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: 0998648
Sex: F
Age: 57
State: MA

Vax Date: 01/22/2021
Onset Date: 01/25/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: states had covid vaccine #1 on 1/22/21, developed localized red rash on 1/25/21 at the injection site, is a little less red today, however, is noticing some bumps now and is slightly itchy , will use claritin

Other Meds:

Current Illness:

ID: 0998649
Sex: F
Age: 67
State: CA

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

Lab Data: No tests

Allergies: No allergies

Symptoms: Dizziness, headache, eyes feel numb, tired. Symptoms started 1 hour after injection, and have continued for over 44 hours.

Other Meds: Metformin 2000 mg/day Januvia 100 mg/day Rosuvastatin .5 mg/day Calcium 1200 mg/day D3 1000 IU 25mcg/day

Current Illness:

ID: 0998650
Sex: M
Age: 43
State: MI

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

Lab Data: None

Allergies: None

Symptoms: Modern a Covid-19 Vaccine EUA Very sore arm at injection site Headache Fatigue Chills Back ache

Other Meds: HCTZ 25/Lisinopril 20mg Magnesium oxide 400mg Loratadine 10mg Fish oil Vitamin C Men?s multi vitamin Vitamin D Rosuvastatin Ca 10mg

Current Illness: None

ID: 0998651
Sex: M
Age: 49
State: IN

Vax Date: 01/07/2021
Onset Date: 01/18/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Severe fever and chills on 1/18 preceeding outbreak of shingles on chest and around to left arm/back on 1/30. No prior shingle outbreaks.

Other Meds: None

Current Illness: None

ID: 0998652
Sex: M
Age: 70
State: IN

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

Lab Data: None

Allergies: None

Symptoms: Patient returned to vaccination clinic 1 week after his first dose of the Moderna vaccine. Patient states he woke up this morning with a golf ball sized lump that was red, hot, and firm. Patient denied any allergies and any previous vaccine reactions. He was utilizing an ice pack upon arrival and was told to continue using this, as well as use NSAIDs if able and an antihistamine if pruritic. Patient was also encouraged to reach out to his PCP for education/counseling on receiving his second dose of the series and to counsel on cellulitis symptoms.

Other Meds: Unknown

Current Illness: Unknown

ID: 0998653
Sex: F
Age: 22
State: DC

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

Lab Data:

Allergies: none

Symptoms: enlarged lymph nodes-armpit chest tightness times 3-4 days

Other Meds: Sprintec

Current Illness: none

ID: 0998654
Sex: F
Age: 29
State: TX

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

Lab Data: Was on her way to see her Dr and had rebound reaction and was a seen at ER. She was given IV Solumedrol, pepcid and and an EKG. She was sent home on predinsone and epi pen.

Allergies: only environmental

Symptoms: HAd trembling, heart racing, chest tingling some difficulty swallowing and swelling of the tongue. She premedicated with benadryl.

Other Meds: Benadryl 25 mg.

Current Illness: none known

ID: 0998655
Sex: F
Age: 66
State: KS

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

Lab Data:

Allergies: None

Symptoms: Swelling Hot Rash/hives

Other Meds: Olmesartan-HCTZ 20 12.5mg Raloxifene HCL 60mg Escitalopram 20 mg Women?s one a day

Current Illness: None

ID: 0998656
Sex: F
Age: 78
State: PA

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: arm became red, itchy, and hot from the top of the shoulder down to the elbow. No other adverse reactions reported.

Other Meds: none

Current Illness: COVID dx 11/30/2020

ID: 0998657
Sex: F
Age: 75
State: CA

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

Lab Data: oxygen saturation 98%, HR 70

Allergies: PCN, sulfa, iodine, hepatitis A vaccine, fosamax

Symptoms: Generalized hives away from the injection site, itchy skin, not short of breath no other system ic symptoms. Started to develope 20 min after injection, hx of allergies so was still in observation. She received 50mg of oral benedryl and it started to diminish and she left the office 25 min after the start of the hives. She did not require epinephrine, there was no further hive/ itchy skin through out the next 2 days. She received the vaccination at the doctor office and was released to home.

Other Meds: miralx

Current Illness: none

ID: 0998658
Sex: M
Age: 41
State: OH

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

Lab Data: None

Allergies: None

Symptoms: Vaccine EUA cold sweat chills,headache,dizziness,light headed,muscle cramps.

Other Meds: Prozac,trazadone

Current Illness: No

ID: 0998659
Sex: M
Age: 26
State: KS

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

Lab Data:

Allergies:

Symptoms: Employee had Hep B vaccination on 01/28/2021. On 02/01/21, he called the facility from home reporting that on 01/30/21, he noticed a red itching rash on his neck but thought it was due to razor burn/shaving. On 02/01/21, the itching had progressively gotten worse and he noticed the rash on his upper arms bilaterally and his neck. Employee was sent to Express Care for evaluation and treatment

Other Meds:

Current Illness:

ID: 0998660
Sex: F
Age: 53
State: NY

Vax Date: 01/13/2021
Onset Date: 01/22/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: Penicillin, sulfa, erythromycin, ceclor, Keflex, Doxycycline.

Symptoms: Approximately 5 days after receiving the vaccine, I noticed some redness, slight swelling & itching around the injection site. About 4 days later, both backs of my upper arms, thighs and backs of knees started itching, worse in the evening hours. The affected areas were pink and I had a mottled rash on both sides of my upper back and also my low back. This lasted about 6 days. My PCP was notified and stated I was having a systemic reaction to the vaccine and advised that I do not get the 2nd dose of the vaccine.

Other Meds: Multivitamin, Vitamin D3 1000 units, Bisoprolol 5 mg daily, Indapamide 2.5 mg daily, Probiotic every other day

Current Illness: None

ID: 0998661
Sex: F
Age: 42
State: NC

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

Lab Data:

Allergies:

Symptoms: slight tingling in fingertips of L hand, neck tension below jaw line, h/o Bells Palsy

Other Meds:

Current Illness:

ID: 0998662
Sex: F
Age: 65
State: MA

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

Lab Data:

Allergies:

Symptoms: Moderna COVID-19 Vaccine EUA shivering chills, fever (highest was 103.6), excruciating headache, lightheadedness

Other Meds: Wellbutrin, Oxazepam, multi-vitamin, calcium +D

Current Illness:

ID: 0998663
Sex: F
Age: 62
State: IL

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

Lab Data: Covid test 2-3-2021 with negative results

Allergies: lisinapril

Symptoms: 5 hours post injection stiffness to body ,fever started, sore throat , severe headache, dry cough, weakness. So weak it was hard to lift blankets. I took motrin and tylenol. Drank fluids. Very hard to sleep due to achy pain in joints and muscles. Dizzy when upright.

Other Meds: Bystolic 10mg, sertraline 50mg,levothyroxine ,05mg,buspirone 5mg X3 daily

Current Illness: none

ID: 0998664
Sex: F
Age: 45
State: MD

Vax Date: 01/03/2021
Onset Date: 01/10/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: Developed diffuse hives on upper chest 1/10/21 - resolved after PO Benadryl. On 1/13, developed facial rash with swelling of eye and tongue. Treated in ED with IV and PO Steroids. d/c to home after observation . No sequella.

Other Meds:

Current Illness:

ID: 0998665
Sex: M
Age: 74
State: NC

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

Lab Data:

Allergies:

Symptoms: In the evening I had a little headache. Woke up at 4:00AM with chills and the shivers and shakes. Went back t0 bed with extra blankets. Woke up around 8:AM with a temperature of 99.9 degrees. My temperature went up to 100.6 degrees during the day. At 3:30PM, temperature was 99.1 degrees. At 4:00PM temperature was 98.6 degrees. Also, I had joint and muscle aches, along with a headache.

Other Meds:

Current Illness:

ID: 0998666
Sex: F
Age: 65
State: NY

Vax Date: 01/15/2021
Onset Date: 01/29/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: CT, CEA, CA-19-9 and other bloodwork done, CMP, etc. All done January 29, 2021.

Allergies: sulpha, Piperacillin-Tazobactam In Dex

Symptoms: Labs and CT done to follow up on pancreatic cancer history. CA 19-9 (54) and CEA (4.7) are now high and it is 3 months since previous test. CT also noticed enlarged ileac lymph node when compared to CT 3 months ago (October 2020). Dr is wondering if these are related to the COVID vaccine I had 2 weeks prior to the CT and labs.

Other Meds: Metformin, Tresiba, Novolog, Lovenox, Pantoprazole, thyroxin, atorvastatin, Jardiance, fenofibrate, losartan, propanolol.

Current Illness: Diabetes, High Blood Pressure, Crohn's., history of pancreatic cancer, NAFLD, Thrombosis in jugular vein, obesity., low thyroid, polymyalgia rheumatica, Hypertriglyceridemia

ID: 0998667
Sex: F
Age: 35
State: CA

Vax Date: 12/30/2020
Onset Date: 01/04/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: severe headache and nausea took tylenol 500 mg and next morning I was completely fine

Other Meds: Prenatals ( currently breastfeeding a 8 months old) Omega 3 Birth control Probiotics

Current Illness: I had a cold about 2 weeks before

ID: 0998668
Sex: F
Age: 72
State: CA

Vax Date: 01/14/2021
Onset Date: 01/23/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: On Day 9 (1-23-21) post Moderna Vaccine I developed red raised rash at injection site. I applied Hydrocortisone lotion and it was gone the next day (1-24-21). At midnight on 1-25-21 (day 10 post vaccine) I woke up to extremely severe neck pain, knee joint pain and pain in my hands, specially thumb joints. Pain was so severe I started throwing up, vomiting x 20 minutes. Shakes ands tremors started. I took Tramadol for the pain at 2 am. Nausea continued, finally at 3 am I was able to dose with heating pad under my neck. At 7 am my husband was able to get Benadryl 50 mg which I took along with Tylenol 2 tabs. I was able to dose until noon on 1-24-21, the pain had subsided but my joints were still very sore.

Other Meds: Lipitor ASA Tramadol Vit D Tumeric Fish Oil Lisinopril

Current Illness: none

ID: 0998669
Sex: F
Age: 79
State: NY

Vax Date: 01/19/2021
Onset Date: 01/25/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: penicillins

Symptoms: lethargy, somnolence x 3 days

Other Meds: eliquis, bisoprolol-HCTZ, melatonin, zolpidem, citalopram, famotidine, magnesium, levothyroxine, gabapentin, lorazepam, senna, vitamin d3.

Current Illness:

ID: 0998670
Sex: F
Age: 87
State: OR

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

Lab Data: None available

Allergies: Atenolol, Carbamazepine, Cefdinir, Diclofenac, Hydrochlorothiazide, Levofloxacin, Lovastatin, Nitrofurantoin, Paroxetine, Pravastatin, Sulfa Antibiotics, Beta-Blockers

Symptoms: At 2am on 2/3/21 resident began having trouble breathing. She had an audible wheeze and gurgling and critically low O2 sats. She has no history of breathing issues. She did not have any issues earlier that day. She was sent to the ER and admitted to the ICU for possible heart failure.

Other Meds: Xanax, amlodipine, multivitamin, olmesartan, preservision, questran, B12, Vit D

Current Illness: none

ID: 0998671
Sex: F
Age: 74
State: UT

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

Lab Data:

Allergies:

Symptoms: 1/28/2021 received her 1st dose of Pfizer COVID-19 vaccine yesterday and about an hour later started experiencing numbness of her nose, mouth and tongue, she also felt eye pressure and thought she was going to have a migraine but never got a migraine. Now (about 19 hours later) the numbness is about 75% resolved. not too concerned about it and would like to receive her 2nd dose of vaccine. So far she has not had any other notable adverse reaction. will call me next week to follow up. 2/3/2021--called and reports that still experiencing numbness of her nose, mouth and tongue but it has resolved a little

Other Meds:

Current Illness:

ID: 0998672
Sex: F
Age: 45
State: TX

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

Lab Data: n/a

Allergies: Doxycycline, Sulfa, theophylline

Symptoms: Dizziness, Chills, ?disconnected? feeling, brain fog.

Other Meds: None

Current Illness: None

ID: 0998673
Sex: F
Age: 48
State: GA

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

Lab Data:

Allergies: percodan

Symptoms: I woke up in the middle of the night shivering and chattering teeth uncontrollable. I had a 102.6 fever. After about an hour, the chattering and shivering subsided, but I felt nauseous at that point. I had a 101 fever most of the day. the next day I was down to 100. Then on the third day, the fever was gone. I did not report these early symptoms to V-Safe because I was too sick to figure out the iphone app. In addition, my left arm was incredibly sore. I was unable to get my shirt on or off and lift my arm very much. I've never had such a sore arm after shots. This lasted about 3 days.

Other Meds: synthroid wellbutin lexapro culturelle metoprolol baby asprin melatonin vitamin D Multivitamin Allegra Allergy

Current Illness: COVID 19 positive on 12/23/20, so 30 days prior to vaccine

ID: 0998674
Sex: F
Age: 35
State:

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

Lab Data:

Allergies:

Symptoms: 11:23am Pt C/O feeling hot and clammy and nausea, skin pink, warm and clammy, denies SOB, and chest tightness, no hives or itching present, A & Ox3 resps reg. No distress noted. This is her 1st shot of Covid 19 vaccine. Right arm BP 80/38 P-104 PO 99% sweatshirt taken off, chair reclined, knees bent up. Charge nurse RN summoned. 11/25am BP 75/37 P71, PO 99%, consulted RN about giving Benadryl and she since she did not have hives, and is A& Ox3 to hold off. RN has access to med dispenser. Pt states she takes Ativan for anxiety at night na Lamictal for mood stability. 11:26a,m BP changed to right arm due to pain to injection site, site asymptomatic. BP 70/31 P 70 PO 99%, ice packs to neck and forehead. No Benadryl per RN. 11:28 BP 101/60 P 98 PO 100% continue ice packs. 11:30am BP 95/59 P 92 PO 100%. 11:36am BP 97/59 P 82 PO 100% decreased nausea states she is feeing more normal. 11:39 BP 93/61 P 80 PO 100% continues to be A&O x3 states she feels fine. 11:42 am BP 103/67 p 84. 11:45am BP 110/77 P 88. 11:51am BP 96/66 P 88 sitting up right with feet down, given water and crackers. 12:04 pm BP 105/64 P 83 PO 100% continue to feel better. 12:10 pm BP 98/67 P 86 states she still feels weak. 12:20pm BP 104/60 P 86 . 12:23pm BP 93/63 P 85 while standing. 12:34pm BP 95/55 P 91 She states she feels back to normal and ready to go. Skin cool, dry and less pink. Instructed if she begins to feel light headed while walking to stop and lay down with feet bent up, and if driving to pull over, call emergency services and lay down. Pt states she understands. 12:35 Pt walked out without difficulty.

Other Meds:

Current Illness:

ID: 0998675
Sex: F
Age: 23
State: AZ

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

Lab Data:

Allergies: None

Symptoms: I received my vaccine at 3:30pm on 1/30 feeling no symptoms. When waking up the next morning, I had felt a slight fever, chills, nausea, continuous fatigue, and headaches throughout the day. Once I woke up the next day, 2/1, my fever and chills had completely gone away, however I was still feeling fatigue, headaches, and nausea and have not stopped feeling these symptoms since. My fatigue most notably has been present enough to where I?ve needed to call out of work. Eating meals also does but subside the fatigue by a substantial amount.

Other Meds: None

Current Illness: None

ID: 0998676
Sex: M
Age: 95
State: IL

Vax Date: 01/26/2021
Onset Date: 01/29/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Received 2nd dose of Moderna in left arm on 1/26/21 and on 1/29/21 redness, swelling, and warm to touch noted to all of the left arm including around the elbow. Unsure if the injection site was muscle or subcutaneous. Benadryl one time only dose ordered by NP and cold compress also ordered on 1/29 and area circled with marker.

Other Meds:

Current Illness:

ID: 0998677
Sex: F
Age: 55
State: OH

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

Lab Data:

Allergies: Bactrim

Symptoms: Patient began to feel very hot, skin became very red on chest and face and sudden headache app. 15min after administration of vaccine. Patient was sitting, alert and oriented. Teary eyed. Offered water to drink and cold cloth. Began to feel better. Monitored for additional time and left clinic feeling better app. 50 min after administration.

Other Meds:

Current Illness:

ID: 0998679
Sex: F
Age: 41
State: CA

Vax Date: 01/08/2021
Onset Date: 01/13/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: intermittent sensation radiating from left armpit to left chest area. it will come and go every few minutes and lasts a couple days. This occurred 4-5 days after first dose. Today I took my 2nd dose and I felt the symptom immediately.

Other Meds:

Current Illness:

ID: 0998680
Sex: F
Age: 57
State: OR

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

Lab Data: None

Allergies: SEAFOOD

Symptoms: Fever of 100.5 for 36 hrs, tachycardia, fatigue, injection site soreness greater than 1st vaccination in series.

Other Meds: REQUIP, CYMBALTA, LAMOTRAGINE, FLONASE

Current Illness: NONE

ID: 0998681
Sex: F
Age: 77
State: NJ

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

Lab Data:

Allergies: celebrex, elavil, levaquin, vioxx

Symptoms: dizziness and vertigo with change of position, improving with use of meclizine

Other Meds: Aspirin, dilitiazem doxepin, metoprolol pantoprazole, rosuvastatin

Current Illness: none

ID: 0998682
Sex: F
Age: 58
State: TX

Vax Date: 01/20/2021
Onset Date: 01/26/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: Penicillin, Zithromax, adhesive tape

Symptoms: about 6 days after injection my arm became hot/red and itchy around the injection site, then a large lump appeared - this did not dissipate until day 13 post injection after using cool compresses, antihistimines and vigorous rubbing of the arm - I did not have a "rash" but definitely a defined area that grew larger as it dissipated

Other Meds: valsartan, Toprol, Ozempic, Trazodone, ASA, Atorvastatin, DIM, Progesterone, Testosterone Pellets, Claritin, CoQ10,

Current Illness: None

ID: 0998683
Sex: F
Age: 39
State: MN

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

Lab Data:

Allergies: n/a

Symptoms: Shortly after vaccine, staff member was noted to be acting 'unusual', drank 3 bottles of water within 1-2min. When asked if she was okay she said yes, but then about 10min later said her heart was racing. VS checked at 2:44p (185/115-91 100%RA) started to feel chilled, some rigors; 2:47p (185/126) 2:51p (172/128) increasing rigors, slight SOB; Took 50mg Benadryl; EMS alerted at 2:56p; Epi-pen admin around 3p due to changing level of conscience- this improved right after EPI. EMS arrived shortly there after.

Other Meds: amlodipine; losartan

Current Illness: respiratory illness

ID: 0998684
Sex: M
Age: 36
State: AZ

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

Lab Data:

Allergies: Zyvox

Symptoms: I have been getting daily headaches since having the vaccine. Something, I did not have before.

Other Meds: Pradaza 150mg BID, Cymbalta 60mg BID, Busparone 10mg BID, Vivance 60mg QD, Benazepril 40mg QD

Current Illness:

ID: 0998685
Sex: F
Age: 63
State: GA

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

Lab Data:

Allergies: dilaudid, penicillin, morphine, sudafed (palpitations)

Symptoms: warm, erythematous area around injection site worse 2 weeks after injection

Other Meds: meclizine PRN, Vit D, magnesium, Vit C, crestor, lexapro, lisinopril-HCTZ, prilosec, zyrtec, flonase PRN, Vit B12

Current Illness: otitis externa

ID: 0998686
Sex: F
Age: 25
State: IA

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

Lab Data:

Allergies:

Symptoms: Fever as high as 103.8, fatigue, stomach pains, vomitting, dizziness, blurred vision

Other Meds:

Current Illness:

ID: 0998687
Sex: F
Age: 52
State: CO

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

Lab Data:

Allergies: codeine (vomiting, nausea, hallucinations), doxycycline (anaphylaxis), Tetracycline (anaphylaxis), morphine

Symptoms: At check-out from vaccine clinic, pt reported that her tongue was tingling. Consulted with pharmacist - 12.5 mg po Benadryl elixir given. Pt waited an additional 15 minutes and then reported feeling better. Pt was returning to work and stated she would follow-up with medical attention if condition returned or worsened. Pt verbalized understanding of discharge instructions.

Other Meds:

Current Illness:

ID: 0998688
Sex: F
Age: 23
State: IN

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

Lab Data: None

Allergies: None

Symptoms: Extreme arm pain starting two hours after vaccine, Headache, extreme arm pain, nauseous, chills, weakness, starting 7am the day after and lasting till 7pm.

Other Meds: Sprintec, levothyroxine, vitamin D, vitamin C, fish oil, multivitamin

Current Illness: None

ID: 0998689
Sex: F
Age: 83
State: AZ

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

Lab Data:

Allergies: none

Symptoms: Blood sugar monitored every mealtime at home. The evening mealtime reading on vaccine day was 350. Patient did not report any dietary changes that would have resulted in this high reading. Her typical reading is in the mid 100s. No other known acute illness at the time. This sugar level reading was very unusual for her.

Other Meds: Levothyroxine Sodium Tablet 100mg Omeprazole Capsule Delayed Release 20 mg Diltiazem HCL extended release 240 mg Flecainide Acetate Tablet 50mg TWICE daily Carvedilot Tablet 25mg TWICE daily Valsartan 320 mg Atorvastatin Acetate tablet 50mg

Current Illness:

ID: 0998690
Sex: F
Age: 77
State: IL

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

Lab Data:

Allergies: Actos, Demerol, Lisinopril, Norvasc, Unaboots, Bactrim, and Dapsone

Symptoms: Patient given Monoclonal antibody therapy on 12/10/2020.

Other Meds: Potassium 10meq daily, Losartan 25mg daily, Lorazepam 0.25mg daily, Zaroxlyn 2.5mg daily, Prilosec 20mg daily, Miralax 17gm daily, ASA 81mg daily, Warfarin 1.5 Tuesday and 1mg all other days, Lipitor 20mg daily, Januvia 50mg daily, Amiodoro

Current Illness: COVID-19, MI 2 months ago, Acute combined heart failure, DM with Stage 3 chronic kidney disease, Venous Stasis dermatitis,

ID: 0998691
Sex: F
Age: 60
State: NJ

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

Lab Data:

Allergies: Cipro

Symptoms: Itching, rash, hives

Other Meds:

Current Illness: none

ID: 0998692
Sex: F
Age: 35
State: MI

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

Lab Data: none

Allergies: Treximet

Symptoms: Difficulty swallowing, dry mouth, sore throat

Other Meds: Symbicort inhaler, zyrtec, women's one a day multivitamin, vitamin d3 supplement

Current Illness: none

ID: 0998693
Sex: F
Age: 34
State: NY

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

Lab Data:

Allergies: Hair dye IV Contrast

Symptoms: Swollen, bleeding gums. Itchy skin all over. Recent hair dye allergy became itchy and irritated again.

Other Meds: Adderall Wellbutrin

Current Illness:

ID: 0998694
Sex: F
Age: 41
State: MS

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

Lab Data: None

Allergies: None

Symptoms: Broke out I hives, seen MD in ER and he gave me solu-medrol and benadryl injection

Other Meds: Met forming, Glimeperide, jardiance, oxybutynin, omeprazole, montelukast, trulicity, meloxicam

Current Illness: Bronchitis

ID: 0998695
Sex: M
Age: 65
State: OH

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: mri head, ct of head and neck

Allergies:

Symptoms: acute infarct right basal ganglia after having difficulty walking patient remains in hospital, having physical therapy

Other Meds:

Current Illness:

ID: 0998696
Sex: F
Age: 60
State: OK

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

Lab Data: None

Allergies: None

Symptoms: Day 2 had fever of 101.9, chills nauseated Since getting 2nd shot both eye are itchy and sight seems blurry. My eyes were check in December

Other Meds: None

Current Illness: COPD

ID: 0998697
Sex: M
Age: 66
State: MI

Vax Date: 01/16/2021
Onset Date: 01/26/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None with current episode.

Allergies: Naproxen, tetracycline, TMP-SMX, cefazolin, lobster, crab

Symptoms: Progressive, dull anterior/posterior chest pain onset 1/26/2021. Pain worse with deep inspiration. Symptoms similar to that experienced with prior pleuro-pericarditis. Few episodes of palpitations which abated with cough or Valsalva. Initiated high dose ASA and colchicine on 1/28/2021. Symptoms abated by 2/03/2021.

Other Meds: Levothyroxine, atenolol, rosuvastatin, losartan, aspirin, multiple vitamin, vitamin D3, vitamin B12

Current Illness: None

ID: 0998698
Sex: F
Age: 74
State: OH

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

Lab Data:

Allergies: Penicillin and Clindamycin

Symptoms: Was fine the day of receiving vaccine. The next morning when woke up, was unable to move legs. Stated could not get out of bed, could not walk, has severe weakness. flank pain, nausea, headache, fever, and chills

Other Meds: unknown

Current Illness: unknown

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm