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: 0960990
Sex: F
Age: 31
State: WI

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Rapid covid-19 negative Pending pcp covid-19 testing Urinalysis- mild leukocytes, trace ketones, otherwise normal

Allergies: Sulfa antibiotics

Symptoms: Pfizer-BioNTech COVID-19 Vaccine. Pregnancy- 5w2d at time of vaccination. Started to have generalized joint pain starting about 12 hours after vaccination. Developed headache, chills, sweating and nausea throughout the next day and fever, low grade between 100.3-101. Had mild dysuria. Improved about 36 hours out from vaccine. Now almost 48 hours out, I continue to have a headache and mild joint pain but otherwise feeling better.

Other Meds: Prenatal vitamin

Current Illness: None

ID: 0960991
Sex: F
Age: 39
State: ME

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

Lab Data: None

Allergies: no

Symptoms: Sudden onset of nausea and immediate vomiting of small aomunt, felt a wave of lightheadedness which passed and then recurred after a few minutes. Also felt chills which persisted for 45 minutes. Blood pressure and HR stable. Due to these symptoms, employee health required that patient will be COVID tested

Other Meds: ambient, anxiety medication

Current Illness: has ongoing ear issues so had ear infection symptoms a few weeks ago which had resolved

ID: 0960992
Sex: F
Age: 62
State: VA

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

Lab Data:

Allergies:

Symptoms: Moderna COVID-19 Vaccine: Metallic taste in mouth after 15 minute wait time. Taste diminished after 30 minutes

Other Meds:

Current Illness:

ID: 0960993
Sex: F
Age: 50
State: TX

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

Lab Data:

Allergies: Erythromyacin sensitivity (makes stomach hurt, but not allergic)

Symptoms: Felt slightly dizzy and woozy following the injection. Then had a mild anaphylactic reaction that started about an hour and 45 minutes following the injection. Throat swelled, and had difficulty breathing. I took two courses of Benadryl, and the throat swelling went down, and breathing got better. Lasted about seven hours or so.

Other Meds: Loloestrin-fe, Zyrtec, Levythyroxine

Current Illness: N/A

ID: 0960994
Sex: M
Age: 51
State: GA

Vax Date: 12/31/2020
Onset Date: 01/02/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: mild rash on lower back since vaccination

Other Meds: none

Current Illness: none

ID: 0960995
Sex: F
Age: 43
State: CO

Vax Date: 01/12/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None yet

Allergies: None

Symptoms: Almost exactly a week after vaccine localized hives itching, warm to touch for over 24 hrs. Has been relieved with Claratin as of today 12 hrs after taking Claratin.

Other Meds: Vit D, Zinc, Leptitox

Current Illness: None

ID: 0960996
Sex: F
Age: 41
State: MN

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Low-grade fever (never above 99.5), chills, diarrhea, dizziness, fatigue, nausea; all started approximately 17 hours after injection; chills dissipated first (around 20 hours later); dizziness, nausea, and diarrhea off and on all day, fatigue all day. All symptoms dissipated after approximately 30-31 hours after the injection.

Other Meds: Multivitamin, cranberry pill, vitamin D, vitamin b12, calcium/magnesium, vitamin C, claritin

Current Illness: uti, one week prior

ID: 0960997
Sex: F
Age: 41
State: CO

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Swollen, tender lymph node to right armpit lasting all day Saturday. The swelling improved with heat application and was gone by Monday

Other Meds: Multivitamin and fish oil

Current Illness: none

ID: 0960998
Sex: F
Age: 49
State: TX

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

Lab Data: NA

Allergies: NA

Symptoms: Site, fever, rash itchy

Other Meds: NA

Current Illness: NA

ID: 0960999
Sex: F
Age: 51
State: NC

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Ceftin

Symptoms: Site of the vaccine has been hot, itchy, and very red. Also some swelling.

Other Meds: Vitamin E, Vitamin D, Quercetin, CoQ10, Fish Oil, Plant Sterols

Current Illness:

ID: 0961000
Sex: M
Age: 49
State: NM

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none yet.

Allergies: mild allergy to jackfruit

Symptoms: Have experienced high pitch whine in head, I believe tinnitus, continuously since 1/13. have not sought medical attention yet

Other Meds: testosterone replacement therapy, 1mg finasteride, multivitamin, fish oil, glucosamine, DHEA, turmeric, melatonin

Current Illness: none

ID: 0961001
Sex: F
Age: 89
State: FL

Vax Date: 01/11/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Sulfamethoxazole-trimethoprim, sulfa antibiotics, neomycin, tetanus toxoid, penicillin and levofloxacin

Symptoms: Upper left arm is red and itchy. I don?t know if this is related to the vaccination since it began 10 days after vaccination, but I thought I should report it. I had no immediate adverse event following the vaccination except a sore arm for two days.

Other Meds: Atorvastatin, metoprolol, CoQ10, Horse chestnut extract, evening primrose oil, multivitamin, vitamin D, baby aspirin three times per week

Current Illness:

ID: 0961002
Sex: F
Age: 37
State: IN

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Latex, cipro, surgical prep

Symptoms: Red, itchy, painful bump at injection site, warm to touch

Other Meds: NA

Current Illness: NA

ID: 0961003
Sex: F
Age: 53
State:

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Around 10AM on 01-14-21 I felt fever, my temperature was 99.8, later on it went up to 100F. 01-15-21 my temperature was about 99.8 and I felt tiered. Previously on 12-24-21 after my Covid shot on 12-23-21 my temperature rose to 103F. The next day it went down to 100F.

Other Meds:

Current Illness:

ID: 0961004
Sex: M
Age: 30
State: OH

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Seen in urgent care on 1/19/21 ~12-16 hours after symptoms began. Rapid covid test negative, flu test negative, and pcr test negative on 1/21.

Allergies: None

Symptoms: Symptoms began ~8-9 hours after shot including moderate fever, severe body aches, chills nausea, headaches, sinus congestion lasting 36-48 hours. Missed work 1/19-1/21.

Other Meds: None

Current Illness: None

ID: 0961005
Sex: F
Age: 32
State: IN

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Ache, chills, fatigue, arm pain, fuzzy head

Other Meds: Zyrtec

Current Illness: None

ID: 0961006
Sex: M
Age: 37
State: MI

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Fatigue for 3 days following.

Other Meds: Daily Magnesium, Multi vitamin, lisinopril

Current Illness: none

ID: 0961007
Sex: F
Age: 55
State: ME

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: N/A

Allergies: penicillin gluten dairy

Symptoms: First few days post injection pain in arm, lasted 3 days. Now I have a large red circle of erythema at the injection site 8 days post injection. A little irritation lingers, no more pain, but the patch of redness persists.

Other Meds: fluoxetine verapamil nadovim

Current Illness: None

ID: 0961008
Sex: M
Age: 31
State: PA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: I received the moderna vaccine at 7pm on 1/19/21, this was the first shot I received. I have not had covid and have not been sick since pandemic started. The following morning I woke up with a fever of 101 and extreme arm pain. As the morning progressed, I continued to have increasing fever even after taking Tylenol 500mg every 4-6 hours. My fever peaked at 104.7 by 3pm on 1/20, then started to come down after taking 400mg of ibuprofen. By 9pm on 1/20, my fever started to spike again and then I took more inbuprofen. As of 1/21, I am still having symptoms of being unwell and nausea, as well as low grade fever of 101. I do not have any covid symptoms (no cough, no loss of taste).

Other Meds: Emgality

Current Illness: None

ID: 0961009
Sex: F
Age: 65
State: FL

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

Lab Data:

Allergies: Flagyl, celexa,albuterol, sensitive to epi, cardizen. Food: milk, wheat, oats, potatoes, corn, cinnamon, lobster

Symptoms: Modern a COVID 19 Vaccine EUA. I got pressure in my head, dizzy, tired and most of all I had a strong metallic taste in my mouth. The injection site hurt very bad so whenever I put an ice pack on it the metallic taste came back until I removed the ice pack.

Other Meds: Bystolic, buspar, prilosec, levothyroxin, l-glutamine, estrogen, progesterone.

Current Illness: None

Date Died: 01/20/2021

ID: 0961010
Sex: M
Age: 92
State: PA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital: Y

Lab Data: 1/19/2021 CT of head negative 1/19/2021 Troponin 3,000

Allergies: Hydralazine

Symptoms: Resident returned to the memory support unit at 1500. Resident was than toileted and transferred in to bed per his request. At 1515 resident was observed face down beside bed, resident sustained a 1inX1in eccyhmotic/hematoma to the forehead. Neuro Checks with in normal limes Vital signs: 100/52, 100, 97.2, 28. Resident sent to ED for further medical evaluation via EMS.

Other Meds: n/a

Current Illness: n/a

ID: 0961011
Sex: F
Age: 33
State: WI

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None.

Allergies: None

Symptoms: Redness around injection site, raised bump that is warm to touch and tender, shoulder pain down to elbow. Reported to Employer at 4:30pm 1/20/21. Employee health recommended an ice pack and ibuprofen for discomfort. Instruction to present to Urgent Care should symptoms worsen.

Other Meds: Ibuprofen, Bupropion, Zyrtec

Current Illness: Stomach pain the week before 2nd dose.

ID: 0961012
Sex: F
Age: 75
State: TX

Vax Date: 01/09/2021
Onset Date: 01/17/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Left deltoid area became red and itchy and muscle soreness 7 days after innoculation. Area of redness initially plum size but grew to orange size and moved down my arm toward elbow. Redness fading and pain gone but still itches. No adverse effect at time of vaccination other than muscle pain

Other Meds: Melatonin, Xanax, Vitamin D, low dose aspirin,

Current Illness: None

ID: 0961013
Sex: F
Age: 43
State: IN

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Morphine Tramadol Levoquin

Symptoms: Fever 100.3, chills, headache, arm soreness at injection site., fatigue

Other Meds:

Current Illness:

ID: 0961014
Sex: M
Age: 33
State: VA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Patient tongue went numb approximately 15 to 20 minutes after the shot, cheeks went slightly numb about an hour after shot. All symptoms resolved within 1.5 hours. Patient described as feeling like 2hrs post-novocaine shot at the dentist.

Other Meds: Daily multi

Current Illness: None

ID: 0961015
Sex: M
Age: 24
State: IN

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Cold chills/sweats in the middle of the night, headache in the morning, muscle aches (not just in the arm of injection), and congestion

Other Meds: Topomax 50mg 1xdaily Lisinopril 10mg 1xdaily Daily Multivitamin

Current Illness: N/A

ID: 0961016
Sex: F
Age: 21
State: AK

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Reported unknown environmental reaction in past that caused oral and eye swelling.

Symptoms: Received Moderna COVID vaccine #1 at 1207. Experienced tingling, chills BUE 7 minutes after vax admin. Then seeing black dots, head felt heavy, nausea, tingling now BLE as well as BUE, and rash beginning to anterior chest. Did not give diphenhydramine in vaccine clinic because patient nauseated. ED Charge nurse called and patient transported to ED for treatment. She received IV diphenhydramine and experienced vertigo, then given 1 dose of meclizine and IV fluids. Symptoms resolved, including rash. Discharged from ED at 1718.

Other Meds:

Current Illness:

ID: 0961017
Sex: F
Age: 58
State: CA

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

Lab Data: None

Allergies: Penicillin, aspirin, IV iodine

Symptoms: Nausea, headache, chills, sweats, swelling to the tongue, SOB, loss of appetite, shakiness,

Other Meds: Multivitamins

Current Illness: Fibromyalgia, neuropathy, asthma

ID: 0961018
Sex: M
Age: 38
State: TN

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

Lab Data:

Allergies:

Symptoms: Developed tingling over body, feeling hot but no fever, fatigue, headache, motion sickness feeling, and a dimness in vision and tunnel vision in both eyes

Other Meds:

Current Illness:

ID: 0961019
Sex: M
Age: 44
State: NY

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

Lab Data:

Allergies: fish

Symptoms: chest tightness, hard to take a deep breath. Patient received Benadryl 50mg IM

Other Meds: ambien, calcium, vitamin D, vitamin B12

Current Illness: none

ID: 0961020
Sex: U
Age:
State: FL

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

Lab Data:

Allergies: grass, trees,

Symptoms: History of anaphylaxis to meds. C/O not feeling well and then began with chest tightness. Epi-pen given left outer thigh, transported to LRH ED, discharged home.

Other Meds:

Current Illness:

ID: 0961021
Sex: M
Age: 32
State: MA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received Covid-19 vaccine @ 1905, 5 minutes after patient reported feeling flushed, faint, nauseas, having numbness & tingling to fingertips. Patient noted to be diaphoretic. Patient reports having syncopal episodes in the past & previous anaphylactic reaction after 4th allergy shot. Patient reports this episode does not feel like one of the previous syncopal episodes. No other symptoms noted, VSS- BP 138/69. After 45 minutes of monitoring, patient still feeling very diaphoretic, allergist on call made aware who advised to send to ED after symptoms not resolving. Patient transported to ED via wheelchair for further workup

Other Meds:

Current Illness:

ID: 0961022
Sex: F
Age: 49
State: IL

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: 01/19/2021 COVID negative; Influenza A&B negative; RSV negative

Allergies: Dust, cats

Symptoms: Jan 17: 9pm nausea, then chills, fever of 101-102; dizziness, shaking uncontrollably from chills; vomited at 5am on jan 18; Jan18 fever and chills continued, no apetite all day; dizzy; weak; severe body aches; confined to bed all day; severe head ache; very sensitive to light; could not sleep for more than 15-45 minutes at a time; food tasted like chemicals or sickeningly sweet; only rice tasted normal; very sensitive to and repelled by odors. Jan 19: nausea abated, started to eat a few things but eveything still tasted terrible except for rice; got tested: covid negative, flu A &B negative, RSV negative; body aches were much worse; difficult to walk due to shooting pain in feet and back; stayed in bed all day; Jan 20 fever broke, now have right side sore throat; still achy and dizzy; Jan 21 still have headache and mild body aches, not confined to bed but too weak and achy to work

Other Meds: Sertraline, montellukast, levothyroxine

Current Illness: None

ID: 0961023
Sex: F
Age: 80
State: TN

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Dr. by phone advised Benadryl and cold compressed on January 12 or 13. January 15 was seen by nurse practitioner on recommendation of Dr. Was given a steroid shot in hip and prescription for Doxycycline Hyclate 100 mg. Today, January 21, last dose of antibiotic to be taken. Reactions have diminished but slight swelling a palm sized redness remain at injection site.

Allergies: Codiene

Symptoms: first day after sore arm and swelling with redness at injection site. Next days increased swelling, hotness and redness and intense itching. The swelling and redness increased in area from shoulder to elbow front and back of arm. Slight and persistent headache. Notified health department.

Other Meds: Atenolol, Estradiol, Lisinopril

Current Illness: None

ID: 0961024
Sex: F
Age: 57
State: VA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Reporter describes low grade fever (99.1-100F) and lower extremity body and joint aches starting approx 14.5 hours after receiving the vaccine and lasting 36 hours. Treated with acetaminophen and ibuprofen. Injection site was sore x1 week - "felt like there was a baseball" in arm.

Other Meds: montelukast, vilazodone, rosuvastatin

Current Illness: none

ID: 0961025
Sex: F
Age: 46
State: MS

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: shrimp

Symptoms: Chills, Body aches, nausea and extreme fatigue

Other Meds: Levathyroxin,Monteluskat,Sertaline,Acyclovir,Omeprazole

Current Illness: none

ID: 0961026
Sex: F
Age: 49
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Moderna COVID-19 vaccine EUA Soreness/Pain on the injection site for 2 days On and Off headache for almost 40 hours

Other Meds: Ibuprofen 800 mg as needed for pain Calcium supplements

Current Illness: None

ID: 0961027
Sex: F
Age: 28
State: TX

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: N/A

Allergies: No known allergies

Symptoms: Received vaccine at 10:11AM, COVID-19 Moderna Lot #042L20A 10:48AM: Provider called to evaluate 28 year old white female who complained of bilateral numbness and tingling to both lips. No other adverse reaction. Patient is awake, alert and oriented x3 10:51AM: Vital Signs: BP-122/76 HR-61 RR-23 O2 Sat-98%. Patient denies difficulty breathing and difficulty swallowing or chest pain. 10:52AM: Patient states, "I feel extremely thirsty.", "My lips feel like they're swelling but I checked and they're not actually swollen." No symptoms of anaphylaxis. No visible swelling of lips. 10:54AM: Patient given water 8oz x2 bottles and states; "I feel better." 11:15AM-11:25AM: O2 Sat - 99% HR-55 BP-118/70. No difficulty breathing, no visible swelling of lips. Bilateral lip numbness almost resolved per patient. 12:05PM: Patient is sitting in wheelchair, no signs and symptoms of acute distress. Patient denies numbness and tingling of lips. No signs and symptoms of anaphylaxis. O2 Sat 99% HR-61 BP-116/70. Patient wheeled to driveway and discharged home via private vehicle. Patient's father is the driver of the vehicle.

Other Meds: Melatonin, Salt tablets

Current Illness: None

ID: 0961028
Sex: F
Age: 65
State: OR

Vax Date: 01/11/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: wasp allergies and peanuts

Symptoms: pt states on 10th day injection spot is itching, swelling, and warm. 11th day injection is slightly swollen and pink but no pain or itching.

Other Meds: none

Current Illness: none

ID: 0961029
Sex: F
Age: 68
State: FL

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: none known

Symptoms: Fever, chills, body aches, tiredness, loss of taste, headache, redness and tenderness at site of injection approximately 3x1.5 inches oval shaped, some slight numbness in whole arm Redness, tenderness, numbness began within a few hours of injection. Flu-like symptoms began at about 30 hours post injection and continued for at least 10 hours at which point I slept. All gone like magic the next morning, except for the redness and tenderness at the injection site, which continues as of this report, but is much less. No treatment except rest and fluids. I submit this report to help with your statistical analysis.

Other Meds: multivitamin

Current Illness: none

ID: 0961030
Sex: F
Age: 24
State: MN

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Acupuncturist suspected nerve damage on Saturday (1/16).

Allergies: Sulfa antibiotic (mild)

Symptoms: Severe sharp arm pain in upper left deltoid and deeper into the arm. For three days, it was too painful to lift, rotate, or move across my body. Acupuncture gave relief for 2 days so that I could lift it. Pain and ache returned. Ibuprofen and Tylenol do not lessen the pain at all. Ache-type pain radiates down the arm and across the upper back. For the last 2 days, it hurts whether or not I?m moving it. The vaccine was given far too high in the arm.

Other Meds: Vitamin b complex

Current Illness: Asthma

ID: 0961031
Sex: M
Age: 32
State: MA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received Covid-19 vaccine @ 1905, 5 minutes after patient reported feeling flushed, faint, nauseas, having numbness & tingling to fingertips. Patient noted to be diaphoretic. Patient reports having syncopal episodes in the past & previous anaphylactic reaction after 4th allergy shot. Patient reports this episode does not feel like one of the previous syncopal episodes. No other symptoms noted, VSS- BP 138/69. After 45 minutes of monitoring, patient still feeling very diaphoretic, allergist on call made aware who advised to send to ED after symptoms not resolving. Patient transported to ED via wheelchair for further workup

Other Meds:

Current Illness:

ID: 0961032
Sex: F
Age: 42
State: MD

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: transient numbness in left arm resolved within 10 minutes of onset.

Other Meds:

Current Illness:

ID: 0961033
Sex: F
Age: 47
State: OK

Vax Date: 12/16/2020
Onset Date: 12/20/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: 12/27/21- tested COVID positive

Allergies: Keflex, Rocephin, TB Skin Test

Symptoms: I received the 1st dose of vaccine on 12/16/20 and on that date through 12/18/20, I had severe arm soreness and body aches. On 12/20/20, I had a sore throat, headache, body aches, and nasal congestion that continued through 12/24/20. On 12/25/20, I had extreme body aches, fatigue, left arm and leg numbness and tingling, SHOB, temp of 100.6, and back pain. On 12/27/20, I went to the ER for my symptoms and to be tested for COVID-19, to which I tested positive. They also tested me for strep and flu, both were negative. I also developed intermittent and random tachycardia (HR 120-150's), palpitations, chest tightness and chest pain. I am a RN and monitored my O2 Sats and HR frequently. My symptoms finally resolved enough for me to return to work on 1/11/21.

Other Meds: Synthroid, Simvastatin, Vitamin-D, Multi-Vitamin, Probiotic

Current Illness: None

ID: 0961034
Sex: F
Age: 47
State: CT

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: blueberry sensitivity

Symptoms: Headache. Chills, Fever as high as 100.7, severe fatigue( I slept on and off for 24 hours.), Pain at the injection site(ongoing still current) slight rash at injection sight. NO appetite and slight change in taste.

Other Meds: vitamin c, monolaurin, lysine, apple cider vinegar, garlic, oregano oil, female libido, allegra, Tumeric, DHEA, Black Elderberry, Methyl B12, Guarana, Ginseng, Tart Cherry, CLA 2000, Refresh.

Current Illness:

ID: 0961035
Sex: F
Age: 74
State: FL

Vax Date: 01/06/2021
Onset Date: 01/15/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: penicillin

Symptoms: one week after the vaccination a rash at the injection site.. itchy.. like hives.. gone in 3 days

Other Meds: lipitor, levothyroxine, telmisartan, calcium, multi vitamin and pepcid

Current Illness:

ID: 0961036
Sex: F
Age: 55
State: ME

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: N/A

Allergies: penicillin, gluten, dairy

Symptoms: Pain at site and in arm for 3 days post injection, then red patch of erythema developed at injection site and still persists 8 days post injection. Some irritation at the red patch area, about 2" wide and 4" long.

Other Meds: fluoxetine, verapamil, nadovim

Current Illness: none

ID: 0961037
Sex: F
Age: 34
State: CA

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None reported.

Allergies: Ceclor

Symptoms: Swollen lymph nodes on left side for a few days, then 1 week after getting vaccinated, broke out in hives on left side only. Did not take medication for hives, they subsided within a couple hours. The left side is the vaccinated side.

Other Meds: None reported.

Current Illness: None reported.

ID: 0961038
Sex: M
Age: 46
State: CA

Vax Date: 01/09/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: red several centimeter rash for past 2 days. itchy. It is an erythematous confluent plaque with border. It has evolved now into an annular plaque with central clearing

Other Meds: n/a

Current Illness: n/a

ID: 0961039
Sex: F
Age: 91
State: NE

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: FOLLOWING MORNING, DEVELOPED NAUSEA AND VOMITING LASTING APPROXIMATELY 6 HOURS.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm