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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 0963544
Sex: M
Age: 76
State:

Vax Date: 01/20/2021
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: 0963545
Sex: F
Age: 27
State: WA

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

Lab Data: None

Allergies: Cephalexin, penicillin, amoxicillin, lavender

Symptoms: I was asymptomatic for about 6.5 hours after the vaccine was given. At about 6pm on the day I received the vaccine I noticed some injection site tenderness, minimal swelling; has been present since. Symptoms are very mild. I started having chills and hot flashes intermittently, more hot flashes than chills, have been present since 6pm yesterday. About 9pm I had a headache, muscle aches, joint pain as well. I felt feverish but temperature was 98.6F. I also noticed some axial lymph node swelling as well on the Left side where I received the vaccine. Tender to touch, not too painful though. Since received the vaccine I have had intermittent dizzy spells as well all throughout the day. I decided to go to sleep at 10:30pm and all night I tossed and turned with a headache and hot flashes. I woke up at 7:30am and was so stiff I could barely get out of bed. I called into work as I could not stand up without have dizziness. All day so far I have had dizziness upon standing, headache, myalgia, arthralgias, hot flashes/felt feverish, swollen axial lymph nodes and all I have wanted to do today is sleep. I took a nap and when I woke up I had been sleeping for 6 hours. I finally was able to get up and drink a 32ounce cup of water and take some ibuprofen. Ate some cereal. I still have a headache and dizziness upon standing that limit my ability to do normal daily functions.

Other Meds: None

Current Illness: None, have been very healthy

ID: 0963546
Sex: F
Age: 42
State: KY

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

Lab Data:

Allergies: Erythromycin

Symptoms: On day 7 post vaccine arm became red, itchy, swollen, hot to touch, and painful at injection site and left su clavicular lymph node enlarged. Symptoms still present on day 8

Other Meds: Flo vitamins, midol

Current Illness: None

ID: 0963547
Sex: F
Age: 63
State: OR

Vax Date: 01/07/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Itchy, warm, swollen, hot, mildly tender, mild headache,

Other Meds:

Current Illness:

ID: 0963548
Sex: F
Age: 39
State: TN

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

Lab Data: None

Allergies: Penicillin

Symptoms: Flushing and hives, anxious, tingling in extremities, 100 mg of diphenhydramine given in muscle, vs taken, ekg done by ems

Other Meds: Levothyroxine

Current Illness: None

ID: 0963549
Sex: F
Age: 48
State: MO

Vax Date: 12/24/2020
Onset Date: 12/25/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: Sulfa based medications

Symptoms: Lt arm pain, redness and swelling Nausea Headache Metallic taste in mouth Last x 3 days Treated with Ibuprofen

Other Meds: Qsymia, Prilosec, Omega 3, Women?s Multivitamin

Current Illness: None

ID: 0963550
Sex: F
Age: 27
State: PA

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

Lab Data: 11:46am BP 136/92mmhg auto cuff 12:05pm BP 146/100mmhg manu cuff by nurse Temperature from 11:05am to 11:57am remained steady around 99 degrees Fahrenheit

Allergies: None reported

Symptoms: At 11:55am pt reported left arm swelling and 25mg of oral diphenhydramine was given to patient (30 minutes after injection). Patient was monitored by staff from thereafter. At 11:52am a second dose of 25mg diphenhydramine was given to patient due to possibly lip swelling reported by nurse. Patient denied shortness of breath or chest pain. By 12:12pm marked lip and face swelling reported by nurse monitoring patient. Again patient denied shortness of breath/wheeze/chest pain. However, we advised patient that lip/face swelling is considered anaphylaxis and because symptoms were progressing and not mitigated by diphenhydramine epinephrine would be advised. Epinephrine 0.3mg via auto injector pen was administered to patient on left outer thigh and 911 was called. EMS arrived at 12:22pm and took patient to local emergency department.

Other Meds: none reported

Current Illness: None reported

ID: 0963551
Sex: F
Age: 36
State: FL

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

Lab Data:

Allergies: NKDA

Symptoms: Hard lump at injection site noted 1 week post-injection. Warm, red, slightly itchy/irritating. Traced with pen and checked again 24 hours later for changes in size or shape and redness has grown outside of the traced area

Other Meds: Spironolactone Phentermine

Current Illness: Occasional headaches

ID: 0963552
Sex: F
Age: 53
State: NJ

Vax Date: 01/12/2021
Onset Date: 01/15/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Flesh Melon

Symptoms: Moderna COVID?19 Vaccine EUA Red, warm, and swollen at the injection site as of 1/21. I suffer from chronic migraine that was in a dormant state for a few months. The Friday after the vaccine my chronic migraine has returned.

Other Meds: Vitamin B2, Vitamin D, Magnesium, Multivitamin, B complex, Zinc, Welbutrin, Duexis

Current Illness: No

ID: 0963553
Sex: F
Age: 53
State: IA

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

Lab Data:

Allergies:

Symptoms: I just noticed what I thought were hives. They prescribed Predinsone 20mg oral, but I did not continue to take due to effects. The other cream was a Tryiamcinolone acetonide 0.1% steroid cream. They were on my forearms, right and left. They were initially pea sized to a 50-cent piece. They now look like red scars on my arms. No raise and no dryness, just blotches. They are now on my legs. The ones on my legs are itchy. They all started out raised and dried out.

Other Meds: Metoprolol Succinate 100mg ER 1x a day Prilosec 20mg 1x a day Effexor 75mg ER 1x a day Acidophilus 1B cells (Over the counter probiotic daily)

Current Illness:

ID: 0963554
Sex: F
Age: 25
State: AZ

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

Lab Data:

Allergies: Penicillin, Lidocaine

Symptoms: nausea, vomiting, diarrhea, palpitations and SOB. 911 was called to facility per doctors request patient transported to Hospital.

Other Meds: Levothyroxine

Current Illness: NK

ID: 0963555
Sex: F
Age: 26
State:

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

Lab Data:

Allergies: Penicillin allergy

Symptoms: Significant insomnia overnight, some coughing overnight, shortness of breath/tightness in chest the following day

Other Meds: Levothyroxine, birth control

Current Illness: None

ID: 0963556
Sex: F
Age: 63
State: IA

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

Lab Data:

Allergies: penicillin, demeral

Symptoms: fever for 5 days 99.5 - 101.9, nausua, headache,feeling week tingling in legs

Other Meds: tylenol, DiltiazemER 240cp24, vitamin D 5000iu

Current Illness: Sinus infection- Dec 2020

ID: 0963557
Sex: F
Age: 55
State: CA

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

Lab Data: None

Allergies: Cypro Neomycin & Polymyxin Sulfate

Symptoms: Moderna COVID 19 Vaccine EUA: I received the injection at 1:30 pm, about 5 minute after injection I felt tingling down my left arm. I was made to wait 30 min for monitoring and left the site at approximately 2:10 because the arm issue appeared to have subsided . As I was half way home - 10 /15 min later, I began to feel tingling of my lips and tongue; soon after that I felt swelling at the back of my throat and tongue. It was difficult to swallow saliva but did not have issues breathing. I took a Zyrtec as soon as I got home, I started to feel the swelling subside about 20-30 min after. I took an additional benadryl as I still had difficulty swallowing and felt some swelling. It is now 4:30 pm and my throat and tongue are feeling more normal now.

Other Meds: None

Current Illness: None

ID: 0963558
Sex: F
Age: 58
State: KS

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

Lab Data: none

Allergies: penicillin

Symptoms: Severe soreness at injection site worsening as day went on after shot at 08:30 am. Extreme fatigue started around 7 pm. Severe chills and body aches started at 10 pm. I have never felt so sick in my life as I felt last night. Slept all day today. Feeling about 50 percent better as of 06:30 pm. I felt so horrible that I was not able to go to work today.

Other Meds: lovastatin, sertraline

Current Illness: none

ID: 0963559
Sex: F
Age: 46
State: NY

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

Lab Data:

Allergies:

Symptoms: Extreme arm pain. 100.4 fever while on Tylenol. Extreme fatigue.

Other Meds:

Current Illness:

ID: 0963560
Sex: M
Age: 21
State:

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

Lab Data:

Allergies: Latex, Amoxil

Symptoms: Patient received COVID vaccine at 6:16pm and began having symptoms post vaccination at 6:28pm. Patient reported feeling dizzy and "things went black," he then got up to go to observation nurse to notify her and did experience a fall but was caught by observation RN. Patient was cared for by observation RN and paramedic on staff. Patient was given fruit snacks and juice and began feeling better. Patient was monitored for additional time and was able to leave on his own, patient did not drive/got a ride home. No medications were given to patient.

Other Meds:

Current Illness:

ID: 0963561
Sex: F
Age: 47
State: WV

Vax Date: 01/14/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Got covid-19 test today, results pending

Allergies: Cats, dust, dust mites, grasses, tree pollen

Symptoms: Nasal congestion, headache, fatigue, joint aches, fever, mild dizziness. Treated with Tylenol, advil. Symptoms still ongoing

Other Meds: VitD, magnesium, cinnamon, glucosamine/chin droit in, Zoloft, singular, Claritin, lisinopril

Current Illness: None

ID: 0963562
Sex: F
Age: 71
State: GA

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

Lab Data:

Allergies: Betadine, Fosamax

Symptoms: Moderna COVID-19 Vaccine EUA AE - Elevated blood glucose outside of norm

Other Meds: Omeprazole, Celebrex, Multivitamin, Calcium

Current Illness: None

ID: 0963563
Sex: F
Age: 73
State: AK

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

Lab Data:

Allergies:

Symptoms: pain and swelling at injection site, nausea and body aches

Other Meds:

Current Illness:

ID: 0963564
Sex: F
Age: 41
State: MI

Vax Date: 01/10/2021
Onset Date: 01/14/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Mammogram and ultrasound scheduled for 1/28

Allergies: n/a

Symptoms: Approximately 4 days after first vaccine I began to develop lymphadenopathy in my right arm. Symptoms are still ongoing 7 days after they began.

Other Meds: famotidine 20 mg BID, caltrate with vitamin d 600 mg BID

Current Illness: none

ID: 0963565
Sex: M
Age: 41
State: PA

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

Lab Data:

Allergies: None

Symptoms: Arm for really sore, mild fever the next two days and fatigue for 2 days

Other Meds: None

Current Illness: None

ID: 0963566
Sex: M
Age: 51
State: CA

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

Lab Data: I tested positive for covid 19 on 1/19/21

Allergies: none

Symptoms: within 3 hours of shot I had fever body aches and weakness. also lost sense of smell and taste after 4 days. Also had a sore throat and nasal congestion.

Other Meds: none

Current Illness: none

ID: 0963567
Sex: F
Age: 62
State: NY

Vax Date: 01/12/2021
Onset Date: 01/15/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: No

Symptoms: I noticed severe lymphadenopathy right neck, scapular region and back ,as well as erythema, rash and swelling at site that is still present today 1/21/2021. Pain is severe taking Tylenol

Other Meds: Synthroid, Vitamins D, B12,

Current Illness: NO

ID: 0963568
Sex: M
Age: 38
State: CA

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

Lab Data: NA

Allergies: dextromethorphan

Symptoms: fatigue, muscle aches, recurring headaches

Other Meds: Aspirin, losartan, red yeast rice, multi-vitamin

Current Illness: NA

ID: 0963569
Sex: F
Age: 47
State: MA

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

Lab Data:

Allergies: none

Symptoms: Arm soreness within hours of vaccine Extreme fatigue, headache, body aches, feverish/chills, nausea, other cold symptoms, running nose/congestion in later that evening. Lasted for the entire next day and improving mid day 48hrs after vaccine. Fatigue, body aches/chills with no fever was persistent

Other Meds: Sertraline (anxiety/depression) Levothyroxine (Hashimoto's) Vitamin D Vitamin C Loratadine ( seasonal allergies) Polymyxin B-TMP eye drop for Hordeolum

Current Illness: Hordeolum of left eye, completed Cefadroxil 24 hrs before vaccine.

ID: 0963570
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: No

Symptoms: I got the vaccine at 11am on 1/19/21 by 8pm of 1/19/21 I had a low grade temp and was tired so I went to bed. By 1am I woke up with uncontrollable shivering and had an alarming temperature of 104. I then took alternating Tylenol and ibuprofen and for the next 24 hours and I had a continuous fever for the entirety of 1/20/21 that would range from 101-103 with taking the constant Tylenol and ibuprofen. In addition I had shooting nerve pain down my legs, I was so weak I felt like I could not move, terrible body aches, and had what felt like dizziness and blurred vision at the same time. By 1/21/21 I started to improve but still had an increased temp of 99 and body aches but not as bad as the day prior. I am a healthy 38 year old with a good BMI no medical history and am very concerned about the temperature of 103-104 in regards to those with underlying heart or health conditions which may not be able to withstand that high of a temperature or a continuous temperature like I had for an extended period of time . I would have gone to the emergency room but I am a healthcare professional with the education and experience to know what to do in this situation

Other Meds: No

Current Illness: No

ID: 0963571
Sex: F
Age: 30
State: VA

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

Lab Data:

Allergies: Demerol, Zantac

Symptoms: Moderna COVID-19 Vaccine EUA 11:30pm- significant pain from injection site at shoulder down to wrist (wrist felt sprained) 12:30-5:00am- severe nausea and profuse sweating, likely a result of fever 11:30am- swelling of deltoid muscle on same side as injection site that persisted for at least 8 hours (currently still swollen at time of filing this report)

Other Meds: Prenatal Vitamin

Current Illness: None

ID: 0963572
Sex: M
Age: 71
State: NY

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

Lab Data:

Allergies: None

Symptoms: Chills Feeling tired

Other Meds: In the morning: Celebrex Multi vitamin Finesterid 1/4 Ciallis 20 Naturelo eye health vitamine

Current Illness: None

ID: 0963573
Sex: F
Age: 50
State: NY

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

Lab Data:

Allergies: Morphine PCN

Symptoms: Raised, itchy red rash at injection site. 10cm . Very itchy

Other Meds: Zoloft Estradiol

Current Illness: None

ID: 0963574
Sex: M
Age: 25
State: FL

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

Lab Data: none

Allergies: none

Symptoms: During the first night after receiving vaccine I started to have SEVERE shaking / full body muscle spasms-hypertonicity that lasted 60-90 minutes. Required 30 minutes hot shower to calm down shaking symptoms. Initially thought episodes were caused/triggered by cold temperature (still possibility) but now thinking its triggered by anxiety. Heart rate almost spikes to 120-130 BPM. No fever and normal blood pressure is noted when episodes happen. Occurrences is not routine and seem to be random. Very concerning considering symptoms lasted for 2 + weeks now. I do not have health care or ability to see PCP/GP without paying out of pocket. Now please understanding the severity of these episodes, to the point where it resembles severe Parkinson's symptoms. Along with those I still have the normal side effects, fatigue (extreme) , mood changes, joint aches, intolerance to cold off and on, and elevated HR.

Other Meds: OTC : Acetaminophen , Prilosec Prescribed : Medical Cannabis

Current Illness: Peptic Ulcer

ID: 0963575
Sex: M
Age: 19
State: CA

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

Lab Data: N/A

Allergies: NKA, NKDA

Symptoms: Upon checking on resident to obtain vital signs, resident reported "not feeling great." When asked what resident was feeling, resident stated "my body hurts all over, my arm hurts, I have a headache and I feel like my breathing is weird." Asked resident if he was experiencing SOB and resident stated yes and "it is hard for me to breath." Vital signs included BP 107/76, HR fluctuating between 122-145, O2 ranging from 95-96%, temperature 98.4, RR 19. Took resident to Emergency Department.

Other Meds: Trazodone 50mg PRN insomnia, Vistaril 25mg PRN anxiety

Current Illness: N/A

ID: 0963576
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:

Allergies: Penicillin Codeine

Symptoms: None stated.

Other Meds: Amlodipine/Benazepril , Pravastatin , Pantoprazole , Levothyroxine ,

Current Illness: no

ID: 0963577
Sex: M
Age: 61
State: VA

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

Lab Data:

Allergies:

Symptoms: Patient has a history of anaphylaxis to bee stings and was monitored for 30 minutes. He experienced lightheadedness at about 25 minutes after injection, lasted about 10 minutes, facility dr monitored patient and checked him out. Episode of lightheadedness was resolved.

Other Meds:

Current Illness:

ID: 0963578
Sex: F
Age: 40
State: AZ

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

Lab Data: none

Allergies: none

Symptoms: Left shoulder extreme soreness, inability to raise arm more than a 6 inches above the waist; general malaise.

Other Meds: none

Current Illness: none

ID: 0963579
Sex: F
Age: 50
State: KY

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

Lab Data:

Allergies:

Symptoms: itchy red bumps/rash which spread from one bump to 4 inches and is also warm to the touch. Showed up one week after vaccine and is rapidly spreading.

Other Meds: Vienva, Lipitor 10 mg, fish oil, turmeric, Claritin, nasocort.

Current Illness:

ID: 0963580
Sex: F
Age: 48
State: MO

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

Lab Data: None

Allergies: Sulfa based medications

Symptoms: Lt arm pain, redness and swelling Nausea Headache Body ache Fever Chills Fatigue Taking Ibuprofen to help but symptoms continue going into Day 4.

Other Meds: Qsymia, Prilosec, Omega 3, Women?s Multivitamin, Flonase

Current Illness: None

ID: 0963581
Sex: F
Age: 46
State:

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: 1/14/20 covid test negative

Allergies: Nonr

Symptoms: 1st dose of moderna on1/7/2020. Low fever and muscle aches started 2-3 days after shot, getting worse from 4-5th days. Contact doctor and Dr ordered the covid test on 1/14, and the test is negative. Low fever ( mainly in the afternoon) and muscle ache continue with fatigue until today 1/21/2020. Ibuprofen 200-400mg or tynenol 500mg given.

Other Meds: Ibuprofen200-400mg, tynenol 500mg

Current Illness: Shoulder pain

ID: 0963582
Sex: F
Age: 62
State: NV

Vax Date: 01/05/2021
Onset Date: 01/11/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Blood work was done as part of regular check up on 1-20-21 but results are unknown

Allergies: Minocycline

Symptoms: Started with itching and rash at injection site. Went away in 2 days. Next day palm of hands and soles of feet became very itchy. Then progressed to whole body itching. Unable to sleep for two nights. Went to urgent care next morning. Was prescribed hydroxyzine 25mg. Itching went away that night and was able to sleep. Next day bilateral hands had numbness and tingling and general dizziness so stopped taking hydroxyzine. Went to family practitioner and was prescribed methylprednisolone dose pack. After starting steroids, by 2nd day (today - 1-21-21), hands continued n/t. Bilateral feet developed n/t. Dizziness continues when standing but goes away when sitting. Balance and gait are unsteady. Difficulty walking from weakness, balance issues, and dizziness.

Other Meds: Vitamins, valsartan and hydrochlorothiazide 160-12.5, amlodipine 10mg, synthroid 88mcg, pravastatin 20mg

Current Illness: None

ID: 0963583
Sex: F
Age: 9
State: TN

Vax Date: 10/11/2020
Onset Date: 10/11/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: NONE

Symptoms: On 10/11/21, the patient and her mother came in for a flushot. Documentation shows that this patient received Flublok which is only approved for patients 18 and older. There was no adverse effects, side effects, or illness from this.

Other Meds: NONE

Current Illness: NONE

ID: 0963584
Sex: M
Age: 67
State: CA

Vax Date: 12/24/2020
Onset Date: 12/30/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: MicroAlbumin - negative Blood in Urine - red blood cells in Urine.

Allergies: Contrast media

Symptoms: In the morning of Dec 30: Red urine - blood (bright red) - (Lower urinary tract) - didn't have pain. One episode. I did a Urine Dip Stick at my office (I'm a doctor) - positive for blood; Went to lab - He Took LAB -blood in the urine (microscopic) -Dec 31 days -MicroAlbumin - checked that, too, and it was negative for that. No proteins in the urine. I dip sticked my urine in the office this Monday (18th) or Tuesday - no blood - negative. I think it's resolved now.

Other Meds: Levothyroxine 125 mcg daily

Current Illness: no

ID: 0963585
Sex: F
Age: 41
State: TX

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

Lab Data:

Allergies: Shrimp

Symptoms: Swelling and pain experienced in lymph nodes near right arm where injection was administered. Currently going through lymphodema therapy as part of cancer recovery. My left lymph nodes were taken out during mastectomy operation, so right arm is the viable option for an injection site

Other Meds: None

Current Illness: None

ID: 0963586
Sex: F
Age: 65
State: AZ

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

Lab Data: no

Allergies: lidocaine, novacaine: face swelling required EpiPen

Symptoms: Intense fatigue, sleepiness for 24 hours post vaccine. Injection site pain /sore arm the following day

Other Meds: metformin lisartan metroprolol singulair atavastin ASA gabapentin

Current Illness: No

ID: 0963587
Sex: M
Age: 40
State: AK

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

Lab Data: EkG tests 1/15/2021-1/18/2021 Increased troponin levels at 5.9 on 1/15/2021 Blood pressure on 1/15/2021

Allergies: None

Symptoms: Chest pains, trouble breathing . Diagnosis: Non ST segment elevation myocardial infarction

Other Meds: Tums, Pepcid AC

Current Illness: None

ID: 0963588
Sex: F
Age: 63
State: OH

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

Lab Data:

Allergies: latex

Symptoms: Guillain-Barre syndrome was ultimately diagnosed Following information was described by patient: Typical symptoms started during the night of the vaccination on 12/20/21 as sore arm that became to move, then gradually the symptoms became worse and she developed a rash, nausea, and generally didn't feel well. She eventually went to the hospital on 12/31/20, at which point she was treated for her symptoms and released. By 1/7/21 she felt absolutely awful, she managed to get herself into a vehicle to leave the house to be medically evaluated but by the time she arrived she couldn't get out of the car, she reports her BP was 185/135 and she couldn't walk. At the ER they did a lumbar puncture and that's the last thing she remembers until Monday 1/18/21. At some point was admitted to ICU paralyzed with what was diagnosed as Guillain-Barre syndrome and she said they weren't sure she would make it. She is now alert and making a slow recovery now at a rehab facility and called the pharmacy today to report the incident to us now that she is able to speak again.

Other Meds:

Current Illness:

ID: 0963589
Sex: F
Age: 25
State: OK

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

Lab Data: Visit to health clinic- physical exam and throat culture.

Allergies: N/A

Symptoms: Symptoms: Intense physical and mental fatigue, body aches, body itchiness, rash Timeline: Physical and mental fatigue started on 01/06/21. Patient noticed large rash on right arm on 01/16/21. Treatment: Amoxicillin and Clavulanate Potassium Tablets as well as Triamcinolone Acetonide Cream Informal Treatment: Sleep, rest, reduced work hours Outcome: Continuing to treat bacterial cellulitis, still experiencing some fatigue Other outcome: Patient tested positive for strep on 1/17/21

Other Meds: Yaz Linzess 290 mcg Adderall 30 mg XR Adderall 10 mg Instant Qsymia 11.25 mg/69 mg Wellbutrin 150 mg XR Lexapro 20 mg Vitamin C Vitamin D Vitamin B Zinc Magnesium Probiotics Fish Oil Turmeric Ginkgo Biloba Ashwagandha Cosamine Co-Q10

Current Illness:

ID: 0963590
Sex: F
Age: 41
State: KY

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

Lab Data:

Allergies: Pertussis vaccine

Symptoms: About 20 minutes after the dose of covid vaccine severe itching started covering body.

Other Meds: Vitamin b, biotin, vitamin d, magnesium

Current Illness: None

ID: 0963591
Sex: M
Age: 70
State: IN

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

Lab Data:

Allergies:

Symptoms: Patient received first dose of COVID vaccine at 1800 and waited 15 minutes and left on his own accord. He sat in his car a few more minutes with his wife not feeling as if he was completely well. He returned to the clinic reporting tightness in his neck and throat area. His blood pressure was taken 189/99. He did not have difficulty breathing or any other signs of anaphylaxis but was given 50mg of benadryl as a precaution. We continued to monitor blood pressure for 30 minutes and did not resolve. He has a history of high blood pressure but reports that it is controlled by taking Metoprolol and Amlodipine daily. Physician was consulted and felt it was best to be seen in the ER. The patient was transported to ER by his wife and seen.

Other Meds:

Current Illness: Visual disturbances / recent work up for TIA

ID: 0963592
Sex: M
Age: 102
State: OH

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

Lab Data: None

Allergies: Lopid, Lisinopril, Lasix, Doxycycline

Symptoms: Woke up extremely fatigued, and no appetite. Later developed chills and fever. Temp max was 100.6. Took Tylenol for fever. Slept most of day. States felt like same symptoms on day he was admitted to hospital when he had covid except no shortness of breath. Next day on 1-21-21, he continued with exhaustion, being cold and nausea.

Other Meds: Preservision, Potassium tablets, Plavix, Synthroid, Pravachol, Protonix, Aspirin, Bumex, Lopressor, Tylenol prn

Current Illness: None

ID: 0963593
Sex: F
Age: 62
State: AR

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

Lab Data:

Allergies:

Symptoms: numbing of tongue, numbing of face, swelling of throat, body weakness, lack of oxygen short period of insomnia lasting two night. body ache, smelling of injection site along with redness.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm