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: 0948074
Sex: F
Age: 61
State: IA

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

Lab Data: No

Allergies: PCN

Symptoms: 01/07 received vaccine, 01/13 experienced itching at injection site. 01/14 experienced welt, looked like a hive.

Other Meds: Vitamin C & D, Multivitamin, Losartan posassium, chloestyramine

Current Illness: No

ID: 0948075
Sex: M
Age: 24
State: CA

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

Lab Data: None

Allergies: NKA

Symptoms: Vasovagal Syncope

Other Meds: Per patient "none"

Current Illness: NKA

ID: 0948076
Sex: F
Age: 66
State:

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

Lab Data:

Allergies:

Symptoms: No adverse event reported. Only reporting administration of vaccine in possible temperature excursion

Other Meds:

Current Illness:

ID: 0948077
Sex: F
Age: 28
State: MA

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

Lab Data: IV discontinued in the ED and pt was observed, labs, EKG done has allergy f/u appt 2/8/21 employee states sx resolved in ED or by yesterday except states still gets chills off and on

Allergies: none

Symptoms: Patient received 1st dose Moderna covid vaccine at 1343 and monitored for 15 minutes At approx 1402 patient c/o dizziness, HA, chest tightness & feeling as she was going to pass out Patient started hyperventilating & her eyes rolled back. Code Blue called & she was lowered to the floor, difficult to arouse, following simple commands & breathing/had pulse. Was jerking, Code team arrived, placed on NRB & IV placed for IVF, transported to ED via stretcher. States also got fatigued after vaccine

Other Meds: none

Current Illness: mild anemia

ID: 0948078
Sex: F
Age: 53
State: CA

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

Lab Data: None Acetaminophen, ibuprofen, Vitamin C, Sambucol, hydration and rest. Reported S/S to Employee Health and PCP 1/15/21

Allergies: PCN- rash Cephalosporin- rash Sulfa- peeling skin hands and feet, burning & itching Codeine- respiratory distress, airway swelling

Symptoms: Day 1- RUE injection site tender Day2- RUE Large knot at injection site, tenderness. Fatigue Day 3- Right Axillary lymph nodes swelling, grapefruit size, painful. Edema from injection site to fingertips with numbness to 3,4,5 digits. Fatigue and headache. Day 4- RIGHT sided lymph nodes swelling, palpable to neck, axillary and groin. Severe fatigue. Headache. Edema still complete to RUE- with numbness to fingers. Grapefruit sized axillary, slightly improved. NO FEVER, COUGH, DYSPNEA

Other Meds: Atorvastatin 20mg 1/day Vitamin D 4,000 units/day Multi vitamin 1/day Aspirin 81mg 1/day Biotin 1200 mg/day Tylenol 1000 mg TID- started 01/12/21 Ibuprofen 600 mg TID - started 01/13/21

Current Illness: None

ID: 0948079
Sex: F
Age: 50
State: GA

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

Lab Data:

Allergies: Keflex, codeine, latex, papaya, mango, kiwi, fish

Symptoms: extreme chills, temp 100 F, teeth chattering, body aches and pains, bright red splotches on face that persist to this day/time (Jan 15, 2021 3:36PM).

Other Meds: Advil, Benadryl

Current Illness: None, but received the Shingrix vaccine Dec 15, 2021

ID: 0948080
Sex: F
Age: 72
State: AK

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

Lab Data:

Allergies: Pollen extract; Ramipril, hives, cough

Symptoms: Error with diluent, sterile water used

Other Meds: NORCO; EFFEXOR ER; ZOCOR; AMBIEN; NORVASC; PRILOSEC; NEURONTIN; TRELEGY ELLIPTA; CHANTIX STARTING MONTH PAK; VENTOLIN HFA; Vitamin B-12; Vitamin D-3; COZAAR; FOSAMAX; aspirin; FLONASE; LYRICA

Current Illness: HTN, low back pain, hyperlipids

ID: 0948081
Sex: F
Age: 44
State:

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

Lab Data:

Allergies:

Symptoms: Swollen Tongue and light headedness 3 hours after injection. Resolved with oral Benadryl

Other Meds:

Current Illness:

ID: 0948082
Sex: F
Age: 39
State: KS

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/15/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Patient had just recovered from COVID and ended quarantine on 1/1/21. On 1/4/21, she received the first COVID vaccination. While driving home on 1/6/21, she experienced an MI diagnosed in the emergency room 30 minutes later. She was admitted to the hospital and underwent a heart catheterization and received a STENT. She had previous cardiogenic shock in 2003.

Other Meds:

Current Illness: COVID (+) 14 days prior with quarantine ending on 1/1/21

ID: 0948083
Sex: M
Age: 26
State: FL

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

Lab Data: none

Allergies: none

Symptoms: fever , extreme fatigue, sore arm, headache

Other Meds: Adderal,Lexapro,Xanax

Current Illness: none

ID: 0948084
Sex: M
Age:
State: AZ

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

Lab Data:

Allergies: Ibuprofen

Symptoms: None stated.

Other Meds: Tamsulosin 0.4MG Pravastatin 40MG

Current Illness: None

ID: 0948085
Sex: F
Age: 65
State: NJ

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

Lab Data:

Allergies:

Symptoms: CHILLS, HEADACHE, MUSCLE PAIN

Other Meds:

Current Illness:

ID: 0948086
Sex: M
Age: 21
State: MN

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

Lab Data:

Allergies: Dust, hay

Symptoms: fever 99.6, chills, vomiting, headache and body aches

Other Meds:

Current Illness: None

ID: 0948087
Sex: F
Age: 38
State: OH

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

Lab Data:

Allergies: All Fish

Symptoms: Fever>100, Chills, Sweats, body aches, headache, Local reaction redness and swelling at injection site

Other Meds: Advair, Zyrtec and hydroxizine

Current Illness: No but COVID+ 11/16/2020

ID: 0948088
Sex: M
Age: 39
State: CO

Vax Date: 01/05/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: In the left arm where I received my first dose of Covid-19 vaccine (Pfizer) I started getting a numbness feeling in the area of the injection. It feels very similar to when a limb falls asleep. There is numbness and tingling feeling . So far there is no pain or weakness. There has been no treatment. This started on 1/14/2021 and has continued through today.

Other Meds: Men's daily vitamin

Current Illness: Covid-19 December 4th-19th 2020, Tested positive on December 4th and 8th.

ID: 0948089
Sex: F
Age: 76
State: AK

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

Lab Data:

Allergies: NKA

Symptoms: Error with diluent, sterile water used

Other Meds: LANTUS SOLOSTAR, CRESTOR, LASIX, NORVASC, B-12, METAMUCIL FIBER,

Current Illness: 0

ID: 0948090
Sex: M
Age: 68
State: CA

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

Lab Data: Observation

Allergies: none

Symptoms: Approximately 13 hours after the injection, I started getting severe chills and uncontrollable, violent shaking with great bodily tension. It lasted most all night and into the morning. The shaking has gone, but it left a slight headache and significant fatigue to the point of trouble getting out of bed. The fatigue is somewhat better, but it has left a mental fog... through mid day as I write this I have taken Tylenol, which has helped some

Other Meds: atorvastatin 20mg losartan 100mg

Current Illness: none

ID: 0948091
Sex: M
Age: 80
State: FL

Vax Date: 01/09/2021
Onset Date: 01/11/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Muscular and joint pain in shoulders and upper arms (bilateral). First observed about 36 hours after injection. Persists as of 1543 EST, 15 JAN 2021

Other Meds: Olmesarten Medoximil 20-mg (1X daily); Tramdol 50-mg (as needed); Testosterone Cypionate 200 mg/ml (0.2 ml 1X weekly); Melatonin 5-mg (3X daily); and Benadryl 25-mg tab (2X daily)

Current Illness: None

ID: 0948092
Sex: F
Age: 71
State: FL

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

Lab Data: None

Allergies: None listed

Symptoms: Following dose #1 of COVID-19 vaccine (Pfizer), patient reported tingling in lips. She was monitored for 30 minutes total. By next day, patient reported complete resolution of symptoms. Of note, patient has multiple sclerosis and reported lip tingling as consistent with MS flare symptom.

Other Meds: Albuterol 2.5 g via nebulizer (dosing unknown), atorvastatin 20 mg PO daily, baclofen 10 mg PO daily, clonazepam 0.5 mg BID PRN, epinephrine 0.3mg/0.3 mL as needed, levothyroxine 50 mcg PO daily, olmesartan/amlodipine/HCTZ 20/5/12.5 mg PO d

Current Illness: None listed

ID: 0948093
Sex: F
Age: 47
State: MI

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

Lab Data:

Allergies: hx of anaphylaxis - Jeldanz

Symptoms: Pt experienced tachycardia and severe dizziness and associated nausea. BP 133/78, HR 94, sat 100. Symptoms passed after 10 minutes of observation. Sent patient home per her request.

Other Meds:

Current Illness:

ID: 0948094
Sex: M
Age: 46
State: KY

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

Lab Data: NONE, DID NOT SEEK MEDICAL ATTENTION

Allergies: HYDROCODONE ,PERCOCET

Symptoms: BECAME "VERY SICK" WITH "SEVERE MUSCLE ACHES" ,COUGH,CHILLS,HEADACHE, FEVER AT 7 HOURS POST VACCINE. STATES HE WAS UNABLE TO WORK THE NEXT 2 DAYS . HE TOOK TYLENOL 3 ON THE DAY AFTER THE VACCINE AND INTO DAY 2 AFTER THE VACCINE . TOOK IT EVERY 4-6 HRS. HE RETURNED TO WORK ON 1/14/2021 AND IS SYMTOM FREE NOW.

Other Meds: VITAMIN C, ZINC, ECHINCEA (HERB),PROTONIX

Current Illness: PNEUMONIA IN DECEMBER 2020

ID: 0948095
Sex: F
Age: 54
State: NM

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

Lab Data: None

Allergies: Penicillin family

Symptoms: Syncope. Rested and recovered. Fainted about 5 minutes after receiving the vaccine- walked quickly from the vaccination station to the observation station, and was seen wobbling, caught her and laid her until she recovered. She was embarrassed, indicated she has fainted with shots before.

Other Meds:

Current Illness:

ID: 0948096
Sex: F
Age: 54
State: VA

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

Lab Data: None

Allergies: No allergies but intolerance to gluten

Symptoms: Felt light headed immediately (not significant), Pain in right arm continued to increase into the night and through the entire next day. Arm was so painful unable to raise over my head. Also had severe lethargy, stuffy nose and complete malaise. I did not have a temperature but felt the body aches as if I had a temperature. Also became very tearful and I ended up napping multiple times during the day which are two things I NEVER do during the day.

Other Meds: Toujeo, Humalog, Amlodipine, Spironolactone, Ramipril, Vitamin C, VItamin D, B12, Biotin,

Current Illness: Covid diagnosis on November 30th.

ID: 0948097
Sex: F
Age: 33
State: MD

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

Lab Data:

Allergies: None

Symptoms: 6 cm area of redness + induration + itchy at site

Other Meds: Birth Control Pills

Current Illness:

ID: 0948098
Sex: F
Age: 40
State: MI

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

Lab Data: Unknown

Allergies: Had swelling at injection site with the Tetanus, and Flu vaccines in the past.

Symptoms: Chest tightness, Difficulty in breathing, Tachycardia, Throat tingling and burning.

Other Meds: Unknown

Current Illness: Unknown

ID: 0948099
Sex: F
Age: 38
State: PA

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 2 days after being vaccinated employee complained of headache and chest pain

Other Meds: None

Current Illness: None

ID: 0948100
Sex: M
Age: 43
State: ID

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

Lab Data: CBC, Chem, UA, Lactic acid, CT scan

Allergies: Acetaminophen (from percocet), Ketolac, Oxycodone (from percocet)

Symptoms: Pt came to ER c/o severe abdominal pain for several days after receiving Moderna vaccination. Pt given pain medication and d/c home.

Other Meds: Nebivolol, Levothyroxine, Atorvastatin, Clonazepam

Current Illness: None

ID: 0948101
Sex: F
Age: 45
State: UT

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

Lab Data: None yet

Allergies: Erythromycin, adhesive on Dexcom G6 glucose sensor

Symptoms: 6 days after shot, my arm became really itchy and hot. It began to feel hard around my deltoid muscle below the injection site. That night I was not able to sleep on that side. The site continues to be itchy, red and hard. It is rectangular in shape and approximately 2x4?. I?ve taken ibu, Zyrtec, and used triamcinolone cream on it.

Other Meds: Effexor, Wellbutrin, buspar, levothyroxine, lisinopril, atorvastin, fiasp insulin, turmeric, vitamin d

Current Illness: Previous insulin pump site infection

ID: 0948102
Sex: F
Age: 70
State:

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

Lab Data:

Allergies:

Symptoms: No adverse event reported. Only reporting administration of vaccine in possible temperature excursion

Other Meds:

Current Illness:

ID: 0948103
Sex: F
Age: 56
State:

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

Lab Data:

Allergies:

Symptoms: Rash at injection site, followed by pruritic rash around waist, feet and toes.

Other Meds:

Current Illness:

ID: 0948104
Sex: M
Age: 52
State: VA

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

Lab Data: None.

Allergies: None

Symptoms: Started with chills, then severe headache, body aches, and ETOH like withdrawals (mind racing, delusional thoughts), nausea, tossing and turning unable to get comfortable (Though I spent 18 hours in bed, Fitbit recorded only 3.5 hours of sleep). Please note this writer has never experienced etoh withdrawal personally, however he has taken care of many patients requiring hospitalization for the same. The bulk of all simultaneous symptoms occurred from 0200 on 1/14 to 1030 hours of same day. Headache unrelieved by Tylenol (500mg at 2230 on 1/13, 1000mg at 0245 on 1/14, then Advil 400mg at 0945 on 1/14).

Other Meds: Breo, Pravastatin, Sudafed, Fluticasone Propionate Nasal spray.

Current Illness: Water on ear drums (ringing in ears)

ID: 0948105
Sex: F
Age: 52
State: TX

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

Lab Data:

Allergies: codeine

Symptoms: injection site is red 9cm down my arm, warm to the touch, itchy, and sore

Other Meds: estrogen transdermal patch

Current Illness: none

ID: 0948106
Sex: F
Age: 39
State: IA

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

Lab Data: None

Allergies: Sulfur Bactrum

Symptoms: Hives on face, shoulders and neck. Benadryl for the itching and hives

Other Meds: Linzess Topromaz Linzess

Current Illness: None

ID: 0948107
Sex: M
Age: 60
State: IL

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

Lab Data: Blood work was completed

Allergies: Penicillin

Symptoms: One week of the vaccine, while having some coffee and cookies. About tens of consuming them, I felt like I was getting a cold and had to keep clearing my throat. I told my wife I feel wired and she mentioned my right eye looked different. In about two more minutes my right was swollen closed and speaking became difficult due to the swelling. My wife drove me to Hospital and I received Epinephrine and Benadryl and fluids.

Other Meds: Bentel

Current Illness: None

ID: 0948108
Sex: F
Age: 29
State: AR

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

Lab Data:

Allergies: NO

Symptoms: FATIGUE, FEVER, HEADACHE, N/V

Other Meds: NO

Current Illness: NO

ID: 0948109
Sex: F
Age: 37
State: CA

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

Lab Data:

Allergies: PCN

Symptoms: Numbness in throat/uvula

Other Meds: Unknown

Current Illness: none

ID: 0948110
Sex: F
Age: 32
State: PA

Vax Date: 12/17/2020
Onset Date: 12/21/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Several days after the first dose, I developed shingles and needed medical attention for this. 12 hours after the second dose, I developed fevers, chills, rigors, body aches for 5-6 hours.

Other Meds: No

Current Illness: no

ID: 0948111
Sex: M
Age: 11
State: TX

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

Lab Data:

Allergies:

Symptoms: Patient eyes rolled back and his arms became still and hands turned outward. It lasted 5 -10seconds. Patient was alert and oriented to person and place within 10 seconds. He complained of being tired immediately afterward. Patient drank some cold water and was seen by a pediatrician in the clinic. Neurology referral placed for patient to follow up.

Other Meds:

Current Illness:

ID: 0948112
Sex: M
Age: 39
State: TX

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

Lab Data:

Allergies: None

Symptoms: Vaccine to R deltoid numbness & tingling to L arm. Face & neck felt tingly. Hands cold. BP 170/130 @ 315 150/102 @ 3:40 P92->P 83 O2 100% Has slightly elevated BP regularly normal 140/90. Has a BP cuff @ home Alert & oriented. Talkative. Eye contact Normal Gait & Movement

Other Meds: Testosteron Cream

Current Illness: None

ID: 0948113
Sex: F
Age: 58
State: WI

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

Lab Data:

Allergies: Duricef Dynacin Demerol

Symptoms: reported symptoms of one wave of nausea (which quickly resolved) and a warm pulsing sensation to her left posterior hand from wrist distally to index finger.

Other Meds:

Current Illness:

ID: 0948114
Sex: F
Age: 83
State: FL

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

Lab Data: none

Allergies: macrobid; lisinopril; flagyl; losartan; ceftin iodine

Symptoms: brieflysevere muscle pain approx 15 hrs later; following day[day #1] severe headache, nausea, chills, low grade fever, fatigue; #2-intermittent headache, loose stools x3, nausea, fatigue; #3- nausea, loose stool x2; fatigue; slight intermittent headache; #4- nausea , weakness; #4- better with some hives at injection site and upper arm

Other Meds: SYMBICORT 160/4.5 1PUFF bid; Bupropion 75 mg; Zegerid OTC-Zyrtec OTC; Olmesartan 40 mgm-1/2 tab bid. No vitamins that day. usually take multivitamin, Zinc. Vit D3; B12; biotin; vit C

Current Illness: Covid onset 9/27

ID: 0948115
Sex: F
Age: 56
State: NC

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

Lab Data: sought medical evaluation at Urgent Care

Allergies: N/A

Symptoms: site of injection has remained reddened, swollen, and painful to touch. Have seen physician for evaluation.

Other Meds: Atenolol

Current Illness: N/A

ID: 0948116
Sex: F
Age: 61
State: AL

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

Lab Data: None

Allergies: NKA

Symptoms: Feeling cold, headache, chills, tender arm, fever

Other Meds: Zyrtec, trazadone, metoprolol, eliquis, zinc, vitamin c, calcium, vitamin d,

Current Illness: None

ID: 0948117
Sex: M
Age: 47
State: NM

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

Lab Data: None

Allergies:

Symptoms: Tingling in the back of the throat, dry feeling, metallic taste in mouth. No lightheadedness, pain in chest or difficulty breathing.

Other Meds:

Current Illness:

ID: 0948118
Sex: F
Age: 33
State: TX

Vax Date: 01/06/2021
Onset Date: 01/11/2021
Rec V Date: 01/15/2021
Hospital: Y

Lab Data:

Allergies: Flagyl

Symptoms: Pfizer-BioNTech COVID- 19 Vaccine EUA Received communication that patient experienced a stroke and received alteplase at a non-facility (Medical Center) 5 days after receiving COVID-19 vaccination.

Other Meds:

Current Illness:

ID: 0948119
Sex: F
Age: 52
State: CO

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

Lab Data:

Allergies:

Symptoms: 1435 vaccine given 1440 tingling in tongue, lump in throat - no swelling, no SOB, no rash - monitor as she was anxious prior to receiving vaccine 1444 states sxs are getting worse, still no swelling or SOB noted 1445 States she now feels like tongue is swelling and lump in throat is worse, cough noted. 99.5F, 97% RA, 102HR, 22 Resp, 146/99 BP 1448 Hoarseness in voice noted as associate getting into wheelchair 1449 Turn over care to ED

Other Meds:

Current Illness: Multiple Sclerosis

ID: 0948120
Sex: M
Age: 73
State:

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

Lab Data:

Allergies:

Symptoms: No adverse event reported. Only reporting administration of vaccine in possible temperature excursion

Other Meds:

Current Illness:

ID: 0948121
Sex: F
Age: 62
State: TX

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

Lab Data:

Allergies:

Symptoms: I have facial fillers under my eyes. The filler under the left eye was swollen and red.

Other Meds: Coq10, Hydroxyzine, Vitamin C, Vitamin D3, Gabapentin, Astragalus, Rehmannia, Alpha lipoic acid

Current Illness: CKD, Osteoarthritis

ID: 0948122
Sex: F
Age: 71
State: FL

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

Lab Data: None

Allergies: None noted

Symptoms: Following dose #1 of COVID-19 vaccine (Pfizer), patient developed tingling in lips. Patient monitored for 30 minutes total. By the next day, patient reported that symptoms had completely resolved. Of note, patient has multiple sclerosis and reported that lip tingling is consistent with MS flare.

Other Meds: Albuterol 2.5 g via nebulizer (dosing unknown); atorvastatin 20 mg PO daily; baclofen 10 mg PO daily; clonazepam 0.5mg PO BID PRN; epinephrine 0.3 mg IM PRN; levothyroxine 50 mcg PO daily; olmesartan/amlodipine/HCTZ 20/5/12.5 mg PO daily; p

Current Illness: Unknown

ID: 0948123
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: none

Symptoms: Approx 7 hours after injection, sore arm started At 10 hours, chills started mildly and proceeded to full body shivering/spasms for 3 consecutive hours. No pain, but unable to stop.

Other Meds: vitamin C, glucosamine, fish oil, vit. D3, niacin, multivitamin

Current Illness: na

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm