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: 0919139
Sex: F
Age: 36
State: CA

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Redness, swelling and itching over vaccination site starting 1 week after administration . I have pictures of area if they would be of help.

Other Meds: None

Current Illness: None

ID: 0919140
Sex: M
Age: 38
State: WI

Vax Date: 12/26/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: amoxicillin, erythromycin

Symptoms: Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effect noted.

Other Meds:

Current Illness:

ID: 0919141
Sex: F
Age: 45
State: NH

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Had an episode of tounge tingling and numb throat. Lasted 30 min, resolved without any treatment.

Other Meds: Multivitamin

Current Illness:

ID: 0919142
Sex: F
Age: 42
State: TX

Vax Date: 12/31/2020
Onset Date: 01/02/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Headache, nausea, body aches, chills, fatigue

Other Meds: Blisovi, singular, aciphex, Mexolicam, Breo, Xhance, vit B12, vit D3, elderberry

Current Illness: None

ID: 0919143
Sex: F
Age: 67
State: IA

Vax Date: 12/22/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: NO

Symptoms: Pt started experiencing localized redness and itching around the injection site. It was about 2inches around described by the patient. This symptom started about a week after receiving the vaccine.

Other Meds:

Current Illness:

ID: 0919144
Sex: F
Age: 25
State: ME

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: COVID testing by PCR

Allergies: seasonal

Symptoms: Fatigue, weakness, nausea, vomiting, pain in arm. As a part of hospital protocol, was tested for COVID.

Other Meds: ethinyl estradiol-norgestimate

Current Illness: none

ID: 0919145
Sex: F
Age: 25
State: NY

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

Lab Data:

Allergies: NKDA, ALLERGY SHELLFISH ( THROAT ITCHING ) TREE NUTS/PEANUTS

Symptoms: About 5 minutes after the injection, employee reported having had tickling/itching in throat, facial flushing, and tachycardia. A rapid response was called, and was given Benadryl. She was brought to ED for monitoring and treatment, where she received more Benadryl + Famotidine. After receiving the medications, symptoms subsided, and she was discharged home.

Other Meds: oral contraceptives- MiniPill

Current Illness: Rhinorrhea & body aches 1 week prior to vaccine. COIVD(-).

ID: 0919146
Sex: F
Age: 32
State: OH

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: 1st 4 days extreme arm pain (woke me up from sleep). On 1/1 I noticed one enlarged lymph node on my neck. Over the next couple days my lymph nodes are multiplying and growing in size

Other Meds:

Current Illness:

ID: 0919147
Sex: F
Age: 65
State: TX

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies: shellfish

Symptoms: I work in health care and therefore was offered the vaccine. After about 1hr my hands, feet and nose became very cold and my temp dropped to 94 degrees. I felt very cold. My blood pressure was 90/30. This never happened to me before. It took about two hours for my temp to go back to normal and for me to feel my normal self. I had Covid 19 in August.

Other Meds: baby aspirin, Lisinopril 5 mg.

Current Illness: None

ID: 0919148
Sex: M
Age: 59
State: IN

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

Lab Data: 1/4/21 at 0200 - BP 169/96 mmHg, HR 72 bpm, O2 sats 99%

Allergies: penicillins

Symptoms: Patient received his vaccine and waited the 15 minute observation period before leaving the clinic. At 2:00 he returned to the clinic, stating to the paramedic that he felt like he was having an episode of Bell's Palsy. His vital signs were checked and were as follows: BP 169/96 mmHg, HR 72 bpm, O2 sat 99%. The patient has right sided tingling extending from the eye to the mouth. He had no visual changes. The patient was offered transport to the hospital and further medical treatment. He refused transport or treatment and left the vaccination clinic.

Other Meds: none known

Current Illness: none known

ID: 0919149
Sex: F
Age: 57
State: IN

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: Blood work

Allergies: Tetanus, Penicillin Sulfur, Doxycycline

Symptoms: On 12/22 went to the ER prescribed Prednisone still exp sob unable to walk up a flight of stairs. My reaction continued 5 days after the vaccine.

Other Meds: Nasal Omnaris, Nasal inhaler Olopatadine, ToPromax, Atenolol

Current Illness: No

ID: 0919150
Sex: F
Age: 29
State: OK

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, body aches, chills, body aches and fatigue.

Other Meds:

Current Illness:

ID: 0919151
Sex: M
Age: 45
State: WI

Vax Date: 12/26/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received dose of vaccine that may be less than completely effective due to storage conditions. No adverse effects noted.

Other Meds:

Current Illness:

ID: 0919152
Sex: F
Age: 41
State: TX

Vax Date: 12/21/2020
Onset Date: 12/27/2020
Rec V Date: 01/04/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: "Pfizer-BioNTech COVID-19 Vaccine EUA." Patient received first dose of vaccine on 12/21/2020. Patient called on 1/3/2021 to notify that she developed symptoms on 12/27/2020 and had an appendectomy on 12/28/2020 at another facility. Patient also reports that CDC V-Safe Application was used to report event as well. Patient reports that she is recovering well.

Other Meds:

Current Illness:

ID: 0919153
Sex: F
Age: 45
State:

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

Lab Data:

Allergies:

Symptoms: right arm numbness, sensation of throat constriction and heat in her body

Other Meds:

Current Illness:

ID: 0919154
Sex: F
Age: 38
State: IA

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital: Y

Lab Data: CT scan done on 1-2-21 -negative for hemorrhage

Allergies: Azithromycin (patient has an upset stomach when taking), patient also has sensitivity when eating chocolate, pineapple or highly processed foods (due to Crohn's Disease)

Symptoms: Patients adverse reactions started day of vaccination with right arm pain up to right ear as well as complete tongue numbness. On 1-1-21 patient had increased Bell's Palsy symptoms including; inability to raise left eyebrow, inability to close left eye in its entirety, teeth being numb on left side, and numbness and tingling in left foot and left hand (from palm to fingers). ER physician prescribed on 1-1 Prednisone, Keflex and Valtrex. Patient went to ER again on 1-2-21 with lower extremity numbness on left side that is moving proximally toward her hip. Patient went home on 1-3-21 with an RX for Prednisone as well as Valtrex. Symptoms have improved but have not fully resolved at this time.

Other Meds: Probiotic

Current Illness: N/A

ID: 0919155
Sex: F
Age: 25
State: MD

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: Chest x-ray and EKG at on 12/28/20 Covid test-drive on 12/29/20

Allergies: Ciproflaxin

Symptoms: Headache, fatigue, bodyaches, vomiting, chest discomfort

Other Meds: Ibuprofen

Current Illness: Day of vaccination: headache, fatigue Days following: headache, fatigue, vomiting, bodyaches and chest discomfort

ID: 0919156
Sex: F
Age: 37
State: MA

Vax Date: 12/23/2020
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: 10 days after administration pt noticed itchiness and small bruise at injection site. Bruise began to get larger and on day 12 patient has large area of swelling (10 inches in diameter) that is warm to touch. Small bruise at center of swelling. Pt denies fever, chills, body aches. Pt instructed to call PCP for evaluation

Other Meds: unknown

Current Illness: none

ID: 0919157
Sex: F
Age: 35
State: KY

Vax Date: 12/23/2020
Onset Date: 12/26/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: Penicillin, Codeine, Latex

Symptoms: Patient reported began on 12/26/2020 with soreness to left axillary /underarm area, within approx. 6 hours started having itching at site with quarter-sized knot to site, reports developed itching all over body. She contacted her primary doctor who advised her to begin taking Benadryl and applying cold compresses to the site. Spoke with patient again on 1/4/2021. she reports still had redness to area, but itching has subsided.

Other Meds: unknown

Current Illness: None reported

ID: 0919158
Sex: F
Age: 61
State: NH

Vax Date: 12/23/2020
Onset Date: 01/04/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: C/O itching and redness at the site. First noticed several days after the injection was administered.

Other Meds: Aspirin, Celebrex, Protonix, Oxycodone, Metoprolol Tartrate, Vitamin D

Current Illness: Atrial fibrillation, Anemia, Hyperlipidemia,

ID: 0919159
Sex: F
Age: 44
State: TX

Vax Date: 12/16/2020
Onset Date: 12/19/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: 12/20 COVID PCR - Negative 12/27 Rapid COVID, Rapid Flu - Negative

Allergies: Sulfa

Symptoms: 12/19 Started with fever, congestion, headache. 12/24 additional symptoms to include body aches, cough, night sweat. 12/31 additional symptom of hypertension . As of today experiencing body aches, headache, cough, and hypertension. Medical Treatment 12/27/20 Urgent Care - 01/04/21 (virtual visit on 12/20)

Other Meds: Zoloft, Apri, Women's Multivitamin

Current Illness: No

ID: 0919160
Sex: F
Age: 54
State: MS

Vax Date: 12/22/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: none

Allergies: Sulfur

Symptoms: Cellulitis of arm within 10 days; severe itching

Other Meds: HCTZ 25mg daily Lorsartan 50mg daily

Current Illness: None

ID: 0919161
Sex: M
Age: 47
State: MN

Vax Date: 12/19/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: 2nd COVID vaccine given too soon. First vaccine given 12/19, second vaccine given 12/31

Other Meds:

Current Illness:

ID: 0919162
Sex: F
Age: 43
State:

Vax Date: 12/31/2020
Onset Date: 01/04/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Noticed a little tension to supraclavicular area, then when palpated noticed the swelling

Other Meds:

Current Illness:

ID: 0919163
Sex: F
Age: 36
State: MO

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

Lab Data:

Allergies:

Symptoms: Large hive on inside of upper arm opposite side of where the injection was but same arm as vaccine evening of vaccine. Extreme fatigue following day with mild headache

Other Meds:

Current Illness:

ID: 0919164
Sex: F
Age: 34
State: TX

Vax Date: 12/27/2020
Onset Date: 12/27/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: COVID rapid and Pct, Flu.

Allergies: None

Symptoms: SOB day of vaccination; not critical. Flushing of ears and face roughly 9 hours after vaccination; followed by fevers 101.0-101.5 overnight. Next day chills, ?feeling of burning from the inside out bilaterally in my lower extremities,occassionally drifting to arms.? Also fatigue.

Other Meds: Sertraline, trazadone, proair

Current Illness: None

ID: 0919165
Sex: F
Age: 45
State: MA

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: Environmental

Symptoms: Moderate left arm pain (whole arm from shoulder to mid forearm), with movement and w/o movement. No redness or swelling. Just very tender to touch at injection site. No other symptoms

Other Meds: None

Current Illness: None

ID: 0919166
Sex: F
Age: 59
State: WI

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: sulfa, Macrobid, NSAIDS

Symptoms: Arm started becoming sore that evening, the next day it was extremely sore even to the touch

Other Meds: citalopram, budesonide, Advair,Montelukast, Vit D, Vit C, Vit b complex, probriotic, fish oil, Zyrtec, magnesium, zinc,

Current Illness: none

ID: 0919167
Sex: M
Age: 68
State: AZ

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies: None known

Symptoms: Some pain at injection site for 24 hours.

Other Meds: None

Current Illness: None

ID: 0919168
Sex: F
Age: 0
State: MI

Vax Date: 03/11/2020
Onset Date: 03/11/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient did not have any adverse affects take place after she was given the vaccine.

Other Meds:

Current Illness:

ID: 0919169
Sex: F
Age: 33
State: TX

Vax Date: 12/24/2020
Onset Date: 12/25/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: none

Allergies: nka

Symptoms: Started with quarter size red, hard spot around the injection site. Increased in size to more Golf ball size as week progressed. Husband is ER physician and has been treating it at home but patient wanted to make sure it was reported via VAERS

Other Meds: none

Current Illness: none known

ID: 0919170
Sex: F
Age: 36
State: VA

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Gold ball sized lump to left armpit near breast that was tender and warm to the touch. No prior issues with armpit or breast tissue. Needed to take Motrin/Tylenol for pain and swelling for two days after vaccination.

Other Meds: None

Current Illness: Covid positive diagnosis 12/2/2020. Only symptom at time of COVID diagnosis was loss of taste and smell. Revived vaccine on 12/29/2020.

ID: 0919171
Sex: F
Age: 57
State: CA

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

Lab Data: EKG- normal

Allergies: sulfa drugs

Symptoms: After sitting for 10 minutes, I became very nauseated and lightheaded and walked self to gurney near by to lie down. Medical attention was rapid and blood pressure was super low, 70/50 ish and returned to better number in Trendenlenberg position. I was sent to ER for further monitoring and all is fine now- Dx with near Syncope due to orthostatic hypotension.

Other Meds: Fish oil, Vitamin D, Synthroid and cytomel, Glucosamine/chondotrin.

Current Illness: no

ID: 0919172
Sex: F
Age: 49
State: WA

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Chills Bodyache Fever 103, 102 High blood sugar 216 This morning same symptoms as above plus clear discharge from nose like cold and unable to taste food

Other Meds: None

Current Illness: None

ID: 0919173
Sex: F
Age: 25
State: MA

Vax Date: 12/24/2020
Onset Date: 01/01/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Individual had a 1.5 inch area of induration, redness and warmth in the area of the injection site. Individual went to urgent care and was placed on an antibiotic.

Other Meds:

Current Illness:

ID: 0919174
Sex: F
Age: 60
State: IN

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: CBC, CMP, CXR

Allergies: NKDA

Symptoms: States, "Does not feel well"

Other Meds: Norvasc, Aricept, Depakote, Lexapro, Metoprolol Tartrate, Potassium Chloride, Senna

Current Illness: U07.1 2019-nCoV acute respiratory disease (Primary) F29 Unspecified psychosis not due to a substance or known physiological condition F33.1 Major depressive disorder, recurrent, moderate F02.81 Dementia in other diseases classified elsewhere with behavioral disturbance I70.1 Atherosclerosis of renal artery I10 Essential (primary) hypertension R41.841 Cognitive communication deficit K21.9 Gastro-esophageal reflux disease without esophagitis R53.1 Weakness R27.8 Other lack of coordination M54.5 Low back pain M62.81 Muscle weakness (generalized) R26.89 Other abnormalities of gait and mobility R26.81 Unsteadiness on feet H04.129 Dry eye syndrome of unspecified lacrimal gland Z74.1 Need for assistance with personal care C53.8 Malignant neoplasm of overlapping sites of cervix uteri (History of) E87.6 Hypokalemia M24.512 Contracture, left shoulder M24.522 Contracture, left elbow R63.3 Feeding difficulties F17.200 Nicotine dependence, unspecified, uncomplicated G47.8 Other sleep disorders K59.00 Constipation, unspecified F51.01 Primary insomnia D05.90 Unspecified type of carcinoma in situ of unspecified breast Note: Bilateral Lumpectomy (History of) R62.7 Adult failure to thrive M54.30 Sciatica, unspecified side

ID: 0919175
Sex: M
Age: 32
State: LA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: CBC with Diff, CMP, Flu swab, Rapid Strept screen, Chest x-ray, saline infusion Tylenol and decadron given

Allergies: none

Symptoms: Employee reported chills, nausea, vomiting, rash on torso, aches

Other Meds: unknown

Current Illness: none

ID: 0919176
Sex: F
Age: 41
State: WI

Vax Date: 12/26/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: Augmentin

Symptoms: Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effects noted.

Other Meds:

Current Illness:

ID: 0919177
Sex: M
Age: 46
State: MO

Vax Date: 12/21/2020
Onset Date: 12/28/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Mild arm soreness the next day, no other symptoms. On day 7 had noticeable redness, induration at the site of injection. Site was hot, red, swollen, but not painful. No other symptoms. Redness spreading everyday, but the induration is less.

Other Meds:

Current Illness:

ID: 0919178
Sex: F
Age: 55
State: CA

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Arm soreness Swelling Overall body feeling shaky

Other Meds:

Current Illness:

ID: 0919179
Sex: F
Age: 50
State: AL

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: CBC, COVID rapid test. ** outpatient CBC and covid rapid test completed while at work***

Allergies: sulfa

Symptoms: day 2 vaccine I woke up with rash all over my body except for face. No itch it burned with heat. day 4 petechiae on my legs. day 5 nausea with extreme pressure and fullness in the back of my neck. It felt like pressure on my head. No pain unless touch Only relief when sitting straight up. Took tylenol and ibuprofen and allegra but did have any relief. Telehealth with occupation heath.

Other Meds: mult vite C, zinc, black colash, biotin, mult collagen protein

Current Illness: no

ID: 0919180
Sex: F
Age: 61
State: WI

Vax Date: 12/29/2020
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Pt received the COVID 19 Moderna Vaccine on 12/29/20. On 1/03/21 PT reported to her supervisor that she had developed symptoms and had been tested for COVID-19, which came back positive. Received bamlanivimab infusion on 1/4/21.

Other Meds:

Current Illness:

ID: 0919181
Sex: F
Age: 17
State:

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient stated they were 18 years old on their form, and it was later found that they were 17 years old. They should not have received the vaccine, but were given it by mistake. No serious side effects

Other Meds:

Current Illness:

ID: 0919182
Sex: F
Age: 49
State: NY

Vax Date: 01/03/2021
Onset Date: 01/04/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: no medical or laboratory tests but required Acetaminophen and Naproxen to treat symptoms

Allergies: Desipramine

Symptoms: pain at the injection site (can barely raise my arm, fever of 100.5, mild nausea, headache, muscle aches

Other Meds: Atenolol, levothyroid, symbicort, vitamin D, Allegra

Current Illness: none

ID: 0919183
Sex: F
Age: 46
State: MD

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: Chia seeds

Symptoms: Sore arm for a few hours. Nothing more.

Other Meds: Pantoprazole Wellbutrin Zyrtec Atorvastatin

Current Illness: N/A

ID: 0919184
Sex: M
Age: 74
State: FL

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vaccine was administered on Saturday afternoon, patient stated that on Sunday night he started shaking uncontrollably for 3 minutes. He stated he was very cold, but he did stop after putting on multiple layers of clothing and covers. Advised patient to contact doctor for follow up- he said he would contact his doctor.

Other Meds: colchicine 0.6mg, metoprolol succ er 25mg

Current Illness:

ID: 0919185
Sex: M
Age: 38
State: NY

Vax Date: 12/26/2020
Onset Date: 12/28/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: Not detected covid test on 12/27

Allergies: None

Symptoms: Extreme tiredness, extreme pain in left wrist, cannot sleep, headache, nausea, irritability, THESE HAVE BEEN GOING ON FOR A WEEK. I've had to call into work

Other Meds: None

Current Illness: None

ID: 0919186
Sex: F
Age: 69
State: GA

Vax Date: 10/22/2020
Onset Date: 10/22/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: none

Allergies: High Vibramycin- Anaphylaxis. Zofran- Rash and other nonspecific skin eruption. Medium Effexor- Nausea. Severity Not Documented Doxycycline- Anaphylaxis. Kayexalate- Shortness of breath. Percocet Tablet- Hallucination. Trileptal- Light headed and dizzy

Symptoms: Patient developed swelling, itching, and redness the day of the injection. She went to urgent care 4 days following shot. She was given Dexamethasone 10mg IM injection. Then prescribed medrol 4mg dose pak and Keflex 500mg BIDx10days. On 11/10, she returned to urgent care and reported the itching and swelling resolved, but she then developed a constant pain in her left back arm. Patient stated that she had been taken ibuprofen and Tylenol with no relief. and not "feeling sick". She was given cyclobenzaprine 5mg TID for 10 days

Other Meds: Unknown, none reported

Current Illness: No acute issue

ID: 0919187
Sex: M
Age: 20
State: MO

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: lightheaded

Other Meds:

Current Illness:

ID: 0919188
Sex: F
Age: 49
State: SD

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

Lab Data: e ?Pfizer-BioNTech COVID-19 Vaccine EUA?

Allergies: penicillin

Symptoms: headache, weakness, brain fog, confusion, dizziness. weakness in limbs

Other Meds: bisoprolol

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm