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: 0962477
Sex: M
Age: 39
State: MD

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: reports "hives" on hands and feet 8 days post vaccination with Moderna. Slight itching, and hands feel a little tight. No other sx. Initially arm was sore for 2 days post vaccine. Red circular lesions on palms, fingers. Vaccinated 30 Dec, rash started on 08 Jan, worse on Tues and Wed (12-13 Jan). Improving the 15th took 10mg of loratadine for 3 days. Symptoms: RASH&OTH NONSPEC SKIN ERUPTION(R21).

Other Meds: none

Current Illness: none

ID: 0962478
Sex: F
Age: 76
State: FL

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

Lab Data: none

Allergies: none

Symptoms: Great experience with vaccine, but thought I should report. On the 8th evening after shot, injection site started itching. I scratched it and later looked in mirror. Site was red 3 1/2" X 4 1/2" It is now day 11 after shot and has spread 1/2 - 1 inch, but seems lighter. Have taken picture every day to document. I feel great otherwise and arm does not itch or bother me. Just red. Just wanted to make sure I can take next shot and thought I should report.

Other Meds: none

Current Illness: none

ID: 0962479
Sex: M
Age: 77
State: OH

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

Lab Data: NA

Allergies: NKA

Symptoms: Cough, congestion, shortness of breath, diaphoretic, Temp of 99 degrees F, nausea, oxygen saturation dropped to 88% on room air

Other Meds: Atorvastatin, Coreg, Diltiazem, Eliquis, Flomax, Isosorbide, Lasix, Omeprazole, Potassium Chloride ER, Thera Tablet, Tricor, Urecholine, Zoloft

Current Illness: Covid 19 Vaccine 12-30-2021

ID: 0962480
Sex: F
Age: 76
State: AZ

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

Lab Data: None

Allergies: None

Symptoms: Itching, swelling, blotches at upper left arm, not at injection site.

Other Meds: Valsartan, Celebrex, Benadryl

Current Illness: None

ID: 0962481
Sex: F
Age: 62
State: OH

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

Lab Data: MRI to be scheduled

Allergies: NKA

Symptoms: My arm began hurting within 4 hours of the administration and by 0130 1/9, I was in severe pain and had loss of range of motion. It did improve and by Wednesday 1/13 was almost resolved. It again started to have increased soreness and loss of range of motion over the weekend 1/16-1/17, and on Monday 1/18 I called my doctor. It again improved on Wednesday 1/20, but I kept my appointment and my doctor ordered an MRI.

Other Meds: Multivitamin and Aspirin 81mg daily

Current Illness: none

ID: 0962482
Sex: F
Age: 41
State: CO

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: NA

Allergies: NKDA

Symptoms: Severe headache ("worst of my life") unresponsive to max doses acetaminophen, ibuprofen, hydrocodone. Lasted 2-3 days.

Other Meds: Biotin 5000mcg QD, collagen, fluticasone, multivitamin

Current Illness: None

ID: 0962483
Sex: F
Age: 32
State: PA

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

Lab Data: None

Allergies: None

Symptoms: Arm soreness

Other Meds: None

Current Illness: None

ID: 0962484
Sex: F
Age: 35
State: PA

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Localized rash at injections site starting 7 days following initial injection and lasting for roughly 12-20 hours

Other Meds: Spironolactone, colace, Elderberry, Vitamin C, OCP

Current Illness: None

ID: 0962485
Sex: F
Age: 0
State: MI

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

Lab Data: not done

Allergies: none

Symptoms: none

Other Meds: none

Current Illness: unknown

ID: 0962486
Sex: M
Age: 23
State:

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

Lab Data:

Allergies:

Symptoms: 1249 at end of 15 minute monitoring RN (this writer) approached pt to ask about symptoms, pt was seated in chair calmly stated "I feel a little dizzy" this writer asked pt to please stay a little longer and offered water, this writer took vital signs, pt verified wit writer they did not have a reaction with 1st dose, vitals WNL exception RR 24, pt warm, pink and dry, got a second RN to stay with pt and requested site lead to come assist, 222 was dialed a CAT team was called to the clinic. as a second set of vitals were taken pt began to become pale and stated "hard to swallow"provider responded, directed Epi to be given from allergic reaction kit on site, dose verified and given by nurse recorded as approx. 1230. Other CAT team members arrived and the pt was put on O2 and transferred to a stretcher and taken to ED approx. 1249.

Other Meds:

Current Illness:

ID: 0962487
Sex: M
Age: 61
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: Numbness in right thigh from hip bone to knee cap. Still numb as of 1/21/2021.

Other Meds: Lisinopril-Hctz20-12.5mg Rosuvastatin Calcium 20mg Vitamin C 1000mg Men?s multivitamin Aspirin 81mg Albuterol hfa 90mcg inhaler Dulera 100mcg-5 inhaler

Current Illness: None

ID: 0962488
Sex: F
Age: 56
State: AZ

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Labs performed, all within normal ranges with MCH elevated. PCP placed me on a steroid burst.

Allergies: PCN, ASA

Symptoms: Woke up the next morning with fever 101.7, severe chills, general malaise. Moderate to severe swelling and pain at injection site, and golf ball sized swelling in axillary lymph node, same side as vaccine. Day two, fever still present, chills reduced, sub clavian lymph node grossly swollen, axillary swelling remains. Day three, swelling has progressed to left occipital nodes, neck extremely stiff. Day four, neck stiffness and pain and swelling in all nodes persists, and left parietal nodes also now swollen.

Other Meds: Trazadone Progeteron/Estrdial

Current Illness: COVID 19 - symptom start date November 29, 2020. Moderate infection including fatigue, chills, fever, loss of smell and taste, heacahe, loss of balance. Treated with Dexamethasone.

ID: 0962489
Sex: F
Age: 65
State: OK

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

Lab Data: blood work from pcp

Allergies: Phenergan, codeine

Symptoms: approx. 5 minutes after receiving the vaccine, client started c/o racing heart. Bp was elevated and pulse rate elevated, o2 was normal. EMSA was called due to racing heart. They monitored her for awhile and she refused to go to the hospital and drove herself home, where she said within 30 minutes of getting home she was fine and vital signs back to normal. she had a physical exam 1/20/21.

Other Meds: Lisinopril,women's vitamins, stool softener, ASA 81mg, rosovastin, osteobiflex,restasis, warfarin, sumadadine,nexium, prn medications: ambien, Valtrex, butabutal caffeine, lorazepam, nitroglycerin

Current Illness: none

ID: 0962490
Sex: F
Age: 38
State:

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

Lab Data:

Allergies:

Symptoms: Felt like she was "having a panic attack" and was then lowered to the ground with lightheadedness. Did not loose consciousness.

Other Meds:

Current Illness:

ID: 0962491
Sex: F
Age: 65
State: IL

Vax Date: 12/30/2020
Onset Date: 01/04/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: PCN Sulfa

Symptoms: Starting at day 5 post vaccine develped: Itching at injection site, progressed to itching, redness, hive like area, hot to the touch that involved upper left arm from shoulder to above the elbow. Went to urgent care, was prescribed a steroid cream, Triamcinolone Acetonide Applied this to the area 2 times per day. Reaction resolved in 2-3 days after using the cream.

Other Meds: Levothyroxine, Crestor

Current Illness: None

ID: 0962492
Sex: F
Age: 41
State: GA

Vax Date: 01/05/2021
Onset Date: 01/07/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Sulfa and penicillin

Symptoms: Full body rash since 1/7/2021. Itching. I took a steroid and used steroid cream

Other Meds: Amplodine 5 mg

Current Illness: N/A

ID: 0962493
Sex: M
Age: 75
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Persistant fever 100-103 Chills Headache Nausea Body Ache Loss of Appetite Aversion to Light Difficulty taking liquids Very tight stomach Extreme fatigue

Other Meds: Atorvastatin Co Q 10 Vitamin D Fomotadine

Current Illness: None

ID: 0962494
Sex: F
Age: 34
State:

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

Lab Data: 1/20/21 Tested positive for Covid

Allergies:

Symptoms: 1/16/21 congestion, wheezing, cough

Other Meds:

Current Illness:

ID: 0962495
Sex: F
Age: 27
State: VT

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

Lab Data: None

Allergies: Sulfa

Symptoms: Arm pain, headache, body aches, leg cramps, fatigue

Other Meds: Allegra, vitamin d

Current Illness: None

ID: 0962496
Sex: F
Age: 54
State: MN

Vax Date: 12/16/2020
Onset Date: 12/23/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: NA

Allergies: Benedryl, Sulfa

Symptoms: Pain & swelling in left lymph node under left arm. Noticed it Dec. 23, 2020, saw healthcare provider Dec. 28, it had not gotten better. I was to watch it. Pain eventually went away Jan. 4, 2021. Received 2nd covid vaccine Jan. 6, 2021.

Other Meds: Synthroid, Atenolol, Lipitor, Estradial, Miralax,

Current Illness: None

ID: 0962497
Sex: F
Age: 54
State: NY

Vax Date: 01/04/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Arthus phenomenon, mild, at site of injection.

Other Meds: multivitamin

Current Illness: none

ID: 0962498
Sex: M
Age: 24
State: NY

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

Lab Data: N/A

Allergies: Shellfish ethyl acetate

Symptoms: Pt became lethargic, slow to respond, speech muttered, shaking, drooping right eye, nauseous. BP 169/108, O2 sat=98%, pulse 100. Paramedics called and patient transferred to hospital.

Other Meds: 1. sumatriptan succinate, 50 MG, TABLET, ORAL TAKE ONE TABLET BY MOUTH AS NEEDED FOR HEADACHE, IF HEADACHE PERSISTS CAN TAKE ANOTHER TABLET IN 2 HOURS, MAX DOSE 200 MG / 24 HOURS 2. topiramate, 25 MG, TABLET, ORAL TAKE ONE TABLET BY MOUTH A

Current Illness: Shoulder/arm pain, headaches, anxiety, insomnia, tremor, obesity

ID: 0962499
Sex: F
Age: 48
State: NY

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Arm very sore and swollen with "knots" near injection site starting 1/4 and continuing through 1/21. Took tylenol at onset and after seeing PCP instructed to use low-dose ibuprofen and voltaren cream. PCP has considered possibility that injection technique may be responsible for prolonged symptoms.

Other Meds:

Current Illness:

ID: 0962500
Sex: M
Age: 73
State:

Vax Date: 01/14/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Nausea in stomach. Symptoms lasted less than one hour.

Other Meds:

Current Illness:

ID: 0962501
Sex: F
Age: 55
State: NY

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

Lab Data: None

Allergies: Bactrim

Symptoms: Chills/ severe body aches, headache began @ 8pm on 1/20/21 persisting through the night . Muscle aches & headache continues 1/21/21.

Other Meds: Motrin 200mg Biotin 1,000 mg

Current Illness: None

ID: 0962502
Sex: F
Age: 51
State: MS

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

Lab Data: Flu, COVID, ESR. CRP, CMP, CBC, UA, CXR 01/07/2021

Allergies: Ceftin

Symptoms: Fever, weakness to bilateral arms/legs, dizzy

Other Meds: Prief daily, Mobic 7.5mg prn, Zantac 300mg, Zofran 4mg prn, Gas X prn, Hemp Seed Oil daily, Xanax prn, Vitamin E daily, OTC Joint daily, Trazadone daily, Stool softener prn, Tylenol prn, Excedrin prn, Urimart prn, Nexium prn, Wellbutrin dai

Current Illness: None

ID: 0962503
Sex: F
Age: 64
State: MI

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: Ultrasound on my eye; saw an opthamologist and a neurologist

Allergies: Neomycin; Flagel; some local anethesitics; environmental allergies

Symptoms: Lost peripheral vision on my right eye - the next day around midday - lasted 20 minutes when I couldn't see out of my right eye; Went to ER - and then saw saw an opthamologist and a neurologist

Other Meds: Vit D3; Baby aspirin; Wellbutrin

Current Illness: No

ID: 0962504
Sex: F
Age: 56
State: CA

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

Lab Data:

Allergies: Tetanus vaccine, morphine, sulfa drugs

Symptoms: 6 days after injection, injection site is red, swollen, itchy, rough textured, thick-skinned, about 2? in diameter. Day 7 no improvement even after topical and oral Benadryl.

Other Meds: Fluticasone Propionate and Salmeterol Inhaler

Current Illness: None

ID: 0962505
Sex: M
Age: 59
State: PA

Vax Date: 01/15/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Systemic rash with hives. No respiratory or intraoral involvement.

Other Meds: Cardizem, Lipitor, aldactone, Zyrtec-D, ursodil,

Current Illness: none

ID: 0962506
Sex: F
Age: 68
State: NC

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

Lab Data:

Allergies: Codeine, penicillin, mepivicaine, oxycodone

Symptoms: 20 minutes after receiving the vaccine, my head became flushed, my face turned red and I had a slight headache. These symptoms lasted about 10 minutes and then went away. No further reaction at this time.

Other Meds: Zyrtec, Vitamin D, Levothyroid, Cytomel, Naproxen

Current Illness:

ID: 0962507
Sex: F
Age: 65
State: NY

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1 week after I had the injection, the arm with the injection had an oval red rash. It is itchy and warm to the touch. My primary care physician and I had a telehealth meeting. She felt because it was 1 week after the injection I had cellulitis and put me on Cefadroxil for 10 days. THe rash seem to be getting better however it was spreading on my arm. I went to a dermotologist who feel that it is due to the vaccine and gave me a cream Triamcinilone. Today I notice that the rash has spread to my torso and I believe my unvaccinated arm ( it's itchy and starting to get red)

Other Meds:

Current Illness:

ID: 0962508
Sex: F
Age: 43
State: AL

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

Lab Data: None

Allergies: Bactrim- swelling of face, itching, blisters in the mouth, fever, chills, muscle aches Another antibiotic, but I can't remember the name- hives and itching Allergic to black toxic mold Seasonal allergies

Symptoms: Redness, warmth, hardness, and soreness and vaccine injection site. (Left upper arm in the muscle). Noticed several days later. I took over the counter Ibuprofen and applied a cold pack to area. The color became lighter and it wasn't as warm, but it still has a hard spot and is sore to touch.

Other Meds: Triamterene (Generic of Maxide) for Hypertension (High Blood Pressure) Duloxetine (Generic of Cymbalta) for Anxiety & Fibromyalgia Gabapentin (Generic of Neurotin) for Restless Leg Omeprazole (Generic of Prilosec) for GERD/ acid reflux Zin

Current Illness: None

ID: 0962509
Sex: F
Age: 53
State: CO

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

Lab Data: NA

Allergies: NKDA

Symptoms: Delayed reaction, itchy at injection site, 5cm area of erythema, induration, soreness.

Other Meds: None

Current Illness: None

ID: 0962510
Sex: M
Age: 71
State: CT

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

Lab Data: none

Allergies: none

Symptoms: Acute Covid--diagnosed april 2020--Hospitalized about 1 week Day of the vaccination--severe rigors, chills, muscle pains lasting about 10 hours--very similar to about 5 other people in my office 2-3 days later acute facial rash, involving eyes, conjunctiva on both sides--not responsive famvir, neomycin, eye drops for conjunctivitis. The pictures are much more dramatic than the description----lasted about 5 days.

Other Meds: losartan, carvedolol, vit d, allopurinnol

Current Illness: bP gout CRD stage 3

ID: 0962511
Sex: F
Age: 66
State: MN

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

Lab Data: Na

Allergies: Pennecillin, Topamax.

Symptoms: Nausea, lethargic, tiredness, abdominal cramps, severe pain at site of Covid injection

Other Meds: Adderall, aripiprazole, Atorvastatin, Bupropion, Escitalopram, Loratadine, Levothyroxine, Omeprazole, Trazadone, Melatonin, Calcium, Metronidazole, Fluticasone.

Current Illness: Getting over Covid 19. Some residual stuff in lungs. Had it over Thanksgiving.

ID: 0962512
Sex: F
Age: 55
State: FL

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

Lab Data: N/A

Allergies: None

Symptoms: Fatigue, nausea, headache, right axillary lymphadenopathy

Other Meds: Losartan,Atorvastatin,Zoloft,HCTZ,Ibuprofen,Gabapentin,B Complex,Vit C

Current Illness: Common Cold

ID: 0962513
Sex: F
Age: 58
State: VA

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

Lab Data: none

Allergies: Iodine

Symptoms: I had the shot in my left arm. Stayed for about 10 minutes and headed out. I told my coworker my tongue felt like it was a little swollen. A little later on I felt like something was on my neck so I reached up felt some swelling on my lower neck and shoulder. Before reaching back to work my face felt like it was swelling only on the left side. As the day went by the workers at my school could tell that my face was swelling. Got home called the hospital and the told me to go to the ER. I went and they checked me out and put me on prednisone and benadryl. Second day I still feel like my face feels numb and still have to swelling at the bottom of my neck.

Other Meds: Estradiol, Omeprazole, Losartan, B12 and woman's gummy vitamins

Current Illness: None

ID: 0962514
Sex: M
Age: 46
State: TX

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

Lab Data:

Allergies:

Symptoms: Pfizer-BioNTech COVID- 19 Vaccine EUA Received communication that patient experienced a Bell's Palsy symptoms on 1/16/2021. Patient received vaccine dose #1 on December 18, 2020 and dose #2 on January 8, 2021.

Other Meds:

Current Illness:

ID: 0962515
Sex: M
Age: 51
State: MO

Vax Date: 12/29/2020
Onset Date: 01/03/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever 101.1, sore throat, congestion, body aches

Other Meds:

Current Illness:

ID: 0962516
Sex: F
Age: 35
State: LA

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

Lab Data: CBC wnl

Allergies: Metformin

Symptoms: Client was vaccinated at her place of employment. When I called them, said representative from a pharmacy came over and gave the vaccines. States she did not have access to lot numbers or dose number in series. Having body aches, pain in left arm, redness and swelling, pain has moved from her arm to her neck, shoulder, axilla, and left breast. Cant touch her left breast of move her arm w/o pain.

Other Meds: Gabapentin, HCTZ, Prozac, glipizide, jardiance, Lipitor, Tresiba, Humalog for SS

Current Illness: Fibromyalgia

ID: 0962517
Sex: F
Age: 80
State: MI

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

Lab Data: none ordered

Allergies: NKA x 2

Symptoms: grand mal seizure and temperature of 101.3

Other Meds: asa, ativan, prn; Debrox, aricept, keflex x 7 days (day 6), klonopin, paxil, seroquel,

Current Illness:

ID: 0962518
Sex: M
Age: 62
State: ID

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

Lab Data: none

Allergies: none

Symptoms: fatigue, chills, shaking, weakness, nausea, fever

Other Meds: atenelol, imdur, plavix, actos, lisinoprel, metforman, multivitimin, salpometo,

Current Illness: none

ID: 0962519
Sex: F
Age: 55
State: KY

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

Lab Data: None - prn ibuprofen

Allergies: Sulfa

Symptoms: Injection was administered in appropriate area of left deltoid muscle. Day of injection some arm pain, day after injection bruising at injection site was noticeable by patient. With time, pain became more severe with swelling at injection site. Peak of pain occurred approximately 1 week after injection and continues today on day 22, especially when arm is raised in certain positions. Pain will radiate to shoulder and neck at times. Pain is described as 9/10 for about 15 minutes when this occurs and is relieved with pressure to injection site where swelling is.

Other Meds: Multivitamin daily

Current Illness: none

ID: 0962520
Sex: F
Age: 34
State: IN

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

Lab Data:

Allergies:

Symptoms: Headache, body aches, extreme fatigue, joint pain

Other Meds:

Current Illness:

ID: 0962521
Sex: F
Age: 59
State: IN

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: severe erythema multiforme developed within 36 hours, treatment ongoing

Other Meds:

Current Illness:

ID: 0962522
Sex: F
Age: 52
State: CA

Vax Date: 01/09/2021
Onset Date: 01/16/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Currently requesting a visit with primary doctor

Allergies: Allergic reactions to insect bites including swelling and welts

Symptoms: Redness, swelling and welt 7 days post vaccination

Other Meds: None

Current Illness: None

ID: 0962523
Sex: F
Age: 28
State: IN

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

Lab Data:

Allergies: None

Symptoms: Body aches, low grade fever

Other Meds: None

Current Illness: None

ID: 0962524
Sex: F
Age: 26
State: NY

Vax Date: 12/16/2020
Onset Date: 12/26/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: COVID-19-positive DVT-neg

Allergies: no

Symptoms: After the vaccination I began to suffer from SOB and tested positive for covid-19 on 12/29 and was given an enhaler to help with the breathing. I had a sore throat, fatigued, a headache and diarrhea

Other Meds: Melatonin

Current Illness: no

ID: 0962525
Sex: F
Age: 60
State: WV

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

Lab Data: None

Allergies: Sulfa Thimerosol

Symptoms: Injection site got really red started about a quarter in diameter and swelled to about 9 inches in diameter. Itched and was painful. Lasted about 1 weeks time. Ibuprofen and diphenhydramine.

Other Meds: Inderal

Current Illness: None

ID: 0962526
Sex: F
Age: 71
State:

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

Lab Data:

Allergies:

Symptoms: Numbness around my mouth and cheek Has not stopped.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm