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: 0941604
Sex: F
Age: 45
State: TN

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

Lab Data: None noted

Allergies: CLINDAMYCIN

Symptoms: Redness; pain, some swelling; hot to touch. Symptoms began by late afternoon of day of injection (1.11.21); are reported to be painful, some itching, Itching is the predominate complaint. I have documented the site reaction by picture; visiting nurse practitioner looked at it and recommended patient take Tylenol, Benedryl and beginning Wednesday (1.13.21) applying 1% hydrocortisone cream x 3 times per day.

Other Meds: ALBUTEROL SULFATE 2.5 MG AS NEEDED, CETIRIZINE 10MG ONCE DAILY, EXETIMIBE (PAST), NASACORT 55 MCG ONCE PER DAY IN EACH NOSTRIL, PRAVASTATIN 70 MG ONCE PER DAY; TRI-SPRINTEC (28) 0.18 MG (7)/.0.21 5 MG (7)/ 0.25 MG (7)- 35 MCG TABLET -O

Current Illness: Was diagnosed COVID POSITIVE on November 18, 2020. Was asymptomatic throughout 14 day quarantine

ID: 0941605
Sex: F
Age: 48
State: NC

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

Lab Data: 1/12/21 2:15p Symptoms reported and teammate taken to ED by wheelchair. Triaged and treated with 3 prednisone, 2 Benadryl's, and 1 Pepcid. Given medication for headache but could not state name. Discharged at 8p with prescription for Prednisone x 4 days.

Allergies: Milk, Wheat, Shellfish, IV dye, Tamiflu, Xolair

Symptoms: 11:45 am 1/12/21 received Covid vaccine. Shellfish allergy and required to stay 30 mins for observation post vaccine. No symptoms during 30 minute observation post vaccine administration. Approximately 12:45pm right hand, tongue, mouth started tingling, and felt tongue was swelling. Reported feeling flush with chills, headache, and generalized weakness in legs. Went back to vaccine clinic to report symptoms at 2:15pm.

Other Meds: Levothyroxine, Protonix, Albuterol Inhaler, Invokana, Zyrtec, Allegra, Epi Pen, Nucalla

Current Illness: None

ID: 0941606
Sex: F
Age: 71
State: AL

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

Lab Data: Unknown

Allergies: UNKNOWN

Symptoms: redness, swelling and pain to the eye at 9:30 p.m. on day of vaccination received vaccine around 3:40 p.m. took contacts out around 9 p.m. and noticed swelling to eye 30 minutes later stated, "I'm not sure if I scratched my eyelid getting the contacts out or if it's a reaction to the vaccine." took Benadryl and used ice pack which "seemed to provide relief" - advised to contact primary care doctor and register with V-safe

Other Meds: UNKNOWN

Current Illness: UNKNOWN

Date Died: 01/13/2021

ID: 0941607
Sex: F
Age: 83
State: IN

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

Lab Data: N/A

Allergies: NKA

Symptoms: The patient passed away today, 1/13/2021. She was a hospice patient. She showed no adverse effects after receiving the vaccine on 1/12/2021. This morning she woke up as normal and during her morning shower she had a bowel movement, went limp and was non-responsive. The patient passed away at 7:45 am.

Other Meds: Tylenol 325mg, Lasix 20mg, Senna 8.6mg, Aspirin 81mg, Levothyroxine 75mcg

Current Illness: N/A

ID: 0941608
Sex: M
Age: 79
State: AZ

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

Lab Data: None

Allergies: None known

Symptoms: very minor However, I am unable to get a schedule for the second shot. The web site shows no slots available on 21 days after first shot. What should I do?

Other Meds: 2 times a day the following ; MILK THISEL, probiotic, zinc, red rice yeast

Current Illness: None

ID: 0941609
Sex: F
Age: 47
State: CA

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

Lab Data: Blood work and EKG in ER 01/08/2021

Allergies: SULFA, CIPRO,PENICILIN, PREDNISONE, AMOXICILLIN

Symptoms: Feeling freezing cold as they administer vaccine follow by sweaty hands and fingertips tingling. After I felt dizzy, my blood pressure increase, heart rate increase, light headache, my hands continue to sweat and fingertips cold and tingling. I felt a strange sensation on my chest (not pain but if I had ate and something got stuck on my throat and mid chest). Extreme anxiety, I wanted to run and get fresh air. A strange rash on my upper arms they looked like scratches.

Other Meds: VALSARTAN 320MG 1 DAILY, CLARITIN 24 HR RELIEF 2 DAILY,

Current Illness: Diabetes type 2, Hypertension, Tendonitis, urticaria

ID: 0941610
Sex: F
Age: 39
State: CT

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 1/7/21 T/C from recipient, states received vaccine on 12/30/20, had no reactions until 1/7/21, states injection site hard, reddened and raised and tender, sl painful to the touch, afebrile, no other sx, instructed to use cool compresses to site and return call in 48 hours to reassess. 1/8/21 c/o extreme fatigue, a little nausa, and sl stiff neck, area raised and reddened. Taking benadryl, advil, and icing. Following up with PCP, denies fevers. Circled area 1/7 and monitoring size. 1/9/21 Given prednisone by PCP but holding off on taking. No nausea today and inflammation and redness significantly decreased today.

Other Meds: none

Current Illness: none

ID: 0941611
Sex: F
Age: 51
State: NJ

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

Lab Data: none

Allergies: Allergy to Penicillins, Sulfa drugs. Allergy to Gluten (+celiac)

Symptoms: In the 1 day after vaccine, my arm was only slightly sore and this completely resolved. Seven days after vaccine administration, the injection site became swollen and itchy. By 8 days after vaccine administration, the area is a warm, red circle, resembling a hive.

Other Meds: levothyroxine 112 mcg daily; escitalopram 10 mg daily; dexlansoprazole 60 mg daily; fexofenadine 180 mg daily.

Current Illness: no current or recent viral or UR illnesses; Mild gastritis x 2 months

ID: 0941612
Sex: F
Age: 36
State: MO

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

Lab Data:

Allergies:

Symptoms: Vaccine was given at 10:30 am. At 2:20 pm began having hives that began on the neck and moved to the chest, arms, and belly.

Other Meds:

Current Illness:

ID: 0941613
Sex: F
Age: 53
State: CA

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

Lab Data:

Allergies: none

Symptoms: EVENT - Minor/normal soreness at injection site for 1 day. Post injection, day 7 - injection site swollen, red, tight, hot; 3 in diameter. Painful, itchy, burning. Pain scale moderate and not inhibit normal daily functions. Post injection day 9 - injection site less swollen, less pain, not as red, still 3 in diameter. No other signs of sickness or discomfort (besides injection site). TREATMENT - Tylenol OUTCOME - TBD

Other Meds: none

Current Illness: none

ID: 0941614
Sex: F
Age: 46
State: PA

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

Lab Data:

Allergies: peanut, sulfa, latex, augmentin

Symptoms: after administration of vaccine, patient felt hot and going to pass out, patient refused epinephrine injection and 911. patient waited around for about an hour after vaccination - patient BP went up, felt weak, signs of weakness, tongue big and throat closing - patient refused epinephrine again, called on call doctor who suggested Benadryl 25mg. Facility gave patient 25mg Benadryl IM. Patient to be monitored at facility

Other Meds: n/a

Current Illness:

ID: 0941615
Sex: F
Age: 38
State:

Vax Date: 12/17/2020
Onset Date: 12/25/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: cyst drainage & lymph node biopsy. Pathology reactionary.

Allergies:

Symptoms: On 12/25/2020 noted a lump in right breast and was then seen in the UT Breast Center 12/28/2020 and found to have enlarged lymph nodes as well as a tennis ball sized cyst. Returned to the UT Breast Center 1/4/2021 for cyst drainage & lymph node biopsy. Pathology reactionary.

Other Meds:

Current Illness:

ID: 0941616
Sex: F
Age: 32
State:

Vax Date: 12/23/2020
Onset Date: 12/28/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: sulfa medications

Symptoms: covid injection #1 on 12/23/20. 5 days later on 12/28/2021 woke up with nausea and diarrhea. Had vasovagal symptoms of lightheaded, blurred vision, hearing changes, and weakness of legs while standing. was in healthcare setting working at the time. Initial vitals 87/60, drank apple juice and rested, BP came up 15 min later to 100/75. At approx. 7pm on 12/28/2020 developed chills which turned into sweats with myalgia's and arthralgia's, took 1g Tylenol, at 9pm fever still 101.7*F. Fever lasted approx 8 hours. Nausea resolved. Diarrhea lasted about 36 hours.

Other Meds: micro nor birth control

Current Illness: none

ID: 0941617
Sex: F
Age: 64
State: NH

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

Lab Data: saw nurse practioner at Hospital. They recommended nsaids, topical cortisone and cool cloths.

Allergies: Bactrim, gensing

Symptoms: onset left arm swelling, red, hot to touch, itchy. 12cm w by 8.5 cm length starting 8 days post injection.

Other Meds: womens mutli vitiam

Current Illness: none

ID: 0941618
Sex: F
Age: 39
State: MI

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

Lab Data: covid test was performed on 1/12/21, tested negative, result received on 1/13/21 morning

Allergies: none

Symptoms: developed mild head ache and body ache around 7 pm on 1/11/2021, worsened after 7:30 pm with chills and fever and severe body ache through the night with mild congestion and more pronounced head ache by 1/12/2021. Took Tylenol to reduce fever. Fever and chills returned as medication effect reduces over 6 hours, it has continued today on 1/13/21

Other Meds: none

Current Illness: none

ID: 0941619
Sex: F
Age: 65
State: MO

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

Lab Data:

Allergies: Naproxen

Symptoms: Patient states that a couple of minutes from receiving the vaccine she got a hot flash. About 10 minutes after the vaccine the patient states that her mouth and face started drooping on left side. She took a drink and it felt weird.

Other Meds:

Current Illness:

ID: 0941620
Sex: M
Age: 16
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: 0941621
Sex: F
Age: 40
State:

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

Lab Data:

Allergies:

Symptoms: drowsiness within 1 hour swelling on upper lip (lasted about 15 minutes) occurred 4 hours after vaccine administered increased temp and bodyaches occurred approx. 6 hours after vaccination

Other Meds:

Current Illness:

ID: 0941622
Sex: F
Age: 56
State: MD

Vax Date: 12/19/2020
Onset Date: 12/24/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: Covid test - Negative

Allergies: No

Symptoms: Arm was very sore. Lasted 2 days. On 24th Dec. woke up with very heavy nasal drainage; continued for several days and it went to my chest. I Medicated with: Mucinex and Advil sinus - but wasn't working. Telehealth call to DR. and He prescribed C-Pac - 250 mg - 5 day dose and decongestant: Guaifenesin 100 mg - 5 mg liquid - 10 ml every six hours by mouth as needed for 10 days and I took that decongestant for 6 days. Felt better at this point. Never had had this before.

Other Meds: Protonic 40 mg; OTC allergy medicine - Cetirizine; Vit C; Multi-Vitamin

Current Illness: No

ID: 0941623
Sex: F
Age: 45
State: IN

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

Lab Data: None

Allergies: Penicillin

Symptoms: The day after the injection I had a itchy red knot appear at the injection site. Starting 27 hours after injection I had chills, anxiety, slight shortness of breath, headaches, body aches. Today I have had nausea that comes and goes, the red knot is still present on my right arm and the redness has increased a small amount from the marking placed last night. The injection is not in my deltoid muscle or even close and I am wondering if that is at the least what created the redness and the knot.

Other Meds: Vyvanse 70mg PO QD Vitamin D 5000 IU QD

Current Illness: None

ID: 0941624
Sex: F
Age: 70
State: MI

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

Lab Data: None

Allergies: Bactrim

Symptoms: Nausea, Chills, Fever (101.3), Weakness, loss of appetite

Other Meds: Losartan, Minocycline, Singulair, Claritin, Esomeprazole, Vitamin D

Current Illness: None

ID: 0941625
Sex: F
Age: 57
State: CT

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

Lab Data:

Allergies: sulfa drugs

Symptoms: 10:30pm, fever began along with chills. Fever 101.6 degrees via thermometer. on 01/12/21 at 8am, body aches and head ache occurred. Fever reduced but was consistent all day at 100.7 degrees. Tylenol was taken 01/12/21 at 1am and 8am. called the vaccine hotline via UConn Health at 9am and it was advised to stop Tylenol. on 01/13/21 at 1am. all symptoms were gone. temperature normal, no more body aches or chills.

Other Meds: Calcium 1000mg atorvastatin 10mg once daily metoprolol 25mg once daily venlafaxine 75mg once daily

Current Illness: no

ID: 0941626
Sex: F
Age: 66
State: AL

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

Lab Data: no

Allergies: no

Symptoms: Fever, fatigue, headache, vomiting, chills, muscle aches, arm soreness

Other Meds: Levothyroxine, HCTZ, Benazepril

Current Illness: no

ID: 0941627
Sex: F
Age: 30
State: IN

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

Lab Data:

Allergies: None

Symptoms: moderate chills, body aches, sweats, fever measured at 100.7F: occurred about 12 hours after injection and lasted 8-10 hours

Other Meds: Prenatal vitamin

Current Illness: None

ID: 0941629
Sex: M
Age: 33
State: PA

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

Lab Data:

Allergies:

Symptoms: Intense nausea and stomach pain. The nausea started around 5pm and intensified all night, keeping me from being able to sleep. It slowly subsided leaving me uncomfortable for the next two to three days before it went away completely.

Other Meds:

Current Illness:

ID: 0941630
Sex: F
Age: 45
State: OK

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: Had x-rays of shoulder at another facility on 1-12-2021. Will have MRI in the next two weeks.

Allergies: NKDA

Symptoms: 12/22/2021-tingling in left arm/fingers, shoulder pain 12/23-12/25/2021-burning pain between elbow and shoulder intermittently 12/26/2021-vomiting and constant severe burning pain in left arm. Applied ice pack 12/27/2021-went to ER for the constant severe pain. Given prescriptions for prednisone 60mg orally x two days and norco. Later that night left arm between elbow and shoulder was bright red and hot to the touch. Took Benadryl liquid and the redness/heat went away in 4 hours. Shoulder, tricep, and bicep have continued to hurt with tingling in fingers. Have seen primary care physician at clinic and Dr. with another facility. Have orders for an MRI and follow up with the other facility

Other Meds: Lutera oral contraceptive daily Zoloft 50mg daily

Current Illness: None

ID: 0941631
Sex: F
Age: 29
State: TX

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

Lab Data:

Allergies: nkda

Symptoms: Patient received the Moderna vaccine on 1/4. Her arm was sore the next day and she was also tired. She has a localized reaction (red/swollen). The redness/swelling/lump appeared 1/12. The arm is hot to the touch. She's had no fever or shortness of breath. The redness continues to spread (whole shoulder).

Other Meds: escitalopram, norethindrone, PNV

Current Illness: n/a

ID: 0941632
Sex: F
Age: 37
State: PA

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

Lab Data:

Allergies: Amoxicillin, fish products

Symptoms: Staff member complained of backache, hot sweats and cold chills. Took Ibuprofen, she did work today 1/13 and states she feels better.

Other Meds: unknown

Current Illness: Had covid 11/26/2020

ID: 0941633
Sex: M
Age: 75
State: NC

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

Lab Data:

Allergies: none known

Symptoms: The morning following COVID-19 vaccination, patient's right shoulder had swelling, generalized weakness and myalgia. Hospitalized for 2 days, received intravenous fluids and bedrest, and acetaminophen. He was prostrate for 2 days.

Other Meds:

Current Illness:

ID: 0941634
Sex: F
Age: 33
State: AZ

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

Lab Data:

Allergies: PEANUTS

Symptoms: CHILLS, SEVERE HEADACHE, AND TIREDNESS. STARTED THIS MORNING 1/13/21 WHEN I WOKE UP.

Other Meds:

Current Illness: ASTHMA AND HAD COVID WHICH AFFECTED MY ASTHMA

ID: 0941635
Sex: M
Age: 40
State: OK

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Fever up to 102.8F with chills 24 hours after 2nd vaccine and body aches. All Symptoms went away within another 24 hours and treatments were OTC medicines including Tylenol and ibuprofen.

Other Meds: Adderall 20mg TID Alprazolam 0.5mg po BID

Current Illness: Community Acquired Pneumonia RUL

ID: 0941636
Sex: F
Age: 31
State: TX

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

Lab Data:

Allergies: none

Symptoms: slight nausea and chills. Severe Headache

Other Meds: none

Current Illness: none

ID: 0941637
Sex: M
Age: 57
State: CA

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

Lab Data:

Allergies:

Symptoms: Arm soreness 8 inches around site of injection Fatigue Mild headache Chills for few hours last night

Other Meds:

Current Illness:

ID: 0941638
Sex: F
Age: 37
State: TN

Vax Date: 12/23/2020
Onset Date: 12/26/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: PCN Percocet

Symptoms: Bells Palsy. I had left sided facial paralysis starting 77 hours my injection. I called the Hospitalist at my hospital and treatment of Valacyclovir 1000mg tid x7 days and Prednisone 60mg daily x7days. The next day I had numbness around my lips and chin on the left side and the third day I had minimal paralysis around my mouth. It was resolved by day 4.

Other Meds: Protonix 40mg po daily

Current Illness: None

ID: 0941639
Sex: M
Age: 33
State: MO

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

Lab Data:

Allergies: n/a

Symptoms: first seizure onset about 23 minutes after vaccination and lasted for 2 minutes, pt recovered then went into another seizure at 11:03 for 2 minutes. pt was given epi-pen and Benadryl following second seizure and recovered afterwards

Other Meds: Depakot

Current Illness: n/a

ID: 0941640
Sex: F
Age: 51
State: IN

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

Lab Data: None

Allergies: PCN, Sulfa

Symptoms: Rash on neck and torso.

Other Meds: Osphena, Multi-vitamin, Calcium

Current Illness: None

ID: 0941641
Sex: F
Age: 44
State: FL

Vax Date: 12/01/2020
Onset Date: 01/02/2021
Rec V Date: 01/13/2021
Hospital: Y

Lab Data: see above. hospitalized jan 7-jan 9

Allergies:

Symptoms: numbness to forearm then to lower leg that then took on a dermatomal pattern, brain fog w word finding issues that progressively worsened, LLE weakness. ct brain neg. MRI/MRA head and neck neg. labs neg. MRI of c spine t spine l spine s spine neg. emg and eeg neg. discharged from hospital. symptoms fluctuating. slowly improving.

Other Meds:

Current Illness:

ID: 0941642
Sex: M
Age: 33
State: NC

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

Lab Data: NONE

Allergies: NKDA

Symptoms: METAL TASTE IN MOUTH AFTER VACCINE, TINGLING IN MOUTH AND LUMP IN THROAT

Other Meds: UNKNOWN

Current Illness: NONE

ID: 0941643
Sex: M
Age: 21
State: TX

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

Lab Data:

Allergies:

Symptoms: Patient reported feeling jittery after the vaccine; however, it resolved in 15 minutes. Patient cleared by EMS. . Instructed patient to call his family physician, 911, or go to the nearest emergency room for any further issues.

Other Meds:

Current Illness:

ID: 0941644
Sex: F
Age: 45
State: IN

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

Lab Data:

Allergies: lisinopril, cats, dogs, feathers, dust, mold.

Symptoms: severe dizziness, fever, fatigue

Other Meds: d3, k2, amlodipine, cetirizine, sertraline, montelukast

Current Illness: none

ID: 0941645
Sex: F
Age: 43
State: NY

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: none reported

Allergies: None reported

Symptoms: After vaccine I began to have sore throat, shoulder and neck discomfort. I experienced also right arm soreness which has diminished.

Other Meds: None reported

Current Illness: None reported

ID: 0941646
Sex: F
Age: 43
State: OK

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

Lab Data:

Allergies: CELCOR PENICILLIN

Symptoms: DESCRIBED " FIRST SHOT ON 01/08/2021-GOT A SORE ARM AND FATIGUE-BUT STARTING ON SATURDAY I NOTICED MY FACE WOULD BE TINGLY AND NUMB FEELING-THEN ON SUNDAY HAD DROOPING OF RIGHT EYE LID WHEN I WAS TIRED-I NOW HAD SOME DROOPING OF MY MOUTH, ONLY SMOETIMES, AND MY EYE LID WHEN I AM TIRED. THE NUMB FEELING IS STILL THERE.:

Other Meds: EFFEXSOR XL 75MG AMBIEN 10MG. XANEX 0.5 MAXALT.MET SYNTHROID CALCIUM AND VITAM D MULTIVITAMIN CYANOCALAMIN

Current Illness: NONE KNOWN

ID: 0941648
Sex: F
Age: 74
State: IN

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

Lab Data: None. Employee stated that she did not seek medical treatment since she started to notice improvement on Friday.

Allergies: Penicillin Sulfa

Symptoms: Received COVID vaccination on 01/06/2021 at 8:00 at the COVID vaccinations clinic. About 2:20pm employee states that Left arm started aching. Around midnight, employee states that right elbow began to ache as noticed redness and swelling approximately 2-3 inches below injection site. States swelling and redness increased over the course of two days. Friday, the swelling and redness began to improve.

Other Meds: ASA Immodium Calcium with Vitamin D Metoprolol Atorvastatin

Current Illness: None

ID: 0941649
Sex: F
Age: 59
State: MO

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

Lab Data:

Allergies: Codiene

Symptoms: Itching all over my body for about 4 days after receiving the vaccine

Other Meds: Lisinipril, Trazadone, Duclofenac, Prozac, and tamsulosin

Current Illness: COVID 19

ID: 0941650
Sex: F
Age: 41
State: CT

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

Lab Data: None

Allergies: Latex, Oxi-clean detergent, Cefdinir

Symptoms: Itchy skin rash in elbow crease, torso, groin area and legs that started exactly after 48 hours of receiving the vaccine from the left elbow area (where the vaccine was administered) and gradually spread to other body parts over the next couple of hours. Has not resolved with over the counter oral anti-histamine and topical over the counter steroid cream as of 1/13/21.

Other Meds: Vyvanse, Junel birth control pill

Current Illness: None

ID: 0941651
Sex: M
Age: 48
State: KY

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

Lab Data: None

Allergies: None

Symptoms: Employee received the second dose of the vaccine and was fine. He awakened the next morning with severe chills and a temperature of 101.1 that would not come down. He had aches all over and general malaise.

Other Meds: Fish Oil, B12, D3, Vitamin C, Zinc daily

Current Illness: Employee was positive for COVID 19 on 12/10/2020. He was symptomatic but was recovered on 12/20/2020.

ID: 0941652
Sex: F
Age: 26
State: CT

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

Lab Data:

Allergies: Dogs and cats Seasonal

Symptoms: 10 minutes after receiving the vaccine I experienced tachycardia and feeling hot. This resolved in a couple minutes after experiencing this

Other Meds: Keppra 500mg PO BID Amethia (birth control) Folic acid 1mg PO

Current Illness:

ID: 0941653
Sex: F
Age: 71
State: LA

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

Lab Data: NONE

Allergies: Only Penicillin

Symptoms: On January 8, 2021 upon waking that morning, had a large red swollen area where I received injection. As time when on it became larger in sizeand redder in color and went completely around my arm. Saw my family doctor today and he gave me an antibiotic and cream to put on it. Now itching.

Other Meds: Mucinex, Pepsid, Rabeprazol, Litator, cetylcystene and albuteral with nebolizer

Current Illness: Mucus problem with severe cough

ID: 0941654
Sex: F
Age: 40
State: ID

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

Lab Data:

Allergies: NKDA

Symptoms: Hives at site of injection

Other Meds: Synthroid 50mcg Liothyronine 10mcg Adderall 7.5mg bid OptiFerrin C ii caps at bed

Current Illness: N/A

ID: 0941655
Sex: F
Age: 51
State: PA

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

Lab Data:

Allergies: SULFA

Symptoms: Patient states that she has been having bilateral eye swelling since 1/11/21 around 8 am.

Other Meds: DENIES

Current Illness: MULTIPLE SCLEROSIS

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm