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: 0967428
Sex: F
Age: 66
State: WA

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

Lab Data:

Allergies: morphine

Symptoms: Dry mouth, pain/tenderness at injection site

Other Meds: atenonol, multi-vitamin, Vit D and zinc supplements

Current Illness: none

ID: 0967429
Sex: F
Age: 42
State: IL

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

Lab Data:

Allergies:

Symptoms: Soreness with swelling & redness to the injection site 9 days post vaccine. Also mildly itchy. Axillary pain that began 2 days ago. After the vaccine, I had arm pain that radiated up my neck, lasting 3 days, with a headache & fatigue. The headache & fatigue continues to linger. The arm swelling,redness, etc, with axillary pain are the reason I?m filing this report.

Other Meds: Multivitamin, vitamin D, calcium, omega 3

Current Illness:

ID: 0967430
Sex: F
Age: 50
State: AZ

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

Lab Data: EKG , oxygen, and blood pressure monitoring.

Allergies: Sulfa

Symptoms: Metallic taste immediately followed by heat rush through entire body. Light headed and felt faint. Went to a private area with paramedic. Elevated heart rate and blood pressure. Felt swelling of face and neck, slight difficulty of breathing (tightening of throat).

Other Meds: Synthroid .100 mcg and birth control

Current Illness: None

ID: 0967431
Sex: F
Age: 47
State: AZ

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

Lab Data: None

Allergies: Penicillin

Symptoms: About 10 hours after receiving the first dose of the Pfizer-BioNTech COVID-19 vaccine, I began experiencing noticeable soreness in my upper left arm around the injection site, extending in a 2-3 in radius. The soreness lasted some 14-16 hours and was noticeable with virtually any movement of my arm. It was not incapacitating and didn't seem threatening or dangerous, but since this vaccine is so new, it seems useful to report any and all side effects. Timeline: 1. Vaccination received at 11:00 A.M.; 2. Soreness began around 9:00 P.M. (possibly as late as 10:00 P.M.); 3. Soreness ended between 12:00 P.M. (noon) and 1:00 P.M. the following day.

Other Meds: None.

Current Illness: None

ID: 0967432
Sex: F
Age: 50
State: TX

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

Lab Data:

Allergies: None

Symptoms: Injection site is extremely swollen, red and raised. Swelling and knot underneath the skin is extremely large and painful. Itching. Symptoms didn't appear until 8 days after shot.

Other Meds: Vitamin D3, Vitamin C, zinc

Current Illness: None

ID: 0967433
Sex: F
Age: 35
State: TN

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

Lab Data: None

Allergies: Sulfa

Symptoms: Muscle aches lasting 1 day Low grade fever (99 to 100.5) lasting a few hours Chills lasting a few hours Fatigue lasting about 4 days

Other Meds: None

Current Illness: None

ID: 0967434
Sex: F
Age: 39
State: NY

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

Lab Data: Employer is requiring a COVID test-scheduled for today 1/22

Allergies: Dairy

Symptoms: Sore arm at injection site a few hours after injection.-took ibuprofen. Around 12am was woken up with chills. Took my temperature and it was low grade (99.6)- took ibuprofen . Woke up at 6am with body aches, nausea and dizziness. Took temperature and it was 100.6-took ibuprofen. Symptoms cleared up around 3pm 1/22

Other Meds: Kelnor Lexapro Multivitamin

Current Illness: None

ID: 0967435
Sex: M
Age: 58
State: DC

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 15 hours after vaccination, severe body aches, chills, fever up to 101.9 (baseline 96), sweats, fatigue, these symptoms for 46 hours. Then nausea, headache, light headed on day 4. I had Covid pneumonia June 2020.

Other Meds: Levothyroxine

Current Illness:

ID: 0967436
Sex: F
Age: 39
State: MN

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

Lab Data: none

Allergies: penicillin, amoxicillin, dogs, cats, dust, mold

Symptoms: Significant eye pain, swelling, puffiness, blurry vision, and headache, disorientation. started 3 hours after receiving second dose of covid/pfizer vaccine and continues 2 days later. Has NOT resolved

Other Meds: Singular, Xyzal, Vitamin D

Current Illness: none

ID: 0967437
Sex: F
Age: 84
State: KS

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

Lab Data:

Allergies:

Symptoms: About 5 hrs after had terrible stomach gas pains for several hours. Had terrible chills and became very woozy. Still chilled and woozy at 12 hrs after shot

Other Meds:

Current Illness:

ID: 0967439
Sex: F
Age: 41
State: NV

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

Lab Data: None

Allergies: Allergic to Sulfa Drugs Allergic to Sudafed

Symptoms: Felt dizzy and light headed immediately following injection Had flu like symptoms from 1pm through 9pm I took 1,000 mg Tylenol at 5pm Developed generalized, all over body severe itchiness at 9pm Took Benadryl at 11:45pm Woke at 6:00am on 1/23/21 with continued all over body itchiness, although more mild/moderate Reporting at 6:55am on 1/23/21

Other Meds: Melatonin 5mg at night Unisom 12.5mg at night

Current Illness: Seasonal allergies

ID: 0967440
Sex: F
Age: 63
State: IN

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

Lab Data: none

Allergies: none

Symptoms: Chills for 3 hours and than abnormal gait which got so bad that became unable to walk for 10 hours without falling down. At first had to hang on to things to walk and than unable to stand or sit up- felt like I was being pushed backwards. Emesis all day

Other Meds: Metformin Lisinopril Gapentin Meloxicam Magnesium protonix

Current Illness: none

ID: 0967441
Sex: F
Age: 23
State: VA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Approximately 11 hours post injection awoke from sleep with severe bone and joint pain and chills. After one hour, developed skin sensitivity and muscle aches. At this time temperature reading 100.4. After two additional hours of rest and hydration all symptoms intensified and temperature now reading 100.6. Symptoms and fever persisted for a total of roughly 12 hours with fatigue lasting the entirety of the following day. Was not able to attend work due to severity of symptoms.

Other Meds: None

Current Illness: None

ID: 0967442
Sex: F
Age: 70
State: NY

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Body aches,fever, cold chills,Lethargic,headache

Other Meds: Melatonin,vitamins

Current Illness: None

ID: 0967443
Sex: F
Age: 59
State: OH

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

Lab Data: Benadryl , Tylenol

Allergies: Sulfa and doxycycline

Symptoms: Very bad headache after 30 mins . Around 4 hours later I started to itch, face tingling , tongue tingling , extreme nausea . Dizziness . These symptoms continued for 3 days . Headache lasted 6 days

Other Meds: Levothyroxine

Current Illness: Exercise induced asthma

ID: 0967444
Sex: F
Age: 78
State: FL

Vax Date: 01/11/2021
Onset Date: 01/19/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: exam by ER doctor 1/19/21

Allergies: none

Symptoms: eight days after vaccine had a large 2" red, raised hot area at injection site. Called where I received vaccine and was advised to go to ER. They put me on prednisone 50 mg and Benadryl. Has faded but still there. Advised to still have second vaccine on Feb 8 but to take Benadryl first.

Other Meds: eliquis propranolol

Current Illness: none

ID: 0967445
Sex: U
Age:
State: NY

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

Lab Data: Employer is requiring a COVID test-scheduled for today 1/22

Allergies:

Symptoms: Sore arm at injection site a few hours after injection.-took ibuprofen. Around 12am was woken up with chills. Took my temperature and it was low grade (99.6)- took ibuprofen . Woke up at 6am with body aches, nausea and dizziness. Took temperature and it was 100.6-took ibuprofen. Symptoms cleared up around 3pm 1/22

Other Meds:

Current Illness:

ID: 0967446
Sex: F
Age: 32
State:

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Extreme allergy/cold symptoms, everyday for almost a week No fever but coughing, chills, runny eyes, itchy throat

Other Meds: Women's vitamins

Current Illness: No

ID: 0967447
Sex: M
Age: 80
State: LA

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

Lab Data: This happened on a Friday, after 5pm, so we could not get in touch with his doctor, and I just watched him to make sure it didn't happen again, which it did not.

Allergies: none

Symptoms: Moderna COVID-19 Vaccine EUA 5 hours after the injection, received a shock from his pacemaker/defibrillator which lasted just a few seconds - it was painful enough to make him shout and doubled over and grabbed the chair next to him. This only lasted a minute or so and then he was okay. But I think the form should also ask if you have a pacemaker/defibrillator implanted so that you are aware of this possibility happening.

Other Meds: Metoprolol, Spirolactone, Enalapril, Atorvastatin, Donepezil, Bayer aspirin, Centrum Silver vitamin, vitamin E

Current Illness: none

ID: 0967448
Sex: F
Age: 46
State: FL

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: none

Allergies: Biaxin

Symptoms: general fatigue, headache, axillary soreness, redness/soreness at injection site, warmth, nausea, headache

Other Meds: atenolol, atorvastatin, estradiol, Aspirin, methimazole, Nasacort, omeprazole, vitamin D2

Current Illness: none

ID: 0967449
Sex: M
Age: 43
State: NY

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

Lab Data:

Allergies: None

Symptoms: Severe migraine and headaches approximately 24 hours after vaccine that are not going away.

Other Meds: None

Current Illness: None

ID: 0967450
Sex: F
Age: 42
State: ME

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

Lab Data: Patient brought to the hospital on 1/22/21,

Allergies: None listed, but unknown

Symptoms: Patient was under the 15 minute post-vaccination observation period when she presented with signs and symptoms consistent with an anaphylactic reaction. Facility administered Benadryl, then an EpiPen, and called 9-1-1. Patient was brought to the hospital.

Other Meds: Unknown

Current Illness: Unknown

ID: 0967451
Sex: F
Age: 61
State: NC

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

Lab Data: None

Allergies: Ezetimibe Percocet Simvastatin Pravastatin PPD

Symptoms: Patient has rash at injection site. 9 in by 6 in. Marked erythema and tenderness to palpation.

Other Meds: Prempro Penlac Mycostatin -Xyzal Melatonin

Current Illness: None

ID: 0967452
Sex: M
Age: 31
State: TX

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

Lab Data: Covid negative via RT-PCR

Allergies: None

Symptoms: Loss of smell and taste

Other Meds: None

Current Illness: None

ID: 0967453
Sex: F
Age: 0
State: NY

Vax Date: 02/07/1975
Onset Date: 01/17/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Arm pain, numbness down whole arm for 48 hours, headache, body aches, fatigue for first 24 hours

Other Meds: Dexilant, multi-vitamin, vitamin C, vitamin D3, vitamin B12., Vitamin A

Current Illness: None

ID: 0967454
Sex: F
Age: 46
State: OH

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: -During the evening of 1/13 I had some itching at the vaccine injection site. The following morning I had a large warm red mark roughly 4" wide and 6" in length. -After each day the original location would go away and another area lower and smaller would appear. It took another 4-6 days to completely disappear and no other spots to appear.

Other Meds: Omeprazole Atorvastatin Metoprolol Lisinopril

Current Illness:

ID: 0967455
Sex: F
Age: 46
State: TX

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

Lab Data:

Allergies: Allergic to penicillin

Symptoms: Eight days after shot, the area became red, slightly swollen, hot, and itchy. Resumed Rinvoq and took 20 mg of prednisone which has helped quite a bit.

Other Meds: Rinvoq though I stopped taking it when I got the vaccine so I could buildup antibodies. I also Benedryl, Zyrtec take Centrum, biotin, fish oil, D3, vitamin B complex, collagin,

Current Illness:

ID: 0967456
Sex: F
Age: 19
State: RI

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

Lab Data:

Allergies: Not applicable

Symptoms: Fatigue, headache, and dizziness

Other Meds: Flonase

Current Illness: Not applicable

ID: 0967457
Sex: F
Age: 44
State: IN

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

Lab Data:

Allergies:

Symptoms: Chills and fatigue

Other Meds: Probiotics

Current Illness:

ID: 0967458
Sex: F
Age: 34
State: MI

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

Lab Data: NOne

Allergies: NKDA

Symptoms: Presyncopal event 15 minutes after receiving vaccine lasted about 10-15 seconds. Reclined in chair and given juice and water. Resolved quickly and observed for additional minutes without any symptoms.

Other Meds: None

Current Illness: None

ID: 0967459
Sex: F
Age: 30
State: PA

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: patient reports tenderness at site of injection. slight redness at area. denies shortness of breath

Other Meds:

Current Illness:

ID: 0967460
Sex: F
Age: 24
State:

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

Lab Data:

Allergies:

Symptoms: Patient received 1st dose of Pfizer vaccine. Patient likely vasovagal, blood pressure 56/33 initially. Patient stated that she almost completely lost her vision. Patient extremely pale and cold and clammy. Patient stated she did eat breakfast this morning and had not had a reaction like this in the past. Patient provided with a sugar source and was placed supine. Blood pressure 105/63. Patient monitored for 30 minutes and sent home.

Other Meds:

Current Illness:

ID: 0967461
Sex: M
Age: 59
State: NY

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

Lab Data: none

Allergies: fruit allergy: almonds, watermelon, banana

Symptoms: painful injection site, pain in armpit, runny nose, increase in temperature, lethargy - no treatment sought

Other Meds: amlodipine, atenolol, hydrochlorothiazide,

Current Illness: nil

ID: 0967462
Sex: M
Age: 58
State: MD

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

Lab Data:

Allergies: Peanuts.

Symptoms: Nausea, fatigue, fever, headache

Other Meds: Fever, chills, headache, sweating. I took 400 mg of ibuprofen at 3:00 am -- some 16 hours after my booster shot. The ibuprofen made a big difference. I had similar side effects following the first dose back in October, 2020. Those side

Current Illness: None

ID: 0967463
Sex: F
Age: 54
State: OH

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

Lab Data:

Allergies: Bactrim Ampicillin

Symptoms: 13 hours after receiving the vaccine I had a fever of 101*, an extreme headache, extreme body aches, and a very sore injection sight. The sore injection sight lasted 7 days. The other symptoms lasted approximately 60 hours.

Other Meds: Multivitamin, Calcium with Vit D, Lipitor, Meloxicam, Claritin, Zoloft

Current Illness: COVID+ diagnosed 12/17/20

ID: 0967464
Sex: F
Age: 45
State: KY

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

Lab Data: N/A

Allergies: NKA

Symptoms: Started as a knot and then was swollen, and tender to site. Noticed swelling in the mirror. warm but not hot to touch. Used ice to site. Is improving.

Other Meds: unknown

Current Illness: None

ID: 0967465
Sex: F
Age: 85
State: AL

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

Lab Data: Dr prescribed based on visual.

Allergies: Milk products, basic seasonal allergies.

Symptoms: Full body rash. Dr prescribed generic for Medrol 4mg dose pack, 21 tablets.

Other Meds: Prevacid, Singular, Eliquis, Carvedilol, Flecainide Acetate, Narvasc, Zyrtec, Vit D, Cozaar

Current Illness:

ID: 0967466
Sex: F
Age: 72
State: FL

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

Lab Data:

Allergies: None known

Symptoms: Appx 36 hour after shot had irregular heart beat. Then extreme dizziness resulting me passing out . After regaining consciousness, symptoms were gone.

Other Meds: levothyroxine 75 mcg Vitamin D Vitamin B

Current Illness: no

ID: 0967467
Sex: F
Age: 35
State: NY

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

Lab Data: none

Allergies: None

Symptoms: Vasovagal syncope with panic attack, tingling at onset of vaccine

Other Meds: Multivitamins

Current Illness: None

ID: 0967468
Sex: F
Age: 48
State: WV

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

Lab Data: None

Allergies: Allergy to Sulfa drugs

Symptoms: Patient reported tingling around mouth and in mouth after receiving vaccine while being observed. BP was noted to be elevated at 180/100. She was given 25 mg Benadryl by mouth and observed for an additional 15 minutes (total of 45 minutes). Patient's symptoms improved and BP improved to 156/90. Patient felt symptoms were resolved and she was allowed to leave after 45 minutes of monitoring.

Other Meds: Unknown

Current Illness: None

ID: 0967469
Sex: F
Age: 38
State: AZ

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

Lab Data:

Allergies: None

Symptoms: Severe abdominal pain

Other Meds: Birth control

Current Illness: None

ID: 0967470
Sex: M
Age: 78
State: IN

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

Lab Data: none

Allergies: conch, penicillin, celebrex

Symptoms: Fever (101), Chills, Headache, Dizziness, Swollen and painful injection site

Other Meds: Alopurinol

Current Illness: none but did have long bout with Covid in November 2020

ID: 0967471
Sex: F
Age: 48
State: MO

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

Lab Data: None

Allergies: None

Symptoms: Fever100.5, body aches, chills, shaking, headache, rapid heart rate

Other Meds: None

Current Illness: None

ID: 0967472
Sex: F
Age: 42
State: RI

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

Lab Data:

Allergies: none

Symptoms: on day 8 I felt itchy and noticed swelling and redness; I applied topical hydrocortisone cream; the following day still red, swollen and slightly itchy

Other Meds: omeprazole 20 mg

Current Illness: none

ID: 0967473
Sex: F
Age: 21
State:

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

Lab Data:

Allergies: Peanut allergy

Symptoms: High fever, shivers, headache, body aches all over

Other Meds: Contraceptive pill, daily multi vitamin

Current Illness:

ID: 0967474
Sex: F
Age: 66
State: FL

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: Visited doctor's office on January 7, 2021. "Patient has 12x8 area of erythema around the site of injection; favor local site reaction but starting antibiotics(Keflex-500mg every 12 hours for 10 days)to cover bacterial infection." After taking three of the antibiotics, the swelling, redness, and itching started to subside a bit. Cleared after course of antibiotics but still had some random itching.

Allergies: None

Symptoms: COVID-19 Vaccine EUA

Other Meds: Montelukast(10 mg)-1x Olmesartin(20 mg)-1x Atorvastatin(10 mg)-1x Zolpidem(5 mg)-sporadically 365 Vitamin C packet containing 1000mg Vitamin C, 7 B Vitamins, Antioxidants and Electrolytes-1x Publix Zinc Cold Relief Lozenge-1x Vitamin D(3)-(

Current Illness: None

ID: 0967475
Sex: M
Age: 53
State: WY

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

Lab Data: None

Allergies: codine

Symptoms: Fever and nausea started about 3 hours after receiving the vaccine and continued for about 12 hours. Diarrhea started about 13 hours after vaccination. No treatment was provided.

Other Meds: Concerta, 18 mg once a day morning

Current Illness:

ID: 0967476
Sex: M
Age: 73
State: OK

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

Lab Data:

Allergies: none

Symptoms: low grade fever (100), achy body

Other Meds: atorvastatin, pantoprazle, tamsulosin, 81 mg aspirin, multivitamin, fluticasone propionate

Current Illness: none

ID: 0967477
Sex: F
Age: 42
State: TN

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

Lab Data: EKG NSR labs drawn 1.22.21

Allergies: Cinnamon Promethazine

Symptoms: Day 1. Fatigue. Sleepiness. Loss of appetite Day 2. Muscle aches. Headache. Chills. Loss of appetite. Episode of severe abdominal pain, chest pain, right shoulder pain, shortness of breath, syncope, diaphoresis, vomiting Day 3. Fatigue. Headache. Chest pain.

Other Meds: Sertraline Nexium Vitamin D Melatonin

Current Illness: None

ID: 0967478
Sex: F
Age: 69
State: IN

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: Ibuprofen

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA

Other Meds: Metformin, Levothroxine, Metoprolol, Pantoprazole, Valsartin, Atorvastatin, Calcum-VitD3

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm