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: 0956127
Sex: M
Age: 35
State: MS

Vax Date: 03/08/2018
Onset Date: 03/10/2018
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Only a few days after the vaccine, I broke out in Shingles across my mid-section. The Medical Group at the time did not evaluate whether it was related to the vaccine or not. Their focus was merely on treating the issue.

Other Meds: None

Current Illness: None

ID: 0956128
Sex: F
Age: 23
State: MD

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

Lab Data:

Allergies: shellfish, doxy, milk

Symptoms: Dizziness during 15 minute waiting period. Felt better and went home. VS 126/83, HR 82, RR 18, O2 Sat 97%

Other Meds: Ativan, Zoloft, Zyrtec

Current Illness:

ID: 0956129
Sex: F
Age: 16
State: MI

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

Lab Data:

Allergies:

Symptoms: No adverse reaction seen

Other Meds:

Current Illness:

ID: 0956130
Sex: F
Age: 65
State: FL

Vax Date: 01/12/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Moderna COVID-19 Vaccine EUA. After getting vaccine, next day I had the usual pain, slightly warm and swelling at the site, this lasted for 3 days. Then 5 days later 1/18/21 I developed, hot to touch, slightly red and swelling at site. I also have pain and all this is totally on my upper arm all around arm, plus I have itching and burning discomfort in my axilla

Other Meds: Gabapentin, Carvedil, Losartin, Protonix, Nexium, Pepcid AC, Omega 3 2100, Metformin, Atorvastatin

Current Illness: none

ID: 0956131
Sex: F
Age: 64
State: CA

Vax Date: 12/25/2020
Onset Date: 12/26/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data: 1 positive false Covid Test from County and 3 Negative Covid results from facility where I receive the Moderna 1 vaccine and where I work as an essential worker.

Allergies: NONE

Symptoms: Pressing on chest causing shortness of breath; extreme fatigue; stomach discomfort; nausea, headaches, no appetite; chills; diarrhea, 2 days later false positive for Covid. Three days later for next 4 days, tested negative each time for Covid. Since vaccine 1 to 3 weeks later fatigue, no appetite, suicidal thoughts as if my endorphins were temporarily deleted but endorphins returned 24 hours later. Due to the extreme side affects, 1/22/21, I will not receive my 2nd Moderna vaccine.

Other Meds: NONE

Current Illness: COPD

ID: 0956132
Sex: F
Age: 29
State:

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

Lab Data:

Allergies: Penicillin

Symptoms: Body aches, swollen lymph odes in right axilla, low grade fever of 99.0, head ache, tiredness within 14 hours of vaccine. Symptoms are mild, haven?t tried taking over the counter medications.

Other Meds: Multi vitamin

Current Illness:

ID: 0956133
Sex: F
Age: 93
State: HI

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

Lab Data:

Allergies:

Symptoms: Symptoms: Headache, dizziness, feeling spaced out, and head fullness. BP elevated 152/75. Resolved on its own after 30 minutes from injection time.

Other Meds:

Current Illness:

ID: 0956134
Sex: F
Age: 38
State: CA

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

Lab Data:

Allergies: Mild allergy to eggplant Penecilin

Symptoms: Woke up with sever pain on my right arm. It was difficult to move my arm. Hive on my face, neck, and upper body. This lasted 2 hours. But happened twice on the next day. Fast heartbeat. Lymph nudes under arm being swollen. Sever body ache and tiredness for the next 24 hours.

Other Meds: Birth Control

Current Illness: NA

ID: 0956135
Sex: F
Age: 51
State: CA

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

Lab Data:

Allergies:

Symptoms: erythema to injection site with small red spots like rash around anterior of injection site

Other Meds:

Current Illness:

ID: 0956136
Sex: F
Age: 44
State: TX

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

Lab Data:

Allergies:

Symptoms: HA, fatigue, chills, body aches and vertigo. Treatment include Tylenol with resolution of all symptoms except for vertigo. Symptoms did not interfere with ADLs.

Other Meds:

Current Illness:

ID: 0956137
Sex: F
Age: 65
State: TX

Vax Date: 12/31/2020
Onset Date: 01/07/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: NA

Allergies: Percodan, Celebrex, Tumeric, Amoxicillan

Symptoms: Starting 7 days after injection, developed tingling down left arm from injection site down to wrist. Gradually became more pronounced, ang started occurring daily. In the past 2-3 days , it seems to be lessening, in severity and frequency.

Other Meds: HCTZ, Bystolic, Levothyroxin, Potassium, Allegra, Flonase, Estradiol, Sonus complete, Multivitamin, Pepcid AC, Ambien

Current Illness: None

ID: 0956138
Sex: M
Age: 75
State: AZ

Vax Date: 01/13/2021
Onset Date: 01/04/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: no

Symptoms: 1st dose of vaccine at state farm stadium. Slight chill off and on and sore arm 2 days

Other Meds: amlodipine besylate,timolol eyedrop

Current Illness: no

ID: 0956139
Sex: F
Age: 66
State: NY

Vax Date: 12/30/2020
Onset Date: 01/11/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: No test were done.

Allergies: Penicillin Dairy products

Symptoms: During the week of January 11 2021 I began to experience pain in the back of my neck and head on the left side and sensitivity to touch on left side of neck, face and ear. On January 13 2021 I developed lesions on the back area of my head above the neck. Since that date lesions have developed on my neck, ear, face, shoulder and chest all on the left side. The lesions are accompanied by red inflammation and pain. On January 16 2021 I went to an Urgent Care center and was diagnosed with Shingles. I was prescribed Valtrex 1 gm 2 times daily and informed to take over the counter medication for pain. In addition to the above, the area on my left upper arm that is the point of the vaccination injection began to hurt again during the week of January 4 2021 and a red rash approximately 3 inch long by 2 inch wide developed. This rash lasted 2 days and then disappeared. The arm remains sensitive to touch from the point of the injection to the wrist on the top and from injection point to the elbow on the side of the arm. I am also experiencing pain in the elbow and wrist on the left.

Other Meds: Duloxetine Estradol

Current Illness: N/A

ID: 0956140
Sex: F
Age: 34
State: OK

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

Lab Data:

Allergies: Pennicillin

Symptoms: By 5pm, chills started with a severe headache and body aches. Tylenol and Advil used together did nothing to relieve the crushing pain in my head. I continued to chill and feel completely deflated through today. The intense sore throat and congestion started yesterday morning. I had a COVID test done because I feel so ill. It was negative. I have no energy and can hardly get out of bed. I am rarely sick and in great health until the time of this vaccine.

Other Meds: Zyprexa, Flonase, Zyrtec

Current Illness: None

ID: 0956141
Sex: F
Age: 51
State:

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

Lab Data:

Allergies:

Symptoms: erythema to injection site with small red spots like rash around anterior of injection site

Other Meds:

Current Illness:

ID: 0956142
Sex: F
Age: 46
State: TN

Vax Date: 12/23/2020
Onset Date: 01/11/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: I noticed a few itchy red bumps in the lower area of my spine on 1/11/20. The area from the lower left of my spine to the lower left of my belly button developed patches of rash and became very tender/ itchy. I went to Clinic where I was diagnosed with Shingles. I was prescribed Valacyclovir. I did have Shingles when I was 11 but have not had any events since then. The Dr. advised reporting the possible adverse event due to vaccination. I was advised by the County Health Department not to receive the second dose vaccine until I was recovered.

Other Meds: levocetirizine, Synthroid

Current Illness: none

ID: 0956143
Sex: F
Age: 43
State: AZ

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

Lab Data: none

Allergies: None

Symptoms: Swollen Lymph node in left collar bone area about 1 inch around

Other Meds: Levothyroxine Simvastatin

Current Illness: None

ID: 0956144
Sex: F
Age: 49
State:

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

Lab Data:

Allergies: No

Symptoms: By 2:00 on 2/16/21 member had severe chills, by 4:00 a.m. fever of 101, body aches all over, severe headache from back of neck to top of head, in bed all day Sat with 102 fever; Sunday diahhrea and body aches and headach; Monday body aches and headache and also today. Also has lower back pain in kidney area.

Other Meds: None

Current Illness: None

ID: 0956145
Sex: F
Age: 69
State: NY

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

Lab Data:

Allergies:

Symptoms: headache, joint pain redness, edema and pain at injection site

Other Meds:

Current Illness:

ID: 0956146
Sex: F
Age: 32
State: NH

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

Lab Data: n/a

Allergies: gluten

Symptoms: Evening post injection- red, swollen, warm and hard at injection site; morning post injection: fever of 101.0, chills, nausea, joint pain, muscle pain, fatigue.

Other Meds: Orilissa (elagolix)

Current Illness: no illnesses noted up to one month prior

ID: 0956147
Sex: M
Age: 75
State: AZ

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

Lab Data: No Adverse Event

Allergies: N/A

Symptoms: No Adverse event

Other Meds: N/A

Current Illness: N/A

ID: 0956148
Sex: F
Age: 47
State: AZ

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

Lab Data:

Allergies: Rocephin (vomiting)

Symptoms: After shot became tired. Took a 2 hour nap that was so deep I felt I was under anesthia. It was very restful. The next day I went on a hike and had breathing issues. I was fine after the next day.

Other Meds: Fluoxetine, Dicyclomine, Armour thyroid

Current Illness: None

ID: 0956149
Sex: F
Age: 31
State:

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

Lab Data:

Allergies:

Symptoms: Injection site reaction - very sore, "cant move my arm. " Developed sx about 24* after vaccination: fatigue, body aches, headache, LUNG PRESSURE. Progressively worsening today.

Other Meds:

Current Illness:

ID: 0956150
Sex: F
Age: 34
State: ND

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

Lab Data: None

Allergies: None

Symptoms: Pt developed heat sensation in left buttock immediately following administration of vaccine, followed by constant tingling in left gluteus muscle with associated soreness in left gluteus. Symptoms lasted for about 3 hours and resolved with no treatment.

Other Meds: None

Current Illness: None

ID: 0956151
Sex: F
Age: 28
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient describes feeling "clamy", increased blood pressure and heart rate and also a mild fever.

Other Meds:

Current Illness:

ID: 0956152
Sex: F
Age: 36
State: MN

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

Lab Data: N/A

Allergies: None known

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA? Soreness at site of injection Significant muscle aches, chills Moderate fever Minor fatigue Symptoms increased gradually until approximately 8pm Moderate symptoms lasted from 8pm until approximately 12am when fever broke

Other Meds: None

Current Illness: None

ID: 0956153
Sex: F
Age: 39
State: CA

Vax Date: 01/09/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Penicillin, Codeine

Symptoms: I developed a sore throat, cough and chest congestion a day after. On 1/17/21, my left arm developed red lumpy spotting around the injection site that is hot to touch. I feel tingling sensation shooting down my left arm and some loss of feeling in my left pinky. I've been taking benadryl that that has helped decrease the red lumpiness and swelling.

Other Meds: Mucinex Expectorant, Aspirin, coughing, sore throat and congestion appeared after vaccination. These medications were taken to treat these symptoms for about 5 days.

Current Illness:

ID: 0956154
Sex: F
Age: 55
State: PA

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

Lab Data:

Allergies:

Symptoms: Fever , joint pain, headache, weakness, nausea since 5 pm last night.

Other Meds:

Current Illness:

ID: 0956155
Sex: F
Age: 41
State: MI

Vax Date: 01/16/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Difficulty with balance and walking 48 hours after shot

Other Meds:

Current Illness:

ID: 0956156
Sex: F
Age: 30
State: TX

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

Lab Data: Had covid, tested positive Oct 6. Symptoms lasting for 6 weeks.

Allergies: Sulfa, cilantro, mango

Symptoms: 24 weeks pregnant on date of vaccine. Fever spiking at 101.4 for 48 hours after vaccine. Came down with combo of cold shower and tylenol every 6 hours.

Other Meds: Propranolol, zyrtec, singulair, celexa, zofran, levothyroxine

Current Illness:

ID: 0956157
Sex: F
Age: 54
State: NY

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: N/A

Allergies: KNA

Symptoms: Headache, chills, fever

Other Meds: Pristique (150mg qd), Wellbutrin XL (100mg qd), Trazadone (50mg) qhs, HCTZ (25mg qd), Melatonin (10mg qhs), Vitamin D (2000mcg qd), Tremfya sq every 8 weeks.

Current Illness: None

ID: 0956158
Sex: F
Age: 67
State: IN

Vax Date: 12/15/2020
Onset Date: 12/24/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: NONE REPORTED

Symptoms: I got Covid from my husband which he tested positive on 12-26-2020. On 12-26-2020 I tested positive for Covid. I developed headaches, cough, congestion along with a sinus infection and had left arm soreness. I also received my 2nd dose injection on 01-06-2021 at 9:30am.

Other Meds: BLOOD PRESSURE MEDICATION, WATER PILL

Current Illness: NONE REPORTED

ID: 0956159
Sex: F
Age: 62
State: MI

Vax Date: 01/07/2021
Onset Date: 01/10/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: I just called my PCP today (1-19-21)

Allergies: none known

Symptoms: Pfizer -BioNTech Covid-19 Vaccine EUA After the vaccine I developed headache, low grade fever, muscle ache, stiffness and nausea. This felt positive for the first 3 days until the symptoms did not leave and remained for 9 days post vaccination.

Other Meds: venlafaxine, crestor, zetia, levothroid, multivitamin, ibuprofen

Current Illness: none, very healthy and active

ID: 0956160
Sex: F
Age: 15
State:

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

Lab Data:

Allergies: NKDA

Symptoms: Patient under the age of 18, no other signs or symptoms.

Other Meds:

Current Illness:

ID: 0956161
Sex: F
Age: 37
State: SC

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

Lab Data: none

Allergies:

Symptoms: arm pain with movement, pounding headache, abdominal cramping, diarrhea, dry heaving

Other Meds:

Current Illness:

ID: 0956162
Sex: F
Age: 35
State: CA

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

Lab Data: None

Allergies: Cipro

Symptoms: After initial side effects resolved, new swelling, warmth to the touch in comparison to other arm, and redness at injection site.

Other Meds: Glycopyrrolate, Omeprazole

Current Illness: None

ID: 0956163
Sex: F
Age: 27
State:

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

Lab Data:

Allergies:

Symptoms: Significant arm soreness, limited muscle rotation for 3 days. Redness around injection site and redness of bandaid mark 3 days later with multiple washes.

Other Meds:

Current Illness:

ID: 0956164
Sex: M
Age: 62
State: OR

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

Lab Data: none

Allergies: none

Symptoms: Diarrhea for 24 hours. Approximately 4 loose non-bloody stools. Minimal cramping.

Other Meds: Amlodipine Melatonin

Current Illness: none

ID: 0956165
Sex: M
Age: 80
State: FL

Vax Date: 01/16/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital: Y

Lab Data:

Allergies: demerol

Symptoms: Received vaccine on 1/16/21, on 1/17/21 started with coughing, white phlegm, SOB and on 1/18/21 developed fever to 101 and increased need for oxygen. Home requirement increased from 3L O2 to 6L O2. On 1/18/21 presented to hospital. Quickly defervesced with steroids and cefepime. Possible post-obstructive pneumonia vs immune response to vaccination.

Other Meds: Methylfolate Zinc Vitamin C Vitamin D3 ipratropium/albuterol oxygen ipratropium nasal spray doxazosin dutasteride monelukast synthroid centrum silver trelegy omeprazole rimaintadine proair rosuvastatin tramadol vitamin b12

Current Illness:

ID: 0956166
Sex: F
Age: 90
State: MN

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

Lab Data:

Allergies: Patient reported tramadol, shrimp, and antibiotic which caused diarrhea but could not remember the name

Symptoms: 10:10 am received Moderna vaccine; observation time 30 min due to previous allergies stated (shrimp-throat closure); 10:37 am RN was observing/talking to pt & mid-sentence pt. reported "I'm feeling funny." Resident's eyes appeared glazed over and she reported "feeing out of it. Like I'm in another world." Resident unable to provide any further specific descriptions of how she felt. Resident's radial pulse felt regular. No loss of consciousness. Resident remained in seated position. 10:39 am Resident reported no improvement & stated, "I feel week". Rn paged for assistance. 10:45 am another staff member arrived with bp cuff. L upper arm blood pressure was 136/72. Heart rate remains regular. Lungs sounded clear. Resident was able to drink a 1/2 glass of orange juice. 10:49 Resident reported feeling " a little better." 10:51 am We noted resident's face appeared flush. No baseline observation of what her cheeks looked like prior to vaccination due to mask, but questionable mild facial swelling present. 10:53 asked resident if she was able to swallow normally. Resident wasn't sure, so RN asked if she felt like she had a lump in her throat or like she needed to clear her throat, but couldn't and she confirmed that her throat felt different than normal. 10:55 am Epi pen administered to L outer thigh by RN. Call placed to EMS. Discussed expected side effects of Epi administration. 10:57 am Resident started to feel anxious and visible shaking present. 11:05 am Resident reported felling slightly better, perked up a bit. 11:08am EMS arrived. 11:10 Ambulance crew arrived. Resident was able to walk to stretcher with assist of 1. 11:17 am Ambulance left with resident. Resident was still reporting "feeling weak".

Other Meds: unknown

Current Illness: unknown, however, patient reported not feeling sick and no fever 1/19/21 (day of vaccination)

ID: 0956167
Sex: F
Age: 44
State: KS

Vax Date: 01/07/2021
Onset Date: 01/13/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: N/A.

Allergies: Allergic to penicillins and macrolides.

Symptoms: Patient initially had an expected side effect of a sore upper right arm for 2-3 days post-injection, which then resolved. This past Wednesday, Jan. 13, she developed redness, soreness, tenderness and warmth at the injection site. She had no fever, but felt very tired and had body aches Jan. 14. Nurse checked in with the patient today, Tuesday, Jan. 19, and she said these symptoms are improving with use of Benadryl. She notified her HCP of the concerns.

Other Meds: No.

Current Illness: No.

ID: 0956168
Sex: M
Age: 35
State: OH

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

Lab Data:

Allergies: None

Symptoms: Fever, chills, aches. Symptoms have persisted for >6 days

Other Meds: Lithium, Wellbutrin, Prozac

Current Illness: None

ID: 0956169
Sex: F
Age:
State: CA

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

Lab Data:

Allergies: UKDA

Symptoms: Pt received the covid vaccine dose #2 on 01/13/2021. She called today, 1/19/2021 (second time) to report that she has new symptom of sore throat and neck swelling bilaterally. No fever. Previously, she called on 1/11/2021 to report fever, HA, dizziness, bodyache, and L axillary swelling and tenderness. Since, these symptoms have resolved but still have mild tenderness of the L axillary area. Last covid test was 1/13/2021 was negative.

Other Meds: None

Current Illness:

ID: 0956170
Sex: F
Age: 57
State: WA

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

Lab Data: CBC and IgE & Latex 1/15/2021

Allergies: None stated

Symptoms: 9 days after receiving vaccine, she reports that arm was red, warm, swollen and itchy. Called and made an appointment to come to the clinic

Other Meds: Claritin

Current Illness: None

ID: 0956171
Sex: F
Age: 17
State:

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

Lab Data:

Allergies:

Symptoms: Patient under the age of 18, no other signs or symptoms.

Other Meds:

Current Illness:

ID: 0956172
Sex: F
Age: 83
State: FL

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

Lab Data: Bp 167/76 sitting, P 85, EKG-NSR, O2 98% Bp 146/86 standing

Allergies:

Symptoms: At approximately 11:09 am, patient began complaining of dizziness, headache, blurry vision and nausea. Patient states that she had a headache on arrival and took her bp meds this morning. Patient released by EMS to home with friend on site.

Other Meds: Nifediphlu,

Current Illness: No

ID: 0956173
Sex: F
Age:
State: AZ

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

Lab Data:

Allergies: Pollen .... dust

Symptoms: None stated.

Other Meds: Metoprolol 25 mg ...Euthyrox 75 mcg daily ... Pantoprazole Sod 400 mg daily .... Hydrochlorothiazide 25 mg daily ... Atorvastin 40 mg daily ... Vitamin C 500 mg daily ... VITAMIN D3 1,000 IU DAILY .. VITAMIN B12 2,500 mcg daily ...Zinc 50

Current Illness: Covid 19

ID: 0956174
Sex: F
Age: 77
State: ME

Vax Date: 01/14/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: No Known allergies

Symptoms: Cellulitis at injection site. Started aprox 60 hours post vaccination. Treated with PO antibiotics

Other Meds: Unknown

Current Illness: Unknown

ID: 0956175
Sex: F
Age: 58
State: GA

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

Lab Data:

Allergies: NKA

Symptoms: Severe Head/Neck ache Body Aches Fever (101 - 102) Hard Chills Nausea All Fingers were cold to the touch and severely aching (felt as though they were frost bitten) Fatigue

Other Meds: Effexor 75mg. 1 daily Aspirin 325mg 1 daily Vit. D3 5000 units 1 daily Melatonin 10mg. 1 daily

Current Illness: None

ID: 0956176
Sex: F
Age: 59
State: WY

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

Lab Data:

Allergies: metal

Symptoms: body and Joint pain through out the nigh , took Advil/Tylenol through out the night

Other Meds: FLUoxitine

Current Illness: Rheumatoid arthritis

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm