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: 0946191
Sex: F
Age: 44
State: CA

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: No medical or laboratory tests were performed when I went to the urgent care. Neurological assessment was made by the doctor.

Allergies: cashew, pistachios, pecans

Symptoms: 1/8/2021 soreness/pain at the injection site, fever, muscle ache, malaise, headache. Tylenol 1000mg was taken around the clock every 6 hours. It helps with the fever and also for the headache. 1/9/2021 woke up at 4:00 am with vertigo plus the above side effects. In addition to the Tylenol, I had taken dramamine in the morning and had been taking Meclizine 25-50 mg for the dizziness/vertigo. I also had done epley maneuver to help get rid of the vertigo since I am more dizzy turning on my right side and thinks that it is positional vertigo. 1/13/2021 still dizzy and taking Meclizine because it helps for the dizziness. I don't have anymore fever, the pain at the injection site is now mild, still moderate pain for the headache, some body aches but not as much as before. I had gone to the urgent care at this point to be seen since the vertigo is still there since Saturday 1/9 and it is now Wednesday 1/13. The doctor at the urgent care told me to continue taking Meclizine, hydrate and rest for a total of one week since the onset of the vertigo.

Other Meds: Losartan 50 mg daily Vitamin D 2000 units daily Lo LoEstrin Fe daily Vitamin C 500 mg daily Zinc 50 mg daily Calcium 500 mg daily Zyrtec 10 mg daily Elderberry 2 dummies daily

Current Illness: none

ID: 0946192
Sex: F
Age: 55
State: OR

Vax Date: 01/02/2021
Onset Date: 01/08/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: Peanuts Walnuts Cucumber

Symptoms: None stated.

Other Meds: Losartan Levothyroxine Vitamin C Vitamin D Magnesium Melatonin Claritin (generic) Acid reducer

Current Illness: None

ID: 0946193
Sex: F
Age: 30
State: CO

Vax Date: 12/31/2020
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Large area of redness (2.5x4.5"), heat , swelling to R arm occurring 7 days after injection until 14 day following injection

Other Meds: Hydochlorothiazide, vitamin D

Current Illness: none

ID: 0946194
Sex: M
Age: 1
State: LA

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Fever of 105 febrile seizures

Other Meds: 6ml Sodium citrate 3x a day

Current Illness: No

ID: 0946195
Sex: F
Age: 28
State: AK

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Covid vaccine 1/13/21

Allergies: None

Symptoms: Fatigue/drowsiness , body aches, mild loss of taste

Other Meds: Lamotrigine, atorvastatin, Prozac, aspirin

Current Illness: None

ID: 0946196
Sex: F
Age: 29
State: UT

Vax Date: 01/04/2021
Onset Date: 01/12/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 8days after vaccine, site around injection site became hot, raised, red, itchy. Day 2after onset and it has increased in size and upper portion of arm is swollen. Nearly spread circumference of arm. Moderna COVID-19 vaccine EUA

Other Meds: Skyla IUD FISH OIL PRENATAL VITAMIN ZYRTEC NASOCORT

Current Illness:

ID: 0946197
Sex: F
Age: 59
State: IN

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: n/a

Allergies: Sulfa

Symptoms: I received 2nd injection of Pfizer COVID-19 Vaccine at 1015AM on 1-12-21 and was doing great. I had taken one 325mg Tylenol and one 200mg Ibuprofen approximately 60 minutes prior to receiving vaccine (which is what I did prior to the first vaccine). I was doing great initially following the vaccine. I took another 325mg Tylenol and 200mg Ibuprofen when I went to bed at 2000 1-12-21. At 0300 1-13-21 I woke up feeling nauseated and when attempting to turn over to my right side I moaned loudly because I could not hardly move my left arm. My husband was woken and turned on the bedroom light and we noted a 3 inch bruise and large knot on my left deltoid at the injection site. He told me that I felt warm. I took my temperature that was 101.2 degrees. I took 650mg Tylenol and that time. At 0500 1-13-21 I was having chills, muscle and joint aches. I could not fully close my hands into a grip. My "brain" hurt, not a headache but literally it hurt to move my head. I would occasionally get a sharp pain in the front and back of my head. My temperature went to its highest at approximately 1500 1-13-21 to 102.5 degrees. I continued to offset Tylenol with Ibuprofen throughout the day. At 2000 1-13-21 my temperature was 101.8 and began to trend downward. I went to bed and when I woke up on 1-14-21 I felt 100% better with just a little fatigue from the inability to sleep the day prior.

Other Meds: Synthroid 125 mcg daily; Lexapro 20mg daily; Adderall 20mg BID;OTC Allegra seasonal allergies:

Current Illness: n/a

ID: 0946198
Sex: F
Age: 57
State: WY

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: Bactrim

Symptoms: Rash about the size of a lemon, itching, and slight swelling around site of injection beginning a week after the injection, as well as swollen gland in armpit and soreness in upper arm.

Other Meds: Claritin-D, Vit E, Vit B

Current Illness: none

ID: 0946199
Sex: M
Age: 31
State: OR

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: nausea and vomiting and angioedema with mild tongue swelling

Other Meds: topamax, truvada, prednisone, pepcid, benadryl, loratidine, zofran

Current Illness: none

ID: 0946200
Sex: F
Age: 42
State: NE

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: PCN

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Started to feel ill around 8pm 1/11. Woke up with nausea and headache around 10am 1/12. Cough and fever developed by 4pm 1/12, cough was mild and fever never exceeded 101 degrees Fahrenheit. Also experienced fatigue and body aches. Nausea successfully treated with promethazine. All symptoms dissipated significantly or gone altogether around 1am 1/13.

Other Meds:

Current Illness:

ID: 0946201
Sex: F
Age: 23
State: NY

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: Lactose Intolerant

Symptoms: day of vaccine 1/7: @ 10pm I started experiencing sore arm at injection site, and body aches. 1/8-1/10: low grade fever (100), and fatigue. 1/11-1/12: headache w/ severe pain in front left side of head when doing any type of physical activity, small amount of numbness in left side of face and ears hurt. 1/13-1/14: sore throat.

Other Meds:

Current Illness:

ID: 0946202
Sex: F
Age: 35
State: AZ

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: none

Allergies: amoxicillin

Symptoms: Itchy arm for 1 week following first covid vaccine (Moderna) with no redness. 8 days following vaccine, large, red and hot area appeared on same arm as vaccine, lasting longer than 1 week.

Other Meds: Losartan, loratadine, trazodone, lexapro, calcium-mag-zinc, vitamin c, vitamin d3, omega-3, tumeric-curcumin and ibuprofen.

Current Illness: none

ID: 0946203
Sex: F
Age: 30
State: CA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Hot flashes, extreme nausea with no relief from medication

Other Meds: Implanon, adderall

Current Illness: None

ID: 0946204
Sex: M
Age: 49
State:

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Obtained covid antigen & reflex PCR on day of presentation to EMD (14Jan), both negative

Allergies:

Symptoms: Diarrhea, chills, myalgias, malaise; Tmax 99.8. Diarrhea about twice/day.

Other Meds:

Current Illness:

ID: 0946205
Sex: F
Age: 38
State: PA

Vax Date: 01/07/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Six days after, I started being awakened by the pain of my lips swelling to 3xs their size, tongue slightly swollen and throat possibly. I took a Benedryl or Claritin and Advil. Eight hours after the 1st vaccine, I experienced severe aches and pain, fatigue lasting almost 72hrs. Even the joints of fingers aches but the pain in my lymph node in my left armpit felt like someone hit me with a baseball bat (injection was in left arm).

Other Meds: Depo injection; vyvanse 70mg

Current Illness: None

ID: 0946206
Sex: M
Age: 34
State: NH

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Shingles on the right side of my face. Symptoms include cold sores, mouth sores, severe tooth pain, some pain in my eye, no serious issues with the nerves of my right eye. Put on Valtrex. As of today, 1/15 still have symptoms but am improving.

Other Meds: None

Current Illness: None

ID: 0946207
Sex: F
Age: 34
State: PA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Wednesday at 5 pm got tested for covid on the chance was exposed somehow- although highly unlikely. Most likely do to second dose of vaccine. Pending results

Allergies: NKDA

Symptoms: Day of shot took prophylactic ibu and took as well Tuesday am. By Tuesday at 2-3 pm 1 day post shot- felt poor (similar to first shot- headache, tired). By 4 pm felt like getting fever. Finished shift got home by 5 o'clock fever 101. Restarted ibu laid down. By 12 pm terrible chills sweats fever now up to 102.8. By Wednesday morning at 101. Went back down to normal by afternoon but still felt very tired with splitting headache. By 4 fever returned almost at 101. Thursday fever free without meds. Today (Friday) fever free without meds- just tired.

Other Meds:

Current Illness: N/a

ID: 0946208
Sex: F
Age: 65
State: NY

Vax Date: 12/24/2020
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: N/a

Allergies: Compazine, sulfur, thimerasol

Symptoms: Migraine headache

Other Meds: Synthroid, Lipitor, letrazole, Claritin, Nurtec otc, relpax, Motrin , vit d, coq10, mvi

Current Illness: N/a

ID: 0946209
Sex: F
Age: 31
State: OR

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Chills/temp 38 (starting 2200 1/10-1/12) Moderate nausea (1/10-still present as of 1/15) Mild-mod headache (1/11-1/13) Tachycardia (at rest 105-138 1/10-1/13) Moderate muscle/joint pain - same side as injection from shoulder/collar bone into neck (1/11-still present as of 1/15) Moderate-severe fatigue (1/10-1/14) Dizziness (1/12-1/14) Used ibuprofen and Bengay for soreness w/ mild/fair effect.

Other Meds: Aviane (birth control), spironolactone, Restasis, multivitamin

Current Illness: N/A

ID: 0946210
Sex: F
Age: 69
State: FL

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: After receiving the vaccine client verbalized light headedness and dizziness. Client was evaluated by onsite paramedics and symptoms resolved within mins. Client was released to go home at 11:05 am per Fire Rescue.

Other Meds: None

Current Illness: None

ID: 0946211
Sex: F
Age: 95
State: FL

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: Iodine, Epinephrine

Symptoms: After receiving the COVID-19 vaccine, the client verbalized lightheadedness. Client was evaluated by onsite Fire Rescue. Client symptoms resolved within 15 mins. Client was released to go home at 2:34 pm by Fire Rescue.

Other Meds: None

Current Illness: None

ID: 0946212
Sex: F
Age: 36
State: WA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: Shrimp, crab

Symptoms: Left arm was sore on 01/13 Diarrhea started on 01/14, along with nausea

Other Meds: Vitamin c, b complex. Apple cider gummies, prilosec otc

Current Illness: None

ID: 0946213
Sex: F
Age: 67
State: FL

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: Penicillin and Shellfish

Symptoms: Pt verbalized feeling flush on the face (red cheeks), she was evaluated by paramedics and released home at 1:20 pm feeling better.

Other Meds: None

Current Illness: None

ID: 0946214
Sex: F
Age: 95
State: FL

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: none

Allergies: azithromycin

Symptoms: the morning after her vaccine, her daughter noticed a rash on her left hip with red blisters. Noted Sat 1/9/2021. She was seen in my office on 1/13/2021 and I diagnosed her with shingles. Rash had spread over the 4 days to a dermatomal distribution from left mid back around to left mid abdomen. She had received the Zostavax vaccine in 2007.

Other Meds: carvedilol, trusopt, furosemide, Imdur, xalatan, lisinopril, mirabegron, aspirin,

Current Illness: none

ID: 0946215
Sex: F
Age: 78
State: FL

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: Aspirin, Ibuprofen

Symptoms: After receiving the COVID0-19 vaccine, client verbalized facial tingling. Client was evaluated by onsite paramedics and released at 4:56 pm to go home

Other Meds: None

Current Illness: None

ID: 0946216
Sex: F
Age: 49
State: CO

Vax Date: 01/07/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Severe fatigue 8 days (1/13/21) after injection. Hard swelling in the injected arm (entire upper left arm) started 9 days (1/14/21) after the injection.

Other Meds: birth control

Current Illness: none

ID: 0946217
Sex: F
Age: 44
State: FL

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: 01/14/21 Accucheck Blood Sugar = 116, vertigo test positive

Allergies: NKA

Symptoms: Pt reported feeling ill after returning from lunch, visibly shaking, heart racing, sweating, feeling like something catching in her throat, numbness in fingertips and lips. Placed in supine position with legs elevated, administered Benedryl 25mg IM at 1359. BP 148/96, HR 118, O2 sat 98%. Dr. in room, checked mouth and throat - noticed redness but no swelling. Used alcohol under nose, pt did not feel any better and was reporting that she felt like she was spinning. @1416 BP 140/90 Blood glucose check, 116, HR 101., O2 sat 99%. Pt observed and remained in supine position. @1441, pt reported feeling better, BP 128/79, HR 88, skin warm and dry. Assisted to a standing position. Reported spinning had stopped and was able to ambulate. Pt sent home to rest with instructions to call if worsening or call EMS.

Other Meds: Levothyoxine 100mg q Day, Omeprazole 20mg before meals, ProAir HFA 90mg inhaler PRN, Wellbutrin SR 150mg q 12 hrs.

Current Illness: None

ID: 0946218
Sex: F
Age: 48
State:

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: S?v?re arthralgia, not able to walk. Facial paresth?sie. Extreme fatigue, chills and fever

Other Meds: None

Current Illness:

ID: 0946219
Sex: M
Age: 40
State: MD

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: n/a

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Starting two days after injection: headache, sore throat, cough, exhaustion, some intestinal cramping

Other Meds: all 1/day: Multivitamin, Glucosamine/Chondroitin, Trazadone 50mg

Current Illness: n/a

ID: 0946220
Sex: F
Age: 35
State: WI

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1/12-day after injection, PT started getting red swollen sore arm. Also had headache that wasn't relieved by excedrin. 1/13/- progressing redness and warmth to arm, outlined, fatigued, felt warm and sweaty, 99.9 tympanic temperature, sought medical care at local Urgent Care. Diagnosed as post injection irritation. 1/14, fatigue increased, directed by employer to get covid test

Other Meds:

Current Illness:

ID: 0946221
Sex: F
Age: 30
State: NE

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: Tree nuts

Symptoms: Urticarial rash, itching, swelling, pain and redness at injection site

Other Meds: OCP

Current Illness: None

ID: 0946222
Sex: F
Age: 60
State: NE

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: By 9 pm I had fever 100, body aches, chills, soreness at injection site, headache, mild chest tightness, mild dry cough, nausea. The next morning fever was 101. Symptoms continued through next 24hours but were manageable with Tylenol and ibuprofen. The next morning mild headache remained. It should be noted that I did have covid19 on November 10.

Other Meds: Multivitamin, calcium, vitaminD, B12

Current Illness: None

ID: 0946223
Sex: F
Age: 52
State: PA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: onset same day of vaccine, c/o chills, no fever, pain in hips and legs and low BP 80/52

Other Meds:

Current Illness:

ID: 0946224
Sex: F
Age: 44
State: OH

Vax Date: 01/08/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: Skelaxin

Symptoms: 5 days after injection my right shoulder area at site of injection started itching. The next day there was a swollen red like rash. VERY itchy and caused some aching in arm. Currently happening now. I put hydrocortizone on site to relieve itching but, it did not work.

Other Meds: Celexa, Vit D, Vit C, Zinc, Spirolina

Current Illness:

Date Died: 01/15/2021

ID: 0946225
Sex: F
Age: 70
State: PA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital: Y

Lab Data: No testes were done at the facility. Unsure what was performed in the ER.

Allergies: Lithium

Symptoms: At approximately 10:30pm on 1/14/2021, resident was noted to have a rash on her face, hands, arms, and chest. VS:100.2, 113, 20,108/59, 84% room air. applied nasal cannula at 4-L, telephoned Physician orders 6mg Decadron one time order, a second set of Vitals , reads 99.3, 110, 20, 106/60, 90% on 4-L N/C. On coming shift advised. At approximately 2:00am on 1/15/2021, resident congested and coughing. BP 151/70, pulse 124, temp 98.1 forehead, resp 20 and pulse oc 79% on 3L. At approximately 2:30am PRN cough syrup and breathing tx. Resident's condition began to worsen with breathing tx. This LPN updated at 0248 doctor on resident's condition. Doctor gave permission for resident to go to hospital. At 4:19am the Er called to say resident passed away.

Other Meds: CloZAPine 550 mg QD, Clozaril 150 mg QD, Ergocalciferol Capsule 1.25 MG (50000 UT) QD, MiraLax Powder 17 gram QD, Multivitamin QD, Remeron 45 MG QD, Sertraline HCl 200 mg QD, Simvastatin 20 MG QD, Synthroid Tablet 75 MCG QD, Tricor 14

Current Illness:

ID: 0946226
Sex: F
Age: 33
State: OH

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Chills, rigors, diaphoresis, low grade fever

Other Meds: OCP

Current Illness: None

ID: 0946227
Sex: F
Age: 37
State: IN

Vax Date: 01/06/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Red ring around shot site on left arm, diameter of about two inches. Skin area inside ring is reddish.

Other Meds: Birth control

Current Illness: None

ID: 0946228
Sex: F
Age: 66
State: VT

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: --

Symptoms: Pain, dysesthesia left ear and jaw and left side of tongue. No visible abnormalities left face and ear. She indicates her lips (bilateral, upper and lower) had become swollen the day after her 2nd immunization 1/12/21, the lip swelling resolved when I saw her 1/14/21

Other Meds: omeprazole, naproxen, Linzess, hydrochlorothiazide, amitriptyline

Current Illness:

ID: 0946229
Sex: F
Age: 27
State: RI

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: N/A

Allergies: NKA

Symptoms: New onset of redness and warmth of LUE, denies pain. Skin with blanching, erythematous, edematous. Diagnosed with cellulitis and treated with antibiotics.

Other Meds: oral contraceptives

Current Illness: none

ID: 0946230
Sex: F
Age: 54
State: LA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever 100.4, headache, nausea, body aches, right arm soreness

Other Meds: None

Current Illness: Fever, headache, nausea, body aches for 48 hours on 12/27/2020

ID: 0946231
Sex: F
Age: 101
State: MA

Vax Date: 01/08/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: 1/14/21 order for Keflex 500 mg 4X daily X 7 days, probiotic 1 cap BID X 10 days.

Allergies: NKA.

Symptoms: Left upper extremity red, warm swollen.

Other Meds: Acetaminophen Tablet 325 MG Give 2 tablet by mouth every 4 hours as needed for pain. Do not exceed 3g in 24 hours. AND Give 2 tablet by mouth every 4 hours as needed for Temp greater than 100 Do not exceed 3g in 24 hours. Acetaminophen Tabl

Current Illness: None.

ID: 0946232
Sex: F
Age: 24
State: PA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: When I woke up the next morning, my blood sugar had dropped. I did not have a glucometer to measure my blood sugar, by I almost had an episode of syncope at approximately 7:00 am.

Other Meds: Lexapro, Vitamin B12, turmeric supplement

Current Illness: NOne

ID: 0946233
Sex: F
Age: 41
State: IL

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Nonw

Allergies: None known

Symptoms: Extreme chills with body shaking for 6 hours, fever, sore throat, nausea, excruciating headache, extremely high resting heart rate (over 100-usually under 60)

Other Meds: Spironolactone, Multi vitamin, fish oil, Claritin, probiotic, osteo bi-flex

Current Illness: None

ID: 0946234
Sex: F
Age: 28
State: FL

Vax Date: 01/08/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: Peanuts, nuts, shellfish

Symptoms: Oval, round shape red rash about 3 inches in diameter at injection site 1 week after administration. Smaller size rash was present for days 1 and 2 after administration with soreness, and then went away. Now, 1 week after administration, this larger rash reappeared. It is hot to the touch and itchy, arm is sore again after no soreness for 5 days.

Other Meds: CamreseLo birth control, allegra

Current Illness: N/a

ID: 0946235
Sex: F
Age: 46
State: MI

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Low grade fever, muscle aches, fatigue, nausea, headache hours 17 - 29 post vaccine. Still continuing to have headache, as well as fatigue and shortness of breath with activity.

Other Meds: Lisinopril, Amlodipine, Norethindrone, Ibuprofen

Current Illness: None

ID: 0946236
Sex: F
Age: 55
State: RI

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: fatigue and chills for 5 days

Other Meds: fatigue , chills (feeling ice cold) both for 5 days.

Current Illness: no

ID: 0946237
Sex: F
Age: 65
State: MA

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: all nsaids ceclor,asa, probanthine

Symptoms: red swollen arm

Other Meds: levoxine metoprolol rovastatin vit d

Current Illness:

ID: 0946238
Sex: F
Age: 34
State: PA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Very fatigued; Slight headache; Dizziness

Other Meds:

Current Illness:

ID: 0946239
Sex: F
Age: 24
State: CT

Vax Date: 01/01/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Headache began yesterday 1/14 evening, through the night severe body aches, chills and fever of 102

Other Meds: Headache began in the late evening, severe body aches and chills fever of 102 took Tylenol over the counter. Calling pcp today, my body aches hurt a lot

Current Illness: None

ID: 0946240
Sex: F
Age: 32
State: IN

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Covid test performed 1/14/21 and results negative

Allergies: Iodine

Symptoms: Signs and symptoms started at 22:30pm which was 13 hours after injection . 22:30pm 1/13/21 - muscle aches - chills - severe headache - extreme fatigue - runny nose 0600 am 1/14/21 - Nausea - Vomiting - Sweats occurred - Fever 102 with Tylenol - Extreme fatigue 12:00pm on 1/14/21 - Muscle aches - Fatigue - headache - Runny nose - sweats - fever 100.1 Witt ibuprofen 18:00pm 1/14/21 - muscle aches - chills - fever 99.8 with Tylenol - extreme Fatigue - Nausea kicked back in 22:00 pm 1/14/21 - chills - Nausea - body aches - fever 99.6 with Tylenol 05:15am 1/15/21 - woke up in chills - fever 100.2 took some more Tylenol with ibuprofen - muscle aches - headache - fatigue - runny nose 08:00am 1/15/21 - Sweats - fever 99.1 - body aches - Fatigue - Runny nose

Other Meds: - Cymbalta 50mg once a day - Ativan 1mg prn - Tylenol 650mg PRN - ibuprofen 800 prn

Current Illness: None prior to vaccine

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm