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: 0952611
Sex: F
Age: 63
State:

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: brief lip and tongue numbness, no swelling or SOB. Monitored 30 minutes.

Other Meds:

Current Illness:

ID: 0952612
Sex: F
Age: 44
State: CA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: opioids

Symptoms: Fever, severe nausea, Headache, whole body sore, vomiting, diarrhea, itching all over my body

Other Meds: Venaflexine and lisinopril

Current Illness: None

ID: 0952613
Sex: U
Age: 49
State:

Vax Date: 12/21/2020
Onset Date: 01/03/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: got vaccine 12/21 was positive for covid 1/3

Other Meds:

Current Illness:

ID: 0952614
Sex: F
Age: 33
State: VA

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Penicillin, gluten,

Symptoms: Ear swelling, hives on face and neck, facial tingling, rash on cheeks, tingling and itchiness in throat and face - 45-60 minutes after injection. Waiting for 30 minutes and no adverse effects until leaving facility

Other Meds: Unithyroid 88mcg daily Cytomel 5 mcg daily Letrozale 2.5 mg daily

Current Illness: Breast cancer Hashimotos

ID: 0952615
Sex: M
Age: 95
State: CT

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: None at this time

Other Meds: Pt received Prevnar 13 vaccine on 1/17 unbeknownst to vaccinator

Current Illness:

ID: 0952616
Sex: F
Age: 39
State: CO

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: n/a

Allergies: penicillin

Symptoms: lightheaded, dizzy, right side had numbness and tingling

Other Meds: n/a

Current Illness: n/a

ID: 0952617
Sex: F
Age: 34
State: OH

Vax Date: 01/08/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Augmentin

Symptoms: erythema and warmth to left deltoid area greater than 7 days post inoculation; spreading and intense itching

Other Meds:

Current Illness:

ID: 0952618
Sex: F
Age: 58
State: CA

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

Lab Data: None

Allergies: No

Symptoms: Patient was given an undiluted dose of Pfizer vaccine. The vaccine was not reconstituted prior to administration.

Other Meds: Unknown

Current Illness: No

ID: 0952619
Sex: F
Age: 27
State: MD

Vax Date: 01/07/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Bumps. Redness. Hives

Other Meds: No

Current Illness: No

ID: 0952620
Sex: M
Age: 70
State: IN

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

Lab Data:

Allergies: Contrast dye

Symptoms: Lower back pain just to the right of the fusion of my L4, 5. I've taken 2 tylonel extra strength to ease the pain. The pain started soon after the injection and increased in intensity culminating the morning after the injection. The Tylenol has eased the pain somewhat, but it's still problematic.

Other Meds: Diclofenac Sod; Carvedilol; Chlorthalidone; Advair; Atorvastatin; Valsartan

Current Illness: None

ID: 0952621
Sex: F
Age: 50
State: IA

Vax Date: 01/01/2021
Onset Date: 01/18/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reported shortness of breath and elevated blood pressure

Other Meds:

Current Illness:

ID: 0952622
Sex: F
Age: 53
State: MI

Vax Date: 01/03/2021
Onset Date: 01/04/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: blood work completed emg ordered MRI ordered

Allergies: vimpat, lamictal

Symptoms: neck lymph node swelling; then 30 hours after receiving vaccine hands turned red and burned, pain and swelling in arm pits. currently have increased paresthesia arms, hands, legs and feet

Other Meds: keppra, vit D, folic acid, glucosamine, vit B6

Current Illness: x rays performed feet and hands for pain arthritis in December 2020, occasional tingling in arms, legs, feet.

ID: 0952624
Sex: M
Age: 45
State: FL

Vax Date: 01/07/2021
Onset Date: 01/10/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Tested positive for Covid-19 on 1/11 which was 4 days after receiving vaccine.

Other Meds: None

Current Illness: None

ID: 0952625
Sex: F
Age: 47
State: WI

Vax Date: 12/26/2020
Onset Date: 12/28/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: Covid 19 test negative

Allergies: No

Symptoms: Sneezing and severe runny nose for3days

Other Meds: Multivitamin Probiotic Prevacid

Current Illness: No

ID: 0952626
Sex: F
Age: 88
State: NY

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: N/A

Allergies: Demerol, garlic, hydrocodone, morphine, oxybutynin, penicillin, sulfa, zithromax

Symptoms: S/P 1 day after vaccination at 1400 patient developed a rash to left arm, red, warm to touch medical provider notified. At 1600 rash had spread to both arms, warm, red hives with itching. 1900 rash had spread to whole body hives. medical provider notified and Benadryl 25 mg IM given. Relief within one hour of Benadryl with majority of rash subsided. Resident had mild aches and pains through out the night. 1/18/21 S/P vaccination day 2 patient continues with mild rash to both legs with red raised hives present. Medical provider notified and ordered prednisone and Claritin with results pending at this time

Other Meds: artificial tears, escitalopram, levothyroxine, metoprolol, vitamin D, bisacodl, high calorie boost juice, aspercreme, senna, donepezil, acetaminophen, tramadol

Current Illness: N/A

ID: 0952627
Sex: M
Age: 24
State:

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swollen lymph node in armpit for4 days, 99.8 temp for one day, chills, fatigue, headache, injection site pain and swelling, lymphadenopathy, malaise, new or worsened joint pain

Other Meds:

Current Illness:

ID: 0952628
Sex: F
Age: 66
State: LA

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

Lab Data: NONE ORDERED

Allergies:

Symptoms: FACIAL/LIP SWELLING 15 MINUTES AFTER 1ST DOSE OF PFIZER COVID VACCINE. IMMEDIATELY WENT TO ED FOR EVALUATION. ED PHYSICIAN CLINICAL IMPRESSION: MILD ALLERGIC REACTION , NO ANGIOEDEMA, REATION RESOLVED NO TREATMENT OTHER THAN EXAMINATION SYMPTOMS RESOLVED 40 MINUTES.

Other Meds:

Current Illness:

ID: 0952629
Sex: M
Age: 73
State: TX

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies: none known

Symptoms: lower body rash on day 2, upper body rash on day 3

Other Meds: Amlodipine/Benazepril, multivitamin

Current Illness: none

ID: 0952631
Sex: F
Age: 83
State: MO

Vax Date: 01/10/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: Penicillin, Sulfa

Symptoms: Resident began have large amounts of loose stools on 1/13/2021 and continued through 1/14/2021.

Other Meds: Cyanocobalamin Injection, Prolia Injection, Vit D3, Vit C,

Current Illness: COVID-19 on 11/14/2020

ID: 0952632
Sex: F
Age: 48
State: IN

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None, Im a nurse. Feel fine otherwise

Allergies: None

Symptoms: Still have red, warm injection site 10 days after received vaccine. It was warm and red at the injection site soon after receiving the vaccine, arm was tender the next day but thought I should report this since the site is still red, warm and slightly tender 10 days later. A 3x3 red warm area still slightly tender to touch & itches.

Other Meds: Multivitamin

Current Illness: None

ID: 0952633
Sex: F
Age: 25
State: NJ

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: At 4:30 am WOKE EXPERIENCING CHILLS/SWEATS, MODERATE-SEVERE PAIN AT INJECTION SITE(LEFT DELTOID), MODERATE HEADACHE. MODERAE-SEVERE BODY ACHES/SHARP PAIN IN THE BACK, LEGS. SWOLLEN FINGERS. SLEPT ON/OFF FOR 2 HRS. TEMP AT 7AM 99.5. SYMPTOMS AND FATIGUE HAVE PERSISTED THROUGH AM.

Other Meds: LEVOTHYROXINE, 75 MCG

Current Illness: NONE

ID: 0952634
Sex: F
Age: 77
State: AZ

Vax Date: 01/14/2020
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies: none known

Symptoms: Dizziness, vomiting, rapid heartbeat, chills, temperature 96.4

Other Meds: none

Current Illness: none

ID: 0952635
Sex: M
Age: 56
State: TX

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies: NKDA

Symptoms: 01/16 RN called patient for status after vaccination. Pt reported fatigue, diarrhea, shortness of breath, temporary loss of taste, sweaty during the night, headache, vomiting for first 3 days after vaccination, however did not seek medical attention. 01/18 patient was called back today for status by this nurse and he states he is still having fatigue, loss of taste, headache. Pt encouraged to come in to see provider. He agreed and is on his way to be seen in clinic this morning.

Other Meds: hydroxyzine pamoate 25 mg capsule take 1 capsule in the morning and 2 in the evening. lisinopril 40 mg tablet TAKE 1 TABLET DAILY. sertraline 50 mg tablet Take 1 tablet by mouth once a day. Singulair 10 mg tablet Take 1 tablet by mouth ever

Current Illness: None reported by patient

ID: 0952636
Sex: F
Age: 32
State: NC

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Received first COVID vaccine on 1/11/21. Pain in arm started three days post vaccine leading to arm swelling and now one week post vaccine armpit swelling in same are as vaccine given.

Other Meds: Birth control Tri sprentic generic brand, Over the counter super greens

Current Illness: no

ID: 0952637
Sex: F
Age: 23
State:

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Received COVID Vaccine on 1/8, general fatigue and headaches persistent for the first few days. Injection site pain prominent for the first few days. Symptoms still ongoing at the moment of writing this incident report excluding pain at the injection site

Other Meds:

Current Illness:

ID: 0952638
Sex: M
Age: 62
State: PA

Vax Date: 12/30/2020
Onset Date: 01/03/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: None.

Symptoms: Pt got sores in mouth and nose

Other Meds: Allopurinol

Current Illness:

ID: 0952639
Sex: F
Age: 62
State: MI

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

Lab Data: Benadryl 50 mg, Solumedrol 125

Allergies: Unknown

Symptoms: Swelling, itching, in the throat. One hive

Other Meds: Unknown

Current Illness: UNKNOWN

ID: 0952640
Sex: M
Age: 80
State: GA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Tiredness, loss of appetite, coughing, nausea, Arm ache, excessive thirst, some sweating. NO high temperature.

Other Meds: Allopurinol 100mg Lisinopril 10mg Bicalutamide 50mg

Current Illness: none known

ID: 0952641
Sex: F
Age: 34
State: MD

Vax Date: 01/10/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: I developed a big red, round almost rash looking spot right above my elbow on my left arm. Same arm that I received my vaccine on. I developed it yesterday, exactly 7 days after receiving the vaccine. It is warm to the touch and a little itchy.

Other Meds: Phentermine Metformin Topiramate Pirmella(birth control pills)

Current Illness: none

ID: 0952642
Sex: F
Age: 50
State: CT

Vax Date: 01/10/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None at this time

Allergies: No known medication allergies. Seasonal pollen allergies.

Symptoms: Initially after first vaccination, there was soreness at injection site but no fever or other symptoms were experienced and soreness resolved after 3 days. Seven days after initial vaccination, the area of injection is red and became extremely itchy. There is also a palpable lump the size of a half-dollar under the skin and the skin is warm and red. There is no drainage. I have a temp of 98.9 ?I usually run low at 97.6.

Other Meds: Humalog Insulin (insulin pump), one a day women?s +50 multi-vitamin once in AM, Vitamin D 3 25mcg once in AM, Loratadine 10 mg once in AM, Simvistatin 20mg once at Bedtime, Losartan 100mg once at Bedtime, Synthroid 75 mcg once in AM, Escita

Current Illness: None

ID: 0952643
Sex: F
Age: 47
State: KS

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: N/A

Allergies: NKDA

Symptoms: PT BEGAN WITH MILD ITCHING THAT PROGRESSED. PT GIVEN 50 MG PO BENADRYL AND SX RESOLVED REQUIRING NO FURTHER INTERVENTION. VSS. PT ABLE TO BE DISMISSED HOME/ENCOURAGED RIDE

Other Meds: METOPROLOL PEPCID NEXIUM HZT

Current Illness: NONE REPORTED

ID: 0952644
Sex: F
Age: 40
State: NY

Vax Date: 01/10/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Cryselle, clindamycin 1% topical, benzoyl peroxide 6%, probiotic, multivitamins, vit D 1000, Caltrate + D, fish oil 500mg

Symptoms: Vaccine received 1/10/21 10:30am, no pain or immediate adverse reactions. By 7pm left arm very sore like punched in arm. 1/11 arm is sore to lift or to touch all the way down into forearm and thumb area of palm. By 1/14 pain is less, only sore to lift, a post work out feel. On 1/16 woke up to a more sore arm and by end of day very sore again like 2nd day after shot. On 1/17 by bedtime left arm is itchy around injection site and there is a hive like bump at the injection site and another about 2 inches straight down, about the size of pencil eraser. Entire arm feels tingly when lay down. 1/18 woke up with headache and left arm is more painful, tingly down into fingers and heavy feeling. There is redness, warmth and very itchy between the dots. Dots are part of red area. Stomach cramps, but could be induced by stress of arm reaction. Primary directed to walk in clinic. Treating as possible cellulitis. Augmentin 875mg twice a day for 7 days, topical triamcinolone, Zyrtec. Monitor for changes.

Other Meds: Cryselle, clindamycin 1% topical, benzoyl peroxide 6%, probiotic, multivitamins, vit D 1000, Caltrate + D, fish oil 500mg

Current Illness: Na

ID: 0952646
Sex: F
Age: 31
State:

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received vaccine on Dec 18 and then January 8th. Pt has nausea/diarrhea/headache on the 9 th and symptoms resolved on January 10th. She then developed fever, bodyaches

Other Meds:

Current Illness:

ID: 0952647
Sex: F
Age: 39
State: MA

Vax Date: 12/26/2020
Onset Date: 01/03/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Zomig, sulfas, flu vaccine 2017, adhesives

Symptoms: Hands aching especially, intermittent nerve pain at injection site with varying durations

Other Meds: Colchicine 0.6mg bid, anakinra 100mg sq daily, indomethacin 50mg q6hr, provigil 400mg daily, Prilosec 40mg bid, rythmol 150mg daily, magnesium 400mg bid, Botox 200u q3months for migraines

Current Illness: Pericarditis

ID: 0952648
Sex: F
Age: 46
State: IN

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Sulfa, lisinopril

Symptoms: Arm had a baseball sized swelling on it the next morning and a dark red spot the size of a quarter. tender to touch and hot. The swelling has gone down but the red spot gets bigger everyday. currently it is the size of a baseball. We marked it this morning and its already passed the ink marks. Still tender and hot to touch.

Other Meds: Prozac, Carvedilol, metformin, hydrocodone

Current Illness:

ID: 0952649
Sex: U
Age:
State: OR

Vax Date:
Onset Date:
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0952650
Sex: F
Age: 62
State: IL

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Minimally soreness at injection site, fatigue, and minimal chills (on and off) for 4 days Nauseated within 30 minutes after eating and lasting for a few hours. This lasted about 4 days.

Other Meds: Calcium supplement

Current Illness: None

ID: 0952651
Sex: F
Age: 67
State: MN

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: States was very fatigued day of vaccination. Day after vaccination states bilateral feet were numb and hands felt weak. Did not seek any medical attention. Entirely resolved day of reporting this (1/18/21).

Other Meds:

Current Illness:

ID: 0952652
Sex: F
Age: 69
State: FL

Vax Date: 01/10/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies: insect stings

Symptoms: One week after receiving vaccination, the site of the injection became red, raised, and very itchy. I took antihistamine over the counter and that does help alleviate the discomfort.

Other Meds: Preservision

Current Illness: none

ID: 0952653
Sex: F
Age: 65
State: IA

Vax Date: 01/07/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: PATIENT RECEIVED VACCINE 1/7/21 AT 1000. THE NEXT DAY, PATIENT PRESENTS TO ER ON 1/13/21 WITH COMPLAINTS OF PALPITATIONS AND DIZZINESS OCCURING SINCE HER FIRST DOSE OF VACCINE. "The patient states she has had these episodes for the last 6 days and they started when she got her COVID vaccine. The patient states she has had numerous episodes over the last 6 days of this that lasts between 2 and 4 hours. The patient can feel her heart fluttering and she gets a little dizzy with it. The patient has not had any nausea, shortness of breath or chest pain with these episodes however. The patient has not had any prior episodes of this. The patient takes no regular medications apart from vitamins." PATIENT WAS DIAGNOSED WITH NEW FOUND A. FIB WITH RVR. ADMITTED TO HOSPITAL FOR OBSERVATION. PATIENT RETURNED TO NORMAL SINUS RHYTHM THE NEXT DAY AFTER INITIATING DILTIAZEM AND ELIQUIS.

Other Meds:

Current Illness:

ID: 0952654
Sex: M
Age: 26
State: PA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: none known

Symptoms: fever of 102.8 body aches, fatigue and dizziness on Friday evening 1/15 and 1/16 Saturday. Sunday 1/17 with low grade temp of 100.3 and fatigue.

Other Meds: strattera

Current Illness: none known

ID: 0952656
Sex: F
Age: 31
State:

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt received vaccine on 12/18 and 01/08 01/09 Pt had nausea/diarrhea/headache which resolved on 01/10 01/14; Pt developed fever, bodyaches, nausea, diarrhea, fatigue And tested positive for COVID on 01/15

Other Meds:

Current Illness:

ID: 0952657
Sex: F
Age: 42
State: MO

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reports she stared experiencing hives 10 min after 2nd dose, was held in observation room for high BP and was given 2 doses of Benadryl, was sent home after 1 hr, 2nd day reports severe HA which resolved same day with Aleve, today 1/18 reports still experiencing hives & continues to take PO Benadryl daily

Other Meds:

Current Illness:

ID: 0952658
Sex: F
Age: 50
State: NY

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: about two minutes after standing up to go to the waiting room, I became incredibly dizzy. I sat down and closed my eyes. I had an instant sensation in my forehead, right side -- not pain, more like a tightness, like the beginning of the headache. I couldn't move my eyes left and right without dizziness. It felt like I was on a pain pill. That kind of lightheadedness. and the tightness moved around my forehead about every 10 minutes to different spots. Was also present in back of my head at bottom left pressure point. At one point my forehead was very tender and within the next few minutes it had gone numb. a doctor and EMS checked my vitals. All were normal. I've recently lost 25 pounds and the doctor thought maybe my thyroid function had improved and that potentially my medication dosage now makes me hyperthyrodic. I'm not dizzy on a regular basis, but am still going to check with my personal doctor. They checked my vitals every 15 minutes and it was about an hour and 15 min before I felt comfortable standing and walking. I went home and went to sleep (it was 3 pm), which is not normal for me. I was wrecked. The next day, all was normal, except for the pain in the injection site, arm, which I expected.

Other Meds: Welbutrin and Levothyroxine

Current Illness: none

ID: 0952659
Sex: F
Age: 69
State: WV

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None yet.

Allergies: Pt reported no known allergies.

Symptoms: Pt reports swelling that gets worse daily even up to 12 days after injection. Pt reports no swelling, redness, or heat at injection site just pain at the shoulder and wrist. Pt has no pain to touch at the injection site directly. Pt says she can feel her bone "rubbing" when she moves her arm.

Other Meds: synthroid, pantoprazole, glimaperide, metformin, pravastatin, pregablin, One A Day Multivitamin.

Current Illness: No acute illness.

ID: 0952660
Sex: U
Age: 28
State:

Vax Date: 01/05/2021
Onset Date: 01/07/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1/7/21 fatigue, HA, myalgia, SOA, left ear pain, chills. Dx'd other viral infection, immune response

Other Meds:

Current Illness:

ID: 0952661
Sex: F
Age: 25
State: NY

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Several minutes after the vaccine she became light headed, EMT evaluated her and stated she was tachycardic (did not give a pulse) and was initially unable to find a BP. She appeared pale and was crying and hyperventilating. She stated she had a funny feeling in her throat and numbness in her fingers. We prepared to administer an epi-pen but she was increasingly anxious so we had to place her in a supine position first. Immediately she started to feel better, her color was normal and her blood pressure was 110/70 with a pulse of 67. Her throat no longer felt ?funny.? We continued to monitor her and did NOT administer epinephrine. An ambulance arrived and she was ambulatory and feeling normal so declined transport. Follow-up with patient 1/18/21, she states she is feeling good. She said she and her mother both have a history of passing out with any procedure involving needles and she does not feel her symptoms were caused by the vaccine itself. She plans to receive her scheduled 2nd dose from us.

Other Meds: Oral contraceptive

Current Illness: None

ID: 0952662
Sex: F
Age: 62
State: CT

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: lobster but not all shell fish avocado

Symptoms: Within 48 hours I woke up with a slightly raised rash on the left side of my neck. Through out the day a smaller patch appeared on the right side. Today, 72 hours later the rash is lighter but still present and slightly itchy. No other symptoms accompanied this rash. I have taken two doses of benadryl.

Other Meds: levothyroxine 137 glucosamine chondroitin One a day multi vitamin for women over 50 B-12 500 mcg

Current Illness: N/A

ID: 0952664
Sex: U
Age: 41
State:

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient went to get a rapid test on 1/8. Onset of symptoms 1/6:sore throat and headache. also lower back pain, chills, watery eyes, cough. Phoned EHS that her results were positive.

Other Meds:

Current Illness:

ID: 0952665
Sex: F
Age: 25
State: NV

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: insensitivity to pineapple and figs

Symptoms: strong shivering occurred around 10:00pm at night. I got out of bed and felt very cold and began shivering. I went back into bed at about 10:40pm still shivering. When I woke up around 3 or 4 in the morning I was no longer experiencing the shivers. The following day on Friday, I felt fatigued, but it was hard to tell what from, because I was also experiencing the first day of my menses. The fatigue felt different because it was my entire body as opposed to the fatigue I feel just in my legs during my menstruation.

Other Meds: vitamin D, zinc 20mg, claritin, spiranalactone, probiotic

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm