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: 0951328
Sex: F
Age: 24
State: IN

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

Lab Data:

Allergies: None

Symptoms: Arm was a little sore night of jan 11. Upon awakening day 8 (jan 12) arm had blotchy welt appearance at and around site of injection. Sore from swelling. Hot to touch (104.4 degrees) by the end of the day I felt as if I was wearing a blood pressure cuff. The next day it felt better and has since, but it continous to grow in appearance and now is a defined shape across span of my arm near injection site. Slightly warm and itchy on day 13 (jan 17)

Other Meds: Birth control (microgestin 1/20 Fe 24)

Current Illness: None

ID: 0951329
Sex: F
Age: 66
State: OK

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

Lab Data: N/A

Allergies: Sulfa, codeine

Symptoms: While driving home after leaving facility 15 minutes after shot, I started having an increased heart rate. Once home, the rapid heart rate continued and I noticed throat swallowing was getting a little tighter. I started drinking water and just breathed normally sitting down. I went to a mirror to see if I could see any swelling of my face and noticed my neck right under my chin was red about half way down. My chest seemed fine. I continued to just sit & drink water and soon the heart rate was getting back to normal. I noticed the redness on my neck was getting lighter also. I looked at my watch and it had been a little over an hour since my vaccination. I did not seek treatment, nor have I called my doctor. There have been no more adverse reactions.

Other Meds: Atorvastin, Lisinopril, Meloxicam, multivitamin, Vitamin D3, Krill oil, low dose aspirin, DHEA, zinc, elderberry gummies with zinc & vitamin C & Airborne Vitamin C gummies. omeprazole (PRN)

Current Illness: No

ID: 0951330
Sex: F
Age: 67
State: NY

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

Lab Data: EKG- on 01-14-21. Results were normal. BP was up 160/80 and went down to 142/80 by the end of the visit. I run 120/80 typically.

Allergies: Shell fish, Iodine Dye, Boniva, Cipro, Sulfa

Symptoms: Got slightly dizzy as I stood up. Went to sit in observation room. My heart was beating very fast for about 8 minutes. Felt a tightness in my chest and had a slight bit of difficulty breathing. Did not want to tell the monitors. Afraid to go to a hospital with COVID. My left hand turned blue and got cold and tingly. That lasted for about 2-3 minutes. So did the trouble breathing. All subsided in 15 minutes. Went home and took an antihistamine. Had a light rash on my body. Consulted with PCP and cardiologist. They seem clueless. We all agreed that i need the second dose but what is the antidote. Cardiologist gave me a beta-blocker to take before the dose but these symptoms all appeared on the severe allergic reaction list. The heart pounding was the most pronounced symptom. What do I do?

Other Meds: Extra Strength Tylenol

Current Illness: None

ID: 0951331
Sex: F
Age: 71
State: TN

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

Lab Data:

Allergies: Lobster, chlorhexidine

Symptoms: injection site redness and soreness, severe migraine headache, severe myalgia (even the tendons in my hands and feet hurt), arthralgia, chills, rigors, swollen lymph nodes lasted two and a half days, mostly spent in bed

Other Meds: Zyrtec

Current Illness: None

ID: 0951332
Sex: F
Age: 75
State: KS

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

Lab Data:

Allergies: Penicillin causes hives.

Symptoms: I noticed itching on my left arm. After inspection, I noted redness and swelling on my upper arm.

Other Meds: Prescriptions: Raloxifene, Levothyroxine, Atorvastatin, Clindamycin (topical) Over the counter: Low dose aspirin, Minoxidil (topical) Vitamins and minerals: Multi-vitamin, iron complex, chromium, green tea, calcium, fish oil supplement

Current Illness: None

ID: 0951333
Sex: F
Age: 55
State: NY

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

Lab Data:

Allergies: none

Symptoms: arm soreness for the first couple of days. About 1 week later started with small red, hot area. This became itchy and a little painful. Now the spot has gotten much bigger and red and hot. No fever or other symptoms. Put cortisone cream on and rest.

Other Meds: cephalexin 500mg caplets

Current Illness: stye in eye

ID: 0951334
Sex: F
Age: 1
State: MS

Vax Date: 01/06/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: Rapid covid, flu A/B, and rapid strep all came back negative on 1/16/2021. Urinalysis collected and revealed 1+ leukocytes. Culture waiting to be grown. on 1/16/2021.

Allergies: NKA

Symptoms: Patient started running fever on 1/16/2021. Initial temperature was 100.2 degrees Fahrenheit. Fluids were encouraged and temperature monitored closely. At 1800, temperature was 102 degrees Fahrenheit. Patient brought to local emergency department. Rapid covid, flu A/B, and rapid strep all came back negative. Urinalysis collected and revealed 1+ leukocytes. Culture waiting to be grown. On 1/17/2021, patient had fever of 102.3 degrees Fahrenheit at 0545, tylenol 3.75 mL given PO. At 1100, temperature is 99.2 degrees. At 1230, temperature was 103.5 degrees. Tylenol 3.75 mL given PO.

Other Meds: OTC probiotics taken daily.

Current Illness: Diagnosed with c-diff over one month prior. Medication regimen complete and patient asymptomatic for weeks prior to immunization.

ID: 0951335
Sex: F
Age: 38
State:

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

Lab Data:

Allergies: NKDA

Symptoms: Feeling funny and tingle, vital signs stable

Other Meds: Sertaline

Current Illness:

ID: 0951336
Sex: F
Age: 46
State: CA

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

Lab Data:

Allergies: None

Symptoms: Area around injection site is red and a bit swollen. The area that is red is appx 2.5-3 inches in circumference

Other Meds: None

Current Illness: None

ID: 0951337
Sex: F
Age: 65
State: WA

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

Lab Data:

Allergies: sulfa

Symptoms: Nausea (minimal), fever and chills the first night, low-grade discomfort and persistent headache the following 2 days

Other Meds: Paroxatene 20 mg daily

Current Illness:

ID: 0951338
Sex: F
Age: 60
State: TX

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

Lab Data:

Allergies: Sulfa drugs, morphine

Symptoms: Initial symtom of warm flush (head to toe), followed by added symtoms over course of next 5-10 min: light headed, dizziness, pale, tachycardia, scratchy throat, heaviness in chest, tightness in throat, spike in blood pressure (initial 144/88, 168/96, 152/87, 146/84-final). Monitored symptoms 45 min to one hour. Temp 97.3. Symtoms lasted approx one hour, then began improving, with exception of light headedness and general malaise and fatigue for 4 hrs. Additional event at approx 10 hours post vaccine: excruciating upper arm pain (left shoulder to elbow), felt "down to the bone". Unable to move arm and very painful to touch. Took 600 mg ibuprofen. Severe pain lasted approximately 3-4 hours (unable to sleep). Then became moderate soreness at injection site x 8 hrs. Mild soreness x 12 hrs, no pain 36 hrs after vaccine. Continued fatigue and malaise for 3-4 days after vaccine.

Other Meds: Atenolol, wellbutrin, fluoxitine

Current Illness: N/A

ID: 0951339
Sex: F
Age: 56
State: MI

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

Lab Data: N/A

Allergies: celebrex; claritin

Symptoms: 12/16/2020 First vaccination. 12/17/2020 rash began. Nausea. 12/18/2020 rash over all extremities. Lasted until 12/22/2020. Nausea. called clinic on 12/21/2020 to report the rash. I tend to get rashes with different aspirin, cough medication, etc. PCP advised to take benadryl if happens again to control rash if occurs. I did take as the rash came back, took for one day, and the rash was gone the next day. 2nd vaccine EL3246

Other Meds: RA medication 2x daily; folic acid 1 x daily; biotin 1x daily; caltrate 2x daily; fish oil

Current Illness: n/a

ID: 0951340
Sex: F
Age: 26
State: NY

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

Lab Data:

Allergies: penicillin

Symptoms: 102 degree Fever the entire day after the vaccine was administered with chills, body aches, soreness of arm

Other Meds:

Current Illness:

ID: 0951341
Sex: F
Age: 68
State: WI

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

Lab Data: Multiple eye tests on 1/13/21, 1/14/21, and 1/15/21.

Allergies: NKA

Symptoms: I has a bilateral attack of narrow angle glaucoma, seeing colored halos around lights. Had a headache and mild nausea, but attributed that to known vaccine side effects. I had never experienced anything like that. Went to opthalmologist the next morning and pressures were elevated with some reduced visual acuity. Was given drops, sent home, returned for a check that afternoon, which were in acceptable range.

Other Meds: Lisinopril, turmeric, vitamin D3, aleve

Current Illness: None

ID: 0951342
Sex: F
Age: 61
State: MI

Vax Date: 11/16/2020
Onset Date: 11/16/2020
Rec V Date: 01/17/2021
Hospital:

Lab Data: none

Allergies: no allergies

Symptoms: Patient had a reaction on her right side arm. She described a softball size red reaction. It was warm to touch and was sore for a week.

Other Meds: Lovastatin, lisinopril, alprazolam, oxybutynin, citalopram, tylenol, multivitamin

Current Illness: none

ID: 0951343
Sex: F
Age: 43
State: OR

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

Lab Data:

Allergies: sulfur cortisone

Symptoms: I got really thirty at first. Then lips, tongue, throat swelled. Talked funny. Lips tingled. Whole left arm and hand felt weird. Tired.

Other Meds: Claritin night before

Current Illness: allergies/sinus build up

ID: 0951344
Sex: M
Age: 32
State: TX

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

Lab Data:

Allergies:

Symptoms: Swelling and Soreness at sight of injection starting 8 days afterward

Other Meds: Claratin D

Current Illness:

ID: 0951345
Sex: M
Age: 31
State: IN

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

Lab Data:

Allergies:

Symptoms: Symptoms started approx. 24 hours later. Reports ?severe rash? along throat and chest, and swelling in face along cheekbones and under they eyes. Rash started to dissipate on its own after 1-2 days. Swelling continued so he started Benedryl on his own. Swelling decreased but has not completely subsided. Went to his PCP, she provided an Rx (wasn?t sure what it was at this time). Patient states PCP reports not worried about him getting a second dose

Other Meds:

Current Illness:

ID: 0951346
Sex: F
Age: 51
State: NY

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

Lab Data: N/A

Allergies: Unknown

Symptoms: Patient felt faint and heart started racing after receiving first dose of Moderna vaccine. Patient's sister states she has history of anxiety.

Other Meds: Patient reported she was on a detox diet

Current Illness: Unknown

ID: 0951347
Sex: F
Age: 82
State: FL

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

Lab Data:

Allergies: no known

Symptoms: rash on arm appeared 7-8 days post vaccination. It was "hot and burning" also itchy. Pt used Benadryl and cortisone2.5%.. burning went away but still itchy and still has rash. Patient feels that Benadryl did not help. Pt was told by health care professional to monitor and if she has trouble breathing to go to ER.

Other Meds:

Current Illness: none known

ID: 0951348
Sex: F
Age: 37
State: CT

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

Lab Data:

Allergies: Allergy to Pertussis vaccine as infant

Symptoms: Red circular blotch about 3 inches in diameter around injection site. Slightly itchy. Not painful. Not hot to the touch.

Other Meds: Birth control. Multi-vitamin. Probiotic

Current Illness: None

ID: 0951349
Sex: F
Age: 56
State: MI

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

Lab Data: N/A

Allergies: celebrex; claritin

Symptoms: 12/16/2020 vaccine 12/17/2020 rash began, Nausea 12/18/2020 Rash covered all extremities; called clinic that tuesday to report. Advised to take benadryl 2nd shot for rash. EL3246. Rash did occur. Went away after one day.

Other Meds: RA medication 2x daily; folic acid 1 x daily; biotin 1x daily; caltrate 2x daily; fish oil

Current Illness: n/a

ID: 0951350
Sex: F
Age: 29
State: MA

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

Lab Data: None

Allergies: No known allergies

Symptoms: Headache (first and second day post vaccine) Sore throat (first and second day post vaccine) Fever (first and second day post vaccine) Nausea (first day post vaccine) Vomiting (first day post vaccine) Chest tightness/ difficulty breathing (beginning on second day post vaccine)

Other Meds: Acyclovir Mirena

Current Illness: None

ID: 0951351
Sex: F
Age: 62
State: LA

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

Lab Data: Upon awakening on the second day I remain concerned about the side effects and visited my local emergency room. The physician advised me to continue taking Benadryl. By mid day on the second day, my symptoms are still present but not quite as severe.

Allergies: Penicillin, Percocet, most eye makeup, almonds, shellfish

Symptoms: Upon awakening the morning after the vaccination, I experienced swelling in my ankles, feet and fingers I also experienced swelling in my face where I had received filler injections six months ago. I also experienced feeling very spacey and foggy in addition to ringing in my ears, pins and needles all over my skin as well as a burning sensation on my upper back, buttocks and thighs. Finally, I felt extremely fatigued and lethargic. I had no fever or headache but had soreness at the injection site. I dosed with 600 mg of ibuprofen b.i.d. the first day as well as 50 mg of Benadryl at bedtime. While I got some relief from these medications, I still remain symptomatic on day two after receiving the vaccination.

Other Meds: Vitamin C, vitamin D, multivitamin, Milk Thistle, Turmeric, Pro-biotic. Ibuprofen

Current Illness: None

ID: 0951352
Sex: F
Age: 36
State: NY

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

Lab Data:

Allergies: Topical allergy to neomycin

Symptoms: Delayed injection site reaction. Looks like one big hive. Itchy red raised

Other Meds:

Current Illness:

ID: 0951353
Sex: F
Age: 82
State: TN

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: First mild symptoms were sore arm and mild aches, tiredness. On approximately Jan 11 started noticing itching at injection point and by Jan 16 2021 had red swollen area around injection point. Red area approximately three inches in diameter. .

Other Meds: Pradaxa, blood pressure medication, Zyrtec, Zoloft, sythorid,Solatol

Current Illness: High blood pressure, CMT

ID: 0951354
Sex: F
Age: 36
State: NY

Vax Date: 12/23/2020
Onset Date: 01/08/2021
Rec V Date: 01/17/2021
Hospital: Y

Lab Data: WBC: 13.1 Hb: 13.6 HCt: 42.1 Platelets: 3 Peripheral smear: true thrombocytopenia, no clumps seen. Polychromasia, anisocytosis appreciated with some matured neutrophils. No other abnormal cells seen.

Allergies: Tylenol (swelling, urticaria/hives)

Symptoms: Patient presented with diffuse petechiae, easy bruising and oral bruises. She has a history of stable ITP with her last required infusion of IVIG 12 years prior during pregnancy and monitors her CBC every 6 months. Her baseline platelet count is ~50-60k. She received treatment with dexamethasone 40 mg IVPB x 3 doses and IVIG 95 grams (1 gram/kg) IVPB x 2 doses.

Other Meds: Ibuprofen NuvaRing

Current Illness: None

ID: 0951355
Sex: F
Age: 37
State: NY

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

Lab Data:

Allergies: None

Symptoms: Red patch at injection site of increasing size that is hard, itchy and warm to touch. Tried treating with benadryl cream and benadryl. Spole to doctor on 1/17/20 and a steroid was prescribed.

Other Meds: None

Current Illness: None

ID: 0951356
Sex: M
Age: 85
State: AK

Vax Date: 01/07/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Awakened with very severe chills that seemed to come in waves and lasted for about 10 minutes. Felt too weak to even get out of bed. Temp was slightly elevated to 99.6F when checked later that morning. Had ?unusual? aches and pains throughout his body all yesterday and then one brief episode of chills this morning, 1/17.

Other Meds: Eliquis,. Toprol XL, Janumet, Lantus, Prilosec, Pravastatin, Finasteride, Tamsulosin, Fexofenadine, Lutein CoQ10, Turmeric, Magnesium,

Current Illness: None

ID: 0951357
Sex: M
Age: 47
State: CT

Vax Date: 01/13/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: COVID test

Allergies: None

Symptoms: Recieved first Vaccine on Wednesday 1/13/2021 and tested Positive for COVID 19 on Saturday 1/16/2021. Only Symptoms are loss of taste and smell.

Other Meds: ExForge(Amlodipine/Valsartan) 160/10

Current Illness: None

ID: 0951358
Sex: F
Age: 68
State: FL

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

Lab Data:

Allergies: None

Symptoms: chills, headache, body aches, spaced out feeling, loss of appetite, sick stomach, 100.5 fever for 2 days-this felt similar to how I felt when I had Covid 19 March-April.

Other Meds: Oxcarbazepine, estradiol, methenamine hippurate, trintellix, multi vitamins

Current Illness: None

ID: 0951359
Sex: F
Age: 69
State: FL

Vax Date: 01/07/2021
Onset Date: 01/15/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: None

Allergies: Cipro, Penicillin

Symptoms: Erythema, edema, rash and pain (10x12 cm), arm pain

Other Meds: None

Current Illness: None

ID: 0951360
Sex: F
Age: 66
State: TX

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: About a 5 inch elongated circle rash that was red, also with hives and itchy. .after 2 days, still evident but redness is lighter. the size is the same

Other Meds: synthroid, prolia

Current Illness: none

ID: 0951361
Sex: F
Age: 0
State: PA

Vax Date: 12/04/1966
Onset Date: 01/15/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: EKg and bloddwork were all normal

Allergies:

Symptoms: Five minutes after receiving vaccine, she c/o being SOB. Vitals were stable. O2 sat 98% BP 164/94. She was given 25mg benadryl. 5 minutes later she c/o swollen glands and feeling light headed. She was taken to the ED where she received 125mg methylprednisolone, famotidine and NSS. Symptoms resolved within 2 hours and she was discharged to home with a prescription for an Epi pen.

Other Meds:

Current Illness:

ID: 0951362
Sex: F
Age: 58
State: NY

Vax Date: 01/07/2021
Onset Date: 01/15/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Left arm became inflamed with blistering. Inflammation continued spreading throughout the day. Pain and aching accompanied redness.

Other Meds: Multi vitamin

Current Illness: None

ID: 0951363
Sex: F
Age: 53
State: KS

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

Lab Data:

Allergies: Lactose intolerance (even very tiny amounts) and migraine headaches after eating shellfish.

Symptoms: Painful at injection site lasting 8 hours and unable to move left arm without aiding with other arm. Chills for a few hours and Migraine headache lasting for more than 12 hours with symptoms that are not relieved by Tylenol (500mg twice).

Other Meds: 1) Cholest-off plus (OTC) and 2) Calcium Citrate , Magnesium and Zinc supplement (250mg, 40mg, 5mg respectively).

Current Illness: none

ID: 0951364
Sex: F
Age: 63
State: NC

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

Lab Data:

Allergies: None

Symptoms: Low grade fever, chills, body aches, headache, nausea

Other Meds: Lisinopril, metoprolol, NP thyroid, Crestor, Nexium

Current Illness: None

ID: 0951365
Sex: F
Age: 47
State: NE

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

Lab Data: N/a

Allergies: None

Symptoms: Achy arm day of vaccine, woke next morning with generalized body aches and extreme fatigue, temp 103-104 for about 10 hours. Chills, headache. By 6pm I was able to get out of bed and shower, eat some soup and hydrate. Woke next morning (today)feeling fine but worn out.

Other Meds: None

Current Illness: None

ID: 0951366
Sex: F
Age: 36
State: WA

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

Lab Data: Of note, pt treated w/ Voluma (Juv?derm) facial filler in cheek area and Dysport in forehead on 12/27/2020

Allergies: None known

Symptoms: Bright red 2x2in rash in left arm, exact location of injection site. Warm to touch, non tender, non-itching.

Other Meds: Armour Spironolactone

Current Illness: None

ID: 0951367
Sex: M
Age: 39
State: MD

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

Lab Data:

Allergies: None

Symptoms: Have on and off mild to moderate headaches/ pain in head.

Other Meds: Zinc 30mg three times a week

Current Illness: None

ID: 0951368
Sex: F
Age: 54
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: Administration vaccine error. It is suspected that the vaccine was administered with a 1/2" needle syringe instead of a 1" needle syringe.

Other Meds: undisclosed

Current Illness: undisclosed

ID: 0951369
Sex: F
Age: 48
State: PA

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/17/2021
Hospital:

Lab Data: On 12/28/2020 Covid Test- Negative

Allergies: Penicillin Latex

Symptoms: A metallic taste when through my mouth & got my mouth dry as soon as they where putting the vaccination. Then I got a really bad headache & very nauseas within 5 min of getting the vaccine. I had pain on the vaccine area. I also felt very tired very exhausted about 4 or 5hrs later. I started getting chills & achiness started the next day on 12/24/2020. On 12/25/2020 I felt nauseas, still had the chills, headaches, still felt fatigue, achiness, sore throat & also had diarrhea. I had all this symptoms all the way till 12/29/2020. Seen doctor on 12/28/2020 and they decided I should get tested for Covid.

Other Meds: Blood pressure medication

Current Illness: No

ID: 0951370
Sex: F
Age: 46
State: IL

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/17/2021
Hospital:

Lab Data: ABT Augmentin and Benadryl

Allergies: none

Symptoms: Cellulitis/reactive

Other Meds: Synthroid, microgestin

Current Illness: none

ID: 0951371
Sex: M
Age: 57
State:

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

Lab Data:

Allergies: NKDA

Symptoms: Observed for 30 minutes BP 113/74 Sat O2 99 HR 70's No EKG changes and with mild PVCs

Other Meds:

Current Illness:

ID: 0951372
Sex: M
Age: 28
State: IN

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

Lab Data:

Allergies: None

Symptoms: Chills, fatigue, headache, left arm pain at injection site. No measured temp until next day at 99 after chills went away.

Other Meds: None

Current Illness: None

ID: 0951373
Sex: F
Age: 35
State: TX

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

Lab Data:

Allergies: Sulfa

Symptoms: Day 8 - redness 3 inch diameter at injection site, hot to tough and slight knot

Other Meds: Zyrtec Famotidine Flonase Singulair

Current Illness: Sinus infections recurrent

ID: 0951374
Sex: F
Age: 58
State: NY

Vax Date: 12/20/2020
Onset Date: 12/20/2020
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 IM 1 " needle syringe.

Other Meds: Undisclosed

Current Illness: undisclosed

ID: 0951375
Sex: F
Age: 43
State: KY

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

Lab Data:

Allergies: None

Symptoms: Woke up to left arm hurting and soreness. It has red patches and swollen. My shoulder is throbbing.

Other Meds: Estradiol Progesterone Wellbutrin Vitamin D

Current Illness: None

ID: 0951376
Sex: F
Age: 41
State: NJ

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

Lab Data:

Allergies: None

Symptoms: Sore arm from 1/10 till 1/11 1/11 afternoon achy, fatigue, headache, chest congestion

Other Meds: Bupropion, Escitalopram, Alive Women's Energy, Advil Sinus Congestion & Pain

Current Illness: Allergies

ID: 0951377
Sex: F
Age: 62
State: OR

Vax Date: 12/25/2020
Onset Date: 12/25/2020
Rec V Date: 01/17/2021
Hospital:

Lab Data: none

Allergies: Sulfa

Symptoms: large redden raised area at injection site. It began to subside then reappeared. Lasting atleast 7 days.

Other Meds: Fish Oil 1200mg daily PO, Multivitamin tab 1 daily PO, Calcium D tab 1 daily PO, D3 5000 IU daily, Simvastatin 20 mg Daily PO, Vitamin C 1000 mg daily

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm