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: 1009505
Sex: F
Age: 27
State: IN

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: NA

Allergies: NA

Symptoms: Fever:102-103 for 6 hours Nausea/Vomit: 2 times Extreme fatigue and muscle/joint pain High heart rate/needing to rest after walking a few feet (ie getting a drink, going to the bathroom)

Other Meds: Lexapro

Current Illness: NA

ID: 1009506
Sex: M
Age: 83
State:

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

Lab Data:

Allergies:

Symptoms: rash/itching 4 days after vaccination

Other Meds:

Current Illness:

ID: 1009507
Sex: F
Age: 65
State: NY

Vax Date: 01/26/2021
Onset Date: 02/03/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: none

Allergies: tea tree extract

Symptoms: Pain, redness, swollen, hot to touch and hard left arm 8 days post injection. Size of a baseball

Other Meds: lisinopril HCTZ, prempro

Current Illness: none

ID: 1009508
Sex: F
Age: 74
State: NV

Vax Date: 01/27/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies: Sulfa drugs, penicillin, statins

Symptoms: Itching red rash appeared on left arm at vaccination site 10 days after vaccination. Area has enlarged twice as large to circle and has now turned pink 24 hours after red rash appeared. Itching is not as intense as beginning.

Other Meds: Magnesium Citrate 400mg, Vitamin D3 400IU, Vitamin B12 1000mcg

Current Illness: none

ID: 1009509
Sex: M
Age: 30
State: NY

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: Per protocol: CBC, CMP, Tryptase level, SARS COV2 IgG, C3-C9, Cytokine-12 panel, CH50

Allergies: None

Symptoms: Received Pfizer COVID dose #2 on 2/6/21 at 0700. Began to experience general pruritus at 2100 and "scratchiness of throat". This morning he developed urticaria predominantly to right arm, upper chest.

Other Meds: Gabapentin, Naratriptan

Current Illness: none

ID: 1009510
Sex: F
Age: 71
State: IN

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

Lab Data:

Allergies: Hey fever

Symptoms: Swollen upper lip lasted 24 hours, took some allergy relief medicine which seem to help.

Other Meds: Lisinopril,Atorvastation, Plavix, amlodipine, PreserVision AREDS , multivitamin, Allegra allergy as needed,Cilostazol

Current Illness: None

ID: 1009511
Sex: F
Age: 38
State: MA

Vax Date: 01/25/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: None.

Allergies: Penicillin.

Symptoms: Swelling of face where a dermal filler was/is present (dermal filler injected under the eyes about 15 years ago). The swelling started on 02/06/2021 under the right eye and then, on 02/07/2021, under the left eye as well.

Other Meds: No daily medication, but took Tylenol after vaccination .

Current Illness: None

ID: 1009512
Sex: F
Age: 46
State: AL

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Soreness and a large "nodule" to right axillary

Other Meds: N/A

Current Illness: N/A

ID: 1009513
Sex: M
Age: 74
State: MS

Vax Date: 01/10/2021
Onset Date: 02/01/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: Clinic - on 2/4/2021

Allergies:

Symptoms: Developed Bell's Palsy

Other Meds:

Current Illness:

ID: 1009514
Sex: F
Age: 24
State: IN

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies: Penicillins

Symptoms: Severe body aches / chills after first dose and extremely sore Left arm along with headache - lasted 24 hours and the next 24 hours I had fatigue

Other Meds: Sertraline 125 mg Sprintec 1 tab

Current Illness: None

ID: 1009515
Sex: F
Age: 42
State: CA

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

Lab Data: none

Allergies: Latex

Symptoms: Patient complained of headache, nausea, dizziness, and burning sensation on upper lips 10-15 minutes post-injection.

Other Meds: unknown

Current Illness: unknown

ID: 1009516
Sex: F
Age: 77
State: WA

Vax Date: 01/18/2021
Onset Date: 01/25/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: None

Allergies: Minacycline sp?; None others known

Symptoms: Rash, red and itching, at injection site. Extended plus or minus 2+ inches width and 4+ inches length over 5 days.. Continued from 01/30/2021, red and itching, gradually receding. Subsided as of 02/07/2021

Other Meds: Vitamin D 50mcg; Biotin 500 mcg; Niacin 500mg; Venlafaxine 75mg; Sennokot as needed

Current Illness: None

ID: 1009517
Sex: F
Age: 47
State: AZ

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: Tests included-EKG, blood work and chest x-ray. Per ER Dr chest xray and blood work ok EKG at hospital and follow-up doctor visit the next day showed irregularity. Primary care doctor referring me to cardiologist.

Allergies: Cipro Antibiotic - Acute allergic reaction while pregnant, went to ER 1997 Tapazole -thyroid medication-Joint pain & swelling, difficulty walking & holding objects mild nut allergies - Pistachios - mouth itching Lactose intolerance

Symptoms: Anaphylactic Reaction within 1 minute of receiving vaccine. Received Epipen injection & taken to ER by ambulance. Given IV steroids, anti-inflammatory. Prescribed Prednisone 20mg for 4 days. T Instant weird feeling, dizzy, throat closing, trouble breathing & swallowing, fast heart rate, tongue & lips tingling and numbness

Other Meds: Day of Vaccine - Synthroid 137MCG daily, Day/Night before-Vitamin D 1000 iu's 4x's week, multi vitamin, Advil Taken as needed but not week of vaccine - Sumatriptan 25mg, Imodium, Albuterol inhaler

Current Illness: None

ID: 1009518
Sex: F
Age: 39
State: FL

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: Sed Rate (ESR) run on 2/2 on site at Urgent Care and was told my result was 45 verbally by Dr.= Saw my ophthalmologist, MD on 2/5/2021 to run some tests and my pressure is high in my right eye. Appointment scheduled on 2/9/2021 to evaluate for a Temporal artery biopsy.

Allergies: none

Symptoms: 1 week after covid shot on 1/18/21, I missed a day of work for stiff neck followed by a headache. Over the next 3 weeks, my headache increased in nature, and accompanied with stiff neck, stiff hips and I could only lay on my back to sleep. The headache was mainly on my right side behind my eye. I tried a high dose of naproxen, as well as massage, chiropractic and got no relief. Finally on February 2nd, I went to the urgent care associated with my primary care provider because my primary care provider was not available.

Other Meds: Viibryd 40mg, Levothyroxine 75mcg, Yaz birth control

Current Illness: none

ID: 1009519
Sex: F
Age: 81
State: TX

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds: 6.25 mg coreg

Current Illness:

ID: 1009520
Sex: F
Age: 28
State: CA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies: Amoxicillin

Symptoms: Severe 8-9/10 left arm pain, tenderness to palpation (around injection site), limited range of motion and stiffness, warmth lasting 5 days total. Arm pain and range of motion did not start improving until day 4. Improper vaccine administration - vaccine was injected too high, within the upper 1/3 of the arm.

Other Meds: Metoprolol 25mg, magnesium oxide 400mg, elinest (OCP)

Current Illness:

ID: 1009521
Sex: M
Age: 28
State: IN

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Chills, Body aches, Lightheadedness, Headache, Fatigue, Back pain, Injection site pain; Treated with rest; 24 hours of symptoms

Other Meds: None

Current Illness: None

ID: 1009522
Sex: F
Age: 27
State: IN

Vax Date: 12/01/2020
Onset Date: 12/22/2020
Rec V Date: 02/07/2021
Hospital:

Lab Data: Ultrasound of lymph node on 2/25, blood tests, TB test

Allergies: None

Symptoms: Lymphodema in neck, multi lymph nodes. Still present.

Other Meds: Prozac, vitamin D, rexulti

Current Illness: None

ID: 1009523
Sex: F
Age: 32
State: IN

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

Lab Data:

Allergies: Levaquin

Symptoms: Fever, body pain, stomach pain, headache, nausea, hives, swollen, hard and painful injection site

Other Meds: Omeperazole, Mydayis, Lyrica, Wellbutrin, Trazadone, Loratadine, Singulair, Temazapam

Current Illness: NA

ID: 1009524
Sex: F
Age: 67
State: GA

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

Lab Data:

Allergies: None

Symptoms: The day after my 2nd vaccine shot, I woke up with a high fever (102 F). I felt achy all over as if I had the flu. I took 500mg of Tylenol and it helped reduce my fever. I slept quite a bit that day. The following day, the fever was mostly gone (99.9 F), but I still felt a lack of energy. I rested again all day. On the 3rd day, I felt back to normal.

Other Meds: Maxzide 37.5/25mg Losartan 25mg Simvastatin 10mg AlgaeCal Calcium, 750 mg, Strontium Zyrtec

Current Illness: None

ID: 1009525
Sex: F
Age: 32
State: IN

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

Lab Data:

Allergies: None

Symptoms: Red rash. Swollen arm. The rash is very red and itchy

Other Meds: Pepcid Flovent

Current Illness: None

ID: 1009526
Sex: M
Age: 75
State:

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

Lab Data:

Allergies:

Symptoms: Patient got shot at 10:20am, around 10:30am patient was slumped in chair completely flacid on left side of the body. 911 was called immediately. Patient remained alert and oriented but mouth started to droop and slurred speech started around 10:45am. Ambulance arrived around 10:50, no other issues. Patient was loaded and transported to the ED. Vitals were stable throughout.

Other Meds:

Current Illness:

ID: 1009527
Sex: F
Age: 38
State: MI

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

Lab Data:

Allergies: Knda

Symptoms: Recieved 2nd moderna dose 02/04/2021 in my left arm at 10 a.m. approx. No symptoms besides a small headache throughout day. At 10:15 that evening I started to become chilled. By 11 p.m. I had uncontrollable shaking chills, accompanied by a fever of 101 and body aches. By 1 a.m. I was still having uncontrollable shaking chills and severe body aches and Body sweats. I had a sweatshirt on over a tee shirt and a heating pad on between the two with two comforters on. At 3 a.m. I had to take ibuprofen (800 mg) because my body hurt too bad to even touch my skin. My eyelids hurt. My toes hurt. My ears hurt. My fever was up to 103. I fell asleep finally and woke up at 730 a.m. feeling much improved besides some mild chills. I made the wrong decision to go to work. I arrived at work at 830 and by 10 a.m. I started to get chilled again, achy and feeling like I was going downhill again. I decided to go home. By the time I got home at 11 I had chills again, fever of 101 and body hurt. I slept until 3 p.m. at which time I woke up chilled and wanted to take a hot shower. My other half noticed I had hives on my face (which I documented in photos). I took a benadryl and went back to sleep. Woke up again at 7 p.m. tried to eat something but had no interest and just wanted to sleep. Throughout the night I would get the sweats that would drench through my t shirt. The following day, 2 days post 2nd dose I slept all day. Not as chilled but very tired. Noticed injection site was now red and swollen, again documented in pictures. Slept all day. Today injection site has gotten slightly larger based on markers I marked on my skin, but not as red. Not too energetic but much improved.

Other Meds: None

Current Illness: Sleep apnea

ID: 1009528
Sex: F
Age: 55
State: OH

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies: None known

Symptoms: Moderna COVID 19 Vaccine EUA Fever of 102, body aches, chills, injection site pain, bleeding sinuses, extreme tiredness This lasted for 2 days

Other Meds: Synthroid 50mcg

Current Illness: None

ID: 1009529
Sex: F
Age: 83
State: IA

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: none

Allergies: Sulfa

Symptoms: Vaccine administered 01/29/2021. 02/05/2021 - complained of itching. 02/07/2021 - Left arm redness. Treated with cephalexin. Suspect cellulitis.

Other Meds: Aspirin, Calcium, Fluoxetine, Losartan, Magnesium, Meclizine, Turmeric, Vitamin B, Zinc

Current Illness:

ID: 1009530
Sex: M
Age: 91
State: SC

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

Lab Data: I do not have access to those yet however the hospital would likely share.

Allergies: none

Symptoms: Headache, fever, uncontrollable shaking, heart rate 104, bp 140/86 called 911, ambulance ride to above Hospital. IV on route, Kept over night in hospital. Shake stopped in about 2 hours , continued rapid heart for awhile and fever, Hospital gave him tylenol. after about 4 hours his bp fell to 89 over 64 ... thus keeping him in hospital. They did multi tests. found an unknown infection in his blood. Patient has had an elevated WBC but in hospital it was 50,000. two weeks ago at his primary Dr. it was 40,000. He walks with a walker and cane, however he has lost his balance and fallen 3 time since vaccine and one of those was today.

Other Meds: finasteride, 5 mg, Lisnopril 10 mg, 2000 Vitamine C daily, 500 B, 10000, D-3, Centrium Silver 1 tab. Miacinamide, 500 mg all daily.

Current Illness: elevated white blood count, misc. skin cancers. Deaf in right ear.

ID: 1009531
Sex: F
Age: 72
State: TX

Vax Date: 01/27/2021
Onset Date: 02/03/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: No tests were done. Was prescribed Keflex 500 mg - 2 tablets per day for 5 days in case of cellulitis.

Allergies: PCN-angioedema; Cipro-rash; Calcium supplements-swollen eyes; Doxycycline-rash; Levaquin-rash; Lidocaine-numbness of cheeks, and eye lids; Marcaine-numbness around mouth and tip of tongue; Medrol Pack - rash; Mepivacaine - numbness of cheeks and swelling of eyes; Spironolactone - redness and itching lower legs and arms; Sulfa - rash; Tramadol - rash; Codeine - rash, itching; IV Contrast dye - severe full body rash

Symptoms: 1 week following vaccination, vaccine site in right deltoid bright red, hot to touch, swollen, firm to touch; red spot appeared lower on same arm to left, then red line connected the spots. Redness continued down arm as time went on . Line drawn around redness ended up shaped like state of Florida, next morning redness and swelling went over right bicep, past line drawn. Today, Sunday, 2/ 7, redness is fading and swelling/firmness is reducing. Looks like "COVID ARM" as described on news.

Other Meds: Irbesartan 300mg -1 tablet per day; Metoprolol 50 mg - 1 tablet per day; florastor probiotic 2 capsules per day; women's daily probiotic 2 tablets per day; fish oil 1000 mg - 2 per day; Systane eye drops 1 drop each eye 2-3 times per day;

Current Illness: None

ID: 1009532
Sex: F
Age: 76
State: AZ

Vax Date: 01/31/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: , fatigue, headache, achy, chills

Other Meds:

Current Illness:

ID: 1009533
Sex: F
Age: 65
State: NJ

Vax Date: 01/28/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: On the morning of day 8 (February 5th) I woke up and noticed that my left arm, where injection had been, was firm to the touch. and had a pink area approximately 2" x 3". It was a little warm to the touch but not hot. I had no fever. I had a slight itch on the area. Today, Sunday, February 7th, it is still firm but pink area seems to be shrinking and the pink color is fading. I did not feel this warranted a visit or a call to the doctor

Other Meds: Irbesarten- HCTZ Spironolactone Metformin HCL Synthroid Atenolol Atorvastatin Vesicare Trulicity Vitamin D Vitamin B12 Centrum Silver for Women Align Baby Aspirin Pepcid

Current Illness:

ID: 1009534
Sex: M
Age: 67
State: IN

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

Lab Data:

Allergies: NA

Symptoms: Sore arm .....chills, dizziness, headache, body aches.

Other Meds: Losartan; Tylenol Arthritis ; Calcium tablets

Current Illness: NA

ID: 1009535
Sex: F
Age: 21
State:

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: moderate swelling for 36 hours, nausea for 12 hours, fatigue for 12 hours-moderate, muscle and body aches for 12 hours -moderate, fever for 12 hours, chills for 12 hours-mild, headache and diarrhea for 12 hours-moderate

Other Meds:

Current Illness:

ID: 1009536
Sex: M
Age: 29
State: NY

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

Lab Data: none

Allergies: Denies

Symptoms: Immediately after receiving the vaccine, the patient stood up, felt dizzy and light-headed and was Assisted to the floor with legs elevated. Slightly diaphoretic. No loss of consciousness. Episode lasted approximately 3 minutes. Observed for 30 minutes, Vital signs monitored. Discharged to home with companion.

Other Meds: none

Current Illness: none

ID: 1009537
Sex: F
Age: 57
State: CA

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

Lab Data: None

Allergies: nkda

Symptoms: Patient reports lightheadedness, clammy skin. Improved when supine. Patient has history of vasovagal reaction with vaccine.

Other Meds: none

Current Illness: none

ID: 1009538
Sex: M
Age: 60
State: CT

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Next day chills, body aches, headache, diarrhea, fatigue. These symptoms had resolved by the 2nd day post-injection.

Other Meds:

Current Illness:

ID: 1009539
Sex: M
Age: 67
State: OK

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever, body aches, weeknesss,temperature of 100.3, swollen neck, shortness of breath and chest pain.nousea Tylonal, phenergan, Benadryl Waiting to see if this helps

Other Meds: L-lysine, cetrizine, aspirin, losartin, hydrochloride,sertraline, bupropion, donepezil, ropinirole, pantoprazola, atorvatatin, brilinta

Current Illness: None

ID: 1009540
Sex: M
Age: 37
State:

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

Lab Data:

Allergies:

Symptoms: Patient had a vasovagal response, low BP, Pulse, diaphoretic. 911 called by monitoring nurse but patient refused transport, all vitals were fine and symptoms resolved within 30mins of onset of symptoms.

Other Meds:

Current Illness:

ID: 1009541
Sex: M
Age: 37
State:

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

Lab Data:

Allergies:

Symptoms: Patient had a vasovagal response, low BP, Pulse, diaphoretic. 911 called by monitoring nurse but patient refused transport, all vitals were fine and symptoms resolved within 30mins of onset of symptoms.

Other Meds:

Current Illness:

ID: 1009542
Sex: F
Age: 57
State: IN

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

Lab Data: Plan to contact Dr on Monday with info of reaction to vaccine

Allergies: Shellfish morphine, flu vaccine, droperodol, IV contrast

Symptoms: Fever peaked 101, severe body/joint aches, headache, no appetite. Symptoms were really bad on Friday night thru to Sunday morning but still had bodayaches, headache, no appetite on Sunday. Fever down to 100.0

Other Meds: Bariatric Multi Vitamin Viactive Calcium Chewables

Current Illness: None

ID: 1009543
Sex: F
Age: 50
State: PA

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

Lab Data:

Allergies: Predisone, sulfa, codeine,penicillin

Symptoms: Made me extremely dizzy 5 mins after shot still dizzy 3 days after vaccine made vertigo worse

Other Meds: Zoloft, tylenol, trazodone,abilify, omega 3, apple cider vinegar capsule

Current Illness: Nothing

ID: 1009544
Sex: F
Age: 43
State: NY

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

Lab Data:

Allergies: None

Symptoms: Unable to move right arm 5 days later, limited range of motion and unable to lift or raise. Pain in right arm that is not subsiding. After vaccine I experienced arm pain, fever and chills x 2 days. All other symptoms have subsided except for the right arm pain, strength and mobility.

Other Meds: None

Current Illness: None

ID: 1009545
Sex: F
Age: 77
State: AZ

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: none so far

Allergies: pennicillen

Symptoms: fatigue, weakness, dizziness for 8 days after receiving vaccine

Other Meds: high blood pressure medicine,synthroid ,metamusil

Current Illness: diabetes. high blood pressure, hashimotos,7 days intocovid 19 disease

ID: 1009546
Sex: F
Age: 24
State: CA

Vax Date: 01/30/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Red raised itchy rash on arm at vaccination site that appeared one week after vaccination.

Other Meds: Sronyx

Current Illness: Not ill

ID: 1009547
Sex: F
Age: 51
State: MO

Vax Date: 02/01/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: Previous vaccine dose produced a fever high of 103.4. I had Covid and had first vaccine dose outside 90 days infection window

Allergies: Penicillin, Sulfa, Morphine, Hydromorphone, clindamyacin, quinolone antibiotics, contrast dye

Symptoms: Within 5 hours of the second vaccination (3pm) fever set in @100.5..throughout the nite the fever continued to rise. At the onset of fever, 650mg of acetaminophen was taken. Went to bed and awoke around 4am with severe chilling/shaking and high fever of 105, took 400mg ibuprofen. Awoke 6am, shaking and chills again, fever down to 103.6. Fever did not break completely until 48 hours after vaccine dose.

Other Meds: Creon 36000, Hyoscyamine 0.375mg, sucralfate 1gram, tolteridine 4mg er, estradiol 1mg, spironolactone 25mg, alprazolam 0.5mg, hydroxychloroquine 200mg

Current Illness: I have had covid...since covid I have had elevated liver enzymes, low lymphocyte and overall wbc. Also increased abdominal pain and pancreatic insufficiency. Also elevated serum creatinine

ID: 1009548
Sex: F
Age: 74
State: VA

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

Lab Data: ekg, chest x-ray, covid test, blood work, monitoring of triponin levels, adminintering of benadril, pepcid, and prednisone.

Allergies: IVP dye; niacin

Symptoms: Metalic taste in mouth, burning sensation of roof of mouth and back of tongue, big rush of heat through body, flushed hot cheeks, burning in chest.

Other Meds: Glimepiride 1mg-1&1/2 per day; Lisinopril 20mg-1 per day; Sotalol 80mg-twice a day; Spironolactone 25mg - 1 a day; Synthroid 88 mcg - 6 days per week; Magnesium - 400mg - 1 per day

Current Illness: None

ID: 1009549
Sex: F
Age: 64
State:

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

Lab Data:

Allergies:

Symptoms: Chills, headache, extreme fatigue

Other Meds:

Current Illness:

ID: 1009550
Sex: F
Age: 29
State:

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

Lab Data:

Allergies:

Symptoms: Severe pain at injection site, moderate headache, fatigue and chills

Other Meds:

Current Illness:

ID: 1009551
Sex: M
Age: 30
State: MD

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Severe chills, trembling and shaking 12 hours after injection. Mild fever, sweating at night, inability to sleep, nightmares. Joint paint, heavy feeling in limbs, swollen supraclavicular lymph node on left side, localized (left side) and sharp feeling headache. Swollen feeling in eyes, discomfort when blinking eyes.

Other Meds: Albuterol

Current Illness: Hemochromatosis; Asthma

ID: 1009552
Sex: F
Age: 51
State: MS

Vax Date: 01/26/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Arm rash. Big red circle. I googled the symptoms and it said it was ?covid arm? so thought I would report. Area is hot and itchy.

Other Meds: Bupropion, hydroxichoriquine, estrogen, progesterone, testosterone

Current Illness: No

ID: 1009553
Sex: F
Age: 63
State:

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient started complaining of tongue swelling, same as when she had an anaphylatic reaction to strawberries. Patient was given 1 epi pen at 11:07am in the left thigh at the clinic. EMS transport Patient is a 63 y/o F with h/o environmental allergies and asthma who presents to the ED via EMS for evaluation of an allergic rxn that began at 1030 today. Pt was at hospital and had just received her first COVID vaccine when she developed a facial rash and swelling to her tongue and throat. She also c/o dizziness. She was given Epi, Solumedrol, and Benadryl via EMS with improvement. Pt currently receives an allergy shot monthly for tx of her environmental allergies. She has never used an Epi pen previously. Pt denies fever.

Other Meds:

Current Illness:

ID: 1009554
Sex: M
Age: 57
State: OH

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

Lab Data: None

Allergies: None

Symptoms: Flu like symptoms...fever, chills,aches

Other Meds: Lexapro

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm