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: 0966540
Sex: F
Age: 42
State: MO

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

Lab Data: CBC Blood test done on today 1/22 and WBC is low, down from 6 to 4. Covid test done - today no results yet

Allergies: environmental allergies, dust mites and carpet dust develop rash's, regular laundry detergent, sulfa cause rash, Compazine causes rash, Zofran prolongs QT on EKG

Symptoms: expected 2-2:30 vaccine and later the right deltoid was sore, 5am woke up to 101 temp, took Ibuprophen and Tylenol but it kept going to several hours, then on hour 36 i had feeling like i was crawling out of my skin and I'm anxious about all of this, I felt clamy and decided to make an appointment about all of this. I got blood work today with it showed my WBC was down to 4 and my normal WBC is usually at 6 and I am frequently checked and always normal. because of kidney stones I get checked regularly. I was told to get a covid test and will have the blood test run again on Monday to see if its back to normal. I wonder if this has anything to do with my auto immune disease as well. also back and neck aches and pains.

Other Meds: Klonopin .25mg bid prn

Current Illness: no

ID: 0966541
Sex: F
Age: 49
State: CA

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

Lab Data: Bp HR Temp

Allergies: Sulfa PCN Keflex

Symptoms: High Fever of 104 degrees F for a duration of 18 hours, Orthostatic Hypotension with Bp as low as 63/40 in supine for a duration of 18 hours, repeated loss of consciousness due to low BP

Other Meds: Benicar 40mg Atorvastatin 10mg

Current Illness: none

ID: 0966542
Sex: F
Age: 48
State: NE

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

Lab Data:

Allergies:

Symptoms: HAD HEADACHE

Other Meds:

Current Illness:

ID: 0966543
Sex: M
Age: 40
State: SC

Vax Date: 12/17/2020
Onset Date: 01/13/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: Ct scan 1/14/2021

Allergies: Sulfa, keflex

Symptoms: Right lower quadrant pain over 24 hours. Diagnosed with appendicitis via CT scan and underwent lap appendectomy. Symptoms resolved post-op

Other Meds: Singular, Zyrtec, ranitidine

Current Illness: None

ID: 0966544
Sex: F
Age: 38
State: MA

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

Lab Data: No Treatment

Allergies: None

Symptoms: Tachycardia, cold flush feeling and anxiousness

Other Meds: HCTZ

Current Illness: none

ID: 0966545
Sex: F
Age: 41
State: MS

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

Lab Data: N/A

Allergies: Shell fish

Symptoms: Pt began to feel tingling around mouth area and throat started feeling thick but not closing. Patient had her own personal Benadryl on hand and administer 50 mg orally to self. Pt was watched for 20 minutes by EMT following administration- she reported her throat continued to feel scratchy. Patient was driven and advised to go to emergency room. hospital was contacted per EMT and informed that patient was in route to hospital following a reaction to COVID-19 vaccine.

Other Meds: unknown

Current Illness: unknown

ID: 0966546
Sex: F
Age: 26
State: NY

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

Lab Data:

Allergies:

Symptoms: 11 hours after vaccine administration, rapid onset of fever (100.0F), full body muscle aches, chills, sweating, lack of appetite, and extremely sore arm. Symptoms lasted until the following morning, at which time 400mg ibuprofen were taken, mitigating most symptoms except fatigue.

Other Meds:

Current Illness:

ID: 0966547
Sex: F
Age:
State: CT

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

Lab Data:

Allergies:

Symptoms: On January 21, 2021 at the Clinic, a PA was administering vaccinations during the morning for a four-hour shift, 8 AM to noon. At the end of her shift, she handed off her vaccines to another vaccinator. The PA had three doses of vaccine drawn up at that time, in syringes, on her desk. When the RN inspected the syringes, she found 0.4mL of vaccine had been drawn into those syringes rather than the required 0.3mL. The RN then alerted the lead APRN, who escalated the situation to the manager. The manager then contacted Quality. The concern was that the PA had been vaccinating patients all morning with an inappropriate dose of vaccine, 0.4mL. After thorough internal investigation, we found that the PA drew up 38 vaccine doses and administered 35 of them. Additionally, based on vial usage for the day and total number of vaccines administered, we have concluded that it is highly unlikely that excess vaccine was administered. This was a ?near miss? event and is being reported out of an abundance of caution.

Other Meds:

Current Illness:

ID: 0966548
Sex: F
Age: 42
State: SD

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

Lab Data:

Allergies: Demerol

Symptoms: Chills, major body aches, nausea, massive headache, tiredness from 4am to 3:30 pm 1/21/21. Around 11 am, I was get to find some stregth to get out of bed and take some Ibuprofen.After that time minor fatigue, minor muscle ache and headache. In the morning of 1/22/21 about 7am feeling 50% better. About noon about 90% better.

Other Meds: Morning before 2nd dose of vaccine : Smarty Pants womens formula -Omega 3s,Folate, D3, B12,CoQ10 Nature's Bounty Hair, Skin&Nails - Biotin Aller-tec 24hour

Current Illness: None

ID: 0966549
Sex: F
Age: 32
State: NE

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

Lab Data:

Allergies:

Symptoms: HAD HEADACHE AND 'TERRIBLE' BODY ACHES

Other Meds:

Current Illness:

ID: 0966550
Sex: F
Age: 23
State: MA

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

Lab Data:

Allergies:

Symptoms: A few hours after getting the vaccine, my arm became very sensitive and was painful to touch. I have had similar experiences like this in the past with other vaccinations. Later, I experienced fatigue, major headaches, chills, and reached a fever of 102 degrees F. The chills fever started about 30 hours after receiving the vaccination. My fever reached 102 about 31 hrs after experiencing chills.

Other Meds: Nexplanon birth control

Current Illness:

ID: 0966551
Sex: F
Age: 55
State: IN

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

Lab Data: Will be seeing my pcp on Monday 1/25

Allergies: Sulfa Amoxicillin Flu vaccine

Symptoms: Mild headache , mild nausea . 3 separate events the next day 1/21 /2021 where I had sudden , no warning , fall to floor . Possible loss of consciousness. Today 1/22 no events of sudden falls or hitting floor

Other Meds: Tylenol Esomeprazole

Current Illness: None

ID: 0966552
Sex: F
Age: 34
State: MT

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

Lab Data: Referred to MD for follow up

Allergies: Unknown

Symptoms: Patient reports injection was given below deltoid. Patient reported she experienced redness, swelling, pain and warm to touch at injection. She reported having a fever, last temperature checked was 101. She reported that redness and swelling has increased for the past day. This nurse observed swelling, redness and warm to touch on her arm below the deltoid and slightly above the elbow. Did not measure redness size but guess that it was about 3 x 5 inches in size. Referred to MD for follow up. She reported she did not have any reactions or side effects from her first injection of the series. She stated that injection was given in the deltoid.

Other Meds: Unknown

Current Illness: None known

ID: 0966553
Sex: F
Age: 94
State: WI

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

Lab Data: unknown

Allergies: NKA

Symptoms: Vaccinated at about 9:50am Five minutes after vaccination, complained of itchy or "dry" throat. Gave water. 10 minutes after vaccination complained of throat beginning to close up. 10:01am given 0.3mg Epinephrine into right thigh. 911 called. 10:03 given 25mg Diphenhydramine oral tablet. 10:06am pulse 90 BPM. 10:09 pulse 96 BPM. She started to feel better by the time EMS arrived. 10:16am EMS took her to Hospital. She was returned home in the afternoon. Unknown if any further complications.

Other Meds: ELIQUIS, CLOPIDOGREL (other unknown)

Current Illness: NONE KNOWN

ID: 0966554
Sex: F
Age: 64
State: NJ

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

Lab Data: None

Allergies: Foods- kiwi, coconut cream

Symptoms: Sore arm 72 hours Headache, fatigue 24-48 hours chills within first six hours

Other Meds: synthroid, multivitamin, calcium with vitamin D, Osteo biflex

Current Illness: None

ID: 0966555
Sex: F
Age: 27
State:

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

Lab Data:

Allergies:

Symptoms: Dizziness and blacked out. Followed by severe nausea/vomiting. Went to local ER that evening for further symptom treatment.

Other Meds:

Current Illness:

ID: 0966556
Sex: F
Age: 56
State: IL

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/22/2021
Hospital: Y

Lab Data: 1/9 ct scans, laboratory blood work

Allergies:

Symptoms: Patient received vaccine on 1/6. Patient started not feeling well on 1/8 in the evening. On 1/9 patient had several abdominal pain, nausea, and vomiting. She was taken to the emergency room where she was admitted to the hospital with a small bowel obstruction.

Other Meds: Metoprolol Potassium Hydrochlorothiazide Pentasa

Current Illness:

ID: 0966557
Sex: F
Age: 64
State: TX

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

Lab Data:

Allergies:

Symptoms: Fever 99.0, body aches and chills and swollen glands

Other Meds: none

Current Illness:

ID: 0966558
Sex: F
Age: 25
State: NE

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

Lab Data:

Allergies:

Symptoms: HAD GENERALIZED BODY ACHES

Other Meds:

Current Illness:

ID: 0966559
Sex: M
Age: 85
State: MO

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

Lab Data: none

Allergies: Neosporin; Itraconazole

Symptoms: swollen about the size of a walnut.

Other Meds: Multivitamin

Current Illness: none

ID: 0966560
Sex: M
Age: 31
State: CA

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

Lab Data:

Allergies:

Symptoms: Per patient, he developed a fever, myalgia, and headache after first vaccine. Fever and myalgia resolved after a few days, but headache persisted. At the time of the patient's second dose (1/21/21), patient reported that he continued to experience headache

Other Meds:

Current Illness:

ID: 0966561
Sex: F
Age: 53
State: TX

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

Lab Data: No

Allergies: Sensitive to Hydrocodine and Tape adhesives

Symptoms: About the 35 minutes later became nausea and threw up, faint and blood pressure 190/106 she was sent to ER at time of admission blood pressure was going down and back to normal within hour and gave anti- nausea medicine . Blood pressure every :15 for hour 128/76 event resolve . Ondansetron 4 mg Face and chest rash 24 hours later Benadryl 25 mg

Other Meds: vitamin B12 vitamin C and D Decongestant

Current Illness: No

ID: 0966562
Sex: F
Age: 62
State: MN

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: She was seen by physician on 1/21/2021 and aspirate was drawn with labs and culture pending.

Allergies: Atenolol (Edema), Penicillins(Hives), Lisinopril (angioedema)

Symptoms: Patient had expected reactogenicity (low grade fever, injection site pain) that night, but had severe right knee swelling and edema (site of previous meniscal injury years ago) by day #2. She was seen by physician on 1/21/2021 and aspirate was drawn with labs and culture pending. On 1/14/2021 she developed new severe erythema extending from injection site, down left arm and into the left chest pectoral area and up to left neck. This lasted 2 days and resolved.

Other Meds: Atorvastatin, HCTZ, Metoprolol, Triamcinolone Ointment

Current Illness: None

ID: 0966563
Sex: F
Age: 41
State: AK

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

Lab Data:

Allergies: unknown

Symptoms: Arm soreness immediately following vaccine on 1/14/21 which resolved. Developed hard, red, itchy lump at injection site 1/21/21.

Other Meds: unknown

Current Illness: unknown

ID: 0966564
Sex: M
Age: 61
State: MN

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

Lab Data: Unsure of exact medical tests or lab results resultant of patients visit to the ER on 1/22/2021 due to Moderna ADR

Allergies: dilantin

Symptoms: patient sent home from work on the morning of 1/21/2021 due to muscle pain, weakness, nausea. Symptoms worsened including decrease in o2 sats 72% (compared to normal mid-90%), patient was unable to ambulate due to muscle weakness/pain, pulse elevated to greater than 100 bpm. Ambulance was called and arrived to the home where patient resides at 8:55 am on 1/22/2021. Home director emailed symptoms to the pharmacy after the patient left for the ER. Pharmacist called home director to get additional info. As of 1:03 pm on 1/22/2021 patient has returned home after ER staff determined his symptoms were an adverse reaction to Moderna. He was advised by the ER staff to rest and drink plenty of liquids. Pharmacy advised home director to contact patient primary provider to report ADR and determine if the 2nd dose of Moderna is advised by the primary provider. The pharmacist will follow-up with the house director status on 1/23/2020 before 3 pm and will have any additional ADR's reported to the pharmacy and the patients primary provider

Other Meds: multiviatmin, lisinopril 20 mg daily, omeprazole 40 mg daily, estradiol 0.5 mg daily, divalproex 250 mg dr 2 tabs daily, divlaproex 500 dr 2 tabs daily, levetiracetam 500 mg 4 tabs daily, vitamin c 500 mg daily, oxcarbazepine 600 mg 2 tabs

Current Illness: patient had Covid-19 infection the end of november 2020

ID: 0966565
Sex: F
Age: 55
State: NE

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

Lab Data:

Allergies:

Symptoms: HEADACHE, CHILLS AND BODY ACHES

Other Meds:

Current Illness:

ID: 0966566
Sex: F
Age: 29
State:

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

Lab Data:

Allergies:

Symptoms: Vomited 8 times in 1 hour after shot

Other Meds:

Current Illness:

ID: 0966567
Sex: F
Age: 31
State: TN

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

Lab Data:

Allergies: PENICILLIN

Symptoms: red swollen arm 10 days post vaccination. Initiated on antibiotics for concerns of developing cellulitis.

Other Meds:

Current Illness:

ID: 0966568
Sex: F
Age: 32
State: MI

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

Lab Data:

Allergies: NKDA

Symptoms: Symptoms: Patient complaining of rash to face, neck and hand for the last 10-15 minutes. States that they look like hives and have a burning sensation. Had 2nd COVID vaccine about 3 hours ago. Denies any breathing difficulty. Is a 32 y.o. female who presents regarding a potential concern for an adverse reaction to the COVID-19 vaccine. Second Dose in Series: Vaccine was obtained from the following clinic/location: Butterworth on the date of: 1/18 and approximate time of 7pm Vaccine was administered to patient's: Left Deltoid Vaccine manufacture was: Pfizer No Previous Reactions to other immunizations Known COVID Exposure since receiving vaccination?: No Patient notes the following symptoms: Rash: Location other than injection site face neck and hands - burning sesation Modifying Factors or additional details:Around 3 1/2 hrs post vaccine she started to break out in a rash on hands and face. She denies any other changes to her environment. Took benadryl and this seemed to help. ROS

Other Meds: Prednisone, Albuterol, Low-ogestrel (OCP)

Current Illness: Patient positive for COVID-10 on 12.28.20. Received 1st dose of COVID vaccine 12.28.20. Reactive arthritis (recently discontinued sulfasalazine and prednisone) Diagnosed with Pneumonia (went to ED) on 1.2.21 Sat Jan 02, 2021 1436 This is a 32-year-old female presents with exertional dyspnea and pleuritic pain getting worse over last 24 hours. She was COVID positive on December 28. Complete blood count, CMP, troponin, proBNP rib pain all within normal limits. CT angiogram thorax was obtained was negative for PE. Did show findings consistent with COVID pneumonia. Patient's vital signs here are stable and has room air oxygen saturation of 96%. Continued SOB on 1/5/21 - prescribed steroids

ID: 0966569
Sex: F
Age: 66
State: FL

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

Lab Data:

Allergies:

Symptoms: Large swelling and hardness at injection site developed after one week. First swelling then hardness two days later. Approximately 3 inches in diameter

Other Meds: Benicar, Amlodipine, Carvedilol, Spironolactone, Cymbalta, Simvastatin, Symbicort

Current Illness:

ID: 0966570
Sex: F
Age: 29
State: KS

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

Lab Data:

Allergies:

Symptoms: Patient presented to clinic today to receive dose #2 of vaccine. She neglected to tell us that she had previously received her first dose at another facility and that it was the Pfizer vaccine. She was out of town and received an email that she was able to register for first dose of vaccine - she did this and received her first dose of vaccine at Medical Center. She received Pfizer's COVID vaccine on 12/28/2020 - Lot ELO140 She subsequently received the Vaccine at Medical Center on 1/22/2021 - Lot 030L20A No adverse reaction has occurred to date

Other Meds:

Current Illness:

ID: 0966571
Sex: F
Age: 76
State: LA

Vax Date: 01/10/2021
Onset Date: 01/12/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: covid and flu tes

Allergies: ciprofloxacin, keflex, sulphur, rocephin, doxycline, diphenhydramine hcl,codeine,

Symptoms: high fever 102, fatigue, no energy, aches in muscles in joints, nauseous

Other Meds: vitamin d3 2000mg, zyrtec 1xday, stool softener

Current Illness: n/a

ID: 0966572
Sex: F
Age: 63
State: PA

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

Lab Data:

Allergies: Sensitive to bleach and cleaning products

Symptoms: Woke up the next morning achy. By lunch I was very achy and running a temp of 99.7. The injection site is sore.. I slept for a few hours and feel tired

Other Meds: Non drowsy antihistimines

Current Illness: None

ID: 0966573
Sex: F
Age: 17
State: ND

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

Lab Data: None

Allergies: Bee Stings

Symptoms: Patient received the vaccine on 1/4/21 and she is 17 years of age (Moderna is 18+).

Other Meds: Quetiapine, Lexapro

Current Illness: None

ID: 0966574
Sex: F
Age: 60
State: SC

Vax Date: 01/15/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: B/p low but normal and blood sugar 102.

Allergies: Thimerisol

Symptoms: Extreme fatigue day of and following week of vaccine. On 1/20/21 had episode of brain fog or complete lapse in memory of event I talked to a person just the day before. (Never happened before) Today, 1/22/21 I was sitting at my desk talking to another person and fainted for no reason. (Never happened before). I came to and after short while felt better.. Left work to rest at home. Have not seen a doctor yet but worried about 2nd vaccine dose. The syncope episode concerns me.

Other Meds: Dulcolax, Colace, Tums, Garcinia Cambogia.

Current Illness: None

ID: 0966575
Sex: M
Age: 78
State: IL

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

Lab Data:

Allergies: sulfa

Symptoms: Arm hurt badly right after injection, swelling after a couple hours, then in the night got sick vomiting, then incontinence in the morning due to weakness not being able to get to bathroom in time, then had shakes and chills and fever for the rest of the night and into the day for at least 6 hours. Very weak and shaky for another 24 hours.

Other Meds: oxyCODONE-acetaminophen 7.5-325 mg tablet, vortioxetine 20 mg tablet, methylphenidate HCl 36 mg extended release tablet, amLODIPine 5 mg tablet, atorvastatin 20 mg tablet, baclofen 10 mg tablet, lisinopriL 20 mg tablet, metFORMIN 500 mg ext

Current Illness:

ID: 0966576
Sex: M
Age: 57
State: NY

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

Lab Data: None

Allergies: Dust

Symptoms: Bloodshot and itchy eyes

Other Meds: Amplodipine Besylate Atorvastatin Losartan/Hydrochlorothine Latanoprost

Current Illness: None

ID: 0966577
Sex: F
Age: 29
State: IL

Vax Date: 01/09/2021
Onset Date: 01/15/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Soreness and fatigue a couple hours after injection and only lasted a couple days. Redness and heat sensation at injection site persisted, but was mild. Around 1/15, about a week after injection redness and swelling suddenly increased with new onset itchiness. Applied ice pack and while swelling significantly went down, and has stayed down, the redness lightened and dispersed into almost a faint bullseye. Redness continues to dissipate but still present in faint bullseye shape.

Other Meds: metformin,; spironolactone; norethindrone acet/eth.

Current Illness: N/A

ID: 0966578
Sex: M
Age: 83
State: PA

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

Lab Data:

Allergies:

Symptoms: When given vaccine patient felt a moment of shortness of breath, advised the staff also had flushing Benadyl 25 mg given to patient. Patient waited 30 minutes. all vitals were normal patient escorted to his car, drove home.

Other Meds: amlodipine Besylate 5mg Losartan Potassium 50 mg Pradaxa 150 mg Flecainide acetate 100 mg Amlodipine besylate 2.5 mg

Current Illness:

ID: 0966579
Sex: F
Age: 67
State: FL

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

Lab Data: None

Allergies: Vicodin , 30 yrs ago.

Symptoms: Chills for an hour, then foggy head, then dizzy, then so very tired so took Tylenol and took a 3 HR nap. Got up and felt clear headed but still tired so rested 2 more hours.

Other Meds: Fluoxetine 20mg, Eliquis 5mg, Carvedilol 12 .5mg, Prevastatin 20 mg, flaxseed oil 1200mg, multivitamin walgreens women's.

Current Illness: Afib

ID: 0966580
Sex: F
Age: 57
State:

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

Lab Data:

Allergies:

Symptoms: Approximately 5 minutes after receiving the COVID19 vaccine patient reported feeling 'weird'. Denied any specific symptoms. Denied feeling light headed, dizzy, short of breath, difficulty breathing, sensation of foreign body in throat, itching. Also denied sensation of tongue, lip or throat swelling. Patient was taken by wheelchair to a treatment room and placed on a gurney. Pt preferred to sit up. Initial BP of 174/111, HR of 105. Shortly after patient reported starting to feel better. States she did not eat that morning. Repeat BP 163/95 HR 97. Patient continued to report symptom resolution. BP repeat again 163/94 HR 96. Denied history of hypertension. Advised patient on following up on BP. Patient discharged after monitoring for approximately 30 minutes. Follow up precautions discussed.

Other Meds:

Current Illness:

ID: 0966581
Sex: F
Age: 35
State: KY

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: Used hydrocortisone on eyelids lightly and Benadryl oral 1-27-21 and 1-28-21 ; still no relief!!!

Allergies: NONE

Symptoms: Day 1-within 8hrs- left lethargic up to 48hrs after; temp 99.8 Day 2-rash localized to forehead, eyelids and scalp; temp 98.6 Day 3-rash continued same locations- took Benadryl Day 4-rash still on forehead, eye lids- Vaseline eyelids as terrified of anything being placed in my eyes Day 5-continuation of same- Vaseline again Day 6- continuation of same- Hot compress 5 times daily; didn't use Vaseline Day 7-continuation of same- Hot compress 3 times daily; used Vaseline again as I'm very itchy Day 8- continuation of same- Vaseline eyelids Day 9- continuation of same- Hot compress Day 10-continuation of same---By this time I'm tired of this situation Day 11- Being 1--17-21 through--- today I continue to have the same exact itching and only on upper face, eyelids and scalp.

Other Meds: Acyclovir 400 prn; cold sore on nose Propranolol 20mg bid-anxiety Norethindrone birth control pill 0.35mg 1qd Montelukast 1qd

Current Illness: NONE

ID: 0966582
Sex: F
Age: 66
State: PA

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

Lab Data: none

Allergies: none

Symptoms: severe itching, redness and swelling at injection site after ONE week treated with Claritin Reditab and warm compresses. Improved

Other Meds: none

Current Illness: non

ID: 0966583
Sex: F
Age: 43
State: TX

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

Lab Data: none

Allergies: Vicodin

Symptoms: tingling and numbness feeling to bilateral palms of hands and face

Other Meds: Levothyroxine, Lisinopril

Current Illness: none

ID: 0966584
Sex: M
Age: 57
State: OH

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

Lab Data: none

Allergies: none

Symptoms: 15 hours after injection, sore arm developed, followed soon thereafter with nausea, low-grade fever and quite rigorous chills that persisted for about 4 hours. After chills subsided, nausea, headache, myalgia, arthralgia, malaise, loss of appetite and abdominal tenderness began that persisted through the following day. No loss of smell or taste. No vomiting. No shortness of breath.

Other Meds: none

Current Illness: none

ID: 0966585
Sex: F
Age: 37
State: IN

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Muscle aches, low grade fever, chills

Other Meds:

Current Illness:

ID: 0966586
Sex: F
Age: 53
State: NE

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

Lab Data:

Allergies:

Symptoms: HAD BODY ACHES, SCRATCHY THROAT, HEADACHE AND FEVER OVERNIGHT

Other Meds:

Current Illness:

ID: 0966587
Sex: F
Age: 65
State: FL

Vax Date: 01/16/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: Rapid Covid-19 test - negative on 1/22/21

Allergies: None

Symptoms: One week later, fever of 102.8, chills, headache, body aches lasting 2 days

Other Meds: Jardiance, Janumet, Synthroid, Enalapril, Norvasc, Lipitor, Metprolol, Singulair, ASA, Fish Oil, Vit D3, Zinc, Folate, CoQ10, Lutein

Current Illness: None

ID: 0966588
Sex: M
Age: 66
State: TX

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

Lab Data:

Allergies: Seldane

Symptoms: Sleeplessness, up and down all night Thursday to Friday Severe Headache Fever Chills Achiness When he gets sick he says his skin hurts

Other Meds: Lisinopril tab 40mg 1xday Simvastatin tab 40mg 1xday Lansoprazole Cap DR 30mg 1xday Memantine HCL 10mg 1xday Qunol CO Q10 Aspirin 81mg Vitamin E 1000 Hyaluronic Acid w/MSM Fish Oil 1200mg D3 25mcg (1000 units) Acidophilus 2 Billion Melato

Current Illness:

ID: 0966589
Sex: F
Age: 16
State: TN

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

Lab Data: None

Allergies: NKA

Symptoms: Patient is 16 years old

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm