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: 0950936
Sex: F
Age: 30
State: MI

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

Lab Data:

Allergies: Amoxicillin

Symptoms: Migraine Body aches Large red painful lump at injection site Exhaustion

Other Meds: Prenatal vitamins CoQ10 Fish oil Vitamin D

Current Illness:

ID: 0950937
Sex: F
Age: 51
State: CA

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

Lab Data: N/A

Allergies: No

Symptoms: 5-10 minutes after injection Numbness in middle of tongue for 10 minutes (3/10 discomfort) Bottom Jaw stiffness and soreness with heavy sensation for 10 minutes following end of tongue numbness (4/10 discomfort) 12 hours later: Sun burn feeling in middle of chest for 10 minutes (4/10 discomfort)

Other Meds: No

Current Illness: No

ID: 0950938
Sex: F
Age: 23
State: NV

Vax Date: 01/08/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: Small red blood cells and borderline low iron levels have presented in previous blood work with primary care physician.

Allergies: History of mild allergic reactions to insect bites and delayed reactions to insect bites that required medical attention on two occasions.

Symptoms: Around 9:00-9:30pm on Jan 16th (vaccination date of Jan 8th), I noticed my arm in the area of the injection site had swelled, turned red/pink, and felt itchy. Area is approximately 8mm in length and 4-6mm in height, irregular shape. Area feels tight, hard, and significantly warmer than remainder of arm. No fever, but site registers approximately 98F, which is above forehead temperature. Given my history of delayed reactions to insect bites, I felt reporting may be necessary. No medical treatment sought as of 10:05pm on Sat Jan 16th, but I will call primary care provider/urgent care center if symptoms worsen or if taking over the counter loratidine 10mg does not improve swelling, itching, and redness.

Other Meds: Multivitamin, fiber supplement, Epiduo Forte topical, Dapsone 7.5% topical.

Current Illness: none

ID: 0950939
Sex: F
Age: 47
State: FL

Vax Date: 12/24/2020
Onset Date: 12/28/2020
Rec V Date: 01/17/2021
Hospital:

Lab Data: I saw my doctor on January 07, 2020. I had CBC with diff done that day. The only abnormal lab I had was my TSH was elevated. My doctor prescribed thyroid ultrasound. My doctor ordered Prednisone and Cetirizine.

Allergies: None

Symptoms: I felt hot within 15-30 minutes after receiving the vaccine. Then 5 days later, I noticed hives on my back, swelling of my eyelids, and lips.

Other Meds: Vitamin C, Vitamin E, vitamin B12, Vitamin D3.

Current Illness: None

ID: 0950940
Sex: F
Age: 30
State: CT

Vax Date: 12/26/2020
Onset Date: 12/27/2020
Rec V Date: 01/17/2021
Hospital:

Lab Data: n/a

Allergies: Latex--rash

Symptoms: dizziness and vertigo for 3 days along with intermittent nausea (no vomiting) following vaccine administration

Other Meds: multivitamin daily

Current Illness: none

ID: 0950941
Sex: F
Age: 60
State: OR

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: none

Allergies: latex

Symptoms: I had a sore arm immediately and then headache after an hour or so (I don't get headaches normally). this lasted for 3 days. Then i was ok for 2 days then my arm started to hurt and i got a runny nose and a mild headache and fatigue. My nose ran so much i did not work the next day. I received a negative covid PCR test. then 1 day later my left arm started to itch, turn red and swell. It has continued through today (the swelling is about 4 inches by 3 inches, over my left deltoid). i just took Benadryl. i am now on day 9 post vaccination.

Other Meds: no prescriptions supplements: Calcium, Magnesium, Vit A, D, K, Multivitamin, CoQ10, Resveratrol, Astaxanthin, melatonin

Current Illness: diarrhea and fever on January 1, 2021. Negative covid test

ID: 0950942
Sex: F
Age: 31
State:

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

Lab Data:

Allergies:

Symptoms: Half of my left hand went slightly numb 30 minutes after I received the first dose. Today, 01/16/21, my hand finally returned to normal

Other Meds:

Current Illness:

ID: 0950943
Sex: F
Age: 30
State: AK

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: Dust mites

Symptoms: Nausea, Fatigue following day for full evening. Body aches, nausea, and sore throat, and flu like symptoms on January 16 possibly related to vaccine

Other Meds: Lexipro, Nuva ring, vitamin D

Current Illness:

ID: 0950944
Sex: M
Age: 31
State: CA

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/17/2021
Hospital:

Lab Data: N/A

Allergies: Celery, carrots, soy (mild itching)

Symptoms: Arm soreness beginning within 3 hours of receiving vaccine and lasting for 2 days after vaccine administered Mild fatigue last for approximately 8 hours after the vaccine

Other Meds: N/A

Current Illness: N/A

ID: 0950945
Sex: F
Age: 28
State: OR

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: Lab work (hcg, cbc, cmp, bmp), MRI, NIHSS stroke scale

Allergies: Penicillin

Symptoms: 2 hours after the administration of the vaccine, the left side of my face briefly started to tingle. I slept for 6 hours, and when I woke up, the left side of my face was noticeably having pins and needles. I took 25 mg of oral Benadryl and slept for another 7 hours, and when I woke up, my left arm and leg were experiencing pins and needles. The left side of my face was completely numb, and I felt like that side was being pulled down toward the floor. The left, posterior side of my head felt very tingly, and I had a pounding headache behind the left eye that worsened with light. My boyfriend noticed my smile being different, and after looking in the mirror, I decided to go to ED. They were concerned about Bell's Palsy, but with the extremity involvement, they changed my plan of care to a migraine response from the vaccine. I received an MRI, IV Compazine and IV Toradol. My headache went from a 6/10 to a 2/10 after that treatment, but it came back soon after my discharge.

Other Meds: Alive- multivitamin

Current Illness: None

ID: 0950946
Sex: F
Age: 77
State: WA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Tachycardia (160 to 180 beats per minute), shortness of breath, lightheadedness. Onset 2.5 hours after vaccine. Treated with diltiazem CR 120 mg. Resolved 6 hours after onset.

Other Meds: warfarin diltiazem CR

Current Illness: Paroxysmal atrial fibrillation

ID: 0950947
Sex: F
Age: 26
State: CA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: Chocolate

Symptoms: The next day after injection hives appeared. They last between 5-30 minutes. When they start to break they are in red itchy like the ones I get when I in-jest chocolate which I?m allergic too. They appear sporadically first on the left arm where I received the vaccine and my stomach. Today 01/16/2021 they appeared on my face, Upper back, chest and legs.

Other Meds:

Current Illness:

ID: 0950948
Sex: F
Age: 33
State: NE

Vax Date: 12/15/2020
Onset Date: 12/16/2020
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: no known

Symptoms: 1. left arm soreness. Moderate soreness. Started 12-16 hours after injection. Significant improvement in 48-72 hours after injection. Resolved before 96 hours. 2. left axillary lymphadenopathy. Started (or became aware of once arm soreness lessened) ~24 hours after injection. Resolved about 5 days after injection.

Other Meds: adderall 20mg po BID, pepcid 40mg po daily, xyzal 5mg po daily, lexapro 10mg po daily

Current Illness: none

ID: 0950949
Sex: F
Age: 36
State: NY

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: Bactrim DS (sulfa) anaphylaxis

Symptoms: Sensation of difficulty swallowing and face puffiness.

Other Meds: Metoprolol XL 25mg

Current Illness: High blood pressure High cholesterol

ID: 0950950
Sex: F
Age: 53
State: MI

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: NA

Allergies: PCN G, Morphine

Symptoms: Chills, severe headache, muscle and joint pain, malaise, fever, diarrhea

Other Meds: PemPro hormones for menopause, Omeprazole po, Vit D Fluoxetine 40 po

Current Illness: None

ID: 0950951
Sex: M
Age: 42
State: OK

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: The day after the vaccine i started to feel this sharp pain in the right side of my lower back in the area of the right kidney and today being 12:49 am on 01/17/2021 the pain is located in both sides of my back in the kidney are but is going to the front of my stomach and giving me chills every now and then i have muscle pain from my back al the way to the legs no fever or problems to breath

Other Meds: Lisinopril and metformin

Current Illness: Hypothyroidism diabetes high blood pressure

ID: 0950952
Sex: F
Age: 33
State: NE

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: no known

Symptoms: 1. left arm soreness, started ~8 hours after injection, lasted 48-72 hours after injection. Treated with tylenol, message 2. left axillary lymphadenopathy, started about 24 hours after injection, lasted about 5-6 days after injection 3. muscle aches, started about 16-24 hours after injection, lasted about 36 hours after injection, treated with tylenol, rest 4. nausea (mild), started about 16-24 hours after injection, lasted about 36 hours after injection, treated with bland diet, hydration

Other Meds: adderall 20mg po BID, pepcid 20mg po BID, xyzal 5mg po daily, lexapro 10mg po daily

Current Illness:

ID: 0950953
Sex: F
Age: 54
State: WA

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Injection site redness and swelling appearing 7 days after vaccination. Arm feels numb. Otherwise, I feel fine.

Other Meds: Estradiol

Current Illness: None

ID: 0950954
Sex: F
Age: 56
State: NY

Vax Date: 01/08/2021
Onset Date: 01/14/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Swollen and very sore lymph node(s) underneath arm and towards the front of arm ( above breast). Also hard and swollen hot itchy lump at injection site.

Other Meds: Synthroid, propranolol, doxycycline ( as needed)

Current Illness: None

ID: 0950955
Sex: F
Age: 36
State: MN

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Patient developed feeling of "burning in mid-chest" and palpitations 15 minutes after COVID vaccine administered. She also experienced intermittent tingling in hands and feet. Patient was evaluated by EMS in the vaccine clinic. The chest symptoms were episodic, occurring every 5 minutes and lasting 1-2 minutes with each episode. Intermittent dizziness also occurred during the chest-discomfort symptoms. Vital signs were stable and oxygen saturation was 100% on room air. Patient denied SOB, stridor and no labored breathing. Patient was transported to the hospital emergency department for further evaluation/observation. After 2 hours of observation, patient's symptoms resolved spontaneously. She discharged from the emergency department to home with family.

Other Meds:

Current Illness:

ID: 0950956
Sex: F
Age: 31
State: CA

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

Lab Data:

Allergies:

Symptoms: Large raised painful red bump on arm. About 1? from injection site but not on it. Continues to grow larger.

Other Meds:

Current Illness:

ID: 0950957
Sex: F
Age: 31
State: OR

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

Lab Data:

Allergies: Shrimp and latex

Symptoms: Shortly after receiving the vaccine my tongue started to swell and almost felt hairy. My chest became tight, I had a metallic taste in my mouth, I was light headed and dizzy. The next two days after I was extremely lethargic. I could bravely stay awake for more that 20 minutes at a time for the first two days. I was also extremely hungry but still had the metallic taste in my mouth. Until day 3 I would still feel like my tongue felt hairy when the benedryl would wear off.On day 3 I became nauseous and broke out in hives on my hands and neck. I did not fully feel like I had my energy back and was like ?myself? until 4 days after receiving the vaccine

Other Meds: 150 mg daily of Effexor

Current Illness: None

ID: 0950958
Sex: F
Age: 31
State: MS

Vax Date: 01/01/2021
Onset Date: 01/01/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Day 10 - I have a profound red raised patch where the vaccine was administered. I have pics if needed of the site. The site is about the size of a goof ball.

Other Meds: Lexapro 10 mg Centrum multi vitamin 1 daily Birth control

Current Illness: None

ID: 0950959
Sex: M
Age: 48
State: FL

Vax Date: 01/08/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: None

Allergies: Cat dander, adhesive

Symptoms: Mild redness, mild swelling, moderate itching with onset at Day 8 after vaccination. No treatment, no complications.

Other Meds: None

Current Illness: None

ID: 0950960
Sex: F
Age: 26
State: OR

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

Lab Data:

Allergies: N/A

Symptoms: Nausea, fatigue, muscle aches, headache and pain around injection site for first 36 hours

Other Meds: Vyvanse 10mg, Zyrtec allergy medicine, Aubra birth control, apple cider vinegar tablets, flaxseed oil, CoQ10, zinc, vitamin D3, women?s multivitamin

Current Illness: No

ID: 0950961
Sex: M
Age: 25
State:

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Muscle twitching and/or spasming in the upper arm that received the Pfizer COVID-19 vaccine

Other Meds:

Current Illness: N/A

ID: 0950962
Sex: M
Age: 20
State:

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Muscle twitching and/or spasming in the upper arm that received the Pfizer COVID-19 vaccine

Other Meds: N/A

Current Illness: N/A

ID: 0950963
Sex: M
Age: 37
State: CA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: No known allergy

Symptoms: I think the vaccine is safe. And I am totally fine. But I just want to add my response to the database to make it better for future reference. 1. I felt strong muscle pain at the injected arm around 12 hours later and woke by the pain multiple times. The next day (1/14/2021), my left arm is still very painful if I lift it. This strong pain lasted a whole day (1/14/2021) and alleviated quite a lot since 1/15/2021. I'm likely to be one of the reported 90% with musle pain. 2. A mild headache similar to mild cold on the night after the injection. It dimishes next morning. This can be ignored.

Other Meds: No medication or special dietary supplements.

Current Illness: No

ID: 0950964
Sex: F
Age: 31
State: OK

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: NA

Allergies: NA

Symptoms: generalized body aches, shortness of breath, extreme fatigue, headache

Other Meds: 162 mg Aspirin, Allegra Allergy pill, vitamin C, L-lysine tab, buspirone

Current Illness: NA

ID: 0950965
Sex: F
Age: 23
State: TN

Vax Date: 12/29/2020
Onset Date: 01/07/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: Latex Cipro

Symptoms: Red & raised area below injection site began approx. 1 week post injection. Itched for several days and then went away.

Other Meds: Ranitidine Buspirone Fluoxetine Iron supplement

Current Illness:

ID: 0950966
Sex: M
Age: 34
State:

Vax Date: 12/22/2020
Onset Date: 01/09/2021
Rec V Date: 01/17/2021
Hospital: Y

Lab Data: COVID test is negative. 24hr Telemetry proves PVCs. positive orthostatic vitals

Allergies:

Symptoms: On 1/9/2021 started to have Postural Orthostatic Tachycardia Syndrome and PVCs associated with SOB and chest tightness and not recovered yet.

Other Meds:

Current Illness:

ID: 0950967
Sex: F
Age: 60
State: VT

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: PCN, Sulfa, Compazine, adhesives

Symptoms: Within 15 mins of receiving the vaccine I had slight tingling in my R cheek. Within 2 hrs of the vaccine I had R facial numbness from maxillary to ear and lower jaw. Within 6 1/2 hrs from the vaccine, I had R lateral calf numbness. Within 8 hrs of the vaccine, I had R hand and arm numbness, R side of mouth and tip of tongue numb, R orbital swelling, scratchy R eye, maxillary tenderness. Advil was taken 9 1/2 hrs after the vaccine. Symptoms improved by next am, and gone by 24 hrs post vaccine.

Other Meds: Losartan, Crestor, Levothyroxine, Relafen, Tramadol, Flexeril, Glucosamine, Pepcid, Ambien, Melatonin, Claritin, Omega 3-6-9 supplement, Chaste tree berry, MVI

Current Illness: None

ID: 0950968
Sex: M
Age: 77
State: TX

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: none so far

Allergies: none

Symptoms: Sever nausea and vomiting , chills and achy

Other Meds: 1.ACETAMINOPHEN (ACETAMIN) 500 MG TABLET- take 2 at a time as needed for pain 2.Aspirin 81 mg. for blood thinner 3.Beano Food Enzyme Before meals 4.Benadryl 25 MG TABLET-1 at night (for Allergy 5.Carvedilol 6.25 mg tablet 1 twice a day for

Current Illness:

ID: 0950969
Sex: M
Age: 42
State: WA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Minor but itchy and bumpy rash on right arm, opposite side of injection site

Other Meds: N/A

Current Illness: N/A

ID: 0950970
Sex: F
Age: 57
State: NY

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: injection site (immediate), headache, chills, nausea, slight fever (within 12 hours), vomiting (within 24 hours). All symptoms disappeared within 36 hours.

Other Meds: none

Current Illness: none

ID: 0950971
Sex: F
Age: 61
State: WI

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: none

Allergies: Iodine/shellfish

Symptoms: Had vaccine 1/13 10:40 am. Midnight 1/14, I woke up with chills, T 100, Nausea, fatigue, headache. This lasted about 24 hours-resolved some toward evening 1/14, woke up next morning feeling fine. Also very sore L arm at site. I just rested, took fluids and tylenol.

Other Meds: Atorvastatin, amlodipine, multivitamin, Vit D, Fiber tabs

Current Illness: none

ID: 0950972
Sex: F
Age: 23
State: IN

Vax Date: 01/05/2021
Onset Date: 01/15/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: Amoxicillin, penicillin

Symptoms: The bruise from the vaccine injection has lasted for over a week. 1 week after my vaccine, a huge red rash developed around the bruise. I did not have a rash anywhere else on my body. It was below the skin, not raised or itchy. The rash faded after 1 day but there is still an outline there.

Other Meds: Birth control

Current Illness:

ID: 0950973
Sex: F
Age: 38
State: CA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: none

Allergies: PENICILLIN, LATEX GLOVES, CHERRY FRUIT

Symptoms: Fever, chills, tiredness, fatigue, massive headache, body aches, sore and bump on my left arm. These have caused me to not come to work for two days. I came back to work 1/16/21, still having headache, soreness on my left arm and feeling tired.

Other Meds: NONE

Current Illness: NONE

ID: 0950974
Sex: M
Age: 52
State: FL

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: Tests done at hospital emergency dept. on Jan. 17, 2021 partially in progress at time of submission EKG: Normal. heart rate 98

Allergies: shellfish

Symptoms: Patient developed sensation of rapid heart rate followed by urticaria. Vague sensation of dyspnea, "like running in cold weather" Patient has anaphylactic reaction to shellfish. About 6 hours prior to onset of urticaria and dyspnea, had eaten in a restaurant that does also sever shellfish. Cross contamination cannot be ruled out

Other Meds: hydrochorothiazide, omeprazole, losartan,

Current Illness:

ID: 0950975
Sex: F
Age: 20
State:

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: soreness on my arm started an hour or so after the vaccine and has increased steadily. currently (5:30am jan 17) it?s quite sore and hurts to put pressure on. i got very drowsy about an hour after receiving it and headaches in the evening. i woke up in the night feeling warm but don?t have a fever. my body aches and i?m getting some chills

Other Meds:

Current Illness:

ID: 0950976
Sex: F
Age: 32
State: NH

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: None

Allergies: Dairy intolerance, i can have some but not a lot. I usually get cramps or diarrhea.

Symptoms: Moderna COVID-19 Vaccine EUA Chills, hot flashes, body feels weak, headache

Other Meds: Multi vitamin, probiotic, allergy pill

Current Illness: None

ID: 0950977
Sex: F
Age: 41
State: GA

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: NA

Allergies: Latex

Symptoms: Tinnitus and roaring of bilateral ears that has continued with no improvement onset 2 days post vaccination. Had a provider from my facility evaluate the inner ear to rule out fluid/ infection but was told normal assessment.

Other Meds: Zoloft, one-a-day vitamin (centrum), vit C, vit D3, tunermic, melatonin, Tylenol

Current Illness: NA

ID: 0950978
Sex: F
Age: 38
State: WA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Fever, shaking chills >12 hours, drenching sweats, severe myalgias, headache, generalized weakness, fatigue

Other Meds: Propranolol, aspirin, vitamin D, Magnesium, B complex

Current Illness: none

Date Died: 01/14/2021

ID: 0950979
Sex: M
Age: 81
State: MI

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: Lisinopril

Symptoms: Headache after dose was given at 10:00 a.m Died at after 7:30 pm the same night the dose was given.

Other Meds: allopurinol -Zyoprim 3000 mg amlodipine Norvasc 5 mg Lispro 100/unit /ml ups us to 150 unit daily per insulin scale Levemir U-100 - 100/unit/ml - (3ML) 55 units nightly Levothryoxine -Synthroid - 137 mcg - daily Simvastatin 25 mg - d

Current Illness:

ID: 0950980
Sex: F
Age: 50
State: FL

Vax Date: 12/22/2020
Onset Date: 01/14/2021
Rec V Date: 01/17/2021
Hospital: Y

Lab Data: Since 1/14/21, I have been tested for PCR panel, covid negative x 4. Hepatitis B and C and HIV negative. Many tests have been run. CT brain negative. I am still in the hospital today. Unsure of discharge date yet.

Allergies: NKA

Symptoms: On January 14, 2021, I noticed generalized petechiae all over my body. I went to seek medical care and was found to have platelet count of 2. I was hospitalized for idiopathic thrombocytopenic purapura. I was given platelets which increased my platelets to 4. Next day, given IVIG dose. Also receiving 4 doses of decadron. Day after IVIG, platelets to 20. I am still in the hospital getting treatment today.

Other Meds: Lopressor 50 mg PO daily

Current Illness: None

ID: 0950981
Sex: F
Age: 26
State: SC

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

Lab Data:

Allergies: None

Symptoms: Low grade fever, chills, body aches, headache, arm soreness

Other Meds: None

Current Illness: None

ID: 0950982
Sex: F
Age: 42
State: PR

Vax Date: 12/24/2020
Onset Date: 12/31/2020
Rec V Date: 01/17/2021
Hospital:

Lab Data: No

Allergies: No, 4 episodes of anaphylaxis but related to contact with animals.

Symptoms: Localized cellulitis after 7 days. Induration, redness, heat and itch in area It faded after 3 days. No meds used only ice.

Other Meds: Vit d, c

Current Illness: No

ID: 0950983
Sex: M
Age: 30
State: MD

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Severe arm pain on the day after vaccine. Unable to move arm due to pain and cramping on the left shoulder. Nausea and headache in the afternoon, and ended the following day. Able to move arm after 2 days.

Other Meds: Methocarbomol

Current Illness:

ID: 0950984
Sex: F
Age: 37
State: PA

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

Lab Data:

Allergies: Lactose intolerance

Symptoms: Fever(99-101), chills, muscle soreness, nausea, headache, weakness, stuffy nose, sore right arm and right under arm

Other Meds: Multivitamin

Current Illness:

ID: 0950985
Sex: F
Age: 43
State: CA

Vax Date: 01/01/2021
Onset Date: 01/17/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Extremely tires about 9pm normal soreness to left arm started developing Wike up at 1:00 shaking, temp 101.3 Ibuprofen 600 mg taken. Its 3:55 temp is 101 1

Other Meds: Tylenol 325mg 2 tabs

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm