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: 0999255
Sex: F
Age: 58
State: IL

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

Lab Data: CBC ordered 2/3/2021

Allergies: Sulfa Drugs

Symptoms: On 2/3/2021, 15 days after injection that was given on 1/19/2021, reported arm swollen red and hot to touch. 3 x3/1/2 inch whelped area. Pain to left arm, left shoulder, numbness and tingling to thumb palm and index and middle finger. Assessed by physician - diagnosed with Cellulitis of arm. Cephalexin 500 mg 4 times a day and Motrin 600mg as needed ordered.

Other Meds: HCTZ, Losartan, Metformin, ASA 81 mg, MVI, Rosuvastatin, Vitamin C, Vitamin D

Current Illness: Diabetes

ID: 0999256
Sex: F
Age: 38
State: MN

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: Erythromycin, sulfa

Symptoms: Headache and interstitial pain starting the evening of dose 2 injection, generalized body aches, joint pain (hips, shoulders, metacarpal/phalange, knees) starting shortly after midnight after injection for about 28hrs. Day 2 post injection significant brain fog through 48hrs post injection. Day 3 fog lifting gone by about 72 hrs post injection. Increased thirst throughout.

Other Meds:

Current Illness:

ID: 0999257
Sex: F
Age: 36
State: NY

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: 1/6/21 - Mild shoulder pain began at 11pm 1/7/21 - Moderate shoulder pain all day 1/8/21 - Mild shoulder pain in the morning, but gone by midday

Other Meds: Multivitamin, Vitamin D

Current Illness: None

ID: 0999258
Sex: F
Age: 37
State: NJ

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

Lab Data:

Allergies: Penicillin

Symptoms: Began to have symptoms of an MS relapse. Symptoms are buzzing in both legs. Ongoing since last week.

Other Meds: Glatiramer acetate

Current Illness: Multiple sclerosis

ID: 0999259
Sex: F
Age: 63
State: GA

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

Lab Data: None yet

Allergies: Sulpha-based drugs, Bactrin, codeine, morphine, ampicillan Allergic to bees, hornets, black wasp, cigarette smoke, pine needles, dust

Symptoms: Swelling, redness, hot lump at injection site began on the 8th day after injection @ approximately 7:30-7:45 pm. Headache, fatigue also began on 7th day with runny nose. Taking Benadryl for arm swelling, Tylenol for arm pain.

Other Meds: Levothyroxin, meloxicam, metoprolol, pravastatin, bupropion, baby aspirin, estradiol, multiple vitamins for women, vitamin d3, calcium supplement, zinc

Current Illness: None

ID: 0999260
Sex: F
Age: 36
State: NY

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

Lab Data: N/A

Allergies: None

Symptoms: 1/27/21 - Very mild shoulder pain shortly after the injection. Dull headache and very mild fatigue within 15 minutes of vaccine dose. 1/28/21 - Mild shoulder pain all day. Fatigue and dull headache developed by midday. 99.9-100.0 degrees Farenheit fever around 4pm (temperature remained in this range as measured at 4:30pm, 6:15pm, 8:30pm, and 10:10pm); acetaminophen taken at 4:30pm and 10:10pm before sleep. 1/29/21 - 98.9 degrees Farenheit temperature at 7:30am, but mild runny nose in the morning and mild axillary pain developed by midday. Mild shoulder pain persisted all day. 1/30/21 - Moderate axillary pain and lymphadenopathy all day. Mild shoulder pain all day. 1/31/21 - Mild axillary pain.

Other Meds: See following page.

Current Illness: None

ID: 0999261
Sex: F
Age: 30
State: OH

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

Lab Data:

Allergies: None

Symptoms: Hives on back. Sudden onset.

Other Meds: None

Current Illness: None

ID: 0999262
Sex: M
Age: 33
State: FL

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

Lab Data: None.

Allergies: Nka

Symptoms: Chills, body ache and fever of 100.7F.

Other Meds: Advil

Current Illness: None

ID: 0999263
Sex: F
Age: 31
State: VA

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: she has been to the ER 2 times done may lab test blood work ,cat scan, sleep lab, brain mapping

Allergies: N/A

Symptoms: my wife has had many symptoms since she got the covid vaccine. chronic Insomia, anxiety,2 weeks ago she started twitching like tics uncontrolled shortness of breath.

Other Meds: Birth Control

Current Illness: N/A

ID: 0999264
Sex: F
Age: 39
State:

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

Lab Data: none

Allergies: imitrex injections

Symptoms: I developed a temperature of 101 degrees early in the morning followed by the following symptoms, significant muscle aches, muscle weakness, and dizziness. My arm was also pretty sore and had redness to the area with slight swelling.

Other Meds: Motrin 800mg as needed, Baclofen 10mg as needed, Potassium-Chloride once a day, HCTZ 12.5mg once daily, Tri-sprintec birth control, once daily, and allegra 180mg once daily

Current Illness: none

ID: 0999265
Sex: F
Age: 28
State: CA

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

Lab Data: n/a

Allergies: zofran

Symptoms: 28 yo F here at 30mdg for covid vaccine. pt with h/o "anaphylaxis with other shots." Pt notes had facial/nose/lip tingling with prior vaccines, requiring steroids and oral Benadryl. Patient received the covid vaccine at approx 1715 on 21 Jan 2021. At approx 15 minutes, pt developed numbness and tingling to her nose and lips. pt notified Rapid Response Team, who notified Physician. monitored patient for 5-7 min, pt noted that her symptoms were worsening, to include numbness and tingling affecting most of her face, cheeks, lips and nose. No trouble breathing. no lip swelling or tongue swelling. HR 78. Gave oral benadryl - gave her 4 ml of po benadryl (12.5 mg/5ml) at approx 1735, and another 4 ml po benadryl (12.5 mg/5ml) at approx 1740. pt prefers to be treated with steroids because a similar previous episode resolved with benadryl and steroids. pt symptoms persisted with facial numbness and tingling ... and subjectively were worsening. no coughing, no tongue swelling. no lip swelling. no shortness of breath. FM physician arrived - prepped for 60 mg im solumedrol. at approx 1750, FM physician gave IM Solu-Medrol in R shoulder. pt waited for approx 15 min - felt better. numbness and tingling of face and nose were lessening, almost gone - only tip of nose was affected. no facial swelling. no lip or tongue swelling. no trouble breathing. no shortness of breath. physician gave return parameters - benadryl prn overnight called patient the following monday - stated she slept that night (from benadryl), felt better the next day. no further concerns

Other Meds: unknown

Current Illness: none

ID: 0999266
Sex: F
Age: 67
State: IN

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

Lab Data:

Allergies: sulfa, cipro, talwin

Symptoms: temp max 102.6 24 hr after vaccine. Low grade temps to 100.7 daily for 7 days. Worst symptom: severe insomnia days 3 thru 7.

Other Meds: Gabapentin, olmesartan, amlodipine, atenolol,escitalopram, xanax, mvi.

Current Illness:

ID: 0999267
Sex: F
Age: 61
State: WA

Vax Date: 01/22/2020
Onset Date: 02/03/2020
Rec V Date: 02/03/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Patient received MRNA COVID-19 vaccine on approximately 1/22/2021. Uncertain whether Pfizer or Moderna. 1.5 weeks later presented wtih tachycardia, hypotension, and Hb of 6.3 with labs consistent with PNH flare. Patient has PNH with a baseline Hb of 9.5 and has been well controlled on ultomiris for quite some time. Ultomiris last given 1/14/2021. Patient is being hospitalized for further management.

Other Meds:

Current Illness:

ID: 0999268
Sex: F
Age: 80
State: MD

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

Lab Data: Did not require medical attention, tests or further treatment.

Allergies: None

Symptoms: RA Flare Up that affected all joints of my body for approximately 5 hours beginning around 12 Noon to 1 PM.. Had taken my regular dosage of Celebrex 200 mg at around 10 AM. Took Tylenol 500 mg. Bed rest with warm blankets. Had never had a flare-up that affected all my paired joints at once. 8 hours later I had no symptoms other than fatigue.

Other Meds: Celebrex, Synthroid, Micardis, Glucophage, Lipitor, Norvasc, Aspirin

Current Illness: None

ID: 0999269
Sex: F
Age: 20
State: AZ

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

Lab Data:

Allergies: Hazelnuts

Symptoms: Vomiting

Other Meds: Lexapro 5mg

Current Illness: N/A

ID: 0999270
Sex: F
Age: 57
State: PA

Vax Date: 12/28/2020
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: Am on insulin pump with CGM... Frequently checked sugars and bolused insulin to get sugars down < 200. Restricted intake, and increased non caloric fluids

Allergies: NKA

Symptoms: Profound Hyperglycemia and increased insulin needs on day 2 & 3 Day 2 insulin dosage increased from usual 25.5 on day 1 to 39.9 units day2, to 30 units day 3, back to 26.9 on day4. Sugars reached a High of > 330mg/dl with no dietary indescretions( such as High fat meal which cause delayed hyperglycemia, Excess carbs or extra sancking.). Able to bring down Profoundly HIgh sugars on Day 3 With limited intake, increased calorie free fluids and increased insulin

Other Meds:

Current Illness:

ID: 0999271
Sex: F
Age: 53
State: PA

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

Lab Data: I had labs and testing in the ED after the second reaction on 1/21/2021

Allergies: no known allergies

Symptoms: I am a cardiology nurse and have a previous history as a dermatology/Mohs surgical nurse. Day 3 after the vaccine my first of 2 vaccines received on 12/28/2019, I have a reaction from my chin line up to my forhead. Please note that I had botox and fillers in this area in August of 2020. The worst of the reaction was directly where I had the fillers and botox. The area became hot, red, itchy, and swollen. I also experienced my throat feeling tight. I did visit my PCP office (where I had the vaccine administered but at the time they nor I were aware of the reaction to fillers). The next day I became aware of the rare reaction to fillers/Botox. Then on day 5 after the first injection, an area on my upper left chest that has a tattoo and I am currently in the process of having removed with multiple laser treatments (The last treatment was in the fall of 2020) became hot, red swollen and itchy. Both reactions were separate and lasted approximately 2 days before resolving. Then 24 days after that same first injection I had an additional reaction on my face. This time my chin rapidly became hot, tight and very painful, red, swollen, and very itchy as well as it started weeping fluid. I also had the feeling of my throat closing. This was more severe than either of the other reactions and came on very quickly. I did visit the ED and was given IV Benedryl, decadron, Pepcid, and zosyn. This helped the reaction to clear quickly. Of note, I had my second vaccine on 1/25/2021 and to date, I have not had another reaction.

Other Meds: Cymbalta 60mg, methotrexate 25mg weekly, Zyrtec, Allegra, Singular PRN propranolol, hydroxyzine, ibuprofen, sumatriptan

Current Illness: Anxiety, chronic hives, bilateral scleritis.

ID: 0999272
Sex: F
Age: 36
State: MD

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

Lab Data:

Allergies: None

Symptoms: Soreness in left arm, knot in left arm, chills, achy, headache, fever over 104.

Other Meds: Levothyroxine, birth control pillz

Current Illness: None

ID: 0999273
Sex: M
Age: 66
State: AL

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

Lab Data: none so far

Allergies: none know

Symptoms: on Monday night/early Tuesday morning after the vaccine on Sunday, swelling of the left side of face/neck concertrated in the jaw area. Called the vaccination site. They said to take 2 Benadryl. Called primary doctor, he called in a steriod. On Wednesday after the vaccine, swelling of both feet. Took another Benadryl. Will start the steroid on Thursday.

Other Meds: Amlod/benazp 10-40 mg Triamcinolone 0.1% cream as needed Heliocare dietary suppement

Current Illness: high blood pressure eczema

ID: 0999274
Sex: F
Age: 42
State: TX

Vax Date: 01/20/2021
Onset Date: 01/29/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: Aspirin, ibuprofen

Symptoms: Warm, itchy, swollen, red large rash around injection site

Other Meds: Atorvastatin, Hydrochlorothiazide, allergy immunotherapy shots, Vitamin D, women's daily multivitamin

Current Illness:

ID: 0999275
Sex: F
Age: 58
State: TX

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

Lab Data:

Allergies: None

Symptoms: Red trash with itching at injection site that persisted for about 36 hours.

Other Meds: Levothyroxine

Current Illness: None

ID: 0999276
Sex: F
Age: 32
State: CA

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

Lab Data: none

Allergies: none known

Symptoms: Traveler RN who received Moderna as first dose at another facility was here at Medical Center. Instead of second dose Moderna, RN was injected with Pfizer. No negative clinical outcome observed.

Other Meds: none known

Current Illness: none known

ID: 0999277
Sex: F
Age: 35
State: GA

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

Lab Data:

Allergies: NA

Symptoms: Rash on chest and upper back started in the AM of 2/3.

Other Meds: NA

Current Illness: NA

ID: 0999278
Sex: F
Age: 53
State: AZ

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

Lab Data:

Allergies: Tetracycline, sulfa

Symptoms: Fatigue, headache, joint pain, nausea, flu like symptoms

Other Meds: Symbicort, aspirin, vitamin C, losartan, vitamin D, dexilant

Current Illness: None

ID: 0999279
Sex: F
Age: 54
State: TN

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

Lab Data:

Allergies: Sulfa Drugs - Bactrim - Tongue Swell, Itching, Hives and Rash Macrobid - Tongue Swell, Itching, Hives and Rash Benadryl - Hallucination

Symptoms: On 1/28/2021, I woke from my sleep with legs cramps and muscle pain. I went to the toliet to urinate and began to have multiple bowel movement. I began to feel nauseated and very cold with shortness of breath and my heart racing. I cleaned up, washed my hands and proceeded to check my temperature it read 91.5, I continue to check it and it continue to read 91.5. I drank water and orange juice thinking it was my blood sugar. I began to feel dizzy but did not want to lay flat on my bed due to the shortness of breath. My heart rate was 120. I checked my blood pressure it was 180/120. I was fearful of shock. I continued to pace and warm up with blankets and a space heater. I took a warm bath and my temperature increased to 97.7. I continued to feel my pulse racing. I called Dr. office and got an appointment to see her 8:30 am 1/29/2021. She checked my vitals signs B/P - 143/87, P 80, T 98.1 O2Sat 99, heart and lungs. She did labs and urinalysis. She prescribed Clonidine 0.1mg TID take if BP greater 160/90 and Allergra 180 mg QD prn for itch and reaction. I will return to see her 2/5/2021.

Other Meds: Multiple Vitamin with iron Vitamin C Vitamin D Vitamin B Zinc Drops Probiotic Gastric Enzyme Super Hair Herbs

Current Illness: None

ID: 0999280
Sex: F
Age: 66
State: FL

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

Lab Data: None

Allergies: penicillin, sulfa and Macrobid.

Symptoms: I started feeling very ill the evening of my second Pfizer shot. My symptoms included headache, muscle pain, chills, nausea, vomiting and fatigue. I felt very unwell for 4 days. By Feb 1st, I started to feel better.

Other Meds: Metoprolol, lexapro, oxycodone, low dose aspirin, calcium

Current Illness:

ID: 0999281
Sex: F
Age: 57
State: PA

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

Lab Data: None

Allergies: No Known Allergies

Symptoms: My left eye hurts and feels like it's twitching. It is also getting puffy and once in a while a sharp pain shoots through my eye. Thanks.

Other Meds: None

Current Illness: None

ID: 0999282
Sex: F
Age: 86
State: WA

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

Lab Data: per emergency room.

Allergies: Iodine, shelfish (food intolerance, not anaphylaxis)

Symptoms: The patient had a her second covid-19 pfizer vaccine in the morning and two hrs later while going to hemodialysis developed trouble breathing and lightheadedness. She taken to the Emergency room. The Attending that saw the patient report this to us that she had stridor, wheezing. She was treated with H2 blocker, albuterol nebulizer, and methylprednisone, no epinephrine.

Other Meds: Albuterol inhaler, atorvastatin, losartan, clopidogrel, benzoate, carvedilol, insulin glargine, loratadine

Current Illness: No known acute illness, had a sob about 10 days after first shot, but no immediate vaccine reaction.

ID: 0999283
Sex: F
Age: 52
State: TX

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

Lab Data:

Allergies:

Symptoms: Associate became itchy on chest and arms. Throat tightening. Blood pressure 168/120. Given 125mg Benedryl. Taken to ED for further evaluation.

Other Meds:

Current Illness:

ID: 0999284
Sex: F
Age: 71
State: NV

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

Lab Data:

Allergies: Gluten wheat, rye, malt, Lortab

Symptoms: Left swollen shoulder and arm much above the elbow, continuing to hand and fingers Headache, nausea

Other Meds: Ropinerole, trazodone, levothyroxin, Celebrex,sertraline, allpruinol, sim a statin, lisinopril, vitamin e, vitamin d, vitamin c. Rescue inhaler

Current Illness: No

ID: 0999285
Sex: F
Age: 62
State: WI

Vax Date: 01/14/2021
Onset Date: 01/19/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: Shell fish Sulfa drugs Codiene

Symptoms: 5 days post injection(19th) woke up in the middle of the night with arm pain in the deltoid area which radiated under the arm and into the armpit. Deltoid swollen and firm but not hot. Pain increased the following day(20th) with more deltoid swelling and pain in the arm pit area. Redness noted at injection site size of a quarter the same day with tightness and pain when lifting the arm above the shoulder. Contacted primary care physician and spoke to RN regarding symptoms on the 21st. Redness increased and extended down the deltoid and bicep area. Itching began that day. On the 22nd the swelling subsided and by the 23rd the redness disappeared. Still have sensitivity in the deltoid area but swelling gone 4 Feb. Underarm and armpit pain gone by the 24th.

Other Meds: Atorvastatin 5mg Vitamin D3 2000 IU Vit. C 500 mg Fish Oil 1000 mg Calcium 1100mg CoEnzyme 10 100mg Zinc 15 mg Quercetin 1 G Biotin 5000MCG

Current Illness: None

ID: 0999286
Sex: F
Age: 49
State: GA

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

Lab Data:

Allergies: Demerol keflex

Symptoms: Received vaccination a week and 2 days ago the injection site is red and swollen

Other Meds: None

Current Illness: None

ID: 0999287
Sex: M
Age: 56
State: CA

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

Lab Data: Started at 2:30am

Allergies: No

Symptoms: Full body pain and very hot sleepy

Other Meds: Cholesterol

Current Illness: Nothing else

ID: 0999288
Sex: F
Age: 40
State: CA

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

Lab Data: Negative strep a Not shingles No changes in diet, soaps, etc Known previously positive for step b

Allergies: Mildew

Symptoms: Rash on torso, red swollen itchy Came on day ten after moderne vac and is growing Cortisol cream not effective Under breast and u shaped around Left hip spread across lower abdomen avoiding pubic hair region Lasting three days now and maybe more

Other Meds: Multi vitamin Digestive enzymes- probiotic

Current Illness: None

ID: 0999289
Sex: F
Age: 59
State: NM

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: Morphine; Erythromycin

Symptoms: Muscle pain; joint pain; headache; chills; fever. Took aleve and OxyContin. Started January 30, 2021- present February 3, 2021

Other Meds: OxyContin; Cymbalta; Aleve; Emergen-C

Current Illness:

ID: 0999290
Sex: F
Age: 19
State: NY

Vax Date: 01/17/2021
Onset Date: 01/26/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Skin rash on arms, legs, hands, ankles, feet, thighs. It is red, splotchy, and itchy. Discomfort on the joints when bent where the spots are.

Other Meds: Tri-lynyah

Current Illness: None

ID: 0999291
Sex: F
Age: 58
State: MI

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

Lab Data:

Allergies: NKDA

Symptoms: Patient did not get the right dose of vaccine (less than 0.5ml)

Other Meds:

Current Illness: None

ID: 0999293
Sex: F
Age: 29
State: NJ

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

Lab Data: Three normal ekgs CBC, cmp, troponin all normal Neuro exam normal Halter monitor showed svt , no svt as per electrophysiologist

Allergies: Pollen, cats

Symptoms: Some fever and fatigue first two days, subsequently subsided. 1/22 dizziness and near fainting while driving and heart palpitations (no prior history). Went to urgent care for ekg and bloodwork all normal. 1/28 near fainting again, dizziness and heart palpitations went to er, followed up with cardiologist got halter monitor, monitor showed supraventricular tachycardia (no history prior to vaccine), went to er again following another episode the same day, hasneuro exam, followed up with electrophysiologist who detected no arrhythmia but cited possible vaccine effects.

Other Meds: Nuvaring(generic), Allegra, smarty pants prenatal vitamins, calcium, magnesium

Current Illness: None

ID: 0999294
Sex: M
Age: 40
State: UT

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

Lab Data: none

Allergies: none

Symptoms: Facial swelling and pain along the entire left face, on the same side as the injection site. Severe temperature of 101 degrees with intense chills and body aches.

Other Meds: citalopram, multivitamin, famotidine, albuterol inhaler, naproxen,

Current Illness: none

ID: 0999295
Sex: M
Age: 64
State: TX

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

Lab Data: None

Allergies: None

Symptoms: Body felt normal with a little stiffness in neck. Felt tired and went to bed but in bed started experiencing chills. I put a heating pad on the bed and even though the bed and pad felt warm, the chills continued for about 10 minutes. Later in the night, my daughter came and checked my temperature. It was 105, even though I didn't feel like I had any fever. I took some Ibuprofen and my daughter put a cool damp cloth on my forehead. I never felt hot. In the morning, the area in the bed where I was sleeping was completely soaked! My temperature was normal.

Other Meds: Atovastatin, Low Dose Asprin

Current Illness: COVID-19

ID: 0999296
Sex: M
Age: 76
State: NJ

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

Lab Data: None

Allergies: Seasonal allergies. Treated with monthly shot and prescription oral meds.

Symptoms: Red rash left side of body . Itchy blotchy. Used a topical itch relief after shower, less itchy.

Other Meds: Heart , blood pressure, and cholesterol medications.

Current Illness: None

ID: 0999297
Sex: F
Age: 48
State: TX

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

Lab Data:

Allergies: None

Symptoms: 02/01/21: 2pm slight chills then went away. 9pm-3qm same night, extreme body aches, extreme shaking, bones hurt balyd, joint hurt badly, low fever, scratchy throat, nauseous. This was the WORST i have ever felt in my entire life rolled into 1 night. I had Covid ib October 2020 and this was FAR WORSE than anything I have ever experienced or could have imagined. 02/02/2021: roughtly every 2- 4 hours still low temp but very cold and achy. Each time is passes but comes back several times a day. Just flu like symptoms now, not like night #1 experience. 02/03/2021: Achy/cold spells every 5 or so hours, but getting slightly lighter each time. Still happening as of 8pm this evening.

Other Meds: Birth control, bisoprolol fumarate

Current Illness: None

ID: 0999298
Sex: F
Age: 21
State: PA

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

Lab Data:

Allergies: Peanut Allergy Tree nut Allergy

Symptoms: Fever Nausea Feeling of potentially throwing up Dehydration Exhaustion Zoned out

Other Meds: Lamotrigine 150mg Trazodone 100mg Zoloft 200mg Fenofibrate 160mg

Current Illness: NA

ID: 0999299
Sex: F
Age: 27
State: TX

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

Lab Data:

Allergies: Codeine, morphine, mango, phenergan

Symptoms: After receiving moderna vaccine administration, we requested pt to wait at least 30 minutes prior to leaving the pharmacy. After 30 minutes, we came back to give the pt her vaccination card and as soon as she stood up, she fell slowly onto the floor and started having seizure (pt didn't hit her head per technician on scene) around 3:50 pm and became unconscious for a few seconds. She was able to answer our questions when she woke up, but was confused of where she at. She continued to call out random names. We called the ambulance and assisted her while she was on the floor. She had another seizure 5 minutes after the first seizure and became unconscious again for a few more seconds. After she woke up, we placed her on her side and monitored her pulse rates and her breathing while on the phone with 911 personnel. The paramedic came 10 mins after the call. Pt had a history of seizure (she wore epileptic tag around her neck). Pt was taken by paramedic to the nearest hospital for further observation.

Other Meds: Not sure

Current Illness:

ID: 0999300
Sex: F
Age: 46
State: MN

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: I developed a large rash on my left arm a little over a week after the injection. It is still itchy and red but not as swollen today-almost a week after it developed.

Other Meds: Sertraline

Current Illness: None

ID: 0999301
Sex: M
Age: 87
State: MN

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

Lab Data:

Allergies:

Symptoms: sore shoulder discolered

Other Meds:

Current Illness:

ID: 0999302
Sex: F
Age: 59
State: CA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: N/A

Allergies: NKDA But hives twice after surgery, likely Betadine scrub alle

Symptoms: Started as a small red spot about the size of a quarter within a day or so, then started to expand around a week in. Now 2 weeks and still there: 3x3 inch hive like lesion in the area of the injection

Other Meds: Estrace, 0.01 % (0.1 mg/gram), Freq: PLACE 1 GRAM VAGINALLY TH Estrace, 0.01 % (0.1 mg/gram), Freq: PLACE 1 GRAM VAGINALLY THREE TIMES WEEKLY Creon, 12,000-38,000 -60,000 unit, Freq: TAKE 3-4 CAPSULES BY MOUTH WITH EVERY MEAL AND SNACK, UP

Current Illness: no acute illness

ID: 0999303
Sex: M
Age: 94
State: TX

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: 1/3/01 BLOOD TESTS

Allergies: CODINE--(MAKES ME ITCH)

Symptoms: VOMITING

Other Meds: OFEV I HAVE TAKEN THIS MED. FOR THREE YEARS AND NEVER HAD VOMITING SPELLS BEFORE ONE THE WAY TO THE HOSP. IT OCCURED TO ME THAT LAST WEEK I VOMITED TWICE AND MY OCCURENCES THAT DAY OF FOUR OR FIVE TIMES MIGHT BE A REACTION TOTHE VACCINE.

Current Illness: IDEOPATHIC PULMONARY FIBROSIS

ID: 0999304
Sex: M
Age: 56
State: MI

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

Lab Data:

Allergies:

Symptoms: patient did not get the right dose of vaccine (<0.5ml)

Other Meds:

Current Illness:

ID: 0999305
Sex: F
Age: 41
State: UT

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

Lab Data: none

Allergies: none

Symptoms: Immediate pain in right arm lasting 12 days. Swelling in right arm, hot to the touch, lasting from day 2 to day 12. Fever of 103 degrees beginning 12 hours after the injection, lasting 24 hours. Severe chills and uncontrollable shaking about 36 hours after the injection, lasting for 3-4 hours. Severe depressive episode beginning 3 days after the injection, lasting until 15 days after the injection.

Other Meds: multi-vitamin, lexapro (20 mg daily), levothyroxine

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm