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: 0956993
Sex: F
Age: 70
State: TX

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

Lab Data:

Allergies: SULFA ANTIBIOTICS, SULFATES (repiratory distress, anaphylaxis); Phenothiazines (akasthesia)

Symptoms: I began noticing mild itching and a pink rash 3 cm or so around the injection site on my upper left arm. Hadn't noticed it in the days immediately after the injection until the itching started. As of today, there is no more itching and the rash, while still visible, is fading. I did not ask for or use anything to treat this.

Other Meds: Rx?s: Prozac (fluoxetine) 30 mg in a.m. and 20 mg at bedtime for Major Depression, recurrent Evista (raloxefine) 60 mg daily in a.m. for osteoporosis Reclast (zoledronic acid) 5 mg IV yearly for osteoporosis? last dose taken January 28,

Current Illness: none

Date Died: 01/19/2021

ID: 0956994
Sex: M
Age: 73
State: CA

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

Lab Data:

Allergies: Aspirin, penicillin, vicodin, acetaminophen, niacin

Symptoms: The patient had severe shortness of breath resulting in cardiac arrest on the 5th day after the vaccine. Shortness of breath started 12 hours after injection. On the 5th day, the patient was discovered to also have a rash throughout his body, but it is unknown when this rash started.

Other Meds: Cholecalciferol, duloxetine, fenofibrate, gabapentin, hydrocortisone suppository, melatonin, metformin, metoprolol succinate, mineral oil, nitroglycerin, omeprazole, pravastatin, quetiapine, selenium sulfide shampoo, quetiapine, sumatriptan

Current Illness:

ID: 0956995
Sex: F
Age: 39
State: MA

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

Lab Data: none

Allergies: Sulfa, asprin, and herbs.

Symptoms: Feeling fatigued, unable to move my left arm or side without pain. There's a bulge in my left armpit that's very painful; I also have pain in my shoulder blade and left upper side ribs. Not sure if it's just severe body aches or my ribs hurting. Yesterday, my tongue and throat started to hurt; I had a refill on the magic mouth wash prescribed; back when I had strep throat, so I've been using that and taking Tylenol and using muscle rub, but nothing is helping.

Other Meds: Iron pills.

Current Illness: none

ID: 0956996
Sex: F
Age: 56
State: CA

Vax Date: 12/20/2020
Onset Date: 12/21/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: tingling tip of tongue and upper extremities

Other Meds: Estrogen/Progesterone

Current Illness:

ID: 0956997
Sex: F
Age: 41
State: PA

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

Lab Data:

Allergies:

Symptoms: Developed nausea 1-2 hours after vaccine. Developed mild muscle aches and cramps later that day. Symptoms gone by next day except residual site soreness. Asthma has worsened and is using Albuterol inhaler 1-2 times daily since second dose. Woke up 1/19/21 at 3am. Developed temperature then was diaphoretic. Vomited. Developed SOB, tachycardia, and wheezing.

Other Meds:

Current Illness:

ID: 0956998
Sex: M
Age: 72
State: ME

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

Lab Data: None

Allergies: pollen

Symptoms: metallic taste immediately after injection self-resolved within 20minutes

Other Meds: lisinopril, atorvastatin, aspirin

Current Illness: none

ID: 0956999
Sex: F
Age: 28
State: WA

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

Lab Data:

Allergies:

Symptoms: Syncope episode. Fainted and was unconscious for 3-5 minutes.

Other Meds:

Current Illness:

ID: 0957000
Sex: F
Age: 37
State:

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

Lab Data:

Allergies:

Symptoms: Patient describes Diarrhea, fatigue, headache with no fever, chills. Currently still experiencing fatigue only

Other Meds:

Current Illness:

ID: 0957001
Sex: M
Age: 12
State: OR

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

Lab Data:

Allergies:

Symptoms: minor received vaccine

Other Meds:

Current Illness:

ID: 0957002
Sex: F
Age: 39
State: OH

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

Lab Data:

Allergies:

Symptoms: Left arm swelled, got red and hives at the injection site down to the elbow.

Other Meds: pantoprazole

Current Illness:

ID: 0957003
Sex: F
Age: 54
State: CA

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

Lab Data:

Allergies:

Symptoms: Lip swelling, sensation of enlarged tongue

Other Meds:

Current Illness:

ID: 0957004
Sex: M
Age: 32
State: CA

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

Lab Data:

Allergies: None

Symptoms: Erythema Muliforme reaction on bilateral hands 7 days after the vaccine

Other Meds: None

Current Illness: None

ID: 0957005
Sex: F
Age: 78
State: TN

Vax Date: 01/02/2021
Onset Date: 01/10/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: Allergic to penicillin. Sensitive to codeine

Symptoms: Rash about 3" x 3" on right arm around site of injection. Rash appeared approximately a week following injection, and has lasted for a little more than a week.

Other Meds: One tablet of each: Vitamin D; probiotic; whole omega; whole food multivitamin; Vitamin B Complex. One Dulcolax tablet/day

Current Illness: None

ID: 0957006
Sex: F
Age: 38
State: TX

Vax Date: 12/27/2020
Onset Date: 01/03/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Started with a small red circle on my arm and then it spread. I took 2 Benadryls on 01/08/2021 and the red blotch started to fade and was completely gone by 01/11/2021.

Other Meds: Vascepa, Milk Thistle, Vitamin E

Current Illness: N/A

ID: 0957007
Sex: F
Age: 42
State: CA

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

Lab Data:

Allergies:

Symptoms: Severe headache Body aches Chills Fever of 106 F that would go down to 103 F with tylenol and ibuprophen Eye pain and burning Joint pain Severe fatigue Nausea Injection site intense sensitivity

Other Meds:

Current Illness:

ID: 0957008
Sex: F
Age: 25
State: MO

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

Lab Data:

Allergies: NKDA, no other allergies

Symptoms: approximately 5 min after receiving the vaccine, felt flushed and a swelling sensation in the throat. Felt like a globes sensation without itching or hives. Nurses at vaccine site checked vitals multiple times. BP at start of symptoms 152/106, HR 140, O2 sat 99%. EMS was called but I did not feel symptoms were worsening, my lungs were clear without wheezing or stridor. I made the decision to not have EMS transport me to the ER. Symptoms improved so I decided to not go to the ER. Symptoms returned moderately for which I took 25 mg tab of Benadryl. As time progressed, symptoms waxed and waned, about 4 hours after the vaccine the globus sensation in the throat has improved, but there is a globs sensation in the lower esophagus, almost GERD-like in nature.

Other Meds: Gianvi

Current Illness:

ID: 0957009
Sex: F
Age: 17
State: NY

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

Lab Data:

Allergies: Patient denied "serious or life-threatening allergic reaction, such as hives or difficulty breathing, to any vaccine or shot."

Symptoms: The patient's age (17 years) was noted at data entry following the Point of Dispensing Clinic. The patient presented with family to the POD and all are members of a local fire department. No adverse reactions were noted; the patient has not contacted Department of Health to report any adverse reactions. The patient was contacted to aid in the completion of this report but was not able to be reached by phone.

Other Meds:

Current Illness:

ID: 0957010
Sex: M
Age: 64
State: MO

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

Lab Data: NO

Allergies: Contracts Dye for CT

Symptoms: Got the vaccine at curb side at a pharmacy. was ask to sit and wait incase of reaction in the vehicle I started feeling hot and Tingley like I need to go to the bathroom so I went inside and told the pharmacist so they sat me down and took my blood pressure and heart rate 168/108 HR 108 then they gave me some Benadryl and waited about 8 min. to retake my BP again and it about the same. They called my primary care provider and he said to go to the ER. Did not have problems with breathing and swalloning. The feeling was like a contracts for a dye to a CT warm and tingles. Pharmacy called for EMS and was transported. Hospital watched my BP and HR, gave me pepcide, and steroids. Arrived about 12:15 pm and left 3:30pm. 122/78 HR 73 (approx) now I am home just kinda tired.

Other Meds: Omeprazole 20mg daily, Atorvastatin 20mg daily, Citalopram 20mg daily, Claritin, Eletriptan 40 mg (as need)

Current Illness: NO

ID: 0957011
Sex: F
Age: 32
State: CA

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

Lab Data: None

Allergies: None

Symptoms: On the same day she developed tingly and numbness of the tongue, lower lip and she felt as if there was a knot in her throat. The patient was prescribed loratadine, Famotidine, and prednisone for 5 days and symptoms went away. Last night 01/18/2021 patient started to develop a swollen tongue. She was then prescribed loratadine and an epi-pen for her second dose.

Other Meds: None

Current Illness: Asthma

ID: 0957012
Sex: F
Age: 20
State: WI

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

Lab Data: 4-lead SPO2 monitoring Airway confirmation Vitals

Allergies:

Symptoms: Weakness and lightheadedness about 15 minutes after vaccination. Pt had some slight difficulty breathing but self resolved. EMS on site provided first aid at paramedic level. Pt was observed for 30 minutes before symptoms resolved. Pt advised seeking further treatment but felt okay to complete refusal of transport. Medical Control familiar with vaccination clinic called and advised on situation and agreed on treatment plan.

Other Meds:

Current Illness:

ID: 0957013
Sex: F
Age: 22
State: TX

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

Lab Data: EKG-Sinus Tach

Allergies: Immune Globulin, Rituxan

Symptoms: Patient began exhibiting palpitations approximately 30 mins after vaccine administration.

Other Meds: Tacrolimus, mycopheolate, hydroxoycloroquine, sildenafil, vit d

Current Illness:

ID: 0957014
Sex: F
Age: 27
State: CA

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

Lab Data: Benadryl 25 mg PO given as ordered by MD.

Allergies: none

Symptoms: Patient complained of tongue feeling thick at back of mouth/throat. Examined by MD in clinic.

Other Meds: benztropine, lutera, sertraline, flexeril, naprosyn, cholecalciferol, sumatriptan, albuterol, gabapentin azelastine, alvesco, acyclovir

Current Illness: none known

ID: 0957015
Sex: M
Age: 0
State: CA

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

Lab Data: 1/8/21 Axillary Temperature: 98.5F

Allergies: Red Dye

Symptoms: Patient received all 2 month vaccinations as IM injections instead of receiving the Rotarix as an oral vaccine. The patient did not experience any adverse events.

Other Meds: None

Current Illness: None

ID: 0957016
Sex: F
Age: 23
State: FL

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

Lab Data:

Allergies:

Symptoms: Swollen at injection site one week after vaccine. Severe itching and soreness, and swole about 3 inches in diameter

Other Meds: Pepcid, Claritin, Effexor, atorvastatin

Current Illness:

ID: 0957017
Sex: M
Age: 73
State: AK

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

Lab Data: I did not go to see a doctor, given the low grade nature of the symptoms, but I do believe them a reaction. I am somewhat concerned about the second shot given this week long response, but am hoping this means the reaction to the follow up vaccination will be less.

Allergies: Penicillin

Symptoms: Since receiving the first vaccine I first had arm pain, but only for the first day or two. Then a couple of days later I realized that I had low grain headaches (which never have), sneezing, running nose, and feeling flushed. What clued me in to paying more attention to these symptoms: I found myself two days in a row opening windows (in winter) because I was feeling hot/flushed and since I almost never have a fever, it took me a day to figure out that the hot/flushed feeling, plus other symptoms was probably a low grade reaction to the vaccination. A week later, I remain stuffed up but the headache is going away and I have not felt flushed yesterday or today.

Other Meds: Blood pressure medication.

Current Illness: N/A

ID: 0957018
Sex: F
Age: 49
State: NY

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

Lab Data: I could not get my Rheumatologist to see me that takes care of the myositis because he said he has no knowledge of this side affect. I contacted my primary care physician and still have not gotten a response on what to do.

Allergies: Codeine Morphine Fluconazole Bactrim Toradol

Symptoms: 1)In the early evening I started to notice that I was feeling "movement" just below the skin in my arms and legs. I was resting trying to let the vaccination work and it just kept happening. It feels like it is in the nerve or muscles. Today the sensation continues anytime that the muscles/body part are not actively in use. 2)I had a metal taste in my mouth minutes after the shot. It went away after a couple hours. 3) My left arm was swollen and red for two days and now only hurts when pressure is applied and is now fine. 4)I did not have any fever, diahrea, vomiting,

Other Meds: Lyrica - 75mg Omeprazole - 20mg Cybalta - 20 mg Elavil - 75mg Celebrex - 200mg Trazadone - 50mg/25mg alternating days Vitamin c - 1000mg Vitamin D - 2000mg Zinc - 50mg Oyster Cal - 500mg Multi Vitamin Imuran - 100mg - This medication was

Current Illness: none

ID: 0957019
Sex: F
Age: 42
State: NY

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

Lab Data:

Allergies: None

Symptoms: Hives on chest

Other Meds: Aimovig injection Sertraline

Current Illness: None

ID: 0957020
Sex: F
Age: 55
State: FL

Vax Date: 01/06/2021
Onset Date: 01/11/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None yet. I need to see my PCP

Allergies: Norvasc, ace inhibitors; codeine

Symptoms: Moderna COVID -19 Vaccine EUA. Rash on arms on & off the past week. Itching from rash. Right upper arm petechia noted today. Will try to get appt 1/20 to see my PCP and get CBC with diff & platelets

Other Meds: Metoprolol; Atorvastatin; Prozac; Glucosamine & chondroitin; Turmeric, Probiotic; Hair, Skin, & nails vitamins

Current Illness: None

ID: 0957021
Sex: F
Age: 39
State: CA

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

Lab Data: none known

Allergies: none

Symptoms: Patient called on 1/12/21 to inform us that she had the flu shot done on 12/9/20. She had a sore arm for about a week after the shot was administered that progressed into painful shoulder and now she is hardly able to move her arm and is having difficulty dressing up. She has scheduled a doctors appointment to figure out what's wrong. Patient is an RN and is still reporting pain in the left shoulder when I followed up and spoke with her on 1/18/21.

Other Meds: not known

Current Illness: none

ID: 0957022
Sex: F
Age: 29
State: CA

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

Lab Data:

Allergies:

Symptoms: Throat warmth, no rash. Benadryl 25 mg given.

Other Meds:

Current Illness:

ID: 0957023
Sex: F
Age: 32
State: CA

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

Lab Data:

Allergies:

Symptoms: Red, burning and itching rash at the shot site. Did not appear until days after shot. Continuing to spread.

Other Meds:

Current Illness:

ID: 0957024
Sex: F
Age: 50
State: CA

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

Lab Data:

Allergies:

Symptoms: Right after injection, patient felt pain in area of her arm. By the next morning her upper right arm was red and swollen. It became hard red and painful. It continued to get more painful and area grew larger of "hard red swollen" area for the next 2 weeks until 11/15/20, when she took benedryl. It started to reduce in severity with taking the benedryl. (She went to urgent care 2x, they advised advil, ice or benedryl. ) When saw patient on 11/16/20 she had a large (8" wide by 15" long), red, swollen, hard and painful area of R upper arm that continued down past elbow on lateral side after shingles vaccine 2 weeks ago.

Other Meds:

Current Illness:

ID: 0957025
Sex: F
Age: 37
State: CA

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

Lab Data: ECG and laid back

Allergies: Penn vk

Symptoms: 5-10 mins after injection increased heart rate to 165. Heart palpitations the next two days.

Other Meds: none

Current Illness: none

ID: 0957026
Sex: F
Age: 63
State: WI

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

Lab Data:

Allergies: unknown

Symptoms: Later in the afternoon after receiving her vaccine her arm started to ache. She used ice and Tylenol but the pain persisted for five days to the point where she was unable to raise her arm over her head. She had Covid illness two months prior to receiving the vaccine.

Other Meds: unknown

Current Illness: Covid two months prior

ID: 0957027
Sex: M
Age: 48
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient reports fatigue, soreness and swelling to the injection site, hot and cold flashes, joint pain and muscle soreness and lethargy

Other Meds:

Current Illness:

ID: 0957028
Sex: F
Age: 39
State: NM

Vax Date: 01/06/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: No known allergies

Symptoms: Facial numbness and increased sensitivity on the left side of her face. There is no facial droop or lid lag. Other cranial nerves are stable. She did notice some numbness on the right side of face after receiving the first dose of vaccine. Concern for early Bell's Palsy will be treated with valganciclovir and prednisone.

Other Meds: FLUoxetine (FLUoxetine 40 mg oral capsule) 1 cap (40 mg), By Mouth, once a day acetaminophen/aspirin/caffeine (Excedrin Migraine) , By Mouth, q 6 hours fluticasone nasal (fluticasone 50 mcg/inh nasal spray) 1 spray, Both Nostrils, BID hydro

Current Illness: None

ID: 0957029
Sex: F
Age: 25
State: CA

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

Lab Data:

Allergies: no

Symptoms: 1 day after shot, the injection site was swollen and I experienced soreness for the next 3 days. At day 5, redness turned into bruising. At day 5, redness/bruising and swelling went away. At day 7, redness and swelling came back along with itchiness and is still present. No pain so far.

Other Meds: Probiotics and Women's Multivitamin

Current Illness: no

ID: 0957030
Sex: F
Age: 31
State: WI

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

Lab Data:

Allergies: Latex, Penicillin

Symptoms: Moderna COVID-19 Vaccine: Symptoms after vaccination: Intense pain to my affected arm started around 5-6:00pm the day I received the vaccine. A little while after that I noted terrible body aches and intense chills. I took Meloxicam and Tylenol for the pain to my arm and the body aches. This helped a little. I ended up going to bed at 7:00pm (same date) due to not feeling well. The chills were pretty intense going up and down my spine and I could not get comfortable in bed or sleep because I was freezing and aching all over. I am not sure if I had a fever at the time because I felt so weak and chilled that I couldn't get out of bed but my eyes felt like they were burning. My husband said I was sweating and my skin was burning hot despite the fact that I felt extremely cold. I developed a headache around midnight that lasted until the afternoon the day after my vaccination. I took more tylenol , meloxicam, and benadryl for the pain/headache and I took a mid morning nap. I felt better and more myself by about 4:00pm the next day. I did not need to receive any medical attention for these symptoms.

Other Meds: Wellbutrin, Dicyclomine, Cetirizine, Calcium Pyruvate

Current Illness: none

ID: 0957031
Sex: F
Age: 51
State: VA

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

Lab Data: None

Allergies: Tylenol, aspirin, penicillin

Symptoms: 1/17/2021 08:30 a.m. noticed red area on left arm at injection site. 1/18/2021 the red area on left upper arm is approximately 11 cm long. Red area not raised, not warm to touch or itchy. 1/19/2021 area remains similar in size but is less red at 7:05p.m.

Other Meds: Q-var, lisinopril, singulair, iron, estroven

Current Illness: None

ID: 0957032
Sex: F
Age: 36
State: DE

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Neosporin

Symptoms: On 1/5/2021 my left arm got very itchy & very hot to the touch up to 3in around the vaccine site It lasted for about 48hrs.

Other Meds: No

Current Illness: No

ID: 0957033
Sex: F
Age: 26
State: MO

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

Lab Data:

Allergies:

Symptoms: Patient returned to vaccine center approximately 30 minutes after being discharged(initially waited 15min with no symptoms)-upon return patient c/o initial tingling to lips and then itching across face. Treated with 25mg Benadryl, monitored for 40 min. Vital signs remained stable and patient stated that she felt better upon leaving the center.

Other Meds:

Current Illness:

ID: 0957034
Sex: F
Age: 63
State: AZ

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

Lab Data: Pt treated with Benadryl 50 mg IV. on 1/15/2021 at urgent care clinic.

Allergies: Codeine, PCN

Symptoms: Pt had heavy feeling in her feet followed by a choking feeling in her throat. Also noted tingling in hands and feet.

Other Meds: Estrogen Patch

Current Illness: None known

ID: 0957035
Sex: F
Age: 36
State: TX

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

Lab Data: none

Allergies: none

Symptoms: headache at 12 hrs post vaccine. Then fever (max 101), chills, muscle aches, fatigue starting 16hrs after vaccine. All symptoms resolved by 30hrs post vaccine

Other Meds: omeprazole, fiber, joint supplement, prenatal vitamin, dha, vitamin d

Current Illness: post-partum - baby delivered 12/31/20

ID: 0957036
Sex: F
Age: 23
State: CA

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

Lab Data:

Allergies:

Symptoms: Localized allergic reaction affecting the left arm - given 25 mg Benadryl and observed 30 minutes for resolution.

Other Meds:

Current Illness:

ID: 0957051
Sex: M
Age: 87
State:

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

Lab Data:

Allergies:

Symptoms: Narrative: patient return to clinic not feeling well, after evaluation by provider on site patient was transferred to ER via ACLS for further evaluation

Other Meds:

Current Illness:

ID: 0957052
Sex: F
Age: 52
State: NC

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

Lab Data:

Allergies:

Symptoms: Patient reported that 9 days after vaccine she had itching and warmness at the site of injection. It continued to spread and become more inflamed.

Other Meds:

Current Illness:

ID: 0957053
Sex: F
Age: 60
State: SD

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

Lab Data:

Allergies: Pt has had previous anaphylaxis reaction but was unsure what it was to.

Symptoms: Pt presented with itchy hands, itchy face

Other Meds:

Current Illness:

ID: 0957054
Sex: F
Age: 37
State: OH

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

Lab Data:

Allergies: penicillin

Symptoms: Injection site is red, itchy, swollen. Warm to touch. The symptoms got better a few days after the vaccine, but yesterday the same symptoms came back and are getting worse, It is now two weeks after the vaccine.

Other Meds:

Current Illness:

ID: 0957055
Sex: M
Age: 76
State: CA

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

Lab Data:

Allergies: Allergies: Ecklonia Kurome, Iodine

Symptoms: Gout flare L elbow

Other Meds:

Current Illness:

ID: 0957056
Sex: F
Age: 50
State: CA

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

Lab Data:

Allergies: Shell fish/bananas/latex/penicillin

Symptoms: Started on Friday night temperature of 101.0 , nauseated swelling in both knees, sore throat, muscle aches, headaches, diarrhea, shortness of breath hear rate of 129, chest pain, felt extremely sick on Saturday and Sunday lasting till Tuesday Morning .

Other Meds: NONE

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm