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: 0937357
Sex: F
Age: 63
State: OK

Vax Date: 01/05/2021
Onset Date: 01/08/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: None

Allergies: MACROBID

Symptoms: Achy, slight agitation, stomach ache, diarrhea, fatigue, loss of appetite, sleeping 16 hrs or more daily. Flu like symptoms .

Other Meds: Zinc, D3, C, Multi Vit, B Complex, 81 mg asperin Levithyroxin, Armour Thyroid, Singulair, Zyrtec, Wellbutrin , Estradial, Progesterone Componded, Tylenol or Ibuprofen PRN arthritis.

Current Illness: None

ID: 0937358
Sex: F
Age: 39
State: PA

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

Lab Data:

Allergies:

Symptoms: Received IM injection, 5 minutes later she felt tingling down her left arm. Over the course of the afternoon it spread to her left jaw, neck, face and lips. She proceeded to be seen by UC. She took tylenol. She improved. She had nausea and seats as well. This is similar to the symptoms she had of covid the month previous.

Other Meds:

Current Illness:

ID: 0937359
Sex: F
Age: 63
State: MD

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

Lab Data:

Allergies:

Symptoms: She reported a mild lightheaded feeling. Declined a visit from the doctor. States has this feeling often and is not certain if it is anxiety or related to the vaccine.

Other Meds:

Current Illness:

ID: 0937360
Sex: F
Age: 42
State: CA

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

Lab Data:

Allergies: Influenza vaccine Tdap vaccine

Symptoms: Developed pain, redness, and swelling to injection site within 2-3 days of injection. She also has moderate itching to site. There is a 7.5 cm circle/induration at injection site currently as of 1/12/21, 12 days post injection. Also with increased nausea, fatigue and multi-joint pain and shingles outbreak.

Other Meds: ? mv-mn/iron fum/FA/omega3,6,9#3 (WOMEN'S MULTI ORAL) Take 1 Tablet by mouth once daily ? omeprazole (PRILOSEC) 40 mg DR capsule TAKE 1-2 CAPS BY MOUTH EVERY MORNING BEFORE BREAKFAST DO NOT CRUSH OR CHEW. ? atorvastatin (LIPITOR) 20 mg

Current Illness:

ID: 0937361
Sex: M
Age: 38
State: VT

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

Lab Data:

Allergies:

Symptoms: Headache, body aches, took Motrin and symptoms resolved

Other Meds:

Current Illness:

ID: 0937362
Sex: F
Age: 43
State: VA

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

Lab Data:

Allergies: lortab, tramadol, ceftin, vitamin K, E-mycin

Symptoms: Recieved vaccine on Friday 1/8 in AM, by evening had heaviness in shoulders and headache. 1/9 AM moderate fatigue and muscle aches with headache. By 4pm nausea began and temp of 99.4. Severe muscle/joint pain and fatigue progressed from there with temp reaching high of 102.6 before fever broke around 5AM 1/10. Sunday 1/10 - moderate/severe fatigue with low grade temp of 99.6., nausea, headache. Little energy to do anything other than sit on couch. Attempted to go to work Monday 1/11, did have fatigue and headache prior to leaving for work. Once at work developed severe hot/cold flashes on and off with profuse sweating spells anytime I would move around. 1/12 still with headache and nausea.

Other Meds: zyrtec, nexium, hctz, welbutrin,sevella,naproxin,topamax

Current Illness: viral illness 2 weeks prior

ID: 0937363
Sex: F
Age: 47
State:

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

Lab Data:

Allergies:

Symptoms: patient developed occipital headache, backache, flushed sensation, and weakness; has known history of "MS". pt. given a water, vitals signs taken, and 1st response team called to transport to ED.

Other Meds:

Current Illness:

ID: 0937364
Sex: F
Age: 38
State: IL

Vax Date: 12/29/2020
Onset Date: 01/04/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: none

Allergies: Latex Hydrocodone Amoxicillin

Symptoms: Hard lump to left axilla - assumed to be enlarged lymph node, large, tender, swollen x 4 days then resolved started on day 5 after immunization with 1st dose of Moderna COVID 19 vaccine, same side as vaccine given

Other Meds: Vitamin C Vitamin D3 Adderall

Current Illness: none

ID: 0937365
Sex: M
Age: 36
State: OK

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

Lab Data: n/a- spoke with nurse on site at Long Term Care facility.

Allergies: n/a

Symptoms: Started running as I always do on the weekend- I am an avid runner, cyclist, swimmer and consider myself in very good health- Normally for my pace my heart rate would have been 144-156- it spiked to 177-181 and continue to rise. I stopped and walked- it dropped to 168 so I slowed down and it spiked again. With any exercise since vaccine my heart rate has been elevated. I have had heart palpitations- two days after the vaccine and blood pressure was high for me. Blood pressure is not back down but still slightly higher than usual- I have slowed my normal exercise routines down but I am experiencing tightness in chest.

Other Meds: n/a

Current Illness: n/a

ID: 0937366
Sex: F
Age: 62
State: OH

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

Lab Data: None

Allergies: Shrimp allergy, bee sting allergy

Symptoms: Developed some hives and generalized itchy feeling, feeling of agitation. Took Benedryl 25 mg P.O., , hives and itching gone by morning.

Other Meds: Prilosec, ASA 80 mg, Vitamin D 2000 units

Current Illness: tested for COVID for symptoms and exposure 12/9/20 - was negative by PCR

ID: 0937367
Sex: F
Age: 36
State: AR

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

Lab Data: HEART MONITOR APPLIED PER DR AND DR RECOMMENDED THAT SHE KEEP HER APPOINTMENT FOR THE SECOND DOSE. SECOND DOSE OF VACCINE GIVEN ON 1/12/2021.

Allergies:

Symptoms: A COUPLE OF HOURS AFTER VACCINE, PALPITATIONS AND TACHYCARDIA. THIS LASTED FOR 5 DAYS, SO SHE WENT TO SEE A HEART DR. LATER THAT EVENING, TEMP OF 101.

Other Meds:

Current Illness:

ID: 0937368
Sex: F
Age: 61
State: CO

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

Lab Data: none - I did speak to a nurse practitioner at our office, she did not express that I needed to do anything at this time as I was better. I decided to report the adverse reaction in hopes it would help with the science behind the vaccine. I did let the vaccine site know that I did have allergies to everything outside. I have never been stung by a bee, but I did have an adverse reaction to bee pollen years ago.

Allergies: No

Symptoms: Severe stomach pain, no nausea, pain like a severe side ache; severe chest pain; headache. Chest pain, left sided stomach pain, and headache persisted through the night. I was able to get some relief by takin a 325 mg Aspirin and an Advil every 2-3 hours through the night. The chest pain was pretty bad, considered going to the ER, but persisted to fight it through to the morning. In the morning, around 6:30 am I was exhausted, but the worst of the pain was over. I did take another Aspirin and Advil around 8:00 am and stopped after that. I did run a low grade fever off and on of 99.7 to 100.4. I felt better on Saturday, but by noon I was feeling generally run down and again started to run a low grade fever off an on the rest of the day. Sunday - what a joy to feel totally well!!

Other Meds: Levothyroxine 75 mcg

Current Illness: No

ID: 0937369
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: None

Allergies: Hydralazine

Symptoms: Dizziness for 4 days vomiting body aches and severe diarrhea

Other Meds: Norco metoprolol lyrica cymbalta Zyrtec tizanidine

Current Illness: Pain from prior neck surgeries been treated by pain dr for 2 years

ID: 0937370
Sex: F
Age: 28
State: MD

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

Lab Data:

Allergies: NKA

Symptoms: presented to clinic on 1/12/21 with c/o left arm redness soreness, warmth and edema approximately 6cm in diameter around the vaccine site. that has not resolved. It started approximately 1/6/21, no itchiness, no other symptoms. She was advised to contact her PMD or to go to urgent care for evaluation. also advised to go to ER if symptoms worsened or are accompanied by any Fever Increasing redness, or severe pain

Other Meds: Ethynyl Estradiol patch, Flonase nasal spray, Zyrtec,

Current Illness:

ID: 0937371
Sex: F
Age: 44
State: MO

Vax Date: 12/18/2020
Onset Date: 12/23/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Felt extremely fatigue and sleepiness for two days beginning the day of injection. On 12/23/2020 my period came which was two weeks early. I am normally regular for years and this was unusual. Period lasted 4 days and then stopped and now my cycle is off.

Other Meds: None

Current Illness: None

ID: 0937372
Sex: M
Age: 82
State: MN

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

Lab Data: In the ER: EKG- Normal sinus rhythm, rate of 85, with one PVC CRP elevation 56.5 mg/L

Allergies: Doxycycline- Rash

Symptoms: The day following vaccination, 12/31/2020 at 1230, the patient had an acute onset of shortness of breath, tachypnea (rate 34)wheezing, tachycardia (rate 130s and irregular), oxygen desaturation (89 to 91% on room air), and clear rhinorrhea, non-productive cough. Earlier in the day he complained of not feeling well, but non-specific. He was assessed and given an albuterol nebulizer treatment. In the coming hour, his wheezing resolved, work of breathing improved, heart rate and respirations decreased. He was ambulating around without signs of activity intolerance. It was felt that he was stable and back to baseline, so he was monitored by the nursing staff. A chest x-ray was ordered but not completed. On 1/1/2021 at approximately 0925, a nursing assistant described loss of consciousness for 20-25 seconds. It appeared that he was not breathing, slumped over in the chair at the breakfast table eating cream of wheat, eyes rolled back in his head. He regained consciousness, breathing normally after coughing. He did not appear to be choking. His heart rate was recorded as irregular, rate 32 by the nursing staff. He was transported to the Emergency Department at Hospital for evaluation. No concerning findings.

Other Meds: Triamcinolone 1% cream Famotidine 20 mg by mouth twice daily Cetirizine 10 mg tablet once daily Med Pass 2.0 nutritional supplement 2 fl oz by mouth twice daily Enlive nutritional supplement

Current Illness: No acute illnesses

ID: 0937373
Sex: M
Age: 0
State: MA

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

Lab Data: none

Allergies: no known allergies

Symptoms: Patient was given the Quadracel (DTAP/IPV) instead of a Pentacel (DTAP/IPV/HIB). Provider and parent notified and parent is returning today to receive the HIB. No adverse effects noted at this time and per the State there is no need to readminister the second dose Dtap and IPV.

Other Meds: none

Current Illness: none

ID: 0937374
Sex: F
Age: 40
State: IN

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

Lab Data: Ultra sound

Allergies: Macrobid viberzie flonase seasonal allergies

Symptoms: Baseball size bump on armpit

Other Meds: Levothyroxine janumet iron abilify escitalopram armodafinil lisinopril hctz pantoprazole

Current Illness: No

ID: 0937375
Sex: F
Age: 29
State: CT

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

Lab Data: No medical tests. Alternated Tylenol and ibuprofen to manage symptoms, rested and tried to stay hydrated with fluids.

Allergies: Sulfa

Symptoms: Received the vaccine 11:20am, experienced expected arm soreness and fatigue for the rest of the day. Went to sleep with no issues. Woke up at 2:00am uncontrollably shaking with chills/goosebumps, sweating with shortness of breath. Extreme headache and all over body soreness also at that time. This continued in waves for the next several hours. I finally slept for a short time and woke with continued headache and muscle/joint soreness. This was accompanied by dizziness, nausea and decreased appetite. This persisted throughout the entire next day following vaccination. The day after that was slightly better and the subsequent day I felt relatively back to normal. I checked for fever many times throughout the symptoms but was always afebrile.

Other Meds: Spironolactone, esomeprazole, qsymia, valcyclovir, probiotic

Current Illness: None

ID: 0937376
Sex: F
Age: 37
State: VA

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

Lab Data:

Allergies: Aspirin

Symptoms: 2 days after: headache, body chills, sore throat, and fatigue. Third day: fatigue and body aches

Other Meds: Laxapro, multivitamin

Current Illness: None

ID: 0937377
Sex: M
Age: 49
State: VA

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

Lab Data: None.

Allergies: No medicine or food allergies. Cat allergy.

Symptoms: Was prior COVID POSITIVE patient in April, 2020. Inpatient at Facility. Experiencing mild symptoms similar to COVID. General body aches, mild fever (99.7), chills, muscle soreness at injection site and fatigue. Symptoms first noticed about 0600 - approximately 18 hours after vaccination. Treating with CareOne Daytime Multi Symptom Cold/Flu relief, distributed by FOODHOLD.

Other Meds: Metformin HCL 1000MG x2pd Aspirin 81mg x1pd Pioglitazone hcl 30mg x1pd Metrprolol Succinate 50MG x1pd Carbamazepine 200mg x2pd Empagliglozin 25mg 1/2 tab x1pd Clopidogrel Bisulfate 75mg x1pd Cholecalcif 25mg x2pd Famotidine 20mg x2pd Atorva

Current Illness: None

ID: 0937378
Sex: F
Age: 45
State: IL

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

Lab Data: no

Allergies: no

Symptoms: A few hours after the vaccine I got hot. About 2 hours later I got really cold. At night when I was sleeping I had very vivid dreams. I was cold all night. When I woke up my arm was sore to touch , to move and both ankles hurt to walk and I started itching on my face. Started Saturday in the evening( chin, nose) Eyelid and underneath was red and I also had a headache. I had blotches on my cheek. Next day I woke up and no change but I was extremely fatigued.. Monday 10am it started going away. By evening majority of pain was gone. About 98% recovered. I still have some itching and chills.

Other Meds: no

Current Illness: no

ID: 0937379
Sex: M
Age: 37
State: CA

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

Lab Data: none

Allergies: None

Symptoms: Facial flushing, tingling/tickle in throat

Other Meds: Facial flushing, tightness/tingling in throat

Current Illness: None

ID: 0937380
Sex: M
Age: 36
State: TX

Vax Date: 01/05/2021
Onset Date: 01/10/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: none yet, bloodwork planned

Allergies:

Symptoms: Erythematous raised rash started on the left arm 01/10/21, the following day blisters appeared and the rash became painful. Prior to that there was shock-like pain through the left arm starting on the day after the vaccination. Suspect likely shingles

Other Meds: rosuvastatin, Zetia, topical minoxidil

Current Illness:

ID: 0937381
Sex: M
Age: 38
State: NY

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

Lab Data:

Allergies: Sulfa

Symptoms: 7 hours after vaccine, felt fatigued with muscle aches. 15 hours after vaccine, worsening muscle aches with nausea. 20 hours, peak of muscle pain, nerve pain, nausea, and pressure in eyes. at 20 hours, Tylenol and Benadryl were taken. At 40 hours post vaccine, reaction subsided with new symptom of left axillary lymph node enlargement and tenderness. Axillary lymph nodes normal 72 hours post vaccine.

Other Meds:

Current Illness:

ID: 0937382
Sex: M
Age: 45
State: VT

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

Lab Data:

Allergies:

Symptoms: HA, Nausea, fever, chills, stayed home

Other Meds:

Current Illness:

ID: 0937383
Sex: F
Age: 59
State: OK

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

Lab Data: WAS TRASNFERRED TO VIA EMS. CARE CONTINUED AT HOSPITAL.

Allergies: ALLERGY REACTION TO ALLERGY SHOTS (X2 REACTIONS THAT ENDED IN HOSPITAL, X1 REACTION ENDED WITH EPI-PEN)

Symptoms: CLIENT FOUND AT DECREASED RESPONSIVENESS AT END OF HER 30 MINUTES WAIT TIME DURING MONITORING. (MONITOR) ADVISED US SHE HAD NOT BEEN TALKING X15 MINUTES, THOUGHT SHE WAS LOOKING AT HER PHONE. CLIENT WAS NON-VERBAL AND GLASSY EYED WITH VISIBLE HIVES ON NECK AND CHEST PROGRESSING RAPIDLY DOWN BILAT. ARMS AND TORSO. O2 VIA NON-REBREATHER ON 8L STARTED. BENEDRYL 50MG GIVEN IN L. DELTIOD. 2 ROUNDS OF 0.5ML OF EPI 1:1000 GIVEN SQ IN R. ARM 15 MINUTES APART. EMS WAS NOTIFED AND ARRIVED SHORTLY AFTER 2ND ROUND OF EPI GIVEN. EMS CONTINUED CARE AT THAT TIME AND TANSFERRED HOSPITAL VIA AMBULANCE.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 0937384
Sex: F
Age: 47
State: TN

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

Lab Data:

Allergies: Pennicillan Tramadol Hydrocodone Codeine

Symptoms: Day of vaccination, arm tender, 7 hours after vaccination, Extreme Fatigue and Sore throat - loss of voice. Day after vaccination, Severe body pain - back, shoulders, hips, abdomen with Muscle aches, Headache, Mild Discomfort in chest and ribs when breathing, and General feeling of being unwell

Other Meds: Contrave Gabapentin Mataxalone Vitamin C Vitamin D Zinc Multivitamin Baby Asperin

Current Illness:

ID: 0937385
Sex: F
Age: 40
State: FL

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

Lab Data:

Allergies: NSAIDS, ASPIRIN, IODINE CONTRAST

Symptoms: Headache- severe x 4 days High Fever (103) (6 hours post injection begain, lasted 1. 5 days) Myalgia Pain - bone, and muscle Vomiting Nausea Agitation Diarrhea Inflammation, edema, heat firm induration at injection site

Other Meds: Tirosint 150 mcg daily Cytomel 5 mcg daily Lexapro 10 mg daily Omeprazole 40 mg daily Metformin ER 2000 mg daily Vitamin D3 Daily Elderberry Daily (OTC) Vitamin C/Zinc (OTC)

Current Illness: None

ID: 0937386
Sex: F
Age: 43
State: TX

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

Lab Data: 9:40am BP 138/91 P 106; 9:42am BP 144/92 P 114

Allergies: None

Symptoms: Pt stated feeling light headed, difficulty breathing, dry mouth possible related to anxiety. Symptoms lasted about 8 min.

Other Meds: Vitamin C supplements

Current Illness: None

ID: 0937387
Sex: F
Age: 38
State: WI

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

Lab Data:

Allergies:

Symptoms: Patient calls in and reports that after her vaccine on 1/4 she had some light swelling and redness at injection site. She states that now, on 1/12 the swelling is as big as a golf ball and the site is hot to the touch. She denies any pain.

Other Meds:

Current Illness:

ID: 0937388
Sex: F
Age: 28
State: MI

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

Lab Data: None as of yet

Allergies: None

Symptoms: Injection site rash, redness, minor itching and swelling along lateral aspect of left upper arm, starting at injection site and moving to front of arm. Noticed it this morning, 1-12-2021 and I got vaccine 12-30-2020

Other Meds: Montelukast 10mg, Necon 05./35, Propranolol 20mg, sertraline 50mg,

Current Illness: None

ID: 0937389
Sex: M
Age: 62
State: IN

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

Lab Data:

Allergies: HCTZ, cantalope

Symptoms: Severe neck and throat pain, throat hurt when breathing. No chest pain, no shortness of breath. Lasted until about 2am. Anxious because concern about being cardiac. Next day very tired and headache.

Other Meds: Lisinopril, amlodipine, omeprazole, glucosamine/chron, asa81ec, vit c, multivitamin, vitamin d

Current Illness:

ID: 0937390
Sex: F
Age: 50
State: NE

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

Lab Data:

Allergies: None

Symptoms: Bilateral mild Facial numbness

Other Meds: None

Current Illness: None

ID: 0937391
Sex: F
Age: 19
State: MI

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

Lab Data: none

Allergies: NKA

Symptoms: After completing last vaccine today, Hep A, Patient became pale, clammy, and appeared to have convulsions with hand and arms turned in and eyes shut for about 1 minute stated at 9:55 am. Got her to exam table with help and took b/p right arm lying down with legs raised b/p 90/60. Gave juice and pop tart when she started feeling better. b/p 120/60, 120/60, 114/64. She contacted friend to pick up and before leaving repeat b/p 100/70. She regained color and reported felling much better. She did report not eating prior to coming into the clinic today.

Other Meds: Ortho Tri Cyclin Prozac

Current Illness:

ID: 0937392
Sex: F
Age: 28
State: RI

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

Lab Data: Oral covid PCR done on 1/8/20 was negative. Covid anterior nasal PCR pending from 1/11/21.

Allergies: None

Symptoms: Arm became red, swollen, warm and hard. This lasted approximately 7 days. Arm is still somewhat red, warm but has been improving 2 weeks after vaccination. Also had mild chills, body aches, temperature of 99 degrees F at night for 2 days following vaccine administration.

Other Meds: Nuvaring

Current Illness: None

ID: 0937393
Sex: M
Age: 20
State: FL

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

Lab Data:

Allergies: None.

Symptoms: Developed fever within 12 hours. Severe head ache and muscle aches within a couple hours. Mild cough in 10 hours.

Other Meds: None.

Current Illness: None.

ID: 0937394
Sex: M
Age: 16
State: MA

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: N/A

Allergies: Peanut

Symptoms: Special Needs Child Autistic- immediately after vaccine slouches over, hands over eyes, touching eyes, then looked at parent; parent states one eye was looking at parent the other eye was steered to the opposite direction viewing away from parent; patient then collapsed to the floor. Paramedics called, patient was attended by EMT 's; pt then regained consciousness and per parent pt has seemed like his self since

Other Meds: N/A

Current Illness: N/A

ID: 0937395
Sex: F
Age: 58
State: NY

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

Lab Data:

Allergies: food peanut butter, jelly, vanilla cookies, ginger

Symptoms: numbness of the lower extremities

Other Meds: none

Current Illness: diabetes, chronic kidney disease, polycythemia, cerebral ischemic attack, HTN, asthma, HLD, other muscle spasm, GERD, ASHD, Diabetic nephropathy, low back ache, urticarial, OA of knee, vitamin D deficiency,

ID: 0937396
Sex: M
Age: 61
State: IN

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: N/A

Allergies: Latex. Jubila. Dust. Mold. Feathers. Seasonal allergies.

Symptoms: No problems on vaccination day. I woke up the next day with severe flu-like symptoms. I had a severe headache, severe body aches, cough, injection site pain, weakness, extreme tiredness, The flu like symptoms lasted one day and were gone by the evening of the second day out from vaccination. One week later I still have muscle pain at the injection site.

Other Meds: Norvasc. Cardura. Flonase. Wellbutrin. Clarinex. Sudafed. Zertec. Volatren Gel. Relaten. Buspar. Tessalon Perles. Aspirin. Astaxanthin. Ashwaganda. Horse Chestnut. Epimedium. Phosphatidylserine. Spirulina. Vitamin K, C, D. Turmeric. Magnes

Current Illness: COVID 19 positive. 11/22/2020

ID: 0937397
Sex: M
Age: 31
State:

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, fatigue, chills, body aches, onset: 1/7/2021. As of today, 1/12/2021, I have experienced a persistent temporal headache that has not responded to OTC medications including: ibuprofen, tylenol, and excedrin.

Other Meds:

Current Illness:

ID: 0937398
Sex: F
Age: 54
State: IN

Vax Date: 12/30/2020
Onset Date: 01/05/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: none

Allergies: anaphylaxis to Augmentin, oral/GI side effects to most other antibiotics except Quinolones statins=hypertension lyrica=night terrors

Symptoms: Stomach cramps, bowel cramps, malaise, bloating, loose stools, night sweats, nausea, headache, dizziness, joint pain

Other Meds: Armour Thyroid, Ramipril, Chlorthalidone

Current Illness: none

ID: 0937400
Sex: F
Age: 37
State: NY

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

Lab Data: COVID test pending

Allergies: n/a

Symptoms: Severe fatigue, myalgias, nausea, chest tightness

Other Meds: No

Current Illness: n/a

ID: 0937401
Sex: M
Age: 33
State: FL

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

Lab Data: N/A

Allergies: N/A

Symptoms: Onset of mild headache at approximately 2:00AM on 12Jan2021, with headache getting progressively worse since onset. Onset of chills, body fatigue, and muscle/joint aches at 4:00AM on 12Jan2021. Low grade fever (99 degrees F) reported at 5:00AM on 12Jan2021.

Other Meds: N/A

Current Illness: N/A

ID: 0937402
Sex: F
Age: 39
State: PA

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

Lab Data:

Allergies: Animal dander, indoor outdoor allergies, iodine, betadine, peanut butter, shellfish, sulfa

Symptoms: Pt. started having tachycardia immediately after vaccination and hives developed two hour after vaccination was given. Pt. took propanolol for tachycardia(already prescribed this medication by pcp) and bendryl for hives along with cold water. Pt. still experiencing hives today and just took loratadine and zaditor eye drops for crusty/itching eyes.

Other Meds: PROPANOLOL, DEPO-PROVERA

Current Illness: sickle cell trait, exercise induced asthma

ID: 0937403
Sex: M
Age: 44
State: CA

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

Lab Data: None

Allergies: amoxicillin

Symptoms: Mild to moderate chills, body aches and muscle cramps. Lasted about 5 hours.

Other Meds: mens health multi-vitamin

Current Illness: None

ID: 0937404
Sex: F
Age: 80
State:

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

Lab Data: none

Allergies: NKA

Symptoms: 9:45 Client experiencing itching on the back of her neck. No rash, swelling, redness or hives noted. Slight itching on face on right eyebrow and right side of nose. No redness/rash noted. BP 190/96 9:50 BP 182/86 10:00 refused ambulance dispatch, itching resolved. States she feels well enough to leave and wants to go home. Client ambulated without difficulty. No s/s distress. Ambulated with husband to personal vehicle accompanied and driven by husband.

Other Meds: Losartan, atenolol

Current Illness: none

ID: 0937405
Sex: F
Age: 30
State: CA

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

Lab Data: none

Allergies: peanuts

Symptoms: chest tightness with inspiration, throat tingling, scratchy throat. no labored breathing, no tongue or lip swelling. she notes also right leg hurts but able to stand and walk on leg with improvement. Monitored with stable VS. O2 Sats at 100% and non labored breathing. Given total of 50 mg Benadryl and monitored for total of 45 minutes from exam time and she was taken home by family member and given ED precautions.

Other Meds: none

Current Illness: none

ID: 0937406
Sex: F
Age: 36
State: PA

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

Lab Data:

Allergies:

Symptoms: Within 15 minutes of receiving the vaccine she developed jaw tingling. This resolved but when driving home she developed jaw numbness which persisted over the next day. Eventually improved. Was recommended to proceed to the ED but she did not go.

Other Meds:

Current Illness:

ID: 0937408
Sex: F
Age: 32
State: TX

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

Lab Data:

Allergies:

Symptoms: Employee very anxious about vaccines in general. Pt started having tingling down left arm, tingling underleft arm, down left side of rib cage then down left leg. At same time tingling and facial numbness. HR-96. Pt states she is ok. We decided to take her to the ER via W/C and was given Benedryl. No other problems.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm