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: 0938620
Sex: F
Age: 51
State: CA

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

Lab Data:

Allergies:

Symptoms: Body aches, chills, fever

Other Meds:

Current Illness:

ID: 0938621
Sex: F
Age: 25
State: OR

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

Lab Data:

Allergies: Peniccillin. Sulfa

Symptoms: Itchy on arms and trunk, dizziness started 15 minutes after dose. Vital signs stable.

Other Meds: none

Current Illness:

ID: 0938622
Sex: F
Age: 38
State: CA

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

Lab Data:

Allergies: none

Symptoms: severe body pain (headache, neck, lumbosacral, bilat arms, bilat calves, bilat legs. chills.

Other Meds: sertraline. daily multivitamin

Current Illness: none

ID: 0938623
Sex: F
Age: 28
State: GA

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

Lab Data:

Allergies:

Symptoms: after receiving vaccine ee c/o nausea and headache. B/p 157/84 HR 95 02 sat 98% DD EE left clinic stating she would follow up with her PCP nausea resolved continue to have h/a 4/10 scale unchanged. b/p 146/73 HR 82 and 02 sat 96% EE refused RRT or ED evaluation

Other Meds:

Current Illness:

ID: 0938624
Sex: M
Age: 59
State: PA

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

Lab Data: NA

Allergies: none

Symptoms: Received vaccine on Saturday 1/9/21, had usual symptoms low grade fever, general malaise. On Sunday begin to experience left arm neuropathy at the media aspect of elbow, no sensation in affected area. Lateral aspect is fine, can move fingers and complete activities of daily living.

Other Meds:

Current Illness: none

ID: 0938625
Sex: M
Age: 48
State: CA

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

Lab Data:

Allergies:

Symptoms: Fever, chills, nausea, dizziness, headache. Improving.

Other Meds:

Current Illness:

ID: 0938626
Sex: F
Age: 37
State: MO

Vax Date: 12/24/2020
Onset Date: 12/25/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data: Covid Test - Regular nasal (not rapid one)

Allergies: sulpha; penicillin; bacterium; pollen, grass (seasonal)

Symptoms: Lost complete sense of smell - Lasted 15 hr; smell and taste muted after they came back. 30 -36 hours after vaccine - Really bad nasal congestion - bad cough and those lasted 4 days. Urgent Care. Tested for COVID -Sunday, 27th, afternoon. Tested negative for Covid. Still do have muted taste and smell but don't have cough anymore.

Other Meds: Loessterin Birth Control; Prenatal vitamin;nebulizer &inhaler; Albuterol - as needed

Current Illness: no

ID: 0938627
Sex: F
Age: 55
State: ME

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

Lab Data: None

Allergies: fiorinol

Symptoms: Pain at previous surgical site -- painful to the touch. Severe joint pain at site of fracture.

Other Meds: Eliquis, Metoprolol, omeprazole, atorvastatin, requip, vitamin d3, levothyroxine, imdur, duloxetine, furosemide, lisinopril,

Current Illness:

ID: 0938628
Sex: F
Age: 39
State: CA

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

Lab Data:

Allergies:

Symptoms: Mild sore arm

Other Meds:

Current Illness:

ID: 0938629
Sex: M
Age: 23
State: AZ

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

Lab Data: NA

Allergies:

Symptoms: Fever, headache, runny nose, and sore arm 1-12-2021 around 11 AM. Used 1 tablet of 200mg ibuprofen around 1 PM. Started feeling better around 2:30 PM 1-12-2021 but not 100% better.

Other Meds:

Current Illness:

ID: 0938630
Sex: F
Age: 40
State: IL

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

Lab Data:

Allergies: NKDA

Symptoms: Developed muscle aches post vaccine- symptoms resolved and colleague reported to work the following day

Other Meds:

Current Illness:

ID: 0938631
Sex: F
Age: 51
State: PR

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

Lab Data: none

Allergies: ASA

Symptoms: 10 hours later after received vaccine developed Left arm pain . During the night wake up due to severe left axillary pain irradiated to left scapula, left breast, also has adenopathy, bone ache and fatigue. Taken acetaminophen

Other Meds: none

Current Illness: none

ID: 0938633
Sex: F
Age: 31
State:

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

Lab Data: none

Allergies:

Symptoms: After the first dose of the moderna Vaccine, i had severe chills, nausea, vomiting. temp>103f

Other Meds:

Current Illness:

ID: 0938634
Sex: F
Age: 32
State: IL

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

Lab Data: none

Allergies: none

Symptoms: swollen lymph nodes on the left side of neck

Other Meds: Metoprolol Iron

Current Illness: none

ID: 0938635
Sex: F
Age: 28
State: NY

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

Lab Data:

Allergies:

Symptoms: 1/5/21 developed redness, pain and warm to touch on injection site. No itchy, temperature or other symptoms.

Other Meds:

Current Illness:

ID: 0938636
Sex: M
Age: 11
State: MN

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

Lab Data: None

Allergies: None

Symptoms: Within 3-4 minutes of receiving Tdap, HPV, Men4, and influenza vaccine, patient developed dizziness, frontal headache, vomiting (3x), abdominal pain, lethargy, and diaphoresis. Initial vitals demonstrated hypotension (79/50's), bradycardia (50's) with weak/thready pulse, and oxygen saturations 80's (returned to high 90's within minutes and by the time oxygen was in room). No hives, wheezing, lip/tongue edema, difficulty breathing. Symptoms improved over the next 5-10 minutes with patient being more responsive, BP 90s/60s-100s/70s, HR in the 90's, alert/interactive and no longer diaphoretic and vomiting.

Other Meds: Tylenol PRN

Current Illness: None noted

ID: 0938637
Sex: F
Age: 61
State: FL

Vax Date: 12/28/2020
Onset Date: 01/09/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: Codeine

Symptoms: Had symptoms 2 weeks after vaccine

Other Meds: Synthroid, protonic, losartan, pristiq, carvedilol, aspirin, zetia, metformin

Current Illness: None

ID: 0938638
Sex: F
Age: 70
State: KS

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

Lab Data: EKG and lab were done to rule out stroke and were all normal on 1/10/21

Allergies: Tdap vaccine

Symptoms: Had a headache/fatigue following vaccine, but improved 24-48 hours afterwards. Pt woke up Sunday and felt jittery, lightheaded, sweating, numbness/tingling in both hands, feeling strange

Other Meds: Aspirin Atorvastatin Estradiol Hydrochlorothiazide Levothyroxine Losartan Meloxicam Omeprazole Effexor

Current Illness: unknown

ID: 0938639
Sex: F
Age: 39
State: CA

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

Lab Data:

Allergies:

Symptoms: Arm soreness Fever Malaise Chills Body aches

Other Meds:

Current Illness:

ID: 0938640
Sex: F
Age: 47
State: LA

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

Lab Data:

Allergies:

Symptoms: Large area of redness, swelling, just below the vaccination site. Pain and warmth in this area lasting for approximatley 1 week. Area increase in size first couple of days. Treated with antihistamine. Caused pain in the elbow as it reached the joint

Other Meds:

Current Illness:

ID: 0938641
Sex: M
Age: 33
State: VA

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

Lab Data: None

Allergies: None

Symptoms: Vertigo; relieved by Epley maneuver. Subsequent hearing deficits both ears for ~ 1 week (ongoing)

Other Meds: Multi-vitamin (OptiMen) Creatine

Current Illness: None

ID: 0938642
Sex: F
Age:
State: GA

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

Lab Data:

Allergies: None

Symptoms: Fever, arthralgia, chills, headache, fatigue, back ache,dry mouth

Other Meds: None

Current Illness: None

ID: 0938643
Sex: F
Age: 42
State: MD

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

Lab Data: none

Allergies: none

Symptoms: chest pain- P 79, BP 131/98, 99% SPO2, Throat itching, Taken to ED Left sided pain Sinus tacky- troponin normal- EKG normal Benadryl 50 mg IV and Zofran administered In ED 3 hours

Other Meds: none

Current Illness: none

ID: 0938644
Sex: F
Age: 18
State: TX

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

Lab Data:

Allergies:

Symptoms: The patient became diaphoretic, pale, and dizzy. Fell on the floor. No injury. BP monitored every 5 minutes, low BP noted. Sprite offered, cold pack applied to the back of the neck. Laid patient on the couch. The patient rested for about half-hour and felt a little better. Patient BP returned to 121/74 prior to release. Father accompanied the client.

Other Meds: Elanapril

Current Illness: Cardiac problem

ID: 0938645
Sex: M
Age: 27
State: IL

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

Lab Data: Chest radiograph performed on 1/7/21 - normal Troponin performed 1/7/21 at 1825 = <0.03

Allergies: none

Symptoms: Patient sought treatment in the ED. Chief complaint includes chest pain, body aches, headache, and generalized fatigue all beginning 25 minutes after vaccination. Symptoms resolved and patient was discharged from ED.

Other Meds:

Current Illness:

ID: 0938646
Sex: M
Age: 38
State: CA

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

Lab Data:

Allergies: None

Symptoms: Bloody Nose

Other Meds: Escitalopram 20mg daily, Multi Vitamin, omeprazole 40mg daily.

Current Illness: None

ID: 0938647
Sex: F
Age: 45
State: TN

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

Lab Data: Pt out of town, employee of cardiology group, refused ER trip- treated outpatient

Allergies: None

Symptoms: Received shot at 11:35 am Friday 1/8/21. Woke up 1/9/21 with chest pain, in SVT HR 140s-180s, persisting for 8+ hours until treated by cardiologist with addition of Flecainide. Flecainide 50 mg twice daily now part of medications.

Other Meds: Metoprolol 50 mg daily, aspirin 81 mg daily, topirimate xr 25 mg daily, Zyrtec one daily

Current Illness: Not ill at time of injection

ID: 0938648
Sex: F
Age: 59
State: WI

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

Lab Data:

Allergies: none known

Symptoms: Feeling light headed and dizzy. Given water and crackers. Rested and monitored for 30 minutes. Left walking without difficulty.

Other Meds: none known

Current Illness: none known

ID: 0938649
Sex: F
Age: 58
State: MN

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

Lab Data: None

Allergies: Darvocet

Symptoms: About 12 hours after vaccination experienced chills, body aches, intermittent headache and general discomfort. This lasted about 5-6 hours after which there was less aching but could tell that fever persisted, felt sluggish and warm. Temp was 99.9 at the highest over a 2-3 hour period. Ibuprofen was taken about 5 hours after the symptoms started, but only once. Late morning of 01/12 symptoms subsided and felt normal.

Other Meds: Fish oil, multivitamin, rosuvanstatin

Current Illness: None

ID: 0938650
Sex: M
Age: 42
State: NC

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

Lab Data: CBC, BMP, TSH all WNL and done at ER on 1/11/21 early AM

Allergies: Unknown

Symptoms: Two hours after vaccine, I had pain in the neck at my thyroid gland and what seems to be the lymph glands behind it on the right hand side. It was tender. I took tylenol to deal with it. That pain persisted all the next day on Friday and again took tylenol and ibuprofen to deal with it. Then Saturday AM I was awaked early with severe throbbing pain in same thyroid/lymph area, it hurt to swallow, turn my head, and the pain was radiating up to my right ear. I was also having cold sweats. I managed to get the pain down again with tylenol and ibuprofen. On Sunday I spiked a temp of 100.8 and was having flu like symptoms, like body aches and more chills. I got the temp down but my heart rate remained elevated and I found it difficult to catch my breath. This went on for hours. I eventually had to go to the ER, where my pulse eventually came down. Nothing like this has ever happened before. The ER staff could not explain what had happened to me. At the time of writing this on Tuesday, 5 days after vaccine, I again had a lot of cold sweats this morning and there is still some tenderness in the lymph gland area near above the right side of my thyroid gland, but I am feeling better overall.

Other Meds: Levothyroxine 125 mcg daily

Current Illness: None

ID: 0938651
Sex: F
Age: 44
State: CA

Vax Date: 12/18/2020
Onset Date: 01/07/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: viral outbreak S1/S2 dermatome, ddx zoster vs. HSV (history of genital HSV). simultaneously had recurrence of genital HSV.

Other Meds:

Current Illness:

ID: 0938652
Sex: M
Age: 71
State: FL

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

Lab Data:

Allergies: None

Symptoms: Severe chills, fever, headache, body aches, severe fatigue lasting 24 hours, gradually diminishing over next 24 hours, finally disappearing after 3 days.

Other Meds: Multivitamin along with extra C & D, acyclovir, tamsulosin, zinc, probiotic, tumeric, fish oil

Current Illness: None

ID: 0938653
Sex: F
Age: 44
State: IL

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

Lab Data: None

Allergies: None

Symptoms: About 10 minutes after shot, felt hot sensation go from ahoulders down rest if my body. My heart rate went to 140bpm. I alerted RN, gave me water, juice took about 20 minutes for HR to fo down to around 100. Did not go to ER. Went home, rested. HR returned to 80bpm around 3pm. Metoprolol taken two hours prior vaccine.

Other Meds: Metoprolol 12.5 mg ER, pantoprazole 40mg daily

Current Illness: None

ID: 0938654
Sex: F
Age: 26
State: NY

Vax Date: 12/30/2020
Onset Date: 01/04/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: none

Allergies: augmentin ceclor minocycline

Symptoms: redness at site of vaccine, enlarged axillary lymph nodes

Other Meds: restasis eye drops ajovy Vit D Fish oil

Current Illness: no

ID: 0938655
Sex: F
Age: 47
State: IA

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

Lab Data:

Allergies: None stated

Symptoms: Reported to vaccine clinic approximately 4 hours after receiving dose one of Pfizer Covid-19 vaccine with complaints of itching, burning feeling on skin and swelling in left arm. Red rash on chest and left arm. No sob, chest pain or difficulty swallowing. Ambulated to emergency room for evaluation.

Other Meds:

Current Illness:

ID: 0938656
Sex: M
Age: 35
State: IL

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

Lab Data:

Allergies: None

Symptoms: Moderna COVID-19 Vaccine EUA Moderate warmth and tingling to lips and tongue. Moderate dry mouth. Rapid heartbeat. Very mild chest tightness. Mild dizziness/foggyness.

Other Meds: Daily MVI

Current Illness: None

ID: 0938657
Sex: M
Age: 65
State: CO

Vax Date: 12/20/2020
Onset Date: 12/21/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Received the injection Sunday morning. From Monday on two or three times a day I am experiencing extreme hot flashes last 1-3 hours. I check my temp each day 3 or 4 times with no temp above 97.9

Other Meds:

Current Illness:

ID: 0938658
Sex: F
Age: 37
State: AZ

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

Lab Data:

Allergies: Plants and Cats

Symptoms: Sore left arm accompanied with a red bump the size of a quarter, mild headache, and fever of 100.8.

Other Meds: Blisovi Fe 21 Tab 1 Mg-20McG

Current Illness: None

ID: 0938659
Sex: F
Age: 51
State: NY

Vax Date: 01/05/2021
Onset Date: 01/07/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Developed redness, swelling at the injection site 48 hours after injection

Other Meds:

Current Illness:

ID: 0938660
Sex: F
Age: 42
State: CA

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

Lab Data:

Allergies:

Symptoms: Vaccine given at 9;55 am and at 10;10 am patient c/o dizziness, nausea, fast heart rate. VS taken BP 116/78 HR 105, O2 sats 100. Pt was given water, raised her feet up and monitor her for additional 30 mins. 10:30am pt. states felt much better new VS taken BP 110/70 sats 100% HR 94, she left via walking.

Other Meds:

Current Illness:

ID: 0938661
Sex: F
Age: 60
State: OH

Vax Date: 12/31/2020
Onset Date: 01/08/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: Did not have tests done

Allergies: None

Symptoms: Broke out in rash, itchy, warm to the touch and sensitive to the touch.

Other Meds: Metoprolol 25mgl, aspirin, red yeast rice and Echinacea

Current Illness: None

ID: 0938662
Sex: F
Age: 51
State: WI

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

Lab Data: none

Allergies: diclofenac

Symptoms: extreme fatigue, EXTREME coldness (to the point of feeling like pain)

Other Meds: Trazodone Hcl, Escitalopram, L-Thyroxine, Aripiprazole, Repinirole Hcl, Propranolol ER

Current Illness: none

ID: 0938663
Sex: F
Age: 54
State: KY

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

Lab Data: None. Examined area.

Allergies: Sulfa drugs

Symptoms: 3 days after vaccine began having pain and swelling under left arm(axilla)

Other Meds: Losartan, amlodipine,buspar, levothyroxine,metformin, zoloft, aspirin, baclofen, ibuprofen

Current Illness: None

ID: 0938664
Sex: F
Age: 85
State:

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

Lab Data: none

Allergies: Sulfa

Symptoms: 2:33 Patient reports feeling lightheaded, drowsy, and headache. BP 160/98; HR 65; O2 99% on r/a. Vaccine site EMT in attendance. bilateral equal weak hand grasps, no drift noted. Oriented x 3. States she forgot to take her BP meds this morning. Patient refused ambulance per recommendation of EMT. 2:43 Patient states she feels fine and is ready to go home. BP 122/80; HR 64. Remains oriented to person, place, and time.. Client used a w/c to arrive and leave facility. Is accompanied with grandson. Left with grandson.

Other Meds: HCTZ, Crestor, Allopurinol, Potassium, gabapentin, triamterene, nabumetone, lasix, aspirin,

Current Illness: none

ID: 0938665
Sex: F
Age: 30
State: CA

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

Lab Data:

Allergies:

Symptoms: Malaise, fever, chills, headache, body aches

Other Meds:

Current Illness:

ID: 0938666
Sex: M
Age: 29
State: IN

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

Lab Data: A strange rash underneath right breast, one inside the right bicep, and on left side of the abdomen.

Allergies: Nickel

Symptoms: Strange rash in

Other Meds: Trintellix

Current Illness: No

ID: 0938667
Sex: M
Age: 32
State:

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

Lab Data:

Allergies:

Symptoms: 32 y.o. male who was seen at COVID Vaccine Clinic today for his second dose of the COVID 19 vaccination. ? He denied any history of previous adverse reactions to vaccines. ? He was given the Pfizer vaccination in the left deltoid muscle. ? During his 30 minute waiting period after the injection, the patient began to experience allergy symptoms scratchy throat which is chronic. He denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, lightheadedness, dizziness, facial swelling, lip swelling and tongue swelling. ? This provider was notified of patient reaction and he was then assessed in the emergency bay area. ? Monitored patient for severe reaction symptoms, including but not limited to scratchy throat.Treatment included: no therapy and bottle of water. Follow up response to treatment: excellent. Patient discharge: Stable to go home and follow up with PCP.

Other Meds:

Current Illness:

ID: 0938668
Sex: F
Age: 70
State: KS

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

Lab Data: EKG/lab all normal done 1/10/21

Allergies: tdap vaccine

Symptoms: sweating, lightheaded, tingling/numbness in both hands, high blood pressure, swollen arm/redness

Other Meds: aspirin atorvastatin estradiol HCTZ levothyroxine losartan meloxicam omeprazole effexor

Current Illness: unknown

ID: 0938669
Sex: F
Age: 35
State:

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I started developing a rash in my mouth, and flu like symptoms. My lymph node were swollen.

Other Meds: Lexapro 10 mg

Current Illness:

ID: 0938670
Sex: F
Age: 41
State: WA

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

Lab Data:

Allergies: NKDA

Symptoms: 2 weeks of cough superimposed a chronic cough with mild wheeze & chest tightness. Seemed a little worse after shot. Patient noted walk in cold air on way to vaccine apt seemed to trigger it.

Other Meds: Albuterol

Current Illness: n/a

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm