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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 0967377
Sex: F
Age: 34
State: IN

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: None

Allergies: Penicillins, mild reaction during childhood.

Symptoms: Chills, fever of 101.7F (tympanic), body aches, and mild headache starting at 1:00AM. Chills subsided and transitioning to sweats between 4:00-6:00 AM. Ibuprofen 600mg taken at 4:15AM. Body aches improved until about 2:00PM. Sweats fluctuated between 6:00am and 5:00pm on 1/21/2021. Full resolution of symptoms by 5:00PM on 1/21/2021.

Other Meds: Prenatal vitamin once daily

Current Illness: None.

ID: 0967378
Sex: F
Age: 35
State: FL

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

Lab Data: None

Allergies: None

Symptoms: 7 pm- fatigue, headache, arm starting to feel very sore 9 pm- 1230 am- fever, chills, headache, burning eyes, tachycardia HR 120-150, can no longer abduct left arm past 90 degrees due to pain 1 am- fever broke, only mildly tachycardic HR 110-120 3-5 am- severe heartburn alleviated only for 30 mins with otc tums. 2 hrs of severe heartburn with midline chest pain radiating to back.

Other Meds: None

Current Illness: None

ID: 0967379
Sex: F
Age: 35
State: GA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: 2 HOURS AFTER INJECTION--LIGHT HEADEDNESS, LOSS OF APPETITE SEVERAL HOURS LATER STOMACH DISCOMFORT, SWEATS, FEVER, CHILLS, EXTREME LETHARGY ARM SORENESS RADIATING DOWN ENTIRE LIMB--INJECTION SITE RAISED, HOT, PAINFUL TO TOUCH--AREA ABOUT 5X3 INCHES INDURATION. 24 HOURS LATER SITE ITCHY

Other Meds: UNKNOWN

Current Illness: NONE

ID: 0967380
Sex: M
Age: 65
State:

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

Lab Data: CMP and CBC 1-23-2021 at 7:45am results pending

Allergies: Morphine, Statins, Ivory soap, citric acid, hydrocodone

Symptoms: Patient presented to the emergency room with complaints of fever, chills, and myalgias mostly in his neck and low back. Patient was also complaining of a headache. He reported a 102.0 temperature at home, checked it again after taking Ibuprofen and reported it to be 101.3. Patient presented to ER where temperature was 99.9. Patient was given oral Tylenol and other IV pain medication for body aches pain rating 8/10. CMP and CBC were obtained. Results currently pending. Patient will most likely be sent home following ER treatment. Patient denies any anaphylactic symptoms of angioedema or airway swelling.

Other Meds: Aspirin 81mg, Allopurinol 150mg, Bystolic 2.5mg, Levothyroxine 25mcg, Niaspan 500mg, Tricor 145mg

Current Illness: None

ID: 0967381
Sex: F
Age: 28
State: TN

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

Lab Data:

Allergies:

Symptoms: Dizziness and orthostatic hypotension for around 24 hours.

Other Meds:

Current Illness:

ID: 0967382
Sex: F
Age: 53
State: OH

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

Lab Data: N/a

Allergies: Aspirin

Symptoms: Dizziness, sweating, light headedness (45 minutes after vaccine); fainting (1 hour after vaccine); low grade fever, body aches (12 hours after vaccine)

Other Meds: Metoprolol, Daily vitamins, estroven

Current Illness:

ID: 0967383
Sex: F
Age: 45
State: PA

Vax Date: 12/23/2020
Onset Date: 12/30/2020
Rec V Date: 01/23/2021
Hospital:

Lab Data: None reported

Allergies: None reported

Symptoms: on 12-30-20, after the injection , at the injection site, my left arm was redness which grew for a couple of days, with hive and itchiness sensation. I went to urgent care to get examined.

Other Meds: None reported

Current Illness: None reported

ID: 0967384
Sex: F
Age: 75
State: FL

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: Scheduled for bloodwork 01/25.

Allergies: Sulfa

Symptoms: No-itching Rash on both legs from ankles to hip and on back of both arms. Started taking Benadryl PM 01/22. Still visible AM 01/23.

Other Meds: 50 mg Toprol, .088mg Levoxyl, 5mg Lisinopril, .81mg Aspirin, 40mg Crestor, 650mg EPA/450mg DHA Fish Oil, 1550mg Omega 3/385mg Omega 6/450mg Omega 9 Flax Oil, 1000IU Vit D3, 2500mcg B-12, 10BCFU Probiotic, 375mg Curamed, 25mg full spectrum H

Current Illness: None

ID: 0967385
Sex: F
Age: 34
State: IA

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

Lab Data: NA

Allergies: Nka

Symptoms: Warm, raised, hard red injection site reaction approx. 3 inches in diameter. Persisting at least 48 hours post injection. No other bodily symptoms.

Other Meds: Propranolol, zolmitriptan, escitalopram, birth control

Current Illness: None

ID: 0967386
Sex: F
Age: 39
State: MI

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: Nothing was given a steroid on Monday and it?s till There

Allergies: Iodinated contrast media.

Symptoms: I had my arm swell Up And get really hot. Big circle for about 5 days. I have tingling face and still Do with a little Red like A sun burn. I was achy for About 5-6 days. 7 days past the day of Injection I got another red circle by injection site and was it hot with bumps. It?s still there but not itchy it?s achy.

Other Meds: Taking Synthroid for Hashimoto disease . Tylenol for aches

Current Illness:

ID: 0967388
Sex: F
Age: 40
State: WA

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

Lab Data: N/A

Allergies: N/A

Symptoms: Heart palpitations Chills Freezing hands Chills Stomach pain Body aches Headaches Loss of focus Weak Lightheadedness Dizzy Loss of balance Tingling in lips Swollen throat

Other Meds: Tylenol 500mg Meloxicam 15mg

Current Illness: Covid toe Toenail fungus Anxiety Eczema

ID: 0967389
Sex: M
Age: 58
State: GA

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: Patient had chest x-rays, abdominal ct scan, bloodwork including checking clotting factor, and ekg. I am his spouse, and I do not have copies of his test results yet. His primary care physician does and he has reviewed all test results with him.

Allergies: none known

Symptoms: Two days after taking the Covid vaccine on Wednesday 1/6/21, patient developed abdominal pain. The next day, he began to have what appeared to be petechial hemorrhaging in his abdomen. By Sunday, the hemorrhaging had spread from his neck to his knees. On Monday, he saw his primary care physician, who sent him to hospital ER. After performing extensive tests, the ER doctor stated that the test results were normal, and he could find no reason for most of his body being purple. By Tuesday, he was returning to normal. The abdominal pain was gone by Tuesday as well.

Other Meds: buproprion hcl xl, propanolol, remeron, metformin, furosemide, omeprazole, atorvastatin, humalog, potassium, magnesium

Current Illness: none known

ID: 0967390
Sex: F
Age: 51
State: VA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/23/2021
Hospital:

Lab Data: EKG

Allergies:

Symptoms: About a minute or two, I was sitting down and felt a tingling feeling was all over my body and head. I got up and has a buzzing sensation all over my body. I walked over the the nurse station and told them I was having a reaction, nurse took my vitals my HR was 165 and my BP 170/120. They took me upstairs to observations and eventually my BP came down a bit. Later that evening it was 160/105. I though I was having chest discomfort. I went to the Emergency Room. They did an EKG which was normal, so they sent me home. It took my BP another 12 hours to be within a normal reading. Within 24-36 hours things came back to normal I had recovered.

Other Meds: Lisinopril Lipitor

Current Illness:

ID: 0967391
Sex: F
Age: 25
State: CA

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

Lab Data: None

Allergies: Percocet Effexor

Symptoms: Hot to touch at injection site Rash on left arm Body aches Chills Fever Severe arm soreness Headache Cold sweats

Other Meds: Lexapro Ibuprofen Metformin Melatonin

Current Illness: None

ID: 0967392
Sex: F
Age: 38
State: TX

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: BP and Pulse oximeter on 1/23/2021.

Allergies: none recorded

Symptoms: Patient reported feeling light headed with a dry throat. We checked her blood pressure and pulse. BP was 138/89 and Pulse was as high as 133. EMS was called, she wanted to go to ER to be monitored.

Other Meds: n/a

Current Illness: n/a

ID: 0967393
Sex: F
Age: 31
State: TX

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

Lab Data:

Allergies: None that I am aware of.

Symptoms: On January 21st I woke up at 3:00 am with a small rash on my left arm, where I received the vaccine. I put an ointment and took Allegra 24 hour to treat reaction. On January 22, 2021 I woke up with two more spots on my arm so I went to go see my doctor and I was given a shot at the clinic and also prescribed an ointment and oral medication (I do not have them with me at this time). On the evening of January 22 , my arm (near the shoulder area) swelled and got red. It is a hot and burning sensation on the area of reaction with redness and swelling. At this time, most of the swelling and redness went down, but I am still dealing a mild burning sensation and mild swelling. I will still taking the 24 hour Allegra along with the oral medication and ointment I was prescribed yesterday.

Other Meds: None that I am aware of.

Current Illness: None that I am aware of.

ID: 0967394
Sex: M
Age: 30
State: ME

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Sore throat, muscle ache at injection site, headache, runny noise

Other Meds: B12, D3, C, Multi Vit

Current Illness: None

ID: 0967395
Sex: F
Age: 59
State: KY

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

Lab Data: neuro exam only given, no additional tests were done.

Allergies: PCN, turnips

Symptoms: right hand could not grasp objects, muscle weakness right hand, lightheadedness, flush face, chest, left arm, high blood pressure 204/96, heart rate 101

Other Meds: levothyroxine, zyrtec,prilosec

Current Illness: N/A

ID: 0967396
Sex: F
Age: 34
State: MN

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: After mild vaccine reaction symptoms (myalgia, chills) I passed out and was unresponsive for 2 minutes.

Other Meds: Spironolactone Multi Vitamin

Current Illness:

ID: 0967397
Sex: F
Age: 60
State: VT

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: I received the vaccine on 1/13/21. On 1/21/21 I felt itchy on my right arm. When I looked it had hives, very red & itchy, swollen and hot. On 1/22/21 I went to a walk in clinic and was told to take Benadryl. Currently it is still swollen, not so red with slight tenderness.

Other Meds:

Current Illness: None

ID: 0967398
Sex: F
Age: 30
State: NJ

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

Lab Data: Telemetry monitoring, received Benadryl

Allergies: Shellfish, Penicillin

Symptoms: Tachycardia, hypertension, dizzy, tingly

Other Meds: Prevacid

Current Illness:

Date Died: 01/21/2021

ID: 0967399
Sex: M
Age: 56
State: TN

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

Lab Data: no

Allergies: No

Symptoms: Sudden death

Other Meds:

Current Illness: No

ID: 0967400
Sex: F
Age: 36
State: TN

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Approximately around 1030 pm started having body aches and shaking chills. Finally fel asleep and then woke up around 2am 1-21 and had a major head ache body aches checked temp it was 101.7. Took Tylenol woke back up 4 hours later had chills and body aches temp was 100.9 took more Tylenol every 3-4 hours had fever around 4pm I took some vitamin c and Tylenol did not have any fever after that. Woke up next morning 1-22 with arm pit slightly sore progressively got worse theouhtout day. Woke up 1-23 moderately sore to touch and move

Other Meds: Vitamin C

Current Illness: No

ID: 0967401
Sex: M
Age: 70
State: NJ

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

Lab Data:

Allergies: pennicillin n one antibiotic

Symptoms: Went to get up out of bed n felt dizzy for about 3 seconds. got up went 2 bathroom fellt it again for coule of seconds. went back room took my blood pressure it was fine. then went back to bed to do some stretching felt it again for couple of seconds drank some water. finnished my stretching got up. felt better. called my doctor. he said drink plenty of fluids n take some tylenol. had breakfast feeling better now.

Other Meds: pravastatin. bistolic. valsartan/hctz. tamsulosion. podiapn vitamin c n prostate pq. meloxican. baby aspirin

Current Illness: none

ID: 0967402
Sex: F
Age: 29
State: PA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Experiencing severe soreness, tingling from clavical to thumb and shooting pain in shoulder/arm following receipt of the COVID vaccine. Limited range of motion and difficulty carrying out daily tasks. REACTON Type ? Neuralgia.

Other Meds:

Current Illness:

ID: 0967403
Sex: F
Age: 78
State: NC

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: none

Allergies: seafood, bactrian, macrobid

Symptoms: Moderna COVID-19 Vaccine EUA chills, shortness of breath, fatigue, body and muscles sore to the touch headache with funny feeling, sluggish, flushed, no taste. sore throat, nausea (not vomiting), severe leg cramps, droopy, eyes won't focus and want to close, lumpy throat that is sore to the touch

Other Meds: hydrochlorizide

Current Illness: none

ID: 0967404
Sex: F
Age: 23
State: TX

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: No adverse effects at this time just sore arm.

Other Meds: I took pain pills before the vaccine was administered. No adverse effects after the vaccine was administered just sore arm.

Current Illness: No

ID: 0967405
Sex: F
Age: 36
State: WI

Vax Date: 12/30/2020
Onset Date: 01/01/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: reglan, morphine

Symptoms: prolonged and persistent bouts of nausea, decreased appetite, fatigue

Other Meds: fluoxetine, vitamin D, topamax, minipill

Current Illness: thyroid disease, depression

ID: 0967406
Sex: F
Age: 53
State: WV

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Severe headache, metallic taste in mouth, fatigue and tingling of tongue and lips

Other Meds:

Current Illness:

ID: 0967407
Sex: F
Age: 58
State:

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: N/A

Allergies:

Symptoms: Latent rash with swelling at injection site,approx 9 days post shot

Other Meds:

Current Illness:

ID: 0967408
Sex: F
Age: 38
State: ND

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: None

Allergies: Tramadol

Symptoms: 5 days after shot began post nasal drip and phlegm in throat. 8 days after shot began rash under armpits 10 days after shot began sore throat and dry cough 10 days after shot, rash has not improved with hydrocortisone or Allegra and appears to be spreading.

Other Meds: None

Current Illness: None

ID: 0967409
Sex: M
Age: 43
State: PR

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Arm pain that lasted 3 days, chills and diarrhea that lasted 24 hours, I didn't take any treatment.

Other Meds: None

Current Illness: None

ID: 0967410
Sex: F
Age: 27
State: IN

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

Lab Data: On 01/23/2021, I tested negative for COVID and positive for influenza B .

Allergies: Sumatriptan

Symptoms: 12 hours after the vaccination, I had fever, chills, headache, myalgias, dry cough, nausea, decreased appetite, nasal congestion.

Other Meds: None

Current Illness: None

ID: 0967411
Sex: F
Age: 1
State: AZ

Vax Date: 01/11/2021
Onset Date: 01/21/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Red, tender swollen bump on tigh.

Other Meds:

Current Illness:

ID: 0967412
Sex: F
Age: 51
State: IN

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

Lab Data:

Allergies: Walnuts

Symptoms: Chills, muscle aches and weakness, headache, tachycardia

Other Meds: Multivitamin

Current Illness: None

ID: 0967413
Sex: F
Age: 66
State: FL

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

Lab Data: none

Allergies: Penicillin

Symptoms: After about 2 hours, felt like in a fog ... then at about 6 hours started feeling joint stiffness, achy in upper back, shoulders areas, of course soreness at injection site but not severe. No at about 20 hours post-vaccine, achy in upper back, shoulders areas worsened, but still not severe, soreness at injection site the same.

Other Meds: Levothyroxine Sodium 200 MCG; Probiotic 50Billion; L-Carnitine 1000 MG; Vitamin D3 6,000 MG; B-Complex; Multi-Vitamin

Current Illness: none

ID: 0967414
Sex: M
Age: 31
State: NJ

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

Lab Data: None

Allergies: None

Symptoms: This morning around 6am. I started experience intense chills that lasted approximately over an hour. Once I couldn?t continue to sleep I slowly started developing an intense headache, I took some advil but the headache had only gone down slightly. All while this is happening I?m also experiencing a fever, moving around can be very challenging. Its currently 9:30am. 1/23/21. And I?m still feeling the discomfort.

Other Meds: None

Current Illness: None

ID: 0967415
Sex: F
Age: 47
State: PA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Received the Covid Vaccine on 01/07/2021. a few hours after, I noticed I had a headache, soreness at site radiating to neck, & became itchy mostly on my ribs. Later, noticed that the locations I was itchy I had broken out into hives. Took Zyrtec. REACTION TYPE - itching/hives. Seen and discharged to Allergist.

Other Meds:

Current Illness:

ID: 0967416
Sex: F
Age: 44
State: CA

Vax Date: 01/08/2021
Onset Date: 01/19/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: none

Allergies: Dicloxacillin

Symptoms: increasing LN along right clavicle and then among right cervical chain these past few days. about 4-5 of them with the largest on on distal right clavicle and about 1cm in size. They're all mobile.No other symptoms to speak of. No fever, no sore throat, no redness/swelling anywhere. Some mild baseline tiredness. I had some soreness in upper arm the first few days after the vaccine , some vague right shoulder/upper back pain last weekend that I attributed to muscle strain from overuse. I noted the 2 larger 1cm lymph nodes by mid-right clavicle 4 days ago, and the 2 smaller 0.5cm right sided lower cervical chain LNs 2 days ago.

Other Meds:

Current Illness: None

ID: 0967417
Sex: F
Age: 39
State: TX

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: Benzoyl peroxide- hives & throat swelling & breathing distress Sulfa - hives and body aches Eggs - stomach upset, diarrhea, abnormal swelling at injection site and arm pain if flu vaccine w/eggs given

Symptoms: 1am 1/21 wakened by aching arm, pain with lifting arm, unable to lift heavy items, took ibuprofen at 6am. 6pm 1/21, face/jaw/head/neck/shoulder felt clenched and ached, went to bed with ibuprofen. 6am 1/22 woke without the tight, clenched feeling but dull ache in head, neck, shoulders, and right arm- drank a lot of water. 9pm joint pain and muscle aches and headache- ibuprofen and sleep. 7am 1/23 woke with joint pain all over body but especially in right side of jaw and right shoulder.

Other Meds: Wellbutrin 300mg, Sertraline 50mg, 5000 IU D3, Fish Oil, B complex, Magnesium glycenate, Zyrtec, Flonase, Nuva ring, gummy multi-vitamin

Current Illness: Cedar pollen allergies

ID: 0967418
Sex: F
Age:
State: VA

Vax Date:
Onset Date: 01/14/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: Codein

Symptoms: Severe dizziness Breathing became closed off Sick Cold Weak Severe zinging running down both arms and legs 45 min. After shot.

Other Meds: High blood pressure meds Cholestrol meds Ambien Steroid cream

Current Illness:

ID: 0967419
Sex: F
Age: 36
State: MD

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/23/2021
Hospital:

Lab Data: chest xray, ct, blood tests (12/30) MRI (1/4)

Allergies: nka

Symptoms: At aprox 36hrs post vaccine I developed a rapid onset of left arm and left sided body weakness. continuing near syncope episodes. diagnosed as a complex mograine which lasted 5-6hrs. and lingering headache for about 8days

Other Meds: ocp (junel), concerta 36mg

Current Illness: n/a

ID: 0967420
Sex: F
Age: 39
State: NY

Vax Date: 01/20/2021
Onset Date: 01/23/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: None

Allergies: Percocet

Symptoms: Itching and soreness around the injection site. Applied ice pack, which provided some temporary relief. Will continue to monitor over the next 24 hours.

Other Meds: None

Current Illness: None

ID: 0967421
Sex: F
Age: 36
State: MD

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Redness/soreness/warm ONE WEEK post injection.

Other Meds:

Current Illness:

ID: 0967422
Sex: F
Age: 47
State: RI

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

Lab Data:

Allergies: NKDS

Symptoms: RAPID HEART RATE, NAUSEA, UNCONTROLLED TREMBLING, NUMBNESS TO FACE AND HANDS. HIVES.

Other Meds: HYDROXYCLORIQUINE, SYNTHROID,VIT D, LIOTHYRONINE

Current Illness: NONE

ID: 0967423
Sex: F
Age: 58
State: IN

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

Lab Data: none

Allergies: PCN Sulfa Keflex IVP Dye

Symptoms: Started with general aches/pains lead to severe joint and muscle aches all over my body with fever, headache and fatigue lasted about 30-35 hours Also included pain at injection site that still continues but improves with motrin

Other Meds: losartin triamterene/hctz Prevacid metformin

Current Illness: no illness

ID: 0967424
Sex: M
Age: 65
State: CA

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

Lab Data: None.

Allergies: Penicillin, maybe.

Symptoms: Sore left arm/shoulder evening 21Jab21; progressive temperature day of work on 22Jan21; evening 22Jan21 ad 101.4 F temperature; 0400 am on 23Jan21 had 97.6F temperature; at 0600 had103.2F temperature. Since 0400 on23Jan21 had uncontrollable shivering. ;

Other Meds: None.

Current Illness: None.

ID: 0967425
Sex: F
Age: 43
State: OK

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: None

Allergies: Latex, gluten intolerance, sulfa drugs (all over hives), papertape

Symptoms: Started with mild headache 1/7 night. Near 5am 1/8 had severe rib pain on right, 7am loose stools, midday body aches, chills, finger swelling and joint swelling ha, fvr low grade. I took ibuprophen. By evening add nausea, vomitting, near syncopal event (had to sit quickly b4 passing out), heart palpitations, light headed, chest pressure and just off feeling, fatigue. By 1/9 all same symptoms, 2 more near -syncopal events, rt knee pain, and asthma (I used inhaler x 3 times). Then 1/10 upon waking, I felt amazing and 100% better. During first 3days of symptoms, I slept alot.

Other Meds: K2- d3, lisinopril 10mg x 1 a day, albuteral inhaler, multivitamin, biotin, probiotic

Current Illness: None

ID: 0967426
Sex: F
Age: 76
State: IN

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: None

Allergies: Amoxicillan, IVP dye, keflex

Symptoms: Severe chills/tremors.....my entire body was shaking/spasming. It shook my bed and woke me up. Severe sore arm at injection site.

Other Meds: Ibuprophen anb benadryl

Current Illness: None

ID: 0967427
Sex: F
Age: 65
State: NY

Vax Date: 01/12/2021
Onset Date: 01/19/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: none

Allergies: mangos

Symptoms: One week after injection the site on upper left arm became red, swollen, hot and itchy. The area is around four inches in diameter. Itchiness spread to my torso. Symptoms persist to present day (January 23, 2021) The symptoms are mild and I've used ice to treat.

Other Meds: ursodiol, synthroid, multivitamin and mineral supplement, NAC, glucosamine-chondroitin

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm