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: 1008773
Sex: F
Age: 47
State: MI

Vax Date: 01/28/2021
Onset Date: 02/06/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: On the 9th day of receiving the vaccine I developed redness, swelling near the injection spot. The redness is about 3inches by 2 inches. It is a little itchy.

Other Meds: Lexapro, Vitamin D, probiotic

Current Illness: None

ID: 1008774
Sex: M
Age: 29
State: MI

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

Lab Data: None

Allergies: None

Symptoms: Low grade fever (99.8 F), chills, fatigue, headache, sleep disturbance, loss of appetite

Other Meds: None

Current Illness: None

ID: 1008775
Sex: F
Age: 32
State: VA

Vax Date: 01/26/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Red rash that has become itchy and increased in size day 5 post injection underneath injection site

Other Meds: Unithroid, Zyrtec

Current Illness: None

ID: 1008776
Sex: F
Age: 31
State: NE

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: NA

Allergies: Clindamycin, PCN, Doxycycline

Symptoms: Body aches, low grade and fatigue starting 21 hours following 2nd Moderna COVID vaccination. extreme pain, swelling, redness, warmth 2 inches below injection site approximately 3 inches in diameter starting approximately 30 hours following injection. currently 48+ hours out from vaccine, no improvement in skin reaction.

Other Meds: Vyvanse, Zubsolv

Current Illness: NA

ID: 1008777
Sex: F
Age: 69
State: WV

Vax Date: 01/28/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Itching and redness at injection site

Other Meds:

Current Illness: None

ID: 1008778
Sex: F
Age: 32
State: IN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: n/a

Allergies: None

Symptoms: chills, headache, nausea, fatigue

Other Meds: None

Current Illness: None

ID: 1008779
Sex: M
Age: 76
State: ME

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

Lab Data: Nothing needed.

Allergies: Not allergic to medications, or food.

Symptoms: About 4 or 5 hours after the shot I had mild discomfort at the injection site, mild chills followed. On February 6th today I had a runny nose like one would have with a mild cold, slight chills. As I type this report at 9:20 PM Feb 6th, my nose has stopped running, and I don't seem to be having any chills. Definitetly worth having the vaccine

Other Meds: Lisinopril 20 MG1 daily----Esomeprazole 20 MG 1daily----Aspirin 81 MG 1 daily----Glucosamine1500 MGS daily----Calcium, Magnesium and Zinc 1 daily----Vitamin C 500 MG 1 daily---- Metamucil 1Table with 8 OZS of water daily----Systane eye drop

Current Illness: No illness at the time of my vaccination.

ID: 1008780
Sex: F
Age: 71
State: WA

Vax Date: 12/29/2020
Onset Date: 02/02/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies: Penicillin Erythromycin

Symptoms: Injection site on arm became itchy after 6 days, on day 8 a red patch appeared... Patch is about 3-4 inches wide. Have read online that this reaction is now called Covid Arm, mainly related to Moderna Vaccine. Others report the red patch will go away in a few days.

Other Meds: Psudophederine Vitamin D Tylenol

Current Illness: none

ID: 1008781
Sex: F
Age: 47
State: TX

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

Lab Data: None

Allergies: Flagell

Symptoms: Pain behind left scapula (shoulder blade) has persisted since about an hour after the vaccine being administered. No chest pain but shoulder blade pain becomes worse with deep breathes. So about 10 hours later, my wife still has bad enough pain to require a heating pad. Pain level is a 6 on a 1-10 scale even with the pain medications she takes every day for chronic pain.

Other Meds: Oxycodone, Horizant (Gabapentin), Ambien ER, Estradiol, Atenolol, Tizanidine, Zonisamide, Doxycycline, & Levothyroxine

Current Illness: Perioral Dermatitis (that?s what the doxycycline is meant to address) caused by contact with face during a facial with a compromised brush.

ID: 1008782
Sex: F
Age: 38
State: IN

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Immediately light headed, heart raced, felt very heavy, became dizzy and was unable to drive home for 2 hours!

Other Meds: Adderall, sertraline

Current Illness:

ID: 1008783
Sex: F
Age: 39
State: NC

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Reported signs and symptoms of aches and chills same as after first does. Significant nausea and diarrhea, arm pain and warmth, unable to turn neck without pain, temperature 100.5.

Other Meds:

Current Illness:

ID: 1008784
Sex: F
Age: 45
State: OH

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: None

Allergies: Codeine, Neurontin, phenergan, fentanyl, Buspar, bee stings

Symptoms: 2/4 4am fever 101. Lasted until 2/5 around 8pm. 2/5 chills, body aches. (Lasted only a few hours) 2/6 hives at and around injection site. Large lump at injection site.

Other Meds: Celexa Bupropion Claritin Percocet Tremfya Methotrexate Leucovorin

Current Illness: None

ID: 1008785
Sex: F
Age: 50
State: NJ

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies: None reported; NKA

Symptoms: Reports "f eels like heart racing" post vaccination (2nd dose); assessed HR 102 Monitored x 30 minutes, rest w/ no additional complaints symptoms resolve, released from facility home

Other Meds: Synthroid

Current Illness:

ID: 1008786
Sex: F
Age: 83
State: MD

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: No medical tests were done. I had an appointment with my internist, and gave her the information I listed here.

Allergies: History Food Allergies, pollen allergies

Symptoms: On January 29,2021 at about 9 am I experienced extreme total body weakness as though I was about to faint. I managed to lie down. Concurrent with the extreme weakness I felt intense nausea. The weakness and nausea lasted for approximately 45 minutes to one hour when I had to rush to the toilet for a bowel movement. Within an hour to an hour and one half I was totally asymptomatic. There was no recurrence of the GI symptoms or exteme weakness. At the same time I felt itching at the site of the Covid 19 vaccination. When the GI symptoms and weaknes subdided and I looked at my upper left arm, there was swelling and redness surrounding the vaccination site and around the side of my left arm. The itching, swelling and redness lasted for 24 hours and began to subsdide until it was only faintly recognizable as a light pink discoloration around the original vaccination site. Today, February 6th, 2021 the redness has almost completely faded.

Other Meds: Celecoxib, Pravastatin, Low Dose Aspirin, Vit D Calcium

Current Illness: None

ID: 1008787
Sex: F
Age: 69
State: IN

Vax Date: 01/01/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: None

Allergies: Sulfa Sentra Keflex Penicillins

Symptoms: Rash, redness, itchy, swollen, hot and soreness. Felt fine otherwise

Other Meds: Ezetimbe 10 mg Escitalopram 10 mg Topiramate 25 mg

Current Illness: None

ID: 1008788
Sex: F
Age: 41
State: MA

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Generalized itch while being observed after vaccination. No hives or rashes seen. Resolved with dose of benadryl.

Other Meds:

Current Illness:

ID: 1008789
Sex: F
Age: 57
State: TX

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: RUE 4 in x 4 in large, painful, raised area that has decreased in size and pain but still remains.

Other Meds: Diltiazem, protonix, lisinopril, oxybutynin

Current Illness:

ID: 1008790
Sex: F
Age: 61
State: NH

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: N/A

Allergies: Onglyza

Symptoms: At 4:45 in the morning , A very sharp pain in the stomach woke me up , it was very quick maybe 5 seconds. I realized at that moment that my left arm was very painful like the feeling of getting 2 tetanus shot at the same time . I usually have a very high threshold on pain Right after that I experienced flu kind of side effects , aches , light fever and chills, shortness of breath light headaches and some nausea,

Other Meds: Glypizide , tylenol

Current Illness: diabetic

ID: 1008791
Sex: F
Age: 39
State: UT

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

Lab Data: N/a

Allergies: Sulfa, latex, premarin, miralax, ducolax, penicillin, versed, adhesives, oranges, perocet, darvocet, steroid injections, amidoamide, nickel, gold thiosulfate, benzophenone-4

Symptoms: Facial swelling, neck swelling, dizziness, shortness of breath, nausea, warm feeling, lips itchy, face itchy

Other Meds: Leviquin, metacam, Lexapro, nasacort, advair, tramadol, methocarbamol, Vicodin, multi vitamin, osteo biflex with tumeric, ginko

Current Illness: Sinus infection, possible RA (seronegative but with symptoms) asthma, possible lupus (seronegative but with symptoms), allergies, fibromyalgia.

ID: 1008792
Sex: F
Age: 28
State: VA

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

Lab Data: none

Allergies: None

Symptoms: The second dose was very painful, compared to no pain when the first dose was given one month ago. My arm was immediately hot and tender after administration. The area around the injection site had less feeling than the rest of my arm - it felt almost numb. My arm was very sore and warm the rest of the evening. I began having fatigue, muscle aches, and joint pain last night as well. I woke up around 6 this morning and the room was spinning. I was also nauseous. I tried to roll over in bed but was unable to feel my arms and legs. I was also temporarily unable to see. Right after, I passed out and lost urinary continence. I regained consciousness a minute later and had normal functioning again. I have not had any more dizziness today but am still sore and fatigued.

Other Meds: Zyrtec; MVI

Current Illness: None

ID: 1008793
Sex: F
Age: 34
State: CA

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

Lab Data:

Allergies:

Symptoms: Client was sitting at waiting area post vaccine when she alerted EMT she was feeling nauseous. At 1009 EMT gave emesis bag in case she needed to vomit and client did shortly after. Client informed EMT this normally occurs to her after being vaccinated. EMT gave water and client kept in observation. At 1022 client stated feeling better and prior complaint had resolved. Vitals taken prior to leaving: pulse 59, alert and oriented, skin color normal, pupils equal and reactive to light. Client left facility with a steady gait at 1025

Other Meds:

Current Illness:

ID: 1008794
Sex: F
Age: 40
State: NJ

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies: NKA reported

Symptoms: Reports feeling "dizzy" and "anxious" post vaccination, Monitored x 40 minutes w/symptom improvement; BP 136/93 P 88, Released from facility home.

Other Meds: None reported

Current Illness:

ID: 1008795
Sex: F
Age: 72
State: FL

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: None

Allergies: Sulfa drugs

Symptoms: My left arm became red, swollen, itchy and hot to the touch eight days after receiving the Moderna vaccine. The red area was approximately 8" long by 4" wide and was on my upper arm around the location of the injection site. I treated it with lynocaine and aloe to relieve the itching. After 2 days the swelling started to go down but the redness looked more like a rash. It took about 6 days for it to completely go away. I did not seek medical attention during the event and I have had no further problems.

Other Meds: Prolia, Vitamin B complex, calcum, magnesium, glucosamine

Current Illness: None

ID: 1008796
Sex: F
Age: 26
State: MN

Vax Date: 01/19/2021
Onset Date: 01/26/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies: Lamisil, Sulfa antibiotics

Symptoms: Itchy red bump at injection site started at about 7 days after shot. Initially size of a quarter, grew to be slightly larger. Red spot was also warm to the touch. Used Benadryl to help with itching and redness. Symptoms resolved about 3-4 days of initial symptoms.

Other Meds: Birth control, sertraline

Current Illness:

ID: 1008797
Sex: F
Age: 43
State: NC

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

Lab Data:

Allergies:

Symptoms: Received dose #2. Within 10 minutes, developed metallic taste. 4 hours later severe nausea and vomiting. Began alternating Tylenol and Ibuprofen 800mg. 6 hours to the following day- severe headaches, chills, body aches, all over joint pain. Around midnight on 1/6/21 pain in the arm that radiated up her neck. 1/7- fever of 101. Small rash around injection site and slightly down arm. Stiff neck and arm pain.

Other Meds:

Current Illness:

ID: 1008798
Sex: M
Age: 78
State: MA

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

Lab Data:

Allergies: hydromorphone-angioedema NSAIDS-swollen lips

Symptoms: During 30 minute observation period, patient c/o lip swelling which was progressive when evaluated by APP on-site; Administered Epipen and benadryl; EMS transported to ED

Other Meds: Tylenol; albuterol; amitriptyline; cholecalciferol; vitamin B12; ferrous sulfate; gabapentin; losartan; miralax; multivitamin

Current Illness:

ID: 1008799
Sex: F
Age: 68
State: CA

Vax Date: 01/23/2021
Onset Date: 02/03/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: covid arm - large red welt, hard and hot. slightly itchy - no pain

Other Meds: cholesterol medication

Current Illness: none

ID: 1008800
Sex: F
Age: 60
State: CA

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

Lab Data: I spoke with a doctor on Friday, and he told me that is vertigo.

Allergies: No

Symptoms: The day after the vaccine when I woke up and tried to stand up I felt dizzy and couldn't stand on my feet because the spinning sensation, I had been like that for 3 days and recently decided to call to the doctor and the nurse told me to take some pills for the dizziness, on Friday I spoke with a doctor, I was on scale of 10/10 and now are on 2/10.

Other Meds: None

Current Illness: No

ID: 1008801
Sex: M
Age: 67
State: TX

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: Nonr

Allergies: None

Symptoms: Extreme pain in right hand from wrist to end of little finger. No pain with hand relaxed extreme pain when flexing. On scale 1-10 about 8. Starting at 5:30. Gradually subsiding until the morning of 2/6 Extreme pain in left foot from heel several inches up the back of leg. No pain when relaxed but extreme pain if I tried to Stand or walk. 0n scale 1-10 a 10. Gradually subsiding until midday 2/5. Pain in lower back mostly toward the left. Starting gradually late 2/4 increasing through 2/5 then decreasing through 2/6. No pain when relaxed increased pain when standing up. On scale 1-10 about 4. Diarrhea for several days.

Other Meds: Aspirin 325 1 time daily Lisinopril 20mg 1 time daily Atorvastatin 10mg 1 time daily Omeprazole Dr 40mg 1 time daily

Current Illness: None

ID: 1008802
Sex: F
Age: 61
State: CA

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

Lab Data:

Allergies: none

Symptoms: Client had completed 15 minute wait post vaccine when EMT approached her to ask how she was feeling prior to allowing her to leave. Client wanted to leave without being assessed and EMT informed lead RN. Lead RN assessed client and convinced client to allow staff to take vital signs prior to her leaving. Vitals at 1302: blood pressure 132/80, pulse 66, oxygen 98. Per client no shortness of breath, chest pain, nausea, changes in vision, or headache. Client alert and oriented. No known allergies and current medication trazodone. Per client was feeling well enough to go home, someone was driving her home. Declined to wait a few more minutes. Emergency room precautions given. Client left facility with a steady gait at 1304

Other Meds: trazodone

Current Illness:

ID: 1008803
Sex: F
Age: 41
State: IL

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies: Penicillin Reglan

Symptoms: Severe dizziness out of nowhere. Worst vertigo I?ve ever had. Started at 3:30 on 2/6/21. I thought I?d have to go to the ER, except I couldn?t stand up without falling. Just as quickly as it came, it stopped at 8:35 p.m. that same night.

Other Meds: None

Current Illness: None

ID: 1008804
Sex: F
Age: 31
State: NE

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Arm muscle soreness for 48 hours, ping pong ball size lump with redness, hot to the touch and tenderness at injection site for 72 hours, red circle patch on skin started as ping pong ball size and increased to softball size with redness and itching persisting until February 4 (13 days later).

Other Meds: Blisovi 24 fe ( birth control) Advil; 2 100 mg liquid capsules

Current Illness: None

ID: 1008805
Sex: F
Age: 73
State: FL

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: N/A

Allergies: Fire ants, walnuts

Symptoms: Sweating, chills, extreme dizziness, nausea

Other Meds: Metformin HCL 500 mg, Jardiance 10 mg, Fenofibrate 160 mg, Citalopram HBR 20 mg, Benazepril HCL 10 mg, Rosuvastin 5 mg, Alprazolam, 0.5 mg, Glippizide, 5 mg

Current Illness: None

ID: 1008806
Sex: F
Age: 41
State: NC

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

Lab Data:

Allergies:

Symptoms: Received 2nd dose vaccine. Experienced numbness in arm.

Other Meds:

Current Illness:

ID: 1008807
Sex: F
Age: 44
State: CA

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

Lab Data:

Allergies: amoxicillin

Symptoms: Patient stated feeling lightheaded and tingling sensation on left leg after receiving second dose of Pfizer Covid vaccine. Client was sitting on waiting area post vaccine for 15 minutes. EMT responded and alerted lead RN. Vitals taken at 1310: blood pressure 116/82, pulse 72, oxygen 99. Alert and oriented, stated symptoms began after vaccine. No prior history of tingling sensation in extremities. Stated tingling on left leg, mobility intact, no radiation or pain past leg. Allergies to amoxicillin and no current medications. Client given water and instructed to drink small sips. Per client no breakfast this morning and had two cups of coffee. Client denied chest pain, shortness of breath, palpitations, vision changes, headache. RN client asked to stay under observation longer and that EMT would recheck vitals prior to her leaving. EMT reassessed at 1325. Per client feeling better, was returning to work after leaving facility. Instructed to get food and rest. Last set of vitals: blood pressure 120/80, pulse 62, oxygen 99. Client left facility with a steady gait.

Other Meds: none

Current Illness:

ID: 1008808
Sex: F
Age: 40
State: FL

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: I started my menstrual cycle about one week early, experienced dark, brown tinged spotting for 2 days followed by heavy flow with more clotting than I have ever experienced before. Cycle lasted about 8 days, versus my normal 4 days. These symptoms concern me due to several reports of miscarriages while receiving vaccine.

Other Meds: levothyroxine 88mcg PO daily

Current Illness: NA

ID: 1008809
Sex: F
Age: 28
State: MA

Vax Date: 01/29/2021
Onset Date: 02/03/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Left arm at injection site became raised, swollen, itchy and warm to touch about 5 days after vaccination.

Other Meds: Pepcid as needed

Current Illness: N/A

ID: 1008810
Sex: F
Age: 95
State: AZ

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: none

Allergies: none known

Symptoms: nausea, vomiting, insomnia, runny nose--started 1:00 AM 21. /Left arm sore at injection site. Still have runny nose

Other Meds: Lisinopril 5mg; prednisone 1mg; Aspirin .81 mg - 2x daily; triple action joint health' advil soft gels 200 mg. 2-3x daily ; tamazepam 15 mg @bedtime; arthrozone 1 capsule daily; antihistime (allerclear) 10 mg. 1 daily

Current Illness: none

ID: 1008811
Sex: F
Age: 79
State: AZ

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: NONE

Allergies: IODINE-MYACIINES, BLUE PILLS

Symptoms: EXTREME BODY AND JOINT PAIN, CONSTANT,

Other Meds:

Current Illness: NONE

ID: 1008812
Sex: M
Age: 25
State: CA

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

Lab Data: N/a

Allergies: Shellfish Bees

Symptoms: Sore arm all day today. Small headache. Starting around 5pm, I became dizzy, nauseated, and feverish.

Other Meds: Metropol 50mg x2 a day Cartizem 240mg Asprin 81mg

Current Illness: N/a

ID: 1008813
Sex: F
Age: 48
State: MA

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

Lab Data: None

Allergies: None

Symptoms: 2/2 severe headache, left hand cramped/closed, body pain, severe fatigue,, severe right arm pain, unable to move..Tues, no cramping or body pain but started with .right side head pain (above my ear at temple level) 4 days straight without any relief, no sleep. Fevers started 2/3, everyday at the same time, between 4-5pm, I get a wave of nausea and sweaty, 99.6,99.8, 99.9. Today 2/6 10am 99.6, 99.8 by noon 100.1...again at 5pm fever 110.1 wave of nausea and sweaty. Head pain has lessened and I have stopped taking OTC meds because NOTHING made a difference

Other Meds: Lexapro

Current Illness: Side effects from 1st dose, previously reported.

ID: 1008814
Sex: F
Age:
State: NC

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

Lab Data:

Allergies:

Symptoms: Received dose #2. That evening, developed headache and dizziness, arm pain. 1/7-arm pain radiating down the ribs, extreme fatigue, body aches, dull headaches. 1/8- chest tightness, temp 99.8, body aches, fatigue, dull headache. Only able to dose with Tylenol. 1/12-follow up: states doing well and all symptoms subsided.

Other Meds:

Current Illness:

ID: 1008815
Sex: F
Age: 38
State: WA

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Covid arm. On day 8 I developed an itchy red rash with swelling, heat, and tenderness at the injection site. I have a picture if needed.

Other Meds: Ibuprofen

Current Illness: None

ID: 1008816
Sex: M
Age: 38
State: WA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: N/A

Allergies: Amoxicillin, tall grass

Symptoms: Received second dose 2/4/21 0830 hours. Left arm. At around 1300 hours in same day, developed fatigue and headache. Those persisted into evening where chills developed and headache worsened. 2/5/21 woke up to very sore arm. Tender to touch. Fatigue and nausea and headache persisted through day. End of day, more chills developed and into the night. 2/6/21: headache lingered in day. Developed itchy and painful warm to the touch/firm rash around injection site.

Other Meds: Elder berry, vitamin C, multi vitamins

Current Illness: N/a

ID: 1008817
Sex: F
Age: 39
State: UT

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: One week after injection, now the area on my arm has swollen, turned dark red, and is relatively hard. The area feels warm to the touch. Slight pain, but nothing like this has ever happened before.

Other Meds: None

Current Illness: None

ID: 1008818
Sex: F
Age: 64
State: TX

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

Lab Data:

Allergies: Latex Iodine contrast Levoquin Lactose intolerant

Symptoms: Had mild-mod Covid Arm for a few days after shot, then everything was fine. But on the ninth day, my arm symptoms of redness, swelling, soreness and especially itchiness came on with a vengeance; triple the prior symptoms right after the injection. So it?s 2 weeks today since my injection, and for the last 6 days, including today, my arm has had a repeat of Covid Arm much worse (@3x) than the initial symptoms.

Other Meds: Metoprolol Metformin Estradiol Fenofibrate Vitamin D Rx

Current Illness:

ID: 1008819
Sex: M
Age: 72
State: MA

Vax Date: 01/28/2021
Onset Date: 02/03/2021
Rec V Date: 02/06/2021
Hospital: Y

Lab Data: COVID PCR + 02/03/2021

Allergies: NKDA

Symptoms: Received 1st COVID vaccine on 01/28/2021. Started to have some fevers, body ache, cough, mild sob starting 02/01/21. Tested COVID positive on 02/03/2021. Was been measuring SpO2 at home and was in the high 80s at home by 02 so referred to ED on 2/4/2021. Admitted 02/05/2021. Started on dexmethasone and supplemental oxygen.

Other Meds: PredniSONE 5 mg PO DAILY 2. Sodium Bicarbonate 650 mg PO BID 3. Atovaquone Suspension 1500 mg PO DAILY 4. CARVedilol 6.25 mg PO BID 5. amLODIPine 10 mg PO DAILY 6. Famotidine 20 mg PO BID 7. LamiVUDine 100 mg PO DAILY 8. Simvastatin

Current Illness:

ID: 1008820
Sex: F
Age: 24
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient complained of headache after receiving Pfizer Covid vaccine. Client was sitting in waiting area post vaccine. EMT responded. Vitals taken at 1528: blood pressure 126/82, pulse 87, respirations 12, oxygen 98. Headache pain 4/10. Per client history of brain injury (encephalopathy) and weakened immune system. Client informed EMT had ate breakfast this morning and hydrated all day. Denied shortness of breath, chest pain, vision changes. Client kept in observation for 30 minutes. EMT reassessed at 1540. Headache still 4/10, same, not worsening or new complaints. Per client felt well to leave. Vitals: blood pressure 118/78, oxygen 99, pulse 80, respirations 12, alert and oriented. Client left facility with a steady gait at 1545.

Other Meds: over the counter vitamins, low dose birth control

Current Illness:

ID: 1008821
Sex: M
Age: 25
State: NC

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

Lab Data:

Allergies:

Symptoms: Received dose 2 of COVID vaccine. Within 12 hours of receiving the vaccine, started to have intensifying symptoms all of a sudden: low grad fever of 100.0, cold chills, cold intolerance, a migraine, joint pain, muscle pain, injection site pain, increased hart rate and a heaviness in the chest that made it slightly more difficult to breathe. At 24 hour mark, only injection site pain and headache persisted. Reported injection site swelling 36 hour after vaccination.

Other Meds:

Current Illness:

ID: 1008822
Sex: M
Age: 49
State: MI

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: CXR, Blood Cultures. 01/29/2021 negative. Suspected pneumonia diagnosis from ER. Facility provider diagnosed reaction to Vaccine.

Allergies: NKA

Symptoms: Moderna COVID-19 Vaccine EUA Fever 104.7.

Other Meds: Nifedepine, Coreg, Methimazole, Rosovastatin, Sevelamer, Vit B

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm