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: 0938317
Sex: F
Age: 84
State: TX

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

Lab Data: none

Allergies: Iodine, sulfa, bactrim, macrobid

Symptoms: PT spouse called to report side effects: Fever 100.9, swelling and bright redness at injection site 20 minutes after receiving the injection, nausea vomiting, body aches, could not get out of bed for 3 days. All resolved now. (7 days later)

Other Meds: Bystolic Benzapril-hctz Repatha Flonase & ProAir prn Metoprolol Mobic prilosec prn

Current Illness: n/a

ID: 0938318
Sex: F
Age: 34
State: NE

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

Lab Data: Unable to get this information at this time.

Allergies: none

Symptoms: The employer called and stated that she had a grand mal seizure 1 hour after having her vaccine. Her employer stated that she has a history of seizures and that her neurologist had told her she could receive the vaccine but that it could trigger a seizure. Patient was taken by ambulance to the hospital.

Other Meds: Information is not available at this time.

Current Illness: Unable to get that information at this time.

ID: 0938319
Sex: F
Age: 57
State:

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

Lab Data:

Allergies:

Symptoms: Hives and rash on left arm from wrist to elbow, left lymph on the left side of neck, swollen eyes both

Other Meds:

Current Illness:

ID: 0938320
Sex: F
Age: 48
State: CA

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

Lab Data:

Allergies: NKA

Symptoms: Pt was given 2nd dose, monitored x 15 min with no complaint of symptoms of rxn. Left clinic, and shortly after began having left-sided chest pain requiring ED visit approximately 5 hours after dose. Per ED notes, pt has hx HTN. Initial BP in ED 142/97. Dx is ED was CP r/o ACS. Pt was advised by ED MD to be admitted, however pt refused admission with a plan to f/u with her own cardiologist. Pt ultimately left AMA from the ED.

Other Meds: Unknown

Current Illness:

ID: 0938321
Sex: F
Age: 56
State: MT

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

Lab Data:

Allergies:

Symptoms: chills, elevated heart rate, headache, Sore Arm

Other Meds:

Current Illness:

ID: 0938322
Sex: F
Age: 37
State: TX

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

Lab Data: NONE

Allergies:

Symptoms: Pt complains about lightheadedness. Did not eat this morning before reporting to the clinic.

Other Meds:

Current Illness:

ID: 0938323
Sex: F
Age: 57
State:

Vax Date: 12/31/2020
Onset Date: 01/05/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Bruising and swelling at injection site. NSAIDS No other Sx

Other Meds:

Current Illness:

ID: 0938324
Sex: M
Age: 43
State: NY

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

Lab Data: no

Allergies: Sulfa, Erythromycin

Symptoms: Around 8pm I began having chills, body aches and SOB that lasted throughout the night. The next day I felt a little better earlier but got very fatigued, had a headache, chills and a large swollen lymph node developed under my left arm and its still there today. And my arm is sore at the injection site.

Other Meds: no

Current Illness: no

ID: 0938325
Sex: F
Age: 40
State: TN

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

Lab Data: No lab tests were collected.

Allergies: Oxycodone

Symptoms: Prior to 1st Covid vaccination the patient reported a history of mast cell syndrome resulting in numerous anaphylactic events. The patient had been consulted by her immunologist to proceed with vaccination and due to her history she was observed for a period of 30 minutes. Upon returning for her 2nd vaccination she reported that she experienced some skin manifestations (hives) but no anaphylactic reaction resulting in difficulty breathing. She stated that she had discussed this again with her immunologist and she wished to proceed with the 2nd dose and she was prepared to receive EpiPen if necessary if reaction develops. Within 10 minutes of the vaccination she felt flushing sensation and then itching all over and her "throat closing up". She was quickly administered 0.3 mg IM epinephrine and IM diphenyhydramine with some improvement in her symptoms. While being transported to the ED an additional 0.3 mg dose of epinephrine was administered. The emergency department also administered the following treatments: famotidine 40 IV x 1 dose, methylprednisolone 125 mg IV x 1 dose, racepinephrine nebulized x 1 dose. The patient was ultimately discharged approximately 2 hours later with return to her baseline condition.

Other Meds: None reported

Current Illness: None reported

ID: 0938326
Sex: M
Age: 38
State: AK

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

Lab Data:

Allergies:

Symptoms: Chills, fever to 100.9F, myalgia onset approx. 16hrs after vaccine was administered. Chills lasted 1-2hrs. Fever was still present 24hrs after administration but improved with Tylenol and Aleve.

Other Meds: Metoprolol, sotalol

Current Illness:

ID: 0938327
Sex: F
Age: 42
State:

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

Lab Data:

Allergies:

Symptoms: Dizzy, light headed,and left arm numb. Laid down, felt better after laying down Monitored heart rate 68 , no shortness of breath and color was pink. once symptoms were gone, was released and informed if any further symptoms to go to ER.

Other Meds:

Current Illness:

ID: 0938328
Sex: F
Age: 42
State: NE

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

Lab Data:

Allergies:

Symptoms: ON 12/24/20 AT APPROXIMATELY 10PM, DEVELOPED CHILLS, SHAKING, VOMITING LASTING 4 HOURS. ALSO HAD FEVER/BODY ACHES LASTING 24 HOURS. FELT GROGGY FOR 2 DAYS AND A SORE ARM FOR 4 DAYS.

Other Meds:

Current Illness:

ID: 0938329
Sex: F
Age: 26
State: WA

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

Lab Data:

Allergies: no

Symptoms: palpitation, redness and tremulous

Other Meds: melatonin, nesplanon

Current Illness: no

ID: 0938330
Sex: F
Age: 40
State: AZ

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

Lab Data: None

Allergies: N/A

Symptoms: None

Other Meds: N/A

Current Illness: N/A

ID: 0938331
Sex: M
Age: 61
State: MN

Vax Date: 12/17/2020
Onset Date: 01/02/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: Head MRI 1/2/21

Allergies:

Symptoms: Right sided facial weakness, right eye tearing, Bell's Palsy diagnosis

Other Meds: Duloxetine 30 mg, ondansetron, levetiracetam 750 mg, omeprazole 20 mg, olanzapine 5 mg, medical cannabis, hydromorphone 2 mg, fentanyl 12 mcg/hr, bisacodyl 5mg, acetaminophen 500 mg

Current Illness: Major depressive disorder, neuropathy, sleep apnea

ID: 0938333
Sex: M
Age: 35
State: MI

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

Lab Data:

Allergies: nka

Symptoms: Shooting "nerve pain" going down arm into wrist. Sometimes the pain is constant, other times it's intermittent when he puts pressure on the wrist area

Other Meds:

Current Illness:

ID: 0938334
Sex: F
Age: 30
State: PA

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

Lab Data:

Allergies: latex

Symptoms: Pt. states that left arm is hardened, red, and painful. This started on 1/12/2021. Pt. states that she took Motrin for this and is not sure if this is helping.

Other Meds: birth control

Current Illness: denies

ID: 0938335
Sex: U
Age: 34
State:

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

Lab Data:

Allergies:

Symptoms: Started feeling ill about 10-12 hours after received vaccine. Started with malaise and headache. Motrin helped with both symptoms. The morning of 1/9/20 I experienced all other listed symptoms. Highest fever was 100.6. Motrin and Tylenol would help a little bit, but I felt too ill to get out of bed. Chills, fatigue, fever, headache, injection site pain, malaise, new or worsened joint paint and new or worsened muscle pain

Other Meds:

Current Illness:

ID: 0938336
Sex: F
Age: 35
State:

Vax Date: 12/23/2020
Onset Date: 01/03/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient experienced redness, swelling, and pain at injection site that started approximately 10 days after injection. She was seen in care clinic and required treatment with antihistamine and prescription for keflex for 7 days for treatment of cellulitis.

Other Meds:

Current Illness:

ID: 0938337
Sex: F
Age: 43
State: ID

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

Lab Data: None

Allergies: General anesthesia with malignant hyperthermia at age 8 Hydrocodone with comatose state

Symptoms: Patient presented approximately 25 minutes following vaccine dose with swelling of her upper lip and tingling to the roof of her mouth, tongue, and upper lip. Vital signs with mildly elevated blood pressure at 132/80, oxygen saturation 99%, and pulse 72. She was given diphenhydramine (Benadryl) 50 mg by mouth as a single dose and water to drink. She was observed for 30 minutes and symptoms gradually improved. Vital signs after 30 minutes of observation with blood pressure 120/78, oxygen saturation 100%, and pulse 61. She had her husband come to drive her home due to receiving a dose of Benadryl and due to the potential for drowsiness with this medication. She was instructed to take another dose of Benadryl in 6-8 hours if her symptoms continue to persist. She states that her husband will be home with her for the remainder of the day and will observe her and seek medical attention if needed. She was also instructed to follow up with her primary care provider if symptoms persist beyond the next few hours today and certainly if they persist following a second dose of Benadryl in 6-8 hours. She expressed understanding. She stated that she was comfortable going home and continuing to monitor her symptoms.

Other Meds: Levothyroxine 25 mcg by mouth daily

Current Illness:

ID: 0938338
Sex: F
Age: 50
State: MD

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

Lab Data: None

Allergies: No

Symptoms: Dizziness, numbness, feel faint, weakness.

Other Meds: N/a

Current Illness: None

ID: 0938339
Sex: U
Age: 43
State: OH

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

Lab Data:

Allergies:

Symptoms: Flu-like symptoms, sweating, fatigue, general muscle weakness

Other Meds:

Current Illness:

ID: 0938340
Sex: F
Age: 25
State: NJ

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

Lab Data:

Allergies: Mango - mild

Symptoms: At 12am on 1/12/21, I experienced extreme hot flashes and nausea while sleeping. I was unable to walk at first, but after standing up I fainted and became extreme cold. This same exact feeling happened again at 7am on 1/12/21 without loss of consciousness.

Other Meds: Adderall XR at 7am on 1/11/2021 Oral contraceptive Metformin (for PCOS treatment, not anything diabetes related)

Current Illness: None

ID: 0938341
Sex: F
Age: 59
State: MT

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

Lab Data:

Allergies:

Symptoms: Body aches, Headache, Nausea

Other Meds:

Current Illness:

ID: 0938342
Sex: F
Age: 36
State: MO

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

Lab Data: COVID tests x 2 - both negative

Allergies:

Symptoms: Day 0: Patient developed fatigue, headache, weakness, muscle aches. Describes muscle weakness as mostly in her legs, feeling like they are going to give out. Grip strength normal. No difficulty breathing. Pain in neck and back similar to pain she experiences with ankylosing spondalitis. No numbness or tingling in hands and feet. Day 8: COVID test done - negative. No other tests run. Day 10: COVID PCR test done - also negative. No other tests run. Spoke with rheumatologist who believes it could be related to AS. Day 15: Still experiencing side effects - very fatigued. This is the first day she has been out of bed for more than a few hours at a time. Planned visit with PCP tomorrow.

Other Meds:

Current Illness:

ID: 0938343
Sex: F
Age: 50
State: WV

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Two days after receiving the vaccine, I started to have a rash next to the injection site; however, two days after that, my whole upper arm swelled and the rash spread to cover about 1/2 of my upper arm and the rash itself was feverish.

Other Meds: Acyclovir, estradiol, vitamin D3, vitamin C, vitamin E, Zinc, low dose aspirin, potassium

Current Illness: None

ID: 0938344
Sex: F
Age: 58
State: WI

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

Lab Data:

Allergies: none

Symptoms: 01/11/2021 11AM Palpitations, increased pulse, feeling very hot, feeling like in a fog, and headache T=99.7, Staff monitored me for 45min.. 1230PM. I called out sick and had to use a vacation day because still had headache, fogginess, and temp of 98.8. At 3pm I started to have a lower back ache that went in to my mid back. I was tired. Then on Tuesday, 01/12/2021 I started with diarrhea at 11AM. I called work and explained that it was a side effect of the Covid vaccine. They still would not let me go to work even though I was covid negative. I took 2 Imodium tablets. I will email you tomorrow, 1/13/2021 and continue to monitor. Yes I am a RN.

Other Meds: none

Current Illness: none

ID: 0938345
Sex: M
Age: 52
State: VA

Vax Date: 11/10/2020
Onset Date: 11/24/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data: none

Allergies: No known drug allergies

Symptoms: Patient mentions muscle soreness that has not gone down. In some moments the patient is unable to lift his arm out to the side, in others he is fine.

Other Meds: metformin, losartan, esomeprazole

Current Illness: unknown

ID: 0938346
Sex: M
Age: 39
State: TX

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

Lab Data:

Allergies:

Symptoms: Just under 10 minutes after vaccine patient reports being light headed. Patient has a history of anxiety. Patient educated on what to do if he experiences any further issues and was cleared by EMS.

Other Meds:

Current Illness:

ID: 0938347
Sex: F
Age: 45
State:

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

Lab Data:

Allergies:

Symptoms: Redness and itching at injection site. "Nickel Sized" . No treatment or further Sx

Other Meds:

Current Illness:

ID: 0938348
Sex: M
Age: 59
State: MD

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

Lab Data:

Allergies: None

Symptoms: Since Shot - Arm pain at injection site continues through today. Most intense issues were Tuesday 24 hours post shot when I had more intense headaches and body aches. SOB remained the same. Tuesday evening, 35 hours post shot, I had chills and low grade fever 99.3. Slept for 10 hours and fever was gone and hasn't returned. Intensity of arm pain is diminished but still quite sore at actual injection site. Headaches are not as intense as Tuesday but continue to fluctuate in intensity as they have for the past 3 months.

Other Meds: unknown

Current Illness: Patient Covid positive on 10/27/2020. Since Covid positive has intermittent headaches and Joint pain

ID: 0938349
Sex: F
Age: 61
State: IL

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

Lab Data:

Allergies: contact dermatitis to nickel jewelry

Symptoms: One week after injection I experienced pain in my left armpit. I presume it was a lymph node. It has lasted for 3 days with the pain being worst on the second day. I took ibuprofen and acetaminophen which helped with the pain.

Other Meds: none

Current Illness: none

ID: 0938350
Sex: F
Age: 35
State: AL

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

Lab Data:

Allergies: none

Symptoms: Moderna COVID-19 Vaccine I received the vaccine yesterday 1/11/21 at 1135. About 2 hours later I started feeling symptoms : Headache dull still. I've been having this pain/ache in my ribs and upper torso of it is crushing inward. My ribs feel like they are being squeezed too hard like a person hugging so tight that you are having difficultly breathing. And the upper torso under my ribs feels like when you have not ate anything in days of hunger pain (but I am not at all hungry) and it start to hurt soo bad that you can only hunch over and hope it goes away. These issues have been on and off yesterday and today with the dull feel that has not gone away of a 3 or 4 to in a moments notice 8. Currently it is a 3 with a dull squeeze to ribs and barrable hunger pain (I am not hungry).

Other Meds: none

Current Illness: none

ID: 0938351
Sex: U
Age: 43
State: OH

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

Lab Data:

Allergies:

Symptoms: Flu-like symptoms, muscle aches, sweating

Other Meds:

Current Illness:

ID: 0938352
Sex: F
Age: 19
State: NE

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

Lab Data:

Allergies:

Symptoms: ON 12/24/20 AT 11:30AM DEVELOPED SORE ARM AND MINOR HEADACHE LASTING 2 DAYS.

Other Meds:

Current Illness:

ID: 0938353
Sex: F
Age: 44
State: GA

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

Lab Data:

Allergies:

Symptoms: Flushing, irregular heart beat, redness on chest

Other Meds:

Current Illness:

ID: 0938354
Sex: M
Age: 41
State: MD

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

Lab Data: I scheduled an appointment with my Primary Care physician on 01/11/2021 and she diagnosed me with shingles

Allergies: None

Symptoms: Approx 30 hours after the injection, I began to see a patchy rash appear on my left, lower leg. Over the next several days, the patches spread down my leg and to my foot and blisters appeared.

Other Meds: Affrin

Current Illness: None

ID: 0938355
Sex: F
Age: 37
State:

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

Lab Data:

Allergies:

Symptoms: The morning after the 2nd dose of the COVID vaccine, I woke up with the above symptoms. They are improving with IBProfen and the symptoms did not prevent me from going to work. Fatigue, Headache, injection site pain, malaise and new or worsened muscle pain.

Other Meds:

Current Illness:

ID: 0938356
Sex: F
Age: 41
State: IN

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

Lab Data:

Allergies:

Symptoms: FLUSHING, LIGHT HEADED, AND TINGLING

Other Meds:

Current Illness:

ID: 0938357
Sex: F
Age: 31
State: NJ

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

Lab Data:

Allergies: None

Symptoms: Neck pain, chills, headache, excessive fatigue, no appetite

Other Meds:

Current Illness:

ID: 0938358
Sex: F
Age: 21
State: CA

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

Lab Data: no test- gave benadrl 50 IM, soulmedrol 125 IM and epinephrine 0.3 IM

Allergies: none

Symptoms: started with swelling at the hands and tingling, she then progressed to flush face with swollen lips and eyelides

Other Meds: none

Current Illness: had COVID in the last month

ID: 0938359
Sex: M
Age: 31
State: AK

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

Lab Data:

Allergies: diphenhydramine HCl gives me restless legs but is not officially a validated allergy. NKDAnon

Symptoms: throat swelling and a fever began 1/11/21 after getting my first dose on 1/8/21. My fever cleared overnight but the throat swelling persists today.

Other Meds: viibryd 20mg alprazolam 1mg ashwaghanda 1000mg

Current Illness: none

ID: 0938360
Sex: F
Age: 47
State: MT

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

Lab Data:

Allergies:

Symptoms: Headache, Sore Arm

Other Meds:

Current Illness:

ID: 0938361
Sex: M
Age: 53
State: IL

Vax Date: 01/06/2021
Onset Date: 01/10/2021
Rec V Date: 01/12/2021
Hospital: Y

Lab Data: Admitted to Hospital for Observation on 1/10/2021

Allergies: Bee venom

Symptoms: Patient presented on the morning of 1/10/2021 with swollen lips and hives. Vaccination took place on Wednesday January 6th, 2021.

Other Meds: Cetirizine 10mg - 1 daily, Fluoxetine 40mg - 1 daily, Jardiance 10mg - 1 Daily, Pazeo 0.7% eye drop - 1 drop into both eyes once daily, Famotidine 20mg - 1 twice daily, Fluticasone 50mcg nasal spray - 1 spray in each nostril twice daily, Gl

Current Illness: Positive COVID 19 on 11/30/2020

ID: 0938362
Sex: F
Age: 44
State: NY

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

Lab Data:

Allergies: Environmental/ seasonal

Symptoms: High fever, body aches, headache, chills fatigue

Other Meds: Metoprolol Birth control Montelukast Breo Zyrtec Contrave

Current Illness: Covid- 11/21/20

ID: 0938363
Sex: F
Age: 34
State: IL

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

Lab Data: N/A

Allergies: None

Symptoms: Symptoms lasted approximately 12 hours (1.9.21: 0230am - 1430pm) T: 101, chills, moderate muscle/joint aches, fatigue, headache. Took Ibuprofen 400mg x1. 6 weeks pregnant at time of 2nd COVID vaccine dose, estimated date of delivery 9.5.2021.

Other Meds: Mesalamine 2gm PO Daily Prenatal Vitamin Vitamin C Vitamin B3

Current Illness: None

ID: 0938364
Sex: F
Age: 19
State: NE

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

Lab Data:

Allergies:

Symptoms: ON 12/24/20 AT 11:30AM, DEVELOPED SORE ARM AND MINOR HEADACHE THAT LASTED 2 DAYS.

Other Meds:

Current Illness:

ID: 0938365
Sex: F
Age: 42
State: SD

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

Lab Data: Since I did not have difficulty breathing, I treated myself at home with Benedryl and have not seen a provider yet.

Allergies: Penicillin

Symptoms: When I woke up on Dec 31 (the day after my shot), my face was swollen and my the area around my eyes was very swollen. I began taking Benedryl and continued to take Benedryl every 4-6 hours over approximately the next 48 hours. Also, I originally had no injection site reaction, however, on Jan 9th, my right arm began to itch. Upon assessment, I noted a 1.5" diameter red, warm area where the vaccine had been administered. This lasted for three days, and now, January 12th it no longer itches, and looks more like a bullseye that is approximately 2.5" in diameter around where the redness was. I have also noticed that since the vaccine I feel cloudy or like I have a constant mild headache.

Other Meds: Omeprazole 20mg

Current Illness:

ID: 0938366
Sex: M
Age: 55
State: OH

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

Lab Data:

Allergies:

Symptoms: headache, joint pain, and tiredness that did resolve after 12 hours post vaccination

Other Meds:

Current Illness:

ID: 0938367
Sex: M
Age: 29
State: SC

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

Lab Data:

Allergies: No known allergies

Symptoms: Red flushing over the arms and face (upper). No treatment administered. Duration of event: (1 hr approx.)

Other Meds: 300mg welbutrin and 50 mg zoloft

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm