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: 0998192
Sex: F
Age: 65
State: FL

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

Lab Data:

Allergies:

Symptoms: Within 15-minutes of vaccination, patient reported feeling lightheaded. EMS managed patient on-site.

Other Meds:

Current Illness:

ID: 0998193
Sex: F
Age: 72
State: CA

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

Lab Data: None- she is recovering

Allergies: NKA

Symptoms: 8 days post vaccine patient reports swelling to deltoid along w/ welts and redness. Day 9 swelling improved, redness persisting. Not problematic otherwise. Presentation consistent with "COVID arm" like presentation via virtual visit

Other Meds: Dauvee, Premarin oral, & rosuvastatin

Current Illness: None

ID: 0998194
Sex: M
Age: 74
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient was given 2 different manufacturers of Covid vaccine only 12 days apart. Patient was given Moderna Covid vaccine (mRNA-1273) on 1/20/2021. Mistakenly given Pfizer vaccine (mRNA BNT-162b2) on 02/1/2021. No actual adverse effects observed yet

Other Meds: Amlodipine, aspirin, atorvastatin, cholecalciferol, dulaglutide, furosemide, glucose, insulin regular, linagliptin, omeprazole.

Current Illness:

ID: 0998195
Sex: F
Age: 67
State: CA

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

Lab Data: none

Allergies: ampicillin, latex

Symptoms: Beginning 4 hours after administration of 2nd dose: headache, malaise, fatigue By 10 hours after dose: worsening headache, low grade fever, body pain By 24 hours after dose: above symptoms continued, but now had bone pain By 48 hours after 2nd dose was "back to normal"

Other Meds: Mirapex, estradiol/norithendrone, prn lorazepam, prn Fioricet

Current Illness: Lyme disease

ID: 0998196
Sex: F
Age: 61
State: GA

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: Ceclor

Symptoms: 7 days after injection,on 01/28, an inflamed looking, slightly raised rash area developed with itching right on the injection site. By the next day a much larger area developed below that at about 3x3 in. Now, on 02/04/2021, the area has in leased in size to about 4x3 and is still itchy. The initial site enlarged also. It is not a big problem but I thought I?d report it. I?ve read it should disappear within about 7 days. I?m past 7 days now.

Other Meds: Paxil, Tenormin, Prilosec, Synthroid

Current Illness: None

ID: 0998197
Sex: F
Age: 46
State: KY

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

Lab Data: CBC - wnl except increase in neutrophils, decrease lymphocytes CMP/BMP/TSH/Mag - all normal MRI - no acute findings.

Allergies: Penicllins

Symptoms: Pt. had tinnitus just prior to vaccine but worsened after vaccination. 1st 48 hours had typical aches/pains/sweats/chills/headache/fatigue. Around 48 hour post injection she experienced increased ringing in ears, tingles In the face and elevated BP of 170/110. Episodes of palpitations, fluttering in her chest. Pt. has subsequently been started on Valium 2 mg q 6 hours for vestibular neuritis. Amldopine 5 mg daily (ncreased to 10 mg on 1/29), Clonidine 0.1 mg prn BP Prednisone 60 mg daily for 5 days, HCTZ 25 mg daily added on 1/30. On 2/2/21, started on Toprol XL 25 mg daily and on 2/3/21 started on Solu-Medrol 1 gm IV daily x 3 days

Other Meds: Allegra 180 mg daily, Montelukast 10 mg daily, Nasacort AQ 2 sprays daily, Pepcid 20 mg daily, Lo Loestrin daily, Zinc, Vitamin C, Vitamin D daily.

Current Illness: None

ID: 0998198
Sex: F
Age: 27
State: MN

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

Lab Data: Blood draw 1/25/2021

Allergies: Food - Sunny D fruit drink

Symptoms: Moderna COVID-19 Vaccine EUA I had a skin rash occur one week after receiving the vaccine. It started as a small red area on my left arm and spread to a large, warm, itchy, red area on my left arm just under the vaccination site. I saw my primary physician who surmised it was likely a reaction to the COVID-19 vaccine due to no other issues present and blood work did not show abnormalities to suggest an underlying infection. I was provided a prescription for a topical steroid to decrease redness and itchiness, which was effective after a few applications. I then saw an immunologist to check in regarding safety for receiving the second dose of the vaccine, where I was told not enough data was available to determine a 2nd dose would be contraindicated based on my reaction to the first vaccine.

Other Meds: Alleve

Current Illness: No

ID: 0998199
Sex: F
Age: 44
State: IN

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

Lab Data: None.

Allergies: None known.

Symptoms: I had my 2nd dose of the Pizer vaccine on 1/30/2021 (Saturday at 4:20pm). The shot was given in my left arm. On 2/1/2021 Monday 10:00am) my left armpit was swollen and sore. You could visibly see the swelling. It was about the size of a lemon. I contacted my doctor who said the reaction was normal, but I wanted to report it because it was an adverse reaction. The swelling went down but is not gone, as of today, Wednesday 2/3/2021. I sent my doctor pictures as he is not seeing clients in person.

Other Meds: OTC Centrum daily vitamin B12 1000 mcg Biotin Prescribed Montelukast SOD 10 MG Metformin HCL 500 MG Armour Thyroid 30 MG Nortrel-birth control Hydroxyzine HCL 25 MG PRN

Current Illness: None known.

ID: 0998200
Sex: F
Age: 70
State: CA

Vax Date: 01/21/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: examination, eval in ED on 01/31/2021

Allergies: estrogen, levofloxacine, lisinopril, triamterene, hydrochlorothiazide, keflex, codeine, metformin

Symptoms: rash/cellulitis

Other Meds: alprazolam, sinemet, vitamin D, baclofen, fluoxetine, metoprolol, myrbetriq, synthroid, and diovan

Current Illness: uncomplicated diverticulitis

ID: 0998201
Sex: F
Age: 45
State: NY

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

Lab Data: n/a

Allergies: n/a

Symptoms: A few hours ago, inner right arm has become swollen and painful to the touch. slight fever, chills, lips were red and hot, bad headache on first day

Other Meds: Tamoxifen, Lexapro, Lisinopril

Current Illness: n/a

ID: 0998202
Sex: F
Age: 44
State:

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

Lab Data:

Allergies: None

Symptoms: Approximately 20 minutes after patient received vaccine she complained of swelling in her throat. Had similar reaction after first vaccine for about 6 hours. Described is as having a "thick neck in the back of the throat." Second dose was cleared by her doctor. Vitals at 0813 122/74 hr 72, 100% on room air. Denies any difficulty breathing or any respiratory issues. Benadryl 25mp PO was given at 0813. Pt transported to ED by RN at 0819 via wheelchair. Pt talking normally and no signs of distress noted.

Other Meds: Claritin

Current Illness: none

ID: 0998203
Sex: F
Age: 72
State: WA

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

Lab Data:

Allergies: nystatin

Symptoms: Within 15-30 minutes of receiving the vaccine, patient reported tongue numbness on left side of tongue. The nurse advised her to take benadryl which she did and then the numbness went away. About 8 days post vaccination, patient reported a rash around the injection site area of her arm as well as ear canal itchiness on the left side. She has been taking allertec as advised by her doctor. The rash as subsided somewhat but the ear itchiness is still present. She said that it flares up off and on.

Other Meds:

Current Illness:

ID: 0998204
Sex: F
Age: 42
State: PA

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

Lab Data: Patient was brought into office immediately the following day. Patient was diagnosed with frozen shoulder. Patient was advised NSAID for anti-inflammatory effect, ibuprofen for pain, ice every 4 hours. Patient sent to Orthopedics for urgent evaluation.

Allergies: None

Symptoms: Patient came in for second covid vaccine. The medical assistant entered room to give vaccine. Medical assistant ready to give, Stated''the patient moved prior to administration". The vaccine was accidently given in the patients tendon above bicep.

Other Meds: Carvedilol, Fenofibrate, Hydrochlorothiazide, levemir, Losartan Potassium, Plaquenil, Sertraline

Current Illness: No

ID: 0998205
Sex: M
Age: 63
State: NJ

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: denies

Symptoms: 1/22/21 0800 AM noticed rash to left arm injection site, back, bilateral posterior legs along with itching to bilateral arms, legs, back, chest, and stomach. Pt. denies taking anything for it. Pt. states that the itching has become worse over the course of one week and is worse today.

Other Meds: denies

Current Illness: denies

ID: 0998206
Sex: F
Age: 73
State: CA

Vax Date: 01/25/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Itchiness, bump/swollen and redness on the 5th day, chills on the 3rd day but no fever

Other Meds: None

Current Illness: None

ID: 0998207
Sex: F
Age: 41
State: PA

Vax Date: 01/17/2021
Onset Date: 01/21/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: ultrasound to rule out blood clots. enlarged lymph nodes were noted in the ultrasound

Allergies: none

Symptoms: Swollen and enlarge lymph nodes in axillary left side. Cording from swollen lymph nodes. unable to lift arm above head. Cording and enlargement has gotten worse. Pain from axillary to wrist on left side. Pain in brachial to radial. The symptoms persist 17 days post vaccination.

Other Meds: Advil

Current Illness: none

ID: 0998208
Sex: F
Age:
State: NY

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

Lab Data:

Allergies: Aspirin,

Symptoms: Migrane, Chills, Fever, Back aches, Foot pain . I couldn't lift my arm at the injection site. Vomiting, eyes hurt

Other Meds: Wellbutrin 50 mg 3x's daily, Dutoprol 50/12.5 once daily

Current Illness: High blood Presser , Depression

ID: 0998209
Sex: M
Age: 43
State: WA

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

Lab Data: None

Allergies: none

Symptoms: I had some sort of reaction. I was glad to get the shot and was not nervous about getting the shot. 5 minutes after the shot I felt something cold go down my left arm from my shoulder to my hand. A minute or two after that both my hands went numb, then both my arms went numb. I asked others around me if anyone felt anything and everyone else was fine. A minute or two after that both my legs went numb. I started to black out but made it to a chair before this happened, I drank some cold water and felt awake about 5 minutes later. 30 minutes after that i felt comfortable enough to walk. For the rest of the day i felt like i was legally drunk and felt lots of pins and needles on the back of my hands and feet. I did not feel dizzy or nauseous at that time. i also felt a lot of pressure on the inside of my skin all over my body. I've never felt anything like that and it was a bit uncomfortable. The next day i was too dizzy to walk without becoming very nauseous. I still had pins and needles on my feet. i had chills as well which i guess is a good sign. my appetite was fine. i felt clear-headed as well. Two days after the shot i felt slightly dizzy and by the third day i felt fine except for minor muscle cramps all over my body. For the three days after the shot i also had some pretty strong forearm and calf muscle cramps and my arms (biceps and triceps) felt pumped up like i just had a great arm workout, but they weren't swollen at all.

Other Meds: 88mcg Levothyroxine daily, 450mg bupropion hcl daily, 600mg lithium carbonate daily

Current Illness: none

ID: 0998210
Sex: F
Age: 43
State: LA

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

Lab Data: None

Allergies: None

Symptoms: Immediate tingling to left side of face, followed by tachycardia & palpitations, flushing from chest & back up to the scalp. Taken straight to the ED, evaluated by MD, found to be very anxious & hypertensive (BP 203/128, P 110). Treated with IV Benadryl & Pepcid.

Other Meds: None

Current Illness: None

ID: 0998211
Sex: F
Age: 56
State: FL

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

Lab Data:

Allergies: Sulpha

Symptoms: Pain at left arm shot site for 3 days; Minor headaches for 3 days. Continued minor fatigue and feeling off balance like I need to rest or coming down with something since receipt of shot on 1/29/2021. No fever, still actively working and exercise.

Other Meds: Lasix, Baby Aspirin, Omega LDL , Lisinopril, Carvedilol, Valtrex

Current Illness:

ID: 0998212
Sex: F
Age: 61
State: MT

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

Lab Data:

Allergies:

Symptoms: Left gland/ Lymph node in armpit very swollen and painful. Headache and Fever

Other Meds:

Current Illness:

ID: 0998213
Sex: F
Age: 70
State: FL

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

Lab Data:

Allergies:

Symptoms: Within 15-minutes of vaccination, the patient reported feeling lightheaded. EMS managed patient's care on-site.

Other Meds:

Current Illness:

ID: 0998214
Sex: F
Age: 43
State: MS

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

Lab Data:

Allergies: na

Symptoms: fever up to 101, body aches, chills that lasted about 8 hours. swollen at the injection site and hot for 5 days

Other Meds: Levothyroxine

Current Illness: na

ID: 0998215
Sex: F
Age: 62
State: PA

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

Lab Data: N/A

Allergies: None

Symptoms: 2/1 am chills with low grade fever (about 100F), GI discomfort with no vomiting, normal pain at injection site 2/1 pm developed red streak downward from injection site that developed into itchy raised rash by 2/2 Skin was "hot" 2/2 am rash continued to spread to area approximately 3 inches by 5 inches 2/3 Was checked by PA in Employee Health to r/o cellulitis and advised to report reaction. Size of rash appears smaller

Other Meds: Caltrate 600+D3 x2/day, 81 mg aspirin x2/day, multivitamin x1/day, heal and soothe (anti-inflammatory herb supplement)

Current Illness: None

ID: 0998216
Sex: F
Age: 39
State: WA

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

Lab Data: unknown

Allergies: unknown

Symptoms: Pfizer-BioNTechCOVID-19 Vaccine EUA - Patient complained of dizziness for 45 minutes after vaccination.

Other Meds: unknown

Current Illness: unknown

ID: 0998218
Sex: F
Age: 62
State: CO

Vax Date: 01/08/2021
Onset Date: 01/16/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: Ultra sound done 2/2/2021

Allergies: none

Symptoms: One week after getting the Moderna vaccine I developed a small red mark under my left arm (this was the arm the vaccine was administered). 3 days later it developed into a very large , very painful lump under my left arm. (size approximately 1.4 X 0.8 x 0.9 cm ). I saw my PCP who set up an apt for an ultrasound. Ultrasound completed and appears that this is a skin infection with an abscess developing. Im now on antibiotics and have an upcoming apt with a surgeon. I am 26 days out from receiving the vaccine and the lump has not gone down in size and is still painful. I am postponing my 2nd moderna vaccine due to this possible adverse reaction.

Other Meds: Somatuline depot injections q 6 weeks and benazepril 20 mg q day

Current Illness: none

ID: 0998219
Sex: F
Age: 47
State: CA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: n/a.

Allergies: Prednisone, cats, yeast, pollen, and grass

Symptoms: Employee complained of itchyness, blurry vision, feeling dizzy 10 minutes after vaccine was injected, and then complained she feels burning sensation in her throat. Denies difficlty of breathing, headache. Transported to ED and treated with Benadryl. Took Benadryl for 3 days. Headaches lasted about 1wk and took ibuprofen. Employee reported she had hives for 3 days after her 1st dose. Took Benadryl. This wasn't previously reported to us.

Other Meds: collagen, calcium, fish oil

Current Illness: none

ID: 0998220
Sex: F
Age: 35
State: CA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: Sulfa

Symptoms: 2 hours after vaccine I developed headache, burning/hot feeling in eyes and fatigue. That night I had chills, fever, full body joint pain, nausea, heavy head feeling, muscle pain and left arm pain at injection site. The next day I had severe painful swollen lymph nodes to left clavicle and under left arm. Second night I had ongoing fever, chills, muscle pain, fatigue and overall feeling under the weather. 7 days after I had right leg pain from thigh to ankle. Till today I still have generalized fatigue and swollen lymph nodes (although they are smaller that before)

Other Meds: None

Current Illness: None

ID: 0998221
Sex: F
Age: 73
State: FL

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: PCP visit 2/2/21 was diagnosed with Cellulites-Benadryl once daily, Antibiotic-Ciprofloxacin 500 mg

Allergies: Codeine

Symptoms: 8 hours after arm soreness began, lasted 3/4 days, then redness began and spread larger shoulder/elbow, hot/red/itchy, 2/2/21 pt had to see PCP and was diagnosed with Cellulites-Benadryl once daily , Antibiotic-Ciprofloxacin 500 mg twice daily for 10 days

Other Meds: Aspirin 81 mg once daily, Atorvastatin 10 mg once daily, Carvedilol 6.25 mg twice daily, Acyclovir 400 mg twice daily, Omega 3 Fish Oil 1000 mg once daily, Multivitamins once daily, Probiotic once daily, Vitamin D3 5000 IU'S once daily, CO

Current Illness: None

ID: 0998222
Sex: F
Age: 53
State: WA

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: Covid 19 test done by (unable to go to test site due to nausea) at-home testing kit 2/1, result negative 2/2.

Allergies: Tetracycline

Symptoms: Started with extreme fatigue, no appetite, nausea after 25hrs of shot (expected symptoms). Still mobile, but dizzy. 1/24 Requested Ondansetron 4mg to ease nausea, still fatigue and dizzy. 1/25 no appetite, managed to eat few bites. Another dose of Ondansetron. 1/27 Appeared to be getting better, ate 40% of usual amount. 1/28 Woke up with massive headache from back neck/head/shoulder. Tried to eat but almost faint and could not stand up without assistant, legs lost strength. Nausea, shivering, weakness, out of balance, chill, infection site swelling, headache lasted 3 additional days. Head felt like rubber ball, bouncy, pressured and heavy. Managed to drink electrolyte throughout those days. Unable to move except facility uses. 2/2f finally staying up-right for half of day, still very weak and not appetite but managed to eat some porridge. 2/3 out of bed, getting better. Still weak but feeling like heaviness in the head is lighten up 12days later.

Other Meds: Multi viatamins, Vitamin D 7000, zinc, probiotics

Current Illness: None

ID: 0998223
Sex: F
Age: 43
State: CA

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

Lab Data:

Allergies:

Symptoms: Dizziness, heart palpitations

Other Meds: Cymbalta

Current Illness:

ID: 0998224
Sex: F
Age: 28
State: IL

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

Lab Data:

Allergies: Food: banana, kiwi, avocado, strawberry, sesame, hazelnut, macadamia nuts, Drugs: biaxin

Symptoms: Anaphylaxis. Epi Pen given and ambulance called. Given anaphylaxis cocktail in ER. 2:30pm: Vaccine administered 3:30pm: Headache & teeth ache which continued 7:00pm asthmatic cough which continued throughout 11:00pm fever and chills 9:00am felt generally very ill--stomach pain (more anaphylactic type pain) 10:00am nausea, severe stomach pain, diarreaha, vomiting, lungs very tight, continued coughing 11:00am excruciating stomach pain (stomach on fire) Throat felt "thick", feeling faint, brain fog, dizzy (These are my typical anaphylactic reactions) Epi pen administered & ambulance called Anaphylaxis symptoms returned in ER. The pain was the worst since my bowel obstructions several years ago.

Other Meds: synthroid vitamin D claritin iron supplement montelukast clindamiacin topical lexapro prazosin lamictal

Current Illness: none

ID: 0998225
Sex: F
Age: 60
State:

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

Lab Data:

Allergies: Penicillin-unknown reaction

Symptoms: Approx 38min after injection pt c/o feeling lightheaded and that her throat was dry with "a lump." Rec'd Benadryl 25mg PO at 0754. Vitals at 0755 160/74, 70, 98% on room air, Vitals at 0800 260/94, 74, 98% on room air. At 0801 pt c/o having slight difficulty swallowing, denies respiratory complaints. EMS called. EMS on scene at 0807. Pt talking normally with no s/s of distress. Pt transported to ED with EMS.

Other Meds: Antibiotics for a burn but not sure what she's taking.

Current Illness: none

ID: 0998226
Sex: F
Age: 37
State:

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: Macrolides, Ketolides

Symptoms: C/O pulling feeling or tingling sensation in chest. difficulty swallowing in neck area of esophagus. VS monitored x3 over one hour. Breath sounds clear. Vital signs stable during observation. Discharged home to self. No Distress noted at time of discharge. Pt states took Benadryl 50 mg at 4pm before vaccine given.

Other Meds:

Current Illness:

ID: 0998227
Sex: F
Age: 45
State: IN

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

Lab Data: Bloodwork done 2/2/21

Allergies: None

Symptoms: Since the vaccine I have experienced tingling of lips and face. The past few days I have started experiencing more tingling/twisting sensations on left side of body and some weakness of left side of body as well as twitching of left eye.

Other Meds: Glucoasamine chondrotin

Current Illness: None

Date Died: 02/03/2021

ID: 0998228
Sex: M
Age: 65
State: MI

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

Lab Data:

Allergies: NONE

Symptoms: Found unresponsive

Other Meds: ALBUTEROL HFA (8.5GM) 90 MCG INHA TAKE 1-2 PUFFS INHALATION EVERY 4 TO 6 HOURS AS NEEDED APAP 325MG TABS one (1) to two (2) tabs By Mouth two times daily as needed CALCIUM CARB (150) 500 MG CHEW TAKE 1-2 TABS BY MOUTH THREE TIMES DAILY AS

Current Illness: COPD Gastro-espohageal reflux Osteoarthritis Essential Hypertension Dermatitis COVID-19

ID: 0998229
Sex: M
Age: 40
State: HI

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

Lab Data:

Allergies: None

Symptoms: Moderna Covid-19 Vaccine EUA

Other Meds: Vascepa fish oil, Rovastatin 5mg

Current Illness: None

ID: 0998230
Sex: F
Age:
State: MS

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

Lab Data:

Allergies: no

Symptoms: None stated.

Other Meds: Zoloft

Current Illness: none

ID: 0998231
Sex: F
Age: 86
State: KS

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

Lab Data:

Allergies:

Symptoms: Error: Booster Given Too Early

Other Meds:

Current Illness:

ID: 0998232
Sex: F
Age: 44
State: KY

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

Lab Data:

Allergies: influenza vaccine

Symptoms: Patient developed hives after receiving vaccine. Presented to Emergency Department for evaluation. No shortness of breath. Diffuse erythemetous circular raised rash noted to bilateral upper extremities. Patient reports itchiness but no pain. Patient treated with dexamethasone, diphenhydramine and famotidine. Discharged from emergency department to home.

Other Meds:

Current Illness:

ID: 0998233
Sex: F
Age: 39
State: MT

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

Lab Data:

Allergies:

Symptoms: Nausea, Migraine, Chills, & Body Aches

Other Meds:

Current Illness:

ID: 0998234
Sex: F
Age: 66
State: CA

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

Lab Data:

Allergies: meclizine, donepezil, co-trimoxazole, doxycycline, latanoprost, omeprazole, pantoprazole, nifedipine, sulfasalazine, timolol, brimonidine

Symptoms: arm soreness, body aches, abdominal pain, nausea/vomiting, fatigue

Other Meds: rosuvastatin, lisinopril, aspirin

Current Illness: n/a

ID: 0998235
Sex: M
Age: 56
State: FL

Vax Date: 01/13/2021
Onset Date: 01/24/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: latex, penicillin, tetracycline

Symptoms: Pt started shingle symptoms on Jan 24 with rash appearing Jan 29th

Other Meds: None

Current Illness: none

ID: 0998236
Sex: M
Age: 57
State: NY

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Headache, Body Aches, Fever (102.7), Tiredness. Tylenol every 4 to 6 hours, Fluids.

Other Meds: None

Current Illness: None

ID: 0998237
Sex: F
Age: 77
State: FL

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

Lab Data:

Allergies: Talwin

Symptoms: Chills and tiredness, for 4 days so far

Other Meds: HCTZ Provastin Benadryl Vit D

Current Illness: none

ID: 0998238
Sex: F
Age: 33
State: OK

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

Lab Data: n/a

Allergies: ant bites

Symptoms: 1/2 vaccine 1/3 muscle aches, sore all over. Took a muscle relaxant. Went to sleep. Woke up at 230; tacchycardiac. Itchy on shoulder and ribs. Lips, face swelling, hives all over extremeties. atomoxetine. Took about 3 days to feel completely recovered; no itching. Swelling had stopped within the hour. *Covid + 11/26

Other Meds: multivitamins

Current Illness: COVID ; 11/26/2020

ID: 0998239
Sex: M
Age: 70
State: FL

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: Penicillin and cortisone

Symptoms: Skin rash all over body, headache, nausea

Other Meds: Vitamin d2 1.25 mg 1x week, tamsulosin bck .4 mg 2 pills 1x a day, meloxican 7.5 mg 1 day, amlodipine besylate 5mg 1 day, rosuvastatin 10 mg 1 day, Daliresp 500 mcg 1 day, montelukast 10 mg 1 day, Prilosec 20 mg 1 day, trelegy ellipta 100 m

Current Illness: COPD emphysema asthma atopic dermatitis. Hypertension cholesterol

ID: 0998240
Sex: F
Age: 85
State: CA

Vax Date: 01/23/2021
Onset Date: 01/25/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: none at this time

Allergies: penicillin, sulfa drugs

Symptoms: patient experiencing red, itchy rash on upper arm since Monday, 1/25/21. No other unusual symptoms reported. Advised patient to contact their provider for treatment

Other Meds: losartan 100mg, rosuvastatin 5mg, levothyroxine 25 mcg, montelukast 10 mg, diclofenac topical, mupirocin, Calcium, Vit D3, Magnesium oxide, ibuprofen 200mg , preservision areds, Proventil inhaler

Current Illness: none

ID: 0998241
Sex: F
Age: 43
State: MN

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

Lab Data: Vitals: T-97.1 1006-1mg Epi 1007-143/95 98% HR 105 2L 02 1008-136/96 98% HR 109 2L 02 1013-159/98 HR 88 room air 97.7 1021-138/88 HR 90 97.8 98% Room air

Allergies: unknown

Symptoms: Tingling lips, windpipe felt tight

Other Meds: unknown

Current Illness: unknown

ID: 0998242
Sex: F
Age: 61
State: NY

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: Hearing/audilogical test - 1/25/21 Blood tests - 1/26/21 MRI w/contrast brain and ear - 1/27/21

Allergies: augmentin

Symptoms: Sudden total hearing loss, left ear; numbness in face and outer ear.

Other Meds: Vitamins D, C, Zinc, Tumeric Valsartan (blood pressure)

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm