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: 0998902
Sex: F
Age: 60
State: MD

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 02/03/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: Prolonged HA starting after receiving Pfizer COVID-19 vaccine on 29 Dec 2020-over 2 weeks. No fever/nausea/vomiting/photophobia/visual disturbances. Felt like a constant "vice grip". Not relieved with NSAIDS. Has a history of occasional migraines, but this HA presenting very differently. Resolved after 2 weeks. She did receive dose 2 on 1/19/2020 without recurrence of HA or ant concerning side effects.

Other Meds: no

Current Illness: no

ID: 0998903
Sex: F
Age: 57
State: IN

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

Lab Data: None

Allergies: NKA

Symptoms: Chills, headache, fever, achiness, weakness, congestion, sob, vomiting

Other Meds: Olmsartan/HCTZ, protonic, aspirin, previtalize, provitalize

Current Illness: None

ID: 0998904
Sex: M
Age: 75
State:

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

Lab Data:

Allergies:

Symptoms: Incomplete amount administered

Other Meds:

Current Illness:

ID: 0998905
Sex: M
Age: 76
State: NM

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

Lab Data: none

Allergies: SSRI's

Symptoms: Immediate warm flushing sensation lasting a couple seconds/coincident with change in taste to a metallic taste. Lasted only a few seconds.

Other Meds: Atorvastatin Gabapentin 100 mg Plavix Doximine Metformin 500 mg

Current Illness: none

ID: 0998906
Sex: F
Age: 50
State: CA

Vax Date: 01/21/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: cipro

Symptoms: left muscle pain that slowly spread over first week down arm, then up shoulder, than one week later across shoulder blades with chest tightness and cramping and pain, stomach pain and squeezing feeling in chest and nausea like heart attack symptoms all that subsided with ibuprofen.

Other Meds:

Current Illness:

ID: 0998907
Sex: F
Age: 67
State: CA

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

Lab Data: none, I feel I do not need to be evaluated, I can handle symptoms appropriately

Allergies: None

Symptoms: 2/1/21, felt extreme fatigue, lightheaded, light sensitivity, malaise, sore throat extreme chills, headache, nausea, stomach pain, generalized joint pain, finger pain, fever 102, intermittently. I took Ibuprofen about 9 pm, which helped. 2/2/21 same symptoms, took Ibuprofen 2nd dose, 600 mg.Fever up and down. 2/3/21 feeling better, fatigue, generalized joint pain, headache. I have not taken any meds,, except prescribed medications.

Other Meds: Losartan 50 mg, Levothyroxine 75 mg, Urosidil 50 mg bid, Hct 25 mg, Vitamin D 4,000 IU, B12, Folic Acid, Inulin,

Current Illness: None

ID: 0998908
Sex: F
Age: 39
State: MN

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

Lab Data:

Allergies: Sulfa

Symptoms: Noticed today where my shot was, it?s red, in a circle, tender and itch. It?s been 8 days since my shot. Is this normal?

Other Meds: None

Current Illness: None

ID: 0998909
Sex: F
Age: 48
State: OK

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: n/a

Allergies: NKA

Symptoms: Headache, nausea, dizziness, diarrhea, body aches, fatigue began at approximately 24 hours post injection and continued for 24 hours. Continued to have daily severe headaches and mild body ache/fatigue for 1 week post vaccination.

Other Meds: Acetaminophen, Wellbutrin, claritin

Current Illness: None

ID: 0998910
Sex: F
Age: 49
State: NY

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

Lab Data:

Allergies:

Symptoms: Tightness in chest, nausea, tongue felt "weird"

Other Meds:

Current Illness:

ID: 0998911
Sex: F
Age: 66
State: CA

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

Lab Data:

Allergies:

Symptoms: tightness in chest, numbness in legs and feet

Other Meds:

Current Illness:

ID: 0998912
Sex: F
Age: 57
State: CA

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

Lab Data: n/a

Allergies: Hydrochlorothiazide Lisinopril Simvastatin Verapamil

Symptoms: Tingling, lip edema, facial flushing lasting ~15min. DC home in stable condition

Other Meds:

Current Illness:

ID: 0998913
Sex: F
Age: 52
State: WA

Vax Date: 10/22/2020
Onset Date: 10/27/2020
Rec V Date: 02/03/2021
Hospital:

Lab Data: 5-6 different blood tests (November 2020, December 2020, January 2021), allergy skin tests, food elimination diet, high dose of allegra and pepcid each day

Allergies: Compazine

Symptoms: felt a bit headache and flu-ish for 3 days after vaccine, but not horrible. On the fifth night after the vaccine, I had wheezing in my chest, my tongue swelled up, had huge sub-lingual swelling, right eye swelled up and couldn't breathe well. Took a ton of Benadryl and went to the urgent care the following morning where they diagnosed me with anaphylaxis and gave me more antihistimes and steroids, a five day dose of steroids and prescription for an epi pen. Have not felt super well since the anphaylaxis and been to allergists, hematologists, naturopath, etc. Still struggling now which is why I write to you. Would love to know why and how to fix.

Other Meds: vitamin D 2000 ius, effexor 75mgs, ambien cr 6.25

Current Illness: none

ID: 0998914
Sex: F
Age: 55
State: NJ

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: redness, sore - from the site area up to the lower arm, swelling and palpated some lumps on injection site. started - 1/24 - 2/1/2021

Other Meds: Benicar 40mg - 1 tab OD ASA 81mg - 1 tab OD Vit. D3 5000iu - 1 tab OD Vit. C 1000mg - 1 tab OD Vit. E 180mg (400 i.u) - 1 cap. OD COQ10 200mg - 1 tab OD Turmeric 500mg - 1 tab OD Crestor 10mg - 1 tab OD

Current Illness: none

ID: 0998915
Sex: F
Age: 78
State: CA

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

Lab Data:

Allergies:

Symptoms: Pt reported dizziness and was observed coughing and continuing to c/o of SOB. Pt reported chest tightness and throat tightness.

Other Meds:

Current Illness:

ID: 0998916
Sex: F
Age: 30
State: VA

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

Lab Data:

Allergies:

Symptoms: patient had vaccine and more than 15 minutes later after she left the clinic she came back with c/o sob, tingling in hands and throat. Had previously felt the throat tingling when she had covid-19 virus. Patient reported anxiety and was tachycardia and hypertensive. sat in clinic for additional thirty minutes and vitals normalized and no further complaints.

Other Meds:

Current Illness:

ID: 0998917
Sex: F
Age: 79
State: CO

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

Lab Data:

Allergies: NOT RELEVANT

Symptoms: The syringe leaked. When I questioned my arm being wet, the vaccinator stated not to be concerned that I got the vaccine. My arms was slightly sore, which indicates that I did get vaccine into the muscle. Clearly, I did not get 100% of the dose. There were no adverse reactions or advents. I don't know what other form to fill out. I reported this to an administrator for the clinic and will take it up when I return for my second dose.

Other Meds: NOT RELEVANT

Current Illness: NONE

ID: 0998918
Sex: F
Age: 74
State: TX

Vax Date: 01/20/2021
Onset Date: 01/28/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: red large circle, swollen, and very hot to touch on injection site, put ice on it for two days

Other Meds: atorvastatin

Current Illness:

ID: 0998919
Sex: F
Age: 35
State: NY

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 9am (jan 14th) noticed bleeding under skin: 2 dark purple dark red areas (1.5" diameter and 2" diameter) on front of left hand. No pain /itching. Had no physical activity that day or the day before after. I noticed them because they looked like severe bruising or burn symptoms but had no pain in the areas. They were very noticeable and my bruises always hurt. These did not. Saw a telehealth provider and was told it was purpura / petechiae. I'm not sure about the lot number because the Covid-19 Vaccination card is almost illegible. It is definitely Moderna and the lot number is definitely "011_ _0A". The first unknown digit is either 5 or S and the second unknown is J or 2. Site number is hard to see. THERE IS NO HOSPITAL OR CLINIC ON THIS ISLAND. SHOULD I GET THE SECOND DOSE HERE? I am pro-vaccines but am afraid to get second dose if the first dose is related to a blood clotting reaction.

Other Meds: Lamictal Adderall Ativan Aripiprazole Prilosec Nicotinamide Multivitamin Lamictal Adderall XR Ativan Aripiprazole Prilosec Iron and Vitamin C Nicotinamide Iron plus Vitamin C

Current Illness: None

ID: 0998920
Sex: F
Age: 44
State: CO

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Two days after receiving second Moderna vaccination, patient reported arm swelling, warmth and tenderness at the injection site. Patient reported a 5 cm red "splotch" on arm below injection site. Patient was advised to use cold packs and NSAIDs if needed.

Other Meds:

Current Illness:

ID: 0998921
Sex: F
Age: 32
State: DE

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

Lab Data:

Allergies:

Symptoms: About 2 hours after vaccination patient experienced redness and hives on her chest and back. She said it looked like she was sunburned. She called her primary care provider and they advised her to take Benadryl and go to the ER if she had any difficulty breathing, which she did not.

Other Meds:

Current Illness:

ID: 0998922
Sex: F
Age: 34
State: NY

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

Lab Data: Covid PCR test and rapid test

Allergies: None

Symptoms: Diagnosed with covid several days after receiving shot on 12/29/20. Presented with covid symptoms 1/4/21

Other Meds: Plaquenil and lexapro

Current Illness: None

ID: 0998923
Sex: M
Age: 68
State:

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

Lab Data: Incomplete amount administered

Allergies:

Symptoms: Incomplete amount administered

Other Meds:

Current Illness:

ID: 0998924
Sex: M
Age: 74
State: FL

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

Lab Data:

Allergies: Sulpha Drugs,

Symptoms: Loose stool/Diarhhea - 3 times between 1 PM & 5 PM afternoon following injection

Other Meds: Amlodopine/atorvastatin, Ramipril, Tadalafil, Methozolamide, Pantaprozole, Zyrtec, Vitamin D3, Cranberry, Iron

Current Illness:

ID: 0998925
Sex: F
Age: 36
State: KY

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

Lab Data:

Allergies: NKDA

Symptoms: Pt verbalized that she felt like her throat was tight. Pt assessed from head to toe, Distress denied. Pt had taken Benadryl 25 and prednisone prior to making room attendant RN aware. Upon auscultation, no wheezing noted. Pt blood pressure was 158/100, HR 128, o2 sat was 98%. Pt verbalized that her baseline HR was around 118 and that she had anxiety. Pt was diaphoretic upon exam and asked for a bottle of water. Pt's request was honored. Pt walked around the room to relieve her anxiety and said she felt better. Her HR went down to 90 after walking around the room. Pt was offered IM diphenhydramine and refused. Pt also refused Ambulance to transfer her to ER. At 4:30 pm patient took another Benadryl PO without medical advice. Pt is a registered nurse and wanted to be transferred to ER, where she works, by another RN. Pt left facility against medical advice and declined EMS at 4:40 pm. BP was 190/140 and HR 104 when she left facility to go to ER, transported in private vehicle by coworker who is an RN. Called ER to check on pt and physician said she had recovered and that she did not require any further medical attention, the event was believed to have been anxiety related.

Other Meds: Benadryl & Prednisone

Current Illness: NA

ID: 0998926
Sex: M
Age: 80
State:

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

Lab Data:

Allergies:

Symptoms: Incomplete amount administered

Other Meds:

Current Illness:

ID: 0998927
Sex: F
Age: 25
State: OR

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

Lab Data:

Allergies: None

Symptoms: Headache about 3-4 hours after vaccine, as well as the following morning. Resolved after ibuprofen. Mild chills throughout the night. Body and joint aches the following day. All aside from aches resolved within 36 hours. Aches resolved within 48.

Other Meds: Buspirone, Bupropion, melatonin, biotin

Current Illness: None

ID: 0998928
Sex: F
Age: 54
State: CA

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

Lab Data: NA

Allergies: Latex

Symptoms: Swelling, redness, hard lump at injection site; body aches, fever -102.6, chills, nausea, headache, felt like I was hallucinating while I was in and out of sleep... the next day fatigue, weakness mostly. Had headache, chills and mild fever next night... mostly better the next day however a cough and sore throat developed..

Other Meds: Multivitamins, biotin

Current Illness: None

ID: 0998929
Sex: F
Age: 27
State: WI

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

Lab Data: Referred to Urgent Care for treatment 02/03/21

Allergies: Lamictal, coconut

Symptoms: Patient complains of feeling hot and feverish but chilled. Pt states she has some mild tightness in her right chest and feels dizzy. She is diaphoretic. BP 136/88; HR 81; RR 15; Oxygen 100%; Temp 99.2 F

Other Meds: Birth Control

Current Illness: None

ID: 0998930
Sex: F
Age: 80
State: MO

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

Lab Data: none, patient has stayed home and I was notified 2/3/21 at 4:51 pm

Allergies: unknown

Symptoms: patient reported that when she got home around 12:30 pm she started feeling discomfort, wobbly, and a headache

Other Meds: unknown

Current Illness: none

ID: 0998931
Sex: F
Age: 54
State: CA

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

Lab Data: Covid test 2/3/21 10:30 am negative

Allergies: None

Symptoms: Received vaccine 8:30 Friday morning, Tuesday morning At 4:00 I experienced fever chills body ache vomiting, diarrhea headache. For exactly 24 hours. Dr recommended getting covid test which I did Wednesday morning at 10:30, the result was negative. So therefor I was thinking maybe it?s a reaction and do I still get the second vaccine?

Other Meds: Levothyroxine 10mcg

Current Illness: None

ID: 0998932
Sex: F
Age: 68
State: FL

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

Lab Data:

Allergies: none

Symptoms: hyperesthesia, myalgia, chills, fatigue, headache

Other Meds: none

Current Illness: none

ID: 0998933
Sex: F
Age: 30
State: WA

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

Lab Data:

Allergies: N/A

Symptoms: symptoms include: body aches, chills, headache, & significant pain at injection site (i.e. could not lift arm straight over head without extreme pain). No treatment for symptoms, all symptoms resolved or subsided (arm pain) within 24 hours of onset.

Other Meds: nuvaring, one-a-day women's multivitamin

Current Illness: COVID-19 approximately a month prior to vaccination

ID: 0998934
Sex: F
Age: 76
State: MI

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

Lab Data:

Allergies: Macrodantin IV Contrast Dye

Symptoms: This was my 2nd Shingrix shot. The 1st shot produced the same after-effect as the 2nd. I felt fine during the day after the injection, but the following morning woke up feeling like I had been hit by a truck. I had body aches all over (trunk, legs, arms), sufficient to warrant bed rest all day. I treated with Tylenol. By late evening, the symptoms had disappeared. **Though my symptoms were not life-threatening, I lost a whole day of living following each injection. Fortunately, after the 2nd dose, I knew this might happen, as the pharmacist said it was the identical medication. Otherwise, I might have suspected COVID-19 or something (though no fever).

Other Meds: Alendronate 70 mg 1/week Ativan .5 mg. 1/bedtime Eliquis 5 mg 2xday Flonase nasal spray 2 sprays @ nostril (PRN) Losartan HCTZ 50-12.5 mg 1/day Metformin HCL (XR) 500 mg. 1/day (AM) Metoprolol Tartrate 75 mg 2xday Mobic 7.5 m

Current Illness: A Fib (asymptomatic - take Eliquis) Osteoarthritis - occasional knee pain High Blood pressure (controlled) - no symptoms

ID: 0998935
Sex: F
Age: 77
State:

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

Lab Data:

Allergies:

Symptoms: Incomplete amount administered

Other Meds:

Current Illness:

ID: 0998936
Sex: F
Age: 87
State: CO

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

Lab Data:

Allergies:

Symptoms: Patient presented to the emergency department for evaluation of lightheadedness after receiving second Moderna vaccine the previous day. Patient was eating breakfast when she started feeling lightheaded. Patient subsequently experienced some nausea. She does endorse a minor headache overnight, but none today. No visual changes no numbness or tingling extremity abnormal weakness in extremities. Patient received IVF and zofran with symptom improvement. Able to discharge home without further escalation of care

Other Meds:

Current Illness:

ID: 0998937
Sex: F
Age: 24
State: TX

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

Lab Data: None, just observed at the ER

Allergies: No

Symptoms: I felt my throat swelling, like it was shutting down. I also felt some tingling on my extremities. I had arm pain and body aches with the 1st dose and the pain was in fact in both arms and all over my upper torso. I headache and nausea as well. Next day I started with nose bleeds that lasted about 3-4 days. I never have nose bleeds.

Other Meds: No

Current Illness: No

ID: 0998938
Sex: F
Age: 35
State: TX

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

Lab Data:

Allergies: Benadryl, Mushrooms. Cats

Symptoms: This is what I felt during the vaccination: within the minute i felt pain in my chest and back (left side) as we drove from the vaccine station to the medic tent for the 15 min observation. then My throat and tongue started itching and drainage from my nose that makes it hard to swallow bc so much was coming down at once my neck got a red rash, and then my head started feeling heavy. my heartrate was up when they first measured it but probably because i started panicking. Within the first minute I could also taste the vaccine (kind of like how when saline is flushed in an IV it can be tasted) and that lasted a few hours. Ten mins after taking the vaccine I took a Zyrtec and ten minutes later the rash got better and I started feeling better. The nose and throat got better abt 1.5 hrs after reaction. I felt extremely tired and beat up until the next day In the following days I was better. I still had drainage from my nose and my throat was bothering (itchy) , but not like the first day.

Other Meds: Prenatal vitamins (Im breastfeeding)

Current Illness: I had a baby on Dec 20th, 2020.

ID: 0998939
Sex: F
Age: 41
State: MN

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

Lab Data:

Allergies:

Symptoms: Patient reported feeling the same chest tightness that she felt with the first dose of Moderna vaccine. She said it was hard to swallow, but was not experiencing shortness of breath. Monitored patient and symptoms did not worsen, so patient elected to leave after the 15 minute observation period.

Other Meds: Losartan

Current Illness:

ID: 0998940
Sex: F
Age: 66
State: NY

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

Lab Data:

Allergies:

Symptoms: Patient experienced dizziness, and tongue "doesn't feel right"

Other Meds:

Current Illness:

ID: 0998941
Sex: F
Age: 50
State: MI

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

Lab Data:

Allergies: NKA

Symptoms: Four hours after vaccination her site was sore; six hours after vaccination it was difficult to move her arm; she couldn't get comfortable and it has been painful - can't sleep well; the area is swollen and she has trouble lifting her arm; She went to her PCP today and was referred to an orthopedic physician for treatment of possible SIRVA;

Other Meds: Effexor; Flonase;

Current Illness: No

ID: 0998942
Sex: F
Age: 39
State: TX

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

Lab Data: COVID test - negative - same day as the vaccine

Allergies: Penicillin; morphine; Sedol; Bactrim;all Sulpha drugs; latex; Frova; Reglin; Midrin; Torodol; Codeine;

Symptoms: The minute sh e gave it to me, I got hot - within 5 seconds. I let her know and she gave me water. I got a little cold and then I got really dizzy. Got light headed. Blood Pressure - sky high; Started throwing up immediately. I had chills; fever 102.3 - all in a matter of twenty minutes from taking shot. They took me to the ER and was there all day Saturday and Sunday morning for observation (wasn't admitted officially) and I was able to go home. I had had COVID in the past - April 19, 2020 and so they thought that's why I had a reaction to the shot. After three days, I felt fine. My arm was still hurting but I was fine. I missed work for those three days. I had developed a cough (within a couple hours of the vaccine) and it went to a dry cough three or four hours after the shot. ; fever; chills -felt like I had when I had COVID. They told that since the vaccine had potassium in it - that my body went into shock because my body was so low in potassium.

Other Meds: I take a lot of medications and I was taking them all. Blood thinners; blood pressure medications; aspirin; diabetes medication - Injection in my stomach; Adovacore and another blood pressure medicine ; Potassium; Topamax; Centremine ; esc

Current Illness:

ID: 0998943
Sex: M
Age: 84
State: AZ

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

Lab Data: Patient remains in the hospital as of 2/3/2021 and has now been placed on hospice due to medical decline.

Allergies: None known

Symptoms: Blurred vision, off balance, low blood pressure. Sent to ER and was admitted to hospital. Tested negative for Covid19 on 1/25/2021 at hospital. Returned to community 1/26/2021 and was sent to the ER within hours of being back from hospital. He remains at the hospital and will be returning on hospice.

Other Meds: Routine: Allopurinol 300mg, Amlodipine 5mg, Aspirin 81mg, Cefinir 300mg, Donepezil HCL 10mg, Finasteride 5mg, Losartan potassium 50mg, Memantine HCL ER 28mg, Metoprolol Tartrate 25mg, Oyster Shell Calcium 500mg, Probiotic, Quetiapine Fumar

Current Illness: 12/31/2020 Fall/hemorrhagic stroke

ID: 0998944
Sex: M
Age: 66
State: IN

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

Lab Data: None

Allergies: None

Symptoms: White, raised bumps on hands and arms. Bumps are worse on the right hard and arm, which is the arm short was administered.

Other Meds: Xarelto, 20mg once per day. Duloxetine, 60mg, twice a day. Metoprolol ER Succinate, 25 mg per day.

Current Illness: None

ID: 0998945
Sex: F
Age: 39
State: MI

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

Lab Data:

Allergies: PCN

Symptoms: Fever, chills, body aches, sore teeth, ear pain

Other Meds: Vitamin C Glucosamine Spironolactone

Current Illness: None

ID: 0998946
Sex: F
Age: 73
State: NC

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

Lab Data: none

Allergies: shellfish dye with iodine

Symptoms: vertigo, dizziness, weakness and fatigue began 8am the following day (18 hours after injection) lasted all day Today 2/3/21 dizziness lessened but still present as is fatgue and weakness

Other Meds: Enalapril, levothyroxin, amplodipine, jantoven

Current Illness:

ID: 0998947
Sex: F
Age: 58
State: IL

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

Lab Data:

Allergies: Sulfa

Symptoms: Patient received 2nd dose vaccine as scheduled. 12 minutes after administration patient complained of nausea and a severe headache. The headache became more intense on the back of her head, and included tingling sensations, and radiated down her neck. Patient also was slow to answer our questions, as she said she felt "funny" . Patient stated that she does get migraines by her eye, but nothing like this. A provider was called in to evaluate patient, and provider advised patient be seen in ER. Patient transferred to ER within building via stretcher. Patient was evaluated, given some IV medications, and ok to discharge to home.

Other Meds:

Current Illness: Posterior vitreous detachment (PVD), and migraines

ID: 0998948
Sex: F
Age: 22
State: MD

Vax Date: 01/11/2021
Onset Date: 01/16/2021
Rec V Date: 02/03/2021
Hospital: Y

Lab Data: Holter monitor

Allergies: nuts, seafood, sesame

Symptoms: 5 days after vaccine experienced irregular heartbeat and fast heart rate. Never had this before. Went to hospital where HR and BP extremely elevated. Observed overnight in hospital, placed on beta blocker and had Holter monitoring.

Other Meds: Effexor 225 mg LoLoestrin Metroprolol 12.5 mg

Current Illness: POTS postural orthostatic tachcardia

ID: 0998949
Sex: F
Age: 41
State: LA

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 02/03/2021
Hospital:

Lab Data: blood work on 2/8/2021

Allergies: n/a

Symptoms: 12/18 vaccination 12/19 Nausea started in afternoon. Fever off and on; comes and goes. Nausea, vomiting has consistently been present till present date. PCP,video chat; blood work and possible nausea meds is scheduled for 2/8/2021. *it is not all the time, it comes and goes. Some days better then others. I had to leave work on 4 occasions.

Other Meds: n/a

Current Illness: n/a

ID: 0998950
Sex: F
Age: 36
State: TX

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

Lab Data:

Allergies: Penicillin

Symptoms: Fever started at hour 26 after injection and lasted roughly 5-6 hours. Max temp observed at 101 through ear thermometer. Severe fatigue corresponded to fever

Other Meds: Zyrtec, Singulair, Flonase

Current Illness: None

ID: 0998951
Sex: M
Age: 74
State: AZ

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

Lab Data:

Allergies: Penicillin, Erythomycin, Aspirin

Symptoms: Chills, fever, aches and pain, extreme pain in left arm, brain fog, headache, dizziness,

Other Meds: Afrin, Aller-Tec, Budesonide-Formoterol, Famotidine, Finasteride, Levothryroxine, Rosuvastatin, Melatonin

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm