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: 0950695
Sex: M
Age: 26
State:

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

Lab Data:

Allergies: None

Symptoms: Muscle soreness in left arm, acute lymphadenopathy in left cervical region

Other Meds: None

Current Illness: None

ID: 0950696
Sex: F
Age: 55
State: AZ

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

Lab Data: CBC, BMP, D-Dimer, Covid swab, Troponin T, Urine, CT scan, EKG- everything was negative related to visit.

Allergies: Lisinopril

Symptoms: Chest pain, chills, fever

Other Meds: None

Current Illness: None

ID: 0950697
Sex: M
Age: 27
State: PA

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

Lab Data: None

Allergies: None

Symptoms: About 8 hours after vaccine administration on 1/15/21 - woke up in the middle of the night with chills, headache, pain in joints and injection site, nausea. Sat up on the side of the bed - passed out and woke up on the floor. Tried to readjust slowly, passed out again. Place ice pack on stomach and behind neck to treatment with legs up. 1/16/21 continued to experience chills, headache despite cool compress and Tylenol 1000mg TID and Motrin 600mg x 1 dose at 1900. Fatigue and body aches throughout the day - very limited on any daily activities. Sweats and joint pain and pain around L arm injection site.

Other Meds: None

Current Illness: None

ID: 0950698
Sex: M
Age: 64
State: CT

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Symtoms: dizziness, chills, low-grade fever, fatigue Treatment: telephone call with Dr office; since symptoms were mild, decided to wait for a day before taking any action Outcome: all symptoms resolved completely within 20-24 hours

Other Meds: Metoprolol, Xarelto, Atorvastatin

Current Illness: None

ID: 0950699
Sex: F
Age: 40
State: MD

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

Lab Data: None

Allergies: Augmentin, morphine, wellbutrin, latex

Symptoms: Severe entire arm pain that began about 2 hours after injection. It became so severe I was unable to move or lift arm without assisting with other arm! The pain was so intense it woke me from sleeping. Advil helped but the pain was still severe for the entire day. I Have been taking advil around the clock and the pain has improved slightly and is more bearable but its been 48 hours and I still have pain while taking advil.

Other Meds: Prozac, Adderall, buspar, Topamax, acarbose, levothyroxine, vitamin d,

Current Illness: None

ID: 0950700
Sex: F
Age: 53
State: WA

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

Lab Data: None

Allergies: latex, Crestor, clarinex, erythromycin, doxycycline, blue chlorhexadine,

Symptoms: 1150 vaccine by pharmacist Rush of warm within 1 min, returned to car; woozy, lightheaded/dizzy Hungry ate nutrigrain bar 1200 Burning skin arms and legs, burning stomach, burning feeling occ to chest with deep breath; no throat, tongue, breathing issues,;still lightheaded. Notified pharmacist. 1205 Benadryl 50 mg from pharmacist, tums 2 1225 ok to leave parking spot, Starting itchy skin abd/ thighs, skin still burning, took Pepcid 10 mg ( recommended by pharmacist) 1240 skin still burning thighs, arms and abdomen. Nausea. Ate lunch 1:40 some nausea, occ waves of skin burning and itching, very tired (from 50 Benadryl), lightheaded, shaky still. 3:00 nausea only. No burning or itching 0430 burning stomach, nausea only Minimal Nausea throughout evening and morning of 1/15

Other Meds: Diltiazem 360 Atorvastatin 10 Cetirizine 10 Hydrochlorothiazide 25 Potassium 20 meq Triple mag 3 tabs Omega 3 bid zinc 1 tab Effexor 75mg Letrozole 2.5 mg Vit d 5000 Metformin 500 mg bid Zolodex injection (last given on 1/11) Turmeric 2 c

Current Illness: Liver biopsy 1/6 with stage 3 fibrosis, elevated liver enzymes, prediabetic

ID: 0950701
Sex: F
Age: 58
State: VA

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

Lab Data: Covid test-negative EKG- negative Blood pressure check-normal All done January 14

Allergies: None

Symptoms: Chills,fever,almost fainting,numbness in hands ,arms,shins,hyperventilating. Symptoms started the night of the vaccine. Went by ambulance to ED

Other Meds: Multi vitamin

Current Illness: None

ID: 0950702
Sex: F
Age: 74
State: TX

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

Lab Data: Covid_19

Allergies: None

Symptoms: Covid-19 type symptoms of headache; fever, eye ache; fatigue, body ache plus pain in injection site. I went to clinic to get tested for covid19 as I thought I was getting the virus again. I felt very much like I did in November when I tested positive & had Covid symptoms for 2 weeks. I was sick but no breathing issues so did not go to hospital.

Other Meds: 20 mg lisinopril 20 mg omeptazole Baby aspirin

Current Illness: None Did have Covid-19 from nov1-16, 2020

ID: 0950703
Sex: F
Age: 30
State: IL

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

Lab Data:

Allergies: NKDA

Symptoms: Soreness that expanded to half of my arm. I couldn?t sleep last night from the pain, I would rate it 9/10 in severity. I feel fatigued and groggy

Other Meds: NA

Current Illness:

ID: 0950704
Sex: F
Age: 52
State: GA

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

Lab Data: N/a Taking benedryl after talking to PA

Allergies: All cyclines- tetra, mono and doxicycline

Symptoms: Thursday- shot. Feel great. Friday- Day after- headache and sore arm Saturday- woke up with hives on face and skin feels like it's on fire.

Other Meds: Flomaise

Current Illness: N/a

ID: 0950705
Sex: M
Age: 37
State: AZ

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

Lab Data:

Allergies: none

Symptoms: shaking chills and high fever over 102

Other Meds: none

Current Illness: none

ID: 0950706
Sex: U
Age:
State: NY

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

Lab Data:

Allergies:

Symptoms: Seizures

Other Meds:

Current Illness:

ID: 0950707
Sex: F
Age: 28
State: NV

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

Lab Data: Have not had any testing done

Allergies: Milk

Symptoms: Moderna COVID-19 Vaccine EUA. It?s been a week since vaccine and injection site is red,bumpy, and and itchy. My body has been feeling somewhat itchy but not sure if it could be related to that too.

Other Meds: Pantaprazole/ vitamin D/ Zinc/ Biotin

Current Illness: None

ID: 0950708
Sex: F
Age: 63
State: NH

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

Lab Data: NA

Allergies: none reported

Symptoms: 10 minutes after receiving vaccine pt reports feeling flushed, like her heart is beating fast. Pt states its the same feeling she gets when she gets novicaine at the dentist. Seat reclined in car. 1331:HR 92,BP 190/78. Pt reports baseline HTN.Monitored in car by RN.1340: Pt reports feeling better, wants to have more observation.1350: Pt sat up from reclined seat and reports return of symptoms. HR 74, BP 170/80.Continued to observe for total of 1 hour.Pt states feels much better but not 100%,encouraged pt to have someone pick her up,pt states her son is available.1430:Son arrived to drive patient's car home, pt escorted to passenger side seat by this RN without issue.

Other Meds: none reported

Current Illness: none reported

ID: 0950709
Sex: M
Age: 73
State: NC

Vax Date: 01/06/2021
Onset Date: 01/14/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 8 days after first shot (Jan 6th), developed baseball size red area around vaccination site. Whelps appeared. Area warm to touch. Modest pain/ irritation only. Itchiness. Has slowly resolved past two days.

Other Meds: Carvedilol, xareldo, Effexor, eplerenne,lisinopril,simvastatin

Current Illness: None

ID: 0950710
Sex: F
Age: 23
State: CA

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

Lab Data:

Allergies: Soy

Symptoms: Initial vitals: BP: 146/91, HR 115, 100% O2, RR 16 Benadryl 25 mg po given at 9:50am EMS notified and first injection 3mg Epi pen injection given at 9:51am; swelling decreased briefly, then after 5-7' swelling got worse. 911 called. BP 139/97, 128, RR 16, O2 sat 100% 9:50am. Second epinephrine 3mg injection given at 10:03am. Swelling decreased, but periorbital swelling and somnolence, and flaccidity persisted. BP 135/88, HR 116, RR 16, O2 sat 100% at 10:05am. Ambulance arrived at 10:05 and she was brought to hospital.

Other Meds:

Current Illness:

ID: 0950711
Sex: F
Age: 16
State: CA

Vax Date: 12/29/2020
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: None.

Allergies: Yes, yesterday I broke into hives and right now my eyes are becoming puffy and my throat is swollen. The hives have disappeared when I woke up this morning.

Symptoms: Last night I broke out into a bunch of itchy spots that resemble hives all over my body. The hives went away in the morning. Just now, 3:57pm today, I have puffy eyes and a swollen throat.

Other Meds: None

Current Illness: None.

ID: 0950712
Sex: M
Age: 43
State: NY

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

Lab Data:

Allergies: Anti-inflammatory(Ibuprofen)

Symptoms: started 1.15.21 at midnight-Fever, chills,muscle ache and pain in left arm where vaccine was administered. Tylenol taken on 1.15.21

Other Meds: Multivitamin,

Current Illness:

ID: 0950713
Sex: F
Age: 40
State: TX

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

Lab Data:

Allergies: unknown

Symptoms: patient developed 2 cm spot at injection site that is red and painfull and more spots near elbow

Other Meds: nuvaring, lisinopril, sprinolactone, aczone gel, tretinoin

Current Illness: none

ID: 0950714
Sex: F
Age: 50
State: NY

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

Lab Data: none

Allergies: NKA

Symptoms: nausea, swollen around injection site, arm very painful for 2 days, persistent headache, and extreme exhaustion. I had to leave work early and take the next day off. I slept 14 hours on that day off.

Other Meds: Prozac, birth control

Current Illness: none

ID: 0950715
Sex: F
Age: 45
State: CA

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

Lab Data: None

Allergies: None

Symptoms: 8 days post injection, increased swelling, red bumps and Itchiness R deltoid area.

Other Meds: None

Current Illness: None

ID: 0950716
Sex: F
Age: 40
State: AR

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: My shoulder was sore with a hard knot in the middle of a reddened area at the site of the injection. I was tired, had body aches and a severe headache for 3 days. This all subsided on the 4th day post injection. On the 6th day post injection my shoulder and neck began to hurt with swelling and a hard knot at my clavicle. It was tender to the touch and caused pain when moving my arm. I saw my doctor on the 7th day post injection with complaints and he said it is most likely a viral infection and gave me meds to relieve pain. That night my shoulder started to throb and when I looked at it it is red, hot and swollen again. I still experience pain and discomfort to my shoulder and neck. The area where I received the vaccine itches as well.

Other Meds: none

Current Illness: none

ID: 0950717
Sex: F
Age: 35
State: ND

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/16/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: Detailed Email from patient: 12/22/20 @ 4:30 PM: tingling sensation around jaw area, working up to cheeks and around side of eyes, lasting a few hrs., but lessening in intensity at bedtime at 9:30 PM; same funny feeling on upper cheeks & sides of eyes, lasting all day. Felt swollen but didn't appear swollen; 11:30 PM: awakened by chest discomfort, possibly anxiety. Had diarrhea, shaky/weak muscles and sweaty chills. 12/23/20 @ 12:45 AM, 1:45 AM: diarrhea, shaky/weak muscles & chills continued until 4 AM. 6:00 AM: Nausea lasted until 1 PM; Lips slightly swollen, lasting 2 hrs but no breathing issues; 5:30 PM: GI issues resolving but fatigued; 8 PM: GI issues return with heartburn, muscle aches and nausea. CONT

Other Meds:

Current Illness:

ID: 0950718
Sex: F
Age: 69
State: PA

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

Lab Data:

Allergies: None

Symptoms: Fever over 100 degrees, muscle aches, injection site pain, fatigue, headache, nausea

Other Meds: Linzess and multi vitamin

Current Illness: None

ID: 0950719
Sex: F
Age: 30
State: AZ

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

Lab Data: None

Allergies: None

Symptoms: Extreme chills, fever, body aches and swollen lymph node by neck on same side of injection. Lymph node is painful at touch.

Other Meds: N/A

Current Illness: None

ID: 0950720
Sex: F
Age: 43
State: MA

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

Lab Data: NA

Allergies: Pt states no allergies "used to be allergic to shellfish" but

Symptoms: 1530:This RN to car pt reports hives to chest and swelling to mouth.Urticaria noted to anterior chest.Pt's husband states her cheeks appear swollen.HR100,BP 100/70. EMS called immediately.Pt removed from car 1537 and transported to medical tent, laid flat.Upon arrival to tent pt states "I feel like my throat is closing." Pt did bring her own epi pens. This RN verified epi pen dosage 0.3mg and administered to left thigh 1539.EMS arrived 1542, report given to paramedic.Pt reports feeling better after epi pen administration, hives are improving to neck. EMS team transported pt to back of ambulance and to Hospital. Pt's husband updated.

Other Meds: none reported

Current Illness: none

ID: 0950721
Sex: F
Age: 44
State: IN

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

Lab Data: None

Allergies: None

Symptoms: Fever 100 at 24hrs after shot Chills 6hrs Aches 24 hrs Joint pain 24 hrs Brain fog 1-2 days

Other Meds: Wellbutrin;Vitamin D;Estradiol; Progesterone;Folic Acid;GABA

Current Illness: None

ID: 0950722
Sex: F
Age: 58
State: NV

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

Lab Data: Was put on an antibiotic in case I was experiencing an infection. Was also given a COVID test to rule out the possibility of being exposed to the virus and this being my body's way of fighting it. After 2 days on the antibiotic, the swelling is going down and the redness is starting to fade.

Allergies: None

Symptoms: Normal body aches and fatigue for the first couple of days. Exactly one week after the vaccine, my arm became red at the injection site. It started the size of a quarter. The next morning it was the size of a baseball. By that afternoon it was swelling and became the size of a softball.

Other Meds: None

Current Illness: None

ID: 0950723
Sex: F
Age: 44
State: TX

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

Lab Data:

Allergies: None

Symptoms: Injection site is red, swollen, itchy and painful

Other Meds: Nuva Ring

Current Illness: None

ID: 0950724
Sex: F
Age: 33
State: MO

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

Lab Data:

Allergies: sulfa drugs Buspar clauvinate

Symptoms: dry itchy throat starting within 20 minutes. waited until approx 330 to take a benadryl as it was harder to swallow, an hour and a half later hives began to show at approx 530 went to urgent care. was prescribed steroids. took benadryl over night to keep from iching and started steroids this morning. no more hives have showed since going to urgent care.

Other Meds: depo Provera shot from december

Current Illness: none

ID: 0950725
Sex: F
Age: 40
State: TX

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

Lab Data: monitored patient and provided comfort care. Patient stated she has stress over the loss of her cat for 20 years. Patient went home no treatment provided.

Allergies: blueberries, bees

Symptoms: Left side of face numbness, and headache

Other Meds:

Current Illness:

ID: 0950726
Sex: F
Age: 71
State: FL

Vax Date: 01/10/2021
Onset Date: 01/14/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: I had a sore arm for a couple of days. Thursday I woke up early with my nose filled with loose congestion. I had chills and was exhausted all day, I took a couple of naps, but registered 95 degrees on the thermometer, so no fever. The next morning I felt weak and nauseated, but I was fine by 10 a.m.

Other Meds: multi vitamin, fish oil, glucosamine chondroitin MSM, vitamin D, 81 mg aspirin, coQ 10, probiotic

Current Illness: seasonal allergies

ID: 0950727
Sex: F
Age: 54
State: AZ

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

Lab Data:

Allergies: No

Symptoms: Fever Body aches Headache Nausea

Other Meds: Vitamins

Current Illness:

ID: 0950728
Sex: M
Age: 39
State:

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

Lab Data: N/A

Allergies: Pepsid

Symptoms: Moderate to severe headaches with severe fatigue for about 36 hours; started 1-2 hours after shot; took 200 mg OTC ibuprofens and rested. Recovered without problems.

Other Meds: None

Current Illness: High cholesterol

ID: 0950729
Sex: F
Age: 24
State: VA

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

Lab Data:

Allergies: None

Symptoms: Fever, Vomiting, Diarrhea, Headache, Body aches.

Other Meds: Birth control pill, Melatonin

Current Illness: None

ID: 0950730
Sex: M
Age: 51
State: AZ

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

Lab Data:

Allergies: N/a

Symptoms: Symptoms: headache, pain at injection site, nausea and shooting pains o. Neck.

Other Meds: Metformin Losartin potassium Atorvastatin

Current Illness: N/a

ID: 0950731
Sex: F
Age: 30
State: NC

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: One week post vaccine, red rash appeared on left upper arm below the injection site near the elbow. Appeared to grow for 3 days before it bagan to fade. Was hot and raised. Still some discoloration at rash and injection site. Utilized some cortisone cream to help control the symptoms per the Doctors instructions - had typical arm soreness and mild reaction at the inection site (swelling, warm, redness) but I have had continued pain in my upper arm, shoulder and radiating into my neck with no relief from medicine and stretching

Other Meds: Escitalopram 20 mg Cetirizine 10 mg

Current Illness: No

ID: 0950732
Sex: F
Age: 40
State: IA

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

Lab Data: None

Allergies: Latex

Symptoms: Itchiness on neck and chest along with redness, blotchiness on arms 45 minutes after vaccine being administered. Administered 25mg oral diphenhydramine and symptoms resolved.

Other Meds: Multivitamin

Current Illness: None

ID: 0950733
Sex: F
Age: 64
State: AL

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

Lab Data:

Allergies: Sulfur Quinn antibiotics

Symptoms: Next day swollen arm. Pain at shot site. Muscle aches fever

Other Meds: Call me

Current Illness: None

ID: 0950734
Sex: F
Age: 59
State: CA

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

Lab Data:

Allergies:

Symptoms: Called to see pt in drive up lane 7 min post vaccination. Sensation of itching in throat, then chest pain. Was brought to observation station immediately Past med history none. Unknown allergy to Cipro and iodinated contrast. Initial examination lungs CTA, RRR. No swelling of face or throat. Initial vitals: BP: 182/90, HR 62, 97% O2 at 07:53 She continued to have chest pain, so EMS notified. EMS took 12 lead ECG and noticed ST elevations and she was taken to hospital at 8:10.

Other Meds: Cipro and iodinated contrast

Current Illness:

ID: 0950735
Sex: F
Age: 40
State: TX

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

Lab Data: comfort care, patient stated that she is stressed from the death of her cat of 20 years. patient chose to go home. no medication provided.

Allergies: Blueberries, bees

Symptoms: left side Facial numbness, headache

Other Meds:

Current Illness:

ID: 0950736
Sex: F
Age: 55
State: NJ

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

Lab Data:

Allergies: None

Symptoms: High fever Fatigue Nausea Headache

Other Meds: None

Current Illness: None

ID: 0950737
Sex: F
Age: 20
State: VA

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

Lab Data:

Allergies:

Symptoms: I feel pain on my left arm, and my chest and I feel like my heart is going to pump out. Sometimes I feel the heartbeats on my hand and neck, and this cause me headache.

Other Meds:

Current Illness:

ID: 0950738
Sex: F
Age: 49
State: MI

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: Red arm, swollen, warm covered entire arm from shoulder to elbow itching and pain went away in about 4 days

Other Meds: Ultram, Lyrica, Inderal, phenergan, MXT, Vit D Zinc Tylenol

Current Illness: None

ID: 0950739
Sex: F
Age: 26
State: IN

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

Lab Data:

Allergies: Sulfa

Symptoms: Diarrhea, nausea, body aches, stiff neck, low grade fever , fatigue . Happened 6 hours after injection ( this happened when I got my first one too)

Other Meds:

Current Illness: Had covid 19 12/08/2020

ID: 0950740
Sex: F
Age: 30
State: CA

Vax Date: 01/02/2021
Onset Date: 01/04/2021
Rec V Date: 01/16/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Soreness under both arms for 1 week after injection. Felt sore and tender to touch around lymph nodes under arm.

Other Meds: Levothyroxine Liothyronine

Current Illness: None

ID: 0950741
Sex: F
Age: 53
State: WI

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

Lab Data: None

Allergies: Gabapentin, Influenza vaccine

Symptoms: Patient present via ambulance for allergic reaction. Symptoms included: tingling, voice hoarseness, difficulty swallowing, nausea, and weakness. Patient recieved vaccine at 13:30 arrive at ED at 16:01. Patient received IV methylprednisolone, Benadryl and Pepcid. Patient was discharged with Epi Pen and prednisone prescriptions. ED provider noted, no rash or visible swelling.

Other Meds: alprazolam, buspirone, duloxetine, Ibuprofen, MVI, Nicotine patch, Senna

Current Illness: None noted in ED visit

ID: 0950742
Sex: F
Age: 55
State: AL

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

Lab Data: Was told didnt need any

Allergies: Bleaching agents for white sugar and bleached flour

Symptoms: Around 0500 after I got off work...I had the intense feeling of extreme fatigue , this was about 10 hours after recieving the injection. I was so tired that i didnt get out of bed for 15 hours the fatigue and extreme tiredness lasted untill about 7pm the night after recieving the vaccine. Did not experience anymore fatigue or any other symptoms after the tiredness/ fatigue resolved.

Other Meds: Multivitamin and collegn supplement

Current Illness: None

ID: 0950743
Sex: M
Age: 49
State: NY

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

Lab Data: MRI CT Scan Blood work EEG

Allergies: None

Symptoms: Muscle Spas; Weakness in both limbs. Pressured speech

Other Meds: None

Current Illness: None

ID: 0950744
Sex: F
Age: 39
State: PA

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

Lab Data: N/a

Allergies: Sulfa Amoxicillin

Symptoms: Left side facial numbness

Other Meds: Adderall ex 20 mg 1/day Adderall (not Extended release) 5mg 1/day

Current Illness: N/a

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm