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: 0963494
Sex: F
Age: 36
State: AZ

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

Lab Data:

Allergies: None

Symptoms: 8:45 am had this weird taste in mouth 3:00 Pm pain on site of injection

Other Meds: Biotin Nikki Probiotic

Current Illness: None

ID: 0963495
Sex: F
Age: 37
State: GA

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Rash, itchy, swelling, hot and red. Has increased in size everyday.

Other Meds: Escotalopram

Current Illness: None

ID: 0963496
Sex: F
Age: 54
State: IN

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

Lab Data:

Allergies: None

Symptoms: Severe chills and body aches. Unsure is fever present. Severe chills lasted for 4 hours followed by body/muscle aches and fatigue for 24 hours.

Other Meds: None

Current Illness: None

ID: 0963497
Sex: F
Age: 62
State: CA

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

Lab Data: none

Allergies: YES, FOOD

Symptoms: 2 hours after receiving the COVID vaccine, I experienced the following: light headedness, dizziness, severe headache, rapid heart rate, high blood pressure, tightness in chest and fatigue

Other Meds: HCTZ/LISINOPRIL, SYNTHROID

Current Illness:

ID: 0963498
Sex: M
Age: 36
State: NC

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

Lab Data: None

Allergies: None

Symptoms: Swelling of underarm lymph nodes of left arm. First noticed tenderness under arm on post vaccination day 1. Swelling noticeable on day 2 (Friday 1/15/21). Swelling still present as of 1/21/21, though reduced and no longer tender.

Other Meds: Atorvastatin, famotidine, fexofenadinr

Current Illness: None

ID: 0963499
Sex: F
Age: 68
State: NJ

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

Lab Data:

Allergies:

Symptoms: Exhausted Light headed

Other Meds: Cardura Lozartin Eliquis Cardizem Wellbutrin Baby Aspirin Biotin Folic Acid Multi-vitamin Calcium/Magneseum

Current Illness:

ID: 0963500
Sex: F
Age: 38
State: KY

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

Lab Data:

Allergies: None

Symptoms: Sore arm

Other Meds: Vitamins

Current Illness: None

ID: 0963501
Sex: F
Age: 60
State: MI

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

Lab Data: n/a

Allergies: Mixed nuts

Symptoms: Heart palpatations, fatigue, light hededness

Other Meds: Low dose Lisinopril 5 mg daily for mild HTN

Current Illness: None

ID: 0963502
Sex: F
Age: 75
State: GA

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

Lab Data: none

Allergies: hayfever

Symptoms: The morning after receiving the vaccine, I woke up very dizzy. During the entire weekend, I was very dizzy. Bending over or reaching down, turning my head quickly, and often walking, I experienced dizziness. In lying down in the evenings (next five evenings) I was especially dizzy- it felt as if the room were spinning.

Other Meds: LOSARTAN POTASSIUM 50 MG; ATORVASTATIN 10 MG; multivitamin; zinc, magnesium, calcium w/ vitamin D3, magnesium, glucosamine chondroitin

Current Illness: none

ID: 0963503
Sex: M
Age: 82
State: WV

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

Lab Data: unknown

Allergies:

Symptoms: Within 15 minutes the patient was complaining of chest pain and shortness of breath. Epipen and Benadryl was administered and vitals checked every 15 minutes by facility's staff

Other Meds:

Current Illness:

ID: 0963504
Sex: F
Age: 90
State: AL

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

Lab Data: 1st BP 205/107 HR 70 and regular 2nd BP 190-95

Allergies:

Symptoms: Ringing in ears and pain in both sides of neck. Pt alert, oriented, ambulatory, no weakness, no slurred speech

Other Meds:

Current Illness:

ID: 0963505
Sex: F
Age: 28
State: NC

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

Lab Data:

Allergies: Cefzil

Symptoms: Muscle aches, and pains in arms, neck, lower back, and calves

Other Meds: Wellbutrin, 150mg/day Xyzal, 10mg/day Ibuprofen, 400-600mg as needed for pain

Current Illness: Seasonal allergies

ID: 0963506
Sex: F
Age: 39
State: WI

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

Lab Data:

Allergies: Penicillin, amoxicillin, keflex, sulfa

Symptoms: I had burning at the injection site immediately after receiving the vaccine. As I was leaving after 15 minutes I mentioned it to the person checking me out. At this time we noticed redness and hives starting at the injection site. I was told to sit for another 15 minutes but as soon as I sat down again the hives spread rapidly and I began to have dizziness and confusion. At this point I was taken to the ER and on the way I started having nausea and my throat started burning and felt tight. In the ER I was given IV Benadryl, Pepcid, and solumedrol and IM epinephrine. Since discharge I had one instance of hive and facial swelling and continued to take Benadryl for two days. I am now having episodes of shortness of breath and tachycardia.

Other Meds: Bupropion, oxybutynin, lisinopril/hctz

Current Illness:

ID: 0963507
Sex: F
Age: 65
State: FL

Vax Date: 01/13/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: ampicillin

Symptoms: Six days after receiving the vaccine, on 01/19/2021, I got a red itchy rash below the injection site which was about 2 1/2 - 3 inches in diameter.

Other Meds: Calcium, Omega3, B-12, Milk Thistle, Tumeric

Current Illness: none

ID: 0963508
Sex: F
Age: 55
State: SC

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

Lab Data: None

Allergies: Penicillin and Erythromycin

Symptoms: Red warm rash around injection site approximately 1 week after injection. Rash has spread around injection site and to lower upper arm just above elbow during the second week after vaccination

Other Meds: Multi vitamin, calcium

Current Illness: No

ID: 0963509
Sex: F
Age: 41
State: CA

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

Lab Data: none

Allergies: Compazine, Crab

Symptoms: After receiving my first dose of the moderna vaccine I felt my heart begin to flutter for several minutes. I lost feeling on the left side of my face and my tongue became numb. The symptoms remained for well over five hours until I took two Benadryl. Then the symptoms subsided. I have had a terrible reaction to the drug Compazine in the past which resulted in loss of motor control in my face. While I never lost control of my motor functioning after receiving the vaccine, the loss of feeling in my face was similar to my past reaction to Compazine.

Other Meds: none

Current Illness: none

ID: 0963510
Sex: M
Age: 37
State: NM

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

Lab Data: CBC WBC: 3.2 x10E3/uL Low (01/12/21) HGB: 6.7 g/dL Critical (01/12/21) HCT: 20 % Low (01/12/21) Platelet Count: 188 x10E3/uL (01/12/21) Chem7 NA: 141 mmol/L (01/11/21) K: 3.9 mmol/L (01/11/21) CL: 107 mmol/L (01/11/21) CO2: 27 mmol/L (01/11/21) BUN: 15 mg/dL (01/11/21) CR: 0.6 mg/dL Low (01/11/21) GLU: 95 mg/dL (01/11/21) LFT T Protein: 7.6 g/dL (01/12/21) ALB: 3.9 g/dL (01/12/21) Globulin: 3.4 g/dL (01/11/21) AST (SGOT): 25 Unit/L (01/12/21) ALT (SGPT): 28 Unit/L (01/12/21) ALK Phos: 54 Unit/L (01/12/21) T Bilirubin: 2.1 mg/dL High (01/12/21) D Bilirubin: 0.4 mg/dL (01/12/21) I Bilirubin: 1.7 mg/dL High (01/12/21)

Allergies: adhesive bandages, no drug allergies

Symptoms: Patient received COVID vaccine on 1/6/2021. He felt pale and tachycardic the next day but didn't notify us. He had follow-up on 1/12/2021 at the cancer center. The labs were consistent with acute hemolytic anemia, and patient is closely followed by hematology. He is on immunotherapy for cancer treatment, but there is concern for COVID vaccine contributing the hemolytic anemia.

Other Meds: Patient is receiving Keytruda (12/1 and 12/22) which can cause hemolytic anemia. Patient received first COVID vaccine 12/18. Labs were stable on 12/22. No other medications

Current Illness:

ID: 0963511
Sex: F
Age: 40
State: NY

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

Lab Data: None

Allergies: Erythromycin

Symptoms: Moderna COVID?19 Vaccine EUA

Other Meds: Vital Protein Collagen, Whey Isolate,

Current Illness: None

ID: 0963512
Sex: F
Age: 53
State: CA

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

Lab Data:

Allergies:

Symptoms: Employee very lethargic almost unable to get out of bed, febrile 103.8, nausea with vomiting, extreme body aches, arm red, warm to the touch and swelling.

Other Meds:

Current Illness:

ID: 0963513
Sex: F
Age: 51
State: NY

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

Lab Data: None

Allergies: None

Symptoms: Beginning on the 8th day after the vaccine, the injection site became red, swollen, itchy and warm. The redness and swelling became worse on the 9th day. During the 10th day after vaccination the area was more red but had less swelling and was less itchy. By the 11th day the selling was gone, was mildly itchy and slightly red. All symptoms were gone on the 12th day.

Other Meds: Synthroid Benicar Amlodipine Celexa Vitamin D Vitamin B12 Iron Vitamin C

Current Illness: None

ID: 0963514
Sex: F
Age: 77
State: OK

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

Lab Data:

Allergies:

Symptoms: Pt seen at COVID vaccination event at her adult health care facility. 17 min post vaccination pt complained of itchy throat, "funny feeling" and "just feel off." Pt evaluated by RN and no s/s of anaphylaxis including no respiratory distress, low 02, no evidence of uticaria or angioedema. 21 min post vaccination pt given 12.5 mg diphenhydramine IM in different limb from vaccination. RN continued to monitor and no changes in symptoms and no deterioration in symptoms or vitals. 34 min post vaccination another 12.mg diphenhydramine IM administered in different limb from vaccination and continued monitoring by RN with no changes in vitals and no s/s of anaphylaxis. At 11 am pt reported "feeling fine" with no distress. Pt discharged from RN supervision with complaints resolved.

Other Meds:

Current Illness:

ID: 0963515
Sex: F
Age: 21
State: OR

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

Lab Data:

Allergies: Amoxicillin (rash), Wellbutrin (rash)

Symptoms: One week after receiving injection patient developed an erythematous pruritis area on the arm measuring 7 x 9 cm and swelling and pain extending into the left SCM muscle.

Other Meds:

Current Illness: None

ID: 0963516
Sex: F
Age: 79
State: NY

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

Lab Data: none

Allergies: Injectible blue dye for tracking.

Symptoms: Red itchy rash on abdomen, chest, neck and arms appeared 3 days after shot. Took 25 mg Diphenhydramine hydrochlo capsule.

Other Meds: Metformin 1000mg 2x per day Enalapril 10mg 2x per day Atorvastatin 40mg Glimepiride 1mg Vitamin B-12 1000mcg

Current Illness: Diabetes type 2 Invasive Breast Cancer

ID: 0963517
Sex: F
Age: 39
State: IN

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

Lab Data: PO Benadryl

Allergies: Toradol, Flagyl, Tylenol, Avolox, Adhesives

Symptoms: 4 minutes post vaccine pt began to have tingling of face, tongue and throat pt states that she also felt that her throat was starting to close and felt mild SOB

Other Meds: Trazodone, Atenolol, Lisinopril

Current Illness: Covid infection one month ago

ID: 0963518
Sex: F
Age: 45
State: MO

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

Lab Data: Covid swab negative

Allergies: Sulfa

Symptoms: Cough, asthma, headache, fatigue, fevers, muscle and joint pain, nausea, chills, swollen lymph node

Other Meds: Gabapentin Bc pills Cymbalta Claritin

Current Illness: None

ID: 0963519
Sex: F
Age: 27
State: DE

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

Lab Data: None

Allergies: None

Symptoms: Bottom lip swelling with right side tongue swelling and burning Lip swelling and tongue resolved by the time of awakening next morning but left slight numbness with burning at site of lip swelling as if I had novacain from dentist.

Other Meds: None

Current Illness: None

ID: 0963520
Sex: F
Age: 69
State: AR

Vax Date: 09/18/2020
Onset Date: 09/20/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: Unknown

Allergies: NA

Symptoms: Shoulder pain and diagnosed with frozen shoulder. Patient is also experiencing insomnia due to the pain.

Other Meds: NA

Current Illness: General Depression

ID: 0963521
Sex: M
Age: 41
State: AZ

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

Lab Data: None

Allergies: Ibuprofen - Dizziness Cetirizine - Diarrhea Benadryl - unknown reaction

Symptoms: Patient developed shortness of breath approximately 10 minutes after vaccine administration. Patient received a dose of 0.3mL epinephrine IM 2 minutes later and was transported to the ED. VS in the ED were normal. Patient did not develop any other signs or symptoms of anaphylaxis. He was monitored for 1hr and discharged from the ED.

Other Meds: Lisinopril 10mg QD

Current Illness: None

ID: 0963522
Sex: F
Age: 54
State: CA

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

Lab Data:

Allergies:

Symptoms: Felt dizzy 1 minute later after vaccine; received water, juice. BP - 140/59.

Other Meds:

Current Illness:

ID: 0963523
Sex: F
Age: 50
State: CA

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

Lab Data: none

Allergies: Sulfa and Amoxycillin

Symptoms: Had shoulder soreness and redness for 2 days following vaccine and then no symptoms until day 8 when injection site became red and swollen , hot and itchy.

Other Meds: vitamin C, D, Zinc, probiotics. Vitex berry, Basis

Current Illness: none

ID: 0963524
Sex: F
Age: 30
State: FL

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

Lab Data:

Allergies: None

Symptoms: Fever 2 days Fatigue 2 days Shivering 2 days Back pain 2 days Headache 2 days

Other Meds: Plaquenil Folic acid

Current Illness: SLE

ID: 0963525
Sex: F
Age: 46
State: PA

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

Lab Data:

Allergies: None

Symptoms: Raised red welt like rash in location of injection. Slightly itchy

Other Meds: Lisinopril, hydrochlorothiazide

Current Illness: None

ID: 0963526
Sex: M
Age: 65
State: AK

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

Lab Data:

Allergies:

Symptoms: pain at injection site

Other Meds:

Current Illness:

ID: 0963527
Sex: M
Age: 62
State: IL

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

Lab Data:

Allergies: None

Symptoms: Shot taken on a tuesday 12:45 Pm. starting around 6 mild pain to injection area, Mild nausea, fatigue, dizziness. Disturbed sleep. Joint pain overnight. Took advil during the night and helped immensely. Following day mild dizziness and fatigue, just feeling slightly unwell. Slept 9 hours that night where normally sleep 6-7. Thursday morning back to 85% and by end of day back to normal.

Other Meds: Hydrochlorothiazide

Current Illness: None

ID: 0963528
Sex: F
Age: 51
State: SC

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

Lab Data: None

Allergies: None

Symptoms: I tested positive for COVID-19 on 3/23/2020, I was tested every two months and still had antibodies in my blood . Last blood test 1/4/2021 tested positive for antibodies. Dose received 12:00pm 1/6, I was asymptotic until 9:00am 1/7 I started with muscle aches and felt chills and flushed. Fever presented around 11:00am 100.8. Went to bed at 1:30pm woke up at 6:00am next morning feeling 100% no fever. On 1/9 at 10:00am presented its diarrhea for about an hour. Then I was totally fine. I will complete my second dose 2/3 and will continue to monitor my status.

Other Meds: Vitamin B, stool softener, centrizine.

Current Illness: None

ID: 0963529
Sex: F
Age: 70
State: CA

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

Lab Data:

Allergies:

Symptoms: Swelling face, itchy, slightly closed feeling in throat. Benadryl 50 mg given, went to ED.

Other Meds:

Current Illness:

ID: 0963530
Sex: F
Age: 28
State: CA

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

Lab Data:

Allergies: NKDA

Symptoms: rash left arm after injection with body aches and chills several hours after which lasted for several days. no neck swelling, dysphagia or wheezing.

Other Meds:

Current Illness:

ID: 0963531
Sex: F
Age: 43
State: CO

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

Lab Data: None

Allergies: Latex, amoxicillin, PPD serum

Symptoms: Hives on arms across shoulders and on neck within 30min of injection. No difficulty breathing or swallowing. 50mg Benadryl taken, hives resolved, itching continued at injection site next day, no returning of hives noted

Other Meds: Vitamin D - 4000IU qd; Calcium - 1200mg qd; multivitamin - 1 qd; fish oil - 1200mg qd; Norethindrone -5mg qd; Atorvastatin - 5mg qd

Current Illness: None

ID: 0963532
Sex: F
Age:
State: TN

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

Lab Data: No

Allergies: Pcn

Symptoms: Began 1/19/21. Headache nausea chills fever joint pain

Other Meds: Metformin,vitamin c,lisinopril,pantoprozole

Current Illness: None

ID: 0963533
Sex: F
Age: 25
State: TN

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

Lab Data:

Allergies: Coconut

Symptoms: Fever, fatigue, passed out, vomiting, headache, nausea, abdominal pain, joint pain, dizziness, pain, dehydration

Other Meds: Venlafaxine

Current Illness: N/a

ID: 0963534
Sex: F
Age: 31
State: ND

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

Lab Data:

Allergies: No allergies

Symptoms: Widespread myalgia starting upon waking up the next morning. After waking up the following morning, the pain was gone.

Other Meds: NuvaRing & Zyrtec

Current Illness: No illnesses

ID: 0963535
Sex: M
Age: 52
State: CA

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

Lab Data: n/a

Allergies: nkda

Symptoms: weakness, headache , extreme tenderness , malaise

Other Meds: zestoretic 20/25, omeprazole 20 mg , MVI

Current Illness: HTN, gerd

ID: 0963536
Sex: F
Age: 26
State: WV

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

Lab Data:

Allergies: Bananas, Honey, tree nuts, shell fish, peanuts, contrast MRI and CT scan dye.

Symptoms: Very hot to touch injection site exactly one month after injection. Caused me to leave work due to hot flashes, chills, dry sweats, tenderness, major swelling and very red and swollen arm.

Other Meds: None

Current Illness: Chiari Malformation type 1 Hydrocephalus Kyphosis

ID: 0963537
Sex: F
Age: 34
State: LA

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

Lab Data:

Allergies: Allergic to sulfa drugs

Symptoms: Itching and swelling at injection site.

Other Meds: Tri-Lo Sprintec, One-A-Day Women?s Formula, Fish Oil supplements, Glucosamine HCl Chondroitin/MAM Complex supplements

Current Illness:

ID: 0963538
Sex: F
Age: 74
State: AZ

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

Lab Data: BMP/CBC - WNL Blood glucose - normal

Allergies: None

Symptoms: Patient had a syncopal episode immediately after injection of the vaccine. Patient had brief LOC in her vehicle. Had a strong pulse and normal respirations. She opened her eyes and could follow commands approximately 2minutes later but had persistent altered mental status for 15-30min afterward. She was transported to the Emergency Department where she was monitored for approximately 1hr. Vital signs were notable only for baseline hypertension but otherwise normal pulse and oxygenation. She was back to baseline within about 30minutes and discharged from the ED after about 1hr.

Other Meds: None

Current Illness: Hospitalized for COVID-19 pneumonia 12/18/20 - 12/22/20

ID: 0963539
Sex: F
Age: 55
State: PA

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

Lab Data: none

Allergies: none

Symptoms: Red rash on chest and back

Other Meds: levothyroxine, vitamin D, budesonide

Current Illness: none

ID: 0963540
Sex: F
Age: 34
State: AZ

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

Lab Data:

Allergies: None

Symptoms: Extreme nausea, headache, swollen arm, dizzyness

Other Meds: Buspirone, Duloxetine, Hydroxyzine, Vitamin C, Biotin

Current Illness: None

ID: 0963541
Sex: F
Age: 49
State: CA

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

Lab Data:

Allergies:

Symptoms: A case of SIRVA. While it could happen to anyone, as it unfolds it seems to be at least in part related to positioning because she was in a car. Patient describes having to hold her arm up and out to almost 90 degrees because it was through the car window. 10/2/2020 right arm shoulder pain and redness 12/01 MRI is consistent with instrumentation injury involving the deltoid muscle and moderate rotator cuff tendinopathy

Other Meds:

Current Illness:

ID: 0963542
Sex: M
Age: 66
State: OR

Vax Date: 01/13/2021
Onset Date: 01/16/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Sudafed

Symptoms: Patient received vaccine on 1/13 (unknown facility) and began developing rash, swelling of eyes, and itching 3 days later (1/16). Patient went to Emergency Room on 1/17 for treatment - - received injection of Decadron and was instructed to use Benadryl. Per documentation the rash had improved the next day, but then worsened and he returned to ER on 1/19 - - he was directed to increase his loratadine dose and was started on hydroxyzine and a course of prednisone. He was seen in our office today (1/21) as rash continues - - hydroxyzine increased, directed to not taper down prednisone, and a consult to dermatology was arranged.

Other Meds:

Current Illness: N/A

ID: 0963543
Sex: F
Age: 73
State: CA

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

Lab Data:

Allergies: None

Symptoms: started severe nausea, 15 minutes, ice cold, shaking, chills, lasted 30 minutes, felt Shortness of breath, arm pain, tachycardia, 1 hour total before felt better. Overnight had night sweats, fever, fatigued, no wheezing, no meds taken by the morning felt back to normal.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm