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: 0958205
Sex: F
Age: 23
State:

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

Lab Data:

Allergies: Tree nuts

Symptoms: Swelling, itchiness, pain at the injection site beginning on day 7. Hot to the touch. Red. Progressive expanding of red, hot area. "went from semicircle lump to big half dome". Axillary lymphadenopathy on affected (L) side. Chills at night 01.19 into 01.20. Seeking medical care with PCP on 01.20.

Other Meds:

Current Illness:

ID: 0958206
Sex: F
Age: 29
State: VA

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

Lab Data: none

Allergies:

Symptoms: Client was given an injection with a syringe and the vaccinator later realized after the client had left the building that the vial did not contain COVID-19 vaccine. The vaccinator was greater than 80 percent sure that she administered the dose without the vaccine in the syringe. She brought the problem to the clinic supervisor?s attention when it seemed that the vaccinator assistant was opening up syringes and placing them in the same bin as the vaccinator?s pre-drawn syringes. Both contacted the CDC to get guidance on whether the client can be administered the vaccine as a Dose 1. The CDC was seeking further guidance on the issue. Both contacted the client that evening and explained that it was very likely that the client did not receive COVID-19 in the syringe. The client voiced understanding. It was determined by Dr. that vaccinator would contact the client once per day to check signs and symptoms to help determine if the client may have received the vaccine. It was believed that 24 or more hours of soreness at the site may lead one to believe that she did receive the vaccine. Vaccinator monitored the client for three days following the vaccine and found that the client had not signs or symptoms following the vaccine. 1/16/2021 CDC responded by saying that there is no guidance on this issue but that the client should receive the vaccine, as Dose 2, 28 days from the initial administration. The earliest date would be Saturday, February 6, 2021. Vaccinator contacted the client and explained the guidance. The client voiced understanding. Vaccinator will monitor the Dose 2 to see if there are signs and symptoms following the vaccination. The results may give us more understanding of whether the client received COVID-19 in the first dose according to her signs and symptoms following the second dose.

Other Meds:

Current Illness:

ID: 0958207
Sex: F
Age: 17
State: TN

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

Lab Data:

Allergies:

Symptoms: Error: Wrong Patient (documentation in EMR)

Other Meds:

Current Illness:

ID: 0958208
Sex: F
Age: 69
State: TX

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/20/2021
Hospital: Y

Lab Data: COVID-19-positive

Allergies: oranges, watermelon, chicken

Symptoms: My arm was a little sore after the vaccination but no other symptoms. And on 12/30 I woke up with a sever fever, vomiting and diarreah. Went to the ER and was diagnosed with CHF because my feet were so swollen and was given lasix and released. I continued to feel bad so on that Sunday 1/3 I went back to the hospital and was admitted and tested positive for COVID-19. I spent from Sun-Wed in the hospital

Other Meds: Levothyroxine 125mg, Simvastatin 40mg, Estradiol .05mg, Potassium Chloride 20mg, Furosemide 20mg, Metroprol 100mg., Asminex 1puff bid, Gavipitman, Ferrous Sulfate 324mg, Vit C, Fish Oil 1000 mg bid, Lexapril 20mg.,

Current Illness: no

ID: 0958209
Sex: F
Age: 43
State: MT

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Sulpha Versed

Symptoms: Intense full body itch which developed into hives.

Other Meds: Lisinopril Toprol XL Nexium Pristiq Levothyroxine Metformin Metronidazole Lorazepam Ondansetron

Current Illness:

ID: 0958211
Sex: F
Age: 61
State: CA

Vax Date: 01/11/2021
Onset Date: 01/17/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Rash injection site -- large, long in size, rash began 1/17 with itching warm to touch inflamed Neosporin cream used bump on R shoulder and in between breast. Body feels sensitive with itchiness Pt since 1/19 has been taking taking keflex antibiotic

Other Meds: Losartan 25mg, Synthroid 125mcg, Bijuva 1mg-100mg, Atorvastatin, 10mg, Biotin, Collagen

Current Illness: N/A

ID: 0958212
Sex: F
Age: 54
State: NY

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

Lab Data: none

Allergies: None

Symptoms: Facial itching 25mins after administration

Other Meds: None

Current Illness: None

ID: 0958213
Sex: F
Age: 65
State: TN

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

Lab Data: None

Allergies: None

Symptoms: Painful injection site, dull headache, rapid heart rate (100), overall feeling of tiredness, malaise, weakness.

Other Meds:

Current Illness: None

ID: 0958214
Sex: F
Age: 44
State: TX

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: Flagyl, pseudophedrine

Symptoms: Terrible joint pain in hands, feet sine I woke up the next morning after the vaccine

Other Meds: Vitamin D with K, Zinc 15 mg, Valsartan 160 2x daily, Paxil 20 mg daily, Tylenol as needed

Current Illness: hypertension, depression, anxiety

ID: 0958216
Sex: F
Age: 48
State: NY

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

Lab Data: none

Allergies: Bees, Zithromycin

Symptoms: On the morning of 1/16/2021 patient noted itching and erythema at the injection site, right arm. As of today, 1/20/21 itching has subsided and redness and warmth to touch decreased.

Other Meds: Singulair, Nexium, Clarinex, Zoloft

Current Illness: none

ID: 0958217
Sex: M
Age: 67
State: FL

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

Lab Data: None

Allergies: Metformin

Symptoms: Nausea (threw up) Dizziness Trouble breathing

Other Meds: Propranolol Primidone Atorvastatin Fenofibrate Pantoprazole Omega-3 DHEA CoQ10 D3 B-12

Current Illness: None

ID: 0958218
Sex: F
Age: 21
State: CA

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

Lab Data: COVID 19 PCR 01/20/2021

Allergies: NDKA

Symptoms: started with tachycardia and palpitations, reports "increased respiratory rate". Patient later developed "shaking", generalized body aches, headache and fatigue. Mild nausea. Today has low grade fever 100.1, thinking feels "not clear", fatigue, body aches and nausea

Other Meds: Tylenol PRN

Current Illness: None

ID: 0958219
Sex: F
Age: 64
State: MA

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Experienced swelling in ankles, feet, legs and knees beginning Friday evening 1/15/20. Trying to determine if this is a covid vaccine reaction. Last dose of nasal spray was Saturday evening, 01/16/20. Since then, swelling is slowly resolving. Reports symptoms to Hospital. Getting Covid tested again today.

Other Meds: Routine Prescriptions: Linzess 145 MCG Capsule - Once per day IC Citalopram HBR 20 MG Tablet - One per day IC Pantoprazole SOD DR 40 MG Tab - Twice per day breakfast and dinner Rosuvastatin 5 MG Tablet - Once per day Citrucel - Two tablets

Current Illness: Sinus infection prior to vaccine. Given 10 day course of IC Sulfametho-Xazole-TMP DS Tablet Twice per day beginning on 12/21/20. Saw ENT on 1/8/21 to address remaining congestion. ENT saw no remaining sign of infection on examination. Prescribed nasal sprays to address remaining congestion.

ID: 0958220
Sex: F
Age: 40
State: CA

Vax Date: 01/17/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: NA

Allergies: Idodine

Symptoms: Sore, painful, about 40 in. in diameter, red, swollen, itchy

Other Meds: Tylenol: used to help with pain due to soreness.

Current Illness: COVID-19

ID: 0958221
Sex: F
Age: 36
State: AK

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

Lab Data:

Allergies: Clindamycin, Naproxen

Symptoms: Systemic: Anaphylaxis-Severe

Other Meds:

Current Illness:

ID: 0958223
Sex: F
Age: 73
State: FL

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: severe diarrhea about 36 hours after dose. Resolved with imodium

Other Meds: avalide, propranol, mirtazepine, ozembic, lipitor, aspirin

Current Illness: type 2 diabetes, essential tremor

ID: 0958224
Sex: F
Age: 41
State: CO

Vax Date: 01/13/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: No known allergies

Symptoms: Pain in armpit area began 6 days after vaccine. Worsened pain on day 7. Cannot palpate a specific swollen lymph node, slight general swelling in the area.

Other Meds: BioTe hormone replacement pellet

Current Illness:

ID: 0958225
Sex: M
Age: 50
State: FL

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

Lab Data:

Allergies:

Symptoms: Chills, fever, lethargic

Other Meds:

Current Illness:

ID: 0958226
Sex: M
Age: 60
State: PA

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

Lab Data:

Allergies: NKA

Symptoms: MODERATE PAIN IN LOWER EXTREMITIES (FOCUSING ON HIPS/KNEES). TO TREAT: LOCAL WARMTH, FLUIDS, IBUPROFIN.

Other Meds: QUINAPRIL; IBUPROFIN PRN

Current Illness: NONE

ID: 0958227
Sex: F
Age: 47
State: CA

Vax Date: 01/11/2021
Onset Date: 01/17/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: Notified PCP

Allergies: None

Symptoms: Arm raised and swollen and hard, red and very hot, painful arm shoulder and scapula

Other Meds: Vit C, collagen, zinc, biotin, sero-vital

Current Illness: None

Date Died: 01/18/2021

ID: 0958228
Sex: M
Age: 83
State: IL

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

Lab Data: Collection time: Jan 17, 2021@06:00 Test Name Result Units Range --------- ------ ----- ----- GLUCOSE 166H mg/dL 70 - 99 UREA NITROGEN 138H mg/dL 7 - 18 CREATININE 6.93H mg/dL .7 - 1.3 SODIUM 165H* mmol/L 136 - 145 POTASSIUM 5.2H mmol/L 3.5 - 5.1 CHLORIDE 130H mmol/L 98 - 107 CO2 21 mmol/L 21 - 32 CALCIUM, TOTAL 9.2 mg/dL 8.5 - 10.1 PROTEIN, TOTL 7.8 g/dL 6.4 - 8.2 ALBUMIN 3.2L g/dL 3.4 - 5.0 AST 16 U/L 15 - 37 ALT 22 U/L 16 - 63 BILI,TOTAL 0.3 mg/dL 0.2 - 1.0 ALKAL PHOS 168H U/L 46 - 116 EGFR canc ANION GAP 20.0 mmol/L 10 - 20

Allergies: Niacin - rash

Symptoms: Patient has end stage renal disease and rapidly worsening dementia, family could no longer care for him at home, and he was admitted for 14-day quarantine prior to admission to inpatient hospice. Received vaccine on 1/12 without apparent adverse reactions. Patient started refusing oral intake on 1/16, and CMP on 1/17 showed hypernatremia 165 (new issue). His BUN 138 CREAT 6.93 K 5.2 were his baseline. He was found to be deceased on 1/18 at 11:18 pm.

Other Meds: 1) AMLODIPINE BESYLATE TAB 5MG PO QPM ACTIVE 2) ASPIRIN (OTC) TAB,CHEWABLE 81MG PO QDAILY ACTIVE 3) CARVEDILOL TAB 12.5MG PO BID ACTIVE 4) CHOLECALCIFEROL (VIT D3) 25MCG=100

Current Illness: none other than chronic conditions as listed under item 12.

ID: 0958229
Sex: M
Age: 60
State: MO

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

Lab Data:

Allergies: no known allergies

Symptoms: 8 to 10 hours after injection joints throughout my body became very sore, a few days later knuckle on right hand swollen and very sore, i thought it was just coincidental, I did see my Doctor a few days later because the over the counter pain meds were not being very effective, he gave me toradol and told me i could take 10 mg prednisone in am for three days that i had on hand, eventually I got better, i then got my second dose and I had a repeat of the joint pain and swelling of my knuckles on the right hand, this to was better after 3 or four days after using the same treatment, I never felt that it was life threatening but thought I should report it, my joints are still sore but they are debilitating and i am improving each day.

Other Meds: terasosin 6mg at hs

Current Illness: none that i know of

ID: 0958230
Sex: F
Age: 38
State: OH

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

Lab Data: None. I was advised by both the hospital where I received the vaccine and the CDC's website to contact my primary care physician, but her office informed me that because she does not give COVID vaccines, she doesn't know anything about them and would not see me to observe the reaction.

Allergies: cipro

Symptoms: Six days after receiving the Moderna COVID vaccine, my arm started to itch near the injection site. When I looked at it, it was red and swollen. Over the course of the next two days, the redness dulled to pink but the size spread and it is now slightly smaller than the palm of my hand. I will mention that 4 years ago, I received rabies vaccines in that arm. I had mucositis from it, and still have it residually when I get a cold and my immune system kicks in. I have had flu shots since then without problems, but I was stung by a bee two years ago and had a very similar reaction to this COVID vaccine at the site of the bee sting. I don't know if I have some sort of different immune response to things due to the rabies vaccines.

Other Meds: Apri contraceptive, daily women's multivitamin, elderberry daily vitamin

Current Illness: none

ID: 0958232
Sex: F
Age: 30
State: MI

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

Lab Data:

Allergies: None

Symptoms: ~12h after vaccine administration, severe body aches, fever, fatigue, malaise, nausea and vomiting lasting ~18h.

Other Meds: Prenatal vitamin, Cymbalta

Current Illness: None

ID: 0958233
Sex: F
Age: 39
State: FL

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

Lab Data: none

Allergies: Remicade- anaphylaxsis with 3rd dose in 1997

Symptoms: day after 2nd injection increased fatigue, arm soreness and shortness of breath overnight requiring rescue inhaler. Fatigue and general malaise continued x 7 days with intermittent shortness of breath requiring use of rescue inhaler. (Prior to vaccine inhaler used 3/year post vaccine requiring inhaler 2x per day). Increased post nasal drip with shortness of breath at night 02-03am each night and head congestion ear fullness during day requiring rest increased benadryl and decongestant use.

Other Meds: Humira 40mg Q week, Pantoprazole40 mg Daily , Levothyroxine125mcg daily , Slynd pack , Zyrtec 10mg prn, Benadryl 25mg prn

Current Illness: none

ID: 0958234
Sex: F
Age: 63
State: TX

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

Lab Data: none. still waiting for Dr. call back. Called to see if Dr. will be able to see me at any time.

Allergies: none

Symptoms: Red size of a salonpas, very itchy, warm to touch, bit swollen. Itch started Monday 18Jan. getting bigger.

Other Meds: Citracal, Viviscal, D3

Current Illness: none

ID: 0958235
Sex: F
Age: 57
State: MS

Vax Date: 01/13/2021
Onset Date: 01/17/2021
Rec V Date: 01/20/2021
Hospital: Y

Lab Data: Reanl panel BMP CXR CT

Allergies: Toradal and protonix

Symptoms: Pt found unresponsive at home, respiratory distress. Had reported nausea and vointing for two days prior to admit which started 1/15. Acute metabolic encephalopathy and acute renal failure Currently at time of this report still in critical care

Other Meds: Jardiance Metformin Novolog scale Ozempic

Current Illness: diabetes

ID: 0958236
Sex: F
Age: 13
State: VA

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

Lab Data: None

Allergies: Red dye

Symptoms: Client experienced syncope, dizziness as she walked out of the clinic area into the hallway; as her legs weakened, she hit her head to the wall and was caught and supported by a nurse as she slumped to the floor. Client was non-verbal for about 5 seconds and assisted to a chair, vital signs were taken - BP 80/56, pulse 66, cold compress to forehead, feet elevated; slow verbal responses but awake, rested for approximately 15 minutes alert after this period, no complaint of headache or other discomfort. Mother reports child had not eaten except for a poptart in the morning.

Other Meds: None

Current Illness: None

ID: 0958237
Sex: F
Age: 68
State: TX

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

Lab Data: N/a

Allergies: Ceftin, Lopid, Rofecoxib, Terramycin, Meloxicam

Symptoms: There is a large red spot on her arm where she received the vaccine. Its been 2 weeks and the red spot is still on her arm. She states that there is no pain....redness just still there.

Other Meds: Trilipix 45mg, Atenolol 50mg, Gabapentin 300mg, Pantoprazole 40mg

Current Illness: None reported

ID: 0958238
Sex: F
Age: 38
State: NJ

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

Lab Data:

Allergies: NKDA

Symptoms: Systemic: Headache-Medium, Systemic: Dizziness accompanied by elevated blood pressure (175/111), blood pressure dropped within 10 minutes, most likely induced by anxiety-Severe

Other Meds:

Current Illness:

ID: 0958239
Sex: F
Age: 35
State: CA

Vax Date: 12/22/2020
Onset Date: 12/24/2020
Rec V Date: 01/20/2021
Hospital:

Lab Data: US on 1/14/2021 showed multiple enlarged lymph nodes. FNA recommended. Scheduled ENT appt today.

Allergies:

Symptoms: Swollen left cervical lymph nodes. Currently present.

Other Meds:

Current Illness:

ID: 0958241
Sex: F
Age: 46
State: CA

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

Lab Data: n/a

Allergies: n/a

Symptoms: same day felt soreness and pain at injection site, feels hot to touch and redness, itchy, swollen

Other Meds: n/a

Current Illness: n/a

ID: 0958242
Sex: F
Age: 77
State: AZ

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: Penicillin, Compazine

Symptoms: itching and large warm to touch red circle around vaccination site

Other Meds: Doxepine 100mg once daily, Gabapentin 600 mg once daily, Lisinopril 40mg once daily, Atorvastin 40mg, Hyerochlorothiazide once daily 12.5mg, Omeprazole 20mg once daily, Baby Aspirin one daily 81 mg, Multivitamins, Calcium Supplement , Magne

Current Illness: None

ID: 0958243
Sex: F
Age: 39
State: PA

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

Lab Data:

Allergies: acetaminophen, guaifenesin, apples

Symptoms: left axilla pain for 3 days. resolving without treatment.

Other Meds: none

Current Illness: none

ID: 0958245
Sex: F
Age: 26
State: MN

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

Lab Data:

Allergies: AzithromycinNausea And Vomiting Bee Venom Protein (Honey Bee)Other (see comments) MetoclopramideOther (see comments) Metoclopramide HclOther (see comments), Myalgia ErythromycinNausea And Vomiting

Symptoms: Started with nausea, racing heart, and dizziness. Within a few minutes scratchy throat and Epi was administered along with O2 at that time. Sent to ER.

Other Meds: acetaminophen (TYLENOL) 500 mg tablet EPINEPHrine (EPIPEN) 0.3 mg/0.3 mL injection syringe EPINEPHrine (for_EPIPEN) 0.3 mg/0.3 mL injection syringe lidocaine viscous (lidocaine) 2 % mucosal solution metroNIDAZOLE (FLAGYL) 500 mg tablet norg

Current Illness:

ID: 0958246
Sex: F
Age: 76
State: OK

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

Lab Data: Covid Test- negative on 1/18/2021

Allergies: nasal allergies

Symptoms: severe fatigue, diarrhea,

Other Meds: Timolol, Pantoprazole, Metformin, Primidone, Olopatadine, Montelukast, Probiotic, Citalopram, Prolia every 6 mo, Cetirizine Hydrochloride, Neilmed sinus rinse, Fish Oil, Centrum Silver, Calcium, Vitamin D 3

Current Illness:

ID: 0958247
Sex: F
Age: 51
State: NY

Vax Date: 01/12/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: Cephalosporins, Shellfish, Sulfa drug

Symptoms: Patient experienced severe back pain 3 days s/p COVID19 vaccine

Other Meds: Tylenol, Salonpas, Pepcid PRN

Current Illness: None

ID: 0958248
Sex: F
Age: 17
State: MN

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

Lab Data:

Allergies:

Symptoms: No adverse event, just submitting because someone called and said the MIIC let them know that pt was under 18. She is staff at the facility we serve and her underage status was not noticed at the time. However, since she is so close, and patient age with regard to this vaccine can be thought to be arbitrary (even if pt age <18 wasn't studied), common sense indicates pt has no increased danger of adverse effects, and further, should receive the 2nd dose on schedule even if before 18 years of age.

Other Meds:

Current Illness:

ID: 0958249
Sex: F
Age: 35
State: CA

Vax Date: 12/22/2020
Onset Date: 12/24/2020
Rec V Date: 01/20/2021
Hospital:

Lab Data: US on 1/14/2021 showed multiple enlarged lymph nodes. FNA recommended. Scheduled ENT appt today.

Allergies:

Symptoms: Swollen left cervical lymph nodes. Onset 2 days after vaccine. Currently present.

Other Meds:

Current Illness:

ID: 0958250
Sex: F
Age: 77
State: CO

Vax Date: 01/09/2021
Onset Date: 01/17/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Itching and red surrounding injection site. Started 1 week after receiving shot. Continuing since then.

Other Meds: Rosuvastatin 5 mg, Centrum Silver

Current Illness: none

ID: 0958251
Sex: F
Age: 55
State: IL

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

Lab Data: none

Allergies: none

Symptoms: A red line in the form of a circle has appeared around the injection site - circle has appeared larger over time. The injection site is warm to the touch and at one point was raised slightly.

Other Meds: prenatal vitamin, zinc, fish oil, RV300, elderberry

Current Illness: none

ID: 0958252
Sex: F
Age: 30
State: SC

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

Lab Data: None

Allergies: Shellfish, Bactrim, sulfa drugs, gluten

Symptoms: Symptoms started 30 minutes after injection: Shortness of breath, chest tightness and pressure, difficulty breathing, throat tightness, all over body pain, nausea and vomiting, extreme diarrhea, stomach cramps

Other Meds: Singular, Claritin, albuterol, sumatriptan, zofran, phenergan

Current Illness: None

ID: 0958253
Sex: F
Age: 32
State: CA

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

Lab Data:

Allergies: keflex

Symptoms: ON 1/15/21 person complained of headache, muscle aches, extreme fatigue, and had fever of 102F x 2 days.

Other Meds: none

Current Illness:

ID: 0958254
Sex: F
Age: 49
State: FL

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

Lab Data: None

Allergies: NKA

Symptoms: : TM received a COVID 19 #1 vaccine on 1/11 to the left deltoid. She had arm soreness, headache and fatigue following the vaccination. Those symptoms lasted a few days and resolved. On 1/17 she noticed a sore area under her left arm. she has a small firm painful lymph node under the left arm. She also noticed that she has a slight " fullness" in the neck area. She feels like her thyroid gland is more pronounced. than it was prior to the vaccine. She denies any dysphagia or odynophagia. No SOB or tachypnea. No fever or chills. No hx of thyroid dysfunction.

Other Meds: None

Current Illness: none

ID: 0958255
Sex: F
Age: 44
State: NC

Vax Date: 01/11/2021
Onset Date: 01/14/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: NKA

Symptoms: PMH Vaccine 1/11/21 1/14/21 edema, pain, 6/10, more severe if laying on left side,l lymphadenopathy Left axilla area with one node the size of a tangerine. When Motrin was taken for pain, Size of lymph node edema would somewhat decrease, and then increase hours later. Symptoms have continued for 7 days . No other complaints

Other Meds: PMH Vaccine 1/11/21 1/14/21 edema, pain, 6/10, more severe if laying on left side,l lymphadenopathy Left axilla area with one node the size of a tangerine. When Motrin was taken for pain, Size of lymph node edema would somewhat decrease,

Current Illness: NONE

ID: 0958256
Sex: F
Age: 43
State: NJ

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Systemic: Tachycardia diagnosed by physician

Other Meds: Latex

Current Illness:

ID: 0958258
Sex: F
Age: 54
State: CA

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

Lab Data:

Allergies:

Symptoms: After 5 minutes of receiving the vaccine, felt numbness of tongue & also metal taste & smell. At 9:05 am Benadryl 50 mg PO given. Patient was monitored until 9:36 am. Tongue remained numb, not worse, went back to work, continued to self monitor. Repeat own dose Benadryl 50 mg at 4:45 PM. Metal taste resolved in 24 hour post vaccine. Tongue numbness resolved in 48 hours post vaccine.

Other Meds:

Current Illness:

ID: 0958259
Sex: M
Age: 46
State: NJ

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient became light headed after receiving vaccine. Patient states same happens with bloodwork and injections. Patient sat in chair leaning over with cold pack on neck. Patient was able to sit up and felt better after 10 minutes.

Other Meds: MultiVitamin

Current Illness:

ID: 0958260
Sex: F
Age: 69
State: AZ

Vax Date: 02/21/2021
Onset Date:
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0958261
Sex: F
Age: 23
State: CT

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

Lab Data:

Allergies:

Symptoms: Pain in arm for two days after injection. Pain subsided after two days, then pain started again 7 days after injection date.

Other Meds: Zoloft, Wellbutrin, protonix, amethia lo

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm