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: 0962731
Sex: M
Age: 56
State: NY

Vax Date: 10/23/2020
Onset Date: 12/26/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: CT-scan and blood work

Allergies: None

Symptoms: I woke up on 12/26/2020 with adverse reaction. On 12/30/2020, I was diagnosed with Bell's Palsy at Emergency room. 17 year ago, I received my flue shot (don't recall the type) and was also diagnosed with Bell's Palsy.

Other Meds: Prednisone 20MG three tablets a day for 7 days

Current Illness: None

ID: 0962732
Sex: F
Age: 21
State: ME

Vax Date: 12/28/2020
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: as above

Allergies: none

Symptoms: left eye blurred vision, facial drooping, continuous watery eye. ED test: CT, MRI, Labs, Urine, EKG

Other Meds: none

Current Illness: none

ID: 0962733
Sex: F
Age: 27
State: MO

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

Lab Data:

Allergies: PENICILLIN

Symptoms: ABOUT 50 MINUTES AFTER RECEIVING VACCINE PATIENT DEVELOPED SWEATINESS, DIZZINESS, GENERALIZED WEAKNESS. HAD SIMILAR REACTION TO FIRST DOSE IN DECEMBER BUT DID NOT SEEK MEDICAL ATTENTION OR REPORT REACTION.

Other Meds: METOPROLOL; LORATADINE; MULTIVITAMIN; POTASSIUM CHLORIDE

Current Illness:

ID: 0962734
Sex: F
Age: 90
State: KS

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

Lab Data: CMP and CBC on 01/13/2021

Allergies:

Symptoms: Resident tested positive for COVID on 01/06/2021. Resident received out patient IV fluid bolus (D5NS 1 liter) on 01/13/2021.

Other Meds:

Current Illness:

ID: 0962735
Sex: M
Age: 58
State: CA

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

Lab Data: None

Allergies: N/K

Symptoms: some arm soreness around injection site, chills, then body aches and headache. The worst seemed to be heart palpitations. My heart began racing to about one and one half the normal to a rate of 100, at about 30 hours after the injection. It then slowed to 50 bpm for about 15 minutes before racing back to 100 and becoming somewhat irregular, slow pace followed by several quick beats then a beat or two slow again and then several quick beats. This lasted for a few hours and then I fell asleep. When I woke up about 7 hours later, it was back to normal. Some slight body ache and headache.

Other Meds: Carvedilol, Potassium Chloride ER, Metformin, Lisinopril, Atorvastatin, Furosemide, Glipizide ER (XL), Aspirin 81mg, Allopurinol, Omeprazole, Gabapentin, Terazosin, Humulin 70/30.

Current Illness: Positive for COVID 19. symptoms start date of 12/14/2020, ending about 12/28/2020.

ID: 0962736
Sex: F
Age: 78
State: NY

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

Lab Data: None

Allergies: motrin causes shortness of breath. Toprol causes depression

Symptoms: The vacciine was received on Thursday. Early the following monday morning I started itching at elbow, shoulder, knee and ankle joints The itching spread then over the rest of my body, which turned red and blotchy. I applied hydrocortisone and took benadryl the same Monday afternoon and the itching cleared up within several hours.

Other Meds: Trelegy/ellipta, losartan, fluoxetine, amlodipine, Aspirin, Oyster shell, atorvastatin, montelukast, ezetimibe, albuterol

Current Illness:

ID: 0962737
Sex: M
Age: 47
State: MT

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

Lab Data:

Allergies: Demerol

Symptoms: Tennis ball size swelling of lymph notes in Right armpit. Discovered 36 hours after shot. Only other symptom is pain in right arm that required OTC ibuprofen.

Other Meds: Lipitor, Vitamin D, Vitamin B, Vitamin C

Current Illness: None

ID: 0962738
Sex: F
Age: 37
State: TX

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

Lab Data:

Allergies:

Symptoms: About 12 hours after I have very serve fatigue. About 12-18 hours still tired and couldn't think clearly. About 24 hours after I was having chills. The next day still tired but improved. Randomly on and off I was having high BP. For the next week I had off and on high BP and palpitations. The injection site hurt for 1-2 days but very mild. I took Tylenol and Ibuprofen before the shot. The most disturbing was the increase blood pressure and palpitations. It was on and off.

Other Meds: Coto 10 Omega 3- 1000mg 2x Calcium/ Magnesium/ Vitamin D -2x day Vitamin C 2x day Biotin Almethofolate Eye supplement Claritin Mutli vitamin Probiotic Metphorman Metoperol Adderall Lunesta

Current Illness:

ID: 0962739
Sex: M
Age: 69
State: NC

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

Lab Data: NONE

Allergies: NONE

Symptoms: REC'D VACCINE ON 1-19-21. ON 1-20-21 NOTICED NUMBNESS AND TINGLING TO LIPS AND TOUNGU, NO DIFFICULTIES SWALLOWING OR BREATHING. JUST SAW MD TODAY AT IMMEDIATE CARE. GIVEN STEROID SHOT AND ZPACK.PER MD, THIS WILL HELP. FEELING A LITTLE BETTER

Other Meds: ATORVASTATIN, PLAVIX, LEVOTHYROXINE, FOLIC ACID, METAPROLOL, VIT C AND D

Current Illness: NONE

ID: 0962740
Sex: F
Age: 38
State: IN

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

Lab Data:

Allergies: Pcn

Symptoms: Chills, aches, fever 100.2 for 16 hours began morning after vaccine

Other Meds: None

Current Illness: Sinus drainage but no diagnosis.

ID: 0962741
Sex: F
Age: 83
State: GA

Vax Date: 01/05/2021
Onset Date: 01/09/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: Penicillin, Macrobid

Symptoms: swelling, itching and redness of left arm 24 hrs after injection. treated with ice pack and Doxycycline 100 mg bid for 7 days

Other Meds: Rogaine 2 % Solution as directed Externally Glucosamine Chondroit-Collagen Capsule as directed Orally St Johns Wort 300 MG Capsule 1 capsule Orally Once a day Vitamin D 1000 UNIT Tablet 1 tablet Orally Once a day Clobetasol Prop

Current Illness: Other hyperlipidemia I10 Essential (primary) hypertension R21 Rash and other nonspecific skin eruption Z85.828 Personal history of other malignant neoplasm of skin M48.00 Spinal stenosis, site unspecified I87.2 Venous insufficiency (chronic) (peripheral) I35.8 Other nonrheumatic aortic valve disorders N39.0 Urinary tract infection, site not specified N95.2 Postmenopausal atrophic vaginitis R30.9 Painful micturition, unspecified Z00.01 Encounter for general adult medical examination with abnormal findings M19.041 Primary osteoarthritis, right hand

ID: 0962742
Sex: F
Age: 89
State: LA

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

Lab Data:

Allergies: codeine, tetanus

Symptoms: arm and hand swollen nd very painful.

Other Meds: Exforge, chlorthalidone, pletal, voltaren gel, Toprol xl, crestor

Current Illness:

ID: 0962743
Sex: F
Age: 40
State: WA

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

Lab Data: Imaging taken , elevated pressure of right eye noted (26 mmHg).

Allergies: NKA

Symptoms: Shingles: Redness and tenderness in right eye area at 7:00 PM on 1/14/21, later that nigh (approximately 11:00 PM) experienced sharp pain behind right eye. On 1/15/21 bumps in right eyebrow and itchiness on right side of scalp. on 1/16/21 developed redness in right eye. Pain behind right eye and itchiness persisted for >5 days. Went to Urgent Care on 1/20/21 and shingles suspected. Referred to confirm diagnosis. Antiviral pills and drops prescribed, as well as steroid drops.

Other Meds: Multivitamin

Current Illness: None

ID: 0962744
Sex: F
Age: 49
State: NY

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

Lab Data:

Allergies: Latex - rash

Symptoms: Developed rash and swelling day after. Become worse since then. Saw provider - thinking could be cellulitis.

Other Meds:

Current Illness:

ID: 0962745
Sex: F
Age: 23
State: VA

Vax Date: 12/24/2020
Onset Date: 12/24/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: no

Allergies: Penicillin

Symptoms: Sore arm and a headache and was tired for 2-3 days after. Resolved after 2-3 days.

Other Meds: Fludrocortisone and a salt tablet; Adderall - didn't take on the day of vaccine

Current Illness:

ID: 0962746
Sex: F
Age: 50
State: NY

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

Lab Data: None

Allergies: NKA

Symptoms: When at home unexpectedly developed severe coldness in right hand, especially fingers, followed by numbness. Since after few minutes and with rubbing it was not going away, proceeded with warming up hand under warm water and continued to rub it. Symptoms resolved 15-20 minutes later

Other Meds: Tamoxifen, Nurtec, Magnesium oxide, Biotin, Fish oil, Vitamin C, Vitamin D, B12 Vitamin

Current Illness: History of migraines

ID: 0962747
Sex: F
Age: 55
State: TX

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

Lab Data: Na

Allergies: None

Symptoms: Second day my arm felt really heavy 5th day I started getting anxious and my blood pressure elevated

Other Meds: None

Current Illness: None

ID: 0962748
Sex: F
Age: 29
State: FL

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

Lab Data:

Allergies: Mille, eggs, wheat, shellfish, Motrin

Symptoms: Throat tightness an hour after vaccine, arm pain, swelling underarm, dizziness, fatigue.

Other Meds: None

Current Illness: None

ID: 0962749
Sex: F
Age: 51
State: NY

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Penicilin, Nitrofurantoin, Sulfa

Symptoms: The area where the injection was given became extremely warm and itchy. Those symptoms continued for approx. 2 weeks.

Other Meds:

Current Illness: HBP, Sarcoidosis, Lupos, Erythema Nodoum Sciatica

ID: 0962750
Sex: F
Age: 0
State: IN

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

Lab Data: Saw Dr office advised to take zyrtec and a topical cream. Just been on medication for 24bhours.

Allergies: Sulfa and tramadin

Symptoms: Started as hives developed into large red welps on buttocks, neckine and in hair. On shoulder and stomach aera.

Other Meds: Citalopram, levothyroxine, vitamin d, turmeric

Current Illness: Uti few weeks before had completed antibiotic .

ID: 0962751
Sex: F
Age: 57
State: CA

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

Lab Data: Monitored then at ER thought was swollen then was given Benadryl and Dexamethasone did not take but perscribed.

Allergies: Benzoidprocide and sensitivity to Lidocaine

Symptoms: Started feeling tightness in through and went to the vaccine site and thought she was having antifalius Blood pressure 166/90 Pulse was 103.

Other Meds: Synthroid Levothroid 75 mcg

Current Illness: No

ID: 0962752
Sex: F
Age: 57
State: MS

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

Lab Data: 1/20/2021 accucheck = 113 mg/dL blood pressure and O2 sats were monitored

Allergies: Chicken, Lisinopril, PCN, Ceclor, Levaquin, Cipro, Cataflam, Codeine, Phenergan, Zithromax, Non-Absorbable Sutures

Symptoms: The patient began having symptoms of throat itching, tongue tingling, and palms of hands red and warm to touch. The patient was giving Benadryl 25mg IM @ 1030 and Epi 0.5 mg IM @ 1105. The patient was observed by staff for 90 minutes to ensure no further treatment was needed. Patient left facility in stable condition.

Other Meds: none reported

Current Illness:

ID: 0962753
Sex: F
Age: 67
State: OR

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

Lab Data: n/a

Allergies: Symbicort-shortness of breath

Symptoms: patient reported waking up in the middle the night feeling mildly short of breath with a sensation of throat tightness. Did not seek medical attention and symptoms resolved without treatment by morning.

Other Meds: Aspirin, HCTZ, Carvedilol, pramipexole, atorvastatin, losartan, esomeprazole

Current Illness: n/a

ID: 0962754
Sex: F
Age: 90
State: KS

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

Lab Data:

Allergies:

Symptoms: Resident tested positive for COVID on 01/06/2021. Resident received monoclonal antibody treatment on 01/09/2021.

Other Meds:

Current Illness:

ID: 0962755
Sex: F
Age: 51
State: ME

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

Lab Data: None

Allergies: None

Symptoms: HCW w/i hours fatigue, debility and diffuse arthralgias, chills and T <100. Day 1 persistent fatigue; L supraclavicular fullness and tenderness, erythema; L axillary tenderness on same side L arm of vaccination. Day 3 day of visit milder fatigue; arthralgias better; persistent tenderness fullness L supraclavicular area and L axillary tenderness but no discrete palpable adenopathy on exam. Likely post vaccination syndrome steadily improving.

Other Meds: Lisinopril MVI BCP-Junel

Current Illness: None

ID: 0962756
Sex: F
Age: 28
State: IL

Vax Date: 01/04/2021
Onset Date: 01/08/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient developed a headache and gastrointestinal symptoms 4 days after receiving the Moderna COVID-19 vaccine. These symptoms lasted for over 4 days. Subject is now stating she will not be getting 2nd dose of vaccine due to this

Other Meds:

Current Illness:

ID: 0962757
Sex: F
Age: 56
State: UT

Vax Date: 01/08/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None to date

Allergies: None

Symptoms: On 1/19/2021--11 days after receiving the vaccine, the injection site began to itch. On 1/20 a 2.5" red circle appeared at injection site. On 1/21 the red circle at the injection site had grown to 3" and had become firm and much redder. I consulted my primary care physician who indicated that this was an unusual delayed injection site reaction. I was instructed to take benadryl 3x per day and was given a prescription for antibiotics in the even the reaction was bacterial.

Other Meds: Hydrochlorothyzide, amlodopine

Current Illness: None

ID: 0962758
Sex: M
Age: 34
State: MA

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0962759
Sex: F
Age: 22
State: IL

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

Lab Data: none

Allergies: none

Symptoms: 12:00 am - 2:00 am: chills, minor headache, body aches, low grade fever 5:00 am - 11:00 am: headache, body aches, hot flashes 11:00 am - now: minor headache, body aches, fogginess, minor weakness No treatment

Other Meds: Women's multi-vitamin, vitamin C pill, allergy pill OTC

Current Illness: exercise induced asthma, alopecia

ID: 0962760
Sex: M
Age: 67
State: TN

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

Lab Data: EMS took vital signs and EKG. Patient said his EKG was normal and his bp had decreased before EMS let him go home.

Allergies: Codeine-behavioral changes

Symptoms: Patient received first dose on 12/29/20 with no complaints. Patient received second dose on Tues 1/19/21 and waited 15 minutes. He had no complaints. He returned to work and finished his shift. Patient went to gym, after work at 6 pm. As he started to workout he felt dizzy. He rested for a few minutes then made his way to dressing room. He started feeling nauseated and cramping in lower extremities. He reported having difficulty vomiting but after one episode he felt better. He called his wife who called attendant. They called EMS. He made his way out to the ambulance with help from the attendant. He continued to have cramping in legs and then stomach. EMS assessed him. His blood pressure was high. Patient and his wife decided to not go to ER. EMS released him and he went home. Patient continued feeling light headedness, dizzy and having nausea and vomiting till around 11 pm. Today, he reports feeling better but continuing to feel dizzy. He is following up with doctor today.

Other Meds: Oxybutynin, Rosuvastatin, gabapentin, and flexeril

Current Illness: Pinched nerve -recently started taking gabapentin, and flexeril Borderline cholesterol level -on a 3 month dose of Rosuvastatin

ID: 0962761
Sex: F
Age: 57
State: WI

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

Lab Data:

Allergies: none

Symptoms: 1 week after shot developed a 3 cm in diameter area or erythema at injection site

Other Meds: Calcium, Vit D, Fish oil, Tumeric, Ibuprofen

Current Illness: being evaluated for possible inflammatory bowel disorder

ID: 0962762
Sex: M
Age: 38
State: CA

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

Lab Data:

Allergies: n/a

Symptoms: nausea, headache, injection site pain, body aches, chills, fatigue

Other Meds: n/a

Current Illness: n/a

ID: 0962763
Sex: F
Age: 32
State: IN

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

Lab Data:

Allergies: Amoxicillin

Symptoms: Fever, chills, lethargy

Other Meds: Nuvo ring

Current Illness: N/A

Date Died: 12/23/2020

ID: 0962764
Sex: M
Age: 73
State: AK

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

Lab Data: None.

Allergies: lisinopril, seroquel, penicillins, beer

Symptoms: Patient did not have any adverse reaction to the COVID vaccine, but we were asked by our health dept to submit a VAERS report since the patient died between his first and second dose. Received Pfizer Dose #1 12/17/2020. No side effects or adverse events noted; lived in 24/7 care facility and monitored twice daily for reaction. Date of death 12/23/2020 from aspiration pneumonia complicated by end-stage heart failure and ischemic cardiomyopathy. Death was anticipated and not sudden.

Other Meds: acetaminophen suppository 650mg, polyvinyl alcohol solution 1.4%, atropine 1% ophthalmic solution, fentanyl patch 72hr 50mcg/hr, lorazepam concentrate 2mg/ml, morphine sulfate solution 20mg/ml.

Current Illness: Scrotal edema, aspiration pneumonia

ID: 0962765
Sex: M
Age: 59
State: MN

Vax Date: 01/07/2021
Onset Date: 01/10/2021
Rec V Date: 01/21/2021
Hospital: Y

Lab Data: normal labs, normal MRI C and L spine

Allergies: none

Symptoms: 3 days after vaccine, second dose given on day 16, developed ascending paresthesia, no weakness, up to abd from LEs and to elbows on BUE

Other Meds: Terazosin, Amlodipine/Benazepril, Benadryl, ASA

Current Illness: none

ID: 0962766
Sex: F
Age: 31
State: PA

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

Lab Data:

Allergies: denies

Symptoms: 1/21/21-12 AM-stiff back, back felt like it was on fire along with joint pain all over body, body aches, pulling pants down to go to bathroom hurts. Patient states that she started feeling worse throughout the day. Pt. states that when she is talking she feels like her breath is being cut off. Nausea on and off this am. Feels like a burning sensation to muscles throughout body. Pt. states that she has not taken anything for it. Pt. states that she feels like body aches and pain are getting worse but nausea has subsided.

Other Meds: denies

Current Illness: denies

ID: 0962767
Sex: F
Age: 65
State: PA

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

Lab Data: no

Allergies: no

Symptoms: Started yesterday, injection itchy, felt like a small lump or welt, she scratched it, and it turned red

Other Meds: Protonix, Probiotics, Hydrodiuril, Metamucil

Current Illness: no

ID: 0962768
Sex: F
Age:
State: AL

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

Lab Data: NONE

Allergies: NKDA, NO KNOWN NON DRUG ALLERGIES

Symptoms: MOM JUST REPORTED SEIZURE TO US ON 1/21/2021 MOM DID NOT CALL AFTER PT HAD SEIZURE

Other Meds: UNKNOWN

Current Illness: NO

ID: 0962769
Sex: F
Age: 23
State: VA

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

Lab Data: no

Allergies: penicillin

Symptoms: I woke up with the chills and body aches; pretty bad headache; fever got to 99.8 and took Tylenol medicine for it. The next day after I was pretty much those same symptoms - I slept the whole day since I was not feeling good at all. The next day later I was fine. I did have COVID in July, 2020.

Other Meds: Fludrocortisone and a salt tablet; Adderall - didn't take on the day of vaccine

Current Illness: cold - not COVID 19

ID: 0962770
Sex: F
Age: 32
State: CA

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

Lab Data:

Allergies: NKDA

Symptoms: 7 days later, redness/swelling/tenderness at injection site x ~48 hours

Other Meds: none

Current Illness: none

ID: 0962771
Sex: F
Age: 26
State: PA

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

Lab Data:

Allergies:

Symptoms: A welt-like red area that is hot in temperature. The red area is golf ball sized. The welt went away after 2 days but as of the morning of 1/21/21, the welt is back and is extremely itchy this time.

Other Meds:

Current Illness:

ID: 0962772
Sex: F
Age: 49
State: IN

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

Lab Data: N/A

Allergies: Penicillin Strawberries

Symptoms: Migraine Swollen axilla lymph nodes Low grade fever 100 Chills

Other Meds: C B Zinc Estarylla

Current Illness: None

ID: 0962773
Sex: F
Age: 34
State: NC

Vax Date: 01/07/2021
Onset Date: 01/16/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: No lab/ tests completed Telehealth visit 1/18/21; Urgent Care visit 1/20/21

Allergies: Pertussis vaccine- respiratory depression

Symptoms: On 1/16/2020 the patient was noted to have erythema on her hand which she noted was pruritic. She noted additional swelling and discomfort and 2 days later area was raised, red/purple and noted as painful and itchy. She sought out help from a physician who noted the area as possible cellulitis and prescribed cephalexin. 2 days later the patient reported to Urgent Care noting more pain and worsening swelling at the site on her Right palm. It was also noted she had a swollen, red lesion on the Right side of her back adjacent to her right scapula. The patient was diagnosed with shingles and was started on Valtrex. Due to timeline and closeness to vaccination dose, consideration of an immune modulated reaction.

Other Meds: Calcium 600 mg daily

Current Illness: none

ID: 0962774
Sex: F
Age: 62
State: GA

Vax Date: 01/07/2021
Onset Date: 01/12/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: Bactrim

Symptoms: Severe itching and redness 6d post vaccine. Spread of redness for the next 3-4 days with continued itching. Runny nose day of vaccine to 1 week post.

Other Meds: Humalog insulin, Sertraline, Estrogen, Progesterone, Lisinopril

Current Illness: Type 1 DM

ID: 0962775
Sex: F
Age: 34
State: TX

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

Lab Data: None

Allergies: NKA

Symptoms: Felt warm and heaviness on right side of face

Other Meds: Adderall

Current Illness: None

ID: 0962776
Sex: F
Age: 21
State: MN

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

Lab Data: None

Allergies: None

Symptoms: She broke out in hives on all over her body

Other Meds: None

Current Illness: None

ID: 0962777
Sex: M
Age: 52
State: PA

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

Lab Data:

Allergies: None

Symptoms: Severe chills, weakness, dizziness, inability to hold self up, extreme lethargy, loss of appetite. Have taken temp and BP and both are normal. Pushing fluids, and keeping warm.

Other Meds: Losartan, gabapentin, baclofin

Current Illness: Neuro myelitis optica spectrum disorder

ID: 0962778
Sex: F
Age: 36
State: MN

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

Lab Data:

Allergies: MRI contrast dye

Symptoms: AT 6:00am when getting ready for work had onset of a bloody nose, very lightheaded while in the shower, she saw stars, she sat down then when going to get out she fainted. When she was able she attempted to get up and started passing out. Went back to bed, sever bone aches, and feeling very cold, unable to warm up. Now she has had a onset of a headache remains at home in bed.

Other Meds: Duloxetine, Tamoxifen, and Vitamin D. Tylenol and Motrin

Current Illness: NO

ID: 0962779
Sex: F
Age: 82
State: KS

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

Lab Data:

Allergies:

Symptoms: Resident tested positive for COVID on 01/06/2021. Resident received out patient IV fluid bolus (D5NS 1 liter) on 01/15/2021..

Other Meds:

Current Illness:

ID: 0962780
Sex: F
Age: 36
State: IN

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

Lab Data: none N/A

Allergies: Catapress Vicodin Advair Singulair

Symptoms: Dose #1: Day 1 (after receiving)-fatigue, day 2 & day 3-headache and low grade nausea Dose #2: Day 1 & 2 (after receiving)-injected arm painful to movement.

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm