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: 1001178
Sex: M
Age:
State: OK

Vax Date: 01/14/2021
Onset Date: 01/17/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: he doesn't have any energy, he is real low on energy; real sick; tired; freezing to death; Chills; Diarrhea; This is a spontaneous report from a contactable consumer (patient) via a Pfizer-sponsored program. A 77-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in left arm on 14Jan2021at single dose for COVID-19 immunization. Medical history includes hearing aids user from unknown date. There were no concomitant medications. On 17Jan2021 Sunday, the patient was freezing to death, had chills and diarrhea and still has them right now. The patient was fully aware that second dose is on 04Feb2021, and wants to know more information, is this going to continue, etc. The patient stated he was real sick, but while being sick, he read the papers, and it actually told him, this was supposed to happen. He was supposed to have chills and fever and all that, and by golly his body has done a good job of that. The real thing is, he is fine with taking it again, but after such a reaction, he wants to know if it is safe to take it again. The patient stated he lost one of his hearing aids, he needs to have another one sent, he had a terrible day yesterday. His symptoms came on in the middle of night, got in clothes stayed in bed. He has no primary care doctor, he has one here but doesn't know if he wants to mess with him. For events freezing to death and chills outcome was the he feels good, he was not chilling or doing anything anymore, but one thing that is bothering him, he doesn't have any energy, he was real low on energy. The freezing to death and chills started leaving yesterday morning, and went away over the day, he is just kind of down with it, just tired. He doesn't know why. The diarrhea didn't hang around a long time. The outcome of the events freezing to death, chills and diarrhea was recovered on unspecified date. The outcome of the remaining events was unknown. Information on the Lot/Batch number has been requested.

Other Meds:

Current Illness:

ID: 1001179
Sex: F
Age: 54
State: IN

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

Lab Data:

Allergies: Penicillin Morphine

Symptoms: Fever, Chills, Fatigue

Other Meds: Modafinil Hydrochlorothiazid Protocol Metformin Celexa Lipitor Asprin Claritin

Current Illness:

ID: 1001180
Sex: F
Age:
State: MO

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: Test Date: 20210119; Test Name: Fever; Result Unstructured Data: Test Result:102.1

Allergies:

Symptoms: Fever up to 102.1; Chills/shivering; Malaise; Nausea; Dizziness; This is a spontaneous report from a contactable nurse (patient). A 32-years-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot EK4176, expiry date not reported), intramuscular on 18Jan2021 13:15 at a single dose in the left arm for COVID-19 immunization. The patient's medical history was not reported. The patient had no known allergies. The patient was not pregnant at the time of the vaccination. The patient had no COVID prior to vaccination. Concomitant medication included minerals nos, vitamins nos (PRENATAL VITAMINS). The patient had first dose of COVID-19 vaccine BNT162B2 (Brand: Pfizer, Lot number: EH9899, expiry date not reported) on 30Dec2020 04:00 PM, intramuscular in the left arm. There was no other vaccine in four weeks. On 19Jan2021 12:00 AM, patient experienced fever up to 102.1 treated with Tylenol, chills, shivering, malaise, nausea, and dizziness. No treatment received in response to the events chills/shivering, malaise, nausea, and dizziness. The patient was not tested for COVID post vaccination. The patient recovered on an unspecified date in Jan2021 from the events fever up to 102.1, chills/shivering, malaise, nausea, and dizziness.

Other Meds: PRENATAL VITAMINS [MINERALS NOS;VITAMINS NOS]

Current Illness:

ID: 1001181
Sex: M
Age:
State: CA

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 02/04/2021
Hospital:

Lab Data: Test Date: 20201225; Test Name: Covid-19 nasal swab; Test Result: Negative

Allergies:

Symptoms: Ectopy with skipped heart beats/Ectopy; myalgias; Fatigue; cough; Sore throat; This is a spontaneous report received from a contactable physician (who is also the patient). A 50-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL3246, expiry date unknown), via an unspecified route of administration in the left arm, on 21Dec2020 10:00, at single dose, for COVID-19 immunization, in the hospital. There was no medical history and no known allergies. The patient did not have COVID-19 prior to vaccination. There were no concomitant medication/other medications in two weeks. On 22Dec2021, the day after vaccination, the patient experienced ectopy with skipped heartbeats/ectopy along with myalgias, fatigue, cough and sore throat. The events resulted to "Doctor or other healthcare professional office/clinic visit". No treatment was provided for the events. The patient underwent COVID-19 test (nasal swab) on 25Dec2020 and was negative. The patient had not recovered from ectopy with skipped heartbeats/ectopy but recovered from myalgias, fatigue, cough, sore throat on an unspecified date (reported as "everything but ectopy has resolved").

Other Meds:

Current Illness:

ID: 1001182
Sex: M
Age: 80
State: NC

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Patient had his first vaccine on 1/12/21. On 1/13/21 and 1/14/21, he was more confused then normal, very emotional, and has decreased appetite. Patient recieved the second vaccine on 2/2/21. On 2/3/21, he was once again more confused, emotional, and had little appetite. He is now back to normal.

Other Meds: Synthroid, Nexium, Ativan, Remeron, Namenda, Aricept, Otezla, Zyrtec, Men's over 50 multivitamin

Current Illness: None

ID: 1001183
Sex: F
Age:
State:

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: muscle pain from her shot; fatigue; headaches; This is a spontaneous report from a non-contactable consumer. An adult (18-64 years) female patient (reporter's sister) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, batch/lot number and expiration date were unknown), intramuscularly on 20Jan2021 at single dose for COVID-19 immunization, administered in a hospital. The patient is not pregnant. The patient's medical history was not reported. There were no concomitant medications. The patient had no other vaccines in four weeks. The patient got the fatigue, headaches and muscle pain from her shot on 20Jan2021. It was unknown if treatment was received for the events. It was unknown if the patient had COVID prior vaccination and if the patient has been tested for COVID post vaccination. The outcome of the events was unknown. No follow-up attempts are possible. Information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1001184
Sex: F
Age:
State: FL

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Started not feeling right- her stomach was bothering her; diarrhea; Her face turned red; Face and chest felt like they were on fire; Freezing and could not warm up; She was very crampy; nauseous; Left arm soreness; This is a spontaneous report from a contactable consumer, the patient. An 80-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Lot EL3247) solution for injection intramuscular in the left arm on 19Jan2021 (at the age of 80-years-old) as a single dose for COVID-19 vaccination. There was no medical history. There were no concomitant medications. On 19Jan2021, the patient started not feeling right- her stomach was bothering her, diarrhea, her face turned red, face and chest felt like they were on fire then freezing and could not warm up, she was very crampy, nauseous and left arm soreness. The outcome of the events stomach discomfort, diarrhea, feeling hot, feeling cold, very crampy and nauseous was recovered on 19Jan2021. The outcome of the event face turned red was unknown. The outcome of the event left arm soreness was not recovered.

Other Meds:

Current Illness:

ID: 1001185
Sex: F
Age:
State: NY

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

Lab Data:

Allergies:

Symptoms: received her first dose of BNT162B2 on 17Dec2020 for COVID-19 immunization. She received the second dose on 12Jan2021 (26 days after first dose); she got her period again today; this was the 3rd time since the first dose.; This is a spontaneous report from a contactable consumer. A 36-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 12Jan2021 at SINGLE DOSE for covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient received her first dose of BNT162B2 on 17Dec2020 for COVID-19 immunization. She received the second dose on 12Jan2021 (26 days after first dose). It was reported that she got her period again today; this was the 3rd time since the first dose. Outcome of events was unknown. Follow-up attempts are completed. The following information on the batch number has been requested.

Other Meds:

Current Illness:

ID: 1001186
Sex: F
Age: 67
State: NC

Vax Date: 01/25/2021
Onset Date: 01/31/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: 3 days following vaccine, experienced tenderness and discoloration in left hand. With it was tenderness in my hand and wrist, by the 3rd day, I woke with throbbing pain in my knuckle joint with swelling and redness. Since then, the swelling and pain has progressed to additional knuckles in my left hand and into my right hand. There has also been joint pain in my left shoulder that resolved. Yesterday my right knee began to hurt. I've used ice packs and alternated between ibuprofen and acetaminophen for the pain. The swelling has somewhat improved but has not resolved. The pain is still present. I've had occasional join pain before but nothing like this and it has always resolved. Not sure if this has anything to do with the vaccine, but since joint pain was listed as a side effect, I thought I should report it. Have not contacted my physician yet.

Other Meds: Losartan, Escitalopram, Rosuvastatin, multi vitamin, Vit c, Vit D, Calcium, 81 mg ASA, Tumeric

Current Illness: n/a

ID: 1001187
Sex: M
Age:
State: IL

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: dizzy; sleepy; This is a spontaneous report from a contactable consumer (patient). A 67-year-old male consumer received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 21Jan2021 at single dose for COVID-19 immunisation at the age of 67-year-old. Medical history included blood pressure diagnosed year before the report (3-5 years). Concomitant medications were unspecified. The patient took the Covid-19 vaccine on 21Jan2021, and he has been feeling a little dizzy and sleepyin the afternoon of 21Jan2021, his wife was concerned so he was wondering what could be going on. The patient did not recover from the events. Information on the Lot/Batch Number has been requested.

Other Meds:

Current Illness:

ID: 1001188
Sex: F
Age: 68
State: NC

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

Lab Data: none

Allergies: none

Symptoms: fatigue, joint pain, chills, muscle pain, headache, redness at injection site, hardness at injection site (Self administered Ibuprofen 600 mg q8 X 3 doses)

Other Meds: HCTZ Synthroid

Current Illness: none

ID: 1001189
Sex: F
Age:
State: MA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Approximately 2/3rds of the arm has swollen up/ mild swelling; her arm is still red, this happened after the second dose/ it was very red and warm and itching/ it was a red area about 5 cm in diameter around the injection site in the upper arm; it was very red and warm and itching; Soreness of the arm/It hurt, it was warm, slightly swollen and raised from rest of the skin; It hurt, it was warm, slightly swollen and raised from rest of the skin. It was initially located in like the back of the arm, right where the shot was given; It hurt, it was warm, slightly swollen and raised from rest of the skin. It was initially located in like the back of the arm, right where the shot was given; This is a spontaneous report from a contactable Physician. A 76 year old female Physician reported that she received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number EK4176 Expiry date 31Mar2021), at single dose in the left Arm on 14Jan2021 at 2:30PM for COVID-19 immunization. The patient had received the first dose of BNT162B2 (lot E11865, Exp Mar2023) in the left arm on 23Dec2020 . Medical history included asthma and allergy. She had a contrast IV reaction before. She is Allergic to everything, inhalants, weeds, dust, trees, grasses, foods like chickpeas that have her bad asthma and fishes like Halibut. When she did a skin test she reacts to everything. She has been on prednisone. She was admitted to the hospital a year ago in November for an asthma attack. Concomitant drugs included inhalant steroid medication and other medication for Asthma. The patient reported that on 15Jan2021 after the second dose, approximately 2/3rds of the arm has swollen up, this lasted about 7 days. On the 8th day and it is beginning to go down. She also added that her arm was still red. The mild swelling actually started as itching, within 10-12 hours, when she woke up and looked it was a red area about 5 cm in diameter around the injection site in the upper arm. It hurt, it was warm, slightly swollen and raised from rest of the skin. It was initially located in like the back of the arm, right where the shot was given, like upper back of arm. On 16Jan2021, it was close to half of the upper arm, well not exactly half the arm, but it was very red and warm and itching, on the left Arm. On 17Jan2021 it was at 2/3rd of the arm, almost 15 cm's in length at that point. Still very red, it wrapped towards the front of the arm, she could see the color without looking in the mirror. The swelling has ended, the raise part stopped around the 19Jan2021. The redness as of the 19Jan2021, it was less, the skin is slight pink, pinker than the normal skin, she has put some steroid cream skin lotion on the red area, she did that on 16Jan2021 twice a day. She also took Benadryl for 2 nights on 16Jan2021 and 17Jan2021. The itching stopped, when the skin was covered it was not that bad, but when the air hits it, it itches. Caller also added that there was soreness on the arm, it was achy, but it was very minimal now, she notices it when lifting things, that was when it hurts.

Other Meds:

Current Illness:

ID: 1001190
Sex: F
Age:
State: GA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Diarrhea; This is a spontaneous report from a contactable consumer, the patient. A non-pregnant 77-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: CO87750), via an unspecified route of administration, in the left arm on 20Jan2021 at 10:45 AM (at the age of 77-year-old) as a single dose for COVID-19 immunization. Medical history included ongoing arthritis, congestive heart failure, open heart surgery in 2010. There were no concomitant medications. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 21Jan2021, the patient experienced diarrhea. The patient reported "this morning" she had diarrhea. She had it again within the hour. The clinical outcome of diarrhea was not recovered.

Other Meds:

Current Illness: Arthritis

ID: 1001191
Sex: F
Age:
State: MI

Vax Date: 01/17/2021
Onset Date: 01/01/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rash, just progressed worse; This is a spontaneous report from a contactable consumer. A 23-year-old female consumer reported that received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number EL3249), at single dose into left arm on 17Jan2021 6at :00 p.m for COVID-19 immunization. Medical history and concomitant drugs were none. The patient reported experiencing a rash. The rash started on her wrist and has just progressed worse in the past few days. She got her shot on Saturday. Her rash fist appeared on Sunday or Monday, she cannot totally recall. The rash has continued to progress worse. Caller states the rash was all over the body. The caller states she has to assume this is a reaction to the vaccine, it's too coincidental not to be. The caller is just wondering if there is any information on what she can do about the rash, if it is safe to get the second vaccine and if she can receive a steroid shot. The outcome of the event was not recovered.

Other Meds:

Current Illness:

ID: 1001192
Sex: F
Age: 70
State: IL

Vax Date: 01/29/2021
Onset Date: 01/31/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None at time of call (2-4-21)

Allergies: Yes, unknown to what

Symptoms: Rash on left side of back in one spot on Sunday 1-31-21, two days after vaccine was given in left deltoid.

Other Meds: Unknown

Current Illness: Unknown

ID: 1001194
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: allergy sneezing attack; flushing in face/flush in the face/flush in the face and it's very red and swollen; flush in the face and it's very red and swollen; allergy sneezing attack; Headache; Aches and pain; Fever; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received the first dose of BNT162B2 (Pfizer-BioNTech COVID-19 vaccine, lot number requested), via an unspecified route of administration on an unspecified date at a single dose for COVID-19 immunization. The patient's medical history was not reported. Concomitant medication included diphenhydramine hydrochloride (BENADRYL). It was reported that the patient had the Pfizer COVID vaccine and have had reactions (unspecified) to other medicines (unspecified medication) so the patient stayed (as reported) for about half an hour and did fine but about half an hour later on the way home the patient started getting flushing in face and like an allergy sneezing attack and then when the got home the patient got a headache and noted fever and the aches and pain are normal but had a flush in the face and it's very red and swollen. The patient wanted to know before going for the second one, can he/she take Benadryl because the patient stated that he/she took Benadryl when he/she came home. The outcome of the events was unknown. Information on Batch/Lot number was requested.

Other Meds: BENADRYL

Current Illness:

ID: 1001195
Sex: F
Age: 66
State: MI

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

Lab Data:

Allergies: NA

Symptoms: Pt. after the fact disclosed she had another vaccine 7 days prior to the second does of COVID-19 vaccine. She stated that her PCP said it would be okay to still receive the COVID-19 in a week. PCP notified that no vaccine should be given prior to or post vaccine for 14 days and no vaccine should be given in between the two doses.

Other Meds: NA

Current Illness: NA

ID: 1001196
Sex: F
Age:
State: NY

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: Test Date: 202101; Test Name: allergy testing; Result Unstructured Data: Test Result:Unknown results; Test Date: 20210113; Test Name: fever of; Result Unstructured Data: Test Result:100.8

Allergies:

Symptoms: anaphylactic reaction; had a fever of 100.8; This is a spontaneous report from a nurse reporting for herself. A 30-years-old female patient received the first dose of bnt162b2 (BNT162B2; Lot # EL0140) vaccine , via an unspecified route of administration on 13Jan2021 at single dose for Covid-19 prophylaxis . Medical history included ongoing asthma Diagnosed when she was a child , seasonal allergy , food allergy , contrast media allergy (gadolinium). There were no concomitant medications. The patient experienced anaphylactic reaction on 13Jan2021 with outcome of recovered , had a fever of 100.8 on 13Jan2021 with outcome of recovered. The patient underwent lab tests and procedures which included allergy test: unknown results on Jan2021 , body temperature: 100.8 on 13Jan2021. The reaction began 28 minutes later. She says she started to get jumpy, her hands swelled and got itchy. She couldn't bend her hands, they were so swollen that she couldn't bend them. Her legs were shaking. Then saline and eventually her mouth started to get numb and they used an Epi pen twice. Her throat never closed, she thinks it did not close because the Epi pen was done twice, She had 2 masks on she cannot say for sure if she had trouble breathing but her mouth began to get dry and tingly and she started to no be able to feel her mouth. She says she would says it was resolved completely the next day. The patient also received Decadron and Benadryl. The reporter would say the event were life threatening because they treat it that way due to anaphylaxis precautions. Follow up information has been requested.

Other Meds:

Current Illness: Asthma (Diagnosed when she was a child)

ID: 1001197
Sex: M
Age: 25
State: NM

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

Lab Data: NA

Allergies: No

Symptoms: Headache, body ache. Fever around 7:00 PM MST continues throughout the night

Other Meds: No

Current Illness: No

ID: 1001198
Sex: F
Age: 41
State: IN

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: sulfa drugs

Symptoms: I experienced pain at the injection site and my whole arm but much lesser, milder than the first dose. I also had with this dose shortness of breath (I have asthma) and I would say the pain in my arm lasted for about 3 days or so. The shortness of breath was only the day of the vaccination. I used my inhaler and was fine.

Other Meds: Do not wish to disclose

Current Illness: None

ID: 1001199
Sex: F
Age: 35
State: NY

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

Lab Data:

Allergies: none known

Symptoms: Mild headache, soreness and swelling of the injection site, fatigue for 24-48 hours.

Other Meds: Drisdol Vit D 50K IU. Levothyroxine 125mcg

Current Illness: vertigo

ID: 1001200
Sex: F
Age: 24
State: AR

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Allergic to hay, horses, cats, dogs, dust, mold, trees, grass, and pollen

Symptoms: head to toe hives, itching, swelling

Other Meds: Albuterol, citalopram, b12 injections q2weeks

Current Illness: None

ID: 1001201
Sex: F
Age: 27
State:

Vax Date: 01/29/2021
Onset Date: 02/01/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: ICC Note-presenting today for Sore Throat (coughing, headache, chest tightness, onset: 2days )

Other Meds:

Current Illness:

ID: 1001202
Sex: F
Age: 79
State: FL

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

Lab Data: None

Allergies: PCN, Sulfa, Erythromycin

Symptoms: chills, shaky, neck pain, arm pain, stomach upset

Other Meds: Simvastatin

Current Illness: None

ID: 1001203
Sex: F
Age: 46
State: KY

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

Lab Data: covid 19 vaccine moderna

Allergies: pineapples cherries sulfa

Symptoms: Dizziness, nausea, fatigue, blurred vision, feeling of forgetfulness. I almost feel like I drank a glass of wine. Just worn out. the first day I had diarrhea.

Other Meds: n/s

Current Illness: none

ID: 1001204
Sex: F
Age: 42
State: IN

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

Lab Data:

Allergies:

Symptoms: Arm soreness, muscle aches, headache, chills and fever of 101.3 which began at 2:30 am on 2/3/2021 and lasted until 1:00 am on 2/4/2021 nausea began at the same time but is still ongoing.

Other Meds:

Current Illness:

ID: 1001205
Sex: F
Age: 51
State: MD

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

Lab Data: none

Allergies: codeine, hayfever

Symptoms: Chills, fever, exhaustion, soreness in arm and shoulder, headache, and soreness in the body. I rested for two days and drank fluids. I treated it like the flu and used a heating pad on the injection site, and soaked in an Epson salt bath.

Other Meds: valsartan-hydochlorothiazide 160-25 mg patasium, magnesium zinc vitamin

Current Illness: n/a

ID: 1001206
Sex: F
Age: 62
State: CA

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Woke up with body aches and headache. By noon fever of 101.4 - continued throughout Saturday. Sunday full recovery.

Other Meds: Multi/Vitamin, Zocor, Micardis, Aspirin, Atenolol, Pantoprazole

Current Illness: N/A

ID: 1001207
Sex: F
Age: 70
State: IN

Vax Date: 01/25/2021
Onset Date: 02/01/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: One week post injection on 1/25/21 the site became very itchy, red and swollen. Became progressively worse over 2 days and I went to my MD who felt it was an adverse event. Today on 2/04 it may be resolving as is less itchy and red/swollen although the red area has traveled further down my arm but hasn't made it to the elbow.

Other Meds:

Current Illness:

ID: 1001208
Sex: M
Age: 21
State: IN

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

Lab Data:

Allergies:

Symptoms: Chills, headache, fatigue, brain fog, difficulty sleeping. Started approximately 12 hours after injection

Other Meds:

Current Illness:

ID: 1001209
Sex: F
Age: 66
State: NJ

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

Lab Data: none

Allergies: None

Symptoms: Slight vertigo, rapid heart rate despite taking metapropol (90 - 94), arm pain. All are still ongoing

Other Meds: Metaprolol

Current Illness: NOne

ID: 1001210
Sex: F
Age: 35
State: IL

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

Lab Data: none

Allergies: none

Symptoms: pain at the injection site , fever 102. joint pain , swelling of lymp notes, diarrhea . headaches .

Other Meds: none

Current Illness: none

ID: 1001211
Sex: F
Age: 77
State: FL

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: LITTLE INFLAMATION IN ARM AND SWELLING

Other Meds:

Current Illness:

ID: 1001212
Sex: M
Age: 46
State: MO

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

Lab Data:

Allergies:

Symptoms: SEVERE ARM PAIN THAT SPREAD INTO SHOULDER BLADES, NASEAU, DIZZINESS, EXHAUSTION, SEVER HEAD ACHE, UNABLE TO GO TO WORK THE NEXT DAY. 2 DAYS LATER STILL ARM PAIN AND HEADACHE

Other Meds:

Current Illness:

ID: 1001213
Sex: F
Age: 80
State: PA

Vax Date: 01/22/2021
Onset Date: 01/28/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: none - snowstorm!

Allergies: SEVERE to Banana and Plantain with swelling throat, vomiting, diarrhea; Augmentin diarrhea, Demerol vomit

Symptoms: began day 7 after injection with itching on back on scapula under bra on one side; day 8 itched on back under bra both sides;day 9 woke at 1:00 am with SEVERE itching and inflammation over both shoulders and upper back and took 2 Benedryl . At 8:50 called GP for help who prescribed 1 Zyrtec twice a day + 2 Benedryl per 4 hours + Cortisone 10 mg cream 3 times/day. At 4:40pm such intense itching and pain doctor prescribed Methylprednisolone pack which I started at 6pm. Rash progressed Jan 31, Feb 1,2,3 to cover whole body. Worst in armpits with swelling. Slept with numerous cold gel packs. Inflammation began subsiding day 6, taking just Zyrtec + cream today day 7.

Other Meds: Per day: Amlodipine 5 mg, Lipitor 40 mg, Zetia 10 mg, Bystolic 5 mg 2x/day, 2 baby aspirin, calcium 600mg + 400D, D3 1,000IU, Centrum Silver, Premarin cream 1x/wk

Current Illness: none

ID: 1001214
Sex: F
Age: 46
State: NH

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

Lab Data: n/a

Allergies: none

Symptoms: Pt developed a sense of warmth, palpitation/heart racing and lightheadedness appx. 2 minutes after injection. Symptoms lasted a few minutes. HR initially was 120 but improved to within a normal range within several minutes. BP was 150/90 and SPO2 was >95%. Pt's symptoms resolved after several minutes and she departed without issue.

Other Meds: none

Current Illness: none

ID: 1001215
Sex: F
Age: 40
State: IN

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

Lab Data:

Allergies: Sulfa

Symptoms: High fever, malaise, full body aches and chills that came on ~ 8 hrs after the 2nd vaccination and lasted ~ 24 hours.

Other Meds:

Current Illness:

ID: 1001216
Sex: F
Age: 48
State: NJ

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

Lab Data: no

Allergies: penicillin

Symptoms: Around 7pm I had shortness of breath and body aches.

Other Meds: no

Current Illness: acid reflux

ID: 1001217
Sex: F
Age: 42
State: NY

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

Lab Data:

Allergies: Penicillin, citrus, dairy, egg

Symptoms: Hives on arm shot received on, flu-like symptoms, 102 fever, painful body aches, dizziness, little urination, nausea, swollen sore hot arm.

Other Meds: Metoprolol, Trintellix

Current Illness:

ID: 1001218
Sex: F
Age: 58
State: NY

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

Lab Data: EKG and blood work with normal results

Allergies: penicillin, bees, tetanus, erythromycin

Symptoms: pt states about 5 minutes after vax her arm was sore and her heart was racing, then she got light headed feeling like she was going to pass out. Her BP was 180/100 and heart rate was in the thirties. Pt was then transported to the ER by the staff that administered vax. Pt had EKG and blood work. Pt was given IV fluid sand released from ER after everything returned to normal.

Other Meds: Levothyroxine 125 micrograms, Benadryl 50 ml one hour before vax

Current Illness: none

ID: 1001219
Sex: M
Age: 45
State: PA

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

Lab Data:

Allergies: NKDA

Symptoms: I received the shot at 1030 in the morning. Just after midnight of the next day, I woke up with a fever of 100.9, chills and body aches. I did have some head congestion too. It's now 1100am and I still have the same symptoms. However the fever has dropped closer to 100. I've been taking Tylenol to help with the aches and fever.

Other Meds: Crestor; Bupropion

Current Illness: N/A

ID: 1001220
Sex: F
Age: 56
State: NJ

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Shell Fish

Symptoms: Heart rate at 210 for approx. 10-15 mins. I was driving when event occurred and I had to pull over and wait until heart rate came down. I have Exercise induced but never had a SVT event without exercise like this.

Other Meds: Metropol 50mg/Centrum Silver/81mg Asprin/ Baclofin 5mg/

Current Illness:

ID: 1001221
Sex: F
Age: 49
State: OR

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

Lab Data:

Allergies: Intolerance to narcotic medications

Symptoms: Swelling at injection site; Swelling around entire upper arm, swelling in arm pit and down rib cage. Tenderness and discomfort associated with swelling.

Other Meds: Ibuprophen

Current Illness: None

ID: 1001222
Sex: F
Age: 31
State: CA

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

Lab Data:

Allergies: Shellfish

Symptoms: Warm Ears, Clammy Hands, Swelling of upper lip

Other Meds: n/a

Current Illness: n/a

ID: 1001223
Sex: F
Age: 25
State: ME

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: None that I?m aware of

Symptoms: Vomited 10 times, lost 6 pounds, intense chills/body aches, very tired

Other Meds: Zoloft, singular and Allegra

Current Illness: None

ID: 1001224
Sex: F
Age: 77
State: NJ

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

Lab Data:

Allergies: clams scopolamine

Symptoms: 2/1/21 sore arm 2/2/21 sore arm and itchy rash at site 2/3/21 sore arm and very itchy rash at site that became raised and redder 2/4/21 still have rash and soreness

Other Meds: amlodipine hydroxyurea calcium probiotic multivitamin aspirin pantothenic acid

Current Illness: none

ID: 1001225
Sex: F
Age: 39
State: IL

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: Unknown

Symptoms: Approximately, 10 minutes after completing her 15 minute observation, the patient returned to report swelling of the throat, face, and lips. She was given 10ml of liquid Benadryl. BP: 118/78, P: 70, R: 16, T: 99.2F. Ten minutes after administering Benadryl, the patient reported returned sensation of lips and reduced swelling observed in face. Patient denied return or increasing symptoms post Benadryl. She was monitored for 1 hr post initial complaint and released after symptoms improved.

Other Meds: None

Current Illness: None

ID: 1001226
Sex: M
Age: 43
State: TX

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

Lab Data:

Allergies:

Symptoms: Patient called pharmacy around 9:15 am complaining about side effect after receiving Moderna Covid 19 vaccine 2nd dose. Patient was advised to see doctor immediately. Patient stated that he didn't had any reaction after getting first dose of Moderna Covid 19 Vaccine (Lot - 027L20A - Site : LD - IM) on 01/05/2021. As per patient, on Wednesday 02/03/2021 around 3 am woke up with high fever( 102.7), chills, body sore, joint muscle pain and feeling tired. On Thursday 02/04/2021 around 2 am had fever (99.7), leg pain, low back pain and swelling in left armpit. Has appointment with physician at 10:45am.

Other Meds:

Current Illness:

ID: 1001227
Sex: M
Age: 45
State: OH

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

Lab Data: It should be noted that William's seizure medication was just decreased on 2-1-21 as he had not had a seizure since March 2018.

Allergies: penicillin, Tegretol

Symptoms: On 2-3-21 at 8:30a, he had a 1 minute seizure. He also had a fever of 101.3F. The temp responded to Tylenol. He did have another seizure at 12:05p for 1 minute. He continued to require medication for fever thru 12:15am on 2-4-21.

Other Meds: Caltrate, Clonidine, Flonase, Luvox, Keppra, Remeron, Singulair, Zyprexa, Invega, Dilantin, KCL, Pravachol, Vimpat, Vitamin D3

Current Illness: None

ID: 1001228
Sex: M
Age: 53
State: CO

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

Lab Data:

Allergies: PCN

Symptoms: pain, swelling, redness at injection site headache

Other Meds: BP med

Current Illness: no

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm