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: 1007097
Sex: F
Age: 67
State: OK

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

Lab Data:

Allergies: None

Symptoms: Chills; body aches

Other Meds: Dotti Patch 0.1MG,Lisinopril 10 MG, /Atorvastatin 20 MG, Meloxicam 15 MG, Dymista Spray, Zyrtec 10MG, Tizanidine 4 MG, Terbinafine 250, Calcium 600, Lutein 6MG,Selenium 200mcg,,B100, Iron 65 mg, Beta Carolene 25,000 IU, Vit E 400,Vitamin C

Current Illness: None

ID: 1007098
Sex: F
Age: 74
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Itchy and red rash along stomach area lasting approximately 5 hours. She applied alcohol to the area to help relieve itchiness. No other symptoms.

Other Meds: Metformin 500mg, Lisinopril 40mg, Amlodipine Besylate 5mg, Atorvastatin 10mg, Hydrochlorothiazide 25mg, Aspirin 81mg, and a Tylenol

Current Illness: None

ID: 1007099
Sex: F
Age: 35
State: NC

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

Lab Data: none

Allergies: Amoxicillin

Symptoms: Pt was sitting after her COVID vaccine and began to feel faint. She reported feeling clammy. She denied SOB, CP. She had not eaten in ~5 hours. She states she has fainted before. Pt was provided juice and crackers. Her feet were elevated. BP on initial encounter 110/68, Pulse 98 O2 sat 99%. At 5:25 BP 117/73 Pulse 82. O2 sat 99%. At this point pt felt back to baseline. She denied lightheadedness, feeling clammy, SOB. 5:50pm pt left facility with co worker with no concerns. Aware to hydrate and eat prior to next vaccine. Aware also to come with someone.

Other Meds: norethindrone-e.estradiol-iron 1 mg-20 mcg (21)/75 mg (7) TK 1 T PO QD UTD

Current Illness: none

ID: 1007100
Sex: M
Age: 73
State: AZ

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

Lab Data:

Allergies:

Symptoms: Temp. Tremors. Confusion. Slowly coming to awareness 30 hours later Keeping hydrated and taking temp

Other Meds:

Current Illness:

ID: 1007101
Sex: M
Age: 51
State: TX

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

Lab Data: N/A

Allergies: None

Symptoms: Usual expected soreness at the injection site. But, I woke up with extremely low blood pressure 86/47. BP slowly recovered over 12 hours to 120/80.

Other Meds: Benazepril HCL, 10 mg 2x daily Chlorthalidone, 25 mg 1x daily Terminafine, 250 mg 1x daily

Current Illness: None

ID: 1007102
Sex: M
Age: 45
State: CA

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

Lab Data:

Allergies: Tetracycline

Symptoms: Fever , headaches, pain at injection site, and body aches. Have developed ?itch? on chest.

Other Meds: Ciprofloxacin, Metrodizanole

Current Illness: None only Diverticulitis

ID: 1007103
Sex: M
Age: 42
State: TX

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

Lab Data: Blood Pressure and Pulse

Allergies: None

Symptoms: 3 minutes after vaccination the patient began to feel a tingling and pain in his arm where the vaccine was placed. Within minutes the patient began to feel faint and proceeded to faint as he was gently laid to the ground by the healthcare provider to initiate an emergency response. The patient was alert and oriented at 5:30 but felt nausea and a tingling sensation in the tongue. The patient stated that he had been fasting for 2 days and we determined low blood sugar likely played into his response to the vaccine. Glucose gel was placed in mouth and patient felt better within 15 minutes.

Other Meds: None

Current Illness: None

ID: 1007104
Sex: F
Age: 55
State: VA

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

Lab Data: None

Allergies: Pork beef tea chocolate milk

Symptoms: Toghtness in chest, localized rash on right wrist, trouble swallowing, sore throat all within 20 minutes of injection. Took inhaler and felt fine after 20 minutes.

Other Meds: Lipitor singulair ozempic

Current Illness: None

ID: 1007105
Sex: F
Age: 69
State: CA

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

Lab Data:

Allergies:

Symptoms: Pt C/o coughing, SOB,and throat irritation 25 minutes after the vaccine was administered. Also reported that her throat and neck felt swollen and tongue began to feel "thick".

Other Meds:

Current Illness:

ID: 1007106
Sex: F
Age: 44
State: DC

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

Lab Data: negative cover test

Allergies: cats

Symptoms: 13 hours later I threw up saw swelling left side of my face, my left arm was tingling numb to my hand went to Er next am. Decreased strength in left hand, MRI TIA 24 + hours sleep, went through three set of sheets 10 night gowns, headache dizziness

Other Meds: Prozac, Lamictal, Lo-estrin

Current Illness: none

ID: 1007107
Sex: M
Age: 48
State: OR

Vax Date: 01/14/2021
Onset Date: 01/17/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: ECG - date was not specified Serum calcium - ordered but not drawn as of reporting.

Allergies: nkda

Symptoms: Two days after having his first COVID 19 vaccination the patient described new onset tachycardia while at rest that did not resolve with rest. He was seen by a cardiologist for an ECG which was negative for arrhythmia, patient has lab work scheduled but has not yet gone to have it drawn. Was still complaining of feeling tachycardia 3 weeks after getting vaccination.

Other Meds: unknown

Current Illness: No

ID: 1007108
Sex: F
Age: 69
State: IL

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

Lab Data: Unknown

Allergies: Unknown

Symptoms: Administered 1st dose on 02/04/21 - 4:15P. Pt felt fine during observation until ~4:30P. Pt went home and began to experience adverse reaction around 5:05PM. Patient went to Emergency Room. ADR Symptoms - Face flushing, burning throat, throat tightness ('felt fat'). -No such issues with vaccines past. At ER, pt treated with benadryl and pepcid and was discharged. Patient feeling fine today. Pt's PCP told her to not take second dose of vaccine.

Other Meds: Unknown

Current Illness: Unknown

ID: 1007109
Sex: F
Age: 22
State: TX

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

Lab Data:

Allergies: No

Symptoms: When waking up I had a rash on my neck coming down to my chest, it wasn?t itchy but very red.

Other Meds: Yes multivitamins

Current Illness: No

ID: 1007110
Sex: M
Age: 27
State: MO

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

Lab Data:

Allergies:

Symptoms: body aches, chills, feeling sluggish, couldn't sit up, wasn't hungry or thirsty

Other Meds:

Current Illness:

ID: 1007111
Sex: F
Age: 61
State: MN

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

Lab Data:

Allergies:

Symptoms: Felt feverish during the night, felt better the next morning, then became nauseated, fatigued, headache, febrile, leg cramps

Other Meds:

Current Illness:

ID: 1007112
Sex: F
Age: 33
State: NY

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: Elevated anticardiolipin IgM on 1/15/21

Allergies: None

Symptoms: Large, raised, pruritic, erythematous reaction around injection site. Delayed hypersensitivity reaction. Lasted 3 days.

Other Meds: None

Current Illness: None

ID: 1007113
Sex: F
Age: 57
State: MN

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

Lab Data:

Allergies: None

Symptoms: I woke up in the middle of the night with a headache and body aches. I got up to take ibuprofen and when I was in my bathroom, I collapsed. I do not remember actually falling but I heard the thud when I hit the floor. I tried to get up and had absolutely no strength in any part of body. My husband came to help me up but I could not even lift up my head. He was finally able to help me up and I took a few steps and collapsed/fainted again. This has never happened to me in my life.

Other Meds: Trazadone 50 mg

Current Illness: None

ID: 1007114
Sex: F
Age: 71
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient felt warm, flushing from waist to feet; BP, pulse, respiratory rate, and O2 sat: 132/69, 78, 20, 99%. Felt better after 15 minutes.

Other Meds:

Current Illness:

ID: 1007115
Sex: F
Age: 33
State: WA

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

Lab Data:

Allergies: N/A

Symptoms: Fever, chills, body aches, headache and vomiting

Other Meds: Escitalopram 10mg daily Atorvastatin 40mg daily

Current Illness: N/A

ID: 1007116
Sex: M
Age: 48
State: MN

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

Lab Data:

Allergies: None

Symptoms: By 9:00 pm the night of vaccination; full blown COVID symptoms Headache, chills, fever and body aches, These symptoms Lasted 24 hours, treated with Tylenol and advil following 48 hours consistent diarrhea with each bowel movement

Other Meds: Fenofibrate, atorvastatin, trazodone

Current Illness: COVID 19 diagnosed 01/08/21

ID: 1007117
Sex: M
Age: 66
State: WY

Vax Date: 12/30/2020
Onset Date: 01/01/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: Resulted Orders Comprehensive Metabolic Panel Result Value Ref Range Sodium Serum/Plasma 141 136 - 145 mmol/L Potassium Serum/Plasma 4.0 3.5 - 5.1 mmol/L Chloride Serum/Plasma 105 98 - 107 mmol/L Carbon Dioxide 24 21 - 32 mmol/L Anion Gap 12 4 - 15 mmol/L Glucose Serum/Plasma 93 74 - 106 mg/dL Blood Urea Nitrogen 13 7 - 18 mg/dL Creatinine Serum/Plasma 1.16 0.55 - 1.30 mg/dL Estimated GFR >60 >=60 mL/min/1.73 "square meters" Comment: The IDMS-traceable CKD-EPI equation for ages 18-97 years was used to approximate GFR. This calculation is often unreliable when someone is acutely ill or pregnant. This estimation assumes that one has an average physique and diet. If necessary, consider ordering cystatin C to further assess renal function and CKD. Estimated GFR (incl. race term) >60 >=60 mL/min/1.73 "square meters" Comment: The IDMS-traceable CKD-EPI equation for ages 18-97 years was used to approximate GFR. This calculation is often unreliable when someone is acutely ill or pregnant. This estimation assumes that one has an average physique and diet. If necessary, consider ordering cystatin C to further assess renal function and CKD. BUN/Creatinine Ratio 11.2 Calcium Serum/Plasma 8.9 8.5 - 10.1 mg/dL Protein Total Serum/Plasma 7.2 6.4 - 8.2 g/dL Albumin 4.3 3.4 - 5.0 g/dL Bilirubin Total 0.3 0.2 - 1.0 mg/dL Alkaline Phosphatase Total 54 46 - 116 U/L Aspartate Aminotransferase 20 15 - 37 U/L Alanine Aminotransferase 29 12 - 78 U/L Total Globulin 2.9 2.3 - 4.3 g/dL A/G Ratio 1.5 Ratio CBC with Auto Differential Result Value Ref Range White Blood Cell Count 9.0 3.9 - 10.7 10*9/L Red Blood Cell Count 4.86 4.41 - 6.07 10*12/L Hemoglobin 16.1 13.4 - 18.1 g/dL Hematocrit 44.2 40.8 - 53.0 % Mean Corpuscular Volume 90.9 81.0 - 99.1 fL Mean Corpuscular Hemoglobin 33.1 26.1 - 33.5 pg Mean Corpuscular Hemoglobin Concentration 36.4 (H) 31.0 - 35.3 g/dL Platelet Count 211 136 - 440 10*9/L Mean Platelet Volume 9.3 8.6 - 12.3 fL Red Cell Distribution Width CV 12.3 10.9 - 15.1 % NRBC Percent 0.0 <=0.0 % Neutrophils Absolute 5.1 1.7 - 6.7 10*9/L Lymphocyte Absolute 2.8 0.8 - 3.8 10*9/L Monocytes Absolute 0.7 0.2 - 1.0 10*9/L Eosinophils Absolute 0.4 0.0 - 0.4 10*9/L Basophils Absolute 0.1 0.0 - 0.1 10*9/L Immature Granulocytes Absolute 0.0 0.0 - 0.1 10*9/L Segmented Neutrophil Percent 56.5 % Lymphocyte Percent 30.8 % Monocytes Percent 7.3 % Eosinophils Percent 4.0 % Basophils Percent 1.0 % Rapid Plasma Reagin Antibody For Therapy Result Value Ref Range RPR Nonreactive Nonreactive UA Complete Urinalysis w/ Culture Reflex if Indicated Result Value Ref Range Color Urine Yellow Yellow Appearance Urine Clear Clear Specific Gravity Urine <=1.005 1.005 - 1.030 Leukocyte Esterase Urine Negative Negative Nitrite Urine Negative Negative pH Urine 5.5 5.0 - 8.0 Protein Urine Negative Negative mg/dL Glucose Urine Negative Negative mg/dL Ketones Urine Negative Negative mg/dL Urobilinogen Urine 0.2 0.2 - 1.0 EU/dL Bilirubin Urine Negative Negative Blood Urine Negative Negative

Allergies: None

Symptoms: Development of vascular lesions and vasculitis as well as numbness to the bilateral 1st and 3rd toes

Other Meds: None

Current Illness: None

ID: 1007118
Sex: F
Age: 53
State: FL

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

Lab Data: NONE

Allergies: IODINE CONTRAST MEDIUM

Symptoms: AT 12:55 PT REPORTED NAUSEA, DIZZINESS AND FATIGUE. DECLINED URGENT CARE. REPORTED THAT SHE JUST WANTED TO GO HOME AND REST.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1007119
Sex: M
Age: 61
State: FL

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

Lab Data: None

Allergies: NKA

Symptoms: 102 degree fever, shivering, lethargy, sore arm, skin tingling, very dizzy

Other Meds: None

Current Illness: None

ID: 1007120
Sex: F
Age: 26
State: AL

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

Lab Data:

Allergies:

Symptoms: Loss of appetite within 24 hours, Severe diarrhea within 48 hours. Diarrhea lasted for 24 hours. Extreme fatigue

Other Meds:

Current Illness: Stomach virus 2 weeks ago

ID: 1007121
Sex: F
Age: 63
State: MN

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

Lab Data:

Allergies:

Symptoms: woke throughout the night with body aches and headache, has also been fatigued

Other Meds:

Current Illness:

ID: 1007122
Sex: F
Age: 47
State: MI

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

Lab Data: Blood draw in the next few days

Allergies: NA

Symptoms: Severe rash from my neck to my ankles.

Other Meds: Vitamin D, Emergency-C, BCP, Levothyroxine

Current Illness: Sore throat

ID: 1007123
Sex: F
Age: 40
State: NJ

Vax Date: 12/22/2020
Onset Date: 12/28/2020
Rec V Date: 02/05/2021
Hospital:

Lab Data: COVID test - December 30th, 2020 - result was positive January 23, 2021 - Chest x-ray - damage to my lungs which should heal - comparable to having pneumonia - infiltrates in my lungs - COVID test - January 17 - negative

Allergies: Penicillin; milk and eggs

Symptoms: After - about 3 hours later: sore arm - lasted two days. On 28th, I started getting a runny nose; coughing and sneezing and sore throat. That kept going for a few days. On 30th, I found out I was exposed to someone that had COVID. 30th was tested and results on 31st - positive. I went to URGENT Care to get the test. Albuterol inhaler was prescribed; and an Antibiotic for my symptoms. She told me not to start the medication until I found out that I was positive or not. So I started the meds on the 31st. I got sicker before I got better - got chills and sweating (back and forth); felt really tired and out of energy and had brain fog and I tripped on things in front of me. I didn't have any appetite. Had to force myself to eat so I could take my medicine - for about a week. I was coughing a lot. Took over the counter cough medicine especially night because it was disturbing my sleep. Later, I had a telehealth appt with my primary care dr appt - on January 8th. And she prescribed a steriod inhaler - Budesonide Formoterol Fumarate Dihydate- inhalation aerosol and I'm still taking that today because I still have a cough. Had the second dose of the vaccine on January 26, 2021 at 6:30PM. No reaction to that dose except sore arm.

Other Meds: Birth control Cryselle; Vit D; Vit B complex; calcium; magnesium

Current Illness: no

ID: 1007124
Sex: F
Age: 39
State: AK

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None.

Allergies: Latex allergy - skin rash

Symptoms: Client was vaccinated approximately 1500. No immediate reactions, was monitored per protocol without incident, went home. Woke up at 0300 with chills, body aches, which persisted for approximately 12 hours. Client took 650 aspirin, experienced mild relief, symptoms for approximately another 2 days before resolving. Experienced malaise for the following few days, but 6 days after vaccination, developed hives. 1 at injection site, 1 on lower back; approximately 3 inches diameter. Remained for two days before resolving. No medications taken for the hives.

Other Meds: Buspirone 15mg, once per day NP Thyroid, 15mg per day

Current Illness: None

ID: 1007125
Sex: M
Age: 35
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Severe headache, body aches, chills, fever of 100.5 from 11pm on day of Adminstration 02/04/2021 to current. Have taken Advil, drank plenty of fluids, dressed lightly, and taken Tylenol

Other Meds: Omega 3, multivitamin, probiotics, Vitamin C 1000mg

Current Illness: None

ID: 1007126
Sex: F
Age: 25
State: OR

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

Lab Data: N/A

Allergies: N/A

Symptoms: Swollen about the size of an egg at injection site, heat, redness, tenderness. Arm became swollen after about 18 hours and has remained pink, swollen to the size of an egg, and warm since.

Other Meds: Buspirone, Amitriptyline

Current Illness: N/A

ID: 1007127
Sex: F
Age: 49
State: MN

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

Lab Data:

Allergies:

Symptoms: woke with a headache, body aches, chills, sore arm/injection site

Other Meds:

Current Illness:

ID: 1007128
Sex: M
Age:
State: FL

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

Lab Data: None

Allergies: None

Symptoms: Body ached all over day after shot throughout to following day, and breathing was labored as I could not breathe through my nose

Other Meds: None

Current Illness: Allergies to grasses

ID: 1007129
Sex: F
Age: 64
State: OH

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

Lab Data: None

Allergies: None

Symptoms: Side effects began around 24 hours after the injection: body aches, marked fatigue, headache and dizziness. Then at 48 to 72 hours began with vertigo(room spinning with movement) and ataxia. By 72 hours the body aches and fatigue have lessened but still with slight vertigo, headache and balance issues.

Other Meds: Levothyroxine Multivitamin Vit D

Current Illness: None

ID: 1007130
Sex: F
Age: 42
State: GA

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: Negative covid test, 1/31/21

Allergies: Amoxicillan Nut products

Symptoms: Headaches constantly for weeks, lightheaded off and on, abdominal pain, rib pain, swollen lymph nodes, severe back pain , back swollen

Other Meds: Bystolic Alavert

Current Illness: None

ID: 1007131
Sex: M
Age: 54
State: CA

Vax Date: 12/31/2020
Onset Date: 01/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: Patient was tested for COVID-19 using a rapid test and PCR test. 1/20/2021 Rapid test was negative. Awaiting PCR results.

Allergies: none

Symptoms: Patient started having symptoms on 1/4/2021, which was chest pressure. He stated that on day 6 he developed chills, tightness in the chest and headache that lasted 40 hours and then went away. By day 9 he states he was feeling fine. Today he reports a little tightness in the chest but has not had chills and headache since last night. Patient was seen at Urgent care clinic and was evaluated due to his symptoms. Patient received testing for COVID-19 at that time. He did not identify any source of exposure. Although his symptoms have improved he is working from home until his PCR test results come in.

Other Meds: none

Current Illness: no illnesses

ID: 1007132
Sex: F
Age: 27
State: MN

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

Lab Data:

Allergies:

Symptoms: Body aches, headache, nausea, fever of 101.6

Other Meds:

Current Illness:

ID: 1007133
Sex: F
Age: 38
State: IN

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

Lab Data: None

Allergies: Benadryl, Adhesives, Steri-strips

Symptoms: Very bad headache, dizziness, fever, vomiting, diarrhea, body aches, chills, hot flashes. They started the morning after vaccine and got worse through the day when I woke up the next day I was feeling somewhat better, the headache had subsided but still ran low grade temperature and diarrhea. By that evening the symptoms were almost completely gone.

Other Meds: Pepcid AC, Tramadol

Current Illness: None

ID: 1007134
Sex: F
Age: 38
State: NC

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

Lab Data:

Allergies:

Symptoms: knot on my left arm and a red ring around injection site about 3in big

Other Meds:

Current Illness:

ID: 1007135
Sex: M
Age: 43
State: WA

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

Lab Data: None

Allergies: Vicodin

Symptoms: Left arm at injection site felt cold after five minutes after injection. Lasted a minute. Dizziness. Has lasted so far four hours Jaw bones hurt Running temperature. Started three hours after injection. Current temp is 100.2. taken orally at 4:15pm PST I called in sick for work, stating it's vaccine related for my shift on 2/5/2021. My shift would have started at 11:00pm.

Other Meds: Rosuvastatin 40mgs, B-12 500mcg, CO-Q10 200mgs, Probiotic Acidophilus, Fish Oil 1000 mgs, Calcium +D3 600 mgs, Biotin 1000 mcg, Vitamin C 1000 mgs

Current Illness: No illnesses.

ID: 1007136
Sex: F
Age: 46
State: CA

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

Lab Data: none

Allergies: Quixin

Symptoms: Starting 15 minutes after the injection patient stated that she got a headache. By 3:45 pm she states she felt, "foggy headed.. I was having difficulty processing thoughts, I felt out of it." Her daughter came to pick her up and told her her words were slurred. She went to her home and took Ibuprofen and Benadryl. She states she was very exhausted. At 8pm she experienced uncontrollable chills. That night, in the middle of the night she started having a fever of 102 degrees Fahrenheit. She took ibuprofen and tylenol at this time. She started experiencing her right leg cramping and twitching. She states that on 1/29 she continued to have fever and started having stomach cramps and nausea. On 1/30 She states s

Other Meds: Flonase nasal spray, takes daily

Current Illness: none

ID: 1007137
Sex: F
Age: 81
State: MS

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

Lab Data:

Allergies: Sufa drugs

Symptoms: Diarrhea occurring daily for 3 weeks (since vaccination received)

Other Meds: Lisinopril 20mg 1x daily; Cavedilol 3.125mg 2x daily; Hydrochlorothiazide 25mg 1x daily; Amlodipine Besylate 2.5mg 1x daily; Pravastatin 40mg 1x daily; Omeprazole 20mg 1x daily; Sertraline HCL 150mg 1x daily; Meloxicam 15mg 1x daily; Carbi

Current Illness: Strep Throat

ID: 1007138
Sex: M
Age: 30
State: AL

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

Lab Data:

Allergies: None

Symptoms: 29 hours after vaccination, I stepped out of the shower and felt chills. I laid down for a few minutes and eventually felt some joint pain as well. Both have persisted through the time of writing, about 34 hours after vaccination.

Other Meds: None

Current Illness: None

ID: 1007139
Sex: F
Age: 29
State: UT

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: See Item #18 for dates.

Allergies: NKA

Symptoms: 32 weeks pregnant and second dose of Covid vaccine received on 1/21 at 11:00. Flu like symptoms (fever, chills, headache) began 0100 on 1/22 and lasted until about 1300 on 1/23. I had to call out sick from work on 1/22. Worked a 7L shift on 1/24 and at about 2000 noticed a petechial rash on bilateral lower extremities that spread up to lower abdomen. Called on-call L&D Doctor and she advised for me to be assessed at L&D triage. I was then admitted for 4 hours due to my rash and further workup concerning for DIC, thrombocytopenia and/or other possibilities. My petechial rash was very concerning for coagulation disorders and prompted many lab draws to be obtained. My labs showed elevated AST & ALT that were previously normal, low platelet count (thrombocytopenia), protein in urine, elevated alk phos. I was discharged around 0100 for further workup the following day. On 1/25 I went to clinic to have more labs done per Doctor. 1/26 at about 0830 I was called by my OB Docotor to immediately go back to Labor & Delivery triage to be admitted for what she thought was preeclampsia based on my labs from 1/25 and 1/24. I was again admitted for about 4 hours for monitoring of baby, and myself for preeclampsia. My labs were still elevated and out of range mirroring preeclampsia, but my blood pressure was stable, so I was discharged around 1300. I followed up with labs at clinic on 1/28 and again on 2/2 as well as with home blood pressure monitoring. My labs on 2/2 showed everything back to normal, causing the doctors involved in my care to believe this was an adverse event due to the moderna covid vaccine. As a result I missed one day of work, was admitted to the hospital twice, and had 4 days of lab draws which will result in an excess of medical bills.

Other Meds: Prenatal and fish oil

Current Illness: None

ID: 1007140
Sex: M
Age: 67
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient felt weak and weird, along with nausea. BP 158/89, 135/79, pulse 74, O2 sat 96%. EMS called, Benadryl 25 mg PO given, patient felt better.

Other Meds:

Current Illness:

ID: 1007141
Sex: F
Age: 47
State: CA

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

Lab Data: none

Allergies: none

Symptoms: At 12 midnight Patient states that she experienced body aches and chills. She stated that she was exhausted and her temp rose to 101 degrees Fahrenheit starting at 1 am on 2/2/2021. The fever lasted until 3pm. She did not got to work on the 2nd due to extreme exhaustion. She stated that she took advil for her fever.

Other Meds: none

Current Illness: none

ID: 1007142
Sex: F
Age: 45
State: PA

Vax Date: 01/23/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: ?Covid Arm?

Other Meds:

Current Illness:

ID: 1007143
Sex: F
Age: 51
State: MN

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

Lab Data:

Allergies:

Symptoms: body aches, weakness, febrile

Other Meds:

Current Illness:

ID: 1007144
Sex: F
Age: 78
State: CA

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

Lab Data: None

Allergies: codeine

Symptoms: Rash (itchy), red and swollen, left arm (vaccine site) covering most of upper arm. I have self-treated with topical cortisone ointment and antihistamine (fexofenadine HCI). Rash persists unchanged at day 5 (2/5/2021).

Other Meds: estradiol

Current Illness: none

ID: 1007145
Sex: F
Age: 56
State: CA

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

Lab Data: no tests or labs

Allergies: sulfa medications

Symptoms: Patient had experience a reaction with dizziness and headache and had a tickle in her throat. Had to have a nurse walk her out because she was so unsteady due to the dizziness. By the time she got home she was itching all over, felt like a sunburn without rash. She said her where her clothes touched her skin felt itchy and sunburned. States she felt like a tickle in the throat with some shortness of breath. She took benadryl and it stopped the itching. 1:15pm -5:30pm was the worst of it.

Other Meds: Gummy multivitamin for children, iron 30 mg, clove supplement,

Current Illness: none

ID: 1007146
Sex: M
Age: 66
State: WY

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

Lab Data: none

Allergies: no

Symptoms: Patient stated that 4 days after first dose he developed vomiting and appetite suppression Patient stated that 2 days after second dose he developed vomiting. around 4 am and it was improving but he still felt puney

Other Meds: hydrocodone; morphine; pregabalin, potassium

Current Illness: chronic pain

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm