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: 0956732
Sex: U
Age: 53
State: NH

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

Lab Data: none

Allergies: none

Symptoms: right tongue swelling, difficulty swallowing, left lateral tongue sores approximately 1 hour after swelling started reported to employee health took Claritin which eventually resolved it

Other Meds: vitamins, fish oil, supplements

Current Illness: none

ID: 0956733
Sex: F
Age: 59
State: TX

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

Lab Data:

Allergies:

Symptoms: Fever to 100.9 on Saturday 1/16/2021 and 100.3 on Sunday 1/17/2021. Right deltoid injection site swollen with a lump. Warmth and itching also noted at site. Motrin taken on Saturday and Sunday. Cold compress to injection site. Fever has resolved. Cold compress will relieve injection site itching while being applied.

Other Meds:

Current Illness:

ID: 0956734
Sex: F
Age: 66
State: FL

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

Lab Data: Results will be available on May Be 1/20/21 Would like to know if should take the 2nd dose of Moderna.Its schedule for 5th of Feb 2021 @ 9:30 AM.Please advice me for that.Thanks.

Allergies: No allergies

Symptoms: The day of vaccine in couple of hrs stared feeling dizziness,still on & off,Injection sight hurting,also started getting bad headaches.About third day I started getting weakness in my legs & it increase with numbness.I made an appointment with my Primary care doctor on 18th of Jan because the numbness still continues.Doctor order lab work which I did on Jan 19th morning & I have follow up virtual appointment with my doctor on 21st Jan @ 4:45 PM.

Other Meds: Levothyroxine Sodium,Probiotic,Methylprednisolone,Calcium with vitami D3,Fexofenadine Hydrochloride,Montelukast,Azythromycin,for dry eye Refresh,IPRATROPIUM/ALBUTRSOL.

Current Illness:

ID: 0956735
Sex: F
Age: 48
State: FL

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

Lab Data: None

Allergies: Bactrim

Symptoms: Diffuse hives on head, chest, abdomen, back, arms, hands?treated with antihistamine?Benadryl, Claritin and Zyrtec

Other Meds: Cymbalta, Xanax, plaquenil, colace, fluicasone, lorotadine

Current Illness: None

ID: 0956736
Sex: F
Age: 26
State: IN

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

Lab Data:

Allergies:

Symptoms: Red patch appeared on right arm directly over the injection site 10 days post-dose. No other systemic symptoms, no arm pain, no swelling.

Other Meds:

Current Illness:

ID: 0956737
Sex: F
Age: 47
State: TX

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

Lab Data: ER visit 1/13/21 MD visit 1/14/21

Allergies: shellfish, iodine, Bactrim, Flagyl,

Symptoms: nervousness, nerve twitching, right side facial numbness and tingling, tingling in hands, hands cold, bells palsy, "pins and needles" feeling all over

Other Meds: none

Current Illness: none

ID: 0956738
Sex: F
Age: 31
State: MN

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

Lab Data: EKG completed-- results not provided to me. No mention of abnormality to me per MD.

Allergies: Penicillins/ Amoxicillin-- Anaphylaxis Zosyn- Shortness of Breath Tetracycline- GI Upset/Nausea/Vomiting

Symptoms: Approximately 15-20 minutes post-injection I started to feel lightheaded, dizzy, shaky and increased heart rate. This was swiftly followed by a feeling of tightness in my throat, shortness of breath, and coughing. In addition I had a moderate to severe headache. The hospitals rapid response team was called and I was brought to the emergency department on-site. I was given a racemic epinephrine and albuterol neb treatment which resolved upper airway stridor and cough. I received PO Benadryl, Pepcid, and Prednisone. A EKG was completed. I was observed in the emergency department for about 2 hours until discharge. I was discharged with prescriptions for an Epi-Pen, Prednisone, and Pepcid. The diagnosis on my after visit summary was: Allergic Reaction. I was unable to finish my scheduled shift as an RN.

Other Meds: omeprazole 20 mg Delayed-Release capsule BID buPROPion 300 mg Extended-Release tablet Daily EPINEPHrine 0.3 mg/0.3 mL injection PRN Breo Ellipta 200mcg/25mcg inhaler 1 puff Daily clonazePAM 1 mg tablet Daily tamsulosin 0.4 mg capsule Daily

Current Illness: None at the time of injection. 3 weeks prior I had a reaction to my first vaccine with sudden onset of tachycardia, lightheadedness, dizziness, nausea (see prior VAERS report if available)

ID: 0956739
Sex: F
Age: 39
State: MI

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

Lab Data: Hearing test- Jan. 13

Allergies: Bactrim

Symptoms: About five-ten minutes after the injection, tinnitus began ( both ears)... Immediately, I notified the nurse overseeing the vaccination event, Then next day, I notified my primary. The tinnitus started to subside a little after about two weeks, but still there as of 1/19/2021. I have my second dose tomorrow...

Other Meds: Lyrica, Tramadol, Trazadone

Current Illness:

ID: 0956740
Sex: F
Age: 76
State: FL

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

Lab Data:

Allergies: Tetracycline

Symptoms: Fever, sore muscles, sore joints, headache, fatique, nausea & chills. I had a positive Covid 19 test on September 9th. The symptoms I've had from the shot are pretty much the same as when I was sick. I was fortunate not to have any respiratory symptoms either time as confirmed by my oximeter. I had two Antibody tests. One on Nov. 23rd, which was positive for both IgG and IgM. I had my second anti-body test on 1/17/2021, the day of my injection which was positive for IgG and negative for IgM. I have not contacted my doctor concerning this and I am taking Advil for the fever and ached and pains. Today i feel better than yesterday.

Other Meds: Venlaflaxine HCR ER 75 mg, multi-vitamin, Vitamin D3 - 2000 IU, Calcium 1200 mg

Current Illness: None

ID: 0956741
Sex: F
Age: 25
State: DE

Vax Date: 12/30/2020
Onset Date: 01/05/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Lymphadenopathy secondary to Pfizer covid vaccine. Has not resolved

Other Meds:

Current Illness:

ID: 0956742
Sex: F
Age: 54
State: LA

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

Lab Data:

Allergies: Flu vaccine, eggs

Symptoms: The injection site became swollen, tender and developed a knot that was feverish. An icepack was applied to the area. By 4PM, the site was softer with decreased swelling and pain. She went home. One day later, the site continues to be swollen.

Other Meds: None

Current Illness: None

ID: 0956743
Sex: F
Age: 44
State: TX

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

Lab Data: no

Allergies: no

Symptoms: Rapid heart beat for three weeks. Takes medicine for anxiety.

Other Meds: no

Current Illness: no

ID: 0956744
Sex: F
Age: 51
State: GA

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

Lab Data:

Allergies: Latex

Symptoms: Patient received Covid vaccine ?around 3:45?. Patient?s initial complaint was feeling ?alittle bit itchy? and her ?nose was closing up?. Vitals taken at 3:48- 129/75 BP, 98 HR, 98% O2. Continuing complaint of ?itching?. 1 mL of Benadryl (Lot #080010, Exp 08/22) given at 3:52. Vitals taken again at 3:54- 150/84 BP, 92 HR, 97% O2. Patient sipped water and speaking with responding nurses at 3:55. At 4:00, reported ?throat itching? and had hoarseness, coughing, and congestion. 4:01, 0.3 mg Epi given via autoinjector (Lot #0GM147, Exp 11/21). 4:06 patient reported her tongue was less ?itchy? and decreased congestion. 4:14 vitals were 123/72 BP, 106 HR, 98% O2 & patient reported no improvement of symptoms. 4:15, Dr. was called at which time recommended to call EMS. 4:16, RN called EMS. 4:18 patient reports ?someone is pushing on my throat?. 4:20 a 0.3 mg Epi given via autoinjector (Lot #0GM147, Exp 11/21). 4:22 vitals were 126/81 BP, 107 HR, 96% O2. 4:26 EMS arrived at clinic and left via stretcher. EMS provided with medications given to patient.

Other Meds:

Current Illness:

ID: 0956745
Sex: F
Age: 27
State: TX

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

Lab Data: N/a

Allergies: Amoxicillin

Symptoms: Redness, swelling (hardness), itchiness, and sensitivity at the injection site. This has been ongoing for over a week and I am starting to get concerned.

Other Meds: Melatonin

Current Illness: Sinus infection 12/18-1/1

ID: 0956746
Sex: M
Age: 68
State: OR

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

Lab Data: unknown

Allergies: unknown

Symptoms: Patient has been observed in the waiting area for 15 minutes per protocol and suffered no adverse reactions during that time. He was released from the waiting area and walked out independently. He was found appearing to be in some distress in the parking lot by a nurse leaving the vaccination observation area after her COVID 19 injection. This nurse escorted the patient back into the vaccine clinic at which time he was seated in a wheel chair and wheeled directly to the emergency room for evaluation.

Other Meds: unknown

Current Illness: unknown

ID: 0956747
Sex: F
Age: 34
State: CA

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

Lab Data:

Allergies: Zophran and Morphine

Symptoms: Injection side became very red and swollen, hot to the touch within the first 4 hours. Continued to get red and swollen. Managed with Tylenol. swelling reduced on day 5 however on day 7 the site is now red again and hot to the touch. other side effects during the first 4-5 days included SEVERE headache, SEVERE fatigue, foggy thoughts and cognitive issues.

Other Meds: None.

Current Illness: None

ID: 0956748
Sex: F
Age: 71
State: NJ

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

Lab Data:

Allergies:

Symptoms: 1. Tongue and throat swelling 2. Difficulty breathing

Other Meds:

Current Illness:

ID: 0956749
Sex: F
Age: 56
State: NY

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

Lab Data: 1/12/20121 -Lab test on from ED 1/13/2021- seen by cardiologist

Allergies: Taxotere

Symptoms: 1st vaccine: spontaneous tachycardia (HR 110 initially) and elevated BP (160/100) at 10 minutes mark which subsequently resolved spontaneously at 30 mins (closely monitored by MD, NP) 2nd vaccine: spontaneous tachycardia, and elevated BP (160/100) at 10 minutes mark (monitored by MD and NP), normalized after 1 hour of observation. On 1/8/2020 I developed severe fatigue, fever, numbness on lower lip, bitter taste in my mouth, fever, chills, headache until Sunday 1/10/2021. Went to work on 1/11/2021 with worsening symptoms. Ended up in ER on 1/12/2021 due to weakness, high BP, numbness on lower lip, difficulty focusing. BP is normalizing as of 1/19/2021 but still have weakness, equilibrium is off and difficulty in focusing

Other Meds: Tamoxifen

Current Illness: no

ID: 0956750
Sex: F
Age: 37
State: TN

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

Lab Data: none

Allergies: Amoxicillin/Augmentin, azithromycin, sulfa, tramadol

Symptoms: erythema, edema, tenderness, itching at injection site-post injection day 12 continues to worsen. Pt questions if she should receive 2nd dose.

Other Meds: Clonazepam, famotidine, reglan, flonase, protonix, sumatriptan, pramipexole

Current Illness:

ID: 0956751
Sex: F
Age: 39
State:

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

Lab Data:

Allergies: metamizol sodico

Symptoms: upper limb rash itch neck rash

Other Meds: matoprolol, levotiroxina , metformina

Current Illness: ninguna

ID: 0956752
Sex: F
Age: 55
State: TX

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

Lab Data: COVid tested 1/18/21. Negative

Allergies: NKDA

Symptoms: Severe HA that began on right side with tightening of the right jaw. Started at 0200 1/1/21. Lasted for more than 48 hours. Then went away. Returned 2 days after that for 4 days. Then went away for 2 days then returned for 1 day. Then came back say 1/17/21 and has persisted through today. Accompanied by dizziness at various times not with ha

Other Meds: Progesterone. Armour Thyroid Lasix. Vitamin D. Bcomplex Estrogen.

Current Illness: N/A

ID: 0956753
Sex: M
Age: 80
State: CA

Vax Date: 10/22/2020
Onset Date: 10/25/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient called to report an adverse reaction he had almost 3 months ago. Patient stated he started to develop an elevated bump ( 1/4 inch raised) which was 3 inches in diameter a few days after receiving a flu shot. The area was not red, painful or itchy and he did not seek medical attention. Only after a couple of months did he see a medical doctor. According to the patient, the doctor believed he had a hematoma and gave him instructions to treat. Even after following the doctor's directions he did not see any improvement and contacted the pharmacy to report and find more information.

Other Meds:

Current Illness:

ID: 0956754
Sex: F
Age: 30
State: CA

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient describes left shoulder where the injection site was along with itchiness, big red rash but has not spread or gotten larger

Other Meds:

Current Illness:

ID: 0956755
Sex: F
Age: 66
State: HI

Vax Date: 01/10/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: localized hives, induration and itching to deltoid

Other Meds:

Current Illness:

ID: 0956756
Sex: F
Age: 53
State:

Vax Date: 01/05/2021
Onset Date: 01/07/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: sunscreen; metal

Symptoms: I have been feeling dizzy; at times felt fainting; fell on the ground on 1/7/2021 evening between 8-9pm after feeling fainting.

Other Meds: pioglitazone 30 mg; vitamin C; vitamin D; Vitamin B complex;

Current Illness: No

ID: 0956757
Sex: F
Age: 78
State: GA

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

Lab Data: ED completed a CBC, Troponin 1, and CMP on 1-19-21

Allergies: Alendronate Sodium Influenza A (h1n1) Vac 09 (pf) Lotensin [Benazepril] Macrobid [Nitrofurantoin Monohyd/m-cryst] Norvasc [Amlodipine] Uribel [Methen-m.blue-s.phos-phsal-hyo] Acetaminophen Boniva [Ibandronate] Covera-hs [Verapamil] Esomeprazole Magnesium Ibandronate Sodium Influenza Virus Vaccine Tri-split 2007-2008 Oxycodone Hcl Plavix [Clopidogrel] Ramipril Simvastatin Sulfamethoxazole Trimethoprim Oxycodone-acetaminophen Provera Cap

Symptoms: Patient stated she has had anaphylactic reaction to a flu vaccine a couple of months ago. Patient stated she spoke with her physician and he still recommend her to receive the COVID-19 vaccine today. Discussed pre-medication; however, patient stated that doesn't work. Patient was observed for 30 minutes. After that time, patient stated to the observer RN her left arm hurt all the way down and chest felts heavy . Encouraged patient to go to ED, but patient declined. Nurse assessed patient who then felt short of breath. RN , took patient, via wheelchair, to ED. Husband was with patient. ED triage took patient back and husband checked in patient.

Other Meds: Aspirin 81mg daily clobetasoL (TEMOVATE) 0.05 % cream daily hydrochlorothiazide (HYDRODIURIL) 25 MG tablet daily krill oil 500 mg Cap daily levothyroxine (SYNTHROID) 88 MCG tablet daily multivitamin (THERAGRAN) tablet daily POTASSIUM ORAL 1

Current Illness: C/o anaphalaxis after flu vaccine a couple of months ago. States spoke with physician who requested she still receive the COVID-19 Vaccine. (Pfizer)

ID: 0956758
Sex: F
Age: 26
State: CA

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

Lab Data: None

Allergies: None

Symptoms: The patient experienced itching after the first dose of the COVID-19 vaccine. Pre-medicated with diphenhydramine prior to the 2nd dose of the OVID-19 vaccine. 9 minutes after the vaccination, the patient felt itchy, flushed and received oral dexamethasone. [atient was sent out with oral dexamethasone home.

Other Meds: None

Current Illness: None

ID: 0956759
Sex: F
Age: 63
State: CO

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

Lab Data: 01/19/2021 WBC 14.4 with Segs 12.8. Chemistry , COVID-10 antigen test neg.

Allergies: NKDA

Symptoms: Fatigue day one, worse day 3. Headache, nausea, vomiting day 3.

Other Meds: NA

Current Illness: None

ID: 0956760
Sex: F
Age: 46
State: SD

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

Lab Data: None

Allergies: (possibly) Kelfex, codeine

Symptoms: Day 2 Mild headache, fatigue, nausea. Arm pain Rash on UNDER side of arm. Not sure if it's related or was there beforehand? Day 3-6 No symptoms other than a little tired Day 7-10 Major swelling of lymph in supraclavicular area. Also general swelling in that area. Fatigue, headache, scratchy throat, nausea Day 11 Felt okay most of the day but had a severe headache in the evening as well as achy body and nausea. Hit quickly and passed after an hour.

Other Meds: Vitamin D3, Vitamin B-12, Zinc

Current Illness: None

Date Died: 01/15/2021

ID: 0956761
Sex: M
Age: 94
State: NJ

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

Lab Data: none

Allergies: none

Symptoms: Family was told that Patient expired in his sleep during the early morning hours of 1/15. I spoke with him the evening before (on 1/14), which was a day after he had received the Covid vaccine. He was not having any symptoms of allergy or reaction then. He did say that he felt tired, but he often complained of feeling tired over time.

Other Meds: Eliquis, losartan, torsemide, metolazone, carvedilol, docusate

Current Illness: episode of congestive heart failure two months ago requiring hospitalization

ID: 0956762
Sex: F
Age: 59
State: NJ

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

Lab Data:

Allergies:

Symptoms: 1. Shortness of breath within 5 minutes of administration 2. Dizziness 3. Headache Was administered and EpiPen and Acetaminophen

Other Meds:

Current Illness:

ID: 0956763
Sex: F
Age: 83
State: LA

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

Lab Data:

Allergies: nkda

Symptoms: patient reached out to pharmacy on 1-19-21 to report that her arm was sore and red all the way down to her elbow and "itchy". she also stated that above her upper lip, was blisters and red, itchy, tender and swollen. she report this started on the day after her vaccination. i asked her if she had run any fever to which she wasn't aware that she had. i suggested the blisters on her lip could possibly be fever blisters but she reports to have never had them before. she reports no other rash- just the arm of her injection and her lip. i instructed her to take a benadryl and some tylenol and i will follow up with her tomorrow - she did report that it does appear to be getting better as of today (tuesday)

Other Meds: aspirin 81mg, amiodarone 200mg, plavix 75mg, duloxetine 30mg, alendronate 70mg (weekly) , atorvastatin 40mg, escitalopram 10mg, rexulti 2mg, namzaric 10mg , coq10 100mg, pramiprexole 0.25mg, gabapentin 600mg, metoprolol tartrate 50mg

Current Illness:

ID: 0956764
Sex: F
Age: 30
State:

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Left shoulder, itch, big red rash has not spread or gotten larger

Other Meds:

Current Illness:

ID: 0956765
Sex: F
Age: 41
State: SC

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

Lab Data: None

Allergies: Shellfish

Symptoms: Within 2 hrs- blurred vision, dizziness, sore arm Within 4hrs- tachycardia, lightheaded, headache, fatigue Within 6hrs- headache, extreme fatigue, SOB Within 8hrs- tightness in chest, extreme fatigue, body aches, chills plus all others listed

Other Meds: Vit D, Vit C, sea moss, Multivitamin, Testerone, Iron, zinc

Current Illness: None

ID: 0956766
Sex: F
Age: 75
State: CA

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

Lab Data:

Allergies: Bell peppers, eggplant, demerol, iodine

Symptoms: numbness in front of tongue and both lips

Other Meds: Rovastatin D3 Magnesium COQ10

Current Illness: none

ID: 0956767
Sex: M
Age: 32
State: MI

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

Lab Data: I got a covid swab 1/9. It was negative

Allergies: None

Symptoms: 102 fever for a day and a half. Chills, aches, headache, lightheaded, stuffy nose, swollen lymph nodes right armpit

Other Meds: Lisinopril 20 mg, multivitamin, Lexapro 20 mg

Current Illness: None

ID: 0956768
Sex: M
Age: 7
State: AZ

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

Lab Data: No medical tests or laboratory tests were reported as having been administered.

Allergies: No allergies were reported.

Symptoms: Pfizer COVID-19 Vaccine is authorized for use in individuals less than 16 years of age. The 7 year old had a sore arm along with fever and fatigue starting about 24 hours after the vaccine that lasted for 2 days.

Other Meds: On January 12, 2021 a family went to a vaccine POD run by the Arizona Department of Health Services to receive COVID-19 vaccines; time of vaccination and time of adverse reaction is unknown. They were told that everyone in the car could g

Current Illness: No illness at the time of vaccination. Patient had recovered from COVID-19 in December.

ID: 0956769
Sex: F
Age: 54
State: VA

Vax Date: 10/07/2020
Onset Date: 10/08/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1 day after vaccination, patient reported swelling around her collar bone (raised skin about 1/2 inch) with pain, and reported coughing. Patient was instructed to take Benadryl and ibuprofen and to ice the affected area and call back if symptoms got worse. Patient did not call back to report any other worsening symptoms.

Other Meds:

Current Illness:

ID: 0956770
Sex: F
Age: 40
State: MD

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

Lab Data: NA

Allergies: Copper Nickel Zinc

Symptoms: I had muscle ache in my neck shoulder and back, some fatigue two days after the vaccine

Other Meds: Vitamins D supplements 1.25 mg

Current Illness: None

ID: 0956771
Sex: F
Age: 55
State: CA

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

Lab Data: Contacted and emailed Primary Care Physician

Allergies: Seafoods Chlorox MSG

Symptoms: Headache Injection site pain Feverish Chills Nausea Dizziness Feelin Unwell Tiredness Stomach Upset Diarrhea

Other Meds: Vitamin C Probiotic

Current Illness: Borderline diabetes

ID: 0956772
Sex: F
Age: 34
State: PA

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

Lab Data: CT scan performed in the emergency department - found no abnormality

Allergies:

Symptoms: The day after the recipient received the vaccine, she presented to the emergency department with complaints of severe abdominal pain. The pain began to subside within 6 hours after receiving IV pain medications but did not completely resolve for 4 days.

Other Meds:

Current Illness:

ID: 0956773
Sex: F
Age: 48
State: MS

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

Lab Data: 1/11/2021: CBC/CMP/Covid antibody test/Blood cultures/UA/CXR/Covid nasal swab(negative by the way)

Allergies: E-mycin (nausea)-Seldane D

Symptoms: I woke up the next morning (about 6am) with nausea/chills/fever (100.9)/headache/eyes were burning. I had to go to ED after getting to work(at 7:30am) due to SOB/elevated heart rate of 145-150bpm/101.6 temp (upon arrival to ED)/chills/nausea/headache. I was given IV fluids (2 liters), Zofran for nausea, Toradol for pain/headache, Tylenol for fever. I was in the ED for about 4-4 1/2 hours. My right eye has a large "blood shot" area that wasn't there until I took the vaccine also. I was found to still have a count of "34" on my Covid antibody blood test. The ED physician stated that was probably the reason I had the reaction was because I still had antibodies. I tested positive for Covid on Sept 19, 2020 and took the vaccine #1 1/11/2021 (almost 120 days from positive Covid test). If I had known I was going to have any type of reaction because I still had antibodies, I would have waited a few more weeks/months to get the vaccine. This should really be looked into. I am now very scared to receive the 2nd vaccine because of the side effects that has been reported after the 2nd vaccine. I really need good advice about what to do about 2nd vaccine.

Other Meds: Neurontin 300mg/Aleve PRN/Adult gummi vitamins

Current Illness: none

ID: 0956774
Sex: M
Age: 47
State: FL

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

Lab Data: none as yet

Allergies: none

Symptoms: New Sporadic Tingling sensation to the upper spine.

Other Meds: none

Current Illness:

ID: 0956776
Sex: F
Age: 38
State: IA

Vax Date: 12/29/2020
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: COVID-19 test which was negative the following day on 1/15

Allergies: Zithromax

Symptoms: I developed flushing on my chest almost like a sunburn. Later that evening I got severe joint pain in my hip and jaw, a fever of 100.6 and my injection site became red, hot, hard and itchy with a rash on my arm.

Other Meds: Dexilant and Allegra as well as a probiotic

Current Illness: None

ID: 0956777
Sex: F
Age: 58
State: ID

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

Lab Data: n/a

Allergies: Coedine

Symptoms: Fever 102, HA and fatigue. After fever broke after 9 hours the patient experienced chills. HA lasted 3 days.

Other Meds: n/a

Current Illness: n/a

ID: 0956778
Sex: M
Age: 50
State: NJ

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

Lab Data:

Allergies:

Symptoms: Hypoglycemia(40mg/dL) and required ICU admission.

Other Meds:

Current Illness:

ID: 0956779
Sex: F
Age: 30
State:

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Left shoulder, itch, big red rash has not spread or gotten larger

Other Meds:

Current Illness:

ID: 0956780
Sex: F
Age: 23
State: CA

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

Lab Data:

Allergies:

Symptoms: Chills, fever, tiredness, rash on face, cold sweats, heart rate dropping to 53 bpm, warm, cold, headache, body aches.

Other Meds:

Current Illness:

ID: 0956781
Sex: F
Age: 75
State: CA

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

Lab Data:

Allergies: Bell peppers eggplant Iodine Demerol

Symptoms: numbness of tongue and both lips

Other Meds: Rovastatin D3 Magnesium COQ10

Current Illness: none

ID: 0956782
Sex: F
Age: 65
State: CA

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

Lab Data:

Allergies:

Symptoms: Runny nose, diarrhea, headache, fatigue, abd pain.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm