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: 1011840
Sex: F
Age: 57
State: CA

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

Lab Data:

Allergies: No known allergies

Symptoms: Pt reported feeling itching on arm at site of injection that spread to her back and chest. No visible rash noted, but itching persisted for 30 minutes so pt given Benadry IM.

Other Meds: None

Current Illness: None

ID: 1011841
Sex: F
Age: 73
State: IL

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

Lab Data:

Allergies: Penicillin, ANSADS

Symptoms: Very sore arm and couldn't raise it up for three days. Nausea, joint achiness, dizziness. I stayed in bed for two days. On day5, my arm is still sore and can barely raise it above head without pain.

Other Meds: Zoloft, Sertraline

Current Illness: None

ID: 1011842
Sex: F
Age: 37
State: TX

Vax Date: 01/25/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Red discoloration patch at injection site roughly 2 inches in diameter

Other Meds: Zoloft

Current Illness: None

ID: 1011843
Sex: F
Age: 93
State: FL

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

Lab Data: NONE ORDERED

Allergies: Keflex, Codeine, Clindamycin

Symptoms: At 11:15 -11:30 am the resident received her initial dose of Pfizer COVID -19 vaccine in the front of the facility so that her daughter could encourage her to receive the vaccination she was then returned to the her neighborhood at approximately 1:15 pm the circulating Pharmacist administered a second dose of the vaccine.

Other Meds: Tylenol 325 mg take 2 tablet by mouth 3 times daily ASA 81 mg take 1 tablet by mouth once daily Divalproex 125 mg take 2 tablets by mouth once daily Januvia 50 mg take one tablet by mouth once daily Lactulose sol 10 gm.15 take 2 teaspoo

Current Illness: Diabetes Mellitus, hearing loss, Hyperlipidemia, Dementia, Microvascular reaction, seasonal allergies

ID: 1011844
Sex: M
Age: 72
State: CA

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: No test of the adverse event.

Allergies: NONE

Symptoms: The reaction is a large, 2 " red and warm circle on the left arm where the vaccine was injected. it started the day after the vaccination and persists until now, ten days after. No other adverse symptoms.

Other Meds: Omega 3-6-9 -- Calcium Magnesium and Zinc-- Men's One Daily-- Vitamin D3-- Vitamin B12-- Iron--Immune 24 Hrs (vitamin C)

Current Illness: NO

ID: 1011845
Sex: M
Age: 41
State: OH

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

Lab Data: N/A

Allergies: Formaldehyde

Symptoms: Roughly 12 hours after receiving the second dose of the vaccination, I began to be restless, especially when trying to sleep. I noticed that my resting heart rate was way above normal (normal = 76-80 bpm). My heart rate after about 10pm rose to about 115-120 bpm and stayed at that level for about 12 hours.

Other Meds: Lisinopril (5mg); Align Pro-Biotic

Current Illness: None

ID: 1011846
Sex: M
Age: 76
State: MI

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

Lab Data: Patient Diagnosed with Bell's Palsy

Allergies: None

Symptoms: Patient went to Emergency Room @ 5PM day following vaccine with difficulty moving eyes and drooping cheek.

Other Meds: Plavix 75mg once daily telmisartan hctz 80-12.5mg once daily labetolol 300mg one twice daily Crestor 5mg daily Potassium er 10meq once daily aspirin 81mg daily levothyroxine 25mcg every morning co q-10 100mg daily vit d3 2,000 IU daily

Current Illness:

ID: 1011847
Sex: M
Age: 52
State: NJ

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

Lab Data:

Allergies: Azithromycin

Symptoms: About 24 hours after receiving the vaccine, I started with a dull headache (scale of 1-5, 5 being the worst, it was a 1), and onset of chills (scale of 1-5, 5 being the worst, it was a 3 )and flushing. The chills lasted about 4 hours. About 36 hours after receiving the vaccine, I noticed swelling of my lymph nodes under my left arm. (scale of 1-5, 5 being the worst, it was a 4) It is about the size of tennis ball, it is causing discomfort and hard to sleep. It is painful. The flushing, headache and chills all went away.

Other Meds: Proscar .4 MG daily, Vitamin D3

Current Illness:

ID: 1011848
Sex: M
Age: 76
State: LA

Vax Date: 01/31/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Rash and itching on arm and shoulder in area of injection site. Broken skin (not due to scratching) Symptoms still ongoing

Other Meds: Multi vitamin Vitamin C Glucosamine Loratadine

Current Illness: None

ID: 1011849
Sex: F
Age: 73
State: WA

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

Lab Data: none

Allergies: Gluten

Symptoms: 24 hours after injection - low blood pressure (90 over 68) rapid heart rate - 110 to 115 for approximately 4-5 hours

Other Meds: metoprolol succinate 50 mg levothyroxine 88 mcg tablet Proomega ldl omega 3 with 1200 mg red yeast rice Potassium 99 mg tablet CALCIUM ANTACID ULTRA MAX ST 1000 MG Chew Omega-3 Fatty Acids (FISH OIL ) B-12 VITAMIN D Aspirin 81 MG tablet

Current Illness: None

ID: 1011850
Sex: M
Age: 66
State: IN

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

Lab Data:

Allergies: Penicillin Codeine Sulpha Drugs

Symptoms: Tinnitis since vaccination, moderately severe and not a sufferer of Tinnitis in this long of term period before.

Other Meds: None

Current Illness: None

ID: 1011851
Sex: F
Age: 28
State:

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: nausea, vomitting, diarrhea, headache

Other Meds:

Current Illness:

ID: 1011852
Sex: F
Age: 67
State: OR

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

Lab Data:

Allergies: Codine,

Symptoms: approximately 11 hours post vaccination, symptoms of headache and body aches. this was followed by shivering, weakness and a pounding heart. This continued for five to six hours. The shivering eased, leaving the pounding heart, terrible headache and body aches, especially in the neck and shoulders area. These remaining symptoms continued into day two.

Other Meds: Levothyroxine, multi vitamin, D3, calcium,

Current Illness: No

ID: 1011853
Sex: F
Age: 56
State: LA

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

Lab Data:

Allergies:

Symptoms: complaint of increased swelling, pain and redness at injection site and circumference of left are 3 days after second COVID injection right deltoid are measure 18.5inches Left deltoid measured 20 inches with hardness and redness

Other Meds:

Current Illness:

ID: 1011854
Sex: F
Age: 76
State: TX

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

Lab Data: none

Allergies: none known

Symptoms: rapid and irregular heartbeat, 132 bpm...blood pressure rose to 151/101 lasted several hours... i took half of a metotropol 12.5mg laid down and hour later heart rate decreased

Other Meds: none

Current Illness: had a cold in early January

ID: 1011855
Sex: M
Age: 61
State: NC

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

Lab Data: None

Allergies: None

Symptoms: Rapid heartbeat that lingered for a couple of days. Cold symptoms (runny nose) started 4 days later (may be unrelated)

Other Meds: low dose, high blood pressure medication; multi-vitamin

Current Illness: None

ID: 1011856
Sex: F
Age: 23
State: MN

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

Lab Data:

Allergies: Cefzil, laxtex (hives for both)

Symptoms: high fever (103), body aches, chills, exhaustion, headaches, loss of appetite, very sore arm

Other Meds: B12 pills, iron pills, junel birth control, Zyrtec, flovent

Current Illness: no ilnesses

ID: 1011857
Sex: F
Age: 78
State: ND

Vax Date: 01/28/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 2 inch by 3 inch reddened, itchy and swollen area to left arm. Was encouraged to use cool compresses 2/3 times per day and monitor. She was also encouraged to seek medical attention if needed.

Other Meds:

Current Illness:

ID: 1011858
Sex: F
Age: 71
State: TX

Vax Date: 01/28/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Injection site swelled, was warm to touch and red. Had severe headache, backache, diarrhea, fatigue, chills, lower abdominal pain but no fever. Lasted 24 hours. Question: Will it be safe to take the second dose on March 25?

Other Meds: Vitamin D

Current Illness: None

ID: 1011859
Sex: F
Age: 101
State: MD

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

Lab Data:

Allergies: No

Symptoms: Moderate energy, numbness, funny breathing sounds on February 7th, 2021. Forgot to do vsafe on February 7th, 2021.

Other Meds: Insulin,

Current Illness: No

ID: 1011860
Sex: M
Age: 81
State: MI

Vax Date: 01/11/2021
Onset Date: 01/22/2021
Rec V Date: 02/08/2021
Hospital: Y

Lab Data:

Allergies: None

Symptoms: Two weeks later post vaccine developed full body Rash

Other Meds: Losartan , metformin , norvasc,

Current Illness:

ID: 1011861
Sex: F
Age: 72
State: SD

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

Lab Data: None Patient did not seek medical attention

Allergies: Strawberries and papayas demerol-amoxicillin-bactrim-benadryl-fluroquin-fresh frozen plasma-hydralazine- IV contrast media- kelfelx- latex- flagyl- procardia- tramadol- articificial sweetners

Symptoms: Patient states around 12:00pm after eating and swallowing a small piece of chicken she felt short of breathe and could not speak. Her husband performed heimlich maneveur on her and her breathe returned. She reports incident lasted 1-2 minutes.

Other Meds: insulin NPH 21 units-levothyroxine 112mcg- calcium-carvedilol-clopidogrel 75 mg- gabapentin 300mg- magnesium- omeprazole 20 mg- tacrolimus 0.5mg

Current Illness: Leg surgery January 4, 2021

ID: 1011862
Sex: F
Age: 38
State: TX

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

Lab Data: NONE

Allergies: NONE

Symptoms: FEVER 103 DEGREES; HEADACHE; CHILLS; NAUSEA; FATIGUE; BODY ACHES; JOINT PAIN; SWEATING; SHORTNESS OF BREATH.

Other Meds: NONE

Current Illness: NONE

ID: 1011863
Sex: M
Age: 75
State: LA

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

Lab Data:

Allergies: NKDA

Symptoms: PATIENT WAS ADMITTED ON 2/1/21 TO MEDICAL CENTER. HE WAS PREVIOUSLY INCARCERATED AT FACILITY. WHILE AT FACILITY, HE HAD RECEIVED THE PFIZER INJECTION ON 1/19/21. THE NURSE AT MEDICAL CENTER WAS UNAWARE AND ADMINSITERED THE MODERNA COVID-19 VACCINE. STAFF WAS UNAWARE THAT HE HAD RECEIVED THE PFIZER VACCINE INITIALLY IN JANUARY. NO ADVERSE REACTION NOTED AFTER RECEIVING DIFFERENT MANUFACTURED VACCINE.

Other Meds: LOSARTAN POTASSIUM 50MG BID, VIT D 50,000 U Q WEEK,

Current Illness:

ID: 1011864
Sex: F
Age: 37
State: IA

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

Lab Data:

Allergies:

Symptoms: very inflamed, hard lymph nodes on right clavicle and in right arm pit area. started about 24 hours after receiving the second vaccine on the right deltoid. other symptoms included: fever for three days (reached as high as 102.4), aches, chills, fatigue, intense headaches

Other Meds:

Current Illness:

ID: 1011865
Sex: F
Age: 47
State: WY

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

Lab Data: N/A

Allergies: codeine, sulfa

Symptoms: Swelling of lymph nodes near clavical/neck on injection side (Left side): Second day after injection lasting 4+ days now, headache lasting 4+days now, extreme fatigue. lasting 4+ days now.

Other Meds: cephalexin, ibuprofen, vit D3, Iron

Current Illness: UTI

ID: 1011866
Sex: M
Age: 76
State: CA

Vax Date: 01/24/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: "Covid arm" A red rash six inches high by four inches wide, round at the top and flat at the bottom. There was no itching or pain. It looked very much like the picture in the link above.

Other Meds: none

Current Illness: none

ID: 1011867
Sex: F
Age:
State: TX

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

Lab Data: None

Allergies: Clindamycin, Tramadole Mushrooms

Symptoms: Low grade fever, chills, severe headache, nausea, body aches, increase in blood pressure 140/90

Other Meds: Levothryxin Spiralactone Enalaprin Gabapentin Singular Flonase Zyrtec Flonase Multi Vitamin Vitamin c Biotin

Current Illness: No

ID: 1011868
Sex: F
Age: 62
State: NY

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

Lab Data: none

Allergies: NKA

Symptoms: Woke up to a large round rash/hive like on my left arm near the vaccine site. Also a smaller one just below it. It was warm, a little itchy but mostly non specific.

Other Meds: Zoloft 100 mg/ daily; Biotin 5000 mcgs/daily; Vitamin D3 5000 ieus/daily; Vitamin B1 250 mg/daily; B12 1500 ieus biweekly

Current Illness: None

ID: 1011869
Sex: F
Age: 73
State: CA

Vax Date: 01/24/2021
Onset Date: 01/29/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 6in by 5in red, hot, hard, itchy raised area that lasted 11 days.

Other Meds: Atovastatin, Sumatriptan, Topiramate, Paroxetine, Emgality, Calcium, D3, Fish Oil, Glucosamine Ghondroitin, Magnesium, Multiple Vit, Promotol,Bone Up

Current Illness:

ID: 1011870
Sex: M
Age: 78
State: AZ

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

Lab Data: None

Allergies: None

Symptoms: That evening about 6:30 PM he got upset about something because he wanted a cup of coffee and his wife said no and he got really upset about what was on TV, then became anxious and confused then got very depressed. The next day he remembered what happened and described it as feeling like a zombie.

Other Meds: carvidilol 3.125 mg twice daily eloquis 5 mg twice daily dofetilide 500 mg twice daily omeprazole 20 mg once daily rosubastain 20 mg daily lezothyroxine )thyroid) 100 mcg daily l-lysine 1000 ortho-biotic super D+ 5000 IU vitamin D p

Current Illness: No

ID: 1011871
Sex: M
Age: 76
State: IL

Vax Date: 01/26/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: Sulfa Peas

Symptoms: Possibly ?COVID arm?. Large red patch around injection site which showed up 12 days after injection. No pain but some itching. Slightly warm to the touch. The patch has increased in size since first being noticed ( 1 1/2 days ago) Looks very much like those seen on websites describing COVID arm. No other symptoms. There were no reactions at time of injection.

Other Meds: Cholesterol medications Eye drops Tylenol Probiotics

Current Illness: None

ID: 1011872
Sex: M
Age: 23
State: GA

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

Lab Data: N/A

Allergies: Vantin

Symptoms: Patient had no adverse events after vaccine.

Other Meds: N/A

Current Illness: N/A

ID: 1011873
Sex: M
Age: 70
State: OH

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

Lab Data: None

Allergies: None

Symptoms: Adverse Event: Red itchy rash on multiple locations on the body. Mostly on the large areas of left, front and right torso and back. Also smaller selected areas on arms and legs. Treatment: Applied OTC topical 1% Hydrocortisone cream to all affected areas to control itching. Bathed twice/day to clean area and reapply topical cream. After second day started taking 24 hour allergy pills (active ingredients 10 mg Loratadine [antihistamine]). Never consulted with a doctor. Outcomes: After taking antihistamine and continued topical treatment, rash started improving (reduced redness and itching). After 6 days of treatment, itchiness nearly gone, rash still is apparent at all sites, progressing towards normal color.

Other Meds: Levothyroxine, Atorvastatin, Lisinopril, multi-Vitamin & suppl

Current Illness: Common cold & nasal congestion.

ID: 1011874
Sex: F
Age: 48
State: SC

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

Lab Data: none

Allergies: Codeine

Symptoms: Red, heat, knot, swollen and itchy at the site of injection in the left arm. Next day body aches, headache, chills, fever and extremely sore arm at site of injection.

Other Meds: Tylenol 500 D3 1000 vitamin Vitamin C

Current Illness: None

ID: 1011875
Sex: F
Age: 54
State: NJ

Vax Date: 01/19/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Red circle that started at injection sight which then started spreading around top of arm, pain, hot to the touch, swollen

Other Meds: Armour Thyroid, Ramipril, Folate, Vitamin C, Vitamin D, Zinc, Turmeric

Current Illness: None

ID: 1011876
Sex: F
Age: 72
State: GA

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

Lab Data:

Allergies: Penicillin, Naproxen

Symptoms: Patient states that she received her first COVID vaccine (Moderna) on 01/26/2021. 2 hours after receiving the vaccine she had severe abdominal cramping. Patient states that this pain lasted 48 hours. Pt denies having any other symptoms.

Other Meds: Vitamin D, Vitamin C, Vitamin B12, Fosamax

Current Illness: None

ID: 1011877
Sex: F
Age: 62
State: NY

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

Lab Data:

Allergies:

Symptoms: When dose was administered, needle detached from the syringe. This led to some vaccine on the patient's arm and an improper amount of vaccine administered.

Other Meds:

Current Illness:

ID: 1011878
Sex: F
Age: 55
State: NY

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

Lab Data: COVID 19 vaccine

Allergies: None

Symptoms: Sever headaches and neck pain for 4 days. Chills and fever for 4 days (temp 102.0). Tiredness for 3 days.

Other Meds: Bee Pollen, stinging nettle root, bamboo root

Current Illness: None

ID: 1011879
Sex: F
Age: 61
State: CA

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

Lab Data:

Allergies:

Symptoms: Nausea, fever, high blood pleasure, heart burn, head ache, sore arm, left leg cramps, fatigue, chills, sore throat, runny nose.

Other Meds:

Current Illness:

ID: 1011880
Sex: M
Age: 69
State: FL

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

Lab Data:

Allergies: None

Symptoms: Tiredness Slight headache Muscle pain Chills Joint pain Fever Feeling unwell

Other Meds: Simvastain 40mg Synthroid 100 mcg Losartan Pot/Hydrochlor 100-25mg

Current Illness: None

ID: 1011881
Sex: F
Age: 59
State: ID

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

Lab Data: None

Allergies: Lisinopril caused anaphylaxis, Codeine causes nausea, lactose intolerant

Symptoms: Patient began having "tingling" in fingertips within 30 minutes of vaccine. Numbness of tongue, roof of mouth, and back of throat started approximately 35 minutes later. No Shortness of Breath, Difficulty Breathing, or problems swallowing. Administered 50 mg Benadryl. Symptoms improved slightly, symptoms did not worsen. Observed for an additional 40 minutes. Went home with husband. Instructed to follow-up with 911 if symptoms worsened.

Other Meds: Sumatriptan, Valtrex (not taken today)

Current Illness: None

ID: 1011882
Sex: F
Age: 66
State: FL

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

Lab Data:

Allergies: No

Symptoms: Moderna COVID-19 Vaccine EUA Vomiting,diarrhea,arm edema, temperature severe body aches,headaches . Started approx 24 hrs after vaccination. Today is the first day out of bed . I have had COVID . This was worse.

Other Meds: Armor thyroid Baby aspirin Lipitor Co Q 10

Current Illness: No

ID: 1011883
Sex: M
Age: 34
State: FL

Vax Date: 01/21/2021
Onset Date: 01/25/2021
Rec V Date: 02/08/2021
Hospital: Y

Lab Data: Blood work, cardiac echo, chest x ray.

Allergies: None.

Symptoms: I had a fever, headache for two days following the vaccine. Two days after I had chest pain and went to the emergency room. I was admitted with elevated troponin and diagnosed with myopericarditis.

Other Meds: Cannabidiol

Current Illness: None.

ID: 1011884
Sex: F
Age: 36
State: PR

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

Lab Data: NONE

Allergies: NONE

Symptoms: PAIN ON INJECTION SITE,MUSCULAR PAIN,JOINT PAIN,PAIN ON EAR AND JAWS.

Other Meds: TYLENOL2 TAB EVERY 4 HOURS,ICE BAG,OSCILLOROCCINUAN ONE GRAM ONE DOSE.

Current Illness: NONE

ID: 1011885
Sex: F
Age: 74
State: FL

Vax Date: 01/25/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: sulfa drugs,

Symptoms: "covid arm" rash, looking more like a large flat hive.

Other Meds: metformin, lisinopril, glimperide, atorvastatin, venlafaxine er, calcium, one a day vitamin, baby aspirin, loratadine, bisoprolol, magnesium

Current Illness:

ID: 1011886
Sex: M
Age: 80
State: IN

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

Lab Data:

Allergies: Shrimp and possibly scallops

Symptoms: Roughly 9 hrs after shot malaise. During next 30 hours loss of balance, incontinence, nausea, mild headache. By 40 hours symptoms had diminished and I could eat, although sparingly, again

Other Meds: Diltiazem, benazapril (Tylenol at onset of symptoms)

Current Illness:

ID: 1011887
Sex: M
Age: 34
State: NY

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

Lab Data:

Allergies: n/a

Symptoms: nausea, fatigue, soreness at injection site.

Other Meds: Weekly Vitamin D2 1.25MG Capsule Daily Citalopram HBR 20 MG Tablet

Current Illness: n/a

ID: 1011888
Sex: F
Age: 38
State: MI

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

Lab Data:

Allergies: None

Symptoms: Fatigue, body ache, headache, chills, and nausea. Tylenol doesn't help much.

Other Meds: Mirena IUD, daily vitamin, vitamin C

Current Illness: None

ID: 1011889
Sex: M
Age: 82
State:

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

Lab Data: none

Allergies:

Symptoms: Event: Individual received a 0.3ml dose of undiluted Pfizer Covid-19 vaccine. Outcome: No side effects observed/reported @ 1 hour post-vaccination. One individual reported a brief period of chills/shakes @ 24 hours that quickly resolved. No side effects/adverse effects were observed/reported @ 48 hours post vaccination.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm