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: 0951240
Sex: M
Age: 62
State: NC

Vax Date: 01/07/2021
Onset Date: 01/11/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: got shingles

Other Meds:

Current Illness:

ID: 0951241
Sex: F
Age: 63
State: OR

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

Lab Data: none

Allergies: Ampicillin, cephalosporins, sulfa (trimethoprim/sulfa), griseofulvin, unknown excipient in a generic ibuprofen

Symptoms: Swollen lips started on 1/16 Redness, rash. on face noticed on 1/17 in am upon waking up. Swollen lips continues.

Other Meds: Multivitamnin, omega fish oil, collagen tablets

Current Illness: none

ID: 0951242
Sex: F
Age: 46
State: CA

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: N/A No tests were ordered related to this event.

Allergies: Beta blockers

Symptoms: One week post-vaccine injection, sharp pains began on and off on the left side of my face. These moved from cheek to jaw to lip to left eye and at the nasal base. There was also stabbing pain in the left eye. I thought this was due to just being tired from long days at work, but I was also aware it might have been related to the vaccine. Therefore, I took 1600 mg of acyclovir I had on hand to prevent occasional cold sores and went to sleep. The following day, unfortunately, these sharp pains persisted on and off throughout the day. I retook acyclovir and went to work. I reported this to my PCP, and she thought it was unrelated to the vaccine. I spoke with surgeons in my office, and after examination, they both clearly said it was a reaction in my 5th cranial nerve. They both recommended prednisone or methylprednisolone, but my PCP didn't agree, and therefore, I did not receive a prescription for prednisone. I retook acyclovir, and by the following afternoon of Friday, January 15, I was no longer experiencing sharp pains on the left side of my face.

Other Meds: wellbutrim, vyvanse, acyclovir, albuterol

Current Illness: n/a

ID: 0951243
Sex: F
Age: 24
State: WI

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

Lab Data: n/a

Allergies: n/a

Symptoms: Day of vaccine (1/8): experienced some soreness at injection site, sore arm, headache 1/9-1/11 - sore arm and shoulder, muscle/joint fatigue, headache resolved 1/12 - few (maybe 4) small bumps/welts near injection site that were red and itchy, resolved within 24 hours . radiating arm pain still occurring 1/13-1/14 - small bumps/welts gone, radiating arm (extending down to forearm/wrist) and shoulder pain throughout 1/15 - radiating arm/shoulder pain gone. In the evening, a quarter-size raised bump/welt/hive at spot of injection. itchy & slightly warm to the touch. Drank water, took benedryl 1/16 - quarter-sized bump/welt/hive at injection site reduced and was mostly flat, area where the bump was is now red. Still slightly warm, not as itchy. Continued with benedryl, water, and cortisol creams. Radiating Arm/shoulder pain came back, had some overall fatigue and overall did not feel well, slight headache 1/17 - feeling better/less fatigued, injection site bump mostly resolved, redness is fading. Slight arm/shoulder pain present

Other Meds: n/a

Current Illness: n/a

ID: 0951244
Sex: F
Age: 53
State: NY

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

Lab Data: None

Allergies: Not disclosed

Symptoms: Vaccine administration error. It is suspected that a 1/2 inch needle syringe was used instead of a IM 1 inch needle syringe.

Other Meds: Not disclosed

Current Illness: Not disclosed

ID: 0951245
Sex: F
Age: 69
State: FL

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

Lab Data:

Allergies: PENICILIM

Symptoms: First day : Pain the arm and chills 2nd day : Nausea

Other Meds: NONE

Current Illness: NONE

ID: 0951246
Sex: F
Age: 43
State: MS

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 2 days after shot the injection site was very red,warm and had a knot. It is about 3 inches long. It went away for about a week and now today 01-17-21 the same symptoms are back.

Other Meds: lisinopril

Current Illness:

ID: 0951247
Sex: F
Age: 49
State: GA

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

Lab Data:

Allergies: PCN and triptans

Symptoms: Thursday 1/14/21 5:30 PM began having chills and body aches. Temperature of 102, taken by ear. Felt Strange just not well. Ran a fever through the night into the next morning., Friday 1/15/21 had a fever of 100.5 taken by ear. Fever subsided. Began having a slight headache that lasted through Sunday. Also had Nausea that started Friday and continued through today. Sunday. Injection arm has been very sore. I also have a very sore enlarged lymph node under my left arm pit. Markedly swollen.

Other Meds: etodolac 400mg XR, Gabapentin 300 mg TID, Folic Acid 1mg daily, multivitamin daily (Women's One A Day), Hydroxine 25 mg at night, Birth Control. Medications held week of vaccine. Methotrexate 2.5 mg 4 tables @ 10 mg each weekly. Humira

Current Illness: N/A

ID: 0951248
Sex: M
Age: 28
State: OH

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

Lab Data:

Allergies: N/A

Symptoms: Injected too high into the deltoid with too long of needle and the injection was administered into the shoulder joint. Within 2 hour of the injection began extreme joint paint resulting in a trip to the emergency room that night where it was acknowledged that this is what had occured. Was prescribed a painkiller and steroid. This injection has resulted in sever loss of range in my right arm with extreme pain when moved beyond roughly 10 degrees.

Other Meds: Daily nadolol. As needed for migraines, promethazine and imitrax

Current Illness: N/A

ID: 0951249
Sex: F
Age: 57
State: DE

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

Lab Data:

Allergies:

Symptoms: lightheaded

Other Meds: high bl. press./type 2 diabetes/cholesterol meds

Current Illness: ear pain

ID: 0951250
Sex: M
Age: 30
State: CT

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

Lab Data: n/a

Allergies: n/a

Symptoms: Extremely restricted left arm range of motion cannot lift to 45 degrees abduction Chills Fever (101.6) Aches (body) Headache

Other Meds: n/a

Current Illness: n.a

ID: 0951251
Sex: M
Age: 62
State: UT

Vax Date: 01/04/2021
Onset Date: 01/12/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: After Ct scans left lower lung atelectisis and splenomeglia . Also enlarged Lymphnodes in the Mesentergic areas. WBC 8.9 other labs normal , Mono normal.

Allergies: penicillin

Symptoms: On Jan 12th developed sever left upper abdominal pain or left lower rib pain. After Ct scans left lower lung atelectisis and splenomeglia . Also enlarged Lymphnodes in the Mesentergic areas.

Other Meds: Thyroid 30mg

Current Illness: none

ID: 0951252
Sex: M
Age: 77
State: ME

Vax Date: 01/06/2021
Onset Date: 01/11/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: None

Allergies: Sulfur Drugs

Symptoms: Rash all over body. Reported to Primary Care Physician, prescribed a Antihistamine & topical Hydrocortisone Cream. Treatment for 5 days.

Other Meds: Finasteride 5mg, Tadalafil 5mg, Citracal +D3, Glucosamine/Chondroitin

Current Illness: None

ID: 0951253
Sex: M
Age: 69
State: AK

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

Lab Data: none

Allergies: None

Symptoms: Sore arm at site of vaccine shot

Other Meds: Losartan Potassium, Eliquis, Diltiazem ER, Repatha, Multi-Vitamin

Current Illness: None

ID: 0951254
Sex: M
Age: 70
State: WI

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

Lab Data: none

Allergies: none

Symptoms: Initially arm pain at injection site. Later that night, chilliness, fatigue, low grade fever. In morning, only arm pain persisted, without other constitutional symptoms

Other Meds: biktarvy atorvastatin levothyroxine famotidine allopurinol finasteride alfuzosin cetirizine aspirin

Current Illness: none

ID: 0951255
Sex: F
Age: 25
State: NY

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

Lab Data: None

Allergies: undisclosed

Symptoms: Vaccine administration error. It is suspected that this vaccine was administered via a 1/2" needle syringe instead of IM with a 1" needle syringe.

Other Meds: undisclosed

Current Illness: undisclosed

ID: 0951256
Sex: F
Age: 49
State: CO

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

Lab Data:

Allergies:

Symptoms: Patient was given vaccine on 1-9-21, today on 1-17-21 she noticed a bump on her arm where the vaccine was given. It is tender and a little red.

Other Meds:

Current Illness:

ID: 0951257
Sex: F
Age: 63
State: ND

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

Lab Data:

Allergies: PCN, Bactrim

Symptoms: Injection given without unusual pain, but appeared to be at higher site than usual for other vaccinations patient has received. No immediate reactions. No redness or swelling at injection site. Approximately 3 hours later with restriction of abduction of left arm, which became worse over 24 hours. No numbnness, pain 4-5/10 diffusely over deltoid and in acromium, posterior suprascapular area.. Able to passively move arm, treated with topical Voltaren gel, Naproxyn 500 x 1 dose. D2 with increased ROM, but still restricted.

Other Meds: Felodipine, Zetia, Crestor, Toporol XL, Repatha, Vit D, B, Ma

Current Illness: UTI

ID: 0951258
Sex: F
Age: 46
State: FL

Vax Date: 12/28/2020
Onset Date: 01/09/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: Urgent care 1/9/21

Allergies: Sulfa

Symptoms: Started getting blister bumps on my hands on Jan 9th.

Other Meds: Biktarvy, lorazepam, vitamin

Current Illness: N/A

ID: 0951259
Sex: F
Age: 53
State: IN

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: Aspirin, sulfa, shellfish

Symptoms: Fever, chills, achey, underarm pain.

Other Meds: Lisinopril, Famotidine, vitamin C, one a day multi vitamin, Atorvistatin.

Current Illness: No

ID: 0951260
Sex: F
Age: 53
State: NY

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

Lab Data:

Allergies:

Symptoms: Rash starting on abdomen day of vaccine spreading to the chest and neck,non-pruritic, now self resolving

Other Meds:

Current Illness:

ID: 0951261
Sex: F
Age: 50
State: NY

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

Lab Data: None

Allergies: undisclosed

Symptoms: Vaccine administration error. It is suspected that the vaccine was administered with a 1/2" needle syringe instead of a 1" IM needle syringe.

Other Meds: undisclosed

Current Illness: undisclosed

ID: 0951262
Sex: F
Age: 46
State: OR

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

Lab Data: None

Allergies: Sulfa, pineapple, fragrance in skin products or laundry

Symptoms: Rash on lower body

Other Meds: Lorazepam, clonodine, birth control pills

Current Illness: No

ID: 0951263
Sex: F
Age: 20
State: OH

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

Lab Data: None

Allergies: None

Symptoms: Sore neck with rash on left side of neck as well Pfizer-BioNTech COVID-19 Vaccine

Other Meds: Multivitamins

Current Illness: None

ID: 0951264
Sex: M
Age: 38
State: FL

Vax Date: 12/29/2020
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: NONE - REFERRED TO URGENT CARE AND/OR EMERGENCY ROOM FOR EVALUATION.

Allergies: NONE REPORTED

Symptoms: 1/16/2021 PATIENT REPORTING RASH TO CHEST , NECK AND FACE AREA. DOES NOT APPEAR AS HIVES OR PETECHIAE. NO RESPIRATORY DISTRESS,FEVER, OR LIFE THREATENING SYMPTOMS. PATIENT RECEIVED VACCINE ON 12/29/2020 DUE TO TIMELINE, DOES NOT PRESENT AS RELATED TO VACCINE ADMINISTRATION.

Other Meds: NONE REPORTED

Current Illness: NONE REPORTED

ID: 0951265
Sex: F
Age: 42
State: OH

Vax Date: 01/09/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Exactly one week after receiving the first vaccine I developed a raised reddened itchy and sore skin reaction. This was not seen prior to this date. The redness slowly expanded and was swollen and warm to the touch. Total area was 4 in x 3 in starting at the injection site and spreading distal to the site. 1 week after my husband received his first vaccine (1/6/21) he had symptoms and tested positive for Covid (1/14/21). I also had mild symptoms(1/14/21) and tested negative(1/15/21). The reddened area started on 1/16/21. Treatment has been oral benadryl and pepcid. Area remains the same size 1/17/21, the redness has improved slightly, soreness and itchiness is still present.

Other Meds: Lo Loestrin Sertraline Vitamin C Vitamin D VitaminB Pepcid

Current Illness: None

ID: 0951266
Sex: M
Age: 76
State: OK

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: no

Allergies: penicillin-cephlosporins-all nuts

Symptoms: High Fever 103 bad headace cold sweats chills inbed for 72 hr

Other Meds: see list

Current Illness: none

ID: 0951267
Sex: M
Age: 53
State: MN

Vax Date: 01/11/2021
Onset Date: 01/14/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: I received the Pfizer vaccine #2 on 1/11/21 and developed Herpes Zoster (shingles) symptoms beginning 1/14/21

Other Meds: none

Current Illness: none

ID: 0951268
Sex: F
Age: 20
State: NY

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

Lab Data: temperature of 100 F on 1/15

Allergies: none

Symptoms: Fever, chills, arm pain, body aches, fatigue, stomach pains, these symptoms were mild the day after the vaccine and then worse 2 days after the vaccine on the 15th

Other Meds: birth control

Current Illness: none

ID: 0951269
Sex: F
Age: 43
State: NY

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

Lab Data:

Allergies: None

Symptoms: Redness, soreness and swelling at site

Other Meds: Rabeprazole 20mg

Current Illness: None

ID: 0951270
Sex: F
Age: 58
State: NY

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: na

Allergies: procardia, adhesive tape

Symptoms: fatigue, body aches, headache, nausea taking advil 600 mg every BID

Other Meds: Vitamin C, Zinc, Magnesium, Vitamin D, Vitamin E Metoprolol 25 mg QD, Lisinopril 2.5 mg QD, Januvia 50 mg QD, Ezetimibe 10 mg QD, Synthroid 100 mcg QD, Aspirin (2) 81 mg QD, Lasix (2) 40 mg QD, K+ (2) 20 meq QD ,

Current Illness: none

ID: 0951271
Sex: F
Age: 46
State: OR

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

Lab Data:

Allergies: Composine

Symptoms: Nine hours after the vaccine was administered I began to have symptoms. It started with severe chills. I bundled up and went to bed. I woke at about 2am with severe nausea. Went to the bathroom still suffering from chills, and in severe pain from joints and muscles attempted to use the toilet and passed out. Revived and climbed back into bed. The next day 01/16/21 continued to have chills, nausea, and joint and muscle pain. At 2pm on 01/16/21 started to have a rash in my stomach. By 8pm the rash was on my stomach, and back. Sunday 01/17/21 still having mild chills and aches, the rash is now wide spread over my torso and back.

Other Meds: Cymbalta, Armor thyroid, progesterone, Clopidogrel, Energy Extra,SAME, B-Complex Plus,I-Theanine, DIM Detox, Best Rest, Ashwagonda, Super Bio Vit C

Current Illness: No

ID: 0951272
Sex: M
Age: 35
State: FL

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

Lab Data: Sent by EMS to ER. Workup commencing there.

Allergies: None

Symptoms: Significant parasthetias and fever > 102F

Other Meds: None

Current Illness: None

ID: 0951273
Sex: F
Age: 67
State: TX

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

Lab Data:

Allergies:

Symptoms: Rash at injection site 10 days post injection

Other Meds:

Current Illness:

ID: 0951274
Sex: M
Age: 41
State: TX

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

Lab Data:

Allergies: Codine

Symptoms: Moderna COVID-19 Vaccine EUA Low grade fever (99.0-100.9) Tightness of chest Soreness in chest Fatigue Soreness in injection site

Other Meds:

Current Illness:

ID: 0951275
Sex: F
Age: 50
State: NY

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

Lab Data: None

Allergies: undisclosed

Symptoms: Vaccine administration error. It is suspected that the vaccine was given with a 1/2' needle syringe instead of a 1" IM needle syringe.

Other Meds: undisclosed

Current Illness: undislcoed

ID: 0951276
Sex: M
Age: 79
State: PA

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

Lab Data: 12/28/20 WBC 3.4 (ANC 1.4), Hgb 11.2, plt 128 consistent with patient baseline 1/15/21 WBC 1.0 (ANC 0.11), Hgb 10.8, plt 121

Allergies:

Symptoms: New onset leukopenia/neutropenia with fever, unclear if related to vaccination, but temporally occurred the day after receiving 1st dose. No labs immediately prior to vaccination, so leukopenia may have preceded vaccine. No other new medications to explain neutropenia. Off chemotherapy since 8/2020. Possible relapsed disease though no other evidence in support of this as remainder of CBC stable.

Other Meds: amlodipine, aspirin, atorvastatin, carvedilol, vitamin d, gabapentin, lisinopril

Current Illness: Multifocal pneumonia

ID: 0951277
Sex: F
Age: 38
State: TX

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

Lab Data: None

Allergies: Seasonal allergies; sensitivity to Sudafed and Mucinex

Symptoms: Started with fatigue and headache about 3 hours after receiving vaccine. Slept for 14 hours straight. Woke up the next morning with fatigue, muscle/joint pain and extreme irritability. Later that evening, began shaking violently. Immediately took 400mg Motrin. Unable to walk or speak. Only able to moan to communicate with spouse. Violent chills. Numbness to arms, legs, and face. Tachycardia, vasoconstriction to hands and feet. Both hands and feet white and cold. Palpitations. Event lasted about 15-20 minutes. After it was over, had severe fatigue, sweats, and excessive midline body heat. Hands and feet have remained cool but normal in color since then. Continuing to alternate Tylenol and Motrin and staying hydrated. It took a couple of hours before being able to communicate in complete sentences.

Other Meds: NP Thyroid, Escitalopram, DIM SIG, MVI, Testosterone pellets

Current Illness: None

ID: 0951278
Sex: F
Age: 31
State: TX

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

Lab Data:

Allergies: None

Symptoms: 11 hours after injection: fever (100.4), headache, joint pain. 22 hours after injection: fever (103.4), severe headache, joint paint, fatigue, body aches Treated with Tylenol and ibuprofen

Other Meds: Unithroid, birth control pill

Current Illness: None

ID: 0951279
Sex: F
Age: 60
State: PA

Vax Date: 12/30/2020
Onset Date: 01/05/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: Backtrim headache Demerol hallucinations.

Symptoms: Local reaction to immunization initial encounter. Allergic drug rash.

Other Meds: Clonazepam 5 mg 2 x day Lexapro 20 mg every other day. Buspirone hcl 5mg 1 x day Meloxicam 7.5 mg 1 tab daily

Current Illness: None

ID: 0951280
Sex: M
Age: 39
State: NY

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

Lab Data: none

Allergies: undisclosed

Symptoms: Vaccine administration error. It is suspected that a 1/2' needle syringe was used for administration instead of a 1" IM needle syringe.

Other Meds: undisclosed

Current Illness: undisclosed

ID: 0951281
Sex: M
Age: 70
State: CA

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

Lab Data:

Allergies:

Symptoms: Elevated pain at injection site peaking around 16 hours after injection. Generalized muscle pain (whole body), and severe headache, beginning around 14 hours after injection and lasting more than 24 hours after injection.

Other Meds:

Current Illness:

ID: 0951282
Sex: F
Age: 24
State: PA

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

Lab Data:

Allergies: No

Symptoms: Fever, chills, body aches, fatigue, nausea, vomiting, headache Began around 5 am this morning and continuing now as of 2 pm 1000 mg acetaminophen taken twice

Other Meds: Salt tablets

Current Illness: No

ID: 0951283
Sex: M
Age: 81
State: FL

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

Lab Data: Echo Cadiogram and others

Allergies: Aspirin

Symptoms: Shortness of breath, Congestive heart failure, Afib

Other Meds: Metformin, Rampiril, Amlopidine, Cilostazol, Crestor, Folic Acid

Current Illness:

ID: 0951284
Sex: F
Age: 52
State: RI

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

Lab Data: None but called my primary care doctor. He said normal tacky benydryl

Allergies: None

Symptoms: Day 9 started burning and itchy and red patch. Five days later day 14 double in size sore itchy and bruising around outer circle

Other Meds: Multi victim, b,c, zinc chewable, lisinapril 5mg

Current Illness: None

ID: 0951285
Sex: F
Age: 56
State: TN

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

Lab Data: None

Allergies: Sulfa, pseudoephedrine, flagyl

Symptoms: Bad headache yesterday But today both knees are extremely swollen and painful.

Other Meds: Hydroxyurea, alprazalam, benecar, zofran

Current Illness: Blood cancer, Essential Thrombocytopenia

ID: 0951286
Sex: F
Age: 59
State: WV

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

Lab Data: None

Allergies: None

Symptoms: Injection site arm very sore Woke 12 hours later breathing heavier than normal Fatigue Muscle soreness

Other Meds: Estrodial

Current Illness: None

ID: 0951287
Sex: F
Age: 45
State: CA

Vax Date: 01/06/2021
Onset Date: 01/15/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: none thus far

Allergies: no (briely had minor egg allergy following pregnancy that caused excema on inside elbows

Symptoms: lesions and itchy rash on elbows , wrists, hands, fingers, knuckles. resurgence of deltoid injection sight pain which had resolved completely, minor swelling and stiffness of knuckles and minor swelling of elbows NO fever,

Other Meds: estradial transdermal patch 0.1mg /day progesterone 100 mg day

Current Illness: none

ID: 0951325
Sex: M
Age: 77
State: NY

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

Lab Data:

Allergies: Remicaid environmental

Symptoms: headache, chills, dry heaves, sweats, diarrhea

Other Meds: Synthroid .125 mg Trelegy Allopurinol 100mg Crestor 10mg Furosemide (Lasix) 80mg Metoprolol Succ er 50mg Folic acid 1 MG Prilosec 40mg Clopidogrel 75mg Losartan 25mg . Multi vitamin Calcium Citrate 1000 Vitamin C 1000 Vitamin D3 1000

Current Illness:

ID: 0951326
Sex: F
Age: 48
State: NY

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

Lab Data: None

Allergies: undisclosed

Symptoms: Vaccine administration error. It is suspected that a 1/2" needle syringe was used for administration instead of a 1" IM needle syringe .

Other Meds: undisclosed

Current Illness: undisclosed

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm