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: 1005606
Sex: F
Age: 30
State: CA

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

Lab Data: None

Allergies: Penicillin, cephalosporins and sulfa

Symptoms: At approximately 0545 AM on 2/4/21, i started experiencing a severe pain/ tingling in my left arm by the administration site of the vaccine with a sudden pounding then contact headache with lightheaded ness . The pain and light headedness resolved around approximately 12pm. The headache lessen over the next 24-48 hours. Over the counter of Tylenol was taken along with NSAID later in the day.

Other Meds: levothyroxine 50 mcg, flonase

Current Illness: none

ID: 1005607
Sex: M
Age: 37
State: NJ

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

Lab Data:

Allergies: None

Symptoms: Restlessness and tiredness 8 hours after. Intense Chills 12 hours after injection with 5 minutes of uncontrollable shaking. Then still chills and insomnia. Fever that persisted over the next 36 hours. Responded well to Ibuprofen 400mg for 4.5 hours until symptoms returned. Began alternating with Acetominophen 650mg for better effect. Fever was highest (recorded) at 102.2 F 29 hours after injection. Woke up 40 hours from vaccine after a night of sleep and with reduced fever. Still going up and down a bit off any medication. Last reading 46 hours from vaccine 100.6, but two hours earlier was 99.4. I?ve also had nausea, exhaustion, and tiredness. Also cold symptoms which may be related to the slight cold I had the morning of the vaccination that I didn?t think was anything to worry about - my kid is in daycare and I feel like this for a large part of the winter! Thanks

Other Meds: Zoloft Wellbutrin Vitamin D Zyrtec

Current Illness: Runny nose, slightly scratchy throat

ID: 1005609
Sex: F
Age: 51
State: OH

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: 0

Symptoms: Body ache, fever, chills, headache, body sore. Couldn't move fast

Other Meds: 0

Current Illness: 0

ID: 1005610
Sex: M
Age: 26
State: IL

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

Lab Data: N/A

Allergies:

Symptoms: Pt had immediate syncopal episode lasting about 30 seconds as witnessed per staff.

Other Meds:

Current Illness:

ID: 1005611
Sex: F
Age:
State: FL

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

Lab Data: Contacted primary care provided and dermatologist ; Recommended to put cool compresses on the area

Allergies: no

Symptoms: pt. was red from the back of her neck all the way down, and the around the injection its red, hard, itching

Other Meds:

Current Illness:

ID: 1005612
Sex: F
Age: 31
State: CA

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

Lab Data: None

Allergies: none

Symptoms: Pt. felt dizzy, given water and saltine crackers and resolved after 5 minutes. 22 weeks pregnancy.

Other Meds: Prenatal Vitamins

Current Illness: none

ID: 1005614
Sex: F
Age: 44
State: PA

Vax Date: 01/08/2021
Onset Date: 01/31/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: 2 weeks after vaccination, increasing tingling in right arm radiating to back and sometimes to lower extremity. Intermittent dizziness. Symptoms are persistent, worsening and not relieved.

Other Meds: None

Current Illness: none

ID: 1005615
Sex: F
Age: 54
State: AZ

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

Lab Data: unknown

Allergies: unknown

Symptoms: shortly after receiving vaccination developed flushing/redness of neck and chest; consumed 10 mg of Loratidine. Was discharged to home from vaccination site 30 minutes later with improvement of symptoms.

Other Meds: ASA, Metaxalone, Metoprolol

Current Illness: unknown

ID: 1005616
Sex: M
Age: 41
State: GA

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 02/05/2021
Hospital: Y

Lab Data: UNKNOWN

Allergies: unknown

Symptoms: Stroke two days after vaccination, CVA hemorrhage, aneurysm (hospitalized ICU 08 January 2021, currently requires daily physical therapy and has walker to ambulate).

Other Meds: unknown

Current Illness: unknown

ID: 1005617
Sex: F
Age: 31
State: MA

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

Lab Data:

Allergies: Gluten intolerance; possibly Celiac's.

Symptoms: Eight days after the vaccine I developed a red, hot, swollen rash on my arm. It was tender to the touch. Within 2 days the rash had become larger and itchy. As of 2/5/21 the rash is still present and itchy, but the swelling and heat from the rash have gone down.

Other Meds: N/A

Current Illness: N/A

ID: 1005619
Sex: F
Age: 28
State: NY

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

Lab Data:

Allergies:

Symptoms: 101 fever with tylenol, severe arm pain, throbbing headache-sharp

Other Meds:

Current Illness:

ID: 1005620
Sex: F
Age: 25
State: CA

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 02/05/2021
Hospital:

Lab Data: COVID test - January 15, 2021 - negative

Allergies: Environmental allergies

Symptoms: About one hour after injection: I had a burning sensation in chest and throat and swelling feeling; I felt a bit of throat swelling. I got very tired about two hours after and arm pain. The throat and chest burning/swelling sensation slowly dissipated within an hour or so. Around 4 pm, I got pretty bad heartburn - very rare for me. Very distinct heartburn feeling; uncomfortable and that lasted about an hour. I had body aches at night time before I went to sleep. The next day I woke up feeling fine. One week later, I had another response. I had my throat start to swell again and this time it was worse. I had itchiness on my arm on the 6th night but I didn't really notice it but that seventh day, I realized there was a rash and itchiness in my arm. I had broken out all over my face - tiny pimples had broken out. I contacted an allergist - I was getting scared about my throat. The allergist said they had seen this a few times after the vaccine - told me to take Pepcid and Benadryl. I did that and that took away the feeling in my throat and made me feel better. I continued both those OT meds for 3 or 4 days. On fourth day, I started getting throat swelling again and the rash on my chest - these were more mild symptoms than earlier but I called the allergist and he advised I take Pepcid and and Zyrtec instead of Benadryl for three or four more days. That helped. After that I seemed to be good. On 13th of January - shortness of breath and chest pain. I spoke with Dr and got a COVID test. I had my inhaler at that point (I haven't had asthma in years and I had to take the inhaler a couple of different times throughout this time). 14th of January - Chest pain. 22nd of January - Chest Monday. On Monday, the 25th, I started taking - in advance of my second dose of Moderna- Zyrtec and Pepcid twice a day on the 25th; twice a day on the 26th - on morning of 26th, I took Zyrtec again an hour before the second dose of the Moderna vaccine. I got the 2nd dose on the 26th. (The days that I had chest pain - I took ibuprofen and that seemed to help.)

Other Meds: birth control; Vit D

Current Illness: no

ID: 1005621
Sex: F
Age: 60
State: VA

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

Lab Data: Unknown

Allergies: unknown

Symptoms: C/O tingling of left hand and ring finger approximately 30 minutes after receiving Moderna Vaccine #1.

Other Meds: unknown

Current Illness: unknown

ID: 1005622
Sex: F
Age: 33
State: CA

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

Lab Data: not applicaple

Allergies: No

Symptoms: Fatigue/malaise and brain fog-rating moderate (impacting work), lasting from 3:30pm 2/3. Woke up 2/4 with mild fatigue/malaise, went to work and around 11:30am fatigue went to moderate and felt moderate level of myalgias (ended work shift early). Stayed in bed the rest on 2/4; all symptoms ended/resolved upon waking at 7am 2/5. On 2/3 apx.2pm also mild R deltoid soreness; increased to moderate soreness when waking (6:30am) on 2/4. Resolved 2/5 9am.

Other Meds: OCPs (Chateal)

Current Illness: No

ID: 1005623
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Began to feel feverish at 9pm after the shot was administered. By 4am i felt terrible and had a fever. Left arm felt like it was repeatedly hit with a baseball bat. When i got home the entire shoulder was noticeably swollen. It 1226pm on 2/5/21 and i still have body aches, chills, and no energy. Had to call in sick to work last night due to the fever and body aches.

Other Meds:

Current Illness:

ID: 1005624
Sex: F
Age: 39
State: OH

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

Lab Data:

Allergies:

Symptoms: Headache, high fever, body aches, very sore arm, diarrhea

Other Meds:

Current Illness:

ID: 1005625
Sex: F
Age: 37
State: IL

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

Lab Data:

Allergies: None

Symptoms: Numbness on arm that received shot, up neck and on same side of face/head

Other Meds: Iron, b-complex vitamin

Current Illness: Na

ID: 1005626
Sex: F
Age: 77
State: SC

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

Lab Data: none

Allergies: aleve

Symptoms: dizziness 48 hours after injection

Other Meds: calcium, iron, losartan, lovastatin, oxybutynin, multi vitamin, pantoprazole, potassium chloride

Current Illness: none

ID: 1005627
Sex: F
Age: 64
State: MI

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

Lab Data: n/a

Allergies: Dairy, morphine, fentanyl, codeine, hydrocodone, sdemerol, tylenol, shellfish, watermelon, walnus, singulair.

Symptoms: Anaphylaxis - treated with epipen.

Other Meds: Centrum silver, fish oil, albuterol sulfate, levocetrizine dihydrochloride, fluticazone proprionate, prevacid, qvar, serevent diskus, xyzal, diflucan, ventolin, prednisone, maxalt, flonase, advair diskus, spironolactone, meloxicam, asmanex,

Current Illness: No problems

ID: 1005628
Sex: M
Age: 42
State: MI

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

Lab Data:

Allergies: topical chlorhexadine

Symptoms: I didn't have any symptoms all day, then I woke up at 1:30AM with my left arm (injection site) hurting and swollen and I was violently shaking. Hypothermia. Couldn't get warm. It's like my body forgot how to regulate temperature. I've only ever experienced similar coming out of anesthesia after surgery. Took wearing multiple layers of clothes AND multiple blankets just to stabilize my body temp. It lasted for around 2-3 hours. This wasn't normal "chills". This was whole-body shaking hypothermia. Entire body sore afterwards from the involuntary shaking. Unfortunately, I didn't get an actual reading as anything to measure body temp was downstairs and I didn't want to risk falling.

Other Meds: protonix 40

Current Illness: none

ID: 1005629
Sex: M
Age: 68
State: NC

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: none

Allergies: unknown

Symptoms: Pt. received vaccine on Wednesday 1-27-2021, felt itchy on Friday 1-29-2021, broke out all over on Saturday with hives and no other apparent reason. Pt. used benadryl cream and bathed in alcohol that helped slow it down for a little while. recommended Medrol dose pack and keep allegra 180 mg 24 hour antihistamine on standby, may add pepcid. Informed pt. may be up to 14 days for it to go away.

Other Meds: unknown

Current Illness: unknown

ID: 1005631
Sex: F
Age: 24
State: IN

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

Lab Data: N/A

Allergies: N/A

Symptoms: Chest discomfort and tightness

Other Meds: N/A

Current Illness: N/A

ID: 1005632
Sex: F
Age: 53
State: IL

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Headaches, nausea and dizziness within 45 minutes of vaccine. Inability to lift right arm, swelling at injection site with pain radiating to underarm and left breast area. Generalized weakness and body aches with severe back pain. Fever and chills started 12 hours after vaccination with 101.3 high and down to 99.5 after 48 hours. 3rd day today swelling in left arm and inability to do normal chores with left hand. Pain in the neck and back. Feeling of being punched at the injection site, swelling, hard and blue at area of injection.

Other Meds: None

Current Illness: None

ID: 1005633
Sex: F
Age: 42
State: CA

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

Lab Data: none

Allergies: none

Symptoms: A round red rash appeared over injection area. The rash is itchy and came about 5-6 days after receiving vaccine. No other symptoms or reactions noted.

Other Meds: none

Current Illness: none

ID: 1005634
Sex: F
Age: 70
State: IN

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

Lab Data: Physician examined on 02/04/2021 and found to not go deeper than eye surface, appeared to be from thinner blood. Source not known

Allergies: sulfa drugs (hives) environmental allergies: hayfever, dust, dog dander, molds, smoke, perfumes, exhaust, oak wood dust, food intolerances: dairy, granulated sugar, iceberg lettuce, coconut water and oil, avocado oil (diarrhea) beef, mushrooms, peanuts (migraine)

Symptoms: subconjunctival hemorrhage in left eye

Other Meds: levalbuterol 1.25mg for nebulizer, arnuity ellipta 100 mcg systane complete eye drops, align probiotic, calcium magnesium, omega oil gel cap,

Current Illness: have asthma, new pacemaker, kidney disease stage 3 stable, fibromyalgia

ID: 1005635
Sex: F
Age: 78
State: WI

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

Lab Data:

Allergies: Aspirin, flagyl, codeine, biaxin

Symptoms: Rash on left side of face and neck which lasted a couple of days.

Other Meds: Areds, daily vitamin, fish oil, magnesium, D3, omeprozole, turmeric

Current Illness: None

ID: 1005636
Sex: M
Age: 56
State: IN

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

Lab Data: None

Allergies: Penicillin, peanuts, ragweed, mold, grass

Symptoms: Chills, headache, muscle aches, slight fever, fatigue from 9 am on the day after the vaccination; adverse reaction lasted 24 hours.

Other Meds: None

Current Illness: None

ID: 1005637
Sex: F
Age: 76
State: CA

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

Lab Data: blood lab studies, stool tests to date are normal as well

Allergies: latex

Symptoms: diarrhea for 2 wks starting night of Pfizer covid vaccine admin

Other Meds: alendronate, simvastatin, Tylenol#3, fluoxetine

Current Illness: none

ID: 1005638
Sex: F
Age: 72
State: FL

Vax Date: 01/26/2021
Onset Date: 01/29/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: muscle aches, flu-like symptoms lost taste and smell 2/1/21

Other Meds:

Current Illness:

ID: 1005639
Sex: F
Age: 71
State: CA

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

Lab Data: Lumbar Puncture (2/4/2021), CT & MRI (2/1/2021) and during hospitalization mult blood draws, UA, pan cultures

Allergies: No known allergies

Symptoms: hospitalization, intermittent drooling, difficulty finding words (like a broca's aphasia), slurring of words, and absent seizure

Other Meds: Omeprazole 40 mg, meloxicam 7.5 mg, lisinopril 40 mg, Nitrostat PRN, Metformin 500 mg BID, isosorbide mononitrate 30 mg BID, prednisone 20 mg 3 tabs, carvedilol 12.5 mg BID, amlodipine 10 mg, Lantus 23 units daily, diclofenac sodium topica

Current Illness: UTI

ID: 1005640
Sex: F
Age: 47
State: CA

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

Lab Data:

Allergies:

Symptoms: Radiating pain up back, up neck with Head Ache. Severe muscle pain, chills

Other Meds:

Current Illness:

ID: 1005641
Sex: F
Age: 21
State: MO

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

Lab Data: None at this time.

Allergies: None

Symptoms: Patient reported having a seizure that was non convulsive. Patient was no conscious, racing heart beat. Seizure lasted 17 minutes. Patient reported no vomiting or urinating during the seizure.

Other Meds: Keppra - 750 twice a day Lamictal - 100 twice a day

Current Illness: None

ID: 1005642
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: 137/94, 72, 24 O2sat 99%

Allergies: None

Symptoms: Patient reported feeling very anxious. Patient stated she has anxiety and was very anxious prior to vaccine. She stated she cancelled her appointment 2 previous times. Patient felt shaky. Vitals checked, patient given crackers and apple juice. She laid down and stated she felt better after resting. Patient states she is fine to drive home and that she wanted to be outside in the fresh air.

Other Meds: None

Current Illness: None

ID: 1005643
Sex: F
Age: 87
State: NV

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

Lab Data: None

Allergies: Amoxicillin, Sulfa, Scopolamine, Biaxin, Celestone, Nexium, Phenergan, Benadryl, Caffeine

Symptoms: Per PCP patient saw her on 2/4/21 w/ c/o Swollen, pink, warm area of vaccine. Per patient she had mild GI symptoms about 48 hrs post vaccine which resolved with antacid. Arm was sore but not red or swollen. and by day 3 was completely well. On 2/3/21 stated had single wave of heat that lasted a few seconds then resolved. Awhile later her left deltoid started to itch. On 2/4/21 patient stated that arm was same as day before and felt fine otherwise.

Other Meds: Multi-vitamins 2 tab qd, B Complex 1mg qd, Flonase 2 spray ea nostril qd, Levothyroxine 100mcg qd, Vitamin C 500mg - 2 tab qd.

Current Illness: No c/o

ID: 1005644
Sex: F
Age: 83
State: IL

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

Lab Data:

Allergies: zinc, ace inhibitors, aceteaminiphin, albertson, morphine, naproxen, sulfa, amlodipine

Symptoms: Patient received vaccine and was in the monitoring center when she made staff aware of tingle in lips. Patient vitals were taken and stable with elevated blood pressure due to not taking morning medication. While documenting and staying with the patient stated that the tingle was moving into cheeks and throat. Per 25mg IM once given. Patient symptoms resolved within 15 mins. Vitals stables and discharged home.

Other Meds: omeprazole, magnesium citrate, losartan, multi-vitamin, hydralazine, flucatasone, depakote, b12, plavix, coreg, vitamin d and calcium, lipitor, aspirin, anastratole

Current Illness: nothing recent

ID: 1005645
Sex: F
Age: 80
State: ND

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

Lab Data:

Allergies: NONE

Symptoms: SWELLING TO LIP AND HIVES

Other Meds: ATORDASTATIN METOPROLOL

Current Illness: NONE

ID: 1005646
Sex: F
Age: 50
State: MS

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

Lab Data:

Allergies: None

Symptoms: Skin at the injection site looks like i had a small burn. About the size of a pin top.

Other Meds: Tylenol

Current Illness: Non

ID: 1005647
Sex: F
Age: 48
State: MN

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: Hazelnuts

Symptoms: Increase in hot flashes especially at night. I am perimenopausal and have had occasional hot flashes, but now I am having hot flashes every night and sometime during the day. Unsure if related to vaccine, but thought being it is a new vaccine I would report it.

Other Meds: Loratadine, Vitamin D

Current Illness: none

ID: 1005648
Sex: M
Age: 73
State: NC

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: I have classified my prolonged febrile picture as an adverse event

Allergies:

Symptoms: TI have 9 days febrile. I think it is not the expected behavior as a side effect of the Pfizer vaccine. I need to know if I am in danger from so many feverish days.

Other Meds: bisoprolol, amlodipine, metformin, rosuvastatin, aspirin, centrum, tamsulosin

Current Illness: Arterial hypertension, Type 2 Diabetes Mellitus, Bronchial Asthma, Microvascular Angina, Benign Prostatic Hyperplasia

ID: 1005649
Sex: F
Age: 31
State: NY

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: COVID tested on 2/4 = negative IGE testing planned for common allergens

Allergies: No seasonal allergic symptoms. Occasional throat sensations when around dogs and itchy rash and runny eyes and possible SOB. NKDA

Symptoms: Patient received their first Moderna dose 12/31/2020 which was well tolerated. Second dose on 1/28/21. Was fine until the next day when developed headache. 1 1/2 days later she work up with erythematous itchy rash over eyelids. Lips became bright red with erythema around them. Slightly swollen. Cheeks that she self treated with benadryl 50 mg every 4-6 hours for days. Swelling returned when benadryl would wear off. On 2/3 she was seen by a physician who referred her to an allergy specialist. Upon that communication with the allergist, she was prescribed prednisone 20 mg for 3 days with excellent response. Last dose yesterday. Allergra prescribed for dog allergy symptoms and flonse of allergic rhinitis.

Other Meds: None

Current Illness: Employee in ED. On 12/18 presented to urgent care center with cough - was given albuterol, steroid, inhaler and azithromycin. Tested negative for COVID-19.

ID: 1005650
Sex: M
Age: 32
State: AZ

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

Lab Data: Teledoc visit instructed me to visit an urgent care. Urgent Care took all of my vitals and suggested that I keep an eye on the symptoms in case they get worse. Urgent care believes it is a mild side effect and should go away.

Allergies: None that I am aware of

Symptoms: A few hours after injection I began to feel faint pins and needles feelings on skin throughout my body. Not concentrated in any specific location. Comes and goes. Is not painful, but has lasted 4 days now.

Other Meds: Daily Muli-Vitamin and an additional Vitamin D Supplement

Current Illness: None that I am aware of

ID: 1005651
Sex: F
Age: 77
State: GA

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

Lab Data: none

Allergies: lactose intolerance

Symptoms: Redness, itching at site, starting suddenly on Feb, 4, Tired and slight body ache all over

Other Meds: Premarin, Fluoxetine, Otavite

Current Illness: none

ID: 1005652
Sex: F
Age: 79
State: KS

Vax Date: 01/25/2021
Onset Date: 02/01/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: Unknown

Allergies: Unknown

Symptoms: Moderna COVID-19 Vaccine EUA Patient called here at the health department and reported one week later that her arm had erythema at the injection site and extended from shoulder half way down the upper arm. She reported that the area has itched occasionally. The side effect started Feb. 1, shot was given on Jan. 25. She reports that redness is fading and the site does not itch like it did.

Other Meds: Unknown

Current Illness: Unknown

ID: 1005653
Sex: F
Age: 31
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: Headache, fatigue, body aches, chills, fever of 100, large red bullseye mark at injection site that is severely itchy and burns. All symptoms with the exception of the bullseye mark were moderately managed by Advil.

Other Meds: Effexor, Prilosec, buspirone, metoprolol, Allegra, women?s daily vitamin.

Current Illness: None

ID: 1005654
Sex: M
Age: 76
State: IN

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

Lab Data:

Allergies:

Symptoms: Dizziness, severe sweating, weakness for about 15 minutes the morning after the injection.

Other Meds: Losartan, vitamin C, magnesium, calcium, Gabapentan, 81 mg. Aspirin.

Current Illness: Shingles

ID: 1005655
Sex: F
Age: 30
State: NM

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

Lab Data: Need to follow up with the eye doctor to make sure there is not retinal displacement

Allergies: na

Symptoms: Distorted vision, missing pieces of vision on the right side, colored zigzag lines in right vision. The doctor said it was an ocular migraine. It passed within 40 minutes. Ibuprofin 600

Other Meds: singular zyrtec vitamin d3 vitamin c omega 3 probiotics red yeast rice

Current Illness: na

ID: 1005656
Sex: F
Age: 90
State: PA

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

Lab Data: No

Allergies: sulfa products zipro venison

Symptoms: Pain my left arm, shoulder, shooting up into my neck and down my back. I've also been having chills.

Other Meds: centrum silver flonase nasal spray prescription eye drops over the counter eye drops baby aspirin (three times a week) Ultranol (total bladder support) potassium citrical gabapentin vitamin d3 pentoprazole furoscimide (controllin

Current Illness: No

ID: 1005657
Sex: F
Age: 76
State: NY

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

Lab Data:

Allergies: NKA

Symptoms: EMS was alerted to a person fallen in the parking lot- EMS found Pt face down unresponsive but breathing with a pulse- Pt was rolled to a supine position and became responsive Pt states she felt dizzy and fell- Pt was placed in wheelchair and taken to eval area- Vitals and Hx obtained. Pt within minutes is acting her normal self and requests to leave. Pt is CAOx3 now. Final evaluation shows Pt has recovered completely and is refusing anymore care or transport to the hospital. Pt was wheeled to her vehicle in a wheelchair.

Other Meds: NKA

Current Illness: NKA

ID: 1005658
Sex: F
Age: 56
State: CA

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

Lab Data:

Allergies:

Symptoms: fever shacking chills headache low back ache joint aches fatigue swollen arm

Other Meds:

Current Illness:

ID: 1005659
Sex: F
Age: 67
State: NY

Vax Date: 01/08/2021
Onset Date: 01/12/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Developed bad stomach ache and then rash on Dermatone T10. Diagnoses as Herpes Zooster Which I have had before. Lasted for 3 weeks with significant pain and fatigue.

Other Meds:

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm