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: 0953286
Sex: F
Age: 72
State: FL

Vax Date: 01/06/2021
Onset Date: 01/12/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: send to emergency room

Allergies: Penicillin Prilosec

Symptoms: Patient had vaccine on 1/6/21 and have three grand mal seizure on 1/12/21. She was hospitalized and return to facility on 1/15/21. Patient does has history of seizure but the last one was three years ago.

Other Meds: Atorvastatin Carvedilol Escitalopram Levetiracetam Sitagliptin Sucralfate

Current Illness: No Only chronic illness

ID: 0953287
Sex: F
Age: 57
State: CA

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Initial expected side effects of hard mildly painful lump at injection site; mild elevated temp approx 1 degree 1st 24 hours; slight fatigue resolved in 48 hours. Noticed itching on day 8, by day 9 had 14cm warm to the touch red and painful swelling distal to injection site which grew to 21cm over next three days. No fever, headache, or joint pain. Saw urgent care physician on day 11, and am currently on a course of 500mg keflex for 7 days. Arm is still itchy, but less painful, and rednesss seems to be resolving medially. Entire site still warm, but less puffy and painful to pressure. Instructed to follow up with physician if not significantly improved in 48 hours.

Other Meds: none

Current Illness: none

ID: 0953288
Sex: F
Age: 67
State: NC

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

Lab Data:

Allergies:

Symptoms: During COVID vaccine observation period patient reported dizziness and light headness, no hives or rash noted. No SOB reported and no wheezing heard. Vitals checked WNL. Pt given juice and educated on reaction and reassurance provided. Pt offered and declines ED assessment.

Other Meds:

Current Illness:

ID: 0953289
Sex: M
Age: 16
State: CA

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

Lab Data:

Allergies:

Symptoms: Vaccine given outside of indicated age range at community vaccine POD. Patient not displaying any adverse signs/symptoms.

Other Meds:

Current Illness:

ID: 0953290
Sex: F
Age: 60
State: NJ

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

Lab Data: None

Allergies: Dairy; Iodine; Levaquin; yellowjacket stings

Symptoms: SORE ARM 8 HRS POST VACCINE. THEN, HEADACHES AND MALAISE. MINOR BODY ACHES UPON AWAKENING THE NEXT MORNING. ALL LASTED UNTIL ABOUT 28 HRS POST VACCINE.

Other Meds: Sertraline 50 Mg Daily; Probiotic, Multi-Vitamin and Calcium P.

Current Illness: None

ID: 0953291
Sex: F
Age: 52
State: MI

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

Lab Data: None known.

Allergies: None known

Symptoms: Patient reports she had her vaccine on 1/13/21. On 1/14/21 at approximately 9 or 10 am she felt achy muscles, painful joints and all over pain. She reports the pain progressively worsened on Friday and Saturday and Sunday to the point where she was unable to sleep or move from the bed or sofa. She notes she ran a low grade fever up to 99.6 and she also had a headache throughout this time.

Other Meds: Unknown

Current Illness: Yes, Headache

ID: 0953292
Sex: F
Age: 35
State: CA

Vax Date: 01/07/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Benedryl, phenergan

Symptoms: Rash at injection site started 1 1/2 weeks post injection. Has grown significantly after 1 day.

Other Meds: None

Current Illness: None

ID: 0953293
Sex: F
Age: 60
State: MA

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

Lab Data:

Allergies: Penicillins Bactrim Sulfa

Symptoms: I received the Pfizer COVID-19 vaccine on 1/7/21 which resulted in slight redness and soreness at the site. This gradually dissipated over a few days, but not completely. On Friday, 01/15/21 a couple hours after exercising (elliptical and hand weights) at the site of vaccination was redness, soreness, and heat. Upon waking up Saturday, 01/16/21, the redness, soreness, and heat had increased - area was 6cm x 7cm - contacted pcp and was advised to go to Urgent Care, which I did and was prescribed Doxycycline for possible cellulitis. Today, 01/18/21, sx's have much improved.

Other Meds: Losartan Citalopram Cetirizine

Current Illness: n/a

ID: 0953294
Sex: M
Age: 80
State: MD

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

Lab Data: ER confirms adverse event oof viollent bowel movement 36 hours post vaccinaion

Allergies: none

Symptoms: pfizer-BioNTechCOVID-19 VaccineEUA daihrea 36 hours posst injection

Other Meds: sinemet gaabapentin

Current Illness: none

ID: 0953295
Sex: F
Age: 62
State: PA

Vax Date: 01/09/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Initially, within 24 hours after receiving injection, I experienced mod. Body aches throughout my entire body, no fever, and was relieved by taking 2 Tylenol repeatedly for 12 hours. Symptoms disappeared until day 8, at night, I experienced itching and devolved a welt, redness, heat, and raised area with enduration at the injection spot on my arm. This continued through today, but it is slowly improving. Still red, warm to touch, but not as raised, nor as endurated.

Other Meds:

Current Illness:

ID: 0953296
Sex: F
Age: 46
State: PA

Vax Date: 01/09/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: CT head on 1/13/2021 - negative

Allergies:

Symptoms: Within 4 hours of the vaccine developed fever and body aches. By day 4, was noted to have a ptosis and went to the ED. CT head negative as part of possible CVA work up. No other neurologic symptoms. Was also diagnosed with a UTI at the same time. Starting to feel better but ptosis continues. She will be seeing ophthalmology and neurology.

Other Meds:

Current Illness:

ID: 0953297
Sex: F
Age: 74
State: NV

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

Lab Data:

Allergies: trazodone- nightmares

Symptoms: SORE, ITCHY BUMP WHEN TOUCH, LARGER THAN SILVER DOLLAR SIZE, WARM

Other Meds: xanax, synthroid, estrace, vitamin d3, retin A to face, ambien,

Current Illness: none

ID: 0953298
Sex: F
Age: 29
State:

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

Lab Data:

Allergies: n/a

Symptoms: patchy hives, itchy, turned into head to toe hives with swelling. Treated with 50mg Benadryl injection and solumedrol injection. 4 hours later upon waking up symptoms had resolved. given prednisone pack to treat as well and oral benadryl prn for itching.

Other Meds: n/a

Current Illness: n/a

ID: 0953299
Sex: F
Age: 16
State: CA

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

Lab Data:

Allergies:

Symptoms: Vaccine given outside of indicated age range at community vaccine POD. Patient not displaying any adverse signs/symptoms.

Other Meds:

Current Illness:

ID: 0953300
Sex: F
Age: 30
State: VA

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

Lab Data: N/A

Allergies: No known allergies

Symptoms: Associate was given the Pfizer vaccine for her first dose on 12/18/2020 but then was given the Moderna vaccine on1/8/2021 as her second dose. No reaction to either dose.

Other Meds: Unknown

Current Illness: None

ID: 0953301
Sex: M
Age: 42
State: PA

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

Lab Data: None

Allergies: Bactrim

Symptoms: Approximately 45 minutes after vaccination felt sensation of mouth becoming completely dry, felt as though regular swallowing process interrupted. Had a glass of water and resolved. Evaluated by doctor and had pulse of 92 (high for patient) and elevated blood pressure 148/92. Rest of vitals normal. Felt anxious. Ate lunch, had about 6 more episodes of mouth drying out, last one about 10 hours after vaccine. Resolved with water. Took benedryl 50mg. Next felt fatigue and right arm soreness. Felt normal within 48 hours.

Other Meds: Omeprazole Vitamin D Lipitor

Current Illness: None

ID: 0953302
Sex: F
Age: 56
State: TN

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

Lab Data:

Allergies: penicillin and codeine

Symptoms: Arm got really red and shallowed up and still has a knot. Started feeling cold, took temp and started shaking. Temp was 103.4 and the highest was 104.2 ran from Thurs-Saturday later afternoon. Sister in law came over and applied ice since running a high fever and took fever medicine . Very tired and week, arm still has a note and red.

Other Meds:

Current Illness:

ID: 0953303
Sex: F
Age: 58
State: MI

Vax Date: 12/31/2020
Onset Date: 01/07/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Redness, swelling, itching RUE 7 days post vaccine. Bilateral legs itching day 9.

Other Meds:

Current Illness:

ID: 0953304
Sex: F
Age: 25
State: IA

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

Lab Data:

Allergies: Lamictol

Symptoms: Rash, hives, hot in the face within 4 hours of shot (11:30am) lasted throughout the day and into next day.

Other Meds: N/a

Current Illness: N/a

ID: 0953305
Sex: F
Age: 69
State: TX

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Red rash around injection site with itching

Other Meds: Levothyroxin Calcium citrate Iron B12

Current Illness: N/A

ID: 0953306
Sex: F
Age: 33
State: CO

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

Lab Data: none

Allergies: Latex

Symptoms: The same night as the vaccine, I developed a fever greater than 101.5 and developed bad chills throughout entire night. Could not sleep because of chills. Next morning, developed severe legs pains and deep muscle pain - both legs - both calves, both sides. Resulted in me having to miss that day of work. I called my Dr's office and they advised to go to ER for severe leg pain. I didn't because I had a pharmacist that I work with who had advised me that I could wait. Similar symptoms to when I got COVID (on Dec 28th). Did have the same moderate arm pain in location of vaccine. Fever stayed above 100 for 48 hours. And the chills went away after 12 hours. Around the clock Tylenol that stated when I got the vaccine - 1000 mg every six hours scheduled. Fever resolved after 2 days. Chills after 12 hours. Leg pain from severe on 15th - to moderate pain next day and on 18th the pain is more mild. Pain in legs haven't resolved entirely but much better.

Other Meds: Prenatal Vitamin

Current Illness: COVID

ID: 0953307
Sex: F
Age: 26
State: OR

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

Lab Data:

Allergies:

Symptoms: Numbness and tingling of left hand and arm after vaccination. Patient/employee was assesses with 5/5 strength, cool, dry skin, color good, Denies any other S/E or complaints.

Other Meds:

Current Illness:

ID: 0953308
Sex: F
Age: 67
State: NC

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

Lab Data:

Allergies:

Symptoms: During observation period pt reported dizziness and feeling light headed, no hives or rash noted. No SOB or wheezing heard. Vitals checked and WNL. Pt given po juice and reported feeling better, pt offered and declined ED assessment.

Other Meds:

Current Illness:

ID: 0953309
Sex: M
Age: 17
State: CA

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

Lab Data:

Allergies:

Symptoms: Vaccine given outside of indicated age range at community vaccine POD. Patient not displaying any adverse signs/symptoms.

Other Meds:

Current Illness:

ID: 0953310
Sex: F
Age: 39
State: PA

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

Lab Data: Basic metabolic panel, CBC and differential, CBC auto differential, Troponin I, ECG

Allergies: None

Symptoms: elevated blood pressure, lightheadedness, chills

Other Meds: MAgneseum 500mg, B2 400mg, multivitamin

Current Illness: None

ID: 0953311
Sex: M
Age: 56
State: CA

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

Lab Data: None

Allergies: Codiene Omeprosole

Symptoms: Chills, Fever 103.7, stomach cramps pain, Headache

Other Meds: Famotidine Flecainide Lisinopril

Current Illness: None

ID: 0953312
Sex: F
Age: 49
State: NJ

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

Lab Data: I had covid in May 2020 and had positive antibodies in July

Allergies: none

Symptoms: Received at 7am and by 6pm was trembling, freezing 102.4 fever with pain shooting through my body. continued to reoccur every 4 hours for 2 days then leveled off and was able to return to work on the third day. Following week my great toenails fell off I went to podiatrist Dr and it was called covid toes

Other Meds: none

Current Illness: none

ID: 0953313
Sex: F
Age: 80
State: AZ

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

Lab Data: no

Allergies: no

Symptoms: Had pain, tenderness, swelling, redness, itchy, difficulty moving arm, headache, nausea, fever.

Other Meds: Aspirin

Current Illness: no

ID: 0953314
Sex: F
Age: 32
State: KY

Vax Date: 01/06/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Sulfa antibiotics some shellfish

Symptoms: Erythema around the deltoid area with a bullseye appearance with slight tenderness. This occurred 9 days after my initial injection. Treated with Benadryl 50mg PO and 600mg of ibuprofen

Other Meds: Lo lo estrin fe Vitamin D3

Current Illness: none

ID: 0953315
Sex: M
Age: 53
State: NJ

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

Lab Data: Dr ordered CBC, bacterial and viral profile on Jan 11, 2021.

Allergies: No known Food or medication allergies

Symptoms: chills, body pain, high fever ( 103), myalgia, dryness of mouth and nose, loss of taste, lethargy, weakness, very low or no energy, could not sleep for 7- 8 days in night time because of fever and chills, severe headache, diarrohea for first 6 days, so much weakness in muscles and nerves can't even move position during night time. weakness is to such a level that may not make it back.

Other Meds: Vit C, Vit D3, Zinc, plavix, metoprolol, simvastatin

Current Illness: No known illnesses. I am on my maintenance medications like Plavix 75mg once a day, metoprolol, diovan/hctz 160/12.5mg tab once a day, simvastatin 40mg once a day.

ID: 0953316
Sex: F
Age: 38
State: PA

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

Lab Data: (01/17/2021) CBC NL except WBC 10.83 CMP NL except Cl 110, BG 116 (fasting), Ca 8.7 Troponin negative Serum HCG negative EKG reportedly normal Vital signs normal

Allergies: None

Symptoms: 14 hours after vaccine, woke up with significant myalgias, urge to defecate (moved bowels twice, second time was diarrhea), nausea (no vomiting), severe dizziness. Syncopal event in bathroom, witnessed by husband. Went to ED due to husbands concern for possible seizure-like activity while unconscious (~30 seconds).

Other Meds: Setlakin (monophasic OCP)

Current Illness: None

ID: 0953317
Sex: F
Age: 38
State: MO

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

Lab Data:

Allergies:

Symptoms: Join pain, muscle pain, triggered my neurological disorder (common when I'm fighting illness), dizziness, head fog, disorientation, slurred words, tiredness, and headaches.

Other Meds:

Current Illness:

ID: 0953318
Sex: F
Age: 35
State: CA

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

Lab Data:

Allergies: None

Symptoms: Reported warmth, redness and flushing of the facial cheeks and middle forehead with small, circular papules that appeared within 2 hours after vaccine administration. Denied SOB, itchiness, pain.

Other Meds:

Current Illness:

ID: 0953319
Sex: F
Age: 40
State: CA

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

Lab Data:

Allergies: None

Symptoms: Fever of 101.4 Achy Low back pain Pain in arm of vaccination

Other Meds: None

Current Illness: None

ID: 0953320
Sex: F
Age: 51
State: MI

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

Lab Data: Benadryl 50 mg IM

Allergies: Unknown

Symptoms: Tight throat, thick tongue

Other Meds: Zoloft, Xanax

Current Illness: Unknown

ID: 0953321
Sex: M
Age: 73
State: TX

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

Lab Data:

Allergies:

Symptoms: Administration error-- patient reports vaccine running down arm immediately after administration and does not believe he received the full dose. He did experience arm soreness for a couple days after the vaccine.

Other Meds:

Current Illness:

ID: 0953322
Sex: F
Age: 66
State: TX

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: No tests or lab results. I did not consult my Dr.

Allergies: Sulfa, Penicillin

Symptoms: Tiredness & slight achy ness. These side effects did not keep me from doing the normal things I would do in the course of my afternoon. They continued for 4 days after the shot.

Other Meds: Losartan 100 mg, Nifedipine 30 mg, Levothyroxine .05 mg, Valacyclovir 500 mg, Topiramate 125 mg, Plant Sterols 650 mg, Red Yeast Rice 600 mg, Cetirizine HCI 10 mg, Omeprazole 20 mg, Rizatriptan 10 mg, Zomig 5 mg, Berberine 500 mg, Alpha Lip

Current Illness: None

ID: 0953323
Sex: F
Age: 77
State: NC

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

Lab Data: None

Allergies: Sulfa

Symptoms: Unusual Digestive upset?nausea, cramping and diarrhea lasting approximately 12 hours and weakness lasting 24 hours. Had no treatment and felt completely well in 48 hours.

Other Meds: Synthroid 75mcg, Hydrochlorothiazide 12.5 mg, Bupropion 350 MG, Trazadone 50 mg, Estradiol Patch .025 2Xwk, Naltrexone 4.5 mg, Biotin 10,000 mcg, B 12 1000mcg, DHEA 5mg, D3 1000 units, K2 45mcg

Current Illness: None

ID: 0953324
Sex: F
Age: 58
State: CO

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: Did not seek medical care.

Allergies: Sulfa Dilaudid

Symptoms: Exactly 24 hours after vaccine received, symptoms started and then continued for exactly 12 hours: - Mild Nausea - Headache -102 degree fever - Severe chills and sweats

Other Meds: Synthroid Tylenol Extra Strength

Current Illness: None

ID: 0953325
Sex: F
Age: 62
State:

Vax Date: 01/09/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: INitally, within the first 24 hours, I had many body aches, and felt tired. Took Tylenol dosage appropriately for the next 12 hours and was back to normal. On day 8, last night, I noticed itching on my injection site, and saw big red welts with hot to touch, painful, endurated. This morning, it is improving less red, less raised, warm to touch, and less painful. Still endurated moderately.

Other Meds:

Current Illness:

ID: 0953326
Sex: F
Age: 34
State: OH

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

Lab Data: None.

Allergies: None

Symptoms: On 1/15/21, patient developed onset of raised, circular, multiforme rash to bilateral hands involving palms and extended to wrist area. Very itchy, burning, painful with swollen fingers. Seen in my office on 1/18/21. Has improved slightly with Benadryl x 1. No other associated symptoms. No new medications or exposures. Dx of urticarial multiforme vs erythema multiforme.

Other Meds: Zoloft 100mg

Current Illness: None

ID: 0953327
Sex: F
Age: 71
State: NY

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

Lab Data:

Allergies: penicillan, sulfa,

Symptoms: Chills and a fever 101.5

Other Meds: amlopipine 5mg efexxor 75 mg one a day multi vitamin Vitamin c, zinc. vitamin d

Current Illness: one moth ago I ahed fever for two week, took two sets of covid, rapid and pcr all were negative December 22 and December 27

ID: 0953328
Sex: F
Age: 42
State: WI

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

Lab Data:

Allergies: No Allergies

Symptoms: Nausea, Dizzy, felt like whole body was floating, felt really warm internally and required ice pack.

Other Meds:

Current Illness:

ID: 0953329
Sex: F
Age: 30
State: IN

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

Lab Data: see above

Allergies: n/a

Symptoms: 1322- during 15 minute observation period, patient noted feelings of lightheadedness, chest tightness/pain. BP was 110/70, HR58. 1330- EMS arrived, lung sounds clear, biox WNL, BP 135/94 1333- additional EMS arrive with stretcher, CP had improved, HR 80, sinus rhythm, still lightheaded, (all per EMS) 1336-denied departure with EMS, husband picked her up. 1340- EMS departed, Husband to pick up 1342- CP resolved 1346- headache but otherwise ok 1352- gave her a cold compress, she then got chills so we provided a blanket and CP returned 3/4, "tight", reassessed BP= 122/74, HR 62, clear lungs, BIOX 100, HR62 1400- husband arrived and she felt safe to leave with husband

Other Meds: n/a

Current Illness: n/a

ID: 0953330
Sex: F
Age: 53
State: FL

Vax Date: 01/06/2021
Onset Date: 01/18/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: nka

Symptoms: mild red rash that developed after initial soreness resolved, sore again and warm to touch

Other Meds: none

Current Illness: none

ID: 0953331
Sex: F
Age: 0
State: AZ

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

Lab Data:

Allergies:

Symptoms: 30 MINUTES AFTER COVID PFIZER SHOT, PT. C/O LABORED, SHORTNESS OF BREATH, OVERALL BODY TINGLING; FEELING COLD, ANXIOUS. 1205 VS: 02 SAT: 97%; P: 82, R: 20; 1225: VS: 02 SAT: 98%; R: 18, DECREASED SIGNS/SYMPTOMS AND LESS ANXIETY. SENT TO EMPLOYEE HEALTH, AMB. PER SELF.

Other Meds:

Current Illness:

ID: 0953332
Sex: F
Age: 32
State: CA

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

Lab Data: none

Allergies: Bupropion

Symptoms: 1/16/21 left arm soreness by 18:00 1/16/21 left arm tingling by 20:30, resolved 1/17/21 01:00 1/16/21 chills, sweats, headache, red rash at site of injection 1/17/21 worsened headache, weakness, sleepy, loss of appetite, arm soreness, red rash at site of injection, goosebumps throughout the day 1/18/21 headache, red rash at site of injection larger and more raised, swollen upper lip (right side) and swollen earlobe (right side), appetite and energy improved

Other Meds: concerta 18mg multivitamin calcium citrate plus magnesium and vit D probiotic biotin

Current Illness: none

ID: 0953333
Sex: M
Age: 81
State:

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

Lab Data: 1/16/20- wbc 29k cxr, urine unremarkable

Allergies:

Symptoms: patient began with vomiting and diarrhea the day after administration, leading to bowel and urine incontinence. patient was hospitalized on 01/16/20 with sepsis. no origin discovered yet. still waiting on blood/urine/stool cultures.

Other Meds:

Current Illness:

ID: 0953334
Sex: M
Age: 37
State: MS

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

Lab Data: None

Allergies: None

Symptoms: Took shot on December 30th, 2020. January 3rd night I went to bed with bumps on the back of my head and itching pretty bad. I woke up sometime during the night and realized my top lip was swollen. When I got up the next morning my head was still itching and my top lip was still swollen. Monday, January 4th, 2021, I began having? Dime sized? Rep spots come up on my body all over that itched pretty bad. January 7th, my injection site turned really red and began to swell. I called my primary care physician and he immediately put me on some meds, both prescription and otc. The symptoms subsided January 9th. January 10th, I began to notice red spots began to appear again and itch. I continued the meds prescribed and thought it would go away, it did not and a few more appeared. Thursday, January 14, my left hand between my thumb and pointer finger began to hurt and turn red. A few hours later the same thing began happening to my right hand. They both began to swell, itch, and turn hot. This lasted all Thursday night and part of Friday morning, and then the swelling, and itching, began moving into both wrist and forearms. Both wrist and forearms turned red and were swollen mid way up the arm. The swelling subsided Saturday night, January 16th. The morning of Sunday, January 17th, my right foot became very tender and painful to walk. I removed my sock and had a considerable red rash on the inside and bottom of my arch that was hot to the touch and itching. A few hours later, a rash developed on the left side of my left foot, but not as painful or large. During this whole time, I have continued to have rashes and bumps appear all over my body, with them coming and going, usually lasting about 2 days.

Other Meds: Norvasc

Current Illness: None

ID: 0953335
Sex: F
Age: 80
State: MS

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies: PCN, Reglan, mobic, codeine

Symptoms: significant rash on chest wall, itches, no sob or wheezing treated with kenalog cream

Other Meds: Amiodarone, atorvastatin, prilosec , micardis hct,xarelto, tolterodine er, synthroid, magox

Current Illness: recent cardioversion for afib

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm