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: 1002751
Sex: F
Age: 46
State: GA

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: On 1/5/2021 I started having pain on the vaccine site, It was red & swollen & it kept getting more swollen throughout the day. It was hot to the touch & it was slightly itchy. It lasted about 4 days. I seen my doctor on 1/5/2021 & he proscribed me antibiotics.

Other Meds: No

Current Illness: No

ID: 1002752
Sex: F
Age: 53
State: KS

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

Lab Data:

Allergies: sheep and goat food allergies

Symptoms: first shot my arms and neck muscles went numb for several hours Second time my legs were in severe pain and hard to make move-could barely walk. This lasted for about 8 hours. I had a small fever, my left leg and ankle swelled for several days and hurt mildly. I had a rash on my neck and body. I had fatigue like theonset of a fibro attack both times but second shot was much worst than first.

Other Meds: hychlorizide, metphormine, lispronol, restatin, gabapentin, levothrozine, antihistimine, fish oil , women's vitamin, co q-10, Vitamin e, d, b , calcium, magnesium, glipizide, pantaprolalozle

Current Illness:

ID: 1002753
Sex: F
Age: 38
State: MA

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

Lab Data:

Allergies:

Symptoms: 6 hours after first vaccination patient developed generalized itching over the face, hair line, ears, feet and hands with an associated red rash in these locations.

Other Meds:

Current Illness:

ID: 1002754
Sex: F
Age: 41
State: UT

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

Lab Data:

Allergies:

Symptoms: fever (highest 100.8), severe muscle pain, joint pain, jaundice (I have Gilbert's sydrome), axillary and cervical lymphadenopathy on L side, headache, restless leg, nightmares

Other Meds:

Current Illness: chronic diarrhea

ID: 1002755
Sex: F
Age: 21
State: WA

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

Lab Data: unknown

Allergies: none listed

Symptoms: shortly after receiving vaccine client began to have seizure, RN and MD responded to car, family stated this was a normal petit mal seizure for client, family attempted to give client ativan but was unable, EMS called, arrived, MD suggested glucose level, Seizure improving, starting to listen to mother, EMS took over patient, stable, and transported

Other Meds: none listed

Current Illness: none listed

ID: 1002756
Sex: F
Age: 57
State: MA

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

Lab Data: None

Allergies: NKA

Symptoms: Approximately 8-10 hours post dose #2 Covid-19 Vaccine experienced headache, enlarged lymph under arm (resolved within 72 hours with ice pack use). chills, elevated temp of 102?. Severe back pain the following day (day 2). Took Motrin for good relief after 3 hours,

Other Meds: Tylenol before vaccination given. Motrin for side effects post vaccine day 2

Current Illness: Self report headache X2 days, 2 weeks post Dose #1. Does NOT usually get headaches.

ID: 1002757
Sex: M
Age: 45
State: MI

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

Lab Data: N/A

Allergies: N/A

Symptoms: Body/muscle aches, joint pain/stiffness, dizziness, runny nose, fatigue.

Other Meds: N/A

Current Illness: N/A

ID: 1002758
Sex: F
Age: 42
State: MD

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

Lab Data: CT of head, CBC, CMP, EKG

Allergies:

Symptoms: Developed severe headache with nausea and vomiting ~ 12 hrs after vaccine . Sent to ED: w/u negative for acute process, Given IVF and antiemetics, d/c'd to home . final dx was migraine with maxillary sinus mucous cyst. No sequala

Other Meds:

Current Illness: none

ID: 1002759
Sex: F
Age: 29
State:

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

Lab Data:

Allergies:

Symptoms: Day of vaccine Urticaria Left arm (at site of injection). Day 2 no symptoms, Day 3 Urticaria on face, Day 4(today, day EE is reporting) tingling of lips

Other Meds:

Current Illness:

ID: 1002760
Sex: F
Age: 39
State: AR

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

Lab Data: none

Allergies: almond milk

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA---At Approximately 1030 PM on 2/2/21 I began having muscle aches. 2/3/21 @ 0800Am temp was 100.7. Throughout the day 2/3/21 I had a temp of >99.7 but <101, muscle aches (1day) HA(1day) and a rash on the trunk area. The fever stopped at approximately 1100PM 2/3/21.

Other Meds: none

Current Illness: none

ID: 1002761
Sex: F
Age: 35
State: NJ

Vax Date: 01/23/2021
Onset Date: 01/31/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: no that I am aware

Symptoms: On Sunday, january 31, 2021 I feel itching where the vaccine was applied and I checked in there it was very red, The redness is been increasing in size and getting better about the itching. Today I have a black/brownish spot in there.

Other Meds: Collagen powder

Current Illness: no

ID: 1002762
Sex: M
Age: 42
State: CA

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

Lab Data:

Allergies:

Symptoms: Medication error 0.3ml was administered when 0.5ml was the recommended dose per manufacturer. Per CDC and the manufacturer no treatment, facility advised to follow up with 2nd dose of 0.5ml of Moderna 28 days post 1st dose administration.

Other Meds:

Current Illness:

ID: 1002763
Sex: F
Age: 59
State: PA

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: ultrasound on 1/14/21; plan was for ultrasound guided biopsy 1/22/21 but ultrasound noted reduction in size so did not do biopsy; scheduled for next ultrasound on 2/29/21 and radiologist stated that due to emerging evidence and recommendations for women with history of breast cancer/abnormal cells, ultrasounds should not be done for 4 weeks. Next ultrasound is scheduled for tomorrow 2/5/21.

Allergies: thimerosal

Symptoms: Due to my personal history of atypical cells in left breast, I had my routine annual MRI the day after my vaccine booster. the MRI noted two enlarged lymph nodes.

Other Meds: Amlodipine; protonix; crestor; zyrtec

Current Illness: ? episode of angioedema related to first vaccine 12/20/20

ID: 1002764
Sex: F
Age: 63
State: MI

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Severe headache, chills, joint pain began on 1/29/21 at 3:00pm The headache lasted for 24 hours. The chills lasted for 5 hours. The joint pain lasted for 24 hours. I went to bed and didn't get up until 1/30/21 at 9:30am other than to use the restroom. Ibuprofen did not help and I didn't have any Tylenol.

Other Meds: Fluoxetine HCL 10 mg 3 capsules in morning; Fish oil; GasX; Glucosamine HCI 2000 mg; Calcium 1200 mg + D3 1000 IU, Centrum Silver Women 50+

Current Illness:

ID: 1002765
Sex: F
Age: 48
State: MA

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

Lab Data:

Allergies:

Symptoms: Patient received first dose of Moderna on 1/29 at 09:00. Symptoms began around 17:00 and steadily progressed throughout the night. She had high fever (103), tachycardia and chills. She eventually blacked out and awoke to her husband saying that he called 911. She was transported to hospital around midnight, She spent 4-5 hours in the hospital and was released. Had a rebound bout with similar symptoms after she returned back home but not as severe and then symptoms subsided completely.

Other Meds:

Current Illness:

ID: 1002766
Sex: F
Age: 46
State: TX

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: Shellfish

Symptoms: Low-grade fever (no more than 100.5, ear) beginning approximately 24 hours after shot and lasted through evening. Self-resolving by morning of second full day (Friday).

Other Meds: None

Current Illness: None

ID: 1002767
Sex: F
Age: 58
State: NC

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

Lab Data:

Allergies: Patient has no known drug allergies. Has a history of asthma and envirnomental allergies. She has been on immunotherapy.

Symptoms: The patient stated that she received the vaccine and return to her area of work. Within 40 min she began to experience wheezing and shortness of breath. She then proceeded to our ER and was evaluated. She was given steroids and a breathing treatment as well as was discharge with a 7 day prednisone taper.

Other Meds: Patient takes asthma inhalers

Current Illness: None

ID: 1002768
Sex: F
Age: 61
State: NY

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

Lab Data: DID NOT SEEK MEDICAL HELP

Allergies: llequan, flagyyl

Symptoms: SEVERE FATIQUE(SLEPT 36 HRS-UP FOR ONE HOUR)-JOINT AND MUCLE ACHES, TEMP 101.8,- HEADACHE LARGE RAISED HOT REDDENED AREA BELOW INJECTION SITE LASTING 5 DAYS THEN VERY ITCHY FOR 3 DAYS

Other Meds: baby aspirin, multivit, dexilent, vyvance, focalin, lexapro, wellbutrin, ezetimibe, azelastine,

Current Illness:

ID: 1002769
Sex: F
Age: 33
State: OH

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: On day 7 after first dose of Moderna COVID vaccine, patient developed a red spot on her arm, below where shot was given. Area was from mid-upper arm down to elbow. States was about 6in x 2.5in. Describes as red, raised edges, and extremely itchy. This persisted for about 7 days. She did try applying lotion to the area without improvement. She began taking Zyrtec on day 5 and states was clear about 3 days later.

Other Meds:

Current Illness:

ID: 1002770
Sex: F
Age: 69
State: IN

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

Lab Data:

Allergies: Penicillin, codeine, cortisone, some adhesives

Symptoms: Fever, nausea..lasted 1night and 1 day

Other Meds:

Current Illness: Sinus problems but no infection

ID: 1002771
Sex: F
Age: 42
State: CA

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

Lab Data:

Allergies: None

Symptoms: Covid Arm rash

Other Meds: None

Current Illness: Mone

ID: 1002772
Sex: M
Age: 55
State: NJ

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

Lab Data: VSS

Allergies: Zinc

Symptoms: Patient presents to ED for evaluation of suspected allergic reaction. Patient was seen immediately upon arrival due to clinical status. Hemodynamically stable with suspected allergic reaction secondary to Covid vaccine. Patient was given Benadryl/Pepcid/prednisone. Patient was observed in the ED for period of 2 hours with near complete resolution of symptoms. Patient is comfortable with discharge home at this point. Will give the patient prescription for Benadryl and EpiPen if needed. Patient already has information for allergy/immunology and will follow up. Results of diagnostic testing and preliminary diagnosis discussed with patient and family members (if present) at the bedside who expressed understanding and agreed the plan of care. Patient will be discharged from the ER to follow up with primary care physician. The results of pertinent diagnostic studies and exam findings were discussed. The patient?s provisional diagnosis and plan of care were discussed with the patient and present family. Vitals are stable. Patient is alert and oriented, no acute distress and nontoxic appearing. Patient was given discharged instructions and all questions were answered. The patient and/or present family expressed understanding of the diagnosis and plan. The patient understands their need and responsibility to obtain additional follow-up as instructed. Strict return precautions were given to the patient. The risks of medications administered and prescribed were discussed with the patient and family present.

Other Meds:

Current Illness:

ID: 1002773
Sex: F
Age: 67
State: CA

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The next morning after receiving the vaccine the site at injection was sore. The arm starting to feel really hot to touch and a hard lump at the injection site about day 3. The soreness in my arm lasted for about 3 days. Then day 10 I showed my daughter who said it was a big red circle. It maybe about 4inches. Today day 13th it has increased in size and just as red. It is still hot. I am also been having hot flashes, but no fever when I checked my temperature. I have also had headaches, cough (yesterday). Is worried that the shot was administrator in the wrong place, I can still see the hole where the needle/injection was given as well.

Other Meds: I took Evenity, two shots one in each arm 5 days before receiving the vaccine. This was my first time ever receiving the Evenity. Omega 3 oil 750 MG daily, Ubiquinol fast acting CoQ10 100 MG day, Rosuvastatin 20 MG daily, Vitamin K2 180 M

Current Illness:

ID: 1002774
Sex: M
Age: 2
State: TX

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

Lab Data: none

Allergies: no known allergies

Symptoms: Patient's mother stated that her son developed some red bumps on left shoulder and neck. Patient was given 2.5 mL of Diphenhydramine. Patient was observed for 30 minutes after administration of medication. Patient did not experience any swelling or difficulty breathing before being discharged of clinic.

Other Meds: none

Current Illness: Acute Bronchiolitis Wheezing-associated respiratory infection

ID: 1002775
Sex: M
Age: 70
State: TX

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

Lab Data: None.

Allergies: None.

Symptoms: Symptoms began with 12 hours of injects. These include excruciating pain in muscles and joints, muscle cramping, headache, chills, and a temperature of 100 degrees. At its worse, I would say that it was far worse than any flu I have had in the past, and was worse than the second shingle shot that I received several months ago. The symptoms last for around 12 hours.

Other Meds: Plavix, Crestor, Cozaar, Levoxl

Current Illness: None.

ID: 1002776
Sex: F
Age: 25
State: FL

Vax Date: 12/21/2020
Onset Date: 12/28/2020
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I received my 1st Covid shot on 12/21/20 and was diagnosed with Covid on 12/28/20. The day prior to testing positive I had been notified that I had been in close contact with someone who had tested positive. I did not have any symptoms when I tested positive on 12/28/20 except for a headache later that night. The next day I felt fatigued and had nasal congestion. On 12/30/20, i noticed that I had lost my sense of smell and my sense of taste was altered. I also felt mild chest tightness however my o2 sats remained above 95%. The congestion and fatigue only lasted for two days and my sense of smell and taste had come back by 1/1/21. The chest tightness has persisted even now after testing negative but has diminished over time and occurs less frequently.

Other Meds:

Current Illness:

ID: 1002777
Sex: M
Age: 35
State: CA

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

Lab Data: General: Alert, oriented, NAD. Ambulating steady. Sitting upright in chair. Calm and cooperative. Well-appearing BP 128/70, 100%, 64 pulse, 16 resp HEENT: Head is Atraumatic; PER, anicteric sclera. Nares patent. Oral cavity is pink and moist. Neck: supple Heart: RRR without Murmur. Lungs: CTA in all fields. No wheezes, rales or rhonchi noted. Integument: Skin color is consistent with race, dry, warm and intact. Approx 7 cm x 5 cm area across clavicle - urticaria- traveling up neck. Nothing on rest of body. Extremities: No edema noted. Neuro: CN grossly intact. No tremor.

Allergies: No Known MedicationsAllergies

Symptoms: Patient reported developing rash and hot flashes couple hours after receiving Moderna Covid19 vaccine. No known sick contacts. Denied N/V, dizzy sensation, SOB, difficulty breathing, scratchy throat, cough.

Other Meds: None

Current Illness: Asthma

ID: 1002778
Sex: F
Age: 69
State: GA

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

Lab Data: none

Allergies: Dust pollen, mold, mildew

Symptoms: Sore arm first three days . Headache first morning after. Almost two weeks later soreness in arm returned. Red rash circling the vaccine area. Still experiencing symptoms after 6 days

Other Meds: pravastatin alprazolam Vitamin D3 Melatonin montelukast symbicort Fluoxetine Alpra

Current Illness: none

ID: 1002779
Sex: F
Age: 69
State: CA

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

Lab Data:

Allergies:

Symptoms: Mild Bell's Palsy

Other Meds:

Current Illness:

ID: 1002780
Sex: M
Age: 42
State: CA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: Rapid COVID test (-)

Allergies: None

Symptoms: Headache, fever, chills, body aches, nausea, vomiting

Other Meds: Atorvastatin; omeprazole; sumatriptan

Current Illness: Dyslipidemia; migraine; GERD

ID: 1002781
Sex: F
Age: 39
State: CO

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: Unknown

Allergies: Unknown

Symptoms: Received vaccine on 1/23/21 and has been experiencing fairly intense vertigo since 1/24/21

Other Meds: Unknown

Current Illness: Unknown

ID: 1002782
Sex: F
Age: 33
State: PA

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

Lab Data:

Allergies:

Symptoms: Difficulty breathing, reported tongue swelling, heart racing, felt abnormal

Other Meds:

Current Illness:

ID: 1002783
Sex: M
Age: 71
State: CO

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

Lab Data: None

Allergies: peaches, Diflucan, Iron

Symptoms: Headache and neck pressure

Other Meds: None

Current Illness: None

ID: 1002784
Sex: F
Age: 55
State: OK

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

Lab Data:

Allergies: Sulfa drugs

Symptoms: After an hour and a half to two hours after injection, I began to have an allergic reaction but it was slight. Cheeks turned red and under right eye was slightly swollen and slightly itchy it continued for about 45 min and then my feet and lower legs began to feel the same. The tops of my feet were red for approximately 10 min and then all symptoms subsided. No other problems afterwards

Other Meds: Metoprolol 25mg bid hair skin and nails gummies Estroven menopause supplement B-12 shot monthly

Current Illness: None

ID: 1002785
Sex: F
Age: 38
State: CO

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

Lab Data: none

Allergies: NONE

Symptoms: Received the vaccine at 11am on 01/23/2021, had nausea and fatigue all day, in the evening at 1130pm-12:30pm my symptoms got worse, with high fever of 102F, chills to the point my teeth chattered, joint pain, muscle aches, underarm pain, my hip/pelvic area hurt, felt like my ovaries were tearing, my back to the point I couldn't move much I was in bed all day on Sunday, with al the symptoms, had a little bit of hard time breathing too. I did take advil, tylenol and even al eve to help with the fever and aches, Missed half of day of work on Monday the 24th, started to get headaches even taking OTC NSAIDS with no relief, the aches lingered until Tuesday, but the headache was very sever until Thursday , to the point that I had to leave work on Weds, the headache was severe, similar to a Migraine . I felt a lot better by the weekend on 1/30/2021. I did have COVID in November and just felt like I had it allover again. this was my first dose

Other Meds: Aleve, Tylenol, Advil took after the vaccine

Current Illness: NONE Had COVID19 in November 9/2020

ID: 1002786
Sex: M
Age: 42
State: CA

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

Lab Data:

Allergies:

Symptoms: Medication error 0.3ml was administered when 0.5ml was the recommended dose per manufacturer. Per CDC and the manufacturer no treatment, facility advised to follow up with 2nd dose of 0.5ml of Moderna 28 days post 1st dose administration.

Other Meds:

Current Illness:

ID: 1002787
Sex: F
Age: 51
State: PA

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

Lab Data: None

Allergies: None

Symptoms: Numbness at left side of lip . Numbness almost like novicaine feeling at left cheek up towards left eye Tingling at back of the tongue

Other Meds: Estroven menopause relief and weight management herbals

Current Illness: None

ID: 1002788
Sex: F
Age: 49
State: NY

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

Lab Data:

Allergies: none

Symptoms: Difficulty swallowing, swollen uvula, rash in ~15-20 minutes Benadryl (self administered), Epinephrine & steroids (ED) 4 hours post epinephrine observation Headache, arm pain and lethargy the following day

Other Meds: Oral contraceptive, multivitamin

Current Illness: none

ID: 1002789
Sex: F
Age: 38
State: CA

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

Lab Data:

Allergies:

Symptoms: The arm that I had the injection is suddenly red. It looks like a hive. It's really red in the morning, fades in the afternoon and returns to red towards the end of the night. My face feels hot (no fever). I am really tired.

Other Meds:

Current Illness:

ID: 1002790
Sex: F
Age: 60
State:

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

Lab Data:

Allergies:

Symptoms: feeling itchy, pt given po Benadryl, symptoms resolved in 30 mins

Other Meds:

Current Illness:

ID: 1002791
Sex: F
Age: 80
State: FL

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

Lab Data: CBC/CMP (2/3/21): Improved H&H, mildly elevated BUN (31) EKG: Unremarkable

Allergies: Biaxin, Oxycodone

Symptoms: Within 15-minutes of vaccination, the patient reported dizziness and a heartburn sensation in her chest. EMS noted orthostatic hypotension in the field, systolic was in the 130s when sitting with a rapid drop to the 70s upon standing. Patient was transported to emergency department. In the ED, the patient reported having a dry mouth and having not eaten breakfast. Patient was administered IV fluids and noted improvement. Labs were unremarkable. Diagnosed with orthostatic hypotension secondary to dehydration, vasovagal episode, and GERD.

Other Meds: Pantoprazole, Levothyroxine, Duloxetine, Cholecalciferol, Multivitamin, Warfarin

Current Illness: Unknown

ID: 1002792
Sex: F
Age: 57
State: TX

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

Lab Data:

Allergies: Naproxen

Symptoms: Strong headache Strong pain in arm, back, shoulders Fever Chills Sweats Fatigue Started the night of the vaccination and it lasted until today 2/4/2021

Other Meds: Crestor Pantoprazole Citrucel Centrum

Current Illness: COVID 2/8/21

ID: 1002793
Sex: F
Age: 76
State: VA

Vax Date: 01/20/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: COVID vaccine 1/20/21

Allergies: Erythromycin, daypro,

Symptoms: Red/Hot area at injection site that started 2/3/21

Other Meds: Amlodopine, benazepril, atorvastatin, gabapentin, alprazolam, calcium +vitd 3, vitamin c, zinc, vitamin e, asa 81mg, acidophilus, omeprazole, nystatin oral suspension

Current Illness: None

ID: 1002794
Sex: M
Age: 47
State: AZ

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

Lab Data: None, called into work today. Feeling about 50% better.

Allergies: Dairy makes me gasy but otherwise none.

Symptoms: Muscle aches, fever of 102, got/cold feeling, loss of appetite, dry heaving, lethargic and sleepy, numnous in hands

Other Meds: I am vegan (dairy doesn't treat me well) and mostly gluten free. I take 40mg Vyvanse for ADD, Zyrtec, 5mg Celiais, inhaler for asthma as needed. I also take Omega 3, Vitains C, D, B. I also take Dayquil on bad allergy days.

Current Illness: None

ID: 1002795
Sex: F
Age: 69
State: AZ

Vax Date: 01/24/2021
Onset Date: 01/26/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: none

Allergies: nembutol

Symptoms: Hives 48hrs after patient received the vaccind

Other Meds: callcium vitd mult vitamins glucosamne fishoil bvitamin

Current Illness: none

ID: 1002796
Sex: F
Age: 87
State: WV

Vax Date: 12/26/2020
Onset Date: 01/30/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Resident received Covid vaccine Moderna on 12/26/26. Unknown to the facility. Resident received on 1/30/21 a Pfizer vaccine. The facility was notified on 2/1/21 by a local pharmacy that they needed to administer resident's 2nd vaccine. The facility had a signed consent from the resident's Medical Power of attorney that had no previous knowledge of resident receiving vaccine. Resident's vaccination card has since been located and received by the facility. The facility was advised by the board of pharmacy to consider vaccination complete and report to Vaers. The resident did not suffer any ill effects after vaccination.

Other Meds: Lumigan eye gtts,Celexa 10mg tab, metoprolol 25mg, Pepcid 20mg, Protonix 20mg, B12 2500mcg.

Current Illness: Major depressive order, Vit D deficiancy, Glaucoma,anxiety, GERD, Dysphagia,Hemiplegia following cerebral infarction

ID: 1002797
Sex: F
Age: 46
State: GA

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

Lab Data:

Allergies: No

Symptoms: Same day of vaccination day later on that night I started having chills, body aches, & fatigue. The next day on 1/26/2021 the fatigue got worst but the body aches & chills got better. On 1/27/2021 I recovered from the fatigue. Also on 1/26/2021 around mid day I also noticed that on the vaccine site it was swollen it was progressing every day. It was very painful, it was very warm, it was more red & slight itchiness. On 1/27/2021 It was the worst day everything increased more, the pain, the swollen, & redness. I took Benadryl & Zyrtec. On 1/28/2021 my symptoms got a lot better.

Other Meds: No

Current Illness: No

ID: 1002798
Sex: M
Age: 71
State: CA

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

Lab Data:

Allergies: none

Symptoms: Rash on arm at vaccination site. delayed cutaneous hypersensitivity

Other Meds: atorvastatin, aleve

Current Illness: none

ID: 1002799
Sex: M
Age: 49
State: RI

Vax Date: 01/08/2021
Onset Date: 01/22/2021
Rec V Date: 02/04/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: This patient was hospitalized and subsequently diagnosed with GBS or AIDP

Other Meds:

Current Illness:

ID: 1002800
Sex: F
Age: 69
State: SD

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

Lab Data: none

Allergies: codeine, 1,4-DIAMINOBENZENE, breo ellipta , triamcinolone, celestone, lidocaine

Symptoms: Patient given first dose of COVID19 (moderna) on 2/1/2021 when that night she experienced fevers, sweats, headaches, and body aches. Patient reports her fever broke on Tuesday night, early Wednesday morning. Has been more fatigued than usual but is feeling better overall. Patient did not take ibuprofen or tylenol d/t her warfarin medication.

Other Meds: Albuterol HFA, ASA, Calcium carbonate/ vitamin D3, cetirizine, Vit. D3, flecainide, fluticasone propionate, isosorbide mononitrate, metoprolol, Montelukast, pantoprazole, potassium, simvastatin, spironolactone, valacyclovir, warfarin

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm