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: 0964496
Sex: F
Age: 32
State: CO

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: 66+ known environmental, animal, food allergies

Symptoms: 4 hours after receiving vaccine, I was replacing a door handle, and thought I had moved my arm in such a way that it had subluxed at the GH joint. The acute, immediate pain in the joint and inability to move my shoulder were surprising. It took me a few minutes to realize this was likely a reaction to the shot. The joint pain migrated to my elbow, wrist, hand, and left side of my neck, and those joints were all cracking for about 2 days. My left shoulder is still experiencing discomfort and cracking frequently when I move that arm.

Other Meds: Oral contraception Acetaminophen

Current Illness: None

ID: 0964497
Sex: F
Age: 72
State: FL

Vax Date: 01/08/2021
Onset Date: 01/17/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: Sulpha

Symptoms: Nine days after receiving the vaccine I developed a rash around the site of the injection. It is oval in shape, about 5 inches long, inflamed and itching. It seems to improve and then increase. I have used over the counter lotions to ease the itching, but I am now in day 6

Other Meds: Simvastatin, Bumetanide, Potassium Chloride,Vitamin D2, Alendronate, Flonase

Current Illness: none

ID: 0964498
Sex: M
Age: 75
State: AL

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: N/A

Allergies: unknown

Symptoms: Around 7 minutes after receiving COVID19 injection, patient started experiencing adverse reactions: throat closure sensation, cool, skin,clammy, bradycardia . Adrernalin 0.3mg was adminstered @ 2:39pm. EMS was on scene at 0241. Patient transferred @ 3:06 TO ER at Hospital.

Other Meds: n/a

Current Illness: Heart disease

ID: 0964499
Sex: F
Age: 74
State: ME

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: Sulfa drugs

Symptoms: Patient developed mild lightheadedness, tight feeling in chest and anxiety while she was driving home after her 15 min observation period. No rash, wheezing, itching. On return to the clinic she appeared mildly anxious. BP 160/75 pulse 65, regular. Lungs clear. No rash or urticaria. 15 mins later her symptoms remained very mild and bp 130/70 and hr 60. At 25 mins of observation she felt symptoms had improved and she was well enough to travel home.

Other Meds: none

Current Illness: none

ID: 0964500
Sex: M
Age: 72
State: MS

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: Allergic to surgical tape adhesive

Symptoms: I began feeling feverish about 12 hours after the vaccination. Fever went above 101 deg, at times for about 24 hours. I took one 650 mg Acetaminophen at 0330 the following morning to reduce the fever and continued taking this at 6 hour intervals until 1/22 (today). Also I had a headache, sore muscles and symptoms similar to the flu during this entire period. During the first night just before taking the Acetaminophen my pulse was up to 104 bpm. It went down during the following day to about 84 and is now at 72 bpm (9am/Jan22); my normal pulse is usually between 58 and 64 bpm.

Other Meds: Hydrochlorothiazide, Losartan, Atorvastatin, Amlodipine

Current Illness: None

ID: 0964502
Sex: F
Age: 61
State: IN

Vax Date: 01/09/2021
Onset Date: 01/11/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: sulfa, pcn, macrolide, loratidine

Symptoms: Pt reported she had a Moderna Covid -19 vaccine on 01/09/21 at Hospital at 2: 40 pm. Pt is c/o her eyelids swelling in the last 3 days, sob this morning. Pt has ST pain constantly today that is not worse with swallowing. + fatigue since yesterday.

Other Meds:

Current Illness:

ID: 0964503
Sex: F
Age: 57
State: IN

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Compazine

Symptoms: Arm, Neck pain & severe nausea

Other Meds: Bupropion Met form in Pravastain Estradiol

Current Illness: None

ID: 0964504
Sex: F
Age: 39
State: MI

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I was injected in the right deltoid with an unlabeled 1 mL syringe. I was then injected in the right deltoid with an unlabeled 3mL syringe filled with liquid to the 3 mL fill line. I am unable to validate the dose because it was not administered according to Pfizer?s instructions and because there are discrepancies in the documentation of the pharmacy manager?s interview with the Registered Nurse who completed the injections and my eyewitness of the injections. These discrepancies include: 1. The order of the injections; and 2. The amount of fluid present in the 3mL syringe.

Other Meds:

Current Illness:

ID: 0964505
Sex: F
Age: 31
State: PR

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: Penicillins, Shellfish

Symptoms: Supraclavicular bump No treatment

Other Meds: Beyaz, Vitamin C 1g, Alive MV, Inblomm Brain Flow

Current Illness: PCOS

ID: 0964506
Sex: F
Age: 47
State: MA

Vax Date: 01/11/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Ampicillin and sesame

Symptoms: Red circle about 4? in diameter developed around injection site approximately 10 days after shot. It is warm and itchy but not bumpy

Other Meds: Turmeric, vitamin d and multi vitamin

Current Illness: None

ID: 0964507
Sex: F
Age: 51
State: IN

Vax Date: 01/01/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever chills body aches

Other Meds: Adipex

Current Illness:

ID: 0964508
Sex: F
Age: 78
State: GA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: No known allergies

Symptoms: Patient reports feeling flushed and lips/tongue tingling. Physical examination in the emergency department noted as normal. Patient given diphenhydramine 25 mg orally with resolution of symptoms.

Other Meds:

Current Illness:

ID: 0964510
Sex: F
Age: 70
State: FL

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: Celebrex, opioid's, morphine, penicillin, Detrol, Darvon, Tramadol, Librax, Darvocet, Biaxin, erythromycin, Percoset , Sulfur drugs, Vicodin

Symptoms: Aches and pain all over body, Headache, fatigue and joint pain. Just happened.

Other Meds: Celexa, Ajovy Tumeric, b12, magnesium, d3, PreVision, probiotic, and C

Current Illness: None

ID: 0964511
Sex: F
Age: 30
State: FL

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Tingling down arm after shot

Other Meds:

Current Illness:

ID: 0964512
Sex: F
Age: 31
State: WI

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: No lab work. No respiratory treatments needed.

Allergies: Plavix

Symptoms: Approx 30 minutes after vaccination --Sensation dryness, need to clear throat, tickly feeling later felt short of breath. Evaluated in Emergency Dept-Epinephrine, Benadryl, Dexamethasone. Discharged home to use Benadryl as needed.

Other Meds: Aspirin 325mg daily, Diamox 125mg daily, Ibuprofen 600mg taken 01/21/21 morning

Current Illness: Kidney stone surgically removed 1/12/21 under general anesthesia, then on 1/19/21 had stent removal under local topical lidocaine.

ID: 0964513
Sex: M
Age: 48
State: GA

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 36 hours later fog, headache, floaty. no fever. no gi issues. No cough

Other Meds: none

Current Illness: none

ID: 0964514
Sex: F
Age: 47
State: IN

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Peanuts

Symptoms: Migraine- worse I ever had, with shooting pain on the left side of my neck up to base of skull on the same sideI received the shot in my shoulder

Other Meds: Claritin, ibuprofen, Tylenol

Current Illness:

ID: 0964515
Sex: F
Age: 93
State: NC

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Codenine and Demerol

Symptoms: Does not have lot number. About an hour after getting the vaccine started with fast heart beat, felt like my heart was like "boom boom boom" and was really loud, sweating, weakness, runny nose. Symptoms since then have been on and off and steady for 5 hours today. Today it feels like my heart is in down in my lungs.

Other Meds: Aliquest 5 MG twice a day, Tylenol as needed, B-12 once a day, prescription headache pill as needed does not know the name ,

Current Illness:

ID: 0964516
Sex: F
Age: 25
State: MS

Vax Date: 12/30/2020
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: I work in a microbiology lab and I performed a Sofia Sars/Influenza Rapid combo test on myself and it is negative.

Allergies: none

Symptoms: 1/20/2021: Around 20:00, I started to feel a little achy. Checked my temperature, it was 99 degrees F. 1/21/2021: Around midnight, I woke up in a cold sweat, shaking. My entire body hurt and I had a headache. I checked temp again. It was at 102 degrees. I went back to sleep. I woke up again around 2:00, temp was 103. I took 1000 mg of Tylenol and drank water. Around 4:00, I checked temp again. I was back down to 101. I called into work. I kept sleeping all day and took 1000 mg of Tylenol every four hours. Symptoms slowly subsided throughout the day. By 22:00, I was down to 98.8 degrees before bed. 1/22/2021: I woke up at 4:00 and checked temp. It was still at 98.0. I go to work. My hands are tingling and I am hot with no increased temperature. It is now 9:00 and my hands are still tingling.

Other Meds: zyrtec vitamin c vitamin b2 magnesium spironolactone

Current Illness: none

ID: 0964517
Sex: F
Age: 30
State: IN

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: keflex

Symptoms: chest pain fever of 102.0, sore throat, headache, dizziness, weakness tiredness

Other Meds: none

Current Illness: none

ID: 0964518
Sex: F
Age: 47
State:

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Gave covid19 vaccination, at approximately 1015am and went and sat in the vaccination waiting area. At approximately 1025 patient reported that she was feeling like her heart rate was racing and she felt dizzy. RN and NP started to monitor patient in the waiting area. On the monitor, patient's HR was 144 while sitting. patient admitted to feeling nervous/ anxious prior to getting vaccine and stated she also had a allergy to Contrast. NP continued to monitor vitals every 5-10 min. patient's symptoms started to improve. Pharmacist identified a possible correlation with an ingredient in contrast and the vaccine and a rapid response was called. Rapid team gave patient Benadryl and patient was monitored in the clinic for approximately 1 hour with continued improving symptoms. Husband, was called to give her a ride home.

Other Meds:

Current Illness:

ID: 0964519
Sex: M
Age: 73
State: NY

Vax Date: 01/06/2021
Onset Date: 01/16/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: Patient consulted with his PCP on Sunday 1/17/21. PCP advised patient to take Benadryl and Tylenlol

Allergies: Unknown

Symptoms: Pain, welling, redness, warmth, and rash at injection site which spread down the forearm approx 8 inches length and 4 inches in width

Other Meds: Zolpidem Tartrate, Finasteride, Omeprazole, Silodosin, Losartan Potassium, Rorsuastatin Calcium

Current Illness: NONE per patient report

ID: 0964520
Sex: F
Age: 35
State: PA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: peanuts tree nuts

Symptoms: extreme fatigue, body aches, painful, swollen lymph nodes, headache - dissipated after about 24 hours, completely gone after 48 hours.

Other Meds: zyrtec 10 mg qd sertraline 150 mg qd cyclobenzaprine 5 mg qd nortrel OCP qd vitamin c 1000mg qd vitamin d 2000iu qd caltrate qd

Current Illness: fibromyalgia

ID: 0964522
Sex: F
Age: 63
State: AZ

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: Foods: peanuts, chickpeas

Symptoms: Fever, body aches, chills, nausea

Other Meds: At our thyroid Xyzal Patanase nasal spray Flonase nasal spray Symbicort

Current Illness: None

ID: 0964523
Sex: F
Age: 58
State: MD

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: Chills, nausea, loss of appetite, low-grade fever, muscle aches, fatigue

Other Meds: Magnesium Glycinate 200mg

Current Illness: n/a

ID: 0964525
Sex: F
Age: 29
State: MA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital: Y

Lab Data: 1353: HR92, 100%, 151/91 1406: 22g IV L arm- flush 1408: BS 92 1410: HR84, 99%

Allergies: NKDA

Symptoms: Pt describes "can't get a breath in" Warm, dizzy, SOB, light headed, shaky Assessed by AMR and transported to ED Pt stated that she did not have any reaction to the first dose of the Moderna vaccine Pt stated that she was tested for COVID last week. Result was negative

Other Meds: propranolol Sertraline Protonix Topiramate PRN clonazepam

Current Illness:

ID: 0964526
Sex: F
Age: 56
State: MN

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: I was seen by for an unrelated medical purpose and during the visit we decided to administer the shingles vaccine. Blood drawn for unrelated purpose to test for autoimmune disease (negative).

Allergies: None known

Symptoms: Fever and headache and tiredness started about 14 hours after injection in upper left arm/shoulder and lasted about 48 hours. The area of the injection became red and hot and expanded to the size of a baseball and enlarged to a lump about 1/4 inch above flat skin level. Then extreme stomach and diarrhea mid-day on 1/20/2021 for the next 12 hours. While most symptoms have subsided, the injection area remains a lump the size of a baseball as of 1/22/2021.

Other Meds: Premarin Omeprazole Albuterol Calcium Glucosamine Multi-vitamin

Current Illness: Common cold virus started with runny nose on 12/30/2020 then sinus congestion until 1/2/2021 then coughing with phlem through 1/10/2021.

ID: 0964527
Sex: F
Age: 24
State: MI

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: bactrim, morphine

Symptoms: hives , redness on neck resolved with benadrly.

Other Meds: adderil junel fe,

Current Illness: none

ID: 0964528
Sex: F
Age: 41
State: AR

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: Normal BP, HR, and temp

Allergies: peanut intolerance

Symptoms: Congestion, out of body experience (like a fog where you cannot think), headache, syncope

Other Meds: metoprolol succinate Cymbalta omeprazole clonazepam

Current Illness: none

ID: 0964529
Sex: F
Age: 61
State: IN

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Penicillin, erythromycin, Clindamyosin, polymyocin

Symptoms: Had when I woke up at 6 am set on Jan 22, 2021 still ongoing Sore throat, severe headache, nausea, muscle ache, light headness, dizzy. January 22, 2021 temp 100.1 tympanic

Other Meds: Latanoprost 0.005%, , supplements, calcium, vitamins D,C, multi vitamin, zinc, magnesium, cinnamon.

Current Illness: None

ID: 0964530
Sex: F
Age: 56
State: MO

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: No, I've been in health care for 35 years and have never had reaction to flu shots.

Symptoms: Received 1st Covid vaccine on 12/30/2020 and did not have any problems. Received 2nd Covid vaccine at 08:30 about 22:00 that night, started getting moderate headache, moderate nausea, mild joint pain, gassy and moderate reflux. 5 days later, I still have mild -moderate headache and mild-moderate nausea.

Other Meds: Daily regimen AM: Phillips Probiotic OTC, Vitamin D3 5000 units OTC, 1/2 of 12 hours Allegra-D, Metoprolol 100mg PM: Zyrtec 10mg OTC, Generic Omeprazole (for reflux), 5mg Ambien

Current Illness: None

ID: 0964532
Sex: F
Age: 61
State: TX

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: PCN, Morphine

Symptoms: developed fever, chills, malaise lasting 6-8 hrs. Also developed sensitivity tenderness, swelling in cheeks where cosmetic filler injected in November 2020

Other Meds: Wellbutrin, Estradiol, Tymlos, Calcium, Vit D

Current Illness: none

ID: 0964533
Sex: F
Age: 46
State: MD

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: BP106/82, HR 71 regular, RR18, O2sat 99.

Allergies: PCN, cephalosporin, Nsaids. Swells up. Client said she got confirmation from her PCP to be vacinated.

Symptoms: Client complained of felling dizzy after the 15 minutes post vaccination. Client was helped to a flat position, legs were elevated. Client remained alert and oriented x 3, no SOB or chest pain reported. Vital signs were stable. Rested for another 30 minutes, water was given. Client reported feeling better afterwards. She was picked up by her father. We recommended client to call PCP if symptoms persist and call 911 if Symptoms worsen.

Other Meds: triptyline

Current Illness:

ID: 0964534
Sex: F
Age: 78
State: GA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reports feeling flushed and lips/tongue tingling. Patient transported to the emergency department for evaluation. Physical exam noted as normal and no tongue or lip swelling. Patient administered 25 mg diphenhydramine orally and observed for 2 hours.

Other Meds:

Current Illness:

ID: 0964535
Sex: F
Age: 49
State: NC

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: NA

Allergies: Ozempic; Gabapentin; sulfa drugs

Symptoms: 1122-Patient received vaccine 1135-Patient reported feeling numbness in hands 1138-Patient given snack and water 1150-Patient reported feeling much better; EE observed at vaccine clinic 1230-Patient departed vaccine clinic reporting a resolution of symptoms

Other Meds: Xanax, Atorvastatin, bupropion, flax seed oil, ibuporfen, lamictal, victoza, lisinopril, lysine, metformin, remeron, buspirone hydrochloride, multivit, pantoptrazole, maxalt, verapamil, albuterol, ondansteron

Current Illness: COVID+ 1/6/21

ID: 0964536
Sex: F
Age: 70
State: VT

Vax Date: 01/14/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: Advair, Alendronate, Atorvastatin, Butalbital, Coedine, Flucticasone, Fluticasone Propion Salmetrol, Gluten, Hydrochlorothiazide, Ibardronate Sodium, Mirtazapine, Pneumococcal 23 Valent Polysaccharide Vaccine

Symptoms: Moderna Covid-19 Vaccine 7 days after(Jan 21) receiving 1st vaccine injection (Jan 14) I developed a line of red itchy bumps from the injection site. Went from injection point downward and then curved around it in a letter "C" shaped line.

Other Meds: Candasartin, Rosuvastatin, AReds, Calcium, magnesium, K2-D3, D3, peri-colace, Miralax, Melatonin, Low dose Aspirin

Current Illness: B12 deficiency shot 3 days prior to Covid vaccine but in opposite arm.

ID: 0964537
Sex: M
Age: 54
State: FL

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: sulfa antibiotics

Symptoms: Extreme lethargy. I was unable to get out of bed for longer than it took to use the restroom. Headache. Soreness all over the body.

Other Meds: 10mg Paroxetine daily, fluticasone Propionate and Salmeterol inhalation powder 113mcg/14mcg once daily, 4,000 IU's vitamins D daily.

Current Illness: none

ID: 0964538
Sex: F
Age: 75
State: TX

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: cephalosporins, fentanyl, clindamycin, codeine, hydrocodone, latex, lidocaine, morphine, PCNs, metoclopramide

Symptoms: On observation after vaccine, patient reported swelling in her mouth and lips. Patient took 2 benadryl 25mg and stated she felt better. Advised patient to go to ER and patient refused. Asked patient to stay for extended observation. About 30 min later, patient stated she was coughing and feeling slight tightness in her chest. At this point, patient was agreeable to go to the ER and patient was taken.

Other Meds:

Current Illness:

ID: 0964540
Sex: F
Age: 82
State: NC

Vax Date: 01/14/2021
Onset Date: 01/17/2021
Rec V Date: 01/22/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Possible Todd's Paralysis. h/o L craniotomy for meningioma. s/sx stroke ruled out, aphasia and R hemiparesis. Started on Keppra

Other Meds:

Current Illness:

ID: 0964541
Sex: F
Age: 43
State: CT

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Dizziness numbness tingling body aches

Other Meds:

Current Illness:

ID: 0964542
Sex: F
Age: 43
State: PR

Vax Date: 01/05/2021
Onset Date: 01/14/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: The study will be repeated between 4-12 weeks after the vaccination.

Allergies: Allergy to crustaceans, Giltus, Augmentin.

Symptoms: A mammogram is performed and the results showed left axillary lymph nodes with mild cortical thickening

Other Meds: Synthroid 112 daily, 4 times a week, Synthroid 125 AM 3 times a week.

Current Illness: Thyroid cancer

ID: 0964543
Sex: F
Age: 52
State: CO

Vax Date: 12/23/2020
Onset Date: 12/26/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data: BLOOD PANEL; NEGATIVE

Allergies: PENICILLAN, SULFA, OMEPRAZOLE, BENADRYL, ANTIHISTAMINE

Symptoms: 12/23/2020 VACCINE 12/26TH EVENING FATIGUE, ARM PAIN AT INJECTION SITE, ENDED UP WITH BIG RED SPOT BELOW RIGHT COLLARBONE AND BRUISE ON 12/29; PAINFUL. 12/28 WOKE WITH BILATERAL EXTREME SWOLLEN LYMPHNODES. SEVERE IMMUNE REACTION. ZERO FEVER. ABDOMINAL PAIN. DIARRHEA (WEEK LATER) SAW DOCTOR FOR LYMPNODES VIA TELEHEALTH. HAD IMMUNE RESPONSE TO THE VACCINE; IBUPROFREN, ICE, AND PROB 'COMPROMISED'. SYMPTOMS WENT ON FOR 14 DAYS. SOUGHT CARE AT URGENT CARE FOR ABDOMINAL PAIN. DR WANTED CAT SCAN, CONCERNED WITH LYMPHNODES. PAIN WENT AWAY AND I DIDN'T FEEL NEEDED TO DO.

Other Meds: ALBUTEROL PRN; FLOVENT DAILY; VIT D; B COMPLEX; SINGULAR DAILY

Current Illness: N/A

ID: 0964544
Sex: F
Age: 48
State: CA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: Cipro, gluten, banana, avocado, latex

Symptoms: Lymphadenopathy, right axilla - moderate swelling with pain.

Other Meds: Progesterone, ibuprofen

Current Illness: None

ID: 0964545
Sex: F
Age: 47
State: IN

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Peanuts

Symptoms: Migraine- the worse I?ve ever experienced. Shooting pain up the left side of neck to base of skull on the same side where I got the shot in my left shoulder

Other Meds: Claritin, ibuprofen, Tylenol

Current Illness:

ID: 0964546
Sex: F
Age: 56
State: MS

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Severe body aches, headache, low grade temp, diarrhea, fatigue Took Tyleno and Advil

Other Meds: Synthroid, Paxil, Vit C, Dexilant

Current Illness: Developed Shingles 10 days after first shot.

ID: 0964548
Sex: M
Age: 76
State: NC

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: doxycycline

Symptoms: The patient tells me that he had Covid in December, received his Covid vaccine yesterday and felt fine all day yesterday. This morning he awoke with a fever and reportedly coughing a lot. He reports the cough is productive of some phlegm. No hemoptysis. He describes it as moderate to severe. Nothing specific seems to make it better. He does report that he commonly has a cough but that worsened

Other Meds: gabapentin ondansetron metformin simvastatin lisinopril metoprolol aspirin omeprazole

Current Illness:

ID: 0964549
Sex: M
Age: 30
State:

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: "SM received first dose of Pfizer vaccine lot EL1238. Ambulated to seat independently post vaccination. Approximately 3-5 minutes post vaccine SM began feeling dizzy and light headed with diaphoresis. SM was moved to alcove and seated in a chair for monitoring. SM stated no medical history but did feel dizzy with last flu vaccine. As this writer was connecting monitoring patient lost consciousness, noted pupils largely dilated. Lowered to floor by this writer and security office. Legs were elevated with immediate return of consciousness. Rapid called for assistance. Orthostatic vital monitored. When patient returned to floor began feelings that he was again losing consciousness. Lowered back to floor without loss of consciousness. Orthostatic vitals completed again. SM moved to cart. Monitored for additional lying to siting to standing with complete resolution of symptoms. SM left for home ambulatory and declined this writer to accompany to vehicle or call a family member. VS Time HR B/P SpO2 1357 74 125/72 100% lying 1359 90 148/83 100% laying 1401 85 151/85 100% sitting on floor 1402 82 129/78 100% chair 1404 71 132/70 100% lowered back to floor blood sugar 111 @1407 1410 78 132/79 100% moved to cart 1415 82 132/81 100% laying 1420 74 135/83 99% sitting 1426 83 132/89 100% dangle 1430 86 129/76 99% standing / marching in place

Other Meds:

Current Illness:

ID: 0964550
Sex: M
Age: 81
State: FL

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Vomiting- 3 times since 5 AM

Other Meds: Metformin, Glipizide, Insulin, Rybelsus, Finesteride, Metoprolol, Losartan, Rosuvastatin, Allopurinol, Aspirin, Vitamins

Current Illness:

ID: 0964551
Sex: F
Age: 63
State: NC

Vax Date: 01/17/2021
Onset Date: 01/18/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: None stated.

Other Meds: start taking Taylnoal every 4 hours

Current Illness: No

ID: 0964552
Sex: F
Age: 68
State: NY

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: Sulfa

Symptoms: Minor reaction on the first day that went away. On the 7th day the injection site is red (2 inch diameter), a little swollen, slight itching.

Other Meds: Synthroid, Vitamin D

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm