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: 1013272
Sex: F
Age: 78
State: IN

Vax Date: 01/21/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: NONE

Allergies: Insaids and, squash family

Symptoms: Itchy rash, I put rubbing alcohol and neosporin on it. It was laRGER THE NEXT DAY.

Other Meds: vitamin B-12, cranberry capsules, vitamin D-3, Turmeric, calcium, aspirin 80,Co-Q 10capsule,metformin, Irbesartan 300 MG, Isorborin, Monosorbin, Potassin sorb

Current Illness: none

ID: 1013273
Sex: M
Age: 72
State: CA

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

Lab Data: My Dr ran test I'll get results on 2/16

Allergies: bactrium, clindamycin, lamisil levofloxacin, lovenox

Symptoms: I started to itch soon after vaccine and I still itch .I'm not sure about 2nd shot reaction could be worst

Other Meds: pradaxa, latanoprost, prednisolone, cosop

Current Illness: rheumatoid artthitis , lupus

ID: 1013274
Sex: F
Age: 37
State: IL

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: headache, fatigue, arm pain, dizziness, nausea, body aches

Other Meds:

Current Illness:

ID: 1013275
Sex: F
Age: 73
State: IN

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

Lab Data: None

Allergies: None

Symptoms: Had nausea and fatigue, no appetite

Other Meds: Synthroid, Caprelsa, Carvedilol, Lisinopril, Amlodepine, Calcitriol, Diphenoxlate, tincture of opium

Current Illness: None

ID: 1013276
Sex: F
Age: 57
State: UT

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

Lab Data: None

Allergies: Penicillin

Symptoms: Patient states she felt her heart racing, 20 minutes after receiving vaccine.

Other Meds: Metformin, Atorvastatin, Pantoprazole

Current Illness: Diabetes, GERD, cholesterol

ID: 1013277
Sex: F
Age: 44
State: NY

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

Lab Data:

Allergies: None

Symptoms: Extreme fatigue, fever, chills, sweats, muscle aches, pain in arm

Other Meds: Synthroid 150mcg Amlodipine 5mg Wellbutrin Ashwaganda

Current Illness: None

ID: 1013278
Sex: F
Age: 76
State: VT

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

Lab Data: none

Allergies: none

Symptoms: Woke up and started vomiting around 11:30 that night(2/5.) This lasted approximately 1-2 hours. Was unable to eat anything until late afternoon on Sat. the 6th. Had a bad headache throughout and bad soreness at the injection site. Still have headache (approx. 5pm on Mon. 2/8) but soreness at injection site has almost disappeared. I do not have a primary physician so have not called anyone. Am now taking Advil for headache which helps but it returns if I stop.

Other Meds: none

Current Illness: none

ID: 1013279
Sex: F
Age: 76
State: PA

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

Lab Data:

Allergies:

Symptoms: headache, nausea, severe myalgia -cervical/thoracic; pt had to take Tylenol and when that didn't work she had to take hydrocodone to get some relief.

Other Meds: Lisinopril 5 mg, Levothyroxine 50 mg, Triamerine HCTG 37 mg, Vitamin D, Naproxen 100 mg

Current Illness:

ID: 1013280
Sex: F
Age: 40
State: OH

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

Lab Data:

Allergies: She is allergic to adhesive (rash)

Symptoms: 25 minutes after her vaccine, patient's tongue and lips started tingling. She said they were not swollen but she definitely had a tingling feeling. She felt as if she had difficulty swallowing and had some hives on her back. These symptoms all resolved after 3 hours. She never had trouble breathing and was able to eat her dinner.

Other Meds: Patient takes synthroid, birth control, and multivitamins.

Current Illness:

ID: 1013281
Sex: M
Age: 64
State: CA

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

Lab Data: None

Allergies: NKA

Symptoms: Patient was given the second vaccine in the series two days early. No adverse effects experienced.

Other Meds: Trazodone 100mg daily; Risperdal 4mg daily; Metoprolol 25mg daily; Lisinopril 10mg daily; Zoloft 100mg daily

Current Illness: COVID 19 (recovered)

ID: 1013282
Sex: F
Age: 66
State: FL

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

Lab Data: none

Allergies: hydrocodone, morphine, oxcontin,metformin

Symptoms: headache, chill, tiredness, throwing up, low grade fever

Other Meds: gabapentin, metoprolo tart, bydureon, novolin n, losartan, rosuvastin, asprin, fish oil, vitiam d, iron, baclofen

Current Illness: none

ID: 1013283
Sex: F
Age: 20
State: IA

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

Lab Data:

Allergies:

Symptoms: arm tingling, arm pain/soreness

Other Meds: midodrine

Current Illness: none

ID: 1013284
Sex: F
Age: 37
State:

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

Lab Data:

Allergies:

Symptoms: arm pain, redness at injection site, swelling at injection site, warmth at injection site, headache, dizziness, nausea, fatigue

Other Meds:

Current Illness:

ID: 1013285
Sex: M
Age: 53
State: AZ

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

Lab Data: None

Allergies: Iodine

Symptoms: Two days after experiencing expected side effects ( fever, headache, muscle ache } , all symptoms had resolved the previous day and throughout the second day. While having dinner on the second day, one alcoholic beverage was consumed with an immediate response of high fever ( 101.6) and body aches. Maybe a warning not to consume alcohol would be appropriate for at least 2=3 day following Covid vaccination ? Note ( Same reaction reported to me by co-worker after the event and after they had also consumed alcohol ).

Other Meds: No

Current Illness: None

ID: 1013286
Sex: F
Age: 69
State: FL

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

Lab Data: none

Allergies: none

Symptoms: 2 inch diameter raised red rash 2 inches below vaccine injection site left arm deltoid area. Itches a lot. Painful to touch/pressure. Skin is what is painful, not the muscle.

Other Meds: Vitamin c. Vitamin d. Pepcid

Current Illness: none

ID: 1013287
Sex: F
Age: 58
State: WI

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

Lab Data:

Allergies: MAYBE SULFA, BUT HAVE RECENTLY TAKEN SULFA DRUG W/O ISSUE

Symptoms: PATIENT AWOKE SATURDAY MORNING WITH A SORE ARM AND MILD PINK AREA SURROUNDING INJECTION SITE. OVER THE WEEKEND, THE SORENESS AND REDNESS HAVE INTENSIFIED TO PAIN LEVEL OF ABOUT 3 OUT OF 10 AND PT'S DENTIST ADVISED HER TO LET US KNOW ABOUT THE REACTION. PT'S DELTOID IS RED AND WARM TO THE TOUCH, IN PYRAMID SHAPED TRIANGLE ABOUT 2.5 INCHES HIGH AND 4 INCHES ACROSS AT WIDEST POINTS. PT DID TAKE IBUPROFEN THE OTHER DAY AND TRIED BENADRYL. SHE STATES "I DON'T REALLY THINK IT DID ANYTHING". AREA OF REDNESS HAS GROWN OVER THE WEEKEND.

Other Meds:

Current Illness: NO

ID: 1013288
Sex: F
Age: 38
State: TX

Vax Date: 01/23/2021
Onset Date: 01/26/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: I have a really gnarly pic I can send you if you need it. It'll also be on file with the Teladoc.

Allergies: None to medications.

Symptoms: I got the shot on a Saturday afternoon. Overnight Monday, I got an enormous and painful cold sore on my lip, which extended an inch onto my face.

Other Meds: Birth Control, Zyrtec, Pepcid, Prenatal Multivitamin

Current Illness: No illnesses

ID: 1013289
Sex: F
Age: 55
State: SC

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

Lab Data:

Allergies:

Symptoms: RASH COVERING ARMS, CHEST, AND STOMACH

Other Meds:

Current Illness:

ID: 1013290
Sex: M
Age: 72
State: MI

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

Lab Data: None.

Allergies: None

Symptoms: Headache, Chills, Sore joints and sore muscles. Low Fever ( Above normal to 99.5), quick sharp pains in legs. slight dizzy, cough and lower than normal 97% Blood/Ox, to a low of 88%, tiredness. As far as I know, I do have Covid-19, or have never had it. These side effects lasted from nightime of Feb. 5, 2021 (shot 1. of Moderma was Feb. 5, 2021 at 2:00pm.) unitl morning of Feb. 8, 2012 and varied in intensity.

Other Meds: Carvedilol, Amlodipine, Toujeo, Cilostazal, Lipitor, Vascepa, Zoloft, Albuterol, Symbicort, Spiriva, Zyrtec, Flonaxe, Aspirin 81, Saw Palmeto, CoQ 10, One A Day Vitamin, Pepcid Complete as needed, Mucinex Decongestant.

Current Illness:

ID: 1013291
Sex: F
Age: 26
State: OR

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

Lab Data: Blood pressure taken at urgent care: normal/ healthy Oxygen levels taken at urgent care: normal/ healthy

Allergies: Possibly allergic to Suprax (medication)

Symptoms: Event #1: I experienced a small outbreak of hives on my left cheekbone within 15 minutes of receiving the vaccine. The staff gave me an injection of Benadryl into my right arm. The spot reduced in size over the duration of an hour and I was sent home with instructions to take OTC Benadryl until the swelling disappeared completely later that evening. Event #2: Shortness of breath and chest tightness beginning exactly 74hrs after the vaccination (Sunday, 01/31/2021 at 2:15pm). This side-effect continues to persist and is not due to a true Covid-19 infection.

Other Meds: Prescription: oxytocin (nasal spray) Supplements/ herbal remedies: feverfew, vitamin B complex, milk thistle, curcumin, vitamin D3, boswellia, 5-htp, & magnesium glycinate

Current Illness: None

ID: 1013292
Sex: F
Age: 23
State:

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

Lab Data:

Allergies: Allergic rhinitis Oral allergy syndrome

Symptoms: Headache and fatigue for up to eight hours after shot

Other Meds: Sprintec Certrizine

Current Illness: None

ID: 1013293
Sex: F
Age: 46
State: IL

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

Lab Data:

Allergies: none

Symptoms: 2/6/21 at 12:00pm: sudden onset of chills, no fever at this time, joint pains, blood streaks in urine 2:00 pm: chills and uncontrolled shivering, fever (102.7-103.4), blood streaks in urine progressed to bloody urine; Tylenol taken, increased fluid intake, and slept 10:00 pm: Fever down to 100.8F; bloody urine continued 2/7/2021 at 8:00pm: Normal temp, no bloody urine but with urinary urgency, symptoms similar to UTI (note: I haven't had UTI since I was in my 20's which was a one-time incident, there are no conditions in my current situation that predispose me to developing UTI but since I was too uncomfortable, I sought online consult as urgent care was closed to get antibiotic prescription).

Other Meds: multivitamins, Zyrtec for seasonal allergies

Current Illness: none

ID: 1013294
Sex: F
Age: 76
State: WA

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

Lab Data:

Allergies: Codine, statin drugs

Symptoms: Itchy rash at site of injection today is 2/8/21 and it is still warm and itchy on the site.

Other Meds: Metoprolol Succ ER 1/2 25 mg tab Dicylomine tab 20mg 1/2 aspirin

Current Illness:

ID: 1013295
Sex: M
Age: 56
State: PA

Vax Date: 12/21/2020
Onset Date: 12/25/2020
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Intermittent hives and flat red rash of backs and palms of hands, neck, arms, trunk, back, and lips. Much worse after second dose. Gastritis

Other Meds: Metoprolol (Toprol) XR 50mg daily Loratadine 10md daily Atorvastatin (Lipitor) 20 mg qhs Pantoprazole (Protonix) 40mg bid ASA 81mg daily Centrum Silver daily

Current Illness: Hypertension, hyper cholesterol, GERD

ID: 1013296
Sex: M
Age: 75
State: OK

Vax Date: 01/22/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: 2/6/2021 had CT scan to rule out a strike. Confirmed no stroke. Saw Dr on call doctor at facility and he diagnosed Bells Palsy?s.

Allergies: None

Symptoms: Paralysis of left side of face; left eye won?t blink: left side of mouth doesn?t move. Went to facility on 2/6/2021 and diagnosed with Bells Palsy.

Other Meds: Carvedilol Ezetimbe Enalapril Rosuvastatin Aspirin

Current Illness: None

Date Died: 02/02/2021

ID: 1013297
Sex: M
Age: 77
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: Patient was vaccinated at 11:30am. By 7pm he started presenting symptoms of fatigue, chest pain. Patient urinated and defecated in himself. Was not feeling well. Patient died at 10:30pm.

Other Meds: Lovaza, Ibersantan, Flomax, Amaryl, Prednisolone, B-12 sublingual, Horse Chestnut Extract, Iron, Crestor, Xarelto, Triplix, Klonopin, Elavil, Folic Acid, Lantus, Tri Sleep, Elavil

Current Illness: NONE

ID: 1013298
Sex: F
Age: 73
State: CO

Vax Date: 01/11/2021
Onset Date: 01/27/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: On 1/30 I woke up to an itchy injection site. My arm hurt and soon followed tingling in the area. About 3 days later I called my Dr. he asked me all kinds of questions and thought the man who gave me injection, which really hurt might have gotten a nerve, but I told him I?d gotten the shot on the 11th. He eliminated that theory. He then asked if it went all the way down my arm to my hand, I said yes. Asked if there was any weakness, I said no. Other symptoms? No I said fever? No. It still tingles as of today when I got my 2nd shot in my other arm.

Other Meds: Lisinopril 40mg. Amlodiprine 2.5 mg. Aspirin 81 mg. Atorvastation calcium10 mg. Vit. d 5000 adult multi vitamin

Current Illness: No

ID: 1013299
Sex: F
Age: 58
State: MD

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

Lab Data: N/a

Allergies: sulfites, amoxacylin, rasins, wine, balsamic vinegar

Symptoms: Rash, redness and infamation at the innoculation site and extending around the upper arm. This rash has persisted and gotten worse since appearing.

Other Meds: sertraline, motformen

Current Illness: none

ID: 1013300
Sex: F
Age: 49
State: MS

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

Lab Data:

Allergies:

Symptoms: Hypertension with BP initially 170/120 and headache

Other Meds:

Current Illness:

ID: 1013301
Sex: M
Age: 67
State: OR

Vax Date: 01/19/2021
Onset Date: 01/28/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: BMP, CBC, Troponin T were normal, BNP slightly elevated=578 on 2/3/21, EKG showed NSR w/o acute ischemia 2/3/21

Allergies: cymbalta, depakote, lopid, niaspan, sertraline, topamax

Symptoms: weakness, fatigue, lightheadedness X6 days

Other Meds: apixiban, atorvastatin, adderall, aspirin, digoxin, metoprolol, losartan, omeprazole, trazodone

Current Illness: None

ID: 1013302
Sex: F
Age: 82
State: NC

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

Lab Data:

Allergies: None

Symptoms: #1: Fever, chills, Lots of pain in joints. lasting about 24 hours #2: Fever, chills, Higher fever, Nausea & vomiting , lasting about 36 hours

Other Meds: Xarelto, Metoprolol Tartrate, Propafenone HCL, Atorvastatin, Allergy OC, Biotin, Folic Acid TylnolNone

Current Illness: None

ID: 1013303
Sex: F
Age: 30
State: TX

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

Lab Data: None

Allergies: None

Symptoms: The patient received her first dose of the Pfizer COVID-19 vaccine at this site on 1/20/21 and asked to return 21 days from the first vaccination for the second dose. The patient returned on 2/3/21, 14 days after the first vaccination, and received her second injection prior to discovery of the early administration. She was contacted and informed of the early administration. Follow-up information was obtained 5 days after the second injection. She reported at that time "I am doing fine" and denied any side effects of adverse event related to the early administration of the second Pfizer COVID-19 vaccine dose.

Other Meds: None

Current Illness: None

ID: 1013304
Sex: M
Age: 42
State: AK

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 02/08/2021
Hospital:

Lab Data: January 20, 2021 - X-Rays - Bone degeneration and inflammation

Allergies: NSAIDS; Ciprofloxin; celicerlites; yellow 5

Symptoms: My shoulder started having a light burn and after the next six days it got worse and worse - my left shoulder. I got x-rays and started doing physical therapy. I took Tylenol for pain. Started improving - I'm probably about 40% better. I received the second dose on January 20th - just had a slightly sore arm.

Other Meds: Atenolol; Amlodipine; Atorvastatin; Vit D; Corecon - for potassium; Hydroclorathorazide; Singular; Lexinaquil; Allertec; Dupixson

Current Illness: no

ID: 1013305
Sex: M
Age: 38
State: CA

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

Lab Data: None

Allergies: NKA

Symptoms: Patient received the second dose in the series 2 days early. No adverse effects occurred due to early administration.

Other Meds: Multivitamin daily; Cetirizine 10mg daily; Olanzapine 5mg daily; Olanzapine 20mg daily

Current Illness: None

ID: 1013306
Sex: F
Age: 21
State: TN

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

Lab Data:

Allergies:

Symptoms: Patient had Moderna for the first dose of COVID 19 vaccine but was inadvertently given Pfizer for the second dose. Patient notified and had no adverse symptoms noted.

Other Meds:

Current Illness:

ID: 1013307
Sex: F
Age: 66
State: TX

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

Lab Data:

Allergies: Inhalants- molds, pollens, pollution Food- malt, yeast, caffeine, lettuce, cucumbers, ... Penicillin Sulfide

Symptoms: Seven days after the injection a lumpy rash appeared at the site of shot. Skin was warm. I do not consider this serious and did read information on this side effect. I thought it was best to report for data collection. I will get the second shot.

Other Meds: Atenolol 50mg Gemfribozal 600 mg x 2 a day Zyrtec Collagen peptides

Current Illness: N/a

ID: 1013308
Sex: F
Age: 84
State: KS

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

Lab Data: none

Allergies: NEOSPORIN

Symptoms: The day after vaccination, she was weak and dizzy. She experienced nausea, vomiting, and diarrhea. She developed a rash at the injection site, which eventually became cellulitis.

Other Meds: FLUOXETINE, METFORMIN, LOSARTAN, NAPROXEN, SIMVASTATIN, FUROSEMIDE, METHYLPHENIDATE

Current Illness: UNKNOWN

ID: 1013309
Sex: F
Age: 39
State: OR

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

Lab Data: none

Allergies: Clindamycin/lincomycin Rash Not Specified 8/31/2013 Sulfa Antibiotics Rash Not Specified 12/27/2011 Doxycycline Nausea Only Not Specified 9/29/2016

Symptoms: right deltoid and upper arm redness, itching, pain started about 5 days after dose #1 into that arm

Other Meds: amiloride (MIDAMOR) 5 MG tablet Take 1 tablet by mouth daily baclofen (LIORESAL) 10 MG tablet 1 PO qHS prn severe muscle spasm fexofenadine (ALLEGRA) 180 MG tablet Take 180 mg by mouth daily fluticasone (FLONASE) 50 MCG/ACT nasal spray S

Current Illness: none

ID: 1013310
Sex: F
Age: 70
State: NJ

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

Lab Data: N/A

Allergies: FISH, SHELFISH, PENISELIN

Symptoms: Red Rash on her left arm aproximately 2.5"x3"

Other Meds: VITAMD D3 AND B12

Current Illness: SEASONAL ALLERGY, WHICH CAUSE SLIGHT VERTIGO AND EARDRUM HAD WATER DUE TO THE ALLERGY

ID: 1013311
Sex: F
Age: 34
State: TX

Vax Date: 01/29/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: N/a

Allergies: N/a

Symptoms: Modern a COVID-19 Vaccine EUA Redness, rash and itching at injection site 8-9 days after injection received

Other Meds: EmergenC immune+

Current Illness: N/a

ID: 1013312
Sex: F
Age: 41
State:

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

Lab Data:

Allergies:

Symptoms: Moderna COVID vaccine - first dose: polyuria, sweating for about 48 hours - oral rehydration salts Moderna COVID vaccine - second dose: chills, sweating, headache, tiredness for about 36 hours - ibuprofen

Other Meds:

Current Illness:

ID: 1013313
Sex: F
Age: 52
State: NH

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

Lab Data: Duplex, CT chest, EKG

Allergies:

Symptoms: Thrombosis in right axilla at superficial tributary. No Pulmonary embolism. Axilla pain developed within 48 hours of vaccine. 1 week later she noted a lump at axilla. Presented to clinic for evaluation on 2/8/21

Other Meds:

Current Illness:

ID: 1013314
Sex: F
Age: 71
State: CO

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

Lab Data: none

Allergies: Lisinopril

Symptoms: 10:45 a.m. Fatigue 12::00 pm headache 2:00 pm achy joints 5:00 p.m. took one Tylenol Rapid Release 500mg 9:00 p.m. low grade fever 99.8 10:00 p.m. took two Tylenol Rapid Release 500mg 3:00 a.m. awoke, joint pain all joints, low grade fever and headache took two Tylenol Rapid Release 500mg 9:00 a.m. awoke, fever gone temperature normal, headache, achy joints continued throughout the day 7:00 p.m. headache subsided 10:00 p.m. less fatigue but still achy joints Took two Tylenol Rapid Release 500mg 1/18/2021 9:00 a.m. awoke feeling normal

Other Meds: Diltiazem 24 hr ER 360mg cap Losartan Potassium and Hydrochlorothiazide Tab 100mg/25mg Rosuvastatin 20mg Bupropion HCL XL 150 mg Tab Famotidine 20mg Sertraline HCL 25mg multi-vitamin Vit D3 50mcg L-Lysine 1000mg Calcium 1500mg Glucosamine H

Current Illness: none

ID: 1013315
Sex: F
Age: 35
State: MS

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

Lab Data:

Allergies:

Symptoms: Hypertension with BP to 150/110 initially and headache

Other Meds:

Current Illness:

ID: 1013316
Sex: F
Age: 44
State: VA

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

Lab Data: Planning to see an allergist on February 10 because I thought it might be "something in the air" or a product.

Allergies: Collophony All Nuts Shellfish feathers fragrance Uerea

Symptoms: face rash, itchy skin, inflamed skin, itchy eyes, itchy eye lids Spreading down my neck onto my chest some shortness of breath I have an allergy to colophony. At the time of the injection my diagnosis is contact allergy, so the nurses continued with the injection. It wasn't until 12-14 days later that this reaction started. It is intensifying. I have reviewed everything I eat and products I use, and nothing has changed other than having the first shot. I have some skin irritation and itchy if I do come in contact with an allergen or eat something, but it subsides after a day or two. This continues to get worse and it is going on 5 days.

Other Meds: Lexapro Welbutrin Generic Zyrtec

Current Illness:

ID: 1013317
Sex: M
Age: 77
State: AL

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: Positive covid 19 test 01/29/2021

Allergies: none

Symptoms: Developed fever 01/23/2021. Tested positive for covid 19 on 01/29/2021.

Other Meds: 25mg Losartan Rosuvastatin

Current Illness: none

ID: 1013318
Sex: F
Age: 40
State: WA

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

Lab Data: none

Allergies: penicillin and sulfa (hives) and codeine (hallucinations)

Symptoms: Immediately after getting the 1st vaccine I had a very sore arm that lasted about 3 days. 2 days it was so sore that I took 800mg ibuprofen every 6 hours and put heat and ice on site for 20 min on 20 min off and alternating for 2 days while awake. No other symptoms. For 2nd vaccine, the vaccine itself was extremely painful (burned and pain at site and tingled down to fingertips for a few hours. Applied pressure as I bled for 10 min after administration. Followed by ice off and on for 20 min for first 2 hours. At 22 hours, I started to feel nauseated and lightheaded and had mental fogginess. The following morning, I awoke around 3am and was very ill with flu like symptoms. mild temperature of 99.8, chills, body aches, fatigue, rapid pulse, headache, sore throat, and mental fogginess. This lasted for approx. 36 hours. The worse symptoms were the headache, fatigue, and severe body aches that lasted for 72 hours after vaccine.

Other Meds: Cytomel, Buspar, Levothyroxine, Naltraxone, Gapapentin, Omeprazole, Ibuprofen, multivitamin, zinc, vitamin D,

Current Illness: none

ID: 1013319
Sex: F
Age: 58
State: MT

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

Lab Data: None

Allergies: Erythromycin, Metronidazole, Imitrex, Tetracycline, Tramadol, Hydrochlorothiazide, Simvastatin, Metformin, Propranolol, Victoza

Symptoms: macular rash that started on the left arm one day after vaccination, spread to right arm, back, abdomen, upper thighs posterior and anterior, buttocks, and few on face.

Other Meds: Alogliptan, Amlodipine, Aspirin 81mg, Glimepiride

Current Illness: None

ID: 1013320
Sex: F
Age: 65
State: AZ

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

Lab Data:

Allergies: none

Symptoms: Woke up with vertigo. Felt dizzy, nauseated and cold. Around noontime this feeling had passed, although still feeling a bit sluggish.

Other Meds: thyroid med, calcium, eye vitamin, olive leaf supplement, vit d, Thyrotain (thyroid supplement)

Current Illness: none

ID: 1013321
Sex: F
Age: 41
State: CA

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

Lab Data: Negative Covid test 2/1/2021, weekly covid tests completed have been negative so far

Allergies: none

Symptoms: Episodes of vertigo <1 minute long, when getting up from lying position. Started 2/7/2021 7:00am.

Other Meds: Adult multivitamin, Vitamin C tablet, Biotin

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm