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: 0949902
Sex: F
Age: 47
State: TX

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Beginning 4 hours after second injection: body aches and chills that lasted 48 hours. These were not responsive to Tylenol or ibuprofen. On day two fever that got as high as 101 degrees was observed. Severe headaches lasted from 4 hours after second injection until 48 hours after second injection. Beginning at about 48 hours post second injection painful tender lymphadenopathy observed in axillary area of left arm. I am now 96 hours post second injection and the lymph nodes in that left arm are still swollen and tender and painful.

Other Meds: Esomeprazole 15 mg daily Vitamin D 2000 IU daily Calcium's 1000 mg daily Probiotics daily

Current Illness: None

ID: 0949903
Sex: F
Age: 35
State: WI

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: None

Allergies: ?bees

Symptoms: That morning I had taken amlodipine for the 2nd time in my life to help Raynaud's. Both times I have taken amlodipine now I have felt lightheaded and less cognitively sharp than normal basically the entire day. I received the above Pfizer COVID-19 vaccine around 12:45 PM, within about 3-5 minutes of receiving the vaccine and standing in line to check out I suddenly felt I was going to loss consciousness/collapse so started lowering myself to the ground and then became unconscious and fell. Healthcare staff informed me I was unconscious for about 20-30 seconds. I woke up and initially felt confused, but quickly realized what had happened. Then I felt nauseated, had some stomach cramps and thought I was going to have diarrhea. They considered giving me Epi for possible anaphylaxis, but I requested they observe further for any skin reaction/hives, airway symptoms, etc given I was skeptical the syncope may have been fully or partially related to the amlodipine I took that morning. Symptoms slowly improved over 20-30 minutes, but the lightheaded feeling and nauseated lasted hours. No Epipen, medications, or interventions were needed.

Other Meds: amlodipine 2.5 mg, Vitamin D3 1,000 IU PO, aspirin 81 mg - that morning

Current Illness: none

ID: 0949904
Sex: F
Age: 35
State: PA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: Several including Ceclor, Strawberry, morphine, bee stings. Patient appears to be taking oxycodone 5mg IR without reaction (despite morphine allergy history)

Symptoms: Developed tingling in upper lip 20 min after vaccination. Progressed to itchiness and hives on her back/chest. Felt that her upper and lower lips were burning.

Other Meds: Several, including adderall, azithromycin, insulin, oxycodone, pancrelipase

Current Illness:

ID: 0949905
Sex: F
Age: 64
State: IL

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: Cellulitis

Allergies: NKA

Symptoms: On January 5 I received the Moderna Vaccine to my right Deltoid On January 13th I developed cellulitis to that area

Other Meds: none

Current Illness: None

ID: 0949906
Sex: F
Age: 62
State:

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: None

Allergies: None known

Symptoms: Extreme chills/shaking from 2:00 am till noon the next day Fever of 99.4 from noon 1/15 till 3:00 pm 1/15 Sore throat, headache, joint pain in elbows, knees and lower back from 2:00 am 1/14 till 11:00 pm 1/15 Nausea from 2:00 am till 9:00 am 1/16

Other Meds: Amlodipine Fish oil D3 Probiotic Magnesium/zinc Via tic Tylenol extra strength

Current Illness: None

ID: 0949907
Sex: M
Age: 69
State: FL

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 54 hrs after injection, I had about an hour of slight, but noticeable dizziness. When walking, I felt I was being pulled to the left. No other symptoms were felt. Condition went away in 90 minutes or so.

Other Meds: Daily... 81mg aspirin, men's multivitamin, 20mg Rosuvastatin, and one drop of Latanoprost (right eye only).

Current Illness: None

ID: 0949908
Sex: F
Age: 53
State: OH

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: N/a

Allergies: None

Symptoms: Mild hives and wheezing one hour after second dose of vaccine. Employee health provider administered 25 mg Benadryl IM with relief. I have needed to use albuterol daily since which is unusual for me.

Other Meds: Dyazide, Allegra,Protonix, vitamin D

Current Illness: None

ID: 0949909
Sex: F
Age: 44
State: GA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Moderna COVID-19 Vaccine EUA . Day of vaccine, soreness and swelling at the point of injection (upper left arm). Headaches and low-grade fever (99.8 F to 99.0 F) continued for 6 days (current). Headaches were more intense in sensation with periodic sensitivity to sound in the first 24 hours. Arm pain and swelling dissipated after approximately 36 hours.

Other Meds: Synthroid, Align probiotic, Women's Once a Day daily vitamin

Current Illness: None

ID: 0949910
Sex: F
Age: 52
State: NJ

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: No tests

Allergies: Cherries Hazelnuts Pollen

Symptoms: Received vaccine on Wed 1/6/21. Eyelid swelling, redness, itchiness noted on Thursday 1/7/21 at 7:00am

Other Meds: Levothyroxine 75 mcg every MWF Levothryoxine 50 mcg TThSS Calcium 600mg Vit D 5000 iu 125 mcg Biotin 10000mcg Vit B12 5000 mcg MVI

Current Illness:

ID: 0949911
Sex: F
Age: 39
State: PA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Woke up the day after shot, went for a long walk and noticed very slight ache/soreness in bilateral buttocks and hamstrings. 1/10, didn?t limit activities at all.

Other Meds: Leo thyroxine humalog victoza Lodi optum atorvastatin lexapro Claritin famotidine

Current Illness: hsv flare up

ID: 0949912
Sex: F
Age: 31
State: NJ

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: Percocet, lobster

Symptoms: Chills/fever, body aches

Other Meds: Nortrel

Current Illness: N/A

ID: 0949913
Sex: M
Age: 78
State: NC

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: n/a

Allergies: Penicillin

Symptoms: Tightness in chest, dizziness, weakness, tingling in feet and lower legs.

Other Meds: Prednisone 4mg, Cymbalta 30 mg, VitaminB12, Vitamin D3, Magnesium 400mg,

Current Illness: None

ID: 0949914
Sex: F
Age: 43
State: VT

Vax Date: 01/08/2021
Onset Date: 01/16/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: none

Allergies: no

Symptoms: Significant swelling of arm noticed one week after injection. Hard to abduct arm due to swelling. Very mild pain. Itching. Denies fever or chills.

Other Meds: ibuprofen after vaccination

Current Illness: none

ID: 0949915
Sex: F
Age: 64
State: WI

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: severe lower back pain started jan 13 6 pm

Other Meds: ibrubrofen

Current Illness: none

ID: 0949916
Sex: F
Age: 37
State: OH

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: Remained for observation approximately 50 minutes, blood pressure was checked Then i decided to walk to my office. I had sense of instability. The room was not spinning itself, but myself i felt like i was easy to go off balance if i would look right or left or down to my phone. I was focusing my eyes to a target distance to concentrate

Allergies: none known some skin allergy to nickel and cobalt

Symptoms: Within 2 minutes post vaccination i started feeling loss of sense of myself. I could not pinpoint if i felt dizzy or vertiginous. Felt like i was off balance and i was super vernous to walk. Vertiginous episodes come and go with peaks for at least 10 times. The whole episode lasted 4 hours until i felt going back to myself. I was provided water, 1 L and orange juice, there was epi available. No anaphylactic symptoms, no shortness of breath. I drank 1,5 L of fluids and then my BP was checked 120/80, HR 80s. I note that i never felt syncopal, no diaphoresis, nausea, nor darkened vision and i was fully interactive with the bystanders. Note, i am a critical care intensivist so i had full grasp of the issue but i could now quite describe the sensation of this acute loss of instability. The best way to describe this was vertigo. Similar episode occured at the first vaccine with COVID, occured after 10 minutes and lasted no more than 30 seconds. I didnt report that then because i thought it was just dehydration.

Other Meds: none

Current Illness: none

ID: 0949917
Sex: M
Age: 63
State: NH

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever 101.4, chills, severe headache, very painful to touch injection site

Other Meds: 81 mg aspirin every other day, multivitamin daily

Current Illness: None, but had Covid-19 10/10/2020.

ID: 0949918
Sex: F
Age: 56
State: MD

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: None

Allergies: Sulpha

Symptoms: Sore and a small bruise at injection site.

Other Meds: Ramapril Trimterene

Current Illness:

ID: 0949919
Sex: F
Age: 65
State: GA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: None at this time

Allergies: Latex bandaids ivp dye

Symptoms: After 15 minutes i started getting itching and burning on my face . Was given 2 benedryl. I woke with itching on my side thigh and some on my face took benedryl

Other Meds:

Current Illness: None

ID: 0949920
Sex: M
Age: 73
State: NH

Vax Date: 01/01/2021
Onset Date: 01/14/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: 1/14/2021 angiogram slight blockage no stent required

Allergies: None

Symptoms: Tightness and pain in chest leading to hospitalization and diagnosis of heart attack at 3 am

Other Meds: Irbesarten 300mg Symbicort 160 Celebrex 200

Current Illness: None

ID: 0949921
Sex: F
Age: 47
State: NY

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: shellfish

Symptoms: low grade fever, chills, body aches, headache for 24 hours. tylenol of little help

Other Meds: nortryptiline, eliquis

Current Illness: shingles

ID: 0949922
Sex: M
Age: 59
State: IL

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: (Fever 102.3, Head ache, Nausea, Fatigue., DIB, First shot for 3.5 days) (Nausea, Fatigue, Head ache from 2nd shot lasting7 days)

Other Meds: Toprol xl, ibersartin, htz, Humeria, Norvas

Current Illness: none

ID: 0949923
Sex: F
Age: 54
State: NY

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: n/a

Allergies: hair color, wool

Symptoms: Full-body red pruritic wheels covering both lower extremities, trunk, and torso, anterior neck some noted inside both ears. No difficulty breathing. Began at 2:00 AM January 16th, 2021

Other Meds: none

Current Illness: none

ID: 0949924
Sex: M
Age: 77
State: AZ

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0949925
Sex: F
Age: 32
State: MD

Vax Date: 01/09/2021
Onset Date: 01/12/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: Covid test on 1/12/2021, tested negative

Allergies: None

Symptoms: Chills, low grade fever (99.1F), muscle Pain, pain at injection site

Other Meds: None

Current Illness: None

ID: 0949926
Sex: F
Age: 34
State: NY

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: I am breastfeeding my 4 month old baby. Two days after I received the vaccine, he had blood and mucous in his stool for 2 days. No other causes identified and no changes.

Other Meds: None

Current Illness: None

ID: 0949927
Sex: M
Age: 41
State: VA

Vax Date: 12/28/2020
Onset Date: 01/10/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: Influenza A & B--negative Covid Antigen--negative Covid PCR--negative CBC w/diff--monocytes at 13 (upper limit of normal 12) everything else normal CMP--normal PT/PTT--normal

Allergies: NKDA

Symptoms: The day after had myalgias and fatigue and arm pain. But on 1/10/21 began developing mild 2/10 headaches. On 1/11/21 the headache worsened to 4/10 and was associated with myalgias and neck stiffness. After a jog, I was in the shower and noticed a rash all over my body that had been pruritic. I went to the ER that night where I tested negative for flu A/B and also tested negative for covid (Antigen then PCR). Got a CMP, CBC, and coags to rule out ITP. everything was normal. The symptoms were so bad I stayed home from work on 1/12/21. Over the next few days the rash improved and the headache slowly went away

Other Meds: Aspirin 81mg PO Day

Current Illness: none

ID: 0949928
Sex: F
Age: 48
State: NC

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: None so far. Will see my provider on 1/19/21 unless condition worsens.

Allergies: Penicillin Sulfa

Symptoms: Raised rash that started as small red spots on my bilateral legs.

Other Meds: Janumet, Lansoprazole, Aspirin 81mg, Hydralazine, Montekulast, Losartan, Simvastatin, Chantix. Connamon supplement, Amlodipine, HCTZ, , Cetirizine, Vitamin D supplements

Current Illness:

ID: 0949929
Sex: F
Age: 64
State: CA

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: Bactrim, levoquin

Symptoms: Swelling, redness. Very warm to touch, pain at site and itchiness that persisted for 12 days.

Other Meds: Met formin, glymepiride,januvia,hctz,cozaar, atorvastatin, Sambucus elderberry, AHCC

Current Illness: Ultrasound guided biopsy on right breast done 12/30/2020, Result on Jan. 7th. Positive for breast cancer

ID: 0949930
Sex: M
Age: 29
State: MD

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: itching starting night of 1/15/2021 followed by diffuse hives on 1/16/2021

Other Meds:

Current Illness:

ID: 0949931
Sex: M
Age: 47
State: IN

Vax Date: 12/19/2020
Onset Date: 12/19/2020
Rec V Date: 01/16/2021
Hospital:

Lab Data: On second event (day 19) patient underwent 12 lead ECG (sinus tachycardia with incomplete RBBB). CT Chest with IVC showed no abnormal findings. Labs including CBC, BMP, CRP, cardiac troponins were all WNL. Patient also had normal thyroid function studies (TSH, FT4, T3) about 2 weeks prior. 2-dimentional echocardiogram was normal. Patient underwent treadmill stress test with nuclear imaging one week following ED visit which was also normal (no findings of ischemia). Patient is currently wearing a 30-day cardiac event monitor. He is still experiencing fatigue and decreased exercise capacity (but no limitations in activity otherwise)

Allergies: NKDA

Symptoms: Patient complained of feeling light-headed and a little dizzy at 10 minutes post-administration. Pulse-oximetry applied revealed normal spO2, but tachycardia to 140bpm (this patient's resting HR is approximately 55-65). Apple Watch data confirmed rapid increase in HR at that moment. BP increased from normal baseline to about 150-160 SBP. No chest pain reported. No signs/symptoms of anaphylaxis (rash, wheezing, etc.). HR gradually recovered to normal levels within 30 minutes and patient was released after 60 min observation. Patient reported generalized fatigue in weeks following injection. Nineteen (19) days after injection, patient developed unprovoked resting tachycardia to approximately 180bpm (following some moderate weigh-lifting exercise). Symptoms did no resolve sufficiently and patient was transported by EMS to ER for evaluation

Other Meds: latanoprost drops

Current Illness: none

ID: 0949932
Sex: M
Age: 61
State:

Vax Date: 01/08/2021
Onset Date: 01/16/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: None so far. Just noticed today so not yet recovered.

Allergies: No Known allergy; Anaphylaxis to unknown food in 2005.

Symptoms: Three inch radius in size redness , with itch, and lump eight days after vaccination, dose 1. No symptoms prior to day 8.

Other Meds: Amlipidine and Losartan; Centrum Vitamins; Atorvastatin Calcium.

Current Illness: None. x

ID: 0949933
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/16/2021
Hospital:

Lab Data: n/a, took 50 mg Benadryl, 10 mg Zyrtec and 20 mg Pepcid

Allergies:

Symptoms: Mild itchy feeling with small amount of hives, itchy throat and thick feeling tongue

Other Meds:

Current Illness:

ID: 0949934
Sex: F
Age: 35
State: PA

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: Wheat, Rye, Barley

Symptoms: Developed fever Sunday night into Monday along with severe body aches, joints pain and weakness. took Tylenol 500mg every 6 hours. on Tuesday symptoms continued. Wednesday felt little better with no fever but body ache and joint pain continued. Was out from work for 3 days. Weakness and joint pain is still there (today is Saturday). will continue to monitor

Other Meds: Dicyclomine 20mg Qid Prn Iron 65mg 1qd Womens One a Day 1 qd

Current Illness: n/a

ID: 0949935
Sex: F
Age: 20
State: AR

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, fever, vomiting, slight loss of hearing in both ears, numb arm

Other Meds:

Current Illness:

ID: 0949936
Sex: F
Age: 45
State: KS

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: n/a

Allergies: Levaquin, Keflex, barley, bean pod, dust mite, sesame seeds, soy

Symptoms: Swollen tongue following the vaccine. Vitals remained stable. Patient was treated with Benadryl.

Other Meds: biotin, multivitamin, zinc, calcium, vitamin D, Zyrtec, pataday eye drops, pantoprazolel

Current Illness: none

ID: 0949937
Sex: F
Age: 50
State: NJ

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: none

Allergies: sulfa drugs

Symptoms: One week later after vaccination - site was inflamed, hard and itchy. on about 1/3 of the upper arm. Starts at the vaccination site and moves down to elbow. Not very painful, but very red, swollen. One week later was first time of symptom. Took Benedryl and it stopped itching but swelling or redness is continuing.

Other Meds: Iron supplement; 300 mgs. gabapentin at night

Current Illness: none

ID: 0949938
Sex: F
Age: 58
State: KY

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Pain at injection site, severe lethargy, cold chills, muscle aches, headache

Other Meds: Effexor 37.5 MF for hot flashes Alendronate Sodium osteoporosis Calcium, AREDS fie eye health, fish oil, one a day

Current Illness: None

ID: 0949939
Sex: F
Age: 48
State: MI

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: n/a

Allergies: no

Symptoms: L jaw tingling. scratchy throat, globus sensation in throat 20 min s/p vaccine. globus sensation resolved following benadryl. tingling still present at 14 hours but has improved.

Other Meds: wellbutrin, omeprazole

Current Illness: none

ID: 0949940
Sex: F
Age: 26
State: VT

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: 1/13 AT 2AM AWOKE WITH CHILLS, FEVERISH (t99) HEADACHE FROM TOP OF HEAD DOWN TO POSTERIOR NECK, SORE THROAT, FATIGUE, MYALGIA AND ARTHRALGIA Did not work on 1/14/21- by 1/14/21 afternoon improved

Other Meds: tylenol

Current Illness: none

ID: 0949941
Sex: F
Age: 55
State: NY

Vax Date: 12/28/2020
Onset Date: 01/10/2021
Rec V Date: 01/16/2021
Hospital: Y

Lab Data: Ultimately underwent LP with following studies: - Neg gram stain - Cell count 50, 38 lymph, 8 neuts, 4 RBC - Glucose 69 (wnl) - Protein 46 - CSF Cultures -- NGTD - LDH 11 - Cryptococcal antigen negative - HSV PCR 1/2 negative - Meningitis encephalitis panel negative (E.coli, h.flu, listeria, neisseria, strep agalactiae, strep pneumo, CMV, enterovirus, HSV 1/2, HHV6, Parechovirus, VZV, crypto) - VDRL titer negative - NMDA Ab negative

Allergies:

Symptoms: Per husband, was in usual state of health on the AM of 1/10/20, AOx3 able to perform all I/ADLs. At around 2:30pm that day was complaining of chills and generalized malaise. Then at ~9:30pm when husband returned home from work found patient diaphoretic, confused (stating things like "not now, I want to go to lake"), and complaining of chills and weakness. Unable to provide any additional hx regarding other sx. Initially presented to ED, where mental status had deteriorated to AOx0, unable to respond to verbal commands. Initial vitals notable for T102.6F (unclear other vitals). Patient is now AOx0 most concerning for encephalopathy.

Other Meds:

Current Illness:

ID: 0949942
Sex: F
Age: 37
State: VA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: Tamiflu; eggs; avocados, bananas

Symptoms: About 10-20 seconds after receiving vaccine I felt faint and the darkness started to close in and I almost passed out. The back of my tongue became very dry. I felt better after 10 minutes and never passed out. They took my vital signs and everything was normal. I have never been bothered by needles before at all so it was strange. However I do have a long history of anxiety so it?s possible it was just that.

Other Meds: Lexapro

Current Illness: N/a

ID: 0949943
Sex: F
Age: 41
State: OH

Vax Date: 01/01/2021
Onset Date: 01/16/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: Gluten, cat dander, dust mites, tree pollen

Symptoms: Itchy pea sized bump at injection site 1 week after shot. Arm pain was bad for 2 days and started to go away then all of a sudden got bump and itching at site.

Other Meds: Thyroid medication

Current Illness: Na

ID: 0949944
Sex: F
Age: 53
State: CA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: ASA PCN MOTRIN LATEX GLUTEN

Symptoms: Chill, terrible headache, noisy sound in ears, body aches, swollen lymph node at left armpit is very big, injection site is harder. Lower back at kidney sites are so painful. Weakness. No energy to lift up arms or legs. Have difficult to get up and get out of bed to get medicine or food. So sleepy, maybe because Tylenol 500mg q4h to help for pain but reduce just little from 10 down to 8 for a short time enough to get out of bed to get something. Ice pack at armpit, heat pat at lower back but just reduce the pain from 10 down to 9 only. No appetite. Eat lentil and rice porridge but indigestible and have to take Pepcid. All symptoms prolong until Friday 1/15/2021 around 1pm. I pushed myself hard to get up to drive to employee health for testing which I missed on Thursday due to unable to get up. After that the symptoms down to moderate that I able to report CDC. I wonder why 2 dose is so horrible to me.

Other Meds: 1. Metoprolol ER 25 mg 1 tab BID 2. Zestoretic 20-12.5 2 tabs QD 3. Wellbutrin XL 150 mg 2 tabs QD 4. Adderall 30 mg 1 tab Qam 5. Namenda 10mg 1 tab Qam 6. Vitamin D3 7. Vitamin B2 8. Pepcid AC prn

Current Illness: Daughter got Covid test (+) on 1/1/2021 Myself test (-) on 1/11/2021 but I am working in hospital on Covid floor

ID: 0949945
Sex: F
Age: 46
State: VA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: Shellfish, fish, pumpkin, pcn, diflucan

Symptoms: Starting approximately 15 minutes after injection started with tingling in lips and lips feeling swollen, developed minor tightness in throat and feeling tongue swollen along with tremors and lightheadedness. BP 140/102, HR low 100s. Took Benadryl 50mg with bottle of water. Symptoms resolved over next 30 minutes. Developed numbness in left 4th and 5th digit which resolved at approximately 1 hour. About 1 1/2 hours after injection some abdominal cramping and 1 episode of diarrhea. BP and HR back to normal at about 1 hour after event.

Other Meds: Zyrtec 10mg daily in am, Levothyroxine 125mcg daily in am, Pepcid 20mg twice a day, vitamin d3 2000 iu daily at night, nasacort nasal spray 1-2 sprays each nostril daily. Night before NyQuil 1 cap. Albuterol inhaler morning of. Celebrex 100

Current Illness: Seasonal allergies and asthma that had been acting up.

ID: 0949946
Sex: F
Age: 48
State: KY

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: Igg, igm

Allergies: None

Symptoms: 1/8 back pain, 1/9 lesion L flank, 1/11 Md prescribed acyclovir for shingles, 1/13 rash progress toward spine, 1/15 spots under navel L side, blood test comes back negative for shingles On 1/7 son dx covid

Other Meds: Sertraline 50mg

Current Illness: Son dx covid 1/7/21

ID: 0949947
Sex: F
Age: 24
State: VT

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: awoke feeling "like run over by bus" - arthralgia added ibuprofen to Tylenol regimen with improvement

Other Meds: ibuprofen

Current Illness:

ID: 0949948
Sex: M
Age: 33
State: OH

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Beginning later in the day, quickly developed fever of over 100. Peaked at 102 about 22 hours after injection and finally fever went away after about 36 hours. Then followed persistent headache and full body deep muscle soreness.

Other Meds: N/A

Current Illness: Positive test for Covid-19 on December 10th

ID: 0949949
Sex: F
Age: 67
State: FL

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: Penicillin, aspirin, shrimp/iodine, methadone

Symptoms: About 15 minutes after injection, my scalp began to itch all over. Have basically felt unwell for the last three days.

Other Meds: Metoprolol, Synthroid, Lansoprazole, Diclyclomine, HRT

Current Illness:

ID: 0949950
Sex: F
Age: 38
State: VA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: N/A

Allergies: Sulfa

Symptoms: Large (approx 3 inches), hard, red area around vaccination site. Area very sore and tender to touch.

Other Meds: Zoloft

Current Illness: N/A

ID: 0949951
Sex: F
Age: 23
State: NJ

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: Ekg, blood work, and fluids, with tylenol given to reduce fever. 1/5/21

Allergies: kiwi

Symptoms: Started with body aches, chills, fevers, high blood pressure, heart rate in 150's-160's around midnight of 1/5/21. Arm muscle soreness which I know is to be expected.

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm