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: 0921519
Sex: F
Age: 0
State: MA

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

Lab Data:

Allergies: dynatap

Symptoms: tingling and numbness in lips, cool and tingling face, hard swallow

Other Meds: 45 mins prior - took a short acting Benadryl children's tablet Vit D3 Vit C Zinc Juice Plus supplement (food capsules)

Current Illness: none

ID: 0921520
Sex: F
Age: 55
State: TN

Vax Date: 12/23/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: noted swollen lymph node left armpit area, slightly tender

Other Meds: vitamin D

Current Illness: none

ID: 0921521
Sex: F
Age: 20
State: VA

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

Lab Data: N/A

Allergies: I have a histamine intolerance.

Symptoms: Temp of 100.9, body aches, upset stomach, cold chills, and headache

Other Meds: Sprintec Fe

Current Illness: COVID-19. Tested on 24th of December, released on 2nd of January. Received vaccine on 4th of January.

ID: 0921522
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:

Symptoms: Sore at the injection site, Dizzy, Chills, Vomiting, feverish, Tired, and back pain

Other Meds:

Current Illness:

ID: 0921523
Sex: F
Age: 43
State: ID

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: None

Allergies: Dairy

Symptoms: Restricted respiration , muscle ackes and pain on my body, severe menstrual cramps from my abdomen to my armpit ( new and not experienced before).

Other Meds:

Current Illness:

ID: 0921524
Sex: M
Age: 57
State: CA

Vax Date: 12/17/2020
Onset Date: 01/05/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pfizer covid vaccine is administered using the 1mL vanish point syringe provided by manufacturer. The needle has a self-retracting feature for safety. During administration, the self-retracting feature was initiated and the patient did not receive the full dose of covid vaccine. the nurse witnessed splashing of medication outside of the patient's arm. the patient did have a break in skin from the needle, but uncertain if full dose administered. Supervisor, notified pharmacy and dr. dr came to bedside, spoke with patient and consulted with dr. and dr. in Pfizer vaccine vial, overfill dose of 0.2mL was ordered and administered. patient agreed. 0.2 mL supplemental dose was given as ordered. pt given v-safe instructions and monitored for 15 minutes after last administration.

Other Meds:

Current Illness:

ID: 0921525
Sex: F
Age: 94
State: OH

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

Lab Data:

Allergies:

Symptoms: very agitated, unusually low blood sugars, feeling of something crawling under her skin, picking at and cutting fingers

Other Meds:

Current Illness:

ID: 0921526
Sex: F
Age: 13
State: CA

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

Lab Data:

Allergies: None Known

Symptoms: Moderna Covid Vaccination administered to patient less tan 18 years old

Other Meds: Claritin 10 mg oral tablet, 10 mg, 1 Tab, ORAL, DAILY, 5 refills Flonase 50mcg/inh nasal spray, 2 Spray, NASAL, As directed fluoride 1 mg oral tablet, chewable, See Instructions, 3 refills

Current Illness: Irregular Menses

ID: 0921527
Sex: F
Age: 28
State: CO

Vax Date: 12/26/2020
Onset Date: 01/02/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: sesame seeds

Symptoms: 7 days after injection, injection site swollen, red, hot, itchy, began as a few red dots, grew larger and swelled together into a big red blob 8 days after injection, fatigue, runny nose

Other Meds:

Current Illness:

ID: 0921528
Sex: F
Age: 32
State: WV

Vax Date: 12/17/2020
Onset Date: 12/18/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: None

Allergies: Shell Fish Iodine

Symptoms: Hives from head to toe, Itching really bad, nausea , and diarrhea Took Benadryl

Other Meds: Losartan hidropizie combo pill Zoloft Allegra Vitamin D3

Current Illness: Covid Positive

ID: 0921529
Sex: M
Age: 56
State: MN

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

Lab Data: 1:37 pm BP 124/78 Pulse 78

Allergies:

Symptoms: Tingling in right arm and hand a few minutes after getting the vaccine. Sat and rested for 15 minutes, evaluated by paramedic and RN and then was given a ride home. Patient reported the tingling did not get any worse and stayed about the same.

Other Meds: N/A

Current Illness: Eye surgery on 12/10/2020

ID: 0921530
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, loss of vision

Other Meds: Flonase Synthroid

Current Illness: None known

ID: 0921531
Sex: F
Age: 60
State: CA

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

Lab Data:

Allergies:

Symptoms: tired Chills Muscle aches Throat irritation weakness no energy hot flashes

Other Meds:

Current Illness:

ID: 0921532
Sex: F
Age: 67
State: TX

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

Lab Data:

Allergies: N/A

Symptoms: "9 DAYS LATER, REDNESS AND WARM TO TOUCH TO LEFT ARM INJECTION SITE".

Other Meds: NONE

Current Illness: N/A

ID: 0921533
Sex: F
Age: 59
State: TX

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

Lab Data: NONE

Allergies: NONE

Symptoms: STATES SHE DEVELOPED INTENSE ITCHING. SHE AND HER DOCTOR THINK IT IS FROM THE VACCINE. STARTED ON STEROIDS TODAY.

Other Meds: UNKNOWN

Current Illness: NO

ID: 0921534
Sex: F
Age: 50
State: IL

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

Lab Data: none

Allergies: blackberry, succinylcholine, Bactrim D, iodine

Symptoms: trouble swallowing after receiving a Covid vaccine. ?She received the vaccine at 830, approximately 20 minutes prior to her emergency department arrival. ?10 minutes later she began to feel her throat swelling and noted it was difficult to swallow

Other Meds: Advair, albuterol, flexaril, Lexapro, singular,

Current Illness:

ID: 0921536
Sex: M
Age: 50
State: AZ

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

Lab Data:

Allergies: None

Symptoms: Severe headache, chills through the night. First episode occurred second night following the shot. Second episode, same symptoms, occurred on the 8th night following the shot. Symptoms lasted until 6am.

Other Meds: None

Current Illness: None

ID: 0921537
Sex: F
Age: 25
State: NH

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

Lab Data:

Allergies: Aspergillus

Symptoms: Patient reported scratch/tightening throat. (Clinical Observer) administered Benadryl 12.5mg one time and observed patient. Patient alert, talking, no respiratory distress throughout. No signs or symptoms of facial, mouth, or lip swelling. Patient reported symptoms regressing as time passed. Patient was able to safely leave the site.

Other Meds:

Current Illness:

ID: 0921538
Sex: F
Age: 47
State: ME

Vax Date: 12/23/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: not known

Symptoms: Increasing pain at injection site followed by itching at injection site and progressing to large area of urticaria covering injection site and shoulder with white spot at site of injection. Progressed to diffuse hives across chest, up neck, covering face and head with swelling including swelling of lips. Sought medical attention by agency Medical Director and on phone with PCP then to an urgent care center. Course of treatment included prednisone and antihistamine for 6 days.

Other Meds: not known

Current Illness: not known

ID: 0921539
Sex: F
Age: 31
State: ME

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

Lab Data:

Allergies: Sulfa drugs

Symptoms: Throat tightness, tongue swelling ~30 minutes following vaccine. No hx of anaphylaxis. Symptoms resolved with benadryl

Other Meds:

Current Illness:

ID: 0921540
Sex: F
Age: 36
State: NE

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

Lab Data: NONE

Allergies: Sulfa

Symptoms: Beginning 1/1/2021 the small lump (marble sized) in my arm grew to about 3 marble sizes (all put together). It was a raised area that was red and hot in a circular shape that was 4 inches across. Remained this was until 1/5/2021. It was painful to move the arm (2/10). I used Tylenol for discomfort and ice to the site. Helped some.

Other Meds: vitamin D 1000 IU daily, acetaminophen 1000mg daily as needed

Current Illness: None

ID: 0921541
Sex: F
Age: 50
State: IA

Vax Date: 12/27/2020
Onset Date: 01/03/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: none

Allergies: PCN

Symptoms: Day 6 after vaccine I developed three raised and hard spots in the from of a smiley face, one with two below. They sore, itched and were red to look at. Its now day 9 and they are still the same.

Other Meds: Humalog Atorvistatin Zoloft Metoprolol Losartin VD 2 VD 3 Zinc Vitamin B Complex

Current Illness: none

ID: 0921542
Sex: F
Age: 42
State: WI

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

Lab Data:

Allergies: Sulfa Drugs

Symptoms: Patient had sharp pains in arm after COVID-19 vaccine near injection site. Observed patient for 30 minutes and gave a cold compress. Patient returned to work and later reported palpitations and "heart racing." Checked vitals BP 130/80 and HR in the 80's. HR later jumped to 100's.

Other Meds:

Current Illness:

ID: 0921543
Sex: F
Age: 50
State: MI

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

Lab Data: no

Allergies: Capsoul

Symptoms: First couple days, arm painful and headaches. Plum sized area of redness and hardness. right arm has some roughness. Last two night horrible leg cramps.

Other Meds: Synthroid

Current Illness: no

ID: 0921544
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, lanolin, levofloxacin

Symptoms: lightheadedness, headache

Other Meds: levonorgestrel, prochlorperazine, ketoconazole shampoo, albuterol, fluticasone, Montelukast, sumatriptan

Current Illness: none

ID: 0921545
Sex: F
Age: 55
State: WA

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

Lab Data: None

Allergies: Sulfa Lavender

Symptoms: 10 minutes after vaccine I got a warm rush up left neck to left side of head with and instant severe headache which I would rate 9/10, dizziness, nausea and felt like I was about to pass out. After about 10 minutes the headache and dizziness eased but headache remained at 6/10. 40minutes after vaccine the nausea returned much worse, my ears felt full & tongue felt weird. Took 2 Benadryl, slept 12hours. Next morning: I still have headache which migraine medicine not Aleves are helping. My tongue still feels weird, my lips and nose feel numb.

Other Meds: Singular, Tramadol, Gabapentin, Trazadone, Cymbalta, vitamin C

Current Illness: None

ID: 0921546
Sex: M
Age: 34
State: WA

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

Lab Data: 01/03/2020 :BLOOD PRESSURE (WITHIN NORMAL LIMITS), BLOOD SATURATION (WITHIN NORMAL LIMITS), HEART RATE(WITHIN NORMAL LIMITS) EKG NO ANOMOLIES NOTED CHEST X-RAY WITH NO ACUTE CARDIOPULMONARY FINDINGS

Allergies: none

Symptoms: SOON AFTER ADMINISTRATION EXPERIENCED BURNING SENSATION STARTING LEFT SHOULDER RADIATING ACROSS CHEST AND DOWN LEFT ARM.

Other Meds:

Current Illness: none

Date Died: 01/04/2021

ID: 0921547
Sex: M
Age: 65
State: AR

Vax Date: 01/02/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: N/A

Allergies: NKDA

Symptoms: DEATH ON 1/4/2021, RESIDENT RECIEVED VACCINE ON 1/2/20

Other Meds: Acetaminophen Tablet 325 MG Give 2 tablet by mouth every 6 hours as needed for Pain. elevated Temp. Phone Active 05/08/2020 05/08/2020 AmLODIPine Besylate Tablet 10 MG Give 1 tablet by mouth one time a day related to ESSENTIAL (PRIMARY) HYP

Current Illness: CEREBRAL INFARCTION, UNSPECIFIED(I63.9), LONG TERM (CURRENT) USE OF ASPIRIN(Z79.82), VITAMIN DEFICIENCY, UNSPECIFIED(E56.9), ACUTE KIDNEY FAILURE, UNSPECIFIED(N17.9), HYPERKALEMIA(E87.5), ACUTE RESPIRATORY FAILURE, UNSPECIFIED WHETHER WITH HYPOXIA OR HYPERCAPNIA(J96.00), PURE HYPERCHOLESTEROLEMIA, UNSPECIFIED(E78.00), PAIN IN RIGHT FOOT(M79.671), ESSENTIAL (PRIMARY) HYPERTENSION(I10), ACIDOSIS(E87.2), ABNORMAL LEVELS OF OTHER SERUM ENZYMES(R74.8), HYPERLIPIDEMIA, UNSPECIFIED(E78.5), DISORDER OF THYROID, UNSPECIFIED(E07.9), GASTRO-ESOPHAGEAL REFLUX DISEASE WITHOUT ESOPHAGITIS(K21.9), MUSCLE WASTING AND ATROPHY, NOT ELSEWHERE CLASSIFIED, UNSPECIFIED SITE(M62.50), MUSCLE WASTING AND ATROPHY, NOT ELSEWHERE CLASSIFIED, MULTIPLE SITES(M62.59), COGNITIVE COMMUNICATION DEFICIT(R41.841), UNSPECIFIED LACK OF COORDINATION(R27.9), OTHER DYSPHAGIA (R13.19), OTHER CHRONIC PAIN(G89.29), HYPOTHYROIDISM, UNSPECIFIED(E03.9), DRY EYE SYNDROME OF UNSPECIFIED LACRIMAL GLAND (H04.129), METABOLIC ENCEPHALOPATHY(G93.41), UNSPECIFIED CONVULSIONS(R56.9), POLYNEUROPATHY, UNSPECIFIED(G62.9), TYPE 1 DIABETES MELLITUS WITH UNSPECIFIED DIABETIC RETINOPATHY WITHOUT MACULAR EDEMA(E10.319), NASAL CONGESTION(R09.81), BRONCHITIS, NOT SPECIFIED AS ACUTE OR CHRONIC(J40), HYPOKALEMIA(E87.6), ELEVATED WHITE BLOOD CELL COUNT, UNSPECIFIED(D72. 829), OTHER MALAISE(R53.81), CELLULITIS OF RIGHT LOWER LIMB(L03.115), CELLULITIS OF LEFT LOWER LIMB(L03.116), EDEMA, UNSPECIFIED (R60.9), IRON DEFICIENCY ANEMIA, UNSPECIFIED(D50.9), CUTANEOUS ABSCESS, UNSPECIFIED(L02.91), COVID-19(U07.1)

ID: 0921548
Sex: F
Age: 30
State: WV

Vax Date: 12/17/2020
Onset Date: 12/17/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: N/A

Allergies: Allergies: sulfa drugs (rash) codeine intolerance (vomiting)

Symptoms: Patient received vaccine on 12/17/2020 at approximately 12pm. At 10pm that day, patient developed chills and fatigue. At 6am on 12/18/2020, patient developed fever (temperature 100.2) and a very sore arm. Patient took acetaminophen (Tylenol) at 6:30am for the fever and pain. By 1pm on 12/18/2020, patient reports headache and dizziness. Patient took Rizatriptan (Maxalt) for the headache and dizzy, but it did not help. Patient took ibuprofen at approximately 4pm. Patient felt normal at 5:30pm on 12/18/2020. Took Tylenol at 6:30 for the sore arm. Took Maxalt for the headache/dizziness (sometimes migraines make me dizzy, maxalt didn?t help). Took ibuprofen around 3-4ish? And felt fine by 5:30.

Other Meds: Prescription: Syeda (ethinyl estradiol & drospirenone) Cetirizine (Zyrtec) 10 mg QD Buspirone (Buspar 7.5 mg BID PRN (Typically taken at night to aide sleep) OTC: Fluticasone (Flonase) PRN

Current Illness: Nothing to Report.

ID: 0921549
Sex: F
Age: 61
State: CA

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

Lab Data:

Allergies:

Symptoms: Headache, fever, chills, cough, congestion, malaise, patient reports she has been "down" since Saturday and is still experiencing all of these symptoms overall. Patient has been taking TheraFlu

Other Meds: Regular medication

Current Illness:

ID: 0921550
Sex: F
Age: 63
State: MO

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

Lab Data: n/a

Allergies: streptomycin, doxycycline, clamara, sulfer

Symptoms: hives/rash all over body that lasted 3 days. Called PCP and prescribed medications to help with allergic response.

Other Meds: yes

Current Illness: none

ID: 0921551
Sex: M
Age: 27
State: CA

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

Lab Data:

Allergies:

Symptoms: chills headache body aches

Other Meds:

Current Illness:

ID: 0921552
Sex: F
Age: 46
State: MI

Vax Date: 12/29/2020
Onset Date: 01/02/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: None

Allergies: Sulfa nickel percocet vicodin tomatoes some soaps

Symptoms: Received the vaccine on December 29, 2020. On Saturday, January, 2, 2021, the patient started itching in her bilateral breast area. Did not look to see if there was a rash at that time. On Tuesday, January 5, 2021, the patient was getting ready for work in the morning and her bilateral breasts started itching again. She looked down and noticed that she had a long red rash across her medial breasts. She applied a topical cream to the affected area and she states that the itching has improved.

Other Meds: Tylenol Amitriptyline omeprazole hydroxyzine cyclobenzaprine cymbalta montelukast xenical modafinil Entyvio - every 8 weeks (last dose 11/11/2020)

Current Illness: none

ID: 0921553
Sex: F
Age: 19
State: TX

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

Lab Data:

Allergies: NKA

Symptoms: 19 yo female received COVID Vaccines at 0930, reported to Primary care around 1200 pm with pruritus, erythema and warmth on upper extremities, chest and back. Airway intact, Lungs CTA bilar, NEURO WNL, VS wnl. Will tx for mild allergic reaction, Educated on Anaphylaxis protocol. SM v/u

Other Meds:

Current Illness:

ID: 0921554
Sex: F
Age: 48
State: TX

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

Lab Data: No.

Allergies: Phenergan

Symptoms: Hives, swelling in throat and lips. Used Epi pen and Benadryl. Went to ER Medical Center. Given Solu-Medrol IV and oral prednisone 60mg for 5 days.

Other Meds: metformin 1000mg, pepcid 20mg, wellbutrin 150mg, zyrtec 10mg

Current Illness: No

ID: 0921555
Sex: F
Age: 53
State: LA

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: pcn, biaxin, clyndamycin

Symptoms: HEADACHE ON DAY 1 AND 2 AND 3 THEN SORENESS ON DAY 3 AND THEN FAST HEART BEAT ON DAY 4 AND CHILLS ON DAY 7 AND REDNESS AND WARMTH TO TOUCH AND MUCH ITCHING ON DAY 5 UP TO NOW

Other Meds: hctz, herbal tea, gabapentin

Current Illness: none

ID: 0921556
Sex: F
Age: 55
State: AZ

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: went to go get tested for covid on1/ 4/21 still waiting for results. I went on 1/5/ 21. to get a rapid testing came out positive.

Allergies: unknown

Symptoms: I got headache, fever, vomitting , rash all over body. got symptoms after taking the covid-19 vaccine.

Other Meds: Atorvastatin, Glimepiride, Metformin

Current Illness: Diabetes, Lyken Plantus

ID: 0921557
Sex: M
Age: 74
State: MN

Vax Date: 01/03/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital: Y

Lab Data: Chest X-Ray--unremarkable, UA--unremarkable, BMP--mild hyponatremia

Allergies: cosopt, weeds, soaps

Symptoms: Began experiencing increased temp of 101.4 on 1/4/2021 at 0701. Temp did not resolve with the use of Tylenol. HR increased to >100 and BP was decreasing below baseline. Increased weakness also noted. Temp increased to 102.9 on 1/4/2021 at 2220. Transferred from SNF to ER for evaluation.

Other Meds: cholecalciferol, iron, oxycodone, gabapentin

Current Illness:

ID: 0921558
Sex: F
Age: 24
State: NY

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

Lab Data:

Allergies: n/a

Symptoms: Sore arm/neck, fever for approx. 36 hours up to 102.3 F, headache, body aches, chills - symptoms ended after 36 hours

Other Meds: Duloxetine, Methylphenidate, Vitamin D 50000 IU (2X a week), Vitamin D 2000 IU, Xyzal

Current Illness: n/a

ID: 0921559
Sex: F
Age: 40
State: FL

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

Lab Data: none

Allergies: Morphine; intolerance to meat proteins

Symptoms: Given vaccine on Dec 28th, Approx 2 hrs afterwards felt very tired. (feels same after flu shot). Then on the 29th was nauseated and vomited X 2. On Jan 1st was feeling better, but got up to walk and felt dizziness, nausea and vomiting continues. Can keep down liquids, but unable to eat anything.

Other Meds: Citaloprim 20 mg; Multivitamin

Current Illness: none

ID: 0921560
Sex: F
Age: 50
State: TX

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

Lab Data:

Allergies: n/a

Symptoms: temperature between 100.5 to 101.8, swelling of L arm (sever) and pain into arm pit, swelling of lymph nodes

Other Meds: topiramate, duloxatine, ibuprofen 800

Current Illness: n/a

ID: 0921561
Sex: F
Age: 38
State: UT

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

Lab Data:

Allergies: Penicillin

Symptoms: Fever, headache, body ache, chills, sore throat, headiness

Other Meds: Levothyroxine; Emgality; B12/D3; melatonin

Current Illness: None

ID: 0921562
Sex: M
Age: 95
State: OH

Vax Date: 12/31/2020
Onset Date: 01/02/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: sarni-, mentho-, camphor

Symptoms: Red rash all over back, upper left arm and across stomach area. Gets more red with application of rash cream.

Other Meds:

Current Illness:

ID: 0921563
Sex: F
Age: 51
State: TX

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

Lab Data:

Allergies: none

Symptoms: Fatigue, joint pain and body ache within 5 hours of vaccination. Migraine, nausea, difficulty swallowing swollen lymph nodes within 18 hours of vaccination. Resolved with rest.

Other Meds: Mutlivitamin

Current Illness: none

ID: 0921564
Sex: F
Age: 50
State: TX

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

Lab Data:

Allergies:

Symptoms: Upon administration, felt an immediate thickening on left side of throat and numbness on left side of face under eye and on cheek bone. Associate stayed for observation period of 15 minutes and was released to return to work.

Other Meds:

Current Illness:

ID: 0921565
Sex: F
Age: 45
State: TX

Vax Date: 12/15/2020
Onset Date: 12/28/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: CT scan Cbc cmp crp sed rate Flu covid strep test

Allergies: None

Symptoms: Fevers myalgias arthralgias

Other Meds: None

Current Illness: None

ID: 0921566
Sex: M
Age: 8
State: CA

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

Lab Data:

Allergies: None Known

Symptoms: Covid Vaccine given to person less that 18 years old. No complications at this time

Other Meds: Adderall XR 5 mg oral capsule, extended release, 5 mg, 1 Cap, ORAL, QMorning

Current Illness: ADHD

ID: 0921567
Sex: F
Age: 23
State: WI

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

Lab Data:

Allergies: none

Symptoms: 3 hours after vaccination patient experienced nausea, diarrhea, chill, and headache. Patient given 1000 mg of acetaminophen. Patient did not clear up symptoms after 6 hours and was sent home from work.

Other Meds:

Current Illness:

ID: 0921568
Sex: F
Age: 41
State: NY

Vax Date: 12/24/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: none

Allergies: shellfish leads to hives and GI upset

Symptoms: injection site reaction that started a full week after injection - itching, redness, underlying firmness, tender axillary node resolved on its own in a few days without intervention

Other Meds: valacyclovir, multivitamin, probiotic, magnesium

Current Illness: none

ID: 0921569
Sex: F
Age: 39
State: WI

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

Lab Data: None. Spoke with primary care doctor via phone.

Allergies: Aspirin

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA I recieved the vaccine at 0800 on 1/2/21. By 1430 I started feeling tired with some chills. By 1700, I was having nausea and vomiting. I woke the next day (1/3) around 0700 still having nausea, but also my hands and feet were very cold and my arms and legs were cold and clammy. This continued throughout the day. It is now 1/5 and I'm still having some nausea and my extremities are still cold and will sometimes tingle.

Other Meds: Vitamin D gummies

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm