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: 0967479
Sex: F
Age: 70
State: GA

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

Lab Data: N/A

Allergies:

Symptoms: 8 days after injection, approximate 2X2 red area appeared L arm at injection site. Site feels warm to touch and is raised

Other Meds:

Current Illness:

ID: 0967480
Sex: F
Age: 87
State: PA

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

Lab Data:

Allergies: none known

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Severe pain from area of injection to neck - inability to move and difficulty sleeping as a result. Started to improve after 12 hours or so. but still in pain. Now able to move.

Other Meds: calcitonin, ergocalciferol, latanoprost

Current Illness:

ID: 0967481
Sex: M
Age: 29
State: PA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: none

Allergies: Penicillin

Symptoms: All events occurred 1 day after vaccine: 1:00am- severe chills, slightly elevated body temperature (99.2 degrees F) 1:30pm - hives on right wrist (itching, red/puffy, and raised), lasted 30-45 minutes, treated with over-the-counter lotion; 10:00pm - hives covering entire body, (itching, red/puffy, and raised), lasted approximately 1 hour; No symptoms after.

Other Meds: Iron (350mg), Riboflavin (400mg), Dexilant (60mg)

Current Illness: none

ID: 0967482
Sex: F
Age: 73
State: MA

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

Lab Data: none

Allergies: no

Symptoms: 8pm tried to get up out of the bathtub, called husband he helped me to the toilet and i passed out. He helped me up and I vomited twice. Very crazy experience, I never had something happen to me like that. I only received one regular flu shot in my life no other shots.

Other Meds: Amlodipine 2.5mg (began taking December 22, 2020) D3 Calcium & magnesium Turmeric

Current Illness: no

ID: 0967483
Sex: F
Age: 27
State: NY

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

Lab Data: None

Allergies: N/A

Symptoms: Within 5-10 minutes of receiving the vaccine my heart starting racing a little bit, I got a little light headed, and had a weird taste in my mouth. The morning after my vaccine (1/22/2021) the Injection site of the vaccine is swollen, hot to the touch, and red/hard. The following day (1/22/2021) around 3:45 pm I broke out in a rash on my face and neck

Other Meds: Digestive advantage, omeprazole, adderall, immuneti

Current Illness: N/A

ID: 0967484
Sex: F
Age: 38
State: MO

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

Lab Data: Nome

Allergies: NKDA

Symptoms: Upon walking to the 15 minute observation area I felt a burning sensation that came over my entire body like alcohol in my veins. I felt it in my stomach, head, hands, all over. I told the workers that I didnt feel well. They moved me to the bathroom and propped me up over the sink sitting in a chair. I felt very lightheaded at that point and somewhat responsive but was feeling very bad. I looked at my iwatch and my heart rate was 198. I felt lightheaded like I was going to pass out. They had me move to the floor to prop my feet above my head. They checked my blood pressure and it was normal. I had them get my purse with my Xanax. I took 1.5 tablets of .25mg Xanax. My heart rate slowly went back to normal around 80BPM after about 15 minutes. The rest of the day I felt very tired. I felt normal again at 8pm with bo further side effects.

Other Meds: Flosnase, Generic Claritin, NP Thyroid, Lexapro 10mg, birth control, Vitamin D, support - B vitamins and folate. Occasional PRN Xanax .25mg, PRN psuedophed, PRN Ibprofen

Current Illness: None

ID: 0967485
Sex: F
Age: 29
State: AZ

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

Lab Data:

Allergies: Penicillin, Azithromycin, Metronidazole

Symptoms: Adverse events: diarrhea around midnight, swollen eyelid developed overnight. Treatment: Diphenhydramine HCl 50mg around 8:00 am.

Other Meds: Sertraline, Buspirone

Current Illness:

ID: 0967487
Sex: F
Age: 32
State: TX

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

Lab Data:

Allergies: None

Symptoms: Intense cramping (equal to labor contractions) for about 3 hours expected period 2 wks away , chills, sore near injection site

Other Meds: Ibuprofen

Current Illness: None

ID: 0967488
Sex: M
Age: 76
State:

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

Lab Data: none

Allergies:

Symptoms: Muscle pain starting in right groin then moving to entire trunk area

Other Meds:

Current Illness: Heart and kidney trouble

ID: 0967489
Sex: M
Age: 82
State: GA

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

Lab Data:

Allergies: quinolones, sulfa, tetracycline

Symptoms: Pt uses a walker, upon moving to observation area, patient fell trying to sit down. Pt states he simply missed the chair. He has very thin skin and suffered several skin tears. We applied pressure and bandaged wounds and observed pt for 30 minutes. He did not hit his head. Followed up with pt's wife next day and she reported that his arm was sore, but no other complaints. I recommended they see a Dr. for his skin tears.

Other Meds: amlodipine 5 mg, esomeprazole 20mg, eszopiclone 3 mg, sertraline 25 mg

Current Illness:

ID: 0967490
Sex: F
Age: 57
State: UT

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

Lab Data: doctor visit, prescribed topical cream (steroid) for reaction relief.

Allergies: none

Symptoms: Delayed local site reaction occurring Day 8, evening through night - injection site swollen, red, itchy, sore with circular shape of 2 inch diameter, Soreness and warmth woke me up from sleep throughout night.

Other Meds: Hydrochloriothiazide 25 mg

Current Illness: none

ID: 0967491
Sex: F
Age: 54
State: PA

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

Lab Data: At current time, is not seeking further medical attention.

Allergies: NKA

Symptoms: Beginning yesterday evening, site began to become swollen, itchy, and a rash has developed. It is raised and warm to the touch. Bothersome to touch and is hard under the skin. Currently about the size of a half dollar. Itchy, red and swollen are the biggest complaints. At current time, this does not prevent her from doing her job. She said it sort of looks like a burned blister at this time. Interior is white and outside is red. Sort of like a larger sting or bite. Last night, she took Benadryl 25mg (2 caps) and that did not seem to help. Still red and swollen under the skin. Redness and itchiness continue. She iced the site this morning. Patient was advised to continue Benadryl when possible as well as ice and to use a Hydrocortisone product when Benadryl cannot be used. No effects with breathing or side effects.

Other Meds: No Rx items -- daily vitamin -- elderberry herbal supplement

Current Illness: none - not previously positive for COVID

ID: 0967492
Sex: F
Age: 35
State: GA

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

Lab Data: No tests done. Received medical treatment from neurologist for migraine.

Allergies: No allergies

Symptoms: Migraine started 7 days after receiving vaccine and lasted for over 72 hours. Redness and swelling at injection site started 12 days after receiving vaccine.

Other Meds: Birth control, Effexor, Clonazepam

Current Illness: No illnesses

ID: 0967493
Sex: F
Age: 73
State: IN

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

Lab Data: NA

Allergies: Opioids, scallops

Symptoms: Started feeling fatigued day of shot. Next morning very tired and throughout day, slightly aching muscles all day as well. No other symptoms.

Other Meds: Levothyroxine, amlodipine, restasis,, Ibuprofen, Vitamin A& C, multi -vitamin, Flaxseed oil, cod liver oil, coQ10, iron, zinc, ginkgo biloba

Current Illness: None

ID: 0967494
Sex: M
Age: 35
State: IL

Vax Date: 01/13/2021
Onset Date: 01/19/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: COVID-19 Vaccine EUA Swelling, Redness, Pain, Bruising, Warmth at injection site 6 days after injection date Applied ice to injection site Took OTC Ibuprofen 9 days after injection the site is a little less red & swelling has increased

Other Meds: Daily multivitamin Lysine 500mg daily Finasteride 1mg daily

Current Illness: None

ID: 0967495
Sex: F
Age: 48
State: ME

Vax Date: 01/13/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: None

Allergies: Latex Penicillin Bactrum Clindamycin Bee stings Assorted chemical preservatives

Symptoms: Day of vaccination: headache and right side face tingling. Followed by 2 days of fatigue. Day 9 post vaccination: raised redness, hard knotted area, pain and itching at injection site. And 2-3? diameter around injection site.

Other Meds: Synthroid Trazadone Effexor Melatonin Magnesium Vitamin D3

Current Illness: None

ID: 0967496
Sex: F
Age: 53
State: PA

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

Lab Data: None

Allergies: Aspirin, sensitivity to albuterol

Symptoms: Severe muscular pain in lower calf of both legs. I have been using bio freeze to relieve some of the pain. It?s constant.

Other Meds: Neurontin, Zoloft, Lipitor, Ativan, Ambien, Coumadin, Pepcid, prednisone, Prilosec, metoprolol, Tylenol

Current Illness: None

ID: 0967497
Sex: F
Age: 77
State: TX

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

Lab Data: none

Allergies: none

Symptoms: First covid given 12/23/20 side effects were sore arm. Second Covid given 1/20/21, approx. 18 hrs. after shot: chills, fever 100 degrees. Fever through 1/22.

Other Meds: Simvastatin, 20mg, Metoprolol Suc, 25 mg, Calcium D3, 600 mg, Vit. D-3 2000 iu, multi vitamin

Current Illness: none

ID: 0967498
Sex: F
Age: 24
State: CA

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

Lab Data: Toradol injection and X-RAY 1/21 in emergency room that shows now broken bones, MRI scheduled for Monday 1/25.

Allergies:

Symptoms: Severe shoulder pain, limited mobility, arm weakness still from the first day of injection (1/14) to now (1/23). Can?t adduct arm or move it side to side with out a lot of pain. If I do a wrong movement I will end up in 10/10 pain with severe aches.

Other Meds:

Current Illness: Covid with symptom onset of December 20th and ending December 28th

ID: 0967499
Sex: F
Age: 49
State: FL

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

Lab Data:

Allergies: Pets, msg,

Symptoms: Low Fever and fast heartbeat. Fatigue muscle pain.

Other Meds: None

Current Illness: None

ID: 0967500
Sex: F
Age:
State: NY

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

Lab Data: None were ordered this morning at urgent care. I will be f/ u with my PCP Monday unless care is needed prior.

Allergies: None

Symptoms: Day 1 - site soreness and HA only. Morning of day 8 notable site soreness, itchiness. By evening pink and swollen around injection site - day 9-markedly increased redness , swelling, discomfort at and around injection site, mild to moderate itching in affected area. I went to urgent care - provider orders P.O. keflex and told me to take an Antihistamine if needed and refused to take the vaccine information from Me to report this.

Other Meds: Levothyroxine

Current Illness: None

ID: 0967501
Sex: F
Age: 76
State: FL

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Dizziness that began 35 hours after vaccine was administered. Dizziness lasted 43 hours.

Other Meds: Atorvastatin, Calcium Citrate with Magnesium and Zinc, Glucosamine with Chondroitin

Current Illness:

ID: 0967502
Sex: F
Age: 77
State: FL

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

Lab Data: none

Allergies: penicillin, durecef, plavix

Symptoms: 10:00am done with shot, 1/2 hour observation, 10 to 15 minutes later driving home felt need to have a BM, arriving home had diarrhea then tremors of both hands, fast heart, and extreme tiredness

Other Meds: Zetia, calcium with D, Welbutrin, aspirin, multivitamin

Current Illness: none

ID: 0967503
Sex: F
Age: 31
State: OH

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

Lab Data:

Allergies: None

Symptoms: Started with muscle aches and headache progressed to severe chills and shaking. Dizziness and feeling of passing out the next morning

Other Meds:

Current Illness: None

ID: 0967504
Sex: F
Age: 30
State: CT

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

Lab Data:

Allergies:

Symptoms: Redness, swelling, hot to touch at injection site 9 days post injection

Other Meds: Junel Fe 1.5/30

Current Illness:

ID: 0967505
Sex: M
Age: 70
State: IN

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

Lab Data: NONE

Allergies: NONE

Symptoms: Aside from the soreness at the injection site, I developed chills, fever up to 101.9 degrees, fatigue and joint pain beginning about 12 hours after the injection. The fever lasted about 30 hours. I used Tylenol to keep it down. I haven't used Tylenol for the past 12 hours and feel fine, at the moment.

Other Meds: LISINOPRIL 20 MG/DAY ASPIRIN 81MG/DAY

Current Illness: HAD COVID BEGINNING DECEMBER 8, 2020. WAS RECOVERED BY DECEMBER 20, 2020

Date Died: 01/21/2021

ID: 0967506
Sex: M
Age: 73
State: TX

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

Lab Data:

Allergies:

Symptoms: Died within 5 days of receiving vaccine. Exact cause and day unknown.

Other Meds: Ketoconazole, lisinoprol, atravastatin, xarelto, bupropion, sertraline

Current Illness:

ID: 0967507
Sex: F
Age: 40
State: ND

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

Lab Data:

Allergies: NKDA

Symptoms: Red, itchy area developed on arm near vaccination site on day 9 after vaccination. Not raised or warm.

Other Meds: Hctz 12.5mg levothyroxine 50mcg

Current Illness:

ID: 0967508
Sex: F
Age: 70
State: PA

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Knee pain, left knee, appeared within 2 days of shot, and has persisted for two weeks. Knee previously received arthroscopic surgery in 2015 for meniscus but has not been problematic since.

Other Meds: imipramine 150mg, atenolol 10mg, simvastatin 10mg, glucosamine/chondroitin, turmeric, vitamins c,d , calcium, lysine

Current Illness: none

ID: 0967509
Sex: F
Age: 48
State: MA

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

Lab Data: none

Allergies: no

Symptoms: fatigue, nausea

Other Meds: flovent 220 BID, albuterol

Current Illness: asthma

ID: 0967510
Sex: F
Age: 33
State: OR

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

Lab Data: none

Allergies: None

Symptoms: I became sick with covid-19 for a week.

Other Meds: Herbal Vitamins

Current Illness: None

ID: 0967511
Sex: M
Age: 16
State:

Vax Date: 10/10/2020
Onset Date: 10/10/2020
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Flublock is for 18 years and old and at the time the patient was 17 years old. Patient had no adverse reaction.

Other Meds:

Current Illness:

ID: 0967512
Sex: F
Age: 46
State: MN

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

Lab Data:

Allergies:

Symptoms: localized reaction to left arm with erythema swelling and warmth

Other Meds: Omeprazole

Current Illness: None

ID: 0967513
Sex: F
Age: 30
State: MD

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

Lab Data:

Allergies:

Symptoms: syringe lot G200312 expiration 2/28/2028 malfunctioned during initial administration. Safety activated early and full 0.3mL dose visibly leaked and was not administered. It is unclear how much volume was received. Second full dose of 0.3mL was administered. Same lot number and expiration date of vaccine.

Other Meds:

Current Illness:

ID: 0967514
Sex: F
Age: 43
State: CA

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

Lab Data:

Allergies: Amoxicillin

Symptoms: Headache, fatigue, muscle pain, chills, joint pain, eyes irritation. The symptoms started yesterday night and I still have the symptoms.

Other Meds:

Current Illness:

ID: 0967515
Sex: F
Age: 62
State:

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

Lab Data:

Allergies:

Symptoms: Insomnia, body aches, chills, low grade fever. I was okay by noon on Thursday.

Other Meds:

Current Illness:

ID: 0967516
Sex: F
Age: 33
State: NY

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: Ceclor and duracef

Symptoms: Redness at infection site started that evening grew larger over the next few days. Disappeared on Sunday and then on Tuesday it returned large, red and hot. Went to the doctor to be treated and they said I have cellulitis. As the cellulitis my body became itchy. Continued itching all over body while taking the antibiotic, unsure why I am very itchy. The redness is gone from the infection site and now I am experiencing itching on legs, arms, back.

Other Meds: None

Current Illness: None

ID: 0967517
Sex: M
Age: 34
State: TX

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

Lab Data:

Allergies: Unknown

Symptoms: Patient received 2nd dose of Pfizer vaccine 7 days after receiving 1st dose from a different provider.

Other Meds: Unknown

Current Illness: Unknown

ID: 0967518
Sex: F
Age: 26
State: CA

Vax Date: 01/12/2021
Onset Date: 01/20/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: None

Allergies: Sulfar medications

Symptoms: Hot, swollen, ichey, large circular rash

Other Meds: Daysee

Current Illness: None

ID: 0967519
Sex: F
Age: 52
State: KS

Vax Date: 01/02/2021
Onset Date: 01/09/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: Hearing evaluation Ventilation tube placed in right ear ENT evaluation

Allergies: Ciprofloxacin

Symptoms: Vaccine on Jan. 2. I had an achy arm on Jan. 3-4. No fever. Slight headache on Jan. 6-8. Feeling of sinus pressure on Jan.9 am. Could not hear out of right ear on Jan. 9 at 5:00 pm. By 7:00 pm I had excruciating pain in right ear and went to the ER. I was on Amoxicillin from Jan. 9-Jan. 22. I still had little to no hearing in right ear. On Jan. 22, the ENT diagnosed me with a moderate/severe conductive and sensorineural hearing loss with nerve damage. I had a ventilation tube placed in right ear on Jan.22 and placed on steroids to try to recover some hearing loss. I will follow up with the ENT in two weeks. Not sure yet if this is permanent damage.

Other Meds: Armor Thyroid, Estrogen/progesterone troche, Testosterone injection (1x/week), Vitamin DK3

Current Illness: None

ID: 0967520
Sex: M
Age: 16
State:

Vax Date: 10/17/2020
Onset Date: 10/17/2020
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received Flublock for 18 and older and was only 16 years old.

Other Meds:

Current Illness:

ID: 0967521
Sex: F
Age: 39
State: MA

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

Lab Data: 1/21 CBC, LFTs, metabolic panel , urinalysis, abdominal CT and pelvic CT

Allergies: None

Symptoms: Sever abdominal pain that started 1/21 at 9pm. Persisted overnight. Went to ER at 930am on 1/22. Diagnosed with appendicitis. Appendectomy surgery performed around 7pm on 1/22/21.

Other Meds: Low estrin Vitamin E B-complex

Current Illness: None

ID: 0967522
Sex: F
Age: 71
State: PA

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

Lab Data: None

Allergies: No

Symptoms: Rapid heart beat...palpitations...lasting approximately 10 minutes

Other Meds: Rovustatin 5 mg Levoxythyroid 75 mcg Enosopril 25 mg

Current Illness: No

ID: 0967523
Sex: F
Age: 35
State: NE

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

Lab Data:

Allergies:

Symptoms: Immediate deltoid muscle spasm and soreness. 16hrs- chills no fever 24hrs- extreme r shoulder pain only if touching skin - moving only felt like bad muscle soreness. But touching skin was externally bad strange nerve type lightning pain. No pain if still and not touching. Nerve pain lasted about 6 hours. Also had headache off and on Back to normal around 36 hours

Other Meds: Vit d, Pepcid, Vit C,

Current Illness:

ID: 0967524
Sex: M
Age: 33
State: TN

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

Lab Data: N/A

Allergies: Penicillins

Symptoms: Received vaccine at ER on 1/21/2021. Patient unsure what variety of tetanus shot he received. Records have been requested but are not available at time of completing this report. _ Patient has existing Grade IV right shoulder separation with humerus sitting several centimeters below lateral clavicle. Tetanus shot was administered ~7cm from distal clavicle but only ~2-3cm from top of humerus. Now range of motion of right shoulder is markedly decreased. Also mild ulnar nerve didstribution decreased sensation to light touch distally, which he believes to be new since the vaccine was administered.

Other Meds: Adderall, Prilosec, Tecfidera

Current Illness: None.

ID: 0967525
Sex: F
Age: 33
State: NY

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

Lab Data: None

Allergies: None

Symptoms: Redness and inflammation localized to left arm around injectilon site 8 days after vaccine administered. 10x6inch area of swelling and redness.

Other Meds: Vitamin C and D, Zinc, multivitamin

Current Illness: None

ID: 0967526
Sex: F
Age: 57
State: MD

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

Lab Data: None, hopefully OTC meds will help alleviate the issue until it subsides

Allergies: Amoxycillan, peppermint

Symptoms: Massive headache; took Advil but the headache still persists. Will be trying Excedrin Migraine today. Site area very tender to the touch.

Other Meds: Synthroid, Atorvastatin, Allegra-D, Vitamin D2, Montelukast, Women's multivitamin, Trazodone, Azelastine, Nasacort

Current Illness:

ID: 0967527
Sex: F
Age: 54
State: IL

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

Lab Data:

Allergies: Levoquin

Symptoms: Fever, chills, body aches, fatigue, left arm pain, nausea

Other Meds: None

Current Illness: Pneumovax, tetanus, annual flu

ID: 0967528
Sex: F
Age: 58
State: IL

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

Lab Data: None at this time. My pcp recommended I see an allergist

Allergies: Rifampin

Symptoms: One hour after administration became lightheaded with mild headache. 5 hours later developed itchy chest, neck , and back with joint pains and chills The next morning noted a rash on chest and back with itching. The aches and chills had resolved After taking Claritin x2 , the rash began to dissipate and completely resolve by 1/23. No other symptoms

Other Meds: Dexilant: ZenPep : calcitriol: Cipro: Linzess: Vitamin D: Magnesium:.Lexapro

Current Illness: Being treated for Small Bowel Bacterial Overgrowth at the time of vaccination., with Cipro . Have taken Cipro many times before without adverse effects

ID: 0967529
Sex: F
Age: 44
State: PA

Vax Date: 01/15/2021
Onset Date: 01/19/2021
Rec V Date: 01/23/2021
Hospital: Y

Lab Data: CT head/neck (1/19/21) - no acute findings MRI brain (1/19/21) - small area of restricted diffusion in left basal ganglia consistent with acute to subacute infarct D-Dimer (1/20/21) - 642 COVID Test (1/20/21) - Negative

Allergies: Latex - sensitivity

Symptoms: At 6:45AM on 1/19/21 patient developed numbness and tingling on right side of body which progressed to right hemiparesis and right-sided facial droop. Brought to ED by EMS and worked up for stroke. Found to have acute infarct on MRI and treated with dual antiplatelet therapy.

Other Meds: Levothyroxine tablet

Current Illness: N/A

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm