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: 0938368
Sex: M
Age: 40
State: OH

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

Lab Data:

Allergies:

Symptoms: Chills, aches, pain

Other Meds:

Current Illness:

ID: 0938369
Sex: F
Age: 34
State: CA

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

Lab Data: N/A

Allergies: N/A

Symptoms: I feel hot after 15-30 minutes of the injection. I turn red and flush. I feel tingling to my legs and arms. And numbness to the left side of my face. I felt like my heart was beating fast. The administrator gave me bendryl. I felt better, but I felt weak. I was able to go home 2 hours after the administration.

Other Meds: Qvar Prednisone 40mg for x 5 days Allegra vitamin D3 Zinc Vitamin C 1000mg Biotin Collagen Rice Yeast Rice Multivitamin Calcium

Current Illness: Asthma

ID: 0938370
Sex: M
Age: 64
State: FL

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

Lab Data:

Allergies:

Symptoms: General Malaise, Body Aches, Low grade fever, Headaches

Other Meds: Olmesartan, Metropolol ER 50, Aspirin-81, Gabapentin, Clonidine, Fluoxetine, Omeprazole, Breo, Folic Acid, Methotrexate, Keppra, Multivitamins

Current Illness:

ID: 0938371
Sex: F
Age: 30
State: GA

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

Lab Data: none

Allergies: No allergy to food or medication Arm swelling with wasp sting. No difficulty breathing

Symptoms: Approximately 15 hours after vaccine, developed muscle aches, chills., elevated Temperature to 99.2 F. No true fever. Muscle aches, fatigue, and chills persisted for approximately 24 hours. All moderate intensity and with some response to tylenol/advil as needed. At 40 hours post vaccine, no remaining symptoms

Other Meds: Prescription topical triamcinolone and elidel creams PRN for excema Daily multivitamin

Current Illness: none

ID: 0938372
Sex: M
Age: 69
State: CA

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

Lab Data:

Allergies:

Symptoms: mild arm soreness

Other Meds:

Current Illness:

ID: 0938373
Sex: M
Age: 84
State: AZ

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

Lab Data:

Allergies: None

Symptoms: None stated.

Other Meds: Gabapentin Lasix Lisinopril Eliquis Lantus

Current Illness: None

ID: 0938374
Sex: F
Age: 27
State: AZ

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

Lab Data: N/A

Allergies: Penicillin-rash

Symptoms: Poor sleep, dry cough and wheeze, flushing of cheeks, hot flashes, night sweats, chills, muscle pain like cramps and pins and needles if skin rubbed, joint pain, sharp brief headache that comes and goes in random spots of head, fatigue, malaise, mental fog

Other Meds: Wellbutrin XR 150 mg

Current Illness: Non-covid flulike illness

ID: 0938375
Sex: M
Age: 59
State: CA

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

Lab Data:

Allergies:

Symptoms: Med Error. Today we were administering?the second dose of vaccine to our employees. I am the sole person responsible for setting up the dose. I diluted the vaccine with 0.8 of normal saline rather than the 1.8 cc.

Other Meds:

Current Illness:

ID: 0938376
Sex: F
Age: 49
State: NC

Vax Date: 12/22/2020
Onset Date: 12/28/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data: None

Allergies: Codeine, Sulfa, bananas

Symptoms: Immediately after vaccine, there was redness, swelling and soreness to the site. This resolved within 3 days. Then, 6 days after vaccination, area became hot, red, swollen, indurated and extremely pruritic, interfering with sleep, mobility and usual routine. Affected area was approximately 15cm x 10 cm. These symptoms remained until January 2, 2021. On January 2, 2021, the redness and swelling dissipated except for the edges, where there remained a red, irregular ring marking the edge of the affected area. Area continues to be pruritic. All visual abnormalities have resolved.

Other Meds: Priolosec 20mg per day

Current Illness: None noted

ID: 0938377
Sex: F
Age: 24
State: PA

Vax Date: 12/20/2020
Onset Date: 12/23/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data: Negative covid test.

Allergies: All food allergies wheat Rice Barley uncooked eggs peanuts all trinuts

Symptoms: On the first 15min I had hot flashes, modern headaches. On the 12/23/2020 I had itchy eyes itchy nose but no fever it will last about 45min every time then it went away 48hrs after. Telehealth appointment with her employer,

Other Meds: Synphroid Montelukast B12 supplements Allegra

Current Illness: No

ID: 0938378
Sex: F
Age: 37
State:

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

Lab Data:

Allergies:

Symptoms: Sore arm fever chills body aches headaches fatigue

Other Meds:

Current Illness:

ID: 0938379
Sex: F
Age: 44
State: WI

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

Lab Data: Vitals observed 1/12/2021: 1322 T 100.2, HR 105, BP 177/105, o2 99%, 1327 T 99.3, o2 100%, 162/105, HR 92, RR 18, 1332 T 100.4, 02 99%, 163/97, HR 99, 1338 T 101, o2 100%, BP 172/104, HR 85, 1345 o2 100%, BP 177/107, HR 103

Allergies: unknown

Symptoms: 5 minutes after vaccine administer reported feeling changes. Erythema on chest and shoulders observed. Hypertension up to 172/104 and fever up to 101. Symptoms persisted over 20 minutes and emergency response was called for ED visit

Other Meds: Xanax PRN, birth control, multivitamin, & aleve

Current Illness: None reported

ID: 0938380
Sex: F
Age: 61
State: MT

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

Lab Data:

Allergies:

Symptoms: Injection site pain

Other Meds:

Current Illness:

ID: 0938381
Sex: F
Age: 47
State: TX

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

Lab Data:

Allergies:

Symptoms: 5-7 minutes after vaccine patient started complaining of abdominal "fullness" and being lightheaded. Patient cleared by EMS and provided instruction on what to do if any further symptoms including v-safe reporting.

Other Meds:

Current Illness:

ID: 0938382
Sex: F
Age: 40
State: NH

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

Lab Data:

Allergies:

Symptoms: Headache, and Feeling unwell. Still present on 1/6/21

Other Meds:

Current Illness:

ID: 0938383
Sex: F
Age: 72
State: AZ

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

Lab Data:

Allergies: erythromycin

Symptoms: I got real bad tachycardia and arrhythmia

Other Meds: metopropolol Amitriptyline levothyroxine

Current Illness:

ID: 0938384
Sex: F
Age: 66
State: MD

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

Lab Data: None

Allergies: sulfa eye ointment, possible cipro,

Symptoms: Jan 8: chills, low grade fever Jan 9: Itching skin and hives on extremities Jan 10: Hives on back and stomach, sensation of thickening throat Hives are bad in evening and at night; lesson during the day

Other Meds: Synthroid, 25 mcg per day Calcium citrate, 315 mg per day vitamin D3, 5,000 IU, per day

Current Illness: UTI, given nitrofurantoin for one week, Dec 16 till Dec 21

ID: 0938385
Sex: F
Age: 22
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 7PM, DEVELOPED ACHINESS, WEAKNESS, FEVER OF 102 AND VOMITED AND REPORTS FATIGUE. LAST 3-4 DAYS BEFORE RESOLVING.

Other Meds:

Current Illness:

ID: 0938386
Sex: F
Age: 34
State: MN

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

Lab Data:

Allergies: None

Symptoms: After vaccination patient started complaining of itchy throat. She then stated she was dizzy and that there was a lump in her throat. A few minutes after that she stated it was hard to swallow. She also complained about tingling around her lips and had some swelling of her lips. Pt was then given epinephrine and taken to the emergency room.

Other Meds: busPIRone (BUSPAR) 10 mg tablet cetirizine (ZYRTEC) 10 mg tablet FLUoxetine (PROZAC) 20 mg capsule FLUoxetine (PROZAC) 40 mg capsule multivitamin (MVI) tablet norethindrone-ethinyl estradiol (LOESTRIN 1/20, 21,) 1-20 mg-mcg tablet trimethop

Current Illness: None

ID: 0938387
Sex: F
Age: 37
State: MA

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

Lab Data: N/A

Allergies: Amoxicillin Lexapro

Symptoms: "Moderna COVID-19 Vaccine EUA" Discomfort swallowing Bumps on back of throat (like post-nasal drip/allergy) Headache Tiredness Red, painful lump at injection site

Other Meds: Zyrtec Omeprazole Pantoprazole Vitamin d3 Levothyroxone

Current Illness:

ID: 0938388
Sex: F
Age: 40
State: OH

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Muscle weakness, headache

Other Meds:

Current Illness:

ID: 0938389
Sex: M
Age: 33
State: IN

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

Lab Data: Na

Allergies: Sulfa

Symptoms: Fever, chills, nausea, stiffness, headache

Other Meds: Trazodone, Wellbutrin, vitamin

Current Illness: NA

ID: 0938390
Sex: F
Age: 35
State: NY

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

Lab Data:

Allergies:

Symptoms: Left axillary lymph node developed a lump and pain

Other Meds:

Current Illness:

ID: 0938391
Sex: F
Age: 56
State: CA

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

Lab Data: No

Allergies: I am allergic to all antibiotics accept for the macrolids class, sulphur drugs, bananas, latex so I can't have pulmonary meds. I am allergic to opiants, eggs, peach family, tropical fruits, and bee stings.

Symptoms: I got extremely hot with sweating, I got a massive headache that started at the base of my neck that effected my vision. I was dizzy, BP was high over 140, temperature increased. I had some tingling in my upper extremeties. I had really bad GI pains, I had itching and a light rash. I had to go to the ED where I received a cocktail.

Other Meds: No

Current Illness: No

ID: 0938392
Sex: M
Age: 65
State: TX

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

Lab Data: ED visit: 1/11/2021 1003 Vitals: 168/95, HR 61, RR 18, Temp 97.6, pulse ox 99% on room air 1/11/2021 1030 Vitals: 165/95, HR 61, RR 18, pulse ox 99% on room air GCS 15. Patient denied shortness of breath, tongue swelling, difficulty swallowing, or rash. Patient was alert, awake, comfortable and non-diaphoretic

Allergies: Azithromycin

Symptoms: During the observation period, vaccine recipient began complaining of his heart racing. RN observed flushing to patient head and neck. HR of 64. Patient taken to the ED for further evaluation and monitoring.

Other Meds:

Current Illness:

ID: 0938393
Sex: F
Age: 32
State: WA

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

Lab Data: None

Allergies: None

Symptoms: Left axillary lymph node swelling and pain lasting 3+ days, deltoid pain at injection site (2 days), general body aches, fatigue (3+ days).

Other Meds: Valacyclovir 500mg daily, multivitamin chews, elderberry with zinc/Vit C daily, kurvelo 1 tablet daily, ibuprofen PRN headache

Current Illness: None

ID: 0938394
Sex: F
Age: 48
State: NY

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

Lab Data:

Allergies: latex

Symptoms: rash left arm small urticarial bumps

Other Meds: patient reports stopping medications 1 week prior to vaccine

Current Illness: refer to Item 12

ID: 0938395
Sex: M
Age: 66
State: MT

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

Lab Data:

Allergies:

Symptoms: injection site pain, redness, body aches

Other Meds:

Current Illness:

ID: 0938397
Sex: F
Age: 57
State: KS

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

Lab Data: 1/11/21 CRP = 5.5. SED rate =73, D dimer= 1170, Platelet= 418, Neutrophils=78,

Allergies:

Symptoms: Patient had mild bilateral knee and hip pain 1 month ago, then she received her 1st dose of COVID vaccine on 12/14/20. Her joint pain worsened then on 1/4/21 she received her 2nd dose of COIVD vaccine on 1/4/21 and then her pain increased in spread up to her shoulders. She was seen at immediate care on 1/11/21 because her joint pain had worsened throughout and her shoulder pain was making it difficult to raise her arms above the level of her shoulders. Her pain was made worse w/ movement.

Other Meds:

Current Illness:

ID: 0938398
Sex: F
Age: 94
State: MO

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

Lab Data: Chest X-ray, CBC, BMP, COVID-19, influenza, RSV, (1/8/21) UA (1/10/21)

Allergies: Sulfa antibiotics

Symptoms: Fever (100.3), poor appetite, shortness of breath

Other Meds: Cepalexin, eliquis, aspirin, janumet, carvedilol, isosorbide mononitrate, furosemide, acidophilus, magnesium oxide, mvi, lovastatin, calcium, latanoprost, potassium chloride

Current Illness: toe infection

ID: 0938399
Sex: F
Age: 45
State: VA

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

Lab Data: N/A

Allergies: NKDA

Symptoms: Received second dose of COVID vaccine on 1/6/21. On 1/9/21, expericenced left axillary swollen lymph nodes/ tenderness to left axillary region. Received vaccine in left arm. Spoke with employee via Employee Phone hotline and was instructed to fill out safe watch report. Employee took Ibuprofen for discomfort and performed massage to lymph area. Left arm and axillary area swollen on 1/12/21 during EH visit.

Other Meds: Elderberry, Omega3-6-9, Probiotic, Vitamin C, Vitamin D, Potassium, Selenium, Thyroid Plus supplement, Magnesium, L-Tyrasine

Current Illness: None

ID: 0938400
Sex: F
Age: 52
State: AZ

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

Lab Data: NONE

Allergies: NONE

Symptoms: 12 HOURS AFTER INJECTION: CHILLS, BODY ACHES, FATIGUE, JOINT PAIN, NAUSEA, PAIN AT INJECTION SITE IN MUSCLE.

Other Meds: NONE

Current Illness: NONE, BUT I HAD COVID IN LATE NOVEMBER

ID: 0938401
Sex: F
Age: 40
State: OH

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Pt was vaccinated on 12/30. Reported adverse event starting 1/6 with itchiness at injection site and a slightly painful, raised area. There was also a peanut-sized knot under the skin. On 1/7, the itchiness resolved and there was no knot, but the site remained tender and slightly raised.

Other Meds: None

Current Illness: unknown

ID: 0938402
Sex: F
Age: 37
State: NE

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

Lab Data:

Allergies: percocet

Symptoms: The patient stated that the morning after the vaccine, she fell and felt weak. She said she could not open her eyes or talk but was concious. She said she had a bad headache and felt tired that day, and her arm was in extreme pain, and had bodyaches. She stated "I felt like I was going to die". She said she started to feel better on Sunday and on Monday she said she felt back to normal.

Other Meds: Multivitamin

Current Illness: unknown

ID: 0938403
Sex: M
Age: 57
State: OH

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

Lab Data:

Allergies:

Symptoms: Massive muscle aches

Other Meds:

Current Illness:

ID: 0938404
Sex: F
Age: 51
State: TN

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

Lab Data: None

Allergies: Sulpha drugs

Symptoms: Red irregular shaped raised welt like area surrounding the shot point- the welt area is mildly irritating and itchy

Other Meds: Amox-clav, Topirimate, Propranolol, Omeprazole, Fexofenadine, Fluxetine, Meloxicam, Amitriptyline, Montelukast-Sodium, Gabapentin, Clonepin, Imitrex, Oxycodone, Zomig, Zofran, Ubrelvy

Current Illness: None

ID: 0938405
Sex: F
Age: 39
State: OK

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

Lab Data: n/a

Allergies: Dairy and Tomatoes

Symptoms: Swelling at the base of where my neck and right shoulder meet, arm pit swelling, headache, fatigue and sore throat and left ear ache

Other Meds: Pristiq, Melatonin, Vitamin C & D

Current Illness: n/a

ID: 0938406
Sex: F
Age: 26
State: IL

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: Left arm redness, swelling and rash around the injection site. Bodyaches and nausea for 2 - 3 days.

Other Meds: no

Current Illness: no

ID: 0938407
Sex: M
Age: 63
State: CA

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

Lab Data:

Allergies:

Symptoms: Med Error. Today we were administering?the second dose of vaccine to our employees. I am the sole person responsible for setting up the dose. I diluted the vaccine with 0.8 of normal saline rather than the 1.8 cc.

Other Meds:

Current Illness:

ID: 0938408
Sex: M
Age: 69
State: CA

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

Lab Data:

Allergies:

Symptoms: moderate arm soreness gradually dissipating after 36-40 hours

Other Meds:

Current Illness:

ID: 0938409
Sex: F
Age: 61
State: MT

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

Lab Data:

Allergies:

Symptoms: swelling redness at injection site

Other Meds:

Current Illness:

ID: 0938410
Sex: F
Age: 55
State:

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

Lab Data:

Allergies:

Symptoms: Rash at injection site. Rash is red, itchy, and approximately 4 inches in length and 1 inch wide. It is not raised, nor are there vesicles. Very mild but ever present.

Other Meds:

Current Illness:

ID: 0938411
Sex: F
Age: 63
State: NY

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

Lab Data: na

Allergies: shellfish

Symptoms: 4 hours after inj, achy at inj site.18 hour after inj, pain mark increase in deltoid, fatigue, malaise,, general body aches, felt chilly, sob ( PO 98%,HR 90), mild nausea, loss of appetite. side effects ended 48 hours after inj. of note: i had covid illness 3-20-20.covid test positive 3-24-20. antibody positive 2 months later

Other Meds: metoprolol, losarten, concerta, novolog insulin, victoza, escitalopram, wellbutrin,doxycycline, omeprazole,vit b12, magnesium, vit d,levothyroxine, omega 3, albuterol inhaler

Current Illness: back strain, post nasal congestion

ID: 0938412
Sex: F
Age: 60
State: CA

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

Lab Data:

Allergies:

Symptoms: Dizzy Clammy Heavy legs Frequent PVC on monitor Irregular heartbeats Headache Tightness in throat and chest

Other Meds:

Current Illness:

ID: 0938413
Sex: F
Age: 48
State: IN

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

Lab Data:

Allergies: 0

Symptoms: Pt had a strong seizure

Other Meds: Vyvanse, citalopram, Zyrtec, omeprazole, aspirin, amlodipine

Current Illness: 0

ID: 0938414
Sex: F
Age: 56
State:

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

Lab Data:

Allergies:

Symptoms: Employee reported significant arm/shoulder pain and decreased ROM several after receiving COVID vaccine. Co-worker who examined site stated that vaccine appeared to be "given quite high on her arm, almost to the acromion process". Employee noted improvement in sx the next day which continued. Employee self-treated with analgesia and did not require medical evaluation.

Other Meds:

Current Illness:

ID: 0938415
Sex: F
Age: 41
State: NE

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

Lab Data:

Allergies:

Symptoms: DEVELOPED SORE ARM AND HEADACHE, RESOLVED AFTER 4 DAYS.

Other Meds:

Current Illness:

ID: 0938416
Sex: F
Age: 61
State: IN

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

Lab Data:

Allergies:

Symptoms: 1)strong metallic taste/taste disturbance 3-4 days 2)moderate frontal headache 3 days 3)moderate fatigue 3 days 4)deltoid, triceps and biceps myalgia left arm --2 days

Other Meds:

Current Illness:

ID: 0938417
Sex: M
Age: 55
State: CA

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

Lab Data: None

Allergies: Sulfa drugs Dust, mold, dust mites, dogs and a variety of seasonal allergies

Symptoms: Watering mouth as if about to throw up & slight nausea, but this did not get worse. Better today but still noticeable. Aching eyes started about 8-9:00pm. Slightly achey back. No fever noted.

Other Meds: Lamotrigine 200mg at bedtime Dovato 50mg/300mg

Current Illness: GI cramping & diarrhea on 12/28-29/2020

ID: 0938418
Sex: F
Age: 48
State: MT

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

Lab Data:

Allergies: nkda

Symptoms: On 1/11 patient reported pain on her arm, there was significant bruising from injection site to slightly above the elbow. no constitional symptoms

Other Meds:

Current Illness: none stated

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm