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: 1006441
Sex: F
Age: 41
State: NY

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

Lab Data: I had a abdominal cat scan, ekg, blood work

Allergies: none

Symptoms: arm pain started than my heart rate elevated. Resting heart rate was in the 90's but could go all the way up as high as 130. Bad stomach pain, reflux, body aches, headache, fever upwards of 101.2 and nausea. elevated heart rate most concerning. Same side effects were observed with the first one but it did not start for 5 days after the shot and lasted about a week. This time the doctor gave me an ARB to take which calmed down the side effects.

Other Meds: benedryl & pepcid

Current Illness: none

ID: 1006442
Sex: F
Age: 74
State: CA

Vax Date: 09/22/2020
Onset Date: 09/23/2020
Rec V Date: 02/05/2021
Hospital:

Lab Data: 9/29/20--x-rays given at Dr. office. Adhesive capsulitis of left shoulder. 10/14/20--Untrasound given.

Allergies: None

Symptoms: Severe pain at injection site and throughout arm by morning following injection. Physical Therapy began 6 weeks following injection. Cortizone shot given 2.5 months following injection.

Other Meds: Vitamin D - 2000 IU/daily; Fish Oil - 1000mg/daily; Ocuvite-Contains Vit C 150Mg, Vit E20mg; Zinc 9mg, Copper 1mg; Omega 3-250 mg; Probiotic 10-1 daily (10 billion cultures)

Current Illness: None

ID: 1006443
Sex: F
Age: 58
State: PA

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

Lab Data:

Allergies: Diphenhydramine (hives)

Symptoms: Patient developed hives on right wrist between 15-20 minutes following COVID-19 vaccination. Patient had no other symptoms and was observed for 30 minutes. The hives disappeared within the 30 minute observation period without treatment.

Other Meds: unknown

Current Illness:

ID: 1006444
Sex: M
Age: 59
State: FL

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

Lab Data: none

Allergies: None

Symptoms: Soreness in injection spot followed by fatigue and muscle ache all over body........forehead warm to the touch

Other Meds: None

Current Illness: None

ID: 1006445
Sex: F
Age: 26
State: PA

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

Lab Data:

Allergies:

Symptoms: Pt came for second dose and explained that she had shoulder pain for one week after vaccination. It resolved spontaneously.

Other Meds:

Current Illness:

ID: 1006446
Sex: F
Age: 88
State: AL

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

Lab Data:

Allergies: NKA

Symptoms: Immediately after injection vaccine patient vomited one time. No respiratory distress no chest pains, no hives rashes, no LOC BP 120/78. patient was observed for 30 minutes no further episode of vomiting. Instructed care giver to seek medical attention if any difficulty breathing, selling of throat lips face further vomiting. Patient was called following morning and caregiver reported patient had no further episodes of vomiting.

Other Meds: unknown

Current Illness: Heart Disease, Diabetes

ID: 1006447
Sex: F
Age: 45
State: SC

Vax Date: 01/13/2021
Onset Date: 01/24/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: CT scan to rule out PE (negative) on 2/2/2021 CBC, BMP, and CA 125 normal on 2/2/2021

Allergies: none

Symptoms: I have had extreme weakness and fatigue that started around 1 week after the first vaccine. I was working out 5 days a week in the gym and suddenly cannot barely get through the day due to weakness, body aches, and fatigue. I also have experienced shortness of breath which gets worse throughout the day and had to take prednisone for 5 days to help manage symptoms

Other Meds: anastrazole lexapro

Current Illness: none

ID: 1006448
Sex: F
Age: 56
State: WA

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

Lab Data:

Allergies:

Symptoms: Fever and flulike symptoms

Other Meds:

Current Illness:

ID: 1006449
Sex: F
Age: 85
State: CA

Vax Date: 01/21/2021
Onset Date: 01/28/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: Bactrim antibiotic (35 years ago)

Symptoms: Moderna COVID-19 Vaccine EUN Red, swollen rash appeared at the shot site on left arm one week after the shot; intermittent itching.

Other Meds: OTC daily: Vitamin D, 3000 IU; Magnesium, 250 mg;; Tums, 1000 mg; Prescription Medicine daily: Warfarin, 3 mg; Metoprolol, 50 mg

Current Illness: None

ID: 1006450
Sex: F
Age: 48
State: WI

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

Lab Data:

Allergies: Bee stings, onion

Symptoms: Patient reported numbness around teeth, diaphoresis, sensation of tongue swelling and difficulty swallowing. Treated with Benadryl 25 mg.

Other Meds:

Current Illness:

ID: 1006451
Sex: M
Age: 54
State: MD

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

Lab Data: to hand yes as for breathing not really

Allergies: none

Symptoms: Right hand fingers that I had tendon transfer to started to pull together about 5 min after the shot, Also my breathing became rapid after walking out of the clinic about 30 min after the shot. Was out of breath doing normal work

Other Meds: Zonegran

Current Illness: none

ID: 1006452
Sex: F
Age: 29
State: CA

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

Lab Data:

Allergies: none

Symptoms: abdominal cramping, nausea, and vomiting, and headache within 1 hour of receiving the second dose of the Moderna COVID-19 vaccine. Took Benadryl and was observed for 45 minutes. Began feeling better 2 days later.

Other Meds: Abilify, lamictal

Current Illness: none

ID: 1006453
Sex: F
Age: 46
State: PA

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

Lab Data: none

Allergies: keflex

Symptoms: major back pain, very tired, very sore arm, left hip pain, chills, sweats, low grade temp that would not go away with meds, headache

Other Meds: extra strength tylenol

Current Illness: none

ID: 1006454
Sex: F
Age: 57
State: CA

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

Lab Data: Unknown

Allergies: Bee stings, Amoxicillin

Symptoms: Patient presented anxious with reddening of skin around the neck/ upper chest and right forearm. No dyspnea. vital signs within parameters.

Other Meds: Unknown

Current Illness: Unknown

ID: 1006455
Sex: F
Age: 38
State: WI

Vax Date: 01/15/2021
Onset Date: 01/29/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: EKG, Chest X-ray, D-dimer, CBC, and BMP in the emergency department on 1/29/21 - all negative. 48 hour Holter monitor in progress as of 2/4/21

Allergies: none

Symptoms: I developed tachycardia at rest exactly 2 weeks after having the second dose of Pfizer vaccine. My heart rate while resting was 100-115 and increased to 130s-140s with standing or walking. I went to the emergency department at hospital. They observed that my heart rate was in the 135-140 range sitting in triage. I received some fluids and was discharged after it was determined there was no clear life threatening reason for the tachycardia, but my heart rate remained unusually elevated - sometimes up to 115 while siting and rising to 120s-130s with any physical activity for about a week after this event. It seems to be gradually improving at this time, but workup is still in progress.

Other Meds: esomeprazole, spironolactone, metformin, OCP, multivitamin

Current Illness: none

ID: 1006456
Sex: F
Age: 23
State: NY

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

Lab Data: NA

Allergies: Compazine,keflex, reglan, zofran

Symptoms: Pt had a milder side effect with the first Moderna injection with muscle cramping and sinus congestion within 2 hours that did not require treatment. She took Benadryl 25mg and Zyrtec 10mg PO prior to the 2nd inj at 08:30. At 09:30 she developed some chest tightness and the sensation of her throat swelling. An IV HL was inserted and she was given Solumedrol 125mg IVP, Benadryl 25mg IVP and Famotidine 20mg IVP along with NS 250ml IV. Pt had resolution of symptoms within 30 mins. Pt was DC'd to home after monitoring of 2 hours.

Other Meds: Escitalopram, Fluticasone 50 mcg , Hydroxyzine, Depro Provera

Current Illness: none

ID: 1006457
Sex: M
Age: 24
State: MD

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 02/05/2021
Hospital:

Lab Data: none.

Allergies: avocado

Symptoms: First dose: Fatigue, chills, muscle soreness, headache for three days after administration. Second dose: Fatigue, muscle soreness, headache for two days after administration. Itchy, red rash on right arm for 5 days after administration.

Other Meds: Adapalene gel - topical clindamycin/benzoyl peroxide gel - topical Both for acne.

Current Illness: none

ID: 1006458
Sex: F
Age: 54
State: VA

Vax Date: 01/11/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: NONE

Symptoms: BELLS PALSY

Other Meds: SERTERLINE AND ANTENOL BABY ASPERIN VITAMINS

Current Illness: NONE

ID: 1006459
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: None

Allergies: N/A

Symptoms: Temperature of 101 F, headache, chills, severe deep muscle and joint pain. Lasted from 12p-12a

Other Meds: Zoloft 150mg, melatonin 10mg

Current Illness: None

ID: 1006460
Sex: F
Age: 44
State: IL

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

Lab Data: None

Allergies: Demerol

Symptoms: * On the evening of Feb 2, hives began to appear on right side of neck and upper chest. By the next morning, the hives and degree of "itchy" factor had covered most of patient's torso. Hives continued to spread throughout the day, at a much more rapid pace, also increasing in frequency over the entire body, onto face and slightly past knees and onto shins and ankles. Feet and fingers remained clear. Patient saw primary care doctor the afternoon of Feb 3 and took first dose of oral steroids at approximately 3:30pm. * Symptoms patient did not recognize as being related to eventual outbreak began as soon as two days after vaccine: intense soreness deep in left armpit and both ears were itching in a frequent basis * The hives cover more than 80% of patient's torso, some portions are completely red. There are pictures of this breakout. The only thing different in patient's routine in the last month is the Covid-19 vaccine.

Other Meds: Topamax, Gianvi, Ajovy, Allegra, Melatonin, doxycycline

Current Illness: None

ID: 1006461
Sex: F
Age: 41
State: OK

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

Lab Data: None

Allergies: None

Symptoms: Soreness of arm ,The following day I woke up and felt fine and cup of coffer I felt nauseated , headache, Took Advil and headache was worse.. The following day I still had a really bad headache and felt nauseated .

Other Meds: Multi Vitamins Progesterone's Calcium Supplements glucosamine chondroitin Pepcid

Current Illness: None

ID: 1006462
Sex: F
Age: 62
State: WA

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

Lab Data: On the morning of day 8, my primary care provider examined the site. It appears to them to be an allergic reaction to the vaccine. They prescribed antihistimines and ice packs.

Allergies: Erythromycin walnuts pecans grass some tree pollens wasp stings (large local reaction)

Symptoms: On the day of the vaccination, the injection site turned red and raised to a bump about 12 cm x 8cm. It was painful to the touch. On day 7 after the vaccination, the swelling was reduced to 10cm x 6cm, but, it became hot, itchy, painful, and covered in hives. On the morning of day 8, it was solid, lumpy, hard & still itchy and uncomfortable.

Other Meds: Piroxicam Dietary Supplements from Elevacity (Unwined, and Elevate Max Coffee)

Current Illness: none

ID: 1006463
Sex: M
Age: 50
State: IN

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

Lab Data: None, I have not left the house.

Allergies: Sulfa Drugs

Symptoms: I became extremely ill about 12 hours after vaccination. I slept about (10pm to 6:30 am) 8.5 hours, and then I woke for work the next morning. I felt a little off, but I thought I was ok. I entered my shower, and then I was found unconscious on the floor of my shower by my wife about 5 minutes later. I passed out 2 more times while attempting to stand and exit the shower. I was extremely fatigued at this point. I went back to bed and slept until 10 pm that night. I woke for about 2 hours , ate some food and drank some water and soda pop. I then went back to sleep until 7:30 am the next morning. I was awake for 3 hours, and then I slept for 3 more hours. I have been awake for about 2 hours, and I am now typing this adverse event document. The entire time I have had temperature regulation issues, severe headache, muscle and joint aches, and fatigue.

Other Meds: Zegrid bid Multivitamins Vit. C Euthyrox 100 mcg

Current Illness: None

ID: 1006464
Sex: F
Age: 69
State: FL

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

Lab Data: Patient took Tylenol reported reduction in fever and headaches. Told patient to follow up with provider if symptoms worsen.

Allergies:

Symptoms: headaches, fever

Other Meds:

Current Illness:

ID: 1006465
Sex: F
Age: 34
State: AL

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

Lab Data: RNA SARS COV2 specimen collected on 2/3/2021.

Allergies: codeine, raspberries, latex (no reaction to flu vaccine)

Symptoms: symptoms of bronchitis started on 2/1/2021, 2 days after receiving the moderna vaccine. Tested for COVID-19 as a precaution on 2/3 with an RNA test and positive result. It is important to note that the patient works for the Department of Public Health and was working vaccine clinics on 1/29 and 1/30 with approximately 600 exposures to staff and patients coming through the clinics. It is very likely it was contracted through this chronic exposure, even though each individual exposure was very short in terms of minutes spent with each patient.

Other Meds: Daily multivitamin, probiotic, esomeprazole (acid reflux), propranolol, hydroxyzine hcl, tizanidine, birth control, iron supplement, and melatonin.

Current Illness: upper respiratory infection, sinus infection

ID: 1006466
Sex: F
Age: 80
State: ME

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

Lab Data: None

Allergies: None

Symptoms: Chills, no fever, lasted 2 days. Not severe. Severe inflammation at injection site with soreness, very red skin shoulder to elbow and all around upper arm, Turgid, painful, and itchy. Still spreading, ongoing at 6 days. Beginning to "fade" a little at injection site area, but still spreading downward.

Other Meds: Vit C, Vit D3, Biotin, Qunol, Cal/Mag/Zn, Melatonin

Current Illness: None

ID: 1006467
Sex: F
Age: 70
State: TX

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

Lab Data:

Allergies: None

Symptoms: Headache dizzy. Fever. No energy. Ache all over. Soreness at injection site. Nausea.

Other Meds: Melatonin

Current Illness: None

ID: 1006468
Sex: M
Age: 80
State: CA

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

Lab Data: Dr. has medical records

Allergies: None Known

Symptoms: weakness, dizziness, loss of appetite, shortness of breath

Other Meds: Albuterol, finaseride, flomax, pravachol, symbicort, triamterine-HCTZ, cholecaliferol, warfarin, PVD,

Current Illness: COPD, GERD, Hyperlipidemia, A-Fib, BPH,

ID: 1006469
Sex: F
Age: 90
State: MI

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

Lab Data: none

Allergies: aspirin, crocin, ceftin, erythromycin, Keflex, metoprolol, boroxine, penicillin, quinine, seldane D, Vesicare, Vicodin, rynatan

Symptoms: pt stated that she had SOB, muscle aches, diarrhea, nauseated for about 2 days. Pt is now feeling better and has not contacted PCP.

Other Meds: Clopidogrel 75 mg, Simvastatin 20mg, Triamterene 37.5, Amlodipine 5mg, Levothyroxine 0.05 mg, baclofen 10 mg, Vitamin D3 and Iron. Ibandronate 150 mg once monthly

Current Illness: knee pain

ID: 1006470
Sex: M
Age: 61
State: CA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Shellfish, lactose. morphine

Symptoms: I have been have contact with my primary care doctor because of the reaction with the first dose. He advised me to take Benadryl 15 minutes before receiving the injection. I stayed at the vaccination site for an hour instead of 15 minutes. I left the vaccination site and went home and went to sleep, I worked over night. I did not sleep well that day. I got up around 6pm and I went to work at 10pm and I was extremely anxious and tired all night. I was a little confused while at work. I got off work and went to my chiropractor who noticed and my wife also noticed that I was extremely pale, after the appointment I went home and went back to bed. When I woke up I was still exhausted that I ended up calling out out of work that night. I went back to bed and slept all night till 9am this morning. The next morning my color was back and I was looking better. My energy level is slowing improving but still feel tired even when I got a good nights of sleep. I don't know if it related, but I went and brought some new shoes and then my hip started hurting. It is to the point where I set up a doctor's appointment on Monday to have my hip looked at. See VAERS report 906796 for first dose reaction.

Other Meds: Norco 5/325 as needed for pain, HCTZ 25 MG daily, Metoprolol 50 MG daily, Losartan 50 MG in AM 100 MG in PM, Protonics 40 MG, Movantik 25 MG daily, Nedumetone 750 MG daily, Maxalt 10 MG, Flexeril 5 MG as needed for muscle cramps, Ambien 5 M

Current Illness:

ID: 1006471
Sex: M
Age: 35
State: PA

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

Lab Data:

Allergies:

Symptoms: body aches, chills, eve,headache

Other Meds:

Current Illness:

ID: 1006472
Sex: F
Age: 62
State: IN

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

Lab Data: None

Allergies: Keflex Penicillin

Symptoms: Temperature 102.3 highest. Up and down temperature. Cold chills, headache, body aches, nauseous, arm soreness, malaise Rash and arm soreness with 1st vaccine

Other Meds: Synthroid 88mcg once a day Otezla 30 mg bid Multivitamin Oscal CQ 10 Vitamin C Prilosec 40 mg daily Probiotic

Current Illness: None

ID: 1006473
Sex: F
Age: 81
State: AZ

Vax Date: 01/07/2021
Onset Date: 01/16/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: COVID-19 test taken at on 02/01/2021 was negative.

Allergies: Yellow Jacket Wasps

Symptoms: Day 1: 01/07/21 Moderna Vaccine Dose #1 was given in left arm. No side effects noticed. Day 2: 01/08/21 No side effects noticed. Day 3: 01/09/21 Left arm slightly sore (no action taken). Days 4-9: 01/10/21 to 01/15/21 No side effects noted. Day 10: 01/16/21 (T:98.0) Woke up to a large welt, hot to the touch, no pain on upper left arm - below injection site. Began 25mg Benadryl (25 mg) 2 doses taken. Day 11: 01/17/21 (T:98.2) Welt increasing, hot to the touch, slight burning on back of neck also. Took Benadryl (25mg) twice during the day and Tylenol (650 mg) twice during the day. Day 12: 01/18/21 (T:98.0) Rash seems to be flattening out spreading a little, neck rash seems slightly worse. Burns. Day 13: 01/19/21 (T:98.6) No change in symptoms Took Benadryl (25mg) twice Day 14: 01/20/21 (T:98.3) Rash seems to be spreading into the armpit area. Neck area is larger and burning. Took three Benadryl (25mg) during the day-Tylenol 2 tabs (650 mg) at bedtime. Day 15: 01/21/21 (T:98.3) feeling tired. Rash is spreading under both armpits and neck. Back seems to be itching a lot too. Took Benadryl (25mg) three times. Day 16: 01/22/21 (T:98.6) Rash is really bad! Area of original welt is slightly larger. Took Benadryl (25mg) 6 am, 12pm, 6pm 10, pm and 3am. Will call MD on Monday. Used Shea Butter lotion (little help). Day 17: 01/23/21 (T:98.0) Rash is worse, both arms and larger neck areas hot to the touch burning sensation. Benadryl (25mg) 6:30 am. (37.5mg)10:30sm, (37.5 mg) 3:30 pm, (25mg.) 8:30 pm. 2 Tylenol (650 mg.) 9:00 pm. Day 18: 01/24/21 (T:98.8) Rash is still worse and spreading (will call MD tomorrow). Benadryl (25 mg) 6:30 am and 11: 45 am, 2 tabs of Tylenol (650 mg) noon and 4:00 pm. Shea butter lotion not helping. Applied ice, seemed to ease burning sensation but still miserable. Day 19: 01/25/21 (T:98.4) Saw Dr. who prescribed RX: Prednisone 60 mg daily for 5 days, Benadryl 25-50 mg for itching, oatmeal baths, cortisone 1% cream or lotion, I picked up my RX and a new package of Benadryl/Banophen. Went home and took Benadryl (50 mg) 2 tablets at 9:30 am,1:30 pm and 5:15 pm, mistakenly believing they were 25mg tabs because of packaging change and miniscule text on bottle and difficult to find directions. Also Prednisone 60 mg, 10:00 am. Took 2 Tylenol (650 mg) 12:45pm and5:20 pm. I did not realize that the Benadryl dosage was different! Actually double! So I took 300 mgs of Benadryl. Took an oatmeal bath at 5:30 pm. Around 6:30pm I felt a little dizzy. So I went to bed because I did not feel right. I was not making any sense. When my daughter FaceTime?d me and realized I was slurring my words. She phoned her sister to do a wellness check. 2021 Covid Vaccine They found me still incoherent and unsteady. I did not realize that the bottle of Benadryl was a different dosage! Dr. office and spoke to doctor on call. They suspected steroid psychosis. We had not yet puzzled out the exceeded dose of Benadryl/Banophen. Used oximeter during night to monitor breathing, which was normal. Day 20: 01/26/21 (T:98.2) Prednisone dosage was decreased to 40 mg daily (due to question of psychosis). No cortisone cream or lotion. The dosage of Benadryl was discovered and resolved. Rash is still spreading over body. Now on lower stomach. Benadryl (25 mg), one tablet at 9:30am, Benadryl (12.5mg) at 2:00 pm, 9:30 pm. 2 Tylenol (650 mg) at 1:20 am, Pepcid AC (new addition at 10:00 am, Prednisone (40 mg) noon. Trying aloe and calamine. Day 21: 01/27/21 (T:98.4) Rash on neck and underarms spreading, also back is now raw. Feeling less fidgety. Pain slightly better. Benadryl (25mg) 7:30 am, 3:30 pm, 10:00 pm, Prednisone (40 mg.) 9:00 am, Pepcid AC, 2:00 pm. Day 22: 01/28/21 Feeling slightly better, Benadryl (25 mg) 6:50 am,1:00 pm, 7:30 pm. Prednisone (40 mg.) 6:15 am. Pepcid AC, 1:00 pm. Day 23: 01/29/21 (T:98.6) Rash is still spreading. Benadryl (25mg.) 3:30 am, 9:00 am, 2:30 pm, 8 ;38 pm, Prednisone 7:30 am, Pepcid AC 2:00 pm. Day 24: 01/30/ 21 really itching, neck burning, Benadryl (25mg) 2:05 am,8:00 am, 2:30 pm, 8:30 pm, 1:30 am. Prednisone (30 mg) 8:00 am, Pepcid AC 3:30 pm Day 25: 01/31/21 Oatmeal bath at 1:30 am. Benadryl (25 mg) 7:35 am,1:45 pm, 7:10 pm, Prednisone (20 mg.) 7:30 am & 1:00 pm total 40 mg. Pepcid AC 5:00 pm. 2 Tylenol (650 mg) 6:00 pm. Neck bright red again and rash worse on forearms and hands. Wearing gloves in effort not to scratch. Misery continues. 2021 Covid Vaccine Day 26: 02/01/21 (T:98.6) Benadryl (25 mg.) 2:30 am, 7:50am, very itchy, did not use ice for last 12 hours. Rash is now in the groin area. 20mg prednisone at 9:55am. 2 Tylenol (650mg) 11:45am. 12:10pm Pepcid AC. Saw new dermatologist who prescribed Rx strength steroid cream.

Other Meds: MORNING MEDS RX: (also carry Epi-pen) HCTZ 12.5 mg (12/17) EVENING MEDS RX: Losarten 50 mg Ropinirole 0.25 mg (07/20) Synthroid 50 mcg (11/88) Non-prescription: Aspirin 81 mg Calcium 500mg BID (07/20) Chromium Picolinate 500 mcg Eve Prim

Current Illness: None

ID: 1006474
Sex: F
Age: 65
State: NC

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

Lab Data: CXR: 01 Feb 2021 CT scan: 01 Feb 2021 Labs: 01 Feb 2021

Allergies: Mycin medications (Rash)

Symptoms: Within 12 hrs of receiving the vaccine the pt began to experience generalized weakness, chills, shortness of breath with symptoms worsening as time went on. Pt remained afebrile. Pt presented to the ED and was diagnosed with a Pulmonary Embolism.

Other Meds: Metformin, Gabapentin, Januvia, Telmisartan/HCTZ, Eliquis, Glucotrol

Current Illness: None

ID: 1006475
Sex: F
Age: 28
State: CO

Vax Date: 12/17/2020
Onset Date: 01/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: I did not receive any medical tests and laboratory results. I had a virtual visit and have pictures that I had shared with my provider.

Allergies: Amoxicillin

Symptoms: I received the 1st dose of the Pfizer COVID vaccine on December 17th at 0640. I first started noticing some discoloration on the right side of my neck in a patch on January 1st. Over the course of the next 3 days the area became more red, dry, raised (but still maculopapular), and spread from the right side of my neck around the back of my neck to the left side and then the front. The area was mildly itchy. I had not had any new exposures including no new shampoos, soaps, clothes, sprays, sheets, detergent, etc. I have never had a rash that looked like this, nor have I ever had a rash on my neck. At it's fullest, the rash was a large patch of red, dry skin on my right with small maculopapular circles scattered on the rest of my neck. Around January 6-7th, when I got the second dose, the rash began to spread down my sides. That area was more itchy than my neck. The rash appearance was very consistent, as was the distribution with what I have seen of pityriasis rosea in my patients where you start with a Herald patch somewhere and then the rash spreads to other parts of the body. In January I had sought out an appointment through a virtual healthcare. they were hesitant to start steroids so as not to interfere with my immune response. I started over the counter hydrocortisone. In the few hours after I put it on the rash would be less itchy, less dry appearing and less red, but still noticeably pink, then would return. The rash has finally completely dissipated as of February 3rd morning, so it was present for a little more than a month.

Other Meds: Zyrtec, metoprolol, metronidazole topical ointment, Flonase nasal spray

Current Illness: No illnesses at time of vaccination or within the month prior.

ID: 1006476
Sex: F
Age: 69
State: AZ

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

Lab Data: None

Allergies: Reglan, Biaxin, ceftin, Proton pump inhibitors, Maxalt, Advair , Qvar, SAMe, Ampicillin, Elidel, verapimil, Lidocaine, Many caused angioedema, some triggered asthma

Symptoms: Within 5 minutes there was extreme anxiety followed by swelling of finger, face and feet, , loss of voice, swelling of throat, Treated with Benadryl, oral steroids, with some improvement over 30 minutes Then worsened with increased throat swelling, numbness of feet. Taken to ER above, treated with Epi injection, Iv solumedrol and pepcid with improvement Sent home after 3-4 hours, Next morning 12 hours after leaving Er Voice better but began to worsen another dose of oral prednisone, benedryl andPepcid taken with improvement

Other Meds: quercitin, Vit d, Enzy-gest, Beet root, Magnesium, Riboflavin, Methyl Folate, Zyrtec, Zinc, Ascorbic acid, Xyzal, Xolair injection on 02/03/2021 Atrovent inhaler One hour before vaccination Ipatropium inhaler 2 hours before

Current Illness: Hemiplegic Migraine. Multiple attacks last a few days before vaccination

ID: 1006477
Sex: F
Age: 34
State:

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

Lab Data:

Allergies: wheat, dairy

Symptoms: Nausea, vomiting and diarrhea for 6 hours. Extreme lethargy and muscle weakness for 10 hours. Chills and body aches for 12 hours.

Other Meds: none

Current Illness: none

ID: 1006478
Sex: F
Age: 83
State: VA

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

Lab Data: None

Allergies: unknown

Symptoms: Dose was given from partial vial that had been continuously refridgerated at temp of 42 degrees greater than six hours after initial puncture of vial.

Other Meds: unknown

Current Illness: unknown

ID: 1006479
Sex: F
Age: 36
State: PA

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

Lab Data:

Allergies: Penicillin Sulfa Antibiotics

Symptoms: 1st dose: intense but bearable pain at the injection site 2nd dose: 2/3/2021 10:05am: similar pain at injection site, left neck stiffness and bearable palpitations (thought to be due to nervousness)immediately following shot, by 10:30pm fatigue and headache(took Tylenol) woke up at 2:00am next day with similar pain, re-dosed Tylenol at 5:50am on 2/4/2021. Slept entire day. Appetite normal. Next day 2/5/2021 12:30p left house to travel to market and couldn?t remember how to get there, had to slowly return home. Called family member to make them aware as I tried to safely return home. Couldn?t immediately recount events or where exactly I was or where I had been. Writing this is increasingly confusing and taking longer than usual.

Other Meds: N/A

Current Illness: N/A

ID: 1006480
Sex: F
Age: 34
State: VA

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

Lab Data:

Allergies:

Symptoms: Client had immediate hot flash with appearance of flush color on face and chest. She had increase heart rate. EMS evaluated her and had her wait 45 minutes. Flushing went away and heart rate back to normal. Client drove self home.

Other Meds:

Current Illness:

ID: 1006481
Sex: F
Age: 35
State: CA

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

Lab Data: none

Allergies: None

Symptoms: Patient did not receive vaccine at health clinic, but called for medical consult. Patient started feeling a malaise, nausea, fever at 3pm same day of vaccine, on/off congestion for days 3-5, tired and nauseous days 5-9. On day 9 developed erythema/edema at site of injection.

Other Meds: None

Current Illness: None

ID: 1006482
Sex: F
Age: 89
State: VA

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

Lab Data: Every 2 hour vital signs.

Allergies: unknown

Symptoms: The pharmacist administering the vaccine, inadvertently administered the COVID-19 vaccine twice to Patient. She received her second dose and then a short time later, received another dose resulting in a total of three doses. The patient, her family, and the facility are aware and are observing patient for possible ADRs. She has currently exhibited no adverse signs/symptoms and is having vitals checked every 2 hours.

Other Meds: unknown

Current Illness: unknown

ID: 1006483
Sex: F
Age: 70
State: FL

Vax Date: 01/01/2021
Onset Date: 01/24/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: I had shortness of breath, cough, chills and fever, along with body aches. I was coughing a white milky sputum. There was no indication of lung infection. Extreme fatigue.

Other Meds: Dulera inhaler, Metformin, Metoprolol, Rosuvastatin, D3, B12, PreserVision Oxygen therapy 2.5 night and when needed during day

Current Illness: None

ID: 1006484
Sex: F
Age: 60
State: MI

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

Lab Data: None

Allergies: Ciprofloxacin Not Specified 05/14/2009 Other (See Comments) tongue swelling Docusate Sodium Not Specified 05/14/2009 Other (See Comments) tongue swelling Iodinated Contrast Media Not Specified 03/03/2009 Hives Keflex [cephalexin] Not Specified 08/17/2012 Allergy Hives Levaquin In D5w [levofloxacin In D5w] Not Specified 08/17/2012 Allergy Hives Macrobid [nitrofurantoin Monohyd/m-cryst] Not Specified 08/17/2012 Allergy Hives Penicillins Not Specified 02/27/2009 Hives Patient states she had a penicillin challenge and they found she is not allergic to penicillin. Sulfa (sulfonamide Antibiotics) Not Specified 02/27/2009 Hives

Symptoms: At 2:30 pm after being in observation for 30 minutes, patient became concerned about a rash to her left arm. There was a small area that had a lace modeling appearance. Patient denied any pain or itchiness to this area and there were no hives. Patient very anxious and concerned and asked if she could take her own liquid Benadryl which she had on hand. She was offered Benadryl from the clinic but refused and really wanted to take her own. Approval from supervisor obtained and Benadryl was verified. VS BP 110/60, HR 76 and pulse ox 98% at 2:35 pm. Patient denied any other signs and symptoms of allergic reaction except anxiety. VS repeated at 2:55pm and were; BP 110/60, HR 68, Pulse ox 100%. No change in condition and patient felt good enough to leave. Patients sister accompanied her to the clinic today and will stay with her tonight.

Other Meds: beclomethasone dipropionate HFA (QVAR REDIHALER) 80 mcg/actuation inhaler estradioL (ESTRACE) 0.01 % (0.1 mg/g) vaginal cream nicotine polacrilex (NICORETTE) 2 mg gum phenazopyridine (PYRIDIUM) 200 mg tablet

Current Illness:

ID: 1006485
Sex: F
Age: 34
State: OH

Vax Date: 01/04/2021
Onset Date: 01/07/2021
Rec V Date: 02/05/2021
Hospital: Y

Lab Data: 170/110 MRI, EEG, Echocardiogram and 24 hour heart monitor denied by insurance EEG - normal Bloodwork - CBC-HGB 11.4 MPV 6.3, calcium 8.0, rain CT scan

Allergies: Leviquin Clindamycin Duricef Stelara 45mg every four weeks

Symptoms: Had a seizure on 1/7/2021 at home - fell to floor face first and became unconscious - seizure activity two different times a few minutes apart Very nauseated and a severe headache all day prior to seizure

Other Meds: Aderal Lexipro Welbutrin - took until right after seizure

Current Illness: None

ID: 1006486
Sex: F
Age: 54
State: IL

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

Lab Data: N/A

Allergies: TOEIRMATE

Symptoms: PATIENT INITIALLY COMPLAINED OF DRY MOUTH, METALLIC TASTE WHICH PROGRESSED TO NUMBNESS AND TINGLING IN MOUTH AND THROAT. PATIENT BEGAN TO FEEL DIZZY AND WAS PLACED INTO TRENDLENBERG POSITION FOR 20 MINUTES, AFTER WHICH SHE RETRUNED TO HIGH FOWLERS POSITION. SHE CONTINUED TO COMPLAIN OF NUMBNESS AND TINGLING IN MOUTH AND THROAT AND PATIENT REQUESTED EMS BE CALLED. PATIENT WAS NEVER IN ANY APPARENT RESPIRATORY DISTRESS, HR STRONG AND REGULAR, INITAL BLOOD PRESSURE MILDLY ELEVATED, SUBSEQUENT ONES WERE WNL.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1006487
Sex: F
Age: 83
State: CA

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

Lab Data:

Allergies: Mainly extreme reaction to cod fish causing anaphlactis

Symptoms: Filing this additional report because I neglected to report all of possible side effects. In addition to the fast and hard heartbeating for 20 minutes in the evening, I should tell you that I decided to take my Blood Pressure before retiring. I usually have low BP at about 125/68 or so. That night I took it and it was 182/160. I decided that HAD to be wrong so I took it immediately again and the next time it was 165/82. I decided that this must be anxiety and went to bed. My son suggested that I should report all this to you anyway.

Other Meds: Already stated in first report.

Current Illness: None

ID: 1006488
Sex: F
Age: 58
State: IL

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

Lab Data:

Allergies: Amoxicillin

Symptoms: On exactly day 8 since the shot, my left upper part of my arm was swelling, was hot, and a bit hard. It was like I was having an allergic reaction. It's at least the size of my hand. No other symptoms are occurring.

Other Meds: Metoprolol 25mg, Telmisartan 40mg, Atorvastatin 40mg, Fenofibrate 145 mg, Omega-3 4g

Current Illness: None

ID: 1006489
Sex: M
Age: 72
State: OH

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

Lab Data:

Allergies:

Symptoms: sudden onset tinnitus and deafness in right ear, lasting 12 hours, resolving spontaneously.

Other Meds:

Current Illness:

ID: 1006490
Sex: F
Age: 46
State: AZ

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

Lab Data: none

Allergies: allergy to Lavendar

Symptoms: red and itching on arms and chest - started at 7:00 pm and still itching next day at 1:50 pm red circle where injection when in is getting bigger - 2 quarters side by side size and hot to touch very tired

Other Meds: Venlafaxine HCL ER 75 MG Cap Rescue inhaler when needed

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm