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: 0943178
Sex: F
Age: 25
State: VA

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

Lab Data:

Allergies: Na

Symptoms: About 5 hours after injection, tenderness in arm appeared and then worsened. Kept me up in the night and would be very painful even with a light touch. Then the next morning I felt fatigued, slight headache, ears ringing and very light headed.

Other Meds: More a birth control

Current Illness: Na

ID: 0943179
Sex: F
Age: 58
State: MD

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

Lab Data: none

Allergies: mold, cats, dogs, shellfish, oseltamivir phosphate, pollen, sulfa, sertraline, carvedilol

Symptoms: 310 pm after vaccine at 3 pm, itchy mouth, throat and lips. 12.5 mg benadryl at 330 and by 340 she was fine. 7 pm patient had systemic itchiness and took 25 mg benadryl and felt better. this am 1/14/2021 woke up at 6 amd and at 730 am she started itching . Called office at 920 am.

Other Meds: cozarr, astelin, optivar, buspar, nexium, prozac, flonase

Current Illness: none

ID: 0943180
Sex: F
Age: 33
State:

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: dicyclomine

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA nausea flush/heat chest

Other Meds: none

Current Illness: none

ID: 0943181
Sex: F
Age: 53
State: FL

Vax Date: 01/06/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Latex

Symptoms: Large, red rash on left arm with mild itching.

Other Meds: Daily: 5 mg Amlodipine and Vitamin D supplement.

Current Illness: None

ID: 0943182
Sex: F
Age: 48
State: WI

Vax Date: 12/27/2020
Onset Date: 12/27/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: none

Allergies: shellfish

Symptoms: fatigue, body ache, headache, fever (101), injection site soreness

Other Meds: 20mg hydrochlorothiazide

Current Illness: none

ID: 0943183
Sex: M
Age: 17
State: MI

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Booster Given Too Early

Other Meds:

Current Illness:

ID: 0943184
Sex: M
Age: 68
State: NJ

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

Lab Data: none

Allergies: none

Symptoms: gout flare in right foot in evening of vaccine -- took colchicine in am - waiting for improvement

Other Meds: metformin, jardiance, allopurinol, crestor

Current Illness:

ID: 0943185
Sex: F
Age: 45
State: MI

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

Lab Data:

Allergies: No known allergies to medications or food. Lots of contact allergies with adhesives, acrylates, fragrances, bee products, lanolin

Symptoms: Headache, nausea, fever of 103, chills, fatigue

Other Meds: Prevacid, Prozac, Wellbutrin, multivitamin

Current Illness: None

ID: 0943186
Sex: F
Age: 51
State: NH

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Office visit 1/11/21 to evaluate cellulitis. Bactrim prescribed

Allergies: Penicillin

Symptoms: Cellulitis at injection site. Erythema, warm, painful. Small red bump noted day after vaccine. Cellulitis worsened over the week.

Other Meds: Lexapro, Albuterol

Current Illness: None

ID: 0943187
Sex: F
Age: 38
State: TX

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

Lab Data:

Allergies:

Symptoms: Symptoms - EE reports after vaccine she waited the 30 minute observation period and felt fine. At approximately 7:00 pm EE reports she went to store and when she went to get out of her car she felt really dizzy. EE reports she hadn?t eaten much that day so tried to eat some chocolate covered pretzels and coke. EE denied syncope. EE reports she started feeling ?chest tightness? and starting panicking. EE denies airway issues and SOB. EE said she got nervous and went to Hospital across the street for assessment. EE reports at triage her SPO2 was 100% but slightly tachycardiac. EE reports after her triage assessment she called her daughter to come pick her up and did not seek further medical care. EE reports when she got home she started with generalized itchiness, denies rash. EE reports she took 50 mg Benadryl, 25 mg Atarax, and 40 mg Pepcid at 8:45 PM. EE reports not change in itchiness and took 2nd dose of 50 mg Benadryl around 01:30 (1/14). EE reports she woke up around 06:45 (1/14) with bilateral arm bruising from scratching overnight per EE and feeling chilled. Last day of work and shift - ? scheduled to work tonight (1/14) Home remedies? ? see symptoms for home remedies Any improvement? ? mild improvement Recommendation? EE encouraged to continue to monitor symptoms and to contact EH vaccine support line with further questions or concerns. EE encouraged to take Claritin and Benadryl as outline by the Medical Directive at TCH. EE educated to only take Benadryl if she will be at home today and that is she unable to take Benadryl when at work, EE verbalized back understanding. EE educated if she is still feeling unwell for her shift tonight, to notify her manager and to manage per hospital Illness in the Workplace Policy. EE denied further questions at this time.

Other Meds:

Current Illness:

ID: 0943188
Sex: M
Age: 28
State: IN

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: No Known Allergies

Symptoms: Started having symptoms starting late on the night of the vaccination. Prominent headache, aches all over body, and exhaustion. Low-grade fever noted the following morning of 100.3. Tylenol taken to alleviate all symptoms

Other Meds: Men's one a day multivitamin

Current Illness: None

ID: 0943189
Sex: M
Age: 62
State: CA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Swelling in axilla on same side as vaccine. Vaccine given in deltoid. Swelling in axilla. Does not appear to be infectious; no redness, no temperature. No parasthesia to hand. Parasthesia to site only. Started the day after the vaccination, which was

Other Meds: Vitamin d; fish oil; nsaid;

Current Illness: None

ID: 0943190
Sex: F
Age: 49
State: FL

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: none

Allergies: no

Symptoms: swollen lymph nodes under arm

Other Meds: Blood pressure

Current Illness: none

ID: 0943191
Sex: M
Age: 49
State: AL

Vax Date: 12/21/2020
Onset Date: 12/26/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: COVID-19 Test with positive result on 12/28/2020.

Allergies:

Symptoms: Body aches and chills began on 12/26/2020. Continued body aches and loss of sense of smell on 12/27/2020.

Other Meds:

Current Illness:

ID: 0943192
Sex: M
Age: 66
State: RI

Vax Date: 12/18/2020
Onset Date: 12/30/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Sulfa, Penicillin

Symptoms: I received the first dose of injection and within ten days later I started to have body aches but no fever. I developed a rash at the injection side, left arm. The rash was 2in x 3in and was very itchy. I talked to my HCP and he looked at my rash. He stated it looked like Lyme disease and he placed me on Docycycline medication as a precautionary. He also took pictures of my rash for documentation.

Other Meds: Simvastatin 20mg OD, Lunesta 3mg QHS, Dexilient 60mg OD, Pepcid AC 40mg QAM, Tramadol 50mg BID

Current Illness: No

ID: 0943193
Sex: M
Age: 35
State: KY

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Covid test done and negative result per pt.

Allergies: NKDA

Symptoms: Pt. said" Yesterday morning he started with feeling fatigue, then Headache, then Nausea, He took tylenol and his symptoms were less, then woke this morning with Numb and tingling left arm, so went to urgent care facility.

Other Meds: no

Current Illness: NONE

ID: 0943194
Sex: F
Age: 38
State: TX

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

Lab Data:

Allergies:

Symptoms: Symptoms - EE reports after vaccine she waited the 30 minute observation period and felt fine. At approximately 7:00 pm EE reports she went to store and when she went to get out of her car she felt really dizzy. EE reports she hadn?t eaten much that day so tried to eat some chocolate covered pretzels and coke. EE denied syncope. EE reports she started feeling ?chest tightness? and starting panicking. EE denies airway issues and SOB. EE said she got nervous and went to hospital across the street for assessment. EE reports at triage her SPO2 was 100% but slightly tachycardiac. EE reports after her triage assessment she called her daughter to come pick her up and did not seek further medical care. EE reports when she got home she started with generalized itchiness, denies rash. EE reports she took 50 mg Benadryl, 25 mg Atarax, and 40 mg Pepcid at 8:45 PM. EE reports not change in itchiness and took 2nd dose of 50 mg Benadryl around 01:30 (1/14). EE reports she woke up around 06:45 (1/14) with bilateral arm bruising from scratching overnight per EE and feeling chilled. Last day of work and shift - ? scheduled to work tonight (1/14) Home remedies? ? see symptoms for home remedies Any improvement? ? mild improvement Recommendation? EE encouraged to continue to monitor symptoms and to contact EH vaccine support line with further questions or concerns. EE encouraged to take Claritin and Benadryl as outline by the Medical Directive at hospital. EE educated to only take Benadryl if she will be at home today and that is she unable to take Benadryl when at work, EE verbalized back understanding. EE educated if she is still feeling unwell for her shift tonight, to notify her manager and to manage per hospital Illness in the Workplace Policy. EE denied further questions at this time.

Other Meds:

Current Illness:

ID: 0943195
Sex: F
Age: 57
State: MA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Booked an emergency appt with an Opthamologist at the hospital's eye clinic. They dilated my eye and did a comprehensive exam of my eye.

Allergies: Tetracycline, Whisk laundry detergent, mosquitos, MetroGel

Symptoms: Pfizer-BioNTech COVID-19 At about 7:30 pm, approx 7-8 hour post injection, I had some jaw tightness and began to see flashing lights out of the left side of my left eye. They were still present when I awoke at 5:30-6:00 am on Tuesday.

Other Meds: None

Current Illness: None

ID: 0943196
Sex: F
Age: 39
State: WI

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Within minutes of getting the vaccine I had a brief(maybe 30 seconds) episode of dizziness. I didn't have any other symptoms during my 15 min observation period, but when I got to my car to leave the hospital, I had another episode of dizziness that lasted a couple minutes and then stopped. I didn't have any other incidents of dizziness, but started feeling fatigued and had chills that afternoon. Tuesday evening I had a slight fever, diarrhea, tachycardia, and palpitations. Over night I developed body aches. Most of the symptoms were pretty much gone within 24 hrs, but the fatigue and tachycardia lasted into Friday. My heart rate was consistently 115-125 bpm from Tuesday evening through Friday.

Other Meds: Entyvio, Propranolol, Vitamin B12, Vitamin D, Omeprazole, Mirena IUD

Current Illness: none

ID: 0943197
Sex: F
Age: 36
State: AL

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: Levaquin

Symptoms: Site red continues to spread top of shoulder now red, hard and swollen worse daily instead of better. No fever since second day but site hot to touch

Other Meds: Naproxen

Current Illness: Lupus

ID: 0943198
Sex: F
Age: 16
State: AZ

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: None reported

Symptoms: Error: Wrong Vaccine Formulation (ex. different manufact. initial and booster)

Other Meds:

Current Illness:

ID: 0943199
Sex: F
Age: 47
State: FL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: N/a

Allergies: N/A

Symptoms: Had Covid 7 months prior. Same symptoms. Extreme body aches, chills, fatigue and nausea.

Other Meds: Crestor Trintellix

Current Illness: None

ID: 0943200
Sex: F
Age: 28
State: NY

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: N/A

Allergies: crustaceans Contact reactions: propolis balsam of Peru propylene glycol methylchloroisothiazolinone-methyisothiazolinone

Symptoms: Hives on left arm several inches from vaccination site and one hive present on left thigh - patient unable to wait the 15 minutes, sx occurred 5 minutes post vaccination. Itching occurring on left arm and thigh and chest. No respiratory or cardiac symptoms. Self-administered Claritin after sx occurred.

Other Meds: Claritin 10 mg - 30 mins post symptoms

Current Illness:

ID: 0943201
Sex: M
Age: 39
State:

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

Lab Data:

Allergies:

Symptoms: 1. Dizziness 2 hours after injection. On and off dizziness 24 hours after injection. 2. Minor Right arm pain at injection site.

Other Meds:

Current Illness:

ID: 0943202
Sex: F
Age: 24
State: NC

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Urine Pregnancy Test 01/08/2021(-)

Allergies: Amoxicillin Shellfish-anaphylaxis Iodine-anaphylaxis Sulfa PCN-anaphylaxis Benadryl-paradoxical reaction

Symptoms: Employee began feeling lightheaded and dizzy and very hot. Employee layed down on stretcher and stated she felt better, but was quite dizzy and lightheaded. Employee reported tingling in her fingers and toes and a bad headache.

Other Meds: Albuterol 1-2 puffs Q4-6H PRN wheezing, Amphetamine-destramphetamine 5mg BID

Current Illness: N/A

ID: 0943203
Sex: F
Age: 48
State: WI

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

Lab Data: Seen and treated for allergic reaction in our ED.

Allergies: PCN

Symptoms: Immediate flushing followed by HTN and rash. Became dizzy and throat "tightness". Was surprised at the reaction since she is ex-military and had received a full complement of vaccine for overseas deployment with no issues.

Other Meds: acetaminophen-caffeine (EXCEDRIN TENSION HEADACHE) 500-65 mg Tab TAKE 1 PACKET BY MOUTH 2 (TWO) TIMES DAILY WITH MEALS . cholestyramine (QUESTRAN) 4 gram packet Inject 0.3 mLs into the muscle Once As Needed for up to 1 dose. (Anaphylaxis)

Current Illness: None

ID: 0943204
Sex: F
Age: 42
State: PR

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The day of the vaccination blood pressure went up. Then on 01/13/2021 she developed some rash starting by earas, eyes and then all over body. Patient refers she also take Methotrexate for her medical conditions.

Other Meds:

Current Illness:

ID: 0943205
Sex: F
Age: 23
State: CA

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

Lab Data:

Allergies:

Symptoms: Fever migraine dizziness sore arm body weakness

Other Meds:

Current Illness:

ID: 0943206
Sex: F
Age: 53
State: TX

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: No

Allergies: NKDA

Symptoms: I experienced soreness at the sight of injection, lymph nodes swollen and sore under left arm, body aches, chills, tiredness. I took 2 Aleve before injection and Benadryl 25mg at 9p after injection.

Other Meds: Metformin 500mg, Lisinopril/HCTZ 20-25mg, Diltiazem 240mg, ASA 81mg

Current Illness: No

ID: 0943207
Sex: M
Age: 49
State: NY

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: About 24 hours after receiving vaccine, noticed very slight pain and small blistering in right cheek area on face. Did not think too much of it at first, however the area grew a little and swelled up. Consulted with my doctor and they diagnosed Shingles. Am currently prescribed Valtrex for shingles.

Other Meds: Omeprazole, Tart cherry supplement, zinc picolonate.

Current Illness: none

ID: 0943208
Sex: M
Age: 47
State: GA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: COVID test (neg), Flu test (neg), Pneumonia (neg) date 01/12/2021

Allergies: Allergic to pecans

Symptoms: Dizziness, heart racing, nausea, severe body aches, fever, chills, difficulty breathing, extreme gas, cramps. Was transported the Hospital and received zofran, atavan, morphine and tested negative for COVID 19 and flu and pneumonia. released after four and a half hours but continued to experience pain in muscles and fever even today (01/14/2021).

Other Meds: Alprazolam, Duloxetine

Current Illness: None

ID: 0943209
Sex: F
Age: 29
State: VT

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: I had a fever and chills at night and also a headache, I felt nauseous, vomiting and difficulty breathing. I could not sleep that night after I received my vaccine. I decided not to go the ER and slept it off I woke up much better next morning. I saw a Doctor a couple of days later because I had shortness of breathing and a high heart rate while I was at work. He just told me to take it slowly at work. No meds. I then started working part-time for some weeks and am being introduced again now to my regular scheduled.

Other Meds: Metasopine, Melatonin, Magnesium, orthocyciline (birth control pill)

Current Illness: COVID - positive test on 12/01/2020

ID: 0943210
Sex: M
Age: 50
State: AZ

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I already had high BP, and was being treated. Not sure if it is stress given everything going on in the news, but BP did spike into the urgent zone, but has since come down. My PA prescribed Hydralazine to address....not completely sure this is related to the Pfizer dose. Also, stomach is a tad "crampy" on the 3rd day so I took off from work.

Other Meds: Dil tiazem 24 hr 300 MG cap NP Thyroid 90 MG tablet Hydralazine (as a result of recent BP elevation)

Current Illness:

ID: 0943211
Sex: F
Age: 57
State: MN

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

Lab Data:

Allergies:

Symptoms: Headache, chills, fever, dizziness, sweating

Other Meds: Zoloft

Current Illness:

ID: 0943212
Sex: M
Age: 10
State: MD

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

Lab Data: None

Allergies: NONE

Symptoms: Patient was sitting on exam table; he was talkative and alert until after receiving third injection, HPV. Patient suddenly slumped forward and then backward. He was placed in the lying position onto his right side. Eye rolling and upper body jerking was noted for less than 30 seconds. Patient became alert and was able to recall the previous events after about 2 minutes. He was kept in an upright position and given ginger ale. Father of patient reported that the patient had nothing to eat or drink prior to visit. After another 10 minutes, patient was back to baseline. Nearly, 24 hours later, patient's family was contacted via phone. Patient has continued to do well and has no complaints

Other Meds: NONE

Current Illness: HEADACHE, ALLERGIC RHINITIS

ID: 0943213
Sex: F
Age: 36
State: MN

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

Lab Data: None, although I did ask my GP if I need to take Benadryl in regards to the rash as I have never had a viral rash this bad before. No problems breathing currently.

Allergies: None

Symptoms: Body aches, joint pain, malaise, viral rash extending from trunk up my neck and into my scalp, started the night of the vaccine and continuing today, two days post.

Other Meds: Multivitamin chew, probiotic, astragalus, N-acetylcysteine, calcium, vitamin d, herbal hormone supplement containing black cohosh, maca root, chasteberry and dong quai.

Current Illness: None

ID: 0943214
Sex: F
Age: 50
State: OH

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

Lab Data: N/A

Allergies: Lisinopril (coughing and choking), Cardizem (facial, hand swelling)

Symptoms: Bone and joint pain 12/30/20 @7pm through 12/31/20. I took Tylenol 1000mg for pain relief.

Other Meds: Adderall XR 30mg QAM, Adderall 20MG BID, Norvasc 5mg QD, Metoprolol 100mg QD, Simvastatin, Multi-Vitamin (1-A-Day, Woman),

Current Illness: None

ID: 0943215
Sex: F
Age: 34
State: NY

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Sore arm feeling tired

Other Meds: Ibprofen

Current Illness: No

ID: 0943216
Sex: F
Age: 40
State: NY

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

Lab Data: Patient being seen by PCP on 1/14/21

Allergies: None

Symptoms: Patient reported nausea, fatigue on day 1 Redness, swelling, warmth, tenderness on day 2 to the underside of the right arm

Other Meds: Nasal spray, cirtrizine, ibuprofen, montelukast, norethindrone, olopatdine eye drops, tramadol, trazadone

Current Illness: None

ID: 0943217
Sex: F
Age: 27
State:

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

Lab Data:

Allergies: Bactrum Green beans (soy product) Some soy products (not all) Mountain Dew slushees

Symptoms: Sudden severe arm and shoulder pain (left side) along with severe neck pain. I was unable to move my neck for about an hour. As well as left sided facial pain. Worst migraine of my life. Right leg/foot spasms. Heart palpitations, difficulty catching breath, Following day-moderate neck pain, headache, and very sore left arm, nausea, left shoulder pain

Other Meds: Concerta, fluoxetine, modafinil, tolteradine, xyrem, and yaz

Current Illness: None

ID: 0943218
Sex: F
Age: 23
State: FL

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: N/a

Symptoms: Large hematoma formed 6 days after injection, lots of redness, swelling, itchiness. Looks raised and exophytic, approximately 10mm in diameter.

Other Meds: N/a

Current Illness: N/a

ID: 0943219
Sex: F
Age: 37
State: MI

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

Lab Data: None

Allergies: None

Symptoms: Severe chills/severe shaking, tiredness, headache, muscle pain, pain at injection site, nausea, not feeling well. I had to stay home from work the day after the vaccine, I stayed in bed all day with a space heater on to 90 degrees in my bedroom just to get rid of the chills, I took Motrin 800 mg around the clock, Zofran as needed and I drank a lot of water.

Other Meds: Women's Multivitamin

Current Illness: None

ID: 0943220
Sex: F
Age: 43
State: NJ

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital: Y

Lab Data: N/a

Allergies: No

Symptoms: Began with tingling/itching to tongue and roof of mouth approx 15 minutes after administration, progressed to tingling of lips, was sent to the ED for observation. Within 20-30 minutes developed cough, throat tightness, difficulty swallowing, breathing, vomiting, shortness of breath. Noted to have uvular swelling and wheezing on examination. Given Benadryl, Pepcid, Solumedrol, Zofran, Albuterol MDI, Epi IM. within a few minutes symptoms returned and were worse where I felt like I could not breathe, throat was closing, could not talk. Noted to be pale, HR in 140?s. Given second dose of epi IM and symptoms improved. Was transferred to Obs Unit., within 2 hours (approx 6 hours after administration), developed SOB, throat tightness, cough, vomiting, difficulty breathing. Again noted to have swelling of uvula, wheezing on exam. Given Solumedrol, Benadryl, SQ epi, Albuterol, Racemic Epi nebulizer. Was transferred to ICU, all meds held except Pepcid. Day #2 ~10 am (25 hours from administration) developed throat tightness, diffuse red rash to arms, difficulty breathing, vomiting. Again noted to have uvular swelling and wheezing. Given Solumedrol, Benadryl, Pepcid, Albuterol MDI, Racemic Epi neb. Solumedrol started q12hour dosing. Strange feeling/fullness in throat continued all day, got additional racemic Epi neb that night with improvement of symptoms. Following morning (day#2 after vaccine) noted to have diffuse red rash to chest and face, spread to arms, then began coughing. Given Solumedrol, Pepcid, Benadryl, Advair, Racemic Epi nebulizer. Solumedrol changed to q8 dosing. Approx 4 hrs later nurse noted rash worse on face, associated with itching, throat tightness. Given additional Benadryl, Racemic Epi neb with improvement. Rash continued that night with throat tightness, got additional Benadryl and Racemic Neb that night (total of 3 Racemic nebulizer on Day#2 post vaccine). Transferred to telemetry floor. Day#3 post vaccine rash improved, but still present to chest and face. Throat fullness present, especially after drinking. Am still hospitalized while writing this report

Other Meds: Multivitamin

Current Illness: No

ID: 0943221
Sex: F
Age: 69
State: TX

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: On 1/7/2021 had severe headache all over head and neck. Aspirin did not do anything. I don't get headaches. After a few hours it went away on its own. On 1/13/2021 started out in the morning with itching on area where shot was given. Then a rash in that same area. Then by the afternoon my arm swelled up covering a large area around where shot was given. It was hard like a knot. Today, 1/14/2021 it is still itching, red around swollen area. Swollen area is not as large as yesterday.

Other Meds: Digoxin 125 MCG (1-daily) Baby aspirin (1-daily) Calcium supplement (1-daily) Women's 50 plus multi-vitamin (1-daily)

Current Illness: None

ID: 0943222
Sex: F
Age: 43
State: ME

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Injection site pain Tender/tight lymph nodes (L axillaire, L neck, L jaw) Muscle Aches (whole body, esp L shoulder, L upper back, L neck, L jaw) Joint aches (whole body, esp L shoulder, L jaw) Fatigue Sharp, intermittent shooting pain in shoulder Headache Effects most pronounced night of and day after vaccine, but persisting to lesser degree still on day 3 (today)

Other Meds: Synergy Women?s Once Daily Multivitamin (1 PO SID) Garden of Life Vitamin Code Raw B-Complex (1 PO SID) Vitacost Magnesium Ultra 300mg (2 PO SID) Nature?s Bounty Garlic Extract 1000mg (3-5 PO SID) SuperiorSource D3 1000 IUs (4 sublingual SI

Current Illness: N/A

ID: 0943223
Sex: F
Age: 64
State: MA

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: Blood tests 1/7/21: negative Lyme and RPR, normal B12, unremarkable BMP except for a BUN/creatinine ratio of 28.6. Brain MRI 1/7/21: No acute intracranial abnormality or lesion, "nonspecific white matter FLAIR hyperintense foci, likely sequel of chronic small vessel ischemic changes."

Allergies: Omeprazole, esomeprazole, shingles vaccine

Symptoms: The night of vaccination (12/28/20), pt developed mental "fogginess" with impaired alertness, remained oriented x4. She saw her primary care physician who ordered bloodwork and a brain MRI. On 1/8/21 pt reported that the mental fogginess had improved but she had developed a rash at the injection site. The rash cleared by 1/14/21.

Other Meds: Pantoprazole, Vitamin D, Calcium

Current Illness: None known

ID: 0943224
Sex: F
Age: 81
State: IN

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

Lab Data: Multiple blood tests, CT of head, MRI of head and brain, EKG,

Allergies: NKA

Symptoms: Sudden onset of severe weakness in both legs 11 hours after vaccine was given. Could not walk.

Other Meds: cholestyramine 1 tsp/day biotin1000mCg/day vitamin d 3 1/day B12 !000mCg/day Multivitamin 1/day

Current Illness: None

ID: 0943225
Sex: F
Age: 57
State: CO

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: NONE

Symptoms: 8 DAYS AFTER COVID 19 INJECTION I DEVELOPED A LARGE RED WARM TO THE TOUCH LUMP ON MY ARM WHERE THE INJECTION WAS GIVEN. MY ARM HURTS AND THE PAIN GOES DOWN MY ARM. I HAVE BEEN SHORT OF BREATH A BIT AND A LOT MORE WHEN I RUN OR GO UP STAIRS. I HAVE HAD "CHARLIE HORSE" LEG PAIN X 4 IN LESS THEN A WEEK. I FEEL A BIT NAUSEA AND DIZZY. THIS IS NOT AT ALL NORMAL FOR ME

Other Meds: NONE

Current Illness: NONE

ID: 0943226
Sex: F
Age: 26
State: MD

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

Lab Data:

Allergies:

Symptoms: Starting the day after the vaccine she had fatigue, fever, and a swollen and painful axillary lymph node on her left underam.

Other Meds:

Current Illness:

ID: 0943227
Sex: F
Age: 37
State: OH

Vax Date: 01/08/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: n/a

Allergies: amoxicillin

Symptoms: vaccine received on 1/8/21. On 1/13/21 left arm pit lymphnode has begun to swell. It is very tender to the touch and visibly noticeable

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm