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

Date Died: 01/20/2021

ID: 0962325
Sex: M
Age: 80
State: VA

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

Lab Data:

Allergies:

Symptoms: Patient's wife called this morning stating that her husband has passed away last night. After receiving first dose of Pfizer COVID-19 vaccine at around 0830, patient remained in the Immunizations Department for the 15-minute monitoring period. Per wife, patient's only complaint was pain at the injection site. At 1300, wife states that patient complaint of dizziness which "dissipated after a few minutes" followed by a headache which "dissipated after a few minutes" as well. Then patient complained of nausea, no vomiting and "couldn't relax." Per wife, from around 1400/1500, patient stayed on his recliner while still having a conversation with her--"he didn't get up to eat." Last conversation they had was around 2000/2100. Per wife, at around 2100/2200, patient was quiet and when she checked on him, "he wasn't responding anymore." Wife then called 911, "but they couldn't revive him."

Other Meds:

Current Illness:

ID: 0962326
Sex: F
Age: 32
State: NY

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

Lab Data:

Allergies: Bananas. No drug allergies.

Symptoms: Developed hives all over the body, difficulty swallowing, itchiness, tingling, SOB, mild chest tightness 9 min following the first dose of the vaccine on 01/11/21and was treated with IV Benadryl, Pepcid and Hydrocortisone. Since the vaccine on 01/11 patient c/o prolonged fatigue and intermittent episodes of palpitations, chest tightness resolving without intervention. (2-3 episodes ) 01/20 patient reported symptoms of chest tightness, full body shaking requiring medical attention and d/c from care.

Other Meds:

Current Illness:

ID: 0962327
Sex: F
Age: 41
State: CA

Vax Date: 01/07/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: CK- 3500, AST- 100 and ALT 50

Allergies: None

Symptoms: Rhabdomyolysis

Other Meds: Effexor, Flunarizine

Current Illness: None

ID: 0962328
Sex: F
Age: 33
State: PA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: none known

Symptoms: 1/16 started with "not feeling right, felt off" 1/17 complained of nausea, no fever 1/18 lightheaded and nausea did not work. 1/19 continues with nausea, by mid-afternoon subsided, did work

Other Meds: none known

Current Illness: none known

ID: 0962329
Sex: M
Age: 58
State: ME

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

Lab Data:

Allergies: Bactrim, shellfish, nuts

Symptoms: severe headaches, muscle aches, fevers, chills

Other Meds: esomeprazole, olmesartan

Current Illness:

ID: 0962330
Sex: F
Age: 32
State: NY

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

Lab Data: unknown

Allergies: unknown; patient expressed history of hives and fainting when she received the pertussis vaccine however, she had no known allergy to the components of the COVID-19 vaccine

Symptoms: She had a history of hives and fainting when she received the pertussis vaccine. This was her first dose of the COVID-19 vaccine and she had no known allergy to components of the COVID-19 vaccine. She said she had spoken with her doctor prior to her appointment. Staff at the vaccination facility set up a precaution in case she fainted including 1:1 observation immediately following injection. She had no fainting, and proceeded to the post vaccination area after about 15 minutes, when she said she felt fine. At about 30 minutes after receiving the vaccine, she reported a rash across her chest, visible hives and hot to the touch, and she had a few areas of rash on her arms. She did not express any difficulty breathing. EMS was onsite and were immediately notified. In the course of her evaluation by EMS, she drank water, used an ice pack on rash, and took her own Benadryl and reported that she was beginning to feel better after approximately 30 more minutes. EMS confirmed that she was stable and okay to leave. On-site DOHMH medical greeter informed her about v-safe, told her to talk with her PCP, and inform people at the time of her next vaccination. At approximately 6pm, this reporter (non-medical professional) followed up with patient to check on her symptoms. She expressed that she was feeling better, the rash subsided but that her hands were swollen. This reporter reiterated the importance of following up with her regular medical provider.

Other Meds: unknown

Current Illness: unknown

ID: 0962331
Sex: F
Age: 34
State: VA

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

Lab Data:

Allergies: Sulfa drugs

Symptoms: From 15-30 hours post vaccination, experienced chills, 2 degree rise in temperature, extreme headache, nausea, and 1 episode of near-syncope. At the onset of symptoms, I took Tylenol q4-6 hours and sipped on Gatorade. From hours 30-40, I changed over to ibuprofen and experienced headache only while up doing activities.

Other Meds: Vitamin C, 500mg daily. Vitamin D, 2000iu daily. Hailey Fe birth control pill daily.

Current Illness:

ID: 0962332
Sex: F
Age: 32
State: CA

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

Lab Data:

Allergies: N/A

Symptoms: Moderate symptoms of runny nose and sneezing from the day of vaccine (1/16/21)

Other Meds: Birth control pill (Junel Fe 1-20mg-Mcg Tab)

Current Illness: N/A

ID: 0962333
Sex: F
Age: 50
State: TX

Vax Date: 01/06/2021
Onset Date: 01/10/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Sulfa drugs, codeine, some antibiotics

Symptoms: 4 days following all over body itching, 12 days later injection site was red, warm, painful and swollen, itching as well. Random itching all over body. Benadryl relieved the first body itching. Taken for site spot, Benadryl did not help. Haven't started Benadryl for the remaining itching.

Other Meds: Toporal XL, Synthroid, Xyzal, Viibryd, Estroven

Current Illness:

ID: 0962334
Sex: F
Age: 28
State:

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

Lab Data:

Allergies:

Symptoms: Fevers, uncontrollable shaking, chills, sweats, muscle aches, chest tightness, painful enlarged left axillary lymph node, left arm pain, fatigue, weakness, and nausea. Adverse effects started approximately 12 hours after vaccination and lasted up to 48-72 hours.

Other Meds:

Current Illness:

ID: 0962335
Sex: F
Age: 70
State: IN

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

Lab Data: I did not have any tests related to COVID. I took my temperature, blood pressure, and pulse ox during my episode with COVID. I would email my doctor and she would provide recommendations for continued care.

Allergies: No

Symptoms: I had COVID-19 in December for more than 3 weeks. I felt like I felt during that time.. I was weak. I hurt everywhere. I had a temperature. of 101-102 degrees. My normal temperature is 97.6. I had a severe headache. My vision was impaired. I would go from freezing to being very hot.

Other Meds: Thyroid, Topamax, Dexilant, Effexor,

Current Illness: None other than the reaction to the first vaccination of the COVID virus. I had similar symptoms but this time they lasted longer and were more severe.

ID: 0962336
Sex: F
Age: 64
State: AZ

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

Lab Data: I continued with my regular medications, including Morphine 30 ER BID & Morphine 15mg IR BID - this provided no relief to the Left Arm Pain.

Allergies: PCN - Rash/Hives Benadryl - Insomnia/Hyperactivity Multiple Environmental Allergies

Symptoms: First 6-8 hrs the Left Arm was Sore 2-3/10 on Pain scale. After 8 hours, unable to move arm away from body related to the Pain, now a 10/10. This Pain level last for about 24hours.

Other Meds: Morphine Verapamil Metformin Vitamin D2 Lopressor Linsopril Singular

Current Illness: Mastocytosis, Chronic Back/Neck Pain, GERD's, Esophageal Spasms,

ID: 0962337
Sex: F
Age: 62
State: MN

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

Lab Data: none

Allergies: none

Symptoms: pt states she has a itchy warm hard red area about 2 1/2 x 1 1/2 below the injection site similar to a hive.

Other Meds: Phentermine and Tolterodine

Current Illness: none

ID: 0962338
Sex: F
Age: 59
State: ME

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

Lab Data:

Allergies: none

Symptoms: "Moderna Covid-19 vaccine EUA" The left side of my face, including nose and lips became numb and tingly for 4.5 hours. There was no swelling and I could breath and swallow fine.

Other Meds: none

Current Illness: none

ID: 0962339
Sex: F
Age: 39
State: CA

Vax Date: 12/17/2020
Onset Date: 12/20/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: COVID + post vaccine #1

Allergies: Preservative- anaphylaxis

Symptoms: COVID + post vaccine #1

Other Meds: norethindrone-ethinyl estradiol-iron (LOESTRIN FE 1/20) 1 mg-20 mcg (21)/75 mg (7) tablet

Current Illness: COVID-19 detected 12/20/20

ID: 0962340
Sex: F
Age: 25
State: NV

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

Lab Data: No

Allergies: Environmental and indoor allergies also aspirin and ibuprofen

Symptoms: About 30 min after the vaccination I felt dizzy. It felt almost like I had gotten up too quickly and felt dizzy, that kind of dizziness. Lots of soreness on the injection site the day of the vaccination and also going down the arm if I tried to lift my arm it was painful, everything else was fine until 4:30PM when I started feeling chills and feverish. Around 9PM the cold chills were so awful I started crying because it was so uncomfortable. I took some Tylenol and it knocked me out. I felt cold and hot during the night. About 7AM the next morning I had hives, on my chest, arms and legs (red itchy, swollen) the chills have gone away in the morning. I took an Allegra around 8AM and it did work after 30 min to an hour. Then I went to see my allergist around 11AM and the itchiness and redness had gone down a lot but the itchiness was still there. The allergist told me to take some more Allegra that day and it ended up working.

Other Meds: breioelipta, multilucast, esterila, Allegra as needed, Ventolin as needed, double X vitamin (uncertain)

Current Illness: tested positive for Covid on 12/03/2020

ID: 0962341
Sex: F
Age: 84
State: GA

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

Lab Data: UNKNOWN

Allergies: PENICILLINS

Symptoms: WEAKNESS, SHORTNESS OF BREATH

Other Meds: FUROSEMIDE, MIRTAZAPINE, ASPIRIN, DIGOXIN, CARVEDILOL, TRAMADOL, VITAMIN B-12, CULTURELLE, ESTRACE CREAM, LATANOPROST

Current Illness: UTI

ID: 0962342
Sex: F
Age: 49
State: CA

Vax Date: 12/31/2020
Onset Date: 01/09/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: Penicillin, sulfa

Symptoms: 10 days post vaccine, vaccination area swelled and became itchy and hot to touch, these symptoms lasted two days

Other Meds: pentasa, birth control, b complex vitamin, calcium, coQ10

Current Illness: none

ID: 0962343
Sex: F
Age: 27
State: MD

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

Lab Data: None

Allergies: All indoor and outdoor allergens like dust, mites, mold, pollen, cats and dogs

Symptoms: Sore arm right after shot and throughout the next day. Woke up in the middle of the night (around 11:45pm)with very bad chills, nausea, and headache. Temperature at the time was 99.7. Several hours later (around 3:45am) woke up again with less chills and temperature 101.6-101.8 with headache continuing. Woke up again at 5:45am with continued fever 101.7 and headache. Took ibuprofen around 6:30am and fever dissipated around 9am. Headache still continuing but not as severe.

Other Meds: Allertec (OTC allergy medication), Xhance (prescription nasal spray)

Current Illness: None

ID: 0962344
Sex: M
Age: 73
State: PA

Vax Date: 01/18/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I woke up at 3am on Wednesday the 20th and felt very dizzy. Keep on going for about an hour or so. About 4AM I started to puke my guts out. I called the doctor about 9am that morning who told me that it was an effect from the vaccine (I had a virtual visit with the doctor). I was also feeling very weak. Today I feel I better and was able to eat and even take my dog for a walk.

Other Meds:

Current Illness:

ID: 0962345
Sex: M
Age: 50
State: CA

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

Lab Data:

Allergies:

Symptoms: Severe headache 8/10 unrelieved by OTC acetaminophen, nausea, dry mouth, chills without fever

Other Meds:

Current Illness:

ID: 0962346
Sex: F
Age: 34
State: WA

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

Lab Data: n/a

Allergies: shellfish

Symptoms: nausea and vomiting, possible mild SOB after vaccination. light headache

Other Meds: albuterol

Current Illness: possible asthma symptoms N/V after vaccine administration and light headache

ID: 0962347
Sex: F
Age: 12
State: CA

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

Lab Data:

Allergies: NKA

Symptoms: Redness and Swelling at injection site size is 7cm X 4.5 cm

Other Meds: NA

Current Illness: NKA

ID: 0962348
Sex: M
Age: 78
State: WI

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

Lab Data:

Allergies:

Symptoms: Site: Swelling at Injection Site-Mild

Other Meds:

Current Illness:

ID: 0962349
Sex: F
Age: 82
State: GA

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

Lab Data: ER visit 1/21/2021

Allergies: lisinopril, vancomycin, verapamil, penicillin

Symptoms: Patient had no symptoms during 15 minute observation period. 2 hours later, she developed hives and nodules with itching and burning in the left arm. She went to the ER where she was observed and treated with PO loratadine.

Other Meds: hydrochlorothiazide, rosuvastatin, losartan, aspirin

Current Illness: none

ID: 0962350
Sex: F
Age: 41
State: CA

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

Lab Data:

Allergies:

Symptoms: fever red at injection site injection site has a bump hot to touch throbs

Other Meds:

Current Illness:

ID: 0962351
Sex: F
Age: 84
State: GA

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

Lab Data: UNKNOWN

Allergies: PCN

Symptoms: WEAKNESS, SOB

Other Meds: FUROSEMIDE, MIRTAZAPINE, ASPIRIN, DIGOXIN, CARVEDILOL, TRAMADOL, SERTRALINE, VITAMIN B12, CULTURELLE, ESTRACE CREAM, LATANOPROST

Current Illness: UTI

ID: 0962352
Sex: M
Age: 55
State: VA

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

Lab Data:

Allergies: Penicillin Tetracycline

Symptoms: Second Shingles shot. Aches, chills, headache, insomnia. No problem with the first shot

Other Meds: Pravastatin Daily multiple vitamin Vitamin C Saw Palmetto

Current Illness: None

ID: 0962353
Sex: M
Age: 46
State: NC

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

Lab Data:

Allergies: None

Symptoms: Fever 103, sweating, shakes, and diarrhea

Other Meds: None

Current Illness: None

ID: 0962354
Sex: F
Age: 45
State: NE

Vax Date: 01/13/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Antigen Test 1/20 Negative PCR Test 1/21 Negative

Allergies: Vistaril

Symptoms: Migraine with nausea and vomiting, extreme fatigue x 48hrs

Other Meds: Gabapentin Vitamins =- multi- vitamin Tylenol

Current Illness: no illness

ID: 0962355
Sex: F
Age: 66
State: KY

Vax Date: 01/13/2021
Onset Date: 01/17/2021
Rec V Date: 01/21/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Patient presented with worsening fatigue and shortness of air that began Friday(1/15/21) after receiving COVID 19 vaccination. She has also had nausea, vomiting, and diffuse abdominal pain since that time. Patient has had a cough for last five days. Patient admitted to ICU for care on 1/17/2021.

Other Meds:

Current Illness: COVID positive 12/18/2020

ID: 0962356
Sex: U
Age: 65
State: AK

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

Lab Data: 1/16 EKG-NSR Vitals: BP 129/75, hr 71 rr16 sat 97%ra temp 36.3

Allergies: Femara, Hydrocodone, Levaquin, Metoprolol, Perfume, Pyridium

Symptoms: Approximately 15 mins after receiving COVID vaccine began c/o headache, cough and itchiness. Took 2 25 mg Benadryl that she had with her. Was then administered 25 mg IV Benadryl by EMS. By 4:30 pm reports itching and headache improved. Encouraged to take Benadryl q 6-8hours prn. Discharged home. Phone call on 1/17-No symptoms. Has f/u w/PMD 1/20

Other Meds: Diclofenac, Diltiazem, Eliqis, Folic Acid, Lisinopril, Vt D

Current Illness:

ID: 0962357
Sex: F
Age: 50
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Severe body aches, chills, low grade temperature 100.1 degrees, headache, and pressure around eyes.

Other Meds: None

Current Illness: None

ID: 0962358
Sex: F
Age: 50
State: GA

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

Lab Data: Will FU with PCP tomorrow.

Allergies: Highly allergic to almost anything environmental and things grown on trees/fruits, soaps/locations, cats and some dogs.

Symptoms: The following morning when she woke up had chills, temperature, very bad headache, and a head cold. Went to HD, they sent her home and to report to us and monitor it. If she didn't get better to go to ER or Dr. 1/20/21, felt chills, woke up in pool of sweat, bad headache, and mucousy with runny nose and still having that symptom. 1/21/21 feeling like she may be getting a little better, but FU with her PCP tomorrow. No difficulty breathing, cold like symptoms. Feels like she doesn't have a temperature. Finally does not have a headache.

Other Meds: Estradol patch, Progesterone and Omeprazole. Vitamin B complex, triple Omega vitamin, Vitamin C and D, and nail/hair/skin vitamin.

Current Illness: None.

ID: 0962359
Sex: F
Age: 75
State: CA

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

Lab Data:

Allergies: Albuterol

Symptoms: Systemic: Tingling in the fingers on the same arm of injection site-Mild

Other Meds:

Current Illness:

ID: 0962360
Sex: M
Age: 75
State:

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

Lab Data:

Allergies: AMOXICILLIN-POT CLAVULANATE

Symptoms: Admitted to hospital 1/14/21 with Fever; Hypoxia; Pneumonia due to COVID-19 virus; COVID+1/14/21. Discharged home 1/18/21

Other Meds:

Current Illness:

ID: 0962361
Sex: F
Age: 29
State: IN

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

Lab Data: N/A

Allergies:

Symptoms: Main reaction: very achy wisdom teeth area (pulled ~10 years ago), all other teeth fine, for ~ 10 days Also: headache and dizziness night of vaccine, sore arm ~2 days

Other Meds: Vimpat Zonisamide Ortho-tricylcen Claritin Vitamin D

Current Illness:

ID: 0962362
Sex: F
Age: 74
State: CA

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

Lab Data:

Allergies:

Symptoms: Itching Local reaction pink 3-4 inches around warm and swollen at injection site Mild soreness

Other Meds:

Current Illness:

ID: 0962363
Sex: F
Age: 44
State: CA

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

Lab Data: Covid Test Saturday Jan 16th - Negative Covid Test Tuesday Jan 19th - Negative

Allergies: Bees, Shellfish, Sulpha

Symptoms: Jan 14th - fatigue. Jan 15th - fatigue worsened, had to leave work. Arm sore but manageable. PM - chills, severe fatigue. Mild arm soreness. Almost fainted on my commute home while driving. Jan 16th. Fever 102, chills, fatigue, nausea, vomiting, diarrhea, massive headache, dizziness. Jan 17th Nausea, diarrhea, fatigue, headache, chills and fever 100 with Tylenol and Advil every 4-6 hours. Jan 18th - chills, fever, headache, nausea, diarrhea. Could not go to work. Jan 19th - nausea, fatigue, dizzy, diarrhea, had to leave work early. Jan 20th - fatigue, nausea. Jan 21st woke up with huge reaction at injection site. Swelling, itching, and very hot to the touch. Roughly 4" wide, and hard. Mild pain, but manageable. Nausea and fatigue still present. At work, but was sent home early.

Other Meds: Metformin Wellbutrin Pristiq Ambien Spironolactone

Current Illness: none

ID: 0962364
Sex: F
Age: 40
State: MO

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

Lab Data:

Allergies:

Symptoms: Fever, (felt like she was freezing then burning up) headache, bodyache.

Other Meds:

Current Illness:

ID: 0962365
Sex: M
Age: 38
State: CA

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

Lab Data:

Allergies: NKA to medications. Childhood allergy test showed reaction to soy, barley, and rye. Allergies to animal dander, pollen, dust.

Symptoms: 11pm (approx) : What resembled hives (just one big one) observed in the area of the right temple. No pain or itching. Very slight sensetivity. The next morning, the hive had reduced, but a new one was seen on the right side of the base of my neck. Very red and irritated looking but no pain or itching. There were also 2 or 3 smaller hives a few inches below and to the right of my navel. This was the only area in which I experienced itchiness. I have pictures of the last two areas where this occurred. Hives reduced each day until done. The last to clear up was the one on my neck. Total duration, approximately 3 or 4 days. The areas seemed to line up with parts of the lymphatic system, when I looked up a map of it.

Other Meds: Atomoxetine 100mg (ER?), venlafaxine 150mg xr, magnesium/calcium/zinc supplement. Caffeine approx 300mg (energy drinks)

Current Illness: None known.

ID: 0962366
Sex: F
Age: 69
State: GA

Vax Date: 01/13/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: Morphine, Sulfonamides

Symptoms: On Sunday, Jan 17 noticed enlarged Left supraclavicular lymph node. On Monday/Tuesday noticed rash, redness, swelling on Left arm below the injection site. Also noticed bruise at injection site. (Note: arm did bleed more than normal at time of the injection). By Wed 1/20, rash had gotten larger, itched some and was warm to the touch. Applied Hydrocortisone cream to site a couple times that day. Lymph node still enlarged (maybe larger?) Wed 1/20 at bedtime took Benadryl 25mg. Thurs 1/21 swelling less on L arm, less itching, still red with some rash. Lymph node smaller.

Other Meds: NP Thyroid, Ambien, Multi vitamin, Vit D, Total Restore, Colace

Current Illness: None

ID: 0962367
Sex: M
Age: 35
State: CA

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

Lab Data:

Allergies: None

Symptoms: Body aches, fever, headache and chills. Increased Heart rate.

Other Meds: None

Current Illness: None

ID: 0962368
Sex: F
Age: 60
State: CA

Vax Date: 01/07/2021
Onset Date: 01/15/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: Penicillin, Sulfa

Symptoms: Develop a rash on Right arm 8 days after, 7-8 inch in length x 3 inch wide. Area red, swollen and hot to touch. No pain. Notified PCP on line 3 days after. Recommended Zyrtec am and Benadryl pm (protocol). Also, observe for infection. Seen by Urgent care 4th day. Rx'd Triamcinolone and Clindamycin (held off on antibiotics per my preference). 6 days on-rash remains the same.

Other Meds: None

Current Illness: Hypertension

ID: 0962369
Sex: F
Age: 40
State: ME

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

Lab Data: None

Allergies: Sensitive to fragrance, seasonal allergies, mold

Symptoms: approximately 2.5? x 3? red rash at injection site ( upper left arm), slightly warm to touch, mildly hard, slightly itchy, first noticed this morning and has increased a little in size over the last 5-6 hours, no treatment

Other Meds: Zyrtec, plexus slim, plexus mv, plexus pro bio 5 (probiotic), plexus biocleanse (magnesium), vit d, airborne gummy, fiber gummy, elder-mune (elderberry)

Current Illness: None

ID: 0962370
Sex: F
Age: 73
State: GA

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

Lab Data: UNKNOWN

Allergies: CODEINE

Symptoms: OFF BALANCE/DIZZY

Other Meds: COLESTIPOL, PROBIOTIC, PRESERVISION, MIRTAZAPINE, POTASSIUM, DONEPEZIL, SERTRALINE, LORAZEPAM, FLUTICASONE NASAL SPRAY, SYSTANE, LATANOPROST, CALCIUM +VITD

Current Illness: NONE

ID: 0962371
Sex: F
Age: 83
State: CA

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

Lab Data:

Allergies: Penicillin

Symptoms: Systemic: Felt lightheaded, but resolved after 10 minutes; BP 112/60; Temp. 97.9-Mild

Other Meds:

Current Illness:

ID: 0962372
Sex: F
Age: 74
State: CA

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

Lab Data:

Allergies:

Symptoms: Local site injection reaction: itching pink 3-4 inches around warm and swollen mild soreness

Other Meds:

Current Illness:

ID: 0962373
Sex: F
Age: 36
State: AZ

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

Lab Data:

Allergies: None

Symptoms: Left arm soreness achiness, left lateral breast soreness and pain, left axillary lymph node swelling to size of softball. Fatigue

Other Meds: Losartan hctz

Current Illness: None

ID: 0962374
Sex: F
Age: 32
State: MN

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

Lab Data: N/A

Allergies: Latex, Eggs, and Wasps

Symptoms: Ears turned red, entire face became hot and red.

Other Meds: Claritin 10 mg taken when symptoms started

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm