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: 0956630
Sex: F
Age: 63
State:

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

Lab Data:

Allergies: Pencillin

Symptoms: Fever (100.2 degrees), fatigue, headache, joint pain, chills

Other Meds: Atenolol, Lisinopril, Cymbalta, multi-vitamin

Current Illness:

ID: 0956631
Sex: M
Age: 50
State: GA

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

Lab Data:

Allergies: PCN

Symptoms: Patient reports fatigue, chills, fever and sweats that began 20 minutes after vaccination. Local reaction to injection site that began 2 days after vaccination. Complains of continued fatigue, chills, sweats and 'brain fog' since vaccination administered.

Other Meds: Lamictal 200mg po BID Zoloft 250mg po daily Zyrtec 10mg po daily

Current Illness: chronic depression chronic seasonal allergies

ID: 0956632
Sex: M
Age:
State: AZ

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

Lab Data:

Allergies: Sulfar

Symptoms: None stated.

Other Meds: Eliqouis 5 mg, levadopa/carbadopa, Neupro Patch 4 mg, Tansalousin (Flomax) 4mg. Omeprosol Trazadone 1 50 mg. nitely AREDS2, Vitamin C Powder

Current Illness:

ID: 0956633
Sex: F
Age: 55
State: CA

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

Lab Data: none indicated

Allergies: Latex

Symptoms: 10 h after vaccination noticed development of bad flare-up of lichen sclerosus, very painful development of lesions, red and angry - unlike any previous flare-up, had been in remission for many months linear confluent raised erythematous papules, right labia minora

Other Meds: Levothyroxine

Current Illness: positive COVID PCR December 11, 2020 - asymptomatic sore throat 3 days after

ID: 0956634
Sex: M
Age: 30
State: OK

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

Lab Data:

Allergies: Keflex

Symptoms: Rash with blisters developed immediately around injection site and appeared within 24 hours of treatment. Blisters ruptured and have scabbed over. Affected area approximately .5? in diameter. Injection site was sore/achy for three days. Other symptoms included headache and over all fatigue.

Other Meds: Truvada

Current Illness: None

ID: 0956635
Sex: F
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: 0956636
Sex: F
Age: 43
State: IA

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

Lab Data: no

Allergies: no

Symptoms: About 7pm I began to have chills. Intense muscle aches and my knees and hips had severe joint pain. I was so cold I could not get out of bed to use the restroom and this continued until around 11am the next morning. I also had a headache and body aches. And about 6 days out my face turned red and was super itchy. I had a prednisone prescription that I began taking 1/18 because my legs started itching and the side effects were still horrible. It made the rash begin to clear up about 50% but its still there today. No hives this time.

Other Meds: Multivitamin, Biotin, Finasteride, Iron, Vit. D 2000 units, Atinnelol, Paroxatine 10mg, Moloxican 705mg.,

Current Illness: no

ID: 0956637
Sex: M
Age: 92
State: IN

Vax Date: 01/11/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: noticed a rash along his belt line on 01/16/2021. He saw his doctor on 01/19/2021 diagnosed with shingles.

Other Meds: unknown

Current Illness: unknown

ID: 0956638
Sex: F
Age: 57
State: CA

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

Lab Data:

Allergies:

Symptoms: Arm soreness Migraine headache Nausea Hot and cold Fatigue Unsure of fever Numbness and tingling in both hands

Other Meds:

Current Illness:

ID: 0956639
Sex: F
Age: 52
State: IN

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

Lab Data: Na

Allergies: Na

Symptoms: Severe headache, severe muscle aches/pain, joint pain, fever102.9, nausea

Other Meds: Wellbutrin, vit c &d,zinc, adderral

Current Illness: Na

ID: 0956640
Sex: F
Age: 49
State: TX

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

Lab Data: None

Allergies: Penicillin

Symptoms: Sore Throat for three days, hard to swallow.

Other Meds: Carvedilol, Amlodipine, Atorvastatin, Lisinopril, Metformin

Current Illness: N/A

ID: 0956641
Sex: F
Age: 69
State: TX

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

Lab Data:

Allergies: Seasonal

Symptoms: Woke up this morning with red circle around site of injection. Redness, some swelling and itching... Shot administered 1/11/2021. No side effects until today.

Other Meds: Valsartan 300 1@ day Amlodipine 2 mg 1@ day Prozac 10 mg 1@ day

Current Illness: Allergies

ID: 0956642
Sex: F
Age: 44
State: CO

Vax Date: 01/09/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: ultrasound 1.14.2021

Allergies: penicillins

Symptoms: Visited Provider appx 500 pm 1.14.2021 DVT - left calf - 2 clots via ultrasound on Eliquis now

Other Meds: birth contol (over 10years same one ) trazadone, wellbutrin celexa

Current Illness: none

ID: 0956643
Sex: M
Age: 65
State: IL

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

Lab Data:

Allergies: NKDA

Symptoms: Ringing of ears (tinnitus) starting hours after vaccination and continuing into day 3 after vaccination

Other Meds: Atorvastatin 10mg daily

Current Illness: None

ID: 0956644
Sex: F
Age: 61
State: VT

Vax Date: 01/13/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: Typical mold, mildew, dust, dogs, cigarette smoke.

Symptoms: Light-headed dizziness, once sittg up fell backwards had no control over my body, also when I put my head on the pillow to go to sleep it happened. Happened when I moved my head from side to side. Well walking I had to hold on to something until it passed. Some headache. I do have headaches anyway so I'm not sure if that was the cause. My concern is the dizziness and the lightheadedness and loss of control, not immediately following the vaccine but three days later. Not sure if the delay in side effects is normal.

Other Meds: H y d r o x y z i n e p a m o a t e 5 0 m g. S e r t r a l i n e 100 mg. F a m o t i d i n e 40 mg.

Current Illness: None

ID: 0956645
Sex: F
Age: 57
State: WI

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

Lab Data:

Allergies: Tuberculin Ppd (edema), Scallops (nausea)

Symptoms: Patient experienced hypertension, dizziness, nausea, thick secretions in throat, and itchy throat. Was treated with a single dose of Dexamethasone 10 mg IV. Symptoms resolved and patient was sent home.

Other Meds:

Current Illness:

ID: 0956646
Sex: F
Age: 62
State: KY

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

Lab Data: NA

Allergies: PNC, mycins, cillens, Cipro, Sulfa, Codeine, Lisinopril, Honey, Bee Stings

Symptoms: About 3 hours after receiving the vaccine my blood pressure went up 188/98 and my heart rate went up. 122 I could feel my heart beating fast. I laid down thinking it would go away. I called my Dr at 7:00pm and he told me to take a Clonidine .1 mg and rest. In an hour my BP and heart rate were down to normal. BP 133/78 heart rate 100. I am not sure if this was from the Vaccine or the anxiety of getting it and not knowing if I was going to be allergic to it. I have had no issues since. Should I get the 2nd dose?

Other Meds: Humalog, Lantus, Metformin, Synthroid, Aldactone, Losartan, Pravastatin

Current Illness:

ID: 0956647
Sex: F
Age: 58
State: NE

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

Lab Data:

Allergies: Bactrim

Symptoms: Sore left arm, body aches, headache, fever

Other Meds: Ziac, Meloxicam, Acetaminophen, Melatonin

Current Illness: Tested positive for Covid on Dec. 22, 2020

ID: 0956648
Sex: F
Age: 78
State: TX

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: n/a

Allergies: latex allergy

Symptoms: swollen,red, itchy arm, arm hurt until Saturday night

Other Meds: Cimetidine, Hyoscyamine, Pantoprazole, Amitriptyline, Lexapro, Gabapentin, Multivitamin, Vitamin D, Philips colon health daily pro biotic,

Current Illness: n/a

ID: 0956649
Sex: F
Age: 37
State: UT

Vax Date: 12/18/2020
Onset Date: 01/01/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Significant dry mouth and oral sores from dry mouth- continuous and has not gone away. So bad that I got tested for Sjogren's which was negative

Other Meds: NP thyroid 90mg Spironolactone 100mg Venlafaxine 37.5mg + 75mg Vitamin D 50,000 IU daily Have been on these medications > 1 year

Current Illness: None

ID: 0956650
Sex: M
Age: 53
State: PA

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

Lab Data: none

Allergies: none

Symptoms: Right after vaccine administered, I noticed that the injection site seemed a bit high and more in my shoulder than my upper arm. Did not think much more of it until pain started about four hours later then at 0130 in the morning awoke with much throbbing in arm such that I took 600mg ibuprofen in order to sleep. The site remains very tender to touch not warm or red and the injection site is just under my left acromion process shoulder area. I work in the ED and must use this arm for airway management procedures. Fortunately I am off clinical duties until Tuesday, Jan. 19, so hopefully pain will subside by then, but I do not think I could intubate anyone in my current state. I do not think this is a reaction to the vaccine per se but more so a result of the site of injection in my tendon/bursa area of my shoulder. At this time, I cannot move my left shoulder without pain. I am trying to perform ROM exercises to hopefully reduce the time of discomfort overall. I also have some vague sense of radiation down my forearm into my left pinky finger ulnar distribution.

Other Meds: fish oil, vit D

Current Illness: none

ID: 0956651
Sex: F
Age: 40
State: TX

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

Lab Data:

Allergies:

Symptoms: Pt has c/o numbness to the injection site, with redness to the lower arm. Pt was brought to the ER for further evaluation.

Other Meds:

Current Illness:

ID: 0956652
Sex: M
Age: 91
State: AL

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

Lab Data:

Allergies:

Symptoms: Patient said he was feeling weak and sick. Reported problems with diabetes and hypotension in the past - blood glucose was checked using patient's machine and was 200. HR 88, BP 78/40 (family reported normal systolic is in the 80s). EMS was called and recommended transport to the ED, but patient/family refused. Symptoms reported at 1415, EMS on site at 1430 and patient left site at 1445.

Other Meds:

Current Illness:

ID: 0956653
Sex: F
Age: 34
State: CA

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

Lab Data:

Allergies:

Symptoms: First Symptoms 1/14/21 7:30pm: Entire left arm pain unable to lift my arm. Left hip pain. Morning 1/15/21: Extreme exhaustion Early afternoon 1/15/21: Extreme joint pain unable to sit up or walk. Had to hold on to walls to shuffle feet to restroom. All major joints in pain. Out of breath on standing. Afternoon 1/15/21: New onset of small joint pain throughout body in addition to previous symptoms. Chills began at 3:30pm. Unable to hold a phone or grasp items. 1/15/21 6pm: Able to get out of bed a walk a few steps Joint pain and exhaustion continued through 1/16/21 able to walk. 1/17/21: tiredness and medium joint pain 1/18/21: minor tiredness and very minimal joint pain 1/19/21: Feeling back to normal

Other Meds: Summatriptan

Current Illness:

ID: 0956654
Sex: F
Age: 35
State: CT

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

Lab Data:

Allergies: No Known Allergies at the time of vaccination

Symptoms: Indicated that her heart was racing and her throat felt like it had a lump in it 5 10 minutes after receiving the vaccine. She indicated that she did not say anything to anyone because she thought that she just needed a drink of water. The symptoms persisted for about two hours. She contacted her primary care physician for a different reason and mentioned the reaction and her primary provider instructed her to report it to said that her doctor told her it was ok for her to receive the second dose if she pre-medicates with benedryl and zyrtec and if she waits the full 30 minutes for monitoring.

Other Meds: Vyvanse, Sertraline

Current Illness: None known

ID: 0956655
Sex: F
Age: 20
State: AZ

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

Lab Data:

Allergies:

Symptoms: On 1/18/2021, the site of the vaccine had a small lump and was itching a lot. Then at night, the rest of the body (arms, legs, thighs) were itching a lot so I took Zyrtec.

Other Meds: Zyrtec because allergies got bad

Current Illness:

ID: 0956656
Sex: F
Age: 77
State: NV

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

Lab Data: none

Allergies: augmenting

Symptoms: On day 8 after vaccination, a red itchy patch (2"x3") appeared at vaccination site. On day 10 it's still there, same size and slightly less red

Other Meds: synthroid, calcium, rutin, glucosomine, l-lysine, probiotic, vitamin c, Methyl B12, vitamin d

Current Illness: none

ID: 0956657
Sex: F
Age: 46
State: CA

Vax Date: 01/08/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: My doctor has not yet ordered any laboratory tests.

Allergies: None

Symptoms: Starting on day 6 post vaccine, I started experiencing much fatigue which grew worse until day 11 post vaccine. The fatigue was debilitating in that I had a hard time getting out of bed and needed 10-12 hrs. Day to function at a minimum level such as cooking and going to work. Today is day 12 post vaccine and I am still experiencing this effect. I have contacted my doctor who advised me to go ahead and fill out.

Other Meds: None

Current Illness: None

ID: 0956659
Sex: F
Age: 55
State: AZ

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

Lab Data: Emts did pulse OX and BP. First at report of symptoms second after 10 mins. Was given Zofran

Allergies: Blueberries

Symptoms: Flush. SOB. Extremely nauseous. Rapid onset of fatigue

Other Meds: Metformin Januvia Lisinapril Levothoroxine

Current Illness: Kidney stone Diabetes Hypothyroidism HTN

ID: 0956660
Sex: F
Age: 28
State: CA

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

Lab Data:

Allergies:

Symptoms: Bone Pain for four days fatigue fever joint pain

Other Meds:

Current Illness:

ID: 0956661
Sex: F
Age: 56
State: NJ

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

Lab Data: 1/12/21, Doctor gave her Cephalexin 500 mg.. 1/19/21 Dr. ordered blood work, Prednisone 10 mg, antibiotics every 8 hours until complete. Has FU APT on Friday.

Allergies: Sensitive skin to soaps, has to use very mild products. Penicillin, itching.

Symptoms: Immediately pain in arm after shot with stinging, then started feeling fingers getting real numb, tightness in fingers to arm with tightness, feeling funny, then rose to her neck with tightness. Headache, little confusion. Went home and rested and resolved through the night. On 1/10/21, called her PCP as her arm swelled up and felt sick, nausea, feeling of vomiting, numb fingers, redness. On 1/12/21 but gave her antibiotics. Out of work for 10 days due to feeling like she had the flu. Arm swelled up like a balloon with achiness, hot to touch and felt like she had an infection in it. Went for FU on 1/14, arm redness faded away. Went to work on 1/15 as Hospice person, fatigued, exhausted. This morning 1/19/21, not feeling good, and injection arm swelled up again, this time at injection site is swollen and raised area with large ring around it, swollen, bullseye area. Now out of work for another week.

Other Meds: Lisinopril, Pantoprazole, Amlodipine.

Current Illness: None.

ID: 0956662
Sex: F
Age: 26
State: MN

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

Lab Data: none

Allergies: none

Symptoms: After the first shot of Pfizer, I started to have cold sore ( never have cold sore before). I started to take cold sore shield pills one a day and using abreva to treat cold sore. While I am still treating cold sore, I received 2 nd dose of Covid. After exact 1 week of 2nd shot, I had an allergy reaction. I was driving to work and had hive throughout of face, neck and torso. Unknown the cause, no new cream/regime for face, no new food, and no other new medications. Beside hives and itchiness, no other upper respiratory distress s/s. The hives went away after 30 minutes.

Other Meds: - cold sore shield. - Abreva cream - Nuun Immunity

Current Illness: none

ID: 0956663
Sex: F
Age: 44
State: IN

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

Lab Data:

Allergies: Cefdinir, Welbutrin, Cymbalta

Symptoms: Mild redness, soreness and hardness at injection site immediately after vaccine and for several days that progressively got worse, then rapidly expanding on day 5-7 to size in radius of a baseball on L arm, with tenderness, swelling, heat to touch and pain with touch. Appt made 1 week after shot, dx of cellulitus/infection and antibiotics given. I did not have allergic reaction symptoms,. Symptoms fit more w/ bacterial infection.

Other Meds: B 12 Complex, Synthroid, Vitamin D, Multi-vitamin

Current Illness: Sprained Ankle, Mild Radial fracture from fall 12/05/2020.

ID: 0956664
Sex: F
Age: 25
State: TX

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

Lab Data: na

Allergies: na

Symptoms: fever,chills, body aches and head ache, nausea

Other Meds: Tylenol

Current Illness: na

ID: 0956665
Sex: F
Age: 40
State:

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

Lab Data:

Allergies:

Symptoms: Pt had c/o numbness to the right arm and redness to the lower portion of her right arm. Pt was brought to the ER for further evaluation.

Other Meds:

Current Illness:

ID: 0956666
Sex: F
Age: 63
State: TX

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

Lab Data: POC glucose

Allergies: IVP DYE

Symptoms: 12:17 felt heart racing, face flushes, SOB with speaking. States she feels like she is going to pass out. Taken to private observation via w/c area with EMT on site in attendance. BP 180/120; HR 100; 02 99% on room air.. States she also feels lightheaded, is having generalized shaking, especially hands trembling. No redness or swelling noted at injection site. States she did eat yogurt and granola bar at 10 am. 12:29 - drank about 2 oz water without difficulty. Denies itching, states she feels better, but is still shaking vigorously all over upper body. Denies being cold. Denies chest pain. just feels like she can't catch her breath. Still flushed in cheeks and forehead. 12:34 BP 158/100; HR 82; O2 96% on r/a. Still shaking. Covered with her sweater. 12:36 Doesn't feel like she is going to pass out anymore. Still having tremors, shaking. Unable to completely catch her breath 12:40 EMS activated. 12:42 HR 77; O2 99% on r/a . Still shaking. States Bactrim sometimes sends her sideways. States she does have a history of hypoglycemic events. 12:55 arrived. Patient still shaking and feels lightheaded again. 12:58 BP 168/90; HR 91; O2 98% r/a. POC glucose check per EMT - glucose - 85 Gave patient juice 1306 Shaking subsided. She thinks the juice helped. BP 156/86; HR 78: 99% r/a 13:07 released patient she states her SOB is gone. No more tremors. Denies lightheadedness. 13:13 Patient taken to private vehicle driven by husband.

Other Meds: Losartan, Bactrim

Current Illness: Had a cold and currently treating a kidney infection.

ID: 0956667
Sex: F
Age: 33
State: WA

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

Lab Data: none

Allergies: tetracycline

Symptoms: left sided facial numbness, feels like her previous symptoms of Bell's Palsy. Bell's Palsy not disclosed at time of vaccination.

Other Meds: none

Current Illness: none

ID: 0956668
Sex: F
Age: 44
State: CA

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

Lab Data: None

Allergies: NKDA

Symptoms: Immediate swelling to administration site

Other Meds: No ne

Current Illness: None

ID: 0956669
Sex: F
Age: 28
State: CA

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

Lab Data:

Allergies:

Symptoms: bone pain that last four days fatigue fever joint pain

Other Meds:

Current Illness:

ID: 0956670
Sex: M
Age: 60
State: IL

Vax Date: 01/04/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Large red rash (baseball size) around injection site that appeared two weeks following injection. No rash until that time. Rash still appears two days following notice.

Other Meds: Paroxetine 40 mg - daily Clonazepam 1.0 mg - daily Eszopliclone 1.0 mg - at bedtime Multi-vitamin - daily

Current Illness: None

ID: 0956671
Sex: M
Age: 90
State: AZ

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

Lab Data: none

Allergies: none

Symptoms: none

Other Meds: lisinopril amlodipine warfarin

Current Illness: none

ID: 0956672
Sex: F
Age: 48
State: PA

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: 8 days after injection I developed a HA and fatigue. At same time left arm became itchy, red and hard, warm to touch at injection site. By evening I had chills, felt feverish (no fever) severe HA, muscle aches and terrible dry cough. Horrible night sleep. Woke up next day and all symptoms resolved. Day 10 developed a rash on body, upper body>lower body that is still present but slowly starting to reslove

Other Meds: Trazodone, Lexapro, Lisinopril, diethylpropion

Current Illness: none

ID: 0956673
Sex: F
Age: 62
State: KY

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

Lab Data:

Allergies:

Symptoms: Marble-sized knot at injection site. Redness around injection site and swelling/pain around injection site.

Other Meds:

Current Illness:

ID: 0956674
Sex: M
Age: 91
State: AL

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

Lab Data:

Allergies:

Symptoms: Patient stated he was feeling weak and sick at 1415. Reported problems with diabetes and hypotension. Blood glucose checked using patient's own machine and was 200. EMS called at 1430, arrived at 1435. HR 88, BP 78/40 (family states usual systolic in the 80s). EMS recommended transport to the ED for IV fluids, but family refused. Patient left site at 1445.

Other Meds:

Current Illness:

ID: 0956675
Sex: M
Age: 43
State: NY

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

Lab Data: N/A

Allergies: Penicillin Sulfa drugs Tamiflu

Symptoms: Beginning approximately 12 hours after vaccination: Uncontrollable chills for 1 hour Fever of 103?F for 10 hours not relieved with analgesics Headache for 18-24 hours Fatigue for 24 hours

Other Meds: Forteo - 1x/day @ 10 AM Tirosint 175 mcg 1x/day Calcitriol 0.25 mcg 1x/day Citracal MAXIMUM + D Caplet 630 mg 1x/day Metformin 2000 mg 1x/day Vitamin D 2,000 IU 1x/day Ultra CoQ-10 200 mg 1x/day Sertraline 50 mg 1x/day Famotidine 40 mg 1x/

Current Illness: None

ID: 0956676
Sex: F
Age: 57
State:

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

Lab Data:

Allergies:

Symptoms: Soreness and rash at injection site the next day, by 1/18/21 rash spread from shoulder to elbow, along with nausea and fatigue.

Other Meds:

Current Illness:

ID: 0956677
Sex: F
Age: 53
State: KS

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

Lab Data:

Allergies: Penicillen

Symptoms: An hour or so after the injection I began to notice my vision was slightly blurred. Saturday, it was blurry until late that evening when I noticed that the blurriness had subsided.

Other Meds: Metformin, Pregabalin, Duluxatine, Rosavastin, Ritlin, Indomethicin,

Current Illness: none

ID: 0956678
Sex: F
Age: 64
State: TX

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

Lab Data:

Allergies: Vioxx, Vicodin, NKFA, no other allergies

Symptoms: Hives that began 11 days post vaccine, that is progressively getting worse including swelling of lips after taking 50 mg, Benadryl. EE referred to ER.

Other Meds: Vitamin D3, bone supplements, Levothyroxine, Losartan, HCTZ, unknown supplements

Current Illness: None

ID: 0956679
Sex: F
Age: 38
State: AL

Vax Date: 01/16/2001
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: PCN

Symptoms: Developed Cellulitis to upper are after injection. Area 11-13cm and second area measures 3-5cm. Both areas have swelling , redness and heat

Other Meds: Armor Thyroid Atenolol Celebrex

Current Illness: None

ID: 0956680
Sex: M
Age: 63
State: CT

Vax Date: 12/28/2020
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital: Y

Lab Data: MRI of Head CT of Head CTA of Head and Neck Transthoracic echocardiogram

Allergies: NKMA

Symptoms: Lacunar infarct (CVA) of right thalamus

Other Meds: Lisinopril 2.5 mg qd Rosuvastatin 40 mg qd Aspirin 81 mg qd Famotidine 20 mg qd Escitalopram 10 mg qd Alprazolam 0.25 mg qhs Melatonin 2.5 mg qhs Vitamin C 500 mg Vitamin D3 2000 iu qd

Current Illness: No active illness

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm