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: 1002351
Sex: F
Age: 59
State: MA

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

Lab Data: Rib x-ray normal, CBCD, CMP normal

Allergies: Imitrex

Symptoms: Headache, dizziness, nausea, lightheaded, fatigue, right side chest pain below the armpit, muscle ache, rash with redness, swelling and itchiness on the site of injection for two-three weeks Dizziness/lightheadedness still ongoing after three weeks despite prednisone taper 20mg

Other Meds: gabapentin, omeprazole, atenolol

Current Illness: None

ID: 1002352
Sex: F
Age: 59
State: CA

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

Lab Data:

Allergies:

Symptoms: Chills, Fever 100.8, headache, lethargic body aches.

Other Meds:

Current Illness:

ID: 1002353
Sex: F
Age: 35
State: CA

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

Lab Data:

Allergies:

Symptoms: severe headache severe body ache fatigue

Other Meds:

Current Illness:

ID: 1002354
Sex: F
Age: 42
State:

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

Lab Data:

Allergies:

Symptoms: 42 yo female presented at urgent care 3 days after receiving covid 19 vaccine with migraines. Patient with past medical history of migraine in the past. Per provider assessing patient believes her symptom of headache was consistent with past migraine. Patient states she received vaccine 1/14/21 and had dizziness and chills for a day that resolved. Then yesterday she began to have a migraine which was similar to her migraine presentation in the past. Patient given ketorolac x1 and Zofran x1. Patient prescribed Zofran . Pt instructed to continue home Imitrex and follow-up with PCP.

Other Meds:

Current Illness:

ID: 1002355
Sex: F
Age: 63
State: TX

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

Lab Data: i dont have a doctor so not able to call anyone and dont have the money for er visit.

Allergies: Codeine, Dilantin,Morphine,aspirin,Tylenol,nsaids indomethacin

Symptoms: 1st day nausea, next day rapid heart rate, sore arm, headache, nausea 3rd day - sore arm, headache,nausea,chills 4th day - headache, chills and feeling hot, nausea,skin rash , itching, tired,aches 5th day - headache,chills and feeling hot, nausea,rash and uncontrollable itching, tired.

Other Meds: Vit B-12 Complex and Vit D and C

Current Illness: hypertension

ID: 1002356
Sex: M
Age: 24
State: AZ

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

Lab Data:

Allergies: Dust mites

Symptoms: Injection site pain, body aches, low grade fever, general malaise, mild fatigue. All adverse effects except injection site pain resolved after 24 hours.

Other Meds: No

Current Illness: No

ID: 1002357
Sex: F
Age: 48
State: NE

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: CHILLS

Other Meds:

Current Illness:

ID: 1002358
Sex: F
Age: 75
State: CA

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

Lab Data:

Allergies:

Symptoms: Rash with itching and heat appeared at injection site over 1 week after being administered. Reported by email on website to my doctor, on 2/4/21 who also reported it to allergy and dermatology departments. Was told to ice 3 times a day and take antihistamines 2 times a day. Image sent to doctor through website.

Other Meds: Climara 0.1 mg, ,medroxyprogesterone 5 mg, Lexapro 2.5 mg, Evergreen Imperial Tonic herbal supplement, Vit C, B12, Vit D3, turmeric, 1M mg, Calcium- magnesium, d3, glucosamine, msm, chondroitin, B, probiotics, collagen, cetirizine 10 mg

Current Illness: dry cough

ID: 1002359
Sex: F
Age: 40
State: IL

Vax Date: 01/13/2021
Onset Date: 01/18/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Shortly after receiving vaccine, developed joint swelling and swelling of both hands

Other Meds:

Current Illness:

ID: 1002360
Sex: F
Age: 54
State: IL

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

Lab Data:

Allergies: Penicillin

Symptoms: Swelling of left axilla, approximately baseball sized starting 2/3/2021 unresolved

Other Meds: multivitamin, vitamin D supplement

Current Illness:

ID: 1002361
Sex: F
Age: 0
State: TX

Vax Date: 08/04/1954
Onset Date: 01/28/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Exactly 2 weeks after receiving the first vaccine I felt dizzy and lightheaded. I felt like I was leaning to the left from around noon and for the rest of the day. Extreme dizziness. I felt unsafe to walk and had to hold on to the walls.

Other Meds: Insulin, Gabapentin, Metformin, Metoprolol, Tramadol, Colace, Lasix, Eliquis, Calcium, Iron, Vitamin D, B12, Tylenol, Tums, Atorvastatin

Current Illness:

ID: 1002362
Sex: F
Age: 52
State: CA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: No known allergies

Symptoms: 2 minutes post vaccine administration, patient complained of scratchy throat and stated "feels thick to swallow". Medical provider was called for evaluation, vitals signs obtained, Order given by medical provider to administer Benadryl 25 mg IM. Patient evaluated for 30 additional minutes. Patient denied symptoms, patient taken home with family member and instructed to follow up with PCP. Patient verbalized understanding. Timeline: Vaccine administered 1050 Symptoms presented 1052 Vitals obtained 1055 BP 104/72, P 74, R 24, O2 sat 99.1 Provider evaluation 1100 Medication 1103 Patient discharged 1140

Other Meds: n/a

Current Illness:

ID: 1002363
Sex: F
Age: 70
State: CA

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

Lab Data:

Allergies: None

Symptoms: Slight soreness at injection site subsided

Other Meds: Levothyroxine 100mg

Current Illness: None

ID: 1002364
Sex: F
Age: 39
State: NE

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: FEVER, CHILLS, BODY ACHES, HEADACHE

Other Meds:

Current Illness:

ID: 1002365
Sex: F
Age: 40
State: VA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None. Office assessment by PCP

Allergies: Iodine, Codine

Symptoms: Swollen face, eyes lids, nose and lips. Received the vaccine on 1-11-21. Experienced left arm numbness and pain on site. Numbness subsided and pain was minimal. Went to bed and work up around 6am to face, eyes, nose and lips swollen. Barely unable to open eyes. Immediately contacted employer employee health and contacted PCP. Appointment scheduled with PCP. PCP assessment completed. Recommended prednisone for swelling. Unable to take because of previous reaction. Recommended for Benadryl to be taken every 4-6 hrs and also Ibuprophen

Other Meds: N/A

Current Illness: n/a

ID: 1002366
Sex: F
Age: 36
State: MD

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

Lab Data:

Allergies: Bee stings, anaphylaxis

Symptoms: Client described feeling "flushed. And my heart is racing." VS at the time of incident were 104, 18, 138/78 and 96% pulse ox. Client denies throat or tongue swelling, denies SOB. Denies nausea or dizziness. States she had hives reaction that lasted less than 24 hours with vaccine #1. She states she pre-medicated with 50mg of Benadryl prior to today's vaccine, on advice of her doctor. Client additionally states that she was very anxious about potential reaction today. After 10 minutes, her VS are 88, 16, 130/76. and 99% pulse ox. She states she feels much calmer walking around the room, and we walked together several laps. Client has no hives, and continues to deny SOB or throat/tongue swelling for the duration of her time in the recovery room. After 30 minutes she continues to state she is "totally fine", denies flushing, heart racing, or other adverse symptoms. Patient was driven today by a friend, and left with the same friend.

Other Meds: Lexapro 10 mg qd

Current Illness: laproscopic uterine polyp removal one week ago

ID: 1002367
Sex: M
Age: 80
State: VA

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 02/04/2021
Hospital:

Lab Data: blood panel, scraping and biopsies were done

Allergies: penicillin

Symptoms: between 24 and 48 hours after receiving first vaccine patient broke out into blisters all over body. Particularly severe on shoulders, arms and inner thighs. Blisters were not itchy, but broke open and discharged. Patient put on oral steroids course and antibiotic doxycycline. Testing revealed that it was in fact an allergic reaction.

Other Meds: CoReg Levothyroxine Furosemide Rosuvastatin Calcium Folic Acid Methotrexate

Current Illness: Recovering from ankle fusion surgery (surgery date 12/2/2020

ID: 1002368
Sex: F
Age: 24
State: IN

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

Lab Data:

Allergies: N/A

Symptoms: About 12 hours after my vaccination I experienced a low grade fever, chills, body aches, headache, diarrhea, loss of appetite, and very drowsy. This lasted from 8am until about 3pm. Later in the evening my only symptoms were headache and drowsy.

Other Meds: Junel

Current Illness: N/A

ID: 1002369
Sex: F
Age: 44
State:

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

Lab Data:

Allergies:

Symptoms: throat tightness, feeling as though throat was swelling and dizziness.

Other Meds:

Current Illness:

ID: 1002370
Sex: F
Age: 42
State: AL

Vax Date: 01/21/2021
Onset Date: 01/24/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Severe Hyperglycemia, Urine Ketones

Other Meds: Synjardy, Tresiba, escitalopram, alprazolam, lisinopril, rosuvastatin, levothyroxine

Current Illness: Cold symptoms two weeks before. Covid negative

ID: 1002371
Sex: F
Age: 53
State: TX

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

Lab Data:

Allergies: sulfa

Symptoms: tingling on the left arm @ redness at injection site; B/P- 129/77, P- 79, pulse oximeter- 98%. Client seen & cleared by EMS

Other Meds: Zoloft, levothyroxine

Current Illness:

ID: 1002372
Sex: F
Age: 66
State: MI

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

Lab Data: EKG, blood chemistry, CBC, troponin; 02/03/2021

Allergies: sulfa, adhesive, remicade, augmentin, compazine

Symptoms: Tachycardia and chest pain 25 minutes following vaccine administration. Symptoms spontaneously resolved after 2-3 hours.

Other Meds: lisinopril, HCTZ, asa, Lipitor, bumex, gabapentin, ibuprofen, Januvia, levothyroxine, omeprazole, sertraline, stelara, zolpidem

Current Illness: arthritis

ID: 1002373
Sex: M
Age: 73
State: MO

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

Lab Data: Epi

Allergies: Vit. B12; Etodolac; Metronidazole; Vit. D2; Metaxalone, Monosodium glutamate

Symptoms: 2/4/2021 12:00 Noon- After receiving his first COVID vaccine, he began to experience throat swelling with tremors. The vaccination station administered Epi and brought him to the ED for further evaluation. At 12:27, patient was feeling improved and left ED. The ED physician offered steroids and he did not want anything prescribed. He was instructed to return if symptoms worsen or do not improve. After he left the ED, he called his PCP and stated that the ED was no help and they had tried the CDC and Health department with no luck. Patient informed his PCP that he is experiencing elevated BP, dry sore throat, and dizziness to the point of passing out. The conversation between the patient and provider are ongoing at this time.

Other Meds: Ventolin HFA; Norvasc, Lopressor; Zocor, Prinivil, Incruse Ellipta, and Plavix

Current Illness:

ID: 1002374
Sex: F
Age: 53
State: OH

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: Unknown

Symptoms: Moderna vaccine given without incidence, waited 15 minutes after vaccine without incidence. Client returned to the health department at 11:50AM stating she started having some symptoms at approximately 11:40AM. She reported the following symptoms- Stated feeling funny, ears hot "burning", face "breaking out" and "itchy", mouth burning a little. Upon observation ears were reddened and a few small reddened areas on face. Client was observed for an additional 30 minutes without any change in symptoms or complaints. Instructed her to contact her primary care physician regarding her immunization. Client arrived at her home around 12:30-1:00pm. Dis not take any medication at that time. Stated symptoms were going away. Around 2:00pm she stated she had a runny nose, mild sore throat, headache, sore arm, body aches. Denies any burning or rashes. Symptoms continued thru 1/6/21. States she took 3 ibuprofen at 11:00am on 1/6/21. Client had not contacted PCP at that time. Client was once again instructed to contact her PCP regarding her immunization. Attempted to contact on 1/8, 1/11, 1/13, 1/15 and 1/23 without any success "mailbox full". Per conversation on 2/2/21 states "everything was gone on 1/7/21.

Other Meds: Unknown

Current Illness: None noted

ID: 1002375
Sex: F
Age: 66
State: IN

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

Lab Data: none

Allergies: Allergic to latex

Symptoms: Body aches, chills, slight headache, slight fever

Other Meds: Venlafaxine Cap; Propranolol ER Cap; Fenofibrate Tab; Atorvastatin Tab; Pantoprazole;Ropinirole Tab

Current Illness: None

ID: 1002376
Sex: F
Age: 58
State: TX

Vax Date: 01/20/2021
Onset Date: 01/24/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: Urine test determined bacterial UTI on January 25, 2021.

Allergies: None

Symptoms: Disoriented, brainfog, confusion, very sleepy, elevated blood pressure , unable to follow directions when instructed

Other Meds: Aspirin, metformin, losartan, carvedilol, hydralazine, dipyridamole, amortizing, glipizide, atorvastatin, lutein, probiotic, hawthorn, vitamin C, vitamin D, CQ10, melatonin

Current Illness:

ID: 1002377
Sex: F
Age: 52
State: MN

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

Lab Data:

Allergies: None

Symptoms: Moderna COVID 19 Vaccine EUA Extreme nausea and vomiting, fever and chills, headaches

Other Meds: None

Current Illness: None

ID: 1002378
Sex: M
Age: 36
State: NY

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

Lab Data:

Allergies:

Symptoms: DOSE 1: hours post vaccination. 14th hour: low fever 100F with chills. 30 -hours: high fever 104.2F for continued for 6-8 hrs. reduced after intense cold water sponging. Full recovery post 60hrs DOSE 2: 1PM Thursday: got me second shot 12.45AM Friday: onset of high temperature 105.3F for 3hrs (reduced after intense ice water sponging), vomited twice. 3.30AM Friday: chills and excessive sweating Friday morning to Saturday all day low fever with chills, mild headache, tiredness and body pains. Sunday-Monday: mild headache, loss of taste, onset of cough. Tuesday-till date: mild loss of taste

Other Meds:

Current Illness:

ID: 1002379
Sex: F
Age: 52
State:

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

Lab Data: mammogram 2 weeks after shot resulted in an ultrasound and then biopsy - only to be told that the lymph node was "reactive" from the Maderna vaccine

Allergies: Sulfa, Amoxicillin

Symptoms: immediate severe headache, BP spiked within 20 minutes to 210/110, lasted for approx 48 hours, had 2nd shot 02/03/21 and no reactions yet

Other Meds: Plavix, aspirin, carvedloil, prilosec, crestor, rapatha

Current Illness:

ID: 1002380
Sex: F
Age: 74
State: GA

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

Lab Data: After the initial weekend, the effects were wearing off so did not see my doctor.

Allergies: Penecillin - purfume - smoke

Symptoms: By 1/21/21 fatigue, headache, low grade fever, and sore in right arm around the area of shot with pain in all upper right quadrant of my body. - On 1/22/21 the fatigue, headache, low grade fever (99 - 100.4), and serious pain in upper right quadrant of whole body. 1/23/21 fatigue until mid-day, no fever, no headache, body ache continued to lesser degree Aches went away in by following Saturday

Other Meds: Lexapro - Crestor - Citracal Slo-release

Current Illness: none

ID: 1002381
Sex: F
Age: 23
State: KS

Vax Date: 01/05/2021
Onset Date: 01/16/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: Amoxicillin

Symptoms: First vaccine given 1/5/2021: sore arm 48hrs post injection. blisters that formed on palms of hands, legs, forearms, and tops of feet starting the morning of 1/16/2021 that started to shrink in size 1/26/2021. Second vaccine given 2/2/2021: sore arm 24 hrs post vaccine. Migraine, cold sweats, nausea, fatigue, and body aches that started 2/2/2021 @4:50pm and lasted 36 hours post injection. Blisters have started to resurface as of 2/4/2021

Other Meds:

Current Illness:

ID: 1002382
Sex: F
Age: 66
State:

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

Lab Data:

Allergies: penicillin

Symptoms: Awaken at night with very sore arm and a headache. Took a 500mg Tylenol and was able to go back to sleep. Headache resolved the next morning. Sore arm resolved in about 2 days

Other Meds:

Current Illness:

ID: 1002383
Sex: M
Age: 75
State: IN

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

Lab Data:

Allergies: None relevant

Symptoms: Soreness at injection site starting a couple hours after the injection. Soreness continued for a day and then gradually decreased. Now (3 days after injection) it is sore when touched, but not painful otherwise. After a day the soreness did not interfere with normal activity including splitting wood. Other than that there were no noticeable side effects except that I might have been a little sleepier that than normal. (Answer to question 20 should be "mostly".

Other Meds: None

Current Illness: None

ID: 1002384
Sex: M
Age: 84
State: WI

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

Lab Data:

Allergies: Unknown

Symptoms: Vaccine was given approximately at 1130. Patient was sitting in the waiting are for the 15 minute waiting period. At 1145 he stated he was getting up to leave and was putting on his jacket and "tripped" over it. He fell to his knees. Writer did not witness fall but he states that he did not hit his head and bystanders confirmed this. He was able to get up with assistance. He reported dizziness that started a few minutes after the vaccine. His heart rate was 97. Blood pressure was 152/88 at 11:50 AM and 148/80 at 12 PM. He states he had not yet eaten that day. At 12 PM he states he was feeling better. Denied dizziness, pain, nausea, palpitations, weakness. Hand strength equal. No facial drooping, clear speech. He was able to stand with no dizziness. He was able to put his coat on without assistance. I monitored him walking the length of the facility and out to his vehicle where he was able to get in with no assistance. He was advised to follow up with his doctor regarding elevated blood pressure and fall.

Other Meds: Unknown

Current Illness: Unknown

ID: 1002385
Sex: F
Age: 38
State: OR

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

Lab Data:

Allergies: Unknown

Symptoms: 0800 "dizzy & light-headed" 0807 "still dizzy" 0812 "I feel better". BP 134/80, HR 100.

Other Meds: Unknown

Current Illness: Unknown

ID: 1002386
Sex: F
Age: 44
State: IL

Vax Date: 01/27/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: 2/2: MRI, CBC, CMP - all normal

Allergies:

Symptoms: On 2/2 developed a R sided migraine that was worse in severity than her typical migraines with paresthesias in left arm and leg.

Other Meds:

Current Illness:

ID: 1002387
Sex: F
Age: 81
State: MD

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

Lab Data: Lab work, CXR, EKG

Allergies: asa, atorvastatin, bees, bentyl, codeine, cyclobenzarpine, erythromycin, contrast media, iodine, ipratropium bromide, NSAIDS, olmesartan, pCN, risedronate, telmisartan, tetracyclin

Symptoms: Got 1st covid vaccine 2/2/2021. Stayed at site for > 45 minutes. Was ok so she went home. Later that afternoon at 430 pm she was feeling short of breath. Not unusual for her, she has COPD. Nose plugged up. Thought the feeling would go away. Did not sleep well last night. Speaking in full sentences. Took her ventolin last night, did very little and then nebulizer last night. Did another nebulizer treatment this am. States breathing is "crappy". Went to ED on 2/3/2021

Other Meds: albuterol, calcium, epinephrine, flovent, hydroxyzine, losartan, tolvaptan (Samsca), florastor, peppermint

Current Illness:

ID: 1002388
Sex: F
Age: 58
State: WV

Vax Date: 01/13/2021
Onset Date: 01/25/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Sulfate

Symptoms: Arm was extremely sore the night of the injection but wore off. About a week and half after the injection my left arm started itching extremely bad and broke out in a rash. I applied Hydrocortisone Cream to the area several times a day. This went on for about a week and left. I've had no further problems than the arm itching very badly and rash where the injection site was.

Other Meds: Levothyroxine 25mg ; Premarin 0.45mg ; Triamterene HCTZ37.5 25mg ; Dexilant 60mg ; Gabapentin 600mg

Current Illness: Gerd, spinal stenosis, radiculopathy, thyroid disease

ID: 1002389
Sex: F
Age: 68
State: CA

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

Lab Data: None.

Allergies: Sulfa, adhesives, vaccines made with eggs

Symptoms: Post injection x 11 days, I awoke to find a quarter-size dark pink circle on my left arm, at the injection site. It was not painful, itchy or raised, but it did palpate feeling like a hard nodule below the surface. I contacted my primary physician, but she wasn't available. On day 2 of the reaction, the size of the reddened area had increased in size. My physician suggested I contact a dermatologist. On day 3, a second adjacent area appeared, but larger in size than the first. I did not hear back from my dermatologist. I took a benadryl before bedtime, but awoke on morning 4 (today) to find the two areas and coalesced and have become itchy. I will contact a physician friend for advice.

Other Meds: Levothyroxine, Estradial, multivitamins, multiminerals, including Calcium, digestive aid

Current Illness: herpes outbreak

ID: 1002390
Sex: F
Age: 83
State: GA

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

Lab Data: none

Allergies: history of allergy to allergy shots

Symptoms: 2:30pm Received 1st dose of Moderna. Hx of SOB/swelling with allergy shots. 2:45pm c/o itching around lips. VS BP 166/19 P 90 o2 sat 97% RA, alert, ambulatory. 2:50pm Benadryl 50 mg IM stat LGM. 2:55pm BP 171/71 P 90 O2 sat 98% RA, reports itching resolved. 3:00pm BP 147/88 P 87 O2 sat 97% RA. 3:15pm ambulatory, but became unsteady, sat in chair. 3:19pm BP 153/75 P 77 3:24pm BP 148/78 P 80 3:25pm ambulatory to truck. 3:28pm husband returned to clinic to report wife's rash. Instructed to go to ER. Report called to ER. 01/21/21. F/U call. Pt reports observed in ER, no treatment. Instructed to take Benadryl 50 mg po bid x 2 days. No further problems.

Other Meds:

Current Illness: none

ID: 1002391
Sex: F
Age: 31
State: CA

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

Lab Data:

Allergies:

Symptoms: cold tight chest flu like symptoms nausea

Other Meds:

Current Illness:

ID: 1002392
Sex: F
Age: 38
State:

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Circular bruise on the injection site. Started as big, hard lump, painful to touch for 1 week. Hard lump resolved after 2 weeks but still has residual black bruise up after almost 4 weeks. Will be getting my 2nd dose tomorrow after 4 weeks initial shot.

Other Meds: None

Current Illness: None

ID: 1002393
Sex: F
Age: 78
State: NY

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

Lab Data:

Allergies: Sulfa

Symptoms: I have extreme join and muscle pain, (shoulders, arms, hands, back, hips, knees, legs) so bad that I cannot sit or walk. I have a slight fever and headache.

Other Meds: labetalol, amlodopine, valsartan, prednisone, famotidine, vitamind D, vitamin C, Calcium

Current Illness: None

ID: 1002394
Sex: F
Age: 66
State: UT

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None. In bed and.out of commission.

Allergies: Latex Lortab

Symptoms: By 9 am the morning of the vaccination I was vommiting, had muscle aches and dizziness. During the next day 01/06/21 I experienced a fever, pronounced muscle pain, numbness and tingling in my extremities /face and diarrhea. It continued to get worse over the following 2 days and persisted.

Other Meds: Multi Vitamin Benedryl Tylenol

Current Illness: No

ID: 1002395
Sex: F
Age: 40
State: KY

Vax Date: 01/07/2021
Onset Date: 01/15/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: none

Allergies: shellfish allergy

Symptoms: Day 8 developed red rash to arm at injection site that worsened in size and continued until Day 10/11 and resolved completely. No itching or pain. I'm a physician so I just applied hydrocortisone cream and took benadryl.

Other Meds: Oral contreceptives B12 weekley oral

Current Illness: none

ID: 1002396
Sex: F
Age: 20
State: SC

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

Lab Data:

Allergies: n/a

Symptoms: A day prior to getting the second vaccine (1/31/2021) my left middle toe, and right toe became very painful to walk and move when I got out of bed. They were swollen and red (2/4/2021). They are slightly less swollen now, but still are swollen and at time painful to move.

Other Meds: Junel - Birth control pill

Current Illness: n/a

ID: 1002397
Sex: F
Age: 27
State: IN

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

Lab Data:

Allergies: Aloe

Symptoms: I had severe coldness, severe body aches where it hurt to move at all, severe vertigo to where just standing slowly made the room around me spin, severe migraine where it made my vision red, nausea and vomiting, fainting several times when attempting to go to the bathroom as slowly as possible, high fever of 101.9, swelling of the injection sight, and extreme fatigue

Other Meds: Zinc 3 days prior to receiving the vaccine

Current Illness: None

ID: 1002398
Sex: F
Age: 67
State: WA

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

Lab Data: None

Allergies: No

Symptoms: 042 L20A

Other Meds: Paxil, multi vitamin

Current Illness: No

ID: 1002399
Sex: F
Age: 66
State: MI

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

Lab Data:

Allergies: None

Symptoms: Chills, aches, 100.3 fever

Other Meds: Goli gummies, Centrum Silver multivitamin, Hair, skin and nail gummies

Current Illness: None

ID: 1002400
Sex: F
Age: 41
State: MO

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

Lab Data: NA

Allergies: Duricef

Symptoms: Itchy raised bumps appeared with red rash around area. Went away after about 10-15mins. Had about 7-8 @ a time. New ones appeared and went away for about 3 hours. Took a 25mg Benadryl tablet about a hour after started.

Other Meds: Women's Multi Vitamin

Current Illness: NA

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm