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: 0958566
Sex: F
Age: 60
State: NY

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

Lab Data:

Allergies: None

Symptoms: Fatigue, Chills, Sweats, body aches, nausea.

Other Meds: vitamin supplements; advil occasionally as needed.

Current Illness: None

ID: 0958567
Sex: F
Age: 32
State: NJ

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

Lab Data:

Allergies: denies

Symptoms: left deltoid with rash size 10 cm x 10 cm, hot, itchy, red and is getting larger in size since 01/11/21 at 06:30 pm. Denies pain.

Other Meds: denies

Current Illness: denies

ID: 0958568
Sex: F
Age: 89
State: NE

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

Lab Data:

Allergies: Sulfa drugs

Symptoms: Rash around face and chest; bloodshot left eye. Hydrocortisone cream prescribed by facility APRN on 1/13; skin less red on 1/14 and peeling - no pain or itch. Dermatology recommendation of Aquaphor for the peeling.

Other Meds: Acetaminophen, Soriatane, Fosamax, amlodipine, apixaban, vitamin c, Imuran, folic acid, levothyroxine, lisinopril, prednisone, simvastatin, magnesium hydroxide, preservision areds oral, methotrexate

Current Illness: None

ID: 0958569
Sex: F
Age: 32
State: TX

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

Lab Data:

Allergies:

Symptoms: Right Supraclavicular and axillary lymph swelling with pain began on day 6 post vaccination . No treatment. Does not interfere with ADLs

Other Meds:

Current Illness:

ID: 0958570
Sex: F
Age: 50
State: NC

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: I tested negative for COVID19 on 12/21/2021 (both rapid and PCR tests were negative). My husband tested negative for COVID19 on 1/6/2021 (PCR test). He had sinus congestion and pain and received a covid test.

Allergies: No allergies.

Symptoms: Went to bed on 1/6/2021 and woke up in middle of night with severe chills and nausea. Got out of bed at 6 am on 1/7/2021 with temp of 102.8 , very sore left arm that was swollen, severe headache, and body aches and fatigue. Symptoms continued all day. Was able to get temp down to 101 with Tylenol and ibuprofen but it would return to 102 once med wore off. Headache all day with out relief. Used Ice pack on left arm to relieve swelling and pain. Symptoms continued on 1/8/2021 with temp up to 101.8, severe HA, sore and swollen arm, body aches and fatigue. Low grade temp on 1/9/2021 of 100.5, headache, sore arm with less swelling, less body aches and less fatigue. No temp on 1/10/2021 but headache and sore arm continued. Headache resolved by 1/11/2021. Sore arm lessened every day. It is still slightly sore only with palpation.

Other Meds: Allegra, Vit D, Vit C, CoQ10, multivitamin, Elderberry immune supplement.

Current Illness: Treated for sinus infection 12/29/2020 with Doxycycline Hyclate 100 MG Oral Capsule: take 1 capsule by mouth twice a day for 7 days, and Mucinex D 60-600 MG Oral Tablet Extended Release 12 Hour. Took Mucinex for 2-3 days then stopped because it was not helping. Completed antibiotic on 1/3/2021. I was prescribed steroids on 12/30/20, took 20 mgs on 12/30/2020, 20 mgs on 12/31/2020 and 10 mgs on 1/1/2021. I felt completely better on 1/3/2021 and for the rest of the days prior to vaccination date on 1/6/2021.

ID: 0958571
Sex: M
Age: 50
State: WA

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

Lab Data:

Allergies:

Symptoms: HEADACHE, NAUSEA. HAD TO LEAVE WORK TO RECOVER AT HOME.

Other Meds:

Current Illness:

ID: 0958572
Sex: F
Age: 44
State: FL

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

Lab Data:

Allergies: Opioids

Symptoms: Nausea, headache, diarrhea. Symptoms less day after. Laid in bed with lots of rest and water

Other Meds: Leflunamide MVI ibuprofen Phentermine

Current Illness: None

ID: 0958573
Sex: F
Age: 71
State: NY

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

Lab Data: None

Allergies: Penicillin

Symptoms: Chills, bodyaches, tiredness Symptoms started at 10 pm after receiving the shot at 1:30pm Took 2 tylenol at 10 am the day after the injection and syptoms slowly began to subside felt much better by 3PM

Other Meds: Amlodipine, pegasys

Current Illness: None

ID: 0958574
Sex: F
Age: 48
State: AR

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

Lab Data:

Allergies: food: peaches, fruit, avocado, apple, nuts

Symptoms: Headache occurred, body aches, chills, nausea, and fever of 99.4

Other Meds: Migraine medication

Current Illness: n/a

ID: 0958575
Sex: F
Age: 39
State: CO

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fever, aches, vomiting headache

Other Meds:

Current Illness:

ID: 0958576
Sex: F
Age: 44
State: VA

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

Lab Data:

Allergies: No

Symptoms: Systemic: Anaphylaxis, Systemic: Seizure-Severe

Other Meds:

Current Illness:

ID: 0958577
Sex: F
Age: 42
State: OH

Vax Date: 01/08/2021
Onset Date: 01/13/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None done

Allergies: None

Symptoms: Jan 8 vaccine night: left arm pain that resolved next day Day 6 post-vaccine: severe left arm and left axillary pain Day 8: arm swelling, injection site localized erythema < 1 inch. Arm firm with significant pain Day 9: injection site urticaria like rash spreading approximately 3 inches wide, persistent arm swelling and firmness with significant axillary pain and tenderness Day 10: cutaneous patch of erythema observed on left upper chest near axilla with warmth and persistent arm and axillary symptoms Day 11: coalesced cutaneous discoloration upper left chest and axillary region with persistent arm and axillary pain Day 12-13: cutaneous changes very slowly fading and arm pain improving, axillary pain persistent

Other Meds: None

Current Illness: None

ID: 0958578
Sex: F
Age: 44
State: TN

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: preservative in plasma

Symptoms: noticed very light pink color on the upper arm where the injection was one week after. The next morning (day 8), it was more noticeable, about 3 x 4 cm. No itching or warmth, maybe a little swollen. Gone the next morning (Jan 6).

Other Meds: multivitamin, fiber gummy, vitamin D, zinc, immune tablet

Current Illness: seasonal allergies

ID: 0958579
Sex: F
Age: 41
State: GA

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

Lab Data:

Allergies: unknown

Symptoms: "Pfizer-Bio-Tech COVID-19 Vaccine EUA" Physician contacted staff in regards to an individual who received the Covid-19 Vaccine on 12/19/2020. The individual reported sand paper face rash and full swollen face that started 3 days after receiving the vaccine (1/1/2021). Individual reported that she had Botox and facial fillers on 12/15/2020. This event was an unwitnessed by the staff at County Health Department. The event was reported to Epidemiologist.

Other Meds: unknown

Current Illness: unknown

ID: 0958580
Sex: F
Age: 35
State: WA

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

Lab Data: sent for COVID testing

Allergies: NKDA

Symptoms: body aches, chills, temp 101.4, mild SOB, site pain (site hot and swollen)

Other Meds: multi vitamin, lisinopril, tylenol, ibuprofen

Current Illness: none

ID: 0958581
Sex: F
Age: 34
State: MD

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

Lab Data: None

Allergies: None

Symptoms: When asked how she was doing she reported that her "heart rate was fast". Asked if she wanted to lie down, she said "yes" and was walked to the designated cot. Her blood pressure was 124/90. She also reported not eating all morning. She laid down for about 45 minutes and was provided a bottle of water; a snack (crackers) was offered but she refused. She left for home feeling better.

Other Meds: Vitamin D3

Current Illness: None

ID: 0958582
Sex: F
Age: 40
State: NY

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

Lab Data:

Allergies: non

Symptoms: headache from 2 pm 18th of January to evening 19th of January, fever, pain in the left arm until 20th of January. I did not take any medicine, just took a rest home.

Other Meds: non

Current Illness: non

ID: 0958583
Sex: F
Age: 34
State:

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

Lab Data:

Allergies:

Symptoms: fever, chills, aches

Other Meds:

Current Illness:

ID: 0958584
Sex: F
Age: 29
State: WA

Vax Date: 01/07/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None.

Allergies: Sulfa drugs

Symptoms: Approximately 1 week post dose, I woke up with significant skin redness around the injection site about 1 inch wide by 3 inches long. I did not experience any injection site skin reactions prior to this, just muscle pain in that shoulder for a couple days after the dose. The redness faded away within 24 hours.

Other Meds: Prenatal multivitamin, choline, fish oil, vitamin D3, calcium

Current Illness: None

ID: 0958585
Sex: F
Age: 19
State: MN

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

Lab Data:

Allergies: Penicillin

Symptoms: Approximately 15-20 minutes after vaccination patient developed weakness in her limbs. BP and glucose were normal. Approximately 10 minutes after the onset of symptoms the patient developed bright red rash on the face, increased breath rate, and swelling of the lips and tongue. She was having difficulty talking due to shortness of breath and swelling in the tongue. 911 was called and epinephrine 0.3mg IM was administered as well as diphenhydramine 100mg orally. Her rash improved fairly quickly, swelling went down a small amount. She stated breathing still felt labored and she was feeling like her heart was racing but she was also tired (likely due to medications administered). She was still having difficulty talking, taking short breaths between almost each word. Paramedics arrived approximately 12 minutes after epinephrine was administered. They attempted to walk her to the ambulance per her request, however she was unable to feel her legs. She was placed on a stretcher and into the ambulance. The patient stated she was given additional epinephrine in the ambulance as her condition had worsened by the time they got her in there. She was taken to the ER and given additional diphenhydramine and was observed until approximately midnight, when she said she was discharged. Follow up was completed the following day, and she had improved dramatically. She was still feeling a bit weak, but no longer had any issues breathing.

Other Meds: Fish oil

Current Illness: Unknown; test for Lupus pending

ID: 0958586
Sex: M
Age: 66
State: FL

Vax Date: 01/14/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Received Moderna Vaccine, first injection in left arm, a couple of days ago, I developed a fluid pocket above the left elbow. Pocket is about one inch in diameter. No Discoloration, no soreness.

Other Meds: Rosuvastatin 10 MG Lisinopril HCTZ 10 - 12.5 MG Dutasteride .5 MG Asprin 81 MG

Current Illness: none

ID: 0958587
Sex: F
Age: 26
State: OH

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Swelling and pain of the parotid gland in the neck starting the day after getting the vaccine

Other Meds: Pristiq

Current Illness: No

ID: 0958588
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: None so far

Allergies: None

Symptoms: Fever 102.6, chills, body aches, extreme fatigue, headache and nausea. Started 2.5 hrs after vaccination and has continued. Following up with PCP for further actions to return to work

Other Meds: Levothyroxine 75 Mcg

Current Illness: None

ID: 0958589
Sex: U
Age: 51
State:

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

Lab Data:

Allergies:

Symptoms: Swelling, redness, bruising at injection site

Other Meds:

Current Illness:

ID: 0958590
Sex: F
Age: 71
State: IN

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

Lab Data: none

Allergies: penicillin

Symptoms: Vomiting , diareeah, nauaea. lots of sinus drainage. overall tiredness. lasted a day . feeling better but not 100%.

Other Meds: amlodipine besylate/benazepril hcl cap5-20mg ,pantoprazole sodium 40mg ,biotin10,000mcg, vitamin d3 25mg,,calcium 600mg, natrolj fruit,natrol veggie rosuvastatin calcium 10mg

Current Illness: none

ID: 0958591
Sex: F
Age: 56
State: CA

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

Lab Data: None.

Allergies: Unknown.

Symptoms: Five minutes after receiving the first dose of the Moderna vaccine, reported an acute headache. had vital signs monitored and was watched for 30 minutes for any additional reactions, then released to return home. She stated that the headache lasted for two days.

Other Meds: Unknown.

Current Illness: Unknown.

ID: 0958592
Sex: F
Age: 40
State: AR

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

Lab Data:

Allergies:

Symptoms: Received vaccine at 1100. Patient woke up at 0151 with headache, chills and body aches. Symptoms the same this afternoon at 1200.

Other Meds:

Current Illness:

ID: 0958593
Sex: F
Age: 63
State: TN

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

Lab Data: none

Allergies: none

Symptoms: erythema, swelling, tenderness, small blisters in proximity to injection site.

Other Meds: Losartan, Hydrochlorothizide, Fluoxetine, ASA 81mg, JuicePlus

Current Illness: none

ID: 0958594
Sex: F
Age: 39
State: IN

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

Lab Data: None

Allergies: Nka

Symptoms: No adverse eventa occured after first vaccine. Three hours after second vaccination I started to feel adverse reactions. It started with sore throat, tiredness, body ache. Next morning work up with swollen lymph nodes, body ache, tiredness, headache, and the chills. Today feel alot better and adverse reactions have seem to subside.

Other Meds: Wellbutrin, lexapro

Current Illness: None

ID: 0958595
Sex: F
Age: 71
State: FL

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

Lab Data: no

Allergies: Sulfa

Symptoms: 20 minutes after vaccine rash on face and bilateral arms. **Pt states still has rosey cheeks and chin**

Other Meds: HCTZ, Atenolol, Multivitamin, Turmeric, Calcium, & Tylenol

Current Illness: No

ID: 0958596
Sex: M
Age: 50
State: VT

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

Lab Data:

Allergies:

Symptoms: on the night of 1/5/2021, headache and right arm pain. starting in the pm on 1/16/21 vomiting started and lasted through Tuesday 1/19/21. As of today lasting symptom is fatigue.

Other Meds:

Current Illness:

ID: 0958597
Sex: F
Age: 23
State: NC

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Macular erythematous rash on legs, arms, trunk and neck; treated with benadryl, zyrtec and hydrocortisone cream; later requiring oral steroids

Other Meds: None

Current Illness: None

ID: 0958598
Sex: F
Age: 60
State: CA

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

Lab Data:

Allergies:

Symptoms: Sore arm Swelling at injection site

Other Meds:

Current Illness:

ID: 0958599
Sex: F
Age: 63
State: CA

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

Lab Data:

Allergies:

Symptoms: Injection site through elbow felt like arthritis Constant aching pain

Other Meds:

Current Illness:

ID: 0958600
Sex: F
Age: 38
State: TX

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

Lab Data:

Allergies: Penicillin

Symptoms: Systemic: Anxiety / itchiness

Other Meds:

Current Illness:

ID: 0958601
Sex: U
Age: 39
State:

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: aches, neck/back pain

Other Meds:

Current Illness:

ID: 0958602
Sex: M
Age: 49
State: IN

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

Lab Data:

Allergies: N/A

Symptoms: Achy left arm and left armpit resulting in me taking Ibuprofen. (Took 3 -400mg pills over 12hrs)

Other Meds: Valsartan, Aspirin, Amlodopine

Current Illness:

ID: 0958603
Sex: F
Age: 58
State: NY

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

Lab Data:

Allergies: morphine

Symptoms: Twenty four hours after the vaccine developed chills, fever, nausea with vomiting severe fatigue with dizziness, joint pains, headache for 28 hours.

Other Meds: amlodipine, metroprolol, nardil, aleve

Current Illness:

ID: 0958604
Sex: F
Age: 66
State: FL

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

Lab Data:

Allergies: None

Symptoms: My throat started constricting air passage and it was hard to breathe in air through my mouth. I went to the emergency room and was given an IV of steroids, Benadryl and pepsin. They watched me for 2 hours and discharged me with prescriptions for steroids and Benadryl and pepsin.

Other Meds: None

Current Illness: Possible viral or bacteria infection in ears.

ID: 0958605
Sex: F
Age: 43
State: LA

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

Lab Data: none

Allergies: none

Symptoms: Headache, stomach ache, diarrhea

Other Meds: ibuprofen, Allergy meds and vitamins

Current Illness: none

ID: 0958606
Sex: F
Age: 65
State: CT

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

Lab Data: None

Allergies: Tetracycline, gluten sensitivity

Symptoms: On the 8th day following receipt of vaccine I noticed a non-itchy "hive-like" rash at the injection site. On the 9th day the redness increased. Prior to this, on the day I received the vaccine, I experienced soreness for 24 hours at the site of vaccine and a bit of nausea several hours later.

Other Meds: Calcium, Vitamin D, Fish Oil, Magnesium

Current Illness:

ID: 0958607
Sex: F
Age: 38
State: MS

Vax Date: 12/28/2020
Onset Date: 01/13/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: Covid swabbed 1/13/21 and 1/19/21. Both were negative

Allergies: Shellfish and latex

Symptoms: I started running a low grade fever immediately after vaccination. Severe head aches and gastro symptoms started 2 weeks later. I still currently have a low grade fever. I treated with OTC medications.

Other Meds: Wellbutrin, Valtrex, Dexilant, Prozac, Melatonin, Elderberry, Vitamin C, Zinc, Altace

Current Illness:

ID: 0958608
Sex: F
Age: 76
State: WI

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: 1/16/21 Started cetirizine 10mg po daily x 5 days and increased famotidine to 20mg po BID (was daily)x 5 days.

Allergies: Bee pollen, Januvia, NSAIDS, PCNs

Symptoms: Nausea and vomiting on 1/16/21 early morning and then noted at 9PM with hives to back and neck area-has been afebrile, 1/17/21 temp=99.7 continues with nausea and hives, 1/18/21 Hives continue.

Other Meds: Glipizide, Metformin, Pioglitazone, Paroxetine, Trulicity, Topiramate, Olanzapine, Clonazepam

Current Illness: Covid-19 positive 10/12/2020

ID: 0958609
Sex: M
Age: 1
State: GA

Vax Date: 01/06/2021
Onset Date: 01/10/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: FEBRILE SEIZURE 8AM ON 1/1/2021 VIRAL RASH 1/13/2021 SEEN AT ER 1/10/2021 SEEN AT PEDIATRIC OFFICE ON 1/13/2021

Other Meds: MULTIVITAMIN

Current Illness: NONE

ID: 0958611
Sex: F
Age: 32
State:

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

Lab Data:

Allergies:

Symptoms: injection site red and irritated

Other Meds:

Current Illness:

ID: 0958612
Sex: M
Age: 73
State: IN

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

Lab Data:

Allergies: Bactram

Symptoms: I lost the ability to get out of bed or a chair, balance so I could not walk. Lasted about 15 hours. May have something to do with detrol.

Other Meds: ROSUVASTATIN 10MG FLUOXETINE 20MG Detrol ER 2mg

Current Illness: None

ID: 0958613
Sex: F
Age: 33
State: CA

Vax Date: 01/11/2021
Onset Date: 01/16/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: Nkda

Symptoms: Jan. 16, 2021 i started noticing redness on the injection site. Then Jan. 19, 2021 was when I noticed that the redness grew bigger, it felt itchy, sore, tender and warm to touch. I took Benadryl and Tylenol for it. No changes

Other Meds: Omeprazole and Cryselle-28 (birth control)

Current Illness: None

ID: 0958614
Sex: F
Age: 76
State:

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

Lab Data:

Allergies: codeine, lidocaine

Symptoms: weak/sleepy

Other Meds:

Current Illness:

ID: 0958615
Sex: F
Age: 37
State: MA

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

Lab Data:

Allergies:

Symptoms: Experienced some tingling in the left arm starts at the injection site and radiates down to the fingers. can feel the sensation in all 5 fingers, fingers feel cool to the pt but her hands feel of equal temp to the examiner, was able to use her phone to text

Other Meds:

Current Illness:

ID: 0958616
Sex: F
Age: 61
State: NY

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

Lab Data: none

Allergies: penicillin (rash); ARB (angioedema); shellfish (rash); strawberries (rash); gadalinium contrast (hives long-term); ibuprofen; sulfites

Symptoms: Dose 2 given at 1208 on 1/20/2021. At 1232 pt noticed flushing in the arms b/l, persistent pins and needles in arms, hands, and feet b/l, with "slight tingle" in lips. Unusual taste in mouth (that happened after 1st dose as well). Small wave of nausea. Sensation of heat in chest. At 1301 on 1/20/2021, 50 mg of IM Benadryl administered to RD (Lot # 080010, Exp 8/20/2022) by NP. At 1320, arms were less flushed, however b/l pins and needles persistent in both arms and feet, with "tingling" still in lips. Pt will wait until symptoms improve further to d/c to home. NP checking in continuously.

Other Meds: Zyrtec 10 mg at bedtime; Claritin 10 mg in morning; 20 mg of Pepcid BID; Pulmacort 180 mcg, 2 puffs BID; Singulair 10 mg at bedtime; Prevacid 30 mg in morning; Norvasc 5 mg at bedtime; Vitamin D

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm