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: 0959764
Sex: F
Age: 67
State: FL

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

Lab Data:

Allergies: No

Symptoms: I developed a rash in my torso, back, elbows. It itches very much. Seven days after the application of the vaccine, the itch, or rash, is still active.

Other Meds: Magnesium Oil of oregano Vitamin C

Current Illness: No

ID: 0959765
Sex: F
Age: 55
State: WI

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

Lab Data: none

Allergies: none

Symptoms: I got the vaccine at 1:30pm at vaccine clinic and waited the mandatory 15 minutes in clinic's observation area. After release I went to my car and started to drive home. At the 25 minute mark post vaccine (1:55pm) I felt numbness and tingling of cheeks and lips (no swelling and no difficulty breathing). I drove the nearby adult hospital, parked on a side street to wait and see if anything got worse. After 10 minutes symptoms subsided and I continued home. At the 50 minute mark post vaccine (2:20) I felt numbness and tingling of my right arm which subsided after 10 minutes. No further side effects.

Other Meds: Armour Thyroid 1 grain daily and Synthroid 25mcg daily

Current Illness: none

ID: 0959766
Sex: F
Age: 68
State: CA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: cephalexin pcn

Symptoms: patient stated 24 hrs. after injection woke up with extreme lower back pain, extreme weakness, difficulty walking, symptoms lasted 4-5 days

Other Meds: levothyroxine iron tab

Current Illness: none

ID: 0959767
Sex: F
Age: 58
State:

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

Lab Data:

Allergies: NKA

Symptoms: Erythema and induration 8 days after vaccine administration, suspicious for cellulitis.

Other Meds: doxycycline

Current Illness:

ID: 0959768
Sex: F
Age: 69
State: GA

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

Lab Data:

Allergies: Allergies Allergies as of 1/19/2021 Reviewed by Daquine Prophete on 1/19/2021 Severity Noted Reaction Type Reactions Ceftin [cefuroxime Axetil] Not Specified 07/19/2019 Nausea and/or Vomiting Darvon [propoxyphene Hcl] Not Specified 12/29/2014 Allergy Other Psychological reaction / Coma Dilaudid [hydromorphone Hydrochloride] Not Specified 12/29/2014 Allergy Skin Rash and/or Hives, Asthma and/or Shortness of Breath, Nausea and/or Vomiting Eggs (edible) Not Specified 09/17/2015 Other "sensitive" Erythromycin Base Not Specified 12/29/2014 Intolerance Nausea and/or Vomiting, Other Diarrhea Niacin Not Specified 12/29/2014 Allergy Other Swelling Nsaids, Non-selective [non-steroidal Anti-inflammatory Agents] Not Specified 12/29/2014 Intolerance CKD Stage 3 Penicillins Class Not Specified 12/29/2014 Intolerance Nausea and/or Vomiting, Other Diarrhea Vaccine Adjuvant Solution Cpg 1018 Not Specified 10/21/2019 Allergy Skin Rash and/or Hives

Symptoms: Adverse (possible allergic reaction) to Moderna Covid vaccine. Member with multiple drug allergies and states history of anaphylactic reaction to "shot" in past. Received Moderna vaccine to left upper arm at approximately 5:41 pm - at 6:04 pm began to C/O itching to area around injection site that then began to spread to left arm and left upper anterior chest wall. No visible hives noted. No respiratory difficulty or facial swelling noted - Pulse = 78, RA O2 sat = 97%. Pt transported to ACC via W/C for further observation. Pt with personal walker , also transported to ACC with member.

Other Meds: Medications Outpatient Medications at End of Encounter on as of 1/19/2021 Disp Refills Start End Furosemide (LASIX) 40 mg Oral Tab 180 tablet 3/3 1/6/2021 1/6/2022 Sig - Route: Take 1 tablet by mouth 2 times a day for fluid retention - O

Current Illness: Problem List Date Reviewed: 1/19/2021 as of 1/19/2021 ICD-10-CM Priority Class Noted - Resolved ADJUSTMENT DISORDER W DEPRESSED MOOD F43.21 1/5/2015 - Present HTN (HYPERTENSION) (Chronic) I10 1/5/2015 - Present CHRONIC PAIN SYNDROME (Chronic) G89.4 1/5/2015 - Present Overview No typical findings for fibromyalgia. History of rheumatoid arthritis, with no evidence of current activity, and no radiological changes in today's x-rays. She does have some OA in the medial and PF compartments in both knees. Morbid obesity is an aggravating factor. Should lose about 100 lbs. Gout is under good control on Uloric 80 mg qd, maybe too high of a dose, last uric acid 4.3. Old records, labs and x-rays requested. Continue MTX for now, labs q 8w. RTC in 4 months. Previous Version FIBROMYALGIA (Chronic) M79.7 1/5/2015 - Present GOUT (Chronic) M10.9 1/5/2015 - Present HX OF COLONIC POLYP (Chronic) Z86.010 1/5/2015 - Present VERTIGINOUS SYNDROME H81.90 1/5/2015 - Present RIGHT HEARING LOSS H91.91 1/5/2015 - Present Overview pt reports that she can not afford hearing aids DISEQUILIBRIUM R42 1/5/2015 - Present FALL RISK Z91.81 1/5/2015 - Present CKD STAGE 3 (GFR 30-59), UNSPECIFIED. (Chronic) N18.30 2/4/2015 - Present LUMBOSACRAL RADICULITIS M54.17 3/10/2015 - Present FATTY LIVER K76.0 4/28/2015 - Present ASTHMA, UNSPECIFIED (Chronic) J45.909 6/11/2015 - Present HX OF CARDIOMYOPATHY Z86.79 6/11/2015 - Present HX OF CHF Z86.79 6/11/2015 - Present ORTHOSTATIC HYPOTENSION I95.1 6/12/2015 - Present ANEMIA D64.9 6/19/2015 - P

ID: 0959769
Sex: F
Age: 39
State: TX

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

Lab Data:

Allergies: None

Symptoms: The fireman injected the vaccine approx. 2.5 inches below where he should have into fat instead of into my deltoid. Today is Wednesday and the red area on my arm is still swollen and the redness is spreading to a larger area. It is now an oval approx 3" across by 1.5" high.

Other Meds: None

Current Illness: None

ID: 0959770
Sex: F
Age: 83
State:

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

Lab Data:

Allergies: codeine

Symptoms: dizziness

Other Meds:

Current Illness:

ID: 0959771
Sex: F
Age: 76
State: CT

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

Lab Data: CAT scans of head and chest 1/18 Blood work-up 1/18 Urine analysis 1/18

Allergies: Raw celery, clover honey, ragweed

Symptoms: Lowered body temperature 30 min after dose, left hand began to itch approx. 45 minutes, both hands itching & swelling, then feet within hour. Total lose of vision within 90 min followed by fainting approx 10 minutes later. Fainted at check-in desk of emergency room

Other Meds: Multivitamin, Vitamin C, Zinc, vitamin D, Tolterodine, Atorvastatin, Levothyroxine

Current Illness: None

ID: 0959772
Sex: M
Age: 60
State: AZ

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

Lab Data:

Allergies: Morphine, Gabapentin

Symptoms: Body aches, temperature 102.7, chest tightness

Other Meds: None

Current Illness: None

ID: 0959773
Sex: F
Age: 46
State: NY

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

Lab Data:

Allergies: None

Symptoms: Itching started at the site where the shot was given, swelling, warmth, and redness around the injection site.

Other Meds: Cymbalta

Current Illness: None

ID: 0959774
Sex: F
Age: 29
State: MA

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

Lab Data:

Allergies: Macrobid Bactrim

Symptoms: Swelling in the L axilla several days after vaccination followed by a warm sensation and swelling at the injection site 5 days after vaccination with subsequent development of numbness and tingling of the L hand that resolved in a week.

Other Meds:

Current Illness:

ID: 0959775
Sex: F
Age: 63
State: CA

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

Lab Data: N/A

Allergies: Projectile vomiting to Tramadol. Rash with Cipro

Symptoms: Patient received Moderna COVID Vaccine on 1/11/2021. Patient started to noticed redness and soreness on and around the injection site on 1/19/2021. The area is warm to touch, redness was measured at 3inches x 2 inches. Patient also felt itchy on the area.

Other Meds: Hyzaar, Atenolol, Sigulair, Advair, Vit C, Multivit for women, fish oil, Vit D. Patient has been taking these meds/supplements for a long time.

Current Illness: N/A

ID: 0959776
Sex: F
Age: 70
State: CT

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

Lab Data: none at this time

Allergies: Penicillin

Symptoms: MODERNA COVID-19 VACCINE EUA today is January 20, 2021 - ONE week after the injection this is the first reaction to the shot (other than soreness at injection site for 2 days after injection. At approximagtely 6:35 this evening I experienced a REACTION-A ROUND HARD CIRCLE AT INJECTION SITE APPPROX. 1 1/4 inches in diameter. with some redness surrounding the hard circle. I applied ice and called primary care physician- Dr, assured me to keep applying ice and perhaps take a Claritin- or a Benadryl as I do not have Claritin in the house.

Other Meds: Pravastat, Zetia, synthroid OTC- CoQ10, multi vitamin, magnesium, calcium supplement

Current Illness: none

ID: 0959777
Sex: F
Age: 42
State: FL

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

Lab Data: none

Allergies: nka

Symptoms: headache, fatigue, chills and fever, and generalized muscle soreness for greater than 24 hours

Other Meds: none

Current Illness: none

ID: 0959778
Sex: F
Age: 40
State: ND

Vax Date: 12/31/2020
Onset Date: 01/02/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: NO

Symptoms: 1-2 DAYS AFTER VACCINATION PATIENT EXPERIENCED ARM NUMBNESS. TODAY AT 2ND DOSE SHE NOTIFIED US SHE STILL IS EXPERIENCING IT BUT HAS SLIGHTLY IMPROVED IN SENSATION

Other Meds: UNKNOWN

Current Illness: NO

ID: 0959779
Sex: F
Age: 42
State: CT

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

Lab Data: None except for standard vital sign monitoring

Allergies: Seasonal allergies, Sulfa, Ceftin

Symptoms: Symptoms began at 5-10 minutes after receiving vaccine: Started with lips feeling swollen and numb, no difficulty breathing, approximately 20 minutes after vaccine back of throat became itchy, Oxygen levels normal and no difficulty breathing, a little over 30 minutes after vaccine both cheeks became numb, a few minutes later on walking to the bathroom an irritating cough and throat clearing started. at 45 minutes after vaccine tongue became itchy, still stable oxygen levels and decision was made to go across the lobby to the hospital ER for treatment. On arrival to the ER there was a rash on the chest and by 4:20pm almost 2 hours after vaccine coughing fit with difficulty catching breath occurred, 18 gauge IV was placed in Right arm and IV benadryl 25mg and IV solumedrol 125mg was given with Albuterol inhaler 6 puffs delivered in a spacer. Symptoms began to resolve and almost gone within the hour of receipt of medications. Observation was continued for a total of 2 hours with Discharge by 7pm that evening. Discharge medication instructions were: Prednisone 50mg daily for 2 days starting Wednesday 1/20/21 and Benadryl 25mg every 6 hours round the clock for 5 days, Albuterol metered dose inhaler 2 puffs every 4-6 hours as needed in spacer (inhaler provided by ER) and Epic-pen to keep as needed for home in case of sudden onset reaction. By Wednesday 1/20/21 symptoms almost completely resolved except for occasional irritated cough and itchy throat and feeling flushed and tired from the Benadryl and a little jittery from the steroids..

Other Meds: Levothyroxine 88mcg daily, Lo-lo Estrin OCP 1 pill daily, Zyrtec 10mg Nightly, Folic acid, Vitamin B12, Vitamin D3 regularly Premedication for 2nd Moderna Vaccine: Night before on 1/18/21 usual nightly dose of Zyrtec and tylenol 500mg and b

Current Illness: Stye in left eye with some lid inflammation on Friday 1/15/21 that cleared up by Sunday 1/17/21 with warm compresses and some eye drops.

ID: 0959780
Sex: M
Age: 81
State: CA

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

Lab Data: None.

Allergies: to sulfa, dairy, meat, eggs, iodine contrast imaging agent.

Symptoms: About one hour after injection, patient experienced overwhelming fatigue such that he had to lie down in bed. He slept two hours. Upon awaking, he noticed soreness at the injection site, which has persisted the following day.

Other Meds: metropolol, 75 mg.; terazosin, 5 mg.,; clopidogrel, 75 mg.; simvastatin, 20 mg.; aspirin, 81 mg.; lutein, 20 mg.; vitamin C, 50 mg.; vitamin D, 50 mg.; multivitamin.

Current Illness: None.

ID: 0959781
Sex: F
Age: 40
State: OR

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

Lab Data:

Allergies: knda

Symptoms: pt c/o itching and dizziness about 10 minutes after receiving vaccine. light rash to upper back and neck noted. given 25mg Benadryl po. pt released after 1 hour of observation

Other Meds:

Current Illness: none

ID: 0959782
Sex: F
Age: 69
State:

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

Lab Data:

Allergies:

Symptoms: Headache, muscle ache, pain, chills, rash over body

Other Meds:

Current Illness:

ID: 0959783
Sex: F
Age: 31
State: CA

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

Lab Data:

Allergies: none

Symptoms: redness, swelling, uticaria, firmess, warm to touch at injection site for x10 days

Other Meds: birth control, loratadine, Zoloft, trazadone

Current Illness: none

ID: 0959784
Sex: F
Age: 48
State:

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

Lab Data: Pulse Ox 100%

Allergies: Injectafer [ferric carboxymaltose], Bee sting [bee venom], Compazine [prochlorperazine], Dilaudid [hydromorphone (bulk)], and Norco [hydrocodone-acetaminophen]

Symptoms: It was stated that approx 1 hour after getting the Covid Vaccine she developed SOB. It was stated that she was given Benadryl 50 mg IM and Epi pen 0.3 mg sq. It was stated that she got the vaccine at 1330 and the reaction began at approx 1430 hours. She states that she has allergies to bees, meds and foods. She states that she feels the same way as a major allergic reaction. She states that she feels like her throat is itchy and scratchy. She states that it feels like her throat is gong to close. She has more problems with coughing than she does with SOB. H She denies any headache, neck, chest or abd pain, numbness or tingling. She further denies any N/V, Dizziness, fever or chills, blurred or double vision, photophobia. Respirations are without shoulder lifts or intercostal retractions. She is primarily coughing. She is able to speak in 3 - 5 word sentences. No drooling are noted, mild stridors are noted. Lung sound are clear and equal bilateral. She appears to be atraumatic without signs of gross deformity. She moves all extremities well and equally without other c/o pain or discomfort. She appears to be in no acute distress. Patient discharged home and referred to PCP and allergist

Other Meds:

Current Illness:

ID: 0959785
Sex: F
Age: 32
State: IL

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Patient awoke in the middle of the night shaking (chills), but was not running a fever. After taking 1000 mg of acetaminophen the shaking resolved in 30 minutes. That same day around 10 AM patient had muscle soreness in neck and shoulders and a mild headache.

Other Meds: Lialda, cetirizine, folic acid, acetaminophen, vitamin D3

Current Illness: none

ID: 0959786
Sex: M
Age: 39
State: CA

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

Lab Data: I visited my primary care physician 1/15/2021 and he checked my ears using an otoscope, but stated there was no infection. At different times throughout the day, my left ear seems slightly muffled.

Allergies: Cefazolin,

Symptoms: Mild pressure to left ear, no pain.

Other Meds: Lisinopril 5 mg PO daily, Loratadine 10 mg PO, Truvada 200-300 mg PO daily, Flinstones Multivitamin 1 chewable twice daily, Vitamin B-12 sublingual PO daily, Calcium Citrate chews 600 mg PO bid, and Singulair 10 mg PO qhs.

Current Illness: n/a.

ID: 0959787
Sex: F
Age: 51
State: MN

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

Lab Data:

Allergies:

Symptoms: Trunk rash, fever, GI symptoms

Other Meds:

Current Illness:

ID: 0959788
Sex: F
Age: 31
State: FL

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

Lab Data: None have been done

Allergies: None

Symptoms: A week post Covid shot, A hard lump appeared at injection site. It is Red, Hot, Itchy, 2.5 inx2.5in circumference.

Other Meds: Novolog Insulin

Current Illness: Type 1 -Diabetic Endometriosis

ID: 0959789
Sex: F
Age: 29
State: MN

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

Lab Data:

Allergies:

Symptoms: I felt q lump in my throat and tingly in hands qnd feet for a few minutes after. I then was speaking with management and felt faint and short of breath, continued to be tingly. Last night 1/19/21 I had a moment of not feeling well and my heart rate went from 60s to 120s with shortness of breath and nausea qnd tingling. This continued for about 30 minutes, I was debating going to the ED for the SOB. I then became really cold and had such bad shaking I couldn't hold anything for another 20 minutes. Today I continue to have some tingling. All of this on top of the expected side effects.

Other Meds:

Current Illness:

ID: 0959790
Sex: F
Age: 30
State: PA

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

Lab Data: No

Allergies: No

Symptoms: Had a cluster headache - that started the day of (started as a dull headache) and it continued throughout the next day. The next night it woke me up in the middle of night - terrible pain in my head. And continued for three weeks. I called my PCP - He said take Tylenol and drink water. Went to Urgent care on January 4 and they prescribed Imitrex for migraines and an antibiotic for double ear infection .I still have a little headache. I have an appt to go back to check my ears because they are still draining.

Other Meds: Trilomarzia Birth Control

Current Illness: I had gall bladder removed for gall bladder disease. Removed on Nov 15, 2020; Haven't had been able to keep food down since last March (may have had COVID) and losing my hair since then

ID: 0959791
Sex: F
Age: 50
State: WV

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

Lab Data: EKG, bloodwork

Allergies: no

Symptoms: Swelling all over her body, ear popping all the time, hands and feet are numb, torso swollen and numb, face swollen and red. Taking steroids for four days. Went to hospital. Then went to other facility.

Other Meds: Levothyroxine, Crestor

Current Illness: no

ID: 0959792
Sex: F
Age: 59
State: TX

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

Lab Data: None

Allergies: None

Symptoms: Arm swelling, hardness, hot, redness. Continued for 9 days, 7th day was the worst.

Other Meds: Calcium Vitamin D Biotin

Current Illness: None

ID: 0959793
Sex: F
Age: 34
State: CA

Vax Date: 01/08/2021
Onset Date: 01/16/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: melon

Symptoms: 8 days post initial injection site became mildly swollen, hot to touch and intensely itchy. lasted for2.5 days then resolved.

Other Meds: Singulair, Benadryl, Allegra, Zyrtec

Current Illness:

ID: 0959794
Sex: F
Age: 84
State: PA

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

Lab Data:

Allergies:

Symptoms: Rash, redness, tenderness appearing on arm below actual injection site

Other Meds:

Current Illness:

ID: 0959795
Sex: F
Age: 38
State: FL

Vax Date: 12/29/2020
Onset Date: 01/04/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: Full ER work up + troponins due to chest pain from persistent tachycardia.

Allergies: Sulfa

Symptoms: On Day 8 (Jan 5) at 12 pm, I started to feel achy and having tachycardia with PVCs and went to the emergency room at my hospital. I was released, and went to work the next morning feeling OK. That evening on day eight I got a fever, tachycardia in the 150s, chills. The area on my arm was on fire, red with an area 12 x 9 cm area where the injection was given. My employer made me go back to the ER to have it seen. They prescribed me Benadryl, Pepcid. Fever had stopped.

Other Meds: None

Current Illness: None

ID: 0959796
Sex: F
Age: 17
State: NE

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

Lab Data:

Allergies:

Symptoms: No adverse event reported. The vaccine was administered to a 17 year old female in error.

Other Meds:

Current Illness:

ID: 0959797
Sex: F
Age: 74
State: WY

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

Lab Data:

Allergies: no known

Symptoms: rash on hands--had this happen once last summer after working in garden. She did work in garden this morning but didn't know if it was that or covid vaccine

Other Meds: simvastatin, losartan, and triamcinolone cream

Current Illness:

ID: 0959798
Sex: F
Age: 57
State: CA

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

Lab Data: I have not contacted any medical personal to look at the matter

Allergies: None

Symptoms: Rash/welt puffiness on my arm in area where shot was given, soreness is going away, but redness area and itching persist, applied cortisone cream to relief the itching and it does alleviate Experience where I am trying to breath in deeply but I cannot get the breath, I have to yawn and that kind of helps sometimes My fingertips on both hands feel a bit of numbness, and are very cold Other bumps on skin on legs

Other Meds: Vitamin C, D3, B Complex, Magnesium

Current Illness: None

ID: 0959799
Sex: F
Age: 29
State: TX

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

Lab Data: None. Too afraid to visit the doctors at this time with high covid numbers in the area. Will go if it gets worse.

Allergies: None

Symptoms: I?m due in July 2021 and also breastfeeding. One week after the shot which is today my arm has broken out in hive like bumps all around the injection site with a larger bump directly where the shot went. My skin is raised with a large lump underneath. It?s very itchy, but not painful at this time.

Other Meds: Prenatals

Current Illness: None

ID: 0959800
Sex: F
Age: 66
State: NM

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

Lab Data: none.

Allergies: Bactrim Sulfa Penicillin G

Symptoms: Pt had anaphylaxis reaction 10 minutes after administration. Sensation of light headed, could not talk, sensation of tongue swelling and throat closing. Pt was immediately given one dose of epi using standard adult epi pen, IVF, and 25mg benadryl IV. Pts vitals were always wnl, including oxygen. Pt stabilized and in 60 minutes was ready to go home wo any adverse outcome.

Other Meds: Nitroglycerin 0.4 MG Tablet Sublingual as directed Sublingual prn CP, may repeat q 5 min x 2 prn. If CP persists call 911 buPROPion HCl ER (Smoking Det) 150 MG Tablet Extended Release 12 Hour 1 tablet in the morning Orally Once a day

Current Illness: Hypothyroidism, unspecified K21.9 Gastro-esophageal reflux disease without esophagitis R09.02 Hypoxia F41.9 Anxiety J44.9 Chronic obstructive pulmonary disease, unspecified Z87.898 History of paresthesia E55.9 Hypovitaminosis D R73.03 Prediabetes E06.3 Autoimmune thyroiditis E78.5 Dyslipidemia I10 Essential (primary) hypertension

ID: 0959801
Sex: F
Age: 32
State: WA

Vax Date: 12/28/2020
Onset Date: 01/11/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: CMP, CBC drawn 1/20/21, neck ultrasound ordered to be done if not resolved within 4 weeks of onset

Allergies: Dust mites

Symptoms: Enlarged left supra clavicular/neck lymph node found about 2 weeks after first vaccination dose, increased in size exactly 2 days after second vaccination dose

Other Meds: Viviscal hair supplement, folic acid, azelaic acid topical gel, tretinoin topical cream

Current Illness: None

ID: 0959802
Sex: M
Age: 95
State: OR

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

Lab Data: 1/20/21- Admitted to local hospital for testing and observation.

Allergies: Amoxicillin, Garlic, Latanoprost, Onion, Sertraline, Xalatan, Alphagan, Amitriptyline

Symptoms: Increased Fatigue, Bradycardia, unable to arouse pt. Sent to emergency room, admitted for observation and testing.

Other Meds: APAP, Albuterol, Atorvstatin, Aspercream, Plavix, lasix, Levothyroxine, Claritin, Melatonin, Memantatine Pregabalin, Rivastigmine, Tamsulosin, Terbinafine cream, Tramadol, Trazadone, Vitamin C, Vitamin D

Current Illness: None noted, Increase in falls and increase in hallucinations only

ID: 0959803
Sex: F
Age: 56
State: TN

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

Lab Data: n/a

Allergies: none

Symptoms: sore arm, gastric upset, tirednessn/a

Other Meds: maxzide 37.5 dly

Current Illness: none

ID: 0959804
Sex: F
Age: 41
State: IN

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

Lab Data: N/a

Allergies: N/a

Symptoms: Chills/sweats/fever/aches for about 5-6 hours. Then left with aches and mild headache. Occasional nausea throughout the day and fatigue.

Other Meds: Vitamin D, biotin, magnesium

Current Illness: Allergy/stuffy nose occasionally

ID: 0959805
Sex: F
Age: 48
State: OH

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

Lab Data: n/a

Allergies: Shellfish (anaphylaxis), sulfa (rash), erythromycin (rash), nitrates are a migraine trigger.

Symptoms: Migraine, progressively worsening approx 2 hr after 2nd vaccine. Then chills, body aches, nausea, extreme fatigue. Lasted for 30 hrs. Fatigue remained another 24hrs. Felt like bad cold or mild flu. I treated with over the counter medication after my physician said that was appropriate. Still worth getting the vaccine! I?m thankful I could receive it.

Other Meds: Neurontin, Mobic, MetForman ER, clonazepam, Wellbutrin, Imodium, bentyl, Lomotil, propranolol ER, melatonin, multivitamin, magnesium, vitamin B2 , Iron.

Current Illness: Electrical burn on leg. Finished antibiotics day of 1st vaccine in December.

ID: 0959806
Sex: F
Age: 30
State: PA

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

Lab Data: no

Allergies: No

Symptoms: About 12 hours after - chills, fever , headache, body aches, joint ache (like flu) - lasted 36 hours. I hydrated - Took Imitrex that I still had; Tylenol and was back to normal after 36 hours. Called Urgent Care

Other Meds: Trilomarzia Birth Control

Current Illness: I had gall bladder removed for gall bladder disease. Removed on Nov 15, 2020; Haven't had been able to keep food down since last March (may have had COVID) and losing my hair since then

ID: 0959807
Sex: F
Age: 33
State: FL

Vax Date: 01/02/2021
Onset Date: 01/12/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: CT?scan- Normal CBC with diff- Normal

Allergies: NKDA

Symptoms: Bellspalsy diagnosed in the ED 01/12/2021

Other Meds: Femynor, Amlodipine, Topiramate

Current Illness: None

ID: 0959808
Sex: M
Age: 60
State: NJ

Vax Date: 01/04/2021
Onset Date: 01/17/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None Yet

Allergies: none

Symptoms: I received my 1st shot and 2 and a half weeks now, I have numb finger tips on several fingers. I am making a Dr. appointment.

Other Meds: Vitamin C,B12,D, daily losartan 25 mg daily pantoprazole 40 mg every other day Amitripyolene rarely

Current Illness: IBS

ID: 0959809
Sex: F
Age: 65
State: CA

Vax Date: 01/13/2021
Onset Date: 01/16/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Very swollen lymph node on left side of neck.

Other Meds:

Current Illness: None

ID: 0959810
Sex: F
Age: 68
State: NY

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

Lab Data: none

Allergies: sulfa, penicillins, cipro, tetracycline

Symptoms: Pt reported redness from top of arm to elbow and had a golf ball size swelling around injection site. did apply ice while helped with swelling and did take 2 doses of benadryl which helped with redness. as of now 1/20 just slightly sore all redness has subsided. pt did follow up with doctor he said very common reaction/side effect associated with pneumovax 23.

Other Meds: calcium vitamin d atenolol/chlorthalidone valsartan

Current Illness: no

ID: 0959811
Sex: M
Age: 39
State: UT

Vax Date: 01/05/2021
Onset Date: 01/09/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: 2 PCR Covid Tests (one saliva one nasal swab) - both negative Influenza A Nasal Swab - Negatove CBC and Metabolic Panels - all in normal ranges

Allergies: Compazine Some Raw Vegetables and fruits (peas, broccoli, watermelon, banana, etc)

Symptoms: Moderate headache started 4 days after injection. Then I developed chills (no fever), body aches, fatigue, loss of appetite and I still don?t feel any better. It?s been a VERY difficult 12 days so far

Other Meds: Sprycel Allerflo (FloNase)

Current Illness: None

ID: 0959812
Sex: F
Age: 32
State: CA

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

Lab Data:

Allergies: shellfish

Symptoms: patient reported feeling itchiness in throat. Denied shortness of breath, trouble breathing, throat constriction. No rash forming. BP 156/104 HR79 Patient was provided water, loosened constrictive clothing, rested comfortably for 30 minutes. Symptoms improved. Patient verbalized she felt ok to go home and take a Benadryl.

Other Meds: codeine

Current Illness:

ID: 0959813
Sex: F
Age: 23
State: IL

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

Lab Data:

Allergies: NKA

Symptoms: Shortly after receiving the vaccine, pt experienced tongue tingling, tachycardia (160's) and chest pressure. ICC was called and pt was evaluated in ICC, treated, and was able to go home.

Other Meds: none known

Current Illness: Denies. Pt did have Covid in October 2020.

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm