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: 1013222
Sex: F
Age: 23
State: OH

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

Lab Data: UNKNOWN

Allergies: NKA

Symptoms: CLIENT BEING OBSERVED 15 POST VACCINATION BY EMS. COMPLAINED OF NAUSEA, CHILLS, WEAKNESS, DIZZINESS AND QUESTIONABLE THROAT TIGHTNESS. TRANSPORTED TO HOSPITAL FOR FURTHER OBSERVATION

Other Meds: ZOLOFT,MELATONIN,AMOXICILLIN

Current Illness: DENTAL INFECTION

ID: 1013223
Sex: F
Age: 43
State: MD

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

Lab Data: none

Allergies: NKDA

Symptoms: fever, chills, body aches x 2 days. Started 3 hours after injection

Other Meds: vit D, magnesium, probiotics, omega-3

Current Illness: none

ID: 1013224
Sex: F
Age: 48
State: CO

Vax Date: 12/31/2020
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: No

Allergies: No

Symptoms: About 4 days after the vaccine, I had extreme itching on my hands, rash under my arms and leg and area close to my crotch. I had peeling in the area near my pubic region and the palms of my hands.

Other Meds: N/A

Current Illness: No

ID: 1013225
Sex: F
Age: 35
State: MO

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

Lab Data: unknown

Allergies: PENICILLIN, TOPAMAX, ERYTHROMYCIN

Symptoms: Staff member at facility was watched for 15 minutes. Around 2:15pm she vomited, then chest tightness and severe pain in left arm began. She was given Benadryl at 2:30pm and EMS arrived at 2:45pm.

Other Meds: NONE LISTED ON VARS

Current Illness: ONLY NAUSEA FOR 24 HOURS AFTER FIRST COVID19 SHOT

ID: 1013226
Sex: F
Age: 42
State: TX

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

Lab Data: N/A

Allergies: KIWI, BACTRIM

Symptoms: SORENESS AT INJECTION SITE, NAUSEA, HEADACHE, CHILLS, FEVER, JOINT PAIN, TINGLING SENSATIONS IN RANDOM SPOTS. TINGLING LASTED THE LONGEST

Other Meds: Oxcarbazepine DOXICYCLINE PROZAC

Current Illness: NONE

ID: 1013227
Sex: F
Age: 42
State: UT

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 36 hours after injection, noticed a golf ball size patch of redness, with heat. The next day it more than doubled in size. On day four after injection it had more than doubled in size again. I went to the clinic and received a diagnosis of cellulitis. Received Kelflex 3 three times a day for 10 days. 24 hours after treatment started there was noted improvement. 8 days after treatment it is mostly resolved.

Other Meds: Omeprazole, multi vitamins, magnesium, mili (oral contraceptive)

Current Illness: none

ID: 1013228
Sex: F
Age: 33
State: NY

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

Lab Data: None

Allergies: Biaxin, Levaquin

Symptoms: Jittery, anxious feeling. Like a panic attack.

Other Meds: None

Current Illness: None

ID: 1013229
Sex: F
Age: 52
State: PA

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

Lab Data: n/a

Allergies: Ativan, Benadryl

Symptoms: lump on injection site, hot, redness size of hand, fever 100.0 for 2 days on and off, swelling of arm, fatigue, hangover feeling

Other Meds: one a day, calcium 500g, vitamin c and zinc, vitamin d 1000 iu, Wellbutrin 150 mg xl,

Current Illness: n/a

ID: 1013230
Sex: M
Age: 71
State: FL

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

Lab Data: None

Allergies: No

Symptoms: The next day after the second dose I experienced severe fatigue. About 48 hours after the vaccine I started with muscle aches mainly in across the back and shoulder area. Also noted there was a rash on both legs (no itching and no pain, no bleeding) within a week of vaccination. That is when I decided to see dermatologist who said it would disappear in about 2 weeks. I am not getting any new rashes so far. As a precaution I took regular Tylenol 1-2 hours after second dose to minimize any side effects. Injection site was red and sore (more than first dose) for about 2 days.

Other Meds: Baby aspirin, Vitamin C and D a multi vitamin and Fish Oil. Crestor.

Current Illness: No

ID: 1013231
Sex: F
Age: 31
State:

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

Lab Data:

Allergies:

Symptoms: Needle disconnected only partial dose administered approx. 0.2ml

Other Meds:

Current Illness:

ID: 1013232
Sex: F
Age: 39
State: NY

Vax Date: 12/30/2020
Onset Date: 01/12/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: SOB, digestive issues stomach ache, nausea, no fever, 01/21/21 still with SOB and digestive issues

Other Meds:

Current Illness:

ID: 1013233
Sex: F
Age: 66
State: FL

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

Lab Data: MRI

Allergies: CODEINE - NAUSEA MORPHINE - HALLUCINATIONS

Symptoms: 24 hours after second Pfizer dose, multiple Seizure activity occurred. Client was transported to the hospital for a 3 day stay. During that visit client was sedated and has little recall of hospitalization. Medication upon discharge - Keppra 750mg BID. First dose Pfizer 1/12/21 no reaction, not even sore arm

Other Meds: HCTZ 25MG DAILY AMLODIPINE 5MG DAILY B COMPLEX OTC DAILY

Current Illness: CLL DX OCT 2020

ID: 1013234
Sex: F
Age: 65
State: TX

Vax Date: 01/21/2021
Onset Date: 01/27/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: No

Allergies: Sulfa Meds Poison Ivy

Symptoms: Approx. 1 week after injection redness and hardness at the site of the injection with mild pain that lasted for 8 days post injection. Also began to notice joint pain I have not had before, in particular thumb joints and knees. Is now much milder but still exists.

Other Meds: Daily multivitamin

Current Illness: None

ID: 1013235
Sex: F
Age: 89
State: TX

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

Lab Data: 02/07/2021

Allergies: no known allergies

Symptoms: Patient was transported to a local hospital, She experienced a stroke.

Other Meds: unknown, she doesn't usually fill medications here

Current Illness: heart conditions listed on intake form

ID: 1013236
Sex: M
Age: 57
State: KS

Vax Date: 02/05/2021
Onset Date: 02/05/2012
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Progress Notes COVID VACCINE CLINIC Subjective Patient is a 57 y.o. female who was seen at COVID Vaccine Clinic today for her second dose of the COVID 19 vaccination. She was given the Moderna vaccination in the left deltoid muscle. During her 15 minute waiting period after the injection, the patient began to experience hoarseness and itching. She denied hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, stridor, lightheadedness, dizziness, facial swelling, lip swelling and tongue swelling. This provider was notified of patient reaction and she was then assessed in the emergency bay area. Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , chest pain, collapse, drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress, skin changes, tongue swelling and vomiting. ALLERGY REVIEW OF SYSTEMS: Patient complains of nasal discharge ( chronic) Patient denies facial swelling, ear pain, sinus pain, runny nose, sore throat, rash and hives Itching without presence of rash: Previous Reactions: Notes at initial Moderna vaccine she had similar symptoms with onset about 20 minutes following hives/itching developed and hoarseness of voice developed the following day and lasted about 24 hours. Objective Vitals Vitals: 02/05/21 1035 BP: (!) 153/102 Pulse: 94 SpO2: 100% Physical Exam Constitutional: General: She is not in acute distress. Appearance: Normal appearance. She is not diaphoretic. HENT: Mouth/Throat: Mouth: Mucous membranes are moist. Cardiovascular: Rate and Rhythm: Normal rate. Heart sounds: Normal heart sounds. No murmur. Pulmonary: Effort: Pulmonary effort is normal. No respiratory distress. Breath sounds: Normal breath sounds. No stridor. Skin: General: Skin is warm. Findings: No rash. Neurological: Mental Status: She is alert and oriented to person, place, and time. Psychiatric: Mood and Affect: Mood normal. Assessment/Plan Treatment included: water Patient takes Zyrtec daily and took earlier this morning. States she also took Benadryl just prior to coming inside for vaccine today. Follow up response to treatment: good. Patient discharge: Stable to go home and follow up with PCP. Differential Diagnosis: Local reaction (arm pain, bleeding/bruising, mechanical irritation, localized rash) Patient had similar reaction with last vaccine and reports she has significant environmental allergies for which she takes Zyrtec daily and Benadryl PRN. She had similar reaction following initial Moderna vaccine. Denies difficulty breathing or swelling of throat or tongue. Feels itching has actually improved during our visit today.

Other Meds:

Current Illness:

ID: 1013237
Sex: F
Age: 51
State: WA

Vax Date: 01/30/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: Amoxicillin

Symptoms: Skin just below vaccination site became red, firm, swollen and itchy 8-9 days after COVID vaccine. Suspect this is ?COVID arm? that I read about on the internet.

Other Meds: None

Current Illness: None

ID: 1013238
Sex: F
Age: 67
State: IN

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

Lab Data: Frequently took temperature

Allergies: None

Symptoms: Slightly elevated fever

Other Meds: Cyanocobalamin 1,000 mcg/ml monthly Levothyroxine 112 mcg tablet Lisinopril-hctz 20-12.5 mg

Current Illness: None

ID: 1013239
Sex: F
Age: 78
State: MI

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

Lab Data: MRI BRAIN WITHOUT CONTRAST Final Result 1. No acute intracranial abnormality. 2. Mild atrophy and mild cerebral small vessel disease. CT ANGIO HEAD NECK WITH IV CONTRAST STROKE CODE Final Result No large vessel occlusion or significant stenosis. CT HEAD WITHOUT IV CONTRAST STROKE CODE Final Result No hemorrhage or acute abnormality. Findings discussed with PA on 2/6/2021 1:32 PM. CV Echo Complete (Results Pending)

Allergies: risedronate sodium (actonel); sulfa drugs; traMADol

Symptoms: double vision, little dizzy, headache - yesterday had her 2nd vaccine SYMPTOMS DURATION: 2 days. Patient states she got her first COVID vaccine on 2/5/21 and had a slight headache but no other symptoms. Today, she was sitting the car when she started to have double vision. She reports dizziness/lightheadedness that is moderate. Patient states the double vision isn't everything but random things and at random times today. Denies dehydration, fever, or injection site abnormalities. No headache today. Reports that last week at her PCP's office her BP was slightly elevated and she thinks her BP may be elevated right now but does not have a cuff with her to check. Went to the Emergency Department on 2.6.21 - admitted overnight until the 7th. DETAILS OF HOSPITAL STAY: DX: Diplopia [H53.2] Blurred vision, bilateral [H53.8] HOSPITAL COURSE: 1. Double vision post COVID vaccine. Unclear etiology or if related to vaccine reaction. Resolved. CVA ruled out. Could be migraine associated. Advised patient to talk to PCP about migraine prophylaxis and see ophthalmology as outpatient. 2. HTN 3. HLD Advised patient not to drive till cleared by ophthalmology Inpatient workup included myasthenia gravis panel which is still pending The patient is a 78-year-old right-handed woman who received her first Pfizer COVID vaccination February 5. This morning she developed double vision. Images were horizontal she does not know if they were binocular or monocular. She saw couple with 1 child and it appeared that they had 2 children. She looked at her son and saw 2 heads on 1 body. She saw 2 traffic lights. Each time she saw diplopia, it lasted for maybe 1 minute, and after blinking it went away. The double vision was not associated with headache, facial numbness or weakness, numbness or weakness in her extremities, speech change or imbalance. She recovered from each episode. She has had torn retina twice in each eye. Those were each associated with flashes of light in floaters. She did not have a fever today. She has never had double vision before. Review of systems: She admits to a history of headaches. She said she had catamenial headaches and sinus headaches.

Other Meds: albuterol, acetaminophen, amlodipine-benazepril, aspirin, atorvastatin, clobetasol, cyanocobalamin, esomeprazole, fexofenadine, fluticasone, fluticasone-salmeterol, montelukast, vitamin D3

Current Illness: NA

ID: 1013240
Sex: F
Age: 37
State: PA

Vax Date: 12/19/2020
Onset Date: 01/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: CT and CTA (1/6/21) Vitamin B1, Methylmalonic acid, LFTs, ammonia, ANA, sedimentation rate, Lyme's disease, Vitamin D 25 hydroy, Vitamin B12, TSH (1/12/21) MRI spine cervical without contrast (1/15/21) MRI brain with and without contrast (1/15/21) Ferritin, Iron + TIBC, Vitamin B6, Vitamin E, CK, Zinc, ACE, LPEP and CPEP electrophoresis, Copper, Vitamin B1 (whole blood) and copper (1/21/21) negative.

Allergies: Penicillin when I was a child - anaphylaxis

Symptoms: On day 16 post-injection, I started experiencing left sided pins/needles/numbness. I went to the ER and they did a CT and CTA which was normal. The next day or so I went to neurology who ordered blood tests (Lyme's, Vitamin deficiencies, Sjrogen's antigens, CRP, ferritin, Copper, ACE, TSH, Vitamin D , ANA) that were all negative. Next I had a MRI of the head and spine with and without contrast which was normal. The pins and needs have now spread all over my body. I full body neuropathic pain (burning sensation, numbness, tingling, sharp pain like stabbing, left eye pain, feeling like bugs are walking on me, and zapping pain). Neurology is continuing to work up my symptoms but they were new onset after COVID vaccine.

Other Meds: Lexapro 20 mg daily and Wellbutrin 300 mg XL daily

Current Illness: None

ID: 1013241
Sex: F
Age: 58
State: TX

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

Lab Data:

Allergies: none known

Symptoms: Head ache, muscle ache/joint, fatigue, chills, loose stools , pain injection site

Other Meds: Eye Drops: Alphagan P. Azopt Timolol Prolenza Prednisolone

Current Illness: none

ID: 1013242
Sex: F
Age: 43
State: CA

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

Lab Data:

Allergies: None

Symptoms: Feel fine except a little sore from arm. Around 10:30 I started feeling chills. Went to bed because feeling tired. Feel that I woke up in the early morning to go to restroom and felt more sore all over especially on the legs, hips, right buttock. Feeling very cold. In the morning, around 7 checked the temperature and it shows 99.4-100 ish (it's the swipe thermometer, so it's not too accurate. Normally my temp is 97ish. Feel headache too. After holding it I finally get some hot soup and coffee and take tylenol around 8:30 AM. After confirming it is okay to take medicine with a nurse friend. I took a second tylenol around 2:30 after feeling bad again. The monday morning, no more fever, no chills, still some sore on right buttock and right arm and had tiny headache.

Other Meds: Vitamin C Vitamin D3 + A Zinc Melatonin Propolis

Current Illness: None. I had covid positive tested on 12/06/2020

ID: 1013243
Sex: F
Age: 69
State: CA

Vax Date: 01/27/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: Keflex

Symptoms: Patient received the vaccine on 01/27/2021. 10 days later, she developed swelling, redness, hardened area with wormth at injection site. Measurements are 12 cm in length and 9.5cm in width. Per Dr. it looks like cellulitis. He prescribed Bactrim. Patient is scheduled for her second injection on 02/17/2021.

Other Meds: Bortezomib 1mg/m2 Subcutaneous on days 1, 4, 8 and 11 of a 21 day cycle. Week off at time of vaccination. Revlimid 25mg PO days 1 to 14 of a 21 day cycle. Zometa 4mg IV every 28 days.

Current Illness:

ID: 1013244
Sex: F
Age: 62
State: GA

Vax Date: 01/28/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: none

Allergies: Ticlid

Symptoms: Severe Red Rash developed on abdomen, back, arms and neck with severe pruritus Diagnosed by infectious MD as Leukocytoclastic Vasculitis

Other Meds: Aspirin,Toprol, Famara, Zeita, Crestor, Iron, Fiber tablets, Align, Benadryl

Current Illness: None

ID: 1013245
Sex: F
Age: 44
State: AK

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

Lab Data: None

Allergies: None

Symptoms: My eyes began swelling roughly 36 hours post injection and the edema went down into my right cheek. It resolved with Zyrtec two tablets bid x 1 day.

Other Meds: None

Current Illness: None

ID: 1013246
Sex: F
Age: 28
State: AZ

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

Lab Data: N/A

Allergies: Bactrim

Symptoms: Chills were the first symptom. The next day, I also experienced feeling very cold and some chills. I passed out briefly after getting out of bed and threw up right after that. I had body aches. I was nauseous but was able to take ibuprofen in the late morning. After the ibuprofen wore off, my body aches returned as well as a lethargic feeling. The next morning, I experienced nausea again until in the afternoon.

Other Meds: Spironolacton, Magnesium Glycinate, Vitamin D3, Saccharomyces Boulardii, Fluoxetine, Vitamin B-12, Loryna

Current Illness: N/A

ID: 1013247
Sex: M
Age: 74
State: MN

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

Lab Data: None

Allergies: Advil

Symptoms: Patient received his first dose of Moderna on 2/4/2021 at approx 1300. Patient called on 2/5/2021 stating he had some tongue numbness and eye swelling about 30 minutes after the injection. He did not seek emergency care, did not take any OTC medications. Phone call to patient 2/8/2021 he states on his ride home after the first injection he noticed that the top of his tongue became numb and he developed some swelling around the edge of my eyes and the back of my tongue felt thick. He went home and took a nap. When he woke up, he felt great. No swelling around eyes, tongue was not numb nor did it feel thick any longer. Patient tells me he has had a reaction like this before to a chemo enhancing medication, he does not remember the name. Patient states he still wants to receive the second dose.

Other Meds: Unknown

Current Illness: None

ID: 1013248
Sex: F
Age: 61
State: CA

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Pt stated -Onset 12-16 hours post injection of shills, headache, body ache, joint pain and fatigue. The symptoms lasted a day and resolved.

Other Meds: Excedrin Extra Strength 1/2 tab

Current Illness: None

ID: 1013249
Sex: F
Age: 50
State: NJ

Vax Date: 01/27/2021
Onset Date: 01/31/2021
Rec V Date: 02/08/2021
Hospital: Y

Lab Data: Went to Hospital emergency room on 2/4/2021 was admitted same day. Had CT scan, sugar test, ekg, echocardiogram, MRI,, carotid sonogram, neurological exam, cardiologist exam. All tests came back negative. Discharged from hospital on 2/6/2021. Outpatient physical therapy and orthopedist appointment prescribed. Stress test as well recommended.

Allergies: Penicillin

Symptoms: Stroke like symptoms like Loss of balance, loss of words, mixing up words, headache, nausea, distance in vision off, muscle aches

Other Meds: None

Current Illness: None

ID: 1013250
Sex: F
Age: 66
State: CA

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

Lab Data: NoNe

Allergies: general mild allergies to pollen, house dust, etc. skin sensitivity to many products, especially scented products

Symptoms: slight itching very slight round red patch

Other Meds: fluoxetine 20mg/daily cetrizine 10mg/daily red rice yeast 2400 mg/ daily flaxseed oil 2800 mg/ daily salmon oil 4,000mg daily polyethylene glycol 17g daily calcium 1300mg/ daily

Current Illness: None

ID: 1013251
Sex: F
Age: 65
State: AZ

Vax Date: 01/27/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: Allergies to dust mites, dogs and cats, various pollens

Symptoms: Red rash around injection site about 3 inches or so around. No itching.

Other Meds: Synthroid 100 mcg daily

Current Illness:

ID: 1013252
Sex: F
Age: 71
State: NY

Vax Date: 01/18/2021
Onset Date: 01/27/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: Sulfa drugs

Symptoms: Sudden appearance of a warm red patch on right arm that grew over three days before fading. Completely gone after 7 days from onset.

Other Meds: Triamterene Hclz Rosuvastatin

Current Illness: None

ID: 1013253
Sex: F
Age: 74
State: VA

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: codeine, demeral, percoset

Symptoms: Rash on body and itching very bad

Other Meds: Linsopril, levthoroxin,

Current Illness:

ID: 1013254
Sex: M
Age: 68
State: MI

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

Lab Data: none

Allergies: Shrimp

Symptoms: Fever, headaches, vomiting 10 times in 12 hour period, diarrhea 16 times 36 hour period

Other Meds: 800mg Motrin 1hour before

Current Illness: Food poisoning 1 week after the first injection

ID: 1013255
Sex: F
Age: 64
State: TX

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

Lab Data: NONE

Allergies: NONE

Symptoms: VERY SORE LEFT ARM. HEAD ACHE,WEAKNESS ,TIRED, VOMIT AND DIARRHEA,NO APPETITE AND FEVER STILL NOT 100% FEELING WISE ARE NOT SORE NO MORE VOMIT AND DIARRHEA OR FEVER STILL FELL WEAKISH.

Other Meds: LISINOPRIL 20-12-5 CRESTOR 10MG PLAVIX 75MG ASPRIN 81MG DE 5000IU

Current Illness: NONE

ID: 1013256
Sex: F
Age: 33
State:

Vax Date: 01/09/2021
Onset Date: 01/11/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: middle abdominal pain

Other Meds:

Current Illness:

ID: 1013257
Sex: F
Age: 51
State: IA

Vax Date: 01/17/2021
Onset Date: 01/20/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: Negative COVID 19 PCR done 1/22/21, 2 days into symptoms

Allergies: fructose, lactose, minocycline, sulfa

Symptoms: Fever to 103, myalgias, headache x 11 days

Other Meds: Omeprazole, fexofenadine

Current Illness: none

ID: 1013258
Sex: F
Age: 75
State: MN

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

Lab Data: None

Allergies: Sulfa, ibuprofen, latex

Symptoms: About 8 days after the vaccination i began to feel very itchy at the site. Later that day there was a big red raised area, the size of my palm. It was warm and tender.

Other Meds: B12. Vitamin D3

Current Illness: None

ID: 1013259
Sex: M
Age: 71
State: FL

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Some hours after receiving the vaccine, maybe some 4 hours later I experienced a severe headache. Took 1 Advil and in an hour the headache went away. Had also minor pain at the injection site.

Other Meds: Baby aspirin, Vitamin C and D a multi vitamin and Fish Oil. Crestor.

Current Illness: None

ID: 1013260
Sex: F
Age: 64
State:

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

Lab Data:

Allergies:

Symptoms: On febuary 4th started getting itch on arm, big swollen area the size of 3 inches diameter.

Other Meds:

Current Illness:

ID: 1013261
Sex: M
Age: 67
State: SC

Vax Date: 01/30/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Stuffy sinus especially while trying to sleep. Raised skin with redness at the area of the shot. Itchy and hot to the touch. These reactions started approximately 4 days after receiving the injection and persist to this date.

Other Meds: Rosuvastatin Calcium 20 mg, Tamsulosin HCL 0.4 mg, D 3 50 mcg, Fish Oil 1220 mg, B 12 1000 mcg, Calcium Citrate Magnesium and Zinc with Vitamin D 3, Fexofenadine Hydrochloride Tablets 100 mg antihistamine, One daily multivitamin

Current Illness: N/A

ID: 1013262
Sex: F
Age: 73
State: IN

Vax Date: 01/30/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: itching, redness, swelling, warmth at injection site warm compresses applied at doctor's instruction -- no immediate effect

Other Meds: high blood pressure and cholesterol medication

Current Illness: none

ID: 1013263
Sex: F
Age: 63
State: IL

Vax Date: 01/12/2021
Onset Date: 01/16/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: N/A

Allergies: sulfa, haldol,, demerol, augemntenten

Symptoms: Stoke like symptoms., slurred speech. fall

Other Meds: Stoke like symptoms., slurred speech. fall

Current Illness: R.A.

ID: 1013264
Sex: M
Age: 63
State: MI

Vax Date: 01/22/2021
Onset Date: 01/27/2021
Rec V Date: 02/08/2021
Hospital: Y

Lab Data: Described in explanation above.

Allergies: mustard, cat dander, dust mite

Symptoms: First shot was 1/22/21, light headedness afterwords but no other. On Jan 27th blood pressure dropped so stopped high blood pressure meds. on 1/29 noticed blood pressure going up. Began meds with no effect. Has been going up to 198/112 during the week. Went into Hospital on 2/1. BP high, did blood work, ecg, released when BP dropped to 156/90. On 2/2 possible atrial fib and blood pressure up to 180/106, drove 280 miles to Clinic where they kept me overnight and did blood work, ecg, echocardio, xray and released me on 2/3 with double dosage of linisipril to 40 mg. Blood pressure did not go down and seemed to go up when I took the linisipril. 2/6 Drove back to clinic again and went into ED. BP 175/103, ecg switched bp meds to 50 mg Losartan and discharged. Drove home on 2/7. 2/8 blood pressure back up to 173/108 bpm 62 at 1:15 pm.

Other Meds: Lisinipril 20 mg, Atenolol 25mg, Loratadine 10 mg, fish oil 1000 mg, vit D 2000 mg,

Current Illness:

ID: 1013265
Sex: F
Age: 59
State: CA

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

Lab Data: None

Allergies: sulfa

Symptoms: Severe physiological anxiety attack within 3 hours of dose administration. Shaking, uncontrollabe crying. Completely disabling, had to seek medical attention. Physician on staff had me lie down for about two hours until it passed. Fatigue, exhaustion afterward/

Other Meds: Lamotrogine, Levothyroxin, Armour Thyroid, Tumeric,/Chondroitin, Vit D, CalMag, Collagen Took Valerian root 900mg night before

Current Illness: None

ID: 1013266
Sex: M
Age: 35
State: OH

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

Lab Data: none

Allergies: none

Symptoms: Fever and chills onset around 8:00pm following injection. Continued fever (102.9*)and chills along with malaise still current.

Other Meds: none

Current Illness: none

ID: 1013267
Sex: F
Age: 0
State: NY

Vax Date: 08/01/2020
Onset Date: 08/01/2020
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Dry, rough, red patches Initially started at injection sites on both right and left thighs. They were mentioned at the following visit and mentioned eczema. After the 2 dose of injections in both thighs, the dry, red patches are all over both legs and 3 on the face.

Other Meds: Similac Formula

Current Illness: None

ID: 1013268
Sex: M
Age: 1
State: WY

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

Lab Data:

Allergies: NKDA

Symptoms: Heat and redness at injection site post 24 hours after immunization of Pentacel given in Left leg. Mom states it continued to increase in size of her palm and firm to touch. Prescribed Cephalexin 250mg/5ml 2.5ml PO BID x 10days and Mupirocin 2% ointment topical to be applied BID. Encouraged to do warm soaks. Asked mom to bring child back to clinic if no improvement.

Other Meds: None

Current Illness: None

ID: 1013269
Sex: M
Age: 36
State: AK

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

Lab Data:

Allergies: Latex

Symptoms: Numbness of face bilaterally in V1 and V2 branch distribution of trigeminal nerve.

Other Meds:

Current Illness:

ID: 1013270
Sex: F
Age: 77
State: WI

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

Lab Data:

Allergies: Morphine (N&V), Fenofibrate, pravastatin (headaches), statins, ace inhibitors, furosemide, metformin (no sever allergic reactions to these meds reported)

Symptoms: Pt developed Shingles after vaccination. Notes from call to PCP day after vaccination: "Since yesterday morning after vaccine after she received her covid vaccine, she noted that her right ear hurts. She says that the pain does not feel like it is in the ear but right around the ear, and the bones around the ear. She says it hurts to chew, and the area to the back of her ear has ringing sound. She does not note that the ear is red . When she rubs under the ear she says the area is painful is painful. She does not note a lump or bump under her ear.. She states that the jaw/bone area hurts with the vibration of the conversation." Sore throat and headache, only on right side. Pain progressed to the point of hospitalization, with vesicles erupting on right side of face/ear canal.

Other Meds: aspirin, carvedilol, clopidogrel, iron supplement, fluticasone nasal, furosemide, multivitamin, rosuvastatin, valsartan

Current Illness:

ID: 1013271
Sex: F
Age: 77
State: OH

Vax Date: 01/27/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fist size swelling around injection site, red and warm to touch.

Other Meds: Not taken day of but since, Ginko Biloba Extract, Calcium Magnesium,plus Zinc, Cran+Probiotic, B Complex. Fish Oil. Only today a Derma repair Complex Vitamin A 300mcgRAE, Thiamin 10mg, Riboflavin 10mg, Niacin 50mg, Vitamin B6 10mg, Folate 1

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm