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: 0959006
Sex: F
Age: 30
State: KY

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

Lab Data: N/A

Allergies: No known food or medication allergies.

Symptoms: I received the shot on 1/6/21 and had soreness and a red spot at the injection site for the first 3 days. The red spot persisted, then on Sunday 1/10 the red spot became hot, itchy, and raised. There was a quarter sized red circle around the injection site, and then a larger and lighter red spot around that about 4 inches in diameter. This bigger irregular circle lasted through Friday 1/15 when it began to be less hot, itchy, and red. The quarter sized red spot around the injection site is still there as of today 1/20/21 though is mostly faded.

Other Meds: oral birth control

Current Illness: N/A

ID: 0959007
Sex: F
Age: 44
State: AZ

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

Lab Data: none

Allergies: none

Symptoms: migraine, fever, sweat, body aches, vomiting

Other Meds: phentermine 37.5, Tylenol

Current Illness: occasional headache

ID: 0959008
Sex: F
Age: 62
State: NY

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

Lab Data:

Allergies: Morphine, Percocet, Diazepam, Vicodin

Symptoms: Associate went to ER with arm pain, redness and swelling around the injection site. Diagnosed with cellulitis. Was unable to lift her arm up fully for days. Seen by PMD and ER. Treated with antibiotics

Other Meds: Symbicort, ProAir, amlodipine, pantoprazole

Current Illness: Unknown

ID: 0959009
Sex: F
Age: 28
State: OH

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

Lab Data: none known

Allergies: penicillin, amoxicillin, clindamycin, erythromycin, phenergan

Symptoms: fever, hives, swelling and redness at site

Other Meds: none

Current Illness: Bronchitis resolved

ID: 0959010
Sex: F
Age: 28
State: IN

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

Lab Data:

Allergies: N/a

Symptoms: Nausea, fever, headache

Other Meds: N/a

Current Illness: N/a

ID: 0959011
Sex: F
Age: 29
State: NJ

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

Lab Data: denies

Allergies: denies

Symptoms: Pt. states that she is unable to adduct/abduct or lift arm above shoulder and extreme pain when moving arm and weakness in right hand. Tylenol/ibuprofen/heat has not helped.

Other Meds: yes

Current Illness: denies

ID: 0959012
Sex: F
Age: 72
State: KY

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

Lab Data:

Allergies: None

Symptoms: Severe Headache, fatigue

Other Meds: None

Current Illness: Sinus issues and ear ache

ID: 0959013
Sex: F
Age: 69
State: IN

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

Lab Data: none

Allergies: none

Symptoms: Rash, redness, heat and some swelling at injection site.

Other Meds: none

Current Illness: None

ID: 0959014
Sex: F
Age: 61
State: WI

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

Lab Data:

Allergies:

Symptoms: Starting on 1/15, Severe headache, vomiting x3 days, hives all over body for 3 days. Injection site arm very itchy.

Other Meds:

Current Illness:

ID: 0959015
Sex: F
Age: 62
State: MA

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

Lab Data:

Allergies: Unknown Food, Bees

Symptoms: Pt entered observation @ 1315. Patient c/o itching BL hands/wrist @ 1340. Benadryl 25mg was given @ 1340. V/S Obtained. BP-166/103, P-82, R-24, O2-97%. Still continued to voice s/s of itching @ 1407. Remains in observation @ present time. V/S also retaken @ 1407. BP-140/93, P-84, R-18, O2-97%. States Benadryl 25mg had alleviated some of the s/s as well. Pt voices no s/s of itching @ 1423, left observation @ 1424.

Other Meds: Metformin, Prilosec, Anadiphine

Current Illness:

ID: 0959016
Sex: F
Age: 66
State: TX

Vax Date: 12/30/2020
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: swelling on outside of earlobes anti helix. forming bulges on ears. moving upward, chills.slight headache, sharp pains in stomach,

Other Meds: Caltrate d 600mg, sucralfate 1g 2x a day, baby asprin 81 mg 1x a day, montelukast sodium 10mg 1x a day, losartan/hct 100-12.5 mg 1x a day, famotidine 40mg 2x a day, biotin 100mg 1xday, vitamin b12 1000 mcg 1xday, azelastine hci, albuterol s

Current Illness: n/a

ID: 0959017
Sex: F
Age: 41
State: VT

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

Lab Data: Upon arrival to ED on 1/15 patient had CXR and blood work ordered. CXR showed hilar prominence and thickening paratracheal strip - recommended to get chest CT. Labwork revealed extremely low level of platelets, 11,000. Discussed with hematology who concurred it was probably ITP. Advised to admit patient, start prednisone 1 mg/kg/day and IVIG 1 g/kg/day x 2 days. On 1/16 platelets increased to 42,000 and on 1/17 they were 104,000. Patient responded well to treatment and was discharged on 1/17. At discharge plan for a slow taper of prednisosone over 4-6 weeks, weekly CBC's and PCP prophylaxis with Bactrim. She was advised to f/u with PCP in 1 week and should consider getting lung lesion biopsy when platelet count allows.

Allergies: meperidine = hives/dyspnea

Symptoms: Patient got her 2nd dose of Pfizer covid vaccine on 1/8. On 1/11 she had intermittent chest pain that lasted a few days and started to notice small purpura rash on left breast. She didn't think much of it but noticed the same type of rash on her pant line and then right thigh. On 1/15 she called Occupational Health who advised her to go straight to the ED.

Other Meds: melatonin 3mg daily, magnesium 500mg daily, gabapentin 300mg BID

Current Illness: none known.

ID: 0959018
Sex: F
Age: 37
State: MD

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

Lab Data: None

Allergies: None known

Symptoms: 12:45pm: Pt c/o lightheaded, stated visual disturbances, skin color pale, and diaphoretic about 15-20 minutes after receiving the COVID 19 vaccine. Juice given. B/P 60/30 and pt.'s head placed between her knees. Pt transported via W/C to the cot and placed in supine position. 12:50pm: Pt stated she felt better with improvement in skin color noted B/P 102/70. 1pm: Pt states she continues to feel better B/P 106/70. Pt discharged from post-vaccination site via W/C with her husband (driver). Pt instructed to call her PCP to report this event.

Other Meds: Delzcol, Mercaptopurine

Current Illness: None

ID: 0959019
Sex: F
Age: 30
State: PA

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

Lab Data:

Allergies: none

Symptoms: Patient was in Observation area. Witnessed by RN fainting and sliding to floor. Other RNS and Paramedic immediately at her side. Initially groggy but came alert and oriented quickly. Initially Bradycardic and hypotensive. IV started and immediate improvement. History of vasovagal episode with blood draws. Denied injuries or discomfort. Sent by ambulance

Other Meds: Spirolactaone

Current Illness: none

ID: 0959020
Sex: M
Age: 69
State: IN

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

Lab Data:

Allergies: CODINE

Symptoms: severe chills, headache, fever, heart trouble, muscle aches, eye pain and joint pain.

Other Meds: VITAMIN D, ZINC, VICTOZA,METOPORAL

Current Illness: NONE

ID: 0959021
Sex: F
Age: 54
State: IN

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

Lab Data: None

Allergies: Amoxicillin

Symptoms: Fever, muscle aches, chills occurring approximately 17 hours after injection.

Other Meds: Tamoxifen 20 mg 1x/ day Xarelto 10 mg 1x/ day

Current Illness: None

ID: 0959022
Sex: F
Age: 52
State: WI

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

Lab Data: None

Allergies: Shrimp, iodinated contrast, miconazole

Symptoms: Approximately 15 minutes after receiving second vaccine dose, patient reported feeling light-headed and a subjective swelling of her left cheek. Patient was tachycardic and hypertensive; taken to ER for observation. Received a dose of oral diphenhydramine 50 mg. Was ultimately discharged home in stable condition.

Other Meds: Bupropion 150 mg PO daily, cetirizine 10 mg PO daily, cholecalciferol 2,000 units PO daily, magnesium oxide 800 mg PO daily

Current Illness: N/A

ID: 0959023
Sex: F
Age: 76
State: CO

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

Lab Data: None

Allergies: Darvon, sulfa, zithromax

Symptoms: Day 1-3: Sore arm, fatigue Day 4-6: Normal Day 7-present: Injection site is red, swollen and hot, fatigue, dizziness, vertigo, weakness

Other Meds: Cevimeline, turmeric, ginger, Vitamin B, C, D, magnesium, calcium, fish oil, zinc, lutein

Current Illness: Sjogren's disease, lymphedema

ID: 0959024
Sex: F
Age: 27
State: GA

Vax Date: 01/06/2021
Onset Date: 01/12/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: no known allergies

Symptoms: Fatigue and intermittent weakness

Other Meds: Birth control

Current Illness: n/a

ID: 0959025
Sex: F
Age: 30
State: IL

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

Lab Data: None

Allergies: no

Symptoms: Moderate pain at the injection site lasted ~36 hours after shot. Six days after vaccine was given, I experienced an enlarged lymph node on the left side base of my neck. The lymph node was about the size of a dime, firm, and tender to the touch. Minimal armpit pain was experienced (similar to an ingrown hair), except there wasn't an ingrown hair. On the 7th day, about 15 hours after noticing the enlarged lymph node, swelling and tenderness has reduced, but has not disappeared completely.

Other Meds: Nuva Ring for birth control

Current Illness: none

ID: 0959026
Sex: M
Age: 41
State: MO

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

Lab Data: Blood pressure, heart rate, oxygen levels,

Allergies:

Symptoms: Sweating, increased heart rate,

Other Meds:

Current Illness:

ID: 0959027
Sex: F
Age: 31
State: MD

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

Lab Data:

Allergies:

Symptoms: Approximately 8 hours after receiving the vaccine she began noticing itchy throat, eyes, ears, nasal congestion and sneezing. These symptoms lasted for about 48 hours.

Other Meds:

Current Illness:

ID: 0959028
Sex: M
Age: 40
State: VA

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

Lab Data: None

Allergies: Lexofluxen

Symptoms: About 3 minutes after the shot I begin to taste it in my mouth and seconds after that my pinky and ring finger on my left hand went numb and has been like that ever since. At one point my whole hand tingled. I even had pain in my bicep on the same side

Other Meds: Lisinoprol HTZ

Current Illness: None

ID: 0959029
Sex: F
Age: 46
State: MI

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

Lab Data:

Allergies: Neomycin, Diflucan, Latex, Lamictal

Symptoms: About 10 minutes after injection - extreme sedation, flushing, hives and itching on right side of chest, and continuous cough. Was administered one dose of epi-pen injection, steroid injection, and oral benedryl by doctor on site. 20 minutes later flushing, headache, and extreme nausea. Was given second dose of epi-pen and sent to the hospital in an ambulance for monitoring.

Other Meds: Armour Thyroid, Lexapro, Ambien, pain medication, allergy medication

Current Illness: Hashimoto's Thyroiditis

ID: 0959030
Sex: F
Age: 47
State: MO

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: Chocolate Syrup

Symptoms: Felt as though hips and elbows were dislocating- extreme pain that caused emotional upset for the day as well as pain throughout joints for several days.

Other Meds: None

Current Illness: None

ID: 0959031
Sex: F
Age: 78
State: FL

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

Lab Data:

Allergies: Food - Kiwi and shiitake mushrooms Sulfur, Methyprednisolone

Symptoms: I got the shot on Monday 1/11/2021, had a slight fever on the 12th and couldn't raise my arm higher then my shoulder. On the 13th my arm was fine. Then I didn't worry about till the 01/18/2021 in the evening and it felt warm and it was a big patch of red (looked like a rash) about 3 inches long and 2 inches wide like a oval shape. On Tuesday 01/19/2021 I called my doctor, spoke with nurse what was going on. Doctor told her to put cold compresses on the site 15 minutes on and then 15 minutes off and take Tylenol as needed. The area is still warm and the redness area is still there. Did go to local grocery store and spoke with pharmacist who advised her to contact VAERS.

Other Meds: Lexapro 20 mg once a day, Lorazepam 3/4 mg tablet once in evening, Domperidone 10mg twice a day Caltrate 600 plus D3 two a day, Vitamin D one a day, Areds 2 two a day, Vitamin C one a day, Centrum women one a day, Omega 3 one a day, Pe

Current Illness:

ID: 0959032
Sex: F
Age: 43
State: WA

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Abdominal pain, epigastric and periumbilical. Worse over 24 hrs. Took over 48 hrs to resolve

Other Meds: Centrum, Vitamin D

Current Illness: None

ID: 0959033
Sex: F
Age: 82
State: VA

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

Lab Data: none

Allergies: NKA

Symptoms: Patient received injection of Covid 19 vaccine - needle was not attached securely and vaccine ran down patients arm -patient didnot receive full dose of vaccine . Medical director for Health Dept. was on site. 2nd dose was administered after discussing with patient. Patient was monitored for 30 minutes after receiving the second dose for any adverse reactions .Patient didnot have any adverse reaction. She was called 01/19/2020 and 01/20/2020 and reported no adverse reactions.

Other Meds: Low dose aspirin

Current Illness: NONE

ID: 0959034
Sex: F
Age: 34
State: IL

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

Lab Data: n/a

Allergies: Latex, Adhesives

Symptoms: I had one day of sweats, body aches, and fatigue in which I stayed in bed the calendar day after I got the second vaccine. I planned to get the vaccine on a Friday when I was off the following day in case this happened so I could rest, but if I had been scheduled to work I would have taken the day off to rest based on the symptoms. I felt normal the next calendar day. I was 31 weeks pregnant at the time, had no adverse events related to the pregnancy, and am due 3/10/21 with a delivery scheduled 3/3/21; baby and mom are doing just fine.

Other Meds: Entyvio, levothyroxine, metformin ER, Flonase, prenatal, Vit D, Vit B12, fish oil

Current Illness: none

ID: 0959035
Sex: M
Age: 29
State: WA

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

Lab Data:

Allergies:

Symptoms: Low grade headache started at 19:30 Jan 6 and has continued through Jan 7. Tenderness at injection site, shoulder hurts to move and arm is sore down to elbow (feels bruised and weak). Nausea at between 17:30 & 20:15 Jan 6. Mild joint paint. Not all joints just the ones that normally hurt when I get sick. Overall feeling tired and low energy. Jan 7 - Jan 8: Redness at injection site and some minor swelling.

Other Meds:

Current Illness:

ID: 0959036
Sex: F
Age:
State: AZ

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

Lab Data:

Allergies: None

Symptoms: None stated.

Other Meds: Aubagio, Gabapentin, Primidone, Zolpidem Tartrate, FLUoxetine HCL, Baclofen, Topiramate. Restasis, Vit B12, Cenrum Silver, Vit D, Fish Oil

Current Illness:

ID: 0959037
Sex: F
Age: 43
State: MA

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

Lab Data:

Allergies: MSG

Symptoms: My right arm at injection site is swollen and hurts and my left side of my face is swollen.

Other Meds: Lisinipril 5 mg

Current Illness: None

ID: 0959038
Sex: F
Age: 47
State: MN

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

Lab Data: None

Allergies: Penicillin allergy - rash (childhood)

Symptoms: Approximately 2 weeks after vaccination, an injection site reaction occurred. Arm swelling, skin is bright red, hot. Symptoms have persisted for 20 hours at this time. Some itching, "numb" feeling when touched.

Other Meds: Fetzima 20mg Zolpidem 5mg Tylenol

Current Illness: None

ID: 0959039
Sex: F
Age: 51
State: MD

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

Lab Data: Na

Allergies: None

Symptoms: On the 8th day after vaccine I developed a red itchy rash at site of infection. On 9th day (today) the rash has doubled in size and is still itchy.

Other Meds: None

Current Illness: None

ID: 0959040
Sex: F
Age: 44
State: NY

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: sulfa, Macrobid

Symptoms: The employee was vaccinated with her first dose on 12/29/20 in the am. By the evening she had a headache. By Wednesday(12/30/20) morning, the headache was severe and lasted until Saturday(1/2/21) morning. Friday(1/1/21) the headache was so severe she almost went to the emergency room. She also reported that Friday she vomited frequently. That Saturday, she noticed the whole right side of her face was numb and tingling, was uncomfortable but not painful, "like when your foot falls asleep." As of Sunday(1/3/21) morning, all the symptoms had resolved all together she believes.

Other Meds: birth control

Current Illness: no

ID: 0959041
Sex: F
Age: 54
State: MA

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

Lab Data: none

Allergies: prednisone

Symptoms: Face (cheeks, forehead, chin) red (sunburn look) and swollen. Occurred several hours after receiving vaccine.

Other Meds: metoprolol, 50 mg

Current Illness: HTN

ID: 0959042
Sex: F
Age: 52
State: CO

Vax Date: 01/11/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 4 days after vaccination (01/15/2021) client stated she was having armpit soreness without swollen lymph nodes. This morning (01/20/2021) when she woke up she had a 1 inch red circle around injection site, swollen and warm to touch. Advised client to seek medical care either by PCP or Urgent Care.

Other Meds: N/A

Current Illness: No

ID: 0959043
Sex: F
Age: 41
State: CA

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

Lab Data: On 01/20/2021, I consulted with a PA and was advised to use a topical cream and submit a report to Adverse Events. The PA was hesitant to advise, as the vaccine is new.

Allergies: Guafenasine, CT dye

Symptoms: The day after the injection, the injection site became red for approximately three days. After three days the redness began to disappear. On the morning of the 8th day, a large red rash developed at the injection site. Over 24-hours the rash has grown and become warm to the touch and swollen. The rash is itchy. At this time the rash is approximately 2.5-3 inches in diameter.

Other Meds: Montelukast 10 mg, Nortrel, Chlorpheniramine Maleate 4 mg (3 per day), Daily Vitamin, B-12 spray

Current Illness: None

ID: 0959044
Sex: M
Age: 48
State: VA

Vax Date: 01/15/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 3 days following injection, pt developed severe vertigo, headache, bilateral eye pain, weakness. Pt advised to rest, hydrate and use APAP and/or ibuprofen for headache. Pt declined in-person evaluation. Symptoms improved within 24 hours.

Other Meds: sertraline 100mg daily

Current Illness: none

ID: 0959045
Sex: F
Age: 47
State: OH

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

Lab Data: none

Allergies: levaquin, aspirin, augmentin

Symptoms: Arm started itching at injection site and a red "welt" developed on 1/19/21, Itching not as bad 1/20/21 but still has a red welt

Other Meds: Multi-vitamin, ibuprofen "most days"

Current Illness: none

ID: 0959046
Sex: F
Age: 0
State: WI

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

Lab Data:

Allergies: Reports anaphylaxis to multiple drugs including morphine and penicillin per patient report Rash at injection site with flu vaccine

Symptoms: Patient received Covid vaccine, had sudden onset of flushed feeling, nausea no emesis, "dizzy/Fuzzy head" feeling. Hypertensive at time BP left arm 171/95 HR 79, RR 26, 99% RA. Apple juice, and cracker provided, and emesis bag provided. Patient was already waiting for thirty minutes time (she was 15 minutes into her wait time). She reported having a progression of nausea and dizziness Repeat vital signs at 1345 139/100 HR 76, RR 24 Pox 96% RA. First responder was called and patient was assisted into wheelchair and taken to the ER for further evaluation.

Other Meds: Patient reports taking Verapamil for blood pressure at night only last dose was 1/19/21

Current Illness: Patient reports significant health issues including hypertension, allergic reaction to multiple medications, chronic pain

ID: 0959047
Sex: F
Age: 71
State: MA

Vax Date: 10/14/2020
Onset Date: 10/21/2020
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: sinus allergies

Symptoms: Large fever blisters on both upper and lower lips started one week after vax. Pt was prescribed Valtrex to help with blisters. Pt stated she had the influenza and Shingrex vax at the same time. Pt had 2nd dose of the Shingrix vax on 12/31/2020 and 3 days later had a major episode w/ more fever blisters. Pt was prescribed more Valtrex and was told to take it 2 X daily. Pt states she still has the blisters and has to take the Valtrex daily to control it.

Other Meds: Levothyroxine, Cyclobenzaprine, Meloxicam, tramadol, estradiol weekly, one other hormone medicine -no sure name of med

Current Illness: none

ID: 0959048
Sex: F
Age: 39
State: NC

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

Lab Data: BP 103/75, HR 85 Had negative covid test & asymptomatic

Allergies: Sulfa, codeine

Symptoms: Pt received vaccine and was fine for the 15 minutes after then developed numbness & tingling in right side of face & arm & top of hand. Lower body not affected. No treatment, BP was 103/75 & HR 83. PT had no other issues.

Other Meds: Zyrtec

Current Illness: Covid

ID: 0959049
Sex: F
Age: 75
State: NY

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

Lab Data: NA

Allergies: She reported no allergies to meds or vaccines, foods but does report an allergy to chemicals such as perfumes, which cause itchy tongue and slight swelling to back of the throat. Never received any emergent care for this reported allergy but does take Benadryl. Pt had Benadryl on hand and administered herself 25 mg.

Symptoms: Immediately after administration of the vaccine the patient reported feeling flushed, rapid heartbeat and because of her previous history of reaction to chemicals she became anxious. Pt further evaluated by NP and pt c/o itching to back of throat. No SOB. At time of NP evaluation heart rate within normal limit, 84. Alert and oriented. No acute distress. Pt very anxious. Pt monitored for one hour with no issues or emergent care needed.

Other Meds: N/A

Current Illness: None

ID: 0959050
Sex: F
Age: 65
State: TX

Vax Date: 01/10/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Bactrim, buprenorphine, clindamycin

Symptoms: After 8 days my arm started hurting. It has red welts on it and feels hot. Today is day 10 and it?s redder than before.

Other Meds: Fluoxetine, lisinopril, pravastatin, calcium, vitaminD, vitamin B, magnesium, multiple vitamin

Current Illness: None

ID: 0959051
Sex: F
Age: 56
State: NM

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

Lab Data: None

Allergies: Aspirin (rash), ciprofloxacin, codeine (vomiting, rash), escitalopram (dizziness, rapid heart rate)

Symptoms: Itchy sensation to arms, redness to chest. Rapid response called, patient monitored. No additional intervention

Other Meds: Unknown

Current Illness: Unknown

ID: 0959052
Sex: F
Age: 64
State: MA

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

Lab Data: None.

Allergies: None.

Symptoms: 1/19/21, achy all over, felt nauseous, bad headache that lasted all day. As the day progressed had shaking chills. Started feeling sicker and sicker, and then started feeling chills/hot at the same time, exhaustion. Fell asleep and when woke up had fever of 100.7. Just fell back to sleep, took Tylenol and that helped break the fever, but still feeling extremely tired and achy all over. Feels like the flu. Just now today, 1/20/21 body pain is starting to ease up, still feeling tired but fever has resolved.

Other Meds: Levothyroxine, Rosuvastatin, Vitamin D, fish oil, calcium, one a day vitamin.

Current Illness: None.

ID: 0959053
Sex: F
Age: 63
State: NY

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

Lab Data:

Allergies:

Symptoms: Red below injection site ,swelling with second day getting a rash, not raised went away and then reappeared. Went away after two days of tyneol

Other Meds: Losartan, HCTZ, Atenolol, Timoptic,Lumigen

Current Illness: Hypertension, Open Angle Glaucome

ID: 0959054
Sex: F
Age: 64
State: NY

Vax Date: 01/08/2021
Onset Date: 01/17/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Clams, band aid adhesive

Symptoms: Swollen red arm - cellulitis 10 days after vaccination

Other Meds: Simvastatin, Atelenol, Metformin

Current Illness: Type II Diabetes

ID: 0959055
Sex: F
Age: 69
State: OK

Vax Date: 01/07/2021
Onset Date: 01/10/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Rash all over my back. Almost looked like little bug bites or shingles, but they were neither.

Other Meds: Propranolol ER, Atorvastatin, NP thyroid, Aleve, Advil

Current Illness: No e

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm