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: 0964553
Sex: F
Age: 82
State: OH

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

Lab Data:

Allergies: Aultram, Kenalog, novican

Symptoms: After about 10 mins i started to get headache, dizzy,. Got pale. Was put on cot. had heart palpitation felt cold and shaky. After about an hr and half i started to get back to normal. When i got up i started to walk funny. I was able to drive home. took Tylenol when i got home. ate a little soup. laid down and fell asleep. when i woke up a couple hrs later i still had a headache. took another tylenol.

Other Meds: Levothyroxine 75 mg once aday, Norvasc 2.5 mg daily, losartan 100 mg, pravastatin 80 mg, ipratropium bromide couple time a day, cocuten 200 mg, calcium D3 1200 mg, magnesium 500 mg , vitamin C 1000 mg Zinc, 30 mg, Vitamin D12 5000 mcd

Current Illness:

ID: 0964554
Sex: F
Age: 64
State: MS

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Day 8 following vaccine developed localized reaction at injection site; hard red itchy lump approx 3" diameter.

Other Meds: Calcium with Vit D, Multivitamin, Zinc, Aleve, Levothyroxine, Losartan, Escatalopram, Tamezpam, Metopropolol, Buproprion, Trelegy

Current Illness: Bronchitis

ID: 0964556
Sex: F
Age: 38
State: NJ

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

Lab Data: non

Allergies: no

Symptoms: pain at the site of injection. Headache, shivering, severe muscle pain and tenderness to touch all over the body. My symptoms started same day night 1/15/21 and continued through out the next day 1/16/21, I completely recovered on 1/17/21 morning. I did take Advil and Tylenol continuously.

Other Meds: no

Current Illness: yes, I had COVID on 12/15/2020.

ID: 0964557
Sex: M
Age: 49
State: VT

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

Lab Data: nonw

Allergies: none

Symptoms: I started to get the chills around dinner time, then when I went to bed, I experienced severe chills, perfuse sweating, bad headache and intense arm pain at the site of the injection. The symptoms lasted all night and were improved in the morning but not fully resolved.

Other Meds: none

Current Illness: none

ID: 0964558
Sex: F
Age: 72
State: NY

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: no allergies to medications in the past

Symptoms: HEADACHE, CHILLS, WEAK VOMITING,

Other Meds: 10 mg astravastin, .05 mg clobetasonl propionate, vitamin d, 50 mg sertraline

Current Illness: none

ID: 0964559
Sex: F
Age: 24
State:

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

Lab Data:

Allergies:

Symptoms: "Staff member received Covid Vaccination at 0730 after working 3rd shift. Raised hand at 0745 indicating she needed assistance. She complained of heart palpitations, diaphoresis and anxiety. She was taken via wheelchair to the vestibule for monitoring BP 153/97, HR92, Pox 100%. She denied chest pain or difficulty breathing. She stated her throat ""felt dry"". Vitals rechecked at 0750: 130/88, HR 85, Pox 97% Staff member stating she felt less anxious, was given water to drink. At 0805 she stated she was recovered. She was stood and vitals checked: 124/84, HR 70, Pox 100% She was released ambulatory and given a snack for ride home."

Other Meds:

Current Illness:

ID: 0964560
Sex: F
Age: 38
State: UT

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Moderna COVID-19 vaccine EUA Injection Site began to redden and swell days after injection. A reddish circle Initially was about the size of a nickel, now has grown to the size of a baseball over the last 10 days.

Other Meds: Levothyroxine and amitryptalline

Current Illness: None

ID: 0964562
Sex: F
Age: 38
State: KY

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

Lab Data:

Allergies: Seasonal allergies/allergic rhinitis

Symptoms: 38 yo female who is a nurse who works in an outpatient surgery center calls today complaining of redness, tenderness and warmth of her COVID 19 vaccination site. she says she got the vaccine on 1-6-21. she says she didn't notice anything with regards to her left deltoid (injection site) until this afternoon when changing out of her scrubs she leaned on that side and had pain. she says she then saw a 2 inch diameter area of redness around the vaccination site.

Other Meds: Vitamin D3, Mirena, Fluticasone Nasal

Current Illness:

ID: 0964563
Sex: F
Age: 42
State: FL

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

Lab Data:

Allergies: allergies to demerol and phenergan

Symptoms: Day 1 small welt that has continued to grow in size and wrap around entire upper arm. Painful and itching. Continues to spread despite zyrtec and cold compresses. Other symptoms: Starting morning after with Fevers (101-102 range),chills, body aches, swollen lymph nodes, headache, night sweats and day sweats and fatigue. Continue with these symptoms on day 3.

Other Meds: Luvox 100mg po daily zyrtec 10 mg po daily

Current Illness: none

ID: 0964564
Sex: F
Age: 65
State: TX

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

Lab Data:

Allergies: Codene

Symptoms: Client presented stating she felt like her heart was racing. Initial pulse 120 S/R. Talked for a few minutes and client stated no itching or shortness of breath. After 5 minutes pulse 86 S/R. After 10 minutes 78 S/R. Client stated normal resting HR of 65. She takes 12.5 HCTZ PO daily.

Other Meds: 12.5mg Hydrochlorothiazide, Vitamins

Current Illness:

ID: 0964565
Sex: M
Age: 49
State: MN

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

Lab Data: none

Allergies: None

Symptoms: 12-13 hours after injection: muscle aches, headache, extreme fatigue, chills & upset stomach. 30 hours after injection: muscle aches, headache, extreme fatigue, chills, upset stomach & fever of 101. Symptoms are subsiding 40 hours after injection.

Other Meds: None

Current Illness: None

ID: 0964566
Sex: F
Age: 91
State: AL

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

Lab Data: None

Allergies: Codeine and cortizone

Symptoms: Red splotches over body, some itching

Other Meds: Hydrochlorothiazide, metformin, fish oil, areds2, baby aspirin, amlodipine besylate, rosuvastatin

Current Illness: N/A

ID: 0964568
Sex: F
Age: 53
State: PA

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

Lab Data: none

Allergies: Bactrim, morphine, Demerol, penicillin

Symptoms: edematous changes in L axillary region with inflammed lymph nodes

Other Meds:

Current Illness:

ID: 0964569
Sex: F
Age: 57
State: NY

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

Lab Data:

Allergies: none

Symptoms: chills, headache, body aches, pain and swelling at the injection site

Other Meds: methimazole Dulera Cinqair

Current Illness: none

ID: 0964570
Sex: F
Age: 35
State: IA

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: CBC, CMP normal

Allergies: penicillin sulfa

Symptoms: Dizziness, aphasia with pulse drop to 30s. went to ED and found to be in ventricular bigeminy without cause found. had heart monitor put on Jan 11-13 which showed SVT 38% of the time. I was on a heart monitor in the summer because I had issues with PVC after the birth of my child in July and I was in PVC 7% of the time then. I am planning on taking the second covid vaccine but am uncertain if I should premedicate with something beforehand

Other Meds: metoprolol 12.5 mg BID

Current Illness: none

ID: 0964571
Sex: F
Age: 49
State: KY

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

Lab Data: N/A

Allergies: Penicillin and Sulfa

Symptoms: Fever, chills, muscle and joint aches. Redness and large lump with swelling at injection site.

Other Meds: OTC multivitamin.

Current Illness: None

ID: 0964572
Sex: F
Age: 45
State: IN

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

Lab Data:

Allergies: Sulfa , aspirin , chlorhexidine

Symptoms: Fever , severe chills , body aches , abdominal pain , arm pain

Other Meds: Clonazepam, xyzal, nasacort , singular , valcyclovir, famotidine

Current Illness: None

ID: 0964573
Sex: F
Age: 16
State: VA

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

Lab Data: None indicated

Allergies: None

Symptoms: Client attended a POD held at the School, where the Moderna COVID-19 vaccines were being administered to group. She received the vaccine without event and after she left, it was noted that she is 16 years old and does not meet the minimum age requirement of 18 years for the Moderna vaccine. Client?s father was immediately contacted when the error was realized and informed about it. CDC has been contacted regarding the incident and we are awaiting their response. 1/16/2021 CDC responded by saying that there was no harm in giving the vaccine, but when she turns 18 her next dose would be counted as Dose 2.

Other Meds: None

Current Illness: None

ID: 0964574
Sex: F
Age: 46
State: FL

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

Lab Data: None

Allergies: None

Symptoms: I developed Chills, low grade temp, muscle aches, headache, fatigue that started the first night of the second dose vaccine (Wednesday) and lasted throughout the night. I took Tylenol at 2 am. Woke up at 6 am with headache, nausea, body aches and fatigue. I medicated throughout the second day (Thursday) with Tylenol. I experienced the same symptoms on night two (Thursday), but lesser degree. I Woke up on day 3 (Friday) feeling sluggish but no headache, no chills, no fever. Just an overall feeling of tiredness however, feeling much better.

Other Meds: None

Current Illness: None

ID: 0964576
Sex: F
Age: 49
State: PA

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: One week post vaccine administration, the site has erythema (east/west in orientation, about 2.5" in diameter), warm to the touch and tender. Tenderness started 1/21/21 but I didn't not look at it until this morning and saw the change in color and temperature of skin.

Other Meds: Minastrin q day

Current Illness: none

ID: 0964577
Sex: F
Age: 31
State: CT

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

Lab Data: None, I was driving home and stuck in traffic.

Allergies: Pollen

Symptoms: Face, Neck, Lips, Tongue went numb for 1.5 hours.

Other Meds: Loratadine 10 MG PO daily for seasonal allergies.o*

Current Illness: None

ID: 0964589
Sex: M
Age: 78
State: NY

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

Lab Data: EKG - showing sinus tachycardia, Right bundle branch block (no baseline available here), HR 100 Troponin - mild elevated 0.03 (Normal 0.02), 2nd set 0.02 CBCD - borderline anemia and borderline Plt 143 (Low normal 150 range) BMP - Normal 2D Echo -As discussed with cardiology no wall motion abnormality, both RV and LV systolic function normal

Allergies: Environmental allergens including Hay fever Penicillin - oral - rash

Symptoms: About 30 hours later (next day), noted his Apple watch showed HR to be around 120's, he was essentially asymptomatic. Waited for 1 hr, spoke with colleague, where a decision was made to bring him to ED for monitoring. Had overnight stay in ED with spontaneous resolution of his tachycardia, elevated BP and had in hospital work up and discharged at 0920 hrs on 01/22/21.

Other Meds: Rosuvastatin Doxazosin Multivitamins

Current Illness: No

ID: 0964590
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: "nurse injected vaccination in the joint not in the muscle. injection site was way to high. kkh - additional notes from staff member: I gave myself 1000mg Tylenol TID and 600 mg IBU TID for the next 48 hours. my entire arm from my neck down to my hand swelled to half again it's size. 4 hours after injection I started having the chills. feverish through the noc. woke up with arm swollen, and body aches for the first 2 days after the shot. staff member also noted seasonal and some medication allergies"

Other Meds:

Current Illness:

ID: 0964591
Sex: F
Age: 66
State: RI

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

Lab Data:

Allergies:

Symptoms: Patient recieved dose of pfizer COVID-19 vaccine and at some point during the week after had a seizure that lasted 10 seconds. Patient is being monitored.

Other Meds:

Current Illness:

ID: 0964593
Sex: M
Age: 81
State: TX

Vax Date: 01/08/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Patient inadvertently received 2 doses of Pfizer COVID-19 < 21 day interval (01/08/2021 and 01/21/2021).

Other Meds: aspirin 325mg, lisinopril 5mg, clopidogrel 75mg, olanzapine 15mg, citalopram 40mg, levothyroxine 88mcg, vitamin b12 1000mcg, simvastatin 80mg, fish oil 1000mg, cetirizine 10mg

Current Illness:

ID: 0964594
Sex: F
Age: 64
State: AZ

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

Lab Data: None

Allergies: none

Symptoms: Started with a severe HA the day after with extremely sore and hot arm. Progressed to weakness and flu-like symptoms with low grade fever of 101. Was off work for 2 days unable to hardly get out of bed. Then on day 2 post vaccine, started with lower abd pain, sharp and continuous. Day 3 post vaccine, feeling much better but not 100%, Stomach pains continue.

Other Meds: Move Free, Prevacid, Cinnamon, One-a-Day vit, Fish Oil, Vit D3, Probiotics,

Current Illness: None

ID: 0964595
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: Codeine and Demerol

Symptoms: About an hour after receiving the vaccine my heart starting beating really hard and loud. You sweating, weakness and runny nose. The symptoms have been on and off since then. But the last 5 hours they have been steady. It feels like my heart is in my lungs. I do have a pacemaker and my Doctor just prescribed Lasix for swelling in my legs. I have not received it in the mail yet. Does not have the lot number.

Other Meds: prescription headache medication does not know the name as needed, AllaQuix 5 MG twice a day, Tylenol as needed, B-12 daily

Current Illness:

ID: 0964596
Sex: F
Age: 25
State: NY

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

Lab Data:

Allergies:

Symptoms: fever 101, body aches, chills, profuse sweating headache, abdominal cramping call sick 1/19 and 1/20

Other Meds:

Current Illness:

ID: 0964597
Sex: M
Age: 65
State: GA

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

Lab Data: None

Allergies: None

Symptoms: Chills with low grade fever 100.5 Body aches Headache with most pain behind right eye

Other Meds: Atorvastin 40 mg daily

Current Illness: None

ID: 0964598
Sex: F
Age: 86
State: MN

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

Lab Data: unknown admitted to hospital.

Allergies: No know allergies

Symptoms: At approx 5:13pm on 1/21/2021, change in status with being unresponsive to conversation, Face flushed, taken no food for fluids for the day. T-101.5-102.3 pulse 88-100 02 sat 86%. Unable to take anything orally. Dr updated with request to be evaled in ER. Admitted to rule out UTI, Covid test was negative, continued high temp, WBC count high.

Other Meds: ASA, Docu Liquid, Donepezil, Gabapentin, Melatonin, Calcium supplement, Pantoprazole, memantine, Metoprolol

Current Illness: none

ID: 0964599
Sex: F
Age: 28
State: MA

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

Lab Data:

Allergies: NKDA

Symptoms: C/o lightheadedness, frontal headache 4/10,numbness/tingling of left fingers only, bilateral lower extremities heaviness mild from hips down to feet, "states I just feel off". Ambulated short distance to parametics handoff. BP 132/64 HR 70,O2 98%, alert and oriented x3, denies itchiness,hives, difficulty swallowing. Vitals remaining stable over 45 minutes of evaluating, with numbness in left hand subsided, H/A remains at 4/10, able to stand with remaining heaviness. Patient has declined transport to the ED, although has called for ride home(awaiting).

Other Meds: Sertraline Prenatal vitamin Colace

Current Illness: n/a

ID: 0964600
Sex: F
Age: 41
State:

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

Lab Data:

Allergies:

Symptoms: Pt received COVID vaccine (2nd dose) at 0857. Pt reported after twenty-five minutes that it was "difficult to take a deep breath". RN and EMT took VS. VSS. Clear lung sounds. RN told pt to remain for an additional 15 min of observation. Patient stable and able to leave on her own at the end of 15 min observation.

Other Meds:

Current Illness:

ID: 0964601
Sex: F
Age: 42
State: CT

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

Lab Data:

Allergies: IV contrast, some oral medications

Symptoms: Patient began to have itching on her legs, which spread to the rest of her body as a macular red rash, she received Epi 0.3mg, Prednisolone 45mg po, Benadryl 50mg po, Famotidine 40mg po. Patient was monitored with BP, HR, RR, pulse ox, all normal with increased BP and HR after Epi administered. She was placed supine with legs elevated above the height of the hear. Pt was anxious so oxygen was administered by nasal cannula at 4 liters per minute. Within the 15 minutes after meds were given, pt had periorbital edema, a "strange " taste in her mouth as well pressure in her chest and the rash did not abate but progressed to her face. EMS came and took pt to ED by ambulance.

Other Meds: Not available

Current Illness: Anxiety

ID: 0964602
Sex: F
Age: 51
State: FL

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

Lab Data:

Allergies:

Symptoms: 0805 Felt confused , heart pounding, lightheadness. BP 180/102 0809 911 called 0810 160-90 0816 Paramedics arrived, Hx of panic attacks that precipitate ED visit, not on any meds.

Other Meds: NONE

Current Illness: Panic attacks

ID: 0964604
Sex: F
Age: 49
State: CT

Vax Date: 01/07/2021
Onset Date: 01/10/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: Two doctor visits: 1/14 (general practitioner) & 1/16 (ent specialist) I'm not sure of the technical terms of the medical tests or results.. you would need to look at my medical charts for that.

Allergies: Nothing known

Symptoms: At 2 a.m. on January 10th, I woke up with a high pitched ringing sound in my head. The sound was constant and disrupts my sleep significantly. It is always present but not as noticeable during the day when there is noise in the surrounding area, however, my job requires a lot of report writing and for that I work in silence. Therefore, the ringing sound is very distracting and makes it hard to focus. I saw my general practitioner, on January 14th at 4:15 p.m.. She cleaned out my right ear and started me on a 6-day steroid. She did not clean out the left ear because it did not appear to have any wax buildup. I began taking the steroid on Saturday January 16th. The ringing is still there but it does seem to be more on my left side than my right now. I went to an ent specialist on January 19th who checked my hearing and said there was no hearing loss. Her recommendations were to call her in a week and if ringing doesn't go away, she will try another steroid. As of today, the ringing is still present and I have finished the course of steroid.

Other Meds: n/a I take Propranolol on an as-needed basis but had not taken that for a while

Current Illness: no

ID: 0964605
Sex: F
Age: 43
State: AR

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

Lab Data: NONE

Allergies: NO

Symptoms: FEVER (103.8), CHILLS, ACHY

Other Meds: EFFEXOR, LEVOTHYROXINE, ESTRADIOL, LUNESTA, SPIRONOLACTONE

Current Illness: NO

ID: 0964606
Sex: F
Age: 65
State: TX

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

Lab Data: None

Allergies: None

Symptoms: Became lightheaded within 30 minutes. Developed stomach cramps and diarrhea and chills through the night. The next day had a headache and muscle aches in her legs. Vaccination site was also very sore, feverish and had a small lump . Symptoms were much better within 2 days.

Other Meds: None

Current Illness: None

ID: 0964607
Sex: F
Age: 36
State: WI

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

Lab Data: n/a

Allergies: Levaquin - causes rash Amoxicillin - causes rash

Symptoms: Nausea Vomiting Fatigue Muscle aches Joint aches Swollen Lymph nodes in both armpits; more severe swelling on injection side.

Other Meds: Lexapro 10 mg daily Birth Control (Yaz) Ibuprofen 600 mg Tylenol 1000mg Triamcinolone Acetonide cream

Current Illness: none

ID: 0964608
Sex: F
Age: 65
State: TX

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

Lab Data:

Allergies: Codeine

Symptoms: Client presented stating she felt like her heart was racing. Initial pulse 120 S/R. Talked for a few minutes and client stated no itching or shortness of breath. After 5 minutes pulse 86 S/R. After 10 minutes pulse 78 S/R. Client stated normal resting heart rate of 65. She takes 12.5mg HCTZ PO daily.

Other Meds: 12.5mg Hydrochlorothiazide and vitamins

Current Illness:

ID: 0964609
Sex: F
Age: 48
State: FL

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

Lab Data: None

Allergies: None

Symptoms: About 4 hours after receiving my shot, I could not raise my arm to my waist. My arm was useless. I started taking 800mg ibuprofen twice daily starting the evening of the 8th until the afternoon of the 10th. My arm appeared to be getting better. By the 12th, I would say I was about 85%, still having pain upon raising my arm and using it in most circumstances - muscle weakness as well. By the 15th, the full uselessness of my arm returned just like it was 4 hours after vaccine administration. I again started 800mg ibuprofen twice daily through the weekend of the 17th. Again, there was gradual improvement. It's now been 2 weeks since vaccine administration and my arm is still only about 80% functional, and always with some pain or discomfort. I cannot take off my shirt over my head, for example. I will say the nurse who gave me the vaccination gave it way too high so this is definitely a shoulder injury, but I cannot say as to whether it is from her administration technique or the vaccine itself. I have never had a reaction like this, ever, and I get vaccines every year.

Other Meds: Advair, Nortrel 1/35

Current Illness: None

ID: 0964611
Sex: F
Age: 45
State: IN

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

Lab Data:

Allergies: None

Symptoms: Headache, muscle pain (extensive), joint pain (extensive), chills and then night sweats. Generalized malaise

Other Meds: None

Current Illness: None

ID: 0964612
Sex: M
Age: 64
State:

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

Lab Data:

Allergies:

Symptoms: Patient arrived for booster of Pfizer vaccine. Given Moderna instead. Patient PCP notified and follow-up to be conducted.

Other Meds:

Current Illness:

ID: 0964613
Sex: F
Age: 38
State:

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: On day 8 post vaccination, I started to develop a rash around the injections site. I was itchy, warm, raised, and red. It was not a perfect circle. Today is day 9, and the affected area has become larger.

Other Meds: Flinstones multi-vitamin with Iron, Metoprolol XL 25mg, Magnesium 400mg, potassium 20meq, Junel Fe 1-20, pantoprazole 40mg

Current Illness: UTI

ID: 0964614
Sex: F
Age: 68
State: MI

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

Lab Data: n/a

Allergies: per patient "adhesives such as bandages."

Symptoms: Described local reaction as "red, raised, and itchy." Treated with "steroidal cream."

Other Meds: unknown

Current Illness: no

ID: 0964616
Sex: M
Age: 70
State: CO

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: Hay fever; Mango

Symptoms: Fever of 102.6 for approximately 12 hours; Body aches; Headache; Low energy; No appetite;

Other Meds: Lisinopril 10mg Atorvastatin 10mg Flovent HFA AER 220MCG

Current Illness: None

Date Died: 01/21/2021

ID: 0964617
Sex: F
Age: 77
State: AK

Vax Date: 01/08/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: Codeine

Symptoms: Death, which I believe is unrelated to vaccination

Other Meds: Oxycodone, ventolin, quetiapine, pantoprazole, metoprolol, lorazepam, haloperidol, senna, levetiracetam

Current Illness: Alzheimers, Covid, COPD, Mood disorder, convulsions, HTN, anxiety, DM, parkinson's,

ID: 0964618
Sex: F
Age: 78
State: NY

Vax Date: 01/18/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: ampecillin

Symptoms: extreme exhaustion at 10 Wed. night. Upon awakening around 7 AM Thurs. morning, severe vertigo. Had to crawl because of room spinning. This continued all day and abated around 6 PM. Left me feeling tired, and still tired on Fri. AM

Other Meds: exemestane, Crestor, vitamins c and D, fish oil, glucosamine

Current Illness: none

ID: 0964619
Sex: F
Age: 37
State: MN

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

Lab Data:

Allergies:

Symptoms: First dose Pfizer COVID vaccine given 1/6/21 and second dose given at 16 days 1/22/21.

Other Meds:

Current Illness:

ID: 0964620
Sex: M
Age: 38
State: IN

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

Lab Data: None

Allergies: None

Symptoms: Day of vaccine (1-20-21)there was significant discomfort at the injection site, 1-325mg of acetaminophen taken prior to bed, resolved by next morning. Slept poorly that night(1-20-21) and woke up at 0630 on 1-21-21 with a headache and nausea. I took 2-325mg acetaminophen at ~0640, which helped with the headache, fully resolved by ~0900. Nausea did result in 1 episode of vomiting at ~0705. Fatigue was present throughout the day 1-21-21. Woke up on 1-22-21 and all events were resolved.

Other Meds: None

Current Illness: None

ID: 0964621
Sex: F
Age: 34
State: IN

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

Lab Data:

Allergies: Latex

Symptoms: *Vomiting and diarrhea by 4:30pm *Headache by 6:30 *Fever of 101.3 by 10:00 continued until 4:00am on January 22 *Extreme fatigue for 24 hours *muscle pain and weakness for 24 hours

Other Meds: Levothyroxine Multivitamin

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm