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: 0939922
Sex: F
Age: 61
State: IN

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Morphine - Nausea - more of intolerant than allergies

Symptoms: I have a swollen node in my Left Arm pit, the size of half of a tennis ball

Other Meds: Tylenol 500mg x 2 tabs -taken after vaccinated

Current Illness: none

ID: 0939923
Sex: F
Age: 37
State: VA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Patient reported sore arm on night of vaccination. Around 36 hours later, started to develop lymph nodes swollen under left arm. It is causing numbness in left arm from elbow to pinky finger.

Other Meds: NA

Current Illness: no

ID: 0939924
Sex: F
Age: 51
State: MI

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Yes some medications and latex

Symptoms: Systemic: Exhaustion-Mild, Systemic: Generalized Body Aches -Mild, Systemic: Nausea-Medium, Systemic: Vomiting-Medium; symptoms lasted 0 days

Other Meds:

Current Illness:

ID: 0939925
Sex: F
Age: 39
State: PA

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Augmentin, clindamycin

Symptoms: Rash, back neck, itching, two days after

Other Meds: none

Current Illness: none

ID: 0939926
Sex: F
Age: 43
State: CO

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: none

Allergies: Unknown

Symptoms: Pt. called PA-C to c/o headache, tingling across forehead/scalp, tenderness above right eyebrow which was a bit swollen and red. Pt. advised to monitor and follow up with pcp if not better or if sx. worsening.

Other Meds: Unknown

Current Illness: Unknown

ID: 0939927
Sex: F
Age: 88
State: TN

Vax Date: 01/05/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: No reaction until on that Monday, I woke up with terrible itching on my back, I took a benadryl, and it went away. It came back during the day. They came in the inner part of my arm, my back, my arm , and my chest. It'll come out in hives, and the itching, and then it will go back in. Last night, I changed my sheets thinking it was a reaction to my sheets. There is no breathing problems, just itching.

Other Meds: Ambian, losartan-hctz 100-25mg , Vitamin D, Vitamin C

Current Illness: No

ID: 0939928
Sex: F
Age: 64
State: VA

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: I received #1 covid vaccine on 1/5/21. No reaction at the time. On 1/12/21 by the afternoon, my right arm started to itch and become sore. I then noticed the redness around the injection site. Injection site is sore, hot, and hard. The reddened area is continuing to spread.

Other Meds: Benadryl

Current Illness: none

ID: 0939929
Sex: F
Age: 58
State: OK

Vax Date: 01/04/2021
Onset Date: 01/10/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: none

Allergies: NKDA , no food allergies. D have allergies to some grasses, weeds, some trees, and dust.

Symptoms: Did not have any adverse symptoms following vaccine other than expected injection site soreness which lasted only 24 hrs. Approx 6 days post vaccine injection, developed itching , mild redness R upper arm surrounding original injection site. Skin continues to be reddened and itchy. Will obtain and use hydrocortisone cream topically.

Other Meds: Omeprazole, menopause herbal supplement

Current Illness: 2 episodes of mild nausea, heartburn and loose stools lasting few hours on 01/02/2021 and early AM of 01/04/2021 - thought to be related to food intake

ID: 0939930
Sex: M
Age: 33
State: IN

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: N/A

Allergies:

Symptoms: Felt as if i had a mild flu. Muscle aches, headache, fatigue. lasted until the next morning.

Other Meds:

Current Illness:

ID: 0939931
Sex: F
Age: 59
State: FL

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: referred to ED for treatment

Allergies: PCN, Keflex, contrast dye

Symptoms: Generalized itching, hives, after receiving second dose of COVID 19 vaccine today, 1/11/2021 at 11:30 in right deltoid. Pt tolerated dose #1 in left deltoid. She developed mild arm " weakness" and soreness that lasted several days. She completed a VAERS report after her first dose. She began to feel " itchy all over" at 15:00. She noticed hives under her bilateral breasts. She felt " flushed" and her scalp and face felt itchy as well. No SOB or CP. NO wheezing. She has a hx of allergies to KEFLEX/PCN.

Other Meds: symbicort, prilsoec

Current Illness: none

ID: 0939932
Sex: F
Age: 37
State: IN

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: 1/12/21: Fever (100.3), chills 12:00 AM to 4:00 AM and fever (99.9), chills, mild headache 10:00 AM to 1:00 PM Malaise/fatigue all day on 1/12/21 Ibuprofen 400mg taken twice.

Other Meds: Zyrtec 10mg

Current Illness: N/A

ID: 0939933
Sex: F
Age: 33
State: KS

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: reports symptoms of HA, fever, joint pain, chills on 1/9, developed chest pain on 1/11, went to ED at facility on 1/11 and was dx with pleurisy, tx with medication, reposrts feeling better 1/13.

Other Meds:

Current Illness:

ID: 0939934
Sex: F
Age: 31
State: PA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: chills. body aches, low grade fever, fatigue,

Other Meds: tri legest fe, probiotic, multi-vitamin, .25 mg lexapro

Current Illness: none

ID: 0939935
Sex: F
Age: 41
State: NY

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rash on neck

Other Meds: Colestipol Protonix Marijuana leaves

Current Illness:

ID: 0939936
Sex: F
Age: 39
State:

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: CBC, CMP, PT, INR, PTT, Bilirubin, CPK, Pregnancy test, Chest XRay

Allergies:

Symptoms: Pain, swelling under arm that was injected with the vaccine. Pain and swelling was worse the next day and the patient went to the ED to receive care. Tests were performed and she received morphine IV and Ketorolac IV. She was discharged to home after symptoms improved.

Other Meds:

Current Illness:

ID: 0939937
Sex: F
Age: 55
State: NY

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: 1/09/21 rash on neck and upper chest and below breast and upper stomach, resolved by next day in AM. Arm soreness at injection site, symptom has resolved

Other Meds: Bupropion, Calcium with vitamin D, Estroven, multivitamin

Current Illness: N/A

ID: 0939938
Sex: F
Age: 23
State: NM

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Latex, Bananas, Cinnamon

Symptoms: On the day of (1/5/2021) and day after injection, I experienced pain and a large bump on my arm which I was told is normal On 1/12/2021 at around 6:30pm I noticed that the bump had come back but it was larger than before, hard and itchy. I applied ice to take away the itching and then later applied a Benadryl Creame. 1/13/2021- Today, the bump has spread

Other Meds: Venalafaxine 150mg

Current Illness:

ID: 0939939
Sex: F
Age: 45
State: TN

Vax Date: 01/02/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: Cbc normal

Allergies: Sulfa Codeine Latex Gluten Shellfish

Symptoms: My right arm has a huge red swollen circle about 5 inches below the injection site. This area didn?t appear until day 9. I also am having extreme fatigue at day 11.

Other Meds: Claritin Flonase Excedrin

Current Illness: None

ID: 0939940
Sex: M
Age: 43
State: IN

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Headache and muscle aches. Resolved with Tylenol and sleep.

Other Meds: 1. Crestor 10 mg orally daily

Current Illness: None

ID: 0939941
Sex: F
Age: 26
State: MO

Vax Date: 01/07/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: NKDA

Symptoms: Swollen lymph nodes in neck (3 of them in a L shape)

Other Meds: None

Current Illness: N/A

ID: 0939942
Sex: F
Age: 37
State: MA

Vax Date: 12/21/2020
Onset Date: 12/29/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: EKG on 12/31/20 - HR 95, Sinus rhythum

Allergies: Penicillin- rash

Symptoms: Tachycardia with palpitations. Evening of the 29th, felt as if heart was racing . Checked pulse and was 130s. BP and pulse ox wnl, no SOB, dizziness. After sitting for several minutes, HR reduced to 95s (normal RHR is lower 60s). Stayed home from work the next day, HR improed with a max of 140s during activity, but RHR remained in the 90s and palpitations continued. On 12/31/20 had EKG at work clinic, was wnl but showed RHR of 95. Over the next few days, had reduced activity, took part in relaxation exercises, and RHR seemed to improve each day. Tele-visit with provider on 01/04/21, who recommended continued monitoring and f/u if RHR did not return to normal or any additional symptoms appeared. By 01/08/21, heart rate returned to normal.

Other Meds: Multi-vitamin Vitamin D Zyrtec

Current Illness: N/A

ID: 0939943
Sex: F
Age: 50
State:

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Right-sided tongue swelling 13.5 hours after administration of second dose of the vaccine. Resolving with benadryl and pepcid.

Other Meds:

Current Illness:

ID: 0939944
Sex: F
Age: 48
State: ME

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: Tylenol Penicillin

Symptoms: Localized reaction-- urticarial plaque measuring 14 cm x 12 cm, intermittent and ongoing 14 days post injection. No other associated symptoms or concerns. Tx supportively- cool compresses, NSAIDs, OTC hydrocortisone cream or ointment.

Other Meds: Lisinopril Metformin Lipitor Trulicity Vit D3

Current Illness: None

ID: 0939946
Sex: F
Age: 34
State: TX

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: none performed

Allergies: none

Symptoms: Sore Arm at injection site for 2 days. On day 7 after getting vaccine, I developed rash about baseball size around injection site. Rash was initially itchy for 1 day which altered me to rash but no longer itches. Rash was initially raised and slightly red but is now not raised and slighty red with outer ring.

Other Meds: oral birth control pill

Current Illness: none

ID: 0939947
Sex: M
Age: 59
State: TX

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: N/A

Allergies: Penicillin

Symptoms: "Pfizer-BioNTech COVID-19 Vaccine EUA". Symptoms: Tiredness throughout day at approx 2 hrs after vaccination. Felt feverish around midnight, headache, some nausea, pain on arm where vaccination was applied, overall upper discomfort, joint pain (shoulders) and kind of disoriented. Took Tylenol Extra Strength, 500mg, to ease the discomfort.

Other Meds: Herbal Dietary Supplement (Collagen, Multivitamin, Mineral & Herbal Dietary Supplement Powder; ClearVite-CLA (K-105); Apex Energetics Nutritional Complexes), Plant Protein Dietary Supplement (Natural State Labs), ViriloMax (Natural State La

Current Illness: None

ID: 0939948
Sex: M
Age: 29
State: IN

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever, body aches

Other Meds: Acyclovir Prednisolone

Current Illness: None

ID: 0939949
Sex: F
Age: 76
State: AZ

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: peanuts, tree nuts, opiates, preservatives, scopolamine

Symptoms: Pain in arm where vaccine was given

Other Meds:

Current Illness: NONE

ID: 0939951
Sex: F
Age: 44
State:

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Golf ball sized knot at injection site. Fever

Other Meds:

Current Illness:

ID: 0939952
Sex: F
Age: 38
State: NJ

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: Zithromax

Symptoms: Shortly after receiving vaccine (within 5 minutes) , reported symptoms of tingling to lips, became pale and felt weak. Did not pass out. Vital signs were stable.

Other Meds: Unknown

Current Illness:

ID: 0939953
Sex: F
Age: 41
State: WI

Vax Date: 01/04/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: one week later large red raised rash appeared at injection site

Other Meds: none

Current Illness: none

ID: 0939954
Sex: F
Age: 30
State: AZ

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Migraines- worse headache of my life even worse than when I had covid, feeling like bugs crawling on me, heart palpitations, feeling tingling and numbness in legs and arms, feeling like I was going to pass out even days after, nausea, extreme fatigue, body aches, shaking and chills

Other Meds: Multivitamin and vitamin D

Current Illness: No

ID: 0939955
Sex: M
Age: 75
State: GA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Slight blurry vision - laid dawn for 2 hours, blurry vision went away.

Other Meds: lotrel, lipitor, aspirin (81mg)

Current Illness: none

ID: 0939956
Sex: M
Age: 32
State: PA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Achy on 1/12/21 1/13/2020: bilateral eyes painful, cloudy vision

Other Meds: None

Current Illness: None

ID: 0939957
Sex: F
Age: 21
State: MI

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: TB shot

Symptoms: arm pain

Other Meds: Zoloft

Current Illness:

ID: 0939959
Sex: F
Age: 49
State: IL

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: First day, HA and extreme fatigue, then next day cough, runny nose, achy joints ( mild, mostly arms), and fatigue, by day 4 after vaccine, just cough and headache with mild fatigue, by day 6, mostly resolved

Other Meds: Venlafaxine 225 mg, chlorothalidone 25 mg, lisopril 20 mg

Current Illness: None

ID: 0939960
Sex: F
Age: 50
State: CT

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: doxycycline, contrast dyes

Symptoms: numbness in left side of face from lip to ear

Other Meds: vitamin c, d, calcium, pantoprazole

Current Illness:

ID: 0939961
Sex: F
Age: 49
State: NY

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Reported feeling flushed and experienced chest pressure. Transferred to ED

Other Meds:

Current Illness:

ID: 0939962
Sex: F
Age: 57
State:

Vax Date: 12/23/2020
Onset Date: 01/01/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Cellulitis injection site

Other Meds:

Current Illness:

ID: 0939963
Sex: F
Age: 26
State: MI

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: headache, fever, chills and pain in arm

Other Meds:

Current Illness:

ID: 0939964
Sex: M
Age: 39
State: IN

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: I experienced tiredness, fatigue, headache, muscle ache at injection site in left arm, muscle pain throughout body, joint pain throughout body, sore throat, mild cough, and nausea.

Other Meds: Hydrochlorothiazide

Current Illness: None

ID: 0939965
Sex: F
Age: 51
State: OH

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: may have mild allergy to polyethylene glycol

Symptoms: About 30 minutes after receiving my injection on Thursday, I noticed my upper lip felt like it was swelling. Over the next 30 minutes, I felt the same in my lower lip and cheeks. I took 50 mg of Benadryl at that time. I slept for nearly 20 hours after that. On Friday, I experienced severe body aches from head to toe. I felt somewhat better Saturday. I woke up Sunday with nausea and dizziness that lasted all day and evening. I woke up feeling better Monday morning but noticed 2 enlarged lymph nodes above my collar bone and pain from my R deltoid, across my shoulder and into my lower neck. It is Tuesday and and the lymph nodes are painful to touch and I'm experiencing 5/10 pain in my upper arm, shoulder R side and back of neck and above my R scapula. I am considering calling my PCP.

Other Meds: 81mg ASA, Duloxetine, Prilosec, Diclofenac, Lisinopril, Amlodipine, Repatha

Current Illness: none

ID: 0939966
Sex: F
Age: 30
State: IL

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 1/7/21: Sore arm the night of the vaccine. 1/8/21: Woke-up around 4am with chills. Fever of 101.4 around 7am with generalized malaise and severe fatigue. Spent most of the day in bed. Fevers on and off throughout the day with Tmax of 101.4. Some mild body aches. Sore arm with itching at the injection site. Lump at injection site. Had to call off of work. Loss of appetite. 1/9/21: Afebrile the whole day. Moderate fatigue in the morning. Overall felt better by the afternoon. Sore arm continued with itching and lump remaining at the injection site. 1/10/21: Overall felt better, arm soreness and itching at injection improving. 1/11/21: Mild fatigue. No arm soreness. Itching improved. Lump at injection site improving. Mild body aches in the evening. 1/12/21: Mild fatigue. 1/13/21: No arm soreness, itching and lump at injection site gone.

Other Meds: Prenatal Vitamin, Vitamin D3, Vitamin B12, Birth Control Pill

Current Illness: None

ID: 0939967
Sex: F
Age: 26
State: FL

Vax Date: 01/11/2021
Onset Date: 01/01/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: NA

Allergies: no

Symptoms: Staff reported temperature of 99.9, chills, and headache.

Other Meds: No

Current Illness: no

ID: 0939968
Sex: F
Age: 69
State: TN

Vax Date: 12/30/2020
Onset Date: 01/08/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: No tests or laboratory work done; PCP informed her that it was a reaction to the COVID 19 vaccine.

Allergies: NSAID medications, Cholesterol medications (Statins)

Symptoms: Patient received her 1st dose of the COVID 19 vaccine on 12/30/2020. She woke up on 1/8/2021 with a red, swollen, itchy, and hot left arm. She resumed taking her usual prescribed medications and went to her PCP on 1/11/2021. Her PCP informed her that it was a reaction to the COVID 19 vaccine. The patient has not taken any further action for her reaction to the COVID 19 vaccine.

Other Meds: Insulin, Metformin, Fluoxetine, Hydroxyzine, Hydrocodone, Valsartan, Metoprolol

Current Illness: None

ID: 0939969
Sex: F
Age: 72
State: NJ

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: ENT performed hearing test

Allergies: N/A

Symptoms: Severe sudden vertigo attack. ENT diagnosed vestibular neuritis. Foggy feeling. I've been in PT for past two weeks for treatment of dizzy vertigo sysmptoms.

Other Meds: Blood Pressure medication - Amlodipine 5 mg Premarin - 6mg Vitamin C Vitamiin D Allegra

Current Illness: N/A

ID: 0939970
Sex: F
Age: 50
State: PA

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Flagyl

Symptoms: Woke at 3am with severe abdominal pain. I was unable to move freely for about 5 hours. The pain was located in my epigastric area with the concentration in the Left upper quadrant. It was accompanied by fever and fatigue. I was unable to eat for 24 hours. The pain continued for 3 days total.

Other Meds: Breo inhaler, Singulair, Famotidine

Current Illness:

ID: 0939971
Sex: F
Age: 28
State: NJ

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Gluten

Symptoms: I received the first dose of the Pfizer vaccine on December 23 with no complications. The second dose of Pfizer was administered to me on January 11 and I felt okay at first. At 1 am on January 12 I developed severe chills and muscle aches. The chills, body aches, and fatigue persisted all day. Temperature max was 100.3 orally. I continued to take Tylenol every 6 hours and stayed in bed. The next day I felt slightly better, however, still had a headache. I made an appointment with my primary care doctor.

Other Meds: Mibelas 24 Fe, Prozac 10 mg, Garden of Life Women's Daily Care Probiotics, VitaFusion Women's

Current Illness:

ID: 0939972
Sex: F
Age: 41
State: NY

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: Clindomyacin, mold

Symptoms: At time of shot fast heart rate monitored by the facility no other symptoms Next day headache, sore injection site, swollen lymph nodes arm pit and neck on side of injection, extreme fatigue slept all day, chills, vomiting (2x), muscle aches Following days low grade fever on and off, fatigue, intermittent fast heart rate, chills fatigue Today day 6 much improved mild fatigue

Other Meds: Magnesium Nasocort the past week Aleeve the past week lo lo estrin Multivitamin

Current Illness: Sinus/cold two weeks prior

ID: 0939973
Sex: M
Age: 60
State: IN

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: extreme fatigue, diffuse itching and painful red vasculitic type eruption on dorsum of foot and legs.

Other Meds: Lisinopril, Travatan

Current Illness: none

ID: 0939974
Sex: M
Age: 32
State: PA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: On 1/12/2020 noticed was achy 1/13/2020 woke up in middle of the night with bilateral eye pain "felt like sand in eyes". Woke up still painful eyes, no swelling, no discharge, no tearing, no hyperemia. Has cloudy vision as well as pain.

Other Meds: None

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm