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: 0995563
Sex: F
Age: 85
State: TX

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

Lab Data: Blood glucose - 228 directly after episode BMP pending

Allergies: NKDA

Symptoms: Seizure - onset approximately 1 hour after vaccination administration. No medical history of seizures. Duration estimated 3 min - myoclonic head jerking, eyes rolled back, cyanosis

Other Meds: Lisinopril Metoprolol oxyCODONE Melatonin Famotidine Sertraline amLODIPine Levothyroxine Lantus Acetaminophen Cholecalciferol Lactobacillus Sennosides-Docusate

Current Illness: NA

ID: 0995564
Sex: F
Age: 21
State: CA

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

Lab Data:

Allergies: None

Symptoms: Burning and stinging in head as soon as I woke up the day after getting the vaccine. Feels like my brain is being pricked by needles. It?s been 4 hours and hasn?t stopped yet.

Other Meds: Gabapentin and Sprintec

Current Illness: None

ID: 0995565
Sex: F
Age: 35
State: NC

Vax Date: 01/13/2021
Onset Date: 01/30/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Swollen lymph nodes to back of head, and neck x 5

Other Meds: None

Current Illness: None

ID: 0995566
Sex: F
Age: 65
State: GA

Vax Date: 01/18/2021
Onset Date: 01/21/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient called us on 1/30/21, and said she may have had a reaction to Moderna COVID-19 shot on 1/18/21. She said after ~3 days (1/21/21), her right arm become hot, red, swollen down to above her elbow. She went to Urgent Caremon 1/30/21, and they told her it appeared to be cellulitis (staph infection) and would treat it accordingly. She got an antibiotic shot and a steroid shot and was to pick up some other meds at her other pharmacy.

Other Meds:

Current Illness:

ID: 0995567
Sex: F
Age: 23
State: CO

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: n/a

Allergies:

Symptoms: Patient developed swelling of previously injected dermal filler in her upper lip. Swelling developed the morning of 1/29. It was almost completely resolved by 1/30. Patient was treated with oral antihistamines (Benadryl and Xyzal). She had Vobella injected into her upper lip in Februrary 2020 and Restylane Kysse injected into both upper and lower lip in September 2020. Since swelling was only noted on the upper lip, I suspect reaction to the Vobella product.

Other Meds: Oracea 40mg daily, Sertraline 100mg daily

Current Illness:

ID: 0995568
Sex: F
Age: 58
State: MA

Vax Date: 12/26/2020
Onset Date: 01/02/2021
Rec V Date: 02/02/2021
Hospital: Y

Lab Data:

Allergies: No

Symptoms: The injection site got red and swollen, very itchy lasting 48 hrs.

Other Meds: Vits, Omeprazole

Current Illness: No

ID: 0995569
Sex: M
Age: 5
State: OH

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

Lab Data: none

Allergies: no known allergies

Symptoms: Given quadracel and proquad as part of 5 year well visit. (1st time for proquad, had MMR and Varicella) Within a few minutes, patient developed an urticarial rash on his left arm and spreading to his chest. No trouble breathing or wheezing. No facial or tongue swelling. Was given Benadryl and monitored in the office for 30 minutes.

Other Meds: None

Current Illness: No known illnesses in the month prior

ID: 0995570
Sex: F
Age: 52
State: CO

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

Lab Data:

Allergies:

Symptoms: "left arm increased redness and pain and 4 inches in circumferernce, with soreness and pain with movement or touch"

Other Meds:

Current Illness:

ID: 0995571
Sex: F
Age: 47
State:

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

Lab Data:

Allergies:

Symptoms: 1225- Patient reported nausea, visual spots, and fatigue after receiving second dose of vaccine to the Nurse. She also reported that she had the same symptoms after receiving the first Pfizer vaccine. Vitals were taking and patient was monitored. Patient later starting vomiting in clinic. EMS was called and patient left via ambulance. Methodist ED contacted prior to the patient arriving.

Other Meds:

Current Illness:

ID: 0995572
Sex: F
Age: 69
State: WA

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

Lab Data: none

Allergies: none

Symptoms: 8 days after injection I woke with a very itchy, red and swollen arm where the injection had been given

Other Meds: lysine celebrex doxcycline

Current Illness: none

ID: 0995573
Sex: F
Age: 24
State: NY

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

Lab Data: I have no known laboratory abnormalities to date.

Allergies: none

Symptoms: I felt a little fatigued all day after the shot, but nothing more. As soon as 10pm (02/01/2021) came around I had a pounding headache. The most intense headache of my life. I also got an intense stomachache and it felt like I had an ulcer. That progressed to a low grade fever, chills, myalgia, and arthralgia. The myalgia and arthralgia were so intense that moving to stretch my legs was incredibly painful. I was also very nauseous. The intensity of the arthralgia and myalgia subsided around 8am on 02/01/2021. All my other symptoms continued until around 11am on 2/2/2021. I still have a headache and some muscle pain, but they are manageable.

Other Meds: Natures Made Vitamins before vaccination. When symptoms started I got a terrible stomachache so I took pepto, and for my pounding headache so I took 2 tablets of 650mg every 4-6 hours.

Current Illness: none

ID: 0995574
Sex: F
Age: 75
State: IN

Vax Date: 01/20/2021
Onset Date: 01/28/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: None. I did an internet search and read where others had a similar reaction. I stated not to be concerned, that there were similar reactions during the trial.

Allergies: None

Symptoms: Left arm, near injection site started to itch. About eight days after vaccination. The area got very red and swollen. The area was approximately 3 inches by 5 inches. It was not specifically painful, more uncomfortable and annoying it continued to be very itchy! The redness,swelling and itchin began to subside after about 4 days and basically completely gone after a week from its first inception.

Other Meds: Synthroid 100

Current Illness: None

ID: 0995575
Sex: F
Age: 76
State: GA

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

Lab Data:

Allergies: codeine, latex, gelatin, penicillin

Symptoms: Localized itching, erythema, swelling at site of injection and below (upper arm only), approx 12 days after vaccine. No other known source

Other Meds: Tradjenta, bumex, propanolol, levothyroxine, metformin, pravastatin, zyrtec,

Current Illness: none

ID: 0995576
Sex: F
Age: 64
State: CA

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

Lab Data: None

Allergies: Sulfa

Symptoms: Headache and fatigue. Difficulty sleeping Took naproxen?s for headache. Gone but still fatigued

Other Meds: Levoxythyrine

Current Illness: None

ID: 0995577
Sex: F
Age: 45
State: CA

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

Lab Data: None

Allergies: none

Symptoms: Excruciating headache one hour after receiving vaccine. Headache is the worse I have ever had in my life. The pain was focused on both sides of my head. After 15 hours, I took Naproxen. It did not help. I stayed in bed because I didn't want to move my head. Headache resolved after 22 hours. I had no other symptoms!

Other Meds: Wellbutrin, daily vitamin

Current Illness: None

ID: 0995578
Sex: F
Age: 79
State: CA

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

Lab Data:

Allergies:

Symptoms: Vaccination date: 1/30/21. Nausea, vomiting & abdominal pain started 1/31/21, day after vaccination. Presented to emergency room 2/1/21. found to be hypoxic 85% (pt. had not been on supplemental 02). chest x-ray showed some patchy opacities likely COVID-19 induced fibrosis (per MD progress notes)

Other Meds: insulin, allopurinol, amiodarone, Eliquis, diltiazem,, Neurontin, metoprolol, Keppra, protonix, ambien, senokot,

Current Illness: COVID illness requiring hospitalization 12/22/21 - 1/1/21, acute kidney failure, acute hypoxic respiratory failure secondary to COVID 19 pneumonia

ID: 0995579
Sex: M
Age: 51
State: OH

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

Lab Data: None

Allergies: Relafen

Symptoms: Fever to 105.6 (infrared device), severe myalgias and arthralgias, chills, Headaches, dysuria and testicular pain. Improvement with Ibuprofen and acetaminophen.

Other Meds: Maxalt prn

Current Illness: Migraine headaches on occasion

ID: 0995580
Sex: M
Age: 39
State: TX

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

Lab Data:

Allergies: Latex

Symptoms: Resident developed uncontrolled coughing and vomiting. sent to ER resident tested positive for COVID-19 however resident originally tested positive on 12/04/20

Other Meds: famotidine, flonase, multivitamin, lactobacillus, desmopressin, guaifenesin, os-cal +d3, Baclofen, loratadine, Pheno liquid 1.4%. acetaminophen, Brimonidine, spironolactone, polyethylene glycol, diclofenac gel, Metoprolol tartrate, lantopro

Current Illness: Covid-19

ID: 0995581
Sex: F
Age: 92
State: FL

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: On Saturday the 30th well I started off I didn't feel good. I noticed that I had a temperature of around 99.6 and I normally don't get a fever. As it got later I aching, a bad cough and diarrhea. During the night I temperature of around 101. The next morning I called my son and he came over and he called an urgent care who advised him that is was probably a reaction to the vaccine and to give me Tylenol. I got better and my temperature went down yesterday (Monday). I still didn't feel good on Monday and slept all day. I still feel a little washed out today.

Other Meds: Amlodipine 5mg twice a day , Losartan 100 MG once a day, Systonlic 5 MG (started about 2 weeks before receiving the vaccine), Vitamin D 20000 MG twice a week, Pramipexole 1 MG once a day, PreserVision AREDs 2 twice a week, Hydrocodone twic

Current Illness: Pneumonia in December

ID: 0995582
Sex: F
Age: 68
State: GA

Vax Date: 01/28/2021
Onset Date: 01/31/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies: CORTISONE, IBUPROFEN

Symptoms: RECIEVED VACCINE ON THURSDAY, ON SUNDAY PATIENT REPORTS THAT SHE STARTED HAVING SHOOTING PAIN FROM LEFT THIGHT DOWN TO FEET, ON SCALE OF 1-10 PATIENT RATES PAIN AT 8. SHE REPORTS THAT PAIN IS ABOUT THE SAME TODAY

Other Meds: HCTZ 25 MG, LOSARTIN 25 MG, METOPROLOL 50MG, HYDROCODONE, MULT

Current Illness:

ID: 0995583
Sex: F
Age: 33
State:

Vax Date: 01/20/2021
Onset Date: 01/26/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 3 days after taking 2nd dose of covid vaccine developed chills, headache, nausea, vomiting, bodyache, joint swelling, rash and itching all over body.

Other Meds:

Current Illness:

ID: 0995584
Sex: F
Age: 33
State: MA

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

Lab Data:

Allergies: penicillin

Symptoms: on 2/1/21 had extreme body aches, headache, fatigue, around 1:30 pm body chills and fever developed, i went to sleep and at 8 pm woke up with fever 101.2,

Other Meds: famotidine and lexapro

Current Illness: GI bug about two weeks before getting covid vaccine

ID: 0995585
Sex: F
Age: 36
State: NC

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

Lab Data:

Allergies: codeine, sulfa

Symptoms: Throat closing in feeling ~24 hours after vaccine, lasting ~48 hours. Antihistamine needed.

Other Meds: none

Current Illness: none

ID: 0995586
Sex: F
Age: 27
State: NJ

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

Lab Data:

Allergies:

Symptoms: After first dose; chills, aches, sore throat, congestion, fatigue, loss of smell and taste

Other Meds: Lexapro Ivermectin cream

Current Illness: COVID Positive January 9th after first dose

ID: 0995587
Sex: F
Age: 68
State: FL

Vax Date: 01/08/2021
Onset Date: 01/17/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Nine days after the injection was received an area 2 inches wide and 3 inches long around the injection site became raised, red, hard and very itchy. Patient used Benadryl to treat it. 2 days later the raised effect and hardness had gone away, however the redness spread over most of the shoulder area, and 2 days after that had spread halfway down her upper arm. The itch remained. Patient went to a previously scheduled appointment with our primary care physician who said that she had had a DAR (delayed anaphylactic reaction) and should not get the second dose of the vaccine.

Other Meds: Levoxyl, Diazepam, Sertraline, Carvedilol, Simvastatin

Current Illness: None

ID: 0995588
Sex: M
Age: 17
State: TX

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

Lab Data: none

Allergies: nkda, nkfa

Symptoms: under age administration.

Other Meds: unknown

Current Illness: none

ID: 0995589
Sex: F
Age: 48
State: NY

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

Lab Data:

Allergies:

Symptoms: Red, raised rash on left arm near injection site. Warm and sensitive to touch.

Other Meds:

Current Illness:

ID: 0995590
Sex: F
Age: 52
State: MD

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

Lab Data: None thus far

Allergies: Amoxicillin

Symptoms: Woke up this morning with a large red circle around the injection site approximately the size of a tea cup saucer with warmth and slight amount of swelling noted. Nurse advising to contact PCP for further treatment.

Other Meds: Synthroid 50 mcg daily

Current Illness: None

ID: 0995591
Sex: F
Age: 95
State: AL

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

Lab Data:

Allergies:

Symptoms: patient developed A-fib after receiving Moderna Vaccine

Other Meds:

Current Illness:

ID: 0995592
Sex: F
Age: 40
State: NY

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: none

Allergies: None, Nickel sensitivity to jewelry

Symptoms: Pt states that her left deltoid, site of injection, began to swell "the size of a softball", was red and itchy, one week after vaccine administration on 1/25/2021; Pt states that she also began noticing "red-raised, blotchy spots" on her bilateral upper legs, torso and chest, bilateral arms, lower back that were itchy; both lasted about one week and started to resolve; Pt states she spoke with her PCP, and took Claritin, which she stated helped with the itching. Pt called to report this side effect today, 2/2/21, and states all side effects resolved, excepted for "some faded blotches" on her body.

Other Meds: Vitamin D 5000IU

Current Illness: none

ID: 0995593
Sex: F
Age: 54
State: CT

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

Lab Data: None needed I took Benadryl

Allergies: None

Symptoms: After 15 min had no reaction 25 min later my upper lip swelled slightly and had numbness feeling around my mouth

Other Meds: None

Current Illness: No

ID: 0995594
Sex: F
Age: 23
State: UT

Vax Date: 01/11/2021
Onset Date: 01/20/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Sudden swelling and redness around injection site. Initial swelling/redness had subsided significantly, then I woke up to a very painful swelling/redness. The swelling/redness was approximately 4 inches wide & 4 inches tall - expanding from the injection site. This lasted from Jan. 20th-Jan. 24th then subsided suddenly. As of Jan. 25th, the swelling/redness is gone. I did not seek treatment for this.

Other Meds: None

Current Illness: None

ID: 0995595
Sex: F
Age: 71
State: FL

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

Lab Data: None as of today.

Allergies: Epinephrine

Symptoms: Burning sensation in abdomen & upper track lasted for approx 3 hours. Bruise (black & blue) on the injection site (right arm).

Other Meds: None

Current Illness: Gerd, IBS, herniated discs

ID: 0995596
Sex: F
Age: 65
State: TX

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

Lab Data:

Allergies: ibuprofen, imitrex, sulfa

Symptoms: My arm was severely sore for two days

Other Meds:

Current Illness: receiving from an ileostomy

ID: 0995597
Sex: F
Age: 84
State: AK

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

Lab Data: None-she did not seek any medical attention. Tried to call her PCP, but they did not call her back.

Allergies: Unknown

Symptoms: Per husband: "Wife developed severe chicken pox all over body. Wife got shock- for two days, she had sore shoulder, on the 3rd/4th day she starting developing rash on site where she got the shot. Then rash spread to her other side and now rash has spread all over the body. Thought it would go away in a day or two, but hasn't. She has had the rash for 8 days." Further investigation on interview: It started approximately 3-4 hours after vaccination. First a sore arm then it felt itchy. She then noticed red raised spots. This rash has resolved slowly but "almost back to normal" as of Feb. 1. She still wants to get her second dose on Feb. 2 as scheduled.

Other Meds: Unknown

Current Illness: Unknown

ID: 0995598
Sex: M
Age: 31
State: WA

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

Lab Data:

Allergies: Only external environmental allergies (pollen, animal dander, etc)

Symptoms: About one hour after injection developed left facial numbness while I was on my way home. Not full numbness, but felling as if coming out of a novocaine shot. Left side chin, lips, cheek extending up to ear/eye. No sign of swelling, droop, redness. Has lasted 2 weeks + and has improved over time but not fully resolved. Now is more an occasional numb feeling mostly in L cheek/lips/corner of L eye. I grind my teeth during stressful times and grind more on my left side so was thinking it could be related to that. Sought medical attention from my doctor who felt said most likely not Bell's palsy related.

Other Meds: On allegra, flonase, and daily multivitamin.

Current Illness:

ID: 0995599
Sex: F
Age: 39
State: CA

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

Lab Data: None

Allergies: Sulfa, strattera, latex

Symptoms: Itchy/red rash across my chest, neck, and arms and headache.

Other Meds: Ritilin, metoprolol, zyrtec, singular, lyrica.

Current Illness: None

ID: 0995600
Sex: F
Age: 67
State: MA

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: During the evening of the day that the vaccine was given, patient had pain in right flank. Pain lessened the next day. That second night at about 3:00 AM, she was awakened by severe pain in the same area. The next day, she went to her physician. By that time, she had a rash in the right flank area. Her physician diagnosed shingles and prescribed Valtrex. The Valtrex , along with ice, subdued her pain. and after 2 weeks, her symptoms resolved.

Other Meds:

Current Illness:

ID: 0995602
Sex: F
Age: 86
State: MI

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

Lab Data: MRI has been ordered and not yet been completed.

Allergies: Codeine sulfate

Symptoms: Severe and prolonged injection site pain in left deltoid, affecting range of motion. Still persists as of 2/2/2021.

Other Meds: Multivitamin, Tylenol, amlodipine, hydroxyzine, levothyroxine, memantine

Current Illness: N/A

ID: 0995603
Sex: F
Age: 60
State: OR

Vax Date: 01/19/2021
Onset Date: 01/24/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Late (11 pm ish) on 1/24/21 severe diarrhea started, lasted through early (8 am ish) on 1/26/21. On 1/25/21 I also had fever (highest was 101.4), chills, weakness, and aching bones. I also had a terrible headache that started 1/20 and lasted until 1/ 28 or 1/29. There was the normal injection site soreness on the evening of the first day.

Other Meds: 3 mg Lose Dose Naltrexone, Vit D3 4000 IU, vit k-2, zinc 15 mg, vit B-50, vit E 400 IU, NAC 600mg, fish oils, probiotics.

Current Illness: None

ID: 0995604
Sex: F
Age: 23
State: CO

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: n/a

Allergies:

Symptoms: Patient developed swelling of previously injected dermal filler in her upper lip am of 1/29. This was almost completely resolved by 1/30. Patient was treated with oral antihistamines (Benadryl, Xyzal). Patient had Vobella injected into upper lip in Feb 2020 and Restylane Kysse in both upper and lower lip in September 2020. Since the swelling was confined to the upper lip, I suspect reaction to the Vobella filler.

Other Meds: Oracea 40mg, sertraline 100mg

Current Illness:

ID: 0995605
Sex: F
Age: 40
State: FL

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: N/A

Allergies: Latex

Symptoms: I received the 2nd vaccine a week ago (01/26/2021), and I had a rash on my arm which cause swelling, pain in the area and itchy it last for 3 days.

Other Meds: Benicar 25mg, Synthroid 25mg.

Current Illness:

ID: 0995606
Sex: F
Age: 94
State: IL

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies: FDB Specific Allergen Group - Sulfa (Sulfonamide Antibiotics)

Symptoms: Nausea

Other Meds: Eliquis 5 mg tablet, calcium carbonate 500 mg calcium (1,250 mg) chewable tablet, citalopram 10 mg tablet, cyanocobalamin (vit B-12) 1,000 mcg/mL injection solution, digoxin 125 mcg (0.125 mg) tablet, furosemide 40 mg tablet, polyethylene g

Current Illness:

ID: 0995607
Sex: F
Age: 47
State: AZ

Vax Date: 09/21/2020
Onset Date: 09/21/2020
Rec V Date: 02/02/2021
Hospital:

Lab Data: PRIMARY CARE Provider: DO Date: 1/26/2021 Time: 3:20 PM MST Outpatient Medical Imaging Ultrasund ordered by: DO Date: 2/1/2021 Time: 3:30 PM MST As of 2/2/2021 - waiting on results from doctor and next steps that will need to be taken.

Allergies: Penicillin, Alleve

Symptoms: Long lasting pain in injection site starting several hours after shot and progressively has gotten worse over the last 4 months causing limited mobility of left arm.

Other Meds: Bupropion, Fluoxetine, Trazodone, Cetirizine

Current Illness: N/A

ID: 0995608
Sex: F
Age: 32
State: CA

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

Lab Data:

Allergies:

Symptoms: below injection site is a 3 inch wide welt, wrapped around inner arm itchy red hot

Other Meds:

Current Illness:

ID: 0995609
Sex: F
Age: 52
State: WA

Vax Date: 01/19/2021
Onset Date: 01/22/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: 1/26 CBC with Diff WBC 12.6;RBC 5.55;Hgb 16.9; Hct 49.6; Neutr 57%;Lymph 19%;Mono 10%; Eosin 14%; Bas 0%; Abs Neut 7.2 K/microliter; Abs lymp 2.4; Abs Mono 1.3; Abs Eosi2.6%, Abs Bas ).0% K = 3.0 1/29 CBC with Diff WBC 16.4; RBC 4.6; Hgb 13.7; Hct 41.4; Neut 49%; Lymph 28%; Mono 7%; Eos 16%;Baso 1%; Abs Neut 8.0; Abs Lymph 4.6; Abs Mono 1.2; Abs Eos 2.6; Abs Bas 0.1 K = 2.8

Allergies: Vicodan, Levaquin, Macrobid, Reglan

Symptoms: Hypereosinophilia with fever and enteritis. Anorexia presented within 24-48 hours of injection, first episode of diarrhea 48-72 hours, becoming severe and requiring rehydration and potassium replacement at walk-in clinic on 1/26/21. Labs drawn at visit showed hypereosinophilia (14%, 1700). Patient started 3 day course of 30 mg prednisone daily; Lab redraw on 1/29 showed eosinophils at 16%, 2600, fever (intermittent to 102 F) and diarrhea continuing. No other household members sick. After telemedicine appoitment with Allergist, patient started on methylprednisolone dose pack, diarrhea and fever resolving.

Other Meds: Creon Pancreatic Enzymes

Current Illness: None

ID: 0995610
Sex: F
Age: 75
State: TX

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

Lab Data: none

Allergies: Amoxicillin Macrobid, Augmentin Sulfa Codeine Levaquin Pyridium Cipro Pseudoephedrine

Symptoms: Angioedema type of reaction: Itching of both eyes. Itching , redness, and slight swelling of cheeks, elbows, knees, knuckles of both hands about 48 hours post vaccine. I have had this type of reaction previously - unknown trigger, not related to a vaccine. I took one benadryl dose, and called my PCP office. The nurse took the info, and advised me to take another benadryl if needed, and to call her back in 1 hr. I called her back reporting that the reaction had subsided. She game the same advise and told to make sure to call back if needed.

Other Meds: Cefpodoxime 100mg for acute UTI

Current Illness: UTI

ID: 0995611
Sex: F
Age: 36
State: AZ

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

Lab Data: none

Allergies: egg whites, ginger, environmental (grasses, flowers, trees), laundry detergents and fabric softeners with scents,

Symptoms: I have tiny little bumps all over my face, chest, hands and arms. I am not sure that is is related by the vaccine is the only thing different I have done/had over the last 10 days.

Other Meds: celexa, isobloom, stool softener, probiotic, digestive enzymes, calcium, trazodone, tylenol, aleve, excedrin, benadryl

Current Illness: Sinus infection, ear infection, asthma problems

ID: 0995612
Sex: F
Age: 73
State: VI

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

Lab Data: NONE

Allergies: FOOD: MANGOS MEDS: SULFUR

Symptoms: SYMPTOMS BEGAN 1/29/21, FEVER 102, CHILLS, JOINT PAINS, RED RASH TO LEFT DELTOID AREA TO LEFT ELBOW WITH HARD SWELLING TO INJECTION SITE PER PATIENT. PT CALLED HER PRIMARY PROVIDER. NOT SEEN IN PER BY PROVIDER. PT HAVE BEEN TAKING TYLENOL / SPOKE WITH PT ON 2/2/21 , SHE INDICATED THAT SHE IS DOING MUCH BETTER. RASH, SWELLING AND FEVER RESOLVED.

Other Meds: TYLENOL

Current Illness: UNKNOWN

ID: 0995613
Sex: F
Age: 41
State: IN

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

Lab Data:

Allergies: excedrin and hydrocodone

Symptoms: Patient had a covid vaccine at 9:25am. Please note the patient has no history of anaphylaxis, panic attacks, or heart issues. She started saying her lips were feeling numb and kind of strange and her back hurting. 50mg of benadryl was given at 940am. Patient continued to decline. She complained of chills, chest pain, and n/v. She was visibly shaking. BP was 168/137 HR 99 and oxygen 96%. 911 was called at 9:45am. AMR arrived at 9:55am and took over. Patient was taken to ER.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm