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: 1006947
Sex: F
Age: 75
State:

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

Lab Data: none

Allergies:

Symptoms: while waiting in observation area, patient complained of feeling lightheaded. The patient was taken to the nurse observation area. Vital signs were recorded and reported to the doctor. All vital signs were within normal limits. The patient's only complaint was lightheadedness which lasted about 30 minutes . The patient was discharged home with her husband. She was able to ambulate on her own and denied any other symptoms.

Other Meds:

Current Illness:

ID: 1006948
Sex: F
Age: 21
State: IN

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

Lab Data:

Allergies: None.

Symptoms: Day after: nausea & dizzy first for a few hours. Labored breathing most of day. General body aching and joints aching. Slight headache throughout day.

Other Meds: Sertraline 25mg, clonidine .1mg, acetaminophen 500mg.

Current Illness: None.

ID: 1006949
Sex: F
Age: 27
State: IN

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None needed

Allergies: Bactrim

Symptoms: The night of getting the first dose of Moderna, I woke up to my stomach having a burning and tingling sensation, severe nausea, fast heart rate, feeling like I was going to stop breathing and faint, my lips were numb. These symptoms lasted for about 20 minutes and then they resolved. I did not have any of these symptoms since it initially happened on 1.8.21 at 230am. I did not seek medical care at the time since my symptoms resolved. I did contact my doctor on 2.1.2021 about this and he stated the symptoms I described aligned with symptoms of a panic attack, but if I felt it was related to the vaccine that I can report it.

Other Meds: -zoloft 150mg, GLA supplement (omega-6), multivitamin

Current Illness:

ID: 1006950
Sex: F
Age: 49
State: NY

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

Lab Data:

Allergies: Celiac ... gluten

Symptoms: Itching about two hours after did not scratch took Benadryl woke in the morning to a red very swallon lump on arm . Got bigger through out day. At 3 pm put a circle around it and the morning of the 5th it went past circle called primary and he said it was bacterial infection , warm and itchy. Put me on cephalexin 500 mg three times a day for seven days.

Other Meds: Venlafaxin 75 mg

Current Illness: None

ID: 1006951
Sex: F
Age: 33
State: TX

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

Lab Data: None

Allergies: Penicillin, compazine, zofran

Symptoms: 12 hours after receiving vaccine, flu-like lethargy, chills, headache, body ache

Other Meds: Effexor XR, Gabapentin, diclofenac, tylenol, tizanidine

Current Illness: Sinus infection one week prior

ID: 1006952
Sex: M
Age: 55
State: MI

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

Lab Data: none

Allergies: none known

Symptoms: chills, flu symptoms, shivering, fever, headached, bodyaches, weakness/lack of energy

Other Meds: https://athleticgreens.com/us https://www.alternascript.com/products/optimind https://www.boost.com/products/high-protein

Current Illness: none

ID: 1006953
Sex: F
Age: 73
State: GA

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

Lab Data:

Allergies:

Symptoms: Pt was given Moderna COVID19 Vaccine 01/14/2021 (1st dose) 2nd dose Moderna COVID19 Vaccine given 02/04/2021 (21 days instead of 28 days after 1st dose)

Other Meds:

Current Illness:

ID: 1006954
Sex: F
Age: 41
State: AZ

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

Lab Data:

Allergies: Triaminic

Symptoms: Headache, body aches, chills, fever

Other Meds: None

Current Illness: COVID

ID: 1006955
Sex: F
Age: 22
State: CA

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Vit C, mangoes

Symptoms: Initially, I only experienced soreness near the injection site. However, 10 days later, I started experiencing mild sore throat and fever, headaches, and moderate aches and muscle weakness. Day 11 after the vaccine, I noticed a red, asymptomatic ring around the injection site. I have never had a reaction to any vaccine or shot before. In total, I experienced fever, sore throat, muscle weakness, fatigue for 4 days after the symptoms started.

Other Meds: Fish oil, Vit D, Tumeric, Echinacea, Probiotic

Current Illness: none

ID: 1006956
Sex: F
Age: 54
State: UT

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

Lab Data:

Allergies:

Symptoms: Severe headache Nausea Vomiting

Other Meds:

Current Illness:

ID: 1006957
Sex: F
Age: 45
State: IN

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

Lab Data: none

Allergies: none

Symptoms: Woke up 11 hours after 2nd dose with severe chills, body aches, headache fever, joint pain and enlarged supraclavicular lymph node. Unable to function the next day. Symptoms did not improve with tylenol or NSAIDS. Body aches started to improve around 1800 on 2/4/21. At 0445 on 2/5 headache continued as well as enlarged lymph node and malaise. All other symptoms were resolved. 2 days of work missed.

Other Meds: none

Current Illness: none

ID: 1006958
Sex: F
Age: 45
State: OH

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

Lab Data: None

Allergies: No

Symptoms: Low grade fever, chills, body aches, headache. Symptoms began 12 after injection and lasted for 36 hours as strong symptoms quite bothersome than slowly began to ease

Other Meds: Rituxin infusion

Current Illness: MS

ID: 1006959
Sex: F
Age: 57
State: CA

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

Lab Data:

Allergies: lisinopril, maxide, ibuprofen, penicillin, dilantin

Symptoms: began having itching from abdomen up to neck and head and arms, took Benadryl, slept and felt better within 24 hours

Other Meds: vitamins

Current Illness: none

ID: 1006960
Sex: F
Age: 51
State: NY

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

Lab Data: normal ekg, troponin, chest xray, cbc, cmp.

Allergies: none

Symptoms: pt with sudden onset chest pain and palpitations after event.

Other Meds: none

Current Illness: none

ID: 1006961
Sex: F
Age: 47
State: MI

Vax Date: 01/23/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: sulfa, demerol

Symptoms: Small rash area on left arm, several inches from where the shot was given. Rash began as .5" diameter, now about 1.5" in diameter and another spot started a few inches higher. The larger one is only slightly itchy.

Other Meds: Zoloft 100 mg Nasocort spray Multivitamins Calcium Vitex fruit capsules

Current Illness: None

ID: 1006962
Sex: F
Age: 43
State: MN

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

Lab Data:

Allergies:

Symptoms: 1-2 hours after injection got very flushed and diaphoretic, later came the body aches, headache and fatigue. She also woke up with very swollen hands this morning. Continues to have body aches, headache, and diaphoresis.

Other Meds:

Current Illness:

ID: 1006963
Sex: F
Age: 24
State: OK

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

Lab Data:

Allergies: none

Symptoms: slightly raised, red, well demarcated rash around the injection side. The edges were more red than the center. Bruising at the injection site. The rash extended about 2.5 inches above and below the injection site and one inch on either side of the injection site.

Other Meds: Larin Fe, Claritin, womens daily vitamin

Current Illness: seasonal allergies

ID: 1006964
Sex: F
Age: 74
State: CA

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

Lab Data:

Allergies: None

Symptoms: After 7 days my right arm was red and irritant around the injection site. This is the second day.

Other Meds: Alendronate sodium, Atorvastatin one a day vitamin, calcium, magnesium,

Current Illness: None

ID: 1006965
Sex: F
Age: 28
State: CO

Vax Date: 01/09/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: See above

Allergies: NKA

Symptoms: Neutropenia noted on routine medication monitoring labs on 2/3/21 with WBC = 3.2, ANC = 1.1.

Other Meds: aripiprazole Adderall XR Venlafaxine ER

Current Illness:

ID: 1006966
Sex: F
Age: 74
State:

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

Lab Data:

Allergies:

Symptoms: Elevated Temp 99.8

Other Meds:

Current Illness:

ID: 1006967
Sex: F
Age: 62
State: HI

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

Lab Data: none

Allergies: contrast, bee stings, seafood.

Symptoms: angioedema treatment: IV pepcid, benadryl, and solumedrol

Other Meds: claritin 4 tablets/ pepcid 2 tablets/ benadryl 50 mg all taken 11:30 am

Current Illness: Coronary artery disease, history of recurrrent bowel obstructions, angioedema

ID: 1006968
Sex: F
Age: 53
State: TX

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

Lab Data:

Allergies:

Symptoms: The next day my arm was red and had a large lump about 3 inches in diameter. It was also so painful that even my shirt resting on my arm was painful. It took several days before my arm wasn't terribly sore, about 2 weeks before the lump wasn't visable, and even now, 3 weeks later, there's still redness, a slight lump and a bit of pain deep in my arm when I press on it.

Other Meds:

Current Illness:

ID: 1006969
Sex: F
Age: 60
State: NY

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

Lab Data: None

Allergies: No

Symptoms: 7 cm red rash, burning, warm to the touch 2 days after the 2nd vaccine

Other Meds: Levothyroxine

Current Illness: None

ID: 1006970
Sex: F
Age: 66
State: AK

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

Lab Data:

Allergies: Ambien, Benadryl, Cats, Codeine, Fentanyl, Ibuprofen, Methadone, Metoclopramine, Midozlam, Morphine ER, Paxil, Penicillins, Promethazine, Sumatripan, Tramadol, Valium

Symptoms: Shortness of Breath, Swelling of Tongue

Other Meds: Alprazolam, Brimonidine opth, Chlorhexidine top, Chlecal Ciferol, Cyclosporine, dielofenac, Lactobacillus Acidophilus, Olopartadine, Omeprazole, Ondansetrone, Phenylephrine Hydorcholoride, Prednisone, Propranolol, Tizanidine, Travoprost, Tr

Current Illness:

ID: 1006971
Sex: F
Age: 50
State: AZ

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

Lab Data: None

Allergies: NKMA, NKA

Symptoms: She developed Bell's Palsy, L side face

Other Meds: Valtrex 500 mg

Current Illness: None known

ID: 1006972
Sex: F
Age: 68
State: WA

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

Lab Data: None

Allergies: None

Symptoms: Resident had fever of 103.1 with body aches but has been resolved afterwards.

Other Meds:

Current Illness:

ID: 1006973
Sex: F
Age: 36
State: CA

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

Lab Data: Vitals.

Allergies: Lamictal, definity contrast

Symptoms: Scratchy/itchy throat. Benadryl given. Feeling mostly normal by 3pm and discharged.

Other Meds: Spirinolactone, cyclobenzaprine, magnesium,

Current Illness: None known.

ID: 1006974
Sex: F
Age: 90
State: IN

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

Lab Data:

Allergies:

Symptoms: Elevated Temp 99.3 . Loose Stool

Other Meds:

Current Illness:

ID: 1006975
Sex: F
Age: 70
State: FL

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

Lab Data: None. Called my Dr after the first shot reaction and was told by the nurse that it was normal.

Allergies: N/A

Symptoms: First Moderna vaccine (01/05/2021) injection site became red, very itchy, hot and rash - 7 days after the injection. Second shot (02/02/2021), injection site became VERY itchy, red and rash-like on 02/03/2021 and also included flu-like symptoms for 12 hours (chills, fatigue, aches). Today is 02/05/2021 and arm is still very itchy and red.

Other Meds: Levothyroxine, Premarin, Rosuvastatin, Centrum Silver, Fish Oil, Vitamin D3, Vitamin E, Niacinamide,, Vitamin B Complex

Current Illness: None

ID: 1006976
Sex: F
Age: 46
State: MS

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

Lab Data: None

Allergies: None

Symptoms: Redness and swelling at injection site that keeps increasing even after 54 hours from vaccination.

Other Meds: None

Current Illness: None

ID: 1006977
Sex: F
Age: 49
State: CO

Vax Date: 01/22/2021
Onset Date: 01/31/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: EUA COVID-19 vaccine Moderna. Vaccinated with dose #1 of Moderna COVID-19 vaccine on 1/22. 1/23, client reports moderate arm soreness at the site of injection, joint aches and fatigue. She took ibuprofen 1/24 and 1/25, and "felt lousy" over the weekend. She noticed a spike in aches with chills on 1/25 approximately 3 hours post-exercise (strength training, moderate cardio). Fatigue and joint aches continued the rest of the week (through 1/30), but were not severe enough to limit normal activities or require ibuprofen or other meds. On 1/31, 9 days post vaccine, client reported a bilateral rash in the inner arm area. Within 24 hours, it spread to her torso and legs. Client is a nurse practitioner and described it as a "measles-like" rash; small raised dots, coalesced together in clumps that are largest on her thigh area, up to a foot in diameter. Warm to touch. Not a sandpaper rash. She denies itching or fever. This rash has been disappearing in order it appeared, and is still present on legs.The rash fading started 2/3 on inner arms, and client reports she can still feel the raised areas, but redness and warrmth is gone. Client did "Chat with a doctor" through telehealth and sent them a picture. Per her report, the provider said it may be a latent reaction to the vaccine, but is unsure if it's allergic. They offered a topical steroid which she declined. Client reports a history of topical allergic reaction on her face due to a cream, 10 years ago. She described it "like chemical burn", and was prescribed a PO steroid. She reports atopic dermatitis as child, but doesn't have eczema or consider herself to have sensitive skin right now. She also reports one case of pityriasis rosea when working with school age children, "text book" rash, 20 years ago. Due for dose #2 of COVID vaccine 2/19. Client plans to go to an in-person visit at clinic for further assessment.

Other Meds:

Current Illness:

ID: 1006978
Sex: M
Age: 46
State: CA

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

Lab Data:

Allergies:

Symptoms: injection site soreness headache fatigue

Other Meds:

Current Illness:

ID: 1006979
Sex: F
Age: 44
State: CO

Vax Date: 01/06/2021
Onset Date: 01/16/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Patient reports no allergies

Symptoms: When the patient returned for her second dose, she reported a rash at the site of the first injection, beginning 10 days after her first injection (she stated she first noticed the rash on 1/16/21). Patient described the rash as raised, red, itchy, and hot, and stated it lasted 3-4 days and then cleared up. Per patient report, rash was 2 to 2.5 inches in diameter at the site of the first injection on her upper left arm. Patient stated she did not seek medical attention for the rash or treat it with any medications. Second dose administered in opposite arm.

Other Meds:

Current Illness:

ID: 1006980
Sex: F
Age: 70
State: MN

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

Lab Data:

Allergies:

Symptoms: Woke up feeling tired and sore/body aches

Other Meds:

Current Illness:

ID: 1006981
Sex: F
Age: 46
State: FL

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

Lab Data: N/A

Allergies: LATEX LISINOPRIL

Symptoms: PT C/O LEFT ARM ITCHING AND HIVES TO INJECTION SITE. MILD SWELLING 1.5 CM. PT. DENIED ANY OTHER SYMPTOMS. BENEDRYL 25 MG WAS ADMINISTERED PO AND PT WAS MONITORED FOR 30 MINUTES. PT CALLED FOR SOMEONE TO DRIVE HER HOME AFTER RECEIVING BENEDRYL AND STATED A REDUCTION IN ITCHING SENSATION PRIOR TO LEAVING.

Other Meds: ELAVIL AIMOVIG TOPOROL ZOFRAN TOPOMAX

Current Illness: N/A

ID: 1006982
Sex: F
Age: 78
State: IN

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

Lab Data:

Allergies:

Symptoms: Elevated Temp 99.0. Loose stool

Other Meds:

Current Illness:

ID: 1006983
Sex: F
Age: 56
State: IL

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

Lab Data: None

Allergies: Peanuts

Symptoms: Severe chills, muscle aches, headache, nausea, -missed 2 days of work

Other Meds: Spironolacatone, folic acid, vitamin D, alendronate

Current Illness: None

ID: 1006984
Sex: F
Age: 39
State: AZ

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

Lab Data:

Allergies: Bees; Codeine; and almonds

Symptoms: Sore left arm after about 5 hours from vaccine. Slight nausea about hour and a half after vaccine.

Other Meds: Bupropion; singular; zyrtec; low dose aspirin; wixela; biotin; and cranberry pills.

Current Illness: None

ID: 1006985
Sex: F
Age: 25
State: CA

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

Lab Data: N/A

Allergies: Metronidazole, Reglan, Shrimp

Symptoms: Patient began having lower lip numbness approximately 10 minutes after vaccine was given, along with associated lightheadedness and a "hot flash." All vital signs were within normal limits. MD was brought to patient to assess. Patient was given 20 mg ODT cetirizine after 10 minutes of increasing lip numbness and tingling. All symptoms resolved within 10 minutes after receiving medication. Patient was observed for 30 minutes and released home.

Other Meds: N/A

Current Illness: N/A

ID: 1006986
Sex: F
Age: 68
State: PA

Vax Date: 01/29/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: contacted PCP who advised to take benedryl and apply ice.

Allergies: iodine

Symptoms: Slight soreness at injection area on day 2; ended by day 3. On the evening of day 6, area was itchy, red, swollen, sore, and warm to the touch. The swelling was 4" in diameter and raised about 3/4 - 1 inch. n

Other Meds: levothyroxine, atorvastatin, CoQ10, Zinc, Boron, Areds2, Omega combo

Current Illness: none

ID: 1006987
Sex: M
Age: 44
State: NJ

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

Lab Data: None

Allergies: None

Symptoms: Lost taste Body and joint ache Shivering at first 2 nights Feel cold and hot.

Other Meds: Irbesartan/HCTZ 300-12.5mg - 1 tab Clenpiq 10mg/3.5g/12g/160ml-1 tab Same day morning about 9am. Night before bed - wild Alaskan fish oil 1400mg And nature?s made cholestoff plus 900mg plant sterols.

Current Illness: None

ID: 1006988
Sex: F
Age: 33
State: TX

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

Lab Data: NA

Allergies: No known allergies

Symptoms: Delayed reaction: swollen, itchy, soreness, red/blistered skin which got worse over the corse of 4 days.

Other Meds: NA

Current Illness: NA

ID: 1006989
Sex: M
Age: 85
State: WA

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

Lab Data: None

Allergies:

Symptoms: Fever at 100.3 and was resolved the same day

Other Meds:

Current Illness:

ID: 1006990
Sex: F
Age: 19
State: MA

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

Lab Data: None

Allergies: None

Symptoms: Student received second dose Moderna yesterday (2/4), today (2/5) developed nausea and lightheadedness and had a syncopal episode. Seen and evaluated at clinic. Recovered and no further concerns.

Other Meds: None

Current Illness: None

ID: 1006991
Sex: F
Age: 22
State: MA

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

Lab Data: Immediately after event, BP = 150/100, P=110, O2 = 92%.

Allergies: Strawberries

Symptoms: About 2m after second COVID shot patient began feeling burning eyes and slight difficulty breathing. Paramedic onsite immediately listened to lungs and heard diffuse wheezing bilaterally. Within 1m minute patient felt throat tickling and then tightening and breathing was more difficult. Paramedic gave patient EpiPen with resolution of symptoms in less than 1-2 minutes. Ambulance called and arrived very quickly. Patient was transported to hospital. As way to hospital patient felt breathing getting worse again and was given solumedrol and benadryl IV and a second EpiPen. Don't yet know what happened beyond this.

Other Meds: unknown

Current Illness: None

ID: 1006992
Sex: M
Age: 56
State: AK

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

Lab Data:

Allergies:

Symptoms: Migraine, felt sick to his stomach and dizziness

Other Meds:

Current Illness:

ID: 1006993
Sex: M
Age: 67
State: WA

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

Lab Data:

Allergies: Penicillin

Symptoms: Chills after 6hrs Fever 102F after 24hrs Body pain radiating in right arm and leg n thymus area

Other Meds: Oncet CF

Current Illness: Sore throat

Date Died: 01/26/2021

ID: 1006994
Sex: F
Age: 75
State: WV

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

Lab Data: CT scans plus transport to an out of state hospital. No records from that hospital to report.

Allergies: penicillin and sulfa

Symptoms: Patient had one occurrence of thrombotic thrombocytopenic purpura in 1996 for which she had plasma exchange therapy in 1996. No other occurrence since 1996 until she received her first dose of the Pfizer covid vaccine.

Other Meds: atorvastatin Excedrin Extra Strength gabapentin lansoprazole Lantus Solostar U-100 Insulin lisinopril Ozempic phenazopyridine Prelief Vitamin B-12 vitamin D3-vitamin K2 (MK4) zolpidem

Current Illness:

ID: 1006995
Sex: F
Age: 48
State: ID

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

Lab Data: None yet

Allergies: Nuts; sulfa; penicillin, doxycycline; latex; tegretol

Symptoms: Fever, chills, muscle aches, abdominal pain, fever; lethargy

Other Meds: Wellbutrin; Lexapro; gabapentin; DHEA; aderrall; bi-est;

Current Illness: Sinus infection

ID: 1006996
Sex: F
Age: 31
State: NY

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: I had COVID-19 in November and was told I may experience more severe side effects due to this. I was symptom-free at the time of my vaccination.

Allergies: None

Symptoms: Almost 12 hours after receiving the injection I woke up from sleep with chills and a fever. This didn't last long - maybe a couple hours. I fell asleep without an issue and woke up in the morning with SEVERE arm pain as well as fatigue and like generalized weakness - I essentially felt like I was getting sick with a cold or something. This lasted a couple days but the arm pain was terrible. It felt like someone had taken a baseball bat to my upper arm - I had very limited range of motion and felt severe pain in the region of my joint capsule. This eventually went away, but I still feel like my arm is a little stiffer than it was previously - it cracks and pops when I do yoga and such and it never did this before.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm