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: 1011377
Sex: F
Age: 37
State: OH

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Macular rash on chest, abdomen, and legs.

Other Meds:

Current Illness:

ID: 1011378
Sex: U
Age:
State: AZ

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

Lab Data: n

Allergies: n

Symptoms: None stated.

Other Meds: n

Current Illness: nn

ID: 1011379
Sex: F
Age: 51
State: IL

Vax Date: 01/30/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Today is the first day that I have noticed a large, red, swollen rash on my arm where I got the injection. It is warm to the touch and itches a bit.

Other Meds: Naproxen Melatonin Apple Cider Vinegar

Current Illness:

ID: 1011380
Sex: F
Age: 67
State: MD

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: Peak flow meter- normal value 450, declined to 375

Allergies: pollen, dust mold

Symptoms: Asthma symptoms and reduction in peak flow lasting 2 days.

Other Meds: Advair 250, Dymista nasal spray, singulair, lipitor, Xyzal, synthyroid, liothyronine, Lexapro, B12, famotidine

Current Illness:

ID: 1011381
Sex: F
Age: 43
State: MI

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

Lab Data: None

Allergies: Sulfa, Erythromycin, Morphine, Cymbalta

Symptoms: Chills and fever-started about 12 hours after shot, lasted for approximately 24 hours Headache, body aches, joint pain, fatigue, nausea- started 12 hours after shot, lasted approximately 72 hours

Other Meds: Lexapro, Letrozole, Claritin, zoladex

Current Illness: 2 weeks prior headache, fatigue, nausea for 3 days

ID: 1011382
Sex: F
Age: 29
State:

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

Lab Data: N/A

Allergies: Cherries (Anaphylaxis)

Symptoms: Around 5-10 min after administration patient started to feel chest tightness, "lump in throat", SOB and headache. She was treated with 50mg of Benadrl. Initial vitals were : BP 152/103, O2 sat on RA 99%, HR 10# RR 16. Repeat Vitals were WNL. Patient has hx of asthma and took 2 pumps of albuterol inhaler. She started to feel better and was sent home. Next day symptoms did not resolve and pt went to ER. She was not examined in ER due to wait time. She took abother 50mg of benadryl and 2 puffs of albuterol inhaler with significant relief. On today she is feeling much better.

Other Meds: Losartan 50mg

Current Illness: N/A

ID: 1011383
Sex: F
Age: 41
State: PR

Vax Date: 01/20/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
Hospital: Y

Lab Data: 1. Influenza A/B Rapid Test 2. Anti-SARS-COV-2 Test / COVID-19 PCR 3. Culture MRSA Nasal 4. Culture Perirectal 5. Campylobacter Jejuni AB 6. Influenza IGG AB

Allergies: Unknown

Symptoms: patient presents with ascending progressive weakness in legs and arms, 15 days after receiving the second dose of the COVID-19 vaccine Pfizer/BioNTech (R/O Guillian-Barre).

Other Meds: Ativan 1 mg tablet Ajovy 225 mg/1.5ml

Current Illness: Migraines

ID: 1011384
Sex: F
Age: 37
State: AZ

Vax Date: 01/27/2021
Onset Date: 02/01/2021
Rec V Date: 02/08/2021
Hospital: Y

Lab Data: CT scan, D-Dimer elevated. Negative COVID test

Allergies:

Symptoms: Pulmonary Embolism, hospitalized from 2/2/2021-2/3/2021. Received anti-coagulants and will remain on anti-coagulants for at least 3 months.

Other Meds:

Current Illness:

ID: 1011385
Sex: F
Age: 40
State: IN

Vax Date: 01/13/2021
Onset Date: 01/31/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: CBC, CMP, SED RATE, PCR COVID 2/8/21

Allergies: strong NSAIDS, nausea

Symptoms: 8 DAYS ONGOING, NAUSEA, BODY ACHES, NECK MUSCLE TIGHTNESS, LOW GRADE FEVER, DIAPHRESIS, HEADACHES

Other Meds: Prilosec, Wellbutrin, Zinc, Vit C, Baby Aspirin, Prenatal vitamin,

Current Illness: none

ID: 1011386
Sex: F
Age: 54
State: IN

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: chills, body aches, weakness and headache

Other Meds: turmeric, fish oil, mutivitamin,black hohosh

Current Illness: none

ID: 1011387
Sex: F
Age: 40
State: IL

Vax Date: 01/07/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: First menstrual cycle following vaccine was different than normal cycles. Experienced worse than usual cramping and body aches from upper back/shoulders to thighs. Lasted for one day (first day of cycle). Also experienced significantly less menstrual bleeding than usual.

Other Meds: None

Current Illness: None

ID: 1011388
Sex: F
Age: 39
State: WA

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: NA

Allergies: penicillin family, bactrim, oranges

Symptoms: 102 fever from around 11 am until around 6 pm on 02/04/21. Headache from 10 am on 02/04/21 until morning of 02/06/21.

Other Meds: Cetirizine, fluticasone, diphenhydramine

Current Illness: NA

ID: 1011389
Sex: M
Age: 77
State: AZ

Vax Date: 02/04/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: Took temperature at 0630 reading 97.3F. Took Temperature again at 8:AM 96.8 BP 97-168 resp 66

Allergies: Lactose intolerant

Symptoms: Moderna vaccine. I was fine and active until bed time 2/7/21. After shower I felt clogged, I did neti pot sinus drain with warm water and hydrogen peroxide 10 to 1. Went to bed (CPAP) and woke up at 2:30AM with nose running and unable to breath through nostrils. Got up and used warm compress over eyes and nose for about three minutes and congestion partially cleared. Upon returning to bed (CPAP} I began to again build up mucous. Repeated same routine at 06:00AM except returning to bed. Immediately became congested again. Took temperature reading 97.3F. Took Temperature again at 8:AM 96.8 BP 97-168 resp 66

Other Meds: none

Current Illness: none

ID: 1011390
Sex: F
Age: 65
State: IN

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: none

Allergies: sulfur

Symptoms: I tested positive for COVID on 12/30. Re-tested on 01/2/8 and results were negative. I asked when I checked in to get the first dose of the vaccine if I should take it now or wait a little longer. They told me it was OK to take. I received it around noon on 2/5 and arm was a little sore that evening but expected. However on 2/6 when I got up my arm was extremely sore which I could deal with but the rest of me felt like I had COVID again. I had the nauseated feeling, body aches, headaches, lack of appetite and extremely fatigue just like the first day of COVID on 12/30. This continued until around 7pm the following day on 2/7 before I started feeling better. Today is 2/8 and I still have a little bit of a headache but feeling much better. I was going to be retested if I felt as bad as I did on 2/6 and 2/7. I did not go to the doctor since it was the weekend and no way did I want to go to the ER.

Other Meds: None

Current Illness: Tested positive for COVID on 12/30 and re-tested on 01/28 with negative results.

ID: 1011391
Sex: M
Age: 67
State: MI

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

Lab Data:

Allergies: Penicillin

Symptoms: Within 3 hours of receiving shot I experienced fatigue, muscle pains, mild head ache and low grade fever. Muscle pain and head ache were gone after 1 day. 5 days after 2 dose I am still experiencing fatigue and low grade fevers throughout day. At night I am sweating so much I need to change my shirt 1 or 2 times. After 1st shot I initially experienced muscle pain at site of shot, left arm, for 1 day. 2 1/2 weeks after 1st shot started experiencing general fatigue. I was still experiencing fatigue at time I received second shot.

Other Meds: Lipitor 80mg x1 daily, Lisinopril 20mg x1 daily, Mybetriq 25mg x1 daily, Eliquis 5mg x2 daily, Diltiazem HCL 30mg x1 daily, Amiodarone 200mg x1 daily, multi-vitamin x1 daily, vitamin D3 supplement 125mcg x1 daily.

Current Illness: I received 1st shot on Jan. 13, 2021. About 2 1/2 weeks after 1st shot started to experience general fatigue. I received 2nd shot about 1/2 weeks after noticing the fatigue.

ID: 1011392
Sex: F
Age: 84
State: NJ

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

Lab Data: EKG that was obtained at 1534 hrs. Intraocular rate of 94 bpm, PR interval 150 ms, QRS duration of 50 ms, QTC of 4 and 20 ms, normal rate, normal rhythm, normal axis, normal intervals, no ST segment elevations or depressions: Normal sinus rhythm Labs WNL except glucose and BUN high

Allergies: penicillin

Symptoms: Patient is a 84-year-old female presenting to the emergency room with anxiousness, generalized weakness and one episode of vomiting/nausea surrounding her Covid vaccination this afternoon. On exam patient appears mildly anxious, has no evidence of allergic reaction, lungs are clear and equal bilaterally. Patient is resting comfortably, speaking in complete sentences. Shortly after physical exam patient was noted to have oxygen saturation of 90 to 92%, subsequently placed on 2 L nasal cannula. Will obtain CBC, CMP, chest x-ray, EKG. We will also give patient 500 cc of fluid and 4 mg of Zofran for control of nausea and vomiting. We will continue to monitor patient. No leukocytosis, no AKI, electrolytes within normal limits, chest x-ray without evidence of underlying pneumonia or pneumothorax. I have reevaluated patient, patient has been reporting a ongoing headache for which she has a history of and takes Fioricet, requesting Fioricet. Will order Fioricet. We attempted to take patient off of her oxygen however when taken off the oxygen she drops to 88% on room air. Patient reports ongoing generalized weakness and nausea which has required an additional 4 mg Zofran. Given that patient has been monitored for couple of hours and has had ongoing nausea and vomiting, generalized weakness in the setting of hypoxia when taken off of oxygen will obtain troponins and admit patient to the hospital for obs. I have spoken to Dr. who has accepted patient to observation with telemetry for further management. Patient was informed of admission status, with no further questions at this time.

Other Meds:

Current Illness:

ID: 1011393
Sex: F
Age: 71
State: SC

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

Lab Data:

Allergies: Sulfur

Symptoms: Pt started vomiting during 1st 15 minutes, pt was given 2 teaspoons of liquid Benadryl , given gingerale and unable to tolerated, vomiting continued,B/P 145/83, Epi shot give Lot#9FM656, Exp 5/1/21. b/p taken every 10 minutes and pt observed for 30 more minutes. b/p at 9:25-123/83, 9:35-120/82, 9:45-111/75. Pt denied dizziness, n/v when released. Pt advised not to have 2nd Covid dose unless she clears it with her primary. Pt advised to go to ER if sypmtoms return or worsen.

Other Meds: Potassium 99 mg, Vitamin C, Centrum Silver, Vitamin D, Zolpidem Tartrate 10mg, Quitiapine Fumarate 100 mg, Azelastine HCL 0.1% , Hydroxyzine HCL 25 mg, Aspirin 81 mg, Polyethylene Glycol, Vitamin B12, Magnesium-Oxide 400mg, Omeprazole 20 mg

Current Illness:

ID: 1011394
Sex: F
Age: 65
State: IN

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: Bananas, penicillin

Symptoms: Woke up with chills, fever and upset stomach

Other Meds: Vitamin D3, multi vitamin, flax seed, and atorvastatin

Current Illness: None

ID: 1011395
Sex: M
Age: 83
State:

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills and feeling alternately of hot/cold starting around 1:00AM

Other Meds:

Current Illness:

ID: 1011396
Sex: M
Age: 59
State: CA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Tired, felt like fever, body aches.

Other Meds:

Current Illness:

ID: 1011397
Sex: F
Age: 68
State: AL

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

Lab Data:

Allergies: none

Symptoms: Head fullness, sinuses dried, nose stuffy, weak, spacey, rapid pulse, Felt as if I would pass out, ashy/pale complexion. Felt extremely weak in the evening.

Other Meds: HCTZ, Lisinopril, Lipitor

Current Illness: none

ID: 1011398
Sex: F
Age: 67
State: MA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital: Y

Lab Data: CT scan with contrast, MRI, Chest xray, back xray, carotid artery studies, blood work all completed during admission to ED at Newton Wellesley Hospital and during admission.

Allergies: Sulfa drugs

Symptoms: TIA ~ found slumped in chair, aphasic, unable to stand. sent to local hospital emergency room

Other Meds: Xarelto (for A fib), atorvastatin 40 mg, lipitor, fosamax, atenolol, calcium citrate.

Current Illness:

ID: 1011399
Sex: F
Age: 79
State: OH

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: penicillin, sulfa, cefalexin,

Symptoms: total fatigued, chills and ache. I slept and i slept. lasted all day and about 3:00 the next afternoon i started feeling human again and by the 3rd day i was over it.

Other Meds: levothyroxine 100, hydrochlorothiazide 1/2 of 25 mg, lutein, Aspirin 325, collagen peptides

Current Illness:

ID: 1011400
Sex: M
Age: 41
State: NE

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None yet

Allergies: Penicillin

Symptoms: Still have a red rash around the injection site about the 3" in diameter. Injection site and area around it are hot to the touch.

Other Meds: Mobic, Zyrtec, Nexium, testosterone

Current Illness: None

ID: 1011401
Sex: F
Age: 69
State: TX

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

Lab Data:

Allergies: None

Symptoms: I received the first dose of the Moderna vaccine on 2/2/2021. No real adverse effects occurred. Some pain and swelling at the injection site and extreme fatigue on 2/3/2021. However, on 2/7/2021, I woke up to a rash covering my entire body except for my head and lower extremities. Looks a lot like hives and is somewhat itchy.

Other Meds: cartia xt, pantoprazole, low dose aspirin, vitamin d, vitamin c, zinc, budesonide, trelegy.

Current Illness: tested covid positive 1/11/2021.

ID: 1011402
Sex: F
Age: 40
State: MA

Vax Date: 01/05/2021
Onset Date: 01/16/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: All workup was normal/negatve: neuro exam, Chem 7, CBC with diff, vitamin B12, folic acid, antinuclear antibody, angiotensin converting enzyme, lyme disease screen, covid 19 nasal swab, MRI of the spine and brain.

Allergies: Sulfa drugs

Symptoms: Previously healthy 40 y/o female with sulfa allergy and received dose #1 of Moderna COVID-19 vaccine on 1/5/21. Experienced fatigue, chills, bodyaches on 1/6/21 and resolved by 1/7/21. Rash below injection site appeared on 1/9/21 that was red, itchy, and inflamed with a palpable lump. Rash slowly dissipated by 1/15/21. On 1/16/21, experienced generalized pruritis and tingling in hands, feet, and legs. Over the course of the next 3 days, experienced tingling, numbness, burning, and pain in upper and lower extremities that interfered with sleep and daily function and was not resolved with self mediation with acetaminophen and diphenhydramine. On 1/19/21, primary care provider was contacted. PCP consulted allergist/immunologist who did not think symptoms were related to an allergic reaction to the vaccine. Referred to neurologist for further workup and prescribed gapabentin for symptom control. Neuropathy slowly resolved over the following week by around 1/25/21-1/27/21.

Other Meds: None

Current Illness: None

ID: 1011403
Sex: F
Age: 66
State: IL

Vax Date: 01/27/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None conducted.

Allergies: Milk and milk products (cream cheese, cheese)

Symptoms: Small hives the size of a flea bite beginning 2/3/21 and increasing in number every day (about 10 presently). Hives at the bottom of my buttocks on 2/6/21 and 2/7/21.

Other Meds: Lactaid (for milk sensitivity)

Current Illness: None

ID: 1011404
Sex: F
Age: 53
State: VA

Vax Date: 01/31/2021
Onset Date: 01/31/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: codeine

Symptoms: High fever (102), migraine. 36 hours

Other Meds: Bp meds, Lipitor

Current Illness:

ID: 1011406
Sex: F
Age: 54
State: CO

Vax Date: 01/29/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: latex, dairy, metals, plastics, some sugar intolerance

Symptoms: Itching, swelling, redness, rash 2 inch diameter (round) at injection site beginning on day 6 after vaccine, lasting about 3 days.

Other Meds: median chain triglyceride oil (MCT); collagen protein powder

Current Illness: none

ID: 1011407
Sex: M
Age: 42
State:

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Received 2nd Pfizer vaccine yesterday (Thurs 2/4). Felt fine for several hours but then began to feel muscle pain, body aches, somewhat nauseous on Thurs. night, continued through Fri. Felt better by Sat. evening.

Other Meds:

Current Illness:

ID: 1011408
Sex: F
Age: 29
State: CA

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

Lab Data:

Allergies: sulfa drugs

Symptoms: Delayed allergic-type reactions starting around 1800 on 2/5/2021. Symptoms included: hives, SOB, fever, and rigors lasting for a few hours. Pt. had extreme fatigue and fell asleep a little past 2000. Pt. woke up around midnight and symptoms were gone. Pt. is a nurse and cared for self at home. Did not seek medical care.

Other Meds: skin, hair, and nails vitamin supplement containing biotin

Current Illness: none

ID: 1011409
Sex: F
Age: 59
State: TX

Vax Date: 01/30/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: None known

Symptoms: Had headache plus swelling, redness, and pain at vaccination site for the first 3 - 4 days following vaccination and then it went away. No symptoms for 2 days. Then vaccination site became red again and itchy, on 6th day after vaccination. Still red and itchy as of 9th day after vaccination. Sinuses also slightly congested, plus a hint of headache.

Other Meds: Rosuvastatin 10 mg, Biote testosterone/estrogen pellets, DIM, low dose aspirin, fish oil, calcium, Vitamin D, Terbinafine,

Current Illness: None

ID: 1011410
Sex: M
Age: 52
State: IA

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: About 16 hours after receiving the second dose I started experiencing chills and body aches that I have not experienced with my first dose. Did not seek medical care. Within 24 hours it was all gone.

Other Meds: Vitamin D and Fish oil

Current Illness: No

ID: 1011411
Sex: F
Age: 72
State: NJ

Vax Date: 01/21/2021
Onset Date: 01/28/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Red, swollen patch around injection site. Itchy Now one and a half weeks since its start which was 7 days after the shot

Other Meds:

Current Illness: None

ID: 1011412
Sex: M
Age: 72
State: NY

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Low grade fever and chills 30 hours after vaccine. took one advil. slept through the night. problems solved.

Other Meds: none

Current Illness: none

ID: 1011413
Sex: M
Age: 76
State: MD

Vax Date: 01/27/2021
Onset Date: 02/01/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: n/a

Allergies: highly allergic to any tree nuts such as pecans, walnuts etc.

Symptoms: Visible rash on back, stomach and buttocks'. Took liquid Benadryl to assist plus steroidal cream

Other Meds: none

Current Illness: none

ID: 1011414
Sex: F
Age: 78
State: FL

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: Covid19 test Feb 3 a Doctor at 4:30. Negative result on Friday the 5th.

Allergies: none

Symptoms: Off and On High Fever (102.7) with sever chills, nausea, fatigue lasting six days. Chills stop, low grade fever continue for three more days, rash appears on my neck, back and front of my body. Doctor insist I get a Covid 19 test. It came back negative. This was my first pfizer vaccine.

Other Meds: none

Current Illness: none

ID: 1011415
Sex: F
Age: 30
State: CA

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

Lab Data:

Allergies: penicillin (hives), bee stings (hives), latex (rash), kiwi/citrus (swelling, tingling of tongue)

Symptoms: 30yo female with allergies to PCN (hives), bee stings (hives), latex (rash), and kiwi/citrus (swelling/tingling of tongue), was vaccinated with COVID10 Pfizer BioNTech dose#2 and reported a racing heart and chest tightness. No SOB nor difficulty breathing. No lip swelling nor scratchy throat. No antidote nor supportive treatment given. Symptoms resolved within the observation period. Of note, after dose#1 patient had c/o feeling warm, blotchy across her face and chest and being nervous which resolved. Reported to VAERS on 1/20/21 (#249700).

Other Meds:

Current Illness:

ID: 1011416
Sex: M
Age: 21
State: VT

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

Lab Data: None

Allergies:

Symptoms: Patient received a second dose today, the first dose was Pfizer while the second was Moderna. Advised that a VAERS form would be submitted. Counseled about immunity benefits and concerns with mixing doses. Patient verbalized understanding.

Other Meds:

Current Illness:

ID: 1011417
Sex: F
Age: 66
State: MA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: vomit once shakes fever headache right sever stomache pain fatigue night sweats

Allergies: no

Symptoms: vomit once shakes

Other Meds: lisinopril

Current Illness: none

ID: 1011418
Sex: F
Age: 51
State: CO

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: ALLERGIC TO TOMATOE, CORN,PEACHES AND ALMONDS.

Symptoms: FEVER ON 02/05/2021, HAVE RASH ON LEFT ARM AND SWOLLEN, BODY ACHES. I HAVE HIVES ON MY CHEST AREA AND SWOLLEN HANDS. SKIN IS VERY RED.

Other Meds: LEVOTHRYOXINE 135MG

Current Illness: NONE

ID: 1011419
Sex: M
Age: 85
State: AL

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: So around 1/30/2021 I started itching all over my body and little red color bumps starting to come to up. I still got some bumps but it seems like they are getting better. I have tried to taking Benadryl.

Other Meds: one a day multi vitamin

Current Illness:

ID: 1011420
Sex: F
Age: 57
State: OH

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: My arm and shoulder were sore throughout the day and that evening it was really sore. I woke up at 3:00 in the morning and my head hurt very bad, and I woke up and I took two Tylenol and waited 20 minutes and then took alleve, drank four cups of coffee and half floreset and that helped a little bit and this morning I woke up with a terrible a headache and stiff neck and shoulder, and its only my left shoulder where I got the shot.

Other Meds: metoprolol 25 mg daily flexeril 10 mg daily nexium 40 mg 2x daily finnegan (as need for nausea) 25 mg repatha injections every two weeks 140 mg.

Current Illness: None

ID: 1011421
Sex: F
Age: 87
State: TX

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None.

Allergies: Sulfa, adhesive tape.

Symptoms: On Saturday while getting your night medicines from the shelf, and started feeling dizzy, tried to reach the shelf and said to herself that "i can't do it, I just can't do it". She staggered back and sat down on a towel hamper and apparently fell off of that onto the floor, lost kidney function. Tried to get up and managed to get her phone out and called her husband (he's hard of hearing - was downstairs). She said when he got there her head was towards the bathroom door and felt that he could not get in and could not get her up so she tried to get up. She did not have any strength. Finally she got up to get on her elbow and crawled into the vanity area and raised up and pulled herself up. She did not enough strength to walk to the bed. She got to the bed and then started with chills, turned on her electric blanket. She felt better Sunday, 1/7/21, and is real shaky today. She feels a little stronger but is not back to where she wants to be. Yesterday evening she felt her arm itching a little bit, and looked at it and it was swollen and red, and had an area about the size of her hand. Her husband felt of it and said that he felt she had fever in it. The arm was sore to touch. It is itching a little bit this morning. She had a headache for a couple of days as well, took a Tylenol one night and her head felt real weird. It was not real severe, and it hurt more times than it did others. It would come and go. Has not taken anything else for these symptoms. Her husband checked her BP, Friday was 108/62, and last night 106/67.

Other Meds: Hydrochlorothiazide, Centrum silver, aspirin 81 mg, fish oil, Osteobiflex, Vitamin D3, multigrains, Sulfazine, comfort tone, Biotin.

Current Illness: None.

ID: 1011422
Sex: F
Age: 27
State: AZ

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: I am 29 weeks pregnant with my first pregnancy and due April 22, 2021. I woke up and felt a tender lump on the right side of my torso. It is 4 inches down from my ribs. It feels soft and hurts to touch. I contacted my doctor and they said that if it continues to get worse then to come in and get it checked out but as of now - just wait and hopefully it will go down.

Other Meds: Lexapro 10mg Prenatal

Current Illness: None

ID: 1011423
Sex: F
Age: 40
State: CA

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

Lab Data:

Allergies: PCN/ERYTHROMYCIN

Symptoms: Left arm soreness, chills, low grade fever, nausea, dizziness, fatigue/lethargic. All symptoms went away on 02/5/2020 except dizziness. Dizziness went away on 02/06

Other Meds: NONE

Current Illness: NONE

ID: 1011424
Sex: M
Age: 34
State:

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Extreme body aches, chills, headache, nausea, fatigue

Other Meds: None

Current Illness: None

ID: 1011425
Sex: F
Age: 41
State: MA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: none

Allergies: NKDA

Symptoms: round raised redness approximately 2 to 3 inch diameter, Itchiness for two weeks. No fever no abscess or sign of infection No help with Benadryl

Other Meds: Celexa clonazepam

Current Illness: Anxiety

ID: 1011426
Sex: M
Age: 50
State:

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

Lab Data:

Allergies: compazine

Symptoms: After receiving the vaccine I experienced headaches, sever abdominal pain, fever and chills The worse of the reactions happened approx. 12 hours after the shot. It lasted about 48 hours. I am still experiencing body aches, but they are not severe

Other Meds:

Current Illness:

ID: 1011427
Sex: M
Age: 42
State: AZ

Vax Date: 02/03/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None yet.

Allergies: Peanuts; Soy

Symptoms: Lump on the roof of mouth. Lump appeared about 2.5 days after initial vaccine. Lump is small, maybe 1/8 inch in diameter. Lump is smooth. So far lump hasn't become larger or smaller. It isn't painful. I have never had a lump on the roof of my mouth before.

Other Meds: Vitamin C 500mg Daily; Fexofenadine 180mg tablet Daily; Multivitamin Tab Daily; Nasonex 1 spray each nostril daily

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm