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: 0921621
Sex: F
Age: 24
State: MI

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

Lab Data:

Allergies:

Symptoms: A day after the vaccine, the patient experienced joint pain and muscle aches, and both eyes started to swell with redness in both eyes. This continued for 5 days post-vaccination. Eyes were not dry, but just swollen. Pt took Tylenol and put compresses on her eyes at home. Symptoms are now resolving. Patient instructed to follow up with her PCP should symptoms continue or worsen. Patient said she was just reporting so we'd be aware but felt she was getting better.

Other Meds: insulin - Humalog, novalog

Current Illness:

ID: 0921622
Sex: F
Age: 40
State: MA

Vax Date: 12/21/2020
Onset Date: 12/28/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: 12/29 CXR normal 12/30 ultrasound neck soft tissue-collection of lymph nodes (approximately 3 in varying sizes) in area of mid to lateral clavicle on Left side. No obvious fluid collections.

Allergies: Sulfa and cipro

Symptoms: One week post Injection, on 12/28, I noticed a hard lump on my left clavicle (about 1.5 inches in size)-same side as injection. It was painful and partially mobile. No other symptoms other than those of headache a few days prior mentioned below. I went to urgent care on 12/29 where CXR and soft tissue ultrasound were ordered. CXR normal. US 12/30 showed cluster of lymph nodes in that area. Lump appears to be smaller this week and not painful. Also, I developed a severe migraine on 12/26 (5d post vaccine). So severe that it was debilitating which is unusual for me. It lasted approximately 36 hours.

Other Meds: Tri Sprintec Prn klonopin Prn Percocet Prn flexeril Prn vistaril

Current Illness: N/a

ID: 0921623
Sex: F
Age: 56
State: OH

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

Lab Data:

Allergies: penicillin, keflex, shellfish

Symptoms: Patient stated after vaccination felt lightheaded and numbness on left side. She sat down and had her blood pressure taken. It was 171/105. Stated that she had not taken her morning blood pressure medications (lisinopril 10mg and atenolol 50mg). The nurse at the facility gave her a dose of lisinopril 10mg. Patient then stated prickly, numb feeling and foggy-headed. The facility then gave her 2 doses of diphenhydramine 25mg. At approximately 11am, patient was still not improving and felt like she was getting worse. The facility then called for an ambulance to take her to the ER for assessment.

Other Meds:

Current Illness:

ID: 0921624
Sex: F
Age: 30
State: NJ

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

Lab Data:

Allergies:

Symptoms: Light headed

Other Meds:

Current Illness:

ID: 0921625
Sex: F
Age: 40
State: CA

Vax Date: 12/21/2020
Onset Date: 12/23/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Tuesday 12/22/20, right side of face was itchy and swollen, both top of eyelids red and itchy, took bendryl and it relieved symptoms

Other Meds:

Current Illness:

ID: 0921626
Sex: F
Age: 54
State: OH

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

Lab Data: None

Allergies: None

Symptoms: At 11:30 PM on 1/4/2021 I awoke to severe headache, joint, and body aches. Broke our into a cold sweat and then chills. Became nauseous and extremely dizzy. Was forced to call off from work. Contacted the occupational health doctor at the facility where I received the vaccine (my employer) and reported my reaction. Was advised to rest, take pain reliever and report back if symptoms were not gone after 2 days

Other Meds: Lisinopril Cardizem Maxide Levothyroxine Divigel Multi vitamin Calcium with vitamin D Glucosamine

Current Illness: M?ni?re?s disease

ID: 0921627
Sex: F
Age: 55
State: OH

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

Lab Data: None

Allergies: Morphine, Toradol

Symptoms: Reported continuous Right Arm joint pain (shoulder, elbow, wrist) on the evening of 1/1/21. Pain has not worsened or got any better as of 1/5/21. Taking Motrin seems to help some with the pain.

Other Meds: trental and bentyl which are regular medications taken at 1600 on 12/31/20.

Current Illness: migraines

ID: 0921628
Sex: F
Age: 53
State: CA

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

Lab Data: Covid Test on 12/28 results negative, Lab work, Chest X-ray on 12/29

Allergies: Sulfur, Penicillin

Symptoms: The next day 12/18 felt weak, fatigue and had to rest in between my activities. I exp headaches for 2 days and on 12/20 feeling 100 ft walk was tired. Then on 12/21 started my exp body ache lasted 2 days. I spoke with my PCP and had a appt on 12/28. On 12/31 it felt as of my symptoms was subsiding. I started feeling better on 1/2/21. I missed 6 days of work.

Other Meds: No

Current Illness: Thyroid problems

ID: 0921629
Sex: F
Age: 62
State: AL

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

Lab Data:

Allergies: Ibuprofen Percocet Iodine based contrast

Symptoms: 2 days post injection, pain at the site of injection. Now (as of 1/5/21) - the site is red, raised and very itchy. Has taken Benadryl.

Other Meds: No medications

Current Illness: None

ID: 0921630
Sex: F
Age: 65
State: NC

Vax Date: 10/14/2020
Onset Date: 10/14/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: I have X-rays of my shoulder and physical therapy I had a CT scan of my abdomen on Dec 23, 2020 that showed inflammation in my middle intestine

Allergies: Morphine Shellfish Codeine

Symptoms: I have never had an adverse reaction to a vaccine other than sore arm or body aches for 1 day and I am not afraid of needles. I walked out of the pharmacy and experienced brief vertigo. I then went shopping and had extreme soreness in my hips and thighs and had trouble walking. I noticed a tingling sensation on my right shoulder and pain in my right arm about 24 hours later as well as body aches. The body aches improved but my arm had pain that extended down my right arm into my right hand. I saw a doctor a week later about something else but mentioned my arm and they told me to take 800 mg of ibuprofen every 3 hours and to move my shoulder regularly which I did. The pain in my arm and shoulder increased and I had extreme pain doing everyday activities. I developed pain in both arms, elbow joints and hands and sometimes my thighs and hips. I noticed that I no longer could extend my right arm fully and made an appointment with an orthopedic doctor in Dec 2020 who said he sees the problem fairly regularly as a result of immunization and I was diagnosed with frozen shoulder and I now in physical therapy to help heal it. I know I have thyroid issues and diabetes which make me more likely to have this problem but the issues started within 24 hours of the immunization. I really didn?t believe people who said they had reactions to flu shots. I was told it could take up to a year or more to regain full motion in my shoulder. This past weekend I began to have pain everywhere including my feet. I also developed abdominal pain in November.

Other Meds: Synthroid .88 Metformin ER 500 mg x2 daily Vyvanse 40 mg Lisinopril 10 mg Amlodipine Besylate 5 mg

Current Illness: No illness prior to vaccination

ID: 0921631
Sex: F
Age: 83
State: MI

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

Lab Data: test and results pending

Allergies: NKA

Symptoms: "Patient with seizure this am during 1 assist transfer, resident passed out, lowered to shower chair next resident with incontinent episode and was sent to Emergency Department emergently and currently under evaluation with possible admission. "

Other Meds: aspirin 81mg q week carb-levo ER 50-200 q day fludrocortisone .1mg q day fluticasone 50mcg spray q day linzess 145mcg cap q day mag ox 400 mg q day remeron 45 mg tab q day pravastatin sodium 20 mg q day Zoloft 100 mg q day Flomax .4mg q day

Current Illness: She is normally alert, has had a recent change in mentation, increased confusion, increased lethargy worsening since admission 8/18/2020. numbness/tingling to hands and feet.

ID: 0921632
Sex: F
Age: 56
State: NE

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

Lab Data:

Allergies:

Symptoms: DEVELOPED SORES IN MOUTH AND FEELS LIKE DOWN HER THROAT. AS OF 1/5/21, CONDITION HAS IMPROVED, BUT NOT RESOLVED.

Other Meds:

Current Illness:

ID: 0921633
Sex: F
Age: 26
State: NY

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

Lab Data: CT scan to rule out stroke and full blood work. As per the neurologist (MD), patient is developing mild Bell's Palsy.

Allergies: Acetaminophen and daptomycin

Symptoms: The night after the covid vaccine, the patient started experiencing left-side facial numbness and tingling of the V2 and V3. Patient also started experiencing ear pain. Patient also had uncontrollable drooling and dry eye. The next day, the patient went to work and there the adverse events started worsening. Patient went to the ER and did a full workup. CT scan to rule out stroke and full blood work. As per the neurologist (MD), patient is developing mild Bell's Palsy. No course of treatment was given.

Other Meds: Doxycycline 20 mg bid, Vascepa 2 caps bid, YAZ, Spironolactone, Folic acid 1 mg, Fluoxetine 40 mg daily, GNC women's multivitamin

Current Illness: None

ID: 0921635
Sex: F
Age: 70
State: MI

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

Lab Data:

Allergies:

Symptoms: Patient was light headed after returning to her vehicle post vaccination. Then she started to have heart palpitations. EMS called an ambulance and put her on a heart monitor. She showed mild Atrial Fibrillation. EMS wanted client to go to the ER but she refused. No other symptoms or treatment that I am aware of.

Other Meds:

Current Illness:

ID: 0921636
Sex: F
Age: 28
State: AL

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

Lab Data:

Allergies: Penicillin

Symptoms: Fever (max of 101.8), chills, headache, fatigue, injection site reaction (swelling, redness, skin sensitivity)

Other Meds: Loestrin, Methocarbamol, ibuprofen

Current Illness: none

ID: 0921637
Sex: M
Age: 39
State: NJ

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

Lab Data:

Allergies:

Symptoms: Nausea

Other Meds:

Current Illness:

ID: 0921638
Sex: F
Age: 34
State: AZ

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

Lab Data:

Allergies: None

Symptoms: Swollen lymph node under Left arm and in arm pit. Painful to have arm down.

Other Meds: Micronor- birth control Prenatal vitamins

Current Illness: None

ID: 0921639
Sex: F
Age: 42
State: TX

Vax Date: 12/23/2020
Onset Date: 12/29/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: Employee was seen at ED and was transferred to surgical center. She had an emergency appendectomy and was released to home. She is off work until her MD follow up on 1/15.

Allergies: NKA

Symptoms: Employee received the COVID vaccine on 12/23. She developed abdominal pain on 12/29. Was seen in the ED on 12/30 for an emergency appendectomy. Employee states that the CDC website lists appendectomy as the most common severe adverse event in the COVID vaccine group. Which was numerically higher than in the placebo group.

Other Meds: unknown

Current Illness: No

ID: 0921640
Sex: F
Age: 94
State: NE

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

Lab Data:

Allergies: unknown - Independent Living

Symptoms: 1:45 PM flushing with headache Blood Pressure: 120/64; Pulse 80; Pulse Ox: 98% 1:55 PM Blood Pressure 170/90; Pulse 84: Pulse Ox: 98% Resident up and walking 2:05 PM Slight headache Blood Pressure 130-70; Pulse 78; Pulse Ox: 98%

Other Meds: unknown - Independent Living

Current Illness: unknown - Independent Living

ID: 0921641
Sex: F
Age: 17
State: NY

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

Lab Data: 1/5/21 COVID PCR result: Positive

Allergies: NKA

Symptoms: Administered first dose of COVID19 vaccine at 1:29pm on 1/4/21. At approximately 11:00pm resident exhibited acute respiratory decompensation with very limited air entry and hypoxemia. Patient received Benadryl, steroids, epinephrine, and Duoneb without improvement. Resident was referred to the emergency room and found to be COVID positive. No fever or rash were reported.

Other Meds: acetaminophen 160 mg/5 mL (5 mL) oral solution albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization budesonide 0.5 mg/2 mL suspension for nebulization Certavite-Antioxidant 18 mg-400 mcg tablet ClearLax 17 gram/dose oral powder

Current Illness: Right lung atelectasis/infiltrate with right mediastinal shift on chest x-ray (12/25) that was treated with steroids and antibiotics

ID: 0921642
Sex: M
Age: 35
State: NE

Vax Date: 12/23/2020
Onset Date: 01/02/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: N/A

Allergies: augmentin

Symptoms: Lympadenopathy right above left clavicle. Symptoms started on 1/2/21 and have continued. Nothing has been used to treat the symptoms.

Other Meds: Atorvastastin , flonase, Zyrtec, aspirin

Current Illness: none

ID: 0921643
Sex: F
Age: 55
State: WA

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

Lab Data:

Allergies: none known

Symptoms: called to observation area 1120 for report of mottled skin. bp 150/80, p 90. noticed 5 min after vaccine new, firm, raised area right wrist 1/2 x 1/4 x 1/4. skin arms, chest, face flushed. by 1130 skin redness of chest decreased, by 1135 color at baseline - raised area 1/4x 1/4x/1/8. 1140 return to work. had talked w/ provider prior to vaccine and ok to give.

Other Meds: Rituxan - every 6 months - last 8/2020 Lupron injection q 3 months - last 12/18/20 HCTZ for BP Synthroid Nifedipine multi vits, vit d, supplements

Current Illness: none

ID: 0921644
Sex: F
Age: 42
State: MN

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

Lab Data:

Allergies: Unknown

Symptoms: Patient had first dose on 12/18/2020. On 12/30/2020 received second dose. On Registration form he checked that he had never been vaccinated with COVID before and received second dose too close to first. (12 days apart).

Other Meds: Unknown

Current Illness: Unknown

ID: 0921645
Sex: F
Age: 57
State: NE

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

Lab Data:

Allergies:

Symptoms: DEVELOPED SORENESS IN ARM, EXTREME FATIGUE, AND BODY ACHES.

Other Meds:

Current Illness:

ID: 0921646
Sex: M
Age: 40
State:

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

Lab Data:

Allergies: none

Symptoms: syncope 4 hours after chills 2-5 hours after body aches off and on for 7 days

Other Meds: mirtazipine

Current Illness: none

ID: 0921647
Sex: F
Age: 52
State: WY

Vax Date: 12/17/2020
Onset Date: 12/19/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: None

Allergies: Unknown

Symptoms: Patient described leg heaviness the following day (12/18/20), then onset on 12/19/20 of blisters to neck, chest and abdomen, chest pain, and elevated blood pressure. Patient states she is already on cardiac medications so she took an additional dose for her blood pressure and monitored herself closely.

Other Meds: Unknown

Current Illness: Unknown

ID: 0921648
Sex: M
Age: 39
State: MA

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

Lab Data:

Allergies:

Symptoms: allergic reaction, diffuse rash, no utricaria; no respiratory symptoms. Rash developed 2 days after vaccination. Treated with antihystamines.

Other Meds:

Current Illness:

ID: 0921649
Sex: M
Age: 0
State:

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

Lab Data:

Allergies:

Symptoms: Felt light headed, dizzy Stated he felt like he had Epstein barr

Other Meds:

Current Illness:

ID: 0921650
Sex: F
Age: 32
State: FL

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

Lab Data:

Allergies: Sulfa allergy

Symptoms: I was vaccinated through a Covid 19 vaccine clinic at work. The injection was given in my left arm. However, I believe the nurse that gave the vaccine may have given it subcutaneously and not IM. The injection was given in the dorsal part of my deltoid muscle. A few hours after vaccination, I had some redness and swelling where the injection was given, about 2 inches in diameter and a large bruise began to form. My arm was very sore for about 3 days. The 2 inch spot stayed raised, but the redness reduced to pink over the next two days and then it was gone. The bruise almost completely was faded away by 1/4/21. This morning (1/5/21) when I woke up, I noticed the 2 inch spot on my arm came back, it was bright red, hot to the touch and slightly itchy. My arm is also a little sore today I contacted occupational health at my work and they notated the reaction in my chart and told me to write a report with VAERS. Currently I am apply cool compresses a few times a day to the site and applied a small amount of hydrocortisone cream (1%) to the reddened area.

Other Meds: None

Current Illness: None

ID: 0921651
Sex: F
Age: 62
State: VA

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

Lab Data: None

Allergies: Bactrim Sulpha

Symptoms: Persistent vomiting from 3am to about noon on Monday. Fever of 38.4 ' C. Headache, chills, fatigue. Slept most of the day. Took acetaminophen when able to drink. Drank ginger tea and ate dry toast in the evening. Tuesday, HA controlled with Acetaminophen and Ibuprofen. Able to eat and increase fluids. Consulted with my PCP who suggested I enter my information. Feeling stronger as time passes. I believe another nights sleep will help.

Other Meds: Acetaminophen

Current Illness: None

ID: 0921652
Sex: F
Age: 72
State: NY

Vax Date: 12/05/2020
Onset Date: 12/10/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: no

Allergies: penicilline

Symptoms: after shot I had arm pain 12/11 I woke up with chills. As the day progressed Both of my legs and arm started hurting and progressed. I called the pharmacist and they stated that they never heard of a reaction 5 days later. The next day the pain resolved in my leg and shoulders.

Other Meds: levothyroxine, triamterine

Current Illness: no

ID: 0921653
Sex: F
Age: 57
State: NJ

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

Lab Data:

Allergies:

Symptoms: Dizziness, Chills and Pale

Other Meds:

Current Illness:

ID: 0921654
Sex: M
Age: 50
State: CA

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

Lab Data: no

Allergies: no

Symptoms: Body Chills, Headache

Other Meds: no

Current Illness: Yes, covid positive from 11/26/2020 til about 12/06/2020

ID: 0921655
Sex: F
Age: 37
State: GA

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

Lab Data:

Allergies: none

Symptoms: Severe muscle/joint aches beginning day of vaccine until three days later. 102 fever and severe chills for 36 hours beginning night of injection. Severely swollen lymph nodes under injection arm for four days. Splotchy, hot red spots under injection site three days after injection. Swollen, extremely sore area around injection site for four days.

Other Meds: Otezla Citalopram

Current Illness: none

ID: 0921656
Sex: F
Age: 35
State: PA

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

Lab Data: Initial vitals BP 135/87 HR 79 RR 20 Pox 98% given cool water and sit Feeling passed after 20 minutes vs 108/79 HR 64 RR 20 pox 100%

Allergies: NKA

Symptoms: wave of dizziness, weakness and hot feeling

Other Meds:

Current Illness:

ID: 0921657
Sex: F
Age: 41
State: TX

Vax Date: 12/18/2020
Onset Date: 12/21/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: Covid, flu and strep tests - positive for strep

Allergies: Unknown

Symptoms: On the 21st in the morning I had alternating chills and subjective fever. I did not really have fever and kept monitoring it during the day. The next day I kept with the subjective fever and the chills, went to the urgent care the next day and was tested for covid, flu and strep and it came positive for strep. I was prescribed an antibiotic and stayed home the next day since I still did not feel well.

Other Meds: None

Current Illness: No

ID: 0921658
Sex: F
Age: 42
State: CA

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

Lab Data:

Allergies:

Symptoms: arm pain all the way down to fingers unable to lift arm past head dizzy weak headache nausea chills no fever exhausted no appetite arm pain is 60% better today no redness at injection site mild swelling at injection site mentally foggy weak vision

Other Meds:

Current Illness:

ID: 0921659
Sex: F
Age: 33
State: NJ

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

Lab Data:

Allergies: PCN Wellbutrin

Symptoms: Extreme fatigue, loss of appetite, weakness, irritable, fever

Other Meds: Birth control Multivitamin Probiotic

Current Illness: None

ID: 0921660
Sex: M
Age: 57
State: IN

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

Lab Data: None

Allergies: Papaya

Symptoms: Scratchy throat, Lump in lip. Throat was swollen and could not swallow. Benadryl

Other Meds: Baby Aspirin

Current Illness: None

ID: 0921661
Sex: F
Age: 23
State: MO

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

Lab Data:

Allergies: Citalopram

Symptoms: After receiving the vaccine I had some left arm soreness. The pain increased throughout the day. About 12 hours after receiving the vaccine the pain in my left arm became severe. I experienced nausea, fever of 100, body aches, chills, headache, diarrhea, chest pain, and left hand numbness throughout the night and into the day following

Other Meds:

Current Illness:

ID: 0921662
Sex: M
Age: 27
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient presented to receive COVID-19 vaccine (Pfizer) at approximately 1621. Patient waited 15 minutes when asking to leave was asked if she had any symptoms, patient reported headache. NP asked patient to lay down in stretcher and took repeat vitals which showed elevated BP. Patient reported feeling clammy had palpitations. NP made decision to call EMS. EMS arrived and transported patient to ED at 1735.

Other Meds:

Current Illness:

ID: 0921663
Sex: F
Age: 54
State: IL

Vax Date: 12/08/2020
Onset Date: 12/09/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: Sulfa, erythromycin, scallops, calamari

Symptoms: Fever 102.5 for 2 days. Mouth and tongue swelling like anaphylaxis

Other Meds: Vitamin D

Current Illness: None

ID: 0921664
Sex: F
Age: 59
State: NJ

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

Lab Data:

Allergies:

Symptoms: Patient states to feeling nauseated and had tingling in the arm and hand. Patient was sent to the ED to rule out TIA but left before being evaluated. Patient states symptoms have resolved and did not want to be seen by ED physician. Patient was educated on returning back to ED with any new concerns.

Other Meds:

Current Illness:

ID: 0921665
Sex: F
Age: 49
State: KY

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

Lab Data: None

Allergies: aspirin, atorvastatin, esomeprazole, morphine, simvastatin, silk tape

Symptoms: PATIENT REPORTED FACE AND TONGUE TINGLING. DENIED ANY PATIENT REPORTED SHORTNESS OF BREATH AND TONGUE/FACE TINGLING WITHIN 15 MIN OF COVID 19 VACCINATION IM. OBSERVED BY RN. dR ON SITE AND INFORMED. NO FACIAL SWELLING OR DROOP. BP TAKEN 167/108.BENADRYL 25MG LIQUID GIVEN ORALLY. PATIENT SAID SHE FELT BETTER AFTER BENADRYL. OBSERVED ANOTHER 30 MINUTES. FOLLOW UP BP WAS 140/91 AND HR WAS 72. TINGLING RESOLVED. Reported taking a steroid dose once at home from prednisone that was already prescribed to her.

Other Meds: Amolodipine Besylate, Amoxicillin/Potassium Clav, Butalb/Acetaminophen/Caffeine, Clopidogrel Bisulfate, Diazepam, Fluconazole, Advil Cold & Sinus, Levothyroxine Sodium, Pramipexole Di-Hcl, Prednisone

Current Illness: Sinus Infection

ID: 0921666
Sex: M
Age: 77
State: NY

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

Lab Data:

Allergies: NKDA. No food or environmental allergies.

Symptoms: gross hematuria, painless, urinary frequency, urgency, started 6 am upon awakening 4.75 days following vaccine administration

Other Meds: invokamet, bystolic, aspirin, omeprazole, tamsulosin, amlodipine, atorvastatin, vitamin D3, eye drops for glaucoma

Current Illness: Otitis media

Date Died: 01/03/2021

ID: 0921667
Sex: F
Age: 39
State: OH

Vax Date: 12/29/2020
Onset Date: 01/03/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: LTCF Pfizer Vaccine clinic conducted 12/29/2020 Vaccine lead received a call indicating that a staff member deceased somewhere between 1/3/2021 and 1/4/2021. Cause of death is unknown, and an autopsy is being performed.

Other Meds:

Current Illness:

ID: 0921668
Sex: F
Age: 45
State: NV

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

Lab Data: None

Allergies: Amitriptyline, aspirin, Lamotrigine, Penicillin, sulfur drugs, Tetanus toxin, Trazodone, Maogo, Aspartame

Symptoms: Pouring sweat, hives, light headedness and dizziness and tremors, weakness, burning, itching of all skin, blurred vision

Other Meds: Gabapentin, Lunesta meloxicam, prednisone, Strattera spironolactone Lisinopril atorvastatin

Current Illness: None

ID: 0921669
Sex: M
Age: 62
State: IA

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

Lab Data: N/A

Allergies: Penicillin and sulfa drugs, codeine, coconut

Symptoms: Congestion like a head cold, raspy throat, nausea, headache, low grade fever 100. -Tylenol taken for fever

Other Meds: Losartan, Simvastatin

Current Illness: N/A

ID: 0921670
Sex: F
Age: 70
State: FL

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

Lab Data: none

Allergies: Levaquin

Symptoms: soreness at injection site, fatigue, flulike symptoms initially. On 1/5 she developed " pressure" in her lower abdomen and lower back

Other Meds: lisinopril, metformin, crestor, activell

Current Illness: none

ID: 0921671
Sex: F
Age: 76
State: MI

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

Lab Data: H/o botox injections on that side of face

Allergies:

Symptoms: Numbness on right side of face

Other Meds:

Current Illness: Migraine, botox injections on R side of face

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm