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: 0940164
Sex: F
Age: 38
State: NY

Vax Date: 09/08/2020
Onset Date: 09/08/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: none

Allergies: sulfa, bees

Symptoms: The area surrounding the injection site became bruised and red, itchiness was felt on upper arm, neck, and face. Symptoms lasted approximately 4 days.

Other Meds: none

Current Illness: none

ID: 0940165
Sex: F
Age: 35
State: PA

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

Lab Data: Yes

Allergies: azithromycin

Symptoms: H/A, sore throat, muscle pain, chills, joint pain, pain at inj. site, nauseated, heart bothering her, feels warm, tired, heat surge, loss of appetite, SOB, Had COVID May 2020.

Other Meds: Metoprolol, valacyclovir, xyzal,

Current Illness: yes maybe mono

ID: 0940166
Sex: F
Age: 31
State: MI

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

Lab Data: NONE

Allergies: LATEX

Symptoms: RASH ON ARMS AND LEGS THAT WHEN AWAY WITH BENADRLY , RETURNED THE NEXT DAY AND PERSISTED., SEEN IN ed EMPLOYEE HAS PURRITIS IN THROAT, THRATED WITH BENADRLY.

Other Meds: ALBUTEROL, VIT C, SSYMBICORT, ZYERTEC, B12, ATROVENT ,SINGULAR, VIT B1, ZOFRAN

Current Illness: NONE

ID: 0940167
Sex: F
Age: 51
State: NY

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

Lab Data: VS as follows: BP 160/113 HR: 93 RR 20 T 98.6. Benadryl given IM. Employee taken to ER for further evaluation.

Allergies: Blueberry, Melon, Kiwi, Nuts, Shellfish, Strawberry C

Symptoms: Employee received Dose 1 of COVID19 vaccine. Approx 30mins later employee complained of tingling to right toe, right jaw lock, and headache on right side 4/10 pain.

Other Meds: Unknown

Current Illness: Unknown

ID: 0940168
Sex: F
Age: 19
State: TN

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

Lab Data:

Allergies: penicillin and sulfur

Symptoms: Fever of 101.1

Other Meds:

Current Illness:

ID: 0940169
Sex: F
Age: 50
State: MT

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

Lab Data:

Allergies:

Symptoms: Temperature of 100.4 Chills

Other Meds:

Current Illness:

ID: 0940170
Sex: F
Age: 39
State: IL

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: 1/7/20: Normal CBC, CMP, TSH, ESR CRP 0.87 mg/dL (H) CK 443 units/L (H) RA latex turbid <10.0 IU/mL TSH 1.6 IU/mL ESR 6 mm/hr ANA POSITIVE Speckled pattern 1:160 (H)

Allergies: Ibuprofen - vomiting 2/2 celiac disease

Symptoms: Pt received first dose of Moderna vaccine on 12/29/2020. Initial question of whether vaccine was administered correctly - administering nurse never felt arm before administering and did say she thought she gave the injection "too low" and not on deltoid. The nurse mentioned that someone else had gotten a reaction from receiving the dose "too low." Pt developed a red lump the next day at site of injection. For first week or so, patient's symptoms decreased although she still experienced swollen lymph nodes and breast tenderness. Day 8 or 9 (1/6 or 1/7), pt woke up to arm being red, swolen, and sore again. Pt talked to infection control nurse at hospital, who advised her to go to clinic to get it seen by a provider because it looked like it might be cellulitis. Pt presented 1/7/2021 with complaint of possible infection in right arm where she received the vaccine. Area was red, swollen, warm to the touch. Pt also had some breast tenderness. Pt was given ceftriaxone 1 gm IM x 1 in clnic and discharged. Pt followed up the next day, 1/8/2021. At that appointment, symptoms had decreased. Redness and firmness of area had decreased and range of motion had increased. Pt continued to endorse soreness that traveled from right side of neck all the way down right elbow, but states it had decreased since 1/7. 1/12/21 pt followed up in clinic and stated arm was much better. Swelling almost gone and erythema much improved. Pt was able to use arm normally. Axilla still a little swollen, but no fever/nausea/vomiting/rash. Pt thinks she had ANA positive in past and c/f collagen vascular disease, in part because she has muscle ache flares for days to weeks. Reviewed Autoimmune panel (ANA, ESR, RA), plan to f/u with rheumatology

Other Meds: None

Current Illness:

ID: 0940171
Sex: F
Age: 32
State: NJ

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

Lab Data:

Allergies:

Symptoms: redness, warmth, itchiness to the injection site and surrounding area 1 week after shot. Lasted only 1 day.

Other Meds: Altevara (birth control)

Current Illness:

ID: 0940172
Sex: F
Age: 47
State:

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

Lab Data:

Allergies:

Symptoms: Chills, headache, arm pain, nausea, body aches and pain

Other Meds:

Current Illness:

ID: 0940173
Sex: F
Age: 36
State: RI

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient became anxious and lightheaded. Evaluated by EMS and released after symptoms improved.

Other Meds:

Current Illness:

ID: 0940174
Sex: F
Age: 65
State: WI

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: sore arm, body aches, headache, fatigue

Other Meds:

Current Illness:

ID: 0940175
Sex: F
Age: 51
State: MD

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

Lab Data: none

Allergies: iron and milk

Symptoms: No reaction immediately after receiving vaccine. Next day, 1/10/2021, noted left axillary pain, minimal pain at left deltoid injection site. Used Tylenol for ineffective relief of discomfort. Next day, 1/11/21, noted swelling and pain along left collarbone area on chest/neck area. Called to speak with Dr. Told that I had left supraclavicular lymph node swelling causing discomfort, and still had swelling of left axillary lymph node causing discomfort. Also noted minimal left groin lymph node enlargement with no pain. Told to monitor symptoms and continue to use Tylenol or Advil as needed. Recommended that I call back if symptoms worsen, change or have additional symptoms.

Other Meds:

Current Illness: none

ID: 0940176
Sex: F
Age: 23
State: ME

Vax Date: 12/24/2020
Onset Date: 12/31/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Rash, went to Urgent Care per office advice. prescribed Prednisone for 3 day course. PCP follow up on 1/13. No work capacity until then.

Other Meds: none

Current Illness: none

ID: 0940178
Sex: M
Age:
State: AZ

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0940180
Sex: F
Age: 53
State: NY

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

Lab Data: none

Allergies: retinol A caused contact dermatitis of eyelids

Symptoms: The patient received her COVID19 vaccination, the Moderna mRNA vaccine, on Friday, January 8, 2020 at 10 AM. She developed some low-grade fevers and fatigue over the next 24 hours, treated with ibuprofen. However, by Saturday evening, as her fever was slowly improving, she developed some puffiness of her eyes. The swelling progressed further on Sunday accompanied by low-grade fever and by Monday affecting both eyelids, upper as well as lower, with a burning sensation and some pruritus. She has noted some desquamation of her skin in that area. She comes into the office today because of persistent swelling. She denies any respiratory or throat complaints. She also states that she has a dry spot on the right side of her mouth, started on Sunday afternoon. She has not used any fillers and has not had any cosmetic procedures done on her face. She did develop chondrodermatitis to retinol-A in 2018. She states that she does have sensitive skin and has used hypoallergenic items intermittently. She prefers not to place cosmetics on her skin. She is currently using Victoria's secret Eau so sexy lotion once every other week, typically on her cheeks. She did use this cosmetic on Sunday on her cheeks, after she developped the swelling of her eyelids. She does not receive further vaccinations due to personal preferences. She did receive a Kenalog injection 2018 in her first MTP. That ingestion contained polysorbitol 80. She did not have an adverse reaction to the injection. She was sick with Covid November 2020, diagnosed via positive PCR swab at the urgent care as per patient.

Other Meds: furosemide 80 Synthroid 137

Current Illness: Had COVID19 disease, PCR proven, in November 2020

ID: 0940181
Sex: F
Age: 62
State: FL

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

Lab Data:

Allergies:

Symptoms: Aches

Other Meds:

Current Illness:

ID: 0940182
Sex: F
Age: 34
State: KS

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

Lab Data:

Allergies: Minocycline - Hives Sulfa - Hives Artificial Cinnamon - Swollen tongue and throat hurts

Symptoms: 8 days after vaccine, the inject site and surrounding area about 6 inches below site became red, itchy, inflamed, and very warm to the touch. This occurred yesterday (1/12/21) and is still red and inflamed today.

Other Meds: Synthroid 50mcg Zyrtec 10mg Lo Loestrin FE Prenatal Vitamin Fish Oil Probiotic

Current Illness: None

ID: 0940183
Sex: F
Age: 53
State: AZ

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

Lab Data: only abnormal vital sign was hypertensive 180/100

Allergies: amoxicillin, ibuprofen

Symptoms: headache, nausea began immediately after and continued for at least 4 hours

Other Meds: pregabalin, dicyclomine, amitriptyline, pantoprazole

Current Illness:

ID: 0940184
Sex: F
Age: 43
State: TX

Vax Date: 01/04/2021
Onset Date: 01/09/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Penicillin shrimp

Symptoms: Started getting a small bump like a mosquito bite Saturday evening . They itch last about an hour then show up on another part of my body

Other Meds: Synthroid Omeprazole Microgestin

Current Illness:

ID: 0940185
Sex: M
Age: 32
State: NY

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

Lab Data: n/a

Allergies: Unknown

Symptoms: Patient felt tingling and dizziness. Drank water and stayed for additional observation. Symptoms resolved.

Other Meds: Unknown

Current Illness: Unknown

ID: 0940186
Sex: M
Age: 81
State: CA

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

Lab Data:

Allergies:

Symptoms: Error: Booster Given Too Early; symptoms lasted 0 days

Other Meds:

Current Illness:

ID: 0940187
Sex: F
Age: 34
State: NY

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Myalgias, subjective fever, fatigue, chills from hours 12 to about 40 Pregnant: due date March 7, 2021.

Other Meds: Prenatal vitamin

Current Illness: None

ID: 0940188
Sex: F
Age: 31
State: NY

Vax Date: 01/03/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: augmentin

Symptoms: pink blotch at injection site. 1/12/21 was 6cm by 3 cm. 1/13/21 has diminished in size by half. warm to the touch.

Other Meds: Sundown Women's multi vitamin gummies

Current Illness: no

ID: 0940189
Sex: F
Age: 27
State: MA

Vax Date: 01/02/2021
Onset Date: 01/09/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Patient developed rash at the injection site 7 days after injection. Patient has no symptoms just the late onset rash

Other Meds: etonogestrel (NEXPLANON) 68 mg Impl spironolactone (ALDACTONE) 50 MG tablet LORazepam (ATIVAN) 1 MG tablet lisdexamfetamine (VYVANSE) 30 MG capsule lisinopril (PRINIVIL,ZESTRIL) 2.5 MG tablet modafinil (PROVIGIL) 200 MG tablet

Current Illness:

ID: 0940191
Sex: F
Age: 63
State: AZ

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

Lab Data: None

Allergies: seasonal allergies (pollen, dust, molds), allergic to many animals, mild latex allergy

Symptoms: Extreme fatigue. Had to sleep. Slept 2 hour nap, 9 hour night, then two more two hour naps. (6-7 hours is normal sleep time for me) Groggy and dizzy during that same time when awake. Resolved within 32 hours.

Other Meds: Levothyroxine, Losartan-hctz, buproprion hcl xl, piroxicam, Zyrtec, Nasacort, Vit D3, Vit C, glutathione

Current Illness: minor sore throat from constant post nasal drainage

ID: 0940192
Sex: F
Age: 44
State: GA

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

Lab Data: none

Allergies: no

Symptoms: temp 101 body aches chills massive HA congestion

Other Meds: Temp101 body aches chills massive HA congestion

Current Illness: no

ID: 0940193
Sex: M
Age: 37
State: WI

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

Lab Data: n/a

Allergies: none

Symptoms: Raised red patch on skin near injection site

Other Meds: none

Current Illness: n/a

ID: 0940194
Sex: F
Age: 62
State: AZ

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

Lab Data:

Allergies: none

Symptoms: Patient received the vaccine (dose 2) on Thursday, woke up early Saturday morning with hives all over body - no history of reaction to anything. Did not take anything. Went back to sleep. Reaction resolved within 4 hours. No other identifiable changes in diet or detergents.

Other Meds: none

Current Illness: none

ID: 0940195
Sex: F
Age: 57
State: AR

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

Lab Data: none

Allergies: codeine: N/V

Symptoms: immediately after vaccination had flushed feeling. dizziness, and "jittery. diarrhea started 18 hrs after

Other Meds: atenolol 50mg daily, lisinopril daily, omeprazalol 20 mg daily, ambien HS vit D, OTC immunity supp.

Current Illness: none

ID: 0940196
Sex: F
Age: 71
State: NJ

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

Lab Data: So far just eye exam

Allergies: None

Symptoms: Chills, body, body aches, headache, blurry vision all 1-8-21 then nx day 1-9-21 loss of balance, confusion, Night of 1-11-21 loss of vision for several hours, could not see to dial the phone for help, no one else at home, stayed up most of night, could see in am still slightly blurry, made emergency appt with eye doctor. eye doctor stated no permanent vision damage.

Other Meds: None

Current Illness: None

ID: 0940197
Sex: F
Age: 35
State: PA

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

Lab Data: Yes

Allergies: azithromycin

Symptoms: h/a, sore throat, muscle pain, chills, joint pain, pain at inj. site, nauseated, feels warm, tired, warm surges.

Other Meds: Metoprolol, Valcyclovir, xyzol, Flonase

Current Illness: no

ID: 0940198
Sex: F
Age: 63
State: NJ

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

Lab Data: Vitals and O2 sat

Allergies: No known Allergies

Symptoms: Patient felt dizzy after initial 15 min waiting time. Vitals taken, rested an additional 15 min and dizziness improved

Other Meds: amlodipine, ibuprofen

Current Illness:

ID: 0940200
Sex: M
Age: 58
State: MI

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

Lab Data: None

Allergies: No known allergies.

Symptoms: Due to vaccination error patient only received adjuvant suspension and not the antigen component. error was uncovered on 01/12/21 and patient call was made on 01/13/21 regarding error. during call patient stated that they were having fevers and chills. Clinical Nurse manager will continue to reach out to patient daily to review symptoms until symptoms resolve. Primary care provider will also reach out to patient regarding vaccine error and symptoms.

Other Meds: Vitamin C, Fish Oil and Multi vitamin

Current Illness: No acute illness

ID: 0940201
Sex: F
Age: 57
State: RI

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

Lab Data:

Allergies:

Symptoms: Patient stated that the syringe was leaking during administration and she may have received an incomplete dose. Caregiver administering vaccine stated that a small drop leaked after which she tightened the needle to the syringe and complete administration.

Other Meds:

Current Illness:

ID: 0940202
Sex: F
Age: 49
State: PA

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

Lab Data:

Allergies: Unknown

Symptoms: C/o dizziness when called to check out - bp 144/79 pulse 105. Given ice pack and put head down for a few minutes. Stated this is not unusual for her. Able to leave independently after symptoms resolved.

Other Meds: Unknown

Current Illness: Unknown

ID: 0940203
Sex: F
Age: 35
State: WA

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

Lab Data:

Allergies: Sulfa

Symptoms: Slight loose cough. Nonproductive. Slightly sore tonsils. Start 0700am this morning.

Other Meds: Floridix iron

Current Illness: None

ID: 0940204
Sex: M
Age: 47
State: IL

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: I am having sensitive skin in my left leg. It travels from the back of the upper leg to the front of the lower leg area. I received the second vaccine yesterday 1/12/21 and I am still having the skin sensitivity. Almost as if it traveling along a nerve of vein.

Other Meds: none

Current Illness: none

ID: 0940205
Sex: F
Age: 22
State: KS

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

Lab Data: none

Allergies: Asthma triggered by smoke.

Symptoms: Had 2nd Covid vaccination with Pfiezer on 1/6/2021. She reports that night around 8pm she developed terrible leg pain in which OTC meds did not help. On 1/7/2020 she had a temp of 101, dry heaving, weak and chills. On 1/8/2021 she felt better but still no appetite and was nauseated even with fluids, body aches and temp of 99.7. She reported a sore arm and mild nausea after the 1st vaccine.

Other Meds:

Current Illness: None

ID: 0940206
Sex: F
Age: 29
State: TX

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

Lab Data: none.

Allergies: Penicillins

Symptoms: Reports mild swelling & erythema, quarter sized to R deltoid. Denies pain at site.

Other Meds: WELLBUTRIN; baby aspirin; birth control [unknown name]

Current Illness: n/a

ID: 0940207
Sex: F
Age: 61
State: MN

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

Lab Data: seen by md at clinic. prescribed medications to combat the edema, saw improvement Sunday. unknown as to any lab or medical tests done on Saturday, client also contacted her immunologist as to the incident.

Allergies: sulfa penicillin nickel

Symptoms: that evening experienced on her face especially her ears the next day the itching increased but facial edema started appearing along with drainage from her ears on Saturday Jan 9th, eyelids edematous plus increased facial edema and increased ear drainage seen in the clinic on Saturday Jan 9th and was prescribed medications

Other Meds: IGG taken that same evening Thrive supplement

Current Illness:

ID: 0940208
Sex: F
Age: 83
State: CA

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

Lab Data:

Allergies:

Symptoms: Error: Booster Given Too Early; symptoms lasted 0 days

Other Meds:

Current Illness:

ID: 0940209
Sex: M
Age: 46
State: IL

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

Lab Data:

Allergies:

Symptoms: Roughly a hour after vaccine was administered I started getting a headache. I went to get coffee/breakfast thinking that would help however that was not the case. While eating I began to fill nauseous so I stopped but still vomited(only once). I started to feel pains i started to feel pains in my back as well as increasing headache so I left work. Roughly 2/3 hours after taking vaccine my entire upper back was stiff and it hurt to turn my head left. I took muscle relaxers and rested throughout the day. About 10 hrs after vaccine my headache was gone but still had moderate muscle aches. When I woke up (20 hrs after) the muscle pains were moderate so I came into work. 26 hrs later I I'm still having mild body aches.

Other Meds: Eliquis

Current Illness:

ID: 0940210
Sex: F
Age: 39
State: MA

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

Lab Data: None

Allergies: Thiamine

Symptoms: I was 6 1/2 weeks pregnant and my estimate due date was 8/28/2021. I had some spotting be the shot.

Other Meds: Alexia Folic Acid

Current Illness: None

ID: 0940211
Sex: F
Age: 35
State: FL

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

Lab Data: Jan 8: CMP within normal limits. Troponin normal. EKG showed normal sinus rhythm with low voltage QRS and septal infarct.

Allergies: Cefzil, Levaquin, penicillin, vancomycin, sulfa drugs

Symptoms: Pt states that within 30 seconds of the COVID vaccine she began feeling dizzy, and that she began developing chest pressure/pain within 30 minutes. Patient transferred to the ED and received ibuprofen. Symptoms improved and patient discharged from the ED

Other Meds:

Current Illness:

ID: 0940212
Sex: F
Age: 41
State: PA

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

Lab Data:

Allergies:

Symptoms: Employee received first vaccine 12/22/21. Developed hives on neck and face later that day. Took Benadryl routinely and Prednisone 10mg daily for three days with resolution of symptoms. Patient has a history of hives after flu vaccine, antibiotics, and childhood vaccines. Had second COVID vaccine 1/12/21. Developed hives on neck, arms, chest, and back. Also had a mild headache and nausea on 1/12/21 which have resolved. Is again taking Prednisone and Benadryl. Patient did not seek medical help. She has Prednisone on hand for these reactions since they are common for her.

Other Meds:

Current Illness:

ID: 0940213
Sex: F
Age: 39
State:

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

Lab Data:

Allergies:

Symptoms: Patient reported arms tingling, itchiness, and started to experience rash on bilateral arm. Patient reported tongue feeling like it has" metallic taste". Patient denies SOB, dizziness, chest pain. Vital sign 142/92, HR 84 O2 98. Temp 37.8. Patient given Benadryl. Patient called provider office. Providers office, PA recommended going to the hospital for evaluation. Patient reported more tongues issues, and generalized feeling of tingling. Called 911 for transport to hospital. EMS arrived and transported.

Other Meds:

Current Illness:

ID: 0940214
Sex: F
Age: 40
State: FL

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

Lab Data:

Allergies:

Symptoms: Nerve pain radiating from the injection site down to wrist, slight headache, and some congestion.

Other Meds:

Current Illness:

ID: 0940215
Sex: F
Age: 28
State: IN

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

Lab Data:

Allergies: Pollen

Symptoms: 1 week after the vaccine, right upper arm swelling and warmth and pain. Then splotchy red rash on upper arm.

Other Meds: Lo loestrin birth control, zyrtec

Current Illness: None

ID: 0940216
Sex: F
Age: 26
State: OR

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

Lab Data:

Allergies:

Symptoms: Site: Itching at Injection Site, Site: Pain at Injection Site

Other Meds:

Current Illness:

ID: 0940217
Sex: F
Age: 27
State: PA

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

Lab Data:

Allergies:

Symptoms: Pain in arm, difficulty moving arm, fever, chills, weakness, fatigue

Other Meds: Doxycycline Monohydrate, Desogestrel-Ethinyl Estradiol, biotin, probiotic

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm