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: 1005282
Sex: M
Age: 74
State: NC

Vax Date: 01/22/2021
Onset Date: 01/26/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Red welt, more than 2 in diameter, around injection site, continues two weeks after vaccination.

Other Meds:

Current Illness:

ID: 1005283
Sex: F
Age: 65
State: KS

Vax Date: 01/27/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Round raised,swollen, warm to touch rash at site of injection

Other Meds: Thera tears, Omega 3,Tylenol

Current Illness: none

ID: 1005284
Sex: M
Age: 63
State: AZ

Vax Date: 01/23/2021
Onset Date: 01/31/2021
Rec V Date: 02/05/2021
Hospital: Y

Lab Data: CBC, CMP,

Allergies: No Known Food or Medication Allergies

Symptoms: Per patient report, he states he received the first dose of the COVID19 vaccine on 1/23/21. He began noticing sporadic arm twitching , jerking, and paralysis on 1/31/21. He went to urgent care who told him the vaccine may have hit a nerve and to come to ED if not improving. He states the symptoms worsened so he came to the ED for a full workup.

Other Meds: Unknown

Current Illness: HTN, HLD, new onset T2DM

ID: 1005285
Sex: F
Age: 17
State: FL

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vaccine administered to a minor.

Other Meds:

Current Illness:

ID: 1005286
Sex: M
Age: 63
State: ME

Vax Date: 01/27/2021
Onset Date: 01/31/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: Visual by Dermatology PA

Allergies:

Symptoms: Shingles diagnosed by dermatology today, 2-5-21

Other Meds: Telmisartan 80mq QD. Hydrochlorothiazide 25 mg QD, Omeprazole 20 mg QD.

Current Illness:

ID: 1005287
Sex: M
Age: 63
State: MA

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

Lab Data:

Allergies: None

Symptoms: Injected full dose of Pfizer vial (1.8 mL) into patient instead of correct dose (0.3 mL). Unknown adverse effects.

Other Meds:

Current Illness: None

ID: 1005288
Sex: F
Age: 36
State: IL

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

Lab Data:

Allergies: N/A

Symptoms: Moderna COVID?19 Vaccine EUA. Approximately 1 hour after the shot on Thursday, January 28th, the left side of my face was mildly numb from the eyebrow down to the jawline. On Friday, I felt the numbness behind my left ear and left jaw. On Saturday, I felt the numbness around my left ear and jaw. Monday, I went to an urgent care facility. The doctor recommended that I take Advil and apply a warm compress but the diagnosis was NOT Bell's palsy. He hypothesized my trigeminal nerve was triggered by something, not explicitly attributing it to the vaccine injection. Tuesday, I had soreness on the left side of my neck. Wednesday, my lymph node in my left armpit is sore. Thursday (2/4/21), I had soreness on the left side of my neck. Friday, I still have soreness on the left side of my neck and left upper chest area.

Other Meds: Junel FE oral contraception

Current Illness: N/A

ID: 1005289
Sex: F
Age: 51
State: TX

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

Lab Data:

Allergies:

Symptoms: Symptoms - ?body aches, chills, fever (Tmax 101.9). Patient took 1000 mg tylenol at 07:45. Temp 100.9 at time of call. Patient reports hx of lupus. Last day of work and shift ? next shift on Sunday (2/7)? Home remedies? - rest and tylenol Any improvement? - mild Recommendation? Patient reports she called MD on call at clinic and advised to contact vaccine support line for recommendations. Patient educated to contact PCP for further recommendations/medical advice, Patient verbalized back understanding. Patient educated to continue to monitor symptoms at home and to take Tylenol as directed in the Medical Directive and to increase fluid intake. Patient educated to manage her symptoms and to adhere to the Illness in the Workplace Policy. Patient verbalized back understanding and denied further questions at this time.

Other Meds:

Current Illness:

ID: 1005290
Sex: F
Age: 40
State: ND

Vax Date: 12/22/2020
Onset Date: 01/01/2021
Rec V Date: 02/05/2021
Hospital: Y

Lab Data: Eeg, cat, mri, all normal. Full lab run up showed magnesium borderline low, blood sugars were extremely high despite not eating for prior 3 days (over 300), lactic acid levels were high. All other reportings were normal. Drug tests show no drugs in my system aside from prescribed. Covid test negative.

Allergies: Pennicillin, bupropion, azthromycin, estrodial, Celebrex, tramadol, trazadone, fluconazole, metformin, adhesives

Symptoms: On Jan 1st-3rd felt so tired I couldn?t get out of bed. Slept almost 24 hours a day. Morning of Jan 3rd I had a seizure. I have no memory following the next 36 hours. Spent 3 days in the hospital. Cause as yet I know. EEG during hospital stay and again on Jan 29th showed no unusual activity. Mri and CAT showed nothing abnormal.

Other Meds: Clonidine, Effexor, risperdone, lorazepam, lyrica, phentermine, glimepiride, metropolol, soma, victoza, lipitor

Current Illness:

ID: 1005291
Sex: M
Age: 36
State: CA

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: UKDA

Symptoms: Error: Booster Given Too Early

Other Meds:

Current Illness:

ID: 1005292
Sex: F
Age: 48
State: CA

Vax Date: 01/31/2021
Onset Date: 01/31/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: Went to urgent cares with hives and heat with tingly and pinching all over my body.

Allergies: Penicillins, Codeine, sulfa and Keflex

Symptoms: Started feeling tingly and pins and needles then hives on my stomach. The next had a raising heart where it threw me into a panic attack. Hives and tingly got progressively worse throughout the week.

Other Meds: Protonix, Singulair, Toprol XL, Zyrtec and Xanax

Current Illness: Respiratory Allergies

ID: 1005293
Sex: F
Age:
State: PR

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: At night I started feeling chills, headache and pain on my left arm returned. Not only at the injection site, but the whole arm hurts. It lasted for about 3 days. Now I just have a little bit of the swollen lymph node on my left underarm from the 1st dose.

Other Meds:

Current Illness:

ID: 1005294
Sex: F
Age: 76
State: FL

Vax Date: 01/13/2021
Onset Date: 01/19/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: Mercuricom & Penicillin

Symptoms: Itching was first thing. At site, swollen and red. I began to take Benadryl 2 times per day for 3 days. Normal after that time.

Other Meds: Levothyroxine 75 mcg, , Caltrate 600 +D3, B Complex, Centrum Silver, D3. 81 mg Aspirin (night only)

Current Illness: None

ID: 1005295
Sex: F
Age: 79
State: NC

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

Lab Data:

Allergies: n/a

Symptoms: swelling, redness, tenderness at site of shot. Red face and warm forehead, no thermometer to check but believe slightly elevated temp. Later, circa 9AM, face redness and warm disappeared. Otherwise feels good.

Other Meds: Cholestryamine 4GM POW 2x/da; Anastrozole 1mg 1x/da; RECLAST infusion 1x/yr; Vit D 25mg 2ea 1x/da; Tums 750mg 3ea 3x/da; Vit B-12, 1000mcg 1x/da

Current Illness: n/a

ID: 1005296
Sex: M
Age: 85
State:

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

Lab Data:

Allergies:

Symptoms: Pre-filled syringes of Moderna sent in the wrong syringe and administered. Dose should be administered intramuscular, but dose of vaccine administered via subcutaneous syringe and not via intramuscular syringe.

Other Meds:

Current Illness:

ID: 1005297
Sex: F
Age: 77
State: FL

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: Seasonal grasses, Aleve

Symptoms: Small dime-sized bump at injection site next day (January 27, 2021) after injection has grown to 2" diameter ten days later, Friday, February 5, 2021. Severe itching at injection site for approximately four days.

Other Meds: Omeprozole 20mg, Vitamin D3, 2000 mg, Xyzal, Prolia (by injection, last on October 3, 2020) Tylenol

Current Illness: None

ID: 1005298
Sex: M
Age: 76
State: TN

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Don't know if related to shot or not. Friday night 11:50 pm woke up from sleep with upset stomach. Took two rolaids and set on toliet in case I needed to throw up or had dirarerra. Nothing happened so 30 minutes later took acid reducer pill and went back to bed. Saturday morning pooped and it was black. Extremely tired all day and about 11:00pm again got an upset stomach. Threw up dark red liquid and had dirarerra and it was black. Sunday again extremely tired and drank lots of water and avoided alcohol drinks. (Had drank some beer on Friday and Saturday.) Poop still black but no upset stomach. Monday felt much better and poop became more brown. By Tuesday I felt back to normal.

Other Meds: lisinopril, atorvastatin, metformin, low dose aspirin, multi-vitamin, benedryll

Current Illness: None known

ID: 1005299
Sex: F
Age: 32
State: MA

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

Lab Data:

Allergies: Ceclor, cats dogs, pollen

Symptoms: sore arm, red/warm to the touch

Other Meds: Zyrtec, Vitamin D, zinc

Current Illness:

ID: 1005300
Sex: F
Age: 75
State: TN

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

Lab Data: NA

Allergies: NA

Symptoms: Adverse symptoms after 2nd dose: Muscular aches/pains, chills, slight nausea, fatigue, slight pain-injection site.

Other Meds: Simvastatin/20mg/1x; Levothyroxine/75mcg/1X; Myrbetriq/50mcg/1x

Current Illness: NA

Date Died: 02/01/2021

ID: 1005301
Sex: F
Age: 88
State: KY

Vax Date: 01/26/2021
Onset Date: 02/01/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Patient tested positive for COVID-19 on 1/8/21. She demonstrated a decline in appetite and the ability to feed herself d/t this illness, but no respiratory or other symptoms. She received COVID-19 vaccine #2 on 1/26/21. She demonstrated an SDTI wound to the Lt. heel on 1/27/21. On 1/31/21 she was noted to have a significant weight loss. She was admitted to services on 2/1/21 with comfort care orders. On 2/2/21 she was observed to be without vital signs. Orders were for DNR, and CPR was not initiated in accordance with that order. She was pronounced dead at 0112 on 2/1/21.

Other Meds: Vitamin B-12

Current Illness: COVID-19

ID: 1005302
Sex: F
Age: 54
State:

Vax Date: 01/31/2021
Onset Date: 01/31/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: No allergies to food or medications. Allergies to cats, dogs, mold, mites and has had allergy shots in the past for cats.

Symptoms: Patient reports with 1st shot had arm pain described as mild and not interfering with daily activities. Patient reports with second shot, within 5 hours had arm pain, malaise, headache, and nausea. At 7 hours symptoms increased in severity limiting activity. Also had chills and body aches. Unable to sleep overnight, felt feverish. On day 2 had difficulty working due to migraine headache, unrelieved by migraine medication. On day 3 migraine remained present but was less severe, modifications needed to continue working. On day 4 had worse migraine and nausea, unable to work. Developed itchy blisters, at least 12 to inner thighs, also on belly and back. Took OTC allergy medication, no worsening or additional spread of blisters following this.

Other Meds:

Current Illness:

ID: 1005303
Sex: F
Age: 68
State: WI

Vax Date: 01/29/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: Physician confirmed and diagnosed.

Allergies: Amoxicillin

Symptoms: Shingles Rash, started on Valacyclovir 1 gram, PO, TID

Other Meds: Aspirin, atorvastatin, Vitamin D3, Fluoxetine, Hydrocholorthiazide, Lisinopril, Metoprolol,

Current Illness:

ID: 1005304
Sex: F
Age: 35
State: PA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital: Y

Lab Data: CBC/CMP TROPONIN

Allergies: mango keflex sulfa

Symptoms: Began shaking and face tingling 6 minutes after shot, started to feel slightly better. 10 minutes after shot, neck became red, red welts appeared on bilateral upper arms. took 25mg of po benadryl at my desk. 25 minutes after shot felt hot, dizzy, arms and legs tingling, breathless, limbs went numb, rushed to ER via wheelchair. Treated in er for anaphylaxis. Arms and legs felt covered in "icy hot," tachycardia for several hours, numerous times felt impending doom. hospitalized overnight on cardiac monitor. ER gave steroids, benadryl, pepcid, 2L ivf. ativan given later in evening for nervousness.

Other Meds: fish oil daily

Current Illness: none

ID: 1005305
Sex: M
Age: 57
State: NM

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: n/a

Allergies: Penicillin allergy

Symptoms: Intermittent itching and rash starting the day after receiving the vaccine. No shortness of breath, wheezing, lip/tongue swelling, vomiting, or diarrhea.

Other Meds: Hypertension medication

Current Illness: unk

ID: 1005306
Sex: F
Age: 42
State:

Vax Date: 01/03/2021
Onset Date: 01/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: First dose Moderna given 1/3/2021 @ 1700 hrs. Developed acute headache with N/V ~ 12 hrs later prompting ED E&M. Since no past h/o headaches, imaging completed (mucous retention cyst of maxillary sinus) - labs & ECG unremarkable. Treated with IV fl,uids,

Other Meds:

Current Illness:

ID: 1005307
Sex: F
Age: 59
State: AK

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

Lab Data: none

Allergies: Sulfa

Symptoms: Warmth, redness, itching and nerve tingling on the left side of the face. Started about 90 min after the injection. Symptoms resolved after taking two Benadryl and sleeping. Most were gone by about 4 PM.

Other Meds: Venlafexine, pramapexole, metformin, ozempic, Vit D, iron, multi vitamin, magnesium, timolol, latanoprost

Current Illness: None

ID: 1005308
Sex: F
Age: 45
State: TX

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

Lab Data:

Allergies: Toradol, mold, dust, grasses, trees.

Symptoms: Soreness in arm shortly following, by 9 pm chills and body aches. Throughout night chills, aches, tightness in chest. The following by morning (2/5) at about 9 and 10 am, BP elevated (129/93) and heart rate between 120-122, persistent tightness in chest that sometimes causes slight cough. Fatigued.

Other Meds: Blood pressure & thyroid meds Allergy meds Iron pill

Current Illness: Anemia High BP Thyroid disorder

ID: 1005309
Sex: F
Age: 30
State: NH

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: no

Allergies: tree nuts

Symptoms: 24 hours after vaccine I started feeling bad. Body ache, chills itching and swelling at injection site. My fever went to 99.8. I called my mid wife and I was abole to get the temp down naturally. I did not start feeling better until 1/31.

Other Meds: Prenatal Vitamins

Current Illness: no

ID: 1005310
Sex: F
Age: 47
State: MA

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: none

Allergies: NKA

Symptoms: ONset 3 AM post vaccination: rigors, fever up tp 102F, severe HA, body aches, fatigue injection site pain, edema and erythema. Ongoing for the next 24 hours without improvement, then improved on day 2 post vaccination. Afebrile on day 3 post vaccination, with resolution of all symptoms but fatigue, mild injection site pain and erythema, and intermittent HA (mild-moderate).

Other Meds: Citalopram 20mg QD

Current Illness: febrile non covid illness onset 12/23/20-12/27/21

ID: 1005311
Sex: F
Age: 40
State: KY

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

Lab Data: na

Allergies: Cats, certain spices, environmental

Symptoms: Top lip tingling, swelling, itching all over body, rapid heart rate, throat felt "thick" had to keep clearing throat or drinking

Other Meds: Zyrtec, Singulair, HCTZ, Vit C, Vitamin D3, Zinc, magnesium, B vitamins

Current Illness: none

ID: 1005312
Sex: F
Age: 39
State: MD

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

Lab Data: N/A

Allergies: Avocados

Symptoms: Patient described some swelling and tingling in her injection arm. Patient denied any pain or redness in the injection arm. Patient denied any trouble breathing, chest pain or any other symptoms besides the tingling and swelling. Patient denied any required treatment or transport to the hospital.

Other Meds: Levoxyl,Multi vitamin, selenium

Current Illness: N/A

ID: 1005313
Sex: F
Age: 49
State: IN

Vax Date: 01/29/2021
Onset Date: 01/31/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: swollen lymph nodes under left injection arm

Other Meds: sea moss, turmeric root, ginger root, vitamin c, ibuprofen

Current Illness: none

ID: 1005314
Sex: F
Age: 61
State: CT

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: none

Allergies: NKA

Symptoms: Almost daily morning headache, mostly frontal, 1-3/10 in severity. Usually improves 2-3 hours after waking up. Relieved with acetominophine. Dull, aching. No other symptoms except heaviness and tenderness over injection site.

Other Meds: Losartan, potassium, eletriptan prn, scotraline,

Current Illness: none

ID: 1005315
Sex: M
Age: 87
State: LA

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

Lab Data: EKG 12-Lead @ 0948 Chest X-ray @ 0948 BMP CMP Glucose @ 0931 = 135

Allergies: gabapentin pregabalin ACEI iodine pravastatin sulfa antibiotics

Symptoms: Patient was leaving the 15 minute post-vaccine monitoring area approximately 40 minutes after vaccine administration (administration of second dose at 08:42, rapid response called at 09:21). He became pale, lethargic, diaphoretic, incontinent of urine, and collapsed onto his walker. A rapid response was called. Blood pressure on arrival by team was 50's/30's, and fluid resuscitation with 0.9% sodium chloride 500 mL was initiated while in transit to the ED. Approximately 20 minutes later the patient's had stabilized but remained appropriately alert.

Other Meds: amlodipine 5 mg daily, ezetimibe 10 mg daily, fenofibrate 54 mg daily, furosemide 20 mg daily, isosorbide mononitrate 24 hr tab 30 mg daily, latanoprost 0.005% opthalmic each eye nightly, meloxicam 7.5 mg BID, metoprolol tartrate 50 mg

Current Illness: N/A

ID: 1005316
Sex: F
Age: 74
State: NY

Vax Date: 01/26/2021
Onset Date: 01/31/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: So far none. I have not yet contacted my doctor.

Allergies: None Known

Symptoms: Minor Arm soreness , as expected for 2 days. On the 5th day a 4x4 inch area covering the vaccine sight became red, like a bad sunburn and itched. The itchiness extended into my scalp area and followed around to the left side of my lower jaw. The redness has lessened. the itchiness remains, but is a little less intense.

Other Meds: Amlodipine, tab, 5mg, once a day Metoprolol, tab, 50 mg, once a day

Current Illness: None

ID: 1005317
Sex: M
Age: 51
State: IL

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

Lab Data:

Allergies: NKDA

Symptoms: temp at 8AM: 100.0: PRN Tylenol admin

Other Meds: MVI VIT B 12 1000MCG

Current Illness: NA

ID: 1005318
Sex: F
Age: 63
State: MN

Vax Date: 01/20/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: none

Allergies: sulfa, tofranil, environmental allergies

Symptoms: COVID 19 Severe rash on upper left arm starting 14 days after vaccine administration. very mildly itchy

Other Meds: Crestor Metformin Prozac Areds

Current Illness: none

ID: 1005319
Sex: F
Age: 55
State: AR

Vax Date: 12/16/2020
Onset Date: 12/20/2020
Rec V Date: 02/05/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: A few days after the vaccination I woke up in the night with severe congestion and a feeling of needing to cough. My body way aching so bad it felt as if I had been hit by a truck. Secretion begin to run from my nose and had a horrible cough. I took cough meds and laid back down but my body was so still so achy all over. The next morning I was fatigued and sluggish causing me to have to lay around the house. I took another dose of cough syrup. The symptoms lasted about 3 days and dimished on its own with no more symptoms afterwards.

Other Meds: Ambien CR 5mg, Galopitin 300mg, Flexoril 10mg., Lexipro

Current Illness: no

ID: 1005320
Sex: F
Age: 56
State: MA

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: covid test on day 5 to return to work.

Allergies: Bactrim, contrast dye

Symptoms: Fever of 102.1 on the following day, along with nausea, photosensitivity, body aches. red swollen injection site, which on day 3 required visit with PCP and dix with cellulitis. Red,(4inches by 4.5in) ,hot swollen, itchy. given rx for Keflex. felt well on day 5.

Other Meds: Zetia, lisinopril, welbutrin, metformin, Vit D, senekot, magnesium, fish oil, flonase, allegra

Current Illness: none

ID: 1005322
Sex: M
Age: 79
State: VA

Vax Date: 01/29/2021
Onset Date: 02/01/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: NKDA, No known allergies to foods or other products

Symptoms: 48 hours after vaccination, patient developed right sided facial droop, excessive tearing in right eye, inability to close right eye fully, inability to raise right eyebrow. Patient advised to not take 2nd vaccine dose. He was given oral corticosteroid prescription and advised to use eye lubrication ointment frequently and wear eye patch at night. He was advised to see Ophthalmologist to make sure no injury to cornea since he is unable to fully close eye and potential for eye drying at night when sleeping.

Other Meds: Aspirin, Gemfibrozil, Glipizide XL, Tylenol

Current Illness: None other than chronic illnesses

ID: 1005325
Sex: M
Age: 68
State:

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Dizziness Headache Diarrhea, Nausea, Vomiting Use of prescription medication

Other Meds:

Current Illness:

ID: 1005326
Sex: M
Age:
State:

Vax Date:
Onset Date: 09/08/2020
Rec V Date: 02/05/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: ANAPHYLAXIS

Other Meds:

Current Illness:

ID: 1005327
Sex: F
Age: 45
State: AR

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

Lab Data: NONE

Allergies: NONE

Symptoms: BODY ACHES, NAUSEA, DIARRHEA

Other Meds: NONE

Current Illness: NONE

ID: 1005328
Sex: F
Age: 73
State: SC

Vax Date: 01/27/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: 1/27/2021 - Arm pain the first 30 hours, then all okay. On Feb 4, N/A8 days later, felt like a knot in location of shot, red , warm to the touch, itchy and pain.

Other Meds: Glimepiride 2MG Tab, Atorvastatin 40MG Tab, Losartan/HCTZ 100-25MG Tab, Gabapentin 300MG Cap, Os-CAL Calcium+D3

Current Illness: N/A

ID: 1005331
Sex: F
Age: 36
State:

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

Lab Data:

Allergies:

Symptoms: Pre-filled syringes sent in the wrong needle. Dose must be administered intramuscular and dose was administered via subcutaneous needle.

Other Meds:

Current Illness:

ID: 1005332
Sex: F
Age: 69
State: KS

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

Lab Data: None

Allergies: Unknown

Symptoms: Rec'd Moderna as second COVID-19 dose, should have rec'd Pfizer. No adverse reaction.

Other Meds: Unknown

Current Illness: Unknown one month prior - No illness at time of vaccination

ID: 1005333
Sex: F
Age: 44
State: CA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Stayed home with fever and body aches first day. Second day radiating pain in arm, back, left shoulder, arm pit and under rib cage. Itching and could not sleep. Can touch, turn or sleep on her left side.

Other Meds:

Current Illness:

ID: 1005334
Sex: M
Age: 39
State: NC

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

Lab Data: Blood glucose - 91 and EKG-NSR Heart Rate increased from 42 to 81 during event.

Allergies: None

Symptoms: Pt. had syncopial episode, diaphoretic, bradycardiac, and hypotension.

Other Meds: Levothyroxine

Current Illness: None

ID: 1005335
Sex: M
Age: 45
State: IN

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Extreme Fatigue Dizziness Fever, body aches Tingling, and numbness to the injected arm (right) Severe headache

Other Meds: None

Current Illness: None

ID: 1005336
Sex: U
Age:
State: NY

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

Lab Data:

Allergies:

Symptoms: experienced injection site pain; This case was reported by a physician and described the occurrence of injection site pain in a adult patient who received Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient received Shingrix. On an unknown date, unknown after receiving Shingrix, the patient experienced injection site pain. On an unknown date, the outcome of the injection site pain was unknown. It was unknown if the reporter considered the injection site pain to be related to Shingrix. Additional details were provided as follows: Age group was consider as adult as per vaccine indication. Doctor stated that a patient experienced injection site pain. The reporter consented to follow up.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm