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: 0965062
Sex: F
Age: 42
State: AZ

Vax Date: 01/17/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: n/a

Allergies: kiwi, hair dye

Symptoms: Left axilla pain, painful area posterior left axilla, swollen firm lymph nodes to left lateral axilla/ breast, tenderness soreness to left brachial inner elbow up left bicep into axilla

Other Meds: Tylenol, ibuprofen, fluoxetine

Current Illness: n/a

ID: 0965063
Sex: F
Age: 42
State: OR

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

Lab Data: EKG, chest 2 view X-ray, echocardiogram, full lab work up, 3 troponin performed, BLood pressure done also monitoring temperatures EKG were normal have not received the echocardiogram report yet have not received the chest X-ray report yet either labs were normal troponin were normal blood pressure and heart rate vary fever fluctuate 97-101

Allergies:

Symptoms: Receiver second Pfizer shot on January 20 2021 and that night at 01:30 January 21,2021 I woke up with a rapid heart rate extreme headache and a fever of 102 I had shortness of breath and was taken to hospital. The ER performed a work up and my main complaint was my heart was hurting really bad I felt like my left carotid artery was swollen or occluded

Other Meds:

Current Illness:

ID: 0965064
Sex: F
Age: 30
State: CA

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

Lab Data:

Allergies: Penicillin

Symptoms: I developed a rash at the site of injection, about 2 inches in diameter. The skin looks slightly raised, is red and warm to the touch. No itching.

Other Meds: Spironolactone 50 mg/day

Current Illness:

ID: 0965065
Sex: F
Age: 27
State: WA

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

Lab Data: None

Allergies: None

Symptoms: Chills, headache, nightmares, low fever, plantar fasciitis, shaking, low 02(94), high pulse (120), muscle pain, eye pain, fatigue, fogginess

Other Meds: Levothyroxine, spironolactone, propranolol

Current Illness: None

ID: 0965066
Sex: F
Age: 76
State: NC

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

Lab Data: Just discovered. Only applying aloe gel to stop the itching. I have sent a message to my primary care Dr.

Allergies: Dental pain killer Sudafed

Symptoms: Eight days after the Covid injection, I had intense itching at the injection site. Upon investigating, I had a huge welt 2 1/2 inches in diameter that itched obsessively. The center of the welt was a white spot that was probably the injection site. Several peripheral red spots were evident, probably from the intense itching. I had noticed no issues in the days leading up to the 8th day.

Other Meds: RX: Metroprolol, Ramipril, Latanaprost Vitamins: Multi + C, D, K and Zinc, Calcium ,Fish Oil

Current Illness: None

ID: 0965067
Sex: F
Age: 24
State: OH

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

Lab Data: None

Allergies: None known

Symptoms: 1/20 1:30pm: 2nd dose Moderna vaccine received 1/20 9:00pm: fatigue, malaise, chills, headache, body aches 1/20 10:00pm: brief 5 second hallucination upon waking up from sleep 1/21 3:30am: recommended dosage of Dayquil taken (this was the only time medication was taken) 1/21 5:30am: fainted and blacked out for 5-10 seconds after standing for 5-10 minutes (face flushed and started twitching, felt nauseous, managed to sit down on the ground first before blacking out.) 1/21 5:35am: stood back up, fainted and blacked out again for 5-10 seconds (was able to sit down again before blacking out. After regaining vision: started sweating, lips and hands were tingling, and vision was blurry.) 1/21 3:00pm: symptoms subsided and no additional fainting or blacking out occurred Patient has never experienced adverse side effects to vaccines (including common vaccines as well as travel vaccines such as yellow fever, typhoid, first dose of COVID-19 vaccine, etc.) - only chills for 1 hour after an influenza vaccine one time. Patient has no medical history of blacking out or fainting, even when taking Dayquil in the past.

Other Meds: Dayquil taken at 3:30am on 1/21/21

Current Illness: None

ID: 0965068
Sex: F
Age: 62
State: CA

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

Lab Data: None

Allergies: Motrin

Symptoms: Headache after few mins. of Covid vaccination; followed by severe body aches & soreness at injection site. Took Tylenol & ice pack applied to injection site; helped reduced pain. Feeling better now.

Other Meds: Tramadol 50 mgs. PRN for knee pain Osteo Bi-Flex supplement for knee pain

Current Illness:

ID: 0965069
Sex: M
Age: 78
State: TX

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Ceclor

Symptoms: Dizziness and Nausea starting 01/17/2021 thru today 1/22. Some days stronger than others, with today being very minor and hopefully over. I am prone to motion sickness and these symptoms are very similiar, even to the point of looking up to see the horizon and getting some relief. Took some Meclizine with mixed results.

Other Meds: Atorvastatin 80, 81 mg asprin

Current Illness:

ID: 0965070
Sex: F
Age: 50
State: NY

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

Lab Data: None

Allergies: Seafood, contrast dye, codeine, penicillin

Symptoms: About 4:30pm started getting headache, next day still had headache, chills, tired

Other Meds: None

Current Illness: None

ID: 0965071
Sex: F
Age: 79
State: CT

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

Lab Data: no

Allergies: shellfish

Symptoms: pt stated her right leg has swelling and hardness in between knee and groin area (middle of leg). Pt stated it was itchy when it started to swell but has subsided.

Other Meds: Levaquin, Entresol, Spiral lactone, metoprolol, buspirone, Cymbalta, kolonopin, Ambien, gabapentin, Tylenol, Mucinex, calcium, Vitamin C

Current Illness: none

ID: 0965072
Sex: F
Age: 76
State: VA

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

Lab Data: none

Allergies: none

Symptoms: On date of vacation 1/14/21, I had no reaction other than a slightly sore left arm which was better the next day and I had no other symptoms until today. Today 1/22/21, 8 days later, I woke up with my left arm sore at the vaccine site and when I looked, I found a bright red circle about 2" in diameter around the site. It is not hot to touch or sore - just a little itchy. Since the vaccination I have used no ointments or lotions on my arm, have done the same exercise each day, and have had no bump or accident to my arm.

Other Meds: none

Current Illness: none

ID: 0965073
Sex: F
Age: 24
State: NY

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

Lab Data:

Allergies: None.

Symptoms: Very firm swelling and redness at the injection site. redness extends from shoulder to elbow. Nausea, some vomiting. Fever 102, headache, shortness of breath, fatigue, Blood oxygen reading of 95, Body chills, Vertigo

Other Meds: Norethindrone Acetate and Ethinyl Estradiol 1mg/20mcg

Current Illness: Urinary track infection.

ID: 0965074
Sex: F
Age: 37
State: VA

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

Lab Data:

Allergies: Penicillin

Symptoms: Large nodule right deltoid - 8 days later after getting vaccine Scattered macular rash right arm - 8 days later Body aches -10 days later Advised ice to site and Benadryl 50 mg every 6 hours on 1/20/21 Spoke to patient via phone, rash slightly better and lump smaller but felt worse with body aches, chills. Prescribed Azithromycin 250 mg for 5 days.

Other Meds: Pro-Air HFA 108 Mcg/ACT Inhalation Aerosol solution

Current Illness: None

ID: 0965075
Sex: F
Age: 71
State: DC

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

Lab Data:

Allergies:

Symptoms: Moderna COVID-19 Vaccine EUA The day following the vaccination I experienced very slight flu-like symptoms: headache, muscle aches, low fever (99?). The symptoms improved in the next days.

Other Meds:

Current Illness:

ID: 0965076
Sex: F
Age: 49
State: MA

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

Lab Data:

Allergies:

Symptoms: Systemic: Needle stick from needle used to reconstitute. Only used with saline and the needle had not been used to inject a vaccine into anyone and had not touched skin for any other patient

Other Meds:

Current Illness:

ID: 0965077
Sex: F
Age: 53
State:

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

Lab Data:

Allergies:

Symptoms: 1/11 woke at 0400 with extreme shivering, vomiting, fever 101.8, headache. Previously COVID + 11/17/2020.

Other Meds:

Current Illness:

ID: 0965078
Sex: F
Age: 59
State: PA

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Severe Vertigo two days after X2 low grade fever day two days after severe deep tissue muscle pain 5 days after and persists after 2 weeks, itchiness at injection site lingering two weeks after

Other Meds:

Current Illness:

ID: 0965079
Sex: F
Age: 64
State: VT

Vax Date: 01/13/2021
Onset Date: 01/16/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None, I did not seek treatment

Allergies: Tr iclor, Lipitor, all statins Latex, adhesives, some cleaning product ingredient

Symptoms: Day of shot mild discomfort at injection site, mild headache over right eye. On 3rd day noted sudden right eye discomfort ( like something was in it) eye unusually dry Over next 24 hours both eyes affected , very dry I then noted slight difficulty with blowing and sucking which continues to present. These were subtle symptoms, no facial droop noted I tried to report it via the V- Safe site but it wasn't included in any of the symptoms listed so the app did not accept

Other Meds: Meloxicam 15mg ESOMEPRAZOLE 120mg Metoprolol succ ER 100mg Vitamin C with rose hips 1000mg Omega 3-6-9 (2) Vitamin B-12 1000mcg D3 25mcgs Ropinrole hcl 1.0mg Tramadol hcl 100mg Famotidine 20mg

Current Illness: UTI

ID: 0965080
Sex: F
Age: 82
State: NY

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

Lab Data:

Allergies: Cypro, avelox, fish, tree nuts,

Symptoms: right after vaccine the pain in muscles started and headache and shivering about two hrs later and around bed time i had no apatite started throwing up and lasted only 24 hours

Other Meds: Zertec, evista, stool softener, lofibra, Eliquis, lovastatin, cardizem, omeprizel , famotidine , toperal, clonazepam, Cymbalta

Current Illness:

ID: 0965081
Sex: F
Age: 24
State: CA

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

Lab Data: N/A

Allergies: N/A

Symptoms: Blurred vision, zig-zag patterns, temporary vision loss, and sensitivity to light in left eye for about 20 minutes.

Other Meds: Tri-Lo Sprintec PO QD

Current Illness: N/A

ID: 0965082
Sex: F
Age: 67
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Urticaria and swelling at the site of my smallpox vaccination 25mm with induration. The injection site is 1.5 mm below this and is also mildly erythematous. The area is mildly tender. VSS.

Other Meds: HCTZ 25 mg po daily Premarin 0.3 mg po daily

Current Illness: None

ID: 0965083
Sex: F
Age: 62
State: NH

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

Lab Data:

Allergies:

Symptoms: 1 week status post Moderna covid vaccine administration, patient developed itching at the site. She scratched the area, which led to an raised egg sized lump to develop at the injection site 2 days ago. It only itches intermittently now and feels tender as if she just received the vaccine.

Other Meds:

Current Illness:

ID: 0965084
Sex: F
Age: 59
State: CT

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

Lab Data: none

Allergies: penicillin, motrin, toradol.

Symptoms: fever, fatigue, muscle aches, head ache

Other Meds: fluticasone nasal spray, valtrex, verapamil, tamsulosin, monteleukast, multivitamin, Calcium, fiber, miralax.

Current Illness: none

ID: 0965085
Sex: F
Age: 63
State: MS

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

Lab Data: None

Allergies: None

Symptoms: Right arm pain Headache,sore throat,abdominal pain,muscle aches extreme fatigue. Eyes aching severe headaches.

Other Meds: Vit C Zinc Magnesium probiotic prebiotics milk thistle

Current Illness: Left Eye infection affected yrs ago by shingles.

ID: 0965086
Sex: F
Age: 24
State: IN

Vax Date: 12/26/2020
Onset Date: 12/28/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data: Covid -19 result as positive 12/29/2020. Prescribed Benzonatate 100 mg 3 times a day

Allergies: Eggs, Shell fish and Soy

Symptoms: 12/28/2020 Had cough , shortness of breath, loss of taste of smell and body aches lasted 12 days worstern until the 01/06/2021 then became better gradually. Prescribed Benzonatate 100 mg 3 times a day Covid -19 result as positive 12/29/2020.

Other Meds: No

Current Illness: No

ID: 0965087
Sex: F
Age: 57
State: FL

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

Lab Data: None

Allergies: Augmentin, Sulfa, Fish, Lipitor. HAs had adverse symptoms (throat tightness and coughing) following flu vaccine in the past.

Symptoms: tongue tingling, flushing feeling/warmth, abnormal/rapid heart beat

Other Meds: diphenhydramine

Current Illness:

ID: 0965088
Sex: F
Age: 47
State: PA

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

Lab Data: n/a

Allergies: bees

Symptoms: swollen red welt irregular left arm right where i got shot 15 days after

Other Meds: IUD merena, mass protein powder

Current Illness: n/a

ID: 0965089
Sex: F
Age: 46
State: MS

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

Lab Data:

Allergies: nkda

Symptoms: reports fever 102.7, headache, nausea, body aches, metallic taste

Other Meds:

Current Illness:

ID: 0965090
Sex: M
Age: 24
State: MA

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: Amoxicillin

Symptoms: Developed fever less than 24 hours after vaccination. Fever resolved on 01/21/2021 @ time of office visit. He was having symptoms at time of office visit. The symptoms were chills, headache, nausea,lack of appetite,light headiness,congestion & dizziness.

Other Meds: none

Current Illness: Patient had Covid illness on December 30, 2020

ID: 0965091
Sex: F
Age: 62
State: FL

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

Lab Data:

Allergies: Codeine and Latex and some environmental (pollen), oranges - cause acid reflux

Symptoms: I woke up the next morning after receiving the vaccination and could not move my arm. My husband had to help me , I go to get dressed for work. I went to work and let my supervisor know that my arm was really sore. I went out to do my patrol and noticed a headache. I thought I needed to eat some I tried to eat some cereal. I became nauseous. I went back to the office to do some paperwork and when I tried to walk it was painful I told my coworker who suggested I need something warm on my stomach. I tired that but was to nauseous. I ended up leaving work and coming home and laid. I have cannot lay flat as it is uncomfortable and have myself propped up in bed. I have been unable to sleep since then. I previously had COVID in November 2020

Other Meds: Allergy medicine Fexofednadine 180 MG once a day

Current Illness:

ID: 0965092
Sex: M
Age: 67
State:

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

Lab Data:

Allergies:

Symptoms: Sore arm at the site of injection

Other Meds:

Current Illness:

ID: 0965093
Sex: F
Age: 54
State: PA

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

Lab Data:

Allergies: yes

Symptoms: Shortly after receiving vaccine developed flushing, numbness, tingling, coughing, horseness, wheezing, difficulty breathing. Transported to ER

Other Meds: Unknown

Current Illness: no

ID: 0965094
Sex: M
Age: 31
State: MN

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

Lab Data: Glucose measured at 117. No other tests

Allergies: Eucerin cream

Symptoms: 3 hours following vaccine experienced vomiting, loss of balance and throat tightening resulting in shortness of breath. Was seen in same day care within 20 minutes of symptom onset. Given Kenalog 80mg intramuscular and Zofran 4mg intramuscular with improvement of symptoms

Other Meds: Phentermine, Desyrel, Eliquis, Jardiance, Lisinopril, Metformin, Levothyroxine, Lantus, Zofran, Lantus

Current Illness: Insomnia

ID: 0965095
Sex: M
Age: 26
State:

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

Lab Data: None

Allergies: undisclosed

Symptoms: Vaccine administration error

Other Meds: undisclosed

Current Illness: undisclosed

ID: 0965096
Sex: F
Age: 33
State: PA

Vax Date: 01/18/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: allergic to penicillin and its derivative ammoxicillin

Symptoms: About three days after I received my first dose of the vaccine I began to feel symptoms similar to those described as side effects on the Moderna Covid 19 Fact Sheet. I was short of breath and as the day progressed I experienced what felt like irritation on the right side of my chest (mild pain in my lungs even when I was not taking deep breaths). My throat and nasal passages were irritated as well. I could tell that my tonsils (yes I still have them) were swollen. I was dizzy even when I was seated and I had a mild fever. The feeling of being disoriented came and went. These symptoms started around 7 am and continued through the day, off and on at first, then worsening in the evening after 4-4:30p. After I took some Advil the symptoms went away but then returned maybe 45-60mins later. The symptoms finally subsided around 8p. I woke this morning with no symptoms whatsoever. I wanted to make you all aware because I was told the first dose had no side effects and if we did experience them they were supposed to happen immediately or the next day.

Other Meds: Prenatal multi vitamin

Current Illness: none; however, had dental work done the week before.

ID: 0965097
Sex: F
Age: 49
State: MA

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

Lab Data:

Allergies:

Symptoms: Systemic: Needle stick from needle used to reconstitute. Only used with saline and the needle had not been used to inject a vaccine into anyone and had not touched skin for any other patient

Other Meds:

Current Illness:

ID: 0965098
Sex: F
Age: 37
State: NV

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

Lab Data: None

Allergies: Mango, peaches, thimerosal, rubber

Symptoms: Shortness of breath lasted about a minute. Recipient took her mask off and felt better within a minute.

Other Meds: None

Current Illness: None

ID: 0965099
Sex: M
Age: 48
State: CA

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

Lab Data: None, had no medical intervention for this reaction. I was only brought under nurses' observation for about 10 minutes until symptoms began to subside.

Allergies: None

Symptoms: Hot and tingling face and hands, slight dizziness and weakness, pulse 130-140, high level of anxiety. Symptoms came on suddenly, after about 30 minutes they began to subside slightly. Returned to 90% of normal after approximately 2 hours. Remained jittery for another 6 hours after that.

Other Meds: Vitamin D, turmeric.

Current Illness: None

ID: 0965100
Sex: F
Age: 61
State: TX

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

Lab Data:

Allergies: none

Symptoms: Chills, very high fever of 101.7, headache, arm very sore, fatigue, could not function, had to go to bed. It started the day after the vaccine, and I was sick all day and all night, woke up the next day with no fever.

Other Meds: Irbesartan, Verzenio

Current Illness:

ID: 0965101
Sex: M
Age: 82
State: NC

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

Lab Data: None

Allergies: Codeine

Symptoms: On 1/20/21 developed a rash with whelps at the injection site, measured 4 1/2 inches long and 2 1/2 inches wide. Hot to the touch. Itching. As of 1/22/2021, still has itching but is improving with cold packs and topical Benadryl as recommended (phone call) by his health care provider's office. He was instructed to notify the health department.

Other Meds: Atenolol, Pepcid, Vitamin D, Aspirin 83 mg daily

Current Illness: None

ID: 0965102
Sex: F
Age: 44
State: CA

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

Lab Data:

Allergies:

Symptoms: Fever Chills Body aches Headache Axilla swollen and sore Site injection soreness

Other Meds:

Current Illness:

ID: 0965103
Sex: F
Age: 36
State: NY

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

Lab Data:

Allergies: None

Symptoms: Swollen lymph nodes arm pit. Same side as injection

Other Meds: Nonen

Current Illness: None

ID: 0965104
Sex: F
Age: 86
State: LA

Vax Date: 01/09/2021
Onset Date: 01/12/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: Cat scan , Dr visits.

Allergies: No

Symptoms: Slurred Speech Bels Palsy

Other Meds: Amlodipine 10mg Spironolactone 25mg Metformin 500mg Synthroid 25mcg Potassium Cy er 10meq Bystolic 10mg Latanoprost (eye drops)

Current Illness: No

ID: 0965105
Sex: F
Age: 39
State: NY

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

Lab Data: Cardiac work up done, blood drawn , chest X-ray taken. IV fluids given. IV toradol given, IV Tylenol given.

Allergies: None

Symptoms: Approx 9pm onset shakes, sweating , increase in temp99-100 F , chest pain , muscular pain and tightness throughout body. In middle of night started vomiting . Approx 6am called primary MD. Was instructed to go to nearest hospital.

Other Meds: Xyzal

Current Illness: None

ID: 0965106
Sex: F
Age: 59
State: VT

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

Lab Data: TBD - Medical appt scheduled for Mon Jan 25th, 2021.

Allergies: Bactrim, Benzoine, Phenergan

Symptoms: 1/6 Fatigue, diffuse slight buzzing skin arms, legs torso with mild nausea /anorexia, frontal headache 1/7 Severe fatigue but Insomnia. Difficulty concentrating. Diffuse myalgias/arthralgias in every muscle and joint, large & small, even fingers & toes. Nausea, anorexia, vomiting. Hot and cold chills, temp 96.7 pilo-erection. Severe mid-line low back pain L1-L2. Severe headache across low-forehead (just above eyebrows) to bilat temples to bilat cheek bones to maxillary incisors and canine teeth. Severe bilat eye pain (hurt to move or to touch eyes, but no photophobia or visual changes). Red-rimmed eyes. Facial pallor. Tender swollen left deltoid (left arm circumf 1" > Rt arm). Tender Left Axillary adenopathy. 1/8/2021 - 1/10/2021 Sx remained severe 1/9/2021 - 1/17/2021 Gradual improvement in Sx w/decreased but persistent muscle/joint pain, mid-line low back pain, severe fatigue, anorexia, difficulty concentrating, anoexia and occasional vomiting. 1/18 - 1/22 Recurrent nausea w/ inc vomiting, increasing fatigue, increasing myalgias/arthragias, recurrent frontal/facial pain and eye pain, marked increase in mid-line low back pain, recurrent facial pallor and re-rimmed eyes.

Other Meds: Estradiol vaginal cream

Current Illness: None

ID: 0965107
Sex: F
Age: 52
State: AR

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 52 yo female vaccinated 1-8-21 with Pfizer. No reaction. Then had massage yesterday and then today developed chills and fever. 101.5 now. Also has rash on breast and stomach. Flushed. Headache, nausea and myalgias.

Other Meds: COVID-19 Pfizer vaccine #1, Meloxicam, Taltz Autoinjector, Multivitamin, Aspir 81, Tamoxifen, Valsartan

Current Illness:

ID: 0965108
Sex: F
Age: 89
State: FL

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

Lab Data: CT, perfusion mismatch, extensive labs. All performed within 24 hours of event.

Allergies: bimatoprost topical ophthalmic

Symptoms: Pt got second dose of Pfizer after unremarkable first dose. 2 hours later at home developed garbled speech and confusion. Taken to ED and evaluated for acute stroke, TPA given. CT was not definitive. Weakness was R>L. Pt confusion worsened a bit into evening of day of event, but by the following morning pt had returned to baseline. Is an independent 89 yo who otherwise lives at home alone and is highly functioning. Pt did have a recent kyphoploasty and SI joint injection (perhaps with steroids/lidocaine). Currently patient hospitalized, expected discharge soon, only complaint is tingling in fingers.... we believe this may have been coincidental, but due to time course are reporting here.

Other Meds: alendronate, dorzolamide-timolol, escitalopram, famotidine, gabapentin, meolixcam

Current Illness:

ID: 0965109
Sex: M
Age: 47
State: GA

Vax Date: 12/17/2020
Onset Date: 12/18/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data: See above TESTs - at ER - December 30, 2020 l Admitted my self to ER - Had a full work up - repeated EKG - negative; two sets of troponins - negative; chest x-ray - nothing - BMP - elevation in my creatine which I've never had before. CBC -

Allergies: none

Symptoms: About 4 am the night after the vaccination, I developed significant left arm pain. Hurt; throbbed and didn't want to use it. Went to work but about 7:00 am- I noticed my right arm began to work as well - almost in the the same severity. Spell- lose consciousness alost- had bad headache; - it abated and it happened again - almost lost consciousness. It left. And it happened again a third time and went to a stretcher - nurse took my BP 220/110 - blood pressure - very high for me and laid on the stretcher and had nurses hook me up ot monitors; No change on cardiogram and my oxygen saturation level never altered and never dropped; My BL remained elevated - significantly. 180/90 before I went home. Continued to check my BP when I went home - queasy; nauseated - upset stomach and then fever the following day - remained for 4-5 days. Fever was one day and got 100.5 and then was gone after that day. BP continued to check regularly through next few days - it did improve a bit but was still elevated - 180/150 (systolic) and 110/95 (Diastolic) - Slowly got back to normal by day 7 after vaccination. Went to work the 30th the day before New Year's Eve, finally and had dizziness never got quite as severe - 50% but left arm pain very very painful - almost numb; right arm hurt some, too. Blood 190/110 .Oxygen Saturation remained good. Arm pain very bad - ordered EKG - was normal Admitted my self to ER - Had a full work up - repeated EKG - negative; two sets of troponins - negative; chest x-ray - nothing - BMP - elevation in my creatine which I've never had before. CBC - normal; They treated me with fluid hydration; Tylenol; fentanyl and hours later I felt a bit better. Things calmed down and I was released. BP remained elevated for next two days. I got better after two days _ enough to work - but still would get a little disequilibrium not enough to pass out but just like an odd feeling and then it would go away after a few seconds. And that is only recently disappeared - within the last week or so. I feel better now but my BP remains elevated - 160/140 (systolic) over 105/95 (dystolic) - that's al new for me. I have declined the second vaccination. Have sort of recovered but it did come back after time and so it may come back again - don't know. I may have been exposed to COVID the week before my vaccination. About 4 days after the severe symptoms that lead to my leading to take off work; I took test for COVID - PCR at CVS (returned positive) and COVID test PCR and rapid antigen (returned negative) at Public Health -

Other Meds: no

Current Illness:

ID: 0965110
Sex: M
Age: 67
State:

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

Lab Data:

Allergies:

Symptoms: Headache, stiff muscles.

Other Meds:

Current Illness:

ID: 0965111
Sex: M
Age: 40
State: NY

Vax Date: 10/22/2020
Onset Date: 10/22/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Shoulder injury related to vaccine administration (SIRVA)

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm