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: 0944735
Sex: F
Age: 44
State: WI

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

Lab Data: Tested on 1/5/2021 and was negative for COVID. Tested on 1/8/2021 and was negative for COVID and had CT scan and was negative for clots.

Allergies: Tomatoes

Symptoms: Per patient report: On 1/1/2021 she started to have a fever, HA, ear pain, neck pain (back of neck), and muscle aches in upper back. This continued through the weekend. On Wednesday, 1/6/2021, she saw a provider for ear pain, chest pain (radiating to right arm). She was not prescribed/given treatment regimen. On Thursday, 1/7/2021, night, she started to have vomiting diarrhea, and chest pain. On Friday, 1/8/2021, she went in to be seen for chest pain and r/o PE. States she has a history of PE and had a CT performed, no clots found. EE states does not have vomiting and diarrhea from 1/13/2021 for the first time since the start of this symptoms. Continues to have GI issues: decreased appetite and upset stomach. Also states she feels very fatigued.

Other Meds: Vit D 5000 units QD ASA 81mg QD Escatalopram 20mg QD Buproprian 150mg QD Metroprolol 20mg QD Albuterol inhaler prn

Current Illness: None

ID: 0944736
Sex: M
Age: 33
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient reports lightheadedness, fatigue, chills, hot flashes, sore throat, loss of appetite, light cough and nausea when consuming food or water

Other Meds:

Current Illness:

ID: 0944737
Sex: M
Age: 33
State: TX

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

Lab Data:

Allergies:

Symptoms: Soon after vaccination in left deltoid, "the injection site began to swell, was red, hot to touch and painful; swelling went down in 2-3 days. On day 5 after injection, the site began to swell again, was red and hot and itchy. It all went away on the January 9 - 10th weekend."

Other Meds:

Current Illness:

ID: 0944738
Sex: F
Age: 51
State: OR

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Severe headache middle of night first night accompanied by nausea Moderate headache next 48 hrs Fatigue Aches first 24 hrs more unusual reaction => starting on day 2, hives/rash over most of the body for <24hrs

Other Meds: estrogen birth control

Current Illness: none

ID: 0944739
Sex: F
Age: 36
State: KY

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

Lab Data: N/A

Allergies: Allergies to several things

Symptoms: Employee received vaccine. Within minutes she had red blotches and a rash on neck and down trunk area and coughing/shortness of breath. Employee was administered liquid benedryl for the minor allergic reaction.

Other Meds: Unknown

Current Illness: None

ID: 0944740
Sex: F
Age: 40
State: PA

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

Lab Data: No testing done. My doctor prescribed steroid cream which I will start using today.

Allergies: Amoxicillin

Symptoms: Rash inside both elbows, and on back of legs. Left side is worse then right side. I had the shot on my left side. Very itchy and feels scaly. Slightly raised small red bumbs.

Other Meds: Wellbutrin XL 300 mg Zyrtec D CBD oil Vitamin D and K

Current Illness: No

ID: 0944741
Sex: F
Age: 52
State: CT

Vax Date: 12/22/2020
Onset Date: 12/28/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: I?m allergic to ConTrac dye . Apple, pears , sulfate , bike it in Vicodin Percocet

Symptoms: None stated.

Other Meds: Two days after the vaccine, My throat was hurting for three days a week after I started to get dizzy pressure in my head two weeks later I still have the symptom

Current Illness: My throat was hurting for three days a week after I started to get dizzy pressure in my head two weeks later I still have the symptom , I am worry

ID: 0944742
Sex: M
Age: 31
State: MD

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

Lab Data:

Allergies: None

Symptoms: Blurred vision, lightheadedness

Other Meds: None

Current Illness: None

ID: 0944743
Sex: F
Age: 49
State: WA

Vax Date: 12/28/2020
Onset Date: 01/10/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Saw primary care physician, no treatment prescribed. Just to monitor rash.

Allergies: none

Symptoms: Red raised rash to right upper arm about 8 inches long by 3 inches wide, irregular in shape, hot to touch, not itchy. After about 4 days of rash being present, it is still present but less pronounced.

Other Meds: multivitamin, calcium, omeprazole

Current Illness: none

ID: 0944744
Sex: F
Age: 63
State: VT

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

Lab Data: None

Allergies: None

Symptoms: Delayed over a week later redness at the injection site. About the size of a dime.

Other Meds: Albuterol. Estradol

Current Illness: None

ID: 0944745
Sex: F
Age: 41
State: VA

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

Lab Data: Saw my primary care dr day after the redness and reaction occurred (day 8 after first dose of vaccine). No lab tests but was given an anti fungal cream and an oral antibiotic.

Allergies: None

Symptoms: Redness, swelling, and warm to the touch area measuring 3.5cm around the injection site 1 week after first dose. Slight itching at times but no pain or limited Range of motion to the arm.

Other Meds: Multi vitamin

Current Illness: None

ID: 0944746
Sex: F
Age: 63
State: NY

Vax Date: 01/02/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: none

Allergies: allergy to cats

Symptoms: delayed injection site reaction : reddish, elevated rash, itching , discomfort as if another shot had been given, measured 1- 1/2 inches by 2- 3/4 inches and it has stayed the same size. Woke up with it on 1/11, the 9th day after injection. Today is 1/14 and it is improving, but still present, less red, less painful, less itchy. Used a small amount of topical Betamethasone on 1/11 and 1/12.

Other Meds: Aspirin 81 mg, Anastrazole, Lialda, Vitamin D, Vitamin C, Vitamin E, optimized Folate

Current Illness: none

ID: 0944747
Sex: F
Age: 33
State: TX

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

Lab Data:

Allergies:

Symptoms: Achy, feeling cold, headache, TMAX 99.8. No treatment and no improvement. Outcome: Will continue to monitor symptoms.

Other Meds:

Current Illness:

ID: 0944748
Sex: F
Age: 63
State: NY

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

Lab Data: None

Allergies: IV contrast

Symptoms: Fever, chills, weakness, fatigue

Other Meds: Lipitor, co q 10, aspirin, vitamin D

Current Illness: None

ID: 0944749
Sex: F
Age: 38
State: MI

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

Lab Data: None

Allergies: Sulfa drugs

Symptoms: Tingling (pins and needles) in bilateral hands, lasted approximately 24 hours, now improving but not resolved No treatment yet

Other Meds: Advil, multivitamin

Current Illness: Cold/flu-like illness one week prior (tested Covid negative)

ID: 0944750
Sex: F
Age: 55
State: HI

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

Lab Data:

Allergies:

Symptoms: fatigue, nausea, generalized feeling "junk"

Other Meds:

Current Illness:

ID: 0944751
Sex: F
Age: 30
State: IN

Vax Date: 12/26/2020
Onset Date: 12/27/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Migraine, stiff neck, and body aches

Other Meds: Trazodone, Zoloft, pulmicort

Current Illness: No

ID: 0944752
Sex: F
Age: 54
State: CA

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

Lab Data:

Allergies: History of allergies with anaphalaxis to Bee, sodium nitrate and sulfa.

Symptoms: Patient at mass vaccination site and being monitored in 30 minute area in her car after Moderna vaccine. History of allergies with anaphalaxis to Bee, sodium nitrate and sulfa. At approximately 10 minutes the 15 minutes later had onset of rash and tightness of her throat. Over the next 15 minutes developed a rash on her chest. Given Benadryl 50 milligrams 25 minutes after her vaccine immediate when rash began. EpiPen about 30 minutes after her vaccine due to increasing symptoms of chest tightness without any improvement. Patient with stable vital signs. Blood pressure 157 sats 97 pulse is 104. Chest clear bilaterally. Able to talk and answer questions. Paramedics called prior to Epipen and they arrived before next dose due. At their arrival they took over care and gave second Epi and transported to the hospital.

Other Meds:

Current Illness:

ID: 0944753
Sex: M
Age: 16
State: MI

Vax Date: 06/30/2020
Onset Date: 06/30/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Temperature excursion and vaccines was deemed unsupported by manufacturer and should not have been given

Other Meds:

Current Illness:

ID: 0944754
Sex: F
Age: 54
State: MA

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

Lab Data: SARS TEST SWAB WAS TAKEN

Allergies: none

Symptoms: TEMP LOSS SENSE OF TASTE BODY ACHES, MUSCLE CRAMPS, FATIGUE SEVERE HEADACHE DIZZINESS LIGHT HEADED

Other Meds: none

Current Illness: none

ID: 0944755
Sex: F
Age: 59
State: WI

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

Lab Data: No

Allergies: Ciprosoaxacin

Symptoms: Sweating and chills and coughing running noise, and over fatigue . Fever of 102.

Other Meds: Vitamin C, Budesonide Breathing Treatment, Benzonatate 100mg , Furosemide 20mg, Loratadine 10 mg, Estradiol 1 mg, Tylernol 500mg, Baby asprin, Senofrbarte 145 mg Levothyroxine 25 mg

Current Illness: No

ID: 0944756
Sex: F
Age: 42
State: VA

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

Lab Data:

Allergies: lisinopril, shell fish

Symptoms: Received the second dose of the COVID vaccine on 1/8/2021. She had some side effects including injection site soreness, chills, and fatigue over the weekend following the vaccine. The fatigue has been present all week and got worse last night (1/13). Her temperature has been fairly normal since the second dose, but today (1/14), her temperature went up to 100.1 and has been fluctuating throughout the day, staying mostly at about 99.4. States she does not feel sick, but reports feeling "off." Reporting the symptoms because it feels like they are continuing well after receiving the vaccine. Also reports that her arm was a little itchy over the weekend around the area where she received the injection

Other Meds: irbesartan, hydrochlorothiazide, labetalol omeprazole, allegra, flonase, birth control

Current Illness: allergies

ID: 0944757
Sex: F
Age: 27
State: OH

Vax Date: 01/04/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: My arm was sore and tender for the first day after receiving the first dose of the vaccine. I had no other symptoms at the time. About 7 to 8 days after the first dose of the vaccine, my arm became red and warm at the injection site, and the redness continued to spread over the next day or two. I still have no other symptoms and feel fine overall. I will try an antihistamine to see if that resolves the redness and will see a physician if no improvement in a day or two.

Other Meds:

Current Illness:

ID: 0944759
Sex: F
Age: 50
State: WA

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

Lab Data: n/a

Allergies: sulfa

Symptoms: On Jan 13th I started developing soreness, redness, and the area around the injection site is raised. Today, Jan 14th it continues to be red, raised, and slightly itchy, and warm to the touch.

Other Meds: Vitamin D, collagen, B-3, magnesium,

Current Illness: n/a

ID: 0944760
Sex: F
Age: 33
State: AL

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: sulfa

Symptoms: lymph node edema left collar bone

Other Meds:

Current Illness:

ID: 0944761
Sex: F
Age: 64
State: IN

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: Keflex

Symptoms: 1/9/21 & 1/10/21 Body ache, dizziness, fatigue, nausea. No fever

Other Meds: Lisinopril Venlafaxine Omeprazole ASA Calcium Citrate Vitamin D Zyrtec Women?s Multivitamin

Current Illness: None

ID: 0944762
Sex: F
Age: 35
State: OH

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

Lab Data: None

Allergies: none

Symptoms: During the night I started to get achy. By morning, I was hot, then cold all day long. nausea. severe muscle aches, skin hurt, hurt to breathe because my ribcage hurt. severe pain in neck and spine. Fatigue. Arm pain from the injection. I took Advil and it helped but I had to take it every 3 hours during the day. When the Advil wore off, the symptoms returned.

Other Meds: none

Current Illness: none

ID: 0944763
Sex: F
Age: 33
State: IN

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

Lab Data:

Allergies: Latex, sucralose, z-pack, benzoin

Symptoms: Diarrhea

Other Meds: N/a

Current Illness: None

ID: 0944764
Sex: F
Age: 23
State: IL

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

Lab Data:

Allergies:

Symptoms: Per MD Vasodilation reaction occurred, could of been anything.

Other Meds:

Current Illness:

ID: 0944765
Sex: F
Age: 35
State: PA

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

Lab Data:

Allergies: None

Symptoms: On 1-13-21, I experienced a severely swollen, red, and warm area, approximately 3 inches in diameter at the injection site. My axillary lymph nodes were very swollen and painful. I also had a headache and felt a lot of fatigue and body aches. I also had some paresthesia in my hand that would come and go randomly.

Other Meds: Beyaz Multivitamin Rogaine Excedrin

Current Illness: None

ID: 0944766
Sex: F
Age: 44
State: NC

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Redness. Swelling, warm to touch

Other Meds:

Current Illness:

ID: 0944767
Sex: F
Age: 46
State: MO

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

Lab Data: Sent to emergency room for observation

Allergies: Sulfa and codine

Symptoms: Itchy, rash within 5 minutes of injection - given Pepcid, prednisone, benedryl and also a prescription for epipen Took prednisone, benedryl and Pepcid for a few days and notified PCP

Other Meds: Symbicort inhaler, fioricet, albuterol inhaler, adderall, effexor,

Current Illness:

ID: 0944768
Sex: F
Age: 40
State: TX

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

Lab Data: Rapid covid19 test was was done and results were negative. PCR test was done. Pending results

Allergies: N/A

Symptoms: Pain on vaccinated area, redness, itching a day after vaccine given. Headache one week after vaccine given, Diarrhea 13 days after vaccination.

Other Meds: N/A

Current Illness: N/A

ID: 0944769
Sex: F
Age:
State: FL

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

Lab Data: None

Allergies: Cipro, ACE Inhibitors, Dilantin, Simbicort Lactose intolerance Latex

Symptoms: Bad Headache, in eyes, forehead, back of neck on right, joint pain in left hip through left waisted, stuffy runny nose, pain in center of stomach, last 15 hrs of nausea

Other Meds: Atorvastatin, Buspirone, Creon, Gabapentin, lamotrogine, magnesium oxide, metformin, pantaprazole, telmisartan, tizanidine, venflaxine, Integra Plus, almodipine. Just completed 12 doses of Firflorinox chemotherapy treatments. Novolog insu

Current Illness: Pancreatic Cancer, Diabetes, Seizure Disorder, Depression

ID: 0944770
Sex: F
Age: 39
State: VA

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Possibly eggplant and red onions

Symptoms: Itching and burning day #1 Itching, redness, small bump day #3 Day #7 and #8 large 4"x3" area of induration/erythema/puritis/warmth. Very hot, hard, and itchy. Also, intermittant headache, fatigue, runny nose, sneezing.

Other Meds: Armour thyroid 135mg/day Vitamin D2 50,000 units/week Ibuprofen 1800-3600mg/week

Current Illness: N/a

ID: 0944771
Sex: F
Age: 62
State: TX

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

Lab Data: None

Allergies: None

Symptoms: Soreness at the injection site. Chills, sore throat. slight fever. headache

Other Meds: Losartan 50 mg Vitamin D protonix for acid reflux

Current Illness: Flu Virus

ID: 0944772
Sex: F
Age: 47
State: AZ

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

Lab Data:

Allergies: Penicillin Sulfa

Symptoms: I was a little itchy and took a Benadryl

Other Meds: Lisinopril Triamterene Zoloft Phentermine HCL - took it just that day

Current Illness: None

ID: 0944773
Sex: M
Age: 54
State: OR

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache 7/10, Temp 99.8F, light sensitivity, myalgia

Other Meds:

Current Illness:

ID: 0944774
Sex: F
Age: 58
State: KY

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

Lab Data: N/A- Employee became sick after and has remained sick and out of work however this may be related to other illness or hx of cancer

Allergies: Unknown

Symptoms: Employee had irritated skin and rash extending down her trunk area and sides. Employee took liquid benedryl for the minor allergic reaction.

Other Meds: Unknown

Current Illness: Unknown

ID: 0944775
Sex: F
Age: 37
State: TN

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

Lab Data:

Allergies: None

Symptoms: Itching red rash that is painful and warm to touch. Benadryl cream placed for itching, followed by hydrocortisone cream and advil.

Other Meds: None

Current Illness: COVID Diagnosis on 12/28/2020

ID: 0944776
Sex: M
Age: 65
State: AL

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Blood work (antibodies present) X-ray, Chest EKG Swabbed for Corona Virus

Allergies: tinactin topical Celebrex

Symptoms: Pain at injection site, chills, fever, extreme fatigue, sleepy, and confusion

Other Meds: Morning prescription meds.

Current Illness: none

ID: 0944777
Sex: F
Age: 42
State: PA

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: Penicillins

Symptoms: Large urticarial rash on left bicep where I had received the injection 8 days previously. Itching resolved within an hour, rash resolved over next 48-72 hours

Other Meds: None

Current Illness: None

ID: 0944778
Sex: F
Age: 73
State: TX

Vax Date: 10/06/2020
Onset Date: 10/07/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Nausea, dizziness, weakness, extremely dry mouth, severe pain in right arm. Symptoms lasted approximately 12 hours.

Other Meds: Prednisone, Benazepril, Atorvastatin, Nasonex, Calcium supplement, Vit. D, flaxseed oil, Ocuvite, probiotic

Current Illness: None

ID: 0944779
Sex: M
Age: 38
State: CA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 3 hours debilitating fatigue, malaise, chills - resolved with acetaminophen on 1/31, returned on the first in the evening after eating and resolved with the same medication, 01/04 episode of debilitating fatigue, resolved on 01/05 without meds

Other Meds: Losartan, rosuvastatin, metformin

Current Illness: None

ID: 0944780
Sex: F
Age: 23
State: MD

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

Lab Data:

Allergies:

Symptoms: Near syncopal episode 1-2 minutes after vaccine. Patient was transported to ED

Other Meds:

Current Illness:

ID: 0944781
Sex: F
Age: 48
State: AZ

Vax Date: 01/07/2021
Onset Date: 01/10/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None.

Allergies: Allergic to Cipro (antibiotic)

Symptoms: I experienced brain fog and slight disorientation. Similar to how I have felt in the past with a high fever except I had no fever with this experience. The symptoms lessened as the day proceeded and by the next day were gone. No treatment needed and so far, no additional symptoms.

Other Meds: Losartan 50 mg, once daily

Current Illness: None

ID: 0944782
Sex: M
Age: 72
State: KY

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

Lab Data: CBC, Magnesium troponin ekg chest x ray ordered on 1/14, cardiology consulted, 2-1 atrial flutter. differential diagnosis palpitations, tachycardia, SVT, atrial fibrillation

Allergies: NKDA

Symptoms: on 1/14/21 patients HR 155 at 0800 per patient's home pulse ox device. arrived at ER, HR 148 at 1130. Continued to stay up even after 2 doses of 10mg iv push Cardizem and one dose of 30mg Cardizem. Cardizem drip started, heparin drip started, patient admitted to hospital

Other Meds: Ramipril 10mg daily aspirin 325mg daily rosuvastatin 10mg daily ezetimibe 10mg daily

Current Illness: NO KNOWN

ID: 0944784
Sex: F
Age: 56
State: CA

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

Lab Data: none

Allergies: None

Symptoms: Fever 103 Tylenol able to control fevers. Dizziness when standing headache and cough. Fever lasted 48 hours, Dizziness and cough lasted 1 day longer

Other Meds: Multivitamins

Current Illness: Asthma

ID: 0944785
Sex: M
Age: 54
State: AZ

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

Lab Data: Please get from the doctor

Allergies: None

Symptoms: When i woke up in morning to go for pee, I start feeling dizziness, so I set on the toilet seat for pee. I don't know what happen and I was lying on the floor with my front head hitting the floor, My wife was trying to revive me . I tried to get up but could not walk to my room and laid down back again on carpet floor, one minute later I tried again but could not gather the courage to laid on the bed and again laid on the bed room floor carpet. My wife gave me water and sprite to drink. I start feeling better and after 10 minutes later i could go to bed for rest. I called my doctor at 9:00AM for the appointment and visited doctor at 2:00PM. he checked and took tests and EKG but all the results came out to be fine.

Other Meds: None

Current Illness: None

ID: 0944786
Sex: F
Age: 67
State: NY

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None at this point

Allergies: sulfa-containing antibiotics

Symptoms: When I received the vaccine I had only a mild response, a bit of soreness only, that went away in 24 hours. Then on day 7 post immunization I developed a reaction at the injection site. There was a large (3 inch by 2 inch) raised reddish/pink area that was hard to the touch and warm. It itched slightly. It lasted 3 days and now it is starting to resolve.

Other Meds: benazepril HCL hydrochlorothiazide

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm