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: 0938215
Sex: F
Age: 58
State: LA

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

Lab Data: none

Allergies: Penicillin

Symptoms: sore arm where injection was given shortly after.

Other Meds: Metoprol Suc 50mg ER (1.5 tablets) Lisinopril 40mg (1 tablet) Dextroamp-Amphetamin 30mg (1 tablet)

Current Illness:

ID: 0938216
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: abd pain; dx with hep C and Covid positive12/14/2020

Other Meds:

Current Illness:

ID: 0938217
Sex: F
Age: 85
State: IL

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

Lab Data: vital signs were performed upon complaints of pain: BP (150/80) HR 89 RR 18

Allergies: No known allergies

Symptoms: Resident was monitored for 20 min period post vaccine and had no complaints until the 20 minute period had just finished and she had a sudden onset of abdominal pain/epigastric pain that last about 45-60 minutes. She was unable to eat anything and needed to be helped back into bed. Her vital signs were stable (blood pressure slightly elevated) and she has had no complaints or issues since. I do not believe the resident had a bowel movement to coincide with her pain.

Other Meds: Brimonidine eye drops, refresh liquid tears, Respirodone, Pepcid, Claritin, Neurontin, Tylenol, Mylanta, Robitussin, Latanoprost, Aricept, Miralax, Nystatin powder,

Current Illness: None.

ID: 0938218
Sex: F
Age: 34
State: MN

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

Lab Data:

Allergies:

Symptoms: Pain and swelling at injection site, fever, chills, muscle and joint aches, dizziness, weakness, fatigue

Other Meds:

Current Illness:

ID: 0938219
Sex: F
Age: 41
State: OR

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

Lab Data: NA

Allergies: None

Symptoms: Dose 1 -Headache for 4 days, and fatigue Given 12/21/2020 @ 0900am Dose 2-headache, shaky, fatigue, light headed, blurred vision, high blood pressure and mental fogginess Given 01/11/2021 @ 1430pm

Other Meds: Vitamin C Vitamin D Adderall Wellbutrin

Current Illness: NA

ID: 0938220
Sex: F
Age: 40
State: MA

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

Lab Data:

Allergies: none

Symptoms: lymphedema in armpit, pain in armpit, lymphedema in left chest, pain in left chest; started 1/9/2021 in the morning, worsened over the next 48 hours; swelling progressed to level that made resting arm against body too painful, lifting arm above level of shoulder too painful, lifting objects in left hand too painful, deep breathe caused pain in left chest and rib/flank area, swelling in chest area progressed across chest toward neck and covering clavicle. swelling continued to increase until 1/12/2021, the first day which swelling and pain has decreased.

Other Meds: topamax adderall

Current Illness: none

ID: 0938221
Sex: F
Age: 53
State: MO

Vax Date: 12/22/2020
Onset Date: 12/29/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data: CT scan - 12/30/20 Lymph node removal - 12/30/20

Allergies:

Symptoms: Patient developed supraclavicular lymph node nodule 7 days post vaccination on left side of body. CT scan and biopsy completed 8 days post vaccination. Biopsy was normal/non-cancerous.

Other Meds:

Current Illness:

ID: 0938222
Sex: F
Age: 75
State: NY

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

Lab Data: Complete blood count Comprehensive metabolic panel: BUN 30; ALKALINE PHOSPHATASE 45; BUN/CREATININE RATIO(calc) 30; *eGFR FEMALE(calc) 54 Phosphorous Magnesium TSH-ULTRA SENS. 3RD GENER CAT Scam of head - pending results Neurology Consult pending

Allergies: No known allergies

Symptoms: At 11:40am on 1/8/21, resident appeared catatonic and was just staring at the wall. When on unit, observed resident seated in a chair, blankly staring at the wall with no loss of consciousness. Blank stare accompanied with mild jerky movement. Resident was safely assisted to bed. Oxygen at 3lpm was administered. Petit mal- like seizure lasted for 5 minutes. Resident regained prior level of alertness and doesn't recall what had happened. Resident with no known history of seizure disorder.

Other Meds: acetaminophen 325 mg tablet Advair HFA 115 mcg-21 mcg/actuation aerosol inhaler aspirin 81 mg tablet,delayed release ferrous sulfate 325 mg Keppra 500 mg tablet lactulose 10 gram/15 mL oral solution levothyroxine 25 mcg tablet Lumigan 0.01

Current Illness: N/A

ID: 0938223
Sex: F
Age: 28
State: CA

Vax Date: 12/24/2020
Onset Date: 01/03/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: None

Allergies: Sulfa, penicillin

Symptoms: Large, raised, itchy, painful focal ring shaped rash surrounding injection site on left arm

Other Meds: Spironolactone 50 mg

Current Illness: None

ID: 0938224
Sex: F
Age: 43
State: TX

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

Lab Data:

Allergies: None

Symptoms: Developed redness and itch 1/2 to 1 inch under injection site on 1/5/2021. Slightly raised by touch and warm. The actual injection site is fine. Does have similar reaction to bug bites. Report to us on 1/12/2021 and still experiencing same symptoms.

Other Meds: Melatonin

Current Illness: None

ID: 0938225
Sex: F
Age: 63
State: CA

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: Stadol, Reglan

Symptoms: 1/11/2021 developed 3cm round rash at site if injection. 1/12/2021 developed 7cm round red ,hot , swollen area at injection site.

Other Meds: Synthroid, wellbutrin,effexor, elaquis,amdotamin,protonix, symvastin,monolusk.

Current Illness:

ID: 0938226
Sex: F
Age: 34
State: MA

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

Lab Data:

Allergies: None

Symptoms: 12 days after receiving the vaccine the patient developed red painful bruises to both feet that start mildly, but continued to worsen over the next several days. The patient went to see his dermatologist and was diagnosed with Leukocytodastic Vasculitis.

Other Meds: Unknown

Current Illness: Unknown

ID: 0938227
Sex: F
Age:
State: MA

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

Lab Data:

Allergies: Rofecoxib, Valsarten, Penicillins

Symptoms: Red, Tenderness

Other Meds: Allopurinol Tablet 100 MG Give 1 tablet by mouth one time a day related to GOUT, UNSPECIFIED (M10.9) Artificial Tears Solution 1 % Instill 1 drop in both eyes two times a day for dry eyes Aspirin EC Tablet Delayed Release 81 MG Give 81 tabl

Current Illness:

ID: 0938228
Sex: F
Age: 33
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient reports pain at the injection site, then developed chills and fever, body aches, muscle aches. Also reports headache and neck pain.

Other Meds:

Current Illness:

ID: 0938229
Sex: M
Age: 43
State: CA

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

Lab Data:

Allergies:

Symptoms: Extreme Nausea dry heaving Dizzy

Other Meds:

Current Illness:

ID: 0938230
Sex: F
Age: 42
State: IL

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

Lab Data:

Allergies: Darvocet N-100

Symptoms: became hot and sweaty in monitoring room. Stayed for 30minutes in monitoring room and symptoms resolved and colleague returned to department to resume work. Symptoms re-occurred

Other Meds:

Current Illness:

ID: 0938231
Sex: F
Age: 38
State: WI

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Left arm has about a golf ball sized area that is firm, warm, and red.

Other Meds:

Current Illness:

ID: 0938232
Sex: F
Age: 32
State: NY

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

Lab Data: N/A

Allergies: NO

Symptoms: DIZZY, HEAD FOG, VERTIGO APPROXIMATELY 8 HRS INTO IT

Other Meds: NO

Current Illness: NO

ID: 0938233
Sex: M
Age: 44
State: FL

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

Lab Data: None

Allergies: Almonds, peaches, nectarines

Symptoms: Dizziness-10 min post injection resolved within 60 min, headache-10 min post injection resolved within 60 min Rash, neck and chest area 50 min post injection resolved with 30 mg Claritin reditabs 90 mins post injection Body ache- few hours post injection resolved in 24 hrs Injection site/arm pain 20 min post injection resolved in 3 days Blood pressure increased to 170/100 30 min post injection resolved 60-90 min

Other Meds: None

Current Illness: None

ID: 0938234
Sex: F
Age: 39
State: VA

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

Lab Data:

Allergies:

Symptoms: Patient reports redness and swelling in arm 7 days after vaccination

Other Meds:

Current Illness:

ID: 0938235
Sex: M
Age: 40
State: NJ

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

Lab Data: Bloodwork and EKG at the hospital on 1/8 both of which were normal.

Allergies: None, possibly penicillin

Symptoms: Beginning at 6:30 am on 1/8, two days following vaccination, the individual was driving to work and began to experience nausea while at a traffic light. He pulled over and threw up. Once he got to work he vomited again. He drove to another facility for work and then threw up 3 or 4 more times. He began experiencing hot flashes at this time. He went to the hospital and was seen in the emergency room. He threw up several more times in the ER and stated that his heart was racing and that he had diarrhea. The emergency room gave him medications for the nausea and he stayed there for 2 or 3 hours. He began to feel better and was discharged to home.

Other Meds: None

Current Illness: None at the time of vaccination. Up to one month prior the individual had a cold described as coughing and sneezing

ID: 0938236
Sex: F
Age: 43
State: VA

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

Lab Data:

Allergies: Gluten

Symptoms: 1/9/2021 0400-Chills 1/9/2021 1400-leg pain-8 on 0-10scale, overall body aches, fatigue 1/10/2021 0700-Facial swelling, mostly around eyes, forehead, and nose 1/11/2021 0700-Continued facial swelling limited to around eyes only 1/12/2021 0530-Continued facial swelling limited to around left eye only

Other Meds: Nikki-Birth Control Pills

Current Illness: None

ID: 0938237
Sex: F
Age: 33
State:

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

Lab Data:

Allergies:

Symptoms: Patient describes pain at the injection site, fever, chills, headache, neck pain body aches

Other Meds:

Current Illness:

ID: 0938238
Sex: F
Age: 45
State: IL

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

Lab Data:

Allergies: sulfa

Symptoms: Today noticed raised swollen red welt at injection site of LT arm. Slightly itchy at times. Have started with lower back joint pain past 5-6 days ago along with slight headache, I do have MS, but have fatigue and LT leg weakness more than usual. Noticed also RT ankle and foot joint pain today (mild). Had bad chills yesterday, no fever; dizziness when went to bed. Placed call to employee hotline, RN advise icing, report worsening symptoms, reach out to medical provider about receiving 2nd vaccine,

Other Meds: Gabapentin, Desvenlafaxine succinct ER, Dalfampridine ER, Oxybutynin CL ER, Baclofen, Clonazepam, Tysabri (infusion )

Current Illness: no

ID: 0938239
Sex: F
Age: 30
State: CA

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

Lab Data: None

Allergies: Cipro, sulfa

Symptoms: After 5 minutes, patient began having joint pain and extreme fatigue. Within 30 minutes, the patient became very nauseous and began sweating. Later that evening, patient became feverish. The patient had taken 400mg Ibuprofen 30 minutes prior to the vaccine and took an additional 600mg that evening at 6PM. The following day, the patient had extreme sore arm and was barely able to lift arm. She slowly started getting tired, chills, fever, and nausea throughout the day. By the end of the day, the patient was feeling better. The next day, the patient had mild arm pain, mild tiredness and mild diarrhea.

Other Meds: Montelukast, loratadine, famotidine, Flonase, ibuprofen

Current Illness: GERD, allergic rhinitis, exercise-induced asthma

ID: 0938240
Sex: F
Age: 61
State: GA

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

Lab Data: none

Allergies: morphine, embrel, emera,entezla, bactrim, penicillin

Symptoms: rash started 15 mins post administration on left arm, and spread to chest, and other arm treated with Benadryl

Other Meds: meloxicam

Current Illness: none

ID: 0938241
Sex: F
Age: 32
State: PA

Vax Date: 01/09/2021
Onset Date: 01/11/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Dizziness, rash on legs , tiredness

Other Meds: Topiramate Liraglutide 3mg Pantoprazole 40mg tablet sertraline 50 mg magnesium 250 mg

Current Illness: N/A

ID: 0938242
Sex: F
Age: 25
State: IN

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

Lab Data:

Allergies: cut bell peppers

Symptoms: throat scratchy and tight and some difficulty breathing

Other Meds:

Current Illness:

ID: 0938243
Sex: F
Age: 43
State: TX

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Rash appeared a week after initial injection, after no symptoms for a week. Red, itchy, swollen, warm to touch rash that started at the injection site and spread around and down my left bicep.

Other Meds: Lisinopril 20mg- HCTZ 25mg Junel Fe 1.5/30

Current Illness: none

ID: 0938244
Sex: F
Age: 47
State: KY

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

Lab Data:

Allergies:

Symptoms: Moderna COVID- 19 Vaccine Moderna Lot #012L20A January 2021 left deltoid CC: Itching reaction, remote to the site of Moderna vaccination, 26 hrs post-injection 47 year old presents with rash rt. thigh on 1-7-21 at the Health Services, Employee Health Received Moderna Covid 19 mRNA vaccination #1 yesterday 1-7-21 at 8:50 am, left deltoid. Noted itchy area on rt. thigh ~ 26 hrs post-vaccine. No trouble breathing, no throat or facial swelling, no h/o problems with vaccination, no h/o anaphylaxis. No new topical exposures. No new supplements, no recent antibiotics. Denies fever. She apparently rubbed/scratched through pant leg, when felt itching, and then saw a bruised/red area after this. Exam: Skin: 5 xc 10 cm nonblanching petechial and ecchymotic area rt. ant. thigh, no papules or pustules, no warmth to touch. Pt. encouraged to register with V-safe. Rec. oral anthistamines as directed/needed. I spoke with patient on 1-11-21, no new itchy areas, still using Benadryl for the localized itchy area that she reports is resolving. Was harm caused: employee is fine. Difficult to say if this is vaccine reaction vs. coincidental occurrence.

Other Meds:

Current Illness:

ID: 0938247
Sex: M
Age: 30
State: IL

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

Lab Data:

Allergies:

Symptoms: Patient received the covid19 (Pfizer) after shot patient complained of chest pains, called emergency services and was promptly taken to the hospital.

Other Meds:

Current Illness:

ID: 0938248
Sex: F
Age: 36
State: NY

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: in 2015 I developed 5-6 vulvar ulcerations, periorbital edema, sensorineural hearing loss following vaccination with Td, Menactra, Hep A, Yellow Fever and Typhoid--previously reported to VAERS. I had an extensive w/u by ENT, Gyn & Rheumatology. I was treated with high-dose steroids and had near complete restoration of my hearing. In the past 5 years I have had 3 episodes of spontaneous vulvar ulcerations (typically 1 lesion) with no preceding infection or inflammation. It is possible I may have Behcet's syndrome, although there is no specific confirmatory test for this disorder. 36h after receiving my second COVID vaccination I developed 4-5 painful ulcers on the bilateral vulva. At this point I can manage with topical analgesics.

Other Meds: Vitamin D Ferrous sulfate MVI

Current Illness: None

ID: 0938249
Sex: F
Age: 61
State:

Vax Date: 12/23/2020
Onset Date: 01/02/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient experienced injection site reaction 10 days post injection. Area around injection site was oval, red, hot, and itchy. Treated with hydrocortisone. Did not require treatment by medical professional.

Other Meds:

Current Illness:

ID: 0938250
Sex: F
Age: 32
State: IN

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

Lab Data: None

Allergies: None. Only seasonal allergies.

Symptoms: Hive in legs and arms. Redness and itchy eyelids and ears.

Other Meds: Incassia birth control pill

Current Illness: None

ID: 0938251
Sex: M
Age: 34
State:

Vax Date: 12/16/2020
Onset Date: 01/02/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: exposure; dizziness; aches, cough, wheezing, congestion,

Other Meds:

Current Illness:

ID: 0938252
Sex: F
Age: 44
State:

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

Lab Data: 01/08/21 14:00 COVID-19 (QUEST) NOT DETECTED 01/08/21 13:30 SARS-CoV-2 IgG Negative 01/08/21 13:21 WESTERGREN-EK 34H 01/08/21 13:21 WBC 6.10 01/08/21 13:21 RBC 4.19 01/08/21 13:21 HGB 14.1 01/08/21 13:21 HCT 41.5 01/08/21 13:21 MCV 99.0H 01/08/21 13:21 MCH 33.7 01/08/21 13:21 MCHC 34.0 01/08/21 13:21 RDW 11.7L 01/08/21 13:21 PLATELET COUNT 288 01/08/21 13:21 MPV 8.9 01/08/21 13:21 LYMPHOCYTES, AUTO% 34.1 01/08/21 13:21 MONOCYTES, ABSOLUT 0.42 01/08/21 13:21 EOSINOPHILS, ABSOL 0.22 01/08/21 13:21 BASOPHILS, ABSOLUT 0.03 01/08/21 13:21 NEUTROPHILS, ABSOL 3.34 01/08/21 13:21 NEUTROPHILS, AUTO 54.7 01/08/21 13:21 MONOCYTES, AUTO% 6.9 01/08/21 13:21 EOSINOPHILS, AUTO% 3.6 01/08/21 13:21 BASOPHILS, AUTO% 0.5 01/08/21 13:21 LYMPHOCYTES, ABSOL 2.08 01/08/21 13:21 IMMATURE GRANS, AB 0.01 01/08/21 13:21 IMMATURE GRANS, AU 0.2 01/08/21 13:21 C-REACTIVE PROTEIN 2.50H 01/08/21 13:21 PROCALCITONIN 0.03 01/08/21 13:21 GLUCOSE 141H 01/08/21 13:21 UREA NITROGEN mg/d 12 01/08/21 13:21 *CREATININE 0.74 01/08/21 13:21 SODIUM 139 01/08/21 13:21 POTASSIUM 3.7 01/08/21 13:21 CALCIUM (mg/dL) 8.9 01/08/21 13:21 PROTEIN,TOTAL 8.5 01/08/21 13:21 ALBUMIN 4.4 01/08/21 13:21 TOTAL BILIRUBIN 0.2 01/08/21 13:21 ASPARTATE TRANSAMI 16 01/08/21 13:21 ALANINE AMINOTRANS 15 01/08/21 13:21 CHLORIDE 104 01/08/21 13:21 CO2 22 01/08/21 13:21 ALKALINE PHOSPHATA 74 01/08/21 13:21 EGFR 85.3

Allergies: sulfa

Symptoms: Large erythema and edematous patch to vaccination site

Other Meds: unknown

Current Illness: no

ID: 0938253
Sex: F
Age: 75
State: ID

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

Lab Data: none

Allergies: none

Symptoms: Sore at injection site for 3 days; extremely tired for 7 days, hungry but food did not settle well on stomach for 7 days, incontinent of stool twice on 2nd day; very itchy, tiny raised blebs on chest, started 2nd or 3rd day, got progressively worse so on 4th day I took Benadryl daily, 25 Mg., oral, some days twice, tiredness got better after starting Benadryl. Itchy rash continues and it is day 7 today.

Other Meds: CO-q 10, CALCIUM, v-D, LUTEIN/Xeanthine, Zinc, I3C, elderberry

Current Illness: none

ID: 0938254
Sex: M
Age: 20
State: VA

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

Lab Data: None

Allergies: Latex

Symptoms: lightheadedness and malaise developing day of immunization, wwith nausea at bedtime. awakened in the morning, had 2 episodes of vomiting, and one of diarrhea

Other Meds: None

Current Illness: None

ID: 0938255
Sex: F
Age: 33
State: PA

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

Lab Data:

Allergies: denies

Symptoms: Pt. states that she woke up at 2 am on 1/12/21 with bilateral hand rash/hives and periorbital swelling bilaterally. Pt. states that she used eye drops for eye and advil.

Other Meds: birth control

Current Illness: denies

ID: 0938256
Sex: F
Age: 53
State: NY

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

Lab Data: When to ER 1/8/2021- treated and release that day. Dx Syncope. States felt worse after discharge. ultrasound over injections site, blood work, ECG and CXR- everything normal. took Tylenol and Motrin.

Allergies: Penicillin, erythromycin.

Symptoms: Immediately developed intense burning that progressed over the next 30 minutes and continued to burn for 3 days. The next day progressive extreme fatigue last 4 days. felt like it was going to pass out. full on body pain, dizzy and lightheaded. need assistance to get to the walk, intense headache.

Other Meds: Vyvanse 40mg daily took that morning. mvi and calcium 600mg OTC. Generic Voltaran 1% gel apply once a day.

Current Illness: none

ID: 0938257
Sex: F
Age: 64
State: OH

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

Lab Data:

Allergies:

Symptoms: Patient reported arm and joint soreness (w/out redness) especially in knees, chills , aches, and headache that started approximately 24 hours after vaccination.

Other Meds:

Current Illness:

ID: 0938258
Sex: F
Age: 48
State: PA

Vax Date: 12/26/2020
Onset Date: 12/27/2020
Rec V Date: 01/12/2021
Hospital: Y

Lab Data:

Allergies: Aspirin, barbiturates, NSAIDs

Symptoms: Very large, reddened, tender area at injection site (like the size of an angry red egg), and fever of 103.2.

Other Meds:

Current Illness:

ID: 0938259
Sex: F
Age: 58
State: KY

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

Lab Data:

Allergies: NKA

Symptoms: 1//7/2021, day vaccine was administered; within a couple hours I began to experience fatigue, headache and R arm pain where vaccine was given.1000 mgs. Tylenol was taken, which offered very little relief. 1/8/2021; I awoke with extreme fatigue, unable to sit up, nausea, and diarrhea with stomach pain, headache, which wasn't unrelieved by 1000mgs of Tylenol, unable to raise R arm due to swelling and pain, aching and weakness all over body, joints, and muscles. It also caused a Fibromyalgia flare-up, which I wasn't experiencing prior to vaccine. It was 1/10/2021 before I was starting to feel better.

Other Meds: Vitamin D, Tylenol

Current Illness:

ID: 0938260
Sex: F
Age: 41
State: IL

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

Lab Data:

Allergies: none

Symptoms: stomachache, muscle soreness, fatigue

Other Meds: none

Current Illness: cold

ID: 0938261
Sex: F
Age: 61
State: OH

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

Lab Data:

Allergies:

Symptoms: Severe muscle aches, especially in the middle of the back.

Other Meds:

Current Illness:

ID: 0938262
Sex: F
Age: 60
State: IL

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

Lab Data:

Allergies: NKA

Symptoms: developed nausea and light headedness approximately 6 hours post vaccine. patient unable to report to work the following day, symptoms then resolved.

Other Meds:

Current Illness:

ID: 0938263
Sex: M
Age: 31
State:

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

Lab Data:

Allergies:

Symptoms: covid positive

Other Meds:

Current Illness:

ID: 0938264
Sex: U
Age: 32
State: UT

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

Lab Data: Doctor ordered echo and stress test.

Allergies:

Symptoms: I have been having a high rate, (110 all the time) . Feeling bad with COVID symptoms. Been having issues with my asthma for the first time in years.

Other Meds: Gardents 25 mg, amour thyroid 125 Mg. Epi-pen, inhaler.

Current Illness:

ID: 0938265
Sex: F
Age: 65
State: IA

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

Lab Data: CBC on 1/6/21, COVID test negative on 1/6/21.

Allergies: amoxicillin, tramadol

Symptoms: Fatigue, dizziness, nausea, headache, swelling at injection site for 7 days before symptoms subsided. Treatment included Tylenol, meclazine, and zofran.

Other Meds: Diclofenac, propanolol, pantoprazol, hydrocodone, claritin,

Current Illness: none

ID: 0938266
Sex: F
Age: 36
State:

Vax Date: 12/29/2020
Onset Date: 01/07/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: half dollar sized whelp; red, hot, bruised 5 inches below injection site

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm