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: 0955207
Sex: F
Age: 41
State: KY

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

Lab Data: None

Allergies: None

Symptoms: Itching all over began night of and continued for almost two days after vaccine. Mild symptoms, didn't need Benadryl or anything.

Other Meds: Zoloft

Current Illness: Covid19 prior

ID: 0955208
Sex: F
Age: 47
State: CA

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

Lab Data:

Allergies:

Symptoms: Arm soreness, chills, sore throat, nausea, body aches, headache

Other Meds:

Current Illness:

ID: 0955209
Sex: F
Age: 37
State: NJ

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

Lab Data:

Allergies: None

Symptoms: I noticed swelling and redness on the site of the vaccine on Monday, January 19th. Exactly a week after vaccine administration. Today, Tuesday. Janaury 20th the swelling was larger and it included itchiness and overall weakness on my arm. I decided to go to the urgent care since my primary care doctor had no availability until February. The doctor that examined me did not have a clear diagnosis. He prescribed Prednisone 20MG tablet, Augmentin 875 Mg-125 Mg Tablet and over the counter antihistamine.

Other Meds: Multi vitamin (one a day), Synthroid 75 Mcg Tablet

Current Illness: None

ID: 0955210
Sex: F
Age: 35
State: CA

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

Lab Data: NA

Allergies: some detergents

Symptoms: I noticed midday on Sunday 1/17 that i had a large red and raised mark on my arm around the injection site. It was slightly itchy. I took a Benadryl and drew a line around it to see if it got bigger. The Benadryl reduced the itch, redness and swelling. The next day the redness and swelling were still down but the area moved just slightly outside of the lines I drew. I took another Benadryl. NOt much change. Calling doctor today.

Other Meds: none

Current Illness: none

ID: 0955211
Sex: F
Age: 29
State: NY

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

Lab Data:

Allergies:

Symptoms: fever 100.2 chills,Headache, Joint body ache left armpit swelling dime size symptoms started 12hours later after vaccine

Other Meds:

Current Illness:

ID: 0955212
Sex: F
Age: 24
State: NY

Vax Date: 01/07/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: NONE

Symptoms: 11 days post injection -- > Large Redness/Rash surrounding injection site; look to it -- > more red at the edges Expanded overnight (1/18 /21-- > 1/19/21) Itchy No other symptoms (no fever); redness localized to injection site

Other Meds: Nuvaring

Current Illness: NONE

ID: 0955213
Sex: F
Age:
State: AZ

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

Lab Data: na

Allergies: na

Symptoms: na

Other Meds: Micardis

Current Illness: na

ID: 0955214
Sex: F
Age: 22
State: OH

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data: NA

Allergies: Antibiotics Ceclor Prednisone

Symptoms: Right after I felt fine.. I felt nauseas . Later that night , I was really dizzy, Fainted, nauseas, I felt feverish

Other Meds: Lomotil

Current Illness: NA

ID: 0955215
Sex: F
Age: 58
State: OH

Vax Date: 01/08/2021
Onset Date: 01/13/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: Covid test done on day 7 was negative

Allergies: AMLODIPINE, LISINOPRIL

Symptoms: INITIALLY HAD CHILLS, FOGGINESS, HEADACHE 5 DAYS FOLLOWING VACCINE.RAISED RASH APPEARED ON UPPER ARM OF INJECTED SITE ON DAY 6 AND PROCEEDED TO COVER WHOLE ARM OVER 3 DAYS. FEVER 101. HEADACHE WORSENED. EXTREME FATIGUE.

Other Meds: METOPROLOL 50MG, HYDROCHLOROTHIAZIDE 50MG, PROBIOTIC

Current Illness: NONE

ID: 0955216
Sex: M
Age: 38
State: MI

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

Lab Data: Went to urgent care, gave steriod stop. Person already took Benadryl

Allergies: none

Symptoms: 10 min of lungs tight, lips swelling,

Other Meds: none

Current Illness: none

ID: 0955217
Sex: F
Age: 24
State: CA

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

Lab Data:

Allergies:

Symptoms: headaches muscle aches fatigue clammy skin felt warm but no fever joint pain

Other Meds:

Current Illness:

ID: 0955218
Sex: M
Age:
State: AZ

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0955219
Sex: F
Age: 53
State: MI

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

Lab Data:

Allergies:

Symptoms: Patient was given a possibly undiluted dose of covid vaccine in addition to a dose of vaccine diluent (2 separate shots). The administering nurse reported that she did dilute the first dose, but it was unclear based on her description. Her PCP was called, left message on prescriber's personal phone number. Patient was told to wait for 30 minutes to observe for any adverse events.

Other Meds:

Current Illness:

ID: 0955220
Sex: F
Age: 59
State: CO

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data: Contacted doc for tx. 1/6/21 off work for 2 days

Allergies: Pcn. seasonal

Symptoms: Day 1: sore left arm muscle, day 2: upper back/shoulders/neck aches, headache. Day 3: felt allergies were worsening, started to take claritin twice per day to help, worst over next few days so that was taking 2 claritin twice per day. Day 7, bilat. Eyes super itchy. Day 8, vaginal itching, tried estradiol with no relief. Day 9, anal itching. Day 10 all over body hives/itching. Day 11 started bid allegra and 20 mg prednisone. S/s slowly abated over many days. Exteme fatigue often . By 1/15/31, felt mostly normal.

Other Meds: Retin-a, phentermine, mvi, st. Johns wort, cat nip, flonase, claritin, lansoprazole, melatonin, tea tree oil mouthwash, estradiol cream,

Current Illness: None

ID: 0955221
Sex: F
Age: 58
State: MI

Vax Date: 01/08/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: minacycline, tetracycline, sulfa, cephalosporins, compazine, sulfite preservatives in injectable drugs, honey bees.

Symptoms: Day 10 post number 2 vaccine. Muscle aches, cramping and pain in lateral back and legs.

Other Meds: Metformin, Wellbutrin, Lodine, diazide, lisinopril, singular, vitamin d, krill oil, predisone, omemprazole, Rinvoq, Pepcid, lantus insulin, novolog insulin.

Current Illness: None

ID: 0955222
Sex: M
Age: 35
State: IN

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

Lab Data:

Allergies: NKDA

Symptoms: Headache, fever, chills, fatigue

Other Meds:

Current Illness: None

ID: 0955223
Sex: F
Age: 60
State: OH

Vax Date: 01/09/2021
Onset Date: 01/12/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none, steroid prescribed, antihistamine advised,

Allergies: NKDA

Symptoms: Mild L sided facial swelling onset 1/12/21, L arm red + mild swelling size est. slightly larger than a quarter onset about 1/11/21. Pt had no difficulty breathing or throat swelling. She was on lisinopril which has since been discontinued as that could have caused her facial swelling.

Other Meds: aleve prn, calcium supplement, MVI, lisinopril-hctz

Current Illness: none known

ID: 0955226
Sex: F
Age: 35
State: PA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: denies

Symptoms: Pt. received vaccine to left arm and then returned to work for a half an hour. Went home after shift. 11 am 1/16/21 noticed body aches everywhere, soreness left arm, bump to left arm along with swelling and redness size of dime. 3 pm pain to left arm pit, lymph nodes, and redness expanded to nickel size, cold compresses applied and Tylenol taken. 530 pm lost ability to move left arm and redness went to size of two quarters side by side. 100.8 fever. Patient reached out admin supervisor. Pt. went into work for 1 pm shift on 1/17/21. Pt. signed into er at work due to expansion of red arm and was given keflex. pt. states that redness hasn't gotten worse since but has not improved. Pt. was not admitted to hospital.

Other Meds: yes

Current Illness: yes, covid

ID: 0955227
Sex: F
Age: 58
State: GA

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

Lab Data: none

Allergies: gadolinium

Symptoms: On day 8 (1-14-21) noticed at injection site a large (avocado size), slightly swollen, bright red patch, noticably warm to the touch. Deep, mild ache. Not sore to touch. Smaller swollen lumps within. Next day slightly larger, otherwise the same. Same on day 10 post vaccine (3rd day of rxn). Now beginning to fade

Other Meds: Rytery. propanolol, azilect, emergen-C vitamin powder

Current Illness: none

ID: 0955228
Sex: F
Age: 49
State:

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

Lab Data: Ref to MD

Allergies: none

Symptoms: Rash whole body Itching

Other Meds: None

Current Illness: none

ID: 0955229
Sex: F
Age: 44
State:

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Increase HR to 150 at rest and flushing in face

Other Meds: no

Current Illness: none

ID: 0955230
Sex: F
Age: 54
State: CA

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 2 min. after vax with dizzyness, mild tachycardia and hypertension. Taken to ED. Observed x 2 hours, improved, D/C.

Other Meds:

Current Illness:

ID: 0955231
Sex: M
Age: 89
State: CO

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

Lab Data: COVID negative, BCx negative, Mild AKI resolving, Mild anemia of chronic disease. TSH/B12/folate normal. borderline low vitD. MRI brain- chronic small vessel changes CTA chest- . No evidence of pulmonary embolism. 2. Patchy areas of ground-glass opacity in the bilateral lungs with subpleural reticulation and mild honeycombing along bases. Appearance is suggestive of UIP type interstitial lung disease. Component of superimposed acute pneumonia is possible. 3. Mediastinal adenopathy, reactive versus malignant.

Allergies: none

Symptoms: After receiving Moderna vaccine, pt became increasingly tired, withdrawn, and confused, refusing to walk at home. He has begun to have mild memory changes after suspected COVID illness (covid testing negative) in November, but daughter of patient, with whom he lives, states that his memory and orientation now significantly changed- he seems to have forgotten the last "3 years" of memory. Presented to ER 1/16/21 as she checked his O2 and found him to be hypoxic in 60s. He is being treated for possible CAP with underlying perviously undiagnosed ILD vs post-covid lung changes (per pulmonology), and his energy and ability to walk have returned but memory is significantly impaired, confabulating and oriented only to self despite good oxygenation on 5L O2 by NC.

Other Meds: Metformin, glyburide, actos, losartan, simvastatin

Current Illness:

ID: 0955232
Sex: F
Age: 40
State: IL

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

Lab Data:

Allergies:

Symptoms: Within 15 minutes of receiving vaccine, patient began experiencing itching all over. Scalp was reported to be the worst. RN monitor in the observation area also observed urticaric rash over left shoulder/upper body. Patient refused further treatment at the time.

Other Meds:

Current Illness:

ID: 0955233
Sex: F
Age: 61
State: MA

Vax Date: 01/09/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Noted upper left arm (injection site) was hard 10 PM on 1/16/21. The next day I looked. There was a round circle approx 3" in diameter, reddish, it was itchy. Today, 1/19, at 11:15 AM , the red area has spread and is less itchy.

Other Meds:

Current Illness:

ID: 0955234
Sex: F
Age: 55
State: NY

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

Lab Data:

Allergies:

Symptoms: Syncopal episode

Other Meds:

Current Illness:

ID: 0955235
Sex: F
Age: 52
State: NJ

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

Lab Data: none

Allergies: nka

Symptoms: I developed a large red lump at injection site. Proceeded to spread and got painful and hot. Lasted 9 days then i went to my GP she said I had cellulitis. Treated with Keflex. Area started to resolve within 24 hours. Today, 15 days after vaccine, area totally reolved. I had no systemic reaction, only on the skin.

Other Meds: none

Current Illness: none

ID: 0955236
Sex: F
Age: 33
State: TX

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

Lab Data: COVID-19 swab-January 13.

Allergies: none

Symptoms: 11th Jan-started severe ABD cramping-pt's words.-in the evening. Diarrhea the 10th of Jan. Started having loose BM, and fever. She ate-10th Jan. Severe stomach cramping, continued for 4 days. Body aches, chills, nausea on 03/Jan. Headaches as well

Other Meds: Spironactone, melatonin, Vitamins

Current Illness: none

ID: 0955239
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: Oxycodone Gabapentin Tizanidine

Current Illness:

ID: 0955240
Sex: F
Age: 59
State: CA

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

Lab Data:

Allergies:

Symptoms: Within 1 hour of vax, with numbness to left chin/neck and ear region. Neg PMH. Stable. Directed to f/u with occupational health services.

Other Meds:

Current Illness:

ID: 0955241
Sex: F
Age: 53
State: WA

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

Lab Data: ER doctor ordered x-ray and bladder scan and results were fine.

Allergies: no known allergies

Symptoms: I woke up with severe headache, body ache, and chills on Wednesday morning. I was so sick that I had to take pain killer all day long around the clock. Luckly it went away by Thursday morning but I had lower back pain around my tail bone as a new symptom. I still have hard time walking and changing postures freely. I ended up going to ER. ER doctor confirmed that it was a reaction to covid vaccine. I was dischared witih pain killers and muscle relaxant. Today is Jan 19, I still have same symptoms.

Other Meds: multi- vitamin, calcium, ocuvite, red ginsang

Current Illness: none

ID: 0955242
Sex: F
Age: 32
State: MD

Vax Date: 01/05/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Swollen, hot itchy rash at injection site 9 days after vaccine. Lasted approximately 4 days

Other Meds: Prozac, Klonopin, Lisinopril-HCTZ, baby aspirin

Current Illness: High Blood Pressure, Anxiety

ID: 0955243
Sex: F
Age: 73
State: FL

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

Lab Data:

Allergies: Codeine

Symptoms: About 4 hours after shot got a migraine and took 2 Extra strength Tylenol and didn't seem help.

Other Meds: Vitamin C and vitamin D

Current Illness:

ID: 0955244
Sex: F
Age: 26
State: NC

Vax Date: 12/31/2020
Onset Date: 01/09/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: Examination by PCP.

Allergies: Vantin, biaxin, cleocin, ceclor, clendamycin

Symptoms: Injection sight had remained tender and warm since vaccination on 12-31. After scratching lightly on 1-9 noticed significant increase in heat, redness, itching and swelling. By 1-11 had formed a firm lump slightly larger than a tennis ball - approximately 4 inches in diameter that was hot to the touch, tender and angry red with a purple center. On Tues 1-12 I contacted the local health dept who advised cold compresses and benadryl and if it did not started to shrink to see my pcp. On Wednesday 1 -13 2 more significant misshapen lumps had formed, 1 towards the inside of my arm and another towards the other. The irritation, swelling and redness had also spread while the color was no longer so angry. Due to that on Thursday 1-14 I saw my PCP who diagnosed cellulitis. I was prescribed 2000mg of amoxicillin a day for 7 days and a 5 day course of prednisone 20mg.

Other Meds: Vistaril, trintellix, lamictal, topamax, zyrtec

Current Illness: None

ID: 0955245
Sex: F
Age: 50
State: AR

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

Lab Data:

Allergies:

Symptoms: Patient reported an allergic reaction including hives and redness occurring 2 hours after receiving the vaccine. Patient reported face swelling, throat tightness, and slight difficulty of breathing later that same evening. Patient self treated with benadryl and her symptoms resolved.

Other Meds:

Current Illness:

ID: 0955246
Sex: F
Age: 51
State: IN

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

Lab Data: N/A

Allergies: None

Symptoms: Pain at injection site, diarrhea, loss of appetite, thirst, joint pains, fatigue, chills

Other Meds: Valsartan, Synthroid, Metaprolol, Metformin, Venafalaxine, Allegra, Rosuvastatin, baby aspirin

Current Illness: None

ID: 0955247
Sex: F
Age: 74
State: NY

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

Lab Data: All tests on 1/15 and 1/16/21 at both hospitals: CT with contrast of chest and abdomen, MRI of brain, chest X-ray, leg X-ray The doctors felt I had a mini stroke most likely due to a small clot entering the brain

Allergies: Penicillins, Erthromyacin, sulfa drugs Dust, cats, mold

Symptoms: About 22 hours after the shot, I had a mini stroke that required going to the emergency room by ambulance. I was transported that evening to the stroke division that same evening for further evaluation, tests and care. I have never had a mini stroke before this.The doctors said it may have been from the vaccination, or it may not have been precipitated by it. They said they don't have enough information on the Moderna vaccine to make that call.

Other Meds: Vitamin D, 2000 IU Calcitriol, 0.25 MCG Vitamin C, 250 MG

Current Illness: CKD stage 3

ID: 0955249
Sex: M
Age: 83
State: AZ

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0955250
Sex: F
Age: 29
State: MO

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

Lab Data: None

Allergies: NKDA

Symptoms: 0931 Client felt hot at back of neck; States she has a hx of panic attacks for which she takes Ativan PRN; States this feels the same; BP 140/95 P90 R 15; SpO2 99%; Resp unlabored; Lungs clear - no wheeze or stridor; Skin warm pink and clammy; LOC A&O x 3 0932 EMS notified; ice pack provided for back of neck for comfort 0935 P 75 SpO2 99% ; Client states she is feeling a little better 0940 BP 118/86 P 84 R 12 SpO2 99%; Resps continue unlabored; LOC A&O x 3; juice provided 0945 EMS arrived; BP 138/96 P 90 SpO2 99%; Client is feeling nervous again b/c EMS is on scene; Hand off report given to EMS. 0951 EMS retrieved Ativan from client's vehicle and allowed client to take usual dose; client feeling better; EMS departed without the client 1000 Client states feeling well enough to leave; Resps unlabored; A&O x 3

Other Meds: On medication for painful bladder - cannot remember name Takes Ativan PRN for panic attacks - did not take this a.m. It is in the car.

Current Illness: None

ID: 0955251
Sex: F
Age: 39
State: NY

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

Lab Data: None

Allergies: NKA

Symptoms: Localized Reaction - Lg red, swollen, itchy area x 10 days

Other Meds: Pantoprazole, Vit D, Cetirizine

Current Illness: None

ID: 0955252
Sex: F
Age: 36
State: WA

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

Lab Data: none

Allergies: seasonal allergies allergy to a beer once, not sure what brand

Symptoms: 5 minutes after the injection she started to get tingling lips and tingling in the top of her tongue. It lasted several hours and resolves spontaneously. 2 hours after the vaccine she also started to get some severe heart palpitations episodes, each one lasting no more than 15 minutes, and total of several episodes, the whole of which went on for no more than 2 hours. no abdominal pain or diarrhea. no rashes, no SOB, no cough, didnt feels like her throat closed up.

Other Meds: Nexium

Current Illness: none

ID: 0955253
Sex: F
Age: 52
State: CA

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, fatigue, swollen left axillary lymph node

Other Meds:

Current Illness:

ID: 0955255
Sex: F
Age: 57
State: CA

Vax Date: 01/08/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: n/a

Allergies: seasonal

Symptoms: rash growing around the injection site. Taken Benadryl and steroid ointment application.

Other Meds: Amoxicillin

Current Illness: sinusitis

ID: 0955257
Sex: F
Age: 63
State: CA

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data: Blood panel

Allergies: penicillan, tetracycline, minocin, codeine, cypro, macrobed, topomax, vancomyicin, pamelor, CT dye, demoral, gabapentin, phenergan, sudafed

Symptoms: 12/29 vaccine 10:45. Twenty minutes after vaccination, breathing fast, stiffness in L neck. L sided weakness; transported to ER. I couldn't lift left leg, 1" off bed and couldn't do the push pull. 1-2 hours symptoms lasted. Everything went back to normal, sent home. 12/30 huge flare up with fibromyalgia; lasted couple days. Flare up occurred the following week. Getting second shot 1/19/2021

Other Meds: oxycodone, metforman, lyrica, wellbutrin, ativan, claritin

Current Illness: n/a

ID: 0955258
Sex: F
Age: 59
State:

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

Lab Data: 1/15/21- blood pressure and heart rate taken at Work initially after 2nd vaccine.

Allergies:

Symptoms: Difficulty breathing, high blood pressure and heart rate. Very sick for the next 3 days...bedridden due to sickness; nausea, shaking, weakness, muscle aches, joint aches, severe headache, stomach pain, skin blisters, fever and chills, injection site pain, tiredness, dizziness. By the 4th day I am still weak and now I have skin blisters on my body in various places. Today is the 5th day and I still feel weak and slightly sick, nausea and fatigue and more skin blisters, fever.

Other Meds:

Current Illness:

ID: 0955259
Sex: F
Age: 68
State: FL

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

Lab Data: none

Allergies: none

Symptoms: Approx. 10 hrs. after injection I developed soreness at the injection site and upper arm. Injection site is tender to touch. I was unable to lay on this arm as I went to sleep. I also developed a dull ache down my left arm to my fingers. These symptoms remain in the day following the injection

Other Meds: HCTZ 12.5 mg qd; AREDS 2, 2 tabs qd, multivit 1 qd, vit D 2000 IU qd

Current Illness: none

ID: 0955260
Sex: F
Age: 27
State:

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

Lab Data: N/A

Allergies: No

Symptoms: Woke up the morning after the vaccine with dizziness, nauseous, dull headache, sensitivity to light/sun. Feeling some pain at injection site and is similar to the first vaccine in the series. Has not yet taken any meds to alleviate the reactions; but will take Advil. After the first injection, patient mainly had injection site pain, but no other adverse reactions. Has not contacted doctor regarding reaction, but is not going in to work.

Other Meds: Vivothyroxy (thyroid conditions),

Current Illness: No

Date Died: 01/19/2021

ID: 0955261
Sex: F
Age: 85
State: MD

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

Lab Data: None

Allergies: darvocet, toradol

Symptoms: Death

Other Meds: Nystatin, vitamin C, Klor Con, Vit B12, Coreg, Lactulose, simethicone, colace, trazodone, multi vitamin, torsemide, miralax, calcium, pantoprazole, breo ellipta,

Current Illness: Hip fracture,

ID: 0955263
Sex: F
Age: 68
State: TX

Vax Date: 01/08/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Stadol

Symptoms: Patient describes a new onset pain in her right upper arm beginning 1/18/21 (10 days after immunization) characterized by arm pain, swelling, and pain to the touch.

Other Meds: Aubagio

Current Illness:

ID: 0955264
Sex: F
Age: 61
State: CA

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

Lab Data:

Allergies:

Symptoms: nausea diarrhea extreme stomach pain

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm