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: 0963444
Sex: F
Age: 38
State: TX

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

Lab Data: NA

Allergies: Unknown

Symptoms: Patient began to have tongue tingling and an elevated heart rate about 45 minutes after receiving the 1st dose of the Pfizer vaccine. She was given 50mg Benadryl IM. Her tongue tingling resolved after 30 minutes.

Other Meds: Unknown

Current Illness: Unknown

ID: 0963445
Sex: F
Age: 41
State: IL

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

Lab Data:

Allergies: Seafood

Symptoms: Broke out in a rash, burning sensation all over body, along with itching. Injection site swollen red and warm.

Other Meds: Bupropion SR 100mg , Vitamin D3 2000IU

Current Illness: None

ID: 0963446
Sex: F
Age: 35
State: CT

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

Lab Data:

Allergies: Dairy Latex Currently being texted for others

Symptoms: After my 15 min wait, I ate a yogurt and then my throat started feeling funny. A coworker told me I had hives. I couldn't swallow, couldn't feel my lips. I went back to where I received the vaccine and was given Benadryl. I waited 30 min and my throat closed again. I was given more Benadryl and I had to wait again. I eventually went home and slept the rest of the day. I woke up feeling like I was hit by a bus. I was sweating with chills for two days. I slowly got better. The muscle ache took longer to go away and I was eventually able to return to work on Monday. I was having problems with my throat. The allergy specialist had me doing breathing exercises and it eventually got better.

Other Meds: Allergy meds Multi-vitamins

Current Illness:

ID: 0963447
Sex: F
Age: 71
State: LA

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

Lab Data: LAB WORK ORDERED AND ECG 1/21/2021

Allergies:

Symptoms: COMPLAINT OF FEELING DIZZY, STOMACH UPSET ON 1/16/2021 SAW FAMILY DOCTOR ON 1/20/2021 HAD

Other Meds:

Current Illness:

ID: 0963448
Sex: F
Age: 38
State: MN

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

Lab Data: COVID PCR test 1/19/21- negative

Allergies: cats, dogs, seasonal

Symptoms: Burning pain in feet, discoloration of multiple toes

Other Meds: Topamax, modafinil 100mg (no longer on this), Medrol dosepak (4th day), melatonin, advil, vit C, omega 3, magnesium

Current Illness: low back pain, LE numbness/tingling/pain

ID: 0963449
Sex: F
Age: 27
State:

Vax Date: 01/11/2021
Onset Date: 01/15/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Augmentin

Symptoms: Swollen and sore axillary lymph nodes 5 days after vaccine. Lasted for about 1 week. Rash, redness, swelling, itchy at administration site. Started 7 days after vaccine, lasted 2-3 days. Sore arm first 2-3 days following vaccine.

Other Meds: Birth Control

Current Illness:

ID: 0963450
Sex: F
Age: 85
State: TX

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

Lab Data:

Allergies:

Symptoms: Patient developed facial flushing and hives during monitoring period. Patient was given 50mg Benedryl IM and patient and patient's O2 sats were monitored. Sats were maintained in normal range. Patient was monitored for an additional period of time until their symptoms subsided. Patient was with family who could continue monitoring them with the instructions to take them to an ED if symptoms recur.

Other Meds: Rizatriptan

Current Illness:

ID: 0963451
Sex: F
Age: 41
State: CA

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

Lab Data: None

Allergies: Food and medication sensitivities - too many to count. Sensitivities wax and wane.

Symptoms: Day 2 - January 14 - woke up with a headache at 9am. Headache went away by 11am but I felt a great deal of fatigue and just wanted to lay down the rest of the day. Jan 15- woke up and felt better. By noon I was feeling very fatigued again. Jan 16 - 20 - fatigued, weak, and brain fogged. Slept a lot. Jan 14-20 - had spotting which never happens. I was on day 10 of my cycle on Jan 14. Today is Jan 21 and I?m feeling better after taking a monolaurin supplement that treats chronic fatigue.

Other Meds: Vitamin D, Selenium, zinc

Current Illness: None. No illnesses for 14 months prior.

ID: 0963452
Sex: F
Age: 59
State: AZ

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

Lab Data:

Allergies: Penicillan

Symptoms: chills headache fever muscle soreness fatigue

Other Meds: HRT Vit D3

Current Illness:

ID: 0963453
Sex: F
Age: 29
State: VA

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 48 hours notices bumps in the rear of tongue, did not affect swallowing or breathing however, over time they did get larger. By 96 hours after vaccination, there was an uncomfortable feeling in my throat as I was breathing which lasted consistently for about 24 hours. Which in that time, I was able to get into contact with health care professionals (Dentist and Ear Nose Throat Dr. ) Who suggested Benadryl, contact PCP, and make sure to have EPI pen. After taking benadryl for 12 hours, it seemed to have gone down. 6 days after vaccine (day 5 was a holiday), I was able to have a TeleMed appointment with a PA, spoke with my PCP. Day 8 I was able to see my doctor who confirmed it was an allergic reaction and prescribed a steroid to help my throat/tongue to continue to go back.

Other Meds: None

Current Illness: 3 weeks prior sick for 3 days, non COVID related

ID: 0963454
Sex: F
Age: 24
State: CA

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

Lab Data: none

Allergies: Penicillin-HIVES Shellfish- Anaphylaxis, HIVES Cats- Anaphylaxis, HIVES Oats- Anaphylaxis, HIVES

Symptoms: Patient experience hives on face (1 on forehead, 2 beneath lower lip) approximately 1.5 hours after 1st dose administered of Pfizer COVID vaccine. Patient also reported headache, dizziness, and general malaise after injection. Patient took benadryl 25mg capsule that evening and again the next morning. Rash was much improved by 1/6/21 after 2nd dose of benadryl and was resolved by 1/7/21.

Other Meds: Norgestimate-eithinyl estradiol oral contraceptive 0.25mg/ 35mcg 1 tab po daily (FEMYNOR= trade name)

Current Illness: none

ID: 0963455
Sex: F
Age: 56
State:

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

Lab Data:

Allergies:

Symptoms: Extreme vertigo and dizziness

Other Meds:

Current Illness:

ID: 0963456
Sex: F
Age: 50
State: OK

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

Lab Data: no

Allergies: coconut, sulfasalazine, eggs, nuts, dairy, shellfish

Symptoms: Itching and throat felt tight and like was closing, blood pressure was about 186/70

Other Meds: no

Current Illness: no

ID: 0963457
Sex: M
Age: 74
State: AK

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

Lab Data:

Allergies:

Symptoms: Mild pain at the injection site

Other Meds:

Current Illness:

ID: 0963458
Sex: F
Age: 52
State: PA

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

Lab Data: Non

Allergies: Erythromycin

Symptoms: Flushing, hives, vomiting, diarrhea 4 hours after injection

Other Meds: Atenlol

Current Illness: No

ID: 0963459
Sex: F
Age: 52
State: WA

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

Lab Data: none

Allergies: none known

Symptoms: Pt woke up on day 2 following second vaccine dose and had itchy face, scalp, and swollen lower eyelids.

Other Meds: Patient had second COVID Vaccine on 1/11/2021 and on 1/12/2021 had expected side effects of body aches, fever, fatigue. then the next morning woke up and her face was itchy, scalp was itchy and her lower eyelids were swollen. she had mild s

Current Illness: none known

ID: 0963460
Sex: F
Age: 62
State: CA

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

Lab Data: none

Allergies: none

Symptoms: redness at injection site 9 days after vaccine

Other Meds: none

Current Illness: none

ID: 0963461
Sex: F
Age: 54
State: IN

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

Lab Data:

Allergies: none

Symptoms: chest tightness, chills, low grade fever, bodyaches

Other Meds: Losartan, Vit C, Multivitamin

Current Illness: none

ID: 0963462
Sex: F
Age: 28
State:

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

Lab Data:

Allergies: None

Symptoms: Localized erythema which started 9 days after vaccination, lasting one day

Other Meds: Cytomel Synthroid

Current Illness:

ID: 0963463
Sex: F
Age: 51
State: TX

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

Lab Data: NA

Allergies: Yes - sulfa, broad spectrum antibiotics.

Symptoms: 1) Immediate onset headache, reflux, nausea. Headache has persisted x 2 weeks. 2) Fatigue x 4 days 3) Dermal irritation (injection site) red softball by end of day x 2 days then small site redness for remaining 1.5 weeks. 4) Onset of welt like red areas beginning 1.5 weeks later. Has included a welt on each arm (2 cm diameter), hands (starting today and is 1cm).

Other Meds: Yes - for Asthma

Current Illness: No

ID: 0963464
Sex: M
Age: 50
State: KY

Vax Date: 12/27/2020
Onset Date: 12/28/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: EKG- Normal

Allergies: Hydrocodone

Symptoms: 130 Per min heart rate , was diagnosed with tachycardia Chills, headache, fatigue 103.1 Fever

Other Meds: None

Current Illness: NA

ID: 0963465
Sex: M
Age: 58
State: NC

Vax Date: 09/16/2020
Onset Date: 10/16/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: EXPERIENCING "PHANTOM SHINGLES IN SCALP AND CHEEK AREA; COMES AND GOES; NOTICED FIRST AROUND OCT 16, PUT OFF GETTING 2ND SHOT THEN RECEIVED 2ND ON 12/11/20. PRESCRIBED VALTREX ON 12/16/20. PRESCRIBED VALTREX AND GABAPENTIN ON 01/14/21. HE IS STILL EXPERIENCING TINGLE AND BUMPS THAT ARISE AND THEN DISAPPEAR IN ABOUT AN HOUR.

Other Meds:

Current Illness:

ID: 0963466
Sex: F
Age: 59
State: TX

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None. Dr called

Allergies: Penicillin Sulfa

Symptoms: 2 days after first vaccine I have large areas on my body that are red hives and intense itching. Areas on my trunk, abdomen and legs. Feeling fatigue

Other Meds: Estrogen gel Zoloft Loestran

Current Illness: No

ID: 0963467
Sex: F
Age: 62
State: NJ

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

Lab Data:

Allergies: NKDA

Symptoms: Redness, swelling, warmth of injection site approx 8cm x 4cm with itching and induration. Appeared about 1 week after injection of Dose 1.

Other Meds: Metformin HCl 1000 MG Tablet 1 tablet with a meal Orally Once a day, Notes: 1500. Lovaza 1 GM Capsule 2 capsules Orally Twice a day. Atorvastatin Calcium 10 MG Tablet 1 tablet Orally Once a day. Dexilant 60 MG Capsul

Current Illness:

ID: 0963468
Sex: F
Age: 28
State: PA

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

Lab Data: None

Allergies: None

Symptoms: I woke up with a temperature of 100.7 at about 7:30 a.m. I took two Tylenol, which brought my temperature to 99.0 around 9 a.m. At 1 p.m., my temperature was 101.3. I was experiencing aches, pains, and fatigue so I took a nap. At 2 p.m. my temperature was 102.1. I took two more Tylenol which reduced the temperature to 100.3 by about 4 p.m. I also have redness, swelling, and significant pain at the injection site. The hard, hot swelling is about 2 inches in length and 1 inch in width. I am now alternating Tylenol as needed for the fever with Ibuprofen for the inflammation. I also developed a dry cough over the course of the day. Have been advised to force fluids. It has been less than 24 hours since symptoms onset, so hopefully I will improve tomorrow.

Other Meds: None

Current Illness: I tested positive for COVID-19 on December 30, 2020 and was considered recovered (went more than 24 hours without a fever, without fever-reducing medication) on January 8, 2021/

ID: 0963469
Sex: F
Age: 25
State: NY

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

Lab Data: I went into urgent care (healthcare facility) where I was seen by healthcare provider and diagnosed with Bells Palsy.

Allergies: I have no known allergies to medications, food or other products.

Symptoms: I went into work on 01/11/2021, received my first dose of Pfizer I came home after and around the noon hours of 1-2 p.m started having metal like taste in my mouth On 1/12/2021 I started having an extreme ear pain around 4 p.m which progressed into 1/13/2021, furthering resulting in headache. On 1/14/2021 the ear pain continued with numbness and tingling on the left side of my face. I woke up on the morning of 1/15/2021 and the tingling sensations were very strong, the left side of my eye became very weak and I lost all control of the left side of my facial muscles. My left eye lid could not blink at a normal rate, my smile started to become slanted

Other Meds: The only supplement I was taking at the time of this vaccination and prior to are my Multi supplement vitamins.

Current Illness: I was not ill or any had other health issues at the time of the vaccination or one month prior to.

ID: 0963470
Sex: F
Age: 35
State: CA

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

Lab Data: none

Allergies: none

Symptoms: patient has 7.5 x 6 cm erythematous patch on mid-arm, area is blanchable, warm, below deltoid (in my opinion it is lower that an appropriate IM vaccination location, unknown if this was vaccination site or coincidence)

Other Meds: Viibyrd

Current Illness: none

ID: 0963471
Sex: F
Age: 70
State: CA

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

Lab Data: none

Allergies: none

Symptoms: Trouble sleeping, body aches, stomach upset, extreme fatigue. All symptoms cleared up by 1/21/2021.

Other Meds: Bisoprol, Atorvastatin, Spironolatone

Current Illness: none

ID: 0963472
Sex: F
Age: 48
State: TX

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

Lab Data: none so far. Just talked to doctor this afternoon via tele appt.

Allergies: Pollen, dust, mold

Symptoms: Rash appearing suddenly in large ring around injection site 14 days after injection. Raised edges, warm to touch but not itchy. Very slightly tender.

Other Meds: Levothyroxin Larin Rosuvastatin Ezetimibe Metformin Prozac Spironolactone Victoza

Current Illness:

ID: 0963473
Sex: M
Age: 39
State: DC

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

Lab Data:

Allergies: NKA

Symptoms: Fatigue - rest - ongoing Myalgias - APAP - ongoing Chills - ongoing but improving Headache - APAP - ongoing but improving ISR - pain - radiating from injection site down to forearm - ongoing but improving

Other Meds:

Current Illness: none

ID: 0963474
Sex: F
Age: 33
State: AZ

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

Lab Data: Negative Covid PCR on 1/19/21

Allergies: NKDA

Symptoms: duration started on 1/15/21- current symptoms include, swollen left eye, numbness to left arm, fatigue , loss of hearing, chills

Other Meds: cyclobenzaprine 10 mg tablet TAKE 1 TABLET BY MOUTH TWICE A DAY AS NEEDED FOR 15 DAYS dexAMETHasone 4 mg tablet Take 1 tablet twice a day by oral route for 7 days. lisinopriL 10 mg tablet Take 1 tablet every day by oral route ondanset

Current Illness: hypertensive disorder, migraine

ID: 0963475
Sex: F
Age: 23
State:

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

Lab Data:

Allergies: NKA

Symptoms: Pt reported numbness and tingling in left hand immediately after receiving vaccine.

Other Meds:

Current Illness:

ID: 0963476
Sex: F
Age: 41
State:

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

Lab Data:

Allergies:

Symptoms: pt c/o tightness feeling in throat. denies SOb. VS taken and stable, pt observed x 30 minutes. vs repeated WNL. Pt d/c home with return precautions. pt states understanding

Other Meds:

Current Illness:

ID: 0963477
Sex: F
Age: 34
State: MT

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

Lab Data:

Allergies:

Symptoms: Patient became flushed and developed tachycardia. She reported she felt like her lips were swelling but swelling was not observed by healthcare provider. Patient heart rate, blood pressure, and O2 saturation were monitored for 30 minutes. Patient felt ok after 30 minutes of observation and was released to go home.

Other Meds:

Current Illness:

ID: 0963478
Sex: F
Age: 48
State: NH

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

Lab Data:

Allergies: Na

Symptoms: Headache, fever, chills , body aches

Other Meds: Lexapro Lipitor Estroven

Current Illness: Na

ID: 0963479
Sex: F
Age: 55
State: NV

Vax Date: 01/07/2021
Onset Date: 01/13/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Injection 1/7/21. Night of 1/13/21 injection site became inflamed, entire upper arm was swollen, red, hot, painful and itchy. This reaction began to resolve in 2 days. Currently some redness, occasional itchiness.

Other Meds: Spironolactone, wellbutrin, cetirizine hydrochloride, premarin, multivitamin

Current Illness: None

ID: 0963480
Sex: M
Age: 57
State: IL

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

Lab Data: none

Allergies: sulfa,morphine

Symptoms: fever of 102, chills nausea, lack of appetite. fatigue .over 36 hours/ arm pain lasted for 4days/// fever of 100 at 4am then fever of 102.2 at 5am, took medicine but temperature was consistent. struggle to get out of bed, only for restroom- also I was covid positive on 12-8-20 . Was recovered for approximately 2 weeks before I received the vaccine. Was told I could and should receive the vaccine.

Other Meds: telmisartin 80mg, vitamin c 500mg, multi vitamin, vitamin d 2000mg

Current Illness: n/a

ID: 0963481
Sex: F
Age: 46
State: AZ

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

Lab Data:

Allergies: n/a

Symptoms: Dizziness, lightheaded, nausea, vomit, body ache, head ache, stomach ache, diarrhea

Other Meds: n/a

Current Illness: n/a

ID: 0963482
Sex: F
Age: 61
State: CA

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

Lab Data: BUN Creatine Kidney function tests before increasing my doses of meds

Allergies: Codeine; latex

Symptoms: High Blood Pressure - 211/101 (initial reading) - stayed high for five or six days. Headache because your blood pressure was so high. Dr visit (Telemed) and they increased the dosage one of my medications - the Quantitine (from 0.1 mg pill to one and half pills now and the Hydrochlorizide (to twice a day), That resolved it.

Other Meds: BP med: Locartin 100 mg - 1/day; Hydroclophicide - 25 mg a day; Quantitine 0.1 mg - take one a day; Lipivide 10 mg 2 x/day; Metformin - 500 mg - 2x/day; Tramadol for pain - 50 mg 3 x/day (every 8 hrs). Multi Vitamins; calcium and Vit D

Current Illness: none

ID: 0963483
Sex: F
Age: 50
State: PA

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

Lab Data: None

Allergies: NKA

Symptoms: Hive like area at injection site, 3inx2.5in in size, reddened and itchy, slightly raised appearing 9 days after receiving the vaccination, still present on 1/21/21, but less itchy

Other Meds: Calan SR 120mg po qd, multivitamin with iron, vitaminC, biotin

Current Illness: None

ID: 0963484
Sex: F
Age: 76
State: CA

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

Lab Data: None

Allergies: Penicillin, sulfa drugs, tenuate, seconal, esidrix, naprosine, temazed, bee and insect stings, adhesive tape (all types of tapes even hypo allergic tape)

Symptoms: Vaccine given at 2:12 pm on R deltoid. 2:40 PM patient c/o small bumps and redness on forearm. No reaction at injection site. 2:45 PM ice pack placed on R forearm 2:54 PM HR 105, O2 95% rash size has not changed. 2:57 PM HR 98, O2 98% Pt calm, able to communicate, denies shortness of breath, Rash is the same size no noted changes 3:00 PM Pt sent home. Recommended to seek medical attention if here is difficulty breathing or any emergency.

Other Meds: Insulin Humalog Mix 75/25 30 units twice a day, Insulin (pure) per sliding scale, amtriptine Hcl 10 mg 2 at bed time, levothyroxine 100 mcg one daily, buspar 15 mg once daily, paroxetine hcl 30 mg once daily, metformin hcl 500 mg twice dail

Current Illness: Left eye is hard to keep open with lots of exude.

ID: 0963485
Sex: M
Age: 53
State: NY

Vax Date: 01/17/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: I have not yet spoken to my doctor or any doctor about this. At first, seeing as how my right ankle was very itchy before I received the vaccine and dry skin on my hands and groin, I assumed it was dry skin. After researching that body itching is a possible reaction to the vaccine, I am completing this form.

Allergies: Except for mold, dust and grasses I get a tickling of the tongue and roof of mouth from Honey Dew melon. I am not aware of any other allergies.

Symptoms: Before receiving the vaccine, I woke up with a very itchy right ankle. The morning after receiving the vaccine, my groin, legs, ankles, hips, and left forearm were each itchy at different times of the day. It was not always continuous. As of Wednesday , 1/20/21, three days after receiving the vaccine, I noticed small bumps on both ankles, palms of both hands, and left forearm.

Other Meds: Pantoprazole Sod Dr Tabs 40mg (1x) Vitamin D-3 GNC Tablet 50mcg (1x) Carvedilol Tabs 25mg (2x), Allegra Non-Drowsy 24hr Tablet 180 mg (1x) Fenofibrate T

Current Illness: A possible slight bout of diverticulitis

ID: 0963486
Sex: M
Age: 28
State: CA

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

Lab Data:

Allergies: grass, dust

Symptoms: Developed Rash on bilat arms, small red scattered bumps. No difficulty breathing, or other symptoms. VSS BP 126/88 HR93 (states he always has an elevated HR) O2 sat 100% at 15:05pm. rapid response team called - assess pt - pt declined to go to ER, waited additional 20 minutes. VS at 1530 122/77 HR 91 O2 sat 100%

Other Meds: Adderrall

Current Illness:

ID: 0963487
Sex: F
Age: 73
State: NJ

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

Lab Data: none...I was checked by two pharmacists who decided not to give me Benedryl but along with a social worker watched me for an hour. I drank water. The effects went away before an hour. Later in the day I had chllls and a slight headache.

Allergies: MOBIC, strawberries, flake coconut

Symptoms: weakness, a rush (like adrenalin or B-12 shot effect), rash on forehead, 3 hives on right cheek, two on right chin, slight breathing issue, slight numbness on sides of tongue and between bottom of nose and top of lips,

Other Meds: OTC Suphedrine PE Phenylephrine HCI 10mg Non-drowsy (Equate- Walmart brand)

Current Illness: tooth extraction January 8, 2021

ID: 0963488
Sex: F
Age: 35
State: CA

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

Lab Data:

Allergies: Dairy Latex

Symptoms: They were aware about what happened previously, so I had to wait longer. I started getting cotton mouth, so they gave me water. I had a bad rush where I felt like I was about to throw up, I had a migraine and very flush. I started vomiting. My arms started to hurt. I got hives again and they gave me two more Benadryl. They monitored me for another 30 minutes. They said I got super pale. They tried to give me ginger ale and crackers, but my stomach wouldn't allow it. They monitored me for a while longer and I felt better. I went home and woke up the next morning feeling terrible. Vomiting, swelling, muscle aches. I was in bed the whole time and I missed 4 days of work. I went back Tues 19th.

Other Meds: Allegra Prednisone - 16mg 13 hours, 7 hours and 1 hour prior to vaccine Allergy vaccine

Current Illness:

ID: 0963489
Sex: F
Age: 43
State: FL

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

Lab Data:

Allergies: None

Symptoms: Fever 103 F, chills, muscle and joint aches, fatigue, hallucinations

Other Meds: Iron, calcium, magnesium, multi vitamin

Current Illness: None

ID: 0963490
Sex: F
Age: 62
State: IN

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

Lab Data:

Allergies: None

Symptoms: Chills. Bodyaches

Other Meds: Lorsartan, vitamin C, vitamin D3,

Current Illness: None

ID: 0963491
Sex: F
Age: 28
State: MI

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

Lab Data:

Allergies: poison ivy, nickle

Symptoms: woke up from a deep sleep with sever lower abdominal pain, pressure and cramping feel. This migrated from middle lower to site of my appendix(rt lower). any movement made it worse. It lessened with tylenol and naproxen. I went to work, then it came back, but not as bad. Associated with fever and nausea.

Other Meds: tylenol, naproxen, 5HTP, claritin, multivitamin

Current Illness: none

ID: 0963492
Sex: F
Age: 55
State: MD

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

Lab Data:

Allergies: Nsaids

Symptoms: Woke up at 3am with horrible headache- vomiting and chills. Headache was so bad that regular migraine medicine didn?t help. Had to call neurologist for pain medication. Felt sick for 3 days. 8-9 days after vaccine arm became very sore and developed a large red welt at injection site . Pain radiating to finger randomly . Redness is slowly fading but still have a faint mark

Other Meds: Synthroid Propranolol Zyrtec

Current Illness:

ID: 0963493
Sex: F
Age: 25
State: MO

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

Lab Data: CT head without IV contrast Labs

Allergies:

Symptoms: 1 1/2 hours after receiving COVID-19 booster vaccination developed a non-progressive, constant throbbing headache [moderate to severe intensity] and associated with nausea, emesis[x1], photophobia, rotational vertigo, generalized malaise, fever 102.1 and lumbar bilateral pain. Came to the ED and was admitted to the hospital 1/20/21 for pain control.

Other Meds: Tylenol; Advil; Wellbutrin XL; Maxalt; Cholecalciferol; Vitamin D2; Zolpidem

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm