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: 0941857
Sex: F
Age: 27
State: TX

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

Lab Data: None. Labs were drawn and held

Allergies: Bacitracin = anaphylaxis reaction Elephant Ear Plant = anaphylaxis reaction

Symptoms: Angioedema (lips, face, tongue, neck, chest and palms of hands). Treatment Benadryl po 25 mg @ 1130 am 1/13/2021 Benadryl IV 50mg x 1 @ 1239 Pepcid 20 mg IV x 1 @ 1239 SoluMedrol 125 mg IV x 1 @ 1239 Acetaminophen po 325 mg @ 1412 Prednisone 60 mg po x 1 @ 1542

Other Meds: Sertreline 75 mg po Daily; Clonazepam 0.5 mg po PRN; Trisprintek 1 tab Daily

Current Illness: jan 4 2021, cervical ablasion and cervical epidural

ID: 0941858
Sex: F
Age: 49
State: IA

Vax Date: 12/22/2020
Onset Date: 12/30/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Poison Ivy

Symptoms: About one week after Covid vaccination employee developed a red circle at the injection site which was itchy. It resolved after 5 days.

Other Meds:

Current Illness:

ID: 0941859
Sex: F
Age: 43
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient complained of unsteady gait, numbness and tingling of upper and lower extremities more pronounced on the left side where received vaccine. Patient was seen in ED on 1/11/21 and did not receive any treatment, was evaluated and later discharged in stable condition.

Other Meds:

Current Illness:

ID: 0941860
Sex: F
Age: 27
State: WI

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

Lab Data: None

Allergies: None

Symptoms: Fever of 100.6 Chills Fatigue- slept all day Body aches Headache

Other Meds: None

Current Illness: None

ID: 0941861
Sex: F
Age: 59
State: CA

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

Lab Data:

Allergies: Anaphylaxis to

Symptoms: @0950 about 10minutes post vaccination, patient complaint of anxiety and rapid heart rate. Patient has a history of allergies - anaphylaxis. Vitals taken: b/p 197/116, hr 70, temp 97.5, 02 sat 99% on r/a. States she has HTN and takes meds. She did take her medication this morning. With meds she is around 140s/80s. Stayed with us for about 30 minutes. Repeat vs 186/104 hr 68, 98% RA. Still reporting anxiety but states she feels her b/p is high because she is anxious. She never experienced SOB, difficulty breathing. Stated at first a little bit of a scratchy throat but that went away shortly after. She stayed until she felt less anxious.

Other Meds: Losartan

Current Illness:

ID: 0941863
Sex: F
Age: 36
State:

Vax Date: 12/29/2020
Onset Date: 01/04/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Received vaccine 12/29/2020. Reports has a rash at injection site starting the week of 1/4/2021. Red rash area, very large noted, did not have ability to measure. Pt. states rash has gotten larger and worsened. Pt. to be checked by provider.

Other Meds:

Current Illness:

ID: 0941864
Sex: F
Age: 43
State: IA

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

Lab Data:

Allergies: Phenergan, Sulindac

Symptoms: Swollen lymph nodes, fever, chills, fatigue, stiff neck, arm soreness

Other Meds: Melatonin

Current Illness:

ID: 0941865
Sex: F
Age: 53
State: CA

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

Lab Data:

Allergies:

Symptoms: chills body ache headache heat palpitations High Heart rate

Other Meds:

Current Illness:

ID: 0941866
Sex: F
Age: 48
State: FL

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

Lab Data: None at this time

Allergies: NKA

Symptoms: Headache 12PM, chills, body pain 4PM, fever 5:30PM, shortness of breath, slight cough due to airway constriction 5:30PM. Plenty of fluids, sleep-night sweats, woke up better. Head & neck pain and body ache. No chills/fever.

Other Meds: Metoprolol 25 mg for elevated heart rate only

Current Illness: No prior known illnesses

ID: 0941867
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Patient reports chills, fever, body aches

Other Meds:

Current Illness:

ID: 0941868
Sex: F
Age: 59
State: TX

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

Lab Data: COVID-19 PCR test pending

Allergies:

Symptoms: -FEVER 101, BODY ACHE, HEADACH, FATIGUE, RUNNY NOSE , - Began within 6 hours Naprosyn helped, Tylenol did not. TXT symptomatically with Pepcid, Claritin, tylenol, Naprosyn

Other Meds: ON 1st FORM

Current Illness: NA

ID: 0941869
Sex: F
Age: 31
State: NY

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

Lab Data:

Allergies: ceclor

Symptoms: Swollen and painful lymph node in left arm pit

Other Meds:

Current Illness:

ID: 0941870
Sex: F
Age: 61
State: KY

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

Lab Data:

Allergies: erythromycin, aspirin

Symptoms: Was unable to get details . The phone call ended.

Other Meds: turmeric, b12, glucosamine, baby aspirin, Atorvastatin

Current Illness: no

ID: 0941871
Sex: F
Age: 67
State: TX

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

Lab Data: EKG strip

Allergies: Sulfa, codeine, bee stings. HAS EPI pen with her.

Symptoms: 1420: sitting in chair in general observation area. C/O left arm tingling. Encouraged to move arm and flex hand. 1424: states that the tingling is moving up her neck and it is throbbing now. Moved to private observation area. States her left arm is sore, throbbing with tingling down arm into hands. C/O soreness up neck and that chest feels heavy. Hx of asthma requiring new monoclonial antibodies started two months ago. BP 138/88; HR 98; O2 sat 97% on r/a. Color pink. States that her BP usually runs under 120 systolic and under 80 diastolic. States her pulse is usually in the 60-70s. No SOB noted. Lungs clear bilaterally, diminished in left lower lobe. Does not have inhalers with her. Denies throat swelling or itching. Gave water and denies difficulty swallowing. 1434: - HR 89; O2 95% on r/a. she drank a fruit smoothie she had in her purse. 1437: - EMT on site arrived for further evaluation. States that her pain in chest is 4/10 and now describes "feels like pressure" and states the pain is radiating up the neck and outward from left chest area. 1440: BP 146/90; HR 90: )2 97% on room air. Speaking without SOB noted. States that pain is now radiating into her left side of back. 1442: EMS 911 activated, clinic manager notified 1446: O2 97% on r/a; HR 87. States pain less throbbing, but still radiating. 1450: Stall have decreased sensation and tingling in left arm. 1455: States pain is now 2/10. State left arm tingling improved. Color remains pink, no SOB noted, No resp. distress noted. 1500: EMS ambulance crew arrived. Patient states pain now 1/10 1504: HR 86, BP 111/73; O2 97% 1508: 12 lead EKG run per EMS. Advised transport to hospital. Patient agreed. 1510: Patient began stating that she did not want to go to hospital. Clinic manager had contacted MD on call and explained to her that he is approving transport due to her symptoms. Patient started talking about being worried about getting back to her car. EMS and clinic manager spoke to her about the dangers of driving self with her symptoms. Reassured that several hospitals can provide taxi or bus vouchers back to her car once evaluated and released. She then began talking about her dog being alone in a crate at home. States she just moved here several months ago and doesn't know any of her neighbors. States her only child lives in a different County and that he currently has COVID. 1515: Refusing transport via EMS 1519: Stood with lightheadedness, no SOB, States she feels fine now. Signed AMA refusal for transport to hospital. 1520: Ambulated down hall with difficulty. EMS left. Walked back to restroom - voided. 1523: Ambulated per self to personal vehicle. Gait steady. No lightheadedness. States chest pain resolved.

Other Meds: Xolair (monoclonial antibody - just started two months ago); inhalers - Breo and albuterol ( does not have with her) duloxetene, singulair, meds just started for early onset dementia - can't remember names, OTC pain patch, currently is wea

Current Illness: none

ID: 0941872
Sex: F
Age: 57
State: TX

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

Lab Data:

Allergies:

Symptoms: Patient complained of facial flushing approximately 10 minutes post vaccination. Patient was cleared by EMS. Instructed patient to call her family physician, 911, or go to the nearest emergency room for any further issues.

Other Meds:

Current Illness:

ID: 0941873
Sex: M
Age: 43
State: TX

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

Lab Data: N/A

Allergies: None

Symptoms: 1) Paresthesia of face 2) Swelling, pain and erythema of the vaccination site

Other Meds: None

Current Illness: None

ID: 0941874
Sex: M
Age: 62
State: IN

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

Lab Data:

Allergies: None

Symptoms: Fatigue, and head congestion. Lasted one day.

Other Meds: Propranolol, alprazolam, levothyroxine, atorvastatin

Current Illness:

ID: 0941875
Sex: F
Age: 31
State: VA

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

Lab Data: None

Allergies:

Symptoms: Dose was from a vial that was punctured more than 6 hours prior.

Other Meds:

Current Illness:

ID: 0941876
Sex: F
Age: 89
State: NC

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

Lab Data:

Allergies: NKA

Symptoms: Patient was hospitalized within 24 hours after a syncopal episode due to hypotension. She was found to have a UTI due to E.coli and subsequently treated for the infection. It was felt, that the syncope was due to sepsis related to the UTI caused by known chronic constipation rather than the vaccine.

Other Meds:

Current Illness: Recurrent UTIs; chronic constipation

ID: 0941877
Sex: F
Age: 57
State: TX

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

Lab Data:

Allergies: Codeine, demerol, pulmacort

Symptoms: Stiffness soreness cramping severe pain. Unable to flex hands due to pain. Severe pain thru entire body lasting 3 days

Other Meds: Estradiol, omeprazole, diclofenac, montelukas, levocetirizine, calcium,vitamD,myrbetriq, aspirin 81mg, breo100mcg, pro air

Current Illness: Asthma

ID: 0941878
Sex: U
Age: 0
State: IL

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

Lab Data:

Allergies:

Symptoms: Pfizer-BioNTech Covid vaccine EAU: Dosing error During a vaccination clinic it was discovered that we were short 5 doses of the Pfizer vaccine. We were able to obtain 6 doses per vial. Upon examining the vials and diluents it was determined that 1 vial of vaccine was administered undiluted. The patient received 0.3ml from the vial of undiluted vaccine. Upon discovery, we could not determine which person received the excesive dose.

Other Meds:

Current Illness:

ID: 0941879
Sex: F
Age: 31
State:

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

Lab Data:

Allergies:

Symptoms: Patient reported left arm sore and achy, some tingling to fingers. Patient monitored for 30 minutes. Tingling resolved at end of 30 mins, arms remains with achiness.

Other Meds:

Current Illness:

ID: 0941880
Sex: M
Age: 39
State: PA

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

Lab Data:

Allergies:

Symptoms: Patient was seen a week after initial injection on 1/6/21 with a red, raised, and warm to touch area of injection that was sore and itchy

Other Meds:

Current Illness:

ID: 0941881
Sex: F
Age: 59
State: MD

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

Lab Data: none

Allergies: Septra

Symptoms: Moderna covid-19 vaccineEAU Headache, severe body aches and spine joint pain, severe fatigue for 3 days.

Other Meds: Thyroid meds

Current Illness: none

ID: 0941882
Sex: F
Age: 34
State: MI

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

Lab Data:

Allergies: None

Symptoms: Pt experienced tachycardia, lightheaded, sweaty, nausea, and near syncope. Pt says she is anxious and feels this was anxiety-related.

Other Meds: Adipex

Current Illness: None

ID: 0941883
Sex: F
Age: 34
State: IL

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

Lab Data:

Allergies: none

Symptoms: Within 2 hours of receiving vaccine, developed severe jaw pain bilaterally with spasm.

Other Meds:

Current Illness:

ID: 0941884
Sex: M
Age: 51
State: CT

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

Lab Data: N/A

Allergies: Penicillin

Symptoms: Rash localized to near the injection site. It looks like poison ivy bubbles and is red and itchy

Other Meds: Crestor 5mg

Current Illness: None

ID: 0941885
Sex: F
Age: 42
State: PA

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

Lab Data: no

Allergies: pollen, dust

Symptoms: Sat for15 minutes. After she got home, felt a knot on arm, broke out in sores, itchy, burning, rubbed it and skin started peeling, couldn't sleep. Stomach pains for about 2 days.

Other Meds: Vitamins

Current Illness: no

ID: 0941886
Sex: F
Age: 38
State: CA

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

Lab Data:

Allergies: prednisone

Symptoms: @0928 about 20 minutes post vaccine, she stated she was starting to feel tingling to her neck and arms bilaterally. NAD, no SOB, v/s 154/110 (normal for her is 102/80s). 98% RA, hr 95, 96.9 temp and no pain. Did report dizziness. patient has a history of anaphylaxis. Evaluated her for 30 minutes after onset of symptoms. C/o anxiety and feeling seasick, never experienced respiratory distress at the end of her additional 30 minutes she reported feeling better.

Other Meds:

Current Illness:

ID: 0941887
Sex: F
Age: 40
State: CA

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

Lab Data: Blood sugar - 1/6/2021 Result:88

Allergies: N/a

Symptoms: I began feeling lightheaded and dizzy almost immediately followed by extreme fatigue. There was initially some mild tingling in extremities. After an hour later, my legs were almost numb and I had difficulty moving them. The fatigue got increasingly worse

Other Meds: Wellbutrin, hydroxyzine, acidophilus

Current Illness: N/a

ID: 0941888
Sex: F
Age: 53
State: PA

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

Lab Data: monitoring of vitals by paramedic

Allergies: metronidazole, PCN allergies

Symptoms: lips were tingly, rapid heart rate, elevated BP, heart palpitations. all symptoms improved other than heart palpitations

Other Meds: unknown

Current Illness: none known

ID: 0941889
Sex: F
Age: 63
State: RI

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

Lab Data:

Allergies: sulfa

Symptoms: After recieving 2nd dose of Shingrix site of inj developed hard bump & large red circular spot. pt followed up on 1/13/21 + injection site was slightly red, bump much smaller

Other Meds: Atorvastatin, omeprazole, ASA, Gabapentin, Metoprolol, Duloxetine, Memolcan

Current Illness: post surgery right shoulder AC joint

ID: 0941890
Sex: F
Age: 70
State: MT

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

Lab Data:

Allergies:

Symptoms: Body Aches

Other Meds:

Current Illness:

ID: 0941891
Sex: F
Age: 46
State: ND

Vax Date: 12/22/2020
Onset Date: 12/26/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: MRI - negative Blood work Hearing test

Allergies: penicillin; latex

Symptoms: Woke up on 26th and couldn't hear anything out of left ear - like I was deaf in that ear - Buzzing and constant titch in it. Went to ER and they first thought I had wax in it - couldn't hear after they flushed it with warm water. Didn't change anything . Did a brain MRI - and that was negative. Did some bloodwork - and it all came back okay. After all that - 6 hrs there: Prednisone - 60 mg a day for 10 days. After 24 hours of taking that my hearing was back - there was huge improvement. I Still have very loud ringing in my ear. Constant buzz in my ear. Had a hearing test to test and it looks pretty good. Going back in three months for hearing test.

Other Meds: nothing

Current Illness: nothing

ID: 0941892
Sex: F
Age: 35
State: KS

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

Lab Data: No testing done as of report date

Allergies: Cipro, percocet

Symptoms: On 01/12/2021, I was notified that the patient stated she had a rash on her left arm near the immunization site. I examined this site on 01/12/2021. Noted 2 in diameter area where vaccine was injected, that showed a faded induration, but no redness now. The patient states this was red at the site for several days but then faded to the current appearance. She states one week after administration of the vaccine, she developed a rash trailing to inner aspect of her left arm. Rash was blotchy in appearance, in small clusters. No induration or erythema noted. Patient reports mild pruritis. States she has been taking her allegra since the immunization, has not taken any benadryl or other new medications for this rash. Denies any systemic systemic symptoms. No shortness of breath, angioedema, wheezing, chest pain, or GI/GU symptoms. She states earlier in the day on 01/12/2021, she had site examined by her primary care provider, PA and was told to put hydrocortisone cream on site and to monitor. Patient denies taking any new medications since vaccine administration. On 01/13/2021, patient was examined by another provider at clinic, APRN. She noted, the arm is erythematous, mildly raised and with no induration or fluctuance at site. The patient complains of slight burning and significant pruritus. There are no excoriations. She has been using hydrocortisone and taking claritin. She encouraged patient to start taking benadryl as directed and continue hydrocortisone. Edges of erythema were marked and advised patient to monitor for progression today. If progression occurred within a few hours she planned to send RX for treatment of acute delayed reaction to vaccine. Patient was examined at 3:18PM by RN and she reported that it looked like the erythema had improved and had gotten smaller, it had not progressed beyond the pen markings. Pt complains of some itching still but had not been able to take benadryl yet today. She will keep an eye on it and will check back in with us tomorrow.

Other Meds: Sertraline, trazodone, allegra, methocarbamol, topamax, flonase, nexium, propranolol, chlorthalidone

Current Illness: none known

ID: 0941893
Sex: F
Age: 26
State: OH

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

Lab Data: N/A

Allergies: N/A

Symptoms: Rash around injection site 1 week later. Hot to touch and itchy.

Other Meds: Spirinolactone, birth control

Current Illness: N/A

ID: 0941894
Sex: F
Age: 31
State: HI

Vax Date: 12/29/2020
Onset Date: 01/02/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Received Moderna COVID-19 vaccine on 12/29/20. Experienced injection site tenderness, headache, and sinus congestion after injection. Over the weekend (1/2/21-1/3/21), experienced dizziness/vertigo upon awakening. The dizziness occurred intermittently throughout the hours of the days. On 1/5/21, experienced intermittent vertigo many times while standing or sitting at work. Attending physician was notified. Physician recommended employee see PCP follow-up to rule out additional causes (may be multifactorial).

Other Meds:

Current Illness:

ID: 0941895
Sex: F
Age: 35
State: PA

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

Lab Data:

Allergies:

Symptoms: Persistent headache Fatigue Heaviness in lower limbs

Other Meds:

Current Illness:

ID: 0941896
Sex: F
Age: 27
State: TX

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

Lab Data:

Allergies:

Symptoms: Severe nausea and vomiting x2

Other Meds:

Current Illness:

ID: 0941897
Sex: F
Age: 87
State: CA

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

Lab Data:

Allergies: NKDA

Symptoms: Patient reported right knee, joint pain on 01/12/2021. Patient took 200mg Ibuprofen in AM and 650mg Tylenol PM. Pain has resolved by 01/13/2021.

Other Meds:

Current Illness: None

ID: 0941898
Sex: M
Age: 47
State: WA

Vax Date: 12/29/2020
Onset Date: 01/08/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: blisters, fingers, palms, wrists, lips, elbows, knees, thighs, toes.

Other Meds: Fluoxetine

Current Illness: None

ID: 0941899
Sex: M
Age: 77
State: AZ

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

Lab Data:

Allergies: NONE

Symptoms: Rather sudden onset of severe weakness of legs and unable to stand up from chair without assistance of wife or walker

Other Meds: low dose aspirin once a day, advair 250/50 one puff at bedtimeNONE

Current Illness: none

ID: 0941900
Sex: F
Age: 34
State: MD

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

Lab Data: Transaminitis is noted on ER labs: ALANINE AMINOTRANSFERASE:CCNC:PT:SER/PLAS:QN: 58 ASPARTATE AMINOTRANSFERASE:CCNC:PT:SER/PLAS:QN:52.0 unit/L.

Allergies: Nitrofurantoin: rash/swelling - Allergy

Symptoms: 34 yr old female w/ well controlled htn. received moderna vaccine 1/5/2021- and 24-48 hours post vaccine: and she had fever, chills, myalgias w/ axiallary lymphadenopthy. +reports localized swelling. which id not respond to antihistamines. the local site had greater than 10 cm of erythema And on saturday- started vomiting: she was taken to ER medical Center- 1/10/2021 + axiallary lymphadenophy + fever + chills + greater than 5 cm -10 cm of erythema ---- In which she was rx'd she is taking prednisone 50 mg Tylenol w/ codiene Allegra and benadryl. Discharged home in stable condition.

Other Meds: Multi For Her Benicar 5 MG Tablet 1 tablet Orally Once a day

Current Illness: none

ID: 0941901
Sex: F
Age: 59
State:

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

Lab Data:

Allergies:

Symptoms: Patient complained of dull frontal headache after vaccination, drank water, observed for 30 minutes at which point headache resolved.

Other Meds:

Current Illness:

ID: 0941902
Sex: F
Age: 25
State: KS

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

Lab Data:

Allergies: None

Symptoms: Moderne COVID-19 Vaccine EUA I got the vaccine in the morning 1/11/21 at approximately 8am and that night around 10pm felt really bad body/muscle aches and chills.

Other Meds: Singular, Allegra, Prozac

Current Illness: None

ID: 0941903
Sex: F
Age: 22
State: IL

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

Lab Data: Blood pressure, pulse, temp 11/12/21

Allergies: No food allergies. Allergies to household dust, mold, wheat dust

Symptoms: Flush face, blotchy skin, tingly fingers, rapid pulse gave 50mg Benadryl

Other Meds: Tylenol as needed

Current Illness: Covid positive 11/30/2020

ID: 0941904
Sex: F
Age: 23
State: VT

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

Lab Data:

Allergies: NKDA

Symptoms: Headache starting day after vaccine administration and persistent X 2 weeks

Other Meds: inderal abilify depo provera

Current Illness: none

ID: 0941905
Sex: F
Age: 40
State:

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

Lab Data:

Allergies:

Symptoms: Pt. reports rash, itching at injection site, rash with erythema around edges. Started as small red area and small knot with tenderness at injection site within a couple of days of injection. The tenderness and knot resolved, but the rash continued to worsen 13 days after.

Other Meds:

Current Illness:

ID: 0941906
Sex: F
Age: 58
State: IA

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

Lab Data:

Allergies:

Symptoms: Patient started having symptoms like a cold on January 1, 2021. She attributed them to having had the vaccine 3 days prior. Her husband started getting sick a couple days later and was sent home from work to be tested for COVID. When he went, she went as well to be checked out. She tested positive on January 6,2021.

Other Meds:

Current Illness:

ID: 0941907
Sex: M
Age: 45
State: MT

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

Lab Data:

Allergies:

Symptoms: Headache, Body aches, Chills

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm