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: 0937511
Sex: M
Age: 35
State:

Vax Date: 12/24/2020
Onset Date: 12/28/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Covid Positive

Other Meds:

Current Illness:

ID: 0937513
Sex: F
Age: 35
State: NC

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

Lab Data:

Allergies:

Symptoms: broke out in hives, sweaty, pale, complained of dizziness and nausea

Other Meds:

Current Illness:

ID: 0937514
Sex: F
Age: 39
State: NJ

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

Lab Data: None

Allergies: No

Symptoms: Chills, low grade fever up to 100.4, muscle aches, flushing red skin of neck and chest.

Other Meds: Vitamin D3- 25 mcg daily Opti-women multivitamin 1 capsule daily

Current Illness: None

ID: 0937515
Sex: F
Age: 55
State: MT

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

Lab Data:

Allergies:

Symptoms: Headache, Body Aches, Chills, Fatigue

Other Meds:

Current Illness:

ID: 0937516
Sex: F
Age: 51
State: AZ

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

Lab Data:

Allergies: Amoxicillin

Symptoms: Quarter size red rash at injection site

Other Meds:

Current Illness:

ID: 0937517
Sex: F
Age: 39
State:

Vax Date: 12/21/2020
Onset Date: 12/28/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: COVID positive

Other Meds:

Current Illness:

ID: 0937518
Sex: F
Age: 37
State: TN

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

Lab Data: LABS RESULTS PENDING WITH PCP

Allergies:

Symptoms: LEFT FACIAL SWELLING WITH LARGE AMOUNT OF NASAL BLEEDING AND CLOTTING. SHE SAW HER PCP AND HAD LAB TESTING AND GIVEN BENEDRYL. SHE WILL F/U WITH PCP AGAIN TODAY.

Other Meds:

Current Illness:

ID: 0937519
Sex: F
Age: 68
State: FL

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

Lab Data: None

Allergies: None

Symptoms: In addition to arm pain, Tingling from tongue to toes lasting about 3 hours.

Other Meds: Atorvastatin, metoprolol, mesalamine, omega 3, b vitamins, coq10

Current Illness: None

ID: 0937520
Sex: F
Age: 51
State: CO

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

Lab Data: none

Allergies: Sulfa, chlorhexidine, Omeprazole, Mastisol.

Symptoms: Pt. states she developed mild pruritus overlying the injection site, had a very faint, erythematous, reticulated rash overlying the injection site. This became more urticarial. There was no treatment and is resolved at this time.

Other Meds: Yasmin, Claritin, Vit D

Current Illness: No Known

ID: 0937521
Sex: F
Age: 63
State: TX

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

Lab Data: none

Allergies: none

Symptoms: Moderna COVID?19 Vaccine 2.5 cm raised hard red patch, warm to touch, soreness directly underneath the injection site this started an hour after the injection (1/4/21) and stayed for 2 1/2 days (1/6/21). I noticed it came back on the 7th day 1/11/21 red raised patch same size same place slightly itchy.

Other Meds: losartan potassioum 50 mg Synthroid .075 mg atorvastatin calcium 10mg escitalopram oxalate 20 mg Zyrtec daily

Current Illness: none

ID: 0937523
Sex: F
Age: 59
State: MS

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

Lab Data: Cyclic Citrullinated Peptide Ab IgG SERUM 6 Rheumatoid Factor PLASMA <10 IU/mL (0-15) C-Reactive Protein High Sensitivity PLASMA 28.700 (H) mg/L (0-3.0) Thyrotropin Sensitive PLASMA 3.170 mcIU/mL (.358-3.74) CBC W/Diff Site / Specimen 08 Jan 2021 1222 Units Ref Range WBC BLOOD 2.19 (L) x10(3)/mcL (4.5-11.0) RBC BLOOD 4.49 x10(6)/mcL (3.5-5.5) Hemoglobin BLOOD 13.0 g/dL (12.0-15.0) Hematocrit BLOOD 38.5 % (36.0-48.0) MCV BLOOD 85.7 fL (79.0-100.0) MCH BLOOD 29.0 pg (25.4-34.6) MCHC BLOOD 33.8 g/dL (30.0-37.0) RDW CV BLOOD 38.2 fL (36.4-46.3) Platelets BLOOD 244 x10(3)/mcL (150-450) MPV BLOOD 9.2 fL (9.1-12.5) Neutrophils % BLOOD 28.6 (L) % (35.2-78.5) Lymphocytes % BLOOD 53.0 (H) % (16.0-39.0) Monocytes % BLOOD 12.8 (H) % (1.4-11.6) Eosinophils % BLOOD 3.7 % (0-5.5) Basophils % BLOOD 1.4 % (0-2) ABS Neutrophils BLOOD 0.6 (L) x10(3)/mcL (2.0-8.0) ABS Lymphocytes BLOOD 1.2 (L) x10(3)/mcL (1.25-3.38) ABS Monocytes BLOOD 0.3 x10(3)/mcL (0.13-0.86) ABS Eosinophils BLOOD 0.1 x10(3)/mcL (0-0.4) ABS Basophils BLOOD 0.0 x10(3)/mcL (0-.2) Absolute Immature Granulocytes BLOOD 0.01 x10(3)/mcL (0-0.03) Granulocytes Immature BLOOD 0.5 (H) % (0-0.4) Nucleated RBC BLOOD 0.00 x10(3)/mcL Nucleated RBC BLOOD 0.0 % (0-.1)

Allergies: None

Symptoms: After receiving the vaccine on 1/5/21 that night i had hard chills during the night, on 1/6/21 I developed a goose egg size swelling under my left armpit, numbness, tingling in my hands, and feet that proceeded with coldness and parlor of my hands, this has occurred daily along with headaches, reddish blotchy patches on my skin. My symptoms progressed on 7 Jan to needle prick sensations all over my body, to include the numbness and tingling, cold hands and feet. On 8 Jan I went to see my doctor and explained my symptoms, labs were drawn. 12 Jan i was placed on Medrol Dose pack, symptoms stills present.

Other Meds: Tylenols, Zyrtec, Multi Vitamin, Vit D

Current Illness: Had COVID 19, 10 Oct 2020

ID: 0937524
Sex: M
Age: 61
State: IA

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

Lab Data:

Allergies: Raspberries

Symptoms: Sore upper arm at injection site.

Other Meds: Venlafaxine ER Clonazepam

Current Illness:

ID: 0937525
Sex: F
Age: 33
State: NJ

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

Lab Data: None

Allergies: None

Symptoms: As per Vaccine recipient -incident happened at home , Initial onset of dizziness, shortness of breath and heart racing. Then respirations were slowing and patient felt like she was going to pass out , like that pending doom sort of feeling. Patient turned very pale and was presenting black and bluish under her eye region with blue lips. At that time ,she tried to hyper ventilate herself to pink back up again, after a few minutes she regained color but was still very weak and was trembling, her respirations returned to mostly normal at that time me . She laid down to rest and then her toes started involuntarily twitching , they eventually stopped after 10-15.Whole episode lasted about half hour to 45 mins.

Other Meds: None

Current Illness: None

ID: 0937526
Sex: F
Age: 39
State: WI

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

Lab Data:

Allergies:

Symptoms: Cold, clammy, fast HR rate of 143, just didn't feel well could find words to describe it and shaky. Left hand numbness opposite site of injection site. Set to ED to be evaluated

Other Meds:

Current Illness:

Date Died: 01/04/2021

ID: 0937527
Sex: F
Age: 44
State: NH

Vax Date: 12/23/2020
Onset Date: 01/04/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: unknown, not reported

Allergies: unknown

Symptoms: unsure if related to vaccine, but was notified by her next of kin that she died on 1/4/2021. No reports of side effects or hospitalization were reported to the facility prior to the notification of death.

Other Meds: unknown

Current Illness: unknown

ID: 0937528
Sex: F
Age: 36
State: FL

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

Lab Data: None

Allergies: None

Symptoms: Had expected symptoms of lightheadedness, fatigue, headache and arm soreness at injection site for 2 days after the vaccine. Symptoms resolved but then recurred 1 week after the vaccine but more severe. Profound lightheadedness and incapacitating fatigue with recurrence of headache for 3 days (days 7-10 post vaccine). Difficulty thinking clearly during this time. TMax 100. Resulted in 2 days could not work in the Emergency Department. COVID test was negative.

Other Meds: None

Current Illness: None

ID: 0937529
Sex: F
Age: 52
State: AL

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

Lab Data: none

Allergies: Doxycycline Sulfa Augmentin

Symptoms: Had not taken any new medication or anything new - Woke up on Friday with a rash which turned it whelps all over. extreme itching. Went to Medsurg clinic to be seen. The doctor ask if I had taken the Covid vaccine and what date. The MD felt like that is what has caused the rash. Rash occurred on day 9 after the vaccine. Rash was treated with steriods, antihistamines, pepcid, and Atarax for the itching. Rash is almost gone in 4 days.

Other Meds: Toprol Premarin Calcium D3 pepcid HCTZ Magnesium Celexa Voltaren

Current Illness: all controlled at time of vaccination HX of HTN Depression Fluid overload Arthritis

ID: 0937530
Sex: F
Age: 23
State: IN

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

Lab Data: None

Allergies: None

Symptoms: I got the shot at 6:36 pm, I was fine until 11:45pm when I got shaky and got the chills but 4am I had the hot sweats and but 7am I felt super weak and the weakness got worse as the day went on, I had to leave work because walking down the hallway felt like running a mile

Other Meds: Levothyroxine, sprintec, vitamin D and C, fish oil pills, and women?s multi vitamins

Current Illness: Viral infection the week before

ID: 0937531
Sex: M
Age: 59
State: OH

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

Lab Data: none

Allergies: None

Symptoms: headache, dizziness and nausea. Treatment: Allegra D for dizziness x 1 /day for 3 days ongoing Zofran for nausea PRN ongoing

Other Meds: Prevacid Lisonopril Simvastatin hydrochlorothiazide

Current Illness: vague, cold like symptoms ~ 5 days prior at time

ID: 0937532
Sex: F
Age: 44
State: CA

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

Lab Data:

Allergies:

Symptoms: Immediately following shot developed facial flushing,nausea,dizzy. Transoported to AFM for assessment

Other Meds:

Current Illness:

ID: 0937534
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: COVID positive

Other Meds:

Current Illness:

ID: 0937535
Sex: F
Age: 38
State: MT

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

Lab Data: EKG high but all became normal All Labs normal

Allergies: Latex Allergy

Symptoms: 12/18/2020 , 12/19/2020 felt sore and felt fine then Tues, middle of night with head ache and heart rate high blood did not feel good took tyler and head ache chills and heart rate high blood and e k g tack cardi tylernol fever on/ slight fever and lots of water and second 01/08/2020 email the second dose taken fine. Fatigue and tylernol and sore 01/11/2020 headache, headache

Other Meds: Vitamin MultiN

Current Illness: No

ID: 0937536
Sex: M
Age: 58
State: MT

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

Lab Data:

Allergies:

Symptoms: Headache, Body Aches, Chills, Fatigue

Other Meds:

Current Illness:

ID: 0937537
Sex: F
Age: 49
State: NE

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

Lab Data: None.. patient declined any medical intervention and was given sprite, water and observed for 30 additional minutes when patient requested to leave saying she felt much better. Given warning signs to watch for and instructed to call 911 if any anaphylactic symptoms appeared.

Allergies: None

Symptoms: Had metallic taste in throat, felt disoriented, pins and needles in feet, and itching on arms

Other Meds: None

Current Illness: None

ID: 0937538
Sex: F
Age: 35
State: MA

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

Lab Data:

Allergies: None

Symptoms: Weakness, chills, nausea and excruciating stubbing pain in L shoulder with even minor movement

Other Meds: None

Current Illness: None

ID: 0937539
Sex: F
Age: 23
State: AZ

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

Lab Data:

Allergies:

Symptoms: C/O HEADACHE AND INCREASED EYE MOVEMENT AFTER COVID IMMUNIZATION SHOT (ADMIN. TIME: 0946) 0955: VS: 111/75, P: 80; 02 SAT: 97% R.A.; 1000: VS: 117/72, P: 80; 02 SAT: 98 % R.A. Left alert/oriented x3 with spouse

Other Meds:

Current Illness: AUTOIMMUNE DISORDER

ID: 0937540
Sex: M
Age: 43
State: PR

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

Lab Data: None

Allergies: None

Symptoms: PT experiencing chills and body aches

Other Meds: Melatonin 5mg

Current Illness: None

ID: 0937542
Sex: M
Age: 38
State: WA

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

Lab Data:

Allergies: None

Symptoms: Later in the afternoon on the day I received my second dose, I noticed that I felt really congested in my chest. It is Tuesday now, and I'm just starting to feel less congested. I have had no fever, nor loss of taste or smell, just the congestion. Coughs are infrequent and dry.

Other Meds: Metformin, Levimir, Fenofibrate, Vitamin D , Elderberry, Men's Supplemental Vitamins

Current Illness: None

ID: 0937543
Sex: F
Age: 29
State: AL

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

Lab Data: none

Allergies: none

Symptoms: "Tingling sensation in left elbow. Feels like I've been laying on it. Event started approximately 5 minutes after injection and is getting better now."

Other Meds: Sprintec Birth control

Current Illness: none

ID: 0937544
Sex: F
Age: 17
State: ND

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

Lab Data: none

Allergies:

Symptoms: Patient was given Moderna Vaccine at age of 17. Moderna indicated for >18 years of age.

Other Meds:

Current Illness:

ID: 0937545
Sex: F
Age: 39
State: WI

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

Lab Data:

Allergies:

Symptoms: fever 101.7 for around 24 hours, headache body aches, arm pain and swelling

Other Meds: ortho tri cycln, citalopram

Current Illness:

ID: 0937546
Sex: F
Age: 59
State: WA

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

Lab Data:

Allergies:

Symptoms: Muscle pain, fatigue, headache, shivering, fever, hoarseness and right lower eye lid twitching . The eye twitching had not gone away yet, other symptoms are fine now, but not the eye twitching.

Other Meds: Losartan potassium 50mg, omeprazole 20mg, schiff ultra type 2 collagen+boron+ha, B-12, ounol termeric 1500 mg

Current Illness:

ID: 0937547
Sex: F
Age: 65
State: MA

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

Lab Data: NONE

Allergies: amoxicillen

Symptoms: Adverse event: Arm extremely sore, Chills and fever of 100.4, nausea Treatment: advil Lasted 7:30 pm 12/30/2020 to Noon pm 1/1/2021

Other Meds: Atorvastatin 10 mg Levothyrine 50mg Vit D 2000 mg multivitamin

Current Illness: Covid-19 Nov 28-Dec 8

ID: 0937548
Sex: F
Age: 33
State: CO

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

Lab Data: EKG- on 12/24 /2020 during observation period, result was normal sinus rythym

Allergies: pennicillin class sulfa drugs nsaids

Symptoms: 10 min after injection, started to feel very light headed with chest pressure/discomfort . Was monitored/observed for about two hours instead of the 15/30 min.

Other Meds: Lexapro, phendimetrazine

Current Illness: n/a

ID: 0937549
Sex: F
Age: 31
State: PA

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

Lab Data:

Allergies:

Symptoms: She received the second dose of the COVID-19 vaccine yesterday. Shortly after that she started to feel some strange sensation in her arm. States her arm felt "heavy". She went home and then felt like she had potentially some numbness and tingling up the right side of her face. She did receive the shot in the right deltoid. Patient states she has no weakness in her arms or legs. But they do feel "heavy". Patient states this morning she felt like the tingling sensation on the right side of her face had improved but it felt more swollen than it did yesterday. She states her family members came over this morning and they also felt that she had some swelling to the right side of her face. Patient was administered Dexamethasone 10mg IM x1 dose and prescribed Prednisone 20mg daily x 5 days then follow-up with PCP

Other Meds:

Current Illness:

ID: 0937550
Sex: F
Age: 22
State: CO

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

Lab Data:

Allergies: Sulfa meds

Symptoms: Fever of 101.8, joint pain, chills, nausea beginning at 0300 on 01/12/2021 and continuing currently (1/12/2021 1030). Poorly controlled with Motrin and Tylenol every six hours. Symptoms return 3-4 hours after taking medication.

Other Meds: One-a-day women?s multivitamin, probiotic, and blissovi fe birth controll

Current Illness:

ID: 0937551
Sex: F
Age: 38
State: MT

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

Lab Data:

Allergies:

Symptoms: Headache, Chills, Nausea

Other Meds:

Current Illness:

ID: 0937552
Sex: F
Age: 36
State: CT

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

Lab Data: COVID-19 nasal swab - 1/7/21

Allergies: NKA

Symptoms: Injection site soreness, axillary lymphadenopathy proximal to injection site, fever (max 102 - tympanic) lasting for > 4 days poorly responsive to antipyretics, headache, arthralgias, myalgias, neck stiffness/pain, hip pain, low back pain, nausea, anorexia, extreme fatigue, severe chills.

Other Meds: Bupropion 75 mg once daily in AM Vitamin D 1,250 mcg once weekly

Current Illness: None

ID: 0937554
Sex: F
Age: 27
State: CA

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

Lab Data:

Allergies:

Symptoms: immediate after this vaccination for COVID-19 prevention, pt. developed lightheaded and dizziness she says. on questioning if BP was checked, she said BP was not checked. Denies ever getting lightheaded or dizziness with other types of vaccinations or immunizations so probable not vasovagal. Headaches she also reported arm aching at this vaccination site. initially said in 1/2 hour later she says 2 hours. She looked at the vaccination site on her arm for first time 8 hours after this vaccination. Found redness and blisters first time treated with diphenhydramine 5 mg. barely move arm next day. swelling arm lasted 2 days. photos of arm vaccination site she sent were reviewed. had video visit with Family Medicine Physician and later with video visit with Allergy Physician

Other Meds:

Current Illness:

ID: 0937555
Sex: F
Age: 29
State:

Vax Date: 12/31/2019
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: N/a

Symptoms: Large Rash on arm developed

Other Meds: N/a

Current Illness: N/-

ID: 0937556
Sex: F
Age: 42
State: NC

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

Lab Data: NONE

Allergies: NONE

Symptoms: EXTREME VERTIGO, HIGH FEVERS, SYNCOPE, BODY ACHES, CHILLS, MEMORY LOSS

Other Meds: LOSARTIN, ULTRAM, NORCO, HCTZ,

Current Illness: NONE

ID: 0937557
Sex: F
Age: 47
State: NY

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

Lab Data: none

Allergies: none

Symptoms: Injection site is hard, warm, itchy and getting bigger in size as days go by. Started the size of a nickel then a quarter then a silver dollar and now, day 5 about 2 inches in diameter. Its painful when I touch it otherwise I feel no pain and no fever.

Other Meds: Tylenol

Current Illness: none

ID: 0937558
Sex: F
Age: 40
State:

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

Lab Data:

Allergies:

Symptoms: swelling to left arm with lymph nodes swelling; mild headaches, body ache lasting more than 48 hours left arm cellulitis on steroid and antibiotic

Other Meds:

Current Illness:

ID: 0937559
Sex: F
Age: 29
State: OH

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1/9/2021 lymph node enlargement in left axilla, started with arm pain day of injection

Other Meds:

Current Illness:

ID: 0937560
Sex: F
Age: 50
State: NY

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

Lab Data:

Allergies: None

Symptoms: 13 days after vaccination, employee noticed redness, swelling, warm to touch, and slightly pain on injection site. Employee reported with no itchy, fever or other symptoms.

Other Meds: None

Current Illness: None

ID: 0937561
Sex: F
Age: 49
State: SC

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

Lab Data:

Allergies: No known allergies

Symptoms: 99 yo obese DMII smoker reported during post-vaccination monitoring for Pfizer COVID 19 that she was experiencing a burning sensation without pain in her neck, hips and along the spine area of her lower back. She reported feeling warm but stated it was likely a hot flash. She reported that when she has a flu shot she has localized arm burning sensation similar to this burning. Denies difficulty breathing, or swelling of any portion of her body. Patients states she is comfortable self-monitoring and plans to go to work. Patient released to self after monitoring for 1 hour. If patient later seeks medical care, we requested she inform us of the outcome.

Other Meds: Janumet 50mg-500mg; Crestor 10mg

Current Illness:

ID: 0937563
Sex: M
Age: 51
State: ND

Vax Date: 12/23/2020
Onset Date: 12/30/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data: Chiropractor for shoulder adjustment incase nerve was pinched

Allergies: Hydrocodone

Symptoms: Right Arm, Tingling from injection site and below, Still sore at injection site if pressed, Has hx ruptured bicep of right arm.

Other Meds: Nothing

Current Illness: none

ID: 0937564
Sex: F
Age: 45
State: NY

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

Lab Data: N/A

Allergies: alcohol,

Symptoms: experienced anxiety and pins/needles to extremities. Provided oxygen and psychological first aid.

Other Meds: iron supplements, multivitamin

Current Illness:

ID: 0937565
Sex: F
Age: 26
State: LA

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

Lab Data: None

Allergies: Cefzil

Symptoms: Fevers of 102, chills, night sweats, body aches, headaches, nausea.

Other Meds:

Current Illness:

ID: 0937566
Sex: F
Age: 27
State: MT

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

Lab Data:

Allergies:

Symptoms: Chills, Headache, Nausea

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm