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: 0969047
Sex: F
Age: 37
State: CA

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Severe body aches, restless legs, fever

Other Meds: None

Current Illness: None

ID: 0969048
Sex: F
Age: 60
State: CA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: N/A

Allergies: Past allergies to CODEINE. it makes me very weak

Symptoms: Injection site reaction: Redness, swelling, pain and tenderness on injection site next morning. Second day now and the redness has increased. Told by provider these are expected symptoms.

Other Meds: I took ROSUVASTATIN 10 MG TABLET GENERIC FOR: CRESTOR the night before. I also take every day after breakfast ( Power Zinc) 3 Adults Gummies AND 6 Adults Gummies of (POWER C)

Current Illness: None

ID: 0969049
Sex: F
Age: 70
State: FL

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: none

Allergies: penicillin; cannot take steroids of any kind due to previous Lyme Disease

Symptoms: Twenty six hours after getting the shot I had mild tinnitus in both ears and a mildly sore area. 1/16 I had tinnitus. 1/17 tinnitus on and off and left facial tingling 1/18 tinnitus and tingling and pressure in left side of face and head; 1/19 right foot tingling and left side of head pressure and tingling; 1/20; 1/21 same except no foot tingling; 1/22 same; 1/23 same but no tinnitus; 1/24 same but milder tingling in head and face. Of note is that I had these ?symptoms? 20 years ago when I had Lyme Disease and they lasted for about 3 years.

Other Meds: carvedilol, pravastatin, L-argentine, co enzyme q10, Aspirin 81mg

Current Illness: none

ID: 0969050
Sex: F
Age: 44
State:

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: none

Allergies: NKDA

Symptoms: Body ache chills fever at 2:00 on 1/22/2021 that lasted until 6 pm with itching numbness mouth. The itch mouth and numbness of upper lip has not resolved as of today 1/24/2021 at 1530

Other Meds: Lexapro 20 mg po q daily Benadryl 25 mg po x 1 Tylenol 325mg po x 2

Current Illness: The day before vaccination on the 27th day before my 2 nd dose I woke up in the morning with a swollen lip and itching throat. It resolved with Tylenol and Benadryl. I received the vaccine 2 nd dose the following day.

ID: 0969051
Sex: F
Age: 83
State: FL

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: After 16 hours very tender at site of injection followed by shoulder pain when the left arm is lifted and left-side neck pain (not sharp, but an ache) when the head is turned to the left. Less so, but still achy when head is turned to the right..

Other Meds: Aspirin 81 mg 1 tablet 1/day (morning) (blood thinner) Acetaminophen 550 mg 2 tablets/day (pain from ejection) Atorvastatin 20 mg 1 oral tablet 1/day (evening) (hyperlipidemia) Bumetanide 1 mg 3 oral tablets 2/ day (morning & evening) (

Current Illness: Urinary Tract Infection

ID: 0969052
Sex: F
Age: 36
State: KY

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: None

Allergies: Tetracycline

Symptoms: Severe chills, fever, body aches, muscle pain, joint pain, severe headache, fatigue, cough, loss of appetite, unable to sleep, hives, extremely sore arm; Lasted for 48 hours, still experiencing hives

Other Meds: Sertraline, Prilosec OTC, vitamin C, zinc

Current Illness: Covid 19

ID: 0969053
Sex: M
Age: 49
State: GA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: FEVER same day evening; TEETH CHATTERING CHILLS -same day evening; REDNESS AT INJECTION SITE 2 INCH WIDE after day 1; HEADACHE - immediately after injection; BACK ACHE - same day evening.

Other Meds:

Current Illness:

ID: 0969054
Sex: F
Age: 69
State: OH

Vax Date: 11/28/2020
Onset Date: 11/01/2020
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient states the injection was given very close to the shoulder which caused injury possibly to the rotator cuff

Other Meds:

Current Illness:

ID: 0969055
Sex: F
Age: 54
State: NM

Vax Date: 01/15/2021
Onset Date: 01/24/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: week after injection, soreness and redness returned to right arm

Other Meds: armor thyroid, zinc, vitamin c

Current Illness: none

ID: 0969056
Sex: F
Age: 26
State: NY

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies: Possible allergy to sulfa drugs. (Runs in the family, so out of precaution I was never given sulfa drugs.)

Symptoms: Swelling, redness, hardness, soreness 2 hours after vaccine. Lasted 2 days after vaccine then my arm went back to normal. 8 days after receiving vaccine, swelling, redness, big red oval almost 5 inches in length sideways, upper arm is very hard and injection site is very warm (102 degrees). This is worse than it was right after I received the vaccine. Took 400mg of Advil today and it didn?t seem to do much.

Other Meds: Synthroid Phentermine

Current Illness: N/A

ID: 0969057
Sex: F
Age: 65
State: MA

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies: vicodin, penincillin, dander, dust

Symptoms: None stated.

Other Meds: buproprion, protonix, vitamins

Current Illness: none

ID: 0969058
Sex: F
Age: 33
State: SC

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

Lab Data:

Allergies: Shellfish Penicillin

Symptoms: Pain, swelling, redness and itching at the injection site approximately 24 hours following administration.

Other Meds: None

Current Illness: None

ID: 0969059
Sex: M
Age: 54
State: GA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: Temperature checks

Allergies: none

Symptoms: Fever / bodyaches & fatigue for around 36 hours.

Other Meds: none

Current Illness: none

ID: 0969060
Sex: F
Age: 49
State: OH

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: N/A

Allergies: shrimp only

Symptoms: -Within 12 hours of receiving Moderna vaccine, patient reports racing heartbeat/tachycardia (resolved within 48-72 hours) -Within 12 hours of receiving Moderna vaccine, patient started having itching on legs which progressed to itchy, red rash on thighs, back, torso, arms, and neck (rash has been getting worse); rash burns from itching. Has been taking Benadryl + Prednisone

Other Meds: Losartan, Norvasc, Prednisone, Metformin, Vitamin D, generic Yasmin, Lipitor, Aldactone, OTC: Advil ,Tylenol 1000 mg PRN

Current Illness: none

ID: 0969061
Sex: F
Age: 73
State: FL

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies: amoxicillin

Symptoms: On day 8 post vaccine patient's injection site began itching and developed a large knot and the inside of her mouth became "puffy"

Other Meds: unknown

Current Illness: unknown

ID: 0969062
Sex: M
Age: 46
State: TX

Vax Date: 01/12/2021
Onset Date: 01/21/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies: Shellfish, latex powder from gloves, sometimes kiwi

Symptoms: Left armpit lymph nodes swollen, mild tenderness. No other symptoms.

Other Meds: Biktarvy, fluticasone, azelastaine, cingulair, gabapentin, Claritin

Current Illness: None besides seasonal allergies

ID: 0969063
Sex: F
Age: 37
State: AR

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies: nkda

Symptoms: right eye twitched and fluttered for 3 days and then on day 3 right jaw and part of right eye started going numb, even causing a little speech stuttering; later on day 3 right arm and shoulder also went numb and was painful. went to ER because doctor on demand instructed to. due to possibility of a stroke; ER dr ruled out stroke and diagnosed bells palsy; signs/symptoms completely resolved next day

Other Meds: oral birth control

Current Illness: none

ID: 0969064
Sex: M
Age: 58
State: ID

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies: peanut allergy

Symptoms: Patient complained of itching in throat and swollen tongue after injection.

Other Meds:

Current Illness:

ID: 0969065
Sex: F
Age: 24
State: FL

Vax Date: 01/08/2021
Onset Date: 01/12/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: visual examination by doctor

Allergies: none

Symptoms: 4-5 days after shot patient saw a red dot, then it developed into blisters, she had itchiness and redness, no systemic side effects. Two weeks after shot she went to urgent care and they told her it was cellulitis and gave her a PEN VK shot and oral abx. Swelling has gone down since she started meds.

Other Meds: none known

Current Illness:

ID: 0969066
Sex: F
Age: 42
State: TX

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/24/2021
Hospital:

Lab Data: no

Allergies: Latex, Benedryl, Penicillin, Flagyl

Symptoms: Early the next morning after I notice my right arm was red, swellling and bruising from the shoulder to the elbow and developed a golf ball sized knot in my arm that was hot and very painful. It was so painful that I couldnt stand the touch. The nurses advised if it got any worse to go to the ER but I didnt. My arm was nearly unusable because of the pain and finally the pain stopped around 1/8 .

Other Meds: Tylenol

Current Illness: no

ID: 0969067
Sex: F
Age: 24
State: OH

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: None

Allergies: N/A

Symptoms: Light headedness BP 120/60, RR 16, SO2 98%, HR 82 Signs and symptoms relieved within 5 min drinking water + pretzels 12:22 BP 110/70, SO2 99%, RR: 16, Discharge home/self. Denies complaints

Other Meds: Propanolol, oral birth control

Current Illness: N/A

ID: 0969068
Sex: F
Age: 67
State: TX

Vax Date: 01/12/2021
Onset Date: 01/20/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: None

Allergies: NO

Symptoms: On the eighth (8) day post-vaccination, I developed an intense red reaction over the site of the previous vaccine in the right shoulder. The Size was between 3 inches in the longitudinal plane and 2 inches over the transversal plane . . . my husband whom is a Physician gave me treatment with (1) Loratadine once a day and (2) Advil 200 mgrs b.i.d., as well as (3) old packs with ice over the area. I have been taking this medicines for the last 5 days. The dermatological reaction has improved gradually over this last 5 days and did not have any other symptoms. However, even today the size of the "redness" remains oover the right shoulder. It does not hurts, does not itch, but remains there.

Other Meds: NO

Current Illness: NO

ID: 0969069
Sex: M
Age: 66
State: TN

Vax Date: 12/24/2020
Onset Date: 12/25/2020
Rec V Date: 01/24/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: On Dec 25 developed fever, chills, headache and general fatigue with no desire to engage in normal family activities. Dec 26,27,28 were spent in bed with a low energy level and headache mimicking severe sinus pain. No fever after Dec 26. Headache and general fatigue lessened gradually after Dec 28. I would not have been able to perform my normal occupation the week of Dec 27 to Jan 2. Full recovery the week of Jan 3.

Other Meds: Tamsulosin 0.4 mg Atorvastatin 10 mg

Current Illness: None

ID: 0969070
Sex: F
Age: 55
State: CT

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies: None.

Symptoms: One week later I noticed redness, itching, and a hard swollen bump at the injection site. I hadn't noticed it before. In all my post-injection reports I said there was nothing but one day of soreness around the site. I was either wrong, or this showed up a week later. But it's definitely red, blotchy, a little itchy, and swollen in a hard lump at the injection site.

Other Meds: None.

Current Illness: None.

ID: 0969071
Sex: F
Age: 49
State: AZ

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: None as yet.

Allergies: Sulfa drugs

Symptoms: Extreme dizziness, darkened vision as happens before losing consciousness, feeling of losing consciousness. All symptoms repeated in 5 waves. First wave hit about 10 min after dose and last about 60 seconds. 2nd wave hit a minute later and lasted approximately 30 seconds. 3rd wave hit 2 minutes later and lasted about 60 seconds with some shaking in core/diaphragm area. 4th wave hit 8-10 minutes after that and lasted 5 minutes. 4th wave was precipitated by shaking starting in diaphragm area and branching out to extremities and jawline. Shaking was uncontrollable and made speaking impossible. Shaking passed after about 6 minutes when wave subsided. 5th wave hit about 10 minutes later and was dizziness/darkening vision with disorientation, no shaking. EMS responded to first wave by removing me from my car and having me sit in a chair, removing my mask to breath better, took vitals. Vitals were taken several times, oxygen levels varying from 93 - 98. Oxygen was ready nearby but not used. Blood pressure varied, don?t have the readings. EMT gave water immediately and then pretzels about 30 minutes after the episodes began. I was kept for observation for an hour total after inoculation and then released to go home as symptoms had fully subsided.

Other Meds: Advair, Rhinocort, Claritin, Estradiol, Testosterone, Progesterone, Vitamin D, Probiotic, Biotin.

Current Illness: 2 weeks prior had upper respiratory infection, COVID-19 test negative.

ID: 0969072
Sex: F
Age: 24
State: IL

Vax Date: 01/21/2021
Onset Date: 01/24/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, chills, diaphoresis, fever, myalgias, abdominal pain, fatigue

Other Meds:

Current Illness:

ID: 0969073
Sex: F
Age: 47
State: MT

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: None.

Allergies: Sulfonamides, met for in, lisinopril, trulicity, topical vitamin e pure, compazine

Symptoms: About 12 hours after vaccine, fever 103.0, chills, nausea, major body aches/ pain, fatigue, irritation, neck and head pain, pain where injection given. Tylenol helped bring fever to 101.0, and symptoms lasted about 36 hours. Felt like a really bad flu.

Other Meds: Ozempic, losartan, hydroxyzine, norco, lexapro, singular, tresiba, vitamin d, multi vitamin

Current Illness: No

ID: 0969074
Sex: F
Age: 62
State: IN

Vax Date: 12/30/2020
Onset Date: 01/13/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies: I have reacted to Doxycycline in the past an intradermal tb test.

Symptoms: Large red hand print size area on the left upper arm . It felt like a sun burn . I am not sure how long it was there . I found it when the sleve of my shirt was rubbing on the area. I saw the doctor two days after discovering it.

Other Meds: MAGNESIUM. MULTI VIT, CALCIUM AN VIT D , LISINOPRIL / HCTZ 10/12.5, ELDERBERRY WITH ZINC AND VIT C

Current Illness: none

ID: 0969075
Sex: M
Age: 18
State: OH

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: None

Allergies: Coconut

Symptoms: 09:05 moved from his seat to lay on the floor stating he felt lightheaded and some nausea. At 09:07AM vitals were BP 118/62, SO2 98%, HR 53. He states he did not eat breakfast and he was very nervous to get the vaccine. At 09:08 water given and states he is starting to feel better. 09:11AM requested to sit up and states he is 100% better denying any symptoms. Nurse continued to monitor and discharged at 9:31AM. Nurse advised him to contact his PCP to inform them of today's event. Was present and they both verbalized understanding.

Other Meds: Fiber, Multivitamine

Current Illness: NOne

ID: 0969076
Sex: M
Age: 82
State: TN

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever, lethargic, achy, headache

Other Meds:

Current Illness: None

ID: 0969077
Sex: F
Age: 39
State: NJ

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: No

Allergies: None

Symptoms: Huge headache. Body ache . Lack of energy .

Other Meds: None

Current Illness: None

ID: 0969078
Sex: F
Age: 80
State: WA

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Redness swelling extreme pain at vaccination site -48 hours following vaccination Nausea, diarrhea, fever, light headed -48 hours following vaccinations

Other Meds: Triamterene HCTZ Amitriptyline Vitamin D Multivitamin Pepcid

Current Illness:

ID: 0969079
Sex: M
Age: 57
State: OH

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Very sore left arm. Radiates from shoulder to finger tips on left arm. Also radiating to left pec. Ongoing and getting worse9

Other Meds: Metformin, lisinopril, Jardine, atorvastatin, fenofibrate, lantus

Current Illness: None

ID: 0969080
Sex: F
Age: 62
State: KY

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: Transferred to ED

Allergies: naproxen, PCN, pineapple, latex

Symptoms: Pt began to have tightness in throat, heart palpitations, nausea after 10 minutes past administration of vaccine. Approx 5 min later noted color change in lips.

Other Meds: tylenol, albuterol, symbicort, zyrtec, volterin,vitamin D, zetia, pepcid, cozar, metformin, cortisporin, zocor, synthroid

Current Illness: none

ID: 0969081
Sex: F
Age: 39
State: NY

Vax Date: 01/01/2021
Onset Date: 01/22/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies: Penicillin, amoxicillin

Symptoms: Redness, swelling, itchy, hot, lump at injection site 8 days after the injection. Started out small, next day got bigger, and today is the biggest.

Other Meds: Synthroid

Current Illness: None

ID: 0969082
Sex: F
Age: 56
State: OH

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: 09:50 Pt complaint of headache and she did not eat breakfast and was not sure if she took her BP 140/60, SO2 98%, HR 80, RR 20, 10:03 Pt reports H/A has gone. Feels fine 10:09 Instructed to eat breakfast and make sure has taken HTN medication prior to next dose BP 110/70, RR 16, HR 79, SO2: 99%

Other Meds: None

Current Illness: None

ID: 0969083
Sex: F
Age: 66
State: CA

Vax Date: 01/06/2021
Onset Date: 01/20/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: None

Allergies: Adhesives, ultrasound gel, ekg leads

Symptoms: Shingles developed at 14 days after vaccine..I have never received shingles vaccine...burning sensation on 1/20/2021 follow by rash in next 24hrs. Confirmed by Doctor on 1/22. Started Valtrex 1/22.

Other Meds: Zopenex,pulmocort inhalers, florastar,augmentin,metoprolol,levothyroxine,lipitor,omeprazole,tums

Current Illness: Reactive airway disease

ID: 0969084
Sex: M
Age: 53
State: MA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: None as of reported date

Allergies: Vicadin

Symptoms: Pain left shoulder continuing 9 days scale 1-10 (4-5) constant.

Other Meds: Ozempic, lisinopril, metformin, lantus, empagliflozin, atorvasatin, amlodipine

Current Illness: None

ID: 0969085
Sex: F
Age: 67
State: MN

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: None

Allergies: Sulfamethoxazole W-Trimethoprim (rash) Carboplatin (anaphylaxis) Taxol (alveolocapillary leak syndrome and hypoxemia with syncope and hypotension) Capecitabine (rash) Environmental (multiple seasonal and environmental)

Symptoms: apprx 12 hours after injection my tongue started to swell and my tongue, upper palette and below tongue were sensitive to the touch. Sensitivity disappeared in apprx hour except for tongue was still sensitive for about another 12 hours. I had no difficulty breathing at any time. apprx 20 hours after injection had lower abdominal cramping and episode of diarrhea lasting about an hour.

Other Meds: Humalog insulin Levemir insulin Trazodone Loratadine Famotidine Effexor Atorvastatin Levothyroxine Albuterol HFA Ibuprofen Tylenol Icy Hot with Lidocaine

Current Illness: None

ID: 0969086
Sex: F
Age: 45
State: MN

Vax Date: 01/13/2021
Onset Date: 01/17/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: Blood tests. Fecal tests. White and red blood cells elevated. Have drs note also. Dx with reaction to vaccination. I was out from work for 5 days

Allergies: None

Symptoms: Diarrhea temp fatigue muscle aches no appetite. seen dr Blood tests done. White and red blood cells elevated. Dx with reaction to vaccination.

Other Meds: Gapabentin effexor mvi. CALCIUM rosuvastatin. Anastrozole

Current Illness: None

ID: 0969087
Sex: F
Age: 47
State: OH

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: n/a

Allergies: cephalosporins, TB skin test

Symptoms: fever (highest 102.8), chills, tremors, body aches, muscle aches, joint pain, vomiting (only once). Lasted 2 days.

Other Meds: buspirone, meloxicam, loratadine, losartan/HCTZ, trazodone, Breo, duoneb, potassium, magnesium, vitamin D, turmeric, tylenol, occasional omeprazole

Current Illness: n/a

ID: 0969088
Sex: F
Age: 49
State: WA

Vax Date: 01/14/2021
Onset Date: 01/20/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies: Hives with bee stings

Symptoms: One week after the injection began to have pain and itching approx. 2 inches below injection site. Following day had a small rash with swelling along the distal portion of the deltoid muscle. 3 days later the swelling and redness had spread to a 4.5" radius, with heat and hardening of the skin resembling cellulitus.

Other Meds: Vit C, Vit D, Vit A, Magnesium, B12

Current Illness:

ID: 0969089
Sex: F
Age: 22
State: VA

Vax Date: 01/15/2021
Onset Date: 01/21/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies: Shellfish

Symptoms: Soreness under arm, towards chest after 1 week

Other Meds: Prenatal viatmin

Current Illness:

ID: 0969090
Sex: F
Age: 77
State: AK

Vax Date: 01/15/2021
Onset Date: 01/23/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: I will see my doctor 1/25/2021. I did not feel necessary to go to hospital.

Allergies: none

Symptoms: 1/16 injection site was extremely sore and disturbed my sleep. 1/17 the soreness was improving. There was a small rash 1/21. 1/23 the rash got heated and very itchy and I could not sleep. I applied Biofreeze. The rash is the same but irritation has calmed down.

Other Meds: 500 mg Calcium 5 mg D3 (200 IU) 2X per day and Rosuvastatin Calcium 20mg

Current Illness: none

ID: 0969091
Sex: F
Age: 40
State: AZ

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

Lab Data:

Allergies: None

Symptoms: Headache, nausea, body aches

Other Meds: Tylenol, Fluoxitine Depo Provera

Current Illness: None

ID: 0969092
Sex: F
Age: 61
State: TN

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: None

Allergies: Floxin, Macrodantin, Nitrosuranton, Bactrim, Skin allergies, lanolin, Iodopropynyl

Symptoms: Left arm hurt, was swollen, red from shoulder to elbow, and arm was warm to touch

Other Meds: Estradiol 1 mg, Progesterone 100 mg, Loratadine Tablet 10 mg, Potassium, multivitamin, Calcium, Vitamin C, Vitamin B and Elderberry

Current Illness: None

ID: 0969093
Sex: F
Age: 80
State: AZ

Vax Date: 01/05/2021
Onset Date: 01/08/2021
Rec V Date: 01/24/2021
Hospital: Y

Lab Data: 1/16/21- ct scan positive 1/18/21- mri confirmed extent of stroke 1/19/21- TEE confirmed endocarditis 1/21/21- mri confirms another stroke 1/23/21- ct scan shows emboli to liver, spleen, kidneys

Allergies: Lisinopril, erythromycin

Symptoms: Pt received vaccine and within 72 hrs developed a stroke. Low platelet count. Endocarditis. Emboli to liver, spleen, kidney.

Other Meds: Unknown- please contact pt center for up to date list

Current Illness: DVT R LE, stent x 2 L groin, PNeumonia

ID: 0969094
Sex: F
Age: 89
State: TN

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: We received a call from the facility today 1/24/21 stating that the patient has a large (size of a palm), discolored (red), hot whelt at the site of the vaccine administration.

Other Meds: n/a

Current Illness: n/a

ID: 0969095
Sex: F
Age: 43
State: PA

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

Lab Data: None

Allergies: Anthrax vaccine

Symptoms: I have not been treated for the side effects

Other Meds: None

Current Illness: None

ID: 0969096
Sex: F
Age: 68
State: AK

Vax Date: 01/15/2021
Onset Date: 01/23/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: N/A

Allergies: Allergic to iodine and shellfish

Symptoms: I was given the COVID-19 vaccine EUA on 1/15/2021. Other than mild injection site soreness the following day, I had no adverse events until approximately 5:00 am on 1/23/2021, when I awoke with my injection site itching, somewhat painful, red (approximately 4" X 4" in size), swollen, and hot. It continues to be swollen, hot, red and itchy at this time (1/24/2021). I do not have a fever and otherwise feel fine. It's just strange to me that such a delayed reaction occurred so I decided to report it. If it becomes worse or if I develop a fever, I will seek medical attention. I have a Doctorate in Public Health degree and understand mRNA vaccines.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm