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: 0961298
Sex: F
Age: 36
State: IL

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

Lab Data: unknown

Allergies: none

Symptoms: Tongue numbness then throat tingling She had premedicated with Benadryl oral 25 mg. Additional dose of Benadryl 50mg IM given observed one hour and began to have reappearance of symptoms. Epi 0.3 mg given.

Other Meds: no

Current Illness: none

ID: 0961299
Sex: F
Age: 53
State: TX

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

Lab Data:

Allergies: N/A

Symptoms: Headache first day slight difficulty swallowing after 6 hours from the time of injection Chills 1st night Joint Pains 2nd day Muscle Pains 2nd day Lingering headache 2nd day

Other Meds: Multi Vitamins, Vit. C with Zinc

Current Illness: NONE

ID: 0961300
Sex: F
Age: 62
State: WA

Vax Date: 01/10/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Acetaminophen, Bee Venom, Contrast Dye

Symptoms: Redness, mild swelling and heat that extended about 6 inches out from injection site on day 9 after the injection. I noticed on Monday, 1/18/21 and on 1/19/21 it was worse. I went to an urgent care facility just to be safe. The physician did not find any signs of cellulitis or infection. I did not want any antibiotics. On 1/21/21, I noticed the swelling was almost gone and the redness was going away.

Other Meds: HCTHZ, Amlodipine, Levothyroxine, Vitamin D, Zinc, Aleve

Current Illness:

ID: 0961301
Sex: F
Age: 44
State: MI

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

Lab Data:

Allergies: onion and angora

Symptoms: two weeks of a headache daily. First three days had chills, aches, headache and overall fatigue. Two weeks after and the site is still raised, red, warm to touch, itchy and painful if touched. It also looks like a 3" by 2" welt with an injection dent.

Other Meds: Magnesium, multi vitamin, loratadine, omega 3, evening primrose oil and joint collagen

Current Illness:

ID: 0961302
Sex: F
Age: 60
State: OH

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

Lab Data:

Allergies:

Symptoms: Fever, rigors, nausea, and vomiting

Other Meds:

Current Illness:

ID: 0961303
Sex: F
Age: 54
State: FL

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

Lab Data: N/A

Allergies: N/A

Symptoms: During injection, felt sudden sharp pain (minor pain, felt like 'lightning strike', possibly hit a nerve?). Noticed yesterday/currently that I have a large knot/hard swelling and redness at injection site (8 days after injection).

Other Meds: Pantoprazole, Rosuvastatin, Levothyroxine, Multi-Vitamin, Vitamin B-Complex, Calcium +D Vitamin, Osteo-Biflex Vitamin, Enteric Aspirin.

Current Illness: None

ID: 0961304
Sex: F
Age: 48
State: NY

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Nasal swab PCR test taken 01/15/2021. Results were negative for COVID 19.

Allergies: NKA

Symptoms: Loss of taste and smell

Other Meds: Lopressor 12.5mg, Calan SR 120mg, Pristiq 50mg, Pravachol 10mg, MVI, CoEnzyme Q10, MagOX 400mg

Current Illness: N/A

ID: 0961305
Sex: M
Age: 53
State: GA

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

Lab Data:

Allergies:

Symptoms: Chills, Hot flash, Joint Pain; Aleve 2tabls. Resolved

Other Meds: Vitamin D, E, Omega 3

Current Illness:

ID: 0961306
Sex: F
Age: 61
State: CA

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: Bactrim DS, Minocycline, Benzoin, environmental allergies--pollen

Symptoms: I developed mild itching of my right forearm and abdomen at 2100 but about 2300 I awoke with severe itching from my head to my hips--no rash. 1 Benadryl did not help, so about another 1.5 hrs later I took another Benadryl and that made the itching tolerable. Having taken 50mg Benadryl I was not able to work at 0430 the next morning as scheduled. The itching continued even with Benadryl every 8 hrs until mid-morning of 12/30. I got the 2nd dose 1/20 & --per the advise of my GP premedicated with 50mg Benadryl, 20mg Pepcid, and 1000mg Tylenol 45 min before the 2nd dose; then I repeated 25 mg Benadryl at bedtime. I developed itching again about 8 hrs later but it resolved by the next morning and was not as intense as with the first dose.

Other Meds: Levothyroxine, Lipitor, Metamucil, Multivitamins, Acyclovir, Anastrozole, Glucosamine with Chondrointin & MSM, Calcium & vitamin D, B12, Biotin, Pomegranate extract, Lutein, Magnesium, Loratidine, Systane gel eye drops

Current Illness: none

ID: 0961307
Sex: M
Age: 34
State: NE

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

Lab Data:

Allergies:

Symptoms: AT 4PM ON DAY OF VACCINATION, DEVELOPED DROWSINESS AND FATIGUE

Other Meds:

Current Illness:

ID: 0961308
Sex: F
Age: 58
State: IN

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

Lab Data:

Allergies: Had an allergic reaction to Soltalol to treat ventricular tachycardia in hospital in 2007 when VT was diagnosed - hives and heart rate went into Torsades. Also had a reaction to IV Benedryl - numbing and tingling throughout body.

Symptoms: Within 5 minutes I was extremely flushed, weak and light headed. I had tingling in hands and arms and a rapid, irregular heart beat. Vaccine staff reported my pulse was thready. They gave me water and put a cold cloth on my neck. They also fanned me with papers. Within 15 minutes I was better and able to walk out of the appointment. During the next 2 days I had runs of irregular heart beats and light headed feeling - also recorded on fluctuating heart rate on my Apple watch. The night of my shot my gums bled significantly from simple tooth brushing and required 5 mouthwash rinses before it stopped. By the 4th day I was back to normal.

Other Meds: 75 mg Flecainide 2x daily, Klor-Con M10 2 tablets daily, Fish Oil, 12900 mg 2x daily, D3, 5000 IUs 2x daily, Magnesium, 250 mg daily, Biotin 5000 mcg daily

Current Illness: none

ID: 0961309
Sex: F
Age: 54
State: SD

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

Lab Data: None at this time

Allergies: Penicillin, TUBERCULIN,PURIFIED PROTEIN DERIVATIVE, AMITRIPTYLINE, SHINGRIX (PF)

Symptoms: At the site of injection, left deltoid, patient noted itching, area is red, warm to touch and the area of redness is 60mmx40mm and is firm to the touch.

Other Meds: None

Current Illness: Vitamin D, C and Folic Acid

ID: 0961310
Sex: F
Age: 31
State: CA

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

Lab Data: N/A

Allergies: N/A

Symptoms: symptoms: fatigue and muscle pain

Other Meds: N/A

Current Illness: N/A

ID: 0961311
Sex: F
Age: 36
State: CT

Vax Date: 01/12/2021
Onset Date: 01/17/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: swollen lymph node in left arm pit, pain at vaccination site similar to original pain right after vaccination for first 2 days, then on 1/18 developed itchy hives on left arm around site of vaccination, hives are raised - lymph node swelling has been for about 5 days now and hives for 2 days

Other Meds: prenatal vitamins - citranatal

Current Illness: none

ID: 0961312
Sex: F
Age: 29
State: NC

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Dairy

Symptoms: Fever of 100.6 for 48 hrs , aching for 3 days, lymph nodes under left arm swollen to size of golf ball on same arm that injection was given. Lymph node still swollen.

Other Meds: Synthroid Lexapro Loestrina Genotropin mini pro Ajovy

Current Illness:

ID: 0961313
Sex: F
Age: 89
State: NC

Vax Date: 01/12/2021
Onset Date: 01/15/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: herpetic rash on right hand. acyclovir 800mg 5 times daily x 7 days

Other Meds: corgeg, vit d, iron, ativan, vit b12, omeprazole, sertraline

Current Illness: dementia, anemia, CKD, GERD

ID: 0961314
Sex: F
Age: 49
State: CA

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Injection site swelling, injection site hardening of muscle, injection site inflammation

Other Meds: zyrtec

Current Illness:

ID: 0961315
Sex: F
Age: 35
State: IN

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

Lab Data:

Allergies: Penicillin

Symptoms: Minor Throat discomfort, feels like something in throat

Other Meds: Vitamins

Current Illness: No

ID: 0961316
Sex: F
Age: 32
State: CA

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

Lab Data:

Allergies:

Symptoms: big rash around the injection site swelling hot to touch

Other Meds:

Current Illness:

ID: 0961317
Sex: F
Age: 59
State: NY

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

Lab Data:

Allergies:

Symptoms: 1430 - Employee vaccinated, observed for 15 minutes, no symptoms... returned to work. 1600- developed headache while working, took Excedrin 325 mg, (x2), by mouth. 1630- tightness of throat, raspiness, dizziness.... returned to where vaccine was given. METS team called and taken to ER.

Other Meds:

Current Illness:

ID: 0961318
Sex: F
Age: 30
State: IA

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

Lab Data: No

Allergies: bee stings - moderate to severe swelling, itchiness

Symptoms: 13 days after injection, woke up with red blotchy, spread out rash at injection site/across upper arm. Very slightly raised. Lightly warm to touch. No pain. Only slightly itchy if touched. There was NO redness, rash, pain or itchiness anytime PRIOR to this.

Other Meds: 25mg topiramate 1x daily; magnesium glycinate 500mg daily; multivitamin

Current Illness: None

ID: 0961320
Sex: M
Age: 60
State: TX

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: Quinolones cause swelling, redness, itching, and hives of the face Tinted wine causes swelling of the tongue, lips, and throat with shortness of breath.

Symptoms: Temp 100.7 F, chills, generalized body aches, and excess fatigue. Onset of symptoms occurred in the early morning hours the day after receiving the vaccine. Symptoms completely resolved by the next morning. Treatment was conservative with Tylenol, rest, and hydration. I missed one day of work due to this brief episode. I am a SARS COVID survivor who had a very severe / life threatening case of SARS COVID 19. I was hospitalized and treated from March 28, 2020 to May 16, 2020. Please feel free to contact me for any information that you may need.

Other Meds: Metoprolol 50mg 1 tablet 2 times a day for tachycardia and hand tremors. Aspirin 81mg 1 tablet daily Multivitamin 1 tablet daily Turmeric 1 capsule daily Vitamin C 500mg 2 tablets daily Elderberry gummies 2 daily Vitamin B12 1 tablet dail

Current Illness: None

ID: 0961321
Sex: M
Age: 34
State: NE

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

Lab Data:

Allergies:

Symptoms: AT 4PM ON DAY OF VACCINATION, DEVELOPED FATIGUE AND DROWSINESS

Other Meds:

Current Illness:

ID: 0961322
Sex: F
Age: 57
State: MI

Vax Date: 01/08/2021
Onset Date: 01/16/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 8 days after my vaccine, my arm became swollen, red, and very warm to the touch. I took Benadryl Saturday night and Sunday night. My arm was back to normal on Monday, January 18th. I work up Thursday, January 21st, and my arm has a red circle and warm to the touch.

Other Meds:

Current Illness:

ID: 0961323
Sex: F
Age: 51
State: MN

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

Lab Data: n/a

Allergies: n/a

Symptoms: Moderna COVID-19 Vaccine EUA - injection site/arm sore to touch and movement, headache, body aches and fever. Body aches and fever lasted approx. 16 hours. Sore arm and slight headache is ongoing. Tylenol helps manage systems and rest.

Other Meds: Vitamins C, D, B complex; Magnesium, probiotic, elderberry, ashwaganda and birth control

Current Illness: n/a

ID: 0961324
Sex: F
Age: 80
State: VA

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

Lab Data: None, was not able to get in to see physician.

Allergies: None known

Symptoms: At 7 pm arm began hurting, by 11 pm was vomiting then passed out, vomited 4 more times during the night and passed out each time very briefly, for a total of 5 times. Stopped by 6 a.m. Did not vomit or pass out any more after 6 a.m. Next day (1/19/21) stayed in bed and slept most of day, started eating again normally 1/20/21. Feels much more normal 1/21/20 other than sore arm.

Other Meds: Cytomel 25 mcg, Synthroid 25 mcg, Lipitor 40 mg, Fosamax 40 mg weekly, Vitamin D 1000 daily, B complex daily

Current Illness: Covid illness began Dec. 24, with respiratory symptoms

ID: 0961325
Sex: F
Age: 50
State: FL

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

Lab Data:

Allergies: Hay fever

Symptoms: 132/85 HR 72 Dizziness

Other Meds: Zoloft, welbutine

Current Illness:

ID: 0961326
Sex: F
Age: 36
State: VA

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

Lab Data: none

Allergies: Penicillin

Symptoms: Started to itch yesterday, and today I realized that its getting swollen, developing like a hive, randomly sting, its hot at touch

Other Meds: Loratadine 10 mg Friska Carb ease

Current Illness: none

ID: 0961327
Sex: F
Age: 84
State: TN

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

Lab Data:

Allergies:

Symptoms: Given shot on Monday, January 11, 2021 at 10:15 am . Was fine until 7:30 pm that night. Felt like I was drugged and couldn't keep my eyes open. Slept (except for bathroom stops) until 7:30 pm on Tuesday night. Very red and large knot on shot arm. Lasted many days. Very sleepy for days, Dull headaches. Stomach upset. Very foggy thought processes for more than a week. Blurry vision for a few days. Joint pain. Spoke with Moderna and they suggested I talk to my doctor. Doctor told me the side effects would go away within ten days. Most of they did.

Other Meds:

Current Illness:

ID: 0961328
Sex: F
Age: 50
State: IA

Vax Date: 12/23/2020
Onset Date: 12/26/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: NA

Allergies: Sulfa

Symptoms: Nerves numbness and tingling, from the top neck and shoulders to the tip of my fingers..

Other Meds: Levothyroxine Claritin D OTC- Vitamin D

Current Illness: None

ID: 0961329
Sex: F
Age: 60
State: OH

Vax Date: 12/22/2020
Onset Date: 12/29/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: At one week after the vaccination, I developed urticaria of the left arm and fever. I had previously had COVID in February 2020.

Other Meds:

Current Illness:

ID: 0961330
Sex: F
Age: 27
State: OH

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

Lab Data: none

Allergies: nickel

Symptoms: Redness, itchiness, swelling and warmth of the upper arm one week after receiving vaccine

Other Meds: none

Current Illness: none

ID: 0961331
Sex: F
Age: 51
State: NM

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

Lab Data:

Allergies: NKDA

Symptoms: Pruritis and Headache. Treatment Benadryl 50 mg IM. Provider recommended hydration and tylenol.

Other Meds: Benadaryl 25 mg orally.

Current Illness:

ID: 0961332
Sex: F
Age: 84
State: IN

Vax Date: 01/11/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Physical exam revealed no fever or adenopathy and no breathing problems.

Allergies: Gabapentin Gemfibrozil

Symptoms: 8 days after receiving vaccine got 8X9cm swelling at injection site that was puritic

Other Meds: Biotin 5000 Os-Cal 600 Vid D 5000UT Prolia 60 11/12/2020 Synthroid 25mcg Lisinopril/HCTZ 10/12.5 Magnesium 200 Multivitamin Fish Oil 1000 Primidone 50 Simvastatin 40 Vitamin C 500

Current Illness: None

ID: 0961333
Sex: M
Age: 59
State: NJ

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

Lab Data:

Allergies: None

Symptoms: Temporarily loss of cognitive abilities, ( about 3-4 hours) , lasting headaches ( about 8 hours)

Other Meds: Tamsulosin (evening ) Potassium CIT Potassium, Metformin, Alprazolam, Propranolol , Vitamin D3, ( evening) , Zinc

Current Illness: None

ID: 0961334
Sex: M
Age: 59
State: MA

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

Lab Data: NONE

Allergies: No - dust, mold, animal dander

Symptoms: After I left the facility to drive home, ~25 mins after the injection, I could feel my face getting hot, and feeling a bit "off." When I looked in the rear view mirror, I was completely flushed, and red as a cooked lobster! > Everything passed in another 30 minutes or so, and I haven't noticed any other symptoms.

Other Meds: Tylenol, Aleve

Current Illness: No

ID: 0961335
Sex: F
Age: 41
State: NY

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

Lab Data: COVID test after vaccine - returned negative.

Allergies: Shell fish and sesame seeds

Symptoms: On evening of dose, experienced arm swelling, hardness, and redness. Fatigues, chills, fever, nausea, and muscles aches started day after till 3 days after. Those symptoms started on Friday, but then on Friday started to feel dizzy, with vasodilation and tachycardia. Felt like was going to pass out. - lasting an multiple hours. Felt tachycardia (measured by Fitbit) which started Friday evening and has lasted to this day of reporting. Tachycardia is slowly improving.

Other Meds:

Current Illness: No

ID: 0961336
Sex: F
Age: 54
State:

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Minor rash and swelling in the upper arm that the vaccine was administered

Other Meds:

Current Illness:

ID: 0961337
Sex: F
Age: 27
State: TX

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

Lab Data:

Allergies:

Symptoms: Rash at injection site beginning 8 days AFTER injection. Rash is down my right arm, beginning at injection site and travels below, but above elbow. Rash is red, warm to the touch, itching, slight burning, and slightly swollen.

Other Meds:

Current Illness:

ID: 0961338
Sex: F
Age: 51
State: CT

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

Lab Data: None as of right now.

Allergies: None

Symptoms: I received my first dose of vaccine on January 12th, 2021 and just had a little bit of a sore arm for the first 2 days after. Then on January 20th, 2021 I woke up in the morning and my arm was very painful, red, inflamed and itchy. The redness continues to spread on my arm.

Other Meds: None

Current Illness: None

Date Died: 01/19/2021

ID: 0961339
Sex: F
Age: 45
State: GA

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

Lab Data:

Allergies: contrast die

Symptoms: possibly got it at clinic, possibly who administered shot. Pts. daughter said the pts boyfriend denied any symptoms the whole day but that in the middle of the night the pt passed away.

Other Meds: Wellbutrin, Ambien

Current Illness:

ID: 0961340
Sex: M
Age: 60
State: NE

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

Lab Data:

Allergies:

Symptoms: BODY ACHES, RESTLESS SLEEP AND PAIN DAY OF INJECTION. SLEPT ALL DAY AFTER WORK, BUT FELT BETTER NEXT DAY

Other Meds:

Current Illness:

ID: 0961341
Sex: M
Age: 80
State: SD

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

Lab Data: none

Allergies: none

Symptoms: flu like symptoms, head ache, nausea, tiredness.

Other Meds: Dr has a list of my current medications. I also take centrum vitamins daily zink every other day,

Current Illness: None

ID: 0961342
Sex: F
Age: 80
State: TN

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

Lab Data: None

Allergies: None

Symptoms: Received Vaccine at about 9 AM 1/20/21. At 4 pm on 1/20/21 developed a raised rash that itched on upper body front, back and arms. Face not involved. Spoke with Dr. and ordered to take Benadryl and call PCP. I/21/21 Reported Benadryl was taken at 5 pm on 1/20/21and symptoms were relieved but returned at 9 pm 1/20/21. Took 2 more Benadryl. Reports no rash 1/21/20 but weak and tired.

Other Meds: 5AM took Baby Aspirin and Probiotic

Current Illness: No

ID: 0961343
Sex: F
Age: 59
State: MO

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

Lab Data: No

Allergies: No

Symptoms: I had severe dizziness and after it cleared I still had problems walking. My gait was impared.

Other Meds: No

Current Illness: No

ID: 0961344
Sex: F
Age: 61
State: AR

Vax Date: 12/16/2020
Onset Date: 12/17/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: Flu, covid and strep tests at the clinic

Allergies: penicillin, sulfa drugs, contrave

Symptoms: The first thing I had nausea and stomach pain (for 2 days) in the AM and then it went to achy, joint hurting and headache. It was not like I could not work or anything, it was just there. On the 9th day I woke up with fever and chills and a super bad headache and I felt so bad I could not even go seek medical care, I finally went after 3 or 4 days feeling like that. At the walk in clinic they tested me for flu, covid and strep and on the rapid the result was negative but when done the PCR it came back positive (around 12/29/20). I did not have any respiratory issues on this one. I do remember having diarrhea.

Other Meds: Omeprazole, propanolol, multi vitamin, Vitamin D3, B complex, Biotin, Calcium

Current Illness: No

ID: 0961345
Sex: F
Age: 56
State: KY

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

Lab Data:

Allergies: no

Symptoms: Migraine 17 hours later. I have only ever had 1 other migraine. I used Excedrin Migraine and Ibuprofen to treat myself.

Other Meds: 40mg viibryd

Current Illness: none

ID: 0961346
Sex: M
Age: 58
State: IN

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

Lab Data: None

Allergies: None

Symptoms: Came down with cold chills and sweats. And feeling run down

Other Meds: None

Current Illness: None

ID: 0961347
Sex: F
Age: 17
State: OH

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

Lab Data:

Allergies: No known drug or food allergies

Symptoms: Patient received the Meningococcal vaccine on 01/19/21. Patient received the vaccine on 8/18/2015 as well. Patient's mother reached out to the office two days later on 01/21/21 to report that patient had reported "feeling hot" after going to bed the night of 1/19/21. Patient had then broken out in hives all down her arm on 1/20/21. Patient's mother could not tell me which arm had broken out. Patient was given OTC Bendaryl which relieved the hives. Hives returned on 1/21/21 on patient's leg, mother unable to say which leg, at which point she reached out to patient's doctor's office. CNP advised patient's mother to use OTC antihistamines for symptom control, and to reach out if symptoms do not resolve or if they worsen. Patient's mother also instructed to call 911 in the event patient experienced any breathing issues.

Other Meds: Spironolactone, Flonase, and Miralax

Current Illness:

ID: 0961348
Sex: F
Age: 33
State: KY

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

Lab Data:

Allergies: N/a

Symptoms: Intense soreness post shot and day after(vaccine received at 12:30pm), at 6:00 am this morning I was unable to stand due to intense throbbing in left arm. It took about 15 minutes to get my body used to changing from a lying position to standing. Upon getting out of bed nausea set in. I dry heaved for a few minutes. Muscle/body cramps all over (more intense than my Covid aches) Headache Chills It is currently 11:27 am, I took an Advil over an hour ago that has alleviated some of the symptoms.

Other Meds: Citalopram Juice Plus Fish Oil supplement

Current Illness: Covid December 1st, 2020

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm