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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 0940064
Sex: F
Age: 55
State: MI

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

Lab Data: none

Allergies: sulfamethoxazole-trimethoprim

Symptoms: to develop a rash yesterday. It started off as large red spots last night, and this morning they are smaller red spots. She said the rash started in her feet and is moving upwards. This morning it is now on her arms. She also said she was having numbness and tingling from the waist down as well. Last night she did take Benadryl. She is not experiencing any other side effects. She did not have this reaction after the first dose. prednisone, benadryl given at urgent care, prescription for prednisone given at Urgent Care

Other Meds: hydrodiuril, synthroid, protonix, desyrel

Current Illness: no

ID: 0940065
Sex: F
Age: 61
State: PR

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

Lab Data:

Allergies: lidocaine

Symptoms: Was premedicated with Medrol, Singulair and Zyrtec 20 minutes after vaccine developed paresthesias of both sides of lower face, lips and face swelling. This resolved in @ 20 minutes. Next day developed excessive fatigue with difficulty talking and a heavy sensation in the chaste with an event of fullness sensation of the right soft palate and tongue.. This became worse on the second day for which needed treatment with Medrol pack and antihistamins.

Other Meds: hormonal supplements Synthroid vitamins

Current Illness:

ID: 0940066
Sex: U
Age: 25
State: FL

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

Lab Data:

Allergies:

Symptoms: Error: Incorrect Reconstitution

Other Meds:

Current Illness:

ID: 0940067
Sex: F
Age: 93
State: MN

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/13/2021
Hospital: Y

Lab Data:

Allergies: unknown

Symptoms: Systemic: Fever-Severe, Systemic: hypotension, dyspnea-Severe; symptoms lasted 1 day

Other Meds:

Current Illness:

ID: 0940068
Sex: F
Age: 56
State: KY

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

Lab Data:

Allergies: None

Symptoms: Headache Muscle and joint pain and swelling at injection sote

Other Meds: None

Current Illness: None

ID: 0940069
Sex: F
Age: 38
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: Fatigue, body aches and chills

Other Meds: None

Current Illness: None

ID: 0940070
Sex: M
Age: 25
State: NE

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

Lab Data: None

Allergies: None

Symptoms: Significant soreness around injection site began at noted time with body aches as well. A fever began at 8pm and peaked at 3am with a temperature of 102.8. This temperature was maintained until 7am when the fever began to subside.

Other Meds: Creatine

Current Illness: None

ID: 0940071
Sex: F
Age: 54
State: IA

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

Lab Data:

Allergies: Sulfa, Penicillin

Symptoms: a week and a half after the injection i woke up to redness, approximately 3 inches, around the injection sight that narrowed down my arm (right arm) It is warm to the touch. I'm not running a fever, and it is not raised.

Other Meds: Levothyroxine; Naproxen

Current Illness: none

ID: 0940072
Sex: M
Age: 31
State: PA

Vax Date: 12/23/2020
Onset Date: 12/25/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: AIC, B12, CBC/CMP

Allergies: Unknown

Symptoms: 2 days after receiving vaccine employee experienced numbness and tingling in feet which worsened with rest and improved with waling.

Other Meds: Unknown

Current Illness: Unknown

ID: 0940073
Sex: F
Age: 31
State: KY

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

Lab Data:

Allergies: None

Symptoms: Pain at injection site, Arm soreness starting at time of injection , elevated temp 99F with mild chills, fatigue and malaise starting the following morning lasting about 8 hours.

Other Meds: Mirena IUD.

Current Illness: None

ID: 0940074
Sex: F
Age: 90
State: NE

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

Lab Data:

Allergies:

Symptoms: ON 1/9/21, DEVELOPED MILD HEADACHE. TREATED WITH ACETAMINOPHEN.

Other Meds:

Current Illness:

ID: 0940075
Sex: F
Age: 41
State: DE

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

Lab Data:

Allergies: Latex, chocolate, dairy

Symptoms: Migraine headache that lasted more than 48 hours. Fatigue. Rash developed at injection site.

Other Meds: Vyvanse, Ibuprofen, Bupropion HCL

Current Illness:

ID: 0940076
Sex: M
Age: 26
State: MA

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

Lab Data:

Allergies:

Symptoms: Received 1st dose of vaccine on 1/11. On the morning of 1/12, developed symptoms of fatigue and malaise. Left work at 1300. Reports that later in evening symptoms progressed to body aches and diaphoresis, no fever. Reports feeling better this morning 1/13.

Other Meds:

Current Illness:

ID: 0940077
Sex: F
Age: 34
State: WA

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

Lab Data:

Allergies: None

Symptoms: Headaches, swollen supraclavicular lymph nodes.

Other Meds: Iron Vitamin D3 Vitamin C

Current Illness: None

ID: 0940078
Sex: F
Age: 45
State: OH

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

Lab Data: None

Allergies: None

Symptoms: 08:50AM Upon standing to leave pt stated she was lightheaded & dizzy. Instructed to sit. BP: 126/80, SO2 RA 96%, HR:80x' Pt stated she was nervous when getting the vaccine. 09:05AM Still "feeling off, blurred vision." 09:10AM SO2 RA: 100%, HR: 82 Drinking water. Denies SOB 09:30AM feeling better. Encouraged not to drive. A friend here that will take pt. home. Pt advised to F/U with her PCP 10:03AM Pt discharged

Other Meds: Effexor, Cod liver oil, Vitamin D

Current Illness: None

ID: 0940079
Sex: F
Age: 33
State: ND

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

Lab Data:

Allergies: latex, gluten

Symptoms: Started with a mild dull headache that progressed to throbbing, stabbing, headache that was aggravated by lights, sounds, movement. Balance was affected and was unsteady on feet, legs were weak and painful to move/stand or walk. Needed assistance to walk or move. Body chills noted that no matter how many layers applied or blankets or hot shower/bath helped. Nausea was reported but no diarrhea. Along with the leg pain, back and body aches were noted that made standing, sitting or laying extremely uncomfortable.

Other Meds: none

Current Illness:

ID: 0940080
Sex: F
Age: 39
State: SC

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

Lab Data: None

Allergies: None

Symptoms: Right sided facial tingling/numbness

Other Meds: None

Current Illness: None

ID: 0940081
Sex: F
Age: 41
State: CA

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

Lab Data: None

Allergies: Penicillin

Symptoms: Excruciating headache, dry mouth and eyes, Nausea and vomiting

Other Meds: Methylphenidate, vitamin D3, fish oil, ginseng, calcium, Fluxotine, multi vitamin, biotin

Current Illness: None

ID: 0940082
Sex: F
Age: 80
State: FL

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: Fever of 101 degress, took tylenol, 3 times throughout the day. Fever broke during the night Fatigue - lasted from early morning throughout the day through the evening. Did not continue the next day Chills- Intense chills appreared around 11:00 a.m. and continued until about 1:00 p.m. After that the chills were moderate and stopped around 4:00 p.m. Headache - tylenol take for fever and headache. Headache lasted through the evening and early night. Was gone by morning. Muscle ache - extreme, sharp muscle pain in both thighs. Appeared intermittently thoughout the day. Subsided by evening, but returned briefly the next morning.

Other Meds: Atorvastin Breo Elipta Aispirin 80mg Glucosamine MSM Resveritrol Vitamin C Vitamin D Multi Vit

Current Illness: None

ID: 0940083
Sex: F
Age: 40
State: NY

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

Lab Data: none

Allergies: none

Symptoms: red, warm rash on right calf and red warm rash on left buttock and left thigh. Feels almost like a sunburn. Started on 1/13/2021 at around 7:00 am

Other Meds: Yazmin

Current Illness: none

ID: 0940084
Sex: F
Age: 57
State: TX

Vax Date: 12/20/2020
Onset Date: 12/22/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: 5 x 3 inch red , hot area on top of right arm, lasted for 2 weeks. Look dark and bruised some days.

Other Meds: Levothyroxine Multivitamin

Current Illness: NONE

ID: 0940085
Sex: F
Age: 30
State:

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

Lab Data:

Allergies: None

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Fatigue and arm soreness within a few hours turned into full body chills, aches, and a fever about 8hrs after injection. Symptoms were intense and lasted throughout the night with Tylenol only minimally reducing fever. All symptoms lasted for about 24hrs, after which I felt completely normal.

Other Meds: None

Current Illness: None

ID: 0940086
Sex: M
Age: 62
State: MT

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: Unknown

Allergies: NKA

Symptoms: On January 11th, 2021 patient called to report that he will probably not get the second dose of Moderna due to side effects he had after he received the first dose of Moderna. He reports that for a week after he had brain fog, ie. couldnt remember common things, he reported that he got a 1/2 dollar size black and blue mark to skin where the injection was given, and reports it is still there two weeks after receiving the injection. He also stated that his arm was very painful after the injection.

Other Meds: Unknown

Current Illness: Unknown

ID: 0940087
Sex: F
Age: 90
State: NE

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

Lab Data:

Allergies:

Symptoms: ON 1/8/21, DEVELOPED A MILD HEADACHE. TREATING WITH ACETAMINOPHEN.

Other Meds:

Current Illness:

ID: 0940088
Sex: M
Age: 60
State: WA

Vax Date: 12/17/2020
Onset Date: 12/27/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: Ketoralac Lisinopril

Symptoms: Patient noted several lesions on his toes consistent with pernio about 10 days after first vaccine administration. Lesions have remained. Patient received second vaccination 01/07/2021 to complete the series. Patient notes additional pernio lesions within 1-2 days of second vaccine.

Other Meds: None

Current Illness: None

ID: 0940089
Sex: F
Age: 19
State: IA

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

Lab Data:

Allergies: none

Symptoms: After I recieved the Covid-19 Moderna vaccine I began to feel ill. I became pale, had fatigue, headache, stomach ache, and the arm i recieved the vaccine in was sore to the point I couldn't hardly move it. These side effects lasted until 12/25/2020. I had no fever and after the 25th I felt fine.

Other Meds: omeprezole, singular

Current Illness: none

ID: 0940090
Sex: F
Age: 26
State: IL

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

Lab Data:

Allergies: bee venom (anaphylaxis), penicillin (hives)

Symptoms: Patient presented to clinic RN in observation room 5 minutes post COVID-19 vaccination. Was visibly diaphoretic while sitting in chair and reporting dizziness/feeling like she "is going to faint." Patient walked with 2 RNs to stretcher. Patient was alert, then laid down on stretcher and given water. Emergency response team was called and team arrived on unit within 10 minutes. Vitals on arrival include BP: 94/50 HR: 49, spO2: 100%. Patient reports low BP and HR at baseline. Vitals recheck: BP: 100/59, HR: 67, spO2: 100%. Patient reporting feeling "back to normal" after total time of 25 minutes. Denies pain, itching, SOB, difficulty breathing, or dizziness. BG: 109. Emergency response physician cleared patient. Patient walked with around with clinic RN prior to leaving. Denies any distress. Independently exited clinic.

Other Meds: -Copper IUD -clindamycin 1% topical, 1 application every morning -tretinoin 0.05% cream 1 app before bed -ketoconazole shampoo 2% 1 application two times per week -spironolactone 50mg daily

Current Illness: none

ID: 0940091
Sex: F
Age: 36
State: NE

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

Lab Data: None

Allergies: Unknown

Symptoms: Within minutes of receiving the vaccine, started c/c dizziness, tingling all over, feeling "splotchy", weakness, seeing stars. Appeared pale and clammy. Eased to floor to lie flat. B/P=92/62. B?P after 5 min of being supine 102/64. Able to sit up after 10 minutes. Continued to rest for 30 minutes with slow consistent improvement in weakness and dizziness. Left clinic within one hour with improvement.

Other Meds: Unknown

Current Illness: Autoimmune disorder. Unknown which one.

ID: 0940092
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: Ceclor Latex CT dye

Symptoms: Day after my second vaccine I had body aches, muscle and joint aches, neck stiffness, headaches and was nauseated. I hurt so bad that I did not want to move. I Routinely took Ibeprofen every 6 hours and phenergran to help with my symptoms. These symptoms only last one day. Which was the day after my second vaccine.

Other Meds: Lyrica, Cymbalta, Oxybutin, Singular, Florastor, Flecanide, Metoprolol, Topamax, Protonix, Women?s MultiVitamin, Zinc, Vitamin D-3, Vitamin C, Junel, Baclofen, Xyzal, Fish Oil, Bactrim

Current Illness: Pilonidal Cyst

ID: 0940093
Sex: F
Age: 53
State: MA

Vax Date: 12/28/2020
Onset Date: 01/09/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Oxycodone - Nausea And Vomiting Atorvastatin Ace Inhibitors - Cough Methotrexate (Pf) - Rash Pollen Extracts

Symptoms: patient reports developing a rash throughout entire body on January 09, 2021 after receiving Moderna COVID-19 mRNA vaccine on 12/28/21. Employee reports a history of psoriasis and unsure weather this is related to the vaccine or the psoriasis, but states has never experienced an outbreak of psoriasis like this before in her life. Employee tested negative on 1/11/21 for COVID-19 and has followed up with dermatologist as well.

Other Meds:

Current Illness:

ID: 0940094
Sex: F
Age: 29
State: TX

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

Lab Data: None yet

Allergies: No known allergies

Symptoms: Fever of 101.5 Chills/body aches Muscle stiffness General malaise Nausea Headache

Other Meds: Vitamin D 50mcg once daily PO Cetirizine 10mg once daily PO

Current Illness: None

ID: 0940095
Sex: M
Age: 52
State: TX

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

Lab Data:

Allergies: none to note from pt

Symptoms: Systemic: Chills, Systemic: pale in color, increase hr; symptoms lasted 1 day

Other Meds:

Current Illness:

ID: 0940096
Sex: F
Age: 90
State: NE

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

Lab Data:

Allergies:

Symptoms: ON 1/8/21, DEVELOPED MILD HEADACHE. TREATING WITH ACETAMINOPHEN.

Other Meds:

Current Illness:

ID: 0940097
Sex: F
Age: 56
State:

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

Lab Data:

Allergies:

Symptoms: significant body aches at night, 24 hours later headache,chills, fatigue, temp of 99.5, 48 hours later fatigued in general not well-being, chills, fatigue, injection site pain, malaise new or worsened join and muscle pain

Other Meds:

Current Illness:

ID: 0940098
Sex: F
Age: 56
State: MA

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 16 hrs post 2nd COVID vaccination injection I experienced the following symptoms: severe aches and pains in joints, chills-cold hands,feet, lethargy, slight nausea, diarrhea. Symptoms subsided over the following 24 hours. Joint aches continue

Other Meds:

Current Illness:

ID: 0940099
Sex: F
Age: 34
State: MS

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

Lab Data: N/A

Allergies:

Symptoms: Vaccine given on 1/9/21 around 12:45 pm in Left deltoid chest swelling started 5 to 6 hours later swelling in arm & neck with pain. Has been taken Ibuprofen & muscle relaxer. Symptoms still persistent on 1/12/21.

Other Meds: Nuvaring & Prozac

Current Illness: No

ID: 0940100
Sex: U
Age: 43
State:

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

Lab Data:

Allergies:

Symptoms: Patient called to report that she received her 2nd dose on 1/7 @ 1000 and then the next day she started having a HA. On Sat she had a temp of 99.0 and it subsided. Then on sun she began to have chills, fever, and lymph nodes were swollen under her arm and neck and went to the ER and given steriods. Symptoms have resolved as of now. Patient received the BioNTech Pfzier vaccine

Other Meds:

Current Illness:

ID: 0940101
Sex: F
Age:
State: AZ

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

Lab Data: CT SCAN

Allergies: None

Symptoms: Chemo Surgery Radiation

Other Meds: verapamil 240mg, maxide 37.25, asprin 81mg

Current Illness: Breast cancer

ID: 0940102
Sex: F
Age: 61
State: FL

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

Lab Data: none

Allergies:

Symptoms: Chills, headache, and nausea

Other Meds:

Current Illness: Post COVID 19 symptoms

ID: 0940103
Sex: F
Age: 41
State: TN

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

Lab Data:

Allergies: Biaxin, Morphine, Bleach latex

Symptoms: fever loss of appetite headache/migraine body aches muscle cramps, rash

Other Meds:

Current Illness:

ID: 0940104
Sex: F
Age: 34
State: IN

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

Lab Data:

Allergies: none

Symptoms: Got shot at 10AM. Woke up at 3AM with chills, muscle aches, joint pain, and a fever of 100.7. These subsided somewhat with advil and tylenol. The chills, fever seemed to go away after 24 hours. Muscle aches/joint pain continued 48+ hours after. I was unable to go to work or care for my child due to symptoms.

Other Meds: none

Current Illness: none

ID: 0940105
Sex: F
Age: 54
State: AL

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

Lab Data: none

Allergies: mangon

Symptoms: 14 hours after vaccination, woke up to slight body aches so went to take Tylenol and sudden wave of nausea hit and passed out falling on floor. Had slight stomach upset and significant chills. Took Tylenol and was recovered by 8 a.m.

Other Meds: Women's multi vitamin Omega 3 Vitamin C Carbonfire 213 complex Melatonin

Current Illness: none

ID: 0940106
Sex: F
Age: 36
State: MD

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

Lab Data: HR 92 regular BP 110/72 RR 16 1/11/2021 4:04 PM

Allergies: None

Symptoms: Patient reports feeling dizzy with nausea after vaccine. No shortness of breath, no chest pain, no headache, no rash. Patient reported she has not eaten since breakfast. Vital signs were stable: HR 92 regular BP 110/72 RR 16. Patient was given water and observed for for 30 minutes. Patient stated feeling better and sent home with mother in law. Patient instructed to call primary care if symptoms persist and 911 if symptoms worsen.

Other Meds: None

Current Illness: none

ID: 0940107
Sex: M
Age: 47
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: Systemic musculoskeletal pain in muscles and joints with mild headache and moderate fatigue.

Other Meds: None

Current Illness: None

ID: 0940108
Sex: F
Age: 47
State: NY

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

Lab Data:

Allergies:

Symptoms: Reported fatigue, muscle aches, and chest pain.Followed up with her PCP for the chest pain. EKG unremarkable. Cardiologist to follow up.

Other Meds:

Current Illness:

ID: 0940109
Sex: F
Age: 37
State: AZ

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Penicillin and amoxicillin

Symptoms: Immunization given on Wednesday evening. On Friday evening, developed pain and rash near groin. Thought it was reactivation of HSV-1. However, it has been diagnosed as shingles.

Other Meds: None

Current Illness:

ID: 0940110
Sex: F
Age: 31
State: AZ

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

Lab Data: None

Allergies: None

Symptoms: Fatigue, fever, chills, body aches, joint pain, skin hurting

Other Meds: None

Current Illness: None

ID: 0940111
Sex: F
Age: 42
State:

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

Lab Data:

Allergies:

Symptoms: Injection site raised and pain upon touch - started 1/11 evening after vaccine dose 2. Then on 1/12 1600 noticed under arm swelling and discomfort - thinking it's lymphadenophathy just on left side. Took ibuprofen and no changed as of 1/13 am

Other Meds:

Current Illness:

ID: 0940112
Sex: F
Age: 56
State: MA

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 16 hrs post 2nd COVID vaccination injection I experienced the following symptoms: severe aches and pains in joints, chills-cold hands,feet, lethargy, slight nausea, diarrhea. Symptoms subsided over the following 24 hours. Joint aches continue

Other Meds:

Current Illness:

ID: 0940113
Sex: F
Age: 39
State: NY

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

Lab Data:

Allergies: penicillin, aspirin

Symptoms: Site: Swelling at Injection Site-Medium, Systemic: Vomiting

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm