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: 1009857
Sex: F
Age: 68
State: MD

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

Lab Data:

Allergies: Sulfa

Symptoms: 2/5/2021, headache, rapid heartbeat at 8:30 pm, resulting in insomnia, .moderate inje tin site pain 2/6/2021 fever and chills at 3:30 pm with extreme fatigue, pain upon moving arm 2/72021 back to normal

Other Meds: Levothyroxine 112mcg Zina Magnesium Probiotic D3 Quercetin B12 1000mg

Current Illness: None

ID: 1009858
Sex: M
Age: 72
State: NC

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

Lab Data: None

Allergies: Penicillin

Symptoms: 2nd day- joint and muscle pain. Injection site pain, soreness and itching. 2nd - 3rd day rash with extreme itching.

Other Meds: Diltiazem, Metoprolol, Apixaban, Modafinil

Current Illness: None

ID: 1009859
Sex: F
Age: 43
State: IN

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

Lab Data:

Allergies: Bee stings

Symptoms: Still have a hard, warm, red, swollen ring around injection sight. Cold chills and hot flashes for one day. I had diarrhea for about 4 hours. Nauseous for a day. Extreme fatigue for over 24 hours. I am still having fatigue.

Other Meds:

Current Illness:

ID: 1009860
Sex: F
Age: 73
State: FL

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/07/2021
Hospital: Y

Lab Data: Unremarkable CT Head Normal CBC/CMP

Allergies: NKA

Symptoms: Acute intractable generalized abnormal movements. Writhing, choreiform movements x3 days until presented to hospital. Given Ativan 2 mg IV and Keppra 1g IV with resolution

Other Meds: Sinemet 25/100 TID Synthroid 100 mcg Celebrex 200 mg BID Imipramine 50 mg TID Omeprazole 20 mg qd Mirapex 4 mg qd Ativan 1 mg PRN Trazadone 10 mg qhs

Current Illness: None

ID: 1009861
Sex: F
Age: 46
State: TX

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

Lab Data:

Allergies: Medication: Penicillin, Codeine, Lidocaine Good: Shellfish, Citrus, Milk, Gluten, etc.

Symptoms: Large swelling at injection site, itching, fever, took OTC Meds and rested, lasted about 36 hrs

Other Meds: Tylenol after vaccination

Current Illness:

ID: 1009862
Sex: F
Age: 73
State: FL

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: One day of feeling chilly, unable to get warm, but no temp. Also, that day, moderate to sever fatigue, mild tenderness at injection site. Much improved the next day. The following day, back to normal. Day 8, site of injection, app. 4" x 3"" very erythematous, warm, itchy. No systemic symptoms. Lessoned each day, resolved by three days.

Other Meds: HCTZ 25 mg. daily orally

Current Illness: None

ID: 1009863
Sex: F
Age: 20
State: AZ

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

Lab Data:

Allergies: PEanuts, Welbutrin, Prozac

Symptoms: Nausea and fatigue starting about an hour after injection

Other Meds: 50 mg desvenlafaxine er, Iron, Vitamin D

Current Illness: None

ID: 1009864
Sex: F
Age: 47
State: ID

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

Lab Data: biopsy pending, crp normal

Allergies: NKDA

Symptoms: maculopapular rash on scalp, back, chest, upper legs and upper arms.

Other Meds: trazadone, lamotrigine, losartan, Prozac, Flonase, vitamin D, Valtrex, prilosec

Current Illness: none known

ID: 1009865
Sex: F
Age: 84
State: CA

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

Lab Data: Blood work, CT scan ? run on 2/6/2021 - unsure if urine test was run

Allergies: Sulfa drugs, macrobid

Symptoms: Vaccine received at 1:30 pm. At approx 7 pm my mother sat in chair at table and was unable to get up or walk for over an hour. She was leaning sideways in her chair. Paramedics had to carry her to gurney as she could not stand or walk on her own. Taken to ER and observed overnight. Was able to walk with walker within a few hrs and back to normal strength next day.

Other Meds: Advair, Combivent, Losartan, Hydrochlorothiazide, Meloxicam, Tamoxifen, low dose aspirin, Vitamin C, Centrum Silver

Current Illness: Later in evening after vaccine was advised may have UTI

Date Died: 01/30/2021

ID: 1009866
Sex: F
Age: 85
State: FL

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: unknown

Allergies: penicillins

Symptoms: pt was given vaccine on the afternoon of 01-29-2021. Pt was administered the moderna covid-19 shot into the deltoid muscle of this pt. Pt was observed and left pharmacy. on 2-6, pts daughter calls pharmacy, and says the night of 1-29, after recieveing the vaccine, her mother had a hemmorhagic stroke and passed away

Other Meds: unknown

Current Illness: unknown new pt

ID: 1009867
Sex: F
Age: 78
State: TX

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

Lab Data: 1/31/21 chest xray, blood work

Allergies: Ciprofloxacin Iron sucrose LevofloxaciOmeprazole Nsaids

Symptoms: Day #1 Intense itching, swelling and redness within 3 hours after injection Day #4 Swollen tongue, itching, difficulty swallowing, coughing, wheezing. Called 911 and transported to Hospital. Received Prednisone 20mg for 5 days, Famotidine 20mg Day #9 Tele-visit with Dr. Received Azithromycin 250mg for coughing. continued Azithromycin Day #10 Symptoms returned. Swollen tongue, difficulty swallowing, breathing difficulty, left arm is swollen, red and itching at injection site. continued Azithromycin Day #11 Woke up with same symptoms in addition to nausea. continued Azithromycin

Other Meds: Estradiol 1mg Singulair 5mg Vitamin B-12 inj 1ml

Current Illness: Abrasion of left eye cornea prescribed Tobramycin 0.3-0.1% suspension Crohn's disease

ID: 1009868
Sex: F
Age: 50
State: VA

Vax Date: 11/19/2020
Onset Date: 11/19/2020
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies: sensitivity to gluten and cow dairy allergy to compazine

Symptoms: within 4 hours of the injection, the arm was very sore and hard to lift. I developed a headache. By 12 hours post-injection, I had severe chills and a migraine. The migraine type headache lasted 3 days. The arm remained sore. On the third day, I developed a baseball-sized rash at the injection site, and then a rash across my chest and abdomen (front only). These rashes lasted about 3 hours, with tiny red bumps (like a heat rash). On day 8 (a week and a day after the injection), I developed very bad hives across my neck, torso (front and back side), upper arms, and lower arm on the left (where the injection had been). The hives continued down to my hip flexors on the front side. They were large welts and extremely itchy. I took Benadryl and used calendula cream to calm them down. However, the hives kept returning for a week. After that, they finally went away, although they would return when I would engage in cardiovascular exercise -- for another 2 weeks.

Other Meds: armour thyroid, vitamin D, magnesium, methyl guard B supplement

Current Illness: none

ID: 1009869
Sex: F
Age: 59
State: MN

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

Lab Data: None

Allergies: None

Symptoms: Headaches, fever (100.4), chills, lack of appetite, no energy, diarrhea, swelling, soreness and itchy at the injection site, aches and pains.

Other Meds: Daily vitamins, calcium with vitamin D

Current Illness: None

ID: 1009870
Sex: F
Age: 67
State: CA

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

Lab Data:

Allergies: Seasonal, Gluten

Symptoms: Lightheaded but resolved after rest. Reported feeling anxious

Other Meds: Thyroid

Current Illness: Sinus Infection

ID: 1009871
Sex: F
Age: 78
State: FL

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: NONE.

Allergies: None

Symptoms: TEN DAYS AFTER RECEIVING THE FIRST VACCINE, LOST SENSE OF TASTE, ON FEBRUARY 2, RECOVERED TASTES TO FOOD, I REALIZED AS I ATE AN ORANGE AND THEN TEA, ON FEBRUARY 5TH, IT STARTED TO DISAPPEAR AGAIN. AT NO POINT HAVE I LOST SENSE OF SMELL.

Other Meds: Dialtzem, Temazep,an, Citalopram,

Current Illness: Depression, high arterial blood pressure

ID: 1009872
Sex: F
Age: 78
State: TX

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

Lab Data:

Allergies: Ciprofloxacin Iron sucrose LevofloxaciOmeprazole Nsaids

Symptoms: None stated.

Other Meds: Estradiol 1mg Singulair 5mg Vitamin B-12 inj 1ml

Current Illness: Abrasion of left eye cornea prescribed Tobramycin 0.3-0.1% suspension Crohn's disease

ID: 1009873
Sex: F
Age: 65
State: FL

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

Lab Data: None

Allergies: Sulfa drugs, Mutlihance MRI dye, Onion, bandaid adhesive

Symptoms: 25 mins post vaccine outer rim of Left ear became warm, itchy and turned red for approx 1 1/2 in in length. Redness continued to spread toward inner part of ear for about 30 more mins. Woke with redness on 2/4. I applied topical Benadryl on 2/4 and 2/5. Redness resolved on 2/6. Other sides effects on 2/3: soreness at injection site, chills during night and difficulty sleeping. Took 1 Tylenol at 5:30 pm and 1 at 11:59 pm. Side effects on 2/4 : low grade fever (99.2 - 2+ degrees for me), fatigue, general feeling of un-wellness. All resolved by 2/5 except red ear, and fatigue which continues mildly today 2/7.

Other Meds: Toprol XL, Rovustatin, Aspirin, Vit D, Magnesium, Algae Cal

Current Illness: None - at time, Shingles in Oct 20

ID: 1009874
Sex: F
Age: 67
State: NY

Vax Date: 01/29/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 8 days after injection, swelling, redness, itching and soreness of injection site. Nothing before then. Using ice, hydrocortisone cream and Ibuprofen.

Other Meds: None

Current Illness: None

ID: 1009875
Sex: F
Age: 39
State: TX

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies: Demerol

Symptoms: Nausea, migraine, mild convulsing for a short period of time, feeling shaky without shaking.

Other Meds: Trazadone 50mg Escitalopram 40 mg

Current Illness: None

ID: 1009876
Sex: F
Age: 34
State: KY

Vax Date: 01/23/2021
Onset Date: 01/01/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: I received the injection in the left deltoid and have had joint pain in my left elbow since a few days after the injection. I have pain/discomfort each time I extend my left arm. I have used OTC pain medicine with no relief.

Other Meds: Venlafaxine, metoprolol, Junel, melatonin, benadryl, Maxalt, naproxen

Current Illness: None

ID: 1009877
Sex: F
Age: 50
State: IN

Vax Date: 01/03/2021
Onset Date: 01/08/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: none

Allergies: Lamictal, Erythromicin

Symptoms: Approx. 1 week after my first dose, the injection site began to swell, became hot to the touch, and painful. I could not lay on that side of my body. It started with a nickel size red spot and by the end of the day had progressed to a softball size red circle. My lymph nodes were swollen on both sides of my body. My underarms itched. My left shoulder near the injection site became painful and sore. This lasted for approx. three days before subsiding.

Other Meds: Trazadone, Adderall, Prozac

Current Illness: none

ID: 1009878
Sex: F
Age: 55
State: MA

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

Lab Data: none

Allergies: PCN SULFA LATEX

Symptoms: i will say i didnt know about this site until today so i had side effects with the first vaccine as well. those were arm soreness, runny nose, sore throat , headache , body aches, malaise, these lasted 5 days. My second dose effects were pain in injection arm not just site, a welt, nausea , headache , fever of 100.3 for 8 hours ( my normal temp is 96 as i have hashimotos ) sleepiness, no appetite . my heart rate also went up to 102 for about 4 hours the second day after injection. i must note i am a athlete and my normal heart rate is 52-56 and only goes above 100 when i exercise . all my symptoms were gone by hour 48

Other Meds: tirosint

Current Illness: hypothyroid

ID: 1009879
Sex: F
Age: 65
State: GA

Vax Date: 01/26/2021
Onset Date: 02/04/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Itchy red rash developed at vaccination site approximately one week after the vaccination. Applied OTC hydrocortisone twice a day.

Other Meds: Levothyroxine 100 mcg OTC multivitamin

Current Illness:

ID: 1009880
Sex: F
Age: 55
State: NJ

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

Lab Data: none

Allergies: dermabond, preservatives that used to be use in eyedrops greater than 30 years ago , increased intraocular pressure when I take steroids

Symptoms: I had a uti and was prescribed an antibiotic Nitrofurantoin on 1/23/2021 -didn't start it until the next day - finished the antibiotic - 1/28/2021. On 2/1/2021 I started to feel sick, I had chills, temp 99.5-99.7 rash - at first just around hips, buttocks lower abdomen - areas of erythema that was raised and indurated largest area was about 8 cm diameter, very itchy, later that day swollen hands, feel, large tender lumps that were normal skin color. A few hours later I developed macular rash to top of my shoulders, itchy and tender - looked and left like a sunburn. ( but no sun exposure !) My wrists , hands, elbows were sore. As the rash on my lower torso improved I had a second outbreak abdomen , I took benadryl 25-50 mg every 8 hours. I contacted my employee occupational health - discussed with them - at the time I was concerned about whether they wanted me to be tested for covid - I am a healthcare worker . At the time we both thought may be it was the nitrofurantoin. I also asked about whether I should hold on my 2nd vaccine- but by this time rash was much better, chills were gone, joint pain and swelling improved. Occupational health recommended I get 2nd vaccine. On 2/4/2021 I got 2nd vaccine, no new symptoms that day. Next day 102.5 fever but rash was almost completely gone and no longer itchy. On 2/6 .2021 rash came back but much worse, same symptoms , rash more wide spread, hive like rash with white border pink in center, various sizes but including breasts , thighs, buttocks abdomen, and starting on my arms but no joint pain. I was taking benadryl 50 mg every 4 hours without much relief and pepcid 20 mg. This morning 2/7/2021 I developed facial swelling , lip swelling, - started on prednisone, now things improving

Other Meds: melatonin, vitamin d, timolol eye drops

Current Illness: osteoarthritis and occasionally take celebrex

ID: 1009881
Sex: M
Age: 68
State: TX

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

Lab Data: No medical test, I just took Tylenol for fever and last 24 hrs after 24 hrs no pain and fever stop after 20 hrs.

Allergies: no

Symptoms: headche, fever of 102, heavy head , watery eye and muscle ache

Other Meds: prescription

Current Illness: non

ID: 1009882
Sex: F
Age: 35
State: OR

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

Lab Data: Na

Allergies: Cat allergy, allergy to nitrofurantoin, bactrim

Symptoms: Developed immediate dizziness and in the course of a few minutes developed numb sensation in lips and mouth, within 2-3 hours developed wheezing requiring albuterol at home medical treatment

Other Meds: Buspirone

Current Illness: None

ID: 1009883
Sex: F
Age: 50
State: TX

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

Lab Data: CBC with differential BMP

Allergies: None

Symptoms: Severe stomach cramping and diarrhea: Began at 4:30 pm 02.03.2021 - 02.07.2021 required hospital ER visit for iv fluids to treat stomach pain, nausea and dehydration from diarrhea. Sent home with prescription for Dicyclomine 20 mg tablet anti spasm medication. Petechiae on back of both hands, wrists and fingers: Began at 4:15 pm 02.05.2021 required hospital ER visit for multiple blood testing to evaluate platelets, etc. Testing clear and ER Dr. noted condition is associated with vaccination reaction and advised to closely monitor for any change and seek immediate return if continued progression and if so follow-up with hematologist. Foot cramps: Began overnight 02.04.2021, increased fluids and subsided. 99.8 Temperature: Began 02.04.2021 at 9:30 pm - to 11:30 pm and treated with extra strength Tylenol and subsided. Began 02.03.2021 at 10:30 pm -11:30 pm and treated with extra strength Tylenol and subsided. Soreness at injection site: Began 02.04.2021 ongoing treating with extra strength Tylenol.

Other Meds: Trulicity, Xigduo, Qsymia, BC 28, Low Dose Aspirin

Current Illness: None

ID: 1009884
Sex: M
Age: 78
State: TX

Vax Date: 01/25/2021
Onset Date: 01/29/2021
Rec V Date: 02/07/2021
Hospital: Y

Lab Data:

Allergies: NKA

Symptoms: Fell, head injury and vertebrae fractured. Probable stroke. Dizziness.

Other Meds: brilinta, norvasc, coreg, tresiba,

Current Illness:

ID: 1009885
Sex: F
Age: 75
State: IN

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Vaccine given 1/13; symptoms began 1/21-burning and intermittent blurry eyes/double vision, drooping left eyelid, drooping left side of mouth, fatigue; went to ER on 1/22, blood work, EKG, MRI normal, ER MD didn't know the cause but if symptions persisted, go to internal medicine MD; symptoms improved but saw Dr. on 1/28. She referred me to a neurologist. By 1/31, most of my symptoms had cleared. On 2/4, neurologist exam showed weakness in facial muscles, diagnosed condition as viral Bell's Palsy. Following medical exams, I read CDC report which referenced Bell's Palsy in Unsolicited Adverse Events section. Am sending this report

Other Meds: Amlodipine Besylate 5 mg; Estradiol .0375 mg; Doxycycline Hycl

Current Illness: None

ID: 1009886
Sex: M
Age: 73
State: CA

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

Lab Data: None

Allergies: None reported

Symptoms: Reported nausea/dizziness/SOB. Called over EMT for eval. BP and HR normal. Pt reports feeling better. EKG normal.

Other Meds: None reported

Current Illness: None reported

ID: 1009887
Sex: F
Age: 53
State: FL

Vax Date: 09/16/2020
Onset Date: 09/30/2020
Rec V Date: 02/07/2021
Hospital:

Lab Data: Multiple ongoing visits to ophthalmologist & rheumatologist

Allergies: Milk, eggs, pumpkin

Symptoms: 2 weeks after receiving FluBlok vaccine: right eye scleritis triggered into flare-up. Symptoms include throbbing pain in right eye, redness in right eye, right neck and eye pain, and systemic body aches, muscle pain.

Other Meds: Vitamin D, Vitamin B, aspirin 81 mg daily

Current Illness:

ID: 1009888
Sex: M
Age: 50
State: VA

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

Lab Data:

Allergies: Bactrim

Symptoms: Muscle aches, headache, shiver

Other Meds: Duloxetine, Gabapentin, Lunesta

Current Illness: Gastritis

ID: 1009889
Sex: M
Age: 65
State: CA

Vax Date: 01/25/2021
Onset Date: 02/03/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: none

Allergies: no

Symptoms: redness appearing several days after the injection. No pain, no iching, not raised. Approx a 3 inch circle around the site of the injection.

Other Meds: Niacin ER 1500mg/dy, Rosuvastatin 20mg/dy, Alopurinol 300mmg/dy, Aspirin 81mg/dy, multivitamin, vitamin D 1000units/dy, Loratadine 10mg/dy, Famotadine 20mg/twice dy

Current Illness: no

ID: 1009890
Sex: F
Age: 43
State: SC

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

Lab Data: None

Allergies: Pcn, latex, nubain

Symptoms: Rash and itching from head to waist 2 hours after vaccine. Benadryl 50mg oral taken and cool compresses applied. An hour later rash was somewhat better but visual. Pepcid 20mg oral taken 2 hours after benadryl. Same result. 12 hours later itching again and rash still visual so benadryl 25mg oral taken. Mostly the rash disappeared. It's day 3 post vaccination and the rash is in a few places however I am.not treating it. The rash was like hives and appeared on my arms first and within minutes my face was covered along with my neck. Took about 20 min to spread to my abdomen and back.

Other Meds: Omeprazole, zyrtec, thrive

Current Illness: Cold 2 weeks prior to second vaccine

ID: 1009891
Sex: F
Age: 16
State: MN

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: NA

Allergies: none

Symptoms: Patient was 16 at time of administration, rather than 18yrs as approved. No adverse effects noted.

Other Meds: none

Current Illness: none

ID: 1009892
Sex: F
Age: 54
State: IL

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

Lab Data: urinalysis

Allergies: allergies to Nuvigil and Topimax

Symptoms: Numbness of lips, mouth, chin, upper area of neck

Other Meds:

Current Illness:

ID: 1009893
Sex: M
Age: 50
State: OH

Vax Date: 09/12/2020
Onset Date: 09/12/2020
Rec V Date: 02/07/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: Fever, chills, shivering, headache, muscle pain

Other Meds: n/a

Current Illness: n/a

ID: 1009894
Sex: F
Age: 73
State: NY

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

Lab Data: N/A

Allergies: penicillin - vomiting/nausea some antibiotics - high sensitivity codeine - hallucination/dizziness gabapentin - confusion/dizziness pet dander - itching/sneezing/watery eyes Epinephrine - heart pulpitations/dizziness

Symptoms: COVID arm. On the eighth day, my arm swelled up and I had a large red rash which caused itching. It's been approximately 2 days and the rash is almost gone, but still itching somewhat. My arm is still swollen.

Other Meds: Vitamin D - 1000 units per day Cetirizine - 10 mg per day Levothyroxine - .88 5 days per week; 1/2 tab on the 6th day Famotidine - 40 mg 2x day Provastatin - 10 mg every other day Prolia - 1 injection every 6 months

Current Illness: N/A

ID: 1009895
Sex: F
Age: 42
State: UT

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

Lab Data: None, I didn't go in.

Allergies: None

Symptoms: Moderna Covid-10 Vaccine EUA Dizziness and weakness, chills, body aches, fatigue, rash on arm of injection site, painful arm, difficulty breathing (second night only and oxygen levels were fine), headache. I recently recovered from Covid-19 and my symptoms were more mild than from the vaccine, but I was sick for 8 days with the real virus and only 2-3 days after vaccine. I am concerned that it might have been too soon, and now I am really worried about getting the second dose. I get my flu vaccine almost every year with no side effects except a sore arm.

Other Meds: Vitamin C, D and Zinc (Emergen C drink daily for the past few weeks).

Current Illness: Yes, I tested positive for Covid-19 on January 16, 2021 and started having symptoms a few days before the test (January 12). I was 100% well for two weeks prior to the vaccine, but I think my side effects had something to do with having the illness so recent to my vaccine. My illness with Covid-19 was mild as well.

ID: 1009896
Sex: F
Age: 50
State: IN

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

Lab Data: none

Allergies: Lamictal, Erythromicin

Symptoms: Approximately 12 hrs. after receiving the second dose, I suddenly felt very ill. Chills, dizzy, muscle and joint pain, and nausea. Fever up to 101. Symptoms worsened to the point, I couldn't move. Sharpest pain was in my upper back between my shoulder blades like the back of my chest. It hurt to breathe. Oxygen saturation dropped to 84-89 when I tried to move. Joint pain so bad that I couldn't pick up my cell phone with my hands. I alternated Tylenol and Ibuprofen. I started feeling better 48 hours after the second dose was administered.

Other Meds: Trazadone, Adderall, Prozac, Zyrtec

Current Illness: none

ID: 1009897
Sex: F
Age: 72
State: CA

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

Lab Data: None

Allergies: None reported

Symptoms: Reports chest tightness and anxiety. Evaluated by EMT. BP in 200's. Pt states she forgot to take her BP meds. EKG normal.

Other Meds: None reported

Current Illness: None reported

ID: 1009898
Sex: F
Age: 79
State: NY

Vax Date: 01/27/2021
Onset Date: 02/04/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: None

Allergies: bees, metronidazole, vantin

Symptoms: Redness, swelling , itching about 5inches diameter at the injection site a week after shot. Today is Feb. 7th and it is fading.

Other Meds: raloxifene, candesartan, vitamins

Current Illness: None

ID: 1009899
Sex: F
Age: 78
State: AZ

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

Lab Data:

Allergies:

Symptoms: Achy, low grade fever 100, headache.

Other Meds:

Current Illness:

ID: 1009900
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:

Allergies: Sulfa

Symptoms: Significant Rigors, fever, nausea, body aches, fatigue, mild headache and mild sore throat. Lasting till morning of 2/7/2021, and fatigue continues at time if filling out this form 6:40pm on 2/7/2021.

Other Meds: Estradiol, Progesterone, Wellbutrin, Adderall XR, Meloxicam, Vitamin D3

Current Illness: None

ID: 1009901
Sex: F
Age: 71
State: PA

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

Lab Data: none

Allergies: bee/ wasp stings and penicillin

Symptoms: Red rash, itching, warm to the touch, swelling and hardness of muscle in an area approx 5" in diameter 16 hours after first symptoms presented/ at time of reporting.

Other Meds: Latanoprost 0.005% eye drops, Warfarin 5mg, Vitamin D3 2000 IU, Schiff Mega Red Krill Oil 750mg, B&L Ocuvite, Nature's Bounty Hair, Skin & Nails. All are taken once a day.

Current Illness: none

ID: 1009902
Sex: F
Age: 81
State: AZ

Vax Date: 01/24/2021
Onset Date: 01/29/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Burning skin, nausea, tiredness, burning internally, insomnia

Other Meds: Eliquis, sotalol, losartan, atorvastatin, Montelukast, amoxicillin, fluoxetine

Current Illness: None

ID: 1009903
Sex: F
Age: 72
State: TX

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

Lab Data: I was given Benadryl and Decadron. The tightness subsided about 15 minutes later.

Allergies: Compazine; pollen; wasp stings

Symptoms: About five minutes after receiving the injection, I had tingling at the injection site; then strange taste in my mouth along with tingling; then there was tightness in my throat. The RNs took me another area, gave me ice water and put ice on injection site. After about 45 minutes the tightness in my throat was still there and I was transported to ER for treatment.

Other Meds: Carvedilol, Premarin, Aspirin

Current Illness: None

ID: 1009904
Sex: F
Age: 52
State: MD

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

Lab Data:

Allergies: None

Symptoms: Widespread viral exanthem upon waking up on 2/7/21. Slightly itchy. No treatment.

Other Meds: Advil

Current Illness: None

ID: 1009905
Sex: M
Age: 67
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Patient c/o sore throat and feeling anxious

Other Meds: Blood thinner; anti platlet

Current Illness: None

ID: 1009906
Sex: F
Age: 23
State: AR

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: None

Allergies: Allergic to Singulair

Symptoms: Started cramping and slight menstrual bleeding less than 24h after receiving the 2nd Pfizer Covid-19 vaccine (no adverse events after first shot). I'm on birth control (over a year) and have a regular period that shouldn't start for another week and a half. I'm still cramping and bleeding, not as bad as a normal period, but definitely noticeable throughout the four days since symptoms appeared.

Other Meds: Junel 1.5/30, 21day Sertraline, 75mg/day Loratadine, 10mg/day

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm