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: 0944938
Sex: F
Age: 37
State: MD

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

Lab Data:

Allergies:

Symptoms: after 10 minutes developed sensation of throat swelling, tongue tingling and facial flushing: transferred to ED: no intervention, observed for 3 hrs & d/cd

Other Meds:

Current Illness:

ID: 0944939
Sex: F
Age: 76
State: OK

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

Lab Data: None. Reported here before seeking medical attention.

Allergies: None known to me.

Symptoms: Within about 2 days a round red sore appeared on my left arm just below my elbow. Each day it became more sore and inflamed. Within one week it became filled with puss, erupted, bled and now seems to be filling with puss again. Now, within the last 2-3 days the injection site has suddenly developed a large red patch of mildly itchy irritation surrounding the site, with one or two other small patches starting to appear nearby. During the last few days I have also notice a dull pain coming and going in my left arm. Using my cell phone, I have taken photos of the sore in 3 stages and of the red injection area. Those photos could be submitted to my doctor or this office, via text, if helpful.

Other Meds: Levothyroxine 75 MCG, once daily Estradiol 1 MG, once daily Multi-Vitamins/Minerals Womens 50+ Plus: Vitamins D, C, B-Complex, Magnesium, Zinc, Quercetin, Curcumin

Current Illness: None

ID: 0944940
Sex: F
Age: 40
State: OH

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

Lab Data: none

Allergies: Doxycycline-Gi Upset Pcn-Anaphylaxis

Symptoms: redness swelling warmth and shoulder pain with movement. redness 10 cm x 8 cm

Other Meds: hydrochloathiazide, advair, sertraline, trazadone, tamoxifen

Current Illness: none

ID: 0944941
Sex: F
Age: 28
State: GA

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

Lab Data:

Allergies: None

Symptoms: Chills, sweating, throbbing headache, terrible body aches, fatigue, malaise, sore left arm

Other Meds: Probiotics

Current Illness: None

ID: 0944942
Sex: F
Age: 58
State: IL

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

Lab Data:

Allergies:

Symptoms: Subject has localized skin reaction following the Moderna COVID-19 vaccine. Patient received vaccine at 10:07 on 1/4/21. Subject states reaction of red, warm, patch, itchy skin started on 1/12/21 at vaccine site. Vaccine was delivered to left arm. Patient states she may have had hives as well.

Other Meds:

Current Illness:

ID: 0944943
Sex: F
Age: 71
State: CO

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

Lab Data:

Allergies:

Symptoms: Systemic: Fainting; symptoms lasted 1 day

Other Meds:

Current Illness:

ID: 0944944
Sex: F
Age: 31
State: IN

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

Lab Data:

Allergies: none current

Symptoms: Patient did not report any adverse effects after administration, but the vaccine was expired when administered. The vaccine expired on 12/17/2020

Other Meds: none current

Current Illness: none noted

ID: 0944945
Sex: F
Age: 44
State:

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

Lab Data:

Allergies:

Symptoms: Had inflammation and severe joint pain.

Other Meds:

Current Illness:

ID: 0944947
Sex: F
Age: 66
State: RI

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

Lab Data:

Allergies: Linsinpril, IV Contrast

Symptoms: Entered observation @ 1258. Around 1322, voiced her "lips" felt swollen. No swelling noticed when pt showed this nurse her lips. Around 1328 voiced "tightness in throat". Benadryl 25mg given. Around 1340, voiced Benadryl did alleviate s/s. Voiced no s/s of any other distress nor trouble breathing. Left observation @ 1344.

Other Meds: Synthroid, Dexliant

Current Illness:

ID: 0944948
Sex: F
Age: 78
State: LA

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

Lab Data: NONE

Allergies: nitroglycerin, albuterol, scopolamine

Symptoms: EXTREME LETHERGY, NAUSEA, FATIGUE, WEAKNESS, ELEVATED TEMP, ELEVATED HEARTRATE, SENT TO THE HOSPITAL FOR EVALUATION, FLUIDS ADMINISTERED AND MONITORED, THEN RETURNED TO FACILITY

Other Meds: Acidophilus, amlodpine besylate, atorvastatin, lasix, metoprolol, potassium, preservision, vit d, percocet, latanoprost, losartan potassium, lorantadine, timolol, lorzepam, acetaminophen, venlafaxine, clopidogrel, lantus, azelastine

Current Illness: K04.7, j06.9, b02.9, h04.123, h60.393, H92.03, Z29.9, E56.9, F41.9, B37.9, R52, H40.1130, I49.9, E78.5, I10, F33.9, S52.501D, V87.7XXA, M25.531, J30.9, R06.2, E11.9, M62.59, U07.1

ID: 0944949
Sex: F
Age: 48
State: CO

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

Lab Data: Still under care

Allergies: Pineapple,watermelon,peas, penicillin, sulfur, morphine, prednisone, tetracycline

Symptoms: Seizure,numbness on whole right side,back pain, face droop,extreme fatigue,dizziness,headache,pain in shoulder

Other Meds: Symbacort,THC/CBD

Current Illness: Asthma

ID: 0944950
Sex: F
Age: 45
State: WI

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

Lab Data: None

Allergies: Amoxicillin

Symptoms: Fever @103 average, chills, headache, fatigue for Tuesday 1/12. Upon waking 1/13 low grade fever, went away before returning in the afternoon 99.8, felt tired, took a nap. Woke up from nap @1600 feeling like nothing ever happened. Today, woke up feeling great. Am actually pleased that I had this reaction. Was told by employer to complete this form. My immune system is working. Actually feel bad for doing this report, because I don't want the anti vaccine community to take this report the wrong way.

Other Meds: Centrum Multivitamin, 4,000 units vitamin D, magnesium, b complex, levothyroxine

Current Illness: None

ID: 0944951
Sex: M
Age: 67
State: FL

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

Lab Data: Monitored by nursing staff.

Allergies: No Known Allergies

Symptoms: Patient did not have an adverse event. Patient received wrong dose (1ml instead of 0.5ml).

Other Meds: Synthroid, Colace, Albuterol Inhaler, Tylenol, Ibuprofen, Keppra, Antivert, Lipitor, Dilantin, Prilosec, Lisinopril, Benadryl, Zyprexa, Zoloft, Vitamin B12, Folic Acid

Current Illness:

ID: 0944952
Sex: M
Age: 54
State: CA

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

Lab Data:

Allergies:

Symptoms: My left shoulder became sore immediately after receiving the vaccine. Shivering began about 3am the day after the vaccine. In the late morning, I began to feel tired and light-headed, and developed a mild cough.

Other Meds: melatonin, benadryl

Current Illness: kidney stone

ID: 0944953
Sex: M
Age: 31
State: TX

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

Lab Data:

Allergies:

Symptoms: Body aches, fever 101.1. No treatment. outcome mild improvement repeat temp 100.4

Other Meds:

Current Illness:

ID: 0944954
Sex: F
Age: 22
State: OH

Vax Date: 12/31/2020
Onset Date: 01/10/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: COVID swab: negative Flu A,B: negative CBC and DIFF: WNL CMP: WNL Magnesium: WNL Urinalysis w/ Micro: WNL except 6-10 WBC per HPF Urine culture: negative Lactate: WNL Chest X-ray: negative/WNL

Allergies: N/A

Symptoms: Rash, body aches, fever (103 F). Symptomatic for 36 hours when left work to go to ER for treatment. Treated at Health Center. Given Solu-Medrol, tylenol, two liters of saline, toradol, and benadryl.

Other Meds: Vimpat, Effexor, Zoloft, Zanaflex, prenatal vitamin, magnesium, apri, maxalt

Current Illness: N/A

ID: 0944955
Sex: F
Age: 92
State: HI

Vax Date: 01/08/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Augmentin, Green peppers, onion, papaya, salmon, strawberries, wool

Symptoms: 1/8/2021- 1/12/2021- complaints of intermittent L thigh pain 1/8/2021- Moderna Vaccine given 1/12/2021- continued c/o pain to Left hip/thigh, Rash noted to L inner thigh/groin. 1/13/2021- VS: 97.1-69-18-110/70-SpO2 97% on RA. Notified PCP regarding rashes/lesions with vesicles to left inner thigh and left posterior leg and left lower back. With orders to start on contact/droplet precautions. Famciclyclovir 500 mg tab PO QD x 7 days. Dx. Shingles. 1/13/2021- Medical director advised reporting to VAERS.

Other Meds: Loratidine, Senna, Acetaminophen, Magnesium oxide, nystatin, Magic Cup, Ensure, amlodipine, Vit B-12, Folic acid, multivitamin, allopurinol, losartan, omeprazole, Vitamin D.

Current Illness:

ID: 0944956
Sex: F
Age: 42
State:

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

Lab Data:

Allergies:

Symptoms: body ache, headache. called in sick to work.

Other Meds:

Current Illness:

ID: 0944957
Sex: F
Age: 74
State: FL

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

Lab Data: NONE

Allergies: None

Symptoms: After we left(approx. 30 min. later) My tongue felt a little swollen, my lips felt a little swollen and my nose felt numb. The symptoms lasted approx. 1-3 hrs. Mild, no tx sought. The injection site was moderately sore, but dissapaited the next day, by 1PM.

Other Meds: Metformin, Cartia,Flecainde, Venafaxiline, Zyrtec, Vit,D, Vit.B-12,Rovastatin,timse, Ramipril, Montelkast, Eze timbe, Ozempic Injectible, , MucinexAdvair Inhaler

Current Illness:

ID: 0944958
Sex: F
Age: 36
State: CA

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

Lab Data:

Allergies: Bees, flonase, benadryl (makes me feel like i have 'ants' crawling all over me)

Symptoms: 12/28 vaccination. little after 15 minutes, started to feel faint . 2 liter nasal canula, ekg, bp, pulsox. BP was 150/110. Taccycardia. Rushed to ER; felt like 'weighted blanket'/'moving thru molasses'/'out of body' experience - 'felt like body hijacked'; people asking questions, but i could not respond. 2 hours 'frozen'. I could hear small sounds from far away, I could hear like it was up close. Driving home until the next day, I felt electrical surges behind the left eye /brain region. *stayed in ED for obstervation

Other Meds: Inhaler/asthmatic, Xyzal, lodapine, albuteral

Current Illness: n/a

ID: 0944959
Sex: F
Age: 44
State: GA

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

Lab Data: None

Allergies: Blue Crab

Symptoms: Left arm soreness 24 hours post injection (minimal) that improved within 48 hours. Supraclavicular lymph node (left side- mildly tender), left sided neck pain, and left forearm tenderness that began almost 72 hours post vaccine. No fever. No other symptoms

Other Meds: OTC Women's multivitamin

Current Illness: None

ID: 0944960
Sex: F
Age: 24
State: WI

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

Lab Data: Went to ED with EMS on 1/14/2021.

Allergies:

Symptoms: Patient given 1st dose of Pfizer vaccine to right deltoid by vaccinator on 1/14/2021 at 1322. At 1325 patient reports the following symptoms: shaky and also visibly noted shaking of bilateral hands, reports verbally not feeling nervous beforehand of vaccine or needle, throat felt closed at first after vaccinated but then felt improved, states throat felt different, feels heart beat fast and then not. Reported to nurse, writer and once assessed: alert and oriented to person place and time, speech clear, patient sitting at the time, oxygen saturation 98% on room air, pulse varies from 98 to 118. Gave 1 capsule of 25mg Benadryl orally and 911 called. EMS arrived and they evaluated patient, left clinic with EMS at 1410. Writer called ED RN and gave report. Patient left sitting in a wheelchair.

Other Meds: None taken at the time of vaccination. Did administer 1 capsule of 25mg once patient expressed symptoms.

Current Illness:

ID: 0944961
Sex: F
Age: 48
State: CO

Vax Date: 12/31/2020
Onset Date: 01/06/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: erythromycin, penicillin

Symptoms: Vaccine was received on 12/31. A rash began on 01/06 on the chest, stomach and back as well as at the injection site. Since, rash also spread to arm and legs. Unclear from notes if patient received further escalation of care of if the rash resolved on its own.

Other Meds:

Current Illness:

ID: 0944962
Sex: M
Age: 35
State: PA

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

Lab Data: denies

Allergies: denies

Symptoms: body muscle aches, chills, bloody nose, fatigue, fever 100.2 f, headache, ears tingling which started on 1/13/21 at 4 pm. Pt. states that he still has symptoms despite taking tylenol. nose stopped bleeding after ten minutes.

Other Meds: denies

Current Illness: denies

ID: 0944963
Sex: F
Age: 87
State: CA

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

Lab Data:

Allergies:

Symptoms: Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium

Other Meds:

Current Illness:

ID: 0944964
Sex: F
Age: 32
State: CA

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

Lab Data:

Allergies: None

Symptoms: I started feeling weakness, headache and muscle aches on 1/12 the day of 2nd dose of covid vaccine. On 1/13 I started feeling dizziness, headache and nausea that lasted until now (1/14).

Other Meds: Nuvaring, multivitamins, vitamin C, vitamin D, iron, zinc

Current Illness: Runny nose, diarrhea, muscle pain

ID: 0944965
Sex: F
Age: 42
State: OR

Vax Date: 12/28/2020
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: N/A

Allergies: Sulfa, Oxycodone, Latex, Pinapple

Symptoms: Dose #2 given at day 14.

Other Meds: Adderall, Vitamin B, Vitamin D, Amega

Current Illness: None

ID: 0944966
Sex: F
Age: 41
State: MA

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

Lab Data:

Allergies: none

Symptoms: Patient developed loss of taste, fever 100.1, shivering , muscle ache and weakness within 24 hours after second dose.

Other Meds:

Current Illness:

ID: 0944967
Sex: F
Age: 29
State: TX

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

Lab Data:

Allergies:

Symptoms: Left axila pain/discomfort, patient believes to be lymph note, began after the vaccination and has continued for a week

Other Meds:

Current Illness:

ID: 0944968
Sex: F
Age: 51
State:

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

Lab Data:

Allergies:

Symptoms: fever, body ache, malaise. called in sick to work.

Other Meds:

Current Illness:

ID: 0944969
Sex: M
Age: 59
State: GA

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

Lab Data:

Allergies: NKDA

Symptoms: RASH TO LEFT ARM

Other Meds: LISINOPRIL 20MG BY MOUTH EVERY DAY

Current Illness: N/A

ID: 0944970
Sex: F
Age: 56
State: NY

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

Lab Data:

Allergies:

Symptoms: Needle was not tightly screwed to syringe, therefor as the nurse attempted administer the vaccine it started to leak out. No adverse reaction to patient.

Other Meds:

Current Illness:

ID: 0944971
Sex: F
Age: 32
State: IN

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

Lab Data:

Allergies: None

Symptoms: Headache, chills, fever, body aches, shivering, fatigue

Other Meds: Vitamin b12, D3, and C. Desvenlafaxine50mg

Current Illness: None

ID: 0944972
Sex: F
Age: 54
State: TX

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

Lab Data: none

Allergies: none

Symptoms: On day 1 I had a bad taste in my mouth with nausea and flushing, the later I had moderate fatigue and muscle aches. That night I had severe left arm soreness to the point where I needed a narcotic, I had some at home. The pain woke me up. The next day I was more tired and had a stomach ache and more fatigue, left arm sore took Tylenol, fluids and did not call my doctor. Went to bed with a narcotic. Sunday into Monday 1/9 -1/10 I had severe diarrhea and could not eat, sore throat, muscle aches, decreased left arm soreness. Full relief by Thursday.

Other Meds: topamax, one a day vitamin, buspar, lexapro

Current Illness: migraine, arthritis

ID: 0944973
Sex: F
Age: 48
State:

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

Lab Data: unknown

Allergies: unknown

Symptoms: staff member reported headache, diizinees and nausea. Staff member currently hospitalized at hospital

Other Meds: Unknown

Current Illness: unknown

ID: 0944974
Sex: F
Age: 61
State: NC

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

Lab Data: None

Allergies: No allergies

Symptoms: Patient called the pharmacy and reported that 2 days ago (01/12/21) around 1pm she felt itchy on her left arm at the injection site. She felt the area, and it was very itchy after her shower. On 01/13/21 the area felt more puffy and was red, felt hard. She showed the nurse at her work, and they applied ice packs. She used iced overnight and Tylenol. On 01/14/21 she reports that it's feeling better and the swelling is going down now. The warmness is also decreasing.

Other Meds: hctz 25mg, ibu 800mg

Current Illness: No

ID: 0944975
Sex: F
Age: 61
State: CA

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

Lab Data:

Allergies: Penicillins

Symptoms: During consult patient disclosed she received shingles vaccine while on Gilenya therapy. Combination is recommended to be avoided due to immunocompromised. Pt has not noticed any signs or symptoms at this time and is 1 week post 2nd dose of vaccine.

Other Meds: Buspar, Cozaar, Flonase, Prozac, Norvasc, Prilosec, Vitamin D, Gilenya

Current Illness: Hypertension

ID: 0944976
Sex: F
Age: 56
State: CA

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

Lab Data:

Allergies:

Symptoms: Pt returned to drive up area 30 mn post vaccination. She initially had no symptoms and left the triage area as she was driving, she noted her lips felt"funny" and had "bumps" developing so she drove back to the site. Initial NP evaluation after she was transported to observation area. VS: 127/97, 108, 99% HEENT: small papules notes on intra oral buccal mucosa and lower lip. Lungs CTA CV: reg Benadryl 25 mg po givben at 1858 Re evaluation: 1915: VS: 135/93, 87, 99% PT cont to c/o "feels like a need to clear my throat" HEENT: No increase in papules oropharyngx wnl Benadryl 25 mg po given at 1915. Re evaluation: 1940 VS: 150/98, 118, 99% PT now with increased c/o needing to clear throat. On examination. Now noted with edema on the left side of oropharyngx. Also noted with redness on hard palate. Doctor present agreed to Epi pen injection ALS ambulanced called.

Other Meds:

Current Illness:

ID: 0944977
Sex: M
Age: 47
State: TX

Vax Date: 01/09/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 3 hours post vaccine- soreness of arm 3-24 hours: fatigue and sore arm 24-48 hours- sore arm 4 days post vaccine-5 days and counting-Nausea, Vomiting, Chills, Sweats, Diarrhea, Cramps

Other Meds:

Current Illness:

ID: 0944978
Sex: F
Age: 44
State: CA

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

Lab Data: n/a

Allergies: unknown

Symptoms: six days after the 1st dose of vaccine administration pt developed a left arm pain, radiating to the arm pit and left breast, the injection site with big red hives.

Other Meds: none

Current Illness: n/a

ID: 0944979
Sex: F
Age: 35
State: OH

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

Lab Data:

Allergies: Pt stated she had an allergy to the preservative in flu vaccines.

Symptoms: Employee came up at 14:00 stated she had a headache. Also said her joints ached. She then also said her throat was sore and that it had been for last 15 minutes and she was trying to wait it out. Asked if she should just go home and take benadryl. I advised that I could not make that determination and would prefer she get checked out. Walked her to the emergency room. She was in no distress and was checked into the ED.

Other Meds:

Current Illness:

ID: 0944980
Sex: F
Age: 40
State: FL

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

Lab Data: NONE

Allergies: UNKNOWN

Symptoms: SWOLLEN UPPER RIGHT ARM AND REDNESS.. PAIN ON THE ARMPITS ( LYMPNODES) ALL THE WAY TO SHOULDER..

Other Meds: IBUPROFEN,

Current Illness: JUST HAD BRONCHITIS... AFTER 2 WEEKS GOT MY COVID-19 VACCINE

ID: 0944981
Sex: F
Age: 31
State:

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

Lab Data:

Allergies:

Symptoms: headache, fever, home early from work.

Other Meds:

Current Illness:

ID: 0944982
Sex: F
Age: 29
State: MI

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

Lab Data:

Allergies: none stated on vaccine screen

Symptoms: Patient experienced light headedness, diaphoresis, stated "i could see black spots in my eyes," but did not loose consciousness. She stated that she may have not eaten enough for lunch and has a fast metabolism that may have contributed to her symptoms. Patient transported from hospital vaccine center to hospital ED for further evaluation.

Other Meds: unknown

Current Illness: unknown

ID: 0944983
Sex: F
Age: 43
State: CA

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

Lab Data: NONE

Allergies: NONE

Symptoms: 8 DAYS AFTER VACCINATION MY RIGHT ARM STARTED ITCHING AT THE INJECTION SITE AROUND 4PM ON 01/02/2021; LATER THAT NIGHT MY RIGHT ARM BECAME VERY HOT, ITCHY, RED AND SWOLLEN. ON 01/13/2021 I WAS AT WORK AND SPK TO A CO-WORKER WHO SUGGEST SOME ICE. I PUT AN ICE COMPRESS ON AREA, WENT TO THE URGENT CARE @ 8AM WAS THAN DX'D WITH "CELLULITIS". THE DR. PRESCRIBED 500 MG CEPHALEXIN; 1 CAPSULE, 3X'S A DAY.

Other Meds: ZOLOFT

Current Illness: NONE

ID: 0944984
Sex: F
Age: 48
State: IA

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

Lab Data: Not known

Allergies: Nitroglycerin

Symptoms: Patient was given the Covid 19 vaccine and was being monitored following vaccination. Within 15 minutes her upper lip started to swell and redness in the face. Blood pressure was monitored and was high ( around 230/110). Pulse ox was put on her finger. Oxygen levels were stable. Gave patient two benedryl tablets. No throat closing or trouble breathing. Patient went with wife to ER. From what I am told, patient given steroids in the hospital. She was released a few hours later and is at home now. Patient is currently stable at home.

Other Meds:

Current Illness:

ID: 0944985
Sex: F
Age: 52
State: VA

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

Lab Data:

Allergies: tetracycline, compazine

Symptoms: Individual initially felt fine after receiving the vaccine with just sore arm. 24-hours later on 12/29 around noon she started feeling tachycardic (resting heart rate was 107-125 bpm). She vomited and felt anxious. Developed fever of 101.8 and was very achy. Day 2: low grade fever treated with ibuprofen. Day 3: fever free but dizzy feeling. Day 4: symptoms resolved. Of note, patient was 30 days out from having had COVID-19 at the time of vaccination. Patient states her course of COVID was "serious" but did not require hospitalization.

Other Meds: estradiol, lisinopril/hctz, multivitamin

Current Illness: Diagnosed with COVID-19 on Nov 20, 2020

ID: 0944986
Sex: F
Age: 52
State: OR

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

Lab Data: none

Allergies: NKDA

Symptoms: next day developed flat, red, itchy rash. no other symptoms

Other Meds: unknown

Current Illness: unknown

ID: 0944987
Sex: M
Age: 61
State: OK

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

Lab Data: COVID 19 test - , lung x-ray, CBC

Allergies: none

Symptoms: headache, chills, injection site pain, feeling unwell, difficulty breathing, dizziness, weakness and imbalance

Other Meds: Diltiazem ER 20mg, BID Lisinopril 20mg, Atorvistatin 80mg, Omega 300, asa 81 mg

Current Illness: none

ID: 0944988
Sex: F
Age: 58
State: PA

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

Lab Data:

Allergies: penicillin

Symptoms: swelling, redness, warmth

Other Meds: synthroid arimidex lipitor breo vitamin D claritin

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm