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: 0935849
Sex: F
Age:
State: OH

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

Lab Data: CBC, pelvic ultrasound, CT abdomen and pelvis all on January 7,2021

Allergies: None

Symptoms: Noted left lymph nodes left neck. On January 7, 10 days post injection had acute appendicitis requiring emergency appendectomy.

Other Meds: None

Current Illness: None

ID: 0935850
Sex: F
Age: 59
State: CT

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

Lab Data:

Allergies: house dust mold Penicillins Percocet Tylenol-Codeine

Symptoms: Fever and chills from Friday all day till Saturday afternoon (for 1.5 days).

Other Meds: fish oil, melatonin, vitamin D3

Current Illness: Joint pain

ID: 0935851
Sex: F
Age: 40
State: SD

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

Lab Data: None

Allergies: Sulfa - anaphylaxis

Symptoms: approximately 10 minutes after Covid vaccine the patient was starting to have right sided facial tingling then she started to have tingling in her throat. I sat with her and she had progressive tingling, worsening throat tightness and some facial swelling under her eye. We then moved her to a room and laid her down. I discussed the use of the Epipen and a dose was given at approximately 400PM. We also called 911 at that time. Vitals were taken and EMS arrived and by the time they were taking her away her symptoms were improving.

Other Meds: none known on file

Current Illness: None

ID: 0935852
Sex: F
Age: 56
State: CA

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

Lab Data:

Allergies:

Symptoms: 10 days post vaccination presented to ED with LUE swelling redness and pain. Treated with antibiotics and f/u w Allergy to determine whether to have second dose

Other Meds:

Current Illness:

ID: 0935853
Sex: F
Age: 52
State: CA

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

Lab Data:

Allergies:

Symptoms: C/O- States she is asthmatic, wheezing in upper chest, takes sterioids daily and Albuterol PRN. -Monitored, released from OBS area in 30 minutes

Other Meds:

Current Illness:

ID: 0935854
Sex: F
Age: 41
State: CA

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

Lab Data: none

Allergies: none

Symptoms: redness and swelling at injection site, severe arm pain, whole body myalgias, fatigue, weakness, headache managed with ibuprofen. symptoms are improving except for redness and swelling that is still in the process of going away

Other Meds: tecfidera, fosamax, loestrin Fe 1/20, Calcium with vitamin D, Women's one a day multivitamin

Current Illness: covid illness 1month before getting covid vaccine

ID: 0935855
Sex: F
Age: 47
State: TX

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

Lab Data:

Allergies: None

Symptoms: 01:45 I woke with severe soreness and ache over my entire body (8/10), chills, fever 101.5, and throbbing excruriating pain in the left arm (10/10). I was barely able to move the left arm, and I could not bend it due to severe pain in the elbow joint. At approximately 0800, I started having diarrhea that lasted for no more than an hour. By noon the soreness and aching had reduced to a moderate pain (5/10). I was able to bend my left arm, but the arm remained sore at the elbow joint until 01/10/2021. By the morning of 01/10/2021, all the symptoms were gone.

Other Meds: None

Current Illness: None

ID: 0935856
Sex: F
Age: 61
State: MA

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

Lab Data:

Allergies:

Symptoms: Fever for 2 days, headache for 2 days, continuin muscle/joint pain, coldsore/cankersore like growth inside of mouth that continues to get larger in size, painful to lift arms up above waist.

Other Meds:

Current Illness:

ID: 0935857
Sex: F
Age: 35
State: IL

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

Lab Data: Covid saliva test performed 1/11

Allergies: Penicillin - hives

Symptoms: Cough feeling like bronchitis developed along with fever and chills at approximately 11 hours post dose and has persisted with improvement for 72 hours. Covid testing completed on day 3 (due to concern about cough symptoms) was negative.

Other Meds: None

Current Illness: None

ID: 0935858
Sex: F
Age: 27
State: CA

Vax Date: 12/30/2020
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None. Patient had telehealth appt with her PCP, 1/11/21. Pt reports that both she and PCP do not suspect infection, but a course of Septra PO was prescribed as a cautionary measure. Pt is choosing not to start the medication. No medical tests nor labs were ordered. Pt is following-up with PCP to request bloodwork.

Allergies: PCN

Symptoms: No adverse event until Day 9 post-vaccination, when patient reported the appearance of a flat, pink-reddish rash 1" in diameter with an irregular border surrounding the injection site (L deltoid). Patient reports that the area grew to about 4-5" in diameter over the course of the next 7 days, some swelling noted, and that the top area of the rash had faded while the bottom area was travelling down her arm. Reports the affected area feeling warm and tender upon touch. Denies pruritis, fever, axillary swelling, or any systemic reactions. Denies any unusual pain.

Other Meds: Oral contraceptives.

Current Illness: None

ID: 0935859
Sex: F
Age: 24
State: NY

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

Lab Data:

Allergies:

Symptoms: Patient reported in observation that she is having generalized redness and itchiness and some blotchiness on her legs. Patient denies any other symptoms. Vital sign check: BP 118/84, 100% oxygen sat, HR was within normal limit. Patient okay'd to give 25mg oral Benadryl per standing order. Patient continuously monitored by nurse. Patient after receiving the Benadryl was noticeably less red and patient reported feeling less itchy. Patient denies any new symptoms. Patient called provider office unable to speak to provider at the time. Patient monitored, patient reported feeling better and she reported she felt safe enough to drive. Patient was called in the evening, patient reported that providers office did call her back, and she told to take Benadryl 4 hours after last dose and was also prescribed another anti-allergy medication. Patient reported she also had a telehealth with provider the next day, reminded patient to talk to provider about the event and seek medical help with any other symptoms.

Other Meds:

Current Illness:

ID: 0935860
Sex: F
Age: 44
State: CA

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

Lab Data: unknown

Allergies: Cymbalta, drowsiness Effexor, blurred vision, drowsiness, irritability Gabapentin, paresthesia, blurred vision Lyrica, drowsiness, muscle aches, blurred vision Nortriptyline, dry mouth

Symptoms: chills, shakes, nausea, vomiting, lightheaded

Other Meds: Robaxin, Motrin, Norco

Current Illness: denied

ID: 0935861
Sex: M
Age: 34
State: IN

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

Lab Data: None

Allergies: None known

Symptoms: Red area on arm that is hot to the touch

Other Meds: Allergy medication over the counter

Current Illness: None

ID: 0935862
Sex: F
Age: 44
State: CA

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

Lab Data:

Allergies: Acetylcystine, Bactrim, Cefuorxime Axetil

Symptoms: C/O- Feeling flush, like something in my throat -Monitored, released from OBS area in 30 minutes

Other Meds:

Current Illness:

ID: 0935863
Sex: F
Age: 32
State: IL

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

Lab Data: N/A

Allergies:

Symptoms: PER PATIENT SHE EXPERIENCED ANXIOUSNESS AND SLIGHT HEADACHE THAT RESOLVED BEFORE DISCHARGE. VITALS MONITORED

Other Meds:

Current Illness:

ID: 0935864
Sex: F
Age: 29
State:

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

Lab Data:

Allergies: miocycline

Symptoms: patient complain of mild left arm tingling and numbness

Other Meds: none

Current Illness: none

ID: 0935865
Sex: F
Age: 42
State:

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

Lab Data: none

Allergies:

Symptoms: 12/21/20 VACCINE. 12/22 C/O neck pain (base of skull)- seems to be worse since vaccine. (hx of neck pain x 5 years since brain surgery)

Other Meds:

Current Illness:

ID: 0935866
Sex: F
Age: 17
State: OR

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

Lab Data:

Allergies:

Symptoms: Vaccination inadvertently given to patient outside of ACIP approved ages

Other Meds:

Current Illness:

ID: 0935867
Sex: F
Age: 55
State: NC

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

Lab Data: NA

Allergies: None

Symptoms: Fever, chills, headache, body aches, nausea

Other Meds: Synthroid, progesterone, zaleplon, estradiol

Current Illness: None

ID: 0935868
Sex: M
Age: 50
State: CA

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

Lab Data:

Allergies:

Symptoms: Developed scratchy throat 20 minutes post injection. Transferred to ED for evaluation.

Other Meds:

Current Illness:

ID: 0935869
Sex: F
Age: 54
State: OK

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

Lab Data: None

Allergies: None

Symptoms: Fever and headache next day; sore arm next day; headache and sore arm lasted through 1/11/21

Other Meds: Wellbutrin Vitamin d Zinc Fish oil Multivitamin EmergenC

Current Illness: Covid 19

ID: 0935870
Sex: M
Age: 82
State: AZ

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

Lab Data:

Allergies: Vicadine

Symptoms: None stated.

Other Meds: Metoprolol Esomeprazde Lisinopril Pravastatin Allopurinol Asperin 325 mg Pantoprazole Furosemide Vitamin D3 Hydralazine

Current Illness: Pain management: Epitural shots

ID: 0935871
Sex: F
Age: 31
State: UT

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

Lab Data:

Allergies: spironolactone

Symptoms: within 45 minutes of vaccine administration, patient felt very fatigued, she developed hot flashes, then would get cold, had a headache , upset stomach and dizziness. Patient took ibuprofen. Symptoms resolved within 36 hours.

Other Meds:

Current Illness:

ID: 0935872
Sex: F
Age: 29
State: KS

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

Lab Data:

Allergies: none, seasonal allergies

Symptoms: S/s of fever 103, headache, chills, muscle pain, Supraclavicular and axillary lymph node enlargement and pain

Other Meds: none

Current Illness: none, COVID 19 in March 2020

ID: 0935873
Sex: F
Age: 88
State: TX

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

Lab Data:

Allergies: NA

Symptoms: Fatigue and tiredness, heaviness in head, elevated blood pressure

Other Meds: Prednisone, Lisinopril, Methotrexate, folic acid

Current Illness:

ID: 0935874
Sex: F
Age: 37
State: CA

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

Lab Data:

Allergies: Acetylcystine, Bactrim, Cefuorxime Axetil

Symptoms: C/O- Feeling hot and flushed, tinkling to left hand, light headed, "I don't want to faint in my chair" Vital signs taken, Rapid Response team alerted, transported to ER via Gurney. EKG per ED MD

Other Meds:

Current Illness:

ID: 0935875
Sex: F
Age: 44
State: WI

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

Lab Data:

Allergies:

Symptoms: Dec 17th, my throat felt scratchy, 45 minutes later I was wheezing.

Other Meds:

Current Illness:

ID: 0935876
Sex: M
Age: 32
State:

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

Lab Data:

Allergies:

Symptoms: Soreness, weakness, fatigue, and short term fever; treatment none; fever ended in hours; fatigue and soreness decreased over 1-2 days

Other Meds:

Current Illness:

ID: 0935877
Sex: F
Age: 23
State: IL

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

Lab Data: no

Allergies: no

Symptoms: Feels like the blood is rushing back into her arm when in a certain position and tingling sensation.

Other Meds: Ibuprofen

Current Illness: no

ID: 0935878
Sex: F
Age: 41
State: AR

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

Lab Data: None

Allergies: Latex

Symptoms: Wednesday (day1)-fever 103.0, muscle and joint pain, fatigue, dizziness, headache Thursday (day2)- chills, muscle and joint pain, fatigue Friday (day3)- muscle and joint pain, fatigue Saturday (day4) muscle and joint pain, fatigue Sunday (day 5)- muscle and joint pain, fatigue, headache Monday (day6)- back pain, headache, fatigue

Other Meds: Melatonin 10mg daily Cholestyramine 1 pk daily

Current Illness: None

ID: 0935879
Sex: F
Age: 31
State: WA

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

Lab Data: none

Allergies: Tetracycline: rash, avocado/raw banana/raw tomato/fish: stomach upset

Symptoms: 0830 1/7/21 experienced rapid onset lightheadedness that lasted for a duration of 15 minutes before resolving. From 0900 to 1600 experienced fatigue and heaviness that prevented me from working that day. From 1600 to 2000 I felt "normal". At 2100 I went to bed with chills and overall malaise, awoke at 0000 1/8/21 with a fever of 101 F. Throughout the night I experienced severe body aches and a headache that made my teeth and jaw ache 7/10 on the pain scale. Tylenol 500mg taken at 0500 1/8 with relief. Fatigue/weakness experienced until 1700 on 1/8/21 after which I felt like myself again. In total, 2 days of work missed as a result of symptoms.

Other Meds: Nuvaring, Vitamin D3 1 capsule, Allerclear 1 tab, Spironolactone 50mg daily

Current Illness: None

ID: 0935880
Sex: F
Age: 31
State: CA

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

Lab Data: none

Allergies: none

Symptoms: I have a history of high blood pressure and i typically know when it is elevated however suddenly with out warning I felt my all my vtial signs drop and I felt like I was going to faint. I asked for assistance and I requested they check my sugar. My BP was actually elevated it was 150/100, Heart rate 116 sugar 111 pulse ox sat 100%. I experienced a tingling sensation on my bottom right calf. This episode last about 20 minutes. My vitals were retaken and read as BP 138/80, HR 74. I still had a tingling sensation and slight weakness in lower extremities. A little light headed after words. I have not missed a dose of my blood pressure medication my BP has been at its base line 135/80 typically.

Other Meds: Amlodipine 10mg and vitamin b12 time release tablet, vitamin D3 5,000 units.

Current Illness: none

ID: 0935881
Sex: F
Age: 43
State: IL

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

Lab Data: None at this time

Allergies: Verapamil

Symptoms: Sever muscle spams and joint pain in my entire body felt for over 24 hours

Other Meds: Abilify 7.5 mg, Ambian 12.5mg, Belsomra 20mg, clonazepam 1mg, Gabapentin 1200, Lamictal 350mg, Levothyroxine 0.05mcg, lovastin 40mg, omeprazolr 20mg, Ondamsetron 10mg, propranolol 160mg, prazosin 2mg, Ritilan 60mg, Seroquel 200mg, Wellbutri

Current Illness: None

ID: 0935882
Sex: M
Age: 54
State: SC

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

Lab Data:

Allergies: Shellfish - Anaphylaxis

Symptoms: Pt c/o generalized itching, tingling in his mouth, and "feeling like I feel when I need my EpiPen". Given epi, Benadryl IM, transferred to ED.

Other Meds: Metoprolol, Prozac, ambien, trazodone

Current Illness: None known

ID: 0935883
Sex: F
Age: 41
State: MI

Vax Date: 12/30/2020
Onset Date: 01/02/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: Ceftin, ampicillin, Diflucan, red dye #40, yellow dye #6, walnuts

Symptoms: Less than 72hrs post injection, I had terrible body shaking, hallucinations, would wake up screaming, hot and sweaty , body aches, not able to get comfortable.

Other Meds: Humalog insulin, effector xr, lyrica, Aldactone, buspbar,Buspar, birth control, nortriptyline, calcium supplement, multivitamin, senna, colace naltrexone

Current Illness: None

ID: 0935884
Sex: F
Age: 38
State: CA

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

Lab Data:

Allergies: Acetylcystine, Bactrim, Cefuorxime Axetil

Symptoms: C/O- Dizzy, light headed, states she had glasses of wine night prior, and massage this am before vaccination, cup coffee this am, no other food or liquid. Action- Monitored in OBS area, released after 30 minutes with no complaints

Other Meds:

Current Illness:

ID: 0935885
Sex: F
Age: 54
State: SD

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

Lab Data: NA

Allergies: Venom-honey bee, Venom-wasp, Spider-Venom, dog dander, pollen extracts, tomato, cat dander, amoxicillin, vitc,E-Zn-coppr-Lutein-Zeaxan

Symptoms: Extreme Exhaustion-day of shot (01/06/2021 - 01/09/2021, Body aches - day after shot (01/07/2021), fever - day after shot (01/07/2021 - 01/08/2021, Chills - day after shot (01/07/2021), Headache - day after shot (01/07/2021-01/09/2021)

Other Meds: Methotrexate, Vitamin D2, ferrous sulfate, dextroamphetamine, omeprazole, Nifedipine, Duloxetine, hydroxychloroquine, folic acid,

Current Illness:

ID: 0935886
Sex: F
Age: 44
State: IN

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

Lab Data: None

Allergies: Penicillin

Symptoms: Day after vaccine - red welt, tender, sore, itchy. Took Benadryl and applied ice to area. Pain subsided after 5 days. 3 weeks after vaccine - large area around site is discolored ( 1 inch bruise in center and redness extends 3 inches around bruise) and itchy.

Other Meds: Nuvaring

Current Illness: None

ID: 0935887
Sex: F
Age: 22
State: TX

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

Lab Data: None

Allergies: None

Symptoms: Approximately 15 minutes after receiving vaccine patient felt like thick saliva when swallowing. Also reports lips feeling "big" (possibly numbness). BP= 125/76 HR=77. Patient reports that symptoms subsiding at 5:40pm, but lips still feel "a little fluffy". Patient clinically stable. Patient released from clinic at 5:43pm.

Other Meds: Fluoxetine

Current Illness: Upper Respiratory problems (drainage)

ID: 0935888
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: Erythromycin

Symptoms: Patient C/O of facial numbness and dry mouth. At 1330, patient's vital signs were BP 146/97; T 36.9; P 96 b/m; Oxygen saturation 100%; R 18. The patient was evaluated by responding physicians. At 1420, the patient denied difficult breathing or worsening symptoms, and ambulated out of the observation area with steady gait.

Other Meds: Calcium Citrate

Current Illness: None

ID: 0935889
Sex: F
Age: 42
State: VA

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

Lab Data:

Allergies:

Symptoms: recipient had a metallic taste in her mouth after vaccine administration, states this had happen before with other vaccines.

Other Meds:

Current Illness:

ID: 0935890
Sex: F
Age: 55
State: CT

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

Lab Data: None

Allergies: sulfa medication

Symptoms: Left ear pain, unilateral. Burning sensation on left aspect of scalp with redness, unilateral. Symptoms began on day 7 after administration of vaccine. Seen by PCP. Being treated for presumptive shingles.

Other Meds: Synthroid, Zyrtec, Montelukast, Pepcid, Vitamin D

Current Illness: N/a

ID: 0935891
Sex: F
Age: 55
State: CA

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

Lab Data: no

Allergies: none

Symptoms: localized redness at injection site, R arm/hand joint tenderness and pain, over 72 hr. period

Other Meds: Enalapril, Hctz

Current Illness: none

ID: 0935892
Sex: M
Age: 41
State: TN

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

Lab Data: N/A

Allergies: Balneol, Adhesive from band-aids

Symptoms: Symptom: Headache | Treatment: Tylenol | Outcome: No resolution thus far; Symptom: Fatigue | Treatment: Sleep | Outcome: Slight improvement in fatigue; Symptom: Left arm muscle soreness (same arm as injection) | Treatment: Tylenol | Outcome: No resolution thus far; and Symptom: Back pain (upper-left quadrant) | Treatment: Stretching and Tylenol | Outcome: No resolution thus far

Other Meds: Biktarvy, Alprazolam, Centrum Multi-vitamin, Vitamin D3

Current Illness: Strep throat

ID: 0935893
Sex: F
Age: 57
State: NY

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

Lab Data: n/a

Allergies: Unknown

Symptoms: Lightheaded, dizzy. Vitals okay. Symptoms resolved.

Other Meds: Unknown

Current Illness: Unknown

ID: 0935894
Sex: F
Age: 38
State: AL

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

Lab Data:

Allergies: Shellfish

Symptoms: Numbness of face, metal taste

Other Meds: Vyfemla

Current Illness: None

ID: 0935895
Sex: F
Age: 55
State: GA

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

Lab Data: none

Allergies: Zithromax, Levoquin

Symptoms: Felt as if I was getting the flu, no fever, rash over chest, back, neck (same rash I get when contracting a virus, I.e. common cold, etc). Felt "under the weather" for about 12-24 hours.

Other Meds: Protonix, Linzess, Progesterone, daily vitamin, L-Theanine

Current Illness: None

ID: 0935896
Sex: M
Age: 43
State: CA

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

Lab Data:

Allergies:

Symptoms: 10 minutes after vaccination c/o scratchy throat. MD assessed and transported to for observation

Other Meds:

Current Illness:

ID: 0935897
Sex: F
Age: 31
State: CA

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

Lab Data:

Allergies: Acetylcystine, Bactrim, Cefuorxime Axetil

Symptoms: C/O- Hot flashes, voice went away for a second, "There's something in my throat," palpitation. No s/s airway obstruction, states feeling went away in a few minutes. SaO2 RA = 100% Action- Monitored in OBS area, released after 30 minutes with no complaints

Other Meds:

Current Illness:

ID: 0935898
Sex: F
Age: 27
State: UT

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

Lab Data: rapid influenza-negative 1/10/21 COVID by PCR-negative 1/10/21

Allergies:

Symptoms: low back and abdominal pain, fever started the day following the vaccine. symptoms persisted for over 24 hour. took tylenol with minimal relief.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm