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: 0953813
Sex: F
Age: 36
State: MN

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

Lab Data:

Allergies: N/A

Symptoms: Tenderness at the location of injection. Saturday, was soreness under arm (armpit area plus side of body). Sunday started to get soreness in neck on that side of the body.

Other Meds: birth control & phentermine

Current Illness: N/A

ID: 0953814
Sex: M
Age: 46
State: TN

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

Lab Data:

Allergies:

Symptoms: Allergic conjunctivitis in both eyes and extreme fatigue

Other Meds: Testosterone

Current Illness:

ID: 0953815
Sex: F
Age: 55
State: WA

Vax Date: 01/11/2021
Onset Date: 01/20/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: Labs drawn Labs normal except Cl- slightly elevated

Allergies: Pennicillin, Erythromycin, Factive, Trazadone, Banana, Mellon, Avacado, Pecan Walnuts

Symptoms: Day if injection Severe HA- that has not really let up 1 week later Facial numbness of injection side that spread to top of head, and down to chest and right arm- sensation of face being scaled on right side Day 2- Brain Fog, Generalized Weakness, Generalized pain Right ear remains numb Day 3 1/13- felt like my entire body received a tetanus vaccine Day 4 unchanged Day5- woke up in head to toe hives- was sent to ED Have been having intermittent rashes ( like dermatitis) pop up all over my body and random numbness typically on head/ neck Continue with headache on day 7

Other Meds: Lasix, Avapro, Imdur, Diltiazem, Gabapentin, Cymbalta, Advair, Pepcid, Tylenol,. Albuterol, Docusate Singulair, Claritin, Alprazolam, D3, Multivitamin, Probiotic, B12, Biotin

Current Illness: Asthma, CHF, Prinz Metal Angina

ID: 0953816
Sex: M
Age: 43
State: MA

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

Lab Data:

Allergies:

Symptoms: arm was sore at injection site

Other Meds:

Current Illness:

ID: 0953817
Sex: F
Age: 68
State: FL

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

Lab Data:

Allergies: Sulfa Latex Sometimes peanuts

Symptoms: Food tastes metalic

Other Meds: Hydralazine Atenolol Zyrtec Multi vitamin

Current Illness:

ID: 0953818
Sex: F
Age: 62
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient experience heart palpitations and was experiencing anxiety before and during vaccination. After sitting for 30 minutes after getting the vaccine patient felt more calm.

Other Meds:

Current Illness:

ID: 0953819
Sex: F
Age: 42
State: NY

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

Lab Data: NA

Allergies: Ceclor Sulfa

Symptoms: Red swollen extremely itchy

Other Meds: Multi vitamin Biotin Vitamin D Fish oil Citalopram

Current Illness: NA

ID: 0953820
Sex: F
Age: 73
State: WY

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

Lab Data:

Allergies: ASA

Symptoms: Rash and redness around injection site noticed several hours after injection. Diphenhydramine given to patient and continued to be monitoried.

Other Meds: Lipitor, Citalopram, Plavix, HCTZ, Lisinopril, Pantoprazole,

Current Illness: Stroke, CVA

ID: 0953821
Sex: F
Age: 27
State: NJ

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

Lab Data:

Allergies: NKDA

Symptoms: When I went to get the shot, I had a firm bump with what looked like a white head on my left arm from the first shot. When she injected the 2nd dose, the bump was painful and grew twice in size on my arm and started bleeding. The technician rubbed the area for a fews minutes and the swelling went down. The bump went down, but the whole day, I felt a little sick. At around 7pm, I felt feverish, with muscle aches and chills. My skin was sensitive to touch, I felt nauseous, and I could barely walk. The bottom of my left eyelid also became a little swollen. The symptoms resolved the next morning.

Other Meds: zzquil Nightquil

Current Illness: None

ID: 0953822
Sex: F
Age: 38
State: CA

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

Lab Data: n/a took benadryl

Allergies: n/a

Symptoms: racing heart, dizzy, feeling of impeding doom, tired

Other Meds: n/a

Current Illness: n/a

ID: 0953823
Sex: F
Age: 42
State: FL

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: Peak flow declined from 485 to 430 (treated before further drop).

Allergies: NKDA

Symptoms: Approx. 30 hours after this vaccine had acute onset mild-moderate shortness of breath, coughing and drop ~20% in peak flow. This was treated with a single dose of albuterol 2.5mg/3mL nebulizer. Concurrent also mild tiredness, muscle aches and headache

Other Meds: Breo Elipta, Theophylline, Montelukast, Cetirizine, Loratadine, Vitamin D3 , Vitamin B12, albuterol inhaler and nebulizer, 3% NaCl nebulizer

Current Illness: None

ID: 0953824
Sex: M
Age: 31
State: SC

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

Lab Data: Negative COVID test on 1/18/21

Allergies: Penicillin

Symptoms: Flu like symptoms ei- Severe chills, fever of greater that 102 F, congestion, severe headache, cough, body aches

Other Meds: None

Current Illness: Seasonal Congestion

ID: 0953825
Sex: F
Age: 91
State: WV

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: Blood, CT scan, urine analysis, all the panels they run at ER

Allergies: lipitor, ceclor, sulfa, penecillin, bactrium, codeine, crestor, niacin

Symptoms: She became so dizzy that she could not stand. Also experienced nausea. Took to ER. Administered numerous tests and determined reaction was likely to vaccine. Took several days to recover.

Other Meds: Pepcid, Amlodipine, Vesicare, L-thyroxine, Isosorbide, 81 mg aspirin, Vitamin D, Calcium, Cranberry, Calcitonin spray, and tramadol

Current Illness: bladder cancer, COPD, hypothyroidism, osteoporosis, heart disease, kidney disease

ID: 0953826
Sex: F
Age: 57
State: CO

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

Lab Data: I was seen in Emergency Room on 1/15/21 @ 0030 with worsening eye symptoms, elevated blood pressure, increased headache. Diagnoses: Subconjunctival hemorrhage of right eye & Asymptomatic Hypertension. Followed up with my PCP office per Emergency Department discharge instructions on 1/15/21 @ 1400 and prescribed Lisinopril to treat hypertension. Instructed to purchase home blood pressure monitoring device and keep track of blood pressures. Will follow up with PCP in 2-3 weeks and hope to wean off Lisionpril. Of note no PMH or treatment of hypertension and recently had complete routine physical.

Allergies: Sulfa

Symptoms: After receiving my 2nd dose of Covid-19 mRNA vaccine/Pfizer/Bio NT vaccine EUA on 1/13/21 at 1000am I experienced symptoms of severe headache that resulted in a subjunctival hemorrhage of my right eye and asymptomatic new onset hypertension.

Other Meds: Throid NP, 60mg, daily Estradiol, 1mg, daily Propranolol, 20mg, BID Aspirin, 81mg, QD Womens MVI, 1 tab, QD

Current Illness: No significant illness prior to vaccination. Of note had x5 day headache following first Covid vaccine administered on December 23, 2020. I figured this was a common side effect and it resolved after 5 days.

ID: 0953827
Sex: F
Age: 47
State: GA

Vax Date: 11/09/2010
Onset Date: 11/19/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Patient reports fever, chills, body aches, and nausea starting the evening she received the shot. She used a combination of OTC acetaminophen and ibuprofen to treat the symptoms and reports feeling better later that night. She reports feeling more tired than usual on 11/10/2020 and 11/11/2020

Other Meds: Unknown

Current Illness: Unknown

ID: 0953828
Sex: U
Age: 44
State: MA

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

Lab Data: None

Allergies: Sulfa

Symptoms: Notified that the employee who had received Moderna COVID-19 vaccination approximately 32 minutes prior to notification of this NP began complaining of lip swelling, tongue tingling and itching in mouth and mild headache, reported sensation of "full lips". Employee had been advised to wait 30 minutes after administration of vaccine due to known hx of allergic reaction to requiring use of Epi-pen per CDC and manufacturer guidelines. Employee noted to carry Epi-Pen due to prior allergic reaction from walking through "cloud" of sulfa dust in the lab where she was working at previous employer. Denied SOB, cough, tongue swelling, rash, N/V/D, abdominal or chest pain. Stated she was not sure if reaction is due to her anxiety or to possible reaction to the vaccine. 2:36pm: VS BP 118/70, p 82, 02 sat 98%, Resp. 18 2:42pm: VS BP 116/74, p 76, 02 sat 98%, Resp. 16 HEENT: no edema/erythema oropharynx, uvula midline; airway patent, mild edema right lower lip. Resp: LSC. Skin: No urticaria or erythema. Employee had personal liquid Zyrtec; took 10mg PO and single ampule of personal Cromolyn Sodium with complete resolution of sxs in approx 15 minutes after administration. Advised employee of need for f/u for medical possible allergic reaction; refused EMS/ED; advised of possible bi-phasic response and risk; continued to decline EMS/ED. Employee called PCP office; triage RN advised ED rather than UC. Medical Director for Health Center in to evaluate patient; case reviewed, care transferred to Dr. Discharged per Dr.; follow-up with PCP/allergist.

Other Meds: Cranberry pills, Zyrtec, Albuterol, Cromolyn Sodium, Trospium, Epi-Pen

Current Illness: None noted

ID: 0953829
Sex: M
Age:
State: AZ

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

Lab Data:

Allergies: none

Symptoms: none

Other Meds: none

Current Illness: none

ID: 0953830
Sex: F
Age: 37
State: GA

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

Lab Data: None

Allergies: Aleve, Premarin, latex, shellfish, Depo-Provera, Primpro, Pamprin, bees

Symptoms: Patient reported hives develop from head to toe around 7PM on day of injection, 4 hours after injection. Patient states that she took x6 tablets of Benadryl tablets (25MG) and then texted the vaccine coordinator to report event. Vaccine Coordinator contacted the medical director and he advised pt. to take Pepcid twice a day starting the same night of reaction until symptoms resolved. Vaccine Coordinator report this to patient and pt. voiced understanding. Pt. reported the following day that hives had resolved and only symptoms was a sore arm. Pt. reported that symptoms of hives returned after resolved then resolved on 01/17/2021 in the night. Pt. reports symptoms still resolved today.

Other Meds: Zrytec OTC

Current Illness: None

ID: 0953831
Sex: F
Age: 44
State: NY

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

Lab Data: None

Allergies: nka

Symptoms: red, raised/hard, itchy rash (Approx 4 inches in diameter) that is hot to the touch, appeared 13 days after the injection at the injection site

Other Meds: none

Current Illness: none

ID: 0953832
Sex: F
Age: 30
State:

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

Lab Data:

Allergies: Codeine - Rash Itch, throat Itch

Symptoms: 1310 Feel dizzy, Had mask with Copper lining and removed mask to surgical mask 1314 VS; o2 100%, 109/77 HR 81, RR 18 1318throat feels dy o2 100% HR; 86 1323 HR73 o2 100%, 110/78 1327 dizziness passed, throat still dry / strained 1337 to ER for eval of throat strain

Other Meds:

Current Illness:

ID: 0953833
Sex: F
Age: 49
State: WA

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

Lab Data:

Allergies: Codeine, sulpha, penicillin, bee stings, spinach, kale, collard greens

Symptoms: Flushed face with an itchy rash going from face, down my neck and chest. Lips were not swollen, but were tingling. No wheezing or difficulty breathing or shortness of breath, so I stayed the weekend with friends/coworkers who are also healthcare workers so that they could monitor symptoms and I took a Zyrtec and 600mg of Ibuprofen.

Other Meds: None

Current Illness: None

ID: 0953834
Sex: F
Age: 74
State: OK

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

Lab Data: None. I did let my doctor know about it because of the gap between first symptoms and current one.

Allergies: Amoxicillin, sulfa, Eucalyptus oil, Codeine, Fentanyl, Levaquin, gemfibrozil, Noroxin, Arthrotec

Symptoms: First 3 days only some arm soreness. Symptom free after day 3 until day 9. Then on 17 January right arm near injection site because sore and hot to touch with swelling and itching. These have not resolved as of today, 18 January.

Other Meds: Acidophilus, Biotin,B-100 complex, Buproprion HCL XL, Citracal with D3,multi-vitamin,Culturelle,EstRing,Estrogen patch, Lipitor, metoprolol tartrate, montelukast sodium, Nexium, Prolia injections, Prometrium, Tricor, Vitamin D3, Zaditor

Current Illness: None

ID: 0953835
Sex: F
Age: 43
State: MN

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

Lab Data: NOT KNOWN TO ME

Allergies: NKA

Symptoms: PT HAS A 2 .5 INCH DIAMETER CIRCLE AROUND THE INJECTION SITE THAT IS HARD AND WARM THAT STARTED WITHIN A DAY AFTER THE INJECTION WAS GIVEN AND HAD CONTINUED FOR OVER A WEEK BEFORE SEE SAW A DR ABOUT IT. DR.PRESCRIBED HEWR A 7 DAY COURSE OF CEPHALEXIN 500MG EVERY 12 HRS.

Other Meds: FERROUS SULFATE, METOPROLOL SUCCINATE, DULOXETINE,LEVOTHYROXINE,

Current Illness: NONE KNOWN

ID: 0953836
Sex: F
Age: 35
State: WA

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

Lab Data: None

Allergies: Penicillin Morphine

Symptoms: Extreme arm pain to the point I was not able to utilize my arm for 2 consecutive days without extreme pain and still experiencing some pain with movement on day 3 but improved from day 1 and 2

Other Meds: Tylenol

Current Illness: None

ID: 0953837
Sex: F
Age: 53
State: TX

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: COVID TEST DONE 1/13/21 AT DRIVE THROUGH....RECEIVED RESULTS 1/16/21 -NEGATIVE RETURNED TO WORK ON 1/18/21

Allergies: PCN, LEVAQUIN

Symptoms: SEVERE FEVER, FATIGUE, CHILLS 24 HOURS AFTER VACCINE....LASTED 7 DAYS.

Other Meds: MOTRIN, ADVIL, THERA FLU, NYQUIL

Current Illness: NONE

ID: 0953838
Sex: M
Age: 63
State: FL

Vax Date: 12/22/2020
Onset Date: 12/29/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Developed facial shingles one week later, with a prodrone starting 3-4 days after vaccination

Other Meds: None

Current Illness: None

ID: 0953839
Sex: U
Age: 62
State: CA

Vax Date: 01/08/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: Prescribed Keflex 500 mg 3 times day x 7 days. 1st dose started at 10:30 on 1/18/21.

Allergies: NKA

Symptoms: Developed cellulitis at the injection site spreading approx 5? down arm and spreading 3.5? across. Hard and reddened area. Radiating heat to touch. Not feeling well on 9th day after vaccine. No fever.

Other Meds: Metropolol Losartan

Current Illness: None

ID: 0953840
Sex: M
Age: 55
State: CA

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

Lab Data:

Allergies: None to my knowledge

Symptoms: after 2 and a half hours of getting the vaccine, my throat got irritated. As I mention before I do at times get sinuses nasal drip, but I didn't have it at the time of the vaccine.

Other Meds: 0430 a.m. took Diltiazem for high blood pressure 0900 a.m. Lipo Flavonoid Plus, Vitamins E, D3, C, Fish Oil Omega-3, and Folic acid

Current Illness: None

ID: 0953841
Sex: F
Age: 58
State: CA

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

Lab Data: All tests had normal results: EKG & Troponin ( blood drawn 2 hours after vaccine)

Allergies: Alergy to Sulfa antibiotics, morphine & Ibuprofen

Symptoms: 25 minutes after vaccine: Chess & throat tightness, tongue tingling, back of tongue mild spasm & chills 4 hours after vaccine, after getting epinephrine, Benadryl & peptic, tightness of chest was gone. 24 hours after vaccine: bitter in mouth, tongue and side of throat mildly spasm , fatigue 48 hours-72 hours after : feeling tired As of 1/18/2021: very mild tongue spasm, feeling normal.

Other Meds: Taken 12 hours before: Atorvastatin 40mg Taken 3 hours before: Ocuvite, Omega3 1500mg, turmeric 1500mg, Vit D3 5000 IU, Vit C 250mg,

Current Illness: High LDL

ID: 0953842
Sex: M
Age: 61
State: AZ

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

Lab Data: Negative CT head without contrast

Allergies: NKDA

Symptoms: Bell's Palsy (mild left facial droop)

Other Meds: Aspirin, Plavix, metoprolol, Imdur, atorvastatin, nitroglycerin, lantus

Current Illness: none

ID: 0953843
Sex: F
Age: 43
State: WA

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

Lab Data:

Allergies:

Symptoms: body ache, body feels weak

Other Meds:

Current Illness:

ID: 0953844
Sex: F
Age: 49
State: MA

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

Lab Data: no

Allergies: no

Symptoms: Right after the vaccine my throat became itchy and mild lip swelling followed by nausea and vomiting about 4 hours later. I had a mild headache and soreness at the injection site

Other Meds: Vit D w/Zinc

Current Illness: no

ID: 0953845
Sex: F
Age: 24
State: CT

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

Lab Data: None

Allergies: None

Symptoms: I don?t have my card on me at the moment. I can put the lot number later. I?m having redness/swelling which has slowly increased since getting the vaccine on Friday 1/15/21. It?s about three inches by three inches on my right deltoid.

Other Meds: None

Current Illness: None

ID: 0953846
Sex: M
Age: 60
State: NJ

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

Lab Data:

Allergies: None

Symptoms: Ear ache Bells Palsy, given steroids, prednisone 50mg oral tablet, 5 days

Other Meds: Janumet X-RAY 50/1000 Gabapentin 600mg Lisinopril 10 mg Fluticasone propionate 50 mcg

Current Illness: None

ID: 0953847
Sex: F
Age: 37
State: AL

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

Lab Data: She was tested for COVID (rapid and PCR), strep and flu due to symptoms; all were negative.

Allergies: unknown

Symptoms: She experienced- neuropathy down her left arm approximately 20 minutes following the injection; that resolved. The next day, she had left rib pain that lasted for 3 days. Then she experienced increased congestion, a funny taste, and chills. The right side of her throat swelled. Fatigue was experienced during the entire ordeal. Approximately 1 week after the injection, she began to experience left deltoid weakness that limited the mobility of her shoulder.

Other Meds: unknown

Current Illness: none

ID: 0953848
Sex: F
Age: 43
State: NY

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: shellfish, cats, pollen and other animal dander.

Symptoms: I had a swelling and my arm got hot at injection site ( small allergic reaction- a red line). It felt like when I used to get allergy shots for cats. It got better by that Wednesday (01/13/2021). I had taken a Benadryl that date for my itchy nose and dry eyes (I thought it was seasonal allergies.) Today one week and a day after injection my arm swelled up again and is hot . A large red bump appears at the injection site. Again it feels like when I used to get my allergy shots. My throat feels itchy as well, breathing is normal.

Other Meds: metformin 500 mg, vitamin D, probiotics, fish oil, stool softener

Current Illness: benign neutropenia

ID: 0953849
Sex: M
Age: 63
State:

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

Lab Data:

Allergies: Gluten, lactulose

Symptoms: Covid vaccine today and rapid response called as about 5 min later, patient felt "tight breathing" and then msucle became weak. States put head back and woke up to look for help. Epi IM 0.3mL given

Other Meds: acetaminophen, Bupropion, clonazepam, dicolfenac. f;ivpxa,ome. folic acid, gabapentin, ketorolac opthalmic, lamotrigine, methylphenidate, multivit, omega-3, omeprazole, sildenafil, trazodone

Current Illness: none

ID: 0953850
Sex: F
Age: 60
State: IL

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

Lab Data:

Allergies:

Symptoms: Left upper arm red, raised, warm to touch, about 3 inches across began 14 days after immunization

Other Meds:

Current Illness:

ID: 0953851
Sex: F
Age: 68
State: TX

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

Lab Data:

Allergies: Sulfa

Symptoms: None stated.

Other Meds: Enalapril Levothuroxine Folic acid Methotrexate D3 Omega Cevimeline Oxybutinin (for bladder control) Nexium

Current Illness: None

ID: 0953852
Sex: F
Age: 25
State: PA

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

Lab Data: None

Allergies: Seasonal allergies

Symptoms: Immediate numbness in left hand after injection that went away after about 20 minutes Nausea persisting for 2 hours "Brain fog" persisting for 2 hours

Other Meds: Birth control

Current Illness: None

ID: 0953853
Sex: F
Age: 62
State: FL

Vax Date: 01/11/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None performed

Allergies: Penicillin Sulfa Thimerosol Rescue inhaler PRN (rare use)

Symptoms: I had my first vaccination on 1/11/21 at HD. The reaction was typical- significantly sore red inflammed arm over deltoid muscle that resolved after 3 days. Second dose given 21 days later- some swelling and soreness, low grade fever. Then 3 days later, I awoke, turned in bed and experienced an intense shearing pain in my neck and arm. The pain was the worst ever felt, and was not improved with NSAIDS, Acetaminophen, Hydrocodone, or Tramadol. I went to an urgent care center on 1/16 where a tentative diagnosis of sprained neck was made. The sypmptoms continue with slight improvement with steroids, and a muscle relaxant. I am concerned because I understand that covid itself can impact the nervous system considerably. I am awaiting improvement in symptoms and if none seen then I will see my primary care MD

Other Meds: Metformin Glimeperide Welchol Rybelsus

Current Illness: None

ID: 0953854
Sex: F
Age: 72
State: AZ

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

Lab Data: none

Allergies: NKA

Symptoms: After waking in the AM of the following morning after vaccination, felt total exhaustion and weakness, unable to function with morning duties, left arm sore with a notable lump approximately 2 inches wide. Able to lie down and sleep for about an hour; awoke and felt better. Took two 200mg ibuprofen and laid down again. Within an hour of rest, felt awake with no weakness or exhaustion. Arm was less sore; however placed a warm heating pad on arm throughout the day which improved the lump and soreness.

Other Meds: Lovastatin, 20mg every day Calcium 600 mg one tab every day Metoprolol 25 mg 1/2 tab every day Famotidine 20mg one tab every day Estradiol 0.5 mg one tab every day Vit E supplement

Current Illness: Bronchitis/ Covid 19 Dec. 6 thru Dec. 17.

ID: 0953855
Sex: F
Age: 43
State: WA

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

Lab Data:

Allergies:

Symptoms: body ache, body feels weak

Other Meds:

Current Illness:

ID: 0953856
Sex: F
Age: 82
State:

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

Lab Data:

Allergies:

Symptoms: Resident began to have nausea and a slight rash on her arms and chest. Resident's doctor was notified and new orders given for Benadryl 25mg po BIDx 3 days and Zofran administered. Nausea and rash subsided

Other Meds:

Current Illness:

ID: 0953857
Sex: F
Age: 65
State: CA

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

Lab Data: N/A

Allergies: Sulfa med. Contrast media iodine

Symptoms: Intense arm pain. Could not lift arm from Jan 14 until Sunday, Jan 17. Subsiding somewhat on evening of Jan 17

Other Meds: Zoloft emgality zyrtec benadryl multivitamin Vit D 2000 80 mg aspirin Alleve 200mg Vitamin C complex Praluent

Current Illness: None

Date Died: 01/13/2021

ID: 0953858
Sex: F
Age: 76
State: TN

Vax Date: 01/08/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: general decline starting 1/10/2021 - patient deceased 1/13/2021

Allergies: nka

Symptoms: patient started to decline 1/10/2021, patient seen at facility by medical professional - patient deceased 1/13/2021

Other Meds: Seroquel, ibandronate, atenolol, Lexapro, simvastatin, acetaminophen, estradiol, famotidine, calcium citrate, antacid, donepezil, ferrous sulfate, Probiotic Pearls Complete, memantine, Antifungal cream, potassium chloride, Creon, bisacodyl

Current Illness: COVID-19, ARDS, enterocolitis, Sepsis, UTI, Acute renal failure

ID: 0953859
Sex: F
Age: 43
State: IL

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

Lab Data:

Allergies: Levaquin. Neosporin. Walnuts.

Symptoms: Severe pain 10/10 in shoulder joint with attempted movement (passive or active), weakness, and inability to move left arm. Symptoms started approx 4hrs after injection. Pain slightly reduced at 24hrs (8/10) and slight return in movement ability while weakness of left arm persisted. Pain reduced to 5/10, range of motion at 60%, and weakness mostly resolved by 48hrs. Mild pain, stiffness of shoulder joint and weakness are still present at 72hrs. Treatment included ibuprofen and icing of effected shoulder. Diagnosis of deltoid bursitis.

Other Meds: None

Current Illness: None

ID: 0953860
Sex: F
Age: 52
State: CA

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

Lab Data: BP :196/111 Pulse:88, O2 sat 100%on room air Temp:99.1 F initial readings 186/116 78 98.2 5 minutes later 179/97

Allergies: unknown

Symptoms: Pt. C/O flushing, sweating and feeling feverish, an exaggeration of her reaction to the first vaccine. She denied pain, difficulty breathing or other complaints. She lay down, got a cold compress and felt significantly better

Other Meds: unknown

Current Illness: denies

ID: 0953861
Sex: F
Age: 37
State: MI

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

Lab Data: n/a

Allergies:

Symptoms: Vaccine given at approx. 1608, Patient developed full body itching, chest tightening, and tingling tongue approx. 8 minutes after the vaccine injection. Patient denies difficulty breathing or swallowing. Vitals taken: HR 88, BP 121/72, RR 20, SPO2 97% on RA. Diphenhydramine 50mg IM in left arm at 1627.. At 1700 tongue started tingling again with new hives on chest. At 1707 Hydrocortisone 100mg IM given in right ventrogluteal muscle. At 1746 patient feels no tongue tingling or lip swelling and itching has subsided, Denies difficulty breathing or swallowing. Patient released home.

Other Meds:

Current Illness:

ID: 0953862
Sex: F
Age: 56
State: UT

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

Lab Data: none

Allergies: penicillin, kiwi fruit

Symptoms: started with a stomach ache then general aches throughout the torso. Turned pale, and shaky with a severe headache and sudden quick onset of diarrhea along with a high fever that lasted from 0730 a.m. to 430 p.m. after 430 p.m. the symptoms rapidly disappeared leaving patient weak and extremely hungry. after Friday the 15th the only side effect was a sore arm that lasted for a few days.

Other Meds: isagenix with isagenisis complete essential multi-vitamin for women. levothyroxine 88mg

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm