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: 0937052
Sex: F
Age: 55
State: TX

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: none Food sensitivity - flour (gluten-sensitive)

Symptoms: Extreme gas for 3 days; days one and two were extremely bad, day 3 was less but not normal. Pain at the site of injection for 3 days Heat at the site of injection for 3 days Extreme fatigue for 3 days

Other Meds: ALBUTEROL SUL 2.5 MG/3 ML SOLN SOLUTION FOR NEBULIZATION Dexilant DR 60 MG Capsule one morning Incruse Ellipta 62.5 MCG Inh once morning Gabatentin 300mg capusle once evening Premarin 0.625 MG tablet once morning Montelukast Sod Tabs10 mg o

Current Illness: Sinus Infection the week prior

ID: 0937053
Sex: F
Age: 20
State:

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: Taken to emergency room

Allergies:

Symptoms: Reported feeling faint and nauseated during observation period. Placed on cart in trendelenberg

Other Meds:

Current Illness:

ID: 0937055
Sex: F
Age: 52
State: VA

Vax Date: 11/01/2018
Onset Date: 11/01/2018
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Aches Fever Extremely cold Shivers Nausea

Other Meds: Zyrtec-singular-breo-ventolin-spariva-statin-

Current Illness: None

ID: 0937056
Sex: F
Age: 47
State: ME

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: No known allergies

Symptoms: Rash and itching to chest, Periorbital and facial edema and rash. Onset aprox 36 hours post vaccination of dose 2 Treated with Prednisone 60mg and antihistamines in outpatient setting.

Other Meds: Black Cohost 540 mg 1 PO QD D3 10,000 IU 1 PO QD B Complex 1 PO QD Vitamin C 1000 mg 1 PO QD Probiotic 50 billion CFU 1 PO QD Calcium 1200 mg 1 PO QD Fish Oil 1000 mg 1 PO QD Glucosamine Chondrointin 1 PO QD Womens Formula MVI 1 PO QD Bone

Current Illness: None

ID: 0937058
Sex: F
Age: 35
State: PR

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: None

Allergies: NKDA

Symptoms: Approximately 12 hours after vaccine present with vertigo, that lasts for approximately 24-28 hrs. 5 days after vaccine started presenting with hives, self resolving, migratory. Some other common side effects already known were also present like chills, sore throat, headache, nauseas, tiredness, pain and induration at injection site.

Other Meds: Doxycycline 100 mg PO q 12 hrs Vitamin D3 10,000 U PO once a week

Current Illness: No illness, treatment for skin acne

ID: 0937059
Sex: M
Age: 35
State: IN

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

Lab Data: None

Allergies: PCN: rash as a child

Symptoms: First shot only pain at injection site, headache, muscle soreness; all expected. Second shot same as above but starting 24 hours after vaccine I developed left axillary pain. Able to palpate a lymph node ~1cm. Very painful on palpation. Has not limited activity but still painful. Was difficult to fall asleep 2 nights after vaccine. Now day 2 after vaccine still hurts, maybe incrementally better but taking ibuprofen. Cannot palpate significant lymphadenopathy otherwise. No fever. I am a physician.

Other Meds: Flovent 44 mcg 2 puffs BID

Current Illness: None

ID: 0937060
Sex: F
Age: 43
State: IN

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

Lab Data:

Allergies: none

Symptoms: my neck and shoulders ache

Other Meds: none

Current Illness: none

ID: 0937061
Sex: F
Age: 57
State: NY

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

Lab Data: Covid 19 test. Was negative

Allergies: None

Symptoms: Unrelieved chills, fever of 101.50, severe headache without any relief from Tylenol or Motrin around the clock. Could not lift left arm. Down in bed until today

Other Meds: Lexapro

Current Illness: None

ID: 0937063
Sex: F
Age: 32
State: OK

Vax Date: 12/22/2020
Onset Date: 12/24/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data: 12/28/2020 Covid-19 test

Allergies: None

Symptoms: I started running a fever and body ache after vaccine. On 27th loss taste and smell.

Other Meds: None

Current Illness: None

ID: 0937064
Sex: F
Age: 30
State: TX

Vax Date: 01/04/2021
Onset Date: 01/10/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: no

Allergies: ibuprofen

Symptoms: A week after I received the vaccine I started having painful lymph node swelling on the injection side of body Clavicle, armpit, left knee and arm. I contacted my Doctor but I cannot get into see them for a week

Other Meds: no

Current Illness: no

ID: 0937065
Sex: M
Age: 55
State: IN

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: Rapid Covid test x2 1/4/2021 and 1/11/2021 both negative

Allergies: shrimp

Symptoms: Had flu/covid like symptoms for 7 days ...Just now feeling better on 1/12/21

Other Meds: Vitamin

Current Illness: none

ID: 0937066
Sex: F
Age: 58
State: IN

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

Lab Data: None

Allergies: No

Symptoms: Night after vaccine fever chills nausea and body aches Next day mild fever and body aches with fatigue Fatigue only two days after vaccine

Other Meds: Cymbalta, meloxicam and estradiol

Current Illness: No

ID: 0937067
Sex: M
Age:
State: AZ

Vax Date:
Onset Date:
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0937068
Sex: F
Age: 23
State: IN

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

Lab Data:

Allergies: Silicone spray (hives)

Symptoms: After around 12 hours from getting my vaccine, I experienced strong aches, mild fever, and headaches. Treated with ibuprofen. 21 hours post vaccination was the peak of the symptoms, temperature of 101.6 with ibuprofen, strong body aches, weakness, and anorexia. Symptoms became more mild at hour 31 post vaccine. I had a swollen lymph node after the first vaccine above my left collarbone (injected on left side) and still have this, and now I have a swollen armpit that is very painful on my right side (injected on the right side).

Other Meds: Birth control

Current Illness: N/a

ID: 0937070
Sex: F
Age: 44
State: LA

Vax Date: 12/31/2020
Onset Date: 01/08/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: None

Allergies: Fortaz, IVP dye

Symptoms: On day 8, I developed a small round area above the injection site that was a little raised with a small rash. On day 9, the area doubled and then on day 10 the area doubled again. On day 11, I went to the Dr and was prescribed Clindamycin 300mg tid as well as 3 days of Prednisone and Traimcinolone cream for the area.

Other Meds: Metoprolol 100mg po q day, Norco 5/325mg po q day, Biotin, B complex vitamin, zinc, Vitamin D, Vitamin C, Collagin

Current Illness: None

ID: 0937072
Sex: M
Age: 50
State: VA

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: None.

Allergies: None

Symptoms: I woke up about 10 hours after the shot with chills, fever, and whole body shaking/shivering. The next morning I had a headache, joint aches, mild nausea and a fever. I took Advil throughout the day and felt better at about 10 pm (approximately 29 hours after the vaccine). I was completely back to normal when I woke up the next morning.

Other Meds: 10 mg of Liptor daily

Current Illness: None

ID: 0937073
Sex: F
Age: 43
State: MD

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

Lab Data:

Allergies:

Symptoms: C/O neck pain followed by headache , nausea, vomiting, respiratory issues, itching, benedryl 50mg im given, VS, med called, started IV, BP 189/102, HR 80 Temp 98.5, 98.1, sent to ED

Other Meds:

Current Illness:

ID: 0937074
Sex: F
Age: 41
State: IL

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: none

Allergies: levaquin, PCN, sulfa

Symptoms: Body aches, fever 103, headaches, abdominal pain for 28 hours

Other Meds: OCP

Current Illness: none

ID: 0937075
Sex: M
Age: 35
State:

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Reported feeling faint during observation period. Placed on cart and provided ice pak. Reported feeling fine after 5 minutes.

Other Meds:

Current Illness:

ID: 0937076
Sex: F
Age: 89
State: ND

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: upper arm red swollen hot itchy, resident states has felt terrible since receiving the vaccine will not get the 2nd dose, has had chills, body aches, headache, backache, was in bed for days states she would rather die than have the second vaccine still not feeling "right" to this day

Other Meds:

Current Illness:

ID: 0937078
Sex: F
Age: 77
State: FL

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

Lab Data: none

Allergies: none

Symptoms: more of a side effect. Developed a genital herpes lesion that night. The same thing happened when I got my Shingrix shot. Will a 3 to 5 day series of Valtrex treatment affect the Covid-19 vaccine effectiveness?

Other Meds: multi-vitamin, probiotic, omega-3 (2100)

Current Illness: none

ID: 0937079
Sex: F
Age: 51
State: TN

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: Darvocet, Corguard, Toradol, Midrin, Procardia

Symptoms: Puffiness at wrist of same arm of injection, 2 and 1/2" L x 1 and 1/2" W. Also reporting shooting pain alternating down left arm, right leg, and across chest and head

Other Meds: None

Current Illness: None

ID: 0937080
Sex: F
Age: 61
State: CA

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

Lab Data:

Allergies:

Symptoms: Headache, nausea, diarrhea, malaise. Improving.

Other Meds:

Current Illness:

ID: 0937081
Sex: M
Age: 80
State: IN

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

Lab Data:

Allergies: None

Symptoms: Fever 100.4

Other Meds: Amlodipine. 5mg Losartan 50 MG Esomeprazole 20 MG Fish oil VitaminD

Current Illness: Cold/bronchitis

ID: 0937082
Sex: F
Age: 53
State: CO

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: Wellbutrin bananas latex

Symptoms: I have a silver dollar size hard lump at injection site, it is red and warm.

Other Meds: Synthroid 88mcg daily Tamoxifen daily20mg Vit D

Current Illness:

ID: 0937083
Sex: F
Age: 42
State: TN

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

Lab Data: none

Allergies: ASA

Symptoms: Large local reaction -erythema/induraction- approx. 6-7 cm diam at its largest on 1/8/2021. Required po steroids--area improving as of 1/12/21. Though it was a local reaction I instructed patient to report also. Was this reaction due to the very recent COVID infection--she did not wait the suggested 90 days.

Other Meds: Lisinopril Vitamin D3

Current Illness: Had COVID-19 (symptoms and PCR positive) diagnosed 12/14/20

ID: 0937084
Sex: F
Age: 28
State: IN

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

Lab Data:

Allergies: Azythromycin

Symptoms: Severe injection site pain, severe body aches lasting greater than 24 hours, tachycardia, severe chills and blue nail beds followed by temperature of 101.7. I was unable to work the next day due to fever and severe body pain that limited my movement. Ibuprofen was taken twice with little impact.

Other Meds: Sprintec, Advair, lexapro, omega

Current Illness: COVID 19 diagnosed 12/8/2020

ID: 0937085
Sex: M
Age: 40
State: NY

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

Lab Data: NONE

Allergies: NONE

Symptoms: FEVER, SEVERE CHILLS, HEADACHE, BODY ACHE, SLIGHT NAUSEA. FELT LIKE I HAD THE FLU.

Other Meds: NONE

Current Illness: NONE

ID: 0937086
Sex: M
Age: 42
State: CA

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

Lab Data: None. Phone call to nurses line of my PCP was done and was told to seek medical care if needed

Allergies: No prior

Symptoms: Sudden fast heart/pounding rate about 30 min after vaccination. Followed by immediate warm feeling, light headedness (similar to feeling of passing out). Every 10-15 min after that for the next 90 minutes a similar but less intense increase in heart rate would occur. During this next 90 minutes my hands were very tingly and clammy, my adrenaline seemed high, and my throat was suddenly very dry requiring several cups of water. Overall intensity of the heart pounding sensation decreased with each episode and overall my heart felt normal about 2 hrs past vaccination. A headache then developed along with fogginess and persisted the rest of the day.

Other Meds: Finasteride 1mg, collagen complex supplement 500mg, resveratrol supplement 800mg

Current Illness: None

ID: 0937087
Sex: M
Age: 60
State: FL

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

Lab Data: None

Allergies: NKA

Symptoms: Approximately 5 minutes after recieving the Moderna COVID vaccine #1 at 7:55am, he said he felt "clammy, warm inside". He was placed on VS monitor, BP 157/110, HR 72, O2sat 100%. He sts. hx of Hypertension and took his medication about 2 hours ago. He was monitored for 40 minutes. He stated he was feeling better. BP 144/96, HR 68, O2sat 97%. He remained awake and alert throughout. He left vaccine clinic ambulatory with steady gait.

Other Meds: Aspirin , Metoprolol, Valsartan, Lovastatin, Paroxetine

Current Illness: Sinus infection

ID: 0937088
Sex: F
Age: 32
State: TX

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

Lab Data: Went to ED at hospital where I work; CBC, BMP were all fine, not pregnant. Had UTI.

Allergies: None to foods or meds, otherwise have seasonal and dust mites, cat allergies

Symptoms: Becoming acutely dizzy, light headed, nausea, head ache, diaphoretic, feeling like about to faint

Other Meds: Lamotrigine, vyvanse, D-Hist antihistamine supplement, trazodone

Current Illness: Covid positive two weeks prior

ID: 0937089
Sex: F
Age: 50
State: MA

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/12/2021
Hospital: Y

Lab Data: MRI

Allergies: n/a

Symptoms: Within 24 hrs, developed headaches, burning sensation down spine and neck. fullness in head intensified next day. balance was off, numbness and tingling throughout body. Went to ER. Diagnosed Paresthesia

Other Meds: Augmentin, Wellbutrin, Duloxetine, Klonipin

Current Illness: Diverticulitis 24 hrs prior

ID: 0937090
Sex: F
Age: 51
State: CA

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Excessive Swelling, pain, itching lasting more than 24 hours at site of injection. Stiffness to the arm where injection occurred. Chills, body ache, head ache, general tiredness and itchy lasting longer than 24 hours

Other Meds:

Current Illness: Covid-19

ID: 0937091
Sex: F
Age: 63
State: MI

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

Lab Data: N/a

Allergies: Unk

Symptoms: Patient reported she experienced a metallic taste, a tingling and slight swelling sensation in tongue.

Other Meds: Unk

Current Illness: Unk

ID: 0937092
Sex: F
Age: 30
State: TX

Vax Date: 01/04/2021
Onset Date: 01/10/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: no

Allergies: ibuprofen

Symptoms: A week after shot I started experiencing painful lymph node swelling in Left side clavicle, arm Elbow, behind the knee and armpit. i contacted my doctor but that can't get me in until 1/19

Other Meds: no

Current Illness: no

ID: 0937093
Sex: F
Age: 42
State: IL

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: No medical test

Allergies: possibly sulfa

Symptoms: Pfizer-BioNTechCOVID-19 Vaccine EUA Left armpit swelling, began 1/9/21 at 7am, it is still swollen, had a PCP visit in clinic, off work for 3 days and prescribed anti-inflammatory. Fever, aches, chills, headaches, began 1/9/21 at 9am. Resolved within 24 hours. used tylenol as bottle dosage. Low grade fever until 1/10/21 at 3pm. used aleve as bottle dosage.

Other Meds: Sertraline Levothyroxine Prenatal Multivitamin folic acid calcium CoQ10 prebiotic probiotic fishoil

Current Illness: none

ID: 0937094
Sex: F
Age: 30
State: PR

Vax Date: 12/22/2020
Onset Date: 12/30/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: nasal allergies, sinusitis

Symptoms: local pain(2 days), low fever (two nights), tiredness(2 days), hives in vaccine site (one week after)

Other Meds: sertraline 0.25

Current Illness: IBS

ID: 0937096
Sex: F
Age: 34
State: VA

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

Lab Data: None

Allergies: None

Symptoms: Temperature to 100.2, sore arm, fatigue

Other Meds: None

Current Illness: None

ID: 0937097
Sex: F
Age: 58
State: RI

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: Sulfa Drugs: Rash Lactose Intolerance Environmental Allergies

Symptoms: Severe abdominal pain, nauseous, diarrhea, vomiting, headache, joint pain, muscular aches.

Other Meds: Losartan Potassium 100 mg Bupropion HCL XL 150 mg Famotodine 20 mg 2 tablets per day Centrum Silver Multivitamin/Multimineral supplement Calcium 600 mg D3 50mcg (2,000 IU) B12 500 mcg Risa Quad 230 mg Colestipol HCL 1gm M

Current Illness:

ID: 0937098
Sex: F
Age: 24
State: MS

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: none

Allergies: adhesive

Symptoms: swelling in left underarm lymph node from friday 1/8/21 and still present today, 1/12/21

Other Meds: lexapro, Nikki, zertec

Current Illness: none

ID: 0937099
Sex: M
Age: 65
State:

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

Lab Data:

Allergies: N/A

Symptoms: client has facial flushing ; apparent on observation; RN obtained manual blood pressure 152/92. denies dyspnea, no history of allergies

Other Meds: N/A

Current Illness: N/A

ID: 0937100
Sex: F
Age: 54
State: KS

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

Lab Data:

Allergies: Ancef, codeine sulfate, demerol, ibuprofen, penicillins, soy balance

Symptoms: Patient presents with itching skin and red rash to her chest shortly after getting her first dose of Moderna COVID-19 vaccine. She denies a history of allergic reaction to prior immunizations, but has had itching skin and rash with allergy shots. She denies SOA or swelling in her throat, lips or eyes. Patient was treated with Benadryl, solumedrol and lactated ringers, monitored in office for 2 hours before being sent home. Patient was recovered within 24 hours.

Other Meds:

Current Illness: none

ID: 0937101
Sex: F
Age: 44
State: MI

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

Lab Data:

Allergies: Unk

Symptoms: Patient reported tongue swelling that lasted for 3 minutes and then finger tingling which occured for 3 minutes.

Other Meds: Unk

Current Illness: Unk

ID: 0937102
Sex: F
Age: 49
State: MO

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

Lab Data: Ruled out retinal. Left eye on Monday. Dilated eyes. Took pictures. Eye Care.

Allergies: Peanuts, NSAIDS, Narcotics systemic rash. Pre medicates with Benadryl before all surgeries

Symptoms: 1st vacccine onset headache 30 mins, discomfort arm and tired. 2nd Vaccine onset headache 30 mins Wed, Thursday neck shoulders blades hurt, and achy. Friday Chills, no fever, hurt to the bone all over, sick to stomach, noticed some lips swollen, felt foggy in head. Headache constant top of head. 10:45am spots and vision blurry. Felt very sick. Laid head down then woke black spots. Sat occasionally in sun saw black spots. /sun off not looking at computer did not see black spots. Monday increase black spots. Saw an eye doctor.

Other Meds: anastrozole 1mg daily, allegra 180mg x1 day, Vitamin D 30,000 units

Current Illness: No illness. Potential Covid Disease December 2019 before testing. Loss sense of smell and taste, temps 103.

ID: 0937103
Sex: F
Age: 45
State: NC

Vax Date: 12/18/2020
Onset Date: 01/09/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 1st zoster re-activation

Other Meds: None

Current Illness: None

ID: 0937104
Sex: F
Age: 48
State: TX

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Symptoms - ? EE reports she woke up Sunday am not feeling well and reports symptoms of body aches, chills, axillary lymph node tenderness and swelling, fever (Tmax 102.2). EE reports she called off of work Monday but later came to work later at approximately 09:00. EE reports Monday resolution of all symptoms except still worsening lymph node tenderness and swelling. EE reports she emailed Woodlands EH RN and advised to contact HR vaccine support line to notify of adverse reaction. EE report she filled out V-safe. Last day of work and shift - ?currently working today Home remedies? - rest and motrin (last dose at 8:30 PM on Sunday 1/10) Any improvement? ? EE reports resolution of all symptoms except lymph node swelling and tenderness Recommendation? EE encouraged to rotate Tylenol and motrin q3h and to contact PCP for appointment.

Other Meds:

Current Illness:

ID: 0937105
Sex: F
Age: 66
State: PA

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

Lab Data: none

Allergies: sulfa drugs

Symptoms: Injection site pain, chills, fever, headache, muscle pain, nausea 12 hours after second vaccine

Other Meds: simvastatin 20 mg

Current Illness: none

ID: 0937106
Sex: F
Age: 25
State: TX

Vax Date: 10/16/2020
Onset Date: 10/16/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data: N/A

Allergies: Soy/soybean, and Bees

Symptoms: Symptoms/Signs: Swelling around the injection site (size of golf ball), fever, chills, sore throat, hives. The hives and swelling/reaction lasted about 3-4 days, and the fever, and chills lasted about 24 hours. The sore throat lasted about 48 hours.

Other Meds: Montelukast, Allegra, Pirmella (birth control)

Current Illness: No

ID: 0937108
Sex: F
Age: 41
State: MA

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

Lab Data:

Allergies:

Symptoms: Recipient reported heartburn sensation, and fatigue.

Other Meds:

Current Illness:

ID: 0937109
Sex: F
Age: 53
State: OH

Vax Date: 01/04/2021
Onset Date: 01/08/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: none

Allergies: Zoloft

Symptoms: Very large, very tender axillary lymph node under right arm. Some soreness began day after injection but swelling and increased soreness began 4 days after injection and persists 8 days after injection

Other Meds: none

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm