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: 0997742
Sex: F
Age: 69
State: NY

Vax Date: 01/28/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: At injection site in right arm, bruising developed, and redness appeared approximately 3 inches below injection site. It was a large red area about size of a small apple. The raised area was red and warm. Fever 102.9 Nausea Dizziness Bladder control dysfunction - once Persistent headache.

Other Meds:

Current Illness:

ID: 0997743
Sex: M
Age: 50
State: KS

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital: Y

Lab Data: Client was admitted eve of 2/1/21 and stints were placed on 2/2/21

Allergies: n/a

Symptoms: Client phoned with concerns of chest tightness and "just didn't feel right." Client has past med hx of a MI. Nurse was unable to establish date of previous MI

Other Meds: n/a

Current Illness: none

ID: 0997744
Sex: F
Age: 73
State: AZ

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: Ibuphrophen

Symptoms: 101 temperature Fatigue Headache General malaise

Other Meds: None

Current Illness: None

ID: 0997745
Sex: M
Age: 67
State: ME

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient experienced swelling, soreness, but the reason for report has a dime size sore on left arm that still present and sore.

Other Meds:

Current Illness: None

ID: 0997747
Sex: F
Age: 46
State: IA

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: I did not go in to be seen for this. Stayed home by myself.

Allergies: Sulfa drugs, Keflex, Furadantin

Symptoms: I received my 2nd Moderna COVID 19 vaccination EUA on 02/01/2021 around noon (12:00 pm). I did have a large lose stool around 7:00 pm and felt gassy. I began having a back ache and low grade fever around 8:30 pm, so I went to bed. I woke up around 1:00 am on 2/2/21 and had a fever of 101.0 degrees. I woke up again at 2:30 am and my fever was 103.4 degrees. I was shivering uncontrollably (teeth chattering), body aches and could not warm up. I called in sick to work on 2/2/21 and felt nauseated and dizzy if I got up to go to the bathroom. I took Tylenol, but my fever was between 100.8 and 101 degrees throughout the day despite Tylenol. After taking Tylenol at 6:00 pm on 2/2/21, I took my temperature at 8:00 pm which was 100.8 degrees and went to bed. I could only eat saltine crackers and half a bowl of soup when my fever was lower and I could get out of bed the entire day on 2/2/21, as well as sip on water throughout the day when I wasn't sleeping. I woke up this morning on 2/3/21 wet as my fever broke. I felt better as far as no fever and body aches, but still feel weak today as I haven't had much to eat. I had a small amount of yellowish loose stool this morning and lethargic but no fever.

Other Meds: Daily multivitamin, Osteobiflex for joints

Current Illness: NONE

ID: 0997749
Sex: F
Age: 29
State: OH

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: no known allergies

Symptoms: Systemic: Other- Tightness in chest, with increased blood pressure and pulse

Other Meds:

Current Illness:

ID: 0997751
Sex: F
Age: 51
State: PA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: Known Medication allergies Cipro, ibuprofen, fluoxetine, Vicodin Latex allergy as well

Symptoms: States she has had arm and hand numbness in L hand since 1st vaccine. States it started within 15 minutes of last injection. Denies any other symptoms.

Other Meds:

Current Illness:

ID: 0997753
Sex: M
Age: 52
State: NY

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: Vital signs and enhanced observation

Allergies: Penicillin's

Symptoms: Patient complained of headache 15 minutes post vaccination. He stated he has a history of migraines. After additional 15 minutes of enhanced observation headache abated,

Other Meds:

Current Illness:

ID: 0997754
Sex: F
Age: 76
State: AZ

Vax Date: 01/24/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: Erethromycin

Symptoms: Headaches, becoming more intense. I wake up every morning with a headache.

Other Meds: Dexilant, Sertraline, Labetelol, Olmesartan, Celecoxib, Ezetimibe, Oxybutinin, multivitamin, vitamin B-Complex

Current Illness: Bronchitis - December 2020

ID: 0997755
Sex: F
Age: 89
State: MA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: N/A

Allergies: Morphine Sulfate - moderate Aspirin - moderate

Symptoms: This nurse was informed patient was experiencing dizziness approx. 5 minutes after vaccination around 11:25am. The patient's vitals were taken and were stable, though systolic BP was slightly elevated and pt with hx of HTN. Patient was given water and after a few more minutes states she felt better. Pt observed for 30 minutes.

Other Meds: Escitalopram 10 mg daily Famotidine 40mg daily Losartan 50mg daily Multi-Vitamin daily Fibercone 625mg twice daily Vitamin D3 1000 daily

Current Illness: N/A

ID: 0997757
Sex: F
Age: 48
State: CA

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: Patient had and ECG and received diphenhydramine, lorazepam, and ondansetron on 2/2/21

Allergies: None

Symptoms: Patient became short of breath, had chest pain, and nausea about 20 minutes after her second COVID vaccine

Other Meds:

Current Illness:

ID: 0997758
Sex: F
Age: 30
State: WA

Vax Date: 01/30/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Urticaria, pruritus, and erythema surrounding the injection site 2 days after vaccine administration. Body aches, rigors, chills within 24 hours since administration that improved and resolved 72-96 hours after administration.

Other Meds: Naproxen

Current Illness:

ID: 0997759
Sex: F
Age: 36
State: VA

Vax Date: 01/29/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: Exactly 1 week later egg like swelling, soreness, red rash

Other Meds: I do take several herbs in a tea and tincture form

Current Illness: No

ID: 0997760
Sex: F
Age: 26
State: PA

Vax Date: 01/18/2021
Onset Date: 01/23/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: no

Allergies: Sulfa

Symptoms: Right after vaccine arm was sore, 2 hrs later I developed a headache that last a day. Arm continued to be a little sore. Then almost a week later my injection site was very itchy when I looked a it there was a big, raised, red, hot, very itchy bump where injection site was, I let it go for a couple days. within the 2 days it continued to be very itchy and hot, it went from a raised red bump to a kind of flat but raised red area that covered a lot of my upper arm around and on injection site. Didn't do anything about. The next day it was really bothering me , it looked really bad and was very itchy. I took a picture and sent it to the Physician Assistant I work with she told me to put cortisone on it, ice it and antihistamine . I did put some cortisone on it which did help a little with the itching. I noticed that the redness slowly started to fade, itch started to go away. I noticed on 2/1 that all redness and itchiness went away. My husband was doing research in the meantime and came across COVID Arm. Which 100% made sense. I consulted my family physician whom at the time did not hear of that he looked up some info and said to contact pharmacy I got the vaccine at. I spoke with pharmacy staff who said he was going to report it and wanted me to as well.

Other Meds: cyanocobalamin once a month last one before vaccine was 12/30/20

Current Illness: no

ID: 0997761
Sex: F
Age: 62
State: TX

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: "PCN REd Dye"

Symptoms: Systemic: Fainting-Medium, Systemic: Other- Increase Blood Presure

Other Meds:

Current Illness:

ID: 0997762
Sex: F
Age: 65
State: FL

Vax Date: 01/25/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Red, splotchy, sometimes itchy rash about 1-2 inches wide and 4-5 inches long that appeared about 1 week after 1st shot on upper left arm near injection site.. A small bump has since disappeared. This is day 3.

Other Meds: None

Current Illness: None

ID: 0997763
Sex: F
Age: 46
State: ME

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: N/A

Allergies: not known

Symptoms: (2/1/21)Day of vaccine -Tingling feeling in throat 5 mins after vaccine. High Blood pressue 160/00 - Benadryl was then given. 1/2 hour later slight numbness in face. Developed fever of 102 - 8 hours after the shot. Day 1 (2/2/21) fever all day, fatigue, headache, severely sore arm, body aches, tingling and numbness in face/ heart palpitations (Day 2 )2/3/21 - facial swelling on left side and rash on both cheeks. Taking benadryl every 4 hours to lessen the swelling and rash.

Other Meds: Multi vitamin, vitamin D, probiotic, fish oil

Current Illness: no illnesses

ID: 0997764
Sex: F
Age: 21
State: WV

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received covid vaccine #1 ~11 am today at facility. Within 20 minutes she noted facial flushing and now reports tiny raised blister like areas on face and spreading to neck. Denies throat swelling of dsypnea. Instructed her to take long-acting antihistamine and Pepcid and seek immediate medical attention for any respiratory distress.

Other Meds:

Current Illness:

ID: 0997765
Sex: F
Age: 42
State: NY

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: none- 2nd Covid shot was withheld. Plan to see PMD again soon.

Allergies: none

Symptoms: 3 days later chest and left neck started to itch and macular red rash. A couple days later she developed a rash on the bilateral forearm. Rash area. very itchy, blotchy and raised- skin colored.- left greater than right. PMD ( phone visit) gave Benadryl and possibly hydroxyzine ( she is not sure). OTC hydrocortisone cream- no improvement. rash is still present 3 weeks later

Other Meds: Labetalol and Synthroid

Current Illness: none

ID: 0997766
Sex: M
Age: 47
State: IL

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Approximately 14 hours after vaccination (midnight) woke up with fever and severe chills with severe uncontrollable shaking all over body for about 30 minutes.. Unable to sleep, very sore arm at injection site. Unable to lift arm more than 50%. 6am next day still had fever of 101 deg F. Administered 2 acetametaphin tablets to reduce fever. Temperature normal after an hour or so.

Other Meds: None

Current Illness: None

ID: 0997767
Sex: F
Age: 17
State: NJ

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: No Adverse event occurred, but patient in retrospective review of data was discovered to have incorrectly been given Moderna vaccine while under 18 year old as approved in the EUA. The manufacturer was contacted and they provided information about an ongoing clinical trial in patients 12-18 years old receiving the same (100mcg) 2 dose series of Moderna COVID-19 vaccine, however this age group is not currently approved. This is being reported as an error having occurred with the Moderna COVID-19 vaccine. Patient/Guardian will be contacted by a prescriber to inform the patient of the historical event and explain when a 2nd dose can be given.

Other Meds:

Current Illness:

ID: 0997769
Sex: F
Age: 64
State: KS

Vax Date: 01/27/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: 2/1/2021 went to Dr. diagnosed with shingles given Valtrex, prednisone, and lidocaine mouthwash, by 2/2/2021 sores began to dry outside of mouth. 2/3/2021 mouth and nose still raw but not shingles not spreading

Allergies: none

Symptoms: 1/30/21 blisters developed around lips, assumed was from fever the night before. took lysine didn't work to stop the growth. 1/31/2021 still taking lysine, blisters spread to inside mouth and nose. can't blow nose, swollen, open sores, can't eat, open sores on gums and roof of mouth, gums swollen.

Other Meds: Simvastatin (cholesterol) escitalopram/lexapro- anxiety Buspirone- anxiety losartan/Hctz pantoprazole Lyrica/Pregabalin

Current Illness: none

ID: 0997770
Sex: F
Age: 54
State: TX

Vax Date: 01/20/2021
Onset Date: 01/23/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: rash to arm, shoulder area, and back

Other Meds:

Current Illness:

ID: 0997771
Sex: F
Age: 60
State: GA

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: n/ a

Allergies: Not to medication that I know ? pole, Cats, Dogs, and environmental allergies

Symptoms: I do not have the information for the Vaccine was done on 02/02/2021- Presented chills, running nose, and smizing

Other Meds: Multivitamin, cholesterol Medicaid (Atorvastine ) - Fish oil pill, D vitamin

Current Illness: High Cholesterol under medication

ID: 0997772
Sex: F
Age: 61
State: NJ

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: rapid covid testing done twice

Allergies: dilautid/toradol/codeine sensitive/ blueberries

Symptoms: Had moderna vaccine 1/9/21 at 2pm. Around 3pm started getting chills/low grade fever /headache/swollen right armpit node. Called supervisor and was told i could not come in with these symptoms. I was out of work for 2 days. Went back to work. Developed a non-productive cough/severe headaches lasting all day. Even if i took tylenol. Week of 1/18/21 Still had severe headaches/ cough/ chills/ no fever/ but started having a bad sorethroat/ chills and difficulty talking and swallowing. My throat lymph nodes were swollen. couldn't even swallow water but breathing was okay. Was sent to an ENT that same day. Had nasopharynscopy. Had slight swelling inside throat.

Other Meds: metoprolol 40mg qd/benicar 40mg qd/ albuterol /nebulizer

Current Illness: Has sinus infection 1 month before vaccine

ID: 0997773
Sex: F
Age: 67
State: PA

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: Healthcare center saw PCP 2/2/21 11 AM for symptoms.

Allergies: None

Symptoms: headache, weakness, body aches, high blood pressure

Other Meds: Simvastatin 10 mg

Current Illness: None

ID: 0997774
Sex: F
Age: 34
State: AZ

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None.

Allergies: None.

Symptoms: 102 Degree fever started 6 hours after injection. Fever continued for 36 hours, extreme pain in arm and exhaustion for about 5 days. Swollen arm at site.

Other Meds: None.

Current Illness: None.

ID: 0997775
Sex: U
Age: 63
State: FL

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: I did not go to a dr. But had fever of 101 the night of the vaccine with chills and body aches. Second day and night I had low grade fever of 99 to 100. Third day. No fever but injection site redness and very sore.

Allergies: Sulfur drug allergy

Symptoms: Fever, chills night after shot was received. Also next day and into second night. Fever broke during second night. Injection site red and sore third day after shot.

Other Meds: General vitamins only

Current Illness: None

ID: 0997776
Sex: F
Age: 45
State: IN

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: 24 hours at the shot, I got up and went to the bathroom, took my dog out, came inside, and was so nauseated, and weak, I passed out in my kitchen, for several minutes, crawled to my bed. Had a fever 101 all day, very fatigued and weak, for almost 36 hours

Other Meds: Lisinopril 5mg, zyrtec 10mg

Current Illness: N/A

ID: 0997777
Sex: F
Age: 65
State: MT

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Injection site pain & headache

Other Meds:

Current Illness:

ID: 0997778
Sex: F
Age: 41
State: CA

Vax Date: 01/24/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: Minocycline

Symptoms: Injection site became red, warm, itchy, and swollen on 02/02 at night. On 02/03 the redness and puffiness went down but is still warm and slightly tender.

Other Meds: Multivitamins Vitamin D

Current Illness: None

ID: 0997779
Sex: F
Age: 40
State: WV

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: EE states she received Covid vaccine on Wednesday 1/27/21. She had to call off work on Thursday (1/28/21) due to headache, general body aches and nausea. Came back to work today (1/29/21) and came to EH with c/o uppder body aches, intermittent headaches and a rash to back, chest and bilateral underarms. EE afebrile at this time. EE medicated with Benadryl PO, as per standing order.

Other Meds:

Current Illness:

ID: 0997780
Sex: F
Age: 70
State: NC

Vax Date: 01/30/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: No none allergies

Symptoms: The evening of Feb 2 at 10 pm I woke up with rash/ hives fully covering both hands and arms, my entire back, stomach and underneath my breast area. I also had some fluid building under my left lower. By this morning, 2/3, rash/hives had disappeared in all the fore mentioned areas and now was on both of my thighs and back of my hands . I was feeling itchy earlier that day and hives had broken out on the left side of my next but within an hour or so disappeared, I am currently experiencing a lot of itchiness. When I checked by body an hour ago, the rash/hives are again beginning to reappear. These are my only symptoms.

Other Meds: I currently take Olmesartan 5 mg but did not take on day of vaccination. Resumed medication the following day

Current Illness: none

ID: 0997781
Sex: F
Age: 70
State: TX

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None.

Allergies: None.

Symptoms: Dr. informed her to take the vaccine, had COVID in October . Arm was sore around 4:00 PM, started running fever, took Tylenol and it was 102. Had body aches, headaches, weakness in legs. Felt worse than having the COVID. Went to bed, took Advil, Tylenol at around 9:00 AM went to work, left work at 2:00 and could barely drive. Came in the house and she still had fever. She had chills last night with shaking chills, tired and her arm is extremely sore. Still running mild temp. Said she would not take the 2nd vaccine.

Other Meds: Levothyroxine.

Current Illness: None.

ID: 0997782
Sex: F
Age: 36
State: GA

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: Latex

Symptoms: My Arm was swollen and the injection site.. Swollen Lymph Nodes . Low grade fever

Other Meds: None

Current Illness: None

Date Died: 02/03/2021

ID: 0997783
Sex: M
Age: 65
State: OH

Vax Date: 02/01/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: none known

Symptoms: patient passed away subsequent to receiving dose on 02/01. Staff does not have reason to believe vaccine was involved.

Other Meds: unknown

Current Illness: unknown

ID: 0997784
Sex: F
Age: 33
State: MA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 1/27 afternoon -Foggy, forgot what she was doing . 1/27 evening -full body shaking. Felt she could not grasp with right hand. Right eye pain, throbbing.1/29 Loose stool. 1/30 Loose stool , nausea,shaking, lethargy. 1/31 - felt better. Right hand grasp still felt off.

Other Meds: None

Current Illness: None

ID: 0997785
Sex: F
Age: 59
State: MD

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: 11am- vital signs: b/p-136/86 pulse-103 pulse ox-96 11:15 vital signs: b/p-105/73 pulse-93

Allergies: none known

Symptoms: pt c/o feeling lightheaded, not feeling good. assessed pt medical history, symptoms, took vital signs, offered water, juice,snack, stayed with pt and gave reassurrance; pt reported she was feeling better about 25 min later and went home.

Other Meds: Orinicia 125mg qweek Hydromorphone 4mg qd Trazadone 150mg qd

Current Illness: rhumatoid arthritis

ID: 0997786
Sex: F
Age: 39
State: CA

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: woke up with moderate temperature of 101.3. Body aches. chills not able move too much. Temperature today is 100.3

Other Meds:

Current Illness:

ID: 0997787
Sex: F
Age: 70
State: WA

Vax Date: 01/25/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: No

Allergies: No

Symptoms: Week after vaccine became hot, red,and itchy

Other Meds: Novolin,letrozole,metformin,metropolis,simvastatin,lisinopril,d3 vitamin

Current Illness: No

ID: 0997788
Sex: F
Age: 75
State: MA

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: none

Allergies: spicy foods

Symptoms: Began to experience nausea and diarrhea 6 hours after the vaccination on 2/1/2021. Nausea and diarrhea continued the following day, 2/2/2021, along with gas and bloating. . On 2/3/2021 the nausea stopped but the diarrhea has continued along with gas and GI discomfort.

Other Meds: Probiotics Pulmicort Elderberry Gummies with vitamin C and Zinc

Current Illness: none

ID: 0997789
Sex: F
Age: 36
State: MT

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Body aches, Headache, & Chills

Other Meds:

Current Illness:

ID: 0997790
Sex: M
Age:
State: AZ

Vax Date:
Onset Date:
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0997791
Sex: F
Age: 57
State: NJ

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: medical exam in urgent care

Allergies: asprin, daypro,ibuprofen

Symptoms: immediate pain in the opposite left arm, as well as neck pain on the right side from the chin to shoulder, was seen in urgent care on 1/30/21

Other Meds: mvi, valsartan, tylenol, hctz,,amlodipine, previcid

Current Illness: none

ID: 0997793
Sex: F
Age: 53
State: IN

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: woke up with chills, slight headache & body acheness lasting 24 hrs. took ibuprofen as needed. left arm where injection was given was really sore the first 24-48 hrs.

Other Meds: Gabapentin,Metformin,Famotidine,Omeprazole,Losartan Potassium,Glimepiride,Rosuvastatin,Neuravite,Fish Oil,Calcium,D3, & C

Current Illness: pinched nerve C6

ID: 0997794
Sex: F
Age: 69
State: TX

Vax Date: 01/16/2021
Onset Date: 01/23/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: I consulted my primary care physician, and my dermatologist, by phone on January 25, 2021. Both said my symptoms were a normal localized reaction to the COVID-19 vaccine. Given my history and what they were seeing in their clinical practice, I was advised to take the second shot, as I was not considered at risk for a severe allergic reaction. (Note: Had I known this, I would not have submitted my previous report. I would recommend that others be educated about the possibility of a localized reaction so they know what to expect.)

Allergies: Codine and Morphine - mild rash

Symptoms: Warm, red, itchy, localized rash approximately 3-4 inches in diameter one week after vaccination.

Other Meds: I take the following on a daily basis: PremPro, Doxycycline 75 mg, Rainbow Women?s One Multivitamin, Viviscal, Osteo Bi-flex, Vitamin D3 (5,00 iu) with A and K, L-lysine (2,000 mg), Docusate Sodium (100 mg), Flaxseed oil caps (2,000 mg), Lu

Current Illness: None

ID: 0997795
Sex: F
Age: 28
State: CA

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: Chills, Fever , intense nausea, head ache , general. pain over whole body. starting with a head ache around 9 pm, took ibuprofen . intense nausea following around 11 pm. Chills and fever started around 7 am tool Tylenol and more ibuprofen

Other Meds: n/a

Current Illness: n/a

ID: 0997796
Sex: F
Age: 89
State: IN

Vax Date: 01/14/2021
Onset Date: 01/21/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: URGENT CARE DIAGNOSED AS CELLUTLITIS OF LEFT UPPER ARM

Allergies: NKDA

Symptoms: WARM, RED RASH AT THE SITE OF INJECTION

Other Meds: CENTRUM SILVER, PRESERVISION, CALCIUM

Current Illness: NONE

ID: 0997797
Sex: M
Age: 49
State: CO

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Given Pfizer for second dose, after receiving Moderna for 1st dose COVID-19 vaccine.

Other Meds: N/A

Current Illness: N/A

ID: 0997798
Sex: M
Age: 80
State:

Vax Date: 01/31/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: COPD exacerbation; SOB (shortness of breath); Shortness of breath; Suspected COVID-19 virus infection

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm