergies:

Symptoms: FEVER, CHILLS, RIGORS

Other Meds:

Current Illness:

ID: 0935535
Sex: F
Age: 51
State:

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

Lab Data:

Allergies:

Symptoms: Associate c/o cough, sweating, chills, fatigue, headache, body ache

Other Meds:

Current Illness:

ID: 0935536
Sex: F
Age: 59
State: VT

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

Lab Data:

Allergies:

Symptoms: Dizzy, chills, tired, resolved with nap

Other Meds:

Current Illness:

ID: 0935537
Sex: F
Age: 22
State: WA

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

Lab Data:

Allergies:

Symptoms: Rash, itchiness, tightness of the chest, difficulty breathing, and throat narrowing. Given epipen injection, Benadryl injection, and steroid. All IV.

Other Meds:

Current Illness:

ID: 0935538
Sex: F
Age: 56
State: AZ

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

Lab Data:

Allergies: none

Symptoms: Extreme Fatigue and a few days after the shot, stomach pain (cramplike but not cramps)

Other Meds: Sertraline -100mg daily Atorvastatin -10 mg daily Levothyroxine -50mg daily Sentry Multivitamin Omaprazole 20mg

Current Illness: no illnesses- Did have the 2nd dose of shingles vaccine on 12/31/2020

ID: 0935539
Sex: M
Age: 38
State: ND

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

Lab Data: none

Allergies: none

Symptoms: The arm became sore in the afternoon Friday. Chills started Friday evening. During the night, body aches and nausea started. Saturday morning all the symptoms continued. Fatigue started along with headache. Patient slept all day and took medication for nausea. Vomitting X1. Sunday continued with back headache and hot flashes. Returned to work Monday with a little fatigue and sore arm, hot flashes.

Other Meds: Probiotic from Nutridyne, Fish oil from Nutridyne

Current Illness: none--diagnosed with COVID 19 on October 30th

ID: 0935540
Sex: F
Age: 39
State: WI

Vax Date: 12/22/2020
Onset Date: 12/27/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: Chlorohexidine, contrast dye

Symptoms: Ear infection-Right ear Diagnosed 12/30 (treated with 10 day course of Augmentin), pain in ear and jaw continue despite antibiotics, jaw pain, ear fullness, with decreased hearing.

Other Meds: Vit. D, Zinc, Vit. C.

Current Illness: None

ID: 0935541
Sex: F
Age: 85
State: CO

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

Lab Data:

Allergies: nkda

Symptoms: s/p vaccine-15-20 mins patient was having shortness of breath- gargling- unresponsive for 1 min. no cpr done. no epi given, regained response in 1 mins- had vomitting after wards. vitals normal and WNL

Other Meds: nonw

Current Illness: nkda

ID: 0935542
Sex: F
Age: 40
State: WI

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

Lab Data: None

Allergies: No

Symptoms: Tongue swelling, headache, tachycardia, elevated BP

Other Meds: Synthroid

Current Illness: None

ID: 0935543
Sex: M
Age: 53
State: MT

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

Lab Data:

Allergies:

Symptoms: Sore Arm, Body Aches- resolved 24 hr

Other Meds:

Current Illness:

ID: 0935544
Sex: M
Age: 29
State: CA

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

Lab Data:

Allergies:

Symptoms: Headache. Resolved with tylenol.

Other Meds:

Current Illness:

ID: 0935545
Sex: F
Age: 46
State: AZ

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

Lab Data:

Allergies: Sulfa, neosprine, morphine

Symptoms: Large indurated swelling on the left deltoid with a circumferential ring of erythema approximately 1 cm out. Warm to the touch. Extensive swelling and lymphadenopathy of the axilla, lateral breast up into the pectoralis muscle and into the latissimus muscle. And I

Other Meds: Birth control, duloxetine, magnesium, B12

Current Illness: None

ID: 0935546
Sex: F
Age: 46
State: IN

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

Lab Data: Blood pressure test took Temperature on finger. - at Event Center where I received my vaccination and ER blood test - showed potassium levels down and troponin levels elevated EKG - ECG

Allergies: Allergic to Tramadol - immediate nausea and vomiting kephlex - get severe hives; diarrhea

Symptoms: About 5 min after receiving vaccine - had just sat down after vaccine and had a weird sensation: like felt like rushed through my body and then instantly my heart started racing and I felt it thump into my throat. Let nurse in attendance know and she took me to another area secluded from others and told me to relax. Sat down. Hooked me up to monitors; blood pressure cuff and finger pulse and she left to go get someone and she brought EMT back with her. Felt tight in chest; in neck felt like there's tightening; but could still breathe; felt heavy: chest. Neck felt tight. Felt like I needed an inhaler. I don't have it with me as I only have asthma in spring and fall. They kept telling me to calm down and I wasn't feeling nervous. I was trying to relax. EMT asked questions and he said that the same thing happened to him. He told me I couldn't leave Event Center until things calmed down for me. Released her when I felt fine but was just really tired and kind of shaky. I felt so exhausted. Told EMT that and he told me he would feel that way if he had just ran a marathon. I had slept 12 hours the night before. He didn't tell me what my heartrate went up to. I left event center at 9:49 pm. Started feeling strange again when doing errands and was at store afterwards (about 30 or 40 min later) - nauseous; dizzy; sweaty, clammy. Heart was racing again. I told husband I didn't feel right. Felt like I needed to sit because I was shaky. Left and went to vehicle. As we sat in car, I told him something wasn't feeling right. Mouth was so dry. He started driving. I felt like we were driving down a tunnel.Husband looked at me and said you don't look right either. Took me to ER in nearest hospital: blood pressure high; heart rate elevated; ER (Hospital) The doctor did lab work. Triponin levels elevated; potassium levels low - sign of a heart episode and needed to get in control. Gave me potassium and took more blood work and troponin levels started coming down. Dr advised me not to go back to get second dose. Personal Care Dr confirmed that I shouldn't get the 2nd dose - put in my records that I am allergic to this vaccine. The next day I had severe diarrhea and terrible pain in my arm that went all the way down and up into my neck and whole right side head hurt. (really bad headache). Extreme fatigue. Went back to work on the following Monday evening and was exhausted doing my job. When I say family Dr on Tuesday, I didn't want to be taken off work because I was in the right place where people could take care of me and I'd taken time off at holidays. That entire week was a lot of exhaustion and tiredness.

Other Meds: none

Current Illness: no

ID: 0935547
Sex: M
Age: 61
State: HI

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

Lab Data: none

Allergies: None

Symptoms: Upper lip swelling on date of vaccination 1/5/21 starting on 1/8/21, developed severe generalized urticaria - still active

Other Meds: Losartan, Atorvastatin, Colchicine, Febuxostat, Metformin, Naprosyn

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm