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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 0957697
Sex: F
Age: 53
State: CT

Vax Date: 01/07/2021
Onset Date: 01/16/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: NKDA, NKA

Symptoms: Vaccinated 1-7-21 adverse reaction began 1-16-21 with redness, pain, itching of right upper arm. I tried Benadryl and Cortisone cream with no improvement. The redness began spreading around upper arm. I saw PCP 1-19-21 who prescribed Keflex tid for 7 days for what he believed was either a cellulitis or staph infection.

Other Meds: Vitamin D, Magnesium, Multivitamin

Current Illness: N/A

ID: 0957698
Sex: F
Age: 43
State: NJ

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: HEADACHE AND CHILLS. TOOK MOTRIN 200 MG @ 12PM 1/13/2021 TYLENOL 500 MG @ 9PM 1/13/2021

Other Meds: METOPROLOL 5MG

Current Illness: NONE

ID: 0957699
Sex: F
Age: 38
State:

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

Lab Data:

Allergies:

Symptoms: Has a fever, chills, and headache

Other Meds:

Current Illness:

ID: 0957700
Sex: F
Age: 26
State:

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: I had been lying down for 1-2 hours. When I got up, I suddenly became lightheaded and nauseous. I had to sit on the floor to steady myself. I became extremely sweaty with chills and my entire left arm (side of injection) became numb and tingly. The episode lasted approximately 20 minutes, and I was symptom-free within an hour. I never fainted or vomited.

Other Meds: Birth control pills

Current Illness: None

ID: 0957701
Sex: F
Age: 45
State: TX

Vax Date: 01/15/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Body aches, nausea, diarrhea, fatigue started day 4 post vaccine. No treatment at this time. Does not interfere with ADL.

Other Meds:

Current Illness:

ID: 0957702
Sex: M
Age: 65
State: NY

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

Lab Data: Vitals, O2 sat and enhanced observation

Allergies: No Known

Symptoms: Patient complained he felt tachycardic (HR was 74 BPM) he stayed for enhanced observation and stated he felt better HR was 64 BPM

Other Meds:

Current Illness:

ID: 0957703
Sex: F
Age: 50
State: MI

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

Lab Data:

Allergies:

Symptoms: Patient had same symptoms as she did after her first shot: tachycardia, flushed face, feeling ill. She was observed for 30 minutes and felt better. Symptoms resolving.

Other Meds:

Current Illness:

ID: 0957704
Sex: F
Age: 27
State: PA

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

Lab Data:

Allergies: penicillin, cephalosporins, sulfa

Symptoms: muscle pain from injection site has remained but improved from the day before, slight headache which improved after sleep, severe chills - multiple blankets used including heating blanket used which improved after sleep

Other Meds: multivitamin

Current Illness:

ID: 0957705
Sex: M
Age: 25
State: NY

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: I felt pain in my left arm beginning at 9:00 PM on the night I received the vaccine (01/18/2021). At the time of this writing, my pain has not disappeared but is reducing as anticipated. Throughout the day of 01/19/2021, I experienced symptoms of a mild fever and proceeded to nap at 5:15 PM. At 7:30 PM, I was experiencing body chills and felt more defined effects of the fever. I proceeded to take two Acetaminophen pills by 8:00 PM and my symptoms subsided later into the night. At the time of this writing, I am only experiencing light headaches (I think) and reduced arm pain. I believe my fever/body chill symptoms are no longer affecting me.

Other Meds: N/A

Current Illness: N/A

ID: 0957706
Sex: F
Age: 37
State: PA

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Day 8 developed raised, red, itchy circular shaped rash (erythema) at injection site. Lasted 3 days (day 8-10). Day 11 mostly resolved, only slightly red. Day 12 resolved. Day 13 (today) developed wider red circular rash, I can feel that it's present but not itchy.

Other Meds: Synthroid, fish oil, vit D

Current Illness: none

ID: 0957707
Sex: F
Age: 42
State: AL

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

Lab Data: none

Allergies: none

Symptoms: About 12 hours after injection I went to bed. No side effects noted during the day. During the night I had insomnia for the entire night. Also noted excessive itching to entire body. No hives or welts. Still itching this morning

Other Meds: Daily multivitamins

Current Illness: none

ID: 0957708
Sex: F
Age: 50
State: MA

Vax Date: 01/11/2021
Onset Date: 01/01/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: chills, fever, muscle pain , nausea ,

Other Meds:

Current Illness:

ID: 0957709
Sex: F
Age: 34
State: IN

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

Lab Data:

Allergies: None

Symptoms: I experienced extreme body aches that were so bad I was unable to perform daily tasks. I also had fever, chills and fatigue as well as nausea.

Other Meds: Lexapro

Current Illness: Possible COVID+ in mid-December

ID: 0957710
Sex: F
Age: 22
State: MN

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: N/A

Allergies: Omeprazole

Symptoms: Vomiting stomach bile at 10am, 10:30am, 11:10am, 11:30am, 12pm, and 12:50pm. No nausea present. Drowsiness, partly due to vomiting.

Other Meds: Oral Birth Control: 3mg/.03mg drospirenone and thinly estradiol tablets USP

Current Illness: No

ID: 0957711
Sex: F
Age: 35
State: PA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Penicillin, fresh fruits

Symptoms: As the injection day wore on, my arm increased in soreness. By 9:00 pm on day of injection, I was unable to lift or move my arm, due to the pain. For 2 days after the injection, I was unable to perform many activities becuase I could not lift or move my arm. By 11:30 pm on Saturday 1/16, I started to be able to lift and move my arm, a tiny bit. On Sunday the 17th, I was able to lift my arm to shoulder height, but still had a great deal of pain. The pain started to lessen throughout the day on Sunday. When I woke up Monday morning, I was able to use my arm, but it felt "dead" (like when you sleep on a limb wrong). This feeling continued through Tuesday, and Tuesday evening. Tuesday evening, into Wednesday the 20th, it feels like there is a tennis ball in my arm pit - when my arm is in normal position. When my axillary lymph nodes were felt, there is no swelling, but a greater amount of pain.

Other Meds: Buspar

Current Illness:

ID: 0957712
Sex: F
Age: 36
State: NY

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

Lab Data: Vital signs and enhanced observation

Allergies: No Known Allergies

Symptoms: Patient complained of dizziness 15 minutes post vaccination

Other Meds:

Current Illness:

ID: 0957713
Sex: F
Age: 20
State:

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

Lab Data: None

Allergies:

Symptoms: Transient Syncope with tonic-clonic movements aproximately 5-10 seconds. Patient was maintain on Trendelburg for aproximately 25 minutes. Blood pressure monitoring x 3 A) 80/60 B) 100/65 C) 115/70

Other Meds:

Current Illness:

ID: 0957714
Sex: F
Age: 37
State: PR

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

Lab Data: NO

Allergies: NONE

Symptoms: Chills, Body ache, Headache, Dizziness, Fever.

Other Meds: SAMBUCUS VIT D VIT C

Current Illness:

ID: 0957715
Sex: M
Age: 31
State: IN

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

Lab Data:

Allergies:

Symptoms: Aches, fever, chills, headache, nausea

Other Meds:

Current Illness:

ID: 0957716
Sex: F
Age: 51
State: NC

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

Lab Data: COMPLETE BLOOD COUNT, COMPREHENSIVE METABOLIC PANEL AND COAGULATION STUDIES

Allergies: GADOLINIUM, CARBAMAZEPINE, CODEINE, FENTANYL, MORPHINE, OXYBUT

Symptoms: TEAM MEMBER RECEIVED DOSE OF VACCINE AT 1228. AT 1239 PATIENT BEGAN EXPERIENCING A MEATALLIC TASTE IN MOUTH FOLLOWED BY GENERALIZED ITCHING, ANXIETY, SHORTNESS OF BREATH. PER VACCINE ADVERSE EVENT PROTOCOL PATIENT WAS GIVEN EPINEPHRINE AND BENADRYL 50MG. EMERGENCY RAPID RESPONSE WAS INITIATED. OXYGEN WAS APPLIED AT 2L. PATIENT TACHYCARDIC AT 120 WITH BP 80/60, O2 SATS 98%. UPON ARRIVAL OF THE EMERGENCY RESPONSE PROVIDER, SOLUMEDROL 125MG WAS ORDERED AND ADMINISTERED. PATIENT WAS TRANSPORTED TO THE EMERGENCY DEPARTMENT AT 1250 FOR ADDITIONAL MONITORING AND TREATMENT. PATIENT RECEIVED ADDITIONAL SOLUMEDRON 125MG, PEPCID 20 AND BENADRYL 25 MG IN THE ED.

Other Meds: VITAMIN D, PEPCID, GILENYA, ATIVAN, TRAZODONE, EPI-PEN

Current Illness:

ID: 0957717
Sex: F
Age: 60
State: NJ

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: Ancef

Symptoms: Within 5 minutes of getting injected, felt heat over entire body, from top of head to toes, heart rate increased. Nurses came over and took VS. BP 180/100, P128, Throat scratchy and hard to swallow. Monitored continuously and had epinephrine ready but didn't inject as about 10 minutes later symptoms started to subside. Stayed in hospital for longer period (unsure of exact time) and then went home. Over the next 2 days, felt listless, weak and no appetite.

Other Meds: Baclofen 20 mg, bid Prozac 40 mg od Nexium 20 mg od Multi Vitamin od

Current Illness: none

ID: 0957718
Sex: M
Age: 73
State: AL

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Five weeks between doses; A spontaneous report was received from a consumer who was a 73 year-old, male patient who received Moderna's COVID -19 Vaccine, which the vaccine doses had been scheduled five weeks between doses. The patient's medical history included idiopathic pulmonary fibrosis, hypothyroidism, cholesterol, and diabetes. Concomitant medications included an unspecified calcium carbonate, nintedanib esilate, levothyroxine sodium, metformin, and an unspecified medication for cholesterol. The patient received his first of two planned doses of mRNA-1273 (Batch number 011L20A) on 30 Dec 2020 intramuscularly in his upper arm for prophylaxis of COVID-19 infection. On 07 Jan 2021, the patient scheduled his second of the two planned doses of mRNA-1273 intramuscularly for prophylaxis of COVID -19 infection for 13 Feb 2021 (45 days post first dose). The subject was advised that the COVID -19 vaccine series should be given one month apart for the vaccine to work and help protect against COVID -19. Treatment for the event included not provided. Action taken with mRNA-1273 in response to the event(s) was not provided. The outcome of the event was considered resolved on 07 Jan 2021.; Reporter's Comments: This case concerns a 73-year-old male patient who received their first of two planned doses of mRNA-1273 (Lot 011L20A), reporting Inappropriate schedule of product administration without any associated adverse events.

Other Meds: SYNTHROID; METFORMIN; ANTACID [CALCIUM CARBONATE]; OFEV

Current Illness: Cholesterol; Hypothyroidism; Idiopathic pulmonary fibrosis

ID: 0957719
Sex: F
Age: 82
State: PA

Vax Date: 01/11/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: tree nuts, raw fruit, anaphalysis reaction to wasp stings, in 2020

Symptoms: Last evening I experienced severe itching at the injection site, I applied a benedryl lotion to the injection site, but no relief. I took a 20mg benedryl and went to bed. I woke up this morning with severe itching and a red arm at the injection site. Prior to yesterday and todays reaction, I did not experience anything except a sore arm. It is 9:00am, I am waiting to see how I feel, if it becomes necessary to contact my Dr. ????time will tell.

Other Meds:

Current Illness: none

ID: 0957720
Sex: F
Age: 34
State: IN

Vax Date: 12/23/2020
Onset Date: 12/31/2020
Rec V Date: 01/20/2021
Hospital:

Lab Data: Audiogram Tympanogram

Allergies: None

Symptoms: Tinnitus, hearing loss in left ear started on 12/31/2020 and has not resolved. Vertigo and vomiting started on 1/12/2020 with a duration of approximately 48 hours then resolved.

Other Meds: Allegra Flonase Synthroid Flexeril Melatonin

Current Illness: None

ID: 0957721
Sex: F
Age: 34
State: FL

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Significant swelling and pain of lymph tissue in underarm of injection site

Other Meds: Gianvi BC Lexapro 10 mg Vitamin D 50000 (once weekly) Magnesium 350 mg Montelukast 10 mg

Current Illness: N/A

ID: 0957722
Sex: F
Age: 66
State: OH

Vax Date: 01/07/2021
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: new scattered red areas on left upper outer arm 13 days after injection

Other Meds:

Current Illness:

ID: 0957723
Sex: F
Age: 36
State: PA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Amantadine

Symptoms: Symptoms include flushed/itchy face, red patches on face, numb tongue, no fever

Other Meds:

Current Illness:

ID: 0957724
Sex: F
Age: 55
State: IN

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Injection site soreness

Other Meds: None

Current Illness: None

ID: 0957725
Sex: F
Age: 41
State: VA

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Na

Symptoms: Left Arm very sore for 3 days after shot Fatigue for a fees days after Hives/ bumps on both sides of body- fingers, hands and only left elbow Brain fog

Other Meds: Multi vitamin, fish oil, probiotics, Vit d, excedrine migraine

Current Illness: Cold symptoms lasting a few days, COVID NEG

ID: 0957726
Sex: F
Age: 75
State: FL

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Sulfa antibiotics

Symptoms: o Patient reported mild headache after receiving Moderna vaccine. Vital signs taken BP 114/44 P 90 R 17 o2 sat on room air 97%. Bottle of water given to patient. Patient stated "I feel fine,just have a small headache". Retook BP 105/40 P 92. Relayed to patient to the need to go to walkin. Patient refused Contacted Nurse manager, nurse manager consulted with Walkin provider. Dr recommended patient go to ER to receive IV fluids. Patient refused stated she is feeling better. Two more water bottles given to patient. Waited 15 minutes, retook vital signs 123/70 P 83 R 17 o2 sat 98% . Patient reported she is feeling better. Transported patient to car. Advised patient to go to the nearest ER if she experiencing any chest pain, dizziness, severe headache, SOB. Patient verbalized understanding and had no further questions. Patient declined to have further evaluation. Unclear etiology of patient's symptoms.

Other Meds:

Current Illness:

ID: 0957727
Sex: F
Age: 50
State: TX

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: Fluids, lactic acid and antibiotics given. Chest X-ray, ct scan and fluids given.

Allergies: None

Symptoms: First 3 days injection site red tender swollen and itchy. On day seven woke up to teeth chattering chills and severe vomiting and rapid heart rate followed by 4 days of headaches and face tender to touch. Injection site still red fever swollen and itchy on day 13. Went to Emergency Room.

Other Meds: Ozempic, metformin er, benazepril/hctz, atorvastastin

Current Illness: None

ID: 0957728
Sex: M
Age: 67
State: GA

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: None.

Symptoms: Fever (99) headache, joint aches. Similar to mild flu.

Other Meds: Lisinopril, Lipitor, testosterone and baby aspirin.

Current Illness: None.

ID: 0957729
Sex: F
Age: 65
State: IN

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Very upset stomach, could not eat anything in the AM and broth at lunch time. Dry heaving. Ate very little all day and went to bed at 6:30pm Lasted about 24 hours

Other Meds: Amlodipine Besylate, Atorvastarin, Esomeprazole Mag, HCTZ/Lisinopril, Levothryoxine, Ralosifene, Venlafaxine ER, Calcium, B-1 Thiamine, B-12 Sublingual w/folic acid, Vitamine D, Magnesium, Stool Softener, Biotin, Women's Vitamine

Current Illness: None

ID: 0957730
Sex: F
Age: 43
State: IN

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Arm pain that lasted for approximately one day-no treatment needed Low grade fever that lasted less than 12 hours-no treatment needed Mild body aches that lasted less than 12 hours-no treatment needed Gastrointestinal upset/diarrhea that lasted less than 12 hours-no treatment needed

Other Meds: Fish Oil supplement Vitamin C supplement Zyrtec Allergy Medication

Current Illness: None

ID: 0957731
Sex: F
Age: 35
State: VA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: nkda

Symptoms: Onset of chills and fever to 101.5 about 11 hours after injection. Responded well to OTC Acetaminophen. 18 hours later, chills, fatigue and temperature returned, responded to Acetaminophen. Persistent night sweats for 5 consecutive nights.

Other Meds: Probiotic, prenatal, vitamin D

Current Illness: none

ID: 0957732
Sex: F
Age: 58
State: WI

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

Lab Data: none

Allergies: Morphine, Codeine, seasonal allergies, Doxycycline, Augmentin

Symptoms: swollen axillary lymph nodes, minor red rash around injection site, small 3 cm by 3 cm lump at injection site, body aches, all symptoms are currently improving

Other Meds: Claritin, Albuterol, Advair, Nasal Spray, Epi Pen

Current Illness: none

ID: 0957733
Sex: M
Age: 34
State: NY

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever > 100 F, chills, fatigue, sore throat, trouble breathing

Other Meds:

Current Illness:

ID: 0957734
Sex: F
Age: 19
State: IN

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

Lab Data:

Allergies: Amoxicillin

Symptoms: Fatigue, chills, body ache, fever, and diarrhea

Other Meds:

Current Illness:

ID: 0957735
Sex: F
Age: 50
State: IN

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 01/20/2021
Hospital:

Lab Data: Cxr

Allergies: Asa, augmentin avelox,Wellbutrin,bees,Vicodin,vioxx,

Symptoms: Had fever, chills, vomiting, diarrhea fatigue starting 12/22 fever stop 12/23 other symptoms stayed until 12/26. 12/27 started with fever again symptoms came back and was tested12/28 and 12/29, 12/29 was negative 12/28 was positive 1/12 pneumonia

Other Meds: Victoza, glipizide, propranolol,celexa,zinc,vit d, via e, vit b, magnesium,fiber,fish oil,biotin, multi vitamin,

Current Illness: None

ID: 0957736
Sex: M
Age: 75
State: NY

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

Lab Data:

Allergies: dust, dander, mold

Symptoms: Patient felt tightness across chest. Recovery nurse checked vitals and monitored for 30 minutes. Vitals checked again, WNL both times. Chest tightness dissipated and resolved, according to patient. Patient discharged to home.

Other Meds: simvastatin, metformin, ramipril

Current Illness: none

ID: 0957737
Sex: F
Age: 54
State: PR

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: HEADACHE,FEELING SICK,PAIN ON SHOULDER,PAIN ALL OVER THE BODY AND TWO EPISODE OF VOMITING.

Other Meds: NONE

Current Illness: NONE

ID: 0957738
Sex: F
Age: 44
State: NJ

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: WOKE UP WITH CHILLS AND FEVER (103) AT 3AM. TOOK TYLENOL

Other Meds: METOPROLOL SUCCINATE ER 25 MG; VIT C AND VIT D

Current Illness: NONE

ID: 0957739
Sex: F
Age: 35
State: IN

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

Lab Data:

Allergies:

Symptoms: Deep muscle pain, right arm for over 24 hours, resolved with Aleve 440 mg x 2. Right axillary/breast tenderness beginning 36 hours after injection. Mental sluggishness beginning about 12 hours after injection, resolved with sleep.

Other Meds:

Current Illness:

ID: 0957740
Sex: F
Age: 31
State: MA

Vax Date: 01/11/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: Cats, amoxicillin

Symptoms: Sudden, new raised 2"X3" raised red mark.

Other Meds: Methylphenidate Lamictal Abilify Clonazapam Bupropion Trazodone

Current Illness: None

ID: 0957741
Sex: F
Age: 59
State:

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: hazelnuts, flagil

Symptoms: Extreme fatigue for5 days

Other Meds: armor thyroid

Current Illness:

ID: 0957742
Sex: F
Age: 47
State: NH

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: Gluten, Barley, Ibuprofen, Grapefruit, Scopolamine, Bactrum, Surgical scrub, Aveeno

Symptoms: On day 7 my left arm became very itchy and as the day progressed I developed a large painful, hot, hard, red area that grew to cover most of my upper arm. Day 8 I was seen by a PA who diagnosed me with Cellulitis and prescribed me a 10 day regimen of Doxycycline. I also developed a sudden headache and shakiness/weakness. Today is Day 12 and all that is visible is a darker area around the injection site that is smaller than the original area but is no longer hot, red or hardened and is still sensitive. I am still taking the Doxycycline as of today.

Other Meds: Vitamin D3, Folic Acid, Telomere support, Pro biotic

Current Illness: none

ID: 0957743
Sex: F
Age: 32
State: NH

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Sulfa based drugs

Symptoms: Just some hives at the site of injection and itching

Other Meds:

Current Illness:

ID: 0957744
Sex: F
Age: 59
State:

Vax Date: 09/15/2020
Onset Date: 11/05/2020
Rec V Date: 01/20/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Patient lost vision in the left eye and was treated for optic neuritis. Patient still has vision loss in the left eye

Other Meds:

Current Illness:

ID: 0957745
Sex: F
Age: 63
State: MA

Vax Date: 01/11/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Ampicillin: rash Dilaudid: hypotension

Symptoms: Developed approximately 3 in by 3 in circular, red, raised rash on my right deltoid , right below the injection site. Red, itchy and warm. Slightly swollen.

Other Meds:

Current Illness:

ID: 0957746
Sex: F
Age: 27
State: WV

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I had side effects (fevers, myalgias, headaches) the day after. However, starting Saturday 1/9 I began having urticaria all over my body. I took Benadryl 4 times over the course of the day, and the rash goes away but comes back. Went to Urgent Care on Sunday. Advised to take Benadryl and Pepcid

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm