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: 0941553
Sex: F
Age: 40
State: OH

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

Lab Data: Head CT with and without contrast - normal CTA Head and Neck _ normal Blood work all normal Lumbar Puncture- Clearly showed viral meningitis. Film Array Meningitis/Encephalitis all negative for bacteria, viruses and fungi. HIV -negative UA with culture- normal and negative. aPTT, PT- normal UHCG- negative Covid- negative FLU A/B- negative

Allergies: Environmental

Symptoms: 2 Hours after the injection, my arm hurt so bad I could not raise it laterally. This continued for 3 days. After that I felt tired and achy until Jan 4th, I had chills and whole body aches. I came home from work, took the next day off. Feeling better, I worked 3 more days and developed the worst headache of my life. I consulted my PCP and went to the emergency room. I was diagnosed with viral meningitis and admitted to the hospital for 3 days. .

Other Meds: Cytomel 125 MCG/day Senna Prn Singulair 10 mg pohs Arnuity 100 mcg inhlaer qd

Current Illness: None

ID: 0941554
Sex: F
Age: 49
State:

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

Lab Data:

Allergies:

Symptoms: soft ball size swollen lymph node under at arm pit arm of injection

Other Meds:

Current Illness:

ID: 0941555
Sex: M
Age: 56
State: PR

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

Lab Data:

Allergies: None

Symptoms: Severe skin rash mainly in arms and legs. Moderate rash in torso. Treatment OTC Benadryl Dye Free 2 capsules 25mg each. Still with skin rash

Other Meds: Synthroid 200, Cardizem CD 120, Cytomel 5mcg

Current Illness: none

ID: 0941556
Sex: F
Age: 43
State: VA

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

Lab Data:

Allergies:

Symptoms: Systemic: Cardiac Disorder (diagnosed by MD)-Severe, Systemic: Supraventricular tachycardia (pt has prior hx of this): ambulance to hospital. Pt assessed & released same day. Pt is free from that symptom now. Also experienced painful knot under arm lasting 5 days

Other Meds:

Current Illness:

ID: 0941557
Sex: F
Age: 35
State: TX

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

Lab Data:

Allergies: none

Symptoms: Circle rash appeared today. Itchy and warm. About 3 inches in diameter around injection site.

Other Meds: Synthroid

Current Illness: none

ID: 0941558
Sex: M
Age: 41
State: CA

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

Lab Data: none

Allergies: nkda

Symptoms: Moderate fatigue starting 12 hours after vaccine. Severe myalgias, fever, chills, rigors, neck stiffness, joint pain, flu-like symptoms

Other Meds: Multivitamin, Trental TID, L-Arginine, Cialis

Current Illness: none

ID: 0941559
Sex: F
Age: 30
State: TN

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

Lab Data:

Allergies: n/a

Symptoms: 12/29 vaccination 12/31 woke up with HA; lasted 1 week. I do get headaches. I didnt know if this was related to the vaccine or the pregnancy. Stomach pains but PCP stated it was ligament pain.

Other Meds: Phenergan, Pepcid, nexium, B6, unisom, prenatal

Current Illness: n/a

ID: 0941560
Sex: F
Age: 46
State: GA

Vax Date: 01/04/2021
Onset Date: 01/08/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Systemic: Exhaustion-Mild, Systemic: Generalized Body Aches -Mild; symptoms lasted for 0 days

Other Meds:

Current Illness:

Date Died: 01/11/2021

ID: 0941561
Sex: M
Age: 91
State: MN

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

Lab Data: Resident was declining for some time. He normally had a high heart rate. Appetite was poor with a significant weight loss noted.

Allergies: No known Allergies

Symptoms: Staff walked into resident's room around 10:00am and noted resident's left side of his face was flaccid. Nurse was called and upon assessment resident noted to have an unequal hand grasp with left worse. He was able to talk but was mumbled and hard to understand. Physician, hospice, and family were notified. Resident had a stroke at 10:06 am on 1/8/2020. He lost all ability to use his left side. Resident passed away on 1/11/2020.

Other Meds: Escitalopram Oxalate, Metformin ER, Systane balance, Colace, Refresh tears, Milk of Magnesia, Diltiazem

Current Illness: Resident was on hospice for Alzheimer's disease.

ID: 0941562
Sex: F
Age: 77
State: NM

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

Lab Data: none

Allergies: none

Symptoms: dizzy, progressing to high heart rate, high than baseline BP, about 1 hour to return to baseline

Other Meds: armour thyroid

Current Illness: none

ID: 0941563
Sex: F
Age: 43
State: TX

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

Lab Data: EKG showed sinus tachycardia

Allergies: Egg, Gadolinium, Iodine, Penicillin G

Symptoms: Patient received COVID-19 Vaccine at 0956 and reported symptoms of itchy face and chest pressure at approximately 1008 during observation period. Pt vital signs were 133/86, HR 130 and oxygen saturation 100% on room air. Pt reported worsening symptoms of chest pressure and itchiness to face. Provider instructed Epi Pen be given and pt to be transported to ED for further evaluation. EKG obtained and showed sinus tachycardia. Nonrebreather oxygen mask applied with 2L/min and oxygen saturation remained at 100%. Pt was transported via ambulance to at 1038 and pt reported feeling improved symptoms prior to leaving the clinic at approximately 1034. Pt stable at time of transfer.

Other Meds: Topamax, Amitriptyline, Odansetron, Losartan, Bisacodyl,advair, EpiPen, Prednisone, Ubrogepant, Galcanezbumab injection monthly, benadryl

Current Illness: None

ID: 0941564
Sex: F
Age: 42
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient reports nausea, very extreme and sudden, chills, mild fever (100.5 degrees) and extreme fatigue.

Other Meds:

Current Illness:

ID: 0941565
Sex: F
Age: 44
State: NY

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

Lab Data:

Allergies:

Symptoms: Hives, patient approached nurse, hives noted on left shoulder, near injection site and right forearm. Medical director brought to assess. Benadryl 50 mg PO given to patient. Patient states that she feels warm. Itching resolved. Hives resolved. NO longer feeling warmth or heat at site. Returning to work. Instructed to contact MD (PCP) to discuss second dose.

Other Meds:

Current Illness:

ID: 0941567
Sex: M
Age: 35
State: MI

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

Lab Data:

Allergies: None

Symptoms: Was feeling fine for about 8 hours afterward. Then developed chills, myalgias and a headache. At around 3am (14 hours after) developed a fever 100.9. Took Tylenol and Motrin. Felt a bit better. Symptoms returned around 12pm, checked temp - 101.5. Took more Tylenol and Motrin.

Other Meds: None

Current Illness: Runny nose/cold type virus. Testing negative for covid though.

ID: 0941568
Sex: M
Age: 80
State: HI

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

Lab Data: PCP's office informed 1/7/2021.

Allergies: Contact Allergy - Bee Sting; FDB Medication Ingredient - alendronate sodium; FDB Medication Ingredient - calcitonin; FDB Medication Ingredient - cholestyramine; FDB Medication Ingredient - colestipol; FDB Medication Ingredient - ezetimibe; FDB Medication Ingredient - gemfibrozil; FDB Medication Ingredient - metoprolol; FDB Medication Ingredient - niacin; FDB Medication Ingredient - rabeprazole; FDB Medication Ingredient - venom-honey bee; FDB Specific Allergen Group - Iodinated Contrast Media

Symptoms: VS: 113/62-57-97.9-99%RA. Resident called clinic reporting rash to arm and body. No s/sx of distress noted. Remains alert and oriented to person, place, time, and situation. Speech clear and coherent, able to follow instructions appropriately. Resident denies SOB or difficulty breathing. Breathing even and non-labored. SpO2: 99%RA. Noted rash to left upper arm and bilateral sides of upper body from the waist to chest. No rash noted to anterior chest. No swelling or elevation of rash noted. Denies pain to LUA. Able to perform full ROM. Resident stated he has allergies to bee stings, statins, and contrast dyes. Denies hx of anaphylactic shock. He reported he received his vaccine at 1330. Denied any ASE within 15 min after receiving vaccine.

Other Meds: Glutamine 500mg 1 capsule PO QD Pepcid 20mg 1 Tab PO QD prn Alpha Lipoic 1 capsule PO QD Amlodipine 2.5mg ? take 5mg PO BID Astaxanthin 12mg 1 Tab PO QD Folic Acid 400mcg 1 Tab PO QD Cholecalciferol, Vitamin D3 1,000mg 1 cap PO QD Calcium

Current Illness: Unknown

ID: 0941569
Sex: F
Age: 91
State: MI

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

Lab Data:

Allergies:

Symptoms: Nausea, vomiting, diarrhea, decreased appetite

Other Meds:

Current Illness:

ID: 0941570
Sex: F
Age: 65
State: KS

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

Lab Data: went to walk-in clinic, Sat, Jan 9, 2021. Tested me for influenza---negative. Prescribed Augmentin and began taking late afternoon after food on Jan 9, 2021. Stopped taking it Tues, Jan 12, 2021, worried it could be causing problems.

Allergies: None

Symptoms: Body aches all night and next morning, Jan 8 - 9, 2021. Slight fever and cough and congestion all day Jan 9, 2021. Better on Jan 10. Noticed redness around vaccine on morning of Jan 11, 2021. Stomach pain after eating on Monday, Jan 11; Tues, Jan 12.

Other Meds: Propafenon Calcium with Vit D supp

Current Illness: Diagnosed with Covid 12/13/2020

ID: 0941571
Sex: F
Age: 43
State: NC

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

Lab Data:

Allergies:

Symptoms: Pfizer-BioNTech COVID-19 Vaccine: We are reporting a vaccine administration error, NOT an adverse drug reaction. There was no harm to the patient as a result of the error. The error occurred on 1/11/2021 during the hospital's vaccination of co-workers for COVID-19. The co-worker in this report was vaccinated with a syringe containing air only and no actual vaccine. How the error occurred a first-time volunteer from critical care transport was assisting at the hospital's vaccine clinic with vaccine preparation and was observed correctly drawing up doses from the first vial. Error occurred when the volunteer drew up doses from the second vial. The volunteer drew up air only and no vaccine. How the error was discovered? An administrator thought the syringe felt strange and did not contain any vaccine. The error was discovered at that point. Investigation found that the volunteer had drawn up a total of 6 doses that contained air instead of vaccine and were dispensed for administration. Four vaccine syringes containing only air (and no vaccine) were recovered unused. Two vaccine syringes containing air (and no vaccine) had reached patients. This patient received one of the affected syringes but had already left the vaccine clinic when the error was discovered. She was told to return to vaccine clinic and receive a correctly prepared dose. Pt returned on 1/13 and got her dose [in left arm, Lot EL3248 1/13 0857]. Action? the vaccine clinic is taking greater care and additional time to confirm the skillset of the individuals who are first time volunteers at the vaccine clinic.

Other Meds:

Current Illness:

ID: 0941572
Sex: M
Age: 83
State: IN

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

Lab Data: None

Allergies: Penicillan, Levaquin

Symptoms: A feeling of significant lassitude, pain at injection site and also the site opposite in the right shoulder. I could not sleep after 3 am, awake until 7:30 am. January 13: in the morning, body aches, requiring bed rest. After 12 pm, relief came with normal feeling.

Other Meds: Doxycycline, Tamsulosin, Amlodipine,

Current Illness: None

ID: 0941573
Sex: F
Age: 36
State: IN

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

Lab Data:

Allergies:

Symptoms: Intense bone/joint pain that occurred ~8 hours after vaccine. Started in hips/back, then moved to extremities. Patient unable to walk normally due to pain. Took 500 mg of acetaminophen at bedtime. Symptoms resolved the next morning except for slight right knee pain, which resolved by the afternoon. Patient feels that joints "crack" more frequently after vaccine.

Other Meds: Vitamin D weekly

Current Illness:

ID: 0941574
Sex: F
Age: 56
State: AK

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

Lab Data:

Allergies: none

Symptoms: redness, swelling, pain, itching

Other Meds: none

Current Illness: none

ID: 0941575
Sex: F
Age: 34
State: TX

Vax Date: 12/31/2020
Onset Date: 01/07/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: Went to ER-given steroids 5mg

Allergies: sulfa

Symptoms: LN swelling under L axilla that evening. On 1/7/2021-swelling and hives under chin then redness in left arm

Other Meds: spironolactone, Junel FE

Current Illness:

ID: 0941576
Sex: F
Age: 23
State: KY

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

Lab Data:

Allergies: None known

Symptoms: Employee was awaken at 5:30 am on 1/13/2021 by chills and a feverish feeling. She then became nauseous and faint. She passed out and was noted by her mother who is a RN to have a seizure. She remained out for several minutes and then aroused. She has remained groggy the rest of today but has improved. She has a history of non-epileptic seizures since she was 14 and has been on medications for this. Employee stated she has not has any seizure activity in over a year. She did not see medical attention due to recovering quickly from this.

Other Meds: Employee is currently taking anti seizure medications

Current Illness: None

ID: 0941577
Sex: F
Age: 25
State: SC

Vax Date: 12/31/2020
Onset Date: 01/06/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I experienced tingling and numbness in my hands and from calves down to toes on both feet. This started on day 6 after the first dose and lasted a couple days. It was intense and tingling to the point of painful and hard to complete my job. I let my OB know because I am pregnant with due date of 7/22/2021 but they did not feel my symptoms could be pregnancy related. I did not seek further care from my primary care doctor because it subsided.

Other Meds:

Current Illness:

ID: 0941578
Sex: F
Age: 45
State: NC

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

Lab Data: NONE

Allergies: NKDA

Symptoms: HOT, HARD RED AREA, BLISTERING, PAINFUL

Other Meds: UNKNOWN

Current Illness: NONE

ID: 0941579
Sex: F
Age: 31
State: NE

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

Lab Data:

Allergies:

Symptoms: DEVELOPED RASH TO NECK AND ARM LASTING 30 MINUTES. RECEIVED 25MG DIPHENHYDRAMINE BY MOUTH AT 3:30PM. RASH RESOLVED IN 30 MINUTES

Other Meds:

Current Illness:

ID: 0941580
Sex: M
Age: 19
State: NJ

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

Lab Data:

Allergies: None

Symptoms: None stated.

Other Meds: None

Current Illness: None

ID: 0941581
Sex: F
Age: 43
State: VA

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

Lab Data:

Allergies:

Symptoms: Systemic: Cardiac Disorder (diagnosed by MD)-Severe, Systemic: Supraventricular tachycardia (pt has prior hx of this): ambulance to hospital. Pt assessed & released same day. Pt is free from that symptom now. Also experienced painful knot under arm lasting 5 days

Other Meds:

Current Illness:

ID: 0941582
Sex: F
Age: 62
State: IN

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

Lab Data: None

Allergies: None

Symptoms: Fatigue, muscle soreness, injection site redness swelling and itching. Diaphoretic with activity, chills

Other Meds: Celebrex Sinemet Levothyroxine Nexium Cymbalta Multivitamin Calcium, magnesium, vitamin D B12

Current Illness: None

ID: 0941583
Sex: M
Age: 0
State:

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

Lab Data:

Allergies:

Symptoms: Rash on face, chest, legs. Fever lasting greater than 24 hours

Other Meds:

Current Illness:

ID: 0941584
Sex: F
Age: 57
State: CA

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

Lab Data:

Allergies:

Symptoms: Arm soreness headache

Other Meds:

Current Illness:

ID: 0941585
Sex: F
Age: 31
State: MI

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

Lab Data:

Allergies: NKDA

Symptoms: pt has shingles on right arm

Other Meds:

Current Illness:

ID: 0941586
Sex: F
Age: 37
State: UT

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

Lab Data:

Allergies: Penicillin - unknown reaction

Symptoms: Tachycardia and possibly a panic attack after Pfizer COVID-19 vaccine 0.3 mL IM in left deltoid. Monitored patient. Patient felt more relaxed as time when on, and palpitations went away. Patient felt comfortable leaving the clinic once symptoms resolved.

Other Meds:

Current Illness:

ID: 0941587
Sex: F
Age: 44
State: CA

Vax Date: 01/02/2021
Onset Date: 01/06/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Lobster and pollen

Symptoms: Whole headache and right eye pain started on 01/06/2021, Skin burning sensation started on 06/08/2021. Rashes started on 06/09/2021. On 06/10/2021, I went to the emergency room, diagnosis with Shingles, and the doctor prescribed Valacyclovir.

Other Meds: Levothyroxine 50mg

Current Illness: No

ID: 0941588
Sex: F
Age: 49
State:

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

Lab Data:

Allergies:

Symptoms: Dizzy, light headed, hives on left side of neck and chest.

Other Meds:

Current Illness:

ID: 0941589
Sex: F
Age: 40
State: GA

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

Lab Data:

Allergies: Penicillin and Aspirin

Symptoms: Rash around injection site. onset 1/9/2021- Cortisone cream applied; Cleared 1/10/2021 Itching all over. Onset 1/9/2021- Benadryl; Still on going intermittently as of 1/13/2021

Other Meds: Omeprazole

Current Illness: Acid Reflux, Anemia

ID: 0941590
Sex: F
Age: 17
State: WA

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

Lab Data:

Allergies:

Symptoms: Mistakenly gave Covid-19 Moderna vaccination to under 18 y.o. Reporting to VAERS as per WA DOH recommendation.

Other Meds:

Current Illness:

ID: 0941591
Sex: M
Age: 55
State:

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

Lab Data:

Allergies:

Symptoms: The evening after pt received vaccine, he started with chills, body aches and minor headache that turned into explosive diarrhea and violent vomiting. There were a jaundice color to his skin. Pt was recommended to seek care with PCP, clinic or ER.

Other Meds:

Current Illness:

ID: 0941592
Sex: F
Age: 60
State: NJ

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

Lab Data: none

Allergies: None that I know of

Symptoms: 1 week after initial injection arm started to develop lump and extreme itchness. Day after injection of vaccine sore arm but other then that fine until today. Also developed a herpes simplex 1 on lip. RMG UCCMTE was written on card I received.

Other Meds: Levothyroxine

Current Illness: None

ID: 0941593
Sex: F
Age: 49
State:

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

Lab Data:

Allergies:

Symptoms: soft ball size lymph node under arm pit of injected arm

Other Meds:

Current Illness:

ID: 0941594
Sex: F
Age: 44
State: FL

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

Lab Data: none

Allergies: NKA

Symptoms: employee reported mild swelling and tenderness of right armpit area lymph nodes approximately 24 hours post receiving second dose of covid 19 Pfizer vaccine on 1/7/2021 in right arm. When questioned the employee stated she also experienced the same mild swelling and tenderness of the armpit area lymph nodes with first dose of vaccine also. The first dose of vaccine was given 12/18/2020 at approximately 1600 in left arm and lymph node mild swelling and tenderness noted in left armpit the following evening. On both occasions the swelling and tenderness lasted 48-72 hours and occurred in the corresponding armpit of the arm which vaccine was administered

Other Meds: Jolessa, Vitamin B12, Vitamin D

Current Illness: None

ID: 0941595
Sex: F
Age: 29
State: MD

Vax Date: 01/05/2021
Onset Date: 01/07/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Since the initial injection given i have had a knot in my arm. the soreness is gone and i did not have any other symptoms after the injection. I still have the knot in my arm, it is itchy, some burning sensation, raised, red, and hot to the touch. again no other symptoms such as fever, muscle aches, and or fatigue.

Other Meds: Vyvanse 30MG & Vyvanse 20MG

Current Illness: N/A

ID: 0941596
Sex: F
Age: 57
State: AZ

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

Lab Data: None

Allergies: penicillin, topamax

Symptoms: Started with temple pain then started having pain behind both my eyes. Tried taking Tylenol without relief. Continued to have the temple headache and pain behind eyes, then the morning of 1/31/2020 felt like throat was swollen and lymph nodes on neck were swollen and had a mild earache. All symptoms subsided the morning of 1/2/2021.

Other Meds: Lantus insulin, humalog insulin, Adderall, Wellbutrin, simvastatin, potassium, reglan

Current Illness: none

ID: 0941597
Sex: F
Age: 66
State: FL

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

Lab Data: None

Allergies: CODEINE TRAMADOL

Symptoms: On 1/8/2021, at 8:00 PM, patient began to experience a low-grade fever, chills, body aches, muscle aches, cramps in arms and legs, nausea, fatigue and shivering. At 4:00 AM on 1/9/2021, patient awoke with extreme fatigue, diminished eye-sight - describes as vision being "grey and mottled", and impairment of gait - stumbling when attempting to walk. Patient was scheduled to work that morning and had to call off due to these symptoms she was experiencing. **This was reported on 1/12/2021, at which time, the patient stated that she was currently experiencing a loss of taste and smell, and had tested positive for COVID-19 that morning.**

Other Meds: XANAX NEURONTIN

Current Illness: NONE REPORTED

ID: 0941598
Sex: F
Age: 0
State: AL

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

Lab Data: hemocult + 1/12/21

Allergies: none

Symptoms: vomiting, fever to 101, diarrhea within hours of receiving rotavirus vaccine, was seen on 1/8/21 and again on 1/12/21 still with symptoms

Other Meds: Pepcid

Current Illness: none

ID: 0941599
Sex: F
Age: 27
State: NY

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

Lab Data:

Allergies:

Symptoms: Reported decreased sensitivity to touch in mouth and on face, mixing heat and cold (hot shower felt cold, cold raindrops felt scalding, trouble thermoregulating) couldn't tell where arms were, dizziness, passed out.

Other Meds:

Current Illness:

ID: 0941600
Sex: F
Age: 47
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Light fluttery, tingles throughout bilateral arms down through hands-

Other Meds: None

Current Illness: None

ID: 0941601
Sex: F
Age: 38
State: CA

Vax Date: 12/30/2020
Onset Date: 01/14/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: within 24 hours of receiving the covid vaccine on 12/30/2020 at 9:20am at work, my arm swells and there was a painful lump. i was told that was normal. it's been 2 wks , the swelling went down but the lump is still there, and painful when touch. feels hot. I was told to consult with my PCP but he doesn't know because "we use Pfizer here, not Moderna. Follow the website link." The site where the vaccine was given looks like my skin is discolor now -turning brown like leaving a mark around the lump (birth mark look like).

Other Meds: None

Current Illness: None

ID: 0941602
Sex: F
Age: 77
State:

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

Lab Data: BP and pulse monitored; highest BP 142/78

Allergies: none

Symptoms: light headed then tachycardia

Other Meds: levothyroxine

Current Illness: none

ID: 0941603
Sex: F
Age: 34
State: CO

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: No

Allergies: No

Symptoms: I had arm pain in the left arm that lasted for 2 hours, chills, abd pain, nausea, muscle aches & malays. My estimated date of deliver is 03/05/2021 and I am 32 weeks gestation.

Other Meds: I take a prenatal vitamin and I pretreated with tylenol before.

Current Illness: No

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm