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: 1006844
Sex: F
Age: 77
State: TX

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

Lab Data:

Allergies:

Symptoms: Pain and swelling around injection site. Continued all week, redness around site started Thursday (4th) evening. Called PCP on 5th and told to use Hydrocortisone cream and cold compress and report to VAERS.

Other Meds:

Current Illness:

ID: 1006845
Sex: F
Age: 41
State: CT

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

Lab Data:

Allergies: Phenergan, bee venom

Symptoms: Rapid heart beat, confusion, numbness in extremities, diarrhea

Other Meds:

Current Illness:

ID: 1006846
Sex: F
Age: 31
State: TX

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

Lab Data:

Allergies:

Symptoms: Tingling, numbness, Left rib pain, nausea, muscle tightness Vital Signs: Blood pressure: 160/94, Pulse 78,

Other Meds:

Current Illness:

ID: 1006847
Sex: F
Age: 28
State: NH

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

Lab Data: N/a

Allergies: Shell fish, seafood, latex, sumatriptan

Symptoms: Large red itchy rash, with swelling and warm to the touch.

Other Meds: Ajovy auto injection, anoro inhaler, Flovent inhaler, Zyrtec, singular, adderall xr, wellbutrin xr, amitriptyline

Current Illness:

ID: 1006848
Sex: M
Age: 25
State:

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

Lab Data:

Allergies:

Symptoms: Patient was feeling dizzy and had a low blood pressure, looked very pale, he claimed to have blurry vision. After sitting for a while he started to feel better and blood pressure rose to his normal value. Patient stated that this type of reaction to a vaccine had happened before.

Other Meds:

Current Illness:

ID: 1006849
Sex: F
Age: 46
State: CA

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: Patient took 2 tabs of loratadine 10mg on the night of 1/9/21 and 2 tabs of loratadine 10mg on the 1/10/21. Loratadine is a routine medication patient takes for allergy. Patient took extra doses to subside her itchiness on 1/9/21 and 1/10/21.

Allergies: Chili and Salsa

Symptoms: Patient received vaccine on 1/8/21 at 10:30am. On the night of 1/9/21 patient started to feel strong urge to scratch due to itchiness on the site of the injection. The injection site raised a bit, feeling swollen. The next day one hour to 2 hours later after waking up patient started to feel itchy sensation everywhere. Patient noticed measles-like red pumps all over the upper torso of the body. Approximately on 1/14/21 patient's symptoms subsided and went away completely.

Other Meds: N/A

Current Illness: N/A

ID: 1006850
Sex: F
Age: 34
State: WA

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

Lab Data:

Allergies: None (maybe sulfa, I?m not convinced).

Symptoms: The day of the injection I had a very sore arm, just like my first dose. Then around quarter after midnight, I got up to use the bathroom. I recall extremely vivid dreams, and a little bit of disorientation. On my way back to bed I thought I?d take another ibuprofen to help me sleep because my arm was so sore. I remember feeling very dizzy, I did take my pill, and then I woke up on the floor. I was extremely disoriented and there was a shrill ringing in my left ear. As I came to, I recall really finding relief in the cold tile, and being concerned that I may have hit my head. I did a mental scan of my body and nothing felt painful, though stiff and sore, as I had the flu. I got back in bed and looked at the time, about 20 minutes had elapsed. The rest of the night I tossed turned, and felt quite feverish. I attempted to find radial and carotid pulses, which were extremely weak. That night, I never did get a temperature, because I was quite disoriented. This morning I?ve been quite stiff and low energy. I feel discomfort in my kidneys, and have taken care to stay hydrated. I have reduced appetite, and some achiness in my body. My temperature right now is 100 even. It?s almost 3 o?clock, so about 28 hours has elapsed. I did not seek further medical care, as I live alone and transportation i would be a hurdle. I also not super concerned, mostly I just want you all to document that I painted, as I have not found that to be listed as a common side effect for the Moderna vaccine. I did call up a friend who is a paramedic, and feel reassured by her two cents.

Other Meds: Vitamin D

Current Illness: None

ID: 1006851
Sex: F
Age: 48
State: NY

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

Lab Data:

Allergies: Milk

Symptoms: S/P vaccine administration patient c/o chest pain, dizziness and weakness in the legs. Nurse observed patient to be diaphoretic, cool clammy skin. Initial vitals taken BP 134/96 and HR 87. Patient was assessed by a doctor who found that patient had a vasovagal reaction, compounded by a panic attack following administration . Repeat vitals showed BP 119/81 and HR 79. Patient was stable and discharged home via Uber.

Other Meds: Unkown

Current Illness: No known illness

ID: 1006852
Sex: M
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:

Symptoms: Symptoms were fever (100.8), muscle ache, joint ache, chills, headache (severe), fatigue, soreness at injection site. Symptoms started 8-10 hours after injection. Symptoms lasted 36 hours. Took Tylenol for aches and fever.

Other Meds: omeprazole 20mg, crestor 10 mg, fish oil 2000 mg, Vit D3 1000 iu, lutein 10 mg, asprin 81 mg

Current Illness: doxicycline

ID: 1006853
Sex: U
Age: 60
State: WA

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

Lab Data: Assessed when patient stated felt her tongue tingling, followed in `5 min with sensation of tongue ?becoming larger? Taken to ED via w/c for further evaluation.

Allergies: unknown

Symptoms: Onset tongue tingling, followed by sensation of tongue swelling. No SOB, wheezing. Onset ~10min post 1st dose Moderna vaccine. No previous medication reactions. On 15 min wait time.

Other Meds: unknown

Current Illness: unknown

ID: 1006854
Sex: F
Age: 51
State: DE

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

Lab Data:

Allergies: Egg

Symptoms: Visible reaction includes facial drooling but patient was stable. Patient was given some Benadryl and observed for 30 minutes before being asked to go home

Other Meds:

Current Illness:

ID: 1006855
Sex: F
Age: 25
State: OK

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

Lab Data:

Allergies: N/A

Symptoms: Swollen and pain on underarm/lymph node on side of vaccine; started day after second dose of vaccine

Other Meds: Ocella Doxycycline Amitriptyline Claritin-D

Current Illness: N/A

ID: 1006856
Sex: F
Age: 51
State: AZ

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

Lab Data:

Allergies: none

Symptoms: Fever (101 F), chill, headache, body aches. Took ibuprofen and Tylenol 4 hours apart. Felt better by 3 pm.

Other Meds: none

Current Illness: none

ID: 1006857
Sex: F
Age: 34
State: CA

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

Lab Data: N/A

Allergies: none stated

Symptoms: Sudden onset tongue numbness and throat tingling s/p Pfizer Covid19 vaccine admin. VS per RN notes. Pt given Benadryl 25mg IM ROUQ per standing order and pt. request . Pt symptoms resolved. VS returned to baseline. Airway remained patent. No adventitious lung sounds noted. Pt elects to DC home W/ACI and CDC form. Pt states she is a hospice nurse and well versed on Vaccine RXN. Pt in good spirits. **refer to written RN note**

Other Meds: prenatal vits

Current Illness: denies

ID: 1006858
Sex: F
Age: 46
State: MN

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

Lab Data: None

Allergies: None

Symptoms: reactive lymphadenitis; Naproxen 500mg twice daily for 5 days

Other Meds: Lamotrigine, Gabapentin, amlodipine, metoprolol

Current Illness: None

ID: 1006859
Sex: F
Age: 24
State: MI

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

Lab Data: 3 ER visits X-RAY shows lung inflammation Symptoms were treated with steroid shot and pills Inflammation if longs is still causing shortness of breath two weeks after vaccine

Allergies: No

Symptoms: Passed out the day of, numb and tingling face and body for over a week, shortness of breath, dizziness, fast heart beat

Other Meds: Amitriptlyn Lexapro Birth control pill Systemic formula ViVI

Current Illness: No

ID: 1006860
Sex: F
Age: 37
State: CA

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

Lab Data: None (pending MD callback)

Allergies: Nitrofurantoin (Macrobid)/Rash.

Symptoms: Symptoms reported, "I was driving home after the vaccine and felt really hot, like a hot flash and felt my heart palpitating", that lasted for approximately one hour. Symptoms of "tingling at all 10 finger tips that has gone away but now have a little numbness in both hands". Reported driving home and calling primary care physician to report symptoms but has not received a call back.

Other Meds: None

Current Illness: None

ID: 1006861
Sex: F
Age: 22
State: VA

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

Lab Data:

Allergies:

Symptoms: Client reported history of fainting from shots. Staff was already monitoring patient specifically due to previous history of fainting from receiving other vaccinations. Client passed out in the 15 minute wait time and was observed by EMS in a squad where she recovered. At 17:55 BP 103/68 and pulse 68, at 18:02 BP 106/70 and pulse 98. At 18:06 BP 115/72 and pulse 100. No other adverse reactions reported at the time of this event.

Other Meds:

Current Illness:

ID: 1006862
Sex: F
Age: 53
State: CA

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

Lab Data: NONE

Allergies: Bactrim -tongue swelling, patchy rash

Symptoms: Scratchy throat and "weird feeling."

Other Meds: Hydrochlorothiazide 25mg, PO Q day, Norvasc 5mg, PO q day, aspirin 81mg, qd

Current Illness: none

ID: 1006863
Sex: F
Age: 63
State: CA

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

Lab Data: N/A

Allergies: Thimerosal

Symptoms: Hives, angioedema, tongue swelling.

Other Meds: unknown

Current Illness: unknown

ID: 1006864
Sex: F
Age: 28
State: NV

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

Lab Data: None.

Allergies: Papaya, Dermabond, Latex, Cobalt blue, perfumes and colognes

Symptoms: About 15 minutes after receiving vaccine, she got in her car and noticed a rash, started having light headed. Thought she needed food, then got the headache and chills. For the entire night she did have the cold chills. She went to work the following day and her skin started feeling tingly. By the time she got home on 2/3/21 she felt nauseous, had temp of 101.8. The whole night she pretty much swim in sweat. She went to work and was sent home due to the fever, nonstop sweating, and fatigue feeling like she was going to pass out. Around 12:00 PM on 2/4/21 she couldn't keep anything down, she lost 5# since this vaccine. She took an Ibuprofen 800 which didn't do much. She took Pepto-Bismol, Advil and could not hold anything down. The brain pounding headache that didn't want to go away yesterday. She is still having a headache, she feels like every step she takes she has to use the restroom due to diarrhea episodes. She has been at home trying to sleep through the symptoms and has not seen a doctor as when she called with her first vaccine reactions they did not have any information to tell her since the side effects are so new. She only gets up today only when she has to use the restroom. She has been in the bed since she went home on 2/3/21.

Other Meds: None.

Current Illness: None.

ID: 1006865
Sex: F
Age: 76
State: FL

Vax Date: 01/19/2021
Onset Date: 01/24/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: none known

Symptoms: Reaction 1: sore left shoulder at the injection site next day for one day only Reaction 2: 5 days after vaccine, noticed blood on my shirt where I had been itching, left upper arm between injection site and elbow. Appearance of skin is rash, welted, red, bruised and sensitive to touch in an area about 3x3 inches. OTC anti itch cream not effective. Itching became so severe, I went to my dermatologist 3 days after itching started. Diagnosed as Allergic Contact Dermatitis due to Covid 19 vaccine. Given Rx anti itch cream and told to use cold pack when it was itchy and take OTC antihistamine. Followed doctor's orders and itching finally stopped after 12 days from onset.

Other Meds: Multaq, Bisoprolol, Levothyroxine

Current Illness: none

ID: 1006866
Sex: M
Age: 71
State: CA

Vax Date: 01/20/2021
Onset Date: 01/29/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: none

Allergies: Floxin

Symptoms: Red blotching. Started small, continues to grow. On going.

Other Meds: Xarelto 20mg 1x Metoprolo 25 mg 2x Vitamen D3 5000 IU Vitamen C 500mg

Current Illness:

ID: 1006867
Sex: F
Age: 53
State: PA

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

Lab Data: None - its all mild but just concerning as to why its showing up again after 9 days

Allergies: none

Symptoms: DAY 9 after shot - SYMPTOMS REAPPEARED! Mild but concerning as to why symptoms returned 9 days later!? Slept for additional 4 hours today - still very tired with feeling of not well Fever/ chills - sorry I can not find my thermometer Feeling of internal irritating shake - I feel this same way when I get my periods well Headache - I am not a headache person so when I have one something is wrong Upset stomach Day 2 & 3 symptoms were expected( All mild) fever, chills, headache, stomach ache ( day 3), tired I also noticed by the time I walked out of the rite aid, I had head fog. I definitely did not walk in with head fog.

Other Meds: None

Current Illness: none

ID: 1006868
Sex: F
Age: 61
State: WA

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

Lab Data:

Allergies: none provided

Symptoms: Patient presented to the vaccine clinic for her second covid vaccine. Staff outside had not verified date of first vaccine, when I went to document and verify patients first dose patient advised that she received the first dose on 01/16/2021. Then verified with management that patient was to early for her second dose as it has only been 20 days.

Other Meds: unknown

Current Illness: none noted

ID: 1006869
Sex: M
Age: 28
State: CA

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

Lab Data:

Allergies: None.

Symptoms: I become extremely drowsy about 2 hours after receiving the shot. I couldn't fight it.

Other Meds: Finasteride in the morning.

Current Illness: None.

ID: 1006870
Sex: F
Age: 32
State: TX

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

Lab Data: Blood work 2/5/2021

Allergies: Sulfa, Penicillin

Symptoms: I started having a rash all over my body 7 days after first vaccine. Got a lot worse over 5 days. Woke upon 2/5 to major chest pains, itching all over, and broken blood vessels and bruising all over my body. I had blood work done and they said it's normal but now I need to see a Hematologist. It's been 5 days and its not getting better just worse.

Other Meds: Procardia XL 30mg (once a day) albuterol inhaler

Current Illness: None

ID: 1006871
Sex: F
Age: 29
State: TX

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

Lab Data: Rapid SARs negative 2/3/2020

Allergies: Tamiflu-jaundice

Symptoms: Wheezing and shortness of breath a day after second dose.

Other Meds: Venlafaxine ER 37.5 mg ER, Trazodone HCL 100, Flonase, Melatonin, Zyrtec 10 mg, Nexplanon 68 mg implant

Current Illness: None

ID: 1006872
Sex: F
Age: 48
State: AL

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: No allergies to medication; allergies to trees, molds

Symptoms: Itching at vaccination site then led to redness and inflammation around the area about the size of a baseball within 24 hours. Had itching on other parts of body, i.e arms, head, legs.. Took Benadryl and initially did not help itching or redness at vaccination site. After 24-36 hours itching began to decrease but redness and inflammation remained.

Other Meds: Topamax; Lexapro; Tumeric; Fish Oil

Current Illness: No

ID: 1006873
Sex: F
Age: 82
State: CA

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

Lab Data: none

Allergies: none

Symptoms: Shoulder pain within 10 min. after shot. Rash started the next day. Waited till Saturday, the 29th to see a doctor., and she diagnosed that I had Shingles. She gave me two medicines to get from my druggist. One was valacyclovir and the other was HYDORcodone. These helped to relieve the pain. I was limited to 5 of the HYDROcodone, so when I was finished with those tablets, my nighttime pain in my shoulder was very uncomfortable.

Other Meds: none

Current Illness: none

ID: 1006874
Sex: F
Age: 81
State: CA

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

Lab Data: unknown.

Allergies: iodine and iodine containing compounds

Symptoms: muscle spasms, not feeling well and complaining of pain in feet and mouth

Other Meds: Sildenafil Citrate Tablet 20 MG, MetroNIDAZOLE Tablet 500 MG.

Current Illness: blisters on both feet as a result of chronic Raynaud?s Disease.

ID: 1006875
Sex: F
Age: 28
State: NY

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: None known

Symptoms: On 1/18/2021, I developed a bright right itchy rash at the injection site. The rash had paler raised skin in the center with an uneven border. I took two separate doses of benadryl, a zyrtec the next morning, and a benadryl the next night again. I also began to apply cortisone cream. The visible rash gradually lessened and was no longer visible on 1/21/2021, but some itchiness lingered and then also remitted after about 24 hours later.

Other Meds: Lamotrigine 100mg 2x daily, adderall xr 15mg 1x daily, bupropion 75mg 1x daily

Current Illness: None

ID: 1006876
Sex: F
Age: 67
State: WA

Vax Date: 01/20/2021
Onset Date: 01/28/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: Meloxicam

Symptoms: On the 8th day after I had the Moderna vaccine, my left arm deltoid area (where I had the shot) developed a very red, defined area about 3 inches by 5 inches. It didn't really hurt but was somewhat swollen and felt itchy/achy. After 2 days it started to fade and now after 8 days, it is almost gone. I did not have fever or other symptoms.

Other Meds: Prolia Vitamin D Ibuprofen as needed

Current Illness: None

ID: 1006877
Sex: F
Age: 36
State: CA

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

Lab Data:

Allergies: nuts (especially hazelnuts), nitrofurantoin, and diphenhydramine

Symptoms: as per MD notation, :"Patient is a 36 Yo female had her first Moderna CoVid vaccine on 1/29/21 and on the 3rd of February, 5 days later, developed a delay hypersensitivity reaction in the left upper arm with warmth to the touch, redness and some axillary painful lymphadenopathy that is causing pain along the left later breast. Patient is rated at 6/10 and arm is very warn to the touch. I ordered ibuprofen to use q 6 H with food over the weekend. advise cold packs to the upper deltoid of the left arm, start cetirizine today asap and go home and rest. Epi pen was also dispensed. Pretreatment with cetirizine and ibuprofen advised prior to moderna #2 vaccine. "

Other Meds: NONE

Current Illness: NONE

ID: 1006878
Sex: F
Age: 33
State: MO

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

Lab Data:

Allergies: Benzoyl peroxide

Symptoms: Significant widespread body aches starting 12 hrs after dose, felt feverish throughout night, took ibuprofen and still spiked 101.1 fever 2 hrs into motrin.

Other Meds: Zyrtec

Current Illness:

ID: 1006879
Sex: M
Age:
State: IL

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

Lab Data: General Labs blood gases

Allergies: Sulfa

Symptoms: Severe body ache stomach pain, headache, nausea and vomiting, 103 temp severe joint pain

Other Meds: Metoprolol, Clopidogrel, Lantus, Humalog, L-lysine, Lovastatin, Gabapentin, acid reducer,

Current Illness: None

ID: 1006880
Sex: F
Age: 44
State:

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

Lab Data:

Allergies:

Symptoms: fever, fatigue, body aches,chills

Other Meds:

Current Illness:

ID: 1006881
Sex: F
Age: 60
State: MS

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

Lab Data: N/A

Allergies: NKA

Symptoms: pt became "sleepy" approx 10 minutes after receiving the vaccine. PHN noted that pt was sitting in vehicle in passenger seat with daughter as driver. pt appear lethargic but responds to verbal commands. pt weakly states she was just "sleepy". PHN asked pt if she was having any difficulty breathing or feeling any other symptoms and pt replied "no". pt's daughter was talking to her in their language has PHN was speaking. BP 148/84, pulse slow and steady @ 70/min. pt stated she wanted to lay down and PHN lowered seat back to recline and brought pt's feet up. pt did not tolerate the position change well and started gagging with dry heaves. 911 called. placed pt's feet down. pt c/o of feeling hot.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1006882
Sex: F
Age: 80
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: Woke w/headache..........after exercising started to feel very tired.......... spent the whole afternoon on the couch

Other Meds: Vitamins/Minerals I take every day......Morning....OneADay Multi-Vitamin, VitaminD, Vitamin D12, Probiotic 10, Tumeric, Evenings: Calcium, melatonin, baby aspirin,, COQ10 Evening: 50mg Losartin

Current Illness: None

ID: 1006883
Sex: F
Age: 72
State: NY

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

Lab Data: None

Allergies: Penicillin NSAIDS

Symptoms: 72 y/o Female with sudden onset of "hot" feeling with flushed feeling. No shortness of breath, wheezes, stridor, nausea/vomiting, or near syncope. Pt was placed in chair and observed. Vital signs: BP 138/84, HR 72, Resp. 16, Room air O2 99%. Symptoms resolved spontaneously. Pt observed x 30 min.

Other Meds: none

Current Illness: None

ID: 1006884
Sex: M
Age: 32
State: ND

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

Lab Data:

Allergies: None

Symptoms: Woke up with moderate chills around 430am on 05FEB2021 and had difficulty sleeping until getting out of bed at 800am. Felt instant dizziness, fatigue, headache, and ear ringing when I stood up. Felt hot at first, then chilled, and continued to switch between hot and cold. These symptoms lasted for about 5 hours with varying levels of severity. My temperature high was 98.3 F according to the infrared forehead thermometer I used throughout the duration of symptoms.

Other Meds: GNC Mega Men Sport multivitamin, ginseng, fish oil

Current Illness: None

ID: 1006885
Sex: F
Age: 54
State: AZ

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

Lab Data: none

Allergies: None

Symptoms: Scratchy Throat,

Other Meds: Zyrtec, Allegra, Lisinopril 20mg, PO, qD , Multi dose vitamin

Current Illness: None

ID: 1006886
Sex: M
Age: 65
State: MN

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

Lab Data: NA yet

Allergies: NA

Symptoms: fever and chills

Other Meds: NA

Current Illness: NA

ID: 1006887
Sex: F
Age: 65
State: NY

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

Lab Data: none

Allergies: Bactrum/ cipro/ asperin/ codeine/ ibprophen possibly /cephalexin / possibly catheriization dye 6-8 hrs after procedure / valtrex concern to take 2nd dose scheduled for feb 17 2021

Symptoms: Small welt between breast /hives across pelvis area/ Hives and back red spots on back / Dr advised take 25 mg Benadryl immediately as long as breathing was ok...In 4hrs take an additional benadryl 25mg All hives went away approximately bedtime at 1030 pm..................2 days later some hives appeared took 1 benadryl 25mg ( NO other symtoms in the 30 min wait at the premises where shot was given )

Other Meds: Multivitamin /D3 2000/ Vit C 1000mg / flaxseed capsule/ calcium / b complex

Current Illness: none { Nov 2021 took valtrex for mild shingles quarter size on backbone) Reaction to valtrex similar hives Stopped immediately Took Predisone N benadryl 25mg (5-6 days

ID: 1006888
Sex: M
Age: 45
State: WI

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

Lab Data: None

Allergies: Milk, shellfish, tree nits

Symptoms: Fever 102.4

Other Meds: Omeprazole, zyrtec

Current Illness: No e

ID: 1006889
Sex: F
Age: 98
State: CO

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

Lab Data:

Allergies: medrol, prednisone

Symptoms: pt admitted to hospital d/t encephalopathy

Other Meds: aluminum hydrox-magnesium carb; aspirin, calcium carbonate-vit d3, fish oil, fluorometholone, flucticasone, lidocane 5%, loratadine, melatonin, mirabegron, multivitamin c folic acid, naproxen sodium, polyethylene glycol packet, zoloft, sim

Current Illness:

ID: 1006890
Sex: F
Age: 41
State: AZ

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

Lab Data: CAT scan and blood work was done at General Hospital on 1/26. CAT scan and blood work was done at ER at General Hospital 1/25

Allergies: codine

Symptoms: Within 5-10 minutes of the shot I started to get a metallic taste in my mouth. Then my legs started to feel heavy and numb, then my face felt numb and then my arms. I could barely pick something up and I could not stand. Then my jaw started to shake and so did my legs. I went to the ER and they said I was having a shock/panic attack response to the vaccine. On Monday 1/25 I woke up in extreme stomach pain and went back to the ER and they said I needed to have my appendix out. I went to a hospital where they tried to just give me antibiotics, but still had to have my appendix out on Wednesday 1/27.

Other Meds: Trintellix, Trazadone, birth control

Current Illness: none

ID: 1006891
Sex: F
Age: 58
State: MD

Vax Date: 01/25/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital: Y

Lab Data: EEG, ECG, EKG, MRI, CT scan, urinalyisis, Cartoid sonogram, blood work, COVID -19 rapid test x 2 (Negative)

Allergies: Ibuprophen simgulair Sulfa drugs

Symptoms: Syncope 5 - 10 seconds , Nausea, slight head ache, weakness after syncope 2/3 @ 10:15 am Hospitalized on 2/3 @ 11:30 am on 2/3/2021 2/5 @ 4 :30 pm Primary Care visit @ 3:30 pm on 2/5/2021

Other Meds: Brio 100mcg every other day Zyrtec 10 mg 1 tme a day probiotic - 1 time a day Aleve - 1 time a day Bioclense 1 time a day Plexus 1/2 packet daily

Current Illness: N/A

ID: 1006892
Sex: F
Age: 32
State: IL

Vax Date: 01/15/2021
Onset Date: 01/24/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Experienced hives at injection site, under arms, thighs, belly, and feet. Injection site was swollen and hot. Treated with steroids. This happened approx. 9 days after vaccine. One more round of hives occurred 14 days after vaccine, but only at injection site.

Other Meds:

Current Illness: None

ID: 1006893
Sex: F
Age: 26
State: CA

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

Lab Data: EKG- sinus tach

Allergies: no known allergies

Symptoms: patient reports lip tingling and swelling, 2 hrs later reports chest tightness. Patient given 0.3mg epinephrine injection. Pt transferred to ED with EMT. In ED patient given NS bolus, Pepcid, Benadryl and solumedrol. Discharged at approx. 1615

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm