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: 0967865
Sex: F
Age: 52
State: IN

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

Lab Data:

Allergies: Morphine, codeine, hydrocodone, latex, iodine, sunflowers and sunflower oils, almonds, bananas

Symptoms: Tounge started itching and raw feeling like something scalded it. Same feeling when I have something that has touched something I am allergic too.

Other Meds: Hbp, anxiety, diabetes

Current Illness: Nope

ID: 0967866
Sex: F
Age: 82
State: AL

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

Lab Data:

Allergies: Sulphur codeine

Symptoms: Swelling hard knot red rash

Other Meds: Levothyroxine 88 Mcg. Xarelto 20mg Amiodarone 200mg. Gabapentin 100mg Tramadol 50mg. Metoprolol 50mg

Current Illness: Thyroid. AFIB. Reflux. High blood pressure

ID: 0967867
Sex: M
Age: 32
State: KY

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

Lab Data:

Allergies:

Symptoms: Severe fever, myalgia, arthralgia, headache, malaise, fatigue

Other Meds:

Current Illness:

ID: 0967868
Sex: F
Age: 38
State: CA

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

Lab Data: none

Allergies: No real allergies to medications, Food- Guava, and have environmental allergies

Symptoms: Immediately after the shot, strange pains shot down the arm, but they went away after a few minutes. about 4-5 hours after the shot felt dizzy, nauseous, extreme arm pain, fatigue. All have subsided except for the extreme arm pain. (We were given a paper that said to report all side effects here)

Other Meds: Prozac, Famotadine, Multi Vitamin, Zinc, Biotin, Magnesium, Calcium, D3, B12, Allerflex, Fish oil, Super vitamin B complex

Current Illness: None

ID: 0967869
Sex: F
Age: 71
State: OH

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

Lab Data: None

Allergies: Penicillin, cephalosporins, vancomycin, flagyl , demoral, Valium Shellfish

Symptoms: On day 8 my arm started itching at the injection site. By the next day it was red, swollen and indurated. The area continued to expand even without scratching . Consulted my physician by messaging. He could not really advise me if I should proceed with the second dose but did report another colleague had 2 other patients reporting this same delayed reaction.

Other Meds: Amiloride Hcl 5 mg Topral XL. 50 mg, Prolia injections twice yearly Multi vitamin Fish oil, vitamin E, soy, zinc, biotin

Current Illness: None

ID: 0967870
Sex: M
Age: 85
State: MD

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

Lab Data: report entered same day as event. Review of chart shows order at time of report-EKG.

Allergies: Sulfa; NSAIDS (contraindication)

Symptoms: Pt received Moderna COVID 19 vaccination at approximately 1145am 1/23/21. Patient complained of labored breathing and dizziness approximately 10 minutes after receiving vaccine. No medication/intervention given on site in vaccine clinic. Pt taken to 1st floor urgent care for evaluation.

Other Meds: Ranolazine 500mg 1 tab 2 times a day; Meclizine PRN; Fluticasone 50 mcg/actuation - 1 spray in each nostril; Carvedilol 3.125mg, 1/2 tab 2 times per day; Pradaxa 75mg -1 capsule 2 times per day, Gabapentin 100- 1 capsule at night for feet

Current Illness: No recent illness listed

ID: 0967871
Sex: F
Age: 23
State: IN

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

Lab Data:

Allergies: Hydrocodone, metronidazole

Symptoms: Severe chills, fever, nausea/vomiting, diarrhea

Other Meds: Tylenol, birth control, sertraline

Current Illness: N/A

ID: 0967872
Sex: F
Age: 75
State: FL

Vax Date: 12/24/2020
Onset Date: 12/24/2020
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: None known

Symptoms: I had a mild fever and body aches the first night and a sore arm. The arm soreness continued and the site became red, swollen and hot. It grew to a diameter of at least 3 inches and lasted for over two weeks. The fever and body aches resolved within a day.

Other Meds: Losartan 25mg., Multi Vitamin, Vitamin C, Vitamin D, Ubiquinol, Glucosamine, Eye Support, Adrenal Support, Melatonin, Herbal Sleep remedy

Current Illness: None

ID: 0967873
Sex: M
Age:
State: NY

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

Lab Data: cbc, cmp, sarscov2 Igg ab, ch50, c4, c3, ch50, c5B complement, c5, c6, c7, c8, c9, tryptase cytokine 12 panel

Allergies: Pcn

Symptoms: Regeneron Casirivimab. Developed hives about 15 minutes into the infusion. Treated with solumedrol, Benadryl, Pepcid. Sent to the ED.

Other Meds: Tylenol

Current Illness: Covid

ID: 0967874
Sex: F
Age: 53
State: TX

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

Lab Data: None. Reported to my Internist

Allergies: Shellfish

Symptoms: 8 days following vaccine - started with a raised itchy bump on right arm in area of injection , then rash on arm , turned to solid red area, hot , swollen , itchy. The area was approximately 4 inches in length and 3.5 in diameter

Other Meds: Nexium Crestor Probiotic Vitamin D CoQ10

Current Illness: None

ID: 0967875
Sex: F
Age: 49
State: VA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: Penicillins; cephalosporins; sulfa drugs

Symptoms: The night I had the Covid vaccine, ~ 12 hrs later, I had a sudden onset of intense itching in my right ear, that extended deep into region of Eustachian tube. This lasted ~ 1 hr and finally subsided just before I was getting ready to take a Benadryl. The itching returned intermittently over the next 3 weeks, and was bothersome. This was accompanied by the feeling of warmth about the ear occasionally. One incidence of tiny pains in the ear occurred. After ~ 18 days, a gradual onset of ringing in the ears began. This worsened on day 19 , becoming twice as loud. At this point , I deferred the second vaccine dose which was scheduled for day 19, 1/22/21.

Other Meds: NP Thyroid; progesterone drops (percutaneous to wrists) ; calcium; magnesium

Current Illness:

ID: 0967876
Sex: F
Age: 26
State: WA

Vax Date: 01/08/2021
Onset Date: 01/18/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Moderate pain at site of administration + for about 18 hours after, which was expected; Around 01/18/2021 pain returned, increasing in severity, took ibuprofen 800 mg in morning and evening; 01/19/2021 took ibuprofen 800 mg in morning and evening; in evening had sudden onset rash around and below site of administration, very warm, very red, sharply-bordered, mildly itchy, perhaps 3 square inches in size, applied 1% hydrocortisone; 01/20/2021 rash had increased in size overnight by perhaps a half inch, took ibuprofen 800 mg morning and evening; in evening went to Urgent Care who advised it did not seem infections, allergic, or injured and was likely a benign side effect of vaccine, so prescribed meloxicam and triamcinolone 0.1%; 01/21/2021 - 01/22/2021 symptoms well controlled with meloxicam 7.5 mg twice daily and triamcinolone 0.1% twice daily and subsiding 01/23/2021 rash is gone, pain minimal

Other Meds: Venlafaxine 75 mg ER, testosterone cypionate 200 mg/ml 0.25 ml weekly subq

Current Illness: None

ID: 0967877
Sex: F
Age: 26
State: WI

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

Lab Data:

Allergies:

Symptoms: Received the Covid-19 vaccine. She reports symptoms of throat tightness externally and tingling tongue. Patient denied sudden warm feeling, hives, itching, swollen lips/tongue, dyspnea, wheezing, dizziness, tachycardia, crampy, abdominal pain and vomiting. I have observed only what was reported by the patient. Treatment/intervention: patient was given water and a hard candy to suck on. After sucking on the hard candy she stated that helped with her symptoms. Pt was monitored for 30 minutes and stated she felt better with no symptoms before leaving. Informed what to do in case of a severe allergic reaction. Pt was asked if she would like to go to the ED and pt denied.

Other Meds:

Current Illness:

ID: 0967878
Sex: F
Age: 46
State: IN

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

Lab Data:

Allergies: Penicillin

Symptoms: Fever, body aches, headache

Other Meds: Triamterene/hydrochlorthiazide 25mg, Allegra-D 12 hour, spironolactone 100mg,

Current Illness: None

ID: 0967879
Sex: M
Age: 75
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Moderate arm pain day 2, lymphadenopathy L armpit Day 3-7, localized L upper arm erythema and itchy rash Day 5- present

Other Meds: Prilosec, Lipitor, Flomax

Current Illness: None

ID: 0967880
Sex: F
Age: 67
State: NY

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

Lab Data: none

Allergies: no allergies other than bee stings

Symptoms: I had slight uncomfortable in left arm day of vaccine and the day following. On 01/20/2021 I developed a 4" red swollen very itchy circle around vaccine area on left arm this lasted until 01/22/2021. on 01/23/2021 the swelling went away but arm still itchy and red

Other Meds: Synthroid, multiple vitamin, calcium in morning calcium, vitamin d, vitamin e in evening

Current Illness: none

ID: 0967881
Sex: F
Age: 73
State: FL

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

Lab Data: N/A

Allergies: None listed.

Symptoms: On day 8 post vaccination, patient reports her left arm is "hard, red, warm and swollen" near site of injection. She took 2 Benadryl (50mg dose) around 9 AM and does not have any other symptoms. She says her arm feels "painful". Advised patient to take Ibuprofen (Advil 200mg) per package instructions, apply ice compress (10 min on, 10 min off) to area and to continue Benadryl as needed. Counseled her to contact Primary care physician to monitor her and to take a picture of the arm to document. Advised patient to call 911 or go to urgent care if symptoms worsen or if experience hives/difficulty breathing. Patient stated she understood and would seek follow-up with a provider.

Other Meds: None known.

Current Illness: N/A

ID: 0967882
Sex: F
Age: 28
State: OH

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

Lab Data: N/A

Allergies: Zithromax, sulfa, cipro

Symptoms: Rash on face, at injection site, on chest and legs. Swelling of throat and eyes. Starting at 1700 and became severe at 1900 when treatment was sought by patient. Treated with IM Benadryl and IM Decadron. At home treatment with ibuprofen or Tylenol and Benadryl both q6h.

Other Meds: Lyrica 75mg BID, cyclobenzaprine 10mg once daily, Gianvi once daily, escitalopram 20mg once daily, ibuprofen 600mg q6h PRN

Current Illness: None

ID: 0967883
Sex: M
Age: 24
State: WV

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

Lab Data: Positive in october

Allergies: None

Symptoms: Chills(moderate), HA(mild), muscle aches (severe), lightheadedness (moderate), fatigue (moderate) Resulted in leaving work at hospital early

Other Meds: None

Current Illness: None

ID: 0967884
Sex: F
Age:
State: CA

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

Lab Data: Covid

Allergies:

Symptoms: That night I woke up 4am with serve chills and I was shaking and couldn't breathe, I had a major headache. I went to the ER and they said my respiratory was fine but If I wanted to see a doctor it would be a 20 hour wait. scheduled a telephone visit with Doctor. Doctor didn't know what to say, and didn't know if it was from the vaccine, he prescribed me Ativan. I felt tired for 2-3 days and didn't eat for 2 day. The hospitals are too packed right now to get any type of service. Tested for Covid but tested negative, I had Covid MArch 2020

Other Meds:

Current Illness:

ID: 0967885
Sex: M
Age: 89
State: NC

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

Lab Data: None

Allergies: Penicillin and MSG

Symptoms: Pain on right side from shoulder to hand

Other Meds: Valsartan sotolol Pradaxa plavix. Crestor zetia

Current Illness: Afib

ID: 0967886
Sex: M
Age: 70
State: FL

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

Lab Data: none

Allergies: none known

Symptoms: Headache started on the evening of 1/15, and lasted through the next day, but it was not terrible, Felt better on1/17 1nd 1/18. On 1/19 began to feel achy, headache returned and felt feverish. Temp reached 104, and could be brought down with Tylenol and fluids. On 1/20 temp went back up to 103, again treated with Tylenol, fluids and rest which brought it down, It has spiked in the evenings and still today(1/23) has a fever of 100.9.

Other Meds: none

Current Illness: none

ID: 0967887
Sex: F
Age: 26
State: PA

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: Seasonal allergies/dust/mold

Symptoms: 7 days post vaccine developed redness/pain/swelling/itching at injection site. Worsened every day. Flu like symptoms began for 48 hours 7 days post vaccine Went to two telehealth appointments, urgent care, dermatologist, workers comp for arm. It is now two and a half weeks and redness still is here but is improved. Was on keflex, bactrim, Benadryl, Pepcid, steroid cream, Tylenol, Advil.

Other Meds: Apri birth control Singular Zyrtec

Current Illness: None

ID: 0967888
Sex: F
Age: 56
State: NJ

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

Lab Data:

Allergies: latex and penicillin

Symptoms: At the clinic today had who suffered an adverse reaction. When she came in for the vaccine she was extremely nervous due to a hatred for needles. She got the vaccine and within 5 minutes she turned red and her blood pressure sky rocketed to 203/104. She had no difficulty breathing, no rash, just flushed skin and high blood pressure. Her pulse was also elevated to 103. Due to, the ambulance was called. She expressed her wish to not go to the hospital multiple times due to being afraid of missing work and hating the hospitals. By the time the ambulance came her blood pressure was 203/104 with a pulse of 104. Her pulse ox remained at 98 on room air. From the minute she felt ill to the minute they left made sure she was breathing ok and showed no signs of anaphylactic shock. She had a history of panic attacks and GERD, with no blood pressure problems. She did also report an allergy to latex and penicillin prior to the vaccination. All products again were double checked to show her they were latex free. Patients blood pressure decreased at the hospital and was discharged with directions to follow up with her primary. They stated they aren't sure why her blood pressure increased so high.

Other Meds: nexium

Current Illness: none

ID: 0967889
Sex: M
Age: 40
State: CO

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

Lab Data: None

Allergies: None

Symptoms: On day 2 and 3 had mild arm soreness and pink coloring around injection site. Skin color went back to normal and no pain on day 4. On day 9 I woke up and the place where the pink color had been had turned red and the skin is firm. No pain.

Other Meds: Lisinopril 10mg, omeprazole 40mg

Current Illness: None

ID: 0967890
Sex: F
Age: 44
State: OH

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

Lab Data:

Allergies: Tramadol percocet darvocet

Symptoms: High fever up to 103.5. Chills. Vomit

Other Meds: Regular multi vitamin

Current Illness: No

ID: 0967891
Sex: F
Age: 93
State: GA

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

Lab Data:

Allergies: Pinicillin, sulfa, codeine, macrodantin, valium, cipro, keppra, dilantin

Symptoms: Delayed injection site reaction: Redness, itching, swelling, heat at injection site.

Other Meds: Norvasc, Miralax, Colace, Areds 2 vitamin, vitamin D

Current Illness:

ID: 0967892
Sex: F
Age: 26
State: NY

Vax Date: 01/10/2021
Onset Date: 01/21/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: not

Allergies: No known medication allergy

Symptoms: left side detoid injection side delevop the rash 11 days after moderna vaccine. patient report mild itching and skin redness. no fever, no pain, no chill. and imporve by antihistamine. Recevied moderna covid 19 vaccine on 1-10-2021 . Rash developed on 1-21-2021.

Other Meds:

Current Illness: unkown

ID: 0967893
Sex: F
Age: 73
State: VA

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

Lab Data: N/a

Allergies: Bee stings,

Symptoms: Vomited multiple times after lunch approximately 2 hours after shot.

Other Meds: Metfiormin , COQ10. Allertec , Farxiga, Entresto, Simvastatin,, vitamins. Carcedilol

Current Illness: Diabetes, CHF

ID: 0967894
Sex: F
Age: 56
State: OR

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

Lab Data:

Allergies: Sulfa antibiotics, pollens, and gluten intolerance

Symptoms: Vaccine given at 7:30 am no symptoms until 7pm when temp started to climb, by 11pm temp was 104.5 despite Tylenol and ibuprophen. I also experienced joint pain and swelling over entire body. These were the same symptoms I had to an antibiotic years ago. The doctors referred to it as serum sickness.

Other Meds: Levothyroxine

Current Illness: None

ID: 0967895
Sex: F
Age: 69
State:

Vax Date: 01/12/2021
Onset Date: 01/16/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: Latex. Sensitive to epinephrine.

Symptoms: Extreme fatigue, headache, dizzy, backache, cold sore. General weakness especially in lower extremities - started 7-10 days after injection.

Other Meds: Topral and Tirosint -(Meds). Supplements - Vit D and C, B12.

Current Illness:

ID: 0967896
Sex: F
Age: 69
State: KS

Vax Date: 12/09/2020
Onset Date: 12/11/2020
Rec V Date: 01/23/2021
Hospital:

Lab Data:

Allergies: codeine

Symptoms: large rash, followed by trigeminal neuralgia attack in right jaw area which lasted for 5 weeks

Other Meds: daily multivitamin, glucosamine, potassium, omeprazole, biotic

Current Illness: none

ID: 0967897
Sex: F
Age: 30
State: MA

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

Lab Data: None.

Allergies: None.

Symptoms: Elevated temperature, chills, fatigue, muscle/joint pain, headache, sore arm. 17 weeks pregnant- estimated due date 7/03/2021.

Other Meds: Levothyroxine, Prenatal vitamin.

Current Illness: None.

ID: 0967898
Sex: F
Age: 38
State: WA

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

Lab Data: None

Allergies: None

Symptoms: 7 days after first injection my arm became red and itchy. The next day, there is a baseball size rash, warm to touch, no swelling.

Other Meds: None

Current Illness: None

ID: 0967899
Sex: F
Age: 20
State: VT

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

Lab Data: I called my doctor for advice on who to call or if I should go to the ER. She suggested the ER but I took DayQuil and passed out right after our phone call. I am still experiencing shaking, not as bad after the meds, but it?s there. The the level of discomfort is unbearable. If the second shot is said to be worse than the first, and it is true, I would be hospitalized no doubt.

Allergies: None

Symptoms: My fever was through the roof. My body ached so bad I couldn?t walk. I was on fire all over. Then came the adverse event- uncontrollable shaking. This was not a side effect written on the moderna sheet of risks. I was shaking so bad I thought I may have a seizure. I finally settled down and fell asleep. About an hour later, I woke up shaking out of control. I was going to call 911 but my partner was able to grab some NyQuil for me and knocked me out. It was the most terrifying experience of my life and I will not be getting the second shot because of it.

Other Meds: Thyroid support

Current Illness: I had tested positive for COVID-19 on December 28th 2020.

ID: 0967900
Sex: F
Age: 56
State: WA

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

Lab Data:

Allergies: None

Symptoms: Sore arm, extreme fatigue, followed by fainting for a few seconds later that night around 2am

Other Meds: Atorvastatin 80mg, Diltiazem HCL 120mg

Current Illness: None

ID: 0967901
Sex: F
Age: 56
State: AK

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/23/2021
Hospital:

Lab Data: none

Allergies: none known

Symptoms: Full body skin sensitivity, less tolerance for heat on skin, itchy skin around mid section of body. These symptoms are slowly reducing.

Other Meds: multi- vitamin

Current Illness: none

ID: 0967902
Sex: F
Age: 65
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: About 25 minutes after receiving the vaccine I felt a flush. This occurred mainly in my midsection. I drank some water and it went away. It was a short lived event, maybe 10 seconds.

Other Meds: metoprolol, Rosuvastatin, Daily Vitamin

Current Illness: none

ID: 0967903
Sex: F
Age: 34
State: MI

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

Lab Data:

Allergies: Some fruit allergies (plums, cherries)

Symptoms: The lymph nodes in the injected arm (left arm), armpit are swollen, to about the size of a golf ball, it is tinder to the touch

Other Meds: Amlodipine Besylate, crystelle, hydrochlorothiazide

Current Illness: N/A

ID: 0967904
Sex: M
Age: 76
State: NV

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

Lab Data: COVID-19

Allergies: Penicillin

Symptoms: Flu like symptoms

Other Meds: Allapurinal, arborvastin,nexium

Current Illness: None

ID: 0967905
Sex: F
Age: 40
State: TX

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

Lab Data:

Allergies: penicillin, levaquinn, shellfish, codeine, hydrocodone, erythromicin, zithromax, pollen, dust mites, cats.

Symptoms: About 2 hours after the vaccine I developed hives on the back of my neck and all down my back.

Other Meds: atorvastatin, losartan, allergy shots, vitamin 6

Current Illness: None

ID: 0967906
Sex: F
Age: 27
State: OH

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

Lab Data: N/A

Allergies:

Symptoms: Fatigue, dizziness, pain at injection site, muscle pain

Other Meds: Singulair, zyrtec, advil, flexeril, adderall, flonase, inositol, berberine, fish oil, multivitamin, l methyl folate, d mannose

Current Illness: Migraines with aura, PCOS, vasovagal syncope, adhd, generalized anxiety disorder, environmental allergies/hay fever

ID: 0967907
Sex: M
Age: 31
State: CO

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

Lab Data:

Allergies: Penicillin

Symptoms: Staff member was given a second dose of the covid-19 vaccine around 10:30am on 1/23/2021 about 10-15 minutes after the vaccine was administered the staff member complained of feeling his throat was starting to slightly close and mild chest tightness. Staff member asked for 50mg of Benadryl and that it was administered by mouth. Medical staff monitored staff for another 15-20 minutes and SPO2 saturation was between 97%-98% during staff's complaints and HR was between 80-90. Staff stated that he felt better and stated he would come back if feeling any worse. About one hour after this, staff came back with the complaint that his symptoms were getting worse and his major complaint was chest tightness SPO2 saturation was between 96%-98% and HR was between 90-105. At this time an Epi pen was administered at 11:59am. Staff was then sent to the emergency room for further evaluation.

Other Meds: Unkown

Current Illness: Unknown

ID: 0967908
Sex: F
Age: 32
State: CA

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

Lab Data:

Allergies: Anaphylactic to cashews

Symptoms: About 3 hours after the vaccine I began to get very nauseous, and began to vomit. The nausea and vomiting did not subside until about 5 hours later.

Other Meds: Trazadone, escitalopram, yaz

Current Illness: Head cold

ID: 0967909
Sex: F
Age: 51
State: MO

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

Lab Data:

Allergies: Flu, smallpox vaccine. Contrast dye, cardamon.

Symptoms: 20 Jan 2021 face and arms reddening and burning about half hour after injection. 21 Jan 2021 fatigue, body aches, dizziness throughout day, went to bed very early no appetite, nauseous 22 Jan 2021 fatigue, body aches, dizziness. Temp 99.3 higher than normal. No appetite 23 Jan 2021 condition improved. No symptoms.

Other Meds: Loloestrin, metoprolol, spironolactone, vitamin D.

Current Illness:

ID: 0967910
Sex: F
Age: 60
State: KS

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

Lab Data: None

Allergies: NKA

Symptoms: Started with a sore arm at vaccine site about 6 hours after the shot. Then chills Started at noon the day after the shot or about 24 hours after the shot. By 6 pm the child were causing uncontrollable shaking By 9 pm I had a temp of 100.8. Extremely achy joints and muscle pain in the night. Very fatigued. Didn?t wake up until 11:15 am on Saturday 1/23. Residual achiness and joint pain. Fever and chills gone. I had Covid in October (4th) 2020. These side effects were much worse than Covid.

Other Meds: Lisinopril, Metformin, Estradiol, B-12, Magnesium, 81 mg aspirin.

Current Illness: None. Had Covid October 2020.

ID: 0967911
Sex: M
Age: 37
State: MA

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

Lab Data: none

Allergies: none

Symptoms: Patient felt dizzy and lightheaded and felt as if he was going to faint. He laid down on a bed for about an hour but he still felt like he was going to faint so he was evaluated by EMT and transported to an ER by ambulance

Other Meds: unknown

Current Illness: none reported

ID: 0967912
Sex: F
Age: 27
State: TX

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

Lab Data: None needed, symptoms resided.

Allergies: Cephalosporin Contact Dermatitis Allergies

Symptoms: I received my vaccine yesterday. I waited at the location for 15 minutes with no issues. After about 20 minutes, I developed a burning sensation at the injection site. Approximately 30 minutes following the vaccine, I began experiencing an intense itching and hives of my opposite forearm. Then shortly after, my shins and front of ankles started itching. I began getting little bumps with an itch to several other areas of my body, also including redness and itchiness of one side of my face. At about 40 minutes, I also experienced a cold sensation felt at the injection site, almost like what it feels like after removing an ice cube from the skin. The itching of my skin on several areas of my body persisted for about an hour and a half. The welts and itchiness almost completely subsided at about the 2 hour mark. I did take two benedryls once I got home which was about an hour and a half after the injection. Today, the following day after injection, the bumps and itchiness are still no longer present. I have been experiencing a very sore arm at injection site and extreme exhaustion today though.

Other Meds: Vyvanse, Lexapro, Glyco, Synthroid, Seasonique, Buspirone.

Current Illness: Had a virus week prior, was tested for strep and covid and both negative.

ID: 0967913
Sex: F
Age: 73
State: CA

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

Lab Data:

Allergies:

Symptoms: developed rash around injection site. red and itchy. started 10 days after injection. used corticosteroid cream and symptoms greatly improved after couple of days.

Other Meds:

Current Illness:

ID: 0967914
Sex: F
Age: 39
State: MN

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

Lab Data:

Allergies: NKA

Symptoms: fever, chills, headache, body aches, pain at site of injection, neck pain for the whole following day of injection. started getting better and no fever on second day after injection.

Other Meds: Keppra 750 BID. Iron supplement

Current Illness: seizure January 8 2021

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm