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: 0920705
Sex: F
Age: 35
State: TN

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: COVID test times 2 Rapid and confirmatory- both negative

Allergies: Biaxin, Amoxicillin, Mango,

Symptoms: Fever, joint pain, body aches, fatigue, tingling in spine, headache, nausea, vomiting, tightening in chest when mobile, Symptoms lasted approx. 48 hours. Treatment- rest, fluids, inhaler, ibuprofen

Other Meds: Probiotic, multivitamin, Vitamin D, Apple cider vinegar gummies

Current Illness: Sinus infection and ear infection one month prior

ID: 0920706
Sex: F
Age: 33
State: CA

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: none

Allergies: N/A

Symptoms: Day 1 - Injection given around 8:30am - developed fever and headache around 2pm, muscle aches and fatigue started shortly after. Fever (101) broke around midnight. Day 2 - Headache lasted until 1pm (I took two OTC Tylenol at 10am), Entire body was extremely sore and I felt very exhausted. Day 3 - Felt almost back to normal. Day 7 - Injection site is still red, swollen, and hard. On my neck there are lumps that just appeared and cause some discomfort. Fatigue is still there. On another note I have found it difficult to catch my breath at times this past week.

Other Meds: Metformin 1000mg, Cranberry with probiotic

Current Illness: Diabetic

ID: 0920707
Sex: F
Age: 40
State: OH

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: influenza vaccine (rash, hives, vomit)

Symptoms: I took the Moderna Covid vaccine on 12-28-2020 at 1420. After getting the shot, I had a metallic taste in my mouth and drank some water then waited 20 mins. When I left to go back to my department, I started getting dizzy and coughing. I sat down in my department and could not stop coughing so I went to the ER department. My eyes were swollen, I had a rash from my arms and legs all the way down my body. I had hives on my face and my eyes were swollen. I was coughing and wheezing. the ER RN started an IV and I was given steroids, diphenhydramine, ondansetron and IV fluids. I was also given some cough medicine. I was monitored for a few hours and before I left - they gave me hydroxyzine for the hives and itching. The PA also ordered meds for me to take at home. - per patient report

Other Meds:

Current Illness: no

ID: 0920708
Sex: M
Age: 45
State: GA

Vax Date: 12/18/2020
Onset Date: 12/20/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: headache, nausea,nasal congestion, dizziness, Symptoms resolved in 48 hrs , took Tylenol

Other Meds: none

Current Illness: none

ID: 0920709
Sex: F
Age: 49
State: MN

Vax Date: 12/23/2020
Onset Date: 01/01/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: NA

Allergies: Seasonal Bee Venom

Symptoms: 9 days later had large red mark raised and bump at vaccine site.

Other Meds: Vitamin D Multi-vitamin

Current Illness: none

ID: 0920710
Sex: F
Age: 59
State: IL

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: Cheat x-ray had some covid changes on it Blood count was low

Allergies: sulfa

Symptoms: Fatigue, sinus pain, nausea , vomiting , Chills, Body Aches, Fever. Headache, Diarrhea, runny nose Tenderness at the injection site.

Other Meds: Preservision Vitamin D. Fish oil

Current Illness: None

ID: 0920711
Sex: M
Age: 31
State: UT

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: None

Allergies: No known allergies

Symptoms: I am the patient's neurologist. The patient has very well controlled epilepsy without a seizure in over a year. He is compliant with medication and did not have another provoking factor. Approximately 6 hours after receiving the vaccine he had a generalized seizure, which was witnessed by his wife. He had an aura, behavioral arrest, tonic-clonic activity for 1 minute followed by a post-ictal period of several hours. This is consistent with his known seizures, but the provocation appears to be the vaccine he received earlier in the day.

Other Meds: Lamictal

Current Illness: Cholelithiasis, 12/09/2020

ID: 0920712
Sex: F
Age: 24
State: IL

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

Lab Data: NONE

Allergies: NONE

Symptoms: Body malaise, Sore to injection site

Other Meds: NONE

Current Illness: NONE

ID: 0920713
Sex: F
Age: 56
State: WV

Vax Date: 12/15/2020
Onset Date: 12/15/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Deep muscle soreness developed within 2 hours. Soreness restricted movement prevented normal activities and work for 12 hours. Temperature 99 at 12 hours following injection. Insomnia 12/15. Fatigue x 2 days. No redness or swelling at injection site.

Other Meds: None

Current Illness: None

ID: 0920714
Sex: F
Age: 73
State: FL

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

Lab Data: none

Allergies: sulfa

Symptoms: Client experience dizziness. Client was evaluated by onsite paramedic and released to ho home at 9:57 am.

Other Meds: unknown

Current Illness: unknown

ID: 0920715
Sex: U
Age: 49
State: MD

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: No known allergies.

Symptoms: 15:30 complete, injection site warmth. VS: T97.5, HR 108, 95% SpO2, BP 162/72. Patient monitored for 10 more minutes, doctor notified. Patient cleared. Second set of vitals obtain: HR 113, BP 139.67, 100% SpO2.

Other Meds: Unknown.

Current Illness: Unknown.

ID: 0920716
Sex: M
Age: 45
State: TN

Vax Date: 12/21/2020
Onset Date: 12/29/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: CT was completed on 12/30/2020. Other labs were drawn but I am unaware as to what those were.

Allergies: None

Symptoms: Received vaccine on 12/21/2020. Developed constipation that cleared on 12/26/2020 with use of colace. Had episode of diarrhea on 12/28/2020. Abdominal pain began at 2330 on 12/29/2020 and worsened through the night. Went to ER at 0500 hours on 12/30/2020 where I was diagnosed with appendicitis and underwent appendectomy on the same day by Dr. I have no idea if this is related to the vaccine or simply a coincidence. In error of caution, I am reporting this. Thank you.

Other Meds: Olmesartan, HCTZ, amlodipine, collace

Current Illness: Episode of constipation 3 days earlier.

ID: 0920717
Sex: F
Age: 44
State: AL

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

Lab Data: None.

Allergies: None

Symptoms: Patient stated that she felt hot, internally. She then felt faint, dizzy. Her BP was elevated (115/99 mmHg) but pulse was normal (65 bpm). It did continue to change throughout her waiting/observation period (highest BP 158/110 mmHg and pulse 78 bpm). We observed her for 40 minutes when she stated that she felt ok to go home and rest. At that time her BP had normalized.

Other Meds: Not Known

Current Illness: None

ID: 0920718
Sex: M
Age: 31
State: MA

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: none at this time

Allergies: nka

Symptoms: 1 week post vaccine last evening approx 1130 pm while putting steroid cream (treatment for eczema) noticed right shoulder area red, warm and itchy.

Other Meds: Zyrtec albuterol inhaler prn

Current Illness: None

ID: 0920719
Sex: F
Age: 36
State: PA

Vax Date: 12/23/2020
Onset Date: 12/28/2020
Rec V Date: 01/05/2021
Hospital: Y

Lab Data: blood work

Allergies: none

Symptoms: starting to feel lethargic and weak. Had menses with increased blessed. Called physician to have blood work done to see if I was experiencing anemia. Blood work complete on 12/31/2020. On 1/3/2021, I woke up with blood blisters all over the inside of my mouth and petechia on my trunk and bilateral upper and lower extremities. I called my primary physician to report the symptoms. He suggested to go to the ER if my symptoms worsened. Later that evening I started with a nose bleed and did go to the ER. Upon arrival to the ER, my platelet count was 9. I was admitted to the hospital and diagnosed with ITP.

Other Meds: none

Current Illness: none

ID: 0920720
Sex: F
Age: 57
State: MA

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Seven days after vaccine given, there was a lump at the site of injection, two days after that (9d after) there is a red rash 3in x 3 in and the are is hard. Today I iced it and last night I took Motrin

Other Meds:

Current Illness:

ID: 0920721
Sex: F
Age: 33
State: OR

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: none. encouraged her to be seen by PCP or urgent care for evaluation of reaction and to evaluate for 2nd vaccine.

Allergies: states none

Symptoms: came to clinic 1/5/21. states had vaccine 12/28/20. noticed last night arm itching, tender, hot, redness. marked redness - approx. 1.5 x 2 inches. redness size not changed, shifted position slightly (less than 1/4 inch). warm to touch. has not taken meds

Other Meds: none

Current Illness: states none

ID: 0920722
Sex: F
Age: 54
State: MI

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

Lab Data:

Allergies: PCN

Symptoms: Started to feel dizzy about9 hours after the vaccine. Went to bed. Woke up at 6:20 AM with nausea and a tremendous headache - 8 out of 10. Took 325 mg Tylenol and helped a little - 7 out of 10. Slept a couple of hours and the headache was still 7 out of 10. Took 650 mg Tylenol, ate some veggie straws, and drank some Focus Aid. After about 1/2 hour the headache was a 4/10. 2 hours later and headache remains, currently 5/10.

Other Meds: Multivitamin and Vitamin D

Current Illness: None

ID: 0920723
Sex: F
Age: 45
State: KY

Vax Date: 12/22/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: NONE

Symptoms: RED, SWOLLEN, PAINFUL AREA AT INJECTION SITE (HOT TO THE TOUCH) JOINT PAIN IN ELBO AND SHOULDER MUSCLE PAIN IN ARM INJECTED

Other Meds: MELETONIN MOTEGRITY PROTONICS MOTOPROL MUSCLE RELAXER

Current Illness: NONE

ID: 0920724
Sex: F
Age: 23
State: MN

Vax Date: 08/27/2020
Onset Date: 08/27/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Gave the Tdap 1st left arm. She had had one Tdap previously on 8/20/09. She did fine. Gave the HPV in the right arm. Almost immediately she said she didn't feel right and fainted. Was out for a short time, upper extremity movements when she awakened. Monitored her for a while and she recovered and felt fine. Had the doctor check on her also. Let her go 20-30 minutes later as she was feeling ok. She was there for a doctor appt and vaccines were ordered at the end of the visit.

Other Meds: none

Current Illness: none

ID: 0920725
Sex: F
Age: 43
State: IA

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: influenza testing which was negative on 12-24-2020

Allergies: none

Symptoms: began with nausea and headache, progressing to body aches, fever of 101. Fever lasted 48 hours, headache for 4 days

Other Meds: cymbalta 30mg daily, omeprazole 40mg daily

Current Illness: none

ID: 0920726
Sex: F
Age: 48
State: KY

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital: Y

Lab Data: 12/31/20 MRI of brain, Carotid Artery CBC, Platelet panel, Troponin, EKG

Allergies: None

Symptoms: 12/31/20 around 11am Numbness in right hand and right cheek, 5 minutes later, slurred speech. Episode lasted approximately 10 minutes. Treated in ER. Labs, MRI, all normal 1/3/21 Swollen lymph node to left axilla 1/4/21 Rash to injection site

Other Meds: None

Current Illness: None

ID: 0920727
Sex: F
Age: 29
State:

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

Lab Data: None necessary

Allergies: None

Symptoms: Mild nausea (dizziness, tightness in jaw, sour taste in mouth, stomach pain) 5-10 minutes after injection. Muscle soreness at injection site beginning in the evening.

Other Meds: None

Current Illness: Common Cold

ID: 0920728
Sex: M
Age: 37
State: NE

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

Lab Data:

Allergies:

Symptoms: DEVELOPED CONTINUOUS CHEST PAIN WHEN BREATHING IN. WAS SENT TO THE EMERGENCY ROOM. WAS SEEN IN ER AND DISCHARGED AFTER OBSERVATION PERIOD. ER PROGRESS NOTE: Patient is a 37 y.o. male who arrived by Home presented to the emergency department for Chest pain. Patient states that approximately 15 this morning he received a Covid vaccine and approximately 1 hour later he started to have chest pain. Patient describing chest pain as sharp, left-sided, nonradiating, nonexertional, only occurring with taking a big deep breath, has never had similar symptoms before, not improving with home baclofen, currently a 3-4 out of 10, not occurring at rest only with deep breath. Patient states that he became concerned that it was a side effect of the vaccine and came to ED for further evaluation. Patient just denies any associated shortness of breath, nausea or vomiting. Patient states he has history of bipolar, takes no mental and has been taking as prescribed. Patient states he is otherwise healthy. Patient works at a healthcare facility, has a weekly Covid antibody test which is was been negative, denies any other associated symptoms today. Patient is a daily smoker, no history of blood clots, no recent travel or surgeries. Patient denies any headache, change in vision, nausea, vomiting, neck pain, back pain, fever, chills, shortness of breath, abdominal pain, flank pain, change in urination, diarrhea, constipation, rashes, lightheadedness, dizziness, or any other associated symptoms.

Other Meds:

Current Illness:

ID: 0920729
Sex: F
Age: 48
State: FL

Vax Date: 12/23/2020
Onset Date: 01/05/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: Aspirin , all N' saids , ampicillin , keflex

Symptoms: red lump on arm where injected . its hot and swollen . the next day after the shot I had a fever , muscle and joint aches and pains . exhaustion . the red lump grew and is still with me 2 weeks after the shot .

Other Meds: atenolol , tirosint , triamterene HCTZ, hydrocodone , butalbital , amitriptyline, cycloset, benedryl, lyrica, omeprazole , fenofibrate , potassium ,

Current Illness:

ID: 0920730
Sex: M
Age: 41
State: PA

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

Lab Data: none

Allergies: none

Symptoms: headache approximately 4 hours after vaccine , treated with OTC ibuprofen. symptoms resolved

Other Meds: Flomax 0.4mg po qHS Pepcid 40mg po qHS

Current Illness: COVID 19 + 12/12/2020

ID: 0920731
Sex: F
Age: 59
State: NY

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: same night nausea and vomited. 12 days later 1/2/21 woke up with stiff knees/wrists and joint pain swelling

Other Meds: blood pressure med, multi vitamin

Current Illness: n/a

ID: 0920732
Sex: F
Age: 32
State: OH

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

Lab Data: Na

Allergies: Codeine

Symptoms: Migraine, nausea, fever, shivering/chills, full body aches, joint/bone pain.

Other Meds: Lexapro methocarbamol Claritin Tylenol

Current Illness: Na

ID: 0920733
Sex: F
Age: 28
State: MA

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: PCP - Dr did an X Ray of my shoulder on Tuesday the 29th and MRI yesterday on 01/04.

Allergies: Zithromax

Symptoms: I had t sit in the room for observation for 1/2 an hour no symptoms. returned to work and no problems. Then about 3 hours after I received the vaccine I started having nausea and some hand tingling on and odd. The biggest limiting symptom was the excruciating shoulder pain on the left arm, no relief with ibuprofen, Tylenol, ice, changing position nothing. Worse pain I had in my life. I could not move my arm on its own at all and it was excruciating pain. Went to the ER and they gave me IV fluids and tramadol. The pain was better after that but I still could not move the arm and the pain was still present. They made me follow up with my PCP. I saw my PCP on a Tuesday after being on and off the phone with them on a Mondays. Symptoms have improved but not back to normal.

Other Meds: Trisprintec, Vitamin D and B12 and Folate

Current Illness: No

ID: 0920734
Sex: M
Age: 72
State: OH

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Fever/chills, weakness, fatigue, headache, arm pain and muscle aches.

Other Meds: Im testosterone, vitamin C

Current Illness: COVID 3 wks ago

ID: 0920735
Sex: F
Age: 48
State: IL

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

Lab Data: NONE

Allergies: NONE

Symptoms: NAUSEA, VOMITING, FEVER, SORE TO INJECTION SITE, BODY MALAISE, FATIGUE

Other Meds: NONE

Current Illness: NONE

ID: 0920736
Sex: F
Age: 59
State: VA

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: None yet.

Allergies: NKDA

Symptoms: Development of tinnitus/ringing sensation/buzz as a "generalized sensation" that is generally not pleasant. Within first 24 hours after administration patient had regular side effects including headache, fever (99.8) , and chills that disappeared after 36-48 hours.

Other Meds: Armour thyroid 60mg qd

Current Illness: NONE

ID: 0920737
Sex: F
Age: 44
State: MI

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient was given a pediatric dose of Hep B.

Other Meds:

Current Illness:

ID: 0920738
Sex: F
Age: 48
State: PA

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Employee developed large reddened area at site of injection. Employee completed a telehealth visit with provider who encouraged her to ice and continue to monitor site.

Other Meds:

Current Illness:

ID: 0920739
Sex: U
Age: 29
State: CA

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

Lab Data:

Allergies: No known allergies.

Symptoms: Associate came back post vaccine after leaving, left hand fifth digit numbness and tingling. VS: T 97.7, HR 61, BP 129/84. Doctor notified, 12:40pm doctor monitored for 25 minutes, patient reported no other symptoms and stated he wanted to leave and was feeling better.

Other Meds: Unknown.

Current Illness: Unknown.

ID: 0920740
Sex: F
Age: 55
State: CA

Vax Date: 12/22/2020
Onset Date: 12/28/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: NOne

Allergies: None

Symptoms: 6 days after my shot, I developed an itchy rash with moderate swelling on face mostly, neck and wrists. I am not sure of the cause - it was clearly some kind of allergy, possibly a contact allergy, but I am not sure if it is connected to the vaccine or not. I was advised to report it. It was bad enough to have been prescribed prednisone

Other Meds: None

Current Illness: None

ID: 0920741
Sex: F
Age: 37
State: OK

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

Lab Data:

Allergies: Latex, Morphin

Symptoms: Fast heartbeat (between 126-130 HR per minute)

Other Meds: Vitamin C, Vitamin D3, B-Complex, Potassium.

Current Illness: NKDA

ID: 0920742
Sex: F
Age: 55
State: NY

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

Lab Data: Blood work done by ER

Allergies: Levaquin

Symptoms: Moderna COVID-19 Vaccine EUA Rapid heartbeat, extreme light headedness within 5 minutes, eyes bothered me, was wheeled to ER (1/4/2021) Still a little light headed (much better than yesterday), muscle aches legs and back (1/5/2021)

Other Meds: Levothyroxine Pantoprazole Latanoprost Tumeric

Current Illness: none

ID: 0920743
Sex: F
Age: 54
State: IL

Vax Date: 12/31/2020
Onset Date: 01/03/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: Pt presented to occupational health department for evaluation on 1/5/2021. No additional diagnostic testing ordered at this time.

Allergies: Sulfa drugs Latex

Symptoms: Developed multiple erythematous patches/hives to R lower abdomen covering an area of approximately 17cmx28cm in size. Patches are erythematous, pruritic and appear to have a central clearing. Pt tried applying a topical anti-fungal cream initially, but it did not help. Also applied a regular topical emollient which also did not help.

Other Meds: Atenolol 25 mg hs ASA 81 mg qd Zetia 10 mg qd Ranitidine 300 mg hs Metformin 1000 mg bid Prevacid 30 mg qd Allegra 180 mg qd Mature multivitamin qd B complex qd Nasonex 2 sprays hs Advair 250/50 2 puffs qd Albuterol inhaler qid PRN Albutero

Current Illness: Denies illness in month prior to vaccination

ID: 0920744
Sex: F
Age: 31
State: IL

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

Lab Data:

Allergies:

Symptoms: Vomiting, Body ache, Headache, Fever

Other Meds:

Current Illness:

ID: 0920745
Sex: M
Age: 35
State: CA

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: pruritic rash started on the ipsilateral elbow flexor, spread to wrist, web spaces, then all flexor folds in all 4 limbs. These lasted for about 5-7 days and disappeared on their own. I did not take any medication or apply any creams or ointments.

Other Meds: none

Current Illness: some flu-like symptoms before holiday

ID: 0920746
Sex: F
Age: 32
State: MN

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

Lab Data: None

Allergies: No

Symptoms: Within 5 hours I broke out in a rash all over my body, horrible piercing headache, became dizzy, became diaphoretic and feverish , horrible muscle body aches hurt to the bone , left arm burned and could barely lift it . Felt very confused totally brain fog and extremely fatigued. I took benadryl and tylenol. I came home from work and went to bed and couldn't function until Friday. I slept all of Thursday . By Saturday my rash subsided, I felt ok enough to function but haven't felt 100 % since.

Other Meds: No

Current Illness: No

ID: 0920747
Sex: M
Age: 56
State: VA

Vax Date: 12/28/2020
Onset Date: 01/01/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: none

Allergies: Peanut sensitivity

Symptoms: Generalized Skin Burning and mild mucus membrane sluffing

Other Meds: ASA, St. John Wart, Zinc, Lisinopril, D3, Claritin, Exogenous Testosterone

Current Illness: None

ID: 0920748
Sex: F
Age: 46
State: PA

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

Lab Data: N/A

Allergies: Acetaminophen

Symptoms: At about 10pm the injection site pain had radiated to my armpit and breast area. I took ibuprofen and tried to go to sleep. I was unable to sleep on my left side as normal. Around 12:30am I woke up cold, shivering violently, with a fever of 103.?3. My feet were also burning. I woke up around 2:30am. Fever was down to about 102.4?, feet were still burning and my face and eyes were swollen. I took more ibuprofen and put used cold compress on my eyes. Around 4:30am I woke up with abdominal pain and pain in my hips. Fever was lower, eyes were better but face still swollen and feet still burning. I called off work at that time. By about 8am fever broke and have just had an intense headache.

Other Meds: Metphormine, glimepiride, Jaurdiance, losartin, creator, Buspar, Trazadone, synthroid, vitamin B, D, and E, acidophilus, fiber

Current Illness: Sinus irritation/allergies

ID: 0920749
Sex: F
Age: 60
State: IL

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

Lab Data: NONE

Allergies: NONE

Symptoms: BODY MALAISE, SORE TO INJECTION SITE, HEADACHE

Other Meds: NONE

Current Illness: NONE

ID: 0920750
Sex: M
Age: 31
State: MN

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

Lab Data: all labs within normal limits

Allergies: vancomycin

Symptoms: Vision changes (things became "pixelated"), Cough (slight bronchospasm), arm numbness/decreased strength in administration arm.

Other Meds: none

Current Illness: none

ID: 0920753
Sex: F
Age: 43
State: NJ

Vax Date: 12/19/2020
Onset Date: 12/20/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: NA

Allergies: NA

Symptoms: Symptoms started day after receiving vaccine. Started with a rash on upper back that itched and burned for a few days, followed by whole body burning and sweating with rash on lower arms and chest along with continued rash on upper back. These symptoms come and go and are worse on different days. This continues today and I have been advised by my healthcare provider not to receive second dose which was scheduled for today 1/5/21. I did take steroids for two days but then was advised by physician to allow my body to react if I can tolerate the symptoms. Symptoms are tolerable some days but not all. No fever with the burning and sweating. No other symptoms.

Other Meds: NA

Current Illness: NA

ID: 0920754
Sex: F
Age: 37
State: PA

Vax Date: 12/30/2020
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Employee developed swelling and increasing pain in armpit of arm that received vaccine.

Other Meds:

Current Illness:

ID: 0920755
Sex: F
Age: 43
State: NV

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

Lab Data:

Allergies:

Symptoms: fever, pain at injection site

Other Meds:

Current Illness:

ID: 0920756
Sex: F
Age: 41
State: MT

Vax Date: 12/23/2020
Onset Date: 01/05/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: non

Symptoms: PT experienced itchiness and a sore arm on 12/23/2020. Developed hives on 1/5/2021 at injection site

Other Meds: birth control -unknown, hydrochlorothiazide, vitamin D, loratadine

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm