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: 1012865
Sex: F
Age: 63
State: OH

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

Lab Data:

Allergies: aspirin, maxitrol, thimerisol, erythromycin

Symptoms: raised, red, itchy welts covering an area approx 2 inches wide by 3inches high extending from injection site down side of arm

Other Meds:

Current Illness: none

ID: 1012866
Sex: F
Age: 41
State: VA

Vax Date: 01/29/2021
Onset Date: 01/31/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: no test or labs done on me in the emergency room.

Allergies: allergy to dimerol, sensitive to asprin

Symptoms: I received the 1st dose of the Moderna COVID-19 vaccine on January 29, 2021. On Sunday, January 31, 2021, I began having really bad headaches. I took Tylenol and Ibuprofen and benedryl to try and get my headache to go away. I initially thought maybe it was a sinus headache. The headache never went away. It would ease up some and then it would get really bad to the point I was sick to my stomach and was crying in pain. On Saturday, February 5, 2021, I had a family member take me to the emergency room. I was seen by the emergency room doctor for the headache. The doctor indicated that this could be a side effect from my vaccine. She mentioned that she knew of others who had suffered with headaches. She treated me with multiple medications in the emergency room and said that I should report this to my work. I did report it to my contact person at work and they in turn said that I needed to fill this form out. I had a headache for 8 straight days after having my first vaccine shot.

Other Meds: progesterone, xanax, multi-vitamin, vitamin d, flonase sensimist, nexium, zyrtec

Current Illness: positive for COVID -19 December 21, 2020.

ID: 1012867
Sex: F
Age: 73
State: AZ

Vax Date: 01/26/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Red rash, itch, soreness

Other Meds:

Current Illness:

ID: 1012868
Sex: F
Age: 59
State: FL

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

Lab Data: None. My husband is also an RN and was at home with me. I did not seek any outside medical care.

Allergies: Cipro, tetanus toxoid & antitoxin

Symptoms: Around 10pm on the date of the 2nd dose of vaccine I started to feel mildly nauseous but ignored it and went to bed. Slept well, but briefly awakened 2 or 3 times with an awareness of h/a and nausea. I got up to feed my pets shortly before 5am on 1/28/21 with body aches, chills, mod-severe h/a, mod nausea, malaise, and overwhelming weakness (I had to try 5 times to peel back the aluminum foil top from a plastic cat food container). I found that I was fine as long as I was sleeping, so I slept most of the morning. By 11am the h/a was so bad I finally took 2 extra-strength Tylenol, which I had not taken previously because I was quite sure I would vomit. I went back to sleep and woke up at 11:45am with all symptoms gone except for a mild loss of energy. I went to bed around 9pm that evening, slept through the night, and felt fantastic in the morning with no residual symptoms at all.

Other Meds: none

Current Illness: none

ID: 1012869
Sex: F
Age: 79
State: GA

Vax Date: 01/28/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Patient called on 2/5/21 complaining of redness and itching in the arm around site of injection. Patient states it just came up. Patient then went to urgent care on Sunday, 2/7/2021, and was given steroids and antibiotics, but states she did also have complaints of earache.

Other Meds:

Current Illness:

ID: 1012870
Sex: F
Age: 62
State: WI

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: X-ray of R. knee with diagnosis of arthritis

Allergies:

Symptoms: Client received first COVID dose on Friday 01/08/2021. Reports that as she tried to get out of bed the following morning, her right leg buckled, she had pain in her right knee and she couldn't walk. She treated this with ice and Advil. This episode lasted all day. The knee was somewhat improved the next day, but still painful and the difficulty walking remained. She was seen at clinic where an x-ray showed arthritis. She received a prescription for meloxicam 15 mg q.d. and was referred to a physician. She saw the physician on 01/12/2021. Treatment recommendations included wearing a knee brace, physical therapy, and to continue the anti-inflammatory medication. Client has continued physical

Other Meds: Synthroid 0.1 mg.

Current Illness:

ID: 1012871
Sex: F
Age: 37
State: CA

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

Lab Data: none

Allergies: Nickel

Symptoms: "COVID Arm" - approx 6 inch diameter hard, itchy, sore, red spot around the injection that started about a week after the first dose. It's been 3 days and it's still red and itchy, though it does seem to be getting marginally better.

Other Meds: Wellbutrin, multivitamin

Current Illness: none

ID: 1012872
Sex: F
Age: 62
State: WI

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: X-ray of R. knee with diagnosis of arthritis

Allergies:

Symptoms: Client received first COVID dose on Friday 01/08/2021. Reports that as she tried to get out of bed the following morning, her right leg buckled, she had pain in her right knee and she couldn't walk. She treated this with ice and Advil. This episode lasted all day. The knee was somewhat improved the next day, but still painful and the difficulty walking remained. She was seen at clinic where an x-ray showed arthritis. She received a prescription for meloxicam 15 mg q.d. and was referred to a physician. She saw the physician on 01/12/2021. Treatment recommendations included wearing a knee brace, physical therapy, and to continue the anti-inflammatory medication. Client has continued physical

Other Meds: Synthroid 0.1 mg.

Current Illness:

ID: 1012873
Sex: F
Age: 39
State: IN

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

Lab Data: None

Allergies: None

Symptoms: Large swollen lump in arm pit of injection arm

Other Meds: None

Current Illness: None

ID: 1012874
Sex: F
Age: 25
State: TX

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

Lab Data:

Allergies:

Symptoms: About 10 minutes after receiving dose 1 of her Pfizer Covid-19 vaccine, Patient felt dizzy, nauseous, looked pale, and was diaphoretic.

Other Meds:

Current Illness:

ID: 1012875
Sex: F
Age: 72
State: NJ

Vax Date: 01/21/2021
Onset Date: 01/26/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: 2/8/21....BLOOD WORK TAKEN TODAY....NO RESULTS YET

Allergies: none

Symptoms: HIVES....APPROXIMATELY 4 - 5 DAYS AFTER COVID VACCINE, BEEN TWO WEEKS AND STILL GETTING HIVES

Other Meds: Eliquis 5 mg. 2x daily......Simvastatin 10 mg. once daily p.m.....Magnesium, Vitqamin C, Zinc, D3 ....all once daily

Current Illness: none

ID: 1012876
Sex: F
Age: 20
State: IN

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

Lab Data:

Allergies: no

Symptoms: excruciating stomach pain that lasted about 2 hours

Other Meds: birth control pill

Current Illness: no

ID: 1012877
Sex: F
Age: 71
State: WA

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

Lab Data: At the vaccination site, they took my blood pressure (117/56) and level of oxygenation which was good. I could breathe and drink water.

Allergies: Almonds, Zithromax, Tetracycline. (None of these has caused anaphylactic problems.)

Symptoms: Immediately after shot, strange head sensations--lightheaded, confused. A minute after that, a tight throat. After 30 minutes, I was released, though still had those symptoms the rest of that day. The EMT at the site thought I'd had a mild allergic response. 36 hours after the shot, I woke up itching a lot on my head, trunk, and arms. I saw no obvious rash (maybe a little mottling) or hives. I used a small dab of Benadryl cream on the itchiest spot. The symptoms disappeared pretty soon.

Other Meds: Earlier in morning: multi-vitamin, Zen Mind (Gaba), CoQ, Levothyroxine

Current Illness: no

ID: 1012878
Sex: F
Age: 40
State:

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

Lab Data: Metabolic panel and ecg

Allergies: Penicillin, purtusiss vaccine, cephalosporins, macrolides and ketolides

Symptoms: Topamax is the only new medication. Been taking 4 months. When full blood work up was done for department of infectious health all labs were optimal. On Feb 5 was admitted to the ER with Hypokalemia potassium level of 2.6 and arrhythmia

Other Meds: Topamax, hydroxycholoquine, baclofen, bupropion, ibuphrophen, naratriptan, Benadryl

Current Illness:

ID: 1012879
Sex: F
Age: 76
State: CA

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

Lab Data:

Allergies:

Symptoms: VOMITING

Other Meds:

Current Illness:

ID: 1012880
Sex: F
Age: 87
State: NY

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

Lab Data: Called PCP and was told to take decongestant to help relieve side effects.

Allergies:

Symptoms: headache lasting 18 days after vaccination, affecting eyes, chills, calves sore on both legs

Other Meds: Water Pill, Reflux Pill, Glaucoma Eye Drops

Current Illness:

ID: 1012881
Sex: F
Age: 28
State: IA

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

Lab Data: None

Allergies: Amoxicillin Augmentin Lamotrigine Penicillins Sulfa Antibiotics Cymbalta

Symptoms: Patient received vaccine and was waiting out her 15 minutes. Right at her 15 minute mark, patient states she felt itchy all over. Vital signs were taken. BP 98/71. States her head felt like it was in a haze. Skin was red and flushed. After a minute or 2, stated her throat felt itchy and tight. Clinical assistance code called over the PA system. Patient was taken to the ER via wheelchair for further evaluation and monitoring. In the ER, was given diphenhydramine 25 mg, famotidine 20 mg, and methylprednisolone 4 mg all PO. Following medication administration and monitoring, patient states her symptoms had subsided and she was feeling better, so she was released from the ER.

Other Meds: Acetaminophen PRN Amitriptyline Buspirone Cetirizine Citalopram Diphenhydramine PRN Famotidine x7 days Fluticasone nasal Furosemide Gabapentin Ibuprofen PRN Methylprednisolone as directed Omeprazole Ondansetron

Current Illness: None

ID: 1012882
Sex: F
Age: 64
State: NJ

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

Lab Data: N/A

Allergies: Skin sensitivity to adhesive tape and latex; fluconazole.

Symptoms: Headache, chills, fever (102.4), joint pain, fatigue, slight lethargy, lasting 24 hours.

Other Meds: Gabapentin 300 mg, 3 times per day; Pepcid Complete, as needed, less than once daily.

Current Illness: N/A

ID: 1012883
Sex: F
Age: 35
State: NC

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

Lab Data: N/A

Allergies: NKA

Symptoms: 1354-vaccine received; 1400-felt a squeezing in chest; blackness in the outside of vision; tingling hands; nausea1420-symptoms resolved

Other Meds: Multivitamin, Flonase; Isentress; Truvada

Current Illness: N/A

ID: 1012884
Sex: F
Age: 36
State: PA

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

Lab Data:

Allergies:

Symptoms: **39 weeks pregnant. , Due date 2/14/21** The second day I had a sore arm, around mid/late morning I developed a headache that got worse. And I became nausea ( I had no nausea during my pregnancy) , I needed up signing of work at 1pm and rested the rest of the afternoon. Woke up the next morning and felt better besides sore arm .

Other Meds: Prenatal

Current Illness:

ID: 1012885
Sex: F
Age: 89
State:

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

Lab Data:

Allergies: peniclilin, sulfa, shellfish

Symptoms: weakness, burning tongue, dyspnea

Other Meds: pravastatin, amlodipine, aspirin, omeprazole

Current Illness:

ID: 1012886
Sex: F
Age: 29
State:

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

Lab Data:

Allergies:

Symptoms: Itchy skin and throat, tongue felt "funny", no swelling on tongue

Other Meds:

Current Illness:

ID: 1012887
Sex: F
Age: 38
State: NC

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

Lab Data:

Allergies: latex, sulfa, morphine, erythromycin, reglan

Symptoms: 1/4/2021 vaccination. About 5 pm, tingling and burning all over extremities. Sweating. Super dizzy at 8pm. Vertigo. Went to bed. Woke up . PCP wouldn't see me. Went to Urgent Care. Afibrille. Vitals were stable. Rest, fluids. F/up with neurologist.

Other Meds: topiranate, serpraline, vyvanse

Current Illness: n/a

ID: 1012888
Sex: F
Age: 50
State: MO

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

Lab Data: none

Allergies: Sulfur, sulfite preservatives, selfish allergy.

Symptoms: I had an initial feeling of being high. My vision became distorted. My fingers became tingly. My breathing felt heavy. I felt heavier and heavier. They asked me if I wanted to lay down. I said yes. I was also very dizzy. My blood pressure was 135/83 and pulse was 125. my blood sugar was 102. I drank a bottle of water and laid down for 20 to 30 mins. Then sat in the chairs. I had to wait for the vision disturbance to wear off so I could drive. it also gave me ADD symptoms for 48 hours. Very hyper. Then I had the flu for 5 days. The dizzy wore off on the 6th day. Should I get the 2nd shot?

Other Meds: Spirolactone, potassium, magnesium, prometrium, metformin, januvia, zyrtex, advil, ginger root, b100, b12, vit d, vit c, zinc, l'thineane, pumpkin seed oil, cinnamin

Current Illness: Nothing.

ID: 1012889
Sex: F
Age: 33
State:

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

Lab Data:

Allergies:

Symptoms: Patient received Moderna first dose and was administered Pfizer as a second dose

Other Meds:

Current Illness:

ID: 1012890
Sex: F
Age: 42
State: NV

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

Lab Data: Client denies any done at the ER

Allergies: Client denies

Symptoms: Client reports that she was feeling weird and was not a panic attack as she has had them before. She states that she was lightheaded, dizzy and that her tongue started to well and she couldn't swallow. Client reports that she received Benadryl, and anti nausea medication. Client was transported to the local hospital. Client states that she could still breath through her nose and that she was only in the ER for approximately 2.5 hours.

Other Meds: vitamin B complex, women's multi vitamin

Current Illness: Client denies

ID: 1012891
Sex: F
Age: 41
State: NY

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

Lab Data: none

Allergies:

Symptoms: Fever, chills, pain to the touch, Bilate Flank pain. headaches, fatigue

Other Meds:

Current Illness:

ID: 1012892
Sex: M
Age: 70
State:

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

Lab Data:

Allergies:

Symptoms: Partial dose administered due to faulty syringe. Instructed pt to come back for second dose, third dose depending on review of case

Other Meds:

Current Illness:

ID: 1012893
Sex: F
Age: 57
State: FL

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

Lab Data: 01/29-01/31- blood work, CBC, CT, chest x-ray, EKG

Allergies:

Symptoms: that evening i started to get a cold feeling down my arm and pain at injection site. later that night i had headache, nausea, body ache no fever very weak.. The next day i had body ache and all the same symptoms again. Then on the on the morning of the 29th woke up at 5:00 woke up to my head was killing me. Felt like my head was going to explode and i was disoriented. and i couldn't speak. couldn't even see to dial 911 or get my husband and after about 20 minutes or so i was able to get to my husband and he took me to the ER. There they gave me meds to get my blood pressure down and ended up admitting me to make sure i was not having a stroke. was in the hospital until that Sunday afternoon.

Other Meds:

Current Illness:

Date Died: 02/06/2021

ID: 1012894
Sex: F
Age: 85
State:

Vax Date: 01/22/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: 1-2 days after vaccine, pt developed weakness, fatigue, body aches, nausea, headache and poor appetite. Pt was admitted to the hospital on 2/5/21 and death occured on 2/6/21

Other Meds: Acetaminophen Amiodarone 100mg Diclofenac 1% gel Furosemide 40mg tablet Hydralazine 50mg tablet Metoprolol 100mg tablet Potassium Chloride 10meqER tablet Warfarin 2.5mg tablet

Current Illness: Anxiety A. Fib Cardiac Pacemaker Cerebral Infaction CHF Urinary Incontinence

ID: 1012895
Sex: F
Age: 50
State: IN

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

Lab Data: None at this time

Allergies: codeine

Symptoms: Loss hearing in left ear with ringing. Around of steroids are being prescribe on 02/08/21 for possible internal inflaming

Other Meds: Progesterone, protonix, colestipol, estradiol, B12, vitamin E, calcium supplement, Elderberry capsules.

Current Illness: none

ID: 1012896
Sex: F
Age: 51
State: IA

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

Lab Data: Lab tests ran in the ER: Hematology workup (CBC and Differential) were normal. CMP was normal with the exception of Alkaline Phosphatase which was elevated at 134. Troponin (high sensitivity) was <3.

Allergies: Penicillin, Sulfa Drugs

Symptoms: RN was called over to case, upon arrival, case was pale, diaphoretic, nauseated. Attempted to ask case name twice, she did not respond, case was began ?snoring? for roughly 3 breaths, then began dry heaving, which produced minute amount of blood tinged phlegm. At this time, case was able to tell me her name and was able to remember that she had just received her vaccine. Per her mother and guardian, case has history of mental disabilities and allergy to oral penicillin. Case also has history of childhood seizures that were so mild, she is not on medication. Case requested to be taken to ED for evaluation.

Other Meds: Lexapro, Norethindrone, Zestoretic

Current Illness: None Known

ID: 1012897
Sex: F
Age: 45
State: AL

Vax Date: 12/31/2020
Onset Date: 01/14/2021
Rec V Date: 02/08/2021
Hospital: Y

Lab Data: unknown

Allergies: sulfa, ibuprofen, aloe

Symptoms: Employee reports having a stroke 2 weeks after vaccination that required hospitalization.

Other Meds: unknown

Current Illness: unknown

ID: 1012898
Sex: F
Age: 51
State: IL

Vax Date: 01/29/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: A knot the size of a half dollar developed at the injection site a week and a day after the vaccine It was EXTREMELY itchy.... so much that I put Cortisone 10 on it for relief. It also looked bruised. What was shocking to me that absolutely no side effects up until that point. Today, Monday, the knot is still there, it is not as itchy and it is still bruised looking.

Other Meds: Lexapra and over the counter vitamins (one a day)

Current Illness: none

ID: 1012899
Sex: F
Age: 72
State: FL

Vax Date: 01/26/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: Went to Primary Care Doctor for treatment. Was prescribed Prednisone pack.

Allergies: None

Symptoms: Moderna Covid-19 Vaccine EUA. Habe swelling , pain, redness, blisters in rash from shot site down to elbow on left arm. Spreading all around the upper limb and in to underarm area. Also spreading to 5 different areas on fingers and hands.

Other Meds: crestor, sinthroid,

Current Illness: None

ID: 1012900
Sex: F
Age: 31
State: KY

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

Lab Data: CXR 2/3/21 normal EKG abnormal 2/3/21 CBC, CMP, BNP, troponin, d-dimer 2/3/21 all normal

Allergies: Kiwi

Symptoms: Started having Chest pain, SOA, body aches, fatigue, HA, chills, fever (100.1), and diaphoresis after second COVID vaccine was seen in ER on 2/3/21. Diagnosed with chest pain, fever, and adverse effect of vaccine.

Other Meds:

Current Illness:

ID: 1012901
Sex: F
Age: 65
State: CA

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

Lab Data: Hearing Test 01/06/2021

Allergies: Sulfa - Avalox dogs cats dust

Symptoms: for the first few hours I had a Chronic pounding headache that transferred to a headache that causes my Head and ears to ringing within a few days .. I was given steroids that could have possibly helped with the headaches but I received the second shot.

Other Meds: Levothyroxine Pravachol Valvular NASACORT Vitamin 12 b9 Biotin fish Oil magnesium valium

Current Illness: None

ID: 1012902
Sex: M
Age: 67
State: CA

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

Lab Data:

Allergies: none

Symptoms: Rash on inside bend of elbow

Other Meds: Metoprolol Succinate 25mg ; Clonidine Hydrochloride 0.1mg; Amlodipine Besylate 10mg; Benazepril Hydrochloride 20mg ; Tadalafil 5mg

Current Illness: none

ID: 1012903
Sex: F
Age: 67
State:

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

Lab Data: None

Allergies: Nickel

Symptoms: Two days after the vaccine I had a 3? round swollen, red, hard area at the injection site. The redness was gone on day six but the swelling and hardness remained. On day 8, the area became red again and started itching. Today is day 9 and the area is still red, hard, swollen and itchy.

Other Meds: Levothyroxine Hydrochlorothyazide Calcium Vitamin D Multivitamin

Current Illness: None

ID: 1012904
Sex: F
Age: 66
State: NH

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: 1/31- CBC WNL, MCHC low 31.7, otherwise unremarkable BMP with Creatinine high at 1.86

Allergies: Codeine, Nitroglycerin, Spironolactone, Percogesic, Zaroxolyn, Influenza Vaccines, Egg, Chemical Ingredients

Symptoms: 1/29-Reported increased fatigue, weak and itchy, hands were red and blotchy. MD updated and PRN Benadryl given with good effect. C/O nausea and decreased appetite 1/30 received PRN Zofran with good effect. No further complaints 2/1

Other Meds: Aldactone Tablet 25 MG, Cholecalciferol Tablet 2000 UNIT, Claritin Tablet 10 MG, clonazePAM 0.75 mg, Colace Capsule 100 MG, DilTIAZem CD Capsule Extended Release 24 Hour 180 MG, Doxepin HCl Capsule 50 MG, Latuda Tablet 60 MG, Lipitor Table

Current Illness: No acute illness

ID: 1012905
Sex: F
Age: 72
State: IN

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

Lab Data:

Allergies: No

Symptoms: Mild ache in thighs and joints after second shot , similar to aches after performing new exercise at gym. No treatment. After 48 hrs, symptoms are gone.

Other Meds: Simvastatin calcium Vitamin - Multi Vitamin-D

Current Illness: NA

ID: 1012906
Sex: F
Age: 56
State: VA

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

Lab Data:

Allergies: Valuim

Symptoms: Significant left eye twitching, with involuntary eye closure for a second, that occurred every 3-10 minutes starting 2/5/21-2/8/21. Minimal occurrence on 2/8/21. Instructed to see hospital Ophthalmologist today.

Other Meds: Tylenol

Current Illness: None

ID: 1012907
Sex: F
Age: 32
State: OR

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

Lab Data:

Allergies:

Symptoms: I received the Moderna Covid-19 Vaccine 02/04/21. On 02/05/21 I woke up with off and on chills/sweats, body aches, nausea, and headache. This lasted until 8PM on 02/05/21

Other Meds: Oral contraceptives and trazadone 100mg prn

Current Illness:

ID: 1012908
Sex: F
Age: 73
State: FL

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

Lab Data:

Allergies: Sulfite - just sensitive to it back in the 90's didn't have a reaction to it.

Symptoms: Within a few minutes after receiving the vaccine my arm felt stiff and some soreness. Then it fine after I got home and I moved my arm around. It was fine by the next day. Yesterday I ate some shrimp and within the hour of eating the shrimp, I was talking to my son and my head got hot and my ears got really hot. It was itching on my forehead and the front of my neck. I thought something bite me, I went to bathroom. I had big welts on my neck about the size of the quarter and my ears were really red. I told my son that I must have hives, my son told me to take some Benadryl. It eased up after taking the Benadryl, the itching went away but the welts did not go away right away. I took another Benadryl before I went to bed last night. I was able to sleep good last night, it looked pretty much back to normal today, there is one spot left. Today when I got up I don't know how to explain it and I just didn't feel like my normal self. I felt like nervous and shaking. I didn't feel like eating but I made my self eat. I just feel like something isn't right.

Other Meds: Valsartan 80 MG once a day, Aspirin 81 MG once a day, Vitamin D3 2000 IU once a day,

Current Illness: I had an upper respiratory infection about 2 weeks before the vaccination. COVID test was negative. I was prescribed a Z-pack to take.

ID: 1012909
Sex: F
Age: 57
State: CA

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

Lab Data:

Allergies:

Symptoms: WHEEZING, FEVER: 102.0 F

Other Meds:

Current Illness:

ID: 1012910
Sex: F
Age: 39
State: MT

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

Lab Data:

Allergies: None

Symptoms: Patient called to report that she is experiencing small purplish, red dots purpura like markings along the skin of her right hand, right arm, and stomach. There is no itching or pain. Client is not experiencing difficulty breathing or heart symptoms. She was vaccinated on 2/7/21 at about 8:30 am and she noticed the markings today 2/8/231 at about 8:30 am.

Other Meds: Desogin Birth control Tacrolimus Vitamin D

Current Illness: None

ID: 1012911
Sex: F
Age: 38
State: NC

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

Lab Data: n/a

Allergies: latex, sulfa, erythromycin, morphine

Symptoms: 2/2/2021 vaccine. By 12 o'clock, L arm swelled down to fingers. Extremely hot, hard spot. Severe redness. Stayed like this for 2xdays. Did not seek medical attention. Alieve prn.

Other Meds: sertraline, vyvanse

Current Illness: n/a

ID: 1012912
Sex: F
Age: 68
State:

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient initially felt dizziness and headache within 15 mins of receiving the vaccine. Blood pressure was 180's/96. About 1 hour after vaccine, patient's blood pressure was 160's/90. Around 1pm BP was 201/102. Patient went to EC and was treated with Klonopin and Benadryl. After Klonopin, BP was 150's/80's. Patient was discharged home from EC. BP on 12/23/2021 was 110/60.

Other Meds:

Current Illness:

ID: 1012913
Sex: F
Age: 47
State: NM

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

Lab Data: None

Allergies: Z-pac

Symptoms: Injection site is red, swollen, and hot going on three days. Fever, chills, aches , pains, headache, and fatigue lasted two days.

Other Meds: Lisinopril 10mg

Current Illness: None

ID: 1012914
Sex: F
Age: 65
State: CA

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

Lab Data: none

Allergies: none

Symptoms: 24 hours after injection I felt fine except for sore arm. 6 hours later I undressed to take a shower and noticed a rash developing around my waist. About an hour later I was in bed and began to itch all over. I got up and had broken out in hives covering both arms and torso. My entire back from the waist to upper back was bright red. Never any problem breathing but took a Benadryl to see if it would help. When I got up at 6am this morning the rash and welts had largely disappeared. All redness gone but still some bumps. I am going to seek out information about what to do about the second dose I am supposed to take on March 6. What precautions should I take?

Other Meds: Synthroid, ibandronate, Caltrate, Tripleflex, vitamin D, krill and flax oil, melatonin, cbd tincture

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm