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: 0987274
Sex: F
Age: 47
State: TX

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 3am severe chills with 104.6 fever; vomiting, diarrhea; severe headache, felt like pins and needles all over body. Fever 101 with Tylenol/ibuprofen alternating, lasted exactly 24 hours. Next 2 days severe head ache and tired; next 5 days swollen injection site- red and hurt; lymph node swollen under right arm about the size of a baseball; since this time have metallic taste and smell. This piece still happening

Other Meds: Tylenol, ibuprofen

Current Illness: None

ID: 0987275
Sex: F
Age: 29
State: CO

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

Lab Data: n/a

Allergies: No

Symptoms: Headache, dysphagia (mild)

Other Meds: Lutera birth control, sertraline SSRI

Current Illness: No

ID: 0987276
Sex: F
Age: 43
State: OH

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Acute gastritis , ongoing High dose PPI

Other Meds: Crestor Linzess

Current Illness:

ID: 0987277
Sex: F
Age: 30
State: PA

Vax Date: 01/15/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: Bloodwork: CBC, metabolic panel and TSH, all results were within normal limits

Allergies: Rash with amoxicillin

Symptoms: Approximately 10 days after receiving the vaccine, I got a red, painful, red, blotchy, raised, circular red rash from my elbow to my shoulder on my left arm, where I received the vaccine.

Other Meds: Lumigan eye drops, trazodone, Nexplanon, lexapro, Motegrity

Current Illness: Strep throat within the past month

ID: 0987278
Sex: F
Age: 74
State: IN

Vax Date: 01/20/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: Ciprofloxin, penicillin, sulfa drugs, scallops

Symptoms: Felt 'rush' throughout the body after 15 minutes of injection. Drank lots of water. Chills 50 minutes after injection. Took Tylenol. Day 8, arm itchy and red around the injection site. Warm to the touch. Day 9, more redness and larger area. Size of a silver dollar. Talked to the nurse at a local gym. Suggested a clinic. I Saw a Nurse Practioner at a clinic. She thought perhaps it was an insect bite as the red area was about 4 inches below where a 'normal shot' would be given. Prescribed cream and antibiotic. I didn't take it. Took Benadryl (pill). Improving after 1 hr of taking Benadryl.

Other Meds: In the morning I took Armour Thyroid 60mg, magnesium, Vitamin D.

Current Illness: None

ID: 0987279
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/29/2021
Hospital:

Lab Data: No e

Allergies:

Symptoms: Chills, fatigue, ache

Other Meds:

Current Illness:

ID: 0987280
Sex: F
Age: 53
State: TX

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

Lab Data: None

Allergies: Latex Teriyaki sauce, Avocado, Pecans , Walnuts Asparagus Sertraline

Symptoms: After 6 minutes I developed chest tightness/heaviness. I had an odd sensation from mid chest to back of throat. The back of my tongue became tingly and numb. The back of my tongue swelled a little about 3 minutes after initial symptoms. I developed itchiness at about 12 min. The chest heaviness progressively worsened. I was taken to the ER. My vitals were taken. My BP was 126/80s, afebrile. I was told to sit in the waiting room. After being in the ER and not evaluated by a medical doctor I self treated. I carry allergy meds. I took a swig of liquid Benadryl and 2 puffs on my Albuterol inhaler. I waited a bit longer, Noone called me back so I left.. About 1.5 hrs later I took Loratidine 10mg. That evening I took Singulair 10mg and used my symbicort inhaler. I'm a RN

Other Meds: Venlafaxine Vitamin D3 Fish oil Multivitamin Ashwagandha

Current Illness: None

ID: 0987281
Sex: F
Age: 49
State: TN

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None done at time of report.

Allergies: Flu vaccine, latex, levaquin, sulfa drugs, morphine, heparin, codeine, entex la,

Symptoms: nausea/severe fatigue/chills/arthralgias/ subjective fever onset 16 hrs post vaccine administration Supraclavicular lymph node swelling (3cm x 5cm) on vaccination side of neck onset at 30hrs post vaccine adm. Supracavicular lymph node swelling (3cm x 3cm) on opposite side of vaccine at neck onset at 52hrs post vac administration. Symptoms ongoing at time of this report at 54 hrs post receipt of vaccine.

Other Meds: Duloxetine , Tylenol& Aleeve PRN

Current Illness: None

ID: 0987282
Sex: F
Age: 46
State: NY

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None. ER Monitoring for about 90 minutes.

Allergies: None

Symptoms: Metallic taste developed in mouth about 3 - 5 minutes after injection. After about another couple of minutes, mouth began to feel numb. Also started to tingle. Sensation/response lasted for about 2 hours. No other side effects.

Other Meds: Birth control (Aurovela FE)

Current Illness: None

ID: 0987283
Sex: F
Age: 57
State: MI

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Sulpha

Symptoms: Onset approximately 8 hrs after injection: muscle/body aches, chills, fever (102.3), nausea, fatigue, pain/redness below injection site. One small emesis approximately 16 hrs after injection. Headache started approximately 24 hrs after injection. Severity of symptoms decreased to moderate after 36 hrs & continued for approximately 60 hrs (excluding symptoms at the injection site) 72 hrs post injection my upper arm has induration is red, warm, painful to touch with mild purity?s, approximately 5? W x 7? H .

Other Meds: Multivitamin (Thrive)

Current Illness: None known

ID: 0987284
Sex: M
Age: 79
State:

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Reports redness on the left cheek few minutes after the vaccine. Denies chest pain, SOB, itching, blurred vision. BP: 121/75 HR: 81 Sp02: 100% T: 97.3 seen and cleared by EMS

Other Meds: Losartan Trulicity Meclizine CoQ10 Simvastatin aspirin

Current Illness:

ID: 0987285
Sex: F
Age: 40
State: CA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: unknown

Allergies: immunotherapy given to her for allergies

Symptoms: Pt complained of shooting arm pain down to fingers. Pt stated that she had this with her last moderna vaccination. Site is clear without redness or demarcation. Ice pack applied to injection site. Pt then started to get short of breath and a feeling of discomfort in her chest. Rapid response called and pt taken to emergency room for monitoring. Wheezing noted.

Other Meds: unknown, except stated she took allergy medication today

Current Illness: none

ID: 0987286
Sex: M
Age: 72
State: NV

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

Lab Data: no

Allergies: no

Symptoms: Had COVID about 9 months ago. After having this vaccination, he had fever, chills and rapid heart beat

Other Meds: no

Current Illness: no

ID: 0987287
Sex: F
Age: 46
State: CA

Vax Date: 01/08/2021
Onset Date: 01/17/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: SHellfish, penicillin

Symptoms: sore at site 1 day after., headache 9-10 dsys after= generalized rash (itchy)- took benadryl subsided after the 3rd day

Other Meds: liada, albetrol PRN, breo ellipta, benadryl prn sleep, triamte

Current Illness:

ID: 0987288
Sex: F
Age: 93
State: TX

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: Elevated blood pressure, reaching at times over 200. Stays in 170-193 range

Other Meds:

Current Illness: controlled hypertension

ID: 0987289
Sex: M
Age: 54
State: WA

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None, there was no adverse event.

Allergies: No known allergies

Symptoms: Patient received COVID-19 vaccine dose #2 on 1/17/21 one day too early. First dose given on 1/1/21, and second dose should have been given at the earliest on day 17 (i.e. 1/18/21) per CDC guideline. However, it was given 1 day too early on 1/17/21. There was no adverse event associated with this incident.

Other Meds: Unknown

Current Illness: No illness

ID: 0987290
Sex: F
Age: 49
State: AZ

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

Lab Data: No labs, just resting at home, I haven?t call my PCP

Allergies: NKA

Symptoms: Started with low grade fever 99.8, throbbing headache, muscle aches, chills, this happened 1/28 6 pm , then took some ibuprofen. Hardy time sleeping. Next day 1/29 fever 100.4, chills, increased muscle aches, headache still and now heart palpitations. Took ibuprofen again, but not much relief.

Other Meds: Ibuprofen

Current Illness: None

ID: 0987291
Sex: F
Age: 17
State: WI

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

Lab Data:

Allergies:

Symptoms: Patient is under FDA EUA approved age of 18.

Other Meds:

Current Illness:

ID: 0987292
Sex: F
Age: 78
State: WA

Vax Date: 01/23/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: No tests were performed

Allergies: Anything containing Sulfur

Symptoms: Sevier vomiting and diarrhea, lasting one hour

Other Meds: METOPROL, SPIRONOLAACTONE, LOSARTAN, LEVOTHTROXIN- SUPPLEMENTS: D3 5000iu, Mature Multi

Current Illness: Knee injury, torn meniscus

ID: 0987293
Sex: F
Age: 69
State: AZ

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Nasuea, Chills, Joint aches

Other Meds: Donezipeil,

Current Illness: None

ID: 0987294
Sex: F
Age: 50
State: OK

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None.

Allergies: None

Symptoms: Pain, itching, hot injection site by the next morning. Pain shooting down arm from injection site by 2nd day. Better and no sign of redness on day 5. Day 8 pain, itching, redness at injection site. Day 9 swollen injection site and pain, knot at site about the size of an egg. Off and on pain below the injection site and down to elbow still. Taking ibuprofen and using heating pad on elbow. Feels like nerve pain today.

Other Meds: Metiprolol, vitamin d, zinc, magnesium, multivitamin

Current Illness: None

ID: 0987295
Sex: F
Age: 38
State: CA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Red blotchy swollen fingers and toes. Really sore arm and severe headache.

Other Meds:

Current Illness:

ID: 0987296
Sex: F
Age: 40
State: KY

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: sulfa

Symptoms: patient felt lightheaded within 30 minutes after vaccine, then about 6 hours later she passed out and had to go to the hospital; she was treated with IV fluids, meclizine, and ativan

Other Meds: none

Current Illness: none

ID: 0987297
Sex: F
Age: 76
State: TX

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The morning after receiving the vaccine, I could barely use my arms and had no use of my legs. My husband called an ambulance and I was taken to emergency room. I did not regain use of my legs until approximately 3:00 A.M., MONDAY 18. Around 4:00 P.M., I was released to go home with PT through an in-home health provider. While in the hospital MRI, x-rays, numerous blood work, etc. we?re performed. No reason could be found. It was speculated that I still had antibodies from having COVID in December and the vaccine was too much.

Other Meds:

Current Illness:

ID: 0987298
Sex: F
Age: 41
State: IA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Percoset

Symptoms: Sore Arm for a couple of days. Chills around 12 hours after. A little achey but not bad.

Other Meds: Women?s multi vitamin

Current Illness: None

ID: 0987299
Sex: U
Age:
State: CA

Vax Date: 06/24/1972
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient experienced bitter taste within minutes after receiving vaccine dose that lasted more than one hour

Other Meds:

Current Illness:

ID: 0987300
Sex: M
Age: 71
State: HI

Vax Date: 01/08/2021
Onset Date: 01/17/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: Insect stings Aspirin possibly

Symptoms: Itchy red flat dots all over my body. Approximately one to two cm in diameter. Most concentrated in the middle of my back. Stopped itching after 5 or 6 days and have faded noticibly now after 10 days or so. I felt strange at the beginning. I was experiencing extreme work related stress at the time. Things have calmed down since then.

Other Meds: Irbesartan Metaprolol

Current Illness: None

Date Died: 01/04/2021

ID: 0987301
Sex: F
Age: 87
State: NC

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

Lab Data: Don't Know

Allergies: Not aware

Symptoms: My Mother was given the Covid Vaccine (1st Dose) on 12/28/2020. Later that night we received a call from the nursing facility that my Mother was having uncontrollable seizures and had to be transported to the nearby hospital. The ER doctor confirmed that my Mother had tested positive to Covid. She was treated for Covid and was on life support. A few days later we received a call that my Mother had a major stroke. She passed away on January 4, 2021

Other Meds: Not Sure! Vaccine was given in a Nursing Facility

Current Illness: Previous Stroke

ID: 0987302
Sex: F
Age: 29
State: MA

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

Lab Data: N/a

Allergies: No

Symptoms: Fever, chills, sweats, general malaise, headache, soreness at site of injection

Other Meds: Junel birth control

Current Illness: No

ID: 0987303
Sex: F
Age: 60
State: OK

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: PCN

Symptoms: Chills started the next evening at approx. 1900 and lasted 8-10 hours. Could not get warm.

Other Meds: Toprol; Nexium; Mobic; Gabapentin; Phillips probiotic; Calcium chew; D3; Multi-vitamin; immunity vitamin.

Current Illness: None

ID: 0987304
Sex: F
Age: 41
State: CA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: Sulfa, Bactrum, Effexor

Symptoms: 45 mins after the injection tingling of left leg, spread through body by end of day. Left leg, left arm, face, neck and chest had tingling sensation. From time of vaccine 1/13 through current date, symptoms are twitching of nerves/muscle in the left leg, left arm and face, electrical nerve shocks on left leg and left arm, right hand, arm tingling. Sharp pain left leg and left arm. Treated with prednisone 7 day pack.

Other Meds: Ibuprofen, levaquin, levothroxine, zinc, emergen c

Current Illness: Kidney infection

ID: 0987305
Sex: F
Age: 60
State: VA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Not that I know of.

Symptoms: I have been having left arm pain every since having the vaccine. I thought it would go away but the discomfort is now when I have Range of Motion upward and the discomfort is in my shoulder, arm area and a little below the injection site. I still am having that discomfort and in addition to that, that past 7 days I have been having neck and jaw pain like in the node areas front and back of my next. As well as my lower lip has has two episodes of swelling but it goes down and then it feels ok. I generally overall just don?t feel well. Eye and head pain as well. I thought it was best that this be reported cause I just don?t know what is going on. I have made an appointment with my doctor which is on Feb 5.

Other Meds: Daily 81mg Aspirin

Current Illness: Right eye infiltration on December 13, 2020

ID: 0987306
Sex: F
Age: 37
State: OR

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: dairy

Symptoms: Got my shot at 3p. but 340p became short of breath, throat felt tight/itchy. woke up at 2am shaking, later that day developed at headache, felt warm but couldn't stop shaking. Headache became too unbearable I've been developing a headache every day since the shot.

Other Meds: none

Current Illness: none

ID: 0987307
Sex: F
Age: 37
State: GA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: n/a

Allergies:

Symptoms: Employee reported to COVID vaccine clinic for 2nd dose of vaccine. 2 nurses were working together to complete admin paperwork and the other to give the shot. The vaccine administrator administered the shot before the screen for triage was completed. Upon entry of triage, it was discovered the team member was only on day 14 post vaccination from dose 1. No adverse reaction.

Other Meds:

Current Illness:

ID: 0987308
Sex: F
Age: 34
State: NY

Vax Date: 01/16/2021
Onset Date: 01/18/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: A large round red and itchy rash around the vaccination site.

Other Meds:

Current Illness: None

ID: 0987309
Sex: F
Age: 56
State: NY

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: sulfur, nuts, pollen, mango, soy, sesame, metals, fragrance

Symptoms: swelling by injection site, redness, itchiness by injection site, rash on both wrists and arms Telemedicine visit with Dr. on 1/28, she prescribed augmented betamethasone dipropionate ointment, Spoke with Dr. on 1/29, she said to continue to use ointment on all rash spots, can take benadryl at night, take one dose of allegra each day, rash getting worse

Other Meds: canasa, pataday, fosamax, vit. B12, vit. D,

Current Illness: none

ID: 0987310
Sex: M
Age: 25
State: CT

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

Lab Data:

Allergies: None

Symptoms: Vaccine given on 1/28/21 at 10:25 am. Mild muscle aches began later on in day, more than 6 hours but less than 12 hours from administration. At around 3am on 1/29/21 severe chills, headache, and fever of 104.3 F began. Chills, fever, and headache continued throughout the next day. At 7am, fever reduced to 101.1 F. Tylenol was taken at 7am. At 10am fever remained and Ibuprofen was taken. Around 11am fever was reduced to 98 F. Tylenol and Ibuprofen continued to alternate every 3 hours. Temperature has been controlled with alternating therapy, although waves of chills and heat flashes remain. Headache was never reduced with therapy. In addition, adequate amount of water was taken throughout the day beginning at 7am on 1/29. Muscle aches subsided around 7am on 1/29.

Other Meds: None

Current Illness: None

ID: 0987311
Sex: M
Age: 65
State: IL

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: No lab or medical test performed after vaccine shot on 1.27.21. Prior to vaccine I had numerous test in November & December which also included blood test via infectious deceased doctor.

Allergies: none

Symptoms: Within #12 hours after receiving vaccine shot, uncontrollable chills followed by fever. took #2 tylenol regular dose to reduce fever. It appeared to work during the night. The following day 1.28.21, incurred uncontrollable chills again at appr 3pm with fever that followed. Unfortunately after four hours, chills & fever came back. Treated again with tylenol to control fever. This lasted from 3pm on thursday 1.28.21 to Friday morning 7.30am. Once again I took tylenol ever #4 hours since that was the time I woke up with chills again. Note that I had Covid in October 2020 and the lasting effects remained in my system until 12.17.20. I was healthy on day of vaccine shot 1.27.21. At the time of this writing , I am hoping that after #48hrs after the shot the adverse issues will stop.

Other Meds: multi vittemins, low dose aspirin, super B complex with vitamin C , vitamin D3 1000 IU, & Amlodipine tab 32.5mg.

Current Illness: none within 30 days. Note had lasting covid reactions from 10.17.20 to 12.17.20. Covid confirmed on 10.17.20.

ID: 0987312
Sex: F
Age: 43
State: AZ

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: Paramedic on site checked my vitals, blood pressure, O2 levels and blood sugars all within normal range. I feel fine now and don't anticipate needing any further medical follow up.

Allergies: I had suffered from severe food intolerances in my early thirties: wheat, eggs, dairy, beans, high fructose corn syrup and stone fruits, mostly. I was able to clear my allergies to them after an extreme elimination diet for a year and working with an acupuncturist. I also received a full shot during this time and had became foggy afterwards. That lasted for about 20 minutes before it cleared and I felt safe to drive. The was my first and last flu shot I have every received. I have an allergy to nickel jewelry (rash) since I was a child and I had a severe reaction (leg swelling) to a wasp bite as a child. I have never been stung by a bee.

Symptoms: After about 5 mins after the shot, I started feeling "foggy" with my vision and mental clarity. After about 20 minutes, I grabbed my water bottle and both arms felt weak when I lifted them and they felt like they were floating. I had a sudden urge to cry when this happened that lasted for 30 seconds. I was not anxious or nervous to take the vaccine but my body may have overreacted to the sensation of my arms but it didn't feel like a panic attack that I had a few in my earlier 20s after the birth of my child and undiagnosed thyroid disorder.

Other Meds: Synthroid, Gummy Vitamins: Vitamin C, Vitamin D3 & Multi-Vitamin.

Current Illness: None.

ID: 0987313
Sex: F
Age: 29
State: NY

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Severe chest pain, inability to breathe , oxygen level 88-90 , low blood pressure, high fever 103

Other Meds:

Current Illness:

ID: 0987314
Sex: F
Age: 49
State: NV

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: N/A

Allergies: Erythromycin Doxycyclcline Fluconazole Gabapentin Sulfa Drugs Labetalol Iodine Pseudoephedrine

Symptoms: Body aches and chills with swelling, redness, pain and warmth to administration site.

Other Meds: Vitamin D Fenofibrate Magnesium Oxide Potassium Chloride Omega 3 Lisinopril

Current Illness: None

ID: 0987315
Sex: F
Age: 47
State: MA

Vax Date: 01/21/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: no

Allergies: Sulfur drugs

Symptoms: Upper arm of the injection swollen, itchy and red

Other Meds: Lisinopril

Current Illness: no

ID: 0987316
Sex: U
Age: 54
State: CA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills, body and joint ache, fever, head ache and rash on the inner part of her arm.

Other Meds:

Current Illness:

ID: 0987317
Sex: F
Age: 32
State: NC

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Contrast, soy milk, MSG, seasonal allergies

Symptoms: Itchiness on chest area and lips. Benadryl was provided Itchiness went away. Was held 30 minutes after Benadryl was provided

Other Meds:

Current Illness:

ID: 0987318
Sex: F
Age: 86
State: OH

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None known

Allergies: NKA

Symptoms: Approximately 35 minutes after receiving the vaccine, the patients daughter came back to the pharmacy (sobbing) and saying that her mom was complaining of dizziness and "not feeling well at all". I offered to call 911 and did so after she consented. The police arrived within two minutes and the ambulance arrived approximately 90 seconds later. The police officer was interviewing the patient (who was still conscious and alert) about what was wrong. I was asked what the patient received. I responded that she had been given the Pfizer Covid-19 vaccine and was then told that I could go back inside by the EMT's who showed up relatively soon thereafter.

Other Meds: None Known at this time (First time pt has been to my pharmacy)

Current Illness: None Noted

ID: 0987319
Sex: F
Age: 57
State: CA

Vax Date: 01/21/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Red circular area at vaccine site about 3 inches across, very hard to the touch swollen and very itchy. continuing

Other Meds:

Current Illness:

ID: 0987320
Sex: F
Age: 31
State: AZ

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

Lab Data: Urine test 12/29/2020

Allergies: Latex sensitivity, kiwi sensitivity

Symptoms: Urinary tract infection /kidney infection

Other Meds: None

Current Illness: None known

ID: 0987321
Sex: M
Age: 70
State: OK

Vax Date: 01/22/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None. Notified my healthcare professional of the adverse reaction.

Allergies: Hydrocodone - itching. Xarelto - pitting edema

Symptoms: No immediate adverse effects. Very little soreness. I was told to rub/massage the injection site to reduce any pain or swelling. Red area, swelling, and itching appeared on the fourth day following the vaccination. Current size of area is approx. 12 cm by 6 cm. The long side of the area runs vertical on my arm. The vaccination site is about 1 cm down from the top of the swelling, so the swelling, redness and itching mostly extend down my arm from the injection site

Other Meds: Multaq, Metoprolol, Prilosec, Eliquis, Rosuvastatin,

Current Illness: None

ID: 0987322
Sex: F
Age: 32
State: GA

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: Na

Allergies: Penicillin allergy

Symptoms: Moderna COVID-19 Vaccine EUA Chills for 6 hours, fever, fatigue, and muscles pain

Other Meds: Collagen peptides supplements

Current Illness: Na

ID: 0987323
Sex: M
Age: 41
State: OK

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/29/2021
Hospital:

Lab Data: no

Allergies: Penicillin and Cephalosporine ; strawberries

Symptoms: 2 hours later - fever 101.5; aches; chills; a little bit of fatigue (not as bad as the fever) - continued 2 days for fever; fatigue was 4 or 5 days (of not feeling good). 28th and 29th - body aches returned On the 30th, I woke up with a fever. I went in to get COVID test and it was positive for COVID. Didn't get second one because I was still symptomatic from COVID infection.

Other Meds: Aspirin - 1 a day; Movic; VIt D3; Fish oil - Omega 3; Glucosamine

Current Illness: no

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm