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: 0921468
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0921469
Sex: M
Age: 50
State: TX

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: N/A

Allergies: Penicillin

Symptoms: Six hours after receiving the recombinant Zoster vaccine and the pneumococcal polysaccharide vaccine, I developed body aches. By the next morning, I developed chills and by mid day the following day of administration, I developed a fever (101.5). Additionally, I had significant soreness at the injections sights (deltoid) on both arms that I received the vaccines. My left deltoid was swollen and I believe that was the side I had the pneumococcal polysaccharide vaccine. My right deltoid was sore but less so. I also had to call in sick for work and I was out of work for two days. My symptoms resolved 48 hours after receiving the vaccines and I feel healthy now. I took ibuprofen to control the symptoms.

Other Meds: Flonase, Advair, Protonix, Singulair, MagnesiumOxide,Alphagan

Current Illness: COPD, Glaucoma, Hay fever, GERD

ID: 0921470
Sex: M
Age: 25
State: IL

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: FEVER, CHILLS, HEADACHE

Other Meds: NONE

Current Illness: NONE

ID: 0921471
Sex: F
Age: 24
State: TN

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

Lab Data:

Allergies: NKDA

Symptoms: Pt states approximately 45 minutes after vaccination that she developed a rash on her chest and her throat felt itchy. Pt called clinic and was advised by MD to take Benadryl and go immediately to the ER if she developed any SOB. Patient called at 1:30 PM and states after taking Benadryl her symptoms resolved.

Other Meds: Zoloft Buspar

Current Illness: None

ID: 0921472
Sex: F
Age: 39
State: IA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: COVID 19 December 7th.

Allergies:

Symptoms: low grade temp, headache, nausea, dizziness, muscle aches, joint pain, fatigue

Other Meds:

Current Illness: COVID19 December 7th.

ID: 0921473
Sex: F
Age: 34
State: NJ

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

Lab Data: Vital Signs

Allergies: Seasonal and percocet.

Symptoms: Lightheaded and dizzy

Other Meds: Epi-pen, dymista, Claritin, albuterol inhaler.

Current Illness:

ID: 0921474
Sex: F
Age: 37
State: ID

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: 12/29/2020- ER- EKG and Bp/pulse 1/5/2020- Center for health follow up with primary care- Bp/pulse and EKG

Allergies: None

Symptoms: Right after the injection, there was a rush through my body ( like an epideral) and then my heart started pounding fast, I sat down for the 15 minutes and thought it would go away but it wouldn't and seemed to be getting faster, after 20 minutes ( 4:10ish) I waved a person over who worked in the clinic and they took my BP and pulse. The person took me to the ER in a wheelchair, since it was across the hall. They did an EKG on me, and evaluated me for an hour, and I was released once my pulse slowed down to 99 and I felt better. It has been 7 days and I have continued to have tachycardia while sitting, with my pulse going from the 70s to to 130s for no reason. It will come in episodes. I went and saw my primary care doctor today and my pulse was 105-115 sitting. I have cut out coffee since the incident on 12/29/2020.

Other Meds: None

Current Illness: None

ID: 0921475
Sex: M
Age: 65
State: WY

Vax Date: 12/23/2020
Onset Date: 12/25/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Abdominal cramping and diarrhea pretty much beginning on day 2 post vaccination and has lasted for 10 days so far. OTC treatment with Imodium was used.

Other Meds: Tylenol and ibuprofen as needed.

Current Illness: None

ID: 0921476
Sex: F
Age: 34
State: WI

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

Lab Data: unknown at this time

Allergies: nka

Symptoms: Pt c/o of feeling really hot mainly in her chest and a flushing feeling going her entire body, she said her heartrate was beating really fast. We used a pulse ox machine her O2 saturations were 100% the entire time, initially her heart rate was 139 and came down quickly to 80's....no difficulty breathing no dizziness some tingling sensation in both hands... monitoring patient longer than 30 mins. she stated she felt hot again after the initial event. t. For the last 20 minutes her HR was 80'2 oxygenation 100% no other complaints. Pt did a lunch prior to coming for vaccination. Pt drank a bottle of water with no complications. No difficulty swallowing or rash. at 1350 employee (the Pt) stated she felt the sensation again, pt escorted to the ER by VP of Nursing.

Other Meds: omeprazole and fluoxetine

Current Illness: no

ID: 0921477
Sex: F
Age: 52
State: OK

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

Lab Data: none

Allergies: Shellfish; water chestnuts; contrast;

Symptoms: at 1014 c/o itchy mouth and lip; 1020 lips are better but throat was itchy; voice was gravely and had a cough non productive; given solumedrol 125 mg IVP; 1038 given xopenex HHN per protocol; Benadryl 25mg IVP; 1115 tightness gone voice clear and less cough

Other Meds: Tamoxifen 20mg; losartan 100 mg daily; carvedilol 6.25mg bid; 2 vitamin C bid; 2 Calcium /magnesium bid

Current Illness: none

ID: 0921478
Sex: F
Age: 26
State: ID

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: EKG IV fluids of Lactated Ringers 1 L

Allergies: Sulfa

Symptoms: Pt. reported feeling itchy all over her body approximately 1 hour after receiving Moderna Vaccine. Pt. was given oral Loratadine and Benadryl 50mg at approximately 12:05 and found relief with medications but also reported a tingling sensation on both sides of cheeks that extended to her lips. At approximately 1:30 pt. reported feeling heart palpitations, Dr. ordered an EKG - results were nornal. An IV was started at this time and pt. received . IV Bolus of LR 1 L was administered. Pt. was evaluated by Dr. and discharged home at approximately 4pm that same day. Pt. symptoms did not worsen

Other Meds:

Current Illness: None

ID: 0921479
Sex: M
Age: 77
State: FL

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Nausea, headache

Other Meds: Memantine 10mg Omerprazsole 20mg Melatonin 3mg Gapapentin 300mg Tamulosin HCL .4mg Metorprolol 50mg Losartan 100mg Duloxetine DR 30mg Triamterene 37.5 mg Aatrovastatin Calcium 80mg

Current Illness:

ID: 0921480
Sex: F
Age: 38
State: TN

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: CBC: Platelets 463, all else within normal limits UA: 1+ bacteria, small leuks UDS: neg

Allergies: None

Symptoms: Approx. 15 min after dose 1 onset numbness/tingling sensations from bil elbow to hands, and bil knee to feet. Denied loss of sensation described as pins and needles. Seen in the Emergency Department and released: Received IV fluids and all labs were within normal limits.

Other Meds: Breo cetirizine citalopram Albuterol MDI PRN

Current Illness: None

Date Died: 01/04/2021

ID: 0921481
Sex: M
Age: 88
State: OH

Vax Date: 12/29/2020
Onset Date: 01/01/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: n/a

Allergies: No known allergies

Symptoms: Vaccine given on 12/29/20 by Pharmacy. On 1/1/21, resident became lethargic and sluggish and developed a rash on forearms. He was a Hospice recipient and doctor and Hospice ordered no treatment, just to continue to monitor. When no improvement of codition reported, doctor and Hospice ordered comfort meds (Morphine, Ativan, Levsin). Resident expired on 1/4/2021

Other Meds: Vitamin D3 5000 units qd Furosemide 20mg qd Olanzapine 2.5mg bid

Current Illness: Dementia Chronic PVD

ID: 0921482
Sex: F
Age: 48
State: MN

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: NONE

Allergies: Sulfa Cipro

Symptoms: Noticed itching on Left upper arm, thinking it was a bug bite, lifted up sleeve and realized it was the site of the vaccination; area was red 2X3 inches long, itches and warm to touch.

Other Meds: Vitamin D

Current Illness: NONE

ID: 0921483
Sex: F
Age: 36
State: WI

Vax Date: 12/26/2020
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient stated while showering the am of 1/4 noticed a red area over COVID vaccine injection site. As the day went on, she became itchy all over and developed a rash. Describes redness of injection site, pain in lymph nodes in armpit, diffuse itching

Other Meds:

Current Illness:

ID: 0921484
Sex: F
Age: 24
State: TN

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

Lab Data:

Allergies: none

Symptoms: Pt states approximately 45 minutes after vaccination she developed a rash on her chest and itchy throat. Pt called clinic seeking advice. Dr. advised patient to take Benadryl and immediately proceed to ER if experiencing SOB. Pt states she took Benadryl and symptoms resolved.

Other Meds: Zoloft and Buspar

Current Illness: none

ID: 0921485
Sex: M
Age: 24
State: PA

Vax Date: 12/29/2020
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I am reporting a strange bump underneath my collarbone, possible enlarged lymph node Reported bump is moveable, slightly firm, but not hard bump only appears on left side, underneath the collarbone, not found on the other side Bump is not painful, or tender Bump is roughly the size of a pinky

Other Meds:

Current Illness:

ID: 0921486
Sex: F
Age: 44
State: IA

Vax Date: 12/30/2020
Onset Date: 01/03/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Swelling and pain in axilla and along distal aspect of breast on injection side.

Other Meds: OTC famotidine

Current Illness: None

ID: 0921487
Sex: F
Age: 31
State: CO

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: None

Allergies: None known

Symptoms: Moderna COVID?19 Vaccine EUA 6 days after injection I had increased itching in the evening. Day 7 after first injection around 9 am, Ihad increased itching and observed redness around the lateral deltoid on the L side with increased swelling. I have no pain or tenderness.

Other Meds: Nexplanon birth control; multivitamin

Current Illness: None known

ID: 0921488
Sex: F
Age: 52
State: PA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: 12 LEAD EKG, CHEST X-RAY, BMP, CBC & DIFF AND PLATELET; B-TYP[E NATRIURETICE PEPTIDE ALL DONE ON 12/31/2020

Allergies: erythromycin; povidone iodine topical/ Lisinopril, Kenalog, lidocaine, Bactrim, clindamycin, tetracycline, IVP contrast dye, potassium chloride, pneumococcal 23-valent vaccine,lincosamides, valacyclovir ,sulfamethoxazole -trimethoprim, Metronidazole Hcl, triamcinolone Acetonide, Ace inhibitors, erythropoietin analogues, Potassium, Ondansetron HCL(PF)

Symptoms: FEVER(100.5), CHILLS, HEADACHE, NAUSEA, RAPID HEART BEAT, SWELLING @ INJECTION SITE, SHORTNESS OF BREATH; DRY MOUTH DRY EBEY FLUSHED, FATIGUED, FREQUENT BOWEL MOVEMENT 7 URINATION. COUGH

Other Meds: levothyroxine 75mcg, nifedipine ER 30mg,hydrochlorothiazide 12.5mg

Current Illness: none

ID: 0921489
Sex: M
Age: 45
State: FL

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: Telehealth

Allergies: N/A

Symptoms: 12/23/2020 sharp pain left lower breast, chest constriction lasted approx for 2 days on and off. 12/26/2020 swollen left armpit, resolved 01/04/2020. Antibiotic prescription provided.

Other Meds: N/A

Current Illness: N/A

ID: 0921490
Sex: F
Age: 58
State: MI

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

Lab Data:

Allergies: Codeine Narcotics

Symptoms: Dizziness - has history of vestibular disorder

Other Meds: Flonase Synthroid

Current Illness: None

ID: 0921491
Sex: F
Age: 30
State: MA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: n/a

Allergies: have had reactions to bees, some mosquitoes and other flying insects

Symptoms: redness, swelling, large circular reaction at injection site around 24 hours post-vaccine. Warm and hurt to touch, swollen lymph nodes in injection armpit. Treated with benadryl, hydrocortisone cream, and ibuprofen. After about 2 days the swelling was nearly gone and it no longer hurt, continues to be a bit darker than rest of arm but no additional symptoms.

Other Meds: Fluoextine, 70mg/daily Lorazepam, 1mg/as needed Hydroxyzine, 50mg/daily Prilosec OTC, 20mg/daily Women's Multivitamin

Current Illness: n/a

ID: 0921492
Sex: M
Age: 50
State: MN

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: Cucumber Raspberry

Symptoms: Fatigue, soreness, headache, nausea

Other Meds: Rosuvostatin Buspar Adderall Zyrtec Vitamin C Vitamin D Gingko biloba

Current Illness: None

ID: 0921493
Sex: F
Age: 33
State: OH

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: N/A

Allergies: Hydrocodone, Percocet

Symptoms: At the time of injection 12:20 pm on January 4,2021 the vaccine when being pushed into my arm and after burned really bad. It felt like my arm was on fire for a few minutes but eventually went away. my arm became sore about an hour after the injection but it wasn't bad. a few hours passed and I started noticing my right arm that I received the vaccine in started really hurting and tingling was shooting down my arm and into my fingers. on January 5, 2021 I could not lift my arm with out crying because the pain was so intense. The sight of where the vaccine was administered was red and very swollen. there is a noticeable lifted knot on my arm the size of a gold ball. the sight around the area of administration is red, and sore and warm to touch. the tingling feeling also was present when waking up on Jan 5, 2021. around 230 pm, my arm still very sore and the knot on my arm is still visible and sore to touch. the tingling feeling slowly starting to subside.

Other Meds: NONE

Current Illness: NONE

ID: 0921494
Sex: F
Age: 12
State: NY

Vax Date: 12/31/2020
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: Local induration 2.5cm x 1.5cm oval

Other Meds:

Current Illness: None

ID: 0921495
Sex: F
Age: 55
State: CT

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: Sunday, 01-03-2021 at the Emergency Room

Allergies: none

Symptoms: on Friday 01-01-21 I was feeling a sore throat. On Saturday, 01-02-21, it was even worse. I took over the counter medication and nothing seemed to happen. On Sunday, 01-03-2021, it was so sore that I could not swallow and the neck was sore to the touch. I went to the emergency room and they ran several tests and it was determined that I experienced an allergic reaction to the dose. They prescribed two (2) medications. I followed their instructions and did not report to work on 01-03 and Tuesday, 01-05-21. The throat is still sore but getting better slowly.

Other Meds: lisinprol

Current Illness: none

ID: 0921496
Sex: F
Age: 32
State: NH

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Numbness and tingling in right arm beginning shortly after injection (approximately 30mins), progressing to include right side of neck and entire left leg. Lasted until evening of 12/24/20

Other Meds: None

Current Illness: None

ID: 0921497
Sex: F
Age: 22
State: FL

Vax Date: 12/30/2020
Onset Date: 01/03/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Four days after getting the vaccine I developed a hive-like rash in the form of elevated, itchy, red spots all over my left arm. Took Benadryl but did not do much and woke up the next day worse and with more spots. Went to critical care and was given prednisone which has helped alleviate it but is not completely gone yet (1/5/2021).

Other Meds: none

Current Illness: none

ID: 0921498
Sex: F
Age: 35
State: WA

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: Paprika, Bell Peppers, Figs

Symptoms: Symptoms: hives across chest, face( 12/29/20 8:20pm), Again on (1/4/2021 3:20pm) severe diarrhea/nausea ( 12/29/20 11:00pm-11am 12/30/2020 and again 1/2/2021) Fever 100* (12/30/2020) Arm Pain (12/29-1/3/2021) Fatigue (12/30-1/5/2021) Stomach Pain/Cramps (12/30-1/4/2021) Treament: ER Visit (12/30/20 4:30pm) IV w/ 20mg IV Pepcid Blood+ Urine Test (WBC was high) Covid Test-Negative Personal Treatment: Pepcid/ Tums/ Bland diet ER VIST (1/4/2021 3:30pm) 20mg IV Pepcid, 25mg IV Benadryl, and 60mg IV solumedrol

Other Meds: TrazOdone, Mirena IUD

Current Illness: Environmental allergies

ID: 0921499
Sex: F
Age: 58
State: KY

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: Unknown

Allergies: PCNs

Symptoms: "feels funny", throat swelling, palpitations and dizzy

Other Meds: Multiple

Current Illness: None

ID: 0921500
Sex: F
Age: 60
State: CA

Vax Date: 12/18/2020
Onset Date: 01/05/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: none

Allergies: sulfa/latex/bactrim/kiwi

Symptoms: Received the first dose of vaccine, no problems for 12 hours, then I started to have non-stop shivering and fevers for almost 18 hours then felt better.

Other Meds: none

Current Illness: none

ID: 0921501
Sex: M
Age: 26
State: AL

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: n/a

Allergies: Penicillin and Sulfa Antibiotics

Symptoms: Patient presented to ER complaining of nausea and vomiting and a frontal headache

Other Meds: none to report

Current Illness: none to report

ID: 0921502
Sex: F
Age: 56
State: NH

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

Lab Data:

Allergies:

Symptoms: PT states that she felt "tingly all over". Then she felt her heart racing and throat felt "different". BP checked 100/70, pulse 88. PT continue to feel different in her throat. Agreed to take 25 mg of Benadryl, given at 11:10. 911 was called, patient signed refusal to be evacuated. Patient stayed under the watch of the medical staff until 11:43 when she said she felt fine again and left.

Other Meds:

Current Illness:

ID: 0921503
Sex: F
Age: 38
State:

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: sulfa (diarrhea), lanolin, levofloxacin

Symptoms: lightheadedness and headache

Other Meds: levonorgestrel, prochlorperazine, ketoconazole, albuterol, fluticasone, montelukast, sumatriptan

Current Illness: none

ID: 0921504
Sex: F
Age: 24
State: ME

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient experienced "something wrong with her throat", life side of neck and face were numb, left eye was dropping, tongue felt thick. Patient was referred to the ER but was not seen in the ER. Symptoms resolved overnight.

Other Meds:

Current Illness:

ID: 0921505
Sex: F
Age: 36
State: WI

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient experienced headache, dizziness, light headedness and metallic taste in the mouth a few minutes after receiving the vaccine. Vitals were taken and patient observed for 30 minutes following vaccination.

Other Meds:

Current Illness:

ID: 0921506
Sex: M
Age: 54
State: NJ

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: After 20-30 minutes post vaccine dose #1, I experienced headache and dizziness. 1.5 hrs later body aches began. The same for the next day. Sore arm the 3rd day. Fatigue, headache and body aches and joint pains have persisted for the last 10 days.

Other Meds: none

Current Illness: none

ID: 0921507
Sex: F
Age: 36
State: IL

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Sore at the injection site, dizzy, chills, vomiting, feverish, tired, back pain

Other Meds:

Current Illness:

ID: 0921508
Sex: F
Age: 65
State: NJ

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: POCT glucose, EKG done in ED on 12/20/2020. All normal

Allergies: cephalosporin, contrast agent, nitrofurantoin , oxycodone, quinolone, sulfamethoxazole, penicillin

Symptoms: Pfizer-BioNEtch COVID-19 Vaccine Patient felt dizzy while she was getting the COVID-19 vaccine. Patient was waiting to get her vaccine and started feeling anxious, and started having palpitations. These symptoms lasted for a few minutes and then subsided. Patient went to ED for evaluation. 08:06am HR 61, NSR no STEMI. discharged at 8:36 am

Other Meds: pantoprazole 40 mg

Current Illness: none

ID: 0921509
Sex: F
Age: 43
State: NE

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Redness and swelling about 2 inches around site of insertion.

Other Meds: metoprolol 25mg po daily, omeprazole 20mg po daily, junell, Zyrtec 10mg po daily

Current Illness: None

ID: 0921510
Sex: M
Age: 35
State: NH

Vax Date: 12/22/2020
Onset Date: 12/27/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: After 5 or so days I developed my first outbreak of dyshidrotic eczema. I?ve had the tiny bumps appear before but this time the itchy sensation was more intense and i itched which made a rash on my hands , feet and left elbow develop. I?ve had it for a number of days now.

Other Meds: None

Current Illness: None

ID: 0921511
Sex: F
Age: 35
State: OH

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

Lab Data: vital signs

Allergies:

Symptoms: approx-10 Minutes post vaccine, c/o new onset tightness in her throat and epigastric burning, B/P 118/70 pulse 64 Resp 16, denies SOB. Rapid Response called when it did not resolve. They arrived, vs stable, they took her to ED per wheelchair. On the way to the ED, patient refused to go and went home. Was advised to call 911 if any breathing difficulty or return to ED if symptoms didn't resolve.

Other Meds:

Current Illness:

ID: 0921512
Sex: F
Age: 58
State: MI

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

Lab Data:

Allergies: Codeine Narcotics

Symptoms: Immediate dizziness. Hx of similar reaction with injections

Other Meds: Synthroid Flonase

Current Illness: None known

ID: 0921513
Sex: F
Age: 58
State: WI

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The evening after receiving the vaccine, at 2130 started with chills which advanced to sweats and chills through the night. Awoke Sunday morning with joint and body aches, headache and fatigue. Later that afternoon started with a fever- 100.3 and was not able to work the following day. Symptoms resolved in the afternoon on 1/4

Other Meds:

Current Illness:

ID: 0921515
Sex: F
Age: 47
State: IL

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: BODY PAIN, FATIGUE, SORE INJECTION SITE, HOT FEET

Other Meds: NONE

Current Illness: NONE

ID: 0921516
Sex: F
Age: 47
State: NJ

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: none, will go to see a doctor tomorrow

Allergies: IV contrast, penicillin

Symptoms: Left deltoid, injection site was painful, red, swollen, hard and hot to the touch for about 20 hours the following day, which completely resolved within 24 hours. A week later, this morning the injection site started itching, developed into a red raised, hardened bump, like it was a week ago. It's itchy, red, swollen, hot to the touch, not painful, close to a quarter in size. No other adverse reactions at this time.

Other Meds: Ibuprofen

Current Illness: none

ID: 0921517
Sex: F
Age: 43
State: DC

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: had occasional diarrhea for about 24 hours, got shot on 12/21/2020 and had diarrhea 4 times on 12/22/2020, also felt tired.

Other Meds: synthroid 75mcg, vit D 200IU, Spironolactone 50mg BID, Allegra, Omeprazole

Current Illness: none

ID: 0921518
Sex: F
Age: 45
State: CA

Vax Date: 12/20/2020
Onset Date: 12/21/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: Venous dopper and arterial doppler completed

Allergies: I am allergic to shrimp, amoxicillin and Midrin

Symptoms: 12 hours after the vaccine my right hand was really cold. There was a significant difference in the temperature of the left hand.

Other Meds: I take ibrance, letrazole daily & xgeva and zoladex injections monthly.

Current Illness: No

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm