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: 0992406
Sex: F
Age: 59
State: WI

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

Lab Data: None.

Allergies: None

Symptoms: Patient said that throat felt like it was closing and she was getting shortness of breath. At 2:23 pm a dose of epinephrine was injected into her right upper thigh.

Other Meds: None

Current Illness: None

ID: 0992407
Sex: F
Age: 67
State: NY

Vax Date: 01/22/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: 1/31/2021 evaluation in emergency room; records not reviewed

Allergies: Strawberry allergic

Symptoms: Seizure, 60 sec generalized clonic-tonic

Other Meds: Sertraline, levothyroxine, melatonin, Calcium + Vit D, MVI, midodrine, donepezil

Current Illness:

ID: 0992408
Sex: F
Age: 28
State:

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

Lab Data:

Allergies: nka

Symptoms: c/o dizziness which subsided

Other Meds:

Current Illness:

ID: 0992409
Sex: F
Age: 68
State: MT

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Redness and swelling at injection site The Clinic told me to come in immediately (at no charge), to their NP who handles all things COVID; she said there was no way to tell definitively by looking, what the case was, but to apply ice, take Zyrtec antihistamine, NSAIDs if I could tolerate them, and to pick up the Rx for Keflex only if the redness and swelling started going up my arm or around it, because they didn?t want a bacterial cellulitis spreading. She outlined the red area with black Sharpie. Then she said to return in 3 to 5 weeks so they could test me for antibodies to COVID-19 to see if my body had responded. She said that symptoms of illness similar to coronavirus itself were a good sign that the vaccine had triggered an immune response. But so far, I?ve had no sign of headache, fatigue, fever, nausea, rhinorrhea, or pharyngitis. The redness and swelling have moved an inch and a half beyond the Sharpie outline in a horizontal direction, but I?m watchfully waiting, and still holding off on the Keflex, because I don?t want to take antibiotics unnecessarily.

Other Meds:

Current Illness:

ID: 0992410
Sex: F
Age: 37
State: VA

Vax Date: 01/15/2021
Onset Date: 01/19/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Mild vertigo intermittent, occurs daily and persisting to current date.

Other Meds:

Current Illness:

ID: 0992411
Sex: F
Age: 43
State: TX

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None , can?t get a hold of anyone to see me.

Allergies: Demerol and tetracyclines

Symptoms: 01/29/2021 930 noticed an itch on left thigh, like I wanted to hive - on various spots throughout the day. 01/30/2021 very tired (to be expected), noticed I had burning in what feels like my gall bladder and developed an ?odd? stomach ache later in the day. Thought it had to do with something I ate, but consumed nothing out of the ordinary. Went to bed early, felt like I wanted to fever but never did. decided to take a tsp of children?s Allegra because I still felt ? itchy? at times. 01/31/2021 woke up to what felt like pressure on my chest, like someone was squeezing me. Thought that was odd and thought it was perhaps the way I slept. Was still tired (4AM) went back to sleep. Woke up again feeling more rested and the same feeling. It was an awful feeling. Grabbed my pulse oximeter and my oxygen was about 96 laying down. Called an. ER, thought maybe I had Covid or something as I have never felt that way before. Receptionist told me she felt the same way after she got the shot. I ate, felt better but then developed a horrific headache akin to a migraine that was so sensitive to any movement I made. Felt like someone was shaking my head, it was so painful and I became disoriented. Like. I would get confused in my thoughts. Became very sensitive to light and movement. Looking at Facebook, I had to stop because I felt like I was going to seizure. Had to really rest. Ate lunch and took a multivitamin to see if that helped. Eventually I felt better but had to be careful, take it easy. 02/01/2021 woke up this morning still tired, like my body is fighting something. And I could fell the headache coming on and noticed I was getting confused in my thoughts. I decided to stay home from work. The morning was very bad as I felt as though I wanted to seizure. Could not get a hold of my doctor. My head still hurts, not as bad, but after I eat, I get confused and can?t hold two thoughts at once if that makes sense. Head seems very sensitive to eye movement like yesterday. It?s a gross feeling, even in absence of the pain.

Other Meds: None

Current Illness: None

ID: 0992412
Sex: F
Age: 76
State: WV

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Patient was observed for 15 minutes after the vaccination administration, felt fine, and left the facility with her husband. The 2 of them drove 2 blocks away to a restaurant to eat. Midway through her meal, she reported that she started to feel "funny" like she was "drunk" or something, and felt nausea and hot/sweaty. Her husband got her in the vehicle and drove to the vaccination facility, When he arrived, she was obtunded and "out of it." No respiratory distress, No noted rash, but some clamminess/diaphoresis. She was initially examined by FNP and cursory limited neuro exam while patient was seated did not reveal any gross motor deficits. FNP called 911 and staff called for me. When I arrived, patient was groggy, but responsive. She was A&O x3 and in no distress. Pulse 54, strong and regular (normal rate for her per patient--on a Beta blocker). BP 120/74. O2 sat 97% on outdoor cold air. Patient was able to move all extremities equally and with equal strength. Lungs CTA, Heart regular no murmur, abdomen soft. Patient complained of continued malaise/grogginess and nausea, no vomiting. EMS arrived, checked glucose, which was "normal" (I didn't hear the result) and patient declined transport. I discussed ER evaluation vs. continued monitoring by me. Patient and husband requested monitoring. Patient stayed in the vehicle with her husband, I gave the husband my phone number to call if any worsening. I checked on her 5 minutes later, then 10 minutes after that. By that time, her adult daughter had arrived. We again discussed continue family monitoring vs. ER. The family wanted to take the patient home to monitor. Patient stated "If I could just go to bed, I think I will be fine." I called to check on the patient at 6p. She had rested well and was improved. She still felt a bit groggy, but otherwise was feeling better. I called to check on the patient 1/29 at noon. At that point, husband stated that she was "back to normal. Symptoms and signs appeared to be consistent with a vasovagal response. I suspected symptoms may have been prolonged by her Beta blocker

Other Meds: beta blocker, statin, maybe others

Current Illness: unknown

ID: 0992413
Sex: F
Age: 42
State: NY

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Reported body aches, fatigue and temp 100F

Other Meds:

Current Illness:

ID: 0992414
Sex: F
Age: 52
State: TX

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: Hawkin's test Positive ( left) Neer's test positive

Allergies: egg allergy and maple syrup

Symptoms: Patient received FluBlok Vaccine on December 28th 2020, patient called pharmacy on January 4th 2021 stating that she was experiencing pain and movement difficulties at the site of injection. During that first complaint patient was advised by pharmacist to follow up with primary care doctor if pain did not imporve with in the next 2 days. Patient called back the following week and informed that pain had increased and mobility was limited. At that point, patient was instructed to schedule an appointment with doctor. Patient saw Doctor on 01/18/21, of which reccommended she see a orthopedic doctor. During her visit with PCP, patient was prescribed Etodolac 400mg and Norco 7.5/325 for pain. Patient was then scheduled to see a a specialist on 01/28/2021. The orthopedic specialist diagnosed patient with Left Subacromial bursitis/Rotator Cuff Tendinitis. At orthopedic clinic, patient received a left shoulder subacromial injection ( 4 ccRopivacaine and 2cc of Kenalog-10)

Other Meds: Armour Thyroid 60mg Losartan Potassium 25 mg Topiramate 25mg amphetamine Salts 30mg

Current Illness: none

ID: 0992415
Sex: M
Age: 68
State: TX

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

Lab Data: No

Allergies: Weeds, trees, grass, dust, mold, mildew.

Symptoms: On Saturday the 23rd I took the shot, around midnight or 1:00 am. From that point on I do not recall anything. The next time I have any memory of anything is Friday morning at 1 or 2 am. I am trying to remember how to use my eye drops (for glaucoma) and I am trying to remember my dogs name. My wife said I was acting strangely because I was trying to use my eye drops but I didn't have any eye drops in my hand. I woke her up and she was trying to figure out what I was doing. No memory from 1 or 2 am on Sunday until early Friday morning. I did not see my doctor but will be contacting my doctor to see if I can be seen.

Other Meds: Bisacodyl 5 mg, 2 tablets orally once a day; Benadryl; Cetirizine 10 mg, 1 time per day; Propranolol HCL 40 mg tab, one half tab twice daily; Pantoprazole 40 mg; Ondansetron 8 mg; Atorvastatin Calcium 80 mg; Metformin 1000 mg; Tramadol 50 m

Current Illness: No

ID: 0992416
Sex: F
Age: 51
State: OR

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: Allergic to zithromax, iron, zinc.

Symptoms: 5 inch x 5 inch swelling, redness, heat, pain at injection site with axillary LAD. As of 2/1/2021 had not resolved.

Other Meds: Swelling, pain, heat, redness and induration of skin around injection site (left deltoid area). Swelling is about 5 inches x 5 inches in diameter. She also has left axillary LAD.

Current Illness: None

ID: 0992417
Sex: M
Age: 79
State: IN

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: See first page

Other Meds: My wife and I both were a little more tired than usual the following Saturday and Sunday. We seem to be more with it today (2/1/2021)

Current Illness:

ID: 0992418
Sex: M
Age: 36
State: FL

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: full body aches dizziness night sweats

Other Meds:

Current Illness:

ID: 0992419
Sex: F
Age: 75
State: OH

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: BMP, CBC w/diff, hepatic function panel, lactic acid, lipase, urinalysis. CT abdomen pelvis with IV contrast

Allergies: Sulfa, macrodantin, alphagan eye drops, celexa

Symptoms: 51 hours after the injection, I began to experience fevers (102), severe lower abdominal pain, extreme chilling and vomiting. This lasted throughout the night and the next AM. At around noon on January 29, my husband took me to the ER. There I underwent an abdominal CT, labs ,IV's, zofran and reglan for nausea, and Fentanyl for pain. I was discharged mid afternoon to my husband and sent home on ondansetron.

Other Meds: Omeprazole, Toprol XL, Atorvastatin, Latanoprost eye drops, Prolia twice yearly. Vitamin D, senior multivitamin, colace,benefiber

Current Illness: none

ID: 0992420
Sex: F
Age: 74
State: MA

Vax Date: 01/11/2021
Onset Date: 01/14/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: MRI of my head. was negative

Allergies: Pennicillin

Symptoms: Approximately 84 hours after administration, I had severe vertigo when prone. This included a strange sensation of my head floating and an odd sense of loosing consciousness. The vertigo was awful, and I could barely stand. This lasted each evening for about 6 night. It subsided in the morning, after I felt more stabilized in walking.

Other Meds: losartan, trazodone, hydrodiuril, vitamins,, omega 3 Vit D

Current Illness:

ID: 0992421
Sex: F
Age: 63
State: CO

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: tree nuts, sulfa

Symptoms: Beginning 24 hours post vaccine I had Fever, headache, body aches, chills for 24 hours. For 36 hours fatigue. All resolved at 48 hours when mild asthma began.

Other Meds: Advair, synthroid

Current Illness:

ID: 0992422
Sex: F
Age: 73
State: KS

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Progress Notes Cosign Needed Expand All Collapse All COVID VACCINE CLINIC 1/29/2021 Subjective Patient is a 73 y.o. female who was seen at COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination. She was given the Pfizer vaccination in the left deltoid muscle. During her 15 minute waiting period after the injection, the patient began to experience throat tightness, body tingles, itching, eye and ear pressure, dizziness, weakness,chest tightness, sweating, and feeling flushed She denied hives, loss of sensation, SOB. This provider was notified of patient reaction and she was then assessed in the emergency bay area. Monitored patient for severe reaction symptoms, including but not limited to blood pressure abnormality , drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress and tongue swelling. ALLERGY REVIEW OF SYSTEMS Previous Reactions: PCN Objective Vitals Vitals: 01/29/21 1514 01/29/21 1521 01/29/21 1526 01/29/21 1539 BP: (!) 153/97 (!) 154/116 (!) 167/90 (!) 172/84 Pulse: 59 64 59 55 SpO2: 99% 94% 96% 99% Blood Sugar 97 collected at 1500 Physical Exam No Rashes or Hives noted. No facial swelling , no wheezes. HEENT Pharynx is clear without exduate. No facial or tongue swelling. Lungs CTA all wheeze No SOB. Neck is supple. No swelling is noted. pt is anxious and nervous. No sign of anaphalyxis No stridor, no swelling Assessment/Plan Treatment included: antihistamines Benadryl 25 mg, Pepcid 10 mg Follow up response to treatment: good. Patient discharge: Stable to go home and follow up with PCP. Differential Diagnosis: Vaccine-Related Anxiety (include misc mental health) Mild reaction, improving. Pt refused any further medications or assessment at the ER. Her husband will pick her up.

Other Meds:

Current Illness:

ID: 0992423
Sex: F
Age: 76
State: CA

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: Ciprofloxacin -Dexametasone Ace Inhibitors Simvastatin Trazadone Hydrochloride

Symptoms: My arm was sore and swollen at the vaccine site 3 hours after inoculation and thru the following 48 hours. On 1-23-21 I started feeling very short of breath, began using my Albuterol inhaler every 4 hours; and continue using it. On 1-29-21 my upper arm at vaccine site started itching and had some red spots, this stopped the next day.

Other Meds: Carvedilol, Glipizide, Rosuvastatin, Losartan, Allendronate Sodium, Calcium, Vitamin D3, Vitamin C, Vitamin E Albuterol inhaler, only when needed, before going on my walks!

Current Illness:

ID: 0992425
Sex: F
Age: 75
State: AZ

Vax Date: 01/11/2021
Onset Date: 01/24/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: none

Allergies: PCN, SULFA, IODINE & RED ANTS

Symptoms: Symptoms appeared 6 days after injection. Injection site (left arm) was swollen, red, painful, itching, rash. Symptoms have lessened over the past seven days, but still experiencing "rash" and itching.

Other Meds: Dexilant 60mg/day Vitamin D 50,000IU/week

Current Illness: ZERO

ID: 0992426
Sex: M
Age: 78
State: NJ

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: Augmentin

Symptoms: Shingles:I received my first Moderna vaccination shot at the on January 14th. I had no immediate bad reactions. However, a week ago I developed a rash on my right foot & lower leg. It got worse and so I visited with my dermatologist. He immediately diagnosed it as SHINGLES. The only reason I can think of that brought the attack on seems to be the vaccine?? I?m scheduled for the second booster shot on Feb 11th and quite frankly, I?m worried. Have other vaccinated folks complained about getting Shingles? Do you have information about getting the second shot and how that affects getting Shingles? Thanks for your assistance.

Other Meds: Allopurinol, Atorvastatin, Amlopine

Current Illness: None

ID: 0992427
Sex: F
Age: 40
State: IN

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: Sweet potatoes

Symptoms: Localized allergic reaction. Itchy, red, hot to touch over injection site. Mild pain. No ROM restrictions. Growing in size on 2/1/21.

Other Meds: Xyzal, vitamins D, probiotic

Current Illness: None

ID: 0992428
Sex: F
Age: 87
State: KY

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital: Y

Lab Data: MRI to r/o stroke

Allergies: sulfa, valsartan/hctz

Symptoms: profound dizziness and nausea leading to hospital admission

Other Meds: Eliquis 5 mg q12h Atorvastatin 40 mg qday metoprolol tartrate 100 mg q12h

Current Illness: LMCA CVA 22 PAF last June

ID: 0992429
Sex: F
Age: 58
State: OK

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: HEADACHE AND VERY SORE MUSCLES IN NECK AND SHOULDER NOTHING SEEMS TO HELP THE HEADACHE

Other Meds:

Current Illness:

ID: 0992430
Sex: F
Age: 86
State: GA

Vax Date: 01/16/2021
Onset Date: 01/19/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: n/a

Allergies: none

Symptoms: 3 days post injection new onset rash at injection site (left deltoid) with erythema and pruritis. pt presents today, 16 days post injection, with complaints of soreness to ULE with persistant rash with erythema and pruritis.

Other Meds: alendronate, gabapentin, simvastatin, diltiazem, lisinopril

Current Illness:

ID: 0992431
Sex: F
Age: 28
State: AZ

Vax Date: 01/23/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: I don't know when it formed, but on 1/31/21 I notice a white halo around the injection site on my left arm. There is no pain, it is very faint but clearly there.

Other Meds: Birth Control, tri-lo-estarylla brand

Current Illness: N/A

ID: 0992432
Sex: F
Age: 40
State: CT

Vax Date: 12/01/2020
Onset Date: 01/05/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: Sensitivity to dairy, gluten

Symptoms: Extensive hives and rash, both arms, both legs, abdomen and torso.

Other Meds: Flax, Vitamin B, Vitamin D, Pro Biotic, LDN, Zoloft

Current Illness:

ID: 0992433
Sex: F
Age: 62
State:

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: sulfa

Symptoms: The vaccine was administered in my left arm, but my right hand started feeling numb. It only lasted about 30 mins and I was able to drive home, but it was very weird and unexpected.

Other Meds:

Current Illness:

ID: 0992434
Sex: F
Age: 38
State: MS

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: Cats, kiwi, dust/pollen/dander (no anaphylaxis)

Symptoms: 7 days after (Wednesday, January 27) receiving the vaccine, I developed a small itchy hive at the injection site. Considered it was a mosquito bite but woke up the following day (Thursday) with the area swollen, red, and hot to the touch. I also had a stomach ache so I took Tylenol which did not help. Friday, I took ibuprofen and the redness and swelling subsided but the heat remained until the evening of Sunday, January 21 when I started having an anxiety attack and noticed a red ring/rash around the injection site. I took benadryl but it's still there. I read that people are calling it "Covid arm." It's not itchy, just a raised red circle/square about 5 inches in diameter around the injection site. It is still very hot to the touch. Besides this and severe anxiety brought on by it, I've had no other symptoms.

Other Meds: Klonopin aspirin metformin metoprolol multivitamin

Current Illness: Migraines

ID: 0992435
Sex: F
Age: 31
State: NV

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: - Fever to 101.6F, resolved after 12 hours and ibuprofen - Body aches, resolved after 24 hours - Chills, resolved after 12 hours - Fatigue, resolved after 48 hours

Other Meds: None

Current Illness: None

ID: 0992436
Sex: F
Age: 21
State: FL

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fatigue

Other Meds:

Current Illness:

ID: 0992437
Sex: F
Age: 38
State:

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: none

Allergies: Reaction Severity Reaction Type Noted Valid Until Allergies Ceclor [Cefaclor] Hives Not Specified Allergy 8/21/2012 Celebrex [Celecoxib] Hives Not Specified Allergy 8/21/2012 Cyclobenzaprine Hives Not Specified Allergy 8/21/2012 Penicillins Hives Not Specified Allergy 8/21/2012 Zithromax [Azithromycin] Hives Not Specified Allergy 8/21/2012 environmental allergies

Symptoms: Moderna COVID-19 Vaccine mRNA (PF) 100 mcg/0.5mL 1/22/2021 Dose Site Route Manufacturer Lot # Product 1/22/2021 Given RD IM 042L20A rash at site 8cm round erythemic

Other Meds: Medications Prior Authorizations buPROPion XL (WELLBUTRIN XL) 300 MG 24 hr tablet escitalopram (LEXAPRO) 10 MG tablet omeprazole (PRILOSEC) 20 MG capsule traZODone (DESYREL) 50 MG tablet zolpidem (AMBIEN) 5 MG tablet doxycycline (MONODOX

Current Illness:

ID: 0992438
Sex: M
Age: 31
State: OH

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: Augmentin-Hives

Symptoms: Developed a sizable rash in the deltoid which started a little more than 24 hours after the injection. This only occurred after my second dose. The rash was dark red, was warm to the touch, and felt tight. No increased pain or itching. I took a antihistamine the following day and these seemed to help reduce the rash. It was gone after 4 days.

Other Meds: N/A

Current Illness: N/A

ID: 0992439
Sex: M
Age: 59
State: MO

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Started with fatigue, and then quickly went to headache, muscle pain and spasms, and chills.

Other Meds: None

Current Illness: None

ID: 0992440
Sex: F
Age: 35
State: ME

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: Nothing

Allergies: Penicillin , torodol

Symptoms: Got vaccine on 01/15/21 and on 01/16/21 around 11:30 pm I started having rapid heart rate and shortness of breath. I also had a metal taste in my mouth. Before the rapid heart rate started, j bad chills, diarrhea and slight body aches. For about four to five hours my heart rate resting would be 60's and when a spell came on it would rise up to high 90's. It did this off and on every couple of minutes for about four to five hours. It was a very scary situation to be in: I can handle the chills, bod aches and diarrhea but when it comes to my heart rate bouncing around and taking my breath away, that was scary.

Other Meds: Buprenorphine

Current Illness: None

ID: 0992441
Sex: F
Age: 94
State: GA

Vax Date: 01/13/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Client noticed on 1/27/21 that arm was itching, then noticed on 1/28/21 that arm was red and warm to touch. redness progressed to lower arm by 1/31/21. Saw MD on 2/1/21. Advised she was ok and client was ok to get 2nd dose. Client started using Benadryl and cool compress on 1/29/21 or 1/30/21.

Other Meds:

Current Illness:

ID: 0992442
Sex: F
Age: 79
State: OH

Vax Date: 01/21/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: Unknown

Symptoms: Approx 1 week after receiving injection, developed itching and "pink rash" at site of injection.

Other Meds: unknown

Current Illness: Unknown

ID: 0992443
Sex: F
Age: 20
State: NE

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: naproxen, doxycycline

Symptoms: chills with fever, body aches, headache, nausea. very uncomfortable. took Tylenol, used heating pad. went away about 36-48 hours after

Other Meds: 1 a day Vit, Allegra,

Current Illness: none

ID: 0992444
Sex: F
Age: 53
State: HI

Vax Date: 01/16/2021
Onset Date: 01/24/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: none

Allergies: seasonal, mold

Symptoms: Rash and mild hive in injection area with onset 8 days after injection, duration 5 days

Other Meds: famotidine, vitamin C, B complex, iron, multivitamin, zinc

Current Illness: none

ID: 0992445
Sex: F
Age: 74
State: CA

Vax Date: 01/31/2021
Onset Date: 02/01/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: XR of knee.

Allergies: None

Symptoms: Approximately 20 hours after vaccination had generalized weakness, new onset leading to fall. Evaluated on day of fall which is today, noted to have mild generalized weakness, headache with no other new neurological abnormality noted.

Other Meds: None

Current Illness: None

ID: 0992446
Sex: M
Age: 65
State: CA

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

Lab Data: 2/1/2021-BP, pulse, and EKG.

Allergies: Unknown

Symptoms: Patient stated he felt flush, lightheadedness, and heart palpitations after receiving the vaccine at 8:42 am. Vital signs were taken and within normal limits. EMT also called and checked patient. Patient declined to be transported to the hospital. Patient left the facility at 9:45 am on his own.

Other Meds: Unknown

Current Illness: Unknown

ID: 0992447
Sex: F
Age: 54
State: CA

Vax Date: 01/14/2021
Onset Date: 01/17/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: On 1/17/21 after 3 days, starts itching on left arm then next day few scattered rashes on both arm.. on 1/22/21 redness both lower extremity no itchiness. Then on 1/25/21 rashes appears on both upper thigh,,still with few rashes on both upper arms and lower leg..1/29/21 with rashes + itchiness. 1/31/21. Pronounced Rashes on both upper arm , both legs up to inguinal area , raised rashes at the back of both knees plus severe itchiness. Went to hospital, Dr. said it is not due to vaccine because it supposed to not last x 2 weeks for the rashes if it?s from vaccine. Dx: urticaria. Dr dismissed the fact that it all started when I got the vaccines

Other Meds: Calcium citrate, fish oil

Current Illness: None

ID: 0992448
Sex: F
Age: 37
State: WI

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: Allergies: sulfa, clindamycin

Symptoms: ?Pfizer-BioNTech COVID-19 Vaccine EUA? Received second covid vaccine on 1/21 (17 days from first injection) and experienced fever, chills, nausea and body aches the following morning. Symptoms resolved by the next morning and pt felt fine all day Sat and Sun morning. Sun after noon around 1pm pt's lips started to swell and developed hives to right arm. This progressed throughout the evening despite antihistamines. At about 4am Monday 1/25 pt awoke with eyelid swelling, persistent lip swelling and more hives and presented to the ED. Pt was given prednisone. Pt followed up with PCP on Tues 1/26 as hives persisted through prednisone. Symptoms have improved over the next few days. No breathing or airway symptoms.

Other Meds:

Current Illness:

ID: 0992449
Sex: F
Age: 65
State: GA

Vax Date: 01/18/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: The unusual symptoms started on day 10. Itching increased to extreme itching, extremely HOT, red rash, center clear. Went from top of shoulder and over next 4 days expanded to elbow crease and toward inner arm. Today, 2/1/2021 starting to receed.

Other Meds: Progesterone, estrogen Testosterone cream, claritin, glucosamine Chondroitin,d3&k2,

Current Illness: None

ID: 0992450
Sex: F
Age: 34
State: MT

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Injection Site Pain, Headache, Body ache

Other Meds:

Current Illness:

ID: 0992451
Sex: F
Age: 63
State: GA

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: HAS NOT BEEN TO MD YET. HUSBAND IS A PHYSICIAN

Allergies: NONE

Symptoms: PT COMPLAINED OF CHILLS, MUSCLE ACHES THE NEXT DAY. SATURDAY AFTER 12, HUSBAND (WHO IS A PHYSICIAN) REPORTED SHE HAD A SEIZURE. SHE NEVER LOST CONSCEINCESNESS. HE APPROXIMATES THAT IT LASTED ABOUT 15 MINUTES. SHE RECOVERED AND HAS NOT HAD A REPEAT EPISODE.

Other Meds:

Current Illness: CANCER

ID: 0992452
Sex: M
Age: 93
State: GA

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: labs done by ER, imaging all within limits I Checked patient on 1/21/21 and was found to have UTI

Allergies: none

Symptoms: pt became confused a few days after receiving the vaccination. he began having hallucinations. family took him to ER on 1/19/21

Other Meds: atorvastatin eliquis metoprolol

Current Illness: Gerd, a fib, history of prostate cancer, elevated lipids

ID: 0992453
Sex: M
Age: 27
State: MD

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: N/A

Allergies: Hives in response to erythromycin

Symptoms: 1-2 hours following vaccine administration, I experienced moderate injection site pain that limited my mobility with that arm (i.e. pain on shoulder abduction). 18 hours following vaccine administration, I experienced a fever and chills (beginning at 0530 the morning after the vaccine). For the rest of the day, I had mild myalgia, a mild to moderate headache and general malaise that resolved by the following morning (within 48 hours of vaccine administration)

Other Meds: None

Current Illness: None

ID: 0992454
Sex: F
Age: 66
State: OK

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: 24 hours post vaccine started fatigue and neck muscle tenderness. 48 hours post vaccine had Right ear pain, right eye pain, Bilateral neck lymph nodes tender, head ache, body aches 72 hours post vaccine same symptoms as the day before with extreme fatigue 96 hours post vaccine slight fatigue 120 hours post vaccine I felt well

Other Meds: Hydrea aspirin Claritin daily Multi Vit Vit D Vit C Zinc B Complex

Current Illness: Essential Thrombocythemia

ID: 0992455
Sex: F
Age: 38
State: FL

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache Body Aches Chills Fatigue Took tylenol 650mg X 1

Other Meds:

Current Illness:

ID: 0992456
Sex: F
Age: 58
State: NJ

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: none

Allergies: Floor stripper compounds

Symptoms: Metalic taste in throat Burning in chest lips swelling tongue swelling with swallow difficulty

Other Meds: Flaxseed oil primrose oi vit c calcium

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm