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: 0954817
Sex: M
Age:
State: AZ

Vax Date:
Onset Date:
Rec V Date: 01/19/2021
Hospital: Y

Lab Data:

Allergies: none

Symptoms: a portion of upper right lobe removed, cause determined valley fever

Other Meds: Amlodipine 10mg

Current Illness: none

ID: 0954818
Sex: F
Age: 59
State: MI

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt had nausea after 2 hours and felt tired/heavy feeling. Took Ibuprofen. On day later, experienced more nausea and lack of appetite, and then had a terrible headache. It got worse and she experienced neck stiffness and her blood pressure was 175/95 at 4pm on 1/8. She rested and felt better about 24 hours later. She felt normal again after a few days.

Other Meds:

Current Illness:

ID: 0954819
Sex: F
Age: 36
State: KS

Vax Date: 01/16/2020
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: Sever swelling of the site of injection, red area growing down the arm. Pain, not sore but pain, hot to touch.

Other Meds: ibuprofen 800mg and Tylenol 400mg

Current Illness: no

ID: 0954820
Sex: F
Age: 53
State: CA

Vax Date: 01/08/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: CBC normal 1/18/21

Allergies: sulfa

Symptoms: woke up 9 days post injection to a sore arm, when I looked at the arm in the mirror there were 4 red marks, 1 the size of a quarter maybe a little larger and three more the size of finger prints. The red marks were slightly warm to the touch. Arm was a little sore, but not bad. As the morning progressed the red marks got larger and my arm began swelling. The temperature of the red area became warmer. Slight discomfort, more discomfort when bending over and hanging arm. I took aceteminophen and iced the arm. When I removed the ice pack the area was still very warm to the touch. As the day progressed and went into the Monday the red mark got bigger and my arm was more swollen. I contact my primary care and he expressed concerns of cellulitis based on the progression and symptoms. I had a cbc and he placed my on antibiotics. My cbc came back completely normal. I am continuing the antibiotics as precaution. The evening of Monday, January 18 the arm was starting to signs of the inflammation reducing. Tuesday, January 19th the red mark is smaller and the arm is not as swollen ( I have only taken two doses of antibiotics as of this morning).

Other Meds: none

Current Illness:

ID: 0954821
Sex: M
Age: 63
State: NY

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: Slight headache, body aches, fatigue, chills. I felt OK the next morning.

Other Meds: Plavix, baby aspirin, losartin, metoprolol, atorvastatin, multi-vitamin, CoQ10, fish oil

Current Illness: None

ID: 0954822
Sex: F
Age: 57
State: NY

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: enhances observation, vitals and oral diphenhydramine and seen by physician in vaccine clinic.

Allergies: Propofol, Kenalog, hydroxychloroquine, penicillin. oseltamivir, erythromycin, methotrexate

Symptoms: Pruritis and rash on lips chest and lower extremities. No swelling or shortness of breath, given diphenhydramine 50 mg orally for 1 dose as per MD recommendation,

Other Meds:

Current Illness:

ID: 0954823
Sex: F
Age: 30
State: OH

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Pcn

Symptoms: Fatigue, headache, body aches and upset stomach

Other Meds: Adipex, lexapro, buspar, aldactone

Current Illness:

ID: 0954824
Sex: F
Age: 42
State: IL

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Ciprofloxacin

Symptoms: Uncontrolled elevated BP ranging 192/102 on multiple readings.

Other Meds: Ibuprofen, Gabapentin, Hydrochlorthiazide, Losartan, Nifedipine, Asprin, Atorvastatin, Janumet, Insulin Glargine, Vitamin D.

Current Illness: None

ID: 0954825
Sex: F
Age: 47
State: GA

Vax Date: 01/05/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: shellfish, benzoyl peroxide

Symptoms: almost 2 weeks later. rash, swelling, itching, soreness, pain at injection site,

Other Meds: vitamins c, zinc, D3, Zyrtec

Current Illness:

ID: 0954826
Sex: F
Age: 61
State: MA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 24 hours after my 2nd vaccine I had symptoms of severe fatigue and body aches. I had a low grade fever and headache. The following morning I had pain in my left axilla, low grade fever, headache and body aches. I left work early because of severe fatigue and was out the following day for symptoms due to covid vaccine.

Other Meds: advil

Current Illness:

ID: 0954827
Sex: F
Age: 50
State: TX

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: unkown

Allergies: NKDA

Symptoms: Numbness, tingling from ear to right arm at injection site. At ER complains of right cheek tightness and tingling continually down to right shot area.

Other Meds: Carbodopa, Levodopa, Ametidine

Current Illness: Parkinsons

ID: 0954828
Sex: F
Age: 32
State: MN

Vax Date: 01/06/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None.

Allergies: Sulfa, Nickel

Symptoms: On January 14th around noon, my vaccination site started itching pretty badly. By later afternoon, I could feel a couple small bumps (like mosquito bites) under my skin at that site. By evening, the area was red and quite itchy. I put Cortisone-10 cream on it to help with the itching. By the morning of January 15th, the area was raised and my upper arm seemed a bit swollen. Itching continued as well as redness and the area was hot to the touch. One large lump under the skin. Redness was about 2.5 inches round. I called my vaccination location and they were worried about cellulitis so advised me to be seen by a doctor. Saw CNP at medical clinic. She diagnosed me with cellulitis and gave a prescription of Cephalexin 500mg, 1 capsule four times a day for five days. I asked about getting the second shot in the series and she stated that I could just do it in the other arm.

Other Meds: Nikki birth control pill

Current Illness: None

ID: 0954829
Sex: F
Age: 53
State: MD

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Penicillian

Symptoms: I received vaccine on Monday 1/4, on Wednesday 1/6 started developing some symptoms (tongue felt funny and slight loss of taste), by Thursday morning 1/7 my lip was funny feeling as well and by Thursday evening right side of my face was droopy. Saw my PCP on Friday and was diagnosed with Bells Palsy.

Other Meds: Celebrex 200mg daily metformin 500mg twice daily 5000 iu Vitamin D

Current Illness:

ID: 0954830
Sex: M
Age: 29
State: IN

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: At midnight 1/17/2021I developed severe muscle aches, shivering, chills, and a temperature of 100 F. The pain in my left arm was so severe I could barely move it. This all persisted to the morning of 1/18/2021 after which it resolved. I was unable to sleep at all the nights of 1/16/2021 or 1/18/2021.

Other Meds: 2.5 mg daily bisoprolol

Current Illness:

ID: 0954831
Sex: F
Age: 46
State: NY

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: adhesive tape/band aids

Symptoms: First was Left arm pain (within 10 minutes of administration), then about 12 hours later started with shakes/chills (teeth chattering), cold sweats, fever (up to 100.1F), headache, muscle aches, mild joint pain,vomiting x 2 (shot given at 6:30 am and started feeling better at 7:00a.m then next day). Have had fatigue for several days after the shot a well as mild arm pain at injection site.

Other Meds: none

Current Illness: none

ID: 0954832
Sex: M
Age: 41
State: IN

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None to date.

Allergies: None

Symptoms: Body aches, chills, joint pain, 100 degree fever,sore injection site and swollen lymph node in right armpit. Symptoms came on about 10 hours after injection with the swollen lymph node coming over 24hrs after injection.

Other Meds: Turmeric and fish oil supplements

Current Illness: None

ID: 0954833
Sex: M
Age: 27
State: IL

Vax Date: 01/07/2021
Onset Date: 01/12/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: COVID-19 rapid swab: Negative 1/12/2021 COVID-19 PCR: Negative 01/13/2021

Allergies: None

Symptoms: Received COVID-19 vaccine on Thursday (01/07/2021). Injection sight soreness started in the evening and lasted through Saturday (01/09/2021). Woke up at 5am (Tuesday, 01/12/2020) with a headache and took some ibuprofen. Went back to sleep and woke up at 630am sweating with mild body aches. Fever/ chills and body aches worsened Tuesday evening into Wednesday. Resolved Thursday afternoon. Symptoms managed with ibuprofen and fluids.

Other Meds: None

Current Illness: None

ID: 0954834
Sex: F
Age: 42
State: ME

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Bactrim, Sulfa Antibiotics

Symptoms: Redness, Tenderness, Swelling at site of injection times 3 days so far. Icing and ibuprofen do help.

Other Meds: None

Current Illness: none

ID: 0954835
Sex: F
Age: 51
State: NJ

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: last night body pain and chills around 9:00 pm this morning , body pain ,chills, fever 100.08 around 7:30 am 9:20 am fever went down to 98.6 after taking Tylenol at 7:30 am

Other Meds: Metoprolol ER succinate 25mg vitamin B12 1000 mcg vitamin D3 2000 iu Aller-Tec Cetirizine Hydrochloride table 10mg 1 a day Multi Vites 2 a day Montelukast 10mg one at night (singular)

Current Illness: allergy post nasal

ID: 0954836
Sex: M
Age: 82
State: FL

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: Verbalize feeling dizziness, was evaluated on site by EMTs and released home at 10:42 am feeling better.

Other Meds: Lizinopril, Uneprogole coagulation?

Current Illness: HPB

ID: 0954837
Sex: F
Age: 20
State: MA

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Caller state that first vaccine 12/22 caused fever 100.0, fatigued, muscle aches, pain in arm pit on the vaccinated arm.. Caller went to doctor diagnosed with swollen lymph nodes lasting 12 days. Second Vaccine 1/12 caused high fever, headache, muscle aches and fatigue. Caller used Tylenol and went to be tested for corvid and results were negative. Caller stated that she still does have some numbness in the hand with the swollen lymph nodes. Caller completed vaers report over phone.

Other Meds: albuterol, Zyrtec and Tylenol prn

Current Illness: none

ID: 0954838
Sex: M
Age: 59
State: TX

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: soreness in injection site, knot the size of silver dollar redness and itchy

Other Meds: Metoprolo 50mg , b12 1000mcg , Potassium Chloride 20meq , Omega3 , vitamin c 500 mg , Zinc 50mg , Flonase

Current Illness: none

ID: 0954839
Sex: F
Age: 39
State: TX

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Nasal drainage, cough and hoarseness. No treatment, outcome symptoms persist beyond 3 days. Patient will be tested for flu and COVID-19.

Other Meds:

Current Illness:

ID: 0954840
Sex: F
Age: 53
State: MI

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: CT scan and labs all within normal. EKG normal

Allergies: shellfish, latex, PCN

Symptoms: Went to Urgent Care 01/17/2021. High blood pressure and sent to ER. R/O stoke. Gave 3 steroids and antiviral for 10 days. Was diagnosed with Bells Palsy. Has facial and facial drooping. Left eye will not blink and has to use omit to keep eye moist.

Other Meds:

Current Illness: none

ID: 0954841
Sex: M
Age: 18
State: VT

Vax Date: 12/30/2020
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: -cillin family Bactrim Dust, various molds

Symptoms: About two weeks after I received the vaccine (almost a week ago as of present) I began experiencing rapid muscle twitches near the injection site. I can send a video if necessary. Only muscle experiencing these symptoms is one on my left shoulder, where the injection occurred. Twitches a couple times a second for a couple minutes at a time. Frequency of these events per day has increased over the past week. Presents without pain, numbness, tingling, etc. No past history of chronic muscle twitches. I am capable of fine motor movements such as writing and maintaining full motion of my arm while it occurs. Consulted with a doctor (my employer) informally and they recommended I submit this form. Willing to answer any questions that might show up.

Other Meds: n/a

Current Illness: n/a

ID: 0954842
Sex: F
Age: 42
State: TX

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Contrast iodine

Symptoms: Pain in arm Metal taste Dizziness

Other Meds: Sertraline Clonazepam Vitamin D3 Vitamin C Zinc

Current Illness:

ID: 0954843
Sex: F
Age: 35
State: IN

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever of 102, body aches, chills, pounding headache, fatigue, loss of appetite, muscle pain

Other Meds: Probiotics Multivitamin

Current Illness: None

ID: 0954844
Sex: F
Age: 56
State: MA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Nut allergy Peaches and blueberries-anaphylactic reaction

Symptoms: Received vaccine at 10:30am, completed 15 minute post monitoring without adverse event. Upon driving home within 5 minutes of leaving started feeling tingling in face and nose. Felt roof of mouth tingling and tongue and eyes felt swollen and felt flushed. Face was notably red. EMS assessed patient established IV. 0.3mg epinephrine given IM and 50 mg Benadryl administered IVP. Patient agreed to go to ED and transported by EMS without issue. Vital signs remained stable and wnl throughout reaction monitoring.

Other Meds:

Current Illness:

ID: 0954845
Sex: F
Age:
State: AZ

Vax Date:
Onset Date:
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: None stated.

Other Meds: fluoxetine chi 40mg

Current Illness: none

ID: 0954846
Sex: F
Age: 36
State: OH

Vax Date: 01/11/2021
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Morphine, Augmentin, gluten intolerance

Symptoms: At 4:30am today when I woke up and my left arm arm was a little sore. It it swollen, red, warm and itchy. It is odd to me because I got the vaccine eight days ago.

Other Meds: Pristiq 100mgOD, Lamictal 100mg OD, multi-vitamins, fish oil, tea tree, turmeric, msn chondroitis

Current Illness: None reported

ID: 0954847
Sex: F
Age: 68
State: DE

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: KNDA

Symptoms: Fever muscle aches headache nausea

Other Meds: Losartan metoprolol eliquis MVI simvastatin

Current Illness: None

ID: 0954848
Sex: F
Age: 43
State: NC

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: Sulfa, Penicillin, Demerol, Morphine, Macrobid

Symptoms: Onset of heat, redness within 30 minutes of injection into left deltoid. The site began to swell and itch within an hour and continues to have redness, itching and swelling at the site. Firm to touch. No drainage noted. Has applied cold compresses and took some Benadryl at night to decrease the itching.

Other Meds: Metformin 500mg qd; Venlafaxine 225mg qd

Current Illness: None

ID: 0954849
Sex: F
Age: 63
State: NY

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: Vital signs and enhanced observation

Allergies: No known

Symptoms: Patient stated feeling dizzy, denied history of HTN and her BP was 172,96. observed for an hour left with BP of 164/93 with education of when to seek medical attention bc her CAB was here and she claimed she was anxious but the dizziness subsided

Other Meds:

Current Illness:

ID: 0954850
Sex: F
Age: 53
State: NY

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: NA

Allergies: Ceclor, keflex, Arithromyacim and Bioxin

Symptoms: I felt like my throat was getting a little "thick" while sitting there so stayed for 35 minutes. I did not say anything. I went home and within 1 hour after the shot my ears seemed get clogged and itchy. My upper lip swelled up enough for me to feel it and notice while looking in the mirror then my throat seemed to get thick. I did not have difficulty breathing. I drank a lot of ice cold water and took a benadryl which seemed to halt the symptoms. I woke up the next day and all seemed to be better.

Other Meds: Nature Thryoid, Vitamin D, B, C, fish oil , COQ10, Oregano, garlic, Magnesium, DHEA, Tumeric

Current Illness: None

ID: 0954851
Sex: F
Age: 59
State: IN

Vax Date: 01/06/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Arm was extremely sore for several days and sore to touch for a week. It seemed to subside and then soreness returned and I incurred tenderness in lymph nodes under arm. There is now a rash measuring approximately 4 inches x 2 inches at the injection site.

Other Meds: lexapro 5 mg, calcium, magnesium, thyroven, ubiquinol, folate, Vitamin D

Current Illness: none

ID: 0954852
Sex: F
Age: 24
State:

Vax Date: 01/17/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fever, headache. called in sick to work.

Other Meds:

Current Illness:

ID: 0954853
Sex: F
Age: 46
State: MA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1/12: Immediately after receiving vaccine felt pressure and flushing in face which progressed to sensation of tightness in chest and throat but no dyspnea, able to talk, no change in MS. Evaluated by PA - Code Green called. VS stable, transferred to ICU> In ICU labs completed, monitoring continued - all stable. Ate sandwich without difficulty or N/V. discharged to home 1/13: Had continued sensation of numbness and tingling in tongue that night and metallic taste in mouth with fatigue and headache. Aprox 11am 1/13 developed racing heart , increased numbness and tingling in tongue and metallic taste in mouth. Called 911 - transferred to different hospital. Evaluation including EKG completed without finding. Symptoms gradually resolved - discharged how with instruction to f/u with PCP. 1/14 - Home/stable, mild change in sensation in mouth and tongue persist otherwise tolerating all activity, working from home without difficulty.

Other Meds: vitamins

Current Illness:

ID: 0954854
Sex: F
Age: 36
State: MI

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Approximately 15 minutes after vaccine injection, right upper eyelid started spasming. This has happened approximately 15-20 times every day, for the last 9 days. Never had this before.

Other Meds: N/A

Current Illness: Denies

ID: 0954855
Sex: F
Age: 24
State: IN

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Allergy to Dawn Dish Soap

Symptoms: Fever, chills, painful lump underneath armpit

Other Meds: No

Current Illness: No

ID: 0954856
Sex: M
Age: 82
State: FL

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Verbalize feeling Dizziness, was evaluated on site by EMS and released home at 10:42 am feeling better.

Other Meds: Lizinopril, uneprojole, coagulation?

Current Illness: HBP

ID: 0954857
Sex: M
Age: 29
State:

Vax Date: 01/17/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Last night, I started to experience chills in my body and a headache/tiredness. This morning, I still feel a bit tired, but I no longer am experiencing chills.

Other Meds: Vitamin D

Current Illness: N/A

ID: 0954858
Sex: M
Age: 47
State: TX

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Reports low grade fever which began about 4 hrs after receiving the injection on 1/14/2021. Fever reached a tmax of 103.6. Tylenol taken with good effect. Temperature resolved at time of reporting (1/19/2021). Also experiencing extreme fatigue which started at the same time as the fever.

Other Meds:

Current Illness:

ID: 0954859
Sex: F
Age: 70
State: MA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Penicillin-(rash)

Symptoms: Pt felt alteration in breathing, fluttering in chest (known hx of PVCs) Was evaluated/monitored by EMTs at site with return to baseline.

Other Meds: Losartan, Metformin, Thyroxine and Trazadone

Current Illness:

ID: 0954860
Sex: F
Age: 47
State: GA

Vax Date: 01/05/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: shellfish, benzoyl peroxide

Symptoms: itching, pain, warm to touch, rash

Other Meds: multi vitamins, Zyrtec, losartan, ibuprofen

Current Illness:

ID: 0954861
Sex: F
Age: 28
State:

Vax Date: 01/17/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: severe pain in administered arm. called in sick to work.

Other Meds:

Current Illness:

ID: 0954862
Sex: F
Age: 28
State: TX

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: n/a

Allergies: Fruits, Melon, Egg, Peanuts, Strawberries, Bananas

Symptoms: Nausea, anxiety, shaky, "flush" feeling.

Other Meds: Tylenol, Prozac, Melatonin

Current Illness: n/a

ID: 0954863
Sex: F
Age: 37
State:

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Symptoms reported by patient Received vaccine on 1/4/2021 @ 0950. Vaccine was given on side of left arm. On the evening of 1/5 I started to not feel well. I had a runny nose, headache, nausea, and fatigue. The injection site on my left arm was red, warm, and swollen with a knot/ball that could be felt underneath. I also had moderate pain at injection site. This was about the size of a half dollar. On the morning of 1/6 I still didn't feel well. I received a call from my mom that she tested positive for COVID and although I did not have much contact with her there was one day on 12/26 that I saw her outside for about 15 minutes (masked). I called employee health with all of this as it was hard to separate the exposure from symptoms of the vaccine. I did express some concerns over having a vaccine reaction but was told the symptoms I was having would be normal. I was tested for COVID, which was negative. Over the next few days symptoms got better but I did have nausea on and off until the morning of 1/11. Redness at injection site, swelling and pain were resolved by 1/11 as well. On Friday 1/15 I woke up and my injection site was red, warm, swollen, and had pain again. This was about the size of a quarter. There was also a hard area that could be felt under the skin. My arm hurt with radiating pain into my wrist. I thought maybe it was just random and it would go away. It slowly resolved through out the day and was mostly gone by Saturday 1/16/21. The only thing left was a faded red area about the size of a nickel. Friday evening ,1/15, I started to not feel well with body aches, joint pain, headache, and pain from injection site that radiated to my chest (this was intermittent). I also had a low grade fever (highest temp 99.9). I still did not feel well on Sunday but some symptoms were improved (pain radiating to chest was better and no more fever) but still had fatigue and body aches. I had a rapid COVID test done which was negative on the evening of 1/17/21. On 1/18 I felt better but towards the end of the day started to feel fatigued with body aches and headache. I contacted employee health for further follow-up.

Other Meds:

Current Illness:

ID: 0954864
Sex: F
Age: 47
State: OH

Vax Date: 01/06/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Salicylates-fever, convulsions Aspirin- Fever, Convulsions Latex- rash

Symptoms: Patient states on 1/17/2021 @ 2:00 PM a rash appeared on right arm around vaccine injection site that was an inch in diameter. 1/19/2021 area is now a red, hot, raised area that itches 3.5 Inches by 4.5 inches.

Other Meds: Kelp, B12, Zinc, and D3

Current Illness: None

ID: 0954865
Sex: F
Age: 64
State: CA

Vax Date: 01/11/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Severe Joint and Muscle Pain, Vomiting, Fever, Severe Pain in Middle of Back, Severe Sore Right Arm ite of Injection. Severe High Blood Pressure , Rapid Heart Rate,

Other Meds: Lisinopril Robaxin Subutex Prozac Busbar Aleve Tylenol Daily Adult multi vitamin

Current Illness: Osteo Arthritis Rhematoid Arthritis

ID: 0954866
Sex: F
Age: 37
State: ME

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Nickel, monistat

Symptoms: Swelling, hardness, hot to touch 12 days after injection on left upper arm.

Other Meds: One a day womans multi vitamin, melatonin gummy

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm