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: 0965832
Sex: F
Age: 28
State: CA

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

Lab Data:

Allergies:

Symptoms: Fever, headache. Improved.

Other Meds:

Current Illness:

ID: 0965833
Sex: F
Age: 55
State: KS

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

Lab Data: None

Allergies: None

Symptoms: Foggy eye site, Migraine. patient took Tylenol Ibuprofen and Advil Cold/Sinus

Other Meds: None

Current Illness: None

ID: 0965834
Sex: M
Age: 53
State: SC

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

Lab Data:

Allergies: None

Symptoms: Approximately 1-2 hours after the dose, I developed a hoarse voice without sore throat, and a painful lump at the injection site. Beginning approximately 6 hours after the dose, I developed headache, fatigue, myalgias, abdominal pain, nausea, anorexia, orchialgia, fever, chills, sweats. These symptoms lasted approximately 36 hours.

Other Meds: Non3

Current Illness: None

ID: 0965835
Sex: F
Age: 42
State: FL

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vaccine 1/4 Left arm, ED visit 1/5 due to dizziness, light headed, chills, HA, fever went up to 102.0, almost passed out; oxygen given, HR rate went up to 230, started to have convulsions, o2 sats down, RR 70, given ativan for convulsions; Follow up with Care Spot 1/; MMI 1/13

Other Meds:

Current Illness:

ID: 0965836
Sex: F
Age: 28
State: AZ

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds: birth control and vitamins

Current Illness:

ID: 0965837
Sex: M
Age: 69
State: NY

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

Lab Data:

Allergies:

Symptoms: Received vaccine without complication. Has a known seizure disorder secondary to brain injury. Seizures often triggered by stress. During observation period, RN was made aware that patient had decreased responsiveness. States this is common activity for absent seizures which he has several per week. First set of vitals: HR 70, RR 20, SpO2 95% on RA. He was taken to tent where he became more alert and was A&O x 3 and recovered quickly. Second vital set taken 10 mins after first: HR 70, RR 16, BP 140/96, 97% on RA. Evaluated by provider: clear lung sounds, no signs of stridor or difficulty breathing denied any rash, SOB, CP, swelling of mouth or throat. Returned to baseline within 10 mins. Recommended to be evaluated at the ER though left AMA.

Other Meds:

Current Illness:

ID: 0965838
Sex: M
Age: 72
State: IN

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

Lab Data: None

Allergies: Demerol

Symptoms: Chills- 15 hours Headache- 15 hours- Tylenol Muscle aches- 24 hours Sweats after chills- 4 hours

Other Meds: Eliquis Losartan-HCTZ Amlodipine 24 hr. Allergy Atorvastatin Carbidopa-Levodopa Metoprolol Vitamin C, D3, Zinc, Multivitamin

Current Illness: None

ID: 0965839
Sex: F
Age: 50
State: PR

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

Lab Data: Emergency room Hospital, January 19 2021.

Allergies: Septra, Soma, Codeine, Bentyl.

Symptoms: Changes on skin pigmentation on hands, and superior lip.

Other Meds: Vitamin C, Vitamin D3.

Current Illness: N/A

ID: 0965840
Sex: F
Age: 34
State: CA

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

Lab Data:

Allergies:

Symptoms: Headache Fever

Other Meds:

Current Illness:

ID: 0965841
Sex: F
Age: 40
State: AZ

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

Lab Data:

Allergies: N/A

Symptoms: N/A

Other Meds: MULTI-VITAMIN

Current Illness:

ID: 0965842
Sex: M
Age: 43
State: CT

Vax Date: 12/31/2020
Onset Date: 01/08/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: No known Drug or food allergies

Symptoms: Patient received a dose of COVID vaccine MODERNA on 12/31/20 at Medical Center facility. 9 days later on 1/8/2021 patient received a dose of COVID vaccine. At that time, patient did not disclose he had a previous dose of COVID vaccine. at another facility. Pt received on 1/8/21 Lot # EL0142 Intramuscular in Left deltoid.

Other Meds: Advair Lipitor Lunesta flaxseed oil glipizide XL Jardiance Kazano montelukast paroxetine Ventolin

Current Illness: none

ID: 0965843
Sex: F
Age: 27
State: CO

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None performed

Allergies: None known

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA: Approximately three days after vaccine administration patient developed itching and redness of face and body. Went to urgent care and prescribed hydroxyzine which patient took and immediately relieved symptoms. No other medications administered and no other symptoms reported.

Other Meds: norgestimate-ethinyl estradiol

Current Illness: None reported

ID: 0965844
Sex: M
Age: 60
State: NJ

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

Lab Data:

Allergies: NONE

Symptoms: TEMP 99.1F , BODY ACHES, HOT FLASHES, CHILLS

Other Meds: NONE

Current Illness: NONE

ID: 0965845
Sex: F
Age: 34
State: IL

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

Lab Data:

Allergies:

Symptoms: Slight dizziness and feeling little weak in both the arms/hands within 5min of injection and lasted about 5min

Other Meds:

Current Illness:

ID: 0965846
Sex: F
Age: 90
State: VA

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

Lab Data: Left message with doctor, so far no response. Not concerned as I read of other cases on internet. Assume it will eventually go away.

Allergies: some painkillers, antibiotics

Symptoms: Moderna COVID-19 Vaccine EUA Itchy red rash on upper arm below injection site, appearing 7 days after injection. Now day 11, it contunes to spread.

Other Meds: Levothyroxine 50mcg 3xper week; Levothyroxine 75mcg, 4x week

Current Illness: none

ID: 0965847
Sex: F
Age: 26
State: UT

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

Lab Data:

Allergies:

Symptoms: 1 week after receiving the dose, I had a reaction near the injection site on my right shoulder. There is redness, swelling, itchiness, and it is warm to the touch.

Other Meds: Hailey FE 1-24

Current Illness:

ID: 0965848
Sex: M
Age: 75
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient contacted our team at 1709. Patient had covid vaccine at 1630 (Moderna lot# 025J20-2A) and complained he had elevated heart rate since the vaccine. Patient states has history of AFib, high blood pressure and takes multiple meds. 3-lead ekg placed on patient. Patient stated he was supposed to see MD today but didn't want to miss his vaccine. Patient has allergies to Iodine, Haldol. Home Medications: Lasix, Niacin, Xaralto, Oxybutyroin (BP), Coreg (BP), Zolpidem. Vitals @ 1710: BP 162/92, HR 84, RR 20, SP02 97 Vitals @ 1720: 160/113, HR 98, RR 20, SP02 97 Patient released home.

Other Meds:

Current Illness:

ID: 0965849
Sex: F
Age: 51
State: NJ

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

Lab Data:

Allergies: NKA

Symptoms: HIGH FEVER (102), BODY ACHES, NAUSEA, CHILLS, MIGRAINE, ARM PAIN. THE SYMPTOMS CAME ON GRADUALLY OVER THE FIRST 24 HRS AND THEN STARTED TO DISSIPATE AFTER ABOUT 36 HRS AND WERE COMPLETELY GONE IN 48 HRS. TOOK ADVIL. SLEEP.

Other Meds: ADVIL

Current Illness: NONE

ID: 0965850
Sex: F
Age: 72
State: FL

Vax Date: 01/09/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Two areas of redness, swelling and slight heat, one of 1/2" on the injection site and another @ 2" below of 1 1/2" diameter. No pain. No itching. No systemic symptoms

Other Meds: Levothyroxine. IBguard. Glucosamine. Vit E. Vit D. Calcium. Mg. Biotin.

Current Illness: None

ID: 0965851
Sex: F
Age: 51
State: OR

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

Lab Data:

Allergies: Cyclobenzaprine, PCN, Plaquenil, EES, Vicodin, Amitriptyline, Venlafaxine

Symptoms: 30 minutes after receiving injection, developed swollen, itchy eyes. Swelling still present but reduced as of 01/22/2021. OTC antihistamines helping.

Other Meds: Unknown

Current Illness: Unknown

ID: 0965852
Sex: F
Age: 79
State: WA

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

Lab Data: None

Allergies: All stations, sulfa, tape, like scotch tape, all antibiotics except Cept cefpodoxine

Symptoms: All joints sore and swelling, nausea, tired, headaches.

Other Meds: Levothyroxine .075 mg, lisinopril .20 mg., tramadol 1 mg per day, dorsal 2 drops daily, luminance one drop daily, calcium, cranberry, ouvite, vitamin D , ,red yeast rice, biotin,

Current Illness: None

ID: 0965853
Sex: F
Age: 82
State: MN

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

Lab Data: None

Allergies: Sulfas - hives

Symptoms: Called at 8 am this morning to inform me of a reaction to her COVID vaccine. She received the vaccine on Tuesday, 1/19/21. The next day she noted the back of her tongue on the R side was swollen. On Thurs, 1/21/21, she reports she woke up with the back of her tongue swollen on both sides such that she had some trouble speaking and needed to be very careful with chewing so she would not bite her tongue. She stated she also had drippy sinuses and an earache which then woke her up several times during the night last night. Today she reports the tongue swelling is only to the back R side of her tongue. She continues to have ear pain. She states she had not reported the symptoms to anyone before her call because she had not felt the symptoms were life-threatening. I asked her if she had taken any benedryl, and she stated the only medication she had taken was her analgesic herbal supplement. She states she has never had a vaccination reaction in the past. I advised her to call her PCP and be seen, which she was able to do. After she was seen, she called and stated while the clinician was looking at her tongue, it started to have shooting pains when she moved it to the right. The clinician stated her tongue and throat were not visibly swollen, noted no swollen lymph nodes, and noted no ear abnormalities.

Other Meds: Artificial Tears, Vitamin C, Flex MLT herbal supplement, Herbal ANG supplement, Osteo 8 herbal supplement, Knee and Ankle (CR) herbal supplement, Back Support (CR) herbal supplement.

Current Illness: None

ID: 0965854
Sex: U
Age: 81
State: CA

Vax Date: 01/13/2021
Onset Date: 01/18/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The first at 7am on 1/18/2021 and then today 1/19/2021 at 4am. Daughter says that per ppts husband, ppt woke up screaming in rage saying that she is going to die. Patient scratches herself, cried and sounds if she is in agony. The daughter wonders if it is a possible side effect from Covid vaccine ppt received on 1/13/2021. Per daughter, ppts husband would like to speak with Dr to discuss what has been going on and possible treatment needed. Patient states that she does not remember and states that she is going "crazy." Empirical escitalopram is added. Patient states that husband is reported to have positive COVID 19 test. Quarantine instruction is given.

Other Meds:

Current Illness:

ID: 0965855
Sex: F
Age: 58
State: AZ

Vax Date: 12/29/2020
Onset Date: 01/07/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: Brain MRI w/w/o - Negative for any acute changes MRA of the head and neck - no stenosis or vascular disease

Allergies: Codeine

Symptoms: 12/29/2020 - Moderna COVID 19 Vaccine #1 administered 1/7/2021 - Right ear pain, worsening over 7 days and not responsive to antibiotics 1/14/2021 - Right facial palsy; negative brain MRI w/w/o 1/21/2021 - Diagnosis of Ramsay Hunt syndrome by neurology

Other Meds: Atorvastatin Calcium 20 MG Tablet TAKE 1 TABLET BY MOUTH EVERYDAY AT BEDTIME Oral. Dexilant 60 MG Capsule Delayed Release TAKE 1 CAPSULE BY MOUTH EVERY DAY IN THE MORNING BEFORE BREAKFAST Oral. Propranolol HCl 20 MG Tablet T

Current Illness: None know

ID: 0965856
Sex: F
Age: 51
State: MD

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

Lab Data: Done at Hospital.

Allergies: no

Symptoms: received the Pfizer COVID-19 vaccine this morning and while walking back to work, experienced hypertension, tachycardia, diaphoresis, shortness of breath, anxiety and chest discomfort. Code Blue was called; she received supplemental oxygen and was given Aspirin 81 mg. Emergency Medical Services were contacted and arrived at 11:45 AM. She was assessed and an intravenous line was inserted. She was transported to an emergency room and left this facility at 12:20 PM. Update: was assessed and treated at Hospital. She was not admitted; she was directed to follow up with her primary care provider and to seek a referral to a cardiologist.

Other Meds: none

Current Illness: History of panic attack

ID: 0965857
Sex: F
Age: 24
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: HA, ACHY

Other Meds: OCP

Current Illness: NO

ID: 0965858
Sex: F
Age: 98
State: OH

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

Lab Data:

Allergies: no known

Symptoms: Severe nausea , insomnia , deep soreness at injection site

Other Meds: Levothyroxin ,Mirtazapine

Current Illness: depression, loss of appetite

ID: 0965859
Sex: F
Age: 60
State: IN

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

Lab Data: None

Allergies: None

Symptoms: Sore arm, severe headache- severe body aches, chills, low grade fever. Symptoms started 10 hrs after vaccination and lasted approximately 36 hours.

Other Meds: Fluoxetine, Trazodone, Magnesium, D3, Biotin, B12

Current Illness: None

Date Died: 01/21/2021

ID: 0965860
Sex: M
Age: 84
State: OH

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

Lab Data:

Allergies:

Symptoms: Patient had increased SOB while at home. EMS was called. Patient coded in the squad

Other Meds:

Current Illness:

ID: 0965861
Sex: M
Age: 45
State: CA

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

Lab Data: None

Allergies: Possibly penicillin/

Symptoms: Hard lump forming at injection site 8 days after vaccine. Red rash forming that is itchy. Rash currently at 2 inches circular. Injection warm to touch.

Other Meds: None

Current Illness: None

ID: 0965862
Sex: F
Age: 34
State: IL

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

Lab Data:

Allergies:

Symptoms: RN administered COVID vaccine dose of 0.5mL instead of 0.3mL. No adverse reactions were reported.

Other Meds: docusate, escitalopram

Current Illness:

ID: 0965863
Sex: M
Age: 75
State: MI

Vax Date: 11/13/2020
Onset Date: 11/01/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt reports to the pharmacy 70 days after vaccine was administered complaining of shoulder pain. Pt says that pain only started after immunization was given. He states having trouble going to sleep due to the pain and has already seen his Dr.

Other Meds:

Current Illness:

ID: 0965864
Sex: F
Age: 80
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient complained of swelling and felling hot. ECG done; Afib Benadryl 25 mg po given at 1530. BP 132/80 O2 sat 96% RR 15 HR 84 - 110 irregular Pt released home.

Other Meds:

Current Illness:

ID: 0965865
Sex: F
Age: 51
State: KS

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

Lab Data: None

Allergies: Mold, MMR Vaccine

Symptoms: Headache, body aches last for 1 day.

Other Meds: Fish Oil, Magnesium, Multi Vitamin, Vitamin C,B,D

Current Illness: None

ID: 0965866
Sex: F
Age: 74
State: MS

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

Lab Data: Have done nothing. Didn't know what to do. Figured it would go away. Going to make an appointment with my doctor, but didn't figure she'd know.

Allergies: Sulfa, one kind of penicillin

Symptoms: Pain in arm just below injection site Hurts to lift arm or lift anything. Seems to slowly be getting worse? Definitely is not getting better. I haven't pulled a muscle or such that I'm aware of. Has hurt since the injection, and gradually hurt more.

Other Meds: Synthroid, Nortriptyline, Vitamin B6, B12, D3, potassium, coq10, Magnesium

Current Illness: Sinus problems

ID: 0965867
Sex: F
Age: 31
State: NM

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

Lab Data:

Allergies: Codeine

Symptoms: I woke up at 0330 with chills and my injection site arm swollen and my lymph nodes under the same arm swollen. I can barley put my arm down.

Other Meds:

Current Illness:

ID: 0965868
Sex: F
Age: 36
State: NY

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

Lab Data:

Allergies: pcn

Symptoms: Severe headache and neck pain for two weeks. Tired and body ache Shingles on third week

Other Meds: None

Current Illness: None

ID: 0965869
Sex: F
Age: 37
State: OH

Vax Date: 12/24/2020
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: penicillin

Symptoms: Fever to 102.9, rigors, joint pain, nausea lasting 24 hrs

Other Meds: Fexofenadine the morning of 2nd vaccination. 1gm acetaminophen on morning of 1/22.

Current Illness: none

ID: 0965870
Sex: F
Age: 89
State: AZ

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

Lab Data: n/a

Allergies: N/A

Symptoms: Broke out with rash on forearms (right & left arms) and from pelvic area down front & back of legs. Did not itch but once noticed and would touch, then itch formed. Not severe or irritating, just present. No pain nor heat from rash. Still present on legs today, Friday, January 22, 2021. Cerave cream has helped relieve what itch is present. Not uncomfortable, irritating or painful.

Other Meds: Vitamins B12, D, Magnesium Oxide Culturelle 81mg Asprin 25mg Levothyroxine 50mg Losartan 10mg Oxybutynin

Current Illness: Discharged from 5 day hospital stay on Thursday, January 7, 2021 due to colitis and extreme severe constipation/dehydration. Was given RX for Polyethylene Glycol 3350 to be taken for 3 days/once a day as well as 875mg Amox-Clav for 5 days/twice daily once home.

ID: 0965871
Sex: F
Age: 46
State: WI

Vax Date: 01/15/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: Client seen by PCP day before onset of adverse event for scheduled appointment, labs done at that visit came back normal.

Allergies: Azithromycin, metformin, and eggplant

Symptoms: On 01/19/2021 afternoon client noticed left parotid gland swelling on left side of neck. Left side wit ear and base of neck was tender and painful to touch. Client has been taking tylenol, lemon candy lozenges, hot packs, and herbal tea. These have provided short periods of relief.

Other Meds: Tylenol and Advil

Current Illness:

ID: 0965872
Sex: M
Age: 68
State: GA

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

Lab Data: no

Allergies: no

Symptoms: Started last night, been having sinus problems. Took NyQuil. Had upset stomach.

Other Meds: Percocet, Losartan, Amlodipine, Proventalol, Lasix

Current Illness: no

ID: 0965873
Sex: F
Age: 80
State: TX

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

Lab Data: none

Allergies: PCN, Keflex, Sulfa

Symptoms: 5 cm redness and itching to the injection site.

Other Meds: Metoprolol, Triamterene/HCTZ

Current Illness:

ID: 0965874
Sex: F
Age: 68
State: NJ

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

Lab Data: None

Allergies: Keflex, sulfa, codeine, bee stings

Symptoms: Slight redness x 2 days after vaccination, then fully resolved. Today on 1/22/21 (8 days after vaccination) I have a reddened, raised area around the site of the shot. Not painful. I just noticed this today so it has not yet resolved.

Other Meds: Metoprolol, Pepcid, Claritin, Centrum Silver, magnesium, Vitamin C, Calcium with Vit. D, Zinc

Current Illness: None

ID: 0965875
Sex: M
Age: 41
State: TN

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

Lab Data: Was tested for covid which came back negative on January 20th 2021 at physicians. Also my blood was checked to rule out anything viral. Blood work was good.

Allergies: Penicillin , sulfur ,and shellfish

Symptoms: Cold chills along with a fever of 102.8. Severe headaches and body aches. Immediately started hydrating with water and Gatorade. Took tylenol for headaches and body aches. This lasted 2 full days intense and eased on the 3rd day.

Other Meds: Hrdrochlorothiazide, metformin, and rosuvastatin

Current Illness:

ID: 0965876
Sex: M
Age: 22
State: MI

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

Lab Data:

Allergies: PCN - rash

Symptoms: Within 1 minute of receiving vaccination, patient fainted - slumped in chair, clammy, and pale. Unresponsive to verbal stimuli. Eyes rolled back with some jerkiness in extremities. Resolved in about 1 minute. No respiratory distress. Became responsive to verbal stimuli and was alert and oriented. Drank one bottle of orange juice, and after 10 minutes of sitting, able to walk back to monitor area without issue. Observed another 20 minutes.

Other Meds:

Current Illness:

ID: 0965877
Sex: M
Age: 78
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient had tingling in lips and fingers. Benadryl 25 mg po given at 1021. 1021: BP 144/74 HR 58 RR 12 O2 sat 100% 1038: BP 144/68 HR 58 RR 15 O2 sat 99% Pt released home.

Other Meds:

Current Illness:

ID: 0965878
Sex: F
Age: 50
State: DE

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

Lab Data: unknown

Allergies: unknown

Symptoms: unknown

Other Meds: unknown

Current Illness: unknown

ID: 0965879
Sex: F
Age: 34
State: CA

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

Lab Data:

Allergies:

Symptoms: 0931 patient received vaccination within 60 second she verbalized sensation to the right side body; chest itchy, felt throat closing Ice pack provided 1950 pt states throat feels better, not as constricted ; hot under mask area only; denied itching 1000 patient reports the feels "perfectly normal" ER precautions provided for follow-up if symptoms return

Other Meds:

Current Illness:

ID: 0965880
Sex: F
Age: 28
State: CA

Vax Date: 01/14/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: N/A

Allergies: NKA

Symptoms: Redness around injection site, hot to touch, swollen, and itchiness.

Other Meds: None

Current Illness: None

ID: 0965881
Sex: F
Age: 36
State: OR

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data: Brain MRI pending

Allergies: clindamycin, doxycycline, sulfa, ibuprofen

Symptoms: Numbness of the right half of her tongue

Other Meds: Fluryng, acyclovir, topical pimecrolimus and clobetasol, lotemax

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm