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: 0966388
Sex: F
Age: 39
State: TX

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

Lab Data: none

Allergies: none

Symptoms: 2-3 inch diameter region of redness, firm underlying tissue, mild swelling starting on Day 2; itchiness began Day 3. Symptoms still persist on Day 9.

Other Meds: multivitamin

Current Illness: none

ID: 0966389
Sex: F
Age: 51
State: IL

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

Lab Data:

Allergies: penicillin

Symptoms: "by about 8 hr after I developed chills, low temp, body aches, headache, lasted 24 hours, took tylenol after 4-6 hr."

Other Meds:

Current Illness:

ID: 0966390
Sex: F
Age: 41
State: NY

Vax Date: 01/10/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Red swollen area surrounding injection site, sore arm, fatigue. Ongoing but redness is fading today. Started on day 10 after vaccine. Initially arm was just sore for 3 days after injection and then felt totally better.

Other Meds:

Current Illness:

ID: 0966391
Sex: F
Age: 91
State: OH

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

Lab Data:

Allergies: Unknown

Symptoms: Patient reports elevated blood glucose readings into the "200's," shortness of breath and fatigue within 24 hours of receiving the Pfizer COVID-19 vaccine.

Other Meds: Ciprofloxacin; atorvastatin; aspirin; cranberry; cinnamon; zinc; vitamin C; vitamin D3

Current Illness: Diabetes mellitus type 2; hyperlipidemia; frequent UTIs

ID: 0966392
Sex: F
Age: 28
State: OR

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

Lab Data: N/a

Allergies: N/a

Symptoms: COVID-19 Vaccine EUA; Over a week after first vaccination, the injection site appeared red and inflamed in an uneven circle, about 3 inches in diameter. I also felt a resurgence in headache and muscle pain. The redness decreased over the following 3 days and muscle soreness subsided after 24-36 hours.

Other Meds: N/a

Current Illness: N/a

ID: 0966393
Sex: F
Age: 72
State: NY

Vax Date: 01/16/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Penicillin I have been tested for food allergies and have none. I occasionally break out in hives.

Symptoms: Vomiting on and off for 12 hours.

Other Meds: Nifedipine ER 30mg/ Bystolic 05mg/ Chlorthalidon 25mg Phobiotic/Biotin/D3-mcg Vit C 500mg

Current Illness: N/A

ID: 0966394
Sex: F
Age: 61
State: OH

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

Lab Data:

Allergies:

Symptoms: Throat felt tight with blood pressure and pulse elevated about 15 minutes after giving vaccine. 30 mins after vaccine was given blood pressure and pulse still elevated. 45mins after vaccine was given throat was no longer tight but patient reported lower gums felt swollen. No swelling visable. Blood pressure and pulse remained elevated. Approximately 1 hour after vaccine was administered the patient reported that her gums no longer felt swollen but her blood pressure and pulse remained elevated although had decreased some since initial readings. Decision was made for her to go to the emergency department. Called the patient later in the afternoon on 1/13. She was still in the emergency room. Her blood pressure was still elevated and they were planning on giving her an intravenous medication to try to lower it.

Other Meds: Blood pressure medication

Current Illness:

ID: 0966395
Sex: F
Age: 29
State: NY

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

Lab Data:

Allergies: N/A allergies; lactose intolerant

Symptoms: 1/22/2021: Delayed reaction - mild, itchy rash spreading on/around injection site (about 2 to 3" diameter) Day 1-3: Extreme soreness/sensitivity at injection site Day 6: Mild sensitivity at injection site, notice site around it turned pink Day 7: New rash spreading on/around injection site

Other Meds: N/A

Current Illness: N/A

ID: 0966396
Sex: M
Age: 92
State: CA

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

Lab Data: None

Allergies: Sipro

Symptoms: Starting the day after the vaccine, severe left shoulder pain and left leg pain. The left knee joint was especially painful. The night of January 21, 2021, the patient could hardly walk the pain was so bad. January 22, 2021 the pain subsided considerably in the shoulder. The leg pain is improved and the knee joint pain has subsided, although the knee joint still hurts more than the shoulder or leg. This was all reported to the patient's primary care physician.

Other Meds: Amlodipine, Pantoprazole, Atorvastin, Tamsulosin HCL, Allopurinol, Paxil, Symbicort, Albuterol, Tumeric

Current Illness: None

ID: 0966397
Sex: F
Age: 54
State: NY

Vax Date: 01/05/2021
Onset Date: 01/09/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: MRI with gadolineum: chronic microvascular changes consistent with small vessel disease ( 1-12-20)

Allergies: phenergan

Symptoms: Received shot pn January 5, 2021. After a few days with intermittent headaches, I awoke on January 9, 2021 with severe dizziness. I could not ambulate without looking down at the ground. This grew worse over the next few days. I was seen by a Neurologist on January 12, 2021 who based on my neurological exam ordered me an MRI of the brain with gadolinium. Dizziness persisted and I could not work for three days that week . After a two week period, it became more intermittent in nature.

Other Meds: propanolol 15m bid climera pro one patch weekly

Current Illness: none

ID: 0966398
Sex: F
Age: 21
State: NJ

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

Lab Data: Typical lab work and observation admission

Allergies: Peanuts, Tree Nuts, and Shellfish

Symptoms: Patient began to have hives and required epinephrine and then 3.5 hours later required the same treatment and admission for further monitoring.

Other Meds: Lexapro, Birth Control, Vitamin C

Current Illness: None

ID: 0966399
Sex: M
Age: 49
State: MT

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: severe tinnitus and loss of hearing as some tones. persistent since day after vaccination and continuing through time of reporting to VAERS.

Other Meds: lisinopril 40mg, vitamin d3, cetirizine 10mg

Current Illness: none

ID: 0966400
Sex: F
Age: 89
State: MI

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

Lab Data: n/a

Allergies: Penicillin, Sulfa drugs, Heparin, Isosorbide, Pyridium, Tamsulosin

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA: Nausea & vomiting, diahrrea. Treated with Zofran (generic) and OTC Immodium

Other Meds: Losartin 100mg, Atorvastatin 10mg, Amlodipine 10mg, Zofran 4mg, Mirtazipine 30mg, Tramodol 50mg, Antivert 25mg, Prilosec 20mg, Carvedilol 6.25mg, Vitamin D 100mcg, Immodium OTC, women's multivitamin, Clopridigel 75mg, Aspirin 81mg.

Current Illness:

ID: 0966401
Sex: F
Age: 64
State: GA

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

Lab Data:

Allergies: N/A

Symptoms: With 10 min of vaccination, Heaviness and numbness in arm, cool tingling going from top of both legs down to toes, warm rush and tingling starting at lower back and going up back and chest, nausea. The feeling in chest and back would last about 10 seconds, subside for a little while and then start again. This happened off and on for about an hour. The tingling in legs continued for about 2 hours. About 1 hour after I received vaccine I started having vision problems, blurriness, strange spots /lights , had trouble focusingnmyneyes. Then a terrible headache set in. I have had similar vision problems with a migraine headache in the past. Felt like it triggered a migraine. Vitals were normal. Checked out by EMS and went to local ER.

Other Meds: Levothyroxine, escitalopram

Current Illness: N/A

ID: 0966402
Sex: M
Age: 68
State: AZ

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

Lab Data:

Allergies: NONE

Symptoms: None stated.

Other Meds: LEVOTROXINE 0.025MG/METOTROPOL50MG/ELIQUIS2.5MG/CARTIA240MG/

Current Illness: NONE

ID: 0966403
Sex: F
Age: 32
State: IA

Vax Date: 01/12/2021
Onset Date: 01/15/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: no tests taken related to this

Allergies: none

Symptoms: I had the first vaccine with no adverse side effects and had no adverse side effects right after the second dose but approximately 2 or 3 days after I had facial swelling about my eye lids. Then, the evening of 1/20, I developed hives all over both legs. They were still there the next morning and I took Benadryl and later loratadine and they eventually went down. Later in the evening on 1/21 they came back so I took a Zyrtec and the next morning they were worse and were on my legs and arms and shoulders. I called employee health and the doctor directed me to take Zyrtec twice daily and also to take a Pepcid daily. At this point in the afternoon on 1/22, I still have the hives but they seem to be slightly improving as the day goes on.

Other Meds: metoprolol succinate 100mg daily losartan 75mg daily hydrochlorothiazide 37.5mg daily ortho tri cyclen daily Zyrtec 10mg daily

Current Illness: none

ID: 0966404
Sex: F
Age: 23
State: WI

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

Lab Data:

Allergies:

Symptoms: Normal pain, redness, and swelling at the injection site the day of and the day after the vaccine. Bruise present, but fading during the week after the vaccine. 8 days after the vaccine (Today 01/22/21), new blotchy redness, warmness, and slight itching at the injection site.

Other Meds:

Current Illness:

ID: 0966405
Sex: F
Age: 20
State: NM

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

Lab Data: N/A ?

Allergies: Penicillin and Amoxicillin allergic to nickel

Symptoms: 7 to 8 days after shot I have been getting an allergic reaction in the left arm (where I received the shot) to the left of the injection site and slightly below. It comes and goes but will flare up and become itchy at random times. There is small swelling in the itchy area but not a huge bump on arm, only slight risen and very red, work/ hot feeling in the area. Currently feeling this now 1/22/21 as I fill this form out but it is going away, again.

Other Meds: N/A

Current Illness: N/A

ID: 0966406
Sex: F
Age: 36
State: MA

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

Lab Data: NA

Allergies: mango, almonds,apples, avocado, peach , pear, pineapple

Symptoms: pt started with persistent cough , airway swelling and difficulty swallowing. IM benadryl 25 mg given and 0.3 mg Epi via Epi auto injector 911 called pt transported to ED

Other Meds: pepcid,

Current Illness: unknown

ID: 0966407
Sex: F
Age: 60
State: WI

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

Lab Data: None/ did not f/u with doctor- limited activity and treated symptomatically

Allergies: sulfasalazine- anemia Macrobid latex Lobster/ scallops/ oyster/ but NOT shrimp/ blue crab

Symptoms: R thumb swollen painful hot to touch at IP joint- still tender/ minimally swollen two weeks later and does not yet bend all the way Sore arm x1 day / site of injection only L arm

Other Meds: MVI/ Vit D/ TUMs

Current Illness: None

ID: 0966408
Sex: F
Age: 30
State: CO

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

Lab Data: N/A

Allergies: NSAIDs

Symptoms: 7 hours post vaccination, right arm stiffened with shooting nerve pain from neck to fingers. At 9 hours post vaccination, also developed nausea, muscle/joint aches, fever, chills, and severe headache. Tmax was 102 F, but averaged at 100 F for at least 24 hours (11 PM 1/20/21 - 11 PM 1/21/21); cannot gauge what occurred after 11 PM on 11/21/21 due to sleep. However, right arm nerve pain continues now on to day 3 (1/22/21) with also the development of small wart-like bumps on left ring finger. Tmax today is 99.8 F accompanied by mild chills, nausea and abdominal pain.

Other Meds: NuvaRing

Current Illness: N/A

ID: 0966409
Sex: F
Age: 54
State: MO

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

Lab Data:

Allergies: oxycodone

Symptoms: person giving the injection did not give it properly, I wore a long sleeve shirt with scrub top, asked if I needed to take shirt off and she said no, at the time I did not know that it was supposed to be given in the deltoid muscle, was given way too low in shoulder. I now have constant shoulder pain, like an impingement, I'm having a hard time sleeping because of shoulder pain, left arm. I feel like training is not being done properly to those giving the injections. I would also, like to know, if I should get my second injection in left or right arm now?

Other Meds: none

Current Illness: none

ID: 0966410
Sex: M
Age: 48
State: NY

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

Lab Data: Vitals were obtained along with a blood sugar, vitals were all normal, Pt came from home and staff related to EMS that the patient has been awake all night playing video games, and has not had him lunch due to his anxiety level about the up coming vaccine. Patient rested for an extra 20 minutes and then took him back home.

Allergies: Unknown

Symptoms: Within 5 minutes Patient became, pale, light headed with nausea.

Other Meds: Unknown

Current Illness: None

ID: 0966411
Sex: F
Age: 35
State: VA

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

Lab Data: vital signs obtained. no abnormal values.

Allergies: soy, keflex

Symptoms: neck rash within 5 minutes, general malaise at 15 minutes and light headedness. lasted about 1 hour. individual sent home once feeling stable.

Other Meds: spironolactone

Current Illness: unknown

ID: 0966412
Sex: F
Age: 28
State: RI

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

Lab Data:

Allergies: LATEX, Banana, Silicone, Penicillin, Cipro, Keflex, Clindamycin, Bactrim, Augmentin, Flagyl, Claritin, Contrast Dye

Symptoms: Burning sensation in throat within 5minutes of Vaccine. PT takes within 1 hour

Other Meds: Seroquel, Zonegran, Allegra, Famotidine, Emgality

Current Illness:

ID: 0966413
Sex: M
Age: 63
State: NC

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

Lab Data: none

Allergies:

Symptoms: Patient reported to pharmacist on duty on Friday, Jan 22, 2021 to ask for advice regarding a recent immunization received at this store. Patient states he rec'd Shingrix (1st dose) on Monday of this week (Jan 18, 2021) and experienced the following adverse reactions for 3 days after the immunization: extreme headach, stomach pains, fever, chills, and sweats - for which he took Ibuprofen OTC to relieve sx. Today (Friday) he woke up feeling much better and thought the adverse reactions were over, however, he noticed red spots (non-itchy) located over his chest, stomach and back. Pharmacist encouraged patient to take antihistamine over the counter and notify PCP of reaction.

Other Meds:

Current Illness:

ID: 0966414
Sex: F
Age: 0
State: CA

Vax Date: 06/23/1983
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Codiene, ceclor, metronidazole, ceclor

Symptoms: Broke out in hives - started on arm opposite of inject site and spread to legs/arms/all over body. Took 2 benedryl

Other Meds: Depo provera

Current Illness: None at time of vaccination Flu one month prior

ID: 0966415
Sex: M
Age: 48
State: OH

Vax Date: 12/24/2020
Onset Date: 12/25/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data: No

Allergies: Trazadone - flush; hives; rash Shellfish - flush; hives; rash; nausea

Symptoms: Headache and tired. 25th I was really tired and generalized malaise - on and off for four days. Had a swollen auxiliary lymph node; size of golf ball. Went to a Walk-in clinic on 12-31-2020. They said it should decrease and to watch it and use hot compresses and massage it. I took Tylenol for pain as needed. Took a few days I was extremely tired and run down that three days. And had on and off nausea. One bout of vomiting and diarrhea on and off. Resolved eventually on it's own.

Other Meds: Take Gabapentin 200 mg at bedtime; Protonix 40 mg : Lexapro - 10 mg; Doxyamin - 25 mg at bedtime (take all at night) Vit D3

Current Illness: no

ID: 0966416
Sex: F
Age: 52
State: PA

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

Lab Data: None

Allergies: Codeine

Symptoms: very bad headache, chills, fever 101, body aches, malaise for 24-36 hrs took fluids, tylenol

Other Meds: Protonix Plaquenil Claratin Singulair

Current Illness: None

ID: 0966417
Sex: F
Age: 33
State: NY

Vax Date: 01/04/2021
Onset Date: 01/09/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: red rash had for about a week and a half pale in center red raised edges. started taking anti histamine and hyrdocortisone cream went away in three days after that

Other Meds: multi vitamin, birth control, dapsone gel, azelaic acid gel

Current Illness: rosacea

ID: 0966418
Sex: F
Age: 38
State: CO

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

Lab Data:

Allergies: Dairy, wheat, eggs, coconut, cashews, peanut Penicillin, sulfa drugs, humibid, cefzil, clindamycin, codeine Allergic to all grasses and trees.

Symptoms: The morning after my vaccine I got very nauseous and bad body aches which required me to leave work at lunch time to come home. Since then, the nausea has resolved but I still continue to have body aches, weakness and fatigue. I also have a rash on my right arm ~2 in below the vaccine injection site. It is hot and tender to touch. And very red.

Other Meds: Zoloft 50mg daily

Current Illness: None.

ID: 0966420
Sex: M
Age: 26
State: AZ

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

Lab Data: None

Allergies: None

Symptoms: Sore arm after 2 hours from injection. Headache upon waking up the next morning after getting the injection in the evening. Sleepiness/fatigue the night of injection and the day following injection.

Other Meds: None

Current Illness: None

ID: 0966421
Sex: F
Age: 82
State: IN

Vax Date: 01/15/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: no

Allergies: allergy to niacin that causes flush from chest up to face

Symptoms: after first vaccination about midnight, I rolled on to right arm and it hurt really bad, next day I took Acetaminophen and I noticed my lip was swollen, it went down 5 hours and yesterday 1/21/2021 flu symptoms started. Experienced fatigue, weird body ached and pains in strange locations pain in top left top of foot, left hip, back and chills and fever 101.9 and cheeks were flushed. woke up this morning and all aches and pains were gone.

Other Meds: Baclofen 10 mg, bid Lisinopril 10mg 1x daily Lumigan eye drops for glaucoma 5mg vitamin c, b12, calcium, biotin, d3, probiotics, magnesium, potassium, chromium, cinnamon botox injection on 1/12 for the cervical torticollis st john's wort t

Current Illness: None

ID: 0966422
Sex: M
Age: 30
State: PA

Vax Date: 12/30/2020
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: N/A

Allergies: Penicillin

Symptoms: I've prior had mild adverse reactions to flu shots where I'd feel slightly ill for a day or so afterwards, but no significant responses to question the initial COVID vaccine. About 3 weeks from receiving the vaccine, I started to develop an intense pain along my left chest/back/and posteriomedial arm which was clinically dx'd as Shingles by my physician. I have physical pictures to detail the areas of effect, but the symptoms remain as significant arm/chest pain with paresthesia along my scapula. Mild nausea and chills are also episodic. Having never exhibited these symptoms and the upcoming date for my second dose (1/27) I'm concerned if this is a trigged immune response which could worsen or prolong with a second dose.

Other Meds: N/A

Current Illness: N/A

ID: 0966423
Sex: F
Age: 33
State: VT

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

Lab Data: CBC

Allergies: NKDA-

Symptoms: enlarged lymphnode on left armpit 2 cm in size, tender to the touch

Other Meds: Mirena (52 MG), Triamcinolone Acetonide

Current Illness: none

ID: 0966424
Sex: F
Age: 39
State: CA

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

Lab Data: None

Allergies: None that I am aware of.

Symptoms: Body Ache, Headache, Sore Arm, Chills, Nausea, Vomit, Fever Blisters in my mouth.

Other Meds: Birth Control

Current Illness: None

ID: 0966425
Sex: F
Age: 15
State: OR

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

Lab Data:

Allergies:

Symptoms: minor of 15 years received COVID vaccination

Other Meds:

Current Illness:

ID: 0966426
Sex: M
Age: 80
State: SD

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

Lab Data: none. Pt did not seek medical care but did call the next day to report the incident

Allergies: penicillin, lisinopril

Symptoms: Pt got home at 3pm. Pt passed out and fell down. Pt did not hit head, but did bite his tongue. Pt reported to feeling nauseated and tired the rest of the evening.

Other Meds: propranolol, atorvastatin, hydrochlorothiazide-losartan, famotidine, multivit

Current Illness: spinal stenosis, serrated adenomatous polyposis syndrome, paresthesias-intermittent, HTN, hyperlipidemia, gout, reflux, diverticulosis,

ID: 0966427
Sex: F
Age: 24
State:

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

Lab Data:

Allergies:

Symptoms: Patient received Pfizer vaccinations on 12/29/20 and 1/19/21. She woke up on 1/20 with hot flashes, fatigue and chills. Later in the day she developed a headache. This morning (1/22) as she was walking to her car to go to work she developed dyspnea and palpitations. She had a portable pulse ox and noted HR was 125 and PO2 97%. She went to ED, COVID neg, d-dimer positive, CT chest negative for PE. Potassium was low. Patient was discharged home.

Other Meds:

Current Illness:

ID: 0966428
Sex: F
Age: 36
State: VA

Vax Date: 01/08/2021
Onset Date: 01/16/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: Penicillin and Duracef

Symptoms: Day 8 (1/16), noticed my injection arm felt different/kind of numb. Day 9 (1/7), noticed red rash on my bicep- probably about 50%-60% of my arm was having very red and kind of warm to the touch. It slowly got better through the week and resolved around 1/20. Can I still get second dose?

Other Meds: Blood pressure medicine and Zyrtec

Current Illness: None

ID: 0966429
Sex: F
Age: 82
State: IN

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

Lab Data: None

Allergies: None

Symptoms: On day one I had some dizziness a couple of hours after my injection. That lasted for 2-3 hours. On the 2nd day just had some tiredness. Since then I have been fine.

Other Meds: Carvedilol, Amlodipine Besylate, Nexium, Aspirin,One-A-Day Women's 50+, VitaminD3, I also took 2 Tylenol on the morning of the 19th.

Current Illness: None

ID: 0966430
Sex: M
Age: 29
State: CO

Vax Date: 01/15/2021
Onset Date: 01/18/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: Covid Test on 01/21 results returned negative on 01/22 Blood drawn for panel on 01/21, results pending Blood pressure taken on 01/21, initially was 189/123 and later dropped down 153/114

Allergies: N/A

Symptoms: Day 1-3- Sore Arm Day 4- Severe nausea and dizziness, had to request a ride home from work and leave early. Day 5- Severe nausea and dizziness followed by fever and chills, was only at work for an hour before having to leave Day 6- Severe Abdominal pain followed by diarrhea and vomitting and also a temperature hovering around 101.4, took OTC nausea med and made it through most of the work day. Become very nauseated and dizzy and had to leave early. Day 7- Became very disoriented and nauseated, left work for urgent care where initial BP reading was 189/123. Slowly dropped to 153/114 (took a covid test and results were negative, also had blood drawn) Day 8- Stayed home from work and felt fine as long as I was sitting/laying and stationary. Immediate dizzy spells and disorientation upon standing

Other Meds: Multivitamins

Current Illness: N/A

ID: 0966431
Sex: F
Age: 34
State:

Vax Date: 01/03/2021
Onset Date: 01/04/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: chills, sweating, hot flashes, palpitations, elevated HR to 130, headache, body aches, nausea, abdominal pain, chest pain

Other Meds:

Current Illness:

ID: 0966432
Sex: F
Age: 73
State: GA

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

Lab Data: None

Allergies: NKA

Symptoms: Patient states that she was fine after initially receiving vaccine. Only experienced a sore arm for a couple days. 8 days after receiving vaccination patient states that her arm begin to itch. later on a rash and blister appeared on upper arm. Patient states that "she doesn't know if the blister is at the site of injection but does confirm that blister is on arm. Patient states that once rash and blister appeared that she started to experience a sore arm again. Patient also reports that arm is red from shoulder to elbow.

Other Meds: Unknown

Current Illness: Information not available. Patient not in clinic.

ID: 0966433
Sex: F
Age: 73
State: IN

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

Lab Data:

Allergies: Penicillin, chlorhexidine

Symptoms: Some swelling & redness. Some itching. It is still that way as of right now, 1/22/2021, 4:30 pm.

Other Meds: Amlodipine, levothyrox, multivitamin, calcium

Current Illness: Breast cancer

ID: 0966434
Sex: F
Age:
State: NY

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

Lab Data: none

Allergies: none

Symptoms: Left side headache and neck pain for 1 hour after receiving vaccine Pain started 5 minutes after injection

Other Meds: none

Current Illness: None

ID: 0966435
Sex: M
Age: 40
State: MN

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

Lab Data: Lumbar puncture 1/21/21.

Allergies:

Symptoms: Reports he has been diagnosed with Guillain Barre syndrome. Symptoms started with 2 fingers tingling 1/11/21. Progressively increasing in severity. Now has numb fingers and toes. Initiating IV therapy 1/22/21.

Other Meds:

Current Illness:

ID: 0966436
Sex: M
Age: 67
State: AZ

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

Lab Data:

Allergies: None

Symptoms: Next day felt like I had flu bad headache , body aches and no energy.Following day could not get out of bed till noon, massive headache and broke fever around4pm Saturday. Received vaccine on Thursday

Other Meds: Propranolol 10 mg Lisinopril 10 mg

Current Illness: Migraine headaches

ID: 0966437
Sex: F
Age: 38
State: MD

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

Lab Data:

Allergies: citrus, hot sauce, mango, kiwi

Symptoms: the night of injection - nausea, vomitting, fatigue, migrane. sx lasted about 2 days then tapered off. Exactly one week later- Swelling, itching on whole body, hot to the touch , burning at injection site. muscle spasms only on R side ( R arm, R thigh) Locking of fingers on r hand mainly ring finger. Swelling is gone , I still have itching an slight pain at injection site only now. Muscle spasms are still constant on R arm and R thigh. Spasm are more frequent in the arm down to the hand.

Other Meds: none

Current Illness: sinus/cold

ID: 0966438
Sex: F
Age: 71
State:

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

Lab Data:

Allergies:

Symptoms: 1. Redness on the vaccine site, difficulty fully lifting the vaccinated arm, 2, Shortness of breath while walking outside 3. Light headedness, dizzy 4. Feeling of extreme fatigue 2, 3 and 4 happened in the next morning of the vaccination date, 24 ours after the vaccination time. They lasted about 3 hrs and then gradually got better. I was completely fine by 5 PM.

Other Meds: SIMVASTATIN 10 mg

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm