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: 0965985
Sex: F
Age: 71
State: FL

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

Lab Data: Follow up by PCP.

Allergies: Bee stings & glutin foods.

Symptoms: Client immediately got a metallic taste in her mouth. Within two days she had thrush. Her physician treated her with a "Miracle Wash". It took about two weeks to completely go away. Woke up with a horrible burning tongue on 01/21/2021. On 01/19/2021 noticed a huge egg shaped rash at the injection site.

Other Meds: Thyroxin .88mcg

Current Illness: None

ID: 0965986
Sex: F
Age: 29
State: MD

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

Lab Data:

Allergies:

Symptoms: Patient received her second covid vaccine 1/19/21. Patient returned within the hour of receiving the vaccine concerned that the vaccine was given incorrectly . After consultation with pharmacy, nursing and company it was recommended the patient would need to have the second dose repeated. The patient returned 1/22/21 and received a repeat second covid vaccine.

Other Meds:

Current Illness:

ID: 0965987
Sex: F
Age: 51
State: IN

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

Lab Data: None

Allergies: Penicillin, sulfa

Symptoms: Developed a fever and bad body aches around 9:00 pm the evening of the shot. My stomach was very upset and couldn?t eat. Had bad headache.

Other Meds: Sertraline, metoprolol, protonix

Current Illness: None

ID: 0965988
Sex: M
Age: 25
State: AZ

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

Lab Data:

Allergies: nickel

Symptoms: Flu-like symptoms the morning after injection. Around 9pm the day after injection, began shaking uncontrollably and was unable move or speak, fever rose to 104.8. Shaking subsided about one hour and fever persisted into the next day around 101-103.

Other Meds: Zyrtec, fluticasone propionate

Current Illness: None

ID: 0965989
Sex: F
Age: 41
State: CA

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

Lab Data:

Allergies: sulfa, Latex, Kiwi Fruits

Symptoms: Pfizer COVID-19 Vaccine EUA. At 1317 (18 minutes after vaccine administered) Patient observed to have rash to chest and neck. Patient stated she felt "warm in her neck and inner thighs". Rash progressed to ears and face. Patient stated she was having "tingling in the mouth w/progression to her face and eyes. Patient taken to triage area for observation, VS Q 5 mins. Patient noted to have tachycardia PR 103 and elevated BP 178/100 on initial VS. Pulse rate decrease after 5 minutes to 95. BP remained elevated. Patient placed on gurney in recumbent position and water given. Patient given a mirror to view face and patient stated " my face is swollen slightly". Absent selling to lips or tongue. EPI pen 0.3mg/0.3ml auto injector administered at 1339.patient transported to site ED for further evaluation. O2 applied enroute to ED at 4L/min via NC when patient stated she felt a little lightheaded. Patient care transferred to ED and report given.

Other Meds: Vyvance 30mg Q am, Abilify 2mg Oral Tab Daily

Current Illness: unknown

ID: 0965990
Sex: F
Age: 75
State: AL

Vax Date: 01/09/2021
Onset Date: 01/16/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Developed a 10 mm local reaction at the injection site that was first pruritic , then warm and mildly tender increasing to the size of a tennis ball over 24 hours. At that point , subcutaneous reaction was hard, indurrated , mildly painful to touch to touch and covered by erythema like a giant local reaction to an allergy shot. Skin over the site remained erythematous and pruritic. I treated with high potency topical steroids as there was was limited pain, no fluctuance or pointing and no fever by thermometer. The reaction decresed in size over 5 dayof topical steroid use.

Other Meds: none

Current Illness: none

ID: 0965991
Sex: F
Age: 56
State: AR

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

Lab Data: NONE

Allergies: PCN, KEFLEX, CODINE

Symptoms: HA, BODY ACHES, JOINT PAIN

Other Meds: SYNTHROID, HCTZ, LOSARTAN, B12, DEXILANT, AMBIEN

Current Illness: COVID 1 MONTH PRIOR

ID: 0965992
Sex: F
Age: 35
State: MN

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

Lab Data: NA

Allergies: NA

Symptoms: Bell's palsy. on prednisone 60 mg daily. improving

Other Meds: NA

Current Illness: NA

ID: 0965993
Sex: F
Age: 46
State: MS

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

Lab Data:

Allergies: penicillin, codeine, Keflex, Phenergan IV, Demerol

Symptoms: Fever, body aches, nausea, fatigued, increased heart rate, chills, sweating

Other Meds: Lexapro, estradiol, testosterone compound, tums, ibuprofen

Current Illness:

ID: 0965994
Sex: M
Age: 74
State: NE

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

Lab Data:

Allergies:

Symptoms: ON 1/20/21 @0600 DEVELOPED WEAKNESS, LETHARGY, EXTREME FATIGUE, AND DIMINISHED APPETITE THAT RESOLVED 1/21/21 @0800

Other Meds:

Current Illness:

ID: 0965995
Sex: F
Age: 69
State: FL

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

Lab Data: none

Allergies: none

Symptoms: Fine until 1/22/21. Noticed a pinkish red circle at the site. of injection .No raised bump or any other markings. A bit warm but not hot to the touch.

Other Meds: Raloxifene 60 mg 1 a day, Levothyroxine 50 mcg a day, Hydrochlorothiazide 12.5 mg tab

Current Illness: none

ID: 0965996
Sex: F
Age: 40
State: CO

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

Lab Data: None

Allergies: Shellfish

Symptoms: Localized rash approximately 6 cm x 4 cm at injection site of redness, swelling, itching, pain, hives. Did not treat but will use an antihistamine if worsens.

Other Meds: None

Current Illness: None

ID: 0965997
Sex: F
Age: 55
State: IN

Vax Date: 01/06/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: no tests - telemed with my primary care - she suggested I report the reaction

Allergies: Shell Fish

Symptoms: Area on right upper arm itchy, warm to touch, red and slightly swollen.

Other Meds: Atenolol Levothyroxine Baby Aspirin Calcium Fish Oil Benadryl Zolpidem Hydrochlorothiazide

Current Illness: none

ID: 0965998
Sex: M
Age: 44
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 0.5 mL of the COVID-19 vaccine instead of 0.3 mL. No adverse reactions were documented.

Other Meds:

Current Illness:

ID: 0965999
Sex: F
Age: 35
State: CA

Vax Date: 01/07/2021
Onset Date: 01/15/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: During morning pill line on 01-15-21, this patient showed me a bruise on the arm where she received her covid shot. The arm was warm in comparison to the other arm, and was visibly raised. She mentioned that the warmth she felt was bothersome.I checked her arm again Saturday morning, and it was again raised, and warm. On 01-17-21, the bulging raise on her arm is still there, but she has not experienced any uncomfortable warm feeling. This resolved on 01-19-21. Patient was seen by provider who examined her and prescribed ibuprofen 600mg

Other Meds: buprenorphine

Current Illness: opioid use disorder

ID: 0966000
Sex: F
Age: 29
State: MA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I woke up the morning after the vaccine and felt very nauseous with occasional lightheadedness. I was also extremely fatigued and found it difficult to get out of bed or off of the couch. I had a severe headache that lasted the majority of the day. Thursday's are typically my day off therefore I did not have to call out of work sick, however I most likely would have if I had been scheduled that day.

Other Meds: birth control

Current Illness:

ID: 0966001
Sex: F
Age: 50
State: TN

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Good afternoon patient wanted me to inform you of a couple of symptoms I have been experiencing, the injection was in my right arm and since then my entire arm has felt like it is asleep. also the right side of my neck has more stiffness and pain than usual. pain in my neck is nothing new due to my motorcycle accident long ago however since the injection it has gotten worse.

Other Meds:

Current Illness:

ID: 0966002
Sex: F
Age: 47
State: AR

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

Lab Data: None

Allergies: Sulfa drugs

Symptoms: 1/19/2021 8:53 am - got the vaccine 10:00 am - my lips became numb, then the tip of my tongue, tip of my nose, my chin, my forehead, then my cheeks; bp was 172/98 and heart was palpitating; took a Pepcid and benedryl 11:00 am - went to ER to be monitored 4:00 pm - the back of my throat starting tingling and becoming numb; I took Pepcid and benedryl 10:00 pm - took another Pepcid and benedryl 1/20/2021 6:30 am - I took a Pepcid and benedryl. 1:25 pm - headache, my chin, tip of my nose, left cheek, forehead is numb; I took a Pepcid and benedryl 10:15 pm - bottom lip started getting numb 1/21/2021 8:50 am - bottom lip is tingling, tongue is numb, cheeks are tingling; I took a benedryl and Pepcid 1/22/2021 11:00 am - numbness in my cheeks, chin, eyebrows 11:50 am - headache 1:50 pm - numbness in the tip of my nose and moves to cheeks, chin, lips, forehead

Other Meds: SloFE - one 40 mg - once a day Losartan - one 25 mg - once a day Amlodipine - one 5 mg - once a day Pantoprazole - one 40 mg - twice a day Emgality - 120 mg - once a month But/Acetaminophen/Caf - as needed for migraines Vitamin E - 180 mg -

Current Illness: None

ID: 0966003
Sex: M
Age: 71
State: LA

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

Lab Data: Called pharmacy who administered the vaccine and was told to take Tylenol every 4 hours. The Tylenol seems to be working because fever has dropped to 99.8

Allergies: ace inhibitors

Symptoms: Experience fever 0f 101.7 and took two Tylenol tablets. Experiencing joint and muscle pain along with some dizziness

Other Meds: low dose aspirin atorvastatin hydrochlorothiazide tamsulosin finasteride amlodipine

Current Illness: none

ID: 0966004
Sex: F
Age: 39
State: NJ

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

Lab Data: none

Allergies: none

Symptoms: fever, chills, myalgia, headache, skin sensitivity

Other Meds: none

Current Illness: none

ID: 0966005
Sex: F
Age: 65
State: NJ

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

Lab Data: None

Allergies: No Known Allergies

Symptoms: Vaccine recipient stated that she believes the vaccine was not administered the correct route and was administered subcutaneously rather than intramuscularly. Vaccine was administered on 1/20/21. Recipient reported that she began to develop redness and a lump under the skin where she claims vaccination occurred on 1/21/21.

Other Meds: Baby Aspirin

Current Illness: Unknown

ID: 0966006
Sex: F
Age: 81
State: TN

Vax Date: 01/06/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: Tegretol

Symptoms: Red oblong circled area at base of deltoid muscle area. area is red, warm and slightly swollen. non tender. slightly larger today than yesterday. area size is 9cm x 6.5 cm Treated with ICE pack TID and elevation of left arm. Will continue to monitor

Other Meds: Levothyroxine, Asa, Lexapro, Allegra, Hydrochlorothyiazide, Vitamin D2, Buspar, Pepcid, Flonase, Norco, Levsin, Keppra, Lopressor, Ocusoft lid scrub, Senna, Lipitor, Klonopin, Depakote, Melatonin, Trazodone, Vitamin B12

Current Illness: None

ID: 0966007
Sex: F
Age: 20
State: IN

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

Lab Data:

Allergies: None

Symptoms: Nausea, fatigue, headache, and body aches Treated with rest and Ibuprofen taken ever 4-6 hours Symptoms subsided within 24 hours of the start date

Other Meds: Yaz Birth Control

Current Illness: None

ID: 0966008
Sex: M
Age: 60
State: AZ

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

Lab Data: None

Allergies: None

Symptoms: Felt like a wasp sting at injection, very euphoric 8 minutes later and began the sweats, face is flushed and full feeling and medium headache

Other Meds: Chlorthladone, flow max, baby asperin, trichlor, Lipitor

Current Illness: None

ID: 0966009
Sex: F
Age: 49
State: MD

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

Lab Data:

Allergies: Penicillin, Sulfa

Symptoms: The injection was painful and took her awhile to push in and bout 2 hours later i started having pain which progressed over the next 2 days. I was unable to move my shoulder and I received an MRI on 12-30-2020 and saw an orthopedic surgeon on 12-31-2020 who said it was injected too high and went into my rotator cuff and into my tendon.

Other Meds: None reported

Current Illness: None reported

ID: 0966010
Sex: M
Age: 83
State: NE

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

Lab Data:

Allergies:

Symptoms: ON 1/20/21 @0615 DEVELOPED WEAKNESS, NAUSEA, CHILLS, POOR APPETITE THAT LASTED 24 HOURS

Other Meds:

Current Illness:

ID: 0966011
Sex: F
Age: 40
State: NC

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

Lab Data: 101 oral temperature

Allergies: None

Symptoms: 101 fever and sever body aches 12 hours after second dose. Extreme fatigue for another 24 hours. 36 hours after vaccine felt perfectly normal again.

Other Meds: None

Current Illness: None

ID: 0966012
Sex: F
Age: 53
State: PA

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

Lab Data: Covid test negative- done 1/15

Allergies: none

Symptoms: Started with shaking chills at 11:45 pm 1/10/21 and fever spikes up to 103 degrees with body aches, nausea, vomiting and diarrhea, continuous headache for 4 days. Then started with productive cough and dyspnea on exertion. Took Tylenol initially and then Proair inhaler starting 1/15

Other Meds: Tylenol 1000 mg and Motrin 400 mg taken at 2 pm

Current Illness: none

ID: 0966013
Sex: M
Age: 73
State: WA

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: 01/06/21 ER standard laboratory tests were performed.

Allergies: Penicillin, Erythromycin

Symptoms: Reported on 01/06/21 at 2:00am felt nauseated. By 8:00 felt feverish, temperature was 99.0 F. By 10:00 am symptoms had not resolved. Went to ER for evaluation.

Other Meds: Rhythmol. Wixela Inhaler ,Latanoprost, Opht, Clindamycin

Current Illness: Hospitalization for COPD Exacerbation

ID: 0966014
Sex: F
Age: 67
State: TX

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

Lab Data:

Allergies: None

Symptoms: Sensation of left facial swelling but physically not.

Other Meds: Amlodipine, Naproxen, Ibuprofen, Flexeril

Current Illness:

ID: 0966015
Sex: F
Age: 33
State: IL

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

Lab Data:

Allergies: unknown

Symptoms: Patient felt severe pain at injection site immediately after receiving vaccine. Within 15 min her arm was hot, red and mildly swollen and severely painful. During observation period patient felt "high" lightheaded, with blurry vision. She stated she had not eaten anything since breakfast. She was given a granola bar and orange juice. Her symptoms seemed to improve after snack. After a short persio (10 min) she stated her symptoms returned (lightheaded, "high" ) we called 911 and gave epinephrine 0.5mg IM, diphenhydramine 50mg IM, and diphenhydramine 25mg orally. Ambulance transported her to ER for assessment.

Other Meds: unknown

Current Illness: unknown

ID: 0966016
Sex: F
Age: 45
State: TX

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

Lab Data: none

Allergies: Aspirin and penicillin, NKFA

Symptoms: patient started having fatigue the day of vaccine. Then the next day started running fever 100.9 and took 1 motrin 600mg . The fever broke in the middle of the night.. On 1/18/2021 patient started to have itching , redness, swelling from injection site to right above elbow. Symptoms are still present but are decreasing.

Other Meds: Depakote 500mg 1 po BID Elderberry 1 po QD Motrin 600mg 1po once daily

Current Illness: none

ID: 0966017
Sex: F
Age: 48
State: IL

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

Lab Data: None

Allergies: Acidity in tomatoes, vinegar, mustard Strawberries

Symptoms: I recevied the vaccine at 3:00 4:30 I started to itch 5:15 I got home and I noticed that my neck and chest was red and I noticed a rash .. The rash was across my neck, shoulder and breast area Took Benadryl which helped a little Later that evening I had a rapid heart rate that lasted an hour .. Hot flashes , I was very nauseas. I could not sleep the next day the rash was still there but no itching I discovered the knots on my lymph nodes they were swollen and red.. I noticed sharp pain in my neck as well.

Other Meds: Vitamin D 40MG Nexium 10 MG Zyrtec

Current Illness: None

ID: 0966018
Sex: F
Age: 59
State: MI

Vax Date: 01/11/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Sulfa antibiotics, anything with steroids

Symptoms: Received 1st dose of vaccine on 12/21/2020. Developed rash and itchiness on (R) hand between (2) middle and (3)ring finger a couple days afterward. Started to go away. Received second dose of COVID-19 on 1/11/2021. Rash continued to worsen. Noticed red rash on neck starting around 1/17/2021. Describes as "just a few red bumps and really itchy". "It felt like poison ivy itching". 1/20/2021, rash appeared to look like hives, swelling, and itchiness intensified. 1/22/2021, swelling subsided some, continues with rash and itchiness.

Other Meds: none

Current Illness: none

ID: 0966019
Sex: F
Age: 54
State: WA

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: sulfa drugs, Keflex, PCN

Symptoms: redness, swelling and slight itchiness to left arm

Other Meds: vitamin d and calcium

Current Illness: none

ID: 0966020
Sex: F
Age: 49
State: VI

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

Lab Data: N/A

Allergies: Sulfur Percocet Contrast Dye

Symptoms: Hives. Not itchy. Comes and goes. Hives will appear at night and leave in the morning. Area hives appear is on forehead and back left shoulder.

Other Meds: N/A

Current Illness: N/A

ID: 0966021
Sex: M
Age: 21
State: WA

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

Lab Data: elevated troponin Global hypokinesia on Echo ,EF drop to 40%

Allergies: pollen extract

Symptoms: fever , sore throat , chills , chest pain and fatigue

Other Meds: ibuprofen

Current Illness: none

ID: 0966022
Sex: F
Age: 85
State: MA

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

Lab Data: HOSPITAL RAN FULL LAB TEST ON 01/19/2021 AS OF 01/22/2021 SHE WAS STILL IN THE HOSPITAL

Allergies:

Symptoms: PATIENT RECEIVED THE SECOND COVID-19 VACCINE DOSE ON 01/18/2021 THROUGH A PHARMACY CLINIC THAT CAME TO THE FACILITY. THE FOLLOWING DAY SHE HAD CHANGE IN MENTAL STATUS AND HYPOXIA. LATHARGY WITH OXYGEN SATURATION OF 84%. DEHYDRATION

Other Meds:

Current Illness:

ID: 0966023
Sex: F
Age: 53
State: IN

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

Lab Data: NA

Allergies: NKA

Symptoms: Received dose on 1/20/2021 at 0818 by 1400 had a horrible headache. At 2100 started having body aches all over body. Injection site pain as well. On 1/21/2021 at 0500 began having chills and running a fever of 102.4. The head ache subsided around 1800. The body aches and fever were gone by 0700 on 1/22/2021. At this point (1/22/2021 1450) just exhausted, but no other aches or pains. During the time of the head ache initially took Tylenol which did nothing. Then took a low dose of Ibuprofen which took an edge off.

Other Meds: Zyrtec, Flonaze

Current Illness: NA

ID: 0966024
Sex: F
Age: 78
State: FL

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

Lab Data: none

Allergies: Tetanus, Vancomycin, Penicillin, codeine, Gentamicin, Guaifenesin, Percocet, Doxycycline, Oseltamivir Phos

Symptoms: After 9 days my arm developed a bump under the skin, turned red (with the red increasing by the next day) and itching real bad, and sore to the area. I called my doctor and was told to put ice on it and rub it. I did not understand why after 9 days I was having what I called a reaction to the shot.

Other Meds: L-Throxine, Crestor, Ibandronate Sodium, Gabapentin, restasis, Medical Marijuana, Caltrate, Mura 128 eye ointment, Vitamin D3, Retaine, ,pepcid None

Current Illness: None

ID: 0966025
Sex: F
Age: 33
State: FL

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

Lab Data: N/a

Allergies: Penicillin

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

Other Meds: Tri sprintec, zyrtec

Current Illness: N/a

ID: 0966026
Sex: F
Age: 27
State: OH

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

Lab Data: N/A

Allergies: N/A

Symptoms: After 5:00 PM on date of vaccine, patient had fever (102 F Max), chills, muscle aches, nausea, vomiting, and dizziness. Patient reports severe symptoms lasting until following morning. 2 Tylenol ES (1000 mg total) taken 22Jan20201 at 8:00 am followed 600 mg ibuprofen at 1:00pm. At current time (2:55 PM) only muscle aches/weakness remain reported.

Other Meds: Lexapro Oral contraceptive

Current Illness: N/A

ID: 0966027
Sex: F
Age: 73
State: TN

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

Lab Data: none

Allergies: Avalox

Symptoms: day of vaccine: sore arm 24 hrs post vaccine: chills, fever (100.5) , general weakness, (hard time walking) headache, nausea These lasted 12+ hrs. They were as rough as the onset of Covid that I experienced Dec 4+

Other Meds: Diltiazem, sertraline, ruvostatin, montelucast, lisinopril advair, zyrtec, Vit B and D, caltrate, Potassium, Robaxin, Naprosyn

Current Illness: Covid, diagnosed Dec 4, 2020 severe back pain from cough due to Covid asthma high blood pressure

ID: 0966028
Sex: F
Age: 39
State: MI

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: Platelets - 1

Allergies: Prozac

Symptoms: Petechial rash

Other Meds: Zoloft

Current Illness: Dental infection

ID: 0966029
Sex: F
Age: 21
State: WA

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: hives

Other Meds: none

Current Illness: none

ID: 0966030
Sex: F
Age: 55
State: NJ

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

Lab Data:

Allergies: SEASONAL

Symptoms: 1/19/2021 7PM UNTIL 1PM 1/20: HEADACHE, CHILLS, LOW GRADE FEVER (100.9), BODY ACHES, SIGNIFICANT SORENESS AT INJECTION SITE. TOOK TYLENOL 7AM 1/20.

Other Meds: NONE

Current Illness: NONE

ID: 0966031
Sex: F
Age: 43
State: AR

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rash on neck appeared 2nd morning after 2nd Pfizer vaccine given. She noted it really didn't itch unless the area was touched or rubbed. Reported redness, "welps." Improved on its own after 1 week

Other Meds:

Current Illness:

ID: 0966032
Sex: F
Age: 92
State: NY

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None.

Allergies: None

Symptoms: the following day 1/14/21 was extremely fatigued and had the big red mark and itch in the area of the injection. It went away and 8 days later 1/21/21, 2" diameter big red area that was itchy came out. No pain in the arm unless touched, hard to touch. Still has red hard area, warm to touch.

Other Meds: Amlodipine, simvastatin, chewable Viactiv.

Current Illness: None.

ID: 0966033
Sex: F
Age: 71
State: NJ

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

Lab Data:

Allergies: penicillin & sulfur

Symptoms: COVID-19 Vaccine EUA

Other Meds: High Blood Pressure Medicine Thyroid Medicine

Current Illness: no

ID: 0966034
Sex: F
Age: 76
State: FL

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

Lab Data: None

Allergies: Not that I know of.

Symptoms: Acid indigestion, just tired. One incident of being a little short of breath. Checked my oximeter and my blood oxygen level was good and heart rate was good. Oxygen 95 and heart rate 70.

Other Meds: Lantas solarstar 30 units a day, 3 water pills, 1 glipizide, vitamin, glucosamine, 5 psyllium pills, digoxin, 2 full grain aspirins

Current Illness: No

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm