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: 0988060
Sex: F
Age: 24
State: PA

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Allergic reaction: swollen bumps similar to mosquito bites on face, neck, and chest . Itchiness . Only on the left side (side where vaccine was given) No known allergies to food, medication or product ingredients. Reaction happens after applying makeup, all products applied have been used in the last week without incident . The day prior to this reaction, I had a fever of up to 103.1 degrees, headache and fatigue which I treated with acetaminophen. No other symptoms on the day of the allergic reaction

Other Meds: Wellbutrin

Current Illness: None

ID: 0988061
Sex: M
Age: 82
State: MI

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/30/2021
Hospital: Y

Lab Data: Labs- elevated d diner, troponin, procalcitonin, lactic acidosis, c reactive protein, white blood cells. chest X-rays- ground glass, pulmonary edema and congestion. ct scan- positive for pulmonary emboli and ground glass

Allergies: None

Symptoms: Chills, fever, fatigue from day of onset. Currently in ICU for ARDS

Other Meds: Moduretic, ASA 81mg, glipizide, losartan, metformin, potassium chloride, potassium citrate

Current Illness: None

ID: 0988062
Sex: M
Age: 25
State: TX

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: The night following 2nd vaccine, I experienced fever, chills, headache , injection site muscle soreness and overall myalgia.

Other Meds: None

Current Illness: None

ID: 0988063
Sex: F
Age: 28
State: OH

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: Peanuts/ tree nuts

Symptoms: Facial flushing and tachycardia on day 3-4 post vaccination. Self resolved. Axillary lymphadenopathy on day 8-9 post vaccination. Self resolved.

Other Meds: Zyrtec, Benadryl, Pepcid

Current Illness: None

ID: 0988064
Sex: F
Age: 52
State: NJ

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt started feeling tingling in fingers and numbness in mouth after vaccine adm. She states it initially got worse but is getting better after 30 min. Pt also complained of nauseous during observation. Nausea resolved after 10 min Pt believed symptoms are from anxiety. Pt given water and felt better by d/c.

Other Meds:

Current Illness:

ID: 0988065
Sex: F
Age: 31
State: NC

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: Unknown

Symptoms: The patient came in to get her 2nd dose of COVID-19 vaccine. The patient is pregnant and currently enrolled in 2 trials. She also had COVID-19 back in July. The patient received Pfizer vaccine today (1/30/2021) as this was the only vaccine being given today. Upon administration, it was noticed that the patient had actually received Moderna first (12/30/2020 at 9:10 a.m.) and should have received Moderna again. The nurses stated that they informed the patient that we are giving Pfizer vaccine today. The patient disputed this and said she wasn?t told this information. However, the manufacturer and lot# were recorded on her vaccination card and this was missed before the patient got her vaccination. In the midst of explaining about the vaccines the patient told us that she rescheduled her own appointment from Wednesday, Jan. 27 to today Jan. 30. Apparently this was a glitch in our scheduling system and the problem has been fixed. Patient was advised to contact her OB/GYN and clinical trial coordinators. We also encouraged her to call V-Safe to report the administration error.

Other Meds: Unknown

Current Illness: Unknown

ID: 0988066
Sex: F
Age: 48
State: CA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: Performed: Cardiac monitoring, Peripheral IV, Pulse Oximetry. Imagine test: ECG 12-Lead. Lab Tests: CBC with differential and metabolic panel.

Allergies: Sulfa Ceftin Tapioca Starch Quinoa Latex Reglan

Symptoms: After ten minutes my throat began to feel swollen, a feeling of a lump in my throat. After around 20 minutes I also began to feel more light headed/dizzy. I was moved to be observed by a nurse for another 20 minutes and when symptoms did not subside I was moved to the Emergency Department where they administered Epinephrine at 9:27am, Pepcid, 9:24am, Solu-medrol 9:24-10:50am. Diagnosis: Anaphylaxis. Dr. wanted to prescribe Benadryl IV but I declined as I needed to drive home and the facility was far from home. I was discharged around 1:00pm. A prescription for an Epi Pen was made by Dr. and filled that day at pharmacy. and spoke to my Dr. at another healthcare organization at 4:30pm. Benadryl OTC was then rx'd by my primary care doctor at 4:30pm-50mg every 6 hrs moving to 25 mg every 6 hours the next day. Symptoms of swollen throat continued into the next day and have not yet abated but also have not worsened. Due to continued throat swelling I have taken 50mg of Benadryl the next day as well. Dr. my primary care Dr. scheduled an allergist appt for Feb. 3, 2021 and advised I should not get the second dose of the COVID19 vaccine until I speak with an allergist and have a treatment plan developed.

Other Meds: Trileptal Emgality Metaprolol Allegra Flonase Alvesco inhaler Vitamin B2 Vitamin D Magnesium Glycinate Junafe birth control

Current Illness: Migraine

ID: 0988067
Sex: F
Age: 32
State: OH

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: Sulfonamides, penicillin, Trileptal, apples

Symptoms: Very hard, hot, painful, red lump and area on skin that has increased in size over two days. Fever of 101.5. Nausea, fatigue, chills, lethargy.

Other Meds: Lexapro Adderall birth control Keppra multi vitamins

Current Illness: None

ID: 0988068
Sex: F
Age: 39
State: DC

Vax Date: 01/19/2021
Onset Date: 01/26/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: On Jan.26th the left axilla was tender and swelling was present, right in the middle of the axila. On Jan.29th swelling, hot and tenderness present on both cheeks. The swelling is more pronounce on the right cheek than the left.

Other Meds: None

Current Illness: None

ID: 0988069
Sex: F
Age: 26
State: MO

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Muscle ache localized to the right arm, shoulder and neck. Significant tenderness in R deltoid (injection site).

Other Meds: None

Current Illness: None

ID: 0988070
Sex: F
Age: 64
State: GA

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: None known

Symptoms: Severe weakness, palpitations, shortness of breath, body aches, faintness

Other Meds: Metoprolol Omeprazole Atorvastatin Losartan Advair Diskus 500/50 Fluticazone nasal spray Fluoxetine

Current Illness: None

ID: 0988071
Sex: F
Age: 65
State: GA

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Maybe be completely insignificant...one week after I received the vaccine, my left shoulder in which I received the vaccine started itching and itched for 24-30 hours. I believe it itched enough to disturb my sleep moderately. The next morning I took a single zyrtec and either due to time or the effects of the antihistamine, my shoulder stopped itching. My shoulder did NOT become red or show a rash. It is probably insignificant and may be normal for the general population but of all the shots I can remember and I receive a flu vaccine every year, I never had my arm itch significantly near the shot date or after. It was not a significant event, but I report it just in case this is unusual.

Other Meds: Citracal petites +D3, 800 mg calcium Nature Made D3 2000IU

Current Illness: none

ID: 0988072
Sex: M
Age: 37
State: FL

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: 12 lead ECG on 1-24-21, confirmed PAC?s with irregular heart beats with each palpitation. I had a visit with my PCP whom has me having a consult with a cardiologist in late February to wear a heart monitor. Symptoms are worse and noticeable at night.

Allergies: NKA

Symptoms: I experienced irregular heart beats, palpitations. I obtained a 12 lead. Called my doctor and have a cardiologist consult in late February. The palpitations started after the 1st shot in the series, and after the 2nd shot they increased.

Other Meds: Tylenol Ibuprofen Men?s on a day multivitamin

Current Illness: None

ID: 0988073
Sex: F
Age: 76
State: NC

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Very high heart rate for several hours, chills, pressure on forehead

Other Meds: Multi vitamin Calcium Vit e and Vit d Aspirin

Current Illness: None

ID: 0988074
Sex: F
Age: 76
State: CT

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: Seeabove

Allergies:

Symptoms: Lower back pain radiating around to the rib cage. Went to ER and had ultrasound, cat scan, blood work, urine culture. All scans negative awaiting results of urine and blood work. Possible uti but not sure. Prescribed Keflex

Other Meds: Amlodipine.

Current Illness:

ID: 0988075
Sex: F
Age: 37
State: LA

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

Lab Data:

Allergies:

Symptoms: The day after receiving the vaccine, I was extremely fatigued, had fever as high as 102, had a headache, body aches, chills. 2 days after receiving the arm I got the vaccine in became red and swollen. That lasted 4 days. 5 days after receiving the vaccine I had a low grade fever. Called my Dr about the redness and swelling. She gave antibiotics, but said not to take them unless it grew.

Other Meds: Birth control

Current Illness:

ID: 0988076
Sex: M
Age: 59
State: NY

Vax Date: 01/13/2021
Onset Date: 01/16/2021
Rec V Date: 01/30/2021
Hospital: Y

Lab Data: Blood labs drawn 23-27 January 2021 at Hospital Ultra sound Right leg for DVT 23 Jan 2021 CT angio Chest 23 Jan 2021 Xray chest portable 23 Jan 202 Echocardiagram without contrast 27 Jan 20211 transesophagae

Allergies: None

Symptoms: On day 04 After receiving the 2nd Covid 19 Pfizer vaccine, I experienced a deep pain in my upper inner right thigh around 0600 am of the 16th of January. At the same time my calf muscle of that same right leg was in pain. I thought it to be muscular pain as I was told by the reading material regarding symptoms of the covid 19 vaccine there could be aches an pains attributed to the 2nd shot. I used a deep heating rub on both areas of my right leg and put heat on them to treat the soreness. This occured over the next few days feeling this pain in my right leg and treated the same way applying heat. Within about 24 hours of the pain in my legs I started experiencing a shortness of breath while walking up and down st. On day 04 After receiving the 2nd Covid 19 Pfizer vaccine, I experienced a deep pain in my upper inner right thigh around 0600 am of the 16th of January. At the same time my calf muscle of that same right leg was in pain. I thought it to be muscular pain as I was told by the reading material regarding symptoms of the covid 19 vaccine there could be aches an pains attributed to the 2nd shot. I used a deep heating rub on both areas of my right leg and put heat on them to treat the soreness. This occured over the next few days feeling this pain in my right leg and treated the same way applying heat. Within about 24 hours of the pain in my legs I started experiencing a shortness of breath while walking up and down stairs as part of my daily activities. The symptoms of shortness of breath only seemed to appear when I was on any form of extended walking activity or physical movements or exercise this would of have been starting around the 17th of January. The right leg pain was masked by the heating rub while the shortness of breath continued for the next few days. On the 19th of January, I went to an Urgent Care Facility at 0800 am to see a Medical professional to discuss my symptoms I was previously experiencing and to figure out why I was having a shortness of breath and the pain in my right leg. The on staff Physician's Assistant had a Nurse conduct a Covid 19 Rapids test (negative) and a second swab was administered and sent to the Lab. Which produced a (negative for Covid 19) on the 20th of January. An Xray was not taken to determine my shortness of breath. The Dr listened to my lungs and heart, though I did let the PA know I had received both Pfizer shots and when they were administered. I was carrying My Shot record for the vaccine with the dates and lot number. He didnt appear to be interested in further diagnosis and made sure I had the paperwork to track the results of my Covid swab sent to the lab. The visit was completed and I was released to go back to work/home. I carried on the symptoms of the shortness of breath from the 19th of January to the 22nd of January monitoring my O2 (oxygen levels) with a pulse oximeter. They ranged from 90-93. On the evening of the 22nd of January I was becoming very uncomfortable with my breathing climbing the stairs in my home and monitored my O2 readings with the oximeter on my finger when walking upstairs and they dropped down to 60-65. My wife drove me to the emergency room at Hospital. I walked into the ER and checked myself in for shortness of breath and leg pain in my right leg. I was admitted into the emergency room and put on 15 litres of oxygen. The emergency room Dr ordered a chest Xray, Cat Scan of my chest and heart and a sonogram of my right leg. The testing results came back with a noted large pulmonary emboli on my lungs/heart area and blood clots throughout my right leg (right lower extremity DVT). Surgery was performed to remove the pulmonary emboli and I was put on a Heprin Drip to thin out my blood for the remaining clots in my chest and my right leg. The attending physician ordered a T.E.E. (transesophageal Echocardiogram) to observe my heart functions. I was told the TEE did not demonstrate any further recommend surgeries. I was administered a test for my cardio and heart functions prior to my discharge on 27 January 2021. I was prescribed Eloquis for maintenance medication to be monitored by followup visits to my cardiologist and Hemotologist within the next few weeks. I have not family or personal history of Blood Clots. I do perform administrative duties as part of my job, which requires sitting and working on a computer. Note however I move around very often during a work day and operate a farm tractor and have an active life style. I have not recently had any extended trips more than 2 hours nor have I flown within the past year or so.

Other Meds: 20 mg Omeprazole 1x day, 20 mg Lisinopril 1 x day, 5 mg Amlodo; Amlodopine 1 x day, 12.5 mg Carvedilol 2 tabs 2 x day, .4mg Tamsulosin 1 x day, Advair diskus 500/50 (1) puff twice a day. CPAP machine at night set to 6.

Current Illness: None

ID: 0988077
Sex: F
Age: 31
State: OH

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: urinalysis : elevated blood hemolyzed

Allergies: bactrim sulfa tetrcycline

Symptoms: blood in urine noticed about 24-36 hours after shot, at 48 hours after went to clinic and urine was positive for blood and negative for all other things. urine was coca cola colored to pink

Other Meds: vitamin c

Current Illness: none

ID: 0988078
Sex: F
Age: 71
State: CA

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: None that I know

Symptoms: Flu like symptoms on day 2 and puffy under the eyes. I could find flu like symptoms in the "normal" category but not puffy under the eyes. Is this a problem?

Other Meds: ramipril

Current Illness: none

ID: 0988079
Sex: F
Age: 42
State:

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Elevated heart rate, dizziness, flushing, numbness in hands - twice, one and five hours after shot. Passed by itself.

Other Meds:

Current Illness:

ID: 0988080
Sex: F
Age: 67
State: TX

Vax Date: 01/21/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: Pseudophedrine - have a "fixed drug reaction" on my right thumb

Symptoms: Evening of 1/28, one week after first dose vaccine, left arm began itching below the injection site. It itched during the night and upon rubbing it, I felt a lump. The morning of 1/29, arm was red, rash, hot, itch, lump, and this is approximately 2-3' below the injection site - interestingly around my small pox vaccination scar. By mid-afternoon, all symptoms were worse and I did not feel "right" and felt lethargic. I contacted by phone my PCP office and sent pictures. They said "delayed inflammatory response" to injection. I took Aleve and Benadryl at bedtime and it is better today but certainly not gone. ** I did not receive the V-Safe text yesterday to report this. **

Other Meds: Prescriptions: Estrogen cream BiEst E3/E2 ; Progesterone ; Losartan ; Supplements: Aspirin ; Calcium/Osseoapatite Plus; Evening Primrose Oil; DIM Detox; Vitamin E; Magnesium; Cortisolv; Vitamin D3; Lipoflavinoid; Pure One Multi; Hydroeye;

Current Illness: None

ID: 0988081
Sex: F
Age: 74
State: NJ

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: got extremely dizzy, face turned bright red, then 1 minute later got very bad pain in back and down her left leg. Patient stated that she felt like it was a paralysis feeling, yet she was moving her legs. Symptoms stopped 5 minutes later.

Other Meds: none on record

Current Illness: none mentioned

ID: 0988082
Sex: F
Age: 27
State:

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, chills, body ache, head aches, shoulder pain

Other Meds: Junel fe

Current Illness:

ID: 0988083
Sex: F
Age: 56
State: NJ

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt stated she felt her heart racing after receiving vaccine. Pt states she never has had something like this happen before. Pt seemed nervous and anxious. Pt given juice and crackers.

Other Meds:

Current Illness:

ID: 0988084
Sex: F
Age: 59
State: TX

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: PCN; shell fish

Symptoms: Swollen tongue; sore throat; headache; increased body/joint aches; fatigue; nausea; vomiting (1 episode)

Other Meds: Coreg; lisinopril; levothyroxine; Lasix; Neurontin; Norco; Zanaflex; vitamin D

Current Illness: None

ID: 0988085
Sex: F
Age: 53
State: WI

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: none

Allergies: Sulfa, bee venom.

Symptoms: redness and hardness at the injection site day2 and day 3. Delayed redness, edema and mild itching at injection site, day 8.

Other Meds: progesterone, testosterone, magnesium, potassium, curcumin, occuvites, multivitamins

Current Illness: none

ID: 0988086
Sex: F
Age: 53
State: NY

Vax Date: 01/07/2021
Onset Date: 01/23/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: No known allergies

Symptoms: A red area appeared at injection site on 01/23/21 at 8 A.M. The reddened area was an inch in diameter. Now the reddened area is 2 1/2 inches in diameter. It has darkened center and is very itchy, especially at night.

Other Meds: Synthroid 75MCG. Vitamin D and calcium.

Current Illness: no

ID: 0988087
Sex: M
Age: 50
State: GA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Swelling and pain at injection site

Other Meds: Fluoxetine 40mg

Current Illness: None

ID: 0988088
Sex: F
Age: 24
State: IL

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Tenderness/soreness at injection site for two days, hard bump in upper arm at injection site persisted for roughly a week and a half. Newly developed red patch/circle as of 1/28/21. Very minimal itching, short-lived rash on 1/28/21 that has turned into a faded red circle around injection site as of 1/30/21.

Other Meds: None

Current Illness: None

ID: 0988089
Sex: F
Age: 73
State: CA

Vax Date: 01/21/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: No adverse effects until 1/29/2021, 11:30p. itching and pain noted at injection site. Close examination on 1/30 8:00am revealed a 5 cm diameter red hard spot at the injection site . Pain was less severe but still present.

Other Meds: 84mg asprin

Current Illness: none

ID: 0988090
Sex: F
Age: 25
State: IN

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: Kiwis, mangos

Symptoms: Myalgia, malaise/fatigue, dizziness, nausea x 8 h, starting approx. 24 h after administration of vaccine Sx improved with ibuprofen and rest

Other Meds: Adderall IR, 10 mg BID Effexor ER 75 mg QD Sprintec dose pack (birth control, norgestimate-ethinyl estradiol 0.250 mg/ 0.035 mg), 1 tablet QD One-A-Day Women's multivitamin Melatonin 5 mg QHS Ventolin HFA, 180 mcg PRN

Current Illness: None

ID: 0988091
Sex: F
Age: 74
State: GA

Vax Date: 01/01/2021
Onset Date: 01/19/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: none known

Symptoms: Itching,swelling,redness and increased heat at injection site starting at day 9 following injection.

Other Meds: calcium , asprin , aleve, move free.

Current Illness: none

ID: 0988092
Sex: M
Age: 17
State: AZ

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/30/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: age 17 y too young

Other Meds: no

Current Illness: no

ID: 0988093
Sex: M
Age: 76
State: VA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: Dr monitored for one hour and advised EKG. Facility does not have EKG equipment

Allergies: Tree pollen in summer

Symptoms: After 15 minutes discomfort in Chest raising blood pressure also Numbness in lips after 6 hours and after 24 hours. Is it due to vaccine reactions

Other Meds:

Current Illness: Hypertension, diabetes

ID: 0988094
Sex: M
Age: 75
State: PA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: CBC with diff, CMP, Urinalysis, CAT scan of my abdomen, Ultrasound of my kidneys, bladder, and abdomen, MRI of my abdomen. All studies were normal.

Allergies: Imferon injection

Symptoms: Excruciating episodic right flank pain occurring every 10 minutes and lasting 5-15 seconds over 48 hours like I was getting stabbed with a hot knife or poker; This was followed by 7-10 days of intermittent, fleeting neuralgic pain over my right posterior iliac crest area occurring every 5-30 minutes. This seems to have resolved over the past 5 days. This was after my first Moderna vaccine. Supposed to receive the second on May 5,2021

Other Meds: Metformin, Pioglitazone, Quinipril, Amlodipine

Current Illness: Pre-diabetes; Hypertension

ID: 0988095
Sex: M
Age: 79
State: NY

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: PLACA DEL PECHO, CAT-SCAN, LABORATORIO 01/22/2021. SCAN RESULTO EN "PLAQUE ON LEFT CORONARY ARTERY."

Allergies: NINGUNA

Symptoms: BRAZO, HOMBRO, TOBILLO, PECHO, CUELLO, PARTE DE DONDE LA CABEZA SE JUNTA CON EL CUELLO UN DOLOR COMO CUANDO LE PONEN LAS INJECCIONES DE VITAMINAS. HE PERDIDO LA FUERZA. NO HE PERDIDO SENSIBILIDAD PERO NO HAY FUERZA MUSCULAR. CUANDO VIRO EL CUELLO ME DUELE. EL PIE SE HA MEJORADO, PERO EL TRONCO DEL MULO ME DUELE. EL PECHO ME DUELE CUANDO TOSO. NO TENGO NINGUNA FUERZA NI MOBILIDAD EN MI BRAZO IZQUIERDO Y UN DOLOR "CANSADO" EN EL CUELLO.

Other Meds: MELOXICAM 15MG; LOSARTAN 50MG; ESOMEPRAZOLE 40MG; FINASTERIDE 5MG; AMLODIPINE 10MG; ESCITALOPRAM 5MG; TAMSULOSIN 0.4MG; SUCRALFATE 1MG

Current Illness: NINGUNA

ID: 0988096
Sex: F
Age: 82
State: TN

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: None known

Symptoms: Nauseous Weak Slight fever 99 Headache

Other Meds: Omerprazole Amlodipine Metotprolol tartrate Rosuvastatin Potassium Hydrochlorothiazide

Current Illness:

ID: 0988097
Sex: F
Age: 85
State: TX

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies:

Symptoms: At 11:30 pm the patient, my mother, experienced extreme rapid heart beat, pain in her chest and neck, and nausea. She stated it was intense and severe but can't say how long it lasted. She was about to call 911 when her symptoms subsided. She fell asleep and didn't tell anyone until the next day. She has felt ok since then but we will be following up with a doctor next week.

Other Meds: Latanoprost baby aspirin calcium and D supplements

Current Illness:

ID: 0988098
Sex: M
Age: 73
State: AZ

Vax Date: 01/25/2021
Onset Date: 01/27/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, chills starting 48 hours after injection Fever, chills reaccurred again after the next 24 hours.

Other Meds: Bupropion Atorvastatin Omeprazole Fluoxetine Vitamin C

Current Illness:

ID: 0988099
Sex: F
Age: 60
State: FL

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chest Pain approximately 3-4 hours post vaccine #2

Other Meds:

Current Illness:

ID: 0988100
Sex: F
Age: 67
State: NY

Vax Date: 01/19/2021
Onset Date: 01/26/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: Bacitracin, codeine

Symptoms: Extreme fatigue lasting 2 days, redness at vaccine site with horrible itching

Other Meds: Levothyroxine (Synthroid) 25 mg daily Osphena 60 mg daily Montelukast 10 mg daily Livalo 2 mg 2x week Amlodopine (blood pressure) 5 mg daily Irbesartan 75 mg daily Praluent 75mg 2x month Allegra 24 hour daily Pepcid daily Refresh Pro B

Current Illness:

ID: 0988101
Sex: F
Age: 57
State: NJ

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: Penicillin Some shellfish, lobster shrimp only Some fruits Nail polish Some raw almonds seeds

Symptoms: Rash raised hive size of an orange at injection site. Now toward inside of upper arm and swelling gone, flatter light pink. Covid Arm Recovering

Other Meds: Centrum, Co Q 10, fish oil, red yeast rice, apple cider vinegar, blood pressure good health supplement and Garlique.

Current Illness: None. No history of any illnesses other than high cholesterol.

ID: 0988102
Sex: M
Age: 73
State: GA

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: none

Allergies: Aspirin - Hives

Symptoms: Sore left shoulder at injection site little lethargy on Saturday after the shot

Other Meds: Amlodipine 5mg , Losartan / HCTZ 100-25 mg, OTC Centrum silver one a day vitamin Glucosamine Chondroitin Red yeast rice CQ 10

Current Illness: none

ID: 0988103
Sex: F
Age: 45
State: OR

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: Penicillins, sulfas

Symptoms: Increased redness and swelling at injection site on day 2, itching beginning on day 7-8, with redness increasing to entire upper arm including red raised ring at the perimeter. Began Benadryl treatment on day 14 and symptoms began to subside.

Other Meds: Methylphenidate Zyrtec Montelukast Sodium

Current Illness: None

ID: 0988104
Sex: F
Age: 76
State: AZ

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Moderna COVID-19 Vaccine EUA Chills and exhaustion started 12 hours after innoculation and continued for 12 to 18 hours.

Other Meds: None

Current Illness: None

ID: 0988105
Sex: F
Age: 74
State: TX

Vax Date: 01/22/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: sulfa, feathers

Symptoms: Fever, joint pain, fatigue, headache

Other Meds: Irbesartan/Hctz Tabs ; Ocuvite; Low Dose Aspirin; Vitamin D3 5,000 IU

Current Illness: None

ID: 0988106
Sex: F
Age: 80
State: AZ

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: none

Allergies: sulfur, penicillin,

Symptoms: swelling from elbow to chest and upper shoulder. hurts to touch it. skin hurts all over. Sore neck. feels like she is drunk. thursday and friday had staggering. Took conafec for pain in arm. poor appetite, not wanting to cook

Other Meds: levelroxin, thyroid, trianterene, hctz , amlodipine

Current Illness: runny nose

ID: 0988107
Sex: F
Age: 53
State: TX

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: Sulfate.

Symptoms: Itchiness all over the body, hives, and head rush

Other Meds: Emergency vitamin c, biotin, zinc, vitamin d, fexofenadine hydrochloride, asprin, ashwagandha, vitamin d3, omega 369. Losartan, pantropazole.

Current Illness: High blood pressure

ID: 0988108
Sex: F
Age: 61
State: CT

Vax Date: 12/24/2020
Onset Date: 12/28/2020
Rec V Date: 01/30/2021
Hospital:

Lab Data: labs, covid test, ekg all negative

Allergies: none

Symptoms: alost fainted- very pale, then tachycardia, high blood pressure, diarrhea. This reoccurred i waves over the next week. Also fatique,, muscle and joint pain. for 6 days also had sever headace, numbness in face and lips, spasm of left eyebrow. Mised wek of work, ended up in Emergency room. Had negative covid test. sent home. Was fatiques and dizzy and brain fog for next three weeks. Took a month to feel rigtht.

Other Meds: none

Current Illness: none

ID: 0988109
Sex: M
Age: 50
State: NC

Vax Date: 01/01/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Redness ,swollen and hard at injection site

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm