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: 0941707
Sex: F
Age:
State: VT

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

Lab Data: none

Allergies:

Symptoms: 7 hours after 2nd inj developed fever 101, headache, exhaustion and severe body aches nausea. lasted 24hour, better now

Other Meds: unknown

Current Illness:

ID: 0941708
Sex: M
Age: 52
State: CA

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

Lab Data: EKG which showed some changes, not sure if related to vaccine or history of stint placement

Allergies: pencillin

Symptoms: almost immediately started feeling warm and dizzy, stated I don't feel right. Had him lie down, administered O2 at 2l/m for feeling of SOB. B/P was elevated at 197/97, O2 sat 98%, heart rate was tachycardia at 140's. Had patient lie down while being monitored. HR slowly came down, B/P systolic dropped 30 points to 160's

Other Meds: metoprolol tartrate, simvastatin, aspirin, flonase

Current Illness:

ID: 0941709
Sex: M
Age: 77
State: FL

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

Lab Data: DENIES ANY MEDICAL TESTING AND LABORATORY TESTING DONE.

Allergies: CODEINE, CLINDAMYCIN

Symptoms: PATIENT A 77 Y.O MALE PATIENT, EXPERIENCED WHAT HE THOUGHT A REACTION TO COVID-19 VACCINE ON 01/12/21. DETAILS BELLOW: HE RECEIVED THE VACCINE AT 3:15PM ON 01/12/21 AND EXPERIENCE RED SPLOTCHES ON FACE WHICH WAS WARM AND WOMEWAHT TENDER TO TOUCH. PATIENT DENIED SWELLING OF THE FACE, MOUTH OR ANY DIFFICULTY BREATHING. HE WENT TO URGENT CARE AND WAS PRESCRIBED BENADRYL AND WAS INSTRUCTED TO TAKE BENADRYL PO EVERY 4-6 HRS AND WAS SENT HOME. AS OF 01/13/21 PATIENT TOLD ME OVER THE PHONE THAT HE IS GETTING BETTER. HE STILL HAS THE RE SPLOTCHES BUT ITS NOT WARM OR TENDER TO TOUCH AS OF TODAY. I WILL CONTINUE TO MONITOR STATUS. PRIOR TO THE EVENT. PATIENT REPORTED THAT ON 12/14/20, HE WAS DIAGNOSED WITH CELLULITIS AND WAS PRESCRIBED WITH CLINDAMYCIN ANTIBIOTIC FOR SUPPOSEDLY 2 WEEKS, BUT ON JANUARY 2,2021, HE DEVELOPED THE SAME RED SPLOTCHES ON FACE AND WAS PRESCRIBED PREDNISONE TABLET AND WAS INSTRUCTED TO TAKE IT FOR A WEEK. PATIENT STATED THAT HE TOOK THE PREDNISONE UNTIL JANUARY 8,2021 AND IT RESOLVED THE ISSUE. STATES HE THEN GOT HIS COVID-19 VACCINE ON 01/12/21 AND DEVELOPED THE ABOVE MENTIONED SIGNS AND SYMPTOMS, ALTHOUGH THIS TIME HE WAS NOT PRESCRIBED WITH PREDNISONE, INSTEAD WAS DIRECTED TO TAKE BENADRYL TABLET.

Other Meds: AMLODIPINE TAB., CLONIDINE TAB.,METROPOLOL TAB.,ATORVASTATIN,BABY ASPIRIN,MAGNESIUM, VIT.B12, BENADRYL

Current Illness: WAS DIAGNOSED WITH CELLULITIS 4 WEEKS PRIOR TO VACCINATION OF COVID-19 VACCINE.

ID: 0941710
Sex: F
Age: 36
State: WA

Vax Date: 03/20/2019
Onset Date: 03/21/2019
Rec V Date: 01/13/2021
Hospital:

Lab Data: 3/22/2019: Complete Blood Count, Complete Metabolic Panel, EKG, D Dimer Quantitiative, Troponin, B Natriuretic Peptide, Xray chest 2 views 4/1/2019: Complete Blood Count, Complete Metabolic Panel, EKG, Echocardiogram, D Dimer Quantitiative, Troponin, B Natriuretic Peptide Xray chest 2 view

Allergies:

Symptoms: Swelling started within 2 hours at injection site, height of approximately 2cm, diameter approximately 7cm. Swelling at injection site continued for 2 1/2 weeks. Woke up at approximately 11PM disoriented, tightness of chest, difficulty taking full breath, extreme lightheadness upon standing, that got worse during standing. Temporarily grayed out, fell to knees. Got to sitting position and administered inhaler, took allergy medications. After 15 minutes, symptoms started to abate to point felt comfortable walking. Went to ER. Upon arrival at ER pulse was at 144 and Oxygen Saturation was around 97%. Normal EKG, High WBC at time at 18.7 K/uL, Abs neuts at 15.5K/uL, up from 5.8K/uL reading done on 2/21/2019, Abs immature grans at .1, and Abs monos at 1.3 K/uL. Decadron administered, at 207 am on 3/22/2019. Normal CMP except slightly heightened glucose at 117 mg/dL performed at hospital on 3/22/2019. Continued to have episodes of tachycardia occur, no known trigger, worse during peak allergy season. Continued episodes of tightness in the chest.

Other Meds: Zyrtec, Aciphex, Flonase, Ursodiol, Astelin, Albuterol(as needed for asthma symptoms)

Current Illness: Bronchitis

ID: 0941711
Sex: F
Age: 59
State: WA

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

Lab Data:

Allergies: penicillin

Symptoms: Began 1/11/21 around 10:00 pm with sore arm, then over the next 24 hours: bad headache, nausea (w/o vomiting), constipation, body aches, stuffy head, fever that reached 103.5. Lasted until fever broke at 2:00 a.m. on 1/13/2021. As of this writing at 1:20 p.m. still have body aches, constipation and slight headache with sinus pressure.

Other Meds: low dose aspirin, atorvastatin

Current Illness:

ID: 0941712
Sex: F
Age: 3
State: MI

Vax Date: 06/02/2020
Onset Date: 06/02/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Temperature excursion occurred and vaccine was deemed unsupported by manufacturer and should not have been administered.

Other Meds:

Current Illness:

ID: 0941713
Sex: F
Age: 72
State:

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

Lab Data:

Allergies:

Symptoms: Pt. reported dizziness that subsided after drink and snack were consumed.

Other Meds:

Current Illness:

ID: 0941714
Sex: M
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: 3.5 hours s/p injection #2 patient arrived back at Vaccine clinic with complaint of acute onset of severe fatigue and dizziness. Patient VS- 148/86, 78, 18, 99% Patient driven home by family member after calling the nurse on call line and co-worker health Patient to follow up with Co-worker Health in the AM

Other Meds:

Current Illness:

ID: 0941715
Sex: F
Age: 35
State: IN

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

Lab Data:

Allergies: Peanuts

Symptoms: 12 hours after 2nd dose I ran a fever consistently for about 24 hours, had a headache body aches chills and congestion. After 24 hours of the fever I feel completely normal.

Other Meds: Vitamin D3 and Prenatal vitamins

Current Illness: None

ID: 0941716
Sex: F
Age: 0
State: MD

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

Lab Data: NONE

Allergies: NKDA

Symptoms: Patient was inadvertently administered an HPV9 vaccine instead of a flu vaccine. Patient was monitored for 60 minutes without exhibiting any adverse effects. Medical personnel contacted medical assistance, poison control, and infectious disease at who advised that there is no risk of short or long term complications. Literature was obtained to this effect and was sent to family.

Other Meds: None

Current Illness: None

ID: 0941717
Sex: F
Age: 34
State: NM

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

Lab Data:

Allergies: Sulfa

Symptoms: Approximately 16 hours after injection, experienced body aches, chills, severe headache and fatigue. Symptoms resolved after approximately 14 hours later.

Other Meds: Qvar, Azelastine,Flucticasone

Current Illness:

ID: 0941718
Sex: F
Age: 37
State: IL

Vax Date: 12/20/2020
Onset Date: 12/21/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: 1/5- Rapid Covid (negative) 1/7- Covid (negative) 1/8- Rapid Covid (negative), EKG (sinus bradycardia), Chest X-Ray (negative), Strep test (negative); Urianalysis (negative); Basic blood panel (negative)

Allergies: None

Symptoms: Following vaccination, I had a headache for few days along with some pain on injection arm. The headache continued and soon some fatigue and tiredness accompanied it for 7-10 days following vaccination. Then ten days after, I had an increase in symtpoms that included heightened fatigue, loss of appetite, feeling "cold"/ "hot" (no fever), and abdominal pain with nausea and some diarrhea. Two weeks after vaccination, I had an increased of fatigue and not feeling well, accompained by a fever of (101.5 F) and chills, sore throat, and lethargy. My symptoms of fever, chills, sore throat, body aches, congestion, and fatigue remained over the next few days and soon included chest pain and some increase work of breath. With two negative Covid tests through work, it was recommended I go to see a physician, who instead sent me to Immediate Care. There I had an EKG which showed sinus bradycardia and they sent me to ER due to my symptoms of chest pain and shortness of breath. At the ER, multiple tests were run to negative results. ER Physician suspects that some of my struggles could be related to Covid vaccine but that I also may have caught an non-Covid virus on top of it which led to acute bronchitis.

Other Meds: Spirolactone, Escitalopram

Current Illness: None

ID: 0941719
Sex: F
Age: 46
State: MA

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

Lab Data:

Allergies: IV Contrast Dye

Symptoms: Heart fluttering

Other Meds: Escopralitam, levothyroxine, buprenorphine/naloxone, clonazapam, vitamin D, Gas-X, Tums, Pepcid

Current Illness: Blepharitis

ID: 0941720
Sex: F
Age: 40
State: CA

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

Lab Data: Pt had US and mammogram, which showed axillary lymphadenopathy

Allergies:

Symptoms: Left axillary lymphadenopathy, headache, muscle ache, fatigue.

Other Meds:

Current Illness:

ID: 0941721
Sex: F
Age: 24
State: SC

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

Lab Data:

Allergies: None

Symptoms: Employee indicated that she did not know if the vaccine went in. Vaccine squirted out and patient had droplets of vaccine on arm. Patient was not given further instruction and nothing was reported.

Other Meds: None

Current Illness: None

ID: 0941722
Sex: F
Age: 40
State: MN

Vax Date: 01/05/2021
Onset Date: 01/08/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: Penicillin, sesame oil, cipro eye drops

Symptoms: Severe lymphadenopathy. Lymph nodes on the left side across upper chest, clavicle, and left arm, and left arm pit were swollen and painful.

Other Meds: None

Current Illness: None

ID: 0941723
Sex: F
Age: 51
State: TN

Vax Date: 12/29/2020
Onset Date: 01/03/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Cashews

Symptoms: Extreme erythema covering entire abdomen. Painful, burning, and itchy. Hot to the touch. Lasting 6 days. Treated with steroid injection and Benadryl. Treatment started January 4, 2021.

Other Meds: Simponi Aria 2 mg/kg IV infusion over 30 minutes Methotrexate 50 mg/2 ml-0.6 ml weekly subcutaneous Vitamin D3 50 mcg-1 daily Methyl Folate 1000 mcg-1 daily Zyrtec 10 mg-1 daily Lansoprazole 30 mg-1 daily Eliquis 5 mg-2 daily Olmesartan Me

Current Illness:

ID: 0941724
Sex: F
Age: 53
State: CT

Vax Date: 12/22/2020
Onset Date: 12/27/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: Blood work and EKG came back normal ; however gave her medication benzol diazetane , Cranadine

Allergies: No

Symptoms: 12/27/2020 night head ache, ear popping, off balance, 12/28/2020 period upset and blood pressure was 180/117 and husband took her to the hospital.

Other Meds: Metaprolong 12.5mg Lipitor 10 mg Vitamin D 2000 BU

Current Illness: No

ID: 0941725
Sex: F
Age: 34
State: SD

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

Lab Data:

Allergies: Sulfa

Symptoms: Itching (Internal) all over within 30 min following vaccination. Took Benadryl

Other Meds:

Current Illness: no

ID: 0941726
Sex: F
Age: 39
State: GA

Vax Date: 12/23/2020
Onset Date: 12/27/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: Covid Test 12/28/20

Allergies: Dilaudid, amoxicillin

Symptoms: Increase body temperature of 100.0, chills, headache, fatigue on 12/27/20-12/29/20

Other Meds: Lamictal, metformin, folic acid, proton oxide, prenatal vitamin, vitamin D

Current Illness: Sinus problems

ID: 0941727
Sex: F
Age: 24
State: FL

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

Lab Data: Vital Signs 12/21/2020

Allergies: Reglan - causes palpatations

Symptoms: Upon receiving vaccination patient began feeling light headed and dizzy. Symptoms later included palpatations.

Other Meds: None

Current Illness: Patient denies

ID: 0941728
Sex: F
Age: 88
State: GA

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

Lab Data: Dilantin level prior to vaccination was 1.8 ug/mL on 11/9/2020 (goal 10-20 ug/mL). Dilantin dose increased after seizure episode.

Allergies: Augmentin, Bactrim, Flexeril, Keflex, Zinc, Zosyn

Symptoms: Resident undergoing wound care. Vaccine given and approximately 5 minutes after administration, this resident noted to have rapid jerking eye movement determined to be seizure activity. After the seizure, resident stabilized. Resident was asked if she was feeling ok and she nodded her head yes in agreement. Resident has a history of seizures and is being treated with Dilantin and Keppra.

Other Meds: Alprazolam, Xarelto, Phenytoin suspension, Keppra suspension, Novolin, lopressor, Invanz IV, Fentanyl patch, acetaminophen, furosemide, albuterol/ipratropium nebulizer, simethicone, hydrocodone/acetaminophen, metoclopramide, eldertonic, pot

Current Illness: Wound infection, anemia, chronic kidney disease, hypertension, GERD, gastroparesis, heart failure, hyperlipidemia, electrolyte abnormalities, depression, chronic pain, seizure disorder, peripheral vascular disease, urinary retention, type 2 diabetes, atrial fibrillation, vitamin deficiency

ID: 0941729
Sex: F
Age: 39
State: GA

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

Lab Data: NONE

Allergies: SULFUR, LIPITOR, DOCUSATE

Symptoms: AFTER THE VACCINATION ON 1/6/21 I EXPERIENCED FEVER, BODY ACHES AND WEAKNESS

Other Meds: VITAMIN A, D, E,C, ZINC, TUMERIC, CALCIUM, MULTI-VITAMIN, GARLIQUE,

Current Illness:

ID: 0941730
Sex: M
Age: 33
State: CA

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

Lab Data:

Allergies:

Symptoms: Fever, chills, headache. Improving.

Other Meds:

Current Illness:

ID: 0941731
Sex: F
Age: 33
State: NH

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

Lab Data: None.

Allergies: None.

Symptoms: Left arm pain, with cirucular red area, warmth and itching. Started 8 days after administration.

Other Meds: None.

Current Illness: None.

ID: 0941732
Sex: F
Age: 42
State: MO

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

Lab Data:

Allergies: Sulfa, Codeine

Symptoms: Tingling of the tongue, heaviness began at 13:30 p.m., 50 mg Benadryl given at 13:35, BP 110/70, BPM-108 14:00 p.m. symptoms continuing, symptom improvement beginning at 13:00 p.m.

Other Meds: Enbrel, Levothyroxine, Depo, Benadryl, Melatonin

Current Illness: Thyroid, Rheumatoid Arthritis

ID: 0941733
Sex: F
Age: 54
State: MS

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

Lab Data: None

Allergies: Topical triple antibiotic

Symptoms: Moderna COVID-19 Vaccine EUA Approximately 10 days after the 1st injection, red bumps appeared with redness about the diameter of two inches, and were itching. The following day, my left arm was swollen and felt tight, and was much more red, with an increased diameter to approximately 3.5 inches. I took Zyrtec and Pepsid and the swelling and redness reduced in a couple of hours.

Other Meds: Benadryl intermittently 12.5 -25.0 mg at night

Current Illness: None

ID: 0941734
Sex: F
Age: 36
State: WA

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

Lab Data:

Allergies: n/a

Symptoms: SOB: ~25 min post injection, lasted ~1 min then resolved. Nausea 1 hour post dose, intermittent, sever x12 hours, then intermittent and mild x1 additional day. Fatigue & pain at injection site

Other Meds: OCP, APAP & ibuprofen PRN

Current Illness: n/a

ID: 0941735
Sex: F
Age: 72
State:

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

Lab Data:

Allergies:

Symptoms: Pt. reported lead taste in mouth lasting approximately 5 minutes. Similar taste to what is experienced on Chemo days. Last chemo date was 12/9 per pt. Pt. kept in observation for 30 minutes without further s/s. Pt. informed to seek evaluation is s/s develop post observation.

Other Meds:

Current Illness:

ID: 0941736
Sex: M
Age: 73
State: MI

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

Lab Data: None

Allergies: Sulfa

Symptoms: He received the vaccine in the afternoon and a few hours later started experiencing pain on his left ankle and lower leg. He described this as muscle pain around his ankle and shin, including his Achilles tendon.

Other Meds: SILDENAFIL 100MG, paxil 40mg, norvasc 10mg, wellbutrin xl 300mg, atorvastatin 40mg, vitamin d3 1000mcg

Current Illness: None

ID: 0941737
Sex: F
Age: 78
State: TN

Vax Date: 01/05/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: none

Allergies: NKA

Symptoms: Pt c/o itching and site tender to touch. States really noticed it on 01/11/2021. Localized redness noted on left upper arm.

Other Meds: nifiedipine ER 30mg tablet, Vit A, Biotin, Vit D3, Calcium, Fish oil, JuicePlus vegetable blend, JuicePlus Fruit blend

Current Illness: none reported

ID: 0941738
Sex: M
Age: 43
State: CA

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

Lab Data: None at this time (01/13). A COVID test is pending.

Allergies: lactose

Symptoms: Gas and intestinal upset and gas started approx 1-2 days after the 1st vaccination (01/07) and on 01/13, diarrhea started at 02:30 (am) and proceeded throughout the day.

Other Meds: Testosterone gel, Lisinopril & hydrochlorothiazide, bupropion, flexaril, fluoxetine, montelukast, trazodone, buspirone, trokendi xr

Current Illness: seasonal allergies

ID: 0941739
Sex: F
Age: 60
State: KS

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

Lab Data:

Allergies: None

Symptoms: Patient complain of scratchy throat with cough within 15 minutes after vaccination. Given water to drink. Assess blood pressure, pulse. Patient stable within 15 more minutes and felt fine to leave. Precautions given to seek medical attention if signs and symptoms worsens.

Other Meds: High Cholesterol Medication

Current Illness: URI ( 1 week prior to vaccination and resolved)

ID: 0941740
Sex: F
Age: 66
State: OK

Vax Date: 12/30/2020
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital: Y

Lab Data: 01/05/2021 WBC 2800, COVID negative, 01/07/2021 WBC 3300, COVID and FLU negative. 01/11/2021 WBC 4500, COVID negative, CXR revealed Pneumonia.

Allergies: cipro, Morphine, Flagyl, Augmentin

Symptoms: Presented to MD'S office on 01/05/2021 with cough, HA, fever 101.9, chills, and fatigue. Returned on 01/07/2021 with no improvement. Returned on 01/11/2021 with fatigue, elevated temp 101.2, SOB, 02 Sat at 90%, Rocephin 1G IM administered, CXR revealed pneumonia. MD received call from patients husband stating worsening 02 Sat levels at 81-82%. Was transferred to hospital and admitted with pneumonia..

Other Meds: Lexapro 20 mg daily, VitD 3 50,000 units twice daily, ASA 81 mg daily, NovoLog 100units s/s, Lantus 30 u BID, Pantoprazole 40 mg daily, Synthroid .05 mg daily, clopidolgrel 75 mg, daily, Hydorchlorithiazide-Losartan 12.5100 mg daily, Ator

Current Illness:

ID: 0941741
Sex: F
Age: 51
State: GA

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

Lab Data: None

Allergies: NKDA

Symptoms: Rec'd vaccine on 1/9/21. On 1/11/21 she developed swelling to both hands to the point it caused pain.

Other Meds:

Current Illness:

ID: 0941742
Sex: M
Age: 44
State: IL

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

Lab Data: N/A

Allergies: N/A

Symptoms: Arm soreness 1st day, 3pm next day body aches, weakness and fatigue, heavy head, fever 102. Next day, still experiencing fatigue and body aches but not as much. 1/12/21 feeling flu type symptoms again body aches, muscle, nausea, chills, severe sweating during night sleeping awoke several times . 1/13/2021 feeling flushed and sweating again while working, stomach cramps, nausea and then vomited x1. Tiredness and extreme fatigue, almost hard to walk, heavy head, chills, fever 100. Has taken Tylenol some relief

Other Meds: Phentermine, Topamax, Metformin, Vitamin D, Multivitamin

Current Illness: N/A

Date Died: 01/13/2021

ID: 0941743
Sex: F
Age: 60
State: NY

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

Lab Data: None

Allergies: No known drug or food allergies

Symptoms: This person was found to be deceased on routine rounds during the night, 3am. No symptoms of reaction noted post vaccine. No injection site reaction. No reports of any allergic reaction.

Other Meds: Amitiza, Anastrozole, Calcium Carbonate, Levemir, Novolog, Docusate, Fiber Lax, Fluvoxamine Maleate, Gavilax, Glucerna, Ketoconazole, levetiracetam, loratadine, Selenium sulfide lotion, vimpat, vitamin D3, Prolia AS needed medications: fle

Current Illness: None

ID: 0941744
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 - negative

Allergies: no

Symptoms: Had a sore arm about 6 hours after. Four days after vaccine - 4:30 am woke up with severe nasal drainage and pressure. Headache. Very congested. Medicated with Mucinex and Advil Sinus. A couple days later went to my chest. Got medical care from Telemed visit - Z-Pac - took for five days - 250 mg and a liquid decongestant: Guaifenesin - 100 mg/5 mm once every six hours for 10 days as needed. I took it for six or 7 days. Resolved.

Other Meds: Partonic 40 mg Multi-Vitamin and Vit C

Current Illness: none

ID: 0941745
Sex: F
Age: 56
State: NY

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

Lab Data: none known

Allergies: unknown

Symptoms: 1/11 evening after 2nd injection nagging headache frontal, fatigue X 2 days took tylenol

Other Meds: unknown

Current Illness:

ID: 0941746
Sex: M
Age: 26
State: MD

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

Lab Data: N?A

Allergies: N/A

Symptoms: At 2:34pm the patient had tingling to fingers on both hands. Vitals were taken. Observed for another 30 min and was sent home. Notes were that right side did resolve no notes about left side.

Other Meds: N/A

Current Illness: N/A

ID: 0941747
Sex: F
Age: 22
State: NJ

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

Lab Data:

Allergies: N/A

Symptoms: Itchy, raised bump, hot to touch

Other Meds: Lexapro, Heather birth control

Current Illness: N/A

ID: 0941748
Sex: F
Age: 36
State: DC

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

Lab Data:

Allergies: Fruits and milk

Symptoms: Patient experienced lightheadedness and dizziness after 15 minute wait period upon standing up. Blood pressure was checked and was 150/90 then re-checked 15 minutes later which increased to 170/96. In house physician decided to call 911 for patient and blood pressure was re-checked 15 minutes later which showed another increase to 196/102. Patient was taken to hospital for evaluation and treatment at 1:17PM.

Other Meds: Unknown

Current Illness: None

ID: 0941749
Sex: F
Age: 28
State: CA

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

Lab Data:

Allergies:

Symptoms: Injection site pain, tingling, swelling, redness. Flushing of face. Diarrhea. Improving.

Other Meds:

Current Illness:

ID: 0941750
Sex: F
Age: 55
State: WI

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

Lab Data:

Allergies: erythromyocin

Symptoms: 1. at time of vaccination felt back of throat "swelling" and cough. Stayed for 30 minutes with medic. That resolved without treatment or intervention within 24 hours 2. Arm at site of injection began to be swollen, very red, hot to touch and itchy on 1-12-2021. Sought medical treatment at primary provider's office on 1-13-2021. Was advised to use antihistamine for itching and to make report. Was advised to not pursue 2nd dose at this time.

Other Meds: levothyroxine, estradiol, vitamin D/calcium, biotin

Current Illness: none

ID: 0941751
Sex: F
Age: 35
State: GA

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

Lab Data: none

Allergies: none

Symptoms: arm sore, sore throat,nasal congestion, chest hurt when taking deep breath,sob ,headache, pulse 100, advised to see PCP

Other Meds: none

Current Illness: none

ID: 0941752
Sex: F
Age: 24
State: OH

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

Lab Data: None.

Allergies: None

Symptoms: Almost 48 hours after the vaccine I woke up with hives flush to my skin along my R&L arms, under my arms, on my left hand, insides of both thighs, and around my ankles. My skin felt hot but minimally itchy. The insides of my hands and burn when I wash them and they feel really sore. The bottoms of my feet also felt like they were burning when I took a shower. Nothing in my diet or hygiene products have changes. I took a half dose of Benadryl at 11am today and the hives are still there along with the pain in my hands when washing them. I coordinated with my PCP and they recommended self monitoring and Benadryl.

Other Meds: Sertaline 25mg/daily

Current Illness: None

ID: 0941753
Sex: F
Age: 50
State: PA

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

Lab Data:

Allergies: none

Symptoms: Staff member complained of headache, chills, body aches, fatigue and slight nausea. After vaccination administered she c/o "feeling hot." Had a glass of water and felt better.

Other Meds: none

Current Illness: Staff had covid 11/27

ID: 0941754
Sex: M
Age: 43
State: IN

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

Lab Data: COVID PCR test ordered today 1/13/2021

Allergies: none

Symptoms: COVID 19 VACCINE unknown manufacture none listed on vaccination card. Shortness of breath noted the next morning and fatigue noted the next morning after receiving vaccine. They have not gotten worse but are not getting better

Other Meds: none

Current Illness: none

ID: 0941755
Sex: F
Age: 59
State: CA

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

Lab Data:

Allergies:

Symptoms: Fatigue. Injection site pain. Chills. Body aches, headache, nausea. Resolved.

Other Meds:

Current Illness:

ID: 0941756
Sex: F
Age: 30
State: TX

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

Lab Data: none

Allergies: unknown

Symptoms: noticed swelling and itching to the site of injection, worsened after taking a shower

Other Meds: unknown

Current Illness: unknown

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm