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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 0951086
Sex: F
Age: 33
State: TN

Vax Date: 01/04/2021
Onset Date: 01/17/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Induration with central clearing, severe itching

Other Meds: Sertraline 150mg Atamoxitine Allegra

Current Illness:

ID: 0951087
Sex: F
Age: 17
State: RI

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

Lab Data: Blood pressure: 110/78 Temporal Temperature: 98.8 degrees F

Allergies: None

Symptoms: 30 mins after IM injection: Left arm tingling 45 mins after IM injection: Left arm, Left shoulder, Left upper back tingling, Headache, chills, fatigue

Other Meds: None

Current Illness: None

ID: 0951088
Sex: F
Age: 38
State: MT

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

Lab Data: None

Allergies: None

Symptoms: Pain/discomfort in left arm that lasted 2 days after injection Pain/discomfort in left armpit that started on day 6 and has continued Sharp pain in the shoulder on day 5 that resided with rest after about an hour Redness, heat, swelling (hardness) in left upper arm noticed on day 8 that has not resolved

Other Meds: Buspirone Quetiapine fumarate Lamotrigine Isagenix- shakes. natural accelerator, IsaFlush, probiotics, and digestive enzymes

Current Illness: None

ID: 0951089
Sex: F
Age: 57
State: MA

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

Lab Data: None

Allergies: None

Symptoms: Extreme shivering and fever of 99.9

Other Meds: Supplements: calcium, nutrafol, vitD, b- complex, C

Current Illness: None

ID: 0951090
Sex: F
Age: 32
State: NY

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/17/2021
Hospital:

Lab Data: None

Allergies: Not disclosded

Symptoms: A half inch needle syringe was used instead of a one inch for administration of the Pfizer COVID 10 vaccine.

Other Meds: Not Disclosed

Current Illness: Not disclosed

ID: 0951091
Sex: F
Age: 27
State: VA

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

Lab Data: n/a

Allergies: n/a

Symptoms: soreness in injection site chills lost of appetite

Other Meds: Olanzepine 7.5 mg Metformin 500 mg Abilify 2mg Multi-Vitamins

Current Illness: n/a

ID: 0951092
Sex: M
Age: 39
State: NY

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

Lab Data: None

Allergies: None

Symptoms: Six hours after having received the 1st dose of the Moderna Covid 19 vaccine, I developed intense itching of my back and right shoulder. A day or two later, I began noticing hives that continue to spread and involve those same areas.

Other Meds: Keto K 1000 C4 Sport powder Superior Amino 2222 Tabs

Current Illness: None

ID: 0951093
Sex: F
Age: 70
State: NC

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

Lab Data:

Allergies: None

Symptoms: On Friday, 1/15/2021, I felt itching on and around the vaccine injection site. Looking at the site, I saw 4 inch bright red inflamed area. The inflamation is also warm to the touch. I contacted pharmacy, spoke with the pharmacist who suggested applying ice and taking an antihistamine. After applying ice, I only saw that the inflamed spot continued to spread down my left arm and is now about 4" by 6", still warm and red.

Other Meds: Prolia,Vitamin B,C,D,Multi, Calcium

Current Illness:

ID: 0951094
Sex: F
Age: 19
State: NY

Vax Date: 01/06/2021
Onset Date: 01/14/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: Yes. I am allergic to dust, pollen, nuts, peanuts, eggs, seseme, milk, dairy

Symptoms: Extreme Rash on arms and legs

Other Meds: none

Current Illness: none

ID: 0951095
Sex: F
Age: 69
State: OK

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

Lab Data: None

Allergies: Codeine

Symptoms: Very sore arm and upper body, joint pain, fatigue, headache, generally not feeling well

Other Meds: Ezetimibe, Carvedilol, Pantoprazolr, Amlodipine, Vitamin C, B-Complex, D3, Turmeric-Curcumin

Current Illness:

ID: 0951096
Sex: F
Age: 60
State: VA

Vax Date: 01/02/2021
Onset Date: 01/10/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 8 days after injection, right arm started to get red, swollen and hot at injection site. This spread around upper arm area through the day. Overnight I experienced body aches and chills. Those flu like symptoms lasted just under 24 hours. The arm was still swollen and red and hot for the next two days. All those symptoms decreased. The swelling and hotness disappeared completely. The arm is still red in some areas and it is itchy sometimes. Today one week after the delayed reaction, my arm still has red areas and its very itchy today.

Other Meds: Nadalol 40mg

Current Illness: None

ID: 0951097
Sex: M
Age: 80
State: FL

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

Lab Data: None

Allergies: Morphine

Symptoms: Patient complained of severe left eye itching. He self treated with OTC Benadryl and said it subsided. Saw patient today and the itch has resolved.

Other Meds: Gabapentin, Losartan, amlodipine, carvedilol, finasteride, pravastatin, albuterol

Current Illness: None

ID: 0951098
Sex: F
Age: 66
State: WA

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

Lab Data: none

Allergies: Venom; bees, wasps Sulfa medications Penicillin

Symptoms: One week to the day of previous vaccination, dose #1, I developed a large area of redness surrounding the injection site. It is warm, read and covers the upper portion of my right arm nearly to the elbow.

Other Meds: Lisinopril HCL

Current Illness: none

ID: 0951099
Sex: F
Age: 27
State: OH

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

Lab Data:

Allergies: Penicillins, sulfas, nitrofurans, yeast

Symptoms: -Extreme fatigue, malaise, muscle and joint aches, injection site pain (lasted 48 hours -chills, nausea, vomiting every 30min (lasted 6 hours) -4 inch raised welt at injection site appeared several days after injection and lasted about 48 hours Was unable to work for two days after receiving vaccine

Other Meds: Nifidepine, linzess, spironolactone, adderall, lo loestrin, Tylenol

Current Illness: None

ID: 0951100
Sex: M
Age: 50
State: NY

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

Lab Data: 01-15-21 Basic Metabolic Panel, CBC , CBC automated, CPK, Flu/RSV Cov2 Expedited, Liver tests, troponin 1, venous blood gases, EKG 12 Lead and XR chest

Allergies: Augmentin

Symptoms: Received vaccination at approximately 1830 hours on Thursday 01-14-21. Felt ok until approximately 0900 hours on 01-15-21 when I felt my heart racing and felt hot. Upon EMS arrival I was advised I was sinus tacky and my sugar was 157. Was taken to the hospital where I has a 102.5 fever. Remained in the ER until fever broke and was released at approximately 1800 hours. Off and on fever and rapid heart rate continued at home on 01-16-21.

Other Meds: Synthriod, Lopressor, Atorvastatin

Current Illness: GERD, History of AFIB

Date Died: 01/05/2021

ID: 0951101
Sex: M
Age: 90
State: CO

Vax Date: 12/31/2020
Onset Date: 01/03/2021
Rec V Date: 01/17/2021
Hospital: Y

Lab Data: CREATININE = 4.73 AST= 410 ALT= 579 WBC= 25.95 TROPONIN = 0.174 CT SCAN OF HEAD PER THE RADIOLOGIST = ACUTE LEFT PCA DISTRIBUTION INFARCT. NO HEMORRHAGICE CONVERSION. NO MIDLINE SHIFT. BASILAR CISTERNS ARE PATENT. CT OF CHEST= NEGATIVE

Allergies: tramadol

Symptoms: PATIENT GOT HER FIRST COVID PFIZER VACCINE AT 12/31 IN THE AM. HAD GOTTEN FLU LIKE SYMPTOMS AND HAD BEEN SICK FOR A COUPLE OF DAYS. HAD NAUSEA AND VOMITTING DURING THIS TIME AS WELL. ON 1/3 THE CARE GIVER WENT TO CHECK ON HER PT AT HER LTC FACILITY WHERE SHE LIVES AND SHE WASN'T ACTING RIGHT. SHE WAS UNABLE TO DO A STROKE EXAM. PT HAD NO MOVEMNET IN ARMS OR LEGS AND WAS UNABLE TO SPEAK. PT WAS VITALLY STABLE AT THE TIME. EMS RECORDED THAT THEY THOUGHT DIAGNOSIS WOULD BE STROKE, PNEUMONIA OR SEPSIS. AFTER ARRIVAL AT THE HOSPITIAL DETERMED THAT SHE HAD A STORKE, ACUTE KIDNEY INJURY, ABNORMAL LFTS.

Other Meds: metoprolol tartrate, furosemide

Current Illness:

ID: 0951102
Sex: F
Age: 73
State: FL

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

Lab Data: tested for a TIA, and then given IV Steroid, Benadryl, Pepcid in the ER

Allergies: NONE

Symptoms: lips began to tingle - left side of my face was numb and slightly swollen

Other Meds: Metformin Glimeiride Lisinopril Simvastatin Multi Vitamin Omega 3 Ubiquinol Vitamin D Vitamin B Complex Calcium

Current Illness: NONE

ID: 0951103
Sex: F
Age: 70
State: WV

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

Lab Data: none yet

Allergies: none

Symptoms: severe diarrhea lasting 3 days at notification

Other Meds: none

Current Illness: none

ID: 0951104
Sex: F
Age: 22
State: KS

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 01/17/2021
Hospital: Y

Lab Data: CBC, bmp, tsh/t4, ANA, PANCA/CANCA, respiratory viral panel all were done between 1/11 and 1/14 CBC showed leukocytosis with neutrophilia (she was already on steroids) tsh was slightly low, t4 was nromal vasculitis panel negative, resp viral panel negative complement level AH50 was <10

Allergies: none

Symptoms: allergic reaction- skin rash , throat itching. patient visited the ER and was given episode and steroids but returned because symptoms were not improving. She was hospitalized on 1/11 for this reason

Other Meds: copper IUD recently inserted nitrofurantoin

Current Illness: UTI

ID: 0951105
Sex: F
Age: 59
State: PA

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

Lab Data: none

Allergies: ALL CEPHALOSPORINS, measle vaccine, penicillin, milk products

Symptoms: left arm became red with rash that was raised like small pimples, I felt like something was pricking me from the inside out then felt a little uneasy and face was itching with a small hive on my right cheek. My arm became bright red, I took a 25 mg benadryl which subsided some of the redness. I finished my shift and drove home about 5 pm still felt like I had prickly heat I took another 25 mg benadryl slept. I was extremely tired the next day which I could not tell if it was from the vaccine or benadryl or both. I work in a doctors office .

Other Meds: vit. D 3, calcium chews, omeprazole, vit d, co q 10

Current Illness: no

ID: 0951106
Sex: F
Age: 67
State: FL

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

Lab Data: None

Allergies: Latex, pcn,

Symptoms: Had no initial reaction. After 10 days site became red, swollen, warm and tender to touch. Also itchy. All the reactions one would expect to get immediately after administration, not 10 days later

Other Meds: Armor thyroid, lasix, Baclofen, allergy pill, Prilosec, rosustatin, potassium, magnesium, fish oil

Current Illness: None

ID: 0951107
Sex: F
Age: 38
State: KY

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

Lab Data: CBC, CMP

Allergies: Keflex, codiene, ceclor

Symptoms: Allergic reaction started about 30-35 minutes after injection. First symptom was dry mouth, tickle in throat, and felt like tongue was swelling followed by hot flashes, ?cloudy? brain. My words didn?t want to form although I knew what I wanted to say. I was speaking very slowly. Heart rate was fast.

Other Meds: Nerium, metformin, metoprolol er, Wellbutrin, simvastatin, requip, breo

Current Illness: None

ID: 0951108
Sex: M
Age: 75
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Rash itching left arm site of shot

Other Meds: Diovan

Current Illness: None

ID: 0951109
Sex: F
Age: 62
State: IN

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

Lab Data: None

Allergies: ceclor, complazine, niacin,, crestor, augmentin, amoxicillin, actenol

Symptoms: Left sided facial numbness mildly affecting left lip, cheek and area around left eye. Lasted less than an hour. Continued symptoms 48 hours after vaccine are moderate persistent headache, moderate fatigue. Feeling of not well. taking tylenol.

Other Meds: lipitor, vit d, fish oil, synthroid, aspirin, cranberry , calcium

Current Illness: None aware of. Free of any symptoms.

ID: 0951110
Sex: F
Age: 45
State: MI

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

Lab Data:

Allergies: PCN Sulfa Keflex Solodyn (Tetracycline)

Symptoms: Fever as high as 103.1 (after Motrin) Injection site pain Joint pain Headache Chills Skin sensitivity All over feeling unwell Increased heart rate (as high as 135)

Other Meds: Metoprolol Ibuprofen Tylenol

Current Illness:

ID: 0951111
Sex: F
Age: 60
State: TX

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Moderate continual joint pain in bilateral knees, fibula bones, L hip, bilateral hands, finger joints out of the normal

Other Meds:

Current Illness:

ID: 0951112
Sex: F
Age: 37
State: GA

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

Lab Data:

Allergies: Morphine, Some bandaid adhesives

Symptoms: Fri Jan 8 vaccine recieved around 11:15am, injection site soreness increased throughout the day and tapered off into Jan9. Tues Jan 12 midday while at work began experiencing increased post nasal drip and stiffness in my left lateral neck extending up towards basilar skull. Started taking Claritin after shift to help with congestion. Thur Jan 14 Congestion is manageable with Claritin. Stiff neck is worse upon waking up around 8am and has spread to right side; left side remains most painful. Range of motion turning head leftward is limited and painful; turning head rightward is uncomfortable but range of motion not limited. Sat Jan 16 Congestion is manageable with Claritin. Neck stiffness decreased somewhat throughout the workday and feels more sore than painful. Noted discomfort at left deltoid late into shift around 10pm. Noted mild redness and edema over left lateral deltoid where vaccine was administered approximately 7cm wide and 9cm long. Area feels more firm to touch and feels tight when moving left arm.

Other Meds: None

Current Illness: Seasonal allergies

ID: 0951113
Sex: F
Age: 47
State: CA

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

Lab Data: some blood tests on 1/9 /21 in urgent care clinic

Allergies: food allergies azithromycin co-trimoxazole nitrofuran class penicillins class sulfa tetracyclines class

Symptoms: severe muscle, spine cord and joint pain, chills, lymphodenopathy started 12 hrs after 2nd vaccine dose, extreme pain in right arm, leg, neck, and right side of the stomach started on day 2 - phone appointment with doctor , rash started on day 3 - urgent care visit, diagnosed with shingles after dermatology consult

Other Meds: aspirin olopatadine eye drops desloratadin tab azelastine nasal spray

Current Illness:

ID: 0951114
Sex: M
Age: 64
State: FL

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

Lab Data: NA

Allergies: Turmeric- flushing/itching

Symptoms: Day 1 headache progressing to migraine and nausea, injection site pain Day 2 - 3 continued migraine with aura, nausea worsening, runny nose Day 4 abdominal cramping , migraine subsided to dull headache Day 5 abdominal cramping worsening and muscle soreness (abdomen and lower back) hurt to urinate. Day 6 - 7 abdominal cramping subsided general soreness lessened Day 8 recovered

Other Meds: Famotidine 20mg bid, Zolmitriptan 2.5mg prn

Current Illness: none

ID: 0951115
Sex: F
Age: 57
State: NY

Vax Date: 01/08/2021
Onset Date: 01/12/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: None

Allergies: Theophylline

Symptoms: Developed severe bilateral leg pains from pelvis to feet, sharp,cramping,burning, pain made difficulty walking , skin self like bad sunburn when touched. lasted approximately 36 hrs. For approx 12 more hrs moderate symptoms, then 24hrs minor symptoms. Started on Tuesday night resolved by Saturday morning.

Other Meds: Efficient, atenolol, Prilosec, asa, repatha

Current Illness: None

ID: 0951116
Sex: F
Age: 20
State: MO

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

Lab Data:

Allergies: Denies

Symptoms: Symptoms: hives, chest tightness, felt dizzy Blood pressure taken at 2:05 p.m.- 150/110, 50 mg Benadryl administered BP recheck at 2:10p.m.- 140/90 Symptom improvement at 2:20p.m. Patient remaining in observation for about 30 additional minutes, symptoms subsided, had boyfriend drive her home

Other Meds: Denies

Current Illness: Denies

ID: 0951118
Sex: F
Age: 51
State: NY

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

Lab Data: None

Allergies: Allergic to aspirin, ibuprofen, naproxen

Symptoms: About 45 minutes after the shot, my eyes started to swell. Then my knees got red, hot and slightly swollen. I took Benadryl and my knees were better within an hour and the swelling slowly decreased in my eyes. It is now the next day and my eyes are just slightly puffy.

Other Meds: Fish oil, Vitamin D, Calcium

Current Illness: None

ID: 0951119
Sex: F
Age: 24
State: TX

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

Lab Data:

Allergies: None

Symptoms: Fever of 101 F , fatigue, weakness, and headache

Other Meds: Ferrous fumurate, multivitamins, vitamin D and C

Current Illness: Diagnosed COVID-19 twenty-five days prior. Recovered.

ID: 0951120
Sex: F
Age: 48
State: IA

Vax Date: 12/30/2020
Onset Date: 01/09/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: Just looked at and felt it.... no tests run.

Allergies: None

Symptoms: Normal tenderness, and aches. A couple days after the injection the site about 2 inches below the injection site became very bright red, hot to the touch and very itchy. It was a fairly large circle about 2 inches. It went away after about 24 hours. THEN on day 12 my arm started itching again and when I looked at my arm the circle was back...but much more red and very large, about 2inches below injection site. I went to the dr a day or so later, was put on antibiotics - Cephalexin 500mg 3x day - Believe me when everyone saw the rash their eyes popped out! It was huge. Finally about a few days later it has finally faded. Took about 5 days or so. Also, very very fatigued. I slept alot. I am now hearing more and more of the rashes among fellow health care professionals.

Other Meds: Daily vitamin, sprintec - birth control, Lisinopirl - 10mg

Current Illness: None

ID: 0951121
Sex: F
Age: 48
State: TX

Vax Date: 01/04/2021
Onset Date: 01/10/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: No tests/labs. Visit to urgent care

Allergies: None

Symptoms: Day 2,3. Mild soreness, headache; day 8, large bump in arm, hot to touch, itchy; day 9 worsening arm symptoms (injection Arm), fatigue, headache, achey; day 10 facial puffiness, left arm very achey/painful at wrist and thumb area, could not open a jar, elbow achey; left eye swelling, headache and neck achey, chills, no fever. Began steroid dose day 12, started steroids, symptoms resolving within 8 hours, day 13, awoke with puffy face, mild pain in same spots but much better.

Other Meds: Setraline, adds real, unithroid

Current Illness: None

ID: 0951122
Sex: F
Age: 37
State: MA

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

Lab Data: N/a

Allergies: No

Symptoms: 7 pm 1/15/21 : arm soreness and slight headache 11pm 1/15/21: moderate chills and headache increase, arm increasingly sore 12 am 1/16/21: Tylenol 9 am 1/16/21: excruciating headache, arm soreness around 7/8 on a scale and moderate chills 9:10 am 1/16/21: Tylenol and Advil 12pm 1/16/21: headache decreased chills subsided. Got up from bed and showered 3 pm: chills returning and headache returning. Arm stays consistently sore around a 6 4 pm 1/16/21: took Tylenol and Advil 4:30 pm 1/16/21: mild headache , mild headache mild soreness. No fever 10 pm 1/16/21:took Advil 11pm: sleep with mild headache and mild arm soreness. No fever 9 am 1/17/21: Tired and weak. Slight chills and slight headache 11am 1/17/21: took Tylenol and advil

Other Meds: No

Current Illness: No

ID: 0951123
Sex: F
Age: 53
State: TX

Vax Date: 12/18/2020
Onset Date: 01/01/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: N/A

Allergies: Erythromycin, itchy throat with bananas and avocado

Symptoms: On 01/01/21, I experienced a vaso vagal syncope episode and actually passed out and injured my upper back and right side of rib cage. I am a nurse and was looking up the required reporting and saw this as a reportable event, and even though it indicates within 7 days, I thought it might be worth reporting. I have never passed out like that before.

Other Meds: Bystolic 5mg QD, Vit C daily, Vit D 50,000 weekly, Super B complex QD, probiotic daily

Current Illness: N/A

ID: 0951124
Sex: F
Age: 42
State: CA

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

Lab Data:

Allergies: Cats, Dogs, Horses, environment only

Symptoms: Swollen painful tender pea sized left Supraclavicular lymph nodes about 1? in length. The injection was on my left arm. It?s still there. This happened 6 days after injection. I?m assuming this must be related to injection but have not seemed medical attention for professional opinion yet.

Other Meds: Vitals Reds powders; Allegra (occasionally); Flonase; Fish Oil; Multivitamin; Green Juice, EmergenC Gummies (occasionally)

Current Illness: N/a

ID: 0951125
Sex: F
Age: 31
State: NY

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: n/a

Allergies: Amoxicillian and seasonal allergies

Symptoms: Warm to the touch, inflamed for a couple of days then flattened into a bruised spot with a square shape around vaccine area. Hives on the outside of the area. Extremely itchy. Took benedryl today for the first time.

Other Meds: saxenda and birth control

Current Illness: none

ID: 0951126
Sex: F
Age: 40
State: GA

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: Sensitivities to dairy, wheat & flour.

Symptoms: Dizziness, weakness, injection site pain, tiredness, headache, chills, joint pain, nausea.

Other Meds: Zyrtec, multi-vitamin, pre & probiotic supppliment.

Current Illness: None.

ID: 0951127
Sex: F
Age: 38
State: PA

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

Lab Data: Tryptase test

Allergies: Sulfur drugs Latex

Symptoms: Allergic reaction with a red rash, swelling of the lips ears and tongue, and shortness of breathe.

Other Meds: Jardiance, singular, metoprolol tartare, magnesium, vitamin c, hydrochlorothiazide, and sprivia

Current Illness:

ID: 0951128
Sex: F
Age: 25
State: NY

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

Lab Data: Covid PCR performed on 1/15/2021 was negative.

Allergies: None

Symptoms: Fevers, chills, extreme body aches, headache

Other Meds: None

Current Illness: None

ID: 0951129
Sex: M
Age: 30
State: AZ

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

Lab Data: None. I stayed home stayed home while experiencing symptoms.

Allergies: NKDA

Symptoms: Fatigue, headache, chills, fever and nausea were noted 11hrs after injection. Symptoms lasted approximately 24hrs. Symptoms peaked after 8 hrs after onset and gradually resolved by 24hrs after onset of symptoms. (I got my shot at 10am friday. Symptoms began by 11pm that night. Symptoms peaked at 7am Saturday then resolved by 11pm Saturday)

Other Meds: Ibuprofen 200mg

Current Illness: None

ID: 0951130
Sex: F
Age: 69
State: FL

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

Lab Data: None

Allergies: None

Symptoms: 1/17---Flu-like symtoms, fever 101.4 ---Called Dr. who recommended Tylenol and rest 1/18---Bad headache, fever 99.6---still taking tylenol

Other Meds: Calcium w/D Multivitamin Vit. C Allegra Flonase Pravastatin Singular Zyrtec Mobic Cyclobenzaprine

Current Illness: Slight cold one week prior

ID: 0951131
Sex: F
Age: 44
State: CA

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

Lab Data:

Allergies: Penicillin, Sulfa Medications

Symptoms: Within hours of receiving vaccine had headache, took Ibuprofen and went to bed early. When woke up still had headache, as the morning went on developed muscle aches, chills, nausea, fatigue and aching joints. These symptoms lasted for 48 hours, and were debilitating. Took Tylenol q6 hours.

Other Meds: Zoloft

Current Illness: None

ID: 0951132
Sex: F
Age: 38
State: CA

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

Lab Data:

Allergies: None

Symptoms: Shortness of breath, cough, dizziness, severe air hunger, weakness, fatigue,

Other Meds: None

Current Illness: None

ID: 0951133
Sex: F
Age: 33
State: OH

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

Lab Data:

Allergies: Pentasa

Symptoms: Chills, fever, fatigue, body aches. Started around midnight day of vaccine and continues 3 days later

Other Meds: Apriso, gummy multivitamins

Current Illness: None

ID: 0951134
Sex: F
Age: 53
State: TX

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/17/2021
Hospital:

Lab Data: No

Allergies: Penicillin

Symptoms: Was coughing , had chills back pain, fever, Stayed home wed, Thursday. Went back to wk Friday. Sat at work she couldn't taste or smelled food. Took covid test, +for covid on 1/2/21. On 1/13/21 had another covid test it was negative. Congestion, h/a cough. Feels better and report back to work 1/18/21.

Other Meds: Losartan, Metformin

Current Illness: no

ID: 0951135
Sex: F
Age: 71
State: FL

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

Lab Data:

Allergies: none

Symptoms: Injection site is hard, red, swollen, tender, and itchy. Started evening of shot and same until now, Day 4. I tried ice, warm compresses, cortaid cream, advil, and benadryl. Can't relive itching .

Other Meds: did not take any that day

Current Illness: none

ID: 0951136
Sex: F
Age: 64
State: IL

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

Lab Data: none

Allergies: Ciprofloxacin, Metronidazole, Simvastatin

Symptoms: Day after dose, I had a sore arm and was tired. Then last night my arm became slightly swollen, warm to touch and red.

Other Meds: Crestor, Vitamin D, Echinacea, potassium, Vitamin B, Probiotics

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm